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Home My WebLink About150 MESA DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO,. ., LOT NO. UNIT NO. CITY OF COSTA MESA A�CONSTR C1T.ION PFIRMIT E3q 1 A.P.# I Zone Project Add'`ess ISO 1v4Q/�y� �l � Vji.L I �gain]� � 1 T�� t S Main Building: Accessory Building: Applicant's 1�ailin Address TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION U REPAIR E Z /g / ,,q f� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front _ Q Owner's Name Iasi* 10". SiM /�(Si Phone DESCRIPTION OF WORK/USE OF BLDG. I A Rear _ N Address TYPE OF PERMIT El GRADING ❑ FOUNDATION 0 STRUCTURAL I C Right N Arch/Eng. License No. K G Address )g(8 CI TENANT ELECTRICAL PLUMBING ❑ MECHANICAL S Left /1 L Cl OTHER R Contractor's Name P'✓G('ag th'll 445soe 7S f/5 PhonaS7-30 Z C Ping. Ref.# Parking Req./Provided E Q Zy e fr40 // 1�l PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: M Address(mailing) 2 / p�Ul /•/A'1✓O',IA_ 047g-7 Z C ON ST RUCTION TYPE VALUATION$ T City License No. Y / ZONE GRADING CU.YDS. ACRES S. LICENSEDCONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: I with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and eft- t. /¢ ELECTRICAL FEES License Class A� lc- No.cit/164 2 Date�� — Signature • PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW 'SRKERS'COMPENSATION DECLA-A wN I I 1 Construction Pole Sub.T.yAw1 0 50+ KW �'I (T reby affirm that I have a certificate of consent to self-insure or a certificate `Bar Sink Showers V 1 1" Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter Duo to 100 amps 3800, Lab. C.) Backflow Preventer Service Sink – Policy No. Company Backflow Irrigation Sewer Cap _ Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified-copy is filed with the city Building Division. Bathtubs Sewer Connection Date - ' Applicant Fan Motors 00-1 HP Di ss-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (Thissection need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U. less). Inc.Solar 09-15 HP 016-15+ I certify that,in the performance of the work for which th permit is Issued I Fixtures shall not employ any person in any manner so a o b me.subject to the Drinking Fountains Solar Tank Microwave Worker5.1 Co Ee — on Laws Of Califo ^Gy - Device Boxes Pole Light DateO — Signature Floor Drains Swimming Pool w/Spa 9 Wor erg'Compensation i tiothis dions of h, you r Cod become subject to forthwith Outlets Range comply such provisions of the Labor ayou et f lh Floor Sinks Urinal comply with ON provisionsNNor this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirmk that there is a permit issuedssue (SectionSefor the performance nCC of the work for which this permit is 3097 Civ. C.) Garbage Disposal Standing Sections � Interceptors Water Heater Lender's Name / ) Generator ❑05 KW ❑5.15 KW Trash Compactor Lender's Address 'v B��" Kitchen Sink Water Service p OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 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 any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains IN ~ Contractor's License Law(Chapter 9 (commencing with Section 7000) of ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee '$-'3" refrom 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). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the propertyor myemployees with wages as their sole Reinspection Fee $15 Issue Fee ZoningApproved Y pp By Date compensation, will do the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved ByDatg..,- License Law does not apply to an owner of a property who builds or improves A liption Issued B - /—�� ••l�] thereon, and who does Such work himself/herself or through his or her own Boiler Hood or Type 0 pp y Date employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of corn- Canopy Type II 0 SUMMARY OF FEES 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 PERMIT $ SMIP $ O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT 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 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. y ELECTRICAL $ ZZ� GRADING $ ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG dk Fire Dampers MICROFILM $ PLAN CHECK 50% $ f) Date owner Heating System& Ducting Registers MECHANICAL $ ZZ SO I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BT TOTAL • FEE $ information is correct. I agree to comply with all city and county Ordinances PLAN CHECK 25% $ and state laws relating to b biding con ruction,and hereby authorize repre- ) sentatives of this c'MM• rtes p the above-mentioned property for 'Inspection purppsQ.j s Signature // Date 7-e-- Reinspection Fee $15 Issue Fee $ 3 Drivers' License or SS qJ. C,1137113—-0037189 TOT „ 0865-46,rev. 5/88 WhiteBuilding; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor " L• Lf cs! rltlG 1i{:9 CONSTRUCTION AND PLANNING PO 'r SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pale 710 q �2% ` 52. Pool & Equipment Location 2. Soi,Pipe-Undrgrnd. / / I� _, 53. Steel Reinforcement Electrical Conduit Utility-Unclrgrnd': 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ` I . 5..Steel"Reinforcemerit •- 56. Rough Plumbing & Pressure Test !v. Electrical OF ER Grnd.- 57. APPROVAL TO COVER-GUNITE 7. Foofirigs 41 58. Electrical Conduit-Undrgrnd. 8.-Foundation �' 59. Gas Pipe, 0 Undrgrnd., Test 9^-Wate-r,Pipe-Undrgrnb. ": 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System -e 61. APPROVAL TO DECK 11.,Property SewerpLine.& House Connection I 62. Backwash & Receptor-Final 12: Sewer Cap :D 63. Heater & Vent-Final 13: Roof Drains 1 ft) 64. Plumbing System - Final 14.rRough Plumbing; 65. Electrical-Final 15:-Rough Electrical-Conduit 66. Solar System-Final 161 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 -r 1. 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 i25. 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 111 33. Final Electric Notes: 34. Final Heating & Air Conditioning _ 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 48. Special Requirements Completed 49. lectric Release to Edison 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY - ' tt No. Date • — • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CO NSTRUCTION PE T E396go A.P.