HomeMy WebLinkAbout1561 DOUGLAS DR - Building Permits /C6/ DOuqas brApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
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CITY OF COSTA MESA CONSTRUCTION PERMIT /5 RMIT NO. TRACT��ir N`,O. LOT NO. UNIT ' 8997 9/27/85 175.76 . TL
Project Address - -r•ort 'L' 92807 r7�7L
Applicant's Mailing Address 7633 Woodsboro Ave. ,Anaheim,Ca, TYPE OF CONSTRUCTION X1''
NEW U ADD LI ALTERATION U REPAIR ,/�
Owners Name Fairview Management Company 714/863-15)0 ❑ CONVERSION ❑ DEMOLISH ❑ 0TH : A PA.P.# 4wA—DIY—IO Zone PSR—/4,D'
WORK/USE OF OF BLDG. •at CZ- —I
Address 1176_ Main_St. , Irvine, Ca. 92714 S Main Building: Accessory Building: '
Gilbert Aja & Assoc. E , /� Z'
Arch/Eng. License No. C008038 TYPE OF PERMIT U GRADING IOJ FOUNDATION �LI STRUCTURAL T Front 1j(p .{Tpw. Gorare, V 0;
Address 23117 Ptd - Po'nte••. Ste. 100 / ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear . .,' C._,„ 1..� ltll__"0 N,
Contractor's Name DMH Builders. Inc. Phone�'$ $ 777-4766 ❑ 'OTHER
ski—Ct.
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Woodsboro Ave. ,Anaheim,Ca.92807 PROJECT DESCRIPTION SQ. FT. 2920 •
OCCUPANCY C Right 7.(n r Era -. G M N'
Address(mailing)— - 1G,9$2 5 - G.
34704 CONSTRUCTION TYPE VALUATION $ Z 5112 S Left R
City License No. ZONE - GRADI NG CU.YDS. ACRES �.r_p E
C , LICENSED CONTRACTOR DECLARATION Ping. Ref.# ' ���- 185A Parking Req./Provided ILLµ 1�,dJ„T
1- Thereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: pG' -44 _g� Planning Notes: plume_ I C �/� �sx""� r�t M
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1 ,s with section 7000) of Division 3 of the Business and Professions Code,and
(/ ), my license
yis in full force and effect. - TI
Dafen Se/ ss B . Ai Signet ur -..'mi'If License No. 468385 HOLD FOR SPCCIA{. R.EQUIREMENT5 $�
PLUMBING FEES
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1 1WORKERS'COMPENSATION DECLA'R•TION.
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• I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sin Showers ELECTRICAL FEES
IJ'`of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - -
3800,-Lab. C.) Automatic Washer Transformer ❑ 15-50 KW
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' Policy No. 80011930 Company Trans American Backflow Irrigation Sewer Cap Construction Pole Sub. • 0 50+'KW '
,-"Cs.rtified copy is hereby furnished.
..9-1.`erti 'ed coot'-if Ilelwith the city Buil sion. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
DateX !-> ) Applican Dover 100am '
EXEM TION FROM WORKERS EN TON DECLARATION Clarifiers Solar Collectors Dishwasher Meter
-(This section need not be completed if the permit is for one hundred($100)or amp-s. - '-
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I 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 subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 011/2-8
Workers' Compensation Laws of California. - _
Dale Signature Floor Drains Swimming Pool w/Spa F.A.U.
'NOTICE:If,after making this declaration,you should become subject to the Inc.Solar 09-15 HP 01616+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave --
comply',with such provisions or this permit shall- be deemed 'revoked. .
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet
I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light
of the work for hick this per�mit is issued (Section 3097 Civ. C.) interceptors Water Heater
Lender's Name _which of America - POutlets Range
Lender's Address 801 N. Main St. ,Santa Ana,Ca.92702 Kitchen Sink Water Service Switches
OWNER BUILDER DECLARATION - _ _
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories __ • -_ _-Auto-Wash-.-= _---_ ' Garbage Disposal StandingSections
_ __� r — ;
following reason (Section 7031.(8usinazs.antl.ter,improve,Cotle::ish or
ty or--' s
--_-"--count h requires a permit to construct,alter, demolish or repair P-Trap - Laundry Trays Generator ❑05 KW❑5.15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit p •
.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 _
=' nalty'of not more than five hundred dollars($500).
i`,ico 1 I; as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES
License.Law does not apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who tloes such work himself/herself or through his or her own Boiler Hood or Type I 0
employees, provided that such improvements are not intended or offered foryP
sale. If, however, the building or improvement is sold within one year of Com- - Canopy Type II 0 Zoning Approved By /n-rI/ K'L. Date -
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pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved et' tl Date estprove for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By i/9 / nate �C ••: --- -
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES /107
builds or improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ 1-15• SMTP $ r
proof o their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
0'1 am exempt under Section B.& P.C.for this reason Firepi/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date Ow er • Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify th-t I have ead this application and state that the above 0o-100,000 BTU 0100,000 BTU— ELECTRICAL $ GRADING $
Information is cor ct`. I a• •- to comply with all city and county ordinances
and state laws rel i.: '.uilding construction, and hereby authorize repre-
sentatives of that,. >•�`11 enter upon the above-mentioned propertypfor nit �/
inspection purp- fit •.te'T�5--- 5 MECHANICAL $ TOTAL FEE $ '/ / •/4.--
Drivers'
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DSirivers' • �_se er s' + - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25%
Drivers' Lic• ase or SS# . Pe $• �_
CMF 0865-46,rev.10/84 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AND PLANNING - - POOL ?A •
APPROVALS Permit - Date Inspector _ `APPROVALS. Permit Date ' Inspector
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1..Temporary Electrical Service or Pole' - 52. Pool &•Equipment Location -
'_2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
r.
,3. Electrical Conduit Utility-Undrgrnd. - 54. Forms
4. Electrical Conduit-Undrgrnd.• - 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
- 6. Electrical UFER Grnd. - 57.-APPROVAL TO COVER-GUNITE •
'7. Footings _ )(/�Of o 58. Electrical Conduit-Undrgrnd.
8. Foundation l 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 •
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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-TBar 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, Ventilating71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough& Test 72. Underground Flush - --
24. Roof Framing 73. Undergrnd.StorageTank'0Gas-❑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
3111. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE
''ISSUED
33. Final Electric Notes: oX (1/2�/96
, - 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 •
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40. Gas Service-Final ,
41. Solar Domestic-Final .
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42. Backflow Preventer
43. Backflow Irrigation .
44. Landscape Irrigation System ' i •
45. Sound Attenuation • '1 -
46. Handicap Regulations -
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47. FINAL STRUCTURE & BUI LDING //a9/& AS -
48. Special Requirements Completed' f_ayJ*
49. Electric Release to Edison
:so. Gas Release to-Southern California Gas Co i
51. CERTIFICATE OF OCCUPANCY , '
No. Date