HomeMy WebLinkAbout238 FISCHER AVE - Building Permits _ : ._. �- v.:.1x.-.:i'l -.. .^..—:w�---vwa.r-.•-'--a:.N.........v..+N,^:^'^^` '-,:-�.-::/�.:vt-r:.- .-iMt.v—.- ..""ir..��•
x I ' Cite o f Costa Mesa
I Development Services, Division of Building and Safety
•
CERTIFICATE OF OCCUPANCY y
l
thThis certificate is issued pursuant toe-requm
ireents of;the`Uniform Building Code, Section 308
adopted by the City of Costa Mesa certifie ;thataf•.the time df its issuance the building structure herein04
below described was inspected and aroveil:forscc
, ityr ),77— N-<<
oupancyas f
ppss�
11
Building Address 238 FISCHER AVENUE . Bldg. Permit No.B 78815
Use OFFICE & STORAGE / .. L �• �' _ 1 i \'4\•W�\
.1 /, ti �l/ � , -��� '�
� • �f^ \� �� MP
Group B Typeof Gonstructton V—N Fire`Zone \ ` \, Use Zone
"` "` -• ' = A- Q:1 C,.""i "ORiRIN EXTERMINATING CO"
BERNICE BL'LIS
Owner of Building •• -Tenant
, :r- • G$' v`r �6�-'�/`�')T %n ; jai
Address 1857 Irvine&Avenue, Newport Beach., CA ,�/ti ?.,, •
B
BUILDING OFFICIAL-tonp tiDe Baca- ',`Y \ y)/7 �' 4/
\ <L� � E Date"Septit ember 5, 1996
REQUIRED TO BE POSTED INA CONSPICOUS-PLACEc 1 •. . - iz� �:
ADDRESS OFMEG 238 FISCHER AV WIT: CITY OF COSTA MESA - BUILDING PERMIT
' • DNNEaSNAME61Dlmt BERNICE ELLIS °ERM NO: F 078858
mass: 1857 IRVINE AV
PERMIT NO: F 078858 PLAN CHECK NO: 02511-96 L GOVT: N SUPP: N
NEWPORT BEACH, CA 714548-2605
APPL.MMUPC ADDRESS; CONSTRUCTION TYPE: V-N PERMIT TYPE: FIR PURPOSE: ALT
ARCHITECT OR ENGINEER: LIG No.: JOB DESCRIPTION : 3882 SQ FT OFFICE T. I . / FIRE SPRINKLERS SQ FT:
/DICK OR ENS'S ADDRESS: WIT:
CLAIM VALUE: 1 , 100 . 00 CALC-VALUE: GROUP OCC : B /H-7
CONTRACTORSNAME UNITED FIRE PROTECTION IN ( 714 ) 550-0886
CONTRACTORS'MUM 2625 SOUTH ORANGE AV COMMENTS : "ORKIN EXTERMINATING CO" OFFICE & STORAGE '
ADDRESS SANTA ANA CA Lx..N04 470399 +A*At,F* EAE+t4'Tonin'IErt*iEitAE+t+E+r+r***+A*****it+tit>Fit>EiE+E*>It**it******+Ait+riE***if+r*ititAE+E*itit****it*x*ft*at*
92707 v-v ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affim ender plinthol perjury that I of Chapter 9 SETBACKS
(commencing with Staten 7000)d Weiss 3 d the Business and Professions un my .
