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Home My WebLink About3039 COOLIDGE AVE - Building Permits1 N � .' � � Aop�icant to till in all spaces exeept those within heavy Dortler lines ana sign all approprlate aeclantions. GTY oF COS7A ME� CbyONST I N PER/M''�IT I' I � ProjectAddress _y�_I_, ��"l'1.r��{.iG�QT ApplicanYs Maili!n�a Address . �'�'�� -' C�/�-i ln�.�/T� f�K� Owner's Name (,,.,�Q�� - Phone Address ��Q Arch/Eng. � License No. Address Contractor's Nam J � � Phone �� Address (mail' g) ' ��Q-- � �' City License Np. � � ¢ LICENSED CONTRACTOR DECLARATION I hereby a�firm Iha[ I am licensetl untler provisions ot Charte� 9(commencing with section ]000) oi [�Ivision 3 0� the Business antl Pwfessions Coae, antl my license is in full to� e an ect. 1� License lass {cR se No.� �Date I��7� ^ 5'9 t 'WORKERS' C SATION DECLARATION 1 hereby afti�m thal I have a ce�tifiCate of consent to self-i�s ��/Q � a ce�tiflcate �Workers' Compensation Insurance, or a cartifie_ tl to the�Feof (Section tl0, Lab. CJ C� �,. � � - - Policy No. Com a �r�� r/'VkJ� ❑ Certifi tl copy is hereby turnishetl. " ��Certifi tl�t tiletl with the city i` ion. Date �� Applicant EXEMPTION ROMWORKERS'COMPENSATIO ECLARATION (Thissection neetl not be completetl'if the permit is T one huntlreC ($100) o� less). I certify that in the performance of the work for which this permh is Issuetl, I shall not.employ any person in any manner m.as to become suGject to the Workers'� Compensation laws of California. Dat¢ � Si9natur¢ NOTICE: If, after makin9 this tleclaration, you shoultl become subject to�the Workers' Compeniation provisions ot the Labor Cotle, you must �orthwith com0ly wilh such provisions or this permit shall be tleemetl rewketl. CONSTRUCTION LENDING .AGENCY ' � � I hereby afflrm tnat there is a construction lentling agency for the performance ot the work tor which this permit is issuetl (Section 3097 Civ. CJ Lentler's Name - �en0er's Atlaress OWNER BUILDER DECLARATION I hereby affirm ihat I am exempt from the Contra<tor's License Law for Ihe mit : ot of `.'^031-.5 by any applicant tor a permit subjects the applicant to a civil 'j�enalty of�no[ more tnan five huntlretl tlollars (E500). '�� I, as owner of the O�op2rty oYmy employees with wage5 a5 their sole -com0ensation, will tlo the work, antl the structure is not intentletl or-offeretl for sale (Section ]044, Business antl Professional Cotle: The Con[rac[or's License law tloEs not apply to an owner Of a p�operty who builtl5 0/ improves thereon, antl who tloes such wo�k himself/he�self o� through his or M1er own employees, p�ovitletl that suclt improvements are mt Intendetl or Offeretl tor sale. If, however, lM1e builtling o� improvement is soltl within one yea� of coT- pletion, tne owner will have the burtlen ot proving he/she tlltl not build or Im- prOvlforthe purpose ot sale). � ❑ I, as owner o( the property, am exclusively contracting with liGensed con- tractors to mnstruct the project (Section 7044, Business and Protessions Cotle: The Contractor's License law tloes not appry to an owner of property who builtls or improves thereon. antl who conVacts tor such oroiects with a com tractor(s1 lrcense pursuan[ to [ne Can[ractor•s