HomeMy WebLinkAbout121 23RD ST - Building Permits PROJECT ADDRESS: 121 23RD STS UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 049051
GWNER'SNAME: V.N.E, DEVELOPMENT, INC .
ADDREss: S4350 UITE�70N00KARMAN PERMIT NO: E 049051 PLAN CHECK NO: • N GOVT:•
N SUPP; N
•
NEWPORT BEACH, CA 92660 CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE PURPOSE: NEW
(714 ) 250-7830
ARCN/ENGINEER: V•N.E, DEVELOPMENT, INC . REa.ND.:NONE JOB DESCRIPTION : NEW HOUSE METER/ LANDSCAPING SQ FT:
ADDRESS: 4350 VON KARMAN uNIT: 100
NEWPORT BEACH CA 92660 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
PERMITTEE: KENNETH W. FETHER ( 714 ) 250-7830 .
ADDREss: 3124 SUMATRA PL COMMENTS : NEW HOUSE METER/LANDSCAPING •
' COSTA MESA CA 92626 ******************************************************it***** x*aE**********ef+(***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M .E N T S
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY u ,.0 24 5 33 STATE M.:357301 c ;3
Date: �,2p -q-0 Signature: FRNT; FT MAIN BUILDING ACCESSORY BUILDING IN REAR: FT IN FRNT: FT IN REAR: FT IN
WORKERS' OMPENSATIDN DECLARATION: I hereby affirm tis ave a certificate of consent to self-insure or a certificate of Workers' LEFT : FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
ComrynsationnsuraV cl,Vr 1 certified copy thereof(Section 3800.Lab.`9)4 /01 /9 1
P10.: EXP.DATE:
�y. STATE FUND PARKING REQ: PROV: PARCEL : 42605407 ZNE: REF NO:
Certified copy is hereby furnished. 0 Certified copy is fit d with the ' mDivision.sion. PLANNING NOTES>
�— 9,Date: � ii ✓ Applicant DEVELOPMENT .,SERVICESS REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Th section need not be completed if the permit is for one hundred(5100)or less). --
I certify that In the performance of the work for which this permit Is issued,l shall not employ any person in any manner so as to become ZONING APPROVED B Y •
subject to the Workers'Compensation Laws of California. - - DATE:
Date: Signature: BUILDING APPROVED BY :
NOTICE:It,after maldng this declaration,you should become subject to the Workers'Compensation provisions of the Labor _ DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY y7�p
CONSTRUCTION LENDING AGENCY: I hereby affirm that there Is a construction lending agency for the performance of the work for s �.a'i'__ DATE: 0 1 in(�
**********************? 3Fr...c;l �fF**********af**********3F WW,Efl***..**
which this permit is issued(Section 3097,Civ.C). *********************************i -'**********************************
LENDER:
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the Meowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 18 . 50
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5()% SM I P/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p LAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE __ ___ _ _ —_- ___ 15., QO _ --
any applicant for.a,permit,subjects.the_applicant to a.civil_penalty of not more.than.five.hundred dollars(5500) . __ - -- "--- - - - - _ - - -
BUILDING-DIV->" PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and.the TOTALS----> 18 . 50 15 . 00 0 . 00 33 . 50 33 . 50 . 00
r3 structure Is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 33 . 50 OVER/SHORT : 00
1 improvement is sold BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN-CHECK
• for the purpose of sale). 33 . 50
I,as owner of the propend,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not appat to the Cerofctopertywtwbmldse improves thereon *6************************fl-*****************************-***********************and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensa0on insurance Should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.A P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: ELE 1 'SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant willwill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the AirAir Quality Management District.Residential construction applications are exempt from
these provisions.
Date: - Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county •
ordinances and state laws relating to building construction and hereby authorize repre natives of this city to enter upon the above-mentioned 01 00069867-00069867 "T1717' 33.50
property for inspection Purposes. m4tip_ DATE: 09/18/90 TIME: 13:54 /
---' Date: 1-- li-90 Signature: ^Jl'I
Drivers License or Social Security A:
164148 White-Building:Green-Code Enlorcemenl;Canary-Applicant:Pink—Revenue;Goldenrod—Assessor
1
CONSTRUCTION AND PLANNING. PC S SPA
APPROVALS Permit# - Date Inspector APPROVALS Permit # - - Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
A. 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
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-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding (-x. 77. FIXED SYSTEM FINAL
29. Insulation ) 78. FIRE PR EV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final • fir� j�, 80. FOOD CERTIFICATE ISSUED
I33. Final Electric r �� -I I t Notes:
34. Final Heating & Air Conditioning ! f
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
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
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No. Date