C C.N01.: uc.cuss: C 16 uc.No • 03O 09 /96 MAIN BUILDING ACCESSORY BUILDING
ate: � � �9 CO comm. �� FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
WNER BUILDER DECLARATION:I hereby dram under Perjury Mal I am exams horn the Comrtlon License Law Ica the
following reason(Section 70315 Baseless and Prof Any city a county which rewires a permit 1pacnem.alter,impure. PARKING REQ• PROV: PARCEL: 42703203 ZNE: REF NO:
demash.a regal any spina prior to a aawm.•.• the tor such perms to Ne a signed nommen( he ashy PLANNING NOTES>
is licensed persue t to the provisions of the Contactors License Law(Chapter 9(commencing.dh Section 7000)of Division 3 d the
Business end Profession Cods(or the he or Ste is exempt thaahan and the hue for the alleged nemplun.any swab',of Sedan >
7031.5by ayMama ICY a*MS aaeC5 the apaaaa to e Ova PeriDy of MImae than Ewe hndeddotas MOOD. *******************************************************************************
❑ I.el owner ante McculYor my emporeas will wageless their we oomprsatvn.will do me wank end the structure is notvuended DEVELOPMENT SERVICES REQUIREMENTS
or ted for sate(Section 7044.Business end Professions Code:The Contractors License taw does not appy to an Owner of papery
who bold*or improves thereon,and who does such work himself r herself or through he or her own employees.Provided that such
imppunru merit spaded etdlaedfa sab.E.howevar.the building or inpmamad'm sold within OM Yaw 000mpalbn.the ZONING APPROVED BY DATE:
ownrdui der will have the Leaden of proving he or she did not Solid or improve for the purpose d sae).
❑ Las owner a the amesdwny cntrmig with licensed contractors the project 7644.Business and BUILDING APPROVED BY : DATE:
Professions Code:The Contactors License Law does m apply to an owner of prapooy who bags a irpaaes thereon end wow
connect for arCh pajsas wh a ceraadoas)Named pursuant to the Canneloni License Law).
ElIamesrnptudrSet9an: B.SP.C..blhisreason: APPLICATION ISSUED BY: DATE:
****************************************** * *it******************* **
Dale: OrmanLEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby caddy mat I am aware of and understand the rra'iemeas of CaDada Heath and Safety Code Sections 25505.25533.and
25534.admatl or any Nun bulling occupant wD/well not(arch MO to can*whsad Moleordu and thereateemrle ter BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for caswcdon or modibcetkb from the Ari(Ssy Mant aagemra District.Residential COMMIClic.lappficalkee we exempt hon mese PERMIT 38 . 00
provisions.
Dale Applicant: 65% SMIP/NON—RES
PLAN 24 . 70
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of priory one of Ie blowing dedvaioes: ISSUE FEE
❑ Ifwnemwill median"elan d°rwaploswbwaeits wrkre'congruriom.nproidwlrbySe 44370 el BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.lathepenr"" tithe* or which this M" rend' TOTALS----> j 38 . 00 0 . 00 24 . 70 62 . 70 62 . 70 . 00
permit
I have and W l mainsail workers'canpasaion mamm n re aired by Sed!°3700 of the Labor Code,for the performance al the
*IA for Mesh this permit wmasd.Wwaa+ +MTgrEaldrrdsyambrae.
Carrion EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 38 . 00 OVER/SHORT; 00
Racy Number: N60340Dtm 05/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(he sedion need no be°masted I the permit n ter one hand emirs($1001 or Mast 38 .00
❑ I ceranner so as lo
n NMS the naiad to theaornce d the needork floorwtioos d wawa,penal Is' shall µ• '.ma **************************************************************************It****
ion provisions al Section 3700 d the labor Code.I Nall wh corn. *•• I N D I V I D U A L F E E B R E A K D O W N
:Faun 19 secure workers'compensation ISellawhl4 and sllallarbjectsn employer b canned prattles and TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
VVLL��Res to to one hammy thousand dans($taa•DDDA in sedition to the cost of compensation dame es pends ler In
setion3706oywLaborCodAlyd.restw.aoneratea FIR 38 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1 . 00 38 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that thre la construction lending agency for the END OF FEES
performance al the work for with this Fermi is issued(Section 3097.Ce.C).
LENDER'S NAME: C.
LENDER'S ADDRESS: ..-+
.•
I certify the I have read this application and ata On. -above' • a caned.l sapsato m.gtywh a3 ay rd a,wty ad'vwan ••J• v
r.
and state Laws retrain to buildng•• - ... and... and ..:., ... .. . . styes of this thy to mrupan the bovsnwpered popery i•+• r
Ins wdm °°°
pe °n °'.I� AN DEM, 4 •9 -3
Ar11 ✓- `, ♦,
i i�•�i�S��• Date: (; I 9C o '\ -��
Sgreare d !,Za/.�TT.'T.a _} 4• 4
(5151dS.WP) Whdsre 04' 5Seery;Omen-RI.:Caay.Appirant;Pink-Revenue:Goldenrod-Assessor
" CONSTRUCTION AND PLANNING PG S 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. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
t 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
•6. Electrical OF ER.Grnd. 57. APPROVAL TO COVER-GUNITE
' 7. Footings 58. Electrical Conduit-Undrgrnd. • ' .
