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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 #X# X#X is#X###•### X Z O N I N G R E Q U I R E M E N T S S E 'T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE • PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING N TES> > D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 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 X -7f## %##lf#####iE####dElf##}:# X##X###IE 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. r 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 r 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 .r 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 r