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HomeMy WebLinkAbout2330 VANGUARD WAY - Building Permits (G204) ADDRESS OFBwLDWO: 2330 VANGUARD WY UMT: G204 CITY OF COSTA MESA - BUILDING PERMIT - r ? -1 }I OWNERSMIMEIFIG *W CAROL CLEWORTH PERM NO: P 086651 ADDRESS: 2330 VANGUARD WY • COSTA MESA,CA 92626 PERMIT NO: P 086651 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MAILPIO ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : GARBAGE DISPOSAL SQ FT: ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / comuCTOR'SHANE RANCHO ROOTER ( 909 ) 989-1980 coirmscTORSMMIafc 9360 BASELINE COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDRES&ALTA LOMA CA LIC.(4O.: 689936 ******** **sir*et*ititet*N********Sr************it** *joist***********IFN*itat*RE****N-itat***x-ieit 91701 UNIT: C ZONING R EQU IR EMEN TS LICENSED CONTRACTORS DECLARATION:I hereby'Rim under penaly of perjury Met I am licensed under prwiaims of Chapter 9 SETBACK S ( 'ns with Seation 10'0)of Division 3 d the Business and Professions Code,and my license u in lull force and effect. UC. O.: Lie.CLASS: C-360:C.NO: 689 36 EXP: MAIN BUILDING ACCESSORY BUILDING Co11�dFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dee: /= 20-9ffLEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN HER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Comred«s License Law for the following reason(Sedion 7031.5 Business end Professions Code:Any dyor Coumywnidtregaesa permit to mrweua,alter.improve, PARKING RE PROV: PARCEL: 93865178 ZNE: REF NO: demolish,or raped any structure.Pita to is issuance,also requires the applicant for such permit to file e a signed semen that he or she a licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business and Professions Code)or the he or she is exempt therefrom end the basis f«the alleged exemption.Any violation d Section > 7031.5 Many applicant for a mats subjects the applicant 1pecivil penalty of not more than five hundred dollen(MOD. ******************************************************************************* ❑ las own%of the properwith ty compensation. DEVELOPMENT V E L O P M E N T S E R V I C E S REQUIREMENTS Q U I R E M E N T Sa offeredM sale(Section7044.Business and ProfessionsCode:The COMractolimaeLaw ent othe wmonen who buids or improves thereon,and who does such work himself or herself or through his or her own emplotees,Provided that such improvements are mat intended or offered le sate,I,however,the b'tdvpo m inproveem of a sold within one yearcompletion, ZONING APPROVED BY / DATE: ownerbuiker will have the buten of proving he or she did nor build or improve for the purpose of sale). ❑ I.as owner of the papery.ant exdnwNy contracting with fcensed cor«satos to oonmuct the project(Sedum 7044,Business and Professions Code:The Contractors License Law does 1101 appy to an owner o property who builds o improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contracta(s)licensed pursuant to the Contractors License Law). ❑ lam exempt under Section: 8.&P.C..kr thisreason: APPLICATION ISSUED BY : DATE: ******************************************** ** ****************** * *** ** Data: Owner. - LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I am aware of and understand the requirements of Cd'doma Health and Safety Code Sections 25505,25533,and 25534.and that a a henna construction nim or mrm odd ofro occupant ierll tAT.IA01anagemeMIceD')need nte. iderdtalmMr"dWpn eppicaloaastate codes and re exerrnrequirements BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 8 ,75 Dale: Applicant: 25$ SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of Pell*cm of the following dedereons: ISSN ElIhave and soilmaintanacertiicatedconsent toset-insureMwakencompensation,asprovidedfor bySection 3100of the Labor BUILE FEE 22 . S0 Code.for the performanceol to work for which Mia peissued. BUILDING--- UILDI---DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE - Ihalmaintanworkers'compenWof ioninsurance,asrequiredbySection3700theLaborCode, of fortheperformancetM TOTALS - -> 8 . 