The URL can be used to link to this page

Home My WebLink About313 21ST ST - Building PermitsiApplicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. �' I O 13 8/O /% •', 45 CITY OF COSTA MESA • //CONSTRUCTION PERMIT - ` PERMIT N0. - all TRACT NO. LOT NO. UNIT NO. r Project Address _313_ 2 i Sr CQ,S7sir,t ar_' 7I ¢ant's Mailing Address _.3,/,R a •4,/ Si COQ - ,�TYPE OF CONSTRUCTION U NEW�❑� ADD I L/T/� TII O'N UREPAIR f opre ��`'�� 7N�"+� � ❑ CONVERSION ❑ DEMOLISH L"1 OTHER -}�( b'��`'j'- A.P.# Zone wner's Name T �2ai Phone 1/.b DESCRIPTION OF WORK/USE OF BLDG. • Address -3/3 e )?/ S% Ce SAF'w S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL T Front 0 Address I]3'ENANT I♦ ELECTRICAL 0 PLUMBING 0 MECHANICAL BA Rear N ffsem• Contractor's Name 6. ��14 Zea&MC. •�ssa. phone OTHER I r ' K Right - G PROJECT DESCRIPTION Q. FT. OCCUPANCY 'Address(mailing) d� GJ�i ' Olde !v (� •CONSTRUCTION TYPE VALUATIONSX $ Left :l City License No. • ZONE GRADING CU.YDS. ACRES R E .LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:, Planning Notes: 0 M with section 7000) of Division 3 of the Business and Professions Code, and T my license is In full force arltbe ct. V'7�S, - S Ucensq .ss a5 Lice.se No. 7 `,Date SZ Signature `a' — - • PLUMBING FEES • `WOR • ' COMPENSATION DE.I• CATION Bar Sink Showers I hereby .ffirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink )0, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW • olicy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KW 8 Certified copy is hereby furnished. • Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant . - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 ps (This section need not be completed if the permit is for one hundred($100)of less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certifyth In the performance of the wor or hich this it is issued I shall n plo a y erson in any man r s as t ome s bject to the - Drinking Fountains • Solar Tank FanWorAot1HPD8 ggqiii•••�� yyyyyDate aSi af CalifOrnDate Signature eFloor Drains Swimmin ool w/SpaF.q,U. c olar ❑9-15 HP❑16.15+ NOTICEter making this oclarati0ou shoua subject to the Workers' Co tpensatiprovisions of the Labor Gode, you must forthwith Floor Sinks UrinFixtures prcomply with such provisions or this permit shall be deemed revoked, ibrowaveCONSTRUCTION LENDING AGENCY Gas Servile Outlets ter Closet 1 hereby affirm that there Is a construction lending agency for the performance Device Boxesole Light of the work for which this permit is Issued (Section 3097 Civ. C.) Interctors Water Heaterl.xnder's NameOutletsange Lender's Address Kitchen Sink 1 Water Service $witchesOWNER BUILDER DECLARATIONign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Washfollowing reason (Section 7031.5 Business and Professional Code: Any city orGarbage Displanding Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑any structure, prior to Its Issuance, also requires the applicant for such permit rash Compactor 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 Division 3 of the Business and Professions Code) or that he/she is exempt • -+efrom and the basis for the alleged exemption. Any violation of Section `..5 by any applicant for a permit subjects the applicant to a civil .Icy of not more than five hundred dollars($500). • La I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Fee S 3 compensation, will do the work,and the structure Is not Intended or offered 1 _ - Reinspection Fee • $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor'sr� ' MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves I ' thereon, and who does such work himself/herself or through his or her own Boiler Hood or T el ❑ DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for / yp ZoningApproved sale. If, however, the building or Improvement Is sold within one year of corn- �— Canopy Ty ❑ pp By �/ Date �/ • pletlon, the owner will helve the burden of proving he/she did not build or im• Duct-Und f Ground�7 Building Approved By /�/ Date r�/7•/,�, Trove for the purpose of sale). AW U 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrige ion System Application Issued By • t' Dat: /L LJ .. tractors to 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 00,000 BTU 0100,000 BTU - SUMM gV OF FEES builds or improves thereon,and who contracts for such projects with a con- ` Jt i tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ! CO $MIP S / Sa proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers - PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducti Registers PLAN CHECK 25% $ ENERGY P.C.• S I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 00,000 BTL ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws rel. • to building construction,and hereby authorize repre- sentatives - PLAN CHECK 50% $ MICROFILM S of th' y to ent .-•n the above-mentioned property for '/ (- inspection purp• e r.r ./ u MECHANICAL $ TOTAL FEE $ 7"�•J Signature _ as a i-ref I 10 +rivers' License • SS VP �� Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ C"F 0865-46,rev. 10/84 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 DGas DOiI 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank U 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. FOO,�D/CERTIFICATE ISSUED 33. Final Electric Notes: e/A4- S Py�^.,G A90 7 't.:.‘ 34. Final Heating& Air Conditioning l (-4#4fin `}� Svc+ nin,- 35. Final Gas Pipe-Test /J")Y _ t 3 36. Hood or Canopy X0 • 3 86 S 37'. Final Factory Fireplace �/ / `t. i " h . . .- r. 38•. Final Plumbing 'f, ' o' J 39.,Water Service-Final • 40. Gas Service-Final '? t `t •,y 41. Solar Domestic-Final • . , - • S' ':- 42. Backflow Preventer • 43. Backflow Irrigation - 21 'r ;