HomeMy WebLinkAbout916 LOMBARD CT - Building Permits(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicanl:
Address:
Owner:
Address
Contractoc
Address:
ISSUE FEE
Temp service test
Res. alc package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to ihp
Motors to 10hp
Molors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
916 LOMBARD CT
NEW BEDROOM AREA
41808245
KRISTEN FEATHERSTONE
916 LOMBARD CT
COSTA MESA,CA
KRISTEN FEATHERSTONE
916 LOMBARD CT
COSTA MESA,CA
OWNER-BUILDER
ELECTRICAL PERMIT
Phone: 714-549-0959
Zip: 92626
Phone: 714-549�959
Zip: 92626
Phone:
Zip:
License: 0
ISSUED BY:
Status: I SSU E D
Applied: 07/14I2000
Issued: 07/74/2000
SCOPE OF PERMIT
INSTALL 1 LIGHT, 9 OUTLETS AND 1 SWITCH FOR BALCONY ENLOSED INTO BEDROOM AREA.
REF:B00-00928
$23.50
$0.00
$0.00
$0.00
ao.00
$0.00
$1.10
ss.so
$1.70
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft
Standing Section
Misc ElecUical Equipment
Transformers up to i kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misc. Conductor
Cirws ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
so.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
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES E35.60
COMMENTS I SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 7, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period o� 780 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable cotles, and all
requlred Inspectlons antl flnal approval must be obtained. Failure to obtain inspections and final approval will result in �he expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626 , �
WORKERS'COMPENSAnON DECLARAnON:
I hereby atlirm untler penalry of perjury one of the following declarations:
❑ I have antl wlll maintain e cenificate of consent to seN-Insure for workers' compensation, es provitletl for by section 3700 of ihe Labor Code, for Ihe peAormance of Ihe
work for which this pertnit is issue0. �
❑ I have and wlll maintain woAcere' compensation insurance, as required by sedion 3700 of Ne Labor Code, for ihe peAortnanca of the work for which Ihis pertnit is issued.
My workers' compensation Insurance carner end policy number are:
Carrier: Policy Number.
(This section neetl no! be complefed l� ihe permit is valuetl a( one hundred dollars ($ f 00) or /essJ
❑ I certify Ihat In lhe perfortnance of the work for which ihis parmit is issueQ I shall not employ any person in eny mannar so as lo become subject to the workers'
compensation laws oi Celitornia, and agree that if I shoultl become subject to the workers' compensation provisions of Section 3700 ot the LaDor Code, I shall fonhwith
camply wiih ihese provisions.
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKEPS' COMPENSATION COVERACaE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYEq TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HIINORED
TFK)USAN� DOLLARE (S10p,000), IN ADOITION TO THE COST OF WMPENSATION, DAMA6E5 AS PROVIDEO FOR IN SEGTION 3]O6 OF THE IABOR CODE, INTEPEST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm ihat I am licensed under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Cotle, and my license is in full
force and ettecL Lic. k Class N
Contracbfs SignaWre: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that ihere is a construction lending agency for ihe peAormance of the work tor which this permii is issued. (Sec. 3097, Civil Code).
Lender'S Name: Lender's Atldress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn ihat under penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any stmcture, pnor to its issuance, also requires Ihe applicaN tor such permit
to file a signe0 statement that he or she is licensed pursuant to Ihe pmvisions ot ihe Coniractors License Law (Chapter 9(commencing wiih Seciion 7000) ot Division 3 oF tha
Busineu ana Protessions Code) or t�at he or she Is exempt iherefrom and the basis for ihe alleged e:emption. Any violation of Section 7031.5 by any applicant for a permit
�u ecis the applicent to e civil penalry of not more Ihan fiva huntlred tlollars ($500J.):
I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WOHK, and the siructure is not intended or oHered tor sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builtls or improves Ihereon, antl who dces such work
himself or hersell or through his or her own employaes, provitled thai such improvemenis are not intended or oHered for sale. If, however, the building or improvement is
sold within one year oi com0�etion, the owner-builder will have ihe burden of proving Ihat he or she ditl not builtl or improve for purpose of sale.).
