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HomeMy WebLinkAbout760 WINGATE BAY - Building Permits1` /�OD����� to fill in all sDaees excapt thosa within haary Dortler Iines an0 sign all apDroD��ate daelantionz. .. . . — ' " ' "_ . .. �_ .. . .. . _ .. . ' " GTY OP COSTA MESA; PERMIT NOi � TRAC NO. .LOT NO. BL • ' ' ' �071 J GI� I/� .- ' c�: %� 9b •rL CONSTRUCTION PERMIT ' SO7 • ' � Z : � � � AppliCent'S Meilin9 AddfBSY � ' � � '� TVPE OF CONSTHUC710N �NEW ADD ALTERATION ' ' REPAIR � ' � ' �- , J ✓. � � � . ❑ CONVERSION O DEM H ❑' � ' '� -' ' � %oject Addreu ' . - . ` . . . , Owner's'Neme � � ' `� hone� � ��, �DESCRIVTIONOFWORK . . - . . . � . . .. ,. . . , • ,�' , ' .. r �� ' ) �� I G E ,U�LA^TI . .. � Address �1 ' TVPEOFPERMIT O�RADING 'FOUNDATION STRUCTUHAL � �A.PY� 'y' .�' � � ZONE �,�-+ I�� � Alch/En9. • V ' LiC$n5B • � � ❑ TENANT ❑ ELECTRICAI ❑ PLUMBIN6 ❑ ECHANICAL ' �� � BUILDING� � ��� -' � �1 .PLNG. REF. � Address � �� � V - � ❑,�OTHER � ' ' ' �' ' TO BUILDING ` � ' . � R.YARD (T0 P/L) ... I CAntrBctOf'SNem hone � PRQIEC7DESCRIPTION S�:F . �' OCCUPA C ROPE �' INE �'* CONSTRUCTI N VPE�_ VA ATION$ � n� 'LEFTSIOEVARD ' RI TSIDEYARD � •� ' Atldress Imailin9l ' � . , T+ ' - .. ' ZON�'_�}L GRA�INGCU.VDS: 1 ACRF$ �� - PKG.SPACE'REQ. PROVIDED 't� ' Licenza No. � GCENSED CONTRACTOR DECLARATIDN ' RemarK�: ' �- � � � , ' - STREET WIDTH ' � �PqqK FEE $ 3 � '. I hereby_af/irm that 1 am Ilcensetl untler p�ovislons oT Chartar�9 (commancing � � , ., wlt� sectlon 7000) of Division 3 of t�e 9u5iness antl Professlons Cotle, anA � � , � � � ' SPECIAL CONDITIONS: ' ' my ucense is in tun torte ane ettect. . . • � Q 'L �� ! . ' ' ' LJcense pau License No. ' � ' . . , VLUMBING ' � ' . -. . . - . -.- — . ' - � Date ' Signatura ' ' , , . � � Bar Siok , - Sewer Cap ' � � � � ' ELECTRICAL ' ' • ' � WORKERS' COMPENSATION DECLARAT�ON ' . � - - . ' � � � �•�;$reby aHlrm.thaLl nave.a certlBwta oi consent to self-Inwle or a certitiwte_ � � geCktlow Preventer . -- - SeruerConnection � . Automatic Washer '_ Meter �over 10U amps � yallorkan' Compenutlon Insurance,- or a certifieC' <oDY �ha�eaf (Saction ' �`P'�. �b• �•� j ! Backflow Ivigation ' ' Solar Collectors � Constmction Pole � Sub Panel �`�k�, . I ' , . . , . \Pylicy No. � � Company � , , - - -�' �� " . . Cooking Unit ; � . SubPole : , , % 'llJ CertlfleC�capy Is hereby turnisheA. . . Bathtubs $pla� Piping . �i+Cartl}lea cbpy Is fileE with the Uty Builtling Dlvlslon. � � i Dishwasher �Motors �04 HP ❑1'6$ � � Data � .uppucant � � � ! • . Clsiifiers R � Soiar Tank . ' • , � � ' . . � EXEMPTION FROM WORKERS' GOMPENSATION DECLARATION ' , �� � Dryers �❑Gas. OEI2CtiiC ��' i� �InC.SoIOrI 09-75 HP 016�75+ � � 1 ss�s sec'lon neetl not Ei comD�etetl If tha parmit Is To� ane huntlretl (E300) or � � Dishwasher . Swimming Pool w/Spa � ; , , I � ) . � o � � Fan; ' � �Microwave � � 1 certify,tnat In the oeriormance oi ine wo�k tor whlch thls perm�t iz Izsuetl I' Drinking Fountains , Urinal�� � � , � � J shaltrnot amploy any parwn in any manPOr zo;as to betome subject.to t{�e , . - . - F.A.U. ' . 'Pole'Li ht � � � Workers' Comoen5atlon!1.dws of Californla. 1 � . Floor Drains . Water CloSet � 9 � t _ � Ddte 9gnature - - - ' � NOTICE: If,af[er makin9 this Oeclaration, You Shaultl become-SUGjett to the � , RoOf-Sinks , -. . _�Wat2� Heeter- - . � ._, _ _ FixtUr¢5 � ' I �Renge, , ' ' Workari' Compensation provislons,ot the �bor Cotle, yau must for[hwltlt ; - Devire Boxes ' � � � ' comO�Y N'��h'iuth p�ovisioni.or�-this,permit shall De Gaematl ravoketl. � GaSServicB �OuHBts - .Wate�Servic2 - � ' Sign CONSTRUCTION LENDING�AGENCV�- ' � ' ' � � , I hereb aitirm that tnere is a.construction lantlin a enc for the erforman<e ' - - - � _ Outlet5 � � � Y s 9 v P Interceptors � 7 .. . I StandingSections � o( tha .work for. �p i this permit IS �uuetl Sectlon 3097.- Civ. C.}' - " • Lnader's Name � G���+�' � ��� ���m'� ^ � ' Kitchen Sink� _ _ . . Switches ' ' ,Trash Compacmr ' � . _� . � Lender•s nedre:: _- EI . 1..4 L- OWNER�BUILDER DECLARATION' - � � � Levetofi23. � . ' � ' � . . ' � Garbage DiSpOml ' � . I hareby affirm t�at I am exempi from the Contiactor's Llcanie Law for the� � � i Generatoc OO-5 KW 05-15 KW • ' i 1 following ieason (Sactlan'7031.5 Businessantl-Prote551onal�Cotle: Any<ityor ' � P—T�ap� . � � � � � { � county wnicF roquires a parmit to <onstrutt, alter Improve; Cemolish or repair ' � • TransfOrmer ❑15-50 KW ' � � � any structure, prlor to Its issuan<e, also re4uires ll�e applicant tor such parmit ' ROOf D�Bins - '�'.• � ' , � , .to file a ilgnetl statementthat �e/sha I511Censetl pursuant to the provisions oT - � � �5U+KW ' � the Contractoi'S License law (ChaD�er 9 (commencing�with Section 7000) ot = � � . . ' ' � � ,Reinspaction Fee $15 DlXlsion •3 of che Buziness antl Protessioqs Cotlep�or that he/sha is'exempt � Showe�s • �. ' RainSpection,FeB � $15 , I f�,4�i' trom anA t�e Easis for the allegeG e%emptlon. Any vlolatiod-of SecHon � , _ � , .. _ � �- Meter ❑up to 100'amps � ;Iaue Fee � ' '$ 3 �,°�;'.5 by any apPlicant for°.a permit suEjects.the'appllcant to a civil � - � � �; � ' • __ _ __ "¢y oi not more [han tive huntl�etl tlollars (y500): ,. . ; Service Sink , , ; � Issue Fee �� 3 1 2onin9 APProved BY �Date '�� I,' as ��owner oi, the property or' my employea5 wlth wages as their sole � , � � • 1 ' compensatlon wlll!tlo the work, antl the structure I5 not Intentletl orofferetl , i.� r' '�' � MECHANICAL ' � ' qpp��mtion Approved By _ `� �Date �� � for sale -(Secfion 7044, Businessf anG prOfesSlonal Cotle: The � Contractor'S � - _ , , . , License Law tloes not appry to'an owner oi a proparty wno bulltls or improvas . BO11e� • , Ret�igEretiOn SySt¢m p �i�tion Istued B �,' � � �' tha�eon, antl who 40¢5"such wo�k h1r05¢If/h¢r581T o� th�oUgh his o� h¢r own � " ' • ' PP Y , , �DdtB employees, provitletl that su<h improvemen�s are not intentletl or ofteretl for � ❑0.100;OOOBTU ❑100,OOOBTU � � sale. If, howevar, tne builain or im roven�ent Is soltl wlthin ona ear of com- Duct - Under Ground . . � ' . � . D�atlon, the owner,will �ave t�e burAen oT Proving he/sha tl1A no[ builtl or im- . ' ' , ' , � SUMMARV OF FEES - � � r ve for tha puroose of saie). �• • , ' Duct - Structural ' System Repair/Alteration p ' � �3•:� �I, as owner of the properry, am exclusl�ely contractlng�wim Iicenietl con- , 'BUILDING PERMIT $ ��✓ � SMIP � .$ � � tractorslo construct [he project f5ection 7044. Buslnezs antl Professions Cotle: � Duct_ Ventilating ' , , _ � ^ ' ' PLAN CHECK� � � ' ' , T�e Contrattor's License Law does not SPP�Y to an owner ot property who � � $� ° P$$UANCE : .