HomeMy WebLinkAbout3017 ENTERPRISE ST - Building Permits ' AGGRESS OF eMLOWG: 3017 ENTERPRISE ST WIT: CITY OF COSTA MESA — BUILDING PERMIT
IXMEWSNAYEtFRAMk DANIEL KASHING FLOOD: X 47 PERM NO: B 075980
Am'' 3017 ENTERPRISE
A PERMIT NO: B 075980 PLAN CHECK NO: 00172-96 L GOVT: N SUPP; N
OSTA�ADDRESS CA 92626 714-640-2143
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
• ARCHITECT OR ENGINEER: LC.NO.: JOB DESCRIPTION : CONSTRUCT COLLECTIONSITE FOR USED OIL SQ FT: 4, 900
ARCH.OR END'S ADDRESS: UHT:
CLAIM VALUE: 4 , 900 . 00 CALC—VALUE: 4, 900. 00 GROUP OCC: U-2 /
cONTRACTaaSH11lE MEI CONSTRUCTION ( 714 ) 558-2411
CONTRACTORS MAILING 1010 E CHESTNUT COMMENTS : USED OIL CONTAINMENT STORAGE FOR RECYCLING
ADDRESS SANTA ANA CA MAO.: 782327 >'E*iEat*iEiE*4*****aE;tEit**itiEAE*;tE*+e*iEiE*;tEatoAE*iE****itis*******itAE*iE*it****iE***iEiEiait****i *******
92701 WIT: Z ON ING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em licensed under provisions of Chapter 9 SETBACK S
• 4 (commencing with Section 7030)of Division 3 of the Same..and Professions Coda,and my I' u in fun force effect.
CITYLIC.Ny.: LIC.CLASS: B uc.ye+77 /1/ MAIN BUILDING ACCESSORY BUILDING
Al
g-q6 CC✓✓� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
IN centrad«: LEFT: 58 FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I exempt from the Contrition License Law la the
/ following reason(Sedion7031.5Busnessend PMees re Code:Any cityao«mywhl,nrequiresapermittoppmwd,alter,improve, PARKING REQ: PROV: PARCEL: 41822204 ZNE: MG REF NO:
demolish,or repair any structure,prier to its issuance,abso requires the applicant for such permit to file a signed statement that he or she
Slicensed pureunnttothe prpwspnsdmeConrm«s License Law(Chapter 9(commencing with Sednn7003)of Division 3d the PLANNING NOTES> CONSTRUCT 7 ' BY 12 ' USED MOTOR OIL COLLECTION FACILIT,Y .TO
Business and Professions Code)«that he a she is eying therefrom and the basis la the aaegedexem$ion.Amyvidelion el Section > THE REAR OF AN EXISTING INDUSTRIAL BUILDING. -'
7031.5 by any applkanl for a Penne sublet the applkam to a civil penalty of not more than live hundred dollen(5503]). ********************************************************************if**********
0 I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the stmdure is not intended D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N-=T`S
or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of property
who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such IA)'.�/T�'7-�y��f� //�
improvements are not intended or offered for sale.If.however.the building or inprovemenl a sold within one yew d oanplsan,the ZONING APPROVED BY ht DATE: "2' /o-9c
owner-builder wit have the burden of proving he or she_did not build or improve for the purpose of sale),
I,as owner d the exclusively Yp soled(Section 7044.Business and
❑ :T property.am esti a Lawd' with licensed contractors to properly the .[� f
Professions Code:The Connectors License dose not apply to an owner of property e builds or improves thereon and who BUILDING APPROVED BY : ( J DATE; /, -'� /b
contracts for such projects with a comretiorye)licensed pursuant to the Contractors License Law).
❑ I am exempt under Section: B.sP.c.for this reason: APPLICATION ISSUED BY: DATE: I( iC* - 9G
Data: : Owner: *********************************************** * **********iF-**********
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware of end understand the requirements of California Health and Safety Code Sections 25505,25533.and •
25534,and that I or any future building«spent will/wit not(circle one)need to comply w*h said stale codes and the requirements for
a permit for construction amodification from the Ai uBTFirnagement Dimnd,Residential conmr«sionapplcatiaare exempt Irom Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
protons. PERMIT 72 . 00
Dale: Applicant: ` SM I P/NON—RES
WORKERS COMPENSATION DECLARATION:I hereby affirmpenalty d
under penalty d perjury onethe foaowing declaration: PLAN 46 . 80 1 . 03
o I have al maintain certificate of consent tosalt•insun M workers'compensation.as provided to Section d by Sion 3700 the Labor ISSUE FEE crand Mi
cM.,dathe pudamanaedmewrkl«wroahthispem.ltisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
J Ihave af,nsini,
awrkers'compensationinsure:KtasaquiredbySecof
Section performance TOTALS -- > 73 .03 0 .00 i') 46 . 80 119 . 83 119 . 83 . 00
d,a
work In which INs permit is Issued.My workers'compensation insurance carrier and poky number are:
VIwJ Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 119 . 83 OVER/SHORT: 00
Poky Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need not be completed if the permf is ler one hundred dollars)51001 or fess) 72 . 00
4 1 .03 46 . 80
In I certify that in the performance of the work for which this permit is issued,I shall not em•• any.-. . in any manner so as to
become alibied to the workers'compensation laws d California, and agree that d i rake— sublet.to the workers' *******************************************************************************
compensation Section 3700 d the Labor Code,I shag I n.•.''h•• •
-
Date; I I b : �e 6 Applicant; Ar I N D I V I D U A �L F E E BREAKDOWN
Warning: to up to secureworkers'
hundred thousand tion covin eeSunMIn unlawful, floetjecpt can employercriminales provided penaltiessand d TYPE QTY D E S C R I P T I. O N UNIT COST TOTAL COST
civil •
see0on 3706 of the labor cpb,interest,and attorney's yees. SFC 4900 ALTER BY VALUE COMMERCIAL NOZONE 1 .00 4, 900 . 00
l• CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
- performance of the work for which thena
penal S issued(Section 3097,Cie.C), •
LENDER'S NAME: ii
' LENDER'S ADDRESS:
'• I certify that I have read this application and state That the above information is correct.I agree to comply with all Sy and county ordinances
t and state Levis resting to bbuildingmmmMion and hereby authorize representatives p
of this city to enter upon the above-mentioned property e - r
y 'fa inspection purposes.
