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Home My WebLink About855 SAINT CLAIR ST - Building PermitsApplicant [o iill in all ipaces exce0� thase within heavY`�ortle� lines antl sign all aDGroO��ate tleclarationz. CITY OF COSTA �MjESA CONSTRUCnTION PERMIT PER� �� TRACT NO. ' LOT NO. UNIT NG. ProjectAddress d �S � �'�.��/C. `S%ie.EE`r E� TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ApalicanYs Mailin Address �-p ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P # Owner's Name�^ �Q��2Tt��'� Phone ��3�a DESCRIPTION OF WORKNSE OF BLDG. Address S' 1••(� ' IS ��E S Main Buildi Arch/Eng. `� LicenSe No. — TYPE OF PERMIT GRADING FOUNDATION STRUGTVRAL T Front Address �_ �/� ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL B Rear Conirattor'S Name L��`D �G�G Phone a�-�� OTHER %r PROJECT DESCRIPTION Scl. Fr, oCCUPANCV F C Right Addresslmailing) ��8 ��E - �Cl [� K �a GONSTRUCTIONTVPE VALUATION$ g l.eft CiryLicenseNo. �� ZONE GRADINGCV.VDS. HCRES LICENSED CONTRACTOR DECLARATION Ping. Re(. # I hereby af(i�m tnat I am licensetl u0tle� p�ovi5ion5 of ari¢i 9(commencing Remarks: �� 2 �F �� y1 �� Planning NOteS'. with section ]000) of Division 3 of us) es rofessons Cotle, antl my license is in fu for a tl efiecL � i/.1 O � / I�I�� License Class � N "Sf V (/ J Date � O �' ' Si9nature � -ORKERS'COMPENSATION C RA ION BarSink ereby ai(irm that I have a cerhficate ot consent to self-insure or a certificate � Wo�kers' Compensation Insurance, o� a certi ietl copy t �eof (Section BackFlow Preventer 3800, Lab. C.) �/� �/! � /�+rL Policy No. �+�!�Z97��T Co �� '� Backflowlrrigation n�y. Certifietl copy is hereby furnisheG. p'Cer ifie topy' "etl with the city i i ' i Bathtubs Date '� � Applicant EXEMPTION FROM WORKERS' C PE ATION DE LARATION Clarifiers (Thissection neetl not be completetl if the permit i5 for one huntlretl ($100) ar Iess). . Dishwasher I c¢rtify lhat in tM1e pe�fo�mance of the wo�k fo� which this pe�m�t is issuetl, I shall not empioy any person in any mdnner so as fo bewme subject to the Drinking Fountains Workers' Compensation Laws of Califomia, Da[e Si9nature Floor Drains � ' NOTICE: H, after making this�tleclar5t�on, you shoultl become subject to the Workers' Compensation provisions Of the Labor COCe, you must torthwith Floor Sinks comply with such provi5ions or ihis permi[ shall be tl¢emetl revoketl. CONSTRVCTION LENDING AGENCV ' � GaSService Outlet5 I he�eCy aftirm Iha[ the�e is a const�u�tion lentling agency for the Oerfotmance of the work for which this perfnit is issuetl (Section 309] Civ. CJ Int¢�C2pt0�5 Lentler's Name Lentler's Atltlress KitcM1en Sink OWNER BUILDER �ECIARATION I he�eby affirm [hat I am ezempt from the Cont�acto�'S license Law for the Lav2tO�i¢5 foilowing reason (Section ]031.5 Basinezs antl Protessional Cotle: Any city or ��r� .,�nicn renuves a oe.rmit to construct. alter, improve, tlemolish or repair P—Trap *n file a vgnetl s[atemen[ i�at ne/sne �- meneea uwauan< < ui v�uvni��u oi � Contractor'S License l.aw (Chapter 9(commencinq wkh $ection ]000) of ision 3 of the Business antl Pro�essions'Cotle) or tnaYne/she is exempt :refrom antl the basis for the alle9etl exemption. Any violation of Section ]031.5 by any applicant for a permit sub�ects the appli<ant [o a civil eenalty of not more than five huntlretl tlollars (5500). Ll 1, as owner of the property or my employees witb wages as their sole mmpensation, will tlo the work, and [he 5tructu�e is not intentletl or offeretl for sale (Section �044, Business aatl Professional Cotle: The ConiractoYs License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work I��mself/he�self or throu9h his or he� own employees, provitletl that zuch imprJvements are mt Intentletl or offeretl tor � sdle. If, however, Ihe builtling or imp�ovement is soltl within one year of com� pletlon, the owner wili have the burtlen of proving he/she tlitl not buiitl or im- 'ptove Pot Ihe purpose of Sale). . ❑ I, as owner of the property, am ezclusively contracting with licensetl