HomeMy WebLinkAbout1545 LUCKUP LN - Building Permits t y
T tis \ -
City,of Costa Mesa I
' Development Services Department
_B,uilding Safety Division CERTIFICATE OF OCCUPANCY No. 00^.145
• - P,O.Box 1200
' Costa Mesa,California '
The Building located at 1 GAS Trartsn rennin
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
fora Group R-1 Occupancy. / - r
Use of Building Apattuent /(< 7) , ) / T5
Legal Description A7n—fY17_111
(See reverse side for Metes and Bounds)
Building Permit No Al 51;c1 Electrical Permit No. F1RRncl Plumbing Permit NoP1RAR7. P191 Al
Mechanical Permit No. Ntl41;11 . M9fy1 99 Number of apartments and/or guest rooms
,/
ISSUED TO: Building Official [i, r /i &_cre
Fairview Davellnument Cmmnanv by / C, .4r -•i 63r L-
1691 Kettering Street
• Irvine. C'.A Date 2/ dap* O C�
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
Building Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. /
CMF 1015-46 rev.1183 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File
CITY OF COSTA MESA t
• ► BUILDING DIVISION
IF ..�I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
"Mowms I B01-01671
-
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1545 LUCKUP LN Status: ISSUED
Suite: Applied: 10/19/2001
Vicinity: HARBOR VILLAGE APT BLDG Issued: 10/19/2001
Parcel Number: 42005103 Zoning:
Applicant: SANDOVAL, CHUCK ISSUED BY: '
Address: 1101 E CHESTNUT DR - _
. - Phone: (714)285-1180
SANTA ANA,-CA,i°,- Zip: 92701 NOV- / Y
Owner: STATE OF CALIFORNIA i a
Address /65/FAIRVIEW DEV CNTR e,\ 01
/ 2501 HARBOR BLVD - Phone:
DEPT OF DEV SERV Zip: 92626 ' ' -
Contractor: "EVANS ROOFING COMPANY INC
Address: 1101 E CHESTNUT DR -
Phone:- (714)285-1180 ,
SANTA ANA,CA
Zip: 92701 'License: 610549 .
Arch : . Eng:
Address: - Address:
Phone: , Phone:
Zip: "License: License:
SCOPE OF PERMIT ,
• REROOF"HARBOR VILLAGE APT'BLDG:PO,REPAIR SHTG AS NEEDED, 1 LAYER 30#FELT, INSTALL 25-YEAR
CLASS A COMP SHINGLES.74 SQUARES - /
FEE SUMMARY
• Plan Check: $0.00 - -- — - -- - - Calc Valuation: $5,500.00,
Permit: $125.25 Claim Valuation: 55,500.00
SMIP Res: $0.55
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.80
PLANNING & ZONING
SETBACKS
• MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 , Left 0-0 Right 0-0 '
PARKING .
Existin : '0 Required: 0 .. Proposed: 0
NOTES: - . -
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: This permit 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-48(8'Q6)
DECLARATIONS .,
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I haveand will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
\ wq which this permit is issued,
have(j}{ and will maintain workers'compensation insurance,as requiredby section 3700 of the Labor.C:cde,for the performance of the work for which this permit Ls Issued.
My workers' nation Insurance carrier and policy number are: .e•
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that In the perform= ce of the w.rk for which it Is Issued,I shall noemploy any person in any manner so as to become subject to the workers'
copensati
with on laws fes po�alX� la,and-e that III ould e su eel to the wMkers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
Applicant Signature: 9- Jre7/-- Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100.000),IN ADDMON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DEC • -ARON:
I hereby affirm that I am license.a.r provisi•aj.of Chapter 9 ening Yh Section r I.)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.tic.$ S _ _ Class 0
Contractors Signature: tWr%�ttn�L�a'Ie�✓��)�i1� Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097•CMI Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
peri rj..
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
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 permit
to file a signed statement that he or she kifcehsed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or.she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a perr4
subjects the applicant to a civil penalty of not more than five hundred dollars(5500).):
o.
❑ I,as,ownerof the oelee withont wagesrsas their sole compensation,not WILL DO THE WORK,and the ds o is not theonoffered d for sale(Sec.
hams,Businessrrsand ProfessionsiCode:The pyelicense Law doesuch not apply aowner ofin propertyded who buiwilds or ,improves athereon,, and who does ove work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.It,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 0 Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety.as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and catty a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Flre Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safely Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does 89 ❑
or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire,
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aPPermlt for such construction or modification.
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the ffldllty to be constructed under this permit be within 1000 feet Irom the outer boundaries of a school? ❑Ves 0 Na
(if'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
__—
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPUANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
Correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signatur Of Le al er Date
nd/Or uthorized Applicant Date
CODE/ INSPECTION TYPE Gaff. MAW ;Oat( INSPECTION TTP PATE gi AU
1618 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 7 208 Final Plumbing
200 Final Re-Roof 4W'1
/N 210 Final Electrical
201 Final Block/Retaining Wall • 212 Final Fire Prevention _
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy -
J � '?E3� JooO:d_cA'o4oat /4..14iir_=i/y .
