HomeMy WebLinkAbout2435 RUE DE CANNES - Building Permits PROJECT ADDRESS: UNIT:
2435 RUE DE CANNES I2 j CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 066264
OWNER'S NAME: FORGEY DUNCAN P l
ADDRESS: 2435 RUE DE CANNES PERMIT NO: P 066264 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
ARCH/ENGINEER: REC.NO.:
ADDRESS: UNIT: SQ JOB DESCRIPTION : DISHWASHER CHANGE—OUT FT:
CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE: NOCK PLUMBING (714 ) 895-1246
ADDRESS: 11610 SEABOARD CIR COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT
STANTON CA 90680 ********yF*****+¢*yF*******aFe6**+t****+e*********+F+E**aF******************a ***aF*x-eE*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and i i ense is in lull force and effect.
on LIC.: 0503 8 STATE LIC.:51197 7 CLASS: C_a A SETBACK S
le �7 I .'TC Signature: _al, MAIN BUILDING ACCESSORY BUILDING
� fls'COMPENSAT ON DEC RATION: thereby affirm that lhave acertificate of consent to self-insure pro certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.Cl. LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
POLICY ND.: 116 7 9 9 2—9 4 EAP.DATE: 03/01 /95
COMPANY: STATE PARKING REQ: PROV; PARCEL : 43913228 ZNE: REF NO:
❑ Certified co y is hereby furnished. IE Certified copy' ed with the cit ing(ivision. PLANNING NOTES>
0 `l L ��'/}/ Applicant: _ *******************************************************************************
XEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(3190)or less). DEVELOPMENT SERVICES REQUIREMENTS
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 Workers'Compensation Laws of California. ZONING APPROVED BY ,•
DATE;
Dale: Signature:
NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: _
Code.you must forthwith comply with such pmvrsions or this permit shall be deemed revoked. 9
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY:
DATE: 7
which this permit is issued(Section 3097.Civ.C). **{t**{E*.*.***.{f.****.**.*{p{F***.*.*.lf*;f.yF.)f.if***.*��** ** F**
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 7,00
repair any structure.prior to its issuance.also requires the applicant for such permit to fife a signed statement that he/she is licensed 2 5;
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20 . 00
I. as 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
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 7 . 00 20 . 00 0 . 00 27 . 00 27. 00 • 00
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 REVENUE DIVISION TOTALS--> COLLECTED : 27 , 00 OVER/SHORT: 00
fur the purpose of sale). 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 27 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with acontractor(s)License pursuant to the Contractors'State License Law).I am aware .)t{E*.*+,v.9(..)F.x.*.*.*.*.*.*{p.****.******.**.*{p.x.*.***.***.**.****.*.N.******,****.*******.***.***********,***
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: PLU 1 DISHWASHER
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 7 . 00 7 • 0 0
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from theAir uabty Management District,Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to building construction and hereby authorize re R. entalives of this city to enter upon the above-mentioned
property for inspe Ian guises.
Dale: -J ( et 70 Signaw: ' — 01 00156677-00156677 TOT 27.00
Driver's License or Social Security P: DATE: 03/07/94 TIME: 09:44
1641.46 white—Building:Green—Code Entorcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & 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. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER 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 & 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 0 Gas 0 Oil
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 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final ElectricNotes:
34. Final Heating
& Air Conditioning �I TPLIZ '
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing i -4s9 "7-4`.
I _
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