HomeMy WebLinkAbout924 VAN NESS CT - Building Permitsn
PflQIECTA00NE$5: 9zq VAN NESS CT
OWNE"'NRMF: LOPEZ, RUDOLPH
;�ness: 14296 SAN HENITO ST
�' FONTANA,CA 92336
AflCHIENGINEFP:
ROOAE55:
NEC.NO.:
UNIT:
UNIT:
Peaminee: BILT—WELL ROOFING ( 719 ) 758-3501
aooxess: 3310 C�ERDUGO
LOS ANGELES CA ' 65
ULENSEO CONTBRCTOH UECIABATION: I �ereUy allirm t�at I am licenseG un0er prov' ons al Clup}a (commenCinA wilA Section
70W� ol Uvision 3 0l i�e Business anJ Pmfessions CoOe. an0 my license is in full for e anA efi ot.'
ci�c.:�3,_pZ6�rar�.uc.:458005 ciass: '— EXP: 01/94
e �Z,b% S` Si9na . `
WOPNE85' LOMPENSATION UECUBFTION: I �ere�y allirm t�a� I have a cenilica t to 'nsure or a certilicale ol arkers
Compensatian Insurance. or a cetlihetl [OpY thereot (Seclion 3800, La�. C).
roucrNo.: W937102484 E7(P.ORTE: O%/31/�9
comraer: CAL COMP INS.
❑ Cenifiea capy is nereby misne�. �. Certitiee copy is liled with ine city Builtlinp �ivision.
te: "^� �/ ApDlicanC
ESEMPTIONFBOMWOPKEBS'COMPENSRTIONDELUNRTION: Qhi55eclionnee4no�0ecampletetli ii aronehunOre0�5t001orkss�.
I certily I�al m ihe petlormance al Ihe work for whic� Ihis permil is i55ue0, I shall nol employ any perso anne� so a5 io �ecome
sublect lo Ihe Warkert Compensation Laws of CalilOmia.
Oa�e�, Signamre:
NOTICE: If, al�er making this Oeclara�ion, you should Eecome su�lect to �he Workers' Compensation provisions ot tAe LaEor
Code. you mu5i lotlhwnh tomplV wi�A such pmvi5ion5 or Ihis permii S�all be tleemetl revoketl.
CONSTqUC710N LENOING pGENCY: I hereby affirm Iha� i�ere is a constmction IenOinA aAency lor the Oedormance ol the work for
wnitn ihi5 permit is is5ue0 ($etlion 3097, Civ. CI.
LENOEfl:
AOOPE55:
OWNEN BUILOEfl UECLPflFTION: I here�y ailirm t�al I am exempl Imm Ihe Comracmri State License Law lor the lollowing reason
�Seciion 7Q71.5 Business antl Ptol¢SSionalCode: Any Ciry oI toUnly whith r¢pUires a permil to Cons�mCl, alfer,impmve, tlemoliSA, ar
repalr any simclure. Drior lo ils issuance, also repuires ihe apD�icanl far sucn permil to lite a siAneO statement inai nelsne is licensea
pursuant m Ine pmvisions ol �he Comracmrt S�a�e License Law (ChaD�er 9(commencinp wilh Seclion 7000) ol �ivision 3 0� Ihe Business
ane Pmi¢SSionS Co�e� Or I�a� �e/Sh¢ is ¢xempl Ih¢r¢IrOm and Ihe Da5i5 �ar I�e alle0e4 e�emD�ion. Any vi0ialion of S¢CIiOn 7031.5 Uy
any applicanl for a permi� suble��s Ihe applicanl �o a civil Denaliy ol no� more ��an live �undreA tlollars (5500�.
I, as owner ol t�e pwperty or my ¢mvloyees with waAes as �heir sole compensatian, will tlo ihe xrork, anA Ihe
❑ siructure is not intenaeA or ofleretl lor sale (Secuon 7044, Business anA Pmlessional Catle: The Coniracbrs' State License Law
does nol aDPly to an owner ol a O�oDehY who Ouiltls or impmves ihereon, anG wllo tloes sucA work �imsell/herself or ��mugh
his or her own emDloyees. pmvide0 t0ai such imD�wements are not intenEeG or offereE for sale. II, haxever Ihe �uiltlinp or
improvement is sold within one year of completion. Ine owner will nave ihe burtlen ol pmvinp he/she aiA not huilA or impmve
for t�e purpose 01 sale�.
