HomeMy WebLinkAbout2675 RIVERSIDE DR - Building Permits • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. \l‘\� •
CITY OF COSTA'MESA - PEAMIT NO. TRACT NO. LOT NO:• BLDG'.NO. �'� ('7{ •
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CONSTRUCTION PERMIT p.5294 _, • - - e,' ' £: ""- - °❑f _ •
Protect Address.-aa....---)4"---
/� Ili Ltz4 - � Cart TYPE OF CONSTRUCTION t y `' • ` -
OWner J " ' Phone ❑ NEW ❑.ADD ❑ ALTERATION i' .
t ...)0s SEP 8 1982' I
/y„ , Address' - - - • LV'RE'AIR ❑ CONVERSION ❑DEMOLISH I _� -
' 1 Arch/Eng.- - - • License No. - ❑ OTHER two�-- •�4' ZONING REGULATIONS
4. IDESCRIPTION OF WORK ,_s A.P. ' ' -1
• Address _ - r ZONE PLNG. REF._e
`^ Contractor /VP 4a Q Q[,f•�-a. it ems• ,hAon�e-N111(�{'‘--.TYPE OF PERMIT - BUILDING - - ��� •iLTOING "-
\ 'Address 33F�Yk '- ///III,,sss �yEWE
SETBACK P R V LINE'
l mI It 0GRADING ❑ FOUNDATION- STRUCTURAL I F YARD
1 LICENSEDCONTRACTOR DECLARATION , - - - - 0 TENANT 0 ELECTRICAL LUMBING ❑MECHANICAV' RIIGHYARD 1
I hereby affirm that I am licensed under provisions of Charter 9 (tom- -
IN mencing with section 7000) of Division 3 of the Business and ❑ OTHER
Professions Code, a tl my license is In full fort �htl_effect. PROJECT DESCRIPTION REAR YARD(TO P/L)
License Class�p q^. �Signat ure is o.,�(Op .X_ PKG.SPACE REQ. PROVIDED
Date T?-R--t If SO.FT. ' -
WORKERS'COMPENSATION DECLARATION . OCCUPANCY_CONSTRUCTION TYeE STREET WIDTH PARK FEE$ •
I hereby affirm that.1 have a certificate of consent to.self-insure or a VALUATION ZONE ZONING APPROVED BY' _ _ DATE , •
certificate of Workers' Compensation I���JJJsssWWWance,`or a certified-copy - . - . . . - - - - -
eof (Section 3800,Lab.C.). \'Tay: T ria s• GRADING CU.•YDS. ACRES SPECIAL CONDITIONS:
,y No.GJQ'`An a/c- ComPanY J'cM ._ - _ .. . .
la-Certified copy is.hereby furnished. • . _ REMARKS: . - - . . . . • '
yr•.ertif ietl copy is filed with the city Building Division. _ - - -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION •.• ' ' - - - - -- ' - ' "- . . -- "- . - _ . . . {
(Th13 section need not be completed if the permit is for one hundred ,_ _ - . - -. e - -
($100) or less), -
I certify that in the-performance Of the work for which this permit is ._ - • -. _ t - _
issued, I shall not employ any person in any manner so as to.become PLUMBING' PLAN CHECK - ELECTRICAL PLAN CHECK- .
subject to.the Workers'Compensation Laws of California. - UWELLINV - VAHAGE
Date - • Signature - BATHTUBS SHOWERS " - -SO FT SO FT •
NOTICE: If after making this declaration, you should become subject TOILETS 'URINALS t - GENERATOR 0-1 KW_1-10 KW - -
to the Workers' Compensation provisions of the Labor Code,you must •'TRANSFORMER -
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS . . .. 'APPLIANCE -10-50 KW 50+ KW, '
revoked.. -
CONSTRUCTIONLENDINGAGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP . 1.10 HP •
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS • . SUMPS - - (INC.SOLAR) 10-50 HP 50+ HP -' -
•
formance-of-the'work for which this permit Is Issued (Section 3097 - - -
Civ- C'.). - - FLOOR •SINKS' FLOOR DRAINS ' - FIXTURES OUTLETS SWITCHES- 'I
SWITCHES-
Lender's Name
Lender's Address DRINKING FOUNTAINS .. ,- . GAS TUBE SIGNS - _- -
OWNERBUILDERDECLARATION - INTERCEPTORS CLARIFIERS POLE_ LIGHTS' ' '-
' - " --
I hereby affirm that I am exempt from the Contractor's License Law for _ -
the-following reason (Section 7031.5 Business-and Professions Code: SWIMMING POOL ' P TRAP - LUNbI KUL I IUN Any city or county which requires a permit to construct, alter, -POLES METERED SUB
Improve, demolish or repair any structure, prior to its Issuance,also re- WAT R SERVICE ALTERATION. PANELS MAIN' - SUB . „ - _
quires the ap,licant for such permit to file a signed statement that he t•
Is licensed pursuant to the provisions of the Contractor's License Law AS SERVICE ' / OUTLETS SERVICE "AMP-
(Chapter 9 (commencing with Section 7000) of Division 3 of the
F less-and Professions Code) or-that he is exempt therefrom and the WATER HEATERS BTU OUTPUT - - - - '
for-the-alleged exemption. Any violation of Section 7031.5 by - '• - - ,
• applicant-for a permit- subjects-the-applicant to a civil-penalty SEWER CONNECTIONS • " - ' - - _
m not more than five hundred dollars ($500). - '
❑ I, as owner of the property,or my employees-with wages as their SOLAR TANK - 'COLLECTORS' " ' ,.
