HomeMy WebLinkAbout1563 DOUGLAS DR - Building Permits • /5.63 7)ocL LQS Dr, Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTMESA CONSTFNCTION PERMIT •
- P MIT NO. 7. TRACT NO. LOT NO. UNIT Na. '
y Tract 12055 - 'CarportlK' 92807 l
�� 77 175 ^ 0998 9/27/85 • 1 {7e60 ,TL
Project Address IIVV 11
Applicant's Mailing Address 7633 Woddsboro Ave. ,Anahe1 mora XI TYPE OF CONSTRUCTION NEW U ADD ALTERATION U REPAIR 1
Fairview Management' Company 714/863-1500 D CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Lilt - 012-- 1 O Zone par`-ldl9
Owner's Name 9 phone DESCRIPTION OF WORK/USE OF BLDG. CAP-PO 0-.77
Address 1176 Main St. , Irvine, Ca. 92714 S Main Building: Accessory Building: '
Gilbert Aja & Assoc. E / GO-1-01
Z.
Arch/Eng. License No. COO$03$ TYPE OF PERMIT U GRADING } ] Fol1NDATION STRUCTURAL RAL T Front ,can.,• .++ De L • „ O:
Address23117 Plaza Pointe Dr. , Ste. 100 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear - y�I �"'` N
-La. , - • - ' ' - l -fynTrl 1975 Dou-`tb--, Ar.' I I
❑ OTHER ' J
' Contractor's Name DMH RUi friers, .Irlr Phone a666 777-4606 ' C Right N1
PROJECT DESCRIPTION SQ. FT. 1$25 OCCUPANCY hi-t G
Add`ess lmailing) 7633 Wood Sboro Ave •Anal'iei m,r`a 92307 � �
CONSTRUCTION TYPE VALUATION o-7� rlSlfD55 $ Left R
City-License No. 34704
_ ZONE GRADING CU.YDS. ACRES- Ping. Ref.# Parking Req./Provided /i E'
Nsi LICENSED CONTRACTOR DECLARATION - - BI- I RS61' 1 ZmTa-l' D
Ifhereby affirm that I am licensed under provisions of Chatter,9 (commencing Remarks: PlanningNotes: ^ s. ed _CLv k-e )d.. M
1`•r, with section 7000) 'of Division 3 of the Business and Professions Code, and
�� �� - �s_,5 � - i 7 11
I , my license is in full force and effect, •• • _
I/J� license- las '13 • / ,G,��� - erase Na.' 46R'1R5 HOLD FOR SPEf1A[ REQ[IIREMENTS - Ti
I Date: '`b Signature �l ll' PLUMBING FEES A •
WORKERS'COMPENSATION D LA ATION,
I Bar Sink Showersj
[ I I hereby affirm that I have a certificate of consent to self-insure ora certificate ELECTRICAL FEES
�
' Y I':of Workers' Compensation Insurance, or a certified copy thereof•(Section •
Y47+800; lab.-C.) Backflow Preventer - Service Sink Automatic Washer Transformer ❑ 15-50,KW )- -*--
'' ROO11930 CompanyTrance Armor mon 0 50+ KW
'policy No. n Backflow Irrigation Sewer Cap - Construction Pole Sub. 1' '
led copy is hereby furnished.- •
I -Ceroid cyypy�filetww'th the city Buie w�:'sion. Bathtubs Sewer Connection • Cooking Unit 'Meter ❑up to 100 amps'
i Dare 7 V'J/- Applicant r—,fp -
E%EMP, ION_ FROM WORKERS' . ' • ION DECLARATION Clarifiers f Solar Collectors Dishwasher Meter Cover 100 amps
-(This section need not be completed if the permit is for one hundred($100)or
' 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 f Solar Tank Fan '
Workers' Compensation Laws of California. - _ Motors❑0.1 HP ❑1�-8 •
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Date Signature Floor Drains Swimming Pool w/Spa F.A.U.
