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HomeMy WebLinkAbout1793 ANAHEIM AVE - Building Permitsr Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY of COSTA MESA CAT N! %CTION PERMIT Project Address �'(q 3 rJ e l m epplicant's Mailing�LA�1ddress Owner's Name 11f'r. �eiA•i - Phone L ' Address Arch/Eng. License No. Address 3 Contractor's No M,th,{ e�hone Address (mailing) City Licence No LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effAft , 4- /irl Llt^. 47^13 rDateISI ,T___M2 Signature /WVVv 'ORKERS'. COMPENSATION DECLARATI N ereby affirm that I have a certificate of cc `sen o self -Insure or a certificate Workers' Compensation Insurance, or a rtified copy thereof (Section Policy No. I+i554 ,� �A.rYY% Policy No. Company ✓�• r�-ly',,-ertified copy is hereby furnished. \ YJ .Certitiee ccopyAJjled with the city Build g licart EXEMPTION FROM WORKERS' COMPENSATIO D LARATION (This section need' not be completed If the permit i for o e hundred ($100) or less). certify that in the performance of the work for wh ch 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. Date Signature - 'NOTICE: If, after making this declaration; you should become subject to the Workers' Compensation provisions of the labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm tha Pthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name _ Lender's Address - OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License. Law for the following reason (Section 7031.5 Business and Professional Code: Any,city or county which requires a permit to construct, alter, improve, demolish. or repair 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 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 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 enalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's' License Law does not apply to an owner of a, property who builds or improves thereon, and who doe$ 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 improvement is sold within one year of com- pletion, the,owneT will have the burden of proving he/she did not build or im- �rove for the purpose of sale). l.J I, as owner 01 . the property, am exclusively contracting with licensed con- 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 buildsorimproves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof off their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. &,P. C. for this reason Date I hereby certify -that I Information Is correct. I and state laws relating sentatives of this city Inspection purposes. ' Signature _ Drivers' License or SS V CMF 0865-46, rev. 10/84 Owner this TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION U REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ T OG. DESCRI TION OF ORK/US OF BL % nsi-,2: / nam P< OPM TYPE OF PERMiY LJ GRADING FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL- ❑ PLUMBING ❑ MECHANICAL ❑ BOTHER PROJECT DESCRIPTION SO. FT. OCCUPANCv CONSTRUCTION TYPE VALUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: A.P. # �S Main Buildi E T Front B Rear A C Right K S Left Ping. Ref. # Planning Notes: 7916 1422,106 Zone Accessory Building: Parking Req./Provided I a Z O N I, N G R E Q M T S Bar Sink - Showers j ELECTRICAL r 1 FEES Backflow Preventer Service Sink - Automatic Washer Construction Pole Sub.' - "• _ Transformer'❑ 15-50 KW ❑ 50+KW -' - Backflow Irrigation Sewer Cap , Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter El over 100 amps _ Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 0-1 HP❑1%-8 f Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar 1-19-15 HP ❑16-15+ Floor Sinks Urinal - Fixtures- - - Microwave . Gas Service Outlets Water Closet - '' Device Boxes ', Pole Light Interceptors - Water Heater Outlets Range Kitchen Sink Water Service Switches Sign Lavatories - Auto -Wash - Garbage Disposal Standing Sections P -Trap - Laundry Trays Generator ❑0.5 KW ❑5-15 KW Trash Compactor Roof Drains - Reinspection Fee $15 - Issue Fee 'Reinspection $ .3 - Fee , $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: 'Zoning Approved, By nate' Building Approved By —Dat Application Issued By at �1 Boiler Hood or Type ❑ Canopy Type II ❑ Duct - Under Ground Duct - Structural Refrigeration System ❑0100,000 BTU' ❑100,000 BTU _ _ _ Duct- Ventilating '., ', `jBUILDING PERMIT PLAN CHECK PLUMBING 1. PLAN CHECK 25% ELECTRICAL ' PLAN CHECK50% +,•� MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ SMIP $ $ PERMIT $ ISSUANCE $ $ a•D" ENERGY P.C. $ $ r GRADING $ $ MICROFILM $; $' I JOTALFEE $ 1521LL $ 1' I . ' Exhaust System ❑ Multiple 0 System Repair/Alteration Firepl/Fact. Bit. ICBO# Fire Dampers ' Heating System & Ducting ❑0-100,000 BTU ❑100,00087- Registers - r-' Reinspection Fee $15 ' Issue Fea $ 3' White - Bullamg; Canary-- APPIIcant; Pink - Accounting; Goldenrod - Assessor 66 RUC-IIONAND-PLANNING APPROVALS Permit # Date Inspector PG -&SPA APPROVALS Permit # Date - Inspector -1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - - 2. -Soil Pipe-Undrgrnd. j 53. Steel Reinforcement - `3_Electrical Condu`ittUtility-Undrgrnd. ' - 54. Forms ' 4- Electrical Conduit-Undrgrnd. , r 55. Electrical Bonding - 5. Steel Reinforcement, -. 56., Rough•Plumbing & Pressure Test 6�'Electr'icaIUFERGrnd.' -.�- 57. APPROVAL TO COVER-GUNITE , • 7' -Footings; 58. Electrical Conduit-Undrgrnd. -' ' '�8."Foundation "*',, - 59. Gas Pipe, 0 Undrgrnd., Test 9.°Water Pipe-Undrgrnd. 60. BackwashLines, P -Trap, 0 Undrgrnd. -10. Structural Floor System 61� APPROVAL TO DECK X11. Property Sewer Line & House Connection e `•. 62. Backwash & Receptor -Final 2. Sewer,Cap ' �: 1�-; 63. Heater &Vent -Final 13. Roofs Drains rel S 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 -1;7: Rough Wiring Sign - 68. APPROVED FOR PLASTERING - 18. Rough Electrical -,T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 16. Rough Heating & Air,Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 20. Rough Factory Fireplace 21. Ducts, in Structure I •, 70. Underground Hydro -- 22. Ducts, Ventilating - 71. Product Piping []Gas 0 Oil `'23. Gas :Pipe -Rough & Test 72. Underground Flush' - - - '24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas []Oil 25. Roof Sheathitig 74. Overhead Hydro 26. "T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 'c27. Frame and -Flashing 76. Dry Standpipe 7c28.,:Lathing & Siding . 77. FIXED SYSTEM FINAL , 29. Insulation - I 78. FIRE PREV. 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 Notes: - 34' Final Heating & Air Conditioning 35. Final Gas, Pipe -Test - _ 36. Hood or -Canopy ,-It -' % d .a 37. Final Factory Fireplace - 38. Final Plumbing�Wl .P All5' 39. Water Service -Final i - 40. Gas Service -Final i , f- •t 41. Solar Domestic -Final I=tea •. • 42: Backflow'-Preventer �. 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound; Attenuation I - •�' i - 46. Handicap; Regulations _ - 47. FINAL STRUCTURE&BUILDING - 48. Special Requirements Completed - r 49. Electric Release to Edison' - 50. Ga's Release to Southern California Gas Co , 51. CERTIFICATE OF'OCCUPANCY No. - _. •�- Date T) .