The URL can be used to link to this page

Home My WebLink About2471 IRVINE AVE - Building PermitsApplicant to fill in all CITY OF COSTA - MESA CONSTRUCTION PERMIT Address within heavy border lines and sign all appropriate declarations. TRACT NO. I LOT NO. I BLDG. NO. Address Contrpctor �he.ly' T ,. .i. t Phone q7 ydL(7 I 1 hereby affirm that I am licensed under provisions of Charter 9 (com- Nme ncing with section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class SAO -2" Lee a No.r�Z 9S// Date_' -' V!S2 Signature WORKERS' COMPENSATION DECLARATION t I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.). iia y'� Nu ti� Policy No. Company Cl Certified copy is hereby furnished. - ® Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). 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. Date Signature NOTICE: If after making this declaration, you should become 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 per- formance of the work for which this -permit Is Issued (Section 3097 CIV. C.). -� Under's Name Lender's Address OWNER BUILDER DECLARATION _ 1 hereby affirm that I am exempt from.the Contractor's License Law for the following reason (Section 7031.5 BUS lness and Professions Code: Any city or county which requires a permit _to construct, alter, Improve, demolish or repair any structure, prior t0 Its issuance, also re- quires the applicant forsuch permit to file a signed statement that he 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 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 penally of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or 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 Professions Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself Or through his 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 completion, the owner will have the burden of proving he did not build or improve for the purpose of Sale). ❑ I, as owner of the property, amexclusively contracting with licensed contractors 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 con- tracts from such projects with a contractor(s) licesned pursuant to the Contractor's License Law). _ ❑ 1 am exempt under Section B. & P. C. for this reason ' Date Owner - 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 State laws relating to construction, and hereby authorize representatives Of this city to enter upon the above mentioned TYPE OF CONSTRUCTION ❑ NEW ❑.ADD ❑ ALTERATION - ❑ REPAIR 1:1R CONVERSION DEMOLISH ❑ OTHER DESCRIPTION OF WORK' VvZ�1D TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICALY ❑PLUMBING ❑MECHAI ,'OTHER ��.f/he 1%%"Ay PROJECT DESCRIPTION o SQ. FT. y OD OCCUPANCY ICONSTRUCTION TYPE VALUATION OOH ZONE GRADING CV. YDS. ACRES REMARKS: -- PLUMBING PLAN CHECK BATHTUBS SHOWERS TOILETS URINALS LAVATORIES DOUBLELAVS KIT. SINKS DISHWASHERS SERVICE SINKS SUMPS FLOOR SINKS FLOOR DRAINS DRINKING FOUNTAINS INTERCEPTORS CLARIFIERS SWIMMING POOL PTRAP WATER SERVICE ALTERATION GAS SERVICE OUTLETS WATER HEATERS BTU OUTPUT SEWER CONNECTIONS SOLAR TANK COLLECTORS SOLAR PIPING SYS. ISSUE FEE ELECTRICAL MECHANICAL PLAN CHECK HEATING SYSTEM AND DUCTING 0400,000 BTU_ 100,000+BTU _ REFRIGERATION SYSTEM 0-100,000 BTU_ 100,000 + BTU BOILERS BTU SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE Signature Date' -7— x< -ISSUE FEE -' Drivers' License or SS CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting: Goldenrod -Assessor A.P. !IP ZONE 5726 9/2!'/61 NING REGULATIONS PLNTG.. gR UEF. # PROPEIRTpYNLI NE REAR YARD (TO P/L) PKG. SPACE REQ. STREET WIDTH ZONING APPROVED 8) SPECIAL CONDITIONS: PROVIDED PARK FEE E DATE ICAL PLAN CHECK GENERATOR' 0-1 KW_ 1-10 KW TRANSFORMER ��qq �a.�--�� _ APPLIANCE 10-50 KW_50+KW_ E MOTORS 0-1 HP -1-10 HP _ (INC. SOLAR) 10-50 HP 50+HP_ FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS PLUMBING S POLE LIGHTS - PANELS MAIN SUB SERVICE 'AMP Ie.Cl- TL I ISSUE FEE �— APPLICATION APPROVED BY DATE SUMMARY OF FEES BUILDING ��qq �a.�--�� PERMIT E E PLAN CHECK $ PERMIT ... ISSUANCE $ PLUMBING S GRADING $ PLAN CHECK $ ELECTRICAL $ $• , PLAN CHECK $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK E LESS AD- _ VANCE PC $_ /�6O • _ - FINAL FEE,$ CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location' 2. SoilPipe-Undrgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap,1:1ndr rn 10. Structural Floor System_ 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final -? Street Sewerl•+ett G<: /o i S/ 54. Heater & Vent -Final J. Rough Plumbing 55, Plumbon System _ Final 14. Rough Electric -Conduit - 56. Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final - 16. Rough Heating & Air Conditioning encing & Access Approval 19. Gas Pipe -Rough & Test ' 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathing 22. Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final - Pe - 31. Final 32. Water 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date