'NOTICE: If,after making this declaration, you should become subject to the Inc.Solar ❑9.15 HP ❑16.15+
' Workers' Compensation provisions of the Labor Code, you must forthwith Floor pinks . Urinal - Fixtures •
Microwave •- - -
comply{with such provisions or this permit shall be 'deemed revoked. - ' •
i CONSTRUCTION LENDING AGENCY i. . Gas Service Outlets Water Closet Device Boxes Pole Li ht
f 1 hereby,af firm that there Ha construction lending agency for the performance9
of the work for which this permit is. issued (Section 3097 Civ. C.) interceptors Water Heater
Loners hNaine 'Rank of Arpnrir'a - t - Outlets Range
Lender's Address . 801 •N. Main St. ,Santa Ana.Ca 92702 Kitchen Sink - _ Water Service Switches - - Sign
OWNER BUILDER DECLARATION I _ _ •
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I hereby affirm that I am exempt from the Contractor's Odense Law for the Lavatories _•
_ _ _ _ _-_- -,_ =Auto-Wash:
Garbage Disposal ;Standing Sections
following reason (Section 7031.5 Business and Professional,Cotle:Any city or- - — ------ 1 •
county:which requires a permit to.construct alter,-Improve,demolish or repair P-Trap -
' anyrstructure, prior to its Issuance, also requires the applicant for such permit Laundry Trays Generator ❑0.5 KW❑5-15 KW Trash Compactor
• j?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
r:Dlvision 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 - • '
031.5 by any applicant for a permit subjects the applicant to a civil
. natty afoot more than five hundred dollars($500). • $ 3 • '
r I;as owner of the property or my employees with wages-as their sole Reinspection Fee' I $15 . Issue Fee •
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 s MECHANICAL I FEES
' License Law.does not apply to an owner of a property who builds or improves DEVELOPMENT SERVLC $REOUII��MENTS:
thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 'l U yy 0'Z�' (-/
employees, provided that such improvements are not intended or Of offered for yp Zoning Approved By Y ///------ Date 1 d�
sale. If, however. the building.or improvement Is sold within one year of com- - Canopy Type II 0 - �J'
pletion, the-owner will have the burden of proving he/she did not build or im- Duct-Under Ground • , .Building Approved By Date 8-s- -g5 -
prove for the purpose of sale). i - _ q
❑ I,.as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date / -14--
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 ❑0100,000 •BTU ❑100,000 BTU - SUMMARY OF FEES fi/-/ / C1-
builds.or improves thereon,and who contracts for such,groiects with a cen-
•
tractor(s) license pursuant to the Contractor's License Law). ram aware thatBUILDING PERMIT $ [1(P,5o SMIP • - $
• proof oftheir Worker's Compensation insurance should be provided to me. E%haUat System 0 Multiple 0 System Repair/Alteration
PLAN CHECK $ 1 PERMIT
[3.4am,oxempl under Section B.& P.C.for this reason Firepl/Fact Bit. ICBG# Fire Dampers •
PLUMBING $ ISSUANCE $
Date ' i owner - Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ r
I hereby certify that I have ead this application and.state that the above • • 00100,000 BTU 0100,000 BTU— ELECTRICAL $ GRADING $
iriformatlon is corre t.•I a• • to'eomply with all city and county ordinances -
and.state laws rela a g' •N' Ilding construction, and hereby authorize reprree- PLAN CHECK 50%- $ MICROFILM $
sentatives of, this�I renter upon the above-mentioned property or . /�
inspection vurp Artie.., 2"Lr,.,$ 5 MECHANICAL $ TOTAL FEE $ 1 ' 11�(L0
Signature Date
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CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -'Accounting;'Goldenrod -Assessor - - - -
_ CONSTRUCTION AND PLANNING • POO. ;PA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
. e
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 UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings I( tC-b D 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. POO USPA 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 0 Gas 0 Oil
- 23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank D Gas D 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 CERTIFICATEIISSUED
n
33. Final Electric Notes: OK yroj SAO
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 • •
43. Backflow Irrigation • -
44. Landscape Irrigation System •
45. Sound Attenuation •
46. Handicap Regulations 1 ,
47. FINAL STRUCTURE & BUILDINGf/ /�j .5 • '
48. Special Requirements Completed /29-re
/J,,,�yn
49. Electric Release to Edison _ �-! �^V•' -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY .
No._,. - Date •