HomeMy WebLinkAbout2571 ELDEN AVE - Building Permits Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA • P IT NO. , / TRACT NO. LOT NO. BLDG.NO. - -
CONSTRUCTION PERMIT 8Sa� 5729 5/•i 1 /62 23.00 IL
Project Addrzs agt TYPE OF CONSTRUCTION i':,, ' r
Owner PhoneC4t1-'f t • 0 NEW ❑ADD ❑ ALTERATIO
Address 700 / T�� it—c .✓/rr\. 0 REPAIR 0 CONVERSION DEMOLISH Ar'-'
❑ OTHER , _ ZONING REGULATIONS
• D- CRIPT • QF WORK s -4-
C..--,.
_ A.P.
A ••' , , J �/ r ZONE - PLNG. REF.
Contractor '•�_� is • OF PERM! :1 • - Tog IpINC
Address- a% ear, ■ • ■ • • ■ SETBAC PROPERLTY LINE _
SEF LIO YARD - -
LICENSED -CO TRACTOR DECLARATION " ■ ■ ■• ■ SIEEDE YA`•- - • - _ •
1 hereby affirm that I am licensed under provisions of harter 9 (corn-- ! RIGHT
'mending- with section 7000) of'Division 3 of the Business and L_I • - _.
Professions Code, and my license is In full force .rid ,f•_ ' REAR YARD(TO P/L)
// . PROJECT DESCRIPTION it .
License Cla s - - r cense;� �- PKG.SPACE REa. PROVIDED, : - •
lDate •r . • Signature / •moi L. v, •
• - ERS'COMPENSATION DEC 1+ RATION • • • STREET WIDTH _ .PARK FEE.$
,WO
•
I hereby affirm that I have a certifi'ate of consent to self-insure.or a VALUTI• Y • ZONING APPROVED BY --" I 'DATE
NE
certificate of Workers' Compensation Insurance, or a certified Copy ,
thereof(Section 3800, Lab.C.). /� e-.LrGRADING CU.YDS. ACRES
SPECIAL CONDITIONS:
y No. - Company ii.0.n -. - - - -
e •' ed copy is hereby furnished. // - _
ertifled copy Is-filed with the city Building Division.
a
re/stet
ION FROM WORKERS' COMPENSATION-DECLARATION - - - ,
(This section need not,be completed if the permit is for-one hundred •
to S$100) or less). •
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 'ELECTRICAL PLAN CHECK •
•
O subject to the Workgrs'Compensation Laws of California. • -. SHOWERS uw ELu tic. GAHAbt
Q Signature - •
Date : If after making this declaration, you should become subject • 'GENERATOR • 0-1 KW_1-30 KW
to the Workers' Compensation provisions of the Labor Code,you must ®� TRANSFORMER ® .
forthwith comply with such provisions or this permit shall be deemed •' •• APPLIANCE -10-50 KW- 50 + KW
revoked. - -
_ -' _ KIT:'SINKS DISHWASHERS -- .� • • ' • �H•
ONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ai, SUMPS - -- __ -
111
411 formance of the work for which this permit is issued (Section 3097 -
Civ. C:). -' - - - - - ••• SINKS ••• DRAINS - ' - ,FIXTURES - OUTLETS - SWITCHES
Lender's Name • _ "
Lender's Address • • •
GAS TUBE SIGNS -- -
OWNER BUILDER DECLARATION - -' -- - INTERCEPTORS -- -,POLE LIGHTS- - - - -
I hereby affirm that I am exempt from the Contractor's License Law for . .
the following reason (Section 7031.5 Business and-Professions Code: SWIMMING .•• t-UNSI KUL I JUIN _- v
Any city or county which requires a permit to construct, alter, POLES METERED - SUB - . l
improve,demolish or repair any structure,-prior to its Issuance,also re- PANELS- — - MAIN -- ' SUB '
quires the apilicant for such permit to file a signed statement that he
Is licensed pursuant to-the provisions of-the-Contractor's License LawSERVICE - - - - - _ AMP - -
(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he is exempt therefrom and the _ _- . _ -
b--c for the alleged exemption. Any violation of Section 7031.5 by - - - -
tppilcant for a• permit subjects the applicant to a civil -penalty - • r, - -- - . .. .
at more than five hundred dollars ($500).
