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Home My WebLink About3016 HARBOR BLVD - Building PermitsLOT 20 ' COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRIN BUILDING ADDRESS COSTA MESA CALIFORNIA FEE RECESEP 9RL) FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT (g-. BUILDING Q4ra . e 9 0.r For Office Use Only RECEIPT NO.,B PERMIT NO. OWNER IlVELOPMENT CO. INC. Ir ; MAIL REc6 O DY D ECEIVE DATE -IBE ED ADDRESS 1 Placentia Ave I ,� ,C;, I TEL. CITY eW NO. h(1 -32 BUILDING ADDRESS e. ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NONE NO. FIRE ADDRESS ZONE TYPE / GROUP CONTRACTOR K W9 APPROVED BY DATE ADDRESS 1555 Pla entia AVE. ZONING ZONEp NO. OF I UDE OF NEWJT, CITY Newport Beach R —� PLANE r_ BUILDING uc No. 6 No: DALrloH " 2-0Ti( q?—.3Z. _ DeecRlP 81ZE I NO. OP BLDOS. 0 OF LOT I 1 Now LOG LOT A. P. NO. USE OF YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE PROM(CENTER ] 1211 LINE ST.] CENTER OF STREET 0 REAR YARD FRONT 15-1FT. IN. 6161] I 6 '7" 45 SIDE YARD LEFT RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK 6 L. SIDE FT. IN. II ( II I / 7 /v NEW ALTERATION ADDITION REAR FT. `-^ IN/ REPAIR I II MOVING I II DEMOLISH I APPROVED BY �h V DATE h V NO. OF BBUILDIN SIZE ROOMS STORIES EXTERIOR WALStUCCO ROOF /h pa SHINGLE / COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED P/ Attatched Garage Pi AN Nf) THE AMOUNT SHOWN UNDER VALUATION 16 FOR THE 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIcATION AND STATE THAT THE ABOVS IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT PHfi ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION . BUILDING CONSTRUCTION. SIGNATURE OF, PERMIT FEE S �1 PLAN CHECK $ / / ji- PERMITTER/' S//) / ��O / AUTHORIZED AGENT TOTAL FEE s ' AP except thos ilhin heavy border lines and sign all appropriate declarations. i J134 9/06/p4 ` �PEMIT ' CO STRUCTIONPERMIT Project Address 20 /01 " `s iJeY , NO 5 %T NO. IA TF z- LOT NO. Z0. UNIT NO. s t 1 _ A APplicanYS Mailing ARA/ J" P Owner's Nam hone 4'004,1100 Address �G ?w `mac L/14 V E OF CONSTRUCTION EW ADD ALTERATION REPAIR VERSION MOLISH OTsH�R�� '�}j � DESCRIPTION OF WORK/USE OF BLDG. 9�'=mac( rr� A.P.# Zone S Main Building: Accessory Building: rrppO Arch/Eng. FR £Sros N 3.✓LicenseNo. /O %y Address TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑MECHANICAL ❑ OTHER � - ,.., PROJECT DESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATVON$� ZONE GRADING CU.YDS. ACRES—Ping. T Front Q �T O A Rear ` t N nn Contractor's Name -9S. / one A3 Address (m� linij ?"?) % � /-9 ✓'w < � . . •�--t '� �— City License No. _ J�4' LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions Of Charter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu fr aoand ffect. 'J� \ License Classj/�/— C Right d•T F.�-`G� N K $ Left G Ping. Ref. # e 150 04o5 I Parking Req./Provided E Remarks: .S4 Planning Notes: Z - \ Q M t C S. Date ,ac 2-I'm S'g at q',G,41 :: /� PLUMBING FEES Bar Sink Showers ELECTRICAL FEES WORK S' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self4nsure or a Certificate Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backflow. Irrigation Sewer Cap Policy No. - 'Company 8 Certified copy is hereby furnished. _ Construction Pole Sub. ❑ 50 i 1 KW Bathtubs Sewer Connection Cooking Unit Meter ❑up tOA00 amps Certlfiers copy is filed with the city Building Division. Date - Applicant EXEMPTION'FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors. Dishwasher - Meter El over 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). certify that in the Performance of the work 1 which this per Issued, shall not employ any person in any man ! o as t0 be ject to the Workers' nsation Laws of Californi . Date . 