HomeMy WebLinkAbout3302 BRISTOL ST - Building Permits��I
PF0.IECTAOONESS: ]3O2 BRISTOL ST
OWNEX'SNAME: CITY OF COSTA MESA
nooness: 77 FAIR DR
COSTA MESA
CA 92626
(714)754-5029
AflCHIENGINEEB:
RUOflE55:
sec.xo.:
UNIT:
UNIT:
PENMITTEE: CITY OF COSTA MESA ( 714 ) 754-5029
nooeess: 77 FAIR DR
COSTA MESA CA 92626
LILENSED CONTNACTOfl OELNflFTION: I nere�y allirm t�at I am licensetl under pmvisions oi C�aD�er 9(commencing wilA Section
7000) oi UiNsion 3 of Ihe Busines5 and Pmtessions Cede. and my q�ense is in full �orce and ellect.
CIiY LIC.: STATE LIC.: CIASS:
�ale: Signature:
WOpNEBS' COMPENSAiION OECLANATION: I nereby afiirm tna� I have a certilicate ol consem ta self-insure or a cenilicate oI Workers'
ComDenution Insurance. or a cenifietl caDY ��ereal (Section 3800. Lab. q.
POIICY NO.: EXP. UATE:
COMPPNY:
�i CBriilied CoOY 15 bere�y Wmi5h0A. ❑ Certilied tapy is �il0tl wh� �hB Eliy BwlNng UivlSion.
Date: Fppliuni:
EXEMVTIONFBOMWOflNEPS'COMPENSpTIONOECUBATION: (T�iSSeclionneeOnolbecampleteGitlheDe��isfarone�unErLd�57W�orless�.
i cetlity Ihal in the pedormance of Ihe work for w�ic� Ihis permil i5 i59uetl. I shall not employ any peroon in any manner sa as lo become
suble�� �o Ne War e�s' Cam ensalion Lava oi Catilornia. � /�A '
Oate: Z� Z Signa�ure: � � � `
NOTICE: �, after f aking thfs UeClara�ion. y0u S�ou�e beCom¢ SU�let� �o ��e Workers' Compeniation pwvisions ot ine La�ar
Cotle. you musl f0�hwi�h comply wil� SUCh O�ovisions Or IM1is perrtti� Shall Oe deemed revOketl.
a , CZTY O�' COSTA MESA — BUILDING PERMIT PERM NO: E 060021
PERMIT NO: E 060021 �PLAN CHECR NO; N GOVT; Y SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : TRAFFIC SIGNAL POWER SUPPLY SQ FT;
CLAZM VALUE: CALC—VALUE; GROUP OCC; /
COMMENTS: INSTALLATION OF A NEW TRAFFIC SIGNAL
+��+r�r*�rx�*x*�**�r**��r*�r�r�r�r*�r+�***+�*****+��t*+r�t**�t�r**�r*******�r**�r**�t�t*�****�r*�*�r****
, Z O N I N G R E Q U I R E M E N T S
ssTBAcxs
------------ MAIN BUZLDING
FRNT: FT IN REAR;
LEFT: FT IN RGHT;
-------- --------- ACCESSORY BUILDING ---------
FT IN FRNT; FT IN REAR: FT IN
FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO:
PLANNING NnTES>
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k ik i! 1Flf iFit IF 1F 1f k!f k 1f 1f 1E iE 3f ik if if if if k ik if k ik if ik �k if 3f ft K'�k if if iE i! iF iE k ik if i! if iF k if k iF iE k k if iE if k�f k 1Flt ik it it i! iE iE iE iFiF k ik ik iE iE i! k
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 N T S
� .�
20NSNG APPROVED BY ��-S DATE:
BUILDING APPROVED BY ; .'�/� ,., DATE:
CONSTPUCTION LENDING pGENCY: I hereGy a��ifm Ihai t�er¢ is a pOnstmtii0n lentling agenCy �or (he pedormante al t�e wOrk IOr APPL ICAT I ON I SSUED BY • `�; • ��
w�ith Ihis Oermii is is5ue0 (Settion 3097. Civ. CI. if fF �k i! 1k 1t ff 1t k!F ik �F 1F iF k k iF �lklFlFlFlk
LENUEH: if!likMlfifikkikiflkiFkMkifkikikihif.ikilifiFifififitiFiFlElFikiFkifiFiFififiFiFil�fif if
