HomeMy WebLinkAbout452 19TH ST - Building PermitsPHOJECT p00NESS: 4 S% E 19 TH J� T
OWNEP'SNAMF: QODS, VERONICA K
aoosess: q 5 2 E 19 TH ST
COSTA MESA,CA
ANCN/ENGINEEfl: � 714 � 548�2�84
aooxEss:
UNIT:
92627
NEG.NO.:
uxrt:
PEflMITTEE: BRUCE wO�D$ ( 714 ) 548-2084
aooxess: 452 E 19TH ST
COSTA MESA CA 92627
LICENSED CUNTNRCTON OECtAMT10N: I �ereby allirm tAat I am Iicense0 unAer prmisions ol Chapter 9(commencinp witn Sectlon
71100) ot �rvision 3 0l ihe Business an� Professions Cotle. and my license is in tull torce ana ellect.
CITY UC.: STPTE LIC.: IXASS:
Oate: Signalure:
WONRFPS' COMPENSRTION DECLABa710N: I hereGy aflirm �hal I have a certilicare al consenl to sell-insure ar a certilicate ol Warkers'
Comoensation Insurance. or a cenified coDY �nereol (Section 3800, Lab. C�.
POIItY NO.: E%P. ORTE:
LOMPIINY:
❑ Cetlilietl copy is h¢reDy Iwnis�ed. ❑ Certitietl COpy is lil¢tl wii� I�E Liiy Builtlinp Divi5i0n.
.te: MDucam:
E%EMPTION FBOM WOPIIENS' COMPENSATION OECUMTION: (i 's se�tpn nee0 irol0e wmpl¢ ttl il �he perml is �or one AunOrW (SI00) or less�.
I Cerlity I in he petlormance ol Ihe wOrk �or w11itA I�iS Der il 5 i55ueA. I Shall n¢ D any Oerwn in any mannef 5o as lo beGome
su�jecil lorker5' . enSz s ol Calilomia. �/,
Oaie: ' SiqnaWr¢:
- NO . a ter makinp �his Geclara�ion, you shoNA b come SUDlect to t�e Workers Compensation D�ovisions ol �ha Lahor
CAOe. yrou musl foMwit� comply wit� such pmvisions or t�is permil s0all Oe EeemeE revakea.
LONSTBUCTION LENDMG �GENCY: I Aere�y aflirm rtut tAere ¢ a wnstmc�ion IenOinp a0ency for the peAarmance of t�e work lor
which �nls vermii is issue0 ISection 3097. Gv. C�.
LEN�EH:
RODflESS:
OWNEfl BWlOEfl OECLAflRTION: I hereUy a��irm I�ai I am exemp� �ram Ihe COn(raci0r5' State License Law lor t�e followinA �eason
(Se[Iion 7031.5 Busine55 and Proi¢SsiOnal COAe: My Ciiy ol county �ryic� r¢puires a Dermil Io COnSlmti. allef, improve, Eem01i5h, or
repair atry stmcwre. D�ior Io ils iuua��ce, alw requires t�e appliunt for such permii to lile a siqne0 statement that hvlshe is Iicense0
pursuant to the proNsions ot t�e Contracmri State License Law (C�aO�er B RammencinA ��h Section 70W) al Divisian 3 of t�e Busineu
and Pro�es5ion5 COUe� or��al �e/she is e�empilherelmm anU IM1e 6asi5 lor�he alleg¢G 2xemD�ion. Any violati0n a� Seclion 7031.5 by
any applicant lor a permil suUiecis I�e appliGnt to a civil penalty ol nal more Ihan hve �unOreO Oollars (5500�.
❑ I, as owner oi ��e pm0erty or rtry employee5 wit� v,�ges as lheir wla compensation, will Oo the work, antl t�e
simmure a notintenGed orallereafarsale�5ection 7044. Bpsiness an0 ProtessionalCatle: The Coniractors' State License Law
Goes nol aODly to an owner o� a propetly who builtls or imp�ove5lhereon, antl who aoes such work himself/�ersel� or IhrouAh
his or her own employeM. o�ovitlea tnal such improvemenis are not inteneed or aflered for ule. II, however the Ouil4inA or
imOrmemenlis solE within one year ot completian, t�e own¢r will have Ihe GurGen of O�ovinq �e/s�e did not huilA orimD�ave
for tne purp0.5e oi Salel.
I, as owner of �he OmDeny, am exclusively coniraning wi�� license omradors to conslmci Ihe Drolect (Section 7044, BuSiness
LI antl ProfusiMs COde: The Conlractor5' Slate Lkense Law d ot appy to an owner ol pmpErty WtID hmlQs or improves therGOn
an� w�a canUacts lor suc� prqetls with a contracto nse Oursuant to ihe Cantractors' State Licenu Law�. I am aware
t�a� 0��� of thei� WOBer'S CompenSaUon i pmvi0etl to me.
I a e mpt untler Seciio ' py B. P. f,
� �0� hi5 $Q(I� n l.1/lt C61 O!1 rrc
I do here�y cenily that I am aware of an0 un0erstantl Ne rei
2553a and Ihat I or any Imure builaing occupani wilUwill no�
permit �or con5imdion or rtwdilicaiion iromlhe Air Ouality
�he5e Dmvisions. � _ � '
�T�^]" � \ pPPli[anl: _
I �ereby cetlity Ihat I have reatl Ihis applicafion an0 5�aie l�.