sole compensation, will do the work, and the structure is not intended - - '
:or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. - ISSUE EF���t "
Contractor's License Law does not apply to an owner of a property — APPLICA 1 N /NPV ROit BY�y
who builds or improves thereon, and who does such work himself or ISSUE FEE • - s,o Q �� p - �` T
.through his own employees, provided that such improvements are not .l i
intended or offered for sale. If, however, the building or improvement MECHANICAL - PLAN CHECK \ fJ, pUNi�IIA RN 0.4E:
is sold within one year of completion, the owner will have the burden - BUILD'
r r !f u
of proving he did not build or improve for the purpose of sale). •
HEATING SYSTEM 0-100,000 BTU - • PERMIT $ - y tP�V�,� $
❑ I, as owner of the property, am exclusively contracting with AND DUCTING - • sa r "
licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLAN C ECK $ PERMIT
and Professions Code:-The Contractor's License Law does not apply to - - --
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU - PLUMB AT S yI.ISSUANCE $
tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM �'laVADIN $_
the Contractor's License Law). 100,000 +BTU - - PLAN ECK
❑ I am exempt under Section B.& P.C.for this
BOILERS BTU ELECTRICAL $
reason - - - - - MICROFI
Date Owner SYSTEM REPAIR,ALTERATION •
'eLAN CHECK-• $
MECHANICAL E TOTAL FEE E.
I hereby certify that.I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - - LESS AD-
information is correct. I agree to comply with all city and county - PLAN CHECK ' $ -' VANCE PC $. - '
ordinances an tate lawsllAiiati g to construction,and hereby authorize
representativ f thisD • enter upon the above mentioned - at-,.
property f /�speedo, rposes, _g2 FINAL FEE $_✓• O�
Signature y91.1 �e1-'._.�. Date •
Drivers'LicenSs��OJr SS Se - - - ISSUE FEE
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
•
CONSTRUCTION AND PLANNING POOL&SPA - - - -
APPROVALS Permit# P-sbi�' Date Inspector APPROVALS ! Permit# Date- , Inspector
1. Temporary Electrical Service or Pole ' . 43. Pool & Equipment Location - -- -- -'- - - - - -
2. Soil Pipe-Undrgrn - 44. Steel Reinforcement '
3.. Electrical Conduit Utility-Undrgrn - -- 45:- Forms
4. Electrical Conduit-Undrgrn - _ _ . 46. Electrical Bonding -
5. Steel Reinforce , 47. Rough Plumbing & Pressure Test - ---• -• - -- - • -- - . _
6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE-- - .- • - - - - -- - T -
7. Footings " - , - - 49. Electrical Conduit-Undrgrn
8. Foundation . 50. Gas Pipe, ❑Undrgrn,Test -
.9. Water Pipe-Undrgrn 51. Backwash Lines.P-Trap;-D LTnd-rgrn - ' - " - ` '
• ,10. Structural Floor System ' - - 52. APPROVAL TO DECK - - - J - ' . - •' ' --'
• 11. - Property Sewer Line& House Connection - ' ' _ . - 53. Backwash & Receptor-Final -
12." Street Sewer Connection , • • - _ 54. Heater&Vent-Final
13. "Rough Plumbing • - - - '55 Plumbing System -Final - -
14. Rough Electric-Conduit - - - 56. Electrical-Final - -
15. Rough Electric-Wiring " - - - - - • 57- Solar System-Final-
16t Rough Heating& Air Conditioning b8. Fencing &Access Approval
17 - Ducts, in Structure ' - . _ _ 69. APPROVED FOR PLASTERING
18. Ducts, Ventilating - - - '
19. Gas Pipe-Rough &Test • ' - • 60. POOL/SPA SYSTEMS FINAL •
.20. Roof'Framing - -
21. Roof Sheathing , -
•
22. Frame and Flashing . NOTES: A flay �7 z7..7146„..1,4, y/ G� Sf �'
23. Insulation . _ r '/ - L
24. Lathing &Siding . . _" - - - _ - -• - " '
25. Drywall Nailing - • . : ,
•
26, Plaster Brown Coat
27: Electrical Power Meter-Final _ _ - - _ . _ - -
28. Final Electric _-- -
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test . . _- • • •
31. Final-Plumbing .. - - - •
32. Water Service-Final' `. -
33. Gas Service-Final _ " _ - - '
34. Solar Domestic:Final
35. Landscape Sprinkling System , - -
' 36. Sound Attenuation - .
37. Handicap Regulations ,• -
38. FINAL STRUCTURE.&.BUILDING - , -
39. Special Requirements.Completed
_ -
40. Electric Release to Edison " ' - . _
i 41. Gas Release to Southern California Gas Co. • i • - - -
' 42. CERTIFICATE OF OCCUPANCY -
• -D -No Date - ..-