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Home My WebLink About674 VICTORIA ST - Building Permits�� PNOJECTh00HE88: ('74 VICTORIA ST - OWNEN'SN1ME: CITY OF COSTA MESA , �DORESS: '�'� FAI R DR IVE COSTA MESA, CA. 92626 719/754-5029 ' �RCNIENGINEEfl: 11EO.N0.: - �DOflESS: UNIT: PENMITTEE: POMONA VALLEY E�UIPMENT ( 714 ) 591-7879 �ooaess: 11532 EAST END VENUE CHINO CA 91710 110EN5ED LOMTMCTON OELIAMT10N: I trertDy aflitm Wt I am IkenSeC uMer proNsbitt ol Gapier 9(Wmmenciny xil� Sectlon 70W) ol OlvLsion 3 0l 1�8 Butiness antl Professlons COEe, aM my � ense's N IW rce aM ¢Ile cmuc.: 41 74 �9ST\"TEuc.:417242 �� Uate: �( V �� WOflKERS'�MPEN�ION OEUAMTION: I �ereDy aflirm t ve a certifkata ot cauent to -ms a ttN(ica[e oi Workers Compeivatlan Insurarrce, or a ceN�ceO mpy Ucereol (Sectbn , LaO. q. raucreo.: 1030869-89 , ucv.wn: 09/15/90 caMrexx: STATE FUND �� r; CertifeO wvY � �ea6y fumistied. � CertifieO capy is fJ xiN Na dty B�i 'pp 'Drvrsion. /q �. n ( � .ate: l7— �I— / � MDticant: � 1� L IXEMVfION FlIOM VIORI�113' COMPFN&1NN OECIAMTbN: ' tttlon neeE not Ee m�efeE il tla ermt'¢ ro MmEreE (5700) a lecs�. I cenity ttwt in Ine cehormance ol ttre xrork for wldch tlus pe � a issueE. I stnll irot empoy am/ person in manner m az to 6ecome su6lect to Iha Workers' Compersation Laws ol CaGtomia. �, Date: 9WaWm: NO710E: It. atter maldny Itis GeWratkn. you stpuW Oecome suhject to IM Warkers Camperwtlon DrwiUons af ihe LaOor CoOe. yrou must IartAwiN compty wIN sucli provoions or tttis permit shall Ee OeemeU,ravakeE. CONSTRULTION LENOING AGENCV: I AereEy �mrm WI ihera is a constructlon Ientlin0 a0erny tor Ue peAormana of tM work lor wtikh ttus DerMt is issuetl (Sectlon 3697. Civ. C�. � IFNUER: �OONESS: ' OWNFR BUIIDEH OELWLITION: I hereEy allirm Ilut I am weem0� �rom IAe ConVactors' State Licensa Law lor the tallaw'mp reason (SectPon 7031.5 Business anO Prolesslonal CoEe: My tity ol counry whkA reyutres a permit to wns[rucl. 8ter, Improve, aemolish, or repalr any stmctum, prior �o IB issuance, also repulres the aDD��t lor wc� permit Io file a siO�eU statement I�at �e/sAe is Iicense0 pursuanl to t�a provisions ol I�a Contracrors' State Licenm Law (C�eD�er 9(wmmencin0 ��h Stttion 7000) ol Olvision 3 0l tAe Business anG Pmlessions Cotle) or �Aat Ae/she Is ewempl Nerefrom anU Ne basis tar I�e alle0� ezemption. My Wolation ol Sactlon 7031.5 Ly any applicam lor a Dermit suhjects tAe apDlicant to a ciNl Denalry a� tmt mam t�an Me AunEaE UOAars (5500�. 1, as owner al IAa D�D�nY or my employees witA vnpa as I�elr sde com0ensatlon, wiA Oo Iha xrork, anE tAa ❑ simcture is not intenOM or olleraE lor sale (Sation 7061, Businea anA Pmlessbnal CoOe: The Contractors' State License law Cces not aDGly to an awner ol a D�opetly who EullOs ar Imprwes IAereon, and wtw Oou Suc� xrod AimSeltlAersell or I�rauph � his or �er awn employees, prwiOeO ttiat wc� ImDmvemenis are not IntenUeO or offeretl lor sale. It, �owever Ne hu0UIn0 or im0�ovemant I5 sold within ane year ol com0letian, Ihe owner wlll �ave ��e burEen af DroNnp �e/s�e Eid not huilE or ImDmve lor tAe Durpose ol sale�. I, u owner al t�e prope�tv. am exclusWeN contractlnp wit� IlanseO coniroctors to mnswcllAa prol��,��Uon 70M, Bu51ne55 ❑ anA Pralesslons CaAe: TM Canvactara' Sum licer¢e Law Eou ml apqy to an awner ol properry who bu IOs or improves Neraon S CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: BP 047594 PLAN CHECK NO: N CONSTRUCTION TYPE; PERMIT TYPE: PLU STR JOH DESCRIPTION : DEMO OF SFD 6 SEWER CAP PERM NO: BP 047594 GOVT: Y SUPP: N PURPOSE: DEM S(a FT: CLAIM VALUE; 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 / COMMENTS: �rir�rx��r�r�*�r�rxir�rit�r�ritiritit�ritx�r�x�rx�rtir*ir�ritit�r�r**x*�riritit*��x�rie+�it+�itir�ritir�rfrx��*it*�rit�r**ar�r�x*�t Z O N I N G R E Q U I R E M E N T S ' S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING -------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGFIT: FT IN LEFT: FT IN RGFIT: FT IN PARKING REQ• PROV: PARCEL: 00000000 ZNE; REF NO; PLANNING Ni5TE5> > ik iE iE it ik if it k iF it ik i! i! i! iF iF if iF if iF i! ik ik k if i! ik ik ik k ik ik iF if k k if ik ik k 1f iflt it it it ik ik ik it it ik it k it it it it iF it it 1t iF if ik it i! if k it it ik ik iF ik at 1k if iE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : � DATE: ) APPLICATION ISSUED HY: DATE: (/ iEifiEifiEiFifiFkiliFiFikifjfiEitifitikitlF iklfififikiEiEitikik ifik if !f it ik if ik ik jf if if ik ik if if iF ik iE k 1E if iF iF if if iF i! if if if i! i! if if k if 1f ik iE ik iF ik if ik ik if ik k 1f if ik M ft it k%1t 1E iE it 3k if 3F if 1E i! 1E if if if M 1E if iF iE iE if k if 1E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 25.00 2.00 252 SMIP/NON—RES PLAN .50 ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL' PAID DU£ TOTALS----> 0.00 0.00 0.00 0.00 .00 .00 REVENUE DIVISION TOTALS--> COLLECTED: OVER/SAORT: .00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK anEwhownlracl5for5uchOrojectsvAUaconUactar�s)IicenseDursuanttot�eConlractors' tateLicensalaw).lamawara ififilikiElEititititikititiFiEitifikifififikitifilikikifititififikitkikikititifikitifikkikititllikiklkifikitiFifikiFikitiliEitikiFitiFitiF1likiFiFikjE{E{f* mat Droat al meir worker's Compensatron Insurance snoma oe provlaee ro ma. I N D I V I D U A L F E E H R E A K D O W N � I am ezempt unAer Sectian: B. d P. C. �or�n�sreawn: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST oate: Q"^e� PLU 1 SEWER CAP / DEMOLITION EACH 2.00 2.00 I Oo �ereGy certiry t�at I am awam ol an0 unEerslanE tM roQuiramenis ol Calilomia Health an0 Sahry CaOe Sectioris 25505, 25533, anA END OF FE ES 2553C an0 ttwt I or any luture EuilEinp acupant vAlVvnll nN (cirde one) neeE to rompy xit� uiG state wAes aiM the repuiaments lor a permu lar constructbn or maEification Irom IM N'r ub aliry Manapemmt qStAce NevAential wiutruction applicaiions are exemOt trom tllese provisions. . �ate: AppfrcanC 1 here0y cuUty Itwt 1 tuva rea0 tNs apD�wtion an0 stat[ ordinances an0 stale laws r¢WinO �o EuilOinp canStNction propeM �arinSpecUon purpos `. Date: — L ` L Si9natwe: oriver's �icense or Saia� Security x: � 1 apree ta fAmply wii� all tiry anE Counry t�� ro eriter upon Ne aCme-mentianeU . 1841d6 Whi�o--BWkinp: Gnem-CoOe Enforcement: Canery—AppliGanl: Pink—Rpronus: Gokenrob-Auwwr �1 000623b6-OQ�6236b Y G T .00 DATE� Ob/04!9� Tlflc': 15:27 I CONSTRUCTION AND PLANNING POOI ,PA APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector 1. Temporary Electrical Service or%Pole 52. Pool & Equipment Location �� 2. Soil Pipe�Undrgrnd. • �' 53. Steel Reinforcement .� 3. Electrical Conduit�U[ility-Undrgrnd._ � �:-�� 54. Forms • 4.