HomeMy WebLinkAbout2514 ORANGE AVE - Building PermitsAODlicant to flll in al1 soaces except ehose within heavy Oortler Iines ana sign all aoCropriale Oeclarations.
CiTY oF cosra MESA C�NSTRUCTION PERMIT �`"'""' 3�g """' '"" "" "" "'"" "v.
Project Address a�,`iy-
AppliCa `y"s�Vlailina /��1�rPcc � ,% , � TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R
❑ CONVEft510N ❑ DEMOLISH ❑ OTHER p.p, #
Owder's Name �C` G�`�n Phone gQ '� _ DESCRIPTION OF WORK/USE OF BLDG.
Address �, S Main Buildi
Arch/Eng. License No.
Address
Contracror's Nam hone �.�ROo�
Address (m 'i' � ���'/ � E
Citv License No. �� ( �S
LICENSED CONTRACTOR DECLARATION
1 M1ereby a/firm that I am Iicensetl untler proyi51on5 Ot Charte� 9(commencing
with sectlon �000) ot Otvision 3 of tne Business antl Pro/essionz Cotle, ana
my license is in full jpr,qgpntl etiect. , I�'�.�
ucense Clas,5, (� �7�� •� �d tirt1. '7'VN
Date �%1 "� �(' % 5'9 t L ���//�
WORKERS' COMPENSATION DECLARATION
I hereby alfirm that I have a certificate of consent to self-insure or a certifltate
workers' Compensation Insurance, or a certliietl copy thereo„t (S,,e/ction
ol c�y No. �y ��✓M '! �� / Compa�y ��.IJCIJI
�e�%t�lfie caPY'Sfeedwi[M1rthehcit�Y � � /
pa[e��/"��� APPlican[ ��� �� /
EXEMPTION FROM WORKERS' COMPENSqTION DECLARATION
(Thissectian neetl no[ be compleletl il the permit Is 10� one huntl�etl ($300) or
less).
I certify t�at in the perfOrmance o1 the work fOr which Ihis pe�m�t is issuetl, I
sM1all not employ any pe�son in any manneY so as to become subject to [he
Workers' Compensatlon Laws of Callfornia.
Date S�9nature
NOTICE: If, aiter making� lhis tlecla�ation, ypu Shoultl become subjecf to lhe
Workers' Compensalion provislons ot Ihe Lybor Cotle, You must forthwith
comply with sucn provisions or tnis permlt shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereby affirm that Ihere is a construction leqding a9ency for (he performance
o! the work tor which this permit is issuetl (Section 3097 Civ. CJ
Lentler'z Name
Lentler's Atltlress
OWNER BUILDEH bELLARATION
I hereby affl�m that 1 am exempt from the ConVactor's License Law for the
following reason (SecHon 7031.5 Buslness antl Prolessional Cotle: Any city or
county whlch requires a permit [o con5[ruct, alter, improve, tlemolish or repal�
any stru<ture, prior to Its Issuante, also reqWres Ihe applicant for such permit
to file a sign¢tl statemenl thdt he/she I5 licebzetl purouant to [h¢ Provisions of
tM1e Contractor's LicenSe Law (Chapler 9,(mmmencing with Section �000) of
Division 3 0l the BuSin¢55 antl Prote55iOn5 �otle) or (hat M1e/stte is exempt
therefrom antl the basiz ior the all¢9etl exeMption. Any vlolation of Section
031.5 by any ap0licant tor a pe�mil sUbjeGtz the a001icant [o a civil
�ndlty of not more than tive huntlretl tlollars (5500�.
J I, as owne� ot Ihe property or my employees with wages as their sole
mmpensation, will tlo ihe work, antl the structura Is not inlentletl or otieretl
for sale (Se<[ion 7044, Bu5me55 antl Professional Cotle: The Contractor's
License Law tloes not apply to an owner ot a property who builtls or improves
thereon, antl who tloei Such wo�k hlm5elf/he�seli or fhrough hls or h¢r own
employees, provitletl [M1at sucb improvemen(5 are not in[entletl or offefetl for
sale. If, however, the bulltling or improvamBn[ I5 soltl within one yea� oi com-
pletioq the Owner will nave the burtlen of proving he/she tlitl not builtl or im-
prove tor tne purpo5e of sale).
❑ I, as owner of Ihe prOPerty, am ¢xtluslvely con[�actin9 with Iicensetl con-
(ractors to mnstruct the Oroject (Sectlon 7044, gu5in¢zs antl Proteszions Cotle:
The Contractor's License Law aoez not app�y to an owner of property who
builtls or imoroves thereon, antl who contracts ior zuch Drojects with a con-
tracior(s) license pursuanl to ihe ConlractoY's Llcense Law). I am awar¢ Ihat
proot o( [heir Worker's Compensation inzUrance shoultl be provitletl to me.
