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Home My WebLink About2283 LA PLAYA DR - Building Permits ZZes , _ L.IF rAfYt<t- PROJECT ADDRESS: ,S ?__�;', ri, UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 05828 , OWNER'S NAME: RUSSELL C -PAUL ADDRESS: YOUNG/RUSSELL DEVELOPMENT . — A PERMIT NO: E 05828? PLAN CHECK NO; N GOVT; N SUPP: N INC 31 ARGONAUT CONSTRUCTION TYPE: 5—N PERMIT TYPE; ELE PURPOSE: OTH ALISO VIEJO,CA 92656 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL NEW 100 AMP METER SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 / PERMITTEE TERRANOVA ELECTRIC ( 714 ) 841-4202 ADDRESS: 16271 SHER LN COMMENTS: INSTALL ONE 'HOUSE METER ' HUNTINGTON BEACH CA 92647 *********MX*******X—* F>E*TF>E,F*>Fr ****> **** ** ******** EDF**x3 ****-x>F****N*******+F* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONI NG R EQUIR EMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and e SETBACKS ,--._ CITY LIC.: 053454 STATE uc.:561917 cuss: r ) �� Signature:: MAIN BUILDING ACCESSORY BUILDING Date. 7 WORKERS'COMPENSATION DECLARATION: hereby affirm that l enificale of consent to sen LEFT: FT IN RGHT; FT IN .,EFT;-insure or a certificate of Workers' FENT; FT IN REAR; FT IN FENT: FT IN RCRT: FT IN FT IN REAR: F T IN Compensation Insurance,or a certified copy thereof(Section 3800. .C). POLICY NO.: EXP.DATE: COMPANY: PARKING RE • PROV; PARCEL; 42606416 ZNE; REF NO; `7 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOtES> > Date: Applicant: ****************************************************************************K(-************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if th•� it is for one hundred($10)or less). DEVEL OPMENT SER VICES REQUIREMENTSb./ I certify that in the performance of the work for which this permit is iss ed,I shall not• pU • t on in any manner so as to become • sable"yyi/q the Workers Compensation Laws of California. ZONING APPROVED BY DATE: Date: ( / �Z Signal • • - . ail BUILD INC APPROVED BY ' NOTICE:If.alter making this declaration,you should becom_ 4 to the Workers'Compensation provisions of the Labor : I DATE Code.you must forthwith comply with such provisions or 1 Tr rmif shall be deemed revoked. 4 ' j ./�, •ti CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; /�� DATE; Y/f 2 which this permit is issued(Section 3097,Civ.C). ********************** ' t•' 'flF / . „{ it ' x" ' ********** ...7710,-41/./.2 ."ficin,) ** LENDER: ********************************.*.*.,. —****** • *.i�r1**.Y**if******?(***)f******3F*3E******** ADDRESS: LEGALIZATION:N F E E S U M M • R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 850 }} repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed J 0% SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or That he/she is exempt 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 penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the — ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law TOTALS-- —> 18 , 50 15 . 00 0 . 00 3 3, e 0 33 . 50 , 0 0 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 33. 50 OVER/SHORT: 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/TOT GRADING PLAN—CHECK • forme purpose of sale) 33. 50 I,as owner of the propenY.am exclusivelyy contracting with licensed contractors Io construct the protect(Section 7044,Business ❑ and Professions Code: The projecctors'St ate License Law does not applyto an owner of property who builds or improves thereon **********************-lt***********************N.******************************** and who contracts for such projects with a contractor(5)license pursuant to the Contractors'State License Law).1 am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 , 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any luture building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. I Date:rapplication andcs hereby certify Thai have read this ilding and state that the above information is correct (comply with all city and county ordinances and state laws relating to building construction and hereby out •ire repres•ntati : o,g7,`, o enter upon the above-mentioned property for inspection purposes.