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Home My WebLink About333 WESTBROOK PL - Building Permits\ i l� Aoo�icant to fill in all spacez except those witnin neavy boraer Ilnes antl sign all aoProoriate tleclantions. CITY OF COSTAqnn�Esa . CONSTRUCTIO�N7�P1ERMIT ProjectAddress "L1_� �ifiBS�"�ir00i�/ Y/ %1pplicanYs Mailina Address/ ��? 3 A _/n�/�,O �.1� Owner's Name �P�- /��O- F �� -s Phone��L� � %�aZ4 Address ml.fi;+✓� �' � Arch/Eng. License No. Address —�/ /- ' / / Contrector's Nam�lj�P/ �`1�J 1 1�'%^1�� T�p Phon�L1 -3 5�90 Address (maiiing) �S� "? � / uJ�� ,l�a�i.d , ,.,� Ciry License No. �l � y LICENSED CONT0.HCTOR DECLARATION 1 M1ereby affirm that I am licensetl untler provisions ot Charter 9(commencing with section ]OoOj oi Division 3 of the Business antl Professlons Code, antl my license is in full force antl,eftect. Licens¢,Class r �L ,§n5�rq�� .r% Date f� �j� 5'9 t e �� WORKERS' COMPENSATION DECIARATION I hereby aifirm that I have a certificate ot ronsent to zel(-insure or a certificate �t Workers' Compen5ation Insurance, or a certi/ietl copy thereof (5ection ;800, Lab.-CJ // ' ' PolicY No. ��y-V ComPanY � P�6✓Pr Z,t�$ �Certifietl coOY is hereby tumishetl. Certi tl co y is (iletl with the cit'y�,Builtling i i;ior�. �/�� Date � �-�-�%� APPlicany /��w /i� EXEMPTION FROM WOftKERS' COMPENSATION DECLAftATION (Thissection neetl not be completetl if the permit is fo� one huntlretl ($100) or less). I certify that in the p¢rformdnce ot the work for which this permk is issuetl, I shall not employ any person in any manner so as to become subject to the , Workers' Compensation�Laws oi Calitomia. Date Siqnature 'NOTICE: If, after making tnis tleclaration, you should become subject to the Workers' Compensation provisions of the Labor Cotle, you must fo�Mwit❑ compty with such provisions or [his permit shall be tleemetl revoketl. CONSTRUCTION'LENDING AGENCV 1 hereCy affitm tnat there Is a'construction IenOing agency for [he performance ot the work tor which this permil is issuetl (Section 30W Civ. CJ Lentler's Name Lentler'S Atltlre25 - OWNER BUILOER �ECLARATION � � I hereby affirm that I am exempt from the Contractor's License Caw for the following reason (Section ]031.5 Business antl Professional Code: Any city or county which requires a permit to const�uct, alter, improve, tlemolizh or repai� any structure, prior to it5 issuance, also requires the applicant for 5uch permit to fi�e a signetl statement ihat he/she is licensetl pu�suant to the provi5ions ot the Contractor's.License Law (Chapter 9(cammencing with Section ]000) ot DiviSian 3 of the Business antl Profe55ion5 Cotle)'or that he/she is ezempt therefrom antl the basis �or the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant .to a civil �enalty ot not more [han five huntlretl tlollars ($500). I, as owner of [he prope�ty o� my employee5 with wages as thei� sole Compensation, will tlo the work, antl the structure is no[ intentletl o� ofteretl for sale (Section ]044, Bu5ine55 antl Pro(essional Cotle: The Contractor'S LicenSe law tloes no[ aOP�Y to an owner of a p�o0e�ly who builtls o� improve5 thereon, ana wno tloes such work himself/herself or througn his or her own employees, provitletl that such imp�ovements are no[ in[entletl o� offe�etl to� sale. If, howeve�, tbe builtling or improvement i5 Soltl wltM1in one year of com- pletion, [he owner will havc Iho burden of proving he/she ditl not builtl or