HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (85) •
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[ZDttEssocButLxlo: 2J30 VANGUARD WY UMT:, G201 CITY OF COSTA MESA - BUILDING PERMIT
OWNERS NAME IF*MN: in igaete.� PIMPER, L.',laze. /PERM NO: P 076765
ADDRESS:tit-
-4-W1-6-
=$ 2330 VM4Gtwen Wy Oulu r,•?A(
LAS MINORCA CL PERMIT NO: P 076765 PLAN CHECK NO: N GOVT: N SUPP : N
OSTA MESA,CA 92626546-4706
AP PL.MAIUNDADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OR ENGINEER: Lx.NO.: JOB DESCRIPTION : REPLACE WATER HEATER SQ FT:
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
CONTRACTORS NMM&D P PLUMBING AND INSTALLA ( 714 ) 991-9477
CQARACTORSMNla 1588 S ANAHEIM BL COMMENTS : REPLACE WATER HEATER
ADDRESS:ANAHE IM CA Law, 563793 **+E+Ei!•IEdFHEHEi(-*dEiFHEiEHEHF***K-atiEifyE***HE♦Eif**HEHE♦EiEiE#HE+tff+Eif K-Ht HEiEx-aEiE1(-i(-3Ei(-♦EHEiEHE*jEHE***Ht HEHEaE*dE*HEHE***Ht3E
92805 wit 3 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under pertaly of perjury that I am licensed under provisions d Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full torn end ailed.
CrrYUC.NO.I::0 0672 uc.cuss:C 36 Uc.N • �j379� EXP: 06/96 MAIN BUILDING ACCESSORY BUILDING
Dere: o1�IZIInIi camraa« rN'1�JA FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under Pertly of perjury that I am exempt from the Contractors License Law for the
olk:mig reason(Secton 7031.5 Busriess and Professions Code:Artyclyar county Mirth requires a permit mmahua,ages improve, PARKING REQ: PROV: PARCEL\ 00000000 ZNE: REF NO:
demolish,or repae any structure,prior 0 its issuance also requires the applicant for such panne to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Derision 3 of the PLANNING NOTES> ,J
Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.jury violation of Section >
7031.5 by any applicant for a permit subjects the applicant toacivil penalty dor
of me then five hundred dollars[35001), ***********************************************iE*******************************
ElI,as emu"Ihe ProPertY or elY emPloYees with wages as their sole compensation,wig do the work.and the sinxiure is nd intended D E V E L OPMEN T SERVICES -. REQUIREMENTS
or offered for sale(Section 7044,Business end Professions Cade:The Contractors License Law does not apply to en Owner of property
who builds or improves thereon,end who does such work Nmsel or herself or through his or her own employees,provided that such
improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year d completion,the ZONING APPROVED BY . . DATE:
owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale).
❑ I.as owner of the properly,em exdusively oonueding with licensed contractors to tonsaud the project(Sean 7044,Business and
Professions Code:The Contractors License Law does not appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : / 1 DATE:
contracts for such projects with a ccntractorp)licensed pursuant to the Contractors License Law). 'r�y� �j
lamexemmunder Section: B.AP.C. 9
fix APPLICATION ISSUED BY: ;�'./
CI DATE: 943-9b
Date: Owner: *************************************************** ****************** ****
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
I do hereby certify that I am aware of and understand the requirements d Cellomia Health and Safety Code Sections 25505.45533.and
�tfforcellnsstat lrctioonnor mod modification tbuilding th°ant AAEtwg en�rMm OSUMI.need Io coat*R idmmwionnaslam PPficaionsa d the requirements from BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions, PERMIT 7 . 00
Dale: Applicant: 25% SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penehy of perjury one of the following decimations: ISSUE FEE 20 . 00
❑ Ihave and wilmaintain acertificate oconsent tosetlrnsumfor worker(tompeneation.esprovdedforbyRadian 3700ofteLa
the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,forma «wf
theped« en<. g»warx for mis permit S issued. TOTALS----> 7 .00 20 . 00 0 . 00 27 . 00 27 . 00 . 00
