HomeMy WebLinkAbout363 BAY VIEW TERR - Building Permits5
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PENMITTEF: ADAIR AOOFaNG, INC, ( 714 ) 637-02�39
nooxess: 239U i4MERICAN WAY
ORANGE CA 92665
LICENSED LONTBACTOB OECIABRTION: I hereoy aflirm �hat I am IicenseU un0er pmvisions ol ChaD�e� 9 Rommencing with Section
7q10) ol Division 3 of Ihe Business antl Pmlessions Code. and my license is in lull lorce an0 effect.
citruc.: 0�6536 STRTEUC:26122I c s: C-39
Aaie: _ f SignaWre: _ _ .
WONRE COMPEN TION GECLAHRTION: I �ere0y affirm that i v¢ a cenilicate ol consent to sel4insure ar a cerlilicale ol Workers'
Campen alion Ip5 Or a.tp{tifi¢ tp� y iM1ereof �Section . Lab.
POLICYNO.: U ��1L7—�7 E .�arE: 5/Oi/92
• comraxr: STATE FUND,�,/
�] Cenilie copy is hereby umishe0. LJ Cenilietl copy is �iled with �Ae ci�y 9uiltling Divisi
o _� �—
� �aie'. � NpplicanL �
E%EMPT N FNOM W NEBS' COMPENSpTION OECLHBATION: (This �ion neea nol 0e comple�ee if �he permi� is for one huntlred ($140) or less�.
I cetlily I�al in ihe pedormance of ��e work lor wM1ich Ihis Dermi�' i55ue0, I s�all no� employ any person in any manner so as �o become
su6iect lo ine workers' Compensalion Laws ol Calilornia.
Dale: Signa�ure:
NO710E: II, alter making Ihis Eeclaration, yau shoul0 became su�lecl �o ihe Workers ComDensation Omvivons al the Labor
COAe. you musl lahhvnl� Compty wiih 5uch D�ovi5i0n5 or �his permii S�all G2 de¢mea revoked.
CONSTflUCTION LENDING pGENCY: I hereby allirm �hat there i5 a con5imc�ion IenUing aqency tor t�e p¢Aormante 0� IAe vrork �or
wnicn mis oermii is issuetl (5ection 3097. Civ. C�.
LENOEfl:
aooness:
OWNEB BOILOEB OECLANATION: I hereby afiirm t�at 1 am exempt Imm t�e Comraclors' State License Law br Ihe lollovnng reason
�Seclion 7031.5 Business anE Prolessional Coae: Any city o1 county w�ich repuires a permit to mnstmct, alier, imD�ove, Oertrolish. or
repair any simcture. Drior to iis issuance. alw requires the apvlicant tor sucA Oermil to lile a signetl stalement Itwt ne/she is licensetl
pursuam �o ihe pmvisions ol i�e Convacmrs' 9aie License Law �C�apter 9(commencing vntA Sectian 7000) ol 0ivision 3 al tAe Busineu
anG Pmiessions CoOe� ar Ihai he/she is eaempt ihere�mm and t�e �asis la� lhe all¢ge0 ¢xemption. My violation ol $ettion 7031.5 by
any applicant for a D¢�M� suEle��s ihe applicant to a civil penairy of not more than live hunEretl Gollars (5500�.
I, as awner al Ihe pmpeny or my employees with wages as iheir sole comoen5aiion, will do ine work, and the
❑ nmcmre is nol intentle0 or ollereE lor sale (Secnon 70aa, Business anA Prolessional Cotle: T�e Contractors' State License Law
aoes not apoly to an owner of a pmpeny who builtls or impmves Inereon, antl who Oaes sucn work himself/hersell or tnmugh
�is or her own employee5, pmviaetl Iha� SUCh impmvemen�s are noi in�enAetl of atlereU tof Sale. II, Aowever Ne OUilding Or
improvemenl is sold wilhin one year ol comple�ion. �he owner will have Ihe UurAen oi pmvinA he/s�e Uitl no� Duiltl or improve
, br �ne purpose of salel.
I. as owner o� Ihe pmpeny. am e�cWsively contracting wi�h licensed contracmrs to cons�mct the pmlect (Sec�ion 7044, Business
❑ antl Pmlessians Cotle: The Comraclors' S�ate License Law Uoes noi apDly �o an owner ot property who builas or impmves �hereon
and who coniracts lor such projetls wi�A a coniractaqs�licen5e pursuan�lo �he Conirac�ors' Staie License Law). I am aware
Ihal O�oo� of IAeir Worker'S Compensation insurance 5houl4 he DmviOetl �o me.
� I am exempl un0er Sec�ion: 8. 8 P. C. '
br Inis reason:
Daie: Uvner.
1 ao �ereCy cenity itwt I am aware ol and unAerslantl ihe requirements ol Califomia Healt� antl Safery CoOe Sections 25505. 25533. an0
2553a an01na1I or any fuiure builAing occupanl will/will noi (circle one) nee0 �o camply wiih saitl slale cod¢s anA Ihe repuirements �or a
permil lor con5lmclion or moddica�ion �mm Ihe Nir Ouali�y Management �i5irict. Fe5i0ential constmc�ion applications are e�emp� imm
Ihese pmvisions.
