HomeMy WebLinkAbout781 18TH ST - Building Permitsr
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Aoolicant to flll In all spaces except tnose witnin neavy Eortler Ilnes antl sign all appropriate tleeiantions.
CITY QF COSTA MESA CONSTRUCTION PERMIT P�MIT NO. ' TRACT NO. LOT NO. 11NiT n�n
aPiojectAddress ��1 -� W 13t'i Street
JApp��cant'sNlailingAddress u022 i heStOl' St�StantOP
Owner's Name . �hi,pg Fa Chi pn ' Phone
Address 1f;946 Virlcie Av/Cerritos 907G1 '
Arch/Eng. License Na.
Address �
ContraCmr'sNamTrinit�r Flartr'r� Tnr phone.��6.97�
nddresslma�r�yl �022 Chester St/SCanton 90680
Ciry License No. 38�� 1 •
LICENSED CONTRACT00. DECLARATION '
1 hareby aftirm thal I dm IICOnsetl untler� rovislons of Charter 9(commOncing
with section 7000) of Dlvislon 3 0l t Bu5ine55 tl P s5iony� OtlO, tl
my Ifcense is In full tortn antl elTecL ��_,// , ��
WORKERS'.COMPEKqg7,�d�6ECLARATION "
� hereby afOrm that I have a certllicate oi consent lo salf-insure
� bVorkers'. Compen5dtlon Insurance, or a certifietl copy tY
soo, �b. c.
aoi�cv No. 41�171023 co,,,P Y 2iomela d
�Cer[ifietl�copy i5 ha�eby f}yniS�cti�� �
CcrHfled�[dAY Is flleE vAEblhe 94�r�Y1S+D 1
EXEMpTION FROM W01lKiaB"COIAIPE1QSKl'lON CltCLARATKfi! /I
(Thi55Q�(ion neetl not ba completetl ifthe permit is tor one huntlretl (51US) or
less). •
I certliy (hat in the performante of tlle work /or whlch this perm�t is issuatl I
5ha11 not employ any person tn any manner zo as to become subject lo t�e
Wprkers' Comvensatlon Laws of California.
Date � Si9nature �
NOTICE: It, ait¢� making this tlecla�atiOn, You ShOultl become SubjeGl to lh9
WorkCrs' COmpensaliOn provlslon5 of the Labo� Gotle, you mUst forthwith
comply with such provlsions or this pormit shall be deemetl revoketl.
CON570.UCTION LENDING AGENCV
I horeby a//irm that thera I5 a<onstructlon lentling agancy for the performan<o
ol lhe work tor w�l�h t�is erm'I IS 155uotl' (Settion 3097 Civ. CJ
I,pntler•s fJame S��mi Ymm� �APIc
LmCor�sAtltlress� an ic on erey ar $ITS�
OWN@R BVILOER DECLARATION
1 nereby af6rm that 1 am oxempt from tho Con[raCtor's LicenSo law 1or lne
tollowing reaion (Section 7031.5 Business and Professional Cotlo: Any citY or
county whicn� requi�es a pe�mlt t0 <onstruCt, altor, IrhprovB, tlemolizp or repalt
any struclure„Prlor to Its 155uance, also requlres the applicant for such permlt
to file a signetl Statement tM1at he/sh¢ is Iit¢n5ntl purSUant to lh0 P�OVlsioni ot
[ne CGn[ractbr's UCense Law (Chapter 9(mmmencing wfth Seclion 7000) Of
Divtri—� 3'of the BUSineSs' antl Protes5ion5 CotlO) Or [hat he/she IS axampt -
`^{�]�Om�antl the ba515 tor t�e alle9etl exempHon. Any vlolatiOn o( Sectlon
.a by any applicant for a permit subjetts the aOP�itant lo a dvil
�Ity of noi more than five huntlretl tlollars (E500).
� u I, as owner ot the Property or my employees with wages as their sole
tompensation, will Oo the work, antl the structure is not intenOetl or oHeretl
fon zdle (Section 7044, Businezs antl arofessionai Cotle: The Contractor's
� Licang¢ �,iw does not appry lo an owner ot a proper[y wM10 builtls or improves
� thereqn,. antl wno tloes such work htmseH/herself or t�rough hfs or ner own
employ¢es, provltleG t�at such improvements are not tntentleC or otteretl for
sale. If, however, tne builtling or Improvement Is SOItl wltnin one year O7 com-
pleNob, the Owner will �avG the burtlen Of proving he/she tlitl nOt builtl or Itn-
��ovG tor [he purpose ot Sale�. '
I, as owner of tne proper[y, am ezclusivory contracting with Ilconsotl con-
tractors to construcl tho pwjec[ (Sectlon 7044, Businoss antl Professlons Cotla:
Tha Contractor'S License law does not aOPly to an owner ot pro0erty who
bulltls or Improves thoreon, antl who contracts (or such projects with a con-
tratlor(sl ucense pursuant to lhe Contractor's L�cenie Laiv). I am awarn that
O�ool o( their Worker•s Compansation Insurance s�oultl.be provitletl to me.
