HomeMy WebLinkAbout1843 ANAHEIM AVE - Building Permits IQ LIT Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 91114 S./_ / ,•
CITY OF COSTA MESA COASTTR^UsC�sTI ON PERMIT �(�I PERMIT NO. TRACT NO. LOT NO. UNIT NO. • '
ProjectAddress lR4'T^l 1,-rNi ] ,01t \ LAo'P *1:>l )'1 " i` Tt/r -
Applicant's Mailin Address
("7('Sfl `-t)l-0. , ' cuccts x TYPE OF CONSTRUCTION '❑ NEW ® ADD U ALTERATION U REPAIR - e
�� bbl- 1a 1 ❑ CONVERSION ❑ DEMOLISH 0 OTHER •
. A•P.# - - Zone
Owner's Name • Phone DESCRIPTION OF WORK/USE OF BLDG. Cid �..� '
f t - t , - t + - 6. S Main Building: Accessory Building:
Address • _ _ - -- _ •• to . ! •�_ _ - _ -
(� _ TYPE OF PERMIT U GRADING II FOUNDATION in STRUCTURAL E Front Z
,O Arch/Eng. License No. Ig
T O
1 Address - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING Ig MECFIANICAL B Rear •A _ N
Contractor's Nam• 0- �� � - - L- \1 ' a.•ne 10.2-0-7110 ❑ 'OTHER C Right - . _ . N
\ Address(mailing) rib • a • PROJECT DESCRIPTION SQ. FT. OCCUPANCY - G
02 gib • l' its i to. it, CONSTRUCTION TYPE VALUATION$ __ $
�/ Left
City License No. , Qlo� - ZONE - ' GRADING CU.YDS. ACRESR
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: , •- M
with section 7000) of Division 3 of the Business and Professions code, and ' -
my license is in full forcfkand effect. , `�/��7 • , •
' T
License Class �Q (/ -7-0 'cense No- y gl/Yle - S'
"'.xte#31—(p' c Signature 1(3%/;:h `--.' 1 - PLUMBING FEES
•!�A.,.. [RS'COMPENSATION DECLARATION I Bar Sink Showers ELECTRICAL . FEES
y.,36.. /affirm that I have a certificate of consent to self-iniur ora certificate 1
•of Workers'_Compensation-Insurance, or a certified coPY thereof (Section_ - -
3800, Lab. c. r Backflow Preventer- - - - - Service Sink - - - Automatic Washer - - Transformer 0 15-50 KW •
Policy No.Q 4c Cnb?t ' Company .9 non�' -n•Q V. . Backflow Irrigation Sewer Capt 0 50+KW
("1 Construction Pole Sub.
Y Certified copy is hereby furnished. - ,
Cer(L(ledicopy 1 d 1 with the city uil(ling�tu�ts( Bathtubs Sewer Connection Cooking Unit ' 'Meter ❑up t0 100 amps
Date pZ _�+ Applicant l l nC_____��'1((1M____ ,
„EXEMPTION FROM WORKERS'COMPENSATION DEC LA RATIOR Clarifiers i Solar Collectors Dishwasher Meter Dover 100 amps.
(This section need not be completed if the permit is for,one hundred ($100)or
less). Dishwasher Solar Piping , Dryers ❑Gas ❑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 1:10-i HP ❑1X-8
Workers' Compensation Laws of California. ' -
Date- Signature - Floor Drains Swimming Pool w/Spa• F.A.U. Inc-Solar ❑9-15 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 - - - -
comply with such provisions or this permit shall bedeemed revoked. Microwave
CONSTRUCTION LENDING"AG ENC V� I ' . Gas Ser• vice _Outlets ) . Water Closet ' - • - Device Boxes - Pole Light I hereby affirm that there li a'construction lending agency for the performance g
of the work for .which this permit is issued (Section 3097 Civ. C.)
