The URL can be used to link to this page

Home My WebLink About2017 NEWPORT BLVD - Building Permits • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations- • STA MESA CONSTRU TION'PER IT PERMIT NO. TRACT NO. LOT NO. 'UNIT NO. - • 37E3 3/J i_/y;] a91& _t Addr¢55 "ao►7 Nac� o2T vr� 9 �/ • - TYPEOFCONSTRUCTION 24:KEW H ADDTj ALTERATION H REPAIR Applicant's Mailing Address IQ1-71 centric-A, Ave- 3-Q O ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - q,p-# _ _ _ . Zone Owner's Name. �t�- W/. C .12P •_Phone -]6 .6 DESCRIPTION OF WORK/USE OF BLDG. I ' Address P 0 ant% yci t�o • S Main Building: . Accessory Building: 2 Arch/Eng. • License No. • TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION CI STRUCTURAL T Front , 0 • Address . 1_ Pull ❑ OTHERENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N Contractor's Name RAi�T Yt16l Phone/ 43h-37y Z -" , - I Address(mailing) (02' C�IJ'Ld1 Yk(,� 6Q yv (7• G PROJECT DESCRIPTION SQ. FT. • OCCUPANCY •_ K Right G Left y' 45 it CONSTRUCTION TYPE VALUATION$ s R City License No. y ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: _ Planning Notes: • M • with section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo a and rect. - . T Licens Clas� �— fb Li •' se No _ % • / Z I • - S • Date cc" —11 Signature /a� . PLUMBING FEES . - ' • • WORKERS'COMPENSATION DE -LARATION Bar Sink • Showers ereby affirm that I have a certificate of consent to self-Insure or a certificate - ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section iI ' _000, Lab. C.) Backflow Preventer Service Sink Automatic Washer • Transformer"❑ 15-50 KW - Policy No. Company Backflow Irrigation Sewer Ca "❑ 50+ KW Certified copyp - Construct ion.Pole Sub.. is hereby furnished. Certified copy is filed with the city Building Division. • Bathtubs - Sewer Connection - - Cooking Unit - Meter [Pup to 100 amps ,_ pcDate Applicant — . - f EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - ". ' • - Dishwasher . Meter.Dover 100 amps (This section need not be completed if the permit i5 for one hundred ($100) or - �s�-I less). Dishwasher . Solar Piping _ Dryers.❑Gas ❑Electric • Sub Panel ' I .,5N I certify that in the performance of the work for w h-this permit is issued, I — — - shall not employ any person in any manner s, becom u jeer to the Drinking Fountains Solar Tank Fan .Motors DO-1 HP ❑1'/:'-8 Workers' p ti ws of Calif orrnniig///G///"/`/ _ - - - - " - - - Date 1 �� Signature l/` ---- • FloorDrains °' : ' ' - ' ' ' Swimniirig Pool w/SpaF.A. . lar ❑9-15 HP ❑16-15+' - -- NOTICE: If,after making this`declarati n,you should been subject to the — Inc..- . Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - comply with such provisions or this permit shall be deemed revoked. • Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service, ' Outlets Water ClosetDevice Boxes I hereby affirm that there is a construction lending agency for the performance • Pole Light • of the work for which this permit is issued (Section 3097 Civ. C.) . Interceptors Water Heater Outlets : Lender's Name Range Lender's Address .. - - 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 Garbage Disposal ' following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap LaundryTrays ' any structure, prior to Its issuance, also requires the applicant for such permit Y Generator ❑0-5 KW ❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains l • ' 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 . - herefrom 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 ! - ' enalty of not more than five hundred dollars($500).LI 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 - Fee Reinspection • for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - p I $15 Issue Fee $ 3 ' 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 Boiler Hood or TypeEl -• DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for • .sale. If, however, the building or improvement is fold within one year of com- Canopy Type II ❑ ' - Zoning Approved By •• • Date pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground • - Building Approved By prove for the purpose the sale). - Dat ❑ct as owner the property,roject exclusively contracting ing with licensed con- Duct-Structural Refrigeration System Application Issued By Dat heloont constructctors the project (Section 044,Business and'Pro property Codes • The s Contractor's License Law does noteraapply to owner je pro ithty who ❑0-100,000 BTU ❑100,000 BTU builds or improves thereon, and who contracts for such projects with a.con- Duct-Ventilating _ SUMMARY OF FEES tractor(s)-license pursuant to the Contractor's License Law). I am aware-that " Exhaust System-❑ - Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should-be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section - - B. & P.C.for this reason Firepl/Fact.BIL ICBG 4 Fire Dampers - PPLAN CHNGECK $ ISSUANCE $ Date Owner Heating System& Ducting Registers ENERGYP.C. $ • PLAN CHECK 25% $ I hereby certify that I have read this application,and state that the above ❑o-i00,000 BTU 0100,000 BT GRADING $ ' information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ «L/LJ and state laws relating to building construction, and hereby authorize repre- . MICROFILM $ • sentatives of this city to enter up• the above-mentioned pr perry f - PLAN CHECK 50% $ 4 Inspection pure. :s - TOTAL FEE $ p . i j Pink -Accounting: Goldenrod -Assessor • CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Perinit# 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O 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 0 Gas 0 Oil 23. Gas Pipe:Rough &Test 72. Underground Flush • 24. Roof Framing - 73. Undergrnd.Storage Tank 0 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Powere- Final (rc,. g_iy_87 vj C- 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 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 •,!t 46. Handicap Regulations r I 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed 49. Electric Release to Edison ,„-- - . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No.' Date