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Home My WebLink About1080 AMERICAN PL - Building Permitss Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CRY -DF COSTA MESA COaNST�R �UUppCTION PER PE MIT NO. xn T ACT NO L T O. UNIT NO. Project Address ' Q I g 61inj �� TYPE OF CONSTRUCTION NEW ADo ALTERATION REPAIR Applicant's Mallin Address A,t /as ❑ CONVERSION ❑ DEMOLISH El OTHER A P Owner's Name p p. V4 Phone AG Address 1--p 0ZIPLiCR0 Arch/Eng. License No. Address Contractor', Name 1=0 (Z -C- II/1 l' Phone Y!!4 W G1- Address (mailing) 41 a 3 e— - `- /•�le City License No. o J�� LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full forcptl eff ct. License Class License License Date Signature --'ORKERS' COMPENSATION DECLARATION ereby affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Policy Lab- f;.) Company. Policy No.`/�� g �"E /N,f. 'CID/7�---T_—�_ ort ifie copy Iyy hereby furnished' JJ A //�� Cert ipe� copy /$ filed -with the city 1 d g 4ill�W0- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). 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 Laws of California, Date Signature NOTICE: It, 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 adeemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance ofthe 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 file a signed statement that he/she is licensed pursuant to the provisions of !,'e Contractor's License Law (Chapter 9 (commencing with Section 7000) of '',ision 3 of the Business and Professions Code) or that he/she is exempt _Nm'n(refrom and the basis for the alleged exemption. Any violation of Section _ 31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her awn employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- rove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buildsor improvesthereon, and who contracts for such projects with a con- tractor(s) Ilcen se pursuant to the Contractor's License Law). I am aware that Proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that I have rea information is correct. I agree to and state laws relating to builtlir sentatives of this City to enter inspection puSgpces2C.1 CYC Signature '-kk�iCCSS tion and state that the above all city and county ordinances t, and hereby authorize repre- OESCRIPTIOy,Q -F WORK/USE OF BLDG. FAN. AF^1. Oft-4/X.•�Q Qi./. i ,RADIIJG SUMMARY OF FEES D•� E Main Buildi TYPE OF PERMITNG �LJy,FOUNDATION STRUCTURAL ❑ TENANT (.(/ELECTRICAL LTJ PLUMBING ❑MECHANICAL ❑ OTHER T R A Front / Rear PROJECT DESCRIPTION SQ.f;; OCCUPANCY - CONSTRUCTION TYPE VC VALUATION$ /?�30� ZONE GRADING CU.YDS. ACRES C S Right Left — ping, Ref. #D, Remarks: Planning Notes: . — V .G Bar Sink Preventer Irrigation Bathtubs Drinking Fountains Floor Drains Floor Sinks Gas Service , Outlets Interceptors Kitchen Sink Lavatories Roof Drains Reinspection Fee $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w Urinal Water Closet Water Heater Water Service 3072 6/28/:0 —oZone Accessory Building: — G J Parking Req./Provided Automatic Washer n' <^ Construction Pole Sub. j Cooking Unit Dishwasher - Dryers ❑Gas ❑Electric F, Fan US - F.A.U. Fixtures // Device Boxes Issue Fee I $ 3 FEES Boiler Hood or Type I ❑ Duct - Under Ground I Canopy Type II ❑ Duct -Structural Refrigeration System Duct -Ventilating ❑0-100,000BTU 0100,000BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Heating System & Ducting [10-100,000 BTU ❑ 100,000 BT Drivers' Li SS �� —T --T— I I Reinspection Fee GMF 0665-46, rev. 4/84 While -Building: Canary -Applicant: Pink -Accounting: Goldenrod -Assessor $15 Issue Fee I $ 3 ELECTRICAL Transformer ❑ 15-50 KW 050+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors 00-1 HP❑1'/:-8 Inc. Solar ❑9-15 HP 016-15+ Microwave Pole Light Il''7./4.TI FEES Z O N I N G R E Q M T S. 7 Switches I Sign Ovid Garbage Disposal I Standing Sections Generator 00-5 KW ❑5-15 KIN I Trash Compactor I I Reinspection Fee, . I $15 I I Issue Fee I $ 3 1 I DEVELOPMENTSERVICE ,RE Zoning Approved By Building Approved By Application Issued By SUMMARY OF FEES D•� BUILDING PERMIT $ SMIP $ PLAN CHECK $ ZL.C PERMIT PLUMBING $ t 0O ISSUANCE $ AN PLCHECK 2594 $ 14.5-40 ENERGY P.C. $ ELECTRICAL �-.— $ GRADING $ PLAN CHECK, 50% $ MICROFILM $ MECHANICAL' $ TOTALFEE $ PLAN CHECK 25% $ 1 1 CONSTRUCTION AND PLANNING' w PPROVALS Permit # Date Inspector PO SPA APPROVALS Permit # Date Inspector I� Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pip'e'-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 UFER Grnd. g J S 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, 11 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 '6 17. Rough Wiring Sign 8. APPROVED FOR•PLASTERING 8� 18. 