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Home My WebLink About3003 FILLMORE WAY - Building Permits.to-iil JWe . vV � I � v t7V1ViNl1 V! V� � � � �,�( ''` �5,�, n�sp_s� T ]�FrJ rty � 3003 ��fl•1OKPi W� I �' 1 , G,�y,,��5�r ��q-n -�'�r 5c2eEr�r,�� I-rr�h �G.zTE- �" �v��Q Oc^� of �i � fL2AW00]i �Yz��X 4�� BO�R1�`� � N ° �° P �e� 1ov�+�� °a�� ar .�,,.,c�— m APPR�VED C1TY OF COSTA MESA PLANNING DiVI510N 5UB)ECT TO BLDG. DEPT. REG. NOTE: ADDITIONS, DELETIONS, OR CORR6CTIONS SHALL 6E APPROVED BY THE-PLANNING D1V � 0��; �rN1Mt�oN F�AY�1c�t3Y �Jo( ress •, 3 � � �lr- � �r`-r �- o � y�� g�,Pt� , � n � �� -, 562- 289- 13g`i � a„�I ar��r; �r��c Srx�ff� -r ��1- �{3s-n��i� ,� �f______ P; L�E �/ ��- ( �:�: � � i; . � , , �i ;; � � i� � � , � �� '� ! ��? �� -� -- � _ �- _-_ �- _ _ r g�. �-, - __ � -_--_-- �--_ - � � �'�� ( '_ - �': .r_u^� , � j Ir I' �' �. _r i V � i '!' I? 'i' r, ri -r--==� � i5_,'I �� 1�'' 'I� l'�� - � 'i` � J� ,_ ".' `-� ;( = -�; r, '`� � �i �i � —p.�—�jj" �1.. _ � ` � � �'_ . a L_ i �_ � i� - }. u l .. _,1' J ° � � –�' 7I`�: �'��, s �' a � � ��, _ - __ , I �� ' - � � .l`-� ' i � •�, , „ ' �,'; _ . . i . ��-----� ��1��, - �� , a =�-� � - ----- ; , � � -� �- --,� y- ��., , ,, -�J , , �I �� 1-` _- �1 1 �,1 0 � , � JL - � I � � ,—�-�.-� � �1 ' _��._�1 �. ' 7C—�� d2`.�.G-� � 1 �4- �•'L I_.'�6�4.') �n ��_�,T= ; 1'. .�-yT=i-r' - - _ t ��-_` . -.. �- �� ^_ _-�_L . � .L^.� 1 � rry f I, J � � 0 J J LL F � AOGlicant to (ill in all soaces except those wilhin neavy borGer Ilnes antl si9n all aooropNata eeclaralions. OF COSTA MESA CONS�I�CTION PERMIT PERf�p/T NO.� _, ,�n TRACT NO. LOT NO. UNIT NO. c� Address �� -� / L 4 M �/� t' Hpplicant's Mailing Address A� Owner's Name � 1 C� � S G � Phone ` Address Arch/Enq. Licenu No. Address Contractor's NamP �-fl'� �� G •�O phone 5 3 Z Addresslmailingl�aA�a0 G��}�M��n% li'�t �'3�9�' Ciry License No. �7- 7�' � 9�� LICENSED CONTRACTOR DECLARATION I nereby allirm that I am IicenseU untler pravisionz ot C�arter 9(commencing with seclion 7000) of DIvi5lon 3 Of the Busine55 antl PrOfessions Cotle, antl my license is in full force antl ettect. License Class ' 4�en(5/¢ �No. o Date �� - T' � 5�9 dt ' Q<(��—`(l WORKERS' COMPENSATION DE ARATION 1 hereGy a1Rrm thal I havc a certificate of consent to selt-insure or a certl(Icate of Workers' Compensation Insurance, or a certifietl copy thereof (Settion `00, LaD. C.) licy No. Company L� Certifietl copy Is hereby fumishetl. ❑ Certifled copy is filetl with the city Builtling Divislon. Date APPlicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This seclion neetl not be comple[etl if the permit is for ane huntlretl (E100) or less). I 1 certify tna� in lh¢ Perto�mance ot th¢ work To� whlch tbis pe�m� i55uetl I '�. sball not employ any parson in any manner so as lo becoma 5 ect to t�e '� Workers' Comp�eJ�sat}p LawS ot Cali(o�m�Ji � � Date �fL/J_ �* � Signature �.(:LL11�j_ NOTICE: 11, al[er making lhis tleclara�6n, you snoultl bec e subiect to tne Workeri' COmpenSalion provi5ion5 Ot [he labor Cotle, you must forthwilh tomply witn sucn provizions or [his permit shall be tleemeE revoketl. CONSTRVCTION LENDING AGENCV � I her¢by altlrm that there is a construction lentling agency for the oertormance oi the wark for whlch tnis permit is issuetl (Section 3097 Clv. C.) Lentler's Name - Lentler's Atltlress OWNER BUILDER DECIARATION 1 hereby ailirm ihat 1 am exempt (rom the Contractor's License Law for the followin9� reason (Sectlon 7031.5 Businezs antl Protessional Cotle: Any clty or county w�ich requires a permit to tonstruct, alter, improve, tlemolish or repair any sVucture, prior to its issuance, also requires [be a0��icani for such permit to tile a signed itatement that he/she I5 IitenSetl pursuant to tlte provisions ot tne Cmtractor's License Law (Cnao�er 9(commentin9 witn Section 7000) of Division 3 0l [he Business antl Professions Cotle) or that ne/she is exemOt therefrom antl thE basis for [he allegetl exemption. Any violatiOn Ot $ectiOn ;::;�.