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Home My WebLink About1817 Tustin Ave - Building Permits t - -T --'s _. Applicant to fill infall spaces except those within heavy border lines and sign all appropriate declarations.' 'i , Flip�pIT NO. �� 1 TRACT NO.' LOT NO. , UNIT NO. •. CITYO,FCOSTAMESA CONSTRUCTION PERMIT - I , - �. A.P.#\ . 1 /%7 _ •/ -- (S.!7 r_ : I,Zonn � „ -'Pro?Address 817. *Tv •5-+1'n- . •- � - _ (� • �'., r I 11 E • g: bCGt� I.U(fl 1 'u7. Adv-Bui7Siwr /j(.I4.t t-1Ol'1 Applicant's Mail; g •d rens 1 • _ • TYPE OF CONSTRUCTION NEW ADD (J ALTE RATIO - - L.JLA - Z t-7. iv a- E ' ^ ..�k e ,7 ,❑ CONVERSION' ❑'DEMOLISH-"❑ OTH R I:T Fron , - c9 1 Q�1 - o Owners- de w. m L- • .• Q"I/AA •� •-one 7✓ /Ida DESCR PTION • OF C/ E BLr G. 9 f -B Rear 16.2 / -1 N Address IMI • ' •✓� • 'C.� e.. 2'iP 7 - �,�Y' iI. : ,ter_ . J A �' Q:E'.' l:Y --FO-C./.. �1 I'. 7 - - r - C Right a71, • �'.�/ /. N Arch/Eng., ' License No. ' - • TYPE OF PER IT ' MO GRADING A FOUNDATION al STRUCTURAL , K- - G ' ` ❑ TENANT' ❑ ELECTRIAL r-l-PLUMBING ❑ M CHANICAL $ . Left \ ay 51 R `s• Address A - - - 'R �/13- t , •: ❑ OTHER .I.IThfn Yew i W2.4:1 0,44 . ay.= Ping. Ref.# • • - Parkin Re /Provided [ I E Contractor's Name Phone -,j�� 9 4 O Address•(mailin 1 - - - - ' • PROJECT DESCRIPTION SO• FT.• , i • ' OCCUPANCY - ,Plannin Notes. - /��y1�'tr1 , (�/{ /^( ls11(� City License No. - • f - -.CONSTRUCT_ION TYPE - vth.r 'VALUATION$ pnog 9 ""^`^'•� ,C�',-",`^r4� � L' 'U` S "") • M ZONE I GRADI NG CU.YDS. ' ACRES' J ' ��-ICI s�•v �/1j� `� $, LICENSED Cm that I TOR;DEC ON - - : • - S,Q`�, r , Lt`Q Thereby affirm that d am licensed under provislo --r 9(commencing Remarks: + I '• _• ' I S f. , - with section 7000) of Division a rsiness and Professions Code,and ' - - my license is in f • - . • effect. ' J �/� S' rhy��} j' j ELECTRICAL s '..FEES Lic ss' - ` License No. }-�� _ �G "' /`� �`r" Date ' Signature• - PLUMBING - ' FEES f Automatic Washers I , Transformer 70 15-50 KW WORKERS'COMPENSATION DECLARATION' ' .. • - i � 50?KW i . E Bar Sink Showers'-• I Construction.Pole_Sub. •1 t I herebyAffirin that I have a certificate of consent to self-insure or a certificate ' /' I - I d. - . of Workers' Compensation Insurance, or a certified copy thereof,.(Section - - Cooking Unit .• n( - Dishwasher t f , Meter Dover 100 ams' Policy No. - ''} I 1 1- Company _'•"- • r ! Backflow Irrigation Sewer Cap ' _..r '• % p l 8 Certified copy.is hereby he ed. j si '%' 7" Dryers ❑Gas IDElectric Sub Panel , certified COpy'IS filed with Ifs¢city Builtlmg Division. i t' / Bathtubs i f Sewef•Connection -_ - ; _ 7 PG; • - Date ^AI - Applicant 'r I - ✓• I •-• - -��, ' Fan • rr • 1 Motors D0.1', HP'D1 X-8 i EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ♦: . Clarifiers i $ola`r:Collectors; '> ' i i }✓ •less) section need not be completed if the permit is'for one.hundretl'($100) or - • - • - —— - " " 'y"` "' 'Inc:Solar-09-15 HP'D 16-15+ less) n' , /,) • : f / Dishwasher, I Soler,Plping 4;7 --, , _ 1 o-i h I certify,thaYin:the performance-of the work for which thl permit is issued 1 , - - _ - shall not emplowany person in any-ma nes so asao became subject t• the' Drinking Fountains ' • i Solar Tank moi.{e/'� 1 i Fixtures ' 'sfi' : Miaow , i r Wy rkers',,Coape n Laws of Calif• - �' s - �Oate /V- / t Signatur• .54.11 L -6• - 4. ' f 4_" I i , Device Boxes l'• P Light Floor Drains Swimming Pool w/Spa _ ...(„i • r 9 I NOTICE:If,aftensatio ng this declaration,you should be`•me 5 N. t• e - - Workers' such Compensation.provisions of the;Labor Code, you,must orthwrth . , Floor.Sinks I ._ ` . , ..Urinal _. ._ _ Outlets Range . i comply with such provisions or this permit. shall be. deeme• :revoked. - - — -• __ .. . ._. .. CONSTRUCTION- LENDING AGENCY, ' ,- - : r' ' / [ GasServiEe : Outlets 2 Water Closet -- �.�p Otl - Switches . Sign , 1 _ ' , I hereby affirm that there'is a construction lending agency for the performance ' - - - -__ - • of the work for which this permit is, issued (Section 3097 -Ctv..C.) ' _ - Garbage,Disposal . w i .1 Standing Sections. • Lender's 'Name : . - _ - Interceptors _ / .Water Heater 2 v •- �+ : - Lender's Address . • Kitchen Sink t ' •, %' .;Water Service. -., Generator 00.5 KW 0515;KW } 'Trash Compactor' OWNER BUILDER DECLARATION - - , I hereby affirm that I am exempt horn.the Contractor's License Law for the 3 Lavatories '-Auto-Wakh _G .;i V ' . s i • 'y" ' 1 following'reason (Section-7031,5 Business and Professional Code: Any city or - ' ` - ' , county which requires a permit to construct,alter,Improve,demolish or repair P'-Trap ' - - 'Laundry,T rays Z�,.'` f + 7 . - '. - i . -'any structure, prior to:its issuance, also.requires the applicant for such permit. - . • - . - 't0 file a Contractor's Atatement'that he/she is licensed pursuant to-the provisions of Roof Drains '•.f - - • - Y +' 1 ' the Contractor's License Law(Chapter 9.(commencing with Section 7000)of r _ _ ,. • I Division'3'of the Business and Professions Code) or'that he/she is exempt - - _ - • _ -.--; ' therefrom'and the basis for the alleged exemption. Any violation of Section. •, - - ,], .Reinspeitiod Fee • ' $15 Issbe•Fee $ 3 '7031.5'by any applicant for a permit subjects the,applicant to a civil. • - - ' �'` _ n' - I natty not more than five hundred'douars,(5500)• ( y., 'DEVELOPMENT SERVICES REQUIREMEN 1 �, I, as owner of the property or my-employees With'wages as their'sole Reinspection.Fee $15 - • Issue Fee` • $ 3; y Zoning Approved;By • ` % 1 Date 7 • An ipensation, will do the work, and the-structure Is not intended or-offered, - - - for sale (Section;7044, Business and Professional Code: The Contractor's - MECHANICAL `FEES' Building APProved By, Date �6 �• ' � License:Law does not applyito an owner of a property who builds or improves; `- _ - - .