HomeMy WebLinkAbout2374 SANTA ANA AVE - Building Permits . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
•CITY OF pSTA MESA CONSTRUCTION PERMIT PERMI NO. Q TRACT NO. LOT NO. UNIT NO. •
Project Athress '7 Y :5.4,11,7 /4 AIA ,411./S ,21D7� •4967 11 /27/85 I.�o6G TL
Applicant's Mailin Address /Vf/k/¢Nts2es7' 42 re✓(No- TYPE OF CONSTRUCTION LI NEW Li ADD LI ALTERATION REPAIR
pQ l • ❑ CONVERSION ❑ DEMOLISH ❑ OT Egg A.P.# I Zone '
Owner's Name �1r7-Y/e'1E.t/d /2$-1/15 eV Phone��8"7Ry6 DESCRIPTION 0 WORK/USE OF BLDG. el(L'b¢ c0/tP D Vc2. e-0/"1n .
Address X-775' SANT ANA A f/6 •7' l70 "yr L . 7` 0i ( VII- U7 GCis ac)F S Main Building: Accessory Building: Z
Arch/Eng. License No. TYPE OF PERMIT II GRADING U FOUNDATION III STRUCTURAL E Front Q
Address s 5-3-9-nil ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
``/� I(,a OTHER ( E..IL^G4 A
Contractor's Name /�/iYS 2!%s F/✓y L a • Phonr `1'- C Right N
Address lmailingl�S7/f(i�t?rs}-CitZ .zRvlr"g ?271Y PROJECT DESCRIPTION SG FT. l�� OCCUPANCY K.
�/�J,/� CON ST RUCTION TYPE ctei el - VALUATION $ /guar erg S Left R
City License No. /9 Yc27 ZONE G RADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION . _ Ping. Ref.# • • Parking Req./Provided
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code, and •
my license is in full forceand effect. 3�(O`/� T
` License Class C..3R License No. S
ccc���Vi Date /1-77—SSS Signature DEC /rte PLUMBING FEES
y, —ORKERS'COMPENSATION LARATION Bar Sink ShowersELECTRICAL FEES
areby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Com anon In rznce, or a certified copy thereof (Section Backflow Preventer Service Sink
^ 3800, Lab. C �'{j X C� Automatic Washer Transformer 0 15-50 KW
., Policy No. `s " S //�o moony 3 ATC Fv u Backflow Irrigation Sewer Cap Construction Pole Sub. • 0 50+KW
Certified copy is hereby furnished.
- Certified copy i tiled with the city lding, Psion. Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date .0- 2 /^ 4 J Applicant R"(, ^sA'•ta'r-"
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors 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 ❑Electric Sub Panel
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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 Drinking Fountains Solar Tank Fan Motors 00-1 HP 01'A-8
Workers' Compensation Laws of California. _—
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. —•li Inc.Solar 09-15 HP 016-15+
'NOTICE: If,after making this declaration, you should become subject to the -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - Fixtures - -
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets - Water Closet •
Device Boxes
I hereby affirm that there is a construction lending agency for the performance POIe Light
of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater .
Outlets Range '
Lender's Name
Lender's Address Kitchen Sink. Water Service Switches Sign f
OWNER BUILDER DECLARATION • • r
I hereby affirm that am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal 'Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or '
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • Generator ❑0-5 KW ❑5-15 KW Trash Compactor
any structure, prior to its issuance, also requires the applicant for such permit _ _
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains'
the Contractor's License Law(Chapter 9(commencing with Section 7000) of -
livision 3 of the Business and Professions Code) or that he/she is exempt • may,
lerefrom and the basis for the alleged exemption. Any violation of Section - - '
,031.5 by any applicant for a permit subjects the applicant to a- civil • - ,
penalty of not more than five hundred dollars ($500). $ 3
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee
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compensation, will do the work, and the structure is not intended or offered ' Reinspection Fee $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 — Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler ,
sale. If, however,the building or improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By Date
plellon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
prove for the purpose of sale). Building Approved By Date
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By _ . .. - Date
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 00-100,000:BTU 0100,000 BTU SUM V FEES „r-r�
builds or improves thereon,and who contracts for such projects with a con- N)1 /��1p{�)
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repel/Alteration BUIL NG PERMIT $ /1• t+r" SMIP $ s
lJJ
proof of their Worker's Compensation insurance should be provided to me. • PLAN CHECK $ PERMIT
l: am exempt under Section B• .& P.C.for this reason Firepl/Fact.Blt. ICBO# J Fire Dampers E_A P I R = D PLUMBING $ ISSUANCE $
Date ' Owner Heating System&Ducting Registers
• Ii1COmG ete Ills DecDBC.IOnS PLAN CHECK 25% $ ENERGY P.C. $
-I hereby certify that I have read this application and state that the above 06100,000 BTU 0100,000 BTUELECTRICAL $ : GRADING $
information is correct: I agree to comply with all city and county ordinances -
and state laws relating to building construction, and hereby authorize repro- Date __ Sig ."-=PLAN CHECK 50% $ MICROFILM $
sentatives of th�city t• enter upon the above-mentioned property for - • n
inspection purndsgs. _/ r //27 SC
MECHANICAL • $ TOTAL FEE ' $ /9.
Signature �j��CCCC• Ike Date o
Drivers' License o'SS# Reinspection Fee I $15 Isl a Fee $ 3 PLAN HECK 25% $
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
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. CONSTRUCTION AND PLANNING
POI SPA
APPROVALS Permit Date Inspector APPROVALS Permit # Date Inspector
• 1.,Temporary Electrical Service or Pole 52. Pool & Equipment Location
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2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgi-nd: 54. Forms
A. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER.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 I- 63. Heater & Vent-Final
. 13. Roof Drains •} 64. Plumbing System - Final
14. Rough Plumbing-_ 65. Electrical-Final ,
X15,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 O Oil
23. Gas'Pipe-Rough &Test 72. Underground Flush
24. Roof Framing i 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 ..i
29. Insulation . 78. FIRE PREV. FINAL
, 30. Drywall Nailing HEALTH DEPT. REQUIREMENT -
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31.,Plaster Brown Coat - 79. FINAL INSPECTION
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32 Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
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33. Final Electric - Notes:
34. Final Heating,& Air Conditioning -
35. Final Gas Pipe-Test
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36. Hood or Canopy
37. Final Factory Fireplace ••'-1'
38. Final Plumbing
39. Water Service-Final "' --
40. Gas Service-Final 1p+
41. Solar Domestic-Final
42. Backflow Preventer • 1
EXPIRED
43. Backflow Irrigation - In eget f.ISpections '
44. Landscape Irrigation System
Date
45. Sound Attenuation Sig
46. Handicap Regulations ,
47. FINAL STRUCTURE& BUILDING • J
48. Special Requirements Completed '
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATE OF OCCUPANCY
No. - Date _