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Home My WebLink About1050 18TH ST - Building PermitsCITY OF COSTA MESA CONSTRUCTION PERMIT s Project Address A947.4 ABMs Aff5licant's Mailing Address Soo F. SAS//q Owner's Name - ddress .T Arch/Eng. IUJA License No. 5 Address' I7~ -Ab rmoovC. sT A tcCo FV.) CA • "1270R] Contractor's Name Koa)FkA-0 Phon�— Address(mailing) Soo E -c %A A#"'�• V-0r.{p. (:q. City License No. a'ri(O�t4'- LICENSED CONTRACTOR DQCLARATION I hereby affirm that I am licensed under rovisions of Charter 9 (commencinf with section 7000) of Division 3 of th Business and Professions Code, ant my license is in full t rte and effect �Z a a q C No. License s Date - SignatureX WORKERS' COM ENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -Insure or a certificate Workers' Compensation In turance, or a certified copy thereof (Settlor 10, Lab. C.) icy No. i11G041(es(+31v7s 7g-62 P n Tl2d ,5T.P-tA-C FN 1 m Certified copy Is hereby furnished Certifiep c filed with the city Buil /��f� Date a (� APPlicantli_e r I•f�'-� . Ex EMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) o' lescs). I antly that in the Performance inn the work for which eco Permit a issued, shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws California. s� Date -Signature NOTICE: C after making this ions f the you r Cod become subject to thf 1 Workers' Compensation provisions of she Labor Code, you must forthwitt d comply with such EProvisions or this permit Shrill be deemed revoked CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the per(orma nu of the work for which this permit is Issued (Section 3097 Civ. C. Lender's Name Lender's Address Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the followingreason(Section 7031.5 Business and Professional Code: Any cirety or county which requires a permit to construct, alter, Improve, demolish Or pair 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 Contractor's License Law (Chapter 9 (commencing with Section 7000) of -Division 3 of the Business and Professions Cotle) or that he/she is exempt •herefrom 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 ,salty of not more than five hundred dollars ($500). --J I, as owner of the property or my employees with wages as their sole cgmpensati on, will do the work, and the structure Is not Intended or offered for sale on 7044, Business and Professional Code: The Contractor's 'License Law tloes 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 employees, provided that such improvements are not intended or offered for Te. If,;hOwever, the building or improvement is sold within one year of com- pletion,.the owner will have the burden of proving he/she did not build or im- j 1(_rove tar the purpose of sale). i LJ I, as owner of the property, am exclusively contracting with licensed con - ;[tractors to construct the prolett (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to Lne Contractor's License Law). 1 am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner _ I hereby certify that ave end in ipformat ton IS correct. I gree ort and state laws relallnbut 1 cc sentallves of this if t e p Inspection purpos I Signature Drivers' License or SS 4� rev. 5/88 I state that the above and county ordinances iereby authorize repre- .ntioned oronerty for TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL �K- ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ ,OTHER Ping. Ref. PROJECT DESCRIPTION 44.FT. 3.2� ��% OCCUPANCY _ Planning Notes: CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU. YDS. ACRES %3 Remarks: 1- 1 - r , 'I AA �o/L2one Accessory Building: I Parking O N I N G R E O M T S. L A / ^�� TR C. NO� PLUMBING LOT NOy,� / UNIT NO. A.P. # AANICAL J[ llJJl! �CiPFU3p81iNZ37 Hood Qr Type 1 ❑ Canoe' Type 11 ❑ Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap SU A V , 7/1;/r1�1/11 $ BUILDING PERMI $ roJRefrigeration PLAN CHECK MIT 1pPLUMBING V $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ $ GRADING $ PLAN CHECK 50% $ MICROFILM $ ' bg1ECHANICAL $ TOTAL FEE '- gLAN CHECK 25% $ S ain Build TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E Fan Motors ❑0.1 HP ❑1'/h-8 Dishwasher Solar Piping CONVERSION ❑DEMOLISH ❑ OTHET F.A.U.,.. Inc. Solar ❑9-15 HP 16-15+ Drinking Fountains Solar Tank ont7 Fixtures Microwave DESCRIPTION OF WORK/USE OF BLDG. 'a« AarC rR t,CC%/�}(N��fr Gas Service Outlets Water Closet Switches Sign a Interceptors Water Heater Garbage Disposal Standing Sections Kitchen Sink Water Service ght OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the followingreason(Section 7031.5 Business and Professional Code: Any cirety or county which requires a permit to construct, alter, Improve, demolish Or pair 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 Contractor's License Law (Chapter 9 (commencing with Section 7000) of -Division 3 of the Business and Professions Cotle) or that he/she is exempt •herefrom 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 ,salty of not more than five hundred dollars ($500). --J I, as owner of the property or my employees with wages as their sole cgmpensati on, will do the work, and the structure Is not Intended or offered for sale on 7044, Business and Professional Code: The Contractor's 'License Law tloes 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 employees, provided that such improvements are not intended or offered for Te. If,;hOwever, the building or improvement is sold within one year of com- pletion,.the owner will have the burden of proving he/she did not build or im- j 1(_rove tar the purpose of sale). i LJ I, as owner of the property, am exclusively contracting with licensed con - ;[tractors to construct the prolett (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to Lne Contractor's License Law). 