HomeMy WebLinkAbout205 LA COSTA CT - Building Permits r
p 9 CITY OF COSTA MESA
4 BUILDING DIVISION
> :l 101/lean-h. , V MENT SERVICES DEPARTMENT PERMIT NUMBER
I. 4 EXPIRE� PERMIT
E07-00376
D(714 "PoRmsos. DATE Io-a5-eo a.0-
(714)
)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaaECTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 205 LA COSTA CT Status: ISSUED
Suite No Applied: 04/26/2007
Vicinity: Issued: 04/26/2007
Parcel Nunmber: 42620266
Applicant: BANK, BLUE < CIZ---
Address: 1351 E POMONA
Phone: 714-560-0700 ISSUED BY:
SANTA ANA,CAII�� Zip 92705
Owner: TAKAKI, K.ATSUYUKI
Address 205 LA COSTA CT
Phone:
COSTA MESA.CA Zip: 92627
Contractor: SWIFT SERVICE CO '
Address: 1351 E POMONA .
Phone: 714-560-0700 ,
SANTA ANA,CA Zip: 92705
License:725240
SCOPE OF PERMIT
NEW A/C UNIT LOCATED AT THE SIDE OF THE PROPERTY.
FEE SUMMARY
'Quantity Quantity
ISSUE FEE $23.50 _Temp Dist System/Lighting $0.00 0
Temp service test $0.00 Busway/100 ft $0.00 0
Res.a/c package $54.50 Standing Section $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0
Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0
Switches $0.00 0 over 100 kva/kw $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $0.00 0 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 - Circus(gen or ride) $0.00 0
Motors to 1hp • $0.00 0 - • Circus(mech ride or lights) $0.00 . 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00" 0
Motors to 50hp " $0.00 t .• . 0 • Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
Motors over 100hp $0.00 0
Communication drops $0.00 0 Investigation Fee $0.00
Sub panel to 200a $0.00 0 Plan Check Fee $0.00
Pole Light Pkg $0.00 0 Reinspection Fee $0.00
Sign Circuits .$0.00 0
Temp Pwr Pole . - $0.00 0 • TOTAL CALCULATED FEES $78.00
Intermed Pole $0.00 0
COMMENTS/SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
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. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)7545626
2446-46(WOO)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
•
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued,
My workers'compensation Insurance carrier and policy number are: _ c- /1
Polity Number, WS4-r-m Cct2D 600 1
(This section need not be completed it the permit Is valued et one hundred dollars($100)or less.)
❑ I certify that In the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 00 of the Labor Code,I shall forthwith
comply with these prow ertS7 /�/7 �2 //^7
,Appliberit.Sighetaiei / Date: - b�/) /
_WARNING:FAILURE TO SECURE WORKERS'COMPEN TION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TOCRIMI PENALTIES D CIVIL NES UP TO ONE HUNDRED
THOUSAND DOLLARE($to0ADD1.IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
r force and ieffect.Lie.# —7ZSZY G Class# /�O 7
`. Contractors Signature: //!�! 2. plass
y 2h/U
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or 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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the
Business and Professions Cale)or that he or 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).):
❑ 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.). •
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,Le.-properly tax bit or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file end certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Cale requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No
(Section 25533 of the California Health end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Cale provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Cale been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Government Cale requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(if'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the Information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature eget ner(s) Date
to
�r—A Or horize pplicant 7 Date
gQ2LL INSPECTION TYPE Pam - iNT1TIALE CODE INSPECTION TYPE PAIL IXi=ALI
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retalning Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
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Cos+Q Co,,r-1-
`-' A PPROVED
CITY OI COSTA MESA
OO1 - 00co PLA\O L DIVISION
Si')t1L-C"1�T'OBLDG. DEPT. REG.
:`-')TE: ADDITIONS, DELETIONS,
OR CORRECTIONS SHALL BE
APPROVED BY THE PLANNING DIV.
BY: cg D.\TE:1-11:D1O
City of Costa Mesa TEMPORARY Expires 10/5/87
Development Services Department 0:4,1 - (..r
Building Safety Division CERTIFICATE O F O C C U P A N C'Y No. i
2
P.O.Box 1200
Costa Mesa,California
The Building located at 205 f.F Cpaha rn,,rt-
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group R-1 Occupancy.
Use of Building Simla Family Residence
Legal Description 426-202-08-09
•� ISee reverse side for Metes and Bounds)
\ Building Permit No B 270;1 Electrical Permit No. E 27375 Plumbing Permit No. P 27026
Mechanical Permit No. f-1 28066, M 29873 Number of apartments and/or guest rooms
• ISSUED TO: Building Official
Newport Harbor Builders, Inc.
891 Production Place by
Newport Beach,_CA 92663
--- Date_
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 le) U.B.C.
CMF 1015-46 rev. 1/83 White-Owner;Canary-Numerical File:Pink -Bldg. Permit File
891 Production Place
Newport Beach, CA 92663
Newport Harbor Builders, Inc.
Mr. Geo. Eudmonson
City of Costa Mesa
P.O. BOX 1200
Costa Mesa, CA. 92626
RE: LA COSTA COURT
We respectfully request a temporary occupancy on the above address. We are
unable to complete the requirement at this time for the glass fireplace doors.
They are being custom made to fit ou arched openings and are due approximately
six weeks from now. g3.Zp, S7
Thank you for your consideration.
