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Home My WebLink About686 VICTORIA ST - Building PermitsOWNER FjjJjlTjY �jV� (�`Q� DATE Iy-27—SS JOBADDRESS 6H6 V; . orjA Sf BUILDINGPERMITNO. ],'ILl GENERALCONTRACTOR S, V, H11I1S8.ISCC VALUE $B�7µO.00 L 7(� BLOCK TRACT Q'j8'] Single Family Dwelling GROUP I TVPE V 20NE �1 FIRE DISTRICT �.ZSO PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR ' DATE NUMBER Footing Trench � Foundation Forms and Grade to _ —�� J Rough Framing Plumbinp. Rough to SIa6 Wiri Heating, Final Sewer. House Sewe � ing, In Out ff' 3/ F...,tering �,�' � �p Bo Ptumhing, Final, Fixtures Complete j--/ Plumbing, Fin.al GasTest � /Y�� Wiring, Final �� / / Occupancy � 7: nrm 210 G-i-1 1 SM 155 _'e,oeta Mesa Building Department APPLICA'1`ION FOR YLK.ml� . 711 EAST 20th STREET �1250 B U I L D,� N G � COSTA MESA� CALIFORNIA vneu �nI G•H 2M M-46 � � � _ � , , - � ,`,. -� �,. _. _- .. ' .. .,� . ,>�-. .' • �: _ -,. _ . . . � _ � , __:.`'. , , _,- _ . . . - , • �_.l• _.�. ^�. ._. \. . . _ . � . � .� . ' .. _ . . _ � .i . .. . ' � � ,�4 .. . . . .) � � . �1��'�. _�... ' . � 1 . � I � � �. . •, 7'. . . �]. Street .:;r : ,. : '""'. — . � .. ' , ,_ . . "'_"'_. :'.��'.'�.-_�' " " ' � PLOT PLAN _ . � . � . . . . � Show loeatlon and distances Trom . . �.n'• -i •�.• �� ' ' � � property Iine and between buildings . � , .. - . - . i . .. .A ! . t\ . �.. ' - � � v� � �� 7 �_ _ . . � -- - --� - --- �- - -' - -'' c'•._ - .�'..,. � � . :.... . . _ _� . . , �. '� �� -- - '"_ . . . .. -i . - '. " . 0 ._ ' � . . . �. . .., .. _ .. .. ,. .. �. - - . r .. . . .� .,� �� -- - - � '- ." � . � . . ,. , .`,' . . .„ .. . . -• . .. -'�. _ , � �' . . . . + , . , � . _ , _ ` `, . .. t- .. . , � d � '� Pp0.1ECT RUGHESS: '(�( V I C TOR IA ST � ' � uxiT: owxee•sxeMe: CITY OF' COSTA MfiSA � � � �ooxess: 77. FAIR .DR � rOSTA M�SA . � —' CA 92626. t91A)75R-53A3 : �flCNIENGINEER: , flE0.N0.: � ,� - -- ►ODflESS: - . ' � , ' ' UNIT: , PEflMIREE: VOMONA C/I�LLIiY �QUIP : �RENT ' ( 714 )'S9�1-73:79 � FDOBE33: 1��32 FAST END A,V.� ' � '� � CHINO CA 917]0 ,' LICENSEO CONTMCTOR OECIAMTION: I herahy affirm ihat I am Iicense0 untler D�ovisions of ChaDter 9(cammencing with Section � 7000� oi Oivision 3 ot the Business antl Prolewions COCe, anE my license is in full force anE eHect. ' ' cm uc.: n� 16 7 4 $T�TE I1C.:4 1"J 2� uss: _ �� --� Oate: � SiAnaNre: ' � I/ WOBNEHS LOMPEN RTION OEClAR11TI0N: I hereby affirm Nat I �ave a ' cate ot cons t to self- um or a certifwte oi Workers ComDensation Insurance, or a cenifieG copy thereof (Section 3800, LaO. C�. � roucv'xo.: 10 3 0!3 6 9- 8 9 �cr: on�: 0 9/ 15 /'� 0 � cornraxr: STATE FUND ' . � Certilied coDY is herehy fumishe0. � Ce�iile0 coDY is f eE with e cRy Builtling Divi ' n. � �ata: � ppplicant:�� E%EMPTI N FPO WOBKEBS' fAMPEN&ITIOX OECUMTION: QAis section neeRad6e comDlete ihe permit is for one hunAretl (5100) or lew�. I certity that in ihe De�ormance of the work for w�ich this Dermit is issue4 I shall not emDloy any parson in any manner so as ro hecome suDlect ro I�e WOMers' Compensation Laws oi Califomia. •, Date: Signature:� ' NOTICE: If, atter makinA Ihis Oeclaation, you s�aulE hecome suhjecl Io the Workers' Compensation DmviSions ot tAe La6or COEe, yau must forthwit� comply wit� such DroNSions or this permit s�all 6e OeemeO revoketl. CONSTNUCTION 1FN01NG 1GENCY: I �ereLy attirm tlwt Ihere is a wnsWction IenEing a0ency lor t�e pertormance oi the vroM for w�ic� IAis Dermit is issue0 (Seclion 3097, Civ. C�. � �� IENDEfl: . � � � � ROUHESB: ._ ' . . . , . . - . . . . OWNFR BUIWEB OECLAMTION: I hereby aifirm tAat I am e.em0� ��om ihe Contracrors�State