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Home My WebLink About381 LA PERLE LN - Building Permits� � � CITY OF COSTA MESA � � - � 4�,O�p ME,p � , B!/ILDING DIV/SION ._.- --- _..._...._.._..._� i' � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 7545273 • Fax (714) 754-4856 •�.ci.costa-mesa.ca.us .. ,,.,.,;,, ,,,.. I � ,,,... Y .. FOR INSPECTIONS CALL: (714) 754-5626 . . ..,,,. ___`...' !__J �� s . PERMIT NUMBER: BX11-00198 PERMIT TYPE B MISC STATUS: ISSUED G,PN: 93780032 � DATE ISSt1ED: 07/06/2011 Zoning: , ISSUED BY: CAC �. .. JOB ADDRESS: 381 LA PERLE LN CM Vicinity: SQ. FT: 0 Suite/Unit: PrimaryOcc: ConstType :?? � Valuation: $48,000.00 SCOPE OF WORK: •;., • REFERENCE EXPIRED BX08-00281. REPALCE 23 WINDOWS AND 7 DOORS. INSPECTION WERE DONE UNDER BX08-00281. WINDOWS SHALL COMPLY WITH THE EGRESS REQUIREMENTS 44 INCHES FROM FINISH FLOOR TO SILL . ADDED TO PERMIT 1 SHOWER . ASLO REPAIR DRY WALLS IN SIDE THE HOUSE DUE TO WATER DAMAGE INSTALL INSULATION I NTHE WALLS. � OWNER: DI DOMENICO, MARC R City/State: COSTA MESA, CA Phone: 1 APPLI�ANT: JUANBACA City/State: HUNTING70N BEACH, CA Phane: 714-579-5575 CONTRACTOR: USA SPECIALIZED SERVICES INC Address: 5942 EDINGER AV City/State: HUNTINGTON BEACH, CA Zip Co�: 92649 ARCHITFCT: Phone ' ENGINEER: Phone FEE SUMMARY "� Building Plan Check: Building Permit: � Electrical Permit: �. SMIP Residential SMIP Commercial , Bldg Std Admin Fund Address:: 381 LA PERLE LN Zip Code: 92627-3757 Address: 5942 EDINGER AV Zip Code: 92649 License No. 827447 Phone 714-579-5575 $0.00 $624.05 $0.00 $0.00 $o.00 $z.00 License No. License No. � --Unit--. __,.... � ... ..-,.. � .._ .__...._.. , Unit ' :* Unit: . . ._...:n� Cell: , �7 r-i:: :;; J:iF:i:C2 s 1 �!n�:,'r,i__. ;Jr.i, -_ -_ -.-. i „ f: � :i: TOTAL FEES 8626.05 � HOURS FOR CONSTRUCTION ACTIVITY: EFFECTNE 3/78I2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibiled all hours - Sundays and the following Federal Hoiidays: New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivina Dav and Christmas Dav .. . NOTICE: The work au[hori�ed by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable.codes,.and all required inspections and final approval must be obtained. FaiWre to obtain inspections and fnal approval will result in the expi�ation'of this �permit. GOOEt. INSPECTIONTYPE DRTE INTiTIALS CO�EC INSPEC710NTVPE �OATE ��.. INTITIpLS 1616 Fixetl System Final Fi2 P�¢�enfion 206 Final Mechanical � 1266 Pool Spa Final 208 Final Plumbing �,.r.,,. _... . . 200 Final Re-Rool 210 Final ElecUical � 201 Final 81ock/Retaininq W all 212 Fina1 Fire Preven�ion ' 202 Final Factory Fire Place 220 Fnal Planning Approval �� ^' 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy �_�� i _ � WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalry of perjury one of the following tleclarations: ❑ I have and v+ill mainlain a certifcale of consent to 5elf-InsUre for workers' compensation, as pmvidetl for by section 3700 of the Labor Code, (or the peAormanCe of the work for which this permit i5 i55Ued. � I have and will maintain workers' compensation insurance, as requiretl by seZtion 3700 of Ihe Labor Code, for the pedormance o! the work for which this pertnit is issued. My workers' compensation Insurance carrier and policy Carrier �I../Vi�%I��- g�/��IfC IA�SJ1'�HI��CR 1.�. need/r�r.M be canpe1tM' ✓1he peimrt �s valuee al wre nundietl ddlars (3t00) or less.) P licy Num r. 4� � ri( l Q ❑ certify that in Ihe per(ortnance of Ihe work !or which this permit is issued. I shall not employ any person in any manner so as ro become subject ro the workers' compensation laws o� Cali(omia, and agree that if I should becom s jecl to Ihe workers' compensation provisions of Section 3700 of the o'otle, I shall (orthwilh comply with Ihese provisions. � —G�-'// plican's Sigru Wr Dale WARNING: FAILURE TO SECURE WORKERS' COMPE ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS (5700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrm ihat I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 0! lhe Business and Professions Cotle. and e is in full fo(rc�e and effeG. /� /� ic. # � / �'� I �/(�Ci3SS� /J � '7 '_// onlra<tor' SignaWre Dale CONSTRUCTION LENOING AGENCY: ❑ I hereby affirm that ihere is a consWcCan lending agency (or Ihe peAormance ot lhe v.vrk for wnich this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: �a�e OW NER-BUILOER DECLARATIONS: I hereby aKrm thal under penelty o( perjury �hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the followinq reason (Sec. 7031.5, Business and Prolessions Code: Any city or couniy which requires a permil to construct, alter, impmve, demolish, or repair any structure, prior to its issuance, also requires the applicant (or such permit to fle a signed statement Ihat he or she is licensed pursuaN to Ihe provisions of [he Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and Ihe basis (or Ihe alleged exemption. Any viola�ion of Section 7031.5 by any applicant for a permit subjects the applicant lo a civil penalty of no� more than five hundred tlollars (5500�.): � I, as ovmer of the property, or my employees with vrages as their sole compensation, WILL DO THE WORK, and the slmcture is nol intended or oflered (or sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law dces not appy ro an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her ovm employees, provitled that such improvements are not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, lhe owneo-builtler will have the burden ot proving that he or she did not bui10 or improve for purpose of sale.). ❑ I, as ovmer of the property. am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construcl Ihe project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an ovmer of propeny who huilds or improves thereon, and who contracis for such prqect with a conlractw(s) license pursuanl to the Cont2ctors License Laws.�. ❑ 1 am exempt under sec. - Business and Professions Code for this reason: 3051<6 (3ro17 Owner ID venfied by drivt. _.�cense. ❑ Yes ❑ No Driver's License No. Expires: Verifcation of Ownership by (Iypeof documqnt, i.e. - property tax bill or deed�: . DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation frve (5) or more fee[ in depth into wfiich a person is requiretl �o tlescen4 will be made in connection vrith wnrk authonzed by this pertnit, and ihat no building strucWre, scaHddinq, (alse�wrk, or tlemolition or dismantling Ihereof, vrill be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sea 341, Title 8, Califomia Atlminisirative Code). ❑ As owner-builder, I will not employ anyone to Do work which would require a permit from the Division ot Industrial Satety, as noted above, unless such person has a permit to tlo such work from the division. AppliWnl's 99^aWR Division ot Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will �he applicant or present or future building occupanl need to fle and certify a Business Plan (or emergency response to release or threatened release o( a hazardous material7 ❑ Ves ❑ No (Section 25505 of the Califomia Health and Safety Cotle requires, with some exceptions, that a Business Plan be fled vrith �he Costa Mesa Fire Department by every business which has at any one time during a reported year a quaMi�y of hazardous matenals equal to or greater than a weight o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at stantlartl lemperaNre and pressure). t, 2. Does or will ihe applicant or present or fuWre builtlinq occupant CGetl to file a registration tortn for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Satery Code, wim some excep�ions, requires registration with �he Cwta Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous materials equal [o or greater than a weight of 500 pounds, or a volume o! 55 gallons, or 200 cubic feet of compressed gas at standartl lemperaNre and pressure). 