Sincerely,
Wi tam oughby
Newport Harbor Builders
Building Permit #B27064
Factory Fireplace #M-29873
Bldg. Address 205 La Costa Court
Construction Management • General Contracting • Development• License#412984 • (714) 645-4913
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE
WITH THE CURRENT ENERGY REGULATIONS , CALIFORNIA ADMINISTRATIVE CODE ,
TITLE 25 , STATE OF CALIFORNIA , IN THE BUILDING LOCATED AT :
TRACT/PHASE : LOT NUMBER : S
los &r* �1 nn r
SITE ADDRESS : ! . , 0_1.1 149 CQ i', tcs9
umber ;et City
EXTERIOR WALLS : •
,nn ))
Manufacturer eS /vl Thickness/Type : 3 4 R/Value : g--i1
--
CEILINGS : Blown ,�- 30 ti "( circle one ) e-aa — 7i/y1)
Manufacturer : 3 {M Thickness : g � 01 R/Value : 6_3/yl)g--1
GENERAL CONTRACTOR : aver n,ebOR .eI&&LICENSE # :
BY : I TITLE : DATE :
INSUL TION CONTRACTOR : WESTERN INSULATION LICENSE/ , # : t/T/ 7 7
BY : TITLE : j-5',eef`I� v/ DATE : ?tee;2
J91 ! /c5/'7 'L
COSTA MESA SANITARY DISTRICT PERMIT VALIDATION
P. O. BOX 1200 /O �/7COSTA MESA,CALIFORNIA 92626 PERMIT NO. 7 '�/I�
APPLICATION FOR SEWERAGE FACILITIES USE AND CONNECTION PERMIT Date /-.ZG7 - 7
Ordinance No.6 Effective 9-29-69 ///�/����')
CONNECTION CHARGES Applicant to fill Inthis�aare(�6only - Q---nR- Ia'603-ft Cr
r Building Address e t6 70 C&'�-(e- ,4z'&
NUMBER FIXTURE FEE/FIX. FEE • r., jJ r ,i/p 4/ 04' �7
Q i Bathtub $ 15.00 315.•• Tract No i/i-v/C Lot No. /- !
7 Laundry Tub or Washer 15.00 f OS/
Shower 15.00 Owner A/ 4 �?%Va a -/6
-" ", -`
'Sink, bar 7.50 Ir // r1
s Applicant
7 Sink, Kitchen 15.00 I D
Q� Wash Basin . 7.50 pal 0 - Address / ��7��Gy �,�• Pl.
Wash Basin(Set) 15.00 AiC `,// "'r ' /i v
a Water Closet(Toilet) 45.00 94.5. Telephone Number /O VS X19/3
•
Bidet 15.00
Dental Units 7.50 PROCESSED BY
Drinking Fountains 7.50
I
M Floor Drains 15.00 INDUSTRIAL USE CHARGES 1
Interceptors for Grease,Oil,Solids, Etc. 22.50
Cu. Ft. per month per acre in excess of 15,000.
Interceptors for Sand,Auto Wash,Etc. 45.00 Rate is$0.50 per 1,000 cu. ft. per month per acre or any
Laundry Tub or Washer(Self Service) 22.50 fraction thereof.
Receptors 22.50 (non ad valorem user--double above) $
Shower,Gang-Per Head 7.50
Sinks, Bar-Commercial 15.00 SPECIAL CONDITIONS ,
Sinks,Commercial or Industrial 22.50
Sinks, Floor 7.50
Sinks, Flushing Rim 45.00
Sinks,Service 22.50 TOTAL CHARGES
Swimming Pool 45.00
Urinals,Pedestal 45.00 Connection Charge $
Urinals.Stall 15.00 Use Charge
Urinals,Wall 15.00 Total Permit Charge $
Urinals,Wall Trough 22.50Penalties
lei ( 0 pp O -- Total Due $
v�(
RA ` it:t �or�rtectio aChrge $
'>T"-
453 2.c&),Penalties: Charges are double if connection is made prior to
NOTEI A sewer permit is required at to a
��� i 50 obtaining permit, plus$5.00 a day. ($25.00 a day for a
Sewer Hook-up. public corporation).
I Bctfff'(vb - /5--
CMF 0708.68 Rev.7-78 el/0((,L - I LIfc1. 4t S/IL /5 --
/Wa-)Lbenim
-
line-)kk.ia 7.57)
Ioiint y_lLS'
cgz � CNr
" ' / F9Applicantto fill in all spaces except those within heavy border lines and sign all appropriate declarations. \
!MIT NO. TRACT NO. LOT O. UNIT NO.
CITY Of COSTA MESA CONSTRUCTIONPERMI �70�� 5 `1202 1/27/87 557091 Tl
Project Address a 0 C � �u (/,fp1{/C'�n.{I r I - ' -
vG • TYPE OF CONSTRUCTION L7NEW IJ ADD LI ALTERATION U REPAIR
Applicant's Mailin. Address' • (/ ��� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER4-71(96- r1�-�'1 �p •
y r / �/' A.P.# OILr�" �o s, 0 I Zone Rj
Owner's Name A�E-7.i L+/lri •hone '
Ft
DESCRIPTION OF WO /USE OF LDC.
Address / / / 41' 6727/1-/ Ft. Nev.,�ifsV i _.4......., /y n : c�'EL S Main Building: Accessory Building:
[[��'' E a 7 / O
Arch/Eng. License No. _ _ TYPE OF PERMIT ❑ GRADING FOUNDATION STRUCTURAL T Front
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear jJ 7O/ N
����y�p�
El OTHER A v
Contractor's Name 4 i -./,1/i iP!.%A i.✓! Phonet&4_ -- - - C Right N
Fts
Address(mailing) f' / r ' 7 CvZVV a- /.,g PROJECT DESCRIPTION 50. OCCUP NC Cep K JQ
CONSTRUCTION TYPE r VALUATION$ a C ep la $ Left 6/ G
City License No. �Q�y ZONE GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION Ping. Ref.# �-� /c2 �/S Parking Req./Provided c2 �;`(;2..7 E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /0c. gYU _ c;.--.6. 41 Planning Notes: HOLD FOR SPECIAL RFQUIP\EN{L' ,—...104a1....
