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Home My WebLink About394 20TH ST - Building Permits, 1 PNOJECT ROONESS: 3 9 4 E 2 0 TH JCT OWNEfl'S NAME: MOSS JOHN K ' ' ADONESS: 39q � z0'1'H S'1' COSTA MESA,CA 92627 ANCH/ENGINEEfl: FOOflESS: flEG.NO.: uNiT: CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: HEP 052591 PLAN CHECK NO: 02259-91 L CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE PLU STR UNIT: PEflMITTEE: JOHN MOSS ( 714 ) 722-0731 aooncss: 394 20TH ST COSTA MESA CA 926Z7 LICENSEO CONTNACTON OECLABBTION: I �ere0y al�irm ��at I am licensea unCer pmvi5ion5 0l Chapter 9(commencing wil� Section 7pp) oi �iv¢ion 3 0l lhe Bu5ine5S antl Professions Code. and my IicenSe i5 in full lorce anJ e��eci. CITY LIL.: STqTE LIC.: CIASS: Date: Signamre: WONNEPS' COMPENSATION DECLAMTION: I her¢�y ailirm Ihal I nave a certifita�e o� consenl Io Self�insUre or a c¢nilicaie o� Workers' Comp¢nsalion Insurance. or a certilied coOY �hereof (SeCtion 3800. La�. C). POLICY NO.: EXP. OATE: Cetlilied [opy is AereAy fumi5he0. ❑ Cerli�ieU topy is Iiletl wiih I�E tiry Building Oivision. a�le. Fppfitani: � �r E%EMPTION fNOM WOHNENS' fAMPENSRT10N OECIABAT1aN: (This sec0an neetl not be complerea if the permi� is for one hunAred �5100� ar less). i teriity t�ai in Ihe pedormance oi Ihe vrork �or w�ich I�is Oermi� is issued, I shall nol employ any person in any mannef so as �o become subl�� a Ihe Workers' ComOensalion laws ol Cali�omia. ', Oaie: Signa�ure: NOTICE: II, afier making ihis tleclaration, you shoul0 �ecome su�ject ta t�e Workers' Compensation provisions oflhe Labur CoOe. you must fotlhwith comply vrilh such pmvisions or IAis permii shall be Deemetl r¢vakeU. .+. CONSTBUCTION LENOING AGENCY: I hereGy aifirm I�at I�ete is a wnslmtti0n IendinA agenty tor IAe p¢dorman[¢�o� Ih¢ work lof wnicn Inis oermn is issuetl �Section 3097. Civ. C). PERM NO: BEP GOVT: N UPP: PURPOSE: ADD JOB DESCRIPTION : ADD 'HALF' HATH TO EXISTING SFD SQ FT: 56 CLAIM VALUE: CALC-VALUE: 3,864.00 GROUP OCC: R-3 / COMMENTS; SMOKE DETECTOR(S) RE�UIRED IN HOME.-: �r*r�t**�t*�t*�t*r�r*ie*�t***�tt**it*�t**x� �t********�t**�t�tit�t***�t�t�t**�t�t+t********�t**�t***it�t**�t* Z O N I N G R E Q U I R E M E N T S S E T B A C K'S ? ------------ MAIN HUILDING ---------- ------=-- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT:,; FT IN RGHT: FT IN PARKING REQ • PROV: PARCEL; 42623112 ZNE: R2 REF NO: PLANNING NOI'ES> PROPOSED 56 SQ.FT. BATHROOM ATTACHED TO THE MAIN DWELLING. � M 1f M if iF ik iF it iE if if if M k if 1f k M�f iE iF If fk 1F iF M M k if M if M k if if iF �F iF M iF k iF if if if iE �Fif IF �E if if If it iF k If iE if jflP ik iF if iE iF iF iE 1f 1E iE iF iE iF IF iF �F iF �E D E V E L O P M E �N �T,.� S H R V I C E S"� R E Q U I R E M E N.'T' S ZONING APPROVED BY :�l lt-h DATE:. '' l,-� { BUILDING APPROVED BY :�%-' ^ DATE: �'Ei �G noor.rrnTT�u TSCf7Fil RV. J � 1� _, nnTr:. :''':; LENOEfl: IfiEiFiFiflFiFifMiFiFiEiFiflFiFlFiFlEiFiFiFififlkififiElfifiFiFifiFifiEifiElFifiFifiFiF if iFiflfiEiFlfiEif aoonEss: � LEGALI2ATION:N F E E S U M M R Y iE 1t if aF iF ik�iFiFif iE iE iF 1f iF iF 1F,�Eif iE if af iE af if 1f iF M iE RUCTURAI; SEGMENT:Y OWNEPBIIIL�EflDECLAflRTION: I�erebyalhrm1�a11amexemptfwmlheCamracmrs'SIa�eLicenseLawfor�he�ollowingreason BLDG PMT PLQMHING ELECTRIC MECHANIC FIRE SMIP/Fi$$ GRADING �Senion 70.7t.5 eusiness ane Professionai Coae: Any city of counry whicn repuires a oermit ro constmct. alter, impmve, Oemolish, or PERMI T 6 3, � Q 4 � � i Z rJ rJ Q repair any sim[Wre, prior lo ils issuance. also repuires ��e applicani for such permii lo file a signetl slatement ttiat �e/ihe is IicenSeU � rj t � � Z SM I P/NON-RES pursuani Io i�e O�ovislons ol I�e Coniracmrs' Slaie Licenre Law (C�apter 9(commencing wil� Sec�ion 7000) oi Oivision 3 0l ihe Business PL� 4 0. 9 5 anG Pmlessions Code) or ihat �els�e is eKempt t�ereimm an0 the basis lor t�e alleAeU eKemption. Any noWtion oi Section 7031.5 by any apPlicanl lor a Oermil SuUjectS ��e applicant lo a civil penalty ot not more IMn five huntlre0 dollars (5500). I SSUE FEE 3. � � 15 . � 0 i, az owne� oi me omoeny or m� emVroyees wim waqes as meir soie compensation, will ao ine work, and me BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE L�S simcwreisno�imenEedoranereelorsalel5ection7044,BusinessanEProfessionalCode: TheConiractors'State�icensa�aw TOTALS----> 69.75 18.�0 40.95 128.i� 128.70 .0� - Does nol apply lo an owner 01 a properlY w�o build5 or impmves Ihereon, an0 w�o does SUC� work �imsell/herSeli or Ihrough Ms or her own employees. pmWdetl I�at suc� impmvemenis are not intentle0 or otleretl for sale. II, haxever Ihe builGinq or REVENUE DIV ISION TOTALS--> COLLECTED : 128 . 70 OVER /SHORT • . 00 imowvemem is som witnin one year oi compietion, me owner vnn nave ine burden ol pmving ne/she Aia noi buiio or impmve BLDG PMT PLUMB ING ELECTRIC MECHl�IIC FIRE SMIP /T lor ihe purpose o� sale�. �. I. as owner of Ihe pmpetly. am eKciusively contrac�ing wrth licensed conlractors lo cons(mc� �he pmle�USection 7044, Business ❑ anOPiolessionsCoee: TAeComracmri StateLicenreLawdoesnoiapDN�oanmvnerolproperrywlwbuildsorimD�ovesihereon antl who contracts tor suc� proletls wiN a coniraclor(s�license pursuantto Ihe Contrac�ors' State License Law�. I am aware I�ai pmol ol Iheir WOBer's Compen5ation insurance s�oula �e provideA ta me. � I am exemDi unticr Seciion: B. 8 P. C. lo� inis reasonl //�� W�e: _�_��'=`.� Owner: � 1 do �e�eGy cetlily ihat I am aware ol and unders�antl the reQuiremenls ol Calilomia Heallh an0 Safety Cotle Seclqns 25505, 25533, an0 255JA ane Inat I or any lulure buittlmg occuDant willlwill nal (circle one) need to compty with said state cotles and the iepuiremenls lor a peimil fo� canstmction or madi6cation �mm Ihe Arz Ouality Managem Districl Fesiden��lial iiconstmclion apDlicaiions are eaemp( �mm I�ese pmviSionS � / -J / 9 % /� Daie: � �Z�� • / ApPlicam:_� • �//" I heieEy cenily�Aal I have rea0 I�is aDD�icaiion an0 sla�e Ihat I�e aUove in�ormation i5 correc�. I agree ta complY wi�h allciiy an0 coun�y o�Dinancesan4staielaxsrelatingtobmltlingconstmc�ionan0�erebyauttro'er.p-esenla�ivesoiroiscil emeruponiheabove-mentionetl propetly lot mspeciion pUrposes. oaie 6 ^ �"`�^ �� signature: �river's License or Social Securi�v n: i6aba6 WM1ne—Bulltling: Green—Code Enlo¢ement: Canary—Appl¢anC Pink—Revenue: GolOenrop—Assessor OT GRADING PLAN-CHECR 63,00 7.00 17.25 .50 40.95 1ElE iFff if M if 3f �F if iEaf If iE iF iF iE if iFiFif 3E if if iE if iE iE1E iE 1E aF1Ek iE iF if 1FiE dE iEiE k if 1f iE 1E 3f �E 1f �E 1E 3E 1E1Eif if iE iF 1E iF if iE iElE iF 1E1E if iE 9f �1f 3E 3E �EIFiEiE �/E I N A I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 56 DWE-TYPE V-WOOD FRAME -GOOD 69.00 3,864.00 ELE 1 FIXTURES LIGHTING 1 ST 20 EA. ,75 ,75 ELE 1 RECEPT/OEITLET 1 ST 20 EA. .75 .75 ELE 1 RECEPT/SWITCH 1 ST 20 EA. .75 75 PLU 1 WASH RASIN 2.00 2.00 PLU 1 WATER CLOSET (TOILET) 2.00 2,00 / END OF FEES � � �::�+0;'S�-.'','�,^�;` ,y � � � � .� :y Jn'7'� Ln12��9i. 7Ii�c :, � s� , '� � • POOI `A CONSTRUCTION AND PIANNING . APPROVALS Permit # Date Inspector qppROVALS.~ Perml # Date i�spector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • �� 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - ��,: ��.�Yectrical Cond�it_N�ility�Undrgrnd. 54. Forms � � ��;,Elgctrital Conduitzllpdrgmd. 55. Electrical Bonding �� i' =��9.^S�el Reinforc¢.'��,"r� 56. Rough Plumbing & Pressure Test K c�.�.�,��g��ctricalUFE'R;�[�d. 57. APPROVALTOCOVER•GUNITE �� 't:�;�F''.oDtings 58. Electrical Conduit-Undrgrnd. :r i; 8. Foundation 59. Gas Pipe, O Undrgrnd., Test ''^ � �9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO DECK , 11. Pioperty Sewer Lirle,& House Connection 62. Backwash & Receptor•Final �2. 3e'Ne' CaP 63. Heater & Vent-Final .� (J 13. Roof Drains 2 64. Plumbing System - Final 74. Rough Plumbin�q � 65. Electrical-Final /5. Rough Electri -Conduit 66. Solar System-Final � 16. Rou9h Electria-Wiring $�a� /��'�, 67. Fencing & Access ApP�oval 17. Rough Wiring 3�'gn 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . . .� � a' :7'H�7=- x :� � ;t;,r, �r,av' 20;nRo�gh F�ctocy � aplace ; ,K� <f, , #. p TX� x PPR�VPd:'3�CPe�it # w '� ��-' • � � i � !. M 27�9u�c,�`s, i St ctU'-�r. i r-.-. rS �, ' �7 '7? M g Sp ""� r. . ;n - . � e�. -fPu � .... �s � l7 �;.r. * y70. p.uid�rgrRj Hjitlro 22. Duyts, Ment�tetir}gi , ^<; x �� s �t:r yc -71. Produd?'6ping C*y1t��"as L30i1 23��Gas�'PipE�Ro,�qh &'-�Test � �� ' � '�x': • x = .