❑ I, es owner ot the properry. em EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: Ttie� ntr ctors License Law does not appry ro an owner of propeny who builds or impmves ihereon, and who contrac�s for such project with a coNractor(s)
Iicense�DU�u�o �he Cqptractors Liceqse Lews.). � /
���
Owner IUveri
Venfication of
Business and Professions Cotle for this reason:
license. ❑ Yes ❑ No
by (type ot documen4 i.e. - propehy tax bill or tleedj:
Drive(s License
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: '
❑ I hereby certity that no excavation five (5) or more feet In depth into which a person is requiretl to tlescenQ will be made in conneclion with work authorized by ihis
permit, antl that no building structure, scaHoltling, talsework, or demolition or tlismantling ihereof, will he more �han ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
347, Ttle B, Calitomia AOministretive Code).
❑ As ownervbuiltler, I will wt employ anyone to do work which woultl require a permit from the Division of Industrial Safery, as noted above, unless such person has a
permit to tlo such work irom the tlivision.
Signalure: Da�e:
Division ot Indusirial Satery Pertnit Number:
CER7IFICA7E OF COMPL ORVATION OF ENTRY: I certiy under penalty of perjury that I have reatl this application and state that the information given is
correct. I a ee ro com all st e laws and city ordinances relating to buildinq wnsiruction, and authonze representatives o Ihe C of Costa Mesa to enter upon the
ebova-descri insp ion urpose . gree no upy or allow occupancy of any Duiitling authonzed by this /until inal inspection.
L ��
ure Oi L gal wner(s) a e
CODE �. INSPECTIONTYPE �€ IM111AL5
1616 Fixetl System Final Fire Prevenlion
1266
200
201
202
203
204
24a6 48
Pool Spa Final
Final Re�Roof
Final BIocWRetaining Well
Final Factory Fire Place
Final Sign
Final Demolition
C0� INSPECTIONTYPE
206 Final Mechanical
20B Final Piumbing
270 Final Electrical
212 Final Fire Preven�ion
220 Final Planning Approvel
222 Final Si�e
250 Finat BuildinyOccupancy
I�RT_� INTRIALS
��— �
(714) 754-5273 • Fax (774) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 916 LOMBARD CT
Suite:
Vicinity:
Parcel Number: 41808245
,4pp�icant: KRISTEN FEATHERSTONE
Address: 916 LOMBARD CT
COSTA MESA,CA
Owner: KRISTEN FEATHERSTONE
Address 916 LOMBARD CT
Contractor:
Address:
Zip:
Arch :
Address:
COSTA MESA.CA
BUILDING PERMIT
Zoning:
Phone: 714-549-4959
Zip: 92626
Phone: 714-549-4959
Zip: 92626
Phone:
License:
Eng:
� Address:
Phone:
ISSUED BY:
Status: ISSUED
Applied: 06122/2000
Issued: 06/22/2000
Phone:
Zip: License: License: .
SCOPE OF PERMIT
ENCLOSE EXITING BALCONIES TO ENLARGE BEDROOMS.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$99.61
$153.25
$0.80
$0.00
$0.00
$0.00
$253.66
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0-0
ss,000.00
$8,000.00
�
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-20, § 1, 12-21-92)
IEXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
, for a period of 780 days.
� INSPECTIONS: In order for �he work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required InspecHons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FORINSPECTIONS�CALL: (714)754-5626
WORKERS'COMVENSAnON DECLARAnON:
I hereby attirm under penalry of perjury one of the tollowing tleclarations:
❑ I have end will maintain a certificete ot consent ro seli-Insure for workers' compensetion, as provided for by section 3700 ot the Labor Cotle, for �he pertormance of ihe
work for which Ihis permit i5 issuetl. �
❑ I have and will maintain workere' compensatlon insuranca, as required by section 3700 of ihe Labor Cotle, for iha performance ot lhe work for which �his permit is issuetl.
My workers' compensation Insurance cerner end policy number ere:
Cerriec Policy Numbar.
(lhis secfion need nof be completed i! the permit is valued at one huntlretl dollars ($f 00J or less.)