ordinances and slalelawsrelatingio butlAing consimclion an0
pmperly for inspeciion 0 es �
r
Date: Signalure: _
Driver's License or Social Securiry a:
Oanec
e0�5 0� CalilOmia Healih antl
one) neeC Io comply wih L
mation is to7(ecl I
fCjl�¢SElIId11VE501I1
Cotle ections 25505. 25533,anE
cade n01he reQuirements lar a
Iion a lications are e�empt from
po comDryp��� all ciry an0 caunty
I6at�a6 WM1i�e—Builtlina: Green—Cade En�arcemenC Canarv�Aoolicanl: Pink—Rovanue: GolEanroE—Assessar
CITY UF COSTA MESA - BUILDING PERMIT PERM NO; E 05668
PERMIT NO: E 056689 PLAN CHECK NO; N GOVT: N SUPP; Y
CONSTRUCTION TYPE: S-N PERMIT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : REPLACE SUB PANEL 6 6 CIRCUTTS SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: NO 'B' PERMIT INVOLVED
�x *+�******�r�**��********+r�r*���**�***�+�*******�**��*�x�*+�*******�**x **+�****��****
Z O N I N GS ERTEBQAUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BIIILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT ' IN REAR: FT IN
LEFT: FT IN RGHT: FT IN I,EFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 42632120 ZNE: REF NO;
PLANNI:NG NL7TES> -
� '
k 3E iE jE �F if iE iF iF if 1F iF 1F if if if iE iE iE iE k if 3E iE iE if iF iE iE iE 1E iF iF iF if �1FiE iE fE iE if fF iE If iF 3E fE if iF iE fF if IE iE iF iF k iF 3E iF 1E �f iF 1f !E if k ik if IF k IE iE IE IE if 3E iF ik
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE: C
APPLICATION ISSUED BY� - DATE• 3'a-r [—�
It 3E k iF if k 1F iF �7f it iF 1! if 3f k if if if if� iE iF iFiF3F3F7FiF iF if"iF�FiFiFfF Tf3FiFiF-iFiFTF3F'iFif�F�f3Fif'iFiF M� if if iF iE i4 iE iE iE iE�{F'iFiF iF
iF iF k k IE �! i! i!!E i! ik ik iF ik if k iE iElF iF �E k!F jE iF 1E �f iF iE iE 3Elf iE iE if 3! iE it if 3f iE 3E 1F ff iE iflf if * if iE 3! k iE jf it If M�E IE iE iE iE if iF if iF iF �E k ik iE ik iE iE k ik �F �k
LEGALIZATION;N F E E S U M M A R Y STRQCTURAL SEGMENT;N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18 50
�OI SMIP/NON-RES
PLAN ,,
ISSUE FEE 9 , 50 '-• �
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID - DUE
TOTALS----> 18.50 4.50 0,00 23.00 23.00 �y'; ,00
REVENUE DIVISION TOTALS--> COLLECTED; 23.00 OVER/SHORT: � .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING�PLAN-CHECK
23.00 �.
iE i! iF iE iF iE if if if if iF it iF 3F k iF iE * iE iF if if iE iF dk 3E ik 1f iE iE IF it it iF if �E iE it �E iF iF iE iE it if iE iE iE k iE iE 3E if i! iE if �k iE iE iF iE iF iE IF iF �E iF iE �E 1F iE 1E iF �lf if If iE if iE
I N D I V I D U A L F E E B R E A R D O W N �
TYPE QTY D E S C R I P T I O N UNIT COST �'TOTAL COST
ELE 10 RECEPT/OUTLET 1 ST 20 EA. ,75 7.50
Ci L` t CfTO_DTl.1Ci 1 1 /1ll � � Ah
�
�
��
'� END OF FEES
EXPiRED
Incomplete Inspections
% i
Oate ___. -- Sig 1I y� � y
7A
I
%
%
CONSTRUCTION AND PLANNING POOI ' `A • •�
APPROVALS Permit#- Date Inspector qppROVALS Permit# Da�e Inspector
.. _ '� ,
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location •
i
� 2, $oil Pipe-Undrgrnd. �.1 53._Steel Reinforcement � '� �
� 3. Electrical Conduit Utility-Undrgmd. `��� 54. Forms .
� 4_�Electrical Conduit-Undrgrnd. - � ' 55. Electrical Bondi�g � � -
5.,Sseel ReinforcemenY 56. Rough Plumbing & Pressure Test� -
- 5.:EfectricalUFER'Gr�d. 57. APPROVALTOCOVER-GUNITE -
� 7;�Footitgs �� 58. Electrical Conduit�Undrgrttd. .
��8. Foundation . � 59. Gas Pipe, � Undrgrnd., T�st'
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trapj D-Wndrgrnd. �
10. Structurat Floor System 61. APPROVAL TO DECk - '
1 t. Property Sewer Line,& House Connectian 62. Backwash & Receptor-F(nal
� 2. Se°°e� CaP 63. Heater & Vent•Final
73. Roof Drains 64. P�umbing System - Final �
14. Rough Plumbin9 65. Electrical�Final
15. Rough Electrical-Conduit _ 66. So�ar System•Final
76. Rough ElectricWiring 67. Fencing & Access ApProval
77. Rough WiringSign 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20.�Rouyh Factory F.�eplace ` r � ' �APPROVALS Permit #
.
21. Ducfs, in�Structuie� , .� �. . - . - _70. Underground Hydro
22. Ducts, Ventilating � �� � ' �71, ProducLPiping OGas ❑Oil
23.,Gas Pipe�Rough & Test � ,. . 72. Underground Ftush -
24.�Foof framing ' ." - �.� = r 73.' Undergmd. Storage Tank � Gas ❑ Oil -
25. Roof Sheathing - � �� ` - -�74. Overhead Hydro- �
26. T�Bar Ceiling (Structuraq & Monocoat ' •• 75. Dry Chemical �
27.�-Frame and Flashing .� ,� , 76. Dry Standpipe ."
� 28. Lathinq & Siding � . - - • • 77. FIXED SYSTEM FINAL'
i
' 29. Insulation .r . '� � ' _ ' � 78.,=FIRE PREV. FINAL
30. Dfywall Nailing � _ �- HEALTH�DEPT. REQUIREMENT
. --�'
31. Plaster B[own Coat , r,., � -79. FINAL INSPECTION, ,'
32.. Electrical Power'MeterFinah " w 80:� FOOD CERTIFICAT.E ISSUED
. 33,'Final Electric ' � � � ! 1 ' - Notes: � _ , '.
r. . . . .-.^ . _ . .
34, Final Heating & Aia.C`onditiomng . !t �� �. � .- • -
- t � �.