$� builtls or improves,thereon, antl who conC�a<ts tor such orojects witn a<om , Ezhaust SyStem ❑ Multiple ❑ � ' � � - PLUMBING . $ � , � � tractor(s) Iicense pursuant to tne Contractor�s Llcenze Law): � � � ❑ I am exempt untler Sec[lon � e. 6 P. C. tor thiz reason ' , Firepl/FacL Blt. ICBO � � : �PLAN CHECK. $ GRADING $ i ELECTRICAL� $ ' . � � � $ Date' � ' � Owner ' � , HeatingSystem&Ducting � . ' � � ' . ' . , MICROFILM $ � I hereby.<ertl(y at � v reaA�thirapplicatlon ana state thaC Ihe above i- � OP700,000 BTU 0100,000 - --- �. � . ;PLAN CHECK ' $ Information is co ect gr e to comply With all city antl county orGinances � ^( � ' � ' TOTAL'FEE ,$ antl'stata laws lati to uiltlin conz tlon, antl herab authorize re re- , . MECHANICAL $ , � sentatives of � iz 9upo e a�o -mentloneG property f or . HOOd O� Type I ❑� � ' ' ! � � � . Reinspec[ian Fee. $15 � � LESS ; � inspectlon o ose ` � t �� �� � Cano T e II O� 1 -PLAN CHECK, , 5 . qDVANCED PC '$� ' Signature � ' . ' ' � � i � Drivers' uc or,55 � ' Registers , � � � laue Fee , � $ 3 , ' � � - . , FINAI FEE : � $ .. _ ' ..' _ _ __._ __. . . . _. ..�. _ ._'._._ _ _ . ._ .___.. _ _. '. — CMF 086546 rev. 12/8 White -Builtlin9; Canary -A� <ant; Pink -Accounting; Goltlenrotl -Assessor � � - - '- - -- - ' ' - - � / - - _ _ -----. _. - - ------ - � ' ,- t R� ��_r;� . ^-' � - POOL , . -� �'CONSTFiUCTION ANDjPLANNING'� �, �� - - . �- � m ��yF�' . - - _ -_ : ' � �% ' - - � ' ' z � m ; •. �Uate� � Inspector ' ` . . - 'Date Inspector , _ _APP,ROVACS p„ Permit�#� ' � �APPROVALS Per't�"5:�- �� - ., n. r. c, .e : _ • ,a • 41 a. ' - . - . �; �t: Temporary;Electrical Serviceor�Pole ' �� =' ; "i � u�; `� � '52= Pool &'Equipment Location'. '� � =-' � " � •�� 2. iSoil Pipe-Und'rgrnd' _ � ` ; r � � `° : ��g � � '�53- Steel Reinforcement „' ' -. "� '� y ` 3! Elect�ical.Conduit UtilitwUndrgrnd. �� j � ` i - �54.. -Forms' E � . � � � -' � I ' � . fr °' 4: Electrical ConHuit-Undrgrnd� �. i � ` ° � ".''� � "" ��55: Electrical Bonding - ' � ' '� i�9 i � i � n'� � . . 51 Steel�Reinforcement1 ��� m�' `� ' � �' r '�� �56. Rough Plumbing.& Pressure Test '- � - ' � t � � �. � n � . �6. ;Electrical UFER Grnd � ' ? _ � ' �' i; � - .^ '� ' 57' APP,ROVALSO COVER-GUNITE ' , � i � � - � :- . 7. Footing; �. � � , � `-" �y � � ' ' �! � � . 58' �Electrlcal��pnduit-Undrordrl. ,- � . • J : � : a � 8. ,Foundation � � � � i � o � : ' 9 ` ^ - ° 's ! ;59. Gas�Pipe; O=Undrgrnd., Test - r . �' , ; � 9. Water Pipe-Undrgrntl. , j � - I � � ' '- � ` �60. Backwash Lines,�P�Trap, O Undrgrnd., � + c 10. �Structural Floor�System ; o � ; � � � ��� ,•61. �APPROVALTO,DECK' �� � � . -� ' - 11. Property Sewer �Cin"e &,House Connection; � ' . -62. �Backwash �& Receptor-Final =: � - � � 1 � i ' �a 12. Sewei CaP f . k. ' ' 1 ' j . I �= - . 63. Heater & Vent-Final ,' . . • � . ; '. 13.;Roof;Drains �; f � ��' ; � '° ,i � : �'64. PlumbingSystem-Final '- � - i� 14. �Rough Plumbing��= � ' � . � � � � - -.. 65. Electrical-Final �� � '' ", � �� 15`�Rough Electrical-Conduit'�---"'��'r -�-"' �-' "i � �-'�� �66.j SolaijSystem-Final-j . . �- � ' ' i76._Rou h Elec'fric Wir;in ' � ' " � �- � ' � � - - - , �, 9 9 �: ,.. f �� �-� i'� i i�-c:� "cTr.-1 � 67: Fencing & Access APProval. _ ,� i-- > �t`17. Rough Wiiirig�Sign{.: �, ` � ^ � �( � � � � � � -= � ; � � � � � � �,^' � �� �g$; APPROVED FOR PLASTERING . � � � c ;�18: iRougli Eleetrical-TjBa�'r��, Ceiling !� i � , � ' � ` � : : - : ( 69! POOUSPA SYSTEMS;FINAL ' � � ' � -� l9. �Rough.Heating & Air Conditioning �� i � = � i ; = ; � �.FIRE DEPT.!REQUIREMENT �' , ` . ' � ' 20: ��Rough�Factory Fireplace � � i� ;, � � � � � � �� APPROVALS � Permit # � � - . n i .. -i , i i, � � 21. ��D'ucts, in Structure � i j �� ' � � ( � f j � ,70� Unde�ground Hydro � ' - e^ � �: , � i . : , , � : '�22.'Ducts, Ventilating,. �-, � �,� � j � I � � ; J1: Product Piping OGas OOiI , _ �`23. (Gas�Pipe-Rough &�Test �, ' � �� � � � � � j 1 +72. Underground Flush� � ' :�24.��Roof Framing ;rf � �� ' � j�.'. � �� -� � -!c. � :73� Undergrnd.StoiageTank;OGas ❑Oil ' . � , � i�, ' I I' � - i-. : 25. Roof Sheathing • � .� � ' � '1,7 ��^ � ' , f�� � ; �� �74 �� Overhead Hydro ' � _ . � , �, 26. rT-Bar Ceiling (Structurall� & Monocoaf" � - � ' I •, �75. Dry Chemical � �. - �� - � � 1`.27.�Frameand-Flashing" �-.�_� ` .i ,� { ;�I '� � � '� , ,76.' DryStandpipe - - � ' ;' i 28. Lathing & Siding n:. I' ' i �,� ' 177• FIXED SYSTEM FINAL ' ' � 1 29.�Insulation'''' � , � ' � �� � ,�� � � -� 78. PIRE PREV. FINAL �� _ ; .+• , : , ' i i � � . ' �T30.sDrywall Nailing i " � � � { � i � �Notes: , ' '� � 31-. Plaste? Br'own Coat' '� �� !i � � � ' 1a-l8�83 c�'ti,e ' Gal�c ura.<< ek cv. . �'��32.bElectrical�PowerMeter-Fin�al � ;� �� � ( i ! � � � � � � � �33.,Final Electric � � � � � �� � ;� j ! i ' i ' . ' � , :.c.s.... . _ .... .,' ..I`_ . 34. Final Heating &��Air Conditioning G� � � � � � � � . � � �. r� , : i i- :I ' i i 35. Final Gas Pipe=Test' �' � � � I`� � _ I- - I' `• ` , - ' ' v. � ' ,�- � r. �. ' 'r.' r, ti 36. Hood 'or�CanoPW :j d, � ,; � i "' � i� � I T_ i � � � � - ; I � -, � :. - .. �� " .. � _ �i ..��� , i' '.� �' � � � �=. 37. Final Factor,y Fiieplace� f ' �� - i ' � �. � ` � i � � ' - �� . i -� i�� i� � l`' i i - � , 38. FinalPlumbin � � � ' � ' � .; �� , si �-. �p. µ I'I�� I �;i 39. WaterrService-Final � � 7 - �.! '" '. j � ' I � 1 r � � I � � , � . � . � .. _� d r �' � i 1 � i I - 40. GasService-Final- � • -1 � �' ', i I � ! � � � 1 � � � � 41. Solar D'orties'tio-Final � ' � ' � _� � _j � ' � , ' . � -� � I �i :i I _ '_� - _L_ i__I _ _. . . r'; ' ' , r - ' -, . � � . � , i � ; � ,. � I I � : ... . � 42. Backflow Preventer, � � ' � ,:.I'- t-' - . - I �- , -� _. .._.' .: _ ,_ �_.. . } �'. 1' 43. Backflow Irrigatiori �� � , I f I'F .r I � ' „ � ;' � .`. j , 1 r � r� : � i _,' � � I � : i . � .. :�u i,��r, i, . . 44, landscape Ircigation�System � !�;�'�, - i � � -,c, ( " i �, i µ � �: , � ,, � "- � , , �. ` � •r . - 45. Sound �:A'ttenuation �; I � ( � � '- L � � ! � �-G � � � f ! ' , � � :rt ' � � . i .� . � � n .� i r � ��:e i'� i-� n I � I �. i� � _ ' ' 46. Handicap Regulation's � � : � � ��, ;i ' �? � . � ' I � ' ' _ , - i i _� �� � i..' � � � 47.FINA'LSTR'UCTURE�&BUILDING�; ': I ;�� 1 � � � 48. Special Requirements.Completed �j � �' � � � � � � i • � j ' i ' �. r . � 49. Electric Release�to(Edi'sori� � � ' � .. � ��� � � � �� ' � � I _.'_ .� _ , '"; , ' : i i (�'• �1 I 'r- � - ,- � � - -� � r - , � . • � �: , , , � 50. Gas Rele�aseto Southein CaliforniaGasCo �� ('i I � I � i � � i. � ' � 51. CERTIFICATE OF OGCUPANCY .; � ', .� �. ' -+._-j _ J - � ` ` ''` , ' ' " No ' � ' ' � Date � ' i; 1 � � ' .t � + I -' � - -y , r ._t.� � ,.-.,:�._ !