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Home My WebLink About1970 PELICAN PL - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITY OFCOSTA M C STRUCTIONP RMIT PER TRACT NO. LOT NO. UNIT NO. A.P. Zone Project Address (21- I ii / _ 1 _ L \/ Applicants Maili n A _ Owner's Name 00 It-;/Y�ddress L Z Phon - Address 13A E Main Building: Accessory Building: TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. T Front Z O A Rear N K Right G Arch/Eng. License No. Address TYPE OF PERMIT GRADINGS 1 FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL LJ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU.YDS. ACRES S Left /� A�I �t,� Contractor's N 1 UMI Wh r%D�'3 ) 1\ Address Ima'I'nnl �S I fUL'Ol-k7 City License No. y.J �l e2E LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E Planning Notes: Q M .r S. Remarks: Srg LUZ ea T C I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full /'&ce d effect. yg'_ ` ELECTRICAL FEES �Q ll ' /4t Liveniie//CI L'ppepsg No� Date Y � — Signature ,jf YYL-L1A14+d "'RKERS' COMPENSATION DECLARATION eby affirm that I have a certificate of consent to self -insure or a certificate Norkers' Compensation Insurance, or a casi copy thereof (SectionCooking 31100, Lab. C.�e.s ( riff Policy No. C 1�r1 `f �% Company ❑ Certified copy is hereby furnished. ��Certi tl c 4i d with the city Bytltli�y Div ion �1 / LLCIIVI PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. E350+ KW Bar Sink Showers Backflow Preventer Service Sink Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dishwasher ', Meter El over 100 amps Bathtubs Sewer Connection Dryers ❑Gas '❑Electric Sub Panel ti A Date "/ —rX7 -`7 Applicant /) 11 . 4,L)I EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers Solar Collectors Fan Motors 00-1 HP 01 'A - 8 Dishwasher Solar Piping F.A.U. Inc. Solar ❑9-15 HP 016-15+ (This section need not be completed if the permit is for one hundred ($100) or less). 1 certify that in the performance of the work for which this permit is Issued, shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank _ Fixtures �! Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa - Device Boxes Pole Light NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address Floor Sinks Urinal Outlets Range Gas Service Outlets Water Closet Switches - Sign Interceptors Water Heater Garbage Disposal Standing $eC[IOnS Kitchen Sink Water Service Generator E10-5 KW [15-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or Lavatories Auto -Wash �. IP—Trap Laundry Trays - county which requires a permit to Construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of "' ,, Contractor's License Law (Chapter 9 (commencing with Section 7000) of 'i:-ision 3 of the Business and Professions Code) or that he/She is exempt >� refrom and the basis for the alleged exemption. Any violation of Section i)31.5 by any applicant for a permit subjects the applicant to a civil-' eenalty of not more than five hundred dollars ($Soo). LJ I, as owner of the property or my employees with wages as their sole on, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Cade: The Contractor's License Law does not apply to an owner Of a property who builds or improves compensatiLl thereon, and who does such work himself/her Self or through his or her own employees, provided that such improvements are not intended or offered for Sale. If, however, thebuilding or improvement Is sold within one year of com- pletion, the Owner will have the burden of proving he/she did not build or im- Tvefor the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- traclorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such orciects with a can. tractor(s) license pursuant to the Contractor's License Law). l am aware thatExhaust proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason ROOF Drains / Reinspection Fee $15 Issue Fee $ $ DEVELOPMENT SERVICES REQUIREMENTS: zoning Approved By Date Building Approved By Date Application Issued By Dat Reinspection Fee $15 Issue Fee - $ 3 t. MECHANICAL FEES Boiler Hood or Type 1 ❑ Canopy Type II El- f SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ y''f•.UC� ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $TOTAL FEE $ 15,•X� PLAN CHECK 25% $ Duct - Under Ground Duct -Structural Refrigeration System ❑0-100,000BTU ❑100,000 BTU f Duct- Ventilating System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO -A Fire Dampers Date Owner 1 hereby certify that 1 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 repre- sentatives of this cit to a ter oP the above-mentioned pJo pert y fo Heating System & Ducting [30-100,0000,000 BTU ❑100,00013T Registers inspection Reinspection Fee $15 Issue Fee $ 8 Signal ure 7!J Date i Drivers' License or SS =p _ r•1 ryRT:-•�C_ ( n 1- L_,..