HomeMy WebLinkAbout341 19TH ST - Building PermitsPERMIT TYPE:
Sub Type:
JOB ADDRESS
APN: 11725414
'��� CITY OF COSTA MESA ���
BlIILDING DIV/SION
77 FAIR DRIVE, COSTA MESA, CA 92626 • Q14) 754-5273 • Fax (714) 754-4856 • v�mnv.ci.wsta-mesa.ca.us
Vicinity:
ConstType: V-B
B COMBO
RES ALT
3�41,,,_E 19.T.HiST�CM�
FOR INSPECTIONS CALL: (714) 754-5626
Zoning: , ,
C�,
PERMIT NUMBER: BC10-00429
STATUS: ISSUED
DATE ISSUED: 0 912 112 01 0
ISSUED BY: BE
Suite/Unit:
' Primary Occ:
Valuation: $9,900.00
SCOPE OF WORK: INTERIOR REMODEL OF KITCHEN AND BATHROOM.RELOCATE WASHER AND DRYER,REPLACE
KITCHEN WINDOW ADD 2 SYLIGHTS,ADD KITCHEN EXHAUST FAN,11 LIGHT FIXTURES,12 RECEPTACLES,9 SWITCHES,1
NEW 200 AMP SERVICE.NEW BATHTUB,DISHWASHER,WATER CLOSET,KITCHEN SINK,NEW GAS OUTLET.
OWNER: DICKASON, TAMMRA A �
Phone:
APPLICANT: ANDR�W
Phone: 714-742-810�
CON7RAC70R: QUALITY�BUILDERS
Phone: 714-742$101
Cell:
ARCHITECT:
ENGINEER:
COMBINATION PERMIT FEE SUMMARY
Building Plan Check:
Building Fees:
Electrical Fees:
Mechanical Fees:
Plumbing Fees:
SMIP Residential:
SMIP Commercial:
Bldg Std Admin Fund
TOTAL FEES:
Address: 341 E 19TH ST
City/Stale2ip: COSTA MESA, CA
Address: 1'107 PINE ST
City/State/zZip: HUNTINGTON BEACH
License No. 801816
Address: 1107 P�NE STUnit:
City/State: HUNTINGTON BEACH CA
License No.
License No.
$117.81
$181.25
$8920
$30.75
$68.85
$0.99
$0.00
$1.00
$489.85
Unit:
Unil: :
..-..; n..t}1����
ZipCode 92648
PHONE: -- -... .._ ..
PHONE: . � , �
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HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3118/2010 - PER CMMC Sec. 13-279 �' '
Monday thru Friday • 7:0o am thru 7:0o pm. Saturdays. g:ao am thru 6:ao pm. Prohiblled all hours - Sundays and the tollowing Fede�al�holidays ,',i
New Years Dav. Memorial Dav. Intleoendence Dav. Lahor Dav. Thanksaivina Dav and Christmas Dav
I
NOTICE: The vrork authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related �
regulations. (Ord. No, g2-28, § 1, 12-21-g2) -
EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required (nspections and final approval must be obtained. Failure to obfain inspections and final approval will result in the expiration of this permit.
, r, [c
CO�E �, INSPEL710NTYPE ORT,�E IN7ITIALS 40oe� INSVECTIONTYPE , 04TE �; AIN717I LS� �
�J J��
1616 Fixetl System Final Fire Prevention 206 Final Mechanical `,��.- �� - �� M' V�
1268 Pool Spa Final 208 Final Plumbing h� � n,.,P,�, �
200 Final Re-Roof 210 Final EleGriral �1�IL —I �— �� �
201
202
203
204
Final BbtWRe�ining Wall
Final Factory Fi�e place
FinalSign
Fnal Oemolitioq
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
�_' --�__�
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WORKERS' COMPENSATION DECLARATION: �
I hereby aKrtn untler penalry of perjury one of ihe following aeclarations:
`/ ❑ I have and will maintain a certificate of wnseN lo self-Insure for wvrkers'
�T' compensation, as provided for by section 3700 of the Labor Code. for the
pedormance of the �+vrk for which this permit is issuetl.
X❑ I have and will maintain workers' compensation insu2nce, as requiretl by
section 3700 of lhe Labor Code, fw the peAortnance of the v.ork fw which this
pertnit is issuetl. My x+orkers' compensation Insurance carrier and policy
number are:
� Carrier:
(Tlus sMion neetl not ae cmiyetetl aMe pemd is v�h�etl a� me nuna.etl OdWrs (S100) a kss.)
� Policy Number:�
� I e7tify that id the peAormance of lhe vrork (or which this permit is
issued. I sh II t efi{�Ipy any person in any manner so as to become subject
lo Ihe rk r compen alion laws ol Cali(omia, and agree tha if I should
beco sub e 1 to thE rkers' compensation provisions Sect n 3700 0l
� Ihe La or C al� f, hvrith comply with the58 provi5ion�.
I / � �
A IitaA1's 9igilalure Dalo
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION OVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S
($100.000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under provisions ol Chapter 9(commencing
vrith Section 7000) of Division 3 of the Business and Professions Cotle, antl
my license is in full force and e((ect. �
� Lic. Class #
� r's5ignaWre '\ Date O
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum [hat lhere is a consWction lending agency !w the
peRwmance of the v.ork fa wfiic� tltis pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Address:
SignaWre Date
OWNER-BUILDER DECLARATIONS:
I hereDy affirm ihat under penalty of perjury that I am EXEMP7 FROM THE
CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
construct, alter, improve, aemolish, or repair any strucNre, prior to ils
issuance, also requires the applicam for such permit lo file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Busine55 antl Prolessions Coda) or that he or she is exempl therefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant lo a civil penalty ot not more than
fve hundred dollars ($500�.):
❑ I, as ovmer of lhe property, or my employees vrith wages as Iheir sole
compensation, WILL DO THE WORK, and the slructure is not intentleC or
oHered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law tloes not apply lo an owner ol property who Duiltls or improves
thereon, and who does such v.ork himself or hersell or lhrough his or her own
employees, provitleA ihat such improvemenis are not intenCetl or oHered tor
sale. If, however, the building or improvement is sold within one year ol
completion, the ownervbuilder will have lhe burden of proving that he or she
did not Duild or improve for purpo58 of sale.).
❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH
LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and
Pmlessions Code: The cont2ctors License Law dces not apply to an ovmer of
property wfio builds or improves thereon, and who contracts (w such project with
a contracta(s) license pursuant to lhe Conlraclors License Laws.).
❑ I am exempt under sec.
Business and Professions Cotle for this reason:
305]J6 (3/01)
O�mer ID verified by tlriver s I�� Yes ❑ No
Driver's License No. Expires:
Venficalion of Ownership by (type of document, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify ihat no ezcavaCron frve (5) or more feet m dept� into wfiich a
pereon is required to descend, vnll be made in connection vnth work authorizetl
by this permit, antl that no builtling strucWre, scaf(dding, false.wrk. a tlemdition
or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3,2, Gry
2, M 2, Sec. 341, Tiile 8, Calilomia Administrative Cotle).
❑'�As�ovmer-builder, I will nol employ anyone to do wnrk which would
require a permit from the Division ot IndusMal Safery, as noted above, unless
such person has a permit to do such work from the Oivision.
Appliwnfs SignaNre
Division of Industrial Sa(ety Permit Number _
HAZIIRDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will lhe applicant or presenl or future building occupant neetl to file antl
certily a Business Plan for emergency response to release or threatened
release of a hazardous material7 ❑ Yes ❑ No
(Section 25505 of tha Califomia Health antl Safety Cotle requires, with some
ezceptions, that a Business Plan be fled with Ihe Costa Masa Fire
Department by every business which �as at any one time tlunng a reportetl
year a quaNily of hazardous materials equal to or qreater than a weight ot
500 pounds, or a volume of 55 qallons, or 200 cubic feet o1 compressed gas
at stantlard temperature and pressure).
2. Does or will the applicant or present or fulure builtling occupant need lo file
a registration form for acutely hazardous matenals7 ❑ Yes ❑ No
(Section 25533 of lhe Califomia Health and Safery Code. with some
exceptions, requires regislralion with me Costa Mesa Fire Department by
each business which at any one time has on hantl a quantiry of acutely
hazallous matenals equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic teet of compressed gas at slandarE
temperaNre antl pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program (or acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 of [he Califomia Health and Safety Code provides that the
Costa Mesa Fire �epartment may require the preparation, certifcation and
filing vrith the Fire Depariment o( an RMPP by businesses which are required
to register acutely hazaMous materials with the Fire Department.
4. If an RMPP is presently require4 has Section 25534 of the Califomia
Health and Safety Code been fully wmplied vrith7 ❑ Yes ❑ No
5. Does or vnll the applicant or present or fuNre building occuDanl require for
the vrork which is the subject ot this application a permit for such consWction
or modifcation trom the South Coasl Air Qualiry Management Distnct or from
any other air pollution control district or agency7 ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Cotle requires Ihat the requestetl
infortnalion be fumished on applications !a non-residential building pertnits).
6. Will any part of the (aciliry to be constructed under this permit ba within
1000 feet from the outer bountlaries of a school? ❑ Ves ❑ No
Qf'yes", the facility must meel lhe requirement oi Sections 25534 and 42303
of the Cali(omia Health and Safety Code�.
7. I! a pertnit from the South Coast Air Ouality Management Districl or other
air pollution control distdct or agency is required for the work which is the
subject of this application, have all of the tlisclosures prescnbed by Calilomia
Health and Safety Code Section 42303 been made7 ❑ Yes ❑ No
8. (It'yes', attach certifcate of compliance from I�e appropriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct. I agree to comply with all state laws antl
city ortlinances regartling Hazartlous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORRATION OF ENTRY: I
certi(y under penalry of perjury that I have read this appliwtion and sWte that
ihe information given ' correcL I agree lo comply v+ilh all state laws antl ciry
ordinan relating t ilding construction, and authorize representatives of
the Ci o C a A a to enler upon the above-0escribed property for
inspe ion pi ose . I ree not to occupy or allow oaupancy of any building
autholized by iis er t until final inspection.
/
Ina r egal eqs) � te/ '�
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� AnClorAul�onzetlAp0licanl / Dale'
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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address' 341 E 19TH ST
Suite No
Viciniry:
Parcel Nunmber: 117254�4
npp�icane TOM, S7EVEN
Address: 970 E MAIN ST -"-
-, i , '
UNIT200 �- ; �/ `' '
GRASS VALLEY. CA����- �, � .�
�i - � %
% � �"`�'/,�� J`���\ t `,
Owner. DICKASON, TAMMRA A ' �-
Address�341,E 19TH�ST�, � V'�'" - = �
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'���,�i / � ��. i�i i� - -
, � � � ! ��%
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� � �� COSTA MESA; CA �%i/
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iContractor:, WATER'HEATERSONLY INC
��;:'�Address:-' 970'E�MAIN ST
�
_lil., � �
►
Status: ISSUED
Applied: it/29/2006
Issued: 11I29/2006
. iSSUED BY: ,
Phone: 800-833-4572
Zip:� 95945
_� � �
Phone:
Zip:
92627 � ,
,< ,
� - � UNIT 200 . Phone; 800-833-4572
. GRASS VALLEY, CA �- Zip: 95945 - �
i;, �
� ' „ , " - License: 374573
- ' i �'� - �V/�'_ , ,
. , � , . i��-i � . _ .