�!/_a�� - thereon; and who does such work himself/Herself or through his or her own' Boiler, - ■i s,, Application Issued By1 �� '__�,.L. •at: ••! -k Crr employees, provided that such improvements are not Intended or offered for' • n� ' , • , . - _ ' sale. 1f,:however, the hav ng.or improvement is sold within one year of coin - ■ • t t- l: SUMMARY OF FEES ' pletion,:,the owner will have the burden of proving he/She did not build or im-: Duct-'Under Ground -"-' ' ro or the purpose of sale). ; • • '� --"'BUILDING PERMIT $ '3 30.00 SMTP r 2. SZ-- • 1,•as owner of the 'property, am exclusively contracting with licensed con-, Duct-Structural • j4. $ -tractors to construct the project (Section 7044,Business and Professions Code:' - t PLAN CHECK $; -s3•�� PERMIT f The Contractor's License Law does not apply to an owner of property who- Duct-Ventilatin ' I ,I( III ■ 11 111 : /; .•� "� ^ , ISSUANCE $ -builds or improves thereon. and-who contracts for such oroiects with a con.... ' -I� - - - 9- •" - - / I PLUMBING $ �••,S. P/O ' frac r(s) license pursuant to the Contractor's License Law). Ilam aware that Exhaust System D Multiple 'ep -�"_•-+ • ENERGY P.C: $; ' of PLAN CHECK ' 25% $ or f o then Worker's Compensation ins tante should:be provided to me. f•;ti: GRADING 1 $, I ' O 'ELECTRICAL ' $ ' • .tam,exempt under Section B.& P C.for this seas Firepl/Fact:BIL ICBG ' Fire Dampers '_• �i }! ( 1 - • / - ,I. r`'PLANCHECK ' 50% $, , i•r''` • MICROFILM; $i � Date" ft.)('�IL/owner t a i e J/ I t.1 Heating System& Ducting Registers • - ,.. $ ' • • - TOTAL FEE $ pper�.� i r • t MECHANICAL Jolf�•15— • . -Thereby certify that-I-have read this application and s ae that-t e abo ^ 00-100,000 BTU 0100,000 BTL-•• -.--- - - • L• q, information Is correct . I agree to ply with all ally and county • dina •es - - v=im, PLAN CHECK 25% $, 1, ` _ 411 •1 S • and state laws relating,to building construction; and hereby authorize repre- . d` sentatives of t city to enter upon the ab•ve-mentioned property 1pf�� - t. I v r• p R. inspection • r•. es. • , U SC.OST X �i C.•3 ) I If Signature ♦// /i / ' I/Ii / 7�-/ Date r - , � D - '. • .�..� �. . q 0865-46,-rev.5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 4 c.miE: 107077E8 TIM=_: '15:1'1 .1 ,rl :,• t te ^ _ ,` •1 ':••^•POOL &SPA- CnNSTRt1CTION AND PLANNING .. { +.t; jAPPROVALS Permit# ' - l - 'Date ' Inspector, 7', APPROVALS: - 'Permi # • f. ' Date Inspector ,x1..:terrpor;V•Electrical,Service or Pole ..-•. „ `' 152. Pool &'Equipment Location.' • •p :2. Soil Pipe-Undrgrnd. :- 453.•Steel Reinforcement" • • - ' - • 3:7 Electrical •Conduit.Utility•Undrgrnd. - : •• - 54; -Forms - , • _ i...p •`�� 4.•,Ele trical Conduit-Undrgrnd.:-1 ' - . 55. Electrical Bonding•. . - s t / "d 5 • . Steel,Reinforc merit - rr "" i N . 56: Rough Plumbing&`Pressure Test ;f ' �.` /i�i'1�Slf� -67Electrical LIFER%Grnd. "'- - 57. -APPROVAL-TO COVER-GUNITE • a" - Ara1<' r_ I. ' - . .Conduit-Undr rnd. w '4, 7"` ..•71. F,00tings 1 . � - . .442,a,-., • 58Electrical9 9.1" - _. 8'Foundation' ' ' '59. Gas Pipe, O'Undrgrnd., Test 4144„ I • C? ' 9. Water,PT`e;Undr rnd. , (.r- + 4 tj' • ' 60: Backwash Lines, P-Tra , 0 Undr rnd - I %'7,• -Le?? .. ' .10' St'ri i-1,-,- i ru al Floor System I/•, - - I • . )a2.:' •61'. APPROVAL TO DECK ; , , t ',11- Property .Sewer Line;& Hodse`Connectiori S. S- . 7. • ''62: Backwash &Receptor-Final ' -1 ' r) •- • I .• ` 12. Sewe5 Caap _ - - A. r ' 63:-Heater & Vent-Final - .�... :. ' 13. Roof7Drains ? • ,:k• -} -• 64 Plumbing System -Final A - L.: 14: .Rough]Iumbing • - JJ//dpf/ �j 2f' 65`.-Electrical-Final . tet.!':4,, 1{ 15. Rough Electrical-Conduit __ -I . `-, -(J 66. Solar System-Final - - _ _ ---•o • . '•4 Al_ .Rough Electric Wiring • •,_• _ 67- Fencing& Access Approval .. - -. ,'„, ^j 7'•Rough Wiring Sign`,' : •• 68. APPROVED FOR PLASTERING • '• , • df; :;118. Rough Electrical-TBar Ceiling- t. ' r1 • -,69. POOL/SPA SYSTEMS FINAL• `t t' ''19.• RoughHSating•& Air Conditioning ' • t •• .. 6 ; FIRE DEPT:.REQUIREMENT. ' . Y,: , ; ;.. I • ;'4 . 20-^.Rough'Factory Fireplace • i i - • APPROVALS Permit# ' - - =• r ,r It �t . 421'. D CU.' iii Structure • : • • '; ' " 4. • • •70, Underground Hydro f • • I 22'•Ducts 1Ventilatlig t 1 ••:.;;• , . . , .71; Product Piping O Gas ,O Oil • t l - t i pe•� ti ,�. . �, •..- - - -, ti •r, ?23•'Gas•PRou h!& Test' .,"'a ', _j- '- - - 72. Underground I ''.Y - _ _ _ - '-24l'Roof,Framng ',� ` 11 , .' , 1 ,73. Undergrnd.Storage Tank O Gas ❑Oil 25./Roof Sheathing {" 74. Overhead Hydro - , i Li.„ G- �/ 26."T Bar)Ceiling•(Structural) '& Monocoat r •L • 'r75.• Dry Chemical • •' .ti _ �r �. •apt' n .�». :..L < --••- •. it' 27Fra meland:'Flashing 'i '4 1 2Ns'1 ,�%� :41: ' J6. Dry Standpipe ' , 4;. ' 2$kLathing) /Sidmg ' . I '. ' i f i1.2,j„(6f� 77: [FIXED SYSTEM FINAL ' • ', _t; 'a' 'r; - 29.,. Insulation; •- r - . - ;i: el i /✓i . ' ' - 78. FIRE PREV. FINAL . • •'30.1Drywall Nailing," , tcJ+yi Ind it , / tF etk : i. - HEALTH DEPT. REQUIREMENT • ' , • `-315 Plaster Brown Boat • I --' • - --,' ;79: FINAL INSPECTION - - - - - : i - - . . - • • `32. Eleciiical Power Meter-Final 'P' ; ` l ,80: FOOD CERTIFICATE ISSUED • e . •33.Final E{ectric Ty. ' . r . a ' ' 'Notes:/y//,.. gtf a:Mf Orilla) at/goc_.71:4; . .34., Final Heating,.& Air.Conditioning . - '" 35 Final Gas,Pipe-test i y 44 , ?`_m at) 71/�/ Y �� t7 l'"36.iHood•orCanopy ,i ' i y /C� / 1. 37.+Final FactoryFireplace '' ' . , + 2, : , - ' - ' - • -• 'Y• • - -i, - f e36 • �.;F.inal Plumbing Q'�<_J ��.