HomeMy WebLinkAbout1660 SUPERIOR AVE - Building PermitsC1TY`dF COSTA MI
Project kadress
An liciht's Moiling A(
flwnar's Name vZc
CONSTRUCTION -PER MIT
No.
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
Address Of
Contractor's Nam ��� T•d" Phone soS�f-7a
Address (mailing) S S iV. G�,
City License No.
LICENSED CONTRACTOR DECLARATION ,
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license - in /1I fo='rc;.p nd effect. ' •-_ ^ _ yG
WORKERS' COMPENSATION DECLARATION !/
`ereby affirm to I nave a certifica of sent to sell -insure or a certificate
Workers' io •d certHie copy thereof (Section
,00, Lab. ' �"�.ildrroAil
Policy No. Company ,ry
®-Certified copy is hereby furnished. 3H�[(c,.��
Certifletl co y is filed witM1 the city B}}��)) n Division. M
Date yY`�!' �� Applicants Ts)n rL' -
EXEMPTION FROM WORKERS' COMPENSAATION DECL/[RATION
(This section need not be completed if the permit is for one hundred ($100) or
less).
1 certify that in 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 the
Workers' Comp_ _ e� Laws of Califor`,.:>>�� - Is Signatur
NOTICE: If, after making this declaration, you should become Slaa)ect to the
Workers' Compensation provislons of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name
Lender's Address
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
fallowing reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter, improve, demolish or repair
any structure, prior to Its Issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/she is exempt
'erefrom and the basis for the alleged exemption. Any violation of Section
131.5 by any applicant for a permit subjects the applicant to a civil
analty of not more than five hundred dollars ($500).
❑ I, as owner of the property or my employees with wages as their sole
compensation, will do the work, and the structure is not Intended or offered
for sale (Section 7044, Business and Professional, Code: The Contractor's
License Law does not apply to an owner of a property who builds or Improves
thereon, and who does Such work himself/herself or through his or her own
employees, provided that such improvements are not Intended or offered for
sale. 1f, however, the building or improvement is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or Im-
prove for the purpose of sale).
IT❑ I, as the
of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or Improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that
proof of their Worker's Compensation Insurance should be provided to me.
❑ I am exempt under Section B. & P. C. for this reason
Date
I hereby certify that I
information is correct.
and state laws relating
sentatives of this city
inspection Our
Signatur
Drivers' Lic se or SS q,
IF 0865-46, rev. 10/84
. Owner
have read this application and state that the above
agree to comply with all city and county ordinances
o building coJ�struction, and hereby authorize repre-
to enter upon the above- entioned property for
PER3NO._
TRACT NO:
LOT NO.
. UNIT NO.
4925 11/27/85
ao ED
TYPE OF CONSTRUCTION NEW NEW ADD 4TERL,STIQfy
lCONVERSION 1:1 DEMOLISH t-1 OTHER
DESCRIPTION OF WORK/USE OF BLDG.
REPAIR
A.P.9Y,
Zone
S
Main Building: Accessory Building:
TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL
❑ TENANT ❑ EnLECT R/I�q�L�❑ LV MBI N/G�^❑ M�EICHAN CAL
C] OTHER /l /�i@o alit KGO i G
T
Front
U
BA
Rear
N
v
PROJECT DESCRIPTION SO. FT. - NC YeC
CON STRUCTION TYPE Vet Uen nNS -
ZONE GRADING CU. YD l� RES
q -
Right
N
S
Left 1
G
R
Ping. Ref. # Parking Req./Provided -
E
Remarks:
Planning Notes: '.
OM
REthIVELI
c ly Z 6 198b
T
S
PLUMBING FEES
Bar Sink
Showers
ELECTRICAL
FEES
- Backflow Preventer- -
Service Sink
"-
- Automatic Washer - -
Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50+ KW
-
Backflow Irrigation Sewer Cap
Bathtubs
Sewer Connection
Cooking Unit
Meter ❑up to 100amps
Clarifiers
Solar Collectors
Dishwasher
Meter ❑over 100 amps
Dishwasher
Solar Piping
Dryers ❑Gas ❑Electric
Sub Panel
Drinking Fountains
Solar Tank
Fan
Motors 1:10.1 HP ❑1%. s
Floor Drains
Swimming Pool w/Spa
F.A.U.
