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Home My WebLink About970 VICTORIA ST - Building Permits� {�ia��sa-s2�s • Fex(�ia��sa-aess e CITY OF COSTA MESA BlIILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ELECTRICAL PERMIT Job Address: �� VICTORIA ST Suite No Vicinity: MEDIA ONE SITE Parcel Nunmber: TPN99057 npp�icant: THOMPSON AND THOMPSON Address: 1835 WHIiTIER • � COSTA MESA, CA SUITE A-12 Phone: (949) 548-7735 Zip: 92627 Owner: CITY OF COSTA MESA Address � 77 FAIR DR Phone: � COSTA MESA, CA Zip: 92628 Contractor. THOMPSON AND THOMPSON Address: 1835 WHITTIER COSTA MESA, CA Phone: (949) 548-7735 SUITE A-12 . Zip: 92627 - License: 550936 �ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fixts �. Recept Outlets Switches Non Res Appl Res Appl Service to 200a- Service to t000a Service over 1000s Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole IntermeC Pole SCOPE OF PERMIT ELECTRICAL METER FOR CAN MEDIA ONE SITE. $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.25 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway/100ft � Standing Section Misc Eleclrical Equipment Transformers up to 7 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 700 kva/kw ..................Over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor ' Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 08/02/1999 Issued: 08/02/1999 ISSUED BY: �__ Quantity $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 549.25 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considerad legal, such work must comply wi[h all applicable codes, end all requlred InepeCtlona and final approvel mus� be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm untler penalry of perjury one oi the following declarations: ❑ I heve antl will melntaln e certlticete of consent to selt-Insure for workers' compensetlon, as provided for by sectlon 3700 0l the Le6or Cotle, for ihe peAormence oi Ihe work tor whlch this permit is issuetl. ❑ I have entl wlll mainuin workers' compensatlan insursnce, as required by section 3700 of the Labor Coda, for the peAortnance of Ihe work for which Ihis pertnit is issuetl. My w ers' co�sation Irysyr� cerner and policy number elg: � �� y�G, Cartier. . /� i /L/ D J �L1 � Policy Number: / (Thls secfion need ot be comp/eted ll t e p rmit is ve/u et one hunOreU dollers ( 00) or less.) ❑ I certity t�et in the peAormance oi lhe work for which this pertnit is issuetl, I shall not employ any person In eny menner so es to become subject to Ihe workers' compensation laws of Califomie, and agrae that if I shoultl become sub�ea to the workers' compensetion provisions of Section 3700 of the Labor Code, I shell forihwith comply with thesVa,w¢,�a—sion Q G� Applicant SlgnaNre: ��__1 [��e i Date: U � C-7 WARNING: FAILURE TOSEC�U�RE WORKERS' COMPENSATION COVERAGE IS UNLAWFlIL AND SHALL SUBJECT AN EMPLOYEB TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADOIiiON TO THE W5T OF CAMPENSATION, DAMAGES AS PROVI�ED FOfl IN SECTION 31060F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm Ihet I am licensetl under pmv lonsy f Chapter 9(commencing wlth Section 7000) of Division 3 ot the Busine ntl Protessions Code, antl my license is In full force end ettect Lic. # .