HomeMy WebLinkAbout2601 FAIRVIEW RD - Building PermitsPP0.IECT PDOflESS: Z( O 1 FA I RV I E41 RD
OWNEfl'$NAME: CITY OF COSTA MESA
nooness: 7 7 FA I R DR
C.M. 92628
AflCNIENGINEEP:
ROONESS:
flfG.NO.:
UNR:
I1NIT:
resmirrEe: N.D. ELECTRIC (714)498�1799I
nooness: 2816 VIA AMAPOLA
SAN CLEMENTE CA 92673
UCENSED CONTNRLTOB OECIAXRTION: I �ere0y aliirm IIWI I am IiCenSeG unaer pmvisions o� Chapilr 9 ommencinq vnt� Seciion
7000) 0� Did510f1 � �� 111C 9115ifIC55 d�� Pt0�CS510f15 COtlE. d04 �ly IICEfISC IS Ifl 1011 I e anC efle .
ciTruc.: 060�2�5�4.(.`sr�n/Tcuc.:52361�s:' '� vo. �9/94
Da�e: _��1=�=-1 '1— Signature: _ . — -
WU81(ENS'COMPENSRTIONDECIANRTION: I�ereGyallumrtwt� avearertAiwreaicasemroSelNnsureoracertilicateolWorkers'
Comoensation I 5 a cC�ifi pY ��ereol I�tian 38 LaG.
POLICYN�.: ������G �� E%P.ORTE: S /OS /9S
' eamraNv: STATE FUND
� cenifiee coor � �ereey mrnisnea. C{ Ceniliea copy ¢ lilea xdin tne ci�� uiw�
�a�e� �f �IS-9 9 FC�litanl:
E%EMPTION FflOM WOPNEHS' COMPENSRTION OECIAMTION: (ihis secUon nE no1 Ue complete0 ii tAe permit is fa one �unGrM (5100) or less).
I ce�ity thal in Ihe peitormance oi Ihe work lor w�ic0 t�a perrtti� is i55ue0. I shall na� employ any Derson in any mann¢r so as �0 6ecome
suhle�� lo I�e Workers' Com0en5aiion Laws o� Califomia.
Dale: SiAnature:
NOTICE: II, atle� making Ihis tleclaratian. you s�ou10 OeCOme suUject lo the Workeri fAmDeiRaUon prOvisions al I�e LaOor
CoOe. you must lo��wi�� comply vnlh 5ut� O�ovi5ion5 Or IN5 permii Shall De Aeemetl fevokeC.
CONSTPULTION LENOING RGENCY: I hereGy atfirm ltwl t�ere is a consiruction IenEinq aqency for t�e peAormante al the woM for
w�it� i�is permii i5 �Ssu¢a (5¢CIiOn 31197. Gv. C�.
LENOEN:
� ROOPESS: ,
OWNEB BUIWEB DECUBR710N: 1 �ereEy aliirm tla� I am exemD� ��om t�e Cantractors' Sure Lkei¢e Law for t�e lollowinq reason
(Section 7Q3t.5 Business ana Prolesvonal COUe: My ci�y ol wunly wNc� rzpuires a permit Io construct, alter, improva, Oemolish, or
repair any stmc�we. O��or �o its issuance. also repuires t�e appiicam lor such permi� to lile a siAneO stalement i�at AdsOe a licensetl
oursuant io Ine pmvisions ol tAe Comractars' State license Law IClwpter 9(cnmmencing with S¢ction 7000) al Division 3 0l tne Buvness
an� Pmlessions Coae) or inat he/she is eMemD� ��e�elmm ane ine oasis lar Ine alleAea exemD�ion. Any violation of Seclion 70.11.5 by
any apPlicanl loi a Oermit su0j¢Cts I�e aDP���nt to a civil penatty al not mare than five AunEreO EOIIaR (55110�.
