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Home My WebLink About1720 POMONA AVE - Building PermitsN V v Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PE Project Address- T(�(�71FWA•(� A'____ L%i'� o &Z- l Applicant's Mailing ddres ' Owner's Name Phone Address Arch/Eng. —License No. Address fir(S1 Contractor's Nam ('- r - hone / Addrass (mailing) �S �yeGfgl/•Tw/iA.�✓. City License No. U O ! LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 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 I I to d effect. `/OL License CI/oaasss G. ense No �f Date a zle 4��' Signature WORK RS' C15MPENSATION Dq'y`.ARATION hereby affirm that I have a certificate of consent to self -Insure or a certificate - Workers' Compensation Insurance, or a certified copy thereof (Section .,800, Lab. C /l�Pp33 /937/S >�✓c:norc/ Policy No. Company Certified copy is hereby furnished. Ce rt ifie co Is filed with the city Bu ate Applicant EXEMP ION ROM WO RK E RS' COMP NSATION DECLARATION (This se ion no not be completed if t permit Is for one hundred ($100) or lescs). ertify that int any person in Oft a work for which this permit is t to t, I shall not employ any person in any manner so as to become subject to the Workers' CompensationLaws California. Date ..—Signature NOTICE: If, mafter making this ions f the you should become subject to the Workers' Compensation ipr provisions Of the Labor Code, you must forthwith comply with such provisions or this permit shall be'deemed revoked. CONSTRUCTION that I sa AGENCY I hereby affirm [hat [Here Is a construction lending agency for the performance of the work for hlct,t permit is Issued. (Section 3097 Civ. .C.) Lender'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 -Business and Professional Code:.Any city or county which requires a permit to construct, alter, Improve, demolish or repair anystructure, 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 +refrom and the basis for the alleged exemption. Any violation of Section 131.5 by any applicant for a permit subjects the applicant to a civil endplty of not more than five hundred dollars ($500). I, owner of the property or my employees with wages as their sole comensaastion, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Cotle:, 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. If, 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- rove 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 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 exempt under Section B. & P. C. for this reason Date Owner I hereby certify that I have rea information is correct. I agree to and state laws relating to buildir sentatives of th" city to inspection purpo Signature Drivers' License 901 CMF 0865-46 rev. 7/83 White - above a TYPE OF CONSTRUCTION L NEW. 1QSL ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH 'li'j'I _OTHER DESCRIPTION OF WORK ;0d� -,-- TYPE OF PERMIT LJ GRADING LJ FOUNDATION LI STRUCTURAL ❑ TENANT ❑ ELECTRICAL ® PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SG. FT. OCCUPANCY_ CONSTRUCTION TYPE VALUATION $ ZONE GRAOINGCU.YDS. ACRES_ Remarks: A.P. # S Main Bui E T Front B Rear A C Right K Lett S Plnq. Ref. # 0751 12/1:41`3 Zone Accessory Building: Park. Fees $ 5.T. TI. Z O N I N G R E 0 U R E " - PLUMBING FEES Planning Notes: Refrigeration System 00-100,000BTU 0100,000 Duct - Ventilating I M E N T S Bar Sink Showers Firepl/Fact. BIt. ICBO # $ Heating System & Ducting ❑4100,000 BTU 0 100,000 BT Backflow Preventer Service Sink $ MICROFILM i $ TOTAL FEE Backflow Irrigation Sewer Cap ;r ELECTRICAL FEES Bathtubs Sewer Connection Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW 050+KW Clarifiers Solar Collectors Dishwasher Solar Piping Cooking Unit .Meter ❑up to 100 amps Drinking Fountains Solar Tank Dishwasher Meter ❑over 100 amps Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Floor Sinks Urinal Fan Motors ❑P1 HP U'/a - 8 Gas Service •Z,4utlets Water Closet F.A.U. Inc. Solar ❑9-15 HP 016-15+ Interceptors Water Heater Fixtures Microwave Kitchen Sink Water Service Device Boxes Pole'Light Lavatories Outlets Range P -Trap Switches Sign Root Drains Garbage Disposal Standing Sections Generator ❑0-5 KW El 5.15 KW Trash Compactor Reinspection Fee 1 $25 1 1 Issue Fee II $ 3 Boiler Hood or Type I ❑ Canopy Type 11 El Duct- Under Ground Duct - Structural Refrigeration System 00-100,000BTU 0100,000 Duct - Ventilating Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. BIt. ICBO # $ Heating System & Ducting ❑4100,000 BTU 0 100,000 BT $ - $ MICROFILM " TJ I I Reinspection Fee I $25 I I Issue Fee Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Reinspection Fee1 $25 1 Issue Fee FEES PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Application Approved By Application Issued By - $ 3 BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK $ 3 SUMMARY OF FEES $ SMIP $ $ PERMIT $ _ �'-ISSUANCE $ $ ENERGY P.C. $ $ GRADING $ - $ MICROFILM $ $ TOTAL FEE $ mo - CONSTRUCTION AND PLA ING � APPROVALS ;Permit # - d Date � Inspector POO, ;PA APPROVALS Permit # Date Inspector .1. Temporary Electrical Service or Pole' - 52. Pool & Equipment Location ' 2.1 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 1 . ' 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O 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. 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 O Gas 0 Oil 23. Gas Pipe=Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank 0 Gas 0 Oil 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. Plastei 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 i 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric, Release to Edison - - 50. Gas Release to Southern California Gas Ca 51. CERTIFICATE OF OCCUPANCY No. Date _