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Home My WebLink About2854 ELLESMERE AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - '•�-•-•.--C^. loilill ., CITY OF COSTA MESA CONSTRUCTION PERMIT 9.zczc, PEr-NO. TRACT NO. LOT NO. UNIT NO. • Project Address 2 5t £L�-`�.jsti. '4ci ' se C-M _ /, D� U U • 2563 10/21/85 Ban' • IL -Applicant's Mailing Address .2.X.1 � - f'�S —aa— s.,� myC Ce- TYPE OF CONSTRUCTIONNEW U ADD ALTERATION U REPAIR Owner's Name G L O'CZG L \\ LL " - Phone-I 5-4-I 15t4 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone DESCRIPTION OF WORK/USE OF BLDG. Address • • £L. L3SL,doc ` V- y - _ 62.: S Main Building: - Accessory Building: I Arch/Eng. \A ot,.,P (7r _n.L7 ye, IP CiEeA3e No. TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL T Front ZO Address 0 TENANT 0 ELECTRICAL -❑ PLUMBING 0 MECHANICAL B Rear N •Contractor's Name Phone ❑OTHER A 1 'PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) - • , CONSTRUCTION TYPE VALUATION$ $ Left City License No. R ZONE ' GRADING CU.YDS. ACRES Ping. Ref.# Parking Req,/Provided E LICENSED CONTRACTOR DECLARATION ,�/ Q I hereby affirm that I am licensed under provisions of Charter 9(Commencing Remarks: {�� /'S 3 Z/ Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and - / C/ J T my license is in full force and effect. ' `License Class _License No. S 'Date Signature PLUMBING FEES • , WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES ' I hereby affirm that I have a certificate of consent to self-insure or a certificate - • - - ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Pieventer• Service Sink Automatic Washer - Transformer 0 15-50 KW 100, Lab. C.) , Policy 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 5" Date Applicant f EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred($100) or less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank • Fan Motors❑Q7 HP 1:11% 8 Workers' Compensation Laws of California. _ Date Signature Floor Drains Swimming Pool wfSpa • F.A.U. Inc.Solar ❑g-15 HP 016-75+ 'NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave • CONSTRUCTION LENDING AGENCY Gas Service. Outlets Water Closet Device Boxes I hereby affirm that there Is a construction lending agency for the performance Pole Light of the work for which this permit Is issued (Section 3097 Civ C.) Lender's Name interceptors Water Heater Outlets Range Lender's Address Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION - Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 p ;Standing Sections . county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator d0-5 KW ❑5-15 KW •any Structure, prior to its issuance, also requires the applicant for such permit Trash 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 ;therefrom and the basis for the alleged exemption. Any violation of Section ' >"031.5 by any applicant for a permit subjects the applicant to a civil • ' 9malty of not more than five hundred dollars ($500). W.T.- as owner of the property Reinspection Fee ` $15 Issue Fee $ 3 will do the work,and the structure is not Intended or offeredIssue —� Reinspection Fee I $15 Fee $ 3 orsale Seecton 7044, Business and Professional Code: The Contractor's 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 O DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type ZoningA roved sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ pp By Date pletlon, the owner will have the burden of proving he/she did not build or im- • Duct-Under Ground Building Approved By Date prove for the purpose of sale). /0-0,9/ ❑ 1 as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By s Date 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 ❑O-100,000 BTU 0100,000 BTU SUMMARY OF FEES ' builds or Improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK • $ PERMIT ❑ I am exempt under Section B.8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers . IS$UA NCE $ / PLUMBING $ Date 3/ O rT KcanerX2.2.4.� 5fre +t',e p_4Tirf Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ ' I hereby certify that I have read this application and state that the above ]ofnoo.000 BTU 0100,0008 ELECTRICAL $ .� GRADING $ information is correct.eltinI agree to comp ly st with all city and county Ordinances repro- • MICROFILM. $ and state laws it to buildingenterconstruc0 and authorize repro- PLAN CHECK 50% $ sentatives of this city to- enter upon the above-mentioned property for 1 in puri s•pur • MECHANICAL $ `Signature er . 2.‘- • Pink -Accounting; Goldenrod - Assessor �' CONSTRUCTION AND PLANNING • POOL PA 4r Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# f. Temporary Electrical Service or Pole 52. Pool & Equipment Location • it 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding Steel Reinforcement 56. Rough Plumbing& Pressure Test 5'a'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 24. Roof Framing 73. Undergrnd.Storage Tank 0 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 trrer Notes: 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 Domestic-Final 42. Backflow Preveriter 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 • No. Date