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Home My WebLink About913 SOUTH COAST DR - Building Permits�� J �, �-(�C(,.5� {�r APplicant to fill In all SDaees excepl tnosa wlt�in �eavy DorCe� Iines an0 slgn all ap0/oD��a�e tleclarations. on/�T �Il� 1 /1T f�ll1 CITv �OSTA ESA , CONST UCTION,PE�T �ject Address �� r 'Applicant's Mailing Ad-res,3 / Owner's Name �-�✓ � "'� � �Q � PhOne � Address Arch/Eng. License No. Address ��D��" Controclor's Nam Phone �.c,._-_.z�.�� Address (m 'I'ng) •�� Ciry Licen� N� �C LICENSED CONTRACTOq DECLARATION I hereby atii�m tha� I am IicunseU untla� prOviziOni o� C�a�te� 9(commOncing with sec[ion 7000) of Division 3 ot t�a Bustness antl Protesslons Cotle, and my Iicense iz in full 1 c ap tl etlect. LJcense Class �+ IC� 'cpn , o . Date 1 519�ature WORKERS' COMPENSATION OE RATION 1 nereby aHirm that I have a certif4 ate o1 consent to self-insure or a certifiwte ol Workerz' Compensation Inzurance, or a certifietl copy thareof (Sectlon '800, Lab. C.) lollcy No. ' Company BCertifietl copy is hereby tumisheU. Certifietl copy is tile0 witn the city Builtling Division. Date AOP��cant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thizsection ne¢tl not be com0�etetl it the permi[ is for one huntlr<tl (5100) or Iess�. • 1<urtlfy lndl in [he pe�Porrpdnte of [ne work fo� wnlch 1h15 perT�l iz Issuetl, I shall not employ any persOn in any mann as eGo � sub' [ to e Workert' CuW Oe t� Ws o( CdllfOml . Date �/"��5ignature � 'NOTICE: If, at[er making this tleclarat n, you 5hou10 Decomo sub)ect to the Wo�ke�s' Compensation provisions o Ihe Labo� Cotle, you mu5t forthwith compty with suGh provis�pps or is pe�mit shall b0 tleemetl �avOketl. CONSTRUCTION LENDING AGENCV I horeby atfl�m Ihat there Is a conStructlon IenCin9 a9¢ncy for [hC pe�formance of the work for which �hi5 permit is iisuetl (Sectlon 309] Civ. C.) Lentler'S Name LenOor's Htltlress OWNER BUILDER �ECLqqqTlOti � I hereby aHirm that 1 am ezempt Irom tho Contraclor's Llcanse Law for the tollowin9 reason (Section 7031.5 Business antl Professlonal Cotlo: Any cily or counly w�Ich rGqui�es a p4rmlt lo Consl�uct, alter, ImOrovO, Gernoli5h o� �epair any structure, prlor co its issuance, also requires the applicant for such parmit to /ile a slgneU statement that he/she is Iicensetl pursuant to Ihe Provisions of the Contractor's License Law (Chapter 9(commencing wilh Soctlon ]000) of Dlvision 3 ot [he Busine56 dntl Prolession5 Cotl¢) o� that h0/zne is Oxompl ineralrom antl the basis /Or the allo9etl exemption. Any violalion of Seclion '03115 by any appliwnt for a permit subjects tho applicant to a civil enalty of not more [nan fi�a huntlratl tlollars (E500). � I, as owner of tha property or my employees with wa9es az their sole compensal(on, will tlo lhe work, antl lho s[ructure Is not Intentletl or oltereA lor ula (SecUon 7044, gusiness antl Grofessional Cotle: The Contracror'S License Law tloes not apply to an owner o1 a property wno builtls or (mpmves lhotoon, dn0 who Ooes su�h wOrk hlm5ell/ne�5e1/ ot Ih�ough his or hOr own emplOyees, prOvltled that SyCh ImOrOvement5 are not IntCntletl Or otteretl for sale. II, however, the �ullqin9 or imp�ovament