-,-f � � ,� ,_-' '- n Appliunt's Mai�i� � Project Address � Owner i Nam�e/ C� �� ,4ddrea . "�' Arch/Eng. — � � � Addresz — C.Ontfettaf'3 N8n Addrezs (meilingl License No; _ LICENSED CONTRACTOR DECIARATION I.hereby,affirm that I.am Ilcensetl untler provlsions of i wltn sectlon 7000) of Divislon 3 of the Bu:lneu anG my Ilcense�ls In full for a ef ect. � ' ' lJtanse Claa - � � ��.�� Slgnature�7���� �MPENSATION DECLARATION � PERIVLT Appllunt to flll in a11 sD+cea ezeapt t�ou wit�in �eavY UorOer Ilnef anC {ign all approoriata Caclarations. PER IT NO,,.. � C TRACT NO. LOT NO. BL . , 7 S .� . ,.TVPE OFCONSTRUCTION W ADD ALTERATION -REVAIR , ❑ CONVERSION ❑ DE OLISH ❑ OTHER � � ' �� DESCRIVTION OF WORK , ' ' ' � � " � TYPE OF PERMIT GRADING FOVNDATION STRUCTURAL' . - ' ❑ TENANT ❑ EIECTRICAL�'flUMBING O MECHANICAL � / ❑ 9THER � ' ' ' ¢ PHQIECT DESCRIPTION 5�. FT. - oCCUaANCv CONSTRVCTION TVPE VALUATION $ ZON� GRADINGCU.VDS. ACRES Remarkf: � �%,��n % , antl i�jaraby afiirm that �1 �ave a certlllwte ot consant to salfansure ar a.cartHiwte �� ' Workers' Compensation Insuranca,' or a certl/latl copY tnereol Sectlon ;`�oo. uo.�i'�li,uA,/ 3 1�'i1i4� ; , a . Policy No. � ompany ' , CertlfleE copy heraCy turnlsheA. . � e o f tl witli tha clt ,� Dlvis . � Date ADO���En� - � EXEM ON ROM WORKERS'C PENSATION DECLA TION (Thls sactlon neetl�not be comDleieE I} the Dermit I5 for�one huntlretl (5100) or � less). � I cartlfy that in t�e Pertormance ot [he work for which this OarmH ii issuatl I: Shall nOt BTpIOy any pel50n In any mann8f s0'as t0 b8[OTe SUCjaCt, t0 [�10 Workers• Companiatlon;Laws of Californla. Date' � �'� ' • Slgnature � � ' ' ��' NOTICErIf, aftar making [his Oaclaratlon, you�shoultl', ba<ome sub7e<t to the-r' Worker5' COTpBnSation' provlslons of the labor Cotle,you TUst fOrthwitb comply wilh such provi5ion5 or'Nii Dermit'shall ba tlaemetl ravokatl. CONSTRUCTION LENDING AGENCV � ' ' I hereby affirm that there is a conztruc[Ion Ien0ing agency for t�e pertormance of the �work for whlch Ihls parmit Ii Issuetl (Saction 3087 Civ. C.) LenCer's Nama_ l.enEer'S AtlEress OWNER BUILDER OECLARATION � � ' 1 heteby�aHlfT t112t 1 am exeTpt irOT tt10 COOlydttOr'S LI<ense Ldw !of th8 ^ j';15 oy-any appucam ror.a permtt suo�ecu me'_appucant m a civn �'�� alty ot not more than five hunOreC Oollars (E500). �� � . . � I, as�owner ot the�property or�my amployees witn wa9es,as their sole compansatlon wiil:tlo the work, antl,the structure is not intentletl or offeretl . for sale (SecElon 7044', Buslness anA Profes51ona1,Cotle:ITha�ConVactor'S Ucense Law tloes not aDD�Y to an owner o! a property who bulltls or ImDroves , theraon, antl who tloez sucti work tilmself/�erself or tnrough hIs or her own employ eai, provi0etl that suc� improvemanb are not Infentlotl or offerotl for ' sale. II, however, the bulltlin9 or ImDrovement 15 5oltl within one year o! com- � Oletlon, tha ownar will have the burtlen of proving he/s�e tlia not builtl or Im- � �ove tor [he purpose of salaj. • ; � . � LJ I, as owner of the property, am exclusively tontractin9'with�licantatl con- • [ractors to.con5lruct the.project (Sectlon 7046, Business antl ProfeSzions Cotle: ' T�e Conlractor's License law does not apply to an owner o/ Droperty who Dulltls or improvez thereon, antl who <ontracts for such projects with a con- • tractor(s) Iicanse pursuant to the Contractor'S License l.aw)1 � � ❑ 1 am axempt untler Section . 6. & P; C. for t�is roason Data Owner� � 1 herebv �ttrtlfv�thaYlrhave reatl [nis apolication antl sta[e-Ihat-the above � Drivers' Licensa or 55 $ � CMF 086546 rev. 12/82 White - Builtling; �ynary - APPlicant; Irrigatiou 0 0 loor Drains � 1 Ioor�Sinks- - - � as Service' , Outlets � iterceptors � , � itchen Sink� . 5 t _ • r Sink � , Boiler i Duct - Under Ground ' Duct-Structurel Duct - Ventilating � Exhaust System ❑ Multiple ❑ Firepl/Fxt.BILICBOSN � Heating System & Ducting . � 0-100,000, BTU�� 100,000 BTI , � ' Hood oi Type I ❑. � Cano T e I I ❑ � Registers � Ntlenrotl-Assesior � Y Solar Collectors Solar Piping . So1ar Tank , Swimming Pool Urinal ' i�'/2iCf C�058t� ter - '- iice • � . . � • ; Reinspection Fee � laue Fee , ❑6100p00BTU ❑100,000. System RepairlAlteietion A. P. �W .PLNG.REF.sW ' TO BUILDING • � PROPERTY LINE LEFT SIOE VARD PKG.SPACE REQ. STHEET WIDTH SPECIAL CONDITIONS: Auromatic Wazher Construttion Pole .. ' Cooking Unit , ' Dishwasher _ ' Dryers �Gas -�Electric � Fan F.A.U. ' ' Fixtures Device Boxes � ' ' � Generator 00-5 KW 05-15 KW Trensformer 075-50 KW . ❑5U+ KW $15 Meter ❑'uptot00empi $ 3 Zoning APProved By ' Appliption Approved By � ' APPliption Inued BY � t" '"_ � Reinspec[ion Fee $75 � ; • laue Fea ; � $ 3 Q%�� .6�'���1'J � � REAR VARD (TO P/U � RIGHTSIDE VARD � ' PROVIDEO , PARK FEE § .�o�. T�_ Mecer LJover tODamps � � . Sub Panel , Sub Pole ' : . Moton �0-1 HP ❑1Y,$ � �. �Inc.Solar 09-15HP 016-15+ , � 'MicrowavB � � � .Pole Li9ht � . � Range � � � .� , Sign � � I Standing Sections Tresh ComOactor � ' . i ' � Reinspection Fee S15 laue Fea � � ' $ 3. Date Date • � , n_._ �i� � %%�3 � . SUMMARV OF FEES � . BUILDING PERMIT $ � SMIP , � � $ � � PLAN CHECK $ PERMIT � � PLUMBING $ � -S -� . � �SSUANCE , � $ PLAN CHECK . $ ln ^ GRADING $ ' ELECTRICAL• $ � $ PLAN CHECK� , $� � � MICROFILM � S� MECHANICAL , $ ' � ' � TOTALFEE' . $ �; PLA�N CHECK • $ � LESS • � � � � ADVANCED PC , $ � . ' � � � � FINALFEE� , $• �I— � .. . . .. .. . .. ,. - - - _�.. - - �CONSTRUCTION ANOqPL'ANNING � ! - ) . `, ' .' � � ; � ::".�OL 'A _ . _ . .. .. � PROVALS ;, PermiY#- P�SL+b . '•Date„ ��Inspector � ' - - ' - _Date Inspector. � APP.ROVALS:•. PermitilE ' �. ;r - . . ' ' � � ' _ ' ' ' . -. - . Temp"orery Electricai SerGice or Pole.•�.`f ; ;;•' c� *� 52 Pool & Equipmenf Locatiort: . .. ' i n -, y,`+ '' ' .: i � � •. - . , '.'�, ' ' . .. ' ' � . _ Soil Pipe-Undrgrnd.- � � 1. ;;; - ,,, �: ; �� £ - (53,' Steel Reinforcement' � ' � ' . ' ; ' 3? Electrical Condurt Utiliiv-Undrgmd. /� 5, � �= `>o � � "54:� Forms � .. . _ "� -' '.� 4C Electric3l Conduit-Undrg�nd: c ^ .'� � _' �- _ ' � � �F�' ; .;;,� � 55.' Electrica6Bonding -. '_ ' � �� ,.� 4 " �„� 5: Sfeel �Reinforcemeni , � ' - �"_ , � � �'� _ : ,:�' ��= �� �56.' Rough Flumbing & Pressure Test - ' _ - � i� Tn V`, t i:il �6: Electrical UFER Grnd.; Q p - � � .'f.� ' � r_ �. _ ,57:' APPROVAL TO'COVER-GUNITE- ' � i . � ' 7. Footings �! , � , �: � I � i . c; � , s�> ^p : _' � ��58� Electrical Conduit-Undramd' � . � � r � 8. Koundation : � _ � ! 59. Gas Pipe, O Undrgmd., Test � � i 9. N/eter Pipe=Undrgmd: ;� . . -:. i ^ - �-_ ', �-60. Backwash LineS,,P-Trap, O'U,ndrgrnd. � �_ 10. Structural.Floor System j , ` � � '; �� �° 61. APPROVAL TO DECK � � 11. Pr�operty Sewer Ljne & HouseConnection. • j- ;. . . � 62. Backwash.&.ReceptorFinal = � " � � � 12. Sewer�Cap':. ' ' . , : ^ `' `� _ - - - . - � ' . ' ' L� . f �� , �63. Heater&�Vent-Final _ 13. RoofiDrains • ' � � � �' � ; `0 64. Plumbing:System.