��/(- .1,7%l L ' • - _ '> �� 39.4 r.Ser`vice Final , . r _. - - " 't ,. C . , • tL - , 40`Gas'Service-Final ;�. --? a1 I : 1 • • • •. t. c. , i; r ti n' ' 91.Solai Domestic-Final, y, I. rtt I I , . :4 ...." • �! r•,4• S. 2. < , t , V ' 42. Backflow Preventer • • S f ' ac'' ,43. Backflow irrigation �, w Ie -111:1- .i.k. , 44:1 Landscape•Irrigation,System • • ' •- • ' ij , .4 , . {/,, 0 00 0 45.',Sou-nd_AttenuatiOn-11•24 ; ' ' ' • � '' • .- i' . . 46.;Handicap Regulations., . 4 t, ' / - - 47-iFINA'LSTRUCTURE &BUILDING •. v '/ 4./!o B�-. • . ; St 48. Soerial'Retauirements Completed • - 4 49.!Electric;Release to•Edison I 4 i `i- • ., , .; . _. -. . .. a- - `fn�'^^' t.1 ••l'=� 50. Gas Release to Southern California Gas Co l %"•�" '' ." • H _ • I .�/ lel :Ili Al 51. CERTIFICATE OF OCCUPANCY , i No. 'fir Date -_ - • 't' P CERTIFICATE OF COMPLIANCE • PAYMENT. OF SCHOOL' FACILITY' FEES . NEWPORT-MESA UNIFIED SCHOOL. DISTRICT Developer/Applicants Abf11.11-Ci � 1/Z (Cj Arleg 3P-- Address : 190 • ILi5h41 *P. C • Aq1.• 9i2—Lp257 ' Telephone Number : -72-2,- (0o02._ Tract/Parcel and Lot Number( s) i ' , Location of Project : MOO' ri'� avn-�ue• , el Number of Square Feet .of Sal? cl‘ k ' Do Residential . SpaceSr' x $1 . 50 : .Total , -7 Wo . • Number of • Square Feet -of. - Commercial and . Industrial Space x $0 . 25 Total . The provisions of Government Code Section. 53080 are not • applicable . , ' This certifies that the above-named Developer/Applicant has paid school facility fees in compliance wixh ' Government Code - Sections 53080 and 65995 . / '. Checks are to be made payable to Newpo t-Mesa Unified School - District . . C2 • Business Manager Newport-Mesa Unified School District . The above representation as to. square footage is true . Developer/Applicant agrees that :if itis later determined that . * such representations are' not true then this certificate shall . • automatically terminate • and• the appropriate City/County shall be notified . • . . i . /� d Date : !D , •7.- Developer/Applic nt 4/'7l% OCT 8 1988 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS , CALIFORNIA ADMINISTRATION CODE, TITLE 24 , STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS: 1817 TUSTIN AVE. , COSTA MESA, CA 92627 Number Street City State EXTERIOR WALLS Manufacturer MANVII.TF . Thickness/Type 31" R-Value R-11 CEILINGS Batts: Manufacturer MANVILLE Thickness 11" R-Value R-30 GENERAL CONTRACTOR: DON AYRES LICENSE it : BY TITLE DATE INSULATION CONTRACTOR: TRI*STAR INSULATION. INC. LICENSE 4f : 523718 BY� 1 TITLE VICE PRESIDENT DATE JAN. 10, 1990 • THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATION CODE, TITLE 24 , STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS: 1817 TUSTIN AVE. , COSTA MESA, CA 92627 Number Street City State EXTERIOR WALLS Manufacturer MANVIJ.J,F Thickness/Type 31" R-Value P-11 CEILINGS Batts: Manufacturer MANVILLE Thickness 11" R-Value P-30 GENERAL CONTRACTOR: DON AYRES LICENSE # :_ BY TITLE DATE INSULATION CONTRACTOR: TRI*STAR INSULATION. INC. LICENSE # : 523718 BY� — TITLE VICE PRESIDENT DATE JAN. 10, 1990 Applicant to fill in all spaces except those within heavy border lines and sign.all appropriate declarations, - .7 ` CI IF;reSTA ME$��j, ON �} JCT16N PERMIT PERMIT NO. Q'�(/�' TRACT NO LOT NO. • l UNIT NO. • A P # v Project.Rddress G •t•/ 1 S Main Budding-`` Accessory Building' Aisplicant's Medi • '•dre' /•/ '.. - ' I. TYPE OF CONSTRUCTION U NEW 'U 'ADD U ALTERATION U REPAIR - E 2 ,�� c _ Z'/ ,7 • .❑ CONVERSION ❑'DEMOLISH ❑ OTHER _ 'At; Front • 'r. 0 Owner shame i, Ai•� St .' EJB : a �°'� DESCRIPTION OF WORK/USE'OF BLDG.,- - - A , Rear - _ _ - • N Address. LL P/ - - - ,. - , - .. : �y 1 -,— 7 • Afch/Eng. - License•No • •• , TYPE OF PERMIT ' IQ GRADING ❑-FOUNDATION STRUCTURAL. - ;LK Right - G Address - QIAayA_Q Kitt,-AC - _ -❑ TENANT-:I rnV'E/LECTRICAL ❑ PLUMBING . MECHANICAL -$ . Left - - R • Contractor's Name 5 " J� ' - • -Phone El OTHER- • _ -Ping.;Ref..# . - - - 1. Parking Req./Provided ' _ , ' Andress(mailing) - • PROJECT DESCRIPTION SQ. FT. OCCUPANCY ' - „ , •_ - 4 M.Planninglt Notes: ' • s • - - , _ CONSTRUCTION TYPE ' • :VALUATION$ - T City License No. ' '' • ZONE _ GRADING CU.YDS.• ACRES •' I - t ;5; LICENSED CONTRACTOR DECLARATION • - , ( + - r •:`, I hereby,affirm that I am licensed under provisions of.Charter 9'(com mooting _ Remarks: t - v - • ' : - - • • with section 7000) of Division 3 of the Business and Professions Code, and - -s.>e^� /' '-'� ELECTRICAL • / FEES, my license is in full force and effect ' • . f License Class - License No: - ' ' • ' Date - Signature • - t PLUMBING I FEES / Automatic Washer Transformer 0 15-50 KW ' I ' • WORKERS• 'COMPENSATION DECLARATION' ! • , Construction Pole Sub.' - : 0 501+KW 'I hereby affirm that I have a certificate'of consent to self-insure or a certificate Bar Sink $howe1s- �d of Workers' Compensation Insurance;or a certified copy thereof.(Section i i Cooking-Unit I _( Meter [Sup to 100 amps 1 - ./� '-3800, Lab'. CJ'-- -h - - - - • '» - ._ Backflow •Preventer. ,4 -.Service Sink - �_ - l - _ - Policy No- ` Company ' ' ' ' Backflow Irrigation - , - Sewer Cap • • • -• "f' Dishwasher • , 1 Meter Dover 100 amps r ! t• -as Certified copy is hereby furnished. ' r - • - ��{I,, 1 8 !Bathtubs .� II,' Dryers 14Gas ❑Electric Sub Panel t i - i Certified copy is filed with Applicantty Building Division. 1 Bathtubs i Sewer Connection • • / Date - ;• - - , - 1/ f. SRrJ'), Motors❑0.1'HP ❑1 h'-8 • Clarifiers '" Solac Collectors r Fan L EX EM PTio -ne ROM WORKERS'COMPENSATION DECLARATION i t 'y' ( - - ` •(This sectiomneed•not be completed if the permit is for one-hundred ($100)or- • - - F'.A:U. - -.IncTSolar 09-15'HP 016-15+ � less). ' • ; I I , Dishwasher 4i; Solar Piping • . I JI � I, . ' ! . , I certify,that'In the performance of the work for which this permit islissuetl I / -4 Fixtures. ' shau'.not employ any person in any m nor so as t ecome subject to•the % Drinking Fountains ' Solar Tank , i , Microwave t t / ;fQ Worker ..