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Home My WebLink About1345 SUNFLOWER AVE - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. \ Our Job No. 4479 6609 8/2C/C4- 15a'�" ') CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address 1345 Sunflower Avenue PERMIT NO. E TRACT NO. LOT NO. UNIT NO. r�1 _ S Applicant's Mailing Address P n- F'1nX 4576 Inglewood Los An ¢les Times Owner's Name g phone an3n9 Address 1345 Sunflower Ave. TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR [3 CONVERSION LJ DEMOLISH ❑OTHER DESCR I PTION O F WOR K/USE OF 8LOG. A.P. Zone S Main Building: Accessory Building: Arch/Eng. ' License No. Address �3,yrw��-hqy- Contractor's Nam¢ S.H.Fish Electric Ph,16-7 Address lmailing)_]l. $per 4576rl _, I-Pewood-40JL09 �' City License No. 025311 LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of th Business and Professions Code, and my license is in full force and effect. 6ct.se Class y�=� f1 nSE p.- Data ' G_0/1 5/84 Signature TYPE OF PERMITLJ GRADING LJ FOUNDATION 0 STRUCTURAL I1�� ❑ TENANT L6 ELECTRICAL 11 PLUMBING F-1 MECHANICAL 'OTHER PROJECT DESCRIPTION $O. FT. OCCUPANCY CON STRUCTION TYPE VALUATION$ ZONE GRADINGC .YDS. ACRES E T Front Z O B A Rear - N I C Right - - N K $ Left G R Ping. Ref. Parking Req./Provided E Remarks: Ar d -- Planning Notes; Q M - ,r S - PLUMBING ' FEES Bar Sink Showers ELECTRICAL FEES WORKERS' COMPENSATION DEC A _ hereby affirm that I have a certificate of cons t to S¢Iftinsure or a certificate L Workers' Compensation Insurance, or a rtified copy thereof (Section 3800, Lab. C. Policy No, S�P-84-00388(4PmP remont indemni y Preventer - Service Sink - - Backflow t !- - -- Automatic Washer - TranI] sformer-15.50 KW- - El50+KW Construction Pole Sub. B_ackflow Irrigation Sewer Ca P / XHCertified copy is hereby furnished. Artifle c y Is Iletl with the city din ton. Dat �+j R4 APolicanf/ _EXEMPTION,FROM WORKERS' CO EN CLARA ON (This section need not be completed if the permit is fa ne hundred ($100) or o toss), I certify that in the performance of the work for as to ec permituis-issued,etotI shall not employ any person in any manner so as to become subiett to the Workers' Compensation Laws of California. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps - Clerif sets $alar DPII¢pL0f5 - Dishwash¢r Meter ❑Over 100 amps Dishwasher Solar Piping, -, Dryers ❑Gas OElectric Sub Panel Drinking Fountains Solar Tank t 'r _ Fan Motors ❑0-1 HP ❑1'h- 8 Floor Drains Swimming Pool w/Spa 1 F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ Data Signature NOTICE: If, after making this declaration, you should become subject to the Workers'- Compensation Provisions of the Labor Code, you most forthwith Comply with such -provisions or this Permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY' I affirm that there is a construction lending agency for'the performance of the work for which this permit iz issued (Section 3097 Civ. C.) Lender's Name Floor Sinks Urinal ' Fixtures - - Microwave - - '3 4 Gas Service Outlets - Water Closet - - Device Pole Light 3 4 0 Interceptors Water Heater Outlets Range 1 20 Kitchen Sink - Water Service Switches Sign Lender -i AGdress - 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 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 -)i Vision 3 of the Business and Professions Code) or that he/She is exempt lerefrom and the basis for the alleged exemption. Any violation of Secllon 031.5 by any applicant for a permit subjects the -appilcanI t0 a civil 5natty of not more than five hundred dollars ($500). LI I, as owner of the property or my' employees with wages as choir sole compensation, will do the work, and the structure Is not Intended or ofleretl for Se le (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 does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. 1f,, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/She did not build or im- cove for the purpose of sale). LJ I, 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- tractor(s1 license pursuant to the Contractor's License Law). I am aware that Proofo11 their Worker's Compensation insurance shoultl be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason _ .Lavatories ' I l Garbage Disposal 9 P Standing Sections P_TraP - - Generator ❑0.5 KW ❑5-15 KW Trash Compactor Roof Drains ' - Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee S15 Issue Fee $ 3 MECHANICAL FEES Boiler Hood or Type I ❑ Canopy Type II ❑ DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Q Application Issued By � Date L)rJ�:i Duct - Under Ground Duct - Structural Refrigeration System ❑o-wo,0008TU ❑100,000 BTU ' Duct -Ventilating SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. S ELECTRICAL $ O GRADING $ 1 0— PLAN CHECK 50% $ ® °'+-. Sz% MICROFILM $ t MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ S'.S O Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Date Owner I hereby certify that have read this application and state that the above int orma tion is Corte I agree to comply with all city and county ordinances and state laws relaj to ifdia nstrucf lid hereby authorize repre- Sentdtives of this I' on t a Onod property for inspection, yurpos 8/15/84 Signalio ate Drivers' License or 5 $ Heating System & Ducting ❑0-100,000 BTU ❑100,000 BT - Reinspection Fee '$15 Issue Fee $ 3 GMF 0865-46, rev. 4/84 White - Pink - Accounting; Goldenrod - Assessor - CONSTRUCTION AND PLANNING APPROVALS , Permit# - Date Inspector POG SPA APPROVALS Per Date 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings j� `•� 58. Electrical Conduit-Undrgrnd. ,�• 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test f 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 s- •r 63. Heater & Vent -Final 13. Roof Drains`• �' � 64. Plumbing System -Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit .r 66. Solar System -Final 16. Rough Electric Wiring �r� 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 APPROVALS Permit # 20. Rough Factory Fireplace 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 0Oil 25. Roof Sheathing " e.! 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding r 1 77. FIXED SYSTEM FINAL 29. Insulation r '- 78. FIRE PREV. FINAL 30. Drywall Nailing ,/' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat '� 79. FINAL INSPECTION 32. Electrical Power Meter -Final i 0. 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