�� . � b Class tl ��% ContractorsSigneture: - � Date: $-z CONSTRUCTION LENDING AGENCY: ❑ I hareby aXirtn that thare is a canstruction lendinq egency tor Ihe pedortnance at the work tw which t�is permil Is Issued. (Sec. 3097, Civil Code). Landers Name: Lentlefs Atldress: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby eNirm ihat under penalry of perJury ihat I em E%EMPT FROM THE CONTRAC70HS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires e permit to construd, alter, improve, demolish, or repair eny sWcture, prior to Its issuance, elso requires the epplicanl for such permit to file a slgne0 statement that he or she is Ilcensed pursuent to ihe provisions oi tha Contrectors License Law (Chapter 9(commencing with Sectlon 7000) of Divislon 3 oi the Buslness and Professions Code) ar thet he or she Is exempt iherefrom antl Ihe basis for the alleged exemp�lon. Any violatlon of Section 7031.5 by eny epplicent for e permit su6�ects the applicant ro a civil penalry of not more than flve huntlretl tlollare (§500),): ❑ I, as owner of Iha properry, or my employees with weges es their sole compensetion, WILL DO THE WORK, entl the slructure is not intended or oHered for sele (Sec. 7044, Business and Protessions Code: The Contraciors License Lew does not epply to an owner of property who bulltls or improves thereon, and who tloes such work himselt or herself or ihrough his or her own employees, provided that such improvements are not iniended ar aHeretl for sale. II, however, tha building or improvement is soltl within one year of completlon, Ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose oi sale.). ❑ I, as owner of the property, em EXCLUSIVELV CONTpACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Protessions Cotle: TTe contractors License Law does not epply to en owner of property who builtls or improves thereon, antl who conlracts for such projact with e contractor(s) license pursuent to the Contractors License LawsJ. ❑ I am exempt untler sec. Business end Professians Coda tor this reason: SigneWre: Date: Owner ID verifietl by tlrivaYs licensa. ❑ Yes � No Drivefs License No. Veritication of Ownership by (type of documen4 i.e. - properry ta�c bill or deed): DIVISION OF INDUSTFiIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby certity ihet no ezcavatlon tive (5) or mora feet in depth into which e person is requiretl to tlescenQ wlll be mede In connection with work euthonzed by ihis pertnit, and Ihat rro building siructure, scattdding, lalsework, or tlemolition or tlismantling thereof, will be more Ihen Ihirty-six (36) taet high. (Chap. 32, Gip 2, Art 2, Sec. 341, Tille 8, Celifomia Atlministretive Cotle). ❑ As owner-builder, I will not employ enyane to tlo work which would require a permit trom ihe Division of Industrial Safery, as noted above, unless such person hes e permit lo do such work irom the division. Signature: Date: Divislon of Industrial Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AlITT10RIZATION OF ENTAY: I certity under penally ot perjury that I have reed this appliCation and state that Iha infortnation given is correct. I egree to comph/ with ell stata laws and ciry ortlinances relating to huiltling consiruction, end authorize representatives of the Ciry of Costa Mesa lo enler upon the above-described properry tor inspectlon Dwposes. I egree not to occupy or allow occupancy of eny �uilding aut�orizetl by thls pertnit until final inspection. �/:'� .T,.� Signature Of Legal Owner(s) �_ Date � e-1J��-�� 2-�Z�'-t And/Or Authorized Applicant Date CQOE I. INSYECTIONTYPE 1816 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final Block/Retaining Well 202 Final Factary Fire Place 203 Final Sign 204 Final Demolition zaaers PAIE INfRIALS CODE 11 INSVECTION TYGE 206 Finel Mechenicel 20B Finel Plumbing 210 Finel Electrlcel 212 Final Fire Prevention 220 Final Plflnning Approvel 222 Final Site 250 Final Bulltling/Oaupancy QAIE 0 r Appliwnt to fill (n ali spaces exeept tnose within neavy Eortler lines antl sign all avoroo��ate tleelarations. CITY Qi COSTA MESA CO TRUCTION PERMIT � � PERMI7jN0,� _„_. ,� TRACT NO . -LOT N(j. UNIT NO. ' �roject Address 970 ��G�o� i 7 S�i Applicant's Mailing Address � Owner's Na�me-��, � L PhoneSyQ�i �G Address _f 1L . ,- % J ��. ' . Arch/Eng. , License No. ' , Address /� � �' . Contractor'sName��Mtfic . i 4.