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Home My WebLink About1086 EL CAMINO DR - Building PermitsApplicant to fill in all spaces_ except those within heavy is CIT t COSTA MESA• CONSTRUC RMIT -� 'PtRMIyyuo. _ TRACT NO. r "pct Address 0 SS Applicant's Mailing Address Owner's Name �t� Phon 0m Address ��Edh EL I%LP Arch/Eng. - License No. Address ��'��/p��''�' ' 'Contractor's Nam K 1 Phone. B! 61 Address (mailing, �'�.r1'� G ��•'d/�' ��R,tvy,�.�] City. License Na CT��e-- _�✓'� 7 �� LICENSED CONTRACTOR DECLARATION xd I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Pro fessyyo ns Cotle, and my license is in full fp antl / ' /. , \ License las LiceI No / o / Dat77 e— Signature \ WORKER COMPENSATION DE RATIO \ ^reby affirm that I have a certificate of consent to self-insur or a c rtificate Norkers' Compensation Insurance, or, a certified co y t erect (Section ✓olicy No. rl/•yl� i ompap llk\• Certified copy Is hereby furnished. C r if, y' f' with the cit i i ate{%`��//�-y Applicant EXEMPTION ROM WORKERS' COMPENSATION DECLARATION (This section eetl not be completed if the permit is for one hundred ($100) r less). . 1 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 taws of California. Date _ Signature '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 OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or 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 flip a caned statement that he/she is licensed pursuant to the provisions of --vision 3 of the Business and Professions Code) or that he/she is exempt 'efrom and the basis.for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the. applicant to a. civil .alty of not more than five hundred dollars ($500). _ LJ I, as owner of the property or my employees'withwages as their sole compensation, will do the work, and -the structure Is not intended or offered for sale '(Section 7044, Business. and Professional Code: The Contractor's' 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 Sale. If, however, the building 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- ra for the purpose of sale). , as owner of the,property,Iam exclusively contracting with licensed con. tractors to construct the project (Section 7044, Business and Professions Codei The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects -with a con- tractor(s) license pursuant to the ContraCtcr's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑•1 am exempt under Section ' B. &.P. C. for this reason Date Owner 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 5pryltr uction, and hereby authorize repre-, sentatives gf� this City to enjkr rdp 1r/ the above-mentioned property for' ;I Signatur 12 AAw/A k" Drivers' L cense or SS # GMF 0865-46, rev. 10/84 White - Building; Canary - Appl iO l / 1// - lines and sign all appropriate declarations. 7T NO; UNIT NO. TYPE OF CONSTRUCTION - LI NEW LJ ADD LJ ALTERATION . LJ REPAI R ❑ CONVERSION ❑ DEMOLISH .❑OTHER - D RIP N OF W R /USE L -Automatic Washer - Transformer El15-50KW Construction Pole Sub. El50+:KW Backflow Irrigation Sewer Cap-' Bathtubs Sewer Connection TYPE OF PERMIT LJ FOUNDATION ❑ STR02TURAL ❑ TENANT 1:1 ELECTRICAL' ❑ PLUMBING ❑ MECHANICAL ❑ OTHER DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By PROJECT DESCRIPTION S1¢p/��FT N 0CCUpAN Y 7y,�� CONSTRUCTION TYPEAlai(17P IU1 rT+1 VALUATION $/ ZONE GRADINGCU.YDS. ACRES Remarks: F.A.U. Inc.Solar 119-15 HP 016-15+ FEES 'S Main Building: E T Front ARear C. Right SLeft Ping. Ref. # Planning Notes: 2162 10/15/85 Zone Accessory Building: - Parking Req./Provided 5'¢50 TL Z O N I N G R E Q M T S Bar Sink Showers ELECTRICAL .FEES Backflow Preventer - Service Sink -Automatic Washer - Transformer El15-50KW Construction Pole Sub. El50+:KW Backflow Irrigation Sewer Cap-' Bathtubs Sewer Connection $15 Cooking Unit Meter El up to 100 amps Clarifiers Solar Collectors $ 3 Dishwasher Meter El 100 amps _ Dishwasher Solar Piping DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By Dryers ❑❑ Gas Electric Sub Panel Drinking Fountains Solar Tank Fan Motors ❑0-1HP❑1%*-8 Floor Drains Swimming Pool w/Spa BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL i PLAN CHECK 50% MECHANICAL PLAN CHECK ; 25% F.A.U. Inc.Solar 119-15 HP 016-15+ - - Floor Sinks UrinalFixtures - -� - Microwave - - Gas Service Outlets . Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches Sign Lavatories . Auto -Wash $ 3 Garbage Disposal Standing Sections P -Trap Laundry Trays - Generator ❑0-5 KW 115-15,KW Trash Compactor Roof Drains i I i - Reinspection Fee $15 pune� Duct ,Under Ground Duct - Structural , Duct - Ventilating ' Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # Heating System & On 110-100,000 BTU El 100,000 BT -�I I r' Date �_ Reinspection Fee .ant; Pink - Accounting; Goldenrod - Assessor $1 Issue Fee [,- 1ANICAL Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System - 110-100,000 BTU ED 100,000 BT System Repair/Alteration - Fire Dampers Registers Issue Fee I $ 3 Reinspection Fee $15 Issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL i PLAN CHECK 50% MECHANICAL PLAN CHECK ; 25% SUW4ARY $ $ $ $ $i $; $ • $ . F FEES SMIP PERMIT • ISSUANCE ENERGY P.C. GRADING . MICROFILM, TOTAL FEE I $ $ $ $' $ $ I, I SV I I I $ 3 NSTR UCTION AND PLANNING �,- Date ROVALS Permit # - Inspector POOI - SPA APPROVALS Pe Date Inspector 'W1 . Temporary Electrical Service or Pole i 52. Pool & Equipment Location r" 2. Soil Pipe-Undrgrnd. - - 53. Steel Reinforcement ' .'3. Electrical ConduivUtility-Uncirgr;d. 54. Forms .� ',4. Electrical Conduit:Undrgrnd. - • .v 55. Electrical Bonding 5.• Steel Reinforcemeni, , ', y 56. Rough Plumbing & Pressure Test . -6• Electrical LIFER Grnd--.� 'C 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, ❑ Undrgrnd. -10"Structural Floor System, ,. •-� 61. APPROVAL TO DECK +) 99.'Pro0erty Sewer Line & House Conng&ion 62. Backwash & Receptor -Final ,12. Sewer'Cap •� - -� Y 63. Heater & Vent -Final -r^. � 13. RoofDrains Y --' 64. Plumbing System -Final ; • 14. Rough Plumbing �• :� 65. Electrical -Final ' 15. Roudh Electrical -Conduit_ 66. Solar System -Final _ 16. Rough'Electric Wiring 67. Fencing & Access Approval _ 17. RoughjWiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Rougl 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 0Gas 0Oil 23. Gas Pipe -Rough & Test -72. Underground Flush, - - - 24. Roof Framing rL - 73. Undergrnd. Storage Tank ❑ Gas ❑ Qil 25. Roof Sheathing - 74. Overhead Hydro 26.T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashirig 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 Nofes: - 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 7G 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - - 51.'CERTIFICATE OF OCCUPANCY No. Date COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 817 COSTA MESA, CALIPORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING p� ADDRESS 1086 E2 Camino pr* COSTA MESA. CALIFORNIA r'RV ® MAIL �U Del Mar SIZE NO. OPBLD OF LOT 1 R 1 NOW GN LG$Pdne USE OF None EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET 1 REAR YARD 23' SIDEYARDI LEFT 1 I RIGHT 6t DESCRIPTION OF WORK CD APPLICA,JION F R PERMIT FIN ,AN(Bulib`i&I CITYFVjO.ftjA1AWF6n1y RHCEIFT NO. 11VE7 BY TiDARHCEIVeD DATEISSUED APPROVED ' ZONING ZONE NO. OF UeHOFNEW $].n am. PLANS — BUILDING / 'E: NO EAVE OVERHANG SHALL BE LESS THAN TO SIDE Sc REAR P. L. APPROVED ES .OWED (U. B. C. REQUIREMENT' YARDSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDING IOM C/L STREET) garage. 483 S.F. MAIN S VAR. # 4 DATE SIZE S11 11 1 ^11 ROOMS6 ST RIES 1FVAA APPROVED EXTERIOR WALL wOOdI ROOF Shake COVERING - COVERING / DAT -22-V USE OF BUILDING AND WORK TO BE PERFORMED dwellingSingle fanily w attached garage. 483 S.F. N . SD. FT. � 1 HEREBY ACKNOWLEDGE THAT I•HAVE READ THIS APPLICATIONNT SHOWN UNDER VALUATION IS FOR THE S AND STAT H THAT THE ABOVA IB CORRECT AND AGREE TO COM.OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND BTATH LAWS REGULATINGBUILDING CONSTRUCTION. SIGNATURE OF a Compa PERMIT FEEPERMITTE -.00 PL: AUTHORIZED AGENT QL� E