HomeMy WebLinkAbout1559 DOUGLAS DR - Building Permits /55-9 DoLLL e4 S Pr, Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF cos 'A MESA 7 CONSTRUCTION PERMIT 'pj MIT NO. TRACT NO. LOT NO. UNIT N •
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ProjectAddress Rau 11�.� —�� 77 • 7.055 •
0996 9/27/85 59071 TL
•Tract 12055 - Car•ort' 'M' 'l
Applicant's Mailing Address 7633 Woodsboro Ave. ,Anaheim,Ca. TYPE OF CONSTRUCTION CXJ NEW U ADD U ALTERATION U REPAIR 'le
Fairview Management Company ❑ CONVERSION ❑ DEMOLISH ❑ OTHER v�� A.P.# O'r. ZOn¢
Owner's Name g Phone 714/863-1500 DESCRIPTION OF WORK/USE OF BLDG. C 9+ 2T 4.7-CJ-on--I CD I R-'1{W
Address 1176 Main St. , Irvine, Ca. 92714 rr''..II S Main Building: Accessory Building: -
Gilbert Aja & Assoc. CO08038 Iql STRUCTURAL E Front 24' do-,,,. G y C Q
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` Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑X FOUNDATION T
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2.511. . / Plaza Pointe Ur. , SLP. IOU ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g / r�- N
Address _I,a. • - A Rear I No"`� le1- /PDQ
Contractor's Name DMB Bui ders, Inc. Phone714/777-4606 ❑ 'OTHER C Right N
7633 Wobdsboro Ave. ,Anaheim,Ca.92807 PROJECT DESCRIPTION S . FT- 1460 OCCUPANCY 111-1C K g •
Address(mailing) CON ST RUCTION TYPE - -VALUATION$ -�6 I2(5j5(i $ Left - - G.
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City License No. 34704 -
ZONE GRADING CU.YDS. ACRES Ping. Ref.# ZZ ! ParkingRe /Provided 1 E
I LICENSED CONTRACTOR DECLARATION - w' gi - 4 5(�} Req./Provided
'' Q
\j) 1-hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �}-�// / "J( PlanningNotes:p . ( -Y2ct 1
('�j ' with section 7000) of Division 3 of the Business and Professions Code, and 'r L� �� -v� ` ���¢' ' -�'"���T' Kl l ld M
Y niy license is in full force and effect. ;
License Gloss B LA As
No. 468385 HOLD FOR SPECIAL REQUIREMENTS sl
Date V-2-5---S i•nature .��� _ PLUMBING FEES _
I WORKERS'COMPENS• • • • CLARATION Bar Sink Showers ELECTRICAL FEES t
hereby affirm that I have a certificate of consent to self-Insure or a certificate 1
of Workers' Compensation Insurance, or a certified copy thereof (Section
r Backflow Preventer Service Sink • Automatic Washer - Transformer 0 15-50 KW -- --
f A1300, Lab. CJ - -
Policy No. 80011930 Compan T ans American Backflow Irrigation Sewer Cap0 50+'KW
titled copy is hereby furnished.
A Construction Pole Sub. t: i
YlCerti(ied copy is filen with the city B vision. Bathtubs Sewer Connection Cooking Unit Meter Dins to 100 amps
Date `t-/ 7 r 9 Applicant , -
EXEMPTION FROM WORKERS'C E $ATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 ampg
(This section need not be completed if the permit is for one hundred ($100)or - -
less). - Dishwasher' Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work for which this permit is Issued, 1
shall not employ any person in any manner so as to become subject to the Drinking Fountains - Solar Tank I Fan ,__,Motors El 0-1 HP 1 X �-8
Workers' Compensation Laws of California. '
. Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
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. - • ---
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service -Outlets Water Closet Device Boxes
l.hereby.affirm that there is a construction lending agency for the performance Pole Light
of the work -for-whi h-tit = ermit�isc-Issued -(Section-3097—Civ---C.)--s_ Interceptors'=-- - -----== =-Water Heater- __ - __-_ Outlets_ - _ Range h
y5 y t
Lender's Name Bank of Alfieri(`.l - -- `— _ _ .—_ -_�. �_ _
Lender's Address 801 N. Main St. ,Santa Ana,(a. 92707 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 P-Trap Laundry Trays _ Generator ❑O-5 KW 05-15 KW 'Compactor
any structure, prior to Its issuance, also requires the applicant for such permit
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 -
• Division 3 of the Business-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). -
I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee t $ 3 + - '
compensation, will do the work,and the structure is not intended or offered _ - Reinspection Fee f $15 Issue Fee ' $ 3
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 Hood or Type ❑ DEVELOPMENT SERVI ES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler - y�
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By P- Date 9 t .r!•
pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Groundp
15
prove for the purpose of sale). _ Building Approved BY Date 8�7 WSJ
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ( i Date / --f
tractors to construct the project (Section 7044,Business and Professions Code: SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU IT Zr
builds or improves thereon,and who contracts for such projects with a con-
tractors) license punt9�
t to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ e 50 SMIP $
proof of their Worker's mpensation insurance should be provided to me. - PLAN CHECK $ PERMIT
0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers ISSUANCE $
PLUMBING $
DateOwner Heating System& Ducting Registers _ PLAN CHECK 25% $ - ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,0006 - - GRADING $
Information is corre . I agrea/to comply with all city and county ordinances ELECTRICAL $
and-state laws rel1A ung o •//eyslding construction,and hereby authorize repre- PLAN CHECK 50% $
InspectionMICROFILM $
entatIvesof thi
♦ id ,A• nter upon the above-mentioned property for - ��
Iq •
���� -•. Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25%,p.�$�� 'j 77,.3$
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor _ • 3 9 ' 7/
. CONSTRUCTION AND PLANNING �'-I z POOL..,1 SPA
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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings �l2p/ - 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 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 O Gas 0 Oil
23. Gas Pipe-Rough& Test • 72. Underground Flush
•
24. Roof Framing 73. Undergrnd.Storage Tank'❑Gas 0 Oil '
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (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 .
32. Electrical Power Meter-Final , - 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: S, DK 'lc,) Bb
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 i
-. '
43. Backflow Irrigation - • . 1
44. .Landscape Irrigation System .' -
45. Sound Attenuation - -
46. Handicap Regulations . '
47. FINAL STRUCTURE & BUILDING -1 ? '
48. Special Requirements Completed: /2CyCe, `/''�`'��,,'� •
49. Electric Release to Edison _ . - _ _ . .
50. Gas Release to Southern-California Gas Co
51. CERTIFICATE OF OCCUPANCY ' .
._. . _
No. Date - - - -
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