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HomeMy WebLinkAbout1940 HARBOR BLVD - Building Permits 18606 \FIE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 2 4 1963 P. O. BOX 817 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATIoi'TYFt k POWITMESA TYPE OR PRINT BUILDING BUILDING ADDRESS /Ivo >Y` fv-- 464. COSTA MESA. CALIFORNIA For Office Use Only / I RECEIPT NO. I Yi� OWNER - 64 . L- 1,4)/) ✓ ✓. rr IQs MAIL p p REC�EI/y�E,/p BY DATE RECEIVED DATE ISSU D ADDRESS '/Cl S z S%-Y!/ /f N. /2/ �iLX/ �y '''��//"""-0T - I jy i2 CITY • �� �'`t9 E� NO./{L's LYfI BUILDING /y/ ��' ADDRESS l , v OR .EINEER �- TEL.. ^�- COSTA MESA. CALIFORNIA FIRE / ADDRESS - " ZONE . _T-Ty�TYPE . GROUP /� 7'� az CONTRACTOR OW/2z(4L- APPROVED(///'T / A'/(// 3 BY -�JI//d- DATE/ K0 ADDRESS - lark) �'�1 N0.0F ZONING o A[-/�(y'A� ZONEn I NO.OF USE OF NE`A ( �. � CITY / 7/ PLANSSIO 15UILO1N0 t LIC.NO. TEL. DESCRIPTION `iViT. �C SIZE f_'J �( I q ° I NO. OF BLOCS. _ OF LOT I r NOW ON LOT A.P.NO. / / S — a B a - C O USE OP // YARDS EVES EXISTING BLDG PLZ/S APPROVED ALLOWED SETBACK LIN@ FROMl� (CENTER LINE ST.) CENTER OF STREET �� REAR YARD l.,,,,- FRONT FT. IN. SIDE YARD I LEPT Y I RIGHT a - R.SIDE 5 FT. IN. DESCRIPTION OF WORK L.SIDE FT. IN. .// • NEV I II ALTERATION I ADDITION I REAR /FT. ! /IN. REPAIR I II MOVING I II DEMOLISH I APPROVED 1 ( /I //� DATE r ^1( / -&3 BUILDING Y NO. OF �/ �/� 1 SIZE ,K . , ROOMS / STORIES / 0)111/2 EXTERIOR WA6L I ROOF /� COVERING _STo.-.. COVERING clre...(''7, USE OF BUILDING AND WORK TO BE PERFORMEIY/ 2Vtilt, ./e 4-f a/frr d 1 /,'/ .--,d1 I HEREBY ACKNOYLEDGE THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• THE AMOUNT SHOWN UNDER VALUATION IS FOR PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF/p ///y/7 e c PERMIT FEE $ et ir-C72 PERMITTEE s -�`�'�^^""'— /00.0a ,..--- s _ o $ PLAN CHECK $ J 4AUTHORIZED AGENT ��471 0 TOTAL FEE e. SEP 26-66 00 634 a 3**-***3-CQ 26196 9OSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDNS 19 O^��v1 �I4) For Office Use Only ADDRESII !� COSTA MESA. CALIFORNIA J RECEIPT NO. 21P[pM7 J 1 ��\_\ Rimdir DATE RECEIVED S7ISSU OWNER „ ( , K\��'. 4\`/ Qom//9 266-61, //2L MAIL 11(0a_ � ✓� ac m ti- ADDRESS // / D gen gr in ADDREIll TT,,11/ fy'V����y/,�,�, 7 T� // CITY O A`G�� „ "J�4 N0. $k')***DD ZONE t7/3/7 TYPE Y GROW. r .NO�NEQR TEL APPROVED /`/��7 DATE 7 26_� �I NO. ZONING ��% ADDRESS I am.,.. HO.OP I USE OF NEW,e'f�n �L , ©\ ) t12 / I PLANS '� BUILDING MIT 777TTT��I CONTRACTOR VV VV 1_ FP'J{(� //���6la LEGAL d (/O %/JO ADDRESS DcccNnloN LL // ///�//// /(�7 /,Y CITY A.P.NO. //_J '9 -of NOTE: NO EAVE OVERHANG 8- LL BE LESS THAN STATE TEL SO'TO SIDE&REAR P.L. LIC.NO. NO, SIZE I No.or noes. / ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT / YARDS APPROVED YARDS APPROVED USE OP EXISTING BLDG. 01-0,..u...„ L, ` .--- MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACKTELINE FROM FRONT FT. T. J CENTER N ✓' X I S • REAR YARD r - � SIDE YARD LEFT RIGHT R ID - A f /.{ DESCRIPTION OF WORK L SIDE FT. Fr-, 1`/ 1\ / ALTERATION X ADDITION REAR PT. Fr. DISTANCE BET. BET.MAIN& REPAIR MOVING. DEMOLISH MAIN BLDG'S. ACCESS.BLDOS. BUILDING NO.OF VAR•# I DATE SIZE ROOMS STORIES C.V.P.