3. Does or will the applicant or present or fuNre building occupari need to prepare an RMPP (Risk Management and Prevention Program fi acutely hazardous materia�s�? ❑ ves p No ,�� (Section 25534 of the Cali(omia Healih antl Safery Code provitlas tha[ Ihe Costa Mesa Fire Department may require Ihe preparation, certifcation and filing wiM the Fire Department of an RMPP by businesses which are required to regis[er acutely hazartlous materials vnth the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Calilornia Health and Safety Code been fully wmplied with? ❑ Yes ❑ No 5. Does or will the applicant or presenl or future builtling occupant require for Ihe work which i5 Ihe subject o( [his application a permit (or such conslruction or modification from the South Coast Air Quality Management District or from any other air pollution control disMct or agency? ❑ Yes ❑ No (Section 658502 of [he Califomia Govemment Cotle requires that the requested information be fumishetl on applications for non-residential building permits). 6. Will any part of the faciliry to be consWcted under this permit he within 1000 feet fmm the outer boundanes of a school? ❑ Yes ❑ No (If'yes", Ihe facility must meel the requirement of Sec[ions 25534 antl 42303 of the Califomia Health and Safety Cotle). 7. If a permit from the South Coasl Air �ualiry Management DisMcl or other air pollution control tlisMct or agency is required tor the work which is the subject of this application, have all of the discbsures prescribetl by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf yes", attach cenifcate of compliance from the appropriate air pollution control offcer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcc I agree to comply with all state laws and ciry ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application antl state Ihat the intormalion given is correcL I agree m comply with all state laws and city ordinances relating to building constmction, antl authorize representalives of the City o( Costa Mesa to enter upon the above-described property (or inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by lhis ermit until �nal inspec�ion. re galOwneqs) Dale `��C-._ii AnClor ulhonxe� iWnl te CitY of Costa Mesa Development Services Department Building Safety Division P. O. eox 1200 � Costa Mesa, California ,... i4:T ' . . . CERTIFICATE OF OCCUPANCY No. The Building located at oai r> oe.-lo r�no has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group R3/M1 Occupancy. Use of Building Resid2[tt.idl Le9al Description 425-3111-15 (See reverse side for Metes and eounds) Building Permit No �' 4%059 Electrical Permit No. �'�"' ' Plumbing Permit No. � � Mechanical Permit No. '-�� Number of apartments ISSUED T0: �." _ u� . .;_ Building Official by and/or guest rooms - Date '-'�-1 � ' Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the ling Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. 3015-46 rev. 1/83 Whire - Owner, Can�- Numerical File: Pink - Bldg. Permit File — � ,� PH0.IECT AO�flESC: 3 S S LA P ERLE LN . OWNEp'SNRMF: WARD INVESTMENT CO ` aooness: z 110 NEWPORT BL , C, M, ,,, � HEG.NO.: uxrt: uxn: .._ .,, �_a� –.�–.: rEflMITTEE: WHriD INVESi`M�:NT`''�� (714)642-2000 anoeess: z 110 NEWPORT BL ' COSTA MESA CA 92627 LICENSE� CONTIIACTOR �ECUMTION: I �ereby aRirm Ihat I am Iicen5e0 unEer provisions oi Chapter 9(commenunp wiN Section 7000) ol Division 3 of t�e Business antl Protessions Code, and my license is in fullforce anJ eifect. CIfY LIC.: , ' STATE LIC.: . CLASS: Date: Signature: � WOBKFRS' COMPENSRTION OECIANIITION: I �ereby aflirm Ihatl Aave a certificate ai consenuo sel4insua or a cerlitica[e o� WOMers' Compensation Insurance. or a cetlifietl copy t�ereof (Section 3800, Lah. C). IPOUCY NO.: E%P. ORiE: � � COMPRNY: Ceriified copy is hereby fumi5he0. ❑ Ceriitietl coOY is filetl wiih the ciry Buildinp Division. Uale: ' pDDlicanC -� IXEMVfION FNOM WONNENS' fAMPENSPTION OECWWTION: (ihis section ncetl not be complete0 H ihe permit a for one Aundr¢d (510� or less). I cenity that in tAe pedormance oi the wnrk lor.which IAis pdrmit is issu I s�all not employ any per in any manner so as to hecome suDlect to Ne Workers' Compenution Laws�ai Califomia. � �� /J Oate: �(SipnaWre:" '�(j_iLS(�Ce/ �• NO71�, aiter makin0 �Ais tleclaration, you shouM,become sublect to tAe Workers' CamDensation Dmvisions af 1 e Lahor CoOe, you must torthwith comDly vnthsuch'Drovisions or I�is permit shalLbe tleeme0 rewketl. CONSTPULTION LFNOING 11GENCY: I �eretiy affirm that there is a consiruction IentlinB aqency lor tAe Oehormance ol Ihe work for wAich this permii is issued (SCction 3097, Civ. C�. lFNOEB: RUGHESS: ' " OWNER BUIIDEq DECUMt10N: 1 �ereby atfirm that I am exempt fmm the Contractars' State License Law for IAe follovnnp reason (Section 7031.5 Business antl Profeuional Cotle: My city of counry whkh reQuires a permit to wnstruct, alter, improve, EemoliSR or repair any stmcture, Oriorto its issuance, also reQuires the applicant for suc� Oe�mit to file a sipne0 statemeN that he/she is licensed pursuant to t�e pmvisions oi Ihe Cont2dors' State License Law (ChaD�er 9(commencinp wiro Section 7000� of Oivision 3 ot the Business and Protessions Cotle) or I�at �e/she is exempt theretmm anU t�e Dasis for tAe allegeA exemD�ion. Any violation of Section 7031.5 by any aODlicant for a permit sublec[s t�e aOVlican[ to a civil penalry of not more than live hunEreE Aollars �550�). � �I, u owner ol t�e pmperty or my employees vnt� wages as-Iheir sole compensation, wi0 Ea the wark, an0 the � stmctureis notintenAeO oroflerediorule(Sectian 7044, Business an0 ProlessionalCoda: .TAe Contactors' State License Law Ooes not aOPty ro an owner af a pmDeM who builtls or improves thereon, anE w�o Oaes such work himutl/hars¢It or tAmuph his or Aer own amployaes, pmviaea that such impmvements are not intentlea ar otteretl for sale. If, however the huil0inp or imDmvement Is wltl vnthin one year oi comD�etion, ihe awner vnll Aave t�e Ourtlen ol provinp �e/she diE not �uilA or imDrove , �for the purpose oi sale). , , I, as awner ot the properry, am exclusivery contractinp vnt� Iicense0 con[ractors to consimc[ Ihe project 15ection 7014; Businass � ^and Prafessions Coda: The Cantactors' State License Law dces not apply to an owner of DropeM �o bwlUs or improves ihereon an0.w�o camractsior suc� D�ojects with a conVactor(5) license Dursuant ro ihe Coniroctors' State License Law�. I am aware Ihat prool oi thnr Worker's Compensation insurance s�ou10 Ge providaE ro me. , � I am exemD� unAer Section: B. d