� Electrical Conduit-Undrgmd. _ 55. Electrical Bonding :� 5. Steel Reinforcement _ 56. �Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. - 57. APPROVAL TO COVER�GUNITE . 7�,�Footings ; • � 58. Electrical Conduit�Undrgmd. ' � 8. Foundation � ' .' 59. Gas Pipe, O Undrgrnd., Test .- 9'. Watei Pipe-Undrgrnd. ' � 60. Backwash Lines, P•Trap, O Undrgrnd. �` 10. Structural Floor� Svstem �t� . \ � 61. APPROVAL TO DECK � �. Property Sewer Line & House Connection� - � 62. Backwash & Receptor�Pinal .- 12. Sewer Cap '_.,;_: _ "�r�p� 63. Heater & Vent-Final 13. Roo( Drains ,� 64. Plumbing System � Final '� 74. Fiough Plumbing ' .; , -' " 65. Electrical-Final 15. Rough Electrical-Conduit .., 66. Solar System-Final �� 16. Rough ElectricWiring ' 67. Fencing & Access ApP�oval -�17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18, Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ _ . ...H�.� � _ , 20. 'Rough Factory Fireplace ". ;: �: ' � =_ � ^ -APPROVALS;� 'rPermit # " � 21,.Ducts, in Structure � -•• �• �� . - ' 70. Underground� Hydro •� � 22. Oucts, Ventilating' � - ' `� i�� 77, produci Aiping O Gas ❑;Oil 23. Gas Pipe�Rough &�Test � ', - . - , . " jp, Underground Flush - - 24.-Roof Framing� � " ' = , � ,73. Undergmd.StorageTank �Gas ❑Oil 25. Roof.Sheathing .. , � -_ i�. +- 7q,�Overhead Hydro 26.� T�Bar Ceiling (Structural) & Monocoat i � - !r � 75 �Dry Chemical _ " "' ' p7. Freme and Flashing � - �� 76. Dry Standpipe - � � 28. Lathing�& Siding - -• -- - s - ' ' -' � 77._,FIXED SYSTEMjF.INAL, ^ 29. Insulation �� • `u � 78.::FIRE PREV. FINRL ' � ' 30. Drywall Nailing } . ' �' _' �; ; _'HEALTH.DEPT: REQUIREMENT �31. Plaster8rown.Coat. , • > 79.'FINAL�INSPECTION �. � 32.-Electrical Power MeterFinal � � � ' , �80.;,�FOOD CERTIFIC'4TE ISSUED,_ � _33. ;Fina4 Electric ' � � '� � r nNoies: � -7�.; • . , ��;7 . 34.� Final- Heating�& Air'Conditioniug � ' a� ` �� -� �= �� - n ' �� ., x '35.��Final Ga5 Pipe�Test� � : c . � /��% � ~•' , : � '�. 36. Hood or Canopy ' - � � '' • �=% � - � - � , - - ; � . 37, Final Factory Fireplace . ;� ' , 38. Final'Plumbing � ' : ` _ = - � �' s � a � 39. Water Service-Final " . , ; ; � ' ' ' ' ' ,' -40. Gas Service-Final � � � � . , :k • � " � � - .. �t -41. Solar pomesticFinal � " } ' � , � _" '-, . , � 42. Backflow Preventer � • � - J - - 43. Backtlow Irrigation' " ' . , , ,� t; � � �- . ;�44. Landscape Irrigation SYstem�''� �- ' �' � ' '� � " ^ � ' � �� . r � `45.�Sound At[enuation :. ... , " �� :.' t,. --�, . . �. � . ' �'46.IHandicap•Regulations - _ ti _ _ 7 • " ' • 47, FINAL STRUCTURE & BUILDING " � f' � 48, fINALPLANNING� � ' ' � � ��? � q9. �Electiic Release to Edison � � ''� . , ' { M. .y 50.'Gas Release to Southem Calitomia Gas Co J'/ -- ' � ' ' _ i "l 1 r 51. CER7IFICATEOF•OCCUPANCY :i' " �• No Date � � � PflOJECTR00NE5S:V, •.('J•Q VICTORIA ST OWNEfl'SNFME: CITY OF COSTA ME5A nooness: PUBLZC SERVICES 77 rAIA DR 754-5291 AHCM/ENGINEEfl: RODflE55: flEG.NO.: UNIT: UNIT: PEflMITTEE: C�TY OF COSTA MESA ( 714 ) 754-5291 AODPESS: % % FAZR DR CQSTA MESA CA 9?.626 UCENSEO CONTIIACTOB �kCIAMTION: I hereby aflirm I�ai I am licensea unde� D�ovisians ol C�apter 9 �cammen[inq wilh Section 7000� ol Division 3 of Ihe Business antl Pmtessions Coae, ana my license is in futl lorce anC effec�. CITY LIC.: $TRTE LIC.: CNSS: Oale'. SignaWre: WOBI(EflS' LOMPENSRTION DECLAflFTION: 1 hereEy a�lilm that