HomeMy WebLinkAbout189 18TH ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
TA MESA �CONSTRUCTION PE MIT R T 3.
esa O /�fT/J Si �o�Sy� TRACT NO. LOT NO. UNIT NO. ' 8392 (/29/86 . 2cp0F IL
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ht's Mailing Address TYPE OF CONSTRUCT 0 NEW ❑ ADD U ALTERATION U REPAIR
re ❑ CONVERSION DEMOLISH ❑ OTHER
/�4 /•�A1-/V /,}• Grp - Phona1QGlO�(1 -T5-51c4 A-P `�`- - - - Zane -1her':Name
dress - DESCRIPTIONOFWORK/USEOFBLDG. U6/R� ) �-' � S Main Building: Accessory Building:
Z
h/Eng- License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL' Front 0
ress ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear Ntractor's Name �,/ ✓Hi/ 100.0 c•34 . 0-OTHER - - -- A N
Phone C Right • •
Address(mailing) 25 00 C�1 cjpoaiu1R .to.ti. lr- PROJECT DESCRIPTION SO. FT. OCCUPANCY s: K •
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CONSTRUCTION TYPE VALUATION$ 'a °D _ $ Left , R
1 City License No. .8 d , •
ZONE GRADING CU.YDS AC ES Ping. Ref.# Parking Req./Provided' 0
OLICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
with section 7000) of Divisidn 3 of the Business and Professions Code,and - - T
my license is In f JJ,f a and effect. 6387
S
License Class �C 1 Lic nso o. .
Date 4 �94Z Signature PLUMBING FEES , - -
WOR ERS•COMPENSATION DE IDN Bar Sink Showers ELECTRICAL FEES
, 'hereby affirm that I have a certificate of consent to self-Insure or a certificate
Workers' Compensation Insuran e, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer , Transformer 0 15.50 KW
dlic00, Lab.c..( �O CSL Folio
Policy No.`(•�( '-dam Comp.. F Backflow Irrigation X Sewer Cap ' ^- 0 50+KW
Q Certified copy is hereby furnished. ♦ / Cooks g Unit
Pole Sub.
�( Cerciieetl so ^lyy tl with the city 'Iding al I .•. Bathtubs Sewer Connection Cooking Unit' I . Meter Qup to 100 amps • '
•
Da p( K Applicant .......---
A.
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EXEMPTION ROM WORKERS'COM•ENSATION DECLARATION Clarifiers Solar Collectors Dishwasher _ Meter Dover 100 amps
•
(This section need not be completed if the permit is for onehundred ($100)or -
less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel
I certify that in the performance Of the work for which this permit is issued I -
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1K-8 ' -
Workers' Compensation Laws of California. '
Date Signature Floor Drains • Swimming Pool w/Spa E.A.U. • Ina-Solar 09.15 HP 016-15+
'NOTICE:If,after making this declaration,you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with' such provisions or this permit shall be deemed revoked. - Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I Device Boxes Pole Light
I hereby affirm that there Is a construction lending agency for the performance
•
of the work for'which this permit is issued (Section 3097 Civ. C.) '0--
Interceptors tors Water Heater - Outlets
Lender's Name - • P yI Range _
Lender's Address - - Kitchen Sink Water Service Switches - - Sign -
OWNER BUILDER DECLARATION -
I I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal' ,Standing Sections
following reason (Section 7031.5 Business and Professional Code:Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • Generator ❑0.5 KW 05-15 KW Trash Com ctor
any structure, prior.to its issuance, also requires the applicant for such permit ...-• pa
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 • _ ' ' -_ .
-pi'vision•3 of the Business and Professions'Code) or that he/she is exempt
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-..ar-'1:erefrom and the basis for the alleged exemption. Any violation of Section •
F-931.5 by any applicant for a permit subjects the applicant to a civil
natty of not more thanproperty five hundroed dollars($500)- l
I, 5s owner of the r my employees with wages as their sole Reinspection Foe ` $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 ,
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or Ins- Duct-Under Ground - '
LJrove for the purpose of sale). Building Approved By Date �/}���//0
I, as owner of the property,am exclusively contracting with licensed con- Duct-Slractural Refrigeration System Application Issued By ® - Data1 dT .+t/
. 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 Ouct-Ventilating ❑0.100,000 BTU ❑100,000 BTU SUMI)R Ff (JFE ES S j1
builds or improves thereon,and who contracts for such projects with a con- BUILDING PERMIT $ /// SMIP $
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration
proof o/ their Worker's Compensation Insurance should be provided to me. -PLAN CHECK $ PERMIT
❑ lam exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG 4h Fire Dampers •
PLUMBING $ J A� PERMIT
ISSUANCE $
•
•
Date Owner - - Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ _
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL GRADING S
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state law - .ting to builds construction, and hereby authorize repre- - - - MICROFILM $
sentatives of this city to nt.iupon re above-mentioned property I r PLAN CHECK .50% $
Inspection p .posp.�{- p� MECHANICAL $ ' TOTAL FEE $
Signature s -a' ' a...-. �
� a 1--74+0 Date /-4-9 o' - - •�
Drivers' License or SS _� '�-�� �.! Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25%' $' a.3 r
s
CMF 0865-46,rev. 10/84 White - /
Building; Canary - Applicant: Pink -Accounting; Goldenrod - Assessor
II^ CONSTRUCTION AND PLANNING POOL&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 - i $ 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
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer CaP 3,44'/fr (gyp 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-I 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 i
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 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall 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:
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 Domestic-Final •! .
