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Home My WebLink About2121 DOCTORS CIR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. IllCI'I�OF COSTA MESA CONSTRUCTION PERMIT PER T NO. TRACT NO. • :LOT NO. UNIT NO., . `- : Project Address x211,1 Doil)RS Q.1 YC,&.L ei ° 3/10P51 , • , Applicant's Mailingril ' Address , TYPE OF CONSTRUCTION ❑ NEW ❑ ADD H ALTERATION ❑ REPAIR' I a a I P/?".J/P7 2'5.5O Tr{.. fat t ID 2fsy•4oil) R (® Zf/ CI CONVERSION CI DEMOLISH ❑ OTHER A.P.# - Zone Owner's Nµamme�6' D d ,DESCRIPTION OF WORK/USE OF BLDG. •' Address Fil /4 1.)M' Cn"rN uY+r^ �� g�1"�' I S Main Building: -Accessory Buildings Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING El FOUNDATION ❑ STRUCTURAL E Front I : O Address , ❑ TENANT '❑ ELECTRICAL ;❑ PLUMBING El MECHANICAL B Rear N ❑ OTHER A - I Contractor's Name h/f✓ a ti-,I L o�.C_✓Phone C Right ' ; -'- • - - - -, « - N PROJECT DESCRIPTION SQ. FT. OCCUPAN •Y G Address(mailing) / ///��^�� S Left . I CONSTRUCTION TYPE VALUATION $ , R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION _ Ping. Ref.# Parking`Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: r� G�7 ' Planning Notes: - M with section 7000) of Division 3 of the Business and Professions Code, and ��l�0 '�U"i L\ 1 •tv / my license is in full force and effect. .✓/.� _ ' _ T • I License Class - License No. 7(e - - S Date' Signature • PLUMBING - ' ' .FEES WORKERS'COMPENSATION DECLARATIONBar 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 reventer Service Sink ,00, Lab. C.) Backflow P _. Automatic Washer ' . Transformer '❑ 15-50 KW Policy No. Company ,Backflow Irrigation •', Sewer Cap \, ,® Construction Pole Sub.• ❑'50+ KW - - certified copy is hereby furnished. • - - - -- Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Opp to 100 amps .Date Applicant -EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers ,Solar Collectors - Dishavestier - l Meter'❑over 100 amps (This section need not be completed if the permit is for one hundred ($100) or - • _ less). Dishwasher • .Solar Piping Dryers DGas ❑Electric - i Sub Panel ` ' I certify that in the performance of th- work or which this permit is issued, I - - • . , shall not employ any person in any nne as to be subject to the Drinking Fountains Solar Tank �■ Fan Motors❑0-1 HP ❑1'/z-8. - Workers' CCompensatyyqp aws of Cal' - ' ` Date �'1�"'Y'Y3 Signa[ur: - vw E —Nast• ,Floor Drains .Swimming Pool w/Spa" F.A.U: - Inc.Solar'❑9-15 HP ❑16-15+ - -NOTICE: If,after_.making'this decla . ion, you sho d •ecome sub'pct to the , Workers' Compensation provisions.of the Labor •ode, you must forthwith Floor Sinks Urinal Fixtures comply with such 'provisions or this, permit .hall be deemed revoked. Microwave CONSTRUCTION LEBIDING'AGENCY , - Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance I i of the work for which this permit is issued (Section 3097 Civ. CJ Interceptors Water Heater Outlets Range I Lender's Name . Lender's Address .' Kitchen Sink - Water Service .4- Switches i- 4 - - - - - OWNER BUILDER DECLARATION Sign' - , I hereby affirm that ham exempt 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 II any structure, prior to its issuance, also requires the applicant for such permit Generator 00-5,KW ❑5-15 KW Trash COmpactOf to file a signed statement that hapte is pursuant to the provisions of Roof Drains - ` I _ _ ®' the Contractor's License Law(Chapter 9 (commencing with Section ]000) of ' - - Division 3 of the Business and Professions Code) or that he/she is exempt - -herefrom and the basis for the alleged exemption. Any violation of Section - i 031.5 by any applicant for a permit subjects the' applicant to a civil . not more than five hundred dollars ($500). :1_:)--:',..77.1.1 ner of the property or my employees with wages as their sole Reinspection Fee $15 . Issue Fee $ 3 - -- ion, will do the work,and the structure is not intended or offered ` ' for , (Section 7044, Business and Professional Code: The Contractor's Reinspection Fee $15 Issue Fee - $ 3 • License Law does not apply to an owner-of a property who builds or improves • MECHANICAL • FEES thereon, and who does such work himself/herself or through his or her own Boiler • Hood or ,Type I ❑ ' DEVELOPMENT SERVICES REQUIREMENTS: - - employees, provided that such improvements'are not intended or offered for • .. _ ,sale. If, however,the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved BY Date pletion,-the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date prove for the purpose of sale).' •' - Li•I e ISI, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By r t ' Doh �9/ 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 ' 00-100,000 BTU-0100,000 BTU ' SUMMAs-RSV OF FEES - //� builds or improves thereon,and who contracts for such projects'with a con- - BUILDING PERMIT .