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Home My WebLink About1051 CONCORD ST - Building PermitsApplicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. rtrY.OF COSTA MESA CONSTRUCTION PERMIT Project Address 10 S b-NCd(2 Applicant's MailingrAddress Owner's Name +.s s 14. C/Luti•N e.rL �`N Phone;r2;�-7-% Address 14. 197—C!'24- Arch/Eng. License No. Address �j Contractor's Name �1 S�.,ti1 K �> 6[J> ' Phone Address (mailing) 6eAI /t/l[[il-7VC- Lim•%J,1MC City License No. G 3✓?C& 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 Code, and my license is in fv ntl effect. License CIqs n 2 S4 1 Date S9 t r 4 -/ ik� y` WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -Insure or a certificate of Workers' Compensation Insurance, or a certified-cfo-.p�ly,ttheerreof (Section 3800, Lab. f� , 2_ s �T rr s G,� Policy No. Lh/-�' Company []frrtifietl copy !s filedherebwithrthe furnished. Bu' d 9 Dlvisio �/llato Applicant fie' ��/C • 40 `/�• 4 �XEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed it 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. Dale 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 Mnalty of not more than five hundred dollars ($500). 1, 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 .icense Law does not apply to an owner of a property who builds or Improves hereon, 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 efar the purpose of sale). ❑ I. asowner 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. tractors) 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 rea- information is correct. I agree to a inspection/I Signature U — f Drivers' License or SS # above nances repre- 7 TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION RQF ❑ CONVERSION ❑ DEMOLISH ❑ OTH R DESgR I�tT N q.� WORK/USE, F BLDG.��T' LU/ r D fE�a r f ",e 6E4.55 s TYPE OF PERMIT GRADING I FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTIO 50. FT OCCUPAfg Cyr CONSTRUCTION TYPE VALUATION $ ZONE GRADINGCU.YDS. At Remarks: Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories Roof Drains Reinspection Fee 1 $15 Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # Heating System & Ducting 1:10.100,000 BTU ❑ 100,000 BTS Reinspection Fee '1 $15 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool W/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Issue Fee Hood or Type ❑ Canopy Type I I ❑ Refrigeration System 130-100,000BTu ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee R FEES A.P. # S Main Building: 'E T Front ARear C Right K S Left Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric 4014 3/16/87 Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KIN Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 1:10.5 KW 05-15 KW Meter LJup to 100 amps Meter ❑over 100 amps Sub Panel Motors 00-1 HP ❑ 1'/. - 8 Inc. Solar 09-15 HP 016-15+ Microwave - Pole Light Range Standing Sections Trash Compactor 33950 TL FEES Z O N I N G R E Q M T S $ 3 Reinspection Fee $15 1 Issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved 8y //]'�\j�Date Application Issued By (.V,�16,_S Dat ._ ITU BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% $ $ $ $ $ $ $TOTAL $ SUMMARY OF FEES "no'C?D SMIP PERMIT ISSUANI CE ENERGV\P.C. GRADING\ MICROFILM FEE\\ ort- a � � n7 -A -e . �f\ $ ' $ $ $ $ p (% 33 . sC $ 3 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date luspectnr 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 i 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, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 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. POOLISPA 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 IJ Gas 0Oil 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 I_ 44. Landscape Irrigation System= 45. Sound Attenuation 46. Handicap Regulations -- 47. FINAL STRUCTURE &BUIL_)JNG. 6 3� 48. Special Requirements Completed ' 49. Electric Release to Edison i 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � No. • Date _ , Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations CITY OF COSTA MESA PERMIT O. TRACT NO. - LOT NO. BLDG. NO. CONSTRUCTION PERMIT Project Address 10JZ C!2 CO O' TVPE OF CONSTRUCTION Owner P h o n ❑NEW ❑ ADD ❑ ALTERATION Address —L - ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arch/Eng. License No. ❑ OTHER DESCRIPTION OF WORK Address I hereby affirm that I am licensed under provisions Of Charter 9 (com- mencing with section 7000) of Division 3 of the Business and Professions Code, ,a(n{d my license Is In full forty and affect. License Cllaasi p� v' I U nse NO Date/AP-6 — J Signature J / WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self4risure or a certificate of Workers' Compensation Insurance, or a certified copy thereof ( i Upa 9p0 }db. C.). A / Policy No ^/C)%VJ% Company 'S1 �/1 E3 Certified copy Is hereby furnished. 