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HomeMy WebLinkAbout3348 ALABAMA CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us . // hAIM UMIVC, GVJ I H MCJH, l.H tlGo<O PLUMBING PERMIT Job Address: 3348 ALABAMA CI Suite No Vicinity: Parcel Nunmber: 139581�2 Applicant: SAETUNG, KONGKA (CORPORATE EXPRESS) Address: FOR:NETCLERK Owner: SO SAN FRANCISCO, CA 720 DUBUQUE AV GROOTHUIS, ELLEN Address 3348 ALABAMA CIR COSTA MESA,GA Contractor: ALAP ASSOCIATES GP Address: 7229 VARNA AVE Arch / Eng : Address: NORTH HOLLYVJOOD, CA Phone: 888-330-1777 2ip: 94080 Phone: Zip: 92626 Phone: 800-444-8865 Zip: 91605 License: 771905 Phone: Zip: Llcense: SCOPE OF PERMIT 1 WATER HEATER REPLACEMENT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher Draiq Floor Drain, Rainwater Drain, Roof Drinking Fountafn Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY . Laundry Tub / Washer Landscape Irrigation P-Trap Pressure Regulator Process Pipi�g (per 10 ft) Receptors Septic Tank SewerCapforDemo Sewer Connect Sewer Private Line Shower Sink, bar Sink, commercial Sink, Floor Sink, kitchen Sink, service/mop Spa (private) Spa (public) AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied�. t0126(2�00 I ssued: 10126/2000 ISSUED BY: SumpPump Swimming Pool Trep Primer Urinal Vacuum Brkr Bkflow(7-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater/ vent Water Piping Qnst or Rep.) Water Re-pipe Water Service Water Sokener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 535.80 QTY 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatiCally expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. - INSPECTIONS: In order for the work aUthorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required tnspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 24464fi (fi�00) WORKERS' COMPENSA710N DECLARATION: �• I hereby aHirm under penalry of perjury one oi ihe following declarations: ❑ I have and will maintain a certifiwte of consent to self-Insure lor workers' compensation, as provided for by section 3700 ot ihe Lebor Cotle, for ihe pertormance ot the �''ork for which this Oermit is issue0. „B" I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pedortnance of ihe work for which this pertnit is issued. My workere' compensation Insurenca carrfar antl policy numbar are: Carner: Policy Number: (This sectian neetl not be completed il the permit is valuetl ef one hundred dallars ($100) or less.) ❑ I certify that in the pertormance of Ihe work for which this permit is issued„I shall not employ any person in any manner so as to bewme subject to the workere' compensation laws ot Califomia, end e� e that it I shyuId Uecome subjact to t�e workers' compensation provisions ot Section 3700 ot Ihe Lebor Code, I shall forthwith camply with ihese p o' ions. �/ /U' �,� (o -,�, O U � � // ApplicantSignaWre: �� Date: WARNING FNLURE TO SECURE WORKERS' COMPENSATION COVERA6E IS UNLAWPUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND OOLL4RE ($100,000), IN AODITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3�O60F LHE LABOR CADE, INTEFEST, AND ATTOPNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, antl my license is in full forca end eHect. Lic. A Class k cono-aaors signaw�e: ��'— oate: /D - �� 6–�,1 On0 CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm ihat there is a consiruction lentling agency for the pertormance of Ihe work for w�ich this permit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Name: Lentlefs Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm Ihat untler penelry ot perjury thet I am E%EMPT FROM 