_0 I have and ad maimen compensation dof the ,
n insurance.as required by Sion 3700 the Labor Code,for the performance
7C— work for which this permit is issued.My workers'compensation insurance rather and policy number are:
Carder: F�R�1ERS EXPIRES REVENUE DIVISION TOTALS -> COLLECTED : 27 . 00 OVER/SHORT: . 00
Policy Number: Nn76 /944691 02/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be competed 1 the permit is For One hundred deans(5100)or Me) 27 . 00
❑ I sentry Out in the performance of the work for which this permit is Sued,I shell not employ any person n any manner so as to
become subbd Io Ih wwkere'compensation Iowa of Cataomu, Nat a 1 xho�md become subject to the workers' *******************************************************************************
compere n praiso a�p(jSection 3740 of the Labor Code. eheD�py 9M per}
;` Dete: I'b� "L( D Appiur„ pier,
41 I N D I V I D U A L : FEE B R E A K D O W N
Warning:Failure to secure workers'covnpensadon Coverage is unlswful,and shell subject an employer to criminal penalties end TYPE QTY D E S C R I P T I O <N UNIT COST TOTAL COST
civil fines W to one hundred thousand dollars($tO4030).In addition to the coat of compensation,damages as provided ler In /I
Section 37aplthe Labor Code Interest,and aro d'.14W. PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 .00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjry that there is a construction lending agency for the END OF FEES
pedonnance of the work for whits this peril is issued(Section 3097.Cb.C), ^
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this applicationand dd.ate that the above information is coneI agree to comply with all city end county ordinances � f r Ler
and stere laves relating to building construdon and hereby authorize representatives of this dry to enter upon the obove-mentioned popery
•
for ins purposes /
PAT PADILLA n,
�pPprint Name 1 �p D 'f tet. °' to _
�I A l ha care JL,{j Date: 6 43 Ck
D�nnaaetiture 2/Own�/AgenVApptiUnVContrector
(5t51.49.WP) White-Buildig A Safety;Green-File:Canary-Appirat:Pink-Revenue;Ooldenrad-Assent
•
CONSTRUCTION AND PLANNING POOL & SPA
AP°ROVALS Permit# Date Inspector APPROVALS 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.
.;8. Fdundation 59. Gas Pipe, 0 Undrgrnd.,Test
'9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10• Structural Floor System . _ - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap i 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 & Acce;S 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• - _ - r • ' 71. Product Piping.CLGas 0 Oil
23. Gas Pipe-Rough & Test '. ' - 1, . 72. Underground Flush .
24. Roof Framing _ -. 731 Undergrnd.Storage Tank-0 Gas 0Oil
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 PREY. FINAL
30. Drywall Nailing - - HEALTH DEPT. REQUIREMENT
•31. Plaster Brown Goat - 79. FINAL INSPECTION -
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 14L
s
33. Final Electric Notes: -2 z -- ^'
e.421 34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test -
36. Hood or Canopy • - - .
37. Final Factory Fireplace - $
38. Final Plumbing 22' 'C:4 S.
39. Water Service-Final
40. Gas Service-Final .
41. Solar Domestic-Final Y •
42. Backflow Preventer
43. Backflow Irrigation -
44. Landscape Irrigation System ,-.. - _ -
45. Sound Attenuation - .
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING '
48. FINAL PLANNING ', , ' •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '-
51. CERTIFICATE OF OCCUPANCY
No. Date
•
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA a PERMIT NO. TRACT NO. LOT NO. BLDG.NO. - l
CONSTRUCTION PERMIT • B -/03/ 9 11481 - / 6 'aQ/ 1 7':"' / I
Applicant's Meiling Address e • ' • �
•• • t ' a$ TYPE OF CONSTRUCTION 121 NEW LI ADD U ALTERATION U REPAIR -
Project Address - I ' e et ee .. Ifi' / ❑ CONVERSION ❑ DEMOLISH 0 OTHER
Owners Name !'i. 1 n-f- Tnnding, Ltd Phone274-0g51' -DESCRIPTION OF WORK ZONING REGULATIONS
• �I',AI Con'd''o'``minilun / t-' B B .
