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Home My WebLink About2658 SANTA ANA AVE - Building Permits • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. F COSTA MESA, CCs,ONSTRUCTION-IR PERfy/�T NQ.sip �� TRACT NO. LOT NO. UNIT NO. A P # Zone .t Address �G Sof••�NN{TA !'f/l) - i2 ,26J - I N L,� r' S Main Building: Accessory Building; Applicant's Mallin• ddress Al. - L ( ♦ TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR E IZ �: ♦ /�y•/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T FrontOwner's Name •.1 /YID- Phon: y�rAJ' DESCRIPTION OF WORK/USE OF BLDG. B Rear Address 7(JfX T c 1 AMts p LTYPE OF PERMIT ❑ GRADING^U�UNDATION U STRUCTURAL . C Right Arch/Eng. License No. - - LK K-Address q ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL $ Lefts ♦ _ ! ( / ❑ OTHER Ping. Ref.# Parking Req./Provided Contractor's Name t .�/1 Phone/� -3/JDPROJECT DESCRIPTION SQ. FT. OCCUPANCYPlannin Notes:i Address(mailing) 1'53.3 t/NO O[.,J s (�,CONSTRUCTION TYPE VALUATION $ n 6j 9City License NO. /� ZONE GRADING CU.YDS. ACRESebl3 `� „ t+�� 4- LICENSED CONTRACTOR DECLARATION L /� {1q / ✓J V UL^ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /�s'TAtt 4 / )P71/2 A-e.ca?-7 rt--+ ”-�t � with section 7000) of Division 3 of the Business and Professions Code,antl C KI' ELECTRICAL FEES my license is in f f• • and effect. /�/ i-n �^ Datens lass is ni= v / ,I / PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW Date '� Signature �� /x WORKERS'COMPENSATION DECLARATIONConstfuctiOn Pole Sub. 0 50+ KW • V •reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Yorkers' Compensation insurance, or a cert' led copy thereof (SectionCooking Unit Meter ❑up to 100 amps .0, Lab. C.) //( Backflow Preventer Service Sink p Policy No. °cl f nn Company Backflow Irrigation Sewer Cap Dishwasher r- . Meter Dover 100 amps tifietl copy Is hereby furnished. Dryers ❑Gas ..❑• Electric Sub Panel Cert(i,1ed Cypp filed with the city qanri 9 Div — is, n/ / Bathtubs Sewer Connection Date 'Of '.S � Applicant /./'t LI diff e Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Motors 00-1 HP ❑1 h-8 (This section need not be completed if the permit is for one hundred ($100)or ' Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ less). I certify that in the performance of the work for which this permit is issued I Fixtures • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank .� Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes ' Pole Light . NOTICE: If,after making this declaration, you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance • of the work for which this permit is issued (Section 3097 Chi. C.) Interceptors Water Heater Il /}�� Garbage Disposal Standing Sections Lender's Name O�W Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays 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 Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of ,inion 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee ! $15 Issue Fee $ 3 efrom and the basis for the alleged exemption. Any violation of Section - ' ,I.5 by any applicant for a permit subjects the applicant to a civil ,kenalty of not more than five hundred dollars($500). $ . DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my-employees with wages as their sole Reinspection Fee I $15 Issue Fee 'compensation,c, will 0 the work,and the f ois intended rtl Zoningi g Approvedrod Date for salee (Section Business and f aProfessionalprCode: The Contractor's MECHANICAL FEES Building Approved By Date thereon, Law does not apply to owner f a props who builds or Improves mplantl who does such work ovem shimself/herselfror through his or er! own Hood or Type I 0 Application Issued By Dat employees,it, ho ever, that such or improvement are ootld within or ofr of dc for Boiler sale. If, thethe owner building dof pro issold within one year rem- Canopy Type II ❑ SUMMARY OF FEES plebe r th owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractorsto construct the project (Section 7044,Business and Professions Code: `/-, The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ /COO ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- _ tractor(s) license pursuant to the contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ 5a0 I hereby"certify' that I have read this-application and state that the above 00-100,000 BTU 0100,000 BTL— - TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- \ sentatives of this city to a ter pqn the above-mentioned property(-f r • . Inspetlion purRp pe / pop the � Pink -Accounting; Goldenrod -Assessor DATE: 01/11/90 TIME: 10:19 PNSTRUCTION AND PLANNING j POO SPA ROVALS Permit# Date Inspector APPROVALS Per-mit# Date Inspector :o 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - `' -r- 53. Steel Reinforcement .� 37Electrical Condui2'Utility-Undrgrnd. _ 54. Forms 4:'Elecfrical Conduit-,Undrgrnd. e55. Electrical Bonding - '-I 5.-Steel�Rei inforcement 56. Rough Plumbing & Pressure Test 6:.,ElectiicalUFER-Grnd`' 57. APPROVAL TO COVER-GUNITE . . ` • 7. .Footings - _ 58. Electrical Conduit-Undrgrnd. 8. Foundation <1-f 59. Gas Pipe, 0 Undrgrnd., Test - , 9; Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System61. APPROVAL TO DECK .i 11. Pioperty Sewer Line & House Connection " .. 62. Backwash & Receptor-Final 12::Sever Cap ,, 63. Heater& Vent-Final ,r . - - 13., i_ 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 1/4'1`7. Rough Wiring Sign - 68. APPROVED FOR PLASTERING •• - -- ---- - • ---- - n • 78. 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, Ventilating71. Product Piping 0 Gas 0 Oil , 23. Gas Pipe-Rough& Test 1a) 72. Underground Flush 24. Roof Framing I 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ' C 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 2 77. FIXED SYSTEM FINAL 29. Insulation ,2; 78. FIRE PREV. FINAL in 30. Drywall Nailing ` 1 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-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 Fireplace 38. Final Plumbing !� ilikela cep 39. Water Service-Final - l 40. Gas Service-Final - - ' 41. Solar Domestic-Final ;4 . , - 42. Backflow Preventer 43. Backflow Irrigation --} I /2. r ._-J 44. .Landscape Irrigation;System �' 45. Sound Attenuation a• , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed WI: 49. Electric Release to Edison i• ( A- ir 50. Gas Release to Southern California Gas Co 9 `,t .i 51. CERTIFICATE OF OCCUPANCY �-- No. • Date 0 e v