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Home My WebLink About591 FAYETTE CIR - Building PermitsAPp��cant to fil� in all CITY OF COSTA MESA CONSTRUCTION PERMIT Address Address Contractor Address..2 within heavy boraer lines antl sign all aoD/oPriale tleclaralions. _ TRACT NO. LO'T NO. �BLDG. NO. L/j • TVPE OF CONSTRUCTION PhOne .�/ � ❑ NEW ❑ ADD� ❑ ALTERATION ❑ REPAIft ❑ CONVERSION ❑�EMOLISH License NO. ❑ OTHER . _ . � _ DESCRIPTION OF WORK C I hereby atfirm that I am II<enseG untler provisions of Charter 9(com- menting wlth 5ettlon ]000) of Division 3 ot the Bu5lness and Protessions CoCe�ntl my Iicense is _in tull fortq anC effect. License Class Licens o. Date ��' �� Slgnature WORKERS• COMPENSATION DECLARATION ' I hereby aftirm that I have a certlficate of consent to selt-insure or a certificate of Workers' Compensation Insurance, or a certifietl copy thereof (Sectlon 3800, Lab. C.). n _ / P- �NO�CS/i7117:iE ComPanY "�SY�'/ � tlfietl topy is hereby furnf5hetl. " -"'" ' L. _:rtifietl capy is tiletl with the city Builtling.DiviSion. EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (This settion neetl not be completetl if the permit Is for one huntlretl (5300) or less�. � cert(ty that n the per(ormdnce of the work for which Ihis permit I5 issuetl, I shall not employ any person In any manner so as to become subjett to t�e Workers' Compensation Laws of Callfornia. Ddte $I9ndturG NOTICE: If after making this tleclaration, you shoultl be<ome subject t0 th¢ Wotkers' Compen5ation provizions of the Labor CoOe, you mu5t to�thwith comply with suGh p�ovl5ion5 0� this perTit Shall b¢ tle2metl /¢vOkeO. ' " - - ^_ONSTRUCTION LENDING AGENCV I hereby df(IrM that tnere I5 a,construction lentling agency Por th¢ p2rv formance ot the work for whith Ihis.permit is issued (Sec[ion�309T. Civ. CJ. /�f0/1%C LCntl¢!'S Ndm2 Lenaer's Atltlress OWNER BUIL�ER DECLARATION I. hereby atfirm that I am exempt irom.the Contractor's �Icense Law for the tollowing reason (SeCtlon 7031.5 Busine55 antl Profe55ions Cotle: Any city or county. which requires a permit to construcq alier, improve, tlemoli5h or repdir any structu�e, prior to its isSuanC¢, also re- quires the applicant for such permit to tile a signetl statement that he Is licensetl pursuant to the provisions of the Contractor's License Law (Chapter 9(commencing with Se<tion 7000) of Division 3 of the BuSin¢55 antl Pro1¢Ssions COtl¢) or that M1e is exempt theretrom antl th¢ bas" `or the alle9etl exemption. Any violation of Settion ]031.5 by an �lirant for a permit subjecis the applicant to a civil penalty of more than five huntlretl tlollars ($500). ❑ I, as owne� of the Orop¢rty, or my employees with wages a5 thei� sole compensation, will tlo the work, an0 the structure is not Intentletl or offeretl for sale. (Secilon 7044, Business antl Protessions Cotle: The Cont�actor•5 Lit¢ns¢ Law tloes no['apply to an owne� of d property wh0 builtl5 O� imp�oves Ihereon, antl who tloes Such work himself or throu9h his Own employ¢E5, provitleC that such improvement5 are not intentlea o� offered tor sale. If, however, the builtlinq o� improvemen[ is soltl within one year-of comple[ion, tM1e owner will have tne burtlen o( proving he tlitl not builtl or improve for the purpoze of sale). ❑ I, as owner of [he Oroperty, am exclusively conVactinq with licensetl �contrac[ors to constru[t Ihe projec( (Section 7044, Busin¢55 antl Professions Cotle: The ConVactor's License Law tloes not appty [o an owner of property who builtls or improves thereon, antl wM10 con- traCts f�om such project5 with a wntracto�(5) lic¢Snetl pu�suant