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Home My WebLink About166 CECIL PL - Building PermitsApplicant to fill in all spaces except those within heavy border lines andsign all appropriate declarations. 7901 2/21/85 2_-a 3a f CITY OF GJSTA MESA �CO/I'J�/�{STR UCTIION PERMIT,�r�/ Prci Address�� L P '/ /� GS�4 /'/O-SO PEWIT NO. TRACT 114 NO. - LO,T NO. LIQ)`_ UNIT N6. Applicant's Mailing Address _ S(bo p_ �. %�2� Owner's Name e./•/? Muss//mown Phon Address / U z/ '�/•r' ns7L4 ��¢.—�n L'�-� _ TYPE OF CONSTRUCTION NEW ADD LJ-ALTERATION REPAIR' ❑ CONVERSION ❑ DEMOLISH ❑ OTH E�,,I DESCRIPjyON,QF y�Q�K�USE OF BLDG.t�'f� AAJ `t /�J %SEG./fGCi�i�.� _ n/— q•p,# !� �2Q -' Zone S Main Building: Accessory Building:( Arch/Eng. License No. Address TYPE OF PERMIT IJ, GRADING FOUNDATION ® STRUCTURAL -. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - ❑OTHER .. _ - PROJECT DESCRIPTION 5G. OCCUPANCY — CON STRUCTION TYPE VALUATION$ ZONE r GRADING CU. YDS. ACRES - E T Front D ' I—• - Z O B Rear - N I Contractor's Name OJ�/%Q� Phone AOdress (mailing) City License No. LICENSED CONTRACTOR DECLARATION A O Right 2�, �..� .� N K $ Left G Plog. Ref. # t Parking Req./Provided I E Remarks: Planning Notes:_ _ M I hereby affirm that I' am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the B es a Professions Code, and my license is in full force and effect. J T S License Class Date Signature ' PLUMBING FEES Bar Sink Showers l ELECTRICAL FEES WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer - -Service Sink .. .. _ Automatic Washer Transformer ❑ 15.50 KW Construction Pole Sub. EI 5.0 KW - - of Workers' Compensation Insurance,' or a certified copy thereof (Section 3800, Lab. C.) - v Policy No.- Company Certified copy is hereby with thehetl. ' Certified copy is filed with the city Building Division. Backflow Irrigation Sewer C'a'p - Bathtubs Sewer,Con vection - Cooking Unit Meter ❑up to' 100 amps - -— Date Applicant -' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - Clarifiers Solar-Collectors' Dishwasher Meter [:]over 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). - I 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'• Compensatigp Laws o tuaeh rni; Date !moo/ PS Signature d� Dishwasher Solar Piping _ Dryers []Gas ❑Electric ,Sub Panel Drinking Fountains - Solar Tank - Fan Motors ❑0-1 HP ❑1'/a- R Floor Drains Swimming Pool w/Spa , - F.A.U. Inc. Solar,005 HP ❑16-15+ 'NOTICE: If, after making this declar ion, you st Id become subject to the Workers' Compensation provisions f the Labor Code, you must forthwith comply with Such provisions or this permit shall be deemed revoked. Floor Sinks Urinal _ Fixtures -- - - Microwave Gas Service 'outlets Water Closet, Device Boxes Pole Light CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction Iendin agency for the performance Interceptors Water Heater - Outlets Range I of the work for which this permit is 'issued (Section 3097 Civ. C.) Lender's Name Sink Water Service Switches Sign ' Lender's AddressKitchen OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit statement that he/she i9 licensed pursuant to the provisions of to file a Contractor's the Contractor's License Law (Chapters (commencing with Section 7000) of Division 3 of [he. Business and Professions ons Cotle) or that he/she is exempt therefrom and basis for the alleged exemption. Any violation Section �[o Lavatories - Auto-Wash Garbage Disposal 9 P Standing Sections P—Trap Laundry Trays Y Generator 00-5 KW 115-15 KW Trash Com actor P Roof Drains - - - i I 7031.5 by any applicant for a permit Subjects the applicant to a civil a Waltx pc&c more than five hundred dollars ($500). I, er of the propertyor my employees with wages as their Sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's' License Law does not apply to an owner of a property who. builds or improves thereon, and who docs such work himself/herself or through his or her own employees, Provided that such improvements are not intended or offered for If, however, the building or Improvement is sold within one year of com- the owner will'have'the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project(Section 7044, Business antl Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves [hereon, and who Co n tracts for such projects with a con- r tractors) license pursuant to the Contractor's License Law). I am aware that proof o their Workers Compensation insurance should be provided to me. ❑I a exempt un er ction B. & P. C. for this reason -Reinspection Fee $15 I$$U¢ Fee $ 3 I , I Reins action Fee p ' $15 Issue Fee G MECHANICAL - FEES DEVELOPMENT SER CES RE UI EM ENTS:- _ - - --. .sale. Zoning Approved ByfDatepletion, Building Approved By Dat¢ Application Issued By Date—_Z1 Boiler Hood or Typal ❑ Canopy" Type II- ❑ - - - __ -_ - - Duct - Under,Ground Duct - Structural Refrigeration System ❑0-100,000 BTU 0100,000BTU Duct - Ventilating SUM RV OF FEES (.