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Home My WebLink About1727 FULLERTON AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ' PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT F}, S 3�G Z� A,P,4p 4-2r-_� 1 t --or zone Project Address 172 T Po 4.c corms? 401.int gas- yrs-Nc �J ' r S Main Building: Accessory Building: I Applicant's Mailing Address TYPE OF CONSTRUCTION LJ NEW IJ ADD U ALTERATION U REPAIR Owner's Name/M*fl r v 4 G 4Ct4Q Phone 4,V-v6 ❑ CONVERSION DEMOLISH ❑ OTHER T Front D DESCRIPTION OF WORK/USE OF BLDG. I B Rear N Adriress 770 Mn.4e,,aesr D4.144COfAi*' 9165/ A 1 TYPE OF PERMIT ❑ GRADING U FOUNDATION 0 STRUCTURAL C Right N Arch/Eng. � License No, K G Address 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL S • Left R Contractor's Name Phone 0 OTHER !Ping. Ref.# Parking Req./Provided E ,y PROJECT DESCRIPTION SQ. FT. OOCUPA( N O Address(mailing) /�l 1 Planning Notes: M 1`// CONSTRUCTION TYPE VALUATION$ 1��0 T City License No. ZONE GRADING CU.YDS. _ ACRES LICENSED CONTRACTOR DECLARATION S. 1 hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: �1� a nL` .C1.� with section 7000) of Division 3 of the Business and Professions Code,and i—A IV/t D Ti+ s 1 rQ+ my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Dub to 100amps I. Lab. C.) - ,my No. Company Backflow Irrigation I Sewer Cap _ Dishwasher Meter Dover 100 amps BCertified copy is hereby furnished. 1 j-� Dryers ❑Gas ❑Electric Sub Panel Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Date ApplicantFan • Motors❑0.1 HP❑1 X-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100) or • F.A.U. Inc.Solar 09-15 HP❑16-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued I - Fixtures shall not employ any person in any manner,- so to become subject to the Drinking Fountains Solar Tank _ Microwave Workers' Consat`o sof Calif° a. Date _/ mpppp 2 -Q- d s $ /Signature ‘..k....1Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration,you should become subjec tot e - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with sucn provisions or this permit shall be deemed revoked. . CONSTRUCTION LENDING AGENCY Gas Service -Outlets Water ClosetSwitches Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections Lender's Name Generator ❑0-5 KW❑5.15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION 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 county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays 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 Roof 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 Reinspection Fee $15 Issue Fee $ 3 t^-lefrom and the basis for the alleged exemption. Any violation of Section - 1.5 by any applicant for a permit subjects the applicant to a civil IIty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: i__J 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 l a Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved ByDate License Law does not apply to an owner of a property who builds or Improves ®, -._ - __. _ _ —_ — _-- _ C�n 1q -- _ thereon, and who does such work himself/herself or through his or her own Application Issued By b M'N Date [ employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within ono year of tom- Canopy Type II 0 SUMMER Q, FEES -� pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground �(j� 3 prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project(Section 7044,Business and Professions Code: PLAN CHECK $ - PERMIT The Contactor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU ISSUANCE $ builds or; moroves thereon. and who contracts for such oroiects with a con- PLUMBING $ tractor(s) cerise pursuant to the Contractor's License Law). I em aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of rneir Worker's Compensation Insurance should be provided to me. 0 I am exempt under Section- B.& P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers ELECTRICAL $ GRADING $MICROFILM $ PLAN CHECK 50% $ Date Owner l irnIllter. - - Heating System& Ducting , Registers 33 MECHANICAL $ TOTAL FEE $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,090B Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection rp res, s -CP �.�w Signature � Reinspection Fee $15 Issue Fee $ 3 01 00021569-00021571 TOT 33.50 0885-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting: Goldenrod - Assessor DATE: 42/08/88 TIflE: 14:50 CONSTCTION AND PLANNING - POOL% 'A Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit # r 1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location ' re, 2. SoilPipe-Undrgrnd. 53. Steel Reinforcement °ol 3r'Electrical Conduit Utility-Undrgrnd. ' 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. L i 8 Foundation • 59. Gas Pipe, O Undrgrnd.,Test • 9.,Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. , 10."iStructural Floor System 61. APPROVAL TO DECK 11.-Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final • 'r� 13: Roof Drains • 64. Plumbing System - Final - fir 14. Rough Plumbing 1 65. Electrical-Final r / e 15r-Rough Electrical-Conduit 66. Solar System-Final 16: Rough Electric Wiring 67. Fencing & Access Approval 17.' Rough Wiring Sign 68. APPROVED FOR PLASTERING 18.r Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19� Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20:1 Rough Factory Fireplace I - APPROVALS Permit# 21' Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas O Oil 23. Gas Pipe-Rough & Test _ , 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas OOil 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 r' Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test -36. Hood or Canopy ��i`/��J,J 37., Final Factory Fireplace �/� ! 38. Final Plumbing d pit- 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 //Asz 00 424/ 48. Special Requirements Completed ,I 7 49. Electric Release to Edison . r - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ii r