HomeMy WebLinkAbout1299 SOUTH COAST DR - Building Permits ADDRESSOPBmma 1299 SOUTH COAST DR um: 1 /2 CITY OF COSTA OA ME' - BUILDING PERMIT
gwtammmw IDIowM C J SEGERSTROM / PERM NO: E 078865
umm 3315 FAIRVIEW RD
COSTA MESA, CA 92626 PERMIT NO: E 078865 PLAN CHECK NO: N GOVT: N SUPP: N
APPL.WRUNG CORES& CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
ARM
IIECT OII BtmiEEli: LIG NO.: JOB DESCRIPTION : DUAL METER FOR TRAFFIC SIGNAL SERVICE SQ FT:
Mi*OR Et$.S ADDRESS: DMT:
CLAIM VALUE; CALC-VALUE; GROUP OCC: /
CONTRACTORSNa BAXTER-GRIFFIN CO ( 714 ) 826-5310
CONTRACTOR'S IMAM 8210 MONROE COMMENTS : TRAFFIC SIGNAL ON SUSAN ST & SUNFLOWER AV, USE 1299-1 /2 SUNFLOWER
ADDRESS: STANTON CA ucND.: 290768 *******it*+Eit+Eit*+cit***iEit**atxitiE*itftit******it*itibiEieir*it>IEet*it*iE*********ae***pit***atx*ibit***+t
90680 DME Z ON ING R EQU I R EMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly of perjury that I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in fu act.
cmuc.ND.: 01 73 uc.cuss: C-10 seem.: 29076 E . 09 /96 MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
at : Contactor: /_ A.,.....> LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER ECLA ATION:I hereby affirm under penalty d perjury that I em exempt from the Contractors License Law ler the
following reason Business and Professions Cede:Any city s county which requires a pens to construct.after,Improve. PARKING REQ PROV: PARCEL ; 00000000 ZNE: REF NO:
-.mesh or repel any structure.prior to d issuance,also requires the applicant for such permit to fib a signed datemSi that he or she PLANNING NOTES>
armed pursuant to the provisions of the Contractors License Law'Chapter 9(commenting with Section 7000)of Division 3 d the
awe end Professions Code)or that he on she is exempt therefrom end the basis for the alleged exemPlbn.Ary violation d Section >
..01.5 by any applicant tor a permitakeds the applicant to advi penalty of not more than Me hundred dotes LS500D. *******************************************************************************
❑ I.as owner d the property pr try empolees with wages es their sole compensation.will do is work and the slrwure is 1101 intendedD E V E L O P M E N T . S E -R V I C E S REQUIREMENTS
or offered for sale(Section 7044.Business and Profession Code:The Contractors License Law does not acolyte en owner properly
who Puede or improves thereon. Msuch and e does work tinsel/or herself or through his or her own antelopes,provided that arc
bnproyemens era res intended or Blend for sale.IL however.the building or inprovem.at is sold wthin one year of complrm,the ZONING APPROVED BY DATE:
ovmerbcider nil have the burden of proving he or she did rot build or improve for the purpose of Se).
❑ I,a owns of the propecry,amexdsitey. contracting nth keyed oontreaon to comma is project(section 704,Business and BUILDING APPROVED BY : . '' DATE;
Professions Code:The Contractors License Law does not apply 10 an orates of properly who builds or improves thereon end who
contracts for midi projeds with a caatlor(s)licensed pursuant 10 the Contractors License Law).
❑ Ian exempt under Secticn: B.AP.C..for thisreason: APPLICATION ISSUED BY: e / R I4i ' -U�A• DATE: -1 ® (,
#
**************************************** ** n' ** ****i(**********
Dia Owner. F ,E/Fl SUMMARY STRUCTURAL SEGMENT;N •
I do hereby certify that I am aware d requirements d and understand the requirements Cauomie Health and Wray Code Sections 25505.25533.and
25534,and that lar any hrlus building occupant MniwD not ore)esed bcampy with said eats sides and the requirements ler BLDG PMT PLUMBING' ' ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit Icravutnrctian or modification from the Ai m Idy�anagement Distrix.Residential mnmuabn appimkmare exempt front these
provisions. PERMIT • 27 . 25
Date: Apprr.nt: 50% SMIP/NON-RES
PLAN
WORKERS COMPENSATION DECLARATION:I hereby elfin under penalty d perjury one of the following dedeslmns: ISSUE FEE 2200
.
