HomeMy WebLinkAbout2802 FRANCIS LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.d.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2802 FRANCIS LN
Suite No
Vicinity:
Parcel Nunmber: 14133210
Applicant: JORGE HORANO AC
Address: 17390 MT CLIFFWOOD
FOUNTAIN VALLEY
Owner: GRAVIS, MICHAEL
Address 2802 FRANCIS LN .
COSTA MESA, CA
PLUMBING PERMIT
Phone: 714-241-1414
Zip: 92708
Phone: 714-751-1645-- T
Zip: 92626
Contractor:. COAST ROOTER PLUMBING HTG AND AC
- :Address:" 1739OMTCLIFFWOOD
Phone: ',714-241-.1414 ,
FOUNTAIN VALLEY Zip: 92708 -
Status: ISSUED
Applied: 10/31/2005
Issued: 10/31/2005
ISSUED BY: 4M2:
"
-
License: 529127
"
SCOPE OF PERMIT
CHANGE
OUT
OF WATER HEATER
FEE SUMMARY._
AMT
QTY
AMT
QTY,
AMT
QTY
ISSUE FEE
$23.50
_
Laundry Tub /Washer
$0.00
0
Sump Pump
$0.00
0
Backflow irrigation
$0.00
0
Landscape Irrigation
$0.00
0,
Swimming Pool
$0.00
0
Backflow Preventer „
$0.00
0
P -Trap
$0.00
0
Trap Primer
$0.00
0
Bathtub
$0.00
0__
Pressure Regulator -
$0.00.
0
Urinal
$0.00
0
Clarifier System .,
-
$0.00
0
-Process Piping (per 10 ft) .
$0.00
-0 * -''
''. - Vacuum Brkr Bkflow(14)
$0.00
0
Connect (Ice,Soda,etc)
$0.00
0
Receptors
$0.00
0
Vacuum Brkr Bkflow(5+),
$0.00
0
Dental Units . ';
$0.00
0
Septic Tank
$0.00.
0
Wash Basin _
$0.00
0
Dishwasher
$0.00
0
Sewer Cap for Demo
$0.00
0
Wash Basin Set
$0.00
0
Drain, Floor ".
$0.00
0
Sewer Connect
$0.00
0
Waste and Vent System
$0.00
0
Drain, Rainwater
$0.00
0
Sewer Private Line
$0.00
0
Water Closet (Toilet)
$0.00
0
Drain, Roof
$0.00
0
Shower -
$0.00
0
Water Heater/vent
$12.30
1
Drinking Fountain
$0.00
0
Sink, bar
$0.00
0
Water Piping (Inst or Rep.)
$0.00
0
Expansion Tank
$0.00
0
Sink, commercial
$0.00
0
Water Re -pipe
$0.00
0
Gas Earthquake Valve
$0.00
0
Sink, Floor
- $0.00
0
_ Water Service
$0.00
0
Gas (1-4 outlets)
$0.00
0 -
Sink, kitchen
$0.00
- 0
- - Water Softener
$0.00
0
Gas (Over 4 outlets)
$0.00
0-
Sink; service/mop
$0.00
"`
- -0_
OTHER ,
$0.00
Gas Repipe -
$0.00
0
Spa (private) _
$0.00
`10""
"" VIOLATION
$0.00
Gas Service
$0.00
0
Spa (public)
$0.00
"0 �.
PLAN CHECK
$0.00
Interceptors (Grease, Oil)
. $0.00
0_-
- ' REINSPECTION
$0.00
0
Interceptors (Sand Auto )-_
$0.00 ".
0�-
-
"
-
TOTAL CALCULATED FEES:
$35.80
COMMENTS / SF tGIAL UUNLAI IUNS -
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: V14)764-5626
244646(9/00) -- -- -
DECLARATIONS
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
VOhyave
for which this permit i5 issued.
and will maintain worker'compensation Insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued.
orkers' Lompensatlon Insurance carder nd policy numbs ere: L91U 1 e cif r't-QQ Bz �. �fil C� olicy Numbs' I �e TJ7J SO - Z� f
on need not be completed if the permit is valued at one hundred dollars ($100) or less.)
rnn in t TOftE ( ,000), IN OTHE COST OF TION, DAMAGES AS PfKMOED FOR IN SECTION 31090E THE LIBOR CODE, INTEREST, AND ATTORNEY5 FEES.
[L.CENSED- TORS DECLARATION:
ereat m licensed nder provision of Chapter 9 (commencing with Section 7000) of DI on 3 of the usiness and Professions Cade, and my license Ls in full
c. 4 2 rector' nature:
CONSTRUCTION LENDING AGENC
❑ 1 hereby affirm that there is a constructlon lending agency for the performance of the work for which this permit is Issued. (Sec. 3097, Civil Code).
