HomeMy WebLinkAbout2889 SERANG PL - Building PermitsCMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
Applicant to fill in allipacef wl�hln heavy
borderlines and sign all appro appropriate declarations.
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CITY OF COSTA -MESA
PE�IT NO.
TRACT NO.-
LOT NO.
BLDG. NO.
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- •- - - - _ -
CONSTRUCTION PERMIT
UQ E -
I
,
p
Project Address Z
TYPE OF CONSTRUCTION
,-'�-' •\`
II/23/3,1 1' CItoG TL
Owner - G` _: -H/I Phone5r/O-/ /
❑ NEW ❑ ADD ❑ ALTERATION
,0906.
-
Address Z SZ5
0 REPAIR 0 CONVERSION ❑DEMOLISH
VVV
❑ OTHER
ZONING REGULATIONS '
Arch/Eng.- - - - - License No.
_
A.P.
P: sF
_
1
DESCRIPTION OF WORK
Address -
ZONE
''PLNG. REF..zifft
Contractor(/ r>d a t`t'"1Y vfr'Phone
.' TYPE OF PERMIT
Tp gt�1LLpDINC -
Address - _.
A //PA- - - B -
❑GRADING. .❑ FOUNDATION ❑ STRUCTURAL'
SET AC
- I YARD
PROPS RTV LINE
.._ -
LICENSED CONTRACTOR DECLARATION _
'
I 0 TENANT. ❑ ELECTRICAL ❑PLUMBING
❑MECHANICA
S5IDD V
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I.hereby affirm that I am licensed underyy ons of Charter 9 (com-
❑'OTHER '
RIGHT
-
mencing with -section 7000) of Dlvfsio. 3 of the Business and
Professions Code, antl - my Ilcense I5 In ull force and effect.
,
'
REAR YARD (TO P/L)
•Class 4 � Icanse No. y147O 7•.
PROJECT DESCRIPTION -
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- -
License
Date //'Lz--Si - Signature - - - -
50: FT. -
PKC. SPACE REG."--
PROVIDED';
'
WORKERS' COMPENSATION DEC ARATION
' OCCUPANCY CON RUCTION TYPE
STREET WIDTH -. PARK FEE E -' -
-
ZONING APPROVED BY - DATE -
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I hereby affirm that 1 have a certificate of consent to self -Insure ora
VALUATION„ NE
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certificate of Workers' Compensation Insurance, or a certified copy
thereof (Section 3800, Lab, C.). -
CU. YOS ACRES
SPECIAL CONDITIONS:
Policy No:IAC I LL 01161 Company -[/M T_ -15-I OVP
,GRADING
❑ Certified copy -Is hereby. furnished. .. -
-.REMARKS:
11 certified copy is tiled with the City Building Division.
EXEMPTION FROM -WORKERS' COMPENSATION DECLARATION
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(This section need not be completed ifthe permit Is one hundred
• •
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-tor
($100 or less)). -
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I that In the performance of, e work for welch this permit
*sued, I e
, I sthe ersPloy any, person -in any -manner 'ia as to become
PLUMBING, -` PLAN CHECK
-
ELECTRICAL - --•
-- -" -PLAN CHECK' -
subject Workers
zubject to the Workers Co mpensation_Laws of California. •
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Date Signature
BATHTUBS SHOWERS
UWtULINU_
50FT
ls�VM- -- -
NOTICE:. If atter making this declaration, you should become subject
_ TOILETS URINALS ^ -
- -
GENERATOR -
0-1 KW_ 1-10 KW '- -
to the Workers' Compensation provisions of the Labor Code, you must
TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed
LAVATORIES - DOUBLE LAVS-
- x- -
APPLIANCE -
10-50 KW_50 + KW _
revoked.
