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Home My WebLink About3077 COOLIDGE AVE - Building PermitsApplicant to fill in a11 spaces exceot those within neavY bortler �ines antl sign all apOropriate tleclarations. CIT�QF COSTA MESA CO S:TR_ T ON PERM T PERN� NO. TRACT NO. LOT NO. UNIT NO. P.rolect A�ldress � O �� _ \ � ��Applicar : Mailing dress Owner's me � Phon � Address Arch/Eng. License No. Address ConVactor's Name Phone Address (mailin9) • City License No. LICENSED CONTftFGT00. DECLARATION I hereby affirm [hat I am licensetl untler provision5 of Charte� 9(commencin9 with section 7000) ot OiviSion 3 of tne Business antl Professions Cotle, antl my�license is in f W I force antl effect. �icense Class License No. Date Si9nature WORKERS' COMPENSATION DECLARATION I bereby affirm tbat I have a certificate of con5ent to sel�-insure or a certiticate �Workers' Compensa[ion Insurance, or a cer[ifietl copy thereof (Section 0, LaD. CJ iicy No. Gompany eCertitietl topy is hereby furnishetl. Certitied copy is (iletl with the city Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (Thissection neetl not be completetl if the permit is tor one huntlretl ($300) or less). I ce�lify that in Ihe pe�fo�mance ot the wo�k for which thi5 pe�mit is issuetl, shall not employ any pe�son in any man r so as b,come subject to t Workr q�9� a�tion Laws of Califor i Date �/_'�J��Signature NOTIC If, after making this tle<laratio , u shoultl become subj to the Workers' Compensation provisions of the bor Cotle, you must torthwith comply with such provi5ion5 or [hi5 permit Shall� be tleemetl revoked. CONST0.VCTION�LENDING AGENCV 1 nereby aHirm that there is a mnstruction lentling a9ency tor the pertormance of the work for which this permit is is5u¢tl (SeCtion 309] Civ. CJ Lentler's Name Lentler's Atltlress OWNER BUILDER DECLARATION I hereby affirm lhat 1 am exemo� from the ConVactor's License Law torthe following"reason (Sectlan 7031.5 Business antl Professional Cotle: Any city or county whiGh r¢quires a pe�mit to construct, alte�, improve, tlemOlish ot repai� any structure, prior to its issuance, also requires the applicant (or such permit �lo file a Si9netl statement that he/she is Ilcensetl pur5udnt to the provlsions of the Con[ractor's License Law (Cbapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Cotle) or that he/she is exempt aretrom antl the basis for Me alle9etl exemption. Any violation of Seciion 31.5 bv anV aDO��cant tor a pe�mit SubjEcts the 7ypli¢ant to a civil ialty oi not mor I, as owner of coae�etiou. will License Law tloes nol apply to an owner of a properry who builtls or improves thereon, antl who tloes Such work himself/herself or through his or h¢r own employees, provitletl that such improvements ate not intentletl or of(eretl (o� saie. If, howeveq Ihe builtlinq or improvement Is soltl within one year of com- pletion, tne owner will have tM1e burtlen ot proving he/she tlitl not builtl or im- prove forthe purpose of sale). ❑ I, as owner of the property, am ezclusively contraGting with licensetl con- [ractors to construct the project (Sectian 7044, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner ot property who Ouiltls or improves thereon. antl who contracts for such oroiects wlth a con- tractor(s1 license pursuan[ m me Contractor's Li<ense Law). I am aware that proof of iheir Worker'S Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for thi5 reason � . II G�r.L'tillT.T� thisllpplication antl state (hjt