HomeMy WebLinkAbout905 LOMBARD CT - Building Permits�..
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(714) 754-5273 • Faz (�ta) �sa-oe5s • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 905 LOMBARD CT
Suite:
Viciniry: MASTER BEDROOM BALCONY
Parcel Number: 41808234
App�icant BALASURIYA, LIONEL
Address: 905 LOMBARD CT
COSTA MESA, CA
owner: BALASURIYA, LIONEL
Address 905 LOMBARD CT
COSTA MESA, CA
ContraCtor.
Address:
Zoning:
Phone: 714-032-9483
Zip: 92626
Phone:
Zip: 92626
Phone:
Status: ISSUED
Applied: 08/25/2000
Issued: 08/29/2000
ISSUED BY: �
Zip: License:
mm� : ' Eng: BALL, JOHN A
Address: � Address: 2173 REYES PL ,
Phone: Phone: �
COSTA MESA, CA
Zip�. License: 92627 License: .
SCOPE OF PERMIT
ENCLOSE 92 SF BEDROOM BALCONY; ADD 1 SKYLIGHT & 1 WINDOW. "
Plan Check: $99.61
Permit: $153.25
SMIP Res: $0.79
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $253.65
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKWG Exlsting: o
NOTES:
Rear 0- 0
Rear 0-0
Required: 0
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING & ZONING
Left o- a R�9nc a o
Lek 0- 0 Right' 0. 0
Proposed: 0
$7,866.00
so.00
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 ezpire 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 ihis permit to be considered legal, such work must comply wilh all applicable codes, and au
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) 754-5626
2646-46(6/DO)
WORKERS'COMPENSAnON DECLARATON:
I here0y aXirm untler penalry of perjury one ot the following declarations:
❑ I have end will meintain a ceNticate oi consent lo self-Insura for workers' compensetion, as providetl for by section 3700 of tha Labor Code, tor the pertortnence ot Ihe
work tor which this permit is issued.
❑ I heve antl will maintain workere' compansation insurance, as reQuiretl by section 3700 of the Labor Code, for the peAortnance ot [he work for which Ihis pertnit is issuetl.
My workers' wmpensation Insurance carner and poli�y number are: �
Carrier: Policy Number:
(This section need not be comp/afed il fhe permi( is veluetl et one huntlred tlollers ($100) or less.)
❑ I cetlify that in lhe peAortnance of the work for which Ihis permit is issued, I shall not employ any person in any manner so as to bacome suhjed to Ihe workere'
compensation laws of Calitomia, and aqree that If I should bacome subject to the workers' compensation provislons ot Section 3700 of the LaDor Code, I shall torthwit�
comply with lhese provisions.
Applicent Signeture: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVEFUGE IS UNUWFUL AND SHALI SUBJECT nN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
T/10USAND DOLLARE (5100,000), IN ADDITION TO THE C0.ST OF CAMPENSATIIXJ, DAMAGES AS PROVI�ED FOii IN SECTION 3]O60F THE IABOH CO�E, INiEREST, AND ATTORNEI"5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm ihat I am licensed under provisions oi Chapter 9(commencing with Section 7000) ot Division 3 of the eusiness and Pmtessions Cotle, and my license is in full
force an0 BNeCt. Lic. q Clau #
Coniractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby atfirtn that there is a consWction lending agency for Ihe pertortnance of the work Por which this Dertnit is iuued. (Sec. 3097, Civil Cotle).
Lenders Name: Lenders Address:
Signature: Date:
OWNER•BUILDER DECLARATONS:
I hereby atfirtn the� under penalry of perjury ihat I em EXEMPT FROM T11E CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: My ciry or wunry which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires Ihe applicam for such permit
to flle a signetl stetement that �e or she Is licensetl pursuent ro the pmvisions of the Contredors License Law (Chapter 9(commencing wit� Section 7000) of Division 3 oi the
Business and Prolessions Cale) or that he or she is ezempt Iherefrom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant tor a pertnit
su ' Ls the apD�icant to a civil penalry o1 not more than five hundred dollars ($500).):
I, as owner oi ihe properry, or my employees with weges as their sole compensation, WILL DO THE WORK, antl the siructure is not intentleC or offerad for sale (Sec.
