HomeMy WebLinkAbout1731 FULLERTON AVE - Building Permits •
'ADDRESS OFBGIlEelO: ' UNT:
c cxaN"uE '"9.40 E 17TH '3•P 1731 �.C��'er be CITY OF COSTA MESA — BUILDING PERMIT
,e. ,,RICHARD MASSEN A-042 •
PERM NO: B 077355
770 HILLCREST #13 ' ,�yp/'
r �
LAGUNA BEACH 92651 fir( PERMIT NO: B 077355 PLAN CHECK NO: N GOVT: N SUPP : N
'"pPL MONO ADDRESS: ( 714 ) 622-0500
CONSTRUCTION TYPE: III 1HR PERMIT TYPE: STR PURPOSE: ALT
' , ITECT OR ENGINEER: l MHO.:
ARCNDREra.•s"DDREss:PHILIP *TAGGART 25239 JOB DESCRIPTION INSTALL TWO 25 ' HIGH LIGHT POLES SQ FT: 4 , 000
y10LA 18002 SKYPARK CI
"jGbNmACTarswu�:IR CA 92714 CLAIM VALUE: 4 , 000 . 00 CALC—VALUE: 4, 000 . 00 GROUP OCC: A-3 /B
(, C CONSTRUCTION ( 714 ) 921-0100 '
C@RR"CTORSYARDIO 2015 N BATAVIA COMMENTS: "CLUB MET—RX" REF: B-77069
"'ORANGE CA 11C.ND.: 706490 ***1E****IE*3Eat*I(-******1E***It3EIE1E1E1f It It*aElb*#IE#*IEIt+F**+taFib7E3(-itif♦Eel****N-3Eif IF♦EIEIEIE?Itjt♦E#**IE♦FiEiFik♦EiE
92668 0MT: B Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby Nim under penalty of perjury that I em licensed under pr«ridons of Chapter 9 SETBACKS
(mmmer.dng with Section 7000)of Di isun 3 of the Business end Professions Code,and my Scenes o e full force end ed.
CITY LIC.NO.: UC.CLASS: LIC.N•. /
` B #6 -' : MAIN BUILDING ACCESSORY BUILDING
L — ail— u Contact• ���_� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
• R BUILDER DECLARATION:I hereby etfrm under penalty d perjury that I em exempt horn the Correctors License Lew for the
.wig reason(Section 7031.5 Busies,end Professions Code:Any ay or counly which requires a permit to construct,alter.improve.
',owlish.or repair structure.prior to is issuance.ebonpuires the applicant fo suchpemm to fib a signed sWementthall he o she PARKING REQ: PROV: PARCEL: 42544108 ZNE: REF NO:
leaned pursuant to the provisions d the Contractors License Law(Chapter 9(p nwnendng with Section 7000)of Dxiicn 3 d the PLANNING NOTES>
inn end Professions Cade)or that he or she Is exempt therefrom end the basis for the alleged exemption.My violation of Section >
_a1.5 by any applicant fora permit subjects the applicant to a dW penahy of not more than lee hundred dollen(WOW
❑ I,uownerdthe propadya my ampbyw with wages eslhak rte compensation.Wldolhe work.adthe structure enalinterded *******************************************************************************
or offered for sale(Section 7044,Business and Pmo
iesensCode:The Contractors License Law does not acolyte an Cameral property DEVELOPMENT SERVICES R E Q U I R E M E N. T- S
improves builds or inps thereon.and who does such work himself or herself or through he or her own employees.provided that such
improvements ore not intended or offered for sale.S.however.the building or improvement Is sold within one year of completion,the
owner-buderwM have the burden d at
proving he did not build c hale). ZONING APPROVED BY build improve for the purpose DATE: /�
❑ I.es owner d the property•am exclusivelycontractng with licensed contractors to o«ss d wnq the Praha"(Radian 7044,Business and L /
Professions Code:The Contractors License Law donot apply to an owner popery who buiMs or Improves thereon and who BUILDING APPROVED BY t/ei I ) DATE: • ., fl 7 6
contracts for such projects with a contractor(s)licensed pursuant to the Contractors License :
❑ I am exemptwidorSction: B.SP.C..ro thio APPLICATION ISSUED BY: ( L DATE:
Date: a l— V Cl' / /n Owner: / / *************ell********ell************** *******************ell******* **
I do hereby certify that lam aware of and understand the rpu v"-d'yomk Health and Safety Code Sodom 25505,Peen and LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
25534,and that 1 or any future building occupant will/will not(circle one)need to comply with sold stale codes and the requirements for I
a permit for construction a modification horn the Ai btytyMaaagenenl District.Residential construction appkatoroas exempt from these BLDG PMT PLUMBING ELECTRIC '.-MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 87 . 25
Dale: Appliaan: SMIP/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following Moderations: PLAN . 84
I haveandnil maintain a certificatedself-Insureate consent toself-Insureor wafters'compensation.
