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HomeMy WebLinkAbout862 18TH ST - Building Permitsi` , (714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us , BUILDING PERMIT � Job Address: 862 W 18TH ST � i Suite: � Vicinity: SFD ' Parcel Number: 42418232 App�icant: HAWLEY, JOHN Address: 862 W 18TH ST COSTA MESA, CA Owner: HAWLEY, JOHN Address , 862 W 18TH ST � COSTA MESA, CA . Conua cto r. O W N E R-B U I L D E R Address: Zip: Arch : Address: Zoning: } Phone: 94&642-6508 Zip: 92627-4411 � i a Phone: ' Zip: 92627-0411 i Phone: License: 000000 I Eng: 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: OS112/2003 Issued: OSl12I2003 Phone: � . Phone: Zip: license: �, License: SCOPE OF PERMIT DEMOLITION OF A 900 SF SFD. THE EXISTING DETACHED GARAGE IS TO REMAIN. �� � PROPERTY OWNER HAS CLEARANCE FROM AQMD. � � , Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $�.�� $97.25 $0.00 $0.00 $0.00 $0.00 $97.25 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Fronl 0- 0 PARKING Existinq: o Rear 0. 0 Rear 0- 0 Required: 0 ;: i t PLANNING & ZONING Lek 0- 0 � � � Left 0- 0 � i Pr000sed: � 0 1 � � I Calc Valuation: sa,000.00 Claim Valuation: Sa,000.00 Right Right NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) i EXPIRATION: This permit shall automatically expire and become void if work is not commenced wlthin 180 days, or if work is suspended or abandoned for a penod of 180 days. ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, luch work must comply with all applicable codes, end all requlred Inapaetione end final epproval must be obtained. Failure to obtain inspections and final approval will result In ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 li 244&48 (8�00) ,� WORKERS'COMPENSAnON DECLARAnON: I hereby eflirtn untler penalry of perjury one of iha tdbwing Oedaietiwu: � ❑ I �ave end will meintafn e ceNfiwte at ��sent to selt-Insure for workers' compensatim, as proviCed lar by sectlon 3700 of ihe Lebor Cotle, for the pertortnance of 1he work br which ihis permit is issued. ❑ I �ave end vnT maimain workers' compenseGon insurance, es required by section 3�00 of Ihe Lebor Code, tor Ihe pertortnance of Ne work for wNch this pertnit ia Lswed. My workers' wmpensation Insurence �rder enC policy number ere: Carder: PWicy Number. (Thls sectlar need not Oe comp/eted il the permlt is ve/ued ef one hundred dollers ($ f00) or less.) �(I certify Ihet in ihe pe, r an ork for ich t�is pertnil is Issued, I shell not employ eny person in eny manner so as to hecome s �ject to the workers' compensetlon lawa o il i, antl� 1 II I shoulC become sub�acl to the workere' compensetlon provislons of Sectlon 3���ppp0 of th Labor Coda, I s�ell Iotlhwith comptywiththesepro � i s.� �����^ ApDllcentSlgneture: � Dete: � � l )� e WARNINO: FMLURE TO SECURE WORKERS' COMPEN COVEMGE IS UNUWfUL M'D SIULL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDREU T/pUSAND DOl1ARE (5100,000), IN ADDfiIIXJ TO TME WST OF ODMPEN$ATON, DAMAGES ti5 PHWIDED FOR IN SECTION 3708 OF THE UBOR CODE, IMEREST, M!D ATfORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn Ihal I em Iicensetl under prov�sions of C�aO�er 8(commencing with Saction 7000) of DlWsion 3 of Ihe Business and Professions Cotle, entl my licensa Is In full force entl ettect. Uc. M Class a Contrectofs Slgnature: Dete: CONSTRUCTION LENDING AGENCV: ❑ I hereby effirtn thet Ihere Is e consiruclion lendinp