� I am exempt untler Section — _ g, & P. C. for [his reason
Date Owner
I nereby cariity that I have reatl this appiiGalion antl state tnat the above
information is correct. I agree to comply wi�h all dry antl county orGinances
antl state laws relating to builtlin9 const�uc(ion, antl her¢by authorize �ep�e-
sentatives � this city to�¢nter upQn the above-mentionetl oroperty for
Siqnaturt� �i// /� �
Drivers' License or 55 � �
�TVPEOFPERMIT ❑GRADING OUNDATION � STRVCTURAL T Front
❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL A Rear �
❑ OTHER
PROJECT DESCRIPTION 5a. FT, oCCUaArvCv C Right
K Left
. CONSTRUCTIONTVPE VALUATIONS ' S
ZONE GRADINGCU.VDS. ACRES p��g.Ref.#
y Remarks: Planning Notes:
_ i ,
. Bar Sink
Backflow Preventer
Backflow Irrigation
Drinkin9 Fountains
Floor Dreins
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink �
Lavarories
P—Trap
Roof Drains
Reinspection Fee � $75
Boiler
Duct - Untler Ground
Duct - Structurel
Duct - Ventilating
ExhaustSystem ❑ Multiple
FirepVFact Bit. ICBO #
Heating System & Ducting
00.100,000 BTU � 100,000
Reinspection Fee � $75
CMF 0865-46, rev. 30/84 Wni[e - Builtllnq; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
NG
$ervice Sink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Waler Service
Auto-Wash
luue Fea
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteretion
F ire Dampers
Registers
luue Fee
FEES
8382 10/27/B7
Zone
Accessory
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
Construction Pole Su6. . ❑ 50 +KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Mecer ❑over100amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Motors �0�1 HP �1 %- 8
F.A.U. Inc.Solar �9�15 HP �16�15+
Fixtures ' Microwave
Device Boxes Pole Light �
Outlets ,
Switches
Garbage Disposal
Generator �0-5 K W � 5-15 K W
Standing Sections
Trash Compactor
$ 3 '
—J— Reinspection Fee $15 luue Fee
FEES �
�DEVELOPMENT SERVICES REQUIREMENTS:
Zonin9 Appraved By
Building Approved By
Appliption luued By_
$ 3
SUMMARV OF F
BUILDING PERMIT $
PLAN CHECK $
PLUMBING . $ 5•Q��
PLAN CHECK 25% 5
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
5000 TL
FEES
$ 3
SMIP $
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADWG $
MICROFILM $
TOTALFEE $ D�
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CONSTRUCTION AND� PLANNING . � POOL & SPA
AP.PROVALS Permit,�# Date Inspector pppROVALS Permit# Date � Inspector
L�'J:Amporary Electrical Service or Pole 52. Pool & Equipment Location,S
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement r=
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ��' �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -- �
5. Steel Reinforcement� . 56. Rough Plumbing & Pressure:Test
�. �
6. Electrical UFER G�nd: 57. APPROVAL TO COVER-G�UNITE
t..
7. Footings �_ 58. Electrical Conduit-Undrgrnd:� -
8. Foundatieiri 59. Gas Pipe, � Undrgrnd., Tesi �
9. Water Pipe:Undrgrnd. 60. Backwash Lines, P-Trap, O:lJndrgrnd.
10. SVuctural Floor System 61. APPROVAL TO DECK
i t. 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
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Raugh 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 Fircplace APPROVALS Permit# -
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gai ❑ 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 (Structural) & Monocoat 75. Dry Chemical "
27. FrameandFlashing � 76. DryStandpipe � ,
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 Mster-Final 80. FOOD CERTIFICATE ISSUED (�/'
33. Final Electric Noier. G�- � f, �� �i � � i',i
34. Final Heating & Air Conditioning _ �. � ;v�
-9'�' i , `/iJ . l � z.
35. Final Gas Pipe-Test Q•(0•!!Y Cq�C�C, p5 pF�¢. Z,�.3 uEY. L�Q
36. Hood or Canopy
37. Final Factory Fireplace
38. F�inal Plumbing
39. Water Service-Final
40. Gas Service-Final .
41. Solar pomestic-Final ' , �
42. Backflow Preventer -
43. Backflow Irrigation � . � ' -
44. Landscape Irrigation System � ' � • '
45. Sound Attenuation ' � '
46. Handicap Regulations .
47. FINALSTRUCTURE&BUILDING ' � � . '
I
48. Special Requirements Completed " . " � � � .
49.�Electric Release to Edison • .. �
q
50. Gas Release to Southern California Gas Co �� '
51. CERTIFICATE OF OCCUPANCY - •
No. Date _ � - -
.