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Home My WebLink About3181 RED HILL AVE - Building Permits- : . �---�— Applicant to fill in all sDaees exceD� those within �eavy borEer�i nes antl si9n all a0Gro0��ale Geclarations. CITYOF COSTA MESA CO ST UCTION PERMIT PERMIT NO. T�A� NQ,_ LOT�O. UNIT NO. � �y �� Project Addre{ss � �V Applicant's Mailing Addres % oY %� � TYPE OF CONSTRUCTION NEW ' .aDo ALrERA7iorv REPAIR ' � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name Phone DESCRIPTION OF WORK/U F BLDG. Address "��' � '� � Arch/Eng. Licenu No. Addreu Z � � Z7 Contractor's Name P o� Address (mailin9) �l� City Licenu No. � LICENSED CONTRACTOR DECLARATION ' Lhereby'affirm that I am licansetl untler provislons ot Cnarter 9(commencing with seclion 7000) af Division 3 of the Business antl Pro i ��00o antl my license is in tull t e an affect. License Class � License No. Dale � Si9ndtur WORKERS' COMPENSATION ECLARATION hereby aifirm that I nave a certiticate ot consent to selt-insure or a<ertlflcate af Workers' Compensation.lnsurance, or, a certifietl copY thereot (Sectlon 3800, Lab. C.) (�� M PolicY No. �';'�'372I Z��C' ComPanY � `^�l�r�`�n� eCertifietl copy Is hereby �urnished. � . , I Certitietl copy i fl tl witn the City il �g Divisim Date � Applican EXEMPTI�F�` WORKERS' C PENSATION DECLARATION (This section neetl not be completetl if the permit is for one huntlretl (5300) or less). � I certity that in the pertormance of tha work for whicn tnis oermR is issuetl, I shall not emo�oy any person in any manner so as to become subject to the WOrkers' Comp¢n5ation l.aws of Calitomia. Date � � Signature NOTICE: Ii, a(ter makin9 this tleclaration, you shoultl becoma subject to the Workers' Compensation provisions ot the Labor Cotle, you must (orthwith comply with suc� p�ovi5ioni or.tnis pe�mit shall be tleemetl revOketl. CONSTRUCTION LENUING AGENCV - I hereby atfirm thal lhere is a<onstrvctlon IenEing agency for the performance of [he work for which [his permit is issu¢tl (Settion 3097 dv. CJ Lentler's Name Len�er's.ACGress _ OWNER BUILDER DECLARATION�� ' I hereby afBrm that I am exempt from the Contractor's License Law for the tollowing reason (Section 7031.5 Business antl Professional Cotle: Any city or coun[y wnich requires a permil lo <onztruct, alter, improve, demolish or repair any structure, prior to Its issuance, also require5 the applicant for such permit to tile a siqnetl stalement lhat he/she Is licensetl pursuant to Ihe provisions of the Contractor's'Litens¢ Law (Chapter 9(commencin9 with Sectlon ]000) of 7ivision 3 oi the BuSin¢Ss antl Pro(eizions Cotle) or that he/sne is exempt herefrom antl the basis for t�e allegetl exemption. Any violatlon o( Section 7031.5 by any applicant for a permit subjects tbe applican[ to a civil ��enalty of not more tban five huntlretl dollars ($500). LJ I, as owner of ihe property or my employees with wa9es as their sole COmpensation, will tlo the work, antl tne sbucture is not intenCetl Or Olferetl tor sale (Section 7044, Business antl Protessional Cotle: Tha ConVactor's Litense l2w tloes n0[ apD�Y (O un owner ot a proper[y who builtls o� imprOves thereon, antl who CoeS such wo�k himself/he�selt o� through bis o� her own employees, provitletl that such improvements are not intentletl or o/inretl' for sale. If, howeveq tne builCing or imorovement is soltl withln one year oi com- pletlon, tne owner will have the burtlen of proving he/she tlitl not bulltl or Im- �rOve torthe pu�0o50 Of zale). I, as owner of Ihe property, am exclusively con[racting with IlcensoG con- t�actorz t0 conStruGt Ihe O�oject ($eCtion ]044, Business antl Profe55ions COtle: The ConVattor's License Law tloes mt apP�Y to an owner of prop¢rty who builtls or Imoroves thereon, antl who contracts tor such projetts wlth a con- tractor(s) Ilcense pursuant to the�Contractor's License Law). I am aware that proof o/ thel� Wo�ke�'s Compensation in5urance Shoultl be provitletl to me. ❑ I am ezem0� untler Section B. & P. C. for this reason Date antl.state laws reiaung � sentativ¢s of Ih Uly inspection pu/ Se . Signahre ►' Drivers'_�icen5e or 55 � _ CMF 0865-46, rev. 4/84 Owner hav¢ r¢a 9 White - Builtling; above TVPE OF PERMIT IJ GRADING � ❑ TENANT ❑ ELECTRICAL ❑ OTHER ' PROJECT DESCRIP710N Sp.FT._ 1 FOUNDATION �STRUCTURAL PWMBING ❑ MECHANICAL CON STRUCTION TVPE VALUATION $ _ ZONE GRADI� �i D5� ACR Remarks: n,. _ �_. aiNC - FEES � B�ss�c�rr�!� . '�` ::�� ';—�::� ear ;.�: E,�1� 3 �f�C�1111• AVP-Ilu�� ih11t A . � BacF'., rro:-_3187. Rech�ill.Averii� �� t ._ F-� Back��....�..,.y........