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HomeMy WebLinkAbout229 16TH PL - Building Permitsr' ApPlicant to till in all spaces witM1ln M1eavy Dortler lines an0 sign all aDP�opriate Eeclarationz. 'C11V�F COSTA'MESA � a R�q IT NO. � � TRACT NO.-- LOT NO. ' BLDG. NO. � ' '- - - ' - --. • . �- - - .- - . CONSTRUCTIONPERMIT �/ ='�7 �. " ' � � �' ' � , "2'479' 2%�24/82 �' ' 23.00 TL� ProjectAddress 6 . _ � TVPEOFCONSTRUCTION �� � � __ ,. � � � .., •rT-, �� � � �.' . _ _.' . . .,. : . . . ... . 'OWner [ f' -' �PhOne - NEW AD�� ' ACT AT ON , � � Addres� O/� D � F O - - ❑ REPAIR ❑ CONVERSION DEMOLiSH ' ' ZONING REGULATIONS �_ - � � .'ArchlEn9� 'a C ' f''LiCfnseNo:�(pJ�� _O.OT.HER "' ' _ . . . . -.. _ - _ ` . '' '_' ESCRIPTIOKOF VJORK _ A'P' � � 2`p . Addf255 � � 'ps' ' - ' �ZONE � � � PLNG. REF.-qf;". :Contractor ' -CON.s °^ � TVPEOF,PERMITc � .e o - pg�/i LpirvG - � . . ; . . � 'SETBACKC L T. ROPERTV�LINE �' � i�Addle53 O . . _' T �' ❑ GRAOING - �O FOUNDATION ❑ STRUCTURAL '- ;SIDE VARD - - _ � : --- - _ 610ENSED CONTRACTOR DECLARATION- ' � �' LEFT � � �O'TENANT ❑ ELECTRICA4 OPIUMBING��OMECHANICA 5�pE VA I h¢r¢by dffitm th:.t I am IICenSeG Untler provisiOns oi Chdrter 9(COT- - _.�, 1; , ! RIGHT . mencin9 w�<h• zectlon-]000) of Orvision -3 of -tne�-Business 'antl �❑ OTHER' � � , ' REAR VARD ( PjL) - � � r�� I Professions Cotle, antl my Iicensa is in full force an eff ct. - ` - � 7 �"" ' "" �+ - ' � PROJECLDESCRIPTION I .' '_ ... , .. . - " ' ' � �Licens Class � ' � Li e N �� � � � �' � � - , PKG. SPACE REq.� ' '-PROVIDED � Date � 2 - 2 Signature ' '� ' ' - � � SQ. FT. , . „_ �WORKERS'-COMPENSATION•DECL ATION- - � - _ OCCUPANCV `� CONSTRUCTIONTVPE_ _ ;STREETWIDTH .'PARK'FEE,$. _ J hereby affirm [hat I have a certitic e of consent to selt-insure or a �,VALUATION������• ZONE (ZONING APPROVED BY DATE certlfiwte of Workers`Compensatlon^Insurance;-or�a certifiea-copy ..t � � �� reot Sectlon 3800, Lab. C.�. GRADING CU VDS. �' ACRES � f SPEd/lL CONDITIONS: � ' i Y�. � ( ' _ � I �"" � Y No�_ "' ' '" _ComPanY ' _ ", ' ... _ _ _ _ ' .I _ . _ _ _. . _ -" . � �' .l '�'e�tl�Ietl�cOpy iS:hBreby turnishetl. - -_ _ _ _ ..__ . _�_ h . .REMARKS � � �� CertitiGtl cOpy 6ifiletl with Ih¢ City Builtling �ivision. _ � i ' - �,� �� „ �E%EMPTION'FROM�WORKERS' COMPENSATION'DECL"AR'ATION - ' - � ' � ' -- � ' - -' , -� (ThissectlOn n¢Btl.not.be.compl¢fetl if th¢.permit i5 fOr on<.huntlrea - ' _ _ _ ` ___ _ • __ �_ � +'.� . ��(E100) or lessl. r . . i ". . . _ .. - ' ' ' '_ _ _'_ - ' �Lcertify that in the performance o(.Ihe work for whith this peimit Is � �issuetl, 1 shall not employ any percon in any manner so as to:tiecome � PCUMBING-�: ,--- •pPLAN CHECK"-' � "' . ELECTRICAC - '" "'PLAN CHECK ' � subjeCi.tO th¢ WOfkG/s'_CompenSdtloO LawS ot_Cdllfor0id.'' ;�' ' - ' ' ' � ^ 'Date � 519nature � BATHTUBS - -- -- ...