Address P f>_j31x 1(1R44 BP1rPr1y Pi 11 ('A 90213 TYPE OF PERMIT LA GRADING bit FOUNDATION y�l STRUCTURAL r A.P.•1W /I ? - 15/ Ora ZONE IL3
Arch/Eng. Clark & Hedrick, Inc. License No, C-2573
0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL PLNG. REF,•N• I NG
Address _11 QCQ S Uiren1-e B1 42(15 I. 4 00049 -❑ OTHER `-•'' -��-Pb-//b / /I�/ }RACK r/l Sr
PROPERTY BUILDING 2p' 1,., J REAR YARD (TO P/Li /
Contractor's Name- nto2 Phone PROJECT DESCRIPTION' SQ. FT-- 117(1 - OCCUPANCY B-1 LINErifV GI VI(.f� '7V
' CONSTRUCTION TYPF V - 1 hr.' VALUATION$ 61,500 LEFT SIDE YARD an RIGHT SIDE YARD IoLolt 6 be
Address(mailing)
License No. - ZONE R-3 GRADING CU.VOS. Site O'ACRES PKG.SPACE REQ. �l 5PROVIDED 5 - •
LICENSED CONTRACTOR DECLARATION Remarks: Building yq- Unit 201/`T17L'1Q ] STREET WIDTH i]/•)/ PARK FEE$ (` / .Si
I.hereby affirm that'I am licensed under provisions of Charter 9(commencing - a_.,...1 FOR SPECIAL. REQUIREMENTS
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS:
my license Is in full force and effect. - .
License Class License No. • PLUMBING '
Date Signature Bar Sink Sewer Cap ELECTRICAL
1RKERS'COMPENSATION DECLARATION - -
ireby affirm that I naw a certificate of consent to self-insure or a certificate Automatic Washer Meter Clover lob amps
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Sewer Connection_ - - -- --
3800, Lab. C.) Backf low Irrigation Solar Collectors •
Construction Pole Sub Panel ,
Policy No. Company - - _- Cooking Unit Sub Pole
8 Certified copy Is hereby furnished. Bathtubs 1 Solar Piping
Certified copy Is filed with the city Building Division. Clarifiers Solar Tank Dishwasher Motors ❑0-I HP ❑1X-8
•
Date Applicant ' _ ___
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dryers ❑Gas ❑Electric Inc-Solar 09-15 HP 016-15+ -
(This section need not be completed if the permit Is for one hundred($100)or Dishwasher Swimming Pool w$p� _
' less).. - Fan Microwave '
I certify that in the performance of the work for which this permit is issued I Drinking Fountains Urinal
shall not employ any person In any manner so'as to become subject to the • a�� - F.A.U. I Pole- Light '
Workers' Compensation Laws of California.; I . Floor Drains , ' e er•\cl°sft� • _
Date Signature - - l - etv Fixtures •
NOTICE:Compensation
sof
this-declaration,you should becomeusubject to forthwith FIoOry Sinks N4ater Heat( - 1Y� - . - _ Range _
Orkefa' r-maksp1the Labor shouldCode,
you / to the A `PL •✓ Device Boxes
' comply with such provisions or this permit shall be deemed revoked. Gas Service utlets v y W rS+'ict Sign ,
CONSTRUCTION LENDING AGENCY �a _ - Outlets
I hereby affirm that there is a construction lending agency for the performance ' Intercept° % l� y Standing Sections
' of the work for. which this permit Is issued (Section 3097 Civ. C.) `EritN' ) Switches
Lender's Name Kitchen-Sin . b WA? • Trash Compactor '
Lender's Address Lavatories ,•. ^Garbage Disposal
•
OWNER BUILDER DECLARATION '`�C\", :
I hereby,affirm that I am exempt from the Contractor's License Law for the - - - V_ .7 Generator ❑0.5 KW ❑5-15 KW
following reason (Section 7031.5 Business and Professional Code: Any city or P-Trap s - n 1\ -
county which requires a permit to construct,alter,Improve,demolish or repair G l ....
