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HomeMy WebLinkAbout602 SHASTA LN - Building Permits PROJECT ADDRESS: 602 SHASTA LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 051066 OWNER'S NAME: ADAMS JIMMY ADDRESS: 602 SHASTA LN PERMIT NO: P 051066 PLAN CHECK NO: N GOVT: N SUP?: N COSTA MESA, CA CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH 754-7478 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : CHANGE OUT DISHWASHER SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: NOCK PLUMBING ( 714 ) 895-1246 ADDRESS: 11610 SEABOARD CIR COMMENTS: CHANGE OUT OF DISHWASHER STANTON CA 90680 *SE:E*SExSE*4*SEr***:ESE+ESE**:L****HESE+t*w***+E*SE******+E************+t**********TE*+ESE*******SE LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS CITY LIC.: 0/50 7,6 STATE LIC.:511971 ,�/�ass: C 6 Dale: 2/71/4/ 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' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation lnsyran,ppC�qq,7O,,cpInj, copythereol(Section 3800.Lab. ). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 11b /`J7 LJV EXP.DATE: V3/01 /91 COMPANY: STATEpp PARKING REQ PROV: PARCEL: 93405172 ZNE: REF NO: El Certified copy is hereby furnished. LO Certified copy is fled with t e icy Buildin ' ion. . PLANNING NOTES> /)s QQ /�I� ///JI/F > Date: z(LOI1l Applicant ************************3F********************************************if********* _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 VIC ES 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 10 the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Dale: Signature: BUILDING APPROVED BY NOTICE:D.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor : / DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ..---Zi CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: arra+' DATE• ,.Zt7. !/ which this permit is issued(Section 3097,Civ.C). ********************** ",�,;,j� ********!F************* LENDER: ************************************** ************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I 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 2,00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5 jSMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000I 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 live hundred dollars($500). ISSUE FEE 3. 00 I. as owner oI 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 H not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 2 .00 3 .00 0 . 00 5 . 00 5. 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• 5.00 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 5. 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for Such prOjeC1s with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* 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 DESCRIPTION UNIT COST TOTAL COST Date: Owner: PLU 1 DISHWASHER 2. 00 2 . 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 from the Air Duality Management District.Residential construction applications are exempt from these previsions. 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 1. ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. 'J/ ��j/],/ Date:_Z-(Zyl 1 Signature: V.l9 `� `� U? Cuu.aah�'LJ��:?iQb : u `.7n Driver's License or social Security a: DATE: DT;:2,c i 1 lila: 1617i, 1641-46 While—Building,Green—Code Enforcement:Canary—Applicant;Pink—Revenue;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-UndrQQrnd, t4.5 .t.'S 53. Steel Reinforcement -- '..•Cr ConduiCUtility-Undrgrnd 'rr. 54. Forms r •At:Electiical Conduit.Undrgrnd. 55. Electrical Bonding '-_,•.'5.Iteet:HeinforcemetitS 56. Rough Plumbing & Pressure Test - 36 JElectricaI UFERGrnd. ....7,' 57. APPROVAL TO COVER-GUNITE 7'.1footings s 1 c' 58. Electrical Conduit-Undrgrnd. 8. Fou dation 59. Gas Pipe, 0 Undrgrnd.,Test 2. 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 . `` n, 63. Heater & Vent-Final 13. Roof Drains rt 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electrid-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 c-co_ tC . 20.!Rotigh Factory FUeplace I �tZro d -- t J - , • '� . PPROVAES CPei'niit # >' ix - t •S 2.•' : ICK- .F .s :-, ,-a U. i -E-- .>tro x .. Cr 21'Duit's, in.-Structul9:, i .. . ".:;5• 7. :S.. d ,ye 0. kindergron ud7Hyd ,,. 22. Ducts, Ventilating`_ C. v -, •?_� -r ;,71. Product�Paping O'Qps O'Oil 23.;GasrPipe=Rough &lest , t„s 1, cn r,- . -jt :r 172. Underground Flusht 24.-Roof Framing ( vry •G C' .�4 Y S73 ,Jndergrnd•:StorageTank©Gas 0 Oh 25. Roof Sheathing r' + '" t_ 5. N : "74,'-Overhead Hydro'- - 26.1T-Bar Ceiling (Structural) &'.Monocoat O uu_ tam , 75.--Y7Dry Chemical - 'r '- c 27 ,frame and Flash'' -- •. rii �->.. ` s m ^t tr!9.. ,x ,- y ,r•+ , 76` Dry Standpipe t.,u„ - :-28:lLathing-.a& Siding^ - 'ca'' • iti s'. >: r. • 77i:-FIXED SYM STE .SIW `t AL' >29. Insulatign 1-:.. j •• . it . 78..5-FIRE PREV. FINAL . > c; n r30. Drywall,Nailing Fiy ~ I •, •HEALTH+DEPT: REQUIREMENT •_31. Plaster Brown Coat R w Y79.`FINAL-TNSRECTION ' 32.;Electrical Power Meter•-Final; I. in i , ti ,r60:`FOOD CERTIFICATE ISSUED X33�tFinal Eleptric• 'x,t -7. -c t't ! •'(; z J!Noics:t1 tt ;,. ti34:-Final Heating,& Air.Conditionigya h. • eC S rt-. r s 35(Final Gas!Pipe-Test^" ,_ :c ., l` ` rt_,:: u' ".36: Hogd or Canopy - _ r,- - Le-...dr no t-37 C.Finel Factory FirePr „aceI ?` - a !' ; ' 17, ' 4. . ,` :38. Final Plumbing • - : -- Whefere (.� - Y S . di --39. Water Service-FinaV -• Y E: Y. :t rr Y. 1< ,Z • >. . , ,,40. Gas Service-Final ; • . ¢r,•t, .5 „ (; .t _^.Li o.� ' >41. Solar Domestic-Final it. 4 I- ., -, ro .. I I Ic ,. to -, - Y _ F"42:`-Backflow Preventer. - 03 ,_ `t 1,I. > ,,'' - 43. Backflow Irn'gation'- T. S " `- � 4: >. . a: :u -ti • Cl • x J:J. �,. :!' ,U Y. ,s V i;44. Landscape Irrigation System o; , ,n ,� ;, _ . c s: a.: 0; •;;0 CO C 5"..45.:Sound Atter_CuatiOn .0-g, n- > - - .. ., ' ., �_' a- S•t s :46`Handicap,Regulations . ._ •• .. r . X1.1::• :i ` ••,q -r -47..FIttAL STRUCTURE & BUILDING ' '• : h' • ,• z ,..... :• ,. :v 48`FINALPLANNING I . t. . -- c49..-.Electric Release to Edison i S 1r,) .1., >. 'J •.. - g �50 eGas-Release to Southern California Gas Co .t 1 I; `,` ,1,51. CERTIFICATE OF:OCCUPANCY ;, : ;� r :-;.3 •z F. j No. Date