❑ I certify that in the pertortnance of the work tor which Ihis permit is issued, 1 shall not employ any person in eny manner s0 as to become subject to ihe worker5'
compensation laws oi Califomie, and egree lhat if I should become subject to the workers' compensation provisions of Section 3700 of the Lebor Cotle, I shell fonhwith
comply with these provisions.
ApDlicant Signature: Date:
WARNING. FAIWRE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUBIECT AN EMPLOVER TO CFIMINPL PENALTIES AND CIVIL FINE$ UP TO ONE HUNORED
THpIISAND DOUARE (E100.000). IN ADORION TO iHE WST OF COMPENSATION, OAMAGE$ A$ PROVIDEO FOR IN SECTION 3]O6 OF THE LABOR WDE, IMEREST, AND ATTORNEYS FEES.
, LICENSED CONTRAC70RS DECLARATION:
�' I hereby aflirm ihal I am licensetl under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Protessions Cotle, and my license is in full
force antl eHact. Lia p Class N
Conirector's SignaWre: Date:
�� CONSTRUC710N LENDING AGENCV:
'❑ I hereby eHirm ihat Ihere Is a conswction lending egency tor ihe peAormance ot Ihe work tor which this permii is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn ihat under penalry ot perjury tha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any city or counry which requires a permit b construct, alter, impmve, demolish, or repair any strucwre, pnor to Its Issuance, also requires tha applicant for such permit
to lile e signed siatemem that he or she is licensetl pursuam to the provisions of the Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Bu ess entl Professions Coda) or that he or she is enempt thereirom and ihe basis for the allegetl ezemption. Any violation ot Section 7031.5 by any applicant tor e permit
pG f�cts ihe applicant to a civll penalry oi not more ihan tive hundred dollars ($500).):
?'� I, es owner of the properry, or my employees with wages as iheir sole wmpensetion, WILL DO 7HE WORK, and the structure is not intendetl or oftered for sale (Sec.
� 7044, Business end Professions Code: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, antl who tloes such work
himself or herself or ihwugh his or her own employees, pwvided Ihat such improvements are not intended or oHeretl for sale. If, however, the building or impmvement is
sold within one year of completion, the owner-builder wiil have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of tha property, am EXCLUSIVELY CONTRACTING WITM LICENSED CONTFACTORS to constmct the project (Sec. 7044, Business antl Pmfessions
Cotla: lTe comrectors License Law tloes not apply to an owner oi properry who builds or impmves Ihereon, and who coniracis for such project with a coNractoqs)
license pursuant to ihe Contractors License Laws.).
0
sec.
Owner ID v�fietl�byprivefs licen5e.
Verification of Ownership by (type of
_ Business and Professions Code for this reason:
�^ � � �
❑ No Drive+�.����=�uT Eypi�y; _ —I
i.e. - property tax bill or deed):
DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION:
❑ I here6y certity Ihat no excavation five (5) or more feet in tlepih into which a person is requiretl to tlescend, will be made in connection with work authorizetl by this
permii, antl Ihat no builtling sWcture, scaflolding, falsework, or Gemolition or dismantlinq ihereof, will be more than t�irty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tiile B, California Administrative Code).
❑ As owner-builtler, I will not employ anyone to do work which would require a permi� irom the Division of Intlusirial Safery, as noted above, unless such person has a
permit to tlo such work from the division.
SignaWre: Da�6:
Division of Indusirial Safety Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATiON OF EMAV: I certity untler penalry of perjury that I have reatl ihis appiication and state that Ne iniormation given is
correct. I agree m c mpl�+'it all state laws and city ordi ces relating to building consiruction, and amhorize representatives of the City of Costa Mesa to enter upon the
a6ove-described pr pe yf r i paction p� 6ses. I a9re t to occupy or allow occupancy of any buildinq authorized by this permit ntil fi al inspection.
G/'z%.
