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Home My WebLink About3130 DUBLIN ST - Building PermitsAOO�ieant to fill in all spaces except tnose within heavy Doreer Iinas ana sign all apvropriate Eeclantions. CITY�jFCOSTAMESA CONSTJ�RUCTIONPERMIT tProlect Address �� '3 � �Uf]L� n% $'� � G' �i Applicant's Mailing Address � ��64:v �L�,�+�� Owner's Name �N�� '� hone �G� Address 313 � �� %� �Sr. , c, �, . Arch/Eng. . License No. Address � Contrector's Nam —� Phone Address (mai I i ng) —� City Licen� Nn LICENSED CONTRACTOR DECLARATION ' I hereby atfl�m that I am licensetl untler pro�isions of Charter 9(commencing with section 7000) ot �ivision 3 of the Bqsiness antl Protessions Cotle, antl my license is in tull torce antl eftect. License Class license No. Date 519nature WORKERS' COMPENSHTION,DECLARAT�ON 9ereby aHirm chat 1 nave a certificate of corysent to selLinsure or a certiflcate Workers' Compensalion Insu�ance, Or d certifietl cOOY tM1ereof (SeCtion .00, Lab. CJ Policy No. Compaqy BCertifietl copy is he�eby fumishetl. Certitietl copy is iiletl with the city Builtling Division. Date APplicant EXEMPTION FROM WORKERS' COMPEN$qTION DECLARATION (Tnis sec[ion neetl nol be mmpletetl if the pe�mit i5 tor one huntlretl ($300) or less). I ceriify Ihal in lbe pertorman[e ot the wo�k tor which thi5 perTk Is Issuetl, I sha11 not employ any person in any mannar so as to become subject to the Worke�s' Compensa[ion Laws of Calitornia. Date Signature 'NOTICE: If, after making this tleclaration, you snoultl become subiect to the Workers' CompensaliOn provi5ion5 of the 1„abor Cotle, you must forthwith comO�Y wilh Such p�ovl5ion5 or tM1is Oermit SM1all b¢ tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm lhat tM1ere Is a construction lentlin9 a9ency tor tne performance ot the work far which this permil I5 issuetl (Section 3097 Civ. C.) Lentler's Name Lentler's Atltlre55 OWNER BUILDEH UECLARATIOfJ I hereby afflrm that I am exempt from Ihe Contracto�'s License Law tor [he tollowing reason (Settion 7031.5 Buslness dntl Pro(essional Coee: Any ci[Y or county which requires a permit to consfruct, alter, improve, tlemolish or repair any structu�e, priOr to IIS issuance, alm �equire5 the applicant tor suctt permit to file a signetl statem¢n[ that he/she Is IIC@nzetl putsuant to the p�oviSiOns of the Contrac[or's License Law (ChaOter 9.�commencin9 witb Section 7000) o( Division 3 of the Business antl ProfessiOnS Cotle) or [ha[ he/she is eaempt '�eretrom antl lhe basis for the alle9etl exQmption. Any violation of $ection D�by any applicant for a permlt 4ubjects the applicant to a civil e� y of not move Ihan tive huntl�etl tlollars ($500). I, as owner oi the o�operty or my employees wiih wages as their sole compensa[ion, will Oo lhe wo�k, antl Ihe slructure Is not intentletl Or ofteretl for sale (SeGtion 7064, Business antl PrOfezsional Catle: The Conlractor's License Ldw tloes not apply lo an owne� ot a property who builtl5 or improves thereon, antl who tloez sucn work nimseH/herself or through his or her own em0loyees, provitletl that such improv¢men(5 a�e not intentletl o� otteretl for sale. If, OOweveq lhe Dulltlln9 or improwment is soltl witM1in onc yoar ot com- pletion, [he owner will have tne burtlen ol prOvin9 he/She tlitl not buila o� im- prov! �or Ne pu�po5e Of sale). ❑ I, as owner of the property, am ezcluslyely contracting witn Iicensetl con- tractorsto construct the p�oject (Section 7044, Business antl Professions Cotle: The ConVactor's License Law tloes not appry to an owner of property who builtls ar improves thereon. antl who con4acts for sucn projecfs with a con- tractor(s) license purzuant to the ContraC[Gr's License Law�. I am aware that proof o1 their Wo�ker's Compen5ation Insurance shoultl be provltletl to me. ❑ I am exempl under Section , B. & P. C. fgy�ihis rea5on I have reaa this application antl state tnat the above I agree to <omply wi[h dll tlty and county ortlinanGes to builtlin9 construttion,antl hereby authorize repre- � to e r Ron the above-mentioned property tor gS TYPE OF CONSTRUCTION LI NEW L..