HomeMy WebLinkAbout3043 LOYSBURG BAY - Building Permits -
0806 ]/2(/83 370 0 ) IL Applicant to fill in all spaces except those within heavyborder lines and sl nall apDroDriats daclaratlons. _ •_ _ _ _
_
Ci
CITY OF COSTA MESA _ PERT�!/ . O TRACT NO. LOT NO. BLDG.NO. ,
CONSTRUCTION PER t
, t LLL ttt ___
Applicant's Mailing Address t 40 i/ Cr,s.n//� TYPE OF CONSTRUCTION yp••NEw U ADD Li ALTERATION U REPAIR
Project Address •
/) l S �.. OA- ❑ CONVERSION- ❑ DEMOLISH/ 0 OTHER - • •
-
Cab("� Owner's Name ' 1.tr �f t - • • y eesr�'ng DESCRIPTION OF WORK ZONING REGULATIONS
I Address "62- '/ •:_ -: Gam/-/ - r • ..
-� - TYPE OF PERMIT U GRADING FOUNDATION ❑ STRUCTURAL A.P.9W ZONE •
Arch/Eng. License No. - 0 TENANT 0 ELECTRICAL UMBING 0 MECHANICAL ' BUILDING '
• - PLNG. REF.NE' ecrgerx Qv yT
Address - - '❑ OTHER - TO BUILDING
REAR YARD(TO P/L) -
Contractor's Nam: h •hon- PROJECT DESCRIPTION SQ. FT. OCCUPANCY
PROPERTY LINE
Address(Mailing) 'a• /�7 • . CONSTRUCTION TYPF VALUATION LEFT SIDE YARD RIGHT SIDE YARD ,
License No. 77 gD7}/ ZONE GRADING CU.YDS. 'ACf3Fa PKC.SPACE REO. PROVIDED
LICENSED CONTRACTOR DECLARATION Remarks: , R STREET WIDTH - PARK FEE S •
•.
I hereby affirm that t am licensed under provisions of Charter 9(commencing oR f /7 � •
- I
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS:
my license Is in full force nd - fe AZ •
License la - -
•
/ .
Lice ¢
. /S1a PLUMBING -
Date "�� Signature /%-.. + . � �.. ELECTRICAL
`•"sRKE'5'C•MPENSATION DECLARATION 88r Sink Sewer Cap
' 'eby affirm that I have.a certificate of consent to self-insuro or a.certificate. . , , Automatic Washer- - + Meter Clover 100 amps.
Backflow Preventer - / Sewer Connection -
Yorkers' Compensation Insurance, or a certified copy thereof (Section( - - Construction Pole"- Sub Panel
P0d0, Lab.fj)�s�� � � q,A/�nn Backflow Irrigation Solar Collectors
blicy NO.r7 39le 7 7TCompany ' .. .. Cooking Unit Sub Pole
certified copy is h reby furnished. 2 Bathtubs Solar Piping L/ -
tlfied/<ofy}�y�J)gd Ith the cit B q.oivisio DishWasher • Motors ❑0-1 HP 011443
Date (/y, Applicant F14.�•G� Clarifiers Solar Tank ,
EXEMPTIO FR M WORKERS'COMPENSATION DECLARAT N - Dryers ❑Gas ❑Electric Ino,S018r 09-15 HP 016-15+
(This section need not be completed if the permit Is for one hundr d($100)or / Dishwasher Swimming Pool w/Spa , '
• less) - - Fan: ' Microwave • I
I certify that In the performance of the work for which this permit Is issued 1 Drinking Fountains Urinal
shall not employ any person In any manner so as to become subject.to the F.A.U. . Pole Light ' '
Workers' Compensatlon,Laws of California. - , . Floor Drains Water Closet ' ' •
Date Signature i - A ,
NOTICE:If,after making this declaration,you should became subject-to the- Floor Sinks - - / Water Heater, - -� _ - Fixtures - Range -
Workers' Compensation provisions.of the Labor Code, you.must forthwith -
comply with such provisions'-or this permit !shall be'deemed revoked., Gas Service. Outlets Water Service Device Boxes ,• Sign ,
CONSTRUCTION'LENDING AGENCY -� - - Outlets Standing Sections
I hereby affirm that there is a construction lending agency for the performance r I Interceptors - • -
of the work for which this permit is issued (Section 3097 Civ. C.) - - - - ,
Lender's' Name - - / Kitchen Sink - - Switches , Trash Compactor
Lender's Address, ' I . _ ,
OWNER BUILDER DECLARATION . , '�Lavatories•
: ! - Garbage Disposal
I hereby affirm that I am exempt•from the Contractor's License Law for the P-Tia - Generator ❑0-5 KW ❑5-15 KW ' •
following reason.(Section 7031:5 Business and Professional Code: Any city or p ' - -
county which requires a permit to construct,alter,improve,demolish or repair - - �y Transformer 015-50 KW
any structure;prior to its issuance, also requires the applicant for such permit • Roof Drains 1 - - e . ^
to file a signed statement that he/she is licensed pursuant to the provisions of - 050+KW
• th Contractor's'License Law(Chapter 9(commencing with Section 7000)of - Issue eetiOn Fee $15'
1 ,ton 3 of the Business and Professions Code) or that he/she'is exempt / Showers Reinspection Fee $15 -4 efrom and the basis for the alleged exemption. Any violation of Section - Meter Oup to 100 amps Issue Fee $ 3
5 byany applicant for a permit subjects the applicant to a civil _
p etty o not more than five hundred dollars($500). Service Sink Issue Fee •
$ 3 e- Zoning Approved By Date
U I, as owner of the property or my employees with wages as their sole _ -
compensation will do the work,and the structure is not intended or offered i MECHANICAL Application Approved By nate •
for sale (Section 7044, Business and Professional Code: The Contractor's ---- --- - - - - - -- - --- - - - - ------
license Law does not apply to an'owner of a property who builds or improves Boiler • - Refrigeration System ' L •/?-�3
thereon, and who does such work himself/herself or through his or her own Application Issued By •� Date
employees, provided that such Improvements are-not intended or offered for 001 00,000 BTU ❑100,000 BTU
sale. If, however, the building or improvement is sold within one year of corn- Duct-Under Grountl SUMMARY OF FEES i
pietion, the ownerwillhave the burden of proving he/she did not build or im-
sp_rove for the purpose of sale). Duct-Structural 'System Repair/Alteration _ BUILDING PERMIT $ SMIP ' $ ' - i
LJ I, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating _. _ - .. - • PLAN CHECK $ - PERMIT
The Contractor's license Law does not apply to an owner of property whoISSUANCE ' $
builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 PLUMBING $ GRADING $
tractor(s) license pursuant to the Contractor's License Law), •
0 I am exempt under Section B.& P.C.for this reason • Firepl/Fact.Blt. ICBG# PLAN CHECK , $ /0
' ELECTRICAL- S.
