HomeMy WebLinkAbout3312 ALABAMA CIR - Building Permits0
CITY OF COSTA Mi,SA REQUEST FOR OCCtiPALvCY
TRACT N0, ��93 DATE�_
Lol n�o. 2� .
ADDRESS � � �Z �iq�,�4 c�,r�r�
Co s fs /1�e s�
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 agreement, acknowledges �
that �-they) � were) advised
that this tract has not been given final inspection nor nas
it been accepted by the City of Costa Nesa 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 appYoval other than those conditions protected by
s urety bondo
The undersigned agrees to indemnify and hold the city harmless
from any claim resulting in damage or personal injury to the
undersigned by reason of the aforementioned uncompleted condition.
�
Deveiooer a
representat
BY
LsndeY
�
\
Applicant to fill in all spatts exceot those within neavY bmEer'lines antl sign all avPropriate declarations.
cirv oF COSTA ��q COI��T�R/uCT�N PER�!IIT
ProjectAddress �� �y� E��� c;��
Applicant's Mailing A dress
Owner's Name Phone"��
Address
Arch/Eng. License No.
Address
Contractor's Name Phone �
Address (m� i'��I � � �
CityLicensrNo .� D7 � �
LICENSED CONTRACTOR DECLARATION
I h¢r¢by affl�m [hat 1 am licensetl untlEr provisions of Chart¢r 9(commencin9
witn zecllon �000) of Division 3 ot Ihe Business antl Professions Cotle, antl
my license is in tul os an0 ef(ect.
License 55 �'����� ¢,ry ��
Date Signature �{
WORKERS' COMPENSATION pECLARATION
I nereby afiirm that I have a'certificate of mnsent to selt-insure or a certificate
of Wo�kers' Compensation Insu�ance, Or a certifietl cOpy thereof (Section
3800, Lab.1n���-��"—
Polity No. �� - Company
I��-yI� erti(ietl copy is hereby fumished.
Ld Cert' ie py is filetl with tne city �n9 {�iv 'on�/)
Date� Applicant ����� � '
EXEMPTI N FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl nok be completetl it Ihe permit is fot one huntl�etl ($100) or
less).
1 tettify Ihat in [he perfo�mance of the work /o� which ihis permi{ is issuetl, I
shali not employ any person in any manner so as to become Subject to the
Workers' Compensation Laws of Caliiornia.
Date Signature ' -
'NOTIGE: I(, atter making this tleUaration, you snoultl become subject to the
Worker5' Compensation provi5ion5 ot the Labor Cotle, you must forthwith
comply wilh suth provisions or this permit shall be tle¢med revoketl.
CONSTRUCTION LENDING AGENCV �
1 he�eby affi�m that there is a construction lentling a9ency for th¢ performdnce
of the work for which thi5 permit is issuetl (Section 3097 Civ. C.)
Lentler's Name '
LenOer's AOtlress
OWNER BUIL�ER DECLARATION '
1 hereby a7tirm that I am exempt from the Contractor's License Law tor the
following reason (Section ]031.5 BuSin¢55 antl Vrofessional Cotle: Any tlty or
county which vequi�es a pe�mit to cOnst�uct, alteq improve, Oemolish o� �epai�
any structure, prior to its issuance, also requires the applicant for such permit
� to file a signetl Statement that h6/Sh¢ i5 IitenSetl pursuanl to the provisions af
the Contractor's License law (Chapter 9(commencinq with Sectlon 7000) of
Division 3 of the Business antl ProfessiOns Cotle) or that he/ShE is exempt
. therefrom antl [M1e basis for the allegetl exemption. Any violatlon of Section
]031.5 by any applicant fo� a permit subjects the appllcanl to a civil
[e0dlty of not more than five huntlretl tlollars ($500).
LJ 1, as owner o/ the property or my employees with wa9es as thelr sole
compen5ation, will tlo the wo�k, antl the structure is not Intentletl or otferetl
for sale (Section ]044, Business antl Professional Cotle: The Contractor's
License Law tloes not apply to an owner o( a property who builtls or improves
thereon, antl who tloes such work himsel(/herselt'ar throug� his or her own
employee5, provitletl that such improvemenls are not intentletl o� offe�ed for
sale. II, however, [he builtling or improvement is soltl within onc yoar of com-
plelion, the owner will have (he burtlen Of proving he/she tlitl nol builtl ot im-
prova for tne purpose ot sale).