�.5 �:+7 C y G� a i.72. Under�i'o�un',d F(¢5�„c N 24,LRoiqf FFamirig g a i�..;_ `'''`� „, 1� M�. , 73n Undergrrtd. Stooa e.Tanfc�O GaslO @il-• •� •� 25� Roi7f S�athing T" 5- .v ';n �'- `� v"' :* 7�A�er6ead'Hydr�'"'� r ta�� y' v � 0 5 v3. x ., 26. ,T��"ar Ceiling (St�iftural) 8'r�ywnocoat� a� rn �O �:• x- 7� Dry Chemical � -• :, :m' .: : t 27^�Frameand Ftastvn�} r C% ?^ � r~�' x 76"�ry 3tan�e �•£ •� S .M, Y;?; (` '` q• nt% R� `J, `X N !-I� ?[ rG.V .: � � T T ; � �l x +pl. f,-'v + � i- • x. t.. f � -. � . _28JLa�iing� Siding.,.� � _ _,• r.�:v �..�11C�• •��a� x 7� FIXED $1:STEtt�$'fD1AL. rG� ? _ 29. InsulatCpp �Yx � '� ..• Y tT' \ I' �',•Z¢ � 7 FIRE PREV. FINQL y 7 .� tT'CJ� 3-' r30. Drywall jVailing ��x S �a � r�'� �, : -,�N. w •-+� •�: 4 �F•'IEALiFFDEP�.,REQUI P/�&{1kT ,z ,�37. Plaster Brow CB�� r _� � x � *- ' - x ..7��i9Ar�T(�ECTjy]At * ` � � �'� � = � �r . X . � n r -"- � F_T` -=� .� _3Z. Electri � Pa`T4er�t�-Fina� ' m x ti i,. .r � SO,�FOOD C�F�'IF.FGA�C,� 15SilED � �� y , _ 33?'Fir�l EFectric �� V i � �' � � . `� ' � ' N€�es: - jE `. ` � �� '� ' �n ^. mx . �_ .' `�--1 x .. �. ,- r,.nt� � aas r �; � -�a u .^., � ^ ._ .V34..Fir��Ffe.atini4&..it�o��iti�r�h� �,= x ( �x .� :� •S :r. .. .Ti �-v 35.�Fine1 Gas Pipe�iY4P �� '75 • r � �t x nv�,. C..�� •*7S •?' O v. �"'.- ti i „r 3�HFl Or C2n0 y' ^,� ••L �' . . M :� • ••n Y rn t_�_':' °p Pvor � �•. , e.o r n i j " a � ; ,�: : ;,� �37�_FiA61 Faatory Fi.+eplace ' Sl*� ro K n7 1 � � � � !' • � � co� ':^ Qs � ' .._, t rf .r , . ,x • y ry �38,�Final P�ambing �((��9j�_Uf�i ' Ll q�� J � 5 ��-t � S ' • �/�' . 34c,�Wa?Rr $e�vicrFina} � � i o:^ � � � �; � f1 ..J c ��' . x �_.r. r - 4CF?'Ga�ervice=Final Y "��'7 y 7 `r '-v • - ,,.� n a. q. [9 S[�'l�" SD x CO � �a :t Qx v(L' ,r � ••• 1 • •♦ . �I ;41.-Sorr pomeSIioFi'iek� ;^, r� � � .r �t,� •-i :< . .. . "� ; z � � -'42'-8aikflow Preventea � N �E- w a i I �`�' �� 7F • � C � 43. Backflow Ircigation u:SS M* �� f a:; �a �t� O a. � c. x 9 f` 44. Landscape i�'ipati�n System T� � 7' '` * '3 �- S ^' V:�`�`'o q .,, ,, .n. ,� o:s, :� :n O 7 �x x 7 N N �-. IA[3 N Cn�r�"_:�a .45,�Sound �Attr�uatioa i-�f-� ;*�S » S_ h F�r �: .� i1 G"w tz::t > rn� � .< <.^ x ,4�.'Handicap Rei�ulati�ns r% S � x tr, • .•w �� i � �� .. � � r. � O'.i �. . .. cr, •S :�o S � ��4h;F1�70,L STF�JCTI�iE & BI�LDING ^; ;� Q �� 'r � ,,oS � � -� ��u r T�4S;'FI�T/�L PLATVNIN� � i�',r. �� * A � - � M � '-+ . > i :-+F S :� .i± �.� � `e Y � !*7 �S • � 49,.E�gqtric Relyase to.Edison i ` ;{ '•'� : � � » � it x = :c �� %50 Gas ReI' �se to SoI{�hem Cafforn a Gas Co * '� ' �" ' ` M�' '" � 'i .. i r � -i� � r+.� ! ;p .V. � r-� C • 7.t . r ,_^, . . . . . . ';51. C - TIFICATE OF OCCUPf1 � ' ' " , "`" - u t Y.Y' l✓ !YO %'J • .... V~!CG No. Date � ' : 7 �� 9' �I 0 ;►� � � ADDITIONS, DELE ONS, OR CORR BE APPROVED BY iHE PLANNIN6 , - zZ y,,�� —� �'`---� L,�1' � . 'n'�" .y,3, �,b,. Ib - �KE DETJEG ��QUIF�Ef� � / City of Costa Mesa Building Dept. V��VL�1'i` 1 lY c7� DATE�-r?�� G?7 THESE PLANS �dUST BE ON J06 AT ALL TIMES MAKE �;0 CHANGES kVITHOUTj�'� �'j,� �°I�� CF GEPT. � i v v THE ISSUANCG OR GRA�diMG CF A PERMIT GN FPPROVAL OF r 'LANS ANO SPECIFICATIONS S41ALL NOT G6 CONSTRUED 10 6E A � �� >FR611T FGR, OR AN nPPRO\'AL OF, AN`! VIOI.ATION OF- ANY OF _ � � ;HEPRCVISIONSOFTHISCODE.NOPEMA�TPRESWAINGT06NE '.UTHORILV TO VIOLAI"e OR GANCEL THE PHOVISIONS OF THIS ;OD[ SHALL HE VALID EXCEP7 IN SO FA�i AS 1NE WORK OR USE a f,rH IT AU71 �"12ES IS �A�VFUL. Tiic ISS� �i:CE O'r A FE�.�'.��"� �r'�`'�/� NS � . ' _- _ e�nr v. f" nc 6��UI�1G �C� / FF.01 �-nCVie�.FTEi1 FiEOUIRiNG FHE✓��^�� \ �NfWC3 (/ ��' � � APP� �� ruNr �ro Y o an 1 "� i %� (4'IV�QOh ENGINEERING DIVI FOR SITE ACCESS PERMIT N0. RIGHT SHALL IVED � A MERA �E D�T. ; usr. �ea I � APPROVAL OF YJAY Ui�.DERGRQUt�D Flji;h71T N0. RIGHT OF 1'J1y COF;STRUCTION P�Rh11T N0. ENGINEER: � � � ' �: ON • SITE GRADIPlG PERhtiT �iUST BE OBTAINED _ FROM THE 91ui nm�r, cncrr� ��VISION (2ND FLOOR) -t"Z�3i�1'K,�=--0� -�:-oHT`l.1''(d,5� - 39`1-�-�� ST-- G,:-I�?�-�----� -nTS, ' --__tfOUS� _. ;1 .� _ 1 I \ / _ � . I � c I I , �� -�X7.-STZ; _ DGY3 P. IZ�b�� -.-Ct0 U 5 E._ _.. i� ��15 ��M � ri � �° x 3� ��CI' ��/ i i'1I70 \�/ � 3'x 68 �4t D Go �� -- �'�m� �T ��rz - i 3r-, rrr��i� ,�.�r �C'�� ri u 1� �c-, �vs r� R��v �f�� ZGx�� 1-tOLLO��/�RF_ rfh so n iT �.� r� T 7a�� A�f �oVE� . . City ot Costa Mesa Building Dept. �- BY DATE 1g THe"S[ FL,aNS MUST DE ON JOB AT ALL TIP�fES MAKE i �'0 CHANGES WITHOUT PRIOR APPROVAI OF DcPT. I THE ISSUAMCG OR GRANiING OF A{[qMiT Oq APpROVAL OF PlAF7SAND SPECIi=1CATIONS SHALI NO A[ CONSTRUED TO BE A PERNII' FOR, OR AIJ qPr ROVAL OF, A V VIOLATI �� r�� ^r � 7HE Pr' ��'F 7HIS CODE. NO P[I 6i17 r qE° „ ,,, -�Iv � ''�;��'! l., VIOLnT� O'1 CANCEL 7{E PROVISION('� )F MI, CODE . Na' � �� ii �yEP� IM SC F! R AS THF �. �i.h �6 5� ��' � �� WnICFi1� C„ ESISLAWPUL. THc ISSUANCE OF A p�pyF�iT A;[D UP� N PLA.�S ND /� - /�T t��} SF'tCIF;CAI';pNS SHALi NOT� y•,� l�y, iHt B�q L`IiJG -R� I iy I PL �.f_'O��✓}.{Y�� FROM THEF.EAFTER REO" " G i i' _ f� =: r�� ..� ..., .... ��.I.G'7.!_�_.�__ SAID PLANS A;1D SPe�p JNS . R FP.ON FAEV.NI piG — FfJILGING OF'cFL1Tl01'S RE'�AR9fF.D �ni iur��, r� i.��. �... �rN IN VIOLATIOPI OF THIS C^^^ ^^ ' 'x�" . THE CITY. ' � . ., •,•a� e �� '�1 I�.II�,_ ��'�l��l�1�1�' - — ,�.W � �' iz'' o�.,��,� ��C��1 _� . _�a -ra � Zy"o •c . - -- _. ___ �oi-t�t<-..I�'(v�� -��E Z_.. ._-- --. - �DDiT�oI`r � �V1I'�� :%'"-i'. ; 5 . " �xr.ST =: Rc� � 2X(� 7—Y�1J'f. r��T�rr �-xi5rc, � /. �Xv_.�o�: _ � l6�� O..G._TO - - . �X 1.STL-j s l.3'6'� _- R��P` 1=R i'i 1''1 I I't �'-, P 1 t'c )`T �pPi�OV�� City of Costa Mesa Building Dept. d�j OATE 19_ I 11HESF �� iST BE ON JOB AT ALL TIMES MAKE NO CNAN =S WITHOUT PAIOR APPROVAL OF DEPT. THE ISSUAf.CE OR GRANTING OF q pERMIT OR APPROVAL OF PLANS AND S�r If ICAT IONS SHqLL NOT BE CONSTRUED �i O BE A PLNMIf FO�(�AN APPRp\'Al O�, ANY VIOLATION OF ANV OF 1'HE PROV,,,IONS OF TNIS COQE NO PERMIT PRESUMItdG TO GIVE AUTHORI7Y 70 VIOLATE OR CANCEL iHE PROVISIOHS OF THIS GGDE SHALL '7c VALID EXCE?T IN SO FAR AS THE WORK OR USE � 4tlNirH IT AUi :^!dIZES L iAWFUL. THe IP.SUANCE Or A P�nlAIT 9ASED UPON PLANS AND 57ECIF:CAt10NS SFiAiL NOT PkEVENT THE OUtIDING OFRCIAi FF+OM �McREAFl�ER HEQUIRINC 7NE CORRECTION Of ERRORS IN S.�D PLAVS AND SPECIFICATIONS OR FfiOM PREVENTiNG . �, lD�.:^ OP'y�4�.^�a�,A'rlh!/'j�� Rt (�jd ./`�'NDER WHEN iN',�i, �Tr?!��1'�!G�JE`.-WJF�YO�!i'Sri+JirlANCEOF Tf..r....c�r�� 15� �( ^�� T� �a"�' PL`Ci� f�" O r�Rfti'9 I flG� �—_..__.--- --____-- _ so t�i�i -.1"�a5 5 ��C.� �- - - - -- ----- �x�l L��c��e_Z��f �;� . o - ---� l6��` � � _��,,.K�_„_.Lrt�,G_SG � �- \V_5 ; :, � n ,�• C V � � � � (774) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.Ce.Us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 394 E 20TH ST Suite No Vicinity: Parcel Nunmber: 42623112 Appiicant: NOCK PLUMBING Address: 17612 KNOTT ST GARDEN GROVE, CA Owner: GLASSEN, ERIK Address 394 E 20TH ST COSTA MESA, CA Contractor: NOCK PLUMBING Address: 11612 KNOTT ST Arch / Eng : Address: GARDEN GROVE, CA WATER HEATER ISSUE FEE BackFlow irrigation Backflow Preventer Bathtub Clanfier Syslem Connect pce,Soda,etc) Denfal Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 ouUets) Gas (Over 4 outlets) Gas Repipe Gas Service Inierceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 50.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 50.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 QTY PLUMBING PERMIT Phone: (714) 8951246 Zip: 92841 Phone: Zip: 92627-2338 Phane: (714)895-1246 Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation 50.00 P-Trap $0.00 Pressure Regulator 50.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connecl $0.00 Sewer Private line $0.00 Shower 50.