I. as awnei ol Ihe property, am exclusively conlrac�inp with Iicen5e0 contra[tors �o conslmct the pmlect (Sec�ion 7044, Bu5ine55
❑ anG Professions Code: The Coniractors' Slaie license Law dces no� apply �o an owner of prope�ry who bmlEs or impmves thereon
antl who comrac¢ lar sucn Omiecis wi�n a comrac�orlsllicense pursuant ia iAe Comractars' State License Law1.l am aware
Ihal Dmof ol Iheir Worker'S COm0en5aiion insurante ShOUItl �e pmvided Io me.
� I am erem0� unEer Setlion: B. 8 P. C.
Im �nis ieason'.
�ale: Ownec
I Qo �ereEy cenily ��at I am aware a� anE unCerstand I�e requirtments of California HeaI�A and $alery Cotle Secti0n5 255115, 25533, an�
2553a and inat I or any Iuiure UuilOing occupani will/will no� (circle one) neea lo com0ly wilh saiG slate coaes an� Ihe reduiremenls for a
permit for consimction or moJilicaiion Imm Ihe Air ualily Management Dislricl. ReAGentul consimction apDlitdtions are exempt imm
Inese pmvisions. �
Oate: AOD��cani:
I �ereby Ceriity tha� I have r¢atl I�iS applitation ana S�aie �ha� ihe abOve in�ormatian is CarreCl. I e la DN ��h all ci�y an0 coun�y
orUinancesanOslatelav5relalinqlo�uilQingfqnsiNclionan40erebyaut�arizetepre5¢ntalivesolt � aenterupOnt�eaEOve�mention¢G
pf002tly �Of in5 +¢CII0p11 pW /OS�¢5/.
�aie: w 7 " Signa .
oover's trtense or Socia� Securiry •:
t6at�a6 W�ile—Builtling: G�een—Cotle Enlo¢emenC Canary—AOPIi<unl; Pink—Rqvenoe: GoldanroC—Asseswr
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO; B 067787 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION ; T/OFF 6 REROOF WITH COMP, b BUR IN BACK
PERM P70: B 067787
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT; i,100
CLAIM VALUE: 1,100.00 CALC—C�ALOE: 1,100,00 GROUP OCC: R-1 /H-1
COMMENTS; SMOKE DETECTORS �1RE REQUIRED IN EVERY BEDROOM 6 HALLWAY
it*#�+r*iE#ititu*x�*�*****���it+�*it�r****�*iFitit��+f+r�****ir*+t*ir**+tit#***� #+tit**#*ir�*at�: *+r�r*�x �
Z 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
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PAAKING REQ: PROV: PARCEL: 41808352 ZNE: REF NO:
PLANNZNG NOTES>
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D E V� L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATZON ISSUED BY• � DATE• � Z�'
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLUG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27,00 50
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 27,50 0.00 0.00 27.50 27,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 27,50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLeiN—CHECK
27.00 .50
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I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY D E S C R I P T I O N
1100 REROOF HY VALUE RESIDENTIAL NOZONE
END OF FEES
UNZT COST TOTAL COST
1, � Q 1, 1 � �, � Q
Qi 0�263�42—OU16�043 T OT T7.`0
DATE: 06/29/94 TI11E: 16:07
C�NSTRUCTION AND PLANNING POOL � SPA '
APPROVALS Permit# Date Inspector pppROVALS Permit?k Oate Insnector
i�•Temporary Electrical Service or Pole . 52. Pool & Equipmenc Location
2. Soil Pipe�Undigcnd. 53. Stee1 Reinfo*cement
3. Etectrical 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. Electncal Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, � UndrGrntl., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgmd.
