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HomeMy WebLinkAbout343 MAGNOLIA ST - Building Permits� /�op�ieant to till in all spaces except those within heavY OorEer Iines ana sign all appropriate Ceclarations. CI7Y`OF COS7A ME�SLA CONSTRUCTId1V PERM1T Proier.t.'n�dress 3T'� 'I�G' N�� �� H � Applicant'sMailingAddreu ��• � ���CJ�O ��r Owner's Name •�T'���� ���R�E� Phone? 1! A e�ss 3� • �� �r1 rcr� ng. G� License No. ��" .7. �,.,�s P.O. C''.� 10151� , CASTA'v%t��F}� CA. • . \� c . ,..� .. .�.... �e Atltlress Imailing) Ciry License No. LICENSED CONTRACTOR DECLA ATION I M1ereby a' that I am licensetl untler p�ovisions oi Ch 9(commencing with section 700 3 of the 8 rofe55ion5 Cotle, antl �license is in full force antl effe nse Qa« i � _.[e Signature 2KER5'COMPENSATION DECLARATION eby allirm that I have a ceriificate of consent to sel/-insure or a certiflcate . Workers' Compensation Insurance, or a certifietl copy thereof (Section 380Q LaD. CJ Policy No. � Company ' � 8 Certifietl copy is bereby fumishetl. - Certifietl copy is filetl with tne city Builtling Division. � Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DEGLARATION (Thiszection neetl not be completetl if the permit is tor one huntlretl ($300) or less). I certify lhat in the pe�formance of th¢ work for whiCh thi5 pe�m�t i5 i55uetl, I sltail not employ any p¢rson in any mann��y so a5 om¢ bject t0 the Workers' Com enk7�on Laws ot Califo�r y� oate �O �/�'� Si9nature �// '�"a%`^� NOTICE: It, aiter making this tleclar�o , you shoultl ti me subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or tbis permit shall be tleemetl �evoketl. CONSTRUGTION LENDING AGENCV I hereby a(firm that there is a construction lentling a9ency for the performance o/ the wo�k fo� whiclt this oermit is issuetl ($ection 3097 Civ. C.) LenCer's Name �entler's Atlaress OWNEF BUILDER DECLARATION - hereby aftirm lhat I am eaempt from the Contractor's Licenre �aw Por the lowing reason (Section 7031.5 Business antl Protessional Cotle: Any city or mty whiGh requi�es a pe�mit to Const�uct, alter, improve, demolish or repai� .�ystruclure, prior to its issuance, also requires the applicant for such permit `- /ile a sign2tl sta[ement that he/she is IicenSetl pu�suanl to the provisions of 'ontractor's License Law (Chapter 9(wmmencing with Section 7000) of ion 3 of tM1e Business antl Professions Cotle) or that he/she is exemOt ,efrom antl the basis tor the allegetl exemption. Any violatmn of Section �U31.5 by any applicant for a permit subjec[s the applicant to a civil �nalty of not more than five huntlretl tlollars ($500). I, as owner ot the O�operty Or my emPloyees with wages as thEir sole compensation, will tlo tne work, antl the structure is not intentletl or offeretl for sale (Seclion ]044, Businesz antl Profe55ional Cotle: The Cont�acto�'s License law tloes not apply to an owner o( a property wno builtls or improves Ihereon, antl who does such work himself/herself o� throu9h his or her own employees, provitletl that such improvements are not intentletl or oiteretl for sale. If, however, the builtling or improvement is soltl within one year of com- pletion, the awner will have the burtlen ot proving he/she tlitl not builtl or im- �rove tor tne purpose ot sale). 1, as owner oi the property, am exclusivety contracting with licensetl con- tractors to construct the project (Section ]044, Business antl Protessions Cotle: The ContractorY License Law tloes not apply to an owner of property who builtls or improves lnereon. antl who contracts for such oroiects witn a con- tra<tor(si license pursuam to me Cantracior•5 Licenze Law). I am aware thac praof of tneir Worker's Compensation_jn �ance shoula be provitletl [o me. ❑ I am exempt untler $eciion 0 y' & P. C or this reason Date O • Z • Owner I hereby certify that I have reatl t is application a tate thai the above information is cortect. I aqree to comply with all ci ntl county ortlinances antl stat2 laws �elating to building const�uction, an hereby authorize repre- �Sentatives of tnis ity t njqr upo the abOve�mentionetl property fOr InspectlOn pu ' /J/ Signature A� HYU R�✓J6 Date �0"/Z'Sf% Drivers' Licen e or 55 $ � $. S 4D5'�� I _ ��51 � TYPEOFCONSTRUCTION NEW �ADD q�7 aT ❑ CONVERSION ❑ DEMOLISH � OTH R � DES RIPTION OF OR U E OF LD . TVPEOFPERMIT GRA�ING ❑ FOUNDA ON TR �❑ TENA T❑ ELECTRIC�L PLUMBING ❑ M HA� =��lNeE� `��i�' �. C�C.�� 6 L� PROJECT DESCRIPTION �S�q. }F�T. �CUa CONSTRUCTIONTVPE�]I A% VALUATION$ ZONE GRADINGCV.VDS. AI Remarks: Gj�f �c.� � 4 on- Bar Sink � Backflow Preventer Backflow Irrigation Drinking Fountains Floor Drains Floor Sinks� Gas Service Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee Showers Service Sink ' .