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Home My WebLink About424 16TH ST - Building Permits� � AVO��ant t0 till in all ipaces excepl those wilhin heavy Do�tler lines antl sign all approDriata tleclarations. CITYOFCOSTA-MESA. - -Job-$8542' - CONSTRUCTION FERMIT � ' . vrojectnddress424. R. 7hth 4t. Costa Me� CA 92627 ApplicanYsMailingAddreuZ�i57 C2RtUTV.PlaC2, Costa Mesa Owner'sName� �ed McCun2 Pho„e646-2076- � Address 424 Er 16th �St. Costa M�sa. CA 92627 Arch/Eng. . License No. � Address Contracror's Nam �Yahain r'o h ra �jns_pho�e 546-1 h59 Addresslmailingl �9 c'n uri� Pl^ � ('ocr� MPG� 9�(,�f Ciry License No. 00596"� ' � - � IICENSED CONTFACTOR DECLARATION � i � . ' 1 hereby aftirm that I am licensetl untler provisions ot Charter 9(commencing with section �000) of Division 3 0! Ihe BuSiness antl Crofesslons Cotle, antl my Iicense is in full for e np efte . �icense ci s �-�U mense . �+�60�+ Oate�(�.$y._ Slgn [ure WORKERS'COMPENSATIO ECLARATION � `ereby aHirm that 1 have a certificate ot mnsent to selt-insure or a certificate Workers' Compensation Insurance, or a-certifietl copy-thereoT-(Section- �00, I..ab. CJ r�.`I �(� Policy No. (ilCIS �i�Z�'LT COmpany VA�(�U��-+� � �Gertifietl copY is hereby fumishetl. � Cer if'etl�cypy is tiletl with the city ui ivi 'on. DateZ��Y ApPlicant EXEMPTION F�ROM WORKERS• CO NSATION DECLARATION ��' � (Tnissection neatl not be completetl if the permlt is for one huntlretl ($100) or less)': . . . I certlty.that in the performance ot the wor,k for which tM1is permk is issuetl I� s�all not employ any person in any manner so�as to become subject to t�e Workers' Compensation Laws of Califomia.: . pate Signature � NOTIGE: If, atter making thi5 tletlaratlOn, you shoultl become subject to the Worker5l Compensation'provisions ot tne Labor'Cotle,-you' must torthwith comply,wlth such provisions�or.this.permit.shall be'tleemetl revoketl. CONSTRUCTION LENDING :AGENGV ' � � ' � � . '*- I hereby afflrm thal theie is a construction lentling agency for the performance o( the 'wOrk tOr which this permit is issuetl .(SecHon ,3097 Civ. CJ Lentler's Name� " Lentler's Atltlress " - - � OWNER BUILDER OECLARATION - '" 1 hereby aifirm that I am exempt from the Cdntractor's �icense law for the following reason (Sectlon �031:5 Business antl Protessional Cotle:.Any city or tounty which requires d perrtiit'to con5t/uct, alt¢r, improve, tlemolish or r¢pdir � any structure, prior to Itsissuance, also req Wres the applicant for such permit to tile a.signed statement that he/she is Ilcensetl pursuant to�the provisions ot ' [he Contractor'S Licenz¢ Law (Chapier 9(commencing with SeCtion�]000) of �ivislon 3.ot the BuSiness antl Professions Cotle) or that he/she is exempt �, Rrefrom 5nU the basis tor�the allegeC exemptlon. Any violation ot Section ��°eJ31.5 by, any applicant for a permit subjects the applicant to a Gvil nalty ot not more than five huntlreiJ tlollars ($500). ,: ' • I,.as owner of the property or my employees with wa9es as their sole com0ensation, will tlo tne work, antl the structure is not Intentletl or ofteretl for sale (Section 7044, Business antl Professional Catle: The Contractor'S License Law Ooes not apply to an owner of a property who builtls or improves ther20n; dntl,who'tloes such work himsel(/her5¢If or through his o� he� own � employees, provitletl that such improvements are not Intentletl or of(ered for sale. If, nowever, the bulltlln9 or Improvement Is soltl wlthln ane year ot com- . pletion, the owner will'have the burtlen ot proving he/she tlitl not builtl or Im- . �1IOvO tor [h¢ purpOZe O( Sale�. u 1, dz own¢r ot the property, am exclusively mntracting with IicenSetl Con- ' tractors to construct the Oroject (Section 7044, Business antl Professions Coae: The Contra<tor'S license. Law tloes. not apply to an owner of.Oroperty who builtls or improves thereon, antl who contracts for such projects with a con- � tractor(s) Iicense pursuant to the Contractor's Licenze Law). ❑ I am exempt untler Section B. & P. C. �or this reason Date Owner � � � 1 hereby certify that I have reaC this application antl state that [he above , Information Is correct. I a ree to compty wrth all city antl county ortlinances antl state law ' construction, antl hereby authorize re0re- � sentatives th' '� to enter on the above-mentionetl properry tor ' inspectio urp � ' Signdlur Date� m-iv TYPE OFCONSTRUCTION ' NEW � AOD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.p.