HomeMy WebLinkAbout1617 BAKER ST - Building Permits •
' FL05t=r9 CITY OF COSTA MESA ~`
r� g` BUILDING DIVISION
r • iA
DEVELOPMENT SERVICES DEPARTMENT PE T NUMBER
J 8
PERMIT 00-01023
~C0R ;.•
RORR \96�
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1617 BAKER ST Status: ISSUED
Suite: Applied: 07/07/2000
Vicinity: Issued: 07/07/2000
Parcel Number: 13919310 Zoning: R1 R1 ///���///
Applicant: ASHBY,KEVIN ISSUED BY: / / c.
Address: 2500 E IMPERIAL HWY v
Phone: 888-737-6637
BREA,CA Zip: 928211
owner: COZZA, JOSE LUIS
Address 1617 BAKER ST
Phone:
COSTA MESA,CA Zip: 92626
Contractor: THE ROOF DEPOT
Address: 2500 IMPERIAL HWY
Phone: 888-737-6637
BREA,CA
Zip: 92821 • License: 701742
•
Arch : - Eng:
Address: - Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXIST.COMPOSITION AND WOODSHINGLE, INSTALL 7/16"OSB, INSTALL;30LBS ASTM AND 25 YEAR
COMP. SHINGLES 2500SF WITH ATTACHED GARAGE
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $5,000.00
Permit: $111.25 Claim Valuation: $5,000.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 4E2(1: T LI T
NOT ES: DATE �D+1�OLl
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§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 this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
RECI4RATIONS •
- u
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
f work for which this permit Is issued.
"Cf I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: • Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.) •
•
O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
. name,,. •, - •rovisions
A •icant Signature: 11 - 7- & -zoo o -
WARNING:FAILUR • -••E WORKERS' Ef tGE IS UNLAWFUL AND SHALL SUBJECT•• RTO C-1 INAL PENALTIES AND CIVIL FINES uP TO ONE HUNDRED
••r • • .•LLARE($700,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONT;• = • - •TION:
I here. . r` "hat I am licensed under p 'visions of Chapter 9(commencing with Section 7000)of D' ' '_n 3 of the Business and Professions Code,and my license is in full
• co a .effect.Lie.if A 4 ass ' '- 3`1
Contr.ctor's Signature: ` �5= - Date: - ; - ZOQ
Aa
CONSTRUCTION LENDING AGENCY:
0 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS: .
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit
to 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
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
O I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: •
O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
O As owner-builder,1 will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. •
4 It an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential buildinglpermits).
__—
6 Will any part of the facility to be.consiru_ _under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
th V F `lr 11 to t /A RJB
(If"yes",the facility must meet(he,requlrement of.SecLons25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast-Air Quality Managemenl1District or other air pollution control district or agency is required for the work which l is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
....-...-..- "yes", .....f. .. . p officer). ....._._.,. __- - ______.. ............. ................
8 (Ifattaacco
h certificate of compliance from theappropriate air ollution control officer
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
A YApR
CODE S, IN P�I ATE INTmAL COPEI INSPECTION TYPE DA INTRIALS
1616 Fixod System Final Fire Proven Ion _ 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site F
204 Final Demolition 250 Final Building/Occupancy
2446-46
- _ A_p llicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.l _ _ ". 851.a 9�1•#G84- — -
CITY OFCOSTA MESA , . _ PER IT.N TRACT NO ' : LOT NO. BLDG.NO. I , : 0 1
CONSTRUCTION PERMIT 1 5-52--1
• Applicants Mailing Ad refs - .OSb C_-.- nt it aa- , - TYPE OF CONSTRUCTION- ' U NEW'-U ADD'. U ALTERATION'1$1 REPAIR t • '
Project Address '�' Ll • '� + ' t `' ❑ CONVERSION 0.I DEMOLISH• ❑ OTHER: •_ , - , _
Owner's Name "�--•04ts� ' Ph0 V6 't Sf ? DESCRIPTION OF WORK , ' - • : -
I _ ����� _ ZONING REGULATIONS
Address 11017 3 s� • TYPE OF PERMIT U,GRADING'mu FOUNDATION U.STRUCTURAL RAL A.P.qp - - - ZONE • -. ` ' - . ' -
Arch/Eng.' - License NO. •_ ❑:TENANT, ❑ ELECTRICAL �1 PLUMBING ❑ MECHANICAL- _ • PLNG.REF,fY'+- ' BUILDING '
Address: • - /'' . :❑,'OTHER " - - - TO BUILDING 'SPrgerx rn. gr'
µ. La' lb(101-it • (V qt V-s�L ' � PROPERTY LINE - t REAR YARD(TO P/L) ' - '
Contractor's Name Phone PROJECT DESCRIPTION 50.FT. - OCCUPANCY
If, ; Address(mailing) mitt) C-'in 4 e CONSTRUCTION TYPF VALUATION$
• LEFT SIDE YARD ' RIGHT•SIDE YARD
f' - , v1. 1 r2.4 4 ZONE - ' GRADING CU.YDS. - ACRES I'KG.SPAC E'REO. I PROVIDED
(� License No: _. ... -
; . LICENSED CONTRACTOR DECLARATION • Remarks: , , i , - STREET WIDTH I r PARK FEE$
•
I•hereby'affirm that i-am licensed under provisions of Charter 9(commencing .. ' - I - - j
iwith section 7000) of Division 3 of the Business and Professions Code,and ' I I ; 4 SPECIAL CONDITIONS: , , I ' I I i., •• : - •, , i
n 'my license is In fullvfo a and tfeet. •: '^ `, ,S p, y1 1 {,
1 tcense Class v - LIC:nse Pl. i Y l ,Y i _ PLUMBING ! • , I 1 --• 1 • i ;
1 •
ate a�'� Signatur- L�� `•s--�� •
WORKERS'COMPENSATION DECLARATION I � I I Bad Sink I
Sewer Cap , i i ELECTRICAL. ! I ` ; i
.I hereby'aft lrm that I have a certificate.of consent to.self-Insure or a certificate_ Backflow Preventer - - -Sewer Connection` _ -- - - - . . Automatic Washer_' _ _ - Meter Dover 1OS amps
' of Workers' Compensation Insurance,,or a certified(copy thereof (Section -
3800, Lab. C. '; ! i Construction Pole' , Sub Panel-
UOU.J Company a' 04-1/A ! Backflow Irrigation Soler Collectors
Policy No. • • . . .. _ - • _ .