7044, Business and Protessions Cotle: The Coniractors License Law does not apply to en owner ot properry who builds or improves t�areon, and who does such work
.Ifimself or herself or t�rough his or har own employees, provided ihet such improvemenis are not intended or ottered tor sale. It, however, Ihe builtling or impmvement is
sold within one year ot completion, the owner-builder will have the burtlen of proving that �e or she tlid not builtl or imD�a�e ior purpose of sale.).
I, as owner of the property, flm E%CLUSIVELY CONTRACTING WITH LICENSED COMRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law tloes nm epply to an owner ot proparry who builds or improves ihereon, entl who contracts tor such prolect with a contredor(s)
license pursuant to the Contractors License LawsJ. �`
Business and Prafescioos Code for this reeson:
Date:
�O�vnw16 venfi tl by dnver's If�9as(e. �"[]Yes� ❑ No rivers License
Verification of Ownership by (rype ol document, i.e. - properry tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cerlity that no excavation fiva (5) or more teet in tlepth into which e person is required to descend, will be made in connection with work euthorizetl by this
permit, antl ihat no building siructure, scaHolding, talsework, or demolition or dismantling thereot, will be more than ihirty-six (36) teet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, Title B, Celifomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from the Division oi Indusinal Safery, as noted ebove, unless such pereon �es e
permit to tlo such work from the division.
Signature: Date:
Division ol lndusinal Safety Permil Number:
CERTIFlCA7E OF COMPLJANCE AND AIfTHORIZATON OF ENTAY: I certity under penalry of perjury that I have read this application and stata that the infortnation given is
correc agree to comply with ell state law ciry ordinances releting to building construction, and authorize representative� �f t�e Ciry of Costa Mese to enter upon the
ebov - escn/b�e/Q pmperry for inspectio uryoses. gree not to wcupy or allow occupency ot any building authonzed by this pertnit ulr tiN' el inspection.
(AkN-� 00
Signature Ot Legal er(s) Date
And/OrAuthonzatl Applicant
COOE 1. INSPECTION TYPE
f 616 Fixetl System Flnal Fire Praveniion
1266 Pool Spe Final
200 final Re-Root
201 Finel BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
Qdg U�dLS
COpE� INSPEGTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
PATF 1I�EL5
�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity
Parcel Nunmber.
Applicant�
Address:
Owner
Address
Cantrectar:
Address:
ISSUE FEE
Temp service test
Res. a/c packaqe
New Res (L2 units)
New Res (3+units)
Pool / Spa
LigMing Fixts
Recept Outlets
Switches
Non Res App�
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp
Motors ta 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Liqht Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
905 LOMBARD CT
41808234
BALASURIYA, LIONEL
905 LOMBARD CT
COSTA MESA, CA
BALASURIYA, LIONEL
905 LOMBARD CT
COSTA MESA, CA
Phone: 714-432-9483
Zip: 92626
Phone:
Zip: 92626
Phone:
Zip:
License:
SCOPE OF PERMIT
REF B00-07303, ENLOSE 96SF BALCONY AND SKYLIGHT.
2 LIGHTS, 4 OUTLETS AND 2 SWITCHES.
523.50
$0.00
$0.00
$0.00
$0.00
$0.00
$2.20
$4.40
$220
50.00
50.00
50.00
50.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
50.00
50.00
50.00
50.00
50.00
50.00
Quantity
0
0
0
2
4
2
0,
0
0
'0
0
0
0
0
0
0
0
0
0
0
0
0
FEESUMMARY
Temp Dist System / Lighting
Busway /100 ft
Standing Section
Misc Eleclrical Equipment
Transformers up to 1 kva/kw
................up to 70 kva/kw
..:..............up to 50 kva/kw
.................up to t00 kva/kw
..................Over 100 kva/kw
Low Voltage Equipment � ,-� -: -
Low VOIt Wiring System I Ckt
Misa Conduit
Misc. Conductor
Cirws ( gen or ride)
Cirws (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 08/29/2000
Issued: OB/29/2000
ISSUED BY: C�
Quantity
$0.00 0 �
$0.00 0
$0.00 0 ;
$0.00 0
$0.00 0 -
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0,00 0
$0.00 0
$0.00. 0
$0.00 0
$0.00 `'0 ; �
$0.00 0
$0.00 0"
so.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES E32.30
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 it 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 appllcable coaes, ana au
requlred Inspeetions and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-46(&00)
�
WORKERS'COMPENSAnON DECLARAnON:
I hereby ettirm untler Oenalty ot perjury one of the following tlaclarations:
❑ I have and will maintain e certificate ot consent to self-Insure for workers' compensation, es provitletl tor by section 3700 0l the Lebor COAe, for iha pertormence of the
work }or whith lhis pertnil is issuetl.
