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HomeMy WebLinkAbout1437 DEAUVILLE PL - Building PermitsApplicant to /ill in all spaces except _those wit nin neavY�ortler lines and sign all appropriate declarations.
CITY OF COSTA MES AA�C?pNSTRUCTION PER
1437 &LkwILLE PLACE
PER NO.,
TRACT NO.
LOT NO.
.UNIT NO.
-_
Project'Address
R' 'ORKERS' COMPENSATION DikliFtIARATION 1 0 V
Bar Sink
Showers
Applied. fit's Mailing Address WE - •-,
TYPE OF CONSTRUCTION NEW LJ ADD ALTERATION LJ -REPAIRmomomm
❑OTHER
:reby�affirm that I have a certificate of consent to self -insure or a certificate
,
e� DDROTHYNENNIESCH', 556-3856❑CONVERSION'❑DEMOLISH
Name ''Phone
t
AP:# +
ner•s
1437 DEAUVILLE PLACE -
DESCRIPTION OF WOR K/USE OF BLDG.
+� -
Workers' Compensation 05y,[a>�e,_gr. ¢-s¢rtifiedl copy thereof (Section
-400Wo labs' s•I!i (pf�yjr I _
Backflow Preventer -r ,.-'Service
_
Address
_ I
Automatic Washer
uilding:
Arch/Eng. License No I
TYPE OF PERMIT GRADING FOUNDATION . STRUCTURAL'
Policy No. ompany ATE FA}2(v
.+Address'
Sewer Ca -
p
❑ ELECTRICAL ® PLUMBING ❑ MECHANICALContractor's
DOnStrUCtlOfi Pole Sub. t
4 ❑ 50+ KW
-
❑ OTHEREl T
EAR
Name R'-D-PLLKIINL &' SDLAP� TG • -Phone 771}— 333
i/1 �-
Address (mailing) 979RI RITl�'4 AY, LACGJi''� VH1LLS,F 92Db3
- PROJECT DESCRIPTION Sa. FT: - OCCUPANCY
-VALUATION$
I Bathtubs r I
—
341CONSTRUCTION
TYPE '
Meter Cup to 100 a I
,
City License No. -
..
i ,
ZONE - GRADING CU.YDS. ACRES
-
LICENSED CONTRACTOR DECLARATION
hereby affirm that I am licensed under provisions of. Charter 9 (commencing
Remarks: -
Planning Notes:
with section 7000) Of Division 3 of the Business and Professions Code, and
So_lar Collectors ', _ _
my license is in tyll _,gree and effect.
1.=30 32
- . _ _'Meter. El over 1 .amps'
Lice a Clps� Li arse N I O
' /-2-t5/Uhb�
� PLUMBING'
Solar Piping; ! I
317"c
Zone
Accessory Building: ,
Z'
N
I
N.
G
R�
Parking
IN
E
G j
f� M
S'
I r
�y
Date S,gnatur
,
t I
FEES
•- _
R' 'ORKERS' COMPENSATION DikliFtIARATION 1 0 V
Bar Sink
Showers
ELECTRICAL FEES
:reby�affirm that I have a certificate of consent to self -insure or a certificate
,
I
Workers' Compensation 05y,[a>�e,_gr. ¢-s¢rtifiedl copy thereof (Section
-400Wo labs' s•I!i (pf�yjr I _
Backflow Preventer -r ,.-'Service
Sink
-T-
Automatic Washer
Transformer ❑ 15-50 KW
,
Policy No. ompany ATE FA}2(v
Backflow Irrigation
Sewer Ca -
p
DOnStrUCtlOfi Pole Sub. t
4 ❑ 50+ KW
it f'etl copy is hereby f , 1 :
C
o, is Ned It me i i
I Bathtubs r I
Sewer Connection
Cooking Unit
Meter Cup to 100 a I
,
D e
Appllca
-
-
I FROM W EN N DECLARATION
'
-
So_lar Collectors ', _ _
- Dishwasher .,I __
- . _ _'Meter. El over 1 .amps'
(Th isle [ion need not be co mpletetl-if Ile P., it is for; one hundred ($100) r-
l_cWrDishwasher
_Clarifiers
_ _ _
Solar Piping; ! I
Dryers ❑Gar ❑Electric
'
Sub Panel
certify ,that ,in the performance of the work for which this permit is issuetl I
-
'
shall not employ any person in any manner sols to become subject to the
Drinking Fountains
Solar Tank t
Fan
' Motor 0.1 HP ❑ 1'h- 8
Workers' Compensation Laws of California..