ST VE 1OH � R 1
M
4••I ' ig-care dower/ApenUA.., UConlndor Date: /j Lie QC t72/;:s:2-7i1."1:54
—
Goldenrod-Assessor
- 7 i f
). Tr
(StSt-4a.WPl WM1he-Building 5 Safely;Grae,�Rb;Canary-Applicant;Pink-Revenue: (bus. L;C . eeptb
I���� afdrgi
•
r,.
t
1
CONSTRUCTION AND PLANNING . JL &SPA
n' 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 '' •
r.
;3:-Electrical Conduri Ut ity•Undrgrnd. 54. Forms - F. -
41-Electrical ConduiiiXfprgrnd. 55. Electrical Bonding _ •
:,55Steel Reinforcerrtentr 56. Rough Plumbing & Pressure Test g
-<6.-ElectricalUFEFG:n4. 57. APPROVAL TO COVER-GUNITE
'vFoa}ings wry j4v(O 58. Electrical Conduit-Undrgrnd.
C
ciFoundation '-+-: :a j / 59. Gas Pipe, 0 Undrgrnd.,Test
1'"• 9. Water Pipe-Undrgrk8. 060. Backwash Lines, P-Trap, 0 Undrgrnd.
•-t10. Structural Floor System , 61. APPROVAL TO DECK. 1 -'
V., Proerty Sewer Line s& House;Connection 62.. Backwash & Receptor-Final ' •
..t.
t'X12..Sewer Cap c 63. Heater & Vent-Final
1.3. Roof Drains - - 64. Plumbing System - Final'
h„,-- 14.14. Rough Plumbing- 1n 65. Electrical-Final
8. Rough Electrical-Conduit 66. Solar System-Final
g. L6. Rough Electric Wiring - 67. Fencing & Access Approval !
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - .
. ' t8. Rough.Electrical_]- Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
'. 19. Rough Heating & Air Conditioning' _ r t _FIREDEPT.BEOUIREMENT
r r, rt
. -:20. oujfl FtorFifklace -."-t ca *. Cf. _ :7417 t 1APPRbVAi �� Permit# " ,'
21. Ducts,.in Struylure:lx i - •- .-.5 . _ ,,..,.--1", '170. tlnderg l5Th Hydro
<1. rte„ � i.
22. pct?.Vegtilang r , .•
rt y ` , a 71. Produc{,Piping d Oas [. Oil
23. Gas Pipe-apugfi & Test + ,-7 L.
tr. C.' 72. Underground Ffus6> > r a,
24. Flooi<Frairting•• rt.* ' ^`' "Li : 7 5 ".E '7'73:'Undergrnd.Sio4 '`anODGas 0 611
1/4-:
i 6. X a�♦ - - to y v ,. .
25. Roof.$hegthing a; W v'i. CI i a-* 74)I0ver4eadYHydr6:, ,.
_ _ - r . p. _
26. T�BarCeiling (StrU t?ral) & Nforgprv,"pat 1- l: G g. ei ,._,V Dry _ ; ^ L.
t" ` 75�L(r emicat
27. Fame and Fla hin c' .1-
ry` r • " t"`" :- - '
S ' 3 p .k ., ,X :-1M*
t m N 76. Dry Standpipe -•W * v.
E-28. Lathing&-SidUg Si "t �GH _ 7 �w X T M1 77: FIXED S'STEP SINAI _ r
.
s.
1/4:
?"29. Insulation, - r-'t ••F t - _ * 78:: FIRE PREY. FINt9L w = c
C - t _ t J - r ' - - `
"30. Drywall Na �
iling K "' '" VEALT€TIDEPT.'REQUIR.EMENT
D31. Plaster Br',own.Coart 7 r•• ^ c c„ t ' :1, t-,79. FINAL 1.61SPECTreN + - rt
-•32, Electrical-Porn"( Met€r:Final •:14 * 1tt86`IFOOD CERTIFfCATE ISSED '.
33. Pna1'Eleciric.,, .7. --t $V :0* ..c: l* ` t Notes:f/?/ - �,-e - .
it c( '• - -` ,_
n,34. FinadHeating•& AiTConditionint}Z fl7'-0 t> -' S rill' 1• -
35. �nau GaslPipe Pest_,' - e - _ : „ .:^y Cr-' .1. y'
N -
:^36. Hoodor Canopy t Ti �•,• 1 _.'-t 41.S 2t CI T :F E Clop .. r. -
r .. c, ; Gr '- -• ::0 + 'Al m
s m aL 'I
-:37. Fi*nah actory Fire pi ge ., ' F-," . v
38. Final;^Plumbing .-rw N v4X X' r •= • * co - - 1'
:739. W'atei'Seryice-Final;a `.r X a• ,,, - -1- i ' �',
~ V
ry40. Gas Service-Final - m dM-• =rim* r: �/. `ia. �•n,
�* .__ -t'J.r-t::, I �-.2 * r ! . ..
