HomeMy WebLinkAbout2035 NEWPORT BLVD - Building Permits Applicant to fill in all spaces within heavy border lines and sign all approprlate declarations.
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. •BLDG.NO.
CONSTRUCTION PERMIT E-/89:5- - - 8879 12/01 /81 8_.00 TL'
' Project Address / \ f - _ ' '
go `3�``�`, '` TYPE OF CONSTRUCTION l ./I^
Owner )y Q 5.21.4.a(r ' /'Phone �F�I L,i ❑ NEW 0 ADD 0 ALTERATION
Address 3j ")S/ � p�_4,j9 q{� - 0REPAIR 0 CONVERSION 0 DEMOLISH
`J
Arch/Eng. -- _` /p Licensee NO.t.)o JS. ❑OTHER ZONING REGULATIONS
Address DESCRIPTION OF WORK A'P'''X '
ZONE PLNG.'REF.#r
Contractor O hone . TYPE OF PERMIT BUILDING
C/L ST. d�&
NE
Address 0 GRADING ❑ FOUNDATION 0 STRUCTURAL WARD
LICENSED CONTRACTOR DECLARATION - ❑ TENANT 0 ELECTRICAL OPLUMBING ❑MECHANICAL SIDE YARD
I hereby affirm that_1am licensed under provisions of Charter 9 (Com- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER
:Professions Code, and ,my license is in full force and effect. REAR YARD(TO P/L)
PROJECT DESCRIPTION
License Class _ License No. - PKG.SPACE REQ. PROVIDED
Date Signature SG.FT. .
WORKERS'COMPENSATION DECLARATION - - OCCUPANCY--..‘-- TYPE STREET WIDTH PARK FEE E -
I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY ' DATE
--'sificate of Workers' Compensation Insurance, or a certified copy .
•'e',tof (Section 3800, Lab. C.). - GRADING CU.YDS. • ACRES SPECIAL CONDITIONS: -
• 'zRiy No. Company
LiCertifiedcopy Is hereby'furnished. - - REMARKS: -
❑ Certified copy is flied with the city Building Division. -
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit-is for one hundred - . .
($100) or less). ,, • . -
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 to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK
subject to the W�p•!g/ers Compensatloctaws of Californi - uwtLurvG OAKAGt
Date P9'/ �s / Signature S"??/r7 �---- BATHTUBS SHOWERS 50 FT SO FT
NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0.1 KW .1-10 KW '
to the Workers' Compensation provisions of the Labor Code,you must - - - TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 kW 50+ KW
revoked. - - - - - '
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP
I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50+HP
formance of the work for which this permit is Issued (Section 3097
Civ. C.). - FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES
Lender's Name
Lender's Address DRINKING FOUNTAINS • GAS TUBE SIGNS
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm that 1 am exempt from.the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP criers Hut-mini
Any city or county which requires a permit to construct, alter, POLES METERED SUB
improve,demolish or repair any structure, prior to Its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB
quires the applicant for such permit to file a signed statement that he •
is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETSS RVICE AMP
(^`spter 9 (commencing with .Section 7000) of Division 3 of the ' C
less for a the alleged exempnd Professions tion.rAny that
violat he is on mpt of Se tion om 7031.5 by and the WATER HEATERS BTU OUTPUT rnA g , e aa
a..- applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS L .-
of not more than five hundred.dollars ($500).
❑ 1, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS
sole compensation, will do the work, and the structure is not intended _�
or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SVS. ISSUE FEE i.
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such improvements are not .
intended or offered for sale. It, however, the building or improvementMECHANICAL PLAN CHECK 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). HEATING SYSTEM 0-100,000 BTU
BUILDING
❑ 1, as owner of the property, am exclusively contracting with PERMIT S SMTP _ S
licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000+ BTU
PLAN CHECK S PERMIT
and Professions Code: The ,orLltense Law does not apply to -- -- ISSUANCE E
build
an owner of property who builds orimproves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING S
tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM GRADING $
the Contractor's License Law). 100,000+BTU PLAN CHECK 5 - •
❑ I am exempt under Section B.6 P.C.for this BOILERS _ BTU ELECTRICAL E • _— $
reason -- - MICROFILM S
Date •- Owner - SYSTEM REPAIR,ALTERATION -
PLAN CHECK S TOTAL FEE E
MECHANICAL 'S
I hereby certify that-1 have read this application and state that the above EXHAUST SYSTEM MULTIPLE. PLAT. CHECK $ LESS AD •
-
information is correct. I agree to comply with all city and countyVANCE PC E
ordinances and state laws relating to construction,and hereby authorize - - _ -
representatives of this city to enlpc%upon the above mentioned
property for I ettlogiuryoje " ��
Signature. 1/ 4 Ls. � pate 19- FINAL FEE E •
Drivers'License or SS ISSUE FEE -
•
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING },J' POOL&-SPA
•
APPROVALS Permit# e�v�/rDate 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 451 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, 0 Undrgrn;Test •
9. Water Pipe-Undrgrn 51. Backwash Lines.P-Trap. ❑ Undrgrn10. 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 .5. 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 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing.
21. Roof Sheathing
22. Frame and Flashing NOTES:
23. Insulation
24. Lathin & Siding
25. Drywall Nailing
26. Plaster Brown Coat
27. Electrical Power Meter-Final - -
28. Final Electric' /a.-a-s'( e e -
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing •
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
•
.No Date •