License Law). i am aware that proot o1 their Worker'S Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. d. P. C. for this reason Date ' Owner ' I hereby certity that I nave reatl tnis application antl state that the above Information is correcL I a9ree compty wi[h all tity antl county ortlinances dntl State laws relating to bw i con5truction, antl hereby authoriie rep�e- sentdtives of this city t e on� the above-mentionetl pr pert fq{ Inspection purposes. � I ' \�U Signature Date_��.��,.(_ Drivers' License or 55 # -� TYPE OF CONSTRUCTION �IEW LJ ADD L7 ALTERATION LJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ HE � DESCRIPTIONq F WO�i K/US OF BLDG. �%� Y�k �`r• ii�YR��"inc� 4�fh.u�-l'3�2'h�P�{�.�^�w QY�rr 2�+F�� $ CZxS. c77 TVPEOPPEHMIT ❑GRADING LJ�OUNDATION�•STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER � � �� PROJECT DESCRIPTION Sq. FT. —r� occuPn11VVffNN CON STRUCTION TVPE VALUATION $ ��- ZONE GRADING CU. VOS. ACRES Remarks: � Bar Sink Backflow Prevente� . Backflow Irrigation Bathtubs Clarifiers Dishwasher . Drinking Fountai'ns Floor Drains � Ploor Sinks . � ' . GasService Outlets In[erceptors Kitchen Sink ' Lavatories P-Trap Roof Dreins � Reinspection Fee $15 Boiler ` Duct�UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact.8lt. iC80 # � Heating System & Ducting ❑0-100,000 BTU 0100,000 Reinspection Fee � $15 0865-46, rev. 5/BB White - Builtlin9; Canary - Applicant; Pink - Accounting; Goltlenrotl - Aszessor Showers Service Sink SewerCap Sewe%Connection Sola�'Collectors Solar Piping SolaoTank � Swim � g Pool w/Spa Uri I ater Clout Water Heater Water Service ' Auto-Wash � Laundry Tra'ys � � Issue Fee IANICAL Hood ar Typel ❑ Canopy Typell ❑ Refrigeratlon/gystem ❑0-700,�OBTU ❑100,000 Sy�s Repair/Alteration � Fire Dampers Re9i5ters � Issue Fee A.P. � 5 Main Building: E T , Front � Rear C Right g Left Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F:A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Genera[or O0.5 KW O5-' � Zone Accessory Building: Parking Req./Provided ' ELECTRICAL Transtormer � 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors�61H ❑1'/:-8 Inc.Solar -75 HP �16-15+ Pole Light Range � I Standing Section� 5 KW I � Trash Compactor. I Fainspectian Fea !$15 ' I Issue Fee $ 3 , DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By FEES Building Approvad By � � Application Issued By $ 3 0 ' $ 3 � '- � � Date 0. .. l n_.... _ . � .. N I N G R E Q M T $. SUMMARV OF FEES, r�r • ' BUILDING PERMIT $ 63.0o SMIP �' �,;� $ D. r PLAN CHECK � $ PERMIT i PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $� ELECTRICAL $ � GRADING $ PLAN CHECK 50Y $ � MICROFI�M $ � MECHANICAL $ TOTALFEE $� �3 •. S� PLAN CHECK 25% $ . �. ar oaazeo�?-aon•�so9a �eo-�' :;a.5o UATE: 0?/C9/39 TI1�E� 13:Si /� .. . . ' �- Y "_.�. y S 1 • . � -`�!• �y- CONSTRUCTION AND PLANNING � r ' APPROVALS Permit # I� Date Inspector 1. Temporary Electrical Service or Pole� . . 2. Soil Pipe-Undrgrnd. -� �� '� .3.,,Electrical Conduit Utility�Undrgrnd� >s_ �� :L�Electrical Conduit-Undrgrnd.-� . , - 5^�Steel�Reinforcement - � � �-- � 6. Electrical UFER Gcnd�� 7d Footings "_ r 8�. Foundation "� � . 4;J ' " . ,. 