egen�y tor Ihe peAortnance ot t�e work lar which ihis partnit is issuetl. (Sec. 3097, Civll Code). Lender's Nemo: Lender's Atltlress: Slgneture: Date: OWNER-BUILDER DECLARATtONS: I hereby eMirtn Ihat under Denelry oi perjury thet I em EXEMPT FROM THE CONTtiACTORS LICENSE LAW lor ihe tollowing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires a pe�it ro construq, elter, impmve, demolish, or repair any strucWre, O�or lo its issuance, elso requires the epplicaN tor such pertnit to file a slgne0 stetement Ihet he or sha is Iicensetl W rsuant to the provisions ot the Contractors License Law (Ghepter 9(commendng with Sectian 7000) of DMslon 3 of the Busineu end Prolessions Code) or that he a� she Is exempt t�eretrom end the basis for the alleged evemption. Any Wolatlon ot Section 7031.5 Dy any eppiicant tor e pertnit �sub�ects Ihe epplicant ta e civil penalry of nol more than tNe hundred dollars (5500�.j: .❑ I, as owner of the propery, or my employees with wages es t�eir sole compensation, WILL DO TME WORK, end Ihe swcWre Is not intendetl or oNeretl br sele (Sec. 7044, Business and Professions Coda; The CONractors License Law dces not apply to en owner of properry who builds or improves thereon, antl who aoes such woAc himself or herseN or Ihrough his or her own emplqrees, provided thai such improvements are no� IntenOetl or oXered tor sale. If, however, the building or imprwement is sold wilhin one year ot completioq the �+'�er-builder will have iha burden of pmving thai he or she Oitl not build or improve tor purpose ol sale.). � � I, es owner ot the propeM. am E%CWSIVELV ONTRACTNG WI7H LICENSED CONTRAC70RS to construct the project (Sec. 70a4, Business end Professions . Cotle: The contr rs License Law does n ply to en owner ot properry who builds or Impmves �hereon, entl w�o contraas lor suc� pro�ect with e coNrector(s) �' license pursua to �g.2amr crors Lice LewSJ. ❑ I em exempt u er (�`_ Business and Pmfessions Code for this reason: Signeture: � I1 � �, _ Date: � , Owner ID verifietl by Cdvers license. Vedflcatlon ol Ownerehip by (type ol Ve5 ❑ No Drivets License No. i.e. - property lex blll or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: ❑ I here6y cerlity ihat ro excavation tive (5) or more leet In tlepth Into which e person is required to descend, wlll be mede in conneciion with work authorized by t�Is permit, end that no building siructure, S�eHoltling, falsework, or demolition or dismantling ihereof, will 6e more then ihirty-six (36) teet high. (Chap. 32. Grp 2, Art 2, Sec. 341, T1tle 8, Calitomla Atlministretiva C�e). ❑ As owner-Duiltler, I will not employ anyone to tlo work which would require a permit Irom the Division al Industrial Safery, as noted ebove, unless such person has e permit to do sucti wodc f�om tha d'rvision• Signatura: Date: Division ol Industrial Selery Permit Number: CE CATE OF OMPLIANCE AND AUfHORQATON OF EMAY: I ceM1iy under penelty of perjury t�et I heve reatl this epplication and stete that the inlormation given is c c r vmply with all steta lews end dry ortlinances relating to building wnsiruction, end eulhodze representatives of Ihe City p1 Costa ese to enter upon Ihe a o es betl r pe\r' paction purpOses. I egree not fo occupy or ellow occupancy ol eny huiltling euthonzed by this pertnit untillme/ iispecti n. � �\ � 1 / / �� A I innnnnn nf I wael OWnar(sl D te 1 CQpE /. INSPEC710NTYPE PAIF II{I�L�a