the above omplq with all city antl couR[S' ortlinances construction, antl hereby authorize repre- upon the above-mentione0_ qropert/ for 519nature � ..Drivers' License 55 TVPE OFCONSTRUCTION U NE ❑ CONVERSION ❑ DEMOLISH DESCRIPTIQfgOF WORIS/USE OF„ J ADD LJ ALTERATION LJ REPAIR OTHER -,.,. ,� TVPE OF PERMIT VLJ GRADINIY LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHEIi PROJECT DESCRIPTION Si7. FT. oCCUPa.NCQv CON STRUCTION TVPE VALUATION $ �y�D� — 20NE GRADINGCV.VDS. ACRES Remarks: Sink Preventer Irrigation Jrinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct- Under Ground Duct - Structurel Duct � Ventilating . Exhaust System ❑ Multiple ❑ FirepVFacc BIL iCBO # ^ Heating System & Ducting ❑0.700,000 BTU Ot00,0008T Reinspection Fae � $15 0865-46, rev. 5/88 White - Builtling; Canary � APPlicant; Pink - Accountin9; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auco-Wash � Isue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeretion System ❑0-100,OOOBTU ❑100,OOOBTU System Repair/Altera[ion Fire Dampers Registers laue Fee $ 3 FEES $ 3 A.P. # S Main Buildi E T Front B Rear A C Right . K g - Left Ping. fief. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Bozes Outlets Switches Garbage Disposal Generator O0.5 KW OS-15 Zone Accessory Building: 2 O N 1 N G R Parking Req./Provided E Q M T S. ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over700amps Sub Panel Motors OO-1 HP O� Inc. Solar �9-15 HP Microwave � � Pole Light Range Standing Sections Trash Compactor � Reinspection Fee !$15 I I Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Building Appraved By• FEES $ 3 SUM�� RV^�'l FEES /l BUILDING PERMIT $ � SMIP $ . S�/ PLAN CHECK $ ��'C�IIV WISO,7p��ry{�}�;1 PLUMBING $ NCE r $ PLAN CHECK 25% $' ENERGV P.C.� $ ELECTRICAL � $� T d�ING $ PLANCHECK 50% $ (�MICPOFILM $ �� '� MECHANICAL $�, "T-- 'iTOTAL F.EE $ _� `� PLAN CHECK 25% $ ' E � � -:1, CONSTRUCTION AND PLANNING POOL � Date Inspector t Date Inspector � AP,PROVALS Permit # APPROVALS Permit # �„ E 1. �.}�Orary Electrical Serviceor Pole �,� 52. Pool & Equipment Location '_ _.i• 2. Soil Pipe-Undrgrnd. i�- 53. Steel Reinforcement �"� +�^ 3rElect�ica6Conduit UtilitY-Undrgmd. ~ 54. Forms � 4. Electdical Cond'uit�Undrgrnd. � 55. Electrical Bonding �� . .. 5..Steel:Reinforcem,ent 56. Rough Plumbing & Pressure Test 7 � 6:�.E2ctrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE •� �. �+ � �1 h .I 7:-Footings „�.'-r 58. Electrical Conduit-Undrgmd. ' =`�; . '8'jFourMa lion , y� 59. Gas Pipe, O Undrgrnd�, Test :; j� �9,_WatenPipe-Undrgrnd. �� 60. Backwash Lines, P-Trap, O Undrgrnd. t';�� ' 10:'Str`uctur�l Floor System -�� 61. APPROVAL TO DECK � 11. Property�Sewer Line & House Connection � 62. Backwash & ReceptoF-Final :„; .-' •� 1. . , 12.;Se`wer,CaP :.»-' -...,/+ -�� ,,._. 63. Heater & Vent-Final � '�. 1'3. Roof!Drains �y � � t � 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 .-s. (.17� Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Elrectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough tieating & Air Coniiitioning FIRE DEPT. REQUIREMENT 20." Rough F.actory Fireplace APPROVALS Permit # 21.� Ducts, in�Structure 70. Underground Hydro r• 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof FrBming ��_-� 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof�Sheathing ;�� 74. Overhead Hydro � 26. T-Bar;Ceiling (Str,uctural) & Monocoat 75. Dry Chemical 27. Frariie;and Flashing 76. Dry Standpipe �28. Lathi^g & Siding 77. FIXED SYSTEM FINAL 29. Insulafion 78. FIRE PREV. FINAL 30. Dryw'all Nailing �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ;� 79. FINAL INSPECTION 32. Electiical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Noies: 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 pomestic-Final - 42. Backflow Preventer �"' /�! 