aoosess: LEGALI2ATION;N F E E S U M M A R
OwNEN BUImEB oECIABRTION: I here0y afiirm ma� I am exemo� irom tne Caniracmrs' $tate Lken52 Law �Of lhe lallOvnnq rea5on H LDG PMT PLUMH ING $LECTR I C MECHAN IC
�Sectian 703t.5 eusiness antl Protessionat Coae: Any dty ol county which repuires a vermn m consimct, alter, impmve, 4emalisA, or P$RM I T 1$� OS =
reoair any S�mctut¢. prior �o ii5 issuanc¢, also r¢Quir¢5 Ihe applitan� lor sut� permil to hle a 5igneA Siatemenl t�ai �e/She is licens¢4
pursuant m the provisians oi ine Comractars' State License �aw (C�ap�¢r 9 �commencing witA Section 70W) of Division 3 0l Ihe Business PL�
antl Pt01¢5si0ns Coae) Or I�ai he/she is exempt I�ereirom an0 I�e Oasis for Ihe alleq¢0 eKempli0n. Any Nola�ion ol SetliOn 7031.5 hy
any aOV�icam lor a permit su�lects ��e aDPticant lo a civil Oenaliy oi not more ttun irve �unOreG OOIWrs (5500�. ISSUE FEE i$, ��
u�:vM�
if ik if iF ik ik k if if if ik if iFif ik fk ik 1h �E �E k if iE 1k iE iF if it iE if
Y STRUCTURAL SEGMENT;N
FIRE SMIP/RES GRADZNG
SMIP/NON—RES
i. as owner oi me dropeny or my empioyees witn waees as iheu soie compen5a�ion, will tlo �he wanc, ana tne BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID ' DUE
❑ slruclure is noi inlentletl or ailerea tor sale (Seclion 7044, BUSiness an0 Pmlessional CoUe: The Coniractors' State ticense �aw TOTALS----> 0, 00 0, 00 0, 00 0, 0 0 � , 00 , 00
Aaes no� apply lo an owner oI a proOerlY w�o Ouilds or imD�ov¢5 Ih¢reon, and wh0 does SUCh work �imSelUheRell af ��mUp�
nis or ner own emDloyees. D�odOetl that wcn imprwemems are no1 imenaee or otferetl for sale. If, however the builtlinp or REVENUE D Z V I S ION TOTALS--> COLLECTED •
imD�ovement is sold wi�hin one year of wmpletion. ��¢ owner vriil have t�e EurEen ol proving he/she OiG not builU ar impmve BLDG PMT PLUMB I Ni�i ELECTR IC MECHAN I C
la� �ne v�roose ol sale�. �
,x I. as owner ol I�e pm0erty, am excNsively contracting wit� li�¢nse0 comractors �o constmct the O�alect (Seclion 704a, Business
' IJ aiM Profeuions CWe: T�e Contracmrs' Siate Lkense law Gp¢s noi aDPN �o an owner o� properfywho �wl0.s or impmvei thereon
' an0 w�o tom�at�s lor SUC� prole��s wi�� a wn(raCtaqs� lit@n5e pur5uani to I�e COntfat�ars' Slai! LitenSe Law�. I am awar¢
Ihai proof ol I�eir WoBer'S Comp¢nsaiion irisurance shoultl be prwiGeG Io me.
� I am exempt untler Section: B. 8 P. C,
lor Ihis reasan: I
�ale: `�� Qxner�� � ��
I ao �ere0y ce dy Iha� I am aware ol an0 untlerslanE Ine requiremen�s o� Cali�omia Healih anA Salely CoOe Seclions 25505, 25533, and
2553C antl I�al I or any �ulu�e builaing occupanl will/will not (circle oqe) neetl b comply with said slaie co0e5 antl Ihe requiremen�s for a
permi�tarcons�mc�ion or modibcation imm ��e AirOualiiy Managem¢nl asiricl. Fesitlenlialcons�metion aDPlica�i0n5 are exempitmm
�nese oiovisions.
