HomeMy WebLinkAbout199 18TH ST - Building Permits -- . - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.. - • ',
PERM NO. TRACT NO. LOT NO. , . - UNI NO
CITY OF COSTA MESA
Q�N$J �U��IO HERMIT t ��sy9 - - •- 8395 1 /29/BS : 180UC TL
Project Address • ! ( lf'''"'// J _
TYPE OF CONSTRUCTION CJ NEW -.0 ADD ❑ ALTERATION REPAIR
Applicant's Mailing Address. ` -4
��I ��ul� 9`7 flet' ❑ CONVERSION DEMOLISH .❑ OT ER q.p-# Zone.
Owner's Name ,T�- ,t Phone' y ( fC�Z'DESCRIPTION OF WOK/USE OF BLDG. L Q f WI 0�Aa�
Address • 1 /4 /�Ri.Mn S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING' ID FOUNDATION ❑ STRUCTURAL• E Front . •
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Address ^^ f� ❑I CI TENANT ❑ ELECTRICAL ❑ PLUMBING CI MECHANICAL • BB Rear N
Contractor's Name x/'0MN 'Cc QV CO Phone q3 .-3( e
ftt �/ ,�. ` PROJECT DESCRIPTION SQ. FT. - OCCUPANCY C Right _ - . N
Address(mailing) x•400' �i�}'t-0)C0 w ���dy��//MI CONSTRUCTION TYPE VALUATION$ /�O ��� S Left G-
\ City License No. 70�� - [-`�Gs/-6 ZONE _ GRADING CU.YDS. - ACRES R
1 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: Q
c') with section 7000) of Division 3 of the Business and Professions Code, and , • r _ - - M
my license is in fu f rce and effect. 1 I • T
\ License Class' rgepe� N
Date /—Z j'-1a� Signature : PLUMBING - • FEES 4 , • ' '
',YORKERS' COMPENSATION DE RATION Bar Sink � ' Showers ' •
hereby.affirm that I have a certificate of consent to self-insure or a certificate , ELECTRICAL FEES
r Workers' Compensation-Insurance, or a-certified copy thereof (Section • Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer ❑ 15-50KW
Policy No. t�(Etl-'tc—q5S7 Compan '4T-9 —
Backflow Irrigation Sewer Ca ❑ 55+KW
=6 p I Construction Pole Sub. ,, I
Certified copy is hereby furnished.
/���
Certified�o-yxlsrfjlerG rth the city Buil 'Ivlsi. Bathtubs ' ' , Sewer Connection Cooking Unit 1 '
'Meter Duct to 100 amps '
"D3te OS'77��OD (APPlicant _ , - 1
EXEMPTION FROM WORKERS'COMP 'SATION'DECLARATION - - - • Clarifiers - - • Solar Collectors - - - Dishwasher - Meter Clover 100-amps- - - -
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping I Dryers ❑Gas' ❑Electric Sub Panel '
I certify that in the performance of the work for which this permit is'Issuetl I - ',•+
shall not employ any person in any manner so;as to become subject to the I , Drinking Fountains Solar Tank Fan - ,
Workers' Compensation Laws of California., • r _ •Motors❑0-1 HP ❑1^%-8
Date Signature Floor Drains: ' 1 1 Swimming Pool w/Spat I F.A.U. ' 'Inc.Solar❑9-15 HP ❑16-is- '
•
NOTICE: If,after making this declaration,you should become-subject to the •
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks . •
1 ,Urinal ' I Fixtures
comply with such provisions or this permit shall be l deemed revoked- ' _ - ' Microwave •
CONSTRUCTION LENDING AGENCY - - • Gas Service -Outlets • Water Closet 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 r issued ,(Section 3097 Civ. C.). I Interceptors _ _ I = • Water Heater I. Outlets Ran e t
Lender's Name - - 9
Lender's Address `- - • Kitchen Sink -. I. i Water.Service Switches• Sign •
OWNER BUILDER DECLARATION ' r ' _ i
I hereby affirm that I am exempt from the Contractor's License.Law for:the ' ' Lavatories ' ' - • - Auto-Wash •1 ' .
following reason (Section 7031.5 Business and Professional Code: Any city or GarbageDisposal ',Standing'Sections I
•
county which requires a permit to construct,alter,improve,demolish or repair P-Trap -Laundry Trays. - ' ' Generator ❑0-5 KW❑5-15 KW r
any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor •
to file a signed statement that he/she is licensed pursuant to-the provisions of • ROOf,D rains t '
the Contractor's License Law(Chapter 9(commencing with Section 7000) of _ - •
livision 3 of the Business and Professions Code) or that he/she is exempt . _ .