I
. Date ' Signature
Floor Drains, '
Swimming Pool w/Spa
F.A.U.
' ❑9-15 HP 1116-15+
NOTICE: If, after making this declaration, you should become subject to the
.Solar
Workers' Compensation provisions of the Labor, Code, you must forthwith
FIOOr Sinks
Unna,
-
Fixtures
' 'Microwave '
comply with such provisions or this permit shall be deemed revoked.
I
CONSTRUCTION LENDING' AGENCY '- -
Gas Service -Outlets
Water Closet -
Device Boxes
POle
I hereby affirm that there is a' construction'lending agency for the perfcrmancrie
Light
of the work for which this permit is -issued (Section 3097 Civ. C.)
-
Interceptors
Water Heater - i
Outlets
, .
Range
Lender's Name
r
,
Lender's'Addres5- - - _ r
Kitchen Sink
Water Service -.
Switches ,
Sign
OWNER BUILDER DECLARATION r
-
i
I hereby affirm'that I am'exempt from the Contractor's License Law for the
Lavatories - -
Auto -Wash + -
=
Garbage Dispo
Standing Sections
following reason (Section 7031.5Business and Professional Code:'Any city or
county which requires a permit to construct, alter, improve, demolish or repair -
P—Trap'
Laundry Trays
-
Generator 5 KW ❑5-15
KW Trash Compactor
P
any structure, prior to its issuance, also requires the applicant for such permit
file a signed statement that he/she is licensed pursuant to the provisions of
Roof Drains
.1c,
he Contractor's License Law (Chapter 9 (commencing with Section 7000) of
- I
i
'ivisiom 3 Of the Business and Professions Code) or that he/she is exempt
_
erefrom and the basis for -the alleged exemption. Any violation of Section
' ,031.5 by any applicant fora permit subjects the. applicant _to ,a civil
,natty of not,more than five hundred dollars ($500). ..
Reinspection Fee
-
$15
- -
Issue Fee
$ •3
-
I, as owner of the, property or my employees with wages as their sole
compensation, will do the work, and thestructureis not intentletl or offered
,
Reinspection Fee
$15 Issue Fee
for sale (Section 7044, Business and Professional Code: The Contractor's'
MECHANICAL
FEES 1.
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: t
employees, provided that suchdroprovements are not'intended or offered for
Boiler
Hood or Type I
zoning Approved By
t
Date
sale. If, however, the building or improvement is sold within one year of com-
,. I
Canopy Type II ❑ 1
pletion, the owner, will have the burden Of proving he/she did not build or Im-
Duct - Under Ground
-
Building Approved By
I '
Date
prove for the purpose of sale).
❑ I, as owner of the Property, am exclusively contracting with licensed con-
Duct -Structural
Refrigeration System , -
L?'
Application Issued By '
Dat
tractors to construct the project (Section 7044, Business and Professions Code: P
does to an owner of who I
-
- •-
❑0.100,000 BT01 00
U BTU
I,,,r
The Contractor's License taw not apply property
builds Or improves thereom,.and' who contracts -for such projects with a con-
Duct,- Ventilating -- -,.
-
.
SUMMARY OF FEES ,
tractor(s)-license pursuant to me Contractor's License Law). I am aware that ,
Exhaust System ❑ Multiple ❑
System Repair ,ration '-
_(
BUILDING PERMIT
$ SMIP $ '
Proof of their Worker's Compensation insurance should be provided to me.
❑Tam exempt B. S P. C. for this
-
Firepl/Fact.
I
•
'
PLANCHECK
$ i ' PERMIT
under Section reason
"
Bit. ICBO #
Fire pers
D-�' .ISSUANCE $
Date Owner;
He�ating`System & Ducting
Registers
PLUMBING
PLAN CHECK 25%
$
$ ENERGY P.C. $
1 hereby, certify that 1, have read this application and state that the above -
❑0.100,000 BTU-
'
- '- '-
�"
'
ELECTRICAL '
$ GRADING t $
information is correct. I agree to comply with all city and county ordinances
r
antl shy ting to building construction, and hereby authorize repre-
, and heriby a
I
-
PLAN CHECK 50%
MICROFILM - $
$
p opze
S wdeF` of this t o end upo he a ,for
,
_ l
d�s�pp,�ggoyyf
pecture\��
' MECHANICAL
$ ' TOTAL FEE $ 0•00
Si Date
-fi,inspection Fee
$15
-
Issue Fee
$ 3
PLAN CHECK 25%,
$ , )
rs' License or 55
�� CMF 0865-46, rev. 4 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod
- Assessor
CONSTRUCTION AND.PLANNING
" Date
APPROVALS Permit #-
Inspector
PO. SPA _
-
APPROVALS Permit #
Date
Inspector.