License Law for the follawing reasan (Section 7031.5 Business and Pmfessional Code: Any ciry ot counry whic� 2quires a Oermit to consimct, alter, improva, EemolisA, or reDair any stmcture, prior ta its issuance, also requires tAa applicant far such permit ro file a sipned statement t�at he/she is IicenseU pursuant ta the D�ovisions of ihe Cantracrors' State License Law (Chapter 9(commencing witA Section 7000) af Divislon 3 oi ihe Business . an0 Pmfessiaus CaJe) or Iha[ �elshe is exempt therefmm an0 t�e 6asis for the allege0 e�emption. Nny violation af Section 7031.5 by , any apPlicanifar a permit su�lecis the aODlicant to a cidl penalry of not more tAan five Auntlre0 dollars (5500�. • � I, as awner of tAe pmperty or my emyloyees with wages as Ueir sole com0ensation, will do ihe wark, and the ❑ slmcWre id not intentletl or offereE tor ule (Sectian 7044, Business and Pmiessional Cade: T�e Conlractors' State License Law � tloes not apDry to an ormer af a OmDeM wha �uilds or imD�oves Ihereon, anE wha tloes sucA work �imultl�erself dr tAmug� ' �is or �er own employees, O�a��tleA tlut suc� imDmvements are nat intendeG or offemA tor ule. II, however the building or 'imDravement is soltl vnthin ane year ol wmpletion, ttie owner vnll have t�e burden oi pmvinA ��she Ui0 not builA ar im0�'e � for t�e purpose oi sale�.. , - , " I, a5 Ownef of lhe pmpeM. am exclusively wnlfactinp with lic¢nsetl Contrattors to conSlruCl ih0 pmj¢CI (Settion 70Cd;,BUsiness ❑ • an0 Pmfessions CoGe: The Coniractors' State Licenu Law dces no[ apDly ro an owner al pmDerry w�o 6uAd5 or improves thereon and who contrac[s for such prol�ts with a contractar(s) license pursuan[ m the Cantractors' State �icense Law) �I am aware ihat Droof ol Iheir Worker's Compensation insmance shoutd be proviAetl ro me. , ' � I am exempl unaer Section: . B.' 8 P. C. ' , , . ' for ihis reason: , , , . . ' Da�e: ' ' Owner ' � � I Ao �ereby cerlity that I am aware of ana understanOlhe reyuiremenis of Californu Health and Safety CoEe Sections 2550.5, 25533, antl ' 25534 anA that I or any future builtlinA occupant wilUwill not (circle one) neetl to comply wii� said state wtles an0 i�a r¢Quirements for a permit for construMwn or mo0ification fmm t�e Air Oualiry Manapament Oistnp. Pesiaential constmction ap0lications are exempt fmm tAese pmvisions. ' - � . ,' Oate: ApPliwnt: I �ereby ceitity tAat 1 have rea0 Mis apP��ion anO slaie ihat ihe aDove iniormation is cartect. I a0ree to wmDly with all ciry an0 counry aNinances an0 state Wws relatlng to UuilUinp constmctlon an0 herehy aut ris 2presenGnveS� emer uWn Ihe above-menfionetl pmDerry b{ inspecti Duryoses. � • . `y� Oaie: Signatura: �.1— Dnver's icensa or Social Secunry x: , ' 1841-46 W�ite—BuilOinp; Green—Cotle EniorcamanC Cenery—AOP�itant; Pink—Revenue; GolCenrotl—Assasaor' ' ; CITY OF COSTA MESA - BUILDING PL'RMIT I�ERM tJO: BP G4F'239 � , . . � � PERMIT NO: BP :046239 ,-, �PLAN.CHECK NOi _' N,, GOVT: N SU}?P;,1J CONSTRUCTION TYPE:�S-N �' �' PERMIT TYPE: YLU STR � �, � PORPOSE: ❑Et4 JOB UESCRIPTION : DEMOLI_SH "SFll"� WTTH ATT/GARAGE �.,5`Q FT: ± �'. CLAIM .VALUE:- ' 1,000.00_- CAI�C-VALOE: '� 1',000.00 GROUP OCC:,�R�-3, f� � COMMEN'TS : � . � �*��*��*****+c**��*��+r*�r��r**�c��r*x�*�**�**��*�-**x*x***�*x�*��*��***��***x*��: 7. O N I N G R E Q U I R E M E N T S ' � ' . . S E,T B A C K'S • r ------------ MAIN I3UILDING -----=---�-- ---=---- ACCESSORY BOILDING =-------- � FRNT: FT IN REAR: , FT IN PRNT: FT IN REAR: FT IN�� , TEFT: FT IN� RGHT: FT IN LEL•'T: FT IN RGHT; I?T • IN � PARKING RF•.Q: • PROV: � PI�RCF.:L: 42�21741�A ZNE; RLP h10: Y' . PLANNING NOTES>' � � ; ' ' ' ' . :. . . _ . _ -� ' _ _ . • . • . . . . � _ . . _ . ' • � If 3(-# �k iE iF if �`f jE iE ik iE i(� lf iE iF iE if� * iE iE 3E ?E # dE 3E it iE �E ik iE �)f 3E ik �%it iF iF iF iE db N-iE dE 3f i(� 3E iFif iF 3E if if iE if �X.