HomeMy WebLinkAbout2127 UNION ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
'ec tin OF:COSTA MESA^^ CO�N)STRUCTION PER MIT /IyPERMIT NO. cLf RACT NO. LO/T'N�Ot.� UNIT NO. n135 ��27�85 _ 24ypS - 1
Project.:ddress I9' 7 U")!-'C�1 ✓ C/� y-�"E— /�/7v � i��?� / /� I .
j.ppOcant's Mailing A.dre / l J exte.s/ (l" -,21•) TYPE OF CONSTRUCTION NEW ACID H ALTERATION H REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OT E
Owner's Name - .1 a '"/L L i i/''one F:Y S�/ _1 8�-` �YY1 'O P-# IIS -412-- I Zone. R I
a DESCRIPTION OF WOR</U OF BLDG. CJ
Address / t0� 7 u Eli bt) Mos'. r fr) r- cv a �f �Q`•��1 /' S Main Building: -
Accessory Building:
Arch/Eng. /9�tt vxt C /Y1QR/�l) w License No. TYPE OF PERMIT GRADING U FOUNDATION 'LJ/STRUCTURAL T Front 2�-/ O
Address n.1. 0 NIh t) Au f— ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B Rear �t ' - N
Contractor's Name /� Phone ❑ OTHER A 'TZ `5 I
D ry PROJECT DESCRIPTION SQ. FT. l CO OCCUPAN Y Pr K Right 5; •
G
Address(mailing/ rte' /}M i= e d
• City License No. - CONSTRUCTION TYPE V-1` VALUATION$ . 1000 S Left ��5 (((sj�/L(t�J(�,� j fl{,�yt,.�y.� R
ZONE GRADING CU.YDS. ACRES Ping. Ref.# — I Y""` Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION ' D
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1C- # •/-'3!�✓°1 —• 75 Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and T I I
my license is in full force and effect. S
License Class - License No. PLUMBING FEES 1
Date - Signature 1
WORKERS' COMPENSATION DECLARATION Bar Sink I I Showers • Z
I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES \
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink. -
3800, Lab. C.) - Automatic Washer • Transformer 0 15-50 KW •
Policy No. - ..Company -. Backflow Irrigation Sewer Cap - 0 50+"KW ,
Certif ler/ copy _ Construction Pole Sub. • /
is hereby furnished,., •.`. G • �/
B
Certified copy Is filed with the city Building Division. — Bathtubs Sewer Connection - Cooking Unit I Meter l[lup to 100 amps 5 ti-
Date Applicant- ` -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION r Clarifiers Solar Collectors Dishwasher -' Meter Dover 100 amps,
(This section need not be completed if the permit is for one hundred($100)or Dishwasher less). Solar Piping ,, ', Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of-the w.rk for which this permit is issued, I _ ^s
shall not 15loy any person In any ner so •s to beco e subject to the Drinking Fountains 'Solar TankFan
Worker ompensatio ws of Cal' • nia - f— Motors 00.1 HP ❑1'/t-B
Date ,2Signatur Z�-/. �/a Floor Drains Swimming Pool w/Spa F.A.U.
'NOTICE: If,after eking this declaration, you shoul. become subject to the - - Inc.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. ' Fixtures Microwave ZO
CONSTRUCTION LENDING AGENCY - Gas Service OutletsWater Closet
I hereby affirm that there Is a construction lending agency for the performance 2 Device Boxes ' Pole Light ,
of the work for which this permit is issued (Section 3097 Civ. C.)
Interceptors Water Heater .Outlets Range i ai :
Lender's Name -
Lender's Address - Kitchen Sink Water Service � Switches , Sign (.0C�
OWNER BUILDER DECLARATION — `
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 1 2 9 P ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0.5 KW❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains , -
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 - r •
therefrom and the basis for the alleged exemption. Any violation of Section '
7031.5 by any applicant for a permit subjects the applicant to a civil - ' -
enalty of not more than five hundred dollars($500). ' •
O I, as owner of the property or my employees with wages as their sole Reinspection Fee- I $15 Issue Fee $ 3 r • ---
compensation, will do the work,and the structure is not intended or offered 1 - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES
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 DEVELOPMENT SER qC E I EMENTS:
employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 �[tJ�/g1� • �]
sale. If, however, the building or Improvement is Sold within one year of com- Canopy Type II 0 Zoning Approved By 'rfL • Date - ^'t
plebe n, the owner will have the burden of proving he/she diel not build or im- Duct-Under Ground Building Approved By Date 327
rove for the purpose of sale).
