HomeMy WebLinkAbout2076 SANTA ANA AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
Cis"' COSTA MESA CONSTRUCTION PERMIT t PEA TRACT NOD 97 . LOT NO. UNIT NO.
• I7olect Address 7_()?/(o St=?/71'}-j 11 na � 9401 11/12/87 30 p 50 TL
Applicant's Mailin ddress "/c)�� a7e�on/nip pc mo Q TYPE OF CONSTRUCTION ❑ NEW Ell ADD U ALTERATION "g-REPAIR
R
1e l a'/arid P r Phone 4;•1•11n.-5062 ❑ CONVERSION ❑ DEMOLISH ❑ OTH��jj''R A.P.r/k Zone
Owner's NameDESCRIPTION OF WORK/USE OF BL/DG. /�e -MI.--
Address
L l i'Y- fly
Address PQ � h✓e^ r p 9; 4. �s I .7a (to 9 S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT GRADI u FO- DATION TRUCTURAL E Front ZO
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICALg N
Address ��((��ppl��yy� ❑ OTHER A Rear I
Contractor's Nam- . -r AD Phone,5 3. 1S.G'i C Right N
�' y1 PROJECT DESCRIPTION SQ. FT. 3(211/
Address(mailing) �a ....77--iron/ MeV�� CONSTRUCTION TYPE
VALUATION$AGS repo s co $ Left R
City License No. Z�h.�j ZONE GRADING CU.YDS. ACRES -
Ping. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR OECLARATION -
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
.IN my license is in full rce flett.- - T
7 5 63 s
License Class License No379 -
Date /�If,�Q7 Signature- - • '—
RPLUMBING FEES ,
RKES'COMPENSATION • CLARATION Bar Sink . Showers
\ reby affirm that I have a certificate of consent o se -insure or a certificateELECTRICAL FEES
o, Workers' Compensation Insurance, or a cer "fie• copy thereof (Section Backflow Preventer Service Sink
Automatic Washer • Transformer 0 15.50 KW
0 3800, Lab. C.y1 S,� 227 � - 0 50+ KW
Policy No. (� �J ompan ata ' ii Backflow Irrigation Sewer Cap Construction Pole Sub.
Certified copy is hereby furnishetl. '
y� erti led cop is flied ith the ci B I ' Divisl. . / Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date l/-/ 1 -g /Applican /� .� ,
EXEMPTION FROM WORKERS'G3r�1 •15ATION 0 ARATION Clarifiers Solar Collectors Dishwasher Meter :lover 100 amps
(This section need not be completed If the permit Is fo/ undred ($100)or
less). _ Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance Of the work for wh • is 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'/-B
Workers' Compensation Laws•of California.
Date Signature t.. Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE:If,after making this declaration, you should become subject to the Inc.Solar 09-15 HP ❑16.15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal FixturesMicrowave
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
1 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
Lender's Name Range
Lender's Address Kitchen Sink Water Service -
OWNER BUILDER DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or - 9 P Standing Sections
county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
'Contractor's License Law (Chapter 9(commencing with Section 7000)of
ision 3 of the Business and Professions Code) or that he/she is exempt
;refrom 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).
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $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 corn- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date
prove forthe purpose sale).
❑ I, as ownerof the p
of property, exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued ey •
Dai
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 ❑100,000 BTU SUM OF EES
builds or Improves thereon,and who contracts for such projects with a con- j\
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ • CD
SMIP $ •
proof oftheir Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration
- $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers +,PLAN CHECK
I p 1 L1 ('PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting Registers 1,ir(am(11Cto Inc •nrtieli• PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% MICROFILM $
sentatives of this city o enter upon the above-mentioned property for Date Sig ,_-_ $
inspection purpose-. / -- MECHANICAL $
0
Signature ,t 4 r, • . - TOTAL FEE $ 3_.
Drivers' Lice deaYgni -- Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Erg; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • p
}
CONSTRUCTION AND PLANNING POOL& SPA
t-� Date Inspector Date Inspector
APPROVALS RernijS APPROVALS Permit#
1: Temporary ElectricaFSefvice 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings i-- 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 0Gas 0Oil
23. Gas Pipe-Rough &Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0
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
•
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •
33. Final Electric Notes: I '
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
EXPIRED
43. Backflow Irrigation Incomplet Inspections
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations $ '
47. FINAL STRUCTURE & BUILDING i
48. Special Requirements Completed •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY - 0
No. Date