HomeMy WebLinkAbout1788 MONROVIA AVE - Building Permits 1
PROJECT ADDRESS: UNIT:
TOWNER'S NAME: 1788 MONROVIA AV CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 069041
ADDRESS: MCCRAY, C JOHN e�
3199—A AIRPORT LOOP DR #1 PERMIT T' 069041 PLAN CHECK NO; N GOVT; N SUPP : N
COSTA MESA, CA 92626
CONSTRUCTION TYPE; PERMIT TYPE; ELE PURPOSE; OTH
ARCH/ENGINEER: 540-4058 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION ; TURN—ON EXISTING METER SQ FT ;
PERMITTEE: CLAIM VALUE; CALC—VALUE; GROUP OCC; B-2 /
ADDRESS: JONES, LARRY 0 ( 714 ) 650-3170
2026 POMONA AV COMMENTS ; NO STRUCT, PERMIT ON FILE, NO OTHER WORK PERMITTED BY THIS PERMIT
COSTA MESA CA 92627 ###############################################################################
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I S G R E U I R E M E N T S
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. Q
CITY LIC.: STATE LIC.: CLASS: SETBACKS
035523 401687 C 1 EX. ; 05/95
Date._ Signature:— MAIN BUILDING ACCESSORY BUILDING
WORSE S'COM NSATIO DECLARATION: Iherebyaffirmtha aveac ifi of co ent 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
POLICY NO.: ESP. DATE:
COMPANY: PARKING REQ; PROV; PARCEL; 00000000 ZNE; REF NO;
Certified copy is hereby furnished, 0 Certified copy is I ith the city Building Divi• n. PLANNING NOTES>
-...k?‘
` //�%Date: •-•-•7 1.--25, Applicant'
A >#########ik#################################################################?####
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (T section n not be completed if the permit is for one hundred($100)or less). D E V E L O P M E N T .-S E•. R' V ICES REQUIREMENTS
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY •• DATE:
Date: Signature: r /l
NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; /.r DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for i `
which this permit is issued(Section 3097. Civ.Cl. APPLICATION ISSUED BY; "'• DATE; —11
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LENDER: ############################### ##############################################
ADDRESS:
LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT ; N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1$ , 5
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
0
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 5 0% SMIP/NON—RES
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($500). 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—DIV—> 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 1 5 , 00 0 , 00 3 3 . 5 0 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 or her own employees, provided that such improvements are not intended or offered for sale. If. however the building or
improvement is sold within one year of completion,the owner win have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED • 33 , 50 OVER/SHORT; .00
for the 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 a contractor(s)license pursuant to the Contractors'State License Law). l am aware #####'1E########,IE####,H,#,1f,1F,1E#,lE####'16######-#######,7F######1F#########,#####*#'%# Ir,##,)e1F
that proof of their Worker's Compensation insurance should be provided to me. ####
❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 , 50 1g , 50
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
•
these provisions.
Date: Applicant.
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and here uthorize representatives of this oil,.enter upon the above-mentioned
property rinspection purposes.
01 00168629 0016$629 TETT 33.5
__
Date:_ Signature: ' • DAiE: 09/29/94 TItlE: lla3
Driver's License or Social Security e:
1641.46 White-Building:Green-Code Enforcement:Canary-Applicant;Pink-Revenue',Goldenrod-Assessor •
ICONSTRUCTION AND PLANNING POO. 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
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •
7. Footings 58. Electrical Conduit-Undrgrnd.
B. Foundation59. Gas Pipe,0 Undrgrnd.,Test •`- ,
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System / r 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final
12. Sewer Cap 1 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final •
15. Rough Electrical-Conduit
9 - 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 0Gas 0 Oil
r-
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
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 / f/ 30. FOOD CERTIFICATE ISSUED
33. Final Electric � ^'" Notes: •
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final 1
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
48. FINAL PLANNING,
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date