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Home My WebLink About237 BAKER ST - Building Permits • - - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - - - -- CITY OFCOSTA MESA C9N limb' PERMIT PE,Rp9 NO. • • - -,,/ TRACT NO. LOT NO. UNjT-NO. , • 42,3 t3�9Vic✓ ]`� aa��` 0271 + 9,o31tj6 • F ,� TL ,Project Address • ,`/y/ •/J - 'Applicant's Mailing Addr-5s /7✓tP /V TYPE OF CONSTRUCTION H NEW -.0.ADD H ALTERATION Li REPAIR - f .( Jjr//-I CONVERSION ❑ DEMOLISH ❑ OTHER - Owner's Name er' - - /• -' - Phone rte// A•P: •# Zone , p i DESCf}IPTION F W /U6N� . y' - • Address 7_J,S �P/ S L , C �;,�iLsL>C¢�.(piQ:S , ' • - S Main Building: Accessory Building: Arch/Eng. _ - License No. _ TYPE OF PERMIT GRADI ❑ FOUNDATION ❑ STRUCTURAL T Front- p Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N , on ❑ OTHER C Right - - - N'. Contractor's Name 1�J C � one (per ' PROJECT DESCRIPTION SQ. FT. OCCUPANCY - ,K _ • G Address(mailing) (` /�y� 7 Y-• tr —� CONSTRUCTION TYPE • VALUATION $ • S Left - • City Lidense No. - � ' 6✓`' / ZONE ' - GRADING CU.YDS. ACRES - E LICENSED CO NT RACTO R.D EC LA RATION Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: , M with section 7000) of Division 3 of the Business and Professions Code,and + my license is in full f•rce�IVffect. ` /45 S ' -. J - • -• - S v License Class / License No. �'! Date _ Signature -i-._ , ,. 4� • ti • PLUMBING FEES .�� "OR KERS'COMPENSATION DF or ,'ARATION, u Bar Sink Showers ELECTRICAL FEES ' ereby affirm that nave a certif ate.ot consent to self-insure or a certificate - j , Workers' Compensation Insurance, or a'certified copy thereof (Section', Backflow Preventer Service Sink -• v 3800, Lab. 6i1� y3Z Automatic Washer• Transformer 0 15-50 KW •�J� Policy No. <�D•'�r�' Compa•ny ••..f" / Backflow Irrigation Sewer Cap C• onstruction Pole Sub. `,, 0 50+KW • 8 Certified copy is hereby furnished. -- - Cer etlspyde tl with the city is i . DiveakeLAZ, . Bathtubs 'Sewer Connection Cooking Unit 1•" -Meter ❑up to 100 amps Date � 0 Applicant - EXEMPTION FROM WORKERS'COM � SATION DECLARATION Clarifiers - - -- - - - -- Solar Collectors ; + - - Dishwasher - Meter Dover 100 amps - -- - (This section need not be completed if t e permit is for one hundred ($100) or less). Dishwasher Solar Piping- Dryers ❑Gas DElectric Sub Panel ' I certify that in Die 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 Tank - •Fan Motors❑0-1 HP DI,,S 8 Workers' Compensation Laws of California. - Date Signature • • - Floor Drains - Swimming Pool w/Spa F.A.U. Ina Solar 09-15 HP 016-15+ 'NOTICE: If,after making this declaration, you should become subject tolthe _ _ _ _ - - Workers' Compensation provisions of the Labor Code, you must forthwith -- Floor Sinks • Urinal ' I Fixtures Microwave ' comply .with such provisions or this-permit shall be deemed revoked. -- ' ' CONSTRUCTION LENDING AGENCY Gas Service : Outlets. Water Closet Device Boxes r ) 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. 'Cl) Interceptors - Water Heater '• - -, Outlets Range Lender's Name + Lender'd Address - - '- - Kitchen Sink - , . Water Service . • ' ' . Switches, Sign OWNER BUILDER DECLARATION i • I hereby affirm that I am-exempt from the Contractor's License Law for the Lavatories- I , _ -Auto-Wash • -- , following reason (Section 7031.5 Business and Professional Code: Any city or - ' -` - Garbage Disposal ;Standing Sections county which requires a permit to construct,.alter,Improve,demolish or repair P-Trap LaundryTrays 'any structure, prior to its issuance, also requires the applicant for such permit - • Y • Generator ❑0.5 KW ❑5-15 KW Trash Compactor , ,to file a signed statement that he/she is licensed pursuant to the provisions of • RoOR Drains - • 'e Contractor's License Law(Chapter 9(commencing with Section 7000)of - - rision 3 of the Business and Professions Code) or that he/she.is exempt - - - - T .•r from and the basis for the alleged exemption. Any violation of Section • j - + r ' • /031'.5 by any applicant for a permit subjects the applicant to a civil - - I _ r - • penalty of not more than five hundred dollars ($500). F $ 3 I I . • ❑ 1, as owner of the property or my,employees with wages as their sole - Reinspection-Fee ' $15 Issue Fee - 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 Lawidoes 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 Date pletion, the owner will have the burden of proving-he/she did not build or im- Duct-Under Ground • I prove for the purpose of sale). - Building Approved By Date �' - ❑ I, as owner of the property, am exclusively contracting with licensed can- Duct-Structural I Refrigeration System • Application ISSued By • 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 - . 00100,000 BTU ❑900,000 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 0 Multiple 0 S stem Repair/Alteration BUILDING PERMIT $ SMIP j $ I proof of their Worker's Compensation insurance should be provided to me.. Exhaust SystempY • , PLAN CHECK $ 7 • PERMIT • 0 am exempt under Section B.& P.C.for this reason u Firepl/Fact.Bit ICBG 4 Fire Dampers PLUMBING , I� $ ' ISSUANCE $ • Date - ` • Owner Heating System& Ducting ' Registers PLAN CHECK 25% $ ENERGY P.C. ' $ I hereby certify that I have read this aplilication and state that the above ❑0-106,000 BTU 0100,000 BTL ELECTRICAL $ . 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 $ zentatives o s city to ent-r u•on the ••ove-mentioned property for + I ' inspection • -s, .1 I- MECHANICAL $ Signature • di' •• " 7 - Date 3�-4 •- TOTAL FEE I $ G• 57) 1 Drivers' Lic.se or.SS# � Reinspection Fee $15 I Issue Fee $ 3 PLAN CHECK 25% $ ! j CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING PO( 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-UFERGrnd. - 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, 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 l 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 r 23. Gas PipLRough&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 IStructural1 & 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 IF 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 ((•5•$7 LCD 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation /1.3.37 LED 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 No. Date