HomeMy WebLinkAbout1525 SUPERIOR AVE - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA - -1 -; -- - �,; -" - - .. - - - - -- - ( -- -1 -13.U'! TL
_ PERMIT NO. t, - TRACT NO. LOT NO. BLDG.NO. •I 51142, �J��xI��
• CONSTRUCTION PERMIT' • ' - re. ff 36 / ' • •
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• �[ • < If
Applicant's Mailing Address • - .e 'T •-S• TYPE OF CONSTRUCTION- , 0 NEW ,U ADD LI ALTERATION 'U REPAIR c - • '
Project Address 152 0PER/O& ' ❑ CONVERSION ❑ DEMOLI H ❑ OTHER • •
- 1 ' _ • 1
' �i! -��f- �j[� . • - DESCRIPTION'OF WORS/�'! SC4.4..),C�-C S
Owner's Name / .ph
WORK_ / ' ' • ZONING.REGULATIONS •
Address( - ' - •• TYPE OF PERMIT '• LI'GRADING ��1 FOUNDATION U.STRUCTURAL` . • 20NE 1 •
Arch/Eng. • ' ^ I License No.1 f��� •1 i ' ❑ TENANT lar ELECTRICAL Ja4 PLUMBING ❑ MECHANICAL_ - PLNG. REF.•X• '-BUILDING. - ;� , -
Address •- / _y(�]a4,,,Te1IC'-7 0--) •' - ❑ OTHER r - TO BUILDING - • eFTwerr rn CT
Contractor 5 Name - �••-Als- 4 I -Phone 4J l+_ PROJECT DESCRIPTION $O. FT. - - OCCUPANCY . PROPERTY I INE - 'REAR YARD (TO P/U - _ _
Address(mailing) /4:1411 _i.kQQ lU I : • • 'CONSTRUCTION TYPE r v ; VALUATION$ LEFT SIDE YARD RIGHT SIDE YARD t
Z- -� �i • _� i y ZONE - GRADING CU.YDS. ACRES • r PKC.SPACE REQ. • PROVIDED 1 1..
•
CO License No. _ - • - 1 _ ,
I LICENSED CONTRACTOR DECLARATION Remarks: , ' STREET WIDTH . PARK FEE$ • _
I_hereby'affirm that l'am licensed under provisions of•Charter•9(commencing - n ' • I - ^
1 With section 7000) of Division 3 of he Business and Proles Ions Code,and , I . .• _• SPECIAL CONDITIONS: , I • . 'c• 1
s� my license-Is in full force and,effect. -
y ' - Ucenie Ct. s ` ■ • \ L-Ice No i - , PLUMBING I I ; ' I : , e '
Date Et Signature ��_•-. •� ��_� ' ' -
v Bar Sink Sewer Cap 1 ELECTRICAL ^,
s WORKS-S'COMPENSATION DECLAR• ON ; - - , ■• ljI 1 •
I{ I hereby affirm tnat I haves certificate of consent to dcop self-Miura or a certificate_ ' Ba2kflow•Preventer - - -, -•- / - SBNRr Connection: - - - -- - /A OO - - _I_ - -
Workers' Compensation Insurance, or a certified copy thereof (Section -
3 J0, Lab. C.) ' I Backflow Irrigation I - Solar I ,
rolicy No. company ' -Collectors.
Q Certified copy is hereby furnished. • 1 ; Bathtubsking Unit
i Solar Piping 1
�Q Certified copy is filed with the city Building Division. 1 , Dishwasher•• ■s ■ I
•
Date • Applicant • Clarifiers Solar Tank - . •
EXEMPTION,FROM WORKERS'COMPENSATION DECLARATION-- 1 a ■ - ■ •' • ■ I. 'C� -
(This section need not be completed if the permit is for one hundred($100)or ! Dish Washer 1 I Swimming Pooi W/Spa
1 certify.that in the performance of the work for'which this permit Is Issued I ' ; Drinking Fountains 1 Urinal I 1
shall,not employ any person in any manner so'as to become subject_to the ` _ -
Workers'.Compensation•Laws of California. I •
' Floor Drains) k Water Closet I r i
Date ' Signature ' '
-NOTICE: If,after-Making this declaration, you should become subject-to the- , - Floor-Sinks ... . - •-Water Heater;--- - - '- -• - -- • ,.-'
' Workers', Compensation provisions of the Labor Code, you must forthwith - -
comply with' such provisions'_or"this•,Dermit shall be deemed revoked., '- • Gas Service • Outlets I _ 'Water,Service - e' • 1
CONSTRUCTION,LENDING AGENCY V.