# I zone Project Address /./.5.77 � ..4S Main Building: Accessory Building: Applicant's Mallin Addr ss 1111 - • - __�/ TYPE OF CONSTRUCTION LI NEW LI ADD LI ALTERATION LI REPAIR E• Front Z 7(7 i y4 - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T O ION Owner's Name< �> --�� •'.• a DESCRIPTION 0 WORK/USE G A _Rear yf{>;ti.tED N Address/77 -1. 110 - LL %O.L7 C Right N TYPE OF PERMIT AIDING ❑ FOUNDATION U STRUCTURAL Left Arch/Eng. License No. K ' G Address q,/ ,/ ❑ TENANT X ELECTRICAL ❑ PLUMBING ❑ MECHANICAL • S R Contractor's Nay serif / . i .1' • Phonelr 3 4'd 3 ❑ OTHER .Ping. Ref. # Parking Req./Provided E Q Q_,¢ '/ PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing)37:2 ' ..... 30, Planning Notes: M CON STRUCTION TYPE VALUATION $ City License No. _�,4/"�/� ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION - GG- S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: (/ c?t rte.`Q S• with section 7000) of Division 3 of the Business and Professions Code,and `-�� 4�e'—'l w - 4 my license is in full fo ce and -ffect. 11(9, D �a. / V ELECTRICAL FEES Licen - Cl. s License No f ,- Dat./ ? - .<l• azure s PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW 0 50+KW KE'S' CO PENSATION have ON of consent Construction •Pole Sub. web affirm that I have ate, ante of consent tofi self-insure or a certificate • Bar Sink Showers Workers' Compensation surance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Clop to 100 amps • .00, Lab. C.) State • PoNcy No. _7�a—z{•37-SS Company Ctat FL14-4:1 Backflow Irrigation Sewer Cap _ Dishwasher Meter Dover 100 amps s- Certified copy is hereby furnished. ,-- •-•---- .4 Dryers ❑Gas ❑Electric Sub Panel Certi ed copy is filed with the city B$•i g Divisio . ewe Date ''S et Applican• i��. ...r. �_ Fan Motors❑0-1HP 01%.-6 EXEM 1 N ROM WORKERS'C•T �D ENSATIONECLARATION Clarifiers Solar Collectors - _� (This section need not be complete/he permit is for one hundred ($100) or • F.A.U. ' Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ less). I certify that - In the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave Workers' Compensation Laws of California. DeviceBoxes Date Signature _ Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration, you should become subject to'the - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • Outlets Range - comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign Gas Service Outlets Water Closet 9 I hereby affirm that there is a Permit Issue agency for the performanceCiv. G. of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION 9 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash s� wf]N following reason (Section 7031.5 Business and Professional Code: Any city or �__II county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit . 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 _ 'vision 3 of the Business and Professions Code) or that he/she is exemptFee Reinspection •refrom and the basis for the alleged exemption. Any violation of Section $15 Issue Fee $ 3 131.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: 3 compensation, will do the work, and the structure is not intended or offered Zoning AppBy Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date 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 Application Issued By Date Q pQ employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 {/ 9 sale. If, however, the building or Improvement Is sold within one year of cum- Canopy Type II 0 SUMMARY O F I pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground t prove for the purpose of sale). BUILDING PERMIT $ S :.. ; $ I ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK i 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 00-100,000 BTU 0100,000 BTU PLUMBING C� ISSU E t/5_ builds or improves thereon. and who contracts for such oroiects with a con- __ OPS/ •• tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK ENE $ _.--/- proof proof of their Worker's Compensation Insurance should be provided to me. I ELECTRICAL GRA I�N 'i�' ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO dk Fire Dampers ft13�'fL PLAN CHECK 50% � MIC M $ Date Owner Heating System& Ducting Registers• MECHANICAL $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of ti' city to enter pon t - abov--mentioned property for inspection pu417e Signature i. i i ,e-, Date ,..e.Signature Drivers' se or 55# .• Reinspection Fee $15 Issue Fee $ 3 01 00039937-000399$7 TOT ,�.I r - DATE: CE/09/E9 TII1E' 11'41 0865-46,rev.5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor I -T`.. CONSTRUCTION AND PLANNING PO( SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole, - 1. 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - • . +" 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrhd.- „' 54. Forms • 4. 'Electrical Conduit.Undrgrnd. rr 55. Electrical Bonding - 5. Steel Reinforcement 1 56. Rough Plumbing & Pressure Test - 6. 'Electrical UF ER 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 r, 62. Backwash & Receptor-Final 12. Sewer Cap r I ± . 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 I. V). Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • p19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 50. RoughtF4 ctory. Fireplace APPROVALS Permit# 21. Ducts, iri.Structure 70. Underground Hydro 22. Ducts, Ventilating 'r 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 1_.„:' 72. Underground Flush 24. Roof Framing = 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 'r 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 it: 78. FIRE PREV. FINAL 30. Drywall Nailing ,r HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .. 79. FINAL INSPECTION I 32. Electrical Power Meter-Final // �//f FOOD CERTIFICATE ISSUED 33. Final Electric ` Notes: 34. Final Heating & Air Conditioning 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 • • _-t' • 42. Backflow Preventer .y_! /- : 43. Backflo(n!'Irrigation •�„ / ' 44. Landscape Irrigation System ( !1 .. - _ _i .''�=- 45. Sound'Attenuation ,`V ' 7,__, J.'. 46. Handicap Regulations ; • 't '-! ' t 47. FINAL STRUCTURE & BUILDING C, i G V., , . t • 48. Special Requirements Completed 49. Electric Release to Edison . t ..1 I: 50. Gas elease to Southern California Gas Co It R 51. CERTIFICATE OF OCCUPANCY - No. Date