HomeMy WebLinkAbout2952 AIRWAY AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .�5 \ 1 - r V«+Kw�
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMI N TRACT NO. LOT NO. UNIT NO: '
` Projact Kddress 0� A� /•S.. • C. � ?'/-/-/
Applicant's Mailing-Address 2c SZ TYPE OF CONSTRUCTION .❑ NEW H ADD H ALTERATION H REPAIR
• ❑ CONVERSION ❑ DEMOLISH El OTHER •
Ap.# Zone
Owner's Name, t�-- •hon 144' DESCRIPTION OF WORK/USE OF BLDG.
Address 'rS Main Building: ' Accessory Building:
GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front 01 00004074-00004074 TOT 1&,• Z
Arch/Eng. License No. TYPE OF PERMITy90 T
Address ....di/�w' , ` _^ ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
v�f.A14Stvl ��/p �(���j ❑ OTHER •
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Contractor's N , ,.,,` Pho� C Right N
Address(mailin --41 7 '---F 4 SLA R.-. PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
Left
CONSTRUCTION TYPE VALUATION$ S R
City License No. 5963 ZONE - GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# r PIa'r�king•Req./P+rovided {1 EQ
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks M'— 7]'2 c'a . . Planning Notes: •
RECEIVED MAY 1 6 ��B{7 M
with section 7000) of Division 3 of the Business and Professions Code, and J
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my license is`C in�f'ull_fo'�rrceeaand effect. p��/�( ``, /�-a ,`l 1..`�`/
License License - - k'�v"`—' W� ,�""'^�y i �C� ""` ` 'v�C� S
Date taco Signature Cp-= , PLUMBING I FEES . - . •
or, WOR ERS' COMPENSATION bECLARATION Bar Sink Showers ELECTRICAL 'FEES •
• hereby affirm that I have a certificate of consent to self-Insure or a certificate - - - .
' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW •
olic, Lab-3C) ' � �� ,
Policy N�J1^•SL�" b y � 4�'�r Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KW -
. rt ified copy is hereby fhrnished 1 /t
iL Cir y is e with the ci g Diviy,On�1�q(/c-�'l Bathtubs - Sewer Connection Cooking Unit- Meter CI up to 100 amps •
-
Date� an ` ���
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) or Dishwasher
less). Solar Piping Dryers ❑Gas DElectric Sub Panel - ,
I certify that in the performance of the work for which this permit is issued, I t ,
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors ❑D1.HP ❑1%-8 -
Workers' Compensation Laws of California. • L_ _
Date Signature Floor Drains Swimming Pool w/Spa - - F.A.U. Inc.Solar ❑9-15 HP ❑16-1.5+
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 Microwave •
-
comply with such provisions or this permit shall be deemed revoked. - '
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • 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.)_ Inter`ceptors Water Heater Outlets Range -
Lender's Name
Lender's Address - - • - 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 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 00-5 KW.❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit -
to file a signed statement that he/she is licensed pursuant to the provisions of - ' „� t
Roof Drains la - al,a.-„ Ari- r V `u/ ♦ • 'e' 1�'s.
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of ItJ :.•�((�' `i
' `ivision' 3 of the Business amt Professions Code)'or that he/she is exempt
trefrom and the basis for the alleged exemption. Any violation of Section T x 1 rI 4J
/31.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). $ 3
' ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee
compensation, will do the work, and the structure is not intended or offered - -
.et
Reinspection Fee I $15 Issue Fee - $ �bC
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 ..
J thereon, and who does such work himself/herself or through his or her own -' - _ DEVELOPMENT, SERVICES REQUIREMENTS:
,..,r ; employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
7/ t sale. If, however, the building or improvement is sold within one year of com- Canopy Type II D Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GfoundBuilding Approved Byrip Date
prove for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System . Application Issued By Dat
otr 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 ❑0-100,000 BTU 0100,000 BTU
MMARY OF FEES
a builds or improves thereon, and who contracts for such projects with a con- _
tract orfs) license pursuant to the Contractor's License Law). am aware that BUILDING PERMIT $ SMIP - $
Exhaust System ❑ Multiple ❑ System Repair/Alteration *irk
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ •PERMIT /
• ❑ I am exempt under Section- B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ 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 Ell 00,000 BTI o� GRADING $ '
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction, and hereby authorize repro- PLAN.CHECK 50% $ MICROFILM $ •
sentatives of city to enter .on the above-mentioned property for • - '��"��
inspection rose - - MECHANICAL $ •
• TOTAL FEE $
.'-Signature a- Dab - •r-- �I
Drivers' License or SS# _— ' Reinspection Fee $15 Issue Fee !IL
3 PLAN CHECK 25% $
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
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1 •Temporary'iElectrical;Service or Pole • 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement p .
..
3. Electrical Conduit Utility-Undrgrnd. 54. Forms rwn
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ".c' •
5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test '
..r
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •
7. Footings 58. Electrical Conduit-Undrgrrcdi -
- 8. Fourddation 59. Gas Pipe, 0 Undrgrnd.,Test-
9'. Waye.Pipe-Undrgrnd. 60. Backwash'Lines,P-Trap, ❑lindrgrnd.
10. Structural Floor System; 61. APPROVAL TO DECK :0
11. Property Sewer Line& House Connection - 62. Backwash & Receptor-Final - . .
12. Sewer Cap ,_ 1 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-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 ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑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 , - ' h_'
32. Electrical Power Meter-Final OOD CERTIFICATE IS•SUED r
33: Final Electric bZ Notes: y .
34. Final Heating & Air Conditioning ;-1
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35. Final Gas Pipe-Test
36. Hood or Canopy
37'. Final Factory Fireplace
38: Final Plumbing - • .•
r
39t�Water Service-Final r- r •
. ..'40. Gas Service-Final - .-r r' _ '
r _ .
'41. Solar Domestic-Final - - L- • • •
-,
!r42. BackflowPreventer -
' •43. Backflow Irrigation - '• , � - ,
i _
i 44. Landscape Irrigation System r, _ . c•-• -
45. Sound Attenuation _ •. ,I
•
46. Handicap Regulations h- ` t
47. FINAL STRUCTURE & BUILDING ' '. r. j I ; -
48. Special Requirements Completed - . . .
49. Electric Release to Edison , r - 1 )
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50. Gas Release to Southern California Gas Co )'/ •
51. CERTIFICATE OF OCCUPANCY - =;
No. Date
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