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Home My WebLink About1011 18TH ST - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 4 CITY STA E A CO RUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. - Project Address L�/I w /• �I S Q -' ' - 9059 9/28/84 8.00 Tl' d e Applicant's Mailing • s 9- 96 , Ci.e TYPE OF CONSTRUCTION 0 NEW XJ ADD U ALTERATION LI REPAIR A �• 2 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.P.# Zone Owner's Name�,,rs,2 ,a h Pho X176DESCRIPTION OF WORK/USE OF BLDG. Address �l �` '� at e� - -- - _ S Main Building: Accessory Building: Arch/Eng- License No. TYPE OF PERMIT 0 GRADING U FOUNDATION U STRUCTURAL T Front • ZO Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL A Rear • N /K/I fru f '�/ee^•`•" EllOTHER Contractor's Name Phone C Right • - N Address(mailing)_9694 MCA C�-lo CPP- PROJECT DESCRIPTION SQ. FT. OCCUPANCY K- G ./4`. C ON ST RUCTION TYPE VALUATIONS S Left City License No. - ZONE - GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION • Ping. Ref.# Parking Req./Provided E ',herebyaffirm that I am licensed under provisions of Charter 9 (commencing Remarks: �1 p 0 PlanningNotes: Q :1 with section 7000) of Division 3 of the Business and Prof2s;lyps�Coode� d - • I PTO -t•FM 3 `1f LJ /'�.c M ' my license is in f fo ce ana.ef feet, `7"'i(p S - T License Class L�,cense SiDate Signature ywn�e I PLUMBING I FEES 4 WORKERS'COMPENSATION DECLARATION Bar Sink Showers , I hereby affirm that I have a certificate of consent to self-insure ora certificate ELECTRICAL FEES if_Workers' Compensation Insurance, or a.certified copy thereof (Section Backflow Preventer • . Service Sink - - - }BOO, Lab. C.) Automatic Washer Transformer 0 15-50 KW - Policy No. Company • Backflow Irrigation ' Sewer Cap ' • Construction Pole Sub. ❑ 50+ KW 8 Certified copy is hereby furnished. — Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit I Meter�up to 100 amps 5 Date Applicant —' . EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter (Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or - less). Dishwasher i i Solar Piping - Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued I - . shall not employ any person in any m ner so as to co bject to the Drinking Fountains Solar Tank l Fan Motors 00.1 HP 01'h-8 Date �' CP�peysa^(pn ABws of Calif _ Date 7 F • a i Signature Floor Drains Swimming Pool w/Spa F.A.U.NOTICE: If,after making this declaration,you should become subject to the - Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of.theLabor Code, you must forthwith - Floor Sinks Urinal - Fixtures - comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - DeviceBoxes I hereby affirm that there ii a Construction lending agency for the performance Pole Light of the work for which this permit is issued, (Section. 3097 Civ. C.) Interceptors' - Water Heater Outlets Lender's Name - Range Lender's Address - Kitchen Sink Water Service OWNER BUILDER DECLARATION -Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Garbage Dis osa following reason (Section 7031.5 Business and Professional Code: Any city or _ 9 P Standing' Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap - Generator ❑0.5 KW ❑5.15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions O1 Roof Drains ' the Contractor's License Law(Chapter 9(commencing with Section 7000)of , Oivision 3 of the Business and Professions Code) or that he/she is exempt - sit srefrom and the basis for the alleged exemption. Any violation of Section '= ~ =3315 by any applicant for a permit subjects the applicant to a civil • ' 'Ahalty of not more than five hundred dollars($500)- U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee - - $ 3 compensation, will do the work,and the structure Is not intended or offered — - Reinspection Fee I $15 Issue Fee for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES $ 3 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 his or her own Boiler Hood or Type I ❑ • DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for yp ZoningApproved sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ pP By Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date rove for the purpose of sale). e1 I U I as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By .t51114) _Date `/ 1.51)tractors to construct the project (Section 7044,Business and Professions Code: 111 The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or Improves thereon,and who contracts for such projects with a con- i tractors) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT Exhaust System 0 Multiple 0 System Repair/Alteration $ SMIP $ proof their Worker's Compensation insurance should be pro a ❑ I am exempt under Section B.