��r. �i�f�'�� 's�$�[S�O� Address (mailing) �9G�� L�Y )�� Lti , ' �2�130� � Ciry License No. LICENSED CONTRACTOR DECLARATION I hereby aftirm thabl am Ilcensetl untler provisions of Charter 9(tommencin9 wiln sectlon']000)'of,Division 3 ot tne Business antl Professions Cotle, antl '. my Iicenze is in full orte a tl eHect. - UCBlISC �IdS � � �150 � Date�� 519�atur WORKERS' GOMPENSATION DECLARATION `�creby altirm tnat I have a certlficate of consent to self-Insure or a certifitate . Workers' Compensation Insurancu, or a certlfied-mpy thareof (Sectlon ,d00, lab. CJ ' � � � ; Policy No. Company BCertifletl copy is hereby turNshetl. " ' � Certlfletl copy Is filed with tha city Builtlin9 Division. Od[e APplicant � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -� ' (Tnis seGtion neetl nat be completetl ii the permit is tor One huntlretl (§S00) o� less). � - � • I cMtlfy that in the periormance of the work for which this permR is issuea, I' snall nOt emD�oy any Oe�zon in any manne� so as t0 bec� subject to llye Worker5' C Pe o Laws of Cali� r�y�^ i � Date d Signa[ureG.✓�/`� D ' "', 'NOTICE: Il,af er makinq this declaration, you shoultl become subjecl to the ' workers' Compen5ation provisions ot the Labor'Cotle; you musf forthwith : comply.with such provision5 or tM1is permit'shall be•tlefinetl revoketl. CONSTRUCTION LENDING AGENCV • . ' I nereby al/irm t�at [her¢ i5 a ConS(rQctlon Ientlinq agency for the performance ot [he work fOr �which Ihis permlt iz issuetl (Section '309] CIv. C.) Londer'S Name _ Lentler's Atltlress OWNER BUILDER �ECLARATION � I hereDy affirm that I am exempt irom the ConVactor's License Law (or the , following reason (Section ]031.5 Business antl Protessional Cotle: Any ciry or county which requires a pCrmit to construct, alter,-improve, tlemolisn or repair' any structure, prior ta Its issuance, also requlres the aoP�icant for such'permit � to fil¢ a slgnetl Statement'�that h8/She Is IicenS¢tl pur5udn[ to [Ile plovi5ion5 of , the Conlractor's License Law (Chap[er 9(commencinq wltM1 Section 7000) of '�ivislon 3 of the Business antl Profession5 Cotle)-or that M1e/sh¢ i5 exempt erefwm antl [be basis for the allegetl exemption. Any violation of Section �31.5 by any appli<ant for a permit subjects the_applicant [o � a civil enalty of,not more tM1an five huntlretl tlollars�(5500). -' � 1, as owner oi the property oi: rity-employees with wages as thalr sole ; compensallon, will tlo Ihe wnrk, antl the�structure is not intentletl or oiferetl lor sale (Section 7044, Business antl Protessional Cotle: The Gontractor's � Llcense Law tl0¢s not apO�Y.�O an owner of a p�operty who builtls o� improve5 ' thereon, antl who tloes such wo�k himself/herself or through his o� her own employees, D/ovitletl that such ImprOvements ar¢ noYlntentletl or O/tereG tot sale. H, however, [he builtling or improvement is soltl within on¢ year o( com- pletlon, the owner will have tne burtlen ot proving he/she tlitl not builtl or Im- prova fo� Ihe purpose of sale). , . , ❑ I, as owner ot �the property, am extlusively contracting with Ilcensetl con- tractors td construct the project (Section 7044, Business