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Home My WebLink About1564 DOUGLAS DR - Building PermitsM 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COST( MESA CONSTRUCTION PERMIT Project Address `Tract 12055 - Carport 'J' 9280 Applicant's Mailing Address 7633 Woodsboro Ave. Anaheim C owner's Name Fairview Management �UljpnoYfe 714/863-1 Address1176 Main St., Irvine, Ca. 92714 > ert Ada & ASSOC. C008038 Arch/Eny. 9' aya 171t YY'�LicenONe,. Address La tna Hi s, a_ R Y1j�q 5 ZO�— Contractor's Name DMH Rnilders, Inc- Phone 714/777-4 Addreis\mailin9) 7633 Woodsboro Ave. ,Anaheim,Ca. 9280 City License No. 34704 .LICENSED CONTRACTOR DECLARATION 1. hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in IulLforce and effect. License las ii - icense No. 468385 Dale - -57 Signature WORKERS' COMPENSATION D RATION `[,hereby affirm that I have a certificate of consent to self -Insure or a certificate 5f Workers' Compensation Insurance, or a certified copy thereof (Section 4800, Lab. C.) -Policy No. 80011930 Company Trans American Certified copy is hereby furnished. / erti ledoglLis file the city Build' on. Date Applicant EXEM ION FROM WORKERS' C I ON DECLARATION (This section need not be comple[¢tl if the perm' is for one hundred ($100) Or less) 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 Lite Workers' Compensation Laws of California. Date Signature 'NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor 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 lending agency for the performance of the work for whi the ppermit is Issued (Section 3097 Clv. C.) Lender's Name BanK 02 Al11PYl r•a Lender's Address 801 N. Main St.. Santa Ana Ca- 92702 OWNER BUILDER DECLARATION 1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit 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 Division 3 of the Business and Professions Code) or that he/she isOxempt 9erefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil Mnatty of not more than five hundred dollars ($500). ❑ I, as owner of the property or my employees with wages as their solo compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's' 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 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 - Diction, the owner will have the burden of ploving he/she did not build or Im- prove efor the purpose of sale). I, as the of the property, am exclusively contracting with licensed con- 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 builtls or improves thereon, and who contracts for such projects with a con. tractcr(s1 license pursuant to the Contractor's License Law). I am aware that proof c their Worker's Compensation insurance should be provltletl to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date '` Owner I hereby certify ShaftI nave r�eo))B this application and state that the above information is torr L 1 a9re U comply with all city and county ordinances and -State laws r t mg construction, and hereby authorize repre- sentatives of t liter upon the above-mentioned Property for inspection put n 'e 9_1 5 I Drivers' License oySS 9r, ill -_. l,wlI.lyU. -�G 7 FI!� -wsS TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR 0 ❑ CONVERSION ❑ DEMOLISH ❑ OT HE A.P. .1y .LD - DESCRIPTION OF WORK/USE OF BLDG. $ Main Building: E TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear 6 ❑ OTHER A PROJECT DESCRIPTION SQ. FT. OCCUPANCY - C Right AONSTRUCTION TYPE VALUATION 9� 21 S Left ZONE GRADING CU.YDS. ACRES Ping. Ref. # w� Remarks: '�/- �(a� _ R� Planning Notes: 0 0999 9/27/85 _ 1 UI Zone Accessory Building: i, OVK IA, 5/} Parking Req./Provided httl 154.04 TL Z O N I N G R E O M T S Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer Pole Sub. Transformer ❑ 15-50 KW ❑ 50 + KW _ Backflow Irrigation Sewer CapConstruction Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 00.1 HP 0 h; B Floor Drains Swimming Pool wlSpaF.A.U. Inc. Solar 09-15 HP ❑16-15+ Floor Sinks Urinal Fixtures Microwave " Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches Sign - Lavatories Auto -Wash Garbage Disposal ; Standing Sections P -Trap Laundry Trays Generator ❑0-5KW❑5-15 KW Trash Compactor Roof Drains Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIR MENTS: Zoning Approved By �- Data Building Approved By1 Date Application Issued By ""Ip- Date Boiler Hood or Type I ❑ CaoODY Type I I ❑ Duct - Under Ground Duct -Structural Refrigeration System ❑0.700,000 BTU 0100,000BTU Duct - Ventilatin 9 BUILDING PERMIT PLAN CHECK PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL, PLAN CHECK 25% SUMMARY EES 5o $ SMIP $ $ PERMITPLUMBING $ ISSUANCE $ ENERGY P.C. $ $ $ GRADING $ $ MICROFILM $ $ TOTALFEE $ $ � 5 �� ' ' IJ'T•�-'1 Exhaust System 11152, Multiple ❑ System Repair/Alteration F 'rept/Fact. Bit. ICBG # Fire Dampers Heating System & Ducting 00100,000 BTU 0100,000BT Registers Reinspection Fee $15 Issue Fee $ 3 CMF 0865-46, rev. 10/84 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING `- ' APPROVALS Permit # Date Inspector POO SPA 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. ,Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 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 33. Final Electric Notes: Z 8 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 &BUILDINGlklq/-� D� - 48. Special Requirements Completed 49. Electric Release to Edison '50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF_OCCUPANCY No. Date