HomeMy WebLinkAbout3324 ALABAMA CIR - Building Permits�
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Applicant to fill in all s0aees except those wit�in �eavy Eo�tler linei antl sign all aDG�opriate tleclarations.
��F COSTA ESA �ONSTRUCTION PERMIT. e PERM��jNO. _ . TRACT NO. � LOT NO. UNIT NU.
`'Qddress 3 ' � � ���"""�>
v S � �.
nyplicanYs Mailin Ad r ss •
Owner's Nama�e � Phone �+ y/
Address 7 � � � �/IQ�L` ' •', L'
ArehlEng. ' - License Na.
Address '
Contracmr's Nam `� ���, - � Phone c
Addresslmailing) �'l�s�ii �fyq,.<+'%j�/`� �� ,
Ciry License No. '0 � ������i�
LICENSED CONTRACTOR'DE ARATION
I hereby affirm [ha[ I am licensetl untler provisions of Charte� 9(rommencing
wltM1 section 7000) of Division 3 of tM1e Businesz antl Professions Cotle, antl
my license is in tyq(gcO� effect. n _ � rjp�/�/%n
WORKERS' COMi�ENSATION DECLARATION
1 nereby atfirm tnat I.nave a certiticate ot consent to selt-insure or a certificate
' Workers' C mpensation Insurance, or a certi(ietl ropy thereof (Section
l0, Lab. f ' �+.w����,_. �
icy No. ' � Company '� � " � ��
�Certifietl copy is �ereby fumishetl.
Ce� ie p j� letl with the cit .�j J�^ �vydiQn. - n` ,�
�ate � � �/� '�� ApplicantY(��>9�/j�/ ��'v�/
EXEMPTION FROM.WORKERS' COMPENSATION DECLARATION
(ThiS section neetl nQ[ be completetl if the pe�mit is for one huntlretl ($100) or
less). j
I cer[ify tha[ in [he-,performance ot the wo�k to� which this pe�m�t is i55uetl, I
zhall not employ any pe�son in any manner so a5 to become SubjeCt to [he
Workers' Compensation Laws ot Calitomia.
Date Signature
NOTICE: If, aiter making this tleciaration, you snoWtl become subject to the
Workers' Compensation provisions ot the Labor Cotle, you must torthwith
comply with such �Otoyisions o� this pe�mit Shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I hereGy affirm that there is a const�uction lentling agenq !or Ihe pertormance
of the work for �,which this permit is issuetl (Section 3097 Civ. CJ
Lender's Name �
Lentler's Aaaress � �
OWNER BUILDER �ECLAHATION
I hereby aftirm that;l am exempt trom tne ConVactor's License Law for the
following reason (Section 7031.5 Business antl Protessional Cotle: Any city or
county which requi�es a permit to construct, ali¢r, improve, tlemolizh or re0ai�
any structure, p�ior.to-itz issuance, also requi�es tM1e applicant tor sucn pe�mit
to tile a sign¢tl statement that he/she is licensetl pur5uant to the p�ovi5ion5 of
tbe Contractor'S License�Law (Chapter 9(commencing with Section 7000) of
Division 3 of the 8usiness antl Protessions Cotle) or that he/She is exempt
. theref�om anG tM1e basis fo� the allegetl exemption. Any violation oi Section
e'?.031.5 by any applicant tor a permii subje[tr the aOPlicant to a civil
`�?nalty of not more than five huntlretl tlollars ($500).
'�`� 1, as owner of the property or my employees with waqes as tM1eir sole
�' compensation, will tlo the work, antl the structure is not inten0ed or oiferetl
. for sale (Section 7044, Business antl Professional Cotle: The Contractor's
� License Law tloes not apply to an owner ot a property wM10 builtls or imprOves
I thereon, antl who tloes such work himself/herselt ov tM1�ough his or her Own
Iemployees, p�ovitletl tM1at Such improvements are not intentletl or offeretl tor
sale. If, howeveq the builtling or improvement is Soltl within one year of com-
pletion, the owner will have the bu�tlen of provinq he/5M1e tlitl not builtl or Im-
prove fo� tbe purpose of 5ale).
