HomeMy WebLinkAbout620 SHASTA LN - Building Permits JECT
PR OWNER'SORESS: 620 SHASTA LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06378E
OWNER'S NAME: PASCO MANAGEMENT CO
ADDRESS: p O.BOX 2968 PERMIT NO; B 063788 PLAN CHECK NO; N GOVT: N SUPP: N
COSTA MESA, CA 92628
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STA PURPOSE: REP
ARCH/ENGINEER: 641-0593 BEG.NO.: JOB DESCRIPTION : REPLACE SIDING—VALUE:
UNITS 620 S 622 S FT: 1 , 200
ADDRESS: UNIT: Q
CLAIM VALUE: 1 , 200 ,00 CALL VALUE; 1, 200 , 00 GROUP OCC: R-1 f
PERMITTEE: ORION CONSTRUCTION ( 714 ) 363-0727
ADDRESS: 28 OAKCLIFF DR COMMENTS: *
LAGUNA NIGUEL CA 92677 ****************+E**************************************************************
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 full force and effect. SETBACKS
CITY LIC.: Ey 4 lSTATE LIC.: 485459.,i CLASS: B
--.4--"Date: Signature: AZ MAIN BUILDING ACCESSORY BUILDING
WORKERS CD PEN ATION DECLARATION: Ihereby affir, ave a certificate of nsent toselbi a or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Sectio 4 00,Lab.C6 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 046-93UNIT03554 EXP.DATE: 01/01 /94
COMPANY: STATE FUNIC PARKING REQ: PROV: PARCEL: 93405184 ZNE: REF NO:
❑ Certified copy is hereby furnished. LX Certified copy is 1/•. . h the city Building Division. PLANNING NOTES>
q ACS >
Rale: L '!//JPO Applicant: *******************************************************************************
' --EXEMPTI01/4
FROM WORKERS'COMPENSATION DECLARATION::ectionneed not becomp led if the permi for one hundred($10O)orless). DEVELOPMENT S ER VI CES R E Q U I R E M E N,;T S
I certify that in the performance of the work for which this.. it is issued,I shall not employ any person n any manner so as to become .—,
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY
DATE: -
Rate: Signature:
NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY • 6
—
DATE
Code.you must forthwith comply with such DATE:Such provisions or this permit shall be deemed revoked. ,x (�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: L,*, Z'— `
which this permit is issued(Section 3097,Civ.C). ******************** ******* *** * _ _ _ . ***********************� `******(****
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l 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 29 . 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
5 D
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
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 five hundred dollars($500). ISSUE FEE
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----> 29 , 50 0 , 00 0 . 00 29, 50 29 , 50 . 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. II,however the building or
improvement is sold within one year of completion.the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 29 . 50 OVER/SHORT; ,00
for the purpose of 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 29 . 00 . 50
❑ 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 protects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware .k,******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN
tor Anis reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and SFR 1200 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 200 . 00
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 END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
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
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. �,
—�Date: 1/71/11:' Signature:c_ 3rIi 00146310-00146I111ET s 1Y 29 .50
Oriver's License or Social Security$:
164146 While—Building:Green—Code Enforcement:Canary—Aoolicant: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-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utrility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test •
6. Electrical UFER$rnd. 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 Ling & 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
. i . .
20. Rough Factory Fireplace i -i.', •_ APPROVAL'S 3' Permit #
21. Ducts, in Strbeture 1 ' ',;r,; - ' ' ' 1 r I " -. r t r' '
• t± r . -,c 70. Underground_iHydro
t .
22. Ducts, Ventilating •• i - ' 71. ProductPping ages ❑Oil
23. Gas Pipe-Rough &test i - _ e 1 ' '.;. . ! 72. Undergrounc.�Flust}t,,
24. Roof Framing • I s • • 1. i' -73. Undergrnd:Storage'Tank 0 Gas `0 Oil
25. Roof Sheathing .-:. - 74. Overhead Hydro` !I
26. T•Bar Ceiling (Structural) & Monocoat ' • • 75. Dry Chemical '
27. Frame and Flashingv " ,1' .. 76: Dry Standpipe - - ,
'28. Lathing & Siding ' r , t 77.'.FIXED SYSTEM FINAL
29. Insulation .. i t 78. FIRE PREV. FINAL
30. Drywall Nailing - I HEALTH'DEPT. REQUIREMENT
31. Plaster grown Coat; .t.-• ,` • r79. FINAL INSPECTION . 1
32. Electrical.Power Meter Final ; A •t r • , 80. FOOD CERTIFICATE ISSUED
33. FinaltElectri& t 'r - I I ` ' "Notes:
34. Final Heating'& Air.Conditioning<, - j ' . -
r
35. Final Gas Pipe-Test ' - ' -, -
36. Hood or Canopy . • i -. (• • . .
37. Final Factory Fireplace ' - " -
. . .
38. Final Plumbing ; - ~ •' .y -
-39. Water Service-Final I 1 - I -
40. Gas Service-Final I -
41. Solar Domestic-Final I •. - • •
'42. Backflow Preventer ' , ; -
43. Backflow Irrigation - •
44. Landscape Irrigation System , - r, .,
45. Sound Attenuation ' - • ' '
46. Handicap Regulations - • - .
-�
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
' 49.-Electric Release to Edison I{ ,. - _
50. Gas Release to Southern California Gas Co . I I ' a - .
51. CERTIFICATE OF OCCUPANCY .
No. Date