I �ave a cerlifitale Ot tAnsen� to Sel4insufe or a c¢riilica�e o� Workers' Camoensaiion Insurance. or a cenifiea� coDY ��ereot (Section 3800. LaO. C1. POLICY NO.: E%P. D�TE: LOMPFNY: -] Certi(ie0 copy is nere0y NmisheQ. ❑ CertiHeO copyis file0 vnM t0e ciry BuiMing OiWsion. Oale: ApPlicanl: EXEMPTION FflOM WOPREflS' COM7ENSRTION OECIAPRTION: (i�is seciion neea not Ce complele0 il t�e permit is lor ane hunAreA (E1W) or less). I cehity Nal in ihe pedormance oi �he wOrk for whic� I�is Dermit is i55ue0, I Shall n0� emDloy any Delson in any mannef 5o as l0 6ecom¢ suoiect lo ine Wo kers' fAmpensatian LawS al Califamia. � Daie: Siqnaiur� �� NO710E: If, atle making ihis OeGaratian. you s�ould became SUGI�� a the Workers' Compen ation pmNsions of tAe Labor CoEe, you mUs� �ori�wil� tomply wi�� SUch pmvisions Or IhiS permil 5hall be Oeemetl revoke0. CONSTBOCTION LEN�ING pGENCY: I �ere6y aifirm Ihai Ihere is a rAnstmtli0n I¢ndinA aAenty lOr Ihe Dedormante 0� Ihe vroM �or which �his Oermi� is issuea (Sec�ion 3097, Civ. C). LENOEP: AOORESS: OWNEfl BUILUEB OECNNq710N: I Aerehy atlirm Ihal I am exempi Imm I�¢ ConiraClOrs' State License law�or t�e lollowing reason �Setlion 7031.5 Busineu arya P�ofessional Co4e: My city ol wunty which repuires a permil to constmct, alter, imprwe. Gemolish, or repair any simcture. prior lo its issuance, also 2puires Ihe apv�icant lor suGh vermillo lile a 9gneA statement tnat he/she is licensed Oursuant m ine pwvisions af Ihe Comracmrs' State License Law (Chapter 9(commencing with Section 7000) of DNision 3 of the Business anU Pmlessions Code) or ihat he/sne is eKemO� �Aerelwm anA the hasis for the alleged exemD�ion. My Holation oi Section 7031.5 Oy any applicanl br a permii 6ubjeci5 ��e applican� Io a civil penalty o� noi more �han �ive Auntlretl dollars (d500). I. as owner ot ihe O�operty or my employees wit� wa0es as tAeir sole comDensation, will Oa Ihe work, an0 the � simcmre is not inten0e0 or otferetl far sale (Seclion 70a4. Business antl Prolessional Cotle: The Coniractors' $late LiC¢nse Law Does not apply ta an owner of a pmpeny who builGs or im0�oves thereon, an0 who does such wark himself/herself onhmupA �is or her own emp�py¢¢s, proviaea thal such improvements are not intenUeA or oflereA lar sale. tl, however Ihe builGing ar imomvemenl is soltl witnin one year of com0�etion, ihe owner will have Ne �urtlen of Omving he/she tlid not 6uiltl or impmve lar ihe purpose ol ylel. 1, as awnero� �he Ompehy, am exclusively cOniraClinq wiih li[ensetl tOnlraclors lo WnSirut� lhe O�aleCi ($eClion 7044, Business ❑ anE Pmlessions Cotle: The Comractors' Slaie Licence Law Gpes not apDN �o an ovmer ol pmperry wAo builAs or improves t�erean antl wno contracis lor sucn Orolecis witA a contracmqs) lic¢nse pursuanl to tne Comractors' State License Law). 1 am aware Ihal O�oo� o� �heir Worker'S Compensaiion insurance shoultl be pmvided lo me. � I am exempl unaer Section: B. 8 P. C. for this reasan:/� Oale: �/ � �Q 9 � Owner � / � � I tlo �ereby cenif�lwt I aMaware of anG un0er5�anG Ihe �eQuiremenis ai Cali�omia HeaIIA antl Sa�¢ry COGe Sec�ions 25505, 25533, anU 2553A an0 Ihai 1 or any �ulUre builUing occupant wilVwill nol (cirtle one) neeA Io comply wilh SaiA state co0e5 and Ihe repuifemenis �or a permil bt consimclion or moEAitation Irom t�e Air Ouahiy Management DiSiricC Ne90ential