❑ I have antl wili maintain workers' compensation insurence, as required by SeQlon 3700 oi Ne Labor Code, tor t�e peAortnanca oi the work tor which this permit is issued.
My workers' compensation Insurance carner and policy number are:
Carrier: Policy Number.
(7)ris section neetl not be crompleted i! the permif is velued ef one hundred dollers ($100) or less.)
❑ I certity that in lhe peAormance oi the work for which this pertnit is issuetl, I shall not employ any person in eny manner so as to become subject to ihe workers'
compensation laws ot Califomia, and egree Ihat il I should becoma subject to the workers' compensation provisions of Section 3700 oi the Lebor Code, I shell forthwith
comply with these provisions. �
Appliwnt Signatura: Date:
WARNING: FAILURE TO SECURE WORKEfiS' COMPENSPTION COVEMGE IS UNLAWFUL lWD SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES FND GVIL FlNES UP TOONE HUNDRED
7HOUSAND DOLLARE (5100,OW), IN ADDITION TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3lOfi OF THE LABOR CADE, IMEflEST, AN� ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby aflirm Ihat I am licensed under provisions of Chapter 9(commencing with Saction 7000) of Division 3 of the Businew entl Professions Code, end my license is in full
forte anC efiect Lic. N
Comractofs Signawre:
Class a
Date:
CONS7RUC710N LENDING AGENCY:
❑ I hereby attirm that there is a consiruction lending agency tor the pedormance of ihe work tor which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlefs Name: _ _ Lenders Address _. _ _ _ _ . _ _
Signature:
OWNER-BUILDER DECLARA710NS:
Date:
I hereby aNirtn that under penalry of perjury that I am E%EMP7 FROM 7ME CON7RACTORS LICENSE LAW tor ihe following reason (SecJ031.5, Business entl Professions
Cotle: Any ciry or counry which requires a pertnit to wnsiruct, elter, improve, Aemolis�, or repair any structure, prior to its issuance, also requires Ihe flpplicant tor such permit
to tile a signed statement that he or she is licensed pursuant to ihe pmvisions of the Contrectors License Lew (Chapter 9(commencing with Section 7000) oi DMslon 3 oi t�a
Business antl Professions Code) or that he or she is exempt therefrom and the basis for ihe alleged axemption. Any violation of Section 7031.5 by eny applicant for a pertnit
subjects the apP�icant to e civil penalty of not more ihan tive hundred dollers ($500).):
� I, as owner of ihe properry, or my employees with wages es their sole compensa�ion, WILL DO THE WORK, and Ihe structure is not intended or offeretl for sale (Sec.
7044, Business and Professions Code: The Contractors License Law tices not apply to an owner of property who huiltls or improves Ihereon, and who tloes such work
himself or herself or Ihmugh his or her own employees, provided �hat such improvemenis ere not intended or oflerea for sale. tl, however, ihe builtling or improvement is
soltl wiihin one year of completioq Ihe owner-builder will have the burden of proving Ihat ha or she did not build or improve for purpose of sale.).
� I, as owner of the property, am E%CLUSIVELY CONTRAGTING WITH LICENSED CONTRACTOiiS to construct the project (Sec. 7044, Business and Professions
Code: The wntreciors License Law does not apply to an owner of property who builds or impwves ihereon, antl who wntrads for such project with a coniractor(s)
license pursuam to Ihe Contractors License Laws.).
�ner ID v
Veritiwtion
by driver's
❑ No
Business and
by (type of tlocumem, i.e. - properry tex bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Code tor this reason:
inse . /� , Ezpire� `'o'
❑ I hereby certify that no excavation frva (5) or more feet in depth into which a person is requiretl to tlescenq will be made in connection with work authorized by this
pertnit, and that no building structure, scattolding, talsework, or tlemolition or dismantling thereoi, will be more than thirry-six (38) teet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Title B, Califomia Administrative Cotle).
