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Home My WebLink About1301 SUNFLOWER AVE - Building Permits 0 lib PROJECTAODRESS: 1301 SUNFLOWER AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 065120 OWNER'S NAME: MESA CONSOLIDATED WATER D ADDRESS: 1965 PLACENTIA AV PERMIT NO: E 06512'0'" PLAN CHECK NO: N GOVT: N SUPP: N C.M. , CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH 631-3614 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : TEMP POWER FOR WELL #9 OPERATING FACILIT SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / PERMITTEE: DOTY BROTHERS EQUIPMENT ( 310 ) 864-6566 ADDRESS: 1 1 2 3 2 E FIRESTONE BL COMMENTS : TEMP POWER FOR WELL #9 OPERATING FACILITY NORWALK CA 90650 + ***********+E****x***yrk«**** -*** ****+t***+ ************+yak* ***TF+a**ak*n************ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS 7000)0l Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S CITY LIC.:0 3 8 811 STATE LIC.:2 7 3 0 2 4 /� cuss:C10 C 10 Date: i/ ''5°-93 Signature:49 �d MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: (hereby affirm that I have acertificate of consent to self-insure oracertificate of Workers' FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN Compensation suraoce.WL Lj bora[erWil Igyhereof(Section 3800.Lab.U)1 /01 /99 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PCoMPANOLICY .:GREAT A/LMERIICAN EKP.DATE. PARKING REQ: PROV; PARCEL : 00000000 ZNE: REF NO: COMPANY: aa��.,, Q 17 Certified copy is hereby furnished. CJ Certified copy is filed with the city Building Division. PLANNING NOTES> ex, Date: //—S0-73 Applicant' V /4. > *********************************ie********************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5700)or less). DEVELOPMENT S B--R- V I C E S REQUIREMENTS 1 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. ZONING APPROVED BY .! DATE: Date: Signature: re'I./� NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : i ` DATE: _ Code.you must fonhwtth 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 APPLICATION ISSUED BY . `' DATE. go �l which this permit is issued(Section 3097.Civ.C). ******************************74*( '********************************************** LENDER: ******************************iritic********************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15 . 00 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 50% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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 penalty of not more than five hundred dollars($500). ISSUE FEE 15 , 00 I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 15 . 00 15 . 00 0 . 00 30 . 00 30 . 00 . 00 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 employees.provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED : 30 . 00 OVER/SHORT• . 00 improvement is e sold lt.within one year of completion,the owner will have the burden of proving he/she did not build or improve for the menBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK purpose atsl d I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors State License Law). l am aware ***********************************************{E.************************.******* that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15 . 00 15 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Dates Applicant- I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. 01 00151518-00151518 TOT 30.00 Date: 1 k SO 95 Signature: fli DATE: 11/30/93 TInE: I4:31 Driver's License or Social Security 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING PO0 SPA APPROVALS Permit m Date Inspector APPROVALS Permit $ Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. I 53. Steel Reinforcement• I i 3. Electrical Conduit Utility-Undrgrnd. 54. Forms (f 4. Electrical Conduit-Undrgrnd.' 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical ConduitUndrgrnd. B. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Rtckwash Linc;, P-Trap,C Undrgrnd. • 10. Structural Floor System - 61. APPROVAL TO DECK ' j 11. Property Sewer Line & House Connection 62. B:ckwcsh & Receptor-Froal 12. Sewer Cap 63. Heater & Vent-Fina' 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. 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 0 Gas 0 Oil 23'. Gas Pipe-Rough & Test -� 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical _ 27. Frame and Flashing 76. Dry Standpipe 2P; Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY, 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 430/ Notes: 34. Final Heating& Air Conditioning • 35. Final Gas Pipe-Test fi 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 44. Landscape Irrigation System j 45. Sound Attenuation J 46. Handicap Regulations 47, FINAL STRUCTURE & BUILDING 48. FINAL PLANNING -v 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date