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Home My WebLink About708 18TH ST - Building PermitsApPlitanl to fill in all CITY oF COSTa M�Sn CO1NSjTR��U.CpTrION PERMIT ,P►ojecC=A�Jress — �8 '$7 �` '-'1 �� Applicant's Mailin9 Address � ' � Owner's Name V� k�--�� Phone �8-53 Address ��""�i ��'��^� Arch/Fng. License No. - Address q3 Contractor'sNama ��y-�� 7�- �V��-Phon Address (mailing) -��2" ��yS�� ' � • �j •' 4 �'i City License No. �5�...� � LICENSED CONTRACTOR DECLARATION I hereby atfi�m that �Iiam�licen5etl untle� provi5iOn5 ot Charter 9(mmmencing with S¢ction 'l000) ot Division 3 Of the Business antl Professions Cotle, dntl my license is in full for and`.p(tect. Licen�y CI� �� " � Li e 77 Date /-� $I9nature b- WORKERS' COMPENSATION DECLARATION I hereby aftirm that 1'have a certificate of [onsent to self-insure o� a ce�tificate '� Workers' Compensation Insurance, or a certiiletl covY thereof (Section 00, Lab. C.) �. , rolicY N0. � " Company ' eCertifietl copy is hereby�furnisbetl. Certitietl copy is filetl wiN the city Buitdin9 Division. Oate Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thi54ection neetl nol be completetl if tM1e permit is fo� one huntlretl ($100) or less). � I certity that in the performance oi the work tor which this perm�t is issuetl, I snall n�t emolov anv oerson In anv manner so as to becNne vibiect ta the �NOTICE: If, after making•this tleclaratiori, You shoultl become subject to 1he WorkQ�s' Comp¢n5dtion provisions ot the LaOor Cotle, yoU must forthWith comply �yj[h sucn p�ovisions Or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I nereby affirm tM1at there is a construction lentling agency for the per(ormance ot Ihe work for wnich this pe�mit is i55uetl (Section 309] Civ. CJ LenOer's Name ' Lender's Atltlress - - OWNER BUILOER �ECLARATION � I herpby affirm that I:am ezempt from the Contractor's License Law (or the folloWing'reason ($ection ]031.5 Buslness and Professional Cotle: Any city or munty wbich requires a Pe�mit to construct, alter, improve, tlemolish o� repai� any s{ructure, prior to its issuance, also requires tne applicant for such permit to (ile a Si9netl stafement that he/She I5 licensetl pursuant to the p�ovisiops of the Contractor's License Law �Chapter 9,(mmmencing with 5ection �000) ot Divis{on 3 of the Busine5s antl Professions Cotle) or that he/she is exempt' •`^ref�om antl the basi5 fo� th¢ allegetl exemption. Any violation oi Section -1,5 by any applicant for a permit subjects the apPlicant to a civil alty of not more Ihan five huntlretl tlollars (5500). u I, as owner of the property or my employees with wages as their sole compensation, will tlo the work, antl the structure is not intentletl or ofteretl for sale (Section 7044, Business antl Professional Cotle: The Contractor's UceqS¢ �yw tloes not apply to an owner of a property wM10 builtls or improves theraon, antl who tloes such wO�k himself/herselt or through his o� her own employ¢¢5, provitl2tl that such ilnprovements are mt intentleG o� ofteretl tor Shce. �t,-hOweve�,�the builtlin9 or improvement I5 soltl within oneyea� ot Com- pletiry�� the-owner will have the burCen oi proving he/she tlitl not buiitl or im- ��ovg }o� the purpOSe of sale). I, as owner of the O�operty, am exclusively cont�acting with licensetl con- tractors t6 construct the project (Section 7044, Business antl Professions Code: The Contractor's License Law tloes not appy t� an owner of property who buiiQs or improves tnereon, antl who contracts for such projects with a con- tractor(s) ticense pursuant to the Contractor's License Law). 