35.^Final Gas Pipe�Test ' � ` �' � ' - - � � '
� `r
� • :
.36. Hood or-Canopy -- � • • . •
37. Final Factory fireplace � ` � �, ' ' �-
�38. Final Plumbing . � � � : • , ..
- 39. Water Service-Final � ;' •� '
;40. GasService-Final ; , i „•,. . . . .. ' �
47. Solar pomesticFinal. • � ` � -
'42.'Backflow Preventer. ; -
43. Backflow Irrigation� - _
�.
,44. LBndscapelriigatiqnSYstem- - . ;y � - �a
� 45. Saund Attenuation �. � . ' ` '- ' .
E.
.46. Handicap Regulations � -. �� �� � � � � ', IfICOftlpl8? Irspections
47.-FINALSTRUCTURE & BUI�DING "'� �j�` f� � • �
48. FINALPLANNING - � , � �. • � "
49. Electric Release to Edison � '� . '�,
50. Gas ReVease to SouLhem Cafifomia Ga: Cn . � �' �' i
��� �-
,51. CERTIFICATEOF.00CUPANCY \ '
No. Oate
I�
�/
r �
�
Pfl0.1ECT 400Bi5S:' —"� S Z E 19 TH ST
OWNEN'SNRME: OODS, VERONICA K
aoosess: q52 E 19TH ST
COSTA MESA,CA
AflLH/ENGINEEH: � 714 � 548-2�84
R�ONESS:
UNIT:
92627 ._t .
XEG.NO.:
UNIT:
PENMITTEE: VERONICA K. WOODS ( 714 ) 548-2084
nooxess: q52 E 19TH ST
COSTA MESA CA 92627
LICENSED CON7NAC70fl UECUINFTION: I �ere�y affirm Ihat I am licensetl under pmvisions of ChaD�er 9(cammencing with Seclion
7000� ol Division 3 of I�e Business antl Pmfessions Cotle, an0, My license is in full torce and eifecl.
CITY UC.: STRTE LIC.: CLA55:
Daie'. SignaWre:
WOPNENS' COMPENSATION OECLAPATION: I �ereby aifirm ihat I �ave a certilicate af consent m self-insure or a cerlifica�e ol Workers'
ComDensalion Insurance. or a cenifietl copy t�ereol �Section 380U, lab. C�.
POLICY NO.: E%P. DRTE:
COMPANY:
❑ Cenihee copy is hereby furnisnetl. ❑ Ceniliea coOY is filetl wiin ihe city Buileing DiNsion.
.le'. Applitant
EREMPTION fflOM WOBREBS' fAMPENSPTION OECUflATION: Qhis section neetl not be omplet '� �he �per � is � rone h OreO (5100� or less�.
I ceriity I�ai in Ihe DehormanCe ol Ihe work �or w�ith I�is per i55ueU, I s�all employ ny ers in y n er so as �o ome
subject lo t�1�lwar�kers�' ,f,qmDe� alion Laws of Califomia.
Dale:�^ �� SipnaWre:
NOTICE: II, atler maMinA ���s UecWration, you s�oNE G e su0ject �o tAe Workers' Co ensation provivons ol the La�or
CoOe. y0u muSi �arihwilh tomply vnl� SUC� pwvisi0ns Or INS Dermii shall �e EeemeE revokeE.
CONSTflUC71UN LENOING RGENCV: I 11ertGy aHirm ihat t�ere R a consimction lending agency for Ihe performance al Ihe woM1 for
wNcn tAis oermi� is i=5uea (Seclion 3W7. Civ. C1.
lFNOEfl:
RODNESS:
OWNEB 9WLOEB DECLABRTION: I �ereby afiirm ihat I am exempi imm ihe Coniractors' State License Law for ihe tollowinp reazon
(S¢Clion 7031.5 9USinesS an0 Pm�e55ional COae: Any tiry o� c0unly whit� r¢pUires a Oermil m canslruti, ali¢r, impmve, E¢molish, Or
rtDair any sirucwre. O�ior to i�s issuance. also repuires the ap0licant lor such Oermit to file a signe0 statement Ilwl �e/s�e is licensetl
pursuanl lo Ihe O�o�sions ol 1�e Comracmrs' Sla�e LicenSe Law (C�apter 9(commencing wn� Section 7000) ot Division 3 ol I�e Bu5ine55
ana Pmlessions COEe) or Ihal nelsne is e*empl inerelrom ane lhe basis for ihe allege0 exemD��o2 My viatation of S¢ction 7031.5 Oy
any aDClicant lor a De�mit su0le��s Ihe apD��cant lo a dvil penalty of not mart ihan (ive hundre0 tlollars (5500�.
I, as owner of t�e D�openy or my emyloyees vni� wages as Iheir sole compensation, will Ao I�e wark, an0 Ne
❑ s�mcWre i5 nol in�entle0 or oller¢a �or sale (Section 7044, Busmess and Protessional CoOe: The Coniractars' State License Law
does nol apply Io an owner ol a property who buiids ar improves Ihereon, antl who does such work �im5eli/her5ell or NmupA
�is or her own employees, D�ovitleA l�at suc� imDmvements are not intentled or oBereE for sale. Ii, �owever t�e Cuilding or
improvement is Soltl wilhin one yea� o� completion, �he owner will have �he burtlen o� proving he/she tlia not Euiltl or impmve
forlhe purpose of sale).
' I. as owner ol Ihe pmDe�Y. am eKclusively ContfaC�ing wifh Iicense0 contrac�ors �0 Consfrut� �he Omlec� (SeC�io 7044, BUsiness
❑ antl Prolessions CoOe: T�e Contraclors' State License Law Ooes not apPly to an owner of propetly who bwltls or i o�a�es inereon
an� who contra[t5 lor such prolecls wil� a conirac�or�s)license pursuanl to Ihe Con(mcta '$ta�e iCens¢ La �. I am awaf¢
Ihai O�ool of ��eir Worker s Gompensation insurance sOoulE be proviae0 to me.