75 22 , 00 0 . 00 30 . 75 30 . 75 . 00 X0 atneMi"' work for whop this permit is issued.My workers'compensation insurance carrier and policy number are: Carder: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 30 . 75 OVER/SHORT: . 00 Porky Number: 1409 /29-9 / 07/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (Dais twie,need not be competed 1 the permit is for one hundred dollars(so00)or less) 30 , 75 ❑ I Dandy that in the mformence of the work for which this pemhi is iniad,I shall not employ any person in any manner o as to become subject to the werken'compensation awe o California ane agree the!l should become subject to the waken' ******************************************************************************* compensation provisos of Section 3700 of the Labor Cede,I shall Itith comply ease provisions. INDIVIDUAL F E E BREAKDOWN �e�1 L Z APAPPicam: /,/ , Wandsy sDunasecureworkerironpenutioncoveragenunlawful,andshallsbjectanrryfoyerroednYrslpeneauand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST UNUM lines rc to ono hundred thousand dollars(51C4000A is addition to the cost of compensation,daemon u provided for In Section Labor 'n°' fl° . tee' FLU 1 FIXTURE SET/TRAP W/PIPING & BACKFLOW 8 . 75 8 . 75 CONSTRUCTION LENDING AGENCY: I hereby affirm under Perone of Perjury that there a a mmMion lending aged'or the END OF FEES performance of the work for which the penal is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: �h� I cenlfythat I have read this application and date that Me above information is coned.I agree to comply with all city and county ordinances ��� ■ 1 and state laws relating to buildng construction and hereby authorize representatives of the sty to enter upon the above-mentioned popery L for inspection purposes. ROE r Print Name �( C�d tJ� 81-28-1998/11:31 NN/$38.75 MV ,(.,./,—rData: /^Z° '`/7 p PERMIT:086651 Signature of r/A9enV li t/Cantr (5151-45,WP) White-Building&Salely:Green-Pile:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS 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 UF ER 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 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - " 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing - • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION , 32. Electrical Power Meter•Final 80. FOOD CERTIFICATE ISSUED ) '1 • 33. Final Electric Notes: • , r 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 Domestic-Final 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 L ___ _ _ _ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. _ CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. _ '. 749 I/..1 / CONSTRUCTION PERMIT -/03 •? 11481 - G 004 • . es Applicant's Mailing Address -P.O.BOX 10843, Bev.Hills 9U213 TYPE OF CONSTRUCTION n�kkom, NEW U ADD. U ALTERATION U REPAIR - Project Address 9330 yanr�Uard V7av 4-204 - • ❑.CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name Neo rt Landing' Ltd. Phone 274-0953, : DESCRIPTION OF WORK - ' ZONING REGULATIONS Address PLO-BOX 10843. Beverly Hills. CA 90213 - N• �'"- ' - !1( ��' ' / f /� h/,, 1-� TYPE OF PERMIT �s GRADING �+ FOUNDATION STRUCTURAL A.P.