� / i DaIe:�2�/[Z Signal . iu `... . :� i_. i ' Driver's License or Social Security f: -1641.46 White—Building:Green—Code Enforcement: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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. i 8. Foundation r - 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 r 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 I 78. FIRE PREY. FINAL 30. Drywall Nailing ! - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 7• 0. INAL INSPECTION 32. Electrical Power Meter-Final - /� �; y t -OOD CERTIFICATE ISSUED j7h� "' 33. Final Electric _!ll3 Notes: 34. Final Heating& Air Conditioning �� 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ' 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final - 41. Solar Domestic-Fina! , 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 LAT PY OF COSTA MEL_. i-. CALIFORNIA 92628-1200 P.O.BOX 1200 4 . DEVELOPMENT SERVICES DEPARTMENT May 22, 1992 • To: Building Safety Division , Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Admin.-Training Officer U.S.- Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added (in addition to 2280-2284 La Playa Drive South, there will be a 182 Albert Place address for the meter located on the property) : 182 & 186 Albert Pl. "A" 2281 La Playa Dr. South 426-064-15 182 & 186 Albert P1. "B" 2283 La Playa Dr. South 426-064-16 182 & 186 Albert Pl. "C" 2284 La Playa Dr. South 182 & 186 Albert Pl. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South 185 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-09 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North 185 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerely, RICHARD WELMERS Planning Intern (AIBERTPL.ADD)11 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 77 FAIR DRIVE Building Division(714)7545626 • Code Entorcement)Business License(714)754-5234 • Planning Division(714)7545245 FAX(714)55&7508 ill .I /4(1- 9,::, CiTY OF COSTA MESA 9:. f ,;,,, a;, CALIFORNIA 92628.1200 P.O. BOX 1200 Y`c — is V o f' . m `'oat DEVELOPMENT SERVICES DEPARTMENT ` RP March 16, 1992 To: Building Safety Division Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Admin.-Training Officer U.S. Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A.P. NO. 182 & 186 Albert Pl. "A" 2281 La Playa Dr. South 426-064-15 182 & 186 Albert Pl. "B" 2283 La Playa Dr. South 426-064-16 182 & 186 Albert Pl. "C" 2284 La Playa Dr. South 182 & 186 Albert Pl. "D" 2282 La Playa Dr. South 182 & 186 Albert Pl. "E" 2280 La Playa Dr. South -rP .85 & 189 23rd St. "A" 2297 La Playa Dr. North 426-064-08 185 & 189 23rs St. "B" 2295 La Playa Dr. North 426-064-09 185 & 189 23rd St. "C" 2293 La Playa Dr. North 185 & 189 23rd St. "D" 2294 La Playa Dr. North 185 & 189 23rd St. "E" 2296 La Playa Dr. North • 55voO - l85 & 189 23rd St. "F" 2298 La Playa Dr. North NOTE: ALL LOTS ARE COMBINED. Your cooperation in this matter is appreciated. Sincerel (� RICHARD WELMERS Planning Intern - (ALBERTPL.ADD) I1 cc: Mike Talbott Jim Young VNE Development 19800 MacArthur Blvd. , Ste 1450 Irvine, CA 92715 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 FAX(714)556-7508 4 23RD• STREET x 2297 E- 2298 O Z W 2295 > 2296 ccc 2293 a 2294 Q calI i- 4 O 2284 N Lu 22830 2282 Q J 2281 a. Q 2280 J ALBERT PLACE PROJECT ADDRESS: � ti.0P—�.-_ nn•r TJ„ UNIT: 1-9-.--- CITY OF COSTA MESA — BUILDING PERMIT PERM NO1 B 052419 OWNER'S NAME: JIM YOUNG ADDRESS: 31 ARGONAUT PERMIT NO: B 052419 PLAN CHECK NO: 06159-90 L GOVT; N\ SUPP: N ALISO VIEJO CA 92656 1 CONSTRUCTION TYPE: V—N PERMIT TYPE: STH PURPOSE: NEW 837-7008 °ARCHExcwEER: tAYLOR ARCHITECTS aeD.xO.: C-014978 JOB DESCRIPTION NEW SFD SQ FT: 2, 497 ADDRESS: 1670 SANTA ANA UNIT: K • CM CA 92626 CLAIM VALUE: 120, 000 . 00 CALC—VALUE: 146, 146 , 70 GROUP OCC: R-3 / PERMITTEE: YOUNG/RUSSELL DEV, INC, ( 714 ) 837-7008 ADDRESS: 31 ARGONAUT COMMENTS: NEW SFD 1 OF 5 W/ COMMON DRIVEWAY ALISO VIEJO CA 92656 ***********************************************y w�tps� u c rrErtds UCENSED CONTRACTORothe-Business DECLARATION: I hereby ion affirm that I am licensediunder provisionsorceChapter 9(commencing with Section ZONING R 7000)of Division 3 of the-Business and Professions Code,and my license is in full force and effect. S E T B A C K S CITY UC.: STATE UC.: CLASS: • Date: Signature: d; MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I herebaffirm that)have acertifiate of consent a nt to self-insure oraNlicateof Workers' LEFT: 26 FT IN RGHT; 5 FT IN LEFT: FT IN RGHT: FT IN • FRNT: 10 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: _ - PARKING REQ• 13 PROV; 13 PARCEL : 42606416 7.NE: R2 REF NO: DR9032 EA Certified PLANNING NOTES> ONE, 2—STORY DETACHED CONDOMINIUM (OF A 5—UNIT PROJECT) W/ ACertified copy is hereby famished. ❑ Candied copy is filed with the dry Building Division. > 2—CAR ATT. GARAGE Date: Applicant: **************************** ***************************************Gif********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). D E V E L O P M E N T SER VICES R E Q U I R E M E N -T S I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'Compensation Laws of California. ZONING APPROVED BY lA ) Cr lL DATE: _LgiCj t, Date: Signature: BUILDING APPROVED BY : DATE: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit that be deemed revoked. � / � 1 (� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: (7`3 ,L- DATE: rr�7 5F( which this permit is issued(Section 3097,Civ.C). ********************************************************************** * **- h"* �j LENDER: ***********************************************************3:****:*******4E1:*****4( ADDRESS: LEGALIZATION:N F E E S U M i lehA R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the followingreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 8 0 4 . 0 010 ^ 2 3 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 522 . 60 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by1 any apDbant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE - \ EN 1, as owner a/ the proceM or my employees with wages as their sole compensation, will do the work, ane the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK..- TOTAL PAID DUE EN structure 6 not intended or offered for sale(Section 7044,Business ane Protestional Code: The Contraclors'State Licence Law TOTALS————> 814 . 23 0 . 00 5 2 2 , 6 0 i 1336. 83 1336 . 83 . 00 does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through . fibhis or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 814 . 2 3 OVER/SHORT: UU improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or Improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP/TOT GRADING PLAN—CHECK 804 . 00 10 . 23 ❑ end Professions Code: TheTCoConam tractorseSateLiccetnusse withw licensed apply to ars to of f pro ertht project(Seills or ov, thereon S apratoo theownerotrctors'State improves icensoLthereon ************1P******************4E***ii********'*;***********y.*******.*.************** and who contracts for such projects lh a contractor(s) ldbea our rant to the Contractors'State Ucwse Law).I am aware That proof of their Worker's Compenszlion insurance should be provided to me. INDIVIDUAL F E E„; B R E A K D O W N ❑ I am exe t and r Section: B.6 P. velycontracting with QTY DESCRIPTION UNIT COST TOTAL COST 4, �j Date: ft owner. �� / / SFR 2008 DWE TYPE V WOOD FRAMEi � —GOOD 69 . 00 138, 552 . 00 I do hereby c rtiry that I am aware of and understand the requirements of P. omia Health and Safety C..e'•ctions--in..,25533.and SFR 439 RES—GARAGES TYPE V '' 17, 30 ' 7, 594 . 70 25534 and that I or any future building occupant will/will not(circle one) -e,to comply with said state ' - and the requirements for a END OF FEES • permit for construction or modification from the Air Duality Manageme Di.trict.Residential construc'• applications are exempt from these provisions. . Date: Applicant: ,-v, I hereby certify th I have read this application U state th�j++((he above Information is corr I agree to comply with all city and county ' ordinances and s:tis avrs r Utingto building^• struclion an•�j•retry au[w Drpu this dry to enter upon the abovementiongl property for in .• tion t rposes. -' .. / II /? r Date: AP P Signature: �, y C'fisTrin� C"on,': .,,m "�-c 27 -ff.::' r. r Driver's License or,Social Security 0: 1641"46 White—Building;Green—Code Enlargs4en';Canary—Applicant;Pink—Revenue:Goldenrod—Assessor . • CONST+UCTION AND PLANNING P00 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 •11. 