HomeMy WebLinkAbout1345 SUNFLOWER AVE - Building Permits (2) Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
' Our Job No . 4479
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT,NO. TRACT NO. LOT NO. UNIT NO. 6609 E/2C/E:1;
Project Address 1345. Sunflower Avenue • I4751 • IS,.'-" T)
Applicant's Mailing Address p O Pox 4576 , Inglewood TYPE OF CONSTRUCTION-Il ❑ NEW LI ADD IX) ALTERATION LI REPAIR - ,
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Los Angeles Times 0 CONVERSION 0 DEMOLISH ❑ OTHER A.P. Zone
Owner's Name Phone gn3n9 DESCRIPTION OF WORK/USE OF BLDG.
Address 1345 Sunflower Ave. r I S Main Building: Accessory Building:
O(Y��1 Arch/Eng. v License No. TYPE OF PERMITl0 GRADING L FOUNDATION LI STRUCTURAL T Front U
1 Address ❑ TENANT Lg, ELECTRICAL ❑ PLUMBING ❑.MECHANICAL B Rear - N
213/ 0.OTHER • A I
_ Contractor's Name S .H.Fish Electric _Phon�7.8^ -']
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PROJECT DESCRIPTION SQ. FT. OCCUPANCY - C Right ._ N
Address(mailing) P .Q. $OX 4576, Inglewood--393-09CONSTRUCTION TYPE VALUATION.$ S Left G
S - • R
City License No. 0 2-x DEC ZONE 'GRADING Cy.YDS. ACRES plug. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION • -
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: C0
//��� -- Planning Notes: • M
with section 7000) of Division 3 of th• Business and Professions Code, and Composing Area T
my license is in full/� force� /� and effect. 5 ,
License Class C—y.0 nse 0.- a •
Date ' 8/1'5/84 Signature tan �,•:��;e •_ PLUMBING ' FEES '
tigWORKERS'COMPENSATION DEC A •_. t F
Hereby affirm that I have a certificate of cons• t to self-insure or a certificate II Bar Sink Showers ®� ELECTRICAL
I.Workers' Compensation Insurance, or artifietl copy thereof (Section BackflowPreventer Service Sink ,
3800, Lab. C. t Automatic Washer Transformer-D 15.50 KW-
Policy No. SP-84-003884om� r- 41, 8 a e -A a Y •8ackflow Irrigation - ■ Sewer Ca NM I ❑ 50+ KW
P Construction Pole Sub. III
Certified copy is hereby furnished. •
x-g{Rertifle c ,s pled with the city ,�rtte din• • Ion. ' �A' gi Bathtubs ■ Sewer Connection ® Cooking Unit I. Meter Cup to 100 amps
Date 8/ 11/ Applicant/ I I 7 /l!i //Z%I, _�
_EXEMPTION,FROM WORKERS'CO 'EN- • CLARA ON ' Clarifiers Solar Collectors Dishwasher Meter ❑over 100 amps
(This section need not be completed if the permit is fo one hundred($100) or'
less), • Dishwasher . Solar Piping, Dryers OGas OElectric
• Sub Panel
I certify that in the performance of the work for which this permit is.issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'h-8
Workers' Compensation Laws of California.
Date Signature ' Floor Drains Swimming Pool w/Spa •F.A.U. Ina.Solar ❑9-15 HP❑16-15+
NOTICE: If,after making this declaration, you should become subject to the •
Workers'- Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal Fixtures •
Comply with such -provisions or this permit shall be deemed revoked. 1 7 - - ' Microwave - - .3 40
CONSTRUCTION LENDING AGENCY' '
, Gas Service ' Dullets - Water Closet Device Boxes
I-hereby affirm that there is a construction lending agecy tonne performance - 1 7 Pole Light 3 40
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water HeaterOutlets
Lender's Name - - - 6 Range 1 20
Lender's'Address - ' Kitchen Sink - Water Service Switches
OWNER BUILDER DECLARATION _ Sign
I hereby affirm that I am exempt from the Contractor's License Law for the ' .Lavatories ' • I - I Garbage Disposal I Standing Sections •
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap - , , - Generator ❑0.5 KW❑5-15 KW
any structure, prior to'its Issuance, also requires the applicant for such permit . - Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of • Roof Drains
the Contractor's Ucense Law(Chapter 9(commencing with Section 7000) of -
livision 3 of the Business and Professions Code) or that he/she is exempt -
lerofrom and the basis for the alleged exemption. Any violation of Section -
031.5 by any applicant for a permit subjects the -applicant to a civil -
3hafty of not more than five hundred dollars($500).
Ll I, as owner of the property or myemployees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended Or offered - - . Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's . . MECHANICAL
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:
employees, provided that such improvements are not intended or offered for Boiler , Hood or Type I ❑
sale. lf,,however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
move for the purpose of sale). Building Approved By Date
U I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 4�
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU .
SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# •
PLUMBING $ ISSUANCE $
Date Owner - Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that have read this application and'state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ O , GRADING $
information is come I agree to comply with all city and county ordinances 1 9 I
and state laws re:a•to • slim• -.nstru • .lid hereby authorize rept¢- . PLAN CHECK 50% ® T.SO MICROFILM S
sentatives of this lrrAAA444i�`iii-'"' •on t a•:v:yr • 'onetl property for $
inspection ureas:. 1i -1:139-
.%67;/ 8/15/84 MECHANICAL $ TOTAL FEE $
Signature % JJ--x aate
Drivers' License or S IP I/ Reinspection Fee '$15 Issue Fee $ 3 PLAN CHECK 25% $
Pink-Accounting:Goldenrod -Assessor • - - •
r
• CONSTRUCTION AND PLANNING POG ,SPA
APPROVALS Permit - Date Inspector APPROVALS Pernilt # Date Inspector
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 :i
7. Footings •• `•, 58. Electrical Conduit-Undrgrnd. •.,,
8. Foundation ; •/� 59. Gas Pipe, 0 Undrgrnd.,Test f
•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 s • 63. Heater & Vent-Final
13. Roof Drains ` • •r
� 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit .r 66. Solar System-Final
16. Rough Electric Wiring CC 67. Fencing & Access Approval
17.-Rough Wiring Sign I' 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 O Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24-Roof Framing 73. Undergrnd.Storage Tank 0 Gas OOil
25. Roof Sheathing J 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 / ie 0. FOOD CERTIFICATE ISSUED
33. Final Electric ��Y"� •r J Notes:
34. Final Heating & Air.Conditioning `,YYYY���•���`
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 Domestic-Final • -
42. Backflow Preventer
43. Backflow Irrigation -- - . -
44. -Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison •
-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
1 No Date