n,as provided for by Sadion 3700 d the Labor ISSUE FEE --,
)C Code.forthepedomwceotheworkforwhichthispermti.lssued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ Ihave and will maintain workers'compensation Insurance,as required bySection 3700of the Labor Code.brthe perl«performance d
manlhe TOTALS----> 88 . 09 0 . 00 0 . 00 88 .09 176 . 18 —88 . 09
work for which this permit is Issued.My warker.'compensation Insurance carrier and policy number rt
Currier GOLDEN CACLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 88 .09 OVER/SHORT: . 00
Policy Number. ,�)WCR290 02 01 02 /13/97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
is section need n«be completed I tin prink is ore underact en 1001«oat) 87 . 25 ! • . 84
❑ 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
t become subject to the workers'compensation lawn of California, and that If I thou•,,,,..-' .:ad to t. waken' •
• compenaaton •,mdSwian •3l00dtM labor Code,IatWI1M .. pry wth fr.'. _,...?ed
' *******************************************************************************
y�me jr_ d—�j(� Applicant: er i I N D I V I D U A L• ' F E E B R E A K D O W N
'//ning:F/Nur to swum workers'comprsalion coverage I'� and shall reject an employer to criminal penalties and TYPE QTY D E S C R I P T I O 'N UNIT COST TOTAL COST
clvll Rates rpt to ore hundred thousand dollars/l/00•fIOOA In addition to he cost of conpmesfbn damages as provided for In
Section 3708 of the Labor Coot Intense,and auomeye len • '
CONSTRUCTION LENDING AGENCY:1 hereby affirm under penalty of perjury that there is a condmdion lending agency for the SFC 4 000 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 4 , 000 . 00
performance of the work for which the permit is issued(Section 3097,Cb.C). END OF FEES
LENDER'S NAME
LENDER'S ADORESS:16500SF PARKING AREA -
I certify that I have read the applkationiid tome that the above information a correct.I agree to comply with N city and county cedinantts
and state laws relating to building arnstruction and hereby authorize repaesntathes of this city to enter upon the above.mentioned popery ,
for Impeders purposes. .
i !Iaai� A ' • E: . ant //� ' _ --
// ii/ Date: 1/^✓2 e/-9✓ 'T ,y - . .
S"---- Signature of• / W«
(5151-46.WPI Whte-BulMkp&--ear Green-Re:Canary-Appfum;Pink-Revenue;Goldenod-Assessor i
T
INSTRUCTION AND PLANNING ) POOL PA 1" •
i
APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector
_Temporary Electrical Service or Pole 52. Pool & Equipment Location _
�r,J
' `•2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
- 3. Electrical Conduit Utility-Undrgrnd. 54. Forms .
4. Electrical Conduit-Undrgrnd. i 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
• 7. Footings 58. Electrical Conduit-Undrgrnd. -� ')
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test -
9. Water Pipe-Undrgrnd. . 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 CaP1
63. Heater & Vent-Final •
-13.-'Roof Drains 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
20. Rough Factory Fireplace - APPROVALS Permit # •
21. Ducts,in Structure - 70. Underground Hydro
22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough.&Test _72. Underground Flush
24. Roof Framing4 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 .•F-
-
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 Noies:A/0 pt s 4,1e �)_�^'Q _,r Cyr s Z/p11