�31.5 by any applicant for a permit subjects the applicant to a Uvil "��:nalty ol nol more than tive huntlrea tlollars ($500). i':-J I, as owner ot the property or my employees with wa9as as their sole compen5ation, will tlo the wo�k, antl Ihe st�ucture i5 not in[entled o�-offeretl for sale (Section �044, Business antl Pro�essional Cotle: The Contractor's LirenSe Lnw tloes not apply to an owner ot a property who bulltls or improves lhereon, antl who tloe5 such work M1imselt/�er5elt Or tnrough his o� he� own employees, provitletl Ihat such improvements are not intendetl or ofteretl for sale. If, however, lhe buildin9 or Improvement is soltl within one year of com• pletion, the owner will have the burtlen oi provin9 he/she tlitl nol builtl or Im- prova tor the ourposa oi sale). ❑ I, as owner of the property, am exclusively con[racting with Iicensetl con- tractors to conztruct Ihe proiect (Section 7044, Business antl Protessions Cotle: The ConVactor's License ldw doe5 not apply to an owner of OrOPerty who builtls or Imoroves ihereon. antl who mnVacts tor such oroie<ts with a ron- [�actor(51 license purSudnt m ine ConVactor'S Litense Law). I dm aware Iha[ prooi o� lheir Worker's Compensation insurance shoultl ba provitletl to me. ❑'I am exempt un0er Section B. & P. C. for this reason TVPE OF CONSTRUCTION L7 NE\ ❑ CONVERSION ❑ DEMOLISH D�EH SS PTA N�/ lfff E/r� ASS ADD LJ ALTERATION TVPE OF PEFMIT LJ GRADING LJ FOUNDATION LJ STRVCTURAL ❑ TENANT- ❑ ELEC/T�RICAL ❑ PLUMBING ❑ MECHANICAL ❑�OTHER ��i—�—/l uOF�N6= PRQIECT DESCRIPTION 50. FT..ap�D . FT oCCUPnrvCv— CONSTRUCTIONTVPE VALUATION$ ��5 � ZONE GRADINGCU.VDS. ACRES— Remarki: Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories Roof Dreins Reinspection Fee $15 Boiler Duct - Under Ground Duct - Sttuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact Bit. ICBO dk Date Owner Heating System & Ducting I hereDy c¢rti(y thdt I nave reaU [ni5 application antl state Ihat lha dbove ❑P700,000 BTU �100,0008T informatlan is correct. I agree to comply wiN 1 city antl <ounty orElnances antl state laws relating to builtling construcii ; antl hereby authorize repre- sentatives o/ this city to en r upon roe bove-mentionea property for inspection purpo /�(7' Si9nature �..P��f%�d Date/D//�/iYL Orivers' �i se o 55 � � Reinspection Fee 0865-46, rev. 5/BB White - Builtling; Canary - Applicant; Pink - Accountin9: Goltlenrotl - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection $O�df COIICCLOlS Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Wa[er Closet Wa[er Heater Water Service Auto-Wazh Issua Fee Hood or Typel ❑ Canopy Type I I ❑ FieFrigeration System ❑at00,000BTU ❑100,000 System Repair/Alteretion F ire Dampers Registers Issue Fee �7 A.P. vl`- S Main Buildi R E _ i T Front B Rear �n A i C flight K g . Left _ Ping. Ref. # — Planning Notes: $ 3 FEES Automatic Washer Construction Pole Sub. Cooking Unit DiShwasher Electtic Fan F.A,U. Fixtures Device Boxes Outlets Switches Garbage'Disposal Generator �0.5 KW �5-15 Zone Accessory 8 ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter LJup to 100amps Meter ❑over100amps Sub Panel Motors �0�1 HP �1,Yh'- 8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light ' Range Standing Sections Trash Compactor I Rainspection Fee !