HomeMy WebLinkAbout1654 Tustin Ave - Building Permits F4j
CITY OF COSTA MESA Go
donA'Fs'. BUILDING DIVISION
FtI 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
. FOR INSPECTIONS CALL: (714)754-5626
Q"°'° `* PERMIT NUMBER: E10-00195
PERMIT TYPE ELEC STATUS: FINALED
APN: 42514346 DATE ISSUED: 08/13/2010
ISSUED BY: KJB
JOB ADDRESS: 1'654`TUSTIN ANKH Suite/Unit:
Vicinity:
SCOPE OF WORK: 1 TEMP POWER POLE FOR USE DURING CONSTRUCTION/REMODEL OF EXISTING DWELLING.REF: 8010-00069.
OWNER: SOLOWIEJ, HENRY Address: 1654 TUSTIN ST Unit:
PHONE: 949-646-4404 City/State/Zip: COSTA MESA,CA
APPLICANT: SOLOWIEJ,HENRY Address: 1654 TUSTIN ST Unit:
PHONE: 949-646-4404 City/Stale/zZip: COSTA MESA,CA
CONTRACTOR: License No.
Address: Unit: PHONE:
City/State: ZipCode: CELL:
ELECTRICAL PERMIT FEES_
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $47.00
Reinspection Fee $0.00
TOTAL FEES $47.00
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE N INSPECTION TYPE DD IN1111ALS CODES INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical n SIa4 J 10 bi Win aft'
201 Final Block/Retaining 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
I
aWN�.
WORKERS'COIu1PE SA ION'DECLARATION: Owner ID verified by driver s license. 0 Yes 0 No
1 hereby affirm undM'enalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code. for the
performance of the work for which this permit is issued.
❑ I 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need nor be completed the permit is valued at one hundred Collars(5100)or less)
2,Art 2.Sec.341,Title 8,California Administrative Code).
Policy Number:
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
Division of industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No
($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
Lic.# Class# (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which al any one time has on hand a quantity of acutely
Contractor's Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: _ 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031,5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
01 I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044.Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
(hereon,and who does such work himself or herself or through his or her own
8. (If yes",attach certificate of compliance from the appropriate air pollution
employees,provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described properly for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of Legal Owner(s) Date
Signature Date
3057-06(3ro)1 And/or Authonzed Applicant Dale
\ 't
CITY OF COSTA MESA
BUILDING DIVISION
)•• ti 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BC10-00131
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: RES ALT DATE ISSUED: 03/29/2010
ISSUED BY: RMD
JOB ADDRESS: 1654 TUSTIN AV CM Suite/Unit:
APN: 42514346 Zoning: ,
Vicinity: GARAGE Primary Occ:
Const Type: V-B SQ. FT: 0 Valuation: $500.00
SCOPE OF WORK: REMOVAL OF AN EXTERIOR STORAGE SHED THAT IS ATTACHED TO REAR OF GARAGE AND REMOVAL
OF EXTERIOR WALL THAT CREATES BATHROOM LOCATED INSIDE AN (E) STORAGE AREA OF GARAGE. REMOVAL OF
PLUMBING FIXTURES TO BRING BACK TO ORIGINAL FORM. CAP PL AND EL. OKAY TO KEEP INTERIOR WALL FOR STORAGE
AREA PER
PLANNING-MA.