��,, �
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� - WATER�HEATER CHANGE OUT
,
� . ��� �
� � �
i
ISSUE FEE
,Backflow irrigation
�Backflow Preventer
Bathtub
Clarifier,Syslem -
Connect Qce,Soda,etc)-
Dental Units
DishwasFier - �
Drain, Floor . �
Drain,�Rainwater
Drain, Roof `. � ' �,
Drinking Fountain
Ezpansion Tank �
Gas Earthquake Valve'
Gas (1-4 outlels)
Gas (Over 4,outiets)
Gas Repipe �� A���
Gas Service ` ��� -
Interceptors (Grease,-O
Intercepiors (Sand Auto
FEE SUMMARY
� � ��- ; �; ��;�/ /r" ;y. . � :AMr
- AMT Q1Y � � '
523.5Q . '=�- ` - � Laundry-Tuti / Washer �' �� -50:00 -
50.00 0, � Landscape Irrigation 50.00
� 50.00 0 �� P-Trap� $0.00
� $0.00 0 ' f,/�Pressure.Regulator,�. �0.00
SO.OQ 0;- Process.Piping (per 10 ft)� _'$0.00
$0.00 0 �'� _. Rec`eptors. - , �- $0:00'
50.00 0 , V SepticTank � � � �50.00
30.00 0' Sewer Cap for Demo �$0.00
50.00 0 �' Sewer Connect � , � $0.00
��� 'SO.OQ 0� Sewer Private Line ' S0.00
�.���S0.06 0' Shower �- _ �0.00
� �50.00 0 Sink, bar„ ;--'n�,'�� � '• .-. 50.00
�'50.00 0 Sink, co'mrtiercial ` ' $0.00
$0.00 ` 0 � Sink; Floor "� � � $0.00��
� $Q00��� 0 �_,�,;_,,.i-Sink�kilchen ,� 50.00
$O.OQ\�`,0�' �-�� Sink;service/mop. �` , $0.00
�$0.00 �0�� �'�Spa (private)%� %-. � 50.00
�./50.00") 0�� 1 Spe-(public)2�� - - $0.00
I) `$0.00����0, �� _��.0:� � . . .
)�50.00 i Oi-� � ; _ _ �_ � �. - - .
�:.� ^� _ _� _ .
� �, �
i
\_`\ \ v ���/�/ � �,�/'`` � _
_�� Ci�
� � � � � , ,.
- . e._ .
��>..'._� ;_ -
4N
0
0
0
0 ,
0
0
0
0
0
0
0
0
0
0
0.
0�
0
0
Sump Pump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(7-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (7oileq
Water Healer / vent
Water Piping Qnst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION ,
PLAN CHECK ' �
REINSPECTION
TOTAL CALCULATED FEES:
AMT
$0.00
50.00
$0.00
50.00
80.00
$0.00
50.00
$0.00
50.00
50.00
512.30
50.00
50.00
$0.00
50.00
$0.00
50.00
$0.00
50.00
535.80
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
G
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
tor a period of 180 days.
INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetlons and final approval must be obtainad. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5628
26C6-s8(6/00) . .
WORKERS'COMPENSAnON DECLARAnON: ' �
I hereby ettirm under penalty of per�ury one oi the following declarations:
❑ I have and will malntain e cenlflcele of consent to self-Insure for workers' compensatlon, es proNtled for by section 3700 of the Lebor Cade, tor �he peAormance of the
work for which this pertnit is Issued. � , �
❑ I have an0 will maintein workers' compensetlon insurance, es required by sectlon 3700 of the Lebor Code, for the pertortnance ol the work for which Ihis permit Is Issued.
My workere' compensatlon Insurence carrier end pallcy number ere:
Certier: Policy Number:
(Thk aecNwr neod rrof be completetl X fhe pemut is velued af one hundred ddlars ($100) or Iess.J _
❑ I ceniy thet in ihe DeAormence oi tha work tor which Ihis pertnit is issuetl, I shell not employ eny person In any manner so as to become subject to the workers'
�compensatlo� w� eli� la, end egree t�at ii I should becoma subJect to the workers' compensation proHslons of Sect� n�� t thedebor Cotle, 1�
comply with these provisi s. � I
nppucam s�pnewre: ! ��._--�_ oa�e: n
IA�-FA7LVRE'TO SE FiE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVIL Fl ES UP TO ONE HUNDRED
THOUSAND DOLLARE �5100,000), IN ADDITIIXJ TO TNE COST OF CAMPENSATIIXJ, OAMAGES AS PROVIDED FOR IN SECTIIXJ 3'l08 OF THE LABOR CADE, INiEREST, AND ATTORNEV'S FEES.
LICENSED CONTAACTORS DECLARATON: "� .
I hereby eHirm ihat I em Ilcensed und7,/pprovislons of Chepter 9(wmmencing withtSection 7000) of Divislon 3 of the B
torce end eHect._lic..#-- / i ..�i ��S 7. � c�ass a
Confre� naWre:� Data: _
entl my license Is in full
CONS7RUCTION LENDING AGENCV:
❑ I hereby aflirtn Ihat there Is e consiruction lending egency br the pedormance ot Ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code).
Lentlels Name: LentleYs Atld�ess:
Signeture: Dete:
OWNER-BUILDER DECLAFiATIONS:
I hereGy eNirtn Ihat under penalry ol perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 70.31.5, Business antl Protessions
Code: Any ciry or counry which requires e Dermit to consiruct, alter, improve, demolish, or repair eny siructure, pnor to its issuance, elso requires the applicent tor such permit
lo fila e signed statement Ihet he or she is licensed pursuant to the praWsions of ihe Contrectars Llcense Law (Chepter 9(commendng wiih Seqlon 7000) of Dlvision 3 of the
Business end Pratessions Code) or Ihat he or she is exempt therelrom end the besis for the elleged exemp�ion. Any Nalation oi Sectlon 7031.5 by any epplicent for a permit
sub�ecis the epplicant to a civil penalry M not more than five hundreA dollars ($500).):
❑ I, es owner oi Ihe property, or my amployees with wages as their sole compensation, WILL DO THE WORK, end the siructure Is not intentletl or oXered lor sale (Sec.