I� 1618 Flaod System Final Fire Preventlon 1286 200 201 Pool SDe Finel Flnal Re-Roof Final BIocIJRetaining well 202 Final Fectory Fire Place 203 Final Sign 206 Final Damolltion COOE 1 INSPECTION TYPE 208 Finel Mechenicel 208 Flnal Plumbing 210 Flnal Electdcal 272 Finel Flra Prevention 220 Final Planning Approval 222 Finel Slte 250 Finel Building/Occupency �.fi\I�I`111flIF9 � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us , 77 FAIR DRIVE, GO5TA MESA, GA 92626 Job Address: 862 W 18TH ST Suite No Vicinity: SFD Parcel Nunmber: 42418232 Applicant: HAWLEY, JOHN Address: 862 W 18TH ST � COSTA MESA, CA Owner: HAWLEY, JOHN Address 862 W 18TH ST COSTA MESA, CA Contractor: Address: Arch / Eng : Address: OWNER-BUILDER PLUMBING PERMIT I Phone: 949-642-6508 Zip: 92627-4411 � � Phone: � Zip: 92627-4411 - i Phone: � Zip: I License: 000000 i � 'l . � � Phone: Zip: . . � License: Status: ISSUED Applied: 05/12/2003 Issued: 05/12/2003 ISSUED BY: SEWER CAP IN CONJUNCTION WITH THE DEMOLITION OF A SFD. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. , REF: B03-00808 , , � � � � � � i FEE SUMMARY AMT� QTY � � � AMT OTY� AMT QTY ISSUE FEE , $23.50 Laundry Tub / Washer I $0.00 0 Sump Pump $0.00 0 Backfiow irtigation $0.00 0�� . �, Landscape Irrigation r $0.00 0 � � Swimming Pool $0.00 0 Backhow Preventer � $O.00i 0 -� c P-Trap -; $0.00 0 Trap Pdmer $0.00 0 Bathtub �$0.00 0 � Pressure Regulator � $0.00 0 . Urinal $0.00 0 Clarifier System $0.00 �0 '�- Process Piping (per 10 fQ� $0.00 0 � Vacuum Brkr BkFlow(1-4) $0.00 0 Connect pce,Soda,etc) $0.00� 0 , Receptors � $0.00 � 0� - Vacuum Brkr BkBow(5+) $0.00 0 Dental Units $0.00 0 ' Septiq Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00' '0 ���Sewer Cap for Demo � $9.80 � 1 - VJash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect � ' $0.00 0 -�- Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 � Sewer Pnvate Line �, $0.00 0- "� Water Closet (foileq $0.00 0 Drain, Roof $0.00 0 ' Shower - . j $0.00 0 Waler Heater / vent $0.00 0 Drinking Fountain 50.00 0 Sink, bar f $0.00 0 Water Piping (Inst or Rep.) $0.00 0 NOTICE: The work authorized by ihis permit shall comply wi�h all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 I zaae�se �e�oo) WORKERS'COMPENSAnON DECLARAnON: 1 hereby ettirm under penalry of perjury one o1 the lallowing declarations: ' ❑ 1 heve end will maintain a cehifwte ol consent to self-Insure for workers' compensetion, es pmvidetl for by secGon 3700 0l iha Lebor Code, for the peAortnance ot t�e work ftlr which this permit is issued. ❑ 1 have dntl wili maiMain workers compansation insurence, fls required by section 3700 ot ihe Lebor Code, for the pedormance of I�e work for which this pertnit is issued. My worRars' compensatlon Insurance cartier and policy number are: Certier. (Thls secf/on �eed nat be �!I cenify thet in Ihe pad�r compensatlon laws of C i ia, r compty wit� Ihese provisi Applicant Signeture: WARNINO: FAI�URE i0 SECURE ORKERS' � T110USAND DO�RE (5100,000), IN ADDRION Policy Number: is vemeo e( on unared dollars (3100) ar less J for w� his permit is issuetl, I shell nol employ any pereon In eny manner so as to becomeisublect to ihe workers' t I should become sub�ect to the workers' compensetion provisions af Sectio 3700 of � ie Labor Code, I shall forthwlih Date: . iAT COVERAGE IS UNLAWFUL ANO SNALL SUflIECT AN EMPLOVER TO CRIMINAL PE TIE$ AN CML FlNES UP TO IXJE MUNDRED