HomeMy WebLinkAbout2479 RUE DE CANNES - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO.
Project Address a24-79,1 •�pAer� �1oK..,4_ Pe aki ties Me- 33535 yy 0610 5/16/6'• 46.50 TL
Applicant's Mailing Addressa2.L1 "la Ave De Co-t4 € S TYPE OF CONSTRUCTION U NEW Li I
ADD YALTERATION LI REPAIR
_ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER •
Owner's Name �✓L I I•L 2fRT Phone ��' A P # (Zone
DESCRIPT N OF W RK/USE pF BLDG. �1 .A�P�Oh•/
Address -247q A--ca Rue Dt. �N N t s cam.-'- . 67 L......." , 0 V S Q S Main Building: Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT GRADING LI FOUNDATI�ONy Li STRUCTURAL T Front O
Address ��/p�� ❑ TENANT 1iK ELECTRICAL ❑ PLUMBING D5•MECHANICAL B Rear N
Contractor's Nam: - S ' C -Phone X 62 .0 ❑ OTHER
/ PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing) a- 06 w' ti vo fa , "•-,'t • K Left G
1 8.3''185 CONSTRUCTION TYPE VALUATION s R
City: License No. J ZONE GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION A rr / Ping. Ref. # Parking Req./Provided
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ' l I ( 12Co A �D exls `• ♦�- Planning Notes: 0M
with section 7000) of _Division:43 of the Business and Professions Code, and �`/T
my license is in fJ��,for I and effsat. a - ' x,nsr �. s
T
License la `-- Er -`'�( a'. license o� -� I"' -
Date - a '_s lgnature / -�J EL.Tr VaJ cat- I �•([.(f��' to era-I' . ( FEES
WORKERS'COMPEN ATION,DECLAR ION Bar Sink Showers
ereby[affirm that I hove a certificate of consent to self-insure or a certificate ELECTRICAL FEES
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
.JO, Lab. C.),-„,.....,1 '' /� T Automatic Washer Transformer 0 15-50 KW
Policy No. 1tone• '-e Company si g1- Backflow Irrigation Sewer Cap0 50+ KW
fl 9 Construction Pole Sub.
},F Certified copy is he eby funis had. `
Certif o y fd wlthtLhe city. Buil 9 vision. . Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Datej2-Applicant /i ` Clarifiers Solar Collectors `u Dishwasher Meter Dover 100 amps
EXEMPTION FROM WORKERS'COMPS SATION DE LARATIONP
(This section need not be completed if the permit is for one hundred($100)or •
less). rt Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel
I certify that in the pepormance 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 Drinking Fountains Solar Tank Fan t Motors 170-1 HPA''A-8 "7 5�
.orkers' Compensation"Laws of California.
.. e Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
NO CE:If,after making this declaratlbn,you should become subject to the
Work- s' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comp) with such provisions or this permit shall be deemed revoked. Microwave
qaCONSTR CTION LENDING AGENCY , Gas Service Outlets Water Closet
I hereby ai m that there is a construction lending agency for the performance Device Boxes Pole Light
of the wor for which this permit Is issued (Section 3097 Civ. C.) Ihterceptors Water Heater Outlets Ran e
Lender's Nam- 9
—1 LendeOWNERr's AddressBUILDS Kitchen Sink Water Service Switches
•EC LA RATIONSign
T I hereby affirm that .m exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Sect 7031.5 Business antl Professional Code: Any city or 9 P Standing Sections
county which requires a .-milt to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator 00-5 KW 05.15 KW
any structure, prior to its uance, also requires the applicant for such permit Trash Compactor
to file a signed statement th. he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law . apter 9 (commencing with Section 7000)of ..
r 7-ivision 3 of the Business an• `rofessions Code) or that he/she is exempt
'' a refrom and the basis for the a •ged exemption. Any violation of Section
31.5 by any applicant for a mit subjects the applicant to a civil _
-i natty of not more than five hundre• ••ollars($500). $ 3 / 1 T
N
- U I, as owner of the property or my -mployees with wages as their sole Reinspection Fee I $15 Issue Fee 1
compensation, will do the work,and the ucture is not Intended or offeretl -- Reinspection Fee $15 Issue Fee ..ata.....
for sale (Section 7044, Business and Prof ional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a p ••erty who builds or improves
thereon, and who does such work himself/herse or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are n• intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold ithin one year of com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/s - did not build or im- Duct- Under Ground Building Approved By p Date
prove for the purpose of sale). �j�
❑ I, as owner of the property, am exclusively contracting ith licensed con- Duct-Structural 1 Refrigeration System Application Issued By DateS-16----8e9
tractors to construct the project (Section 7044,Business and - .fessions Code: -- - fro
The Contractor's License Law does not apply to an owner o •roperty who Duct-Ventilating • X0-100,000 BTU 0100,000 BTU
SUMMARY OF FEES
"builds or improves thereon,and who contracts for such project with a con-
tractor(s) license pursuant to the Contractor's License Law). I am -ware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
•proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $
❑ I am exempt under Section B.& P.C.for thiiPERMIT
.eason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
Date owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑o-100,000 BTU 0100,0006TL— So GRADING $
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws rel.t' 9 to building construction, and hereby authorize repre-
sentatives of thi ty to Ae er p•_a e above-mentioned gro erty f r �•�� /
inspection pure.Js� 5�6 ,gyp• - MECHANICAL $ Z' TOTAL FEE $ 10�-
Drivers' �. _ _r► Date Reinspection Fee I $15 Issue Fee .-4l PLAN CHECK 25% $
Drivers' Licens-�r SS ••���/ �� a
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING- POOL & SPA
APPROVALS Permitt # Date Inspector „APPROVALS Permit# Date Inspector
1'-Temporary ElectricaP 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, O 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
1,A, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1 •
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro i - - '
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 PREV. FINAL' • • •
30. Drywall Nailing HEALTH DEPT. REQUIREMENT • .
31. Plaster Brown Coat 79. FINAL INSPECTION ' l
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '
33. Final Electric �j ' Notes:
34. Final Heating & Air Conditioning 54 , el:
35. Final Gas Pipe-Test _-.
36: Hood or Canopy
.• .r
,
37. Final Factory Fireplace `i
38.4'Final Plumbing .1
.
39?-Water Service-Final•, , ' -
40. Gas Service-Final '
1}.• J' , ,
C41. Solar Domestic-Final •, �i , ...
I
6.42. Backflow Preventer _ -
143. Backflow Irrigation , -4i'1 ' I ` .
.
44. 'Landscape Irrigation System -1
45-Sound Attenuation EXPIRED .
incomplete Inspections - • • •
461.-Handicap Regulations � �' .Y... .
4t. FINAL STRUCTURE & BUILDING Date � �, - ` I,
,48,:.Special Requirements Completed ,'
49. Electric Release to Edison - to•
50. Gas Release to Southern California Gas Co I
51. CERTIFICATE OF OCCUPANCY •
No. 4 ,_____a___ Date
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