8 Certified copy is hereby furnished. i 1 . i ' • ! Bathtubs I I 1 Solar Piping . I , I Cooking Unit Sub Pole I i
CertifieAgop is filed with the city Building Divillen ,,,,_,6e_. 1 , Dishwasher w 1 I Motors ❑0-1 HP ❑1/a$ I
Date ' "1 II r'1 : ' Applicant ' k Ft- tt0I VII U . ' Clarifiers I i Solar Tank ' : 1
(Th;Iiiis Section need oot be completed Hethe permit IOsffor,one huntlreld($300)or Dishwasher ' 1 , Swimming Pool w/Spa •. Dryers ❑Gas j❑EIectriE `1 'IRc $Olaf❑9-15 HP❑16-15+ 1
less); .i - - I Ur Fan 1 , Microwave , 1
I not
-that In the performance of the work for Which this permit is issued,I ' Drinking Fountains ' Urinal I t ' i
shall,not employ any person In anymanner so!as to become subject.to te - - 1 1 - i
' I ( F.A.U. I Pole Light I.
Dae ' after after-nuking-Ws this nature etionia You-should become sub ec Floor Drains; I j Water Closet i 1 t
I Workers', p , .
Date SisnatcreI ' I i - , - Fixtures I _ i • Ran a-, f I-
g ) bto•tth, -- ._ 9 _-_ _ _
• Workers; Compensation provisions of the Labor. Code, you,must forthwith, I I - , Device Boxes I I 1 •1 -
comply with, Such provisions_'or.this.'permit ,shall be•deemed revokedl- I 1 Gas Service. , ' 'Outlets Mater Service ,L - is , ,, Q.`. Sign j , .
CONSTRUCTION'I LENDING-AGENCY - , - 1 ! { • • I _ , , I
I hereby affirm that there Is a;construction lending agency,for the'performance, , Y Interceptors i f. I - . f V' i , . I ,.r , I ' Outlets 1 � Standing Sections ; ' , I
of the (work for. which this, permit -is issued (Section .3097 Civ. CJ; ' - _ , , i
' Lender's Name' ' t : ' -• ' •- ' I Kitchen Sink ' • • . Switches ,Trash Compactor ,
, OWNER BUILDER DECLARATION I Lavatories 1 , , 1 - , _ • v Garbage Disposal , 1
I I hereby affirm that I am exempgfrom the Contractor's'License Law for the - I ' Generator ❑o-5 KW 05-15 KW 1 • 1 I •
following reason,(Section 7031.5-Business and Professional-Code: Any city or' l - 1 P 4Trapl r - I a I 1
r •county which-requires a permit to construct,alter Improve,demolish or:repair _ _ - - - -- Transformer ❑15-50 KW
t.`oy structure;prior to Its issuance,also requires the applicant for such permit' Roof Drains i .j 1 i _ 1 -
b fife a signed statement that he/she is licensed pursuant to theiprovisions of ) _ - - ' ❑5U+KW +Rain Reinspect-ion Fee t
'she Contractor•s'Ucense Law'(Chapter 9(commencing with Section 7000)of
Division'3 of the Business and-Professions Code) or•that:he/she is'exempt ' Showers - 7 Reinspection Fee • - $15 ' I tPe $15
I therefrom•and the'basis for the alleged exemption. Any violatlon'of Section j , 1 , - i __ 1 - Meter alp to 100 amps • • Issue Fee: I . '$ 3
17031.5 by.any applicant for' a(permit'subjects -the;applicant to a.civil - . . s-' ji. _ _ -
enalty of not more than five hundred dollars i - ! ' S_ervice Sink ` i Issue Fee $ 3 -
(5500). I - I , y a Zoning Approved BY - 1 Date t I
I LI I,has(owner the(property or-my employees With intended
their sole - '
compensation' will do the work;an tl.the structure'is not :I The)
or offered I - ' . j `. " ` 4 ,-I MECHANICAL I 1 • j - ' Application Approved By '.