X41. Solar Dourest JFinal S r "_,y�' } c,,-..... .,' r -
�
42. Backflow Preventer _* ,-.j •- :- - a: cr 54,0C
Q • ;+' rJ r. -
1-.7 rt
43. Backflow Irri, tion ` '"'s "r ` - `""' " J
^
44. Landscape:Irripation.System %j L t1 J -" o:
- "t *
• :'n?:. t,
A- r6L . - I - `.
45. $5und Agent;tion ; ,rl aE `-i - r ? ' '1 t--4 Cie. ;
.r . r• • Cr E • F
46. Handicap Regulations --I •: u: -' • t.-, It. - V-
,- . _4__ _ n n_ CJ . . . j:•e.
47. FINA1'STRUCTURE & BUILDING p Zi7q �t �'' , •
, '�,
48. FINAL PLAN•NING > • l .:i ^ 'o _t < r.:•-•� !'
49. Electric Release to Edison ` - • " •~+ r .' -n'
.
S. Gas Release to Southern California-Gas Co io r' - - - 3 - '
51. CERTIFICATE OF OCCUPANCY - -.. ,-.
No Date
'
•
J
ADDRESS a BUILDING: 3017 ENTERPRISE ST h UMT: CITY OF COSTA MESA — BUILDING PERMIT
ONNERSNAMEIFQcWw: DANIEL KASHING FLOOD: X 47 PERM NO: B 075980
ADDRESA 3017 ENTERPRISE
PERMIT NO: B 075980 PLAN CHECK NO: 00172-96 L GOVT: N SUPP: N
COSTA MESA, CA 92626 714-640-2143
APR..RAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
ARCHRECT OR ENGINEER: LIC NO.: JOB DESCRIPTION : CONSTRUCT COLLECTIONSITE FOR USED OIL SQ FT: 4 , 900,
ARCH.OR ENG.'S ADDRESS: GMT: .
• CLAIM. VALUE: 4 , 900 . 00 CALC—VALUE: 4 , 900 .00 GROUP OCC: U-2 /
OONTRACTanNAME MEI CONSTRUCTION ( 714 ) 558-2411
CGWACTOWSMMIea 1010 E CHESTNUT COMMENTS: USED OIL CONTAINMENT STORAGE FOR RECYCLING
ADDRESS: SANTA ANA CA ucm, 782327 ###############################################################################
92701 UMT: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm tinder penally of perjury gW I am licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my b N full force effect.
CITY UC.N9.: UC,CIASS: B ice 7,. 7 E MAIN BUILDING ACCESSORY BUILDING
X /.�/G-9 CC FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
`(\) Dale: Canadair YYP LEFT: 58 FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I�m exempt from the Contractors License Law for I e
E dialysing mason(Section 7031.5 Busiest and Professions Code:Anycey or county Oath requires*pendto construct after that,improve. PARKING REQ: PROV: PARCEL: 41822204 ZNE: MG REF NO:
+'licensed amaan.a`pue WialMpr *ure.prior a»'Coril�radore.+urequires meLa [Chapter'0°lSalat for°�mnrtnph permit t.°,ihSee a ction7Gned on so-. m he a�n.
PLANNING NOTES> CONSTRUCT 7' BY 12 ' USED MOTOR OIL COLLECTION FACILITY TO
.usirese and Professions Code)or that he orshe o axonal therefrom and the basis for the alleged exemption.Arty violation d Section > THE REAR OF AN EXISTING INDUSTRIAL BUILDING.
7031.5by any applicantfor a permit subpdelhe apprise to aail penalty ofnd mon than fee hundred defiers IMOD. . ###############################################################################
❑ I.mownerdthe Property ormyemployeeswith'wegesmtheir sole compensation,wig dotheMA.endthe structure isnetintended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractorslicense license Law does rot apply to an boo ner property
who buids or Improve,thereon.and who does such work himself or herself or through his or her own employees,provided that each
et intended or offered for sale.Nor
improvements are n ,however,the buildinginproemenl is sold*thin one year of completion.the ZONING APPROVED BY ' f (4-9a(;�6
owne-builder wig have the burden el proving he or she did not build or improve for the puryose of eels). c �]
❑ b,as owner of the property.am exdhmwnrrmw
eby cob°MIA lioenecontractors ro
to candied the project(Section se,Business and BUILDING 'APPROVED BY : 145 l / — DATE: l — 1‘0 — 56
Professions Code:The Contractors License law does net apply to en owns of properly who builds or improves thereon end who
contracts fa such propels wish a contractor(*)licensed pursuant to the Contractors license Law). . / / - (-J
❑ lamexempt under Smion: B.AP.C.,for this mason: APPLICATION ISSUED BY: DATE: f (p
Date: °x'"" •
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware at end understand the requirements of California Health and Safety Code Sections 25505,25533,and
2553+,and that loony Mune building oaaupem will lwilnot(circle one)need to comply with said dale codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or moddicatan from the Ar 1ahTiyManagemenl District.Residents constrmion eppicesions are esempe from these
provisions. PERMIT 72 . 00 •
Date: Applicant: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:1 hereby affirm Penally uderPenallyd y prjwne of the.Mowing y otowing dedermiom: IS S U 46 . 80 1 . 03
ISSUE FEE
o Codeandw prnformanceoflhatedconsent wlich his eeunfor sSseers'mnpematicn.mpaidedfor by&edan3)Ogdthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
chavean the performance waAf«wl:pi this p.maaaep.d. TOTALS----> 73 . 03 0 . 00 46 . 80 119 . 83 119 . 83 . 00
❑ I have and will mtntaen woken'ed,Ny workers*
insurance.m required by Section 3700 of the Labor Code.for the performance of the
work l«which mi*pammamaed.My walr«e•oaml=matiah insurance carrier and policy number are:
GamerREVENUE DIVISION TOTALS--> COLLECTED: 119 . 83 OVER/SHORT: . 00
Pdiy Number: - BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
,this section need not be completed A the pen,a for one hundred dose MOO/or Ines) 72 .00 1 . 03 46 . 80
I coney ghat in the performance of the work for which this permit b bash.1 dW m merry mann+ear m to
become euhjrf to the workers*compensation laws of California.end agree I let ores arhm to the workers' ##################'####################################•#########################
pars mat smiom37mdthetabdGad°'IINDIVIDUAL F E E BREAKDOWN
Date: r,/v I 1
Appian:
Warning:Failure to secure workers'mnperuadon coverage is unlawful,and I arblect m employer to criminal prWdes end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars(5104000A M amifbn to the t of compensation damages es Provided for In
Section 3706 of the Labor cora,Interest,and attorneys lees. SFC 4900 ALTER BY VALUE COMMERCIAL NOZONE 1 .00 4, 900 . 00
CONSTRUCTION LENDING AGENCY:I hereby Mtn order penal)'of perjury the'there a e construction lending agency for the . END OF FEES
performance of the week for which this perms is issued(Sodion 3097.Civ.C).
