HomeMy WebLinkAbout1645 MONROVIA AVE - Building Permits •
,PRAC7 ADDRESS: 1645 MONROVIA AV ""IT' CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 0547051
OWNER'S NAME: CLARENCE TURNER •
ADDRESS: 201 PAULARINO AV, C.M. PERMIT NO: E 054705 PLAN CHECK NO; N GOVT: N SUPP; N
751-4420 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; 0TH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CONNECT SERVICE • SQFT;
ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE; CALC—VALUE: GROUP OCC ; /
ADDRESS: JANE GALLAGHER ( 714 ) 751-4420 •
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201 PAULAR.INO AV COMMENTS: NO OTHER WORK PERMITTED
• C.M. CA 92626 • *******-**>E�E>ESE**** FSP***�9�E�E�E*******-�E�E�E>E�6**xIL�6�E�E�E*->E>E�c�E*)E�Er.-�Ea�TE**>E�E*�E*****�P********�E
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z -0 N I • N G REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
CITY LIC.: • STATE LIC.: CLASS: '
Date:' Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificateol consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN ' FRNT: FT IN REAR ; FT IN'
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
x POLICY NO.: EXP.DATE:
"OMPANY: PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: '
J Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> ' _
Date: Applicant: ******************************iF:***'***************3E************************ir**1E*
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5)00)or less). DEVELOPMENT :S.-E$ R VICES REQUIREMENTS
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• i:"
subiecl to Me Workers'Compensation Laws of California. - . "
20NING APPROVED BY DATE: ,,-
Dater
Date: ' Signature: .. /
NOTICE:If,alter making this tleclaralion,you should become subject to the Workers'Compensation previsions of the Labor BUILDING APPROVED BY •,)+•Ar-k-,'! DATE;
•Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 4
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; •- r ? /p\� DATE• �O
which this permit is issued(Section 3097.Civ.C). ************.**********.*********.)5.***********TF 3F iF*1f****i:***********{e**x **
LENDER: *******************************BE,**:*********************************************
ADDRESS: LEGALIZATION:N ' F' E,,E SUMMARY STRUCTURAL SEGMENT;N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License'Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 18 50
reoair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed Fj 0 SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15, 00
I. as'owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DI V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
® structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—---> 18 , 50 - 15 . 00 0 . 00 33, 50 33 , 50 , 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his ro herm own is employees, provided that mpl improvements me are note the bd or offeredoffor sale.Ifnotd building or REVENUE DIVISION TOTALS——> COLLECTED: 3 3 . 50 OVER/SHORT:• 00
his or hownemsoltl withins,one year csuch iimprove entsr will have the burden proving he/she did however not build or improve
mrthe purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 33 , 50
•
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontraclor(s)license pursuant to the Contractors' State License Law). l am aware ************************'**************************************************tee****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FEE B R E A K D O W N
• ❑ I am exempt under Section: B.8.P.C I
for this reason: // TYPE Q•I•Y D E S C R' IPTION UNIT COST TOTAL COST
Date: /0 •'M owner:,.. w /
''...- ELE 1. SERVICES BELOW 6A0 V & BELOW 201 AMP 18 . 50 • 18. 50 •
I do hereby certify that I am aware of and understand the requirements of e�deliornia Reallh and Safety Code Sochi 25505,25533,and1 END_ OF FEES
25534 and that I or any future building occupant il/witl not(circle ane)nEEd tto comply with said state codes and the requirements for a
permit far construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Dale: Applicant: •
I hereby certify that I have read this applicati and slate That the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to buddin construction and hereby authorize representatives of this city to enter upon the above- nlioned _ __
property int inspection purposes. / 0) 03100671—Uil�'�{a7} } 9_aT �,'}I'
Date:40' 3 -- Signature: "LA- �' — //— i �AIEL i(i_•°«7 t. J11 nat. 1h :L3 -
Driver's License or Social Security x: / •
1641-46 White-Budding',Green-Code Enforcement.Canary-Applicant;Pink-Revenue;Goldenrod-Assessor \
C:.ASTRUCTION AND PLANNING" PO SPA '
v ' APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Tool & Equipment Location .
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement . '
3. Electrical Conduit Utility-Undrgrnd. - 54. Forms
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4: Electrical Conduit-Undrgrnd. -• 55. Electrical Bonding '1
' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVE R-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 64. Plumbing System.- Final
14. Rough Plumbing 65. Electrical-Final
1
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 .
I 22. Ducts, Ventilating _ - 71. Product Piping 0 Gas ❑Oil
23. Gas Pipe-Rough &Test • - 72. Underground Flush •'
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - 74."Overhead Hydro .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical .
$ 27. Frame and Flashing ' _ - 76. Dry Standpipe
1 28. Lathing& Siding. . - - 77. FIXED SYSTEM FINAL
29. Insulation - 78..FIRE PREV. FINAL i
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat- - - , ,7 . FINAL INSPECTION,
32. Electrical Power Meter-Final /-H241 • i80 FOOD CERTIFICATE ISSUED
33. Final Electric .124 I I T Notes:
34. Final Heating & Air.Conditioning [��� -
35. Final Gas Pipe-Test' - - '
36. Hood or Canopy • -
37: Final Factory Fireplace - - - - .
I38. Final Plumbing . - _
1..39. Water Service-Final • •
40. Gas Service-Final - -
41. Solar Domestic-Final • +• -
42.'Backflow Preventer - ,
43. Backflow Irrigation - . .. - -
44. Landscape Irrigation System - ' - - -
45. Sound Attenuation •. -
46. .Handicap Regulations • - ,
47. FINAL STRUCTURE & BUILDING - .
I48. FINAL PLANNING - ,
149. Electric Release to Edison • . - - •
50. Gas Release to Southern California Gas Co .
151. CERTIFICATE OF OCCUPANCY -
o. Date
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