34. Final Heating & Air Conditioning
i
35. Final Gas Pipe-Test - _ - / la/_AQ 1 . fi�-- 30 •
L _1 d/�
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 We i .--.- -
48. FINAL PLANNING . - .
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY
No. Date •
• ADDRESS CF.!'" � { 140 1 17TH ST 17.31x-LA1L¢r "k• uMT CITY OF COSTA MESA — BUILDING PERMIT
ONNERSNA S< ttICHARD MASSEN e. - _ PERM NO: GRA 077068
• DiE4 ?70 HILLCREST #13
P� AGUNA BEACH 92651 1 ,o,�,E PERMIT NO: GRA 077068 PLAN CHECK NO: 00420-96 L _ GOVT: N SUPP: N
PFL
A .MAIUNO ADDRESS: '����(( CONSTRUCTION TYPE:. PERMIT TYPE: GRA PURPOSE: ALT
ARCNnECTOAE1I NERH0RST NOPPENBERGER . UC,NO,, 7605 JOB DESCRIPTION : REGRADE 16500SF PARKING AREA SQ FT:
SACK ORENO.'SADDBEss• 241 FOREST 494-9569 am ( 714 )
LACUNA BECH CA 926514) 921-0100 CLAIM VALUE: CALL—VALUE: GROUP OCC: B /A-3
CONTRACTORS NAME: N BATAVIA COMMENTS : "CLUB MET—RX" /REPAVE RESTRIPE & SITE DISABLED ACCESS ON PC419-96L '
CONTRACTORS MMtJN& .RANGE CA 706490 ********4**********************************************************************
ADDRESS: 92668 "C NO" _ B ZONING REQUIREMENTS
01fi SETBACKS•
LICENSED CONTRACTORS DECLARATION:1 hereby Slim under penafy d perjury let I em licensed under provisions d Chapter 9
(commencing with Section 7333)dDeiaion9d NeEhrsnees and PMes:'• /k.eent9iwly.•did effect. MAIN BUILDING ACCESSORY BUILDING
CITYUC.NO.: / LtC.CLASS:tl uC.NO: • FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: L/'4.--q4' Contractor: / LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
i
OWNER reasnDECUuIesst by affirm sedpcnury that lyesexempt from a permit
toconli:erw Law for rine PARKING REQ: PROV: PARCEL: 42544108 ZNE: REF NO:
demolish,
comer(Section 10315 Business and Professions, Code:Any cry applicant courtlyfor uch p emit moa a p sig ed sateen ober,ie orove. 6
demenseaursuitto ttions b thoContra rsoithe pterforsuch1wfile aci700amarattuttsio heashe PLANNING N TES>
is licensed d Profs to the provisions d the she is
axe License Law[Chapter 9 is i s of with Section TODD)d Deans 3 e the > �'
Business and Prdesani fdela'hal heaahe aexam°theehom and the basis la the leWedere dotter Any violmiond Swian *********************************************************************9E.*********
0 1.5 by any°ppkmru for a permit subjects the applicant to a civil penally d not more than lee hundred deme POOR.L as xd o mm a not intended DEVELOPMENT SERVICES REQUIREMENTS
oer the property y emgoyees with wages their sole compensation,will do the work.and the structure nnended
or offered M sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply loan Owner of popery .-
whobullaainpevesthereon,end wed dms°uch work lima IN her"'approve ho a he own em ployeee. completion,
such ZONING APPROVED BY DATE:
imprwemerae are not waded a offered for sale.ff,however,the building or improvement is sold within one year of t he
owner-0ulder wig have the burden of proving he to she did not build or improve for the Pathan of Sale).
❑ I,as owner d the property.am exclusivelycontrackn °
g with licensed contractors to conthe project(Section 7044,Business m BUILDING APPROVED BY DATE:
Proles/ken Code:The Contractors License Law does sol early to d pr
an owner epeny who builds or improves thereon end oho
/
mntnso tor ouch prod
ouefects with a oeraor(s)licensed pursuant to the Contractors Uprose Las). • P P L I CAT I ON ISSUED B Y: 11/414P--- DATE: (S�I-a
❑ l am exempt under Section: B.A P.C..for this reason: ******************************************** ******************** ***** *****
Date: Owns: LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:N
Ido hereby certify gallant aware dand untested the requirements of California Health and Safay Gado Sections 25505,25533,and BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES< GRADING
25534,and that I or any future building occupant will/will not(circle one)need to comply win said state codes and the requirements for
a permit for construction or modification from the Al'-O Tie l.Tty anaje ant District.Reekevi°tmnuwon appicmiau are exempt from these PERMIT _ 75 . 00
pro inions. SMIP/NON—RES
Date: Applicant PLAN 22 . 50.
