HomeMy WebLinkAbout525 STURGEON DR - Building Permits�
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PflO.IELTADOPES$: S�LS STURGEON L%}Z
OWNEN'S NAME: H GATH I RA L
aooness: 525 S�fiJRGEON I)R
COS'"A N,ESA,CA 92625
ANCXIENGINEEN:
ADOflE$S:
PEflMITTEE: �CADEMY ROOFING
aoosess: 1833 E 17TH ST
ULENSED CONTHRLTON OECIABRiION: I hereby affirm
70001 0� Divisi n 3 It�e Business and PmlesSions Code.
cmuc.:0 S il sraTeuc.:53376
W�e: �� Signamre: _
flEG.NO.:
UNIT:
UNIT:
(714)973-126i
308
CA 92701
nse0 unUer pmvisions ol Chapier 9(wmmendng wilh Seciian
se is m �ull force anE effecl.
cuss: C-39
.
W081(EBS' COMP NSRTION OECIABRTION: I ner lu �h t av a ceniticate of consent to sel4insure or a ceniliraie oi Workers'
Campensation Insurance. or a ceniliee copy inere Sec G. C).
eoucvxo.:1074749-91 EP 08/O1/92
comrnxr: TATE FGND
❑ Cenifiea c y¢ hereGy fumis�ed. � CerlifieA copy i U wit� tAe city Building DiNsion.
Oale: J �Z AP�licant
E%EMPTION FPOM W HNEflS' COMPENSPPON OELLAflAT10 T seclion eeA rrot be complete7 if Ne permt is ta one hunareA (5100) ar kss�.
I cetlify Ihai in �he pedorman[e of ihe wark for w�ich �' Oe i s issu¢a, I 5hali no� employ any per5on in any manner so as �o become
su�le�� �o the Workers' Compensation Laws ol al nia. •
Oa�e: SignaWre:
NOTILE: Ii. atlei making Ihis Aeclaration. you shoul0 become subject to tAe Warkefs' ComOensdtion provisions al the La6or
fqtle. you must IonhwitA comply witn such pmvisions or ih�mit sAail �e Ueemetl revokea.
CONSTPUC7lON LENOING AGENCY: I hereby afiirm that �here is a construction lenaing aAency for Ihe oerformance oi Ihe vroA lor
which Ihis Dermil is i55ue0 (Seclion 3W7, Gv. C�.
IENOEP:
ROUflESS:
OWNEP BUILUEfl UECLAHATION: I �ereby afh�m Nat I am eMemD� ��om ihe Coniractor5' State LicenSe Law lot lhe lollowing reason
(Section 703L5 Business an0 Pmiessional COEe: Any city ol coun�y whicA repuims a Oermit ta construct, alter, improve, Oemolish, or
re0air any stmclure. D��or to its issuance. alsa reduires Ihe applicanl tor such oermii Io file a sipneA stalement ihai ne/she is licensed
pursuaN lo I�e pmvisions ol Ihe Conlractors' State License Law (Chap�er 9(commencing wilA Section 7000) ol Division 3 0l t�e Business
�, anU Pwlessions Code) or t�at �e/sne is exempt t�erelrom ana ihe basis lor t�e allegea exempiion. Any dalalion ol Section 7031.5 by
any appliWn� lor a permti subletls I�e aDUliCan� Io a civil penalry of no� more t�an Irve �undred Oollars (f500).
I. as owne� ol Ihe property or my employees vnih waAes as their sole comp¢n5ation. Will Oo Ihe work, and the
❑ stmclure is noi finenEetl or ollerea for sale (Sec�ion 7044, Business and Pmfessional CoEe: TAe Conlractors' Sta�e license Law �
Aoes not applY to an owner ol a propeny who builOs or improves ihereon, anA who tlou suCh work him5elf/heRell or Nrough
his or her awn emDloyees, D�oviOea ihat such improvements are nat intenaeA or aHerea for sale. II, however ihe buii0ing or
impmvementis so�d wnhin one year ol compleiion,ihe owner vnll �ave ihe 6urden of Drodng �e/she GiE not huiltl orimprove
tor ihe Ourpose oi sale�.
