HomeMy WebLinkAbout890 18TH ST - Building Permitsr
AVolicant to flll in all spaces except tnose wllhin heavy eortler Iinas ana sl9n ail aporooriate tleelanUons.
CITY OF-COSTA MESA CONSTyRUCTION PERMiT PERMIT NO._ __� TRACT NO. LOT NO. _UNIJ NO.
Project Address g9� w. � Vth Sf.
Applicant'sMaiiingAdqress �y µti�h�� �/D�IRUINt CA
Owner'sName RicH'rz0 �AfO�✓ Phone.7Sy-%.�7i
Address �9'�,'w• /9 St GoSY9 /Y�ESA
Arch/Eng. �'Q' License No.
Address
Contrector'sNam F.�+NCONSlp.ucfiaN phone 380-'���b
Address (mailing) � y µ hE5 / RJINE /d'
Ciry Licenu No. _� �
LICENSED GONTRAC70R DECLARATION
I hereby alfirm Ihal"I 5m IicanSetl un0er O�ovision5 Ot Charler 9(commenNn9
with section 7000) of'Divislon 3 of Ihe Buzinoss antl Profezzions Cotle, antl
my Iicense is in tull�occe ana eifect.
LiGens�e Class 'r'R'� - Lit¢ Nn ��.'f33
Date '/g—Ai Signat �l�
WORKERS' COM7ENSqT,ION DECLARATION
' hereby affirm that I.ndve a certificate ol consent to selLinsure or a certititate
! Workers' COmpensation InsurantG, o� a certitietl Copy the�eof ($ection
.800, Lab. C�.)�� �sn� '� y,
PoI' No. JJZx/f/_J'� Company $fg,c �u'�-�
Cercitietl covY �s nereby (urnishetl. �Y �J
Datee�fiep�oOY$is (iletl wAPPI cantY 'I '�'a"oR �� �
! �
EXEMPTION FROM WpRKERS' COMPENSATION DEGLARATION
�(TM1i55ection naetl not be comD�etetl i1 [ne permil i5 fOr pne buntlr0tl (E300) or
iezs). '� ,
I certify that in Ine pe�fo�mance of Ih¢ work for whl<h t�is pe�m�t i5lisuetl, I
snall not employ any, person in any manner so as to become subject to the
Worken' CompensatiOn �y.NS ot Callfomia.
�ate Si9nature '
NOTICE: It, aiter makiqg tnis tleclaratlon, you shoultl become subject to the
Workers' Compensation orovisions ot the Labor Cotlo, you must forthwith
Comply with sucn prOvisions or lhis pe�mi[ Snall be tleemo0 tevoketl.
CONSTRUCTION LENDING AGENCV
1 hereby aHirm that there iz a constructlon lentlin9 agency for the perlormance
ot the work far w�ich this permit iz tzsuetl (Soction 309] Clv. C.)
Lenaer's Name
� Lentler'S AEtlress
pWNER BUILDEN OECLARATION •
1 nereby aftirm that I gm exempt from the Contractor's License Ldw tor lhe
follawing reason (Section 7033.5 BuSiness antl Profe55ional Cotle: AnY city or
counry whlch r¢q W re5 a permit to Conslruct, alter, Improve, tlemollih or mpair
any sVucture, prior to I[s issuante, also requires Iho aOD�icant tor sucb pormit
to ti�e a signetl statement that hc/sho is Ilcensetl pursuant to tne provisions of
the Contractor'S License Law (Chapler 9.(commencing witn Section 7000) ot
DIvi5lon 3 of lhc BuSiness antl Profes5ion5 COtla) or Inat ne/She is exOmpt
theratrom antl tha bas�s for tne allo9etl exemptlon. Any violatlon o1 $ectlon
1031.5 by any appliCant tor a permit subjacts tha applicanl to a<ivll
�Enalty ot not morC th8n live huntl�etl tlO11aR (E500).
U 1, as ownnr ot lhq p�opOrty Or my employee5 wlllt wagez as lheir sole
mmpensation, win tlo tne work, antl [he structure is nol intentlatl or olferatl
for saie (SecUon 'l04a, Businass antl Professional Cotle: Tbe Contractor's
License Law tloes not dpply to an owner of a property who builtls or Improves
thareon, antl who tloes such work himself/M1erself or through his or her own
Cmployees, prOvitlttl tAat such ImprOv¢ments are not intenaea or Offeretl fo�
ulo. If however, the Oulltling or improvement I5 soltl wit�In one year of com-
pletloq the ownar wlll have tM10 burtlen ot proving he/sha tlitl not builtl or im-
�ova lor the purpose Oi Shce).
I, az owner OI the property, am exclusivlly cont�aGting with Iiceni¢tl con-
Vactors to construc[ the project (Section 7044, Business antl Profe55ions Cotle:
The ConVactor's Licapse l�w does nOt apply to an owner ot pro0orty who
buibs or improves thereon, dnE who cmlract5 fOr zuch proj¢Cts wilh a con-
tractor(s) uGense Ours4anl to the COntractor's LiGonse Law). I am aware [hat
proof of thelr WO�ker•5 COTPensatlon insu�anca ShOUItl be prOvltletl to me.