- - - - - - Transformer ❑15.50 KW •
'any structure, prior to Its Issuance, also requires te applicant for such permit Roof Drains , • :
to file a signed statement that he/she is licensed pursuant to tho'provisions of N 05U-I- KW. -
Contractor's license Law(Chapter 9(commencing with Section 7000)of - Q - Reinspection Foo $15
'skin 3 of the Business and Professions Code) or that he/she is'exempt • Showers • - Reinspection.Fee $15 —
refrom-and the basis for the alleged exemption. Any violation of,Section - ' • Meter ❑up to 100 amps ' Issue Fee' $ 3
031.5 byany applicant for-a permit subjects theapplicantto a civil / _
enalty of not more than five hundred dollars($500). Service Sink. . • Issue Fee - •l $ 3 J Zoning Approved By 0,. f We Date / r2 47t10
•
D I, as,owner of the-property or my employees with wages as their sole MECHANICAL /,{/// L fj
compensation, will do the work,and the structure is not intended or offered ' • Application Approved By 431 r Date /a�-'30-�'-
for sale-(Section 7044. Business and Professional.Code: The Contractor's - - - -- ,- - - - - -- : , L/ �/� G
License Law does not apply to'an owner of a property who builds or Improves • Boiler ' Refrigeration System Application Issued By �/ '� -U
thereon, and who does such work himself/herself or through his or her own - - pp / Date
' employees, provided that such Improvements are not Intended or offered for Duct-Under Ground - ❑0-100,000 BTU ❑100,000 BTU •
sale, If, however, the building or Improvement Is sold within ono year of com- ' SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Structural S. st •• 4
e for the purpose of sale). I y em Repair/Alteration BUILDING PERMIT $ 4t/9'at - SMIP $ 4
as owner of the property,am exclusively contracting with licensed con• ' Duct-Ventilating
ract rs to construct the project (Section 7044,Business and Professions Code: .. ,. _ _ _ PLAN CHECK • $ PERMIT
The Contractor's License Law does not apply to an owner of property who ISSUANCE $ -
builds or improves thereon, and who contracts for such projects with a con- • Exhaust System 0 Multiple❑; PLUMBING $ I
tractor(s) license pursuant to the Contractor's License Law). - • 'PLAN CHECK $ GRADING . $
0 ram exempt under Section B.& • C. •r this reason Firepl/Fact.Blt.ICBG 5(L • $
'
Date Ownerii. _ Heating System&Ducting - i • 'ELECTRICAL $ I I MICROFILM $ '
I hereby certify that I have read Is application and state-t rat the above - 00100,000 BTU 0100,000Br - - PLAN CHECK $
Information is correct. I agree to comply with all city and cou ty ordinances , TOTAL FEE - $ , •
and'state laws rel ting'to building cons uction,and hereby authorize repro- MECHANICAL $
•
sentatives of lhl city to enter upo• the above-mentioned pr pert for Hood or Type I ❑' - I Reinspection Fee- $15 LESS
Cane• PLAN CHECK $ ADVANCED PC $
Inspection our es. I ,� /• /y T •e 11 ❑
Signa t ur V - OatA • '
Drivers'License or SS$ _ Registers Issue Fee $ 3 •
FINAL FEE $ 34 4'3/
••• _ _ _ _ e
CMF 0865-46 rev.12/82 White-Building;Cana y-Applicant;Pink-Accounting;Goldenrod-Assessor - - _.
-r_ VCONSTRUCTIONAND:PL'ANNING POO SPA - -
Date .Inspector • Date - .Inspector
_APPROVALS Permit# ' _ APPROVALS Permit# -
;1;. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - - '•
2? Soil Pipe-Undrgrnd. _ - 53. Steel Reinforcement , _
3'r Electrical Conduit Utilitv-Undrgrnd. • - - 54. Forms -; _ • •
`" 4. Electrical Conduit-Undrgrnd. _• ' ; 55:, Electrical Bonding _ •
5: Steel Reinforcement ' 56. Rough Plumbing & Pressure Test -
6. Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings _ 58c. . Electrical Conduit-Undrgrnd. -
8. Foundation 59. Gas Pipe, O.Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ' 60. Backwash.'Lines, P-Trap, 0 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 Plumbing65. Electrical-Final -
15. Rough Electrical-Conduit'- - - - - - - - '' -- 66.' Solar System-Final - - __ ' - - -. '
"16. .Rough Elediric Wiring. ._ - , - _ 67. Fencing&-Access Approval - - -
,117. Rough Wiring Sign ' _ 68.: APPROVED FOR-PLASTERING
• 18. Rough Electrical-T'Bar Ceiling I - ' - 69./POOL/SPA SYSTEMS FINAL -
19.. Rough Heating& Air Conditioning i `,"'FIRE DEP7:_•REQUIREMENT ,
20. Rough•Factory Fireplace ' !' ' ' , ' ' ' I APPROVALS Per-Mit# - - -
1 21. Ducts,in Structure. '70,•Underground'Hydro
.22. Ducts, Ventilating - . • I i 71. Product Pipingjb Gas ❑Oil
.' «_23. Gas Pipe-Rough & Test I, _ I • f 72. Underground/Flush
- `24. Rdof Framing ' ' � .• t 1 _73.-Undergrnd!StorageTank OGas 0 Oil r
i. 25. Roof Sheathing - i i . .74•.'' Overhead Hydro .
