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282 FLOWER ST - Building Permits
�+ Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY 41144 COSTA MESA- - - 'PERMIT NO. - " TRACT NO.-- LOT NO. BLDG.-NO: • - - - E- - - -- - - - - CONSTRUCTION PERMIT t -Q77, ZS - ..r., 2422 2/23/82•i: 8.00 TL' Project Address vL rS1 T'Cow&P.. _C-tY\ is '4, TYPE OF CONSTRUCTION r t ;At � . - . ' - - Owner.�e c1A W((„�tYm tst b - - Phone[ca-✓t 7 Z(�•-El NEW -(] ADD ❑ ALT ERATION -- - ' - - •Address 9.9�• �C(_p WC-RI---e,,�•-- _- _ .- _ • D'REPAI R, ❑.CONVERSION ❑DEMOLISH. r _ • t ' 'ZONING REGULATIONS ., , ArchlEng. t ---- - - --License-No. - - - . -I]IOTHER -_ - - _ _ •_ - DESCRIPTION OF WORK 's IA.P. `^ - Address._ ._ __. __ _ . .- _ __._ _ __- ,. __ _ �_ .- - _ _ _ - _-_-___.. ,ZONEPLNrGp. RglE1F�.p -- , 'Contractor 0/� - -- - --- --- Phone - -- _-TYPE OFPERMIT-" PRO PEIRTN LINE• 1 SETBACK C/L ST. Address" - " '-- -'- --'--{' •-- -- - -- ❑ GRADING O-FOUNDATION -O STRUCTURAL ^ SIDE YARD ' -' - - - - ,-I r, - I LICENSED. CONTRACTOR. DECLARATION- __ ....1...1.1..L 1 1 .LEFT - ❑ TENANT ❑ ELECTRICAL- ❑PLUMBING.❑MECHANICALRIGHT RD I hereby affirm section- I am licensed under provisions Ions of Charter -a . Iry H . , 1 .. RIGHT - mofessi -with sect ton-7000)-ofmy '•Division -3 -of- the Business-and. - OTHER _ _ _ _ - - Professions Code, -and my license is In full force and effect, . REAR YARD(TO P/L) ':PROJECT DESCRIPTION _ _ License Class '� 1—- License No." „ r . 'r "`- -"'' - PKG.SPACE'REQ. _.PROVIDED "- -- - Date .. • _ SQ. FT. - r WORKERS'-COMPENSATION.DECLARATION - ' .00CUPANCY'_CONSTRUCTION TYPE ,STREET WIDTH - .PARK,DA 4 hereby affirm that I have a certificate of consent to self-Insure or a ZONING APPROVED BY '- 'DATE - - 'certificate-of-Workers'-Compensation. Insurance,•or a certified copy. VALUATION^ - ='� ZONE .• - • '• f - thereof(Section 3800, Lab. C.). i GRADING-CU.-YDS. ACRES ' SPECIAL CONDITIONS: - - . •-----_. -Company _ __ _-__ _ _ __ _ _ __ �- _r_ ._ __._. _ . . _ _ _ - - ... -_ ._ _ - _ _ .. j :edified copy is.hereby-furnished..-_- .__ __ _ ___ _REMARKS: $ _1r .--. --- - _ . . . . - - - - _ - - - ._ . -... Certified copy is tiled with the city Building Division. . _ .- . . - • EXEMPTION'FROM'WORKERS"COMPENSATION DECLARATION ' - - --- --^- ' - - • - • - - - 1 • (This section need.,not be completed if the•permil is for one hundred _ - - - .($100) or less). ' I .- . - _ _ _. _ _p.. _ _ . _ _ . . _ . - certify that in thel performance of the work for which this permit is , Issued, I shall not employ any person in'any mannersoas to'become ' "PLUMBING:--;'-s - PLAN CHECK'- -- - - " ' ,ELECTRICAL - " PLAN CHECK- - - subject,to the Workers'Compensation Laws of California, ' • • • ' ' - - ' - ' I I -- " ' -"BATHTUBS --•'-' ' -SHOWERS '-- - ' ''--- - -SO FT. Nb _.GARAGE 'Date - . Signature 30 FT_ SO FT - - - NOTICE: If after making this declaration, you should become subject TOILETS .r L ,. ,, , .URINALS - - '- G ENERATO R- •- 0-1 KW'_1-10.KW - - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS — -j- - - - ' - -,APPLIANCE -10-50 KW-- +KW_ - -- -_ revoked.-_.. _ JL. 'CONSTRUCTION LENDING AGENCY • 'MOTORS I hereby affirm that there is a construction lending agency for the per. SERVICE SINKS. - =6--•- -. -•- .1(INC.SOLAR) -10-50 HP_- 50 +•HP- . '- 4ormance of the work for which this permit is issued (Section 3097 .i.,_t,t:SUMPS-"--^--•"' - Civ.