—_' �'__' 'w1�.a-:.avL....' .""J Bathtubs ' Sewer Connection Clarifiers Solar Collecmn � � Dishwasher Solar Pipin9 � Drinking Fountains Solar Tank . � ^ Floor Drains, Swimming Pool w/Spa Floor Sinks Urinal Gas Service Outlets Water Closet Interceptors Water Heater Kitchen Sink - ' Water Service Lavarories � ' P—Trap ' Roof Dreins ' Reinspection Fee � $15 � � Isua Fee� 9oiler Hood an Type I � Duct - Under Ground �nopy Type I I ❑ Duct - Strucmral Refrigeretion System , Duct - Ventilating ❑0.100,000 BTU ❑ 100,000 Exhaust System ❑ Multiple � System Repair/Alteration Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.700,000 BTU 0100,OOOBT - ` ��•y I I ReinsPection Fee I $15 I I Issue Fee APPlicant; Pink A<Counting; Goltlenrotl - A55¢55or A.P. # ZT — S Main Buildin9: E . T Front ARear C Right S Left Ping. Ref. � ;?) � � , Planning Notes: � L� Automatic Washer Construction Pole Cooking Unit DiShwasher sse= aiiFi��, -,��,;- - — OZ - zo�e AccessoryBuilding: �T' F.A.U. Fixtures' � Device Boxes O�utle • rtches . • Garbage Dispoul' ' � ' Generator OP5 KW O&15 K1 i, . � }. � / $ 3 /" . ' ' j Rainspeetion Fee � $75 FEES ' EVELOPMENTSERVICES EQi 2oning Approved By � Building Approved By i ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter Uup ro 100 amps Meter Oover 700�amps Sub Panel Momrs DO-1 HP �1 h� 8 Inc.Solar 09-15 HP'016�15+ Microwave ' � Pole Ligtit � Rangei ' Standing Sections Trash Compactor , � . Issue Fee . .�. � �. FEES Z O' N � N G R E � M T s: SUMMARY-OF FEES` 6UILDINGPERMIT� $ —ZQ'3�� • SMIP '. $ ��5� � PLAN CHECK . $ � P,ERMIT � � ' PLUMBING� $ - ,� ISSUANCE $ 'PLAN CHECK 25%. S ENERGV P.C. $ ELECTRICAL� ' $�' � �GRADING $ -�PLANCHECK�� 50% ,$� '�di MICROFILM S L.�: . �MECHANICAC � $� TOTAL-FEE $ 2 •5 v PLAN CHECK� 25% $ - , � -. I I. CONSTRUCTION AND PLANNING. � ' APPROVALS Permit# � t. Temporary Electrical Service or Pole 2. Soil Pipe-Unclrgrnd. - . � � • 3. Electrical Conduit Utility-Undrgrnd. 4• Electrical Cohduit-Undrgrnd. ' S. Steel Reinfoicement 6. Electrical UFER Grnd. � 7. Footings , � 8. Faund'ation � - 9. Water Pipe-Und�grnd � , 10. �Structural F�oor System 11. Property Sewer Line & House Connection 12. Sewer Cap . � 13. Roof Drains � � t4. Rqugh Plumbing • 15. Rqugh Electrical-Conduit - 16. Rough Electric Wiring • � i7. ROugh Wiring Sign ; • "� ' ' 18. Rough Electriral-T Bar Ceiling ' �1 19. ROugh Heating & Air Conditioning ,✓� � 20. Rough Factory Fireplace ' � .� 21. Ducts, in Structure � L.i 22. Ducts, Ventilating : Qb? Gas Pipe-Rough & Test . ' � �°�" 4"�Roof Framing , 25. ROof Sheathing ' .�'�� 26. T-Bar Ceiling (Structural) & Monocoat �' �� 27•. �Frame and Flashing � � � � 28. L.athing & Siding � ;� ' � 29. Insulation � �' j � 30. Drywall Nailing � ¢ ,F. `� .: J 31. Plasier Brown Coat . L 32. Electrical Power Meter-Final 33. Final Electric � 34. Final Heating & Air Condi[ioning 35. Final Gas Pipe-Test / � 36. Hood or Canopy ' �� 37. Final Factory Fireplace . � / /� 38. Fina4 Plumbing . .. ,� � � 39. Water Service-Final 1: 40. Gg •Service-Final�� 41. Sola� Domestic•Final � � 42. Backflow Preventer . �� 43. Backflow Irrigation':-� �. , 44. .Landscape Irrigation'S� tem�� 45. Sound Attenuaiion ' 46. Handicap Regulations , . 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed . 49. Electric Release to Edison 50. Gas,Release to Southern California GaSCo 51. CERTIFICATE OF OCCUPANC,�Y,, �/- No. f/.�D Date �CS�1 %9� Date y ' 0 � R � PO(. _ ,� SPA Inspector APPROVALS Permit# 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms � . 55. Electrical Bonding . 56. Rough Plumbing & Pressure Test � 57. APPROVALTO:COVER-GUNITE 58. Electrical Conduit-Undrgrnd: �".59. Gas Pipe, O Undrgrnd., Test ' 60. Backwash Lines, P-Trap, � Undrgrnd. 61. 'APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical�Final . 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOUSPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground H'ydro . 71. Product Piping O Gas ❑ Oil 72. Underground Flush � . 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro � 75. Dry Chemical , . 76. Dry Standpipe �77. FIXED SYSTEM FINAL � Z8. FIRE PREV. F,INAL � ' � HEALTH DEPT. REQUIREMENT � � �79. FINA'L�I SPECTION � 80: FOOD �RT,IFICATE ISSUED .� Notes: e,/;i / u �S`:?._'� _• /__ Date � Inspector � !��ISTI,�ff►��1_�- / . � L�� ' � i.. - '� �� .' ' ' � �� ' ��__ � � i � � _. . i � ,1/ =; - � iu _. ��i i i / '" �a 01 '� Cf'I��COSTA,MESA ' CONSTRUGTION PERMIT _ „ ' Appileant to fill in all spaees exeept t�ose wtl�in heavy Co�tler �s anC fi9n all 9PPropriale tleclarations. �0 �. Prqjec2 Address '�,.,_S /�/ C,aL�R��C!' � TVPE OF CONSTRUCTION LJ. NE � ❑ CONVERSION ❑ DEMOLISN Ar�4icant's Mailing �A+ddreu �:. �u'�'%j� Ow�er's Name l�� ' L"Q'�l � PhOne OESCRIPTION OF WORK Ad4�ess 'S�v'N�� . " TVPE�OF PERMIT��( GRnDING AfCh/Eng. � � . LiC2n52 NO. ❑ TENANT L�SI ELECTRICAL � qdd�eu , � ❑ �OTMER � . ' I I A�D ALTERATION � OTHER REPAIR 1FOUNDATION LJSTRUCTURAL PLUMBING ❑�MECHANICAL, � CoMractor'sNam ��'S �6 � � hone �`r��'T'r PROJECTDESCRIPTION Sq.FT. oCCUaANCv Address;Imaiiin9l�`3�� 5• n'li4/N '�Si9-n�/.r�nry CONSTRUCTIONTVPE '- VALUATION$_ N �.� h��"S/ ZONE GRADING CU. VDS. ACRES_ Gry License o. LICENSED CONTRACTOft DECLARATION Remxrks: � � O t hereby affirm that I am IlcenseE untler proWzions of Chartar 9(commenUng _ w��n section 7000) of DlviSion 3 of t�e Business antl Profeis�ons Cotle, antl my Ilcense Is in full orce effect. � Llce�sCG ss �� Lic s o. 3 � .,' . P Date � 0�� SI9 at �-� gar Sink WORKERS' COMPENSATION DECLAR ON . � e�eby alflrm that I have a cerHflcate of consent to seli-insure or a certliltate - Backflow PfevEM2� '-� -' Workers' Compensatlon Insurance, or a certlfletl� cop tnereot (Sectlo ..tl0o, l.ab. ) D 1 G � UM Backflow Irrigation . Policy No. � a �"«%�/ � Company � � ��rtlUetl co�pYUis`'�a�r'latlbw@hrthehcRY il I 9f� ivislo � ' '" 82thtub5 - � DatB ��" o• APPlltant ��„ �.