antl Professlons Coae: , Tha Contractor'S l.icense Law tloes not appry to an owner of property who builtls or Improves thereon, antl who contractz tor suth projects with a con- tractor(51 license pursuan[ to [ne Contracror'S License Law�. I am aware tha[ o�oof o( tneir Worker's Compensation inwrance shoula be provlaeC to me. ❑ I am exempt untler Section B. & P. C�or this reason Data Owner I hereby certify�that l have �eatl lhi5 appliGation and state that (he above inlormatlon is correct. I agree to comply with all city antl munty ortlinances antl Stale laws relating'to builtlin9 construcHon, antl hereby authorize reore- senla[ives of; this city lo ente u0on Ihe abyve-mentione0 property Por . inspection ur se // 519nature� �� D � =�� Dace �O %� Drivers' Litense or'S5 � . TVPE OF CONSTRUCTION I�SJ NEW !J ADO LJ ALTERATION IJ REPAIR - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Ap � DESCRIPTIONOF WORK/USE�OF BLDG. OfI� L[J S Main E TVPEOFPERMIT - GRADING FOUNDATION STRVCTURAI. T PfDnt ' ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING �� MECHANICAL 6 Rear ❑ ,OTHER - " . ' ' . p C Right PROJECT DESCRIPTION 5R. FT.. �I S� OCCUPAN K CONSTRUCTIONTVPE � 'VP.LUATION$� G Lefy GRADINGCV.VDS. � A( Remarks: � ' ��o�k � v y'xd t� G ' /o � � Bar Sink ' Backflow Preventer ' Backflow Irrigation ' Bathtubs , • . Clarifiers � ' _ Dishwasher � Drinking Fountains � Floor Sinks . . Gas Service � � Outlets Interceptors ' Kitchen Sink ' • " ' Lavato�ies ' � � i ReinspeMion-Fee ' $15 Boiler � � Duct- Under Ground � Duct-Structural - DucT- Ventilating- - Exhaust Sysiem ❑ Multiple Firepl/Fact Blt. ICBO # ' Heating System & Ducting ❑ o-i oo,000 eTu O i oo,000 Fee � $15 CMF 0865-46, �e�. ]0/84 Wnite - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl - qssessor Showers Service Sink ' Sewer Cap Sewer Connection Solar Collectors �- Solar Piping � Solar Tank Swimminq Pool w/: W2fEf CIOSEf Water Hearer ' Waier Service � � . Auto-Wash � �Laundry Trays � � Issue Fee` � . Hood or' Type I ❑ Canopy Typell ❑ � Refrigeration System . ❑ai00000aru ❑ioo,000eT System Repair/Alteration FireDampers � Registers ' Issue Fee u Ping. Fef. # � PlanningNotes: �� Washer �n Pole Sub. Cooking Unit ' Dishwa5her � -- � Dryers ❑Ges ��Eleciric Fan F.A.U. � Fixtures Device Boxes � • Outlets ' Switches • , Garbage Disposal Generator 00.5 KW 05-15 KW 6508 5%30/B6 Accessory 24.43' TL Zone Q. � � -. Z O N . 1 N ,. G R E Q M T S ICAL FEES Transforiner ❑ 15;50�KW , � ❑ 50+KW Meter �up to 100 amps , . Meter �over100amps — -, ' Sub Panel . • Motors�0.1 HP01X-8 InaSolar, �9-15 HP �1645+ Microwave Pole Light ' ; Standing Sections Trash Compactor � $� Reinspectian Fee $15 luue Fee $ 3 FEES . DEVELOPMENTSERVICESREQUIREMEN/7J��b I�� /�� ,,�� Zoning Approved 8y ,v ' �/_ -��Date�SL BuildinB APProved By � �� Date ' . Appliption Issuad By / Data � 30 $ 3 . SU ARY O FEES • ! f—O � BUILDING PERMIT . $ �--�� SMIP � $ � PLAN CHECK � $ PERMIT � • ' PLUMBING �. $ .ISSUANCE , $ . PLAN CHECK 25% 3' ENERGV P.C. $ � ELECTRICAL $ GRADING $ , PLAN CHECK 50% $ � MICROFILM � 3 ' ' MECHANICAL $ . TOTAL FEE $ a�. u� PLAN CHECK �25% $ � � ,� C@NSTRUCTION AND PLANNING POO�, ;PA � APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Elecirical Service or Pole � 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd. � 54. Forms . .. 4.' Electrical'ConduiYUndrgrnd. ' 55. Electrical Bonding � � 5.� Steel Reinforcement' � ' 56. Rough Plumbing & Pressure Test . �6��Electrical UFER�Grnd. 57. APPROVALTO COVE�R-GUNITE 7: Footings • , �. ` 58. Electrical Conduit-Undrgrnd. � 8.