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, O Undrgrnd. r 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 OGas ❑Oii 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing l``/ \\ ger HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat lift, 9( 9, 79. FINAL INSPECTION 32, Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 1 33. Final Electric Notes: HO n--/-�-, _s �� 34. Final Heating & Air Conditioning op ' rrd KCQO:REMEN •( 35. Final Gas Pipe-Test I c7 36. Hood or Canopy 37. Final Factory Fireplace t //�� v iiijQ'$ //Q, _ 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 614-12_ 6,4.4 48. fNG .` t. j25 o errPit 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date • l • PROJECT RDOR[S3: .. . RC'i; . 1..__ ___ �^ (/ /,t., UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: EMP 052420 OWNER'S NAME: JIM YOUNG • ADDRESS: 31 ARGONAUT y PERMIT NO; EMP 052420 PLA." ECK NO: N GOVT: N SUPP: N ALISO VIEJO CA 92656 2 CONSTRUCTION TYPE: V-N PERMIT TY1E: ELE MEC PLU PURPOSE: NEW • 837-7008 ,, ARCH/ENGINEER: TAYLOR ARCHITECTS REG.NO.: C-014978 JOB DESCRIPTION : NEW SFD ,REFER TO #852419 SQ FT: ADDRESS: 1670 SANTA ANA UNIT: K CM CA 92626 CLAIM VALUE: CALC-VALUE: GROUP OCC ; R-3 / PERMITTEE: YOUNG/RUSSELL DEV. INC. (714 ) 837-7008 ADDRESS: 31 ARGONAUT COMMENTS : NEW SFD 1 OF 5 W/ COMMON DRIVEWAY ALISO VIEJO CA 92656 *****************************************#*** ******#**%************a*****#***# LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in fun force and effect. SETBACKS CITY UC.: STATE UC.: CUSS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN- Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN• POLICY NO.: EXP.DATE: 111CoMPANY: PARKING REO: PROV; PARCEL: 42606416 ZNE: REF NO: Certified copy is hereby furnished. ❑ Certified copy is filed with the cityBuilding Division. PLANNING NOTES> Date: ':APPlicant: 1 1 ..***********#*** ***)E*ie.**3F*k:**'#**3-*# F **;** i-****y(**:**iE#Y****************lhlE***#!E3E?Fl\fi EXEMPTION FROM WORKERS'COMPENSATION DECIARAIION: (This section need not be completed if the permit is for one hundred.($100)or less). 1 D E V E,'1. 0-1S M E 1:N• T '> s.-:E R .-y C E- S, .R E Q U I R E M E N .i S I certify that in the performance of the work for which this permit is issued,1 shall.not employ any person in any manner so as to become .` ,p �'_ subject to the Workers'Compensation Laws of California. - . . ZONING APPROVER BY : . -- - • . r ' .'/c DATE: C•3 Date: Signature: - j • NOTICE:If,after making this declaration'you should become subject to.the Workers'Compensatiomprovisions of the Labor "BUILDING APPROVED BY _ .. .^c" '- - DATE; Code,you must forthwith comply with-such provisions'or this permit shall be deemed revoked. : - '1 t '"? ..•. y, t I ,•• • CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for theperformanie ofShe work for ;::APPLICATION ISSUED BY ,. .'' ' •Ci r✓ .. 1 -,c ( I ,Q /�l which this permit is issued(Section 3097,Civ.C). _ *******************:*ICS . •* '' LA `�$k-ick ** LENDER: - *************ii******************4***i!******* ********** **#3i*;i***********iP?!.*-* ADDRESS: LEGALIZATION:N F E E SUMMARY ��/ STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: thereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC / FIRE SMIP/RES4 GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 4 3 00 70 28 51 ,00 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed .5% t 0$ .2 5* SMT N014-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)at Division 3 of the Business PLAN ``` "'� and Professions Code)or that he/she is exempt 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 penalty of not more than five hundred dollars($500). ISSUE FEE • 3. 00 15. 00 15 . 00 ^ I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID I DUE ❑( structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 164 . 28 33 . 00 0 . 0 0 197. 28 197 . 28 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through • his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--i COLLECTED • 19 7. 28 OVER/SHORT: 't ,00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for thepuposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADIN C LAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 4 6 . 0 0 8 5• 2 8 66 . 00 ❑ and Professions Code: The Contractors'State License Law does not appy to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pars ':nt to the Contractors'State Li ense Law).l am aware ***M**********************if***-M-1('*********'********************#**%3F#iE3i****#**IE#* that proof of their Worker's Compensation insurance should be prow:i to me. . INDIVIDUAL F E E BREAKDOWN o I am exem under ction: B.8 P. •'' for th's r on: TYPE QTY DESCRIPTION . UNIT COST „^TOTAL COST Date: /f 9. / Owner , ..,94 .0 ELE 2008 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 70. 