� 3E if 3E iE �1E # iE �1(-iE iF iF iE jE i( i( jf iE iE iE 3F 3f 3E' iE D E V E L O P M E N T S li R V' I C E S R� E Q U I R E: �M � N T S ZONING APPROVED�BY ' UATE: ! BU:CLDING APF'P.OVED BY : _ _ DATEi __, _ APPLICATl'ORl ISSOL'U BY: ��5�+�� ,��-��_ DATE: �-�3��3��44 , iEif3fitiEiEiEif3E3E3Eif3E3EiEiF3fiEififlfit�k3rjf- 3frt�3F -�E..- iE itiEi6�RSF�iE�i7iEiEifiEiEifNifitifiE�E�K it��k 1EiEiE iEiEiEifitiE:�E?E�lE3FiEiE3E3E3EkkifiEMiP�E�lFifjE�1E#3flF�kiE�lEif3fiFitiEif-iEiEiti' iE�iE#EitifiFkif�%ififlE�lE�IEiE�kiEiE�lFiFiF%ltif3fi@ifiE�1E?E�EiEikjEjE LEGAI�IZATIQN:hI F G E 5� U'M'M A R"Y' ' STRUCTi)RAL $EGMENT':Y -' � I3I,UG PMT PLOMBING/. �F'1,EC'LRIC ;MECHANIC PIRE. SMIY/RES C-RADING PERMII' ::5.00 ?..00 , ' ' ` 25� . , ; SMSP/NON-RES F'LAIJ . . i i ' . 50 ' .ISSUC FEE :.3.00 ' , ' � BUILDING-D'iV-�� I�ERMIT ISSUE' PLAN-C[IECK TOTAL: , I�AID .DUE 'IO'fALS-=---> �"1.7.50 �3.00 ' 0.00 , 30.50 30.50 . .00 i . . REVENI7E UIVI$IUN TOTAI�S--> COI.LECTED: 30.50 OVERISHORT: 00 ` HLPJG FMT PLUMBING EI;ECTRIC MECHANIC FIRE SMIP/TGT GRADING.PLAN�CIiECK 25.00 S.�OU .50 • , 3fiEitiEiEihiE#fifif�iFiEitN-iE3Eitjti(�k3FkitikirjtitjtiEk#iEfFiEiF�lt�x-iEiEit�7F1(-x-iE9EiE�lE�IE��ifiEiriE#F�IEiE�lk3f�x--%iE�lr3EitiFitiF3FiEiEiFiEiEiEiEiElEjEiE i � � I N D 7: V I U U A L P li F. B R F: A K D O W N ' TYf�P.. �'PY . D E S C R I L� T I O N. , UNIT' COST t TOTAL �(�S'T PLU 1 LE610LITION / SEWEk CAP'. • � END OF FEES EAGH 2.00 � 2,�� , r O1 Q�0`4730-9�054752 TOT , � DAiE: 02/?3i90 ;TIHE: 14:d3 � CONS7RUCTION AND PLANNING' . � . POO, ,PA APPROVALS Permit# � " � - �yDate Inspector - Date InspTctor � APPROVALS Permit # - 1. Temporary Electrical Service or Pole �"� � 52.=Pool & Equipment Location � � 2. Soil Fipe-Undrgrnd. �'' ^ . �7 , 53. Steel Reinforcement � '�f 3. Electrical Conduit Utility-Undrgrnd. .� � 54. Forms � ' ' � 4. �Electrical Conduit�Undrgrnd. 55. Electrical Bonding � - 5. Steel.Reinforcement 56. Rough Plumbi�g & Pressure Test 6.�� Electrical UFER Gmd. � - � 57. APPROVAL TO COVER�GUNITE ' . 7. Footings �- . 58. Electrical Conduit-Undrgmd. - 8. Foundation _..�'� '�., i• 59. Gas Pipe, O Undrgrnd., Test . �� - 9. Water Pipe�Undrgrnd. � �; .�: �, - 6�. Backwash Li�es, P�Trap, O Urtdrgrnd. _;_i 10. Structural Floor Systerri � L_.,�� __<�-�,�, 67. APPROVALTO DECK �:�� 11. Property Sewer Line &� Hou`se Connection ` � - 62. Backwash & Receptor-Final `:� ,� � Z� �1iVef �P . 63. Heater & Vent�Final � ��'-' 13. Roof prains � �� 64. Plum6ing SYstem - Final �, 14. Rough Plumbing f �-� "'� - 65. Electrical-Final � � � � ��- i �--� - � � �i % 15. Rough Electrical-Conduit .� � . 66. Solar SYstem-Final ,- � - 16. Rough Electric Wiring , � 67. Fencing & Access ApP_roval 17. Rough Wiring Sign .� 68. APPROVED�FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �� 79. Rough�Heating & Air Conditioning � _ FIRE DEPT. REQUIREMENT � 20.� Rougb Pactory Fireplace - _ APPROVALS Permit � 21. DuCts, in Struaure• ,-- - 70, Under9iound Hydro 22. DuMs,Ventilating . � � -71. ProductBiping�Gas ❑Oil 23. Gas PiPe-Rough & Test. - ' _� 72, Under9round Flush - 24. Roof Framing 73.� Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof 5heathing 74. Overhead Hydro � 26. T�Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical �� 27.. Freme and Flashing 76. Dry Standpipe 28. Lathing & Siding , . , ' . 77, FIXED SYSTEM FINAL ' 29. Insulation � 78.