1 am aware ihaY proof of their Worker's Compensdtion insuranc2 sM1oultl be Provitletl to me. ❑ I am exempt untler Section _ B. & P. G. for this �edson Date - � Owner I heteby [e�tity [hat I have reatl this application antl state that the above information is correcL I aqree to comply with all city antl county ortlinances antl atate laws relating to builtlin9 consiruction, antl hereby authorize repre- Sentatives of tl is city t= en��n e+abo e-mentionetl property �f+or inspaction pur ses. , 7 Ig-pp Si9neture Date S) Drivprs' License r 55 � �� wit�in heavy Oo�tle� lines OF CONSTRUCTION LJ Nt GONVERSION ❑ DEMOLISH SCRI �ION OF WO USE OF OD J ADD OTHF�$ sign all appropriate Eeclaratians. UNIT NO. RLTERATION L"'I�REPAIR i VPE OF PERMI RADING LJ, FOUNOATION LJ 51RVGTURAL ❑ TENAM7 ❑n ,E�LECTRfCAL` 1'�/� PLUMBING ❑ MECHANIGAL ❑ OTHER FY_�1F' "' `'7 l � PROJEC7 DESCRIPTION 5(?. F � n CCC� � � CONSTRVCTIONTYPE� VALUATION$�� ZONE GRADING CU. VDS. ACRES Remarks: Bar Sink Backflow Preventer 6ackflow Irrigation �� Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks . Gas Service Outlets Interceptors - Kitchen Sink ' Lavatories P-Trap ' Roof Drains Reinspection Fea $15 Duc[-UnderGround � Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FactBIt.IC60# � Heatin9 System & Ducting ❑4700,000 BTU 0700,OOOBT Reinspection Fee � � $�5 CMF OBf�S-46, rev. 10/04 Wnite - Builtlinq; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor Showers Service Sink - Sewer Cap- � � Sewer Conriection Solar Collectors . Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater WaterService - Auto-Wash �aundry Trays Issue Fee Hobd or TYPeI ❑ Canopy -- Type 11- 0 Refrigeration System �C10JOq000BTU ❑100,000 SYstem Repair/Alteretion Fire Dampers fiegisters . - Issue Fee A.P. # S Main Buildi E T Front B Rear . A C Right K Left S Ping. Rei. # Planning Notes: Automatic Washer Construction PoleSub. Cooking Unit � Dishwasher � Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches , � - � Garbage Disposal Generator 00.5 KW �5-� Zana � ' ACcessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW� Meter� ❑up to 100 amps ' Meter ❑overt00amps ' _ Sub Panel Motors 00.7 HP � 1'F, - S I. olar �9-75 HP Q16�15< Microwave Pole Light Fange Standing Sections 5 KW . Trash Compacror $ 3 Rainspection Fee � $75; Issue Fee • FEES DEVELOPMENT SERVICES REQUIREMENTS: _ Zoning Approved By ' _ Building Approved 6y ��-��c�� / ..__�"__".__ �_____�.... '�-A. �T/ / _ ///.f $ 3 s _ � s � � � � $ 3 Z O N I N G R E Q M T S SUhl14TiCRYOFliFE�- � � �•S^� BUILDING PEFMIT $ �SMIP .$ � PLAN CHECK $ PERMIT- � - PLUMBING $ ISSUANCE �$ , PLAN CHECK' 25% $ � ENERGV P.C. $ ELECTRICAL $" - GRADING $ ' PLAN CHECK 50% $ MICROFILM $ � MECHANICAL . $ TOTAL FEE $ PLAN CHECK 25% $ , 3� <<ja Oi 0�009701-0�009702 T�T 63.50 '' �1CONSTRUCTION.ANDPLANNING POOL&SPA :�'r � • Date Inspector � Date Inspector 'APPROVALS Permit# APPROVALS Permit# r t?. � 1�'Temporary Electrical Service or Pole 52. Pool & Equipment Location � � 1.