$
Date Owner Heating System& Ducting PLAN CHECK• $ MICROFILM $
I hereby certify that-I have read-this application and state that the above ❑0-100,000 BTU❑100,000 BTU TOTAL FEE $ '
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize rep e- MECHANICAL $ ,
sentatives of this/City-to enter .u••n the above-mentioned p o art or Hood or Type I 0 •
Inspection purpose / / / Canopy. Type II 0
Reinspection Fee $15 PLAN CHECK $•
LESS
v _ /5 $ ADVANCED PC $
Signature - _ Date -
Drivers' License or 55$ " �% •- ' Registers Issue Fee $ 3 33
, I FINAL FEE ' $
CMF 0865-46 rev,12/92 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
I`• CONSTRUCTION AND PLANNING, _ ; _ n- j' • POOL 'PA - - -_
_ ,- r <Date^ , rinspector, c Date ' Inspector 1•
_APPROVALS Permit '' - 'APPROVALS Permit#-
,.,.
r- ;1i Temporary Electrical Service or:Pole, "52. 'Pool & Equipment Location '
-. 2.• boil Pipe=Undrgrnd: - :,. 444/ttdR( '53: Steel Reinforcement - ' - ;
3. Electrical:Conduit Utility-Undrgrnd: % • %• ,i _ '54.1 Forms '
-,1 4: Electrical Conduit-Undrgrnd.- _ : ••? __ - ; -; 55. Electrical Bonding •• - ...
r5: Steel'Reinforcement i ' '� , - /,.' ..; : r , _• 56. Rough Plumbing&Pressure Test
6: 'Electrical OF ER Grnd" ' ` -oc 57, APPROVAL TO;COVER-GUNITE' •
` a y - '' 58.E Electrical'Condu t-Uddror�
7. Footings .' ! - _ t As I - .ter.:, d. ;
;
8. Foundation r c - '�"'• 59. Gas'Pipe, Undr�nd�,Test ••.-
9. Water Pipe Undrgrnd. I _ 7 �i ; - 'r60. Backwash Lines,,P-Trap,0 Undrgrnd.` • '
10. Structural Floor System `i: e ' - - ' ... ._ • 61. APPROVAL TO DECK - '
11. Property-Sewer Line 84House Connection: "7 : . 62. Backwash & Receptor-Final r •
12. Sewer Cap% 1 ' r _ _ - i - ° - 63. Heater& Vent-Firial - • ' `
13. Roof Drains • I , - - ' / 1 i °i - •
64. Plumbing System.- Final .
14. Rough.Plumbing I .'.i : /, ,/rc- 2C '65. Electrical-Final j
- --15. Rough Electrical=Conduit- r-"- - I- vTi-}'- '� -- - - ' 66.' Solar,System-Final .
r.
o `'16.{Rough-Electric Wiring - j • ! 11--e. I '�;-)`ff i- , -r;t:-- -67: Fencing&Access Approval -
17. Rough:Wiring'Sign ` ti ' • ; I'l ! I - ' ` 1 1 68.1 APPROVED FOR PLASTERING ,
18 'Rougn'Electrical-T Bar.Ceiling) j - -,` i 1 ' r I r .69.' •POOUSPA SYSTEMS FINAL : ,
19. `Rough,Heating& Air'Conditioning ': 1, ' I j_ ! i � I I ; FIRE DEPT. REQUIREMENT '
,
✓ 20. Rough Factory Fireplace' I ' I, I 1 i I I '� I ' APPROVAILS Permit# '
, •
_ 21. Ducts, in Structure • , ; I , ; 70. Underground Hydro
22. Ducts, Ventilating _ ! a i i 71. Product Piping 0 Gas 0Oil •
• 23. Gas Pipe-Rough& Test 3 I,' I r ' -i• 1 , , ';72.1 Underground Flush' •
-.-24. Roof Framing' , ' l, ,i,,i, : ' . :1; I '!y 1 ; I , 73. Undergrnd.Storage Tank 0 Gas 0 Oil
P 25_,Roof Sheathing ' + , ki.l. ; = ; 1 i is I- 74. Overhead Hydro .
P 26. T-Bar Ceiling (Structuralj,& Monocoat' I . i = ' - I 1 C ' 75. Dry Chemical -
r'27. 'Frame and Flashing ; l i i I . I . 1 ..41 • ! 76. Dry Standpipe .
• 28. Lathing&Siding' r ' ' ! ;� I I 1 ! '77. FIXED SYSTEM FINAL
29. ;Insulation - ^! I If i I I i I FlL -
• 30. Drywall Nailing , ,. ,• '• i j ;! j ! i I I I 1, , i 'Notes:) '
r. X31. Plaster Brown Coat 1 ! i I : II ! I . I i I I l II I i '
I -
II 32. ,Electrical Power Meter-Final ' I '; i I I I ! ' .i ' '
fl 33. Final Electric , ' t -'I_ ! I__ I . : I 1 •
- 34. Final Heating& Air Conditioning = i ! ' ' 1 ; i ; ' '
35. FinalGasiPipe-Test •- , ' ' •'a I'd i 'r, " - • ' -
� _-I • . _ i .
36. Hood or Canopy_ L. .i : •, •.� i '
37. Final Factory Fireplace:- = • ul ," ! . I 1 ,
38. Final Plumbing . H . t7//L y . i I
39. Water Seri/ice-Final 1 1 I'' I i - -
40. Gas Se vice•F.inal I ' 41
41. Solar Domestic-Final I ' _ J ' I .
42. Backfl6w.Preveriter: •,,,i ' I ,
43. Backflow Irrigation I 1 ' '„ i 1 � ' . , & I ! - • - , ,
44. Landscape Irrigation System , I - - • • ,
45. Sound! Attenuation ! - 1� - - -
•
46. Handicap Regulations ; , ` I 1 ` :
47. FINAL STRUCTURE & BUIL;DING 1 i•- 1 1 ; • _
48. SpecialRequirements Completed: ' • ' I '•'i - , z 'a
49. Electric Release to Edison; ' ' I ' -
•
50. Gas Release to Southern California Gas CO I ` I I .I '- --
51. CERTIFICATEOFIOCCUPANCY ;; • -;__l_. _ ---y . }_
No ! - ' ! Date t I i T ' i .
. _. . ..
Applicant to fill In all spaces except those within heavy border lines and sign all approorlate declarations.
CITY OF COSTA MESA -
PERMIT NO. TRACT NO. LOT NO. BLDG.NO. '
CONSTRUCTION PERMIT ' M - — 77; 7 �I
Applicant's Mailing Address 1'080-N N. via;Orange Bata " TYPE OF CONkJ
STRUCTION NEW ❑ ADD U ALTERATION -U REPAIR - - , ' - • '
Project Address 36/.1i LOySblirg' Pay E.CONVERSION 0 DEMOLISH 0 OTHER - •_
,
•
Owner's Name M-D• .J=an S Co. Phone DESCRIPTION OF WORK metal_f.1rept ace
ZONING REGULATIONS -
; Address _ TYPE OF PERMIT U GRADING U FOUNDATION U.STRUCTURAL A.P.# " - 'ZONE . . "
Arch/Eng. - _ • License NO. _ ' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING VJ.MECHANICAL PLNG.REF.al - BUILDING
eprgnr IC rn cr •
Address - ' .0 OTHER . . ' TO BUILDING - •
Contractor's NameC 08„9't Fi Y`Ppl ane Phone639-� BSO PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE - REAR YARD(TO P/L) , '
Address(Mailing/ � 6�6— --�T '" Bat nrl :1 OrR Yl• ' s9266w CONSTRUCTION TYPE VALUATION I ' _ • 'LEFT SIDE YARD RIGHT SIDE YARD '
' ZONE GRADING CU.VDS.. ACRES • PKG.SPACE.REQ. - PROVIDED . .
