HomeMy WebLinkAbout3729 BOSTON WAY - Building PermitsAVP���ant to tiil in all soaces except those within heavy borEer lines antl zign all avvroD�iate tleclarotions.
CITY OF COSTA MESA - � ,- -, ' ' � P MIT NO. TRACT NO. LOT NO. BLDG. . -
CONSTRUCTION PERMIT . — /OS � � ,.• -- r '
PrOjeCt Addre55 ' � TYPE OF CONSTRUCTION NEW ADD � ALTERATION REPAIR
Applican['S Mailing A�ddf¢u ��Z Q�Q���� k! V � ❑ CONVERSION ❑ OEMOLISH ❑ O.TIHER 1, ' q,p, #
� � � � � _ DESCRIPTION�OFWORK 4^-�'� ��11�y a��4� p��wNOfA. � S MainBuildin
Owner's Name Tol�/aJ1 rn� d) � LG phone.�Q'� . , g
Address .�.'7a9 U����� � /'�� ��^''� TVPEOFPERMIT GRADING�❑FOUNDATIOIV ❑STRUCTURAL T Ffont•
Afch/Eng. Lice� No. -�^' �$�_ ❑ TENANT ❑ ELECTftICAL � PLUMBING ❑ MECHANICAL , 6
, A Rear
Address /� ❑ �OTHEP - � �
Contracmr s Nama P�S� �73_,3 PROJECT OESCRIPTION 5�. FT. ocCUvnNcv '- C Right '
CfA 00�'e✓ Phone K
Addre55�mailing� �0 �r��'�� ' ` CONSTRUCTIONTVPE ' VALUATION$ g Left
City Lic?nse No. �� S ZONE , • GRADING CU.YDS. �ACRES %ng. Ref. #
LICENSED CONTRACT R OECLARA'YION � Remarki: ' P2rking R¢q./PrOvi
I�hereby aftirm that I am licensetl untler provislons of Charter 9(commencin9 ' � Us2 of Buildin
with secUon ]000) ot Division 3 oi the Business antl Professions Cotle, antl , . ' - � 9�
my license is in f force antl etfect. ^
License Class � i nse No. y�-� � d'� ' , PLUMBING -' - ' ' FEES P�anning Notes:
Date_�=.�� Si9natu - '- ,. , •
1RKER5' COMPENSATION DECLARATION � � . � Bar Sink ShowErS
ereby atfirm that I have a certificate ot consent to seli-insure or a certificate gackflow Preventer Service Sink
of Workers'-Compensatlon 'Insurance,� or a certif etl copY tnereot ection ' , '
3800, Lab. .� )A� � . � � ' Backflow irrigation , Sewer Cap �
PolicyNo. �U�Jpv�4___�,__ompany � . . �
[� Ce�titletl copy is hereby f nishetl. � // '' Bathtutis ' Sewer COnn¢CtlOn AUtOrtl2tic WE
iai� Certifie opy L"S il tl wrth the city Builtling Division J- o �
i _. � c; i,�,,,�/ �//,� Clarifiers SolarCollecmrs Construc[ion
Oate Applicant _
EXEMPTION-FROM ORKERS'COMPENS�CLARATION - Dishwasher - � � � � � .
(Thissection neetl not be completetl if the permit�is for one huntlretl (5100) or � Solar Piping � � Cooking UniC
less). � i • ' � ' Drinkin Fouotains �
I certity thaf in tM1e Oe�tormanCe of the wo�k (o� which this pe�in t i5 i55uetl, I 9 SOIa� T2nk Dishwasher
shall not em0loy any person in any manner so',as)e-�ecome' ti to ne i . �
Workers' Cortj � ws ot California. ��. Floor Orains ' Swimming Pool w/Spa � Dryers ❑Gat
Date �Si9nature � ' . . ,
NOTICE: If; after maki tbis tleclaration, you sn ultl become subject to che � FIOOr Sinks ' Urinal � � Fan
. Worker5"Compensation� provisions ofkhe' Labor Cotle, you mu5t for[hwith -" , .
t
Electric
comply witM1, such . provisions � or this permrt shall be tleemetl revoketl. Gas SeNice Outlets Water Closet - . F.A:U. -
CONSTRUCTION LENDING AGENCV • ' -
I hereby affirm that there is a construccion lentling agency for the performance Intereeptors � . ' Wate� Heater ' � � Fixtu�Cs �
of the �work •(or which this permit is issuetl ,(Section 309� Civ. 'C.) " - _
Lentler's Name; KitchenSink - � WaterService -� •
„ � , Device Boxes
�entler's Adtlress Lavatories � '
� OWNER BUILDER DECLARATION � � �q '" � � '' OutIEtS
�� I hereby afiirm that I am'exempt from the Contractor'S License Law tor the � p-Tre ''
�� following reasom (Section 7031.5 Busine55antlProfessional Cotle: Any city or P. �_� � �� � � Switches-
Icounty which requires a permitto construct, alter, improve, Demolish or repair -
any structure, prior to its issuance, also requires the avP�icant tor such permit Roof Drains, . � � , �. - . � � ,, Garbage Disposal
]031.5 by- any app�icant tor a permit
� endlty of not mo�e than (ive huntlr2tl tl01
� 1, as owner o( the property or my
compen5ation will tlo the wo�k, antl the
for sale' (Secfion 7044, Business antl P
License Law tloes not apply to an owner c
thereon, antl wno tloes such work'himze
employees, Orovitletl that such impravem
sale. It, however, tne Guiltling or Improve
pletion, the Owner will have the burtlen a
��overfoY the purpose of salej.