L. i, as owner of the'properly, or my employees with'wages as their SOLAR TANK COLLECTORS '- ' ' - - - - -
sole compensation, will do the work, and the structure Is not Intended . . • 1
or offered for sale. (Section 7044, Business and Professions Code: The • " ISSUE FEE - - ' -'- • - •_
Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who does such work himself or 3 0 I' 'APPLICATION-APPROVED BY - - DATE - - - l
through his own employees, provided that such improvements are not
Intended or offered for sale. If, however,the building or Improvement MECHANICAL PLAN
_ _
SUMMARY OF FEES
is sold within one year of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale . •• ••• r BUILDING -
I; as owner of the property, am exclusively contracting with PERMIT S
❑ HEATING SYSTEM S /`� ✓'_ SMIP•� $ /.
licensed contractors to construct the project (Section 7044, Business • • ••• • PLAN CHECK $ • PERMIT
and-Professions Code: The Contractor's License Law does not apply to - - - S.CU -ISSUANCE $ •
an owner of property who builds or Improves thereon, and who con- • • • ••• a PLUMBING $ •
tracts from such 'projects with-a contractor(s) licesned pursuant to - - .l GRADING $
the Contractor's License Law). 100,000 PLAN CHECK $
o I am exempt under Section- _- . - '_ ' - B.& P.C:for this s•ILERS BTU ELECTRICAL: $ • $
MICROFILM $ '
reason - - SYSTEM PLAN CHECK $ •
- _- _TOTAL FEE.5.'
Date Owner MECHANICAL $ "$-ALTERATION '
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE • ' LESS AD-
Information is correct-I agree to comply with-all city and county PLAN CHECK $ VANCE PC - $_ - -
ordinances and state laws relating to construction,and hereby authorize
representativ s of/ his to enter upon" the above mentioned -
property I. ins. alio rp•,,Fs. ([ �� /1a
Signetor y eli/ -z .A - Date "1— ®■ FINAL FEE $ �V
Drivers' cense or SS# -
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNI POOL&SPA .'y
APPROVALS Permit # Date Inspector APPROVALS Permit# • . Date Inspector
1. Temporary Electrical Service or Pole • 43. Pool & Equipment Location • - - - - -
2. Soil Pipe-Undrgrn 44. Steel Reinforcement • - - - - -
3. Electrical Conduit Utility-Undrgrn •
_ _ - _ - _ _ 45. Forms . -
. 4. .Electrical Conduit-Undrgrn -. - _ - 46. Electrical Bonding - - - • -
5. - Steel Reinforce 47. Rough Plumbing& Pressure Test - - -- - .
6. _Electrical UFER Grn _ _ - 48. APPROVAL TO COVER-GUNITE- - - - - - .
7.- Footings . _ - 49. Electrical Conduit-Undrgrn • '
. 8.- Foundation . . . _ 50. Gas Pipe, ❑Undrgrn;Test .
9. . Water Pipe-Undrgrn _ _ 51. Backwash Lines. P-TraaJt, 0 Undrern - -
10. Structural Floor System 52. APPROVAL TO DECK -- - '--' -. - - - • - ` '
11. .Property.Sewer Line &House Connection . . _ 53. Backwash& Receptor-Final ,
12. Street.Sewer Connection 54. Heater & Vent-Final
13.. Rough Plumbing . 55. Plumbing System - Final '- - -
14. Rough Electric-Conduit - .56. Electrical-Final . ,
15. Rough Electric-Wiring • - - 57. Solar System-Final '
16. Rough Heating &Air Conditioning - - 58. Fencing & Access Approval ,
-17: Ducts, in Structure -. . - 59. APPROVED FOR PLASTERING •
18. Ducts, Ventilating .. • . .' -
' 19. Gas Pipe-Rough &Test , 4 60. POOL/SPA SYSTEMS FINAL ,'
20. Roof Framing - - ' '
21. Roof Sheathing - - '
22. Frame and Flashing - •- NOTES:
23. Insulation - _ .
24. Lathing &Siding - -
25. Drywall Nailing . '
26. Plaster Brown Coat - -
27. Electrical Power Meter-Final -
28. Final Electric - -
29. Final Heating & Air Conditioning - ' . - -
30. Final Gas Pipe-Test - . .
31. Final'Plumbing rL,0 �l�'a--
32. Water Service-Final - - • ' .
33. Gas Service-Final -
34. Solar Domestic-Final -
• 35. Landscape Sprinkling System - - -
36. Sound Attenuation - •
37. Handicap Regulations - - -
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release.to Edison
41. Gas Release to Southern California Gas Co.'
42. CERTIFICATE OF OCCUPANCY r - -
No. Date - _