� ADD LJ ALTERATION IIGREPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OP WORK/USE OF BLDG. �y � — TVPEOFPERMIT GRADING FOUNDATION QSTRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT._.�L+� oCCuaA�gN C�v_� CONSTRUCTION TVPE VALUATION 5/J�2S� ZONE GRADINGCU.VDS. ACRES_ pemarks: Preventer I rrigation Dishwdsher Drinking Fountains Floor Drains Floor Sinks GasService QUtl2[5 Inlercepmrs Ki[chen Sink Lavatories Roof Drains Reinspection Fee � - $15 Duct- Under Ground Duct - Structural Duct - Ventilating - Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0100,000 BTU 0100,000 ISignature Date/Q-23— Drivers' Lic¢ns¢ or SS � I I ReinspeMion Fae I $15 CMF 0865-46, rev. 30/84 Wnite - Builtling; Canary - Applicant: Pink - Accounting: Goltlenrotl - Assassor PLUMBING $IIOWCfS ServiceSink - Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Warer Closet Water Heater Water Service Auto-Wash I�sue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration $ystem ❑0-100,000 BTU ❑100,000 BTU System Repair/Alteration Fire Dampers Registers Issue Fae FEES $ 3 $ 3 A.P. � 5 Main Building: E T Front ' A Rear C Ri9ht K Lett S Plrig. Ref. # Planninq Notes: Automatic Washer Construction Pole S� Cooking Unit D ishwasher Dryers ❑Gas ❑EI Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generator �0.5 KW 2745 I�/23/B5 Zone Build ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter �up [0 100 amps Meter ❑over100amps Sub Panel Motors � a 1 HP 01 Yh - 8 Inc.Solar �9-15 HP �16-15+ Microwave ' Pole light Range �Standing Sections 75 KW� �Trash Compactor � c6o5G 'i: FEES Z O N I N G R E Q M T $ � Reinspection Fee '$15 � � Issue Fee � $ 3 � DEVELOPMENT SERVICES REQUIREMEN7S: Zoning Approved By Date Building Approved 9y Data APPliotion laued BY Data ��'-�3� SUMMARV OF FEES %� BUILDING PERMIT $ �� AO SMIP $� • �v PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENEfiGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ �'� PLAN CHECK 25% $' CGNSTRUCTION AND PLANNING POO', PA APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector . 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-Und�grnd. 55. Electrical Bonding 5. S[eel 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, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O 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. 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 O Gas ❑ Oil 23.'Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Freming 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: � 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 pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING , y 3 �� 48. Special Requirements Completed 49. Electrie Release to Edison 50. Gas Release to Southern Califbrnia Gas Co � 51. CERTIFICATE OF OCCUPANCY No. ' Date OW NER Colle�e Mesa �ompanY• DATE �-16-�b � JOBADDRES3 "�l"�(1 Thihl�in S+.�roc+. BUILDINGPERMITNO. 2�I3 GENERALCONTRACTOR Tlle HAlP. Cp VALUE $ ZO�ZµB•OO L 31} BLOCK TRACT 2({32 Sin�le Res. w/det gar GROUP 7 R. .T TVPE V ZONE RIy FIRE DISTRICT Z82Z INSPECTIONS ' �A�1 DATE SUBCONTRACTOR PERMIT$ISSUED � l/(/�" G'�—SL DATE I NUMBER Foundation Formsand Rough Framing Plumbing, Roug I: Plumbing, Rough Com� Temoorarv Pole _/d..4% I � iQ7 � Heating, Rough ,� Heatin9�Final . � l/,n.r�J �� - /d �.�-.C:< � � -� St. LaY''q,ln1, OutX �"i��t��' � /G'� PI:. in9 �q �;J` Plumbina. Final. Fixtures Complete � �/-/9-i Wiring,Final /y,� � Occupancy �� _ FOFM 210 3M �0�55