X76T O PENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]O60F iHE IABOR CODE.INiEqEST, M1D ATiORNENS iEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirm that I am licensetl under provisions at Chapter 9(crommencing with Section 7000) of Divislon 3 ot the Business end Prafessions Cotle, and my license is in full force end eH9cL Lic. k Class x Contrectors &�gneiure: Date: CONSTRUC'f�ON LENDING AGENC�: ❑ I hereby eNirm that there is e construction lending agency for the peAormance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lendefs Nama: Lentler's Address: Signeture: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirrf� Ihet under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Pmfessions Code: Any ciry or counry which raquires e permit to consiruct, alter, improve, tlemolis�, or repair any slrucNre, prior to its issuance, also requires Iha epplicam for such pertnit to lile e signetl statement that he or she Is Iicensetl pursuant to the pmvisions ol ihe Contractors Ucense Law (Chapier 9(commencing with Section 7000) of DiNslon 3 of t�e Business antl Professions Code) or ihet he or she is exempt therefrom and the Desis for the elleged exemption. Any violation ol Section 7031.5 by eny applicant for e pertnit subjects the ePO�lcant to a civll penalry of nat more ihan live huntlred dollars (5500).): ❑ I, es owner ot the properry, or my employees wlth wages as iheir sole compenseHon, WILL DO 7ME WORK, antl Ihe structure Is not intended or oflered for sale (Sec. 7044, Business end Professions Cotle: The Contrac�ors Ucense Law tloes not epply lo an owner of property who builds or improves ihereon, antl who does such work himsalf ar herself or �hrough his or her own employees, provitled ihat such improvemenis are not Intendetl o� oHered tor sele. If, however, the building or improvement Is �sold witpin one year of complation, ihe owner-builder will heve lhe burden of proving ihat he or she did not builtl or improve for purpose of saia.). � � I, es owner e properry, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS ro cronstruct ihe pro�ecf (Sec. 704a, Business and Professions Cotle: 7re m actor ense Lew does not a py to en owner ot propeny who bullds or Improves Ihereon, and who contracts lor suc� project with e contraaor(s) license pur n t e Contr rs Ucense ws.). ❑ I em e:@m n e se Business and Professions Code for this reason: _� � Signature: - � ,� � „ _Date: , t / Owner ID veri�ied by drivers license. Y ❑ No Drivels License No. Vedlication oi Ownership by (typa ot tlau ent .e. - property �ax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFILA710N: ❑ I he�eGy �ertily Ihat no ezcavatio� five (5) or more fee� in depih into which e person is required to descend, will be made in connection with work euthonzed by this permit, entl ihat no building sirudure, scaffolding, talsework, or demolition or dismaniling thereof, will be more ihan thirty-six (36) fee� high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Titla 8, Celitomia Administretive Code). ❑ As ownBr-builder, 1 will not employ enyone to tlo work which would requlre a parmit from the Division oi Industnel Sefety, es noted ebave, unless such persan hes e permit Itl tlo such work from Ihe tlivislon. Signature: Date: Division of Industrial Satety Permit Number. CERTIflCATE H CO P AflCE � AUiHpRVATON OF EMHY: I certity undar penalry of perjury that I have read