im- p�ove fo�the purpose of sale). ❑ I, as owner of the proper[y, am exUuSively contracting with licensetl con- tractorsto construct the project (Section 7044, Business antl Protessions Cotle: The Contratlor's License Law tices not apply to an owner of D�operty who builtls or improves Ihereon, antl who contracts for such projects with.a con- traclor(s) fcense pursuant�to [he Contractor's LlcenSe Law). I am aware that proof of their Worker'S Compensation insu�ance shoultl be p�ovitletl to me. ❑ I am exempt untler Section B. & R C. for this reason Date Owner 1 hereby certity Nat I have rea intormation is correcL I agree to antl state laws relating to builtlir sentatives ot t s city to enier inspection p r o4 s. ^' Signature . -�LC Drivers' License or 55 � � ] this application antl s[ate that the above comply wi[h all city antl county ortlinances g construction, antl hereby autho�iie repre- bpon the above-mentionetl property f=r �/-�i+� Date '�� '_ TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION I.J REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER AP # DESCRIPTION OF WORK/USE OF BLDG. � S Main Buildi TVPEOFPERMIT GRADING�FOUN�ATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL 8 Rear ❑ -OTHER %r PROJECT DESCRIPTION 5a. FT. oCCUaANcv C Right CONSTRUCTIONTVPE VALUATIONS g Left ZONE GRADING CU. VDS. ACRES Ping. Ref. # Remarks: ' ' Planninq Notes: 3ar Sink 3ackflow Preventer 3ackflow Irrigation 3athtubs �larifiers JIShNYd5h2� �rinking Fountains Floor Drains Floor Sinks uas Service Outlets Interceptors Kitchen Sink Lavatories '-Trap Roof Drains Reinspection Fee $15 Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust Sysiem ❑ Multiple ❑ Firepl/Fact. elt. ICBO # Heating Sysiem & Ducting ❑0.100,OOO�BTU �100,OOOBTI Reinspection Fee � $15 CMF 0865-46, rev. 30/84 WM1ite - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank � Swimming Pool w/Spa Urinal Water Closet Water Heater - Water Service Auto-Wash Laundry Trays laue Fee Hoodor Typel � Canopy Typell � Refrigeration System ❑o-ioo,oaaaTu ❑ioo,000sr System Repair/Alteration Fire Dampers Registers Issue Fee FEES Automatic Washer Construction Pole $i Cookin9 Unit Dishwasher � Dryers ❑Gas, �EI Fan F.A'U. Fixtures . Device Bozes � D/� ' Outlets s .Switches Garbage Disposal Generator �0-5 KW :r $ 3 ti $ 3 0 3315 10/31/85 Zone Parking Req./Provided ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up ro 100 amps Me[er ❑over100amps � Sub Panel Motors OO-1 HP O1 %- 8 Inc.Solar.�9-15 HP �16-15+ Pole Light Range Sign ; Standing Sections � 5 KW Trash Compacmr � , � _� Reinspection Fee ' $15 ' ' Issue Fea DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued 6y � � / 5o0i. Tl. $ 3 Z O N I N G R E Q M T 5 SUMMARV OF FEES � BUILDING PEfiMIT $ SMIP ' $ � � PLAN CHECK $ PERMIT � PLUMBING $ � �ISSUANCE $ PLAN CHECK 25% $ ENERG� P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50°,G g MICROFILM $ � MECHANICAL $ TOTAL FEE $ ,� �"' '� PIAN CHECK 25% $ ' ' CONSTRUCTION AND PLANNING � POOL & S°A , APPROVALS - Permit# Date Inspector qppROVALS Permit# Date � Insper.ror 7. 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. Steet Reinforcement � � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � " 57. APPROVAL TO COVER-GUNITE � 7. Footings _ � 5S. Electrical Conduif-Undrgrnd. . 8: Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O 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-Conduii 66. Solar System-Final . � 76._ 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 # 27. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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 PREV. FINAL 30. Drywall Nailing � � � _ HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat � . 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' Notes: S-(o-}f7 (�(o OL�� '�0,,,��. L.Ep 34. Final Heating & Air Conditioning . vr-�- 87 QqrK,fcC, ,Q.6 F1T�2 2A.$ U.P� L� 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace ' 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • 41. Solar pomestic-Final 42. Backflow Preventer . 43. Backflow Irrigation - - 44. -Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - � 49. Electric Release to Edison � - 50. Gas Release to Southem Califomia Gas Co i . - � 51. CERTIFICATE OF OCCUPANCY _ .. N�. � Date OW NER COLLFf,R PARK -�- onTe ZZ—Z%-56 JOBADDRESS 333 Westbrook place. BUILDING PERMIT NO. �%(ajl GENERALCONTRACTORH3I'UOT C071St. CO• VAWE $ SS�ZOO.00 L� ' (4Q BLOCK TRACT Q�Q(> $BS. w det. �ar, GROUP I& J TVPE V ZONE RI.� FIREDISTRICT �75 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR , � DATE I NUMBER Foundation Forms and Grade to Garage � Rough Framing 1 Plumbing, Rough to SIab�G��.LS �-� Plumbing, Rough Complete m�?�j �� }p�$J � _..'�- " y , . -� 7emoorarv Pole JQN17 1957 UCR ino ., ,��. �...r' �.._ P Heating, ftough Heating, Final LBewer, House L Sewe Septic Tank or Cesspool Lat' � �, In Out PI> ing Plumbing, Final, Fixtures Co�� Plumbing, Fin.al GasTest / . Wiring, Final Occupancy FOFM 210 3M 10�93 �� , Costa Mesa Bnilding Department PLICATION FOR PERMIT _� P. O. Box 3�� `�'S`'� R 11 11 1� 1 N[� � • COSTA MESA, CALIFORNIA � — ' — — ' � - — � FOR OFFICE USE ONLY FOR APPLICANT TO FII.L IN Receipt No. Permit No. BUllding / Address 3 ��IESTBROOK PLACE 3 Costa Mesa, California Received by Date Rec'd. Date Issued Nearest 1�n�r2. ia-a� -6� ,2-a�-S � CrossSt. �iARBOR B�VD, Building Address Owner C o � � e c E P A R K N o. 2 Costa Mesa, California Mail Address 2 � � 6 $O, MA I N ST • Nearest Tel. Cross St. City SANTA ANA CA�IF. No.KI Zon /� No.of Type'/ Group7� Arohitect or Lic. y I Plans I (� 1�' Engineer No. Approved . by Date Address CORRECTIONS c�eY uo. 6 � .�trectorHARBOR CONST.CO No. Address $APA Legal Lot I� I Description I No. �12 I Block I Tract 272 (AtWch Metesand Bounds) No. of Bldga Size ot Lot �j� X � Now on Lot l�seof I No.of I No.of a Existfng Bidg. Familles ooma � Setback Line trom Rear Vard Z Center of Street Side Vard y DESCRIPTION OF WORH '' New I X I Aiteration I I Addition I Repair I I Moving I I Demolish I Building No.of Size � 3%9 Rooms Stories �xterior Wall � I Roof rvering Covering - APPROVAInS F �se oi New Foundation Location Inspector � Date Buflding RESIDENCE g: DETACHED Forms,Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts I hemby acknowledge that I have read this Application and state that the above is rnrreM and agree to comply Lath. Int. with all City Ordinances and State Laws regulating 1 bullding construCtion. Lath. ExL Signature of Perm�ttee HARBOR CONSTRUCTION C0. Plaster,lnt Authorized Agt plaster, Ext - Valuatlon Pe�mit Fea $ a b— Masonry Reintorced Plan Check $ �y � Bond Beam $ � � �z�p, . Total ,(� Fee ! a' � FINAL FONM 204 IO�S� O. P. G 5. r, r r �� u. � n � c c t�i PLOT PLAN Show locatlon and disYances Trom property Ilne and between bulldinga r_ _ ._ : ,�. _ .;,,,; ' ' ,.