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 L1 Gas C1 Oil 23. Gas Pipe=Rough & Test 72. Underground Flush 24., Roof Framing 73. Undergrnd. Storage Tank OGas ❑Oil 25! Roof Sheathing L 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and FlashingPu ccPre t"*� /11 76. Dry Standpipe 28. Lathing & Siding y g 77. FIXED SYSTEM FINAL 29. Insulation // 78. FIRE PREV. FINAL 30. Drywall Nailing y- C' 0- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �; Pasg 79. FINAL INSPECTION 32, Electrical Power Meter -Final - .80. FOOD CERTIFICATE ISSUED 33. Final Electric 11 21 No1es:8 / 34. Final Heating & Air Conditioning �� G �, 35. Final Gas Pipe -Test �J/�(,jk L k0 q y(Yy • L�fcPT 4A• t.r,D 36, Hood or Canopy 37, Final Factory Fireplace 38, Final Plumbing pr 39, Water Service -Final IAJ 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 1 48. Special Requirements Completed 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51, CERTIFICATE OF OCCUPANCY. No. Date • r r J-3863 CbSTA MESA BUILDING.SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In .Completely TYPE OR PRINT BUILDING 1018 American Place ADDRESS COSTA MESA. CALIFORNIA FEE RECEIVED FEB 201Mi FINANCE DEPT. APPLICATI®RYF®E OWATMESA BUILDING For Office Use Only PRINCETON RECEIPT NO. PBR IT NOl OWNER INC. MAIL REC VED BY t REp 1 ED DATE ISSUE016i I Oj ADDRESS B 1700 Costa Mesa KIgl15iBUILDING CITY NO. ADDRESS ARCHITECT ar Son, a roo EL COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS Garden Grove FIRE TYPE GROUP Dike CONTRACTOR Dike & Cole rove Inc. APPROVED BY DATE ADDRESS 1533 Baker St. ZONING Costa Mesa ZONE NO. OF USE OF NE CITY _ PLANS BUILDING am w L. LIC.STATE NO. 167293 TENO. KI 9-1151 LEGAL Lot 16 Tr. gar. DESCRIPTION 3934 SIZE ILOT 100 102 I NNO. OF BLDGS. X OF ow ON LOT A. P. NO. none USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LIN& FROM.hw, 45, AANN�I 35 ICENTER LINE 51.1G CENTER OF STREET REAR3YARD FRONT SIDE YARD ILEFT 61 IRIGHT 15t R.SIDE I FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. NEW X I ALTERATION I I ADDITION I REAR 12 FT. IN. REPAIR II MOVING I I DEMOLISH NY PROVED W. L. D. DATE 2-16-61 BUILSIZE DING 1758 3 10 1 > . ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFOR D attached garwze, Plan AR (two living units. Gar. 441 sq. ft IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB 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 37.00 BUILDING CONSTRUCTIO SIGNATURE OF�& PERMIT FEE S _ PERMITTE 17, 18 1 50 $ PLAN CHECK S 5979.00 E•.SG AUTHORIZED AGENT Dike YY TOTAL FEE 39730 liaR ?0-75P ;S:OO 708" COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely 48E ON FOR BUILDING PERMIT ,,//�� f DATE RECEIVED D�4TE ISSUEj� BUILDING P /y// 2 I - / ADDRESS ry PE T 5d — D (01 OWNER NO. DING MAIL ADDRESS RESSZW W TEL.U CITY NO.TRACT I LOT BLOCt Z Q CONSTRUCTION �/ A AREPAIR O N LENDER am J :) BRANCH J In OWNER m J ADDRESS `�� ALUE n ARCHITECT EL 7y 1 TN M J SEC— $ Q OR ENGINEER l UQ FIRE W M ADDRESS ZONE TY E ROUP G //A^J APPROVEDpest ///,t BY DATE tJ 'GV R w W Z J Q CONTRACTOR l!! ADDRESS 6 E2 Zis/• J CC TEL ZONE PLAM PLANS USE OF N W BUILDIN W W Z= CITY NO. Z F STATE CITY LIC. NO. LIC. NO.�X/A YARDS APPROVED MAIN BUILDING YARDS APPROVEC ACCESSORY BUILOI W O j O SIZE NO. OF SLOGS. (FROM C/L ST EET OF LOT NOW ON LOT RONT FT. USE OF /��• C� EXISTING BLDG. �Jrr /R. SIDEJT. FT H SIZE OF NO. OF 2 (%i z NEW BLDG. ROOMS STORIES L. SIDE 3FFT. FT. UEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. FT. J USE OF e DIPG AND WCIFkK TO BE PERF OFED DISTANCE BET. BET. MAIN & 1 a MAIN SLOGS. ACCESS. BLDGS. Q c VAR. # DATE O IL C.U.P. 46 APPROVED HAPPROVED / n �DATE c Z 0 UI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of N the State of California. 1 hereby certify that I am properly licensed as a contractor under SO. FT. e V THE AMOUNT SHOWN UNDER VALUQ.T ON IS the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT'FEEr6' am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. VALUATION PERMIT FEE $ — Signature of 9 Permittee $ / PLAN CHECK $ Authorized Agent TOTAL FEE $ O� •g'�OWNER REWMAM, GEORGE JOB ADDRESS GENERAL COI D' 'o. 115-1 Ameriean Yl. DATE 3-20-75 LUI TRACT hlRt LUNt VALUt b NtRMII II, cCTIONS Si nature Date TYPE 1'V GROUP I ZONE SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number Si nature WATER Plumbin ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING Heating and Vent. TRENCHES Lj FORMS ❑ STEEL REINF. FLOOR SYSTEM BONO BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN OUT PL•RTER, BROWN COAT TURAL, FINAL Electric HL. .NG, VENT., REFRIG. AND P.C., FINAL PLUMBING, FINAL ANO GAS TEST ELECTRIC, FINAL BUILDING, FINAL