� FIRE PREV. FINAL 30. Drywall'Nailing _ . '"D� HEALTH.DEPT. REQUIREMENT -31. Plaster Brown Coar _}, 79. FINAL INSPECTION " 32. Electrical Power Meter-Final �tv� S0. FOOD CERTIFICATE ISSUED .33r Final Electric . - - Notes: - � - 34.. Final Heating�& AirConditioning " ' / � . 35: Final Gas Pipe-Test. �, . �-�,' . � � . ; i� 36. Hood or CanoPY � . �'�;,� :) � . � .. - 37. Final Factory Fireplace. - � � .38. Final Plumbing , '' ; " 4 39. Water Service-Final � �'� � ' . 40. Gas Service-Final � ' �_ - 41. Solar pomesticFinel :, . � � �- � � _ 42. Backflow Preventer ' ' ' - - 43. Backflow Irrigation _, , . � � ' , 44. �andscape Irripation System ' � � � ' � �`� 45. Sound Attenuation '� • , - - � 46. Handicap Regulations • . -� _ 47.FINALSTRUCTURE&BUILDING �: � . ° 48. FINAL PLANNING „}' 49. Electric Release to Edison /Ji' � ' � - 50.- Gas Release to Southem California Gas Co `" _ � � , . 51. CERTIFICATE OF OCCUPANCY ' � No. Date CITY OF COSTA MESA "' � COftl�SfiRUCTION PERMIT, . , ApPlicant to fill in all s0aees except those within �eavy PE MIT NO. TRACT NO. �I�-��' , . Project Address ` '�/ Applicant's MailinMg Address b� W' � `ST, !�1 ��/ r�� Owner's Name J"� R 8�G _ SN= /%H �/ vhone t� 'i?� -�� Addreu� �R6 �I�TO�IR� COS�ii /ME✓f} �i/� Arch/Eng. _ _ � License No. �Addreu ' � � . Contrector's Nam O� � 86 E le' hone � � . AddresslmailinglGG//�1. /�J �L�.OSTii I�'irGSA �� City LicPnse No. �a�� 3 � 1 I.ICENSEO CONTRACTOR DECLARATION I hereby affirm thzt I am Iicensetl untler provislons of'Charter 9(commencing • � with section 7000) of Division 3 ot the Buslnesz antl Proteszions Cotle, antl my Ilcense•Is in tull fnrce aqG �!(ect. _ ' - ,� � � � . ! (I A CH W00.KER5' COMPENSATION DECLARATI4YN" ' t - hereby affirm that I have a certifiwte of consent [o selfansure or a certlfiwte ''Workeis' Gompensation Insurance, or'S certitiea copy rnere t-(SecUop �800. Lab.�C�.)�Qp'I / ` .� GolicyNo.W��o%��!�60��Company�E��OIV� �vDEMNI� �y1-,�.ertifietl copy is hereby furnishetl. � CJ Certifietl c py � fi tl with the tity Bu'ryIn9 Divisio Date !O'�—�� nooiica�t �A11C � �%� b�/( EXEMPTION FROM WORKERS' COMPENSATION DECLA TION (Tbis section need not be completetl H the permit is for one huntlretl ($300) or � less). • I certity�thaf �in the perto�mxnce of the wo�k for which thi5 perm�t is i55Uetl I shall not employ any person In any manner so as [o become subjecl to t�e Workers' Compansation Laws ot California. Date Signature ' NOTICE: If,'after making this tleclaration, you shoultl become sub)ect to the Workers' Compensation provisions o14he Labor Cotle, you must forthwlth comoty with such provislons or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV ' I hereDy atflrm that there is a constructbn IenGing agency (or tha performance of lhe work .Por which this permtt� Is issuetl (Settion 3097 Civ. CJ Lentler's Nama . � � Lentler's Atltlress OWNER BUIIOER DECLARATION ' I hereby aHlrm [hat 1 am ez¢mpt from the Gontractor'S LlcanSa Law 1or th¢ following reason (Section 7031.5'Buslness antl Profaisional Coae: Any city or countv wnich r¢Oulres a Dermit to ConStruct, alter, improve, tlemolfsh or repair �Ision 3 ot t�e Business antl Pro(esslons Coae) or that he/sna Is exempt rofrom ana the ba5is for t�e alleg¢tl oxemption. Any vlolation of Sectlon 31.5 by any applicant for a permit sub7ects the applicant to a Uvil ialty o( not more than five huntlretl tloliar5 (E500). ' 1; as owner of the property or my employeei with wages as thelr sole npensatlon, will tlo the work, antl the SVucture' is not intentletl or ofteretl sale (Section 7044, Bu5ine55 dntl Vrof¢SSiOnal Cotle: The COntrac[or'S ense Law tloes no[ applY to an owner of a property who