-Final ' � . " � 14. Rough�Plumbing � ` � . � 65. Electrical-Final � � - � - �( � +� �15: Rough Eleetrical-Conduit � --�- �-�, �-� -' 'r-�--��--�""'66. Solar;System-Final ' -' -�'-� � ,: i 6r�Rough_Elecrric.Wiring� H ': � 1,� < <; - �-.. ; ,_ i�-r, - " ; � 67.'�Fencing & Acceis:Approval . . ._ - . - �- - � 1,Z: 'Rough Wiri,rig Sign�. �� ' � .i i �, '� ' '-.. I ' I •,, � r � ,', �68.� APPROVED FQR �PLASTERING _ � - - •' ' 76. 'Rouyh Electrical,T'Bar. Cei�ing'' !� , i ; � .- � I � - � ` ' � � ,69. POOUSPA SYSTEMS FINqL '�' � � � 19.��Rough Heating &'Air Contlitioning � = i:� � j ; i r � � �FIRE DEPT. REQUIREMENT ' � ', � ! i - ' ' 20.' �Rough �Factory", Fireplace, � � � . I i � t ' I , APPROVALS ' Permit # ' � . �..i� �i� � � i � ' ' _' 21. Ducts,.in Structure;; � i ; � , � ! , , ' � ; 70. Underground Hydrri � � i t _ ` J422. .Ducts, Ventila[ing r' 2..' �� 1� , � � ' � �71. Product Piping O Gas O Oi! � � ' ��' 23. Gas Pipe-Rough & Test c; t ��_' !' 1-� i � �i 72. Underground Flush _ ' ' � p, 24, jRoof Praming`.� ; � ° ` i �,� j; ` _ . r " : ` .,' � `�� . - : 73. Undeigrnd. Storage Tank O Gas�.� Oil. > � � � � 25. �Roof Sheathing � , f �'� �,: ;' �' � � u � � ! �. � � I � - p4.' OverHead Hydro - ' ' . L �26. T-Bai Ceiling (Structural)i& Monocoat � I ` ; � - I,. i - 75.� Dr�y Chemical � � - � . � � r_27. ,Frame and �Flashingi � ' ' � �� , � ' � ` � � '; � � �76. Dry Standpipe ' - • ° G 28. ���Lathing &�Siding� �:� � ' � � 'i , � j � �'� � i 77. FIXED SYSTEM FINAL � " � � � < � 29._:,Insulation j ` � Q " ' ! i� ij , � � ' � � { � �78. FIRE PREV. FINAL � � , � a ,.� 30. .Drywali Nailing ' ^? i I �I ;i i � � � � . , i i i Notes:. i , ' � ' . . y ., ,� ; , '. � -� � --�- . ..._�_. _.- . _i ; . . ' ;- 31. �Plaster Brown Coat ' ' ' �� I; ! f i : ; � � � . � , ! ; • . � -�32. Elec4rical Power Meter-Final �' �� � � � � � �-' • . , � � � � I p ( � ( � !� 33 ,Final Electric ' _ � � � � � � � I � � {, - . � ' � .. . _ l,�'_ . Il 'l i i I' i ' I � 34. Final Heating�&rAic Conditioning ^ � ' � � � `. � ` , � • � i � � i 35. Final Gas,PiPe=Test � ; ; ^ . � ; � �" �" � ' � . �� - . _ � � • , . .- . . � ., _ , � 36. Hood or �CanoPY� 1 � I ? , . o! i ! � t ` � � ! i � . . � . . � � _ . - : �. � . . 37. Final Fac[ory Fireplace � , �_ i ' . ,t i . - �' � � � . � " ' _ - 38. Finai Plumbing' ,, �„ � � o. .: � • �� � . � , ' . .- ` � ��� I �,� 39. Water�Se�,vice-Pinal� � ! , ��! � � � - � � '� � � � �� . . ' � f i � t i • 40. Gas Service-Final � I � � �' ' 1 � f� r � i � 41. Solar pomestio-Final ' ' � � I ' I I I � ' � � ' . , i, i � _.L�.-}--� -'---�-• . . _ _. 42. Backflow,P[eventer � ; ; � i �r. � ' ' I i I ' ' '� ' � � � --'�-t---� - - ' - ' 43. Backflow� I�rigation �� � I t � r �' "- - f - � " �� , � ', ' ' ' � rta�� ��.,n] 1-Ir 1 ' .r� �.�.'I .1:.1'_ I . � �i.--�. ,_Io; -.��-,�[ � . . , 44. Landscape Irrigation;Systpm i � ! � • ., a� ; ; , , � � - � - .. ,�,� i m� � " � - . . ��. i • � � i i 45. Sound� Attenuation ,. � ; I J , s � � � ; � 4 � � � _ I .. . ' �: � ' �, � � " . , - ..N. � . � . . � 46. Handicap Regulations � � I � i �� r � � � � ' � � � � ' � ' � � r.i .� • � I� �`� i rt � • � i I 47. FINALSTRUCTURE&BUILDING . � � +. � � � � % � � -� i � i i i I ' 48. Special Requirernents Completed �� I � � . � �� I � � ' � � . � � ' � ' � ,. ,_ . � � "� 49. ElectrF Release4o �Edisonj � � ' } ! --�. � '��J �_. . _ . .� _ . � _. �. _ � _ '� r e , i � d 50. Gas Release to Southern California Gas Co i � � j I � ' � 51. CERTIFICA'fE OF OCCUPANC' �. � i, _ �_ ; _�_..' _ _ ,. � � ' " � . , No. � �� ' F � Date ' i � : ' -°-,; '' -'--' -'- - - -� - -'--- - AOP��cant to flll in all spaces except tnose within �eavy eoraer lines antl si9n all aDPropriate Eeclaraiions. CITV OF COSTA MESA � CONSTRUCTION FERMIT ProjectAddress - ��� � / AppliwnYs Mailing ,A�ddre/s�s ' �/y-�� �y �� � Owner's Name '��1..6L'_ ho e 11=[_�7�l7G' Address � 'r'' Arch/Eng. Licenu No. Address Contracmr'sNam D 7hone 95�1h% Address (mailing) �� �� S/�'�� ����� City LicPnse No, n)���y' LICENSED CONTRACTOR DECLARATION I h¢reby a/firm that I am licensetl untl<r provl5lons ot Charter9 (comm¢nCing with section ]000) oi Dlvislon 3 of the Buslness antl ProfeSsionS Cotle, antl ' my license is in tull for e a fect. �a��� tJcense pass �ice Ne o. Date ��'�� Si9nature T� "'. (b'�F-'— � WORKERS'COMPENSATION DECIAHATI �� I hereby aflirm Ihat 1 have a certlBwte of mnsent to selt-Insure or a certlflcate Of Wolkels' CompenSatiOn InSufanCe, or.d certifl tl cOpy thefeOf (SeCtlon 3800, Lab.��e1D��� Company �Q� ""'✓� Policy No. _-� Certifietl copy is hereby furnishetl. � / ' � 'Certifietl co(��Z� }iletl with the city 8�laing/D�ivislon. ///1 Date ��� � J{�,J--- Applicant �X7AtiG/Q„°I A rr �i EXEMPTI�M WORKERS' COMPENSATIO DECLARATION (This section neetl not bo completetl If the permit is for one huntlretl (y300) or less). � I certify t�at in the pertormance of tha work forwhicM1 this perm�t is issuetl, I snall. not emplOy any person In any manner so as to become subjet[ to tne Workers' Compensation Laws of Calltomia. . Date� ' Signature NOTICE: It, after inaking Ihis Oeclaration, you should become subjec( to lhe Workers' Compensation provislons of tne Labor Gotle,. you must forthwith comply with such orovislons or th(s permit snail be tleemetl revoketl. CONSTRUCTION LENDING AGENCV ' � 1 hereby aHirm tnat there is a construttion lentling agency tor the oer(ormance oi tne work for which Lh75_oetmit„is issuetl (Section 309� Civ. C,) Lenaer'z Name N�W' LentleYs Atldre55 OWNER BVILDER DECLARATION I nereby affirm that I am exempt frorti [he�Cdntractor's License Law for the following reason (Sectiom 7031.5 8usiness antl Protessional Cotle: Any dty or county which requires a permit to construct, alter, improve, tlemolish or repair any structure, prior to Its issuance, also requlres the appliwnt tor such permit .to tile a signetl statement that he/she is Ilcensatl pursuant to the provlsions of the Contrac[or's License Law (Chap[er 9(commencing with Section ]000) of �Oivision 3 of thc Business antl Professions Cotle) or. that he/she i5 exempt ' `�erefrom�antl the basis for the allegetl ezemption. Any violatlon oT Section � .031.5 by any applicant for a parmlt sub�ects tM1e applicant to a civil ��enalty of not more than five nuntlred tlollars (y500). • I, as owner oi the prOperty o��n1y empl0yee5 with wage5-as theii sole compensation will tlo the work, antl the struciure is not intentletl or o(feretl . fot sale (Sec4ion 7044, Bu51ne55 antl Prote55ional Cotle:� The Cont�acto�'s License l.aw tloes not apply to an owner of a property who.builtls or improves tneraon, antl wno Coes such work himself/herselt or through hls or ner own employees, provitletl tn5t such improvemenn are not Intentled or offeretl for � sale. If, however, thE bulltling or Imp�ovement i5 Soltl within one yea� ot [om- I pletlOq tbe owner wlll bav¢ tha bur�en Of proving he/she tlItl no[ builtl o� Im- I��ova fo� the pu�po5e of Salej. I, az owner of the property, am exclu5ivety contracting with IlcenS¢tl COn- tractors to construct tbe pro7ect (Settion 7044, Busfness an0 Protessionz Cotlo: The Contractor'i License law does not apply to an owner of properly who builtls or improves thereon, antl who contracts for such projects with a con- lractor(5) licenm pursuant to [he Contractor's Licenze Law). ❑ I am exemp[ untler Section B. & P. C. for this r¢ason oate 1 he�eby ce�tity that I information is correct. antl�state laws rela[Ing sentatives o1 thls city inspection purposes. 