Inc. Solar ❑9-15 HP ❑16-15+
Floor Sinks -
Urinal
Fixtures' -
Microwave
Gas Service Outlets
Water Closet
Device Boxes
Pole Light
Interceptors
Water Heater
Outlets
Range
Kitchen Sink
Water Service
Switches !e
� •
Sign
Lavatories
Auto -Wash
:4
Garbage Disposal i3 ' `
Standing Sections
-
P—Trap
Laundry Trays
Generator ❑0-5 KW EIS -15 KW
Trash Compactor
Roof Drains �-
•:+
T
n.
Reinspection Fee
$15�(y5P8CilOnS
$ 3
C3
Reinspection Fee rn •,^
$1511
Issue Fee
$ 3
MECHANICAL FEES
Boiler
t8 Hood or
noPY TypeII ❑
i
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved By
I Building Approved By /'
Application Issued By
nate
Date
Date%
Duct - Under Ground.
Duct -Structural 3 I
Refrigeration System •
❑O-100,00013TU 11100,000BTU
Duct - Ventilating i i
SUMMARY
BUILDING PERMIT $
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL, $ I
PLAN CHECK ' 25% $
FEES
SMIP $
PERMIT
ISSUANCE $
ENERGY P.C. $
GRADING $
MICROFILM, $
TOTALFEE $
•�V '
'
Y
Exhaust System El Multiple ❑
System Repair/Alteration
Firepl/Fact. Bit. ICBG#
Fire Dampers
Heating System & Ducting,
❑4100,000 BTU❑100,00067
Registers -
- - - -
Reinspection Foe
$15
Issue Fee , $ 3
White - Building; Canary - Applicant; Pink - Accounting; GoldenrodAssessor
4CON . TRUCTION AND PLANNING
Date
APPOVAL§ Permit #
Inspector
, . POO' LPA
-
APPROVALS Permit #
Date
- -_
Inspector
1,-t'4nporary Electrical Service or Polp
�•
52. Pool & Equipment Location
/2. Soil Piu•f Undrgrnd. �'
`.'
53. Steel Reinforcement
3. -Electrical Conduit'Utility-Undrgrnd'.
54. Forms-
' 4.^ Elect_J911Conduit-Undrgrnd. '!
i
55. Electrical Bonding
;
5. Steel.Reinforcemenr
;.,�
56. Rough Plumbing & Pressure Test
'
16. -!Electr,ical'UFER Grnd. ;�
57. APPROVAL TO COVER-GUNITE
7. Footings;
58. Electrical Conduit-Undrgrnd.96
-r
8''Fouridatlon f+Y:.�� • j
✓ :�
59. Gas Pipe, 0 Undrgrnd., Test
9: Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, ❑ Undrgrnd.
:..
10. Structural Floor�System .�
rr. ',
;
61. APPROVAL TO DECK
11. Prdeerty Sewer Line & House Connection
��,:; ;.
{}
62. Backwash &Receptor -Final
12. Sewer Cap -�
., �• o
,�
63. Heater & Vent -Final
13. Roof%Drains �:' '. r",
_.�
, r•r,
is
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical -Final
' 15. Rougfr Electrical -Conduit
66. Solar System -Final
_ -
-16. 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
-
d 16. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit#
' 20. Rough Factory•F..ireplace
21. Ducts; in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping d'Gas ❑ Oil
23. Gas Pipe -Rough,& Test
72. Underground Flush
24. Roof Framing N•
73. Undergrnd.Storage Tank ❑Gas ❑Oil
25. Roof Sheathing
74. Overhead Hydro
26. T -Bar Ceiling (Sfr'•uctural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
• 28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREV. FINAL-'
30. ;Drywall Nailing,,
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32..Electrical Power Meter -Final
80. FOOD CERTifICATE ISSUED
33. Final Electric
,
Notes: -
34.: Final Heating 8i Air Conditioning
35. Final Gas'Pipe-Test
'
36. Hood or&nopy
-
37. Final Factory Fireplace
'
38. Final Plumbing-
-
39. Water Service -Final %r.
�R-
00m R E D
40. Gas Service-FinalDate
ron
41. Solar Domestic -Final
r14
42. Backflow Preventer
43. Backflow Irrigation 7
44. Landscape Irrigation System
45. Sound, Attenuation
-
46. Handicap Regulations
47. FINAL STRUCTURE &BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No. Date
COUNTY OF ORANGE
BUILDING DEPT.o o'�
636 No. Broadway Perrtiit
Santa Ana, California Application for Building Permit
Phone: KI 2-6211 AND FOR A l '
Certificate of Use and Occupancy
Date------ ¢ ... rZ------------------ --------
1. OWNER'S NAME.----
/..V -----�J�O l�L "*--r -----:--------------------
----- --------------------- PHONE:
5. 71`01 ---
MAILING ADDRESS ------ 16.0C..�--------
�p.���Or �'� `-----------------------
CITY -----
------ '----
Address ......