P. C. for this reawn: '7 (/ %� / �ate: G_ /` qr% l Owner J�/ (LY�� - b � I Oa �ereby cetliry tAat I am aware ol anC unEersWnC t�e requl2ments ol Calilornia Heatth an0 Safery Code Sections 255Q5, 25533, an0 25534 an0 t�at I or any tuWre CUIIEinp acupant unlVwill not (circle one) need ro comDty wit� said state coAes anE Ihe reQuiremenis for a permit for consiructwn or,motlitication imm the Nr �ualiry ManaOement District. ResiEential construction appliwtions are exempt tmm I�¢seprovisions. � Oaie: ADDlicanc I �ereby ceniry t�at I �ave reaE tAis apPlication and stata Ihat Ihe aEove information is correct I apree ro comDly with all ciry and counry oitlinances antl sUte Wws r¢lating lo OuilUinq wnslmcGon an0 �ereUy auttwnze reDresentatives ot Ihis cily to enier upon Ihe a va-mentionetl proPeM for inspe� se�� O /1 ��L, ,%° � Datei- Si nature: �'�'� � Y�— �� urivei s �icenu or socia� Seadry x: 1841�48 Whi�e—Builtling; Green—Cotle Enlorcameng Canary—Applicanp Pink—Revenue; Goltlenrotl—Assessor CITY OF COSTA MESA,– BUZLDING PERMIT PERM NO; B 047659 � • .. PERMIT NO; H 047659 PLAN CHECK NO; 04353-90.A_ GOVT:.N SUPP: N CONSTRUCTION TYPE; PERMIT TYP�E: STR PURPOSE; NEW JOb DESCRIPTION ; 2412SF RESID, 489SF GARAGE, 150SF DECK SQ-FT; ' 3,051 CLAIM VALUE; 120,000.00 CALC–VALUE; 176,957,70 GROUP�OCC; R-3 /M–i COMMENTS: ' � it*�r�tit�rit�tit�r�t�tititit�r*��tit�eit�tx�r�r**�rx�rit�rir�rxx��r�ti�xx�xi��t*�;r�r�tit**�r*�t*�r*+t�r�t**i�*x�**at�r****�-�t** Z O N I N G R E Q U I R E M E�N T S '_ S E T B A C X'S . ' ------------ MAIN bUILDING ---------= --------- ACCESSORY BUILDING --------- FRNT; 20 FT IN REAR; SO FT IN FRNT; FT IN REAR; ET�� IN LEFT; 10 FT IN RGHT; 10 FT IN LEFT; FT IN RGEiT; • FT' IN PARKING REQ: 2 PROV: 2 PARCEL: 42531115 ZNE; R2 REF NO: DR-90-02 PLANNING NOTES> NEW 3 BDR, 2.S BATH DETACHED APARTMENT, SIDE STBK FOR UNIT >„IS SEP,ARATION FROM NEW UNITS AT 379 AND'385 LA PERLE LANE, , ik iE it iE it ik iE iE 1f it �k if 1f iE 1F if,iE i! iEit if if if iE it iF i! ik ik iE iF ik ik it iE it it ik i! it it f! j! if �t it if if if ik ik iE iF �f if k iElf iE i! ff iE iE iE it iE iF iE �)E iE iE iE it iF it * iE iE iE D E V E: L O-P � M E N;,T S E R V I C E S R E Q U I R E M E N;T S ZONING APPROVED�BY �_• :' :��f I.J�iIL � DATE: ��0��`1r-� , `HUILDING APPROVED BY,:.: r- DATE; ' � �� ', . � . . APPLICATZON ISSUED 'BY;- S I �5 %�-- DATE: � *it*itx�*itat*itat*atit**�tit�;*ititiF3F�F�F'iF'iF�FiF3F3Fif�f iF�Fif��FiFiF�t�F3FiF'iFiF***itjt*af*it* a itit it it iE iE jE iF iE iF iE iE iE i(� it it it * i! ik.iE ik iE iE iE iE jE 3E if 1E i! iE iE iE iE ik iE iE iE iE iE iF if ik iE k if ik it iF iE iE �f iE 1E if if if iE if iE 3E �)E iE iE iE iE 3E if iE iE if if iE iE iE jE it iE iE iE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG,PMT PLUMBING ELECTRIC MECHANIC FZAE SMIP/RES GRADING PERMIT 909.00 12.39 . � _. SMIP/NON—RES PLAN 147.71 ISSUE FEE HUILDING—DIV—> PERMIT ISSUE ' TOTALS----> 921,39 0.00 REVENUE DIVISION TOTALS--> . CO HLDG PMT PLUMBING ELECTRIC 909.00 iF it �1F it it it if it jt # iE iF it dE iE iF it it if i! iF'rt if i! i! ik it if if if j! if if ECK TOTAL PAID DUE .71 1069,10 1069.10 .00 : 1069.10 OVER/SHORT: 00 C FIRE SMIP/TOT GRADING PLAN–CHECK 12.39 , 147.71 iE iE iE iE iF iF k iF 3f iE jE iE if iF iE iF iE ik if i! iE if dt iE it iE iE iE iE dE if iE if jE ik iE iF if iE I N D I. V I D U A L', ;��F E E B R E A K D O W N , . TYPE QTY D E S C R I P T I O'�N:; UNIT COST � :� SFR 2412 DWE—TYPE V—WOOD ERAME''•: —GOOD 69.00 SFR 1.50 RES—BALCONY, EXTERIOFt�STAIRWAY 13,80 SFR 489 FiES—GARAGES TYPE V � 17.30 END�.:OF FEES \ TOTAL COST 166,428,00 2,070,00 8,459,70 s 02 D�0;26Ei-ODD62cS9 T ��T �nyy,ip C�f+TE: �b/U7i40 �Ii1E: 1�:43 �� '�—_� � . . . _ i� , CO�STR � AND PLANNING � •_�- �00 �PA• �- AppRO Permit # � Date Inspector AppROVALS Permit # Date Inspector ..' 1. Temporara'�Electrical Service or Pole , �� 52. Pool`& Equipment Location - ; 2. Soil Pipe-Unc!�grnd. � � 53. �Steel Reinforcement " { �'� 3.'�lectrical Con� uit�Utility�Undrgrnd. " 54. 'Forms �' 4. Electrical Conciuit�Undrgrnd. �� - 55. Electrical Bonding i `� � � 5. Steel Reinforc,ment� - � 9� .D (,� 56. Rough Plumbing & Pressure Test - " 6. .Electrical UFE6i Grnd. 57. APPROVAL TO COVER�GUNITE - - 7. Footings t- - 58. Electrical Cqnduit-Undrgrnd. 8. Foundation ,f �' � 59. Gas Pipe, � Undrgrnd., Test - ,�9, Water Pipe�Un�rgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd. - 10. Structural Floor System ` j8 67. APPROVAL TO DECK _ � 11. Property 5ewer Line.& House Connection 62. Backwash & ReceptorFinal •;� .�-�� 12. Sewer Cap _ , 63. Heater & Vent-Final ' 4' ( 13. Roof Drains , ��, 64. Plumbing SYstem-- Final �' �- 14. Rough Plumbing 65. Electrical-Final �- - 75. Rough Electrical-Conduii - 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. POOUSPA SYSTEMS FINAL �_ � � 19. Rough'Heating & Air Conditioning -� . FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ' , ' �� APPROVALS Permit # 21. Ducis, in 5tru"cture � '' - ' � - 90. Underground,Hydro � - 22. Ducts, Ve�tilating . . _ ' ' - - ' �71, Product PiDing O Gas ❑ Oil 23. Gas Pipe-Fough & Test . ;" 't _72. Underground Flush - � •- - 24. Roof Fraining � . • 73. �Undergrnd. Storage Tank O Gas O Oil � 25. Roof Sheathing • ' � d 74. �Overhead Hydro _ 26. 7�Ba� Ceiling (Structuraq & Monocoat -' , 75.JDry Chemical ' �-j 27. Frame and Flashingr ' 0 0 76. Dry Stand�{iipe � _ 28. Lathing & Siding . � _" . ; - . $�{f� - Q�' 77. FIXED SYSTEM FINAL , - �• P9. Insulation " (� �'D 78v FIRE PREV. FINAL -' � _.� 30. Drywall�Nailing '_, � �� ' - HEAITH DEPT. REQUIREMENT 31. Plaster Brown Coat .. - ' ' � �99. �FINAL INSPECTION � � • �• `32..Electriwl�Power MeterFinal ' � � , 80. FOOD CERTIFICATE ISSUED_ _ ..33. Final Eleciric• • i . • �Notes: �Pp�� _ � 34. Final Heating & Air,Conditioning ' � �.� :,,we:�c�n� U1llGn1&l� lu 35. Final Gas,Pipe-Test� � � � �� ., - . : , � � � 36._Hood or Canopy = .._ , , - .�,y � � - ' � / 37. �Final�.Factory fireplace � . �. • • I 38.�Final Plumbing ' '._ '" '" ' _ �� " ' ; �'� , _ � �' r ' 39. Water Service-Final . � , ,. . t .� 40. Gas Service-Final � - ,- ' � � - - 41. Solar pomesti�cFinal -� ' ' . � - - . t - 42. Backflow'Preventer - ' - : _ 43. Backflow Irrigation � ,�- ; � � � - . . 44. Landscape Irrigation SYstem � _ �. � - � , . ' . - _ � ' ' 45.�Sound Attenuation � ... � �' - r, - . - . - `46. -Handicap Regulations - ' ' - �- , -47. �FINAL S7RUCTUflE & BUILDING - Z�` / Q � - � � . . ( 48. �INl�b PGe i il i l` L(�_,. 4' "f • _. '" _ . '. . 49. Electric Release to Edison _ � - . ' . , � � � - t 50. Gas Release to Southern California Gas Co " ' '�� , ' 51. CERTIFICATE OF OCCUPANCY - " " � � No. Date / FINAL GRA�ING CERTIFICATION Project Addt'ess• 381 LaPerle Lane , Lot Number. Permit Number: O`/ 7(o S`� By Civil Engineer: I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the grading permit, grading pian and grading ordinance have been installed. Adequate provisions have been made for drainage of surface water from each building site. The minimums are: 2% Fall from structures within 5 feet from exterior walls. 1% Fall for asphalt surfaces and landscaped areas. 