is soltl within ona yoar of com- n�otion, tno owner will naye tne burtlen oi proving he/she Oitl not builtl or Im- p�ove tOrine purpose oiShce). � ❑ I, as owner of the property, am exclusiv¢ly contractlnq with Iicensatl con- t�actors to const�ucl tha p�o)ect ISecNon ]044, Business antl PrOfes5ion5 Code: . The Contractor•s License �„iw does no� apply to an owne� ot pro0o�ly who builtls o� improv¢slhereo�� antl who cOnlracts tOr such projett5 with a con- [raclor(sl IiCense pursuant'[o tha Contractor's License Law�. 1 am aware Ihat proof o( their Worker'S Compensalion Insurance Shoultl be Provitletl to me. ; L7 I'am exempt untler Se<qon B. & P. C. tor lhis reason �ate Owner I hereby certity that I hdva rea inlermation is correct I aoro.e te Signature � Driver5' Uc or 5'_ CMF 0865-46, �ev. 30/84 state tnat tne above .ntl county ortlinances !rebv authorize reore- �� O-% l 2- - --� , 7VPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR `❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p �6 DESCRIPTION OF WORK/USE OF BLDG. ' S Main Building: E TVPE OF PERMIT GRADING FOVNDHTION STRUCTURAL T Ffont ❑ TENANT �`EIECTRICAL ❑ PLVMBING ❑ MECHANICA� 8 Reer ❑ OTHER %� PROJEC7 DESCRIPTION 50. F7. OCCuaANCv C Right K Left CONSTftUCT10NTYPE VALUATION$ g ZONE GRADINGCU.YDS. ACRES ping.Ref.# Remarks: r7,`'�y ��p�¢�j „� y� �¢�� Planning Notes: Bar Sink Backflow Pieventer Backflow Irrigation BaMWbs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories � P-Trap Roof Orains ,Nainspection Fee $15 Boiler Duct - Under Ground Ouct - Siructurel Duc[ - Ventilating � Exheust System � Multiple Firepl/Fact. BIL IC80 # Heating System & Ducting ❑ a� oo,000 sru � i oo,000 � � I I Rainspection Fea I $75 White - Builtling: Canary - AOP��wnh Pink - Accounting; Goltlenrotl - Assessor ABING " Showers Service Sink - Sewer Cap Sewer Connection Solar Collectorz Salar Pipin9 Solar Tank Swimming Pool w/Spa Urinal �/ddLCf C1052i Water Heater Water Service Auto�Wesh laue Fee Hootlor Typel L1 Canopy Type II ❑ iefrigeration System � �0.100.000 BTU ❑ 100,000 Bl System Repair/Alteration • Fire Dampers" Registers � laue Fee FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets 4483 I 2/21 /ti4 Zone Parking Req.IProvided ELECTRICAL Transformer � 15�50 KW ❑ 50+KW Meter ❑up to t00amps Meter ❑over100amps Sub Panel Motors � 0.1 HP � 1 h- 8 Inc.Solar �9-75 HP �16-15+ Microwave Pole Light awi�cnes Sign Garbage Disposal ; Standing Sections Generetor �P5 KW �5�15 KW Trash Compacmr �DoFi� TL FEES Z O N I N G R E Q M T S $ 3 I � Reinspection Fee $15 laue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: . Zoning APProved BY Date Building Approved By Date ' / AVPliotion Issued By Dat SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING� $ ISSUANCE $ , , � PtAN CHECK 25% �$ ENERG�' P.C, $• ELECTRICAL , § �.f� GRADING � $ � PLANCHECK 50% $ 2-SO MICROFILM $ � � MECHANICAL $ TOTALFEE $ GS�--L $ 3 PV1N CHECK 25% $ , �_�CONSTRUCTION AND PLANNING POOL . ,.?A - . ' APPROVALS Permit # Date Inspector AppROVALS - Permit # Date Inspecmr .�Temporary Electrical Service or Pole 1L 52. Pool & Equipment Location '2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. �Electrical Conduit Utility-Undrgind. 