� Sewer Cap �� Sewer Connection $012f CO�IECSOR '^ Solar Piping - SolarTank � " Swimming Pool w/Spa ., Urinal Outlets Water Closet er Heater Water Service Auto-Wash $15 �uct - Under Ground Duct-Strucmral ' Duct - Ventilating - ;�,< � Exhaust System ❑ Mu tiple ❑ Firepl/Fact. Blt. iCBO # Heating System & Ducting / ❑ 0-7 00,000 BTU � 100,000 BT Reinspection Fee .,�_g $15 �_�'^F5-46, rev. 5/88 WM1ite - Builtling; Canary - ApPlicant; Pink - Accounting; GOltlenrotl - AssesSor � �� RAL R 4.P. # ' S Main Buildi E T Front B Rear A ` C Right. •: K Left - S ' ng. Ref. # lanning Notes: �1 O n 141 --- �, d � ^ V . Zone �— . g: cessory.8*rifdi�: 2' � Z O I / i/ N I � Z N * �I' � I"� a{+a��i 9�-�' c, R E- 3`I ' ZHOLD dR�C�sALP�RE IREMENTS E 1 I 3 3 2 b,,, � T �a 5 r S. FEES P�utomatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electri Fan F.A.U. Fixtures Device Boxes �Utl¢t5 Switches Issue Fee ' $ 3 IANICAL FEES Hood or Typel ❑ Canopy Typ 11 ❑ �efrigera n System ❑o- o,oaoeru ❑ioo,aooeru �= ystem RepairfAlteretion I y I Issue Fee ELECTRICAL � Transformer ❑ 15-50 K ❑ 50+KW Meter ❑up to 100 artips Meter ❑over100amps Sub Panel Motors OO-7 HP ��1'/: - 8 Inc.Solar �9-15 HP �16-15+ MicrOwreve . ienerator �0.5 KW �5-15�KW P61e Light Range Sign Standing Sections. �rash Compactor Issue Fee ..DEVELOPMENT SEHVICES REQUIREMENTS: � Zoning Approvad By . ' Building Appioved By � Applicatian laued By FEES $ 3 - � � aumms�nr �r rcca '� �BUILDWGPERMIT` $ ?'7�.Ci7 SMIP $ R•v� ,` 'PLAN CHECK � $ [ [ % • m� PERMIT PLUMBING $ _ ISSUANCE $ �PLAN CHECK 25% $ � ENERGV P.C. $ '�� ELECTRICAL $ ' GRADING $ PLANCHECK �50% $ MICROFILM $ Q/�c MECHANICAL �; $ TOTAL FEE $ �S_4i� . PLAN CHECK 25% $ . . . rt7_.rt�,.. -.. � v-� ' CONSTRUCTION AND PLAN. d � AP,PR0�4LS ��Permit # � �1�� Tempor�,ry,Electrical Servi�e or Pole 2. Soil Pi� e-Undrgmd. ��, I 3: Eleciri I Gonduit Utility-Undrgrrid. 4.�Elect�ical,Conduit-Uhdrgmd.j } 5. Steel Reinforcement i -. v . 6: �Electrical=UFER Grnd. 7� fOo`ting5 �� ` - ,'� -" _ - .�l: �� 10.f�Structurel Floor`System 11. Property Sewec Line & Hc : �� 7 2: Sewer CaP �!.� +- 1 �, i 13. Roof.Drains "; .J r Y -. 14. Rough Plumbing e� 15. Rough Electrical-Conduit �76. Rough Electric Wiring .J �1J. Rough,{Niring Sign 48'. Rough E�ectrica`I�T Bar Ceili'ng 59. ftough �Heating'& Air Conditic �� 20. Rough,Factory'Fireplace �,j• 21. Ducts, 22. Ducts, 23. Gas Pi, �� 24. Roof 1 .26. T 27. F �28. C 29. li .. �30. D b, Flashing s- pf & SPA , I ,� Date Inspector PPR V-" Date Inspector tA !1 1 � ; � Connection v� , � -,i 33. Final�Electric -;,� _ 34. Final Heating & P,ir Conditioning 35. Final Gas Pipe-Test �� j '36. Hood or Canopy � _ , � 3�. Final Factory Fireplace - - 38. Final� Plumbing ��t ; ,� � �39. Water Service-Fina�"' .:i � �40.�GasService-Final . "�•�� ,41. Solar pomesticFina� � ' -� .� � • 42. Backflow Preventer,.�,.; ,, v (43. Backflow Irrigation - � � 44. Landscape Irrigation�System 45. So�und Attenuation� � � • 46.�Handicap Regulations� 47. FINA'L�STRUCTURE&'•BUILDING � i � � r;jY' J 48. Special�Re9uirementsCompleted i � ' 49.•Electric Release,to Eilison .f - 150. Gas Releas� to'Southirn California Gas Co 51. CERTIFICATE�OF OCCUPANCY No. . Date , � A O ALS rerm�t # � � 52. Pool & Equipment Location � � 53. Steel Reinforcement �. ��� " 54. Forms S/ - 55. Electrical Bonding / 56. Rough Plumbing & Pressure Test � . 57. APPROVALTOCOVER-GUNITE �' .i �. �, � i� 58. Electrical Conduit-Undrgmd. �� - � 59. Gas Pipe, O Undrgrnd., Test ` `� )-r �"� 60. Backwash Lines, P-Trap, O Undrgrnd. ',.�' r f{ ' 61. APPROVAL TO DECK - �- � lI 62. Backwash & Receptor-Final � � % 63. Heater & Vent-Final � � 64. Plumbing System - Final { . � 65. Electrical-Final !•� 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL � FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro � 71. ProductPipingOGas ❑Oil � �y,:, 72. Underginund Flush � r� _�� 73. Undergrnd. Storage Tank 0 Gas ❑ Oil �;:;� r�,i ) Q,� . 74. Overhead Hydro � ,� � �� . 75. Dry Chemicaf 'r � , � � I Q� 76. Dry Standpipe � " �- a. 77. FIXED SYSTEM FINAL �'" � � L�(;v� 78. FIRE PREV. FINAL ;� � . HEALTH DEPT. REQUIREMENT � � 79. FINAL INSPECTION , '+ 80. FOOD CERTIFICATE ISSUED i B'� r . Notes: !� (� Qo , , �_ � v a � �t��4o b �7/9a Q� c).. �; _ . .- , . CITV OF COSTA MF :�- 32. Electrical Pow� ter-Final BUILDING SAFETY DI �N'~ � 33. Final Electric pOST II� CONSPICUOUS PLACE 34. Final Heating & Air Conditioning ON THE JOB � 35. Final Gas Pipe-Test NOTICE 36. Hood or Cenopy You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 7545627. 37. Final Factory Fireplace APPROVED PLANS SHALL BE ON JOB AT ALl TIMES. 38. Final Plum6ing q, p, ryp, DATE ISSUED 39. Water Service-Final TVPE GROUP PERMIT NO. CO. Gd5 SCfVICB-FIf1dI _ _ O`� _ q1. Solar pomesticFinal TRACT NEW OWNER USE G-.�-�0 L/ rr! ADD I ALTER � REPAIR � MOVING � DEMOLISH SETBACKS Front Yd. Side Yd. L_ Side Yd. L - CONSTRUCTION AND PLANNING APPROVALS Permit# R Rear R Rear Date �Inspector 1. Temporary Electrical Service or Pole Z. Soil Pipe-U�drgrnd. �� 3. Elettrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcemen[ � 6. EleGtrical UFER Grnd. 7. Footings �j 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural Floor System � 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing c,,� r�o7f 2 E. 15. Rough Electrical-Conduit 16. Rough Electric Wiring C� 17. Rough Wiring Sign 18. Rou9h Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning �� 20. Rough Factory FirePlace � 21. Ducts,in Structure 22. Ducts, Venti�ating , 23. Gas P�Pe-Rough & Test 24. Roof Framing 25. � Roof Sheathing � � 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing � Z( 28. Lathing & Siding �17 29. Insulation � 2,( 30. Drywall Nailing ..