HomeMy WebLinkAbout1717 MONROVIA AVE - Building Permits ADDRESS OF BUILDING:- 1717 MONROVIA AV and` CITY OF COSTA MESA - BUILDING PERMIT
OWNER'S RIME IF wow HESSEY CORP PERM NO: E 082463)
ADOfla' 1611 W 16TH ST
L .A. CA PERMIT NO: E 082463 PLAN CHECK NO: N GOVT : N SUPP : N
a.upL.Mulwc ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE; 0TH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : STRAIGHTEN UP ELEC . RISERS SQ FT:
ARCH.OR END'S ADDRESS: UNT:
CLAIM VALUE: CALC-VALUE: GROUP OCC : B /
s� CainiACTOwSNAME: VARDIMAN ELECTRIC ( 714 ) 536-4848
{CafTRASTORS MEMO 227 22ND ST COMMENTS : X
ADORES& HUNTINGTON BEACH CA ucjO.: 658493 ##########*3E3( ###########################################################><###
92646 grit ZONING REQUIREMENTS
ED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I en licensed under prolalone of Chapter 9 SETBACKS
comm nci g with Section 7000)of Division 3 d the Business and Professions Code,and my license u in full force and effect.
CRY .NO.: UC.CLASS: LIC NO:
:� C-10 658493 EXP : MAIN BUILDING ACCESSORY BUILDING
bate: / G'97
contractor //9eO/✓/IA1J 57Z-6077C/e---- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
tif LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
- t`OW R BUILDER DECLARATION:I hereby affirm under penalty of perjury that I an exempt from the Contractors License Law for the
reason(Seaton 7031.5 Business and Professions Code:Army city Or county which requires a permit to mnnlrucl,alter,improve,
noteh,or repair any structure,prior to hseeuance,dao requires the applicant tor such permit to fib a signed Widened that he or she PARKING REQ: PROV: PARCEL : 42630404 INE: REF NO:
icensed pursuant to the provisions of the Contradors License Law[Chapter 9(commenting with Section 7000)of Diplon 3 of the PLANNING NOTES>
ainess and Professions Code]or that he or she is exempt therefrom and the basis tor the alleged exemption.My violation of Radice '
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than live hundred dollen(55008. ####
❑' I,saowmrdtM property or my employees with wages as their sole compensation,will do the work.and the stmdurecrhotimanded ###########################################################################
or offered for sale(Section 7044,Badness and Professions code:The Connadon license Law don and apply man owners property DEVELOPMENT SERVICES REQUIREMENTS
who builds or improves thereon.and who does such work himself or herself or through his or her own employees,provided that such
improvements are not intended or offered for sae.B.however.the building or inprovemem a sold withinne year of completion,the ZONING APPROVED B Y DAT E
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
.
❑ I.as owner of the properly,am exdumely contracting with licensed contractors to construct the project(Sedco 7044,Business and
Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects with a contradorfs)licensed pursuant to the Contractors License law). n�� `'
❑ l am exempt under Section: B.&P.C..for this reason: APPLICATION ISSUED BY: DATE: L
Dale: Owner: ############################################## ****4**************-*- - . -k#
I do hereby certify that I an aware d end understand the requirements d California Haab and Safety Code Sedla-a 25505.PsecO,and LEGALIZATION:N FEE SUMMARY STRUCTURAL • E t E :N
25534,and that I or any future building ppmpant will wit not(circle one)need to comply with said state codes and the requirements for
a permit for construction ormodAcmlce from the Ai rely anegemnl Dutra.Residential andnud'anapptations we exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 16 . 25.%
Date: Appian: 5 0%_? SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN �-
❑ I have and willmaintaina eradicate of consent to stiff-insure for workers'compensation.as provided for Sectionby 3700 of the labor ISSUE FEE 22 . 001
• Code,for ao
thepenormcetheworkforwhichthispemhitisiaeued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID - DUE
PI have and will maintain workers'compensation insurance,as nxtuired by Section 3700 of the Labor Code,for the performance of the TOTALS----> 16 . 25 22 . 00 0 . 00 38 . 25 38 . 25 . 00
work for which this permit is issued.My workers'compensation insurance racier and policy number are:
Cancer: CTATP PTIMf EXPIRES REVENUE DIVISION TOTALS-->. COLLECTED ( 38 . 25 OVER/SHORT: . 00
Polity Number: 12£ 2630 -95 10 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
'(This section need nor be completed i rhe permi is for one hundred dollen/Stool or len.) 38 . 25
I may 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
L become subject to the workers'compensation laweof California,and agree that B I should become subject to the workers' ###############################!(###############fE###############################
ompensation provisions of Section 3700 of the Labor Code.I shall forthwith., . torose provisions.
Dae: Y—/6-9 7 Applicant: /- I N D I V I D U A L F E E B R E A K D O W N
ova ng:FsOunrosecure worters'comperwtlonaavarpslauntawNl,a /ihellartjsctenemployatocrhMnelpnaWnnd TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
dull nes up to one hundred thousand dollars(St00000),In addition to the coat of comps settop*roars as provided for In
S n370tofMLabor codAmhasgndaromey'Maas. ELE 1. MISC APPARATUS NOT LISTED REQ PERMIT 1.6 , 25 1.6 . 25
rmanceNSTRUCTION LENDING AGENCY:I hereby affirm under penalty of penury that there is a conatmdion lending agency for the EN!) OF FEES
performance of the work for which the permit a issued(Section 3097,Civ.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read the application and state that the above information is coned.I agree to comply with all city and county ordinances
and state laws relating to building construction and hereby authorize representatives of this sty to enter upon theebovo-mntioned Papery EXPIR
for inspection purposes. it j
JACK. VARDIMAN 04-16-1997/02:49 pp/$38.25
PdmName—� DATE /1 /1 /1 PERMIT:0 1 046 3
4111_, - .i// 4....__--..—...'
te- — Dale: 6 "9 7 82463
/ -Spann)of Owner/Agnt/A••' ,I/Contractor
(515l'eO,WP) White-Building A Safey:Gree� le:C-.ay-Appicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING • POC _SPA
' APPROVALS Permit# - - Date Inspector' _ APPROVALS . Permit # • 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 - 1
5. Steel Reinforcement - . , 56.. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. : : 57. APPROVAL TO COVER-GUNITE
7. Footings - - . .58.. Electrical-Coriduit-Undrgrnd. . .
8. Foundation - . 59. Gas Pipe, ❑ 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 &tReceptor-Final.: _
12. Sewer Cap . 63. Heater & Vent-Final .
13. Roof Drains64. Plumbing System - Final I
14. Rough Plumbing •
_ - , 651 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 0 Gas 0 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 - ice
28. Lathing& Siding 77: FIXED SYSTEM FINAL
t
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing •HEALTH DEPT. REQUIREMENT x
31. Plaster Brown Coat 79. FINAL INSPECTION 1 _ i
32. Electrical Power Meter-Final 80:FOOD CERTIFICATE ISSUED '
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test Pier
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final -
42. Backflow Preventer
43. Backf low Irrigation
44. Landscape Irrigation System
45. Sound Attenuation -
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING 1
48. FINAL PLANNING -
49. Electric Release to Edison
-
50. Gas Release to Southern California Gas Co - -
-
51. CERTIFICATE OF OCCUPANCY .
No Date