9 _Signaturex - - Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel - Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1 %- 8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar ❑9.15 HP,❑16-15+ NOTICE: f, after making this declaration, you sh'ul ecome subject to the Floor Sinks Urinal Fixtures Microwave Workers' Compensation provisions Of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Gas Service -Outlets Water Closet Device Boxes. Pole Light CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance 01 the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Interceptors Water Heater Odtlets: Ran 9e Kitchen Sink Water Service ' Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5'Business and Professional Code: Any city or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for Such permit to file a signed Statement that he/She is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that be/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a Permit subjectsthe.-applicant to a civil malty of not more than five hundred dollars ($500). I, as owner of the Property or my employees with wages as their sole COm pensatlon, will do the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License saw 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 com- Pittion, the owner will have the burden Of proving he/she did not build or im- Ove for the purpose of sale), I, as owner of the property, am exCluslvely Contracting with licensed Con. tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law docs not apply to an owner of property who byiltls or Improves thereon, and woo Contracts for such projects with a can. tractor(s) license pursuant to the Contractor's License Law). I am aware that Proof of their Worker's Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B. S P. C. for this reason Switches Sign Lavatories , 000 a Garbo Disposal 9 P 'Standing Sections P-Tre p Generator ❑Q5 KW ❑5-15 KW Trash Compactor Roof Drains - kk - Reinspection Fee $15 Issue Fee $ 3 ' Reinspection4Fee $15 Issue Fee $ 3 - MECHANICAL PEES I Boiler Hood or Type I ❑TS: Canopy Type I I ❑ DEVELOPMENT SE VICES REQUIRE EN ///KKK Data Zoning Approved By Data Building Approved By ' Date g �"¢ Application Issued By 7(e(,1/ Dat �� _. Duct - Under Ground Duct -Structural Refrigeration System ❑0-100,000 BTU 0100,000BTU Duct - Ventilating - BUILDING PERMIT ' PLAN CHECK q PLUMBING PLAN CHECK 25% ,ELECTRICAL S $ $ $ $ $ M ARV OF FEES �� SMIP $ Z-- PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ q I Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICSO # Dace Owner I In b cer ify that I have red this application and state that the above Information is correct. I agree to comply ith all city and county ordinances Heating System &Ducting ❑0.100,000 BTU ❑100,00087 and state laws ry1 ting to buijdin co ctlon, and hereby authorize repre- se matives of fi' I to n the above-mentioned property for inspectionp F. Signet re Date Driver icense or - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # _ Date Inspector POOL &SPA APPROVALS Permit # Date Inspector ,- 31. 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. Steel Reinforcement _ 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd, 57. APPROVALTO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. f 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' i 10. Structural Floor System f 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. SeweiCap, •, - _ 63. Heater& Vent-Final ' 13. Roof Drains 64. Plumbing System - Final J 4. Rough Plumbing 65. Electrical-Final 15. ugh Electrical-Conduit 66. Solar System-Final 16. Rd igh Electric Wiring - 67. Fencing & Access Approval 17. Ro gh Wiring Sign 68. APPROVED FOR PLASTERING - 18. Ro igh Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Ro igh Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Ro igh Factory Fireplace 21. Du ts, in Structure 70. Underground Hydro 22. D s, Ventilating 71. Product Piping 0Gas 0Oil Ni.seas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing r. j, ��%, 73. Undergrnd. Storage Tank ❑ Gas 0 Oil 25. Roof Sheathing r s/ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing-' f S�".oT� 76. Dry Standpipe 28: Lathing & Siding 77. FIXED SYSTEM FINAL - 29. Insulation18 �S � ��cT• ��-y� 7 E REV. FINAL 30. Drywall Nailing, LTH DEPT. REQUIREMENT 31. Plaster Brown Coat '79. FINAL I ISPECT 32. Electrical Power Meter,Final / 80. FOOD Y RTIFICATE I UED 33. Final Electric / Notes: �- 34. Final Heating & Air Conditioning{- 35. Final Gas Pipe-Test W` 8 36. Hood or. Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final ' 40. Gas Service-Final ' 41. Solar Domestic-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 Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within _" heavy ".reer, line; and sign all appropriate declarations. OF COSTA MESA' F' �R' PERMIT NO. TRACT NO.LOT NO. BLDG. NO.- CONSTRUCTION PERMIT - L 7781 9/07/84 Project Address TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - Applicant's Mail[Og ddresi, O DESCRIPTION OF WORK A.P.# Zone Owner's.one — Main Building: Accessory Building: ZD /tel !� E Address032� _ TYPE OF PERMIT GRADING FOUN�ATION S7RUCTU RAL T Front - - N Arch/Eng.- License No. 1�1�11 ❑ TENANT El ELECTRICAL IiTPLUMBING ❑ MECHANICAL B. - ❑ OTHER - A Rear N Address ' Right G Contractor's Nam pyo 'PROJECT DESCRIPTION' SO. FT.C OCCUPANCY R Address (mailing ) CONSTRUCTION TYPE VALUATION $ $ Left E ✓) City License No. ZONE GRADINGCU.YOS. ACRES Ping. Ref. Park.Fees D (1 _ LICENSED CONTRACTOR DECLARATION Remarks: — 5 O r Parking Req./Provided u I `� I hereby affirm that 'I am licensed under provisions of Charter 9 commencing R with section 70001 of Division 3 of the Business and Profen ns Cotle and i i - Use of Building: _ E �j/L�%( my license is in I orce and ef]L!ARAI�Iury , . (f. UCef� las k No PLUMBING FEES -Planning Notes: E \\ mat{ Signatur MRS' Bar Sink Showers N COMPENSATION T hereby affirm that I have a certificate of co sent to self -insure or a certificat0 Backflow Preventef Service Sink; - - -- - - $ / of Workers' Compensation Insurance,_ or a cart). etl copy thereof (Section, 3800, Lab. Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. S=ff� Compan)Nl! Ifyl Certified copy Is her y furnished. Bathtubs Sewer Connection Automatic Washer Transformer El15-50 W W -Ce i o tl with the city Idl g Ivis - - ❑ 50 a Date ApplicantVA1 Clarifiers _ Solar Collectors _ Construction Pole Sub. EXEFOI FROM WORKER$"CO ENSATIO PYDNECLA AT ION t Dishwasher Solar Piping Cooking Unit Meter ❑up to 1008 s (Thissection need not be completed if the permit Is for one hundred ($100) or, less). I certify that in the performance of the work for welch this permit Is Issued, I Drinking Fountains 9 Solar Tank Dishwasher Meter El 100 a shall not employ any person in any manner sous to become subject to the C Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑G lectric isub P I Date Signature NOTICE: If,iafter making this declaration, you should become subject to the Floor Sinks Urinal -- -- Fan Workers' Compensation provisions of the Labor Code, you must, forthwith , - �) comply with, such provisions or this permit shall be deemed revoked.. Gas Service Outlets Water Closet 'y ✓' F.A.U. na lar ❑9-15 HP ❑16-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixture icrowave of the work for which this permit is Issued (Section 3097 Civ. C.) Under's. Name Kitchen Sink - Water Service - Device B es Pole Li Lenders Address OWNER BUILDER DECLARATION Lavatories - ;- Outlets nge elft I hereby affirm that 1 am exempt from the Contractor's License Law for the p -Trap - following reason (Section 7031.5 Business and Professional Code: Any city or p Switches Sign county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit Roof Drains �' Garbage Disp Stands tt s ,anya signed statement that he/she is licensed pursuant to the provisions of +e Contractor's License law (Chapter 9 (commencing with Section 7000) of iy; Ivislon 3 of the Business and Professions Code) or that he/she is exempt - - •G or ❑ KW ❑5-1 Trash Com therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil - Reinspection Fee $25 Issue Fee $ 9 a malty of not more than five hundred