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Home My WebLink About3053 LOYSBURG BAY - Building Permits AI :' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. A CITY'OF-COSTA MESA i PER NO. T- NO. LOT NO. BLDCyNO. 0724 6/21 /83 267.58 TI CONSTRUCTION PERMIT 8.1538 BLD *NO. Mailing Ad•r:ss-✓ J % ' 'f-•-aV it I G y�a TYPE OF CONSTRUCTION 1] NEW ADD I_I ALTERATION LI REPAIR Project Address 'yfl -.0 .1 / i`f��.9GfiJ • ❑'CONVERSION ❑ DE • I ❑ •T E" pp��aa�� ppa \.' • / - • :�� e' DESCRIPTION OF WORK ills I '.Of�'�.I;.. JO1ailj.jra J Owner's Na ,Va - a J "��]�T ZONING REGULATIONS sa Address al _ u. / ' I II(pJ -A5/-11nn �^1 ��1�e� 1t �" TYPE OFPE PERMIT U GRADING U FOUNDATION GI STRU TURAL A.P.# 41U ZONE IvoC.+ Arch/Eng. ,Ill jy�/ zi•n�'It1��/..I•._ : , 41If�l� ❑ TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL 16---7q- /p BUILDING f Ar, iga ' ''nil' . ). % i PING. REF.# �"7U 'rCFTH ACK Mr CT Address I-rI AIL/ Ile �} u ,' ❑ OTHER TO BUILDING .�.y. sr I Ai I I PROPERTY LINE rot REAR YARD(TO P/l) an Contractor's Nam: i`7L��r?� -hone I At PROJECT DESCRIPTION S• ! �a F A OCCUPA Y / Address(mailing)- .- mailing)" at.. CONSTRUC 10 TYPF VAL/UATION$� (/II(/' LEFT SIDE YARD3) el .�(��RIGHT SIDE YARD ;Rev . bd ZONE GRADI NG CU.YDS.{. ACR VIII C/F� PKG.SPACE REQ. 9 5 PROVIDED /1 L lap License No. _ - *--• IIIYYYIII oC (X 7 [lap LICENSED CONTRACTOR DECLARATION 4"• Remarks: f STREET WIDTH op / PARK FEE$ 5-7 -, 15 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 SPECIAL CONDITIONS:B',f a ".. r.:-..-.nnrraVNI 'C my license Is in full force and effect. . MU Sr Griswa ts• p... •— , License Class License No. PLUMBING !i . Date Signature '' 'ORKERS'COMPENSATION DECLARATION• • Bar Sink Sewer Cap ELECTRICAL • :relay affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Sewer Connection Automatic Washer Meter Dover 100 amps Workers' Compensation Insurance, or a certified copy thereof (Section - - • - 3800, Lab. C.) Backflow Irrigation Solar Collectors Construction Pole Sub Panel �lIcy No. Company Cooking Unit Sub Pole ertified copy is hereby furnished. Bathtubs Solar Piping LLJJ Certified copy is flied with the city Building Division. Dishwasher Motors 00-1 HP 1:11%-8-. Date Applicant Clarifiers Solar Tank EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Swimming Pool w/Spa •Dryers ❑Gas ❑Electric (This section need not be completed if the permit is for one hundred ($100)orInc.Solar 09-15 HP ❑16-15+ le certify that in the performance of the work for which this permit is issued'I Drinking Fountains Urinal Fan Microwave I shall not employ any person In any manner so as to become subject.to the - F.A.U. Pole Light Workers' Compensation Laws of California. , Floor Drains Water Closet Date, - Signature Fixtures NOTICE:If,after making this declaration,you should become subject to the Floor Sinks Water Heater Range • Workers' Compensation provisions of the Labor Code, you must forthwith r _- - - - Device Boxes t comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Service Sign CONSTRUCTION LENDING AGENCY Outlets I hereby affirm that there is a construction lending agency for the performance interceptors Standing Sections of the work for which this perm! Is issued (Section 30971 Clv. C.) .$Witches Trash Compactor Lender's Name n�a� p1t (�,� Nei Tt Kitchen Sink - P Lender's Address }42S s 11`I irk! r� ) - .q2t \AU ha OWNER BUILDER DECLARATION Lavatories Garbage Disposal I hereby affirm, hat I am exempt from the-Contractor's License Law for the Generator 00-5 KW 05-15 KW following reason (Section 7031.5 Businessland Professional Code: Any city or P-Trap _ county which requires a permit to construct,alter,Improve,demolish or repair Transformer ❑15-50 KW anystructure, prior to its issuance,-also requires the applicant for such permit Roof Drains to file a signed statement that he/she,is licensed pursuant to the provisions of 050+KW -- the Contractor's License Law(Chapter 9'(commencing with Section 7000)of - Reinspection Fee $15 ivision 3 of•the Business and Professions Code) or that he/she is exempt Showers Reinspection Fee $15 - - arefrom and,the basis for the allegedexemption. Any violation of Section -- Meter ❑up to 100 amps `• . •.. Issue Fee '$ 3 J31.5 by any applicant for a permit subjects the applicant to a civil l_ __ ' penalty of not more than five hundred dollars($500). Service Sink Issue Fee $ 3 Zoning Approved By ��L� pate yel)3 LJ 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 - MECHANICAL Application Approved By Date 45 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 