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Home My WebLink About599 MARQUETTE CIR - Building Permits� / �� . ,, Applleant to fill in all spaces excevt ehose within heavr ooraer lines anC sign all aoProD��ate tleclarations. CI7v oF COS7a MESA CONSTRUCT�/ION ERMI ,ProjectAddress ✓r9� �R/'�%UB�K l�'C t ApplicanYs Mailing A--d7dress q, M G . Owner'sName `��'�"�� I'/��'� «�� Phones� G-O�`S% Address `S /��'�� '"� r. , Arch/Eng. License No. Address _ - Contracmr's Name Phone`� Address Imailingl Ciry License No. �. LICENSED CONTRACTOR DECLARATION - �'� I hereby attirm thal I am litensetl untler provisions of Charter 9(commencing with section 7000) ot Division 3 of the Bu5ine55 antl Proteszion �Cotle, antl my 1lcense is in tull torce antl effect. • License Class License No. ' Date Signature . WOi3KER5'COMPENSATION DECLARATION -'�ereby affirm that I nave a certificate of consent to selt-insure or a certificate' ' Workers' Compensation Insurance, or a certlfietl cOpy thereo( (Sectlon J0, Lab. C.) Policy No. Company 8 Certifietl copy is hereby furnishetl. Certifietl capy is tiletl with the city Builtling Division. �ate APPlicant EXEMPTION FROM WORKERS' COMVENSATION DECLARATION � � (Thissection neetl not be completetl if the permit i5 tor One huntlretl ($100) or" less). ; ' • ' ' 1 certity that in the perfo�mance ot the wo�k for which this perm�t i5 issuetl I shall not employ any Oe�son in any manner so as �a �q [ome subject to [�e Workers' Compensa'on Laws ot Califomia. `- �•C� // ./� Date _Signature � 7�iWi � NOTICE: If, after maklnq this tleclaration,�p become subject to the�' Workers' Compensation provisions of tne L3bor Cotle, you must forthwith comply wi�n such provisions o� thi5 permit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereCy effirm that there is a const�uction lentling a9ency !or the per,fo�mance of the wo�k Por which this permit is issuetl (Section 3097 Civ. CJ Lentler's Name Lentler's Adtlress OWNERBUILDER DECLARATION 1 hereby affirm that P am exemp[ from the Contractor's License'Law for the following reason (Sec[ion ]03L5 Business antl Professional Cotle; Any city or counry which requires a permit to constrvct, alter, improve, tlemolish or repair any structure, prior•to its issuance, also requires lhe applicant for such permit fo file a si9�ed sWtem¢n[ that he/she IS IICPIISEd pplSlldOi LO IbC'pIOV1510l15 O� the ContractoYs Liceuse Law (Chapter 9(commencing with Section 7000) of 'livision 3 of the Business antl Professions Gotle) o� tM1at he/she is exempt ^refrom antl Ihe basis for the allegetl ezemption. Any violation ot Secfion 31.5 by any apDlicant for a permit subjects [M1e applicant to a civil nalty ot not more Ihan five huntlretl tlollars ($500). ❑ I, as owner ot the pro0erty or my employees with wages as their Sole wmpensation, will tl0 the work, antl the SVucture is not in[entletl o� offe�etl for saie (Section ]044, Business antl Professional Cotle: The Contractor's Lirense Law tloes not apply t0 an owner o( a properry wno builtls or improves thereon, ana wno Coes such work himself/herself or throu9h nis or her own employees, provitletl that such improvements are not Intentletl or offeretl for sale. If, however, Ihe builtling or improvement i5 Soltl within one yea� ot com- pletion, the owner will have Ihe burtlen ot proving he/she tlitl not builtl or im- p�ove for t�e purpose of sale). ❑ I, as owner of the property, am exUuSivety contracting with Ilcensetl con- tractorsto constructthe project (Section 7044, Business antl Professions Coae: The Contractor's License Law tloes not aoPly to an owner of property who �builtls or improves thereon, antl who contracts for such projects witb a con- 'Vattor(s) Imense pursuant to the Contvacto�'S Llcense Law). I am awar¢ that proof of thei� Wo�ker'S CompensaCon i urance shoultl be provltletl to me. �� I am exempt untler Section �� B. &�P. C. fo� this reason ' I hereby certify tha �� information is correc . antl state laws relatii SQpldS1VC5 O: Ib15 EI ' inspection purposes. �Siqnature � Drivers' License o S' CMF 0865-46, rev. 30/84 _ Owner have rea� f state that the above antl county ortlinances ereby autho�ize repre- ntionetl P�operty fo� Date .