LENDER'S NAME: •
LENDER'S ADDRESS:
I certify Mai I have read this application end dale that the above information is correct.t agree to comply with all city and countyordinances
and state laws relating l0 buildup construction and hereby authorize represenlativee of this city to enter upon the above.mentioned properly
for inspection purposes.
ST VE yOHR .
_ ( Dole I, (6.�
•
SN §pts d ownenAoenUAppi anUCo l actor 01 00198452-00198454 TOT 119.83 /
•
(5151<6 WP) White-BuildingA Safety;Green-Re Canary-Applicant;Pink-Revenue:Goldenrod-Assessorit
s. L l e. gezei Ft No# DATE: 01/16/95 T I%Ea 13:46
)4 8445
,Ir4-;*.e..J Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
TRACT NO. LOT NO. UNIT NO.
CITY OF COSTA' PE MMESA 'CONSTRUCTION PERMIT IT"O773
Project Address 3f2/7- /q eirnwPR/SE C,� ' '988 I/08/07 5000 TL
Applicant's Mailing Address [- u p' ' TYPE OF CONSTRUCTION H NEW H ADD ALTERATION U REPAIR '
4hEX./if EX./if/PER ' Phone /-' 7a ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • A-P-# Zone
Owner's Name DES RIPTION OF WORK/USE OF BLDG. /1d:z.J Fieze-nt 7(.CQrfj -
Address ,�w w[�_ "- - o I 'c -" a . S Main Building: Accessory Building:
Arch/Eng./s'//YT/(�{/��•�9Rr�'IA' p�leLicense No CI ' O TYPE OF PERMIT • GRADING 1 frOU NDATION 0 STRUCTURAL T Front _ ( Z0
Address 3' 3 �y/[b�✓� Bsyr�r+(Jq %SL-/O�� 1 ,❑ TENANT ❑ ELECTRICAL ' ' PLUMBING ❑ MECHANICAL B Rear N
I ��//`` [MOTHER A I
Contractor's Name Se/IUDQ/���/ eULt�T�Phone6�/='�572 - - - - - • '
PROJECT DESCRIPTION SQ. FT. ' OCCUPANCY C Right N
Address(mailing) 'CON ST RUCTI ON'TYPE VALUATION$ '
lid, 1K Left G
T R
City License No. •ZONE ' GRADING CU.YDS. ACRES ping. Ref.,# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION ' �p •''s'•, o� ,,11 - ' D
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /(E. Pew' 00�-�'(�s �, Q._C, L.fg3 Planning Notes: • I M
, with section 7000) of Division 3 of the Business and Professions Code,and
N
my license is in full/y��rce and effect. I epic,
i j• , • , - S
Ml\ License Class L/ ' ense No _
"V Date /-8-S7 Signature �/Q��{/, - PLUMBING FEES I - • .
•.. WORKERS' COMPENSATION DECLARWTION /
• Ber`Sink' - Showers ELECTRICAL FEES
I hereby affirm that have a certificate of consent to self-Insure or a certificate • -
of Workers' Compensation Insurance, or a certified copy thereof Section Backflow Preventer Service Sink
3800, Lab. C. I ,�� .2-OO Automatic Washer - Transformer '❑ 15-50 KW
Policy No. ��57� Company SAI Backflow Irrigation •- Sewer Cap - -
0 50+ KW! i
Construction,Pole Sub. I n
iIy Certified copy Is hereby withfurnished.
Date
/fl ey,-ogy is filedlir: 7 the city B "- ' Bathtubs _ 'Sewer.Connection Cooking Unit_ Meter. ❑up to 100 amps
Applicant .
• EXEMPTION FROM WORKERS'COMPEN TION DECLARATION , Clarifiers Solar Collectors- _ ' Dishwasher • Meter Dover 100 ar•s v
(This section need not be completed if the permit Is for one hundred ($100) or _ _ - -
•
less). Dishwasher Solar Piping , Dryers ❑Gas ❑Electric Sub Panel -
, I certify that in the performance of the Work for which this permit Is issued, I -_ - - - - 1 , .
sna11 not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank . Fan Motors �'-1 HP ❑1X-8
Workers' Compensation Laws of California- - _
Date • - Signature •
Floor Drains - • Swimmin Pool w/Spa .