� �Sioneture'Ofteaal.OvZrrer(s1 Date�
And/Or Authorized Applicant
COpE Y, INSVECTIONTYPE
1616 Fizod System Final Fire Prevention
126s Pool Spa Final
200 Final Re-Root
201 Final BIocWRetaining Wall
202
203
204
2a4fi a6
Finel FadOry Fire PlaCe
Final Sign
Final Demolition
PAT� i�+*mn�s
CODEt INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Eiecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Finai Si�e
250 Final BuildincyOccupancy
DAT
INTRIRLS
;.:._
TRACT :;o. 10445
LOT N0, 45
DATE October 9, 1980.=
ADDRESS 916 Lombard Court, Costa Mesa, CA 92626
Developmen[ Services Depaztacn[
Planning Division
Ci[y o1 Costa Mesa
77 Fair Drive
Costa l4esa, CA 92626
� Attention: Tir. Paul Dudley
Dear lir. Dudley:
Please be aware that the undersigned are aware that a certificate of occupancy
on the nbwe referenced lot and unit is being requested prior to the entire
tract and its streets and cor.mion areas being completed and accepted by the
City of Costa Mesa.
/ �
BY✓ -�. G� ��a-
(SICNATURE 0• PURCfL1 )
BY � f�
S GNA UR UF DEVE OPER AXD OR
.4UTN P�I'LED REPRESENTATIVG)
BY � ,�2- ' �
✓ ;SICPAT • OF LENDEF)
� _M
�
l7/1 ���� '
;=
�
�
I
�
PflOJECT ADOAESS: 9 1 6 LOMBARD CT
owNex•�xnmc: HIGGINS, JAMES B Tk
� aooeEss: 916 LOMBARD CT
� COSTA MESA,CA 92626
AflCHIENGINEEB:
p00NE5S:
REG.NO.:
uxiT:
UNIT:
PEflMITTEE: $ILT"WELL ROOF AND MATERI (714 ) 739-128$
nooness: 3310 VERDUGO AOAD
LOS ANGELES CA 90065
LICENSEO CONTNACTOB OECIABATION: I hereby aifirm that I am licensetl untle� pmvisions ot C�aOter 9(commencing with Section
7000� o� �ivsion 3 of I�e Business antl Pro�essions Code. an0 my license is in �ull�orce and eltect.
c�Tvuc.: 0�134075 STRTEUC.:9j$VOS C�9 E%P: OS/95
�aie: _ _—/�j//Q'� Signamre: � ,q�
WOXKEP$' LOMPENSFTION OFCUINFTION: I hereby a��irm Ih ceNhca�e o� consen� to sell-insure or a certitica�e oi Workers'
Compensa�ion In urance or a cenified coDY thereaf (Seaion 3800. LaD. C).
POLICY NO.: �y j 7 S U 1 9 B i E%P. OATE: U 7� S 3� 9 9
comraxr: CAL COMP
❑ Cenihetl copY is �ereby lumishetl. Q Cehified copY is fileA with t�e ciry Building Division.
ale- AOPlicant
E%EMPTIONFPOMWOFNEflS'CaMPENSRTIONDEtLAflATION: (ihisseclionneetlno�becomple�etlillhepermili5foronehu�qred(51W)Orless�.
I certily Iha� in Ihe OetlormanCe ol the work IOr whiCh I�is permii is iss , oi em oy any persOn in any manner 5o as lo �ecome
Subleci �o �he lor ers' ompensa�ion Laws ot Cali�omia.
Date: � SignaNre:
NOTICE: IL aiter making inis tleclaration, you shoultl be ct to the Workers' Compensation pmvisions ot t�e Labor
Cotle. you mu5i fo�hwi�h comply wilh such pmvisions or �his Dermit shall be Oeemetl revoke0.
CONSTPUCTION LEN�ING RGENCV: I hereby alfirm that there is a construt[ion lending agency lor the pedormance of t�e work tor
w�ic� this permn is i:sued �Sec�ion 3W7. Civ. C).
LENOEfl:
aooRess:
OWNEB BUILOEB OELIAflATION: I hereby altirm thai I am exempl imm Ihe Con�mctors' S�ate license Law for t�e followin8 reason
�Section 7031.5 Business anA Pmiessional Cotle Nny ci�y ol counry whic� requires a permit Io con5imct, alte�, imD�ove, tlemolish, or
repair any s�mclure. prior �o iIs issuance. also requires Ihe aDPlicant �or such Dermi� to lile a signetl statemen� ihai helshe is IicenseA
pursuan� to tne vmvisions ot ihe Conuactors' State License Law (Chapter 9(commencing with Section 7000) of Oivision 3 of the Business
ana Prolessions Code) or Inat he/she is exempt Iherefrom ana the basis for ihe allegeA exemD�ion. Any violation ol Section 7031.5 by
any applicani for a p¢rmit su�le�ts Ihe applicant �o a civil penal�y o� noi more than tive �unUretl dollars (5500).