0.5% FaII for concrete surfaces to approved disposal areas. The final monuments as shown on the recorded tract map u�ere set. All final grading eleva- tions are within t 1/10 of the des' d elevations. Supervising Civil Engineer Reg. No. 31720 (Signa�ure) � � Date + Z� li F" �� :: �. c.j � ?�� G � �� z � �c * �9��F C F STA°� and SIIN tB9i�fi � THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS: 3 AIR INFI�,TRATION EXTERIOR WALLS 85 LA r MANUFACTURER: MANVILLE y/�tate Manufacturer MEINVILLE Thickness/Type BATTS R/Value3}" R-11 CEILiNGS Batts: Manufacturer MANVILLE GENERAL CONTRACTOR: � Thickness/Type BATTS Title R/Value 11" R-30 Lic. # DaCe INSULATION CONTRACTOR: WESTERN INSULATION, INC. Lic. # 481278 By �� _e� Titic� AUTHORIZED AGENTDate 1-11-91 Form 106 3/89 1 THTS Is To CE' �� NAT iN�ULA�ItlN HA5 g�"� INB�ALLEb IN CONFORMANCE � �H� CU��N� �N��tlY ��aU �NS, CALIFO�NIA ADMINISTRATIVE �ObE, TI�L� �4, STA�E OF �.__.Fb�NiA, IN THE BUILDING LOCATED AT: �r,,,�;.F �o, Q �}7659 S I1'E ADllF2FSS : 381 LA PEARLE LANE WSTA MESA 92627 Number Street City/State ' AIR INFILTfiATION EX1'ERIOR WALLS MANUFACTURER: MANVILLE ManufactuYer P1ANVILLE CEILINGS Batts: Ma[tt�facturer �'1AtdViLLE Thic:kness/Type BATTS R/Value 3}�� a-11 Thickness/Type BATTS R/Valueil" R-30 GPNfiRAI, CON'I'RACTOR: (,��,rp� ,l.v,�p�%v�teu� �o� Lic. # � � By Title Date � 1S "% 1NSUL,A1'ION CON'CRACTOR: WES'PERN INSULATION, INC. Lic. # 481278 T�p �7��y�� Titic� AUTHORIZEU AGENTllate 1-11-91 Form 1.06 3/89 PR0.IELTRDDXESS: �' 3$1 LA PERLE LN OWNEH'SN�IAE:�WIiRD INVESTMENT� CO nooxess: z110 NEWPORT BL, C,M .� , ' ppG�/ENGINEEP: �� AOUXESB:'. . , - _ � PEO.NO.: uxR: unrt: . PEflMrr�E: ELITE PLUMBZNG ( 719 ) 722-0374 nooaess: 1760 MONROVIA CM CA 92626 LILENSEO fANTMCTOfl DECIAMTION: I �ere0y aHirm �h lam IicenseE untler vq isions of C�apter9 (commencinq vnth Sec�ion 7000) ol Uivision 3 oi Ihe Business antl Prolessions Cotle, an ' nse is in f fo�e an0 eilect. ciTx uc. 0 4 6 5 2' S7ATE LIC.: S 3 9 J B uss � Date: — _ . v SiAnature: � � � WOBREB C�RT ON UECLAMTION: I herehy a irm tha I have a cehitic conuni to sel4insure or a certificate aI WaMers' Compensation Ins ra ce r a certifiep oDY �hereof (5 tion 38 0; La6. C�. rouerxo.: 1�O�i6�304—ti� exv. �re: O1/O1/91 � cornrnnr: STATE FUND ' � Certitiea coDY is �ereby fumishetl_ � Certifie0 coDY i fiie ¢� ciry uil ivision. r i n ��L Date: m�. ;_, y � qpplicanl: A .%i � �o :ed not U�GmplEletl i1 ihe permit is for ona hunOree I shall not employ any ve�on in any manner so Date: - - ' ' Sipnatum� NOTICE: If, aher making this tleclara[ion, you shoultl bewma subjeGt ro iha Workers' ComDe�sation'pmvisions oi the lahor Catle, yau must foritrvn�� comply witA such pmvisions or tAis Dermit s�all be Deemed revoke0. CONSTBUCTION 1FN01NG �CENCY: I hereby affirm Ihat there is a ianstmc[ion lentlinp agency lor ihe DeMormance of Ihe xrork for whic� Ihis Dermit is issuetl (Seclion 3097, Civ. C). '�� . IENUER: F��BESS: ' - - ;.. � . OWNEB BUIIDEH DELUMTION: I hereby attirm [hat I am exempt fmm'the Coniractors' State License law lor IDe tollowinp reason (Section 7031.5 Bu4iness anU Professional COAe: My ciry oi wunry whic� requires a DermO ro construct, atter, improve, Eemolish, or re0air any simcture, prior to its issuance, alsa requires ihe ap0licant tar such Dermit ro lile a signetl sWtement Ihat �e/she is licensetl pursuant ro ihe pmvislons of ihe Contrectors' State License Law (Chapter 9(commencing with Section 7000) oi Oivision 3 of the Business and Protestions Cutle) ar that �e/s�e is evempt thereimm antl ihe Casis for the alleqetl exemption. Any violation ot Section 7031.5 Dy any aDP!��ant for a p¢rmit subjecLs t�e appliCant to a ciNl penalry ol not more [han fiva hunCreG Collars (5500�. , - °I, as owner of the pmperty oi'my employaes witA waqes as�their sole compensatlon, will tlo the work, an0 t�e J simcture is not intenAetl or oifereA for sale (Section 7044, Business and Protessional Code: � TAe CoMracrors' State License Law ' dces not apPty ro an owner ot a pmperry who baltls or improves thereon, arM who does such work himult/hersetl or thmuph � Ais or her own emDloyees, provided Ihat suc� improvemenis are not intentleO or oHeretl tar ule. If, trowever [�e �uilEinp or impmvement is sold within one year ai completion, ihe awner will have ihe Uurden ot DravinA he/sha Oitl no[ build or imDrava far IAe purpose of sale). . � � - I, az owner at t�e pmperry, am exclusively wmraping with IicenseE contracrors ro construct tAe pmjecl (Secuan 7044, Business ❑ an0 Professions COAe: The Contractors' stata License Law Oces not appry ta an owner of property wAo bmlds or improves thereon anU who contracis br such pmlects wit� a coniractor(s) license Dursuant to ihe Coniractors' State License Law�. I am aware that proof of their Warker'S ComOensatian insu2nce sAau10 6e pmviAetl to me. ' ' -' � I am exempt unAer Section: B. d P. C. ' lor Ihis reason: � Oate: Owner. I Oo hereEy cetliry Nat I am aware of anA understanE the reQuiremenis oi Califomia Healih an0 Safety Cotle Sections 25505, 25533, and 25534 antl t�at I or any future buil0ing occuDant will/will not (circle one) neetl to comply wiN saiU state co0es and the requiremenis for a� permit for consimction or moAifiwtion tmm the Nr Oualiry Manaqement Oisirict FesiEeniial constmciion applications are exempt from ��ese proNsions. , Dale: Applicant: 1 hereEy cenity ihat I have reatl t11i5 application anE stata oNinances anU state laws relatin0 to buil0inq consiructian propeM lotinspection purposes. Date: Sipnaiure: on�er' icense or sociai'Securiry a: White—BUIIEi�g; Gr��—�e Enlorcemant; ro wmply with all ciry an0 counry to enhr upon the aGwe�mentioneC Pink—Revenue: GOIEenraO—rlasessor 0 , CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: P 047669 PERMIT NO: P 047669 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE: PLU , � PURPOSE;�OTH JOB DESCRIPTION : 24125F RESID, 489SF GARAGE, 1505F DECK SQ FT:, CLAIM VALUE: CALC—VALUE: ' GROUP OCC: R-3 ,/M-1 ' COMMENTS: RE; B47659 PRIMARY BLDG, PERMIT, � *�*�**�*�r*�**�*�ex+r*�****�rx*x **�r*�r�r*�r�+r*��r**+r*�e�*��*x *�r***��**�rx �r��rx x *+�x��**�x * 'Z O N I N G R B(� U I R E M E N T S S E T H A C K S� • ------------ MAIN HUILDING ---------- FRNT: FT IN REAR: ' FT IN LEFT; FT IN RGHT: FT IN --------- ACCESSORY BUILDING --------- FRNT: FT' IN REAR: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42531115 ZNE; REF NO: , PLANNING NtSTES> , > ,, -- • z- ,, . . , �r�*��r�*�r�e�+rx�r�r�rx �*�r�� r�r�r*x *�r�r�e�r�rx�r�rx��r*�r�e*�r�r*��'�*�e*�r�r*****x�*�*�x��+�*+�+r**�x��r*�*� D E V E L O P M E N T S E R V I C E S;�.R E Q U I R'E M E N T S � ZONING APPROVED HY r` DATE: BUILDING APPROVED BY ; i1 DATE: ._i-- _.-.— __. _ ... .. APPLICATION ISSUED BY: ��;�,.�,� ��/�� DATE: ��0 ifififiEiEltiEifititiFitikititifikitiEiEitit3F3F � F'iF'if iFiF �'iF3FiFiEiEiEiEkiEiFiE1EiF ikiE ikiEifikafititiflfitifififlfiEifiFifiFik*ltitdEiEifalililikiliEiljkifiEifiEiE�lEikifiE�lE itiE3tlEiEiEiEitifitilifiEiEiEifif�E9EibiFifitifdfiE3FitiliE9EiFiF LEGALIZATION:N F�E E S U M M A'R Y -�STRUCTURAli SEGMENTcN � BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES ' GRADING PERMIT 39,50 ' ' 25R SMIP/NON—RES PLAN • � ISSOE FEE 3.