7044, Business and Prolessions Cotle: The Contractors License Law tloes not epply lo en owner oi properry who builds or improves thereon, antl who doas such work
himself or harself or Ihrough hls or her own employaes, providetl that such improvemenis ere not Intendad or ottered for sale. If, however, the bulltling or Improvemant is
sold within one year ol complation, Ihe owner-builtler will have the burden of proving Ihat he or she tlitl not bulld or improve for Ourpose ot sele.).
❑ I, es owner ot the proDerty, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 70E4, Business and Professions
CoCe: The contrectors License Lew tloes not apply to en owner of propehy who builtls or Imprwes thereon, and who comrects for such project wtlh e coNrector(s)
Ilcense pursuant to Ihe Coniractors Ucense LawsJ.
❑ I em e:empt under sec. Business and Professions Cotle tor this reason:
SignaNra: Date:
Owner ID verified by driver's Ilcense. ❑ Yes ❑ No Driver's License No.
VedNcetion of Ownership by (type of document, i.e. - propeny tax �Iil or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certify Iha� no exwvetlon flve (5) or more feet In depth into which e person Is requlred to descend, will be matle In cannaciion with work euthorize0 by this
permit, and that no builtling structure, sceHolding, lelsework, or demolition or dismantlinp thereot, will be more than thirty-six (36) teet high. (ChaD� 3.2, Grp 2, Art 2, Sec.
341, Title 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to tlo work whlch would require e pertnit trom the Division of Indusirial Selery, es noted above, unless such persan has a
permi� to tlo such work Irom Ihe division.
Signeture: Date:
Divislon oi Indusirial Satery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUiHORVJ1T10N OF EMRY: I certify under penelty of perjury thet I have read this epplication end state Ihat the information given is
correct. I egree to comply with ell state laws end ciry ordinences relating to building constructlon, entl euthodze representatives o1 the Ciry of Coste Mesa to enter upon me
ebove-described property lor Inspection purposes. I egree not to oaupy or ellow occupancy ot any building authonzed by ihis permit un�il finel inspection.
Legal Owner(s)
COUE I. INSPECiIONTYPE
7618 Fl:etl System Final Fire Prevention
1266
200
201
202
203
Pool Spa Flnel
Final Re-Root
Final Block/Fletalning Well
Flnal Factory Fire Place
Final Sign
204 Final Demolition
PAg It�lS
�i=
GO�EI INSPECTONTYGE
206 Final Mechanical
, . 20B Final Plumbing
210 Flnel Elettrital
� 212 Finel Fire PrevenUon
220 Finel Planning Approvel
222 Final Site
' ' 250 ' Final BuildingiOccuDenty
P� 1t�48
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wonEssoveawu�a 341 E_ 19TH $T
atmeacwweira+oxm: DICKASON TAMMRFI � A
'00"�' 34'1 E 19�fH ST
, COSTA MESA,CA
��vv�, �,,,,,o „uoxEss 6 31— 418 8
.._ ._ . .UNT:_."__
92627
ue. ea.:
urrt:
��""�T�"'eN""� WALNi7T VALLEY AOOFING f 909 ) 598-2729
�����u�. 3503 TEMPLE AV
�� POMONA CA �"� �678945
91789 uM: F -
LICENSED CONfN�CTOfl3 DECL�FRTION: I heraby ellim wWx penNy W pe�jury Nm I em licenead uMer pwioiwu oi GM1epier 9
(mmmend�p wilh Seclbn ]0001 d Oiwon � a Me Bwi�u ark Pmtm�iom Code. end mY lioenee e in lull lacs uM eHeq.
cmuc.N/oJ.:`�^7 p uc.cuss:C39 uc.r+o.: 678945._. EXP• ._ ,
ome: 7 L /' /�/ convee« �/�L�lA�i !�%/GL�! ��a .
OWNEX BUILDEX �ECLAN�TION: 1 he�eby elfiim uMer pndy d paNry �hel l em ezemq Irom tM Com�eeon licanee law /a tlia
lolbwmg raewn (SeGion ]W t.5 &uroo md Nda+tim+COE+: MYW n odmiy MJtl� nawra e pemi! lo canWCY. ells. improw.
demd'wh, or reper any aWr�we, pria b b iwence. ebo �equ'vas �M epplirait la arh pertn4 to fib e symd etmamvv Mm M a eM
a �kene+d wm�w �o �ne arnoione a uw can.maa limne lew IcheNer s(mmmendro wYn saab, ]000) d u,'siw, a d �he
dusineas eM Prdeaeiom Cotlel «Ihe� Ir ar ehe ia ezemq iMrehan eM ihe bexs �a ihe dbped uemqun. My violeton a Setlion
10�1.5 W eiry epWiranl iw e pmmn euEjeas tM1e epp(wn ta e aHl peeWy d m� mwe ihen fxe hundreE EOAen �5500�.
