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Home My WebLink About1211 LAS ARENAS WAY - Building Permits / � // Applicant to fill In all spaces except those within neo vy border lines antl sign all appropriate declarations. CITY OF COSTA MESA j// G/�G'/L�f. PE MIT NO. TRACT NO. LOT NO. BLDG.NO. J�� I r: v o � 1 CONSTRUCTION PERMIT ;MIT 77 ?,6 • ' Project Address - / ' i /: n • • TYPE OF CONSTRUCTION U NEW U ADD LI ALTERATION U REPAIR Applicant's Mailing Address Ysssilp eg-s r e/v./. 1/1-icv i CI CONVERSION ❑ DEMOLISH ❑ OTHER - - - - A.P.# Zone • Owner's Name /1 ei/I 5 Phonp6 y2'-2675- DESCRIPTION OF WORK //)41Pk heu r a k 1-e, 0%eetn-'il/- - S Main Building: Accessory Building: Z 0 Address CO'file- TYPE OF PERMIT ❑ GRADINGU FOUNDATION U STRUCTURAL E Front N ` Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL PLUMBING III MECHANICAL B v A Rear N (•••••• •• Address // '❑ OTHER • Contractor's Name -e4 EF6/ , rS Tq//TGh Phone 77.J,.?510 PROJECT DESCRIPTION SQ. FT. OCCUPANCY - C Right G N Address(mailin' s-- dr 1 'CL CON STRUCTION TYPE VALUATION $ S Left - - E / y'S-T ZONE GRADING CU.YDS. ACRES Q City License Nit ��I Ping. Ref.# Park.Fees $ LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided U - I hereby affirm that I am licensed under provisions of Charter 9 (commencingUse of Building: R n with section 7000) of Division 3 of the Business and Professions Code, andg: E my license Is ull for a and effect. pp License lass--G • ense Nit/cz/7.Jy PLUMBING FEES Planning Notes: M • •ate - Signature N WORKERS'COMPENSATION DECLARATION Bar Sink Showers T I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.)2 19 j/ CG�y Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. T L Company / Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15.50 KW Ce ifi dcpgy is filed with the city_Iuilding Divisions Date S'7,-.)"," Applicant (..Chef& -/-.". 1/1/4&LIZ/it/1 Clarifiers Solar Collectors Construction Pole Sub. 050+KW EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ' Dishwasher Solar Piping Cooking Unit Meter 0 u td 100 amps (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 which this permit is issued, Drinking Fountains Solar Tank Dishwasher • Meter Dover 100 amps I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature NOTICE:If,after making this declaration,you should become subject to the Floor Sinks Urinal Fan Motors 00-1 HP ❑t'/a-B 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 F.A.U. • Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - 4 ) I hereby affirm that there is a construction lending agency for the performance Interceptors / Water Heater ,, a Fixtures 'Microwave of the work for which this permit is issued (Section 3097 Civ. C.) - Lender's Name Kitchen Sink - Water Service Device Boxes Pole Light Lender's Address Lavatories OWNER BUILDER DECLARATION - Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap 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 Rt.AUY 1-OH INSPEC ON any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains --- Garbage Disposal Standing Sections 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 he/she is exempt . Generator 00-5 KW 05-15 KW Trash Compactor therefrom and the basis for the alleged exemption. Any violation of Section I 7031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee $25 Issue Fee S 3 s oenalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole , MECHANICAL Reinspection Fee • $25 Issue Fee compensation, will do the work,and the structure is not Intended or offered FEES . for sale (Section 7044, Business and Professional Code: The Contractor's - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I ❑ - thereon, and who does such work himself/herself or through his or her own Zoning Approved ByHaleemplo ees, provided that such improvements are not intended or offered for Canopy Type II ❑Duct-Under Ground •sale. I , however, the building or Improvement is sold within one year of com- Application Approved By DatO provef, the owner will have the burden of proving he/she did not build or im •- rove for the purpose of sale). Duct-Structural Refrigeration System .Application Issued By Date a j$ 3 O I, as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES , The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). - PLAN CHECK $ PERMIT ❑ i am exempt under Section B.&P.C.for this reason Firepl/Fact.Bit. ICBG# - PLUMBING $ Xi, ISSUANCE $ ^44--- Date Owner Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ • I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL ,ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK $ MICROFILM $ sentatives of this city to en er upon the above-mentioned property for • inspection purposes. ��)) MECHANICAL $ 0D Signature •U' 1" Date// tJ - TOTAL FEE $ Drivers' License or SS# Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ ' CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;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•Utility-Undrgrnd. . 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. -Electrical UFER Grnd. 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 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 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. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 424. Roof Framing 73. Undergrnd.-Storage Tank 0 Gas 0 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 lIl 33. Final Electric Notes: /fir .g7/ccs y/ �v Atr. 6 er ll sG✓,c�Y ""i� 34. Final Heating & Air Conditioning r/ i /s_5 /Sea-s y �.� . 35. Final Gas Pipe-Test A,� .z • g ��raa`to /.2.04 'A C 36. Hood or Canopy I ' r •ie 37. Final Factory Fireplace r� 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.GasCo 51. CERTIFICATEOF,OCCUPANCY No. Date