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the ollowirg dederations: ISSUE FEE 3 . 00
X❑ BUILDING IhaveandvNm°intanacetedmmmtto°Mfrnsureforwokers'compensation.asprovedfobySeeon3700oftheLaba DIV > PERMIT ISSUE PLAN—CHECK TOTAL •
PAID DUE
Code,fm thepedmancedthewokfawlxhmapermitie®ued. TOTALS----> 75 . 00 3 . 00 "22 . 50 100 . 50 . 100 . 50 . 00
❑ I have end MI maintain worker'compensation insurance,es required ty Section 3700 of the Labor Code,or the d the
wok for which this permit is issued.Mywmkeigj�Mim3AcibEaMPdnynhanberwe: E)(P R S REVENUE DIVISION TOTALS--> COLLECTED: 100 . 50 ( OVER/SHORT: . 00
Carrie: Njdr29g207—tri 02/13/97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Pricy Number. 78 . 00 22 . 50
.(This section need not be completed if the perm!is for one hundred doper(510010 less) •
❑ I cargo dial in the performance el the work for which this permit is issued,I shall not empoyeny person in any manner ea es to *******************************************************************************
becone subject to the waken'compensation laws of Caldaoa,and ..re 0s C I should .... ,. t• the workers'
ion provisions of Section 3700 the Labor code,l shag o . PN 1:„...... .I N D I V I D U A L . �F E E BREAKDOWN ,
oat°' ' q to npdkanL TYPE QTY DESCRIPTIONUNIT COST TOTAL. COST_
Warning:Figur to secure"inn.mtsa
npcdon coverage is unlawlui,,end shell subject an employer to criminal penalties ands
seWclnorm~i7a olone tlrs Labor Code,
�nfee° �a(StO4°i°is:",.ad°I"°"comacoal oi c°"°entat'°"damages°'°r°Wda°ro'I" NO FEES WERE SELECTED FOR THIS PERMIT
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction leading agency for De
performance of the work for which this penny is issued(Section 9397.Ce.C).
LENDER'S NAME:
LENDER'S ADDRESS: •
t certify that I have read this application end state that the above information is mrd.I agree to comply with all city and county ordinances
and state laws raising bye s pycog,endliptlytagnp�p represents ivea d the city to enter upon the above'mentioned property
for inspection Wn ALL°../••ACYHLl�S VN �/
Ut n -.,h,..,.. - t,.., s :J.r -
. >. a.w Deet V——94
� - - - -
sem Signature of OwnedAge t/Applcent/CmnWa
i\ (5151 dA WP) White-Buildig 3 Safety:Green-File:Canary-Appicant:Pink-Revenue;Goldenrod-Assessor ( I
r
' ,CONSTRUCTION AND PLANNING POOL a &A
,.APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
Temporary Electrical Service or Pole 52. Pool & Equipment Location
I 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement _
..-i. ElectricalConduit dtility-Undrgrnd. 54. Forms
4. Electrical Coridbit-UUrdrgrnd. 55. Electrical Bonding
5. Steel Reii4rcernent 56. Rough Plumbing & Pressure Test
-.6- Electrical'UF 57. APPROVAL TO COVER-GUNITE
-.m -.. .. . . . -
'7,'Footings` . .' 58, Electrical Conduit-Undrgrnd.
-8--•Eoundation . 59. Gas Pipe, 0 Undrgrnd.,Test
. 9: Water PiUndrgrnd`
pe - 60. Backwash Lines;'-Trap, 0 Undrgrnd.
-10. Structural Floor System -- ' 61. APPROVAL TO DECK
. 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
X12. Sewer Cap 63. Heater & Vent-Final
,-.1,3. Roof Drains.- 64. Plumbing System - Final
1A. Rough Plumbing - ? 65. Electrical-Final
<
15. Rough Etectrica6Conduit .. .
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 Conditiotaing .,J, ,-; t < , T - FIRE-DEPT. REQUIREMENT
_ _ -
20. Rough Factory Fireplace ' :c -: + ' t APPROVAL'S, hermit#* '
21. Ducts, ir-Structure r 1, -, i,a: 70-'.- UndergroUhd:Hydro
t.
