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Home My WebLink About1898 HARBOR BLVD - Building Permits Coitfllesa Building Department i PPLICATION FOR PERMIT ' ,• COSTA MESA, CALIFORNIA111 EAST 20th E103....s.... 'E------8 UJ.L.D�I,.NG__ __ -. �, • FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY C, ` � Receipt No. /PeTrm Ft/;N9o, i Building of�{QQ pti (�7.L✓a!Y' I /v /.�/ 's. Address Cosetal�Mesan California i.N ece ed by, Da Rec'� =Dat u/ a Nearest �7 Lfv i �� J-1 I f•/ %a Cross St, ? Building Address /J7J 4 �---, Owner j ..-. / :��• Costa Mesa, California ' Mall t • Address AT o or; ,,. Nearest I —tei 1 �i-I, ; Cross St. pr- •City _,�_%7 4,,...,__, fol.. Zone No.of Type.. I Group Architect or / Lic. t �I Plans I YP /J' I 1 J. ' Engineer No. , Approved by Date 1 . -Wren /�/�' / , ity Li Dg� - t ; 1 CORRECTIONS • , vontraetor qqj / ,(�yy_. N�� I Address %�I , i' Legal ! Lot _ • • Description I No. I Block I Tract ' (Attach Metes and Bounds) ' i n I No.of Bldgs. .•--- - . Size of Lot Now on Lot - -- - • - -- O Use of I No.of I No.of � • !;a--SE M Existing Bldg. Families Rooms -- ' Setback Line from Rear Yard - - -. . '- - '--"- - - Z Center of Street Side Yard y DESCRIPTION OF WORK r New I 14Alteration I I Addition I s _ - R '' Repair I I Moving I- I Demolish 41 r :' Building No.of P'-ii Rooms Stories ;rior Wall I Roof - L_dering Covering APPROVALS oof New/ n '• Foundation Location Inspector Date Building- 0 o,,,J/��_ ��7V d' Forms,Materials, ♦ �44x - a 4e e. - 6A Under-Pinning �. / a Frame: Fire Stops, i�.v �-��i.U� Q��+_J a� r :r�'n. Bolts ca aro.f- �-t- Ti 1,14- // U -. . ,- , ' Thereby acknowledge that I have read this Application Lath.Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and Slate Laws regulating ,. building constr . Signature of 1/ 1 - Plaster, Int, Permittee �A_ad S .JL -�..• • -• 1 a ' • / • /% Plaster,Ext. Authorized Agt. , e • ' , 0 - Masonry Reinforced Valuati n Permit Fee $ e-d 0 sj5 -1 OG Plan TotalCheck $ / — Bond Beam f Fee $y FINAL 1,,.r... 204 G-H 1M 12-53 r - . , . t . . . , . nnOSTCA or ll 1 6-55ruirsi-- oyd_ ..*****9.00 . . • c a 7.t . . .. . co ti t.. . -. . . . .. 0. • 0 . . to... . , . . - . . .. . • . . . . _ . . . . .. . . . . . • • . . . .. • . • - . ' . , ......,• • \ •.... \.. .. . . , j_k_... • "‘,..' !. . - i L. . . . . . • . , Street 1- . . • 1 - .. . , . . . . PLOT PLAN • , .... . . . Show location and distances from property line and between buildings. . . . , - . \ • . . I . . • . : . , • ‘:•• ..f. - . i . . . • , . . . . . . , . .. . . . - . . i . , . , . • , r '3 •.1 :2_,._ . . . . ... . . . • . . . . , . , - . ' . : • .. , . . . . PROJECT ADDRESS: • 1898 HARBOR BL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 047555 WNE ORS NAME: TRIANGLE SQUARE , - ADDRESS: SAME PERMIT NO: E 047555 PLAN CHECK NO: ' N , GOVT: N SUPP: N • CONSTRUCTION TYPE: PERMIT- TYPE: ELE PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : TEMPORARY POWER POLE SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : / PERMITTEE: MORROW MEADOWS CROP ( 714 ) 598-7700 ADDRESS: 610 REYES DR COMMENTS; NO STRUCTURAL PERMIT ISSUED YET WALNUT s CA 91789 ************+ter**er*+rir**rarer******xerx+rerititit*er**iterit*er***niter*it*xer******************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON I NG R EQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS ' cmuc.: 006558 STATE UC.: 230813 CLASS: C10 • Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I havea certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance Lab.thereof(Section LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: . FT IN POLICY ND.: WC]..144b1 EKP.DATE: 07/01 /90 COMPANY: HIGHLANDS INS PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: 1 Certified copy is hereby furnished. 12 Certified copy is filed with the dty Building Division. PLANNING N TES> Date: Applicant: *********************************.********************************************** FKENPDON FROM WORKERS'COMPENSATION DECLARATION: (itis section need not be completed if the permitis for one hundred($100)or lea). DEVELOPMENT - SreEj:R VICES REQUIREMENTS I certify that G th�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 theiWorkers'Compensation Laws of California. ZONING APPROVED BY __, , , 1 r � DATE: Date: Signature: - ',1 NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY . ,/"'1 ' DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. r CONSTRUCTION}LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: - 1 :7 DATE: which this'permq¢issued(Section 3097,CW.C). ******************************************************************************* LENDER: *******************************3r*********************************************** , ADDRESS: _ LEGALIZATION:N - 'F E/E ; SUMMARY STRUCTURAL SEGMENT:N • j r OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1500. repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). • ISSUE FEE 15 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID 'DUE ❑ tructure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—--—> 15 . 00 15 . 00 • 0 . 00 30 . 00 30 . 00 . 00 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 employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 30 . 00 OVER/SHORT: . 00 1. improvementissold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly,am exciushely contracting with licensed contractors to construct the project(Section 7044,Business 30. 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contacts for such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: 8.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner: ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15 . 00 15 .00 • I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. ,' Date: Applicant: I hereby certify that I have read this application and state that the above information Is correct.I agree to comply with all city and county • ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature: • ' Driver's License or Social Security x: 184146 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING - - PO( SPA APPROVALS Permit# Date Inspppecctt°/fes/�'��.