Refrigeration System /�thereon, and who does such work himself/herself or through his or her own Application Issued By Date / l employees, provided that such improvements are not intended or offered for ❑0-100,000 BTU ❑100,000 BTU sale- If, however, the building or improvement Is sold within one year of com- Duct-Under Ground SUMMARY OF FEES pietion, the owner will have the burden of proving he/she did not build or im- ��8833 -- �J r e for the purpose of sale).' Duct-Structu'rel System Repair/Alteration 3,�(/ i I,as owner of;the property,am exclusively contracting with licensed con- BUILDING PERMIT $ SMTP $ ra ors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating PLAN CHECK $ PERMIT he 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 ❑ Multiple 0 PLUMBING $ tractor(s) license pursuant to the Contractor's License Law). GRADING $ 0 I am exempt uLAN CHECK $nder Section B.& P.P.C.C.for this reason Firepl/Fact.Bit. ICBG# $ i ELECTRICAL $ - _ Date Ow . HeatingSystem& Ducting - PLAN CHECK $ MICROFILM $ i hereby certify t :t I hay- read this application and state that the above 00.100,000 BTU 0100,00081E information is cor'-ct. I a• ee to omp /with all -ity and county ordinances TOTAL FEE $ and state laws re ;ting to •uildi g co• ruction - d hereby authorize repre- — I 0 MECHANICAL $ sentatives of thi, city t enr .}D the ab• a-me bHood or Type Cloned pro•ert ' for Reinspection Fee $15 LESS suant to urt[Karoo s. –/ - ifDate d Canopy Type II ❑ PLAN CHECK $ ADVANCED PC $ SigniDrivers' Licen :!r-5 FINAL FEE $ K �/ CMF 0865-46 rev.12/82 Whit- -Building;Canary"pplicant;Pink-Accounting;Goldenrod-Assessor 4...c.$ ol47 • AYR e. � • J '!? : - �L - : . �, :JW 1 �..� I/- `•� - • �/ t. a T — I —�, • 1( I 9 - . - • • 1 Al L -11 . . I. 1 - • • 1 4 i I' - 1 C' , 1 1 •- 1 • p- ' , - • I c i I 1 I , 1 ^i I I . J1' • __1 •, Q T I �� I I I I ti it l I ' I ! ! y '• " ': m .'_"-y 1 y I 1 it C-:II— �. - t 1 1 1 1 1 I . . 1. r- 1 1 Iii 'I-.1 ' c ^ 1= 1 . t. i 1 _. Ij� 1 1 I t_ 1 1 I • _ _ 4 Ir' ' I y I ; ' I I I. 1 Inf R_ i > I . I I I 1 I I _' ; - 1I 1 1 - i I 1 • - -. 1 1 ' I - 1 11 I I 1 II. ' 1 1 I { I 1 • VF IN -, : II j . S . ' ' _ t n 1 I 1 1 , I , . i ; • - 4 ; ' I i F5 i I : I 111 I I 1 • rr Ie 1 X11 ! J I 1 4 i - ` I I }—f { 1 I .1 14 I. _ 1 1 ' ' u 01 1 ; I 1 1 I .1 _ 1I -' ' _ r' ' 1 _ . .. - - - I - 1 r - 1 I . I I. I . �I II 1 I , .- I- T ' , , I - - • I 1- - 1 H 1 1 1 1 1 I I i1 ^1 I i I � I '4 I I ' 1 i 1 ' ' ' ' _ i I _I j � " I I + t-- - -I' - - 1 - i r P 1- �1 1 r � I . 1 TZ: n ,ed ,1 , N1"' ' '• SI- Ic r' I - +' C I C' ' I • - '' A JI C ,C • 41 i 1 I - I'4- 1 I • 1 • ,- 1t I f - 1 'll , -I .1 -I r ! 1 , % I I I I I `I I I I , 1 . i I I—' i I I ti.. 1 I I A 1 1 , (--1'., -1 —i.....4_2_,....1._-T- ,- -i--i-. _ ,' 1 I v°..� 1, - -1 1 1 _1_1_4 ! - - Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ' , I PERMI N � . TRACT NO. LOT,NO. • 13L-13-G.NO. • • ' CONSTRUCTION PERMIT � � - I I - \ 'Applicant's Mailing Ad•rge ..y^ 44 • r - 'fl6a I TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U'REPAIR - . �' Project Address - !Nana.4x ��Y//I El CONVERSION ❑ DEMOLISH ❑ OTHER .. Tibia CU - ' - Phone al -a3 ) DESCRIPTION OF WORK •Owner's Nam1e/� - _ - 'ZONING REGULATIONS ' ' Address -d-J.� � 1�1•UPy - _ l)tlli;-I i' e', 'TI TYPE OF PERMIT ❑'GRADING��r�'7777a FOUNDATION U STRUCTURAL ' A.P.•,Y• - rZONE Arch/Eng.' ' ' - License No. 1 ❑ TENANT ❑ ELECTRICAL pp PLUMBING ❑ MECHANICAL ' - BUILDING' ' PL- REF. 1 ' ' ' _U,OTHER - • ecymorkrn er ' Address - - • 11',,��11••ss ' - ' = TO BUILDING REAR- YARD (TO P/L)_. !'-77/I • - • • ,Phonate 31—l/ /1 PROJECT DESCRIPTION SG. FT. OCCUPANCY PROPERTY LINE - , Connector's Nemn ll 1/ ( (�. LEFT' SIDE YARD RIGHT SIDE YARD Address(mailing) R14 / KL4-fP//14 r/✓e I CON ST RUCTION TVPF - VALUATION$ `• • -� � ZON)= GRADING CU.YDS. 'AC RFS PKG.SPACE'RE PROVIDED ' License No. __ p . - - - LICENSED CONTRACTOR DECLARATION f2emarb: • - I /3 `7 S3 r • STREET WIDTH I • .. PARK FEE$ - 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 ' - SPECIAL CONDITIONS: i • _ - ' - - • my IIcense is In full fo ce nd'effect. - - ' - - ' - - License Clan `'L- �0 n'• I nse No./ '� �� ' PLUMBING - • ; Date /a'L-�1-7 Signature I Wf/J Wel ,C•-Q - - - Bar Sink 1 Sewer Cap ELECTRICAL .' 