5�9nature � Drivers' License or 55 7 CMF 0865-46 rev. 7/83 Owner have reatl Ihis applica[ion antl a9rae to�comply with all <ity a o builtl�na <onstru<tion. antl hE enter above TYPE OP CONSTRUCTION I�NEW I-J AOD LI qLTERATION LJ REPAIR L- ❑ CONVERSION ❑ DEMOL��c7/.� ❑ OTHER p� p�, - DESCRIPTION OF WORK �/ i�� �-hOI � S Main B� TYPE OF PEHMIT GRqDING FOUNOA71oN STRVCTURAL T Front ❑ TENANT ❑ ELECTRIGIiL ❑ PLUMBING � MECHANICAL - B Reaf ❑ OTHER A PROJECT DESCRIPTION 5r�. FT. oCCUPAN G/v� C Right CONSTRUCTIONTYPE VALUATIONS�.(QJyl��L� g Left ZONE GRADING CU. VDS. 'ACRES ping. Fief. # Remarks: , - //�� Ba� Sink Backflow Preventer . Backflow Irrigati0n Bathtubs Claritiers � Dishwasher � � Drinking FOuntains Floor Drains� Floor Sinks ' ' Gas Service OuUets Kitchen Sink Lavatories P—Trep . Roof Drains, ' r _ ReinspeMion_Fee $25. Duct ; Under Ground ' Duct-Structural ' Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepVFact.8lt ICBO# �ating System & �ucting 100.000 BTU O 100 000 BTi Reinspectian fee � $25 White - Builtling; Canary - APPliwnq Pink - AccounUn9: Goltlenrotl - Assessor .. _ Showers Service Sink Sewer Cap Sewer Connection Solar Colletmrs Solar Pipin9 Solar Tank ' Swimming Pool w/Spa Urinal , Wacer Close[ Water Heater Water Service . �. 1 Issue Fee,. Hood or Type I ❑ Canopy Type I I ❑ Use of Building: FEES P�anning Notes: � . S 3 Refrigeration System � ❑0.100,OOOBTU ❑100,OOOBTU System Repair/Alteration . laue Fee I $ 3 Auromatic Washer Construction Pole Si Cooking Unit , Dishwasher . Dryers ❑Gas ❑EI Fan F.A.U. Fixlures Device Boxes OuUets Switches Garbage Disposal � Genereror �0.5 KW 0 , � 7cU7 IL/I�11;" - , 2one Accessory Building: � Park.Fees $ ELECTRICAL ,Transformer ❑ 15-50 KW ❑ 50+KW Meter lJup to 100 amps � Meter �over 100 amps Sub Panel MotOrs 00.1 HP � 1'h - 8 Inc. Solar 09�15 HP �16-15+ Miaowave Pole Light • Range Standing Sections 15 KW Trash Compactor IReinspection F.ee � I$25 I Issue Pee� � PUBLIC SERVICES RE�UIREMENTS: i Zonine APProved By Application Approved By APDiitation Issued Bv BUILDING PERMIT PLAN CHECK PLUMBING , PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL � PLAN CHECK . � o_ . T. Z O N I N c R E I R E N E N T FEES $ 3 OF FEES — SMIP $ — PERMIT _ ISSUANCE $ ENERGV P.C. $ GRADING $ _ MICROFILM . $ � — TOTALFEE $ CONSTRUCTION ANDPLANNING � � � POO. SPA , APPROVALS Permit #�IC1�(�.il Date Inspector qppROVALS 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 Grnd. •' .. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 6. 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. Fough Plumbing� 65. Electrical-Final 15. ftough Etectrical-Conduit 66. Solar System-Finaf 16. Rough Electric Wiring � � , 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. fiough Electrical-T Bar �Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � 6 FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace APPROVALS Permit # 21. D'ucts, 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 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 B0. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating & Air Conditioning �]/��y ��j�% -i 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 45. Sound •Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Compieted 49. Electrie Release to Edison , 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY� No. Date � Applleant to fill in all spacae exeepl those wit�in heavy Gortler Iinas antl sign all aYprooriate EeelaraHons. _ , � , CITV OF COSTA MESA ' ' � � p qMtT NO. � TRACT NO. � LOT NO. - BLD . ' � ' ' � ' CONSTRUCTION,PERMIT. � � � :- , . , . ' ' , � - !S � .� ' % • . i � - .. - . . , � i ,.;Sf'. � •�/ �'._ ' ' ' , I :' �� �o.' � AppllCent'S Meiling Addf@SS ' �PE OF CONSTRUCTION NEW ADD , AbTEHATION'..' ,REPAIR ' � . . . - ' • ` ' ' � - _ . ' ' � , � ProjBCt Addf@55 7�O W�nEate ' ' ' . ❑ CONVERSION .❑ DEMOLISH ❑ QTHER � - � - _. _ ' ' . ' ' ' � ' '� � OwnerSNsme�;M D Janes �.'O�� PhOne '� DESCRIPTIONOFWORKIl72ti11. fireplace . � . , . . , . . ' , e�: . - 1 G E U 1 S'. Addfass � � . . TVFE�OFPERMIT 'GRADING FOUNOATI�ONy STRUCTURAL � A.P:qW . � 20NE � � A�ch/Eng' , Lic2n5B NO.� ' � � ❑ TENANT �❑ ELECTRICAL � PLUMBING [�.t•MECHANICAI , ' . PLNG. REF. �. ' •• � - ' BUILDING � ' , Addfass � ^ ' ' . . � � I ' ' � ❑�qTHER .. " - . • + r ' -TO BUILDING " .. . . '.Contractor'sNem ��%�Gt Fir2bj1d.C2 'rhone�6�9_182Q�PRWECTDESCRIPTION SQ:FT. �OCCUPANCY - PEfl VLINE � .cREARVliRD(TOP/U": - 1 ', � � � • CONSTRUCTIONTVPF ' VAIUATION§ LEFTSIDEVApD RIGHT:SIDEYARD ' �� -Address�lmeilingl� ��n-T�T N _ - Rata�ri a � (l�^an�a � : Qi�iFi'7 . . . . � - �. - ,C�In/ � ' ' ' ' ' ZONp ' GRADINGGU.VDS. ' ;ACRFc ' ' PKG.SPACEREQ. � , ' PROVIDED �' � ' � _ Licensa No. fddrr�E3 . ' - ' ' ' CICENSED CONTRACTOR DECLARATION � ' ' Remarks: � - � � - , 0 � STREET WIDTH �� � � , ,PARK PEE $ ' . I �ereby affirm that I am IILenSeG untler provisious ot Charter�9 (commencing � . - - , . . wlth iactlon 7000) of DIvIS�on 3 of the Busineu antl Profeszionz Code, anG � � � , , • � ' • . SPECIAL CONDITIONS: � ' ' my Iicanse is In fulfforce an0 ef}ect. 1 6 987 � - . , � , . , .. . �. Licenza Cldss - � - � > No.�,3.�— � PLUMBING . . . � i ' ' . ' . - .' . Date Si9nature ORKE 5'COMP NSATIONDE � ATION � ' ' BefSi+lk : � , � SeWe�Cep ' • , I- ; � ELECTRICAL � .�-��� � . • . . ' -- Sewer ConnectiOn - ,� I ;:�reDy afflrm tnat I have a certiflcata of con5ant to Seli-Insuie or a cartHlUte_ gp�kflow 7reVenter- -' - _ __ Automatic Wazher - ' �Meter �over 10� amps . ,.; ,�"6"`WWorkeii' Com enBatlo �zuran<e, or a cerHflatl�coOY tnareof (Sectlon . - � _ � � - ' ' g Q�,� QC+L+� Constructiori;Pole � SubPanel � i �°°, �b. �., 5 , 73 3 /S9SC � � � Backflow Irrigetion i Soler Collectars � � - �: � : Policy No. ' �" Company �' ' . ' � e - � � i - � � � Cooking Unif� � �Sub Pole �ertiflatl coDv Is hareoy iurnishatl. � . � Bathtubs t � Soler Pipmg � , � . i _ , : t � � � Certifle co y Is tlletl wlYh tha cl I n v s � ' � � � � • '• Dishwasher'.