V' i Applicant to fill in all spaces except those within heavy border lines and sign all ap to claratlons. 'O
CITY OF COSTA MESA• r PERMI NO. TRACT NO. LOT NO. B D N _ _
•
r�COi �FRUCTIONPERMIT lr led bI BS-51 n), 73r. /oi- f} � 1r5' , f '
s fA/.Cd/r44/ 714.5.7,7-.99 L (Q��.,I7�L 1
Prpjec�'AddsessTYPE OF CONSTRUCTION 1�1 NEW �J ADD U ALTERATION EPAIR I
-I Applicant's Mailing Address •e > -'gyp_ '-- ❑ CONVERSION ❑ DEMO ISH ❑ OTHER A,P,# ,.�-0/eR-io I Zone /y-'sR
Celle J'� 97 N.SQ DESCRIPTION OF WORK ��4•e7�/7L.si7- T
Owner's Name Phone 1 a U ( u 1 S Main Building: Accessory Building: I Z
Address /G9/ /enrE,t/AJy„Yf /.e✓/A/G U rr.�,,II 1 "*�,� E /I/ co
./� �.T.v/�" "SO C. TYPE OF PERMIT GRADING L^1 FOUNDATION IZSl STRUCTURAL • T Front �t7 .�.d lll(rYt-IyyfA� w� M
' Arch/Eng. License No., ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B
tf3//7 Pr 1) ACAs Udo I,I..L•5 ❑ ,OTHER ( A Rear • 7 -/p /1P0.f"p-1T �J� N
dtat. r •hone9�7¢SQ PROJECT DESCRIPTION SQ. FT.//OI _ -- OCCUPANCY T'r„"�1 K Right YJ. / .,� 5 et G
AddressR
(mailing) / F / '�t�� y yam' ~� CONSTRUCTION TYPE E)'�U O VALUATION S•+-ra'8g $ Left lf. l .�•o hear/moi/' carpor* - E
)L SJ L.JCYtJ'S! hf,{� �y7os/ ZONE GRADING CU.YDS. ACRES Ping. Ret.# ��!_ /S� �fk.Fees !/ � -, S-2-
City
City License No, r
n U
LICENSED CONTRACTOR DECLARATION Remarks: / t" -� �5 )4 `�' 6 Parking Req./Provided fo k//Or I
I hereby affirm that I am licensed under provisions of Charter 9(commencing Jr.. ,R
with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: A nJ . E
my license is in full force and effect. • (/ '
3 License Class -� Lir se No ;� ' PLUMBING ' FEES Planning Notes: yy' M .
, 3 Date/�--2 Signatur• - ��o��/� _ E
W qdr1 Bar Sink Showers HOLD FOR SPECIAL RF.QflIRF.117fENTS'•= ' 'N
( WORKERS'COMPENSATION DECLARATION . T
hereby •
affirm that I have a certificate of consen t• so insure or a certificate Backflow Preventer Service Sink _ •i - • Y S
Li f Workers' Compensation Insurance, or a certified copy thereof (Section
.�1 3800, Lab. CJS ' Z 5 �/p� Backflow Irrigation Sewer Cap ELECTRICAL FEES-;; Ir
`r 3800,cy No. CU Q fP Company ' `^�011� -
1, - Bathtubs Sewey'Connection - Automatic Washer Transformer ❑ 15-50 KW,.
•N Certified copy is hereby furnished.
B Certi�fIi d cppy is filed with the city Building Division./ J ,.
Date 47 2,� Applicant C/I'1'1 d7LL1 (Cla_ $ Clarifiers Solar,Qollectors Construction Pole Sub. 0.50+'KW
EXEMP'el N FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping - Cooking Unit • Meter ❑up to 100 amps
(This section need not be completed If the permit is for one hundred ($100)or ' _
less). Fountains
Icertify that in the performance of the work for which this permit is Issued I Drinking SOIal,Tank - • Dishwasher Meter ❑over 100 amps" ..
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel ,
Date Signature
NOTICE: If,after making this declaration, you should become subject to the Floor Sinks Urinal - Fan _ . _ Motors❑61 HP OVA-8 .
Workers' Compensation provisions of the Labor Code, you must forthwith - '
comply with such provisions or .this• permit shall be deemed revoked. Gas Service Outlets - Water Closet F.A.U. Inc.solar ❑9-15 HP D16-15+
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction lending agency for the performance Interceptors • Water Heater , ,. f 4 Fixtures ' Microwave ' •
of the work for which this permit Is Issued (Section 3097 Civ. C.) - ,/
Lender's Name Kitchen Sink Water Service - Device Boxes Pole Light
Lender's Address Lavatories •
OWNER BUILDER DECLARATION - - -3 ' Outlets Range •
I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p - r - Switches Sign
-county which requires.a permit to construct,alter,improve,demolish or repair
any structure, prior to Its issuance, also requires the applicant for such permit Roof Drains i Garbage Disposal Standing Sections
to file a signed statement that he/she is licensed pursuant to the provisions of - .
•
•he Contractor's License Law(Chapter 9(commencing with Section 7000)of � Genere[or 00-5 KW❑515 KW
vision 3 of the Business and Professions Code) or, that he/she is exempt • Trash Compactor
erefrom and the basis for the alleged exemption. Any violation of • - •• $25 Issue Fee $ 3 D
831.5 by any applicant for a permit subjects the applicant to a civil .
penalty of not more than five hundred dollars($500).
Reinspection Fee• I, as owner of the property or my employees with wages as their solo MECHANICAL ' Reinspection Fee $25 Issue Fee $ 3
compensation will do the work, and the structure Is not intended or offered FEES
for sale (Section 7044, Business and Professional Code: The Contractor's - - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0
yyy���///��� V// 4� r-�'
thereon, and who does such work himself/herself or through his or her own Zoning Approved By (JJ..0 / /-� Date / ��- 6�
employees, provided that such improvements are not intended or offered for Duct-Under Ground Canopy Type II ❑ , 1'/� 1^^\� ^(� Q"
sale. If, however,the building or Improvement is sold within one year of com- Application Approved By Ate_ Date TJ
pletion, the owner will have the burden of proving he/she did not build or im •-
rove for the purpose of sale).- —
Duct-Structural Refrigeration System •Application Issued By Date 4-2,2,9• I,'as owner of the property,am exclusively contracting with licensed con- • ❑0-100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct'Ventilating p• SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who BUI LDING PERMIT $ 3��0�
builds or improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple❑ System Repair/Alteration �i SMIP $ 32..4-e
tractor(s) license pursuant to the Contractor's License Law). •Y.. PLAN CHECK $ _ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# • PLUMBING $ • ISSUANCE $ .
Date Owner Heating System& Ducting Yb' ENERGY PC $
PLAN CHECK $ . .