❑ As owner-builder, I will not employ enyone to do work which would require a permit Iwm the Division of IndusMal Safery, es noted abova, unless such person hes e
pertnit to do such work from the aivision. �
Signature: Data:
Division of Intlustrial Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OP ENTRY: I certity under penalry of perjury that I have read this application antl s�ate Ihat the informetion given is
corr . I egree to comply wi�h all state laws and ciry ortlinances relating to building consiruction, and authorize representatives of Ihe Ciry oi Coste Mesa to enter upon ihe
eDG -desc � ed pr�rty tor inspection pu�s.=agree not to occupy or allow occupancy of any building euthonzad by this permi�' I inspeciion. /
� � � � � � n�
Sig ature Ot Leg I Owner(s)
CODE �. INSPECTIONTYPE
�si5 Fixad System Final Fire Prevenllon
1266 Pool Spa Final
200 Final Re-Rool
201 FinaI8lwWRetaining Wall
202 Final Fedory Fire Place
203 Finel Sign
204 Final Demolition
D�TE f[�$ �j INSPECTONTYGE
206 Finel Mechanical
208 Finel Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Appmval
222 Final Site
250 Final Building/Occupancy
p131�
_, ,�
R�LS
z�►cT :;o. /oS��S— Z
Lar ho. 3 `/
ADDRESS Jr/}�' Gpry��xl�/% �DU� �
Development Services Depart�ent
Planninb Division
City of Costa Mesa
?7 Fair �:ive
Costa :1e�a, CA 92626
Attention: rtr. Paul Dudley
Dear D:r. Dudley:
DATE� µl �U
Please be 8ware that the underaigned are aware that a certificate of occupancy
on the aboye referenced lot and unit is being requested prior to the entlre
tract and its streets and coamion areas being completed and accepted by the.
City of Coata Mesa. -'"
!;
:' yit'J
T�
;: •d
�JI
aooeEss: 905 LOMBARD CT
rsxnM[: HALASURIYA LIONEL
nooness: g05 LOMBARI� CT
COSTA MESA,CA 92626
AXCHIENGINEEH:
ADDflE55:
flEG.NO.:
uxir:
UNIT:
PEflmiTTEE: BILT—WELL ROOF AND MATERI ( 719 ) 739-1288
aoosess: 3310 ��ERDUGO ROAU
LOS ANrELES CA 90065
LICENSED GONTHACT08 OECIAHRTION: I hereGy aifirm t�at I am IicenSeA unAer provisions ai Chapter 9(commencing wi�h Sec�ion
7000) of �ivsion 3 of I�e Business antl Professions Code, antl my license is in �ulliorce an0 ettect.
CITYLIC.: 034O7�i STAiELIC.:QSHOOS/���41� C 39 EXP; OS/95
�ale: ���� Signaiure: ��—���/ ��7
WOflREPS' COMPENSATION OECIAflAT10N: I h¢r¢�y aflir�cenificate of consem to seu-insure or a cenificate oi Workers'
Compensation Insurance. or a cer�dietl copy Ihereof (Section 3800. Lab. C�.
voucvxo.: W937102984 E%P.DFTE: O�J/S3/9�I
COMPpNY: CAL COMP
❑ Cenilie0 coOY is �ereby lumis�etl. � CenifieU coDY �s file0 with the ciry BuilOing Division.
Jate: ApplicanC
E%EMPTIONFBOMWOPREflS'COMPENSATIONOECUPRTION: (Th¢sec�ionnee0notbecomDleleOiflhepermitisloronehunUre0�5700�orless�.
I ceriily Ihat in Ihe perlormance ot Ihe work for which this permii is issuetl noi ploy any person in any manner so as to Gecome
su�le�� �o the Workeri Com nsa�ian laws of Cali�omia.
Date: Signamre: �
NOTICE: If, afler making ihis Declaration, Vou shoul e ci �o he Workers' Compensation pmvisions of �he Labor
CaOe. you musl fo�hwith campty with such pmvisions ar t is De�mi� shall �e tleemed revoketl.
CONSTflUCTION LENDING AGENCY: I hereby affirm ��at Ihere is a constmc�ion IenOing agency for ��e Dehormance ol the woB ior
which ihis permit is i=sued �Section 3097. Civ. C).