��� 31. Plaster Brown Coat `. �`� CMF 0559-46. rav. 12/82 LE� 42. Backflow Preventer � 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed POOL & SPA APPROVALS Permit# 49. Pool & Equipment Location 50. Steel Reinforcement 51. Forms 52. Electrical Bonding 53. Rough Plumbing & Pressure Test 54. APPROVALTOCOVER-GUNITE 55. Electrical Conduit-Undrgrnd. 56. Gas Pipe, O Undrgrnd., Test 57. Backwash Lines, P-Trap, O Undrgrnd. 58. APPROVAL TO DECK 59. Backwash & Receptor-Final 60. Heater & Vent-Final 61. Plumbing System - Final 62. Electrical-Final 63. Solar System-Final 64. Fencing & Access Approval 65. APPROVED FOR PLASTERING 66. POOL/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 67. Underground Hydro 68. Product Piping ❑ Gas ❑ Oil 69. Underground Flush 70. Undergrnd. Storage Tank Q Gas ❑ Oil 71. Overhead Hydro 72. Dry Chemical 73. Dry Standpipe 74. FIXED SYSTEM FINAL 75. FIRE PREV. FINAL Notes: c� �/ �,P �: oK D� 6t�.b 12/3 rf QtY,6Go6G�•S�Aa- t-�/� E c� �i � Zo ¢ � e�eJc. F�G Oec � � u• %J i .? (►+� 11 o�i� P� .�.s � t. ��� ' 6W (see reverse for additional notes) Notes (Co�tinued) � l0 -�'Z. — v� a� � r bK ',�`-a C.V f�P �/�1 � �- 0. O 1�- �� r- — � . � �f� rJ L7!' D ... .. � .. �. . ...; r . .: . - PB0.IECT RDOflES3. . � . . . � � . • . ., UNIT: � ' . ..- . - • . - . _ . . . . . ..• . .. . .. ' � � ]43 MAGNOLIA ST .� . �� • CITY.OF COSTA MESA.- DUILllING PERMIT,,; PE,RM.NO:. GMP 045�zz � OWNEW3 NFME: � . � . . ' ' . ., . . M nooxess HOWARD :DENGHAUSEN . � �- , . . . . . „ , - . SAME ,-'z: ' PERMIT•.NO:, EMP 0.45722 PLAN CHECK.NU N GOVP:� ;N SUP,P; N ; � ' .� ' � � ' � . ; . ; ., � t'ON;TRi)CTION TYPE . , PERMIT-TYPF ELF MEC PLU � PURP05E; .�DD ? � , , ��flCHIENGINEEfl: 5 A 8. % i 5 � ' . _ f . flEG NO . . . . ' . ; � . • ' ' . ' ,' : . � . � � .• - . i • � � . � noueess: ^ ' uxiT: 'J��B'L��'SCRIP.TION : ADDITZON &',REMODEL OF SINGLE FAM RES - SQ FT:- . ' i ' ,' V � . • ; � � - • " CLAIM VAI,UE:' � . CALC�-VALUE': ' GROUP �'OCC:: � /, , PE"MinEE::IiOWARD. DENGHAUSEN' � ' ( 719 ) 548 �'7 � � 3 ; . . ' ' � ', aooeess: � . : . . ", , . ' , ,: ' • 3'4 3 MAGNOLIA � : ' ', . , � � . COMMENTS:.'kEFER TO' D40516 . ' . • " C:M. . . . • : CA' 926?.7 �*�e+r�c�t*#��*�rx�rxr***x*+t�*��c�t**�**�**�c�**�t�t*�t��r*��t�***tt�**�t*x*��:x��x��*�i*:�**�*�x*x�: . UCENSEU CONTMCTOB DECIAMTION: I hereby attirm that I am Iicense0 unAer D�ovismns of Chapter 9(commericinA with Section ' ' • '' . L n[Q I N G� R $ Q[J 1� Ii � j; � NI � N T S �� ' 7000) oi Division 3 oi the Businew antl Pmfessiorts Code,'antl my license is in futl lorce anE eflect. � - ' i � �' � - . �., �� � . , ' ,_ ; � < . � � , � E T B A C K S ' . �' f CITy LIC.: . STATE UC: . t CIASS: �� , . ; �. � ' . , ' : . . : . . . , ' � >�ie ' �� Signature � ' r � --'-- -- - . SN BUII,PIi�IC: -: -------- --- ----- ACCF.SSORY BUTI.11ING ------'--- � � �;�FNEBSCOMPENSRTIONOECIAMTION: Iher¢byattirm�hatlhaveacertifica�eolconsen[Io�selfinsureoracertificateofWorkers + ,FRN ; � ^PT 'I�N REAk: . FT - ' 'IN �FRNT: � CT ZN REAR; . 1'P � IN ' ' �-:".npensalianlnsurance;oraceeifiedcopythereol(Section�3800,Lab:C�. . ' , •l,�;FT: FT IN� RGHTh� � FT IN � I.EFT: �PT TN i1GTiT: � . , FT'; IN'�` � . �CY NO.: � EXP. OITE: ' .. ' . , . ' . ' • ' � . . MP�NY: , i',� ' � � ' �` . � � � �� �pp,RKING REQ: •• � PROV: ' ' � PARCEL: 1172511U ZNE: � �RL:1'� NO: ' � Certilie0 copyis herehy fumished. � � cen�rea �oev �s nee �m me c�ry eu�ia�na o�v�s�o�. . ' PLANN I NG N�T�$> �' . '' r ' _ . .. _ �, � ' ��' •' . .. Oate: .,APDlicant� � - - '.•• � �� .. ' . 3f#.ih��Ifit9fiFiEiEkitiEitiEiEiEitkitiEiFiF�lE3E�lEiFiEiEiFiEiEili6itlfiE�lE1l�iFiEiFX-1EiE1EiEiEiEitiEikikifiFiEiE%iEiEikitiEiE3t�1Ek�1E3EikiliEifiEiEiFifiFi6iF� F%EMPf10N FpOM WOBNEPS' COMPENSIITION DECUNITION:'� Qhis sedion neetl noI be com0letetl i� Ihe permd is �or ane hunAred (5100) or less) ,,. �� � D E.�LT E L O P M E N T 5 E R� V rI±,� ' C �� S...J, R F` Q U I�R � E M E N T S . I certiTy t�at in the petlormance of t�e woM for which this Dermit is issued, I s�all nat ploy ny person' any manner so as to Uecome - -^�� �� � � � ' � � � �- i , i . � � � su6le��tolheWorkers'CompensalionLaw5lCalifomia,_ '• ' ;ZON�ING APPROVF.D QY ' ' ' � �i�+"` :<-- ••' DATE: � : � . s . Oate: �-�5� � '� �SiAnaWre: . . LQ�t'�" ' '. � . t . _ .� - ... . ... . _ . _____'_e`_'.._. ' _ '_.___._a..-. -- • � . NOTICE: If, afler makinp �his Oeclar ian, you shoul0 become suble���ro I�e Worker ompensation provisions ot tne Labor � II U.j'LD I NG APPRUVED B Y ' '�" � DATE • 1 ' , Cotle, you mu5l fonhwiih comply with such provisions or this permrt�shall ha de d revOked.:` �..' ' ' +'� � �: � � �� -- ` - —' . � -- --- ' ' CONSTBUCTION tENDINOICENtY: I hereby attirm tAatthere is a constmction IentlinA apency lor ihe:De�ormance o( the woB lar . '' . h � y•�?