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1437 DEAUVILLE PL - Building Permits
Applicant to /ill in all spaces except _those wit nin neavY�ortler lines and sign all appropriate declarations. CITY OF COSTA MES AA�C?pNSTRUCTION PER 1437 &LkwILLE PLACE PER NO., TRACT NO. LOT NO. .UNIT NO. -_ Project'Address R' 'ORKERS' COMPENSATION DikliFtIARATION 1 0 V Bar Sink Showers Applied. fit's Mailing Address WE - •-, TYPE OF CONSTRUCTION NEW LJ ADD ALTERATION LJ -REPAIRmomomm ❑OTHER :reby�affirm that I have a certificate of consent to self -insure or a certificate , e� DDROTHYNENNIESCH', 556-3856❑CONVERSION'❑DEMOLISH Name ''Phone t AP:# + ner•s 1437 DEAUVILLE PLACE - DESCRIPTION OF WOR K/USE OF BLDG. +� - Workers' Compensation 05y,[a>�e,_gr. ¢-s¢rtifiedl copy thereof (Section -400Wo labs' s•I!i (pf�yjr I _ Backflow Preventer -r ,.-'Service _ Address _ I Automatic Washer uilding: Arch/Eng. License No I TYPE OF PERMIT GRADING FOUNDATION . STRUCTURAL' Policy No. ompany ATE FA}2(v .+Address' Sewer Ca - p ❑ ELECTRICAL ® PLUMBING ❑ MECHANICALContractor's DOnStrUCtlOfi Pole Sub. t 4 ❑ 50+ KW - ❑ OTHEREl T EAR Name R'-D-PLLKIINL &' SDLAP� TG • -Phone 771}— 333 i/1 �- Address (mailing) 979RI RITl�'4 AY, LACGJi''� VH1LLS,F 92Db3 - PROJECT DESCRIPTION Sa. FT: - OCCUPANCY -VALUATION$ I Bathtubs r I — 341CONSTRUCTION TYPE ' Meter Cup to 100 a I , City License No. - .. i , ZONE - GRADING CU.YDS. ACRES - LICENSED CONTRACTOR DECLARATION hereby affirm that I am licensed under provisions of. Charter 9 (commencing Remarks: - Planning Notes: with section 7000) Of Division 3 of the Business and Professions Code, and So_lar Collectors ', _ _ my license is in tyll _,gree and effect. 1.=30 32 - . _ _'Meter. El over 1 .amps' Lice a Clps� Li arse N I O ' /-2-t5/Uhb� � PLUMBING' Solar Piping; ! I 317"c Zone Accessory Building: , Z' N I N. G R� Parking IN E G j f� M S' I r �y Date S,gnatur , t I FEES •- _ R' 'ORKERS' COMPENSATION DikliFtIARATION 1 0 V Bar Sink Showers ELECTRICAL FEES :reby�affirm that I have a certificate of consent to self -insure or a certificate , I Workers' Compensation 05y,[a>�e,_gr. ¢-s¢rtifiedl copy thereof (Section -400Wo labs' s•I!i (pf�yjr I _ Backflow Preventer -r ,.-'Service Sink -T- Automatic Washer Transformer ❑ 15-50 KW , Policy No. ompany ATE FA}2(v Backflow Irrigation Sewer Ca - p DOnStrUCtlOfi Pole Sub. t 4 ❑ 50+ KW it f'etl copy is hereby f , 1 : C o, is Ned It me i i I Bathtubs r I Sewer Connection Cooking Unit Meter Cup to 100 a I , D e Appllca - - I FROM W EN N DECLARATION ' - So_lar Collectors ', _ _ - Dishwasher .,I __ - . _ _'Meter. El over 1 .amps' (Th isle [ion need not be co mpletetl-if Ile P., it is for; one hundred ($100) r- l_cWrDishwasher _Clarifiers _ _ _ Solar Piping; ! I Dryers ❑Gar ❑Electric ' Sub Panel certify ,that ,in the performance of the work for which this permit is issuetl I - ' shall not employ any person in any manner sols to become subject to the Drinking Fountains Solar Tank t Fan ' Motor 0.1 HP ❑ 1'h- 8 Workers' Compensation Laws of California.. I . Date ' Signature Floor Drains, ' Swimming Pool w/Spa F.A.U. ' ❑9-15 HP 1116-15+ NOTICE: If, after making this declaration, you should become subject to the .Solar Workers' Compensation provisions of the Labor, Code, you must forthwith FIOOr Sinks