❑ I, as owner of the property, am exclusively contractinq with Ilcensetl mn-
tractorsto conslruct the p�ojCct (SECtiOn �044, BUSin¢55 d�A PtOt¢SSionS COtl¢:
The Contractor's License Law tloes not apply to an owner of property who
builtls or improves thereon, antl who contracts for such projects with a con-
tractor(sl license pursuant-to the Contractor's l.icense Law�. I am aware that
proot of tneir Worker'S Compensatlon insurance shoultl be provitletl to me.
❑ I'am exempt under Section B. & P. C. (or this reason
Date owner
I hereby certify that I-have�reatl this application and state that the above
information is conect. I agree [o wmply with all city antl county ortlinances
antl s[ate laws relatin9'to builtlin9 const�uctlon, and he�eby autM1oriie re0re-
sentatives of�t his � to ent r �p on the above-men[ionetl property tor
in5pection p,Gp�j/ ii� //.y_,� ,9� Date__�o2{U/ �A � �
Signatu�e Ll /a V CJ � a �/Q_/p
Drivers' Licenze or 55 � /� �
TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION YJ REPAIR
❑ CONVERSION ❑ OEMOLISH ❑ OTHER p� p#
DESCRIPTION OF WORK/USE OF BLDG. S Main Bu
E
TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL PI.UMBING ❑ MECHANICAL, 8 Rear
� O �OTHER ' A
PROJECT DESCRIPTION 54. FT. oCCUCArvCv C Right
K Left
CONSTRUCTION TYPE VALUATION $ $
20NE GRADING CU. VDS. ACRES Ping. Rei. #
Remarks: � Planning No'
Sink
Preventer
Irrigation
Drinking Fountains '
Floor Drains �
Floor Sinks
Gas Service Outlets
Kitchen Sink
Lavatories
P–Trap
Roof Drains
Reinspection Fee ! $15
3oiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ MWtiple ❑
Firepl/Fact. Blt. IC80 #
Heating System & Ducting
❑0-100,000 BTU �100,000BTI
Reinspaction Fee .� $15
CMF OB65-46, rev. 30/84 White - Builtling; Canary - Applicant; Plnk - Accounting; Goltlenrotl - A55essor
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 ,
Issue Fee
Hood or Typel �
Canopy� Typell ❑
Refrigeration System
❑0-t00,0006TU ❑100,000
System Repair/Alteretion
Fire Dampers .
Regisrers
Issue Fee
FEES
$ 3
ES
$ 3
Automatic Washe'r
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas �Electric
Fan '-
F.A.U.
Fixtures
Device Boxes
Outlets
Swicehes
Garbage Disposal
Generetor DO-5 KW
6210 5%27%86
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Trensformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel
Motors OO-1 HP O1 %- 8
Inc. Solar �9-15 HP �1fi-15+
Microwave
Pole Light
Range
��; Standing Sections
15 KW � � Trash Compactor
5.00 TL
FEES
Z
O
N
I
N
G
R
E
Q
M
I Reinspection Fee �$15 I I Issue Fee I �$ 3 I
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved 8y Date
Building Approved By Date
Application Issued By ' � Dat �
. SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ �/{–/� PERMIT
. PLUMBING $ "SL�CL_ ISSUANCE $ .
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ GRADING S
PLAN CHECK 50% $ MICROFILM $ b
MECHANICAL $ TOTALFEE $ �
PLAN CHECK 25% $ .
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qpPROVALS Permit# Date Inspector
i. 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-Undrgmd. 55. Electncal 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, 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 Electriral-COnduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
1S. Rough Electrical-T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19.� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough FactorY Firsplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oii
23. Gas Pipe-Rough & 7est 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 Note's:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy : :-
37. Final Factory Fireplace Y�
f�;
38. Final Plumbing -7-.�y-�l6 LiGJ
39. Water Service-Final ��
40. Gas Service-Final "
i "l
41. Solar pomestic-Final
42. Backflow Preventer -
4�_Backflow Irrigation �
4v; Landscape Irrigation System �ti;
45. Sound Attenuation -"i'-
�
46x Handicap Regulations
v
4•7.? FINAL STRUCTURE & BUILDING
`b
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51.�CERTIFICATE OF OCCUPANf'
No � • Date _
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D-3 �30103
COSTA MESA BU�LDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING +7.-. , � „ //. / ,�/ � i/
OWNER HermeS Dev. Co.