# DESCRIPTIDN OF WORK S Main B� TVPE OF PERMIT GRADING ❑'FOUNDAT�IyO�N ❑� STRUCTVRAL T Pront � ❑ TENANT ❑ ECECTRICAL ❑ PLUMBING `Ia`d�ECHANICAL - B Reaf � ❑ OTHER % PROJECT DESCRIPTION 5q. FT. OCCUPANCv C Right K Left CONSTRUCTIONTVPE VAIUATION$ $ ZONE GRA�ING CU. VDS. ACf3ES Ping. Ref. # Remarks:. ' . ' � � , Parking Req. Bar Sink Backflow Preventer Backflow Irrigation Bathtu6s � Clarifiers � Dish�uvasher ' Drinking Fountains Floor Drains� FloorSinks' ' Kitchen Sink Lavatories � , PLUMBING � Showers Service Sink � SewerCap Sewer Connection Solar Collectors Solar Piping "'" • ' Solar Tank . Swimming Pool w/Spa Urinal ` Water Clos¢t . . Water Heater Water Service � �; Reinspection�Fee'. �$257 Boiler ' Duct - Under Ground �, � Duct - Structural Duct - Ventilating . Exhaust System ❑ Multiple �� Firepl/Fact.'Blt. ICBO # Heating Syscem & Ducting � x�0.100,000 BTU 0100,OOOBTI Drivers' L se or 55 � Reinspection Fae ,$25 CMF 0865-46 rev. 7/83 ; Pink - Accounting; Goltlenrotl - AsseSsor ' � �— � , laue Fee- ' FEES P�anning Notes: � � , � � { Automati'c Washer � � Canstruction Pole S Cookin9 Unit � ' - Dishwasher • , � Dryers ❑Gas' DE Hood or Typel� ❑ Canopy Type II ❑ , , Refrigeration System ' '�p;100,000 BTU ❑100,000 Bl System Repair/Alteration , �� . � Issue Fee $ 3 F.A.U. Fixtures Device Boxes Outlets Zone` Accessory Bui Park.Fees $. r ;. , 3 r ELECTRICAL : F ' Transformer ❑ 15-50 KW � ❑ 50+ KW ' Meter �up to 100 amps - -- Meter �over 100 amps � � .SubPanel ' , ' Momrs �U7 HP �1 %� 8 �Inc.Solar �9-15 HP �16-15+ � Microwave Pole Light ' , � Garbage Disposal Generetor �0.5 KW �5-15 KW I Reinspection Fee s PUBIIC SERVICES RE� Zonin9 APProved BY— i Application Approved By Standing Sections ' - Tresh Compactor .. . luue Fee ' . ' $ 3 , . Date Date ' 3' �ata�'3-8 � SUMMARV OF FEES . . � BUILDING FERMIT $ � SMIP � $ PLAN CHECK � $ PERMIT . � PLUMBING $ ISSUANCE � $ PLAN CHECK $ ENERGY P.C. � $ • E�ECTRICAL $ � GRADING �$ PLANCHECK $ � MICROFILM $ ' MECHANICAL � $ �� C' , TOTAL FEE . $ �� 00 PLAN CHECK $ ' � O N I N G R � E Q U � R E N E N T t CONSTRUCTION AND PLANNING POOI ;PA APPROVALS Permit# rn��3� Date Inspector qppROVALS Permit# Date Inspector 1. Temporery 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. E{ectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrrid. 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�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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � 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: � 34. Final Heating & Air Conditioning- .��jt�dy �' 35. Final Gas Pipe�Test � 36. Hood or Canopy 37. Final Faaory 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. FINALSTRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison � -� 50. Gas Release to Southern California Gas Co � 51. CERTIFICATEOF.00CUPANCY ' NO. Date AOP��ant to fill in all spaces except those witnin �eavy bortler tines anE slgn all appropriate tleclarations. : coS'ra MEsa CONSTRUCTION PERMIT .tAddress 494 F._ 16th St_� C_M_ . Applican['sMailingAddress 176 Cnmmercial C_M_ 9�697 Owner's Name �..�''� rh R MrC]ina I phone Address —9�d F 1 Fth St r M � Arch/Eng. License No. Address Contractor's Nam Crank Bros. Rofoinq Co Qno�e S48—S56 Addresslmailing) 126 Commercial�. C.M. 92627 City �icense No. 005993 LICENSED CONTRACT00. DECLARATION 1 herlby aHirm tha[ I am IicenSetl untlar O�ovision5 of Chdrter 9(commincing with se<tion 7000) �of Division 3 of the Buslness antl Protessions Cotle, antl (jp my Iicense is in tull turc��nd enect. 