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Home My WebLink About2526 BACK BAY LOOP - Building Permits f Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. __ CI Y OF COSTA MESA COQ STF��],UCTIO PERMIT PERMIT— �� • TRACT NO. LOT NO. UNy 1y6. (� 0863 , 4/09/85 ' app IL Project Address • - • 4.!....' k• .oar! , TY) ,�,/ r '-�-- 1`(S-"7 LY - e • Applicant's Mailing Address 0 E.-./ "ra r �,GLf' - TYPE OF CONSTRUCTION- I NEW U ADD U ALTERATION ❑ REPAIR - • ' - Y'YLC < < • lYs� ///` ' I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone Owner's Nark/e -7 m,w_ PhonfL "GW DESCRIPTION OF WORK/USE OF BLDG. Address ! 07 t -S. e- Q. -- a-7:- /44, a tram �j '�R= - . - . - S Main Building:. Accessory Building: Arch/Eng. License No. TYPE'OF PERMIT E GRADING ❑ FOUNDATION ❑ STRUCTURAL 1•. � . E 'Front -- - 0 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL B - - N Address Rear -Contractor•s Name _a.��- r y• •hone V J �i.'�" ❑ 'OTHER `"1 5i C 'Right • _ N PROJECT DESCRIPTION SQ. FT. • �.1 OCCUPANCY Address{mailing) //3u , fa.<< . (v'' G1'P - K Left • G *0/ p�3? / - CONSTRUCTION TYPE • VALUATION $ S R City License No. G _ ZONE - GRADING CU.YDS. ACRES plug. Ref.# Parking Req./Provided - E LICENSED CONTRACTOR DECLARATION , ' - D I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: r • Planning Notes: M with section 7000) of Division 3'of the Business and Professions Code,and . - T my license isforce Oandleffect. 3(-,4-SZV _ - $ a License ass Li e s No. Date -r Signature PLUMBING • FEES a , WORKERS'COMPENSATION DECLARATION Bar Sink Showers : • ' hereby affirm that I have a certificate of consent to self-insuie or a certificate , ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof_(Section , Backflow Preventer - . - - -- Service Sink - - - - -- :oo, Lab. C.) Q /4 / " ' Automatic Washer Transformer 0 15-50-KW Policy No. + `3 ` � Company /h. i Backflow Irrigation -' - Di 50+KW Certified copy1. g Sewer Cap ;Construction Pole Sub. �] is hereby furnished. H+Certif{gtl copy-is'tit with the city Building lv,�i �_ ar Bathtubs Sewer Connection; - Cooking Unit 'Meter Dup to 100 amps Date —Z. $ APPlicanl /� e !tl-cGC/�21� - _ ' • 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 DElectric 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 te Drinking Fountains , Solar Tank • • ,Fan Motors❑0-1 HP ❑it4-8 Workers' Compensation'Laws of California. - _ . Date' Signature Floor Drains ' Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declaration,you should become subject to the Inc.Solar ❑9-15 HP ❑16-15+ 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. Micro`vJave� ' CONSTRUCTION LENDING AGENCY Gas Service • Outletsi - Water-Closet - • Device Boxes ' I hereby affirm that there is a construction lending agencyfor thelperformance. • - - 'Pole Light of the work for which this permit is ;issued (Section 3097 Civ. C.) 1 Interceptors , ! Water Heater .. Outlets 'Ran e Lender's, Name ' - - 9 • Lender's Address - - KitchenSink - - Water Service - i Switches Sign • • OWNER BUILDER DECLARATION. _ - , I hereby'affirm•that I am.exempl'from the Contractor's License Law for the Lavatories ,. -- Auto-Wash _ • ' Garbage Disposal ;Standing Sections 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 - - Generator ❑0-5 KW❑5-15 KW ' any structure, prior to its issuance, also requires the applicant for such permit • - Trash Compactor 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 vision 3 of the Business and Professions Code) or that he/she is exempt , . , ''.erefrom and the basis for the alleged exemption. Any violation of,Section ' - ' , . . "'i31.5 by any- applicant for a. permit,subjects the applicant to a_ civil ' + T I Ity of not more than five hundred dollars($500). - _ I , - , LJ I, as'owner of the'property or- my employees With wages as their sole : ‘Reinspection Fee - I $15 i Issue Fee " $ 3 _ compensation will do the work,and the.structure Is not intended or offered 1 - - - 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 propertylwho 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 1 , • sale. If, however, the building or improvement is sold within one year of com- - - • Canopy , Type II ❑ . - Zoning Approved By ' Date 1 pletion, the owner,will have the burden of proving ne/she did not build or lin- Duct-Under Ground Building Approved'By Date_ prove for the purpose of sale). - --- - _. .— ' ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date •a _ 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 ❑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 ' ExhaustSystem ❑ Multiple 0 System Repair/Alteration I BUILDING PERMIT $ SMIP +$ 1 proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt untler Section ' B.&Pt C.for this reason Firepl/Fact.Blt. !CBO# Fire Dampers • 1 PLUMBING ,$ ISSUANCE $ ' • • Date I 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- . .f' 1. -100,000 BTU 0100,000BTic - - - - - - 4 Do ELECTRICAL $ GRADING $ ' Information is correct. I'agree to comply with all city and county ordinances �{ p and state laws.relating to building construction, and hereby authorize repre- < jl f' /) ' ; PLAN CHECK 50% $ O MICROFILM $ Sigsennature of this city �o,,eq(er ,upon the above-mentioned etl property for • 'ICIIAN�- y n Inspection purrs) L ash 3 2/ -8S . i • , (i1`-Ic-C C MECHANICAL $ -1'-� TOTAL FEE $ �' 7 Signature ns 1 J�'•�f�'� Date li - 1 Drivers' License or SS ' ." % Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ I 1 .00 CMF 0865-46,rev.10/84 White - tiuiltling; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor g,00 CONSTRUCTION AND PLANNING POO SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1 1. Temporary Electrical Service or Pole52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. f� - . 53. Steel Reinforcement 3. 'Electric' Conduit'Utaity-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. -a • 55. Electrical Bonding 5.'•Steel Reinforcement 56. Rough Plumbing & Pressure Test c 6. Electrical UFER Grnd., 157. APPROVAL TO COVER-GUNITE • 7..Fdotings 58. Electrical Conduit-Undrgrnd. 8"Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test -9.*Water.Pipe-Undrgrnd. y - 60. Backwash Lines, P-Trap, 0 Undrgrnd. .10. Sttuctural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ei 62. Backwash & Receptor-Final 12. Sewer Gap • t •-' 63. Heater & Vent-Final Cf-- 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 0 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 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .i 33. Final Electric Notes: 34: Final Heating & Air Conditioning (o/y/j� �p 35. Final Gas Pipe-Test r . 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 INo. Date • -- - I