HomeMy WebLinkAbout270 BRIGGS AVE - Building Permits •, - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 5983 .,/i!I /.. ' -
CITY OF CbSTA MESA CONSTRUCTION PERMIT PERMITMNO: p-� TRACT NO. LOT NO. UNIT NO.
' Project Address 270 Briggs, Costa Mesa 1'1 E - `� 1 OJ -
Applicant'sMailingAddress 3005 S. Halladav,Santa Ana92705 TYPEOFCONSTRUCTION U NEW' U ADD U.ALTERATION U REPAIR
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Signet Markin Devices 549-5542 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P,s16 Zone I
Owner's Name one DESCRIPTION OF WORK/USE OF BLDG.
Address 3121 Redhill, Costa Mesa, C.� S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OF PERMIT LI GRADING U FOUNDATION ❑ STRUCTURAL T Front 0
Address CB❑ TENANT LELECTRICAL 0 PLUMBING El MECHANICAL BRear • N
Contractor's Name D W PpvnP Phone 545-5542 ❑ OTHER A - _ 1
3005 S. Halladd S 92705 PROJECT-DESCRIPTION SQ. FT. IOC UPANCV C Right N
Address(mailing) Y.`al'ltcl And - G
006315 C O N ST RUCTION TYPE VALUA111 NS / S Left `
City License No. 1 % Ntst;1, R
ZONE • GRADING CU.YDS. • ACRES _ Ping. Ref.4 C lyg Req.�Prisid E
LICENSED CONTRACTOR DECLARATION L E tR(
I Ijereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • Planning Notes: RFCE�V Q
with section 7000) of Division 3 of the Buslness•and Professions Code, and _ - '1 ,1 p NI
my license is in full force y��(�1 effect. ` RECEIVED MAR IJ31Y
License Class `-• '-" - �-License Ngo. 280319 rD P S
\ Date 11__/30/89ignature C%7�Y�4.�s PLUMBING _FEES
WORKERS'COMPENSATION DECLARATION
gar Sink Showers ELECTRICAL • FEES
reby affirm that I have a certificate of consent to self-insure or a certificate
"... 1 orkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink -
O, Lab, C, Automatic Washer Transformer 0 15-50 KW , _
Policy No RA8614869 company Industrial Indemnity -- '" ❑ 50+KW
Backflow Irrigation Sewer Cap Construction Pole Sub.
DaCertified copy i (hereby furnished.
Certified cop f'a with the cit uiltlirqa/ Dilg�1y Bathtubs Sewer Connection Cooking Unit Meter'pup to 100 amps :
le 12Fy30/88 Applicant •Ct02.La for D __3^1.P8YNE
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 l
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel - -
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 Drinking Fountains Solar Tank Fan 1 Motors 0o-1 HP Q 1 h-8 3 Np -7.5C
Workers' Compensation Laws of California. . -
Date Signature --- -- - _ Floor Drains Swimming Pool w/Spa - F.A,U. - Inc.Solar 09-15 HP❑16-15+ -
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 c
1 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.) Interceptors 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
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
'county which requires a permit to construct,alter,Improve,demolish or repair PL-Trap • LaundryTrays •
any structure, prior to its issuance, also requires the applicant for such permit Generator ❑0-5 KW❑5.15 KW Trash Compactor
•to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000)of -
rlivision 3 of the Business and Professions Code) or that he/she is exempt - • -
-trefrom and the basis for the alleged exemption. Any violation of Section
31.5 by any applicant for a permit subjects the applicant to a civil
Malty of not more than five hundred dollars(5500). ,
O I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not Intended or offered - - Reinspection Fee I $15 Issue Fee $ 315.00
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 — _ _
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 0 DEVELOPMENT SERVICES REQUIREMENTS;
employees, provided that such improvements are not Intended or offered for yp Zoning Approved By Date '
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0
prove , the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By /-�Datei��,a
�lrave for the purpose of sale). J(4/ll�/ ______1 /�(JS —
LJ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural . Refrigeration System Application Issued By - Dat
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 • 1 20-100,000 BTU 0100,000 BTU 9 00 SUMMARY OF FEES - _
builds or improves thereon,and who contracts for Such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). 1 am aware thatBUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration {,,�A
❑ 1 am exempt under Section B.8 P.C.for this reason NI Firepl/Fact.Blt. ICBG 4 Fire Dampers PLAN CHECK $ PERMIT s)?Oi�
PLUMBING . $ ISSUANCE ' $ -
Date Owner -
1
•Pleating System& Ducting p�p,a Registers� 0II::ECiCAL $ a : GRADiNG $PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above C'+0-100,000 BTU 0100,000 BTL W=.V�-...information is correct- I agree to comply with all city and county ordinances60 000DTU Pa ILC 58JF1.703C1060and state laws relating to building construction, and hereby authorize repro- , y sentative5 of this city o en Dar upon the above-mentioned pro arty forinspection pu p- z .f gas/elect. chanaeoUtSignature A /-ai1�_ - DataDrivers' License •r SS7F ; • Reinspection Fee $15 Issue Fee / AN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA
Date Inspector Date Inspector
APPROVALS Permit•# APPROVALS Permit#
1. Temporary Electrical.Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. (` 53nSteel Reinforcement Ari?,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding !,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test'
6. Erectrical UFER Grr?dT j 57. APPROVAL TO COVERIGUNITE
V •
7.=footings 58. Electrical Conduit-Undn pd. `r
18.Eopndation 59. Gas Pipe, 0 Undrgrnd.. est -+
9 Water,Pipe-Undrgrnd. 60. Backwash Lines,P-Traps, Unjrgrnd.
•
10. Structural Floor System 61. APPROVAL TO DECK 71)
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final",)r
12. Sewer Cap 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:EJectrical-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 D Gas D(lit
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ' 74. Overhead Hydro
26. T-BanCeiling (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 r',.
32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: 9-I-Vie .Pam I r apt IGO Cc a'
34. Final Heating & Air Conditioning "St_ Sec. 300. b U.MG. l,..WA
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 • - Y
45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed•
49. Electric Release to Edison
50: Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - �'
s'oce
No. Date