REF#: C09-1296
OWNER: SOLOWIEJ, HENRY Address: 1654 TUSTIN ST Unit:
Phone: 949-646-4404 City/State/Zip: COSTA MESA,CA
APPLICANT: SOLOWIEJ, HENRY Address: 1654 TUSTIN ST Unit: :
Phone: 949-646-4404 City/State/zZip: COSTA MESA,CA
CONTRACTOR: OWNER-BUILDER License No. 000000
Phone: Address: Unit:
Cell: City/State: ZipCode
ARCHITECT: CRAIG MONROE SMITH License No.C20154 PHONE:949-764-0010
ENGINEER: License No. PHONE:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $15.28
Building Fees: $23.50
Electrical Fees: $41.70
Mechanical Fees: $0.00
Plumbing Fees: $43.10
SMIP Residential: $0.50
SMIP Commercial: $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES: $125.08
"Refer to fee receipts for all fees paid for project
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:D0 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays:
New Years Day, Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE DATE INTTTIALS CODES INSPECTION TYPE DATE INTn1A1
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/Retaining Wall 212 Final Fire Prevention
202 Final FactoryFire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy 1® 0
•
l A
WORKERS'COMPENSATION DECLARATION: Owner ID verified by dries...,license. Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Drivers_ License No.//yJ Expires:.N���
❑ I have and will maintain a certificate of consent to self-Insure for workers' " `i' /� �/ �
Vflrificattoh of Ownership by(type of document,i.e.-property x bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
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 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(This section needn l be competed a the perm!s valued at one hundred Cogan(S100)or less.) 2 M2 Sec.341,rile 8,California Administrative Code).
Policy umber:
❑ As owner-builder, I will not employ anyone to do work which would
• I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California. and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date
the Lab ode. ,all rthwith comply with these provisio s.
2_7/0 Division of Industrial Safety Permit Number:
ppinant S lure 1P HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WAR NG: FAILUR 0 SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
Lic.# Class# (Section 25533 of the California Health and 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
contractor's Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required. has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve. demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
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 (Section 65850.2 of the California Govemment Code requires that the requested
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits).
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
VI, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
cdmpensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspectio Tosses. I .- ennui not to occupy or allow occupancy of any building
authori by p � final inspection.
L,r o
3 /{, % lura of Leg •wner(s) V — le
Signature C ate
3057-46 ]) And/or Aulhonzed Applicant Date
'4 l
CITY OF COSTA MESA
BUILDING DIVISION
•• ..� DEVELOPMENT SERVICES DEPARTMENT PERMIT N MBER
%t ji4 . PERMIT
!�'' ,e ono db BO 00887
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1654 TUSTIN AV Status: ISSUED
Suite: Applied: 05/13/2004
Vicinity: REAR OF PROPERTY Issued: 08/19/2004
Parcel Number: 42514346 Zoning:
Applicant: SOLOWIEJ, HENRY ISSUED BY:
Address: 1654 TUSTIN ST
Phone: 949-646-4404
COSTA MESA,CA • Zip: 92627-3247
Owner: SOLOWIEJ, HENRY
Address 1654 TUSTIN ST
Phone: 949-646-4404
• COSTA MESA,CA Zip: 92627-3247
Contractor: OWNER-BUILDER
Address:
Phone: •
Zip: License: 000000
•
Arch : - Eng:
Address: Address:
Phone: - Phone:
Zip: License: License:
SCOPE OF PERMIT
700 SQ. FT.DETACHED GARAGE.NO COVERED PARKING EXISTS ON THE SITE AT THIS TIME.
660 SQ.FT.REAR YARD COVERAGE ALLOWED;280 SQ.FT.REAR YARD COVERAGE PROPOSED.
FEE SUMMARY
Plan Check: $190.61 Calc Valuation: $17,010.00
Permit: $293.25 Claim Valuation: $0.00
SMIP Res: $1.70
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00 -
Total: $485.56
PLANNING &ZONING •
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 86-0 Rear 0-10 Left 33-0 Right 5-0 '
PARKING Existing: 2 Required: 4 Proposed: 4
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)754-5626
2446-46(6/00)
atrzthrias
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.
❑ I have and will maintain workers'compensation insurance,es 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:
Carrier: Policy Number:
(Thisiaction need not be completed if the permit is valued at 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 Ctal fomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr ons.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE FAKERS'COMPp� ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PE TIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,0W) N ADDITION TOTE 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
force and effect.Lie.# Class#
Contractor's Signature: Date:
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).
Lender's Name: Lender's 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(commencing with Section 7000)of Division 3 of the
Business and Professions Code)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
ssuubjethe applicant to a civil penalty of not more than five hundred dollars($500).):
L@' 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 axe g nder se Business and Professions Code for this reason: B //
Signature: L�� �i� Date: // Y I
Owner ID verified. driver's livens: ❑Yes 0 No Driver's License No. / Expires: 54,/e,1/0
Verification of a nership by(type of document,i.e.-property tax bill 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,An 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:
I Will the applicant or present or future building occupant need to file and 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 Code 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 0 No
(Section 25533 of the California Health and 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).
