HomeMy WebLinkAbout1720 ORANGE AVE - Building Permitsplimeemeneemmilmenimumminxic
COSTA MESA BUILDING—SAFETY DEPARTMENT
P. O. BOX 1200
Costa Mesa, California
ELECTRICAL PERMIT�-7APPLICATION TRACT NO REC'D BY PI iris
C/,
ELECTRICIAN %Op/Ty f'7/g._ 66, LOT NO DATE ISSUED
ADDRESS <IA 7,4'/L4,{ Dia.erf BUILDING USE
CITY()7r.Jre-yeq Zo-r-ic TEL. NO.57,5-0,71/ 64-7s'
STATE LICENSE NO. -7AQ.;(,,,G CLASS. C.-! O BUILDING / 7(ti 0(4-4, Aur
CITY LICENSE NO. ADDRESS L!!
NO. ITIM EACH FIBS COSTA MESA, CALIFORNIA
Dwelling, Sq. Ft. $ CEROSBSst. /7
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Ca
W Garage, Sq. Ft. OWNER FCCyD n!L`C()\CkW
0~ 7 �� l�
.5 First 20 Outlets, each •7 113 ADDRESS / 724.) /10;;A-V6 /ki r
J Outlets, Additional 4 V,///N�
Cos-r,4 4"Q CITY
TEL. NO.
Fitt 20 Fixtures, each I HEREBY`x_ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
> CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE
—1 Fixtures, Additional TO4COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REG-
CC - ULATING.ELECTRICAL WIRING.
W C\ 11• CERTIFY THAT I POSSESS THE ABOVE VALID STATE OF
a Dryer 1' ' ,CALIFORNIA CLASSIFICATION OR I AM THE LEGAL OWNER OF
CC Fon 1 MOUSED SINGLE FAMILY RESIDENTIAL PROPEMOUSEDD MOVE.
a
�
Z Heater Y V' Signature of 47.4.
W .R A e PERMITTEE
= Oven, Domestic Ij` / NO. ITEM EAOI FREE
I— Pole, Construction 411 x Sign& 1 Trans. 2.00
E pp
ce Range, Domestlen Y' Transformers KW
W
a Misc.( IcA) ") -
C -
A14)S ' Gene rotors KW
O -
Motors (See Schedule)
CO
I HP
I—
HP Sub-Total Fees
•
HP APPROVALS
I INYKTOR DATE
Meters, w. 7 . TEMP. POLE
Permit Fee 3 00
UNDERGROUND CONDUIT I
ROUGH
Sub-Total fees FIXTURES /,I e.6 6 I
• - POWER/ l� I-
L
j
Total Fees / �7 UTILITY CO. NOTIFIED +�N FINAL .. L
roar, 131.1-" BLDG. PERMIT NO.
For items not listed refer to Fee Schedule
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Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT NQ.a TRACT NO. LOT NO. BLDG.NO.
/ZL 7874 9/17/82
' CONSTRUCTION PERMIT 5.00 TL
Project Address/22 0 0,4 A.)47 Es. Ave. TYPE OF CONSTRUCTION
Owner Sr_A M r n * r Phonestfd=-n!`7 0 NEW 0 ADD 0 ALTERATION MI6
•
Address S71- a-) : 0 REPAIR 0 CONVERSION ❑DEMOLISH
0 OTHER ZONING REGULATIONS
DESCRIPTION OF WORK AR.yY'
ZONE . PLNG. REF.#
Contractor, 14,4Phan' I TYPE OF PERMIT • BUILDING Tp gt1ILDING
Address/f' 3 LA) /41e0/✓ 0 GRADING 0 FOUNDATION 0 STRUCTURAL
SETBACK
V RD ST. PROPS RTV LINE
LICENSED CONTRACTOR DECLARATIONLEFT .
0 TENANT 0 ELECTRICAL —PLUMBING OMECHANICA SIDE YARD
l hereby affirm that I am licensed under provisions of Charter 9 (cRIGHT •
mofessi with section 7000) of Division 3 of the Business and ❑ OTHER - REAR YARD(TO P/L)
•
.Professions Code, ntl y license Is In full force and effect. PROJECT DESCRIPTION
LicenshClass $� License No-r74y'7 .r/7 • PKG.SPACE REQ. PROVIDED - '
Date `/ Fp' Signature s/ -w_ Alti "� �/V SQ.FT: ` - STREET WIDTFI• - PARK FEE$
WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE - _ ,
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE . kiALCONDIrIONS:
NG APPROVED BY I DATE
certificate of Workers' Compensation Insurance, or a certified copy . -
thereof(Sect$g n 800,Lab.C,). 7J / GRADING CU'\YDS, ACRES -
Policy No, /1/44 �o Company Pfi'r�G✓ �NS - • - - -
❑-,�-ertif ietl copy IS hereby furnished. - REMARKS: I
' eert Hled copy is filed with the city Building Division. `s -\'. ® , v t ,
EXEMPTION'FROM WORKE RS' COMPENSATION DECLARATION .?j ts"'
(This section need not.be completed If the permit Is for one hundred _ r•'
($100) or less). lo;..... •'.