54. Forms . . 4'.�Electiical Conduit-Undrgrnd. � .l 55. �Electrical 8onding . 5,�Steel Reinforcement � - �_ 56. Rough Plumbing & Pressure Test � 6. Elec[rical UFER'Glnd:� � _ ' 57. APPROVALTO�COVER�GUNITE � �7.�Footings . � 58. ElectricalConduit-Undrgrnd. � ..' 8. Foundation - - �,' 59. Gas Pipe, O Undrgrnd., Test • ti �, � 9.� Water Pipe-Undrgmd. ' ' 60. Backwash Lines, P-Trap, O Undrgrnd. �10.�StructuralFloorSystem .61. APPROVALTODECK .11. Properry Sewer Line & House Connection � 62., Backwash & Receptor-Final . 12.�SewerCap - � 63.'�Heater&Vent-Final � • 13. Roof Drains . j � 64. Plumbing System - Final . ' 14. Rough Plumbing 65. Electrical-Final 15.�;Rovgh Electrical-Conduit � 66. Solar System-Final � � ' i6. Rough Electric Wiring , 67. Fencing & Access Approval 17. Rough Wiring Sign , 68. APPROVED FOR PLASTERING '�78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure , 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil . 23. Gas Pipe-Rough & 7est ��. 72. Underground Flush - 24. �RooE Framing 73. Undergrnd. Storage Tank O Gas ❑ OiV 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Struccuraq &'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 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Condi[ioning 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 pomesticFinal � ' ' 42. Backflow Preventer 43. Backflow Irrigation • � 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 Co � • � ' 51. CERTIFICATE OF OCCUPANCY - _ . � �!n. � Date � � � � _ • ADo�icant to fill in al1 spaces exceo� t�ose within heavy EorCer Ilnes ane slgn all a0omorlate aeelantlons. G�TY OF COSTA MESA CONSTRUCTION PERMIT ProjeAAUdress 9�3 Sn�r� CQqs� �2�� Applicant'c Nlailing Address , a� ad X SZ`1 7 LONfi �qq[{ Owner'sName So�r� c-aA'C��(AzR ahonei Address 3? � � /�� - � S'�h '�cSA � r. Address � J 6� O"c wr vis . FI o �'.�6✓M/K L7A/ �/ 7/.> u� Contractor'sName�Ofi1�W�4�rc.'�NSr�Q phop�p 3277d0� Aildress�lmailingl%�!aOX 92f7 LON��vcA�l, �f} S��o Ciry License No. � � 3 � �� - LICENSED CONTRACTOR DECLARATION ' � � I hereby aflirm thdt'I am licensetl untllr prOvitlo�i of Charter 9(commentlng with secUon 7000) Of Dlvision 3 af tne Bu5ine65 antl Pro(e55ions Cotle, dntl � my license is in full force antl eftect. . - u�a�� c� s� �> �,,,e No.�� Sr 90 9 Date Si9nature �Cp^ - WORKERS' COMGENSATION DECLARATION . I here�y aftirm that I hav¢ a certifica[e of con5ent lo selLinsure or a certifiwte W�rk¢rs' C Penwtion I surance, or cart(ftetl [opy thereot (Sectfon �0 Lab. C ' -- oli No. 6 — C9 Pa Y � � UNl� e ifie capY's here fum �p/ � ert etl o y with tbe city �Ivlsion � Date %� � - Applicxnt EXEMPTION.FROM WORKERS' COMP SATION DECLARATION (T�Is section neetl not be wmplete0 if the permit is for one huntlred �(5300� or less). � 1 certfty lhat in the oertormance af the work (or �yhlch this perm4 is Issuetl I sball not amploy any person in a so as [o be,come subject to t�e �+ Warkers' Camou(satinn Laws of Cdlltornia. //' NOTICE: Ii, aitet makirig thi5 tleclaratl�n, you Sho�ltl betome SUDject to Ihe Workers' Compensation provisions of the Labor COGe, you must fortnwitn . comply with zuch provisions or this permit.shall� be tleematl revokea. CONSTRVCTION LENDING AGENCV .