�, '•�' � �y � � � i � which tAis Dermit is issueU �Section 3097; Civ. C). -- . , ( PaP PL I CAT ION I SS UED D Y: -� �• DATE : l _. . � �iEitiE%iFitititititkltitiEititftkatiFitril3FiF�iF3FKiFiF7F7F�F'iF�FTF'iF�iFiFiE�NitIFiEkiEiFitia��-iE�it ' LENDEfl: � . • ' . iE�3E1(-iE#if9EiE#iEiEiF3fit3Fitif%iEikiEiFifiEiEfFi6iFilitiElhif�FiE3(-i!lf�iEikit3EiFilif�3EiE#IfiF3liEiEiliEiElEiEiE�kiEiEfkiE�]liEitiF�kiFiEil-�)EiFikit�E9fiE ' - nooeess: - -- �- . LEGALI'lATION:N F� E� F•. . �S' U M M A R Y �' STRUCTURAL SEGMENT,; N '. OWNEBBUIWEHDECWNRTION: Ihe�e6yaRrmlhatlamexempiiromt�eCantracrors'staieucense�aw�arinero�iowinoreasan ' DLllG PMT �PLUMBING ELECTRZC �MECHANIC � FIRE SMIP/RES GRADING ' (Section 7031.5 Business anE Pmfessional Cotle:' My ciry of counry which requires i�permit m constmct, al�er, impmve, Oemolish, or P ERM I T• �: - ' ' J 9, 0 0' ' � 14 3..3�,5 '! �- S 3. S 0 " � � ' mpair any simcNm, D�or ta fls issuance, also reQuirw the aDPlicant for such permit to _file a signetl statement that he/s�e is licensetl . � ' , ' pursuant ro the D�ovisions oi tAe Coniractors'�State License Law (ChaD�er 9(commencing with Section 7000) of.Division 3 oi the Business - . . � S Q . '? 5 0�$ , �� 2 5$ � ' �SM I P/ NON—RES � � . ^nU Pmfesslans COAe� or that he/sha is exempt therefmm anA'the basis for the allepe0 exemD��on.�My violation of Section 7031:5 by � pI,AN � , � - ��,,.� �. • . . - ��� • _ • apDlicant for a permit suble��s�the applicant to a'civil Denalry of not moa ifian five hun0a0 dollars'�5500). � ' ISSUE 2� EE � � . � � 3. 00 '' 1 5. 00 � '-1 5. 00 . � • � :.s �, ti� I, az�6wner o/ me viopeM or my em loyees wim wages�as iheir soie campensation, will oo me work, and the I�JOII;DING-DIV-> -, � PERMI.T �,� ;ISS'UE �. PI.AN.-CHECK . � TOTAL�: PAID . ., �DUF. � � � stmcture is not imeneea or arcerea tor sale (�eaian 7044, eusiness ana Protessional Cone: Tne Contracrors State License Law �, TOTAL S-'- --> � 2 3 5. S,S ' 3 3: � 0 °" 0:� 0 � ; 2 6 8. 8 5" ' 2 fi 8: f3,5 - ': 0 0 � tloes not aDPty ro an owner oi a pmperty wAo hmlAs or improves tAereon, anU wha tloes suc� work himseli/Aerself ar ihrou0h � � , . . - � . • ' ,his or h¢r own employees. Drovided Ihat such improvemenis are not intenOed or ottered for sale. If, however the huiltlinp or . impmvemem is soitl wimm one year of compietion, ine awner.win nave ihe nurden ot pmvinp he/she die nm builn or improve . RL V ENDE D I ��'I.S" I ON 'TOTALS ---> � `. COLLEC�TED i` -�- i fi 8. 4 S� OV ER / SHOHT :` '� - 0 0 � rorinepuroosea�sa�e). . , .. BLDG PMT PLUMRING ELECTRIC MECFiANIC.• FIRE` SMIPLT01': �GRADING Y.L,AN�CHECK � . ' � I, as owner at t�e proDerty, am exclusively coniracting with licensed coMractors to constmct the prolect (Sectlon 7094, Business . 4 i. O O 1 5 8. 3 5 .,�,,6 fi� . 5 0 " • . � �' . . ' ,�, ' � ❑ . antl Prafessians Catle: The Can[actors' State License Law tices no[ appty to an owner of properN who bwlds or impmres therewi � � �, ' - , � � '� + � � ' . � , , � ' ' � ' � "" ' � � � . anEwhoconlratt5�orsuchproleclSwil�aconVactor�s)IicensepursuanitotheConiracmrs'$tateLicenseLaw�.'lamaw 0 �#3EN�#if3FiF�E1E9FiE�fiEaf�(-iEiEfF3Eif #, �lE�lt�fjEX�lflfft,iflElE iEiEltdE34ih,3tifiFjf�kiElElliElEiEitiE�EiEiEif�]EiEiFiF7flEfEfE,iE�lElEiEiEiEiEfE3EfE3f{E* ihai prooi of [heir Worker'S Compenution insurance shoulA 6e pmvi0ea ta me.. . � � ' � . � � * �--� � . .. , ,Q � am exemot unaer Section: 198 30 e. s P. C ; ,# , . I N I�',: I• V I D U��I.. F� E E.- B R E A K,D O W N. ,' '- mrihisreason: B 6P.C. ,. % }. ! TYPE � x E � D E S C R I ✓'I O:.N :> � ONZTi 60ST •' TO'PAL CO.�"iT � ' oate: ��—/5-.90 1 ownec . . �fICO p 8 1 tl0l1L , "• � - ' • . ' � � ._ � i Ao hereEy ceniry ihat I am aware ol ane unaeistantl the reamremems �ot Califomia Hea¢h anU Satery ca eCions 25505; 25533, antl EI: E X TU R E S f L I GHT I NG ,F 1. S.T - n 2 0 ' EA�. - ; :. '/ 5 . ' 1 S. 0 0� '.,�' � � 2 5 5 3 4 an tl t �at I or any future bui l tlinA occu0ant wi l l/wi l l not (circ le one) nee tl to comp ly wi t h sai 0 s ta te co es an 0 t he requiremen is for a . X. T UR E L I G H T 1 N G �'r A D D I T Z UNA L � E A . . 4 5 � � 1], S 0 �� permit for wnsimction or moEification fmm �he Rir Oualiry Manaqement �isinct. Fesitlential constmction apDlications are exempt fmm iov�rL e•r � �t S T 2 0 ' F.A . � . 7,5 ' �] 5. 00 ' theseprovisions.. , • . EL ` REr'EPT/OUTliET �''AbDITIONAL EA. .4`.� ' ' 27:00 � , � •t ELF � 20 RECEPT/SWITCH `< ..,, 1 ST 20 EA. ' �,75 � 15.00 ' oace: npp�iwnt: ` � " F.LE , 23 CE}?,T�SWITC'H '• • ADDITIOD1Rft, EA'. .45 . ' 10A35' I hereby certiry that I have reatl t�is ap0lication antl state ��at the aEove iniormation is correct. I agree to co iy with aii ciry antl cou�y � F_ L F. � .. ' 6 R �.. F 13 L I AN C E NOT � O V ER - '1 0 HP � 3-. 0 0 . " . 1 i. 0.0 , orainances and state laws reiating ro buildinp constmction ana nereby autno'ze represematives o� inis ciry to r upon �he ahove�mentlonSA ' � J E • Y'� S Eft�C- �E`S B E L OW .6 0 0 L� S D EL UW 2 0 0 AM P �� ' 18 . 5 0'. � ' 1 f3 , 5 0' � pmoeMrormso?cim�pumous. ELE 1 . SUB-PANEL 11 .00 " ' .� ' 11 .OU . oate� �—���'/�O �,A,���;e: oi � MEC . 2 INSTALL FOR(:/ATR FURN <-'�100 K. D'fU/H , 9.00 . � '� li3 00: . t4GC 2. FACTORY FIREPLACE; - � . 