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Home My WebLink About1652 ORANGE AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 8486 3/01 /85- 2s.on TL CITY OF COSTA.MESA_9 CONSTRUCTION PERMIT - PERMIT NO. 7 TRACT NO. LOT NO. UNIT NO. • Project Address ( A sa ORA-GFI' oe 1 7 ' CM , s • --" TYPE OF CONSTRUCTIONU NEW U ADD a ALTERATION LI REPAIR Applicant's Mailing Address _ _ IQRRet.O el44r4TNEr/ 5-10-677/4 ❑ CONVERSION DEMOLISH ❑ OTHER _ • q,p-# - I Zone Owner's Name �• -Phone DESCRIPTION OF WORK/USE OF BLDG. Address J' O/5 .I-/QUf"III C/Yk S Main Building: Accessory'Building: • Arch/Eng. - -- License No. • TYPE OF PERMIT El GRADING El FOUNDATION CI STRUCTURAL T Front O• Address • - • • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 'BRear • . - N Contractor's Name rOtfrf OD 1-O Co Phone 43G 3 $, ❑ 'OTHER A _• - C Right _ - N A.ddress(mailing) .2.300 CA-C/ r &o PU4Q6l4CI4 ' .0 cll." •PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Left G • -7�/ - C ON STRUCTION.TYPE VALUATION $ I $ 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: I • - Pl• anning Notes: . M with section 7000) of Division 3 of the Business and Professions Code, and /��/��(//�) l T my license is in fulLtorpe and effect. 6 y LI x__-�J� v/ ` • - S License Class �L License / G Date4-/-.2_ _ 'Signature - PLUMBING _ • FEES WORKERS'COMPENSATION DEC RATION P I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section.. - - - - - - - - - - 3800, Lab. C.)` //11 Backflow Preventer Service Sink • Automatic Washer Transformer ❑ 15-50 KW Policy No. 44�V�� Company_ 4TATfr Paw.° Backflow Irrigation ( Sewer Cap • 2 Construction Pole Sub. • 0 50+KW ' Certified copy is hereby furnished. �p[rf�Cert Certified co♦"p�y�Stiled with the city Byi htlin Divisigq. /t A' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100,amps Date �1} /I ``f Applicant EXEMPTION FROM WORKERS'-CO NSATION DECLARATION -y Clarifiers . Solar Collectors -- Dishwasher ' •Meter Dover 100 amps _ • - _ l .(This section'need not be completed if t e-permit is for one hundred'($100) or • - I less). - - Diih washer Solar Piping Dryers ❑Gas DElectric Sub Panel - I certify that in the performance of the work for which this permit is issued, _ - - ' shall not employ any person in any manner so,as to become subject to the Drinking Fountains Solar Tank • ' Fan 'Motors 001 HP 01%.:13 • ' Workers' Compensation Laws of California. - , Date l Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,after making this declaration, you should become subject to the ,_ Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith . - Floor Sinks - Urinal Fixtures . comply 'with such provisions or this permit shall be deemed revoked. - Microwave CONSTRUCTION LENDING AGENCY,. Gas SerQice : Outlets Water Closet ' Device Boxes • I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for, which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater . - • . - Outlets Range 1 • • ' Lender's Name - - - , Lender's Address • - - Kitchen Sink , - WatecService I 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 - -Laundry Trays. Generator ❑0-5 KW❑5-15 KW I any structure, prior to its issuance;also requires the applicant for such permit - 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 . • . therefrom and the basis for the alleged exemption. Any-violation of Section _ ' - , 7031.5 by any applicant for a permit subjects the applicant to a civil _ penalty of not more than five hundred dollars($500). ❑ 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 I $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 - 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). ; /t.n ;5 0 I, as owner of the Oroperty, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By a Date_ tractorsto construct the project (Section 7044,Business and Professions Code: The Contractor's License Law dots not apply to an owner of property who , s Duct-Ventilating . 00-100,000 BTU 0100,000 BTU SUWARRYOOF FEES - I �j� builds or-improves thereon, and Who contracts for such projects with a con- ' / V 1 tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I BUILDING PERMIT $ SMIPI $ Proof of 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.Blt. ICBG# Fire Dampers S.QQ ISS UA NCE $ •• PLUMBING $ ' Date Owner - ' Heating'System& Ducting Registers PLAN CHECK 25%. $ ENERGY P.C. $ ' • I hereby certify that I have read this application and state that the-above 00-100,000 BTU 0100,000BT - • ' information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ GRADING $ and.state laws relating to building construction, and hereby authorize repre-to r p n the above-mentioned propefo+- PLAN CHECK 50% $ MICROFILM $ sentatives of this city property". 2 inspection pu os (yfr1e yy �S MECHANICAL $ l 23-00 ' Signature C J+/ s/ Datej�/- TOTAL FEE $ Drivers' Lic se or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25%, $ , CMF 0865-46,rev.10/84 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor • . CONSTRUCTION AND PLANNING :i. 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 5SteelReinforcergent _ . . 56. Rough Plumbing & Pressure Test ' 6:=-Electrieal UF Elt Grnd. 57. APPROVAL TO COVER-G.UNITE :. r• .. -7J Footings "' ' . _ 58. Electrical Conduit-Undrgrnd. =•F • BnEourigation e ' 59. Gas Pipe, 0 Undrgrnd.,Test - • 9. Watef Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection '' ;-•r' • 62. Backwash & Receptor-Final • 12. Sewer;Cap -tailb.k IS° 63. Heater & Vent-Final ... 13. Roo{•Drains . 64. Plumbing System - Final 14. Rough Plumbing^, 65. Electrical-Final • ' 45. 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 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: I 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing • 7r�9(ir Ow 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final y - f - 42. Backflow Preventer 43. Backflow Irrigation • • • 44. Landscape Irrigation System 45. Sound Attenuation '- • 46.,Handicap Regulations - , 47. FINAL STRUCTURE & BUILDING ljfr/sF Uy ' 48. Special Requirements Completed 49. Electric Release to Edison • . - -- - 50. Gas Release to Southern California Gas Co f51. CERTIFICATEOF,OCCUPANCY - i , No. Date - - - _ ..