HomeMy WebLinkAbout2190 CANYON DR - Building Permits/ ,.
i/
/
, _, -. � /. . . . _ _.. �.. _ _.. �
Q�I .
A
Zf� �/l Applicant to fill in all soaces exceo� those within heavy borOer Iines ana sign all aDoravriate tleclarations.
CITY OF COSTA MESA � CONST T� PERMIT. � P MIT N ,TRACT NO. LOT NO; � ' UNI
� �.- �9 S iz �� �
. Project Address �
AppliCanYs Mailing dre55 • � p. _ ' TYPE OF CONSTflUCTION NEW❑ ADD ALTERATION . REPAIR
;Owner'sName' ��[��S.��U� �� ❑CONVERSION ❑DEMOLISH OTHER q,p,#
_�� Phbne �DESCRIPTION OF WORK/USE OF BL�G. s� m u
Address ^ S��- 3O :�' ' • � � S- Main Buildin9:
i E' .
Arch/Eng. � LicenSeNo.' ,TYPEOFPERMIT� GRADING FOVNDATION ❑STRUCTURAL '� �T Front
� ' Address I � � ' � � � % '= ' J �e' - ❑ TENANT ❑ ELECTRICAL LUMBING ❑ MECHANICAL � , / A Rear � ...
ContracmrsName • • ����s Phope��QT�Zo �❑'�THER << <�P�- � C Right
!, Address (m i„1 �i - 3/36 A//.vGt9�U �� PROJECT DESCRIPTION 5p T. � oCCUPANcv_—��_ K.
- CONSTRUCTIONTVPE�r-�/�� VALUATION$ IPBOO' �S� Left
�'�' Cit License No. %S Z G S G/� :
\J Y .., . �; ZONE � GRADING CU. VDS. ACRES p�ng: Ref: #
I LICENSED CONTRA�TOR DECCARATION � , , ,
n� , I hereby affirm that 1 am-Ilcensetl untler provisions of ���� fififiarter (commencin9 •)yemarks: • ' Planning Notes:
�j with section 7000) oi Division 3.of tM1e Busines �rofe lons Cotle, antl �' - _ .
� my Imense is m t I i rce antl eftec i� � i
. �icense ciass G''`+��z-C�3Y'� � _i� n e rv 7'��s �
� Date G'Zi' S"q t _, o__�—_
WORKERS' COMPENSATION DECLARATION ,
' hereby affirm tM1at I have a ceriificate of ronsent to self-insu certificate
� ' Workers' Gompen5ation Insurance,.or a certlfled cy t�er,e .(Section
100, Lab. CJ � - �/ r/.'
PolicY Nb. k�W k�� ��� ComPanY � �-�SC
; eCevti�ietl copy iz hp�eby furniSM1etl. ����
Certlfi c i filetl with the city Buil ' i i
Date_��_ AppliCant
,EXEMPTION FROM WORKERS' COMPENSATION EC A 10 '
'(Thi55ection neetl not pe completetl if tFe permit is for one hundretl ($100)�or '
less). . � � i
certify that in the Pe�(ormance ot tha wo�k fo� which LhIS pe�m�t is i55ueQ I
s all, not, emDloy any person in any manner so as to become; subject ta the
workers' Compensati4n Laws oi California.i ' ' •
. Oate. � ` Signature % � -
'NOTICE: If, after making [his tleclaralion, you shoUltl become subject to the
� Workers' ComOensati�n' provisions.ot Ihe Labor. Cotle, you must forthwith .
' comply with� such p�ovision5 or this Oe�mit s�all be'tleemetl revoketl.
CONSTRUCTION LENDING AGENCV ' .j
1 hereby affirm that [ry¢re i5 a const�uction lentling aqency fo� the perto�marice
of the work fo� Which this pe�mit i5 i55uetl t(Section .309� Civ. C.)