10. Strucwral Floor System 61. APPROVAL TO QECK
17. Property Sewe� line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Eiectrical-Fina�
15. flough ElectriWl-Conduit 66. So�ar System-Final
76. Rough Electric Wirin9 67. Fencing & Access ApProval
77. Rough Wirin9 Sign 68. APPROVEO FOR P�ASTERING
18. flouqfi ElectriCal-T Bar Ceiting 69. POOtJSPR SYSTE�dS F1NAL
19. Rough Heating & Air Conditioning ' FIRE DEPT. RE�UIREMENT
20. Rough FactorY Fireplace APPROVALS Permit �F
21. Ducts, in Structure 70. Underground Nydro
22. Ducts, Ventilating 71. Product Piping C7 Gas �J Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StcrayeTank OGas ❑Oil
25. Roof Sheathing 7-��K 4,� 74. Overhead Hydro
26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemicai
2J. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sid�ng 77. FIXED SYSTEM PINAL
29. Insulation 78. FIRE PREV. FI�AL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL WSPECTION
32. Electrical Power AleterFinal 80. FOOD CERTIFICATE iSSUED
33. Finai Electric Notes:
34. Final Neating & Air Conditioning ,�
35. Final Gas Pipe•Test .
36. Hood or CanoPY
37. Final Factory Fireplace I
38. Final Plumbing
39. Water Service�Final
40. Gaz Service-Final
41. Solar pomesticFinal
42. Backflow Preventer
. 43. Backflow Irrigation
44. Landscape Irri9ation SYstem
45. Sound Atten�ation
46. Handicap RegU�ations
47. FINAL STRUCTURE & BUILDING g.,�� qy G,�
46. FINAL PLANNING .
49. Electric Release to Edison _ �
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY �
No. Date
:-
r
TRACT N0. �(�yL� -r�
Ldf NO
DATE � �-�-��
AnnxEss q�,�1 �Ir•�n �IFsS �'n�,�- l`r��ca n'1F�c�
Development Services Department
Planning Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92626
Attention: Dfr. Paul Dudley
Dear Mr. Dudley:
Please be aware that the undersigned are aware that a certificate of :occupancy
on the above referenced lot and unit is being requested prior to the entire
tract and its streets and coc�anon areas being completed and accepted by the
City of Costa Mesa.
BY✓� ������
(SI'GNATU(�E OF PURCHASER)
BY �, �u� �
( NA OF DEVELOP�R/�/�
AUTHORI�ED _R$PF�$E,NTATZVE)
T.R. Sweenc�
Vice-President, Manager
'��
czTr oF c�-rA
�N � � RDQIJFST FC�R OCQJPANCY
YV ry
�ry�scr r�o. /�`(Y.� c��e: / 2 '�O - �%
. . �
,
• "•'. ' . � �
'Il-�e c3eveloper of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been oo�leted and its streets
accepted b�+ the City of Costa Mesa.
By executing this agreen�ent, the undersigned acJcnowle8ges that he/she/they
was/rere advised that this tract has not been given final inspection ror has
it been accepted Fi� the City of Casta Mesa as having axrplied with the oonditions
of approval which �.ere inposed b� the City at the time the Final Tract Map aas
appraved.
The City assimies no liability for the enforcesnent of the condition's necessary
for approval other than th�e conditions protected b� surety bond.
The undersi.gned agrces to irciemnify and hold the City harmless ft�an any claim
resulting in dam3ge or personal injury to the undersigned ty reason'of the
afor�nentioned uncorq�leted condition(s). �
�I��� ��E'i�
��jV �[ �r�7� tn:�n,
,�. . � . ..
DEC 201979
PM
ryM8E9i�illt1�s�i2i3i4i5i6
!
an9
BY
(Sign r of Purchaser)
.�,,a� yi
BY_— ��ja-�� �-e-�" �"' 1i1 �Z��/� j -
(Signature of Devel r and or
authorized representative
sY
(Signature of Lender)
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COSTA MESA BUILDING-SAFETY DEPARTMENT BLDG�� 36. � 2R I I I/23/79 251 .00 TL'
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 . � � � - � . . , , _.
APPLICATION FOR STRUCTURAL PERMIT
For Applicant [o Fill in Completely — Use Ink Only
RECEIVEDBV DATERECEIVED DATEISSUED
BUILDING
OWNER
MAII
ADDRE
CITY
BRANCH
TECT
CONTRACTOP
ADDRE55 '3g,
cirv New[z
STATE
Campus Dr. Suite 116
TEL
nrt Ronrh (:G NO.
Kelsey,Woodard �T,��540-5505
No� 540-5505
CITV
uc. No. g a86614 LIC. NO.
S I Z E I NO. OF BLDGS.
OF LOT — NOW ON LOT '
USE OF
EXISTING BLIX3.T251d2RCld1
Separate permtts �re rec�uired for Sq � �
electric, plumbing and heating work.