rAnslruttion aDUlications aR eKemD� «om inese vmvisions. Dale: AOP�itant: I hereby cetlily�hat I haveread Ihis applicalion anA state��at Ihe ahoveinlormation is correci.la9ree lo comply wilh allciiy anJ counry orCinances anA s�aielavrsrClalinglo Duiltling conslmdion an0 Aereby aut�onze repre5eniativesal��is ciryto en�¢rupOnthe above�mentianeA pm0erry lor inspetiion purpa5es. �� Oale: � Signature: �� ori.e�'s �icense o� c:i s��v •: I W La6 W�ite—Buildma; Grem—Cotle Enlorcemem: Canary_qoolitanC Pink—qavonue; Goltlenrotl—Agsessor CITY OF COSTA MESA — BUILDING PERMIT PERM NU; E 5 E PERMIT NO; E�C587�36 PLAN CHECK NO; N GOVT; ' , CONSTRUCTION TYPE: PERMIT TYPE: ELE �c PURPOSE: OTH JOH DESCRIPTION ;,�iETER FOR R.O.WAY LANDSCAPINGTIMER SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: / COMMENTS: VICTORIA STREET WIDENING �' if if IE �le �IE �?' 3FiP �k-af �1E �lE �%if �lE if ±E iF if if �lE i(� 3E ik iF �E iFiE%�3E if iE9E i! �lE iF �iF jF 1E i'r �1F iF iE�� k 9E iE �lf iE �1F iFiE iE iE iEiE �Y iE iE dE �� iE�lf �7F �1'r �7f-0f �%if IE �IE-7E iE �E iE�k iE iE iF 'L O N I N GS ERTEBQAUCIKftSE % E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BliILDZNG --------- FRNT: FT TN REAR: FT IN FRNT; FT YN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT iN RGHT; FT IN PARKING REQ• PROV: PARCEL: 42217415 ZNE: REF NO: PLANNING Nt5'1'ES> 7 jfififK�ifiEiE3E�N�iF3F#itlkiFiEitiEYFikiE1E�M�jE3EjFiFitifiFit3FltitlC�6ikikffi(�iF3F iFiF�%�e :1f�iEiFIt3f3F?fiFjkif#FiFlFdfiE�76iF3k�F�N�i(�ih#��k�3fif3FiFlEit D E V E: L O P M E N T S E R V I C R E Q U I R E M E N T 5 ZONING APPROVED HY . DATE; BUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY; � � � DATE; ��iF�1..,. iFiElEiEiFieifi41f�1f3EiFit3Eif3'riElFifiEiEif R iFiFiF�irif3FiF'iFiF'iFif'iFiEli�iEN�N�iEi41f3iiF x RK`K�ii� �1F �E if iF if �IF 3F iF iF if aF if ibiE iE iF 3E iE 3F iF iE �Elf iF iE ik if iE IE iF iF iE iE lf� iE �1F �F 1ElF iE ib iE if 1F IF i(� iF iliElE #� jCle ii� �E *�E iF�i� ft �f �F if iF fF ib iFi! iFiF ic ie �)e �lR lE �lE 3F�K af LEGALI7.ATION:N F E E S U M M A R Y STRCTCTURAL SEGMENT;N BLDG PMT P ING ELECTRIC NECHANIC FIRE SMIP/RES GRADZNG PERMIT 0 SOE SMIP/NON—RES PLAN ISSUE cE:E 15.00 HUILDING—DZV—> PERMiT ISSU$ FLAN—CHECK TOTAL PAID DUE TOTALS----> 0.00 U,00 0,00 O.OU ,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; .00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRc SMIP/TOT GftADING PLAN—CHECK �7E ff�lf 1E iE i'r iE �IF �)F iE i(� iF if iF iElit iF iE ih iE iF iE iF iF iF iE iE iE iF iF iF�Fff iE 1f # iF ih iFiF iF iE if -%� iE?E iF if iE �f if -1ciF 3f i(� ii� #�1Flf iE 3P iE 1E 1f 1F 1E R 1F iE 3E f� iE it ?E 3E �f k IF 1E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY ELE 1 D E S C R I P T I O N UNIT COST ScRVICES BELOW 600 V S BELOW 201 AMP 18,50 END OF FEES TOTAL COST ..1 �:J�1j' -- u1!+. �� L'.�I�_' �!'�'41�7� "I'� ,� •.'� 18,50 „ GONSTRUCTION AND PLANNING POO� .. SPA Date Inspector Dace lnspector APPROVALS Permit # - . APPROVALS Permit # i, Temporary Electrical Service or Pole - 52. Pool & Equipment Location • r 2, Soil Pipe�U�drqrnd. 53. Steel Reinforcement � � � 3. Electrical COnduit Utility-Undrgmd. - 54. Forms , . ' 4. Elecirical Conduit-Undrgrnd. 