/a 9 P 1 a� F.A.U. Inc. • ar 09-15 HP 016-15+
NOTICE:If,after making this declaration,you should become subject to the _ - - - - -
Workers' Compensation provisions of-the Labor Code, you must forthwith Floor Sinks - • Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. - '•icrowave , I
CONSTRUCTION LENDING AGENCY Gas Service Outlets , Water Closet Device Boxes '
I hereby affirm,that there Is a construction lending agency for the performance POIe Light
of the work for ,which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets ' •
Lender's Name ' - - - Range ,
Lender's Address -• - Kitchen Sink _ , _ Water Service; _ - .Switches • -Sign -
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the • Lavatories • Auto-Wash Garbage Disposal Standing Sections •
following reason (Section 7031.5 Business and Professional Code: Any city or -
county which requires a permit to construct;alter,improve,demolish or repair P-Trap s Laundr 'Tra
• any structure,prior to its issuance, also requires the applicant for such permit - y y _ Generator 0 KW ❑5-15 KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the provisions ofRoof Drains ' •
the Contractor's License Law (Chapter 9(commencing with Section 7000)of '
.Division 3 of the Business and Professions Code) or that he/she is-exempt - _ _ . - _ _ - - •
therefrom and the basis for the alleged exemption. Any violation of Section I
'7031.5 by any applicant for a permit subjects the applicant to a civil • -penalty of not more than five hundred dollars($500). •
I ' c I, as owner of the property or my employees with wages as their Sole Reinspection Fee I $15 Issue Fee $ 3 -
' compensation, will do the work,and the structure Is not The intended or offered . Reinspection Fee I $15 Issue Fee • - $ 3 -
sale (Section 7044, Business and .Professional Code: The Contractor's _ I MECHANICAL FEES : •
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own ,. - , DEVELOPMENT SERVICES REQUIREMENTS: ' -
employees, provided that such Improvements are not intended or offered for • Boiler Hood or Type I ❑ -
sale. If, however, the building or Improvement is sold within one year of m- Canopy Type II 0 Zoning Approved By Date '
pletlon, the owner whimave the burden of proving he/she did not build orrim- Duct-Under GroundBuilding Approved By Date
rove for the purpose of sale). -
-' I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date /
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating . ❑0.100.000 BTU 00,000 BTU SUMMARY OF FEES . •
builds or Improves thereon, and who contracts for such projects with a con- - - -
tractor(s) license-pursuant to.the Contractor's License Law). I'am aware that - Exhaust System 0 Multiple 0 System:'•air/Alteration BUILDING PERMIT $ SMIP $-
proof of their Worker's-Compen cation'insurance should be provided to me. PLA •
N CHECK $' PERMIT
0 I am'exempt under-Section B. 8 P.C.,for this reason Firepl/Fact.BIt..ICBG# - re Dampers •
PLUMBING $ TOC' ISSUANCE $
Date ' Owner - ' - Heating System& Ducting Registers - - .-
PLAN CHECK '25%, $ ENERGY P.C. $
I hereby certify that-I have read this application and state that the above CIO-100,000 BTU 0 '+,IOO BTU - ELECTRICAL $. GRADING - $ '
Information is correct. I agree to comply with all city and county ordinances - - -
and state laws relating to b uildin9•cons ruction, and hereby authorize repre-. - PLAN CHECK 50% $ • - MICROFILM '$
sentatives of thi city to ; ter upoy the above-mentioned property for - • - - _ T
, Inspection p r? a*. - — a • - - • - --7 (7f/
• Signature //% I/I
_ -
�-'-^e 45_46_,rev. 10/84 White-Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor
I
CONSTRUCTION AND PLANNING POOL&SPA ,
APPROVALS Permit# Date Inspector APPROVALS Permit# Date- Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •
2. Soil Pipe-Undrgrnd. • j_ry-40 (-go 53. Steel Reinforcement ,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms I
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. Rough Plumbing /- f49-)(7 /4W 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 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 -
277 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 .80. FOOD CERTIFICATE ISSUED
•33. Final Electric Notes: •
34. Final Heating & Air Conditioning7.7l A �' '4 t i'iiiir f i
35. Final Gas Pipe-Test -
, 36. Hood or Canopy •
1
37. Final Factory Fireplace ,
38: Final Plumbing 6/x47 LEO .
. 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 -
•
Y • ; _. 8152. 12/.03/B6 108.70 -TL
_ Applicant to fill in all spaces.except those within heavy border lines and sign all appropriate declarations.
CITU OF COSTA MESA CONSTRUCTION PERMIT • - 1RMIT NO. -TRACT NO. LOT NO. UNIT NO. • • -u
groject Address I I • . •rise _ - MI RG-1 8-3 Ip(I \ - i • ._ • _ - •
-
t4oyjrari.'s Mailing Address TYPE OF CONSTRUCTION NEW L I ADD ALTERATION L I REPAIR • +.