� � Motors �0.1 HP � 1/a$ Date__�.I, ,�/R� : ADPIic2n . ' Clerifiers SOlarT2nk � � � , . , � '"EXEMPT ON F O WORKERS' CO N TION'DECC RATION ' �� � - • """ Dryers' OGas 'DElect}ic �'." CIna.Solar� �9-15 HP �16-15+ ���� ����. iessjs Saction need not be comDletea H t e oermR Is tor on untlretl (5100) or Dlshwdsher � , _ � Swlmming Poal w/Spa � � ' Fan. - � Microwave i ' I CerHfy �that in [he peftorrtlante Of the work ior�which tbis pe/ml� 15 i55uetl I! Drinking FoUntelns Urin01 � E - ' ! I.'n. . _ � 1' � '� shall!not employ any,parzo� In any manner so as�to become suG7ecito [tie . . , , _ . , , ' � � � ' Woikers•'Com ensation LaWs of Californla. � � . t i Floor D�ains; i � F.A.�. �.? , • ! j �Pole Light . . p � � � , , , Water Goset� : + . . 1 '� Date � : . 519nature � � E , . . . - . � �, , Fixtures t I � � , � , � '_NOTICE:Jf,-aite�_makinq th�s tlBClafation,.you.5hould become,su0ject-to [he � FIOOfSinks - .:. .;___� _ . .._ _WetefHeat2� > . __. ;.. ___+. - -- . �_ . . . .� _.._. �. �..._._ .._ ; . Range_ __, � Worken', COmDenzaUOn' pro��slons of the Labor COtla, you must fort�wlth , �. � • Device BOaes � � � � ! ' comply �with, such 'pr6vlslPnS or thls -permit ,shall. be :OdCmetl revokeq�.� Gas Service � ;Outlets r Water'Service .� . _ i i ' Sign: � �� CONSTRUCTION LENDING AGENCV': " ' ��' - � ' � � ' ' , . - � . � , 1 hereby aftlrm that thora I5 A construttlon IenEmg agency for tne pertorman<e ' Intercfpt0�5 � ' ? I OUtlets ' � Standing Secti0n5 ', af the work for which. this, permit ii �755uetl- (Section`�3097- Civ. C.): - . . , � Lentler's� Name� - � ° � ' � � - f Kitchen Sink �� - j _ ' � ' � Switihes � ' P _ � � Trash Com attor � t ; tsnaer's, Aadress ` ' - Garba e Dis osal • � � ' ' ' OWNER�BUILOER UECIARATION i ,. ;, � Lavatories� ; , - � `p , 9 P � � ' j ' ! 1 hereEv affirm t�a as I.am Driveri' Licenfe or 55.+� MF 0865-46'rev� 12/82- a Itllq9 0� ii ave the bi sale)'. >pertY, a� proj¢ct (S 3'L8W d0 on, anA r t to th¢ C �ction= _ Owner have read actor'i License Law tor ine� p_Tra � � � � ' �fessional Cotle: Any dty or P - � � " � " - iinpiove;4emoll5h-O��¢pdi� • � � � � , �e aDolican4for suc� permi[ � _ Roof DiaiOs � � � � �. i � ' � ;- � ursuan[ to tM1e'provi51on5 of -- � •ing wIM�Section-7000) af ' ' � � ._ �.? ' ' c S � �or;thatihe/she"is:exempt �� � ShUwerS'v -�� ' ' ReinSpection�Fe'6'., ' $75 i..AnY'viola[ion'ot�SacUon � -" . ' . ' ' - ' the applicant �to' a,civil � I � � • �Y � IAue Fea � � � 3 pl�. -. � , ; � � : � t Seivice Sink� � � - � � � , ` , i i !s.with wages�as thelr sole . i is not IntentleC or oReretl � = ± ;,, ' � '� � ' MECHANICAL � I � - al'Cotle:tThafContractor's ' - � � !rty who builtls or improves , Boile� . � �' � � � REffigefation Syitefi� � I ' or throu9h his or her own { • ' - • � � � 1 iot intentled or oftered for � ❑0.100 OOBTU ❑t00,0006TU � >Itl within one year,ot com- 1 � Duct = Under�Ground , A he/she tlitl not bulitl or Im- ; � � � �, � � � Duct-Str�ctural , � SystemRepair/Alteration � ntracting',wlth�licensetl con- , � . � :iness antl� Protesslons Cotle: Duct - Ventilating _, .� , ` ; � • -an' ownerbf properry who - - -' � � � - - ' " r such Oro7ects with a con- �, Exhaun System ❑ MWtiple �; !` � ' , ize Law). , - - ' - B. & G. C. for this reason 1�� FirepVFaCt. BIG ICBO #` ],95 ' 1 ; , ' 1 - � Heating System & Ducting ; � ! � : I � i antlstate_thae.ttie above ' . ❑0.100,000!BTU.�t00,000BT .. _ -- _ ,,.�._ . city,antl county ortlinances � i ! 1 � intl hereby authorize repre- � � • • • �e-mantio�eA �roperty for Hood or Type I ❑ ' ReinsOee[ion Fee §75 Da�,� ��p�p ' Cano T e II ❑� i i te-�.u11..si/-u-3. ' , ' t ; 1 . . _ i Registers � � � laue Fea + $ 3 � i . . . . � Pink -A<countin � � " "-"' �� .--.... ' .. -" "" . ` �.`... ." Builtling;Canary-qpDlicant g;GbltleurOC--As5e55or "- Generator.00-5 KW �5-15 KW � � ' � � � • ' � Transformer �75-50KW � ( � �� . ' � �5U+KW� �Rein'spectionFee � $75�� Meter ❑up to 100 amps ' Iaue Fee' � �'$ 3 Zonine APProved 69 , � � � � Date � � � ' � I APPlication APProved 8y ' ' � ' Date � . ' ' s., � ,�1, i� , ` '. ` ii 9/g3 ; � ADPliration Issued Data ' � SUMMARV OF FEES � � t i . 'BUILDING PEFMIT $� � �� I SMIP : � � $ � � . 'PLAN CHECK� � $F � � � PERMIT ' ( � � i � ' ' � ISSUANCE ' � $ � � �PLUMBING ' $ ' ; � • 'PLAN CHECK� ��, $' � ' GRADING � ; $ ' � I . � � $ � ;ELECTRICAU , $� ' � ( i , PLAN CHECK' � $. � � � MICROFILM ; $ ' I ' • t TOTAL'FEE; � $ � � � MECHANICAL' $, 7.-nn ' _ - 'PLAN CHECK. $ i� nn . � LESS r � $ � ' i - , . � . + ' ADVANCED PC ' � i • ' � � � FINAL FEE j ' $ ���� � : CONSTRUCTION ANb PLANNING � `' . ; _ -'. : .. � - . ; �O��PA � � - -�� _ -- - _ � . �, � - ,. �APPROVALS ; �Permit # � � � J °� _ `cDate� •� � Inspector' : ��PROVALS Pe mit� � -Oate �Inspeetor� : , ..m. _ ' ' ' ' . ' '1; (Temporary Electrical $ervice o[ Pole , - '• "' � F = � �- c'52�. Pool &:Equipment Location . � ' ' -i �. " -�v' �r _ u 2. � Soil'Pi e-Undr rndi ` � c ` - i u ' ' ` ; P - r : . _ . - . -. - _ P � 9, � r �_, 1 � F >. �}" 537:Steel Reinforcement � - i y 3. �Electrical Conduit Utilitv-Undrgr�nd. ' ��� .-. � q- - - �.54. �Forms:,- < - , . -. - � �� . u •4. �Elec[rical Conduit-Undrgmii.° > � � ' : i � •- � � • ' 55 Electrical Bonding � - � ' � • 3 Cr �S . . _ . `5. {Steel Reinforcement � � - � ' ��. ; � a �� x` �2. -56.:Rough�Plumbing &�Pressure Test- _ � _ ; : ._'�. � ��,: _ . �6.�Electrical UFER Gmq, � � Z. •.F . � �; � - �' ' 57:�APPROVALTOCOVER-GUNITE _ ' _ n 7. �Fbotings f i ; ` � - : c , ° „-` c ;; , � 58. � Electrical Conduit-Undrarn�{: ' " - � 8. �Foundation � � ' ! � ' �� .� - �' r.' � ' - 1 _ o � 59. Gas Pipe, O Undrgrnd:, Test �_ � � 9. �Water Pipe-Undrgrnd. y , � ` �' � � - - _ ` '.GO. �Backwasfi Lines,-P-Trap, O Undrgrnd. < � . � i 10. �S4ructural Floor Systerii � ' � o ' �' � � � z , •61. ;APPROVAL �70 DECK- � ' 11. iP� perfy Sewer Line &�. House�Connection� -: ', � � �,� _ ` 62. ;Backwasfi & RecepiorFinal � - . - � , 12.�SewerCap� ' �� � � � - _- �7 63. Heater&:VeqbFinal � � � � '� • - 13.;,Roof Drains � �, , ` - , '� _ - � � �84. -Piumtiing`System -�Final � - 14. �Rough Piumbing � ! , _ _ , ' -� 65. 'Electrical-Final � � � � � ' �°15�.�Rough-Electrical=ConcluitT-"r -'f--' �",-7" j-T'� ,66i Sola�System-Final` � � �� � �-�- ��96:��RouhElectricWiiin � i � �I--- -1---.:-r-;-- -'-'- 6Tt�Fencing&AccessApproval'� : - - �' -" . 9 ,i. � . 9 �n r, ; r ' . r ' _ �'17.�:RougkWiring'Sign� � ,- : � i :; � �� ! ` � ; ! - � � � •` 'gg� qppROVED�FOR PLASTERING _ � ��,_ ��18.i�Rough_Electrical-TBa}Ceiiing �, �, �-� �- { r V .I � '69. POOVSPA�SYSTEMSEINAL. - � ' � 19.;'Rough•Heating & AinConditioning '; �' � ' j ' ; i , ' FIRE DEPT. REQUIREMENT � i s._ � ' i� i' !' � � i � i , , > - ; 20.