con- tracto�s to consbuct the project (Section �044, Busine55 antl Professions Cotle: The Contractor's License Law tloes �ot apply to an owner of property wno builtls o� improves [bereon, antl who contracts Por su<h projects with a wn- Iractor(5I IRense pu�suan[ to the COnt�actor's LicenSe Law). I am aware tM1at proof of their Worker'S Compensat�on insurance sM1oultl be provitleC to me. ❑ I am exempt untler Section—� B. & P. G. for tnis reason Date I hei Signature Drivers' L �� above Roof Orains ReinspeMion Fea � $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating E�xhaust System- ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # - Heating System & Ducting ❑ a i oo,000 aru � i oo,000 eT Reinspection Fee � $15 CMF 0065-46, rev. 10/84 White - Build��9: Canary - APPlicant; Pink - Accoun[ing; Goltlenrotl - Assessor � c/ � PLUMBING Showers Service Sink Sewer Cap Sewer Connection $Oldf COI12CtOR Solar Piping � Solar Tank Swimming Pool w/Spa Urinal , Water Cioset Water Heater '� ' WaterService Auto-Wash Laundrv Travs Issue Fee Hood or Typel ❑ Canopy Type II � Refrigeration System ❑0-100,0008TU. ❑100,000 System Repair/Alteretion Fire Dampers Fiegisters , Issue Fee FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator DO-5 KW �5-15 ' -93�7 E/ i C/?7 Zone Accessory Building: Parking Req./Provided ELECTRICAL Transtormer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors OO-1 HP O i%- 6 Inc.Solar �9-15 HP �i6-75+ Microwave Pole Light Range Sign Standing Sections Trash Compactor $3� —�- Reinspection Fee $15 issue Fee FEES �, DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Building Approved By Appliration Issued By � $ 3 SUMMARV OF FEES BUILDING PERMIT $- - SMIP PLAN CHECK $ � PERMIT PLUMBING $ ISSUANCE PLAN CHECK 2596 $ - ENERGV P.C. ELECTRICAL $ GRADING PLANCHECK 50°� $ MICROFILM MECHANICAL S TOTAL FEE PLAN CHECK 25% �$ $ Fae� T� FEES $ 3 Z O N I N G R E Q M T S CONSTRUCTION AND pLANNING POOL & SPA APPROVALS Permit# Date Inspector p�ppROVALS Permit# 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 UFER Gmd, , 57. APPROVAL TO COVER�GUNITE 7. Footings . 58. Electrical Conduit-Undrgmd. _ S. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. : 60. Backwash Lines, P-Trap, � 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 Condiiioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . APPROVALS Permit # _ '' 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74, Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical : 27. Frameand Flashing 76. Dry Standpipe �. 28. Lathing & Siding 77. FIXED SYSTEM FINAL' 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final . . 80. FOOD CERTIfICATE ISSUED 33. Final Eleciric Notes: # ' 34. Final Heating & Air COnditioning ��'� � ^ 35. Final Gas Pipe-Test � 36:� Hood or Canopy 37� Final Factory Fireplace , � ��'� 38. Final Plumbing � Y7 ��} � - • 39.� Water Service-Final � /Z �� 40. Gas Service-Final ' • � 47. Solar pomestic-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 3 No. Date AOPlicant to fill in all spaces except tnase within neavy Eortler lines ana sign al1 aporopriate aeclarotions. CITY OF COSTA MESA �ONS RU TION PERMIT Project Address Rpplicant's Mailin9 d e Owner's Name � I Phone � Address Arch/Eng; Ltcense No. Address Conuactor's Nam� hone �. Address (mailingl - City License No � � 5 LICENSED CONTRACTOR DECLARATION I M1ereby affirm that I am licensetl untler provisions of Charter 9(commencing witM1 sectlon 7000) of Division 3 of [he Business antl Professions Cotle,jjj[[[��G my license is in t I or e an0 effeci. / j, `(?' / Licens Qa i e o. �f J 0� Date Signature \,-'�ORKERS' COMPENSATION DECLARATION ereby affirm [bat 1 nave a certitica[e o( conzent to self-insure or a certiflcate , . Workers' Compensation Insurance, or a ceriitietl coOY ihereot (Section � 3800, Lab. ��/, ._^ /, �^- i �_ �„ r'� PolicY rvo. �-itf�F- '� ComPanf��.