# "'7I'1 - I S) `OW ZONE 2 Arch/Eng. ri ark gr Hedrick, 'Inc. License No.0-1578' 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL • • Address ' 11969 Aaa'tl\l rente B1.4205 L.A. 90049 ❑,OTHER - - TO BUILDING REF,sW, -fOj�� �� �-I!glee?, l /1 CT S— • TO I Up b 1 EAR YARD (TO P/L) / Contractor's Name i� ++-7"+'« ' Phone PROJECT DESCRIPTION SQ. FT. 1170 OCCUPANCY R-1 PROPERTY LINE �0 { ii 1.)It-}� S-6010 ii • CONSTRUCTION TYPE V - 1 hr VALUATION$€1 500 LEFT SIDE YARD (. 1 IGHT SIDE YARD. r� Address(mailing) - • Q '� ZONE R3 GRADING CU.YDS. Site ACRES • PKG.SPACE REQ. •5 I . PROVIDED `) G ' License No. __ - tag, d ) • LICENSED CONTRACTOR DECLARATION ' Remarks: .ng Bull, (cb — Unit 204/r,r B� ' STREET WIDTH �(' 7 1 PARK FEE$ •sr 1 ,5--I withI reby section affirmthat of amlicensed e3 of[heer PBusli nlesszand Professions Charter 9 o Code,and • •_ . SPECIAL CO NDITIONS: OLD FOR SPECIAL REQUIREMENTS ' my license is In full force and effect. - •- ' License Class License No. • PLUMBING , � ' ".Ae - Signature ' t '."4,1 , • Bar Sink Sewer Cap ELECTRICAL , - .,it•iZrebERS'COMPENSATION DECLARATION - - - -:5 reby affirm that I have a.certificate of consent to self-Insure or a certificate- Backflow Preventer Sewer Connection • - - - Automatic Washer . . - _ . Meter Dover 100 amps , _ _ of Workers' Compensation Insurance, or a certified copy thereof (Section - ' 3800, Lab. C.) Backflow Irrigation Solar Collectors Construction Pole Sub Panel Policy No. Company • Cooking Unit Sub Pole BCertified copy li hereby furnished. Bathtubs Solar Piping Certified copy is filed with the city Building Division. • Dishwasher , Motors 00-1 HP ❑11C-6 Date Applicant - Clarifiers - _ _ Solar Tank -EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Dishwasher ' Swimmid Dryers ❑Gas ❑Electric Inc Solar:❑9-15 HP 016-15+ (This section need not be compbtur if the permit Is for one hundred ($100)or _ ' w/ . 111 . II certify'that In the performance of the work for which this permit is Issued I Drinking Fountains ^ Fan MICfOW ave shall not employ any person In any manner so as to become subject to the Is R IIIF.A.U. • S Pole Light �• ■ Workers' Compensation Laws of California. Floor Drains • r o Date - Signature - 1 _ S Fixtures-:-- - • - - I I _ ■ NOTICE:If,after making this declaration,you should'become'subject-to the. Floor Sinks - - -- I ' - stereate - - Range-- Workers' Compensation provisions of the Labor Code, you.- must deemed revok th, _ comply Rwithl such provisions or,this permit ,shall be -deemed revoked. Gas SerVlce • lets i ,'W er Service ' ' -Device Boxes IIIISign �. CONSTRUCTION LENDING AGENCY ' ' , , I hereby affirm that there Is a construction lending agency for the'.performance Interceptors , � .Outlets S Standing Sections , i S • of the work fors which- this permit -Is Issued (Section 3097: Civ. C.) . - - Lender's Name - - • ' ' Kitciien,Sink - g�,1 SAG' - -Switches ' i -TrashI. Compactor _. 'Lentler's Address' 1 - - - • - OWNER:BUILDER DECLARATION - Lavatories -[f l� S Garbage Disposal �. I hereby affirm that I am exempt from the-Contractor's License Law for the - OP` - .Generator 00-5 KW 05-15 KW S I ; ®S ' following reason Section 7031.5 Business and Professional Code: Any city or P-Trap county which.requires a permit to construct,alter Improve;demolish or repair Transformer ❑75-50 KW ' •Tv structure;prior to Its Issuance, also requires the applicant for such Permit ' Roof Drains ' ' 1 f'Mle a signed statement that he/she Is licensed pursuant to the provisions of '- -" - • ❑5U+KW' ' x Contractor's License Law'(Chapter 9(commencing.with Section 7000)of - i ;Reinspection Fee $15' {t sion 3 of the Business and Professions Code) or that he/she.is exempt , Showers - - $15 , therefrom and the basis for the alleged exemption. Any violation of Section _ Meter ❑up to 100 amps Issue Fee , $ 3 7031.5 by. any applicant for -a,permit subjects the applicant to a' civil . g natty of not more than five hundred dollars($500). , • - Service Sink 1 • $ 3 n P , ` - a _ LJ "' Zoning A proved By I,'as.owner of the:property or my employees.with wages as their sole r Date Compensation willido the work,and the structure Is not Intended or offered ` ' _s MECHANICAL App iration Approved • - - Date �.1-.