❑ 1 am oxempt untlor $ectlon B. & P. C. lor this reason
Oate Owner
I ho�Bby Ce�tily that I �ave red
Inlorm�a[Ion Is corroct. I a9ree fo
Signa�ure __��l,
Drivers' License or 5:
CMF 0863-46, rev. 10/84
Ine above
vtlinances
rize repre-
p¢rty for
TYPE OF CONSTRUCTION IXJ NEW LI ADD LI ALTERATION LJ REPAIR
� CONVERSION ❑ DEMOLISH ❑ OTHER A p*, '
DESCRIPTIONOFWORK/USEOFBLDG. TES].d0Rti2].�A%'i .
- ' S Main Building
TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Ffont
❑ TENANT � ELECTRICAL ❑ PLUMBING ❑ MECHAN�CAL g R2af
❑ OTHER ' � %�
PROJECT DESCRIPTION 5a. F7. OCCUaArvCY ' C Right .
K Left
CONSTRUCTIONTYPE ' ',VALUATION$ g
ZONE GRADING CV. VDS. ACRES . Ping. FeL 5W
Remarks: � . � ' _ Planning Notes:
Sink '
ktlow Preventer
<flow Irrigation
itubs
ifiers .
iwasher
iking Fountains '
x Oreins '
Gas Sarvice
Inlercep[ors
Kitchen Sink
Lavnrories
P-Trep
Roof Drains
Reinspection Fee
Outlats
S15
Boiler
Duct - Under Ground
Duct - StructUral
Duct - Ventilating
Exheust System ❑ Multiple ❑
Firepl/Fac[. BI[.'ICBO �I`-
Heating System & Ducting
❑ ai oo,000 eTu a i oo,000 er
��-?�� uace �i" I' I pein5pectionFee
White - Builtlin9: Canary - AOP���anh Pink - Accountln9: GoltlenrOtl - Assesso�
$75
Service Sink-
$ewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9 -
Solar Tank
Swimming Pool w/Spa
Uf1001 I
,Water Closet �
Water Hea[er
Water Servico
Auto-Wash
Leundry Trays
Issue Fee
Hood or Typel ❑
Canopy ,Type II ❑
Refrigeration System �
❑0-100,000 BTU �CI100,000
System Repair/AI[eration
Fire Dampers
Registers
Issue Fee
S 3
$ 3
, 9444 7/15/86_
- .. . ... .�.
� ' Zone
Accessory Building: '
' Parking�Req./Provided
� II
• �
. � ELECTRICAL � � �
Auromatic Washer �
Construction Pole Sub.
Cooking Unit � ' '
Dishwasher �
Dryers ❑Gas ❑Electric �
Fan
F.A:U. '
Fixtures '
Device Boxes
OULIQLS
Swiahes - � .
Garbnge Disposal
Generator Q�5 KW 05�15 KV�
�Trensformer LJ 15-50KW
�- r ' ❑ 50+Kw
Meter �� �up to 100 amps
Meter ❑over_100amps'
Sub Panel � : '
,Motors�0.1 HP �1h-8 .
Inc.Solar �9-15 HP �16-15+
i MICfOWdVC
Pole Light .
Standing Sections
Trash Compactor
Fee �$15 � � lisue Fee
DEVELOPMENTSERVlCES REQUIREMENTS:
2oning APProved By
BuildinB APP�oved By —��
-- 8•00 ' TL
Z
O
N
I
N
G
R
E
�
M
7
S
SUMMARV OF FEES , , , -
BUILDING PEFMfT $ SMIP ' $
PIAN CHECK $ PERMIT ' -
PLUMBING $ � �SSUANCE ' $ .
PLAN CHECK 25% $ � ENERGY P.C. $
ELECTRICAL $ R Of, GRADING $
PLANCHECK 50% $ . MICROFILM $ -
MECHANICAL $ TOTAL FEE $ H.00
PLAN CHECK 25% $ . _ ` _ ' ' � �
CONSTRUCTION AND PLANNING : POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector ,
1. Temporery Electrical Service or Pole '�: 'f,�� � G 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 & Presstiie Test '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd;
8. Foundation 59. Gas Pipe, � Undrgrnd., Test,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O�Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK �
i t. 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
16. Rough Electrical-T Bar Ceiting 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 �Gas ❑Oil �
23: Gas Pipe-fiough & Test ' 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing . 74. Overhead Hydro _ .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
26. 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
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace .
38. Final Plumbing
39. Water Service�Finat " � .
40. Gas Service-Final , �, _y, -
41. Solar pomestic-Final '. ' �
42. Backflow Preventer , .
�•
'43. Backflow Irrigation : ' �
�
44. Landscape Irrigation System • �
45. Sound Attenuation , t�
I
�46. Handicap Regulations � . .
47: FtNAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electrie Release to-Edison �M�$ � /-
O �.0 ✓` t9/�j�
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
.
No. Date . �� . � � r �.
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