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Home My WebLink About318 BROADWAY - Building Permits� Apolicant to (ill in all spaees axcaot tnose witnln heavY eoraar Ilnes ana slgn all approoriate tleelarations. �CITVUF COS7A MESA CONSaTR�U�C�T�ION PERMIT . Projeci Address -�� Jl/SLJA7�Y Appl¢anYs•RlailingAddreu �d�t Owner' Name QF� � aA�'� Phone �Y bi(.O Address ArcfilEng. License No. Address Contractor's Nam hone Address Imailing) ity License No. LI ED CONTRACTOR DECLARATION 1 hereby a i nsetl Untler provi5lon5 of Cha� IS-(COmTencing with sectlon 7000) of Divlsion rofessions Catle, antl my Ilcense Is in tull Porce antl e Licxnan � ac ��ce s. ry� Da Si9nahre WORKERS' COMPENSATION DEC�RATION I hCr¢Dy d/flrm thdt I have a certificate Of COnS¢nt to 5¢INnSW! o! d C¢rtlfltdt0 '�Workers' Compensation Insurarce, or a certifietl coOY tharaof (Section '.0. Lab. C.) licy No. Company 8 Certilietl copy ii hereby (umished. Certitietl copy is filetl with the d�Y Builtlin9 �ivision. Date Applicxnt E%EMVTION FROM WORKERS' COMPENSATION DECLARATION (This section naeC not Ee completetl �� the permit is for ane �unUretl (5100) or iessl ' . I certily tnat in tne pertormdnCG OI IhC wO�k fo� which hI5 D¢�m�t ii ISSuetl I shall not employ any oerson In anY m so as to ecoma subject to t�e Workers' ompe tion Laws af Califo i � Date J�'t -� ' Signatur NOTICE: II, after making tMs tlecla�a ou shoultl become sub�act to tne Workers' Compensation provisions of he Lnbor CoOe, yau must /ortnwitn comply with tuch provisions or this oermlt snall be tlaemetl ravoketl. CONSTRUCTION LENDING AGENCV I hereby a111rm that Ihere is a conztrutUon Ientling agency for the perTormante Of th0 wOrk fOr w�lch thi5 permlt f5 ISSuetl (Saction 3097 Civ. CJ lpntler'z Name Lantler's Atltlress OWNER BVILDER DECLARATION I hereDy at(irm lhat I am exampt from tha Contrac[or'z License Law for the tollowing reason (Sectlon 7031.5 6u5iness antl Professional Cotle: Any tity or wunty whiGh rlqW�es a parmil t0 FOnstruct, al�e�, Improve, tlem011ih O� rOpal� tfly 5{IOCI WC. P(�O( i0 IIS ISSl1dfICB� dI50 rGqW �e5 th0 appliGdnl b/ sucn pe�mit (o fil� a si9netl slate(O¢n[ Ihat he/sne I5 IICan50tl puriudnt [O tlle plovl5lon5 O� [ho Contrac(or's Llcense Law (Chap�er 9(commencing witb Sectlon ]000) of Diviilon 3 of the Business antl Professlons Cotla) or that ho/she I5 exampt r,"�j;y,re/rom antl the Dasis for the allegetl exempHon. Any violatlon o� Soction ' 7.5 by any applicanl (or a �ermit sub)ects Ihe applicant to a civll :z"%;��b ol not more tnan tive huntlfeG tlollars (5500). iJ'�I, as owncr of the property br my amployens with wa9os as thelr sole compen5ation, will tlo the work, a�tl �he Structufe IS not IntBntl¢O Or OffGICtl tor sale (Soctlon 7044, Business an0 Professional Cotle: The Contractor's Litensa Law Eoez not apply to an ow�er of a proParty wtio bullCs or Improves thor¢on, antl who tloez sucn work him5¢If/hersel/ o� IhrOu9h hls o� he� own emplOyCes, provitlBtl ihat such Imp�Ovnments a�e nol IntentleU or 0118retl for sa10. II, however, the builtlln9 or irPP�oveTent IS SOIO within one yoar Of COm- pl0tlon, the owne� will have the bUrtlen ot proving ne/she OIO not builtl or Im- prov br the purpose ot sale). I, as owner of tne pro0erry, arri exclusivery