„ . . -' -' -
CONSTRVCTIONLENDINGAGENCV
KIT. SINKS- "•'-� DISHWASHERS
-.MOTOR$
-- --�0-1
HP •-1-10 HP-
Thereby affirm that there I5 a construction lending agency for the per-
SERV ICE SINKS- :SUMPS -`� --�
- x _
(INC. SOLAR) -
30-50 HP 50 -HP. "• T
D
`s
formance of the work for which this permit Is issued (Section 3097
Civ. C.).' - - -- - - -
Lender's Name -
FLOOR SINKS' FLOOR DRAINS
FIXTURES-' -
OUTLETS SWITCHES-- - -
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Lentler's Address- -
DRINKING FOUNTAINS - '•"
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GAS TUBE SIGNS
-• --. _-_ _
OWNER BUILDER DECLARATION - - -
'INTERCEPTORS- -CLARIFIERS
POLE LIGHTS --
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I hereby affirm that I am exempt from the Contractor's License law for
_
the following-rea5on (Section 7031.5 Business and.Professlons Code:.
SWIMMING POOL' PTRAP --�
Any city or county which 'req ulres a permit to construct, alter,
POLES
METERED- SUB'
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Improve, demolish or -repair -any structure, -prior to -its issuance, also re-
-WATER SERVICE- -" ALTERATION --
•-
'PANELS - --
MAIN -SUB
quires the applicant for such permit to file a signed statement that he
is -licensed Pursuant to the provisions of the Contractor's License Law.
GAS SERVICE -- -OUTLETS
'SERVICE
-- - - -< AMP— -
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(Chapler 9 (commencing with Section 7000) of Division 3 of the
Chapter
'
_
and Professions Code) or that -he is exempt therefrom and the
WATER HEATERS - BTU OUTPUT --
— -
- - : - - -
" • • ' - -'
basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects -the-applicant to a civil Penalty
SEWER CONNECTIONS' -
- - --
- - -
••- a
of not more than five hundred dollars ($500).
I, as owner of Me property, or my employees with wages as their
SOLAR TANK COLLECTORS
sole compensation, will do the work, and the structure is not Intended
or offered for Sale. (Section 7044, Business and Professions Code: The
SOLAR PIPING SYS. - - '
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ISSUE FEE
- - - - - Bd
rt
Contractor's License Law does not apply to an owner of a properly
_
who builds or improves thereon, and who does such work himself or
- ISSUE FEE - «' ''
APPLICATION APPROVEDBYDATE.
through his own employees, provided that Such Improvements are not
intended of offered for sale. If, however, the building or Improvement
have
_
MECHANICAL PLAN CHECK
- -
SUMMARY OF FEES '•
Is sold within one year of completion, the owner will the burden
-
,
of proving he did, not build or improve for thepurposeof sale)'.
HEATING SYSTEM 0-100,000 BTU
-BUILDING -
PERMIT E
_ - .. _
�;.�jO - 7
•,
❑ I, as owner of. the -property, am exclusively contracting with..
_ - -
'AND DUCTING
..SMTP• .-$
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licensed contractors to construct the project (Section 7044, Business
100,000 +BTU
PLAN CHECK $
_
PERMIT
andProfessions Code: The Contractor's License Law does not apply to
� - -
$
owner of property who builds or Improves thereon, and who ton-
REFRIGERATION 0-100,000 BTU
PLUMBING $
t
tracts from -such projects with a contractor(s) licesnetl pursuant to
tracts
SYSTEM---- -
GRADING' $
the Contractor's License Law)).
100,000 +BTU
PLAN CHECK E
� -
Cl I am exempt untler'Section B. & P. C. for this
BOILERS BTU -
ELECTRICAL' $
_
- - -' $
reason-_ - -
- - _ _-
'
- - _ _
PLAN CHECK $
'v _' •MICROFILM $
- _ -
SYSTEM REPAI R, ALTERATION �
Date er
MECHANICAL- E
TOTAL FEE E
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I Thereby certifyt hav eatl this apPucatlpn and state that the above
EXHAUST SYSTEM MULTIPLE
LENSED-
formatl0n Is erre C, agree'to Comply with'a'l 'city-antl county'
-
PLAN CHECK $
_
VANCE PC E
ordinances an St i_: 1 relating to construction, antl hereby authorize
4
c'L
representative Is city to enter -upon the above mentionetl
for S ctlon Purposes._
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" �.
property _ )
Signature Date L'OZ
FINAL FEE $
Drivers' License or 5N - _ -
ISSUE FEE
CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
CONSTRUCTION AND PLANNI G
APPROVALS Permit if£'�i0�
Date a Inspector.