I, as owner ol I�e propeny or my emVloyees wit� wapes as �neir sole compenulion, wlll do tAa wark, antl Ne
❑ vmcture is not imenAed or olfeietl for sale (Semmn 704a, Business an0 Prolessiona� Cotle: 7he Contrac�ors' Slale License Law
Ooes nol apply to an awner of a Dmpeny wM Euil�s or improv¢5 tllereon, antl wtq d0e5 such vrork �imsell/�arsell or ItlmuAh
�i5 ar her own emplpy¢e5. Omvitled Iha� 5ut� impmvem¢n�5 are n0i intenAetl ar atlereG lor Sale. If, �awever �hB Euilain0 of
implovement is SOIE witAin ane year al completion. I�e awner will �ave tAe OuNen ol p�OWnq ANs�e Eitl nol Oui10 or improve
l lor Ine Durpase ol 5ale�.
��
' I. ai ownel ai I�e O�opetly. am ey[IusiveN COnlra[linq wilA litensetl wnira[IOrz t0 con5tmti �he pwjBCi (SEtiian 70C4. Business
❑ an0 Pmhssims CaUe: The ConlraUori S�ate Lkense Law Eces imt appy to an owner ol Dmcerty� �N�S or imD�� I�ereon
an0 wM Comratls tor suc� DrojecR wit� a contnclor(s� licanse Ourswnl m tne ConVanors' Staie License Law�. I am aware
inai D��� ot ineir Worker's CompensaUon insuranca stwul0 Oe prm�GeE ro me.
� I am exem0� wder Section: B. 8 P. C.
lor I�is reason:
Daie: G�ner.
I tlo nereEy cenily inal l am aware of an0 utkerstan0 tne r¢puiremenis ol Califomia Healtn ana $alecy COOe Sections 25505. 25533, ana
25534 and ihal I or anyluture �uil0ing accupaniwiluvnllnol (circle one)nee0to comvty vnin SaiA state to4es antlihe iepuiremenis lor a
Dermii lar conslmclion or moCilicalion irom I�e Air Oualiiy Manap¢meni Oistric�. ReSidential ton5imctian ap0���aiions are exempi �rom
Ihese pmvisions.
Oale: AOGlicani:
I �ereby certify t�at I Iwve reatl ih¢ ap0����bn anC state t�ai t�e above inlormatim i � ea. I agree co y xdth all ciry antl counry
ortlinancesanOslatelawsrelaling�o0uileingconslmclionanG�ereOyamiwm O�es t eso�t�is Ioen.rupon��eaCove-men�ioned
o�openy lo�insoecli0n purpo5es.
oa�e: � ��� �9�ture:
ori�er's License or 5aciai Securi�y e:
I6ai�n6 Whim—BuilUing: Green—Cqtle En�orcemenL Canary—Applicant; Pink—Revenue; GolOenroE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERt9 NO; E 057�2^
PERMIT WO: E 067622 PLAN CHECK NO: N GOVT QiUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
JOH DESCRIPTION : INSTALL. ELECT. SERCTICE TO HUS SHELTERS SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 /
COMMENTS: POWER TO HUS SAELTER FOR LIGHTINC
iF Y'!f iI'iE IfiP ih 1a ib if if 1E iF 9G iE Y'jf if iF iF lcif 1f 1f il"I(�1F *' 1f'K'If it ihif if K if if If iE 1f'N'If'1('if'If 1f'If if iF K'M'# if if IF#-�('i4 �E iF # If ff IE'N'M.'Y-9f'IE +I'Y F'i4i} iE N"N'
Z O N I N G R E Q U I R E M E N T S
s e T s a c x s
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUZLDING ---------
FRNT; FT IN REAR; FT IN FANT: FT ZAJ REAR: FT ZN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT I;d
PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
PLADINING NOTES>
>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E TI T S
ZONINC APPROVED HY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE; �—