I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $
information Is correct. I agree to comply with all city and county ordinances _
and state laws rel ng,t building construction,and hereby authorize repro- \ MICROFILM $ '
sentatives of this I enter upon the above-mentioned property for PLAN CHECK $ p,�
inspection purvoie ` - MECHANICAL •
$ - TOTAL FEE $ (3C.-Vo IPI
Signature 1 Date:/.(t'-'') '
Drivers' License or SS# ) -% Reinspection Fee I $25 Issue Fee $ 3 PLAN CHECK $
MIL
CMF 0865-46 rev. 7/83 White?Building;Canary-Applicant;Pink-Accounting:Goldenrod-Assessor - . - . ..
r r
CONSTRUCTION AND PLANNING POO SPA
f APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
11 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.' s/D/S --- 'r 57. APPROVAL TO COVER-GUNITE
7. Footings fr, c„ 58. Electrical Conduit-Undrgrnd.
8. Foundation ,s OA 59. Gas Pipe, 0 Undrgrnd.,Test
•
9. Water Pipe-Undrgrnd. Ftri NI-As-by 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
• 11., Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final .
13. Roof Drains 64. Plumbing System - Final
'14. Rough Plumbing - 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace 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 7kd/�,�--D5 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing B/51§c flS 76. Dry Standpipe
28. Lathing& Siding .,/ �5 77. FIXED SYSTEM FINAL
29. Insulation '9 78. FIRE PREV. FINAL
30. Drywall Nailing g -c- V 2 HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat JoJi!g c.e -s 79. FINAL INSPECTION -
. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
'33. Final Electric Notes: Sr pg...D\ii2401 ?lr�C ,
34. Final Heating & Air Conditioning .Q- y �Q4..
,35. Final Gas Pipe-Test �•ru�t.�-• �iC��•��//LLvN
36. Hood or Canopy
37. Final Factory Fireplace'
38. Final Plumbing -
39. Water Service-Final - • -
40. Gas Service-Final-- • - •
I, 41. Solar Domestic-Final -
42. Backflow Preventer ,..
43. Backflow Irrigation '-
44. Landscape Irrigation System - ._
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING, 11/2,54k-t3
48. Special Requirements Completed //25_25 car
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICALUIF OCCUPANCY p/ -" S
I No C"2 Date _7_7aMO / . _
4
2 �� uNlyN 2I 60 5/02/95 263.00- -
TL
V F0 tZU1re CCJ IM)SPITAtApplicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
•
. CITY OF COSTA MESA .CONSTRUC�1TION PERMIT PERI/IIQ4IT to lo TRACT NO. LOT NO. •
' P act Address LU RUP LM I `� "' s— - .
•
• Applicant's Mailing Address PA/ 11 BATAVIA,ORAUGEI CA 42'667 TYPE OF CONSTRUCTION ■ NEW I ADD ■ ALTERATION ■ REPAIR -
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name " FAIRY N W /fAA dbC1 CAAENT Phone'TQ'505, A.P.1W '
:1 Zone
d /� DESCRIPTION OF.WORK/USE OF BLDG.
Address '�I u $ EcLE / CIRC CDSTA /a6SA - S Main Building: - " . Accessory Building: •
Z
Arch/Eng. License No. _• . - ...TYPE OF PERMIT U GRADING Li-FOUNDATION U STRUCTURAL • T Front - , , ' • . 0
Address • •[ n�,r 1 . �r7 ❑ TENANT ❑ ELECTRICAL ,❑ PLUMBING ❑ MECHANICAL A Rear N
Contractor's Name r- ti 41s WGJ PWG /WC Phone /� -1p ❑ OTHR - , I f
yI I "Q I !91 C Right N
Address'Imailingl 1,47 � AATAVIA, D(2a11GE., GA 12� PROJECT DESCRIPTION SQ. FT- OCCUPANCY r
�+p,� - CON STRVCTIONTVPE VALUATION$ _. S Left' R
City License No. •
CTI �i 6 V ZONE GRADING CU.UOS. ACRES pjng. Ref.# Parking Req./Provided E
LICENSED CONTRACTOR DECLARATION O
Thereby affirm that I am licensed under provisions of Charl¢G9 (commencing Remarks: I 6197551 Planning Notes: • M
•
I with section 7000) of Division 3 of the Business and Professions Code,and ' T f
my license is in full force n effect-
License Class G License��Avvvo 31 , -
Oate Signature
Z PLUMBING FEES • • '
•
-,-..a WORKERS' COMPENSATION DE RATION
'
I hereby affirm that I have a certificate of consent to self-insure or a certificate ' .Bar Sink Showers . ELECTRICAL I FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Pf¢V¢nter - - Service Sink, - f
3800, Lab. C.) Automatic Washer ,Transformer 0 15-50 KW
P licy No.IOP09903 r al• Company SEAVe'Q IAI's Co ' •Backf low Irrigation ' , Sewer Cap ®,, Construction PoleiSub�.I 0 50+KW • ,;
Certified copy is hereby furnished. -
-
CertifiCedLopy Is filed with the city Bui dir g) 3Djvisio,0,,,-+ ' 1� `-- Bathtubs Sewer Connection r Cookin• g Unit Meter ❑up Le 100amp5 I
Date _IO I -• Applicant t1 ATIO DECLARATION Clarifiers - Solar Collectors Dishwasher Meter ❑Ove( 100 amps _ -.-
(This section need not be completed if the permit is for one hundred($100) or
less). - h Dishwasher , i Solar Piping Dryers ❑Gas DEleciric Sub Panel
I certify that in-,the performance of the work for which this permit is issued, 17 •
_
shall not employ any person in any manner so as-to become subject to the Drinking Fountains Solar Tank Fan'
Workers'.Compensation Laws of California. _ Motors❑0.1 HP 01%-.B
Date Signature Floor Drains • Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16.15+ s
'NOTICE:If,after making this declaration,you should become subject to the - _ i
Workers'- Compensation provisions of the Labor Code, you must forthwith Floor Sinks- - Urinal •Fixtures Microwave I
comply with. such provisions or this permit.shall be deemed revoked- - -
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction'Iending agency for the performance Gas$erviC¢ Dutl¢Ls. s Water.Closet Device Boxes Pole Light -
of the work for which this permit -is issued_(Section 3097 Civ. C.) - •
9
Interceptors Water Heater Outlets Range '
Langer's Name -
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 ;$tariding Sections
Garbage 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 , P—Trap - _ • LaundryTrays
any structure, prior to its'Issuance, also requires the applicant for such permit y Generator 00-5 KW ❑5-15 KW Trash Compactor ,
to file a signed statement that he/she is licensed pursuant to the provisions of1RoofDains 1
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 - - �e
therefrom and the basis for the alleged exemption- Any violation of Section - , • ,
7031.5 by any applicant for a permit subjects the applicant-to a civil - • -
penalty of not more than flue hundred dollars($500). -
lJ I, as.owner of the property or my employees with wages as their sole Reinspection Fee • I .$15 Issue Fee
compensation, will do the work,and the structure is not tntentletl or offered ni Reinspection Fee $15 Issue Fee $ 3
for sale•(Section ,7044, Business and Professional Code: The Contractor's .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 Boiler - Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: '
employees, provided that such improvements are not intended or offered for - •
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type IL 0 , . • Zoning Approved By • Date
orove•f r h owner will have the burden of proving he/she did not build or im- Duct-Under Ground • - Building Approved By Dated
r I, as r the purpose of sale). • •
`_ ' /�
I, as'owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application lisped By Dat '
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 ❑D-100,000 BTU ❑100,000 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 Repair/Alteration BUILDING PERMIT , $ SMTP ' $ '
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIC. ICAO# j Fire Dampers PLUMBING • $ • ZZ-� 00 ISSUANCE $
Date Owner • - Heating System& Ducting ' Registers l .