� I. m owx�er d Ihe poparlY «my empbyeen xyh wepea n thei eob mnpvmmion. will do Uro wnA�, enE Ihe etruclwa e M intended �
p ofleraE la aek (��n 1064. Busrea eM PeMmwns Code: TM CaNredon lioeiue Lewtlom iwl npplyto en owmr ol P�M
wlw budde a inpmns I�meon. ad wfa Eoen such r.ak himaell «Mna1 a dra� Am a her own empbyaee. qwkeE IMt wch
imprv.ememe ue nal iMmded o aflaieE la ub, tl, bwewr. iM bWdinp a inpmemmu e vold r.i�kn ar ymrW canpbian, �he
owrerbuiNer xill haYe the EUNen d pw'vq he or eM Ek no1 drik a"unqv.e ta Ihe qrtpwe d eeb). �
� 1. as ox�wr d tM O�Wab. em od�vnM oonlreqYq w4h GmuM eonVactas ro arWw Ma qM� (Setlion IOH. &nmroe eM
v�dm.�. cme: �m. cw,mo�. uoeree �.. aoe. m wWr m.� o.,�« a ww«ir w,o w�e. «�ro�wo me�m, .na wno
convacL� la atl� pqwa v.Vh e aomreCa(a) 4ce�ueE quewN to IM CaNm1a� License Lex�.
� I am_exemp uMer Seclian: B. 8 P.C.. br Nu iaavi:
Da�a: �
I Eo hemby cenM Met 1 em ewera d enE unMniud the �puiremem� d CeliaMslbMh end Selely Code Sediom 25505.255�3, ud
25s�u. eM Out I«em Mure buiMim omimM x1A / xd ew (aeele wn) nesd to eamdv w�A uiE efms oodee W IM npuiremaMs lar
Dma: ADqsuiL
WOPNEN'9 COYFEN9�TION DKUNATION: I MreW dkm uka pauhy d pepry ons d tln bYow'vq Aduelioro:
� I heve eM wil meimen e cMifiuts d owwm io wlltimm br xaken' ovnpenmtion, n pwidad Ip by Swion ]]00 c1 tM lebor
COM. la iM pmlamvice d Ne wsk la Wic� Nu pamY o bsusd.
� � nev. ene wie mein�nn.,oMen• aomo�on i�nvic...s nw� M swion aroo w u» tabar coae. n. �na w�+«m.iw. w �n.
WCI�I �IX M�IIf�I allt p01R111 O mllld. �' WR�DIl� WIIIPd�10f1 �IIWIBfIt! tlRl> 41d �O�If.% MITbOf NB:
c�.,:
Pol'ry Numbx
�m need rrot 6s mnWeted / the P�l'a br wro hurdred dd/en ISi00J n/w.1
I oehAy Nel in Ns pMamence d Ihe work lor whYh ihu parma n ueued. 1 MeY na emplq ury person in enY mvinn a m �o
ome eubpa io tM woo(rFere, compen�etian lern d CefAanu, and epras IM Y I ahouW becaro a' lo iM MwNen'
Deb:comPe�^�/-7VSedian9]OOd�le ��.IMelllali�lhw wswn
W�minp: F�Nun h ucun woA'en'rompwuetlon eov�rp� Is �nl�Mlul, mtlWII w�/eel �n �mployw ro cNMlul pwraltlu �nJ
CIYII Ilnu up ro orw huMn011roUHrW do/l�n (StIX40P0A M�Afldon b tln cwf O/ wnpwis�fbA a�vi� 4 provMM b1ln
S�ctlm 9106 0l tln La6or Co6, InlwL �d Ittomsy'I /Ms.
CONSTRUCl10N LENDINO A4ENCY: I hreEy elfirm wiMr pmetly d per'�vy Ihet ihse u e conYrudion bMi�q epem.y br Na
�nameMe a m. �n� ror wnia, me o�� u�,ee lsaeon aow. c«. cl.
LENDEH'S NIW E:
LENDEN'S ADOPESS: �
I caMiN ��t I heve reW i�b eppficetion eM mma �hel lhe eCv.e iMomWbn is conetl. I ep�es lo cwnply xilh eA dry eiM cauMy adineMee
eiM eWe bws mleliq Io WiMip cm9rudion end harsby aWw¢e npaeantmiw d ihe my to eMx upm tM ebove�meruoned qaperry
fa iropatlian W�Vaes.
MARK MADIS N
P�� , yz� 9&
Dma:
Sqrature d Ownar//peN/RpG�ceNiCOMraea
15151db.WP) WM1�e-BuibvqBSalery:OreamFb:Cenary-Appicen�:Pinkaie.enue:OdEeniaE-Aaaema
' B�S��� ✓
__ ,_ _ _ _ . . CITY OF _ COSTA. MESA -__ BUILDING PERMIT___
� - --- - --_ -- ._ . ._ PERM NO: B 087898
PERMIT NO: S 087898 PLAN_CHECK NO: ' N GOVT: N SUPP; N.
CONSTRUCTZON TYPE:.S-N � PERMIT TYPE: STR .. . PURPOSE: OTH
JOS DESCRIPTION_.:_T/00 6.REAOOF W/COMP.SHZNGLES. . SQ FT: 3,000
CLAIM VALUE: 3,000:00 .CALC—VALUE: 3,000,00 GROUP OCC; R-3 /
COMMENTS: REROOF 2300SF RESIDENCE W/COMP
*rr*+r**�r�r+�r��r*�r+t***********�e*�r�*********+a�+tr+rr+r*****�c*�*****w*�*�c+r+r�c�*�rr*�*+c *�r*w+�
Z O N I N G R E Q U.Z R E M.E N T S
S E T B A C K,S
------------ MAIN BUILDING = ----� —r-- ----.-r�-- 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
PARKING REQ: PROV:____._,_.PARCEL: 11725414 2NE: REF NO:
PLANNING NOTES> _ _�
i -
*�e*���**�*��*�e**�r*r�r�rr**�+r***+r�r�rx*x�«**r****+r+r*««�r�*�r*��e�t**r+�*�r«�r**�r��*�r��*r*+r*
D E V E L O P M E N T_. _.S_E R_V I C E S R E Q U T A E M E N T' S
I
ZONING APPROVED BY DATE: �
BUILDING APPROVED.BY ; DATEe
APPLICATION ZSSUED HY; DATE: '1.- � �
itMififMMikifiFMiFikMitMkifMMMMik MiF1FiFMMMikifM ikM
LEGALIZATION.:N_ F E E S U M M A R Y __STRUCTURAL SEGMENT:Y
HLDG.PMT._'PLUHBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT____ . 74..75 _ ,50
SMIP/NON—RES
PLAN
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> _ 75.25 0.00 0.00 , 75.25 75.25 .00
REVENUE DIVISION TOTALS--> COLLECTED; 75.25 OVER/SAORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
74 . 75._ _ . , 50
iFikiEiEMM1kMiFMififMMifMMikMiFMMMMMiFMififkiFMiFMiFkMiEkiEkifMMMMMifNMMMMMMffMMMMiFiFM%iF1FiFKMififMiFMikiFkkM
I N D I V I D U A L F E E H 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 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,000.00
END OF FEES
• � �`V7
\./ 1 '
� (1 � 04-27-1936111:36 pfl/575.25
� v , PERMYTeT0b7898
,
��` ;� � � 1
CONSTRUj�TiON AND PLANNING �' i . POOL 'A
��� Date Inspector � �� Dace Inspector
APPROVALS Peimit # � APPROVALS Permit,#
� 1. Temporary.Electriwl Service or Pole 52. Pool & Equipment Location.