* ' 9 for sale (Section 7044, Business,and Professional Code:'The Contractor's -- --- - -- - _ -- ---- --- -- --- - By 1 • License Law does not apply to an owner of a property who builds or Improves Boiler: ' Refrigeration System I / thereon/and ntl who does such work himself/herself or through his or her own Application Issued By �• � �' •Date - employees, provided that such Improvements are not intended or offered for ® ' ❑0-100,000 BTU ❑100,000 BTU SS sale. If, however,the building or improvement is sold within one year of com- Duct-Under Ground I SUMMARY OF FEES ' ple n, the owner will have the burden of proving he/she did not build or im- / . r e for the purpose of sale). ' ■Duct-Structural IIISystem Repair/Alteration ■ BUILDING PERMIT $ , 'P9r�� i SMIP $ •'¢-- I,as owner of the property, am exclusively contracting with:Ilcensed con- rac rs toconstruct the'project (Section 7044,Business and Professions Code: • S Duct-Ventilating _ _ - PLAN CHECK $ ' PERMIT ' The Contractor's License Law does not apply to an owner of property who - i$SUANCE $ • builds or Improves thereon,and who contracts for such projects with a con- IHetingSystem& Exhaust System 0 Multiple 0 ,PLUMBING $ tractor(s) • • license pursuant to the Contractor's License Law): K $ GRADING $ 0 I.am exempt under Section B.& P.C.f. t is reason Fiiepl/Fact.Bit. ICBO PLAN CHEC ]� / - ELECTRICAL' $ Cate �'�,�A/t7 !_ Owner - i �. as - 1 Ducting $6 �( PLAN CHECK $ MICROFILMI here t artify e I have res• this application antl state t• yordinances ❑0100000BTU ❑100,0008 -Information is correct. I agree t0 comply with all city-and coli ty ordinances TOTAL FEE $and state laws relatg to building construct on,and hereby authorize repro- Hood or Type I 0 'MECHANICAL $ - sentatives of .this icy to enter,u.• th- w ova-mentioned r party foryP ' Reinspection Fee $15 LESS inspection pur,. . I ,,pp pp Cano. T •.e 11 0 PLAN • CHECK $ g j N - ADVANCED PC $ SI nature /d i .< _ _ Date • 0 SL3 •� I • Registers III S Issue Fee FINAL FEE i $ ^r•�' Drivers' Lice se or 55 , $ 3 . 3 CMF 0865-46 rev.12/82 white-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor c. ' CONSTRUCTION:AND PLANNING, - t - - "_ '- e� 4 SPA_ -� - - - _ . . 'I < Date - ; nspecInctor - - • Date Inspector APPROVALS - Permit#- - • =APPROVALS; Permit# - - " 1: Temporary Electrical Service or Pole , - - .•52_Pool & Equipment Location 2: Soil Pipe-Undrgrnd., ' _ ` ` ,' ; ' . •• �,53 Steel Reinforcement . ' 3: Electrical Conduit Utility-Undrgrnd. 54, Forms - e' 4y Electrical : -Conduit-Undrgrnd • , • -'• 55, Electrical Bonding - - • . 5: Steel Reinforcement ' , I-2. -- 56,. Rough Plumbing& Pressure Test - 6: Electrical UFER Grnd. • - - 57. APPROVAL TO COVER-GUNITE - 7, Footings , , ; •• '2` - 58: Electrical Conduit-Undrarnrl. _ 8. Foundation - . , = - - - 59. Gas Pipe, 0 Undrgrnd.,Test ' ' 9. Water Pipe-Uodrgrnd. ` ' - - _ - : 60. Backwash Lines,P-Trap, O-Undrgrnd. • 10. Structural Floor System -II7; : 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 Q 14. Rough Plumbing - - 65. Electrical-Final ' 15: Rough-Electrical-Conduit- _ '- • - - - -' - • -`I - -- ' _.9 , 66. Solar System-Final "16. •RoughElectric Wiring, , -• -- I. ,- _ l- : 67.'Fencing& Access Approval - ., , ' c. "`17. 