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Home My WebLink About195 18TH ST - Building Permits Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 8396 1 /29/06 ;Sol,.- IL CITY OF COSTA MESA CONSTRUCTION� PERMIT PEf�D/z (). TRACT NO. LOT NO. UNIT NO. • • - Project Address /gJ e: .1Km' Sr. /Vf vC Pc/� Applicant's Mailing` Address TYPE OF CONSTRUCTION LI NEW U ADD U ALTERATION U REPAIR 1 Ownir's Name A.* PALS i4 Phone�js. Ot ' ❑ CONVERSION DEMOLISH ❑ OTHER//11sem 0 Sr fitq.p•# LZone DESCRIPTION OF WORK/USE OF BLDG. y r Address - Ill - S Main Building: Accessory Building: Arch/Eng. • License No. TYPE OF PERMIT U GRADING ❑.FOUNDATION LI STRUCTURAL E Front _ • ZO Address //34744/111 /]/.7s7 p�/ ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL BB Rear N Contractor's Name Z/�1••1 Q�� U Phone 7aDs� 'aa ❑ 'OTHER — f/ ECT DESCRIPTION SQ. FT. 00CU PANQ Y C Right N Address(mailing) 3OD �//= 0R�//} �tpNt/�kcy dK — C �7��' CONSTRUCTION TYPE VALUATION'OCC $ /�P� �^` $ Left Fi I City License No. Ii ZONE GRADING CU.YDS. AC ES - LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E 1 I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: . _ Planning Notes: _ M with section 7000) of Division 3 of the Business and Professions Code,and T my license is In full deft and effect. ,( OLicense Class G• ►• 1 License N 03M S Date / )g-+_�L- Signature�_//'��r • PLUMBING FEES WORKERS' CO MPE NSATIory Df+ AS'loryBar Sink Showers • ELECTRICAL FEES hereby affirm that I have a certificate Of consent to self-Insure or a certificate _ Workers' Compensation Insurance,'or a certified copy thereof (Section Backflow Preventer Service Sink • o, Lab. C.) �//-- - Automatic Washer Transformer 0 1550 KW rolicy No. S' 7 Company P_/_!!Lf+ Ala Backflow Irrigation - I Sewer Cap (�r'j1 Certified copy is hereby furnished. Construction Pole Sub. ❑ 50+KW y� Certified copy s/(uetl with the city S 9 DINT Bathtubs Sewer Connection Cooking Unit • Meter ❑up to 100 amps Dale` Y o Applicant - - EXEMPTION FROM WORKERS'CO 'PENSATION DECLARATION- - Clarifiers - Solar Collectors . Dishwasher. - . Meter ❑over.100 amps. •- . - , (This section need not be completed if the permit is for,one hundred ($100)or , less) Dishwasher Solar Piping , Dryers ❑Gas. ❑Electric Sub Panel -a; I certify that In the performance of the work for which this permit'is issued, I , - ' shell not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tenk Fan Motors❑0-1 HP ❑1.S-8 Workers' Compensation Laws of California.' �_ • Date Signature , Floor Drains Swimming Pool w/Spa' F.A.U. • 'NOTICE:If,after making this declaration, you should become subject to the - I Inc.Solar ❑9-15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith , Floor Sinks Urinal Fixtures , Microwave comply with such provisions•or 'this permit shall be deemed revoked. - • ' - CONSTRVCTION LENDING AGENCY Gas$Civice Outlets Water Closet Device Boxes , POIe Light ' I hereby affirm that there is a construction lending agency for the performance g of the work for which this permit is Issued (Section 3097 Civ. C.) ' Interceptors Water Heater Outlets Lender's Name - Range 1 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_ Auto-Wash •- • following reason (Section 7031.5 Business and Professional Code: Any.city or Garbage Disposal :Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5.15 KW Trash Compactor 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 ROo'f Drains I - ' the Contractor's License Law(Chapter.9(commencing with Section 7000)of - - 1 Division 3 of the Business and Professions Code) or that he/she'is exempt - - -efrom and the basis for the alleged exemption. Any violation of Section I • 1.5 by any applicant for a permit subjects the applicant to a civil - ' eity of not more than five hundred dollars($500). LU I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee I cr. $ 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 DEVELOPMENTSERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler , Hood or Type I 0 , sem, if, however, the building or Improvement is sold within one year of com- Canopy ' Type II 0 • Zoning Approved By Date Diction, the owner will have the burden of proving he/she did not build or im- ' Duct-Under Law do • Approved By 1 Date Prove for the purpose of sale). - I--,,nn /_ a I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System •• , Application Issued By ' Date 1 �7 'k' 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 - ❑6100,000 BTU ❑100,000 BTU SUMM�RY_pF FEES builds or improves thereon, and-who contracts for such projects with a Con- �� Uu 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 $ f Proof of their Worker's Compensation Insurance should be provided to me. - PERMIT O tam exempt under Sectidn B.& P.C.for this reason Firepl/Fact.Blt. ICBG# I Fire Dampers PLANPLACHECK • $MBING S .S r ob ,ISSUANCE $ Date Owner • Heating System& Ducting , Registers ENERGY P.C. ' $ PLAN CHECK ,25% $ I hereby certifysthat I have read this application and state that the above ❑0.100,000 BTU ❑100,000 BTL— ELECTRICAL $ GRADING $ information Is correct. i agree to comply with all city and county ordinances and state laws r- 9 to building c•nitruttion,and hereby authorize repre- sentatives MICROFILM $ • inspection oP n cl y to en n the above-mentioned propertyfor PLAN CHECK 50% $ 0119247141 inspectionp ••ses. �' r \ / 9Q - MECHANICAL $ TOTAL FEE • $ Signature a_? Pit e'RJ `kft% • Drivers' License or$5 �� Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ a3,GO CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 'i , ,CONSTRUCTION AND PLANNING POOL ' `A 7 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 litility-Undrgrhd. 54. Forms • 4.•Electrical Conduit Undrgrnd. 55. Electrical Bonding 5.,Steel Reinforcement ! 56. Rough Plumbing & Pressure Test / 6.•ElectcicalUFERGrnd. -i - 57. APPROVAL TO COVER-GUNITE 7. Footings - • - 7 58. Electrical Conduit-Undrgrnd. • 8. .Foundation I - 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 3/j/sf 4� 63. Heater & Vent-Final 13. Roof-Drains r 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# ._ I Y. 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-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ,/rife 4:7,4,/ JA,77.1• 34. Final Heating & Air Conditioning r C 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 I t 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING '3/z /yy too • 48. Special Requirements Completed +_ 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date