License No. _ ZFj4QCi—I • - rr1111 n (�
LICENSED CONTRACTOR DECLARATION Remarks: qct —1•5471.;]� ' STREET WIDTH I i PARK FEE $ •
I hereby'affirm that I am licensed under provisions of Charter 9(commencing ' ' v••••'� ! /
with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: I • ,
My license is in full farce andeffect. -
License Cl. s -•• I • C No. • •
• PLUMBING ' '
9 frAi Signature IS`�f//. . /. .. / ; f
RKERS'COMPENSATION DEC • R TION ' / Bar Sink Sewer Cap ELECTRICAL I ,
,-.,ereby affirm that I have a certificate of consent to self-Insure ora certificate Automatic Washer _ :Meter_ Dover 100 amps '
' of Workers' Compensation Insurance, o a certified copy thereof (Section Backflow Preventer • '- -Sewer Connection' • - - - — - - -
Construction Pole
3800, Lab. C;)5i 73o483oCOAf59JC I Backflow Irrigation Solar Collectors_ Sub Paneh '
' Policy No. -- Company APt ft - - Cooking Unit 'Sub Pole '
❑ Certified copy Is hereby furnished. n Bathtubs Solar Piping I ' '
Certified copy Iq tlletl with the city a �'¢/]y+Iv s '/I i - - - - Dishwasher Motors ❑0-1 HP 01%-8 •
Oats ZZj1F�/H3 -Applicant %�r -yf �v -
Clarifiers • Solar Tank • i
EXEMPTION FR M WORKERS'COMP NSA ION DECLA ATION • Dr era OGas ❑Electric - -
(This section need not be completed If the permit Is for,one hundred ($100)or ' Dishwasher Swimming Pool w/Spa yInc:Solar-09-15 Hp ❑16-15+ - I
•
IaceiiHy,tnat in the performance of the work for which this permit is•Issued I Drinking Fountains Urinal Fan Microwave •
shall'not employ any person In any manner so as to become subject to the F.A.U. - Pole Light
Workers',Compensation,Laws of California. ' Floor Drains Water Closet •
Date ' Signature - — - - • Fixtures
NOTICE:If,after making this declaration, you should become subject to the - Floor Sinks -- -- , • • Water Heater - - -- -- -- - - —- - Rang¢ ; _• .
Workers' Compensation provisions of the Labor Code, you must forthwith ' - - - I
comply With such provisions`-,or this .permit shalt be deemed, revoked: I Gas Service ' Outlets - • Water Serbice Device Boxes Sign
CONSTRUCTION LENDING AGENCY ' I ' - Outlets
I hereby affirm that there is a construction lending agency for.the-performance Interceptors . - _ - • Standing$ectidns
of the .work for which this permit is issued (Section 3097 Civ. C - •
' Lender's Name ' - ' . - • - - .- - ' - Switches Trash Compactor
- , t. Kitchen Sink _ ( P
Lender's.• Address - - - r
Lavatories , n - _ - - ' Garbage Disposal
OWNER BUILDER DECLARATION i . - '
I herebylaffirm that I am exempt tram the Contractor's License Law for the P-TrapGenerator ❑0-5 KW ❑5-15 KW ' ''
following reason-(Sectionr7031.5 Business and Professional Code: Any city or - " r , . I - - , •
county which requires a.permit to construct,alter improve,demolish.or repair - . . .. ,
priorq applicant-forpermitRoof Drains Transformer ❑15-50 KW •
3 .t filera signed statement that he/5hesis licensed pursuanto the provisions of ' I -
�5U+KW 'Reinspection Fee
h:- Contractor's License Law(Chapter 9(commencing wlth'Section 7000)of P $15 '
lon 3-of the Business and Professions Code) or that he/she.is exempt 1 - .Showers , Reinspection Fee • $15 - ,
therefrom and the basis for the alleged exemption. Any violation of Section - Meter Cup to 100!amps I .Issue Fae •$ 3
7031.5 by any applicant for a;permit ,subjects the applicant to a civil w - - U '
Renalty of not more than five hundred dollars($500). , Service Sink - Issue Fee $ 3 Zoning Approved By ' Date ' •
U I, as owner of,the.property or my employees with wages!as their sole I I
compensation will do the work,and the structure is not intended or offered - MECHANICAL Application Approved By - - nate
for sale (Section 7044 , Business,and Professional Code: The.Contractor's {�
License Law does not apply to.an owner of a'property who builds or improves Boiler _ - Refrigeration System •
Application Issued By - �s ii /" Date ��/�y�8'
thereon, and who does such.work himself/herself or through his or her own -. 1 PP _
employees, provided that such improvements are not Intended or offered for 1 - ❑0.100,000 BTU ❑100,000 BTU,
sale. If, however, the building or improvement is sold within one year of com- ' Duct Under:Ground I
pletion, the owner'will have the burden of proving he/she did not-build or im- - - - SUMMARY OF FEES
prove for the purpose of sale). - Duct-Structural ' System Repair/Alteration BUILDING PERMIT $ SMTP $ '
LJ I,as owner of the property, am exclusively contracting with;licensed con- , - I
tractors to construct the'project (Section 7044,Business and Professions Code: . _ Duct-Ventilating ; . - - . , - - . . -PLAN CHECK' - $' PERMIT '
• The Contractor's License Law does not apply to an owner of property who ' ISSUANCE ' ' $ •
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 -• PLUMBING $
• tractor(s) license pursuant to the Contractor's License Law).,- $ GRADING $
❑ 1 am exempt under Section B.& P.C.for this reason 1 Firepl/Fact.Blt.ICBG# 3195 '-4 00 PLAN CHECK •
$
HeatingSystem& Ducting - - ELECTRICAL $
Date Owners - Y MICROFILM $ '
I hereby certify- that-I have-read-this application and state that the above-• - • ❑0.100,000 BTU❑100,000 BTLr - . . - 'PLAN CHECK $
' Information is correct. r agree-to comply with all city.and county ordinances (]� TOTAL FEE $ •
and state laws relating to bulltlin, construction,and hereby authorize tante- Hood or Type I 0 - MECHANICAL $- ! s
sentatives of,t.is y t enter upon the above-mentioned property for I Reinspection Fee, $15 2. 00 • ' LESS
inspection •m• .se , I 1 1 1 � Canopy. Type II ❑t ;PLAN CHECK $'
ADVANCED PC $
Signature Data ;
•
Drivers' Lice se or S __ • • ' / / 3 ' Registers Issue Fee $ 3 ' • FINAL FEE $
CMF 0865-46 rev,12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor .
CONSTRUCTION AND PLANNING PC 3.SPA
APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole, 52. Pool & Equipment Location
•
' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utilitv-Undrgrnd. 54. Forms
4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5". Steel Reinforcement 56. Rough Plumbing& Pressure Test
6. Electrical UF ER Grnd: 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrornd. •
8. Foundation - 59. Gas Pipe, ❑ Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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 System-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 If./zy/fr? �/fer APPROVALS Permit#
21. Ducts,in Structure /� • 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil _
, 23. Gas Pipe-Rough&Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural)y& Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing Notes:
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace - /l%ef ���,��'���sss t-
38. Final Plumbing / /„
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final •
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
, Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA • a PER�ITn NO. T O. LOT BL .NO.
CONSTRUCTION PERMIT - /v/ 907/ 71'� ! 7210. 10/1 3/P poi: TI
Applicant's Mailing Addr:` ��/ •�f� a t -�<<' aw�'/ TYPE OF CONSTRUCTION NEW U ADD U ALTERATION Ell REPAIR , '
Project Address a �O ' <4���r'� ' ❑ CONVERSION ❑ DEMOL eTHER
im, D, a -?374 DESCRIPTION OF WORK 'r r [ i 4
Owner's Name - 'h•ne - ZONING REGULATIONS
a'So 4I 3 fl nine-_ - "-
Address TYPE OF PERMIT . GRADING N FOUNDATION U STRUCTURAL A.P.•16 ZONE -
Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL _ PLNG.REF.SIv BUILDING
Address , • _ ID OTHERcrrn.�rk rn or
TO BUILDING REAR YARD (TO P/L)
Contractor's Nam:1 ' 7b.. if%'r- ' a•UA 'hone 291-4V PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE
HI / Ai p ,,rea ,f ,_ I LEFT SIDE YARD RIGHT SIDE YARD -
Address(mailing) Soo YV. t1✓, an, s1�f//I(J/ TT(Q CONST RUCTION TYPE VALUATION$ Lh J/l
License No. __Dil 1,1 • ZONE GRADING CU.YDS. ACRFS PKG.SPACE REQ. p PROVIDED -
LICENSED CONTRACTOR DECLARATION Remarks: ,/I-t -��/ 7� - STREET WIDTH PARK FEE$
•
I hereby affirm7 that) I am licensedion under prosiness of charterro9i ns Code,(
commencing _ I
with section 7000) of Division 3 of the Business and Professions mme,antlSPECIAL CONDITIONS:
•
my license Is In fu f and effect. �+ •
License Class'�gw U�jnm No. q( b PLUMBING . .
I n'fr p i Signature / ,
AKERS'COMPENSATION DECLARA N (/ • Bar Sink Sewer Cap' ELECTRICAL
I nereby affirm that-1 have a certificate of consent to serf-insure ora certificate Backflow Preventer Sewer Connection -- - '- _ Automatic Washer • Meter Dover 100 amps
. of Workers' Compensation Insurance, or a certifige copy thereof (Section Construction Pole Sub Panel
Pol c Lab. Irna.1ORJBS� j . 5 Backflow Irrigation Solar_Colle_ctors .
• Policy No. Y rS-/ / Company ('1pYYUl - - Cooking Unit. • Sub Pole
Certified copy is hereby furnished. Bathtubs Solar Piping
Certlf�@tl,rp Dy Is tiled with the city Buil g DI i on.• a�,///1 Dishwasher Motors 00-1 HP ❑i'/a$
Dae /U�`-y r'I J Applicant city
�I( , Clarifiers Solar Tank
' EXEMPTION FROM WORKERS'COMPENSATION DE OF
NDishwasher Swimming POOI w/Spa Dryers ❑Gas ❑Electric Inc.SOlar 09-15 HP 01615+ • -
(This section need not be completed if the permit Is for one hundred ($100) or -- - .
I less).- I I ' Fan Microwave ,
I certify that In the performance of the work for which this permit is Issued I . Drinking Fountains Urinal
shall'not employ any person in any manner so as to become subject.to the - - F.A.U. '
Pole Light i
Workers',Compensation Laws of California- Floor Drains : Water Closet
•
' Date • Signature - Fixtures
NOTICE:If,after making this declaration,you sho4ld become subject to the • Floor Sinks Water Heater - - _ Range
Workers' Compensation provisions of the Labor Code, you mustforthwith ' - Dice Boxes
comply with such provisions-or this,permit shall be deemed revoked. Device. Gas Service Outlets Water Service - Sign '
I CONSTRUCTION.LENDING hereby affirm that[her is a construction lending agency for the performance g, AGENCY ' ' Outlets StandingSections
interceptors - -
of the work for w I �yt`1F`a'r permit -Is issued (Section 3097 Civ. C-) -
Lender's• Name. - Kitchen':Sink .- - - Switches Trash Compactor ,
Lender's Address - - - Garbage Disposal '
OWNER.BUILDER DECLARATION . - Lavatories . , -
I hereby'affirm that I am exempt from the Contractor's-License Law for the Generator 00-5 KW 05-15 KW
following reason (Section 7031.5 Business and Professional Code: Any city or P-Trap '
county which requires a Permit to construct',alter Improve,demolish or.repair - Transformer 015-50 KW
.,,,Tay structure, prior to its issuance,also requires the applicant for such permit Roof Drains -
.A- file a signed statement that he/she Is licensed pursuant to the provisions of • - • ❑• 50+KW - Reinspection Fee $15
+;1.J Contractor's License Law(Chapter 9(commencing-with Section 7000) of Reinspection Fee $15
*`Ui'vision 3 of the Business and Professions Code) or that he/she is exempt Showers '• p Meter ❑u to 100 amps' therefrom and the basis for the alleged exemption. Any violation'of Section - - P p• - Issue Fee '$ 3
7031.5 by any applicant for a permit subjects the applicant to a civil ' ' - —
enalty of not more than five hundred dollars($500). ' 1 Service Sink . , Issue Fee $ 3 Zoning Approved By Date
U I, as owner of the property or my employees with wages as their sole MECHANICAL •
compensation will do the work,and the structure is not intended or offered ' Application Approved By Date
for sale'(Sec/Ion 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves Boiler I I Refrigeration System Application Issued By [ 7 - Date "0/3- s
•
thereon,'and,who does such work himself/herself or through his or her own - PP
employees, provided that such Improvements are not intended or offered'for Duct-Under Ground ❑0-100,000 BTU ❑100,000 BTU