` 2. Soil Pipe-Undrgrnd. �� '- 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Uniirgrnd. 55. Electrical Bonding 5. Steel Reinforcement-tj � 56. Rough Plumbing & Pressure Test 6. Electrical UF�ER Gr d��., 57. APPROVAL TO COVER-GUNITE 7. Footings .j ' ��' � 58. Electrical ConduibUndrgrnd. 8. F.oundation.'�� , (� ' � 59. Gas Pipe, � Undrgmd., Test 9. Water Pipe-Uniiigrnd. �"� ' , 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System,� 61. APPROVAL TO DECK 11. Property Sewer Line `&'House Connection 62. Backwash & ReceptorPinal " 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 � ' �; i, 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '- �� '�'y �� ` �- � � 20. Rough Factory Fireplace APPROVALS Permit# � �' y 21. Ducts, in Structure 70. Underground Hydro `- � 22�. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil M� 23. Gas Pipe�Rough & Test 72. Underground Flush ^ �� u. 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil ° � .. r. v 25. Roof Sheathing 74. Overhead Hydro .� �,� 26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical -� f'1� 27. Frame and FlasHing 76. Dry Standpipe v , 28. Lathing & Siding � 77. FIXED SYSTEM FINAL � � 29. Insulation 78. FIRE PREV. FINAL � r J '�.,.� 30. Drywall Nailing HEALTH DEPT�REQUIREMENT �� '`� 31. Plaster Brown Coat 79. FINAL INSPECTION ` ,_._ . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED r' 33. Final Electric Notes , • 34. Final Heating & Air Conditioning „ �`r 35. Final Gas Pipe-Test � , •;��! 36. Hood or Canopy , ; � 37. Final Factory Fireplace �' � ' , 38. Final Plumbing . ti' . 39. Water Service-Final ' � -� 40. Gas Service-Final � - ��41. Solar pomesticFinal � - . •� '.42. Backflow PrevenYer - - . � .-43. Backflow Irrigatian `'� ' ' ' . ' �'44. Landscape Irrigaxion System ' � _ � � 45. Sound Attenuation , i. � � 46: Handicap Regulations � � . i 47. FINALSTRUCTURE&BUILDING �i ` P ' '�, � .3�3 � p�dB20� � .%; .48. Special Requiremenis Completed � . � ' - 49. Elecirie Release m Edison � ' S� r 50. Gas Release to Southern California Gas Co ' . . �51. CERTIFICATE OF OCCUPANCY � � � - � No. Date ADo�icant to till in all soaces except those wilhin heavy Goraer lines antl sign ali apDrooriate Oeclarations. CITY oF COS7A MESA CONSTRUCJT� N PERMIT Project Address � � � � • � � f�'^ � C �� Applicarit's Mai,ljnng AddresCs • // ' Owner's Name /Jn� G RI.�/1 �S(OIV��,�,( P�hone O�' Address 7 �� ' � `."' � 2 �%%�GS'�} i Arch/Eng. - � License No. Address 'I/J1''� Contractor'sNam�¢� ��8��'�G Phone(v�� Addresslmailingl 7FfS c�• /rJ'�J�-4y;rc �rb�s�7' City License No. �' � � � LICENSED CONTRACTOR DECLARATION I�hereby attirm that I am licensetl under provisions of Cnarter 9(commencin9 with section 7000) of Division 3 of tM1e Business antl Professions Cotle, tl_ my �icense is in tWCforS aptl ettect. � /� � 2� License Class b icepsew r�> � . oate t ^CJ � c'��ar .a �` i '4 � WORKERS' COMPENSATION DECIARAT N I hereby attirm tnat I have a certiticate of consent to selt-insure or a certificate % workers' Compensation Insurxnce, or a certifietl copy thereo� (Section 1800, Lab. C Gjq ` � r�� Policy No. �� ``�� Company �w� Certifietl copy Is hereby fumishetl. : Dateer�tietl�coPYisLfiletl wiqh�Phcanl�Y Builain9 ��,y�sion�� , . a -•-r —�— EXEMPTION FROM WORKERS' COMGENSATION �ECLAR/YfION (This section neetl not be completetl if the permit is for one huntlretl (5100) or less). ' I certity that in the performance of the work fOr which tM1iS pe�m�t is i55uetl, I� shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws ot Califomia. Date Si9nature NOTICE: If, aRer making thiz tleclara[ion, you shoultl become subject to the Workers' Compensation provisions of tne Labor Cotle, you must forthwith comply -with such provisions or this permit shall be�tleemetl revoketl. CONSTRUCTION LENDING AGENCV- � . 1 hereby atfirm that there Is a construction Ientlin9 agency (or the pertormance ot the work for whicn tnis permit is issuetl (Section 3097 Civ. C.) LenOer's Nariie Lentler's Atltlress � _ , . OWNER BUILDER DECLARATION-- ' ' � 1 hereby affirm that I am exempt trom the Contractor's License Law for the (ollowing reason (Section 7031.5 Business antl Protessional Cotle: Any city or county which requires a Dermit to construct, alter, improve, tlemolish or repair any structure, prior to its issuance, also requires the applicant for such permit to Tile a signetl statement that he/she is licensetl pursuant to the provisions of Ihe Contractor'S Licenre Law (Chapter 9(commencing with Section 7000) af �� Division 3 of the Bu5ine55 antl Profe55ion5 Cotle) o� lhat he/She is exempt , ' =refrom antl lne basis for Ihe allegetl exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to,a civil nalty of not more than tive huntlretl tlollars ($500). 'L� I,.as owner of the property or my employees with wages as their sole compensation, will tlo the work, antl the structure is not intentletl or ofieretl for sale (Sec[ion 7044, Business antl Professional Cotle: The Contractor's License Law tloes not aOP�Y to en owner of a proper[y who builtls o� improves thereon, an0 who� tloes such work himself/herseli or tnrou9h his or' her own empioyees, proviaetl mat such improvements are not intentled or ofiered for sale. If, however, the builtling cr improvement Is soltl within one year of com- pletion, the owner will have the bu�tlen of Oroving he/she tlitl not builtl or im- �rove torthe:purpose of sale). I, as owner of the property, am ¢xclusively contracting with li<ensetl con- tractorsto mnsVuct the project (Section ]0a4, Business antl ProTessions Cotle: The Cwt�actor'S License Law does not apply to an owner of p�operty who' builtls or improves thereon, antl who contracts for such projects witn a con- iracror(s1 license pursuant to the Contractor's License Law). 1 am aware tha[ proot of Ihei� Wo�ker's Compensation insuranGe shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for ihis reason Date ' Owner — I hereby tertlty that I have reatl tnis information is COrre<t. I agree to comp antl state laws relatin9 �o builtling con sentatives ot this city to enter„upm inspection pur s /l� Si9nature F�� Drivers' License or 55 above nances repre- [Y tor Y � 'U� S�P -�� TVPE OF CONSTRUCTION'. NEW ApD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER� p.p. #_ •- . DESCRIPTION OF WORK/USE OF'BLDG. ' - S Main Building: TVPEOFPERMIT GRADING'❑'FOVNDATION E ❑�STRUCTURAL � T Front � . � .: ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL B Reat � � ❑ -OTHER ' � A PROJECT