•
8. Foundation • 59. Gas Pipe, 0 Undrgrnd., Test 1 )
9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO,DECK`
11. Property Sewer Line & Haase Connection 62. Backwash & Receptor-Final
12. Sewer Cap •
- 63. Heater & Vent-Final •- -
13. Roof Drains 1 64. Plumbing System - Final
14. Rough Plumbing 1 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
1
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 0Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing - 74. Overhead::5 � ke 4L
26. T-Bar Ceiling (Structural) & Monocoat - _ 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding • . . . 77. FIXED SYSTEM FINAL & y
29. Insulation 78. FIRE PREY. FINAL - 2796
b 4.
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 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-
4q. Sound Attenuation -- '
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING -
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co _- - -
51. CERTIFICATE OF OCCUPANCY .
No Date
Aogins.s EBMLOMO: 238 FISCHER AV wit CITY OF COSTA MESA — BUILDING PERMIT
. owEa6NAMEwmow BERNICE ELLIS • PERM NO: E 078856
ADDRESS 1857 IRVINE AV
PERMIT NO: E 078856 PLAN CHECK NO: N GOVT: N SUPP : N
NEWPORT BEACH, CA 714548-2605
..AaPL.WULDIO ADORES3: CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ALT
ARanECTORENaNER: ERIC GILES/ GLESS ARCH =No.: C-11855 JOB DESCRIPTION . 3882 SQ FT OFFICE T, I . SQ FT:
MICKORENO."ADDRESS: 6 JEFFERSON wit
IRVINE CA 92720 CLAIM VALUE: CALC—VALUE: GROUP OCC : B /H-7
caneranu4uc. THOMPSON ELECTRICAL ( 714 ) 288-8120
ca4mAcroasuulan 1407 N. BATAVIA COMMENTS : "ORKIN EXTERMINATING CO" OFFICE 6 STORAGE REF: B-78815
Amos: ORANGE CA =No, 360849 *+E******«-**raE**AE*N•******+EftREIE**+ESE****rt1E*******itit*******iE** **+t*itxx-*** -IE*RES**RErt**
92867 IMF 102 Z ONING REQUIREMENTS
'LICENSED CONTRACTORS DECLARATION:I hereby afim under pearly of prjay that Ian Summed under provisions of Chapter 9 SETBACKS•
(commencing with Section 7000)a Obeian 3 of the Busies and PNaaatwv Code,and my bungs is in ted force and aged.
Cm TC.No.: uC.CA$S: C-10 uc.No.: 360849 EXP: MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Dae 7' O'e � Cortractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
ER BUILDER DECLARATION:I hereby affirmundertm der Pan*a perjslm y IIan eternal horn the Catadon L se Law get the
olbwt;reason(Sedian7031.5 Earthen mad Professions Code:Any ay a county which requires aprml to construct.aper.improve, PARKING REQ• PROV: PARCEL: 42703203 ZNE: REF NO:
damask or rape any suurms.pa b e
ibsurhaFenno
,also Lha appl flfor such penin to Ne a sighed statement that he a she PLANNING NOTES>
u roared p nsuaat to the provisions of the Co nradors License Law[Chapter 9(commencing with Sedan 7000)of Melon 3 el IM
Business and Prolesbro Code)or that he a she a exempt therebarn and the basis tor the alleged exemption.My viirion of Sedien >
7031.5 by any applicant for a pant sublet the epp&aa to a civet penalty a na mete than[we hundred dolma 155001). *******************************************************************************
❑ Lae ower ofthe popery a my employees with wages as their sole compensation,ova do to work and me studs a not intended DEVELOPMENT SERVICES REQUIREMENTS
or shred for sale(Section 7044.Business and Professions Code:The Cmtradas License Leedoe,net copy to an owner a popery
who With a inproees thereon.and who does such work tinsel a horse or trough lin or her own employees,provided that such
impwamernre nal intended a caredfasaie.a,however.Dm batlhhg«impwwn°NeOdd%t noneyam ommplrin,the ZONING APPROVED BY : DATE