`}APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole Wp . 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 58. Electrical Conduit-Undrgrnd. 8. Foundation - # 59. Gas Pipe, ❑ 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 Gon,/tction ; shv�a &-R➢Cejt j 62: Back or-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 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# 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 ❑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 - 7 FINAL INSPECTION 32. Electrical Power Meter-Final 0,9:13 FOOD CERTIFICATE ISSUED , 33. Final Electric ' s: -- •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 - '48. FINAL PLANNING ' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY No. Date PAOJECTAODRESS: 1898 HARBOR BL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 048229 OWNER'S NAME TRIANGLE SQUARE ADDRESS: SAME PERMIT NO: E 048229 PLAN CHECK NO: N GOVT : N SUPP : Y CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : TEMPORARY POWER POLES ,REFER TO #tE47555 SQ FT: ADDRESS: UNIT: PERMITTEE: woe talo-•F'- CLAIM VALUE: CALC—VALUE: GROUP OCC : / MORROW MEADOWS CROP ( 714 ) 598-7700 ADDRESS: 610 REYES DR COMMENTS : NO STRUCTURAL PERMIT ISSUED YET WALNUT CA 91789 **** >F********Tr**Tr**;r******+r***+e*****Tt***** *TFTr******** r******+T*TF************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter B(commenting with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect SETBACKS cITYuc.: 006558 STATEUC.:7308 C ' C10 r ---1 --I. �gnatur 7 I • MAIN BUILDING ACCESSORY BUILDING i ,',MRS'COMPENSATION DECLARATION: Ihereby affirm that I . . ificateofwsenttosell racertificateofWorkers FRNT : FT IN REAR: FT IN FRNT: FT IN REAR: FT IN mpensation insurance,ora certified copy thereof(Section 39O0 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN rroucrNO.: WC194461 EXP.D• • //01 /91 CDMPANr: HIGHLANDS INS PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: 0 Certified copy is hereby furnished. Certified copy is filed with I :dry Bufiding Division., IA PLANNING NOTES> �J L� > Date: / ` Q.— ?O Applies ///�.l • ��• I ******************************** ********************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This-... be wed I Me ' is f• one hundred(5100)or less). DEVELOPMENT S E R V I C E S REQUIREMENTS I certify that In the performance of the work for which this permit is AIM employ any,: , in. y manner so as to become subject to he Workers'Compen tion Laws of California. ZONING APPROVED BY • ^ DATE: Date: 6 Signature: ' NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : • DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there Is a construction fending agency for the performance of the work for APPLICATION ISSUED BY: A DATE: n — _in which this permit is issued(Section 3O97.av. ********************** ' ,F***********************��F.c..** LENDER: ********************************if********************************************** ADDRESS: LEGALIZATZON:N F E E SUMMARY • STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,Improve,demolish,or PERMIT 75 . 00 repair any structure,prior to its Issuance,also requires the applicant for such permit to We a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SMIP/NON—RES and Professions Code)or that he/she Is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN , any applicant for a permit subjects the applicant to a dull penalty of not more than five hundred dollars($500). ISSUE FEE 4 . 50 i I, as owner of the properly or my employees with wages as their sola compensation, will do the work, and me BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ tructure is not intended or offered for sale(Section 7044. and Professional Code: The Contractors'State License Law TOTALS—--—> 75 . 00 4 . 50 0 . 00 79 . 50 79 . 50 . 00 does not apply to an owner of a properly 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 sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 79 . 50 OVER/SHORT : . 00 for thepupposeoffssale yearhin one ofcomplelon, neownerxDlavebeWmenolpravNgnesneadmlbundorimprove BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I, , as owner of the am exduslvely contracting with licensed contractors to construct the project(Section 7044,Business 79 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or Improves thereon and who contracts for such projectsgth acontrador(s)license pursuant to the Contractors'Sate License Law).l am aware ********************************************************ry*********************** that proof of their Worker's Compers.l on insurance should be provided to me. INDIVIDUAL F E E B R E A K x!. O W N ❑ I am exempt under Section: B.A P.C. forthisreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Od1e' Owner' ELE 5 TEMP SERV PWR POLE W/OUTLETS EA, 15 . 00 75 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wiWvAll not(circle one)need to comply with said sate codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building clan and hereby authorize re,_,- .thiel of this city toem upon the above-mentioned properly for inspection purpos / , 01 00065805-00065805 T O T 79.50 Date: 7 7c7 —/6 Signature:e#777 / DATE: 07/20/90 TIDE: 12:22 Driver's License or Social Security X: 164146 White—Building;Green—Code Enforcement:Cana —••,licant;Pink—Revenue;Goldenrod—Assessor ' CONSTRUCTION AND PLANNING POOL & SPA 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 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 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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 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 # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas OOil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O 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 '/��/JQ�,�' 79. FINAL INSPECTION 32. Electrical Power Meter-Final / / Iv"- 80. FOOD CERTIFICATE ISSUED 33. Final Electric ` t' 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 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY • No. Date