HomeMy WebLinkAbout100 BRISTOL ST - Building PermitsI ,
I
PROJECTADDRW5S: Niob BRISTOL ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 064715
OWNER'S NAME: ORANGE COUNTY1
ADDRESS; 100 BRISTOL ST PERMIT NO: E 064719 PLAN CHECK NO: ' N GOVT: N SUPP:_ 1W`
COSTA MESA
CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: ELEPURPOSE: 0TH
( 714 ).646-1497
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : CHRISTMAS TREE LOT SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
PERMITTEE: ACTION MOBILE ( 310 ) 549-6100
ADDRESS: 21900 S. WILMINGTON COMMENTS: ONE ' CHRISTMAS TREE' LOT
CARSON CA 9 , 10 T6�rFl**-It* -+��r�6d6*�r�r-1t-**�F******�Fx-�t**�kdrk6*+t+ *kr*-t ***+e-�6�6dFdrdt**kE�6kt+rxdt�t*rt****-�6-x+rx-�6-It****d6*I **
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisi=. , Chapter 9(commencing with Section ZONING R EQUIR EMEN TS
7000)of Division 3 of the Business and Professions Code,and my li is in full force . r �feet SETBACK S
CITY tic.: STATE LIG.: 538937 _......ai.A
.----• Date. //�Z'') signature: // � MAIN BUILDING ACCESSORY BUILD II G
WORKERS'COMPENSATION DECLARATION: (hereby i dr4r. Hca• . rself-in or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation��!�5IgA�a cyrtl le cppy thereof .echo/� �Lab. ). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: W7 '�b1� L 'P.DATE: - J 01 /9 '
COMPANY: CA COMP INS \ PARKING REQ: PROV; PARCEL : 00000000 ZNE: REF NO:
CI Certified copy is hereby furnished. U Certili•, copy i i ed with th• ity I.ilding Di PLANNING NOTES>
II
EXEMPTION FROM WORKERS'COMPENSATION DEC TION: (Thi .A becompleted if I •.: • one hundred($100)or less). DEVELOP M EN T -S; .E .R V ICES REQUIREMEN TS
I certify that in the performance of the work for w'ch this per.: s issued,I shall n01 employ any person manner so as to become
subject to the Workers'Compensation Laws of ..ldaILZONING APPROVED BY ' 7 DATE:
Date: Signatur! •
NOTICE:It after making this declaration,you ,•old become subject to the Workers'Compensation provilk•f the Labor BUILDING APPROVED B Y / '
DATE:
Code. you must forthwith comply with such p'visions or this permit shall be deemed revoked. V
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: _ails_ DATE- //d&d
which this permit is issued(Section 3097.Civ.CI. ********************** .gypE ********** TclFZ7F'
il
LENDER: ***************************************4*** ***********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I 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 7 . 5 0
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 50% 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 five hundred dollars($500). ISSUE FEE 15 . 00
I. as owner of the property 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(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS—---> 7 . 50 15 , 00 0 . 00 22 , 50 22 . 50 . 00
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 employees, provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 22 , 50 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
for the purpose ofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 22 . 50
❑ 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 projects with a contractor(s)license pursuant to the ContractorsState License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR E A K D O W N
❑ I am exempt under Section: B.8 P.C.
for this TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: ELE 1 CHRISTMAS TREE LOTS EA. 7. 50 7 . 5O
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and ..'--....,,.. END OF FEES
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
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions. —
Date'. Applicant.
1, I hereby certify that I have read this application and state that the a'. •information is correc agree to comply with all city and county
ordinances and state laws relating to building construction an,' ry autho •representative rf his city to enter upon the above-mentioned '
•
property for inspection purposes. '
----- Date://-""2-9) Si Mere: ' - - 01. 00149992-00149992 TOT ' 22.50
DATE: 11/02/93 TIME: 10:56
Driver's License or Social Security#:
1641.46 White-Building;Green-Code Enlorceme ,Canary-Applicant;Pink-Reve .'-;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL 'A
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
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings 'I 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 1 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 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
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. Roof Sheathing 74. Overhead Hydro
(26. T-Bat 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 Il3l80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
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
46. FINAL PLANNING ,
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date