HomeMy WebLinkAbout628 SHASTA LN - Building Permits PRONE ADDRESS: UNIT:
OWNER'S NAME: 628 SHASTA LN CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 063789 III
ADDRESS: PASCO MANAGEMENT CO
P.O.BOX 2968 PERMIT NO: B 063789 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA 92628
CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR . PURPOSE: REP
ARCH/ENGINEER: 641-0593 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : REPLACE SIDING NER#224 UNITS 628 6 632 SQ FT: 3, 600
PERMITTEE: CLAIM VALUE: 3, 600. 00 CALC-VALUE: 3, 600 . 00 GROUP OCC: R-1 /
ADDRESS: ORION CONSTRUCTION ( 714 ) 363-0727
28 OAKCLIFF DR COMMENTS: *
pp, T)N]� NI(',U L CAi 2 7
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LICENSED Cision 3 6f and l hereby of In that am licensed under provisions of hooter 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.
LIC.: !sentf.insureoracerwicateofWorkers'
S E T B A C K Sc1rYLlc.: n �410oSTATE 48545 � CLASS:
`Date /'�� S Signature: � , � � MAIN BUILDING
ACCESSORY BUILDING
WORKER$'CDMPENATIONDECLARATION: Ierebyaft ir aUhave acertific FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab. C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 046-93UNIT03554 EXP.DATE: 01 /01 /94
COMPANY: STATE FUND PARKING REQ• PROV: PARCEL: 93405188 ZNE: REF NO:
❑ Certified copy// is hereby furnished. L]( Certified copy is h with the city Buildin Division. PLANNING NOTES>
Dale: $ /43 Applicant: --
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EXEMPTION ROM WORKERS'COMPENSATION DECLARATIO . his section need not be mpleted if the tis for one hundred(5100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N:T S
I certify that in the performance of the work for which this permit is issued.I shall not employ any on in any manner so as to become ". Y
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY :
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 forthwith comply with such provisions or this permit shall be deemed revoked. I
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY
: r ` / ,(� -e-• -
which this permit is issued(Section 3097.Civ.C). *' -y ** DATE:.44/r
LENDER: ***************************************** ** **********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that lam 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 6 3 . 0 0
repair any structure.prior to its issuance,also requires the applicant for such permit 10 file a signed statement that he/she is licensed 5 O
pursuant to the provisions of the Contractors'Stale 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(S500). ISSUE FEE
I. as owner of the properly 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 sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 50 0. 00 0 . 00 63 . 50 6 3 . 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.If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 63. 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 63 . 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 ,x,****,*,**,**,**,*,K,*****,NN,*,***,*,*,*,*,*, ,*,******,***,**********,***,*************************
that proof of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section: B. 8 P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SFR 3600 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 3, 600. 00
25534 and that 1 or any future buittling occupant will/will not(circle one)need to comply with said stale 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.• T/3/1/3 Signature: 0100146312-00146313 TOT 63.50
Driver's License or Social Security x::
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-Undrgrnd. - •r 53. Steel Reinforcement
3'•Electrical Conduit Utility-Undrgrnd. ' ' 54. Forms
4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding
• 5..Ste& Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ,
7. Footings ' 58. Electrical Conduit-Undrgrnd. '
.la. Fo&ndation 59. Gas Pipe, 0 Undrgrnd., Test
9, Water Pipe-Undigrnd. 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 i 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
., I �, �i' •i
20. Rough Factory Fireplace t.V' • • ' t., I', I ., APPROVALS '. ',Permit # •
I c i i , ' - j-, 1 .]'G. .
21. ,Ducts;in StrUdturE'..t ; .. .. , ;,• _ , i , ; ;. 10. Underground Hyc?o
22. Ducts, Ventilating . • I . =' * 111. Product Piping dG,A 0 Oil
23. 'Gas Pipe:Rough &Test • , • I,; : , r _I ;7,2. Underground,Flush,..., _ r
24. 'Roof Framing.. i i 't ' : • ' ' . I , .73.•-Undergrnd:Storage'Tartk 0 Gas 0 Cii
25. Roof Sheathing , •-. 1j ' : ' '74.(Overhead Hydro : :ii
26. T-Bar Ceiling (Structural) & Monocoat 71." 75. Dry Chemical '
27. Frame and Flashing ^ , • ;-; 76. Dry StandpFp -
•`,28.'Lathing &Siding ••I - 77.' FIXED SYSTEM FINAL :
• 29. Insulation • -.. I i 78. -FIRE PREY. FINIAL
•30. Drywall Nailing I HEALTH DEPT-REQUIREMENT
'31. Plaster Blown Coat .A . i _t • r { I 79.'FINAL INSPECTION -
32.'Electrical Power Meter,-Final $ i< " .80.,FOOD CERTIFICATE ISSUED
33. Final Electric' ' E "Notes: t -.
34..Final Heating& Air Conditioriingy - �
- , - , i'
i , .. ,
35. Sinai Gas Pipe-Test I { ' - '
.36. Hood or Canopy ; , ; , C I ;. , r
'-
37. Final Factory Fireplace • . ' _ `
38. Final Plumbing ,o I r - - -
.39. Water.Service-Final • • II
'40. Gas Service-Final vi
41. Solar Domestic-Final r •-
'42. Backflow Preventer „ - - ' 1 I , ' ' . '
.43. Backflow Irrigation • - 0
•' . Landscape Irrigation System .,
44 - - ,
,, . -
'5. 'Sound Attenuation - - r
46. Handicap Regulations - •I - . ,
47. FINAL STRUCTURE & BUILDING -
48. FINAL PLANNING - /gig
'
49. Electric Release to Edison ( - -
50. Gas Release to Southern California Gas Oa I I ' _ . -
51. CERTIFICATE OF OCCUPANCY a 4
iiihh:/ 't, Date