M
with section 7000) of Division 3 of.the Business and Professions Code, and
my license is in full force ... effect. 'j $P7 �/i/'1)ur ait ath • 'o O n T
txLicense Cla - 'Y�J• G" - I%A( __' "' r S
Date tV Signature ��_ �� PLUMBING FEES
kWORKE-S'C••MPENSATION DECLA-M Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-Insure or a certificate • - ELECTRICAL FEES
\ of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink
LI
3800, Lab.,Clot�7.� �/ •
,; i Automatic Washer Transformer ❑ 15,50 KW
Policy No./ a3k/ 9 . �Xompan J 'y Backflow Irrigation Sewer Ca ❑ 50+KW
y 9 PM. Construction Pole Sub. -
rtified copy Is hereby furnished.
Certifie nnv /�-s�'}�swith the city D' on. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date / - J/sus / Applicant L'''''' ��
—
itE PON FROM WORKERS'COMP.EJ SS,� DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 am
(Thissection need not be completed if the permit is for one hundred ($100) or
less). r, Dishwasher Solar Piping, ' - •• Dryers ❑Gas ❑Electric Sub Panel •
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 Drinking Fountains Solar T.• l' Fan •
Motors❑ HP 011/2-8
Workers' Compensation Laws of California. - ,
Date Signature ' Floor Drains Sw ming Pool w/Spa F.A.U. Inc. ar ❑9-15 HP ❑16-15+
'NOTICE: If,after making this declaration, you should become subject to the •
Workers' Compensation provisions of the. Labor Code, you must forthwith Floor Sinks• • Urinal Fixtures -
comply with such provisions or this permit shall be deemed revoked. IcrOwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes /
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which t.. er s is Is -d e•Non 3s'_ .)
Lender's Name .�-GG/'y�c - - u� Interceptors Water Heater Outlets Range
Lender's Address fl( 70 AGN F'' — hk Kitchen Sink Water Service _ S• witches
OWNER BUILDER DECLARATION - Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal i Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator •: 5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions ofRoof • .ins r
the Contractor's License Law(Chapter 9(commencing with Section 7000)of (/
•
Division 3 of the Business and Professions Code) or that he/she is exempt /
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).
U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 •
compensation, will do the work,and the structure Is not Intended or offered - Reinspection Fee P I $15 Issue Fee ' $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law 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 Hood or Type • • DEVELOPMENT SERVICES REQUIREMENTS: /•
' �-s"
employees, provided that such improvements are not Intended or offered for Boiler I ❑ U�t tel; _ / 7.�]
sale. If, however, the building or improvement is sold within one year of corn-
Duct
Canopy Type II 0 Zoning Approved By _ `r'wata /
pletlon, the owner will have the burden of proving he/she did not build or im-
prove Duct- Under Ground Building Approved Byr f / Date /-�7-57
for the purpose of sale). .
❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By •=-_ . - _i7gnWri/ -- - - Date___r:
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ,000 BTU I SUMMARY OF FEES/
builds or improves thereon, and who contracts for such projects with a con=
tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Re Alteration BUILDING PERMIT $ y7?'DO SMTP $ t0�
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ g6 PERMIT
IDF' a
I am exempt under Section B.& P.C.for this reason' Firepl/Fact.Blt. ICBG# mpers MIL
PLUMBING $ ISSUANCE $
Date Owner Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above - ❑0-100,000 BTU 0100,0 GRADING $
information • rect. I agree to comply with all city and county ordinances ELECTRICAL $
and stat: to building construction,and hereby authors a repro- PLAN CHECK 50% $ MICROFILM $
sentative ai.•. upon the above-mentioned pro arty or !J
inspection . MECHANICAL $ t
�� /-2? TOTAL FEE $1 S-5-77(
Signature Date
Drivers' Licens- • # • OS/— ion Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0665-46,rev.10/84 White - Building: Canary -Applicant; Pink -Accounting: Got enrol - Assessor
• -CONSTRUCTION AND PLANNING POOL & SPA
rDateAPPROVALS Permit#
I
Inspector APPROVALS Permit# Date Inspector
•1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.. •
- 54. Forms
4..Electrical Conduit-Undrgrnd. ., • - 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
•
6. Electrical UFER'Grnd. alsinu/ 57. APPROVAL TO COVE R-GUNITE
7. Footings ;.(31fr?, G e.1 58. Electrical Conduit-Undrgrnd. ,,
8. Foundation ' ,•-• 59. Gas'Pipe, D Undrgrnd., Test , i
9t-Water Pipe-Undrgrnd. . , • / 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System '1 Ilk lin Or) 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection ` : 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains64. 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 --l: 71. Product Piping 0 Gas 0 Oil
•
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 7,1 . 73. Undergrnd.Storage Tank 0 Gas 0 Oil
' 25. Roof Sheathing it; cit( Fr 014 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
.27. Frame and Flashing S/'h-7 GA) 76. Dry Standpipe
28. Lathing& Siding ilic/ry G„/ 77. FIXED SYSTEM FINAL
29. Insulation 5/07 641 78. FIRE PREV. FINAL
30. Drywall Nailing
,5/, G./ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ,: 4/T/g47 41%-i 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
. 33. Final Electric ij Notes:F't- .pu .. � 1
c.t11,L/Q1 geI
34. Final Heating & Air Conditioning HOLDFOR SPECIAL REQUIREME14-t
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 ,, t 1
48. Special Requirements Completed j-4_1/,
g{{ 441nN.
I ,
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. • • Date
5 / / /i e--- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY Of COSTA.�_____ // mEE ��,S� 60NSIR,UCT��ItCJ���PERMIT =MST NO.- TR'Ihf.'F'M9' LOT NO. UNLIT N
„(_/_�sb Ct����{{{��� E a73 7s So� .(� osl = 2451 2/18/87 �a R�
• Project Address At '
Applicant's Mailin• Addre�s / / TYPE OF CONSTRUCTION H NEW U ADD U ALTERATION U REPAIR TI.
