HomeMy WebLinkAbout3400 PARK CENTER DR - Building PermitsADClicanl to fill in all s0acas wlthln heavy bo�tler Ilnei antl sign all appro�
GTY'�OF (�ASTA MESA � PERMIT NO. TRACT NO. LOT NO.
CONSTRUCTION PERMIT
-3873
Addres I� �� -PiN 1 Ff �.1 �SL� Sp� IZi 7/U �
Arch/Eng. - license No.
Address — � �
Cantractor /V1pCFovL�i..k5 G'fucTK.IC � Phone
Address 2(� r'i Iuf1l MA�nI SY. SGM�t'a
LICENSED CONTRAGTOR DEGLARATION
Q I hareby affirm that I am Ilcenzetl untler provlslons of Charter 9(tom-
� mentln9 wIN sectlon 7000) of Divlsion 3 oi tna ��Buslness antl
Professlons Cotle, antl my Ilcense Ii in full force antl e(fect.
Licenj� 1y55' -Zal 5� �C���Kn�No. G'O
Dateb bFj Si9nature �P
WORKERS' COMPENSATION DECLARATION
1 hereby atfirm that I have a certificate of consent to selt-inzure or a
certHlcate oP'Workers' Compen5ation•tnsurance, or a certl�ieG copy
thereo( (Se< lon 3800 Lab. CJ. ^ � � /�,�uG /� .
�TIi�y No.�Q q`�� l��/mpany IIN.if.I.N�VM IT41 tFi
!Q dertlfietl copy is hareby furnishetl.- -- -
�rj•.:ertitletl copy I5 filetl with the city 8uiltlin9 Oivision.
EXEMVTION FROM WORKERS' COMPENSATION DECLARATION
(This sectlon neetl nat be completetl if the Dermlt is tor one huntlretl
S$100) or less).
carUry that in the' performance,oi Ihe work for whi<h this permit Is
issuatl, I shall nol employ any person in any manner so as to bacome
subject to tha Workers' Compensation Laws ot Callfornia.
Date 519�ature
NOTICE: If atter making this tlaclaration, you shoultl become subjec[
to the Workers' Compensation provisions o� the Labor Cotle, you must
forthwlth <omply wi[h such provi5ion5 or this permlt shall be tleemetl
ravoketl. - _ . _ . .
GONSTRUCTION LENDING AGENCV
I hereby affirm [hat t�ere Is a construction lentling agency tor the per-
formance of the work for which this permit I5 i55uetl (Section 3097
Civ. C.I. '
Lentler'S Name
Lentler's Atltlress �
OWNER BUIL�ER OECLARATION '
1 hereby aftlrm that I am exempt from tne Contractor's License l.aw (or
the following reason (Settlon 7033.5 Busine55-antl Profes5ions Cotle:
Any tlty Or County whlcn requires a ptrmit to conSVucq dlt¢r,
improve, tlemollsh or repair any 5tructure, prior to its issuance, also re-
qulr¢5 [M1C appliwnt for SUCh p¢rTit [o file a slgnetl sta[emenl thdt h¢
I5 IiGensetl pur5udnt-t0 ihG provlsions o1 th8 CoOtrdttOr'S LICBnS¢ Ldw
(Chapter 9(tommencing wlth Sectlon 7000) o/ Dlvlslon 3 ot the
9usine55 antl Pro/esslons Cotle)'or that he is exempt therefrom antl Na
basis for the allegetl exemptlon. Any vlolatlon ot Sectlon 7031.5 by
appliwnt for a permi[' Sub7ects' the appllwnt to a tivil penalty
it more than Bve huntlretl tlollars (E500).
L., ds owne� of Iha prop¢rty, or my BTpIOyGes wl[h wages as [hel�
sole compenSdtlOn, wlll tlo Ihe wOlk, antl the Slluctule IS not IlltentlGtl
or o/feretl for zdle. (Sectlon 7044, Business antl Proteszions Cotle: Tna
ConbdGtor's Lltense. ldw tloe5 not apply to dn Own¢L 01 a proP¢rty
wh0 builtls o� Imp�Ov¢S thereOn, antl wno does Such wo�k hlm5¢If or
through his own omployees, provitletl that SUCh Imp�ovem¢�l5 a�¢ nOt
in[¢ntlatl o� oHe�Btl fOr sa18. If, howeve�, tM10 bulltllnq or Improvement
is soltl wilhin ona year of completlon, the owner wlll hava the burtlen
of proving ne ditl no[ builtl or improve for the purpose of sale).
❑ I, as owner of t�a proper[y, am exclusively contracting with
Ilcensetl contractors to tonseruct the projett (SCttion ]044, Business
antl Protessions Cotle: The Contracror's License Law tloes not apOry [o
an owner of property who builtls or improves thereon, antl who con-
fldCts flom sutb prolect5 wlth d COnVactol(s) Ilc¢Snetl puRuant to
the Contractor•s LI<ense Law).