I, as owner of Ihe O�openy, am eeclusivety contracting vnl� Iicense0 con�rac�ors lo consWci [he prole�� (Section 7044, Business
❑ and Professions Coae: The Coniracmrs' State License Law Aoes not apDN �o an avmer oi pmDerry who builds or impmves thereon
and w�o contracts lar sucA prole«s vnih a conlracbr(s) license pursuam to ihe Cantractars' Stare License Law�. I am aware
t�at prool al ��eir WoBer's Lompensation insurance shoultl Ue OrariOe� lo me.
� 1 am e�emD� un0er Sedion: B, 8 P. C.
lor ��is reasan:
Dale:
I UO �ereUy ceNty Ihal I am aware 01 anU untlerSlanE I�e
2553a anG IAat I ar any luWre �uilAing aCuDam wiltlwill r
permit lor con5imclion ar moGilicaiion �mm�he Air Dual
I�ese D�ovisions.
�ate: Appli[ant:
I h¢i¢by tertilyl�ai Ihaver¢aG��is applitaiion and 51a�e
o�0inanceSanE atelaw5relalingiobuiltlmgconslmclion.
pmpetly �or in cli n purposes.
'i Date: `% Signam�,r�e
Iori�e� s uc se or Sociai Securiiy r:
owner.
ns o�Cali�amia HeaIIA an0 Salely CoGe Seciions 25505,25533, antl
pe� nee0la comDty vni� said state coAes antl Ihe repuiremenis for a
Inlnt Dis�nct. ResiGential constmction a001ications are eeempt trom
lave in�ormalion is cOrrecL laqreeta comply vnlA all ci�y antl toun�y
aN�Orize r¢D�eSenialiv¢5 01 IM5 ciry lo enier Upon Ihe a6ove�men�ione�
I6a4ab Wnile—dwlaing: lireen—I;We tmorcemem: wnary—qppncanq nnx—nevenue, amue�nw—..aaeaw�
CITY OF COSTA MESA — HUILDING PERMiT PERM NO; B 057318
PERMIT NO: B 057318 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE; ALT'
JOH DESCRIPTION : T/O SHAKE,APPLY3/B"PLY,APPLY 40YR COMP SQ FT: 5,000
CLAIN VALUE: 5,000.00 CALC—VALUE: 5,000,00 GROUP OCC; R-3 /M—]
COMMENTS; SN.IKE DETECT'OR(S) REc�U�RED IN HOME.
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7. O N I N G R E(j U I R E M E N i S
sErHAcxs
------------ MAIN bQILDING ---------- --------- ACCESSORY HUILDING ---------
FkNT: FT IN REAR; FT IN FRNT: FT ZN RF.AR: :T IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REp� PROV; PARCEL; 418033D2 ZNE; REF NO;
PLANNING NGTES>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N fi S
20NING APPROVED BY DATE: '
BtiTLDING APPROVED HY :
APPLICATION ISSI7ED BY; � �1
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LEGALIZATION:N F E E S
BLDG PMT PLUMBING ELECTRIC
FERMIT 72.00
PLAN
T55[JE FEE
BUILDING—DIV—>
TOTALS---->
DATE:
� DATE: � l/�(�'£'-`'�
�'£'£'iFx� �iFi �rlEifiEiElkRitififif'jr ` ir�t i(�1E
if iF iE iF � 1h �li If 3E iF iE iE iF iE a(� iFiF iF-%� af iF 1(� ii ii if jf' jf j('.iE 1E 3e 3F k if 3F iF If X�
M M A R Y STRUCTURAI'q' SEGN.ENT : Y
MECHANZC FTRE SMIP/RcS GRADING
SMIP/I�ON—RcS
YERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
%2,5� O,OO O,OO %�,J� %2,`SO ,OO
REVENUE DIVISION TOTALS--> COLLECTEA; 72,50 OVER/SHORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO: GRADING PLAN—CHECK
%%,�� ,5�
it iE if i!� if iE iC if iE # fE iE i(� # iFi( 7E IE If� iE iE # if 3E it iF?EiE 3f iE k if iF ih ii K iE �M-iE iE * iF iE 1E k� 3E iF �F 1f� f! if iF iE f if if IE iE 3f iF # if it if iE iE?E ii ii* !F iFi'r lh iE ii� �lE if M.-�7!