� SFIOWERS�" ""' "' " -"; ' `- ' " " "' .'. �. � . �' . i �.NOTICE: I( after making this tletlaration, you shoWG becoma�subjoct' TOILETS� r, � -�URINALS -' ' '-- ' 'GENERATOR - Od KW'_1=10 KW' -' ' '�- � �to the Workers' Compansation provisions of the LaDor Code,-you must � - - _`TRANSFORMER � � . � �; �r,; �� : I j farthwllh comply with such provi5ions or this permit shall �e deeme0 LAVATORIES DOUBL'E'CAVS -' ' -- '�APPL"IANCE' -'�'10-50 KW_50�+ KW�-- - -- -- �� r<vOketl.. .. _ _ • _. . . . - � _ _ ' _ � � �� - � 'KIT.'SINKS '� -"' "DISIiWASHERS - "-' ' - `MOTORS-^----- 0'1 HP_1'30 HP' -- • - -- --• j �CONSTRUCTION LENDING AGENCV � t,'ti,.rq �� •qj � �ti. _ �I hereby affirm tha[ there is a constructlon lentlinq agency for [he per- SERVICE SINKS��'.', �• LSUMPS' "'- �F -- �=- .�(�NC..SOLAR) __ -30•50�HP=-,50 + HP- _- _� .fOrTanCG Of [he wOrk ior which thls permit Is issued (Section 309J �'� " '���' �'�' � � � �� � ` FLOOR�SIN �� ` L OR RAINS' '�-j--- - ;FIXTURES— OVTCETS' -'SWITCHES-' i�enaer�s NaTe ilf � " �- � -�• � " T� �+ •� .� � �� . �� � DRINKING F �UNTAI ^T��-� - --� ,GASTUBESIGNS- - ' - - -- � . V �L.¢ntler'S Atltlress . � � OWNER BUICDER'DECIARATION ' � . - - -"- - ' " IfJTERCEPT 5 A - ' ' POLE CIGMTS" -" � -� • t ^. d hereby afh�m lhat I am exempt f�om.the Contrac[or'S L¢en5e Law fo� _� �' + _ ; � the'following reason�(Sectlon�]031.5 Buvnezz antl-Professwns Cotle:- -SWIMMING' �'PT -� d'Any ci[y or county whith reQuires a permit to construct, alter„ 1 �POLES �METERED .SUB � imp rove' tlemollsb or repalr,-any-strutiure�prior,to its issuance; also.re- ..yyqTER SE E�,� �`i `� TE ION" '-" ''iPANELS'• "" ^ MAIN'� �"- SUB" �� ' - --'-� j ' qulres the ap�.licant forsuch permit,to,file a signetl_statement thatthe.: �� �� � is"Iicensetl'pursuani"to'tne'pro'vislons of�the`Contractor'S-License Law -'GAS�SERV CE � � �� OU7LET5�� -` � '` -" ` �SERVICE-^ --- - ^- - ---- -AMP- - - - - (Chapter 9(commencing 'with Sectlon �000) of DlviSion, 3 of the - B�••'�ess antl ProleSsions'Cotle)'or thaYhe�irexempYtheretrom antlthe- � yyqTER HEATERS -� "BTU OUTPUT '-'- "', ^- ' � ": - •-- - -^--,-� - -, - � � - � =--; , --- �- ' ^ "- � ' t 'or the alle9etl exemption. Any violatlon of Section 7031.5 by - � ppllcant'for a'permit subjects t�e'aOP��cant'to a Uvil�penalry� SEWERCONNECTIONS "' ' ' -� ""�'-' - �-'- �-�'-'^----- -- - - � - - - -�- - o .f�more lhan five huntlr¢tl tlolla�s (E500). j� 1, as owner of the proper[y; or my empldyees witli waqei as lheir SOLAR TANK - - "" "- "' C