1 ' Date . t t
' for sale:(Section 7044, Business'and Professional Code:i The)Contractor's t - , I I I • (
License Law does not apply tolan owner of a property who builds or improves i Boiler i ' ' i• Refrigeration System 1 ' ', q lication Issued 9
• thereon,and who,does.such work himself/herself or nteugh his or her own ' i ` I . PP By 'Date
, employees, provided that such improvements is sol t Intended or offered for i ❑0;100,000 BTU ❑100,000 BTU
sale. 1 however,the building or improvement Is sold within one' buildf corn- . 1 Duct-Under Ground t - I - { i ,
i pletion,the owner:will have the burden of proving he/she did not or im- • - I • I I I SUMMARY OF FEES ; i I
rove for the purpose of sale). •• .• - • - I • Duct-Structural 1 System Repair/Alteration !BUILDING PERMIT $' I 1 SMTP i ' $
U 1, as owner of the property,am exclusively contracting with licensed con- • t
tractors to construct the project-(Section 7044,Business and.Professions Code:-. ,_ Duct_-Ventilating, _ ._ -; - _• i PLAN CHECK $, COj PERMIT '
The Contractor's License Law does not apply to an owner of property who �, , ( ISSUANCE e • • i
, builds or Improves thereon,and who•contracts for such projects with a con- , - Exhaust System D Multiple❑- • - ,• i ° • PLUMBING $' -
' tractor(s) license pursuant to the Contractor's License Law). ' - GRADING i • I $ I i '
• ❑.1 am exempt under Section _ B.&P.C.for this reason , - Firepl/Fact.Bit.ICBG# °, i 'PLAN •CHECK $' '_ , •
i . -
ELECTRICAL $ ' $ ' I •
Date • ' Owner' 1 j ` i y Heating.System& Ducting : I l MICROFILM : $ • 1 ,
PLAN CHECK $ r
In hereby% earthy that Ihave read-this'to application all i '-that-icomply and county repre-
ores 1 , r (
and-state laws r ting to building nstruction,and hereby authorize rHOOd OI Type I ❑ • t I ' 1
sentatives of; s By.to enter; on the above-mentioned property for YP I Reinspection Fee $15 (PLAN CHECK $' i LESS 1 1 •
Inspection Du os i Canopy Tybe 11 ❑'
' Slgnatlith "--- Date9-/per P _ ADVANCED PC I $ '
1 Drlvers• License or 55* _
- ! - • -FINAL FEE j • $ .
CMF 096546 rev.12-92 White- - -_ -
/ Bulltlln9:Canary-Applicant Plnk-Accounting;Goltlenrotl-Assessor - '
' ; CONSTRUCTION AND PLANNING - - .. - , _ - - , - f--+L&SPA - --._-- -- - - ' _
-Date - 'Inspector - Date• Inspector
• -APPROVALS -, permit* • - - - _ 'APPROVALS. , Permit- # • -
.1: Temporary Electrical Service or Pole - • - •52., Pool & Equipment Location _ - -i -
' 2: Soil Pipe-Undrgrnd: I '51 Steel Reinforcement- ' ..'. • ,
I ` 3! Electrical Conduit Utility-Undrgrnd• . „ 54•' Forms;; , t''- - . - _ - ' K
" '4: Electrical Conduit-Undrgrnd'. • - ,55. Electrical Bonding .. - - - '
5[ Steel Reinforcement - .- 56,• Rough Plumbing&PressureTest '
6: Electrical UFER Grne1 - 57 APPROVAL` TO-COVER-GUNITE_
7, Footings - 58. Electrical.Conduit-Undrarnrl. : _
8. Foundation • - 59. Gas Pipe;.O Undrgrnd.;Test" ' - -
9. Water Pipe-Undrgrnd. . _ - 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System : - 61. APPROVALTO-DECK ` F; - . . -
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-Final = - -.
15.-Rough'Electrical-Conduit '- • , ' - y `- - - '
-t - l F 66. Solar S semt -Final- -- - • - - --
-16: Rough Electric Wiring - - - 67• Fencing&Access Approval - - -
'T:17:IRough_Wiring Sign;: - 68. APPROVED FOR PLASTERING
18.,Rough"Electrical-YBarCeiling - 69: POOL/SPA SYSTEMS FINAL -
f 19.:Roughi Heating& Air Conditioning , FIRE DEPT, REQUIREMENT, ` .
', 1 20. Rough Factory Fireplace ' I APPROVALS, . Permit# •
•. . 21. Ducts, Structure• i '70.' Underground Hydro •
c.
`122..Ducts, Ventilating I .. I . 71. Product Piping 0 Gas ❑Oil ,
6 ,-23. Gas:Pipe-Rough & Test ;- I 72! Underground Flush,
1524.:Roof Framing, , 'i' ; c 71 Undergrrid•Storage Tank OGas.❑Oil
• ,. 25. Roof Sheathing I . ." - ,74. Overhead Hydro _ '
',26. T-Bar Ceiling (Structural).& Monocoat '. I " ' ' : .75: Dry Chemical ° _ I
27.:Frame 'I I ( 76• Dry Standpipe . 1 '
° 1 28• Lathing& Siding, ' _ . r , . I ; 77: FIXED SYSTEM_FINAL. '
29. Insulation '. 1 I .78, FIRE PREV• FINAL I
30. Drywall Nailing . I. ; 'Notes: No M1xttt• zaiie 2 .t.CA
31-`Plaster Brown Coat I a ., ' i i ' /-
• -i . - ' ' - I -
32. Electrical Power Meter-Final ' : - •
33. Final Electric I I
' 34• Final Heating & Air Conditioning , ,
35. Final Gas Pipe-Test r 7l"`r/07 G - - - T
36. Hood'or:ca nopy-. • - - I
37• Final Factory Fireplace py 4r{'e .