.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 PLUMBING / A CHIVK CTRICAL PLAN CHECK,
subject-to the Workers Compensation Laws of California. _ _ WtLLINU-, GHHHGE
Date Signature BATHTUBS - S.OW�S ' '' it� • • ,- ' - '
,NOTICE: If after making this declaration, you should become:subject TOILETS - U,INAL-S — '�. GENERATOR 0-1 KW_1-10 KW
to the Workers' Compensation provisions of the Labor Code,youance •oTRANSFORMER 1
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS' APPLIANCE 10.50 KW�50+KW - --- -
revoked.revoked. - _ . - . _
KIT.SINKS - - DISHWAS MOTORS 0:1 HP_1-10 HP
CONSTRUCTION LENDING AGENCY 1
.1 hereby affirm that there $s,a construction lending agency for the per- SERVICE SINKS - (INC.SOLAR) ' 10-50 HP 50 +-HP
4ormance of the work•for•which•this permit is issued (Section,3097,
Civ. C.). " - FLOOR SINKS V . •OR DRAINS FIXTURES - OUTLETS SWITCHES
Lender's Name _ -
_
Lender's Address DRINKING FbUNTAI S . - GAS TUBE SIGNS
OWNER BUILDER DECLARATION ' '-' INTERCEPTORS CLARIFIERS POLE LIGHTS ' '
I hereby affirm that I am exempt from the Contractor's License Law for -
the following reason (Section 7031:5 Business and Professions-Code: SWIMMING POOL •P TRAP ' • " • '
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 ap'.iicant for such permit to file a signed statement that he
is-licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP • - -
'(Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he Is exempttherefrom and the WATER HEATERS BTU OUTPUT 4 . a • -. '
basis for the alleged exemption. Any violation of Section 7031.5 by - •
any applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS • - - -- • -
of not more than five hundred dollars ($500). • ' -
,❑ I, as owner of the property, or my employees-with wage as (heir 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 SYS. -ISSUE FEE -- - ' '
Contractor's License Law does not apply to an owner of a property gPPLICATIONAPP ROV ED 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. If, however,the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
pis sold.withln one year of completion, the owner will have the burden '
'of proving he did not build or improve for the purpose of sale), BUILDING - . -_
HEATING SYSTEM 0-100,000 BTU - 'PERMIT $ ,' SMTP ` $ r
0-1, as owner- of the property, am exclusively contracting with AND DUCTING
licensed contractors to construct the project (Section 7044, Business 100,000 +BTU , PLAN CHECK $ PERMIT •
land Professions Code: The Contractor's License Law does not apply to ISSUANCE $ - '
'an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ r ,
'tracts from such -projects with a contractor(s) licesned pursuant to• SYSTEM- GRADING '$ -
the Contractor's License Law). 100,000+BTU • PLAN-CHECK $
❑ I am exempt under Section B.& P.C.for this BOILERS BTU • ELECTRICAL $ $ �y
•
reason -' PLAN CHECK $ MICROFILM $_
•Dale Owner SYSTEM REPAIR,ALTERATION TOTAL FEE$ 7�t
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $
PLAN CHECK $ LESS AD-
Information Is correct. I agree to comply with all city and county VANCE PC $_
ordinances and state laws relating to construction,and hereby authorize
enter of this city to enter upon the above mentioned
property for/i Paolo� urpo5ts. `_
FINAL FEE $ d
'
Signature �/- 'A "/' /21---0-•-n-c:• Dale^"-rCV
•
Drivers' License or SS ar ISSUE FEE J �,r�,.�v/ [[[ ��1 � 7
CMF 0865-46 White-Building;Canary-Applicant; Pink.Accounting;Goldenrod-Assessor ��� / V V �;L C-v_.cy)L/
M1
CONSTRUCTION AND PLANNING POOL& SPA • . •
APPROVALS Permit# Date 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 45. 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, ❑Undrgrn,Test • '
9. Water Pipe-Undrgrn. .. . •_ - - . 51. Backwash Lines.P-Trap: ❑Undrgrn - ,
•
10. 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 . _ ! - . 55. Plumbing System -Final • .
14. Rough Electric-Conduit 0 -56. Electrical-Final
15. Rough Electric-Wiring - - . . 57. Solar System-Final
16. Rough Heating & Air Conditioning -". _ - '-' 68• Fencing & Access Approval
17. Ducts, in Structure - . _ . . - 59. APPROVED FOR PLASTERING _ .
18. Ducts, Ventilating - k - • ,
19. Gas Pipe-Rough &Test -60. !POOL/SPA SYSTEMS FINAL •
20. Roof-Framing - - '
21. Roof Sheathing `'moi - yy�� / - i�
; NOTES://b /7 tZ!Je97 9/ixa%z ._t °
22. Frame and Flashing -- • - �77JlifY� �✓
23. Insulation - _- -
24. Lathing& Siding - •- - - •- -
25. Drywall Nailing -
26. Plaster Brown Coat . . - _ '
27. Electrical Power Meter-Final -
28. Final Electric - - - -
29. Final Heating & Air Conditioning _
30. Final Gas Pipe-Test •
31. Final Plumbing ._ -
32. Water Service-Final
I
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. I. -
•
42. CERTIFICATE OF OCCUPANCY '
No. Date