•
PLAN CHECK •25% $ S&.O ENERGY P.C. $
I hereby certify that I have read this application and state that the above - ❑0-100,000 BTU ❑100,000 BT - - GRADING $
•
information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building construction,and hereby authorize repre- ' MICROFILM $ ' '
sentatives of this:city to en -r u•on the above-mentioned property hr PLAN CHECK 50% $
Inspection pur••-es. DOJ - MECHANICAL $
Signature •i' G Date _! TOTAL FEE $ 2g3. v(7
't-
- - Drivers' Lice l' or SS* - - Reinspection Fee I $15 Issue Fee - $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor
•
CONSTRUCTION ANDPLANNING POOL et SPA
PPROVALS Permit Date Inspector APPROVALS Permit Date Inspector
•
to•Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 6/4/F±' LeO 53. Steel Reinforcement
• 3., Electrical Conduit Utility-Undrgrnd. 54. Forms
°4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
, e 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
i 7. Footings 58. Electrical Conduit-Undrgrnd.
8.- Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. ,6/4y/e trt`° 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 23/6/dT a4.) 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
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test ?War CiQ
36. Hood or Canopy
37. Final Factory,Fireplace
38. Final Plumbing ;j/6/CS- GOO
39. Water Service-Final 5/2,/16 ce.0
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
if)! .8/.,,: o,. -
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 5o:C ,
CITY OF COSTA MESA CONSTRUCTION PERMIT - .T PE#g��.tlT NO. TRACT NO. LOT NO. UNIT NO. -
1545 Luku• Lane - ' (Bldg. 2) f (2 (
Project Address _ _ • - .
Applicant's Mailing Address OS to Plesa, a • TYPE OF CONSTRUCTION _ ® NEW U ADD LI ALTERATION LI REPAIR • • '
•
om•any CI CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# - Zone
Owner's Name Fairview Management •hone 7)4/A 3-1500 DESCRIPTION OF WORK/USE OF BLDG.
Address 1176 'Main St. , Irvine, Ca. 92714 Apartments '5 Main Building: Accessory Building: -
Gilbert AJA & C008038 TYPE OF PERMIT • 0 GRADING ❑ FOUNDATION 0 STRUCTURAL • -E •Front I Z
Arch/Eng. - . - _ •• .Assoc._ License No. T - O
ALe• 100 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 6 N
Address aQUna 'a. s, ' a. 9 �� ,A Rear I'
‘Z.
Co
-Contractor's Name - DMH B111J den,Tnr• Phone714/979-S0S7 I2�1 .C Right N
` . 2512 N.Shelley Circle,Costa Mesa Cd: PROJECT DESCRIPTION SQ. FT. 11,040 OCCUPANCY K - G
Address(mailing) z Left •
\ 92626 CONSTRUCTION TYPE Frame/Srilr•r•OVALUATION $'.4655.SAB $ _ R
\ .. .City License NO. 34704 ' ZONE_- GRADING CU.YDS. ACRES _ _
vl Ping.' Ref.4 Parking Req./Provided E
(y LICENSED CONTRACTOR DECLARATION �1 C _ 'Q
U ' I hereby affirm that I'am licensed under provisions of Charter 9 (commencing Remarks:- //� ` g JsJ • Planning Notes: I • _ M
with'section 7000) of Division 3 of•the Business and Professions Code, and ✓ - I T
I my license is in full farce and effect. •
_
fit ' License Class 23 l License No. -468385 • , •- • $
�U Date��-L —>'751gnat Lire __a� PLUMBING f, I FEES
WORKERS'COMPENSATION DECLAR DN . Bar i • I
I hereby affirm that I have a certificate of coli sent to self-insure,or a certificate, Bar Sink Showers : ELECTRICAL .FEES
of Workers' Compensation Insurance, or a certified copy thereof (Soctlon' _ f . ' -_ - - - _ -
3800, Lab. Backflow Preventer - -Service SinkAutomatic WasherTransformer.❑ 15-50 KW
S 85-332344-0 Fremont C .0 50+KW f I
Policy 'No. ombany I Backflow Irrigation Sewer Cap Construction Pole Sub.