dollars ($500). I. as owner of the property or my employees with wages as their sole MECHANICAL FEES i;Reinspectio a $25 Issue Fee compensation, will do the work, and the structure is not Intended or offered r' for sale (Section 7044, Business and Professional Code: The Contractor's •PUBLIC SERV E REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves goiter Hood or Type I 11 thereon, and who does such work himself/herself or through his or her own Canopy Type I I ❑ Zoning Annrov y trate emplo ees, provided that such Improvements are not intended or offered for y sale. If, however, the building or Improvement is sold within one year of con- Duct -Under Ground _ Building Approved B y Dat pletion, the owner will have the burden of proving he/she tlitl not build or im- / rove for the purpose of sale). Duct -Structural Refrigeration System Application Issued By Date% I, az owner of the property, am exclusively contracting with licensed con. tractors to construct the project (Section 7044, Business and Professions Code: Duct - Ventilating ❑0-100,000 BTU 13100,00O.BTU -' - •4: SUMMARY OF FEES The Contractor's License law dyes not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a con- Multiple ❑ Exhaust System ElB System Repair/Alteration •,, r UI LDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B. & P. C. for this reason Firepl/Fact. Bit. ICBG # ISSUANCE $ •,+, t PLUMBING - $ Date Owner ' Heating System & Ducting PLAN CHECK 25% $ /� ENERGY P.C. $ I hereby certify that 1 ova r 0 -this application and state that the above - ❑0.100,000 BTU 0100,000 BTL �l I ELECTRICAL $ GRADING $ Informatio is correct. I gree mply with all city and county ordinances %r antl state stela Ing bu di onstruction, antl hereby authorize repre- , PLAN CHECK 50% $ MICROFILM $ santatives this Ity o e ter inspection roe on the above-mentionatl� oparty r I . q MECHANICAL qq $ '$ 0� Pink - Accounting; Goldenrod - Assessor u 'CONSTRUCTION AND PLANNING -#Datel �' ' r -APPROVALS Permit # . PO S SPA - APPROVALS Permit# - -Date Inspe"ctor1. Temporary Electrical Service or Pole52. Pool & Equipment Location2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement3. Electrical Conduit'Utility;Undrgrnd.54. Forms4. Electrical Conduit-Undrgrnd.55. "Electrical Bonding5: Steel Reinforcement '%,'56. Rough Plumbing &Pressure Test 6. Electrical UFER Grnd! _ 57. APPROVAL TO COVER-GUNITE - 7. Footings - -- - 58. _Electrical Conduit-Undrgrnd. .3 I B. Foundation - - 59. Gas Pipe, 0, Undrgrnd., Test - - '+� 9. Water Pipe-Undrgrnd. ` _ g(_. (��lJ- 60. Backwash Lines, P -Trap, 0 Undrgrnd. - 10. Structural Floor System �' 61. APPROVAL TO DECK _ 11. Property Sewer Line & House Connection v 62. Backwash &Receptor -Final 12. SewegCap •• /• - 63. Heater & Vent -Final - 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing �1.,5/�:{ G ' 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 APPROVALS Permit # - 1 20. Rough Factory Fireplace it 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough & Test / 72..Underground Flush 24. RT'oof Framing , - � _ 73. Undergrnd. Storage Tank 0Gas 0Oil - 25. Roof Sheathing 74., Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 't :. - ,75. Dry Chemical - 27. Frame and Flashing - '. 76._ Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV.* FINAL i r: 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,( C Pm -,EST (jF;) _ 34. Final Heating & Air Conditioning t �6 _�� - 35. Final Gas Pipe -Test - '-- _ 6 • 7L( -IVPOW 36. Hood or Canopy 37. Final Factory Fireplace - - - 38. Final Plumbing W 39. Water Service-Final,� = I r/ 40. Gas Service-Pinal i i asor 41. Solar Domestic -Final ! 42. Backflow Preiventer, 43. Backflow.lrrigation - ? 44. Landscape Irrigation System it 45. Sound Attenuation 46. Handicap Regulations , • ,�" 47. FINAL STRUCTURE & BUILDING - %l, 48. Special Requirements Completed 49. Electric Release to Edison - - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY. No. r, Date' -- - -- -