7ME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business an0 Protessions Code: Any ciry or counry which requires e permit to construct, elter, improve, tlemolish, or repair any simcture, pnor to its issuance, also requires the applicant for such pertnit to file a signed stateman[ ihat he or she is licensed pursuant to the provisions oi the Coniractors License Lew (Chapter 9(commencing with Seclion 7000) oi Divislon 3 of ihe Business antl Professions Code) or ihat he or she is exempt therefrom and iha basis for the alleged e:emption. Any violation of Section 7031.5 by any applicent for e permit subjecis the applicant to a civil penalty oi not more than fiva hundred doilars ($500).): ❑ I, as owner ot ihe properry, or my empioyaes with wages as their sole compensa�ion, WILL DO THE WORK, and the stmcture is not intentletl or oHered for sale (Sec. 7044, Business end Professions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work himselt or herselt or ihrough his or her own employees, provided ihat such improvements are not intended or ottered for sale. If, however, Ihe building or improvement is sold within one year of completioq Ihe owner-builder will heve the burden of proving that he or she did not build or improve tor purpose of sale.). ❑ 1, as owner of ihe properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions Code: Tha contractors License Law tloes not appry to an owner of property who builds or improves thereon, and who comracts for such project with a cornrector(s) license pursuant to ihe Comractors License Laws.). ❑ I em exempt untler sec. SignaWra: Owner ID venfied by tlnvers license. ❑ Ves ❑ No Business and Professions Code tor this reason: Venfication ot Ownarship by (type ot dwumem, i.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Dnvers License No. Data: Expires: ❑ I hereby cenih/ that no excavation five (5) or more faet in depih into which e person is required to descend, will be mede in connec�ion wiih work euthorized by �his permit, and ihat no building sWCWre, scaflolding, falsework, or demolition or dismantling thereoi, will be more ihen thirty-six (3s) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle 8, Calitomia Atlministrative Cotle). ❑ As owner-builtler, I will not employ enyone to do work which would require e permit from Ihe Division ot IndusMel Sefery, as notetl e6ove, unless such person has e permit to do such work fmm the division. Signature: Date: Division of Industrial Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAY: I cenity under penalry of perjury that I have read ihis apD���tion antl state that the infortnation given is correct I agree to comply with flll state laws and ciry ordinances relating to building consWction, and emhonze representatives of the Ciry of Cwta Mesa to enter upon ihe ebove-described property tor inspection puryoses. I agree not to acupy or ellow occupancy ot any building authorized by ihis permit until tinal inspection. /J Signature Of Legal Owner(s) /0— a 6—aOle 6 OD nNOr Authorized Applicant Date COUE �, INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Fectory Fire Place 203 Final Sign 206 Final Demoli�ion PeIE INTRIpLS COUE� INSPECTIONTYPE 20fi Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildingiOccupancy PAT� UIIIDELfl I � � AOPlicant to till in all spaces except those within heavy boraer lines ana sign all appropriate tleclarations. CITY OF,COSTA MESA COfySTRi1�TION PERMIT ProjectAd e�s a ama Applicant's MailingAddress 863 N. Ba tav i a � f owner'sName Varady Pno�e545�3444 Address ��mP Arch/Eng. License No. Address Contracror'sNam�nme Comfort