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Home My WebLink About545 STURGEON DR - Building PermitsAppllcanl t0 fill in all spates ezeepl those within heavy bo�tle� lines antl sign all appropriate tlecla�ations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address v � � /� Applicant'sMa/ili+ �A.��1�� 17�� AL�yf/JqCC- ST. ./3. Owner's Name/C/.�/�� -L-�-�� ' ��'� Phon � � Address �G S -5 � �'�� Arch/Eng. License No., Address pp--yy�' Contractor's Name�-�.� �� Phone��2/-�ficS6 Addresslma'I'ng11[yp.� ✓1L�L1�A/� sT %% Q City Lic?nu No. �7�� LICENSED CONTRACTOR DECLARATION ' I hereby aftirm that I am Iicensed untler provisions of Charter 9(commencin9 with section ]000) ot DiviSion 3 ot tlle Buslne55 antl PrOf¢SSIOns Cotle, antl � my license is in f II force tl effect. LicenSe Class Lice e d Date� — i9nature 'ORKERS' COMPENSATION DEGLARATION iereby affirm that I nave a cer[i(ica[e of consent to self-insure or a cerHflcate .,f Workers' Compensation Jnsurance, or a certliletl copy thereof (Sef� Ion 3800, Lab. C.) �F �{}i� C'JiG(/ PolicY Noc7�s �3 9a ComPanY /^-� C. G'N�!//, eGertitied copy is hereby fumishetl. �� CertifieG wp is filetl with the cit 9 Divivo Date��.1�� AVPlicant��-� � EXEMPTION FROM WORKERS' COMPENSATION ECLARATION (This section neetl not be campletetl if the permit is for one huntlretl (E300) or less). • I certity tnat in the Oerto�mance ot th¢ work to� which thi5 pe�mR is lssuetl 1 shall not employ any pe�5on in any manne� so as to become SUCject to t�e Workers; Campensation Laws of Calitornia. . Date Si9na[ure NOTICE: If, atter makinq this tleclaratiOn, you sboultl become Subject [o the Warkers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or. this permit shall be tleemetl revoketl. . CONSTRVCTION LENDING AGENCY 1 hereby atfirm thal there is a construction lentlin9 agency tor the performance of the work for wnich this permit is issuetl (SecHon 3097 Civ. C.) LPntler'S Name L.entler's Atltlress j OWNER BUILOER DECLARATION i hereby affirm thai I am exempt trom Ihe Conttactor'S License l.aw for the tollowin9 reason (Section 7031.5 Business antl Professional Cotle: Any ci[y or county which requires a permit to construct, alter, improve, tlemolish or repair any SGucture, prior to its issuance, also requires the applicanffo� Such permi[ to file a signetl statement that he/She is Iicensetl pur5uant to th¢ prOvisions of �:;.,.'��,R Contractor's License Law (Ghapter 9(commencing with Section 7000) of :,o.vision 3 of the Business antl Professions Cotle) or that he/she is exempt `�"2refrom antl the basis fo� the allegetl ezemption. Any vlolation of 5¢ction ��Y031.5 by any applicant tor a permit subjects the apPlican[ [o a civil �enalty ot not more than five huntlretl tlollars (5500). , I, as owne� of the p�operty o�, my emplOy¢¢5 witM1 wag¢s as tneir sole compensation, will tlo the work, antl the structure is not inientled or offeratl , for sale (Section ]044, Business antl Crote55ional Cotle: The Contractor's License l.aw tloes not apply to an owner of a proparty who builtls or improves thereon, antl who tloes such work himself/her5elf o� th�ough hi5 or hEr Own employees, O�ovitletl that such Improvements ar2 nOt i�tentletl o� offe�etl fo� sale. It, however, the bullCing or improvement is soltl within one y¢ar of com- pletion, the owner will have tne burtlen of proving he/she ditl not builtl or im- �rove for the purpose of sale). I, a5 owne� of the p/operty, am exclu5ively mnt�acting with IicenSetl con- tractorsto construct tne project (Section ]044, Business antl Professlons Cotle: The Contractor's License Law does not apply to an owner o( properiy who builtls or improves thereon, antl who contracts for such projects wltM1 a con- tractor(5) licenze pursuant to the Cont�actoCs License Ldw). ❑ I am exempt untler Section B. & P. C. for this reason Date Owner, � I hereby certify tnat I have reatl this application antl state that the abova information is correct. I aqree to comply with all City antl cOunty ortlinances antl state laws relating to builtling c0{i5t�uc � n, antl hereby authoriie repre- sentatives of this y� � abov¢-mentioned ProPerty for inspectiQe-pe ee Signature DatB�d'^�/^.P3 � . �� Drivers' License or 55 "' TYPE OF CONSTRUCTION LJ NEW L1 ADD ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH � OTHER � � �� A.P.