� i am erempt unaer Seciion: B P-� � 4 q B. 8 P. C.
mr tnis reason: O EMPLOYEES
Date: ^-' � �� Owner:
1 Ao �ereGy cenity I�ai 1 am aware af anE unaer5land Ihe reQuirements ol Cali�Ornia Health antl Satery COA2 5¢Ciions 25505. 25533, an0
2553a antl I�at I or any fumre builainp occupant willlwill nm (circle one) need to compy with sai0 state catles anA IAe repuiremenis for a
permil lor cons�mclion or motli�icaiion Imm Ihe Air Ouabry ManaAemen� Dislrict. qeSiJential consimction applications are exempt Irom
I�ese D�ovisions.
Dale: Applicani:
1�¢�¢py LEtlityihdl I�dvPr¢d01�i5 dpplitdli0n an0 Sldi¢I�dl e abOveinlormaiio is torr ti. lagr eio o I wilh allti�y a touniy
orGinarces an0 siate lav2 relaiing �o UuilOinq cons�mnion an er authori:e reV� af e oi iM o t u me a0ove- ntionea
pwperiy I r in5p¢ttion purpo5e5.
Dale: SipnaWre:
Driver's License or Social Securi�y x:
16<FO6 While—Building: Green—Cotle Enlorcamenl: Ganary—Applicant: Pink—Revenue: GOltlenro0—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: E 05666
PERMIT NO; E 056660 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE; OTH
JOB DESCRIPTION : INSTALL NEW 200AMP ELECTRICAL SERVICE SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
COMMENTS: NO 'B' PERMIT INVOLVED
******�e*��x��rx�*�*�e**�r****�**�r******�r**�e*�*****�*��*******x�**�**�r*�*+�****�r***��*
Z O N I N G R E Q U I R E M E N T S
sETSAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FANT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ- PROV: PARCEL: 42632120 ZNE: REF NO;
PLANNING NiSTES>
1
iF If k i! iE 1E �F if IElE iE 1k �E iE �F iE k iE iF iE 1F iF iF 1! k 1FiE i! if 1! if iF.lf'IF k iE �F iF �k ik iF i! k k iF ik iF if 1F iE M k ik 1E iE if If 1E 1f iE IE iE iE iF it if 1k if 1E 1F iF if iF if if if iE Ik 1f
D E V E L O P M E N T- S E R V I C E S R E Q U I R E M E N T S
20NING APPROVED BY - DATE;
BUILDING APPROVED BY ; • DATE:
APPLICATION ISSUED HY: ' DATE;����
k�FltifitifkkititifiF�FlfiEiFifiFifkifiF lfifiF3FiEiE�fiEit �fk
kikM�E1E�F1fiFiFiFiF�IFk�FiFiEifiFlflfiFlF�E�fiFlfkafk�llEikiFkiflkifl6kiFif iFlEkiFifikkMififkjFlEaEiflFlkiE�E�FlflEjfkkiEifiFiEiEififlkiEif
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ' SMIP/RES GRADING
PERMIT 18,50 S
SOt SMIP/NON—RES
PLAN
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 18.50 15.00 0.00 33,50 33.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHORT; 00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR
33.50
k k k!f k k �F if iE �F iFlt �E �f �Flf If �F If IE if �Elf if * k!E iF iF k iF 1E �k �f if 1!!t it iF 3F k if iF 3E jf If iF k iF if k M iF iE k iF if iE iE iF k If ik �f k 3t k iF k iF ik if 1E 3F iE i! �f k�f
I N D Z V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP
� END OF FEES
18.50
nl ,.J1_'1C�. - } '
.^'i''� J..-'L.l.'. . - . .
18,50
�
CONSTRUCTION AND PLANNING ' POOL 'A �
APPROVALS Permit�h � Date Inspector qppROVALS Perm�t# Date Inspector
•
1. Tempora�y Electrical Service or Pole r 52. Pool & Equipment Location �
. 2. SOiI Pipe�Undrgrnd. , �' � � 53. Steel Reinforcement
�
i 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • �
�' 4. �Electrical Conduit•Uhdrgrnd. 55. Electrical Bonding �
5. $('eel Reintorcemenk 56. Rough Piumbing & Pressure Test,• `
� 6. Electrical UFER Gritd. 57. APPROVAL TO COVER-GUNtTE �
•�
L 7. F'ootirigs � 58. Electrical Conduit�Undrgrnd. '�i
�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 Conneaion . 62. Backwash & Receptor-Finat �
12. Sewer Cap 63. Heater & Vent-Final �--
13. Roof Drains � 64. Pium6ing System - Final _
14. R4vgh Plumbing 65. Electrical�Final ,
15. Rough Electrical•Conduit - 66. Solar System-Final
- 16. RFugh E�ectric Wiring 67. Fencing & Access Approval '
17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING �
78. Rough Electriral�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMEN7
20. Roeigh factoi�y Fireplace ' �' : _ _ ' APPRQVALS� - -Permit #
� - .A Y
29. Duc[s, in Structu�e � . . - . � ' .: .90. Underground Hydro n
22. Dutts, Ventilating � � . � ? +� � �77. product�Pi�ing �Gas ❑Oi�
25. Gas-Pipe-Rough &�Test � - . ,- -� , . i 72. Underground Flush . � �
24. Roof Framing ` � - - �• ' - ; u :73.,Undergrnd:Storage,Tank OGas OOiI
25. Roof Sheathing . � ', "t �74, ;Overhead Hydro
26. T�Bar Ceiling (Struct�rall & Monocoat � "`° 75. Dry Chemical - ='
27. Frame and Fiashing� . _ . : ;, : 76. Dry Standpipe ' ,,, � ��_
28. Lathing & Siding- ' ' r > >: • � • �� * 77,' FIXED SYSTEM�FINAL .
' 29. Insulation _ - � � � '�. � 78jFIRE PREV. FINAL - ,-
'30. Drywall Nailing � • �� � � � � HEALTH�DEPT-REQUIRBMENT
' 31. Plaster Brown Coat ,_ . � , ' ' ' ,79:'FINAL INSPECTION . ' ` �z
32..�Electrical Power Meter•Final 3e�� __o �80.:r OOD CERTIFICATE ISSUED �
�33.'Final Electric . , _ , � . 'Notes: ' " r.
i ��-
��34, Final Heating & Air Conditioni�g- - _ - � � � • ., . +. � ` _
/:. c
35.'Final Gas Pipe-Test _ � ' ��� ' �•' - . ' . i ,
36. Hood or CanoPY . . , : ���'•� . . . , , �
37. Final Factory Fireplace �' '� " j -- ' ,. �
�
� �38. Final Plum6ing . � , � � 'n .� •t -
39. WatAr Service-Final . �' '' �4 ` �. _
x
;40. Gas Service�Final . - � - r �` • r
41. Solar pomesticFinal �_ � � •• ' r" , 'r ,
f �
r A
42.�Backflow Preventer • ' I, T, < _ > - _•
43. Backflow Irrigation - - ` � , - '.
t.