13 -Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This ))sisection ))need not be completed If the permit Is for One hundred S$ cart fy that It the Performance of the work for which this permit Is Issued I shall not employ any person In any manner so as to ecome subjetl� 1__0 thff W,osrkers Compensation La O( II(Oldla. - Date—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 Iending agency for the per. formance Of the work for which this permit Is Issued (Stiction 3097 Clv."C.). ' Lender's Name _ Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exompl from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: Anv city or county which reoulres a permit t0 construct, alter, 'es the applicant for such permit to file a signed statement tnat no censeclpursuant to the provisions of the Contractor's License Law spier 9 (commencing with Section 7000) of Division 3 of the Iness and Professions Code) or that he IS exempt therefrom and the s for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a clvll'penalty sot more than five hundred dollars ($500). I. as owner of the property. or my employees with wages as their a wno ouims Or Improves tnereon, one wno noes sucn work mmsen OF through his own employees, provided that such Improvements aro not. Intended or offered for sale. If, however, the bulidiny or Improvement Is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). E) I, as owner of trio property, am exclusively contracting with licensed contractors t0 c0 nstruct 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 con- tracts from such projects with a contractor(S) llcesnetl pursuant to the Contractor's License Law). ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby cartify that I have read this application and state that the above Information is c rrecl. I agree to comply with all City and county ordinances and dte laws relffi Ing to conatructlpn, and hereby authorize representali yf this dj to _ t upon the abov mar d�o tl property (IS tion r s z 11 it Signature Dat - TYPE OF PERMIT - ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL BOLUMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY _CONSTRUCTION TYPE VALUATION _ ZONE GRADING CU. YDS. ACRES 7127 10/20/8I NING REGULATIONS PLNG. REF. 9P REAR YARD (TO P/L) PKG. SPACE REQ. STREET WIDTH ZONING APPROVED BY SPECIAL COND PROVIDED PARK.FEE 6000 '11L ISSUE FEE ' MECHANICAL PLAN CHECK HEATING SYSTEM AND DUCTING PLUMBING" PLAN CHECK ELECTRICAL PLAN CHECK ' BATHTUBS SHOWERS qQ FT so, FT- - - TOILETS. LAVATORIES URINALS DOUBLE LAVS' - GENERATOR - TRANSFORMER APPLIANCE 0.1 KW_ 10-50 KW_50'+ 1-10 KW KW - KIT.SINKS - SERVICE SINKS - DISHWASHERS I SUMPS - MOTORS (INC. SOLAR) -10-50 0-1 HP_1'-10 HP HP 50+HP FLOOR -SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES - DRINKING FOUNTAINS GAS TUBE SIGNS - INTERCEPTORS CLARIFIERS POLE LIGHTS - SWIMMINGPOOL -"` PTRAP POLES METERED SUB WATER SERVICE ALTERATION PANELS - - MAIN SUB GAS SERVICE OUTLETS SERVICE - AMP - WATER HEATERS - BTU OUTPUT Q SEWER CONNECTIONS " SOLAR TANK .I COLLECTORS ' ISSUE FEE ' MECHANICAL PLAN CHECK HEATING SYSTEM AND DUCTING 0-100, 000 BTU_ 100,000 + BTU _ REFRIGERATION SYSTEM 0-100,000 BTU_ 100,000 + BTU BOILERS BTU SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE ISSUE FEE Drivers' License or SS mss/ . CMF 0865-46 White -Building; Canary -Applicant: Pink -Accounting; Goldenrod -Assessor ISSUE FEE - I PLICATION APPROVED BY DATE FINAL FEE $ G a o SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK is PERMIT ISSUANCE $ PLUMBING $ GRADING $ PLAN CHECK Is - ELECTRICAL ELECTRICAL $ $ MICROFILM $ PLAN CHECK $ TOTAL FEE $ MECHANICAL Is LESS AD- PLAN CHECK S VANCE PC $ FINAL FEE $ G a o 0 CONSTRUCTION AND PLANNING APPROVALS R Date ,•_ 1v�UD\filPeTmit�# Inspector POOL & SPA. •, Date Inspector APPROVALS Permit � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location ' 2. SoilPipe-Undrgrn 44. Steel Reinforcement 3. Electrical Cbndult Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein arce 47. Rough Plumbing & Pressure Test 6. Electrical, UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap. Elndr rn 10. Structural l7 System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection r, Y , -._ 54. Heater & Vent -Final 13. Rough Plumbing 1.' " •'•1-': :'� - 14. Rough ElectricConduit"... r . _ -56. Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure 3F APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. _ POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing NOTES: 22. Frame and Flashing 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 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 No Date 19907 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 217 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE ORPRINT NG KESS 1051 /��A / 61h'1 LA COSTA MESA, CALIFORNIA ■ ARCH E 0 Co. D NO. OF BLDOB. SETBACK LINE FROM CENTER OF STREET [( REAR HIDEYARDI LEFT J I RIGHT DESCRIPTION OF WORK BUILDING SIZE EXTERIOR N COVERING USE OF�UII I HlREBY ACKNOWL AND STATE THAT PLY WITH ALLC BUILDING CON8 IC SIGNATURE PERMITTEE AUTHORIZED AGENT FEE RECEIVED JUN 1 1 1963 P'{RANnOf)E�ff�R. PERMIT MY Fgr 19 EYES SAnly J R. SIDE Y FT. l� FT. r REAR DISTANCE BET. MAIN LDGB. CHIV[D pY _DA =ECEIVE 3 DATEIHBUHD lilt 1 196 DINGRESSAL E TYPE GROUP OVED DATE ZONING NO. OFUBEORNHWSIR kNOTE:NO Fu-'mLwN° 4 6 RIINON. R 4 Tract nnne NO.E: NO EAVE OVERHANG SHALL BE LESS THAN TO SIDE 8 REAR P. L. SWED (U. B. C. REQUIREMENT) ARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING M C/L STREET) NT S 0FT. FT. R. SIDE Y FT. l� FT. r REAR DISTANCE BET. MAIN LDGB. BET. I ACCE VAR.# C.U.P.# DATE APPR APPROVED so. re " 0 9), NT SHOWNUNDER VALUATIONIS FOR THE Of ESTABLISHING A PERMIT MIT F88 ONLY.LY. 59-