��— �P � ! White - Builtling; Canaty - Applicanp 8PE g202.`j .S1o98 _ TYPE OFCONSTRUCTION NEW ADO ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER AP # L+,� DESCRIPTION OF WORKJUSE OF BLDG. S Main Building: TYPE OF PERMIT GRADING FOUivOnTION ❑ STRUCTURn� T Front I '❑ TENANT ❑ E�ECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER %� PROJECT DESCRIP710N SQ. FT. Z oCCUParvcV C Right CONSTRUCTION TVPE � N VALUATION $ I��C%q g Left ZON[ GRADING CU.YDS. ACRES p�ng. Ref. # Remarks: q/^ e[ � 1 1"'� N Qic _ ni% �e� 2= ll r-S?Z Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks � Gas Service ( Interceptors Kitchen Sink �Lavatories , P—Trap �,RoOf Drains Reinspection Fee $15 Boiler Duct - Under Ground Duct - Sttuctural f> Duct-Ventilating � Exhaust System ❑ Multiple Firepl/Pact BIL ICBO # /Heating System & Ducting ❑ 0-100,000 BTU O 100,000 Reinspectian Fee � $15 Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection � Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Wate� Heater Water Service A uto-W ash Issue Fee I Hood or Type 1 ❑ � Canopy Type I I ❑ Refrigeration System ❑0-t00,0006TU ❑100,000 System fiepair/Alteration Fire Dampers � Registers Issue Fee � $ 3 $ 3 — c/�'7/ '—C �.a.5� '''a � � �/ JCn WGNED '/ SN � Auromatic Washer Consvuction PoleSub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan � F.A.U. Fixture5 Device'Boxes Garbage Disposal Generator �0.5 KW 78k5 3/:�u/u� Accessory Buildin9: 23' �, i Zone R � ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter LJup to 100 amps Merer ❑over100amps Sub Panel Motors �0-7 HP �i %- 8 Inc.Solar 09-15 HP �i6-15+ Pole Light � Range Si9n Standing Sections 5 KW Trash Compactor � � Reinspection Fee �$15 � � Issue Fee - DEVELOPMEN7 SERVIC,F�R�¢U,IF}EljaEpl�� ZoningApprovedHy �� V��/ Date Building Approved By Date Appliption luued BV �� Data FEES � Z O N 1 N G R E Q M T S SUMMARV�F FEES 15 BUI�DING PERMIT $ 1�O — SMIP $ I-" PLAN CHECK $ PERMIT � PLUMBING $ W ±° ISSUANCE $ PLAN CHECK 25% $ Z�S ENERGY P.C. $ ELECTRICAL $ _'L%�� GRADING $ PLAN CHECK 50% g /e 3� MICROFILM $ O MECHANICAL $ TOTALFEE $ Z�j2 3 PLAN CHECK 25% $ � � i ,C�NSTRUCTION AND PLANNING � ' � POOL & SPA � ' �APPROVALS ,Permit#� �'.' Date�, Inspector AppROVALS Permit# Date � Inspector � - 1! �Temporary Elect�ical Service or Pole 52. Pool & Equipment Location � 2: -Soil'Pipe-Undrgrnd. �jj �j'�' L}�J 53. Steel Reinforcement • 3..Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement � j �� 56. Rough Plumbing & Pressure Test �� 6. Electrical UFER Grnd. , ,�� 57. APPROVAL TO COVER-GUNITE , , 7. Footings �• 56. Electrical Conduit-Undrgrnd. �� S q 8 G.N- 8. Foundation �� "� � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trep, 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 -2-� (� �p 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring �-�� .� 67. Fencing & Access Approval 77. Rough Wiring Sign �� 68. APPROV�ED FOR PLASTERING I" 18. Rough Electrical-T Bar Ceiling j� 69. ROOL/$RA SYSTEMS FINAL '" 1 19. Rough Heating & Air Conditioning �.Z_a� �j FIRE DEPT. REQUIREMENT --�� , 20. Rough Factory Fireplace APPROVALS Permit# � I 21. Ducts, in Structure 70. Underground Hydro � � 22. Ducts, Ventilating 71 . Product Piping O Gas ❑ Oil ' 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �` �' 27. Frame and Flashing /YVT� 76. Dry Standpipe '- ' ✓� � 28. Lathing & Siding /� y(d'Q' G.-',. A/= 77. FIXED SYSTEM FINAL• � � � 29. Insulation �.Z�j(F( L�i77 � 78. FIRE PREV. FINAL ' 30. Dcywall Nailing . -Z2-�Q G� HEALTH DEPT. REQUIREMENT -, 31. Plaster Brown Coat �� g 79. FINAL INSPECTION ` +� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric � Notes: 34. Final Heating & Air Conditioning �,u ga� O/ 35. Final Gas Pipe-Test � � ' y� ^'• 36; Hood or Canopy U� ��' �,.v� 37.�Final Factory Fireplace � ��jL�/ 6 ��/,,fjaif/ ' 38. Final Plumbing (� Z� (�,(� -U, ��/I C.{,/r l�s�� - . 39. Water Service-Final '� � ��5�y �7�� 40. Gas Service-Final � � �41. Solarpomestic-Final : .42. Backflow Preventer : � . 43. Backflow Irrigation � � � . 