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 39.50 3.00 0.00 42.50 42.50 � ,00 REVENIIE DIVISION TOTAliS--> COLLECTfiD: 42.50 OVER/SHORT:, �.00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 42.5� ! �f �k i! it ik it it if ik ik iE i! if it ik k ik ik i! iE if i! i! iE ik iF if iF iP it it iF iE i! j! * it jE iE iE iE 1k 1E i! iE * if jF M iE ik iFiE iE if iE if iE if iE iE �E �f iE iE if ik iE iE �E iF iF iE if ik iE ik * iF I N D Z V I D U A L' F E E B R E A'K D O Y7 N TYPE QTY PLU PLU PLU PLU PLU �PLU PLU PLU PLU PLU PLU 2 1 1 1 1 5 3 1 1 1 1 FZ��:��`illi�i��l BATHTUB DISHWASHER LAUNDRY TUb OR WASHER , SHOWER SINK, KITCHEN WASH BASIN WATER CLOSET (TOILET) WATER HEATER AND/OR VENT WATER SERVICE GAS PIPING SYS OF 1 TO 4 OUTLETS GAS PIPING SYS 5+ OUTL—PER OUTLET UNIT COST 2,00 2,�0 2.00 2.00 2 , 0 � 2 , � � 2.00 2.00 2.00 2,00 .50 TOTAL COST i 4.00 2,00 ' 2.00 2.00 2.00 1�.�� 6,00 2.00 2.00 2.00 .50 oi aaae?n�-000e�,23 -ru�r GP.TE: Ob/d7l9C1 7i!1E: 1»�`�'+ 0 u ��.so CONSTRUCTION ANDPLANNING � � � �J� �PA Date _ Inspector Date Inspector APPROWLS ^Permit# � APPROVALS .�Permit# � -,� : 1. Temporary Electrical Serviceor�Pole - .. - 52. Pooi & Equipment Location 2. Soil Pipe-Und�gmd.� _ ' -- -� � 53.�-Steel Reinforcemen[ - 3. Electrical Conduit Utility-Undrgrnd. � 54.' Forms - • 4. Electrical Conduit�Undrgrnd. � 55.-Electrical Bonding _ _. 5..�Steel Reinforcement � - 56. Rou9h�Plum6ing & Pressure Test � � � 6..'Electrical UFER�Grnd. -' , 57. APPROVAL TO COVER-GUNITE � 7. Footings �^� • 58. Electrical Conduit�Undrgrnd. - � 6. Foundation ' • -�_ __ ..�� ' '- . � 59. Gas Pipe, � Undrgrnd., Test ' 9. �Water Pipe�Undrgrnd. `-�'_ ? j ��;(�f gD GEQ 60. Backwash Lines, P�Trap, O Undrgmd._ % � 10 � Struttural Floor System .� .. ' -' 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection ,. �!_ . , 62. Backwash & ReceptorFinal 72. Sewer Cap _ . -', ' � '�' ' 63. Heater & Vent�Final � r 73. floof Orains ' _ " `'� 64.' Plumbing System - Final ' � ' � 14. Rough Plumbing - � �'/ � �,� 65. Electrical-Final � , � � 15. Rough Electrical-Conduit '_ I 66. Solar System-Final - � �' � 76. Rough Electric Wiring , 67.: Fencing & Access ApProval / 17. Rough Wiring Sign - . ` � 68.'�APPROVED-FOR PLASTERING �, _ � 18. Rough Electrical-T Bar Ceiling � - 69.' POOUSPA SYSTEMS FINAL - � � 19. Fough Heating & Air Conditioning _,FIRE DEPT. REQUIREMENT . � � -- � ..�- - . 20..Rough Facto�Y Fireplace - '� � - ,, 'APPROVALS. �,�Permit # y .- - ; ' ' _ -_ 21. Ducts, in: Structure�, ' ' '�'== • �- ' � ��70. Underground� Hydro ' 22. Ducts, Ventilating ,� ' � ,. ,71. Product Fipin9 O Gas OOiI 23. Gas Pipe-Rough & Test '- �'� =72, Underground Flush� 24. �Roof Framing , � � � � ..73. �Undergrnd. Storage Tank.O Gas ❑ Oil 25. Roof Sheathing " < � -� � 74. Overhead Hydro-.. 28: T-Bar Cei{in9 (Stcucturall &�Monocoat - - 75:-Dry Chemical - � -. �, Z : 27.-FrameandFlashing � ., �• 76. DryStandpipe - � � ��* �= - ,28. Lathing&Siding�., `' �,' , ' ' -� � � 77.�iFIXED$YSTEM.FINAL�.� _• ��' - � - 29. Insulation = "�t ` 7$;-FIRE PREV. FINAL � ' �� ` -. 30. Drywall'Nailing 'r-� - );� - � _ -� ,_ HEALTH�DEPT. R�EQUIREMENT .� . � , .31. Plaster Brown Coat _. . . • `�� 79. FINAL INSPECTION � • � " . .32..�Electrical Power Nlgter�Final � . '�801_FOOD CERTIFICATE ISSUED . ' - . -33.'Final Electric � . � l f �Notes � � ' ' � � 34. Final HeOting�,& Air Conditioning� ;� ' - � � - - , -, 35:-Finzl Gas Pi�pe�Test4 '� � - �- j ' _ - � . - . / -36. Hood or�Canopy � ' ��` � ~� x � f ' 1 T 37.�Final Factory Fireplace'. , . � � =;>' �� , -• � � :38. Final Plumbing �J '� . ' ' ---, 39. Water Service-FinalA u . . � . . � . ... '40. Gas Service-Final �" - � " ' " 41. Solar pomesticFinal' � _ _ ; , - - 42. Backflow Preventey _ ' ti� - - � ' �- 43. Backflow Irrigation� � " .. �� •. •- • •� -�� • • . • . - � - "44._LandscapetriigacionSvscem_ �� - _ _ ` ' ' � ' = - . � •- - • . 45. Sound Attenuation . . -i "� - ^ . � 46. Handicap Regulations ,. ^ . - - � � ' '47. FINAL STRUGTURE & BUILDlNG . . . � - i 48. FINAL PLANNING � ' - ' ' �'49. Electric Release to Edison � �•� 1 -� ' . 50.� Gas"Release to Southern California Gas Co ' � � - � . ' ' ' � 51. CERTIFICATE OF-OCCUPANCY ' � � - � � ' No. Date / Pfl0.1ECT RODflESS: OWNEN'S NR�1E:, - � RDONESS: :� . �. '. . �RCHIENGINEEP: ', RODflESS: ' rPEHMITTEE: RDONESS: � UNR: xE0.N0.: UXR: ILICENSEO CONTHFCTOB OECLAMTIUN: I herehy aflirm Ihatl am Iicense0 un0erprovisions ofChapter 9(commencinA with Section 7000) of Oivision 3 af Ihe,Business and Pmfessions CoOe, anJ my license is in full lorce and eflect. Citt LIC.: STATE LIC.: L1A53: Oate: ' SignaNre: � WOBNEBS' COMPENSRTION DEIXAMTION: I �ereby affirm ihat I have a certiticate of consent to selbinsure or a certificate of Warkers' ComDensation Insuranca, or a certifieE copy ihe2of (Seclion 3800, Lab. C). ' Pol1CY NO.: . , F%P. ORTE: COMPRNY: Certified coDY is hereby fumisAeO., � Certified copy is filed with �ha ciry Buildinp Oivisian. .; + , , Date: ADPIIcanC „ /. '- FXEMPTION FBOM WOBKEfl3' fAMPENSRTION DECIAHATION: (Ihis set1ion need no� he tompleted i� Me Dermit is for Ona hundreA (5100) ar less�. I cetlity that in tAe De�armance ol ihe wad for w�ich this parmit is issue0, I shall not employ any person in any manner so as to hecome subject to tAe Warkers>ComOensation Laws ai Califomia. "�. Yr�� Date: ^ � SipnaNre: NOTICE: If, atler makinA ��is declaration, you should Uacome su�lect to tAe Workeis' ComDe�Sation Omvisians oi tAe La6or CoOe, you musffoyiwith comply with such pmvisions or this permit shall Ue tleemea revoke0. v, CONSTRUCTION LFNOING'�GENCY: I hereby aKrm Itwl t�ere is a canslmcfion IenEinp apenq for t�e.pertormance oi Ihe work far which this permit is.issuetl (Section 3097, Civ. C). •% ' LENOER:I I � . j' . p0UHE88: ' OWNER BUILOEB UECLAMTION: I Aerehy atfirm ihat I am exem0� �rom Ihe Contractars' State License Law lor the tollowinp reason (Section 7031.5 Business and Professional Code�. Any ciry of counry which requires a De�mit to conshuct, alter, improve, demolish, or repair any stmcNre, pfior to its issuance, also reQuires iha aDDlicant tor such permit to file a siAned statement Itlat �elsha is licensetl pursuant ro Ihe pmNsions of the Contrzcmrs' SWte License Law �Chapter 9(commencinp vnth Section 7000) of �insion 3 of the Busineu anE Pmfessions COAe) ar that he/she is exempt therefrom an0 Ihe basis for Ihe alle0e4 exemD�ion. My Nolalion ol Section 7031.5 Oy any apDlicant tor a permit suhject5 t�e ap0licant to a civil penalry oi not more t�an five hun020 Uollaa�(5500�. I, as owner of ihe property ar my employees with wapes as tAeir mle comDensation, will ao tAe work, an0 Ihe J strucWre is not intentled or aHered for ule (Section 7044, Business anA Pmlessional COAe: The Controcrors' State Licenu Law ' Aaes nat aDDN �o an mmer oi a pmperty who GuilGs ar impmves t�ereon, anE wha Coes such xrork himultlhersetl ar tAroug� his or her own em0loyees, Drovitled tAat such impmvemenis am not intenAeO or ottere0 for sale. If, hawever ihe huilOinA or improvement is so10 within one year of completion, tAe owuer will have t�e bur0emaf proving Ae/she Aid not build or improve for the purpo5e of sale�. - � - I, as owner of Ihe DmpeM, am exclusivery con[ractinp with licensed coniractOrs lo cansimc[ t�e D�oject (Section 