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kilchen $0.00 Sink, service/map $0.00 Spa (pnvate) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 06/03/2002 Issued: 06/03/2002 ISSUED 8Y: � SumpPump Swimmin9 Pool Trap Pnmer Unnal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilery Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E35.80 �TY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § t, 12-27-92) EXPIRATION: This'pe�mit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abantloned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 , zaaanu �a�oo� WORKERS'COMPENSAnON OECLARAnON: ' I �ereby ettirtn under penelry ol perjury one of Ihe tollowing deUaretions: ❑ I heve entl will maintain e certificate ol consenl to selt-Insure for workers' compensation, es pmJitled br 6y section 3700 of the Lebor Code, lor the peAormance ot Ihe woM for w�ich this pertnit Is Issuetl. . �'-'1 have antl will malntain workers' compensetion Insurance, as required by section 3700 ot Ne Labor Code, for the perfortnance of the work fw w�ic� this pertnit Is issuetl. number ere: �Pon��,:_ wCt I 9 3 x fr6 Ss one huntlre0 dollars ($ f00) or less.) � ❑ I certity that In Ihe peAormence of lhe work for which this permit is issued, I shall not employ any person in any manner so as to 6ecome sub�ect to Ihe workers' compensetlon lews ol Califomie, and egree thet Ii I s�ould becoma subject to the workers' wmpensatlon provisions of Sec[lon 3700 of ihe Lebor Cotle, I shall forthwlth comply with es ' I Appticd�rt'Si{p+aNre:� �. Date:— �o S �Z WARNINGTFAICURE'TO SECURE WORKERS'Q� PEN TIqJ WVERAGE IS UNLAWFUL AND SHALL SUB1ECi AN EMPIOVER TO CRIMINAL ENALTIES AND GVIL FINES UP TO ONE HUNDRED hKK15AND DOLLARE ($100,000), IN ADDITION [Q THE T OF G�OMPENSAT1pJ, DAMAGES /S PROVIDED FIXi M SECTION �06 OF THE IABOR CO�E, IIJrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: of Chepter 9(commancing with Section 7000) oi Division 3 of Ihe Cotle, antl my license is in tull CONSTRUCTION LENDING AGENCY: �J • ❑ I �ereby ettirtn thet there is a consiruction lending egency br the Dertormance oi lhe work tor whiU Ihis permit is issued. (Sec. 3097, Civil Code�. Lender's Name: lender's Address: Signature: OWNER•BUILDER DECLARATIONS: Date: I hereby eHirtn that undar penelry ot perjury thel I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business end Professions Code: Any city or counry which requires e permit to construct, eller, improve, demolish, or repair eny slrucNre, pnor lo its issuence, also requires the epplicant tor such permit to file e signetl stetament Ihet he or she is Ilcensed pursuant to the provislons ot the Cantrectors License Lew (Chepter 9(commencing wlth Sectlon 7000) ot Dlvision 3 of the Business and Prolession9 Code) or lhat �e or she Is exempt therefrom end the basis for Ihe elleged exemption. Any violalion ol Section 7031.5 by eny applicent tor e permit subjecls lhe epplicent to a civll penalry of not more ihan live huntlrea dollers ($500).): ❑ I, as owner of Iha property, or my employees wit� wages as their sole compensaHon, WILL DO TME WORK, entl t�e strucWre I5 nol Intended or otterad 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, antl who does such work himself or hersetl or through his or her own employees, provided ihat such improvements are not intended or oflered for sale. If, however, ihe 6uilding or improvement is sold within one year ol com0�etion, the owner-builder will hava ihe burden of proving ihat he or she ditl not build or improve for purpose of sale.). ❑ I, es owner ot the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business and Prolessions Code: The contractors License Lew does not epply to an owner ol property who bulltls or imprwes Ihereon, and who contrecis br such project with a contrector(s) license Dursuant to ihe Contractors Licanse Laws.). ❑ I em exempt under sec. Business end Prolessions Cotle for Ihis reeson: Signature: Date: Owner ID veAfied by driver's Ilcense. ❑ Yes ❑ No Drivels License No. Veriticatian of Ownership Dy (ype of tlocument, i.e. - properry tax bill or deedj: Expires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I here6y certily ihet no exravation flve (5) or more feet in depih into which a person is required to tlescenq will be matle in connection with work au�honzed by Ihis pertnit, and �hat no building swcWre, scaflolding, talsework, or tlemolition or tlismamling Ihereot will be more than Ihirry-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, California Administretive Code). ❑ As owner-6uiltler, I will not employ enyone to tlo work which would roqulre a permit from the Divislan of Intlustriel Sefery, as notetl ebove, unless such person hes e pertnit to do such work irom Ihe division. Signature: Da�e: Division oF Intlustrial Safery Pertnit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMAY: I certiy under penalry of peryury that I have reatl this application and stata that ihe infortnation given is I correct I agrea to compry with all stete laws and ciry ordinances ralating to building construction, end authonze representatives of the Ciry of Casta Mesa to enter upon Ihe ebove-tlescribed property tor inspection puryoses. I agree not to occuDY or allow ocapancy of any building authonzed by �his pertnit until final inspection. CODE �. INSPELTIONTYPE 1616 Fizetl System Final P� 1266 Pool Spa Pinal 200 Final Re-Rool 201 Final BIocWRetaining Well 202 Finel Fattory Fire Place 203 Finel Sign 204 Finel Demoli�ion Q[�jE I�l$ 4QQES INSPECTIONTYPE 206 Final Mechanical 20B Finel Plumhing 210 Pinel ElecMcal 212 Final Fire Prevention 220 Finel Planning Approval 222 Finel Slte 250 FinalBuilding/Occupancy P� �NTRI�LS (m-Iy�07• r.�� Pfl0.1ECT POOflE55: 3 9 4 E 2 0 TH S T � OWNEN'Sj4AME: CQLVZN, CHRISTOPHER , ACJPESS:.COSTA MESA,SCA 92626 �+I APCNIENCMEEfl: ROOflE55: �I � � uNiT: NEC.NO.: UNIT: PEFMITTEE: CHRISTOPHER CQLVXN ( 719 ) 729-1960 aooness: 394 E 20TH ST COSTA MESA CA 92626 LICENSEO CONTflFCTOB OECLABATION: I hereby alfirm �hat I am licensetl unUe� pmvisions at C�apier 9(commencing wi�� Sec�ion 7000� of DiNsion 3 0l Ihe Business antl Piolessions Code. anA my license is in lull fo¢e an0 etfecL GTV LIC.: STRTE LIC.: C1A55: EXP : Date: SipnaNre: WOBREflS' COMPENSPTION OFCLAPATION: I hereEy altirm mat I have a certWwie OI wnSeN lo Set4insUre or a Ceni�itat0 of WoMers' ComOensation Insurance. ar e cerUheU coOY ��ereol (Section 3800. LaC. C�. POLICY NO.: EXP. OA7E: COMPANY: . ❑ Cenifiea coOY �s �erehy fumisAea. ❑ CerlilieA toDY is filetl'/��h t�e tity Builtlinp Divi5i0n. Date: ApPlicanL E%Eh7PTI0N FNOM WOBKEPS' fAMPEN$PTION DECIAflATION: hi c�ion neeE ny �e fAm01e'RO il Ih p¢f t is fa ane nmMre0151001 a less�. I certity ��a� in Ihe pedormance of Ihe work �or wAich Ihis rm s9u¢tl, I 5 P empldy any p rw 'n any manner so as to become sub�ec� Io �he Wm�ers' Cam atipp.Laws oi Califomi . Date: ' SiBnaWre' NOiICE: If. aller making Ihis declaration, you shoula co e 5 lecl lo e Wo ers' Co� n tio provisi 5 0� I�e La�or . Code. you mus� lotlhwith comply wiih suc� pmvisions I�is Oermi� shall eemea revoke . i CONSTBUCTION LENOING AGENCY: I �ereby aflirm Ihal Ihere is i conSlmciion Ien0in0 aAency for Ihe OeMormance al ihe work lor which this permit is issued (Setlion 3097. Civ. C). LENDEN: ROUflESS: � OWNEfl BUILOEB OECLAHRTION: I hereby al�irm tha� I am exemD� ��om t�e Conlraclors' Slate Lic¢nse law br th0 follOwinp reaSOn ISeciion 70.3t.5 Business ana Pmfessional CaOe: Any ciry oi caunry whicn revuires a permit m consWct, alrer, imDmve. Oemolish, or repair airy simtlure. O�ior lo its issuance. also cepuires t�e applicant lor such Dermit ta file a signe0 statement Nat �e/she is IicenseG pursuam m ��e pmvisions ol t�e Can�racmrs' State Gcense �aw (Chapter 9 gommencing mi� Section 7000) ol Division 3 0l tAe Buvneu antl Pmlessions COCe) or I�al he/s�e is eMempi tilere�mm ana IAe Oasis lar I�e alleAed eRemplion. Fny vialation of SetiiOn 7031.5 hy any applican� IOr a Darmit su01��5 Ihe applicant Ia a civil penalry o� nol more �han live hunEretl tlallars (5500). X_ 1. as owner ol t�e Oropeny or my employees with wages as iheir sole compensation, vnll do ihe work, anE tAe LI slmcWre is not imen�ea or ot�ered �or sale (Secaon 7044, Business an0 Pm�essional Cotle: T�e Coniractors' Stale License Law does nal appty to an owner of a property wha builtls or improves Ihereon, an0 wllo Ooes such work himsell/nerself or thmuAn his ar her awn employces, pmviGetl t�al such impmvemenis are nol inlen0e0 or ollereU lor sale. II, however the builtlinp or impmvemem is solU wil�in one year of comple�ian. �he owner will �ave IAe �ur0en o� D�ovmp he/she Ai0 na� bui10 or impmve lor the purpose of salel. I, as owner of the proDe�y, am exdusively coniraciing with IicenSeE contr tors lo conslruct the pmlatl I ciion 7044, Busine55 ❑ an0 ProIe53ions CoUe: T�e Contrat�Ors' Slaie Lit¢nse law tl0e5 nol apply o n Ownet Oi Omperry who bUi Or imD�ove5lh¢r¢on an0 who conbacis lor suc� D�olecis with a comractoqs�license Dursuan t �he Coniractars' State Lice e Law�. I am aware ihat Dmof of ��eir Warper's Compensation insurance should De pmvideU e. � I am eremp� unGer Senion: B. 8 P. C. " brlhis reason: �`L �a�e: �� _ � OwTiec I ao hereby certily Iha� I am aware oi ana wGerstantl �Oe �eQui�¢men�s ol Califar H¢aU� an0 Sa ery CoOe Seclions 2550.5. 