ihis application end state Ihet the infortnation given is wrrect. I agre td con p wi{ ell e �§�✓ and ciry ordinances relating �o building cronsiruction, and euthonze representatives ot Ihe Ci���yyy oi Co a Mesa to enter upon [he ebove-destnb d 0 op tor I ispe tio ,6urposes. I egree not to acupy or allow occupanty of any building authorized by this permi��fi�el in� tion. � � 1 O "�_ Siqnatur O epalOwner(s) ate j COOE t, iuc� ocrT10NTYPE 1676 Fixed System Final Fire Prevention 1266 Pool SPe Final 200 Final Re-Rooi 201 Final BIocWRetaining Well 202 Final Factory Fire Plece 203 FinalS�g� 204 Final Damolition p� iHrmn�s COOE� INSFECTIONTYPE � 206 Final Mechanical 208 Final Poumbing 270 Finel EledriWl 212 Final Fire Ptevention 220 Final Planning Approval 222 FinalSite 250 Final BuildinglOccupency Date PAg 1�4fl ADV��G�! to fill in all soates exeaot t�ou wllnin neavy DorEer Ilnes anA sign all apo�ooriate daclantions. ' CITY OF COSTA MESA � - , � I � � � PERMIT NO._ � . TRACT NO. LOT NO. � BLD . • , • � � CONSTRUCTION PERMIT. ' _ . ' ' �� S /� . ' = _ ,� i � "; . .� , .' ; : . . , Applicent'SM3ilin8 dd�ess' - � �� - TVPEOFCONSTRUCT�ON . ' � .NEW � ADD� �ALTERATION' 1 �REPAIR��� - , _ �� ' ' PlojNt Addfess �� � �� ( � '� '� �- � � ' � i �, CONV ER51 ON _❑ DEMOLISH � OTNER � � � ', ' � - � •, 7 T r � . Owner's�Name � il�• � �s � ' � ' hone��y S`' O 7" . DESCRIPTION OF WORK � , , . � � � .. a-1 y .iv� �/+ ►�4' n,� , " " " ' . � . . ' ' r. .1.. "i _ , "1 _ ' "' r;7;4J5 ,',2/:13/fi�� :: ' `. � ,� iofil^;� �TL ` j � � ' ' - i � ' . � . ' . . � � Addlei5 ,� b - TVPE�OF PERMIT '� GRADING � � FOUNDATION• STRVCTURAL � A.. P•'9W ' � ' AlCh/Eng. � LIt8n5B NO., ' � '� � � O�TENANT O� ELECTRICAI O PLUMBINO �-MECHANICAL ' PLNG. flEF. X� Addfess � � /� D:�OTHER � � . ' ' " � '_ � •_ • : ' . �TO BUILDING �� CuntreCtofzNem� •�"f- � I YOUI�-�-Po hp�q L�� �i-%i PRQIECTDESCRIPTION• S�.FT.' - � -�� OCCUPANCV � P iNE : , Addresslmailing) • �.�'�.SV' . �"1�' dr' . � � ' : l �CONSTRUCTIONT,VPE � VALUATION$ � 1 �LEFTSIDE VARD ' � ZON � GRADINGCU.�'DS: ' AGRES � PKG.SPACE.RE�. � . �icense No; _C' ,?- f �0 4 9 LI : , e � � ;- • LICENSED CONTqq�TOH DECIARATION . � � � Remarks: . � . , , STREET WIDTH ' 1 bereby:affirm that I�am Ilcen5e0 untler provislons o} Charter 9(com�mencing ' ' ' . witb•sectlon 7000) 01 Divlsion 3'� of l�e Buslness and ProfeSslans Cotle, antl � � - .� � � ' - . . I , SPECIAL GONDITIONS: ' ' my Ilcense Is lnyuu,�p rCe�n aHeC[. ' ' - ' ucensa Ciais �"`J�+ ^'`� ' � � y�ansa No.'� 2i�i1 ' � � � ' i ' PWMBING � � � f Da�e •� � 1 � 519 t � o Z/J� ' . . . � . . � . W�RKERS' COMPQNSATION dHCLARATI N � � � �: ' ' ; � Ber Slnk � ; - � Sewe� CeP , �- - �Gy affirm.thal �.have.a cartl/lcnte.ot consnnt to selHnsure or a tertificate_ r, � Beckflow Preventer - �Server Connection= - :,^^orkers' Compp��tlon Inzurtnce,, or a cartlfiaC' copy thereol (Sectlan ' o��r'u, Lao. C.) Gp � � ' � , . Beckflow Irri uon Solar Collectors � , ' � PoII<y No. �6 �/ /a� . Company �•v+%���^x ' - � - - � � eCartlOee cbpy Is nereDy /umisliea. . ' � - � 7 ; Bathtubs � $Olar Piping ' . � � CerUfl< cODY � OMO with the blty Builtll�ny D v1510n � � � �/ Data � � - � ' � � � Av,P�lcant_ /-F i�� • ���J'``�� i Clerifier;s � , Sotar Tank 1 I � � � E%EMPT ON ROM�WppKERS' COMPENSATION DECLARATION D'IShWdShCf ) � SWlmmillg POOI W/Spe � � '� (Thlisec lon neeC nat be completetl I} the permlt I5 for one huntlraA (5300) or � • i • ; less): ' , , ' � - � � � 1 certify�that in the parformance of the work for'which thli permR is issuetl 1' j D�inkiny FOuntains � ' Urinal � � � � Shall. not employ apy p��son In any manner So ai to betome Subjett to t�le • - - - 'Workess•�Compenai7on'LawsofCalllomla. � , FIOOrD�ainz� WaterCfOSet� ` � Date • � <IqnaWre � � - � " - NOTICE:�Ii,after iqaking-this tlaclamtlon, you should-bacome�sub7ect to�tha : FI00� Sinks ��_ . •.. -_ WatB�.H88teJ---� - j-�••:� �- '�, Workeri'. Compensa(�on provlslons,o/ the Labol Cotle, you muit,fofthwlth �. <omply lwith� Such provizlons� or this'rPermit.ShAll be �tleemea. revokeEy. � Ge5S0rviCe' � Outlets �� '�WatEfSeiviCe �� ��� �' CONSTRUCTION�LENDING AGENCY� ' ' � ' I hareby affirm t�at there is a conitruction IanCing agency for the per/ormance � i In[.erceptarz • _' . �;- of tha work for �ry�th. thll_ perinit' i5 iuuetl (Se<tlon .309L Civ. C;; , - _ � '. ~ Lender's' Flame - Kitchen Sink ' ' ' - • ' LenCer•s� Atltlreu • ' � ' - � � , - , � Lsvatories.' "' - ; � OWNER�BUILDER OEGLARATION � . - v' - " �� � - • ' . � 1 hereby'aftirm 1�a� 1 am exempt trOrti tha Contrattot'S' LICanSe law tor the ' p_Tre "� . '. I` � .d S �`� ?' ;. lollowing reason-(Sgction 7033.5 9usiness antl Vrofessionafcoee: qny tlty or P� �i as i t�aCto�(s) IICBnse P � � ��1 am exempt ur � I oata i • b horoby. cartlly t 1 Intormatlon is tori ann'.e.�a u�,<.�i: a witn wa< Ish or.reDati �ucn qermit. �ovislans of y m an ewner o� a propa�ry'wno owias o� imp�oV85 Cn work hlm5elf/her501T or tnrou9h hl5 or her own '�uch impwvements ara'not Intentled or ofleretl for 7ng or ImOrovement Is soltl wlthin ona yearbf com- re tha burtlan of proving ha/she tlitl not Dulltl or Im- lel. p �erty, am axtlusively contraoting'wlt�'llcensetl con- oject (Sactlon 7,044, Bu51ne55 antl',ProfaSSloM Cotla: law� does not appry to an ownar of propnrty who i, antl who contract5 for such p�ojects wlth a con- '.o the Contractor'S Llcense Lnw): � lon - ; B, & P. C. !or this reason . � . , Ownar � � � • ' �' ire �eaA-lM1ls aoollcatlon•antl•stata t�at l�e abnw� Drivers' Licanse or SS �� CMF OBfi546 rev. 12/B2 W�ItO - Builtling; Cand/y'• NPPllcant; Pink - � Roof.Diaini � .` - �' .� . � Showers ,. � +� � ! � � : . . _ _ � .' �. f ' �Se'rvice Sink� -' ��� � ; '.. : _ � . _. � Duct -_ Ventilating _ _ ' . ., � ExhaustSystem � MWtiple � Firepl/FaCt.81[. ICBO � � Heating System & Ducting .� ❑aioo,000,eTu Oioo,000 ' Hood or Type I ❑. � Cano ' T e I I ❑ Registers , Automatic,Washer - Comtruction Pale ' � � Cooking Unit ' ! 1 ' � _ Oishwasher ; : , � ��� Dryers-'�Gas:�Electric"� � Fan , � F.A.U. ' � Fixtures ' Device Boxes' � Outlets . � • -i i `- � �>� � ' � � � . . , � I _, i , � � RainspectibmFee' . $15 �- � laue Fep - � s 3 ANICAL � � � ' iefrigeration System ! . ' 7aioo,000sru ❑ioo,00deru �ystem Repair/Alreration ' i.�` r , � _ .I/�' � , , Rairupection Fee ' lave Fee $76 S3 ches ! ' I ' �age Disposal . :retor �0-5 KW �5-15 KW isformer 015-50 KW '. � 05U+KW ' er ❑uo to 100 amm ` 2oning �liwtion Approved By l �liption laued By — ZONE . BUIL�DING " . • 'ccT r� riLcT� REAR VARD (T0 P/L) ` RIGHTSIDE VARD , ' , PHOVIDED ;�� i ' � �PARK FEE § � , �: EC7RICAL � , � Meter _ � over 10� amps , .Sub Panel i Sub Pole 1 , �Motors �04 HP ❑1Y,-i ,InuSola.��9-15HP �1 'Microwave , , � iian9e _ � c . .