Eng. Phone63�-5340 Addresslmailingl R63 N Batavia Orange City Licanse No. LICENSED CONTHACTOR DECLARATION I hereby aftirm that I am Iicensetl untle� p�ovision5 of Cha�te� 9(commencing with section 7000) of Division 3 of the Business antl Professlons Cotle, antl my license is in full forc�$a��+e�t. � 41 1 8 2 4 tJcense Class, Z�_ tt� lo. ate �ure ,ORKERS' COMPENSATION DE LA ATION I hereby atfirm that I have a certlFlcate of consent to Se} -insure or a certiticate of Workers' comoensation Insurance, or a certitletl copy thereof (Sectlon 3aoo, �b. �.�p� 973060 � Repub 1 ic I ndem. Policy No. Com ny �ertifietlf�%� 1e/ O�PPnca�n�tY� Date EXEMPTION FROM WORKERS' COMPENSATION DE ARATION (Thissettion neetl not be completetl if the permit is far o huntlretl ($100) or Iess). I certify that in the pertormance of the work tor whfch this permK is issuetl, I snall nOt employ any person in any manne� so d5 to become subject to the Workers' Compen5ation Laws o( Calitornia. Da[e Si9nature NOTICE: If, after makin9 this tleclaration, you shoultl become subj¢ct to the Workers' Compensation provisions of the Labor Cotle, you must torthwith comply with such p�ovisions �or this pe�mit Shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lentling agency for the performance ' of the work for which this permit is issuetl (SecHon 309� Civ. C.) , l.entler's Name ' Lentler's Atltlress OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Gontractor's License law Por the tollowinq reason (Section ]031.5 Business antl ProfeSsional Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish or repair --,ny structure, prlor to its issuance, also requires the applicant for such permit �=N'i tile a si9netl statement that he/she is licensetl pursuant to the provisians of ��*^le Contractor'S License Law (Chapter 9(commendng with Saction 7000) ot :'�Jivision 3 ot the Business antl Professions Cotle) or that he/she is exempt there(rom antl the basis for the alle9etl exemption. Any violation ot Section ]031.5 by any applicant fOr a pe�mlt subjects the applicant to a civil �enalty of not more than five nuntlretl tlollars ($500). I, as owner ot the property or my employees with wages as their sole compensation, will tlo the work, antl the� structure Is not intentletl or otferetl for sale (Section 7044, Business antl Professional Cotle: The Contractor's LicenSe Law tloes not apply to an owner ot a property who builtls or imprOves thereon, antl who'tloes such work himzelt/he�self or Ihrouqh his o� he� own employees, provi0etl tnat such improvements are not intentletl or otferetl for sale. If, however, the builtling or improvement i5 Soltl witnin one year ot com- pletion, the owne� will have the bu�tlen ot proving he/she tlitl not builtl or iT- �rove to� the purpo5e of sale). I, as owner of ihe property, am exclusively cantracting with licensetl con- tractors to mnstruct the project (Section 7044, Businezs and Professions Cotle: The Contracto�'S License Law tloes not appty to an owne� of Oroperty who builtls o� improvez the�eon, antl who cont�acts fo� such p�ojeGts wifh d con- tractor(5) license pursuant to the Cont�actoYS LicenSe Law). ❑ I am exempt under Section B. & P. C. for this reason Date Owner I hereby certity that I ave reatl thls a information is correct. a ree to comply antl state laws relatin to b iltl' c nst sentatives of this cit inspettlon purpoze � � � SigOd[ur¢ Drivers' License or 55 � � state that the above �tl county ortlinances 'eby autho ize repre ���. e�/��3+�$� TYPE OF CONSTRUCTION IJ NEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTH� DESCRIPTION OF WORK TVPE OF PERMIT LJ canolNG ❑ TENANT ❑ ELECTRICAL ❑ OTHER PROJECT DESCRIPTION 5c1.FT.— CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCV.VDS. A( I FOUNDATION LJ STRUCTURAL PLVMBING ❑ MECHANICAL Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs rinking Fountains loor Drains loor Sinks as Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspaction Fee $25 Boiler Duct - Under Ground Duct - Structural Duct - Vencilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ai oo,000 aTu � i oo,000 eT Rainspection Fee � $25 CMFOB65-46rev.�/83 White-Builtling;Canary-Applicant;Pink-Accounting;Goltlenrotl-ASsessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteretion luue Fee FEES A.P. �k S Main Building: E T Front ARear C Right SLeft Ping. Ref. # Parking Req./Provided Use of Building: Planning Notes: Automatic Washer (o Construction PoleSub. ' 2 Cooking Unit D ishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW �5-' $ 3 $ 3 5798 I/16/85 2ua�� Zone Accessory Building: Z O N I N G R E Park.Fees $ n U I H E M E ELECTRICAL Transformer ❑ 75-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors� 41 HP �i'/:-8 Inc.Solar �9�15 HP �16- Microwave Pole Light Range Standing Sections 5 KW Trash Compactor � Hainspection Fee �$25 � �uue Fee PUBLIC SERVICES REQUIREMENTS: Zo�in9 APProved By Application Approved By Appliwtian Issued Bv BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK FEES $ 3 SUM ARY OF FEES � SO $ ��VO SMIP $ $ PERMIT $ � � . CiO ISSUANCE $ $ ENERGV P.C. $ $ �. j O GRADING $ $ MICROFILM $ �y.f $ TOTAL FEE $ ` � "� $ � CONSTRUCTION AND PLANNING . � - & SPA . Date Inspector Date Inspector �� APPROVALS Permit # APPROVALS Permit # ."7. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 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. 8. Foundation ' 59. Gas Pipe, � Undrgrnd., Test 9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 O Gas ❑ 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) & Monocbat 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 8rown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED 33. Final Electric (f(](,?5' C�/J 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 pomestic-Final j�7�j L� 42. Backflow Preventer 43. Backflow Irrigation � 44. Landscape Irrigation System ' 45. Sound Attenuation � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �117��5 ���(/ 48. Special Requirements Completed • 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � Applicant to till in all soaces except those within neavy Oortler lines antl sign al1 aDCropriate eeelarations. CITV OF (:OSTA MESA CONST UCTION PE MIT � Project Address Applicant's Mailing Address C Owner's Name �J� /�An Phone� v�ss� Address �L�(/�A,�'/ Arch/Eng. License No. Address o Convactor's Nam /^ �hone�, Address (m� I'nnl ��I'! � t.t/%� ' City license No. _1� ��—_ LICENSEO CONTRACTOR DECLARATION I hereby affirm that I am licensetl untler provisions of Cbarter 9(commencing with seGtion ]000) of Diviiion 3 of the Busine55 antl Profes5ion5 Cotle, antl my liGense is in f I r e antl eifect. License /GI�, � L,�c e � �ate p� 5'9 t �l JORKE 5' C MPENSATION OECLARATION 1 hereby affirm that 1 have a certititate of consent to self-inzure or a certiticate of Workers' Compensation �I`n�s7urance, or a cer4�fietl coOryY t�herqe,ot� (Section 3800, Lab. G.)2���.