builtls or Improves reon, dnd who Goes SUGh work himseH/he�self o� Nrou9h hi5 or hBr own ployees, provitletl that suc� improvements are not intentletl or offeretl'for • If, however, the builtling or improvement is soltl within one year ot com- tion, the owner wi11 have the buraen of oroving he/she Cltl not builtl or im- rva for the�purpose of salej. � I, as owner of the property, am exclusively contracting wilh licensetl con- ctOrs to construct the Oroj¢ct (Se[UOn 7044, Bu5ine55 antl Pr01e55iOn5 COtle: e Contrattor's Littnse Ldw does not apply to dn owne/ oi p�operty'wh0 Itls or improves [hereon, antl who contracts for such projects with a con- ctor(5) II<ense pursuanl to the Contractor'S License �awJ. I am exempt untler Se<flon B. & P. C. for this reason te Owner iereby .certify tnat I have.reatl rois ap0�itation antl stale t�at Ihe above ormation is correct. I agree to complY with all city antl county ortlinances ] state laws relatin9 to builtling c structlon, antl hereby authoriie repre- rtatives of t s city to�� r n/� above-mentionea property for Pection P�es. �// ., `-7_ _ ' " . �A..9� C.E Drivers' CMF 0865-46 rev.'7/83 Iinas anE si9n all appraG�late tleclaralions. TVPE OF CONSTRUCTION . lJ NEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � q,p, �p DESCRIPTION OF WORK . . � . S Main Building: TVPEOFPERMIT GRADING� FOUNDATION STRUCTVRAL ' T Ffont ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL � A Reaf ❑ �OTHER , � • C qight _ PROJECT DESCRIPTION. 5[�. FT. OCCUaANCv K CONSTRUCTIONTVPE VALVATIONS S Left � Remarks: Bar Sink Backflow Preventer ' Backflow Irrigation Rathtuhc r Drinking Fountains Floor Diains� Floor Sinks Gas Service Interceptors. Kitchen Sink � Lavatori� Roof Drains �Reinspection Fee _ GRADING CU.YDS. 'ACRES p�ng. Ref. � ' - � � � - Parkin9 Req./Pmvid ' - � UseofBuilding: PLUM6ING � FEES P�anning Notes: Shawers Service Sink � Sewer Cap Sewer Connection Solar Collectors Solar Tank Swimming Poot w/Spa Urinal � Outlets. . Water Closet � ' Water Heater � - Warer Service _ _ ! . ..�.... _ . $25 Duct- Under Ground Duct-Structural ' Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. IC80 �h Heeting System & Duciing ❑6700,000 BTU 0100,000 _ I I Reinspection Fee � i White = Builtling; Canary"- Applifanp Pink - AccoUnting; GblOenrotl - ASSessor' � $25 Isua fee 9247 1 1/ 2one � ' - Accezsory Bu Park.Fees $. F�UtOR12tIC 1N25�1Ci. ' � Construction Pole Su6. Cooking Unit � � � - DisKwasher ;q;j Dryers OGas ��Electric Fan • F:A.U. Hood or, Typel ❑ Canopy Type I I ❑ Refrigeration System ❑6700,OOOBTU ❑100,OOOBTU System Repair/Alteration Issue Fee /B4 -' 5a00 T� ig: 2 O N I N G - R � " E • U U I , R � E '. _ ; E . N ' . T ' ELECTRICAL " ; � Transformer ❑ 15-50 KW . � ❑ SO+KW - . � — Meter ❑up to�100 amps' . .Meter ❑over700amps � ' Fixtures Device Boxes . ' � OuHets . � � Switches � Garbage Disposal ' Generator DO-5 KW �5-15 KW $ 3 ° $ 3 � Sub Panel ' ' ' Mot6rs � 0.1 HP 01'h - B � Inc.Solar �9-15 HP �16-15+ � Microwave Pole Light Range Sign ' Standing Sections � TraSh Compactor ' FEES 1 I Reinspection Fee � �$25I Issue Fee � I $ 3 PUBLIC SERVICES REOUI REMENTS: � Zoning APProved By �ate Application Approved By � Date— �, Appliiation Iuued�By �'�1 �ace . I U ��- . SUMMARV OF FEES � BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT � PLUMBING $ S . OO ISSUANCE $ �PLAN CHECK $ . ENEFGY P.C. $ � ELECTRICAL $ GRADING $ PLANCHECK $ MICROFILM $ � .