25 , an0 25534 ana mat I or any IUWre buil0ing acupam wilVvnll not (circle onq neeU lo comply with sai0 stat coaes and lAe requiremems for a permil lor wnstmclion or motlilicalion Imm �he Air Oualily Managemen� DiSiritL Re5i0en�ialcons�m n aOVlication5 ara exempt Imm these provisions. Date: ppplicanl: I nereby certity that I have tea� Ihis aDPlicaiion and s�a�e �� e a �e inlormalion is corre . I ag comply with all cily and county orUmancesands�atelawsrelalinglobuildmqconslmction �ere harite eD sen�ative o�ihisci el�teruponiheahove�menlioneU propetly Im inspeclion purpases. J �a�e�. � �� Signawre: omer's �icense or Sociai Secudiy x: i64t�a6 W��te—Bmltling; Green—CaEe Enlorcemem: Canary�Appliten�: Pink—Revenue: GOltlenraC—Assessor CITY OF COSTA MESA - BUILDING PERMIT /' u: u PERMIT NO: B 070907 PLAN CHECK NO: 00311-95 S , : CONSTRUCTIOA] TYPE; PERMIT TYPE; STR PURPOSE: OTH JOB DESCRIPTZON ; KITCHEN REMODEL SQ FT; 1,000 CLAIM VALUE: 1,000.00 CALC-VALUE; 1,000.00 GROUP OCC: R-3 / COMMENTS: X tf 1E 1f if if if iRif iE 1E M af if if if�kif i1�Y 1f if if if iE iMlfif'If if i! if�k If'N'1F1� 1f ih ifiF if if dF iF 1�-if-i(�iE if �E iF if 1f if�4 if if�lf if 1E M i4 if'If if if iF 1E +f iFM if if 1F if�)f-Y 1f M Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FANT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT ZN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REQ • PROV: PARCEL: 42623112 ZNE: REF NO: PLANNING NdTES> > 1f iEif 1f if YFif jfi!-if')k if if'kif 1E 1f 1f'k 1f il"k Y% 1E tfif�lfY'If 1f if iF 4 1Eikif 1f Mif M'if if ifif')E ?f�fif iF �E 1f A4 iF if ih if k 1f ifif�iF 1f IE ik itif M 1f if 1F 1f'M M af ifif 1f if D E V E L O P M E N T S E R�' I C E S R E Q U I R E M E N T S 20D72NG APPROC'ED BY DATE: BUILDING APFROVED BY ; DATE; APPLICATION ISSUED BY: �1.�a- DATE: ( Z L� �rt*�r*�-+�fr**fr**,�*�r****�r�r*iF��fi��FTtiFiFiFiF3F'iFsi'iFiT4TF�r'�F'��r�F4:iliF��F�riF***r***rr* *�e 1FiE iE if iFif 1f iE iE1E if jfif if if if lfif +f ik if 1f if ifif if 1f if if r kif iE it ifit iE if itif iliF k iF iEif if iF riF M if iti4itaf MiFjf iE if lfif ic 1E iFit if iF if if iF�iFjf iF �f if iFiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y �� HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 25.00 ,SO SMIP/NON-AES PLAN 16.25 ISSUE FEE HUILDZNG-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 25.50 0,00 16.25 41,75 41,75 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 41,75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN-CHECK 25.00 ,50 16.25 if i41E if 1E 4 Mif if tE ik if iE M if �liE jf iFif if if if if 4 it iFiF1E if if if if If if i! it iF 4 1F iF ik if itttit if if aF if if if �fafiF if if ViF if ff�flt if M iF it it if i� if V iE 1f iF �f 1f if #E I rl D I V I D U A L. F E E B R E A K D O W N TYPE QTY D E S C R I P T Z O N UNIT C05T TOTAL COST SFR 1000 ALTER BY C�ALUE RESIDENTIAL NOZONE 1,00 1,000.00 END OF FEES s ox oo,r•,6�-onr�;�a� �c-P�r DATE: J3 27/95 TII;F: 1�:47 � • � � CONSTRUCTION ANDPLANNiNG POOL PA APPROVALS Permit � Date Inspector p�ppROVALS Permit ?k Date inspector �r!TemOorary Electrical Service or Pole 52. Pool & Equipment Location _ 2. .�il Pipe�Undrgrnd. ��' 53. S[eel Reinforcement ` �.� • ��3. Electricai Cqnduit UlilitY-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Eiectrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test " 6. Electrical UFER Grnd. 57. APPROVA� TO COVER�GUNITE � 7. Fooungs - C�_ /z_C�C�'V,� 58. Electncal Condwt�Undryrnd. ! ! 8. Fountlation � ' 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgmd. - 60. Backwash Lines, P-Trap, L,.. Undrgrnd. 10. Structural Floor SYs[em � 61. APPROVAL TO DECK ' 11. Property Sewer line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap - 63. Heater & Vent�Final _ 73. Root Drains -- g4. Plumbing System - Pinal � 14. Rough Pfumbing -- 65. Electrical-Final 15. Rough Electrical�Conduit 66. Solar System-Final , � ' . 16. Rough Electric Wiring 67. Fencing & Access A�proval . � 17. Rough Wiring Sign 68. APPROVED FOR P�ASTEFiING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEnnS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace APPROVAI,S Permit # 27. Ducts, in Structure � 70. Undergrouncl Hyd,o 22. Ducts, Ventiiating . ' 71. Product Piping CJ�Gas 00�I 23. Gas PiRe�Rough & Test . 72. Undergrou�id Flusii 24. Roof Framing - 73. Undergrnd.StorayeTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead I-lydro I 26. T�Bar Ceiling (Structural) & Monocoat ' � 75. Dry Cheo�ical I 27. Frame and Plashing 76. Dry Standpipe 28. Lathing & Siding ' - 77. FIXED SYSTEM FINAL 29. Insulatio� � 78. FIRE PREV. FtNR� � � 30. Drywall Nailing . HEALTH�DEPT. REQUIRENi[NT 31. Piaster Brown Coat 79. FINAL INSPECTION � � 32. Electrical Power MeterFinal ' � 80. FOOD CERTIFICATE ISSUED 33. Final Elec:ric Notes: 34. Fine� Heeting & Air Conditioning . �.rL3 -_` �- � i 35. Final Gas Pipe-Test � � � �y �_..G�� [�fri.�..� I -� � 36. Hood or Canopy 37. Final Far.ory Pireplace . � 38. Final Plumbing � � 39. Water Service-Final . , 40. Gas Service-Final � � 47. Solar pomestic-Final 42. Backfiow Preventer ' - 43. Backflow Irrigation . 44. Landsca0e Irrigation System '. . • � 45. Sound Attenuation � � � ' . -� • . i 46. Handicap Regulations . ' ' i 47. FINAL STRUCTURE & BUILDING (�,�`�,..q/_ �� i «e 48. FINAL PLANNING � 49. Electric Release to Edison ' 50. Gas Release to Souchern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date < 0 � N O 5'— 3" S u oesx .�r ansc oarnxc OOCR. EXI57. ELEC. METER. � �� E�' N , N S�E C 3 ❑ A .vx �i'�I y e O E � T � � N O° �.:0° I E � xEw ooa+ mEYwG 1068 L�wNG RM. 13'-3 1/2" 1T— 3 I KITCNEN REMODEL PROJECT DESCRIPTION: REPLACE KITCHEN CABMETS AND PROVIOE SOME NE`N ELEC ounEs nNo ucHTs. i �2�-� NEW TILE. �E EXISi1NG DUPLEX OUilE7 �N NEW DUPLE% � NEw 4—PLE% O NEW LITE OExisr. uiE SE EXIST. Sw17CH S N NEW SR'ITCH it'-2 1/ BEDROOM �IN. I I CLOSETS BEDROOM N i � I 0 E%IS7. ❑ CAS METER CITY OF COSTA MESA APPROVED ta,_�,. , L`I( Thls set ot pians and specifications MUST be kept an ihis job at ail tirt;es atid it Is unlavrtul to make any changes or alteration on same without written pertnission Irom Ihe Dmsion ot Building and Salery, Ciry ot Costa Mesa. The slamping of this plan and specificaBons SHALL NOT be held to permit or to be an aDPrwal of �he violation ot any provisions of any Ciry ot Costa Mesa Ordinance andlor State Ww. �"�"I � G� vl"� These plans and permit shall expire by limita?ion and become null and void il the Ouilding or work is not commenced and mamiametl active per UBC §303 (d) within 180 days ot issuance. CO�VIN RESIDENCE 394 E. 20TH STREET COSTA MESA, CA 92627 714-724- 1960 2}: -��R ��N �._ � �� ,vOVE WASHER � °� DRYER i0 R�,`10VE 5'IALL hERE --e & SQUARE OFF FROM HERE I�_r i' E N I O O 5'— 3" E-- S N ocs� .�r I�� fI-- I aoff [psimc I �N ,� � N E%IST. ELEC. METER. LIVING kM. i01LET & S�NK i � � t j ��i 5 d �� E �RENOVE � Q 2' YIALL iJ � � � I I� f ❑ x6TC III T 6 vEw DOOF CVENwG ]OGB ION OF B �DA MESA DSVis „mAflTtG�� — � E �l � �E E:qS➢idG DUPLEi( OU7LEi �SN NE'++ DLPLE! � NEW 4—PLEX O NEw �IiE O EXISL Lli� SE EXIST. SVATCH SN NEW S'd1iCH Il'-2 l/ BEDROOM ��N. � � CLoSEis BEDROOM I 17�_3 �� ."� .��.�6 ta�_T� t— . t d1 15–�3a.�:��.�Y �� dd �""'" � a Satery, C N� CostaMesa.ne ��QieD1Y�� NOTOeheldtoP°rmil �g�s5fo�� SHALL r ol Gosta � d lhla D� � o� o f anY �S o� ny .,AY a�0��0` �� am;� andbP o e^;.7`a^�S„-In� � �� efdDO��lexP�� maiN."-; �ese d�a �yo� � �ot commenced � � 180 daYg ol �5°�e. REMo�E� COL�IN RESIDENCE PROJECT �ESCRIPTION: ,3g4- E. ZOTH STREET REPLACE KITCHEN CABWEiS AND PROVIDE SONE NEY! ELEC COSTA MESA, CA 92627 OUTLES AND LIGHTS. Mov); WA��'1;��R 714-724— 1960 4 � O —F N � i 0 ExlSt. � CAS METER 3-Jb-`i� -� � monFssaem�oum: 399 E 20TH ST "w"ers"""E"'wo"": CALVIN, CHRISTOPHER 1ydRE�` 394 E 20TH ST . .COSTA MESA, CA 92626 �aa�. �.uiwo �oox�ss: ANLXRECT OP FlNiNffA: l MCN.OH FNG.'S ADURE55: coNmutarsxu�: carm�crars�uidc AOppE55: UNT: 11C NO.: UNT: 11G NO.: UNT: LICENSED COMPACTOfl4 DECLANATION: I Mreby eflim unMr peneXy d parjury tMt I am IiceneaE under pa+imme d Cheper 9 (commenarp Milh Secibn 1000� d Diviaun 3 of Ne Businmc enE Pminabrra Cotle. enC my licanae b in lull brce eed eHed. cmuc.No.: uc.cuss: uc.No.: EXP; ome: conveen: OWNEN BUILDEP DECL�flRiION: I Mreby elfiim under penelly W perlury thm I em evwmq Irom the Canveaaa Lironsa Lew for Ihe idbw'uq reeaon (�ion )O�t.5 Buaiena enA Rdmebns Code: Mry ciy a oounry whiM mpuires e peimB lo mohucl. allx. impove. demdah. m repei eny avucture, pbr to ils bauerce, e6o requiree tM apd�� fa euch pmnil lo fib e eqrod atalemen� ihel he a eM r��e w��d+� �� na w�= a ma com�aon ��sa �. �cn,q« s(�m«wm wnn seaoo �000� a o�� a a�b ��wss vd a.deuiwu coael «mm ne «.n. e e..ma �n>.