42. Backflow Preventer '
,moi
43. Backflow Irrigation t. �' -
44. Landscape Irrigation System
' _
, 45:-Sound Attenuation .
. ' 46, Handicap Regulations •/ - -
47. FINAL STRUCTURE & BUILDING 3/LY/ Zoe • ` ,
48. Special Requirements Completed
49i Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY ,;
No. Date _ - -'
. .
. -
COUNTY OF ORANGE ' Application for Building Permit
BUILDING DEPT. Permit No. 49 i 7 r
636 No.Broadway AND FOR A
Santa Ana,California
Phone:KI 2.6211 . Certificate of Use and Occupancy
• Date.24,At 2..? -./71-2..
•
1. OWNER'S NAME...221,ifineak ‘%41-/rteagiolk, PHONE•
MAILING ADDRESS,../..S? CI IS 41 Air critedde, 9-neht...
Name Name atinnn '
(Architect or Engineer) (Co n t rrr
Address Address /2 91 cii. igzi
City City ,..C.4d-4 2iaditri
State State
Lic. No Phone Lic. No Phone
(tidy ,
PROPOSED USE .1.."4
2. JOB LOCATION i 8 zip is, zit ea
COIA 7frintoet
(House No:) (Name of Street) . mt
(Town or School District)
40-z.a
NAME OF AND DIRECTION FROM NEAREST CROSS STREET.....Cha .' A %sirl -r-
. i
3. LEGAL DESCRIPTION: Lot :gra Block Tract
(Metes and Bounds Descriptio —Use reverse side of for
4. CORNER LOT ( ) INTERI R LOT ( X ) THROUGH LOT ( ) SLOPE OF LOT ( ) (> 1
5. SIZE OF BLDG.:.......7.0 : AREA:...../ 1--- SIZE OF LOT• a--rD AREA:
6. HEIGHT OF BLDG • 109.- 7 ' CEILING HEIGHT NO. OF STORIES i
7. NO. FAMILIES 1/....-......"Size of Smallest Bedroom• Le"'"."--- Size of Kitchen 1------
„--
8. EXTERIOR WALL CONSTRUCTION•Sbnet C C ° .' INTERIOR WALL COVERING .02.4544
AFrame, Stucco, Etc. ho 0... cella joasi (Plaster•Drywall,Etc.)
ROOFING COVERING
• i._.‘
9. _STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE U E OF EACH. AU
Xcrgni
10. SETBACKS: Front Yar From
i •
Center Line of Street ...0
Nearest Side Yar4lciftr” Rear Yard. y 0 t47- Distance in Feet Between Bldgs. on Same Lot...
(Property Line) (Property Line) ill
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12. (a) Footing,: Width i ter Depth in Ground i g ii.• Width of Wall
(b) Size of Studs:.2-41.4 Spacing...../16 " "CC Material of Floor....C.Irinta.af..
(c) Size of Floor Joists Spacing "CC
I (d) Size of Rafters• 2% Spacing ,1-61/
"CC
13. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $ :2: .":"..0 0
14. I HEREBY CERTIFY THAT TO THE BEST OF MY;KNOWLEDGE AND BELIEF THE INFORMATION rN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Signed- 2nettfeWell 24-4/Kaillit,
Plans Filed 7/A. fefr.2_ (Owner)
By:..C.&42.444.2friver4ith
41144 4_ FOR DEPARTMENTAL USE ONLY (Au rized Agent)
FEES: CHECy,i4NgY
Bldg, Permit • $ 2 I 0-0 GROUP
\sit_ APPLICATION.4 el1 LTH
/
Plan Check $ AthS4 TYPE ZONING e„....--- FIRE
Total - - • $ .,.„, tfir j g DIST.
mew .______, 3 -C ?--- PLANS AND . MARSHAL
Receipt No. • ..5a- SPEC'S 4.--- STATE
Paid to • • V. 4-- -7"; SHEET NO •t LECTIONS ENGINEER
Date s - - a J"'"?.— r ' il „ D La A •
—7.7--
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/ a 1.7-1 J a . - - .
PERMIT I'SUEm:Y: ..---77.2- IN .CTOR
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DATE 7 2- 11 r2--- i DEPUTY
5000^-7-52
1 Plui._ 4/00b — ei,lifi Qtt. .. ct
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