��CCo peni90 n'.Laws of Calif oJ��nia. J' • Dale' �L��—'(!V '9 Signature /.f/1 � �' !!rl 7n Device Boxes' - Pole Light - 9 -/ ' Floor Drams Swimming Pool w/Spa 7 / I ' t. - 9 i (?, . • NOTICE:If,after making this declaration, you shout beco jet o the - - - Workers', Compensation provisions of'the Labor Code, you` ust forthwith Floor Sinks• )_- .,_. ._ . Ur in -. _ . 1_•4 /, _ • 4 Outlets . _ ' Range ' 'D comply with such 'provisions "or this-permit, shall b¢ deemed revoked. -• - - - .CONSTRUCTION•LENDING^AGENCV't I G e - - ' ' Gas Service ,^ GutletS „ ater Closet ' S - I 1- �' , /.. Switches Sign ' i ='I$�_ I hereby affirm that there ii a constrrmit Mending agency for the performance 1 ' - ' / ,�a99- of the ;work for _which this permit Is'Issued (Section 3097 •Civ 'C,) ' t - / Garbage Disposal Standing Sections t "3 Vw/• • • Lentler's• Name'_- - ` - + - • • • . Interceptors -Water Heater . i-- - - ' I - - Generator 00.5 KW 05-15 KW . Trash Com actor , • Lentl ERAtltl LD - Kitchen Sink _ - i.Water Service -" *. : l - P , OWNER BUILDER OEC CA RATION t ! • -- j - , , , I hereby,affirm;lhat I am-exempt from the Contractor's License Law for the ' Lavatories :Auto-Wash , , , • I i ' i I • - following' '(Section_7031,5 Business and Professional Code: Any city or • _ - , county which requires a permit.t0 construct,alter,impr ollsh or repair' P=Trap i•� -, , - Laundry Trays - . ,• , I ' I ' ,any structure, prior to its-i55uahe/shesIs ires;the applicant for such permit : - - • , , - ;to file tractor statement-thatnseLa he/she is licensed pursuant to the provisions of . - - the Contractors•Liceusi Law(Chapter Professions9 (commencing with Section is exempt of, Roof Drams - - _ - - - , _ l ' vI� ! Division: 3,;of the,Business and dexemption. Cotle)'or that he/she is exempt - - " Reinspection.Fee I r ,$15 Issue Fee i • ' 2 -therefrom.and the basis forthe alleged exemption, Any violicant to Section •-• I _ - - ' .7031,5 by any applicant for'a permit subjects the..applicant'to a civil ' - - -• • - m�yaelty of.not more than five hundred dollars.($500).• , . - i 1 - cDEVELOPMENT'SERVICES REQUIREMENTS: ; `iM 1,`as'owner of the' property or niy.employeei_with wages as their sole ; "Reinspection Fee./ $15 Issue Fee• ' ' i-a $ 3 Zoning'Approved By Date ' - •compensation, will do the work,and the structure islnot Intended or.of feted - - ^ - - �� ' for sale' (Section•7044, Business and Professional Code: The Contractor's t.^; MECHANICAL ; I. `.FEES- . Boilding Approved By! Date License Law does not apply to an owner eta property who builds or improves - .- - (((4/�\�+'•� �� 42.4"--s3 � p.Q • thereon;and who does such work'himself/herself or through his or'her own " . - - Application Issued By ��"^"' �"�0/J employees, provided that such,improvements are not[intended or offered for • Boiler ! • , �% • 5 •Hood or Type I ❑. , M'—• Date • sale. If, however, the building or improvement is sold-within one year of com- Canopy Type II 0' - f - - - • - Pletion, the owner will'have.the burden of proving he/she did not build or im- ; • Duct'-Under Ground ' a i • -5-...; , , • SUMMARY OF FEE I . pylre.for thepurpose of sale). i ' , - • : BUILDING PERMIT $ SMIP l IN'I, as owner of the property,am exclusively contracting with licensed con-- • Duct-Structural , Refrigeration System i P�Nf $ ' - tractors to construct the project (Section 7044,Business and Professions Code: • • - - - ( CHECK $ , • i PERMIT The Contractor's License Law does not apply to suchan.owner of!property who ' Duct-Ventilating ! 00-100,000 BTU 1(]100 000 BTU - - _ i ISSUANCE , $ builds'or improves thereon,and who contracts for such orolects with•a-con-- - - - -. . . - ..-- •- - -• • . - . - - , " PLUMBING 1 $ • PLAN.CHECK ' 25% $ I r. • tractor(s) license pursuant to me'Contractors License Law). I-am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration • i :ENERGY P.0 $ proof of their Worker's Compensation Insurance should be provided to me - - 1 f GRADING $ ' I • /. - ELECTRICAL $ /07; 7S' } • ' •❑`Lam exempt under Section B. & P.C.for[tris reason ! , Firepl/Fact:Blt. ICBG ! • Fire Dampers I 1 , • . - '/ ' PLAN CHECK 50% $ ' l 'MICROFILM.' $ ; 5Date / --/-8rr ve re th - . ion n• st / . bo Heating System& Ducting ! Registers • 1 '9 d!/ MECHANICAL' • $ ' `O (TOT,AL FEE • $ I r7� ..l hereby.certify that I.haveae d-this•application ands[: e the he-above r $1100,00 BTU 0100,000 BTU .. -•- - ( - i information is correct. I'toagree•to comply with all city and county ordinances . •- - • : PLAN CHECK 25% $ - i I . ' antl'sta[e laws relating ityt building•const/the ab, and hereby authorize repro- I - - s - r -- - J - �, • • sentatives of,finis'cciiit/y''tto� en r! upon above-Mentioned •prrope t�y�"+f9�i " Inspe<tlo Fu !/f'(i(QIJ.i �,. /9 t' /:I IJ , •- - - ,I 4 i a " • Si nature Reinspection Fee ' i$15• Issue F.ee ,r-,r, $4�. ' •' I I. ' 01 60020926-00020927-11--611-1 ' 131.75 IZ 0865 46,•rev, 5/88 White - Building; Qanary - Applicant; Pink'Accounting;'Goldenrod - Assessor _ -_ - ` • r n• r `{ :ATE: 12101(,:4 TIME: e3t52 S , CONSTRUCTION. AND-PLANNING ' • ''-' .� POOL& SPA • i ' Dates . Inspector - ' - - -' i,> p .� . Date Inspector c. 1 -4'APPROVALS Permit# - - _ .APPROVALS Permit# - _ _ iff 144Temporary Electrical Service or Pole ; `. • - . ' '52. Pool & EquipmentLocation- 1 .I . • • 2` Soil Pipe-Undrgrnd:• r - _ ' - „ . 53. Steel Reinforcement ' 3.'Elect'rical Conduit Utility=Undrgrnd. '•r' 54. Forms 'n t. %r. . :i , /.53a . .