own°rbr*9 have the ,of proving ordid ra
Nader, she t cola d improve tor the papas a sole). _. _
❑ Laeowrwatheprwaty.amearemtery maaaivwah Emrradmarama b win"'the Mled(Srabn 7044.Buni.es end BUILDING APPROVED BY : • DATE:
Professions Code:The Comradore License Law des net appy 10 an owner of weeny who babe or ingwee thereon and eta 91 6
contracts tag ith tar loch ed.wa caaands)rcensed pursuant to the Contractors License taw). , A
Elw
Iamexempt under Snthis Section: B. P.C., ' • r APPLICATION ISSUED BY: DATE:
*******************56******************* **** ****************** . * *** *
Oat Owner: LEGALIZATION;N F E E S MMARY STRUCTURAL S GMENT:N
I do hereby certify that I em aware a and understand the requirements of Canada Haab end Slay Code Sections 25.505.25533.and
25534.and dui levy soon bab'vhp occupant will lwa not Cagle one)need to cows*win and date codes.d the requirements fa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit hr constructionor modification from the Air- anpemerl red.Residrtiel construction appacetioro ere exempt Iran Nov
pwe'vm. PERMIT 99 , 70
Date: mad 50% SMIP/NON—RES
PLAN
WORKERS COMPENSATION DECLARATION:I hereby Minn under patty of perjury ate a the bioeip dedewbr: ISSUE FEE 2200
v
nwill❑ Ihave amantaihacontras dconsent toeedun
uunMn
rwcanpenWion.=provledfabySedm3700othe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,fathe pedamucedthe worktor wihthis name eissued. TOTALS----> 99 . 70 22 . 00 0 . 00 121 . 70 121 , 70 .00
0 I have and MI maintain waken'comtwuaun insurance,as required by Sedia 3700 of to Labor Code.tor the performance of the
Xwork la which this pane is issued.My waters' ion imsancsd parry number are:
tamer: GOLDEN EAGLE
EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 121 . 70 OVER/SHORT: , 00
Petry Number. NIILL /U /52UL 05/24 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(rhe sects'need net be carpeted I the permit is for one hundred dales(stmt er,Ist) 121 . 70
❑ I cents Out in the performance a to work is which this permit a issued.I shall not employ ry person n ary manner es n b
become lobed to the waken'croaavim tows a CaMaria.ad agree IS d I Mudd became erbied to IM wakes' *******************************************************************************
cooperation prwvbr of Section 3700 a the Labor Cade.I anal f hh nom*tree those provisions. INDIVIDUAL F E E BREAKDOWN
0 7 3/r/"l Applicant �/
ming:IYture to secure worirs'comparnadon tonna Is entree',and shill subject an rrplr,wb admirdprdtss and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fires 19 to one hundred HIMONT('dollars(5104000),n&daton to the cost of con a naton,down as prow/dad for n
Secton3706olteLaborCods,tnerse,andatomey'ataae ELE 20 FIXTURES, LIGHTING 1 ST 20 EA. 1 . 00 20 . 00
CONSTRUCTION LENDING AGENCY:I hereby ata under pertly a perjury tea thea is a construction lending agency for IM ELE 25 FIXTURES LIGHTING ADDITIONAL EA. - . 65 16 . 2 5
performance athek
waerwna,thet.mdeirwd(Seaim3097.Civ.C). ELE 20 RECEPT/OUTLET 1 ST 20 EA. 1 . 00 20 . 00
r LENDER'9NAME: ELE 28 RECEPT/OUTLET ADDITIONAL EA. . 65 18 , 20
LENDER'S ADDRESS: ELE 9 RECEPT/SWITCH 1 ST 20 EA, 1 . 00 9 . 00
Icaddy'hid!have read tit apprraanacerae that t,eabws information o cared.I agree to comply with al ay andmady ordinances ELE 1 SUB—PANEL 16 . 25 16 . 25
and state laws retying to buadng cornudian end hereby authorize representatives of the city to enter upon the above-mentioned property END OF FEES
kr inspection papaae. RICHARD THOMPSON
Print Name
Z�r%.— T1s, Date:7 3a SSC
spam-,a owrnpd . •r ..