USEOF USIICNI� LO%W(BJ T L��OS(jOjitMED
Y
c) 16U35q.
A.P. NO
BUILDING
A�ORESS9L
TRACT
OWNER
FIRE
ZONE
APPROVED
✓ �NO.OF USE OF NEW
F�Af`6 BUILDING
VAROS APPROVED �'ARDS AI
MAIN eU1lDING ACCESSOR'
FT.
MAIN &
CC65. BLpGS.
OATE _a�
rta�-ai— �+ i�-ro��Fr- - - .. 7 -<u- / 7
HOLD FOR SPECiA REOUIREMENT� ^
I hereby acknow�edga that I hava reatl this application antl state '� V
thac the abova information Is correct entl agree to comply with � 1/1
all laws re8ulating building construction, antl I shall not amploy � ��
any person in violation ot the workman's compensallon lews of �
the State of California.
1 hareby certify ffiat 1 em properly licensed as a mnttecmr under SQ. FT. �� rv�
tho State of Ca��fornie Business and Professio e, Divlslon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOFi N] 1�i1
Chaptar 9, antl that such licenses are In tor antl affeci, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: � l` J
am ezempt irorn ffie provislons ot t taie Calitornia Bustness VALUATION a
and ProfessionsCatle ivision 3, apte . PERMIT FEE y N �
m
�� PLAN CHECK 5 1O �
Signatura I �
Perm' a S/� t TAX 5 /a , LL -
� �
uShorizatl Ape�t V
TOTALPAID E S �O
6504 4/10/79 369.50 T4
COSTA MESA BUILDING-SAFETV DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
o n nv ��nn
.."__"'"__' ___...."__""_"'_.._..._..'__'_'
fYci,�IVEDBV PERMIT
For Applicant to Fill in Completely - Use Ink Only
BUILDING A.P. NO.
A DD:i ESS
BUILDING
OWNER OR ADDRE55
TENANT Biddle Develo ment Inc.
UNIT OR
no RIE55 3848 Cam us Suite 116 SPACENO.
TR.NO. LOT BLK.
TEL.
CITV NO. _
CONSTRUCTION � NEW ADD LTER REPAIR MOVING DEMOLISH
LENDER
BRANCH
OWNE0.
ADDRESS vALUE
ARCHITECT TEL. USE E
OFl ENGINEER
ADDRESS 20NE TVPE GROUP
APPROVED
CONTRACTOF Biddle Development, Inc. ev DATE
ADDRESS
TEL.
CITY NO.
STATE CITV APPROVED SETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT RONT FT.
USE OF
EXISTING BLOG. T.
Separate permits are required for L. SIOE Fr.
electric, plumbing and heating work. REAR Fr.
USE OF BVIIDING AND WORK TO BE PERFORMED P�qNNING ACTION
DATE
APPROVED
Permit - Tract 10445 .�ROVED
I hereby acknowledpe that I heva �eatl this application antl stnie
that the ebove information is corract antl eBrea to comply wlih
all laws regulating builtlinB consnuction, entl I shall not employ
any permn in violat(on of ihe workmen's compensation lawa of
the Stata of Californie.
I hereby cartify ihat I am properly Iicensed es e contractor untlar SQ. FT.
the Stata of Calitornia Business end ProtesslOns Cotla, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chaptar 9, antl that s�eh licenses ara 'n tull torca antl ettect, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLY:
am Bxempt frOm t�e pr O S �0 [et00f CalifOrnia Business VALUATION PERMIT FEE E
antl Professians Co ivic , Che r 9. A �� i
/ \ PLAN CHECK y =
Signatura ot ^
Permittee $ ��r TAX E
or
Authorizetl Ag¢nt Date TOTAL PAID y 5
m
J
m
b
n
n
0
i
V
ADO���ant to fill In all spaces except t�ose within �eavy eoraer lines znE sign all ao�ropriale tleclarations,
CiTYOFCOSTA SA CON TRUpC1ITIONPERMIT
ProjettAddress ��� � � IV�s �it}RT .
Applitant's Mailing Add1ress �� m L
Owner's Name `� h�`^ U�^ ^��1 Phone Z�� y
Address �Z �I (� 2FvJ NZS S �� 4vn
Arch/Eng. License No.