28 : I do hereby ertify tha I am aware of and understand the requirements. fomia Health and Safety Co• ions 5505,25533,an MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 . 00 9 . 00 25534 and at I or any future building occupant will/will not(circle one to comply with said state codes and the requirements for a MEC 1 INST/RELOC RECESSED WALL HEATER 9 . 00 'yT 9 . 00 permit for construction or modification from the Air Duality Manage i. 1 trict.Residential construction applications are exempt from these provisions. . MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 ' -. 9 . 00 MEC 2 FACTORY FIREPLACE 6 . 50 ^ 13 , 00 Date: Applicant: MEC 1 INST HOOD W/DUCTS FED BY NEC EXHAUST 6 . 50 . 6 . 50 I hereby certify that I have read this application and state tha J he above information is correct. gree to comply with all city and county NECMEC 1 VENTILATION T I LAT I ON FAN CONN TO SINGLE DUCT 4 . 5 0 / • 4 . 50 ordinances and st a laws r sting to building co Motion and/ reby authorize representatives is city to enter upon the above- iexea PLU 2 BATHTUB 2 . 00 4 . 00 properly for ins churl rposes. 1/`� ll° / PLO 1 DISHWASHER I� 2700..^.i l` 0 . 0 f _ ' 2 . 00 PLU 1 LAUNDRY TUB OR WASHER DATE: 2;00•';', ,2jis 2 . 00 Date: iAnature: / •• c' .4 PLU 2 SHOWER 2 . 00 - 4 . 00 Driver's Lic nse or Social Security x: 2f 1641-46 White-Building;Green-Code Enforcement;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor 4 /' • CCYsISTRUCTION AND PLANNING • POOlD�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 6-2S-14 ae 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. S C 57. APPROVAL TO COVER-GUNITE 7. Footings ( / 58. Electrical Conduit-Undrgrnd. l8. Foundation 111 1 59. Gas Pipe, 0 Undrgrnd., Test • : 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 7_(-R( 06,4 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 q 2-q1+(-( LEP 65. Electrical-Final )5. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 4_ra.Gt( r ems 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 4224(-.14 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 La'�(p-�{( 0(f 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat v- 75. Dry Chemical 27. Frame and Flashing 049.A( 6"41- 76. Dry Standpipe 28. Lathing& Siding -7-t ( act-it 77. FIXED SYSTEM FINAL 29. Insulation /6 "fl-Rt 2(tL 78. FIRE PREV. FINAL 30. Drywall Nailing t('\- r Gt( Off HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat '1(-2Z-fig Qt' 79. FINAL INSPECTION 32. Electrical Power Meter-Final ` � / 80. FOOD CERTIFICATE ISSUED / 't- - 33. Final Electric Notes: 34. Final Heating & Air Conditioning 3-2-s qy(,e(jJ. 35. Final Gas Pipe-Test It_ �( LEO 36. Hood or Canopy 1 37. Final Factory Fireplace 7'2�' Lago 38. Final Plumbing2S�� LED 39. Water Service-Final f t Lrn 40. Gas Service-Final (/ 41. Solar Domestic-Final 42. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING Lf-}12_ 6c._4( ` Fntas4.e sea frt.- 6.1-4-4Z- 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date , v PROJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: PERMIT NO; EMP 052420 PLAN CHECK NO; 02101-91 N PAGE: 2 L ************N-*********************di•If***if*******k♦;.le**le***JE**.k-*.*************a":*** j ARCNIENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 SINK, KITCHEN 2 . 00 2 , 00 PERMITTEE: PLU 1 WASH BASIN 2 . 00 2 , 00 ADDRESS: PLU 2 WASH BASIN (SET) 2 . 00 4 . 00 PLU 3 WATER CLOSET (TOILET) 2. 00 6 . 00 UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 1 WATER HEATER AND/OR VENT 2 . 00 2. 00 7000)of Division 3 of the Business and Professions Code,and my license is in fun force and effect. PLU 1 WATER SERVICE 2. 00 2 . 00 CITYUC.: STATEUC.: CLASS: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00 Date: signature: PLU • 4 GAS PIPING SYS 5+ OUT.L—PER OUTLET . 50 2 . 00 PLU 1 GAS SERVICE 2 . 00 2. 00 WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). PLU 1 BACKFLOW PREVENTER 2 . 00 2 , 00 POUCY NO.: EXP.DATE: PLU 1 SEWER, CONNECTION TO BUILDING EACH 5. 00 5. 