-y BUILDING PERMIT $ rt�a SMTP $ �' PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. ' $ Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. BIt. ICBO # Fire Dampers Date O _ - Heating System &Ducting Registers hereby certify that I have read is application and state that the above information is correct. I agree to comply with all city and county ordinances and -state laws relating to building construction, and hereby authorize repre- sentatives of 'this city to enter upon the above-mentioned property for inspection p s �� // / Signature u'//t ��=v Lvf]ci �-� Date Drivers' L' nsewr 55 7 �'%/� i ❑0-100,000 BTU 0100,000 BT $ GRADING $ ELECTRICAL PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ ' TOTAL FEE ' $ • O , PLAN CHECK 25% $ Reinspection Fee $15 Issue Fee $ 3 MF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pok-- Accounting;Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL &SPA APPROVALS Permit# . Date Inspector i. 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 5. Steel Reinforcement �/Gi 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grind. 57. APPROVAL TO COVER-GUNITE 7. Footings ✓L 58. Electrical Conduit-Undrgrnd. 8.' Foundation 59. Gas Pipe, El Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 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 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. RoughHeating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough, Factory Fireplace 21. Ducts, iri Structure 70. Underground Hydro 22. Ducts, Ventilating ; � 71. Product Piping O Gas ❑ Oil 23: Gas Pipe -Rough & Te'st 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro " 26. T-Bar,':Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing •4 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing �; S 1/(, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �( 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace i 38. Final Plumbing 39. Water Seivice-Final 40. Gas Service=Final 41. Solar Domestic -Final i 42. Backflow Preventer 43. BackflowJrrigation 44. Landscape,lrrigation.Sys_tem 45. Sound Attenuation.", 46. Handicap Regulations.; 47. FINAL STRUCTURE'1& BUILDING 48. Special b,equirements Completed 49. Electrlc',Release �to Edison' 50. Ga eltaase to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date / "A Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITY OF COSTA MESA CO STRUCTION PERMIT Project Address A 4 Lf EC/G � PER IT NO. �� /(0 TRACT NO. 4 Lo�. UNIT NO. TYPE OF CONSTRUCTION U NEW LJADD LIALTERATION XREPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCR IPT-ION OF WO K/UTE OF BLDG. ` �r`�`. �� 'L --)SET /r<,1 %,�L.%t.\=�/t % Applicant's Mailing Address Owner's Name Phone - 7, - / Address A.P. # �ZiG"' 7'7 �•ZO Zone ^2 S Main Building: v�(�'�"�j Accessory Building:(j, Arch/Eng. License No. Address TYPE OF PERMIT GRADING ❑ FOUNDATION ❑ S'TRUCTURAL 1:1 ELECTRICAL El PLUMBING ❑ MECHANICAL 111 :1 OTHER PROJECT DESCRIPTION SO. FJOCCUPANCY -� .- . CON STRUCT10N TYPE VALUATION$ �-•- 'T"1 •Y' ZONE GRADING CU. V DS. ACRES T Front s I '/s% '�[� ` L„ 0 BA Rear �, 1 N Contractor's Name" ' Phone Address (mailing) - No. City LICENSED LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class —License No. C Right IZ��--I-•j) �7,(�r N $ Left / ��`. kf'r]6 G R Ping. Ref. # / Parking Req./Provided E Remarks: Planning Notes: M / S PLUMBING FEES - Date Signature I Bar Sink Showers ELECTRICAL FEES WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to selfAnsure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) - Backflow PreventerService - Sink Automatic Washer Transformer ❑ 15-50 KW Backflow Irrigation Sewer Ca P Policy No. Company eCertified copy is herefiled with the cit Certified copy is filed with the city Building Division. Construction Pole Sub, ❑ 50+ KW Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for One hundred ($100) or less). I 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' Crensa tion Laws of California. Date ,- a ° Signature I• I - ��.,._. Clarifiers Solar Collectors Dishwasher Meter El over 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 110.1 HP Ell Y. - 8 Floor Drains Swimming Pool w/Spa F.A.U. Inc. Solar ❑9-15 HP E]16-15+NOTICE: 1f, after making this declaration, you should became subject to the Workers' Compensation provisions of the Labor Code, you must forthwith 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 which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address / /UNG OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light - Interceptors Water Heater Outlets Range Kitchen Sink Water Service Switches Sign - Lavatories Auto -Wash Garbage Disposal 9 P Standing Sections P—Trap Laundry Trays Generator ❑0-5 KW ❑5.15 KW Trash Compactor county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 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 enalty,.oaf nlyo9t more than five hundred dollars ($500). 