# APPROVED EXTERIOR WALL ROOF APPROVED (� /q/ COVERING I COVERING SY LII $ DATE GJ ''2 �E USE OF BUILDING AND WORK TO BEPERFORMED ( 0. `wrr�-g-1t\" f TE1Z \tiOi�V 7 �Qa. N -cM 0VI-� c: NESE/ � 5115114ES5 //esii-/NQ/7/ BCI.FT. et I HEREBY ACKNOWLEDGE THAT.I NAVE READ TSI[APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE WS REGULATING BUILDING GONSTRUCTIO. VALUATION DJ' v 5 SIGNATURE I ' OD PERMIT FEE $ JFPERMIT $ / / / PLAN CHECK $ w AUTHORIZED AGENT ��j TOTAL PEE $ `' '`fJ D • 262oo3*�** SEP 27-66 00 659 e_ 2.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1201 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADDRE S/ (j, a27 JZJ j For ONIce Use Only ADDRESS J�/ RECEIPT MO. .���� COSTA MESA./J,/C/A�LIF�ORNIA /�j[.({�[�DC.([.(� [(�A/���1 /p,Al_IJc:C7 ^_CSC/ R[YJ /�/ / .1 �/ (//-L�[DGE owNeR COl)j MAIL 215'14,944: V0 a/9 r cs r ADDRESS FIRE CITY TEL ZONE TYPE GROUP 'HITECT TEL. erROVED �� can %—27_64 ENGINEER NO. l/ ZONING .•,-r- 7'.......-----" r— ADDRH[O iiir CONTRA •a lSf 4't_ ' r m. PO. BUUILDING DIMS _ PLANS 2_, 'GUILDINO `i%/gyp/ Inn Z (ei, DESCRIPTION • � o y/' 0 ADDR� -• ccaa// - /L G�1 �J CITY / �j / �• A.P.NO. /! 7 12A o` — `�• . NSTATE / f� 4 I :sl TX: /1. /y 3 cry7 SO'TOSIDE a ROVERHANG AR p L. SHALL BE LESS THAN LIC.NO. d/c.7��C/ (1p Al[_A� SIZE I NO.OF ELDSS. ALLOWED (U.B.C.REQUIREMENT/ OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) • i SETBACK LINE FROM FRONT PT CENTER OP STREET REAR YARD .1 6 SIDE YARD I LEFT RIGHT R.SIDE FT. / / PT. DESCRIPTION OF WORK L SIDE FT. PT. . ALTERATION ADDITION REAR PT. PT. A X/ B BET. BET.MAIN e MAIN REPAIR MOVING DEMOLISH MAIN LOOS. ACCESS.BLDUS. VAR.* DATE BU ILOINO NO.OF SIZE ROOMS STORIES C•V•P•OF APPROVED // EXTERIOR WALL I CROOF OVERING APPROVED DATE j '�2�aI /COVERCOVERING I. (���LLL���LL////// (pop, -.._..O'121I - Cl. et (V-C-4 SQ.FT. et I HEREBY ACKNOWLEDGE TNAT.H HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE y AND STATE THAT THE ASOVE -•RRECY AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FES ONLY. .BI PLY WITH ALL'CITY ORDI D STA• LAWS REGULATING VALUATION BUILDING CONSTRUCTION. SIGNATURE • O6 PERMIT FEE ; 2 r0D al PERM/ E al . /-' �•M/✓/ii .� __� _ � .. s /00 PLAN CHECK s W AUTHOR ZED•EPFr lie/g'91 (210 TOTAL PEE 5 74 40 • e Applicant to-fill in all spaces within heavy border lines and.sign all appropriate declarations, 5472 9/21 /91 • I700C 11._ • Rte*PYAF COSTA MESAMI�rip. T ACT NO. LOTNO. •BLDG.NO. •/- DONSTRUCTION PERMIT ��O 9 `Project Address , 1110-194a FfK60P. 131-0. TYPE OF CONSTRUCTION Owner DFA} C, KO: Phone(7t/.]-373M 0 NEW 0 ADD ALTERATION Address 4'o9 W. 8,4 St, coSTAMsSA C 17427 0 REPAIR 0 CONVERSION ❑DEMOLISH - ZONING REGULATIONS • Arch/Eng. License No. 0 OTHER DESCRIPTION,OF WORK <C /( VI OPENINC-r A'P' /,c—Z-z31 —. 0R AddressIV "XO /IAJdet W/7 77lftlMe}5 ZONE G' PLNG. REF.$t-t3'-- /41* r Contractor JACK H. I3ENWETT. TR PhoneSJFZ-g14:2 TYPE OF PERMIT / BUILDING RIt�i `flLIG r Addras ySETBACK C/6 ST. NE St 4 , StouE WALL eiziy Ll[1/ 3IA2co 0 GRADING. 