}. 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
..t,
5. Steel Reinforcement
-
"56: Rough Plumbing & Pressure Test
_
' 6. Electrical LIFER Grnd.
57. _APPROVAL TO COVER-GUNITE
7fv.
7. Footings ; -
,: '.
_
58. Electrical Conduit-Undrgrnd.
8. Foundation
.
-59. Gas Pipe, ❑ Undrgrnd., Test
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
13. Roof Drains _
-
'64. Plumbing System - Final -
- -
14. Rough Plumbing
-
65. Electrical -Final -
15. Rough Electrical -Conduit -
-
-
66. Solar System -Final -
-
-
A 16. Rough Electric Wiring
-
67. Fencing & Access Approval -
-
-
17. Rough Wiring.Sign
68. APPROVED FOR PLASTERING
-.
1B. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
.
19. ,.Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20.;Rough Factory Fireplace '
21: -Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping n Gas ' ❑ Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
-
73., Uridergrnd._Storage Tank O 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
i
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:t244.87 C,"Cit( A6 PIA 2A3 U -PC. C./FSR
34. Final Heating & Air Conditioning
-
35. FinalGas 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
i
42. Backflow Preventer ; ;4;:
43. Backflow Irrigation (•1--y
44. Landscape Irrigation System
,.r
45. Sound .Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILIBING
' - •- '
48. Special.Requirements Complet'ed•i
-
-
49. Electric Release to Edison
r
-
50. Gas Release to Southern California Gas Co
i
51. CERTIFICATE OF OCCUPANCY •
No. r Date -
f
) '
22741
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA `
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
OWNERHarbor
Rall: e:
Fame Homes, Tn
MAIL BOX 2066'
ADDRESS
CITY Santa 8 - NO. 20
ARCHITECT Ray Levanas TEIDR3-7010
OR ENGINEER
ADDREss3432 Via Oporto, Mot Bch'
CONTRACTOR Lifetime Residential Bldg Coy.
ADDRESS BOX 2066 -
Santa .Ana
LIC.TNO. 20867
SIZE
OF LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM
EFT 0 I RIGHT 0
DESCRIPTION OF WORK
B' DGS.O
SIZE LDING 1240 ROOMS
ROOMS 8 ST RIE - No. OF 2
EXTERIOR WALL ROOF.
COVERING qt COVERING Rock
USE OF BUILDING AND WORK TO BE PERFORMED
Construction of: III" o u anc bld
with nJn construction garage
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
SIGNATUREOF
jE� REC3 19qyy D
L3o AUG
#
Plan
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATIONFOR PERMIT
BUILDING
For Office Use, Only
RECEIPT NO.
PERMIT NO.
�9iAI
Reco Y.
ECEI ED
mxii
WE 1V
I AUG11@8 196
BUILD NG
ADDRESS n
I
FIRE\
-Iy/Cry
ZONE TYPE GROUPLT 1
APPROVED
BY DATE
ZONING
ZON -^�
A
NO. OF
PLAN@ •
UBE OF NH
/
(% 1BUILDING
OE@CRIPTION
n 3D
A. P. NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
SO- TO SIDE S REAR P. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDSAPPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
( FROM C/LITREET)
FRONT �/ FT.
-- FT.�
R. SIDED FT.
'V/nFT.
0
L. SIDE FT.
FT.
.REAR FT.
FT.
DISTANCE BET.
BET. MAIN Q
MAIN'BLD S.
ACCESS. BLDGS.
VAR. # l
DATE ©-/
O
C. U. P. ?♦`
APPROVED (�
APPROVED
- -�
BY
DATE
SQ. FT.II _
THE AMOUNT SH N UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
[
`
PERMITFEE S yi7
L
/
TOTAL FEE -5 {p J 4
'