6.50 1J 00', � Driver's License or Social Securiry k: _ �� �y � . ' . . " . . - . . . . . ' _ . . ' .. .. ' . ' "' ' . . . . . T ��, -/:�� 1&t1-46 W�ite—BuilEing, Green—Cotle Enlorcement; Cena lican�; Pink—Revenue GOIEenroE—Assassor 1 Q,1 OQc�?il'�¢�CQQ� 277(�- T�� F� - 7�_� J/' ry-App DqTE: 01115/9U TIME�• 03•�2� �� . ��� � . _ � ., : � � - � . a sPa - � CON � RUCTIbN AND PLyU1....G � - , - Date - �Inspector � Date Inspector ' APPROVALS. Permit # . APPROVALS Permit # 1. TemOorary Electrical Service or Pole ,� t � � 52. �Pool & Equipment Location , � .� 2:.Soil Pipe-Undrgrnd. ���jKd�, _��� 53. S[eel Reinforcement •� • �' - 3:?Electrical Conduit-Utility�Undrgrnd. � •%' 54: Forms . � - _ �V � "� G. � "'4: Electrical Conduit-Undrgrnd. � . . . � -� 55. Electrical Bonding � � �, 5? Steel Reinforcement - � . jp ��Y 56. Rough Plumbing'& Pressure Test� _ - -,-• �6: ElectricalUFERGmd. ' � -57. APPROVALTOCOVER-GUNITE � - �'� �-•J:: Footings .� � � 58. Electrical Conduit�Undrgrnd. � 8' Foundation .. ��! �' � 59. .Gas Bipe, O Undrgmd., Test . � �. ; �� 9. Water Pipe-Undigr�d. SE��� ' 60. Backwash Cines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVALTO DECK � � '' 11. Property Sewer Line=& House Connection ���, 62. Backwash &�ReceptorFinal ��"� . � � x, 12. Sewer Cap � „� �- � ' 63. Heater & Vent-Final �- � �'� • 'i 13. Roof Drains � - � /:, . 64. Plumbing SYstem�- Final�� � ��, `'y 14. Rough Plumbing . . � .L��� �' L� �65.-Electrical-Final"� -' `ui' y,'. . �r� � � 15. Rough Electrical-Conduit , � h 66. Solac SYstem-Final ' z ='!� � . �: 16. Rough Elearic�.Wiring . � 67. Fencing & Access�ApProval � i, � . .� 17. Rough Wiring Sign - � 68. APPROVED FOR PLASTERING ^ , 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FIN'AL �� 19�. Rough�Heating &.�Air Conditioning _ _ _FIRE DEPT. REQUIREMENT � � _ �. ' _ . .' ':r•�-' ,z.- 20.-Rou h Factoa Fire� lace '=: - _ - - . y �. � � -� _-��:' -� • - � �� -- ^ -!r-�� g y . p � q L�c � �APPROVALS;:.. :Per'mit # .� `.�; -�, .�� . , 21 'Ducts, in �Structu"r,e � �' ' - - ` - � " '� _70. Under round�H .dro �' ^d. i' r'" H 1 - • .=� r a 9 Y� x 'Y ,i 22..Ducts, Ventitatin9: � � � - - . � ' �' *: �- c71. Product'PiPing O Gas ❑�Oil .� :r- �: 'i �� - at_-t 23. �Gas-Pipe Rough & Fest _ " _ � -- ,.'* '� �7z. Underground Flush~ '� _ !' .,�;, ,- f�,'.. .._ - _ . � �- ,-. _." :��. ' ,��--�- ,. 24=,"_Roof Freming � - _ ,_,;. �.: '�73r�Undergrnd.Storage?Tank OGa;nO�Oil� � 25. Roof Sheathing '� . � _ = � '' }, �= 74 �Overhead Hydro='_ ` '� - '• � 'Z � _, � * , �_ � _ _ ' _ _, _ 26.=T�Bar Ceiling (S[ructural) & Monocoat . • . - ;�, y 75.TDry Chemical •- ��1 �.:- �^ -��--�,r� ��, _"_�' 27.=Frameand Flashing� - _ ' -, �'k ' 76. Dr Stand-�ipe '"' '�` �a . � �. �?`•". ; �.• --- r _.s �... �, Y P ��_. a r,� ;�• - .- ' ,."� ' 28. Lathin & Sidin ?'".: - _ -� ; _i ,. � .. ' �, ��..-. � � ,. _ ;.r. .. _._;�, �„' - 9. 9 x ...- j .r. j� ++� �« 77.=;FIXED SYSTEMSFJNAL.-= i;.=. � 29. Insulation "-;' .. - �' � :�. t 78.�;FiRE P,REV. FINAL ' ` . . - - '_e . �_ ...' �30. Drywall Nailing - � , _, ! �� :� -� � _ -�HEALTH�DEPTx�REQUIREMENT- �� '��:; =31. PlasterBr,own`Coat-- • � �''r'T79 �FINAL�INSPECTION' � - •�-1 .� � n -- �32.=Electrical�Power Me`,ter�Final , ' � ': r ��80.�:FOOD CERTIFI�CAT�E ISSUED : -' � ! r �i -- / ..33.`_Final Electric• • . �=, ��� � "Nofesi• � ° � � $ � �. 4- -- - .cJ6;soc� �;-'i� ��=a�: t mr+�sr �34._Final Heatin t& Air'Conditionin - �' /.. �,,�n• � .L.•� . ,�. ,�"'- .� _.- . .� `' s. ;- , . 9 . . 9 '�1;5' �'/�/+'fi' "' ':��'' �' Zir-Q.Qir.:. ''_f' _ J35 �-Final Gas' Pipe-Testr �� •: �� � (��Cp, �r: ; y,� - ,�+z.' _ p. 0 m o , � .36._Hood or"Canopy - _ _ ; .� ". � � ` � r '" __ �-=- _ � iF _ "' Gi` yl��%i�l. ��� - "-� _ '37. Final FaMory Fireplace>: �^�- _ ,, �i �� = :� - ;: _ ��+' �' �- - _ a� r��., a: 'r38. Final Plumbing ' _ �" _, /�/ S aI � cn � �' ' ' � , - " "" r•. 71 ✓qfl/�s: - �.�,-� .7 _,_ a^ L _39. Water Service�Final , gz lLu) (r�E'; � - •. ;; ' . - ' __ _ .i . �_� c .. 40. Gas"Service-Final " ` ' ='�' " ' � - _• � ' � �... . K � i ' s' � ��41. Solac DomesticFinal -" - i. �- � ' . i: . - , - , 42. Backflow Preventer' ?� ' :''• x �� •" .' =' .. -� y .Y r.�, rG. . ._ . .... 43. Backflow irrigation,• , � i: •.� F i• -�' � � - a �� . . . . . `44.. Landscape Iriigation System= ' '� # �' =�� `� ; . '' - _ r ^ t - ,- ,- - � . _,^- .. 1 i 1 r N� �. i� . 1 ' . : t � y `�. � `45:-Sound Attenuation� - .. � - �; - _. � • r-.�� _ _ ' �, r'- r. `_46.-Handicap'Regulations ' .. x ; - �.^ =' - •-'"' ` -'" a: , - r �� _ 47.'FIN71L STRUCTUBE & BUILDING �� � � � �� ., K i- . . ; � � "48.=FINALPLANNING � - - ' � . !' �. ^: 'r: - t. r�. . - � 'a. - :� '� � 4 ' ' 49.'.Electric Release to Edison ;. ; '" ' ' - � ' _. _ _ _ _ _. �.._. _.. e �� �-; �� � x • �50.=Gas'Release to Southem Califo[nia Gas Co ' �` ��` ' � � � ' ` - ' _ _ _ " �. i' T ?: J .� J'1 ��, ' 51. CERTIFICATE OF'OCCUPANCY ' ' ' -� �� " - � � • •- � � No. Date l � � Pfl0.1ECTFUDflF3S:-. . . . - _.....__ ._ ,' UNITi .. ' . . . . - ' . , . � .. . .. . _ � . . .