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Home My WebLink About2034 SANTA ANA AVE - Building Permits i - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. , - - , CITY OF COSTA MESA"/�, CONSTRUCTION PERMIT 1 PERMI O. TRACT NO. LOT NO. UNIT Nb. F��6 5113/• i • I II. Project Address n70 5 4/ 31/7 4h ,44 ) // , v e 1 r. 3 Iva H -• Applicant's Mailing A dress �-S3 L /I� L.1 I /)�w J / TYPE OF CONSTRUCTION ❑ NEW LJ ADD ALTERATION U REPAIR ( ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# • - Zone • Owner's Name -f>S 7'‘'.0 yr-�✓ • Phone xyt � .,/�C DESCRIPTION OF WORK/USE OF BLDG. Address _S-'tfl /' S Main Building: ' Access9ry Building: E Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING�I❑/FOUNDATION ❑ STRUCTURAL T Front O Address yyyy J ❑ TENANT H ELECTRICAL Il�J PLUMBING ❑ MECHANICAL BA Rear N Contractor's NampJ/%✓— t4!'/.<P�L//r2b/GJa lrrphone"7:0-'344W ❑ 'OTHER .- - • - - - - -- / 1 / PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right • N Address(mailing) X5-1 /4.1Km/.t_/ A/v.4�o y_/.0') CON STRUCTION TYPE VALUATION $ K Left R ..41... // S t,tel City License No. 4 ZONE - GRADING CU.YDS. • ACRES Ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLARATION Q \ I hereby affirm that I am licensed under provisions of Charter 9'(com mencing Remarks: . Planning Notes: - ' ' _ Q Qc M with section 7000) of Division 3 of the Business and Professions Code,and `r e- Q Q {�Ou O my license is in full force anAeffect.. ry -} RECE�V ED "�" t o S T License plass License No:�' 76 s- / Date A1--/7('- Signe turtit/J/'lte--4( rel K`-ilk'.-aJ PLUMBING FEES - • 1 .- 'ORKERS' COMPENSATION DECLARATION Bar Sink • - - Showers ELECTRICAL FEES nereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section , Backflow Preventer - ' Service Sink Automatic Washer Transformer 0 15-50 KW 3800, Lab. C.) / �.'/ �� —�- Policy No. �''>`"�7"0 Company/7Pf.'GiPyl1" 1T/-S' Backflow Irrigation Sewer Ca ❑-50+KW • ' B_Certified copy is hereby furnished. p A Construction POI¢Sub. . Certiff ed copy is filed with the city/BOilding Div(siory Bathtubs Sewer Connection Cooking Unit ' ' Meter Dula to 100 amps - - Date `f -u—•r (^ App licant/Utf74f ^ /-� IPiJ.u'-2'//f2 ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers. - . - Solar Collectors . Dishwasher Meter Dover 100 amps . (This section need not be completed if the permit is for one hundred ($100) or " less). Dishwasher 'Solar Piping - - • Dryers ❑Gas ❑Electric Sub,Panel .. - I 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 Drinking Fountains - Solar Tank ' ' - Fan •Motors ❑0-1 HP Ell'A-B- Workers'.Compensation Laws of California. - - - • Date Signature ' - , FlooiDrains• • J Swimming Pool w/Spa• F.A.U. Ina Solar.❑9-15 HP ❑16-15+ NOTICE:If,after making this declaration,you should become subject to the - - - - - - - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. - • CONSTRUCTION' LENDING AGENCY d' Gas Service Outlets Water Closet Device Boxes hereby affirm that there is a construction lending agency for theperformancePole Light of the work for which this permit is'Issued (Section 3097 Civ. C.) •Interceptors Water Heater Lender's NameOCryJ ues - Ran Range ••- Lender's Address -- - - Kitchen Sink-- I ' - Water Service - - Switches • --' - Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License:Law for the Lavatories Auto-Wash Garbage Disposal ' ;Standing Sections ' following reason (Section 7031.5 Business and Professional Code:'Any city or ) - • county which requires a permit to construct,alter,improve,demolish or repair P-Trap, - Laundry Trays Generator ❑0-5 KW ❑5-15 KW ' any structure, prior to its issuance, also requires the applicant for such permit - Tresh Compactor , 'o file a,signed statement that he/she is licensed pursuant to the,provisions ofRoof .Drains ' re Contractor's License Law (Chapter 9 (commencing with Section ]000) of _ . _ __ - .- iivision.3 of the BusinessandProfessions 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 - - • penalty of not more than five hundred dollars ($500)., • ' ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 $15 ` 3 Issue Fee $ _ compensation, will do the work,and the structure is not intended or offered _ — - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL I FEES .. - ' .. - - 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 - DEVELOPMENT SERVICES REQUIREMENTS: - employees, provided-that such improvements are not Intended or offered for Boiler - • • Hood or Type I 0 , sale. If, however, the building or improvement is sold within one year of corn- . -J Canopy Type II 0 • Zoning Approved By - •'Date prove f, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground • Building Approved By� -Date prove for the purpose of sale): C-/ ./ 0 as owner of the property, Se exclusively contracting with licensed con- Duct-Structural Refrigeration System - Application Issued By Date P( 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 Duct-Ventilating 00-100,000 BTU 0100,000 BTU ' - - SUMMARY OF FEES - • • builds or improves thereon, and who contracts for such-projects with acon- - -- tractor(s) license pursuant'to the Contractor's License Law). I am aware that Exhaust System 0 Multiple'❑ System Repair/Alteration ' • BUILDING PERMIT $ - SMIP - $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT • O I am exempt'under Section - B.&P.C.for-this reason Firepl/Fact.Blt. ICBG# Fire Dampers 'PLUMBING $ • - ISSUANCE- $ ' Date Owner • Heating System-& Ducting - Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and. -state that the above ❑0-100,000 BTU 0100,000 BT ELECTRICAL $ • • ' • GRADING $ ' information is correct. I agree to comply with all city and county ordinances • - - ' and state laws relating to building construction, and hereby authorize repre- ._ _ -PLAN CHECK„ 50% $ MICROFILM $ sentatives of this city t6 enter upoR 'the abovermentioned property for - - inspection purposes. ��' // Signature A J-//N dJ2 /.1,/1,-1�'..r ) Date 4`4`r�h - - MECHANICAL $ TOTAL FEE $ -2 • �4 • Drivers' License or SS# ) _ Reinspection Fee $15 Issue Fee ! $ 3 PLAN CHECK' 25% $ • • CMF 0065-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor c CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electric& 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 Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 Z. yq 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 20. Rough Factory Fireplace APPROVALS Permit# 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.StorageTank 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. Plaster 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 63 6 LSD 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