HomeMy WebLinkAbout2186 SANTA ANA AVE - Building Permits AV UNIT: �� 1
PROJECT ADDRESS: 2186 SANTA ANA CITY OF COSTA MESA BUILDING PERMIT PERM NO: M 054670
OWNER'S NAME: DONALD VINTON
ADDRESS: 2186 SANTA ANA AV PERMIT NO: M 1054670 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA I
• CA 92626 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH
(714 )
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : FORCED AIR UNIT CHANGE OUT 'A SQ FT:
ADDRESS: UNIT: I
•
CLAIM VALUE; I CALC—VALUE: GROUP OCC: R-3 /
PERMITTEE: GRAHAM BROTHERS ( 714 ) 546-1653
ADDRESS: 2952 CENTURY COMMENTS; NO 'BLDG. ' PERMIT INVOLVED.
COSTA MESA CA 92626 ******�E;E*�E�E*SEK• �E�E�Ex�E ***>E***kE*�E****>E>t�pSE****>EkE**x+ESE*+E**>t****x***>E***OE***>E******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ' ZONING R EQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and 'cense is in full force a feed. SETBACKS
CITY UC.: 005963 STATE LIC,:2486 CLASS: C-20
Date: VO ' ZZ `Ci.) Signature: s.
MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sen-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN
Compensation Insurance.or a certified cop t ereof(Section 3800, Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: W C 71610 3 0 i EXP.DATE: 08/01 /92
COMPANY: LIBERTY MUTUAL PARKING REO PROV: PARCEL: 00000000 ZNE: REF NO:
Certified copy is hereby furnished. 2 Certified is file 'th the cityBuilding Divi,io PLANNING NOTES>
>
Date: VO' tet l'CI
` t Applican \ _ , *************************Oe**********)fie****9e*****I ****if**%fk*ff******IEH:.********k*IE
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R';tV 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 r •
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY r`� DATE:
Date. Signature: -
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must DINGwG with by h firthat this permit shall beendingdeemed revoked.nfSA L. ,10.--y %
/ �
CONSTRUCTIONKthisp LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: _ --,—,i': ice.�.. DATE: /��-9*)e) 3y/F"
which this permit is issued(Section 3097,Civ.C). ********************** " • .t • - ************-n- *****
LENDER: • ****************************************** ** ,r**BO*********************}.*******
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: 1 hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 ,00 - -
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SMIP/NON—RES
pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
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). 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----> 9'. 00 45. 00 0 . 00 2 4 . 00 24 . 00 , 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 REVENUE DIVISION TOTALS--> COLLECTED; 24 , 00 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purposeol sale). 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 24 . 00
❑ 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'Stale License Law).l am aware *******.*********************************************************************3i*)P
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section. B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date - owner: MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 , 00 9 . 00
I do hereby certify that I am aware of and understand the requirements of California 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 state codes and the requirements for a
permit for construction or modification Irom the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant: - f . _
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 an. - . ; thorize representatyy of this city to enter upon the above-mentioned
property for inspection purposes.
1 �l \ —
Dale: 0 ---C-1_ �� 1 Signature. /sC4r7�jJ---
Driver's License or Social Security
Applicant;Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL ).A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
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-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. I 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 O 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 i • -
28. Lathing & Siding . - 77. FIXED SYSTEM FINAL
'29. Insulation _ " ' 78. FIRE PREY. FINAL
30. Drywall Nailing • I I 1 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat' I !i ' ' , • 79. FINAL INSPECTION
32. Electrical Power Meter-Final • 1 jl 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes: '
34. Final Heating & Air Conditioning; jdb l 6 ) -
35. Final Gas Pipe-Test I 0�'' '
.36. Hood or Canopy
37. Final Factory Fireplace •! , •
•
38. Final Plumbing • -, i .
39. Water Service-Final 1Pi. - -
40. Gas Service-Final , . L ,
41. Solar Domestic-Final
42. Backflow Preventer, I
43. Backflow Irrigation -
44. Landscape Irrigation System - .
45. 'Sound Attenuation .