contratting wlth Ilcensetl ton- traftOri l0 conit�ucl t�e project (Sl0��0�1 !OAA� BUSIOESS dOC PfOfBS5I005 COCB� Th ConVactor's License Law dotls not apply to an ownor ot pwperty who builtls or imoroves thereon. antl wno tontractz for such orolects with a con• trattor 1 Lcense pursuant [o [ne Co��ractor•s License Law). I am aware lhat oro o( t�eir Worker'S Compenst�ion insuranca shoultl ba provltlaC to me. I am exempt untler Section—��z—��B. & P. C. tor this reason Date Owner UPO� tate t�al t�e above tl caunty orainances °�y authorize repre- IoneG properly for oate ( 7 -S-F � TVPE OF CONSTRUCTION Ll rvEw LI ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTFIER -FYPEOF PERMIT ❑ TENANT ❑ ❑ OTHER PR S IPTI C O N ST RUCTION ZONE Remarks: �p �^ \� Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers GRADING LJ FOUNDATION LJ STRUCTU _To�s�� , ��' �.� tl I P A6 ��t. 5�. FT. � OCCUPANCV 'E��N VALUATIONS� _ GRADINGCU.VDS. ACRES Drinking Fountains � Floor Drains Fioor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories��1 ,�� P-Trep � Roof Drains Rei�spection Fea $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventileting Exhaust System ❑ Multipla Firepl/Fact. BIt. �CBO dh /He ng System & Ducting 1�10�000 BTU 0100,T00, Reinspection Fee � 515 White - Bulltling; Canary - Applicant; Plnk - Accounting; Goltlenrotl - Assessor �l Showers Service Sink Sewer Cap Sewer Connection $O�dl (�,OI�QCSOfS Soler Piping � � Solar Tank " Swimming Poot wlSpa Urinal Wa[er Closet Water Hearer �s�,�j� Water Service Auto�Wash Issue Fae Hood or Typel � CanOpy Type 11 ❑ Refrigeration System Oo-ioo,000eru �ioo,000 S em Repair/Alteration re Dampers Registers Iswe Fee A.P. qW S Main Buildi E T Front 8 Rear A •C Right g Lett Ping. Ref. 9W Plannina Notes: FEES Automatic Washer Construction PoleSub. ,�� Cooking Unit q�- ' Dishwasher i,'� Dryers ❑Gas<�Elec Fan � � /. F.A.U. 1 B - Fiztures -�/ •� �V�� DeviceBoxes �� Outlets • Switches '� . Garbege Dispoul 1 Generetor �0.5 KW C Fee 2one ELECTRICAL Transformer ❑ 15�50 KW � 50+KW Meter L7up m 100 amps Sub Panel � Motors O0.1 HP O1�'f,'- 8 Inc.Sotar �9�75 HP �16�15+ Miuowave . ' Pole Light � Range Standing Settions 5 KW Trash Compactor $15 Issue Fee S 3 �DEVELOPMENTSEHVICESREUUIREMENTS: �Zoning APProved By FEES � Building APProved By � Application laued ey ^ _ . ' BUILDING PERMIT $ 7C/. O� PLAN CHECK $ � � ', PLUMBING $ � s•� � PLAN CHECK 25% $ �� _ ELECTRICAL $ 6.2�� • PLAN CHECK 50% $ � �Q �� MECHANICAL $ PLAN CHECK 25% $ � i N I N G R E � M T $. FEES SMIP $ • `�� PERMIT ISSUANCE $ ENERGV P.C. $ GRADING 5 MICROFILM $ TOTALFEE $ /9/•� d3 00021137-44021141 '� OT ��1,SL DATEa 32/0:�/$$ TIIIEa ll�i! � CONSTRUCTION AND PLANNING � i liPPS�VALS Permit#�-- 1. Temporary Electrical Service or Pole 2. Soil Pipe•Undrgrnd. . , � 3�Electrical Condui[ U[ility�Undrgmd. 4` Electn'cal Condiyy-Undrgrnd: ' � 5Z'Steel Reinforcetne t � 6� lectrical UFEfi�Grnd. ,� ' ,� . 7��frootinas �^ S:Foundation � '�, 9.'.