1RKE RS'COMPENSATION DELA RATION I r - - Aut• omatio Washer _ -Meter Clover 100 amps ' '°•�eroby ars Compensation have a insurance, f consent to self-Insure or a fortis cate�i. Backflow Preventer- ; Sewer ConnMion - - , ---r - • `J--, Workers' Compensation orInsurance,' a certified'copy thereof (Section:, - - 3900, Lab. C"�''1iI'1 01/ /� N� - , Solar - -- Construction Pole ,' ! Sub Panel I , ' r 1-yrr/C,,A /l0 I'Lrq 11 I IS�iIt',, ! ('- Backflow Irrigation Collectors • • , Policye No. mpanY - - _- _ Cooking Unit Sub Pole Certified copy is hereby furnished. /7 1 •' / Bathtubs 1 Solar Piping • , _ , yA1 Certified copy is-filed with the city B‘12Ing Div i ' r ' _Date /0'/y0k.� Appncant /'Y-4O�Division k/nri/A �// Clarifiers - _ solar Tank Dishwasher j 'Motors ❑0.1 HP ❑1S$ ; EXEMPTION 7n su to need FROM ba wmEv a ea COMPENSATION pa mTt IOshlor,one hundred t (5700)dr.•, i1 Dishwasher j j r Swimming Pool w/Spa Dryers-❑Gas ❑Electric •- 'inc Solar ❑g-15 HP ❑i6-15+ Ile certify that In tie performance of the work for which this permit is issued,.(„, . Drinking Fountains I Urinal 1 Fan , _ Microwave ! • shall not employ any person in any manner so as to become subjectto the - F.A.U. Pole Light • Workers' Compensatlom Laws of California.' I Floor Drains1 / Water Closetc. + - I Date Signature - 1 I I Fixtures NOTICE:If,after making this•declaration,you should become subject-to the--t - , Floor-Sinks i- L - •- - ---. - --Water Hater - - - - - -- -- - tures. - } _ Range - _ _. .. - • -- Workers' Compensation provisions of the Labor Code,.you must forthwith . , I comply with; such ,provisions or this -permit shall be deemed revoked. ,• - Device Boxes g • CONSTRUCTION LENDING AGENCY Gas Service. Outlets; Water Service I sign Outlets I hereby affirm that there Is a-construction lending agency for the performance 1 Interceptors' •t) - ' _ . r I I Standing Sections , of the work for which this permit is issued (Section 3087' Clv. CO' - - - - Switches Lenders, Name • - I - ' •/' K!{chen Sink- ' r ' ' ' I a i Trash Compactor • Lender's Address - - I Lavatories.. • — Garbage Disposal ' • OW NE R'BUILDER DECLARATION' - ; i• i '- I hereby affirm that I am exempt from the,Contractor's License Caw for the' - • i_ - - - - 1 Generator 00-5 KW 05-15 KW 1 • following reason.(Section'7031.5 Business and Professlonal;Code: Any city or , P.-Trap , - county which requires a permit lo,construct,alter,Improve,demolish or repair , . Transformer ❑15-50 KW I ' , any structure, prior to Its Issuance„also requires the-applicant for such permit . , Roof-Diains ' r I ' ' ' I ' to file a signed statement-that he/she Is licensed pursuant to the'provislons of - �� - _ - ❑$U+KW Reinspection Fee • the Contractor's'License Law-(Chapter 9(commencing'with Section 7000)of ' • ' , r spa - $15 )Ivision;3 of the.Business and Professions'Code) or that he/she is exempt - Showers , • -, Reinspection Fee $15 - nerefrorn and the;basis for the alleged exemption.-Any violation of Section . - - .' - .' Meter Cup to 100,amps - Issue Fee. '$ 3 i ./031.5 by any applicant for a permit subjects the applicant to a dvil i ' - -- - enalty of not more than five hundred dollars($500). Service Sink' Issue Fee $ 3 ' G - , Zoning Approved By Date LJ 1, as;owner of; he'property or my employees with wages as their sole ) -- MECHANICAL - compensation' will do the work;and the structure Is not intended or offered , - ' r I ;l Application Approved By -Date ' 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. ' ' I ' • Refrigeration System �� ' thereon, and who does such work himself/herself or through his or her own - Application Issued By 'r r✓ Data �� employees, provided that such improvements are not intended or offered for ❑0.100,000 BTU ❑100,000 BTU , ' sale. if, however,the building or Improvement is sold within one year,of cpm- ' Duct Under:Ground ' ' SUMMARY OF FEES ' pletlon, the owner will have the burden of proving he/She did not build or Im- - - ' rove for the purpose oT.sale)'. Duct-Structural System Repair/Alteration • BUILDING PERMIT $ SMIP $ U I,as owner of the property,em exclusively contracting'with licensed con- Duct-Ventilating ' L tractors to construct the project (Section 7044,Business and Professions.Cotle: . .-_ 9. _ -.. _ - _ - _- PLAN CHECK S. PERMIT i 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 ❑ Multiple C. LUMBING $ •� . tractor(s)license pursuant to the Contractor's License Law). PLAN CHECK, $ -5---- GRADING • $ ❑ I am exempt under Section - - - B.