POOL & SPA
APPROVALS.- Permit #
l., , • a , -
-' - Oete _-. Inspector
Temporary Electrical Service or Pole,
43. Pool &Equipment Location
.---'---
p -.- i. ipe-Un rgrn, t'. _..'.._- _ .,.
_ _ _ _
4 Steel Reinforcement - -
--' - --- -=
3. Electrical,.Conduit Utility-Undrgrn
_45., ' Forms' " _ ; • -- ---
- - --- - - - -
' - 4..- Electrical Conduit-Undrgrn _.
..46. Electrical- Bonding_ - -- - --- -
- - - -- - - - • -
t~.. _Steel Reinforce ._ •
47. Rou h'Plumbin & Pressure Test - - --
- -
_
-6. _ Electrical.UFER Grn _
48. . APPROVAL T,0 COVER-GUNITE - -
- --
7. _ ootings
49. Electrical Conduit-Undr 7n
- B. - Foundation
50:.r Gas Pi • -E:1 Undr rn,Test 'O
^
.-9.--WaterPlpe-Undrgrn ___
'',
.51. Backwash Lines-P- Wa ❑' dr fn
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-10. Structural Floor System - -
_ _
r 52. '.rAPPROVAL?0 DECK -
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'.l1.- _Property Sewer Line & House Connection. `
:53. . Backwash & Receptor-Final'".
^ "" "-""•.'
. 12.• Street-Sewer Connection
-54.-- Heater &•Vent-Final ,
•'' J •,"' •' '•• ''
.. Rough P.lumbing------ - - --- ---
i4. Rough Electric-Conduit
, -'- --'"-- ---- '
'56.--,Electrical-Final - • 0 "'
-', '•' -•" •. -
15. Rough Electric-Wiring
"--- ---
-57.--Solar System-Final
-16. ` Ro-ugh Heating&-AirConditioning
-
_ •- .encing.&AccessApproval ,:.....
17.- Ducts-in-Structure. --- -- = '-.----=
!--- --- - -4--
59.- APPROVEDFOR•PLASTERING
I-18.-- Ducts; Ventilating--
60. - POOL/SPA SYSTEMS FINAL " n.. +• ,
- -'. ._ _, ., •V ., ,. 'cr..-.-'_
•• ,, n •+ o. ^�„r,;
.fir �.. .. -..
19. Gas Pipe-Rough & T.est"fi ,�-' • - -}--- __ _ _
-20--Roof-Framing- - ----- --- - --- - - - -----
'--+
r 21: Roof Sfieaihi - ' _
- - -_. _ -- _
--_ '-_-- -- _ w
s.. ._.? `:} or
% . • vn_., ..v .. ..r
f , .".r; . .,
22 Frame and Flashing
-23.j..Insulation
-
' -24.Lathing &•Siding
25.j-Drywall Nailing-
-
- -- - --
26.-l-Plaster Brown-Coat -- _.-- __t_.___- _
.;, ._�.-.--
..'. _�
,•. ¢r
27.t- Electrical-Power Meter-Final. --- _- --
i--! --- L
-'
-28. -Final Electric- - - __._._-._� ._.
- --- 1'+�'`i.---
'--
"• �' -
.
-"` - Final Heating & Air-Conditioning-- -
r-- - - -
--
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-Final-GasP'ipe-Test- - -- -' --
-" --:�- --i----- -- --•-
..
} 31.: --Final Plumbing
- - - - -- --
M. - Water'Service-Final- - -- _' - - - - -
- ---
-- --
- - - -- ,:'
• -
'�•
' 33.--Gas=Service-Final-- -- - - --
-- -
- - - - - -
34. Solar Domestic-Final' "i°i.'.,Nue-
_
i=
- -
-�.; ..« ri7ets C "
•' :'r .
' 35. Landscape S rinklin System •
i "
-•"' h .
'
. 36. Sound Attenuation -
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37. Handicap Regulations
38. FINAL STRUCTURE&BUILDING
39. Special Requirements Completed
40. Electric Release Ito Edison ----
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i 41. Gas Release to Southern California Gas Co.
• --' • - - �-
CERTIFTE OF OCCUPANCY
42.ICA
.. NoI. Date