0 FOUNDATION 0 STRUCTURAL tag,. YARD LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICAL LSIIQEYARD • I hereby 5!firm that I am licensed under provisions of Charter 9(corn- _ RIGHT 1 mencing with section 7000) of Division 3 of the Business and 0 OTHER Professions Code, and my license Is In full force and effect. REAR YARD(TO P/L) PROJECT DESCRIPTION License Class License No- - . PKG.SPACE REQ. PROVIDED _ " SQ.FT. . __ Date Signature STREET WIDTH PARK FEE$ WORKERS'COMPENSATION DECLARATION - OCCUPANCY_CONSTRUCTION TYPE - ////// J . I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION /C0 ZONE- - _ ZONING APPROVED BYDXrJ2 DATE Ca/.Z�ls� -'Kificate of Workers' Compensation Insurance, or a certified copy 1/ �C /r I eof(Section 3800, Lab.C.), _ -. GRADING CU.YDS, ACRES SPECIAL CONDITIONS: ��ITp ' � / a • cy No. Company - S„n . L.l-D "W.-E)! -/e7' " U Certified copy is hereby furnished. REMARKS:- - - 0 certified copy is filed with the city Building Division. �7V7G‘10 prl_T.EAtX- 1•t o r - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION /� 1L1,,��� I� // r� (This section need not be completed if the-permit is for one hundred • - t,-:1, Coync.. /•OV^-. 9/ 5 _BI .. - $100)eror less). - ! / certify that In the performance of the work for which this permit is - Issued, I shall not employ any person In. ajv as to a orae . PLUMBING • PLAN CHECK ELECTRICAL PLAN CHECK ' subject to the Workers Compensation w f 1 1 a BATHTUBS SHOWERS SQ FT Nta taq HAL,[ - 'Date - 91 Signature SO FT co FT NOTICE: If after making this declaration,you should become subject TOILETS • URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES . DOUBLE LAYS APPLIANCE 10-50 KW 50+ KW revoked. - - CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS •MOTORS 0-1 HP 1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS _ t .r ^y z ` (INC.SOLAR) 10-50 HP;50+HP. • formance of the work for which this permit is Issued (Section 3097 - - CivC.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Lender's Name _- - - _ - Lender's Address DRINKING FOUNTAINS TUBE SIGNS OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERSPOLE LIGHTS I hereby affirm that I am exempt from.the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNSI KUL I IUN ' Any city or county which requires a permit to construct, alter, POLES METERED SUB improve,demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION PANE MAIN • SUB quires the applicant for such permit to file a signed statement that he , is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS ICE AMP 'Tapter 9 (commencing with Section 7000) of .Division 3 of.the 'ness and Professions Code) or that he is exempt therefrom and theWATER HEATERS BTU OUTPUT • l s for the alleged exemption. Any violation of Section 7031.5 by of napot moaetti foran av permithunsued jects sr t e applicant to a civil penalty SEWER CONNECTIONS ❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS - sole compensation, will do the work,and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE • APPLICATION APPROVED BY /Pi DAT (/ through his own employees, provided that such Improvements are not - intended or offered for sale. If, however, the building or improvement MECHANICAL _ PLAN CHECK UMMARV