� Foundation i- " 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgr,nd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � 61. APPROVAL TO DECK . 1 t. 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 . 75. Rough Electrical-Conduit 66. Solar SVstem-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 FINAI � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace ' � APPROVALS Permit # 21. Ducts, in Structure •' 70. Underground Hydro 22. Ducts, Ventilating � 77. Product Piping O Gas �❑ Oil 23. Gas Pipe-Rough & Test - �72. Underground Flush 24. Roof Framing : . 73. Undergrnd.StorageTank OGas ❑Oil � 25. Roof Sheathing . � � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat �. 75. Dry Chemical . ' 27. Frame and Flashing . �' 76. Dry Standpipe - 28. Lathing,& Siding �� 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywail Nailing • . � _ HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: SJ�"G Q� � 34. Final Heating & Air Conditioning � � 35. Final Gas Pipe-Test . . 36. Hood or Canopy � 37. Final Factory Fireplace � 38. Final Plumbing � 39. Water Service.Final 40. Gas Service-Final ' ' � 41. Solar pomestic-Final 1 42. Backflow Preventer ' � � �43. Backflow Irrigation , y44. Landscape Irrigation System � , .t,45. Sound Attenuation _46. Handicap Regulations • � Q47.FINALSTRUCTURE&BUILDING �� 'b � , 48. Special Requirements Completed • � � 49. Elec[rie Release to Edison � ' - �50. Gas Release to'SOuthem California Gas Co � � -.51. �ERTIFIGATE OF OCCUPANCY , . . No. Date . � AOPllwnt to fill in all spaces except thosa within heavy Dortler Ilnas antl sign all aDO�aorlate Oeclantlons. - - = -- - _ ,.._ .. � CITY OF COSTA f�.i6A � ~ . _ ' , � PERMIT NO. _ ' � TRACT NO. ,LOT NO.. � . B . . � CONSTRUG�ION''PERMIT '�: , ' ApplicenYi Meiling AddfBsf d� �, �'� �� - TYPE OF CUNS7RUCTION�- NEw ADD � 'ALTERATION REPAIR _ , Projeit Address.� � �� ' O CONVERSION '0 DEMOLISH ❑ OTNER 1 � /'� •' ° ' � DESCRIPTION OF WORK (,I.�1L� r/� � ," �=�s?IQ �� ' Owner's Name � ' � ' hone , , � � Address � Q'7- A r%�.�-i` 1� . /% .� i, ". _ � -TVPEOFPERM�T�7�' , GRADING' FOUNDATION ' STRUCTURAL � . � AfCh/Eng.' - LICen50No.� � ❑TENANT pnELECTRICAL' ❑•PLUMBING ❑�MECHANICAL ' ' , Addfess :. � '. ' -- , I . . . ,. ❑I�OTHER ; : . '• n _ � � _ � ' . Cont�ector a Namr�t4 A/ N`e� '�"' � hone � PAaECT DESCRIPTION, 5q. FT. � � OCCUPAnCv - ' Add�eu(mailing) , � , CONSTRUCTIONTVPF � VALUATIONS �� , � . � � • ZON� CeRADINGGU.YDS. ACHES � L'ieerise No; � . . , � `: . ' LICENSED CONTRACTOR DEC�ARATION ' � � � Ramarks: ' ' -. .� � I.hereby aillrm t�at I am Ilcensetl untler provislons pt Cnarter 9(commen<Ing , . wllh•settion 7000) of DlVislon 3 oi [ha Builnass pntl ProPozsions Cotle, Sn0 ' ' ' ' � my II<ende Is In full force ana efTecQ � - ' ' License Glais � Ucense No. � � � � � i • - PLUMBING , . ' ' Date �' • Signature � � � � � , i � ' µ+�?'�QRKERS'COMPENSATIONDECLARATION. , � � � BBiSlak ' �We��P : °'..�reby alflrm�thabl have�a Cert717Cdta oG<onient to SalMnsure or a Certlflcate _ - gg�kflow Preventei -- -- �- SeWEr ConneCtion -• 'Workars' Compansatlon Insuranca„or a certHleC copY thareot (Sectlon � ' ' _ , _ `A5��0o, Lab, e.) � , ' � , . � � Backflow Irrigation Soler Collectors � � . PoliCy No. � Company � ' � � � � BCertlilatl coOY �s hereby fumishatl. I . � '; � Bethtubs ' ' � Solar Piping � CertHietl copy I5 flleA with the city Bulltling Dlvislon. ' Dare NOGliwnt ' � Clarifiers • - ' SolarTank � � � ' EXEMPTION FROM WORKERS' COMPENSATION OECLARATION � DiShNasher SWimming POOI W/Sp2 . • (Thisuction neatl not De completetl It [ne permlt Ii tor,one huntlretl (S100j or — iezs) - � • � , ' � i � Drinkin Fountains - Urinal ' - � � 1 certlfy that in the Performance of t�a work for �whic� this parmR Is Issuetl I . 