The URL can be used to link to this page

Home My WebLink About1083 MESA BLUFF DR - Building Permits-Applicant tofill in all spaces except those within heavy border lines and sign all appropriate declarations. (r] ;ITY-OF COSTA MESA ' CONSTR CTI PERMIT PERMIT : -TRACT NO. ,LOT•NO. c 'UNIT NO. - Sewer Cap , , Construction Pole ❑ Certified copy is hereby furnished. a•"Cert' 'eq, opy,ls/filetl with the'city/iltllnci OJvizipn. Q� - ,- J Bathtubs Sewer Connection Project Address Cooking Unit Date 6 —i Applicant/lY�/:f.f 1 � // "II/✓a� EXEMPTION FROM WORKERS' COMPENSATI N D CLARATION ---- Clarifiers _ _ _Solar Collectors....-. ! -- 'Apo; cam'$ Mailing A res5 / TYPE OF CONSTRUCTION NEW ADD- ALTERATION REPAIR Dishwasher ' _ _ _ ❑CONVERSION "❑DEMOLISH:❑OTHER - q,p,# Owner's Name_ - -Phon DESCRIPTION OF WORK/.USE OF BLDG. Solar TankFan' ' SMIP, Atldress'. S'/�&2 - a - _ _ S Main Building: F.A,U. Date - Signature NOTICE: If, after making this declaration, you should become subject to the Floor Sinks II Arch/Eng:. License No. '- TYPE OF PERMIT GRADING- FOUNDATION STRUCTURAL T Fiont'- Gas Service c Outlets, ' TENANT ❑ ELECTRICAL PLUMBING ❑MECHANICAL8A Fire Dampers { Device Boxes Atldress' f _❑ 0 : ' $ Rear _ Contractor's Nam ' hone77-��7�1' 'OTHER C Right / /C /.(fed �R/ `del fe PROJECT DESCRIPTION SO. FT. OCCUPANCY ' K PLAN CHECK :25% Address (ma I"nnl -//17 - %3r� CON STRVCTION TYPE EVALUATIONS -' $ Left City License No. ZONE GRADING CU.YOS. ACRES Ping. Ref. # LICENSED CONTRACTOR DECLARATION { ELECTRICAL $ I -hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: with section 7000) of Division 3 of the Business antl Professions Code, and -- ' my license is in full ff ce a effect. / �No!�✓ _ E Licens�..CI]ss• -`-- ce oateh-2 /- S'g t ' i PLUMBING FEES - 'OR KERS' COMPENSATION DECLARATION Bar Sink Showers ereby,affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance- or a certified copythereof(Section - -- - - --- "--' -- ' _ 3800, Lab. C. r`/ Backflow Preventer Service Sink I - Automatic Washer Policy No. Q T"�U Company? / (/e1' y/'%. Backflow Irrigation ' Sewer Cap , $ 3 Construction Pole ❑ Certified copy is hereby furnished. a•"Cert' 'eq, opy,ls/filetl with the'city/iltllnci OJvizipn. Q� - ,- J Bathtubs Sewer Connection FEES' Cooking Unit Date 6 —i Applicant/lY�/:f.f 1 � // "II/✓a� EXEMPTION FROM WORKERS' COMPENSATI N D CLARATION ---- Clarifiers _ _ _Solar Collectors....-. ! -- Hood or Type 1' ❑ Canopy' Type II ❑ Dishwasher (Thissection need not be completed if the permit is for one.hundred ($100) or toss). I Dishwasher Solar Piping - System Repair/Alteration Dryers ❑Gass❑ 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 te Drinking Fountains Solar TankFan' ' SMIP, $ Workers' Compensation Laws of California: Floor Drains I Swimming Pool w/Spa I F.A,U. Date - Signature NOTICE: If, after making this declaration, you should become subject to the Floor Sinks II Urinal PERMIT Fixtures Workers'—Compensation-provisions of the Labor Code, you must forthwith 1_ comply with such -provisions or -this, permit' shall be deemed revoked. CONSTRUCTION' LENDING [AGENCY - ' � ,a I hereby affirm that there is a construction lending agency for the performance Gas Service c Outlets, Wates Closet Fire Dampers { Device Boxes Interceptors - Water Heater - $ Outlets ofthe work for which' this permit. is issuedi (Section 3097 CW. C.), Leo der's Name- Lender's Address -"� _ Kitchen Sink r. ;Water Service Heating System & Ducting Switches' OWNER BUILDER DECLARATION PLAN CHECK :25% $ ENERGY P.C. $ 8348 ,6/2086 5.00 TL- Accessory. Buil ding:' Zone Z O N' N G V R Parking Req;/Provided' J E- Q M JUNI to IJ09 $ ELECTRICAL FEES Transformer ❑ 15-50 KW Bob. ❑ 50 + KIN ' Meter ❑up to 100 amps Meter- Dover 100 amps - -' -- - - - I