HomeMy WebLinkAbout3125 RED HILL AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT - PER IT NO. TRACT NO. LOT NO. UNIT NO.
' 792
Project Address 12.5" gaol-Ili-L. /�alE z-/ >
Applicant's Mailing Address 111Z-0 Wren-FIR-0AVE Sr.•.wh&' TYPE OF CONSTRUCTION U NEW OJ .r — - • - : P• rte L
o� A9�I ❑ CONVERSI• U . . . S OTHER .-N4
�6 Zone
Owner's Name �ESTF-RI-I (` ( q IT L— Phoner"` ,( DES - ••TION OF WORK/USE OF BLDG. = • l
Address z-4 45" VierAESE W.&Y/ aVi OE cI Z714-- • — ► _ S Main Building: Accessory Building:
TYPE 0- • RMIT . GRADING NI FOUNDATION S STRUCTURAL E Front Z
Arch/Eng. License No. T _ _ 0
Address ❑ TENAN El PLUMBING ❑ MEC ;• - ' B Rear N
1 8 OTHER I ..D PR1 Lr A I
Contractor's Nam TIC]! I(L �tplibne 9¢-13(as --� C Right N
Address(mailing) 111th W FS'rr r�l.l A•-•e -/5.1Ao-rL`FJ QDL-$o PROJECT DESCRIPTION SQ. FT. ' OCCUPANCY f� K Left
CONSTRUCTION TYPE VALUATIONS 3OO, G
City License No. fit 1 S I I S R
ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION ping. Ref.# Parking Req./Provided E
��--ss
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: e / /s �s. a ir 1r• 7 S . �` 3 f f f3'Q Planning Notes: 0
with section 7000) of Division 3 of the Business and Professions Code,and T li • V 1 M
my license is in full force and¢HCCt. / �t 4.---9 S
License Class L •i se o. N
Date .2 = ;q Signature L�J_!1�_. ice. . __- _ PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink ' Showers
)ereby affirm that I have a certificate of consent to self-insure or a certificate r ELECTRICAL FEES
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
,d00, Lab. C- / Automatic Washer Transformer 0 15-50 KW
Policy No. agz404 Company ' 6U 1-147F Harr{ Backflow Irrigation • Sewer Cap0.50+KW
9 Construction Pole Sub.
❑nI.�Certified copy:ss hereby .furnished.
,Date 4tlfietl oo Dom' Isfled with the city :/.Iltli •1 , Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date 4...--4 1N FROM
'I Applicant ��
ra EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) dr
less). Dishwasher i Solar Piping ryers OGas ❑Electric Sub Panel
I certify that In the performance of the w rk fo which this ermit is issued, I
shall not employ any person in any ma er as bac a subject to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1'h-8
Worker" onpen on Laws of Calif° 7 _ _ _
Date ts''ff�� Signature i Floor Drains' - Swimming Pool w/Spa • . . Ina Solar 09-15 HP ❑16-15+
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 Mi •wave
comply with such provisions or this permit shall be deemed revoked.
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 issued (Section 3097 Civ. C.) Interceptors dA' ter Heater Outlets
Lender's Name ,, , _ Range
Lender's Address Kitchen Sink Water Service Switches '
OWNER BUILDER DECLARATION Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories -• Auto-Wesh
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑005 KW ❑5.15 KW
any structure, prior to Its issuance, also requires the applicant for such permit it Compactor
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
Division 3 of the Business and Professions Code) or that he/she is exempt • .
.refrom and the basis for the alleged exemption. Any violation of Section •
r 31.5 by any applicant for a permit subjects the applicant to a civil
Aalty of not more than five hundred dollars($500).
L) I, as-owner of the property or my employees with wages as their sole Reinspection Fee I $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 corn- Canopy Type II ❑ Zoning Approved By Date
et.ove
bletIon, the owner will have the burden of proving he/She ditl not build or im- Duct-Under Ground Building Approved By Date Lova for the purpose of sale).
t1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat
tractorsslruct the project (Section 7044,Business and Professions Code: -
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMARY 0 FE
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 S em Repair/Alteration BUILDING PERMIT $ ( t` 00 SMIP $ • -fa
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.6 P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING $ 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 00.100,000 BTU 0100,000 BTL - GRADING $
information is correct. I agree to comply with all city and county ordinances • ELECTRICAL $
and state laws relatln o din onstruction,and hereby authorize repre-
sentatives of is c t ter upon the above-mentioned property for /�
_ TOTAL FEE $ /J . .5-29
inspection c osesorDatezr' FE'Gp MECHANICAL
Signature �sx� l Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25%
Drivers' License or SS$ � •
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor , • -
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. I, + 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 it, 59. Gas Pipe, 0 Undrgrnd.,Test
.
9. Water Pipe-Undrgrnd',' '1 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 Electrical-Conduit 466. Solar System-Final
16. Rough Electric Wiring X67. Fencing & Access Approval ,
17. Rough Wiring Sign 7 68. ,APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling ��• i/ 69'! POOL/SPA SYSTEMS FINAL 3'i • '
19. Rough Heating & Air Conditioning ii FIRE DEPT. REQUIREMENT 0..
20. Rough Factory Fireplace APPROVALS Permit# - - '
21. Ducts, in Structure 70. Underground Hydro •
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 0il .'
i
23. Gas Pipe-Rough & Test • : 72. Underground Flush i
24. Roof Framing • 7 crergrnd.Storage Tank D.Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydrp✓jev-1-.- t , /ji iq d,,y)
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding i 77. FIXED SYSTEM FINAL r• ••1/7//0 6r
29. Insulation - r , . Pk (e,t-'
T
. 30. Drywall Nailing HEALTH DEPT. RES. -onErI - _
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,/I
33. Final Electric Notes: i '.
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 -
47. FINAL STRUCTURE & BUILDING r ,
48. Special Requirements Completed • - -
49. Electric Release to Edison - - -
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date _ - - •