='L rcT2t c Clarifi¢�5 � EXffMPTION FROM WORKERS' COMPENSATION DECLARATION Di5hwa5hef (This se<fion neetl not be completetl if tne Oermit I5 tor one huntlretl (E100) or less)' � Drinkin Fountains I ceft�ty�that'in the performance ot the work for whlch thls permR is Iszuetl I , 9 shall not employ any perso� �� any manner so as to be<ome subject to t�e Workers'. Compansatfon Laws o1 Calitornla. FIOOr Drains . DatO 5�9�ature ' NOY�CE: If,iatter making tn6 Ceclaration, you shoultl �ecoma subject to tne ' Floo� SinkS Workers' Compensatlon provislons of the L.abor Cotle, you must Torthwith , , comPly wi[h Such provisions or this permit shall be tleemetl revoketl: Gas Service OutlBts CONSTRUCTION LENDING AGENCV - I heYeby aftirm that there iz a construction lentling a9ency for [ne Oerformance Intercepto�5 of the work for which this� permit � I5 155uetl (Saction 3097 Civ. C.) lanCer's. Name , KitthemSink ' - l.entler4 Atltlress�__ ' . Layatories � OWNER BUILDER DECLARATION - . . the res to � o' P—Trap � ipalr mlt Roof Drains 'vlslon 3 of [he BUSIn855 anO Vfote551ons CopB) of [na[ na/sne is axampi retrom antl the basis fo/ the allagetl azemptlon. Any vlolation of Sectlon 31.5 Ey any aa7�l<ant for a permlt subjects the appllcant to a civil �+enA��Y ot not rtiore tnan five huntlretl tlollars ($500). LJ I, as owner ot the'propBrty Or my amployees with wa9e5 a5 thelr Sole tomGansatlon will tlo tha work, antl the structure �5 not IntentleA or offaratl !or saie (Sec4lon 7044, Business antl Protessional Cotle: The Conlractor's Lice�se Lav+ tloes not apD�Y to an owne� of a proper[y who bulltls or improves t�ereon, antl wno tloes such work.him5elf/herself or through his or her own emD�oyees, ptovlded that such imp�ovemants ara not Inte�tleA or offereA tor ule If, however, tbe EUIltling or Improvemant is soltl within one year of com- plat�on, Iha ownar wlll have the burtlen o/ proving he/she tlitl not bulltl or Im- 6 rovefortho purposo of salo). I, d5 Owner O/ th0 OrOp¢rty, am axtluSlvaly contracting with Ilcen58tl con- tractors to construct the proleci (Section 7044, Bus��ass antl PrO�essions Cotla: The Contractor's License Law does not apply to an owner of property who bullns or improves thareon, antl who contracts to� such projects witn a<on- tractor(s) Ilcense Oursuant [O t�e Contrac[or't License Law). ❑ I am axempt unCer Secilon 8. & P. C. �or thls reason DatO � �greby car that I Information rrect. I antl state I s elating t 5entatives � cltY � Inspecilon u Cs . Sighature OrlVars' yCense o � 3� CMF 0865-46 rev. /83 Ownar Reinspaction fae � $25 Boiler Duct - Under Ground Ouct - Structurel Duct - Ventilating, , ' Exhsust System ❑ Multiple ❑ Firepl/Fatt. Blt. ICBO 5W Heating System & DucC�ng ❑P100,O00 BTU �100,OOOBT Reinspection Fee � $25 White - Bulltling; Canary - APPliwnt; Pink - Accountin9; GaldanroC - A55esior LUMBING Showers ' Service Sink Sewer Cap � Sewer Connection Salar Collecrors Solar Piping Solar Tank Swimming Pool wlSpe Urinal � Water Closet Water Heater Water SerdicB Issue Fee Hoodor Typel ❑ Canopy Typell ❑ Refrigeration System ❑4100,OOOBTU ❑100,000 System Repair/Alteration Issue Fee $ 3 ' ��-...____�_. ' fjj'iP - F�:={ � �. A:P.9W , S Main Buildin9: E� T Front A Rear C Right - K Left S Ping. Ref: # Parking Req,/Provided �Use of Buiiding: Planning Notes: Automatic Washer Construction Pole Suh. Cooking Unit � Dishwasher Dryers �Ga: ❑ ctr'� Fan - F.A.U. '. •'� Fixtures a p, ' Device B'oxes' �', Z 0 ! Generatai O0.5 KW 05� � � '.: :. . A 2one Accessory Building:' , � , Park. Fees $ � � , � � ! /�� ELECTRICAL . • FEES Z O N I N G H E � U � R E E N T Transfo 15-50KW/. � �0 � 50+KW y',� �.JS' ��i eter ❑up to 100 amps Meter �over100amps SubPanel �, S.(� '�Q 6`0 1HP�1'h-8 ' ..3. Inc:Solar �9-15 HP 01615+ Microwave Pole Light Range $ig� Standing Sections Trash Compactor I Reinspection Fee �$25 � luue Fee PUBLIC SERVICES REUUIREMENTS: Zoning APProved By ' � Buildin9 APVrovad BY . • Appliption laued By � -B'� $ 3 �• � SUMMARV OF FEES � � BUILDING PERMIT �.$ ' SMIP $ , FLAN CHECK � $ PERMIT ' ' ' PLUMBING � , : �$. ' ISSUANCE $ PLAN CHECK 25% $ � ENERGV P.C. $ ELECTRICA� $ � IO.�O� GRADING $ � PL'AN�CHECK 50% $ � ��.JO MICROFILM '$ MECHANICAL $ TOTAL FEE $ �� 5 3 PLAN CHECK 25% $ _`.._._ X tl �_ �: CONSTRUCTION AND PL'ANNING ' � ��APPRCZVALS ' Permit # ' , i �i. Temporary Electric8l Service or pole. '-. �c 2, Soil�Fipe-Undrgrnd. -- 3�. Electrical Conduit Utility-Undrgrnd. . ;�4. Electrical Conduit-Undrgrnd. - � ' _ � 5.� Steel Reinforcement - ��, 6: Electrical UFER Grnd.' . ,�, � � 7. Footings = � � . 8. Foundation � � " 9. Water Pipe-Undrgrnd,. . � � 10. Strucwral Floor System � ' . 11. Property Sewer Line & House Connection 12. Sewer CaP � � . 13. Roof Drains � 14. Rough Plumbing 15. Rough Electrical-Conduit � 16. Rough Elect�ic Wiring��- 17. Rough Wiring Sign 1�8. Rough Electrical-T Bar Ceiling � '�, 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace . ', 21. Ducts, in S4ructure �� 22. Ducts, Ventilating �� . .23. Gas Pipe-Rough &, Test � 24. Roof Framing ' � •� 25. Roof Sheathing � - 26. T-Bar Ceiling (Structural� & Monocoat �•27. Fiameand Flashing � ' � '� ' 28. 