26. T-Bar Ceiling lStruc ural?,& Monocoat , ,..•4; ;75. Dry Chemical '
27. Frame and Flashing I I �4` a - 'i6: Dry Standpipe
28. 'Lathing &Siding' , / i ---- o;. 77. FIXE'D SYSTEM FINAL -
29.. Insulation '' r I , i I •�-i X78. FIRE PREY. FINAL -
30.Drywall Nailing ' r - • Notes!
31. Plaster Brown Coat 1 •
,'32. Electrical Power Meter-Final ' '
33. Final Electric ' '
_ _
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test - - - - - -
.
36. Hood or'Canopy_ . -
37. Final Factory Fireplace' -i •
-
•
38. Final Plumbing' ' ' . -
39. Water Service-Final ' . , - - .
•
40. Gas Service-Final , 1 .. •
-
I
41. Solar Domestic-Final . . , • , ,
42. Backflow Preventer ,- . , .., i - ' - :
43. Backflow Irrigation ' -- i -
44. Landscape Irrigation System 's ' - - . - -
45. Sound (Attenuation ' . � t
. ;
46. Handicap Regulations ' - .
47. FINAL STRUCTURE & BUILDING .
(
48. Special Requirements Completed , , p '
49. Electric Release to Edison ' _ t _ -
t ,
50. Gas Release to Southern California Gas Co . ' $ ,
51. CERTIFICATE OF OCCUPANCY 4 - _ _ '
I •' Date •
I
No
•
City of Costa Mesa
Development Services Department CERTIFICATE OF OCCUPANCY No. 001575
Building Safety Division
P.0.Box 1200
Costa Mesa,California
The Building located at 2330 Varig3inrrl Wax/ r-701
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group 14-1 Occupancy.
Use of Building rnnrlrmi niltm
Legal Description diO—lSl—nA
(See reverse side for Metes and Bounds)
Building Permit No r_lcoct: Electrical Permit No. G16865 Plumbing Permit No. G16865
Mechanical Permit No. 616865 Number of apartments and/or guest rooms
ISSUED TO: Building Official 1! C /t 0.4.011
Newport Landing Limited
P O Box 10843 by
Beverly Hills, CA 90213
Date r 1/k---46"): /916
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C.
CMF 1015-46 rev.1/63 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
-- CITY•OF COSTA MESA PERMIT NO. ACT NO. LOT NO. B G.No. .
5615 I /14/05 70'.,77 TI.
L ONSTRUCTION PERMIT I G I'(p � (o S Jk/�Y � / Com' el
I
Project Address I Is. A C+ I� .•_ U TYPE OF CONSTRUCTION IAj NEW ❑ ADD ❑ ALTERATION ❑ REPAIR \ -
Applicant'sMailingAddress R O.BOY le 241-, S U- ',ILLS ❑ CONVERSION ❑ DEM ISH LI OTHER O
3 N DESCRIPTION OF WORK COtip0 - • ....E7 ��, A.P.91e 4'!y -/ 5� ^- O� I Zone S
Owner's NaRe L- • +�.' . -1� 'hone 3S Main Building: Accessor Building: Z
VO. e OX 1084 3., REUERLy WILLS, CA . 'Gal3 - 3. /DY B:
E } O
Address p TYPE OF PERMITppIl GRADING K7 FOUNDATION P4 STRUCTURAL T Front//-15 cel'1 �_ / N
Arch/Eng. CLARK —W60J21CK License No. C-5 8414 ❑ TENANT y� ELECTRICAL ® PLUMBING 13 MECHANICAL B
In Address II96A(yS. FtN VI CEaffm- 61-Va. L.A. 900 49�1 ❑ OTHER A Rear .q7 ��l tv• N
CIF Contractor's Name YfIUL-�IELRIC°I'C Pho^e3'�At� 67p•` PROJECT DESCRIPTION SQ. FT. I 33 OCCUPANCY C Right �C�/.r„ _ G
+ CONSTRUCTION TYPE N VALUATION$ 73 79 J S Left /� 'Tn/ `ire' i' T /^/ r E
Address(mailing) • :V L'>t t��e , SRef.# Park.Fees $
�'- r�-/ ZONE GRADING CU.YDS. ACRES �j q O
I City License No. .�.an178 Ping. 7— —(5/ -6 D' 12Z /- 3,3 U
M LICENSED CONTRACTOR DECLARATION Remarks: 'pi 7;45„,/ __ �,1z Parking Req./Provided 2 - 'a° 1,
C`()
I hereby affirm that I am licensed under provisions of Charter 9 (commencing / / -R
with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: ige cJ /n��0• - •
my license is in full force and effect. - `' _ —
License Class' 2! G- ' e• No ei ib'� ' - - PLUMBING • FEES Planning Notes: �M
Date ' - - Signature ./- /..��: %:1I� - - -E
—Bar Sink __ Showers WILD C�ss rslr•�r l n�rr....... �•s•pp ^(•I
WORKERS'COMPENSATION DECLARATION w .f u QJtL HLtLU1fL111EIYTJ T