�\_— - !D - tractor(s) license pursuant to the Contractor's License Law). am aware that ■Exhaust System ❑ Multiple ❑ System Repair/Alteration _ $ SMIP - $ • "� proof of their Worker's Compens. n insurance should be provided to me. _ PLAN CHECK $ ,•PERMIT- - '0 1 am exempt under Section - • B. & P.C.far this reason ■ Firepl/Fact.8lt. ICBG# • Fire Dampers PLUMBING $ • -.ISSUANCE $ - ' ^ y ,, � yp� / Date `. .2 I Own: !"'�� _/ - Heating System& Ducting Registers - PLAN CHECK 25% $- - - ENERGY P.C: $ I hereby certif that.1 have lead this appuca on and sta-sr the above ❑0-100,000 BTU 0100,00013T GRADING ' $ - information i •rrect. I agree to comply with-all city and coun y ordinances. _ - ELECTRICAL ' $_ _ ,and state la lating to building co truction, and hereby authorize repre- - • - - _ - PLAN CHECK 50% $ • i MICROFILM a $ _ sentatives Is„ci to en er u•..- the above-mentioned property for - , inspection . ••ses - MECHANICAL $ C Signatur.• y f/„�i� • �� _ Dat/2eZ)� ' r TOTAL FEE $ +, O1 Drivers' License or SS# ��A- ' - ^ Fee $15 ® • Issue Fee $ 3 PLAN CHECK 25% $ v CMF 0865-46,rev.10/84• White - Building; Canary - Applicant: Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND?PLANNING POOL&SPA Date Inspector' Date Inspector APPROVALS ,Perini # APPROVALS Permit# 1..Temporary EleEt icalService 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings % - 58. Electrical Conduit-Undrgrnd. 8. Foundation -. 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrdrnd. - . 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 N. 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 I. 20. Rough Factory Fireplace - \ APPROVALS Permit# r.., - 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 --G . 31. Plaster Brown Coat 79. FINAL'INSPECTION t • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final-Electric Notes: - 34. Final Heating & Air Conditioning . r 35. Final Gas Pipe-Test , 36.,-Hood or Canopy , t , 37; Final Factory Fireplace - '38. Final Plumbing - _ • 39.•Water Service-Final - - - '40. Gas Se;vice-Final ;41. Solar Domestic-Final ' 142. Backflow Preventer - 43. Backflow Irrigation - .. ',44. Landscape Irrigation System -• . ' •)35: Sound Attenuation - • - 46.'Handicap Regulations - -• '"- ` 47. FINAL STRUCTURE & BUILDING fL,,,p��.' �r��/i�( .- . • 48. Special Requirements Completed _F�� /i� •• , 49'Electric Release to Edison • 50. Gas Release to Southern California Gas Co - • j 51. CERTIFICATE OF OCCUPANCY.I(1 • j _ ,�" No. Date- ' Y3 Y_—i.p> .,... Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. I pi • - PE3jv1IT Ni TRACT NO. LOT NO. UNIT NO. t 'yICITYOFCOSTAMESA O1 Nyoy�T,R.,,UCTILO2NPERMIT PrIT JAN 26 a98$ ' ProjeCt Address �i� ` -�C.�K—� �� - ❑ ALTERATION ❑ REPAIR - A Applicant's MailingAddress TYPE OF CONSTRUCTION ❑ NEW ❑ ADD PP ,S/AiI i .I far #* I 'i •Q CONVERSION ❑ DEMOLISH ❑ OTHER - A.P.# CI1 Y OF LU511iMIVI'C 'f� . Owner's Name .ng x•- ? ' a 'r.� Ph..- Priv.iv. 'DESCRIPTION OF WORK/USE OF BLDG - Zone Address �' `�� V ,'!�� -�� •S Main Building: • Accessory Building: •Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION T 0 ❑ STRUCTURAL Front i Address ��ts,.1 ❑ T ANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL n Rear N Contractor's Name 0t Ii*I' L I P? Phone OTHER C Right • ' N PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G Address(mailing) - • CONSTRUCTION TYPE VALUATION $ $ Left - R City License No. •• ZONE GRADING CU.YDS. ACRES - LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing .Reinarksi Tem 1 CO C% PlanningNotes: Q with section 7000) of Division 3 of the Business and Professions Code, and TeHt' �7• / D L M my license is in full force and effect. . T License Class License No. S Date Signature :- PLUMBING • I FEES • WORKERS'COMPENSATION DECLARATION " Showers Bar Sink - ' ' ' hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES . Workers' Compensation Insurance, or a certified copy thereof (section 13ackflOw Preventer Service Sink • - :oo, Lab. C.) Automatic Washer Transformer 0,15-50 KW Policy No. Company • Backflow Irrigation Sewer Cap .