55. Electrical Bonding . • 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER�GUNITE 7. Footinqs 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas PipE, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVALTO DECK � �, property Sewer Line & House Connection 62. Backwash &�Receptor�Final 12. 5ewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System � Final 14, flough Plumbinq 65. Electrical�Final � / 15. flou9h Eiectrical-Conduit 66. Solar $Vstem-Fina1 • •i6. Rough Electric Wiring � 67. Fencing & Access ApProval � � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical�T Bar Ceiling . 69. PQOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT� 20. Rough Factory Fireplace APPROVALS Permit # 21. pucts, in Structure 70. Underground Hydro 22. pucis, Ventilating 77. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank �� Gas ❑ Oil 25. fqoof Sheathing �� 74. Overhead Hydro 26. �7�8ar Cei�inq (Structurall & Monocoat 75. Dry Chemical Q7, 7�''ame and Flashing . 76. Dry Sta�dpipe . 28. Lathing &$idin9 ' � 77. ,FIXED SYSTEM PINA� - 29. Insulation � . 78. FIRE PREV. FINAL 30. Drywali Nailing i � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � � i 79. FINAL INSPECTION . 32. Electrical Power Meter�Finai � �� 80. FOOD CERTIFICATE ISSUED 33. final Eiectric � Notes: , 34. Final Heatin9 & Air Conditioning 35. Final Gas Pipe•Test , � 36. Hood or Canopy _� 37. Final FactorY Fireplace � � 38. F�nal Plum6ing 39. Water Service-Fina� 40. Gas Service-Final . 41. Solar pomestic•Final 42. 6ackflow Preventer ' 43. 9ackflow Irrigation 44. Landscape Irripation System 45. 5ound Attenuation 46. Handicap Regulatlons 47. FINALSTRUCTURE & BUILDING ' . 48. FiNAL PLANNING ' , 49. Electric Release to Edison � 50. Gas Release to Southem California Gas Co � � 51. GERTIFICATE OF OCCUPANCY No. Date i / 'r Applicant to fill in all s0aees exce0t lhose within heavy Co�Ea� Iinef anE si9n all apOropriate Eeclarations. CiTv qF COSTA nnES Gq NSTR UCTION PERMIT ProjectAddreis (�7� V/erokin' . , Applicant's Mailin/g/Adtlross � � �',i �-� C�� . r Owner'sNa/m,,e,( ./[j AI,m�'`T�� phon� � , a Addreu (,{L� / ✓ � �� Arch/En9. _ License No. AtltlreSs Y Convecto 's Nart e�/ E 'L e 77a'-3 �( Address (ma ��,� /b�3P .Ci Co��l ,UA�NEi rr� Ciry License No. LICENSED CONTRACTOR DECLAiiATION I horCby attirm thal I am II<an50tl untltr provi510n5 Ot Chdr[Gr 9(commencing with section 7000) of Dlvlsion 3 af the Business antl Professions Coae, antl , my license is in ful antl eifect. / . Lice e s �0 n . l ens �� Dal�� 5�9 t � (�M� � WORKERS' COMPENSATION DECLARATION ' dereby atfirm [hat 1 have a tertificate ot consent ro self-insure or a<ertiticate � Workers' Compensation Insurance, or a certifietl cooY thereof (Section d00, Lab. C.) ^�p"70 Company ✓c�•�i•` -�+�+5, ' PolicY Na. !/ A � Cer itie coPY is �iletl wItAPPhcaotY<� Iltlln9 MI lqn, B 6��,�A� Date P/I .0 [ _ EXEMPTION FROM WORKERS' COMPENSATION DEGLARATION ' (Thls saction nee0 not be completetl It the permit is for one huntlretl (5100) or ' less). i 1 c¢rtify that in tne pertormdnc0 of ttID work (Or whlch tbis pe�m�l Is i55u¢tl 1' � shall not employ any porson in any manner so as to become subject to t�e I Workers' Compensation Laws ot Califomia. � Da[e Signaturo � 'NOTICE: It, aflCr making tbi5 tle[Iaralion, y0u ShOultl be<Ome subject lo lh0 � Workers' COmOensation provi5ions ol �tne Labat Cotlo, you must Por(hwith � comply witb sucn provlslons or this•'permlt 5nall be tleem¢tl revoketl. CONSTRVCTION