� OWNEBB N►ME: . ' . . � ' . . . . � . � . , ; � ; . ; . �. . . - - . . . � . . . ' ' .. , . ._ , nooness:� , _' . PERMIT. NU: EMP,.095722 PL�.N CHECK. NOr 02315—�90 N' � PAGF:' 7. � -- • • . . . � i �t**�**+e+cifx*-xx�+t*jt*ieiexit�r��+rx�itx��****�**�titit**+�atjtx����r�+��rltx�+ritatiticitit��t.*�itit�'+t�itiE�*��if'�* 11 ` � � � � � ' . . '- ; ' ' • . . . -- � - • , . . . . . . .�'RBCH/FNGINEEB:. � ; I � �jflE0.N0.V � . � , 'TYPE � QTY , ,�. D E S�C R I P'T I O N . , ' � �UNIT COST. , TOTAI� COST ' `'� : �onxess: ' . � . . . uxir: . . , , , , 7� � '' ' . MEC I 5. VENTILATION FAN CONN TO aINGLE DUCT 4.50. • 22.�50 ! .� PEflMITTEE: ' � � . ' � . � . • � " ' . . � aooeess:'. i . ' . � PLU � 1 'BATHTU➢ • , • .. 7.'.00 ' . .' 2.00 , � PLU 1 DISHWASHER . 2.00 2:,0,0 "- PLU 3 SHOWER _ • �. 2.00��� 6:00 LICENSED CONTMC70P DECIAMTION: - I �areby attirm that I am licensetl under pmvisions of Chapter 9(commencinA w��h Section •;pj,[J. ] $ I NI( , B�i _' " . z, � � . � ', z, � � '' 70W) oi �ivision 3 of Ihe Business and Professions CoOe, antl my license is in tull force and ettect. ' PL U, 1 � S I NK , K I TCHEN � � 2, 0 0' � � - � i. 00' �� cmuc.: `' srnTeuc.:., cuss: • PLU 4 WASH BASIN � � 2.00 `' ' 6':00 � '�: siqnawa: � ': PLU 3 WATER CLOSET ( TOILET ) ' ! 2. 00 •� 6 ZO'0; 1REB3'cOMPENSRTIONOECUMTION: Ihereoyanirmthatlhaveacenificateolcansenttose0-insureoracertificateofWarkers' PLU - 7 WATE�i HF.ATER. �ND/(�R'�/EN'1 - , ?.00 , . � �.�0 � � .npenutioninsurance.oracenifieA:covrthereot(Section3800,Lab.C). � �PLU .1 GAS PIPI.NG SYS�� OF - `1 TQ 4� r�UTLETs ' 2.00 , � 2:�00 � 'CYNO.: � � E%P.D�TE:� .. � PLU 4 GAS PIPING SYS 5.+ OUTL—PER OUTLET �.50 - � � � � 2.00 ' .MPRNY: . �V� ' � � ' PLU 1 . BOILDING SEWER L TRATLER PAi2K S"EWP-.R� ; 5.00 , . . � �5.0�0 � - �J Certilie0 copy is hereby lumisnetl. O Certifie0 copy is fle0 wiih �he ciry Builtlinp Division. ', ' � ' ' END OF FEF.S � • , � � '' ;�- `, _ ,��;. . . Date:. ' �� APPlicant: ._ . - ' ' ` .. n. r� �� �?'.. . . . . . • . .. , � . . . - . , . . . � .«. , t . F%EMPfION FBOM WOflKEP3' COMPEN511TION OECIAMTION: Qhis sei1ian nee0 not he completeE i� the parmi� is lor one hunOreU (5100) or less�. �•'. , , . �, ' ' ' . . . 1 certity I�at in t�e pedormance ol tAe'work for which Nis permit is iuueU, I shall riot emD�oy any persou in any manner so as to bewme '��' � . . -.� ��' , � . ,• • suDlect to t�e Workers' ComDensation Laws oi California. � ; .,'rf` � • N . � � � %~ " . � , ' ' .,1. . ;y: �: "f. � ....J i',, . � � . i � i . Oate: � � - SiAnature: � � ' ' �' � - . . . .' ' _ _ . - � .. _ ' - . : " . NOTICE: If, atler making ihis declaration, you should Uecome su61e� to the Workers' ComDensatio� D�ovisions ohthe La6or x; � � , . - ; ' ' � . COEe, you must fonhwith campy wiN such pmNsions or this�permit shall be OeemeU rewketl.. N - � ,.i;�' . ',: ' „ , � �w ,�. � � ' �� , � . '. ' , CONSTHUCTION LENDINO �GFNCY: I hereby aifirm t�at there is a constmction IendinA apency lor the,DeAormanceiof the work tor •-�7 , � , , � �� ���,: • ' 1" , � �. . ,' which thi5 permi� is issued (Section 309%, Civ. C�. ' ::' b '1 ;y �' � . � , ' � . . � � , � � ' (� , , :' ' . .1',. "`.l". :.e . lFNOEP: : ' . ; : r! . • . `- S' . ' � . . • � . . - ' _ ' RDOHESS: . . � . . . , . , .. _, .. . ..0 . . �. . � .: .'..�.. . ' . . . . � ,1, •�.. : ' ' , . . _ _ . . . . . . , . . . . , . - � . i' � l, .�.. , , ' i � - . 1. . " . ' . . . . . ' , ' �: r ' . . ' r OWNEB BUIL➢Eq OECUMT�ON: I hereby alfirm Ihxi I am exempl lrom ihe Contraitors� State License Law for the foilowing reason ' � ' ; , � "' ' ', A� � ' , � . �', • � (Section 7031.5 Business an0 Pmfessianal Catle:� My ciry al counry whic� requires a permit to constmct, alter, impmve; tlemolish, or , .. , :`; ' , � . ' 'repair any s[mcture, prior to its issuance, also requims ihe aDDlicant tor sucA permit to file a signe0 statement that he/she is Iicense0 � ' , i ., ' � ,. , � � ,Pursuant to ihe D�ovisians oi the Comracrors State License Law (Chapter 9 (commencing with Section 7000) oi Divivon 3 of the Business _ � � , . . � . , • , ' ' • ' , ;, . �;:,,�U Pmiessions Cotle) or that Ae/she is exempt therelrom antl t�e basis tor ihe a11eAe0 exemp[ion. Any violation ol Section 7031.5 Oy � , r . �' _ • �, . . - - • • . � � ' � ' � � applicant for a permit suElects the aDPlicant to a civil penalry ot not more Nan five �undretl tlollars (5500�. � ' ' : , , , • � , �v-. ' ' � ' ' � ' f �" � . I, as awner of the properry or. my employees wit� waA� as �IAeir sole com0ensa[ion, "will Oo Ihe woM, and the , , � -_ t � . . . � , � . {= � , � !. � stmcWre is not intendeG or offeretl for sale (Section 7044, Business an0 Professional Cotle. �The Coniractors' State License Law ., � ' .. . � - ' � Eces not aDV�Y ro an owner of a property who builEs ar improves thereon, and wAo Joes such wark himself/hersetl ar tArouA� , � . . ' ' � , a' ' � . , � - �J� ' n, . ' � , �� . ' . . ' � his or her own emD�oyees, p�ovitle0 ihat such imOrovements are not inten0etl or olfereE far sale. Ii, however Ne �uilAing or • , - - ' � U'- -C . � � �improvementis solA witAin one year ot wmDletion,t�e owner will Aave ihe Uurtlen�bf Droving �e/she tlid not 6uiIE orimDmve - " • - , . ' � , � ' � ' ' , ' ' lor the DuNuse of sale)' . �� , ' � � I . . . „ � � . . . ;�' ;, , . . . , . . . , . I, as owner of tAe �propeM. am exclusively conlraciinq with IicenseG contractors to cons�mct the prolec� (Section 7044, Business � ' . ' � ' j�� , ' G� �� ' � � � . . ❑ anE Pmiessions Code: The Contractors' State License law Coes not aOGN �0 an owner o� prope�ly who butlES or imDroves tAexon ' ' � , . ' .