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Home My WebLink About1112 CARSON ST - Building PermitsApplicant to fill in all spaces except those Within heavy bonder lines and sign all appropriate declarations. too CITY OF :OSTA MESA CONSTRUCTION PERMIT " /1i i 4 Ail S T .Apo Kress Slime Applicarrl;s Mailing Address p��' ��q gyner's Name �L'f�gL� sT__ s � r# Phone -LQ Address cA SOA/ Si PERMIT NO. F 3 TRACT NO. y 5oa LOT O. ��o UNIT NO. TYPE OF CONSTRUCTION NEW AD♦p� AyTERATIOWLi Li PfA1R ❑CONVERSION CD DEMOLISH ❑OTHER (( DESCRIPTION OF WORjKQUSE OF BLDG. 10 L IN STPt•LL QONA r TYPE OF PERMIT GRADINGIlqq FOUNDATION STRUCTURAL ❑ TENANT ® ELECTRICAL lG PLUMBING ❑ MECHANICAL ❑ OTHER(/ 1...F 9-PA_ ,F7 i oN r� PROJECT DESCRIPTION Sq. FT. WO CJA AN G6 occuPANCY SFr CONST RUCTION TVPE=M VALUATION$,�DO C1 — 20NE GRADING CU.VDS. ACRES A.P.�6 �Lf/ (�a /5" Zone S E T Main Building: Accessory Building: Z O _U12 Arch/Eng. 16Y QWAIC& License No. Address Front vV A Rear N I Contractor's Nam �' hone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Cooe, antl my license is in full force and effect. C Right N K $ Left G E Ping. Ret. # Parking Req./Provided Remarks: L NON" SMI � y. 'o a' Planning Notes: l.�l M /' 'T S r r F,IG aC t S License Class License No. Date Signature PLUMBING T�•lD�Ptl.A0.%fp FEES p/��y/��"�"' �--__fi�ee`` II ^^ - ✓W✓tM�/t/s-"'-k-•t7 LAO Bar Sink Showers ,ELECTRICAL FEES WORKERS' COMPENSATION DECLARATION I herebY. ffirm that I have a certificate of consent to selftinsure or a certificate Preventer Service Sink � O Automatic Washer Transformer 1115.50 KW Construction Pole Sub. ❑50+KW - of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow 3800, Lab. C.) Policy No. Company Certified copy is hereby furnished. B Certified copy is filed with the City Building Division. Backflow Irrigation Sewer Cap I Bathtubs Sewer Connection O Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit IS for one hundred ($300) 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 be me subject to the Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1X-8 Workers' Co ensal on Laws of Calif la: Date — P x Signature �" t y Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar 1:19-15 His 1.116-15+ NOTICE: If, after making this tleclarafflon, 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 deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097-C1v. C.) _antler's Name Floor Sinks Urinal ' 'z,- Fixtures Microwave Gas Service Outlets ' Water Closett7 Device Boxes Pole Light Interceptors Water Heater I Outlets Range Kitchen Sink Water Service 2 Switches Sign 9 Lender's Address OWNER BUILDER DECLARATION I Hereby affirm that I am exempt from the Contractor'soe Law for the following reason (Section Business and Professionall Code: Any city or county whim requires a permitrmit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also licenses the applicant for SUGh permit nn,of t0 file a signed statement that he/she IS licensed pursuant to the Prey isi0ni of the Contractor's lots License Law (Chapters (commencing with Section Is exempt of Division 3 of the bas Business and Professions Code) or that latShe I5 exompl therefrom and the basis for the alleged exemption. Any violation of Section applicant for a permit subjects the applicant t0 a civil 7031.5 f anyrethan pgn 1. a o/ not more lnan five hundred dollars ($500). r of the property FS I, as owne6111 oewge efs++", will do the work, and the structure ii net inlondetl 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 hlmself/herself or through his or her own employees, provided that such Improvements aro 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- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Cotle: The Contractor's License Law does not apply to an owner of property who builds of Improves thereon, and who contracts for such projects with a con- tractor(s) ncense pursuant to the Contractor's License Law). I am aware that proof 0 their Worker's Compensation insurance Should be provided to me. ❑ I am exempt under Section S. 6 P. C. for this reason Lavatories Auto-Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator 00.5 KW ❑5-15 KW Trash Compactor Roof Drains Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee $15 Issue Fast $ MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENT /O./O� Zoning Approved By Date -�_ `^ 5 Building Approved By TO at0 Application Issued By -• Datecy 3 —!a 8 Boiler Hood or T Type I ❑ Canopy Type II ❑ Duct - Under Ground Duct -Structural Refrigeration System ❑0.100,000 BTU ❑100,000 BTU Duct - Ventilating 11 SUM ARV OF FEE V - BUILDING PERMIT $ SMTP $ a PLAN CHECK $ PERMIT ��` PLUMBING $ ISSUANCE $ t"�' VPLAN CHECK ENERGY P.C. $ �./sE LECTRICAL $.