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Home My WebLink About1163 PAULARINO AVE - Building Permits PROJECT ADDRESS: 1163 PAUL AR INO Al? ' 2-2 J UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 067463 OWNER'S NAME: LE BLANC, LILA L ADDRESS; 1163 PAULARINO AVE PERMIT NO: P 067463 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA, CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH 714 ) 557-1372 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : C/O WATER HEATER SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC ; R-3 / PERMITTEE: A—AMES PLUMBING 6 HEATING ( 714 ) 530-2440 ADORESS: 10422 TRASK AVENUE COMMENTS: WATER HEATER C/O GARDEN GROVE CA 92642 '1e####>F###>F-x#######1r####*****************x###u###+r--1r###aF#x-###3<-###-x #### ##.##x.###•A LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)et Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY - 006664 pSTATE LIC.:250307 CLASS: C-36 ale- - 2- 94 Signature: el----11----'------ MAIN BUILDING ACCESSORY BUILDING ORNERS'LOMPENSATION DECLARATION: I hereby alfir that lhave acertificate of Consent to self-insure Orapertifipate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT INCompensationscee,2tfifiedcopythereof(Sectn3800.Lab. ) 0 /95��tjEXP.DATE:POLICYND• .: REPUBLIC PARKING RE • PROV: PARCEL ; 14114203 ZNE:ertiY: REF NO: COM ❑ Certified copy is hereby furnished. Certified copy is filed ith the city Building Division. PLANNING NOTES> ` Z` Applicant: L� > ##*****###****##*#**##**##****###**#*****#***##*#*#**#*#*#*#####****#*##**##*# * • DEVELOPMENT SERVICE $ REQUIREMENTSEXEMPTION FROM WORKERS'COMPENSATION DECLARATION: s n need not be completed if the permit is for one hundred 500)or less). 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: BUILDING APPROVED BY NOTICE: If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE : {/J 2 which this permit is issued(Section 3097.Civ.C). ###*#****####*#######***#**####*#*#**r��*#####+E#######+F####+t#1fil WWv*##•/** 1� LENDER: ADDRESS: LEGALIZATION: N F E E S U M M A R Y STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT 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 7,00 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% _ 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 far a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20 . 00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 7 . 00 20 . 00 0 . 00 27 . 00 27 . 00 . 00 ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through • his or her own employees.provided that such improvements are not intended or offered for sate.11,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 27 . 00 OVER/SHORT • 00 improvement cse soldf le). one year of completion,the owner wilt have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose 01 sale). 27 . 00 I.as ofesr of the h, Com etr osis'S tecontracting with licensed not contractorsto to of property the project hbuilds(Seor ov, thereon • ❑ and wo ProfessionsoCode:tfTheh projects with Slate License Law does not applysa to an ownereoof ctors'State icoor improvesIathereon and who contracts for such projects with aaontiactgr(s)license pursuant[oth¢Cdntractors'$tate License Law),I am award #*#x?E#iE##'###############'##1EaF#####*ft#*###############*#**#r-##*SA*****7E*#iF if*{F{[fE### that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL • F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a I permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. • Date'. Applicant: • I 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 and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned pro en for inspection purposes. ae Z', } Signature: efr7101 00161633-00161633 TOT 27.00 Driver's License or Social Security n: y DATE: 06/03/94 TINE: 15:15 1641-46 White—Betiding:Green—Code Enforcement:Canary—ApplicanC Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING Pt,__ & SPA APPROVALS Permits Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 1 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement I�I 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms I { 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 , 1 • 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 t3. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final I , 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 9 I FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping ❑Gas OOil 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. Dry.vall Nailing HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTION I I 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34, Final Heating & Air Conditioning / -7 .f lam. _ •) " • � 35. Final Gas Pipe-Test )C7oA K 36. Hood or Canopy 37. Final Factory Fireplace ) 38. Final Plumbing 6 -Z.-t4.,.` / 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 'r 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date 1 Lor 55 TRACT 14395 16330 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT N,y Jdd, , 11962 P. O. BOX 517 COSTA MESA. CALIFORNIA S FINANCE DEPT. For Applicant to Fill In Completely CIIY OFCOSMTA PP P Y APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING /// �✓J Paid/C�,YnO ADDRESS (O (/ AnrJ(f P COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. ` 1t9 S OWNER K_& K OFVFIAPMTNT _Co , INC MAIL RECEIVbD BY DATE NEC IVSD B ADDRESS 1555 PLA CENT IA AVENUE, /gyp � ��JAS" jsf�o2 CITY NEWPORT BEACH alI 63227 BUILDING ADDRESS C AOR .I EER NONE R EDT TNO. EL COSTA MESA. CALIFORNIA FIRE �// JrADDRESS ZONE TYPE i' GROUP CONTRACTOR K. W. KoLL APPROVED BY DATE ADDRESS 1555 PLA CENT IA AVENUE ZONING CITY NEWPORT BEACH ZONE NO.IPG. S 2. IBUI OPNom.../afttar..,/GQ„ 1 �] IPLANEUSE OF W /aft STA E LIC.TNO. 61195 NO. M I . 6-3227 DESCRIPTION �--0 74- '�-C 77e I" 3 ?.— SIZE ,/i o .// NO. OF SLOGS,OF LOT 43 3 9 G, O 'i� NOW ON LOT O A.P.NO. USE OF YARDS EVES EXISTING BLDG NONE APPROVED ALLOWED SETBACK LINE FROM )/y /•/ „�II -, (CENTER LINE ST.) CENTER OF STREET �/ / REAR YARD of FRONT SQ FT. / IN. SIDE YARD I LEFT 7 / 7 ---.7RIGHT R.SIDE 7 FT. � IN. DESCRIPTION OF WORK L.SIDE FT. IN. NEV. I X V ALTERATION I V ADDITION I REAR Z '3-- Ft - IN. REPAIR I I MOVING I V DEMOLISH I APPROVEDYLCM e�AA DATE I/3o/G�Z' BUILD NG Il ./r J/ NO. OF `W SIZE 4AQ 41.2 SC/r/4ROOMS C/ STORIES 1 EXTERIOR WALL / ROOF '-J /��—.{ P COVERING STUCCO I COVERING OCA" JAMS' 0 USE OF BUILDING AND WORK TO BE PERFORMED / SINnI F FAMI I Y RFSIIIFNCE WITH . Wali° ATTACHED GARAGE . ' PLAN # /A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF H 11/64(---- / PERMIT FEE $ .3.5� c PERMITTEF 1 $ //9 . '7 !T PLAN CHECK $ //Esc it AUTHORIZED AGENT TOTAL FEE $ Sa,.SO O