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HomeMy WebLinkAbout1035 SEA BREEZE DR - Building Permits PROJECT ADDRESS: 1035 SEA BREEZE DR UNIT` CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 057352 OWNER'S NAME: FRYDENDALL JEFFREY SCOTT ADDRESS: 1035 SEABREEZE PERMIT NO: E 057353 PLAN CHECK NO; N GOVT: N SUPP: N COSTA MESA,CA 92626 CONSTRUCTION TYPE; V—N PERMIT TYPE: ELE PURPOSE: OTH 646-2059 ARCH/ENGINEER: ii ADDRESS: REG.NO.: UNIT: JOB DESCRIPTION : ELEC. OUTLET TO BE PLACED ON WALL SQ FT: CLAIM VALUE: CALL VALUE: GROUP OCC; R-3 / PERMITTEE: SHARON FRYDENDALL ( 714 ) 646-2059 jam% ADDRESS: 1035 SEA BREEZE DR COMMENTS; OUTLET ON FLOOR TO BE INSTALLED ON WALL COSTA MESA CA 92627 ************** ***x-EF*1�**)t*rtiE**+tw** yaitiE ** **�F*iE;FELE-�F** x*******+E******�t*****iEst* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FR NT; 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 POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL: 93529005 ZNE; REF NO; 7 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: *************3f********-IF**********X ***********3ilt************iE************* **fF EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT S .E R V I C E S 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 rkers ompensation Laws of California. 'r!' ZONING APPROVED BY /,' DATE: Date: /V�a yZ Signature:�� dol/ NOTICE II.affe making this declaration,you should become subje o the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; / DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the pedormanee of the work for APPLICATION .ISSUED B Y: `_/a i J,/ix 7 DATE; y��� which this permit is issued(Section 3097.Civ.C). %1 **********************F"* ' * x..,.' 3E? .A-_,Ii. x*x * •***`fir'********** ie er,.* LENDER: **********************)e***********'1� ® **iEM icrt**************?E**iE**************** ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Stale License Law for the following reason BLDG PMT PLUMBING /ELECTRIC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT , /5 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 50% SM I P/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 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15• 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS——--> 0. 75 15 , 00 0 . 00 15, 75 15. 75 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 15. 75 OVER/SHORT ,00 Y v forthepurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 15 . 75 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************,***)e*****************)f********iF**$*******-If*******n***3f**ie***.X. that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ® I am exempt under Section: 9 P 7044 B.Si P.C. for this rason: ALL WORK Y OWNER DTYPE QTY DESCRIPTIO N UNIT COST TOTAL COST r Date: y/%2 owner/) �G�.!-�w i/ ELE 1 RECEPT/OUTLET 1 ST 20 EA, . 75 . 75 I do hereby(edify mass I am aware of and u rstand the requirements of Calf{oroia Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate codes and the requirements for a permit for construction or modification from the Air Quality 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 state laws relating to building construction and hereby au rite representatives of this city to enter upon the above-mentioned 01 [10114961—QO1149b1 TOT '2:-../F.. property for inspection purposes. DATE= 05/14192,92 1 IME: 32:38 4—.4., Daiq:4---neaSignature! • • Driver's License or Social Security//: Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING - POO SPA Date Inspector Date Inspector APPROVALS Permit#. - APPROVALS Permit • 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-Undrgrrid. - 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. r 8. Foundation 59. Gas Pipe, 0,Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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. Pluinbing System • Final ' 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit F,. lar System-Final • 16. Rough Electric Wiring F'. 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 173. 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 � �': i 79. FINAL INSPECTION 32. Electrical Power Meter-FinalP ( ' . OOD CERTIFICATE ISSUED 33. Final Electric a 4 otes: 34. Final Heating& Air Conditioning ✓�-' 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Final Factory Fireplace -t 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