OF FEES ' is sold within one year of completion,the owner will have the burdenems•. of proving he did not build or improve for the purpose of sale). ._ BUILDING GO 00 1 tl ❑ 1, as owner of the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU $ SMTP E -- licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000+BTU PLAN CHECK $ G orb PERMIT - and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ an owner of property who.builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) licesned pursuant to SYSTEM - GRADING $ - the Contractor's.Ucense Law). . 100,000 +BTU • ; PLAN CHECK $ ❑ I am exempt under Section B.& P.C.for this BOILERS BTU $ ELECTRICAL $ reason • PLAN CHECK $ • MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION - TOTAL FEE$ 1 hereby certifythat I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL E 3 f LESS Information is correct. I agree to comply with all city and county PLAN CHECK $ ordinances and state laws relating to construction,and hereby authorize VANCE $ PC - representatives of thi cit t nter u the above mentioned /�,tlb property for I ec s Signature + Date 9-1j-d/ - - FINAL FEE $ Drivers'License or SS t £ CMF 0865-46 White-Building;Canary-Applicant; PInk-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNINGSr '- ; - POOL&SPA" `. • - - ��' `DIS_ ju Date Inspector .. . . , . Date- ` r.I nspecto\ APPROVALS Permit# rS APPROVALS Permit"# --- .--./ 1. Temporary Electrical Service or Pole •" 43. Pool & Equipment Location. -.. _ _ .. _ .- . _ _ _ _ _ _ 2. Soil Pipe-Uncjrgrn' -' _ _ - - --- 44. Steel Reinforcement. __ ___. . _ .- - ___. . _. . _ . -3. Electrical Conduit Utility-Undrgrn - ,- - - . . __. _ _ 4., ' Electrical Conduit-Undrgrn - 46. Electrical Bonding , - - - - - • 5. Steel Reinforce - - - ..'•,t, - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Gfn - - -- - - f. - - " ' 48. APPROVAL TO COVER:GUNITE _ .. _ 7. Footings - - - -- -- - -- • - ' 49. Electrical Conduit-Undrgrn , - . ". ._ .8. Foundation '- _ ._ - .- -,- _ _. _. .. . _ .. " '-- - "' 50: 'Gas Pipe, ❑Undrgrn;Test ,. . . 9. Water Pipe-Undrgrn . - 51. Backwash Lines;P-Trap,-0 Undrorn .- . _ _ • .. 0. 10. Structural Floor System -- - -n - _ - 52':' APPROVAL TO DECK- -- - - - - - --- - - - - . .11. Property Sewer Line & House Connection :+ - -- .-. - . T - 53. -;Backwash & Receptor-Final . ,• . .., -12.. -Street. Sewer Connection - - -: ", _ . . 54. Heater &Vent-Final - .' . 13. Rough Plumbing - - - - _ -. - . - - 55. Plumbina System -Final- - - - - - --- -- - - -- - --- 141 Rough Electric Conduit - ' - ` .- L. - . _ _ ._. __ 56. Electrical-Final .. ; " ,'. 115. -Rough Electric-Wiring- - - ---- _. . _. ___ . _ ___ 57. -Solar System-Final • . - A:.. _ _ $r- --v- ; •r. - • 16. •. Rough Heating.&Air Conditioning. __ - . _. - _ - . -_' 58- Fencing &Access Approval' " ' ' - - ' I 17c Ducts,in Structure ..• ir 1; i:. i i , »: 1,.59. APPROVEDFORPLASTERING - : . 18. Ductss, Ventilating - ^' • __ ' 19. Gas Pipe-Rough &Test . . -.-60:. POOL/SPA SYSTEMS FINAL -LI 20. Roof-Framing . . s ..._.. ._. _. p :-.- • 21'. Roof Sheathing ' __. i .. • ... �. - - 22. Frame and Ffesfm+g. ,.t> 0-02 ' • ' 9.zs- 8/ .NOTES:', - 23. Insulation - - • I . . 