`4Electrical Condruit-Undrgrnd. 55,• Electrical'Bonding - Z5, Steel-"Reinforcement '-' I _ ' , .r•-• '56. Rough Plumbing & Pressure;Test t ' • g ' i "'T' ,.j_Elect'rical UFER'Grnd.- - _ •• ` 57. APPROVAL-TO COVER-GUNITE ' •• - - -VI' 47iFooti.ngs .' i - •-t- . 58'. Electrical Conduit-Undrgrrid. ; • tom: Foundation - - - , ' . . • 59 ,Gas Pipe,.0 Undrgrnd-.,-Test . . . ... ' r. . , ! � • ` Wate Pipe'-Undrgrnd. - ,60.• acLin Bkwash es, rgrnd: i P-Trap, 0 Und. 10 J'';Structural'Floor System ;, - 2 r ''" - 61.•APPROVAL TO DECK . , . _. ' ' ' . - I " t - c - _ . . 11! Property Sewer Line & House Connection - ' 62. Backwash,& Receptor Final 12. Sewer Cap , - •E •'- • 63. Heater &_Vent-Finals 13. Roof Drains - : 64.'Plumbing System-- Final ' '14. Rough Plumbing , •. .- l . 65. Electrical Final: _ . . ', .15. Rough Electrical-Conduit .---- - - _I • - - . - - •66..-Solar System-Final • ' • - - • . yl , • .. 1. I _ Rough Electric Wiring ,',$f ,, /7_8-8- a*/2 .. 67• .Fencing &-Access Approval` - _ - - - 17'. Rough Wiring Sign ' : •,. -` . , - •68. 'APPROVED FOR PLASTERING ' - - • 18" Rough Electrical-T Bar Ceiling • , • .69. POOL/SPA•SYSTEMS FINAL . 19. Rough Heating & Air Conditioning r • .;;;// /P7/ Q/ r , - FIRE DEPT. REQUIREMENT . n- {20: Rough Factory Fireplace , . , • ' . - APPROVALS, Permit# ' • 2i). Ducts, in Structure . ' •j , ,701 Underground Hydro ! -" 22.- Ducts, Ventilating_ tv ' , ' , i ' ;71. Product Piping 0 Gas 0 Oil '.•-„•23'.1 Gas Pipe-Rough & Test V . . - "-" i-" -T 72.,Underground'Flush• iii ' . .. 24. Roof-Framing ' - (A) -" • _ •I ' '73.•Undergrnd.StotageTank' OGas 0 Oil. 25.',Roof Sheathing '� - 1 _ "(74. Overhead Hydro _ • 26: T-Bar Ceiling (Structural).& Monocoat ' � � , t •75. Dry.Chemical • : q 27. Frame and Flashing ,u.% ' '• - ' ' ' ' ;76! Dry Standpipe 28''. Lathing &'Siding • I , . 't i - . .77. FIXED SYSTEM FINAL ' •29: Ir. nsulation. 078. FIRE PREV. FINAL • • .30. Drywall Nailing II •• ' HEALTH DEPT. REQUIREMENT- '' ' -31'. Plaster Brown Coat • 1- - •�- I FINAL'INSPECTION-, "- -• " ' 32.' Electrical Power Meter-Final n t le. r-� 80 FOOD CERTIFICATE ISSUED 11"-e:11"-e: 1" 33.` Final Electric 1' - •L-3-$t LI to Notes: y ...71 -4 34..'Final.Heating & Air.Conditionings ' /70- ri,,.�• �/Ip , .35. Final Gas Pipe-Test •t • : '" r <--I-. - • . 36. Hood or,Canopy. - r r "i i,� i"1 37. Final Factory Fireplace ••--.,1 7; ' , - • - - - - � _ 38. Final Plumbing ; •; `t 1 i iI ., f : 1 - - 39. Water Service-Final ; ! - ' 1 • - i.,5• 1 i' • - • • 40. Gas Service-Final I ' I 41. Solar Domestic-Final i ! I - • T. .`f' % - 42. Backflow Preventer j I ,d � I : J 1 I , i - ( 1 v 'I 43: Backflow-Irrigation t. , - '. • • j - - t , O. • . 44. Landscape:Irrigation;System -' I - " - i " ' r ' ` 1 • ' .' i . r ' . 1. ( l'J, . ' (V (If: 27 '45. Sound Attenuation ' , � . ,, 1 i •j .. I ' ' ✓ "')• 46..•Handicap Regulations : ' - _ ! - 1 i '' .. 47. FINAL STRUCTURE &)BUILDING, e ( i • -I•• ' t ` ' ' I , - •) 48. Soecial Requirements Completed'. I • • � _ ' �. 1 it . ' 49. ElectricReleasebd. Edison n i ) 1 !_ I ' I : ' ' ''' •y - ' ' • 50. Gas Release to SouthernlCaliforriia Gas Cor ' ! ' r . ' I ' i , ' t I Ia* "' ' L. 51.'CERTI•FICATE OF OCCUPANCY ' Of t 'J i vit-'s i o' VI} f w \' . 4c-,; . I 't - • No. : Y-` Applicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations. ' PERMIT NO: ! TRACT NO! LOT NO. ' CITY OF COSTA ME CaN$TRUCTION PERMIT - ' • "IT NO' ,• A P # ' .- '.' zone• I 1 f 'hh• �� • 8 3 GO 38- , -Nu,pt- fs _ 117 — Zg l-07 �� . Pro • • tect Address $ _ rrI S ' Main Building: - , . - . . - ' . Accessory Building: ' ' - • .Appl¢iint'sMai gA•dre55 ' - •""�� .". TYPE OF CONSTRUCTION .-LJ NEW ADD UALTERATION UREPAIR E, /7�, /, • - • Z / 4n - ❑ CONVERSION ❑DEMOLISH ❑ OTHER � J T Front '(moi- ( [LC.1%.Q.�) - • Owner's N�ame'- •1 'aril r 1 • VIIIIST f/eetSit one EN6117I�i' .pjFp�• py� /PML {4'-1 g /, _ - N Address �p1�'I ' c . i 27 DESCRIPTION OF-WORK/USE OF BLDG: +t , l LA• Rear.. l Ca Arch/Eng. - • License No. TYPE OF PERMIT i ❑ GRADING FOUNDATION STRUCTURAL I'K Right: 31 - - - - N Address ❑ TENANT ❑ ELECTRICAL ❑�LUM BING ❑ MECHANICAL - $ Left •�' - - . - 1 -❑ 'OTHER '-PIng:,Ref.# jeZ 9 fBP35621 ParkingRe _ Contractor's Nam - Phone p q./Provided i �` E - PROJECT DESCRIPTION SO. FT. O G 6 TIO OCCUPANCY �- Q Address(mailing) - _ I - 1 oa Planning Notes: ,YCAI I SQ. arch O W.+ 1 W V L` M , CONSTRUCTION'TYPE VALUATION$ 1 In- Ds-'�_ f +,, - ' _ 4 _ T City License No. ZONE • GRADING CU.YDS. ACRES 1 3 rtJCJL.Ga-F-f' - ' LICENSED CONTRACTOR DECLARATION - - �,- ^ - b f. ^-'A- '± S/ , o - nor $- - hereby affirm that'I am licensed under provisions of Charter 9 (commencing Remarks:' P --3 (.0 21 .. RE��SE)P ( {r��.G` C� -e7/,/, r7LlJL 'W with section 7000) of Division 3 of the Business and Professions Code,'antl r my license is in full force and effect. - • C fic ELECTRICAL • • , _FEES License Class - ' License No: - - „10 60(J _c-7 - , Date • Signature • - - PLUMBING , I FEES i Automatic Washer Transformer,❑ 15:50 KW WORKERS'COMPENSATION DECLARATION r - Construction Pole,Sub.l 0 50+ KW I hereby'attirm that have a certificate'of consent to self-insue¢or a certificate Bar Sink Showers •! - of Workers' Compensation_Insurance, or a,certified copy thereof'(Se<tion _ Backflow Preventer- - Service Sink • _ _ _ Cooking Unit - Meter.pup to 100 amps.. - ' • _ 3800, Lab. C.) i Dishwasher - Meter Cover 100 am s' ' Policy No. Company Backflow Irrigation Sewer Cap p . _ RCertified copy is hereby furnished. 1 i . Dryers ❑Gas ❑Electric Sub Panel wry'/ " Certified copy is filed with the city Building Division. , Bathtubs ' r . . Sewer Connection - . Date Applicant - Fan Motors❑0.1 HP❑8X-8. • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • j Solar Collectors _ _ _ ' (This section need not be completed if the permit is for onerhuntlred ($100 or ' .