Owner's Name' Address PY Hamilton Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Tenant T TT1VPmPnt ^
/ $41-5872 Q'P'#TIS' 2-2-2-_�� • Zone
DESCRIPTION OF WORK/USE OF BLDG. Sint-vire Garage \ - ,•-
Address : - - \ S Main Building: Accessory Building:
• E ,�/ Z
• Arch/Eng. Iv1ART TN/PgART TN License No. C16230 TYPE OF PERMIT - GRADING FOUNDATION ❑ STRUCTU R`QL T Front Fyri stinci /) O
NAddress �3; Marin° Ave R'alhna TSS r7nC3 • ® TENANT ® ELECTRICAL.® PLUMBING ❑ MECHANICAL •`I B Rear Fxistingy{=—', i I ♦ N.Contractor's Name . n ' ' • . • •?% . ; D� ,ne841-5$7Z ❑ OTHER , "jV� /� N
Address(mailing) PROJECT DESCRIPTION SQ. FT, 7 OCCUPANCY +81/6-1," K Right Existing lC.l ii I -, G
if(9/38 CONSTRUCTION TYPE WI) FRAP'T•r./7 VALUATION$ 10,000O S Left Existing R
\ City License No. �+ ZONE' GRADING CU.YDS. ACRES
LICENSED CONTRACTOR DECLARATION ///))) Q/ c,e • /1 �J /Ping. Ref. # Parking Req./Provided_ E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /✓G 886- (/J 6, S F`c+ H52 3 3 Rd
161:6,4 Planning Notes: I - M
N. with section 7000) of Division 3 of the Business and Professions Code,and ' /
my license is in f force and effect. S/ ; T'
_ . O S'
License Class A - - . -nse No. . • • - ' • - ,
Date / � Mgt Signature 7✓nlesi vim/. 4,a_ PLUMBING ' 'FEES
WORKERS'COMPENSATION DECLAR 1 ION A .
' I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES -
of Workers'.Compensation Insurance, or a-certified •copy thereof (Section - "- - -' - - -
3800, Lab. .U4.2-- / Backflow Preventer _ Service Sink / "::. : Automatic Washer•• Transformer ❑ 15-50'KW
Polic No. /C657(J ' - Company 5.4.4 FL? ` Backflow Irrigation . Sewer Ca '�/ t' 0 50+rKW
P _./ � '� Construction Pole Sub.
,U,(eertified copy is hereby furnished. -
C7 Cert" "edt�py" f etl with the city Warr./ ,; Bathtubs •
Sewer Connection • Cooking Unit i • •
Meter ❑up to 100 am"ps
Date /C ' Applicant ' y -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . Clarifiers_ I Solar Collectors - • - Dishwasher-- - -- . — ----- Meter Clover 100 amps - -- ---
(This section need not be completed if the permit is for one hundred ($100)or. I '
less). Dishwasher ' •• . - Solar Piping' ,i'-.7 �'f -• Dryers ❑Gas ❑Electric Sub Panel /;, -
I certify that'in the performance of the work for which this permit is issued,11 '
shall not employ any person in any manner so'as to become subject to the Drinking Fountains Solar Tank' ' r ' Fan �:
Workers' Compensation Laws of California. / - 2 Motors ❑0-1 HP ❑1'/a:Bd
Date Signature , Floor Drains I Swimming Pool w/Spa '�. ' F.A.U. •I
'NOTICE:If,after making this declaration, you should become subject to.the _ _ - Inc Solar ❑9-15�HP ❑iB-15+
Workers; Compensation provisions of the Labor-Code,-you must-forthwith- ' Floor Sinks ' - - _.. Urinal Extures�7 r Microwave
comply with such provisions or this .permit shall be deemed revoked. - 4, Ay _CONSTRUCTION LENDING-AGENCY. - Gas Service Outlets • Water Closetf OO DiViC¢FBOxes.,
I hereby affirm that there is a construction lending agency for the performance - 2 - •'�/, Pole Light
of the work for which. this permit is issued '(Section 3097 Civ. C.) r - Interceptors _ _ ' 'Water Heater - Outlet's !/�
Lender's Name - - - 7 C Range l-
Lender's Address •I ' •
- - . Kitchen Sink •_ _ Water Service ? SwitcFes
Be
OWNER BUILDER DECLARATION ) - _ , - 4 •- r Sign f ,
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ' r - Auto-Wash - - ?. rO Garbage-Di5 bsal '
following reason (Section 7031.5 Business and Professional Code: Any city or 7 - - --• '7 O_ 9 P ,y ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P=Trap Laundry Trays • - 5, :GyAerator 00-5'KW ❑5-15 KW
any structure, prior to Its issuance, also requires the applicant for such permit _ _ • ' Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of - - - - / -- - ,
Roof Drains v'
'the Contractor's License Law (Chapter,9(commencing with Section 7000) of - - r .. 4
Division 3-of the Business and Professions Code) or that he/she is exempt _ - _ -
therefrom and the basis for the alleged exemption. Any violation of Section i - f. `/ I •
7031.5 by any applicant for a permit subjects-the applicant to a civil - - - - I •
"penalty of not more than five hundred dollars•($500)., - ; r - /� ' .+'•• '
❑ 1, as owner of the property or my-employees with wages as their sole Rei•nspection Fee ; I $15 Issue Fee- V' $ 3 ��' _
compensation, will do the work, and the structure is'not intended or offered - / Re nspectloO FBC7 ! $15 Issue Fee ' ' $ 3 '
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL - /
FEES,./Z
License Law does'not apply to'an owner of a property who builds or improves _._ - - _ .
thereon, and who does such work himself/herself or through his or her own ' - i - DEVELOPMENT SERVICES REQUIREMENTS: /(''
/employees, provided that such improvements are not:intended or offered for • Boiler Hood or; Type I 0 ! r: e. / 21"-RC.'
sale.pied If, the the building or improvement is sold within one year of im- • - Canopy. Type II 0 : lZonidgi Approved d- Date j 7 Q
• pletion, the owner will have the burden of proving he/she did not build or im- , Duct-Under Ground /11 'jBUildiog APProvedBy. Date //�' ! -!!6
Ove for the purpose of sale). j - .11
LI I,,as.owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • I Application Issued By Date/-2.,--3--ErC, '
tractors to construct the project (Section 7044, Business and Professions Code: - -A .