38. Final Plumbing - QIT/I/aQ •
39. Water Service-Final I ' .
40. Gas Service-Final ' ,
41. Solar Domestic.Final , , i I, _ - I _ _ i ,
42. Backflow Preventer - ' ; , - - - _ _ •
-
43. Backflow Irrigation _. I - • ,
44• Landscape Irrigation System
•
45. Sound. Attenuation ,' . - •. - - - -
46. Handicap Regulations , ,
-
47. FINAL STRUCTURE&BUILDING ' '
! i
48. Special Requireinents Completed : - � - •
49. Electric ReIdaserto Edison - _.;_ _ -__ _ _? _�._ I '
50. Gas Release to Southern California Gas Co ' ' 1 . , .
A
51. CERTIFICATE,OF OCCUPANCY - - ^ - - '_ .r. . i
G o . ; Date '. . ' � 1 1 - I 1
No,
e - .._, _ .. _. .- . . _ __ ._L_•.- _ - . . -." -_ .
r
PROJECT ADDRESS: 1617 BAKER ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 056544
OWNER'S NAME: FUNK, LOUISE
ADDRESS: 1617 BAKER ST PERMIT NO: P 056544 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH
549-1459
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE WATER HEATER SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
PERMITTEE: A-AMES PLUMBING & HEATING (714 )530-2440
ADDRESS: 10422 TRASK AVENUE COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME
GARDEN GROVE CA 92642 >IP�r�E
**** ******************** *****************************3E*************3P*****:t*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETH ACKS
CITY LID.: 006664 STATE LIC.:n 5Oe: 7 ss` C_3 /
Dale: 3 /2 /«- : Signature:
/�>. [ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm a1 have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT INFRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: PC941094 EXP.DATE: 03/01 /93
COMPANY: REPUBL IC PARKING REQ: PROV: PARCEL: 13919310 ZNE: REF NO:
❑ Certified copy is hereby furnished. [% Cen
Tified copy is fited.w the city Budding(Ws" n. PLANNING NOTES>
Date: 3 ,,--e. 9 r Applicant: tr., *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARAT . (This section need not be completed if the permit is for one hundred($10O)or DEVELOPMENT S E R V I C E -S2 REQUIREMENTS
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become .e^
subject to the Workers'Compensation Laws of California, ZONING APPROVED BY 'Y DATE;
Date: Signature:
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: rsr DATE
which this permit is issued(Section 3097.Civ.C). ************************ **********************
LENDER: ****************************** ***********************************************
ADDRESS: LEGALIZATION:N - F E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL . TRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 2 00
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 5t SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis far the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(8500). ISSUE FEE 3. 00
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK . TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 2. 00 3. 00 0. 00 5.00 5. 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
• his or her own employees, provided that such improvements are not intended or offered for sale. If,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED. 5.00 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5.00
❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contraclor(s)license pursuant to the Contractors'State License Law).I am aware *****,***,*********************.*.************************.*********.*************.***
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: owner: PLU 1 WATER HEATER AND/OR VENT 2. 00 2. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Dale: Applicant:
i hereby certify that I have read this application and to that the above is ormation is correct.I agree to comply with all city and county
ordinances and state laws relating to building constr lion and hereby. orie representatives of lhi ity to enter upon the above-mentioned
property for inspection purposGes. j,- 01 00110)3C-uOl lti a�i -' S1—
Date: 3 v- ! AL-- S nature: / / D97e5 03/1F/92 TIiILa :Z.:::
Driver's License or Social Security ri:
164146 White—Buildmo:Green—Code Enforcement:Canary—AooliCant:Pink—Revenue:Goldenrod—Assessor
J
1 ' POOL & SPA
4 CONSTRUC31ON AND PLANNING .
APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Serve or Pol&tc _ 52. Pool & Equipment Location
:It
2. Soil Pipe•Undrgrnd. C, +e 53. Steel Reinforcement
T. n -
,-r:47tictr`".al Condglaility.Undrgrncj-C 54. Forms
:-.4•.- ElEctrical Condt ickindrgrnd. a, 55. Electrical Bonding
n. .
.•
C4.... 72... t•3einforceStlen,r, 56. Rough Plumbing & Pressure Test v
rti:61Lafectricat UFEgVirQd. ;:j 57. APPROVAL TO COVER-GUNITE 2
r
T'i' ptings tPLt''' o 58. Electrical Conduit-Undrgrnd. '_
8. Foundation ,
= 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe•UndStjrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. rc
10. Structural Flock System 61. APPROVAL TO DECK
11. Rroperty Sewer:tine& House Connection 62. Backwash & Receptor-Final
L
' 12. Sewer C8py 'rt.", !
-. 63. Heater & Vent-Final
13. Roof Drains ro- 64. Plumbing System - 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 FIRE DEPT. REQUIREMENT
C = --I t r- tZ -a - -
20.rRoiTgh Factory Fireplace i ...Ct.': ,L .7 0 D c••4 t TAPPROVAI SIoCPermit # t }
Li -a .t T. • .e'r Lr yr •� �, -* u: 1v„ .
j - S >£ -' 17. ' - •.'J ♦ ;L S �'�' r1 k r
21. Ducts,in•Strycturlat :_:•S S r x 90. eindergrognd,'HAro x
s. - . .