- - . , less). ) Dishwasher Solar Piping F.A � Inc.Solar ❑9-15 HP,❑16-15+ I certify that in the performance of the work for which this permit is issued, I - Fixtures '' • shall not employ any person in any anner so;as t become subje t to the Drinking Fountains i Solar Tank Microwave •-j Worker{y Cott ion Laws of Calif rnia' - • Date 1(��-3'{ Si naturDevice Boxes Pole Li ht 9 Floor brains Swimming Pool w/Spa 9 �ir� NOTICE: If,after making this declare ion, you should ecome object the .Workers' Compensation provisions of the Labor Code, you.m st forthwith 1 - Floor Sinks - ' Urinal ^- ' - •• Outlets . Rang¢. - . '4rj i_ •.-_ .,(-,-.• comply 'with such provisions or this permit' shall be. deemed revoked. _ • CONSTRUCTION. LENDING 'AGENCY Switches ,:• ' s% ^ POOL&SPA - - - CASTRUCTION.AND'PLANNING • - -. " . ;r ••> `. ''• _ APPROVALSPermit# Date' Inspector .r APPROVALS, Permit# -- ,./-..• Date .InsPector - .. , 1.-Temporary Electrical Service or'Pole . J. " 1 52. Pool & Equipment Location - -�= - - • „2. Sofil•Pipe;Undrgrnd.- •' - ` y 53: Steel,Reinforcement �1 •••:t••,/ '3. Electrical Conduit Utility-Undrgrnd. - - - - r • 54'. Forms• - _ :• - ,`r ` 4:j.Electrical Conduif'"Undrgrnd.-, _ - ' 55. Electrical Bonding ' . _ c G.' - •5'•Steel Reinforcement _• • - ' 56: Rough Plumbing & Pressure Test ., • .;.---..! '_ '+!6rR\G "Electricei,UFErnd. . • - • ii. 57. APPROVAL TO COVER-GUNITE ' .. • = . --7:..Footingsi - "> 58. Electrical Conduit-Undrgrnd. -,-, =.' '8-:Foundation - - ..'. :. ,59. Gas Pipe, ❑ Undrgrnd., Tests 1i �'9`WaterPipe-Undrgrnd. - - ��1 -60. Backwash Lines,P-Trap, 0 Undrgrnd.: ' 10.Structural Floor System' t,r -61:• APPROVAL TO DECK _ r • .• .j 1l 7PropertyiSewer Line & House Connection 62. Backwash & Receptor-Final • - 12. Sewer-Cap 63. Heater & Vent-Final -- 13. Roof''Urains - . . Z ; 64.. Plumbing System - Final : • 14. Rough Plumbing "�-' 65: Electrical-Final • _15..Roug� Electrical-Conduit - - - - 66. Solar System-Final ,- - -• -- - - •- - .. 1.6: Rough Electric Wiring • -- 67.E Fencing &Access-Approval 1:7-1,Rough Wiring Sign: ' I . - , 68. APPROVED FOR PLASTERING' ; ; - ., - - ,, , 18• . Rough• Electrical=T Bar Ceiling 1• 69. POOL/SPA SYSTEMS-FINAL ' . • I • I ' 19.IRough Heating & Air Conditioning FIRE DEPT. REQUIREMENT. - c 2O 'Rough Factory Fkeplace . '2 ` ' I APPROVALS Permit# • 4 21.',Ducts:in Structure /,l 70., Underground Hydro - e. • - l ; • 22. Ducts, Ventilating • • .4. 71. Product Piping 0 Gas 0 Oil '••• . 23.. Gas Pipe-Rough & Test . . , ,. • 1- • -. -72. Underground Flush " ' - - • .24. Roof Framingti- , I_!. ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil " • 25.)Roof Sheathing �i 74. Overhead Hydro . - 26. 'T-Bac Ceiling (Structural) & Monocoaf - 75. Dry Chemical _ , • 27. Frame andFlashing '.,, 76. Dry Standpipe . - 7 - ' _ 28. Lathing &+Siding. 77. FIXED SYSTEM FINAL ` 29. Insulation ' . ' ' . ' 78. FIRE PREV. FINAL ' . "30. Drywall Nailing - • _ HEALTH DEPT. REQUIREMENT , '' 31-. Plaster, 2 Brown Coat •• N,.,' - I - '79. FINAL INSPECTION • , - ' , - ' '- -'-'-. 32. Elecvical'Power Meter-Final; 0; ' 80. FOOD CERTIFICATE ISSUED - ,, I - • - 33.,Finar:Electric ,I h -• ' ' - Notes: - - '• 34. FinalieatingAir Conditioning& ditiing ' • - H , ...� _ . 35. Final 1)Gas Pipe-Test _ } I! ' , ' . - ; - . . 36. Hood or' Canopy ' " . . - ' - - "- - • • 37-. Final Factgry,Fifeplace. ,' ! • )• - I - - 38. Final Plumbing."• ,,}r .. _ - � i 39: Water Service-Final --- • I 40. Gas:Service-,Final-!o /-1 ;;' • - ; _ , u - • 41'-. Solar Domestic;Final.- .. " r' 42. Backflow Preveriter . ' , • ; , . 1 • ^-,-• • . 43,-Backflow Irrigation_ -� ,r z !; - �.:• . 44. ,Landscape Irrigation-System • - , . ; ' _ 0 - • .45. Sound Attenuationt.• �',,fI ' • _ \ J// 1ro- `'• '46. Handicap Regulations I" ' • • 4, 'i,,� / -� , - 47. 'FINAL STRUCTURE &BUILDING 2`/9„6„.• , ,-I ,�7 ///Or /r , �i -"g , o666ccc _ 48. SpecialiRequirements Completed - . . - ' ' 49. Electric Release to:Edison '2 ' ' ' - ' _ :• - • ,. 50. Gas Release to Southern California Gas Co ' I ']: '.' I-. 51. CERTIFICATE OF OCCUPANCY . r t„yr G , No, • - : Date' I r � V; CITY OF COSTA MESA / BUILDING DIVISION Pi OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your namesand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be iss d until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvemSn�t,., WYes 0 No 2. I (have/have not) LUA,'11e--' signed an application for a building permit for the ` proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City • Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: • Name Address City Phone ( ) - Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work • I hereby-affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowled , in compliance ith this State la Signed: ct .G c , .:t/J.�'I.L, !�Q Date: /C 7 Name: ( d)(tinee re S ( not or Type 1 1� C.D.L. #or S.S. # • • 754-5273 CMF 1042-46 - . ^-s ' - • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MEM �/ GDAIS RUCTI N PERMIT , ._ PERMIT NO. Z� TRACT NO./�`��'L��,O1yy...T NO. I-I{p-pL' UNIT NO A P # ;' .� • h(, - • - . I ,. � l Project Address • ,(ll l.� 'i�� 1p 7JJ - "�j' J ;E 307/_kif U -/`e....;ory 0 vi Wing: II _62 v�I�._! g • ••ress. • ' TYPE OF CONSTRUCTION ..❑ NEW'U;ADD a ALTERATION" ❑ REPAIR" Applicants Maiii G:_� 1\'e,� - I'�- - - . . 7 Owner's N me ' / T - • 1♦ - --� ❑ CONVERSION ❑ DEMOLISH Yen OTHER - - _ T , F,ront 00, . ' - 2 "lb • /t. O �f Phone !�_l_10, `2_ ' • - I . • q T. "DESCRIPTION OF OFj K/US •OF BLDG.— B Rear ..ro hew tek,�' •v,„ .T' -re�_ Address•` 11"- . 