�0 /� Company—T-4LL`l//�//��_ Pnoli,c.y_ No. /�/✓ Cl Cer[i�etl m0Y is i�letl�with�th¢�c ty Id D� i5�p /p��/,,� ,/ EX EM PTI O-_-12�R K E RS aCO��CC� `'arib �l� (This section need nat be com0letetl it the permit is for one huntlre0 ($300) or less). I r.ertify that in the performance ot the work (or which this permit is issuetl, 1 shall not employ any pCrson in any manner So as to b¢Come subject to the Workers' Compensation Laws of Caliromia. Date Signature 'NOTICE: If, after making this tleclaratlon, you spoultl become subject to the Workers' Compensation provislons of fM1e Labor Cotle, you must forthwith comply with such provi5ion5 or [hi5 permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 M1ereby affirm tha[ there is a tonstruGtion IentlinQ aqency tOr [h¢ performance of the work for which this pe�mi[ is issu6tl ($ection 3097 Civ. CJ Lentle�'s Name Lentler'S Atltlress OWNER BUIIOER OECLARHTiON I hereDy affirm that I am exempt from tne Con�ractor'S License Law for the following reason (Section �031.5 Business antl Professional Cotle: Any city or county which requires a pe�mit to con5truct, alt¢�, improve, tlemolish or repai� :Cny structure, prior to its issuance, also requires the applicant for sucn permit ��-�`.'.n fi�e a Signetl statement that he/she is licensetl Pursuant to the provisions ot '�i`;""�e Contractor's License Law (Chap[er 9(commanctng with Section �000) of �'iilivision 3 ot tne Business antl Professons Code) or that he/she is exempt the�efrom antl the basis for the all¢getl exemption. Any violation of Section 7031.5 by any applicant (Or a pe�mit subjeGts'tM1e applicant to a civil ��nalty o! not more than (ive huntlretl tlollars ($900). � LJ I, as owner of the property or my employee5 with wa9es as their sole compensation, will tlo tne work, antl the structtlre is not intentletl or oiTerea tor sale (Section 7044, Business and Professional Cotle: The Contractor's License Law tloes not apo�Y to an owner of a proPerty who builtls or improves thereon, antl who tloes such work himseif/hersClt or through his or her own employees, proviaetl that such improvementz are not intentletl or otfered for sdle. It, howeveq Ihe builtlingb� imOrovement i85oltl wlthin one yea� of com- plelion, the owner will M1ave the burtlen of proving he/she tlitl not builtl or im- prOve for the pur0ose of Sale). ' ❑ 1, as owner of Ihe property, am exclusively Contracting with licensetl con- tractorsto construct the Oroject (Sec[ion 7044, 8usine55 antl Professions Cotle: The Contractor'S License Law <loes no[ apply to an owner of property wM10 builtls or improves thereon, antl who contratt5 for such projects with a mn- tractor(s) license pursuant�to the Con[ractor's License Law). I am aware tbat proo( ot their Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt under Section — B. & P. C. tor this reason Date Lignature J,��_�� Drivers' License or 55 CMF 0865-46, rev. 10/84 Owner nave reatl tliis application antl state that the above a9ree m comply wirn a�� ciry anC county ortlinances n nuiininn rnnct.uctinn. antl herebv authorize reo�e- upon TYPE OFCONSTRUCTION LJ NEW U A�D LI ALTERATION L�REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p,# DESCRIPTION OF WORK/USE OF BLDG. S Main Building: E TVPE OF PERMIT GRA�ING OUNDATION STRUCTURAL T Front ❑ TENANT ❑ El_ECTRICAL PLVMBING ❑ MECHANICAL B Rear ❑ OTHER %� C Right PROJECT DESCRIPTION 5q. FT. oCCVaarvcv K CONSTRUCTIONTVPE ' VALUATIONS S Left 20NE GRADING CU.YDS. ACRES Ping. Ref. # pemarks: Planning Notes: Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks . Gas Service Outlets Interceptors ' Kitchen Sink - Lavamries P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Strucmral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. 