❑ I, as owner of the property, am ezclusively cont�acting with licensetl Con-
tractorsto mnstruct the projeci (Section ]044, Business antl Professions Cotle:
The Contracior'S License Law does not apply to an owner of property who
builtls or improves thereon, antl who contracts for suth projects with a con-
tractor(51 imense pursuant to the Contractor'S License Law). I am aware that
proof of their Worker's Compensation insurance should be P�ovitled to me.
❑ I am exempt untler Section B. & P. C. for this reason
Date
Signature FN�^^ �
Drivers' License or 55 •
Owner
have reatl this application and state that tM1e above
agree to comply with all city antl county ortlinances
o bui ing c nSVucti antl hereby authorize repre-
to�e Mr ' on the bove-mentionetl roperty or
� oa�e � 7
��
CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicanl; Plnk - ACcounting; Goltlenrotl - A55255or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundrv Travs
laue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteretion
F ire Dampers
Registers
Issue Fee
$ 3
$ 3
A.P. #
5 Main Buildin9:
E
T Front
ARear
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer
Comtruction Pole Sub.
Cooking Unit
Dishwasher
Oryers ❑Gas ❑Elec
Fan
F.A.U.
Fixtures
Device Boxes
O utlets
Switches
Garbage Disposal
Generetor �0.5 KW �
Zone
Accessory Building:
Parking Req./Provided
�
ELECTRICAL �� �
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑uptOl00amp5
Meter ❑over100amps .
Sub Panel
Motors OO-7 HP O 1%- 8
Inc.Solar �9-75 HP �16-75+
Microwave
Pole Light
Range
I I Standing Sections
5�15 KW � Trash Compactor
I Reinspection Fee I$75 I I Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
Appliwtion Issued By /
$ 3
Z
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BUILDINGPERMIT $ SU7MZR�OFFESMIP $ —��',
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTFICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $ �;/��,�����
MECHANICAL $ TOTAL FEE $ ' ^' "�-'
PLAN CHECK Z5% $
TCi i %.1_sn
CONSTRUrTION AND4LANNiNG POOL&SPA
APPROVALS ' FermiL# Date Inspector qpPROVALS Permit# Date Inspector
��
' � �.
1. Temporary Electrical.Service or Pole 52. Pool & Equipment'L'ocation; �
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement� 4.�
3. Electrical Conduit Utility-Undrgrnd. 54. Forms '
4. Elecirical Conduit-Undrgrnd. 55. Electrical Bonding "
5. Steel Reinforcement 56. Rough Plumbing & Pressure,Test '
6. Electrical UFER Grnd. 57. APPROVAL TO COV,ER-G,UNITE
7. Footings • �•. 58. Electrical ConduiDU��rgrnd�.
8. Foundation �' 59. Gas Pipe, � Undrgrnd�.�, Tesit
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O�Undrgrnd.
10. Strucwral 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 � �
79. 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 �Gas � OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush �
24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing � 74. Overhead Hydro '
26. T-Bar Ceiling (Structurel) & 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: � -� +" r����.
34. Final Heating & Air Conditioning �'
35. Final Gas Pipe-Test
36. Hood or Canopy
�
37: Final Factory Fireplace � � ' " �
.r
38. Final Plumbing . ,+!�- � � .�
,
39. Water'Service-Final . " . �„ ' - _
40. Gas Service-Final � � : � � ' � , �
� l f
41. Solar pomestic-Final � ' ' ' . �
t f�.
4 42. Backflow Preventer �. : � .. � -
", .