00 COMPANY: END OF FEES .7 Certified copy is hereby furnished. ❑ Certified copy is Med with the city Building Division. �( i Date: - ' Applicant: - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(3100)or less). I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. . i Date: - Signature: NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for j;' which this permit is issued(Section 3097,Civ.C). /- LENDER: ADDRESS: " OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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 to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt 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 clril penalty of not more than five hundred dollars(5500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the LJ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law filsdoes not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. It,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or Improve for the purpose of Sale). I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business El and Professions Code: The Contractors'State License Law does not apply to an owner of property who budds or improves thereon and who contracts for such projects loth a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensztlon insurance should be provided to me. 0 I am exempt under Section: B.8 P.C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and / 25534 and that I or any future building occupant wilgwill not(circle one)need to comply with said state codes and the requirements for a J permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county • :2 F r—7 y__/ - ,_ — — ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned Jr o�:r - �"• property tori inspection purposes. 0 S 01-12C7"737.—:i , ,_ unlc. } ,, 1 ."r1 iifrt __'21 Date: Signature: Driver's License or Social Security A: 1641-48 White—Building;Green—Coda Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING • POO�SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector •. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. (oLbikt ted, 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. 77//Q/ LSO 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 c. 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 PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 3/2412z 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37..Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar 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 . A PROJECT ADDRESS: UNIT: iBZ ALBERT-- B�� CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 056585 •OWNER'S NAME: JIM DUNG O ADDRESS: 31 ARGONAUT �Z� : PERMIT NO: M 056589 PLAN CHECK NO: N GOVT: N SUPP: N ALISO VIEJO CA 92656 CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW ARCH/ENGINEER: 8 3 7—70 0 8 REG.NO.: ADDRESS: 1670 ARCHITECTS C-014978 JOB DESCRIPTION : INSTALL NEW FURNACE SQ FT: 1670 SANTA ANA K CM CA 92626 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: SANTIAGO A/C INC, (714 )998-1600 ADDRESS: 231 W. BLUERIDGE AVE. COMMENTS• REF: B52419 ORANGE CA 92665 *************ir************************ #************* **+t*******;,ter************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am li insed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001)of Division 3 of the Business and Professions Code.and my 1)i e is in full force and effect. SETBACKS CITY LIC.: 007985 STATE LIC.:269496 ' C-20 ( aero. ,—/gr—y+� Signature �' 'i MAIN BUILDING ACCESSORY BUILDING : WORKERS'COMPENSATION DECLARATION: I hereby affirm at I j:ve a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 800, Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICYNO.: W-9732051 EXP.DATE: 07/01 /92 COMPANY: PAC STATES CAS PARKING REQ: PROV: PARCEL: 42606416 ZNE: REF NO: •0 Certified copy is hereby furnished. a Certified copy is fled ith the city Building Division. PLANNING NOTES> —/ G— > ate: Applicant: / ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This ctio need not be completed if the permit is for one Hundred(5100)or less). DEVELOPMENT SER V I C E S REQUIREMENTS certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY 1:: DATE; Date: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that(here is a construction lending agency for the performance of the work for APPLICATION ISSUED BY. , DATE• 3—(`P which this permit is issued(Section 3097,Civ.CI- *********************4* **********. **************.