❑ IhmadMlmaintvlacertiicateofconsemlosea-inwsfor workenm
'compensation.as provided for by Section 3700 dthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance dthe work for which this pendia Issued. TOTALS----> 27 . 25 22 . 00 0 . 00 49 . 25 49 . 25 . 00
lit I have end will maintain workers'cempensetbn Insurance,as required by Section 3700 of the Labor Code,for the performance of the
work for which thispermitued.Mywprkens'compensation inwratce eedpdicynralase:• REVENUE DIVISION TOTALS--> COLLECTED ; 49 . 25 OVER/SHORT: . 00
Carrier:
yrNumber V1( V.UQI 19Io'V BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
rein seilicon need not be completed iI the penult is for one hundred dollars($1001 or en.) 49 . 25
I sanity Out in the performance of the work for which this permit is saved.I shall nol employ any person RL0 n to
becdne able°to the . - . ...greetion Laws of Calfomla,and agree that i I should subject to IM *******************************************************************************
udad
penation provisions• Sen.700 the Labor Code.I den forthwith own*with those pr(w INDIVIDUAL F E E BREAKDOWN
I - *pptraru
i :
Warning:Fegurerosaeu, work 'con co
Solon verage is unlawful,end shall subject anenployse to alnuwalper, ne TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
civil Dns rpt to one h diad thousand dollars($10(000A In addition to the cost of compensation danleges as Provided for In
Section 3706ot the Labor Cods Intent,andadomey's lees ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 27 , 25 27 . 25
• CONSTRUCTION LENDING AGENCY: I hereby strum under pasty d perjury that there is e cMsdion lending agency for the END OF FEES
performance of the Yak for which this pend is based(Section 3097,Civ.C).
LENDER'S NAME
LENDER'S ADDRESS:
I caMy that I have reed this application and mate that the above information is coned.I egret to comply with al/thy and county ordvarr
end sate laws relating to building cmwumon and hereby authorize represaVetiwa d this pry to enter upon the abwsmentio ed popery
for unfsdor purposes. s arassa Yves s.
J e O
Print Name_ /Iq
�-aia. Date: I/ ((o
L (5151d5.WP) Whhe.Buildig A Safely:Green-Fie Cewy-Appfunl;Pink-Revenue;Gddmrod-Assessor
(�
' CONSTRUCTION AND PLANNING POO1 WA
APPROVALS -Permit# Date Inspector APPROVALS. Peretti # Date Inspector
•
' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement •
3. Electrical Conduit Utility-Undrgrrid. 54. Forms - i :
4. Electrical Conduit-Undrgrnd.- _ 55. Electrical Bonding -' ) • 1
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test '. •
- 6. Electrical VEER Grnd. 57. APPROVAL TO COVER-GUNITE •
.. - 7. Footings - - 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test I
9. Water Pipe-Undrgrnd. 60. Backwash Lines;P;Trap, 0 Undrgrnd,
10. Structural Floor System . 61. APPROVAL TOIDECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final t , 1 i
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System ;Final
14. Rough Plumbing 65. Electrical-Final r 1 i
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 0 Oil
.
23. Gas'Pipe-Rough & Test 72. Underground Flush
24. Roof Framing - , 73. Undergrnd.Storage Tank 0 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 - 7° FINALJNSPECTION
32..Electrical Povver Meter-Final `�ig/��% _ _� r^ :DOD CERTIFICATE ISSUED
33. Final Electric $/11/6 Votes: _ • _
,, 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- , . r . -
41. Solar Domestic-Final
42. Backflow Preventer - -.
43. Backflow Irrigation = • •-
44. Landscape Irrigation System .
45. Sound Attenuation • - -
46. Handicap Regulations '
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING _ _1 . .
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co .L - •
51. CERTIFICATE OF OCCUPANCY -�.
-
No Date