HomeMy WebLinkAbout1758 ORANGE AVE - Building Permits ADDRESSOFBML11W0: 1758 ORANGE AV UMT: CITY OF COSTA MESA — BUILDING PERMIT
aNmEWSNAME191DKwN: IVERSON,JAMES / PERM NO: M 079239
ADDRESS: 1758 ORANGE AV
PERMIT NO: M 079239 PLAN CHECK NO: N GOUT: N SUPP: N
7146464428
APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH
ARCIIrTECT ORENGNER: UC.NO.: JOB DESCRIPTION : ADD AIR CONDITIONING • SQ FT:
ARCH OR END.'S ADDRESS; UMT:
I CLAIM VALUE : CALC—VALUE: GROUP OCC : B /
CONTRACTOR'S NAIL:
CONTRACTOWS YAWNS COMMENTS : X
ADDRESS: UC.NO.: ********1E****If�f3E3EiEjE)EiEiFif*******7f***If*)E1E#i4ifihiEiEiEiE1EiE1E*****lfjfiEif*****1E3E#iE9fi(-14iFiE**ii****
gMT; ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty a perjury that I am licensed under passions a Chapter g SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in fun force and effect.
CITY LIC.ND.: UC.CLASS: UC.NO.: ' EXP : MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN
Dae: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the
following reason(Section 7031.6 Business and Professions Code:Any city o county which requires a paned to convect alta,improve. PARKING REQ: P ROV: PARCEL : 42539212 Z N E : REF NO:
� a demolish,or repair any structure.prior to its issuance,also requires the applicant for such permitpermitto file a signed statement that he or sshePLANNING NOTES>
•
licensed pursuant to the provisions the Contractors License Law[Chapter 9(commencing with Section 7000)a Division 3 a the
Business and Professions Code(or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > 1>,
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fve hundred darn(f,5000. *******************************************************************************
❑ I.aeowner of thepmpeny amy employees with wages as their sole oompen°ation,will do the work,and the'sedum is not intended DEVELCPMENT S E R�V I C E S REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an wino of properly
who beide or inproves thereon,and who does such work himself or herself or through his or her own employees,provided that such y.^
improvements are not intended or offered for sale.ff.however,the building or improvement is sad within one yeas a completion. ZONING APPROVED BY DATE:
ownerbuilder will have the burden of proving he or she did not build or improve for the purpose a safe). .
] Lan owner of the property,ern exclusively contracting wish licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply man owner a properly who builds or improves thereon end who
contracts for such projects with a wntrector(s)licensed pursued to the Contractors License law). `i I p /
❑ I am exempt under Section: Et.A P.C.,for t aeon: APPLICATION ISSUED BY: ,r7 eV/ DATE:
0 —za' 94
Dale: Owner: ,1.-1 LEGALIZATION: NF EE S U M M A R Y STRUCTURAL SEGMENT:N
I do hereby certify that I an.aware of and understand the reqs' Ms a California Health and Safety Code Sections 25505,25533,end !h 9
25534,and null o any future building occupant will/wit not(cimb one)need to comply with said state codes and therequinmem°for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the A4 °by anagement District.Residential cadsn applications are exempt Moonless
provisions. PERMIT 1 37 . 75
Da : Applicant: !b 25% SMIP/NON—RES
PLAN 3:,r"
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty a perjury one of the following declarations: ISSUE FEE / 22 . 00
❑ I maintain maintacerificateaconsent
oeef-insurefcompensation,asproved
rworkers' idfobySectof
Section 3700 BUILDING—DIV—> PERMIT ISSUE `PLAN?CHECK TOTAL PAID DUE
Coes.folhepedome .athe work sthis issued.
TOTALS----> 37 . 75 22 . 00 0 . 00 59 . 75 59 . 75 . 00
❑ "eve\ ave and wit mirage,workers'mm
mpeaion insurance,es required by Section 3700 of the Labor Code,far the perfora mance the "li
work for which nuparmdsSued.Mywokae ompewmoninaua number REVENUE DIVISION TOTALS--
Carrier REVENUE COLLECTED : 59 . 75 OVER/SHORT : . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC'MECHAN IC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed I the permit is for one hundred dollars/$tool or less.) , 59 . 75
111 I codify that in the perlomance of the work for which this permit is sued,I shall not employ any person in any manner°o as to / n
become subject to the workers'compensation laws of California,and agree Mat N I should bans subject to the workers' *************************************'**************************************K***
compensation provisions of Section 3700 a the Labor Code.I shell °`Ja�with comply with Tho p tons.,r�y IND I V I D U (A 1�- F E E BREAKDOWN
\ Date: Applicant: i .n..4a hr✓wF� w r. v'
Warning:Fe/funfosecure wo*erw'mmpw sauon coverage ewb(and sMll subject en employee to criminal penalties and TYPE QTY D E S C R I P T P. 0 N I UNIT COST TOTAL COST
cul fires up to one hundred thousand dollars($104000A I Ilion to the cost oI compensation,damages as provided for In
Section 3706 of Me Labor Code,Interest,andattorney.fees. NEC 1 REPAIR/ALT COOLINGtI7UNIT/SYS W/CNTLS 12 . 25 12 . 25
' CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty a perimy that there is a construction lending agency for the NEC 1 REPAIR/ALT HEATING ". UNIT/SYS W/CNTLS 12 . 25 12 . 2 5
performance of the work for which this permit is issued(Section 3097,ON.C). MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 13 . 25 13. 25
LENDER'S NAME: '( END7�OF FEES
LENDER'S ADDRESS: N.. n
1 certify that I have read this application end state that the above information is correct.I agree to comply with all city and county ordinances
and state laws relating to building construction end hereby authorize representatives a this city to enter upon the above-mentioned property
for inspection purposes
IVERSON /'�/
/ lent Name * '�
_// /1! of Ovi v'nis^canu s� Dae: _ �`'"
ShQQI(^^aaure Owiur/AgenVAppMMenVComrmo
(5151-48.WP) White-Building A Safety:Green-Rte;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING PC : SPA
APPROVALS Permit Date Inspector •APPROVALS Permil 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 . •1
6. Electrical UFER 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, 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 54. Plumbing System - Final e '
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 84.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. Root 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 CERTIFICATE ISSUED
S- -~4'6-V-` 2M7F -d�a~L
33. Final Electric
�,\ Notes: g2O 7� Alt - T,
34. Final Fleeting & Air Conditioning /�//,X�'/l'��-, ?/ _ J4 l%�r
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. Backf low Preventer
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation •
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date