to the Contractor'S License Law). .. . ❑ I am exempt untler Section B. & P. C. for this reason Date Owner I hereby certify tM1at I have reatl this ap0lication antl state that the dbove information is co�rect. I a9ree to comply with all City antl county ortlinances antl ate laws relatinq to construction, antl nereby authorize re resenta[ives f this cit to t � upon the above mentionetl propPrty for I ec[lan oses P Siqnature� //D, �C oate �' J- � _ Orivers' Litense or 55 TVPE OF PERMIT ❑ GRADING ❑ FOUNDATpIO�N ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL Kv.PLUM8ING ❑MECHAN ❑ OTHER PROJECTDESCRIPTION . SQ. FT. OCCUPANCV_CONSTRUCTION TYPE VALUATION ZONE GRADING CU. YDS. ACRES REM PLUMBING PLAN CHECK BATHTVBS SHOWERS TOILETS URINALS LAVATORIES DOUBLELAVS KIT. SINKS DISHWASHERS SERVICESINKS SUMPS FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS SWIMMING POOI WATER SERV ICE GASSERVICE WATER HEATERS SEWER CONNECTIONS SOLARTANK SOIAR PIPING SVS. ISSUE FEE FLOOR DRAINS CLARIFIERS PTRAP ALTERATION OUTLETS BTU OUTPVT COLLECTORS MECHANICAL a�Arv cHEi HEATINGSVSTEM 0-100,0008TU_ AND DUCTING 100,000 + gTU _ REFRIGERATION. 0-100,000 BTU. SVSTEM 100,000+gTU_ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAVSTSVSTEM MULTIPLE ISSUE FEE CMF OBfi5-46 White-Builtlin9: �nary-Applicant; Pink-Accounting; Goltlenrotl-Assessor A.P. � ZONE B D� SETBACK C/L ST. LEDE VARD SIDE VAR RIGHT REAR VARD (TO PKG. SPACE REQ. 8960 1.2/02/81 8,00 IING REGULATIONS PI.NTGp. REF. � - PROPERTV LINE PROV IDEO ' PARK FEE $� ZONING APPROVED'BV� SPECIAL CONDITIONS: ELECTRICAL VLAN CHECK GENERATOR 0-1 KW_1-30 KW TRANSFORMER . APPLIANCE 10-SOKW_50+KW MOTORS 0-1 HP_3-30 HP (INC.SOLAR) 30-SOHP SO+HP FIXTURES OUTLETS SWITCHES ' GAS TUBE SIGNS POLE LIGHTS . � 'PANELS MAIN SUB . SERVICE AMP ISSV E FEE APPLICATION APPROVED BV SUMMARY OF FEES BUILDING PEftMIT $ PLAN CHECK S PLUM6ING § �,OO PLAN CHECK $ ELECTRICAL $ PLAN CHECK $ MECHANICAL $ PLAN CHECK S SMIP PERMIT ISSUANCE GRADING DATE S— $— $— $ MICROFILM $ - TOTAL FEE $ - LE55 A�- � VANCE PG $ FINAL FEE E �� , CONSTRUCTIUN F1ND PLANNIN p POOL & SPA •• APPROVALS Permit # < Date Inspector qPPROVALS Permit # � Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil ipe-Undrgrn - 4. Steel Reinforcement 3. Electrical Conduit Utiiity-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn - 48. APPROVALTO COVER-GUNITE 7. ootings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra � ndr rn 10. Structural Floor System 52. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection . 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough Electric-Conduit �56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final • - 16. Rough Heating & Air Conditioning • encing & Access Approval ' 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test. 60. POOL/SPA SYSTEMS FINAL � . 20. Roof Freming � ' ' 21. Roof Sheathin ' . . ' 22. Frameand Flashin NOTES: � � _ � _�z � 23. Insulation � � � 24. Lathing & Siding � 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final � 28. Final Electric � � � � 29. Final Heating & Air Conditioning � � 30. Final Gas Pipe-Test - � 31. Final Plumbing 32. Water Service-Final � 33. Gas Service-Final 34. Solar pomesticFinal .� I -C� . - ' 35. Landsca e S rinklin S stem � 36. Sound Attenuation � ' ' 37. Handicap Regulations - � 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison - � 41. Gas Release to Southern (;ylifornia Gas Co. ' ' 42. CERTIFICATE OF OCCUPANCY No Date r 2794 I o�c z�-�,P-a "no sv�,* ****90.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7P00 C08TA MEBA, CALIFORNIA 926Il8