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Home My WebLink About1494 NEWPORT BLVD - Building Permits I .--- - Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. _ CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. �7 TRACT NO. LOT NO. UNIT NO. Project Address /if q /V P<'R - UD. 0, 1 /� l 4441 11/19/85 Floc. TL, Applicant's Mailing Address SnrktE TYPE OF CONSTRUCTION U NEW U ADD kr ALTERATION U REPAIR 1 Ae� 6 «/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.•4 I Zone Owner's Name P rT �{� Phone Tl DESCRIPTIONQFWORK/USE OF BLDG. ` Address S414F 1-16-1-16-1+ �f! � 7/ • C E(14E E Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING 1._._I FOUNDATION STRUCTURAL T Front p Address Q� :/ CI TENANT ELECTRICAL ❑ PLUMBING C] MECHANICAL B Rear - - N Contractor's Name pAi.i4)/k- .Then., wapFyyone M'/t7/ . CI OTHER A I PROJECT DESCRIPTION SQ. FT. 571 OCCUPANCY C Right N Address(mailing) U6 -.1../ •K , , G City License No3 1@2-7 CONSTRUCTION TYPE VALUATION$ S Left _ ZONE GRADING CU.YDS. ACRES - R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req,/Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 4 s u�/_ �/ "�', / la Age .•1 /) t// 1 Planning Notes: • M with section 7000) of Division 3 of the Business and Professions Code,and' '^�[ s'7 C/ i•�� my license is in full for/and effect. ,�z) �L T License Clas • a .e i Icense o. e 1t•I0* S Date "1-'11 Signature �1� . PLUMBING FEES - - __ WORKE- • •P NSATION DEC • RATION Bar Sink Showers ELECTRICAL FEES - ti>hereby affirm that I have a certificate of consent to self-Insure or a certificate 1 S?a'Workers' Compensation Insurance, or a certified copy thereof (Section `-. f`a b°, Lab. C.) Backflow Preventer Service Sink - Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap / Construction Pole Sub. 0 50+ KW r pc 8 Certified copy is hereby furnished. J l/ Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Cup 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). Dishwasher Solar Piping ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for whi h this ermlt is issued, 1 - not emp y any person in any manner a bee a subject to the Drinking Fountains Solar Tank �I L workers' Fan Motors 001 HP ❑1%-8 Workers' s ws of Calif Or �`J �_ - • Date Signature Floor Drains Swimming Pool w/Spa F.A.U. ~— Inc.Solar ❑9-15 HP 016-15+ 'NOTICE: ,aft making this declar ion, you s ould become subject to the zt Workers' omp nsation provisions of the Labor Code, you must forthwith Floor Sinks Urinal tr 4, - Fixtures Microwave " • comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance ' I Pole Light - of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater - Outlets Range ' Lender's Name - an 9 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 Disposal Garbage following reason (Section 7031.5 Business and Professional Code: Any city or 9 ;Standing Sections I county which requires a permit to construct,alter,improve,demolish or repair P-Trap structure, prior to its issuance, also requires the applicant for such permit p • Laundry Trays Generator ❑05 KW ❑5-15 KW 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 • Division 3 of the Business and Professions Code) or that he/she is exempt i srefrom and the basis for the alleged exemption. Any violation of Section r 31.5 by any applicant for a permit subjects the applicant to a civil helty of not more than five hundred dollars($500). ' U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 - compensation, will do the work,and the structure is not intended or offered 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 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 0 Zoning Approved By nate 1\ pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date rove 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 // tractors to construct the project (Section 7044,Business and Professions Code: I • The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU • SUMMARY OF FEES ' 1 builds or Improves thereon,and who contracts for such projects with a con- 1 license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ _ SMIP $ proof o their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ./ ENERGY P.C. $ .I I hereby certify that I have read this application and state that the above 00.100,000 BTU ❑100,000BTL'" - ELECTRICAL $ R�Q� GRADING $ Information is correct. I agree to comply with all city and county ordinances - I and state laws relating t b 1 ing construction, and hereby authorize repro- MICROFILM $ sentatives of t is ci t ter on the above-mentioned prop rty ,7 or PLAN CHECK 50% $ Ql.A Inspection our s. �//gyp/6r • MECHANICAL $ _ TOTAL FEE $ e. (I0 1 Signature • _ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor I - I K /1 I CONSTRUCTION AND PLANNING • POOP 'PA APPROVALS Permit# - Date Inspector APPROVALS Pern;it# Date Inspector '1. Temporary Electrical Service or Pole 52. Pool & Equipment Location _ 2. Soil Pipe-Undrgrnd. 6-' .. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms '4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding • . .5.-.Steel Reinforcement' 1^; 56. Rough Plumbing'&Pressure Test . 6. Electrical UFER Grndd 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 ,_ - 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 acid Flashing 76. Dry Standpipe 28. Lathing&t Siding ' 77. FIXED SYSTEM FINAL r 29. Insulationf%'78. FIRE PREV. FINAL 30. Drywall Nailing �' HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat • ,-. 4 -."779T-FSNAL INSPECTION - - 32. Electrical Power Meter-Final 3 80:FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: - 34. Final-Heating & Air Conditioning , - A 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 • I 48. Special Requirements Completed • - 49. Electric Release to Edison - 'I 50. Gas Release to Southern California Gas Co 51..CERTIF ICATE OF OCCUPANCY r No. Date i.