�.._ .I.. Sign� � � ' Standing Sections } � � Trash Compaclo� F ' � , i t ` j � } � ; � ' � �Rainmaction Fee ' ' S7! • ! � � � � � SUMMAR�' OF FEES � , . � � 'BUILDING PERMIT $' � �• SMIP $ ' � �PLAN CHECK , $� � P�UANCE ' S � � � �PLUMBING j : $ ' ' ' � ,PLAN CHECK� � $ i t i � GRADING •, �. $� �ELECTRICAL� i $ � ; � ' $ , � 1 PLAN CHECK � $ � � MICROFILM S � ; � TOTAL.FEE $ ' � � :MECHANICAL $� _-Z[D_Q_ . � i ' i ;PLAN CHECK� ' $ ' ' ' � LESS ' ' � FO . ADVANCEDPC $ � } � � � . , � . . • FINAL FEE � E � � . . .. . _ , . . T.- � CONSTRUCTIONAND;PLA��N,�N�IN�G���(, - ' �OL op - •- �� rAPPROVALS ' Permit#LCLLIV /O Date Inspector .�ppROVALS Permit#` - 'Oate'" Inspeetor� : , . ,1. Sempoiary Electrical Service or Pole . 52., Pool & Equipment Location ,. ' " � ' , ' .� ' 2. �Soil Pipe-Undrgrnd. � ' � � � 53. Steel Reinforcement ' - - - �, � � - � 3! Electrical Conduit Utilitv-Undrgrnd. � ` ' � 54. Forms � ' ,� � - � . - " '4�. Electiical Conduit-Undrgmd. " � 55. Electrical Bonding " � � - 15, Steel Reinforcement , i - . � 56. Rough Plumbing &�Pressure Test " 6: �Elec$ical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. �Footings . - - -58. Electrical Cpnduit-Undramd.:' 8. �Foundation � � . � � 59. Gas Pipe, O'Undrgrnd., Test - . ' , _ 9. Watei 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 & ReceptorFinal ' 12. Sevier Cap 63. Heater & Vent-Final ' - - � 13. Roof Drains ' � - 64. Plumbing System - Final .� . 14. Rough Plumbing � 85. Electrical-Final �•� � ' 15. Rough Electrical�•Conduit -' � - 66. Solar�System-Final � - � �� � ' � - � 16. Rough. Electric Wir,ing� . : - -'r � 67. Fencing & Access Approval :_ � . � - � 17. Rough Wiririg Sign•. � ' , ,C�B. APPROVED FOR PLASTERING '_ � 18. Rough Electrical•T Bar Ceiling ' 69. POOUSPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning , � ' ' �FIRE DEPT.�RE�UIREMENT � _ � 20. Rough Pactory Fireplace t � ' '� APPROVALS � Permit� ', 21. Duc[s; in Struc[ure� � �, � 70.' Underground Hydro ; � ' � 22. Duc[s, Ventilating , ' , 71, Produc[ Piping OGas ❑Oil • , ; 23. Gas'Pipe-Rough & Test � .� ; ' 72, Underground Flush �� ' 24. Roof Framing - � �, � , 73. Undergrnd.StorageTank OGas ❑Oil i i 25. Roof Sheathing , , ;. 74. Overhead Hydro � - - � � 26..T•Bar Ceiling (Structural�i & Monocoat 75. Dry Chemical �� �' ' 27. �Frame and Flashing • � ' ' , 76. Dry Standpipe ' � � - . . 26. _Lathing & Siding ' 77. FIXED SYSTEM PINAL - . � � . 29, Insulation . ' 78. PIRE PREV. FINAL ' - 30. Drywalt Nailing � - � � ,Notex=�l �f �f'� L�� (,'iQ�2Q, G�D 31. Plaster Brown Coat . � , ' �32. Elearical Power Meter-Final : � �� • � 33.�Final Electric ' � ' � � . . 34. Final Heating &�Air Conditioning .� � G� � ' ' - 35. Final Gas Pipe-Test � . , - 36. Hood or'Canopy , " ' _ _ , . , 37. Pinal Eactory Fireplace _. . , - � � � - _ �, ,�'�. � �, . , 38. Final Plumbing '- , ' � ' � , 39. Water�Service-Final , ' - 40. Gas Service-Final � ' 41. Solar pomestic-Final • ' _ , . 42. Backflow Preventer ' • � ' ' ' - 43. Backflow Irrigation � � - � t . , � , . � 44. Landscape Irrigetion System - � � ' ' � � � . - . � • � � . 45. Sound�,Attenuation ; . , , . � _ , . ' . _ _ _ • � �-- 46. Handicap Regulations ' - � - . 47. FINALSTRUCTURE&BUILDING � � � , 48. Special Requirements Completed � ' ' . ' ' . ; ,s , , 49. Electric Release to Edison. .._. __r . _ _ ' _ : .._ .. ; • ' 50. Gas Release to Southern California Gas Co ' � � ' i -. , �� ' 51. CERTIFICATE OF OCCUPANCY ' , No ' Date � - . . . . -r - , , ' � = �- � - �.