.............. il t.
3 Does or will thee applicant
icant 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 Code 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 Code been fully complied with? 0 Yes 0 No
5 Does or wit the applicant or present or future building occupant require for the work which is the subject of this a plication a Eermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No
(Section 65850.2 of the California Government Code 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-d ed property)eninspection purposes.I agree not to occupy or allow occupancy of any building authorized by this un' final inspection.
r(?7 Si ure Of Legal Owner(s) OD/ Date
And/Or Authorized Applicant Date
SOH# INSPFCTION TYPE IATE INTIALS CODE INSPECTION TYPE all ==R=OCS
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/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site 1_
204 Final Demolition 250 Final Building/Occupancy LY 3-a7
�1� :F,, CITY OF COSTA MESA
BUILDING DIVISION
Fx , 118 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMB R
®L• PERMIT
4, •
E04-00 9
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1654 TUSTIN AV Status: ISSUED
Suite No Applied: 05/13/2004
Vicinity: GARAGE Issued: 08/19/2004
Parcel Nunmber: 42514346 de
Applicant: SOLOWIEJ, HENRY ISSUED BY:
�+
Address: 1654 TUSTIN ST
',/
Phone: 949-646-4404
COSTA MESA,CA Zip: 92627-3247
Owner: SOLOWIEJ, HENRY
Address 1654 TUSTIN ST
Phone: 949-646-4404
COSTA MESA,CA Zip: 92627-3247
Contractor: OWNER-BUILDER
Address:
•
Phone:
Zip:
License: 000000
SCOPE OF PERMIT
700 SQ.FT.DETACHED GARAGE.
2 LIGHT FIXTURE,2 SWITCH,2 OUTLET
REF:B04-00887.
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 $0.00Standing 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 $2.20 2 up to 50 kva/kw-%- $0.00 0
Recept Outlets $2.20 . 2 - up to 100 kva/kw $0.00 0
Switches $2.20 ! 2 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 lhp $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 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
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)754-5626
244646(6/00)
• ,
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
o 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.
❑ I 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:
Cartier: Policy Number:
(This section need not be completed if the permit is valued at 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 a ree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pro ns. 8/��� �
Applicant Signature: Date: ( '9 0n
Y
WARNING:FAILURE TO SECURE RKERS'COMPENSAT COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PE TIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($1W,000), ADDITION TO THE T 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
force and effect.tic.# Class#
Contractor's Signature: Date:
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).
Lender's Name: Lender's 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(commencing with Section 7000)of Division 3 of the
Business and Professions Code)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
subjgats the applicant to a civil penalty of not more than five hundred dollars($500).):
Lie- 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 exem der sec. Business and Professions Code for this reason: //�
Signature: Date: ,,s
Owner ID verified by ver's license. ❑Yes 0 No Driver's License No. Expires: //Q/
Verification of Ow ership by(type of document i.e.-property tax bill 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 and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes ❑No
(Section 25505 of the California Health and Safety Code 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 0 No
(Section 25533 of the California Health and 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 Code 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 Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a2permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes L-I No
(Section 65850.2 of the California Government Code 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? ❑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? ❑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 a•r:. 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-d: • •ed property Ins yreon purposes.I agree not to occupy or allow occupancy of any building authorized by this
spp§§ymit unciiil 'naal inspection.
