HomeMy WebLinkAbout1804 PENINSULA PL - Building PermitsApplicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations
CITY OF COSTA MESA CONSTRUCTION PERMIT
I"Z/'�EA1i1J- ULR t7
Project Adat�•ss 5 114�`F
PE MIT NO.
'3 93 9
TRACT NO.
13224
LOT NO.
0?
UNIT NO.
A.P. qW �j//— {>
Zone e
S
Main Building:
kccessory Building:
Applicant's Mailing Address 181) N. RI VERY IED DR.
Owner's Name—_KAUFMAN AND BROAD Phone 0
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑DEMOLISH ❑ [
DESCRIPTION OF WORK/USE G1PRWSFD PLAN 3_0Q
E
� 7
Front 1
/
Z
O
BA
Rear 7 -
N
Address SAME AS ABOVE
C
Right
N
Arch/Eng. MIKE WOODL•EY C15730
License No.
Address SAME AS ABOVE
TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL
X� ff 11 X��CDI >�0�I
❑TENANT XLJ ELECTRICALXLJ PLUMBING iL_1 MECHANICAL
❑OTHER 11NTT-2'171 CARACE 46'1 DECK - 76
PROJECT DESCRIPTION SO. FT. TION $ANCV R & - ("t�
SF.F. ABOVE �/
CONSTRUCTION TYPE VN VALUATIONS 7�� � 71�
ZONE GRADING CD.VDS.*+*
—NA NA ACRES—NA
K
$
Left %
G
R
Contractor's Name 'B' SAME Phone
Address (mailing)
City License No. 46894
LICENSED CONTRACTOR DECLARATION
PIng. Ref. ak -(r/
Parking Req./Provided 2,
E
Planning Notes:
O
M
T
S.
Remarks:
I hereby affirm that I am licensed under provisions Of Charter 9 (commencing
ELECTRICAL
FEES
with section 7000) of Division 3 o1 the Business and Professions Code, and
my license is in full 'Brie and effect. 334495
_ _
PC
License CI ss - is s
Date _ Signature
WORK RS'COMPENSATI OND EC RATIONoO
.eby affirm that I nave a cerlifita a of consent to selfdnsure or a certificate
Norkers' Compensation Insurance, or a certified copy thereof (Section
„00, Lab. C.) . 4189-1090 trans. : ins.
Policy o. Company
PLUMBING FEES
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑50+KW
Bar Sink Showers
Backflow Preventer Service Sink
Cooking Unit Meter ❑up to 100 amps
�-
_
Backflow Irrigation
Sewer Cap ; ,
Dishwasher
Meter ❑over 100 amps
-
rtifietl copy iz hereby turnishe
Certi I II d with [h< ti uildi Ig pivisi n (
a Bathtubs
Sewer COnnetii00
.Dryers ❑Gas❑Electric
Sub Panel '
--
Date Applicant 1ijd� v ��
EXEMPTI N F OM WORKERS' COMP�ATION DECLARATION
4 twits section need not be completed if thoermit is for one hundred ($100) or
I Carl ify that I. the performance of the work for which this permit is issued I
shall not employ any person in any manner so as to become subject to the
-
Clarifiers
- v --
$Olsil Collectors -
Fan
Motors ❑0.1 HP ❑i
Dishwasher Solar Piping -
F.A.U. Int. Solar ❑9-15 HP 016-15+
Drinking Fountains
Solar Tank -
Fixtures
Microwave
Workers' Compensation Laws afiCalifornia.
s Date Signature
Floor Drains
Swimming Pool•w/Spa .tt
Device Boxes
Pole Light +
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions Of the Labor Code, you must forthwith
Floor Sinks
Urinal
Outlets
Range
comply with such provisions Or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Gas Service Outlets
Weer Closet b0
Switches
Sign
I hereby affirm that there is a Cis permit lending agency for the per10lmda<0
of the work for which this permit is Issued (Section 3097 Civ. C.)
Lender's Name _pnno
Lender's Address
Interceptors
� Water Heater
Garbage DI Ozal
9 5P
Standing Sections
Kitchen Sink
Water Service [(✓
Generator 00-5 KW ❑5-15
KW Trash Compactor
OWNER BUILD ARATION
1 hereby affirm that I am exempt from the Contractor's License Law, for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit l0 construct, alter, Improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit t
o file a signed statement that he/she Is licensed pursuant t0 the provisions of
'-Yg Contractor's License Law (Chapter 9 (commenting with Section 7000) Of
- s on 3 of the Basil o ass and Professions Code) or that he/she Is exempt
from and the basis for the alleged exemption. Any violation of Section
`r-131.5 by any applicant for a permit subjects the applicant t0 a civil
enalty of not more than five hundred dollars ($500).