# �ESCRIP��,p N OF WORK P��OVE 4�X/Sr/r✓/f� .O�P.Pn.�� ✓ - y� E�� „ d S Main Building: E TVPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL T Front �TENANT ❑ LECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear �OTHER ��/eQ�F%f1J - PROJECT DESCRIPTION 5a. FT. oCCUPaNCY—T � R'9ht CONSTRUCTIONTVGE VALUATION$O�iTDd•�� g Left ZONE GRADING CU. VDS. ACRES Ping. Ref. #. Remarks: � Parking Req./Provii � Use of Building: PLUM8ING � FEFS P�anning Notes: Bar Sink Backflow Preventer Backflow Irrigation ]rinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories � " Roof Orains Reinspaction Fee � $25 Boiler Duct- Under Ground Duct-Structurel ' , Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,OOOBT� Reinspaction Fee � $25 CMF 0865-46 r¢v. 7/83 Whit¢ - Builtlinq; Canary -Applicanh Pink -Acwuntin9; Goltlenrotl -ASsessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeretion System - ❑0-700,OOOBTU ❑100,OOOBTU �stem Repair/Alteretion Issue Fee $ 3 $ 3 Auromatic Washer Construction Pole Sub. Cooking Unit ' D ishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes • Outlets Switches Garbage Disposal Generamr �0.5 KW �5-15 KW 79:; �"�. �.. I Zone Accessory Building: Park. Fees $ cLECTRICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel � Motors �0.1 HP 01 %- 8 Inc.Solar 09-75 HP �16�15+ � Microwave � Pole Light �, Range - Sign , m Trash Compactor 17>.. T: 2 O N 1 N G R E ' Q U R E M N T I ReinsPection Fee I$25I Issue Fea I $ 3 I PUBLIC SERVICES'REUUIREMENTS: - 2aning Approved By Date Application Approved By ' Date ' Application Issued By � h� � Dat�D zG .� � SUMMARV FFEES � �� BUILDING PERMIT $ l%. �� SMIP, $ � S G PLAN CHECK � $ PERMIT . PLUMBING $ ��SSUANCE $ PLAN CHECK $ ENERGY P.C. $ . ELECTRICAL $ ' GRADING $ PLANCHECK $ MICROFILM $ MECHANICAL $ TOTAL FEE $� 7 S l� s PLAN CHECK $ CONSTRUCTION AND PLANNING P� ' SP'0` APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary Electrical.Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-!Jndrgrnd. 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 58. Electrical Conduit-Undrgrnd. ' ' S: .Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. . 10. Struciural 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 PLASTEFiING 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 ❑ Oil 23. Gas Pipe-Rough & Test � 72, Underground Flush • 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑OiI . f,,, � 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 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final - � 42. Backflow Preventer - 43. Backflow Irrigation . 44. ,Landscape Irrigation System -t �F 45. Sound Attenuation Incomplet ins ections 46. Handicap Regulations a 9 47. FINALSTRUCTURE&BUILDING - � - - "-'- - " � 48. Special Requirements Completed , 1 49. Electric Release to Edison y . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 2�559 COSTA MESA BUILDINCrSAfETY DEPARTMENT P.O. BOX 1T➢� COSTA MESA. CALIFOflNIA D2E2E For AppllcaM ro Fill fn Complohly TYPE OR PRINT op� 5 4-5 Szv 2c-��-o r.t COSTA ME6A, CALIFORNIA � No. BETBACK LINH PRON � � '� � CBNTlfl OP BTI166T �1QA�i `/AR . l � Cl� YAR LERT RIQFR DESCRIPTION OF WORK �� 1 X[RCSY ACKNOWL�DO[ I�ND BT/�T6 TXAT TM AG PLY WITX ALL CITY 11 GUILD�NOCON8TRY N1 � AUTHORIZ[D AO�PIT - JAN30-67 00 895# ��*128.25 A►PLICATION FOR PERMR BUILDIN6 FOf �IM uf� �IIh/ �r ia ZONINf3 m�s , no. o► u.a o. naw �� uwa suuo�no �o„� ��,{�— Y / oncnimow �� A. P. NO. —ZT NOTB: NO EAVe OVBRHANO BHALL DB Ll88 THAN 90' TO HID6 Q REAR p. L EAVEB ALLOWED (U.B.C.REQUIREM8NT1 YARDBMPROVED YARCSAPPROVHD MAIN BUILOINO ACCESSORY BUILDINO � vAR.4l �e N�V6 11�AD iNi� A�'LIGTON CORq[CY ANO A0116� YO COY. AryD RAi{ tAW/ oiYYIATINO J DAT6 �% ' ""_ ! OATi '/�`�iD a m � �' °' `� ao. �. J � l I�MOYNT �NOWN UND6R VALUATION le IOR iN8 � •URWO[ O► if}ACYDNINO A PGIIMIT IL6 ONLY. � VALUATION 5 PERMITFE6 � �� W TOTAt PEE