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Home My WebLink About1854 FULLERTON AVE - Building Permits _ r PROJECT ADDRESS: 1854 FULLERTON AV� UNIT: • CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05330`_ •. DW,NEISS NAME: FOY, ROBERT ADDRESS; 185FULLERTON AVE PERMIT NO: E 053305 PLAN CHECK NO: 'N GOVT: N SUPP: N COSTA MESA, CA 92627 • CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH ARCH/[NGINEER: 646-5626 REG.ND.: ADDRESS: UNIT: JOB DESCRIPTION : UPGRADE METER SQ FT: PERMITTEE: ROBERT FOY ( 714 ) 646-5626 CLAIM VALUE: CALCI—VALUE: GROUP OCC : / ADDRESS: 1854 FULLERTON AV COMMENTS: X • • C.K. CA 92626 ********* ** **** a6 * ***k*********ti**ac*aExu>E** ** ****,**x•**aru*+E** ******rx-* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7 ONING REQUIR EMEN TS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETH ACK S CITY LIC.: STATE LIC.: CLASS: Date: signature', MAIN BUILDING ACCESSORY BUILDING ----- WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' F RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT ' IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGH T: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REO PROV: PARCEL: 42523319 7NE; REF NO: Certified copy is hereby furnished. ❑ 'Certified copy is filed with the city Building Division. PLANNING NOTES> > . .,die: Applicant: *********1(*************** ***1E3i&*******************?F*************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)or less). D E V E L O P M E N T •S. E R VICES R EQU IREM EN T $ 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 Workers'Compensation Laws of California. ZONING APPROVED BY DATE: • Date: Signature: . .NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BC.UI LD I NG APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. .—: • C CONSTRUCTION LENDING AGENCY: I hereby affirm that(here is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• X . a ` DATE; l which this permit is issued(Section 3097,Civ.C).• ******:*.>s*aRPR :►***-***a:**. 1.i. - • ' ; . **iE******* •* *h4.1** . . LENDER: ************************************Br**Y.**4ETt******************+E**********ii***** ADDRESS: LEGALI?ATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG EMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT . 1850 . repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN - 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). ISSUE FEE 1 5 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 18 . 50 15 . 00 0 . 00 33 . 50 33 , 50 . 00 does not apply to an owner of a property who builds or improved 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 REVENUE DIVISION TOTALS--> COLLECTED:, 33 . 50 OVER/SHORT• ' 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve for the purpose of sale). r BLDF PMT PLUMBING ELECTRIC . MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK • I,.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business c 33 . 50 ' "❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon ' and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware *****-******3C-***?F**********?i***3C*******************I**u*if****}' *******?!.+E*****L^**** that proof of their Worker's Compensation insurance should be rovided to me. INDIVIDUAL F E E BREAKDOWN fst under Section: B. 8 P.C ,.forr this reason: TYPE QTY DESCRIPTIO N • UNIT COST • TOTAL COST Dale: ?'c/ - ?( owner: ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50 { I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Se: 25505.25533•and - END OF FEES • IE 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a / permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from •`//// these provisions. r Date: applicant' • I hereby certify that I have read this applic. on and state That the above information is correct I agree to mply with all city and coun • . ordinances and state laws relating to build'',construction and hereby a •. 'r'rtesentati es of this - enter upon the above-mentlo d . properly for inspection purposes. 01 CC094Z85—00074H2 rt_ -r LATE: OE/09/91 1T;t': '.;5 • Date. / —29'—c Signature: _-� ' Driver's License or Social Security a: . 1641-46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor •CONSTRUCTION AND PLANNING POOP 'PA R Date Inspector Date Inspector •APPROVALS- Permit # APPROVALS Permit # n - ^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, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Uridrgrnd. 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. 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 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 PREY. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final e-)9.1 80. FOOD CERTIFICATE ISSUED 33. Final Electric f Notes: 34. Final Heating & Air Conditioning 35.� Final Gas Pipe-Test 36.?bodor 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. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice,and,as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the pro- posed property improvement.Mes ❑ No 2. I (have/have not) ,/t}L, e signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work,but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted(hired)the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code have completed the above information to the best of my per- sonal knowledge, i co li• w this State law. �/ Signed: Date: C 9/ air Name: (Printed or Typed) C.D.L. # or S.S. # 754-5273 1042-46