-C:).-^ -- -------- - ---• -- - -- -- - -FLOOR.SINKS- - - - FLOOR DRAINS ' ------ !FIXTURES- - -OUTLETS-- SWITCHES Lender's Name , 'Lender's Address _ - DRINKING FOUNTAINS' :, ' -- - ' - ' --^-- • -• GAS TUBE SIGNS- •- - - - - . ---- , - --- - - - -- OWNER BUILDER•DECLARATION------ INTERCEPTORS - CLARIFIERS" ' - ' - POLE LIGHTS- - -' - --- - - ' ' -- --- - - I hereby affirm that I am exempt from the Contractor's License Law for f the-following-reason-(Section-7031.5-Business-and. Professions Code:- SWIMMING POOL- - '-PTRAP --- t,urvolRut,rrcJN - Any city or county which requires a permit to construct, alter, 'POLES METERED SUB - improve/demolish-oruir pjfor r any-structure, prior to-its issuance,also re-- --WATER SERVICE -- - - ALTERATION -- "c --- - PANELS- - - --'MAIN-- - -•--SUB'. - . _ , . ,_" - quires the apalitant for such permit to file a signed statement that he ' is-licensed pursuant to the provisions of-the-Contractor's License-Law -G'AS SERV ICE OUTLETS SERV ICE -- ----AMR/42 - S.p0' (Chapter 9 (commencing with Section 7000) of Division 3 of the _ /J Q Business•ane-Professions-Codeyor that-holation pt therefrom-and the- WATER HEATERS 'BTU OUTPUT - - '- - - - - •- -- - - - - - - - - - - 1 .-cis for the alleged exemption. Any violation of Section 7031.5 by - -- _ - _ - _ .� •I -applicant-for-a-permit-Subjects the-applicant to-a civil penalty SEWER CONNECTIONS- -- •- - - - - - - - -- -,1 aol more than five hundred dollars ($500). Qowner-of-the-property;-or my employees with wages'as their -SOLAR TANK ---4 COLLECTORS - - - -- • - - -- -- k sole compensation, will do the work, and the structure is not Intended ' - or'offered'for sale. (Section 7044;-Business and Professions Code: The' 'SOLAR PIPING SYS. l - • -1 - ' -ISSUE'FEE- -- , • ---a' 0.0 Contractor's License Law does not apply to an owner of a property K. who builds or"i reproves thereon, and who does such-work-himself or- -ISSUE FEE _ -- - "- --' ' - - - - - '?PP L'I CATI ON APPROVED BY - -- DATE--- 1 through his own employees, provided that such improvements are not pv intended or-offered none far sale. If, however, ttie'building or improvement MECHANICAL PLAN CHECK i - - - SUMMARY OF.FEES is sold within one year of completion, the owner will have the burden -- (- • - 1,4 of proving he did not build or improve for the purpose-of sale). -1- +BUILDING • HEATING SYSTEM 0-100,000 BTU 'PERMIT ❑-1,-as--owner of the property, am_excly contracting-with. -AND DUCTING - - - -- - - - - - - .._ $ ---- _ SMTP. E licensed contractors to construct the projectt (Section 7044, Business 100,0001+BTU PLAN CHECK $ -PERMIT. ' J antlProfessions.Code:-The•Conldsorri License-Law does-not apply to :ISSUANCE. $ ' s 1 an owner of property who builds or improves thereon, and who con- REFRIGERATION 0.100,000 BTU i PLUMBING $ , - tracts from.such projects.-with a.contractor(s) Ilcesned.pursuant-to - SYSTEM - - _ __ . .. _ _ _ _ _ _GRADING $ MI.Contractor's License Law). 100,000+BTU -PLAN CHECK- $ • - ' MI.am exempt under-Section -' - - - - -B.& P.C.forthis BOILERS BTU "- -�,�0 --- _ or • $ ELECTRICAL $ , reason -- - MICROFILM'$ ' ' C? /1 �.� (� -- - -- - - - .PLAN CHECK -E- - - - -- Date Owner (�/aIP"sr... •I f.