(5151-46.W P) white-Building 8 Safety:0.: •
I
t IN PO. . SPA
CONSTRUCTION AND PLANNING `
APRROVALS Permit # Date Inspector APPROVALS Permit # f Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil'Pipe-Undrgrnd. 53. Steel Reinforcement 1 I
3. Electrical Condu(t Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding t
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. f
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 w%‘I,5 7/2?( O b 67. Fencing& Access Approval
17. Rough Wiring Sign ✓ r/{ // 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 6 '99/96 a E'k .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 7.8. 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 ci ,±'-qc Notes: -
.. 34. Final Heating& Air Conditioning ' L= -
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
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co - -
51. CERTIFICATE OF OCCUPANCY -
No Date
ADDRESS OFBMlDw0: 238 FISCHER AV WIT: CITY OF COSTA MESA - BUILDING PERMIT
I
fIfmEreamIFIm0MA: BERNICE ELLIS ...FPERM NO: P 078817
ADDRESS: 1857 IRVINE AV
PERMIT NO: P 078817 PLAN CHECK NO: N GOVT : N SUPP: N
NEWPORT BEACH, CA 714548-2605
APPL.MAIUM3ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: ALT
ARCNRECTORPNDPIEER: ERIC GILES/ GLESS ARCH ucic: C-11855 JOB DESCRIPTION : 3882 SQ FT OFFICE T . I . SQ FT:
ARM OREMI'SADDRESS: 6 JEFFERSON UMT:
IRVINE CA 92720 CLAIM VALUE: CALC-VALUE: GROUP OCC: B /H-7
CONTRACTOR'S NAME: M A NOURSE , INC ( 714 ) 757-1884
Ca4TRACTORSUMJ 1936 E DEERE ST COMMENTS: REF: B-78815
AmRES& S .A. CA ug,No,: 617556 +E+f+E*****it****iti(SL** *it*iEi *** ***SfSE* iter*** Mit**************it*it*****at***** ***Sfrt+E*Sf
92705 um: • ZONING R EQU IR EMENT S
LICENSED CONTRACTORS DECLARATION:I hereby rill under penally of perjurywi
tel I en licensed under prsbu of Chesser 9 SETBACK S
(commencing with Section 7000)of Dins=3 d the Business and Professions Code,and my Eoense bin hit face end effect.
CITY LIC.NO.: UC.CLASS: B UC.NO.: 617556 EXP: MAIN BUILDING ACCESSORY BUILDING
qi_ zi_ n
cmheda M./) /f6 a RjL FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT INLEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
LDER DECLARATION:1hereby affirm under penaly el perjury that I em exempt from the Co tractors License Law for to
reason(Sedion 7031.5 Busbies and Professions Ccda:Any city a county wig=requires a panne to coronet.aft==proem. PARKING REQp• PROV: PARCEL: 42703203 ZNE: REF NO:
demcfeh,a repel any structure,prior to is issuance also requires the apparent to such permit to Swiped statement that he or and PLANNING NOTES>
.is 4a sed pursuant to the provisions of the Contractors License Law(Chapter 9(cemmendry with Section 7000)al Division 3 of the
Business end Professions Code)a that he or she b exempt therefrom and the bass to the aaeped exenp'vn.MY violation of Section >
7031.5 by any app cant foe Peg==Mods the appacad to a dat penalty of not more than free hundred dollen(i500p. *******************************************************************************
❑ I,eaowmrdthePropMamyandoyeeswthwepaastheisolecompensedon,widothework,andthesWmasisnW'enaded DEVELOPMENT SERVICES REQUIREMENTS
a altered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not appy toanowner of properly
who builds a improves thereon,end who does such work himself a a through rough hsher or own employees,yees,Derided that su
improvements are rot
intended or offered for sale.If.however,the building or inprovernerd is sold within one year d completion.the ZONING APPROVED BY DATE:
owns builder will have the burden of proving he or she did not build or improve la the purpose d Si).