LENDING �AGENCV I nereby affirm that thora Is a conslructlon lentling agen<y for the performance of the work for whlch thi5 Formlt is ISSUCtl ($ectlon 309� Clv. CJ Lentler's Name Lenaer's Atlaress - OWNEH BUILDEN �ECLARATIOfJ � ' ' I bereby aHlrm that 1 am oxempt Irom the Contractor'S Uconsn Law for tne tollowing raason (Settlon 7031.5 Buslness antl GrotMslonal Cotle: Any city or county wbicb requiruz a permit lo construct, altor, improve, tlemoliz� or repair any st�uC[ure, pd0/ Io It5 iszudnco, at5o mqWr¢S lhe applicdnt t0� such pe�mit t0 tile a 5ignetl slatemenl t�al he/She IS IlCensnd Oursuanl to lbe provisiOns ol ' tne Contraclor's License Law (Chapter 9(commencing witn Sectlon 7000) of 'ilvision 3 of [hc Buziness antl Prolo551ons Cotle) or [�at he/sho is exempt crofrom anG tha basis for tna allegeG axempUon. AnY vlolatlon of 5¢ction 131.5 by any aOP��can[ lor a permll 5ubjacM the applicanl to a clvll �+e,�dlty of nol more lM1an Iivo h�ntl�etl t101ia�s (5500). U I, as owncr o1 tho property or my employees wltn wages as their sole wmpen5alion, will do lha work, antl tho s[ruclure Is nol InlonGetl or oHeretl tof sdle ($c<lion ]044, Busln855 antl Pr0lCizlon2l COtlO: Tha COnttac[or'S License Law tloes not appiy to an owner oi a proparly who builds or improves thereon, antl who aocs such work nlmsal//hersell or (hrou9n hls or her own employoos, proviaod that such ImprovemOnts are not intentlea or oHeretl for sale. It, however, the bulltling or improvoment Is soltl withln ona year of com- plCHon, the ownt/ wlll bave thn burtlan Ot proving h!/Sho EId nOt builtl or im- prove for th¢ purpo5o ol Tale). ❑ I, as owner oi tne property, am ezclusively contracting wilh Iicensed con- ' traGtors to Construct th! pro)ecl (Se<tlOn 7044, Busineii dnG Pr0lessloni COtl¢: The Contractor•s License Lew tloes not apply to an owner o� prooerry who builtls or iTproves N¢rCOn, antl wh0 cant�atts for SUCh projects wilh d Con- tracior(s Iltense pursuant�to Ihe ConVa<[Or's Llwnie Ldw). I am aware [hat � prOot o� Iheir WOrker's CompenutiOn insuranta shOultl ba OrOvlUetl to ma. ❑ i am exempt untler Section B. 3 P. G. br [nis reason Date Owner . 1 bereby certity t�ai 1 have reatl lhli apP��wtion antl s[ate lhat the above information is cortect. I agrae lo compty with all tlty ana counb ortlinances antl state �aws reldlin9 la builtling wniVuctlon, dntl h¢rtby autho�ize repre- sentatives o( his' dty to enter up the abovn-menHonetl oroperty for in50etlfOn Pu e5. � SignaturC Da[e � . � ' �a751 TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,� DESCRIPTION OF WOFiK/USE OF BLDG. S Main Building: E TYPE OF PEHMIT GRADING UNDATION STRUCTURAL T FfOnt ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL A Reaf ❑ OTHER PROJECT DESCRIPTION 5�. FT. OCCUCANCv C Right K Left CONSTRUCTION TVPE VALUATION 5 $ ZONE GRADING CV. VDS. ACRES p�ng. RC(. # Remarks: , . , Planning Notes: Irrigation Drinking Fountains Floor Dreins ' Floor Sinks Gas Service ' �.Outlets Interceptors • Kitchen Sink � Lavamries _ ' P-Trep Roof Orains Reinspection Fee $15 Duct- Under Ground Duct - SvucWral Duct - Ventilating � Exhaus[ System � Multiple Firepl/Fact Blt. ICBO # Heating System & Ducting 00.700,000 BTU 0700,000 Reinspection Fee � $15 Dnvers' License or 55 � �-� � CMF OB65-46, rev. 10/B4 Whit¢ - Bulltling; Canary - AOP��ni; P��k - Accountinq; Goltlenrotl - A55eS5or Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 ' Solar Tank Swimming Pool w/Spa Urinal Wuter Closet Water Heater Wacer Service Auto�Wazh Issue Fee Haodar Typel ❑ Canopy Type I I ❑ � 0 Re(rigeration System 00.700,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers ' Registas Izwe Fee FEES Automatic Washer Construction PoleSub Cooking Unit , DisFwasher 1� -� Fan F.A:U. - "Fixtures , ' Device Boxes � � . Outlets Swicches � � - Garbage Disposal Generator 00�5 KW �5�15 Zone Parking Req.IProvided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW �Meter ❑upto100amps Meter ❑ovar700amps � .Sub Panel � Motors �0.1 HP �i'r5 - 8 Inc.Solar 09-15 HP �16�15+ Microwave � Pole Light , Sign StandingSections Trush Compattor 5 3 � Reinspection Fee . S75 Issue Feo FEES DEVELOPMENT SERVICES REQUIREMENTS: . Zoning Approved By Buildin8 Appmved By � Appliption laued By Z O N 1 N G R E O M T S FEES S 3 . SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK , $ ry� PERMIT � PLUMBING $ �'W ISSUANCE S � PLAN CHECK 25% $ ENERGV P.C. $, ELECTRICAL ,$ GRADING 5 PLANCHECK 50%• $ � MICROFILM $ —,T��ryvs— MECHANICAL � , $ TOTAL FEE . $ sL.-- PLAN CHECK �25%, $ ' � , � . ' , CONSTRUCTION AND PLANNING ' . POOL PA APPROVALS Permit # " Date Inspector AppROVALS Permit # Date Inspector i 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. 53. St=el Reinforcement - 3. Electrical Conduit Utility-Undrgmd. • 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, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor Sy,stem 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. Roucjh�Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final i 6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Si9n 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 7.8. 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 Note=: � y� _1i, ; o��?' ;�/�:�/��- ,.• �„ � -, 34. Final Heating & Air Conditioning �Z-q.g7 CqM,s,�, ps P� Zo,3 upe �.,�i� 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace 36. Final Plumbing � 39. WaterService-Final �'� r� 40. Gas Service-Final !•; 41. Solar pomesticFinal ;'[ , . . . ._. 42. Backflow Preventer � 43. Backflow Irrigation C� - � 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regula[ions : ; 47. FINALSTRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern Glifornia Gas Co � 51. CERTIFICATE OF OCCUPANCY Nn. Date � ti, Gcsta Mesa Building Department APEI.ICATION FOR PERMI� . • 117 EAST 20th STREET i253 g U I L D 1 N G , COSTA MESA, CALIFORNIA FOHM 204 �-N 2M 8-54 .. . . .. .�ti� . ., - . r, , .. . . . , .. , . . — . . . �. . . ', � - . � . � ' -. . , , ' . . . � -- — ' ' ,\". . >� ,. , . ' - � —•\ . , , .. .. . • - r-�' . i . . — , . \ t '. . . . r e�i � . ii . . . . - . , , � _ . . � . \ F. � "� , . - . ' StreCt •. . - T'•�• •' . ` . . ` . . �' . • Y".�' .p ^ - . ; , PLOT Pi.AN - - - - - -. _;., --- - - - _ , 3how locatlon and distancea from , � . r �• ��•f'�' � , . � ; � property line and between buildings . _� .�-� . � _ , , I� � ,- �� - . � � ' , _" '_�' " _ ' ' __" . .. . .•_ `. . t� ` \.`i . .. . � � -rs.. , ' . ,,� — �'� . . _ . . : � . . _ ' �"_"__ J_�__' _ "__ _""' 1'� . .� . .. , � ' '`\ _ , . .. ' � . � ; 7 ' . -- ` ' • . - , . , , , . ', . � i � _ . , i�-. � - _ - � '' ' � ' _ ' �. _' `', ." 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