DESCRIPTION Sq. FT. oCCUPANCv � C Right K CONSTRUCTION TVPE �- ' VALVATION $� � S Left ZONE ' GRA�ING CU.YDS. AGRES ping. Ret. # aemarks: ' � � Blanning Notes: , , Sink <flow Preventer -- dlow Irrigation , Drinking Fountaios Floor Dreins Floor Sinks � Gas Service �. Interceprors Kitchen Sink Lavatories P-Trap Roof Drains i Reinspection Fee $15 Boiler ' Duct - Under Ground + Duct-Snucmral ` -- ' Duct - Ventilating Exhaust System ❑ Multiple ❑ FiiepUFact BIL ICBO # ' Heating System & Ducting ❑ P7 00,000 BTU � 100,000 BTl Reinspaction Fee � $15 CMF 0865-46, rev.4/84 White - Builtling; Canary -Applicant; Pink - Accounting; Goltlenrotl -Assesso� Showers ServiceSink - Sewer Cap Sewer Connection Solar Collectors Solar Piping c,.i�. T.,..� i � Swimming Pool w/Spa' - Urinal WaLQ! CIOSei Water Heater Water Service ' � � Issue Fee Hood or Typel ❑ Canopy Typell ❑ RefrigerationSysiem -- 00-100,000 B7U ❑100,000 BTU System Repair/Alteration ' p FEES $-3 , FEE Issue Fee � � $ 3 Auromatic Washer Constructior Pole S Cookin9 Unit ' D ishwasher Oryers OGas� �E Fam � F.A.U. , ' Fixtures _ _ ' Device Baxes ' z66v� 5iayie5: . - - - . Zone ' Acceisory Building: Parking ReqJProvided ' ' ELECTRICAL � � � - Transformer ❑ 15-50 KW ❑ SO+KW � Meter ❑up to 100 amp3 Meter ❑over100amps Sub Panel � Motors �0.1 HP � 1% �8 Inc.Solar �9-15 HP �76-15+ � Microwave . _ _ � Pole Light � Range Si9n Standing Sections N1 ' Tra3h Compactor . � Dispoul or �0.5 KW �5-15 K .' .- +; � G' ction'Fee $15 Zoning APPro�ed BY— e Buildirig Approved 6y i _ 6nOQ ' TI� Z O N I � G luue Fee REQUIREMENTS; $ 3 . . � � SUMMARV OF FEES . � BUIL.DING�PERMIT $ SMIP $ `PLAN CHECK $ PERMIT PLUMBING $ ��n ' ISSUANCE $ � .PLAN CHECK 25% $ -ENERGV P.C.' $ ' � ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM . $ /�, MECHANICAL $ TOTAL FEE $ 'w Q� PLAN CHECK 25% $ ' • CONSTRUCTION ANDPLANNING � POOI PA � APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1..Temporary Electrical Serviceor 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 Gmd. . 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgmd. 8: Foundation � � 59. Gas Pipe�, O Undrgrnd., Test i 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. $tructural 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 Elec[rical-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 ' �y,y^i_ _, 71, ProductPipingOGas ❑Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush ' 24. Roof framin9 '� � 73. Undergrnd. Storage Tank O Gas ❑ Oil ' 25. Roof Sheathing � � 74. Overhead Hydro � - 26. T-Bar Ceiling (Structurap & 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 Notes: _ / ' � � /U f �/�ia � a F'o! /T - . Y/{ 34. Final Heating & Air Conditioning � �J 35. Final Gas Pipe-Test � ' � � 36. Hood or Canopy � � � �' G L 37. Final Factory Fireplace . 38. Final Plumbing, � . � � 39. Water Service-Final � 40. Gas Service-Final . - � 41. Solar pomesticFinal . . - 42. Backflow Preventer � - . 43. Backflow Irrigation . __ . . ' 44. ,Landscape Irrigation System , . � -� 45. Sound Attenuation � , � � 46. Handicap Regulations ' 47. FINALSTRUCTURE�&'BUILDING 48. Special Requirements Completed - 49. Electrie Release to Edison -�- � - ' 50. Gas Release to Southern California Gas Co � ' . ' ' 51. CERTIFICATE.OF OCCUPANCY � __ _ ', No. Date