************** *.*******.* .j*. LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E S U M MAR Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 7,00 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed L 5 Z SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7100)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 00 15 .00 0. 00 2 4 . 00 24 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/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 of completion00 ,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED. 2 4 .0 0 OVER/SHORT: tor the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************,* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 . 00 9 .00 I do hereby certify that I am aware of and understand the requirements of California,Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby Drize representatives of this city to enter upon the above-mentioned property for inspectign purposes. ..----,,Date. -34Signature'., -----....---- Driver's ----✓Driver's License or Social Security#: :1 V, ._''' 71' '7'17...:-.; — - ' - 1641-46 White—Buildino:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor •.(` �� -�r 1 C• t a • • CONSTRUCTION AND PLANNING POOL d SPA • APPROVALS Permit# Date Inspector • APPROVALS Permit# Date Inspector . 1. Temporary Electrical Servize or-Pole7 52. Pool & Equipment Location Y , 2. Soil Pipe-Und_rgrnd" ; 53. Steel Reinforcement -3. Electrical:C'ondSit,l,Tility-Undrgrnd:L 54. Forms 5 ` 4.:EI'ectricaCCbnduit•Uhdrgrnd. - 55. Electrical Bonding c t - to T ':t'5.:Ste el tie infe orcmettt ','T 56. Rough Plumbing & Pressure Test r n6.± cal ElectriUSF ER end. ^_� -t 57. APPROVAL TO COVER-GUNITE .. ti,_, . .f Li .11 ' 7. Footings" • •r58. Electrical Conduit-Undrgrnd. 8. Foundakion; - t V 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undi9F,pd._ - 60. Backwash Lines, P-Trap, 0 Undrgrnd. C 10. Structural Floor System : 61. APPROVAL TO DECK 11. Property Sewer Cine-;& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ti .y LL. 63. Heater & Vent-Final 13. Roof Drains-c ":• 64. Plumbing System - Final 14. Rough Plumtiiig ti 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Etectri@Viring 67. Fencing & Access Approval 117. 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_rRough Factory Fireplace ..g Pr 'C -- t. C.:,/ _ • APPROVAL&',:..Permit# ° I. 7..0 -.• S-Y -\•Z f „ '..• `i.--, - vr - - - x _ y ,,. , 21.',Ducts, in-Structure. . S J 'tt .• i70. UndergrotmdHyriro dr a 22. Duct3, Ventltatirig' _ , . s t'` ' 171. ProductrPS' g &Gas 00i1 23`:Gas-Pipe Rough &Test ; S r - _ c _72. Underground Flag*: v - 24.43oo3 Framing -r;:i, - ••- _ * ' S73.'-Undergrnd.Storage Tank'0 Gas ❑011 It 25. Roof Sheathing ".ti ' .• _ • 'j; ._ '74,�Overhead Hydro'n� 26..T-Bar Ceiling (Structural) & Monoocoat cc ?- v75=Dry Chemical 1 r - 71 It yA ^ _ 'A D t t " S t r C:27.trame and FlashfiV, rs 76: Dry Standp(pe _ ._ . ., r,... _. . t. . - ' 28.1 Lathing.& Siding - _ _C.L _ £ •• -- 77;:' FIXED S_Y&TEM:)±INAL` '29. Insulation r ` • .. >. j I -e......;. 3 78;-;:.FIRE PREV. FINAL . - 'r �' =30. Drywall Nailing k -;� -- HEALTHrDEPT R-EQUIREMENT `31. Plaster Blown Coatk _ I p * „79:'FINAL INSPECTION ; It r,..�_ ;-32.-Electrical Power Meter-Final' t 1 it : r80FOOD CERTIFICATE ISSUfED >33.tinkl El ctric r rr. , n • ,` , i1Noies.• r ' -34:•Final. Heating_& Aii.Conditioning_ %�j /4 r; 7. z • :�t� .< - _. t 35 Final Gas Pile-Test '_ : 1 i ;y _ '• _ _ :0 ':: Lr 'Sc - it 36. HoOd or Canopy > _ •r. -e C, i - f F. s. a. . •r 37. .Final.Factory Fireplace,- - . r' rr I j i; ' '1 w • a - - . . ♦ .-. .-38. Final Plumbing > 'I • o .-39. Water Service-Final . r it; - '- * C " "' • s, I >• -r Iii 40. Gas Service-Final ; r e .try I _.a. r__v a r41. Solar Domestic-Finals j I k_ ? r ;e i t . y .D •-42.-Backflow Preventer - a I , . '' D 43. Backflow Irrigation_ S-ta - ` a , 1 v _ } J .-1-44. Landscape Irrigation Systemr,,,c= j: t _„ r+ -1+. r - :9 iC v 63 .C:.. _ • c _ :•45.CSound Attenuation ' ,a:f' "- - •• .R . ' _ ¢ '• 516. Handica •Regulations - - .r a J - -, 47.-FINAL STRUCTURE & BU.ELDING t, •r - S t • - I '*• a - ' 48: FINAL PLANNING n' r - t ti .6 . 49 1•Elec{ric Release to Edison , '. � s t50. Gas,Release to Southern California Gas Co - I I ' h ,51. CERJIFICATE OF:000UPANCY 7k r - _ - . - No. Date