43. Backflow Irrigation �-� � v 44. Landscape Irrigation System . 45. Sound Attenuation - 46. Handicap Regulations �%; :/ 47. FINALSTRUCTURE & BUILDING `D,b $� 48. Special Requirements Completed � ' 49. Electric Release to Edison ,,, - y -^ . i v 50. Gas Release to Southern California Gas Co 1�: ;� 51. CERTIFICATE OF OCCUPANCY '� �J J No, '•. Date r JOB ADDRESS 3077 COO7 GENERAL CONTRACTOR S. AP No. LOT INSPGCTIONS Gas OCCUPANCI 'ORM BU4-'SM - TRACT 4565 FIRE ZONE �Sienature� DATE GROUP BUILDING PERb1IT NO. VALUE $ �15� 11.00 DESCRIPTION OF WORK T@S TYPE V ZONE R SUI3CONTRACTOR ,.�r . .. �i 7307 �OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 91T C08TA MEBA. CALIRORNIA - For Appliean� fo Fill In Complefel�(( 7YPE OR PRINT� � ■ ARCNITECf COSTA MESA. CALIFORNIA TEL. u°;..°�..°w:s'✓ EXISTING BLOG. 86TBACK' LINE FROM � Ui _ � �/ Caertert oP eTneei REAR YARO / � /� SIDE YARD ILEFi RIGHT � � DESCRIPTION OF WORK � ��, � �� EXTERIOR COVERINC USE OF BI NO. OF ROOMS. IROOF COVERII 2K TO BH t�tt hc��ivtU �JUN,15 i96� Ft�►aNCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only RECEIPT NO. PlRMIT NO. BUILDING COSTA MESA, CALIFORNIA RE 1 ZONING ZONPy� �� I vlANS � I eUIL� NG W�^_ �� d,.� oea RIPTION �. v t /'F' T/� y-�6 `r LINC 9T.1 ss �. 3 z R 1 HEREBY ACKNOWLEQQ6'�HAT 1� XAVE READ TX19 AIPLIWTION THQ qMOUM BHOWN UNOER VALUATION 19 POR THE AND BTAffi THAT THE AtlOVE I6 CORRECi AN� AORE! TO COM- pURP088 OP EBTABLI9XING A PERMIT FfE ON��'. PLY WIiH ALL CiTY ORD��'1AMCE6 AND BTATE LAWB R[GULATNG BUILDINO CON9TRUCTION. ' � " ' " VALUATION - 81GNATURE OF S(�Q, � PERMIT FEE $��/ PERMITTE ' /�- ��/J�//,/ � 1^`� � $ I`�/ / //_' PLAN CHECK $ �S5 � AUTHORIZ�NT � � r f-i � Z LL �� • 23I40 : �COSTA MESA BUILDING-SAFETY DEPARTMENT t P.O. BOZ a1] COBTA MHgp� CALIFORNIA For Applicant �o Fill In Completely TYPE OR PRINT BUILDIN6 � O � � AODRE53 COSTA MESA, CAUFORNI OWNER MAIL 7 J\ �"7 %�w„r, Q, .. .. ennwawa ..) V 1 �c� u�--cL. AR. NO. �--� q�-�Q� R.� ' 6TATE TEL,� - LIC. NO. �� NO. SIZE - I No, oF e� OF LOT NOW ON 1 USE OF �� `' EXISTIN6 BLD6. ✓ EFT - ' I RIOHT DESCRIPTION OF WORK BUILDIN6 NO.OP ' SIZE ROOM9 - STORIE9 EXTERIOR WALL ROOF �COVERING COVER�N6 U56 8 ILDIfiGAFiDWOR T BEp FO M6O /O � �/./ 1 HEREBY ACKNOWLEOOe TX�T I.XAVB D THI9 APPLICATION ANO STATE THAT TXe ABOVe IB CORFECT AND AOFEH TO COM. PLT WITX ALI. CITT OHD�NANCEB AND BTATH LAWe R6OULATING BUILUINO CONeTRUGTION. �� SIGNATURE OF � PERMITTE AUTHORIZHD ABENT FEE RECEIVED OCT 2 3 1964 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Oiiice Use Only . R6C61vTN0. � 1 /1 � tlT -/, // �[(� UNIC/� /Vv � ' ZONING ZO� NO.OF U6EOFNEW ^�.' � PLANB � I BUILDIN6 �i*�Ci LEOAL L. O�/ LS (/� y�G- S�` OEYCRIRION A. P. NO. NOTE: NO EAYE OVERHANG BHALL BE LES3 THAN 80" TO SIDE @ REAR P. L. EAVES ALLOWED �U:B.C.REQUIREMENT YARDSAPPROVED YARDSAPPROVED MAIN BUILDIN6 AGCESSORY BUILOING (FROMC//JJ�- GEET)� � FR NT/� FY� FT. R. SIDH ��Ff. FT. i�� OISTANCE BET. BE7. MAIN Q MAIN BLDGB. AGCE55. Bl,[ VAR.$F DATE I D so. �. 0 TXE AMOUNT BMOWN UNGER VALUATION 19 FOH TH@ F PUHP08E OF 88TABLIBHINO A PEPMIT FEE ONLY. 0 VALUATION p �/� m � � f QQ �/ PERMIT FEE $ � � � m Y � A C �_ 0 