9 . .. � ' sball' not employ any person In any manner zo �a; ro becorpe subject [o [�e � � , - � Workers"CompenSation Laws ot Calirornia. ' � , : ; ! Floor D�ains�, � � Weter CIo52t � � '� Date � S � -� -� Siqnature � ' . � NOTICE:If,.a/ter makng thlstleUaraUon,-you'Shoul4become sub7ac to ene- � '- FlaorSinks . ___. .. _ WatenHeater J. .. . Workers'� Compensatlon provisions o/ tha Labor. CoCe,.you must f rt�with ' ' ' - � - comply .wlth� such ,proWslons� or � thls'�Derml[ '�Shall be .tleemeC revoketl: �� Gas SerJice• =0utle;s � Water Service . CONSTRUCTION�LENDING AGENCV ' '� ' �� ' ' ' . I hareby 6fflrm that ihere Is a-constructlon•IenEing aqencyfor the' periormance, ; Inte�cEptOts �, �- '� � ' � of t�e work for, w�l<h this� permit I5 �Iisuetl ($ectlon 3097 Civ. CJ, � '' -, LenEer's Nama - � . - , � Kitch2NSink �' ' . � � LenAer'i AGOress' �" . `� � � ' • ' . y - . � ' ; , . OWNER,BUIL�ER DECLARATION. ' ' ' .� . � ' � Levatories:, -. � . � � � I herabylaf/irm that I am exampf trom tne�Contia�tor'S, Llcense Law tor tha . '' � p_Tia .:. � � ioilowin9 reason' (Se<tlon 7031.5 Business antl Professional Cotle: Any Nty or ��, P� , j- - ' t I' '. �county which �equires a permit to construct, alter �Mprove, EemollsMor repali � �� .. .. - "any structure� prlor to Its Isivance,'elso requlres t�e appli<ant lor such permit i;� Roof:Diains� ' j. - - ' ' �tb tlle a signed statement that he/sne Is Ilcensetl p4rsuanc to tne, provisions of '' ' 1 ._ .� �' ' tT[ie Cantractor's Llcense Law,(Chaptar 9(commenqng with Sectlon 7000) of " -i I i '' ,�I�islon'3 of the Business antl Profeisions Cotle) or thaC he/she is exempt I- Shower5 � ��I _� �- HeinspectiomFee 515 -�retrom anE the, basis for the allegetl axemptlon, qny;vlolatiod�oLSactlon : � -. . r.. . � - ��83'S byJany apDlicant for,.a, permit-sub7ects the appllcant to a civil ' � '� =� � ��ue Fee :' � ? 3 enalty o1 not more tnan flve huntlretl tlollars (E500): ;�. ,, � r� ; ! Service Slnk '�� r �. � � I,'as'owner oi� theiproperty or.my amployeas'with wagas�as their solo ' (- . , MECHANICAL ' � compan5ation wlll: tlo tbe work, antl� the 5[ructure Is not IntentleG or ofteretl � �- i , . F �+ i 1or sale. (Se<flon 7044, Buslness nntl' Protesslonal COCe:' The'. Con[ractor's � . �� Llcen58 LdW tloes not apP�Y �o an ownar o/ a propertY'who buil05 or o„oro�os � n„�i.. ' ... . Refrigeretion Syscem , thereon,'antl �who Itloes, such vror4 employees, proviCetl that such im� sale. If, howevar, the bulltling or h pleHon, the ownerlwlll have the bi �rove for the purpose o/ sale). I, as ownei of the property, ar tractorsto construct.tne pro)ect (S The Can[ractor's LI<ense Law do builtls or Improves theraon, antl v tractor(s) Ilcenia pursuant to the � � �I am axemp[ untler ctlon � . • D`ai.t'� Data � � � 't � Owner' 1 hereby'certity that'1 have reaE InformdtlOn Is corract. 1 dgrea to � h his oi Btl O� O one ve: DriveLs_lice�u oy55 � CMF 0865-06 rev. 12/ Pink - Accounting; Duct-Ventilating 7_' �__ Exheust System ❑ Multiple ❑ Firepl/Fact.Blt.ICBO� ; Heating.System & Ducting � or Type I ❑0.,t00p0oBTu ❑t00,0008TU , System Repair/Alteration � ' ' � . � 1 I � . 1 i ! � I � — — —•—� .._ , .. �. . _ , � S Reinspection Fee� $15 ; � i�. Foa � ! ' ; s ' _ ' ""_ "' '_'_ ' _ � . .' _ .. _ � - 5804 � 3✓�6/Q3 `�� . , d.AC�� TL . , . . , - _ .. , � .. . .� ^. i ` � . � : � -" � 1.+ . ' . 