2. Soii Pipe-Undrgrnd. � '53. Steel Reinfo�cement _
��£�eatricalConduitdJGlity-Undrgmd: . 54. Forms
��Lr4 �lectrical Conduij>�Ja7lrgrnd. - 55. Electrical Bonding
¢ih .
r,�^5..$teel Reinforcement � 56. Rough Plumbing & Pressure Test
;i; G�`�IectricalUFERrQSnd. ' 57. APPROVALTOCOVER�GUNITE ,� '
•Footings T� . 58. ElectricalCqnduit�Undrgrnd.
�f8. Foundation ��[ �' � . 59. Gas Pipe, O Undrgmd.,.Test �
^. � -�
9. Water Pipe�Und�rnd. � . 60. Backwash Lines,�P�Trap, O Undrgrnd.
v
10. Structural PloorSYstem 61. APPROVAL TO DECK
11. &operty Sewer Line,& Hous�wConnection 62. Backwash & ReceptorFinal
12. $¢wer Cap .i 63. Heater & Vent•Final
r�
13. floof Drains , 64. Plumbing System - Final , -
14. Rough Plumbin� m. � 65. E�ectrical-Fina�
15. Rough ElectricakConduit � ,.66. Solar System�Final � ,'
16. ftough Eleccric Wiirip`g.,- . � - � � �67. Fencing & Access Approval
77. Rough Wiring Slgh ^ ' �� ,�, 68: APPROVED FOR PLASTERING
18. Rough Electrical�7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19.- Rouqh Heating & Air Conditioning � - d, F�tE ,�€PT.�EQUIR�MENT ,u
('� V il � � � I' �: 1
20. `,f,iou Faitor Fi ace ' '�T � .K J �� �'� ,qy, y. �p * >• `.'�.
� „ !G �`�I � 5^ rc S .-: �'y. 'APP'S�V��:-;FP�nit# --
�
21. Bucc�in5truc-ture7�;' � �•• • � k � 7 �* 70. �t7ndergYr' �A, µ`�Iro "
�. T, <x � 1-+ x. � �FY "�- x
22.�ucts Verjtil�in9;Ur 1 �, xO Q � �-* �571. Produc�pJPingCJ:�as �Oil
23. 6as �ipe-Rough & Tezt • ,^ R':a _ c', q.k � 72, Undergroelnd FJt1sFi� " � �
24. �aooi'�ra`r�i ing" �'r � �"E" * � � � ,.,* , 7� Undergrn .Stor�link��Gas ❑�il
25. Roo6She�hing rJ+ 'Q �' V�� � �> cux � 74?-0verhead Hydr�_}, *
�
26. ;'-Ba�Ceifing (Struct;�raf) & NRi''��'coat '�' � �' r" 7�,pry Che�ical �, � � ~ G �
L n z C >. ..x � � * ta
27. Frame ar�d, Flashirt`g.�- acCs •;: e� ��t 76. Dry Stan�ipe F�z x� � � O
� 28. Latt�9 �Sic�hg �'' y `�Q� � * z "�' 7.�y FIXED �'i.4�'�7��INA� -
� . r :��� o e Ea J H n
�•29. Insulation� � �,.'r � S.•.. � � Y 7� FIRE PREV. FI'f�L a. %, x" •.
.
y 30. Drywall ilin�}t H� ,� ,� F �' s �I,EALT�DEP�..�REQCIIFj�MENT ��
j 31. Plaster 8 awq-£oai; e= i T,. a I : 79. FINAL INSHECTtON x v :�
,; 32. Electrical'Powe�r f�e�t�r� �aI !, * U i �• $Q''.�' FOOD CERTIFICFlTE I�SUE�- �.
� � � � '- t7 v -. t
_ 33. �na[.€Ie�ric> gK _-r, i :y ;e � . � NOies: h ^��� � �7 O ci��
�34. Finah7-leaiing'�A�•Cont}itionini}"S :'t *� I x 5 f�= �k S'7� "
r .� b � m ; � x > I +: ; �-+ � .. � :� ^�
�-t rr a x �.. . �•,> ., -._
� 35. ��na��Gas�Pipe;7e ,,.t C. .: x�.r � �x xo Cf-i :�: �� �.;n
� 36. Hoodror C2noPv � � � ' �"`� " � !n r . E no r �a:c*�
� r+. � n x:-� -• fi � x m r.a � n �r:
-� 37. Final Paciory Firepiace x; � �..:, �•. :� ' i �y x
38. Finat'PlUmbing * =� � * 1' �� � " k � y
.k �r i i! � �F . `-1 V'.