1 am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner _ I hereby certify that ave end in ipformat ton IS correct. I gree ort and state laws relallnbut 1 cc sentallves of this if t e p Inspection purpos I Signature Drivers' License or SS 4� rev. 5/88 I state that the above and county ordinances iereby authorize repre- .ntioned oronerty for TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL �K- ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ ,OTHER Ping. Ref. PROJECT DESCRIPTION 44.FT. 3.2� ��% OCCUPANCY _ Planning Notes: CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU. YDS. ACRES %3 Remarks: 1- 1 - r , 'I AA �o/L2one Accessory Building: I Parking O N I N G R E O M T S. L A j ELECTRICAL FEES PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+KW Bar Sink Showers AANICAL Backflow Preventer Service Sink Hood Qr Type 1 ❑ Canoe' Type 11 ❑ Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap SU A V , 7/1;/r1�1/11 $ BUILDING PERMI $ roJRefrigeration PLAN CHECK MIT 1pPLUMBING V $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ $ GRADING $ PLAN CHECK 50% $ MICROFILM $ ' bg1ECHANICAL $ TOTAL FEE '- gLAN CHECK 25% $ Dishwasher Meter El over 100 amlis - Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel ' Clarifiers Solar Collectors Fan Motors ❑0.1 HP ❑1'/h-8 Dishwasher Solar Piping UrELECTRICAL F.A.U.,.. Inc. Solar ❑9-15 HP 16-15+ Drinking Fountains Solar Tank Fixtures Microwave Floor Drains Swimming Pool w/Spa DeviceLight Boxes oxes Pole Li - Floor Sinks Urinal Outlets Range Gas Service Outlets Water Closet Switches Sign a Interceptors Water Heater Garbage Disposal Standing Sections Kitchen Sink Water Service - Generator ❑0-5 KW 05-15 KW Trash Compactor - Lavatories Auto -Wash 1•' !P -Trap ILaundry Trays ' Roof Drains ' Reinspection Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBG * Heating System & Ducting 00-100,000 BTU ❑ 100,000 BT Reinspection Fee 1 $15 White - Building; Canary,- Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee I $ 3 !- I ^• ..��._"i:B-.�'?C2�:7: TOT T'NE: 1. $ 3 0 ). j Reinspection Fee $15 Issue Fee 'DEVELOPMENT SERVICES REQUIREM 'Zoning Approved By 'Date Building Approved By S Date 'Applir�tion Issued By Date Issue Fee $ 3 AANICAL FEES Hood Qr Type 1 ❑ Canoe' Type 11 ❑ SU A V , 7/1;/r1�1/11 $ BUILDING PERMI $ roJRefrigeration PLAN CHECK MIT 1pPLUMBING V $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ $ GRADING $ PLAN CHECK 50% $ MICROFILM $ ' bg1ECHANICAL $ TOTAL FEE '- gLAN CHECK 25% $ System ❑0-100ALK1B014W System Repair/Alteration Fire Dampers SUOIlD<::: 5:11 Idwa UrELECTRICAL Registers Issue Fee I $ 3 !- I ^• ..��._"i:B-.�'?C2�:7: TOT T'NE: 1. $ 3 0 ). CONSTROCTION AND PLANNING % POOL 'A AIPROVALS Permit # - Date Inspector APPROVALS Permit # Date Inspector VTempordrp. Electrical Service or Pole - 52. Pool &Equipment Location ., 2. Soil Pipe-`Undrgrnd.l :n 53. Steel Reinforcement 3[ ElectricaltCondut IJtitty-Undr f�td. % 54. Forms 4. Electrical Cbntluit-Undrgrnd. 11 55. Electrical Bonding- _ 5.,Steel ReinfbrcenTent •' •' 56. Rough Plumbing & Pressure Test _. nI 6. ElectricaliUFER�Gr 57. APPROVAL T000VER-GUNITE Z v. .P.. 7!rnootings, . Electrical onut-Undrgrnd. fu ; B." 0.o66dation m ' ` 59. Gas Pipe, O Undrgrnd., Test 1 9. ,Water Pipe-Undrgrnd ,t, /_ �� 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Fh�br System .; 61. APPROVAL TO DECK 11. Property,Sewer Line &'House Corrinection 62. Backwash &Receptor -Final t.�.� - . 12. Sewer Capt v:- -4. -Final 13. Roof Dra 64. Plumbing System - Final v . 14. Rough,Plumbingl 7� 'LI 65. Electrical -Final 15. Rough Electrical -Conduit - 66. Solar System -Final 1'6: Rough Electric Wiring A, 67. Fencing & Access Approval 117. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceili'M 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Condiiloning FIRE DEPT. REQUIREMENT APPROVALS Permit # Rough Factory Fireplace j,; „1 r- �211. Ducts, in Structure m 70. Underground Hydro 22.`Ducts, Veritilatingl ' 71. Product Piping ❑Gas ED Oil 23. Gas Pipe -Rough &,Test_(A 72. Underground Flush 24. Roof Framing 1 73. Undergrnd. Storage Tank OGas ❑Oil 25. Roof Sheathing } - 74. Overhead Hydro 26. T-Bar•Ceiling (Structural) &,Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathi6g &•Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing !✓: HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. 79. FINAL INSPECTION 32. Electrical Power .Mei 41Final 80. FOOD CERTIFICATE ISSUED U 33. Final Electric' % • Notes: r'4,Grr'Ia9t `4 '�^ /o'•ff �-• !% 34. Final Heating & Air C nditioning 1112,Slig 00- Z b &eo'D�r r,Qa t t D'f i �L &4- 35. Final Gas Pipe -Test t7 Ni o< 1'y (a'pA.r,�t1•p� 1, it H- 136. 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 7i 43.' Backflow Irrigation ,44. Landscape Irrigation System• - "45. Sound Attenuation i 46. Handicap Regulations X47. FINAL STRUCTURE & BUILDING L �,�.,►�' 48. Special Requirements Completed I4 _ ' 49. Electric Release to Edison. 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY t:� V'': t'NJ No. Date t, ,t `' �• ' + ��. 1yrw