61t. ICBO # Heating System & Ducting ' ❑ ai oo,000 sTu O i oo,000 eT Heinspection Fee � $15 White - Builtling; Canary - APPlicant; Pink - Acwunting; Goltlenrotl - Assessor PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs $olar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Trays Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteretion Fire Dampers Registers luue Fee FEES $ 3 FEES $ 3 Automatic Washen Canstruction Pole Sub. Cookin9 Unit D ishwasher Dryers ❑Gas ❑Elec Fan '� F.A.U. Fixtures Device Boxes Outlets Switches Garhage Disposal Generator DO-5 KW [ Fee 5 KI $15 9764 2/2I/86 2one Accessory Building: Parkiny Req./Provided ELECTRICAL � Trensformer ❑ 15-50 KW ❑ 50+KW Merer LJup to 100 amps Merer ❑over 100 amps Sub Panel Momrs DO-1 HP 01'/:-8 Inc.Solar �9-15 HP 016-75+ Microwave Pole Light Range Sign Standing Sections Tresh Compactor Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By . �� :o;,. 1'� FEES $ 3 Z O N I N G R E Q M T S' SUMMARY OF FEES BUILDING PERMIT $ SMIP $ ° PIAN CHECK $ ' PERMIT PLUMBING $ � �SSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRAOING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL 3 TOTAL FEE $ PLAN CHECK 25% $ ' CONSTRUCTION AND PLANNING � _ & SPA APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector t 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. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � 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 73. Roof Drains 64. Plumbing System - Final 74. 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Tesi 72. Underground Flush 24. RoofFraming � 73. Undergrnd.StorageTank�Gas ❑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 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 }[y_y� «n 39. Water Service-Final 40. Gas Service-Final t�� 41. Solar pomestic-Final rf� 42. Backflow Preventer �,� 43. Backflow Irrigation � ., 44. Landscape Irrigation System 45. Sound Attenuation '� 46. Handicap Regulations � � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison . � � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • ! '.�l :. , `R i�...F i ��P • . �' MT.1 ■i.:a�� 0 c a � E y N y a w F a 3 O x U H F y W � La 4 0 � � U M^' T F i! . ' �. � ; ' '�i /•� u \ �/• .� � . • J. ..J � ✓ :/1 � � i 9 � u�= Y � � > > � � < < < Y � =e E^Y Eh=: �� t!I 0. r G i F: K 6�.1�"^r.�.+.�'� ����� ' '� ' PPflOVAlOP1LY ;' � gqR.l.t".'itfR41. A '��Ra�qTE pERM17S ARE REQUiRED : n c; s �C,�L, FIJC�I�lNG, � � -�,�.:,. �...�,Gi '.Ait4�G FF�O };'�.,��;r�., �,;OnK �1N�`,.,.ii'��iiy' k')�1 � I `_r ^ o o j-'�".� V� -,.--.(-._.. . .. �n v� i-- � _l_ y v ; .. : .. -' L . :. ... ? N`` ' S � • `�1'� s � ,,,. ':u ^� i i �; � , ; f �Y . . ... J ���� ♦ �. �4 � ` 9 � � � 1 . :� _ _ � ��' O � 7 I � ....., Y _ ........_.�.._'•"`_, V I:n 1 �`, � i�.e.. �..r ....i.� .. C �C .��� � �'� •-....-"� '--"—' ... p i i�; .�t.l� �lfi�,�;7it i'ri'� u'i$ �1 ¢��n (lUy�.•_S �� �hiFi'`..�(. �lAZEOf = j s,c:, lt:�i EiL `<�F :41��'tiES FOR ADDIiIONA� - - EGAt;c�:nt?tii BIV1Si0�� �f L'�DUSYflIAI SNF:� CpyyStiLSED . �1? e ,�... qEQU1FFfi":'r�TS. �---___— wr�� � �� � l �t� � ► /�` . Precisian Roof Mounting Cornpon�nts �. r !n a.' f— � . -. '�' � co�.t,::r;,aa c � �cr,_�.� pr_r n�our�Tzric i�rs�r�ucTze��s ,J :.1t,tach to end o� ceilector with or,e �ie;� le. S:iiut,s .�re Ott1� !:act.° t���:, tp faCllitate y foi• access to r�o�: mounting }ioles, if 'Purn n'�i�; until bol?. coi�es tizrou�h ry.l.or P!�OUPi'f i�GUT:Fasten �c roof •:;itn 3�c tolt -----•--- ou�;n nole and iii:� `��f' and sleeaer l��- en rafCers or ia,� b:l� in;o rafter. U�� imwn ;/� x 3" la� oolts. 'rrater Li�hc 1 c�ri bc .in;,ured '�; 2cnl�ing caul:cinF; oi- fing cer�enr, arou::�S boli� hol� and un tom o� I'oot be.n-� :nsLaliation. f--O � ��y.y 2�7wooc uHo�. a�� Li;G AilCGE LE;l.S TYP, f,ev �nrl n; � �„>�rA�t '«%l�R LOI' �! G^ -;'t% �! P �, , ��l�tt� ����� 8 '_ +. 