408677 � Licenze CI s �' Lic se No. _ � �ate ( O �I.S� Signalure .� WORKERS' COMPENSATION DECLARATION 1 � nereby aRirm that I nave a certl/icate of consent to sel/-insure or a certiticate Workers' Compensation Insuranco, or a certitietl topY thereot (Section 1 '�' �b �� Fremont Indemnitv voiicy rvo. �1P85362466 company �Certifietl copy is hereby turnishetl. �),.,/_- � ' jFerlitietl a0Y �s filetl with the city Builtling Division. 1/'G(f'e.� oa�ellL Applicant C'rank Rr�a _ Roc'�fi nq Co= E%EMPTIGN F OM WORKERS' COMPENSFTION DECLARATION (Thissection neetl not be compleletl it the permit is fo� one huntl�e0 (5100) or less). 1 certity iltat in Ihe performance of Ue work for whlch thls permR is 15suetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Cali(ornia. Date Signature `NOTICE: I(, atter making this tleclaratlon, you snoultl become subject to the Wo�kers' Compenzation O�ovision5 Of the ldbo� Cotle, you must forthwith comply with such proviziOns or [hls pe�mit Shall b¢ tle¢metl �evoketl. CONSTRVCTION LENDING AGENCV I hereby affirm that there iz a constructlon lentling a9ency for tne performance oi Ihe work for whicn thi5 permlt i5 i55uetl (Section 309] Civ. C.) L.entler's Name �enaer'z aatlrezs OWNER BUIL�ER DECLARATION � 1 hereby atflrm [hat I am ¢zempt from [tt¢ Cont�actor's Llcenso Law fOr tne following reason (Section 7031.5 Buziness antl Professional Code: Any city or county which requires a permit to construGt, alte�, ImOrove, tlGmollsh or r¢pair any structure, prior to ifs issuance, also requires the applicant for such permit m fiie a sionetl sta[ement Ihat he/she is Iicensetl pursuant to the provlsions of � Division 3 oL tbe Business ana vrotessions eoae� or ma� ne sne is exemp� 'herefrom anG the ba5i5 fOr the alle9etl exemption. Any vlola lon of SeCtion 031.5 by any applicant for a permit subjects the applicant to a civll ,enalty of not more tnan five huntlretl tlollars (y500). � ❑ I, as owner of the property or my employees with wa9es as their sole compensation, will tlo the work, antl the structure is not Intentletl or offeretl for sale (Section ]044, Buslness ana Professional Cotle: Tho Contractor•5 License Law tlaes nol apply to an owner of a property who bulltls or Improves the�eon, an0 who tloes such work hlmself/her5¢If or thtough h15 ot M1er own employees, provitletl tM1at such Improvements are not In[entlatl or offeretl for sale. If, however, the builtlln9 or Improvement is soltl within one year of com- pletlon, the owner will have tha burtlen of prOvinq he/she tlitl n0[ bulltl Or im- erove for the purpose of sale). LJ I, as owne� of ihe property, am azclusively contractin9 wltM1 Iltansetl con- Iractors td construct the prajec[ ISection 7044, Business antl Pwfessions Cotle: The ContractoYs License Law doas'not apPIY to an owner ot property wh0 ' builtls or improves tnereon, antl who contracts tor sucn proiects wltn a con- Iractor(sf 6cense pursuant to the ContractorY Ucense Law). I am awdre that oroof of tneir Worker'S Compensatlon insurance shoultl be provltletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date Owner 1 hereby certiy ihat I have reatl this applicatlon and state that lhe aEove iMormation. is correct. I agree to comply wlth a11 city antl county ortllnances ana state laws rela[in9 �o builtlln9 construttion, dntl h¢rlby authoNze rep�e- sentatives of tnis city to enter uoon he aDove-mentlonetl oroperty tor inspectiOn purpose5. 9gnature �� Datel.Li�!_t,�Cs Drivers' �icense or 55 � �� /� ._........