HomeMy WebLinkAbout2164 RURAL PL - Building PermitsFP
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OFSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. • ' 8386 9/18/84 18.50 }•1
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1 CoKura 1�1_ b 151 d1 (o
I4 , Project Address * l la C : m • i
fTYPE OF CONSTRUCTION U NEW U ADD U ALTERATION REPAIR
/$ Applicant's Mailing Address ((��
Owner's Name
Avid a OQ rta t: I K Phone Ci IS--59" ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A•p•# Zane
L DESCRIPTION OF WQR USE OF BLDG. 1• "
Address alio4 Rurel Pluee CIrs,. `-._f <_ _ : F' S Main Building: Accessory Building:
Arch/Eng. License No. TYPE 0 PERMIT III GRADING FOUNDATION U STRUCTURAL E Front ZO
AddressI pp' - ❑ TENANT CI ELECTRICAL CI PLUMBING ❑ MECHANICAL • B Rear N
Contradtor•s Name Ciet1 r ''' C-?•
JC £")'1\r C.h PhoneS4/-0}qq ❑ BOTHER A - I
PROJECT DESCRIPTION SQ: FT. /•8'6 O OCCUPANCY Right N
Address(mailing) Gn
• 1, / - C K G
y 7C V - � p / - CON ST RUCTION TYPE Re roof VALUATION $I(Soo . 00 S Left -
City' License No. - ,sr0 D. ' ZONE ' GRADING CU.YDS. ' ACRES R
LICENSECO NTRACYOR DECLARATION Ping. Re(.# Parking Req./Provided • E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Q
with section 7000) of Division 3 of the Business and Professions Code, and - • -- M
my license is in ull force and a fact. - . - • T
LicenseClass Llcen No -
S.
' .'ate 9 -1 3.- Ry - Signature 'lf /.-/ PLUMBING FEES _.
iORKERS'COMPENSATION DECLARATION Bar Sink Showers
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
3800, Lab. C.) -- - - Backflow Preventer _ Service Sink _ Automatic •
Washer Transformer 0 15-50 KW _
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub - 0 50+ KW
-
Certified copy is hereby furnished. - . •
- Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
Cooking Unit Meter ❑up to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers SO artolleCtors • Dishwasher Meter
Dover 100 amps
(This section need not be completed if the permit is for one hundred($100) or
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work for. this permit is issued, I -
shall not employ any person in any manner so'as-to be ome subject to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP 01%-8
Workers'9�pomp�psatiLaws of Calltorpia. _.a.
Date 7'/d - CY' Signature l.u'lt l6 / Lt.1n- Floor Drains • Swimming Pool w/Spa -
NOTICE:If,after making this declaration you should become Subject to the F.A.U. 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
CONSTRUCTION LENDING AGENCY - '- • .
. Gas Service Outlets Water Closet • Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.)
Interceptors Water Heater Outlets Ran
Lender's Name _ 9e
Lender's Address , • Kitchen Sink - I Water Service
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OWNER BUILDER DECLARATIOSwitches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories
following reason (Section 7031.5 Business and Professional Code: Any city or - • Garbage Disposal 'Standing Sections .
county which requires a permit to construct,alter,improve,demolish or repair P-Trap • .
any structure, prior to Its issuance, also requires the applicant for such permit -- Generator ❑0-5 KW 05.15 KW Trash Compactor
) file a signed statement that he/she Is licensed pursuant to the provisions Of Roof Drains - '
ne Contractor's License Law (Chapter 9(commencing with Section 7000) of - - •
-
OlvIsion 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 _
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). -
U I, as owner of the property or my employees with wages as their sole 1 •Reinspection Fee I $15 Issue Fee - $ 3 -
compensation, will do the work,and the structure is not intended or offered - 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 SERVICES REQUIREMENTS:
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of cam- - Canopy Type II ❑ Zoning Approved By Date
Motion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
rove for the purpose o1 sale). /�
LI I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Oat: '' 10 ,1`
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 ❑0.100,000 BTU ❑100,000 BTU SUM ARV OF FEES
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builds or improves thefeon,and who contracts for such projects with a con- ?COtractor(s) license pursuant to he Contractor's License Law). I am aware that . BUILDING PERMIT $ I • S0
proof o their Worker's Compensation insurance should be provided to me. Exhaust System ❑ Multiple ❑ System Repair/Alteration SMTP $
PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason ' Firepl/Fact.Bit. !CBO# PLUMBING $ ISSUANCE $
Date Owner - Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑o-100,000 BTU D100,000 BTL GRADING §
information is correct. I agree to comply with all city and county ordinances - ELECTRICAL $
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this city to en upon the above-mentioned property fo _
Inspection os
•
Signature a.- MECHANICAL ' $ TOTAL FEE $ (9)•...00 Date Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
Drivers' Licen or SS 4
• N.