A_—a ice / 1
Signal - • Legal Owner(s) Date
• d/Or Authorized Applicant Date
CODE• INSPECTION TYPE geIE INTRIALS CODE• INSPECTION TYPE QAIE INTmALs
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical 11-3-€54g
201 Final Block/Retaining 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
t r • PHAJECT ADDRESS: 1654 TUSTIN AV UNIT: CITY OF COSTA MESA – BUILDING PERMIT PERM NO: B 051881
OWNER'S NAME: ANDERSON BERTHA M
ADDRESS: 1654 TUStIN PERMIT NO: B 051881 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: V–N PERMIT TYPE: STR PURPOSE: ALT
548-3372
ARCH/ENGINEER: REG.NO.: ' JOB DESCRIPTION : REROOF W/CLASS A SHINGLE (PARTIAL SECT. ) SQ FT: 1 , 463
ADDRESS: UNIT:
CLAIM VALUE: 1, 463 . 00 CALC–VALUE: 1, 463. 00 GROUP OCC: R-3 /
PERMITTEE: CRANK BROTHERS ROOFING ( 714 ) 548-5569
ADDRESS: 126 COMMERCIAL WAY COMMENTS: SMOKE DETECTOR(S) REQUIRED
C.M. CA 92627 ****** FSE*raF�A�Er�a: ***�EaE�F�E�E�F�Ex�t�E*E *******+E*IE******aE***FF***********EE**********EE****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am Imensed under provisions of Chapter 9(commencing with Section Z O N I N GS ERTEBQAUCIKRSE M E N T S
7000)of Division 3 of the Business and Professions Code,and license is in Tull force an fed.
CITY uc.:9Q5993��r�uc.:40867 0 cuss: C
Date: �� 77 Signature:. /� — _ _ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: Ihereb r tnatlhave acenificate of consent to self-insure oracenificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation t^sia^a^^^ ^ a cried copy Memo' •.,con 3800.Lab.7ry1 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 28522471 EXP.DATE: 81 /O1 /92 .
COMPANY: STATE FUNDPARKING REQ: PROV: PARCEL: 42514346 ZNE: REF NO:
J Cenibed copy is hereby furnished. LK Certified con , -d ' uildiioor Division. PLANNING N TES>
Sri/_ V / e� /� – *******************************************************************************
Date: Applies % _ i �.
EXEMPTION FROM WORKERS'COMPENSATION DE p - section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the performance of the work far' as permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws • .,poria. ZONING APPROVED BY DATE: .i
Dale. Signature:ushouBUILDING APPROVED BY : _ DATE:
NOTICE:If,after making this declaration,you should become subject permit to the Workers'Compensation provisions of the Labor • •
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. –177(2/44–
which
�/�/��'j/� a/�,/�`/
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY- / i/ DATE: `` ji !74
which this permit is issued(Section 3097.Civ.Cl. ************************* * ***** ** ************************** **** ***
LENDER: *************************************** ************************************
ADDRESS: • LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 35. 00 . 50
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON–RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING–DIV–> PERMIT ISSUE PLAN–CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 35. 50 0 .00 0. 00 35. 50 35 . 50 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 35. 50 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
5PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTMGRADING PLAN–CHECK
3I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law)•l am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 1463 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 1 , 463 .00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and END OF FEES
iWw
25534 and that I or any future building occupant will not Ode one)need to comply with said state codes and the requirements or a
permit lot construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date. Applicant:
I hereby cerldy that I have read this application and stale that the information is correct.I agree ' oil ith al'.ity and county
ordinances and state laws relating to building construction and hen uthome representatives of this ylo • rupon lh•. ve-mentioned /
Properly for inspection purposes. V/
9 / % /
Date' / Signature. _
Driver's License or Social Security.: 01 00085796-000°6'97 to r _ , r--..:,
DATE: 03/01/9i Ii1E:
164146 White—Budding:Green—Code Ent°. ement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor "
a.