- Lentler'sf Name ' - " '
Lentler's Htltlress ' ' ' � �
, OWNERBUILDER qECLARATION ' � ` ' '
I hereby atfiim that � am exempt from the ContraGto�'s License Law for the
following reason (SeCtion ]031.S�Businessantl Professional Gotle: Any city or .
wunty which requir@s a permit to construct, alter, improve, tlemolish onrepair �
any structure, prlor to its issuance,-al5o reqWres the applicant tor such permit �
nn fi�e a sianea statemrnt tnat'nehhe is licensed'oursuant to the provislons ot
11.5 by dOy dp
alty of not more
I,_as'owner ot
�oensation. will �
pieuon, tne owner wiii nav�
prove for the purpose ot sal�
❑ 5 own2r of th �ro i
I,a C p 0
Iractorsto con5t�uctChe prc
The Contractor's LirenSe l
builds or'improve5 thereoo
tractor(s) litense pursuan[ �
proof of thei� Worker's C<
i
❑ Lam exempt under Secti
Date f
1 herebY'terHfY'that 1 1��
information is correct/i1.69r
antl Profes5ion5 Cotle) or that M1e/sne Is exemp[ ;
' th¢ allegetl ezemption: Any violdtion' of Section '�
fo�. a permlL sublects .the� applicant_ to a civil
e huntlretl tlollars (5500�. � . • �
perty or my9employee5' wi[ti wa9es as their sole
vork, antl thestructure is not intentletl o� otferetl �
isiness antl Piofeszional Cotle: The Contractor's
to an owner of a property� wM10 builtls or improves
h work himselt/herself ordhrough his or�her own �
¢h improvements are not�intentleC or ofteretl'for
ng or imorovement is soltl within one Year o( com-
: the burtlen of proving he/she tlitl not builtl or im-
:�rty, am exclusively contractinq witb licensetl con-
ject (Section ]044, Business antl Protessions Coae:
aw tloes not apply to an owner of property who
, antl who cont�acts tor such projects with a con-
o tne'�Contractor's License Law). I am aware that
�mpensation insurance shoultl be p/ovitletl to me.
m B. & P. G. Por this reason
3ar Sink
3ackflow-Preventer - -
3ackflow Irrigation „
3athtubs . '
Clarifiers � '
Dishwasher .
Drinking Fountains �
Floor Drains
Floor Sinks � .
GasService Outlets .
Interceptors: - -
Kitchen Sink " �
Lavatories � • �
P-Trap! ' �
Roof �rains' � .� � �
. . .� � � . ' . ' a.
�:Feinsp,ection.Fee'+� ; ,$'
4oiler - . ,: ,
Duct - Under Ground r '
Duct - Structural
Duct - Ventilating_ �_ _ : � _
Exhaust System ❑ Multiple C
Firepl/Fact. Blt. ICBO �#
Heating System & Ducting !
Oo-ioo,000 sru O�ao,000er
' .
ISi9nature Y '"' Date ��Z�j .� S
. Drivers' Li< 55 � � Reinspection Fee
CMF 0865-46, rev. 30/B4 White - Builtling; Canary - Applicant: Pink - Acwunting; Goltlenrotl - Assessor
Showers
Service Sink�
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank ,
Swimminq Pool w
Urinal ,
Water Closet
Water�Heatei
�Water Servic
� � _ ..
IdYS �
� � � Issue Fee
Hood ar � Type I ❑
CanoPV TYPe II: ❑
Refrigeration Sys[em
❑0-100,OOOBTU ❑1
System RepaidAlterati
Fire Dampers �
Registers
; i
, � Issue Fee
� '
' fEES
- •Automatic Washer �
� ConstructionPoleSub. ;
• � Cooking Unit
� 'Dishwasher �
Dryers ❑Gas ❑Electri�
� Fan �
F.A.U. '
Fixtures = - .
Device Boxes
�
;� s a
5689 6/27785
- Zone
9303�+ 7l
Accessory Building: � '
2
. i, . O
N
- I
� - t i G
. ' ` 'R
Parking Req./Provided �< E
. . , ' . Q.' ..