24. Lathing & Siding , k,_ • - • . 25. Drywall Nailing - , v ' - - 26. Plaster Brown Coat • . "' `- --- - - • - • ' - _ 27. Electrical Power Meter-Final az. '' ; -%-is J/ . 28. Final Electric `'k: . A - - 29. Final Heating & Air Conditioning - . .. "' " - 30. Final-Gas Pipe-Test N 31. Final Plumbing ' - • • 32. Water Service-Final / .� - i ' 33.' Gas Service-Final . . ' " - - - - - • - • .• - 34. Solar Domestic-Final •- .,. - - ' - - -• --- -_ _ , 35. Landscape Sprinkling System ' 36. Sound Attenuation - . . . _- ° - - 37. 'Handicap Regulations - - - , . -- - : - ' - - ' 38. FINAL STRUCTURE & BUILDING �'-/�,_a3 �� 39. Special Requirements Completed ,. / •i • 40. Electric Release to Edison ' -• ' " - - - -- ._ - - • ,_ - - -- - -- -- - - - - __-_ - __ - -_- _ 41; Gas Release to Southern California'Gas Co. - - - - - - - - ` - - - - "- - - 42. CERTIFICATE OF OCCUPANCY _ - Date . . - .-_ .. . - . • Applicant to fill in all spaces except those within heavy bortler-lines and sign all appropriate declarations._ T - - -•- - _ - _ - - PERMIT NO. ACT NO. .LOT NO... I - - - •I CITY OF COSTA MESA( CONSTRUCT.InI�N PERMIT `1 • (L ] 2 [� • I\^1�VI�(J UNIT 07ST 4JOB/85 . 4I .7o IL. Nroject Address -I �_I CI I R I���' UL�'U: G.I'1.12E7� A 1 . . .J 37� Ll L� 1�,� . . - _ 'Applicant's Mailing Ad}ddress. - 1s ' ' TYPE OF CONSTRUCTION. NEW ADD LJ ALTERATION', U-REPAIR - ' -L%��N C <11 Phone Cola-3 111 ' O• CONVERSION .1_ DEMOLISH ❑ OT ; - _. A.P.# ' �, - Z�Z- �� Zone - - Owner's,Nam/e/�t- nI� DESCRIPTION OF WORK/USE OF BLDG. ureter 41 ��! Address ,`�StI�/O 17 tR l.Ip kt7y�I • '�St y • - . 1 btr• _lift. . G . . GI E' Main Building., r Accessory^Building Z • Arch(Eng. -VJ f'I _-1 �1 UIZI L. ,1/uCLicense No. ' ; - TYPE'OF PERMI- ' • GRADING- N FOUNDATION M STRUCTURAL - 7. Front / _ t O Address �y2n '�ry V` • ,4 E. lieu Ti¢e PA,tk 'D TENANT IE ELECTRICAL. O PLUMBING ,MECHANICAL ,, I B Rear - - S - N Contractor's Name `Phor Zl)/?r1-Z4 'OTHER - i A • — — - • _, _ I • ///JJ� / PROJECT DESCRIPTION SG: FT. OCCUPANCY Ka-' C Right N Address(mailing) ���`�! J - FT.i ,, 11 C K' l G , \ / -CONSTRUCTION TYPE • IP-4--t VALUATION$ I5� s Left' . • 1 City License No: ZONE • I GRADING CU.VDS. 'ACRES Pln Ref:# Parkin Re Provided E LICENSED CONTRACTOR DECLARATION ; g 9 q.� Q I hereby affirm that I em licensed under provisions of Charter 9 (commencing Remarks: ' ' - Planning Notes: c.- -Zsq-� 1 M with section 7000) of Division 3'of the Business and Prof cions Code, and - - 'v'rii�� my license is in full force and effect, - I 1 - - T License Class License No. I :. A irGW2I �.0 C. eCt2 •.14•^►' sem,/at/1'( a .460-61-) s • Date i ' Signature • 0, , 1 i PLUMBING 1 FEES /'pnteic.4x2k9e?e '9acc p /� C/-/�(QV -t(�, ltc2 07 WORKERS'COMPENSATION DECLARATION ' • gar Sink Showers / hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL i ••FEES I l 1f Workers' Compensation Insurance, or a certified copy theieof (Section - Backflow Preventef- a--' ' -- Service Sink - -- - - - -- . Automatic Washer : Transformer 0 15.50 KW Policy No. Company Backflow Irrigation I Sewer Cap0 501+•KW i I 8 Certified copy IS hereby furnished. Opn$tlnptidn Pole Sub. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection; Cooking UnitMeter Cop to 100 amps I l Date Applicant 1 - • , EXEMPTION FROM WORKERS'COMPENSATION DECLARATION' Clarifiers Solar Collectors -, -,- '. _ Dishwasher. I _r Meter 0over-100 amps I - - - - --• (This section need not-be completed if the permit Is foronehundred($100por - I less). •- - : Dishwasher • Solar Piping Dryers ❑Gas ❑Electric Sub Panel - ' I E I certify that in the performance of the work for which this permit is Issued, I ' 1 1 shall'not-employ any person in any manner Lo as to,become subject to the Drinking Fountains ' • Solar Tank - Fan :Wor rs' Co p tion l Laws,of Califprnia.' I,r�ra.. C I, Motors 00-1 HP ❑1'h�8 Date Signature .L'T�Vr`� w Floor Drains ' Swimming Pool w/Spa ' - 'NO ICE: If,after making this decla ation,you should.become subject to the - • - F.A.U. Inc.Solar ❑9-1$ HP ❑16-15v , I Workers',Compensation provisions of the Labor{Cotle, you must forthwith Floor Sinks-I Urinal '- - - Fixtuf¢5 ' ,comply with .such provisions or this permit shall be deemed revoked. - ' _ Microwave • i I CONSTRUCTION LENDING AGENCY .: i . .. r I • • Gas Service • 'Outlets Water Closet - Device Boxes I I hereby affirm that there is a Construction lending'agency for the performance Pole Light ,of the work for which 'this permit is issued (Section 3097 Civ.. C.) _ _ , ' Interceptors Water-Heater ' • ' Lender's Name - • - ' ' utlets Range I • 'Lender's Address - ' - ' - - - _ Kitchen Sink, ' - - i •- • Water Service . OWNER BUILDER DECLARATION - ^. - Switches Sign' I I . I hereby.afflrm'that I am exempt from the-Contractor's License Law for the . Lavatories= - '• Auto-Wash - ' " . following reason-(Section 7031.5 Business and Professional Code: Any city or - •- �. 4 Garbage Disposal ,Standing Sections -. county which requires a permit to construct,alter,improve,demolish or repair : p-Trap• Laundry Trays - ' any structure, prior to its issuance, also requires the applicant for such permit ,_ erator ❑0.5 KW ❑5.15 KW Trash Compactor I i - • 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 oh the Business and Professions Code) Ornthat he/she is exempt , ' ""g"herefrom and applicant for the alleged exemption: Any violation of Section , I -- , ' - ' :7031.5 by any applicant for •a 'permit.,rs($Sts the applicant to a,civil . - I penalty of not more than five,hundred dollars($500). - _ - ' .� I,'es owner of the property or.my employees with wages as their sole - Reinspection Fee :$15 Issue Fee n $ 3 4 • I ' i compensation, will do the work,and.the structure Is not intended or offered - - - for sale (Section 7044; Business;and Professional Code:.The Contractor's ' , - MECHANICAL Reinspection Fee I $15 Issue Fee 1 $ 3 ' License Law does not apply to an owner of a property who builds or improves - FEES' thereon, and wno does such work himself/herself or through his or her own Hood or Type 1 0 I ' ( VELOPMENT SERVIC EQUIRE ENTS: c`..��� employees, provided that such improvements are not intended or offered for Boiler. yp , - y�/E/$ t' !