8 Certified copy is hereby furnished. . ,
Certified.copy Is filed with the city Building Division. Bathtubs Sewer Connection I 1 • 2 00 Cooking Unit Meter ❑up to 100 amps
Date 'Applicant DMH AGi 1derq•, Tnr:. -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers I Solar Collectors I Dishwasher Meter Dover 100 amps -
•
' (This section-need not be completed if the permit is for one hundred ($100)or • - - - - - ''
less). • Dishwasher Solar Piping Dryers ❑Gas DEleciric Sub Panel '
certifyI that in the error mance of the work for which this permitI
P b is issued,
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank. ' I Fan • Motors 00-1 HP ❑1%-8 •
Workers' Compensation Laws of California- ,
• Date Signature - Floor Drains 1 Swimming Pool w/Spa ' F.A.U. Inc.Solar 09-15 HP 016-15+
. 'NOTICE: If,after making this declaration,you should become subject to the-
Workers'. Compensation provisions of the Labor. code, deemed
_ • Floor Sinks _. Urinal •
- - - Fixtures - - -Microwave- - - - - - - -
comply with such provisions 'or this permit shall be deemed revoked.. _
CONSTRUCTION LENDINGr.AGENCY , Gas Service .. Outlets . - _Water Closet ' ' Device Boxes ' '
I hereby affirm that there is a Construction lending agency for the performance P010 Light
of,.the work for which �t s ermit is issued (Section 3097 Civ. C.) Interceptors - Water Heater • - Outlets Range
Lender's ,Name dIIK SJ�nT'7. a 9 I • '
Lender's Address Ul--. 111VVV••. S ,Santa- Ana,Ca.92702 kitchen Sink. . Water Service - _•
Switches J . I
OWNER BUILDER DECLARATION, - Sign ,
• I hereby affirm that I am exempt from'the'Contractor's•License Law-for the - ' . Lavatories- ' - - • Auto-Wash f+ 1 Garbage Disposal � '
I following reason (Section 7031.5.Business and Professional Code: Any city or , g P ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap •
Laundry Trays '. , Generator 00-5 KW 05-15 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 - - - '
the Contractor's License-Law(Chapter 9(commencing with Section 7000)of - ' , i '
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 - • - •
7031.5 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 Reinspection Fee $15 Issue Fee • $ 3 i , -
compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee , $13 •
for 'sale (Section 7044, Business and Professional Code: The Contractor's ' ' 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 • -oiler ' Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for • yp ' • '
sale, If, however, the building or improvement is sold within one year of com- - ' Canopy Type II 0Zoning Approved By • Date
pletion, the owner will have the burden of proving he/she did not build or im= Duct-Under Ground, • Building Approved By Date _
prove for the purpose of Sale) ,
• 0 I, as owner of the property, am exclusively contracting with licensed con- ' Duct;Structural Refrigeration System ' , • Application Issued By aalty r► Dete
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 00-100,000 BTU 0100,000 BTU , SUMMARY OF FEES
builds or improves thereon, and who contracts for such projects with a con-
tractor(s) license pursuant to t0 'Multiple 0 • System Repair/Alteration ,
• he Contractor's License Law). I am aware that Exhaust SystemI BUILDING PERMIT $ SMIP , Si
proof of their Worker's Compensation insurance should be provided to me.
PLAN CHECK $ PERMIT
❑.I am exempt under Section B.& P.C.for this reason Firepl/Fact,Blt. ICBG 4 , Fire Dampers PLUMBING $ 5.00 ISSUANCE $
Date Own•r Heating System& Ducting • Registers •
PLAN CHECK 25% $ .50 ENERGY P.C. $ _
' I hereby certify that I have ead this application and state that the above 00100,000 BTU 0'100,000 BTU ' • IL
- ELECTRICAL' $ GRADING $
Information is corr.., I -gre to comply with all city and county ordinances
and state laws rel \ riding construction, and hereby authorize repre- PLAN CHECK 50% $ • MICROFILM $
sentallves of thi ♦�• Winter upon the above-mentioned properly for ,
inspection pure• jai/ •
MECHANICAL $
Signature ,ht 49.74 Date • TOTAL FEE $ 5'.50
Drivers' Lice se or SS • �-'�� Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 1 '
CMF 0865-46,rev. 10/84 White - Building: Canary - Applicant; ,ink -Accounting; Goldenrod - Assessor
•
•
CONSTRUCTION AND PLANNING P00 SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd, 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings ' ' 58. Electrical Conduit-Undrgrnd.
8. Foundation • - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgfnd. 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property,Sewer Line & House Connection &ems ' - 62. Backwash & Receptor-Final
12. Sewer Cap - V 63. Heater & Vent-Final `
•
13. Roof Drains 64. Plumbing:System - Final •
14. Rough Plumbing • 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. .Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping ❑Gas. 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing • - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION •
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final -
40. Gas Service-Final
41. Solar Domestic-Final '
42. Backflow Preventer
•
43. 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 - - I
` -
#1130
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
• PERMIT NO. TRACT NO. LOT NO. UNIT NO. 5584 6/26/85
CITY OF COSTA MESA CONSTRUCTION PERMIT
1055 BLDG 2 LOT 101-108& 201-208 I 5opG: jl
Project Address 1545 1UKUP LANEril
/�i6310 j
Applicant's Mailing Address PO BOX 2426, SANTA ANA TYPE OF CONSTRUCTION NEW L ADD LJ ALTERATION U REPAIR
❑ CONVERSION ❑ DEMOLISH CIOTHER A.P.# I Zone
Owner's Name DMH BUILDFRS Phone
Address 2510 N. SHELLY CIR . COSTA MESA DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building:
TYPE OF PERMIT ❑ GRADING LI FOUNDATION LI STRUCTURAL
E
Z
Arch/Eng. - � License No.' 1�aa'' T Front O
Address Z (❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL BRear - N
Contractor's Name SANTIAGO A/C Phone-QSO CI OTHER B l g
PROJECT DESCRIPTION SQ. FT. OCCUPANCY • C Right N
Address(mailing) PO BOX 2426, SANTA ANA G
CON ST RUCTION TYPE - VALUATION$ 1
015264 g Left • A
City License No. ZONE GRADI NG CU.YDS. ACRESE l
LICENSED CONTRACTOR DECLARATION • _ Ping. Ref.4 Parking Req./Provided E
I herebyaffirm that I am licensed under provisions of Charter 9 commencing Q
I ( Remarks: / gJJ Planning Notes: M
with section 7000) of Division 3 of the Business and Professions Code,and /
my license is in feI�fe,rAe and of lett. ^ e • 5.