City ..-----------
State
(Architect or Engineer)
----- Phone..........---.
Name --------------------- £/..Wr "r ?.'L..''-----'-------'--`-- �--=---------
,(Contractor)
Address --------------.'_..:...!--- ------------
City
State
Lic. I
---:. Phone.'.. --.-'--------------------
PROPOSED USE: ------- .L,v_JMA•I..D-Et'_.......SL...otd / - I-. ----------( .N. 7 `-----------
2.JOB LOCATION_ -----j cicv.. Sy PCIo �' Al<Q..: Y Ga,rl t ...11..t'S c� .:.. -- ..--
(House No.) 2 (Name of Street) (Town or School District)
3. LEGAL DESCRIPTION:
of sc revers side o £ form _.._...._......Block ................:....__..._..._... ..:...... Tract...
(Metes and
BrP
4. CORNER LOT ( ) INTERIOR LOT THROUGH LOT ( ) SLOPE OF LOT (NoX e
5. SIZE OF BLDG.: -.Z Q. x....3 & ...... AREA: ---- 7-:d .11.X ... SIZE OF LOT--------------- -- AREA: ---- :..-----------------------.
6. . HEIGHT OF BLDG.: ------- /9 .......:...:...:......_.....CEILING HEIGHT:....9:.-..7n.__/!__._/. NO. OF STORIES.-.-,:/ --- --...._...._-----
7. NO. FAMI----------aCa.n:e.......F-----:Size I1� $IIs ei�dom:.... z of Kitchen.. ------------
LIES ��......--......
S.. EXTERIOR WALL CONSTRUC BION 2 V4f.P L _Zew .INTERIOR WALL COVERING.......l�o x P ...............
Frame, Stucco, Etc. r (Plasfer-Drywall, Etc.)
v. SETBACKS: Front Yard From Center: Line of Street ............ :------- _----------------------------------
Nearest Side Yard ._.._....:------._;..Re+ar:Yard_,......-----._.._..,Distance in Feet Between Bldgs. on Same Lot..:... .,/...0._Q ..............._........
. is _
Jo. A COMPLETE PLOT PLANTS REQUIRED,'SHOWING ALL STRUCTURES AND.USE OF EACH.
11. Forn . .
(a) Footing: Width,..--'-'---�.��..-..-.---'.- ------- Depth, in Ground ---- ---_2r.._---.......Width of Wall --- -----------.-.-.----....
Accessory
Bldgs. and
Similar (b) Size of Studs:.., 7-..X.. .. --- Spacing .....'.lil'i......:......... CC Material of Floor.....LA..?t:..G_ e.C..t'--------
Structures:
(c)
Size of Floor 'Joists:-------------; ----------------------Spacing---------------------------------`--
GROUP------
CC
(d)
Size of Rafters: ------------------------- ----------------------Spacing-------------------------------
,Bldg. Permit
• .. .
__-CC
12. VALUATION OF PROPOSED WORK: Including all labo plumbing, electrical wiring, heating', fire sprinklers, painting and
. --„"- sewage disposal $--``--8-a.'8.7=:-17.0 -
13. I HEREBY CERTIFY THAT TO'THE BEST -OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT. AND THAT THE CONSTRUCTION WORK WILL CONFORM.TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
FEES:
GROUP------
CHE
APPLICATION-..
IN G BY
,Bldg. Permit
O
$--- ---- �.... � :...
-....:.....
..._
HEALTH....,..' ......:. ..
Plan Check •
$ L:......:.:.
TYPE-
- -
ZONING.--- --'-----...---------
FIRE
Total
$ - 1 ....
DIST. -
PLANSAND
MARSHAL .........................
Recei t No.
PSPEC'S---------------------
PC / l ..........
. MAP......
SHEET NO............=--
-----
STATE ----------------------------
--------- ------- ----
Paid
Paid to
.. -... -.- . ..
--
CORRECTIONS
ENGINEER
Date ..............--
-. 7..'_ Sa�.....
-........................-
....._
VERIFIED.._.. ------------------CAL
... ... - -
------
PERMI
rU�hLL81"��IIIJC COUNTY t3UILDINO
l iiJ
l+hlsliA3d C,..
INNSP.ECY®
.
DATE----
9 `��...............
- -
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