Unna, - Fixtures ' 'Microwave ' comply with such provisions or this permit shall be deemed revoked. I CONSTRUCTION LENDING' AGENCY '- - Gas Service -Outlets Water Closet - Device Boxes POle I hereby affirm that there is a' construction'lending agency for the perfcrmancrie Light of the work for which this permit is -issued (Section 3097 Civ. C.) - Interceptors Water Heater - i Outlets , . Range Lender's Name r , Lender's'Addres5- - - _ r Kitchen Sink Water Service -. Switches , Sign OWNER BUILDER DECLARATION r - i I hereby affirm'that I am'exempt from the Contractor's License Law for the Lavatories - - Auto -Wash + - = Garbage Dispo Standing Sections following reason (Section 7031.5Business and Professional Code:'Any city or county which requires a permit to construct, alter, improve, demolish or repair - P—Trap' Laundry Trays - Generator 5 KW ❑5-15 KW Trash Compactor P any structure, prior to its issuance, also requires the applicant for such permit file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains .1c, he Contractor's License Law (Chapter 9 (commencing with Section 7000) of - I i 'ivisiom 3 Of the Business and Professions Code) or that he/she is exempt _ erefrom and the basis for -the alleged exemption. Any violation of Section ' ,031.5 by any applicant fora permit subjects the. applicant _to ,a civil ,natty of not,more than five hundred dollars ($500). .. Reinspection Fee - $15 - - Issue Fee $ •3 - I, as owner of the, property or my employees with wages as their sole compensation, will do the work, and thestructureis not intentletl or offered , Reinspection Fee $15 Issue Fee for sale (Section 7044, Business and Professional Code: The Contractor's' MECHANICAL FEES 1. 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 - - ❑ DEVELOPMENT SERVICES REQUIREMENTS: t employees, provided that suchdroprovements are not'intended or offered for Boiler Hood or Type I zoning Approved By t Date sale. If, however, the building or improvement is sold within one year of com- ,. I Canopy Type II ❑ 1 pletion, the owner, will have the burden Of proving he/she did not build or Im- Duct - Under Ground - Building Approved By I ' Date prove for the purpose of sale). ❑ I, as owner of the Property, am exclusively contracting with licensed con- Duct -Structural Refrigeration System , - L?' Application Issued By ' Dat tractors to construct the project (Section 7044, Business and Professions Code: P does to an owner of who I - - •- ❑0.100,000 BT01 00 U BTU I,,,r The Contractor's License taw not apply property builds Or improves thereom,.and' who contracts -for such projects with a con- Duct,- Ventilating -- -,. - . SUMMARY OF FEES , tractor(s)-license pursuant to me Contractor's License Law). I am aware that , Exhaust System ❑ Multiple ❑ System Repair ,ration '- _( BUILDING PERMIT $ SMIP $ ' Proof of their Worker's Compensation insurance should be provided to me. ❑Tam exempt B. S P. C. for this - Firepl/Fact. I • ' PLANCHECK $ i ' PERMIT under Section reason " Bit. ICBO # Fire pers D-�' .ISSUANCE $ Date Owner; He�ating`System & Ducting Registers PLUMBING PLAN CHECK 25% $ $ ENERGY P.C. $ 1 hereby, certify that 1, have read this application and state that the above - ❑0.100,000 BTU- ' - '- '- �" ' ELECTRICAL ' $ GRADING t $ information is correct. I agree to comply with all city and county ordinances r antl shy ting to building construction, and hereby authorize repre- , and heriby a I - PLAN CHECK 50% MICROFILM - $ $ p opze S wdeF` of this t o end upo he a ,for , _ l d�s�pp,�ggoyyf pecture\�� ' MECHANICAL $ ' TOTAL FEE $ 0•00 Si Date -fi,inspection Fee $15 - Issue Fee $ 3 PLAN CHECK 25%, $ , ) rs' License or 55 �� CMF 0865-46, rev. 4 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND.PLANNING " Date APPROVALS Permit #- Inspector PO. 