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor -
CONSTRUCTION AND PLANNING .iL &SPA
• •� Date Inspector • Date Inspector
;APPROVALS Permit# APPROVALS Permit#
11. 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. APPROVEDFOR PLASTERING
18. Rough Electrical-I 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 Electric •
Notes:%// ys �S' 4te . L•�-
34. Final Heating& Air Conditioning !!
35. Final Gas Pipe-Test
36. Hood or Canopy
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 /i( Pe
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. - Date
•
COUNTY OF ORANGE 32 9'975-......1 BUILDING DEPT. 7.7
636 No. Broadway Permit No
Santa Ana, California Application for Building Permit
Phone: KI 2-6211 AND FOR A
Certificate of - Use and Occupancy
// ,, _ Date �-e--e--- g
G,yys W �_ ' . . L 3 O
1. OWNER'S NAME._//�ss r1��-/�--�'�---- - - -�- PHONE:���/ // /A' (../!
•
MAILING ADDRESS../ -� 3 3 a CITY
/C- Q 22 %(a't '
Name de & - - Name_) -`� ,.�Y-rf'�-e-- -�.___O +----�
f(Architect or Enginee (Coptractor) es
Address -2._..L / Address_.03.-_. 2 ��� /J � (/\
City ..e/!.-re, - - -> -CuN�'(— City _Smowe
State V State / z Z 3 _Q
Lic. No. Phone Lie No //��- Phone 1r/-(.
PROPOSED USE: .. ' - W9 'I t Galt f
2. JOB LOCATION 2.._(._(v (w11.�4L5C �-X rrcf� L/ ,` <t/
ic- _-_...c.c.
(House No.) (Name of Street) (Town or School District)
3. LEGAL DESCRIPTION: Lot / a Block Tract 23:‘,5 D.,_
(Metes and Bounds Description—Use reserse side of form)
4. CORNER LOT ( ) INTERIOR LOT ( ✓ ) THROUGH LOT ( ) SLOPE OF LOT ( r )
R. 1046
5. SIZE OF BLDG.: .."S_S X 33-AREA• C 3i; SIZE OF LOT' R t X 26_-AREA:. ` tP 0
To...¢. I 03
6. HEIGHT OF BLDG ' / 47 CEILING HEIGHT- 2 / NO. OF STORIES
7. NO. FAMILIES.. / Size of Smallest Bedroom: 80 Size of Kitchen: . 10
8. EXTERIOR WALL CONSTRUCTION 24.-- 4 L-----INTERIOR WALL COVERING
(Frame, Stucco, Etc.) i (Plaster-Drywall, Etc.)
i
9. SETBACKS: Front Yard from Center Line of Street _c5.29
I n
Nearest Side Yard.-_, Rear Yard._- Distance in Feet Between Bldgs. on Same Lot
. JO. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
1I. For (a) Footing: Width 1 4 Depth in Ground 1._Z_ Width of Wall Ip
Accessory 1
Bldgs. and (b)- Size of Studs: L Y Spacing (D "CC Material of Floor
Similar
Structures: /'/
(c) Size of Floor Joists: AC4 Spacing ._./-....Q_ "CC
(d) Size of Rafters: 024 Spacing _ /� "CC
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12. VALUATION OF PROPOSED WORK: Including all labbor,_plumbing, electrical wiring, heating, fire sprinklers, paint-
ing and sewage disposal $ 7.6"2,0t ed
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THHERETO..
'7��/
Signed:. .77 / O ""�---
Plans Filed:. /7 ! ` s (Owner)
By` (.A�
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: CHECKING BY
Bldg. Permit - $ /p�C9-CGROUP--..ZireCi------- APPLICA.TIO 1'2,7 HEALTH
Plan Check - $ 3 e Do TYPE ZONG .. kIfl FIRE
Total - - - $ )7 tVv___ DIST. 7 MARSHAL
Receipt No. - - MAP ^/\�—' PLANS AND
P S� T CORK ._ STATE •
Paid to SHEET NO CORRE IONS." ENGINEER
Date I�12!f�__ VERIFIE CAL
/ / ' PERMIT IS• t onx:D0N01- . .E c •IN+.` EC70R �`
DATE 13" i e \ �OP. rFPUIY
i,
5m-1.50 V
METES AND BOUNDS DESCR_ .ON:
110 2O 310 40 5,0 610
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