❑ I,asowner of thepWerry.am exclusively contractile with licensed=retractors to cenaud the projecs(Sedion 7044,Business ed BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to an owner of property whe builds'a intpma thereon and who
contracts for such projects with a ammda(e)licensed pursuant to the Contractors License Law): ., h
❑ I am exempt under Section: B.AP.C..for this reason: I.'-y> APPLICATION ISSUED BY: DATE:
*********************************** * *************************
Dale: owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL S MEN : N
I do hereby certify that I am aware of end understand the requirements of California Meant,and Safely Code Sections 25505.25533.and
25534,and that la any sure Wilding occupant win/wilna(circle one)need tocompywih said Mate codes and the requirementslarBLDG PMT PLUMBING ELECTiR-It' `MECHANIC FIRE SMIP/RES GRADING
a pennil fomnstanonor modification horn the Ai Quality Management Dstrict.Re identid cenanaep
ion pimbneareeamss from three
provisions. PERMIT 43 . 75
Dans Applicant: PLAN 25% ✓ SMIP/NON RES
WORKER'S COMPENSATION DECLARATION:I hereby eMrm under penalty d Prior/and the Mowing owing derlaon:atISSUE FEE 22 . 00 ' ' rt L`' '
❑ Ihave and will mental acertificate dconsent toself-insure for workers'compensation reprovided for bySeNm3700el the Labor BUILDING-DIV-> PERMIT ISSUE P,UAN-CiECK TOTAL PAID DUE
Coda,lathe ped«mertaealthe wakla *wnbpendbissued.
TOTALS----> 43 . 75 22 . 00 a /0 . 00 65 . 75 65 . 75 . 00
e
Q I have and wmaintain n workers'compensation ieUranne, requfred by Section d thepa
r 3700 Labor Code,for the brnance d the `
work la which this permit is compensation issued.My workers' re ion ins rance carrier and polio/ er
number e:
Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COJLECTED: ( 65 . 75 OVER/SHORT: 00
Pricy Number. 125b18b-13b 06/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC,_ FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be canpwrsd F the per=t u for one hundred doNan WOO]or less) 65 . 75
❑ I certify that be the performance al the work for which this permit s issued,I that not employ any person In any manner son to • 4:... )'- '
subjoin the worlds'oanpevatian laws d Cddania and agree that if l shah become subject o the workers' ****************************************.**.************************************* ""
ion provisions of Section 3700 of the Lair Cods,I*ha forthwith an*with goes INDIVIDUAQ - F-'E E BREAKDOWN
• ` Appfcam: a r
n :FSOrae to SIC Ufa workers'ta perwdon coverage Isar mnllsm(ect en employer to crnNrwpenamr and TYPE QTY D E S C R I P T I ,O N ?- UNIT COST TOTAL COST L`
civil fines up to one hundred thousand dollen($f0G000),In add/dun th cost of canpsnseti r damages as prodded for In •1. C
s«tan 37126 or m.Labor Code,Interest,and arorlryares.. PLU 2 WASH BASIN C ' v' 8 . 75 17 . 50 -'•
CONSTRUCTION LENDING AGENCY:I hereby affirm penny d perjury tat 1e is c n:rude»lending agency or to PLU 2 WATER CLOSET (TOILET) 5 8 . 75 17 . 50 -4
pedamanceothe vat lot which this panne sissued(Section 3097.cb.C). PLU 1 URINALS, WALL 8 . 75 8 . 75
LENDER'S NAME END OF FEES
LENDER'S ADDRESS: al and courtly IcMBytMm lhreed this Replicate=and den that the above Wagnerian seoer
nea.I to comply upon the�above-mentionedo antes J ( ;
W
C,
end state laws natio to Wddep construction and hereby authorize md
e represntves alto enter
operty
for inspection purposes. GARY VEITH7 y�/�3 Z r•,1
44
/ Prim Nam, q a r —
...
//— •
SIL of Dale: 7- 1— 1
Signature d ppicat Iiip
(5151de.WP) While-Buildip&Seery;Green-File;Cavy-App5cent;Pink-Revenue:Goldenrod-Assessor •
-
. ` 'CONSTRUCTION AND PLANNING- PC 3+ SPA
r 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. Electrical Conduit-Undrgrnd. - 55, Electrical Bonding
•
.5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical OFER Grnd. 57. APPROVAL TO COVER-GUNITE
• 7. Footings - 58. Electrical Conduit-Undrgrnd.
