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Home My WebLink About2542 BACK BAY LOOP - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CITY OF COSTA MESA `' CONSTRUCTION P RM IT PE�/R�AMIT(NOO..may TRACT NO. LOT NO. UNITING. ' • - 0879 4109/85 ' . 3000 TL Project Address ZS 7 .Z/ '13c,-;4. - /�'•/'j� 1 I l (J -1 I UC -_ _ , ppMailing � 11 30 Q ,�+ Wl t TYPE OF CONSTRUCTION . EW U ADD U ALTERATION ❑ REPAIR �'� - - I -- dr Applicant's Address.r�� A /a �o�-R �/ b6 S-U I III CONVERSION ill DEMOLISH El OTHER - I Zone Owners Name hoge I• d 0 1 S" C k � DESCRIPTION OF WORK/USE OF BLDG. S Address Z— ZD Z - • - S Main Building: Accessory Building: , • Arch/Eng. License No. TYPE OF PERMIT ❑ GRAOWG ❑ FOUND ION ❑ STRUCTURAL E Front - - 0 ❑ TENANT ❑ ELECTRICAL ❑ P UMBIN MECHANICAL STRUCTURAL BZ . N • ((U/ Address - A Rear f.ti�r. / �l/,��/ El !OTHER �(1 SV S C Right I N Contractors Name //,, t/v /� � � P Nr �• 'J ` PROJECT DESCRIPTION SQ. FT. t OCCUPANCY Address(mailing) (3d G CONSTRUCTION TYPE - VALUATION$ • S Left R , City License No_ n d / "I ZONE GRADING CU.NDS. ACRES ,Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION Q I-hereby affirm that ram 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 f�Ifofce and effect. ZB - __ ' License Class --� -��- 2.0 S ' ens •f S Date Signature - h'- 'f ' • PLUMBING FEES . WORKERS'COMPENSATION DECLARATION Bar 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 _ - JO, Lab. C.) - - - Backflow Preventer - Service Sink Automatic Washer- - - Transformer' ❑ 15-50 KW (� / Policy No. fa /eb f - Company Backflow Irrigation 0 50+ KW d 9 Sewer Cap • Construction Pole Sub. • diCertified co y is hereby furnished. Certified copy 1 filed with the city BuilUg Division.q///, Bathtubs Sewer Connection, • Cooking Unit Meter Cup to 100 amps Date 3—`t�- r Applicant "I—.(0 lCf✓ �'-r+e ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ' ' Dishwasher Meter Dover 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 ' 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 Fountairis ' Solar Tank I Fan Motors❑0-1 HP ❑1'/z-B Workers' Compensation Laws of California. I Date • Signature Floor Drains Swimming Pool w/Spa � • F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ 'NOTICE:If,after making this declaration,you should become subject to the - ' Workers'-Compensation;provisions of the Labor Code, you must forthwith . Floor Sinks - _ . .. Urinal-- • - Fixtures - -' - - .. comply with such provisions or this permit-shall be deemed revoked. - Microwave ' CONSTRUCTION LENDING AGENCY Gas Service Outlets Water,Cioset Device Boxes I hereby affirm that there ii a construction lending agency for the performance - - - Pole Light • of the work fort which this permit is issued (Section 3097 Civ. C.) Interceptors _ Water Heater - Outlets • Range Lender's Name- - 9 , 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, " ' - - ' following reason (Section 7031.5 Business and Professional Code; Any city or Auto-Wash 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 Com actor • any structure, prior to Its issuance, also requires the applicant for such permit - P 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 andProfessions Code) or that he/she is exempt - - erefrom and the basis for the alleged exemption. Any violation of Section ' 31.5 by any applicant for a permit subjects the applicant to a civil - ' ' • malty of not more than five hundred dollars($500). - ❑ 1, as owner of the property or-my employees with wages as their sole Reinspection Fee $15 - Issue Fee $ 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 - i 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 ❑ sale. If, however, the building or improvement is sold within