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 ..t, 5. Steel Reinforcement - "56: Rough Plumbing & Pressure Test _ ' 6. Electrical LIFER Grnd. 57. _APPROVAL TO COVER-GUNITE 7fv. 7. Footings ; - ,: '. _ 58. Electrical Conduit-Undrgrnd. 8. Foundation . -59. Gas Pipe, ❑ Undrgrnd., Test Water Pipe-Undrgrnd. ''' 60. Backwash Lines, P -Trap, ❑ 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 - - - A 16. Rough Electric Wiring - 67. Fencing & Access Approval - - - 17. Rough Wiring.Sign 68. APPROVED FOR PLASTERING -. 1B. 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 n Gas ' ❑ Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - 73., Uridergrnd._Storage Tank O 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 i 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:t244.87 C,"Cit( A6 PIA 2A3 U -PC. C./FSR 34. Final Heating & Air Conditioning - 35. FinalGas 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 i 42. Backflow Preventer ; ;4;: 43. Backflow Irrigation (•1--y 44. Landscape Irrigation System ,.r 45. Sound .Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILIBING ' - •- ' 48. Special.Requirements Complet'ed•i - - 49. Electric Release to Edison r - 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY • No. r Date - f ) ' 22741 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA ` For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA OWNERHarbor Rall: e: Fame Homes, Tn MAIL BOX 2066' ADDRESS CITY Santa 8 - NO. 20 ARCHITECT Ray Levanas TEIDR3-7010 OR ENGINEER ADDREss3432 Via Oporto, Mot Bch' CONTRACTOR Lifetime Residential Bldg Coy. ADDRESS BOX 2066 - Santa .Ana LIC.TNO. 20867 SIZE OF LOT USE OF EXISTING BLDG. SETBACK LINE FROM EFT 0 I RIGHT 0 DESCRIPTION OF WORK B' DGS.O SIZE LDING 1240 ROOMS ROOMS 8 ST RIE - No. OF 2 EXTERIOR WALL ROOF. COVERING qt COVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Construction of: III" o u anc bld with nJn construction garage 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATUREOF jE� REC3 19qyy D L3o AUG # Plan FINANCE DEPT. CITY OF COSTA MESA APPLICATIONFOR PERMIT BUILDING For Office Use, Only RECEIPT NO. PERMIT NO. �9iAI Reco Y. ECEI ED mxii WE 1V I AUG11@8 196 BUILD NG ADDRESS n I FIRE\ -Iy/Cry ZONE TYPE GROUPLT 1 APPROVED BY DATE ZONING ZON -^� A NO. OF PLAN@ • UBE OF NH / (% 1BUILDING OE@CRIPTION n 3D A. P. NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN SO- TO SIDE S REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING ( FROM C/LITREET) FRONT �/ FT. -- FT.� R. SIDED FT. 'V/nFT. 0 L. SIDE FT. FT. .REAR FT. FT. DISTANCE BET. BET. MAIN Q MAIN'BLD S. ACCESS. BLDGS. VAR. # l DATE ©-/ O C. U. P. ?♦` APPROVED (� APPROVED - -� BY DATE SQ. FT.II _ THE AMOUNT SH N UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION [ ` PERMITFEE S yi7 L / TOTAL FEE -5 {p J 4 '