� GRADING $ �� PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ Exhaust System ❑ Multiple ❑ _ System Repair/Alteration _ Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑0.100,000 BTU ❑100,000 Fire Dampers Registers Date ^— — Owner-__)S4.4 hereby certify that I have read this application and State that the above Information is correct. I agree to comply with all city and county ordinances and state laws relating to bW ding construction, and hereby authorize rcore. Sentative5 of this cit to ter upon t above-m nlloned properly for Inspection purposes. i b Z' Reinspection Fee $15 Issue Fee $ VO Signature Date Drivers' License or SS PLAN CHECK 25% $ :MF 0865-46, rev. 10/84 While - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor US UUUUJ071-UU :OY;s 1 1111 1 y4•IJu CONSTRUCTION AND•PLANNING APPROVALS Permit # ♦_ Date ." Inspector POOL & SPA APPROVALS 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 . :' t� 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings •� % 58. Electrical Conduit-Undrgrnd. 8. Fotj�qation �: 59. Gas Pipe, O Undrgrnd., Test 9. Water`Pipellndrprnd i 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System, . 61. APPROVAL TO DECK 11. Property Sewer Line & Nouse 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 L 66. Solar System -Final t, 16. Rbugh 2lectric.N(iring t t 67. Fencing & Access Approval it 17. Rouget Wining Sign �•� 68. APPROVED FOR PLASTERING N,18.,, Rough Electrical -T Bar Ceiling I. 69. POOL/SPCA SYSTEMS FINAL 197 Rough Heating & Air Conditioning FIRE DEPT. hEOUISEMENT APPROVALS Permit # .i 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro -t 22. Ducts, Ventilating 71. Product Piping ❑Gas'•0 Oit-i � y o i 23. Gas Pipe -Rough & Test 72. Underground Flush r n '. 24. Roof Framing 73. Undergrnd.Storage Tank.ElGas ❑Oil / 25. Roof Sheathing 74. Overhead Hydro - ' `- 26. T -Bar Ceiling,(Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing _. 76. Dry Standpipe_ �t 28. Lathing & Siding 77. FIXED SYSTEM FINAL-,; 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT r� 31. Plaster Brown Coat 79. FINAL INSPECTION !t`'; •. 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ~j I 1 r v li 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy ' 37. Final Factory Fireplace - , 38. Final Plumbing- ' 39. Water Service -Final - 40. Gas Service -Final 41 .'Solar Domestic -Final ' 42. Backflow Preventer - 43. Backflow Irrigation • 44. Landscape Irrigation System ' t 45. Sound Attenuation i 46.:HandicapRegulations i ' 47. FINAL STRUCTURE & BUILDING (p 2 ! 48. Special Requirements Completed ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co r- n 51. CERTIFICATE OF OCCUPANCY No. Date X. ' r ER PERKINS "5167 DATE 6-26-78 iN SPEGT10", Si nature Date GROUP V TYPE i ZONE A-1 ool Location SUBCONTRACTOR PERMITS ISSUED n_._ J.. -l__ I Forms 1W Y�l Main Drain Steel Reinforce Elec. Bond Electric Approval to Cover Underground Electric Gas Piping Test C J'tP Plumbing Filtering System Lines Backwash Lines and Recep. Electrical Final Heater and Vent Final Filter System Final Backwash and Recap. Final Fencing Final 0 . G272 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only n.ti BUILDING / / , r i' T OWNER MAIL ADDRESS BRANCH ADDRESS ARCHITE1 TE STATE CITY LIC. NO. LIC. NO. SIZE / NO. OF SLOGS. OF LOT /..�_x ��'j sss�.•BLDG"��`� NOW ON LOT USEnN EXISTING BLDG. SO. FT. m �v Separate permits are required for electric, plumbing and heating work. APPLICATION BUILDING ADDRESS OWNER ERMIT er'53 TU S UE IT NO. BLOCK FIRE ZONE TYP V GROUP APPROVED -/'I- L-7/ )Nk NO. OFUSE OF NE PLATS BUILDING YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING u nrvc�v� n n v o DISTANCE BET. BET. MAIN & 1 t/1Tc� JL�V/N A MAIN BLOCS. ACCESS. BLOCS. [� VAR.* DATE C.U.P. yW APPROVED I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or 1 am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. Signature of /y /7 _ Permittee --LIi ,41 v Authorized Agent In n m i m SO. FT. m �v THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEA CINLY�, VALUATION PERMIT FEE E ° N m PLAN CHECK S o /T $ /5 r TAX E � TOTALPAID $ 7 21356 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA, CALIFORNIA F Applicant to Fill In Completely TYPE OR PRINT O COSTA MESA. CALIFORNIA OWNER IQ1(4) 1 � 2 MAIL O12✓ of f�f. 4 I nYP�-S MAILADDRESS I J FEE RECEIVED. JAN 17► MPT.FIINANCE APrrITAbb NUT BUILDING For Office Use Only RECEIPT NO. PfiI101 IST DATE RX I Eg. .Illi, l` 6 E18 %( A CONTRACTOR e Q -oh -V' C LEGAL D"CRIPTIO L� 01 � JtA3 3 l_ 1 t S ADDRESS/( F Jt A ( CITY V00V1, G I I O- A. P. NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN o _ I '{F 7 30' TO SIDE a REAR P. L. C.TNO. A J NO. z EAVES SIE Z OX NO,OF BLOo6. ALLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED OF LOT O NOW ON LAT USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L 8T EET) SETBACK LINK PROM 3 CENTER OF STREET PEAR YARD FRONT FT. PT. LEFT J I RIGHT R. SIDE FT. FT. SFT. DESCRIPTION OF WORK L. SID6 FT. rREPAIR ALTERATION II ADDITION REAR FT. FT. DISTANCE BET. BET. MAIN 8 MOVING DEMOLISH MAIN BLDGS. ACCESS. BLDGS. VAR.# DATE DING 8 I NO. OF S ZIE I 000 (1 ROOMS C. U. P ?i APPROVED 11STORIES ^� / • / G COVERINGWgL C COSERINO �h) h BYPR DATE UD SE OF ILOIN ND WORK TO BE PERFORMED YDS �5 Z7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN ER VALUATION IS FOR THE AND BTATE THAT B AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL Y ORDI C AND B TE LAWS REGULATING BUILDING CON4 RUCTIO VALUATION // q PERMIT FEE $ CO SIGNATED - PERMITTETE $ m • a 0 O AUTHORIZED AGENT TOTAL FEE $