HomeMy WebLinkAbout530 ANTON BLVD - Building PermitsI'1
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OWNEN'S NAME:
ROOflESS:
P O BOX 2097
T�RMINAL ANNEX
AflCH/ENGINEEN:
noosess:
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REALTY
NEG.NO.:
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PENMITTEE: MORRIS ELECTRIC t 714 ) 877-6880
aooxess: 1 4 5 W BRYAN'C ST
Bi.UMINGTON A 92316
UCENSEU CONTflACTOB UECLAflATION: 1 hereGy aflirm Ihal I am �iCenSeU provisions o� C�ap�er 9(commencinA w��h Section
7000) o� Division 3 olihe dusiness antl Pmlessions Coae, antl my licens in Il�orce antl ellect.
cirruc.:0339Q9 sT"rEuc:39531 10
Oate: 7 � � • Signawre: _ — .
WOflKENS' COMPENSRTION OECLABATION: I �ereby allirm Iha� I �ave a cehificate ol consen I-insure or a cetlificate oI Workers'
Compensaiian insurance. or a cenilied coOY ��ereoi (Section 3800. Lab. C1.
POIICVNO.: wCi2E19812 E%P.URTE: O-.IOLI
eornraxr: SAFEGO
, CertilieG wDY �5 heretlY �urNiheG. � Ce0.i(ieA CADY R IiIPA w ury BuiWing 0" " n.
Dale: ��/_�` ApplicanC
EXEMPTION FpOM WQpHENS' COMPENSATION UECLABFTION: (This seciion neea not �e co e d ii me permii is 1or one nuMred (5100) or less�.
I cerii�y I�a� in (he pedormante ol �he wOrk lot w�ich IhiS permil is i5suetl, I Shall n0� e y any DerSon in any manner 5o as l0 UeCome
sublec� lo Ihe Workers' Compen5aiion Laws ol Calitomia.
Date: Signawre:
NOTICE: If, atter makinA �his OeGarati0n, you shoulU become subject to tAe Workers' Compensalion 0«�ons af tlle Labor
Code. you mus� Iort�With compty wilh suc� pmvisions or Ihis permit s�all 6e deemeA revokeG.
CONSTBUCTION LENOING pGENCY: I hereCy affirm Ihai ��efe is a ConSlmcli0n 1¢n�ing agenCy Iof �he De�ormante 01 t�e work Ior
which this permi� is issuetl (Sec�ion 3097. Civ. C�.
LENDEP:
nunaess: IN METRO CENTER PARRING L
OWNEN BUILOEP OECIABATION: I AereUy atlirm tha� I am exem0� ��om ihe Contracmrs' State License Law for ihe foltowinA reason
(Seclion 7031.5 Business anJ Pmfessional Cotle: Any ciry of counq which requires a permit to consiruct, alter, imOmve, tlemolis�, or
rtDair any simcture. prior to ils issuance, also requires tAe appticant ior sucn permit to Iile a sipnea statement I�at he/sne is Iicense0
pursuant lo the pmNsions o� ��e Cantracmrs' State License Law (Chapter 9(commencinq wilh Seclion 70W) o� Division 3 of t�e Business
an0 Pmlessons COEeI or iN� be/sne is exempi inereUom anE t�e basis br ine allege0 e.emption. My vi0lation ol S¢ction 7031.5 Uy
any ao0licant for a Oermit Su�jecis ihe applitanl to a civil penalty al not mare Inan Iive hunOred UOIIaR (3500).
I, as owner ol IHe pmperty or my employees wi�h wages as Iheir sole compen5a�ion, will tlo ��e wa�k, and Ihe
❑ simcWre is nm intentlee or ailereA lar sale (S¢CtiOn 70E4, Business an0 Prol¢55ianal Code: The COniractars' Sla�e LiC¢n5e Law
aoes not apPW �o an owner ol a D�oDeny wno builas or imo�oves Ihereon, antl who does such work himself/herself or thmugh
, his or her own emD�oyees, provitleA Ihat 5uch improvemen�s are no� inlentleA or ottereG lor sale. If, �awever lhe building ar
imprmement is 5010 ��hin one year ol campletion, t�e owner vnll �ave ihe hurden of pmvinp hWs�e Oi0 not huild or imprme
lor Ihe purpose ol Sale).
I,as ownerol'I�e pioperty.am exclusiveiy conirac�inp wilAlicense0 coniracmrs m cons(mc��he Dmjec��Seclion 7044, Business
❑ antl Pmieuions CoAe: Try�Qomractors' State license Law aoes noi apply to an mvner oi OmDenY �o hudAs or imDroves thereon
an0 who coniracts Iw�ch pmjecls wi�A a conlracim�s) license pursuan�lo Ihe ConVaclors' Staie L¢ense Law),I am aware
t�at proof of Iheif Worker's Compensation insurance 5hou10 Ee DroviAea Io me.