`'dC�Q77.0•lty SYSTEM REPAIR,ALTERATION " • TOTAL FEE S - 1 1 MECHANICAL $ - - - I hereby certify that I have read chi pplication and state that the above EXHAUST SYSTEM MULTIPLE ti.l LESS-AD- infor tion is atecorrect.'I'agree to'comply uctio'with all city and county I • PLAN-CHECK S• - - - .• -VANCE PC- SL- repes ordinances and state laws relating to construction,and hereby authorize _ �. representatives of this city 'to enter upon -the above mentioned - - • - % property_for ns Ctlonm pur uses...a $s.,,� 'i n ' Signature (,.�,t)1 C 1/--.�-t' / - - -ISSUE-FEE - - - - - _ . , - - .. - - - _ _ CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor k � = CONSTRUCTION AND PLANNING f�7-•� Date POOL& SPA • _ APPROVALS Permit# �+` . ; Inspector APPROVALS Permit#_ ___ - Date - Inspector F 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - ' 2._ Soil-Pipe;Undrgrn_ _ 44. Steel Reinforcement -- - ` -_ - 3.. Electrical Conduit Utility:Undrgrn _ " " _ 45. Forms - • - - - - -_.4. Electrical Conduit-Undrgrn _ " -- - . ._ . 46. Electrical Bonding -- -- - - • - - - !__ 5. _Steel Reinforce _ 47. Rough Plumbing & Pressure Test -- - - - 6. _ Electrical UFER Grn . _ _ ;, - 48. APPROVAL TO COVER-GUNITE -• - z . - . • .- 7. -Footings _ _ - _ - 49. Electrical Conduit-Undrgrn'' •- • ' • - i . 8. .Foundation_ . - . - ._ - 50. • Gas Pipe, IT Undrgrn,Test - ' • 9.. Water Pipe-Undrgrn _ . - - 51.- Backwash Lines,P-Trap. El Undrgrn - _. r - 10. _Structural.Eloor System _ .• . • • 52. • APPROVAL TO DECK • - -- . -. ' 11. .Property Sewer Line & House Connection. - -. - "_. . .. _ 53. Backwash & Receptor-Final ' - • • - .. 12.. Street Sewer Connection . - -- 54. Heater & Vent-Final • ' • _13. _Rough Plumbing_ _ _- -_ _ -- - '- 55. Plumbing Svctem- Final - - 14. Rough Electric-Conduit • - - - -'56. Electrical-Final -- ' , 15. Rough Electric-Wiring •- - - - - - 57. Solar System-Final _ ' - ,. ,. 4 16.- Rdugh Heating-& Air Conditioning ' - " - - b8. Fencing&Access-Approval , ,• ., , 17. Ducts, in Structure • -- - - - - -- - - 59. APPROVED FOR PLASTERING - . • 18:- Ducts, Ventilating - . . " . _ - - - • 19. Gas Pipe-Rough &Test - , ' -. - . -. - 60. POOL/SPA SYSTEMS FINAL - - 20.--Roof Framing - . . - _ - --, " 21. Roof Sheathing -" -- - - - - • - 22. Frame and Flashing • - - NOTES: . -- - . 23. - Insulation - - - " -- - - ' - - _ . . - - -- _._ _ _ _ - - __ . • 24. Lathing & Siding 25;- Drywall Nailing- - Plaster Brown Goat--- - - - - - • - - - -- • -_- ' " = - ' . • - - 27. Electrical Power Meter-Final - - - -,,3/iy/1i - "Xij - " _ - - -28. Final Electric - - • - - - -/ - • - - - ' ' • i 29. -Final Heating & Air Conditioning - . - - - " - - - - --- - 30. Final-Gas Pipe-Test - -. - . - - - - - - - 31! -Final Plumbing _ _ - _ . ._- _ - - - -- -- . -32: 'Water Service-Final • "' • ° - • 33. Gas Service-Final - - , - - _ - - 1 .. .. i 34. Solar Domestic-Firial r . _ - • ' 35. Landscape Sprinkling System - - - - • 36. Sound Attenuation . - - ' - 37. Handicap Regulations - - - t 38. FINAL STRUCTURE & BUILDING • .. - __ - . ' 39. Special Requirements Completed' " `„>1 �,0 . _ . - 40. Electric-Release to Edison - �1�k.ag1 - . - 41. Gas Release to Southern California Gas Co. . I 42. CERTIFICATE OF OCCUPANCY - -- - - ' . ' . . • • No- Date - -- - -