7041, Business ❑ an0 Pmfassions CoGe: The Conlraclors' SWte License Law Ooes not apply to an owner ot pmperry who bmlAs or improves Iherem anA who contracis for such Drolecis ci�h a contractor(s) license Dursuant to the Caniractors' State License Law�. I am aware Ihat proof oltheirWorker's Compens.E:on insurance shoul0 Ue provitle0 to me. ' � I am exempt un0er Section: ' B. 8 P. C. � lar [his reason: , Oate: ' Owner: I tlo hereby cetliry t�at I am aware ot antl untlersWnO [he requiremenis oi Califomia Healt� anE Salery Cade Sections 255C15, 25533, anA 25534 anE ihat I or,any fuNre UuilEinp accuDant vnlUwill not (circle one) nee0 ta cam0ly witA ui0 state co0es an0 t�e requiremen4s lor a permit lor consimclion or moditication fmm Ihe Air �ualiry Managamant DisMct. FesiAentiai constmction aDDlications are exemD� �ram the5e provisians. � �ate: Applicant: I here6y certiry tAat I Aave rea0 t�is aDPlication antl s[ata t�at Ihe aUova inbrmation is correct. I aprea to comply with all ciry and counry or0inances znA state laws relatinp to builEinO constructian antl herehy authoAze reDresentatives of tAis ciry ro enter upon the ahove-mentlone0 proDeRy forin5peciion pufposes. � ' ' D3I0: $IQfIdNfO: Onver's License or SociaPSecudry M: I 16a1d6 W�ito—BuilOing; Grean—CoOe Enlorcemenl; Canary—Applicant: Gink—Pevenue: GalEenroC—Assessor PERMIT NO; P 047669 . PLAN CHECR NO; 04363-90�N �pAGE: 2 ik iE it it iE iF iE it iE iE iE iE jf if iE iE 1E if iF 1k iE iE iE iF �E iE iE �E if iE iE iE if 1f if it f! iF fk iElf ik ik ik �f ik iE iE iE if if iE iE iE itlE 1E if iE iE it i! 1E iE �F ik ik iE if iE ft iE'it iE iE iE if iF iE TYPE QTY D E S C R I P T I O N UNIT COST '��TOTAL COST PLU 1 SEWER, BUILDZNG � ENDIOFRFEES 0 0 " 1 � 1� 0 n 0 E CONSTRUCTION AND PLANNING ,. ",; �. �� . SPA ' APPROISALS.�-Permit#� - Date� Inspector APpROVALS. Permit# Date Inspector�. . L�Temporary Electrical Service or-Pole -. - 52. Pool & Equipment Location : � � 3. Soil Pipe�Undrgrnd. � ,. `� 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms� � 4. Electrical Conduit-Undrgrnd. � 55. -Electrical Bonding � 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. �'� - 57. APPROVAL TO COVER�GUNITE 7. Footings . 58. Electrical Conduit-Undrgrnd._ $. Foundation • � � 59. Gas Pipe, O�Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. ' 60..8ackwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor Syste�m ' � 61. APPROVAL�TO DECK ,. 11. Property Sewer Line &.House Connection � 62. Backwash & ReceptorFinal � , 12. Sewer Cap � �� 63.� Heater & Vent�Final � 73. Roof Droins � � - . � 64. Plumbing System = Final ' , 14. Rough Plumbing ,' �� 65. _Electriczl-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. POOUSPA SYSTEMS�FINAL 19. Rough Heating & Air Conditioning� � FIRE DEPT. REQUIREMENT 20:rRough Factory Fireptace APPROVALS Permit # 21! Ducts, in Structure 70. Underground Hydro 22. aDucts, Ventilating � 71. Product Piping � Gas OOiI 23.�Gas Pipe-Rough & Test 72. Underground Flush 24.'Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26: �T-Bar Ceiling_IStructural) & 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�Nailin9 . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33:�:Final Electric ��' Notes: 34.,_�Final He'ating�&'Air Conditioning 35:._Final Gas Pipe-Test 36`'Ho�d or Canopy 37.�Final Factory Fireplace 38.,Fin`al Plumbing 39. Water Service�Final 40. Gas Service-Final 47. Solar pomestic-Final 42.` Backflow Preventer 43. Backflow Irriqation 44. Laniiscape Iriiqation System 45. Sound Attenuation 46. Handicap Regulations 47. �FINAL STRUCTURE�& BUILDING 48: FINALPLANNING 49. Electric Release to Edison 50.�Gas' Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date reaecr�oosess: 381 LA PERLE LN OWNEfl'SNR�IE:�WARD INVESTM�ENT CO ,' aooxess: 21 2 4 NEWPORT BL , C. M RNCH/ENGINEEfl: � . ' ADOBES3:' flF�.NO.: uxrt: - uxrt: � PENMITTEE: CAAR'LES SANDERS, INC .- ( 714 ) 630-1913 aooaess: 1441 RED GUM ST. J � ANAH&IM � CA 92II06 LILENSEU CONTMCTOR OECUMTION: I �ereby alfirm tAat I am licensed unEer provisions o/ Chapter 9(wmmencinA �h S¢ction 7000) of DiNsion 3 oi tAe Busineu anA Professions Catla, and rtry .I{'cense is in full force and ct. cin uc.: U 17 $ 9 4 srare uc.: 3 3 2 7 9 8 Q%'_ �/cy��ss: �r- 2 0 � rte: _ ��L( —� � ' � SiAnatum: �d��fll/"�H / � w.�� . �IORK�' COMPENSFTION OECUMTION: I here�y aRirm t�at I have a uni��n1 io sefl-insure or a certi�icate of Workers' �JomDensation Insurance, or a certifie0 copy Ihereof (Sectlon 3800, Lah. C). voucr xo.: Y 19113 9- 9 0 ExP. o�TE: 0 3/ 01 / 91 �' coMP�Nv: STATE FUND Certi/ietl coOY is hereby tumisAeA. `[�] Certifietl coDY �s il wilA ihe cRy BuilOi p Uivisi . - Date:.�7 —I I —� O ADPlicant: � � • ,'�%�.�� E%EMPTIOX FNOM WOflIIEP3' COMPENSRTION OECWUTON: (fhis seclian neeA not be complete0 ii Ne permA is lor ane AunOreO (5100) or less�. I ceriiry ihat in the performance ot Ihe work tar which t�is permit is issuetl, I shall not employ any person in any manner w az to hecome su0lect to the Workers' Campensation Laws al Califomia. � �ate: SipnaNre: NOTICE: It, aher makinp Ihis declaratian, you shoWE becoma su6ject to Ihe Workers' Compensa�inn pmvi5ions of I�e La6or Cqde, yrou must fo�hvnih com0ly with such Omnsons or Nis permit shall be aeemetl revake0. , CONSTBUCTION LENOING �GENCY: I here�y aflirm that there is a constmction IendinA apency for tAe pedormance ol l�e xrork for w�ich Ihis permit is issue0 (Section 3097, Gv. q. � LENDEH: - AODPESS: ' - - ' IOWNEN BUIIDEB OECUMTION: I Aerehy aKrm tAat I am axemD� �rom the Cqntrectors' State License Law Por the followinp aason (Section 7031.5 Business anU Professional Code: My ciry of counry w�ic� reQuires a�permit ta wnsimd, alter, imDrova, Uemolish, or repair any strudure, pnor to hs issuance, also reQuires the applicant for such permit ro lile a siAned statement tAat he/she is licensea pursuant to t�e provisions of ihe ConVactors' State License Law (ChaD�er 9(cammencing wRh Section 7000) of Division 3 oi ihe Businew anA Pmfessions CoOe) or ihat he/she is exempt ther¢tmm anE t�e basis for the alleOeJ axamption. My violation ol Section 7031.5 Ey any applicant for a permtl sublects Ihe apDliwnt ro a ciWl penalry oi not mora [han five huntlreU Collars (5500�. 'I, as owner ol Ihe Droperty or my employees vrii� waqes as Iheir sole �comDenuUan, unll Oo Ihe work, anG I�a � � simcture is not intendetl or aHeretl tor sale (Secuon 7044, Business antl Protessional CoOe: T�e Contracrors' S�ate License Law Goes not apDry to an owner af a O�oDenY who huiltls or impmves thereon, antl w�o tloes such wark himsell/herself or fimuph his ar �er own employees, D�oviAeO t�at such imD�'emenis are not intentletl ar offeretl lor sale. II, �owever Ihe huilCing or 'impmvement is so10 wdhin one year of mmDletion, the owner will have lhe OurGen ot OmvinO he/s�e tliE not Euild or imD�a�e tor the puryose oi sate�. I, as awner af tAe DmpeM. am exclusNely coniractinp with Iicense0 caniractors to construct t�e prole� (�ion 7044, Business ❑ �an0 Professions CaOe: The Can[ractars' State License Law Ooes not appty to an awner of propeM � 6mlds or imD�s t�erean anU wha contracts for suc� Dmlects cith a contractor�s) licenu pursuant lo Ne Contractors' State Licensa Law�. I am aware that Oroof of their Worker's Compens:i�on insurance should be provided to ma. � I am exempt unAer Sedion: B. 8 P. C. . lor Ihis reason: � Oate: Ownec I Eo hereby cetliry Uat l am aware af anE unGerstana t�e requiamenis of California HealtA antl Safety Catle SecOons 25505, 25533, and 25530 antl t�at I or any tNure huilEinq occupant wilUwill not (circle one) need lo comply wiN said state cades an0 the repuiremenis far a permitfor cansiructbn or mo0ification Irom Ihe Air Dualiry Management �istfict. flesidential construction appliWlions ara axempt imm theu pmvisions. Date: ApDlicant ' I �ere6y certity tAat I Aave reaC t�is apDliwtlon anA state that tAe a6ove inlormation is correct. I agre ta comDly wit� all ciry anE counry or0inancesanOstatelawsrelaW9aDuiWinqconstrudionantlherebya reDRsentatives t�is toente upontheabovrmentioned pmpeM �or inspection Durpose� � �� y� /9 Date:- 7—��` v Si naNre: d�� 1�/ /.