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Home My WebLink About316 BROADWAY - Building Permits0 ( AOP�icant ta till in all spaces except thase within heavY bortler lines anC si9n all aD0/o0��ate tleclarations. .C;�LV7CSP COSTA MESA CONSTRUCTION PE}l�l`- • PERMir r�0. __ TRACT NO. LO7 NO. UNIT NO. Project Address ApplicanYs Mailing Address Owner'sName � Phone?�y'S��LSL Address � Arch/Eng. License No. Address Contractor's Nam Phone Address (mailingl Ciq License No. LICENSEO CONTRHCTOR �ECLARATION I hereby affirm that I am licensetl untle� provisions of Cha�ter 9(commencing with section �000) of �ivision 3 of the Business antl Protessions Cotle, and my license is in tull torce and eftect. License Class License No. Date Si9nature /ORKERS'COMPENSATION DECLARATION hereby aftirm that I have a certiticate o� consent to self-insure or a certificate af Workers' Compensation Insurance, o� a certifietl copY thereof (Settion 3800, Lab. C.) Policy No. Company BCertifietl copy is he�eby fumished. Certifietl copy is filetl with the city Builtling Division. Date APPlicant . EXEMPTION FROM WORKERS' COMPENSATION DECIARATION (Thissec[ion neetl not be campletetl if the permit is fo� one huntlretl ($300) or less). I certify that in the pe�fo�mance of the w fo� whlc his perm�t i5 issuetl, I zhall not em0loy any person in any ma so as to b come sub�ect to the Worker��,,,� C��WW en��Fa,,,fi��on Laws ot Calitor i ' �ate �Signature NOTIC : It, after makinq this Oeclara , ou shOultl come subject to the Workers' Gompensation provisions of t bo� Cotle, you mu5t forthwith comply with such pr6visions or this permit shall be tleemetl. revoketl. CONSTRUCTION LENDING AGENCV '•�j I nereby atfirm that there is a consV uction lentling agency for the oerformance of the work for which tnis permit is i55uetl (Section 309� �Civ. CJ LPntler's Name Lentler's Atltlress � OWNER BUILDER dECLHRATION I he�eby atfirm that Vam ezempt from tM1e Contractor4 License Law fo� tM1e followin9 reason (Section ]031.5 Business antl Professional Cotle: Any city or [ounty whicM1 requires a permit to construct, alter, improve, tlemolish or repair any struciure, prior to its issuance, also requires lhe applicant tor Such pe�mit to fiie a si9netl statement that he/she is licrnsetl pursuant to the provisions of he Cont�a[tor's License Law (Cbapte� 9(commennng with Section �000) ot Jivision 3 of the Business antl Protes5ion5 Cotle) o� that he/sM1e is exempt .nerefrom antl the basis for the allegetl exemption. Any violation of Section ]031.5 by any applicant for a permit subjects the applicant to a civil �enalty of not more than five huntlretl tlollars ($500). .I, as owner of the Oroperty o� my employee5 with wages as their sole Cbmpensation, will tlo the wotk, antl ihe stru[[uve is not intentletl o� ofteretl for sale (Section ]044, Bu5ine55 antl Profe55ional Cotle: The Contractor's License Law tloes not appty to an owner ot a property who builtls or improves the�eon, antl who doe5 such work himself/herselt or throu9h his or her own employees, provitletl that such improvements are not Intentletl or ofteretl tor sale. If, howevet, the builtling or improvement is solC within one year of com- pletioy, lhe owne� will have tM1e burtlen of p/oving M1e/she tlitl no[ builtl or im- I�ror6for the purpose af sale). yl, az owne� of the property, am exclusively contracting with licensetl com [rac[orst6 con5tructthe pro]ect (Section ]044, Business antl PrOfessions Cotle: The Contractor's License Law tloes not apply to an owner of proDerty wno builtls or improves thereon, antl who mnVacts tor such projects with a mn- [ractor(s) I¢ense pursuant to the Cant�acto�'s LlcenSe Law). I am aware tbat proot of thei� Wo�ker'S Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this �eason Date "'»7 <�. Owner �� I hereby certify that I have reatl [his inPormation i5 wrr�cQ I agree to cotpp antl state laws relal6dA to builtlinq,cpn sentatrves ot Ynspaction puri Signature —0 Drivers' LiCens CMF OB65-46, rev. tate that the above d COUO�y OYtlIlIdlICCS aby au[horize �ep�e- ionetl pro0erty for Date-1 ZS �tb� TYPEOFCOItiSTRUCTION LJ NEW LJ ADD LWALTERATION L7REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTH R q p, # DESC IPTIp N OF W K/USE OF BLDG. �e'n�-` u�"� -- - L__ •r--i L /.,� � �'-n/__ L Q�•� }>. ._ 4. S Main Building: a4 yi 'F"i ��. MiK�� ra�r- ��-�-5 E TVPE OF PERMII�,-,/LJ GRA�ING U UNDATION LJ STRVCTURAL T Fmnt ❑ TENANT LIQI E'LECTRIF AL � PLUMBING ❑ MECH/A�NICAL A Rear ❑ OTHER ,(,(A!U GhMnLA-m �d � L. F-�l Lrw�Glt ' PROJECT DESCRIPTION . Fr. �— OCCUPANCY ' C Right CONSTRUCTION TVPE VALUATION $��OO ��$ 5 Left ZONE GRADING CU. YDS. ACRES p�ng. flef. # Remarks: Nn /o Yd inan O JJ i S✓..a i iJv✓ /y� . Planning Notes: 3ar Sink 3ackflow Preventer 3ackflow Irrigation 3athtubs Clarifiers Dishovasher Drinking Fountains Floor Orains Floor Sinks Gas Service . Outlets Interceptors Kitchen Sink 4avamries" P-Trep • ' Roof.D�ains Reinspection Fae $15 Duct - Untler Grountl Duct - SVuctural Duct - Ventilating ExhaustSyscem ❑ MWtiple Firepl/Fact. Blt. ICBO # H,.�e ing System & Ducting ( LJO-700,000 BTU �100,000 Reinspection Fee � $15 White - Builtling; Canary - Applicanp Pink - Acrounting; Goltlenrotl - Assesso� � (t"�Gl,� T PLUMBING Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry TreYs Isue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeretion System ❑0-t00,0006TU ❑100,000 System Repair/Alteration F ire Dampers Registers Issue Fee FEES Automatic Washer Constructian PoleSub. Cooking Uni[ Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator DO-5 KW C 9637 4/29/e,� Zone Parking Req./Provided ELECTRICAI Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑overi00amps Sub Panel Motors �0-1 HP O1'/: - 8 Ina Solar �9-15 HP �16-15+ Microwave Pole Light Sign Standing Sections 5-15 KW Trash Compactor $ 3 I �- Reinspection Fee $75 luue Fee FEES �DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved 8y Building Approved By Application Issued By 4 9`:,,75 T FEES Z O N I N G R E Q M T S SUMMARV OF FEE'S BUILDINGPERMIT $ �9•� SMIP $ 'SD PLAN CHECK $ PERMIT PLUMBING $ �.I.OD �SSUANCE $ PLAN CHECK 25% $ ^ ENERGY P.C. $ E�ECTRICAL $ 3S �S- GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ r%�• �O TOTAL FEE $ P�AN CHECK 25% $ � _� CONSTRUCTION AND�PLANNING. •�• • POOL & SPA APPROVALS •Permit# ..�� Date Inspecto; qppROVALS Permit# Date Inspector 1•. 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test .r' 6. Electrical UFER �,rnd! � 57. APPROVAL TO COVER-GUNITE ,� 7! .Footings �� 58. Electrical Conduit-Undrgrnd. , i 8,'.Foundation �. � 59. Gas Pipe, O Undrgrnd., Test i 9. Water Pipe-Undrgrntl!�• 60. Backwash Lines, P-Trap, � Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final i 12. Sewer Cap 63. Heater & Vent-Final 73. 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 ,1?. Rough Wiring Sign i' � 68. APPROVED FOR PLASTER.ING .i8.i Rough Electrical-T Bar Ceiling + 69. POOL/SPA SYSTEMS FINA'L 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �' � 20. Rough Factory Fireplace APPROVALS Permit#'� r' 21. Ducts, in Structure 70. Underground Hydro ', " ' '�� 22. Ducts, Ventilating 71. Product Piping � Gas ❑�Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush ,. • i 24. Roof Framing 73. Undergrnd.StorageTank,�'Gas ❑Oil ;`' � 25. Roof Sheathing 74. Overhead Hydro ` �C ,- 26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical �` . i. 27. Frame and Flashing , 76. Dry Standpipe �' i �� 28. Lathing & Siding ' 77. FIXED SYSTEM FINAL • � - � i^ 29. Insulation 78. FIRE PREV. FINAL �� '' ' 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT • � i _ 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 MJ� • , '� .ar 35. Final Gas Pipe-Test - • � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ��f� E � 39�. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final ' - i 42. Backflow Preventer . - • 43. Backflow Irrigation ' � 44. .Landscape Irriqation System , ' , 45. Sound Attenuation ' � i � 46. Handicap Regulations t- � � 47. FFNAL STRUCTURE & BUILDING tit- �� rl ..48rSpecial Requirements Completed � I 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co �� 51. CERTIFICATE OF OCCUPANCY j No. Date