Londer'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, Buslnesa and Professions
Cade: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the appllcant for such permit
to file a signed statement that he or she Le 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 *a 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 two hundred dollars (5500).):
❑ 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.). •
❑ 1, as owner of the property, am EXCLLYSIVELY 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: Data:
Owner ID vedfied by driver's license. ❑ Yes ❑ 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:
❑ 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, falsewerk, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title B, California Administrative Code).
❑ As owner -builder, I 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 WIII 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? ❑ Yes ❑ 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 standsrd 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 ❑ No
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mese 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 appplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
(Sect
ion 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
Zpanment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Cade been fully compiled with? 0 Y ❑ No
5 Does Or will the oast it u present or future building Occupant a require for the work which Is the subject of this a plication aggertnll for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution contra district or agencyt Byes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the Outer boundaries of a school? ❑Yea ❑ No
(If yes-, the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 Iia permit from the South Coast Air Duality Management District or other air pollution control districtagency Is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been
matle7 ❑Yes ❑ No
8 (If -yes-, attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I comly that under penalty of perjury the information given above Is correct. I agree to comply with all slate 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.
,at nm s) /O _ Date
ndt0 odze plicant L ---- glitto
CODE /. PMA CODE2 INSPECTION TYPE grin. iffmIA{�
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing . I •i 5 - o 5 RN
200 Final Re -Roof 210 Final Electrical
201 Final Block/Relalning Well - 212 Final Fire Prevention..
202 Final Factory Fire Place 220 Final Planning Approval '
203 Final Slgn 222 Final Site '
204 Final Demolition 250 Final Building/Occupancy
13
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 817 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
COSTA. MESA. CALIFORNIA
DEC (; i
FINANCE DEPT,
ilIT'f Q3�7�T4�ECr
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
0
i�
Rece1FT No. Pz IT F6; --
OWNER Hesa Del Mar Development Co.
MAIL
RECEIV D BY
D T RE IVSD DATE ISSUED
I I btC2
ADDRESS 3800 E� •Coast Hi hWa -
-/-6c� 0 19Rn
Corona del 34220
BUILDING
CITY .Mar N(�PR
ADDRESS
ARCHITECT TEL.
OR ENGINEER MaCCO Corporation NO. OR 34220
COSTA MESA. CALIFORNIA
.---
FIRE
�-
ADDRESS
ZONE TYPE
GROUbJ
CONTRACTOR MRCCQ Corporation
APPROVED
BY
Lj
DATE
Coast Hi hwa -
ADDRESS/� "y
- ZONING
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-
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STATE TEL.
LIC. NO. ^' / NO.
LEGAL �L�.
DESCRIPTION NCS
9
.7
SIZE
NO. OP BLDG.B.
I •
'
OF LOT
Now GN Loi
A. P. NO. none
USE OF
YARDS
EVES
EXISTING BLDG.
APPROVED
ALLOWED
SETBACK UNE FROM 7 (
CENTER OF STREET REAR YARD
(CENTER LINE ST.) /�
FRONT qJ FT. `` IN.
'
I
(
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r
SIDE YARD LEFT L<
RIGHT
R. SIDE
6T. IN.
DESCRIPTION OF WORK
-�
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L. SIDE IL
0 Fd. F7Y`x i
1,/11 I II
NEW ALTERATION
ADDITION
REAR`JoIIwc.
q1
REPAIR I II MOVING I II
DEMOLISH
APPROVED W. L. D. DATE 12_8'-60
BUILDING NO. OF
-
SIZE ROOM6 STORIES
EXTERIOR WALL (ROOF
COVERING COVERING
14
r
I
Ug OF BUILDING AND WORK TO BE PERFORMED
KN
HEREBY OWLEDGE THAT I HAVE READ THIS APPLICATION
THE AMOUNT SHOWN
UNDER VALUATION IS FOR THE
AND STAT THAT THE ABOVE IS CORRECT AND AS TO COM-
PURPOSE OF ESTABLISHING
A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDIN NOES AND STATE LAWS GUI.ATING
BUILDING. CONSTRUCTION.
VALUATION
SIGNATURE OF
G
'
PERMIT FEE S 3�• OL.
PLAN CHECK S 1j,"
PERMITTE
S 14) 6114- o d
__
\ t-
1
AUTHORIZED AGENT
TOTAL FEE z�•
0
i�
.I 154u s
COSTA -MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
I-tt .KLULIVtU
�V SEP 131961
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
n
RECEIPT NO.
