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HomeMy WebLinkAbout1634 BAKER ST - Building Permits _ 1101€ — FEE, /RE�� q�lED • COSTA MESA BUILDING-SAFETY DEPARTMENT e! �/ /j_O'er -s P.O.BOX 317 COSTA MESA.CALIFORNIA FlMAIVCE DK FOR APPLICANT TO TILL /N COMPLETELY APPLotwrop oy' RMIT TYPE O�^'{ /7 R� PRINT BUILDING BUILDING / 63 I/ 'ire--/r-• ADDRESS COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY /V/ P I RECEIPT NO. IPERMIT N OWNER A94yx,P c - ` D /9U,L1 1.' N(//Pw2 / MAIL (�.�( it-x--it �(\���"• RECEIVED BY DA E RECEIVED DATE SU D ADDRESS /6S c / ,{,{� �T'.. 13h I /I fa`�/...> •1 1i�� 's� , �(� JT// /•'1 %S)�' // BUILDING /`,�a/� 1 I TEttr7 (`(� / CITY NO. 5.30 IS ADDRESS ARCHITECT LIC. COSTA MESA, CALIFORNIA OR ENGINEER NO. FIRE ADDRESS ZONE TYPE1E. GROUP q ,[ STATE APPROVED CONTRACTOR '(A/L/ LIC.NO. _ BY DATE ADDRESS • ZONING f/f///// //(////� LEGAL LOT G I //‘ I g�� EON�//\ ( I NO.OF I USE OF NEWg41 /wJ�J/ DESCRIPTION NO. ` BLOCK RACT ,(' PLANS //�/ BUILDING I/O vI A.P.NO. / l I /I, APPROVED I / 1. /�TE //^��3f OF LOT 40• are.? X 10 '] I Now ON LOTB YARDS /7(v/ // I /� REQUIRED ALLOWED USE OF /'/ (CENTER LINE ST.) EXISTING BLDG. �(' FRONT FT. ± IN. SETBACK LINE FROM 0 �( CENTER OP STREET ‘',..CO REAR YARD R.SIDE FT. 'O IN. n SIDE YARD LEFT RIGHT 6 L.SIDE ^......... FT. IN. DESCRIPTION OF WORK REAR FT. • 0 IN. NEW I V /+LTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I BUILDING NO.OF SIZE. . ���ROOMS STORIES ' EXTERIOR WALL L (ROOF COVERING (COVERING US 1.0 BUJ NG_FJORK TO BE PERFORMED IA 6 ' X 6 6r 3 (1 /24,,v4) - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONST TION. 1/�},/YI�J' /J VALUATION SIGNATURE OF �^/�, . .//� PERMIT FEE $a — PERMITTEE I/T'r iGG(i A, W PLAN CHECK $ AUTHORIZED AGENT 949 '! TOTAL FEE $� e 9505 •I tem _ r qfi'COST: MESA BUILDING-SAFETY DEPARTMENT J I n ?fr P.O.BOX 317 COSTA MESA,CALIFORNIA 1! 1M1II L, DEPi. .,r:•„ - . FOR APPLICANT TO FILL /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 1634 Baker St. COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY PECEIPT NO. PERMIT CNO._ OWNER Comesa, Inc. .. I I jn_ 7 MAIL RECiIVEEQ BY DATE RECEIVED q DAT SU ISED ADDRESS /119 R_ 1$+,h St- A :�y/ I Ld -.2.-c /I /— - CITY Costa Mesa TN O. 01159 NG ADDRESS ARCHITECT LIC. COSTA MESA. CALIFORNIA OR ENGINEER Carlson OE NO. Middlebrook FIRE R ADDRESS Carden Grove ZONE Type I/ Group r_ft. ry n���y1�g� ppf� Cole rove Inc. STATE APPROVED CONTRACTOR Colegrove, Costa LIC.No. 167293 BY DATE ADDRESS 419 _E. 17th St., CMesa ZONING LEGALI LOT ^3 I I 2822 ZONE /(.7 NO.OF USE OF NEW DESCRIPTION NO. y BLOCK TRACT / , I PLANS I BUILDING to A.P.NO. APPROVED // V` y BY / DATE 4/1_A • SIZE I NO.OF BLOCS. YARDS EVES 60 OF LOT x 304 NOW ON LOT none. REQUIRED ALLOWED USE OF (CENTER LINE ST.) EXISTING BLDG. nate FRONT i7, FT. IN. SETBACK LINE FROM CENTER OF STREET 661 REAR YARD 251 R.SIDE S Ff. IN. SIDE YARD I LEFT 51 ' I RIGHT 51 - L.SIDE S FT. IN. DESCRIPTION OF WORK . a REAR 1 FT. IN. NEW 13( II ALTERATION I II ADDITION REPAIR I II MOVING I II DEMOLISH I SIZE LDING 1 50 ROOMS 6 STORIES 1 EXTERIOR W q�. NO.OF 44 ROOF COVERING OT,UCCC I COVERING Shi ngle USE OF BUILDING AND WORK TO BE PERFORMED Single gamily residence with attached double garage. Plan 14013 • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND 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 OFcaPERMIT FEE $ 0 PERMITTEE �o -- '34.0 $ 16,552 PLAN CHECX $ 17.00M AUTHORIZED AGENT Dike olerrrove. The. ?AL FEE $ 51.00 • r 11.8,34 FEL RECEIVED COStA MESA BUILDING-SAFETY DEPARTMENT ,0 i 4-a S-G 0 P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATIONC�OR0PERtvI11 A MESA TYPE OR PRINT BUILDING / `j ,/ �j) // ,� r:. BUILDING ADDRESSCOSTA MESA.///JJJ�/�O pJ v 7 764 For Office Use Only • �/. /L�(f e .