��J_ Driver's License or Sociai Sacunry x: 184La6 W�ita—Builtliip; GrBan—CoEe Enlorcament; Canary—Applicant; Plnk—Revanue: GolOanrotl—/¢qeyspr CITY OF COSTA MESA - bUILDING PERMIT PERM�NO: M 048106 PERMIT NO; M 048106 PLAN CHECiC NO: N GOVT; N SUPP: N CUNSTRUCTION TYPE: PERMIT TYPE: MEC '-PURPOSE:'OTH JOB DESCRIPTION ; 24125F RESIU, 489SF GARAGE, 1�OSF DECK SQ FTr . CLAIM VALUE: CALC-VALUE: GROUP OCG:. R-3 /M-1 COMMENTS: RE: B47659 PRIMARY &LDG, PERMZT. ' ***�t*�*�****�x**��**x*��*�r*�*******x**�r*�*�*�r�t*��r**�t�t*�t+t*�+t*x*��***�*****�t*�tx Z O N I N GS ERTEB�AUCI��RSE M E N T S � ------------ MAIN BUILDING — ------ ---- ---- ACCESSORY HUILDING --------- FkD]T: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT , IN' PARKING REQ: PROV: PARCEL: 42531115 ZNE: REF NO; FLANNING NOTES> - � , -, - +�+��**�x*x**��r��***�***x��*+��**��*��*��*�**x.x�x��**�r�r��**�*��*�.*�+��c�:�x� D E V E L O P N, E N T S E R V� I,C E.5•� R E Q U I R E M E N T S ZONING APPROV£D BY � � DATE; � BUILDING APPROVED BY : � DATE: �', APPLICATION ISSUED BY; �t." DATE: �� iE1E?E'k�iEiEitiEiElkiflEiEiEik?E#iEiEifjk3E .�i,'�Fii-� :,. t.5 F f . jEiEiE�lfiEjEiEiEiE3E�r iEiE 'kiF',fiEi4iEfEiE'k'.EitiEjFiEiEiEiE?Eif#iE'lEiEififl(-',EifiEiF#iEifiEjEifififitiFiEiE iFiEiEiEiE?E'�E',E�k�E',�EiEifjEiE.ifiFjEiEiEiEiEit,iPiEiEiEiEiF3E?h!F3EiE3E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 99.50 25t SMIP/NON-RES PLAN ' � ISSUE FEE 15.00 � � bUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL ' PAID � DUE TOTALS----> 44,50 15.00 0,00, 59,50 59,50 ,00 REVENUE DIV LION TOTAL5--> CULLECTED: 59.50 GVER/SHORT: .00 : bLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GkADING PLAN-CHECK 59.50 � , a."IE iE'iE'iFlE'�'k'� �f')f # 1k'H�lf �IE iE dt iE iE if'M�'if'X' # iE #.`'?k 3h # j! �k')k 1f i''k �f'H� iF if jE jE 3E �lk iF?f �k 3E'�'N� iF 3E?E .'E if Y.' iE 3E'� i'.�?E �Ik'%�'7E jE * 1�'Ik iE?E iE'%� jf 1E 3h i!��iE'rt �F' I N D I V I D U A L F E E B R E A K D O W N TYPE �,iTY D E S C R I P T I U N UNIT COST TOTAL CO5T MEC 1 INST FURC-AIR/GRAV FURN <= 100 K BTU 9,00 9�.00 MEC 2 FACTORY_FIftEPLACE 6.50 13,00 MEC S VENTILATZUN FAN CONN TO SINGLE�DUCT 4,50 22.50 END OF FEES �J 0 e� aaaEsoko-acoaso�o �-r�:r ��,�o DAiE: �J711?I50 TiME: 23�57 CONSTRUCTION ANDPLANNING - • NO� SPA APPROVALS Permit # �-' � • Date • Inspector qppROVALS _ Permit # Date Inspector _�1. �Temporary Electrical Service or Pole 52. Pool & Equipment Location �. 2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement � ' 3. Electricel Conduit Utility-Undrgmd. ��.^ � 54. Forms . � - 4. Electricel Conduit-Undrgrnd.� ; 55. Electrical Bonding - �� 5. Steel Reinforcement � � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. � 57. APPROVAL TO�COVER-GUNITE 7. Footings -' . � 58. Electrical Conduit-Undrgmd. � 8: Foundation .- 59. Gas Pipe, O Undrgrnd., Test � 9. Water PiPe-Undrgrnd. 60.,Backwash Lines, P�Trap, O Undrgrnd. tO.�Structural Floor System 61. APPROVAL TO�DECK . 17. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final � 12. Sewer Cap . . " 63. Heater & VenbFinal 13. Roof Drains . � - 64. Plum�bing SYstem � Final 14. Rough Plumbing� ' 65. E1ec(rical-Final 15. Rough Electrical�Conduit 66. Solar System=Final 16. Rough Electric Wiring - 67. Fencing & Access ApP�oval . 17. Rough Wiring Sign �- - 68. APPROVED FOR PLASTERING � 78. Rough Electrical-T 8ar Ceiling � ' 69. �POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning ,- . FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � � APPROVALS Permit # 27. Dutts, in Structure 70. Underground Hydro 22. Dutts, Ventilating 77. Product Pipin9 �Gas ❑Oil 23. Gas Pipe-F?ough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiiing (Structurall & 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 9rown Coat -. 79. FINAL INSPECTION 32. Electrical Power Meter�Final './' 80. FOOD CERTIFICATE ISSUED ; 33. Final Eleciric ��`� Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � j` 36. Hood or Canopy %��' 37. Final Factory Fireplace � !!0 � 38. Final Plumbin9 - �� 39. Water Service�Final � � 40. Gas Service-Final 41. Solar pomestic-Final 42. BackfloW Preventer , • 43. BackfloW Irrigation . 44. LandscaPe Ir�ipation System , � � , � 45. Sound Attenuation � 46. HandicaP Regulations r , 47. FINAL STRUCTURE & BUILDING �� 48. FINALPLANNING �� _, 49. Electric Release to Edison �,: 50. Gas Release to Southern California Gas Co `' 51. CERTIFICATE OF OCCUPANCY No. Date J Pfl0.1ECT1100H�SS: 3Si LA PERLE LN � OWNEN'SN11�fE: TfjARD INVESTMENT CO - eoaaess: z 110,. NEWPORT BL. , C. M. UNIT: �PCNIENCINEEfl: XEO.NO.: anoness: � � uxn: � PERMI7TEE: CROSSWINDS ELECTitIC �' ( 714 ) 964-3117 noowess: 9421 NEOLANI DR HUNTINGTON BEACH CA 92646 110ENSED CONTMC70B DEClAM710N: I here0y aflirm that I am Iicense0 un0er provisians ai Chapter 9(commencing vnth Section 7000) of Division 3 of tAe Business an0 Protessians Cotle, an0 my license is in full lorce anU elfect. cin uc.: 0 51219 srnre uc.: 9 9 q g 2 cuss: C 10 Oa[e: ' — —� SiqnaNre. � • WOBNERS' LOA� NSRTION OECIAP TION: I herehy affir at I Aave a cem cate ot co sent to self-insure oi a ceNficate al Workers' Compensation Insurance, ar a certifie0 copy ihereol (Section 800, Lab. C). POLICY NO.: TO FOLLOW i E%P.ORTE: OS IO 1 I91 ' I cOrnrnev:I'EIICIGNA ' CertifieA coDY is here�y fumishe0. � Cerli/ieA caDY is filetl with the ciry.Builtlin0 DiNsion. Oale: _��ppDlicani: E%EMP.fION FBOM WOPKEBS' fAMPENSUION OECIAMTION: i section neetl no� e comple�M ii Ihe pertnit I5 �a one hundrtd (5100� or less�. ' I cetliry that in the pertormance ot t�e work for which this permi is issued, I shail not employ any person in any manner so as to become � su61e� �o the Warkers' Campensation Laws ot Calilomia. . Da�e: ' SiqnaNre: NOTICE: If, aller making tAis Aeclaration, you s�oultl became su01e�� io the Workers' Compensation Drovisions oi the Labor CaUe, yau must fonhwith comply witA such Omvisians ar [his permit s�all he deemaG ravokeA. CONSTBUCTION LENDING �OENCV: I herehy aifirm that t�ere is a construction Ientlin0 aAency tor ihe Oe�ormanie of the work tor which tAis De�mitis issue0 (Section 3097, Civ. C�. LENDEH: ' ' " FDOBE55: ' OWNEB BUILOEB OECIAMTION: I heiehy afArm that I am'exempt irom ihe Coniractors' State License Law for Ihe followinA �e�on (Section 7031.5 Business anA Protessional CaOe: My city oi counry w�ich requires a Dermit ro constmct, alter, imDrove, Aemalish, ar r¢Dair any structure, pnor to its issuance, also rtquires the apDlicant for such Dermit to file a signe0 stalemen[ ifia[ he/she is licensed pursuant to Ihe pmvisions of ihe Contractors' State License Law (Chapter 9(commencinp with Seclion 7000) of �insion 3 ot t�e Business anE Pmfessions Cotle) or ihat he/she is exempt therelmm anA t�e basis for ihe alleAeO exemp[ion. My Nalation of Secfion 7031.5 Oy , any a00�icant for a permd suDlects t�e aODlicant to a civil penalry of not more than five hun0a0 dollars (550�. . �,4`�,� 'I, as owner oi the DmOertY or my employees wit� wzges as Iheir sale compensation, will Uo ihe work, antl the stmcWre is not intenOeA or ottere0 for sale (Sacuon 7094, Business and Pmfessional Cotle: The Coniractars' S[a[e License Law � . Aoes nat appy ro an owner oi a properry w�o 6uilAs orimD�a�est�ereon, anU who Oaes suc� nark himself/herseltor��rouqh �is ar her own emplayees. DmdOetl that such imDrovements aa not intenUeO ar attere0 far sale. It, hawever Ihe buil0in0 or 'impmvement is so10 within one year ol completion, the owner will have the hur0en oi Oraving �e/sAe tli0 not bui10 or imDrave lor the OuryoSe of Sale�. .I, as awner of the Droperty, am exclusively contracting with licensetl coniractors to constmct t�e pmlect (Saction 7044, Business ❑ anU Professions CoOe: The Coniractars' State License Law tloes nat ap01y to an awner ot Omperry who bmlds or Improves �he2on and who contracts lor SucA D�oleCs with a coniractor(s) license Dursuant to Ne Cont2ctors' State License Law�. I am aware ��a[ prooi ol IDeir Worker's Compenuiion insurance shOulE be D�ovided to me. ' � 1 am exempt under Seclion: ' B. 8 P. C. ' CITY OF COSTA MESA - BUILDING PERMZT PERM NO: E 099672.. PERMIT NO: E 048672 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE; PERMIT TYPE; ELE • PURPOSS; NEW JOB DESCRIPTION ; 2412SF RESID, 489SF GARAGE, 150SF DECR SQ,FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M�1 COMMENTS: REFER TO #B47659 � *�t�-��***ar**�*�r*�*-�-x��*********x-��x--x�r*ar�r**�-�-***at�r**�x-*�r�r�r*�r�r*�t*�t�x-ar*�r*��r*�r*�t-�r*�r*at-�r�r Z O N I N G• R E Q U I R E M E N T S' �- S E T B A C K S ' ------------ MAIN HUILDING ---------- --------- ACCESSORY bUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN kGHT; FT IN LEFT: ,FT IN RGHT; FT ',IN PARKING REQ; PROV: . PARCEL: 42531115 ZNE: REF NO: PLANNING NOTES> � _ if it if it iE if i4 if iE ik it 3E iE df iF i! i! iE # 3t ik iF i! if iF if iF iE it it �iE�iF �f�. ik 1E iE iE it iE iE iE iE iE iE iE iE ik iE if iF �! iE jt iE iE jt iE iE iE if �k iF it �1F if it.it iE 9E �1f-if if if -0E jE �E �)E iE 3E D E V E L O P M E N T S.i:E :;k V I C E S R E Q U I R E M E N T S ZONING APFROVED HY ' ' `�^+' %7 DATE• bUILDING APPROVED BY �; � APPLICATION.ISSUED HY: df i! �t it ik iF jt 3E iE �IE iE if jE 9E if if iE iE iF iE iE 3Eifi� if iE 1E i6 iE iE ik ik ik iF �f �f -0F it fE aE jE iF �klf 1F if iE if LEGALIZATION:N DATE: 1 .1 � :.: *�**D***** � ��* it iF iF �E,iF if.iE iE iE iF it if iE iF ik if iF it iF k it iE iF 1E iF iE jE �E iE iE �E iE iF iE iE iE iF iE �t 3E 9E 3E fk �E iE �)F iE if i(� if F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC ME�HANIC FIRE SMIP/RES GRADING PERMIT 84.42 50� SMIP/NON—RES � PLAN ISSUE FEE 15,00 ' HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 89.42 1.5,00 0.00 99.42 99.42 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 99.42 OVER/SHORT: .00 HLDG PMT PLUMHING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECS( 99.42 . ik iE iE iF �E �E if iF iE iE iE 1f iE iE iE jt dE iE iE 1E iE �k jE �E iE iE jk it iE iE �E if iE iE iF ik iE ik iE ik 1k iF ik iF 1E �F i4 iE if iE 3E iF iE jE iE 3E iE 1E iE ik iE iF iE if iE iF iE iE iE iE iE iE 1E dk if it iE iE �)E I N D I V I D U A L F E E H R E A K D O W N fonhisreason: - � � TYPE oate: Ownec EL E I Oo hereby certity Itwt I am aware oi an0 un0er5tanA the repuirements of Califamia Healih antl Safery COGa Sections 25505, 25533, anC 25534 anU that I ar any tuture 6uilAinp occupant wilVwill not (circle ane) nee0 to compty vnN said state cotles antl ihe requiaments for a permit br consimctwn or mo0ification irom ihe Nr Oualiry Manapement �isMct. NesiOeniial conswction applicatians are exempt tmm theu pmvisians. Oale: ADPlicant: I hereby certiry t�at I have reaU this applicanon anE state t�at tAe ahove inlormatian is wrrect I apree ro comply wah all ciry and counry ortlinances anG siate laxs relatlnq to builAinO ��N�on anU here6y aNlwr¢e re0resenGtives of th6 ciry to enter upon the above�mentlane0 OmDertY �orinspection Durpases. Date:��/�—?�_ Siqnature: ��'-"-'�� oriver's �irenu ar socia� Securiry x: 164146 WMta—BuilEing; Green—CoOe Enlomamenl; Canary—Applicant; Pink—Ravenue; GolEenraC—Assessor QTY D E 5 C R I P T I O N UNIT COST 2912 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT ,03 END OF FEES 0 TOTAL COST 84.42 oi 000aao�2-euo�at��2 �`4a�' CR?E: 081?iI?C TIiE; 15:49 '\ n '�9. h;t /� - CONSTRUCTION ANDPLANNING � _ . �JC SPA � -.APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector .-1. `Temporary Electrical Service or Pole� ' ' ' � 52. Pool �& Equipment Location _, i: Soii Pipe�Undrgmd. .: ' - � - 53. Steel Reinforcement ' " � � � 3. Electrical Conduit�Utility-Undrgmd. � 54. Forms " - � 4: Electrical Conduit-Undrgrnd: �- �� 55. Electrical Bonding : � 5. Steel Reinforcement _ � ' - - ' - � 56. �Rough Plumbing & Pressure Test 6. Electrical UFER Grnd: � 57. APPROVALTO COVER-GUNITE ' 9. Footings � . 58.�ElectricalConduit-Undrgrnd. 8. Foundation . - ,- �� 59. Gas Pipe, O Undrgmd., Test � � 9. Water Pipe-Undrgrnd. , � 60. Backwash Lines, P�Trap,--O Undrgmd. � . 10: Structural Floor SYsiem� -. .. - 61.:'APPROVAL TO DECK -� -� i t. Property Sewer Line & House�Connection '' 62. .Backwash & Receptor�Final � 12. Sewer Cap . . - �.� , 63. Heater & Vent�Final - � � 73. Roof Drains �, � � 64. Plumbing System - Final 14. RoughPlumbing � � � . - 65. Electrical-Final` ' -� � C _ 15. Rough Electrical�Conduit � ' 66. Solar System-Final . � �16. Rough Electric Wiring . � _ .• 67.� Fencing & Access�ApP�oval _ � 17. Rough Wiring Sign 68. APPROVED�FOR�PLASTERING � � i � 18. Rough Electrical-T Bar Ceiling ' � � • 69. POOL/SPA SYSTEMS�FINAL � ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fiieplace - • APPROVALS • Permit # 21. Ducts, in Structure � � "70. Underground Hydro 22: Ducts, Ventilating �� " � 71, Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test _ � � 72. Underground Plush 24. Roof Framing � � � �73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26.��T-Bai Ceiling (Structuraq & 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. Orywall Nailing . � HEALTH DEPT. FEQUIREMENT 37. Plaster Brown Coat � ' -79. FINAL INSPECTION � ' ,32. Electrical Power Meter-Final I��.�`qp 80. FOOD CERTIFICATE ISSUED 33. Final Electric� _' � L'Z'!�� e� Notes: . 34. Final Heating'& Aii 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 pomesticFinal 42. Backflow Preventer � � 43. Backflow Irrigation � � . , 44. Landscape Irriqation 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