44. Landscape, Irrigation System - 45. Sound Atienuation , � .., • 46. liandicap Regulations � !' � . , 47. FINAL�STRUCTURE & BUILDING /,f�t�� (oGu�' � � , , 48. Special Requirements Completed ' ' 49. Electric Release to Edison � 50. Gas Release to Souihern California Gas Co 1 �� 51. CERTIFICATE OF OCCUPANCY � - . No. �� '� Date � . _ , CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant: Address: � 9 � ( 'l'elephone Number: �i�� P {X{ �! /'c' Ss�6 —O�J / � , F/,�o i �/Tract/Parcel and Lot Number(s): `�� 9� � � �� LocatiAn of�Projgct: `-'`�� P�� '�'• Number of Square Feet of � Residential Space z � x$1.50 Number of $quare Feet of Commercial and Industrjal Space _ � �1 7�,� J Total x $0.25 Total The provisions of Government Code Section 53080 are not applicable, This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. Checks are to be made payable to Newport-Mesa Unified School District. /� %,,�.:o.;�c,.�,yCi �; �'�:-;�tca�w.� Busines Manager Newport-Mesa Unified School District The above representation as to square footage is true. Developer/Applicant agrees that if it is later determined that such representations are not true then this certificate shall - automatically terminate and the appropriate City/County shall be notified. . Date: ,J '- ��'� �� evelope/t-/ Appl�icant �/ / �""L) 0 AVP�icant to �ill in all spaces except Ihase within heavY �ortler lines an0 si9n all aOG�opriale tleclarations. CITY OF COSTA MESAA CONSTRUCTION P�MIT P MIT NO. TRACT NO. LOT NO. UNIT NO. Project Address -5 �/��'1 "�� ' • � 33 � �v3 AppliCant'S Mailing Addfe55 � TYPE OF CONSTRUCTION NEW /aDD ALTERATION REPAI R Own¢r'S Ndme �y'�� 's/ �� S IO-D�� CONVERSION ❑ DEMO�ISH ❑ OTHER C. MC DESCRIPTION OF WORK/USE OF BLDG. Address Arch/Eng. License No. Address Convactor's Name Phone Address (m= �'�g� o City License No. LICENSED CONTRACT00. DECLARATION 1 hereby affirm that I am licensetl untle� provisions of Charte� 9(commencing with section ]000) ot �ivision 3 of the Business 8ntl Protessions Cotle, antl my license is in tull force antl ettect. �icense Class License No. Date Signature WORKERS'COMPENSATION DECIARATION !_hereby affirm that I have a certificate ot consent to selt-insure or a cerU�icate �;Workers' Compensation Insurance, or a certifi¢tl copy thereof (Section .*�'00, Lab. C.) � Volicy No. Company _ eCertifietl copy is hereby furnishetl. Certifietl copy is filetl with the city Builtlin9 Division. Date APO�icant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This seciion neetl not be completetl if tne pe�mit i5 for one huntl�etl ($300) o� less). I certi}y thal in the perfo�mance oT the wo�k for whic this pBrmit is issuetl, I shall not employ any Oe�son in any manne 5 beco e subject to lhG Worker5' o Osa . ws of Califomia. Date C�C�T�,,�Signature • � � NOTI E: Ii, atter making this tleclaration ou sl oUltl become subject to"tne Workers' Compensation provisions of th Labor Cotle, you must forthwith compty with such provi5ions or this pe�mit shall be tleemetl revoketl. CONST0.UCTION LENDING AGENCY I hereby affirm tnat tbere is a const�uction lentlinq aqency fo� the pertormance of the work for whicn this permit is issuetl (5¢ction 3097 ,Civ. CJ Lentler's Name l.entler's Adtlress � OWNER BUILOEN UECLARATION I hereby aftirT that I am exempt from tM1e Contrdcto�'s LicenSe Law for the following reasan (Section 7031.5 Business antl Professional Cotle: Any city or couniy which �equires a permit to construct, alte�, improve. tlemolish or repair any structure, prior to its issuance, also requires the applicant for sncn permit [o file a signetl statement that he/She is licensetl pUrsuant to ihe O�oviSions of the Contractor's License Law (CM1apter 9(commencing with SectionJ000) of Division 3 of the Business antl Professions Cotle) or that he/she is exempt erefrom antl the basis for the allegetl ezemptioq. Any violation ot Section 31.5 by any applican[ for a permit subjects the applicant to a civil .nalty of not more than five huntlretl tlollars ($500). � I, ai owne� of th¢ P�operty o� my employees with wages a5 thei� sole [ompensation, will do the work, antl the structure is not intentletl o� oiferEtl for sale (Sec[ion 7044, Bu5ine55 antl Professiondl Cotle: The Contractor's License �aw tloe5 not apply to an owne� of a propB�ty who builtls o� improves thereon, antl who tloes such work himself/herselt or through his or her own employees, pwvitletl that such imP�ovements are qot intentletl or offeretl tor ule. If, however, [he �uiltling or improvement is sOltl within one yea� of Com- Oletlon, the owner wlll have the burtlen of proving he/she tlitl mt builtl or im- p�ove tor the pu�0ose of sale). r� I, as owner oi the property, am exclusivety mqiraciing with IlcenSetl <on- tractors [o consVuct the O�oject ($ection 7044, BUSiness antl Profes5ion5 Cotle: The Confra<tor'S LicenSe law tloes not apply to an owner of property who �builtls ot imOroveS lhe�eon, antl who contracts fo� such projects with a con- . tractor(s1 ucense pursuanl to the Gontractor's �icenze Law). 1 am aware that �'„1 o,,ro�of o( their Worker'S Compensa[io i a ce shoultl be provltletl to me. '� iA.1 I am exempt under Section �� — B. & P. C. for this reason Date � `�yYy � � Owner � � I M1ereby certify tbat I M1ave reatl t' app catio0 antl state that the above �nformation Is correcL I aqree to compty wrth all �ity antl county ortlinances antl state laws relating to bwi ng construction, antl hereby authorize repre- Sentatives of this t e er on the above-mentionetl p�opertyl fo� in5pection purposes. I �t/ l/ Signature ' ` �`� �� Date / �o Drivers' License 55 � � �� TVPE OF PERMIT LI GRADING LI FOVNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAI ❑ OTHER PROJECT DESCRIPTION 5Q. Fr. oCCUaArvcY— CONSTRUCTION TVPE VALUATION $ ZONE GRA�ING CU. VDS. ACRES_ Remarks: �i /� � �% T%`�1 Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service � Outlets Interceprors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Duct - Under Ground Duct - Structurel Duct - Ventilating Ezhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU � 100,000 Heinspection Fee I $75 CMF 0865-46, rev. 30/84 White - Builtling; Canary - qpplicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laue Fee Hood or Typel ❑ CanopY Typell ❑ Refrigeration System ❑aioo,000aru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES Z 53 $ 3 A.P. # S Main Buildi E T Front B Rear A C Right K Left $ Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers Gas ❑Elec Fan F.A.U. Fixtures Device Boxes OULIQIS Switches Garbage Disposal Generator �0-5 KW � t�8674 4/14/BC Zone ACCessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15�50 KW ❑ 50+ KW Merer ❑up to 100 amps Meter ❑over 100amps Sub Panel Motors �0-1 HP 07 f� 8 Inc.Solar �9-75 HP �16-15+ Micrpuyave Pole Light Range Standing Sections 5-15 KW Trash Compactor eon� TI FEES Z O N I G R E Q M T $ I Reinspaction Fee '$15 I I luue Fee I �$"3�' DEVELOPMENT SERVICES REQUIREMENTS: . 2oning Approved By Date Building Approved By Date Appliption Issuad By DatP SUMMARV OK FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ 7� ISSUANCE S PLAN CHECK 25% $ �� ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ m MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ CONSTRUCTION AND P4ANNINQ,,;, �. � POOL & SPA AfPROVALS Permit # �� Date Inspector AppROVALS Permit # Date Inspector r i .w . 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, � 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 1A. 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 � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 CERTIFICAT,E ISSUED � n 33. Final Electric - Notes: , "' , 34. Final Heating & Air Conditioning ' ' � 35. Final Gas Pipe-Test L� ��.C�p Lglj_ I. 36. �Hood or Canopy � 37. Final Factory Fireplace '�38. FinalPlumbing y-it-� c,�,Fo � • � 39'. Water Service-Final ' • � . � - � 1 ' '�40. Gas Service-Final � "' . 541. Solar poinestic-Final . . ' 42. Backflow Preventer . ' i43._Backflow Irrigation ' �',; � - 'i '�'44. I�andscape9rrigationSystem -•-•" ' . 45. Sound Attenuation ' ' , � 46. Handicap Regulations � . ' 47. FINAL,S,7RUCTURE & BUILDING. . . • �48. Special; Requirements Completed ' 49. Electric {ielease to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No� �� 1� Date _ 27951 n�c2�-�1�p90 s�o• +***90.00 COSTA MESA BUILDING-SAFETY DEPARTMEM P.O. BOX 1200 COSTA MESA, CALIFORNIA WBiE