Date: Applicanl:
Iherehy cerlity��aU have rea0ihi5 applitalion and Sla�e Iha� Ihe a0ov¢iniormalionis cOrreCL lagree l0 tompty vn�� ail Ci�y and Coun�y
or0inance5 ane staie laws r¢W�ing lo GuilOing consimclion an0 hereby ap�ry��e repre5enlaiive5 oi Iks dry to eni¢r upon IAe a6ove�men�ioneC
pm0eny lor�ins�pe.�c�iion purposes. � �
Daie:�(1l�1J...�— Signamre:
oriver's ticense or 9ocia� Secunty a:
164i-c6 White—Bwltlmg: Green—CoDe EnbrcemenL Canary�qppliwnC Pink—Revenue; Gdtlenroa—Assessor
.00 OVER/5HORT: 00
FIRE SMIP/TOT GRADING PLAN—CHECK
it iF it iF itlt f! it if i! 1! i! fF ik k k iF ik k k iklk if k if if M!E ik if if if iflf if itlf if if iF iF it i! ik if iF i! iE ik if if if if iF ik �Flt k ik k �k If if iF �F if ik k 1klFlFlt 1ElF M�F ik if iF
I N D I V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R I P T I O N. UNZT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V S BELOW 201 AMP 18,50 18,50
END OF FEES
� i
CONSTRUCTION AND PLANNING POOL t�SPA
APPROVALS Permit # � Date Inspector qppROVALS Permit # Date inspector
1. Temporary Electrical Service or Pole ;� 52. Pool & Equipment Location �- %`
2. Soil Pipe-Undrgrnd. f�� 53. Steel Reinforcement '� '�
r� _. ,, l ,
c••
'-.3.��e�f�al Con�uit I�Iility�Undrgrnd. � 54. Forms, � �/!
y e�
,;,�4::.�lecirieal Conduti t�drgrnd. 55. Electrical Bonding � ;
��5:rS�¢�1,ij�inforce�en�; , 56. Rough Plumbing & Pressure Test � '�
x�6�{pcirical UP�Rc6ind. 57. APPROVAL TO COVE.R-GUNITE '