sale. If, however, the building or improvement is sold within one year of com- i SUMMARY OF FEES
pletion, the owner.will have the burden of proving he/she did not build or Im- -
•
arove for the purpose of sale). - Duct-Structural System Repair/Alteration BUILDING PERMIT $ SMIP $ •
U I, as owner of the property,am exclusively contracting with licensed con-
tractors to construct the project(Section 7044,Business and-Professions Code: Duct-Ventilating ' _ - PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who • • PLUMBING $ ISSUANCE $ •
builds or improves thereon, and who contracts for such projects with a con- . Exhaust System 0 Multiple❑, , I
tractor(s) license pursuant to the Contractor's License Law). ••PLAN CHECK $ GRADING $ '
❑ I am exempt under Section - B,& P.C.for this reason Firepl/Fact.alt.ICBO# ' $
ELECTRICAL $
Date Owner eating System& Ducting MI•
CROFILM $
I`hereby certify that I•have read-this-application and state-that-the above 10.100,000-BTU-0100,000811r -•� 'r 'PLAN CHECK $
•
Information Is correct. I agree to comply with all city and county ordinances '`J"�O MECHANICAL $ TOTAL FEE $
and state laws relating to building construction, and hereby authorize repre- Hood or Type I 0 S I
sentatives of this city, to ent� upon the above-mentioned ;p�oper r Canopy Type II 0 Reinspection Fee• $1 $ LESS '
Inspection ourpo . IY 'PLAN CHECK ADVANCED PC $
Signature - At Date i
Drivers' License or SS a • ' Registers 1 Issue• Fee I l $ 3 FINAL FEE $
CMF 0865-46 rev.12/82 White-Building;Canary.Applicant;Pink-Accounting;Goldenrod -Assessor - --- - • - -
_ - -_
- �jCONSTRUC710N'AND'PL-ANNING - - �_ -_ - PC 9 SPA - - - - -
i , •
Date.._, Inspector Date .Inspecto
> :'APPROVALS ;r Rermif# - - _ . 'APPROVALS Permit# '- • r
tr.' Temporary Elelctrical Seru,ceor'Pole. .52.-,Pool & Equipment Location - .,
r,' 2,: Soil Pipe-Undrgrnd:: •_ --. i.i. » ,_ • _ 53 Steel Reinforcement _ - _
3. Electrical Conduit Utility-Undrgrnd.• ,.; - - 54-'F9rms r- I - , - ,
'' 4. Electrical Conduit-Undrgrnd:- ,,r ' t 55: Electrical Bonding . ..
: 5: Steel Reinforcement, 4' Y - .. - - 56. Rough Plumbing & Pressure Test , '
. 6. Elecvical LIFER Grnd., ; r _ ' 57. APPROVAL TO COVER-GUNITE. -
'-' ' , c ' x a'
7. Footings _ - -58:. Electrical Conduit:Undrarnd.. -
8. Foundation . I _ " : , 59. Gas Pipe;0 Undrgrnd.,Test " •
9. Water, Pipe•Undrgrnd. ' ' ; ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. ••
i.10. Structural Floor System , . - : 61. APPROVAL TO DECK -
11. Property Sewer Line&'House Connection' : r 62. Backwash &.Receptor•Final .
12. Sew& Cap ' - I : •.' - ,'63. Heater & Vent-Final -
13. Roof Drains - _ ' 64. Plumbing System - Final • - - -
et 14. Rough Plumbing ' • '•-65. Electrical-Final .. •
t. i,`15.4ftbugti Electrical=Conduitl'y 'ir , - i ' '; 1 -" 1-,66.i So,lar;System-Final - -- - -- - --
c 96. 'Rough-ElectricWir ng', ' I 'I - ' 'i it t- -- 67. Fencing &,Access Approval' -r' - - `'- ; - -
i.- ;17. Rough;Wihng Sign,:: . = I , , , ; ' I ' I 68. APPROVED FOR PLASTERING
,118. ?Rough:Electrical'-TrBar Ceiling : :. 69. POOL/SPA SYSTEMSFINAL
•
V. 4 19. iRouyh'_Heating &,Airiconditioning , Wain /RC; FIRE DEPT. REQUIREMENT -
20. _ROugh"Factory Fireplace, I I - ; I ; APPROVALS' Permit# • -
• u 21. Ducts;in Structure:', ) ', II i I 70) Underground Hydro -
" ;;22.lDucts, Ventilating ; ' ' I, I ' 71. Product Piping 0 Gas 0 Oil •
ii.23. Pipe-Rough & Ted c ! II�, '� - I • 72.i Underground Flush ,
` '`24.;Roof Framing`- ! :�j,,;� 1,, • F 73. Undergrnd.Storage Tank O Gas O Oil
• 25.!Roof Sheathing I ! 'ice -, a '- 74. Overhead Hydro
.26.;T-Bar Ceiling (Structural) & Monocoat , 'I , , `,l- I , 75: Dry Chemical - - •
4'-27. Frameand'Flashing n I I 1 j76, Dry Standpipe '
i 28. Lathin & Sidin I `r, • I �' I I �
.� •, 1 . 9 9 c I' I , 77., FIXED SYSTEM;FINAL
I_29. :Insulation_ „ '< ` • I 11 - j '781 FIRE PREV. FINAL '' .
n ._30.'Drywall Nailing 1 .', ` 1i ,I ! I 'Notes: -
31_jlPlaster Brown Coat • i , 'I . , I 1 I I '
r32.HElectrical'Power Meter-Final ' '4 i j -
�3 Final Electric__ _ +, _ , _ I . i__ _. '. :
34. Final Heating&:Air Conditioning 11 :tiler! , , I
35. Final Gas Pipe=
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA - PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT -n3 2925`: IIP17/"'
Project Address
e— ex __— �� _ • ' C TYPE OF CONSTRUCTION Yl/NE/ U W ADD U ALTERATION LIREPAIR
/ LAE. ❑ ❑
CONVERSION DEMOLISH ❑ OTHER
Applicant's Mailing Address -A', s A.P.# , Zone
Owner's Name 1a r \ DESCRIPTION OF WORK •
- • 'ho S Main Building: .
Accessory Building: Z
LI
E 0
Address
TYPE OF PERMIT,❑ GRADING U FOUNDATION U STRUCTURAL E Front N
Arch/Eng. License No. ❑ TENANT, ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear _ • -
Address '1 ••�• i . ❑ OTHER A N
_'�_ —71,1 1 �1/ C Right G
Contractor's Nam' �4. NW7J. � r+�� .Ci- PROJECT DESCRIPTION SQ. FT. OCCUPANCY K -
�•�,kita- r I f�1; CON STRUCTION TYPE VALUATION$ S Left E
Address(mailing) ��
, k ZONE GRADING CU.YDS. ACRES Ping. Ref.'h Park.Fees $ Q
City License No. U
LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided I
I hereby affirm that I am licensed under provisions of Charter 9 (commencing • R
with section 7000) of Division 3 •f the Business and Professions Code, and 6,3. 75y 3 Use of Building: E
my license is in ful orce :n d of • . /
_ M
Licens o License rv•. /I/._ PLUMBING FEES Planning Notes: E
•te I A .ignature ► ��F-=7w — N
Bar Sink Showers
)RKE'S' C•MPENSATION DECLARATIONT
.nereby affirm that I have a certificate of consent to self-insure ora -1 Mica e Backflow Preventer Service Sink S
of Workers'.qam ens�tion Ins ante, or a cee' ledcopy`t ereof (Sect'
3800, L.ab.�L/.0 c�/\/'��( Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No. Company
Corti ' opy is ereby turn' ed. Bathtubs Sewer Connection Automatic Washer Transformer 0 15.50 KW
i o y is 'th the cl n' 'ng Division'. 11a--W1
- .•JJJ 0 50+KW
Date ppl'cant - 1!' , - Clarifiers Solar Collectors 7 Construction Pole Sub.