1Rough Wiring!Sign ' ' " r ' • = ' - t.; ' 1 '` 68.: APPROVED FOR PLASTERING ). ' , I' 18, IRough'Eleetrical-T,Ban Ceiling! - - j F , - , 69.i POOL/SPA SYSTEMS FINAL • ' - 19. Rodgh'Heating & Air ponditioning1 1 - ; ' i FIRE DEPT, REQUIREMENT 20. Rough.rectory Fireplace , ; I j APPROVALS Permit# '1 21. Ducts, in Structure , _ ♦ 1 70.• Underground/Hydro und�Hydro 22, Ducts, Ventilating / 71.`Product,Pipmg 0 Gas 0 Oil 23. Gas Pipe-Rough& Test - ) i / `'.72: Underground Flush ,'24, Roof Framing I ' . ' ' • • • F'`,.. 73 .' Undergrnd.Storage Tank 0Gas 0 Oil • 25. Roof Sheathing I • i ' ,- I j I :47 ,, ;!74.: Overheatl Hydro ' 26. T-Bar Ceiling (Structural),& Monocoat° I ' -I , ;.,:r.: ;L., 75. Dr9 Chemical - " 27. Frame and Flashing I r%_ ,tb j, 76. Dry Standpipe - ! ' 28. Lathing &Siding I j f�' `"j i c-..,,' 177., FIXED SYSTEM FINAL • 29. Insulation , n - _ • II, rt H j. ,,i 78., FIi r'r RE PREY. FINAL •'30. Drywall Nailing / NotAs: '31, Plaster Brown Coat - 32. Electrical Power Meter-Final I ..:,:i 33._Final Electric _ r - �. - _ .._ • t 34. Final Heating& Air Conditioning ' - . 35. Final Gas Pipe=Test , I ' 1 ,: , 36. Hood or Canop4 i ' i i - 37. Final Factory Fieei lace,: , - ' • _ j • I , - , , • • 38. Final Plumbing , ^I i• i ' . . , - , 39. Water Service-Finale ' - , - - 40. Gas Service-Final , j ' 41. Solar Domestic-Final - I - ' 42. Backflow Preveriter , - _ -_ _- - 43. Backflow'Irrigation - _ 44. Landscape Irrigation System ;, I �, ; I j 45. Sound Attenuation : r. . 1- I -' I : . I - ' . 46. Handicap,Regulation"s ' I . ., , , i; • 47. FINAL STRUCTURE & BUILDING ' C. ' ' , I • , ,: , I• , ('. - r 48. Special Requirements Completed i " , r' ; , * - 49. Electric Release;to-Edison _ -.;� _ __ r_. . ' _- t -__ 50. Gas Release to Southern California Gas Cn ' 1 ' , , ;, • 51. CERTIFICATE OF:OCCUPANCY , - .h 4 -! -- _ - " _ - _ - _ _ , No Date - City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. Building Safety Division 001578 P.0.Box 1200 Costa Mesa,California The Building located at 2330 Vanauazxl Way G-204 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R—1 Occupancy. Use of Building CondaBiniLIM Legal Description 419-151-06 • (See reverse side for Metes and Bounds) Building Permit No G16868 Electrical Permit N0G16868 Plumbing Permit No, G16868 Mechanical Permit No. G16868 Number of apartments and/or guest rooms ' / ISSUED TO: Building Official • Newport Larding Limited Y O tiox 1084i by Beverly Hills, CA. 90213 Date .< , This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the 1 Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File • U/ 1.1 I / • `u/ij:+ -;.. e 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY•OF COSTA MESA N PER IT NO. TRACT NO. LOT NO. BLDG.NO: - - • --• •CONSTRUCTIOf!PERMIT (06 co 9-) f�L,9a ��- �v _ 11. P ` Project Address •. • : L ' : 10 1 i Cr.: TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ' Applicant's Mailing Address • 17 - Pk.•• D I. '.7 • ON '❑ CONVERSION ❑ DEMO El OTHER �I A.P. Zone /-1 e� 1 OQ5'' DESC RIPTION OF WORK C.-�'`_L•7� C E /.�LC�• I `c - Owner's Name - �� �+'ho�e 3/�y �{ "/`{J 2 2 mo S Main Building: Accessory Building: J Z a Address P0.BOX IOR93•/ t EVERIY HILLS/ CA.4e 1.� �L�� E 0 e _ TYPE OF PERMIT GRADING FOUNDATI1O1�NNr STRUCTURAL T Front fg7rii rNED N Arch/Eng. C ' ► - . ►Z `ice License iNo. ����,,�� 0 TENANT ® ELECTRICAL' ® PLUMBING t5 MECHANICAL B I Address a 6.. N UICEhJT'E Gyn/.�se�wi lJ •• ❑ OTHER A Rear.2t�O 5,3 2; , .D,,,-e% 7•/'//t/ N Contractor's Nam- J: 1�-p P`hroone •1 •�O-•• 1• I PROJECT DESCRIPTION SQ.