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Home My WebLink About1099 VICTORIA ST - Building Permits 1099 VICTORIA ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO, E 055911 PROJECT UNIT: • PROJECT ADDRESS:: CITY OF COSTA MESA T T I • ADDRESS: 77 SERVICES PERMIT NO: E 055917 PLAN CHECK NO: N COVE Y SZPP1 77 FAIR DR CONSTRUCTION TYPE; PERMIT TYPE; ELE PURPOSE: OTH 754-5291. ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : SIGNAL FOR TRAFFIC LIGHT SIGNAL SQ FT: / ADDRESS: UNIT: • CLAIM VALUE: CALC—VALUE: GROUP OCC : / i PERMITTEE: CITY OF COSTA MESA ( 714 ) 754-5291 77 FAIR DR • COMMENTS: VICTORIA STREET WIDENING Aram: COSTA MESA , CA 92626 ********%+e********** ******+E** ****+E***kF**>E*E6****+c****+E****•>ESE********-x-*>E******* ZONING REQUIREMENTS LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section SETBACK S 7000)of Division 3 0l the Business and Professions Code.and my license is in full force and effect. — CITYLIC.: STATELIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING Date: Signature.• FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGET: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). POLICYNO.: EXP.DATE: PARKING REQ• PROV: PARCEL : 00000000 ZNE: REF NO: COMPANY: PLANNING NOTES> ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > ****iF********************************************-***3F************************** a: Applicant: DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)or less). 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 ZONING APPROVED B Y DATE subject to the Workers'Compensation Laws of California. Date: Signature: BUILDING APPROVED BY : DATE: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor \ )_q� Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ADPL I CAT ION ISSUED B Y; \ - DATE: 1Z�/ I 2/ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the penormance of the work for *********.***********%.**********.IF*****iiiC�* 1F ii*tt ***************************;c.{F *R**k-*iF* which this permit is issued(Section 3097.Civ.C). IE iE iF 3E iE BE 1E 9F 9F fF lE iE*SF if B6lE 9F 9E BE SE 96 56 iF*1E 9E SE 969E 1E 3E 1F XE JE lE 369E SE iE if iE SE if iF Bf i6 i¢iF Bf******************.*******%***_ LENDER: LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N ADDRESS: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 18 , 5 0 (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or SOY $MIP/NON—RES repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ISSUE FEE.DI 15,00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). BUILDING I V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 6 I, as owner of the property or my employees with wages as their sole compensation, win do the work, and the TOTALS----> 0 . 00 0. 00 0 . 00 0. 00 . 00 . 00 �J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through REVENUE DIVISION TOTALS--> COLLECTED• . 00 OVER/SHORT; ,00 his or her own employees,provided that such improvements are not intended or offered for sale.II.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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 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)licen 'pursuant to the Contractors'State License Law).I am aware INDIVIDUAL F E E BREAKDOWN that proof of their Worker's Compensation insurance should a provided to me. ❑ I am exempt under Section: B.8 P. / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST s for this reason: ` Date: f •—• 2 3 — 72- Owner: B,.t Petri ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and / END OF FEES 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 permit for construction or modification from the Air ity Management District.Residential construction applications are exempt from/ these provisions. Date: plicant: I hereby certify that I have read this applicatio and state that the above information is correct.I agree to comply with all city and county tt 1 DD 107CQ,—OC 10 i 3C'i 7.7:— • ordinances and state laws relating to building c slruction and hereby authorize representatives of this city to enter upon the above'mentioned c uiTE: Q112-1/92 TT_i E: D':1:: • property for inspection purposes. ..Dale, ---Z 3�7 2. Si not re. Drivers License or Social Security#: i I/r' I 164146 White—Buildino:Green—Code Enforcement:Canary—AoolicanC Pink—Revenue:Goldenrod—Assessor • EXEMPTION VERIFIED / A' r CONSTra„yr POOL AND PLANNING POOL 'A 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 UF ER Grnd. - 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 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 f- 14. 