EXEMPT ON FRO WORKERS'COMPENSATION DECLARATIO f -
Dishwasher Solar Piping Cooking Unit - Meter up to 100 amps
(This section need t be completed if the permit Is for one hundred (U i 0)or S
less).
I certify that in the performance of the work for which this permit Is issued, I Drinking Fountains Solar Tank Dishwasher Meter Dover 100 amps /
shall not employ any person in any manner so as to become subject to the [[ /
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa / Dryers ❑Gasctric / Sub Panel /6" _
Date Signature — —
NOTICE:If,'after making this declaration, you should become subject to the Floor Sinks Urinal / Fan Motors 00-1 HP 01%-8 —
Workers' Compensation provisions of the Labor Code, you must forthwith .
comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet' / F.A.U. Inc.Solar 09-15 HP 016-15+
CONSTRUCTION LENDING AGENCY '
I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater /0 Fixtures / Microwave
of the work for which this permit is issued (Section 3097 Civ. C.) -
Lender's Name Kitchen Sink Water Service Device Boxes Pole Light
Lender's Address - .
OWNER BUILDER DECLARATION Lavatories �•Z) Outlets / Range gb
I hereby affirm that I am exempt from the Contractor's License Law for the —P=Tra —
following reason (Section 7031.5 Business and Professional Code: Any city or P /O Switches Sign
county which requires a permit to construct,alter,improve,demolish or repair .
any structure, prior to Its issuance, also requires the applicant for such permit Roof Drains / Garbage Disposal Standing Sections
o file a signed statement that he/she is licensed pursuant to the provisions of
he Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator 00-5 KW❑5-15 KW Trash Compactor
Division 3 of the Business and Professions Code) or that he/she is exemptpa
therefrom and the basis for the alleged exemption. Any violation of Section
•
7031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee $25 Issue Fee $ 3
I�enalty of not more than five hundred dollars($500).
U I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3
compensation, will do the work,and the structure Is not intended or offered FEES
for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who•builds or ImprovesBoiler Hood or Type I ❑
thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date
employees, provided that such improvements are not intended or offered for Canopy Type II 0
sale, If, however, the building or Improvement Is sold within one year of com- Duct-Under Ground Application Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- /n
rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By til�rc A) / e"// 7 Date Is1/44• S•3
I, as owner of the property, am exclusively contracting with licensed con-
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
tractors) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
0 lam exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $
Date Owner' Heating System& Ducting PLAN CHECK �1 p $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BT ELECTRICAL 3/•SD$ GRADING $ -
Information is correct. I agree to Comply with all city and county ordinances ��yy,,,,and state laws relating,to buildin• •• tru•�i. a d hereby auth ize r pre- PLAN CHECK/,•T"$ MICROFILM $
sentatives • is city to enter upon I•• mentionedert f
inspection pur•o . r -- r MECHANICAL $
Signature m1,,'.i• Date/
/ TOTAL FEE �$� �s�w
Drivers' License or SS* � Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK $ 6 1-p V• \
CMF 0865-46 rev. 7/83 -White-'Bui di `Canary -Applicant;Pink-Accounting;Goldenrod -Assessor - - •
,CONSTRUCTION AND PLANNING F� _,L& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3., Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
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, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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. Rqugh Plumbing • 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring - 11!203 CC 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 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 z 80. FOOD CERTIFICATE ISSUED
33. Final Electric �J (.-3 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 Domestic-Final
42. Backflow Preventer - VI
43. Backflow Irrigation
44. -Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed 7}
49. Electric Release to Edison
.LF
50. Gas Release to Southern California Gas Co - O
51. CERTIFICATE OF OCCUPANCY
No. • Date
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - -
CITY OF COSTA MESA' a PER IT NO. TRAC LOT NO. . BLD NO.
CONSTRUCTION PERMIT �7e54� 3 r 7743 b/ I / +
Applicant's Mailin' Ad•ress Aar��'//I��'}}��//f}}���t i1 1 -its TYPE OF CONSTRUCTION V NEW' lb ADD. LI• `ALTERATION U REPAIR - _ - • t !
Pro ect Address ••
/64 ireg 1f1a�% �'Al _❑ CONVERSION -❑ DEM•. ISH . O , p 1 a s' s. t ' I - r' - -
r 1 lr ��r�7/ DESCRIPTION OF WORK �.�, ! YL:1,N��■����/w� • ~ -
Owner's'Nam4 . '�A ik F •��1� 'h;a TIII I 'SG` - • • - - �y ,ZONING REGULATIONS - - - '
•
Address ��I 7 ,.1 /`'.i aT` TYPE OF PERMIT ❑ GRADING-U FOUNDATION A STRUCTURAL. ;, A.P:# 4I8-13/ —17 • `ZONE R� 1 '
Arch/Eng. .7 all ' IWAI21 LiCC `•/ • j ❑ TENANT ❑ ELECTRICAL ❑ PL :INC 0MECHANICAL .PLNG.REF.# BUILDING - I
• /_I / / a 117 r • - _ `7,E —79j- i • er•-rne•rie C/r eT .