�" . r • .K 7 6 �K ' t i ✓ t � ?- .+. •
�' 39. Water Service_Final � g * s �-.�� �, -�: K ,�
.,40. Gas Service-Final x x K.^- T S � m � �� Oti= .�+n% �' . .
.< �•.*.. � �vE * �.
=41. Solar pomestFJlc�Final� S � � ��� � f� p, yz; � z >
�42. �ackflow Preventer Y � (:' k i K � >c^ • � � �
n• n :t �-� K f�7 [T1G'� # �-'
. 43. Backfiow Irri�tion # xS'r' * rk * � �r e� � •
4p, Landscapeirrigation!SYstem a�i�; � � K M O� or N N �.:J * N o
..,� r ��r�- �r. w #, z' E � G': x S
.� ... C� c. m :e S i-• (-� F�. �, Ft ti �.
45. �und Atten�tion �. ... : �r, �; T;.� e� �y� � F� t
$�6. Handicap Regulationt �- O ?' ��� i c; •- C'r� = K
r c �nn:C� C' x
FiNojG STRl7GTURE & BUIC�ING �' '* �� '��� � j; c.
��� , . 3-�g--o� g����..
48. HNF�. PLANIVING � �:- K r` I` ,; ^� `� M E" �"
-_,a. � [u S * �;
�9. Elect7ic R�Ie�Se to E�dison � � k,� r� •.-� � p
5`D. Gas �e�eas'e to Southern California�GasCo + I�- * � J' �� R �' •
� a n « ,v o
51. CER'E7FICATE OF OCCUPANCY� ? # �' �^ ^ - � -'
N0. Date
PNOJECT�ODHE38: 341 E 19TH ST unir:
owxee�sx�rc: LARRY ODEN
, RDOHE88: '�41 E 19TH ST
+OSTA I�ESA
CA 92627.
i � (714)646-2549
RflLN1ENGINEER: HEO.NO.:
� AOOXESB: UNR:
PEHMIfTFE: LARRY ODEN (714)646-2549
�uoxess: 341 E 19TH ST
COSTA MESA CA 92627
UCENSEO LONTWICTOP OECUMTION: I hereby aRum Ihat I am IicensM unOer D���S ol Gupter 9(mmmendny with 5¢ction
7000) al Oivision 3 oi tAe Business anU Protessions CoOe, an0 my license k in INI loru an0 aflect.
ciTr uc.: srere uc.: cuss:
Date: Siqnature:
WOBNEBS' LOMPENSATION �ECLANIITION: I hea0y attirm tlwt I luve a ceNfiwte oi consent to ull-insure or a canilicate at Workers'
Compensation Insurance, or a cercifieE coov tnereot (Senwn 3800. Lab. C�.
POIICY NO.: �P� ��T��
�, COMP�NY:
� � Cenified copy �s nere0y fumisheA. ❑ Cenified copy ¢ fileA wiN Ne riry BuiWinp Divi5lon.
Jate: MW�cant
�nmax moM vroeuxs• eoMrexs�nox oauxeiroN: m� sxum nxa �m ee a�eue n me o�'s ra me nweree g�oo� a �essl.
I cenlry ttut in Ue DeAarmance ot Ne work tor wtncA tli¢ pemtit is iswe0. I slWl not em0�' NY De�n in arry manner so az ro become
suhject to t�e Warkers Compensatian laws of Caldwnu.
Date: Sipnatua:
NOfItE: II. after maldnp IN5 Getlaratian, you sMuN become wOject ro tlro WMxri Compensatlon proNsbns of Ne La6or
Cotle. You must IOMwitn compry wiN sucn Orovisiaas or N¢ permi� SAall Ee EremeE rawke0.
CONSTNUCf10N LENOINO AGENCY: I �eaby aHum tlqt there ¢ a co�truction ImOmp apenry lor Ue peAormance ol I�e xrork lor
wOk� �hb permil i5 isweO (�� �7. Civ. Cl.
lFNOER:
eooxess:
OWNEH BUILOEN OELUMTION: 1 AereOy atlirm Rut I am exempt tmm IM f4ntractori SUta Uceine L�w lor t�e IODoxinp reason
�� (Seplon 7N1,5 Business antl Pmlesslonal COOe: My dry ol counry wNch reQuires a perMt to cansWct, altar, ImD��'e. Eemolish, or
� repair any nrucWre, D�� �o ils Issuantt, atso repuiras tM appficant lor wU per�t to lile a dpne0 statament that �dsAa Is Ilcenu0
pursuant to t�a pmvisbns ol t�e Contrzdors' State Uunse Law (Chapter 9(mmmendn0 wlt� Sectlon 7000) of qMslon 3 of tha Busineu
anA Prolessions Catle) or t�a� hUs�e is eKemOt IAeretrom an0 IM Dasis tar the alleOeU exempqon. My Nalation of Seclion 7031.5 Gy
any aOP�icant lor a permlt sWjaps t�e appikan� W a qvil penalry ol not more than INa AunEreO Eollars (f5W).
I, u owner ol IAe property or rtry emyloyees wiN xapes u tAeir sola camansauo�, wm eo me work, anE Ihe
❑ simcture is not Inten0e0 or ollereE lor sale (Secqon 7044. Buvness and Professlonal CaUe: TAe Contractors' State Licanse Law
Eaes not aDPly to an wmer al a DropeM � bullOs or ImOrwes tAereon, an0 wM Eoes wc� �mM himsall/Atrsell or tAmup�
�is or �er own emDloyeas, DwNdeC tlwt such Improvements am not inten0ed ar oflareE lar sale. If, howevar t�a bulldinp ar
improremant I5 sol0 witNn one year ol mmyetion. IAe owner will luve t�e EurUen al DroNnO �ds�e Oitl nol EuiIE or ImDrove
lor t�a Durpose of sale).