- �l- C�'r , sale. If, however• the building or improvement is sold within one year of cpm- - Canopy , Type II ❑ • Zoning Approved By I).< ' -/ I /- b I pietion, the owner will have the burden of proving he/she did not build or im- DuCt-Under Ground' ' I Datee{ grove for the purpose of.sale). • ' I- ' ' - Building Approved By I Date5_5 5 ' LJ I, as owner of the property, am exclusively contracting with licensed con- I Duct-Structural Refrigeration System :Application Issued By • • Data 1 ,tractors to construct the project (Section 7044,Business and Professions Code: - - - . t' The Contractor's License Law does not apply to an owner of property who , Duct-Ventilating„ - . _ ❑0,100,000 BTU ❑100,000 BTU - SUMMARY OFIFEES builds or improves thereon,-and who contracts for-such projects with a con-- - _ o,OO I tractor(s) license pursuant to'the Contractor's License Law). I am aware that BUILDING PERMIT $ I E5 $MIP �$ . a 50 proof of their Worker's,Compensation insurance should be provided to me. Exhaust System ❑ Multiple ❑ System Repair/Alteration c I I , PLAN CHECK '$ • 1. Cif ;2'7 PERMIT ❑ 1 am exempt under Section B.& P.•C.for this reason Firepl/Fact.Blt. ICBG# I Fire Dampers PLUMBING $ ISSUANCE• $ . Date `t t�l t owner I\ Oar,-- f k O • Heating System& Ducting Registers ' ENERGY P.C. $ i PLAN CHECK 25% $ I hereby certify that I have,read this application and state that-the above- i ' ❑0-100,000 BTU❑100,000BM -- - - - - - , , 'information is correct. I agree to comply with all city and county ordinances I • ELECTRICAL $ • GRADING $ sanden state laws relating to building construction,and hereby authorize repre- , PLAN CHECK 50% $ MICROFILM $ ' sentatives: of this city ; enter upon the app e-mentioned property fpr • Inspection,purposes. -• r C IC° • , L- pl 1 • I MECHANICAL $ I 4_17,7{5 Signature'FX'� 1'h Dat, O OJ ! TOTAL FEE $ Drivers' License or SS#I ' - ' Reinspection Fee $15 Issue Fee • $ 3 ' PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; -ink -Accounting; Goldenrod - Assessor - . . . 'tN ;CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole. 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms •-•4. lElectrical Conduit-Undrgrnd. ' 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing&Pressure Test - 6. •Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 1 • 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 1.1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 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 66. Solar System-Final 16. ,Rough Electric Wiring • 67. Fencing & Access Approval 17. Rough Wiring Sign68. 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 Framing . 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 PREV. FINAL 30. Drywall Nailingaa HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAA'NCTION . I - V 32. Electrical Power Meter-Final 80. FO3D CERTIFI - TE ISSUED 33. Final Electric Notes 34. Final Heating & Air Conditioning ( 'J 35. Final Gas Pipe-Test • Y 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 • //AA? per. 48. Special Requirements Completed r 49. Electric Release to Edison • • • ' • . ... , - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - .. INS_ Date • - T - - - -