B. Foundation, - 59. Gas Pipe, 0 Undigrnd.,Testt�I
t
' 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, 0 Ui drgrnd.
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 /'�_�,4_!.� r/ 65. Electrical-Final
15. Rough Electrical-Conduit . 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approvaal , •
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 Framing - : . . 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing • _ -_ jq. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical -
27. Frame and Flashing - 76. Dry Standpipe - - .- • • - .
28. Lathing& Siding' - _ .. . 7.7. FIXED_SYSTEMFINAL ,
29. Insulation - - 28.:FIRE PREV. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat " _ 79. FINAL INSPECTION
r
32. Electrical Power Meter-Final 60. FOOD CERTIFICATE ISSUED L_
33. Final Electric ( Notes: /z, a/- Q _al /,•
34. Final Heating& Air Conditioning. ' - t2--3/-5--Z
_ •
W _ ��
t;i' : 7 3/^�-� • r t 6�
35. Final Gas Pipe-Test .. ,J % -2 �� '
36. Hood or Canopy _ - %-act-1 tNOT Tc PLAN t
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 ' - •
48._FINAL PLANNING _ '
49:-Electric Release to Edison - -
50. Gas Release to Southern California Gas Co -'
51. CERTIFICATE OF OCCUPANCY _
No. Date � •t
gI\c z Ql1J, Nun(ES
ADDRESS OF inn 238 FISCHER AV INT: CITY OF COSTA MESA — BUILDING PERMIT
B*NEWfl lEIFIwom: BERNICE ELLIS /PERM NO: M 078816
' ADDRESS: 1857 IRVINE AV /'
PERMIT NO: M 078816 PLAN CHECK NO: N GOVT: N SUPP : N
NEWPORT BEACH, CA 714548-2605
APDL.MMUNG A00RESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ALT
ARCNREcroRENmIEEB: ERIC GILES/ GLESS ARCH uc.Na: C-11855 JOB DESCRIPTION : 3882 SQ FT OFFICE T. I . SQ FT:
ARCA OR ENDSADDRESS: 6 JEFFERSON BMT:
IRVINE CA 92720 CLAIM VALUE: CALC—VALUE: GROUP OCC: B /H-7
CONTRACTOR'S M• E: M A NOURSE INC . ( 714 ) 757-1884
CCNTRACTORSMNIeIn 1936 E DEEfiE ST COMMENTS : REF:B-78815
AWRE54 S .A. CA UC NO: 617556 *********************EPEE*FFIF+ESE+txlF*AFFFRESESE******* *iE-FFIF*SEStSE*Sku*lE*FE*SF*****SEx**********
92705 Wit ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby a under perWy of perjury that I am licensed miler provisions of Chapter 9 - SETBACKS
(commencing with Section 7000)of Division 3 d the Business and Profession Code,end my license is m hen force end aa.
CITY UC.NO.: UC.CIASS: B MC.No.: 617556 EXP: MAIN BUILDING ACCESSORY BUILDING
�j p / FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
�� /�ZR — 1 C caw.e« Al, A I' �RL� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I en exempt from the C«aradan License Law for the
fclowny reason Median 7031.5 Bushes and Professions Code:Any city a county which requires a Permit to construct e0en,improve, PARKING REQ• PROV: PARCEL: 42703203 ZNE: REF NO:
demolish.a repei any ewcwre.prior to is issuance.ah o neither IM applicant lar such pend to Me a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contadors License Law(Chapter S(commencing with Section 7000)of Division 3 d the >
Business and Prdessfons Code)or that he or she is exempt therefrom and the basis for the alleged exemption.ion.AnyvcSectionstion of Sion
7031.5 by any applicant for a permit tautens the appfrant to a dr4 penally d net more than free hundred dollars 116000. '*******************************************************************************
❑ L as omar of the proPeny«my ampkrleee yeah wages es thei sole oompensslion,will do Oe work.and the eulun'w nd intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Seclion 1044.Business end Pmlessime Code:The Contractors License Law does not apply to en inner of prapeer •
who bulds or improvee thereon,and who does such work himself or banal or through his or her own employees.provided that such
improvements we int intended or offered for sale.a.howeer.the melding Or inprovemem is sold within one year d completion.the • -r ZONING APPROVED BY DATE:
wnarbwlder will have the burden of paving he or she did nor build or Mace for the Wpmee Of sale).