•
erefrom_and the basis for the alleged•exemption. Any violation of Section ' - . •
331.5 by any applicant for a permit subjects the applicant- to a civil - •- - . - ( -
•peenalty of not more than five hundred dollars ($500)- - • .t , ) , ,
LJ I; as owner of the. property or-my'employees with wages as their sole , Reinspection'Fee 1 ' $15 Issue Fee - $ 3
compensation, will do the work,and the structure is not intended or offered
for sale (Section '7044, Business and Professional Code: The Contractor's - - 'MECHANICAL ' Reinspection Fee I $15 Issue Fee' $ 3•
License Law does not apply to an owner of a property who builds or improves FEES - - .
thereon, and who does such work'himself/herself or through his ocher own • I - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler. Hood or Type I 0 - I
sale. If, however, the building or improvement is sold within one year of corn- ' Canopy Type I ❑ 1 1 Zoning Approved By • - Date '
•
pietion„the owner wlil have'the burden of proving he/she did not build or im- • Duct-under Ground ' I 1 Building Approved By - Date
prove for thele urpose of sale). -- • 1 , /—'947444
❑ 1, as.owner of the property, am exclusively contracting with licensed con- I ' Duct-Structural Refrigeration System ' - Application Issued By �i Dat¢
tractors to construct the project (Section 7044, Business and Professions Code: I •_
The Contractor's License Law does not apply to an owner of property who , Duct=Ventilating” -- - •-- -❑0-100,00013TU- ❑100,000 BTU ' - 1 '
builds or improves thereon, and who contracts for such projects with a con- I I I I SUM1y1AR�y-�71�F FEES
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System1 BUILDING PERMIT $ '/ /",t+ SMIP i r�
proof of their worker's Compensation insurance should be provided to me. Y 0 Multiple 0 System Repair/Alteration • ' $
❑ I am exempt under Section ' B.& P.C.for this reason Firepl/Fact.BIL ICBO# Fire Dampers 1 •
• PLAN CHECK $ PERMIT
• PLUMBING ' $ • • ISSUANCE $ '
Date - - - Owner :— ' • t ' ' •
'- Heating System& Ducting ; Registers •
_ PLAN CHECK 25% $ ENERGY P.C. $ 1
I hereby certify that I have rea• d this application and state that the above ❑0-100,000 BTU 0100,000 BTU • 4•
I '
Information is correct. agree to comely with all city antllcounty ordinances ELECTRICAL , ' $ • I GRADING $
and state laws r- . • So bulldin9 c. struction, and hereby authorize repre- . ' - , MICROFILM 1 1
sentatives of t s'cit - to ern the above-mentioned .property for PLAN CHECK •
50% $ $
inspection pur...es. 1 Q•
Signature i' Date Z,�'8�+ + I • MECHANICAL ' i $ TOTAL FEE : $ igloo '
Drivers' or SS# • Asage _ • Reinspection Fee '$15 ' _ _ • Issue Fee $ 3 PLAN CHECK 25%. $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
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CONSTRUCTION AND PLANNING y. POOL ,PA
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.r$iteel Reinforcement 56. Rough Plumbing& Pressure Test o • .
6. Electrical UFER Grrd. .>' 57. APPROVAL TO COVER-GUNITE
7��Footings,; 58. Electrical Conduit-Undrgrnd. •
8.1Foundation ' 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 -r -! 63. Heater & Vent-Final
• i
13. Roof Drains T 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 - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
. 30. Drywall Nailing •' HEALTH DEPT. REQUIREMENT
31.- PlastereBrown Coat 79. FINAL INSPECTION
32. Electrical Power Metei=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 '
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations rr
47. FINAL STRUCTURE & BUI LDING (N7/�}p .Pj-
48. Special Requirements Completed `
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
y.•,pjo, Date