� ' � ' • . . ' . ana wAo contracts for such prolecis witA a coniractor(s) license pursuant to'ihe Contractors; State License Law�. I am aware ' � , , ' that pmof oi thei� Worker's Compensatmn insurance sAoultl be D�o�iUetl to me. ' , ' � ' . � ` , x. . � . ' � � � �. . . � . . . J.'�:f . ' . . . � I am exempt unGer Sectian: ' � B. d P. C. , . , ' ' ' , �� �� , ' , ' ' ' , . • � for this reason: i , � i ' . : � y"' , .� , � , ' . - , , ' , '-. ' ' . ' ` � !.� �t'� . . " ' . Date: Ownec - . . . t . . �' � . . , . I tlo �ereDy ceniy that I am awire of and understantl the ieQuirements of Califomia Health an0 Salery Code Senions 25505, 25533, an0 � � , ' ' ' . �� ' �� :�1 `� � • , i . 25534 antl ihat I or any fuWre �uilding occupant will/will not (circle one) neetl to comply with said state cotles anU Ihe BQuirements for.a . . � � , . �' . � � • � , . , Dermit for consimction or motlificatian trom the Nir Oualiry ManaAement District. Pesitlential constmction aDPlications are exempi irom � . '� • . �' ' �? n 1; , , , � , , , IheSe.PravRionS. � , ' . . , , • '' , � ; � � ' ' . . ' s . . . . .. : b . . Daie:' ' APGlicani: � . , , . . � �' � ; . , . . , �.i. . • ,. , . •- � � . I hef¢Uy Ceility IAa� I haVe f¢a0lht5 applicaiion and State �hat �he above in�ofmati0n i5 coffeCt I a0�ee ro tOmpty wi�fi all City aM wUnry ' , � , `' � ' _ ortlinances anE sGte laws relatinp ro builGing consimction anU hereby auttwnze representatives oi Nis ciry to enter upon tAe ahove-mentlone0 ' . .. _ ' . ' . '. ° . ' . - . proDerlY tor inspeciion purposes. ,. � . , , ' . . . � ' . . ... 'f' . � . . . . ' ' . • * n' . f . . . . . . . . . _j.. f Oaie: ' SignaW2: � . , . . ' .' • . . , . Onver's Lieense oi Social Secunry A: . ' � � � . � . � � � _ � � , ' � � � . . � � 1801�46 Whi�e—Buildin9: Green—CoAe Enlorcement; Canarv=ADDlicant; Pink—Revenue: GoltlenroE—Assesso� `� '�----\ y CON'' � RU�7CON AND PL•�AM _..+1. . � � +. � : � L & SPA � - APPROVALS Permit # '' ' Date � Inspector � � Date Inspector APPROVALS. Permit # �1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location � 2. Soil Pipe�Undrgrnd. � ' . 53. Steel Reinforcement � 3. Electricai Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. -((� 55. Electrical Bonding 5. Steel Reinforcement 7� 40 � 56. Rough�Plumbing & Pressure Test � 6. Electrical UFER Gmd. � � � � 57. APPROVAL"TO COVER-GUNITE � 7. Footings _ � • 58. Electricel Conduit-Undrgind. 8. 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 1 t. 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 G lflQD ' 65. Electrical-Final � . �. 15. Rough Electrical-Conduit . �� 66. Solar System-Final �� - 16. Rough Electric Wiring - 67. � Fencing & Access ApProval � � 17. Rough Wiring Sign 7, 68. APPROVED F.OR PLASTERING ' 18. Rough Electrical-T Bar Ceiling -• � 69.'POOL/SPA SYSTEMS FINAL 19. Rough Heating &_Air Conditionin9�.L ��g� FIRE DEPT. REQUIREMENT �, - 20.'=Rough Factory=Fireplace = = _-. ^ ^_� � f{ � ��/j APPROVALS Permit # 21.�Du yts, in Structure 70. Underground Hydro 22.<Ducis, Ventilating 71. Product Piping O Gas ❑ Oil 23. �Gas�Pipe-Rough & Test � 72. Underground Flush ' N • �• .�:1.�.�.Gr...�.:..i„- 24.SRoof Framing `� 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Rooi Sheathing "'' 74, Overhead Hydro 26.`T-B�r Ceilingi(Siiucturall �&;MOnocoat 75. Dry Chemical � 27.,Frame and Flashing�- : c-�.^ - 76. Dry Standpipe -'� - 28. Lathing.& Siding�:'J �, �.� ;- 77. FIXED SYSTEM FINAL 29. Insulation - ' � t�_- 78. FIRE PREV. FINAL � ' - �' _ � 30. Drywall�Nailing T ,- _; ^:�i;-.� HEALTH DEPT. REQUIREMENT 31. Plaster Browa:Coat •�-- 79. FINAL INSPECTION . 32._Electrical Power Meter-Finaly,� �� 13 ' 80. FOOD CERTIFICATE ISSUED 33.'nFinel Electric: '^.��� "-' - � oter ,� r � . � 34..Final Heating.& Air Conditioning_'�;= ` , �- ,' a o� G��cx e �c 35.;-Final Gas Pipe-Test ' � /}� f- 36:�Hood.or Canopy ' ��;;.:.�. . 3-ZS'�IZ OK T� " �4 37._Final Factory.Fireplace C� � � _� 3' � � " ,„ - � f 38..FinalPlumbing `�;�;.'� � � o- _ " � 39' Water Service-Final . - 40:' GaSfService-Final 41 =Solai Domestic-Final 42:`Backflow Preventer - � F� ' ✓"�:.." _.:..� ..v /=.� i 43. Backflow Irrigation . . . . . . � � 44. LanHscipe IRi,q`ation'System� G � � ' � �. 45. Sound Attenuation � 46. Haridicap Regulations � 47 :FINAL STRUCTURE & BUILPWG 48.'FINAL PLANNiNG � � 49. Electric Release to Edison 50. Gas: Release to Southern California Gas Co _.,=c =,-_�- 51: CERTIFICATE'OF=OCCUPANCY�� No. Date _ COUNTYOFORANGE ,�plication for Building Permit 2 �j 6sU6 N Broandwpy AND FOR A Permit No. ��r..,�.Q.U...._ SantaMa,California Certificate of Use and Occu anc Phone: KI 2fi211 P Y _ n n Date-��'�i---�9s`��-----� ........ 