HomeMy WebLinkAbout2308 SANTA ANA AVE - Building Permits ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 3212 3/03/87 5D
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. t--- TRACT NO. LOT NO. & -UNIT NO. p IL
Project Address 7 S�rx \ c-t !ft1A •
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-a2...-75—...3 J
Tel�Q� pZ I4 OA- Cod TYPE OF CONSTRUCTION LI NEW Li ADD &ALTERATION LI REPAIR
?oGllcant's Mai hiln9A_ ddress 1' CI
Owner's Name ""� CII �rt<<d'L Phone ca S�D�JI( D CONVERSION LI DEMOLISH ❑ OTHER A.P.# I Zone
S ( ,DESCRIPTION F WORK/USE OF BLDG. -S� /� •'�f�
Address 7 "7055 c"-A N-Ylk r-m- C4 - S Main Building: Accessory Building:
Arch/Eng. License No. ' • TYPE OF PERMIT RADING ❑ FOUNDATION 1 T 0
LJ STRUCTURAL Front
Address ����� (( e' - G / ❑ TENANT Li-ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear N
Contractor's Name,F ,U"'Ct4 U-e C- - - Phone 53&5C 0 OTHER
1-70
� !/ 'IA PROJECT DESCRIPTION SQ. FT. OCCUPANCYftC Right N
Address(mailing) 1 O B01� 10214 c"\c 0.„• ^3 S Left„ tell CONSTRUCTION TYPE n VA/ VALUATIONSR
✓ City License No. �V "s••{J� . ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided EQ
LICENSED CONTRACTOR DECLARATION . - l—
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: •/_C, f•c.&i( citify,f y - ��r7 u'�� Planning Notes: M
with section 7000) of Division 3 of the Business and Professions'Code, and 'V --I
my license is In full force and effect. u ! -"lift- - S
License Class C- Iv / vi�Atense .� �!/ �•�� PLUMBING FEES
Date 3' 'R Signature awed ff. - . -
WORKERS' COMPENSATION DE LARATION Bar Sink ) - / ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink .
Automatic Washer Transformer 0 15.50 KW
3800, Lab. C.) 0 50+KW
Policy No. Company Backflow Irrigation Sewer Cap
Certified copy is hereby furnished. Construction Pole Sub.
- Certified copy Is filed with the city Building Division. Bathtubs Sewer Connectional Cooking Unit • Meter Cup to 100 amps S 6e4
Date Applicant • Clarifiers - . - Dishwasher Meter Dover 100 amps
FROM WORKERS'COMPENSATION DECLARATION - - •
(This section need not be completed if the permit Is for one hundred ($100) or
less). -- Dishwasher Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for ich •S pr • is Issue d,I
shall not employ any person In any m. - so is t ome -ubject t• the Drinking Fountains So . Tank Fan Motors 00-1 HP 01'h-8
Workeei Cpsppensa{ipR7Laws of Calif. r t _
Date "-i tS I Signature 4t.Al ✓/. - _ — Floor Drains wimming Pool w/Spa • F.A.U. • Inc.Solar 0915 HP 016-15+
NOTICE:If,after making this deciarati•n,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 • Pole Light
of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors / Water Heater Outlets Range
Lender's Name
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
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 Laundry Trays Generator 00.5 KW 05-15 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
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
7031.5 by any applicant for a permit subjects the applicant to a civil
oenalty 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 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 Professidrfal.Code: The Contractor's MECHANICAL FEES -. -
License Law does not apply to an owner of a property who builds or improves a -
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 com- Canopy Typ 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 Data
prove for the purpose of sale).
O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrig ion System Application Issued By IZA Date 3 -1 -Is7
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 -100,000 BTU 0100,000 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 0 Multiple O/” System Repair/Alteration BUILDING PERMIT $ - SMIP $ - __
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ _ PERMIT
❑ 1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG#/ Fire Dampers PLUMBING $ PERMIT
ISSUANCE $
Date Owner Heating System& Dining Registers •i PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00.100,009TU LJ 100,000 Bit ELECTRICAL $ g•CD GRADING $
information is correct. I agree comply with all city and county ordinances
and state laws elating to bu ng constr Ion, and hereby authorize repre-
sentatives of I cit to r upon bove-mentioned property for _
inspection • ' •0 e /JJJ $ MECHANICAL $ TOTAL FEE $ I0,
•
Signature I I . . .. i. - - . Date
Drivers' Liter!or 5 91t - - Reinspection Fee - $15 Issue Fee $ 3L PLAN CHECK -25% $
,\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
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 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 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 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 3�7G_n/g9✓� 80. FOOD.CERTIFICATE ISSUED
33. Final Electric C/ Notes: 3 4 7 A+ 4 jr„.. s o 0 ev
34. Final Heating & Air Conditioning c Y
sign vtc' �1S R
0 two$ C-cc'�- /.. Ja /r- S
• •
35. Final Gas Pipe-Test 1i1,-0 o d S. its �z<jh f n..J i .- D-S n.-
36. Hood or Canopy
ef:P0-55.104 $ GhsATLjQ CC-...�Pc �l cam,
37. Final Factory Fireplace K
o� 4 nr3sn � ►�a�. -x/ ��
38, Final Plumbing - /nit _I 1
7-C OSSa-n.B Tian it /1 et 5'[ 1".�
39. Water Service-Final
s�bC:As i .. 4 ba ta.,nlle
40. Gas Service-Final
41. Solar Domestic-Final `•
42. Backflow Preventer • ' •
'43. Backflow Irrigation •_ •
44. Landscape Irrigation System _.
'45. Sound Attenuation
•
46.'Handicap Regulations
V. FINAL STRUCTURE & BUILDING -
48.-Special Requirements Completed
'49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
4
51. CERTIFICATE OF OCCUPANCY
.i
No. Date