•,n/ater Pipe-Undrgrnd. e � � %� 10. Structural Floor System ' � ~ 11. Property Sewer Line & House Connection Y ' ` 12, Sewer Cap . �� ^- � 13, Roof Drains • y� 1 14, Rough Plumbing - I 15a Rough Electriwl•Conduit 17F,,;'! augh Wi�ing Sign � . � � .. i�Rough E(ectrical-T� ar Ceilirtg" �'� �-- 19 "Rough He''ating &jAir Conditionin9 �.v r; 20: Rough Factory Fireplace '- r 21�Ducts, in��Struau_r'e ; �} 'r 22. Ducts, Vontilatin�? �:f � :�•7 • t.. 23. Gas Pipe;_Rough �,'•Tes� K � 24. Roof Frarhing �, ;� G- 25. Roof Sheathing� �, � �• = `' 26. T-Bar Cgil�ng f5tructural) & N4onocoat 27. Frarne and Flashing '� _, - i -. � .. +- - 28. Lathi+R�:&f Siding� / :y � • 29. InsuQt��'ror� -� i.: •=-f . 30. Drywall ailing?� �'. ' 31. Plesi@r� �wn Co�t ... �� 32. Elect�iEal,j�ow�rMeter=Final ', 33. Final Electric� �, �; 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 3$. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41 . Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape Irrigation System 45. Sound Attenuation 48. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 4$, Special Requirements Completed 48. Electric Release to Edison 50. Gas Release to Southern California Gas 51. CERTI FICATE OF OCCUPANCY Date POO L 'A Date Inspector AppROVALS Permit # Date Inspector 52. Pool & Equipment Location ' 53. Steel Reinforcement =' t 4. Forms ' � � 5. Electrical Bonding 56. Rough Plumbing & Pressure Test _ �, �, 57. APPROVALTOCOVER•GUNITE •. ' : t �� 58. Electrical Conduit-Undrgrnd. � � • 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, � Undrgrnd. 61. APPROVAL TO DECK � 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final !�.�j . Fencing & Access Approval 68. APPROVED FOR PLASTERING �) 69. POOL/SPASYSTEMSFINAL S � FIF2E OEPT. REQUIREMENT _� APPROVA�.Si Permit# ,• :�,.� � i I �• i � 70. Underground Hydro � {- 1 y 71. ProduEt f?iping O Gas ❑ Oii 72..;Underground Flush �;,;a 73. Undergrnd. Sinr.�ge Tank O Gas � Oil >; � 74. Overhead Hydra � 75. Dry Chemical U � N. 76�Dry Standpipe ", 77�� F6XED SYSTENI FINAL 78�1�FIRE PREV'�FjfVAL . y.. 0 : �_r c FINAL DEPT. REQUIREMENT TE ISSUED f;, _ i � ' .: 1.;' i !% r`� , ;.. � � n � �'I% ��. �- - % !:' i - i � ✓ . -� .;; .,� f' j�i .. 'r� �' Y-� AOD��ant lo flll in all spaces except tnase wit�in heavy GorCer Iines anG sign a11 appropriata aaclarations. 1 — CITYDF COSTA MESA CONSTRUCjION PERMIT Project Address �1 �i �i740'�Oy1Al./ ��_ASTA Ml°JA . APDl'�nt's,'MailingAddress �� Oyaner's Nam �« Phone�'�D�� Address �+1 � �' �C �ui � Arch/Eng. License No. Address Contractor's Nam Phone Address (mailing) City �icense No. LICENSED CONTRACTOR OECLAFATION 1 hereby allirm Ihat I am Ilcens<tl untle� provizlOns of ChartOr 9(CommGncing with section ]000) of Divislon 3 ot Ihe BuSiness antl ProfeSsionS Cotla, antl . my Iicense is in full force ana eifect. License Class � License No. Date Si9nature WORKERS' COMPENSATION DECLARATION '`creby affirm that I nave a certHirzte of conttnt to self-Insure or a certifiwte Workers' Compensation Iniurance, or a cer8fietl copy thareof (Settlon �0. Lab. C.) Policy No. Company 8 Certifietl coOY �5 hereby furnisnetl. Certifietl copy is filetl wilh the city Builtling Division. Date Appliwnt EXEMPTION FROM WORKERS' COMiENSATION DECLARATION (This se[tion neetl not be complat¢tl if th¢ perTit is fOt On0 huntlr80 (5300) Or less) I tertity that in the performance of he o k for w h this perm�t Is issuetl I sha11 not employ any person In an n r as t become suDje<t to t�e worker ort�pe n lon Lawz ot Cdli o i Da[e �� '� Si9nature NOTICE: I(, alter