1, ldsioV neer of the property or my employees with wages as their sole ROOF Drains - RelnspectlOn Fee $15 Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered for sale (Section -7044, Business and Professional Code: The Contractor's License Law does not apply t0 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 improvement is Sold within one year of cone- pletion, the owner, will have the burden of proving he/She did not build or im- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for Such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section l B. & P. C. for this reason MECHANICAL FEES Boiler Hood or Type I ❑ Canopy Type 11, ❑ DEVELOPMENT SERVICES REQUIREMENTS: / ��• / Zoning Approved By - _ - Date - Building Approved By �i Date- Application Issued By Date Duct - Under Ground Duct - Structural Refrigeration System ❑0-100,000 BTU ❑100,000 BTU Duct - Ventilating SUMMARY BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ OF FEES • 00 SMIP $ Q' O ��• C�� PERMIT ISSUANCE $ ENERGY P.C. $ GRADING ' $ Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Date Owner 1 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 Heating System & Ducting ❑0-100,000 BTU ❑100,00067 Registers and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection purposes. / Signature Date Drivers' License or SS -e - PLAN CHECK 5096 $ MECHANICAL $ PLAN CHECK_ 25% $ MICROFILM $ r TOTAL FEE $ �� Reinspection Fee $15 - Issue Fee $ 3 CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Asse Ssor CONSTRUCTION AND PLANNING APPROVALS - Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. 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 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 56. Electrical Conduif-Undrgrnd. 8: Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 - 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 A. 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 0Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 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 Notes: 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 Domestic-Final 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 No. Date Costa Mesa Building Department APPLICATION FOR PERMIT i 111 EAST 20th STREET 1-271 B f L D ,� N'G - COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN . FOR OFFICEXSE ONLY Receipt No. Permit No. .g Address Costa, Mesa, CiaMornia Received by Date Reo'd. Date Issued �— °L6 `f3 Nearest� f; � Cross St. 1.1-0/Y -C(/ Building Address i Owner Costa Mesa, California - Mail Address Nearest Cross St. Tel. Cit No. _ Zone I plana I Type I Group Architect or Lie. Engineer No. Approved by Date Address CORRECTIONS G City IF. i7 -r Contractor o. Address Lel Lot Descrption I No. Y//� I Block I Trac! (Attach Metes and Bounda) /i i No. of BldgsX#. , Size of Lot 66, Now on Lot O Use of No.of- Existing Bldg.jy1(,(% I Families/ Rooms Z Setback Line from Rear Yard Center of Street Side Yard y DESCRIPTION OF WORK New I Alteration I I Addition Repair I I Moving I Demolish Building No. of Size Rooms Stories Exterior Wali Covering I Roof Covering APPROVALS Use of Build ngeW Foundation Location Forms, Materials, Under -Pinning Inspector Date Frame: Fire Stops, Bracing, Bolts — Lath. Int. Lath. Ext � —1 -- I hereby acknowledge that I -have read this Application and state that the above is correct and agree comply with all City Ordinances and State laws regulating building mnstru tton. Signature ofd �' - 1 l/' Permittee �"1� �''b• �h Authorized Agt. Plaster, Int. Plaster, Ext Masonry Reinforced op �} � b Valuation $ 3 Permit Fee Plan Check Total Fee $ 02., FINAL CORM 204 n -M 2M 3-S6 PLOT PLAN Show location and distances from property line and between building& �C CJ • ' d o Jt n 0 o _ Street PLOT PLAN Show location and distances from property line and between building& 682 COSTA MESA BUILDING DEPARTMENT R O. BOX 317 COSTA MESA. CALIFORNIA >n qAY 2? 56eo$T4 35a *****4.00. RDHESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS �( C05TA MESA. CALIFORNIA FOR OFFICE USE ONLY NO, PERMIT N11O. OWNER =PERMIT MAIL RECEIVED BY DATE /- RECEIVE D�% DATE ISSUED _/� ADORES %'�I B TEL. 'BUILDING CITY - Q.�! NO. ADDRESS L. ARCHITECT IC OR ENGINEER No. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE CITY LIC. to � IN,LANS TYPE / / DROOP CONTRACTOR NO. %C //�/ / / / APPROVED ADDRESS J67/7— /T / NO. j• DATE LEGAL Lor NS - ` DESCRIPTION NO. BLOCK TRACT A.P. NO. SIZE NO.DF BLD CITY OF COSTA MESA OF LOT NOW ON LOTT n �erA.L�r��_ PL/ I`lOr n DEPT. E%I STOI NG BLDG. SETBACK LINE £ROM CENTER OF STREET �C REAR YARD L 1 BY DATES -- 243 SIDE YARD RIGHT LEFT C DESCRIPTION OF WORK NEW ALTERATION J -ADDITION REPAIR MOVING r DEMOLISH BUILDING NO.OF SIZEp ROOMS STORIES EXTERIOR WALL ? ROOF _COVERING`"�S COVERING USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL GNR CITY ORDINANCES AND STATE LAWS EGULATJ lNG-EOSTUC. Tlorv. {i✓(! VALUATION SIGNATURE OF (¢C PERMIT FEE $ PLAN CHECK S PERMITTEE ! ��Z/�U�.�,_,�/�• 5 \ L[•✓��_ Z�'Z TOTAL FEE $ AUTHORIZED AGENT 9"/