I, as owner al Ihe DrapaM. am evUuSiveN conVactin0 ��h fi�enuE contnctws to wnstruct Ua Droject ISecUon 7014, Buslness
❑ anO Pralessims CaOe: TM Cmvx�ws' State Lkmsa Law Eaes not appy to an wmer al proper�yrAp DuiWs w improues tlrereon
anA wAo con(rac6 �or 5uth Dro�ats wlt� a conVactor(s)license DurSuanito t�e Conirattors' $taia License Law),I am awaro
that 0��� ol t�eu Worksr'S Campe�atlon inwrann stroNO Ca pravideE ro me.
� I am raiempt under Section: B P i O 4 4 B. 8 P. C.
��� �� �^ ALLp WORK HY OWNER���� ♦ %��� � �
Date: �—��'- L � OMMr. �"- -�'�—i tJIY-��'
i do herehy aniN wt i am awara oi aiw unaerstarm ma renmremenes m Camarda Heann an �ety Coae Sections 25505. 2ssat. arm
25531 anE Iha1 I or any luturt WIIEinO �0�� ���� �ot (drde one) neeE to wmpy wiU sai0 SWta wEes anE Na requirements for a
permil tor croswction or motlifiwtion hom tlro Air fity Manapemml D'afrkt. Ne9Eentlal malrucfion appiqtlons aro exempt Irom
Inese pmvisions. .
DaSe: AVpd'2nL
I nerehy ceniry Ital I have reaO IN5 appGcatlo� aM state Wt Ne above iniormation's corract. I apree ro comON ��� an dry and wunry
orAinanCES ana sGte laWs 2Utltp to dlildinp tdlSVutlidl aM I�e2q auflqr¢0 rtpreSenGiives oi tins dry lo mter upOn t�a aEOVameniionetl
Pro7CM IOf InsP�Ibn VUrpo5e5. , '��
oa�a: G — '2-/,�'�_ $ipnaiure: _ `\_�,J� �
oriver's �iunse ar Socia� Secudry x: J
1861�46 W�ite-BullAinp; Oreen-Cotle Enlorcement: Cenery-Applican�; Pink-Revenue; �olAenraE-Aenewor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 047855
PERMIT NO: E 047855 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMZT TYPE: ELE PURPOSE: OTH
JOB DESCRIPTION : SERVICE RELOCATION S UPGRADE SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS:
��**�r*�r+rx�****�r�r��r*�r+�***+r�r��****�r��r�**x��*****x��r�r*��**�x*�x���r*x***+��r�**�r+���r***
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 5
------------ MAIN BUZLDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT � IN ftEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 11725419 ZNE: REF NO:
PLANNING NOTES>
>
it jf jE it iE iE if if jf k it �E if �F it it iE itlf iF iE iE if iE iE iE iE iE iE if iE iE3f iE �f it if it 1f iE if iE if ik it ik'1F it �E if �E iE it iE it 3F it ik it it �f iF iE iElf!! iE i! if itlf if if ik 3f fF if iE it
D E V E L O P M E N T S;•E R V Z C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE;
HUILDING APPROVED HY ; ' � DATE:
APPLICATION ISSUED BY: �A ,�h/ �' DATE: 'LJ"�
itifiFiElEikiEiklfiEititkifififiEiF3k�EihiF itiEifiFiEitiEiEiEif3F �7F3F3FiFif ifiE
iFjEifiliElfiFiEitifkiEifjFjFififiE3fiFlfiFiFdEiFiEiEiEiEiFiEiEifififiEiElElEifiElEiEifif �k�kififiEiE3EiEikiEififlEitifiF�EiFiEiEiFifiEiflE�lhiEitiEifaEifiF
LEGALZZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18.50
503 SMIP/NON—RES
PLAN
ISSUE FEE 15.00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 18.50 15.00 0.00 33.50 3J.50 .00
REVENOE DIVISION TOTALS--> COLLECTED: 33.50 OVER/SHOAT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33,50
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I N D I V Z 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 \ lTOTAL COST
ELE 1 SERVICES HELOW 600 V 6 BELOW 201 AMP 18.50 v 18.50
END OF FEES
., • _ �.b.. ... _ = r .- _'
C1 OO�d�b97-00063647 T�]T 33.5Q
DATE� O6/21/90 TIt1E: 15:34
� �
CONSTRU}CTION ANDPLANNING - . POOL PA -
APPROVAUS Permit# Date. Inspector . AppROVALS Permit# Date Inspector
1. TemOorary�Electrical Service or Pole 52. Pool & Equipment Location •
2. �S,oil Pipe•Undrgrnd. 53. Steel Reinforcement � `. � ��
3. Electrical Conduit UtilityUndrgmd. 54. Forms ` �
4. Electrical ConduibUndrgmd. � 55. Electrical Bonding i �
5. Sieel Reinforcement � 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical ConduibUndrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd. , 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor SYstem� 67. 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-Fina� '
15. Rough Electriwl�Conduit , 66. Solar SYstem�Final '
76. Rough Electric Wiring • - 67. Fencinq & Access ApProval
17. Rou9h Wiring Sign . 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling • � 69.� P00 VSPA 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. Produc[ Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O 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 �y 78. FIRE PREV. FINAL
30. Drywall Nailing :. HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter�Final '� OD 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric '7�� �� Notes:
34. Final Heating & Air Conditioning �
35. Pinal Gas Pipe�Test + j'
36. Hood or Canopy ; �.-
37. Final Factory Firepiace • . _ � .
38. Final Plumbing '
39. Water Service-Final �
40. Gas Service•Final -
41. Solar pomestic-Final �
42. Backflow Preventer `
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ���
48. FINAL PLANNING ! �
49. Electric Release to Edison '
50. Gas Release to Southern Calitornia Gas Co �
� 51. CERTIFICATE OF OCCUPANCY
No. Oate