HomeMy WebLinkAbout2020 MERRIMAC WAY - Building Permits a' /1-�1c Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 1 847 0/1 0/85 - 123.56
23,56 II
CITY OF COSTA MESA CONSTRUCTION PE/^RMIT PE IT /yq TRACT NO. LOT NO. UNIT NO. 1 _ - 1
Protect Addressee R.C�V"�1 GLr / / J -
Applicant's Mailing-Address• 11 ,'le�s��e `� AV�- TYPE OF CONSTRUCTION KNEW U ADD U ALTERATION U REPAIR ,
��K t- iUt 1t� Phone ❑ CONVERSION ❑ DEMOLISH 0 OTHER, . _ r,� n
Owner's Name �/S�3 A.P.# £ ), - C SD-- 1(] Zone r.& -N
� DESCRIPTIQN OF W RK/USE OF BLDG. _`yQ I .F.` 1"^��Pr
Address —. - - - - - - c 1 (1�(L Uop 1 S Main Building: Accessory Building:
•Arch/Eng. r I+I liW�l f& _License No. TYPE OF PERMIT' L i GRADING ❑ FOUNDATION U STRUCTURAL T Front • Z0
Address ��J ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name-�L`x1Q.C'�yin% Phona37�p_J ❑ 'OTHER A • I
c`�+� �I , PROJECT DESCRIPTION SQ. FT. OCCUPANCY .0 Right • N
Address(mailing)
nse g) �,�l Z +Q ryes / � CONSTRUCTION TYPE VALUATION S C ' S Left R
City License No. 3C•.5S3 ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION _ - - - Ping. Ref.# —/ � Parking Req./Provided _ E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /'+ �• Planning Notes: �// ,�7 L Q
with section 7000) of Division 3 of the Business and Professions Code, and (_ -1 Tl( ` >TS7 9 1�i.t wit ¢xr-." /-w-x I M
1 (/ T
J my license is In full force a -fie - HOLD Mx SP,1;G1AL ttEQUl thi1EN'1'S S
License Class a No.
Date =9^8C Signature - -!C>t/ . PLUMBING FEES . .
'Th WORKERS'•COMPENSATION DECLARATION Bar Sink Showers
fy hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
\ f Workers' Compensation-Insurance, or a certified copy,thereof (Section Backflow Preventer - Service Sink - - -
3600, Lab. c.y Automatic Washer Transformer 0 15-50 KW'
Policy No. /G �A-�BS� Spinp3Lry 1J/S[CIS/T'4 Backflow Irrigation Sewer Ca 0 50+KW
a/\j J i t P Construction •Pole Sub.
Certified copy is hereby the tl. -
Certified copy is1 it with th city Buildin Divi Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps '
Date LO-4 - Pc Applicant art , -
' EXEMPTION FROM WORKERS'COMPENSATION DE ARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps '
(This section need not be completed if the permit is for on unfired($100) or• -
less). Dishwasher i Solar Pipirlp Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued 1 5
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank. Fan Motors 001 HP 01%-8 -
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:If,after making this declaration,you should become subject to the In&SOlar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal
comply with such provisions or this permit shall be deemed revoked. 'Fixt Ur¢a Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets - Water Closet. 1 Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is Issued (Section 3097' Civ. C.) Interceptors Water Heater • Outlets
Lender's Name Range
Lender's Address Kitchen Sink - Water Service Switches Sign
OWNER BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or 7• Garbage Disposal ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit P -Trap Laundry Trays Generator 00-5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of •
Vvision 3 of the Business and Professions Code) or that he/she is exempt . •
lerefrom and the basis for the alleged exemption. Any violation of Section
.031.5 by any applicant for a•permit subjects the applicant to a civil - , .
genalty of not more than five hundred dollars ($500). / ,
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not Intended or offered Reinspection Fee ' I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own .DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 v� r✓
sale. If, however, the building or Improvement Is sold within one year of com- - Canopy Type II ❑ Zoning Approved By eceji l�s� nate /0/G19/Q`\
pletion, the owner will have the burden of proving he/she did not build or im- Duct-.Under Ground - Building Approved By !✓ Date 10 ` Vr
prove fpr the purpose of sale). - - - - - - - - - - - - r 1
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By • Date / C
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • 00-100,000 BTU ❑100,000 BTU / •i SU�r1MARY F FEES
builds or improves thereon, and who contracts for such projects with a con- - -lel. o
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ J1 q SMIP $
proof o/ their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 4 O ••'13 PERMIT•
❑ I am exempt under Section & P.C.for this reason . Firepl/Fact.Blt. ICBG# Fire Dampers• PLUMBING $ EMITISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ' ENERGY P.C. $
I hereby certify that I nave read this application and state that the above 00100,000 BTU 0100000 BTL - $ GRADING $
information .rrect. I agree to comply with all city and county ordinances I i ELECTRICAL,
and st. - aws re . ing to building construction, and hereby authorize repre- - MICROFILM 1 $
sentat es of this sty to •..•..II L upon he above-mentioned property for - , PLAN CHECK 50% $
inspe tion purposes 1.. • '
Signature _._. Date/A'9-8S MECHANICAL $ 1TOTAL FEE $ 1a3.5"kJ
Drivers' License or SS* � _ Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ f
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
1
•
CONSTRUCTION AND PLANNINGPO( SPA
Date Inspector - Date Inspector
APPROVALS Permit# APPROVALS Permit #
• 1. Temporary Electrical Service or Pole c i 52. Pool & Equipment Location
r
•2. .Soil Pipe-Urjdrgrnd. cc; '; - 53. Steel Reinforcement `,
3. Electrical Conduit Utility-Undrgrnd.' I- e'•7 54. Forms
‘,•.„-:
'-4.;Electrical Conduit;Undigrnd. 1..,' a 55. Electrical Bonding .
