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Home My WebLink About2956 ROYAL PALM DR - Building PermitsApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITY OF COSTA MESA CONSTRUCTION PERMITP Project Addaess 9-956 2aynr DALM1 ` z, ( fr6d t2J kfm U Applies Name fling Address 2'ly TT' p Owner's Name �� -� �% �) �N Phone rS e Address r�D�L P MIT NO. TRACT NO. LOT NO. UNIT NO. - A P. # Zone S Main Building: Accessory Building: TYPE OF CONSTRUCTION 'NEW- ADD ALTERATION PAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DEAIPTION OF WO FUSE OF BLDG. /-�ikQ n o E T Front Z 0 A Rear N Arch/Eng. License No. Address 1,0,944fi 5?c,� TYPE OF PERMIT GRADINGS .FOUNDATION STRUCTURAL , ❑I�I TENANT ❑ ELECTRIyC�AL 'y.� PLUMBING ❑ MECHANICAL' FT!I HER . FT. ./ r /`� PROJECT DESCRIPTION SD. FT. OCCUPANCY CONSTRUCTION 'TVPE�Lk) VALUATIONS �OQD� ZONE GRADING CU. YDS. ACRES K Right G S Left R Contractor's Name e- jo 'TC< LA,hj R- Phone ��^1 f)S 9I f-,, 1_ Address (mailing) Z��wf�-J �� `�D , City License No. � i LICENSED CONTRACTOR OECLAATION N Ping. Ref. # Parking Req./Provided E Planning Notes: - Q M T S. Remarks: 11 lC., s s 4 1- hereby affirm that I am licensed under provisions of Charter 9 (commencing With section 7000) of Division 3 of the Business and Professions Code, and my license is in7Joil for I and effect.�1 Licens e o. S� I I rO Dale DI �� t]� Signature ' � WORKERS'COMPENSATIONDECLARATION 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.) Policy No. Company BCertified copy is hereby furnished. Certified Copy is filed with the city Building Division. I K,l�- Z ELECTRICAL FEES PLUMBING FEES Automatic Washer Taf Transformer El KW DOnSLlUCtlpn Pole Sub. ❑50+KW - Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dis Asher Meter ❑over 100 amps Bathtubs Sewer Connection D ors ❑Gas ❑Electric Sub Panel Date kApplicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers Solar Collectors n Motors El 0-1 HP ❑1'/x-8 - Dishwasher - - Solar Piping .A. U. Inc. Solar ❑9-15 HP ❑16-15+ (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 t become subject to the Worker Co ns Laws of Califor a. Date j'!—T`�-�1�" Signature Diinking Fountains Solar Tank Fixtures Microwave Floor Drains wimming ool w/Spa a� Device Boxes Pole Light NOTICE: It, after making this declaration, you'fho b come bje to the -Workers'. Compensation provisions of the Labor. ode, 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 issue agency for the performance of the WorkforWhich This porotic is issued (Section 3097 Civ. C.) Lender's Name Lender's Address — Floor Sinks rival — Outlets Range r'Ki Gas Outlets ter Close Switches Sign m Interceptors W ter 'Le Garbage Disposal SldOdlhg Sections 4V Kitchen Sink ter Servic Generator ❑0.5 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section -7031.5 Bu4iness 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 -Division 3 of the Business and Profe55ipn5 Code) or that he/she 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 enalty of not more than five hundred dollars ($500). I, las owner of the property or my.employees with wages as their Sole corncCnsation, will do the work, and the structure is not intended orofferedZoning for sale (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. 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- Efor 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 orciects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section --B. & P. C. for this reason - Lavatories A o -Wash P -Trap La ndry Tr y _, ( Roof Drains Reinspection Fee $15 Issue Fee, W. - $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Approved By Date Building Approved By `3 ^ l Date Application Issued By ,� www. w ,��Dete—yL/��a_ - - - -- Reinspection Fast $15 Issue Fee $ 3 MECHANICAL FEES Boiler Hood or Type I ❑ Canopy Type 11 El Duct - Under Ground BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% P--� !=`� SUMMARY OF FEE P $ y fj'- 00 , SMIP $ $ PERMIT $ ISSUANCE $ $ ENERGY P.C. $ $ GRADING $ $ MICROFILM $ $ TOTAL FEE $ $ --"�— Duct -Structural Refrigeration System Duct- Ventilating ❑0.100,000 BTU ❑100,000 BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration - Firepl/Fact. Bit. ICBO # Fire Dampers Date Owner I 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 building construction, and hereby authorize repre- sentatives of this cily to enter upon the above-mentioned property for Heating System & Ducting 00-100,000 BTU 0100,000BT Registers . Inspection our Reinspection Fee $15 Issue Fee $ 3 Signature Date Drivers' License or 01 00019757-0001975° TOT OATS: 11/17/88 TIME: 10:03 ;5,50 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor F CONSTRUCTION AND PLANNING APPROVALS Permit # Date - Inspector POOL & SPA APPROVALS P,errpit Date Inspector 1. Temporary Electrical Service or Pole i 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement e 3.. Electrical Conduit Utility-Undrgrnd.