,�� Uleensg i ss LL VV / I T
is rte No26`94 •6 _
-\Lo, Date 0 C. �$� Signature �irlIt'/o I /-✓ PLUMBING FEES
d
WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to self-insure or a certificate
if Workers' Compensation Insurance, or a certified copy thereof (Section
W cg Backflow Preventer Service Sink
\ 3800, Automatic Washer - Transformer 0 15-50 KW
Policy No• �••� 1089859 Company HOMF TNSI)RANf F Backflow Irrigation Sewer CapPoleSub.Construction • 0 50+ KW
•1 ❑ Certified copy is hereby furnished. - 1
N
AJ Certi 'ep pled with the city Building Division. -
Bathtubs , e Sewer Connection i' - Cooking Unit Meter Dup to 100 amps ,
NDate 0 ����5 Applicant SANT'TACM A/C
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar CollectorsDishwasher Meter Dover 100 amps
(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 workpfor which this permit is issued, I
shall not employ any person in any a ner tato become sub the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'h-8
Workers'/ i �I�y{aQn,Laws of Califp!//1pQ�1 //„A7T_ (/SJ/(� •
Date f/J/o(1J(p✓ Signature l' ULC�IGLCi Floor Drains SwimmingPool w/Spa
NOTICE:11,aft r making this s declaration,you should become subj t to the ' p F.A.U. •
Inc.Solar ❑9-15 HP ❑16-15+
Workers' Compensation provisions of the Labor Code, you must thwlth Floor Sinks Urinal Fixtures _
comply with such provisions or this permit shall be deemed revoked. - - - - Microwave - - _
CONSTRUCTION LENDING 'AGENCY yyy... - • Gas Service Outlets • : Water Closet- - Device Boxes Pole Light
I hereby affirm that there is a constructlgn lendin ag`ncy for the performance,
of the 'work for which this per l tl Section 3097 Civ. C.)
•CONSTRUCTION Water Heater I . '
Lender's' Name _ p ` Outlets 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 - , •
following reason (Section 7031.5 Business and Professional Code: Any city or _ •
Garbage Disposal 'Standing Sections
t
p
county which requires a permit to construct,alter,improve,demolish or repair P-Trap
structure, prior to its-issuance, also requires the applicant for such permit - Generator ❑0-5 KW❑5-15 KW Trash Compactor
'to file a signed statement-that he/she is licensed pursuant to the provisions oTRoof Drains - • t
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 - - . •
herefrom-and the basis for the alleged exemption. Any violation of Section - - - - . '
•
1031.5 by any applicant for a permit subjects the applicant to a civil • - •,
.penalty of not more than five hundred dollars($500). . -
LJ I, as owner of the property or my employees with wiges as their sole Reinspection Fee I $15 Issue Fee • $ 3
compensation, will do the work,and the structure is not intended or offered - - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's 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 Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for ypZoning Approved By Date
sale. If, however, the building or improvement Is sold within one year of com- • Canopy Type II 0
pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By. Date
Trove for the purpose of sale), 6V-0 ��� /d-64r)`1
/-
U I, as owner of the property,am exclusively contracting with licensed con- ' Duct-Structural Refrigeration System Application Issued By Date
tractorsto 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 00.100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves•thereon,and who contracts for such projects with a con-
tractor($) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT .�.
�] I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# I PLUMBING $ ISSUANCE $ ""'309--".
Date - owner Heating System&Ducting PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this applicationand state that the above III PIs 100,000 BTU 0100,000 BTL 4:4 CO ELECTRICAL $ GRADING $
Information is correct. I agree to comply with all city and county ordinances
and state laws relating to buildin• construction,and hereby authorize repre-
sentatives • his c y • ente 'upon the above-mentioned property for iej U f0 CoL-.11 ����p�� yV 15S
inspection 6/20/85 ` • MECHANICAL $ --++'9"'rOCJ 7' TOTAL FEE $ 1513O
Signature n�SS # '�� . ii / .i Date
Drivers'•License or • Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 3/-uu
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor -
CONSTRUCTION AND PLANNING POG. .SPA •
.APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1..Temporary Electrical Service or Pole •
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - - - 53. Steel Reinforcement-
3. Electrical Conduit Utility-Undrgrnd. 54. Forms .
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56: Rough Plumbing & Pressure Test •
6. Electrical UF ER Grnd. 57. APPROVAL T0 COVER-GUNITE •
7. Footings - - 58. Electrical Conduit-Undrgrnd.
•
8. Foundation 59.-Gas Pipe, O Undrgrnd.,Test
9. Water Pipe-Undrgrnd. •60. Backwash Lines,P-Trap, O Undrgrnd:
10. Structural Floor System 61. APPROVAL TO DECK ,
11. Property Sewer Line & House Connection - 62: Backwash & Receptor-Final
12. Sewer Cap •
63. Heater& Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit - 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 S/S/dS cg FIRE DEPT. REQUIREMENT •
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test • - 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat . 75. Dry Chemical
27. Frame and Flashing _ 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION -I
32. Electrical Power Meter-Final '80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning b1S//YC
35. Final Gas Pipe-Test •
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
( 43. Backf low Irrigation , .