Oa�e: ADO�icanl
I �ere0y cetldy Ibat I nave rea0l�is aDO����ion and state that the a�ove information is fArrect. I aqree to comply wilh all city antl caunry
or0inances ane slate W�iK relaiing lo OuilOing wris�mction an0 �ereby aNtqr¢e represen�atives Of INs " �o enter upOn Ihe a6ove�menfioneG
vropetly Io�,iion Our es.
Da�e: _ _ Signalwe:
I oriver's ense ai ciai secudry a:
�6aba6 Whne—Bwltling�, Green—Coae Enlorcemem; Canary—Applicam: Pink—Reven�e; GoltlenroE—Assassor
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: H 053440 F'L'AN CHECR NO: N
CONSTRUCTION TYPE; V—N PERMIT TYPE; STrZ
JOB DESCRIPTION : T/OFr REROOF W/BUILT UP
.Y�K NV: ti V�j44U
liU 1: N SUYY; N
PURFUSE: ALT
SQ FT; 2,200
CLAIM VALUE: 2,200.00 CALC—VALUE: 2,200.00 GROUP OCC: R-1 /
COMMENTS: HLDG. 1 BAY VIEW TERRACE
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Z O N I N GS ERTEB�AUCI�CRSE M E N T S
------------ MAIN HU�LDING ---------- --------- ACCESSORY_BU3i,DING ---------
FRNT; FT IN R.,AR: FT IN FRtdT; FT FN rtEAR• FT IN
LEFT: FT ZN RGAT; rT IN LEFT; FT ZN RGHT; cT IN
PARKING RE • PROV; PARCEL: 00000000 2NE: RE? NO;
PLANNING N '1'ES>
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D E V••�- L. O F N E N T S E R V S C E S R E Q U I R E M E�,:T 5
5_ J
20NING AFPROV�I)• BY DATc;
BUILDING APPROVED BY : DATE:
APPLICATION I$$UED BY• �YIr1 �?firu DATE; ����'�
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LEGALIZATZON;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/R�� GRADTNG
PERMIT 59.00 ,5p
SMIP/NOTi—RaS
PLAN
iSSUE FEE
BtiiLUING—DIV—> PERMIT ZSSUE PLAN—CHECR TOTAL PAID ;• DUE
TOTALS----> 54,50 O.OU 0.00 SS,50 54.50 ' ,00
REVENliB DIVISION TOTALS--> CQLLECTED: 54.50 OVER/SHORT: .00
BLDG PMT PLUMHFNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING',PLAN—CHBCK
59.00 ,50
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I N D I V I b U A L F E E B R E A K D O W N !�
TYPE QTY D E S C R I P T I O N � ONIT COST TOTAL COST
S'FR 2200 REROOF BY VALUE RESZDc^NTIAL NOZONE 1.00, . 2,200,00
END OF FEES ;, ,_
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� CONSTRUCTION ANDPLANNING POG _SPA _
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
� �- ..� /
i..Temporary Electrical Serviee,oi Pole � . 52. Pool & Equipment Location ��'
2. Soil Pipe-Undrgrnd. � j �� ,/,- •" � 53. Steel Reinforcement �� -
3. Electrical Conduit Utility-lJndrgrnd. �� 54. Forms� �
4. Electrical Conduit-Undrgrndi' � �r � 55. Electrical Bonding �
•f,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. ElectricalUFERGrnd. 57. APPROVALTOCOVER�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. �c
10. Structural Floor System �' �;� 61. APPROVAL TO DECK '/r��
11. Property Sewer Line & House`h',onnection 62. Backwash & Receptor-Final �
- n
12. Sewer Cap ��'� r� 63. Heater & Vent-Final ����
J,' , +1
t3. Roof Drains - !�;t 64. PlumbingSystem-Final �;�-
14. Rough Plumbing j 65. Electrical-Final .
75. Rough Electrical�Conduit � 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19: Rough Heating & Air Conditioning FfRE DEPT. REQUIREMENT
20. Rouqh Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Dutts, Ventilating 71 . Product Pipin9 O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underg�o�nd Flush
24. Roof Freming 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 8 � 74. Overhead Hydro
� 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing , 76. Dry Staniipipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing !, I. HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � � 79. FINAL WSPECTION
32. Electrical PowerMeterFinal �..� 80. FOOD CERTIPICATE ISSUED
33. Final Electric � � '� Notes:
34. Final Heating & F,ir 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 pomestic-Final
42. Backflow Preventer . i
43. Backflow Irrigation �
44. Landscape Irriqation System
45. Sound Attenuation �
46. Handicap Regulations
47. FINALSTRUCTURE & BUILDING g.��� �u�� �Z� �r�� s^�^e!7`� d%P . 6
48. FINALPLANNING � � �
49. Electric Release to Edison
50. Gas Release to Southem Califomia Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date