ADDRESS 1104 E. 17th Street
cirv Santa Ana nTio�47-704
CAN5TqUCTI
LENDER �nited States Nationl Bank
BRANCH 190 BY'oadway Avenue
ADDRESS San Dieqo, California
ARCHITECT TEl! 75-116�
ocu€ac�t� K. I�orius Non
ADORESSz%LZ E. Coast Hwy Corona DM
CONTRACTOR QH]I'12T
ADDRESS
TEL.
CITV NO.
STATE � CITV
��c. No. 252560 �ic. No.
OIF LOT LOO X I O I NOW ON LO 5 O
USE OF
EXISTING BLDG.
NIEW BLDG. Z 1OO SQ• ROOMS 9 STORIES 2
EXTERIOR WALL ROOF ompo OY
COVERING StUCCO COVERING WOOCl
USE OF BUILDING AND WORK TO BE PEFFORMED
I hereby acknowletlge that I have reatl this application and stace
that the above information is correct and agree to comply with
all laws regulacing builtling canstruction, antl I shall not employ
any person in violation ot th¢ workman's compensation laws ot
the Stere of California.
I hereby rertify that I am Properly licensetl as a conttacior untler
Me State of Calitornia 6usiness and Professions Cotle, Divisicn 3,
Chapter 9, antl that sucn licenses ara in tull forca antl effect, or 1
am exempi S.om ihe pr0v�sions of the State of California Business
antl Professions Cotle, visi n 3, p r 9.
Signature ot
Permittee � /d '
Authorized Agent
A?R 2�-69cr�;nO47297n �x'-152.25
APPLICATION FOR BUILDING PERMIT
A.P. NO. �-_
eUILDING ��,�
ADDRESS
TRACT� � ( �
W ADO A R
OWNER /IL/,ji/Jr /�
S . ✓�/ U.N
FIRE-� �j
ZONE J TY
APPROVED
BY
Z E NO.OF
a�aNs ry
VAROSAPPROVED
MAIN BUILDING
( F FOM GL STR E ET)
L. SIDE /D'
REAR v
DIS7ANCE BET.
MAIN BLDGS.
VAF. # y�
C.U.P.� �S
APPROVE� %e ,J
��
�ATE
US E O F N E W/�'� �_ p,�{
BUILDING w�,, e-
VARDS APPROVED
ACCESSORY BVILDING
BET. MAIN &
ACC65. BLOGS.
b OATE
Q APPFiOVED �`yCJ
_-__ 'Zi/�i
.�
THE AMOUNT SH(
THE PURPC6E OF E
VALUATION
g�/�V��
�
e
0
VALUATION IS FOR �
A PEfiM1T FEE ONLV: m.
Q u
= 5 � � �. � m ';
N
r�J � }
K $ V '% . E
o`
. .� w � ✓ LL
TOTAL FEE $
OWNER �gMES DEVEIAPMRNT C0. DATE 5-1-(�
JOB ADDRE55 12 plabama Circle BUILDING PERMIT N0. OlOj
GENERAL CONTRACTOR Owner-Builder DESCRIPTIONofWORK Residence W Att. Gar �
AP No. LOT 22 TRACT � FIRE ZONE VALUE $ 2 80 .00
INSPECTIONS Sianature Dafe. GROl1P T&.T TYPE V ZONF R—�
GAS
WATER u�
ROUGH PLUMBING
D AIR CONDITIONING
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS STEEL ftEINF.
FLOOR SVSTEM
BONO BEAM � STEEI REINFORCE [,
SHEATHING
FRAME AN� FLArS.�HING
LATHING — IN f^' OUT �
PLASTER. BROWN COAT
HEATING, VENT., REFRIG. ANO A.C., FR r
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
SPECIAL REOl11REMENTS %1iYJ1
SUBCONTRACTOR
�.