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Home My WebLink About2234 WESTMINSTER AVE - Building Permits/ 14tI4U L✓U/s' 'I" Ti Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P MIT NO. 1 TRACT NO. LOT NO. BLDG. NO. - - - - - " • CONSTRITCTION PERMIT • �Z36lgv 4 ' • Project Address' r ,_� - . - ' A. . /ri TYPE OF CONSTRUCTION LI NEW Li ADD LI ALTERATION LP REPAIR • ' Applicant's Mailin• ••dre' • v 7/ .0. '❑ CONVERSION ❑ DEMOLISH ❑ OTHER —y - - _. A.P.# . ' Zone Owner's Name r'. f phgn Al Ls•I�,Objc- -DESCRIPTION OF WORK Q�7� (2./f/ 7 ism e- • ,p ,,OO (/ G/ S Main Building: Accessory Building: Z Address /s U}4 �0 ' Z —8o,c 303—•x"'SCS /•r' TYPE OF PERMIT LI GRADING ❑ NDATIOry ❑ STRUCTU RAL T Front . , N Arch/Eng. License No. - 0 TENANT 0 ELECTRICAL PLUMBING ❑ MECHANICAL B - • 1 A Rear N Address / / // • ``,, ❑ OTHER Contractor's Nam- ••ne h7f 3`r. PROJECT DESCRIPTION SQ. FT. OCCUPANCY• C Right G �/ r ) p/ CONSTRUCTION TYPE • VALUATION$ S Left E Address(mailing) its / et et-rei•, /17• ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ , G City License No. 7 • LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided 1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing . -• R with section 7000) of Division 3 of the Business and Professions Code, and I Use of Building: • my license is in full jrce ffect. • E DateGI s -` 'ry PLUMBING FEES Planning Notes: • M Date Signature E ' 'ORK R 'COMPENSATION DECLARATIO Bar Sink Showers 1 N tereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer, Service Sink I S of Workers' Compensation Insurance, or a certified copy thereof'(Section ' ` 3800, Lab. C (,+/?`q D //. 2____j4;1 Backflow Irrigation Sewer Cap _ _ ' - ELECTRICAL FEES • (y POHcy No, n J ,J / Co .ny ee &C • \ II�s�.I�%��pM+'tified copy is hereby furnished. / ///,�// I Bathtubs Sewer Connection Automatic Washer , :Transformer ❑ 15.50 KW IYCertifrr I ijGE with the cit Al, ng lion . // ❑ 50+ KW Date O f74 Applicant U_�' . ♦ /��/ • Clarifiers Solar Collectors _ Construction Pole Sub. EXEMPTI N OM WORKERS'COMP NSATIO •ECLARATION' Dishwasher Solar Piping CodkingUnit Meter ❑u to 100 amps .l (This sects n need not be completed if the permit Is for one hundred ($100)or P P IT II certify that In the performance of the work for•whlch this permit Is Issued I Drinking Fountains Solar Tank Dishwasher '� Meter Dover 100 amps \ ... shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. I Floor Drains) Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date hisnatcre - NOTICE:If,'after making this declaration, you should become subject to the Floor Sinks • Urinal _ Fan 'Moths❑0-1 HP 01 h-g Workers' Compensation provisions of the Labor Code, you must forthwith - - comply with such provisionsor this permit shall be deemed revoked. . , Gas Service rbutlets Water Closet 7 Se F.A.U. Inc.Solar 09'45 HP ❑16.15+ I CONSTRUCTION LENDING -AGENCY' .. I hereby affirm that there is'aconstructionlending agency for the performance Interceptors Water Heater Fixt • of the work for which this permit is Issued (Section 3097 Civ. C.) ures- - I 'Microwave Lender's Name - Kitchen Sink •. , Water Service Device Boxes ' Lender's Address - - a , -. _ __ _ _ - Pole Light • OWNER BUILDER DECLARATION - . • Lavatories - - - , -- - - Outlets - - I Range -_ , I hereby affirm that I am exempt from the Contractor's License Law for the p—Tra following reason (Section 7031.5 Business and Professional Code: Any city or p Switches Sign • county which requires a permit to construct,alter,improve,demolish or.repair any structure, prior to its issuance, also requires the applicant for such permit Roof Drains - Garbage Disposal • Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of iI 'h'e Contractor's License Law(Chapter 9(commencing with'Section 7000)of vision 3 of the-Business and Professions Code) or that he/she is exempt - _ - _ , Generator 00.5 KW ❑5.15 KW Trash Compactor . trefrom 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 ' Reins coon Fee 3J• ' Denalty of not more than five hundred dollars($500). pe I $25 Issue Fee $ I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee • $ 3 compensation, will do the work, and the structure is not intended or offered • - MECHANICAL j FEES for sale (Section 7044, Business and Professional Code:, The Contractor's — — PUBLIC SERVICES REQUIREMENTS: ' License Law does not apply to an owner of a property who builds or improves • Boiler Hood or Type I ❑ thereon, and who does such work himself/herself or through his or her own Zoning Approved By - ' Date employees, provided that such improvements are not Intended or offered for - Canopy Type II ❑ sale. If, however, the buildingor improvement Is sold within oneyear of com- Duct-Under Ground Application Approved By ,/J Date_�T� pletion,rovfthe owner will have the burden of proving he/she did not build or im- - / L %'-moi—fJ-�l/4•y—/L�— Drove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Dat I, as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OFFEES The Contractor's License Law does not apply to an owner of property who , builds or improves thereon, and who contracts for such projects with a con- Exhaust System I:1Multiple O. System Repair/Alteration BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to'the Contractor's License Law): PLAN CHECK , $ PERMIT ' ❑ I-amexempt under Section B.& P.C.for this reason . Firepl/Fact.'Blt. ICBG# •' PLUMBING $ 5"• ,> e ISSUANCE $ Date Owner. Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ I hereby certify t. I have re.d this applic .tl-n rate that the above 00.100,000 BTU 0100,000B information is c• ect I ag,.- . comply wi I nd county ordinances - - ELECTRICAL $ GRADING $ and state laws -•loon: t• . /tom constr d:./„. ereby authorize repro- — 1 MICROFILM $ inspection of !is ci yj 'u�y mentioned pro arty for • II PLAN CHECK $ inspection p )2o es, //" / vJ K _ MECHANICAL $ Signature ,A iiarr / � Date - TOTAL FEE $ .h-7 rte' Drivers' Licen - or 55# ' = Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink.Accounting;Goldenrod-Assessor - - - - - - - . CONSTRUCTION AND PLANNING '+ POG SPA 1. =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. Rouge; 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 ❑Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 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 PREY. 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 35. Final Gas Pipe-Test ' S-4-216 (,(p 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 6e••7j(e (.,EO 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-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 .4 No. Date