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Home My WebLink About1938 HARBOR BLVD - Building Permits -- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA'MESA CO TRU ION PERIWT PEWIT NO. TRACT NO. LOT gNO. UNIT NO: ✓E0 Project Address /%�as-1 fir' f'�"+— ` ' 75 2- 3/3 Q `I l - • • TYPE OF CONSTRUCTION LJ NEW LJ ADD ALTERATION ❑ REPAIR r Vt V-a v • Applicant's Ma�iJling Ad[d�f¢�s/s yy��---��Ipppyyy��'''�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 71� C I J.Sb TL Owner's Name 4'e////�� S y yt1 M Phone G37-•3-297 A.P.# (-Iq 7 d�"'.- �� I Zone . liitf?ALb h�Y D SCR PTION O •-K/USE SF :: •O aCF, -.sat ✓ �(Address defK•}/�.ly,Tf"- �y '1/,, !S -S 0�/J. _-_` - eD S Main Building: Accessory Building: Arch/Eng. /"a//1 ' /ri% S License No. ��/07 {/ TYPE OF PERMIT Ill GRADING Ill FOUNDATION STRUCTURAL E Front. / Z0 Address WON. ,...0.0 # 1I /V!, • to , p ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Name L tC.LifC- c&-<'CT.0 r+y.5 r PhoneG3J CSC.p ❑ OTHER - 1J O Right N Address lmailing) 7-�-Ti Ul"r/vt4 `•✓ / �OUfR- r`�E S,fa PROJECT DESCRIPTION SQ. FIT/ OCCUPANCY _Z K g G / CONSTRUCTION TYPE lI / VALUATION$ 7 $ Left City License No. �Y S7''I 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: Q� U /L2��a'�S �p0� ,d� Planning Notes: /}� /� M Q with section 7000).of Division 3 of the Business and Professions Code, and / 8+ (f i14et-li J'7 �✓ritc_+ e T my license is in fu(J force and effect. 3€'tl ' `�. S License Class - Y Lice se No •..1 Dated Signature PLUMBING FEES • ORKERS'COMPENSATION DECLARATION Bar Sink - Showers : lereby affirm that I have a certificate of consent to self-insure or a certificate - ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section - `— - 0 3800, Lab. C.) Backflow Preventer - , Service Sink , ' , • Automatic Washer ' ' Transformer 0 15-50 KW Policy No.&7�C 11.:Z 93/3 P4/, Company CA et(" Backflow Irrigation - - •❑ 50+ KW g ' Sewer •Cap Construction Pole Sub. - • A impart if ietl copy is hereby furnished. 1` ❑rteergfie copy is filed.with the city Studding Dlvision> Bathtubs Sewer Connection Cooking Unit Meter Chip to 100,,amps Date S(/�r� ' Applicant �/-0/2/�-fee l(C'� ' - • - - - • EXEMPTION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collector Dishwasher Meter Dover amps (This section need not be completed if the permit Is for one hundred ($100) or - ' less). Dishwasher Solar Pi " Dryers ❑Gas CElectric ' 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 manner so as to become subject to the Drinking Fountains S Tank Fan Moto 0-1 HP ❑1%-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa - F.A.U. - .Solar 09-15 HP 016-15+ NOTICE:If,after making thistleclaration,you should become subject to the - 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. CONSTRUCTION LENDING AGENCY Gas Service Outl Water Closet Device Boxes Pole Light. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater • Lender's Name - 2 ' iOutlets Ran• ge - Lender's Address - - . - Kitchen Sink -- Water Service /Pole OWNER BUILDER DECLARATION - Switches Sign , I hereby affirm that•I'am exempt'from the Contractor's License Law for the ' Lavatorie Auto-Wash 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-Tra LaundryTrays any structure, prior twits issuance, also req ulres the applicant for such permit pGenerator ❑ KW ❑5-15 KW Trash Compactor 'n file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ' e Contractor's License Law (Chapter 9(commencing with Section 7000) of / vision 3 of the Business and Professions Code)'or that he/she is exempt ' .aerefrom and the basis for the alleged exemption. Any violation of Section 7 . , 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). IDI, as owner of the property or my employees with wages'as their sole Reinspection Fee $15 Issue Fee • S. 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 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 'Zoning Approved By r Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved 6y 1 Date 4 I& S prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration S em Application Issued By e4 Dat- ' 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 ❑o-ioo,0 BTU ❑100,000 BTU - SUMM V O 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 ❑ Multiple ❑ Sy m Repair/Alteration BUILDING PERMIT $ �l 0 SMTP ' $ ' S3 proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ 'T •SZ PERMIT IDI am exempt under Section B. & P.C.for this reason Firepl/Fact Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner - Heating System& Ducting Registers . PLAN CHECK 25% $ - ENERGY P.C. ' $ " ' I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 01 , 00 BTL GRADING $ . 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 $ sentatives of this city to enter pon the above-mentioned-property for: • , inspection p.. / /'/ Signature ®/.frt=flu G1 Date i/� MECHANICAL $ TOTAL-FEE $ /��"7 Drivers' License or SS# Rei action Fee I $15 • Issue Fee $ 3 PLAN CHECK 25% $ 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector t 1. Temporary Electrical Service or 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings r - 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. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring rf /3 67. Fencing & Access Approval • 17. Rough Wiring Sign /// ti 68. APPROVED FOR PLASTERING . 18. Rough Electrical-T Bar Ceiling - 7' 2/ 69. POOL/SPA SYSTEMS FINAL t : . !/ 19. Rough Heating & Air Conditioning 4 ' I; FIRE DEPT. REQUIREMENT vie,. 20. Rough Factory Fireplace „ie /J APPROVALS Permit# . - 21. Ducts, in Structure ` `M. [j 70. Underground Hydro 22. Ducts, Ventilating , .'.'.7Jr 71. Product Piping 0 Gas D Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing . 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing v 74. Oerhead 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 PREY. 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: - 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 •ip, Si 'Jr - '. - - 48., Special Requirements Completed • 49. Electric Release to Edison 50. Gas Release to-Southern California Gas Co NN j. CERTIFICATEOFOCCUPANCY '. o Date