43. Backflow Irrigation ' . ' ^ �
. ;��
44. L'andscape Irrigation System ' ' � ; -' •
45. Sound Attenuation � � � , ., �
46. Handicap Regulations , � �
47. �FINAL STRUCTURE & BUILDING p e� �l �J 1 ,�'k
"b
48. Special Requirements Completed . ' "� �
49f Electric Release to Edison ,� ��
50. Gas Release to Southem California Gas Co �'' . �,
51. CERTIFICATE OF OCCUPANCY
No. Date _ �
CITY OF COSTA P1ESA REQUEST FOR OCCUPANCY
TRAC`P N0, �� DATE %Z—�-6 /
LOT NO. ��__ ^
ADDRESS 3��G-____L%�����-V�Y� �-�'r-�o
� �
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 of Costa Mesa .
The undersigned, by executing this aqreement, acknowledges
that •(�-they) (w�' wereZ advised
that this tract has not been given final inspection nor has
it been accepted by the City of 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
s urety bond,
The undersigned agrees to indemnify and hold the city haYmless
from any claim resulting in damage or personal injury to the
undersigned by reason of the aforementioned uncompleted condition.
!3!
E
Developer �/'o2��al�thorized
representa ive
B
Le der
4
. 31369
COSTA MESA BU�LDING-SAFETY DEPARTMENT
P.O. BOX 1200 GOS7A MESA, CALIFORNIA 92626
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For AppliCant to Fill in Completely
BUILDING ��� � �`
ADDRESS
OWNER g� �y�
MAIL �� (ycv'ra.pa.h Q
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_ � SIZE NO.OF BLOCS.
OF LOT NOW ON LOT
USE OF
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COVERING COVERING
J USE OF BUILDING AND WORK TO BE PERFORMED
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UI hereby acknowletlge that I heve reatl this application antl state
� tha[ thB above intormation is correct antl aB�ee to comply with
� all laws re8ulating builtling consttuction, and I shall not employ
r any person in violation of the workman's compensetion lawt of
y the State ot Calitornle.
zI hereby certify that I am Properly licensed as a contractOr untler Sn'
the State ot California 9usiness and Profassions Cotla, Divisicn 3, THE AMOUN
Chapter 9, and ihat sucr licenses are in full force antl ettact, or I THE PURPOSE
am exempt from the prP�isions of the Steie of California Business V ALUATION
antl Protessions Cotle, Di�ision 3, Chapter 9.
Signeiure of �K $ � ° � � � N � ��
Pefmittee n $ ��yD _
Authorized Agent 7
FF.B -9-7fcqs��0 262 ��***�8.00
APPLICATION FOR BUILDING PERMIT
RECE ED BV DATE ECEIVED DATE ISSUI
� 2-�-70 ;7- g_ �
A.P. NO. /�%'
BUILOING
ADORESS ��
TRACT hb
OWNER
IRE ?
ONE -�J
PPROVED
N NO.OF �
P�� d
VAfiDS APPROVED
MAIN BUILDING
DISTANCE BET.
MAIN BLDGS.
V AR. #
C.U.P.�
APPROVED ._i
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UP�
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USE OF NEW ��ryY�
BUILDIN�7��^ ��
-� i
VARDS APPROVED
ACCESSORV BUILDWG
OATE
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T. o
SHOWN UNDER VALUATION IS FOR �
IF ESTABLISHING A PERMIT FEE ONLV: m
¢
PERMIT FEE $ / O � m
N
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PLAN CMECK $ —• E
�' 00 0
LL
TOTAL FEE $
OWNER
JOB ADDRESS
AP No.139-582-39 LOT
INSPECTIONS
ROUGH PLUMBING
PROP. $WR. LINE
SPRINKLING SVSi
ROUGH HEATING AND AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUN� I-I POWER �
FRAME AND FLASHING
RE
DATE
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 GOSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING p
ADDflESS �J�
OWNER H@iIll09 DBV• CO.
MAIL
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ADDRESS 1104 E. 17th Straet
TEL.