- /a I RECEIPT NO. 1�PERNIT. NO. OWNS �i �Y[ EW� - MAIL S RECEIVED BY ,,D/AATE RECEIVED /DDATE ISSUED ADDRESS p5J fG .G F flt y/✓ T'� ..26---‘0 I / -J s-G CITYQ, / *6'30 BUILDING ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS FIRE . /� ).).. / ZONE TYPE /4/ GROUP CONTRACTOR,/� APPROVED BY DATE ADDRESS ZONING ZONE /21NO.OP USE OF NEW r CITY (I PLANE /^^y I BUILDDIING w STATEIC. TEL. LEGAL �..5 ©2 Y 2� LIC.NO. J NO. DESCRIPTION r,.7 vG •G SIZE OF LOT 60 I / 2 /D ‘ I NOW ON LOTS A.P.NO. --12------- USE OF YARDS EVES EXISTING BLDG. 4 - - _ APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) 7 CENTER OF STREET St' REAR YARD FRONT 5bFT. f IN. SIDE YARD I LEFT I RIGHT R.SIDE FT. / .-----IN. DESCRIPTION OF WORK OIN L.SIDE FT. NEW I ALTERATION I II ADDITION I REAR // ///1 FT. IN. REPAIR I I MOVING I DEMOLISH I APPROVED(/' / I E El— BUILDING NO. OF C•V LA'/ �J SIZE ROOMS STORIES EXTERIOR WALL k I ROOF COVERING COVERING USE ,sip LDIN AND RK TO BE PERFORMED 6 X b '`� /SGA_ . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPIJ CATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES ANS STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE 0�rt 1 ! ' . j/ill- PERMIT FEE $ �� PERMITTEE `���� �1N LAW✓, R B s $ / PLAN CHECK $ AUTHORIZED AGENT 2J ci-t 0 TOTAL FEE $ !Y OWNER CONSA;.raw.T :'. DATE 6-3-59 JOB ADDRESS 16311 Baker St. BUILDING PERMIT NO. 9505 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 1 ,552.00 AP. No. LOT 93 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK nes.W t•t;ar• INSPECTIONS DATE I GROUP 1 & J TYPE ZONE I (ice// Underground Soil U.G. Water/},/-r j-//-5y'_ PERMITS ISSUED SUBCONTRACTOR Underground Gas DATE NUMBER Overhead Water and Gas _ Rough Heating say- -cs }( :eo red/4—.en1, �!-c-cofs S,i Rough Plumbing -/ S .7v/7Z/19. ; , -,-c--// 6-- =5 r .-----5/3 9 . /; Miscellaneous '11 Prop. Swrt Line House Con. St. Swr. C,�c(r t dj?Qe,,,,C;-(t,,, 7/c!l)1{ / Sprinkling System , / Heating, Final /}/1-f5' 9-/�SD � . Plumbing Fixtures '/141-5ri-/Y-5V / Final Gas Test /5' Al/S ?-/Y-39 _ Construction Pole 2)/77-6thii,--e ,3>207 J j ye j% " Underground Power Rough Wiring. /'Y/ii X 7even,. c-yn.>/rr-ox, z: 2-/-re, 7'5-.5-- � Trencheg4 -FormsV Steel i))1- a////S Floor System C / Steel Reinforce Chimney Re-Rod - Bond Beam Sheathing Frame and Flashing lie r '/-1 - Lathing, In t- Out • 'a/• , -ii- Plaster, brown coat . A-^ ''y- q-4i- 51 414F-49-.St Plumbing Fixtures, Final S y/ff�SL Electric Fixtures, Final iter-) _y sy Building, Final 4/lm f-jef,,cf OCCUPANCY Form 210-3M-4.59 OWNER GAULT. RAYMOND D. & WINIFREDA DATE 11-23-59 JOB-ADDRESS 16314 Baker St. BUILDING PERMIT NO. - 11016 GENERAL CONTRACTOR Owner/Bldr. VALUE $ 7110.00 AR No. LOT 93 TRACT 2822 FIRE ZONE DESCRIPTION OF WORK Blockwall - Comm. INSPECTIONS DATE I GROUP J TYPE 3 ZONE R-1 Underground Soil U.G. Water PERMITS ISSUED Underground Gas SUBCONTRACTOR DATE NUMBER Overhead Water and Gas _ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches/l/bj/-Forms ,09,Steeljigg01- If-1e-r7 Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat _ Plumbing Fixtures, Final Electric Fixtures, al , - Building, Final , Aar i _ OCCUPANCY I yyC- Form 210-5M-11-59 S-B P • nm. OWNER CIAUT.T RAYMOND & WINTFRED DATE 1.1-25-60 JOB ADDRESS 163k Raker St. BUILDING PERMIT NO. 11831.1 - GENERAL CONTRACTOR Owner/Pldr . VALUE $ 150.00 AR No. LOT q3 TRACT 282? FIRE ZONE DESCRIPTION OF WORK Comm. Blockwall I INSPECTIONS DATE I GROUP J TYPE 3 ZONE R-1 Underground Soil U.G. Water PERMITS ISSUED Underground Gas — — SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches ffdJll Forms Steel/iee'f1 q--2-3-6 Floor System Steel Reinforce Chimney Re-Rod _ Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANCY Form 210-5M-11-59 S-a P r� Applicant to fill in all spaces except those within heavy border lines and Sign all appropriate declarations. 