Owner's Name 'z* //i, LJI11.' // /� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER /�,p•# Zone
• ���A�v DESCRIPTION OF WORK/USE OF BLDG.
Address s+ arra.- _ , r i-,�r ' ' rr I S Main Building: Accessory Building:
Arch/Eng. a -- . _ License No. TYPE OF PERMIT L I GRADING u FOUNDATION D STRUCTURAL E Front O
Address 411, •� y Q9// ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear N
Contractor's Nam• d'L' - Phone - "v /`Lai ❑ OTHER C Right N
k y ((l[�� PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
Address(mailing) 7rer ii Cc s C t,/.. Left
/• CONSTRUCTION TYPE VALUATION$ S
City License No. )p �y ZONE GRADING CU.YDS. ACRES E
LICENSED CONTRACTOR DECLARATION ,/� Ping. Ref-# Parking Req./Provided
I hereby affirm that I am licensed under pro ' I•ns of Charter 9 (commencing Remarks: ip7o�jo/ Planning Notes: M
with section 7000) of Division 3 of the B I s d Prof Ions Code,an• (/ Y
my license is in full forc: .nd of •t. / T
License - ass l Iced •o �d�e/7 da \ S
Date 4 tsignature A41, / SW PLUMBING FEES \\
WOR ERS'COMPENSATION DECL• - • I• Bar Sink Showers
I hereby affirm that I have a certificate of cense t• sell- sure or a certificateELECTRICAL FEES
of Workers' Compensation Insurance, or a ••rtI ied copy thereof (Section Backflow Preventer Service Sink
3800, Lab. C.)
Automatic Washer Transformer '❑ 15-50 KW
Policy No. Corn IIIConstruction Pole Sub ■ 50+ KW
. k •b
Certified copy Is hereby furnished.
8 Certified copy is filed with the City Building Division, .Bathtubs• • ElCooking Unit Meter
L` • • sa . w ,•
Date - Applicant
EXEMPTION F ROM WORKERS'COMPENSA O DECLARATION Clarifiers ■ Collectors _■N e ■• as amps L tjj
(This section need not be completed if the per • t it for • hun• ed ($100) or _
less). / -Dishwasher _ Solar Piping .n Dryers [Las V. lectric n Sub Panel w��rea
I certify that in the performance of the wor f0 w• •
rjr' • it is issued, I
shall not employ any person in any man,' ,I• �� bject to the ,e , ,■ IIII ■s ■ I
Date -sj.forn/3¢4a'�}a taws of Califor //�'/ .V
Date _ f- /te (J ( Signature / .I_�2/ Drains• Inc.Solar 09-15 ■ I
NOTICE: If,after making this declaration, you she b- o subject to the
Workers' Compensation provisions of the Labor .7•qe, you must forthwith Floor Sinks UrinalFixtures
comply with such provisions or this permit s I be deemed revoked. , ■, Is
CONSTRUCTION LENDING AGENCYGas Seryics. - Outlets VVater Closet Device Boxes ,
hereby affirm that there is a construction lend ng agency for the performancePole ht
/•
of the work for which this permit is issued (Section 3097 Civ. C.) nterceptors 11111 VVater Heater _■ Q Outlets
Lender's Name .
Range
Lender's Address 11.1 Water Se _
_ r
OWNER BUILDER DECLARATION . S
I hereby affirm that am exempt from the Contractor's License Law for the • •• I
following reason (Section 7031.5 Business and Professional Code: Any city or ��
county which requires a permit to construct,alter,improve,demolish or repair IMP-Trap I. Laundry Trays _.
any structure, prior to its issuance, also requires the applicant for such permit DO-5 ■
to file a signed statementthat hapte Is licensed pursuant to the provisions00 ) of DrainsRoof I
I
the Contractor's License Law(Chapter 9 (commencing with Section is 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 civil
penalty of not more than five hundred dollars($500). •Reinspection Fee $15 .
Issue Fee $ 3
LJ I, as owner of the property or my employees with wages as their sole
compensation, will do the work, and the structure is not Theintended or offered
for sale (Section 7044, Business and Professional Code: The Contractor'se MECHANICAL FEES
License Law 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 LJ ! ! 1t ? r;t,unui*fh
employees, provided that such improvements are not Intended or offered for Bolter Hood or Type I
sale. lt,.however, the building or Improvement Is sold within one year of com- ■ Date
elation, the owner will have the burden of proving he/she did not build or im- Building _
prove for the purpose of sale). a
0 I,as owner of the property, am exclusively contracting with licensed con- e •
tractors to construct the project (Section 7044,Business and Professions Code: • a
The Contractor's License Law does not apply to an owner of property who 00-100,000• 0100,000 OF
builds or improves thereon, and who contracts for such projects with a con-
tractors license pursuant to the Contractor's License Law). I am aware thatExhaust System •UI
System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation Insurance should be provided to me.
PLAN CHECK $ PERMIT
❑ I am exempt und- Section B.& P.C.for this reason , Dampers
Date : HeatingDucting PLUMBING
I hereby certif .M_• • is application and state that the above ,DO-100,000•: ■ te , GRADING $
information is �v• • c• ply with all city and county ordinances
TAL FEE $
and state law- • Ing ••nstruction, and hereby authorize repre-
sentatives
PLAN CHECK 50% s
inspection of / ter •on the above-mentioned =o Relty�(er-. ■ . .
MICROFILM $
inspection p• 4 ,' (/X(/ e
Signature S��5- Dan
Drivers' License or S Reinspection Fee - $15 ll Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev.10/84 White - Builning; Canary - Applicant; Pink -Accounting;Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector . APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ 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 , (1�= f 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTER! G
•
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final S�li/) 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...Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date
- - • _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. Y ! 1343 1/29787 5j2.38 ' TL
CITY OF COSTA�ME�SA� CONST UCTL ON. ERMIT PERMIT NO. t/�7 �j'� TRACT NO. LOT NO. UNIT NO. -
Project Address -2W La /q P2 R-� ( .✓/ ,
Applicant's Mailing Address !i s/ i TYPE OF CONSTRUCTION L� NEW Li ADD U ALTERATION ❑ REPAIR r
a r ❑,CONVERSION ❑ DEMOLISH ❑ OTHER, p A.P.# Zone
Owner's N'a'me �c•.a n_., Phone�6..r_stal DESCRIPTION OF WORK/USE OF BLDG. Sr-A.