LENOEP:
PODflE55:
OWNEB BUII�Efl OECLAflATIUN: I hereby a��irm �ha� I am exemp� iwm the Contractors' S�a�e License Law for �he tollowing reason
�Section 7031.5 Business antl Pmfessional Catle: Any ci�y o� counry which reQuires a Dermi� �o conslmd, al�er, improve, demolish, or
repai� any stmcWre. priar to its issuance. also requires ihe applicant for such permit to file a signea statement ihat helshe is licensetl
pursuani m 1he provisions of the Comracmrs Slaie License Law (C�ap�er 9(commencinA'M�h Seclion 700U) o� Oivision 3 a� the Business
antl Pmfessions CoOe) or Iha� helshe is exemp� �herefmm an0 I�e basis for �he allegetl exemp�ian. Any viola�ion o� Sec�ion 7031.5 �y
any applicant lor a permit subjecis Ihe applican� to a civil penalry o� no� more Ihan five hunJreO Aollars (5500).
I, as owner oi Ihe pmpetly ar my employee5 vnih wages as Iheir sole compen5aiion, will tlo the work, and the
❑ stmcWre is not inlentled or ofierea lor sale (Section 70a4. Business antl Pwfessional Cotle: T�e Coniracmrs' State License Law
tloes not aDoly to an owner o1 a owDenY who builas or impmves ihereon, anA who tloes such woB himself/herseli or thmuAh
�is Or her own employees, pmvi4e0 t�at Such improvemenl5 are n0i in�en0etl of Oilefed lor Sale. II, however Ihe building or
impmvement is soltl witnin one year oi completion, ihe owner will have ihe bur0en oi Droving he/she tli0 not huile or impmve
for ��e purpose ol sale�.
I, as owner ol ��e pmperty, am exclusively conVaciing with licensed conlractor5 io constmc� �he D�oletl (,S¢ction 704d, Business
❑ an0 PrOfe55ions Code: The Contrac�ors' Stale License Law tloes noi ap01y �o an owne� of OroDeny who bmltls or imprwe5 the�eon
and wha coniratls tor such prole��s with a conlraclor�s)license pursuantlo ihe Caniractors' State License Law�. I am aware
that prool ol their Worker's ComOensa�ion insuronce ShoWd De provided Io me.
� I am exempl under Sectian: B. 8 P. C.
lor ihis reason:
Dale: Ownec
I Uo hereby certify i�at I am aware oi and untlerstana the requirements oi Califomia Health an0 Satety Cotle Sections 25505, 25533, antl
25534 antl Ihal I or any IUWre huiltling occupani will/will not (circle one) neetl b comply with saia Sla�e codes an0lhe requiremen�s for a
permil lor constmction or mo0ificaiion �wm ��e Fu Ouality Managemenl District. flesidenlial conSVuction applications are exemp� tmm
ihese o�ovisions.
Dale' FpplicanP. _
I hereby cerlity�hal I havereaa�his aOPlitalion an0 Slaie Iha� Ihe
ortlinances antl sialelawsrelating�o builtling conslmciion antl herel
pIOPCfIy �Of IOSPC[I100 OfPO5C5.
�a�e: / �/ � Signature:
Drive�'s License or Sociai Security a: � �
is wrr¢ci. I agree lo comply wi�h all ciry antl Counry
na�ivp,s of �his ciry to enter upon Ihe above-mentione0
t641-a6 W�ne—Buileing; Green—Code Eniorcemen�; Canary—ApplicanL Pink—Rgvenue: Goltlenroa—Assessor
CITY OF C05TA MESA — HUILDING PERMIT
PERMIT NO: H 067959 PLAN CHECK NO; N
PERM NO; B 057959
GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPO.SE: OTH
JOB DESCRIPTION ; T/OFF L REROOF WITH COMP. 6 BUR IN BACK SQ FT: 1,100
CLAIM VALUE: 1,100.00 CALC—VALUE: 1,1OQ,00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE UETECTORS ARE RE2UIREU IN EVERY BEDROOM 6 HALLWAY
*�*****��****�c�*�**�*���x�*r��*�:�*�*�*�r�r*�***�*���r*��***�**�c*�*********��***�*+e�
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 BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: 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: 41fl08239 ZNE: REF NO:
PLANNING NOTES,> ,
�
*�e*�r�x���r*�*�r�*��r�t*x+�*+�*�t+�****�r*�*x�+��r**x��*�t**+��r��t**�r*�r****�*���x ��**�t:�c�*�:�:-�c*�**
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N`�.T S
�^
20NING APPROVED BY PATE: d}�•
BUILDING APPROVED BY : DATE; ?2
APPLICATION ISSIJED HY: �� � DATE; ��
�***�*�*�*��*��***���� . �n��������������������**�*�*** � *r � y:
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27,00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 27.50 0.00 0.00 27,50 27.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 27,50 OL'ER/SHORT: ,OQ
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00 .50
�IE iE iE iE iE iE iE ih # iE jf �k fE 1E if #` if if iE iF 1t iE iElf N� f!� iF iE iE fE ff f!� i! iElE iE iF # iF iE �Y iElt if jF iE �IF # iF ie �)F 1f iE iE �F jE jE 9E iE dE iE Y- # iF ih 1F # if # i( 3E iE fl iE iF if iF if if
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1100 REAOOF HY VALUE RESIDENTIAL NOZONE 1,00 1,100,00
END OF FEES
Q1 0016374E—Q0153749 T�] T
DATE: 07/t1�94 TIl1E: 12:16
�ONSTHUCTION AN6 PLANNING
APPROVALS Permit #
l. Temporary Electrirai Service�o.' Pole
� .