one year of com- - ' Canopy Type II ❑ Zoning Approved By nate pletion,the owner will have the burden Of proving he/she did not build or Im- Duct-Under Ground _ Building Approved By Date - LIrove for the purpose of sale), • /��/�., 1 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural ' -Refrigeration System Application Issued By �{'_Y_{.;Kj • Date YI' . tractors to construct the project (Section 7044, Business and Professions Code: (f The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF 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 ' I BUILDING PERMIT $ SMIP ; Exhaust System ❑ Multiple 0 System •Repair/Alteration proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for chi's reason Firepl/Fact.Bit. ICBG# Fire Dampers ) PLUMBING $ • ISSUANCE $ Date ' Owner - • Heeating 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 00,000 BT - - Qd ELECTRICAL r 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- �-� d f - PLAN CHECK 50% $ MICROFILM $ • sentatives of this city to enter upon qqthe above-mentioned property for inspection purposes. /J A - 3-� � - r--1 Signature /�TLQ LU/c- Date 'a MECHANICAL $ '7`� Q 0l:-1 l TOTAL FEE $ U- Drivers' License or SS# , Reinspection Fee $15 Issue Fee $ 3 ' PLAN CHECK 25% $ I •a0 • CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor -19:14-- . CONSTRUCTION AND PLANNING `^ POO SPA ; APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector I 1. Temporary Electrical Service or Pole 52. Pool& Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ., Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit:Undrgrnd. 55. Electrical Bonding ;,� 5.. Steel Reinforcement 56. Rough Plumbing & Pressure Test , -, - 6.-Electrical UFER2Grnd. - - 57. APPROVAL TO COVER-GUNITE 7. Footings , •� 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test y, 9. Water'Pipe-Undrgrnd. • ' . r 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 • y �� 63. Heater & Vent-Final fr 13. Roof1Drains ' " - . 64. Plumbing System - Final -t 14. Rough Plumbinr 4 • 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 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling`tStructural) & 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: 34. Final Heating & Air Conditioning t'0/q�gr Leo 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. Special Requirements Completed \ 49. Electric Release to Edison ; 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY - - • I No. bate . • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - - 'ItTYOFCOSTAMESA CONSTRUCTION PERMIT PE MITNO. TRACT NO. LOT NO. ^UNITNO. �� 1254 10/31 /84 357.39 IL r1� —/Si9s- l2ll� l • 25' f8 A' �ni - Project Address �s,s ss '_y , . Applicant's Mailing'Address �(�O)122(�S1 E . ( II-TC1OL #p101 S.A�, TYPE OF CONSTRUCTION lA NEW ADD LI ALTERATION U REPAIR I / Owners Name C"�V` &00 yS O�Y• Phone95 T' (6(tp ❑ CONVERSION ❑ DEMOLISH. ❑ OTHER • p,•P•�6 / 1.. 19_ /'11'_/, / - Zone�.� DESCRIPTION OF WORK/USE OF BLDG., • "Tb/ aL-Y T Address I 4'.72- 'C. - • . . NL 12A•L - c(i-,J ,S Main Building: ' . Accessory Building:f • �s ��/ Z Arch/Eng.CALP COMP'S" /ASSOC-. License.,No. "5(Q ' TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T. Front a 5 / C I hi O Address 1S-SS `MON[riga UTR AVG. PG^fuf n•�N..�. 91-4171 • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL. B Rear Cif Ci' / ci bi N IContractor's Name MESA. Web4 C pev• Phone f t-tG i C. ❑ -OTHERS 1� A Address(mailing) IO 1'2 'S• � • RK4SQL�-101 SA•9•L'idl PROJECT DESCRIPTION ,SQ. FT. (OCri/ OCCUPAN�CY( C' Right a*ta rLred - _ N 'l`Yt ' City CC •�i( - CON STR3CT ION TYPE -- VALUATIONS CS EOt . _ S Left us-�+/a�ych, ed R `! • UCE Nicense No.SED CONT RA4r3R DECLARATION PIAc�-S�D� bL-, I . ` j 2) '4- 0 I ' cQ-.5 , ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E I herebyaffirm that I am licensed under provisions of Charter 9 (commencing • Q Remarks: /,y7 / Q" - Planning Notes: - M with section 7000) of Division 3 of the Business and Professions Code,and v " r (?D v+ - HOLD .