Address
Contractor'sName C��ov� � S � Phone��.�'
Addresslmaiiing) �2%i2 ��_ ��-�->t� S'Jq
City License No. _.�,,,� i0 � �' �
LICENSED CONTRACTOR DECIAfiATION
I hereby at(irm �hat 1 am licensetl under provi5lons of Chart<t 9(<ommendng
with section )000) ot Division 3 of the Business antl Prohessions Code, antl
my license is in tull force ana eHecL �31 _ 7� 9
License qass � Licerpse No._
Date_�=,�a Signatur w �
WORKERS' COMPENSATION DECLARATION
i 6.rye�eby afti�m Iha[ I hdve a C¢rtificat6 of consent [O self-InSure o� a certificate
:$"Workers' Compensa[ion Insurance, or d certlfi¢tl copy tbereot (SeGtlon
.+`�:i0, Lab. C.)
�olicy No. Company
BCertifietl copy is hereby furnishetl.
Certifletl copy is tlletl with the city Builtling Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This 5¢ciiOn heetl not be campletetl if �ne permlt is fo� one hunar¢tl ($100) ar
less).
I certiry that in the periormance of [he work for i z rm�t is issuetl I
shall not employ any pe�son In any manner So s to b e subject to t�¢
Worker Cp mDe on Laws of Calit �
Date ��Ib� � Si9na[ure ��
NOTICE: If, alter making this tleclaration, you shoultl become subject to tne
Wo�kers' CompCnidtion provisions o/ the L2bOr Cotle, you must (orthwilh
comply witn such prOvi5ion5 0� t1��5 pe�mit zhdll be tleemetl �evoketl.
CONSTRUCTION LENDING AGEN�V '
1 nereby aftirm Ihat Ihere ii a construc�ion IenGing agency for the performance
ot the work to� which this perM�t Is Issuetl ($ectlOn 3097 Civ. CJ
lRnaer's Namo
LenOer's Atltlre55
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's Llcense �aw for the
followinq reason (Sectlon 7031.5 Bus�ness ana Professional Cotle: Any <ity or
county which reQuires a permit lo coPstruct, alteq improve, Eemolizh or repalr
� any structure, prior to Its issuance, atso requires the applicant for mch permit
�`efrom antl the basis for the alle9etl exemption. Any violation ot SecUon
��� LS by any applicant for d pefmil 5ubject5 thB ap0�icant t0 a civil
��Ity of not more than five huntlred tlollars (E500).
L� I, as owner o( th¢ prop¢rty ot f�Y employ¢85 wilh wa9es as thei� sole
wmpensalion, will tlo the work, antl the ztruc[ura is not IntendeC or oftaretl
for sal¢ (Sec�ion 7044, Business antl Prote55ional Cotle: The ConttactOr'S
License Law tloes not apply to an owPer of a property who builtls or improves
�thereon, antl who tloes Such wo�k him5el(/hersell o� tn�ough his o� her own
employee5, provltletl tM1at such Impro�ements aru not Intentletl or ofteretl for
sale. Ii, however, tM1e bulltling or imp/o�ement Is soltl wilhin one year of com-
pletion, the owner will have Ihe burGen oi proving he/she tlitl not builtl or Im-
prova fortne purpose of sale).
❑ I, as owner oi the pro0erty, am exclusively contractlnq with Ilcensetl con-
t�actorsto construGt the project ($ection 7044, Buslne55 antl P�of¢ssions Cotle:
The Contractor's �icense Law does nol apply to an owner of property who
builtls or imoroves tnereon. antl wno tontracts �or such oroiects with a ron-
tractor(s) license pursuant ro me Coqbactor's LitenSe Law�. 1 am aware tha[
proof o1 their Wotker's Compensati0� ��surance shoultl be provitletl to mG.
❑ I am exem0� untle� Section B. & P, C. for this reason
Date owner
I he�eby certily that I have rea�
info�mation i5 conect. I agree to
antl state Idws �elatin9 to b i�
sentatives ol (his ciy en[
Signature ���
Orivers' �icensc or 55 �
?��
P�� .3�13 SG I t04
TYPE OF CONSTRUCTION NF
❑ CONVERSION ❑ DEMOLISH
DESCRJPTION OF WORK/USE OF
1..e_ 1 .... � � ?pe.`.A.