�—�� I�L - n,�j ertifietl copy is hereby turnishetl. l� Cer ifi p i file0 witM1 lhe city� D isro�� Date ` Applicant —� EXE PTION FROM WORKERS' CO PENSATION DECLARATION (Tbis section neetl not be mmpletetl if tne permi[ iz (or one huntlretl ($300) or less). I certify that in lhe performance of the wo�k (or which this perm�t is i55uetl, I snall not employ any person in any manner so as to become subjec[ to [he Workers' Compensation Laws of California. Date Si9nature NOTICE: If, atter making this tleclaration, you 5houltl becoma 5ubjec[ to the Workets' Compensation OroWSionS Of the Ldbor CotlG, you mu5t forlhwith compry wfth such provizions or tbis pe�mit sttall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm tha[ there is a const�uc[ion lentling agency fo� the perto�mance of the work far which this permit is issuetl (Snctlon 309 �"Civ. C.) l.entler's Name Lentler's Atltlress OWNER BUILOEp �ECLARATION I hereby a(tirm thal I am ezempt hom the Contractor'S License Law br [he followinq reason (Sectlon 7031.5 Bu51nes5 antl Professional Cotle: Any tlty or county wbiGh r¢quires a pe�mit to Construct, alter, improve, tlemolish or repair any riruGture, p�io� [o its i55uance, also �equireSlhe appllcanl fo� Such p¢rmit to tiie a zignetl statement that he/she it Iicensetl pursuant to the p�ovisions ot �e Contracror's License Law (Cnapter 9(commencing with Section'7000) of vision 3 of [he Business antl Professions Cotle) o� thal h0/She is ezempl .e�elrom antl the basis for the alle9etl exemption. Any violaHon of Section /031.5 by any applicant fOr a permit Subjects the ap0licant to a civll penalty ol not more than five huntl�etl t1011ars (§500). ❑ I, as owner af tM1e Oroperty or my emo�oyees with wages as their sole compensation, will tlo Ihe work, antl the sVucture is not inlentletl or o(teretl 1or sale ($ection ]044, Business antl Professional Cotle: The Contractor's License law tloes not apply to an owner of a property wno bufltls or improves thoroon, ana who tloes such work himselt/herself or tnrough his or he� own employees, provitletl Ihat such Improvemonis are not Intentletl or ofieretl for sale. If, however, the Gulltling or improvement Is Soltl wilhin ona year of com- pletion,'Ihe owner will have the burtlen ot proving hC/sne tlitl nol builtl o� Im- P/ove �or the purpose of sale). ❑ I, as owne� of ihe property, am extlusively conl�actinq with licenietl con- tractors to construct the project (Section 7044, 6usiness antl Protessions Cotle: The Contracior'S License Law tloes nOt dpPly to an owne� of property wh0 builtls or imoroves thereon, antl who contracts ior such projects with a con- tractor(sl i�cense pursuant to the Contrattor's Licenze Law). I am aware that proof of their Wo�ker's Compensation Insurance shoultl be prOvitl¢tl to me. ❑ I am e%empt untlet Se<tion B. & P. C. for thi5 reason Date Own¢r I hereby certify that I have reatl this application antl state that ihe above information is mrrect. I a9ree to comoly with all city and county ortlinances inspectlon os � Signature Drivers' License or 55 � TVPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION LYREPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P,� DESCRIPTIONOFWORK/USEOFBLDG. S MainBuilding: TVPEOFPEfiMIT GRADING OUNDATION STRUCTVRAL T Ffont ❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MECHANICAL B Rear ❑ OTHER %� PROJECT DESCRIP710N 5�. F7. OCCUParvCv C Right K CONSTRUCTION TVPE VALUATION 5 S Left ZONE GRADING CU. VDS. ACRES Ping. Ref. # Remarks: Planning Notes: Sink Preventer Irrigation bs ririking Fountains loor Drains loor Sinks as Service � Outlets Kitchen Sink Lava�ories P—Trap RoOf Drains Reinspection Fae $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/FacC BIL ICBO # Heating System & Ducting ❑ a i oo,000 aTu O i oo,000 Reinspec[ian Fee � $15 ;� CMF 0865-46, rev. 10/84 Wbite - - Actounting; Goltlenrotl - Asse55or 1 Showers Service Sink Sewef Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Aulo-Wash Isue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeracion System ❑aioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES Auromatic Washer Construction