$15 I I luue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By 8uilding Approved By _ _ . . _ /� �� O N i N G R E Q M T S. FEES $ 3 SUM�VOO�FEES � BUIIDING PEfiMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ � MECHANICAL $ TOTAL FEE $ J„' v PVINCHECK 25% $ n� 000ia�i�-000ie�za T�-� ��,�� OASE: !0/I1/88 TItIE: 08:54 NSTRUCTION AND PLANNING PPROVALS Permit # 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. ' 3. Electrical Conduit Utilit'y-Undrgrnd. � 4. Electrical Conduit-Undrgrnd. � 5. Steel Reinforcement � 6. Electrical UFER Grnd. ' ' 7. Fqotings � • j 8. Fqundation � 9� Water Pipe-Undrgrnd. 10. Structural Floor System . 11. Property Sewer Line & House Connection 12. Sewer'Cap . ' 13. Roof Drains � 14. Rough Plumbing � 15. Rough Electrical-Cnnduit i6. ROughElectricWiring . ,i . 17( Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling �19� Rough Heating &. Air Conditioning 20` Rough Factory Fireplace �, 21:, Ducts, in Structure " 22. Ducts,•Ventilating 23. G8s Pipe�Rough & Test /� 24. Rpof Framing , � � 25. Roof Sheathing � ' 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing �I 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31.��Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric �"� 34. Final Heating & P,i� �nditioning � 35. Final Gas Pipe-Tes[ I 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final � 40. Gas Service�Final 41. Splar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 4R. Sher.ial Requirements Completed . 49. Electric Release to Edison 50. �as Release to Southern California Gas Cc � 51. C RTIFICATE OF OCCUPANCY No.� Date � = e POOL7 9 Date Inspector qppROVALS Permit # 52. Pool & Equipment Location . 53. Steel Reinforcement 54. Forms � 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE ' � 58. Electrical Conduit-Undrgrnd. � 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. ; 67. APPROVAL TO DECK q' 62. Backwash & Receptor-Final •� 63. Heater & Vent•Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval ' 68. APPROVED FOR PLASTERING 69. POOI/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping OGas ❑Oil 72. Undcrground Flush 73. Undergrnd. StOrage Tank O Gas ❑ Oil 13 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL , 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: : �-1 l Date � Inspector � 0 LOT 2 TRACT 428� �� 6�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COBTA tdEBA. �1-�FORNIA For Applieanf fo Fill In Compiefely TYPE OR PRINT COSTA MESA. CALIFORNIA KENNETH W� KOLL _°'�_o_______'__ %..__' NEWPORT �EACH No�'1I G3ZZ7 TEL. iR NONE No. ------- '_"_"""_'_'_'___'_"'_" cin NEWPORT BEACH LIC.TNO. 6 NO. � - ZP BIZE p 11 NO. OP BLDG oP �or �iV � X �4�j � IRREG. r+ow oH �or USE OP EXI TING BLDG NONE 98TBACI( LINH PNOM cervT[n oP erneer � REAR YARD SIDE YARD LEFT (J � I RIGHT j p� DESCRIPTION OF WORK BUIL4tU1�DR� b�0 SFROOMS 81ZE CS EXTERIOR WALL ROOF COVERING STUCCO COVERII USE OP BUILDING ANO WORK TO BE �EE REGE�VED r r��nNrri��rr� � FlNANCE DEPT. �f I�� OF �OSiA PAESA APPLICATIO R PE MIT BUILDING � For Offlee Use Only neceiyeo er I DA nes/¢rv¢q/ I ��r I�/ �4 �ri BUILDING ADDRH66 COSTA MESA. CALIFORNIA APPROVED ZONING 20N5 MO. OR U68 OP N8W T� C ? 3 I PLANB � I BUIlDINO W _ � L¢OAL L�- 2 3 T,7 Y 1 8! OeBCRIPTION A. P. NO. YARD3 EVEB APPROVED ALLOWED (C8NT8R LINB 6TJ I FRONT S FT. IN. o emc �b rr w 1 HBRBBY ACKNOWlPDG6 THAT 1 HAVE N6M TH�B MPLIGTION �ND BTATB THAT THH ABOVB IB CORPECT ANO ApRE[ TO COM- P�Y WITM ALL WTY ORDINANCHB ANO 8TI1Y8 LAVM 1186YLATNO BYILD�NO CON/TRUGTION. 91GNATURE OF %�/ii /H � //i . � AUTHORIZHD AGENT � �� c FT. �//� IN D'�L V' � DATE I/ //�' L � i� �Q 3 : h° TXE �YOUNT BXOWN UNOBq VALUATION Ip POR TN6 PURP09H OP 88TABL16XIN0 � PeqMIT p8E ONLY. VALUATION / / PERMI7 FEE $ ,TP "� S �/ �� J PLAN CHEGK S ,�O � TOTAL FHE �/ ��