& P.C.for this reason i ' Firepl/Fact.elf.ICBG 9h • $ Date Owner' I � Heating''System&Ducting ' i I ELECTRICAL $ I .PLAN CHECK $ MICROFILM $ I hereby-certify-that I have read-this application•anrl-State that the above - 00-100;000 BTU-0100,000 BTU-- - --' - - ' Information is correct. I agree to comply with all city and county ordinances ' 1 • , - i TOTAL FEE $ and-state laws relating to building construction,'and hereby authorize repro- • Hood or Type ❑ i - ' MECHANICAL $ • sentatives of thii'clty;to enter upon the above-mentioned property for yP ' Reinspection Fee' $15 LESS ' ' i Inspection pyrpbses.r < Canopy Type II ❑ I PLAN CHECK• $ ADVANCED PC i $ Signature 1/�.�iC-/�i`-” ////LL/i'✓ 1 Data � O J r • , ( , • ' p' I Drivers' License or 55 )/� Registers I Issue Fee $ 3 I • FIN_AL FEE • $ )e CMF 0665-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor . n t'%CONSTRUCTION'AND,PCANNING; 7 s, ° ar't'` 2 - -- ;c. - -o- POOL_SPA - : - , - - F G` ' r ' •c - - L arc ` `- = ' a i >`Date 0 ^Inspector - ` i - ' Date - Inspector - "APPROVALS m Peri-hib#= t - - ° �, •APPROVALS, • -Pe7mit# • - - - , - '''" ;1- Temporary.'Electrical Service oC_Pole I ; Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA' I _PERMIT NOb 1 TRACT NO. LOT NO. ;BLDG.NO. , • 1 . ' CONSTRUCTION PERMIT l`.M — / 7d2` 5' ' t. • -Applicant's Mailing Address • �• II—L L •- - - 'a = •_ TYPE OF CONSTRUCTION L NEW U ADD Li ALTERATION-:•0 REPAIR I I Project Address. 3 53 'Lo�shllr`g Bey• ❑'CONVERSION ❑ DEMOLISH R.OTHER ' - - - ;, - DESCRIPTION OF WORK meta I lrep�-d CC' _ • - OwnersName - . .T�nPS Cn.• Phone - ' - ' _• - ZONING REGULATIONS Address. - - _ _ 'TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION U STRUCTURAL ' - A.P.5$' ' . •ZONE I • •. ' Arch/Eng. License No. ' ❑ TENANT ❑ ELECTRICAL ,PLUMBING W MECHANICAL - PLNG.RE F.916 _ BUILDING ' Address': ' - - ❑ OTHER ' - TO BUILDING - cPTwnry rn CT - Contractor's Name Coast _Y i repT Se P Phone '639-1 820 - PROJECT DESCRIPTION SQ.FT. OCCUPANCY PROPS RTY LINE REAR YARD(TO P/U _ Address(meiling) 1080N- 'B%1tA V1 %+ ,Or�iT1�TP , 92M7 CONSTRUCTION TYPE - VALUATION$ LEFT SIDE YARD RIGHT SIDE YARD. /G ZON): GRADING CU.YDS. ACRES PKG.SPACE REQ. PROVIDED " • License No. ' __ r - LICENSED CONTorvr RALA RATION ' Remarks: '� —^�� A 8 ! STREET WIDTH , • PARK FEE$ • I hereby affirm that I-a'm licensed under provisions of Charter.9(commencing ( ✓ - ' with section 7000) of Division 3 of the Business and Professions Code,and SPECIAL CONDITIONS: • . . .• ' my license is in full farce andleffect. • I j ' L • icense Class' —• a S spsIeNoU•363yy4 - ( I PLUMBING • - Date E 11/1'6/83 $ignature s��(((,,,(((,AMUA.(////L�t." // - - ' "ORKE S'COMPENSATION DEC • R• ION p t , Bar Sink Sewer Cap ELECTRICAL ereby affirm that I have a certificate'of consent to seHdnsure or a certificate Backflow Preventer -Sewer Connection' - — _ iLutornatic Washer ' ,- • 'Meter [lover 100 amps ' _ -• . Workers' Compensation Insurance,'or a certified copy thereof (Section - — ' 3800, Lab. C.) 1� 0I-8 OCCA - - • 1 Construction Pole • Sub Panel • , 5 73. 3 Company Backflow Irrigation Solar Collectors . Policy No. 1. - •L • - i " - Cooking Unit , Sub Pole I�--II Certified copy Is hereby furnished, 1• Bathtubs , Solar Piping g{Certifie co y I{flied with the City Elul • ng si•n - - Dishwasher - Motors 00-1 HP ❑1K-8 I Date� ]. j�3_ApPlicEnt �� ••- !� , I Clarifiers Solar Tank I I EXEMPT ON FROM WORKERS'COMPS• SAT( ' DEC LAR• ION 1 Dishwasher ; - , Swimming Pool w/Spa • Dryers ❑Gas-(]Electric Inc.Solar,09-15-HP 015-15+ (This section need not be comPletetl if the •er mit Is for one hundred ($100)or it certify:that In the performance of the work for(which this permit Is issued,I , Driokiny • Fountains r Urinal - fan Microwave shall not employ any person in any manner so as to become subject to te ' 1 ,, I • Workers'iCampensatlon,Laws of California.) l i Floor Drains, F.A.U. ;Pole Light i 9 1 Water Closet i Date ' - Signature ' - •- • NOTICE:If,after-anon this declaration,you should!become sub'eot to the • - Floor Sinks - -- -• •. - . .Water Heater _ _ _ 1- _ Fixtures 1 _ +Range I_ _ �_, ( -, Workers' Compensation' provisions of the Labor Code, deemed,f revoked,' th - - - I ; , comply with such provisions' or,this permit shall be ;deemed, revoked: ' _ Service ; Device Boxes Sign' t. Gas Service -Outlets, Water, nl • I CONSTRUCTION LENDING'AGENCY' I - • ., Outletsi ! ' • • I hereby affirm that there is this; , , ,'Standing is Issued (Section-3097. CIS- C.)i - •Lender's) Name ` - - 1 Kitchen Sink -E. I Switches Trash Compactor • i , I Lendiir's Address - - ' OWNER BUILDER DECLARATION • Lavatories - Garbage Disposal ' I hereby affirm that I amexempt.fram the Contractor's License Levi. for the - .