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Home My WebLink About128 BROADWAY - Building PermitsApplicant to fill in all spaces within heavy border lines and sign all appropriate declarations CITY OF COSTA MESAPE NO. ^ TRACT NO. LOT NO. BLDG. NO. 9139 6/23/82 5.00 CONSTRUCTION PERMIT R7T /(( TYPE OF CONSTRUCTION ❑ NEW ❑'ADD ❑ ALTERATION ❑ -REPAIR ❑CONVERSION ❑DEMOLISH 11 OTHER ' ZONING REGULATIONS Project Address 128 BROADWAY O-ne,pgnATjWAy ApI PhOne5487314 Address ' Arch/Eng. License No. DESCRIPTION'OF WORK _ A.P. $ ZONE PLNG: REF. yp Address Contractor —AMES PLUMBING 6 HTG Phone530 244 TYPE OF PERMIT ❑GRADING ❑ FOUNDATION STRVCTV RAL ❑TENANT ❑ELECTRICAL LUMBING ❑MECHANICA BUILDING C ST. SID TYARD LS IE FT VA Tp g'11 IryG PROPERTY LINE - AddressETBACK R AVEVE GARDEN GROVE LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under Charter 9 provisions of (tom- me n ting with section' 7000) of Division- 3 of the Business and ❑ OTHER RIGHT Professions Code, and my license is in full force and effect. REAR YARD (TO P/L) C-36 250307 License Class License No. PROJECT DESCRIPTION SQ. FT. PKG. SPACE REQ. _ PROVIDED Date313 483 Signature A—AMBS PLfJMBING HTF WORKERS' COMPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEE $ I hereby affirm that I have a certificate of consent to self -Insure ora VALUATION ZONE ZONING APPROVED BY GATE certificate of Workers' Compensation Insurance, or a certified copy - - - - thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES SPECIAL CONDITIONS: 'icy NovnA'ln�r0 Company FREMONT . Certified copy is hereby furnished. REMARKS: �ertified copy is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neednot be completed if the permit Is for one hundred ($100) or less). , I 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 _ PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers' Compensation Laws of California. - BATHTUBS SHOWERS Date Signature NOTICE: If after making this declaration, you should become subject TOILETS URINALS- — GENERATOR 0.1 KW_ 1-10 KW to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS' APPLIANCE 10-50 KW_ 50+KW revoked. KIT. SINKS- - DISHWASHERS MOTORS- 0-1 HP -1-10 HP - CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the per. SERVICE SINKS SUMPS - (INC. SOLAR) 10-50 HP 50 t HP formance of the work for which this permit is Issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES ' Civ. - - - Lender'sName r's Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS ' OWNER BUILDER DECLARATION - - hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS ' the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL PTRAP - - Any city or county which requires a permit to construct, alter, POLES METERED SUB WATER SERVICE ALTERATION PANELS MAIN SUB Improve, demolish or repair any structure, prior to Its issuance, also re- quires the apLllcant for such permit to file a signed statement that he GAS SERVICE OUTLETS SERVICE AMP Is licensed pursuant to the provisions of the Contractor's License Law 9 (commencing with Section 7000) of Division 3 of the E`Chapter 9 usiness and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT ' is for the alleged exemption. Any violation of Section 7031.5 by - SEWER CONNECTIONS -- - applicant for a permit subjects the applicant to a civil penalty aot more than five hundred dollars ($500). SOLAR TANK - COLLECTORS U I, as owner of the property, or my employees with wages as their sale compensation, will do the work• and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - - Contractor's License Law does .not apply to an Owner of a property ISSUE FEE 3 00 APPLICATION APPROVED BY DATE ' who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not MECHANICAL PLAN CHECK intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner will have (tie burden SUMMARY OF FEES , Of proving he did not build or improve for the purpose of sale). HEATING INGDUCSYSTEM HEATSYSTEM 0-100,000 BTU BUILDING - ❑ I, as owner of the property, am exclusively contracting with AND PERMIT $ SMIP $ licensed contractors to construct the project (Section 7044, Business 100,000 "BTU PLAN CHECK $ PERMIT and Professions Code: The Contractor's License Law does not apply to ISSUANCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such protects with a contractor(s) licesned pursuant to SYSTEM GRADING $ the Contractor's License Law). 100,000 + BTU PLAN CHECK $ ❑ I am exempt under Section - B. & P. C. for this $ BOILERS BTU ELECTRICAL $ reason REPAIR, PLAN CHECK g MICROFILM $ Date Owner_ SYSTEM ALTERATION EXHAUST SYSTEM MULTIPLE MECHANICAL $ TOTAL FEE $ LESS AD- 1 hereby cern read this p1' anon and state that the above in Inf�atEis torte a9 co tply with all city and county PLAN CHECK $ $repn ortln aws rel ting cnstruc on,antl he ya glyzeVANCEPC of this Cit t et the a m tjtfi etlprot or i ti pu — . 5m SIgBa re C/// ISSUE FEE- - -• - FINAL FEE $ - Drivers' License r 5 � CMF 0865-46 %Nhite-Building: Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL - CONSTRUCTION AND PLANNIN f APPROVALS Permit =P �3�� Date Inspector POOL & SPA,, APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole '•� 43. Pool & Equipment Location • Y • - - - 2. SoilPipe-Undrgrn 44. -o .-.. v. Steel Reinforcement • ' 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE- ' '•'' 'j 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test_. 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra 1 ❑' ndr rn 10. Structural Floor System 52. APPROVAL TO DECK ' ` ' -` ` 11. Property Sewer Line & House Connection 53. Backwash & Receptor -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 9. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing NOTES: 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 iir , E 30. Final Gas Pipe -Test 31. Final Plumbing - 32. Water Service -Final 33. Gas Service -Final ' 34. Solar Domestic -Final 35. Landscape Sprinkling System '- 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY rr No. Date