HomeMy WebLinkAbout146 ROCHESTER ST - Building Permits PROJECT ADDRESS: 146 ROCHES' t ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 047672
OWNER'S NAME: ED SCROW
ADDRESS: 146 ROCHE'' TER ST PERMIT NO: E 047672 PLAN CHECK NO: N GOVT; N SUPP : N
COSTA MESA
CA 92627 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: 0TH
( 714 ) 646-5127
ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : SERVICE UPGRADE & MINOR ALT SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
PERMITTEE: MCCARTHY ELECTRIC ( 714 ) 241-1946
ADDRESS: 3100 SUMATRA PL COMMENTS: NO "B" PERMIT TO REFERENCE.
COSTA MESA CA 92626 ******x******Iter*+t********tar**ae**atat*** tie**+t*+r*lr*******ar*****itx**+r*****tar*lr***ytatar**
UCENSED CONTRACTOR DECLARATION: I hereby affirm tha eased under provisions of Chapter 9(commencing with Section Z ON I N GS SETH QAUC I KRS E M E N T S
7000)of Divsion 3 of the Business and Professions Code,an is in fug for eff •
anuc.: 035829 STATEUC.:461872 C-1 )
Date:___C.0_=7_17__-211.9____ Signature: �A �J. A . . I MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I ave a certificate of consent self-insure or a certific. . f Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR : FT IN
Compensation Insurance or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN
POUCYNO.: 1066211-90 EL. ..TE: 01 /01 /91
COMPANY: STATE FUND PARKING REQ• PROV: PARCEL : 42544310 ZNE: REF NO:
;entified copy is hereby furnished. 031 Certified copy s fd:i . the city B ild.g Di • • 1 N IG N(3T ES>
7 Il >
Oats: & P�
Applicant: s �� *******************************************************************************
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EKERON FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed g the permt is for one hundr t)$100)or less). DEV EL OP MEN T SERVICES REQUIREMENTS
MP •
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner •as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Date: Signature: BUILDING APPROVED BY : DATE:
NOTICE:If,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor 70,/r
-?-70DoRU TIO muss DING ithAG NCY: whir byauch irm that t e IRs pern sit shall ne ending a rency fo. �� !e CONSTRUCTION 1EN01N0 AGENCY: I hereby affirm that there is a cemtructon IeMirq agemy ion the performance of the work for APPLICATION ISSUED BY : DATE:which Nis permit is issued(Section 3097.CN.C). * * * * *** **************** * ***
LENDER: ******************************************* *********************************
ADDRESS: LEGALIZATION:N F E E SUM ARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the hollowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,atter,Improve,demolish,or PERMIT 3350
.
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0 2 SMIP/NON—RES
pursuant to the provisions of the Contractors State 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 basis for the alleged exemption.Any violation of Section 70315 by PLAN
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00
I, at owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structures not Intended or offered for safe(Section 7044,Business and Professional Code: The Contractors Sate License Law TOTALS————> 33 . 50 15 . 0 0 0 . 00 48 . 50 48 . 50 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himsNDherself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED : 48 . 50 OVER/SHORT • . 00
. for the purpose ofsale)tunoneyearolcompletion,IheownerwillhaveNeburdenatprov0mghe/sne0idnrotbuOdorlmDrave BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 48 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who budds or Improves thereon
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B,8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: _ Owner - ELE 2 FIXTURES, LIGHTING 1 ST 20 EA. . 75 1 . 50
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 10 R EC EP T/OUTLET 1 ST 20 EA. . 75 7 . 50
25534 and that l or any future building occupant wit/rrill not(circle one)need to comply with said state codes and the requirements for a ELE 2 RES APPLIANCE NOT OVER 1 . 0 H P 3 . 00 6 . 00
permit for construction or modification from the Air ualtry Management District.Residential construction applications are exempt from
these provisions. ELE 1. SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50'
END OF FEES
Date: Applicant:
I hereby certify that I have read this application and state that e a ve information is correct.I agree to comply with all city and county
ordinances and state laws relating to Wading construction and h reby ' representatives of this ' to enter upon the above-mentioned
property/c% ,torr inspection purposes. �, —
Date: / _ ( Q Signature: \ L ud� 01 00062733-00052733 TOT 48.59
Drivers License or Social Security DATE: 06/07/90 TINE: 15:27
1641-48 White—Building;Green—Code Enforcement;Cenery—Applicant;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POO' SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53, Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. ' 54. Forms
4. Electrical Conduit•Undrgrnd.1 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6.!'Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
Foundation 59. Gas Pipe, 0 Undrgrnd., Test
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9. Water Pipe-Undrgrnd. '- 60. Backwash Lines, P-Trap, Q 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
14. Rough Plumbing 65. Electrical-Final
15. Rough 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
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - APPROVALS Permit #
21..'Ducts, in Structure• • 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing .73. Undergrnd.Storage Tank CGas 0Oil
25. Roof Sheathing 74. Overhead Hydro
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 PREY. FINAL
30. Drywall Nailing 'HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . v 79. FINAL INSPECTION-
32. Electrical Power Meter-Final . mff , 80. FOOD CERTIFICATE ISSUED
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31 Final Electric Notes:
34, Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
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37. Final Factory Fireplace
38. Final Plumbing
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