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Home My WebLink About2643 HARBOR BLVD - Building Permitsit- Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. 0748 7/2i /8Ir '1 ;�t. I, CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. ' BLDG.NO. CONSTRUCTION PERMIT P a 3q( Project Address l 9cs r R/id TYPE OF CONSTRUCTION ' - Owner Pa 74h/Ch f c'a Phone 75€9fry„^ [.] NEW 0 ADD 0 ALTERATION • - Address - 0 REPA IR• 0 CONVERSION ❑DEMOLISH �'sL / ❑ OTHER ZONING REGULATIONS , Arch/Eng.L/7P r/d5 /7,*Saliva, License No. ' A.P. _yam p oaf DESCRIPTION OF WORK - Address o r Beech1 �Sl! ��3/5�� ZONE PLNG. REF. . Contractor MPrre//Iy fJ44 Phone r ' TVPE OF PERMIT BUILDING TTO gt/ILpIr.1G CSETBACK C/L,ST- _ _ Raateh- LINE Address 1LQS•TLAAN//p/ PN Rd ,RAP/M 4�Z❑ GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL PLUMBING ❑MECHANICML SIDE YARD I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT mencing with section 7000) of Division 3 of the Business and 0 OTHER - REAR YARD(TO P/L) Professions Code, and my license Is In full force and effect. PROJECT DESCRIPTION License Class License No. PKG.SPACE REQ. PROVIDED Date Signature - .• SQ. FT. - - - WORKERS'COMPENSATION DECLARATION • OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY DATE 'certificate of Workers' Compensation Insurance, or a certified copy - - - - - t^-reof (Section 3800, Lab.C.). GRADING CU.YDS. 1 ACRES - SPECIAL CONDITIONS: V.(6 y b '- - Efillr } y No. Company `L ' ,ertified copy is hereby furnished. - REMARKS: ."` CP4 .....1,-.1. --.. /tea L Certified copy is filed with the city Building Division. - - _ _ �• ,.+ q •• • - , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION • - AttsP� - (This section need not be completed if the permit is for one hundred • - V - a • ($100) or less . . I certify that In the performanceof the work for.which this permit is _ issued, I shall not employ any person in any manner so as to be erne PLUMBING PLAN CHECK - ELECTRICAL • PLAN CHECK • subjecrtto th Workers'Compensatiofi, ws of yI ornia. BATHTUBS SHOWERS - UW tLurvc. - - c.HHA6t Date / i—^T"� Signature L +a��1'r4/1'£ SO FT SO FT • NOTICE: If after making this declaration, you should become subject TOILETS URINALS - GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply,with such provisions or this permit shall be deemed LAVATORIES et DOUBLE LAYS -- 4, APPLIANCE 10-50 KW_50+KW - revoked. - - 0-1 CONSTRUCTION LENDING AGENCY KIT.SINKS 3 DISHWASHERS 4- — MOTORS 0-1 HP_1.10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ' SUMPS - - (INC.SOLAR) 10-50 HP 50 +HP •formance of the work for which this permit is issued (Section 3097 _ Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES ." Lender's Name _ _ Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS - - OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP - - -LUNS I KUt.nUN - Any city or county which requires a permit to construct, alter, - POLES METERED SUB Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN - SUB ' quires the applicant for such permit to file a signed statement that he r, - Is licensed pursuant to the provisions of the Contractor's License Law GAS SERU VICE OUTLETS ,-C" 3 -- SERVICE -' AMP ' ' (Chapter 9 (commencing with Section 7000) of Division 3 of the - , P^sines§and Professions Code) or that he is exempt therefrom and the WATER HEATERS - BTU OUTPUT - - '- " ' '- for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - ._ ' .lot more than five hundred dollars ($500). _ -- - ❑ I, as owner of the property, or my employees with wages as their SOLAR TANK ( COLLECTORS - - - r sole compensation. will do the work,and the structure Is not Intended ISSUE FEE 't or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. `.� _ .. _ - •' • Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE who builds or improves thereon, and who does such work himself or ISSUE FEE through his own employees, provided that such Improvements are not _ intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK • SUMMARY OF.FEES Is sold within one year of completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU _ PERMIT BUILDING E SMTP $ ❑ I, as owner of the property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to - o� ISSUANCE $ an owner of property who builds or Improves thereon, and who ton- REFRIGERATION 0-100,000 BTU PLUMBING $ -4_ j tracts from such projects with a contractor(s) Ilcesned pursuant to SYSTEMGRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK S ' ❑ I am exempt under Section B.& P.C.for this BTU ELECTRICAL $ - S' reason PLAN CHECK § MICROFILM $ Date 7-s2c2 g, Owner-[- L.______ ___ SYSTEM REPAIR,ALTERATION TOTAL FEE$ EXHAUST SYSTEM MULTIPLE MECHANICAL $ I norcertify is that have read this a o n and state that the abovet - LESSANEAD-P information id correct. I agree to comply with all city and county PLAN CHECK' $ VANCE PC E rep ordinances and state laws relating to construction,onand hereby authorize , representatives of this city to enter upon the above mentioned O� property f spec �usrfoses. . . ss q r•' a( Signature re•� '�` .(/�� + `Date 7-.7)-a l FINAL FEE S Drivers' License or SS V/ -' ISSUE FEE - . CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA - • . . • APPROVALS Permit 4 Date Inspector APPROVALS Permit 4 Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment-Location - - s - • • 2. _Soil Pipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - . 4. 'Electrical Conduit-Undrgrn 46. Electrical Bonding - . - . 5. Steel Reinforce 47. Rough Plumbing & Pressure Test -- - • - . 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - • . 7. Footings 49. Electrical Conduit-Undrgrn _ 8. Foundation 50. .Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap. 0 Undrgrn • 10. Structural Floor System 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection ! 53. Backwash & Receptor-Final - 12 • •' "'' •- ec i• !- \ 54. Heater & Vent-Final 1 ' •ough Plumbing. (2... ?'/.' vTLei 55. Plumbing System - Final 14. •.• - - •n.uit - - '56. Electrical-Final 15. Rough Electric-Wiring "' ' '. i,' 57. Solar System-Final 16. Rough Heating & Air Conditioning b8. Fencing &Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL • 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing NOTES: 23. Insulation Ma{- Ria Y .v�.a tt 1 24. Lathing & Siding 25. Drywall Nailing ' 26. Plaster Brown Coat 27. Electrical Power Meter-Final _ _ 28. Final Electric - 29. Final Heating & Air Conditioning . 30. Fir. t 32. 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. • - • 42. CERTIFICATE OF OCCUPANCY No Date .