Add/essS Main Building: Accessory Building:
Arch/Eng. • License No. _ TYPE OF PERMIT Li GRADING ❑fr UNDATION ❑ STRUCTURAL E Front - p
Address /'�' ❑TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear • N
Contractor's Name / • /vie IN'✓ /Z/4iPhone-651'1%? ❑ OTHER A -
1
Address(mailing) t/i-1/ / t�T PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G
CONSTRUCTION TYPE VALUATION 5 S Left / R
City License No. 2y 9 /� ZONE eGRADING CU.YDS. . ACRES Ping. Ref.# Parking R�q./Provided E
LICENSED CONTRACTOR DECLARATION 0
I hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks:, 2.7.A/ �... ti/ Pfd//_O.Tn .., Planning Notes: / M
with section 7000) of Division 3 of the Business and Professions Code, andf lG1 y 7 .276[2 302V •r fe/�.a
my license is in full '
• .nd effect. T
License CI 5s �� - icense N• S
„w Date Signature !���� - �e� PLUMBING FEES -
\N>` WORCOMPENSATION DE LARATIO
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink I Showers 2 QJ ELECTRICAL FEES
of Workers' Compensation Insurance, 'or a certified copy thereof (Section Backflow Preventer Service Sink
` 3800, Lab. C. r, ) J � Automatic Washer Transformer 0 15-50 KW .
Policy No. �C•'g0�� q Company C< �V p/i C- �d t4' Backflow Irrigation Sewer Cap0 50+KW -
Construction Pole Sub. - _
title copy .hereby furnished. •
•
erti i Cgpy ed with the city B a g �l/i %nryr 3 B@th1ub5 f Se Wer Connection / Cooking Unit • Meter ❑Up to 100 amps
Date /t 1�{{//,,11yys5 Applicant _ I
E%EMP ION FFi0 WORKERS'CO•PENSATION DECLARAT ON Clarif i2r5 Solar Collectors - Dishwasher Meter ❑over 100 amps
(This se tion need not be completed if the permit is for one hundred ($100) or - - '.
less). t Dishwasher _ Solar Piping ZODryers ❑Gas DElectric - Sub Panel
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 Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1%-8
Workers' Compensation Laws of California. - .. - -
Date Signature Floor Drains . Swimming Pool w/Spa - F.A.U.- Inc.Solar ❑9-15 HP 016-15+
NOTICE:If,after making this-declaration,-you should become subject to the• - -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks UrinalFixtures;,
comply with such provisions or this permit shall be deemed revoked. - /� Microwave
CONSTRUCTION LENDING AGENCY Gas Service jr-Outlets 3 Water Closet $,V Deville Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light •
of the work for'which this permit is issued (Section 3097 Civ. C.) ax. - '
Lender's Name Interceptors 1 Water Heater Outlets' Range
Lender's Address • / Kitchen Sink Water Service - - - -
OWNER BUILDER DECLARATION C(y— Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for the Li Lavatories • Auto-Wash Gafba a Dis os l
following reason (Section 7031.5 Business and Professional Code: Any city or /� 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap , Laundry Trays ener
Gator ❑0-5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains -
�j --
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of - -
Division 3 of the Business and Professions Code) or that he/she is exempt - -
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 try any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500). '
I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 - Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee ! $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES -
License Law 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 DEVELOPMENTSERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale- If, however, the building or improvement is sold within one year of corn- Canopy Type 11 ❑ Zoning Approved By Date
, elation, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By / Date
grove for the purpose of sale). C// lr
LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 6...--- Date
tractors to construct the project (Section 7044,Business and Professions Code: - - .
The Contractor's License Law does not apply'to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES -
builds or improves thereon, and who contracts for such projects with a con- .
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUI LDING PERMIT $ SMIP '$
proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT
❑ I am exempt under section i B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire DampersISSUANCE $.
- - PLUMBING S. F •
Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ !' ENERGY P.C. $
I hereby certify that I have read this application and st• that the above ❑0-100,000 BTU 0100,000 BTL GRADING - $
information is corre .gree to c ply with all city + ounty ordinances -' ELECTRICAL $ •
nd state
laws
rely 'his obw yc nstruction,nte ��/ylv ibyeau apruthorize
repre-
sentatives y for - PLAN CHECK 50% $ MICROFILM $
inspection purpos if' �j/� Date/X2-.1& MECHANICAL $ TOTAL FEE $, SZ' 3r
Signature !\ �•- -
-Drivers' Lice /IF
/
--=Building; Canary - Applicant; Pink - Accounting; Goldenrod -Assessor
•
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit # Date Inspector APPROVALS Permit# - Date Inspector
•
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.• ( - 3647 C.,e.4 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
•
7. Footings, 1 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, C Undrgrnd.,Test
9. Water Pipe-Undrgrnd. l!_3;�-y- L¢',.9 60. Backwash Lines, P-Trap, Q Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 7/ 1/tv , //!/ 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains ,���""" 64. Plumbing System - Final
14. Rough Plumbing 4.//g/$r/'PAr 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 r
22. Ducts, Ventilating 71. Product Piping 0 Gas C 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 ''. ' i,
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical .
27. Frame and Flashing - .• :.1 76. Dry Standpipe .
28. Lathing & Siding 77. FIXED SYSTEM FINAL - •- •
29. Insulation 78. FIRE PREV. FINAL e
30. Drywall Nailing HEALTH DEPT. REQUIREMENT •
•
31. Plaster Brown Coat 79. FINAL INSPECTION .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSyID
33. Final Electric • Notes:I/Zn/e, if/) /wadi O�l c �' 9
34. Final Heating & Air Conditioning air__
35. Final Gas Pipe-Test '" "% '
36. Hood or Canopy ;�.
.1.
37' Final Factory Fireplace ,
•38:.Final Plumbing • /17 'r
0 e ,, . -1? s'
39. Water Service-Final / :;•
1. �I
40. Gas-Service-Final ' `r
41.rShcar Domestic-Final '
4,42. Backflow Preventer ;r'. '`
.e43. Backflow Irrigation .
44. Landscape Irrigation System ' ti •C'
i.45.-Sound Attenuation -e. :'
46. Handicap Regulations .� • •r . -
r '
47. FINAL STRUCTURE & BUILDING • it '
48i-Special Requirements Completed ,- ,.+-
49. Electric Release to Edison
_
50. Gas Release to Southern California Gas Co - - .F
51. CERTIFICATE OF OCCUPANCY ;
No. Date
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA. CONST UCT1/n�.�+^V' PERINIT PERT NO (/� TRACT NO. LOT NO. UNIT NO.
Project Address ? . `e 5;6 ( 66 ' ` ,R 0& LI
Applicant's Mailin• Address 3 L AL". •✓CA
TYPE OF CONSTRUCTION Ll NEW ADD H ALTERATION H REPAIR l 5684 4/08/R7 GO nn TI
Owner's Na ✓J/ ..n.a— /iWL. Phone !if LI CONVERSION ❑ DEMOLISH ❑ OTHER
/ ' II f �^r / �3 A.P.# I Zone
Nem ( r n� �r e 4 DESCRIPTION OF WORK/USE OF BLDG.
Address r (xrif /21,..Ar 63 S Main Building: Accessory Building:
E Z
Arch/Eng. License No. TYPE OF PERMIT CI GRADING El FOUNDATION 117 STRUCTURAL T Front O
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name 1 ge elli- • Phone E�O-ZVV ❑ OTHER A Right N
i PROJECT DESCRIPTION SQ. FT. OCCUPANCY
Address(mailing) - (S rtin nif f/L r1j- PROJECT Tj K G
Z CONSTRUCTION TYPE VALUATION $ S Left •
City License Na. �J i/_T7UO GGG.JJJ ZONE _ GRADING CU.YDS. ACRES R
Z. LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: b7-7.96y Planning Notes: Q
with section 7000) of Division 3 of the Business and Professions Code, and - M
io my license is in full force an•/effeft„� Of
' T
License Cl.ss G���� r Llcens' !!•[ L S
„ p Date -'r- Signature Sian • " -- _ PLUMBING I FEES `
V i
WORKERS'COMPENSATION DECLARATIO Bar Sink Showers
I hereby affirm that I have a certificate of consent to self-insure or a certificateI ELECTRICAL • FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section
Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW-
3800, Lab. C.) � ,
Policy No. 78t ' Company xseLi • • Backflow Irrigation Sewer Cap0 50+KW
Construction Pole Sub.
C Certified copy is hereby furnished. .
Certified copy Is Lite 'th the city B Divis � Bathtubs $ewer Connection Cooking Unit Meter 0 u to 100 amps
Date�WO ERlcant � 4 / Clarifiers • Solar Collectors Dishwasher Meter Dover 100 amps
EXEMPTION FROM need WORKERS'COMP pSATION Do LARATION(
(This section not be completed if the permit is for one hundred ($100) or p
less).eDishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel
I ltno thatm in the performancen the work for which this permit is issued,shallWorkers' Compensation
rs' employ anyipersonws any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'/a-8
Workers' Compensation Laws of California.
Date Signature . . Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,after making this declaration, you should become subject to the _ Inc.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. • - Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • f Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light.
of the work for which this permit is Issued (Section 3097 Civ. C.) a Interceptors I Water Heater DUtiet$
Lender's Name Range .
Lender's Address Kitchen Sink •
. Water Service - Switches ' Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash �.. . Garbo a Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays ...:'' Generator 00-5 KW 05-15 KW
any structure, prior to its issuance, also requires the applicant for such permitTrash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
•
the Contractor's License Law (Chapter 9,(commenfing with Section 7000) of i:.
•
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 civil
penalty of not more than five hundred dollars($500). If` 3
❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee V $15 . Issue Fee $
compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES I '
License Law 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 - DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler HOOd or Type I ❑
'sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II ❑ - Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground .
Building Approved By Date
prove for the purpose of sale). //�\
❑ I. as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By IIS Date _
tractors to construct the project (Section 7044,Business and Professions Code: -
The Contractor's License Law does not apply to an owner of property who ❑0-100,000 BTU ❑100,000 BTU �[ .
builds or improves thereon, and who contracts for such projects with a con- Duct-Ventilating • 7 SUMMARY OF FEES
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. -
PLAN CHECK $ PERMIT
❑ I am exempt under Section - B.&P.-C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers . PLUMBING $ ISSUANCE $
Date Owner Heating System& Ducting 1 }egisters - /tT PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above / K00-100;000 BTU 0100,000 BTL �{!!JJ ;I GRADING $
information is correct. I agree to comply with all city and county ordinances 7 ELECTRICAL $
and state laws relatin to building co, t ction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this y�to nter u ` /`�he a}rove-mentioned property for
Signature
purpose/` �/� /moo/( / l/-0(1;1-
1/r MECHANICAL $ ___� TOTAL FEE $ 33.00
Signature s/c�G'/`� yy[[.G(/L..!/" Date`? D O
Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
• 7., Footings +'. 58. Electrical Conduit-Undrgrnd.