20NINC.REG111'ATIf1NS � - - - • PING.REF.qW ' TO BUILOING� - PROPERTV LINE� LEFT SIDE YARD VKG.SPACE RE�. STREET WIDTH � ' . ZONE ' _: � _ ' _' � ' - � '•BUILDING " ' � � . =eGTnerv p�. er � _ �. ' REAR VARD (TO P/L) =.. : • �- qIGHTSIDEYARD� - � � � � . PROVIDEO . , . , j _ - r ' ' ' � _ �PAR�K FEE S I i. ' ''� :^- utomatic Wesher mstruction Pole ; ishwasher 0 . � � ELECTpII Meter Sub Pa 1 � Sub Po Motprs lectric - ,Inc:So MicroN PolelLi ;Range Sign' I � �Standii � � 1', � " L , � { over 10U amps ' ' i' i'_' _ ' , t � i 704 HP ❑1'h$ - � ��9,15'HP'�i6-15+- , -' h Compactor � � t ! � Generatoc LJO-5 KW LJ5-15 KW ' � � , � , Transformer �75-50KW ! � � . � � � � 05U+KW; � � i �ReinipectionFee . S75 Meter �up to 100 amps I Issue Fee � '� 5 S Zoning APProved By i . ' � � Date • ' � - � ApPli�ation ApProred BY � ��•• i I Date -�'-�� •-� / �3 APPliotiOn lauad BY � DatO ��IV �� ' � � , � SUMMARV OF FEES ; . � f ' � 1 BUILDING PERMIT $ � SMIP � j $ ; i .PLAN CHECK � $ � ' PEflM1T , � � PLUMBING � $ . ��UANCE � , $ � • , GRADING ( � $ , � !PLAN CHECK ' $, � , � , t � ELECTRICAL� � S � —�� '� $ , � �PLANCHECK $ � � i MICROFILM � $' ' � TOTALtFEE � $ � MECHANICAL $ �� i � � , , � ; ' � LESS ! � ( j :PLAN CHECK �, $ � qDVANCED PC �. $ j� ' ' � ' � � 1 FINAL�FEE� � $ 111— n'�CONSTRUCTIONAND�PLANNING�c' ` � %'�- � �`^ _'_-•�-��OL 'A i__ _ � ,� ,,., :: ` � ' � ' � '' � ` ° s�Date In`spectoi � � ; � " - � ' ' ; � , Date �Inspector, � } `_APPROVALS ,- Permrt�# ? 9'7 , �' AP.PROVALS - `�Permrt # � ' . r :�1 ' [ ' n . 1 � i'� . � �. . � .. ., � a: . v • ' � .o ^� 1� �Temporary Electrical Service'oi�Pole i ��' � �� ' .. ; '�52 Pool & Equipment Location.;=;_-`, ' " - - : � • Ci" 1> i n - - i � Fr� Soil Pipe-Undrgrnd.� S i - -� _ �: 6 � � £ � .'� - . � � 53- Steel Reinfoicement � -- �� _ ,f . _ .. . _- . , � 3? Electrical Conduit Utilitv-Undrg�nd � ' � � = '�54ri Forms '�- � - - � _� � w. � �.�- s - ;3.- � i ' .� I ' � -9c�<, a :- G " -- - .' .,� - ' '� 4: Electrical Conduit-Undrgmd __ � c'��. � _ � '� � 55 Electrical Bonding�: � = . '»`� _ � . 5: Sfeel Relnforcementi � � � ; ��; � ; n � , ; F'o ^ - ° `� ,56 Rough P.Iumbing & Pressure.Test- • � . ; �; � � ^� 8: ElectricaPUFER Grnd.' � � • ^ r - .' _ 57=. APPROVALTO COVER-GUNITE: � " = % i � � ' ' - _ =, � 7. FootingS � � � � ;o;,� i 'F' - : '•g � �:�58'Electrical�pntluit-Undrarodr��- • ' "- ' . ! � - . ' � '- ' . ' , '- - , _-. �. 8: Foundatioq � ; _ ' `' � : � F ; ° �59. Gas Pipe; � �Undrgrnd Tesf: = -� {' ' 9. Water�Pipe-Undrgind. � ' � , ^ �. ' 60. Backwash Lines;P-Trap,�O�Undigmd.` - =,�• . : � 10. Stiuciural Floor Sy,stem i ?'u � � I ; ; _ ; 61. QPP.ROV'A'L' TO.DECK � ;.' � - ;; : � , _ 11. Property, Sewei Line & HouseConnection. , , ,, i,' 62. Backwash'& Receptor-Final:'� :' - . _ � � ' - - :<_ ;�. 12. Sewer Cap : � � � - � ;"� , . ',i' ; � 63. Heater &'Vent-Final_ ' ' - _ _ � 13. Roof'Drains : � � � Q � � � - •;64, Plumbing System • Final � s - �� - � � � 14. Rou h Plumbin ' ' � - ' � - - . : . . . . - . ' � ` 9 9 ( ��65. Electrical-Final- � y 15. `Rough-Ele't�ical=CPndui£"' a � --�*`i--'i , 'r'�-�-- (" �"'r"� -'66.j Sola�;System-Firial �� - . ' " - ? '� ' ��^-- � � �.L76 �Rough-ElectriciWiring� � ; , ' ;`, j "L -;'�"- ��, -„� '� , , '� --' -' - �--� ; ; � , :; -� _ _ ;� � �67: Fencing & Acceis�Appiova� • � ; , ` � . - 1�17.'��Rough�Wiring`Sign� ;. � � " i f) �� `� `. �:. . � � '� � � �gg, APPROVED FOR PLASTERING � " � ' � � �: i � .- f.