HomeMy WebLinkAbout181 ALBERT PL - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -
• PER NO.�1 TRACT NO. LOT NO. UNIT NO. - -
cl OF COSTA MESA CONSTRUCTION PE(R�MIT 0�3 93C 6265 5/28%86 10.50 TL
Project Address - /IS / MLRie n-i YL,41& •- - . .. -
Applicant's Mailing ddress /9/ ea.3et_'r kftC.� TYPE OF CONSTRUCTION H NEW ❑ ADD H ALTERATION U REPAIR 1
�.c5.2-y• � (.429/phone 6, -90 L El CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone
Owner's Name I 7 DESCRIPTION OF WORK/USE OF BLDG.
Address /8f.4t f?et--k• 7tRce- - S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING CI FOUNDATION ❑ STRUCTURAL E Front ZO
Address CI❑ TENANT ❑ ELECTRICAL CI PLUMBING CI MECHANICAL B Rear N
THER
Contractor's Name z Phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address l mailing) ��� � /�v�Ld�T` K Left G
CON ST RUCTION TYPE VALUATION$ $
City License No. ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref. •# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the business and Professions Code, and
my license is in full force and effect. T
License Class License No. S
•
Date Signature PLUMBING FEES
WORKERS'COMPENSATION DECLARATION
•ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers • ELECTRICAL FEES
-
Workers' Compensation Insurance, or a certified copy thereof (Section• k ...--• —
Backflow Preventer Service Sin �
- Automatic Washer Transformer ❑ 15-50 KW
Policy0
•
8 Certified copy Is'hereby furnished.
Certified copy is filed with the city Building Division. • Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date ^. Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers Solar Collectors Dishwasher $ Meter over 100 amps- �v/r ST
(This section need not be completed if the permit is for one hundred($100) or - - • r •
less). Dishwasher Solar Piping s Dryers OGas ❑Electric •
Sub Panel
I certify that in the performance of the work for which this permit is is ued, I
shall not employ any,person in any ma.•'r so as to bec a subje o the Drinking Fountains Solar Tank :, 1. - Fan
Workers' omp nsati)on Laws of Califon Motors 00-1 HP 01%-8
•
DateZSPrXC.
- t Signature ,�Cl�� ' Floor Drains Swimming Pool w/Spa, l P F.A.U. Inc.Solar 09-15 HP 016-15+
e L or
'NOTICE: If,after making this declarati e,you oo�Wff become subject to he - _
Workers' Compensation provisions of de, you must forthwith Floor Sinks , Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCYI Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets
Lender's Name • Range
Lender's Address Kitchen Sink Water Service
OWNER BUILDER DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash -
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit Generator 00-5 KW 05-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of
'vision 3 of the Business and Professions Code) or that he/she is exempt 1
irefrom and the basis for the alleged exemption. Any violation of Section '
41.5 by any applicant for a permit subjects the applicant to a civil
` alty of not more than five hundred dollars ($500).
I, as owner of the property Reinspection Fee I $15 Issue Fee $ 3
II ^ c'em will do the work, and the structure is not intended or offered MECHANICAL Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type 0
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- - Duct- Under Ground Building Approved By Date
rove for the purpose of sale). - UU pp
U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 7c-,a8-86
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who . Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con- —
tractor(s) license pursuan(to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof oftheir Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT
IDI am exempt under Section B.& P.C.foLdr7s reason Firepl/Fact.Mt. ICBG# Fire Dampers ISSUANCE $
a PLUMBING $ _
Date S=2g"^Sc owner ��� • .5.- Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have reatl4r'is•a i on and state that the above ❑0100,000 BTU 0100,000 BTL Q,S� GRADING $
information is correct. I agree to "'mai cal all city and county ordinances ELECTRICAL $
and state laws relating to building construct •n, and hereby authorize repre- MICROFILM
sentatives of • s city to enter on t above-mentioned property for PLAN CHECK 50% $ $
inspection p es, �.— — MECHANICAL $ S
Signature ,'.Y Date 572-�'ea� TOTAL FEE $ /O• O
Drivers' Lice - ov! Y _ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
.CONSTRUCTION AND PLANNING POC 3PA
'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. 1_/r3 Ce 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.
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
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 ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank LI 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
Lir
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80. 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
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43.cBackflow Irrigation
44-j Landscape Irrigation System
45. Sound Attenuation
46Handicap Regulations
47AFINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison •
507Gas Release to Southern California Gas Co
51^iCERTIFICATE OF OCCUPANCY
No. Date