22. Ducts, Ventilating.* 7 * _ .r .S sty A 1••••••71. Product'Plping OrTis DOil
23 Gas PipERough &'Zest I n a 10 _ . O* ,c :72. Underground Flush; A
24:Roaf Framing X* •' x a ^ - * . t73ccUndergrnT.StorageTank Gas Doll
25. Ro f S Bathing tomo-: -' `i: 1-1` y :, •`'-` •' �74Overheadii dr o: «
26.tT-Bar Ceiling (Stryeturall &dylonocoat . J T J t' •; 75'Dry Chemical y - e - Z '3
27'Fra a and Flashln '
m( ,.1 r..z �. •C"
�-C tt* .: 76FDry Standpipe S-..c,. S ::.1
---:'.7.2.1.)..
- y. j.% '.1:3
t: - T '-. .V U.
�_28`�Latning& Siding^_ ;_ -tart a: 1 S_ r. 77 FIXED SYS.. ve•s1 AL^
X29. Insulati %>< C• r+ ., .. j .TI i -- I F ^ m
�n _ I x 78r;FIRE PREY. FINAL r -. .r •r.
: 30. Drywall Nailing ;r + * F. ti 4 t._•✓ •HEALTHrDEPT+ REQUIREMENT
' -r _�, r r
X31. Plaster acowo Coet� n I I q* r79`5R(TA L`YN & CT 12N `r S
S "r ' .i- a .p: _r- --•i 4c Jr.-.
:_32:-Electrical Power etel;Final; ' A ,XL t: . r80.rFOOD CERTIFICATE ISSUE
- _ - . -t - _i
.5,33',,Fina•I EIe'ctrtc - 4: r I . t' 't' ` X 'Noies: - .._ { _ :
r 'Z k „+. 't' t. t� I ct Iq. .n .
_34 Final He4tingt& A14 C3 dition y; f. ( q x s c z r s
'35i/final Gas Pipe-Test s - ( ;• . n fl? r M
" . �. ,r D .ca •:-.11-1 * i ..? .- r. 17 * 61
Q36.r,HoordorCanopy_a. ¢ I _rCi_ '-1 •x ; I I x. o ^IT
S Ir` D. 't. n1 ' c ^ ^. A' Al
37:Firi31 Factory Fiitprtace1_ 1 1 r . x .0
•• z
".. X 1 •• •• q. 1 I . A S 1-
it
28. Final Plumbing v 1 4, 3 fi7/9l . t-/a? ' t 'u
:239. Water Service-Final;. i o a I it 4. 0 m r b
.7. 1 s-C; y . x v Y.
X40. Gas Service-Final x `R t 14
.s :t ;Ltr'r ; n: I I ..v or- If
s. .I ., - i -.7X 'S
941. Solar Domestic-Finals C -- � =s p ^. '-Co r
- •r iI.. -r -7 _ 7 s T
- 42.1Backflow Preventer'tl F- V I + 1' F , .
43. Backf low Irrl�gation. a S. . *" Cr * r '-c.J 11
.ej If
-
tr4 ,c? .I q
4. Landscape Igigatio`p Systems . - J ,XZ• ru cO Hu r: ,. o
.-,- .. 'C • F. _ T T .
s45.;,Sound Atterauation -dr•- it. N. s t- :- -c ,, r. - - t.",'J tr<
.. n .. .. et/ r ra. v ^ _ .'j •
=46: iai
•Handcp Rejulatons S .T 'r •' '-% lx.: S jj S
47.�FIf1LSTRklCTURE & BU,I',iDINGA + 1 ws '!
r.
48;::FINAL PLANNING I tntr• a. I I -;. s u •1 r. v
J _ 1 a 'i. ;1_ .* ti alt r'
•
c49.;Electric Relqase to Edison ; rr I 1 :� . S S. .
'-L50. Gas-Release to Southern Californi '"Gas Co i 'Li ' - �'C LA
• Cil151; CERTIFICATE OF/OCCUPANCY a
a t - _
`.r,C r v
No Date
OWNER ADAMS ACRES, Tt`1C, DATE 6-3-49 \ --
ADDRESS 16217,- parr 4+,G+ree+ BUILDING PERMIT NO: 9K1;\
GENERAL CONTRACTOR Pike and Colegrov_e VALUE $ 111,387.00
AP. No. LOT 100 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Res: at gar
INSPECTIONS /.q/-69 DATE I GROUP T & j TYPE V ZONE R1
Underground Soil 44-1-5 U.G. Water,f/jS --"J"--S12,.. PERMITS ISSUED
—
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
N
Rough Plumbingj� V �' � 7t" oY'?7-Sy
Miscellaneous G.
Prop. Swr. Line Housei Con. St. Swr. t.-- , I, >/<fr4I5t/ I ir 7 '`7�c
Sprinkling System ,\
Heating, Final M15 7-1-.2:5-9
_
PlumbingFixtures -
Final Gas Test /'i'i/� 7 -S/ \-. s'1
1 Construction Pole ; I
Underground Power _
Rough Wirin: , /•f'/j Nan 7-?thll.0//Js-.<fin 17-./S---3-9 - , *f
• Inches" , Forms s Steel 'AIS0//S/S,
vr,or System
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing •
Frame and Flashing g•114,
, - 'S _
Lathing, In Out _2t
Plaster, brown coat -
Plumbing Fixtures, Final M-14-5 9 S
' Electric Fixtures, Final f-p, i D 'Ss- -
1 Building, Final it toff •f4
I OCCUPANCY I
Form 210-3M-4-59 -
•
95.5.2 0.'v Jun 3 1359
' .