�[�'�� -• �•MECHANICAL . $ � �TOTALFEE $ � `-'�- L- PLAN CHECK $ ' lCONSTRUCTION ANDPLANNING� 7 POOI PA Date Inspector Date Inspector � i APPROVALS." Permit # - APPROVALS Permit # L � - 7. Temporary Electrical Service or Pole� ,,,� i 52. Pool & Equipment Location � 2. Soil Pipe=Undrgrnd. .,� �� 53. Steel Reinforcement ��; � 3-'Electrical Conduit`U(ility;Undrgmd:� _�- i . � ' 54. � Forms • 4. Electrical Conduit�Urid�gmd. �� " • _ 55. Electrical Bonding ��' � f 5. Steeb Beinforcement �� 56. Rough Plumbing & Pressure Test _�,' 6.�Electrical �UFER�Grn'd. �' � 57.-APPROVAC TO COVER-GUNITE � � " r, � � 9.;Footings � ' 58. Electrical Conduit-Undrgrnd. •�% 8. :Foundation . -;� i. � , 59. Gas Pipe, O Undrgrnd., Test �� :� t. � .r 9.�-Nr/ater Pipe-Undrgrnd:�� .- � �60. Backwash Cines, P-Trap, � Untlrgmd. � I, 10. Structurat �Floor System �- 67. APPROVAL TO DECK � 11. Property Sewer Line.& HouseConnection J- 62. Backwash & Receptor-Final �� 12. Sewer;Cap � f! , , �, %� ' - , - � 1 . 63. Heater & Vent-Final 13.,;Robf D}ains .- ' -�� 64. Plumbing System - Final �i i 14.'AougK'Plumbing � ' ' ' �� 65. Electrical-Final ' � �_ �75. Rough Electrical-Conduit . 66. Solar System-Final � 16.. Rough Electric Wiring . 67. Fencing & Access Approval - 17. Rougfi 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 i ' 20. Rough Factory Fireplace, APPROVALS , Permit# 21. Ducts, in Structury 70. Underground•Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test •' 72. Underground Flush 24. Roof Framing , 73. Undergrnd?StorageTank OGat ❑Oil 25.� Fioof Sheathing 74. OverHead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. �Dry Chemical 27. Frame and Flashing . - 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78, FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: _ r_S � 34. Final Heating & Air Conditioning ' � '/ 35. Final Gas Pipe-Test . - , � 8_ � 36. Hood or'Canopy - . . 37. Final Fac[ory Fireplace ' . 38. Final Plumbing � �� , ' . 39. Water Service-Final � 40. Gas Service-Final � ' ' 41. Solar pomesticFinal � , , . . � 42. Backflow Preventer � , � ' � , 43. Backflow Irrigation , , 44. ,Landscape Irrigation System - � 45. Sound� Attenuatiqn � ` � 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. CERTIFICATEOF OCCUPANCY . • _ . � . ' No. - � ' Date - � � � ' � �f Y O F COSTA Project Address _ Applitant's.Mailing Owner's Name — Address . Applicant to till in all spaces rR ucrioN icro/1i thos¢ within �eavy Cortler ilnes anE sign all approD��ata Ceclaralions. 'TRACT NO. LOT NO. - UNIT N0. ADD. LJ ALTERATION LJ REPAIR ,/ABEL .�////H vV ✓ � • U GONVERSION LJ DEMOLISH U OTHER A p �, � , Phone ' DESCRIPTION OF WORKNSE OF BLDG�� —�, / / 'Ci / � 5 Main Buildi � License NO. TVPE OF PERMIT GRADING FOUNDATION� STRUCTURA� T F�ont � ❑ ❑'E E TRI ❑ PLUMBING ❑ MECHANICAL ; Address - - �..,�� _ , TENANT , L C CA� � , B Rear -Contractor'sNamP ��r/Rl�� : Q�'�7. Phone��, - �'o7tiER " - - :A WBoO �„N . PROJECT DESCRIPTION � 5c1. FT. �� oCCUPANCv 'K_ Right � Address (mailing) .�ti� / ` 1 � p , ' . : �3a . _ , CONSTRUCTIONTYVE � VALUATION$ �,VJ`-�C� S- Left � i C/\ �( City LicenSe No_ ' ° ZpNE ,. _ : GRADING CU. VDS. ACRES LICENSED-CONTRACTOR DECLARATION � Ping.�Ref. � I hereby aHirm tnat Lam Ilcensetl untler provisions ot Charter 9(mmmencing � Remarks: � Planning Notes: with settion ]000) of Division 3 of tha Bu5ine5i antl Pmfessions Cotle/, an0 � my licen5e is in full force ana etfect. ' � �j�'lln6 (O � ti License Clazs � License No. ioate�lo�L2^S� - � eq.et9- ' � S'9 t \' �WORKERS'COMPENSATION DECL ATION ' � hereby affirm tnat I have a certi(icate of consent to salf-insure or a certiticate ' Workers; C)ompen�satio-ny� I�nSUraInce,. or .a' certificetl� ��copy th7e�reo�t (Secptlon PoIOIc�Y No. C/r.i��G J.7v �'1 ComPanY ✓1�.n.1'c ��-(.11C1� � , BCerHtletl copY is hereby (umishetl. ' i � �` . Certitletl c4p is tll with the tity B vl3�,on. �C ', Date� � — L�� APPlicant �K..