•
y CONSTRUCTION AND PLANNING POL. 4 SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Serie or Pole co 52. Pool & Equipment Location
2.y Soil Pipe-Undrgrnd. ,y 53. Steel Reinforcement
- '•3..Etectrioal Conduit Utility-Undrgrnd:, it 54. Forms
• '4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
5.$feel Reinforcement •-•••, 56. Rough Plumbing & Pressure Test ,c
• 6.1-Electrical UFEFA:Grnd. 57. APPROVAL TO COVER-GUNITE
t. _
9:. Footings - _ r 58. Electrical Conduit-Undrgrnd. a
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
3. Water Pipe-Undrgrind. , 60. Backwash Lines, P-Trap, ❑ Undrgrnd. `-
10. Structural Floor System _ L-. 61. APPROVAL TO DECK
11. Property Sewer-Line& House Connection 62. Backwash & Receptor-Final
P
12. Sewer Ca - - / 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final -
14. Rough Plumbing ' 65. Electrical-Final
15. Rough Electrical-Conduit I66. Solar System-Final
16. Rough Electric`Wiring • 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricil-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- - - -- -- - J _r -Db• tc >
201'RoughFactoryF-iieplace I -c 01 a". _i _ a" y =APPRQVALS')CPerinit# _3 �'• •
X S cc -C S I Sty xtef ; - s:: •. .. •y; :-t 4 s
or - ' r :- :.> • `, Ja • ti, 2. , ..L t•' a. try
21'Ducts, in-Strv_ctuEei 1 S s-y r. :70. Underground Hydro q
22. Ducts, Ventilating•-= `fit F _ te". ? Sr =77. Prod ucii Pipi g C9'Gas IQII
= o23.;GasPipeeRough& Test • ,;S • •jt c r + ,72. Underground Flush•
j
24fxRoof Framing I -r -1; v ? x r k -S73,-RUndergrna'.Storage Teck 0 Gas 0 Oil
25. Roof Sheathing ', ' ;S t r • ' tr '• :0* ` - '" .'
_ ,,;,. a 74 wOyerhead�lydro_
26r T-Bar Ceiling (Str_ucturafl &Monocoat to r1 h1 i a. 75;TDry Chemical ' •.
. 'J Y rcr
27. frame and Flashing; js� .r, t^ -,t, _, ;. 76: D• ry Sten p pe i : ' o j
•
• •
`28. Lathing._•& Siding : '< - x X . �. " "` :i 77 FIXED SYSTEM,FINALt v , t`'
tli1)
"29. Insulation t; . , , •• • > i • Gr : 78 •FIRE PR EV. FINAL Q r
,L ...
"30. DrywalbNailtng :• " ill i! F - HEALTHiDEPT} REQUIREMENT
31. Plaster Biown Co2tc r r ie
} I I r. a r79: FINAL IfiaECTIQN ;• Cl C j
-32r.Electrical Power Meter-Final, F .0 I � ,, f, o r80:r:FOOO CERTIFICATE ISSUED
S33 in l ElGctriti ' � Z " ! I•,/{;" ', ' Nofes: 7 i'' y - _r
,T34:_Finai Heating & Air,Conditioning; - f,. .#J. iX r•,•r, 4
135.;�Fina! Gas Pile-Test' _ w _ 1 I •
-tea n _ •^ tnS t r" ,`^C
Li
,36=Hoodo;panopYr - a .- 1 ••! ..t 'r x , o v
r •+-n . m
.`37:.Final Factory Fireplace,. : S:" I' a Er I I ' x •`r
`I t- .. ., al aJ r .�
38. Final Plumbing ; C. t.: r 1 I E" r - S t 'r'
•,-
:'39. Water Service=Finalw I .0 1 I V 1. C' .J' 1 4 r
340. Gas Serv_ce-Final Y , `•,rt.- • f :,t a x c...1. 1..,3+�.•�
i t , ,
41. Solar Doinestic-Finales '- •• _ ,7p -* ': ' •• _
. ., 1 Ij . t^ Jo 4 :t -
42=backflow Preventers • `' I I I' -, 'r ''_
43. Backf low Irrgationi • "'S•`r - .K(-..0 • C _ "
rt^ . • 3 i -i
''44. Landscape litigation Systemn. . x. ;r; - ; 4:: ; to cc •. a .0. J
:-45.._Sound Atterivation t `
r • ' -. --17 -' `T'' -
ti Ir• • * Iy •• - 1, :1r .t - a' d • F-C •
`:'46t; 1andicap,Regulations ,,+ _ r
" l •• ,, j j �-
-47._FINAL STRUCTURE & BUTLDING �^•`t ,
48:;FINEIL PLANNING •
• -?. _,
_49..Electric Release to Edison n I I . .. i -
50..Gas._Release to Southern California Gas Co 4, I I . I. ?. - �-fn t
51. CERTIFICATE OF;OCCUPANCY „ • ,- ',; n,j, • . '
No. Date