COSTA MESA BUILDING-SAFETY DEPARTMENT Et,-,kL DEPT.
DEPT.
P.O:BOX 317 COSTA MESA. CALIFORNIA ,
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING617 Baker St.
ADDRESS
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. 'REI! NO.
OWNER Adams Acres, Inc. 5
MAIL 1 , t+ rsEyCEII'ED BY DATE RECEIVED /DATE ISSUED
ADDRESS µL9 E. 17th St. N� to -a-s 6.-3-
TEL. T� BUILDING
CITY Costa Mesa NO.1,181159 ADDRESS
ARCHITECT Carlson & LIC. COSTA MESA, CALIFORNIA
OR ENGINEER NO.
Middlebrook I
ADDRESS Garden Grove FIRE
E Type I/ Group I
CONTRACTOR o Colegrove, Inc. LIC.
167209 APPROVED • DATE
ADDRESS 019 E. 17th St.� Costa Mesa ZONING
LEGAL LOT lq.,Qlq,2 ZONE IND.OF I UEE OF NEW
DESCRIPTION I NO. 100 BLOCK I TRH(:T /R` PLANS BUILDING JG
A.P.NO. BYPROVED �� yn /, /
BY
✓V 0 DATE WJ Z �`
SIZE 1 NO.OF BLOBS. YARDS EVES
OF LOT 60 x 104 NOW ON LOT none REQUIRED ALLOWED
USE OF (CENTER LINE ST.
EXISTING BLDG. none FRONT
IN.
SETBACK LINE FROM
CENTER of STREET 661_ REAR YARD 251 R.SIDE S FT. IN.
SIDE YARD I LEFT 51 I RIGHT 51 L.SIDE i" FT. IN.
DESCRIPTION OF WORK --( �I yl
REAR e�V• U FT. IN.
NEW I X II ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
SIZE
BUILDING 1430 •
ROOMS NO.OF 6 STORIES 1
EXTERIOR WALL - I ROOF
COVERING StllrPO COVERING SHTNGT.R
USE OF BUILDING AND WORK TO BE PERFORMED
attached double garage. plan
130D
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF � A/� PERMIT FEE $34.00
PERM 777��� "`7 -
•
$ 14,387 PLAN CHECK $17.00
AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE $51.00
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA - PERMIT NO - - - - TRACT NO: LOT N BLDG.NO: --' I.
` -- - - - -- •
-
CONSTRUCTION PERMIT M-a,ru�7 2v2Z /c./o F' 4533 4/1.3/82 : '..124.42 TL
' Project Address /67/ ��, �+ / �/�3TYPE OF CONSTRUCTION,. " . .1 •
Owner t�(�_'f'{�`��'��i .L6.,.j , u�R 1 Phoned .,/T-5/ ❑ NEW 761 ADD ❑ALTERATION - - - _ - -
Address--- /.6 A7 7 �• - - •/ ❑ REPAIR 0 CONVERSION ODEMOLISH _ y - - _
/ ❑ OTHER ZONING REGULATIONS'-
,'Arch/Eng. - - license No. - - _ _
• - DESCRIPTION OF WORK - •'A'P'4$ P9-1 - '/b
Address - '�- U - '_ - -' " -- - _ - - .ZONE PLNG:'REF. - -
, Contractor-- &I o ^- __..." - Phone - TYPE OF-PERMIT. - BUILDING - - TO B�/I`DING
SETBACK CA_ST. PROPERTY LINE rt:
a •'Address _ � - " - - - '- ' - - -•- _ -_ -❑:GRADING 0• FOUNDATION- ❑:STRUCTURAL - -;SIDFET YARD AD/1/-y r. ri -R - •
LICENSED CONTRACTOR DECLARATION- 0 TENANT 0 ELECTRICAL ❑PLUMBING-OMECHANICAL --SIDE-YARD -. - Ts'--CIV•- . - • --
'1 hereby affirm th.t I am licensed under provisions of Charter 9 (corn- , . RIGHT ,
mencing- with section ]000)-of :Division 3 of the Business-and 0 OTHER - -- • - REAR YARD(TO P/L) - -- - • - •
Professions Code, and my license is in full force and effect., ,PROJECT DESCRIPTION __
License Class • License No. - _ , - - - ,PKG.SPACE-REQ. - - PROVIDED. ._ - -
_ F
-
. _
• _ ' -' OCCUPP.NCY ' -Cg N 0.UCTION TYPE . STREET WIDTH PARK FEE $ ,
'O reby of CO that I have NAECLate of consent
_ .(//ts�, p - -- •ZONING APPROVED BY DATE`' e,_ �
,ereby affirm that 1 have a Compensation
certificate of consent to self-Insure ora VALUATION -/c-,firTONE ' •i /�7 �lT�
rtificate of Workers' Compensation Insurance/Ayv,or a certified py - _ _ - _ .-.._. _. _ . _
,.n ereof (See,$�t__on 3803 La -C. f - __ _ —, _ —. _ _ -._. _. _
-Certified-copy is hereby-furnished. _ _ _.. _- - REMARK$: _ _ _ _ -. I
10 Certified copy Is filed with the city Building Division. J
EXEMPTION FROM WORKERS"COMPENSATION'DECL'ARATION '-------- -----" - - --'--- - -- - - -^ •- '- -(This section-need not be completed If the permit isfor one hundretl -- -J, •,„ "($100) orless), 1 t _ -_. - _ _ ._ __ ___ . _ - -certify that in the performance of the work for which this permit_is _issued, I shall not employ any person In any manner so as tobecome. l; PAN CHECK- "' ' -' - - ELECTRICAL- - ' - PLAN CHECKsubject.to.the Workers'.CompensatlonLaws of California. -JDate - - Signature - - SHOWERS' SQ FT SO FT - ,
'NOTICE: If after making this declaration, you should becomesubject1,T,OILETS- - r, URINALS"-- - - ' - -- - GENERATOR- - 0-1 KW_1=10-KW-- . - " -'
to the Workers' Compensation provisions of the Labor Code,'you must TRANSFORER • • '
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOVBLE'LAVS - - , - !APPLIANCE- 10-50 KW. 50+-KW.. - ^ - - • „,.-
'revoked_
-
'revoked_ I
KIT:SINKS - 'DISHWASHERS" - '• _ -`MOTORS- -- - 0-1 HP -'_110 HP '- - -- j
CONSTRUCTION LENDING AGENCY �. • - 1 1 I
hereby affirm that there is a construction lending agency for the per- SERVICE SINKSt, -a ^,,SUMPS'-' ' -- -- --j - '- -- r(1NC..SO LA R)_ 10-50 HP_50 +HP - - -- _ .)