U
ADD ALTERATION REPAIR
TVPE OF PERMIT � LJ GRADING LI FOVNDATION Y�I STRUCTV RAL �
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 5�. FT. � oCCUPArvCv —
CONSTRUCTION TVPE Fr��'� �� "'LUATION $ �%
ZONE GRADINGCU.VDS. ACRES
Remarks:
Sink
Preventer
Irrigation
king Fountains
�r Drains
�r Sinks
Service Outlets
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee � $15
Boiler
Dua - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
FirepVFact. Blc iCBO #
Heating System & Ducting �
❑0.100,000 BTU 0100,000
peinspection Fee � $15
White � Building; Canary - Applicant; Pink - Accountlnq; Goltlenrotl - Assessor
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping �
Solar Tank ''s
Swimming Pool w/Spa "
Urinal
Water Closet
Water Heaier
W�Ier Service
� A uto-W ash
Isue Fee
Hood or Typel ❑
Canopy Type I I ❑
�
$ 3
- FEES
Refrigeration System C.'.:
❑o-io ,aooeru ❑�oo,000
rem Repair/Alteration ':
Fire Dampers 1
Registers
laue Fae � $ 3
A.P. v1� � ( `� •�
S Main Building:
E
T Front
A Rear
C Right
K
S Lef
Ping. Ref. dp
Planning Notes: , „
Automatic Washer
ConstructiOn Pole Sub.
Cooking Uni[
Dishwasher
Dryers ❑Gas ❑Eleci
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
$WifCI1C5
Garbage Disposal
Generator �0.5 KW C
� S� �8
� 2 zo�a Lv
Atcessory Building:
Z
O
N
I
N
G
R
Parking Req./Provided E
�
�( M
� T
S.
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter LJup to 700 amps
Meter ❑over 100 amps
Sub Panel
Motors �0-1 HP 01 K- 8
Inc. Solar �9�15 HP �16-15+
Microwave � �
r
Pole Light � '
Renge �.
I / I Standing Sections
75 KW Trash Compactor
� Reinspection Fee �$15 � � Issue Fae
DEVELOPMENT SERVICES REQUIREMENTS:
2onin8 APProved By
8uilding Approved By
APDliptiOn IaUBd BV
FEES
�—'1 —�
=BUMMARV OF FEES
�BUILDINGPERMIT $ Sg•'�O SMIP $ .S�
.PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ —��-- ENERGY P.C. $
ELECTRICAL $ � � " GRADING $
PLANCHECK 5046 $ MICROFILM $
MECHANICAL $ TOTALFEE $ �
P�ANCHECK 25% $ '�J��
�Ji 0�^25535-7G025537 T`�h� 'D.;'S
DAiE; ���Oi.'c9 Ti!%a ;F.+2b
.. .__. . ,
CONSTRUCTION AND pLANNING POO .' P�
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
7. TempUrary Electrical Sr.rvice 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. Stee! Reinforcement 56. Rough Ptumbing &� Pressure Test
6•. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE
7�Footings j 58. Electrical Conduix-Undrgrnd.
$.+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 Connection . 62. Backwash & Receptor-Final
12. Sewer �p - 63. Heater & Vent-Final
13. Roof prains . � 64. Plumbing System - Final
14. Roug{� plumbing � 65. Electrical-Final '
75. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring ✓l_2�g9 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceilirig 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. Duc[s, Ventilating ^ 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. RoofFraming - 73. Undergrnd.StorageTankOGas ❑Oil
25. Roof Sheathing ; I ' . � 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. Piastet Brown Co�t . I 79. FINAL INSPECTIOfU
32. Electrical PoweriNleter-Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' _�s� Notes: � �• , �
34. Final Heating & Air Conditioning _ /
O ✓ - /' /PA tY �
35. Final Gas Pipe-Test � _ �
.�0�'-� ! i1 i
36. Hood or Canopy �� ' ._ y � ��
� 37. Final Factory Fireplace yyl�� O) M '{� ♦♦
38. Final plumbing . � �
' 39. Water Service-Final .
40. Gas Service-Final � �� A�� , p R tl �
"41. Solar pomestic-Final
42. Backflow Preventer. • �
, 43.'Backflow Irrigation � _
44. Landscape Irrigation System
45. Souncl Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING � �'
48. Special Requirements Comple[ed
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Cn •
51. CERTIFICATE OF OCCUPANCY �
No. Date .