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. REQUIREME-NT 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 78, FIRE PREV. FINAL 30. Drywall Nailing • ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final80. FOOD CERTIFICATE ISSUED 33. Final Electric VS/� 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 Preventer _43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation - 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51.. CERTIFICATE OF OCCUPANCY No. Date � _ i PROJECT AyF�"��'9y _17TC PORIA ST uNIT: - CITY OF COS f,; MESA -- RUI),D1NG PERMIT . ....... .. .. . _ . . OWNER'S NAME: C I t'& eF COSTA MESA ADDRESS:NAME PUBT IC SERVICES - - PERM-i I NO; h 055917 PLAN CHECK NO; N —.- . • • _ (-yin,, 77 FAIR DR . CONSTRUCTION TYPE; PERMIT TYPE: EL.E PURPOSE: OTH 754-5291 • ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : SIGNAL FOR TRAFFIC LIGHT SIGNAL SQ F',': ADDRESS: win: CLAIM VALUE: CALC-VALUE; GROUP OCC: / PERMITTEE: CITY OF COSTA MESA ( 714 )754-5291 aOORTEE: 77 FAIR DR -1 . COMMENTS: VICTORIA STREET WIDENING COSTA MESA CA 92626 4F##4k##*4F**###4kik*Rti. *#*#x•r.*hr.k#*7E7E,e* :h *r,;1c#x####*##kxN. *****>tr*>E#*z#r..,Epr#x- :+r•K LICENSED CONTRACTOR DECLARATION: I hereby aflirm that I am licensed under provisions of Chapter 9(commencing with Section O i3 I N G REQUIREMENTS SETBACKS 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. - CITY LIC.: STATE LIC.: CLASS: y' -- MAIN BUILDING -' ACCESSORY BUILDING 1 --- • Date: signature: FRNT: FT IN REAR: ET IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: Iherebyaffirm that Ihave acenilicateofconsent toself-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insurance.or a certified copy thereat(Section 3800.Lab.C). POLICY NO.: EXP.DATE: PARKING REQ(}: PROV: PARCEL: 00000000 ZNE.: REF IPU: COMPANY: PLANNING NO!'ES> ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > **** E*******0*31.8;******14- ?W***##1k#w?(•eE#1Fit#k•###k***kik!-IFa IF%###di BtlF±k*;**1C:i*-44#$**14.*** f# Date: - Applicant DEVELOPMENT SERVICES REQUIREMENTS T EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). ? 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 ZONING APPROVED BY : 1 subject to the Workers z.Compensation Laws of California. -- -- DATE: i, Date: Signature: ' BUILDING APPROVED BY : DATE: r • NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor -,. Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY ...alt DATE: CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the penormance of the work for ******#3#k•******v.R###7k° z' ` flirt-. r A. . rte •, , W*#*###k#4*' i'tr"' which this permit is issued(Section 3097.Civ.C). *******1'I-R•W##IF***•Ky.iF#*****1F if-#if#1!#*IFLIA##4Fii•:f•:E#*9k41-14-#IF*44*****k..A;******#/Alt i{X.****#BF####• LENDER: LEGALIZATION:N F E E• ' : S U- M M A R V • STRUCTURAL SEGMENT:N BLDG. PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING • OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason: \ HERMIT1 8 50 ,(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,orr,0 g repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed $MIP iNON-•RES • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by ISSUE FEE 1 15 .00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE. 6 I. 'as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----'> I 0 . 00 0 . 00 0. 00 0. 00 • 00 • CO structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law ' does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through- REVENUE DIVISION TOTALS--> COLLECTED; • • 00 OVER/SHORT• 0 0 his or her own employees,provided that such improvements are not intended or offered for sale. 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 BLDG PMTPLUMB INC ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECT! i / for the purpose of sale). 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 ,#44&14#***##*f:X.A•#####it*X..X.#f#ir K•3Fi **Xif******i+**-4 IF***±i***el;E;i'E##ki te*******X-ii X et gel+*i+,f}11(.6'•M and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware , , INDIVIDUAL F E E BREAKDOWN that proof of their Worker's Compensation insurance should be provided to me. " 0 I am exempt under Section: B.BP.(Owner: . TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST for this reason: I 9 / Date: I — - " ./ L / 4 G ` 11/. ' an I ELF 1 SERVICES BELOW 600 V & BELOW 201 AMP 18. 50 18. 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and / END OF FEES 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 / ' permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ' these provisions. Date: Applicant: . L I hereby certify that I have read this appticatio/'and state that the above information is correct.I agree to comply with all city and county i 01 ' ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned / y DUID7DU4- D107004 TOT //�� Dli properly for inspection purposes. ( _ .. / ` + DATE: 01i /;+�I Ti{"C: II9%2.1]' �� Date: / " - `! 1 Signature: /� ^ r'l /A/. rte„ • / I 1 Driver's License on Social Security v: 1 EXEMPTION VERIFIED I I 1641-46 While-Buildino:Green-Code Enforcement:Canary-Aoolicant:Pink-Revenue:Goldenrod-Assessor I - - -- 7-2Z - yz /c/nal & 'e-c . oK R