Interceptors. Water Heater I , . Outlets Range Land- i Name. I - . - . _ . - ) _ 9
-
- Lender's Address * - ' -1 _ Kitchen Sink '• - -Water Service - - Switches' Sign
OWNER BUILDER dECLARATION- - -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - 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 '
any structure, prior to its issuance, also requires the applicant for such permit - Generator 00-5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of -Drains -" -- - -
%,.?..,,,Contractor's License Law(Chapter 9(commencing with Section 7000)of
-vision 3 of the Business and Professions Code) or that he/she is exempt r
nefrom and the basis for-the alleged exemption.Any violation-of Section )
`//031.5 by' any.'applicant for a permit subjects the applicant to a civil - - • -
enalty of not more than five hundred dollars($500).
I,, as owner of the, property or my ernployees 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 I - 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 11 0 Zoning Approved By Date
pletlon, the owner will have'the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By Date
orove for the purpose of sale). /�
l,las owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By `,�� Date '��`
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 Duct-Ventilating - I �IO.100,000 BTU ❑100,000 BTU 4 SUMMARY OF FEES .
builds or improves thereon,and who contracts for Such projects with a con- '
tractors license pursuant to the Contractor's License Law). I 'am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
0 l am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# •
PLUMBING $ ISSUANCE $
Date - owner HeatingddSystem& Ducting PLAN CHECK 25%. $ ENERGY P.C. $
I hereby certify that-I-have read'this application and state tharthe above I' AO-100,000 BTU 0100,000BTL ELECTRICAL $ GRADING $
Information is correct. I agree to comply with all city and county ordinances ' IF
and state laws relating,to building construction, and hereby authorize repro- PLAN CHECK 50%• $ MICROFILM $ '
sentatives of,this city to enter upo the above-mentioned property for ....•-^
inspection �� �^ MECHANICAL $ I I TOTAL FEE $ I '
Signature LA>` � _�t< I� Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •
Drlvers',LIcense or SS#
CMF 0865-46.rev.4/a4 White-Building;Canary-Applicant;Pink -Accounting;Goldenrod -Assessor
CONSTRUCTION AND PLANNING / ' - . --, ' PC :SPA . -
Date InspectorDate Inspector
APPROVALS Permit# " I ,i(1APPROVALS • 'Permit# -
1. Temporary Electrical Service or Polan 1' 52. Pool & Equipment Location Q
2. Soil Pip"e:Undrgrnd. 4 I 53. Steel Reinforcement . ' v.
• 3.-TElec$ical'Condui?Uiility-Undrgrrn& ' - Iti . - 54. Forms - - '
4: Elect`ibal`Condui Undrgrnd. 1- !j� '• W 55. Electrical Bonding -
S_Steel.Remforcement)7.9 .n N 56. Rough Plumbing & Pressure Test • fi'_v
6.:LElectricr UFER`Grhd?j ' .) n 57.' APPROVAL TO COVER-GUNITE • - `bra
' 7.;Footings] F-X ti ,1;:i ;58.' Electrical Conduit-Undrgrnd.
• 8`Foundation A •-59. Gas Pipe, 0 Undrgrnd.,Test
9.CWater Pipe-UndrgrniJ 9 60: Backwash Lines, P-Trap, O Undrgrnd. tt.,
10. Structural Floor'System q ' -61.; APPROVAL TO DECK '.
11'.Pioperty Sewer Line& House Cahn tion j 62. Backwash & Receptor-Final
12'SeweGCap r 5n` an �� 63. Heater & Vent-Final - U
13`-R of,R? ins 5' f` +� -64: Plumbing System - Final n
14:'Rough,kit mbing�: l t ' F-:3 q (��1-65. Electrical-Final 1111
15. RotigW Electrical-Conduit - 66. Solar System-Final - -
.16. Rough Electric Wiring . - 67. Fencing & Access Approval -
t'
17.-Rough Wising Sign - 68. APPROVED FOR PLASTERING
18.:Rough E ectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.'Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT -
20.' Rough Factory FireplaceN. APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
227 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 ❑OiIN
F-
-
25. Roof,Sheathing • 74. Overhead Hydro
26. T-BarCeiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lath ni g & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster4Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED "'I' ��
33. Final Electric Notes: ( r1
"1
34. Final Heating & Air Conditioning 3-5--cg .4O _
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
48. Special Requirements Completed
49. Electric Release to Edison • •- -
•
50. Gas Release to Southern California Gas Co I
51. CERTIFICATE OF OCCUPANCY
No. Date