145- 'vt ,' .) r/1�� ' L 'i '1 ., , I3 `�" -L. P ' SW. 0LocK 'WAL -- " A y 12 _ I .. Arch/Eng. •' License No. 1 TYPE OF PERMIT - ❑ GRADING r�j�FOUNDATION •YSI STRUCTURAL - K Ri hf • - •. ; G Address" '" -- -Li TENANT-'❑ ELECTRICAL LJ PLUMBING '❑ MECHANICAL - • , s : Left -f v- , r ; :• , - O 'Iv re't (.1 .• R Contractor's Name j�� Phone • - ❑''OTHER• _ 1 Ping..Ref.# ' - Parking Req./Provided • (tf&B,Y•F) E - , - * PROJECT DESCRIPTION OCCUPAN V ')tannin Notes:. G� Q ' Address(mailin 1 -- 5�;. ��1 ��,,,///��,rrryyy dr... 9 CON STRUCTION TYPE�� • .VALUATION $ CO ' �i LI. , ✓7� ��I��/```''''''��'''��'''t'�/^�/"��p""-,"/'l" '��'�y�t�QC/,./�` _ City License No. • - ° ZONE _ GRADING CU.VDS. ACRES //7 M ±� /tiC-/K�CZ .Yl'( .r '- S LICENSED CONTRACTOR DECLARATION • - •• :�-f o� �./1 n Ey I I hereby affirm that I am licensed under provisions of Charter 9 (commencing ' Remarks: . "• - „ a,, -- `$.s -- I e_or 1 dDAAp...� (134 G. I= ' - • , with section 7000) of Division 3 of the Business and Professions Code, and s v • _ _ - my license;is in full force and effect. - / _ �Ay. ELECTRICAL 1 - FEES License Class' - I License No: - • . •� �� "' - - - L Date • '- Signature ' • - - PLUMBING - I ,FEES •' Automatic Washer • Transformer ❑ 15-50 KW • WORKERS'COMPENSATION DECLARATION' I : ., : - ) - -1 Construction Pole SUb.-, :o 50+KW ' • +r;, , I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers t I I - of Workers' Compensation Insurance, or a certified copy thereof (Section -- I • Cooking Unit ' Meter ❑up to 100 amps 1 -3800, Lab: C.) I-_,, . - ' '-"_"^ •--- . Backflow Preventer.-..__ Service Sink ._ .. _ .: _. .• Policy No. Company - - Backflow Irrigation Sewer Cap ' - 1 Dishwasher r Meter ❑over 100 amps-•' , Certified copy is hereby furnished, , 12-'1 I , - — _ Certified copy is filed with't helcity Building Division. 1 I Bathtubs Sewer Connection �— Dryers ❑Gas ❑Electric Sub Panel ',- I • Date I 7 Applicant s`• - EXEMPTIONFROM WORKERS';COMPENSATION DECLARATION • Clarifiers 1 Solar Collectors • I 1 - ' Fan Motors❑0-1;HP ❑1'b-B (This section need not be completed if the permit Is for one,hundred ($100) or - - FA:U.• '- "- - ' Inc: HP Solar ❑0.15- '❑16-15+ less). • ,n _ Dishwasher Solar Piping I certifylthat in the performance•of the;work for,which this permit is issued - , , Fixtures 1 t ' shall not employ any personein'any ma nner so as to come subje to-t issued, - Drinking Fountains • S r Tank Microwave , �,-�, - Workerj/(Co en Laws•ot C@Irt`,,,f{r91lIad�+. ,,/ '1 �/p_t.,, • Date /V--f� Signatur Jw{t co'mef �J f I 1' ; , ' Device Boxes' "Pole Light t -. qRi' 0c L Floor Drains Swimming Pool w/Spa ( , j 9 NOTICE: If,after making this declaratioh,you should ecome ubjeC the - - • Workers' Compensation provisions ohthe Labor Code, you must for hwrth Floor Sinks) __t - ' '.� 1 ,Urinal • ' . . . - - - , _ -"_ - i , Range i • , Outlets " , 'Comply-:with such provisions-or this-'perm,t.'shall be;deemed' revoked.-1" "' - - - , -- --" - - ' CONSTRUCTIONI LENDINGr.AGENCV+ , ',. 1 • - , - Switches Sign i . i Gas Service -`Outlets Water Closet _ I hereby affirm that twhichs e:construction.lending agency for the performance ' •- -• "- - - Garbage Disposal '1' of the work for which this permit is issued (Section' 3097 Civ -C.) . - - 9 P I Standing Sections' i Lender's Name:1 •7 ' ' •- - , , ; Interceptors; „ Water Heater ,_ • r I , • Lenders Address • 1 - - --' ^ - '- I r' •' ' Kitchen Sink - ', - 'Water Service-' • l r. Generator ❑0-5 KW❑5-15 KW Trash Compactor „..•,i OWNER BUILDER DECLARATION , ' ' v ' L 1 - , V 1 i I hereby affirm:that-I am7 exempt from'the Contractor's License Law for the , Lavatories : ,' L, .Auto-Wash I , i I ... following reason (Section 7031.5 Business antl Professlonal Code:'Any city or ' . - - ' - county which requires a permit-to construct,alter,Improve,demolish or repair _ P-Trap i _ ! a.Laundry Trays : - .r ) _ _ ' ,5 ' any'structure, prior to its issuance,-also requires the applicant for.such permit t - • - - , Ito file assigned statement that he/she is licensed pursuant to-the provisions of - - L 1 - s '- ' ' ! i • r ,the Contractor's License Law(Chapter 9(commencing with Section 7000)of: ` Roof Drains - ,. _ , ,,J 5, ; - - r ' •Division{3-of the-Business and Professions Code). or that he/she is exempt 1 - - - , 'therefrom and the basis for'the alleged exemption. Any violation of Section - ii !- Reinspection Fea - $15 _ Issue Fee I I �,' $ 3 7031'15 by any.-applicant for-a permit subjects the .applicant to a civil ' ' • "! - - ,. • .��f any of not more than five hundred dollars($500).1 -- ; ._ 1 ii' ', p -� DEVELOPMENT'SERVICES REQUIREMENTS: ' 'Reins ction Fee I- $.3, •"I ,L�I, as owner of the property.'or my_em ployees with wages as their sole ' Pe 1 $15 _ I 1 Issue Fee I"• , - . Zoning Approved By ' r ' (Date JO •' • ii dompensation, will.do the work, and the,structure-is,not intended or-offered I - - 17 _ • for sale' (Sectiom!7044, Business and Professional. Cotle: The Contractor's - . . :MECHANICAL I y FEES; Building Approved By' w,_` - 1'= Date '_ License'.Law does not apply to an owner of'a property who builds or improves € ' - ' li I �� _ ' r 771 • thereon, and.whotdoes such work,himself/herself•oothroUgh his or her own - I I i -- Application Issued:By - _ /� / _ Dat: //�� employees, provided that suchlimmproveents are not, or offered for , • Boiler : : I 1 Hood or Type 1• O. - �� sale. If„however, the building or improvement is sold:within one year of com- , . I Canopy Type II ❑, 1 , t •'!:' - 1 ' I. ,7, 17. t t pie on,othe owner,will•have'the burden of proving he%she did not build or,Im- Duct-Under Ground ' , • . SUM LL•IARV OF -EE . 5.0 ve for thelpurpose of sale). 