HomeMy WebLinkAbout2472 NAPOLI WAY - Building PermitsApplitdn� t0 flll i0 all SPdC¢5 C%Cept tM1OSG Wilhin 11ldvY bolC¢!
CI7YOF'COSTaaVt��q, C,I�IST UC�T�ON P�R 1 aG
Projeci Address �� b1 �/
ApplicanYs Mailin/g/�� ddress. •. p�S '
• Owner's Name � /' '� � /� � �-%�—Phon
Address
Arch/Eng: Licenu No.
Address �
Convactor's Name ����--- P one '
Addresslma'1'nal ����j �L /1)���/� �
City License No - �� e7 _
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensetl untle� provisions of Char[e� 9(commencing
with section 7000) of Division 3 of the Business and Protessions Cotle, ana
my license is in full fo an ttec[. /n
Licen e C a {' ` Li�e}�sp No. �
\ Date��l ` 5'9 t // (/YJ�}�1x5
v WORK� OMPENSATION �ECLARATION
� I hereby affirm that I M1ave a certificate of consent to self-insure or a certiticate
\ of Workers' Compensation Insuran<e, or a ceptiyjetl copy'ihereoi (Sectlon
3800, Lab. C.)�� �f.//D � ��
Q Policy No. � Nd'{ �ompany 6L�U�%�.
�� �YHiietl co�y is� heetlbwithrthe„c Ty Bui i Di/y isiq/n '
EXtEMP 10_�RKERSaCOMP� ION DE�A IT ONC
(Thissecfion neetl nat be com0letetl it the permit is for one huntlretl ($100) or
less).
I certity that in the performance of the wo�k tor which fhis perm�t is issuetl, I
shall not employ any pe�son in any manner so as to become subject to tM1e
Workers' Compensation Laws ot Califomia.
pa[e $i9nature
-NOTICE:�If�,�after making this tleclaration, you shoultl become subject to Ihe -
Workers' Compen5ation provlsions of the Labor Cotle, you mu5t forthwith
oomply with such provision5 or thiz permlt shall De tleemed �evoketl.
CONSTRUCTION LENOING AGENCV
1 he�eby affirm that there is a construction lentling agency fo� the performance
ot the work for which this permit is issuetl (Section 309� Civ. CJ
Lentler'S Name
Lentler'S Atltlress �
OWNER BUILDER OECLARATION I,
I he�eby affirm that I am exempt Vom the Contractor's License Law tor the
following reason (Section �031.5 Business antl Professional Cotle: Any city or
county which �equires a pe�mit to wns[ruct, alte�, improve, tlemolish or repai�
any structure, prior to its issuance, also �equire5 the applicant for Such pe�mit
to file a siqnetl statement that he/she is licensetl pu�suanl to the ptovisions of
the Conttactor's License Law (Chapter 9(commencing with Section9000) of
Division 3 of the Bu5ine55 antl Professions Code) or tha[ .he/she is exempt
tne�eirom antl the basis for the allegetl exemption. AnY violation of Section
]031.5 by any applicant lor a permit zubjects the applicant to a civil
�enalty of not more than five hundretl tlollare (b500). ,
LJ I, as owner oi the property or my employees witn wages as their sole
tompensation, will tlo the work, antl the structwe is no[ intentletl or oHeretl
tor Sale (Sectiom ]044, Business antl Protes5ional Cotle: The Contractor'S
License Law tloes no[ apply to an owner of a O�ope�ty wM10 builtls o� improves
' thereon, antl who tloes such work himself/herself or throu9h his or her own
employees, provitletl that such Improvements are mt in[entled or offeretl tor
sdle. If, however, the builtling or improvement Is 5oitl within one year of com-
pletiOq tM1e owner will have [he bu�tlen Of 0/ovin9 he/she tlitl not builtl or im-
prove tor the pu�pose of sale). •
❑ I, as owner of the property, am ezclusively contracting with licensetl con-
tractors to construct the project (Section 7044, Business antl Professions Code:
The Contractor's License Law tloes not apply to an owner of property who
builtls or improves thereon, antl who contracts for such projects witM1 a con-
tractor(sl ucense pursuant to the Contractor's License Law). I am aware that
pvoof of their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C. for thi5 rea5on
antl sign all appropriate declaratians.
. _.. .. .� � ....._. __. O. - UNIT NU.
TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
' O CONVERSION ❑ DEMOLISH ❑ OTHER A p. #
DESCRIPTION OF WORKfUSE OF BLDG. S Main Buildi
E
TYPE OF PERMIT GRADING OUNDATION $TRUCTURAI T FfO�t
❑ TENANT ❑ ELECTRICAL �VMBING ❑ MECHANICAL B Rear
❑ OT.HER . - p`
C Right
PROJEC7 DESCRIPTION 5Q. FT. oCCUPArvcv K
CONSTRUCTIONTVPE VALUATION�$ g Left
ZONE' GRA�ING CU. VDS. ACRES p�ng. Fief. #
Remarks:� �n ��ri�LLf /J• W H� %� � T��—• Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
Clarifiers -
Dishwasher
Drinking Fountains
Floor Drains '
FloorSinks �
Gas Service Outlets
<itchen Sink -
Lavatories
'—Trap
Roof Drains
ReinspeMion Fee $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
FirepVFact Blt. ICBO #
oate Owner Heating System & Ducting
I hereby certify that I have reatl ihis application antl state that the above ❑�-100,0006TU �100,�00
information is correct. I agree [o comply wrth all city and county ortlinances
antl Slate laws rela[ing to building mnztructian antl hereby autho�iie rep�e-
5entatives of thi cil to enter uqon tne above-mentionetl pr pert for
ins0ection purpo /� j /)
Date� O
Drivers' �icense or 55 � _[ '�� ���� Reinspectian Fee
CMF 0865-46, �ev. 10/84 Wnite - Buiiding; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
$15
Showers
Service Sink
Sewer Cap
Sewer Connection �
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash �
Issue Fee
Hoodor TYPeI ❑
Canopy Type I I ❑
Refrigeration Sys[em
�o-ioo,000sru ❑ioo,000
System Repair/Alteration
Fire Dampers �
Registers
Issue Fee
FEES
$ 3
$ 3
Automatic Washer
Cons[ruction Pole Sub.