22. Ducts, Ventitatinij ' -. " `' 71. Prodpct Piping.DGas 'Doil
23. Gas Pipe:Rough & Test - .r _ r _. 72. Underground:Flush
Z:-
24- Roof Framing i r " : 73. Undergrnd.Store Tank 0 Gas 0 Oil
ti
25. RoofSheathing ;r; - -' 74. Overhead Hydro:
26. T-Bar Ceiling (Structural) & Monocoat t •_ , to - 73. Dry Chernical(- ,.
_ 27. Frame apd Flashing- 1' 76. Dry Standpipes
•
- 28. Lathing& Siding- -r ! AL
Z7. FIXEDSYSTEM FIN
29. Insulation _ ., �8. FIRE PREY. FINAL • -
30. Drywall Nailing ; ' . - ^ HEALTH DEPT. REQUIREMENT
31. PlasterBrowrCoat 79. FINAL-INSPEC .10N .
r 32. Electrical Power Meter-Final k ' 80. FOOD CERTIFICATE,ISSUED
33. Final'Electri _ • ' _
of y _ . (Votes: p
.r 34. -Final Heating& Air}Conditioning r ; : _ - 5/ /4 - ye -7 ry e
35. Final Gas Pipe:Test; - - . - v - ?,-l_T - _L-Y/�a'�J 30 """�'r-.�(
• LI: J
36. Hood or'Canopy.. . - - •,x .r t Ix ,r, - - -
'37. FinarFatiory Fireplace • ; ; . - , -
38- FinarPlumbing C .
39. Water Service-Fin* • .- '' _
40. Gas Service-Final-ry o r• i
41. Solar Domestic-Final _ - -'•
_ t L k
(. c -. - .-
42. Backflow Preventer -
43. Backflow Irrigation 4 1.7C * -. • -
•
a .
44. Landscape Irrigation Systeme., - cf r -
45- Sound Attenuation - • _ n' ' z
46. Handicap Regulations c. F - - . ,( -
47. FINAL STRUCTURE & BUILDING �6 _ - -
48. FINAL PLANNING - J/�7 v• -
5 -
49. Electric Release to Edison -
•
50. Gas Release to Southern California Gas Co - . -- - - -
51. CERTIFICATE OF OCCUPANCY -
No Date
A
-ADDRESS OFSIm00@ 1+0 2 17TH- CT.I-73I PtAtterini, UNE. . CITY OF COSTA MESA — BUILDING PERMIT I
foawmium .vRICHARO MASSEN Ave •. • PERM NO: B 077069
,� •#'aRE9s:770 HILLCREST *13 i
LAGUNA BEACH 92651rytps/� PERMIT NO: B 077069 PLAN CHECK NO: 00419-96 L GOVT: N SUPP: N
• _ (714 ) 622—0500 Ott
APDL.KA111NG ADDRESS: CONSTRUCTION TYPE: III 1HR PERMIT TYPE: STR . PURPOSE: ALT
ARCNITECTORENta,WtHORST .NOPPENBERGERuc.No_ 7605 JOB DESCRIPTION : REPAVE PARKING LOT/PROVIDE SITE ACCESS SQ FT: 65, 000
,ReKORErxi'sAomrEss: 241 FOREST ( 714 ) 494-9569 INT:
LAGUNATBECH CA 926514 ) 921-0100 CLAIM VALUE: 25, 000 . 00 CALC—VALUE: 32,000 .00 GROUP OCC: A-3 /B
CON ACTOR'SACTOR'SAASE: 2015 N BATAVIA COMMENTS : "CLUB MET—RX" / PARKING LOT RESTRIPE / PROVIDE DISABLED ACCESS
coNmAcrorswuuaORANGE CA 706490 *******************+tsPlE�Pi(-**RP**+P+E*+t****+ERE+PR(-�t**** -sP****APs ****rtRPs(-�E�t****it�t�t�ti<-�PtP�E****
/D°R 92668 do ND' INT: B ZONING R EQU IR EMEN TS
1 LICENSED CONTRACTORS DECLARATION:I hereby'Aim under perWy of perjury that I am licensed under provision,of Chapter 9 S £ T B ACKS
(commencing with Section 7000)of Division 3 of the Business and Professions .. my license',in lull •,• and effect.