8: Foundation 59. Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd. • - 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval •
17. Rough Wiring Sigry_ 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ce)ing - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning L//zi/Yl ,97t FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - % 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 Flush
24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing % 74. Overhead Hydro
26. T-Bar Ceiling (Stride-tura') &. 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 Nailingj I - HEALTH DEPT. REQUIREMENT
31. Plaster Brown ` yl • 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
•
33. Final Electric Notes:
34. Final Heating & Air Conditioning /Ai9 /i
35. Final Gas Pipe-Test /�
36. Hood or Canopy
37. Final Factory Fireplace f
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final -
•
42. Backflow Preventer
•
• 43. Backf low Irrigation • '
44. Landscape Irrigation System • '
•
45. Sound Attenuation • •
46. Handicap Regulations • ('.I
47. FINAL STRUCTURE & BUILDING :
48. Special Requirements Completed
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
-
No. Date •
•
. .
Applicant to fill in all spates except those within heavy border lines and sign all appropriate declarations. ,
CITY OF COSTA MESA_CONSTRUC ION PERMIT HERMIT NO. TRACT NO. LOT NO. UNIT NO. 3924 8/I c:/97 i'. ,C I '
" Project Address Zd 5 L-4 -5i R �cr ' I a`t o 1 S
Applicant's Mailing Address H
8Q /'iIc7� .,�E N B, TYPE OF CONSTRUCTION U NEW H ADD U ALTERATION H REPAIR
��..11 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,p-# Zone
Owner's Name �s7085PhonervTS 119/3 DESCRIPTION OF WOR K/USE OF BLDG.
Address 89/ ten'ICyc+r/ AME A A 8 •/ S Main Building: . Accessory Building:
Arch/Eng: License No. TYPE OF PERMIT IE GRADING L I FOUNDATION El STRUCTURAL E Front 0
Address ��[[ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
Contractor's Name �/IT oneG7S / ❑ OTHER -_ A . - 1
ry 3 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
CityAddess Licens(mailing). BZo 6O O>-J /0--'7 �• �- CONSTRUCTION TYPE VALUATIONS ' $ Left R
City License No. Z/,(- ZONE GRADING CU.YDS. ACRESPing. Ref.+ Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION - a
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: S �� n / r / Planning Notes:
with section 7000) of Division 3 of the Business and Professions Code, an• V sO Y/• NI
my license is in full for ,.nd effect. T
License Class S .411, Li• • • o. - • S
Date_FS—79''-5SSignature ir PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Sar Sink • f
Showers
1 hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES
IN of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
•
Automatic Washer Transformer D 15-50 KW
3800, Lab. C /
PolicyNo. 23aDo/ `fes nrye'/ Backflow IrrigationCap'
Company 9 Sewer Construction Pole Sub. 0 50+KW
❑ Ge dined copy is hereby furnished, I
(" EXEMPTION
if' d co Rey with the city Bulldnis o Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
Date -! '�"t(( Applicant
�' EXEMPTION FROM ORKERS'COMPENSATION DELL TION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
1 (This section need not be completed if the permit is for one hundred ($100)or
cisless). Dishwasher • Solar Piping Dryers ❑Gas DElectric • Sub Panel
.I 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 Drinking Fountains Solar Tank Fan ' —
Workers' Compensation Laws of California. Motors DO-1 HP OVA 8
Date 'Signature Floor Drains Swimming Pool w/Spa F.A.U.
NOTICE: If,after making this declaration, you should become subject to the Inc.Solar 09-15 HP 016-15+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water HeaterOutlets
Lender's Name Range
tender's Address - - ' Kitchen Sink Water Service -
OWNER BUILDER-DECLARATION Switches Sign
I hereby affirm that I am exempt from the Contractor's License Law for.the Lavatories Auto-Wash GarbageDisposal
following reason (Section 7031.5 Business and Professional Code: Any city or P Standing Sections
•
county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ' Generator 00-5 KW D5-15 KW
any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions-Code) or that he/she is exempt - ---- - — -
therefrom and the basis for the alleged exemption. Any violation of Section I
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500).
0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work, and the structure is not Intended or offered •
(Section - MECHANICAL I FEES Reinspection Fee $15 Issue Fee $ 3
for saleeLaw not apply Business and Professionalf aproperty
rCode: The Contractor's improves
thereon,
does to work owner if a e r elf throughwho builds or improves _ •
to andwho does such himself is arelf or intended
his or her own - - DEVELOPMENT SERVICES REQUIREMENTS:
employees,le. If, provided that such improvements eves are not Intended or offered for Boiler Hood Canopy oType I 1,D
sale. If, however,the nhave
building the improvement of pro issoldhwithin one yearofrim- - Type II •❑ • Zoning Approved By Date
prove for the owner will burden of proving he/she did not build or im- Duct-Under Ground Building Approved By _ Date
rove the purpose the f oe). )/�
LI I, as owner of the property, Se exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat: Ira I 1
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating DO-100,000 BTU 0100,000 BTU -
builds or improves'thereon,and who contracts for such projects with a con- $UMMAflV OF FEES
tractor(s) license pursuant to the Contractor's License Law). I am aware that haust System 0 Multiple 0 System Repair/Alteration //�� BUILDING PERMIT $ SHIP $
proof of their pensation insurance should be provided to me. ♦ / . PLAN CHECK $ PERMIT
D I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG 7olgrr' Fire.Dempers (u»r� -l+� ISSUANCE$ $
Date owner Heating System& Ducting Registers
PLAN CHECK 25% $• ENERGY P.C. $
❑0-100
I hereby certify that have read t ,000 BTU 0100,000BTL''
Application and state that the above GRADING $
information is corset •ree+to • ply with all city and county ordinances •
• ELECTRICAL $
and state la . - . mg to . 1• : constructi•n,and hereby authorize lepra- MICROFILM $sentatives of this cit t: upon th• .b e-mentioned property for - PLAN CHECK 50% $ ``l/�
inspection purpo�. �, �� / MECHANICAL $I ��1��
Signature /� � Dar -/�J TOTAL FEE $
Drivers' Lice 'Cr 55 - nB / Reinspection Fee $15 Issue Fee • $ 3 - PLAN CHECK ' 25% $ C_aSf -
7
CMF 0865-46,rev. 10/84 ' hit Building; Canary -Applicant; Pink -Accounting; 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9./Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 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 Electriical-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 i
• 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 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
361 Hood or Canopy / 1 00 r.:
37. Final Factory Fireplace Jere
38- Final Plumbing /,"/ (( �! r• '';•
39?Water Service-Final 1 "
9 -
40. Gas Service-Final ! ' - .
41. Solar Domestic-Final ' ' '
42. Backflow Preventer (. •-
.