& P. forr this this me. PLAN CHECK $ PERMIT reason Firepl/Fact.Blt. !CBO# • PLUMBING $ ISSUANCE $ Date • Owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ ' I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BT _ ELECTRICAL $ A. GRADING $ information is correct- I agree to comply with all city and county ordinances C� and state laws relating to building construction, and hereby authorize repro- PLAN CHECK 50% $ MICROFILM $ sentatives of thi city to enter upon the above-mentioned property ,for i /�/ Y Inspection pus•.•Fi� Q�8_ MECHANICAL $ TOTAL FEE $ 2::" CC) — Drivers' License or SS# - . ' '/ ..... Re• inspection Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • t! CONSTRUCTION AND PLANNING POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit# - Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 4 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: ElecVical OF ER 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. Root.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 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 0Oil 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-Final1O'(A I�� T 80. FOOD CERTIFICATE ISSUED 33. Final Electric li �� 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , No. _ Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ON CTI N PERT A PERMIT NO.� �,S TRACT NO. LOT NO. UNIT NO. 5734 I 0/09/84 /0// /S r5 AA G 15 / 8.40 TL p Project Mailing55 LI REPAIR Cj'6'!�/( ^//�}� �[L�'LIo O� TYPE OF CONSTRUCTION U NEw�ADD U ALTERATION Applicant's Adtl[eu� t ❑ CONVERSION ❑ DEMOLISH OTHER A.P.# - I Zone Owner's N/gmel/•'Ll_Ll•/!' k'-/ A 44,/I� 1Pf�ho2e DESCRIPTION OF WORK/USE OF BLDG. Atldreu //�� Dotes /re•""r S Main Building: Accessory Building: Arch/Eng. License NO, • TYPE OF PERMIT Li GRADING ❑ FOUNDATION Li STRUCTURAL• T Front - - Z Address ry/G e ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL • B Rear . N � � I ir -/UO3/8" ❑ .OTHER A _ I Contractor's Nam - Phone - C Right - t N Add ,yr# PROJECT DESCRIPTION 5D. FT., OCCUPANCY K . G City (mailing) L ♦/.� - O �-•/. e"Y Left i. •�a2(� CON STRUCTION TYPE VALUATION $ • $ City License No. J_- ZONE GRADING CU.YDS. ACRES - R LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided - - E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: - • - Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code, and M my license is in full f rce and effect. �yJ - - T License lass3/ • L'cense 7 �� — i - $ Date � '% 19natur • PLUMBING FEES - _ WORKERS' COMPENSATION DECLARATION Bar Sink • Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate • ELECTRICAL •' FEES 'f Workers' Compensation Insurance,‘ r a-certified copy thereof (Section _ _ Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW - - - • 1800, Lab. C.)• ' Policy No. - Company Backflow Irrigation Sewer Cap Construction Pole 050+KW ▪ Certified copy is hereby furnished. __ - Sub. , -t Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection _ Cooking Unit . Dup to 100 amps • Date Applicant - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • Dishwasher . Meter Dover 100 amps '(This section need not be completed if the permit Is for one hundred ($100)or ' ' less). Dishwasher Solar Piping Dryers ❑Gas, ['Electric / Sub Panel �pDq� Jr • I certify that in the performance of the work for which this permit is Issued I CO shall not employ any person in any mann as to becomes t to e Drinking Fountains Solar Tank • Fan • Workers' �CyQrn nJ t+ Laws of Californ' Motors 00-1 HP 01%.8 • Date �v�7 r� Signature � Floor Drains • Swimming Pool w/Spa, F.A.U. NOTICE:If,after making this dotterel on, you should become subject to the Inc.SOlar 09-15 HP 018-15+ , Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - - - • Urinal - Fixtures •- ' •' - - comply with such provisions.or this permit shall be deemed revoked. - - Microwave CONSTRUCTION LENDING AGENCY 11 Gas ServiceOutlets Water ClosetDevice Boxes �f. I hereby affirm that there Is a construction lending agency for the performPole Light ance - a) of the work for which this permit is issued (Section:3097 Civ. C.) • Interceptors ., Water Heater OutletsJ Lender's Name ' � Range , 'fes - Lender's Address - Kitchen Sink Water Service Switches *OWNER BUILDER DECLARATION - ' • Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P 'Standing Sections ' County which requires a permit to construct,alter,Improve,demolish or repair P-Trap any structure, prior to its issuance, also requires the applicant for such permit - - - - Generator 00-5 KW 05.15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions ofROOF Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of - Division 3 of the Business and Professions Code) or that he/she is exempt "erefrom and the basis for the alleged exemption. Any violation of Section - 31.5 by any applicant for a permit subjects the applicant to a civil - - _ inaity of not more than five hundred dollars($500). 0 I, as Owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Compensation, will do the work,and the structure Is not Intended or offered - — Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES 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 his or her own - ' DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 tale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date bletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By, Date l♦_rove for the purpose of sale). U I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data / tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating C70-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or Improves thereon,and who contracts for such projects with a con• tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under section B.& P.C.for this reason Firepl/Fact.BIL ICBG# PLUMBING $ ISSUANCE $ bale Owner, Heating System& Ducting I PLAN CHECK 25% $ y!� GRADING $ENERGY P.C. $ I hereby certify that I have read this application and state that the above DO-100,000 BTU ❑100,000BTL— information Is correct, I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ entatives of this city to enter u the ab ve-mentioned property for - �� inspection pu es. //��O//gg ,�}$.sr MECHANICAL $ Signature �>r� - Date/U� TOTAL FEE $ e. Drivers' License or SS It _ ----- Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor _ i CONSTRUCTION AND PLANNING POOL ?A `-' Date Inspector ' APPROVALS Permit# p APPROVALS • Permit# • Date Inspector 1. Temporary Electrical Service or Pole ' 52. Pool 81 Equipment Location • 2. Soil Pipe-Undrgrnd. - ' 53. Steel Reinforcement 3. Electrical ConduitUtility-Undrgrnd.- y 54. Forms • - • 4. Electrical Conduit-Undrg&nd. 55. Electrical Bonding - 5. SSteel Reinforcement 't-, 56. Rough Plbmbing & Pressure Test • 6!Electrical UFERGrnd. ,. ' - 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 t. 12. Sewer Cap 63. Heater & Vent-Final r 13. Roof Drains - . . 64. Plumbing System - Final ' 1 . . 14. Rough Plumbing �.:*7-.? 65. Electrical-Final - • 15. Rough Electrical-Conduit - 66. Solar System-Final , - - - 16. Rough Electric Wiring ioAl / f' x 67. Fencing & Access Approval - 17. Rough Wiring Sign•" lr�V ll 68. APPROVED FOR PLASTERING 1 - 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS-FINAL - 19. Rough Heating & Air Conditioning I FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping0Gas ❑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-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric , ' ipi9'sy e_c Notes:, . • 34. Final Heating & Air Conditioning / 35. Final Gas Pipe-Test r 36. Hood or Canopy - 37. Final Factory Fireplace •' - - iii 38. Final Plumbing ,, 39. Water Service-Final l - - 40. Gas Service-Final 41. Solar Domestic-Final I _ i 42. Backflow Preventer 43. Backflow.Irrigation , 44. •Landscape Irrigation System I - 45. Sound Attenuation 46. Handicap Regulations 1 . 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 • No. 7 Date • - II