1 - - •" I j , I . -- -- - a - , - - - l 1 �_ BUILDING PER MITI $ t)y r$MIP 1/ , $ • I."astowner of the property, am exclusively contracting with licensed con- t Duct-Structural I ' Refri ation'System ' TR ' t , tractors to construct the project (Section 7044,Business and Professions Code:`, t _ PLAN-CHECK ' , S''�iZ' . 'PERMIT The Contractor's License Law does not apply to an'owner of-property who Duct-Ventilating' 0 00,000 BTU i❑100,000 BTU -' PLUMBING ` $ ! t • ISSUANCE $� I • builds or improves•thereon:antl who contracts for such-oroiects-with-a con-: ”-- " - - - '--- .----• - .-- -- - - - -� - ' -"- + ! 1 , tractor(s) license pursuant to me Contractors License Law), I •am aware,that 1 Exhaust System 0 •Multiple 0 t System Repair/Alteration ' PLAN.CHECK 25% $ , t _ ENERGY P.C. $ ,pr of off their Worker's Comp- Ion i surance should be provided to me." ; ; t I GRADING $ I lion ELECTRICAL . $ I am exempt under Section " • B & P.C.for this reason Fne I/Patti 6lt. ICBO dk Fire Dampers _i- C�(� F' p I ' PLAN CHECK 150%'-$ I MICR OFILMCOL$4T „ Date •70-1-'4• Owrr. Wi ' 4/ _a/ / to Heating System&Ducting Registers , 'y�yq v,+f TU-1 It t i MECHANICAL; $ ' -TOTAL FEE ` "$ , x7.60 4,hereby certify-that-1-have-read-this application y a•state•u at-t - above+ El OA 00,000•BTU-❑100,000 BTL -t----I._ _ -a-- -, ... { information Is correct- I agree to comply with all ci y and',county or.e nances I I , • , - ! PLANICHECK ;25%- $ I , .__, • - ' and state laws relating to building construction, and hereby authorizeper repre- ' sentatives of: his$'u�t/y,to enter upon the abo e-meennt�iioned -/prropeerrty,,(�('q[�/�� j _ ! i 1 ' • - ( i , ' .i , - I nspectiort our�O/T1/NL � d FG.O /L/(-C,JO ' i . ! I . 1 ' t t Si naturA '/ ate - ' r 1 1 ! dam• 1 , _ _.__ .-. ._.. _... -.-._... - - _ _ , -._ _ __ _-_ .:. _:_. _..._ _ _ - _-_- '_ _ _ _ - - _ ._.-. -. . ._ JHI_ . . /Oa/wl._TIME:. .,i 14.. ^_ - , _.. .. -.t 0065-46,rev-5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor . i CONSTRUCTION ANDPLANNING _ ' *I' ' •i „POOL &,SPA •ti -:. i,�• - y v1 < Date 'Inspector' -E'er-Mit , rDate' Inspector ; - : 'APPROVAL'S Permit# i. , •APPROVALS # " 1. Temporary Electrical Service or Pole. r .. . •. .. : , -', 52.,Pool & Equipment'Location-; - ,,I '.12. Soil Pipe-Undrgrnd - c _ :__ 53 Steel Reinforcement - - ' , 3. Electrical Conduit Utility-Undrgrnd.t. .- 54. Forms t'• ', `s-,: S_•l '- , a . `4,!Electrical Conduit-Undrgrnd y 55. Electrical`Bonding: - - ' ^� ,5. Steel Reinforcement /-/ -k156. Rough Plumbing;& Pressure Test• - ' ': 6.; Electrical UFER Grnd. T - '•-- 57.=APPROVALrTO COVER-GUNI,TE •''+ • : - . _ 1, ". 7.. Footings m 7./9�=�p, , 58. Electrical•Conduit -Undrgrnd.-,.,,• - i t.8 Foundation • • - ; ?• 59 Gas'Pipe, O'Undrgrnd.,Test - - ; ^ _ • ,t. < • •9_,Water Pipe_Undrgrnd,-' - ' ' .:1:',.', 60. Backwash Lines, P-Trap, 0 Undrgrnd. _- ;,i 10. Structural Floor,System - <H z, ; 61iit APPROVAL TO DECK - - L-21 ` ; - 'r11.•Property.Sewer Line & House Connection - • - , 62. Backwash &Receptor"Final 12..Sewer Cap -• 1 - - 163. Heater & Vent-Final - . - 13. Roof:Drains ' . ' ,.,�'- ' 641.-.Plumbing System , Final_ , - .' :: 1 • 14. Rough Plumbing 'm •:- 65._ Electrical-Final 4 -- „ t;-..ti;:, .7'3 15_ Roiigh Electrical-Conduit - -- --•-- - - -- (66r Solar System-Final - - • - . - , 1 . - . 116; Rough Electric Wiring I - - + - , :i;{- ,. 167'.Fencing;& Access Approval - - - - : -,- -' - - -11J.. Rough Wiring Sign tit ' 68' APPROVED FOR PLASTERING 7 ; '- • 'fi8: Rough Electrical-T Bar Ceiling i ' ; '7 i • 1 c - . 69. POOL/SPA'SYSTEMS FINAL; . ' - ! ,+19. Rough Heating & Air • ' i . i • !FIRE DEPT:REQUIREMENT- ;- , `.' 20, Rough-Factory Fireplace (1 „, APPROVALS Permit# 'r• ., r 2i1. Ducts,•ipStructure ^.i I ' , I ; , ' '70i Underground Hydro : , 22..Ducts,Ventilatin ' !• i•fit;. I I I , 9i ' .I .� ,71. Product Pi ping.O Gas- OOiI , r 23. Gas PipE-Rough& Test :U � , i'. I I .,/,� !72! Oriiiergrou- n�d. lush - ' • T_. . 24. Roof Framing ( , i ,73. Undergrnd,Storage Tank-0 Gas ❑Oil ,25. Roof Sheathing 'IIIr - , :: q', Oead' °; , I 7verhHydro 26. T-Bar Ceiling?(Structural) &'Monocoat ; , j 75.. Dry Chemical • _ ' . . 27:Frame anLd Flashing - 1/411w1" 76; DryStaridpipel 1 / - -28. Lathing'82Siding , ! - i' , I 77. FIXED SYSTEM FINAL ' - - ' 29; Insulation ' ' ' i , I ' 78. FIRE PREY. FINAL ' 30. Drywal1;Nailing %: " i1 ' 1 I t t HEALTH DEPT. REQUIREMENT 31. Plaster Brown Cpat I.) • ; - '---- i- 79: FINAL1NSPECTION' ` 32. Electrical Power.,Meter-Final i I ' : • , i 802 FOOD CERTIFICATE ISSUED 1 , 33: Final Electric 1 I I , Notes: �...�I e1C I. to ,�sp;0at , 5mmei. Ae_ec 34.. Final.Heating & Air Conditioning ; ; pkv' 1-$� , 'i, I 1 35. FinalGas-Pipe,Testr , I • '-7 ' '36 t Hood or Canopy w ..i S I 'i .; •- N37;.Final Factory Fireplace'; ; x ' ' - ,(38. Final Plumbing i -- , f + (_ t , • I"39 Water Service-Final -i ' : ! , • 40. Gas Service-Final < / I j '1`I-'jl•; `. ', •��= 1-41:-Solar Domestic-Finali `+ , ` { �: , 42.•Backflow Prevnter `,.-' I /� ' I ; : ' �iI i~' ai"'✓ • , ' I 1 ' 43. Backflow-Irrigation-'I c - . - I • I „ • • • I I ;f 44., Landscape IriigationrSysterrm - I i ' m 4, , : I ! j V j, 45.;Sound,Attenuation' ; ; _ _ ' ' e, I 1 `/r�� 46.1Handicap Regulations ,. 'e i.- . _ ' r t ; t. i :• I ( , I • 47: FINAL STRUCTURE &'BUILDING 4 ' 4 / ' ' i2 ( i ' ((�g� i�� Y • 4R.,Snecialt•Regwrements Completed ' / ` .+i I : 's ; t ' ; - _ • i I 49i Electric Release tti Edison ,_ ' . . _ !_ -_ -.l - t - �._.{.! . i I-1:22. . t : , '0. r• 50!Gas Release to'SoutherniCalifornia Gas co 1 i i 1 i 1 I ; - , - `fII"... i II"... n, 512CERTIFICATE OF OCCUPANCY ' i I ' ' ' I l - , Q r I No. _ :Date ;iI t i i • , i , j1 f • ,