maki�g this yo shou a beGome subjec he Workers' ComDensation pmvfitons t' Labor Cotlo, you muzt (orthwith compiy wilh zuch provlslOns o� Ih �mlt snall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby aflirm that Iher¢ is a coniVucllon Ientling agen<y to� lha pertormanCB oi tne work tor wnich this permit is issuetl (Seclion 3097 Civ. C.) LenOe�'s Name �entler's Atltlress OWNER BUILDER DECLARATION 1 hereby aftirm ihat I am exempt trom the Contractor's Ucanse Law for the /ollowing reason (Section 7031.5 Business antl Professianal Cotle: Any city or county which requires a parmit lo conslrucl, alter, Improve, Gemolish or ropalr any struUure, prior to Its iizuance, also reqWres tha applicant lor such permil f0 file a 5ign¢0 itatem¢nt that h0/Sh¢ I5 Ilcensetl OurSUdnt to lhe PrOVI5ion5 0/ the ContractorR License Law (Chapter 9(tommencing with Sactlon 7000) of .- vlsion 3 O� the Busin055 antl PrOtes5ion5 COtlO) of lhal ho/Sho I5 exempt �= s�aefrom antl the basis for the allegetl exemption. Any violation of 5ectlon ',��91.5 by any applitanl fOr a perTil zubfec[5 the dpD��<anl l0 d civll �y-""Tdlly ot n0[ mora lnan flve huntlretl tlollars (5500). � I, as owner of the pwperty or my omployees with wages as thoir sole compensation, wiil tlo Ihe work, antl tne struccure is nol IntenGetl or ot(eretl for sale (Section 7044, Business antl Professional Cotle: The Conlra<tor'z l_icenze Law tloes not apo�Y to an owner of a proparty wno bulltls or Improves tnereon, ana who tloes sucn work himseli/hersall or throu9h his or ner own emp� yees, prOvitlod that such ImprOVCmentS ar0 nOt Intendetl or otter¢tl tOf sale.�t, hOwever, lh! bulltlln9 Or ITproveT<nl is Soltl within One y0ar Of Com- pletlon, tne owner will have the burden ot Proving he/she GIO not builC or Im- �rovQ tor the purpose at sale). I, as owner o/ the O�opGrty, am exUusively COn[racting wilh Iit¢nSeC COn- tractq rs to construct tne O�oiect (Section 7044, Business antl Professlons Gotle: The Contra<tor's License Law doei not apply to an owner of Dwper[y who builtls or imoroves thereon. antl who contracls tor sucn orolects with a con- tracto�(s Lcense pursuant ro me Contractar'S Llten58 Ldw). I am aware that pro eir Worker'S Comp¢nsstion iniurance shoultl be provitleC to me. I am exempt under Sectlon_—y�-- B. & P. C. tor this reason Date �'�--��- �� Owner ' I hereby certify that 1 have rea pPlication antl state that the above information is mrr I agree to ompty with all city antl counry ortllnan<es antl state laws rel to builtli construttion, an0 hereby aut�orize repra- 5entatives of t is t enle pOn the dDOve-mentlOn¢tl O�Operty 1or inspectlon purp z �/ Signature Date��4�. Drivers' lRewT�r 0865-46,rev. 5/88 - S Main Buildi TYPE OFCONSTRUCTION NEW AD� ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Ffont DESCRIPTION OF WOFK/USE OF BLDG. A Rear TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL I C Right ❑ TENANT ❑ EIECTRICAL ❑ PLUMBING ❑ MECHANICAL . g� Left ❑ �OTHE0. Ping. Ref. i%' PRQIECT DESCRIPTION 50. FT. oCCUaArvCV Planning Notes: CONSTRUCTION TVPE VALUATION S ZONE GRADINGCU.VDS. ACRES Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers rinking Fountains loor Drains loor Sinks 25$CfViCe Outlels Kitchen Sink Lavatories P—Trep Roof Drains