❑ I am exemo� untler 5¢ction B. 8 P. C. br this reason
Date Owner .
I nereby c¢rtity that I have reatl
Information is wrrect. I agree ta c
antl state laws rela[ing to builtlinq
sentatives Of [his_city (o en[e�
inspection pur
Signature
Drivers' License or SS
iate Ihat the above
d county ortlinances
eby authoriz¢ rep�e-
ionetl property for
Daia � �1�
J � J J N � � _
TVPEOFCONSTRUCTION rvEw ADD AL
❑ CONVERSION ❑�DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG. Ad%� �A
ON LI REPAIR
TVPE OF PERMIT �/ LJ GRADING LJ FOVNDATION LY'STRUCTU
�TENANT Lrl ELECTRICAL ❑ PLUMBING ❑ MECHqNICAL
❑ OTHER
PROJECT DESCRIPTION
CON STRUCTION TV
ZONE
Remarks:
Bar Sink
Backflow Preventer �
Backflow Irrigation . .
Clarifiers . `
Dishwasher .
Drinking Fountains
Floor Drains
Floor Sinks •
Gas Service .,
Kitchen Sink
Lavatoriez'
P—Trap ,- •
Roof ains
Rainspection Fea
'.T.y.� ��� � OCCUPANCV
N VALUATIONS �,[
GRADING CU. V�S. ACRES_
515
Boiler
Duct�UnderGround
Duct - Structural
Duct � Ventilating
Exhaust System ❑ Multiple
Firepl/FacL Blt. ICBO �f`-�
Heating SVstem &� ting
1
ReinspectionFee � '$15
CMF 0865-46, r¢v. ]0/84 Whit< - Builtling; Canary - A�Pliwnt; Pink - Accountin9: GOltlenrotl - A55e55or
Showers
Service Sink
SewerCap • �
SewerConnen
Solar Col toi
�o� �r...�
lar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Wa[er Service
Auto-Wash
laue Fae
Hood or Typel ❑
Canopy Typell ❑
❑0-7 , OBTU ❑100,000
ystem Repair/AI[eration
Fire Dampers
Registers
Issue Fee
g 3
$ 3
A.P. #�
S Main Building:
E
T Front
A Aear
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer
Cons[ruction Po1e Sub.
Cooking Unit . �
Dishwasher �
Fan '
F.A.U.
Fixtures
Device Boxes
Outlets
SwitChes
Garbage Disposal
Generator �0-5 KW
s.. �
2550 2/1�9/87
2one
Parking Fieq.IProvided
ELECTRICAL '
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up �to 100 amps
Meter ❑over 100 amps
Sub Panel
Motors�61 HP�1X-8
Inc. Solar �9-15 HP �16�15+
Microwave
Pole Light
15KW
I Reinspectian Fee I $15
DEVELOPMENT SERVICES RE�UI
2oning Approved By� ' ..��
8uiltling Approved BV �fCq({!
Standing Sections
Trash Compactor
luue Fee
�
B2v03 TL
FEES
$ 3
Z
O
N
1
N
G
R
E
Q
M
T
S
SUMMARV OF FE`�S
BUILDING PERMIT $ � S� SMIP $ � J�U
PLAN CHECK $ 2R • 93 pERMIT
PLUMBING . $ ' �SSUANCE $
PLAN CHECK 25% $ ENERGV P.C. 5
ELECTRICAL $ G' � S�U GRADING 5
PLANCHECK 50% $ /` 70 MICROFILM § Q
MECHANICAL ' $ 70TALFEE $ _(J .����
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING � POOL & SPA �
APPROVALS Permit# Date Inspector qppROVALS 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, O Undrgrnd., Test ,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.�
10. Structural Floor System 61. APPROVAL TO DECK
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 Electr.ical-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. POOUSPA SYSTEMS F.INAL
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 OGas ❑Oil � (,-�.
23. Gas Pipe�Rough & Test 72. Underground Flush � ��
24. Roof Framing ., 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25. Roof Sheathing . 74. Ovethead Hydro � _
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical � . �
27. Frame and Flashing � fQ' 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 �n. P1�"'�° 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-Final • � � ••
. �
40. Gas Service-Final .. : '
41. Solar pomestic-Final - � � . -
T ;'
42. Backflow Preventer '�- '' � -
43�. Backflow Irrigation .% � o . .� • ' •
.44, Landscape Irrigation System • ^
�45..Sound Attenuation � - � . .� , �'
�
46. Handicap Regulations �� �Ip , . :� !
I
47. FINAL STRUCTURE & BUILDING �.- � �., � ��' Y J�� �� �
.-_
48. Special Requirements Completed ; , - �
49. Electric Release to Edison � . '
50. Gas Release to Southern California Gas Co ' •
51. CERTIFICATE OF OCCUPANCY �
No. Date `