_. _ __ __ .,...,,..,. as7o TYPE OFCONSTRUCTION NEW ADD X ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p,�y DESCRIPTION OF WORK USE OF BLDG. redT at r00 , remove existing applv 3��1v fiberalass w/ho a pha� M a� , E Main e�nd� TVPE OF PERMI�ADING FOVNDATION STRUCTURAL T Ffon� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING. ❑ MECHANICAL A Reer ❑ OTHER PROJECT DESCRIPTION SQ. FT. S%E - OCCUPANCV� � Right CONSTRUCTIONTVPE rE-'S. VALUATIONS 1 SSS:O g Left ZONE GRADING CU. VDS. ACRES p�ng. R2f. # Remarks: Planning Noces: Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishevasher Drinking Fountains Floor Drains ' Floor Sinks Gas Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Rainspaction Fee, $15 Boiler Dutt - Under Ground Duct - Snuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/FacL BIt. ICBO # Heating SVstem & Ducting ❑6100,000 BTU 0100,000 Reinspection Fee � $15 CMF 0865-46, rev. 10/84 White - Bulltling; Canary - APOlicant; Pink - Accountin9: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Isue Fea Hood or Typel ❑ Canopy Type I I ❑ Refrigeration SyStem ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampere Registers laue Fee FEES Automatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers OGas ❑Electric Fan F.A.U, Fixtures Device Boxes OuHets Switches Garbage Disposal Generator DO-5 KW �5-1 ayae �ai�3ie5 Zane Accessory Building: Parking Req.IProvided ELECTRICAL Transformer ❑ 75-SOKW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors DO-1 HP � 1 h- 8 Inc. Solar 09-15 HP 016-15+ Microwave Pole Light . . Sign ; Standing Sections KW Trash Compacmr � $ 3 I � Rainspection Fee $15 Isue Fee FEES DEVELOPMENT SERVICES REDUIREMENTS: 2onin8 Approved By Buildine APProved By Aaoli�ation laued 8v n $ 3 fi � E FEES $ 3 Z O N I N G R E Q M T S SUMMA �V O�F EES �y� BUILDING PERMIT $ �,�• V� SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $� GRADING $ PLANCHECK 50% $ ' MICROFILM $ /�('� MECHANICAL 5 TOTAL FEE $ __�Z PLAN CHECK • 25% $ , �STRUCTION AND PLANNING PROVALS Permit # 1. Temporary Electrical Service or Pole. 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit�Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21.�Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frameand Flashing 28. Lathing & Siding . 29. Insulation 30. Drywall Nailing 31 . Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 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 Southern California Gas Co �51. CERTIFICATE OF OCCUPANCY ;o. Date Date POOL PA Inspector APPAOVALS Permit# 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical6onding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final � 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # �0. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: d8 GO�- Date � Inspector 0 292�2 � COSTA MESA BUILDING-SAFET'! DEPARTMENT P.O. BOX 7200 COSTA MESA, GALIFORNIA f2626 For Appllcant fo i11! In Complet�ly TYPE OR PRINT 6R'68 9-24 �. fG,T" C-rnct� COSTA MESA, CALIFORNIA 'NER Newport Balboa Sav'gs & Loan �� 3366 Via Lido DHBHE � NewDort Beach Tg'- 67331? 6R �om�ier�er FAIA 4501 Birch St. , New t Beach zo„a Cor �eo�� OCT 16-68PA1000 875� *** CfiSA �?Q.7.�1 APPLICATION FOR PERMR BUILDINf3 For Office Use Only �■�.�R�o. _r.seauae. ZONING NO. O� YYt OI H[W •LANt „ eui�o�ho wr[ ieeueo NOTH: NOHAVQOViRHAN6SNALLBHLH88THAN ucTNo. 146423 NB�" 540 8833 80'TOBIO6SRBARP.L BAVEY oFior 83' x 60' r�i°o'w°ohLO°'`- w��owao su..e.c.aeeuieeMerir; YARDSMPROVED YARD9MPPOVHD USE OP __ MAIN BUILDIN6 ACCEGiORY BUILOIN6 EXIFfIN6 BLOQ. �(PROM GLCTR[[T) C 1/ YBTeACR LIX[ IROY �nuT �i � e' � I�rru 31 eT �escturrioN of wo�uc X � ., .._._...� � ..... DIQTANC[!R. B[T. MAIN Q IN gM ug MAIN BLD ACCH84. BLDO no.o� �wx•At V-40-68 c�Te L 9ZH ROOMS 7 1 1-1�2 C. U. P. MPROV[D - ALL StllCC R��_,_,,, shakes �PROV[D(Ju%L M_ ..��r �l�� Family dw Plan 2B �PLY WITX BUILOINO � AUTNORIZiD AGiNT g with attached garag ��°',�.�.�,,,�. - .��6 ° �� Tf1AT 1 MAV6 R6A0 iHit APPLIGT n�c AMOUMT eHo •UPP0o8 O� AB VALUATION sa.�,�9�°� a w � i _ � 4 � � vww�noH ia von n�e � A PH0.MIT P88 ONLY. �'y� W IT FHH �/ J� p ,...�,._ e �/o.2s w