1. OWNEIZ'S MAILING ADDRESS.../..�.5...._lr�..... �....... � Q� ..._t Nam �.e�...Pt!�2�-'-'--- --'--�`.'�:----- ..................-- ( itect or Engineez) Address �-3-'�'u'�-�-- -- - .. ...----�-- . ..-----------...-'-'------"-- City---c-co�rci......�.R¢,�----_..--------...-- .................�----- State � Lic. No. _�t�_..... --' Phone---._---� - ......- -' - '- PROPOSED z. Jos 3 4. 5. 6. 7. 8. 9. ......-- �-- ...._ PHONE�.'�' "-��SJ�'I ----- CITY....`-¢-'..�Fr..--i�%,¢,a:.`.?-..---- ...-- v �-w�'I.Y1-_ Name --------..__..--`---------------'--------......_ .............'-----'-'--......------- (Contractor) Address.......... -� - ---�---�---- ............. .• -------.........--------- City . ...- --- �� -- State Lic No.---------�-`--- (House No.) O(Name of Street) r,{� �T�o�wn" or S�choo��y,,District) NAME OF AND DIRECTION FROM NEAREST CROSS STREET��1S.�-Y._�cs...�cG.`_.1,f� ��/ti'�-- ,/ � q // l/ -- - .........--- -- ' LEGAL DESCRIPTION�f� Lot Lu.�:-�-�-�-a-- -.:�� ,l... Block .............- -- �� - -��- - Tract..._�? . r�.'.� -�-- -- -- .. # .---- (Metes and Bounds Deuription—Use reverae si f form) � CORNER LOT ( ) INTERIOR L Il1 �'THROUGH LOT ( ) SLOPE OF LOT ( ) v ia„ � / i., // '. n SIZE OF BLDG.`S�Ts..��_"3�..(.�....�AREA� . S�:•...SIZE OF LOT:.[le�O..X1T.0.O.......AREA:....(�...�...�.�......... / /r � /� / r, HEIGHT OF BLDG.:_��......7._---.--_.....------ EILING HEIGHT:---6..--�-_-------_--------NO. OF STORIES......1_.....----__----.--- , „ I/ /'./� �� ,v � NO. FAMILIES._.._.._� ...........................Size of mallest Bedroom:�a. �.._�f..Lll..dT ._,. Site of Kitchea..�D.!J...� �...... EXTERIOR WALL CONSTRUCI'ION:��CD............_INTERIOR WALL COVERING_I.-C�_?�. �� (Prame. Stucco, Etc.) • //n ' ' (PlasterDrywall, Etc.) � ROOFING COVERING ..--C��wr _ .. . -._.... -- ..............._...... ... -... STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE L'SE OF EACH..._�1�� ......................_.....___...... -------------'-'----_--------------------------------._ ...._-------.....-�-�-----------"-----...._.....------...------'----------------....---------�----....----'---- 10. SETBACKS: Front Yard From Center Line of Street-_..�SY�.�....1:.__�------_...-__ ..................._---.-------..____---...___.----__----..._..... � � �, . ' Nearest Side Yard �,�. .....:...Rear Yazd_7� ..(a..........Distance in Feet Between Bldgs. on Same Lot ............................................ (Pmpe�ty Line) (Property Linc) - 11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. n ir „ 12. (a) Footing: Width---_� �------------------------_-..Depth in Ground_-_�.------------.--------Width of WaIL----_ �--_----..----...._.. (b) Size of Studs:..�_�.� ..............Spacing.._....,�lR..--.-...--....:'CC Material of Floor�XL.�!�.y_aX�.��O�, I/ (c) Size of' Floor Joists:....o�. X�P-.--------......._-----Spacing.--------ll -----------...--....."CC .f//y%� O� (� � o,XiG x� rllQ"1...---'---5 acin Q� "CC (d) Size of Rafrers:---...-- - -- - . . p g.._...... -- -� - - - --- 1;. VAL-UATION- OF -PROPOSED WORK: Including_all ,labor, plumbina, electrical wiring, heating, fire sprinklers, painting and sewage disposal $...�.�..�.+f...�.....-..—..-_.-.- .. la. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFO NIA APPLIC BLE TH j ETO. � Signe - •�--.rr.r..!-� .................. ---...---- ---------�ud�"� . �,'.!� � '--.`-'--.. . -- - ` - -` - % `) — 3% � � (Owner) PlansFiled:_...='-�------'-----"--' ......................--------�--'-------' . By:.._ _--....-----`--'-"--�-------...---'-----'----------' .....................'-----'......... _'....... . - (Auchorized Agen[) FOR DEPARTMENTAL USE ONLY FEES: Bldg. Permit � $.. -� ��_.-..o..� GROUP.�.._ � -- - �... - TYPE ...... .. ...... Plan Check � $----- -=3-.... _..........- -.. � o�_.. _.... DIST. � Total . , , $ -d.!�.....-_ -----�-- - L Recei t No. � MAP..... �-....-�R - /.......... - p , /o,��(.r'.f........---- .' Paid to - - ..----- SHEET NO_ :�------------------- -- � -- -.._--- Date----- -----�...- ----_-1��..�1 __5.�±... ....------ ........... ...--�-------�------ PE DATE.. �Il..... ..3J---......._�� ......- -- - s000--rss . . (,'H�;C:�IN(� BY �.W�J APPLICATION._,+1.11�. HEALT$......-.__.-..-_-_-..... ZONING--.------_.`...�-.--.. FIRE PLANS AND v MARSHAL ......................... SPEC'S -----�---- -- -- STATE . ............--�- -...... CORRECTIONS ENGINEER IMSP�CTOR Project Addre A.P. Number Building Perm .� CITYOP Ci PARK , _5' Fee Payment Receipt ��1��� Owner's Name � Mailing Address �. FE�_ Single Family' 2-Bedrooms or Less 3-Bedrooms 4-Bedrooms 5-Bedrooms + Multiple Family " Bachelor or Studio 1-Bed room 2-Bedrooms 3-Bedrooms + ct.�,t ::�iE: Number of Units � @ $ 861.76 = @ 1,205.67 = @ 1,545.62 = @ 1,810.50 = @ 474.37 = @ 573.18 = @ 881.51 = @ 1,229.38 = � V�1-L.UfJ�i4�LL J .J ) lia/84 T;!:�; 1��`:'. $�� / Total Fee *i' �' • `�� PlanningDepartmentApprov ate 12 gy (�'• �e ApplicanYs Signature • Clty Ortlinance 72-44 � Clty Ortlinance 45 •** City Resolution ]e-116 CMF 0174-30, rev. 7/85 Wbite—Planning; Canary—Plannin9; Pink—Finance; Goltlenrotl—ApPlicant .