� �d �M m�.la ms m�d a.a�ao�. a�v.owa, a seeion .031.5 by eny epplicen� br e parmn wbpUa tM eppliceM Io e dvil perielly d nd more ihen Ma hunEred Edlen �SSOOj). n I, ea o�mrer ol lhe propany a my mmply�lv��eea wIh weges es Ihei eole mmpeneetion, will do tM wo'k, eM iM sVucture o rwl inlmded SC «w�ereero.aelelsxibn�aa.eusinessenaarwessm�scoee:rheca,�reaanuoemetawaoeemiwdv�oenowne.dprweny who budM a inD�o�es �hmaon. ud xho doe+euM Mak FimeeX a MnN a Mrwqh hc or her oxn emplayeea, provided ihel euch impwameM� ere nol inleMed n dlered la eeb. tl, lawever, IM EUJdirq a inprwameru e satl wnhin one yeer d oomplelian, Ne owrorLuilder xill heve the Eu�den d pwirp he a ehe did roi iN w imprvn ta �M papose d ade). � I. m owner d �Iw proparly. em exd�dy oonireaiq wnh I' contrenws �o wnsaua ' (Seaion ]014. &ro'vims vW Pmlecviam Coda: The Cmveewe L'cansa law doas iwl epply o�mer d wh uike or impover iMreon eM x1w comrecle Iw ewi� vpl�e wnh e mnVeclor(e) leenaed punuenl to he ConVaclor imn �. � I an axempt uMer Secibn: B. 8 P.C., Ih \ D�e: �, - I �—� �: � m nereM oeniry uw � em� a.�d weeisiene me rea��aw a cel�omie �w�m ene smerv coe. am zssos, us», ena 2553a, aM Net I«eny M1nure WilEiip oaupem will / wil rwi (a�cb me) naed lo comoN wnA aeid etme md« uM �he requiromenm br epartnntaronnVuctionamodArationhamlheAv i�—enepemeMDielnp.Reaidenlielmnalrudioneppl�ioneareexempliromtheve pransions. Dma: Applicenl: WOfiKEN'9 CONPENSATION DKL�PATION: I Mreby effimi uMer penMy d perjwy an d tM /dlowirq EWe�cioro: ❑ I hew eM xil meimein a cenJicele d mneeni to seH�inaure b worken' companeelion, m povidad Im by Seeion 3]00 d the Lebor Cotle, lor �ha pertarmenu ol IM woA /or which thia permn is ivued. � 1 heve e�M wil maimen waken' mmpe�uetion inaurem:e. ev npuireE by SeUbn �100 d IM Labm CoUe. M IM pe�ormeMe d the WOf�I �Of Whllil �h9 pB��1111 If �Iqj. MY WRkCR OS��1BfIf01U11 IIIBUf011CB f9RIM BfY� GdkY fIYTbBI B!!: cerrier. Pdicy Numbar: s section neeC rwt be cwnWWed ] Ihe i'a'md is br we hunered 0dlan ($tool a lun.) ❑ I ce�ily Ihei in Ore perlortnence W IM wwk la wheh thia peemn ia inuad, 1 eMll nd amploy eny pe�wn in eny menner ao es to �w nxame wdae m me �n�ms• camoa�ad� e.re d c�na��a e�w ae�es um u i ena,b nxoms wqea m in. wonen� �w�� wovniona a s.eion a)oo a �ne Lmor coae. �.nel� �mnw'vn oomW witl, uw. qo.;eion.. oma: nod��: Waminp: F�lluro b sxun Norkxi rompen�etlon covsrps l� unMwlu( entl �hell sub�sef en employsr ro crlMv/pmeNu eM clvll flne� up ro one hundrM Ihouund dollan (SfOQ0001, In sOtl/fbn N fhs co�f ol comporustlaM1 tlamsyss ac provWed br In Sxtlon 3]O6 0l Ms laDor Cob, Infenst, end ettornsya /rw CONSTNUCt10N LENUINO AOENCY: I hseby alfirm uMer per�elly d perj.iry ihet �Mn b e con9iudion b�Rfq epercy lor tM �enam�. a ine .� m..n� me o�� a o.�ed Isee� aos�. cH. c). LENDER'S NMIE: LENDEfl'S ADDNE55: i�n�ry� in,w�eu�seow��dm .mmine��Mo�w�n�wrea.ieu��o�drwnnmi�ar�aowmro�a��. enas�me ,elei�re�ewiMineca,sfnWim an«ebreu�nor¢<nweummrve,ainaaiv�oemx�wn�neeewtrmemioneepoqm� la irupe ur wes. v P'tN Dale: � i9� / n pp� nlraqa (5151a6.WP) Whne-BuiMiq 8 Selery: �reerFle: Cenaiy-Appkan�: Fnk-Rewnue: GOldenroFAeassnr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; P 071509 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE; PLU PURPO5E; OTH JOB DESCRIPTION ; KITCHEN AEMODEL SQ FT; CLAIM VALUE; CALC—VALUE; GROUP OCC; R-3 / *��******ft****H*�*�*itr*+Er*�*************rD��v **�e+r*��r*�rw�r*****r�r**�x+r***�r***�e*�r�rr�r Z O N I N G R E Q U I R E M E N T S s s T H A c x s ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN AEAR: FT IN LEFT; FT IN RGAT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL; 42623112 ZNE: REF NO; PLANNING NdTES> > if 1E 1E 1F 1F 1f !f %fE 1f 1f 1k i! if 1f 1f 1f M �F 1f 1f !f !f iF IF M 1! ff if jf M!f 1f ff �flf 3f 1f iF i! 1F ik if 1! ff 1F it 1f 1E �f �k 1f 1f 1t M iE if iF k f! if jE if i! it If if if if i! �F �F 1f i! iE 3E ik 1f fE D E V E L O P M E N T S E A V I C E S� R E Q U I R E M E N T S /. ZONING APPROVED BY ' DATE; BUILDING APPROVED BY : APPLICATION ISSUED BY; � � �,« * �,«,� �,� * *,�,�» x *,� * * * � LEGALIZATION;N BLDG PMT PLUMBING PERMIT 12,00 25R PLAN ISSUE FEE E E E S U M M A R Y � � � ELECTRIC✓ MECHANIC ^, l n 20.�� 1: DATE; DATE: �J�l�p(Qr �*,«**�*�***,�****,� *�** *,� STRUCTURAL SEGMENT;N FIRE SMIP/RES GRADZNG SMIP/NON—RES HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK .i� TOTAL PAID DUE TOTALS----> 12,00 20,00 0,00 32,00 32,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 32,00 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC ;; �FIRE SMIP/TOT GRADING PLAN—CHECK 32,00 � „ / �f ik 1f if 1f it fk 1k 1f it ff 1f if M if if if M iF it 1f 1t 1f 1f M i! 1f if 1f 1E k!F if fF ff 1Flk 1F it M f! ff ff 1f iF ff !F 1f if if M M if iF fk ff if if 1f if 1E 1E iF if ft 4 i! 1f if M if iF 1f if 7f if 1f M if I N D I V I D U A L F E E ,B R E A K D O W N TYPE QTY D E S C R I P T I O N ,- !•' QNIT COST TOTAL COST PLU 1 LAUNDRY TUB OR WASHEA 7,OQ PLU 1 GAS PZPING SYS OF 1 TO 4 OUTLETS 5.00 END OF�FEES.1 l d ., oz ooiaez��-on�.�s2�s a-� e-t- DC:iE: 03!1?,�9:� TICiE: 16:2� 7,00 5,00 32.00 r-+ I' CONSTRU,CTION AND PLANNING � P�� PA ! � APPROVALS Permit # Date Inspector qppROVALS Permit # Date inspcctor r � ' tfTemporary Electrical Service or Pole 52. Pool & Equipmeni Location , 2, p°; il Pipe•Undrgrnd. � 53. Steel Reinforcement ' � �3;'El�ctricai Conduit Ui��v-Undrgmd. 54. Forms i -�'4. Electrical Conduit�Undrgmd. , 55. Electricai Bonding .."5.;Steel Reinforcement 56. Rough Piumbing & Pressure Test �. '-�� Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �- „r7.nFootings 58. Electrical Conduit-Undrgrnd. ' i �•'.$. Fvundation - 59. Gas Pipe, O Undrgrnd., Test � :$. 1•Vater Pipe-Undrgrnd, � 60. Backwash Lines, RTrap, � Undrgmd. j b0. S?ruetural Pioor System � '� • 61. APPR4VAL TO DECK 11. P'roperty Sewer Line & House Conrzection 62. Backwash & Receptor�Final 12. Sewer Cap I 63. Heater & Vent-Finai 13. Roof prains -- 64. Plumbing System - Final � 14. Rough Plumbing , .�' _��,( 65. Electrical�Final , 75. Rough Electrica6Conduit ' 66. Solar System-Final i 6. Rough Electric Wiring 67. Fencing & Rccess Approval 77. Rough Wiring Sign 68. APPROVED FOR P�ASTERING • 78. Rough Electrical�T Ba� Cei�ing 69. POOL!SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning RRE DEPT. REQU4REMENT - - - :�; r 20. F�bughfa�tor"y:Pi�z�i�ace ' " " � ""'-;APPR:OVAL$�;rPeimit#�. 21. Ducts; in�S2ructurei • � •• �� _ '_7 �� r ' . 70. tlndergiound H�iJro 22. Qucts; VentilaUng �� - �; y:,', 77, producf.Pipin9 O�Gas CIOiI 23. Gas Pipe�Raugti & Test � ' _ . - � : , 7g, UndergroYtnd Flusli� • - 24. Roof=�raming" " ' -' ' �"'°r � �� y •'73;Undergmd.Stor.age�Tank'L]Gas ❑Oil 25. RoofSheething ,�+ �, � �� 74.'•Overhead�Hydro:� 26. T-Ba�'Ce�lin9 (StructGral) & Mono'�oat . � ?� r 75:' Dry Char�ical �,;-� ,, ' ' 27. Frame and-Flashing. � jn.: ' „ ' -� .i, • 76 � Dry Siandpipe - - , � -28. Lathing &.�Siding _., x ''' _ `" "� ''� - �"�, 77,� FIXED SYSTEM�FJNAL, � ^ � 29. insulatiori; r-. � �� • � - • 7E: FIRE RREV. FINA�L � �. � � ` 30. Drywall Nailing . i ' � ( �.,.�;�� ' NEALTH DEPT. REQUIR�MENT _�31. Plaster Brpivn CoaY- �' i,- - � I� 7g,� F�INAL INSPECTION .� ' :: i '�32. Etectricai Powgi Met�rFinal ' � ' � � �� 8ff;�F00D CEfl71FICA'iE ISSUED _ �.-�33. F:inai�;Electtic -. , � . � �: "No4es: = s y� _ ^ � `�34. Finai�Heating�&Atp:Conditioning;^ � i= :- � � � _,_ -� ' • _ � �. �t%'CT��S �,1f:�:�"S%-C�i'� -��,. ��Ji ,: , n . . . � � � , - � � 35. Final Gas Pipe;7'est �. .. � Z�� 2�_ _ . , ; � T.-:fl'�--r_zr1�-r �a�tz -:36. Hood�or CanoPY " � _ � .�- - - � . ,:'� . „ � _ .:. .. , . �� Z/i__._� ' C:� ZL'�' //��__��-- ��-.-�--r �37. F:inal �actory Fireptace��;, �, _. . �„ . - ��-'�`��- �.�`_ _��;xU � 38. Pinal:Plumbing " i � �G /� . � . i . ` 39. FVaterService�Final ; .`, , i �� ;`�' ' .-• �,�40. Gas Service-Final . . � .-• ' � r .. . .. - � a . '�41. Soiar pomesticFinat' - ;,. ' „ i '; - � I - � �42. B�ackflow Preventer • �j • ' �+ T' ' �• � � - 43. Backflow Irrigation . . - � .. _ . � 44. Landscape,lrripation�SYstem . � �7 r �: ^ _. _ . , ;: 45. Sound Attenuetion � • T' ` . - - � �, _ _: -„� - .. , .., 46. Handicap�Regulations � - �� _ � � � � � 47. PI�NAL' STRUCTURE & BUILDING ` ' '' ' - � " � , -' ' i. " ' - 48. F(NAl PLAN'NING � F�� i � - �. .. 