The Contractor's_License Law does not,apply_to an owner of property who / Duct-Ventilating • - - 00-100,000BTU-0100,000 BTU or -.4 • , 1 SUMMARY GF F ES
builds or improves thereon, and who contracts for such projects with a con- , . .. .4 •�j
tractor(s) license pursuant to the'Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration 4 a BUILDING,PERMIT $ ' •570•SD SMTP . $ - /a
proof of their Worker's Compensation insurance should be provided to- me. _ PLAN CHECK • - $ —�, � PERMIT
I❑ ram exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. IC80# Fire Dampers /�. "'PLUMBING • $ 00 ISSUANCE $
•
•
Date Owner, ' Heating System& Ducting Registers i/ ' LAN CHECK 25% $ ENERGY P.C. • $ I
.,
I- hereby certify I'have read this application-and state that the above ❑0.100,000 BTU-0100,000 BTL • !r /ELECTRICAL $ ▪�e GRADING I $
information is correct. I agree to comply with all city and county ordinances /' 7�
, ,
and state laws relating'to building c.nstruction, and hereby authorize repre-
sentativesQ� MICROFILM $ I
of' t city to ••nter' ton the above-mentioned property for • i'...-' PLAN CHECK 50% $
Signature Inspection p �►(( bI U/ /�i/� ' Date_�Z-7-SF7 •
MECHANICAL ' $ 5`s-i9 TOTAL FEE I $
Reins Oection Fee $15 Issue Fee PLAN CHECK 25% $ 00
' y�
Drivers' or/.S# - _ P 1 _ _ - $ 3 /d 7
-F 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor
GONbTRUCTION AND PLANNING POOL& SPA
API ,OVALS Permit Date Inspector APPROVALS Permit Date Inspector
M 1. Tertiporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. (-iy-AS 7 C-E•D 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, ❑ Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System ' 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater& Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing /-iu_y7 c,F€O 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 1_1y_g7 LFj/) FIRE DEPT. REQUIREMENT _
Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating I Gr-37 c-1 O 71. Product Piping 0 Gas .❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25: Roof Sheathing : - - $ � / �9 74. Overhead Hydro
7i7
26. T-Bar Ceiling (Structural) & Monocoat ���9. 75. Dry Chemical
27. Frame and Flashing if127 v' ,4 76. Dry Standpipe
28. Lathing& Siding / - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing // p?/O/ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat's - r// ��`` 79. FINAL INSPECTION
32. Electrical Power Meter-Final, 80. .FOOD CERTIFICATE ISSUED
33. Final Electric • Notes: jerni #0v11 ,`'-^/{" /./ y7 ,k
34. Final Heating & Air Conditioning 24747
47 f7 Are CA,
ra O rti'f /� 7�/L li'I/! qpr -, "`7
35. Final Gas Pipe-Test /'" "% %Eh /� j� emir not& S .
36. Hood or Canopy /LrT/,O 4a , r BC._ L,'I�B qz �A
37. Final Factory Fireplace �5 cont-ser- 9 C'5 "4 7/
38. Final Plumbing j,-l( L�j 2I21S7 c_ - a s'- pfb ,O. . SFr /�Z��
39. Water Service-Final ✓_ �I �L"` ll�c TY�
40. Gas Service-Final
41. Solar.Domestic-Final
42. Backflow Preventer .
43. Backflow Irrigation - n •
44. Landscape Irrigation System -
45. Sound Attenuation
46. Handicap Regulations • •
•
e
47. FINAL STRUCTURE & BUILDING 3//y4
48. Special Requirements Completed
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co • •- • .
51. CERTIFICATE OF OCCUPANCY
No. Date - .1
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT FERMIS.NO. TRACT NO. LOT NO. UNIT NO.
-a &299'
Project Address �4D j 7 EN—FR PILL '''TTT 0202 1/14/07
5p I 0 it
Applicant's Mailin/gs�Address -]]qTYPE OF CONSTRUCTION U NEWrl� ADD U ALTERATION U REPAIR
Owner's Name f `jvN • Le-tooli brie Phone ❑'CONVERSION ❑ DEMOLISH L�a OTHER q p •# Zone
• y n S DESCRIPTION OF WORK/USE OF BLDG.
