HomeMy WebLinkAbout2298 PLACENTIA AVE - Building PermitsPROJECT ADDRESS: 2298 PLACEN'T I A AV UNIT:
OWNER'SNAME: ESTANCIA HIGH SCHOOL
ADDRESS: SAME
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE: AUTOMATIC SPRINKLER PROT (714)650-6000
ADDRESS: P.O. BOR 6864
HUNTINGTON BEACH CA 92615
LICENSED CONTRACTOR DECLARATION: I hereby atfirm that I am licensed under provisions of Chapter 9 (commencing win Section
7000) of DivoAo aa.�ol,l B siness and Proles5 s odbG'a�d my license is in full,lmce and effect. /o
U�e/% 40% /8! L—lb
CITY LI STATE LIC.: CLASS:
_gale: RVS _ Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a ¢ertifiWt0 of consent to self -insure or a certificate of Workers'
Compensation Idsulta la)afenifiing(It , thereof (Section 3800, Lab. 0.1 / 0 1 / 9 3
POLICY NO.: STATE EXP. DATE:
COMPANY: ,1(
VCertified copy is hereby furnished, LJ Carl copy is filed with the city Building D�ivisi mor/y�
.bate: `' S_`� Applicant: _/ /+� O`er
EXEMPTION FROM WORKERS' COMPENSATION DECUBATION: (This section need not be completed it the permit is for one hundred ($100) or less).
I 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 to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: IL after making this declaration. you should become subject to the Workers' Compensation provisions 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:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code. Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance, also requires the applicant tot such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the Oasis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
Elssas owner of the property or my employees with wages as their sole compensation, will do the work, and the
tructure is nor intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State 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. If,however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I, es owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ ono Professions Code: The Contractors' State License Law does not apply to an owner of promwho builds or improves thereon
and who contracts for such projects with a contractor(s) license pursuant to the Conrraetors' Stale License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
Date: Owner'.
I do hereby termly that I am aware of and understand the requirements of California Health a
25534 and that I or any future building occupant will/will not (circle one) need to comply with
permit for construction or modification from the Air Ouality Management District. Residential
these provisions.
an
Safety Code Sections 25505, 25533, and
said state codes and the requirements for a
construction applications are exempt from
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: F 058471 PLAN CHECK NO: 02765-92 L " s'— _. -: I
CONSTRUCTION TYPE: PERMIT TYPE: FIR PURPOSE: ALT
JOB DESCRIPTION RETRO FIT FIRE SPRINKLER DEVISE SQ FT:
CLAIM VALUE: 6,700,00 CALL—VALUE: GROUP OCC: B-2 /
COMMENTS: RETRO FIT
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S E 'T B A C K S
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FRNT:
FT IN
REAR:
FT IN
FRNT:
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LEFT:
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ZONING APPROVED BY DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
LEGALIZATION:N F E E
BLDG PMT PLUMBING ELECTRIC
DATE:
DATE:
M A Y yTRUCTURAL SEGMENT:N
CHANIC FIRE SMIP/RES GRADING
PERMIT 90,00
PLAN 58650 SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 90,00 0.00 58.50 148,50 148.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 90,00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOS GRADING PLAN—CHECK
90.00
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I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY pD E S C R I P T I O N UNIT COST TOTAL COST
FIR 90 FIRE EQUIP FEE (FROM BLDG VAT, TABLE)
END OF FEES
V•.
Dale: Applicant: yy
I hereby certify that I have read this application and stale that the above information is correct, I agree to comply with all city and county cJ
ordinances and slate laws relating to budding construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for mspeclion proposes.
Signature:
Driver's License or Social Security a.: '
164146 Whilo—Buildlne: Green—Code Enforcement, Conary—Applicant Pink—Revenue: Goldenrod—Assessor
1.00 90,00
[, 01" f 'k:1211.10DATE. 1`7141�L.
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CONSTRUCTION AND PLANNING•
APPROVALS Permit # Date
Inspector
POC SPA
APPROVALS Permit #
-Date
'
Inspector
A. Temporary Electrical Service or Pole
1 �
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
-i
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
�.i
54. Forms
'-
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
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 & House1Connection
62. Backwash & Receptor -Final
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12. Sewer Cap "�
63. Heater & Vent -Final
73. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing '�y
�i'
65. Electrical -Final _
15. Rough Electrical -Conduit
66. Solar System -Final
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16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T 6ar Ceiling
69. POO USPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas OOil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas 0Oil
25. Roof Sheathing
74. Overhead +dro
26. T -Bar Ceiling (Structural) & 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 & Air Conditioning
35. Final Gas Pipe -Test
�, 1
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
1
39. Water Service -Final
, •
40. Gas Service -Final
41. Solar Domestic -Final
42. Backflow Preventer
43. Backflow Irrigation
. 44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
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