37(;6 7/10/94 CITY OF I;�t5 c MESA COTRU TION PERMIT PERMIT NO. TRACT NO. LOT N . UNIT NO. Project Address 162M -AK=R— b 1401 9 zea 9 - Applicant's Mailing Address Sic/4 C TYPE OF CONSTRUCTION* ) .NEw ADD LI ALTERATION U REPAIR GI-040 CC-ARCE pt. -4°99 0 CONVERSION ❑ DEMOLI{SH 0 OTHER A.P.4/. I Zone �- 1 Owner's Nama ,42^ lit DESCRIPTION OF W RK/USE•OF BLDG. Address ,9 A�'� k/ M t 0 CrO°ale- S Main Building: Accessory Building: —� RQVIA�SLI.I�' License No.' T PE OF PERMIT GRADING Ll FOUNDATION E T �� O Arch/Eng. n' ,s , �/ ❑ STRUCTURAL FrontAddress y 'vv( S ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear 72 �� N pp 0 OTHER Contractor's Nam � /e •LV pr`��`NPhone C Right ,��� _ Q t 1 �� N v PROJECT DESCRIPTION S FT. '3� OCCUPANCY • Address(mailing) ,-i • 'hi, 9L . U �rs� e� K l 1 G g CON ST RUCTION TVP VM - V DATIONS E/CO $ Left I c' — Q — R Li City License No. aAT 3 1 0 ZONE _ _ GRADING CU.YDS. _ ACRES Ping. Ref.vF Parking Req./Provided — E LICENSED CONTRACTOR DECLARATION 0 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes:i�� nu U., M with section 7000) of Division 3 of the Business and Professions Code,and yC co my license is in full force and effect. / : �' T i S. 1 License Clas G License o. - _ Date re t r Signature /f • F-_/ r • PLUMBING FEES NELECWORKER 'C•MPENSATION DECLARATION Bar Sink Showers TRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW 3800; Lab. C Policy No. 7a 1 —$ Compan$7AIF rYMD C '4tP Backflow Irrigation Sewer Ca 0 50+KW 9a p Construction Pole Sub. edified copy is hereby furnished. Cert'tfip dlcopy is filed with the city Bsy"�in Divisi n4le Bathtubs Sewer Connection Cooking Unit ' Meter ❑up to 100 amps Date I fl Applicant Pritztzat 'IREMPTI N FROM WORKERS'COMPENSATION DECLARATION Clarifiers . Solar Collectors Dishwasher Meter Dover 100 amps • ;This section need not be completed if the permit is for one hundred($100)or less). Dishwasher Solar Piping Dryers ❑Ges OElectric 'Sub Panel 11‘`,.„ 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 te Drinking Fountains Solar Tank Fan Motors❑O-1 HP 01%-8 'workers' Compensation Laws of California. ' Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP❑16-15+ NOTICE:Compensation making this onfi h, you r becomeusubject h ite Workers' hprovisions of the Labor Code, you forthwith Floor Sinks _ - . - Urinal _ Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - Gas Service Outlets - Water Closet Device Boxes Pole Light I hereby affirm that there is a-construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - Lender's Name p Outlets Range Lender's Address & ` • Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION . Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories , following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal 'Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P—Trap any structure, prior to its Issuance, also requires the applicant for such permit - - Generator 00.5 KW 05.15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - the Contractor's 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 for the alleged exemption. Any violation of Section ' 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). $ 3 I, as owner of the property my employees with wages as their sole Reinspection Fee $15 , Issue Fee compensation, will do the work,and the structure is not intended or offered ---- Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL ' FEES License Law does not apply to an owner of a property who builds or improves _ thereon, and.who does such workhimself/herself or through his or her own - -- DEVELOPMENT SERVICES RE UI EMENT employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 7CES (` 'sate. If, however, the building or improvement Is sold within one year of corn- Canopy Type II 0 -• Zoning Approved By 1.