� . � J . �. F • .' ,�J ._ 1
;A4. Landscape Ir�ripation SYstem. r - - ,; " s ?; _ t _
45..Sound Atterivation�� " '' � � " t ' ""-- '
- , l.. . _ -.i .
-A6.,Handicap Regulations .. , ` � ��, 1 �, �_� - n
�47. -FINAL STRUCTURE & BUItDING � � � � �
i;�� .
�48. FIN'AL PLANNING ,_.� �� ,� ' ' h .: n � .
�49. -Electric Release to Edison . � ' �
� /�. . .
50. Gas Release to Southern California Gas Co " I , �, ' ..' r� . _
51. CERTIFICATE OF OCCUPANCY . _ _ - .
No. Date
/
CITY OF COSTA MESA
�o "'"F,, BUILDING DIVISION
i�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ewwv.ci.wsta-mesa.ca.us
� g FOR INSPECTIONS CALL: (714) 754-5626
'`'^^°�°�fi PERMIT NUMBER: B11-00306
PERMIT TYPE B_ROOF2
APN: 42632120
JOB ADDRESS: 452 E 19TH ST CM
Viciniry:
Squares: 1800
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
09/1912011
MDM
$4,500.00
SCOPE OF WORK: 1300 SQ Ff RE-ROOf ON DWELLING, 250 SQ FT RE-ROOF ON GARAGE, 250 SQ FT RE-ROOF ON 2ND GARAGE,
RE-SHEATHING DWELLING ONLY WITH 1/2" CDX, INSTALL 30 YR MALARKY COMP, 30L6 FELT
NOTE:RESIDENTIAL R�-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for
verification of the installation of smoke and carbon monoxide alarms by the City lnspector. See Attachment w/lnspection Card
OWNER: WOODS, VERONICA K
PHONE: 645-0907
APPLICANT: CHUCK VI�Lq
PHONE: 949-650-'1079
CONTRACTOR: R C I ROOFING COMPANY
Address: 240 WALNUT STUnit:
Ciry/State/Zip: COSTA MESA, CA 92627
ARCHITECT:
ENGINEER:
FEE SUMMARY
Address: 452 E 19TH ST
City/State/Zip: COSTA MESA, CA
Address:
CitylState/Zip: .
�icense No. 704392
PHONE: 949- 650-1079
CELL:
License No.
License No.
PHONE:
PHONE:
Unit
'� ^..t`:�'Li1Ss;
� Unit: :
, . . ,:c>e,
Reroof Plan Check: $0.00
Reroof PermitFee: $111.25 � '''��"{���
Reinspection Fee: $0.00 ` �-'''`�
Bidg Std Admin Fund $1.00
,
TOTAL FEES $112.25
HOURS FQR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 �
Monday lhru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following �Federal h
New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day
NOTICE: The work authorized by ihis permit shall wmply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28. § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal; such work must comply wilh all applicable codes, and all
required inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration o( this permit.
COOEC. INSPEC➢ONTYPE ORTE INTIiIRLS COOER INSPEGTIONTYPE DRTE IN1111RL5
7676 Fixed System Final Fire Prevent'ron 206 Final Mechanical
7266 Pool Spa Final n 208 Final Plumbing
200 Final Re-Roo( 9' Z-/' �� � 210 Final Electrical
201 Final Block/Retaining Wa0 272 Final Fire Prevention ��
202 Final Factory Fire Place � 220 Final Planning Appmval
, _ . ' _""._' ' _'_v��— -_—i
203 FinalSign • 222 FinalSite ' "" �
q�. ::.:�� y: J hn�jdd)'91
204 Final Demolilion 250 Final Building/OccUpancy �
_ _ .. .._._""'_"_"1
WORKERS' COMPENSATION DECLARA710N:
I hereby aHirm untler penalty of peryury one of the following declarations:
� I have and will maintain a cerli(ca[e of consent to selbinsure for workers'
compensation, as provided (or by section 3700 of the Labor Code, lor the
pedormance o( �he work tor which this permit is issued.
❑ I have and will maintain workers' compensa[ion insurance, as required by
section 3700 of the Labor Code, fa lhe performance of [he wurk for which this
permil is issued. My workers' compensation Insurance wrrier and policy
number are:
Carrier. �li�l�
(i�is seCqn neetl m( be OrompefMfAlhe pe�m� rs valued a�l onejM1(un�tl�ie0 tldlais (5100) a kss )
PolicyNumber: l Dd I�C7�v�
❑ 1 certify that in the peAormance of [he work for which this permil is
issued, I shall not employ any person in any manner so as to become subject
to t rfce�q compensation laws of Cali(ornia, and agree that if I should
come subjecV to Ihe workers' compensati rcuieiens of Seaion 3700 of
the Labor Code �1 s �tttee vnih these pmvisi ns.
� -c� - I 1
ram's SignaWre Dale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOILARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE I.ABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby a(frm thal I am licensed under provisions of Chapter 9(commencing
wi[h Sec�io B@}af D� ision 3 of the Business and Prolessions Code, and
my lic e is in lul'l `f�ori and eftect y ^�^
� ��f � \ �� , �
Lic #
Q � � ��
i
ConVactor's g Da1e
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby aPortn that there is a consWctbn lending agency for the
pedortnance ot the v.ork fa which Ihis pertnit is issued. (Sec. 3097, Civil CoCe).