� - EXEMPTION FROM W00.KER5• COMP SATION DECLARATION' (This section neetl not be completetl if the permit Is tor one huntlretl ($300) or� � less). . I certity that in the periormance of the work for which thls perm�t I5 Issuetl, I zhall not �employ any p¢�son I� any mann¢� So d5 to becOme Subj¢ct f0 IhG Workers' Compensation Laws ot Califomia. � , � , . Date. ' Signature `NOTICE: If, after making [his tleclaration. You shoultl become sub�ect to the � 'Workers' Compensation provislons ot tha. Labor.Cotla, you must (orthwith . -. 'comply with `such. provisions or this permit sha11 be tleemetl revokea. CONSTRUCTION LENOING AGENCV:'� " �- ' ' '' ' I hereby atfirm tha{there is a constructiori lentling agency tor the pertormance �� of the work for. whlah tnis permit is issuetl .(Se<tion 309] Civ. C.)�� y Lentler's Name ' Lentler's Atltlress' � - � � �' � . � OWNER BUILDER �ECLARATIONr � "" ' - � �� I hereby atfirm lhat I am �exempt from the COnttactor's-Llcense L.aw tOt the� � � followmg reason (Sec[ion 7031.5 Business anG Crofessional Cotle: Any city or county whiGh req Wres a permit to cOustruct, alter improve, tlemolish or rapair any struciure, prior to its issuance, also requirez t�e applicant for suth permit to fi�e a signetl statement that he/she is licensea pursuant to the provisions of' the Coniractor's License l.aw (Chapter 9(commen<in9 with Section 7000) of � Division 3 of the Business antl ProfesSions.Cotle) or that'ne/she is exempt ^�efrom an0 the'basis for the alle9etl ezertlption. Any vlolatiOn Of.Sectlon 31.5 by any ap0��ant to�. a permi[ ,sUbjects the aOPlicant to a civll �nalty ot not more than five huntlre0 tlollars (E500). .� � I as owner ot the property or my employees with�wages as their sola � compEnSatiOn, will Eo thC wo�k, antl'the st�uctu�e is not intentletl o� otfe�etl 'tor sale (Section 7044, Business antl Protessional Cotle: The Coniractor's � Li[ense �aw tloes not dpplY to an owne� o( a prope�ty who EUlltls or ImprOves i thereon,'an0 who aoes such work himselt/herself or through his or her own employees, provitletl tha[ sucn ImprOvem¢nts ate not intentl¢d or offeretl for ; sale. It, however, i�e builtlin9 or improvement is soltl within one year of com- , Pletion, the owner will have tbe burtlen of proving ne/she tlltl not bulitl or im- �rove tor the purpose of sale). I, as owner ot [he property, am excluslvely contra<ting with Iicense0 con- tractors to construct the project (Sec[lon 7044, Business antl Professions Cotle: The Contractor's License law does not aPply to an owner of property who builtls or improverthereon, antl wtio contracts for such projects with a con-' tractor(51 license pursuant to the Contractor'S Litense Lawj. I am aware that • proof of their Worker's Compensation insurance shoultl be provitletl to me. � ❑ I�am exempt unAer Se<tion � T B. & P: C�or this reason . � Date — Owner ' I have'reatl�this applitation'antl state that the'above I:agree to comply wilh all city antl county ortlinances to builtlin9 constructlon, antl hereby authorize repre- to ent� upm the above-mentlonetl oroperty for ! . �D �7iZ Irrigation � Drinking FOuntains Floor Drains � Floor Sinks . - Gas Service � ' '. Interceptors_ Kitchen Sink � LaJatories . 