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)
.