` I my license is in full force and effect. - HOI.I/ FOR SPECIAL REQUIREMENTS _ S (1 License Class r+'- I License No.��}-�(••��p,�,� • -- \ Date (0-'fit i PE Signature J . ( I PLUMBING I FEES l NI, -YORKERS'COMPENSATIONOECLARA4410N Bar Sink Showers ELECTRICAL FEES_ 1 '\ sereby affirm that I have a certificate of consent o self-insure or a certificate - .f workers'. Compensation Insurance,_or a-certified copy thereof (Section._; . Backflow Preventer Service Sink - r Automatic Washer - Transformer 0 15-50 KW; 3800, Lab. 1 .. (On S.d-f �t1tIWi1V csl) .•o f ' - - _, Policy No. l /' Company"f'_61864-____ ax. -.-.15 Backflow Irrigation ' Sewer Ca ' ' _ f ❑ 504•KW . I1 P '•',!a," :. Construction Pole Sub. • Certified copy Is hereby furnished. _ .,Iyy[y�-�IW�',Certified appy is filed with the city Buil l i Ito - • Bathtubs Sewer Connection? _ - Cooking Unit • Meter pup to 100 amps, 'Date ,Q -- `os- e 4 Applicant / J' --- - - ' EXEMPTION FROM WORKERS'COMPENSATI DECLARATION' Clarifiers . • Solar Collectors Dishwasher , _ Meter Dover 100 amps ,-_ • (This section need not be completed if the permit is for one hundred($100)or - - - - less): Dishwasher Solar Piping a Dryers ❑Gas '❑Electric 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 Solar Tenk • , i" Fan '- Workers' Compensation Laws,of California. - • Motors❑o-i HP ❑1%-8' Date: Signature _- Floor Drains SwimmingPool w/Spa ! . P F.A.U. Inc.Solar ❑9-15 HP.❑16-15+ f ,'NOTICE: If,after Making this declaration,you should become subject to the ' ' Workers' Compensation provisions of the Labor Code, you must.forthwith - Floor Sinks -- - Urinal- - •-• -A Fixtures '- ' --- - - ' comply with such provisions or this permit shall be deemed revoked. Microwave," CONSTRUCTION LENDING 'AGENCY,- - Gas Service Outlets 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.).. - ' - - _ - i - ' Lender's 'Name - - - • Interceptors • Water Heater. L. (Outlets ' Range Lender's Address - - - - Kitchen Sink - - Water Service • OWNER BUILDER DECLARATION - - - l Switches Sign , I hereby affirm that I am exempt from the Contractor's License Law for the . Lavatories , , . - Auto-Wash' , 1/ ' Garbage Disposal - ;Standing Sections , following reason (Section 7031:5 Business and Professional Code:Any city or- _ ^ • • • countywhichrequiresa ermit'.to construct,alter,Improve,demolish or repair ' - l ' any sructure, prior to its issuance, also requires the applicant for such permit P-Trap Laundry Trays aGenerator KW ❑5-15 KW Trash Compactor , to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - - I - . ' the Contractor's License Law(Chapter 9(commencing with Section 7000) of -. , livision 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 n I -, - - .. . , ' • /031.5 by any applicant for a -permit subjects the applicant to a civil ' - . - - - - ' enalty of not more than five hundred dollars($500). - t i ...;•-•I, as owner of the property or my employees with wages as their sale Reinspection Fee . I $15 . Issue Fee $ 3' compensation, will do the work,and the structure is not intended on offeree ' - - - Reinspection Fee $15 Issue Fee ,$ 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 E._ _ _ , • thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMEN S: //. employees, provided that such Improvements are not intended or ofoffered for Boiler Hood or Type I ❑ Zoningo. Approved ByU L�LI.1 L-Y nate 1 n�15,4 // sale. If, however, the building or improvement is sold within one year