formance of the work for which this permit is Issued (Section 3097
Civ. C.)' —•
-- —FLOOR SINKS - FLOOR DRAINS"- ' ' - - - FIXTURES--- -OUTLETS ' SWITCHES' - - -
'Lender's_Name ____ _ __ _ - '
Lender's Address DRINKING FOUNTAINS I. - ' ' -- , -- - 'GAS TUBE SIGNS ----- - - - - - - - - ,
OWNER BUILDER-DECLARATION - - --- - - - ----- .- -- --
- ' --
._.
I hereby affirm that I am exempt from the Contractor's License Law forI
INTERCEPTORS CLARIFIERS POLE'L'IGHTS . '- - -- • -- ;- -- ••
the-following-reason--(Sectlon-7031.5Business and-Professions-Code:- 'SWIMMING'POOL--' - PTRAP' •-- --• - - �•-- -- - -LUNSss<U�-liUrv_ _ •- • _
Any city or county which requires a permit to construct, alter, POLES METERED .SUB--` -- -.
Improve:demolish or repair anystructure, prior to-its issuance;also reWATER SERVICE ' ALTERATION -" - :PANELS--- ---MAIN - SUB - - --
quires the ap.lisant for such permit to file a signed statement that he -
I Is-licensed pursuant to-the-provisions'of the-Contractor's License-Law' -GASSERVICE -OUTLETS -- -- --- SERV ICE- -- --- -- - - •- -AMP- - - - -I
(Chapter 9 (commencing with Section 7000) of Division 3 of the •
Business-and Professions Code) or-that he is-exempt therefrom and-the- -WATER HEATERS- -' BTU OUTPl1T - --- - - ' - -• -- --_-- - - - - - - - - - -
basis for the alleged exemption. Any violation of Section 7031.5 by ' - - - __ - ,
any-applicant-for a- permit-subjects the applicant-to a-civil-penalty- - SEWER'CONNECTIONS- - -j- ' - -^ - - - - - - - - �
of not more than live hundred dollars ($500). . - . I - '- -' 1
❑ 1, as owner of the property,-or my-employees viith wages astheir- - SOLAR'TANK —' - - COLLECTORS'^ '- `�'- - • - '�' __ ^--_-- ---• ^- — - -- -- - - -
sole compensation, wlll,do the work,and the structure is not intended _ - _ _ _ ^` '
or offered for sale. (Section'7044, Business and Professions Code: The SOLAR PIPING SYS. -if - --- - - -' I '- ISSUE'FEE"-- ---- -- -
ContractorJs_License Law_does not apply_toan owner-of a property- _ _ _ •
- - � .