Lentler's Name:
Lender's Address:
oate
OWNER-BUILDER DECLARATIONS:
I hereby afflrm Ihat under penalty of perjury Iha� I am EXEMPT FROM�TME
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Cotle: Any city or counry which requires a permit to
construct, alter, improve, demolish, or repair any strucWre, pnor to its
issuance, also requires ihe applicant br such permit to file a signed statement
that he or she is licensetl pursuant to lhe provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 0( the
Business antl Professions Cotle) or that he or she is exempt therefrom and
the basis (or the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalry of not more than
fve hundred dollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the strucNre is not intended or
oflered lor sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
lhereon, antl who does such work himsel! or herself or through his or her own
employees. provided Ihat such improvements are not intended or oHeretl for
sale. If, however, the building or improvement is soltl within one year o(
completion, the owner-builder will have the burden o( proving that he or she
ditl no� build or improve for purpose of sale.).
❑ I, as owner o� the property. am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and
Professbns Code: The contractas License Law dces not apply to an ovmer of
property who Duilds or improves thereon, and who cont2cts for such pmject with
a contractor(5) license pursuant ro the Cont2ctors License Laws.).
❑ I am exempt under sec.
Business and Professions Cotle for this reason:
SignaWre Dale
9051�d6�310])
Owner ID verifietl by driver s license. ❑ Yes ❑ No
Driver's License No. Expires:
Veritication o( Ownership by (rype of document, i.e. - propeey laa bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION:
❑ I hereby certify that no excavalion five (5) or more fee[ in depth into which a
person is required to descend, will be made in connection with work au�Frorized
by Ihis permit, and that no building sWcture, scaf(dding, falsework, a demolilion
or dismantling lhereof, will be more lhan thirty-six (36) fee� high. (Chap. 32, Grp
2. M 2, Sec. 341, Title 8, Califomia Atlministrative Code).
❑ As ovmer-builtler, I will not employ anyone to do work which would
require a permit from the Division of Intlustrial Safery, as noted above. unless
such person has a permit to do such work from the division.
Applvanl's SignaWre
Division of Industrial Safety Permit NumDer: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will ihe aOP�icant or presen[ or tuture building occupant need to fle and
certify a Business Plan tor emergency response to release or threatened
release of a hazartlous matenal? ❑ Yes ❑ No
(Section 25505 of the Cali(omia Health and Safery Code requires, with some
exceplions, that a Business Plan be fletl wilh Ihe Costa Mesa Fire
Department by every business which has at any one lime during a reported
year a quantiry of hazardous materials equal to or greater than a weight of
500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressetl gas
at standartl temperature and pressure).
2. Does or will Ihe applicant or present or fuWre builtling occupant neetl b(ile
a regishation lorm for acutety hazardous ma�erials7 ❑ Yes ❑ No
(Section 25533 of Ihe Calitomia Heal�h and Safery Code, wi�h some
eaceptions, requires regisiration with Ihe Cosla Mesa Fire Department by
each business which at any one time has on hand a quantiry of aculely
hazardous materials equal ro or greater Ihan a weighl of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at stantlard
temperaNre and pressure).
3. Does or will the applicant or preseN or fuNre building occupant need to
prepare an RMPP (Risk Management antl Prevenlion Program lor aculely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of ihe Calitornia Health antl Safety Code provides Ihat the
Cosla Mesa Fire Department may require lhe preparation, certification and
filing with the Fire Department of an RMPP by businesses which are requiretl
to register awtely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 0! the California
Health antl Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicanl or present or future building occupant require for
ihe work which is the subject of this application a permit for such consimction
or modifiwlion (mm Ihe South Coast Air Quality Management Dislrict or fmm
any other air polWtion control dis[rict or agency? � Yes ❑ No
(Seclion 658502 of Ihe Califomia Government Code requires tha� ihe requested
infortnation be fumishetl on applications !a non-residential building pertnits).
6. Will any paA of ihe (acility to be consimcted under this permit be wi�hin
1000 feet fmm the outer boundaries of a school? ❑ Yes ❑ No
(If'ye.s", Ihe faCility mu5l 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 distric[ or agency is required for the work which is the
suhject o! this application, have all of the tlisclosures prescnbed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf'yes". attach certifcate of compliance from the appropriate air pollution
contr0l oKcer).
CERTIFICATE OF COMPLIANCE: I certify lhal under penalry of perjury Ihe
information given a6ove is corzecL I agree to comply with all state laws and
city ordinances regarding Hazardous Matenals and Emissions.
9gnaWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certity untler penalty of perjury that I have read Ihis applicalion and state that
the information given is correct I agree to comply vrith all state laws antl ciry
or ' elaYng [o builtling construction. antl authorize representatives o!
e City of ta Mesa to eNer upon the above-tlescnbed pmperty for
inspection purp s. I agree not to occupy or allow occupancy of any building
authorized by Ihis mit un�il final' . � 1�
� �� �
I
�ale
Antllor AuthorizeE Appliranl
.NDflE54 Oi BUILqNG: Q S Z E 19 TH S T
OWNENSNAIIEIFRIWIN: WOODS, VERONICA K
�o�� 952 E 19TH ST
COSTA MESA,CA
APPL. M�If1N0 RDDPESS:
AfICXRECTONiHtlNEEN:
LONipACTOR3 NANE:
CONTX�CTOAS MAlllNfi
�DDNES&
UNT:
92627
ua xo:
uNr:
ua ra:
uNr:
LICENSED COMRACTOPS OECLAF�TION: I Mraby eflYm unAer penely d perjury ihPo I em leanaed uMer pwiebna d Cheqx B
(cammentlip xilh Se Ybn )oao) d Onnun 3 d Ihe Buri�roea eM PMeaaiona Cotle, enE my licenae o in lull brce end efied.