❑ I am exempt untler Saction B. & P. C. for this
reason
Date Owner
rUfy that 1 �ave reatl this applicatlon antl state that the
i is COrrect. I agree to comply wi[h all ci[y antl c
antl state laws �elatlna to conztruction. antl h¢rebv aut
! OOCIdIdfI0O5.
BLDG. f�0. �
TVPE OF CONSTRUCTION
❑ NEW ❑ ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
❑ OTHER
DESCRIPTION OF WORK
TVPE OF PERMIT
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL' '
❑ TENANT ELECTRICAL ❑PLUMBING ❑MECHANIC
❑ OTHER �
PROJECT DESCRIPTION • .
SQ. FT.
OCCUPANCV_CONSTRUCTION TYPE
VALVATION ZONE
GRADING CU. VDS. ACRES
R
PLUMBING'
� PCAN CHECK �
TOILETS UAINALS
LAVATORIES DOVBIE LAVS
KIT. SINKS � DISHWASHERS �-
SERVICESINKS .SUMPS �
FLOOR SINKS FLOOR DRAINS
DRINKING FOUNTAIN$ �
INTERCEPTORS �CLARIFIERS
WATERSERVICE ALTERATION
GASSERVICE OVTLETS
WATER HEATERS BTU OUTPUT
SEWER CONNECTIONS �
SOLAR TANK COLLECTORS
SOLAR PIPING SVS.
ISSUE FEE
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-300,000 BTV _
AND DUCTING 100,000 i BTU_
REFRIGERATION 0-300,000 BTV_
SVSTEM IOO,OOO+gTV_
BOILERS BTU
SVSTEM REPAIR,ALTERATION
EXHAUSTSVSTEM MULTIPLE
Slgnature �«a����
� )�� ��,�� � � - ISSUEFEE
CMF 0865-46 Wllite-Buittlin9; Unary-Applicant; Pink-Accounting; Goltlenrotl-Assessor
�
A.P. �
ZONE
REAR VARD (TO P/L)
GKG. SPACE REQ.
STREET WI�TH
71,99 6/ I,0/82 9.00 T
NG REGULATIONS
PLNTGp. REJF. � �
PROPE�RTVNLINE
PROVIDED
PARK FEE 5
SPECIAL CONDITIONS:
EIECTRICAL
PLAN CHECK;.
GENERATOR 0-1KW_1-lOKW�
TRANSFORMER
APPIIANCE 30-SOKW_SO+KW_
MOTORS p�l'HP_1-30 HP�_
(INC. SOLAR) 30-SO HP SO + HP _
FIXTURES 1 'OUTLET52 SWITCHES '
GASTUBESIGNS - '
POLE LiGHTS '
PANELS MAIN
SERVICE ' /CO
ML`yE+t3 ME•tM
ISSUE FEE
APPLICATION APPROVED BY
SVB
AMP �
rA L - �
3
� SUMMARV OF FEES . .
BUILDING �� �
PERMIT § SMIP � S
PLANCHECK b PERMIT . �
- � - � ISSUANCE -$
PLUMBING E '
GRADING $
PLAN CHECK 5
ELECTRICAL $ ��� r S
PLANCHECK $ MICROFILM $
�MECHANICAL S ' TOTAL,FEEE �
PLAN CHECK E LE55 AO-
VANCEPC $_
. �Ou
_ _ FINALFEE $�
. CONSTRUCTION AND PLANNING � POOL & SPA � ' I�- ` - �
APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector�
1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location
Soil ipe-Un rgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Elec[rical Bonding
. tee ein orce 47. Rough Plumbin & Pressure Test
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE -
7. Footings 49. Electrical Conduit-Undr rn
8. Foundation 50. Gas Pipe, ❑ Undr rn, Test
9. Wa[er Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn �
10. Structural Floor System 52. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final
12. Stree[ $ewer Connection ��' 54.. Heater & Vent-Final
13. Rough Plumbing
14. Rough Electric-Conduit � �56. Electrical-Final �_
15. Rou h Electric-Wiring -//-SL G 57. Solar SYstem-Finai
16. Rough Heating & Air Conditioning - �• encing & Access Approval
17. Ducts in Structure APPROVED FOR PLASTERING
18. Ducts, Ventilating � ��
19: Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing •
21. Roof Sheathin '- �
22. Frameand Flashin NOTES:
23. Insulation
24. Lathing & Siding
' 25. Drywall Nailing
26. Plaster Brown Coat � �
27. Electrical Power Meter-Final -� C
28. Final Electric L �
29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar pomestic-Final �
35. Landsca e S rinklin S stem
36. Sound Attenuation �
37. Handicap Regulations
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release to Edison , - - �-- -
41. Gas Release to $outhern California Gas�Co. - -- -
42. CERTIFICATEOFOCCUPANCY
No Date '