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Home My WebLink About1134 CHARLESTON ST - Building PermitsCr •' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CIT.'' F COSTA MESA CONSI1T^RUCTION PERMIT S Pro 'AAddress 'pplicant's Maung,9]d�dress Owner's Name p -p`, -I ��t Phone Address Arch/Eng. License No. Address Contractor's Nam hon%a—_ N Address (mailing) �`� � . alaGlk VN City License No. K-3-? _ LICENSED CONTRACTOR DECLARATI I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in fu {force and effect. License Class License No. L > Date Signature WORKERS'C MPENSATION DECLARATION ( ' hereby affirm that I have a certificate of consent to seH-insure or a certificate of Workers' compensation Insurance, or a rtified copy thereof (Section 3800, Lab.�) : Policy NJ sem . 1 St1�_L� Com P. Ct�11lr�, I�YiPim✓i r4y Certified copy is hereby furnished. sJ Il Ce tifietl copy is filed with the city Bu'Idi; g•Di vision. Date �.—. Applicant EXEMPTION FROM WORKERS' C PENSATION DE ARATION (This section need not be completed if the permit is for,,2.ng 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 subject to the Workers' Compensation Laws of California. Data Signature 'NOTICE: If, 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 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 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I 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 the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for Sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im. prove for the purpose of sale). ❑ I, 1s owner of the property, am exclusively contracting with licensed con. tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- tractor($) license 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 read this information is correct. I agree to tempt and state laws relating to building con! sentatives of this city to enter upon inspectionpdip se . Signature Drivers' Li ens or S � IF 0865-46, rev. 10/84 White - Bumf that the above Inty ordinances uthorize repre- I property for 16 -_�Xa CYQ I I I APR 28 TYPE OF CONSTRUCTION LJ NEW LJ ADO LJ ALTERATION MEPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# ?;ofIII DESCRIPTION OF WO USE OF " - - ° � tl 10 SF1 '�j f ��, L�� Y�Z��r Il -3 L{ [�y S Main Building: Ipccessory "•tl±i1g' TYPE OF PERMIT G OUNDATION GTSTRUCTURAL T Front ` ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER iROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right C ,NSTRUCTION TYPE Q.epnnG VALUATION$ I+s4`C:(i S Left ZONE GRADING CU.YOS. ACRES Ping. Ref. # Parking Req./Provided Remarks: I Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers rinking Fountains loor Drains loor Sinks as Service Outlets Kitchen Sink Lavatories P -Trap Roof Drains Reinspection Fee 1 $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO * Heating System & Ducting ❑ 0-100,000 BTU 11100,000 BT Reinspection Fee ; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Laundry Trays Issue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,000BTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES ELECTRICAL Automatic Washer Transformer .❑ 15-50 KW Construction Pole Sub, f 050+KW Cooking Unit Meter ❑up to 100amps Dishwasher _ Meter. Dover 100 amps Dryers ❑Gas ❑Electric Sub -Panel Fan Motors ❑ C -1 -HP ❑ 1 A - 8 F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ Fixtures Microwave Device Boxes Pole Light Outlets Switches Garbage Disposal Generator ❑0-5 KW 115-15 KW Sign Standing Sections Trash Compactor FEES Z O N I N G R E O M T S $� Reinspection Fee -1-$15- Issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By Date Datey...gh Data BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMM ZQY $ $ $ $ $ $ $ $ OF FEES SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTALFEE $ r5� --1 •�-'v ' $ 3 L3'lVSTRUCTION AND PLANNING PPROVALS ' Permit # Date Inspector PL ;SPA APPROVALS Permit # Date Inspector . 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 6. Electrical UFER Grnd. 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, O 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 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 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 OGas El Oil 23. Gas Pipe -Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank ❑Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 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 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 45. Sound Attenuation 46. Handicap RegulationsJA 47. FINAL STRUCTURE & BUILDING 01 r 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PRWECT ADDRESS: 1134 CHARLESTON ST OWNER'S NAME: PREBRLE ADDRESS: SAME AS ABOVE ARCNIFNCINEER: 714/560-1555 ADDRESS: REG.NO.: UNIT: UNIT: PERMRTEE: MAID PLUMBING (714)568-1.555 ADDRESS: 1780 E. MCFADDEN SANTA ANA CA 92704 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code. and Ilcense a in full force and effect. CITY uC.:046527 STATE uc.:J93597 cusS:C.-20 Date: -a, !gz> Signature: . WORKERS' COMPENSATION DECLARATION: I hereby affirm that) QaceNficate of ent o sell -insure or a certificate of Workers' 'ompensation Insurance, or a certified copy thereof (Section 3800, Lab. C). rouCYNO.:0791700-89 EAP. DATE: 01/0.1/91 CDMPANY: STATE FUND y�SK � ❑ Certified cott77pp�l'yy is hereby famished. �' Candied copy Tiled win the ciry`\O LATAI1Ctl,\\rt}Di>.