who builds or improves [hereon, and who Coes such work himself or -• ISSNE FEE _ - - -r••'-- — 4..APPL-ICATION APPROVED BY - - DATE/r ,•�
through his own employees, provided,that such improvements are not - _ __ _ ------
_____
I, - ded or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK -� T SUMMARY OF,FEES
s so • within one year of completion, the owner will have the burden ,. .1 .r ' /• •- '
of pr ',ring he did not build or improve for the purpose of"sale):" - - - - ;BUILDING-•- -- Sa, .•'SMIP�• $ - • .7�_ '
ti-1- •as-owner-of-the-property, am exclusively -contracting. with HEATING SYSTEM 0-100,000 BTU PERMIT $- , ^ ;
-AND DUCTING-- = - j
--•sed contractors to construct ctheto protect (Section es7044,not Business ^ 100,000 +BTU I 'PLAN CHECK $ • PERMIT. „ •
•fessions Code:The Contractor's License-Law-does not apply to. .l
an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ , 1,-.,, I,,.: )•'
ya its-from-such projects with-a contractor(s) Iicesned- pursuant-to - SYSTEM - - - I'- -- -- -- _ -- ___ _ ' GRADING "E , d
tb(Contractor' !cense Law). 100,000+13TU _ - • ,. + sPLAN CHECK 5 i i1 •4,• - i.<
lam-ex-m•. nder ction ' - - - -d-_ -'B.&P.CCfor'this- • ~ I $
• niter BOILERS BTU tELECTRICAL -$- --
_ _ t - '1 MICROFILM $ "
SYSTEM REPAIR,ALTERATION -- - _ ---- - - '1,PLANCHECK-$ - - •
'rt
Date. Owner 1 ' TOTALEEE E s
EXHAUST SYSTEM MULTIPLE •MECHANICAL$L•--^•-• - - - -
I hereby certif fy that have ab a this application and state"city a the above I I - ' . v�..v LESS EAD-P
ordinaacesn Id"camera I satin Eo co stru-with alleryPLAN CHECK•_;$-^- -VANCE PC E_
ordinances and state laws relating to yon and hereby authorize I - -
representatives of-this city to enter' upon the above mentioned' )4 „
property for i specl1"1 poses. _ - - _ •
FINAL FEE E JJff �l
'Signature ( n.t.,4 .aeirs/� - Date _ __ -f. . _ ^ - . _ _ . �9-�' �^'
S/ ISSUE FEE -
Orivers'License or 5S4 - •' - .. . - -
CMF 0865-46 While- Canar , sero -
• CONSTRUCTION AND PLANNING _ POOL& SPA ' - •
Date Inspector S " - - - • Date - • Inspector
APPROVALS Permit# S�)- APPROVALS . _ . Permit# '
-
1. Temporary Electrical Service or Pole 43. Pool•& Equipment liocation'- ' -- - - - - - - - -- - ----
2. Soil Pipe-Undrgrn - - _ 44. Steel Reinforcement - - - - - --- . -
3. Electrical Conduit Utility_Uodrgrn• . _ _- . 45.45. Forms - -
4. _Electrical Conduit-Undrgrn _ _ 46. Electrical Bonding -- -
• 5, Steel Reinforce - • - • S 4.Pta. 47. Rough Plumbing & Pressure Test
6. Electrical ,UFERGrn -. _ 48. APPROVAL TO COVER-GUNITE - - ... .. ' - '
7. Footings - _ . . � .tj:,icj.9S4 49. Electrical Conduit-Undrgrn . . - • . , •
8. 'Foundation . - - _ 50. Gas Pipe, -❑Undrgrn;Test ' . - i ' - ,;
9. - Water Pipe-Undrgrn . .. 51. Backwash Lines. P-Trap. ❑Undrgrn •- -
10. Structural Floor System. - __ _ _ . 52. APPROVAL --'- ' . ` ._ '
• 11.. Property Sewer.Line & House Connection _ . - _ - 53.. .Backwash & Receptor-Final -" •
. 12. Street Sewer Connection .. _ . - - --- -- - 54: Heater & Vent-Final -
13. Rough Plumbing . _ . - . -- - - 55. Plumbing System-Final - - - - " - �- - 1,
14. Rough Electric-Conduit - • - - -- -56. Electrical-Final - -
15. Rough Electric-Wiring - - - 57. Solar System-Final - - „
16. Rough Heating & Air Conditioning " .-• - - - - - b8. . -Fencing &Access Approval
17. Ducts, in Structure " . _ - . - . . _ -.. 59. APPROVED FOR PLASTERING '
18. Ducts, Ventilating - - - . , _ .. _ . .. .. ' - _ . _ . . .. -
19. Gas Pipe-Rough &Test • , - - _ . 60. POOL/SPA SYSTEMS FINAL 1 L , - ' •' -, 7-
.
20. - Roof Framing --- -- - _ - -} _ _ . . ' ' • ' '
21. Roof.Sheathing .. -- - .. . .
• 22. Frame and Flashing -" - - ± _. .- , -. . Lb-NOTES.," •
23. Insulation -- - - - . : - . . .. - _ _ _
24. Lathing & Siding - - - , - _ - - _ _ - - - - - - - - - - -- .
25. Drywall Nailing - _ ._ . - - -"
26. Plaster Brown Coat - _ - - . -•
27. Electrical Power Meter-Final -- "' - - _ - _ - •- - ._
28. Final Electric - - - - - - . - - - - - - -- - - -- - - ' _
29. Final Heating &Air Conditioning - .. - - - - __ " - - - • - - .
30. Final'Gas Pipe-Test - -.. _ , ._ __ - - -
• 31. Final Plumbing _ . - - _" _ __ 4. - , ' t -., ,
, 32.- •Water Service-Final- _ - • . -_ _ . _ _ __ .. , - . `'
33. Gas Service-Final - - - _ ,_ .. .- _ . -
34. Solar Domestic-Final - ' '• -• „ '
35. Landscape Sprinkling System _ - - - - - $ - - • - '
' 36. Sound Attenuation - -- • - - - �
37. Handicap Regulations . , - - - - - - -.. - •
38. FINAL STRUCTURE & BUILDING ;y_ar.9c. .S_- - _ _
39. Special Requirements Completed _ --' _ - - -. '
• 40. Electric Release-to Edison - - - - -
-! - -
41. Gas Release to Southern California Gas Co. - ;, - . . - . - .
-_ 42._CERTIFICATE OFOCCUPANCY T - - . -
No. Date - - --- ----- - - -- --- --- - - -- ------•- ----- ---