4Lathing & Siding ' � 29. Insulation � , -'30. Drywa�l Nailing � � 31. Plaster Brown Coat ' 32. Electrical Power Meter-Final � 33. Final Electric � 34. Final Heating & Air Conditioning- , 35. Final Gas Pipe-Test � ' � 36. Hood or Canopy ! , � 37. Final Fac[ory Ficeplace� 38. Final Plumbirig ' � � � � 39. Water Service-Final � � 40. Gas Service-Final ' � � 41. Solar pomestic-Final , ; � � . i 42. Backflow Pre'venter � � ' 43. Backflow'Irrigation � , � 44. ,Landscape Irrigation System ' 45. Sound1Attenuation 46. Handicap Regulations � � 47. FINAL STRUCTURE & BUILDING � 48. Special� Requirements Completeci 49. Electrie Release to Edison ' � , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY = - No ' " ' � Date ' Date = � d u e - � POOL 'A � - . Inspector � qPPROVALS Permit# � 'Date' Inspector � � 52. Pool & Equipment Location - _ � 53. Steel Reinforcement � - 54. Forms � - ' . 55. Electrical Bonding � � 56.. Rough Plumbing & Pressure Test � �- 57. APPROVAL�TO COVER-GUNITE � 58. Electrical Conduit-Undrgrnd. � ' 59. Gas Pipe, � Undrgmd., Test` . 60. Backwash Cines, P-Trap, O Undrgrnd. 61. APPROVAL.TO DECK . 62. Backwash & Receptor-Final . � - 63. Heater & Vent-Final . - � . 64. Plumbing System - Final - 65. Electrical=Final � � � 66. Solar System-Final , �- - - 67. Fencing & Access Approval • - � 68.� APPROVED FOR PLASTERING ' • � 69. POOUSPA SYSTEMS F�INAL FIRE DEPT. REQUIREMENT � .� APPROVALS Permit # . 70. Underground Hydro � . - � 71.� Product Piping O Gas ❑ Oil � � � 72.� Underground Flush . 73. Undergrnd. Storage Tank O Gas ❑ Oil � 74. Overhead Hydro � ' 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL � 78. FIRE PREV. FINAL ,HEALTH DEPT. REQUIREMENT � ' 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED _ , .P/, Noce:: 4�-/�., ,,..,' D_�.� �. D- - - _ t 0 V � � �. . . ApPlicant to fill.In all ipaces except_those wit�in neavy Oo�tle� Iines antl.sign all appropriate tleclarations. CITY OF COSTA MESA� ' ' � P6fdMITNQ. . •� TRACT NO. COT NO.� � � BLD . - CONSTRUCTION PERMIT ' ' ' � Project Ad'dress - . . . , . Ap�licant's Mailing Address -. Owner's Name �Q��P-� ��! � Ph�on�e Address 11 -n�T�ri(Yl� P��'JLZiQ- G�+d Arch/En9. License No. Address Contracror'sName�mTp� AA/ iYONT2%�+C7b�hone ��-d��7'�% Addresslmeiling) ��• Boz � /�oP� .ipAi2Klcr�ti+r � City �icense No. aQQa `� �1�7°�'9 LICENSED CONTRACTOR DECLARATION I•hereby aflirm that I am Iicensetl untler provisions oi Charter 9(commencinq with section ]000) ot Dlvlsion 3 of tne Business antl �rofessions Cotle, antl my Iicense is in u11 f�rc antl effect. LJcenSeRIaIT -• L� 3C., �c2 L'c , o. 30�8{�3 Date aonar��.a _�Ao9/�i W00.KER5'COMPENSATION DECLARATION ' hereby atfirm that I have a cerHflcate of consent to self-insure or a certificafe- �f Workevs' CompensatiOn InSu/ance, ot a certitletl Copy the�eof (Section 3800, Lab. CJ - vo��cy ivo.�"'OS42�'o�� companv 1CI�YI�ONT ) F1.O ertifietl copy is hereby furnishetl. Certi i tl c y s filetl with the <ity B Iqi g�Alyisl�/�n� � J' I Date APPlicant� / — -I�L �� C -/�/-��/�q�_�_ EXEMPTION FROM WORKERS• COMPENSATIOfJ"fIECLA7tATiON (This section neetl not be complatetl if the permit is for one huntlretl ($100) or less). I certlfy that in the performance of tne work for wnlch thts perm�t is issuetl 1 shall no[ employ any person In any manner so a5 to become subject to t�e ' Workers' Compensation Laws ot California. Date Si9nature ' NOTICE: If,�after making [his tleclaration, you shoultl become subject to the Workers'. Compensation provlsions of the Labor Cotle, you must torthwith� comply with such provisions or this.permit snall be,tleemetl revokeE. CONSTRUCTION LENDING AGENCV • • ' ' � I hereby affirm tnat there is a cynstruction lentling a9ericy for the pertormance of the work for which tnl5 permit "is�issuetl .(Sectlon 309] Civ. CJ Lentler'S Name Lentler'z ACCress � OWNER BUILDER DECLARATION � � • � ' � I here�y afiirm that I am exempt (rorti the Contractor's License Law tor the (ollowing reason�(Sectlon 7031.5 Business antl Pwfessional Cotle: Any city or ��nev wnicn re. �ures a eermit to construct. alter. imorove. aemolisMor reoalr :refrom and the basis for [he allegetl ezemption. Any vtolation of�5ection �31.5 by any applicant for a'permit subjects.the appllcant to a.civil ' enalty of nof more than five huntlretl tlollars ($500). ' �� I, as owner of the property or. my employees witn wages as their sole compensation, will tlo tne work, antl the structure is nof intentletl or offeretl for sale (Section 7044, Business antl Professional Cotle: The� Contractor'S Llcense Law tloes not apply to an owner of a property who builtls or improves thereon, antl who Ooes such wo�k himself/he�selt o� th�ough hls or her own employee5, provi0e0 tb5t such ImOrovements are not intentlatl or offeretl for wle. If, however, the bullding or Improvement is soltl wlthin one year of com- pletlon, the owner�will have the burtlen of proving he/she tlitl not builtl or im- ��ova fo�the pu�po5e otsale). I, as'owner of the property, am exclusively contracting�with'licensetl con- . tractor5t8 COnstruct the proj¢ct ($ection 7044, Busine55 antl ProfeSsions Cotle: The Contractor's �icense Law does not apply to an owner of property who bulltls or Improves thereon, antl who contracts for sucb projects wrth a con- cractor(s) Iicense pursuant to the Contractor's Cicense Law1. ❑ bam ezempt untler Sectlon B. & P. C. for this reason Oata Owner� � i hnrebvi certifv-that'I have'rea0 this application antl state that the above Signature ,�.