ERMIT
lIg e v../.
OWNER N.(i1 R'H ,V TT
MAIL �S 1 d�.�
RECEIVED BY I TE RECEIV I
D 169 ED
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ADDRESS - O A�-Jr-iS I_I1F�
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TEL.
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BUILD( G
CITY ��) • NOM/
ADDRESS Q
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COSTA MESA. CALIFORNIA
OR ENGARCHITINE ERS' No.K(
ADDRESS Y /V -, w
FIRE P�
ZONE TYPE GROUP WI"v�
nn
CONTRACTOR KI ,C. /LS.
APPRO
BY
1
Iry
--DATE03
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ZONING
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NO. OP
PLANE
USE OF NEW
BUILDING
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STATE CS3.
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D88ORIPTIDN
`09
X
SIZENO.
OF BIDG3.
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NO ON LOT
A. P. NO._F
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YARDS EVES
NG BLDG !�✓y
APPROVED ALLOWED
SETBACK UNE FRO N
(CENTER LINE 6T.1
CENTER OF STREET REAR YARD
FRONT FT.
IN.
SIDE YARD LEFT
(RIGHT
R. SIDE FT.
IN.
DESCRIPTION OF WORK
L. BIDE FT.
IN.
NEW ✓ II
ALTERATION I II
ADDITION I
-�J
REAR • C FT.
IN.
REPAIR I
I MOVING
DEMOLISH
Q /
APPROVEDCbj��DATE
BUILDING NO. OF
SIZE ROOMS STORIES
'
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WOli is TO BSE PERFORMED
c icuci �(OG a]
V/
1 D HEREBY ACKNOWLED AT 1 HAVE REATHIS APPLIGTION
THE AMOUNT SHOWN UNDER VALUATION
18 FOR THE
AND STATE THAT THE VE 18 CORRECT AND GREE TO COM.
PURPOSE OF EETABLIBHING A PERMIT
FEE ONLY.
PLY WITH ALL CI NANCES AND STATE BEOU TING
VALUATION
Oa
BUILDING C N.
f /
SIGNATUOF k
PERMIT FEE
$E
PERM
OU
PLAN CHECK $
V
AUTHORIZED AGENT
TOTAL FEE
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
PER NQ. _ — _ . 7 I TRACT NO. I LOT NO. I UNIT Nn
CITY OF COSTA MESA CONSTRUCTION PERMIT
Project Address 2 �••� L
Applicant's Ma II1)q Ad`dJass •yn3 \A� 1I\)QO ni
Owner's Nam�Ir—�\�`s Phone ^'-�
Address I NFA Me—
Arch/Eng.
eArch/Eng. License No.
Address
Contractor's Nam f`SC � l\1 MM ING Phone
Address (mailing) 5.33 " VJ •
City License No - —
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full f ce aV effect.
Licenz�yCl sLlcG� {Q N,.Q 1�
Date goature JL 1
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -Insure or a certificate
\ ' Workers' Compensation Insurance, or a ce etl copy thereof (Section
00, Lab. C')^ (4�T /
Q Policy No. `J� a `I Company ��—
LJ Cerlifsed copy is hereby furnished. I
Cer fie%1 co �s�filed with the city Bu' r ivl coli.
Date' ( —Y Applicant���5
EXEMPTION F. ROM WORKERS' COMPENSATION DECLARATION
(Thissection need not be completed if the permit is for one hundred ($100) or
less).
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.
Date Signature
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or' this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the performance
of the work 'for which this permit is issued (Section 3097 • Civ. C.)
Lender's Name
Lender's Address -
OWNER BUILDER DECLARATION -
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional 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
t0 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
'agefrom and the basis for the alleged exemption. Any violation of Section
-:t`53.5 by any applicant for a permit subjects the applicant to a civil
Ity of not more than five hundred dollars ($500).
!SCJ 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 (Section 7044, Business and Professional Code: The Contractor's
License Law 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 com-
pletion, the owner will have the burden of proving he/she did not build or im-
SOve for the purpose of sale).
I, az owner of the property, am exclusively contracting with licensed con-
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
builds or improves thereon, and who contracts for such projects with a con.
tractors) license pursuant to the Contractor's License Law). I am aware that
proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section B. & P. C. for this reason
Date Owner —
I hereby certify that I have read this
information is correct. I agree to comp)
and state laws relating to building cons
senlatives of this city to enter upon
inspection prfrps.
Signature N
Drivers' License or SS lit
I state that the above
and county ordinances
TYPE OF CONSTRUCTION LJ NEW J ADD
LI ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Bar Sink Showers
A.P. #
DESCRIPTION OF.WORK/USE OF BLDG.