�s-t N�'( s Date ^" •` pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground r �-Y grove for the purpose of sale). - Building Approved By (� Date --/`/'�-L•1 LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By______S414 Date- /I.L_ tractors to construct the project (Section 7044,Business and Professions Code: !! The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU $ MARY OF FEES builds or improves thereon,and who contracts for such projects with a con- ( CD tractor(s) license pursuant'to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ • SMIP proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ z-••j. PERMIT $ J 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG 4b ' PLUMBING $ ISSUANCE $ Date Owner - Heating System& Ducting - PLAN CHECK 25% $ ENERGY P.C. $ I- hereby certify that I have read this application and state that the above ❑0.100,000 BTU ❑100,000 BTL .. ELECTRICAL S GRADING $ information is correct. I agree to Comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- MICROFILM $ sentatives of this cit to enter upon the abo/-mentioned pr pe [ypfor PLAN CHECK 50% $ Inspection purposes. /_ J ✓_ MECHANICAL $ TOTAL FEE $ Signature =rte. G! - L Date { n . Drivers' License or SS# - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor It 1rPOOL& SPA 1 CONSTRUCTION AND PLANNING 1 ' APPROVALS Permit# Date t Inspector APPROVALS Permit# Date Inspector t, 1. Temporary Electrical Service or Pole- . - • 52. Pool &'Equipment Location •. 2. SoilPipe=Undrgrnd . :' '' • 53. Steel Reinforcement 3._Electiricsl Conduit Utility-Undrgrnd: • 54. Forms 4,, Electrical Conduit•Undrgrnd. " '� 55. Electrical Bonding • 5.SteelReinforcement ' - - 56. Rough Plumbing & Pressure Test 6.Electrical.UFERGrnd., 57. APPROVAL TO COVER-GUNITE H - Z."Footings 58. Electrical Conduit-Undrgrnd. 8' Foundation ' ; ‘: 59. Gas Pipe, 0 Undrgrnd., Test 9 Water Pipe-Undrgrnd.' 'r • 4 60. Backwash Lines, P-Trap, 0 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 System - Final 14. Rough Plumbing ' • _ 65. Electrical-Final I� 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 20. Rough Factory Fireplace • APPROVALS Permit# • 21. Ducts, iti.Structure , , 70. Underground Hydro 22. Ducts, Ventilating r 71. Product Piping 0 Gas ❑Oil ' r - 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing ;r,• - 73. Undergrnd.Storage Tank.0 Gas 0 Oil ' 25. Roof Sheathing ' - 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing -.; 76. Dry Standpipe • . 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREY. FINAL • 30. Drywall Nailing i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat el 79. FINAL INSPECTION 32. Electrical Power Meter-Final •80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test - 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 Irrigation - 44. .Landscape Irrigation System 45. Sound Attenuation . 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING •7/4z/ec Gi'i 48. Special Requirements Completed . 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • Applicant to fill in all spaces except those wIthin heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE MIT NO. TRACT NO LOT NO. BLDG.NO. 5127 2/29/84 ' 2I .9:, 1. CONSTRUCTION PER Tis , — f� S- f��/ 'ZQy� 93 Project Address - l �H r_'r'- TYPE OF CONSTRUCTION LTNEW U ADD U ALTERATION U REPAIR /7 Applicant's Mailing Address . MO ❑ CONVERSION 0 DE 121-I T R A'P'`M' i. .( - PQ - S I Zone DESCRIPTION OF WORK Owner's N$(!/[1'ej/� —Phone S Main Building: Accessory Building: Z (p Address 3-'J PITYPE OF PERMIT ❑ GRADING U FOUNDATION ❑ STRUCTURAL E T Front - �� N 0 Arch/Eng. License No. ..4\s 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICALB Rear 0 7 • N Address ❑ OTHER - A - 1s3 ly/�5c ,,// C Right - O / G Contractor's Nem>f'! -Al 14. 