� I am exemp� untler Sec�ion: 8. 8, P. C.
�or t�is reamn:
Oate: Ownec
I Ao AeBby cenify that I am aware af anJ unEerstana Ihe repuiremenis ot Cdlifomia Heal�� an0 Salely COAe Sections 255115, 25533, an0
255J4 ana inat I or any future builaing occupant will/will nol (circle one) neetl to comply with saitl state cotles antl ine reQuirements for a
p¢rmil lor cans�mtlion or �ification Imm Ihe Air �ualiiy Managemen� US�nci. Nevtlentul con5iruclion a001icalion5 ar2 e�emp� trom
I�ese Orovisians.
Daiel AppliCani:
I �¢r¢�y terlifyi�a� I Aave r¢a0�Ai5 appliCalion and Slati
ordinanres an0 5�atelaw5relatingio 6uilding canslmction
propeny br insoectron our0�es.
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Da�e: � Signamre:
oriver's �icense o� sociai Security x:. �
16nt�a6 W�ne—Boiwin¢ Green—COEe En�orcemem; Canarv—AoolicanL
�5
I aA�¢e �0 comply vnlh all
IhiS city lo eqj/r upon Ihe e
Golaanratl—Assaswr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E OSfi01..
PERMIT NO: E 058012 PLAN CHECK NO: N GOVT: N SUFP: N
CONSTRUCTION TYPE: PERNIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION ; TEMP ELECTRICAL DISTRIBUTION SQ FT;
CLAIM VALUE; CALC—VALUE: GROUP OCC: /
COMMENTS; TEMP ELECTRIC FOR "CAR RACE/STREET VIB"
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Z O N I N GS ERTEB�AUC�KRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ� PROV: PARCEL: 91050104 ZNE; REF NO:
PLANNING NtSTES>
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D E V E L O P M E N T S`'E R V I C E S R E Q U I R E M E N T S
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20NING APPROVED BY �
HUILDING APPROVED BY
APPLICATION ISSUED HY
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LEGALI2ATION;N
BLDG PMT
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DATE:
DATE;
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DATE:
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F E,•E, S U M M A R Y STRUCTURAL SEGMENT:N
PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADTNG
PERMIT 30.00
SOY SMZP/NON—RES
PLAN
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE
TOTALS----> 30.00 15,00 0.00 45.00 45,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 45.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTcRIC MECHANIC FIRE SMIP/TOT GRAl1ING PLAN—CHECK
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I N D I V I D U A L F E E S R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 4 TEMP DIST SYS/LIGHTING EA. 7,50 30.00
END OF FEES
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CONSTRUCTION ANDPLANNiNG
APPROVqLS Permit # Date
1. Temporary Electrical Service or Pole �
2. Soil Pipe�Undrgmd. � -
3. Electriwl �nduit Utility-Un�rgrnd. �
4. Electrical Conduit-Undrgrnd. -
5. Steel Reihforcement
6. Electrical UFER Grnd. - �
7. Footings �
8. Foundation ' '
9. Water Pipe-Undrgrnd. � .'��
-; ;
70. Structural Floor System ,i • ' .
11. Property Sewer Line & House Connection
12. Sewer Cap - .�- „/
t-
13. Roof Drains "
14. Fough Plumbing ' .. -
15. Rough Electrical-Conduit,. •
i6. RoughElearicWiring ' , ! •
17. Rough Wiring Sign ti �
:�
78. Fiough Eiectriwl-T Bar Ceilinq �
�
19. Rough Neating & Air Conditiohing
20. Rough Factory Fireplace .
21. DuCts, in Structure ,
22. DuMs, Ventilating
23. Gas Pipe-Fiough & Test �
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling (Struct�rall & Monocoat
27. Frame and Flashing
28: Lathing & Siding
29. Insulatibn � '
30. Drywall Nailing � � '
31. Plaster Qrown Coat � -
32. Electricyl Power Meter•Final
33. Final Electric . !'� f i
34. Finzl H�ating & 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 pomesticFinal ��
42. Backflow Preventer .
43. Backflow Irrigation �
44. Landsc�pe Irripation System �
45. Sound Attenuation �
46. Handicap Regulations _
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Reiease to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Jo. Date
8
POl SPA
inspector qppROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcemont
54. Forms
- 55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUN�TE
58. Electrical Conduit�Undrgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P�Trap, O Untlrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final �
65. Efectrical�Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPA SVSTEMS FINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
Date Inspector
/..
70. Underground Hydro
71. Product Piping O Gas D Oil
72. Underground Flush �
73. Undergrnd. Storage Tank � Gas O Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe - �
77. FIXED SY$'fEM F1NAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
B�j FOOD CERTIFICATE ISSUEO
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