Address ,t C2- 1 • 0 7C (pO CFN4�W IT IGiJ 1 C.LE V I'a• S Main Building: • Accessory Building:
- Arch/Eng. License No. TYPE OF PERMIT �za((( LI GRADING U FOUNDATION U STRUCTURAL T Front O
' Address . CI TENANT /ELECTRICAL El PLUMBING El MECHANICAL BRear N
Contractor's Name !'e-5 S k LLt,TEtC. Phone 77P`81Y? - -"❑ OTHER A
I ' Nadi PROJECT DESCRIPTION -SQ. FT. OCCUPANCY C Right , N
Address(mailing) 1000 E. i tJZL �gadi a7,- ?Zia ,K : G
�15o�y CONSTRUCTION TYPE VALUATIONS S Left •
City License No. s�LO ZONE ' " GRADING CU.YDS. - ACREG - R
LICENSED CONTRACTOR DECLARATION • Ping. Ref.# Parking Req./Provided E
0
I hereby affirm that I am licensed undei provisions of Charter 9 (commencing Remarks: ' ,26(/�� Planning Notes: M
1 with section 7000) of Division 3 of the Business and Professions Code, and - (� o+ - •
T
my licenseClass
in full force and Effect - •
- _
License Class G 10 I -nse� . ..a._.. S
Date �a:� Signature �, r- .� PLUMBING I FEES
r\ WORKERS'COMPENSATION DECLA-/TION ♦% Bar Sink - - Showers - ELECTRICAL - FEES
1,10 - hereby affirm that I have a certificate o Ons¢ 0 set rr�� re or a certificate
Workers' Compensation Insurance, or• . ce • co. hereof (Section Backflow Preventer Service Sink •
joo, Lab. /,•s� Automatic Washer Transformer 0 15-50 KW-
Policy No. �27T 3707•Compo •V` s+l oe q Backflow Irrigation •
Sewer Ca -
Certified copy is hereby furnished. \ ':�l1/no?rev II p - Construction pole Sub. 50+KW
Corti i¢tl c y fi tl with the city iltlin v`:..,,,r-fey,���p.,.. -6--..-- Bathtubs ,f o Sewer COn vection
�_ py:� Cooking Unit Meter Oup to 100 amps
Date 1 Applicant ..' �nW' a - _ -
•
\O EXEMPTION FROM WORKERS'C• PEN •(�O �Mr ATION Clarifiers - •
Solar Collectors , Dishwasher '- •
Meter, Oover 100 amps
(This section need not be completed if the perm is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers OGas ❑Electric . Sub Panel
I certify that in the performance of the work for which this permit is issued -
shall not employ any person in any manner so as to become subject tot a •i •. •Motors ■
Workers' Compensation Laws of California.
Date Signature _- • , Drains• •
' ■� ■,-15 HP ■ POO a r.
NOTICE:If,after making this declaration,you should become subject to the •
v
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks '
res
comply with such provisions or this permit shall be deemed revoked. . Il t-
CONSTRUCTION LENDING AGENCY Gas Service OWater Closet utlets Device• I hereby affirm that there is a construction lending agency for the performance
, of the work for which this permit is issued (Section 3097 Civ. C.) e
Lender's NameInterceptors Water ater • -
Lender's AddressKitchen Sink Water Service . ' Switches Sign a1/t
OWNER BUILDER DECLARATION fAl/ il
I hereby affirm that I am exempt from the Contractor's License Law for the Disposal
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,improve,demolish or repair
any structure, prior to its issuance, also requires the applicant for such permiti Laundry Trays . Generator 00-5 KW 05-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions.ofRoofe -
the Contractor's License Law(Chapter 9.(commencing with Section 7000)of i '
division 3 of the Business and Professions Code) or that ho/she is exempt
'reborn and the basis for the alleged exemption. Any violation of Section •
31.5 by any applicant for a (permit subjects the applicant to, a civil •
enalty'of not more than five hundred dollars($500).
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
Reinspection Fee $15 Issue Fee $ 3
for salese (Section Business and f aproperty Professional
Code: Tho Contractor's
erLaw does not apply to owner if a prolf who builds s Or Improves
thereon, and who does that such work himself is arel f or throughintended his or her own ■ DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided r,.th ui such improvements are not oroffered fc for ZoningA roved By •
sale -If, r,.the building or improvement Is sold within one year of com- ■ PP Date
Oletlon, the owner will have the burden of proving he/she did not build or Im- Uii - .: '.rm .__ 1:. th
prove for the purpose of sale). Building Approved By - DataI, as owner of the property, am exclusively contracting with licensed con- Application Issued By Datetractors to construct the project (Section 7044,Business and Professions Code:
• The Contractor's License Law does not apply to an owner of property who ■I 11 : ■ 11 s 11 $UMMARV OF FEESbuilds or improves thereon;and who contracts for such projects with a con •
-
tractors) license pursuant to t•e Contractor's License Law). I am aware thatstem BUILDING PERMIT $ SMIP - $ -
proof of their Worker's Come sation insurance.should be provided to me. st PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason INFirepl/Fact.Blt. ICBb# III Fire a ® • PLUMBING -. I $ s ISSUANCE S •
Data • sir Heating System.& Ducting, ®■ I PLAN CHECK 25% $ s ENERGY P.C. $
I hereby 'corm that I h. •re.'his application and state that the above 06100,000 BTU 0100,0008III �■ ELECTRICAL $ {p RADING $
information Is co rect. I .. to...•. ly with II c ty and county ordinances
and state laws-re L 'di•. u to ereby authorize repre- • - '�IviICROFI LM $
' sentatives of this i it 71a.„2), y: �t n h� ve- .G boned proper y for • - - - PLAN CHECK ' 50% $ -
Inspection - oses���•, �:' ♦ `s ;1• v • MECHANICAL • $
Signature A����aII:a.�_; �1+`� .1,ye
"87 - - - . TOTAL FEE $
-Drivers' cense or '- _ �� Reinspection Fee - , $15 -, Issue Fee $ 3 PLAN CHECK 25% $ -
CMF 0865-46,rev. 10/84 - White--Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - •
CONSTRUCTION AND PLANNING POOL .PA
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 COVE R-GUNITE , .
7. Footings 58. Electrical Conduit-Undrgrnd.
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 • 4,11$7)9/` a 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling k1D-47 4926 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 ❑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. kINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric P1947 SLG 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
r '
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
. /