Address. / 1 v YY f �jj�jI -LI'OTHER • :. . .TO BUILDING ^/� ) nn^^ ��rr �-f--�-
Contractor's Name - �• Phone �/ - i7 PROJECT DESCRIPTION, S• -.• 20• 1 , `A - 1 PROPERTY LINErp(� - 1,C.•W -EAR YARD(TO P/L)_Yom' I
OCCUP V
CON ST RU TI TYPE�TYPF r VA TION$ LEFT SIDE YARD -'3 J// RIGHT SIDE YARD _ 1'.fl l , ••
Address(Mailing) yy� � • � PKG.SPACE REQ. �^1 I PROVIDED ^ / qq/�� e
'� ZONE GRADING CU.YDS. ��� :ACREdr • p(. CD 053 we a
License No, _ r • piers/
.{� c/
LICENSED CONTRACTOR DECLARATION • Remarks: . 1 , ' •• - STREET WIDTH � r PARK FEE S !'.r1I,lJ ! -
I hereby affirm that I.am licensed under provisions of Charter,9(commencing • _ . •
with section 7000) of Division 3 of the Business and Professions Code,and ' • I SPECIAL CONDITIONS: . ••
my license is in full force and effect. ' pp
License Class• • License No. • - - , PLUMBING - - I HOLY FOR SPECIAL REQUIRE:IIE' 1 '
I-T,ate • Signature - ' Bar Sink Sewer Cap ELECTRICAL
�,�KERS•COMPENSATION DECLARATION I - - I l ' ( -
'1', eb rm that I have a certificate of consent to seifdnsure.or a certificate_•..,.: - _ Automatic Washer_: _- I 'Meter, °over 100 amps
CP Workers' Compensation Insurance, or a certified.copy thereof (Section Backflow Preventer- Sewer Connection- -r-
3800, Lab. C.) I t Backflow Irrigation Soler Collectors•% .- • Construction Pole , Sub Panel, r;•
eo y No. Company 1 - • - !- Cooking Unit Sub- Pole t ,'
ertlfied copy is hereby furnished. I 1 Bathtubs I 1 $Diet Piping I rl �; , , - • j I
��/JJJ��/JJJ Certified copy Is flied with the city Building Division. Dishwasher I Motors °0-1 HP ❑1%$
Date I • Applicant - I ' Clarifiers , Solar Tank , _ 1
EXEMPTION,FROM WORKERS•COMPENSATION DECLARATION I 1 Dryers °Gas, °Electiio �I nc.Solar
This section need not be completed If the permit Is for;one hundred Dishwasher I Swimming Pool W/Spa ; ' ❑8-15 HP ❑.16-15+
( p p 1$300) or I
less) I ( 1 i 1 I •1 - Fan; I ''Microwave • 1
. I certify'that In the performance of toe work for,which this permit Is Issued I I 1, Drinking Fountains • I Urinal -; i•' �; /-1, I•y.'; II • ':
shall.not employ any person In any manner so las to become subject.to the - 1
Workers',Compensation Laws of California.; ; Floor Drains I rr .- , e' _ I F.A.U. , 'Pole'Light "..1--,•
- ,
Water Closet( 'r I ; •
Date isnalure e e • -
I • r Fixtures - _
NOTICE:-If,after making this declaration,you should become subject to the FIOOr Sinks-' - - - - - - Water Heater -- - •- - - - - --- - - Range _.�-__ _ '. _.. __ 1 �_.�.(� _, I
Workers'. Compensation provlslons.of the Labor. Code, you must forthwith. - - Device Boxes '
comply with' such provisions' or this,.permit .shalt be deemed revoked.. ( . Gas Service: ' Outlets, --- , .Water,Service i Sign 1 I r
CONSTRUCTION LENDING 'AGENCY - • ' ' Outlets '
I hereby affirm that there is a construction lending agency for the!performance, • interceptors j - 1 , ' Standing Sections ,
of the work for which this_ permit is Issued _.(Section 3097 Civ:. " - - • - - _ -
• Lender's' Name a - - •_ • ' - Kitchen Sinkl -40 !Tr it „ , I Swit•ches ; 1 1 Trash Compactor r
• OWNER"BUILDER DECLARATION ' r Lavatories' I - _ • Garbage Disposal I 1 I • ,
I hereby afflrin that I am exempt.from the;Contractor's License Law for the - - - Generator °0-5 KW °$-05 KW
following reason (Section 7031.5 Business and Professional Code: Any city or' ; P-Trap _ - 1 . , . •
county which requires a permit to construct,alter improve,demolish or repair I - - Transformer 15-50 KW I ' '
any structure(prior to its issuance,.3lso requires the applicant for such permit. Roof Drains , , , ,- ' I , I
s file a signed statement that he/she Is licensed pursuant to the provisions of '• ' °5U+KW I
-.Contractor's-License Law,(Chapter 9(commencing with;Section 7000) of I A • i . • - _ ' I Reinspection Fee $15
_,''slon 3 of the Business and Professions Code) or that he/she as exempt , Showers : I - Reinspection Fee ' $15 '
letrom and the basis for the alleged exemption. Any,violation=of Section - • - - I Meter °up to 100 amps I :Issue Fee. •$ 3
7031.5 by..any applicant for a permit subjects;the applicant to a civil - !J
penalty of not more than five hundred dollars($500). j • 1 Service Sink Issue Fee - I $ 3 Zoning Approved By QfG/L q -Date 2-,//y 6
U I,'as'owner of the.property err mY employees with wages.as their sole I -- MECHANICAL r,%/L' compensation' will tlo the work',antl the structure is not intended or offered - 1 r ' ' Application Approved ey 'Date 7/
for sale (Section 7044, Business and Professional Coder The Contractor's i�j
. License Law does not apply to an owner of a property who builds or improves Boiler , I Refrigeration System , t../�� 1573
thereon, and who does such work himself/herself or through his or her own ' Application Issued By • Date y'
I employees, provided that such Improvements are'lnot intended or offered for ❑0-,100,000 BTU ❑100,000BTU - ?
sate. If, however, the buildingor improvement is sold within one'year of corn- Duct"-Under Ground I , • I
SUMMARY OF FEES •
9ibven, the owner will have the burden of proving he/she did not build or Im- , - ' I .
,,>r ve for the purpose of sale). ' Duct-Structural System Repair/Alteration - r ' 33
,(BhQll 'BUILDING PERMIT $ SMIP $ -
I,as owner of the property,am exclusively using cting'with tl con- t
trots to constructenseeject `Section 7044,Business and Professions.Code: _ Duct:Ventilating, .PLAN CHECK $ PERMIT )
V
Contractor's License Law does not apply to an owner of property who ' ISSUANCE $ i
builds or improves thereon, and who contracts for such projects with a con- I Exhaust System ° Multiple° 1 :PLUMBING $. -
tractor(s)license pursuant to the Contractor's License Law). I PLAN CHECK' $; • GRADING i $
C I am exempt under Section - B.& P.C.for this reason ; Firepl/Fact.Blt. ICBG* 1 $
•
• ' I - ELECTRICAL $' I
. Date ' • Owner• Heating System& Ducting I IMICROFILM $ )
I.hereby-certify that I.have read this application and state-that the-above - '- °4100,000 BTU-°400,000BT PLAN CHECK $ •
information is corr:ct. I agree to comply with all city and county ordinances 1 , 4 I I TOTAL FEE. $ ' '
and-state laws rola I g 0 building construction, and hereby authorize repre- - - I - MECHANICAL $I I .
sentatives of'this •y Ito enter•upon the above-mentioned prope ty or I Hood or Type I ❑: I
Reinspection Fee $15 ; LESS
1 Inspection purpose I 1 I • I f �//�, Canopy. Type II °' I , I PLAN CHECKI - S.
,
Signature ..efla ' $ Datetp CI II
% I I I I i I ADVANCE D,PC ' $ i •
Drivers' License ,. . l lJ Registers 1 Issue Fee $ 3 •?� -1t/ Q'J
CMF-0865-46 rev:1White- - - - - - - '- - -- FINAL FEE , $ -7 o-0T�6 )
Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
.e CONSTRUCTION,ANDPLANNING1 ' " ' ;,,..-e.{.., -" - :/, P0( SPA - . ; ' >-, - " - ' ;
z L. g • ,;.`Date Inspector' � '%' - Date Inspector '
_;APP'ROVAL'S - Permit# - •F fi ` APPROVALS.- -Permit.4 - is
ir. TemporarylElectrical Service or.Pole 4c '1 :;2 s.1 If:' ;523 &.