44. .Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
I) 47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison •
•
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY •
No. Date
1 •
' .1111111
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT- ,�A/I//11NO. TRACT NO. LOT NO. UNIT NO. - •
7512 7/26/85 .6c p0'' ,Y
Project Address) g-I LI/ .�'S/1 /ane i /r l Z o I �� , _
L �1 1
Applicant's Mailing Address 3 E. Fan-ter Ave. 3I e4 a TYPE OF CONSTRUCTION NEW IJ ADD a ALTERATION U REPAIR.
ss��� I • , ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.#' I Zone
Owner's Name Tuf01PLL� i'O']('(�p��-�11'�]PI��- CO•Phro�ne L - - DESCRIPTION OF WORK/USE OF BLDG. -
Address Ili 7(0 main Of i T-s vine_ CAL `1 '714 p . S Main Building: .Accessory Building:
Arch/Eng. 0c#• License/No.� ,, TYPE OF PERMIT UGRADING ❑ FOUNDATI�OyNi ❑ STRUCTURAL T Front - _ p
Address - IS(or) lh� 1 ania��II�71��1 ���q ❑ TENANT.❑ ELECTRICAL ❑'PLUMBING ¢LMECHANICAL - • A Rear N
Contractor's Name a Phone'711y1.SJ I ❑'OTHER ` C Right -- • N
SiaOJECT DESCRIPTION SQ. FT. OCCUPANCY g
Address(mailingeQ rl.,Shr.1le .l l f Cr.• Q-- ' I [y' 2-) - ,
J C O N ST RUCTION TYPE VALUATION$ g Left G
City License No. - ZONE GRADING CU.YOS. ACRESR
LICENSED CONTRACTOR DECLARATION -Ping. Ref.# Parking Req./Provided - i - E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: - - Q
in
with section 7000) of Division 3 of the Business and Professions Code, and M
my license is in full force and effect. a T
03 License Class ('-9h C- 3 License No. S
Date 7-867_Cf S Signature ow/'lr>m2-•.-� n1/4-221:2-4-e• PLUMBING FEES ( .'
N WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL • FEES I
hereby affirm that I have a certificate of consent to self-insure or a certificate
of Workers' Compensation Insurance, or a certified copy thereof (Se Ion Backflow Preventer - Service Sink -
� �/ �( Automatic Washer - Transformer .❑ 15-50 KW
3800, Lab. C.)-7003, IA' / //
-_ Policy No. �`//.. U6 ' a .3 Company -(L :;< in ll/ Backflow Irrigation Sewer Cap Construction Pole Sub. • 0 50+KW ,
Certified copy is hereby furnished.
yIp�"+l CerAfie cop is filetl with the city uil ing Division. h n Bathtubs Sewer Connection Cooking Unit Meter 0u to 100 amps
Date /-S�-fl Applicant 10+4 /�L '
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit'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, I .
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00.1 HP 0114-8
Workers' Compensation Laws of California. • -
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-75+
'NOTICE:It,after making this declaration, you should become subject to the -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - - - Urinal -. - Fixtures - Microwave '-
comply with such provisions or this permit shall be deemed revoked. '
CONSTRUCTION 'LENDING AGENCY • Gas ServiceOutlets Water Closet Device Boxes
I hereby,af firm that there is a construction lending agency for the performance Pole Light
of the work for ry,thi peurut�is, Is (Section 3097 Civ. C.) , Interceptors - Water Heater Outlets Range
Lender's Name J'lu 1n' /.111"7C / Sign Lender's Address j df 1. _. . It to AYE / ' yrs 7 l79i Kitchen Sink" Water Service • Switches g
OWNER:BUILDER DECLARATION '
I hereby affirm that I am exempt from the Contractor's License Law for the- . Lavatories - Auto-Wash Disposal Garbage
following reason (Section 7031.5 Business and Professional Code: Any clty-or _ - - - ;Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap
structure, prior to its issuance, also requires the applicant for such permit p ' Laundry Trays Generator ❑0.5 KW ❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof 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 - . - - - '
•
'031.5 by any applicant for a' permit subjects the applicant to a civil
penalty of not more than five hundred dollars($500)- -
reify
as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee S 3
compensation, will do the work,and the structure is not Intended or offered - Reinspection Fee ' I $15 Issue Fee , $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's ' - MECHANICAL •i r _ FEES -
License Law does not apply to an owner of a-property who builds or Improves __. . _ .. -. - S
thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: 1
employees, provided that such Improvements are not intended or offered for . 'Boiler -.J 1 Hood or Type 0
7 I% .w-
sale, If, however, the building or Improvement is sold within one year of corn-, t Canopy Type II 0
`f '�' Zoning Approved By nate
pletlon, the owner win have the burden of proving he/she did not build or im- Duct-,Under Ground Building Approved By Date
rove for the purpose of sale), 7.�
1 I,as owner of the property, am exclusively contracting with licensed con- , Duct-Structural • Refrigeration System Application Issued By Date 's`
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 0100,000 BTU �� SUMMARY OF FEES
' builds or improves thereon,end who contracts for such-projects with a'con- 'X( -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT' $ SMIP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK S. PERMIT
❑'I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING • $ ISSUANCE $
HeatingPLAN CHECK 25% $ ENERGY P.C. $
Date owner System St Registers
I hereby certify'that I have read this application and state that the above- 06100,000 BTU 0100,000 BTL. - - ELECTRICAL $ • , ' GRADING $
Information is correct: I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- • -
sentatives of this city to enter upon the above-mentioned property for i PLAN CHECK 50% $ MICROFILM
' inspection , rp es. >O 0 - — ? &� - MECHANICALl(-OO$ r� TOTAL FEE , $
Signature H,if s.Fro--/30 .r �/i�..I-K/ Date •
• Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 CC PLAN CHECK 25% $ ) -(-X j 11.OQ R8•00
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 COVER-GUNITE
7. Footings l• • 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 1 64. Plumbing System - Final
14. Rough Plumbing ; 65. Electrical-Final
-15., Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing &Access Approval .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20, Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating jtJj5Wel CO 71. Product Piping 0 Gas 0 Oil
-23. Gas Pipe-Rough &Test 72. Underground Flush •
24. Roof Framing 73. URdergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation •
78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning - -
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing •
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. ,Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations.
47. FINAL STRUCTURE & BUILDING •
48. Special Requirements Completed -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY • .
\No Date- -
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 2469
-CI—T..'OF COSTA MESA CON TRUCTION PERMIT PERMIT NO. �^,{2 TRACT NO. LOT NO. . - 5/06/55
-- —/�O C/ UNIT NO. 54aoQ(.