• I hereby aHlrm tnal Ihere Is a conStruGtlOn Ientling a9en<y for t�e OlrfOrmance of lho work tor whiGh thi5 permil Is issuptl (SectiOn 3097 Civ. C.) • lpntler's Name Lantler's AtlOresS ' � OWNER BUILDER OECLARATION � � ' I horCby aHlrm that �1 am'exempt irOm tna Cor1(�aclor'S Lic¢nsc Law for thn � following reason (Section 7031.5 Busina55 anC Arolesslonal Cotle: Any city or county which requires a permit to construct, altQr, imorove, tlemollsh or ropalr any 5trucWre, prbr to iti'Issuance, also requiros [pe applicant'tor such parmlt to fllo a signotl statemenhthd[ ho/she IS Iiconsotl OutSudnt to lhe proWsiOns o� the Coniractor's Ucenu Law (Cnapter 9(comm@�cln9 with Saction 7000) of Divislon 3 Of lbe BuSiness antl PrOfesslon5 Cotle) Or Ibat ne/sh8 ii oxampl therelrom antl the �asis far the alleged exompt�p�, qpy ylolation o1 $ection '031.5 by any applicanl fOr a permit Subje�ts tha applicant lo d civil malty ol not more than five nuntlrotl tlollars (5500�. � . � 1, as owne� o! the pmperty Or my emplOyCOs wiln wdg¢5 as Ihelr Tolo compensation, w{II Oo tne work, antl the structUre is not Intentletl or oHerotl for sale, (Sectlon 7044, Business antl Professi0nal Cotle: The Contractor'i Lic¢n5¢ Law tloei nOt apply to an Owne� ol a p�OpO�ty who bullEs or Improvos lhOreon, antl who'tlaes Such work nlmseH/he�i¢II Or t�rough h15 Or h¢r own employ�os, provitletl thdt suth Improvement5 are not Intentle0 O� ofte�etl for sdle. II, howevGr, [�e bulltling or ImprovemOnt I; SOItl wit�in one y¢ar O/ Com- pl0tlon, the owner wlll have tho bu�tlan OI provinq he/she tliC not builtl o� Im- � �fOve tOr lhe Ourposa of salo). I, as owner of the property, am exclusively conlracting with Iicensetl Con- [�ac[or5lo construct lhe O�oject 1S¢Ctlon ]044, �u5ines5 antl Profet5ions Codo: The Contractor'S LicenSe Law d0as nol apply t0 an owner ot p�oporty who bulltlz or improves tnereon, antl who conlracts �or SucM1 projects witn a con- tractor(s1 license pursuant�ro tne�Con[rac[or's ticanzo Law). I am aware lhat prooi of lhei� WO/ker,'S COmpenvtlon InSuranCe shoultl be provitletl lo me. ❑ I am exempt untler Section B. & P. C. tor th15 rea5on Dale antl state laws relatln sentatives o/ this tlt inspettion purpeus� Signatur¢ � �rivers' Llcense or 55 CMF 0865-46, rev. 30/84 - Owner I M1ave r¢atl Ibis appli<at�On antl state [hat Ihe abOve ._ l agree to comply wilh a�i ��ty antl county orainances -- to builtling construcllon antl hereby authorize repre- � t0 ente� pon the abOve-mentiOnetl pro ert ,to/r c � pafe� �3 �7 TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION U, REPAIR O CONVERSION O DEMOLISH ❑ OTHER q,p..�6 . DESCRIPTION OF WORK/USE OF BLDG. . ' S Mein 8uildi TVPEOFPERMIT GRHDING FOUNDATION' STRVCTURAL � E T Front ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL A Rear ' O OTHER PROJECT DESCRIPTION �Sq. F7. �oCCUaArvcV � � C Right CONSTRUCTIONTVPE ' VALUATIONS g Lef[ ZONE GRADING CV. VDS. ACRES ping. RCf.SW Remarks: C U_i_ /'�e.l.AO �—.io i-� ae r d. n�. • op�"' Planning Notes: low Preventer low Irrigation , Drinking Fountains Floor Diains Floor Sinks . Gas Service � InLefCeptor5 Kitchen Sink , Lavamries , P-Trap ' Roof Drains ' . Reinspection Fae OuUets $15 Duct� UndeiGround � Duct - Structural Duct-Ventilating ' . Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # � Heating System & Duccing ❑4700,000 BTU 0100,000 �,. . qpp�7�ant: Pink - Accountin9: Gol�enrotl - Assessor �� $75 $howers � Service Sink �. . Sewer Cap , Sewer Connection Solar Collecrors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal � Water Closet Water Heater Water Service Auto-Wash . .Laundrv Travs laue Fee Hood or Type I ❑ Canopy Type 11 ❑ Fefrigeration System Oo-ioo,000eru ❑iao,000 System Repair/Alceration � Fire Dampers fEES . 4023 I�/13/B4 • ' ZOne Accessory Buildin9: ' Parking Req.IProvided � Automatic Washer-- � � ^ � � ConstructionPoleSub. � Cookin9 Unit ' Dishwasher Dryers ❑Gas ❑Electrlc Fan, F.A.U. FixWres . . . Device Boxes � Outlets Garbage Disposal Generator �0-5 KW 05�15 KW Transformer � 15-50 KW , • ❑SO+KW �Meter ❑up to 700 amps Me[er ❑over100amps Sub Panel � Motors �0.1 HP � 1 h- 8 'InaSolar �9�15 HP �1645t Microwave - -� " ' Pole Light Range Sign ; $tanding $ections � Trash Compactor S� Reinspeetian Fee $15 laue Fee1 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By BuildinB APVrovad By Application Issued By �L ' Isue Fee $ 3 .. . _ . . _. . _ _ � Bopu �TL Z O N I N G a E 0 M T s $ 3 SUMMARv OF FEES ' � BUILDING PERMIT $ SMIP ,$ PLAN CHECK � $ PERMIT PLUMBING $ � ISSUANCE $ PLAN CHECK �25%. $ ENERGV P.C. $ ELECTRICA� ' S R. OO GRADING .$ PLANCHECK 50% $ MICROFILM 5 /� MECHANICAL $ TOTALFEE .$ T�'�� PIAN CHECK 25% , $ , , • � CONSTRUCTION AND PIANPfING ' POOL 'A "�1PPROVALS � Permit# Date Inspector AppROVALS Permit# Date Inspector - 1� Temporary Electrical Service or Pole ;. �" 52. Pool & Equipment Location ; 2. �Soil PipecUndrgmd. �' ' • � 53. Steel Reinforcement . 3:� Electiical 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 � i , , 7:!Footings : - • 58. Electrical Conduif-Undrgrnd. � 8: Foundation ' , F � ' 59. Gas Pipe, � Undrgrnd., Test i 9:. Wa[@r Pipe�UndrgMd. � 60. 8ackwash Lines, P-Trap, � Undrgrnd. 10i'Structural Flqor System - 61. APPROVAL TO DECK � 11. Property $ewei Line. & House Connection � �� ' 62. Backwash & Receptor-Final . 12. SeweP Capr . . 63. Heater & Vent-Final � 13. Roof Drains .; � � � 64. Plumbing System - Final 'r 14. Rough P�umbing . 65. Electrical-Final � 15. Rough Electrical-Conduit ' 66. Solar System-Final � 16. Rough Electric Wiring � � � : 67. Fencing & Access Approval _ 17. Rou.gh 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 . 20. Rough Factory FirePlace APPROVALS Permit # 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping'O Gas ❑ Oil 23. Gas Pipe-Rough & 7est 72. Underground Flush 24. Roof �Framing 73. Undergrnd. 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 � 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 � /7 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Gnopy - 37. Final Factory Firep�ace � 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Finel 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape �rrigation 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 Co 51. CERTIFICATE OF OCCUPANCY . � No. -' _ Date � , . ,