HomeMy WebLinkAbout2802 ADAMS AVE - Building Permits PROJECT ADDRESS: 2802 ADAMS AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 0676" ;
OWNER'S NAME: CITY OF COSTA MESA
ADDRESS: 77 FAIR DR PERMIT NO: E 067621 PLAN CHECK NO: N GOVT07PP : ;9
C.M. 92628
CONSTRUCTION TYPE: PERMIT TYPE: ELE rutPOSE : OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL . ELECT . SERVICE TO BUS SHELTERS SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC : B-2 /
PERMITTEE: N.D . ELECTRIC ( 714 ) 498-1799
ADDRESS: 2816 VIA AMAPOLA COMMENTS': POWER TO BUS SHELTER FOR LIGHTING
SAN CLEMENTE CA 92673 #*###**********+F##+o-###x#######+4+c#**44**#ax*aE#####aF###*******###*,F###x#r..ar#x#}# ,#i..w
LICENSED CONTRACTOR DECLARATION: I hereby altirm that I am licensed under rovisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in roe and effect. SETBACK S
CITY LIC.: 06025C4 STATE MG.:523613 .2-10 r`r- : C a /Q4
Date:_�1J � Signature: MAIN BUILDING ACCESSORY BUILDING - -
WORKERS'COMPENSATION DECLARATION: I hereby affirm Mat nave a certificate of consent self-insure or a certificateof Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
Compensation lnswnote,ppTracandied copy thereof(Section 3600.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT TN
POLICY NO.: 1ub bub2- 4 EXP.DATE: U1 /O1 /9S
• COMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO:
7 Certified copy is hereby furnished. U Certified copy is filed wit city r, 'mg Divisio _ / A PLANNING NOTES>
Date._
L Cilli Applicant: //_ .. //et W ########i(-?F####f6######*###########yE#####+F!/######+##*####+f#####*#####*fk##M##*ir**az
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sec on need not be completed if the pr it is for one hundred($100)or less). D EVELOP MEN T SERVICES R EQU IR EMEN T $
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 Workers'Compensation Laws of California. ZONING APPROVED BY . DATE:
•
Date: Signature:hBUILDING APPROVED BY
NOTICE:N,atter making this declaration,you should become subject to the Compensation provisions of the Labor DATE:
Code.you must fonhwilh comply with such provisions or this permit shall be deemed revoked,
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE:
�,/$ P �
which this permit i5 issued(Section 3097,Civ.C). #*###*******#****i!###iE##?E##4F###*#lf —ee�" .##iF if##jE iF iF iE##*###*####Y�lc######�k�+x# # d;�
LENDER: **#*##**************3A* ***************************9 ******************* .**##*#w•Yr
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGME^IT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 19 25
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed — e 0.3 SMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE 1-5 . 00
I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale Lection 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 0 . 00 0 , 0 0 _ _ 0 . 00 O . 00 . 00 , 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : . 00 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve 4, for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
r.1 .
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such protects with a contractors)license pursuant to the Contractors'State License Law).I am aware #####*****####*#**********#*#***#********##*#****#***###**##**###*#*******y.r#**
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR EAKDOWN
❑ I am exempt under Section: B.a.P.C.
for lhisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: ELE 1 FIXTURES LIGHTING 1 ST 20 EA. . 75 . 75
Ida hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. EXPIRED
. Dale: Applicant: Incomplete InspectI0I'
010015230-09162357 TOT
I hereby certify that I have read this application and state that the above information is c t.I agree to comply with all city and county n > •00
' ordinances and slate laws relating to building construction and herebyxutMdr epresen • of this city •enter ponthe above.mentioned _ j(�/ DATE: 06/15/94 TII1E: 14:23
property tor inspection
inspection purposes. y A, —(610/-5<1.51g
Date._6 --1 s—T4' Signature: _ _ ,j��
Driver's License or Social Security.:
1641.46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POC 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 '' t
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
8. Foundation 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 •
63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit I 66. Solar System-Final L
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. Root 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 PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric it) 1otfiLlee gigs
J v/dt�f3
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
48. FINAL PLANNING
49. Electric Release to Edison
i
50. Gas Release to Southern California Gas Co ..�`
51. CERTIFICATE OF OCCUPANCY
No. Date