�d. Orivars' L'�cense or 55 9 TYPE OF CONSTRUCTION LJ NEW LJ ADD. L'J ALTERATION �LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER� DESCRIPTION OF WORK ' TVPEOFPERMIT GRADING FOVNDATION ❑STRUCTURAL ❑ TENANT ❑ ELECTRICAL �PLUMBING� ❑ MECHANICAL ❑ OTHER PROJECTDESCRIPTION 5�. FT. oCCVaArvCv � CONSTRUCTION TVPE VALUATION $ 20NE GRADINGCU.YDS. � ACRES Remarks: ' . . , Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Jrinking Fountains Floor Drains ' Floor Sinks �as Service Outlets Interceptors • ' Kitchen Sink � Lavatories . •�• ' P-TFap' Roof Drains- - Rainspection�Pee � �I $25 Duct- UnderGround � Duct - Strucmral Duct - Ventilating � _ ExhaustSystem ❑ Multiplel Firepl/Fact.Blt.IC80# �� Heating�System & Ducting ❑ P7 00,000 BTU O 100,000 E Reinspection Fee $25 CMF OB65-46 rev. 12/83 Whife - Bulltling; Canary -APP��cant; Pink - Accounting; Goltlenrotl -Assessor � Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping/ imming Pool w/Spa U al Wat Closet Wate Water S ice � Issue Fee - � 1ANICAL Hood or Type I , ❑ ' Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,0 System Repair/Alteration t Issue Fee BTU A.P. # S Main Building: E T Front ARear C Flight S Left Ping. Ref. # Parking Req./Provided Use of Building: Planning Notes: Automatic Washer _ Construction Pole Sub. Cooking Unit �IShW25hQI Dryers ❑Gas ❑Elec' F�...- . . ._ . $ 3 $ 3 F.A.U. Fixtures ! do , Device Boxes Outlets _ Zone Accessory Build Park. Fees $ ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 700 amps Meter ❑over100amps Sub Panel MotorsO0.7HPOi%-8 � �Inc.Solar �9-15 HP 016-75+ Microwave Pole Light Range Sign Garbage Disposal � Generator �0-5 KW �5-15 KW 1 Reinspection Fee • $ PUBLIC SERVICES REQUIREMENTS: Zoninp APProvad By � Building Approved By ' AppllCdt1011 ISSUBd BV �� Standing Sections �Trash Compactor luue Fee • FEES $ 3 . a SUMMARV OF FEES� , BUILDING PERMIT $ � SMIP $ � PLAN CHECK $ PERMIT • PLUMBING $ .�00 '� ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ � PLANCHECK 50%-$ - MICROFILM $ MECHANICAL $ TOTALFEE $ � .DD PLAN CHECK 25% $ , O N I N G R E I R E N E N T Ti tl CONSTRUCTION AND PLANNING . %1PPROVALS Permit# 1, I'Pmporary Electrical Service or Pole 2.� Soi/Pipe-Undrgmd. � �� 3.' HectriCal Conduit Utility-Undrgrnd. � ' 4. Electrical ConduibUndrgmd. 5. $Icel Reinforcement � 6. Electrical UFER Grnd. 7. footings 8. Foundation 9. Water Pipe-Undrgrnd. � . 10. Structural Floor System 11. Property Sewer Line & House Connection , 12. Sewer Cap � � 13. Roof Drains 14. Rough Plumbing 75. Rough Electrical-Conduit 16. Rough Electric Wiring 17: Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing � � '25. Roof Sheathing 26. T-Bar Ceiling (Structurel) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation - � 30. Drywall Nailing 31. Plaster Brown Coat . 32. Electrical Power Meter-Final - 33. Final Electric � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37..Final Fac[ory Fireplace 38. Final Plumbing , 39. Water Service-Final � 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer . 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special.�Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. ' Date Date POOL ?A Inspector qppROVALS Permit# � 52. Pool & Equipment Location 53. Steel Reinforcement - 54. Forms . 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK - 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final � 65. Electrical-Final 66. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING � 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74::OAerhead Hydro ;� 75. DFv�Chamical ,, , . , . 77? FIXED SYSTEM FINAL - r '78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date �Inspector 0 � Applicant to 1i11 in all spaces except tnose witnin neavy DorCer lines ana sign all aDP�oDriate Oeclaratlons. CITY O�COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. P�o�e�� ndd.