Roinspeetion Faa � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIL iC80 dk Heeting System & Ducling L7 ai oo,000 sTu � i oo,000 sr� Reinspeccion Fee � $15 White - Builtling; Canary - Applicant; Pink - Accountin9: Goldenrotl - Assesior ShOwers Service Sink Sewer Cap Sewer Connettion Solar Collectors Solar Piping Solar Tank Swimming Pool wlSpa Urinal i�'i8L2f C�OSC[ Wa[er Heacer �p� water Service Au[o�Wash Leundry Tre'ys Isue Fea Hood or Typel ❑ Canopy Type II ❑ Refrigeration System ❑aioo,000sru ❑�oo.000 System Repair/Alteration Fire Dampers Registers Issue Fee S 3 FEES $ 3 Autamatic Washer Construction Pole Su6. Cooking Unit Dishwasher t^ . Fan F.A.U. � � Fixtures Device Boxes � Ouclets Switches Garbage Disposal Generaror �0.5 KW � Reinspection Fee — DEVELOPMENTSER Zoning Approved By_ Building Approved By Aaolication lauad Bv_ zone Accessory ELECTRICAL Transformer ❑ 15�50 KW ❑50+KW Meter Uup to 100 amps Meter ❑over 100 amps Sub Pane� Motors041 HP�iX-8 Inc.Solar �915 HP �1615+ Mittowave Pole Light Range Standing Sections KW Trash Compactor $15 � � Issue Fea — R E�UI R EMENTS: FEES N I N G R E Q M T S. SUMMARV OF FEES BUILDING PEflMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ S�� ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ �8 �— GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ �� PLAN CHECK 25% $ oi o0022�o<-oeozzaos T«�r ra.°��. OATE: 1:/i51E3 TI�:: C�:2? CONSTRUCTION AND PLANNING POO SPA APP�iOVALS Permit# Date Inspector APPRCj,C/ALS Permit# jr Date Inspector i _�. 1. Temporaiy Electrical Service or Pole � 52. Pool�& Equipment Location • • i; 2. Soil P,ipe-Undrgrnd. � 53. Steel Reinforcement -� '. 3. Electrical Conduit Utility-Undrgrnd. ' 54. Forms ,' '' �� 4: Electrica� Conduir-Undrgrnd. 55. Electrical Bonding _ - „ 5. Steel Reinforcement j 56. Rough Plumbing & Pressure Test - i 6. Electrical UFER �,rnd. _ �, 57. APPROVALTO COVER�GUNITE • � ,� ' �� r 7. •Footings � ; "'�'�'= 58. Electrical Conduit-Undrgrnd. ' 8. �Foundation �' 59. Gas Pipe, O Undrgrnd., Test .� � 9. iWater Pipe�Undrgind. ' 60. Backwash Lines, P-Trap, � Undrgrnd. ' 10.'Structural Floor System ". 61. APPROVAL TO DECK 11: 'Property Sewer Line & House Connection 62. Backwash & ReceptorFinal 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Orains 64. Plumbing System - Final '� 14. Rough Plumbing 65. Electrical-Final ' i 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTER�NG 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 Struc[ure 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test ' 72, �UPderground Flush 24. Roof Framing ,�� 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing ' •� 74, Overhead Hydro 26. T-Bar Ceiling (Structural) &,iNonocoat 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 R' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECT�ON 32. Electrical Power Meter-Final Z.�'..� .:.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 'L 2 �<( 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42.�Backflow Preventer � •� I \� - 43. Backflow Irrigation - .'� ; � 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric fielease to Edison . �. 50. Gas,Release to Southern California Gas Co i ' �; 51. CERTIFICATE OF OCCUPANCY '' � ' . � • � No. Date ' -, ' ' � � ,