Pool Equipment Location 4 _ ^-- :
re a Soil Pipe-Undrgrnd_ if. , o.. 53. Steel Reinforcement -
'3! Electrical Conduit Utility-Undrgrnd: ' N'. °, ' _ t. - , i• 54; Fprms ,'-
K 4: Electrical Conduit-Undrgrnd. `._ L , ;r __ 55:� sr " - Elecirical..Bcindmg. • - ' -' •
5Steel'Reinforcement II _i "4,,g'..9,- r
., I o - ❑. ;�56. Rough�Plumbing�& Pressure Test _ r
'6. IElectrical:UFER Grnd: rt :, ; ' -1-2 =; - ^ • >- • :57'' APPROVAL TO•COVERGUNITE
7. Footings : I-- :•_..., o- ' ! T' r, = •? - :58' Electrical:Conduit-Undrernd, _ - - I
8. Foundation` -I ' . > _ I I ' ? 0- , " ?is i : 59. Gas Pipe,.0:Undrgrnd:,Test`
9. Water Pipe-Undrgrnd. I " :i F ft*,, = 60. Backwash'lines,°P-.Trap, 0 Undrgrnd.7 •• . + '
10. Structural Floor System i'4! t_ , .61. APPSROVAL.TO.DECK _ '
11.,Property Sewer Line & House Connection: . a - °--` _
• _I . " i ,• ar 62. Backwash & Receptor-Final _ -
12. Sewer Ca i". i' r ! , .
t P , _• I: r„ ' i r ; j ;63. Heater &;Vent-Final _ _ - ,!
13. Roof'Drains ! •' • : ' p . ' i s ^ c I x•64. Plumbing=SYstem; Final • • -
14.';Rough. Plumbing , I , t.` I : ' I ,65. Electrical'Final • - - • - -
I
1: 15:!Rough-Electrical=Conduit r-r " ,'--;1 1--1-i-i -,--1-1- ' -66 . SolariSysleem-Final. - ' • ! -
` ',AB. :Rough Electric1Wiring; , ' e 1 II kit'-1 rht"I r -;-=';'-,-i = ? "67 i Fencing&AccessrApProval' -* - . - - - 1
17.`Rough Wiring'Sign. :, i '• 11 ' ' 1 ' • I 17 . •-1711 68.'. APPROVED FOR,PLASTERING
• - . - I I I - . . 1 7.1 = ' - ,' 1
.11 18. tRough ElectricalTBai Ceiling 11 Il I . I - ' I F.
"'I ;. I .' I 1691 POOL/SPA SYSTEMS-FINAL •' •
19.]Rough:Heating & Air'Conditioning 'I ; ' - I i ' 1 ! ' ' 'FIRE DEPT•'REQUIREMENT -
20. Rough-Factory Fireplace' 1 'I ' , - . ' f , ' 1 APPROVALS • Permit# ..
21. 'Ducts;in Structure, 1 I 4 iI 1 i I I i 70., Underground Hydro - 1
..22. .Ducts,-Ventilatin 7 11 i ' I
_ g . ? i ,. , 1 I I I I 1 171 1 Product Piping 0 Gas 0 Oil ,
1,-23. :Ges.PiPre-ROugh,8:t:Test L1 ,`•;Il - 1 j 1 -r . , , 172.I Underground Flush
LI24.,RoofFramng• `�4 I I lir ) „ rt,• I<•Iy '.ni 1 I> ;73.1Undergrnd.Storagetank 0Gas-0Oil
25. Roof -- I 1
--- Sheathing :, ' �;5- rt <<�yI 74.' Overhead Hydro i
O
-26. T-Bar Ceiling (Structural)& Monocoat' ' c - ,. I 75.' Dry Chemical ; r -
‘27r1Frarne and Flashing, R _ 1 I•;0 5 I jZf� l� 76.• Dry Standpipe I e. -
' 28. '+Lathing& Siding Ei , I I II 1; I ;';3,-; i i 77.' FIXED SYSTEM:FINAL • '
29_.lnsulation - a ' r. t I ,; i1 I 11?...-? I 78, FIRE PREY. FINAL • -• •
!
-30. IOrywall Nailirig ''.- n i 1) Il I ikdt yitYkr, 1Notes: i I 1 - • i '
31.tPlaster:Brown Coat „ , i 1 I I I 1 ' t ' ' . •
• '
i
;, 1-32. rElectrical'Power Meter-Final I I, A 1 I I I I j I I I I I •
= n r 1 1 . ' , ' 1 I I I i t 1 I J t 1 I ,
J
X33. Final Electric . .. - ...a.- -Ii ! - • .. _. . ..
° 34. Final He ;ating &iAir Conditionin' ' I I ' 1 1 i .1 I t
-• 1 , i I 1 ' I I� i .
35. Final GaSl PiPe-Test� 1". 1 I "I , I 1 I r` I • , ,' • . '' '� :c • - 1. • .
36. Hood or'CanoPy_': ,,; II LI:,
' :; , I .,1 ,
37. Final Factory Fireplace. i - c• pp • , ' • I I I - l i _ ., a '
r; � - , 1i' 'I i ' 1 I
38. Final Plumbing i 'I• 1 ' °, , 1 • 1 I -1 I ' I I '^ I" - i •.
39. Water Service-Final • ' J. , ' - I: 1 I I 1 I " ' I i I i I '- .
40. Gas Service-Final I - I - I ' I I ' I i 1 1 1 1 u 1
41. Solar Domestic-Final I i ' ' 1 ' ' ' ' I - ' ° • •
42. Backflow,Preventeri i 1 • I -
I ' ' . iJ1.. ._ Ici ' , :�'; '-i
43. Backflow Irrigation ` ! ' ; 1 .;r.;" ; f- _ i "1 ° - _ '
44. Landscape Irrigation[System i L- f4; • 1 ` i " 1 , 1 =1 17,I . ' + ' ,: i ' r
45. Sound!Attenuaiion <jt ' = I 1' , I 1 ,-g , -2; - ' 1 '' I y' ' i. ' . • - -• ' •
.-11 10'1 _ .-: , • • - - • -
46. Handicap,Regulatioris 1 I I I -° II I I :I
•-
47. F INA IISTRUCTURE& BUI LDI•NGII I. DI 1 4'1 .irk ; , ! .
48. Special Requirernerits Completed; '1 3o zi 1 vsA & ' I 1 : 1 I _ 1 i '
49. Electric Rele'aseito Edison; 1 ' - .- -4 _ I_ ' I _ '•
50. Gas Release to Southern California Gas Co ' 1 I i 1 ! I I 1 I - • -
i I :I- 1
51. CERTIFICATE OFIOCCUPANCY I ._--..,_.;_i, _I I ....f__2. +_;___ _ ,_ ;111,
No K '1 1 1 1.. Date I ii I I I I -L i 1 '