CITY LIC,NO.: uc.cLAss:B LK.N•: 0 • ` 9th ..-.'i . MAIN BUILDING _ ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT _ IN REAR: FT IN
Oae: 1' ^G!—G/4 cotred«: %�j'/� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER rreBasn;
r
CONSTRUCTION AND PLANNING POOL ty,SPA -.
.APPROVALS Permit # - Date Inspector APPROVALS Permit# Date Inspector
Temporary Electrical Service or Pole 52. Pool & Equipment Location
'2. Soil Pipe:Undrr rnd.. 53, Steel Reinforcement • _
3.(Electrical-Conduit-Utility-Undrgrnd. 54. Forms -.
4: Electrical-Cond u'it-Undrgrnd. 55. Electrical Bonding
7-
-
- 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
'6.'Electrical UFER G'rnd. 57. APPROVAL TO COVER-GUNITE
- ';.7. Footings_ ' =L 58. Electrical Conduit-Undrgrnd.
8. Foundation- , _ 59. Gas Pipe, 0 Undtgrnd.,Test
9. Water Pipe,Undrgrnd. - • 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 ' 1-:.,..
. i
12. Sewer Cap ' 63. Heater & Vent-Final
i: .13. Roof Drains -)" 64. Plumbing System - Final -
- 14. Rough Plumbing _ 65. Electrical-Final -
15. Rough Electrical-Conduit r•• ' 66. Solar System-Final
16. Rough Electric Wiring' 67. Fencing &Access-Approval
17. Rough Wiring Sign 68. APPROVED FPR PLASTERING
18. Rough Electrical'-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - - _ - �r - ' FIRE DfPT'REOUIREMENT
Y _ r + ' _ 1 r
20.'Sough Factory Fireplace - - - ' r APPROVALS=; Permit# •
21, Ducts, in Structure _ - . r 70.'-Underground Hydro -
22.Ducts, Vertilatin9.• _ - - 71. Product piping QGas Oil
23. Gas Pipe-Rot s&Test •� r -• - , _ 72. Underground Flush •
24. Roof Framing *, t t ? ._ t• r _ 73.•Undergrnd.Stofafte- ank 0 Gas 0 Oil
25. Ro t'Sheathing < 74.-Overhead Hydra"
* -
26. T-Bar Ceiling (Structural) & tvloirocoaj.`• - 7t.ury.Chemical - - .
27. Frame and Flashing � = -, - - - " 76. Dry StatftJpipe.1 - '
28. Lathing& Siding -r - _ I- -'' .:: 71. FIXED'SYSTEM FINA1.-
29. Insulation _ r _ - t 9. 78. FIRE PREV. FINAL y
30. Drywall Nailing c ' ,- : •
'Y = r.-HEALTH DEP,T..REQUIREMENT
- • i
• 31. Plaster Brown.Coat, s-- -,t. + ' 79. FINALFNPECTIONt
' 32.,ElectricafPovier Meter-Final _ - 8Q FOOD CERTIQCATE (SSR1ED
33. Final i - - - J - -ci
- Notes:
34. 'Final Heating'& Air Conditioning ::-t tr K /Z � ' *�(/L• V
7-14
35.Final Gas'Pipe:Test - .. ! -'"G " �•
36. .Hood onF.anoPY - r -� jr" !-r'
37. Final Factory Fireplace. . .. I. - • S_Pt_e3' , iC( r 30
38. Final-Plumbing " - 1: ` _ W"�'
39. Water SerJicet Final • - - _ .. /C/d3.G1 y flak ` „ tne
40. Gas Service-Final :. .;` - I ®/ir r„ eV-6th} •
41. Solar Domestic•FiIal, c. - _ `
42. Backflow Preventer` ? + - F
43. Backflow Irrigation > r- `. _ '.7.... -
44. Landscape Irrigation System _ -C -
45. Sound Attenuation _ " " _ - '" --T
r.
46. Handicap Regulations - /' -
47. FINAL STRUCTURE & BUILDING - 3/py _
48. FINAL PLANNING !!!" /// /
49. Electric Release to Edison - -
50. Gas Release to Southern California Gas Co _ ;
51. CERTIFICATE OF OCCUPANCY
No. Date