6 C:icg• �.,f +: ;t:i +;�:�4 l;tai'�L.�!• '"sc,ff rt,�. L� __ . _ � �,� ift� �;,� d� t �H'4.0 ��i� Lx" _.d.�y3C_!�'!i�! R..� 'S.r N{i . ','1: ` f`� , ��.y. r.,�,.-yy �.;.�, .. ���n�'{•n n'A��•��•. .:s 51'�c��`. - ', 1 y� o..,, �,�ti - - . 0 o � CITY OF COST� D1ESA REQUESTeFOR OCCUPANCY TRACT N0, , _� _ DATE�'�O LQT NO, g% _ ADDRESS_ � ��C-�i-a���4�CG�/�-�f �� G �- The developer of- the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City oi Costa Mesa . Tlie undersigned, by e�ecuting this agreement, acknowledges that (h�m-they) (w�e� were) advised that this tract has not been given final inspection ttor has it been accepted by the City oi Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond, The undersigned agrees to indemnify and hold the city harmless from any ciaim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. � /i . .� �� _. o er ap�fl/o��authorized representa7�ive � Lender , � � , , ��- vnrv��c HERMES DEVEIApMENT v"�� i-1—Oy JOB ADDRE$$ �q(�p p�phama (]irrlA BUILDING PERMIT N0. 40122 LOT 42 TRACT SUBCONTRACTOR SWft. LINE H UNOERGROUN� � POWER � ROUGH WIftING TRENCHES FORMS STEEL REINF. FLOOR SVSTEM BONO BEAM � STEEL REINFORCE n SHEATHING FRAME ANO FLASHING LATHING - IN �� PLASTER, BROWN COA' STRUCTl1RAL FINAL HEATING, VENT., ftEFRIG. AND A.C., F AL ��q � / ,(J PLUMBING, FINAL AND GAS TEST (i"/�/-'L ELECTRIC, FINAL /.�y ` FINAL REMENTS 0 C Z . aU z z¢ O v~i am J � J � Q W 0] J J m a UN Z a W � aw WZ J Q m Z J � W W � ZH W � � � D-2R � 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 n i �rnioOO1317� *** 152.25 PR 2 t 6y�Msf APPLICATION FOR BUILDING PERMIT For Applicant to Fi!l in Completely ADDRESS �� " ♦ REC ��V DA`E REOEIVED ppTE ISJUED BUILDING P� fn r /� �l rG PE �(� � O OWNER Hermes Dev. Co. A•P• NO. '^� MAIL BUILDING ADDRESS 1104 E. 1 th Street /aDDRE55^�� - CITV Santa Ana nTio.`' 547-7044 TRACT(9�L � LOT BLOCK CANSTRUCTION W ADD A P IENDER BRANCH 1 0 Broadwa Ave. OWNEF ADDRESS D lforn' � �A� $ a98o3 ARCHITECT K. Dorius No`� 6-ii64 SE FIRE '� ADDRESS 2 12 E. Coast Hw . Corona D. M. ZONE � TVPE GROUP X' APPROVED CONTRACTOR BV DATE ADDRESS TEL. ZON NO.OF USE OF NE � PLANS �� BUILDING CITV NO. STATE CITV �'ARDSAPPROVED VARDSAPPROVEO LIC. NO, '2 '� 6o LIC. NO. MAIN BUIIOING ACCESSORY BUILDING SI2E NO.OF BLDGS. (FROM C/L STREET)' OF LOT 1 OO X O NOW ON LOT O :�ONT FT. � G� FT. USE OF EXISTING BLDG. SI E V T. FT. SI2E OF NO. OF NEWBLDG. 2 S S�t'iROOMS STORIES2 L.SI�E FT. � FT. EXTEFIOR WALL ROOF �mP�gog� COVERING COVERING REAF FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISiANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. c u P# V-�S-(v APPFlOVED� —].()�b Q APPROVED J _ y i I nereby acknowledge that I nave reatl this application antl state HOL� p,(CA1 •- that the above information is correct and agree io comply with _ all laws regulating buildin8 consttuction, antl I shall not employ �� any person in violation of the workman's compensation laws of the State ot California, m /� � I hereby certify ffiat I am properly licensetl as a contrector untler / SQ. FT. � (J o the State ot Calitornia Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl that such licenses are in tull force antl atfect, ar I THE PURP�E OF ESTABLISHING A PERMR FEE ONLV: m am exempt trom the provisions of the State of California Business Q VALUATION antl Professions Cotl 7visioR 3 ter 9. N PERMIT FEE $ �D� �Q r � Sienamre of �9 �,03 �, ^� m Permittee PLAN CHECK $ , / � E `o Authorizatl ABant �y LL TOTAL FEE $ ♦ O� �