49. Electric Release to Edison ' �� r ,' ' -� 50. Gas Release to Southem California Gas Co , � � ' � � �� • • 5.1. CERT:IFICATE OF OCCUPANCY • - • . No. Oate �� u�noonEss: 399 E 20TH ST CQLVIN, CHRISTOPHEk OWNEB'S NpME: ,- . noc-'�s: �S9 E 20TH ST . * Cn.STA MESA, CA 92626 AqLHIENGINEEfl: NEG.NO.: UNIT: AOOflE55: UNIT: rcnminee: CHRZSTOPHER CALVIN ( 714 ) 724-1960 aooness: 3 9 9 E 2 0 TH S T COSTA MESA CA 92626 UCENSEO CONTBACTOfl DELLABATION: I hereby aliirm Iha� I am licensed un0er O�ovisions o� Chapler 9(comm¢ncinA wilh Sec�ion 7000� ol Oirsion 3 0l I�e Business an0 Pmlessions CoCe. anG my license is in lull force antl p�leWp . CITY UC.: ST�TE LIC.: CLASS: t•X Da1e: SignaWre: WONNEBS' COMPENSpTION OELLABATION: I �er¢Oy ai�irm IAaI I have a t¢rlilitale 01 COnS¢nl Io Sell-in5uf¢ ar a terii�kafe o1 WOB¢r5' CamDenSaiion Iniurant¢, or a c¢rtdieA topy Ihereoi (Se[Iion 3800, lab. C�. POLICY NO.: E%P. OpTE: COMPAN7: ❑ CenilieC coDY is nereby fumis�etl. ❑ Cenilied copy is fileG wit� t�e city BuilAinp DivisioQ. �ate: p00�icant EXEMPTION FflOM WOBNEflS' fAMPENSATION OECIABATIUN: Ai5 e ion nee0 no� b¢ mmpl¢t � IAc p. il i5 tor one AunOretl �E10� a l¢55�. I cetlity Ihai in t�e pedormante o� Ihe woB �or whic� Ihis er ' i5' Suetl.�l Shall n0i em any De� n in any mann¢r 5o a5 io �¢tOme suble�� o the Workers' CAmpenSaiion Laws ol Caiilomia oa�e:_I-2-1 - q5 Siqna�ure: NOTICE: Ii. al�er making this 4eclaralion, you s�oultl become 5ubla e Worke ' mpensa�ion pr si0n5 0� IAe Lahor CoOe. you mu51 tOtlhwil� COmDIy wiih 5uth provisi0n5 or t�i5 permil 5hall Ue tleemetl revoke0. CONSTpULTION LENOING RGENCY: 1 �ereGy aifirm Ihai Ih¢re is a ConSImCIiOn I¢nEinA a0ency �ol Ihe petlormanCe Of I�! vrork �or wnic� t�is oermit is issueG �Section 3097. Gv. C�. LENOEfl: RUGHESS: OWNEB BW�OEN DELLRMTION: I �ere�y affirm itwl I am exempt Imm ihe Camractars' State License �aw tor tAe followinp reason (Sec�ion 7Q71.5 Business anA Pwfessional Cade: Any ciiy ai counly w�ich repuires a permii lo constmc�, alier, impmve. Oemolis�, or repair any simcmre. prior m its issuance, also reQuires the applicant for such De�mi� to file a sipned slaiement ihat Ile/sAe is Iicense0 pursuant to �ne D�ovisions ol the Coniracmrs' State License Law �C�aO�ar 9 kommencinq with Section 7UW) ol Division 3 al Ne Business an0 Pmi¢Ssions CaEe) ar Itui he/5he i5 exempl ��er¢Irom anU Ih¢ Ga5i5 lor Ihe allepe0 eKemp(ian. My NOIaIiOn 0� S¢tli0n 703L5 hy any applicant for a De�mil subjeqs I�e aDDliWnt lo a civil penalry al not mare thdn five huMreO Oollars (5500�. X I, as owner ol iAe pmpeny or my emVloyees wii� waAes as iheir sole compensa�ion, will Co the work, ana tAe LJ slmcWre is no� intenAed or oflered for sale 15ection 704a, Business an0 Pmlessionat CoOe: T�e Conlractors' S�ate License Law tloes no� apply lo an owner of a pmpeny wM builtls or improves ihereon, anG wha tloes such wark nimsell/nersell or ihmupA nis or her own emplayees. proviCeU �Aal 5ut� imD�ovemenis are n0� inlenAetl ar o�lere0 �Or Sale. I�, �wwev0r I�e buildinq Or improvement is sottl Hi�hin on0 year oi cam0letion, �he owner vnll �ave Ihe Eurden ol proving he/5Ae CiE not Gui10 or impmve lor Ihe purpose of Sale). I, as awner ol ihe pmp¢ny, am eKclusively contracting with licensed w Cbrs ta consimct ihe pml (Section 70d4, Business L� and Pmfe55ion5 Cod¢: The Conlracmrs' Slaie Li[ense Law Aoes n01 ap y o an awner 01 D�op¢rty wAo IAS a( ImpfoVeSlhereon dtltl W110 [OtlifdL(5 10� SYCh 0�01=��5 WIIII d C0111ldCbl�S) IICCtISE plll50 nt Io Ihe Conlraciors' $lale 'c nse Law�. I am aware �hal pmol oi Iheir Worker'S CamDensation insurance s�oWC Oe pmviGe me. � I am exemp� untler Seciion�, B. 8 P. C. � loi Ihis reason: j� �dIP: • � �� _� l•/ QWII¢' I do �ere0y cenily Iha� I am aware o� antl unders�antl I�e reQuiremems of Ca i mia Healt� ana Salery oUe Se �io 25505, 2 33, and 2553a antl t�at I or any luture 6uilOmg occu0ant will/will nol (circle one) need to comply with sai0 slate cotles antl Ihe requireme is lor a permil lar consimdion or modificalion Irom Ne Air Oualily Managemen� Dislricl. Pesitlenlial con9mdion aD0licaiions are exempi �rom ihese pmvisions. � �a�e�. Appiicant�. I hereby cenify�hal I have reatl Ihis apPlicaiion antl stale ordmances an0 9ate laws relaiing la GuilCing conslmclion pmpertY lor inspec�iapn pw'ap�ases. oate:_�-a� - iY� sipnamre: od�ers ucense o� Sociai secudiy a; ily wilh allcily anA couniy uooninea�ove�mentianea t6at-C6 White—Bulltling; Green—Cotle Enlorcamem: Cannry—Applicanl; Pink—Revenoe; GOltlenro0—Assassor CITY OF COSTA MESA — HUILDID7G PERMIT PERMIT NO; E 070908 PLAN CAECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE JOb DESCRIPTION ; KITCHEN REMODEL �• .• � �-�. •. ^�• •��o • SQ FT: CLAIM VALUE; CALC—VALUE; GROUP OCC: R-3 / COMMENTS: RE;#B70907 if if 1f i� M�h �f iR iF ii �Y iF iE-lF af if -Y Y-if if i%d! if ih iF iE i4-1E iF iR Y iE iF i41f iF iR aF aR if if iF iE lE iE 1F'N' iF iR'1F M-0E if if df if 1M iR �E if i4 if iL iE if �)F iF {E iF i!� if if if �h if if iF i(� i�' Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FANT: FT IN REAR: FT IN LEFT: FT IN RGHT; FT ZN LEFT: FT IA7 RGHT: FT IN PARKING REQ; PROV: PARCEL: 42623112 ZNE: REF NO; PLANNING NOTES> > ifitltiFrififififitififitlliliflfMk�fifitiE4ifkiEktfklfiElEjFifihiEitifif�Eif1lrifNilififififiFMitaFitiR4ifififitiFlfififrlfiGr�tlflfiEifrifi�it D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPAOVED HY , DATE: BUILDING APPROVED HY ; DATE: APPLICATION ISSUED BY; DATE: , 2 A� iEiFiFiEiflfMifiM1N�ififififififififit�ltifififififafi6it�fiFkifif3E �f iE1E ititiEiE iEM;Fk F�iE{Eififi�-ifMlFiRiF *iFiFM if if iEaE iE iF r if r if iF 1E iF if i! ff it if iF if it it iF 4 i! if iE 1f ae 1F iF M if if if if IE if jt it jf if iF i� il- if if if if if 1t if if if iF if if if +c it M iE 3F iF 3F if M iF r if iF r as ft if i�lf �7h K+c {F if if LEGALZZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING . PERMIT 6.75 SQ� SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 6,75 15,00 0.00 21.75 21,75 ,00 REC�EN[lE DIVISION TOTALS--> COLLECTED: 21,75 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK 21,75 1E �E1Fif M iE ifif'If 1f if if if 1! ii'If iM1 Mif if if Ifif iFM if if iF§f')f ik if iE ififiE iE')Eif if 1I'1f iEiEiE1f')f'IE if �f ifit itif 1f if if if iE'If if ih 1f'If af if M MK it 1f if i�'if �f if aF * iF Z N D I C� I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 2 FIXTURES, LIGHTING 1 ST 20 EA, .75 1,50 ELE 4 RECEPT/OUTLET . 1 ST 20 EA, .75 3,00 ELE 3 RECEPT/SWITCH 1 ST 20 EA, ,75 2,25 END OF FEES OE 001756b5-OD17.5655 7�� T DpT�: 4i/7�/4`, TIt4E: 111:56 CONSTf2UCTION AND PIANNING APPROVALS Permit # t, Temporary Electrical Service or Pole _;_� 2. $oil PiOe�Undrgmd. i . z�---. o. E�ectricai Condu(t Utility-Undrgrnd. .4. Electrical Conduit-[lndrg:nd. 5. Steel Reinforcement 6. Electr:cal UFER Grnd. 7. Footings 8. Foundatfon , 9. Water Pipe-Undrgrnd. 10. Structural Floor SVstem i t. Property Sewer Line & House Connection 72. Sewer Cap 73. Roof �rains � 14. Rough Plumbing 15. Rough Electricai-Conduit 16. Rough Electric W��ng 17. Rough Wiring Sign 18. Fou�h ElectritabT Bar Ceiling 19. Rough Heating & Air Conditioning 2Q, Rough Facmry Fireplace , � . 21. Duccs, ir Structure �� 22. Ducts, Ventilating , 23. Gas Pipe�Rough & Test 24. Roof r'raming � 25. Roof Sheathing � 26. T•8ar Celling �Structurap & Monocoat 27. Frame and flashing � 28. Lathing & Sid�ng � � 29. Insulation 30. Dryevali Naiting 31_ Piaster Brown Coai � 32. Electncal Power MeterFinai 33. Final Eleciric � 34. Final Heating & Air Conditioriing .. 35_�Final Gas Pipe-Test ' 36. Hood or CanoPY - 37. Final Factory Fireplace � 38. Final Piumbing 39. Water Service�Fina� 40. Gas Se: vice-Final � 41. Solar pomeStioFinal � 42. Backflow Preventer 43. 8ackflow Irrigation 44. Landscape IrriGation Sys;em • 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Elettric Releaie to Edison 50. Gas Release to Southern California Gas C� Da[e Date m POOL 1 4 Inspector p�ppROVAIS Permit # 52. Pool & Equipment Locat�on ^ 53. Steel Reinforcement � 54. Forms 55. Electrical Bondmg �- 56. Rou9h Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas P�pe. � Uadrgrnd., Tesc 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVALTODECK ' 62. Backwash & Recepior�Final - 63. Heater & Vent-Final � 64. Plumbing System � Final � 65. Electrical�Final 66. Solar System�Final - 67. Fencing & Access Approvai � 68. APPROVED FOR PLASTERING 69. POOUSPASYSTEPASFINAL FlRE DEPT. REQUIREM1rtENT . : � APPROVALS Permit # � - 70. Underground HYdro � .. � 71. Product Piping f..lGas OOiI � . 