LLECTORS' ' � -- - ' � -'- - �-- --- • - ^ ^ : - sol¢.Compen5dtio�, will tlo the wo�k„antl the_st�uctu�e,15 not Intentletl_ ' ` ��" "� � i �. .:r br offeretl for sale. (Section ]044, Businezz antl Ro(essions Cotle: The SO�AR PIPING SVS. � � � r � � B� �- '�SSUE'FEE " "' - --� -- - - � '-- �F ;Contfac[or:s.LicenSe Ldw tlo¢SpOt.aOPly_to dn own¢f of a propefty. _� _ • wno builtls or improves thereon, antl wno tloes such work himself or ISSUE FEE � ' �"'.-"3" D'i%�PPL�CATION�APPROVEO BV �•- - - - DATE- _�-- Nrough_his ow0 ¢rt�plOyees, provitl¢tl ihat suth,improvements a�e not �� inl¢ntletl or oflorea tor salc. If, noweveq tne builtling or Improvement MECHANICAL PLAN CHECK SUMMARV OF FEES is,501tl wilhin,Ono year o( compl¢tlon, tM1e owner_will have [h¢ burtlen � � ;At proving ha tlitl nol builtl or improve for the purpose of sale):� - --�BVILDING------��/� �) -- --- —�-� c�- ;� 1,-�as-owner-ol �the� property,- am-exclusivety-<ontrac[ing with HEATINGSVSTEM 0-100,000 BTU _ IPERMIT y� ,�SMiP 1j5_ �_`�_ ANO DUCTING ' "- i" - - ---' - � �- = � - - - - IlcenSetl Wn[ractorz t0 mnSVutt the project ($ection 7044, BuSiness 100,000 � BTV � � pLqN CHECK E �PERMIT.._. h. ,.. I antl'Profasions�Cotle: The�Contractor4 �icense LawEoes.noPappry4o �--_- � ISSUANCE.•.E ' `an owner ot property wh0 builtl5 0� imprOves lhereon, antl who con- REFRIGERATION Od00,000 BTU �PLUMBING E_vJ-�� ❑ � ♦ . I tracts-from-such proje<ts with a contractor(z) iicesnetl-pursuant-to- - SvSTEM - � - --- - '� � ----� - - - - __ _ ^ �'GRADING� E" ' ! the Contrattor•i License Law). 100,000. BTU , � 7PLAN CHECI( 5' ^ i� � �,, � '. _ . . : -�. �.... •. ❑IamexempttinEer'$ettion ` � "-"'B:-BP.C.'forthi5" - - � -'- "' --- -- - � -•-- ��$�� _ _ _ _ � � '� � i . BOILERS BTU � ��ELECTRICAI' $ ' ' ': " . " f ieazon " " ' ' ' '- "- _ " . . . _ � � • i•�.� • n'MICROFILM b _ L.'t: _ � SVSTEM REPAIR,ALTEf3ATION PCAN'CHECK-"E " " .Dale• Owner � S � � '_ TOFAC FEE E ' _ _ __ ,� 9 hereby.<ertiry that.l,have reatl this appiication antl state that tM1e above' EXHAUST SYSTEM MULTIPLE ' MECHANICAL-�$ - information is mrrecl. I�a ree�to com I witfi"all cit an0�count � , �PLAN�CHECK-�E -^ �� �ESS�AD- •' �� •� ,� 9 GY Y Y� � ' -VANCEPC y_ ortlinances antl stale laws relalin9 to const�uCtion, antl h¢reby authorlie � 1• � n� ��� � . ,� ' representatives of tfils to nter upon-�the atiove" mentioned ' � �Yf�f � property_ (or. ' p,tlo urpo e � � � (� FINAL FEE E��`�v ` '"_ "_' ' __2 2y—� Signature Oate "�� � ' - � - � � . '_ " " " """ . " " _ ' ". " �_ISSUE FEE - . _..." ' ' ' "' _ ""' ' _" I' . Orivers' Licens r 55 # � - --'-� . - -" ... .. . ".. . _ CMF 0965-46 White-Builtlin9: Canary-APPliwn[: Pink-Accountin9: Goldenrotl-AsiesSor