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Home My WebLink About1040 VICTORIA ST - Building Permitsr PROJECT AD 4S: UNIT: • • OWNERS aE: 1040 VICTORIA ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 062935 ADCCITY OF C.M. y ' 77 FAIR DR PERMIT NO: E 062935 PLAN CHECK NO: N GOVT: Y SUPP: N C.M.CA CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH ARCH/ENGINEER: REG.NO.: �; ADDRESS: UNIT: JOB DESCRIPTION : TRAFFIC SIGNAL (NEW) SQ FT: PER(IEE: CLAIM VALUE: CALC—VALUE: GROUP OCC; / UN s: MACADEE ELECTRICAL CONST. ( 909 ) 597-8348 i t r1u4777(1y CHERRY CIRCLE COMMENTS• SIGNAL LOCATED AT INTERSEC • VICTORIA/AMERICAN AV O 'OECtNLD( �}� 'IbS CA 91769 ****�r�r:6�r*******x-it**********+E+E *****x********** *** x>t *gE**�k*x�r***** -�E**�E*�E****�E LICENSED CONTRACT R TIO ere y affirm that I am licensed under provisions o apter 9(commencing with Section Z O N I N G R E Q U I R E M E N T $ 7000)of Division 3 0l the Business and Professions Code.and my license is in full force and effect. S E T B A C K S CITY LIC.: STATE LIC.:5 8 3 1 2 5 CLASS:C-10 Date:7 7 Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'CO PENS ION DECLARATION: I hereby affirm that I have a certificate of consent to setbinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.m a cerofied copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.:p WC 18 4 6 6 0-01 EXP.DATE: 08/15/9 3 COMPANY:GOLDEN EAGLE PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: r] Certified copy is hereby furnished. 9th Certified copy . with the ci itdin�i I PLANNING NOTES> dale: 7/7' / /3 Applicant: ********************************iE d)E•' ******************************************** EXEMPTIONrtifiWOHI(/ERS'COMPENSATION DECLARATION' This section n abe templet 11the permit is to rte hundred Otho)or less). DEVELOPMENT i R VICES REQUIREMENTS I certify that in the performance of the work for which thi rmit is issued, hall not em y any person in y nner so as to become subject to the Workers'Compensation Laws of Collor /n/ ZONING APPROVED BY �� 7 DATE: Date: Signature: x Code,y:If.after making this lydeclaration,you should seor spermt to the miters' empen ion provisions he Labor BUILDING APPROVED BY .•C DATE: Code.you must forthwith comply with such provisions or la permit shall e deemed revoke . . -' CONSTRUCTION LENDING AGENCY: I hereby affirm that I re is a construction lending agency for the performance of the work for _,/ Q which this permit is issued(Section 3097.Civ.C). APPLICATION ISSUED BY: i . DATE: 7 !3 LENDER: ********************************v********* * *********************T - ** ADDRESS: *******************************4*%********************************************* LEGALIZATION:N FSE E SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of 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 to file a signed statement that he/she is licensed P ERM I T 11 00 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1500 00 I. as owner of the property or my employees with wages as their sole compensation. wit do the work, and the BUILDING-DIV—> PERMIT ISSUE PLA —CHECK TOTAL PAID DUE ❑ N structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 0 . 00 0 . 00 0 . 00 0 . 00 . 00 • 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for safe.If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• . 00 OVER/SHORT' ,00 for the purpose ol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADNG PLAN-CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ,******************x,*************.*********************************************_*_* that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.8 P.C. IND I VIDUAL F E E BR EAKDOWN Mr this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby runty that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 1 MISC APPARATUS NOT LISTED REQ PERMIT 11 . 00 11 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Aiirrblaity Management District.Residential construction applications are exempt from these provisions. • Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with an city and county ordinances and stale ares relating to building construction and hereb Marin representatives of this city to• i upon the above-mentioned property for insp'.tion pur ses. --- Date:7/7/tRt3 Signature: hang M ee4- OF 01 00142430-00142430 TOT .00 DATE: 07/08/93 TIME: 15:27 Driver's License or Social Security N: • • . 164146 Whne-Building:Green-Code Enlorcemont:Canary-ApplicanC Pink-Rovenue:Goldenrod-Assessor .t _ N. I J CONSTRUCTION AND PLANNING POOL PA AF?ROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • Temporary Electrical Service?stole 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 & Nouse Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Anal 15. Rough Electrical-Conduit 66. Solar System-Final• tb. 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 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 I I 78. FIRE PREY. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat ' I 79. FINAL INSPECTION 32. Electrical Power MeteY-Final80. FOOD CERTIFICATE ISSUED 33. Final Electric 8//6 l/� Notes: 34. Final Heating&Air Conditioning 35. Ficial Gas Pipe-Test 36. Hood or Canopy i 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final ; • 41. Solar Domestic-Final I 42. Backflow Preventer 43. Backflow Irrigation • 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING j 4 48. FINAL PLANNING I J. 49. Electric Release to Edison I I • • 50. 'Gas Release to Southern California Gas Co I I 51. CERTIFICATE OF OCCUPANCY - - No • Date