9� Water Pipe-Undrgmd. � - � ��`� � 10� Structurel Floor System - t i 11^Property Sewer Line & House Connectio /� I �, i 12,'Sewer Cap - � / -� � 13rRoof Drains - - 14:�,Rough Plumbing' � � 15. Rough Electrical-Conduit (7'6� Rough Electric Wiring 17. Rough Wiring Sign � 18'. Rough Electriral-T Bar Ceiling 19. Rough Heating & Air Conditioning 20�. Rough Factory Fireplace , n�i 21�. Ducts, in'Structure , 22. Ducts, Ventilating � 23. Gas Pipe-Rough & Test 24. Roof Framing ! j •�1 . 25. Roof Sheathing .; 26..T-Bar Ceiling (Structuraq & Monocoat 27. Frame arid Flashing 28. Lathing &�.Siding 29. Insulation • � 30.�Drywall�Nailing � 31. Plaster Brown Coat _ 32. Electrical Power MeterFinal 33. Final Electric \N 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 I�rigation 44. .Landscape Irrigation System . 45. Sound Attenuation • , 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed -' 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas � �'' 51. CERTIFICATE OF OCCUPANCY No Date � ] ! ': .I � . . ;. '. _..�A!-.. � �_ 1 ., APPROVALS Permit# 52. Pool & Equipment Location �53. Steel Reinforcement 54. Forms � - 55. Electrical Bonding ' 56: Rough Plumbing & Pressure Test . 57.,APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P-Trap; O Undrgrnd. 61. APPROVAL TO DECK - 62. Backwash & Receptor-Final � � 63. Heater & Vent-Final 64. Plumbing System - Final . � .65: Electrical-Final - .66. Solar System-Final 67. Fencing & Access Approval � 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro ' 71. Product Piping OGas ❑Oil 72.�Underground Flush� � � 73. Undergrnd. Storage Tank � Gas ❑ Oil �74. Overhead Hydro , � 75.�DryChemiral � � � 76. Dry Standpipe 77. FIXED SYSTEM FINAL '78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT �-79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date �Inspector ri G y ' . r, „ ��e� � � 30 4' S�S r ) (� L �Z� Q' �0 (✓' ! fl � i : LOT TRACT 4z8i- ` ' .. • 1� � r �COSTA MESA BUILDINGSAFETY DEPARTMENT P.-O. 80X 8f7 C06TA MEBA. CALIFORNIA - Fo� Applieanf fo F)11 In Complefely � TYPE OR PRINT eu��oiN� _ __ _ _ . /� � i COSTA MESh CALIFORNIA KENNETH W. KrQLL � v 'o v n�„�. ,..... .� MAIL ADDRE65 ci'rc NEWPORT tSEACH LIC. No. 6i t - No: M i. 6- z2� SIZE NO. OP BLDcs. ' OP LO7 � 2O � X 5O � NOW ON LOT U6E oF NONE EXISTING BLDG 68TBAGK LINQ PROM 6 i REAR YARD � CENTER OP BTFBET 81DE YARD I LEFT' U� I RIGH7 � DESCRIPTION OF WORK rarw M I� �X II a� Tcwsr�nr� I II snnir�nra BUILDIN[loARi 4 SF No. oF e1ZE RII II D: �11 SFROOMS EXTERIOR WALL „_..___IROOF 20NE F �eow� FEE RECEIVED �r �AN 4 �9s2 � � FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING ' For Offiee Use Only weceirr No. ��r� er � owxe pece�NFF , �. oe're iseueo COSTA MESA. CALIFORNIA � ZONING xo, op use ov r+ew PLANB 7 BUILDIN6 A. P. NO. IIOIIB " YAROS EVES APPROVED ALLOY � ICBNTlR LIN6 9TJ �. i1 �! 1�HEPlBY AGKNOWI.ED06 TXI1T 1 HAVE RHAD TH19 MPLIWTION TH6 AMOUNT.BHOWN UNOER VALUATION IB POR TH¢ AND BTAT6 THAT TX8 ABOVE IB'CORPEGT AND A6REE TO COM- pUPPOBE OR EBTABLI6XING A vERMiT FEE ONLV. PLY WITX ALL CITY ORDINANCFB ANO 9TATE LAWO REOULATINO - BUILDINO CONBTRUGTON. VALUATION 81GNATUR6 OF PERMIT FEE $ �� ' PERMIITE .� L^�!/s�` +� s�GJ ' �'�, PLAN CHECK $ •x � � AUTHORIZED AGENT � iOTAL FEE 5 