cm uc. No.: uc. cuss: uc. No.: EXP ;
Dab: Comreda:
OWNER BUILOEN DECLANATION: I heeeby eifirm urMar peneYy d perlmY �hel I em exemq Irom IM Canlredon Licenae Lew lor ihe
bllowiiq reamn (SeUion ]031.5 Buainesa eM Pmlembne CoEe: Any c'ry w munty x1�iM iequiree a pe�mil to mrotriwl, eller, impove,
mdoh, or eepe'v eny alruMure, prar b Xs eweMe, e6o repuiree �he eppl'cenl lor euch peimA to file e tl0� ��en� �het M w eM
icenaed W�en� to Ihe proviebn� d ihe Contradae Lioeme Lew [Cheqar B(oommendrq wuh Sedion ]000) d Orv'sion 3 d ihe
xniem end a,demiwa cotlel «�mm �e « aM u u.ma �naamm ene �n. mme �« th. elbpeE eammqon. Mr �o�mu� d seaon
)031.5 by enY WW�t lor e permn eubpae the epqiceM to e mil pareM1y of np mas then iMe h�rMied ddlen �$500�1.
� 1.eaownardihepaPonYormY�dWeaswYhwepeaa�Iheiradammpameiion.wi0dothewwk.aMlMelructureu'atinteMeE
or oMered br nele (Section'!00<, Businem eM Proleceione Code: The ConVedon Limnsa Lew daea not epply�o en uwner o/ propnty
who WilEs or mpravee ihereon, end who Eoes auM vroM MmaeH or herseX or throuBh he a her own amployeec, providad ihm wch
impmvemanta ere rot intaMed a diereC for sab. X, however, the buikirq a'unprovemen� ia edd wilhin me yeer d mmplmon, the
owner-buiNer will have Iha buken d provinp he or Me did nd Wik ar improve lor the WT�e d vele�.
� I. a� owror d tM papeM. � ezdivivey mniredip wilh Ibenved conVac1on ro conmud ryy p�qeiy (SMbn 1014. &niroee erd
Prolessom Code: TM Cantrm«e L'eense law Eom nq xppiy �o en ownx d popeny who buiNs w imqovm Ihneon eM who
conVens la vutl� prqeqs xilh a conlrxlor(s) Icansed punuani lo IM Caurepora limnse law).
�'] ��eR�p��ea�s«iio�:BP7044 8.8PC..Iathiareawn:FOR OWNER� BY OWNER
o�e: o..,,a�:
I do �ereby cenity iM1Po 1 em ewere M end uMentend �ha requiremenb d Celiomie Meellh eiM Sefery Cada Seeiana 25505, 2553�, eM
25534. end thel I a any Mure Wikiip arvpeM will / wtll nd (drcb me) nead ro cwnply wih add ¢�eta ttMee uM iM repuiremema br
Dme: C/ / /'G RVO�iceM: �\/ �`� L/l/
WOFKEN'S COMPENS�TION DECL�N�TION: I MreEy elfirm urdx panel�y d pajury one M Ihe (olloxinp Eetleretiona:
❑ I heve and wip maMein e ceMilketa d consent to eaH�ineure br vrorken' cpnpenW ion, m proviJed fw by Seaion 3)00 of �M Lebar
Cotle, iw tM paAormence o/ �M unk fa which Ihie peimn is iaeued.
❑ I heve eM xil meinten wMere' mmpanseiion inaurence. m reQuired by Sepion 3)00 d ihe lalv Code. br the parlmmarm d tha
wak la which ihia pa�mn e ieauad. MY waken' compensation iriwrance urrbr end pdiry number ere:
c�e,:
vdrv N�mne.:
mm sen�a, �d �m ae rnmMe�ee � me v�a �s ro. �s w�e�ae ea�ars Rrool a bss.1
� I canAy �he� in tha peAormence d iha wak for whch ihie parmd ia isweE, I ehell rW amploy eny peieon in eny menner eo es lo
becoma aubl� to iM1e workere' compenamian lewe d Celilomie. end epree �het il ehould becoma vubl� �o the woMen'
crompe ��^bny�{$�aion 3]ao W �na Lebm CoEe.�vN�rqpryyn ea p�ovieiam.
cai _ r�r
o�a: � to nOd�m: ��� ���/�
Wem/np: Fallurs b eec�n woM1en'romperuetlon covoreys l� unb I,wTu aiMalWl wbJecf an rrployar ro cNm'ml peneM�� �iW
nvu nnu w ro wa Nnerw rrouund ao�rn lsru0.aool, M edd�non ro m. eo.r o� romn«wrron demsae+ u nroHdse ro. �n
Sxtlon 31(16 0/ fhs LMOI COW, lnlawt, entl attomsy i/esw
GONSTNUCTON LENOINO ROENCY: 1 M1ereby �rtn unEer penely d perNrv �hm thera ie a mnatmdion bMinB egericy br iM
pBliOT1811CB O�IhB WOf�t/OfW�11C11��18 �IB111111 19 65UB4�$BCiUfI 309J, (�iM.�if.
LENDER'S NAME:
LENDER'S AUUflE55:
��enM ihm � hwe reed �hm �Gdcmion uk stal, ihe� �M ebwa iMmvtan m mrreq. � pree �o camdY v.ith el� �f' erd oouM' ordie�enoe,
BII� 61B�e 16WB IBIO�[la �O fAlIb010 CMSVUtlqll BM 11BfBb`J BN�1WII0 fB�MMB9B11�8�NN d ��Y! OI)'�o eNaf uP]fl ��I! BbOYB-TBIIIUIIpj pR1�IBM
�«��9°'p�""°�'g HROCE oons
` . Nema
o �T Dme: �-� - g 6_
S�pna�ure W OwnarlAgenUApplranVConlreCw
(515td6.WV) Whno-Buildvp 8 Sefey; GrearFle; Cenary-qppirani; Fnk-Revenue; Gddenro�Asaoaor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 078040 PLAN CHECK NO: 02283-96 S
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTION : ADD STORAGE SHED TO GARAGE
CLAIM VALUE: 175.00 CALC—VALUE:
PERM NO: B 078040
GOVT: N SUPP: N
PURPt�SE: ADD
SQ FT: 175
175.00 GROUP OCC: U-1 /
COMMENTS: SHED IS 11" WIDE AND BUILT ALONG SIDE THE GARAGE UP UNDER EAVES
1E dE 1E �E iE 1E 1f !f'K� 1F ik iE 1E 1E 1E 1t 1k 1E 1E �lF 1E iElE 1F 1E if 1E iE 7E iF 7E 7E iE 1E jE if !F iE'k if !E iE 9E 1F 1E iE 1ElE'lE iE 1E iE 1E 1E 1E 1E 1E 1E 1ElElE 1ElE 1E 1E 1E 3k if iE iE 1! iE iE 1E'k jE iE 3f ie
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: 2 FT IN
LEFT: FT IN RGHT: FT IN LEFT; 11 FT IN RGHT; FT IN
PARKING REO� PROV: PARCEL: 42632120 ZNE: R1 REF NO:
PLANNING N6TES> APD A 76" HIGH STORAGE SHED ON THE LFT SIDE OF THE EX GARAGE
> APPROVED B/C NOT OVER 6.5' HIGH 6 NO INT ACCESS FR/GARAGE.