- - Generator 00-5 KW 05-15 kw • . • following reason (Section.7031.5 Business and Professional Code: Any city or P—Trap . , I. I - county which.requires a permit to construct,alter Improve,demolish orrepair • i - - Transformer 015-50 KW ' any structure, prior to Its issuanfe, also requires the applicant for such permit ' R - oof Drains - —. , - , to file a signed statement that ho/she is licensed pursuant to the provisions of • ' ' - ' • ' • 050+KW ' I the Contractor's License'Law(Chapter 9(commencing with!Section 7000)of -' _ , _ - • - Reinspection Fee , $15 -)ivislon'3.of the Business and Professions Code) or' he/she is exempt ' Showers - - Reinspection Fee $15 ierefrom and the basis for the alleged exemption.-Any violation-otiSection - - • Meter Cup to 100 amps , Issue Fee ' ' '$ 3 031:5 by'any applicant for-a.permit-subjects .the applicant- to A.chili - •- ' ' _ _ / penalty of not more than five'hundred dollars($500). :. , ' Service Sink i Issue Fee - $ 3 Zoning Approved By pate • 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 (Section 7044, Business(and•Professional Code: The Contractor's _ i� ' 1 • License Law does not apply to-an owner of a property who builds or Improves ' Boiler Refrigeration System q illation Issued By �//% Date i��'', thereon,;and who does,such work himself/herself or through his or her own pp, . employees, provided that such'inIProvemonts aro 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 corn- a SUMMARY OF FEES pietion, the owner will have the burden of proving he/she did not build or Im- '. I rove for the purpose of.sale). Duct-Structural l System Repair/Alteration am exclusivelycontractingI BUILDING PERMIT $ SMIP . $ LJ I, as owner of the property, with scions 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). PLAN CHECK• $; GRADING - $ 0 I am exempt under Section B.& P.C.for this reason 1 Firepl/Fact.Blt. ICBG# 319c ' $ - Date ' Owner - HeatingSystem& Ducting ELECTRICAL $ - _ PLAN CHECK $ , MICROFILM ' $ ' I hereby-certify that.I-have read ts application l ityd state that the above 00'100 000 BTU 0100,00I BT1T— -- - - - ' information stat is correct. I agreerid t• Comply with all city and y county rize repro- , I 1 QQ I TOTA L'FEE, $ ' ' and state laws relating l bullet g construction,and hereby authorize Or Hood or Ty•pe I 0, ' - MECHANICAL $ 7 sentativesSignature of N s Ity .t• ant= upon the above-mentioned propertyor YP - Reinspection Fee $15F LESS 'inspection p re 1 , 6 /I Cahopy Type II 0 ' PLAN CHECK $ z• �� ADVANCED;PC , $ _ �_ — i Date 11/1"/'83 • DriJers' License or / : t Registers i Issue Fee $ 3 • • . FINAL FEE - $ jJ..00 CMF 0865-46 rev,12/82 White•Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor CONSTRUCTION AND PLANNING POOL 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 Utilitvfl•.lndrgrnd. 54. Forms a 4. Electrical Conduit-Undrgitd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test • - / 6. Electrical UFER Grnd. + 57. APPROVAL TO COVER-GUNITE ' ' 7. Footings 'i ' i_ 58. Electrical Conduit-Undrarnd. • 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • T 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 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 - /1/np/r7 RC'e 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 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 .5 471p/ Ige 38. Final Plumbing fl' 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 till in all spaces excepthose wheavylines t ithin border and sign all approoriate declarations. CITY OF COSTA MESA • PE M T O. - TRACT NO. LOT NO.. BLDG.NO. �`-,� 10/11/IL. 7% ,_� - �,a� Ti.. CONSTRUCTION PERMIT , �� Q /D07/a - 17/ , Applicant's Mailing Address a w �•�s ' �v4 • TYPE OF CONSTRUCTION '�NEW U ADD Lf ALTERATION REPAIR _ . Project Address '• v �'/y` �� ❑ CONVERSION ❑ DEMO 1 H 9/OTHER EER - - - Owner's Name 14 1• /,L'- 'hone /119-337b DESCRIPTION OF WORK Y'--ea. z VI � � 7 V ZONING REGULATIONS Address =��'1'- =��1��'• �- } Type OF PERMIT UGRADING ❑ FOUNDATIO U STRUCTURAL A.P.# • • ZONE Arch/Eng,' License No. ❑ TENANT 0 ELECTRICAL 0 PLUMBING ECHANICAL PLNG. REF.# - ' BUILDING - ' ' Address ❑'OTHER - TO BUILDING SFTw nrx its CT _ • - REAR YARD(TO P/L) Contractor's Nam• r e %«p 4 1r �4 4 ' hoe PROJECT DESCRIPTION SQ.FT. OCCUPANC PROPERTY LINE CM a / .