CITV SB.I]t8 I1Y1fl NO. �?7—
CONSTRUCTIOr�nited States National Hank
i FninFra
BRANCH
ADDRESS
AFCHITECT TEL.
m�s�e�c�ctc K Dorius No 675-11�
ADORESS 2712 E• Coast Hwy. Corona D M
CONTRACTOR QWyJeI'
AODRESS
TEL.
CITV NO.
STATE CITV
LI0. NO. z5`Z�JO LIC. NO.
SI2E INOWONLO S O
OF LOT ],OO X � I
USE OF
EXISTING BLDG.
SIZE OF NO.OF ,Z
NEWBLOG. ZLOO 8• FOOMS 9 STORIES
EXTERIOR WALL ROOF COIIPO Oi
COVERING S'tUCCO COVERING wood
USE OF BUIL�ING AND WORK TO BE PERFORMEO
esidence w/attached
I heteby acknowled0e thet I have reatl this application and state
that the above intormation is correct and aBree to comply with
all laws regulating building consttuction, antl I shall not employ
any person in violation of the workman's compensation laws ot
the State ot California.
I hereby certity that I am properly licensetl as a contractor under
the State of Calitornie 9usiness antl Professions Cotle, Divisicn 3,
Chapter 9, antl that sucP licenses are in full torca and effect, or I
am enempt from fhe provisions of ffie State af California Busiaess
and Professions Co/tl��/ n ter 9.
Sig^ature of %�
Permittee -��
Authorized ABent
fiPr'� �I-!'C�yPAiDQV�Z94'" �*�
«,;� 152.25
APPLICATION FOR BUILDING PERMIT
flECEI /ED DA E R�� ED DATE ISSUED
�' J / C [ i
l/ /O v �
PERM T
A.P. NO. �- .��
BUILDING
ADORESS �
TRACT�"'�� LOT BLOCK
_ EW/ A D A T P
/ \
OWNEF �J(�Q/ IY�J '
S . ly,i �yJ VALU$� D✓
�i�/ �.� �A
FIRE ��J �
ZONE �7 TVPE GROUP
APPROVED
BV DATE
:O E NO.OF USE OF NI
/ PLANS �/ BUILDING
VAROSAPPROVED VARDS
MAIN BUILDING ACCESS(
FROM GL ST�EET)
RONT FT.
. _.__ I U--
DISTANCE BET.
MAIN BLD('a5.
VAR. �
C.U.P. # V�� S
APPROVED . /
HOLD FOR
BET. MAIN &
ACCESS. BLDG',
DATE
APPROVED `s
NG
REQUIREMENTS
�' �-' m
/�� e
VV SQ. FT. D o
THE AMOUNT SHOWN UNDEF VALUATION IS FOR �
THE PURP�E OF E5TABLISHING A PERMIT FEE ONLV: m
¢
VALUATION �
PERMIT FEE $ D • �� �
a9,�o3°=° m
$ PLAN CHECK $ D� � � E
`o
ic�n 'lr- u
P No. LOT 19 TRACT 6693: ..FIRE ZONE
GAS
ROUGH PLUM6ING
PROP. SWR. LINE
ROUGH HEATING AND AIR CONOIiIONiNG
TEMPORARY SERVICE OR POL
UNDERGROUN� � POWER
ROUGN WIRING
STEEL REINF.
FLOOR SVSTEM ` �- �
BON� BEAM � SiEEL REINFORCE �
S HEAT H I NG —26
FRAME AND FLASHING
LATHING — IN (
PLASTER.BROWN COAT
HEATING, VENT., REFRIG. ANO A.0
PLUMBING, FINAL ANO GAS TEST �
ELECTRIC, FINAL
BUILOING, FINAL
SPECIAL REOUIREMENTS
F
l i a+7
DING PERMIT N0.
1"[�773
SUBCONTRACTOR
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