I, zs�owner ot the property, am exclu
tractorsto constructthe project (Section :
The CmVactorY License.Law�does not
builtls o� imp�ove5 thereon,•antl who coi
trac[or(s) licensa pursuant to the Contratt
❑' 1 am'exempt untler $ection
�ate ' ' � Owner _
I herebJ rertitv that I have reatl [nis a
ISignature �
Drivers•'License or 55 $
�CMF0865-46rev.'7/g3 ' White-Bu
pursuant io the provisions of
icing with Section �000) ot
e) or that he/she is exemp[
m. Any violation ot Section
ts the apPllcant� to a civll
00).. _
eas with wa9es as their sole
re is not intantletl or o/teretl
nal Cotle: The Contractor's
�erty who builtls or improves
If or tnrough his or her own
not intentletl or offeretlrfor '
soltl wlthin one year of com-
ig he/she tlid not builE or im-
ontractinq with Iicensetl con- '
�siness and Professions Coda:
� an �owner of property who
b� such p�ojects with a con-
ense Law).
— B. & P. C. for this reason �
in antl
city a
antl hE
�ve-me�
�
above ,
iances �
� ' �
Reinspectian Fee $25
oiler ;
�uct,- Under Ground � �
�uct- Structural � .
Exhaust System ❑ Multiple
Firepl/Fact'BIL IC80 # �
. Heating System & Ducting ,
� ❑ai.00,000eTuOioo,000
�_�( _' I� I ReinspectionFee � I '$25 I
Canary-Applicant;Pink-Acwuniing;GOltlenroC-ASSe45or . . -�� - -
' . Issue Fee ' I
1ANICAL '
Hood or. Type I ❑ . .
Canopy I Type I I ❑' �
Refrigeration System -
❑6100,000 BTU ❑700,000 BTU
System Repair/Alteretion � �
1 �
. Issue Fee � '
i
2238 I/11/84 ;
� Zone ; ! .
Accessory Building:
� ;5.00 TL
I
Park.Fees
N
ELECTRICAL � �
Transformer ❑ 15-50 Kl
❑ 50 + KVJ
Meter ❑up [0 100'ampi'
Meter ❑over100amps'
Suh Panel : �
' Motors LJO-7 HP LJ1'f. -.8
Inc.Solar'�9-75 HP 016-15+
��Microwave � '
� Pole light • � '
Range
Sign
Standing Sections :
Generator �65 KW OS-15 KW Trash Compactor
O
N
I
N
G
R
E
Q
U
I
R
�
N
T
S
FEES
$ 3 � Reinspeetion Fee � $25 luue Fee ' . � $ 3
FEES
. PUBLICSERVICESREQUIREMENTS: � ' ' � �
'Zoning Approved By � Date ;
� Application Approved By � Date—y-�--7�-��-
� Aaoliotion Issued�. Bv I� �� Dat��
0
$ 3 I _
' SUMMARV OF FEES � �
��_� BUILDINGPERMIT � $ � SMIP ' ' $
� PLAN CHECK $ � PERMIT � � �
, PLUMBING $ � ��� 'ISSUANCE � $ �
. PLAN CHECK � $ ENERGY P.C. $
� ELECTRICAL ' $ �GRADING $ �
PLANCHECK � �. $ MICROFILM ' $ ' ��r
� MECHANICAL � $ � TOTALFEE . $ ��5: �U
� PLAN CHECK � ' $ � ' � '
, �
�• CONSTRUCTION AND PLANNING PO S SPA � �
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
-1. Temporary Electrical Service or pole�,. . . ' 52. Pool & Equipment Location
'2.� Soil Pipe-Undrgrnd. ' " ,� 53. Steel Reinforcement
3. Electrical Conduit-UtilityrUndrgmd. � 54. Forms�
4.'Electrical,Conduit;�Undrgrnd. 55. Electrical Bonding �
5..Steel Reinforcement .� � � 56. Rough Plumbing & Pressure Test � '
6. Electrica� UFER Grnd. . , � _ 57. APPROVAL TO COVER-GUNITE �
7. Footings..� ' �• � 58. Electrical Conduit-Undrgrnd. ,-
8. Foundation , . � 59. -Gas Pipe, O Undrgrnd., Test �
9. Water Pipe:Undrgrnd. . 60.�-Backwash Lines, P-Trap, O Undrgrnd.
10. Siructural Floor System • -� � 61. APPROVAL TO DECK ' �
17. Property Sewer Line�&'House Connection '/�,,,� � 62. Backwash & ReceptorFinal
12. SeweF.Cap � �- . '.. , - 63. Heater & Vent-Final
13. Roof Drains � � . , 64. Plumbing SYstem - Final �
14. Rough_Plumbing�� . � 65. Electrical-Final "
15. Rough �Electriral-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
�79. Fiough 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 O Gas ❑ Oil
23. Gas Pipe-Rough & Test �. 72. Underground Flush �
2�d. Roof�Framing 73. Undergrnd.StorageTank OGas ❑Oil
25: Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurall & 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
32. Electrical Power Meter-Final :! 80. F000 CERTIFICATE ISSUED
33. Final Electric f Notes: ��,o� ��.�,
34. Final Heating & Air Conditioning � j��
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 pomestic-Final �
42. Backflow Preventer � � � �
,
43. Backflow Irrigation ' ,
44. ,Landscape Irrigation System ' � -
45. Sound- Attenuation ,
46. Handicap Regulations' _
47. FINALSTRUCTURE&BUILDING �. � '
48. Special Requirements Completetl �
49. Electric'Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY � '
No. � �- ' Date ' ' �