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N [iNIT COST TOTAL COS'f
SrR 5000 REROOF BY VALi7E RESIDENTTAL NOZONE 1,00 5,000.00
END OF FEES
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CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS 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�Undr9rnd. 55. Electrical Bonding
5. Steei Reinforcement 56. Rough P�umbing & Pressure Test
6. Electrical UFER Gmd. 57. APPflOVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
S. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK
71. Property Sewer Line & House Connection 62. Backwash & Fteceptor�Final �
12. Sewer Cap 63. Heater & Vent-Final
t 3. Roof Drains 64. Plumbing SYstem � Finat
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System�Final
i 6. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Eleccricai-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. Produc[ Piping OGas ❑Oil
23. Gae Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structurel) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sid�ng 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing , HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electriwl Power Me[er�Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning ' �
35. Final Gas Pipe-Test
36. Hood or CanoPY
37. Final Factory F��eplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Fina�
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow �rrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING ,Sr��
48. FINAL PLANNING .
49. Electric Reiease to Edison �
50. Gaz Release ta Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
UWNtK
AP
GAS
i�:ca:aE-r.u�mia�r.�un-��.r.r.�
ROUGH HEATING AND AIR CONOITIONING
UNOERGROUND
ROUGH WIRING
TFENCHES �
FLOOR SYSTEM
BONO BEAM n
SHEATHING
FRAME ANO FL,
1 aiuluf. - IN
HEATING, VENT., ftEFRIG. AND A.C., FINAL
PLUMBING, FINAL ANO GAS TEST n
UAit
TRACT 569ti FIRE ZONE
SUBCONTRACTOR
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C65TA MESA BUILDINGSAFETY DEPARTMEM
P.O. BOX 1200 � COSTA MESA. CALIFOflNIA 926T6
For Appl7canf fo Fill In Complefaly
TYPE OR PRINT
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COSTA MESA. CALIFORNIA
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DESCRIPTION OF WORK
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1 XEREBY ACKNOWL[D08 TXAT 1 NAVB RBAD TX16 APPLIGTIOH
AND BT�T6 TXAT TN8 A80V8 IB CORRlR'ANO AORB[ TO COM•
PLY WITH ALL CITY OPOIXAXC60 11ND RATi LAWY R[OYtATIXO
BUILDINO CONBTRUCiION.
HIGNATURB OP�
PERMITTH �- � t' 'C.- / >
AUTHORIZBD AG[fiT �� � ✓ ��%
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TOTAL FEE S�-/ � V V
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COSTA MESA BUILDINGSAFETY DEPARTMEM
P.O. BOX 1200 GOSTA MESA� CALIFORNIA 8Z82E
For ApplltaM fo Ft11 In Compltl�fy
TYPE OR PRINT
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COSTA MESA. CALIFORNIA
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DESCRIPTION OF WORK
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ArPLICATION FOR PERMR
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1 H6RloY ACKNOWLtOOi TNAi.I HAV[ pfAD YXI� APlLIGTON
ANO 9TAlE THAT TNi ApOV�,18 CORR6CY ANG AOM[ YO COY-
PLY WITH ALL CITV O 1 ff ApD IAW/ 11[YYIATIMO
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