Cooking Unit �
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
OuUets
Switches
Garbage Disposal
Generator �0�5 KW C
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer �0 15-50 KW ,'
� 50+KW
Meter ❑up ro 100 amps
Meter Oover 700 amps
Sub Panel
Momrs �0-1 HP O1.Y� - 8
Inc. Solar �9-75 HP 016-15+
Microwave �
' Pole Light
Range
' Standing Sections
15 KW - Trash Compactor
� Reinspection Fee '$15 � I Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Buildin9 Approved By
Application Issued By
FEES
$ 3
SUMMARV OF FEES �
BUILDING PERMIT $ SMIP . $ "
PLAN CHECK $ PERMIT.
PLUMBING $ .� •�� ISSUANCE $
PLAN CHECK 25% 5 ENERGV P.C. $-
ELECTRICAL $ GRADING $
PLAN CHECK 50% S � MICROFILM $-
MECHANICAL 5 TOTALFEE $ �Ov ,
PLAN CHECK 25% $
�2/03lESV�TIi1E. :b:22 �
2
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$
CONSTRUCTION AND PLANNING POOL & SPA �
APPROVALS Pertpit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electriral;Service or Pole 52. Pool & Equipment Location
�
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. 54. Forms �'r4?
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •�
5. Steel Reinforcement 56. Rough Plumbing & Pressu�e Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER_G�PINITE
- -�
7. Footings ��` 58. ElectricalConduit-Undrgrnd�
8. Foundation F 59. Gas Pipe, O Undrgrnd.,;TeSP
: �..
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd. � -
10. Structural Floor System 61. APPROVAL TO DECI��`.�
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 � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush .
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurap & 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 CERTIFICATE ISSUED '�
33. Final Electric Notes: Z�!]��q [,�Ctylp [, �Q
34. Final Heating & Air Conditioning +. '
35. Final Gas Pipe-Test
36. Hood or Canopy .
37. Final Factory Fireplace ,
38. Final Plumbing �,�r� �o' � � �
39�.�Water Service-Final • �
40. Gas Service-Final ' � �
41. Solar pomestic-Final ,
.42. Backflow Preventer ' , ,
� 43. Backflow Irrigation . .
'44. Landscape Irrigation SVstem '
. i
45. Sound Attenuation �-
46. Handicap Regulations , F- - �- •
�
47. FINALSTRUCTURE&BUILDING , ' , , _ '
48..Special Requirements Completed � � ' � • � . � .
49. Electric Release to Edison " �
50. Gas Release to Southern California Gas Co � .. .
51. CERTIFICATE OF OCCUPANCY � '
� ,
No. Date •
. - \' �T-�' "
OWNER DOYLE
JOB ADDRESS ,
INSPECTIONS
DATE 6-�-6=
BUILDING PER
v.wuE S 16.�
35CRIP'fION OF
DATE I GftOUP TR.T TYPE V ZONE
SUBCONTRACTOR
. l9�34
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%91] COBTA M68A. CALIFORNIA
For Applicant �o Fill In Complefely
� TYPE OR PRINT
ILOIN6 � U_ �� � �L�„ O �
�RE54 r c�-�
COSTA MESA. CALI ORNIA
, . ✓� f : // % / �,
� MAIL
0
5�=E �y •
OFLOT
USE OF
EXISTIN6 BLDO.
SETBACH LINB FROM
�
tJ
FE�ECEIV�D
JU N 3 196
FINANCE DEPT.
CITY A�L�jbPIN� PERMR
BUILDING
For Office Use Only
N6C81PT NO. PEHMIT NO.
Ho. oF•. / I uee ov
oetcn�mon �D f T I_�rt 3y3.
-�.
A. P. NO.
NOTE: NO EAVE OVERHAN6 SHALL BE LE35 THAN
7 � bo�.p HO'TOSIDE@REARP.L.
O
EAVES
No.o�eLCa6. ALLOWED (U.B.C.REQUIREMENT
rvOW ON lAT �
YARDS APPROVED YARDSAPPROVED
� MAIN BUIL�IN6 ACCESSORY BUILDING
(FROM G/LnREFT7
DESCRIPTION OF WORK
�`, �/ � NO. OP 6
r b ROOMB
� I ROOF
vwa. #
/
o c�e 3/ �`r so. F
I HENEBY ALKNOWLHOOY THAT 1 XAVi ppAD TH19 APPLIGTION TH! AMOUNT 9�
AN� 8TAT8 THAT TN6 ABOVB IB CORHHCT ANO AOREC TO COM- PURP08H Op
PLY WITH ALL CITY ONOINANCHG ANO BTAT[ LAWY q60UL�TING ypLUATION
BUILUINO CONBTHYRION. (�
SIGNATUREOP + ��� /l,.I,� A ,
PERMI7TE WW
2�1 �`h� s ��' �as�
AUTHORIZHD A6BNT
��Q �' �
UNDHH VALUAT�ON 18 POH TH8 F
I9HINO A P6qMIT F88 ONLV. 0
—/, � . O
PERMIT FE8 $ S %� j
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