� ' �.n n �� .r 1 I� 1 � � 1 1 �• I 1 . ' 1 "• `. - ' � ' � . � 18:.'Rough'Electiical,T}Ba� Ceiling� � � _ - � �69! P:OOL/SPA SYSTEMS F.INAL � s " c � j:_ p 19. �Rough;Heatir�g &�AirConditioning :� + ; o � � i f � ' 'FIRE DEPT.'REQUIREMENT� � { � , {-_ =_� � � 20�'�Roug �Fa'cto`ry Firepiace � I �� tj ( � j � � I �•. APPROVALS! Permit # � � ' �� .' �' ' � i � � � - � 21.,Ducfsain Stiucture; �" � 1 � � .� � �' � � � i 70� Underground Hydro ; � = �' - � � ` ��22...Ducts, ,Ventilating r • � ( . � �� , 177.� Product Piping � Gas ❑ Oil ' � - � � , � r !s'23.;Gas Pipe-kough & Test o �` �� I� ��_�_ _�_ j � � I �� 72! Undergrounil Flush� �-� -I � � � � -' '-I �� -�- -i � ��24. :Roof Framing� � � "� I � ��} � � � -�• � � �' q , � � �, � i73.� Undergmd. Stoiage;Tank �O Gas,OOil ' � � , ; � 25_ Roof Sheafhing • � ,. � � �� .� ; � o : � � -' ' ;74: Overhead Hydro j ` i � . � � - �. � i 1 i " ��26.ttT_Bar Cei�in �IStructural�,& Monocoat° � � , ` � ' � � • - `= � � ' _ �. .9' 1 � � � a�l i �75: Dry Chemical . ; . .. . � �, , � ��27.1�Frame'snd Flashin � ` �' � � � � ' � � . ' � - ' � ' i - •' z 9' ,1 � � . , �76i Dry Standpipe • . , � ; � r. . � � - - � . , , � 28.",Lathingffi�Siding�, ;� �; � � �� ; � i � � `�I � � 77� F,IXEDSYSTEM�FINA�L � •� �', ' c 4 � � f_29..,Insulation� � � ✓ " ^ ' �� id I � � ' � i �78t F�IRE PREV. F�INP��L ' . - .. � `f I � . i ' I ' � � � � ' � ? . �30� ��Drywall Nailing � i � � i ! � �' � � I � � Notesi � . � � - � � . , 1. � � i � �. 31.j;P,laster�Brown Coat � ( � 1� „ � ! i 1 � -� � - --r-r -� - ��- �- - -- : .--.- i i__i_ . . -.. ' - --.. , . -' �d �. . . � . � . , ' , � - - � � - � i �32.t:Electrical; Power Meter-Final ; � _i '�(��j3 � � � 1 � ' � ' � � . ' . ' " 1�' li ' ' � 33.''Final �lectric � 1_'�- , --p _f4 � .. � ..� ..� � - � ' � " 34 PFinal Hesting &�Air Gonditioning i; � � � ; j ; � ' • ; . � y � �.. v r u!. � i. t i I � - � ' �: � - � x o . ' „ . s . . 35. Final Gas Pipe Test � i �; i .;; 1 =1 li i r � - � � � � � � . � �.. . � . . � -'� - - - ' 36. Hoodpor�CanoPY� � � I •: I . �' r I � � ' n � � I . i � ` ' , I � : �� - � � • i . it i � I o. �' • : _- . 1 G , 4 ( y " . 1 . ' . t ' .[. � 37. Final Factor;y Fiieelace� �! c' � +-� �_ � f r �- � � • � _ - - � .:�n ��- I 38. Final Plumbingl � � 1 ' <� ii ' � c � ' � � ' � � " �� 39. Water1Service-Fina� � � � ' � � � � j � � . ' � � � � � i � � ', � �� 4 - 40. Gas Service-Final ' � ' �' ' � i . � � �' �` 1' � u �. � I ' � � i i � i i .�� . . 41. Solar l�omestic�Final I � i � � ; - � ;-�_- i- - -, - _ ---- - {_--� ' �. � . ' , „ t - � . � - - �, ; . . � 42. Backflow Brevente� T � ' !'�m� � � � � � � i-- -' � - � �.� � -�'if , .: - � , ' • , �,.-n � �.-1 -�-"-�- -+-- F-- � ._...-- ��. 1 R I I � � u � . Z e.� . . 1 : I - . A .1 :. 43. Backflow Irngation � ' :r � T i ' I ? i �. ( �' i :� -. i ' "� � ' . '. � � ' ',� ;; � 11' :�.� 1 �� I �. . � . ..� . . . ��n` .. : I - � � =i : I � � '� � �a. 44. LandscaPe Ir�igafion�S�stem! �� ;� - � � �> , � ' ; "' t .�; . . � 1� . . . .. 45. Sound r'Attenuation� j ; ' � � � (! ' � ' � � � � �' • � � j ` -� _ � ' � . , .. : � � �: : i, t f = � �� 46. Handfcap Regulationr I T I � 11, �§ � f �" � .� I � `- I, - � I � ' � i " ? ' - ' � � � . �., __" 47. FINAL STRUCTU,REi& BUILDING� � � I �-. � �,' ' � " � �, n i r 1 i i � � � � . ��, 48. Special Requirements�Com leted � � I i ' � � � , , �'. P� I � I I � ( ; � i 49. Electnc�Releaseto�Edison � i �� ' _� � _�_ � ' � ' ! � . _ .! � � � " r_j' i-'r� _ t ' _E. _l _ ' " 50. Gas Rele.ase'to Southem California Gas�Co � i � � � � � ' , � ' � � `i � �;:� � � . ' ;<� 51. CER �IFICATE OF OCCUPANCY -_�-_ - - ; ; _:--i' ",-. 't_ .' ;"s �✓• � � No �� ' :Date j ., i , � , , � , . . ,� . . � � ' e � � : ' :-=,c_�;.y':_."'�.'.,*'"-.-,r "" ' .'_J_ """ " "_" "_ " '