72. Underground Flush . 73. Underyrnd.StorayeTankOGas ❑Oil 74. Overhead Hydro � 75. Dry Chemica� � ' 76. Dry Standpipe � 77. FIXEDSYSTEMFINAL � 78. FIfiE PREV. FINAL HEALTN DEPT. REQUIREMENT � • 79. FINAL INSPECTION � � 80.' FOOD CERTIFICATE ISSUED /�C sLef� Notes: � _ � i _G � �_ _ G,-� . .� 6 . Date Inspector '- f 0 �-- t Fig��•S ��c G��uf _. - -- -r^t -- - - ' -- � --- - -- -- ----- -� - ---�ItLI� :��(�Fs-=-- - - ---- -- - �I_ � �«��,-=,---- -� - - _ �.�(�4 . �SP�S�.L-- --A��- -J-�R ---- � 2s,�x l,J�s��,. ,��;,i --- —� ; - —3-- - �-- ---- ---- ----- ---- ---- -- - - --_— _ a��---Wc35hi� /»ac�: ��— -- �d {�- - --� - - - -- —_ — _�-- � �.c,�raf5 � �`�h-a,Q�� _ �� ryl-u''� ------ --��-`— �cN� �rs _�C�rc�� _ Q,-sp��-� - ----- � 3_:—I�h.�----- --- --`—�—p��.l�----�_� 5�3I _ � / � 5'�=- - - - - ' S -S�G` `��-- -- - - - - --- -- - +�- 4sz� �c�s - ---r �---- -'- ----- -- --? --�"r — -- -$--6��I��S-------- - - --- � ... �7G �$2 - -- -� -G,.f'e 1'S - --+-- - - I �7 I 11 �,, ro. , - � e� - - - -�2 5�� - - --�- - - , , - -I- - �� --- ��+ < �s- — - ---- - - - -��-�p��- ---r— --- i i s �, � n,��!;� - � - ..�- ��. •� -- �-- - - - - - -- - -- ----(� ��-- - - -I— - i� s - .: -- . . . �y. _ .. . _ __._ __ _ _ _ _ _ _ _ _. _'_. .,"___" _ _'- _____'__.' _ '-'___'___ __ _ _ __.'___-_-_ - — - -'-��Sh_��_�MkoGiP< . �S_. __�`�"Lnp'�1 io .GY�S��,S—C�/`.C,/Ss_ -'- -S-E'-�l-k�cA�- -- - - - - f ---- - �l'e�ti__��_�_ _rvh _ �ro n _ _ ��v_� Fo—�� _do��- --So �� r �'� 'G-- -C.� c s -- -- - —___iGf(_ !��'�' ��- L'L'f__ t�_`_�_.__�9��M<'_h- �t.�f/1.___-_ —. -___ I -- 'I ----------------------- - ------ ---- ----_ . �____- ,,.____-______ _________ ._- -_____ ___ � Q ACD��ant to till in all zpaees excepf those wi�hin heavY DorCe� Iinas anE si9n all apOroO/Iate tleclarations. CITY`COSTA �$di CONSTRUCTION PERMI PERMIT NO. TRACT NO. LOT NO. UNIT N0. , ?9Y 'n E 30 $ 3 0 �Projeit A�jdress � Zd �' Ij •' TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR T Applicant's Mailing Address�yy� � Owner's Name Tnhn ///n%s phone �Zz_�� CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # DESCRIPTION OF WORK/USE OF BLDG. N�`" / G��' Y,�-Q %�wr` ' Address 39�/ E� ?T p�%( �,rF,yz� ' s Main Buildi Arch/Eng. LiCense No. ��- TVPE OF PEFMIT GRADING FOUNDATION STRUCTURAL T Front Address ❑ TENANT � ELECTRICAL ❑ PLUMBING ❑ MECHANICAI. 8 Rear Contractor'sNama °�Gg�� T� Phone�lr/3� � OTHER A 2286 5. �/rs PF70JECT DESCRIPTION 50. FT. OCCUPANCY C Right Atltlress (mailing) Ahr r7T l`on� Q✓� K CityLicenseNo. ��3d�1% CONSTRUCTIONTVPE VALUATIONS S Left ZONE GRADING CU. VDS. ACRES P R(# LICENSED CONTRACTOR DECIARATION I her¢by attirm that I am licensetl untler provisions of Charter 3(commencing witM1 sectlon ]000) ot oivision 3 of the Buziness antl Professlons Cotle, antl my license is in full (orc antl effect. �icense c�ass �- � ��e�se No. G �13�5/J Date �� Zz'"`✓� Signature WORKERS' COMPENSATION DEC ATION I hereby aifirm that I have a certificate of consent lo seli-Insure or a certlflcate ' Workers' Campensation Insurance, or a certi letl copy thereof (Soctlon '00, Lab. C.) C� 27�-0/ /�j roiicy rvo. I.1G2'/6Z—�Z°� Company (`C%/T� %/��unC BCertifietl copy is hereby furnishetl. Certitietl cop �s iiletl with the city Itling Diviv6G. Date �� -�7 Applicani �� EXEMPTION F(10M WORKERS' C MP / TION DECLARATION (ThiS seclion neetl not be Complet¢tl if the permit is for On¢ huntlretl ($100) or less). ' I[eriify Ihal in the pertormance ot the wOrk tOr whiGh this perm�t is ISSuetl, I shall no[ employ any person In any manne� zo as to become subject lo the Workers' Compensation Laws of Californla. Date Signature NOTICE: If, after making this declaration, you should become Subject f0 the Workers' COmpensation pravisions of Ihe Ldbor Cotle, you mu5t for[hwith comply with such p�ovi5ions o� tnis pe�mit shall be tleemetl �emketl. CONSTRUCTION LENDING' AGENCV I hereby affitm that there is a construction lentling agency for the performance of the work far which this permit is issued (Section 309] Clv. CJ Lentler's Name Lentler'S AOGre55 OWNER BUILDER �ECLARATION I hereby affirm that I am exompt from the Contractor's License Law (or the following reason (Sectian 7031.5 Business antl Professlonal Cotle: Any tlry or county whiGh requires a pe�mit to wnstruc[, alte�, imOrove, tlem011sh o� �e0ai� any struciure, prior to its issuance, also requires lhe applicant tor such permit t0 file a signed Statemen[ that ne/she i5litensetl pursuant to the provisions ot the Contraclor'S License Law (Chapter 9(commencing wilh Section 7000) ot Division 3 ot [he Business antl Professions Cotle) or that hC/site I5 exampt �refrom anU tM1e Dasis for th¢ allegetl ex¢mption. Any vlolation of SeCtiOn 1L5 by any applicant for a permit subjec[s tM1e applicant to a clvll idlty ot nol more than five huntlretl tlollars ($500). LJ 1, as owner ot th2' Oroperty or my em0loyee5 wi[h wa9es as thelr Sol¢ com0en5ation, will tlo the work, antl lhe 5[ructu�e is not Intentletl Or o7fG/etl for sale (Soc[ion ]044, Business antl Professional Cotlo: The Con[ractor's License Law tloes not apply to an owner ot a property who builGs or �mproves tnereon, antl who tloes such work himseli/herseli or tnrou9h his or her own employees, provitletl tnat SUGh improvernenls are nol intendetl or otfe�etl fo� sale. If, however, Ihe buil0ing or improvement is Soltl wi[hin One yea� of com- pletioq the owner will have the burtlen oi proving he/she tlitl not bulltl or Im- prova for the purpose of tale). ❑ I, as owner of the property, am ezGusively contracting with licensea mn- tractors to consV uct the project (Seciion 7044, Business antl Protessions Coae: Tne Contractor's License Law tloes not apoly to an owner ot prooerty who builas or Improves tnereon, antl who conVacts for such projects with a con- tractor(s) I¢ense pursuant to tne ConVactor's Lirense Law). I am aware tnat ptoof of their Wo�ker's Compensation insu�ance shoultl be provitletl t0 me. ❑ 1 am exempt untle� Section B. & P. C. for this reason Date I hereby c¢r[ify that I information iz correct. antl state IawS relating 52fILdS1VC5 O} Ih15 CI[y inspectlon oppp/// poses. Si9na W re � _ Owner nave �eatl [hi5 applicatiOn antl Stdte that the above aqree [o compty w�th all tity antl counry o�tlinances o bwltling consirucilon, antl hereby au[norae repre- lo_en[e� upon lhe above-mentionetl property fo� %�l!. � .G�fyi�'�J�/ Daie `� Remarks: Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Intercepmrs Kitchen Sink Lavatories � P-Trap ' Roof Dr ' s Reinspection Fee Ing. e . ' Planning Notes: FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Swi ming Pool w/Spa rinal Water Closet Water Heater Water Service Auro-Wash Laundry Trays $15 laue Fae $ 3 Boiler Duct- UnderGround Duct - Structural Duct � Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Duc � ❑6700,0008T 100,000 Drivers' Litense 5� �' � � I••"•••�r^�••�^ FP^ 1F 0865-46, rev. ]0/84 Wnite - Builtlin9; Canary - Appllcanh Pink - Accountln9: Goltlenrod - Assessor $75 8056 10/23/87 � Zone Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit D ishwasher Oryers ❑Gas ❑Elecvic Fan F.A.U. • Fixtures ' /Vo�,S,p� Oevice Boxes . Outlets 'LQ iOA+n� Switches Garbage Disposal Generator �0.5 KW 05-15 KW Meter �up to 100 amps Meter ❑over 100 amps Sub Panel Motors �0.1 HP O 1 h- 8 Inc.Solar �9-15 HP �16-15+ Microwave Pale Light Sign Standing Sections Trash Compactor Reinspection Fee � $15 Issue Fea iANICAL FEES Hoodor T DEVELOPMENTSERVICESREQUIREMENTS: VPeI ❑ Canopy Type I I ❑ Zoning Approved By Building Approved By � Refrigeration Syst � Appliwtion laued By -� L� 70-100,00 U ❑ 100,000 BTU i m Repair/Alteration Fire Dampers Registers. •{ laue Fee $ 3 12020 TL FEES $ 3 SUMMARV OF FEES BUILDING PERMIT 3 SMIP $ PLAN CHECK $ PEFMIT � PLUMBING $ ISSUANCE . $ PLAN CHECK 25% 5 ENERGV P.C. $ ELECTRICAL $ _� �'ZO _ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $. TOTALFEE $ IZ•� PLAN CHECK 25% $ z O N i N G R E Q M T s CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1:-Temporary Electrical Service or Pole 52. Pool & Equipment Location s 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bondin9 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test i� 9. Water-Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System _ 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYsfem-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing , 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing . 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION , 32. Electrical Power Meter-Final � �0�� 80. FOOD CERTIFICATE ISSUED � 33. Final Electric � ��r� i�� Notes: . 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final � 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer ' � 43. Backflow Irrigation 44. Landscape Irrigation System , 45. Sound Attenuation 46. Handicap Regulations - � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . � ' � No. Date _ , y " v CITY OF COSTA MESA CONSTRUCTION PERMIT J ' AOP��ant to fill in ail spacas oxcept t�ose within heavy Oortler lines antl sign all approo��ate eeclaratlons. 0 Pr0lect Address p �-' � � � ApplitanYsMaili�g.o.ddrwc<� a��'��,7��c . ppp � � p,,�e� Owner's Name ' ` , �� • Phone��J Addreu "�� • � c� Arch/Eng. License No. �� d � Address Contrector's Nam Pho ' Address ImA �'�nl O�I�,/ Y�� Q City.Lica.nse No. -� � T" - LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licenzetl untler provisions of Charter 9(commencing wltn iection 7000) of Division 3 of tne Busineu antl Professlons Code, antl my �Iicense is in ull� ce antl ef�ec[. � i � Licen�/ C s n e No. � � Date �( �� 5'g dt ` � — � WORKHRS' C PE SATION DECLARATION ' .•.I hereDy affirm tnat t nave a certi(Icata of consent to sel(-insure or a certlficate ,(:�'i�f�Workers''Compensatlon Insurance, or a certifietl copy thereof (Seciion . "ni800, Lab. � , � / � 39(� / �-�• , � , Pollcy No. / Company _�t_ 8 Certifietl copY Is hareb fumishetl. � � � Certl 'e c i' �th the clty Itlin - Lsiodllp „p Date � APPIICant�L/ //( yii _ EXEMPT ON FR M WORKERS' COM ENSATION D�ECLARATION ��- F (Thlssec[ion neetl not be completeU it tbe permiFis for ane huntlretl (5300) or � less). I certity that,in tne performance of the work tor whlch this permR is'issuetl, 1' shall not employ any person In any manner so•as to become sub7ect to [he : Workers' ComOensation Laws ot California. • ' • Date Signature NOTICE: If, after makin9 [hls tlocla�atiOn, you shOultl becOTe sub)eCt to th¢ Workers"CompensaUon provislons of tbe Labor Cotle, you must tormwnn . comply with such provisions or this permit shall be tleemeE revoketl. CONSTRUCTION LEfJDING AGENCV 1 hereby atflrm that there is a constructlon lenain9 a9ency for tha performance oi the work tar which this permit .is issuetl (SecHOn 3097 Civ. C.) � Londer'S Name Lentler's Atltlress OWNER BUILDER DECIARATION � ' I hereby aTiirm that I am exempt from the G6nVactar's Litensa L.aw for tne tollowin9 reason (Section ]031.5 Businass antl Pro(esslonal Cotle: Any cily or counry wnich requlres a permlt to conscruct, aiter, improve, tlemolis� or repair � ,any siructure, ptlo� to its i55uance, also requires tne appli<dnl for Su<h permit to file a si9netl statement Ihat he/she is Ilcensetl pursuant to'the provisions of the Contractor's License Law (Chapter 9(commencin9 with Sectlon 7000) of „t]ivision 3 of Ihe Business antl Professions Cotle) or that he/she is exempt 4;.,;:°refrom antl the basis for Ihe alle9etl exemptlon. Any violation o( Sectlon -:;<31.5 by any appli<ant (or'a permit su�jects tne applicant to a tivil *" "ndlty of.not mOre (han five huntlretl tlollars ($500). �� I�.� I, az owner of the property or my.employee5.with wa9es as thalr sole tomoenwtion. w111 Ao tne wo�k. anE the st�ucture is not fnt¢ntl¢tl or offeretl TVPE OF CONSTRUCTION �J NEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION`O DEMOLISH OTHER DESCRIPTION OF WORK 1I n— n �.. TVPE OF PERMIT U GRADING U FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL� PLUMBING O MECHANICAL , ❑ OTHER y PROJECT DESCRIPTION 5Q. FT. oCCUPANCv_ CONSTRVCTIONTVPE � VALUATION$ 20NE GRADING CU. VDS. � ACRES_ Remarks: Bar Sink Backflow Preventer BapkfloW Irrigation Bathtu6s � Clarifiers - Dishwasher' , -'� Floor Drains - Floor Sinks Gas Service Ouilets Interceptors � Kitchen Sink . Lavatories - P-Trap Roof Dreins 1 Reinspection Fee ' I $25 � empioyees, proviaea mac sucn improvemencs are noc mienaea or onnrea �or Duct - Under Ground sale. If, however, [he �uiltlin9 or Improvement iz soltl within ona year of com- pletion, the'owner will have tM1e burden o� proving he/she Eitl not builtl or,im- �rove for tpe purpose of sale�. • � Duct - Structural I, as owner o/ the property, am oxclusively contracting with Ilcensetl con- - [ractorsto construct the project (Section 7044, Business antl Professlons Cotle: , Duct - Ventilating The Contractor's License l.aw does not apply to an owner of Oroperty who ' bulltls or improves [hereon, antl who contracts for such projects with a con- Exhaus[ System ❑ MWtiple ❑ tractor(s) license pursuant to the Coniractor's Litense LawJ�. ❑ I am exempt untler 5ection e. & P. C. for this reason FirepVFaa. BIL ICBO # Date owner Heating System & Ducting I hereby certify that I hava reatl this application antl scate thae [he above ❑0.100,000 BTU �100,OOOBTI information is correct.'I agree to comply wrth all city antl county orainances ' antl 5tate laws relating to builtling construction, antl hereby authorize repre- . s¢ntatives ot this city t0 enter upon the abovG-mentlonetl property for Inspettion p rpo 5 n Sigoature �� Date,�/—�X�� _ � , � � Drivers' LicenSe or 55 � -< Reinipection Fee $25 Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs . Solar Piping Sotar Tank Swimming Pool w/Spa, Urinal Water Closet Water Heater � Water Service - I�sue Fee � ' 1ANICAL Hood or Typel ❑ Canopy Type II ❑ Refrigeretion System r ❑o,ioo,000sru ❑iao,000ai System Repair/Alteration Issue Fee A.P. # 5 Main Bu E T Fron[ B Rear A C Right K Left S P�na. Ref. # Use of Building Planning Notes: Construction PoleSub. � Cooking'Unit " Dishwasher Dryers �Gas ❑Electric Fan• F.A.U. Pixtures Device Boxes Outlets $witches Garbage Disposal ' Generetor �0.5 KW �5�15 3ueo irsiie4 _ Zone Park. ELECTRICAL 'Transformer ❑ 15�50 KW � 50+KW " Meter �up to 100 amps Meter �overi00amps Sub Panel ' Motors �61 HP �1 %- 6 Int.Solar �9-15 HP �16-15+ Microwave Pole Light Standing Sections Trash Compactor $ 3 fleinspection Fea $25 �Issue Fee � $ 3 FEES l PUBLIC SERVICES RE�UIREMENTS: ' • Zoning Approved By Date Appliwtion Approved By Date Appliption Issued BV � �� Date /".�! ,_-8�i �, , 'SUMMARV OF FEES . � , BUILDING PERMIT $ SMIP ; $ PLAN CHECK $ �� PERMIT PLUMBWG $ �,L__ ISSUANCE $ � PLAN CHECK $ ENERGY P.C. $ ELECTRICAL '$ GRADING $ PLAN CHECK $ MICROFILM $ v MECHANICAL $ � TOTAL FEE $ $ 3 PLAN CHECK $ � CMF 0865-46 rev, 7/83 ' White -'Builtling: Canary - ApPliwn[; Pink - qccounting; Goltlenrotl - Azsessor � - � � � . - . .- - _ , _ _ _ _ . _ . _ CONSTRUCTION AND PLANNWG POOL ?A . APPROVALS Permit# p�o�- Date Inspector AppROVALS .Permit# Date Inspector , 1. Temporary �lectrical Service or Pole. ' 52. Pool & Equipment Location . ' � 2. Soil Pipe-Undrgmd. � • � - " 53. Steel Reinforcement 3.aElectrical Conduit Utility�Undrgrnd`. � _- � 54. forms 4.��lectrical Conduit-Undrgrtid. � 55. Electrical Bonding ' 5. 5teel Reinforcement � 56. Rough Plumbing & Pressure Test : � • 6., Electrical UFER Gmd�. - 57. APPROVAL TO COVER-GUNITE � 7.� Footings �- " , 58. Electrical Conduit-Undrgrnd. B. �Foundation ' 59. Gas Pipe, O Undrgmd., Test 9. Water Pipe-Undrgrnd. � , 60. Backwash Lines, P-Trap, � Undrgrnd. 10.. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap , . 63. Heater & Vent-Final ' 13. Roof Drains . 64. Plumbing SYstem - Final - 14. Rough Plumhing � 65. Electrical-Final 15. Rough Electrical-Conduit � 66. Solar System-Final 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Elecirical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning , FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, ;Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Fipe-Rough & Test � 72,rUnderground Flush 24. Roof�Framirlg 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro '- 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 76. FIRE PREV. FINAL 30. Drywall Nailing . , HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. '�OOD CERTIFICATE ISSUED 33. Final Electric � Notes: r(pT 1�t�.+�E Z'Z_y�y 34. Final Heating & Air Conditioning . 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing 2-7•��/ 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final - � 42. Backflow Preventer 43. Backflow Irrigation 44. �Landscape Irrigation System 45. Sound Attenuation - � , 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special ReqUirements Completed 49. Electric Release to Edison � � 50. Gas Release to Southern California Gas Co 51. CERTIFICqTE OF OCCUPANCY No. Date - �