Backflow Preventer Service Sink
Issue Fee
Automatic Washer Transformer ❑ 15-50 KW
Construct ion,Pole Sub. _ ❑ 50+KW .
Backflow Irrigation Sewer
FEES
S
Main Buildi
Cooking Unit Meter ❑up to 100 amps
Clarifiers Solar Coltec s
E
Dishwasher Meter ❑over 100 amps
TYPE OF PERMIT GRADING FOUNDATION
LISTRUCTURAL
T
Front
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING
❑ MECHANICAL
B
El OTHER
Floor Sinks Urinal
A
Rear
Gas Service Outlets Water Closet
C
Right
PROJECT' DESCRIPTION SO. FT.
OCCUPANCY
KLeft
CONSTRUCTION TYPE VALUATION$
S
$ 3
,ZONE GRADING CU.YDS.
ACRES
I Ping. Ref. #
Remarks:`
Roof Drains
Planning Notes:
Zone
Accessory Building:
Z
O
N
1
N
G
R
Parking Req./Provided E
Q
O M
T
S
• PLUMBING
FEES
Bar Sink Showers
ELECTRICAL FEES
Backflow Preventer Service Sink
Issue Fee
Automatic Washer Transformer ❑ 15-50 KW
Construct ion,Pole Sub. _ ❑ 50+KW .
Backflow Irrigation Sewer
FEES
Bathtubs Sewer Con ction
DEVELOPMENT SERVICES REQUIREMENTS:
Approved By
Building Approved By'
Application Issued By
Cooking Unit Meter ❑up to 100 amps
Clarifiers Solar Coltec s
Dishwasher Meter ❑over 100 amps
Dishsvusher Solar Piping
Dryers ❑Gas ❑Electric Sub Panel -
Drinking Fountains Solar Tank
$
$
$
$
$
$
$
$
Fan Motors 00-1 HP 01X- 6
Floor Drains Swimming Pool w/
F.A.U. Inc.Solar ❑9-15 HP 016-15+
Floor Sinks Urinal
Fixtures Microwave
Gas Service Outlets Water Closet
Device Boxes Pole Light
Interceptors Water Heater
Outlets Range
Kitchen Sink Water Service
Switches Sign
Lavatories Auto -Wash
$ 3
Garbage Disposal Standing Sections
P -Trap Laundry Trays
Generator ❑0.5 KW 05-15 KW Trash Compactor
Roof Drains
Reinspection Fee 1 $15
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Bit. ICBO #
Heating System & Ducting
❑ 0100,000 BTU ❑ 100,000 BT
Reinspection Fee 1 $15
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod . Assessor
Issue Fee
$ 3
Reinspection Fee
$15
Issue Fee
$ 3
iANICAL
FEES
DEVELOPMENT SERVICES REQUIREMENTS:
Approved By
Building Approved By'
Application Issued By
Date
Date
Dat
Hood or T
Type ❑
Canopy Type I I ElZoning
Refrigeration System
00100,000 BTU ❑100,000 BTU
BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK 25%
ELECTRICAL
PLAN CHECK 50%
MECHANICAL
PLAN CHECK 25%
$
$
$
$
$
$
$
$
SUMMARY OF FEES
SMIP _ $
PERMIT
ISSUANCE $
ENERGY P.C. $ "
GRADING $
MICROFILM $
TOTALFEE $
01 00017087-00017087 TOT 5.00
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
$ 3
CONSTRUCTION AND,, PLANNING
APPROVALS Permit#
1 .1
Date
Inspector
POOL &SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical,S&rvice or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. •
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure,Test
6. Electrical UFER 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 Cap
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
APPROVALS Permit #
/' F:
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
'�'`•�
71. Product Piping 0 Gas 11 Oil
y72�.
23. Gas Pipe -Rough & Test
nderground ,Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 00il
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 PREV. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
�•I
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
! 3 _�� �-
!- No AnawF2 L. -S6
35. Final Gas Pipe -Test
36. Hood or Canopy
,
37. Final Factory Fireplace
38. Final Plumbing
P -7 -Or
39. Water Service -Final
40. Gas Service -Final
; �l
41. Solar Domestic -Final
- - �-
. 42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
It`
45. Sound Attenuation
Jar
• 46. Handicap Regulations
- r
47. FINAL STRUCTURE & BUILDING
y
48. Special Requirements Completed
, -_ Vt.
49-. Electric Release to Edison
50. Gas Release to Southern California Gas Co
- -- "
51. CERTIFICATE OF OCCUPANCY
No. Date _
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