'
I hereby affirm that there is a,construction lending agency for the performance; ; •, Interceptors ; �' • Outlets�' ��S�, 1
of the work 'for whit copls ermil Is 'issued .(Section 3097 Civ C.)' ` •
Lentler's, Name ti' ✓ I I •1 KitchenSink 2 L.
4 i- , '•.' .sem1 . F. •
.'Lender's' Address. ` I " '1 , i I+ 1. r ., "• tV _ 1 Garbe eDis osal - • I s • ' 00
OWNER BUILDER DECLARATION 1 - Levatoriessl . ,3 . .. GeV a yr� 9 P 0 �, - ,- ! 5- 1
I following reason-(Sect a 1.5 Business and'Prof ssional Coee:Any city or . • P-I tap' -t -. - -414.1.9>
T y ;�: 1 o �,�aJ �p '
-county which requires a permit to construct',alter Improve,demolish r repair sJ1{.1��• - I i-,- Transformer 015-50 KW . I '
any structure, prior to its Issuane/she is requires the s ualican th or such permit 1 . Rdofi Drains ` ` I / , ' I _ '
• to file a signed statement that he/she is licensed pursuant to the provisions of • _ngI}I 050 , KW: -
the siontract the Business
(Chapter 9 Co ncingiwith Section 7000)of 1 • ' e /( I -•- -- 1 a I , 1 ,Reinspection Fee , I $15
' Division 3 of the Business and Professions Coie)•ar,that;he/she Is exempt - ' Showers I .I - 4. , ( , Reinspection,Fee ,'$15 , - , _
' •r1:5 byand the;basis for the alleged exemptcts the violicant of Section 1 _ ', , v - Meter ❑op to 100.ampi 't :Issue Fee • . $ 3
1:5 by•any applicant for•a•permit (acts the applicant to a civil • • _ _
.alty of not more than five hundred dollars($500). Service Slnk ) i Issue Fee ' I a �$ 3 Zoning Approved By ' I I I ' 1 Date !
'U I,-as'owner of:the property 'of my employees with wages as their sole 4 --- I I I r
compensation willfdo the work,antl the structure is not intended or offered I - r 4 ' - MECHANICAL ' 1
I s _. - 1 1 Application Approved By ' Date I
for sale I(Section 7044, Business•andowner of;Professional Code:;.The Contractor's • - •
License Law does not apply to an owner of a property;who builds or improves I ' Boller ;,•^ '" • Refrigeration System ' 1 : ' • i -i -‘-n
�.6 !
thereon,'and who does,such,work himself/herself or through his or her own - I i - I _ Application!slued By , 'Data. 7 ��-¢�
employees, provided that such improvements are;nit intended or offered for I 1 ❑6100,000 BTU ❑100,000 BTU s';
• sale. If, however, the building or improvement is sold within one year of corn- • Duct-Under,Giound ; I . -, i 1' ' SUMMARY OF FEES • . 1
pletion,fthe purpose of have the burden of proving he/she did not build or Im- • ' •
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' move for the purpose sale).. 1 ; , , I • 1 Duct-Structural System Repair/Alteration 'y1.� ', BUILDING PERMIT ,
U I,as owner of the property,am exclusively contracting with licensed con- I - , - ' $' 1 I SMIP , $
' tractors to construct the:project-(Section 7044,Business and Professions Code:., Duct:Ventilating-_ _;____ . __, ' __f r 'PLAN CHECK $ ' PERMIT • I I
rThe Contractor's License Law does not apply to an owner of property who - - - i , I I 1 00 ' • ISSUANCE I $ • '
builds or improves thereon,and who contracts for such projects with a con- I - Exhaust System 0 Multiple 0 - I , - , PLUMBING + $, J ' I
tractor(s) license pursuant to the Contractor's License Law), I - ' GRADING • ' $ _
0 I am exempt under Section ' B.&P.C.for this reaion I. Firepl/Fact.Bit. ICBG# I I I t PLAN CHECK. 1 $• - 1 I
•
Date - owner Heating System&Ducting r I ELECTRICAL I $, rte' co
1 1 $ '
I-hereby .certify-that-I have read•this'a lication- - -Do-ioo000 BTU•D100,000BTU- • - -• - -- — PLAN CHECK $: ' j MICROFILM I $ '
p antl state that the above -
Information is cornet I agree to tomcat ith all c county ordinances repro- , - ( TOTAL FEE. , $ I
and state laws relati • to building co action, and hereby author ze repro- , IME CHANICAL $• ,
sentatives of this ci, 'to ant. •u t . above-mentioned pr••e y r Hood or 7y'pe I ❑, I 1 I i
p Reinspection Fee $15 PLAN CHECK 1 ADVANCED PC ' $
'Inspection purposes. Canopy Type II ❑' _ $
Signature = ... . , -ei - , • Date - • ,
• Drivers' Ucense or - �` Registers _ • Issue Fee ! $ 3 I 1 - I 4 I t�_�
FINAL FEE $ 1"--
CMF-0865=46-rev. 12782 White-Building;Canape-A plica's�nt-pink- C9 ueting;Goldenrod-Assessor
C "Le cao•. /e J)
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;CONSTRUCTION AND PLANNING _ - - - POOL I %
- `APPROVALS Permit#- - - Date Inspector APPROVALS Permit - Date Inspector
.I 1. ITemporaryiElectrical 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.r > F -• , 55. Electrical Bonding .