's. 14 ± w.s ' 'hone-,7-/sS PROJECT DESCRIPTION SQ. FT.67 0,1741- -�� / OCCUPA/VCY�p,�� S R Address(mailing) rte- s a _1 - ,- �' CON STRUCTION TYPE VALUATION Left e) / E - \ City License No. '4, Z ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q vV\\ LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided U I hereby affirm that I am licensed under provisions of Charter 9 (commencing / pf (, woad O R with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: S 151cc, tc)fl.�df E my license is in II - . antl effect. /j Lice eCI. s • 0 �sIe_..,.,: o,"TCII-137 PLUMBING , I FEES Planning Notes: E \ Dat• 4Prda Signature bla�/:I=/f7r Bar Sink Showers N rs WORKERS'COMPE ATION DECLAR •TION T `\ I hereby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer Service Sink S if Workers' Compensation Insurance, o'r.a certified copy thereof (Section 3800, Lab, C C �..s���• rr. 1-e ' Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No.6S- O� Company_%14,rea YV/V/s ' �pertlfied copy Is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW DatCpzjlfi oP�S za Oletl with Appliccltyeqiiltling,wl o • ❑ 50+KW Date bid/, Applicant dam/ Clarifiers Solar Collectors Construction Pole Sub. EXEM PTIO FR M WORKERS'COMPENS TION DELLA ATIONDishwasher • Solar Piping Cooking Unit Meter pup to 100 amps' (This section need not be completed If the permit is for one hundred($100)or - less). Drinkin I certify that In the performance of the work for which this permit is Issued I 9 Fountains Solar Tank _ Dishwasher Meter Dover 100 amps shall not employ any person in any manger so as to become subject to the Workers' Compensation Laws of:California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel • . Date Signature NOTICE: If oaf ter making this declaration, you should become subject to the i Floor Sinks Urinal Fan Motors 00.1 HP 01%-8 - - ' Workers' Compensation provisions of the Labor Code,,you must forthwith comply with such provisions or this permit shall be•deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar ❑9.15 HP 016-151-CONSTRUCTION LENDING AGENCY ' 1 hereby affirm that there is a construction lending agency for the performance, Interceptors Water Heater Fixtures :Microwave of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Name Kitchen.Sink, Water Service ,. Device Boxes - Pole Light , Lender's Address OWNER BUILDER DECLARATIONLavatories - Outlets Range I hereby affirm that I am exempt from the.Contractor's License Law for the p_Tre following reason (Section 7031.5 Business and Professional Code: Any city or P. Switches Sign • 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 ROOf'Drainz - Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of - the Contractor's License Law(Chapter 9(commencing with Section 7000)of • Division 3 of the Business and Professions Code) or that he/she is exempt Generator 00-5 KW 05-.15 KW Trash Compactor 'horefrom and the basis for the alleged exemption. Any violation of Section - . p )31.5 by any applicant for a permit subjects the applicant to a civil • pains coon Fee • anally of not more than five hundred dollars($500). _. Pe $25 Issue Fee $ 3 o I, as owner of the property or my employees with wages as their sola MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure Is not Intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS' ' License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 ��/' �)/ ••t�1 S29 j thereon, and who does such work himself/herself or through his or her own Zoning Approved By kr— Ka'Fl.. Date.,-�`1' employees, provided that such improvements are not intended or offered for • Canopy Type II, ❑ / Duct-Under Ground slati I however,hewthe willhav building theburden improvementfrovi soldwithin one year rim- -- Building Approved By Date elation, the owner sehave of proving he/she did not build or Im- grove for the purpose of sale). Duct-Structural Refrigeration System ApplicationBy �/ / lJ Issued � Date cWit I,as owner of the property,am exclusIvely contracting with licensed con- ❑4100,000 BTU 0100,000 BTU tractors to construct the project (Section 7044,Business and Professions Coda: Duct-Ventilating _ SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a con- ' Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 6 SMTP $ - ..• �� tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ g' 4.1-5 PERMIT 0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG 9* PLUMBING '$ ISSUANCE $ ' Date ' Owner . HeatingSystem&Ducting •, PLAN CHECK 25% $ , ENERGY P.C. 1$ I hereby certify that • a , read t• application and state that the-above 00.100,000 BTU 0100,000 BTC - ELECTRICAL $ GRADING $ 1 information Is correct I agr e to cony with al ty and county ordinances l and'state laws -la • to b siding str- tion a d -reby authorize rept - i PLAN CHECK 50% $ • MICROFILM $ f sentatives o/2. nter t c- entioneyy,,yyro ty G ` tlo, y . '/� /p�J- MECHANICAL ' $ TOTAL FEE $ �'/J Signature Tri ��lR - Reinspection Fee •$25 Issue Fee • $ 3 PLAN CHECK 25% $ • - • • CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor . • .CONSTRUCTION AND PLANNING POOL & A • - - - ,- • APPROVALS Permit# 241`-` -i 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' . • D .~Y ,bV 3:5... 56. Rough Plumbing & Pressure-Test -_• - 6. Electrical UFER Grnd.. ' 57. APPROVAL TO;COVER-GUNITE, ; 7. Fdotingss - 3.1,451-. + 3.z e - . G el,.' 58. Electrical Conduit:Undrgrnd. ' `, : c . 8. Foundation 'i, I_. C ', 59. Gas Pipe, O Undrgrnd.,Test " - . . ) i • 9. Water Pipe-Undrgrnd: 1•-! ' :+ f 60. Backwash Lines,P-Trap, 0 Undrgrnd. '' � n 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection f' 62. Backwash& Receptor-Final . - - • 1.1 12. Sewer tap '''i 63. Heater &Vent-Final . _ 13. Roof Drains • • -.. - 64. Plumbing System - Final - • -,- , 14. Rough-Plumbing '65. Electrical:Final t 7 . - 15' Rough Electrical-Conduit - . - �- - --66. Solar System-Final - •*' --- '- -' 167 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 - - - . 20. Rough Factory Fireplace APPROVALS Permit# ' ' 21. Ducts,in Structure 70. Underground Hydro 22. Dpcts, Ventilating 71.. Product Piping 0 Gas 0 Oil i 23. Gas Pipe-Rough & Test 72.. Underground Flush t24. Roof.Framing _ 73. Undergrnd.Storage Tank 0 Gas Cl Oil- ' 25. Roof Sheathing, - 74. Overhead Hydro • f - - - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . 27. Frame and Flashing. 76. Dry Standpipe ' '. _ i 28. Lathing& Siding 77. FIXED SYSTEM FINAL ' . 29. Insulation i 78. FIRE PREY. FINAL ' 30. Drywall Nailing - , ' HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat < ' 79. FINAL INSPECTION i ' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED , 33. Final Electric ;Notes:g.l.8 f No kWaVe .c hsesc .l.f�. • 34. Final Heating & Air Conditioning ' • t . ' 35. Final Gas Pipe-Test _ 36. Hodd or Canopy 1 -- _ - - , 37. Final'Factory Fireplace - ' I 38. Final Plumbing I • - ' • 39. Water Service-Final . .' 40. Gas Service-Final 41. Solar Domestic-Final _ -- --• - 42. Backflow PreventerI • r 43. Backflow Irrigation - - , A, 44. Landscape Irrigation System " I ' • • 45. Sound Attenuation - - 46. Handicap:Regulations _ I i 1 47. FINAL STRUCTURE & BUILDING' 3-o_$¢ c,OA.-. . I 1 _ 48. Special Requirements Completed' i I I 1 I I 49. Electric Release to Edison ' • 50. Gas Release to Southern California Gas Co I i 1 '. 51. CERTIFICATE OF OCCUPANCY ' • - -, - -{-• , • -- No Date I ..