C��, Footiags ���7 � 58. Electrica� ConduirUndrgmd. -•
�
p; 8. Foundation E � 59. Gas Pipe, O Undrgrnd., Test «
� 7. Water Pipe�Un@tgrnd. y%� � 60. Backwash Lines, P-Trap, O Undrgrnd. ���
10. Structural Floor System �� 61. APPROVAL TO DECK � f� 1
11. Property Sewer Line & House Connection � '%
, 62. Backwash & Receptor�Final ir j �
12. Sewer CaP � . ''.
a �� 63. Heater & Vent-Final �
13. Roof Drains 2 � 64.�.Plumbing System - Final � �
14. Rough Plumbin� '� �, 65. Electrical-Final r� ��
15. Rough Electrical-Conduit � 66. Solar System-Final . _%
, 16. Rough ElectribWiring � 67. Fencing & Access Approval !I�w � �
77. Rough Wiring Sign , 68. �APPROVED FOR PLASTERING `
18. Rough Electri��T Bar Ceiling� 69. POOL/SPA SYSTEMS FINAL ' �
'19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT ••
20%�;Ro �h pctany FJrsplace i xc+7 ��t'7 �� O � �T'+ x�APPFt6VALS.;^Pe mit #* '^ '"
s: � r �: �-, . x x � �-�,r+.c. � x
� x f�- 7CS M -- - 7x x S: `7- �q > n
21�u,�CLs, irUStr�a�� �.. .. ,�.5 x y- _, ,_..� .x �70. finder9cpgn FiY�ro x
i22. Duets, VPntt�atirt�x i G:� �?: � : �L� x�7�, produc�Pt`p�ng f96as ��Oil
23��-Ga�iP�Ro h&'�e5t � n` x � Jv� x. n i � r-. s: n�
; �0 � �S � ;r, J ¢ C„ x 72• Undergrodnd F�ii{�i�. �
24;rRotSf FEeming Sx i�.-F =�:= .^, ^ �T X S73,rUndergrnB.Stora�Tank*OGasyOOil
25. Ro'of SCathin � '- T T � � '
1� 9�r � y•.x ' � j j:< x'74,�Overhead�Hydr j' ,�
26:,T�Bqr Ceiling (Stryaturaq S�Aenocoat * A ax r 75: Dry Chemical y �- C'�
H " 1' L
27U rame�ndFlashin� =�'�� �'�`` � Sy" 76-. DryStand�e �S ; ' '' �
r .v
'_28�Lathing� Siding x v. -��z � = S_ �••r x 77' FIXED Si`STEfPI'61NAL� � c`
r �
^, x ^ .� . .. > v, iT1 x . ) _ ... � _ ^]
='29. Insulatisn �� - S'� K 2� 76pFIRE PREV. FINAL ,c •a s
v �� -' ' x F HEALTti;DEPi; REQ�IIREMENT
.130. Drywall Nailing -;, x k � /�-%
n31. Plaster 8'�o�n Co��` " "'� 73�FINAL IIlS�ECTtON "`-' � ==
�.. S � r;r +: 1 x x � 3
=Ls2r,-Electricaj Po`�yerl�Aetey-Finap r`� Y�' / s x:780:qF00D CERTIFICRTE ISSUED�
�..
) 33`�Fi a�l E�CF[rt� �'�'K 'i1 I 6 Y , c x � NQFes: .-� � � r x' ^ M Fl
,'n�,734i-Final Hv ting& �i% onditiqri�g ;� '� :; x � •� '•y- �� 5 " '
. .�
35:�Firial G�3 Pi'�5'e-TesK �� = " s x ��oM, oC', tnS k:r O
i .i X -� � > .t " � J �.-: n ��.
T c V �1:�: � .. * / ^ . . X C,' �-.
;n36. HoB�o'r�CanoPY�::.� i•�'- c <C'� �,i. >. -<. yc Y �,�
"37CFina1 Fa"2tory Fi �lace^ � Str � x" �i' -'. : � t 3 n
J � w. '.� I :. G t I .1 � +c � .. ..0
V�
.,38. Fir�al Pfumbing �� �n; � .... ,> >< : � �-� </x ` � � �:.o �
(�39. WatPr Service•Finak � r O � •-• x �� ra k'x
� r i - %' . .. . � ¢
.'�,�40. Gas Service-Final M ,y ��,.. +- •� : .n � �- �c jp oa� � _
r41. Solar pomesticFinelS f, � •- K� "� � =tc � s
rn a �c x 'r -7p x'Z
-42sBackflow Prevente� `• n ' " # � '� � � # _ -
43. Backflow IrkYgation' CSS x *� '��= '� z'
Y � w $ i: Y, U / 1{ ` 11
�44. Landscape Y2ripati�dnSystem,.'�,i�� r� x, d;, J� K; .�� s;� �:" c:
�45v Sound Atteouation ��!- �r �� F � "^ � * * � J ,�„ i ��,.�.,`� k
� x !q ��'I �nx x..
�46:, Handicag R�gulatio`ns j � "'' � ��,`e i � :K � =o S '�
v47?FINY>L STRUCTI}RE & BU7'IDING * � �� =� � ^= i � �
.n i v � cr; 7
48::FINAL PLANNIN�i ; -""� F ' " •' , _
_ � n_ " i,C g 7 Q �L
`.49:,TElectric RelEase to:Edison i �= �. � * : ' _
w / i n .�"t
�50�Gas,Release to Sou2hem CaHforoia Gas Co K rf� �.`= ', '_ " -. �;. < ', s
':51. CERTIFICATE OF,;OCCUPANCY �: ',. �; ; � eo � ��. - �.
No. Date