43. Backflow Irrigationf ' : '/'
44. Landscape Irrigation System ' . �
/ ,./ L
45. Sound Attenuation '
46. Handicap Regulations- 1 '. • (,,
.
47. FINAL STRUCTURE & BUILDING -
48. Special Requirements Completed ' - c- - -..,
49. Electric Release to Edison (, _/.
i
50. Gas Release to Southern California Gas Co '- (1 -
51. CERTIFICATE OF OCCUPANCY -
No. Date .
I,
10BUILDING SAFETY DIVISION tj ;_� AJC
" POST IN CONSPICUOUS WCE.i �i-e�; a ng & Air Conditioriing j/J,/;2 /0157
R/ - ON THE JOB ` "`
35. Final Gas Pip -Test
• NOTICE ( //f�
' .1 ,"J
f; • '436. Hood or Canopy
You must furnish PERMIT NUMBER and t JOB ADDRESS"
FOR EACH RESPECTIVE INSPECTION. Ali1.•7``63__-5 7. r37k 'Ip`iapl)F2c9�ory Fireplace
APPROVED PLANS SHALL BE ON JOB T IaJMEES. 77y. ¢
i'C :.-v b8.. Final,Plilmbing ',/3/AS fig
A.P. NO. G DATE ISSUED - ' 7777 -L.
''((
_ ya(p -e�0a -o o rat --87 39. Water Service.rval
1e,EA�/., GROUPp PERMIT NO. / u 40. Gas Service-Final
�-�- 1� -3 B 7 �/ T 41. Solar Domestic-Final
BUILDING ADDRESS / � /�
:-.°s 1--_C( COs7u Cc c4V-t 42. Backflow Preventer
TRACT I LOT BLOCK
1n- 0 IS _5- 43. Backflow Irrigation
NEW ADD ALTER REPAIR MOVING DEMOLISH 44. Landscape Irrigation System
1./// 45. Sound Attenuation
OWNER /" ,/- y"/� / �yJ 46. Handicap Regulations
moul 171x( liar-40.- 11�rS , 47. FINAL STRUCTURE &BUILDING a AlUSE /y,/'� O/7'�/ )� Cr-"b
Ate fit/ S F 48. Special Requirements Completed W/20/S) m
POOL&SPA l
SETBACKS - APPROVALS Permit#
Front Yd. Side Yd. L R Rear 49. Pool & Equipment Location
Side Yd. L R Rear 50. Steel Reinforcement
CONSTRUCTION AND PLANNING 51. Forms
APPROVALS Permit# Date Inspector
52. Electrical Bonding
1. Temporary Electrical Service or Pole 53. Rough Plumbing& Pressure Test
2. Soil Pipe-Undrgrnd. (-50--' s-g0 54. APPROVAL TO COVER-GUNITE
3. Electrical Conduit Utility-Undrgrnd. .)_14,-4.7 f77JJ ., 55. Electrical Conduit-Undrgrnd.
4. Electrical Conduit-Undrgrnd. 56. Gas Pipe, 0 Undrgrnd.,Test
5. Steel Reinforcement 57. Backwash Lines, P-Trap,D Undrgrnd.
6. Electrical UFER Grnd. 0-1.1/2 L7/J 58. APPROVAL TO DECK
7. Footings =-/3/0 (a,� 59. Backwash & Receptor-Final
8. Foundation 60. Heater& Vent-Final
9. Water Pipe-Undrgrnd. (-Jain L6-0 61. Plumbing System - Final
10. Structural Floor System 5/1/WI Cei" 62. Electrical-Final
11. Property Sewer Line&House Connection N e/Y3/ry /ff 63. Solar System-Final
12. Sewer Cap {' L 64. Fencing& Access Approval
13. Roof Drains 65. APPROVED FOR PLASTERING
14. Rough Plumbing (49/17 ,� 66. POOL/SPA SYSTEMS FINAL
15. Rough Electrical-Conduit / FIRE DEPT. REQUIREMENT
16. Rough Electric Wiring t)c4 ///������ ��n) 'APPROVALS Permit#
17. Rough Wiring Sign U/V� 67. Underground Hydro
18. Rough Electrical-T Bar Ceiling 68. Product Piping D Gas D Oil
19: Rough Heating &Air Conditioning /07 lin jai 69. Underground Flush
20. Rough Factory Fireplace 70. Undergrnd. Storage Tank 0 Gas D Oil
21. Ducts,in Structure 71. Overhead Hydro
22. Ducts, Ventilating 72. Dry Chemical
w
23. Gas Pipe-Rough &Test 73. Dry Standpipe
24. Roof Framing 74. FIXED SYSTEM FINAL .
25. Roof Sheathing qj jai b00- 75. FIRE PREV.4FINAL . I
26. T-Bar Ceiling (Structural)& Monocoat +I +" Notes a/XriR
71,7 ‘QU �GG "
27. Frame and Flashing s/Iruy ! v j
28. Lathing& Siding sticker G--e" ,
29. Insulation ' - 3/g/n 61✓
30. Drywall Nailing 5/LS/r (red
31. Plaster Brown Coat Gist? G"/ (see reverse for additional notes)
CMF 0559-46,rev.12/82