(Q�, LEFT SIDE YARD • RIGHT SIDE YARD Address(mailing) �'�t,)s/i• vry �/�- •� "- 2' OON STRUCTION TYPE VALUATION 17Q License No ' 175:26,1 ZONE GRADING CU.YDS: ACRFS - PKG.SPACE REQ. PROVIDED - LICENSED CONTRACTOR DECLARATION Remarks: •r� - 7, 3 8 STREET WIDTH PARK FEE$ I hereby affirm that I am licensed under provisions of Charter 9(commencing . I with section 7000) of Division 3 of the Business and Professions Code, and SPECIAL CONDITIONS: • my license is In full force and effect. License adss' O License Na. 494474/196 PLUMBING Data 10- -1•'7 Signature -• Bar Sink Sewer Cap ELECTRICAL IRKERS'COMPENSATION DECLARATION . - - deby affirm that I have a certificate of consent to self-Insure or a certificate - Backflow Preventer - Sewer Connection Automatic Washer Meter (Dover 100 amps , Workers' Compensation Insurance, or a certified copy thereof (Section - - _3800, Lab.lap. C q ,/ Backf low Irrigation • Solar_Collectors , Construction Pole Sub Panel Polley No. rh i Ludo/559 Company iittn�fie - - - Cooking Unit Sub Pole ❑-Certified copy is hereby furnished. Bathtubs - Solar Piping • lf[Certltled pp filed with the city ding I ISion. ,///' Dishwasher Motors ❑0-1 HP ❑1X$ r Date /d -y"�-'S Applicant a0 m�- Clarifiers I Solar Tank EXEMPTION FROM WORKERS'COMPENSATIO DECLARATIONDryers ❑Gas ❑Electric (This section need not be completed if the permit is for one hundred($100)or Dishwasher Swimming Pool w/Spa Inc.Solar ❑9-15 HP ❑16-15+ ' less): 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 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 - - • 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 - w - - - Outlets • I hereby affirm that there is a construction lending agency for the performance Interceptors Standing Sections • of the work for whispt( this permit is issued (Section 307 Civ. C. ) Lender's, Name /g . Kitchen Sink , ' • Switches Trash Compactor Lender's Address OWNER BUILDER DECLARATION - ' Lavatories Garbage Disposal 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 - "r• .. county which requires a permit to construct,alter Improve,demolish or repair - _ • Transformer ❑15.50 KW any structure, prior to its Issuance,/also requires the applicant for such permit ' Roof Drains - to file a signed statement that he/she is licensed pursuant to the provisions of ❑50+ KW' the Contractor's License Law(Chapter 9(commencing with Section 7000)of - - :Reinspection Fee $15 'vision 3 of the Business and Professions Code) or that',he/she is exempt Showers - Reinspection Fee , $15 erefronl'and the basis for the alleged exemption. Any violation of,Section ' ._ - Meter ❑up to 100 amps Issue Fee $ 3 • 031.5 by any applicant for a-permit subjects the'applicant to a- civil - $ 3 __ _ _ enalty of not more than five nundre l dollars($500). ' Servile Sink• issue Fee - 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:,Thej Contractor's ! - + ,r_ , • License Law does not apply to an owner of a property-who builds or improves Boiler - Refrigeration System /sxi • AQ-/3' P3 thereon, and who does:such,work himself/herself or through his or her own ' - Application Isdued By Date . employees, provided that such'Improvements are•not intended or offered for i Duct-Under:Ground ' ❑0-100,000 BTU ❑100,000 BTU sale- if, however, the building or improvement is sold within one year of cam- ' SUMMARY OF FEES ' pletlon, the owner will have the burden of proving he/she did not build or int- ' rovefor the purpose ofsale). - 1 ' Duct-Structural System Repair/AlterationBUILDING 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 Coda: - Duct-Ventilating ' _-_ PLAN CHECK $ I 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 I 1 PLUMBING S. tractor(s)license pursuant to the Contractor's License Law). 'PLAN CHECK: $ • GRADING , $ ' _ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# - $ '• - - ELECTRICAL $I i • • Date ' - Oner' - wHeating l System&Ducting ' I , MICROFILM $ I hereby certify that I havereadthis'appilcatlon and state that the above 100;000 TU 0100,000 BTL - , IPLAN CHECK $ information is correct. I agree to comply with all city and county ordinances • - • �c(l 00 TOTAL FEE $ and-state laws relating to building construction,and hereby authorize repro- Hood or T e I ❑ MECHANICAL Iden$ , sentatives of this city Ito enter up• the above-mentioned property for YD ' Reinspection Fee. $15 LESS inspection purposes. // Q `, Canopy Type II 0 PLAN CHECK $ ' Signature ..-....a11. A Date , ADVANCED PC $ Drivers' License or S5# • ../ Registers • Issue Fee $ 3 FINAL •FEE $ �� CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Plnk-Accounting;Goldenrod-Assessor -•. %CONSTRUCTION,AND-PLANN.IfUG, - - - -- POOL ,PA - ,-- - -_ -- -- - • *' r - - Date 1 Inspector .' '` ' - . Date Inspector APPROVALS Permit#" : - : - ;? APPROVALS Peimit#- '-1.-Temporary Electrical Service orPole ' ?