Projact A�ress � ..5 ��/� Zee/We r - 186-84
. Applicant's Mailing Address 1641 Commerce, Ste 1", Corona TYPE OF CONSTRUCTION 'LC NEW a ADD LJ ALTERATION H REPAIR 1 .
Butler Housing- 9.79-7450 ❑ CONVERSION El DEMOLISH ❑ OTHER' A.P.# - 1 Zone
- Owner's Name B Phone_ DESCRIPTION OF WORK/USE OF BLDG.
Address 1691 Kettering St. , Irvine • I S Main Building: Accessory Building:
Arch/Eng.' • License No., TYPE OF PERMIT LI GRADING U FOUNDATION ❑ STRUCTURAL T Front ZO
Address - El TENANT ® ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear - N
Contractor's Name Cross State Electric,]: rope 737-8870 ❑OTHER• • A I
C Right •
164 1 Commerce St. , Corona PROJECT DESCRIPTION SQ. FT. OCCUPANCY
N
Address(mailing) CON STRUCTION TYPE VALUATIONS S Left G
City License No. 34901, ZONE _ GRADING CU.YDS. ACRES 1 E
LICENSED CONTRACTOR DECLARATION - N- /// Ping. Ref. # Parking Req./Provided - E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 4 — '5 -r/ - Planning Notes: - Q
with section 7000) of Division 3 of the Business and Professions Code,and ! / _ _ - M
my license Is in full forsle and effect. 412061 - - T
License Clays b—$5 l• 1 V �� _ ' J�icens o. - S.
Date J 'Signature _/J��'c+! • PLUMBING FEES h
WORKERS'COMPENSATION DECLARATION• Bar Sink Showers '
.1 hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or- a certified copy-thereof (Section - _
3800. Lab. C. Backflow Preventer •
Service Sink Automatic Washer _ Transformer 0 15.50 KW
�/61NA7293 St. Paul
Policy No. Company Backflow Irrigation Sewer Ca 0 50+KW
-1 Certified copy is hereby furnished. p Construction Pole Sub.
x' Certifi tl rag filed with the city yrg Di • Ion. / �lathtubs I Sewer Connection _
Date --
_b-� Applicant/L// •�L>ajf! - Cooking Unit 1�jj Meter (-j0'.up to 100 amps 16 $(J
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . Clarifiers . Solar Collectors Dishwasher 16 @ 1 .00 ••CQ.'{eter Dover 100 amps 4/
(This section need not be completed if the permit is for one hundred ($100or - - -
less) Dishwasher Solar Piping = - Dryers DGas ❑Electric . Sub Panel 16 @ 5.00 . 8 e -
I certify that,in the performance of the work for which this permit is Issued, I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ' v' Fan 36 @ 1 .00 yw '%1 t
Workers' Compensation Laws of California. - p���y�o ors❑Q7 HP 01%-6 3` 1
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. $ @ 1 .00 "8 t az.Solar ❑9.15 HP ❑16-15+ 18' `
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 ' 88 :,20 TTntcrowave
lO -
comply with such provisions dr this permit shall be deemed revoked. @ /7 Gn
CONSTRUCTION LENDING AGENCY• • Gas Service Outlets. Water Closet '
I hereby affirm that there is a construction lending agency for the performance Device Boxes $$ @ •2Q I-71561-e
' e Light /2 4 0 •
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets 296 @ .20 't 9:Wre�;
Lender's Name ange 3-9 y4.0
Lender's'Address . " _ - Ki• tchen Sink - -Water Service - Switches 148 @! •2Q Sign g9 �D
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ' •
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal 16 @ I .UUT:6-{7{ftanding Sections �(p
county which requires a permit to construct,alter,improve,demolish or repair P—Trap , • -
any structure, prior to.its issuance, also requires the applicant for such permit - Generator 00-5 KW❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensedpursuantto the provisions of :Roof 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
herefrom and the basis for the alleged exemption. Any violation of Section
/031:5 by any applicant for a permit subjects the applicant to a civil '
-penalty of not more than five hundred dollars($500). 3
- -
U I, as owner of the property or my employees with wages as their sole • Reinspection Fee $15 Issue Fee $
compensation,-will do the work,and the structure is not intended or offered I ' Reinspection Fee I $15 Issue Fee $ 3 FEES
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL
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 ED •
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date _
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground • - Building Approved By Date
shrove for the purpose of sale). ',�/
U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ,k), f / Date -s/‘/A-5
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 ❑o-100,000 BTU 0100,000 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 ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation insurance should be provided to me. PLANCHECK $ PERMIT
0 I am exempt under Section - B. 6 P.C.for this reason Firepl/Fact.BIt. ICBG# •
PLUMBING $ ISSUANCE $
•
Date Owner, Heating System& Ducting
_ PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I have read this application and state that the above ' ❑o-100,000 BTU ❑100,0006TL - 363.00 'GRADING $
Information is correct. I agree to comply with all city and county ordinances ELECTRICAL $
and state laws relating to building c truction,and hereby authorize repre-
sentatives of this city to enter n e above-mentioned property for PLAN CHECK 50% $ ` •0 0 MICROFILM $
Inspection putp9i�jJ • 5-6-35 MECHANICAL $ SL13.D7f
Signature /i/ Q-t�l ' —"`�"� Date TOTAL FEE $ c
Drivers' Llcedse or SS#
Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ •
CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor
r
CONSTRUCTION AND PLANNING POOL SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
J
-1.Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility ¢rg 54. Forms
4.,Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6.- Electrical UF ER Grnd. \577h- 57. APPROVAL TO COVE R-GUNITE
7. „Footings 58. Electrical Conduit-Undrgrnd. •
8.;Foundation. , 59. Gas Pipe, O 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 Connection1 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 „4,18„-- CC 67. Fencing & Access Approval
17'. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping QGas ❑Oil
23. Gas Pipe-Rough&Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing •
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
• 32. Electrical Power Meter-Final i6 ? 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:, 4, x,4406
34. Final Heating & Air Conditioning /
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace •
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer •
•
43. 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 '