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Home My WebLink About2190 NEWPORT BLVD - Building Permits _ _ Applicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations. ---_-g.. ..-___ .. CITY OF COSTA MESSA CONSTRUCTION PERMITJ, PE sI NO. TRACT NO. LOT NO. UNIT NO. f• ,Iiii� Project Address 9 ��T-u�EY�f U /�3- d,2- ( CS ' Applicant's Mailin/y.Addies5 al�f• �•et _ JPc. -/ TYPE OF CONSTRUCTION U NEW L I ADD H ALTERATION H REPAIR JUN ( Owner's Name G D drH Sol C. Phoned ' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A•p, t j Zone //''11 — DESCRIPTION-OF WORK/USE OF BLDG. Address /CAS C-C3C./C ICL• S Main Building: (--��.``77Acc�,e{syL�orry Building: Arch/Eng. License No. TYPE OF PERMIT' ❑ GRADING L I FOUNDATION ❑ STRUCTURAL T Front VIII Ur COSTA Il'ILJA U Address b',�-. 9_2?"_ �� ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Nam de-�I�I�hone LL/��o ID OTHER • • - C Right - N .// ///�� PROJECT DESCRIPTION SQ. FT- OCCUPANCY g Address(mailing) 't` etgt�� - K - G C ON ST RUCTION TYPE VALUATION$ S Left R City License No. ZONE - GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E 1 LICENSED CONTRACTOR DECLARATION - - Q 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 f force . d effect. _ _ T �\ Licens- Class -l a LI •nse No. —S 69 - _ - S 40 Date •- Signature ��f.•_ e_ : PLUMBING I FEES I 'ORKERS' COMPENSATION DECLARATION ' -o Bar Sink - Showers I . ELECTRICAL FEES 1 iereby affirm that.I have a certificate of consent to self-Insure or a rtlficate - 4 .,f Workers' Comae ation Insurance, or a certified there° (Sect) Backflow Preventer Service Sink 3800, Lab. C.) ;''7 • (�QjP/ ' Automatic Washer Transformer 0 15-50 KW Policy No. `, 3 / a 7Company CJ ! /wF Backflow Irrigation Sewer Cap • - 0 50+ KW \ Construction Pole Sub. Certified copy is hereby furnished. Certjfied c_ Jyy'l fill with the city Vying slo Bathtubs Sewer Connection Cooking Unit Meter 0 u to 100 amps Date CO S Applicant Vying EXEMPTION FROM WORKERS'COMPENSATION DELL A i.N Clarifiers Solar Collectors • Dishwasher Meter Dover 100 amps (This section need not be completed If the permit Is for one hundr+. ($100) or • - - - less). Dishwasher • Solar Piping • - '-• l Dryers ❑Gas ❑Electric 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 the Drinking Fountains i Solar Tank Fan Motors❑0-1 HP 011/2-8 Workers' Compensation Laws of California- - �- _ Date- Signature Floor Drains i 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 I - Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY' Gas,Service • Outlets Water Closet • Device Boxes PoleLight I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Clv. C.) - interceptors s Water Heater Outlets Lender's Name - ,__ Range Lender's 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 Auto-Wash Garbage Disposal • following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW 05-15 KW Trash Compactor any structure, prior to Its issuance, also requires the applicant for such permitP 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)of4eCIi1$7k S 1 Division 3 of the Business and Professions Code) or that he/she is exempt . - - therefrom and the basis for the alleged exemption. Any violation of Section r' r - ��''� 1, 7031.5 by any applicant for a permit subjects the applicant to'a civil / r - w enatty of not more than five hundred dollars($500). ' I, as owner of the property or my employees with wages as their sole Reinspeaion Fee I $15 Issue Fee $ 3 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 I 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 I1 ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/She did not build or im- ' Duct- Under Ground prove for the purpose of sale). . Building Approved BY Date - ❑-I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural ^Refrigeration System Application Issued By pat iaLTDC.4 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 Exhaust System ❑ Multiple❑ System Repair/Alteration I 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.Blt. ICBG* Fire Dampers • PLUMBING $ ISSUANCE $ Date Owner - Heating System& Ducting Registers - PLAN CHECK 25% S ��^ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 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 $ • sentatives of to nter u... the above-mentioned property for $ ( inspection pi , / _�7 • - y' - d MECHANICAL $ — TOTAL FEE $ - • Signature t —,{�� Dose CV--, -5.--V7 ---- ' Drivers' License or 55* Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary--•Applicant; Pink - Accounting; Goldenrod - Assessor :1' CONSTRUCTION AND PLANNING POOL & 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 i 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 1 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 y: 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 'r -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 - -" 9. FINAL INSPECTION 1476 ,%p �yL/. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •! 33. Final Electric Notes: 34. Final Heating & Air Conditioning l - 35. Final Gas Pipe-Test 36._Hood or Canopy 37 Final Factory Fireplace ` 38.-`Final Plumbing 39.'Water Service-Final .. 40. Gas Service-Final f ...A1. Solar Domestic-Final ' 42. Backflow Preventer - ' ' - ' - 43. Backflow Irrigation `7 444. Landscape Irrigation System - 45. Sound Attenuation ; 46,;Handicap Regulations 47. FINAL STRUCTURE & BUILDING -t - 48;Special Requirements Completed r, 49?-Electric Release to Edison I • • 50. Gas Release to Southern California Gas Co (. - 51. CERTIFICATE OF OCCUPANCY " V . - • No. Date '