I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer . .- Service Sink - • 'S
if Workers' Compensation Insurance, or a certified copy thereof (Section_ _ -• a
3800, Lab. C.) Backflow Irrigation Sewer Cap r • I ELECTRICAL - FEES
Policy No. 567168_8,1Company ,5TA1E COM P INS.Fcun�n — _ - W ; -
Certified dopy is hereby furnished. •/� O�Bathtubs Sewer Connection- • `f DQ Automatic Washer Transformer 0 15-50 KW- ( DO
Certifjedd q y 1 d with the city B 9 D vigi to - - - - - ❑ 50+KW
Date f1 1 - v Applicant (�//•CL/r -/��a/J,'s Clarifiers Solar Collectors' 1 - Construction Pole Sub. ,
EXEMPTION ROM OR COMPENSATION DECLARATION( 0) /, Diihwasher / SOlar'Pi i0 4 a'GV ONzcl Cooking t -r .J p P SOC
(this section need not be RKER 'completed if the permit is for one ARATI 999111"'0000 or• - P 9 J�OD Unit Meter to 100 amps
less). - ,
I cetify that in the performance of the work for which this permit Is'.Issued I Drinking Fountains Solar Tank . / ".1 'Dishwasher ' Meter Clover 100 amps i 00
shall not employ any person in any manner so as to become subject to the - — ,,,�.//�� ^^
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa ' 1 , ( Dryers [Cis-❑Electric 1 Sub Panel ID DO v
Date - Signature '
NOTICE: If,'after making,this declaration, you should become subject to the Floor SinksUrinal •z Fan Motors 00-1 HP 0114-8 CO
Workers' Compensation provisions of the Labor Code, you must forthwith - ( �'
comply with such provisions or this permit shall be deemed revoked. / Gas Service ,Outlets 'Water Closet [0
CONSTRUCTION LENDING AGENCY ' '' F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ ( �fl
I hereby affirm that there is a construction lending agency for the performance Interceptors. / Water.Heater ' .c0 1 Fixtures Microwave f-"'
of the work for 1Ti y3er 1 I ykd ( p 7 v- J -7-ro�-
Lender's Namn '�K �}�� C�1S_( S�G ' / Kitchen Sink / Water Service - - 4 OD aDevice Boxes Pole Light
Lender's Address u w V
OWNER BUILDER DECLARATION 1 Lavatories
{actors � '�, '7 t� (.(��•f/1/ ��.t//A✓4�� (p W Outlets Range
4.-66
I hereby affirm that I am'exempt from t e Contractor's Li nse La or he P_Tra p •
following reason (Section 7031.5 Business and Professional Code: Any city or p _ _ - lei Switches Sign ZC
county which requires a permit to construct,alter,improve,demolish or repair - -
any structure, prior to its issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions Of I 1 DO
the Contractor's License Law (Chapter 9 (commencing with Section 7000)of _Generator ❑65 KW ❑5-15 KW Trash Com actor
Division 3 of the Business and Professions Code) or that he/she Is exempt P
Ce-leherefrom and the basis for-the alleged exemption- Any violation of Section
-
51'7031.5 by any applicant for a permit subjects the applicant to a duff Reinspection Fee I S 3 ' 7a ce 1'-1 -[Tr2— 2 co
malty of not more than five hundred dollars($500). pe $25 Issue Fee -
LJ I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered FEES
for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I ❑ //54:9
thereon, antl who does such work hl mself/herself or through his or her own Zoning Approved By O' ^-• t Date 5
employees, provided that such improvements are not intended or offered for Canopy Type II D S /�er
sale. If, however, the buildingor improvement Is sold within oneyear of com- Duct-Under Ground ` J
d Application Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or im-
tove for the purpose of sale). Duct-Structural / Refrigeration System LI- DO Application Issued By Sr7 Date I�t�
LJ I, as owner of the property, am exclusively contracting with licensed con- •