-/ Construction Pole Sub. 0 50+ KW 8 Certified copy is hereby furnished. - /S v_.j Certified copy is filed with the city Building Division. • Bathtub's Sewer Connection Cooking Unit Meter ❑up to 100 amps ' Date Applicant ' 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).. - Dishwaiher Solar Piping Dryers OGas ❑Electric Sub Panel I certify that in the performs of the work for which this permit is issued, I - ` shall not mplo any per in an ianner so a o become subject to the - Drinking Fountains Solar Tank Fan Motors 06-1 HP 01%-8 Worker ' ws of Cal 1 - Date Signature C J Floor Drains Swimming Pool w/Spa F.A.U. NOTI : f,a a 9 this declaration, you sho tl become subject to the _ Inc.Solar 09.15 HP 016-15+ • Worke s' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - •Microwave • comply with such provisions or this permit shall be deemed revoked. • - a. CONSTRUCTION LENDING AGENCY Gas Service Outlets ( Water Closet Device Boxes ' Pole I hereby affirm that there is a construction lending agency for the performance - - Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range . , Lender's Name • Lender's Address Kitchen Sink Water Service _- Switches -- -- Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt 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 . ' LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit V Generator ❑0.5 KW❑5-15 KW Trash Compactor • - to file a signed statement that he/she is licensed pursuant to the provisions of • the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Roof Drains• Division 3 of the Business and Professions Code) or that he/she Is exempt. - - - - lerefrom and the basis for the alleged exemption. Any violation of Section _ p31.5 by any applicant for a permit subjects the applicant to a civil �alty 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 vim. L mpensation, will do the work,and the structure Is not intended or offered Reinspection Fee for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p $15 Issue Fee $d 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 0 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 glove for the purpose of sale). - Building Approved By G Date `I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued Byg Date l u/�e'v 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 ❑00-100,000 BTU ❑100,000 BTU / builds or improves thereon,and who contracts for such projects with a con- SUMMARY OF FEES • tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. - • PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers / '/ PLUMBING $ ISSUANCE, $ 'Date ( .7e7/ Owner ' -�•�� Heating System& Ducting Registers - PLAN CHECK 25% $ ENERGY P.C. $ . I her c tif"`y"'fffleniraaa{{{ I have read his application and state that the above ❑6100,000 BTU 0100,000 BT ELECTRICAL $ .3 ('�.4Dta 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 $ -sentatives of this city to enter upon the above-mentioned p -• rt ; inspection pQses. f • (� • MECHANICAL $ TOTAL FEE _ $ 50 •OD Signature ` `o (; I Date. !� ;! Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' Lic n r SS# CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL& SPA Date ' Inspector • " Date • Inspector APPROVALS Permit# - _ -' APPROVALS Permit# • 1. Temporary Electrical Service or PoleDj/ // 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement i 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. ElecVical Bonding 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings58. Electrical Conduit-Undrgrnd. 8. Foundation59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, C 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. RoughElectrical-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 ❑Oil • 23. Gas Pipe-Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank C 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 y/ 8 FOOD CERTIFICATE ISSUED - 33. Final Electric l��ID� /tes�l�4.., • jj( IIfJ71 34. Final Heating & Air Conditioning 4a) 1 � r a. On ' /�/ J� 35. Final Gas Pipe-Test test. 7z ND v�L1 / �, 36. Hood or Canopy // L37.-Final Factory Fireplace . 38.. final Plumbing ; 39..Water Service-Final 40. Gas Service-Final - ! i 41. Solar Domestic-Final . ;.' 42. Backflow Preventer • - • 43. Backflow Irrigation• - • _ ,;; 44. Landscape Irrigation System b,_ I . A5'. Sound At • tenuation '� ' ' ,`,46. Handicap Regulations . c 47.-FINAL STRUCTURE & BUILDING 48.,Special Requirements Completed _ -„t • 49.7Electric Release to Edison • • - 50. as Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date