- -• t i '52fi Pool & Equipment Location , . � 2: Soil Pipe-Undrgrrid.; _ • 5:I't L. '` 53_ Steel Reinforcement • - - - 3: Electrical Conduit Utility-Undrgrnd r I z• • : 1-.11; • ,- ' 54.Forms C - - - •' o . „' 4 Electrical Conduit-Undrgrnd'. -:% ` I -- r , _ 1,. c k, F,• - . 55. Electrical Bonding 5: Steel Reinforcement" '. p:el - : r 1 :•11.- '..., - ' 56. Rough Plumbing'& Pressure Test 6: Electrical UFER Grnd.: T. ,° "- ' 57:7,APPROVAL'TO'COVER_GUNITE . 7. Footings • I ! 1 f i o ;-" 1 , '¢ . - 17 •- 58.• Electrical,Conduit:Undrarnd. ' 8. Foundation .-1I ! - 1 - - ° ' ` `; 59. Gas Pipe, 0 Undrgrnd.,Test • ' 9. Water Pipe-Undrgrnd. ' I - - _ ' ' • t._ •`60. Backwash Lines,-P-Trap, 0 Undrgrnd. •. - 10. Structural.Floor System 0 5 t _ , 61. APP.ROVAL.TO:DECK - ` - • 11. Property Sewer Line,&•House Cinnection _ ' 1 7. •I 1' .. _ '62. Backwash& Receptor-Final 12. Sewer Cap 1I 1.; � ' ,1 1 F•- ' ` '63. Heater &;Vent-Final_ I _ .. - - 13. Roof1Drains ' 1 ; ! • c-`: • ' ' ° I ro 9 '_ , ., 64. Plumbing System:, Final • • - - - 14. Rough Plumbing - - _ - - 65. Electrical:Final - : . • r15=Rough-Electrical-Conduit - - --1:-; "T t - i-j i ' - 66.1•Solar System-Final ; . . - ' ' __ ! - .16. (Rough.Electric Wiring) H .. `; i 1 1 Q ' : I. i C. i. 67., Fencing &Access Approval . - - - = '417. :Rough Wiring:Sign`_' '-' nt ; ;! 1 7 i;f•-' I - I I7- I-- 1 F ! X68. APPROVED FOR PLASTERING - , 3/4 z , 18. (Rough,ElectricalrT'Bar Ceiling) !. I. I - - i I, ! I:. I , :: 1 69.1 POOL/SPA SYSTEMS FINAL ' 41 19. Rough`Heating &;Air Conditioning 1' I 0:24ive_r c I I FIRE DEPT. REQUIREMENT. .. • - 1 - . 20. !Rough)Factory Fireplace I ' 11� l; I ; 1 ; , APPROVALS 'Permit)# - - 21. Duucts, in Structure' •T , i '1 - : , ' I ' 1 ' 70. Underground Hydro i • ,,22: Ducts, Ventilating I ; i I I . l l ' 71.' Product Piping 0 Gas ❑Oil - 23.,,Gas Pipe-Rough&Test : 1 1 II . ,' T 1 I I 72.' Underground Flush !r--24. Roof..Framing t 1 ri I 1 IV ) .1 '°,i 1r I • ' 1 I � 23. Undergrnd.Storage Tank 0 Gas 0 Oil , • 'I 25. Roof Shy thing i ' , y i !1•\ ; I i 1 i= I 74. Overhead Hydro ' - 26. T--Bar Ceiling IStructuralf.& Monocoat' I 1 . I I - 1 - . •• 75.'Dry Chemical . ,. _ - . ;_27. Frame and Flashing 1 � 1 1 I 'i I' 1 = i , , i21 i 1 76.• Dry Standpip• e I • .' _ liI 28. ulathing & Si• ding i 9'. . 1 I 1 1 ' , I ,` - 77., FIXED SYSTEM FINAL - '1 29. Insulation : i ° `'' .11 11 I i 178. FIRE PREV. FINAL -1 • „ v - '- -30. Drywall Nailing j ; " ' I 1 i I 1 I ' Notes: i , I - - -- . „ q Ik3T. -Plaster Brown Coat -Til 1 1 II. '' l` 1 I 1 1 I 1 , , $ �1 32. 'Electrical Power Meter Final I 11 li i I ' 1 , , I `` I • . 33 Final Electric__-I. 1-- H -- !' J I 1 I i ..j I - • , - . ' , 34. Final Heating &)Air Conditioning • • #7/sY 35. Final Gas Pipe-Te'st j'r I 11-. Ir- lc:, , - i • - - - - • • 36. Hood or Canopekti °!rl. ' e; H - � - ' ' . I • ; : - . 37. Final �aetory Fireplace I i • - 38. Final Plumbing I. . 1 ' o, I 1 I; I I , -, - ! s.. 39. Water Service-Filnall I 1 I 11 I ' I « • - 40. Gas Service-Final I - i • c a I , , , . • i 1 , 41. Solar D6mestic-Finl i 1 1 1 4 - I___- -_ • - , , 42. Backflow Preventers ;- ; ' I 1 .�___ _ __ , _ - - _- .: _ .. i 1 :i - 'v i. . I 1. i 43. Backflow_ Irrigations = _ - • ' I -iI ILL , ' • ' ' - 44. Landscape I�rigaton,System i pa r 1 • • q _ • 45. Sound Atterivatign < Im ' ' 1 ,:' -p.I 46. Handicap;Reguliitio`ns I I "-r: ,! c. , I 1- ` -,., 1 , • _ 47. FINAL STRUCTURE& BUILDING t I I !- 1 , ' 48. Special Rquir4eots Completed) ° 1 I i I- "i ' , 1 ' . . 49. Electric Releaseito Edison) , I S i _. -_ii- • i__,__'g if 50. Gas Release to Southern CaliforniaI Gas Co II i I I , ' 51. CERTIFICATE OF'OCCUPANCY " '_ _f_ -_ I U- -1__ !_ ..1._._ _ '11_ _ - No j; , 1 Date 7 I 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 — ��) — /� -_eate�� ra57 Project Addressre: -- • TYPE OF CONSTRUCTION ..- r Nw 111 ADD 0 ALTERATION IM REPAIR H7GF I /rIQ rL•I ,7 Applicant's Mailinry • 1-1 ( - '"� '•+r �� ❑ CONVERSION L❑ DEMOLISH ❑ OTHER - " A,..# , u . [Zone' _ �( �� \ PY S Pho/e DESCRIPTION OF WORK - S Main Building: AccessoryBuilding: Z Owner's Name AddressE - - - - 0 TYPE OF PERMIT�y❑ GRADING El ❑ STRUCTURAL T Front • - N • Arch/Eng. License No. CI TENANT .CI ELECTRICAL ❑iPLUMBING- CI MECHANICAL • B ,Rear Address _ ❑ OTHER • A _ a N c I 1 `, - - C Right ' G Contractor's Name��. �7 •�� 'ho-:" r- a PROJECT DESCRIPTION SQ. FT. OCCUPANCY - _ ��,,,i< .,�� !t /'Y�-a CON ST RUCTION TYPE • VALUATION$ S Left E A'tldress(mailing) ! City;License No. I •1 1 - • _ ZONE GRADING CU,YDS- • ACRES Ping. Ref.4 Park.Fees $ Q U LICENSED CONTRACTOR DECLARATION Remarks: I Parking Req./Provided , _ I I hereby affirm that I am licensed under provisions of Charter 9 (commencing /J � 8 4 R with section 7000) of Division 3 of the Business and Professions Code, and O l AUse of Building: - E my license is in full f• e and : f•.t. I (�/ Ucens las • License •. 