2. Soil Pipe�Undrgrnd. '
3. Electrical Conduit Utility•�d?grnd.
4. Electrica� Conduit•Undrgrnd� �.
5. S2ee( R¢inforcemenc I
6. Eiectr�cal UFER Grnd.
7. Footings
8. Foundation �
� �
9. Wa.er Pipe-Undrgrnd. , ��
10. Structural Fioor SYstem .,�
11. Property Sewer Line & Housg�Connectio�
-'P-
72. Sewer Cap �
13. Roof Dfains
14. Rough Plumbing
15. Rough Elec!rical-Conduit
76. Rough�IectricWiring .
17. Rough Wiring Sign
78. Rough E�ectrical-T Bar Ceiling
19. flough Hea2ing & Air Conditioning
20. Rough Factory Fireplace .
27. Ducts, in Structure . .
22. Ducts, Ventilating
23. Gas PioB�Rough & Test
24. Roof Framtng �
25. floof Sheathing 7
26. T�Bar Ceiting (Struct�raty & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Ory�vall Nailing
31. Ptaster Brown Coa:
32. Electricai Pow?r MeterF�nal
33. Final Eleciric
34. Finaf Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or CanopY
37. Final Factory Fireplace
38. Final Plumbin9
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestic-Fina�
42. BackfloK' P�eventer
43. BackfloW Irrigation
44. LandscaPe Irripation System
45. Sound Attenuation
46. Handicap Regviations
47. FINAL STRUCTURE & BUIIDING S
Q
46. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southem California Gas Co
51. ,CERTIFICATE OF OCCUPANCY
No. Date
Date
!
-R�(
POO L �A
lnspector p�ppROVALS Permit?�
52. Poot & E4uiQme�t l.ocation
53. S2eel Reinforcement
� 54. Forms
" 55. Electrical8onding
56. Rough Piumbing & Pressure Test
57. APPROVFlITOCOVER�GUNiTE
58. Electric2l Conduit-Undrgmd.
�' 59. Gas Pipe, 0 Undrgrnd., Tes[
� 60. Backwash Lines, P�Trap, G Undrgmd.
� 61. APPROVALTODECK
� 62. Backwash & Receptor-Fina!
63. Heater & Vent�Final
64. Piumbing System � Finai
65. Electrical-Final
- 66. Solar SVstem-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOLlSPASYSTEh•iSFINAL
FIRE DEPT. REQUIREM1+7ENT
APPROVALS Permit #
70. Underground Hyclro
���. - 77. Product Piping OGas �Ofi
72. Underground Flush
73. Undergrnd. Storaye Tank C7 Gas ❑ Oil
riR�✓� 74. Overhead Hydro
� 75. Dry Chemical
76. Dry Standpipe
'�, ' � 77. FIXED SYSTEM FINAL
''��. � 78. FIflE P�?EV. FINA�
I, HEALTN DEPT. REQUIREMENT
', ?9. FINAL INSPECTION
''�, 80. FOOD CERTIFICATc ISSUED
' Notes:
�1
�, -
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Da[e � Inspector