�: 3181 Redhi 11 Applicant'sMailingAddreu � Ownei'sName _CarvPr Develo�ment phone Adtlress 17• CorTora P P1aza Drivet Newport Beach. Arch/Eng. License No. Adtlresz Contractor'sNam Western-Alli�ed Phone 523-199�. Adtlresslmailing) 19(146 E_ plorence Avenue, SFS 9067C City �icense No, i%%7% LICENSED CONTRACTOR DECLARATIpN I�M1BreDy alfirm that 1 am IicanSetl untler prOvislons of Cbarter 9(tommentln9 witn section 7000� o� Division 3 0( the gusineu antl Protesslons Cotle, antl my Iicanse is in fu/�1O1 tnorce antl etiect. Licens�Cl�sp_,�y. �� Ucees Date ti 4 L54 SIg (ure WQRKERS'COMPENSAT LARAT N �, hpreby afiirm tnat I have a terUfiw[e of consen ansura or a certHicate af Workers' Compensation Insurance, or a t¢rHiietl mpy tnereof (Sectlon 3800, Lab. CJ ' a❑oucy No. � �1'972914 Company ,/ �(�(JE�rti�ep pqy Is flletlbwithrthehc�tY Buil i 9 �ivision Date 4-254 APo � EXEMPTION FqOM WORK 5' COM NS DEC RAT ON (T��ssection neetl not be com e permit' for o huntl atl (E100) or Iessj. ��ertity Ihat in Ihe pertormance Of tbe work 10� wh¢h thls perm�t i5 Issuetl I shall not employ any person in any manner so as to become subject to t�e � Workers' Comoenzatlon Laws oi California. � Dato. Signature NOTICE: N, a1[er making thts tleclaralion, you snoultl becoma su0ject [o tne WOrkerS' ComOlnSation provision5 01 lhe Labor Cotla, you must fOr[hwilh coh'ply with such provisions or [hls permll snall be eeemoa revoketl. CONSTRUCTION LENDING AGENCV � I nereby affirm thal there is a conztruction lentling a9ency for the performan<e o( [ha work tor which ih15 Permit is issu¢tl (Section 3097 Civ. C.) LL'nCer's Name Lentler's AilOreiz OWNER BUILOER DECILARATION� � - I heroDv atfirT that I am ¢%ampt from th¢ CoMractOr'S Llcen50 Law fOr tbG a oermlt to tonsV uct. alter, imorovo. aemousn or refrom antl the Das6 ror tne a++Pgea exempuon. qny v�oiauon o> >acuon I3.5 by any applicant for a permit subjocts the applicant lo a civll alty oi not more than fiva huntlretl tlollars (E500). . I, as owner of th¢ property o� my emplOyees wltn waga5 ds thei� sole �pen5ation, will Eo the work, antl th0 slruclure i5 nol IntBnOotl Or oflBrOtl sale (Sectlon ]044, Businass antl Professional Cotlo: Tha Con(ra<lor's onse Law tloes nol apply to an ownor ot a property who bulltls or Improves �eon, and who tlo¢5 sucb wo�k hlmself/ha�sefl o� tbrou9h hI5 or her Own ployees, provltletl tnat such Improvaments are not intentlea or oiferotl for i. H, howaveq tho bullding cr improvemant is soltl withln one year ot <om- tlon,�tha owne� will nav0 tho bur0en OI p�ovin9 ne/sh0 tli0 nOt builtl o� im- ve tor tne ourposo ot salo). 1, as owner of tha pro0erty, am extWsively contratUn9 with Iicensea con- :tors to con5truct the projatt (Sec[ion 7044, Busineii antl ProfO55ions Cotle: ) Contra<tor'S LlcanSe �w doe5 not dPP1Y to an ownlr of Property who Itls o� Improves Ihereon, an0 who cOntra<ts (o� suCh projecti witn a con- :tor(s1 Oceny¢ pursuant�to�the Contractor's License Law). I am aware that �ot o( their Worker's CompensaUon inzuranta zhpuitl be provitletl to me, 1 am exemOt untler Section B. & P. C. tor this reason Dete Owner ' � hereby. certity that I have r¢atl [his dOP��tion a0tl itat¢ thdt the above In{ormation iz correct. I agree to comply with all city anE county ortlinances entl:state laws relating to q ktliy conztructlon, antl heraby authorize repre- se��atives of this city to te o ne above-mentionetl OroOerty for inspection p e siqnature%"' ' ---ea�.9-14-84 Orivers' l Se o 55< < 5 Z� TVPE OF CONSTRUCTION NEW ADD LTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p �, � DESCRIPTIONOFWORK/USEOFBLDG. MeCllalllCd� — COfOffl2PCla� . . S Main Build'� E TVPEOFPERMIT GRADING FOUNDATIO[�N1 STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING aa MECHANICAL A Rear ❑ OTHER PROJECT DESCRIPTION 54.FT. OCCUaANCV C Right CONSTRVCTIONTVPE VALUATION$ g left ' ZONE GRADING CU. VDS. ACRES p��y, qef {p Rema�kf: � I 1.4� Q Planning Notes: Bar Sink Backflow Pre'venter Backflow Irrigation Bathtubs Clarifiers Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceprors Kitchen Sink . Lavatories P—Trep ROof Drains Reinspection Fee $15 Duct-UndurGround Duct - Struc[ural � Duct-Ventilaling SIIfi/ Exheust System �xMulci Firepl/Fact.8lt. IC80 # Heating System & Ducting ❑0.700,000 8TU 0100,( Reinspaction Fee CMF 0865-46, rev. 4/84 White - Builtling; Canary - Appliwnt; Pink - Actounting; GOltlenrotl - AsSessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Sotar Pip'�rt9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee $ 3 Haod or Ty � Q Cuno t'll ❑ Re(rigeration System 6 4700,OOOBTU 100,OOOBTU le 1 Sfstem R teration eDamers-2 Chi,lled l�ater i. in 4 oe � - $15 Issue Fee ' $ 3 8485 .9/19/84 2on8 -Accessory Bui�ding: Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 75-50 KW Construction Pole Sub. ' � 50 + KW Cooking Unit Dishwasher � � Dryers OGas C7Electric Fan F.A.U. Fixtures Device Boxes Outlets Swilthes Garbage Disposal Generator �0.5 KW 05-15 KW Meter LJup to 100 amps Meter �over 100 amps Sub Panel Motars �0. 7 HP � 1 h- 8 Inc.Solar �9-15 HP 016-75+ Microwave Pole Light � Range Standing Sections Trash Compac[or Feo �$75 � � luue Fee 35. I ,i FEES $ 3 Z O N I N G R E Q M T S. DEVELOPMENTSERVICESREQUIREMENTS: Zaning Approved By Date Building Approvad By Oate Application Issued By � Date �� SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ 'ISSUANCE $ � PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GFADING 5 �` PLAN CHECK 50%� Q$ MICROFILM $ .� � MECHANICAL(�oZr+ y OTAL FEE 5�� PLAN CHECK 25% $ q.,F� . �A, .i_ 75" i ` CONSTRUCTION AND PLANNING . PO. A SPA APPFtOVALS Permit # Date Inspector : APPROVALS 'Permit # � Date Inspector � 1.'Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.'Soil Pipe-Undrgrnd. � 53. Steel'Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - � 4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding � ' 5. Steel Reinforcement ' " 56. Rough P�umbing & Pressure Test 6• Electrical UFER Grnd. • � � 57. APPROVAL TO COVER�GUNITE 7.� Footings � '' 58. ElecVical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing Sysiem • Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 9 1,� (�� FIRE DEPT. REQUIREMEN'f _ 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure � 70. Underground Hydro � ��e 22. Ducts, Ventilating . 71. Product Piping �Gas ❑Oil '� . 23. Gas Pipe-Rough & Test 72. Underground Flush / �r � 24. Roof Framing � � 73. Undergrnd. Storage Tank O Gas OOiI '� r � 25. Roof Sheathing 74. Overhead Hydro � / { 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical j� i 27. Frame and Flashing 76. Dry Standpipe y� r 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � 33. Final Electric Notes: ' 34. Final Heating & Air Conditioning �t� � ' � 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory F,ireplace _ ' � - � 38. Final Plumbing � 39. Water Service-Final �• 40. Gas Service-Final - 41. Solar pomestic-Final _ , _ 42. Backflow Preventer � � 43. Backflow Irrigation . -. � � . 44. Landscape Irrigation SYstem . � � 45. Sound Attenuation � 46. Handicap Regulations , . 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed - 49. Electric Release to Edison � ' 50. Gas Release to Southern California Gas Co � � � 51. CERTIFICATE OF OCCUPANCY � . , � No. Date AOo��ant to fill in all spaces exceot those within heavy boraer linez anE sign a11 approDriate aeclarations. CITYOFCOS7A'MESA CONSTRUCTIONPERMIT Project Add�Ess ��s' �� h� << , ` R APplicant's Mail^ing Address ` � ' Owner's Name l��n� -�'Je'� � P✓��''�bne � � Address I"-I (�D)1'�QfT.ii'G �� C(LA- ' 17n'V2 � �-�W_G�� V �� - Arch/Eng. � Licenu No. ' ' Addr@ss � - . i Contractor's Name w�'F�n' ��e� � CPho,�ne sZgc'=��1.� � �Addrqsslm2iling) ��Z�� -�s��%��'1�CP��th�-�2y7�S'� •.. � �P�YI(ln. r1G , v � � ' City Licenie No. � � � - � � LICENSED CONTRACTOR DE ARATION � I,her@by'affirm thdt Y am �icensetl untler provisions ot Charter�9 (commencing � with section �000) of Division 3� of [he Business antl Professions Cotle, anG 1 '� my license is in tull,torce antl'ettect. 1/� ( - (� : Llcens Cla s' Li e e o. '� L� v �. Date �� • " Si9 t �� .WORKERS'COMPENSATION O LAR TI N. � - ' ' hergtiy �attirm that I have a cer ificate of conse � o self-insure or a certificate '�. � l' ��_bVorkers'.Gomp;q�tjpnq's.utance,�or a certifietl copy thereof (Section n.r �[� � `� 1 Pol��ic�y No. � `l"unb� � /� ComPanY � `P_Of.l%I[t" •�j Q Certifietl copy is �ereby furnishetl. •--� srL�� • 7 � Certitiv� co y i�,}'�Ietl with the city ui in� i.vN�si�n.A �� Date Li��XU- APPlicant ��5,�"" 1��`-�� , EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (ThiS section neetl no[ be completetl if the permit is for one huntlretl ($300) or less) 1 cert{fy that in the pGrto�man[f of tite wo�k tor wnich this pe�m�t is i55uetl, I . shall not employ any person in any manner so as to become subject to tne ' Workers' ComOensation Laws of California. Date Signature � NOT��E: If, after making this tleclaration, You shoultl become subject to the Work¢rs' Compensation provisions ot [he LaOor Cotle, you must forthwith comply with such p�ovision5 or tnfs permit shall be tleemetl revokea. CONSTRUCTION IENDING AGENCV - � 1 herEby afflrm that tliere is a constructlon'lentlin9 agency tor the pertormance' of the work tor wh�,_,�-this, permit is issuetl (Section 309� Civ. C.) Lentler's Name- - Lender's Atltlress � OWNER BUILDER DECLARATION�� - � 1 hereby affirm that I am exempt from the ContractorY License Law for the follawing reason (Sectlon 7031.5 Businass and Professional Cotle: Any city or couqty which �eqUires a permit to const�uct, alter, improve, tlemolish or �epair ,any structure, prior to its issuance; also requires the apP��cant tor such oermit -to file a signetl statement that he/she is licensetl pursuant to the provisions o( the Contractor'rLicense Law (Chapter 9:(commencing witn Section �000) of �IviSion 3 of tbe Business antl Pro�esvons Cotle) or that he/she �s exempt ,�¢�p{�om antl the basis for thC alle9etl ex¢mption. Any� viOlafion ot Section . J031.5 ,by any applicant for. a permit subjects the applicant to a civil -� endlty of not more than five hundretl tlollars ($500�. � I, a5 owner of the' pro0erty o� rtiy employees wiln wages as Iheir Sole �comp¢nsation, will tlo the work, antl the strutture is not intenaetl or offeretl for sale (Section 7044, Business an0 Prote3sional Cotle: The Contractor's License Law tloes nol applY lo an owner o( a property who builtls or improvos tner¢pn, and who tloes such work himself/herself or tnrough his or her own , employee5, provitletl Ihat such improvements a�e not intentletl or otfered for Sale. �/� howeve�, the builtlin9 �r improvement is Soltl withlp one Yea� of com- pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- �rove for the purpose o( 5alej. ' i, as�owner ot the Oroperty, am exclusively contractin9 witn licensetl Con- f�actors to ton5fruct th¢ Project (Section ]044, BuSiness antl Profession5 COtle: The Contractor's License