hereby affirm'that I am'ex6mpt from the Contractor's License Law focthe Lavatories ' Auto -Wash Garbage Disposal fallowing 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 Lau6dr ra ,any structure, prior to: its, issuance, also requires the applicant for such permit v y - T.ys t t Generator DD -5 KW ❑5-15 KW _to file a signed statement that -he/she is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law (Chapter 9 (commencing with Section 7000) of - !vision 3 of the Business and Professions Code) or that he/she is exempt Motors 00-1 HP❑l%-8� I I nc. Solar [19-15 HP ❑16-15+ Mirrnwave i 1 1• Range Sign Standing Sections Trash Compactor erefrom 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 penalty of not more than five hundred dollars ($500). 1c ❑ 1,` -as owner of [he property, or my. employees with wages as their sole compensation, will do the work, and the structure is'not intended or offered - - Reinspection -Fee - $15 Issue Fae $ 3 - I ' ' Reinspection Fee $15 ''Issue Fee ( $ _ MECHANICAL -^ Duct- Ventilating — FEES' for sale (Section 7044, Business and Professional Code: The Contractor's' LicenseLaw doeslnot 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 core- plelion,',the owner w lit have the burden of proving he/she did not build or im- DEVELOPMENT SERVICE$REQUIREMENTS: r 2onln9 Approved By _ Date 'Building Approved By Date ' Bailer , Hood or Type 1' ❑ Canopy' Type II ❑ -- - s Duct - Under Ground prove or the purpose of sale). ❑ I,iafsowner of the property, am exclusively contracting with licensed con-' Duct -Structural i Refrigeration System Application Issued By - ' _ Dat c 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(sl license pursuant to the Contractor's License Law). I am aware that , Exhaust System ❑ Multiple ❑ - System Repair/Alteration BUILDING PERMIT $ SMIP, $ proof off their Worker's compensation insurance should be provided to me. ❑:I,am'exempt S. & P. C. for this ' Firepl/Fact. PLAN CHECK$ PERMIT 9�) under Section reason ^ I Blt. ICBO # Fire Dampers { PLUMBING $ [ SSUAN CE CO $ - Data I Owner _ Heating System & Ducting Registers PLAN CHECK :25% $ ENERGY P.C. $ _ hereby certify that I have read this application and state that the above information is correct. I agree to'comply with all city and county ordinances ❑0.100,000 BTU ❑100,000 BTII I l I ELECTRICAL $ GRADING ' $ ' sentatives of.A his city. t erste eupon thh above-mentioned�)property for ' { Inspection p' Signature 'iA date J` 3/'�f� IDr"vt,s':L IcenSe or. SS r Reinspection Fee '$15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor PLAN CHECK 50% $ MICROFILM $ I • i i MECHANICAL $ TOTAL FEE $ Issue Fee $ 3 PLAN CHECK X25% $ .CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector - POC 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. Farms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding _ 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 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. ElectricakFinal 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 191 -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 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:3.3_97 (•,94:TCAleb. 6,60 34. Final Heating & Air Conditioning 5'/7Z X7 6gnC4,_ i9s t%t .20,3 U,.AC. C,wo 35. Final Gas Pipe -Test 36. Hood or Canopy , 37. Final Factory Fireplace na r.7 _ 38. Final Plumbing rn 39. Water Service -Final �1 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer ' 43.TBackflow Irrigation c�] 44.mLandscape Irrigation System c„ 45,%Sound Attenuation 46,'Handicap Regulations ' 47¢FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ,49. Electric Release to Edison - 50:LGas Release to, Southern California Gas Co - 51r CERTIFICATE OF -OCCUPANCY No. _Date