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iffflF�lififiEMff#ifli�EifffifiliF�lEifiFiFi4i!�iFiFil�i�afifiFififiEiEiFiEiEiEiEiEiE�fit{E#9flEififiF#1f+fjtiEiFlEMfEiE�Yifififlfif�Elf�E fiR+EiFir+Fif+Fif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRTC MECHANIC FIRE SMIP/AES GRr1DING
PERMIT
19.25
5 �-x
PLAN
ISSUE FEE 15.00
BUILDING—DIC'—> PERMIT ZSSUE PLAN—CHECK
TOTALS----> 0.00 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBZNG ELECTRIC MECHANIC
TOTAL
0.00
SMIP/NON—RES
FAID DUE
.00 .00
.00 OVER/SHORT: .00
FIRE SMIP/TOT GRADING PLAN—CHECK
iE it iE it i! iE iF iF i/� # 1f it k iF iE if iE ff iE iE it aF 1r i(� if k 1f 1t 1t +r tf k k iE 1E i! r M iE if il� if if �f 1E k if V� M it # ih iE if iE k if if 1E iF if 1f if +f +E i� # it iE if iF iF if #+h Y 1� it+F
I N D I LT I D U A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COS'f
ELE 1 FZXTURES, LIGHTING 1 ST 20 EA. .75 .75
ELE 1 SERVICES HELOW 600 V 6 HELOW 2U1 AMP 18.50 18.50
END OF FEES
' R E p , oi ooi62368-0o162.ibs T O T
�ATE: 06/15/94 TI11E: 14:23
incomP►e e �"Spe�t�ons
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CONSTRUCTION ANDPLANNING P�� 'pA
APPROVALS Permit# Date Inspector APpqOVALS Permit?k Date Inspector
1. 7emporary Eiectrical Serv{ce or Pole 52. Pool & Equipment Location
2, Soi1 pipe�Undrgmd. �� � 53. Steel Reintorcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit•Undrgmd,� - 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Eleccr�cai UFER Grnd. 57. APPflOVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit•Undrgmd.
8. Foundation � 59. Gas Pipe, O UnUrgrnd.. Test
9. Water Pipe-Undrgmd. �. 60. Backwash Lines, P�Trap, l7 Undrgrnd.
10. Structural Floor Syscem 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
,•
12. $ewer Cap 63. Heater & Vent�Final �
73. Roof prains 64. Plumbing System - Final
14. Rough Plumbing ; ✓ 65. Electrical�Finai
15. Rough Electrical�Condu�t � 66. Sotar System-Final
16. Rough Electric Wiring 67. Fencin� & Access A�Proval
77. Rough Wiring Sign 68. APPROVED FOR PIASTERING
18. RougN Electrical-T Bar Ce�ling 69. POOL/SPA SYSTEMS F�NAL
19. RougM Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, �n Structure 70. Under9round Hydro
22, D�cts, Ventilatin4 71. Product Piping �Gas �Oil
23. Gas P�PQ�Rough & Test 72. Underground Flush
24. Roof Framing 73. Underyrnd.Storaye'fank C7Gas ❑Oil
25. Roof 5heathing 74. Overhead Flydro
26. T�Bar Ceiling (Structurall & Monocoat 75. Dry Chemical
27. Frome and Fiashing �6. Dry Standpipe
28. La[hing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPEC'fION
32. Electricai Power MeterPinal 80. FOOD CERTIFICATE ISSUEO
33. Final Electric "` Notes:l p,� `_'C.0 /7C � A � �_�'-�.. � _ . n(I� ,�,� n
-� �._� p�. .�BeA��� �nnucJ
34. FinalHeating&AirConditioning !�„ „ ��-t..Mn n t-+_ ., fl
l..X.�\i� 111aCQ-tifL_ aY�t�lF,
35. Final G'as Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final Plumbi�g
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow• Preventer
43. Backflow Irrigation
44. landscaDe Irrivation System
45. Sound Attenuation
46. Handicap Regulations
47. FINA4 STRUCTURE & BUILDING
46�. FINA4 PLANNING �
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date