-INN OCCUPANCrY R'I�M'I K Right /3 ,7, / L / G R M (mailing) g F A714, L a. �'SS CONSTRUCTION TYPE YEN VALUATIONS E]Y s7 f�� S Left 3. �JT J E W Address 1 1 Rs LA GPM.) D PL ZONE GRADING CU.YDS. ACRES G 1 City License No. 7e /// Ping. Ref.# •-A -6°,9' Park.Fees $ /z z / 35 Q ' LICENSED CONTRACTOR DECLARATIONU Remarks: �C ✓f- o/- �G�/ Parking Req./Provided 2- z0l _ 1 I hereby affirm that I am licensed under provisions of Charter 9(commencing / �,fJ/ J R te with section 7000) of Division 3 of the Business and Professions Code, and - • Use of Building: s/ 5- �O/(./f1v0 E i _ my license is In full force and effect. /J • -Jcense Class _(( A-I � • PLUMBING FEES Planning Notes: M - _j_.-9- Signature /QGIf� E WORKERS'COMPENSATION DECLARATION Bar Sink Showers HOLD FOR SPECIAL RrniliRRI7NTS N I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S -of Workers' Compensation Insurance, or a certified copy-thereof (Section- - _- 3800, Lab. C.) 7130-�� Backflow Irrigation Sewer-Cap ELECTRICAL FEES Policy No. % OO Company ST TE PAM P. TUS- j-il�� , - - -iii,Certified Certified copy Is hereby furnished. ' p2 Bathtubs Sewer-Connection- - CU Automatic Washer 'Transformer 0 15-50 KW 1 pg Cert`T`iegQ.,k{o }}55 I ed with the cityB D J}i�n//n//J� rip - -, - ❑ 50+.KW Date 11-1`"1- O Applicant 'f% Clarifiers Solar-Collectors . Construction Pole Sub. • i EXEMPTION FROM ORKERS'COMPENSATION DECLARATI Dishwasher(This section need not be completed if thepermit is for one hundre 100 or - Solar Piping5 p ) .POVo//OI✓C�/ CO(.'`O Cooking Unit I 'Meter �up to 100 amps less). Orinkin Fountains i certifyI that in the performance of the work for which this permit pct t ed I' 9 Solar Tank . I Dishwasher - 1 Meter Dover 100 amps f •JO 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 I Dryers J[Gas DElectric 1 'Sub Panel i 600 . Date Signature - • NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal ) 3 Fan , Motors 00-1 HP g1'/i-8 y. OQ Workers' Compensation provisions of the Labor Code, you must forthwith • n comply with such provisions or this permit shall be deemed revoked. / Gas Service ,Outlets O- Water Closet I 6, 1 F.A.U. Inc.Solar 09-15 HP 016-15+ 1 05 CONSTRUCTION LENDING AGENCY e I hereby affirm that there is a construction lending agency for the performance Interceptors / Water Heater , 7 , 12 Fixtures -Microwave of the work for.wb er, it I I uect •(SegHon 3097 Civ. C.) 2. �C Lender's Name tow. : . /_ 1 C V"Kitchen Sink / Water Service / 4 OO. Device Boxes Pole Light Lender's Address a7 q N •LIJ ILLAOE,DR-I • -•1 n Lavatories - \ 9 OWNER BUILDER DECLARATION S�ACRAF1bNT ICA. ]rj$p1.7 oC, - / Pr//fS/1 /�J/j�y//✓6 (n-)V Z� Outlets Range t� ac` I hereby affirm that I am exempt from the Contractor's License Law for Mo P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p 1 Switches Sign 00 :aunty which requires a permit to construct,alter,improve,demolish or repair — 'J my structure, prior to its issuance, also requires the applicant for such permit Roof Drains' I Garbage Disposal I. Standing Sections ' to file a signed statement that he/she Is licensed pursuant to the provisions of — the Contractor's License Law(Chapter 9(commencing with Section 7000)of , Division 3 of the Business and Professions Code) or that he/she Is exempt - • Generator 00.5 KW 05.15 KW Trash Compactor . therefrom and the basis for the alleged exemption. Any violation of Section _ • 7031.5 by any applicant for a permit subjects-the applicant to a civil - • 2. no penalty of not more than five hundred dollars($500). Reinspection Fee I $25 I Issue Fee - $ 3- �. �'�'µ t r`"� • - `�� L-I I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered MECHANICAL - 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 