I, as owner of the property, am exclusively Contracting with licensed con- Duct-Structural Refrigeration System ' Application Issued By itt / Date
/ 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 Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU U. M RV F FEES
builds or improves thereon, and who contracts for such projects with a con- 2
tractor(s) license pursuant•to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ -r� SMTP $ I • 7
proof oftheir Worker's Compensation insurance should be provided to me. •
PLAN CHECK $ . PERMIT
❑ I am exempt under Section 8.& P.C.for this reason Firepl/Fact.alt. ICBG# Fire Dampers •
PLUMBING $ 4 r00 ISSUANCE $
•
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ 50 ENERGY P.C. $ •
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTU—
information is correct. I agree to comply with all city and county ordinances - ELECTRICAL $
and state laws relating t- building o.struction, and hereby authori repre-
sentatives of is y o enter").: the above-mentioned pr erty for • • - PLAN CHECK 50% $ • /—/
inspection •- po- / e� MECHANICAL $ TOTAL FEE $ ���• `�`f'
•
Signature. �(a •/ I �-� Dat -2S-0
Drivers' License or SS#�
IIIMIallk
CMF 0865.46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor -
\ —
,\ CONSTRUCTION AND PLANNING _ POOL &SPA
•' APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
C
•
1 'Temporary Electrical Service or Pole - 52. Pool & Equipment Location
4
2. Soil Pipe-Undrgrnd. y�/.y r 53. Steel Reinforcement
. 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
6. ElectricalUFERGrnd. - 00).0:: D9 57. APPROVAL TO COVER-GUNITE
y 7. Footings i 03,, 58. Electrical Conduit-Undrgrnd. .
8._Foundation s 4 Li //G �
� ' 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 Connection 62. Backwash & Receptor-Final _
12. Sewer Cap 63. Heater & Vent-Final
13. Roof,Drains 64. Plumbing System - Final , i
14. Rough Plumbing Wel 65. Electrical-Final
15.-Rough Electrical-Conduit 66. Solar System-Final - .
16. Rough Electric Wiring qIl 31 l 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Etectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ,
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
•
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22' Ducts, Ventilating • i- 71. Product Piping 0 Gas 0 Oil
23: Gas Pipe.Rough&Test •. _- 29/;fJ7 72 Underground Flush
24. Roof Framing ' A�,// 73. Undergrnd.Storage Tank 0 Gas 0 Oil 1
25.'Roof Sheathing • ry$,/Qr eJ 444' 74. Overhead Hydro
26. T-Bar Ceiling.(Structural) & Monocoat v 75. Dry Chemical
27. Frame and Flashing " ed545 , 7.-i_,, 76. Dry Standpipe
28.` Lathing& Siding / cos- /� 7 77. FIXED SYSTEM FINAL
29. Insulation 4,-01N- ern/
r ' 78. FIRE PREY. FINAL
Drywall -W.
30. Nailing 'S/WC n"I/ HEALTH DEPT. REQUIREMENT
-
31. Plaster Brown Coat; 7/f/ 6"
�� 79. FINAL INSPECTION .
32. Electrical Power Meter-Final • N 80. FOOD CERTIFICATE ISSUED
33. Final Electric • /0/3443- (eV Notes:q/29/sc" %%4„„;'}L^ eK ticc/if
34. Final Heating & Air Conditioning -- - r/JctR(141 'L-/✓�4 /C at(
35. Final Gas Pipe-Test f / II�� ( CCII��
36. Hood:or Canopy J
37. Final Factory Fireplace
38. Final Plumbing- !0/gyp/ c./E9
r
39. Water Service-Final
40. Gas Service-Final -
41. Solar Domestic-Final •
42. Backflow Preventer -
43. Backflow Irrigation 1 , ,
44. -Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations .
47. FINAL STRUCTURE & BUILDING /U/3l0'S Lip
48. Special Requirements Completed
49. Electric Release to Edison - - - • •
50. Gas Release-to Southern California Gas Co - . . . ,
51. CERTIFICATE OF OCCUPANCY _
No. - Date