�Rough,Factory Fireplace ' , ', i � � ' � � ; � ' APPROVALS � Permit# ' 1 i � � i � � 21.�Ducts,�in Structure- �" ' �. �'� ' � � � t � � '70: Undergrou,nd Hydro �-22.CDucts, Ventilating[ � ;, ! � � � � i � i � � �7�, product Piping�OGas ❑Oil � � � �^23. Gas Pipe-Rough & Test '� I' -�� �P ,� ' � ! I r� 72? Underground Flush ; . � ' -24.i Roof Framing�. � i ' : ; �� ��� f,; , ; r . � ' ., � c � N ' � � '. ,73! Undergrnd. Storage Tank O Gas ❑ Oil ' i 25.�Roof Sheathin � � -� 1 '1� � ; I � " � J � � � � � ' . . ' ' ' - - 9 ; t � : � �'c' �� . . I �? •-.' I' F i = � ' ' '74: Overhead HVdro . � 1--26.��T-Bar Ceiling'IStructural)i & Monocoat' � � �, � ,`-,� ' ;' � i � � 75' Dry Chemical � � � . � r ��27.' Frame and`Flashing; �,� � �' � �` r j �. � 76. Dry Standpipe ��� �� _ � � , � 28.1%Lathing & Siding' �� �; � ' � !� � � � � '' � � �77. FIXED SYSTEM,FINAL � 29_pinsulation� S `'" � , � �� � � � � � � � �78: FIRE PREV. F,INAL • , . � � '-30.;Drywal,l Nailing � : "� � � � ��� � � ' ; � � � jNotes� � � ! ' � . - : � � � � � �I �. zo, i .; , . i _�- �r - - -- - - - �' . - ' - . . . . �-31.�Plaster;Brown Coat• i ; � �� �� � � ' � � � f � � ', ' . � � � , � �� � ' , , � i ' ' - , 32.�Electrical Power Meter-Final 1 I! � I � I � � � � , � �'' ' � ' 33.rFinal Electric �: . I I, �YI_.,, �..i. � ' � � . i . � � � i, i 34. Finai Heating &��Air Conditioning � � ' � � I L' : � �' - r i � � r. -�i�,r,�i.:,i-ic-. �� I � i I ' 35. Final Gas Pipe=Test � �" � _ ^; ;• " �I � ��, '� I ; � ., � � - � � . - � ' � ' . �- > T �� - 36. Hood;orCanopyiii m � -,; ' � - i 5 ��� �T - . . � -. , . _ _ . - . .. 37. Final Faetor,y �F�re-place= � L � = � I; � l �'.L�I�{l�t� � (�� ' ' ' P ' . ;, . �. .. � 38. Final Plumbing� �� I � � o� I� �' 1=+ I i �� i I � i � �- " - . 39. Water�Service-Final - � � ' ..'� �' ! ' I i � . �..' � � � �{ 1 i� � I I �_ � 40. Gas Service-Final � � � ' i ' � I � i � ! � � ' . � , ' , , i i � r � i t i � �� 41 . Solar D'o'mestic-Finai , + � , R �-' i ' �- -i -+ ' - -- --T-t - � -. ... . � . . 42. Backflow Preventer ,- � � I i �' ' � -- ' -_ -- . - _- -_ . � � ��� � i � � � t 1 � --� tiw' , .-.� I � 1 � ',' �N' V �, - , T � � ' 43. Backflow Irr�igation - � � ', -�' _. i � � " - ' ; � - i � ' � � , 44. LandscaPe I�rigat on;SYstem � 1 n"+�� I" '" � �, ; ' � ^ � ' � , � . .. � - � - . �. �� � > : �._ • � �•r, ,_�.,� � -i� ',i� - " " ,� � . V - � � � - .. , . . - . 45. Soundr AttenuaUon ` � ° a � � � � i ' ' j ; ` � ; . ; I , . , � . � ' T 46. Handicap Regulations� j .: � i � � j �o_ f ?' '� i ; '� � � � , �' `� � � n ( '- 47. FINAL STRUCTUR� & BUILDINGii i-f, ;� I��- i�, I i j � � ' � � . . r 1 i i i i t �.� �.. �- 48. Special Requirements Completed ;� � ; i � � � � ' � . ' ' • • ' :. �� 49. Electric Release io �Eqison � 1 �' � � L _ ! _ �. _ 1 __ . . � ; . � I � � � ��1 r-t--, -F � � ,. T_ , 50. Gas Release to Southern Califorriia Gas Cv � • � � � � �' � _ � ' i e• � 51. CERTdFICATEjOF OCCUPANCY " � � + _{ _! __ + � _ ' � _ ' - - ' , � �� � ( + r... .' _. ..�. . , No `::�.. i � I Date._�_. �._�;�_ � _ ��. _� y_! � ; � � . � . ADY���ant to /III in all s0aees axeOPt tM1afe wit�In �eavy bo�Ee� Iinl3 inG si9n all ap0�00riate tleela�ations. COSTA MESA iUCTION PERMIT �.ppliCent'S Meiling ess y� `'� � � •� � � Project Address ��� Li�✓ Gd/ � Q� Owner'snlame M9 '�R'`1eS ' Phone I Addreu - _ , , � Arch/Eng.; , LicenseNo. � Addreu � Contractor i Nam C � hone� � � Address (mailing) e . License N� ��� � � LIGENSED CONTRACTOR DECLARATION I hereby attirm that I,am Ilcan50tl untler provi5ions of Charter�9 (commencin9 � wlth se<tlon 7000) of Dlvislon 3 of the Business anC Profesiloni Cotle, antl my Ilcanse'i5 in full fo� antl effect. � � LJcen lass �..: License N Date� 519�atur9 � , WORKERS' COMPENSATION DECLARATION , '��¢.c'�reGy aitirin that I have a tert�ticate of consent to self-Iniuie or a certificate �:�.v'Workarz' Co�en�lon Ins�rance, or a certi(letl <opY thereof (Section ���c`ao. �ac. c.) V9 S� ��2 �� PoII<y No. Company �Cartifletl copy is hereby furnishetl. � ; � Cer eGco y is le with the ci[y Buil n Dlvisloji. � Date�f�.� ADPli�nt ' EXEMPTIONFRO^WORKER5'COMPENSATIONUECLAq ION � (This saction neetl not be campletetl if the permlt is for ane hJn retl (5300j, or . less7. I certity'that in the perlormanc0 ot the worl�or which t�is pe�m�t i is uetl I snall noc employ any person In any man �h 5o as to becy s�o c�o �h � Workers';CbmdCnsaMnp Laws of Callfomi � Date � •« d � Slgnature � � NOTICE: It,�atter making thlt tl0<laration, you shoultl become �ect to the , Workers' Compensation prov1510�5 of the Labor Cotle,.you t forthwith comply �with such provislons-or this permlt zhall be'tleemed revoke0: CONSTRUCTION IENDING AGENCV' . I hereby aHirm that there is a cods�ruction Ientling agency tor t�e performance of the work fOr which thi5 permit -i5 issuetl (SectiOn _309]' Civ. CJ Lender'S� Name l.en0er'S AUOress � OWNER BUILOEq OECLARAYION � ' ' I hereGy affirm that I am axempt from [ne Contractor's License Law for the wnKn requlres a permit so consiruci, arter improve, aemousnror repair - ucture, prior to Its Issuance, also requires t�e applicant for such permit • a slanetl statament thai he/she I5 licensetl oursuant to the'orovisions of � a or mv emolovees with waaes�as their iole orimproves ; Shce. Ii, bowever, tlle Dulltlln9 01 �mprovement �5 sola wlLlln one�yeaLo* com- pletlon, the owner will have the burAen of proving he/she tlitl not builA or im- �roveforthe purpose of sale). � � I, as owner of the Oroperty, am exclusively contracting,with�licensetl con- � t�attorsto coustructthe projec[ (Section,7,044, Business antl Profe551ons,Code:. , The Contractor's License Law does not apply to an owner of property who builtls or improves thereon, antl `Nho contracts (or such projects with a con- tractor(s) Iicense pursuant to the Contractor's Llcense Law). • . ❑ I'am exempt untler Sectlon 8. & P. C. for this reason � Date � Owner � � ' b hereby certify that I have reatl Ihis avP���ation antl state thaDthe above-= TYPE OF CONSTRUCTION ,�G( NEW LJ ADD Ll ALTERATION LJ REPAIR ❑ CONVERSION Q DEMOLISH ❑ OTHER DESCRIPTION OF WORK TVVEOFPERMIT GRADING FOUNDATION STRUCTURAL . ❑ TENANT �ELECTRICAL ❑ PLUMBING ❑ MECNANICAL ❑ �OTHER � ' � PRQIECT DESCRIPTION 5�. FT.' OCCUPANCV C O N ST RUCTION TV PF V ALUATION $ ZON� - GRADINGGU.V�S. ACRES Sink rrevencer - Irrigation � Floo� Dlains . � FldorSinks ; ��- Gas Service' � C � Interceptors • . KitchenSink � Lavatories. P—Trap. Roof Drains � � Showers , � . r ServiCe Sink Boiler . I Duct-UndeyGround � Duct-Structural ' Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # : Heating System & Ducting ❑'ai oo,000 sru � i oo,000 Hood or Typel ❑' � - Cenonv T....n II n ' Drivers' LI<ense or�55 � � I I Registers . � CMF 086546 rev, 12/82 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - ASsessor 1MBING � Sevuer Cap . ' - SewerConnection j - -� Solar Collectors� � Solar Piping � So1ar Tank � Swimming Paol w/Spa Urinal Water Clout � � Water Heater . � �- Water Service . . - � Reinspection Fee , laue Fee � ' �ANICAL Refrigeration System ' � ❑0.100;OOOBTU ❑100,0008 System Repair/Alteration I ' i , � ' Reinspaetion Fee • � Issue Fee ' i PLNG.R LEFTS14E VAAD PKG.SPACE RE�. STREET WIDTH � Auromatic Washer _, ConStYuction Pole � � Cooking Unit j DishWdsher ' Dryers �Gas Electric Fan � � F.A.U. � Fixtures � Device Bozes ' Generator LIO-5 KW LJ5-15 KW Transformer 075-50KW � ❑SU+KW / $75 L Meter up to 100.amps l $ 3 2oning APproved By ApPliption APProved 6y � t/YY., � Aaoliration laued Bv —LL� R $15 $ 3 REAR VARD (TO P/U �� RIGHTSIDEYARD ' PROVIDED PARK PEE $ �Meter LJover 100amps; Sub Panef � Sub Pole , ' ' - �Motors OO-7 HP ❑1X$ - � ,Inc.Solar.�9-15HP �i6-15+ Microwa+e 'Pole Light ' � ' �Range Sign �StanCingSections ' Trash Compactor • Reinspec[ion Fee � ' SUMMARV OF FEES ' ' � �BUILDING PERMIT $ ' ' SMIP ' � $ 7 �PLAN CHECK $ ' PERMIT � � �PLUMBING � $ i � �SSUANCE � • $ i ,PLAN CHECK� ' $ � ' ' • GRADING � $ j ELECTRICAL $ � , � ! ' � $ ; �PLAN CHECK $ �S�.STi MICROFILM � $ ' ' MECHANICAL $ � � ; TOTAL.FEE�, ! $ ; � ' �PLAN CHECK $ � � LESS ' � . , � ADVANCED PC $ � t � .� i , � i FINALFEE� ; $ �� T' a . � � .s . '. ... e;�� '_� � NSTRUCTION AND,PLANNWG �� ' `' -� - ' ���" "''� p' � ' � � �� � � ' � g�i�%. •�:Date .Inspector ` � � � t°' . ' Date � �luspector . • > -PPROVALS p� �Permit,#�� . �`APPROVALS Permrt:# iS "ro: � r i: at ' ' � �1, Temporary,Electr�ca.l Serviceor�Pole,' v� �' ' • - �'� i�= ��� ; .'52: Pool &�Equipment Location.��_ � ' -' � � �..,� � �_ ; a 2?'Soit Pipe Undrgrnd' :. E � `-: - i ; }' � , �- ,53:� Steel Reinforcement � - �4 � 1- r- i � n_ i' . `:3: .' . . Electrical �nduit Utilitv-Undrgrnd!. �� , ; � -� � ; :. - 54: Forms �- _ _ .- � - _ = � � � , ,.. , ; � r._ •� . .. � . . � _ ` . - "'G: Electrical Conduit-Undrgrnd'. - -. _ ' _ � ' � '` - � � 55. Electrical�Bonding ' � � � � ' � , 4'�5'� 1 n' •. r. G ' 5E Steel Reinforcement '� �� ",� =, `�- -' ^ � � - � ,-'- - 56. Rough Flumbing.& Pressure Test: � - '.'� ` �g:�ElectricalUfER,Grnd: ,z=-`' ' "'` �"' - - 571APPROVALTOCOVER-GUNITE _ ,� _ i e 7. Footing5 � , � � ; � �- ^� ' � ti� � . � �; u ; � .��58.' Electrical'Conduit-U'ndror�d. � - � - 8. �Foundation - ' ' � T •� � � " � - ' r F , p g ' ' ' _� �; � i � 59. Gas Pi e, O Uridr rnd:, Test'� 9. Water Pipe=Undrgrnd. , . '_ ' � Sa = _ , �"60. Backwash Lines,'�P.;Trap, � Undrgrnd.� � - , 10. St�uctural Floor Sy,stem � '.`. � - � i � � ^.1 _ .61. APPROVAL TO DECK -� ' . _ � - 11. �Property $ewer Line & House'Connection� • � - - . 62. Backwash &'�ReceptorFinal . -. . ' 12. SewerCaP, i -� • '�� � � i _ , - � -�. . .�- . - . . � , ,: - � . - i'63. Heater&-Vent-Final 13. �Roof Drains ' � � `�� .. - t 4 � �,.64. Plumbing $Ystem,- Final . - - � � , 14. RoughPlumbing�"� � � ��� � � ' ° . �65. Electrical-Finsl- ` � �� � �- � � f �`- 0 „�; 15.`�RoLgR�Eiectrical-Conduir'7'T-'�-'j;" '1"i '66.�SolarSYsfem-Final�. -' �-- '�� ' - ,'" i -�- .� - - - � ` ' ' '--;.. � �_, ' z16. Rough El��tric Wining� • , " ,' ,, ; . po 1 � r ; �'Lpe '67. F.encing & AccessApproval : . _ ' � ' � � _ �- - _ . 17. �Rough-Wiring Sign � �; ! " � �-, j�� � I �. ; � _ � � � `, i � '68. APPROVED FOR PLASTERING � . - � - P��`16.,�Rough�Electrical-T',BarCei�ling '� !. � � 'i';' � '69.POOUSPASYS7EMS.FINAL . � �� ' R 19.'Rougfi�Heating &'AirConditioning .. ! ; _ � � � � , � ; �'FIRE DEPT.�REQUIREMENT ' � � � �� � -tr� . � ' ' � . _ , � 20:,'Rouglr•Fa'etory Fireplace_ � � y� �� i ' � � � � � APP�ROVALS Permit# ' � f 1' 'J (' � i � ( � " I � � � � � � � � . . . � i . _ 21. � D'uGts,�in �Structuie� /' : � � �� i� 1 i I � � , � '70 � Underground Hydro � y �22.,Ducts,�Ventilating;� ,- j ? '�! � � � � i71, ProductPiping�Gas OOiI . � � � � �:23. Gss-Pipe-Rough & Test � � �'g �i , � � ' J2. Under round Flush ` - � - � � :� - I i �l' ' I i 9 �. ' I � =24.'Roof Framing : ; � '� � � ���' ;� > � � � ' •� � �. . .� � .' : i73. Undergrnd. Storage Tank O Gas ❑ Oil - ;1 25.'Roof She�thing i ��, !�^ �, � ": : i �- - _ 74. Overhead Hydro - - � . , a' . . : ��,26. �T-6ar Ceiling �IStructurall. & Monocoat� i � i�' ' � : i i � �75. Dry Ehemical � _ � , - , � � ' _ � � � � 27..Frame and'Flashing� -' , � i j1 i� � . ; � '• i i ' � � �76., D'ry StandpiPe � . � �. � �- � �28. °Ikathing & Siding� �� �. � � � '�, i� � � � �. � � 77. FiXED SYSTEM FINAL � � ' ,� � � . � i 29, Insulation �` -' � j '� �� i � � �78. FIRE PREV. FINAL � ' -`30. �Drywall Nailing ' "� � ' �� {{ � � 1 ' ' Notes: � , , � .. � . � •; ���-. . . , �� . -• � � '-- � -- - : -_. . -.- ' - -. . ; ? �3L �Plaster �Bro�ivn Coat � . I � ';; �I � ; � I � ' � � � . � � . � � 32.�Electrical�Power Me'ter; Finial � ji , j � ' � ( � ' R . , � � , • • '% I 33. `Final Electric � �i _; s � � i ' ' � �_ 34. Final Heating &�Air Conditioning � i� � ' � � � -�'�' • � ? � �' - � m r - i f 1 I 1 ` ' 35. Final C�as Pipe-Te4't � �'�-' �" � " .' i . ' - i^ � _ , � -. �- , - - � r,�� � i 36. Hood,'or�Cano,PY - cl;, i:.f �� �� +r �' ' �. � , . . - � , - 37. Final Factor;y�FirePlacej � -1 ` .. � = � 1 . � � ' = ' _ - ' . _ . n � : i . � � ' , � � ,,. ,- ' . 38. Final Plumbing � �� j� � `� � ' . f ' �: � , i ' ' � , - . . ; i. , � c i � n I 39. Water�Service-Final i � � ' i � � °' � ' � � � ' - � � ; � , � 40. Gas Servi'ce-Final � � � � „ I � � ' j , , ' � i ' ` ' -� � � , i � � � : � i 41. Solar po;inestic�Pinal � I � - - �---� � -' -- - - ' - . . . 42. 8ackflow Preventer . � � . � ( - ' '_ . , ; . _ � ���;� - i v � _ - - -. - 43. Backflow Ircigation i; � . �� ' � k'� ; �'�� ' � �� ' - .'-� �. , �� � � y^: r � . ' � ' ' . . _ . . 44. Landscape Iir.igatiomSystem � ' � � ; ,; � � � _ , . . � . � ; ,'�i ,._�.. � .�� ; � t: � i , � � , 45. Sound eAttenuapon � � ,: I ,,. � � i : � ' j `. ; , 1 .. : . . . � . .� .. ' � - 46. Handi�cap Regulstions � j � � "' � � ,' � � - ' j . � � � ' �- - � � 47. PINAL3`TRUCTURE'& BUILDING•"� � _ � j �- � . ' . � ' � n i i 48. Special Requirements Completed �� � ��- " � ' ' . • � � � ' � . , . , 49. Electric Release,to �Edison� ; � ' , � __' . � � , � T ..r _ � . _� �_ ,_ �� � ' � : ,. +-- -r - 50. Gas Release �to Southein Califorriia Gas Co � � ( � � � ; • i '' �, • ' , ' - , ' 51. CERTIFICATE�OF OCCUPANGY ' � � � � ' . , , � � No C� i i � Date � i • i t- 1 -'- - f-- - - - . - �= � r . ; '' i , � I't�._'.�. � .�t �.-. _ �I. . ♦ �. � i. V. .. _ __ . ... ....�.. __ _