gyp-100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: '2i Duct-Ventilating Li ei3 SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple❑ System Repair/Alteration • BUILDING PERMIT $ 335.(DSMIP $ S'1 (
tractor(s) license pursuant to the Contractor's License Law). 4 PLAN CHECK $ � '7 5 PERMIT
&
0 i am exempt under section B. P.P.C.C.for thi42314231)•s reason ' ( Firepl/Fact.Bit. ICBG# 3c:
I Da PLUMBING • $ 30.DO ISSUANCE $
Date i Owner Heating System& Ducting PLAN CHECK $ (O-1 S' ENERGY P.C. $
I hereby certify that I have read this application and state that the above I X0-100,000 BTU 0100,000 BTL3 f`I
Information is correct. I agree to comply with all city and county ordinances - (4 OC) ELECTRICAL $ .x'10 GRADING $
and state laws rel 'ng•to building construction,and hereby authorize repre- • PLAN CHECK $ I S �� MICROFILM $
sentatives of t ity to liter pon the above-mentioned property for
inspection p r es. I - MECHANICAL $ (9 CO
signature Dater, TOTAL FEE $ ��C•,7
Drivers' License or SS Reinspection Fee ;$25 Issue Fee $ 3 PLAN CHECK : $ (-1.00
'CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink:Accounting;Goldenrod-Assessor - - \
3_
?. CONSTRUCTION AND PLANNING POOL „ SPA
• APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector
"'I.` Temporary Electrical Service or Pole , 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd, ilia; 53. Steel Reinforcement ;
3 .Electrical Conduit Utility-Undrgrnd. /° ; 77 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.
8. Foundation 59. Gas.Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. 'Backwash Lines, P-Trap, 0 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
7.> - J; 64. Plumbing System - Final
14. Rough Plumbing • /0/7/dc Cgo 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring �oh//0A7-46 , 67. Fencing & Access Approval
17. Rough Wiring Sign �� 68. APPROVED FOR PLASTERING
J
18. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning 76/(oS- Ca FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# _
21. Ducts, in Structure 70. Underground Hydro
_22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe=Rough & Test 72. Underground Flush
24. Roof. Framing / 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 7j69/5c (JC/ 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat I�"'[/ 75. Dry Chemical
27. Frame and Flashing /Ly/"/vim 76. Dry Standpipe
28. Lathingl& Siding / 77. FIXED SYSTEM FINAL
29. Insulation 'p (/[� 78. FIRE PREV. FINAL
30. Drywall Nailing • 7770 /6� (�� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final tin 80. FOOD CERTIFICATE ISSUED
33. Final Electric 44, L - Notes: A2jish4 f Ask W/pr _
34. Final Heating& Air Conditioning I-14,74 jec
35. Final Gas Pipe-Test 14ai415- d o
36. Hood or'Canopy •
37. Final Factory Fireplace / -/% , -
38. Final Plumbing • !� .
39. Water Service-Final
40. Gas Service-Final '
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
• 44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
r //
e/A "''�"
47. FINAL STRUCTURE & BUI LDI NG 02 {// V
48. Special Requirements Completed dob19 /? n
49. Electric Release to Edison ,
1 50. Gas Release to Southern California Gas Co : '
51. CERTIFICAT1gO� OCCUPAt�gY�/+ �� �ad," -� /` e-' )
No. /5l Date t- /tea y
1i
BUILDING PERMIT LOG
EMPLOYEE:
r /C(AIC'
ADDRESS: 2330 VA-rtc uicr2&J
PERMIT NUMBER: P 6,C c TYPE OF PERMIT: ii_epucc. uTh- c ti H-SV' '
VALUATION: SQUARE FOOTAGE:
PERMIT FEES: Z9.r
DATE: TIME IN TIME OUT ACTIVITY
4-22-4 L 7122 tin fir -,et - (Sr
ONLY ONE ADDRESS PER SHEET-TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES
PLEASE BE AS SPECIFIC AS POSSIBLE IN RECORDING ACTIVITIES