+ 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement' 56. Rough Plumbing & Pressure Test ' 6: 'Electrical UF,ER Grnd. • 57. APPROVAL TO COVER-GUNI.TE ' 7. Footings •j t•' 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test " 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O 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. Rouges Plumbing 65. Electrical -Final 15. Rough- Electrical -Conduit 66. Solar System -Final 16.1 Rough Electric Wiring_ 67. Fencing &Access Approval, m 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 • ,:i , / 21�. Ducts, in -Structure _ -� 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil ' 23. Gas Pipe -Rough & Test _ , 72. Underground Flush -, 24. Roof Framing '- _73. Undergrnd. Storage Tank O Gas ❑ Oil - 25. Roof Sheathing 74. Overhead'Hyd'ro - 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing.;' ( i 76. Dry'Standpipe 28. Lathing & Siding ` !. 77. FIXED SYSTEM FINAL 29. Insulation --• �' 78. FIRE PREV. FINAL 30. Drywala Nailing L4 ol HEALTH DEPT. REQUIREMENT 31. Plaster. Brown Coat f' .'a - 79. FINAL INSPECTION - 32. Electrical Power Meter -Final ; 80. FOOD CERTIFICATE ISSUED 33. Final Electric �' Notes: 34. Final Heating & Air Conditioning �r 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 IncrinnirilptA Uon1 z' 46. Handicap Regulations `I 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. El"ric Release to Edison ' 50. GasReleaseto Southern California Gas Co ✓, (" r 51. CERTIFICATE OF OCCUPANCY No. Date J HOMES VALLEY INC. JOB ADDRESS El BUILDING PERiMIT NO. AP. No. LOT "'4 TRACT GULL FIRE ZONE DESCRIPTION OF WORK nes. w/att.gar. INSPECTIONS -G DATE I GROUP TYPE ZONE R1 Underground Soil A44C U.G. Water/ � -7 _ S^(L SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NU_M8ER Overhead Water and Gas Rough Heating_ - i '< - ' _ � „ _//_�_i mid t�CJ I .JG.u.6- _ _ S' � _ 7,4 _ _ Z,i Rough Plumbing_ (� Miscellaneous Prop. Swr._me- He Con. St. Swr, Sprinkling ystem Heating, Final Plumbing Fixtures Final Gas Test 1 ;-' �f (� „��• V� \ Construction Pole Underground Power Rough Wiring . _ 'kF/ _ .0!'/' o'; /0 �'//l•. TrenchPc:7; Forms ' Steel Floor System Steel Reinforce Chimney Re -Rod Bond Beam Sheathing S'd- 4A• Frame and Flashingr7 Lathing In d't' Out o� �,(/- .1 Plaster, brown coag Plumbing Fixtures, Final /EihtS/-/9-xZl Electric Fixtures, Final _ Building, Final //-1v-d4�' OCCUPANCY P.m 210-3M-4-59 1 E Et4V1_6V D COSTA MESA BUILDING-SAFETY DEPARTMENT JUN 181959 P.O. BOX 3E7 COSTA MESA, CALIFORNIA_ r`I irlr,., .kn,«ILF DEPT. FOR APPLICANT TO P/Ll /N COMPLETELY APPLICATION `FOR'PERMIT TYPE OR PRINT BUILDING BUILADDRESS 2956 Royal Palm Dr. COSTA MESA, CALIFORNIA POR Offln`(ISE ONLY OWNER Homes Valley Inc. RECEIPT NO. I CRMIT NO/ MAIL RECEIVED BY DATE RECEIVED DATE IB6UED •-� ADDRESS l E. 1 th St. I �S � _� - S � - Costa Mesa TEL LI811 CITY NO. ADD EISS ARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. Ivilddlebmik - FIRE ADDRESS ZONE UP & Colegrove� Ind No. 167293 ABYPROVED CONTRA DATE ADDRESS Mesq ZONING LEGAL I LOT al. I r� 2H22 ZONE NO.OF (PLANS USE OF NEW (BUILDING DESCRIPTION NO. 28 BLACK TRACT P A.P. NO. APPROVED BYI� BY d/ DATE SIZE Ln X 105 INO. of BLDcfi 60 hone YARDS EVES OF LOT Now ON LOT REQUIRED ALLOWED USE OF (CENTER LINE ST.I EXISTING BLDG. JJ�� FRONT r_L/ FT. IN. SETBACK LINE FROM CENTER OF STREET REAR YARD R. SIDE FT. IN. SIDE YARD ILEFT rLt _ (RIGHT Fi L. SIDE 5 • FT. IN. DESCRIPTION OF WORK " � REAR FT. IN. NEW I X I ALTERATION ADDITION REPAIR I II MOVING I DEMOLISH BUILDING NO. OP SIZE 1365 ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED a attached garage. n IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO AN ND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION 19 FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCTION. VALUATION SIGNATURE OF PERMIT FEE $ 32L00 PERMITTEE 1 PLAN CHECK $ 16.00 $ 13,715 AUTHORIZED AGENT ni ' TOTAL FEE $ ��