5. Steell Reinforcement ' .. , - 56. Rough Plumbing& Pressure Test•
6. Electrical UFER,Grnd. 7 ' - - - ' 57. APPROVAL TO COVER-GUNITE' -
7. .Footings I - 71 I, t c. - ;, - . 58. •Electrical Conduit-Undrgrnd..
8. Foundation ' 1 • •. - 1 59. Gas.Pipe, UUndrgrnd.,Test '
•9. Water Pipe-Undrgrnd.. - - . • '
- 60. Backwash Lines,P-Trap, U 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 Pl'u'mbing' - - 65. Electrical-Final ••
- 15. Rough Electrical:Conduit';"---' .' '- - ' - "- . - '66. Sol&r Sy-stem-Final - - '- - .
16. •Rough,Electric Wiring. .. 1 '. - !' ''" . 67.-Fencing &Access Approval'
17. Rough Wiring-Sign_ i .68. APPROVED FOR PLASTERING
18. Rough Electrical-T.Bar Ceiling I I - 69. POOUSPA SYSTEMS FINAL
19. Rougli_,Heating& Air Conditioning , 1 _ FIRE DEPT. REQUIREMENT '
20. Rough.Factory Fireplace : , APPROVALS. Permit#
21. Ducts, in,Structure'; ' , ' - ; • 70. Underground Hydro
• 22. Ducts, entilating r 71. Product Piping 0 Gas U Oil •
23. Gas Pipe-Rough &Test , ' ' - 72. Underground Flush .
24.'Roof Framing 73. Undergrnd.StorageTank 0Gas.0Oil
25. Roof Sheathing . ' 74. Overhead'Hydfb '
26. T-Bar Ceiling (Structural)!& Monocoat I 75. Dry Chemical. -
-27. Frame and Flashing - - 76. Dry Siandpipe '
26. Lathing & Siding ^l _ 77. FIXED SYSTEM FINAL.
29, Insulation r 78. FIRE KIEV. FINAL
30. Drywall Nailing , Notes: v4,,jr,a ,s/ 74:7e. �� ot .
' 31. Plaster Brown CoatSO 71D /l90iserl/o'n 91/2/F,
32..Electrical Power Meter-Final i ' -
33. Final Electric i '
34. Final Heating &;Air Conditioning , , ' -
35. Final Gas Pipe-Test v , • r - _ , -
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36. Hood or.CanoPy--- - - "
37. Final Factory Fi •
replace • - ' -
38. Final Plumbing `I "
39. WaterService-Final ' t •
•
40. Gas Service-Final I r . /
41. Solar Domestic-Final • .
42. Backflow Preventer , -
43. Backflow Irrigation '
44. Landscape Irrigation System• - - . '
_ 1 . • . ..
45. Sound -Attenuation y ' _
46. Handicap Regulations - I . ' ' _
47.•FINAL STRUCTURE & BUILDING I. , - ' . •
48. Special Requirements Completed ,! 1 : 1. I , ' ' - ' ! .
49. Electric Retease,to Edison' 1 , ' '_ --!.- _ - . . . . ..
50. Gas Release to Southern California Gas Co ' ' r
51. CERTIFICATE OF OCCUPANCY _ _I -
No It , . Date •