of com- •Canopy Type II ❑ . IiPP . prove , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground t Building Approved By r :.! Date 3 . move for the purpose of sale). l I ) 1 �� / i� r I, as owner of the property, am exclusively contracting with ssioned con- • Duct-Structural Refrigeration System Application Issued BY/1 / AA./ Date tractors to construct the project (Section 7044,Business and Professions Code: ❑0.100,000 BTU 0109,000 BTU ' t The Contractor's License Law does not apply to an owner of property who Duct-Ventilating SUMMAR OF FEES i builds or improves thereon, and-who contracts for such projects with a con- - - - > p tractor(s) license pursuant toithe Contractor's License Law). Iain aware thatI / . BUILDING PERMIT '$ SMIP ' • i$ ' �r 7( ofExhaust System 0 Multiple 0 System Repair/Alteration proof o .their Worker's Compensation insurance should be provided to me. , f PLAN CHECK '$ PERMIT I '❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# - Fire.Dampers PLUMBING . ,$ _ ISSUANCE $ , • Date - - •Owner - . Heating System& Ducting • Registers ' i r PLAN CHECK 25% '$ ' ENERGY P.C. ,$ I hereby'certify tliat I-have read this application and state that the above 00-100,000BTU 0100,000 BT • '-' ' - GRADING •$ 'information is correct. I•agree to comply with all city and county ordinances • Com) ELECTRICAL : $ • and state laws relating to building construction, and hereby authorize repre- • MICROFILM �$ .sentatives of t city to enter) •on the above-mentioned property for' PLAN CHECK 50% $ • inspection purp• s% ' , (O-'24 _S4 MECHANICAL $ -- • TOTAL FEE .$ 3-57`Yit SiriverDate Drivers' License or 55I . •' • ' •' Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Sr 13 CMF 0865-46,rev. 10/84 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod -Assessor \, 4 CONSTRUCTION AND PLANNING -i _ - POL- &SPA APPROVALS Permit# Date Inspector' APPROVALS Permit# Date Inspector 1. Temporally Electrical.Service or Pole 52. Pool & Equipment Location • - ' •2. Soil Pipe-Undrgrnd. . 1 1 - 53. Steel Reinforcement - ., ' 3. Electrical Conduit Utility-Undrgrrid. - 4' 54. Forms . ' 4. Electrical Conduit;Uddrgrnd. . ' , I 55. Electrical Bonding 5. Steel Reinforcement -• ' ' _56. Rough Plumbing& Pressure Test . 6. Electrical OF ERPQrnd. . - , . • . 57. APPROVAL TO COVER-GUNITE ' 112 7. Footings . ' 1 • _ /2•'"/, 4.5. 58. Electrical Conduit-Undrgrnd. 8. Foundation ' ' . i 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water.Pipe-Undrgrnd. . i - 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 - - 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 Gas0 Oil , 23.'.Gas Pipe-Rough & Test - 72. Underground Flush 24;"Roof Framing 73. Undergrnd.Storage Tank.0 Gas 0 Oil 25. Roof Sheathing 7�1 vCj 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat (I 75. Dry Chemical 27. Frame and Flashing /S! v`, 76. Dry Standpipe • 28. Lathing & Siding ' fU 1 w 77. FIXED SYSTEM FINAL 29. Insulation * 4/&C' 78. FIRE PREV. FINAL 30. Drywall Nailing ' , 7 y/ysr c/(/ HEALTH DEPT. REQUIREMENT w 31. Plaster Bron Coat / ((( I11/ne �r� 79. FINAL INSPECTION 32, Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33.,Final Electric Notes: 04 �a 24 5616 /e..>/ e -G, 34. Final Heating & Air Conditioning • 1112/9. -- - 35. Final Gas Pipe-Test . ' i{ / SQL-) Li65 entity. tit y 3/19/c//v , 36. .Hood or Canopy - . ! , 37. Final Factory Fireplace . 38. Final Plumbing :3 - 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 Øo/rr'-47. FINAL STRUCTURE & BUILDING '48. Special Requirements Completed /y/p S- //M ' ' 49. Electric Release to Edison' - "-- - ' - • I `V _ I 11 J N. 50. Gas Release to Southern California Gas Co • ,7:`.k 51 CERTIFICATE OF OCCUPANCY - - - - • . w' iNo. Date - j /2,.."- it'