0 0 PLUMBING � Showers � " ` - Service Sink' SewerCap� � , Sewer Connection Solar Collectors SOlar Piping , Solar Tank � Swimming Pool w/Spa Urinal - - � - ^ - - � Water Closet ' • Water Heater � � � ' ' Water Service ' ' - ' Autn-Wnsfi. . � . , ��uy Roof Droins � � . s � � -Reinspection Fee $15 Boiler � � . . Duct - Under Ground: : Duct-Ventilating • Exhaust,System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO �k Heating System & Ducting ' ❑ 0.7 00,000 BTU � 100,000 BTi I Signature //� Date � 'X\ , Drivers' License or 55 � '� ' � I I Aeinspection Fee I $15 CNIF 0865-46, rev. 10/84 White - Bulltling; Canary - Appliwnt; Plnk - Accounting; Goltlenrotl - Asussor � � Issue Fee - Hood or Typel ❑ . ,Canopy � Type I I ❑ Refrigeration System ; ❑o-ioo,aooeTu ❑�oo,000 System Repair/Alteration Fire Dampers � , . , laue Fee � Automatic Washer Construction PoleSu6. Cooking Unit Fan F.A.U. Fiktures � Device Boxes Outlets Switches Garha9e Disposal Generator 00�5 0 � 0�09 10/22/84 Building: 2one ' 1 � ' ELECTRICAL � � Transformei �� 15�50 KW � , ❑ SO+KW Meter ❑up ro 100 amps" Meter ❑over 100 ampr � . Sub Panel � ' Motors �41 HP �1'f,-•8 IncSolar �9�1�5 HP �16-15+ . . � �. . Microivave .. .. _ - .' � ' Pole Light ' � . Range ' , � � ❑5�15 KW Sign � • Standing Sections • Trash Compactor ' $ 3 � ReinspeMion Fee $75 Issue Fee F,EES . DEVELOPMENTSERVICESREQUIREMENTS:, , Zonin9 APProved 8y . Building Approved By � � �, Appliration Issued BY �� IOpJq r�, Z � N I • N G R E � M T S $ 3 ( � ' SU� MMqqq RMV OF'FEES ' ' � � BUILDING PERMIT $ � SMIP $� • S� PLAN CHECK � '$ • PERMIT ' � PLUMBING � � �$ ' ISSUANCE $ � PLAN CHECK 25% $ ENERGY P.C. $ ' ELECTRICAL ' �S � GRADING �$ � PLAN CHECK 50% '$ � MICROFILM ,$ MECHANICAL $ TOTAL FEE $ �� PLAN CHECK 25% .$ ' I�CONSTRUCTION-AND�PLANNING / APPROVALS Permit# , 1. Temporary Electric8l Service or Pole ' �2. Soil Pipe-Undrgrnd. � � . � 3. Electrical Conduit�Utility-Undrgrnd. � 4. Electrical Conduit-Undrgmd. � , 5. Steel Reinforcement' .6. Electrical UFER Grnd. � � 7. Footings ` � �_ � 8. Foundation �� - 1 9. Water Pipe-Undrgrnd. • � ' � i - 10. Structural Floor Syrtem: � � � 11. Praper.ty Sewer Line & Hause Connection 12. Sewer Cap ' � � ' � i . 73. Roof Drains ' 14. Rough Plumbing 15. Rough Electrical-Conduit � � 16.'RoughElectricWiring� -- 1�7. Rough Wiring Sign' _ 18.'Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure � . 22. Ducts, Ventilating � 23. Gas Pipe-Rough & Test �' 24. Roof Framing. � 25. Roof Sheathing i � ' 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding _ • 29. Insulation 30. Drywall Nailing � 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 38. Final Plumbing � 39. Water Service-Final . 40. Gas Service-Final ' 41. Solar pomestic-Final , 42. Backflow Preventer 43. Backflow Irrigation � , . 44. .Landscape Irrigation System 45. Sound Attenuation �� 46. Handicap Regulations ' _ 47. 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 � ' POO1. iPA Date �; Inspector � qppROVALS Permit# � ' 52. Pool & Equipment Location • ' 53. Steel Reinforcement � � � 54. Forms � -� 55. Electrical Bonding , 56. Rough Plumbing & Pressure Test� 57. APPROVALTOCOVER-GUNITE • ;� .. � 58. Electrical Conduit-Undrgrnd. . ,' �, 59. Gas Pipe, � Undrgrnd., Test � ,� 60. Backwash Lines, P-Trap; � Undrgrnd. - 61. APPROVAL TO DECK � � 62. Backwash & Receptor-Final � . ' 63. Heater & Vent-Final � 64. Plumbing System - Final � • 65. Electrical-Final ' , 66. Solar System-Final � 67. Fencing & Access Approval � 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEMS FINAL � FIRE DEPT. REQUIREMENT � , APPROVALS Permit # � 70..Underground Hydro '71. Product Piping OGas ❑Oil 72. Underground Flush ' � . 73. Undergrnd. Storage Tank O Gas ❑ Oil . 74. Overhead Hydro _ ' 75. Dry Chemical � -. 76. Dry Standpipe , � � ' 77. FIXED SYSTEM FINAL � 78. FIRE PREV. FINAL ' . HEALTH DEPT. REQUIREMENT � 79. FINAL INSPECTION . � 80. FOOD CERTIFICATE ISSUED Notes: i I � Date Inspector ; . �