I, as owner Of the property or my employees with wages as their sole
compensation, will d0 the work, and the structure I5 not :Intended n offered
Business and Professional Code: The Contractor's
for sale (Section of apply
License Law does not apply lq an Owner if a property who builds or Improves
or throughends his or her Own
thereon, and who docs such work himself is are
employees,ever, Provided that such improvements are not Intended or offered for
of enl is g h within one Year of r Im.
Sale.pletl If, however, the building a burden
Platte n, the owner will have the burtlen of proving he/she Oto not build or im-
Prove for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed con-
tra ct o if t0 co n st r uCt the project (Section 7044, Busi nese and Professions Cod a:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon. and who contracts for such urolecls with a con-
tractor(s) license pursuant to the Contractor's License Law). 1 am aware that
proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B. & P. C. for this reason
Lavatories
_92-
Auto -Wash
-
P -Trap Laundry Tray2
-
0.74
ROD} Drains
Reinspection Fee
$15 Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved BY ate
Building Approved By r^r r nate
APPbcahOn Issued By Data
S.11�f�
7
O
Reinspection Fee
$15 Issue Foe $ 3
MECHANICAL FEES
Boiler Hood Or Type 1 ❑
yP
Canopy Type II ❑
Duct -Under Ground
`
_ / BUILDING PERMIT $
�`o PLAN CHECK. - $
- -
PLUMBING $
PLAN CHECK•! 25% • $
ELECTRICA Lf $
PLAN CHECK 50% $
MECHANICAL • $
PLAN CHECK 25% $
SUMMARY OF FEES
� SHIP $
+ 1 7 PERMIT
'� � ISSUANCE $
ENERGY P.C. $
t%7 Q%GRADING $
MICROFILM $
`/
y/ ,5D TOTAL FEE $
-
a
Duct -Structural Refrigeration System %3 5
Duct -Ventilating 1100,000 BTU ❑100,000 BTU
Exhaust System ❑ Multiple ❑ System Repair/Alteration
Firepl/Fact. Bit. ICBO *0.07 Fire Dampers90
Date Owner
I hereby certify that I have read this application and state that the above
Information is correct. I agree to comply with all city and county ordinances
and state laws ating to building construction, and hereby authorize repre-
sentatives is fly to enter u the above-mentioned prop ty f r
Inspection rpose
Signature Date O
Drivers' License r S5 4f
/
Heating System & Ducting
100,000 BTU ❑100,000BT
Registers
t1: Ti; oY 1•: -•' .. _ ,• _
= "- T .I
"
Reinspection Fee
$15 Issue Fee
0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting;
Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date
A
Inspector
POf : SPA
APPROVALS Permit #
Date
Inspector
1. Tempo0ary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
�.�j(
t W
53. Steel Reinforcement
3.-Electrical Conduit Utility-Undrgrnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
(p.Z ff
PO
56. Rough Plumbing & Pressure Test
'
- 6. Electrical UFER-Grnd.
(V •�-
EP
57. APPROVAL TO COVER-GUNITE
7.-Footings
�2 -8°Q
%
58. Electrical Conduit-Un&grnd.
8.: Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House ConnectionL.�y..Gj
LCA
62. Backwash & Receptor-Final
12. Sewer Cap
63. Heater & Vent-Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
L40
65. Electrical-Final
15. Rough Electrical-Conduit
66 Solar System-Final
_
16. Rough Electric Wiring
qO
Q4z-&-
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
(1 !LV
Lo
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71" Product Piping OGas 0Oil
23. Gas Pipe-Rough & Test
-
72? Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 00il
25. Roof Sheathing.
1.
15�r
C (q
74. Overhead Hydro
fi
26. T-Bbr Ceiling (Structural) & Monocoat
75. Dry Chemical
2)-. Frame and Flashing
�-fq�p
�t/r
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
-2(,-�p
GIlefr-rt
78. FIRE PREV. FINAL
30. Drywall Nailing
L- is
4w,*'
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
-�-�-QO
�(,�6%
79. FINAL INSPECTION
32. Electrical Power Meter-Final L'
$
0. FOOD CERTIFICATE ISSUED
33: Final Electric�..l�
Notes: f '
34. Final Heating & Air ConditioningS
(,/QO----QU
.. -. - T,
35. Final Gas Pipe-Test
5 Q !�
GIFQ
-fl« AW - 1
36. Hood or Canopyew
el �( �� CM
37. Final Factory Fireplace
Qd
601
38. Final Plumbing
,l Q(/
L«
S Zef
39. Water Service- Fina1'�-
(�
L
kr « k� �3K 37 38' 31
40. Gas Service-Final ,-
41. Solas Domestic-Final•
42. Backflow Preventer'w
43. Backflow Irrigation' =
'
44. Landscape Irrigation,System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
79
49. Electric Release to Edison
'
50. Gas Release to Southern California Gas Cc
f
51. _CERTIFICATE OF OCCUPANCY
No. Date
,