Pole Sub. Cooking Unit Dishwasher �ryers �Gas ❑Electtic 12E1 7/!L/�:% Zone Accessory ETLECTRICAL I I Transformer ❑ 15-50 KW � 1 ❑50+KW Fan F.A,U. Fixtures Device Boxes Outlets Switches . � Garbage Disposal Generator �0.5 KW �5�15 KW Meter Llup to 100 amps Meter ❑over 100 amps Su6 Panel Motors O0.1 HP � 1 K- 8 InuSolar 09-15 HP �i6-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor FEES Z O N I N G R E Q M T S � 3 I � Reinspection Fee $15 luue Fee �$ 3 FEES DEVELOPMENTSERVICESRE�UIREMENTS: Zoning Approved By Data Building Approved By Date Application Issued By Date %�� SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ � O ISSUANCE $ PLAN CHECK 25% S ENERGV P.C. S ELECTRICAL g GRADING S PLANCHECK 50% $ MICROFILM S � MECHANICAL $ TOTAL FEE $ �_ $ 3 PLAN CHECK 25% � � CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Loca[ion 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding ��' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings �, ' 58. Electrical Conduit-Undrgmd� �� 8. Foundation ' 59. Gas Pipe, O Undrgmd., Test' :� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � UQdrgrnd. 10. Structural Floor $ystem 61. APPROVAL TO DECK �i: ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final"f. � 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-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . � 27. FrameandFlashing � 76. DryStandpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT, REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ,� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating & qir Conditioning • ., . 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ' 38. Final Plumbing �(.Z��,b'� (��Q 39. Water Service-Final . 40. Gas Service-Final � 41. Solar pomestic-Final 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irriqation System . 45. Sound Attenuation � 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING ' 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Squthern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date owNER MESA DEL Ml JOB ADDRESSS55 St. Clt GENERAL CONTRACTOA p AP No. LOT INSPGCTIONS Soil C � :�1�1_�%Z— coat OCCUPANCY TRACT 4260 rIRC ZONE �Signature� DATE GROUP BUILDING PERil4IT A*O. 16691 VALUE $ 15��7.00 DESCRIPTION OF ti�ORK res �a att TYPE V 7.ON� Rl SUI3CONTRACTOR � � � �C� �i C�IU�D � 669 � MAft 7 198� Lot 93 - Trect 4260 COSTA MESA BUILDING-SAFETY DEPARTMENT �� F��;,ti!� E DEPT. P�n 1,00-s P. o. aoX s» WHTA MEBA. CALIFORNIA �� y OF COSTA MESA For Applicanf fo Fill In Compleiely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING nooRe�ss a St. �i�.2.1T S1'.TC'2f. CUSTA MESA. CALIFORNIA FO� Office USE ofl�j/ RECEIPT NO. I I�1 AD�RESS 3V� E'• CO2Sti H1�,t1F72, nc cirr n n� r ali oDR3-li220 qDOI aacHirecr C].�ff Ol�ten .pi' TEL. OR ENGINEER cenn NOi�T Z 'J7 aooRess 9025� E. FIOT'ence Ave Dcnf. ev =ONE CONTRACTOR r�CCO Cornoration Ca�.7�• APPF ��TNo: 988o8-SB-1 No: oR 3-1 size 6789 S: '. � "�W�P f1F 1 !�T - n. B6TBACK LIN¢ FROM cexiea or eir+¢er L. t REAR YARD 61DE VARD I LEPT 6'6" I RIGHT 7t DESCRIPTION OF WORK- NEW I X IIALTERATIONI IIAODITIO� 8RE T� �EJ��"S I� �� ROOMS � STOF EXTERIOR WALL, yyUCCl_1I ROOF COVERING�JOOQ �LOiIfJ I COVERING �'fC10C�. USE OF BUILDING AND WORK TO BE PERFORMED Sin-le Fara' v ' .,Q 4r/attached garage tee�� ar COSTA MESA. CALIFORNIA ZONING NO. OF U6E OP NEW T•n 3� PLANS Z BUILDINQ y�I�� !�� 93 ?/r vz6o ICL'MEP LINE BT.) FRONT � z FT. — I� R. SIDE � FT. — I� L. SIDE 6 Fr. O �n REAR � � FT. IO I� BYPROVE�c DATE Z�L/I�' y� v Livine area 1702 S.I', r,,r��o u 1,�� c � 1 HePEBY ACKNOWLBDO¢ TNAT 1 XAV6 RlAD TMI6 MPLIWTION THE AMOUNT BXOWN UNDER VALUATION 19 FOR TMe AN� BTATE THAT THB ABOVE I6 CORPECT ANO AOR6E TO COM- pUPP09E OP E9TABL18HING A PERMIT FEE ONLY. PLY WITH ALL CIiY ORDINANCE6 AND 9TAffi LAWB REOULATIN6 Bu1LDINa CONBiFNciloN. VALUATION /�/�� 81GNATURE OF � � { �. PERMIT FEE $ ly�J I PERMI7TE h. . Del �- Development Co. /� �. � // /��i� � $ �l`�Ij67�OO P�AN CHECK $ I / . //1 AUTHORIZED A V L`""'�" �,. _� � 0 LL