•9. .. �JO34390 y'Lj� 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATEt 06/02/89 TIME' R".49 .� CONSTRUCTION AND PLANNING o APPROVALS, Permit # Date Inspector PO 4 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. Forms ' 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, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. - J 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 118 Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. 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 ❑ 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 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:(21Y ( GCf-7-69ao. &6.1> 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 +r+ ('1 40. Gas Service -Final 41. Solar Domestic -Final, Q 42. Backflow Preventer .1 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation,_ 46. Handicap RegulatiorisI 47. FINAL STRUCTURE & BUILDING 148. Special Requirements Completed - 49. Electric Release to Edison -7 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date UWNtK IMI; AP No. LOT Cl TRACT rpqo FIRE ZONE VALUE S INS^eCTIONS Si neture Dae TYPE ir GROUP ZONE .so SUBCONTRACTOR GAS Dat Number Si nature WATER Plumbin ROUGH PLUMBING ^ PROP. SWR. LINE LJ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ❑ ROUGH WIRING Heatima and Vent. TRENCHES 0 FORMSE STEEL REINF. Li FLOOR SYSTEM BOND BEAM STEEL REINFORCE F7 - SHEATHING FRAME AND FLASHING LATHING — IN OUT PLASTER, BROWN COAT STRUCTURAL,FINAL HEI- 'G, VENT., REFRIG. AND A.C., FINAL PL AG, FINAL AND GAS TEST ELECTRIC, FINAL BUILDING, FINAL sa n 046837 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 or Applicant to Fill in Completely — Use Ink Only LDING 70 I/RESS L L.ER F ZL m N RESS TEL. CITY NO. CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT ! 1 TEL. OR EN WEER J L m ADDRESS CONTRACTOR — KO ADDRESS E.1A la s If L E L. CITY NO. STATE TY LIC. O. �J �JO Q LIC. NO. L-3 167 SIZE NO. OF BLOCS OF LOT NOW ON LOT USE OF r�^� EXISTING BLDG. J O Separate permits are required for electric, plumbing and heating work. USE OF BUILDING ;!OK TO BE PERFORMED E 0 V I hereby acknowledge that I have read this application and state that the above Information Is correct and agree to comply with all laws regulating building construction, and I shall not employ any person In violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or I am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. Signature of // / %/ �. Perm lttee Ql. 7/L(/�K✓�.— Authoriiad Agent ^ 41 uma — 40/_ 6389 1,0/05/78 APPLICATION FOR STRUCTURAL PERMIT RECEI DATE RECEIVED rse<c icc„or BUILDING ADDRESS OWNER FIRE ZONE NO.OF / PLANS YARDS APPROVED (F MAIN 91 VAR.+ C.U.P.?I VALUATION 5 �50 D 00 i PERMIT L DATE USE OF NEW-lAPIP-41 BUILDING E1 glA YARDS APPROVED DATE APPROVED 5,50 TL' N n m m m N ON VN UNDER VALUATION IS FOR "ABLISHING A PERMIT FEE ONLY: m PERMIT FEE E . O N PLAN CHECK E m LL TAX E =0 F U ~.a TOTALPAID E 195, Lot ? 1875 a COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA OWNER Pemba Subdividers Inc. RECEIVE MAIL ADDRESS 2850 Mesa Verde Drive BUILDING ADDRESS ITY Costa. Mesa Np,P490395 FIRE ZONE RrHITNfiR E. G. Kaltenbach TE •5478046 APPROVEC DDRESS 1833 E. 17th St. Santa Ana [,: v W IIS _ %I( 'Q �( _ONTRACTOR LEGAL STATE 187318 TEL. ' LIC. NO. NO, ' SIZE-- 70X100 NO. OP BLDGE. 0 OF SETBACK LINE FROM 501 281 CENTER OF STREET REAR YARD 6' 6' SIDE YARD LEFT RIGHT DESCRIPTION OF WORK BUILDING 2 139 SIZE EXTERIOR WALL L rtt KtULIVLD �rAi S l..t>tOt FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RHC[IPT fY DATE RHC[IV$D . DATE ISSUED ZONING NO. OF ^ UBHOPNEW PLANS G BUILDING, EAVE OVERHANG SHALL BE LESS THAN YARDSAPPROVED MAIN BUILDING IOM C/L STREET) III YARDS APPROVED ACCESSORY BUILDING MN III AINABLDGS T I ACCESS' BLDGS. VAR.# DATE o- G House 1,714 sq. ft. Garage 425 sq.ft. Plan 41-A 1 HEREBY ACKNOWLEDGE THAT 1 RAVE 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 VALUATION BUILDING CONSTRUCTION.. b SIGNATURE OF PERMITFEE S PERMITTE sPLAN CHECK 5 33 AUTHORIZED AG ThTAI FFw A