S'i•Steel Reinforcement' �,i 56. Rough Plumbing & Pressure Test ••-•-•
;t dl/ro/fir w s .r
•' 1
.6.,-EieciricalUFER:Grnd. ' 57. APPROVAL TO COVER-GUNITE 'ill
7.,.Footings ',} ), / T 58. Electrical Conduit-Undrgrnd. �-
i. S.'Foundation -. V 59. Gas Pipe, O Undrgrnd.,Test
Z. h 9.'Watei'Pipe-Undrgrnd. - yl 60. Backwash Lines, P-Trap, O Undrgrnd. "v
•�.--- 10./Structural Floor System i; I . f 61. APPROVAL TO DECK
,111 Prpperty Sewer Line'& House Connection '-.).-"'-1 62. Backwash & Receptor-Final
` 12. Sewer:Cap (J l ' -i 1 - 63. Heater & Vent-Final .)
y ' 1'
-1sj . 11‘1. Roof1 rains ° ;•`i 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final ,
15. Rough Electrical-Conduit 66. Solar System-Final
• 16.6 Rough Electric Wiring 67. Fencing & Access Approval -
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
•
_ 21. Ducts, in-Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe':Rough&Test - • 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
si - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
ri-
27. Frame and Flashing - 76. Dry Standpipe
- •28. Lathing & Siding 77. FIXED SYSTEM FINAL
. 29. Insulation 78. FIRE PREV. FINAL
30. .Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster'Brown Coat 79. FINAL INSPECTION - .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final-Heating& Air Conditioning dK 1/ /S
35. Final Gas Pipe-Test -
- (o
36. Hood-or Canopy
37. Final Factory Fireplace ' I
38. Final Plumbing , ' •-
39. Water Service-Final „ -
40. Gas Service-Final -- `
41. Solar Domestic-Final
42. Backflow Preventer .
43. Backflow Irrigation, - -
44. Landscape Irrigation System • -
r :
45. Sound Attenuation
46. Handicap Regulations - '
47. FINAL STRUCTURE & BUILDING 1742/$c c s
48. Special Requirements Completed /-629-Q& e6!o •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
. No. Date .
cloaO m �tw0. Iicanl to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PERM NO. •T TRACT NO. LOT NO. ;
CONSTRUCTION AND PLANNING PO :SPA - . - -
APPROVALS Permit#- Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole • '.1 52. Pool & Equipment Location
-2.,Soil Pipe-Undr. rnd. - -�, 53. Steel Reinforcement ,
3i,Eleal Con
ctricduit Utility-Undrgrnd. �'� 'i+. 54. Forms
ti
. . .4'.TElectrical Conduit:Undrgrnd. 55. Electrical Bonding
5.j Steel Reinforcement r.r I - (it5 C c 56. Rough Plumbing &Pressure Test C
6. -EIlectrical UFER_Grrid. i • 57. APPROVAL TO COVER-GUNITE .?`tel
• , 7,...Footings 7;,?..'''•- - /JIe - NS 58. Electrical Conduit-Undrgrnd.
;
. 8: Foundation 59. Gas Pipe, El Undrgrnd.,Test `;.'
- , 9;Water,Pipe-Undrgrnd. i ,. :J 60. Backwash Lines,P-Trap, 0 Undrgrnd.
- - 10;.Structural Floor System _ 61. APPROVAL TO DECK )
•r ' 11.;; fl Sewer Line House Connection ; 62. Backwash &'Receptor-Final •
12.1SewerlCap :.',2 4.4.41 .-
fi • 63. Heater & Vent-Final
13. Roof-brains I . - I 64. Plumbing System - Final j
• i 14. Rough Plumbing..- 65. Electrical-Final
:.`Y 15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace APPROVALS Permit#
. 21.,Ducts, in:Structure 70. Underground Hydro -
' 22. Ducts,Ventilating. 71. Product Piping 0 Gas 0 Oil .
23. Gas Pipe=Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil -
25. Roof Sheathing 74. Overhead Hydro
26. T-BarGeiling (Structural) & Monocoat 75. Dry Chemical
`
27. FrameanU Flashing i "_. 76. Dry Standpipe
'28. Lathing:& Siding 77. FIXED SYSTEM FINAL
•
29. Insulation - 78. FIRE PREY. FINAL
30.-Drywill Nailing • HEALTH DEPT. REQUIREMENT
31. Plaster'.Brown Coat . 79. FINAL INSPECTION I .
32.,Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final.Electric Notes: ipeCA�1 C/,X__ /L/86
.. 34.--Final Heating & Air Conditioning - .
35. Final Gas Pipe-Test •
36. Hood or Canopy i
37. Final'Factory Fireplace ,
.
38. Final.Plumbing - I
39. WateF Service-Final -,
40. Gas Service-Final
41. Solar Domestic-Final . , '
, t
42. Backflow Preventers
43. Backflow Irrigation - - • I•
44. Landscape Irrigation System
45. Sound Attenuation - .
46. Handicap Regulations -
47. FINAL STRUCTURE & BU,ILDING t/`i / • • ,
/tilS
48. Special Requirements Completed J_aq 4'6 n'�/0 -
49. Electric Release to Edison -
,50. Gas.Release to Southern California Gas Co --- ' -.
51. CERTIFICATEIOF OCCUPANCY
•
No. -i - Date -
• I