� I' M
� � S i
�ELECTRICAL � �FEES
Transformer �� 15-50 KW - --,. '� � �
, � Cl 50+KW �
� ,Meter ❑up to 100 amps '
. Metei ❑over 100 amps i
' Sub Panel � ' �
'Motors 00�1 HP O1'/: - 8
Inc.Solar �9-15 HP 016-75+ �
Pole Light
I Sign
sposal ' ;Standing
❑0;5 KW �5-15 KW Trash Co
' ' . .p. "
ons
[or �
'
r 1 r
ReinspeMian Fee � I$75 luue Fee' . �$ 3
DEVELOPMENTSERVICESREQUIREMENTS: �
Za�ing AVP�oved By � Date�
Buildin9 Approved By � Date �
Appliration Issued By ,/� \ Date d%�
)
+ ��^ � �SUMMAR�F FEES ' '
.',BUILDING PERMIT '$ � S U SMIP �$ �
-'� �r PLAN CHECK $ PERMIT ' ' �
PLUMBWG $ ' ' ISSUANCE � $ ;
�� PLAN CHECK 25% $� ENERGV P.C. $� �
' ELECT,RiCAL �$ GRADING $ ; - ;
� ' ' MICROFILM $ � '
PLAN CHECK 50°� $� I 7 '�/� i
MECHANICAL ' $ TOTALFEE � $ ?L�1�
PLAN CHECK 25%� $ � _ ' • ` /
� CONSTRUCTION AND PLANNING - POOL ;PA �
APPROVALS Permit # Date Inspector ,- AppROVALS Permit # Date Inspector
1. Temporary Electrical Seivice or Pole .52. Pool & Equipment Location .
�- 2. Soil Pipe-Undrgrnd. . � � 53. Steel Reinforcement '
3. Electrical Conduit lftility-Undrgrnd.' 54., Forms . - ,1:
4. Electncal ConduitiUndrgrnd. . � 55. Electrical Bonding . -
� 5lSteel•Reinforcement� '� . ' t � 56. Rough Plumbing & Pressure Test
6.��Electrical UFER Grnd. � �, i 57. APPROVAL TO COVER-GUNITE -
7. �Footings , � " , � 58. Electrical Conduit-Undrgmd. . - , .
8r'Foundation. ��' �- , . 59. Gas Pipe, O Undrgrnd., Test J
_ •�
9. Water Pipe-Undrgrnil. � ' • �� ' 60. Backwash Lines, P-Trap, O Undrgrnd.
f '
10.,�Structural Floor System �a / ��� � 61. APPROVAL TO DECK �
i i:;Property Sewer Line'& House-Connection f' �62. Backwash & Receptor-Final
' 12. Sewer Cap . � . . � _. ... 63. Heater & VenrFinal
. 13. Roof Drains _, . , � 64. Plumbing System - Final ���
14. Rough Plumbing ��- � 65. Electrical-Final �
' 15. Rough Electriral-Conduit ' - 66. Solar System-Final �
'�1 B. 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 i 70. Underground Hydro .
22. Ducts, Ventilatiiig ' � 71. Product Piping 0 Gas ❑ Oil ,
23i Gas Pipe-Rough & Test ,, 72. Underground Flush, ,
24. Roof Framing' . • 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � , � 74. Overhead Hydro � �
-26. T-Bar:Ceiling (Structural) & Monocoat - 75. Dry Chemical �
�27. FrameandFlashing 76. DryStandpipe .
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29.� Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing , HEALTH,DEPT. REQUIREMENT
31. Plaste� Brown Coat , 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final'Electric '� Notes: '. j��� S •/r
34. Final Heating & Air�Conditioning ' d �� ` -- �� `
35. Final Gas PiPe-Test � � .
36. Hood�or Canopy • � ' � -
37. Final Factory Fireplace .
38. F�irial Plumbing ' -
39. Water Service-Final ' -
40. Gas Service-Final . .
41. Solar pomesticFinal • . . . ,
42. Backflow Preventer � . � - � �
43. Backflow Irrigation , . , �-
44. .L'andscape Irrigation System .
45. Sound Attenuation
�
46. HandicaP Regulations ' -
47. FINALSTRUCTURE'&BUILDING . � '
48. Special Requirements Completed '
49. E�ectrie Release to�Edison � � '
50: Gas Release to Southern California Gas Co , � ! , . � i-
51. CERTIFICATE OF OCCUPANCY - - . ' ' ' �
No. Date