46. Handicap Regulations _ • - ,
47. FINAL STRUCTURE & BUILDING IC
48. FINAL PLANNING
49. Electric Release to Edison 7,
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY -
No Date
OI/g(p ar t , a.�� (Apt__O Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY Of GOSTA^MES4 CONSTRUCT( •N PERMITfW�'� - PER NO. TRACT NO. LOT NO. UNIT NO. 6036 3/02/8'1 5000 ��TL
Project Address e2•1 216 4 asi re,p/7-'�/e • 3a3 9 7 r I f'T ,
'Applicant's Mai • 'ddre . /4'/, • lkte / e e aE TYPE OF CONSTRUCTION IJ NEW U ADD ❑ ALTERATION u 4 PAIR '
/ El CONVERSION CI DEMOLISH El OTHER A.P.#
Owner's Name � �/�y�� Phone DESCRIPTION OF WORK/USE OF BLDG. - • Zone
Address aetT f eS Main Building: Accessory Building:
Z
I I
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING OUNDATION El STRUCTURAL E Front - 0
❑ TENANT ❑ ELECTRICAL WI PLUMBING ❑ MECHANICAL B N
A Rear
Address ❑ OiTHER
V 0 I. Phone girt Contractor's Nam �� .� Y v - C Right N
Address(mailing) 3 - el-0 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Left G
—;3.0~13 / CONSTRUCTION TYPE VALUATION$ S
City License No. ZONE GRADING 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
REGEIV ((11pppp T
my license is in ful f. c- and effect. EV JAN - 6 1,7DU
License ssde. / -rot: at - - S
Date .a =11CS Signature `t'M/'• %A Ai/ PLUMBING FEES • RFf FlllG'p MA(? 1 19g3WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
hereby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section
3 00, Lab. /��� Backflow Preventer Service Sink Automatic Washer - Transformer 0 15-50 KW
Policy No. f-f93y-€7 Company sTLKC= -4 Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KW
rtified copy is hereby furnished.
ES'Certif-� 1/2 yJy"s iled with the city B f•'n9 I r ,1 Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date sx �%l • / Applicant ,Af _•5
EXEMPTION FROM WORKERS'CO 'ENSATION 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). Dishvasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
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 ❑i%-B
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. 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 Microwave
comply with such provisions or this permit shall be deemed revoked. • - -
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 Civ. C.) Interceptors 1 Water Heater re
Lender's Name p -- Outlets Range
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I 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 00-5 KW 05-15 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
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 .
'031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500).
' 0 1, 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 I
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 Boiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for
sale. if, however, the building or improvement is sold within one year of com- 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 ByDate /
prove for the purpose of sale). 4/nX//
❑ 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 ❑100,000 BTU SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con- — —
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation Insurance should be provided to me.
PLAN CHECK $ PERMIT
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.511. ICBG# Fire Dampers PLUMBING $ Sr 00 ISSUANCE $
Date Owner Heating System& Ducting Registers PLAN CHECK 25% S ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000 BTL .
$ 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- PLAN CHECK 50% $ MICROFILM $
sentatives of this city to enter pon the above-mentioned property for
inspectionp
Signature -od„,,,
1 / , .. /
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
- — . _ .� . ............,.6
CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL& SPA
APPROVALS Permit# _ Date Inspector APPROVALS Permit Date Inspector
I
1. Temporary Electrical.Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcements.':
3. Electrical Conduit Utility-Undrgrnd. 54. Forms. "
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . t
6. Electrical UFER Grnd. 57. APPROVAL TO COVER:„GUNITE
7. Footings 58. Electrical Concluit-Undtgrrnd. ,
8. Foundation 59. Gas Pipe, 0 Undrgrnd', Test '
9. Water Pipe:Undrgrnd.. ` 60. Backwash Lines,P-Tr�alp, D'Undrgrnd.
10. Structural Floor System 61. APPROVAL TODEOKa 6.'
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final 1
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing65. 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 4._ 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 O Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas O 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
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •• 1,1;
33. Final Electric Notes:a/iy/er L.'t-C4 e,. G',O
34. Final Heating & Air Conditioning • _ - ,- •
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace . . • 'i
38. Final Plumbing 3//�/�j air - - •
f
39. Water Service-Final / /� - •"/
40. Gas Service-Final
;1
'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. Special Requirements Completed .,
49;Electric Release to Edison - '
50. Gas Release to Southern California Gas Co • ,
51. CERTIFICATE OF OCCUPANCY - -
•
No: Date _ _ �r .. .
I A t