iE iE 1E 1E 1E 1klE 1F tElE iElE 1F 1E iElE iE SE 1t 1E 1E 1E 1E 1E fE fE 1E fE fE �E if iElE 1E iE iE 1E 1E iE iF 1f iE 1E'IE iElE 1ElE iE fE 1E 1E 1E iE 1E 1E �E ih 1E jf iE 1F 1f'k 1F 1E if iE fE jE 1f �E 1E iE iE �E �E 1E �E
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY . ._ DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED BY:��(�v`a�1���_�%�
**+��-***�**+t**+�***+�**** **� �itn e�* at*f * jt
LEGALIZATION:N F E E S U M M
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 21_00
PLAN 13.65
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 21.50 0.00 13.65
REVENUE DIVISZON TOTALS--> COLLECTED:
HLDG PMT PLUMBING ELECTAIC MECHANIC
21.00
DATE: _
DATE: �
Y STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
.50
SMIP/NON—RES
TOTAL PAID DUE
35.15 35.15 .00
35.15 OVER/SHORT; .00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50 13.65
if dE if 1f'N� if 1E iE 3E 1E fE iElElE ih iE �f 3E iE 1ElF iElE IE �F ik if 1E iE 1E fF dE 1E fE iE iE'lE iE iE dk 1E 3E 9E if # 1E iE 1Elf 1E �E iE 1E 1F iF ff !4 ik 1E if i61E 1E'1E'lE iE iE IE iE iE �E iE iElf if iE 1E 9f !E
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 175 ALTER BY VALUE RESIDENTIAL NOZONE
END OF FEES
EXFIRED
DATE `�` `"� o
71 0�: �:_�: �":
Of,TL; �P.'I��. �c� iii��� ",
CQNSTRUCTION AND PLANNING
APPRQVALS Permit #
1. TemPorery Electrical Service or Pole
Z. Soil Pipe-Undrgmd. -
3 Electrical Conduit Utility-Undrgrnd.
4. Electrical Cond�it�Undrqrnd.
5. $teel Reinforcement
6. �Elettrical UFER Grnd.
7. Foatings
8. Fou�dation
9. Water Pipe�Undrgrnd.
10. Svuctural Floor SYstem
11 . Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains
74. Rou9h Plumbing �
15. Rough Electrical-Conduit
16. Rough Electric Wiring
i7. Rough Wiiing Sign
18. Rough Electrical�T Bar Ceiling �
79. Rough Heating & Air Conditioning
20. fiough Factory Fireplace .
21. Ducts, in Struaure
22. Duccs, VentilaIing
23. Gas PiPe•Rough & �Test
24. Roof Framing
25. Roof Sheathing
26. T-Ba� Cei�ing (Structural) & Monocoat
27. • F.rame and Ftashing
28. Lathing & Sidin9
29. Insulation •
30. Dryvvall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. fina� Electric
34. Fina4 Heating & Air Conditioning
35. Finai Gas Pipe•Test
36. Hood or Canopy _ ' ' '-,��
37. Fina� Factory FireDlace
38. Fina� Plumbing �
39. LVate� Service•Final
40. Gas 5ervice-Pinal � '
41. So1ar OomesticFinal
42. Backfiow Preventer
43. Backflow Irrlgation
44. Lanciscape Irrigation System
45. Sound Attenuation
46. Hand�cap Regulations
47. FiNAL STRUCTURE & BU�LDING
48. FINALP�ANNING
49. Eiectrie Release to Edison
50. Gas Release to Southern Calitornia Gas Co
Date
P00. iPA
Date Inspector qppROVALS Permit #
52. Poo} & Equipment Location '
53. Steel Reinforcement �
54. Forms - � �
. 55..Electrical Bonding � '
. 56. Rough Plumbi�g & Pressure Test
- 57. APPROVAL TO COVER-GUNITE
56. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O U�drgmd., Test
60.,Backwash Lines, P�7rap, O"Uitdrgrnd.
6t, APPROVAL TO DECK __s�
62. .Backwash & Receptor-Fina�� i
63. Heater & Vent�Final ••
64. Pluinbing System � Final
- 65. ElectricabPinai
66. Soiar SYstem-Final
67. Fencing & Access Approval
.� 66.. APPROVED FOR PLASTERING
69. POOL/SPA SYSTEMS FINAL
FIRE DEPT. REQUIREMENT
� APPROVALS Permit#
' 70. Underground Hydro
- • 71. Product Piping O Gas ❑ Oil
72. Underground Flush -
. _. 73. Undergrnd. Storege �ank O Gas � Oil
74. Overhead Hydro
� 75. Dry�Chemical � �
� ` 76. Dry Standpipe
� 77. FIXED SYSTEM�FINAL -
78. FIRE PREV. FINAL
� , HEALTH DEPT. REQUIREMENT
' 79. PiNAIINSPECTION
� 80. FOOD CERTIFICATE ISSUED •
Notes:
A
Date Ilnspector
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