I. as owner of ihe pmpetly or my employees with wages as �heir sole campensa�ion, will Oo lhe work, and [he
❑ s�mciure is not inlen0e0 or ofiered for sale (Seclion 7044, Business antl Professional Cotle: T�e ConVactors' State License Law
�oes not appty to an owner o� a D�opertY who builAs or improves lhereon, and who aoes such work �imSelVhersell or [hmugh
his or her own employees, pmviJeO �hai such impmvements are not intentled or ofleretl �or sale. If, however ��e building or
impmvemenl is soltl wi�hin one year o� completion. Ihe owner will �ave �he burtlen o� pmving helshe did na� DuilU o� impmve
for Ne purpose af sale�.
I, as owner of ihe pwperty. am exclusively contracting with licensed coniracrors to constmct the Orolect (Section 7044, Business
❑ antl Prolessions CoOe: The Can�fattofs' State LiCense Law Ooes not aOPly m an owner ol pmpehy who bwlds Of improv¢5lhere0n
antl who comracts for such Dmjecis with a coniractoqs)license pursuanito the Contractors' Stare License Law�.l am aware
�hat pmal of Iheir Worker's Compensalion insurance should be pmvitled �o me.
� I am exempt untler Senion: B. 8 P. C.
for Ihis reason:
oaie: Ownec
I ao here�y certily �hai I am aware o� an0 untlerstantl the requiremems oi Cali�omia Health antl Satery Cotle Seciions 25505, 25533, an0
25534 and �hat I or any fuWre building occupant will/will not �circle one) nee0 io camply wi�h said s�ale cotles antl ihe requiremen�s for a
permi� �or conslmdion or motlificaiion Imm the Air Ouality Management Disirict. flesitlen�ial cons�mc�ion applications are exemp� fwm
�hese pmvisions.
Date'. ApDlicani:
I hereby cetli�y Ihai I have reatl this applica�ion ana slate Ihat the a�ove in�ormalion is correcL I agree Io comply wi�� all ciry and wunty
orainance5an4sta�elaw5relaling�oOwltlingcon5imdionan0�ereby u ep�ve50��histity�oen�eruPonl�eabove�menlione0
prapetly lor in5p2c1i0n pufposes
Oaie: �� Signalum �
onver s �mense or Soc7a� Secoriry a:
i6ai�46 Whne—Builtling: Green—Cotle Enlorcement; Canary—ApplicanL Pink—Revenoe; Goltlenrad—Assessor
CITY OF COSTA MESA — BIIILDING PERMIT PERM NO: B 067°71
PERMIT NO: B 057971 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURFOSE; OTH
JOB DESCRIPTI��N ; T/OFF & REROOF WITH COMP. S BUR IN BACK SQ FT: 1,100
CLAIM VALUE: 1,100.00 CALC—VALOE; 1,100.00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM S HALLWAY
iFiF*3E3c3EiEiEiF#3E�1FiEi�rr�T iEaeiF#x-iE�Ei��EiE1�iFiF�ii��lFiFiFjEiFiFiE3E#icat�FaFitiejEiEa.ieat�E'r.'•3tiEiF3E�If-rt#3FiFKitiE3E3tjElFif#�3tx•i�#��'-�"%'
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING -----�---
£RNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKZNG REQ; PROV: PARCEL: 4i808295 ZNE: REF NO:
PLANNING NOTES>
> E,
*�****��*�r**�+����x#*x*#�*�***�r*�r*�t�+r*�;***�**��e*�r*�**��«***�**���#*�***;,��x*;����*«
D E C� E L O P M E N T S E R V I C E S A E Q U 2 R E M E N'iT S
ZONINC APPROVED HY DATE;
BUILDING APPROVED BY : DATE; .�
APPLICATIGN Z5$.UED BY; DATE: �� /�_ ��
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHAPJIC FIRE SMIP/RES GAADING
PERMIT 27,OQ 50
SMIP/NON—RF.S
PLAN
ISSUE FEE
BUILDING—DI�'—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 27,50 0,00 O.OU
REVENUE DIC�ISION TOTALS--> COLLECTED:
BLDG PMT PLOMBING ELECTRIC MECHADIIC
27.00
TOTAL PAID GUE
27.50 27.50 .00
27.50 OVER/SHORT: .00
FIRE SMIP/TOT GRr1DING PLAN—CHECK
.50
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I N D I V I D U A L F E E P R E A K D O W N
TYPE QTY D E S C R I P T I C� N UNIT COST TOTAL COST
SFR 1100 REROOF BY VALUE RESIPENTIAL NOZONE 1,00 1,100.00
ENP OF FEES
V
01 a01E3770-00163771 T�] T 27.50
DA?E: Ct7/li/94 TIPSE: II:25
C„n�NSTRUCTION AND PLANNING POOI & . .