\slon. Date: a — V "�b Applicant: Z� I v7 IXEM"MN FROM WORKERS' COMPENSATION OECIANATION: (116 self . head nil be mnpeteo N it. pemdl is far one honored ($1011) a less). I certify that in the performance of the work for which this pennon is issued, I shall rpt employ any person in any manner so as to became subject to the Workers Compensation Lam of California. Date: Signature: NOTICE: If, after mating this declaration, you should became subject to the Workers Compensation provisions of the Labor Cade, you must forthwith Comply with such provaions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that 1 am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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 at the Contactors State License Law (Chapter 9 (commencing with Section 70110) o1 Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the prop or my emWoyees with wages as their sole compensation, will do the workand the structure a rot Intended or offered for sale (Section 7044; Business and ProfessionalCode: The Contractors State License Law does not apply to an owner of a property who bulls or improves thereon, and who does such work himself/herself or through his or her own employees. provided that such Improvements are not intended or offered for sale. IL however the building or improvement is sold within one year of Completion, the owner will have the burden of proving he/she did riot build or improve for the purpose of sale). I, as owner of the property am exclusive N contracting with licensed contraclors to Construct the project (Section 7044, Business ❑ and Professions Code: The Contactors Sate License Law does not appy to an owner of property who builds or improves thereon and who contracts for such projects with a contraclar(s) license pursuant to the Contractors State License Law),I am aware that proof at their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Sedon: B. S P. C. for this reason; mr. I do hereby ceniy, that I a 25534 and that I or any fut permit for construction or these provisions. Owner: m aware at and understand the requirements of Calilornia Health and Safety Code Sections 25505, 25533, and ure building occupant wilUwill not (circle one) need to comply Win said state codes and the requirements for a modification from the Air Duality Management District. Residential construction applications are exempt from Date: Applicant: I hereby Cenity that I have read this application and stale that the orm intmhon a correct. I agree to comply wth all city and county nces ordinate am reatinp to budmxii ding stnon andhereby re rues of then aty to enter upon the above- boned grope �ly))lo 'ns d purposes. DateOk Signature: Driver's License or Social Security x: 194146 white—Building; Graen—Code Enforcement; Canary—ApplicanC Pink—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 046000 PERMIT NO: M 046000 'PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPTION ; REPLACE 1-80,000 BTU FURNACE SQ FT: CLAIM VALUE: CALL -VALUE: LEFT: GROUP OCC: / COMMENTS: Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL:'141.691.08 ZNE: REF NO: PLANNING NOTES> D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY I DATE - APPLICATION APPLICATION ISSUED DY: DATE: �T7 APP KATION#ISSUEN####DATE: *z/ t�F'# �FiF## #INNIIO#OIOOOTOONIIIONOOIONOIIOIIIOIIOIOOTINONOO#IN#INIII#IIONIIIOITOIIIOOO#IOD LEGALTZATION :N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 9.00 258 SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE. TOTALS ---- > 9.00 15.00 0.00 24.00 24.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 24.00 OVER/SHORT: _00 BLDG PMT PLUMBING ELECTRIC MECHANIC_ FIRE SMIP/TOT GRADING PLAN—CHECK 24.00 ITTNNIIIIx##N###x###N###Nx#INITNNITNITIIIIT#NITN##NII###OOT#I#I#INII#IN###%NIx'# I N D I V I D U A L F E E B R E A K 1) O W N TYPE QTY D E S C R I P T I O N. UNIT COST TOTAL COST MEC 1 INSTALL FORC/AIR FURN <= 100 K BTU/1I 9.00 9.00 EMD OF FEES AL 01 00053674-00053674 TOT 24.03 DATE: 02/08/90 TIME: 12:20 CONSTRUCTION AND PLANNING. APPROVALS Permit # Date Inspector . JOL & 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 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe•Undrgrnd. _ 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL 70 DECK 11. Property Sewer Line & House rk 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 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test _ '72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Moriocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REOUIREMENT 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 p rs"-r (✓� 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 45. Sound Attenuation - - 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 21387 FEE RECEIVLD COSTA'MESA BUILDING -SAFETY DEPARTMENT JAN 17 "' P.O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.& -Z2 nl� �� For Applicant to Fill In Completely APPlLICAfICIN rne F R TYPE OR PRINT BUILDING For Office Use Only BUILDING ADDRESS 1134 Charleston 16,(f RICK]" NO. L9 COSTA MESA, CALIFORNIA I I � RccelVSO BY I pwT7ECTE1V(r A IOMAIy SIS�U 1964 1 D FIRE ARCHITECT!� TEL. OR ENGINEER C. Hiller NO.KE52007 ahem ZONING t"GAL NO. OP 8[O EW PLANS BDIL Bonser Const. Inc. 939 Las Flores TION N NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 1• NEL. 16 2 Y NO TO SIDE a REAR P. L. (U. S. C. REQUIREMENT EAVES ALLOWED 60x11 nO. OF BLDGB. NOW ON T YARDS APPROVED MAIN BUILDING _ YARDS APPROVED ACCESSORY BUILDING BLDG. 00 NEFROM STREET REAR YARD 51 (FROM/ REET) FR NT FT. FT. DESCRIPTION OF WORK ■ E BET. BET. MAIN Q G$. ACCESS.BLDGS. REPAIR MOVING DEMOLISH DATE BUILDING NO.OF SIZE ROOMS STORIES APPROVED EXTERIOR We1y ROOF COVERING SLUG.CO COVERING shingle 11. �Wv� A DATE /-/�-'` USE OF BUILDING AND WORK TO BE PER si le fam, res. w. att. ar. rAR � / - b/ N SO. FT. T1 HEREBY ACKNOW a THAT AVE READ THIS APPLICATIONMOUNT SHOWN UNDER VALUATION 18 FOR THE AND STATE THA HE A B CO ECT AND AGREE TO COM.SE OF ESTABLIEHINO A PERMIT FEE ONLY. O PLY WITH ALL ITY ORD C AN STATE LAWS REGULATING ONBUILDINGCO TRUCTIO . Ov NPERMITFEE FPERMITTE $G. OSIGNATURE OD00 7Zs LAUTHORIZED i AGENT O oa