D . )12/4/±/ / �� d{ thereon, and who does such work himself/herself or through his or her own ZoningApproved By nate v employees, provided that such improvements are not intended or offered for Canopy Type II ❑ PP sale. If, however, the building or Improvement Is sold within one year of com- Duct-Under Ground Application Approved By Date ' /© ;Xenon, the owner will have•the burden of proving he/she did not build or im- - (I� prove for the purpose of sale). • Duct-Structural / Refrigeration System 4' Application Issued By �I e - Date Di prove 5' LJ I, as owner of the property,am exclusively contracting with licensed con- • 0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: 3 Duct-Ventilating (* CO • SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who - 7.yJ �/, builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ �y 3 •OO'_ SMIP $ .CJD tractor(s) license pursuant to'the Contractor's License Law). , 11 PLAN CHECK $ L42-cf ' PERMIT 0 I am exempt under Section B.& P.C.for this reason 1 Firepl/Fact.Bit. ICBG#230( `4 r)0 PLUMBING $ i P)D.b ISSUANCE $ Date owner' Heating System&Ducting PLAN CHECK $ 20.7, ENERGY P.C. $ I hereby certify that I have read this application and state that the above '_ fpl0-..100,000 BTU ❑100,000 BTU L LD GRADING -information is correct. I agree to comply with all city and county ordinances - OO ELECTRICAL $ 3 (OO $ and state laws rM. ng to building construction,and hereby authorize repro- PLAN CHECK MICROFILM $ • sentatives of t 0,1 by to •rater pen the above-mentioned property for $ inspection puz. \ MECHANICAL $ 2-I -00 TOTAL FEE $ 6:5a'g$ Signature / Date/vim >l Drivers' License or SS Reinspection Fee I ,$25 Issue Fee ' $ 3 PLAN CHECK $ L4.00 —46 rev. 7/83 While-Building; Canary-Applicant;Pink-Accounting;Goldenrod -Assessor - - - _ / I •CONSTRUCTION AND PLANNING ..OL &SPA APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 21 Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. i 54. Forms I 4. Electrical Conduit-Undrgrnd. V O.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, O Undrgrnd., Test ` 9. Wafer Pipe-Undrgrnd. ' ' r 60. Backwash Lines, P-Trap, 0 Undrgrnd. . 10. Structural Floor System ' - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection r 62. Backwash & Receptor-Final 12. Sewer Cap • -' - , • 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing /a/773� LED 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring /1/4C9 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air. Conditioning 101*- LCO FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Duct;, 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 0 Oil 25. Roof Sheathing - �'7 b I ✓i_ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat !*Si Chemical 27. Frarh -and Flashing In s/[/ 76. Dry Standpipe 28. Lathingi&Siding ,'G7// 77. FIXED SYSTEM FINAL 29. Insulation 1Q/M C t/v 78. FIRE PREV. FINAL 30. Drywall Nailing df///j/ ( /�f/ HEALTH DEPT. REQUIREMENT 31. Plaster 9rown Coat i 1 79. FINAL INSPECTION . 32. Electrical Power Meter-Final �/� /y , 80. FOOD CERTIFICATE ISSUED 33. Final-Electric - �/X(� It/c__// Notes j,a t 9//21rfau6-- 34. Final Heating & Air Conditioning 1-57.0.-ii ,&fte 35. Final Gas Pipe•Test /243//IC 4E9 36. Hood or Canopy. 37. Final Factory Fireplace /1.34* f ,/me 38. Final Plumbing fy 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final ' 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation ;- 46. Handicap Regulations 47.:--F-INAL STRUCTURE & BUILDING r 48. SpeciaF•Requirements Completed //4 w�49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANfy,y , cy Cc7,,, _' d No. L3 i.6 Date Y�• Ob �(L'!/�4�c.�1