71 ori.... I PLUMBING FEES Planning Notes: - M Date -� Signature -`� ��V. —=ltijt,J/I� _ • E , Bar Sink Showers .. N 'ORKERS'COMPENSATION DECLARATION • I T Hereby affirm that I have a certificate of consent to self-insure o - tificate Backflow Preventer Service Sink S of Workers' Compen5 tion Insurance, or a certM'ed'cop then ection - - - 3800, Lab,qr,( </1{�C[3 yd- Backflow Irrigation Sewer Cap ELECTRICAL • , • FEES , Policy No IY In JL,IJ (Y Company XIV --��--- • ,. CerYfied copy is hereby turn ishe+ I■� :athtubs • Sewer Connection t .„ / Automatic Washer Transformer ❑ 15-50 KW I 1 ' rtif)ep copy is<'Y�with the city •ivisian. L. 1/ es _ ❑ 50+ KW Date 1 ll '�I-!I� Applicant - - �L��• " Clarifiers Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO Dish Washer - - - Solar Pi in • ' - ./ - (This section need not be completed if the permit Is for one hundred (x.1.0)or i Piping Cooking Unit / Meter to 1008mps S less). O'rinkin Fountains i, I certify that in the performance of the work for,which this permit islissued g Solar Tank _ / Dishwasher i Meter Dover 100 amps / shall not employ any person in any manner so as to become subject to the , • 'workers' Compensation•Laws of California. Noor Drains) Swimming Pool w/Spa I Dryers ❑Gas. gf�ctric Sub Panel • /0 — , Date Signature — . — 1 NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal _ Fan Motors ❑0-1 HP ❑7'/a-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 Ibterceptora Water Heater (/ Fixtures / Microwave 3 of the work for which this permit is issued (Section, 3097 Civ. C.), .. - r, Lender's Name- " • Kitchen Sink . Water Service Device Boxes Pole Light Lender's Address - _ ; - - • OWNER BUILDER DECLARATION - ' . Lavatories ' Outlets Range `- O Q I hereby affirm that I am exempt from the Contrector's,License Law for the P-Trap reason (Section 7031.5 Business and Professional,Code:.Any city or p . / Switches Sign oil. 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 / to file a-signed statement that he/she is licensed pursuant to the provisions of - , the Contractor's License Law(Chapter 9(commencing with Section 7000) of _ Generator ❑0.5 KW❑5-15 KW Trash Compactor Division 3 of the Business and Professions Code) or that he/she is exempt -- - P 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 chVil Reinspection Fee $ 3 , penalty Of not more than five hundred tlollars($500). - Pe $25 Issue Fee - 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 improves Boiler 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' D 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 havetheburden of proving he/she did not build or im- J .�arove for the purpose of sale). J Duct-Structural I Refrigeration System • Application Issued By P. "pi r Date//�fi'(/ 8\-3 LJ I, as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES - The Contractor's License Law does not apply to an owner of property who - BUILDING PERMIT $ SMIP $ builds or improves thereon, and who contracts for such projects with a con- . Exhaust System ❑ Multiple ❑ System Repair/Alteration ' . tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT El-1 am exempt under Section - - - B.& P. C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ,ISSUANCE $ , Date Owner - ' Heating System & Ducting _ PLAN CHECK $ k ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BT ELECTRICAL • $ 'e3 �, Q GRADING $ information is correct. I agree to comply with all city and county ordinances •- - - and state law rating to building con , an. hereby auth.ize repre- sentatives of this ty to enter u••n t • pave-' ent'..-+ o �1 inspection puipotes. 1.1u -- -Ja7 MECHANICAL $ TOTAL FEE $ SS. AZ Signature - 1 M Date I• Drivers' License or SS# Reinspection Fee $25' Issue Fee $ 3 PLAN CHECK $ N CMF 0865-46 rev. 7/83 White-.Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - • •CONSTRUCTION AND PLANNING POOL. &SPA Date Inspector Date Inspector 'APPROVALS Permit# APPROVALS Permit# 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, O 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 I 66. Solar System-Final 16. Rough Electric Wiring Il �gfr3 r 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .101 33. Final Electric 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 - - 43. Backf low 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 • 1