APPROVALS Permii # Date inspector APPROVAIS Permit # Date I�spector
i ,
�. Temporary Electrical ServiceSrPole 52. Pool & Equipment Location j'.
2. Soii Pipe�Undrgrnd. �i' S3. Steel Reinforcement ,��; f
r�
3. Electrical Conduit Utilixy-UridPgrnd. 54. Forms ��
4. Electrical Co�duit-Undrgmd. 55. Electrical Bonding
5. Sceel Reinforcement 56. Rough Plumbing & Pressure Test
6. ElectricalUFERGmd. 57. APPflOVALTOCOVER�GUNITE '
7. Footings 58. Electricai Condvit-Undrgrnd. �
f. _
8. Foundation "� 59. Gas Pipe. O Undrgmd., Test '
9. Water Pipe-Undrgrnd. .� �� •�( 60. Backwash Lines, P�Trap, Q Undrgrnd. � �/
70. Structural Floor Svstem � �� (. 61. APPROVAL TO DECK _
7 t. Property 5ewer Line & House Connection .i;>� � 62. Backwash & Receptor�Final
12. Sewer Cap �' 63. Heater & Vent-Finai
13. Roof �rains 64. Plumbing System � Final
14. flough Plumbing 65. Electrical-Finai
15. Rough ElearicabCono�it 66. Solar System-Finai
1
16. Rough EI¢ctric Wiring 67. Fencing & Access Approval '
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING +
18. Rough Electrical-T Bar Ceiiing 69. POOL(SPA SYSTER4S FINA� �
19. Rough Heating & Air Conditi0ning PIRE DEPT. REQUIREMENT
20. Rough Factory Firep{acz RPPROVALS Permit #
21. Ducts, in Structure 70. Underqround Hydro
22. Ducts, Ventilating 77. Product Piping �Gas ❑Oii
23. Gas Pipe•Fough & Tesi 72. Underground Flush
24. Roof Fram�ng 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. floof She2thing �ILt.GIL f�(.�/ 74. Overhead Hydro
26. T-8ar Ceiling iStructural) & Monocoat 75. Dry Chemical
27. Frame and F�ashing 76. Dry Staridpipe
28. Lathing & Siding 77. FIXED SYSTEA� FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brawn Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. finai Elec:ric Notes:
34. Final Heating & Air Conditioning .. �
35. Final Gas P�pe�Test � " �
36. Hood or Canopy .
37. Final FaMory Firep�ace
38. Final Plum6ing
39. Water Service�Final
40. Gas Service•Final
47. Solar pomestic-Final
42. Backflow• Preventer
A3. 8ackffow trrigation ----i
44. Landscape Irrigation System
45. Sound Attenuation
�
46. Handicap Regulations
47. FINAL S7RUCTURE & BUILDING �.�� ��
a6. FINAL PLANNING �� �
49�. Electric Re�ease to Edison ��
50. Gas Release to Southem California Gas Co .
51. CERTIFIGATE OF OCCUPANCY "
No. Date .