Law tloes not apply to an owner of v�operty who bulltls or imD�oves fhe�eoq antl wbo contracts tor such projects with a con- tractor(5} license pursuant�to SAe,ConVac[or's License Law). I am aware tha[ :proof of tneir Worker•z Compensation insurance shoula be provitlea to me. ❑ i am exempt under Section 8. & P, C. for this reason Date � ' Owner ;-I ne�¢by certify that I hav¢ r¢atl thi5 application antl Stat¢ that the abpve lNormatidn is mrrecL I aaree to comolv w7t0 all citv antl countv ordinances the above-me ci�� TVP� OF CONSTRUCTION LJ NEW �LJ ADD �Kl ALTERATION LJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORKNSE OF BLDG. �`h�'�-�-�� TVPE OFPERMIT LJ GaaDING LIFOVNDATIO IJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL� O PLUMBING �MECHANICAL _� ,OTHER PROJECT DESCRIPTION SQ.FT. oCCUvarvCY_ CONSTftUCTION TVPE VALUATION $ ZONE GRADINGCU.YDS. ACRES_ � � Sink kflow Preventer kflow Irrigation htubs . ifiers ` iwasher �king Fountains or Drains or Sinks S¢fviC2 :_, Kitchen Sink Lavatories P—Trap Roof Drains n Outlets $15 Boiler ; Duct - Under Ground Duct - Structural . Duct � Ventila[ing � Er Exhaust System ❑ Multip ❑ Firepl/Fact. BIt. ICBO # Heating System & Ducting ❑ ai oo,000 eTu � i oo,aoo an Reinspection Fee � $15 CMF 0865-46, rev.4/84 WM1ite - Builtling; Canary - APPlicant; Pink -Accounting; Goltlenrotl -Assessor Showers �ServiceSink - Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal- - Wdt2f C1052S � Water Heater Water Service .. -t Issue Fee ' $ 3 iANICAL � FEES Hood ypel � . y Type I I ❑ Refrigeration Sys[em ❑aioo,000 ioo,000eru 30 Repair/Alteration r�ae n�-w�P�Rs �n Issue Fee � $ 3 A.P. #' S Main Buildi E � T Front B Rear A C Right K Left S Ping. Ref. # Plannin9 Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec F,A.U_ . Fixcures 'Device Boxes Outlets Switches Garbage Dispoul Generator DO-5 KW Fee .i�si �9io��e4 Accessory Building: � Park;ng Req./Provided ELECTRICAL � � �n377 � � 59; Qp �,r� - i�'lo� , �; i _ �. i � Zone� ^ _' �k Z � i� O t � o �� N . '� I r� C N - G ' � R 1 E M. - T . , ; S. FEES � Transformei ❑-05-50KW � ❑ 50+KW Meter ❑up to 100 amps ' Meter ❑over 100 amps ' Sub Panel Motors �0.1 HP �1 Yh - 8 Inc.Solar �9-15 HP �7645+ Microwave Pole Light Range I I' Standing Sections 5 KW I I Trash Compacmr $15 I I Issue Fee DE V E LOPMENT SER V ICES R E� UTA EMENiS: Zoning Approved By Building Approved By _ 1 SUMMARV OF FEES � ' BUILDING PERMIT $ SMIP $ ' PLAN CHECK $ PERMIT ' � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ •ENERGV P.C. $ � GRADING � $ � � ELECTRICAL $ PLAN CHECK 50% $ MICROFILM $ C�E7 MECHANICAL $ `�� TOTAL FEE $ -� v •� PLANCHECK 25% $ �1.00 � ' : , I , 'CONSTRUCTION AND PLANNING � APPROVALS Permit # � 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. ' � ' - 3)�Electrical Conduit Utility_Undrgrnd. � 4:�Electrical Conduit-Undrgrnd. � - � . 5. Steel Reinforcement � � 6. Electrical UFER Grnd. � ; . 7. Footings - . �8. Foundation � " . ' `9. Water Pipe-Undrgrnd. . . 10. Structural Floor System �. ' 11. Property Sewer Line & House Connection 12. Sewer Cap • . 13. Roof Drains � � � � � 14. Rough Plumbing ' � 15. Rough Electrical-Conduit- ' � . - 16. Rough Electric Wiring , - 17. Rough Wiring Si n 1$. Rough Electrical-T,Bar Ceiling 79. Rough Heating & Air Conditioning �„ e� 20. Rough aaor . 21. Ducts, in Structure � 22. Ducts, Ventilating � � ° 23. Gas`Pipe-Rough & Test � � - 24. Roof Framing� 25. Roof Sheathing " + � , 26. T-Bar Ceiling�(Structuraq & Monocoat r 27. �`Frame anii Flashing � � � , F 28.' Lathing & Siding � - ' 29. Insulation . � '� 30. Drywall Nailing � . 31. P.laster Brown Coat 32. Electriral Power Meter-Final ..__�� __._:_ i . � , 34. Final Heating & Air Conditioning 36. Hood or Canopy , � 37. Final Factory Fireplace 38. Final Plumbing ; 39. Water Service-Final ' . 40. Gas Service-Final 41. Solar�Domestic-Final � 42. Backflow Preventer , • 43. Backflow Jrrigation . ,_ , , . 44. ,Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed � ' 49. Electrie Release to Edison ' 50. Gas Release to Southern California Gas C 51. CERTIFICATEOF.00CUPANCY ' Date ;� - POl ■SPA - Date - Inspector � � APPROVALS Permit # - 52. Pool & Equipment L'ocation 53. Steel Reinforcement' - � � � 54. Forms , . ' � 55. Electrical8onding � , . - . � 56. Rough Plumbing & Pressure Test ' - 57. APPROVAL TO COVER-GUNITE - � ' . 58. Electrical Conduit-Undrgrnd. - .' � 59. Gas Pipe, O Undrgind:,'�Test � � 60. Backwash Lines, P-Trap, O Undrgrnd. 61: APPROVAL TO DECK � 62. Backwash & Recepfor-Final� - � 63. Heater & Vent-Final - ' 64. Plumbing System - Final . 65. Electrical-Final - . 66. Solar System-Final- � - - , ' �67. Fencing & Access Approval 68. APPROVED FOR PLASTERING . POOL/SPASYSTEMSFINAL . ' �?.��7 (.,1E() FIRE DEPT. REQUIREMENT APPROVALS Permit# ' 70. Underground Hydro � 71. Product Piping O Gas. OOiI ��a 72: Underground Flush� - � �� _ � . 73: Undergrnd. Storege Tank D�Gas�� O Oil �� 74� Overhead Hydro ' � � . ;� _ 75. Dry Chemical �� i 76. Dry Standpipe . '� .y 77. FIXED SYSTEM FINAL � �78�. FIRE PREV. FINAL � HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED tl Date Ilnspector