❑ I.al oaar a the property.am exdosiwly lorgadig with Horsed b bacron lb oonMq the paled(Seaun 744.Buskwsad ` QBUILD ING APPROVED BY : DATE:
Professions Code:The Caeredors license law does not apply to an owner d properly who buts a improves thereon and who 1 /'�
contracts for ads projeds with a mmador(s)licensed pursuant to the Contractors License Law). .7 I (/�
❑ Iamexempt under Sed°: B.AP.C.,for this's : If. APPLICATION ISSUED BY: DATE:
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGME T: N
I do hereby certify the I am aware d and understand the requirements of California Health and Selly Code Sections 25305,25533.ad
25534, d the Mum lDwaw
occupant nate am
eedthemiasmamr BLDG PMT PLUMBING ELECTRIC') MECHANIC aenIC FIRE SMIP/RES GRADING
a permit for oonaudcn or(noddxeion horn the Ar Ouetly Maapmiwu District.Residential rarWndion seriatim.we exempt from these PERMIT (37:"50
Dm.: Applicant: l,, — �
'I 7,, '25% SMIP/NON—RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby apum under penally d perjury are d the following dedaaiaa: ISSUE FEE ,.' n Z.2 0 0
❑ Ihave andwllmuntenacerlSrapadoonanlrovaMinacompensation.ionroddadlabySectbn3700dthelaba BUILDING—DIV—> PERMIT ISSUE PLAN—'CHECK TOTAL PAID DUE
Code for thep.rfamnanp.athe mak for which this perms i.Issued. TOTALS----> 37 . 50 22 . 00 .4..: 0 . 00 ` 59 . 50 59 . 50 . 00
I have and wO maireen workers'compensation insurance.as required by Section 3100 of the Lebec Code,for
the performance of the I ••
wakf«wNcth then permae®rad'Mr workers' ren a
I" '�yp q 'insd°o4y number SW EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: , '- ! 59 . 50 OVER/SHORT: . 00
Carrier:
Policy i256286-96 06/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC _FIRE SMIP/TOT GRADING PLAN—CHECK
(Oris section need nor be completed lthe prink S for one bundled dollar($tOO)or lees.) • 59$,:50,, : "i
❑ I candy Main the performance of the wadi for which the permit N shall in
issued,I shat employ any perm°s any marinern a r to / f l J
became subject to the workers'°mpensakm laws of Callbnna.and agree
Oa tl I aacqqKMeel to the mean' ***************************************************************
****************
m provisions d Section 3700 d the Labor Code.I shall lath h comply . INDIVIDUAL " FraE,E BREAKDOWNFw� Z 4- q lig 'TYPE QTY DESCRIPTION = UNIT COST TOTAL COST
emgeUunmacunwo*aicompawtloncoverage Is unlawful,and shall subject nemployer rocriminal pwWaend
clrll lines up to ono hundred thousand dollars($104000).In addition to the coat of compensation,damages as provided for In /
Soudan 3706of the Labor Codelntereal andadomey's Hos. MEC 1 REPAIR/ALT COOLING UNI,T/SYS',W%CNTLS 12 . 25 12 . 25
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that thea e °am °hg a odidi agency for 0a MEC 1 REPAIR/ALT HEATING UNIT/SYS W%CNTLS 12 . 25 12 . 25
a
performandthew«kf«whidnthispaakisIssued(Saaion3097,Ci.C). MEC 1 VENTILATION FAN CONN TO SINGLE "DUCT 6 . 50 6 . 50
LENDER'S NAPE: MEC 1 FIRE DAMPERS IA r,j I i 6 . 50 6 . 50
LENDER'S ADDRESS: END, /OF FEES .--
I certify the I have read the application and stale thin the above irdormakln s coned.I agme to comply with•0 city and county ordinances t-
and state laws relating to building c°soudian and hereby authorize representatives of this dry to enter upon the ebove'memioned mown ,:,' .
f«inspection purposes. GARY VEITH/ ' 1 • - _ - .. _
Prim Nam l J'
L A • . /a\ Owe: /— 7—i— 4 4. n`'07�
/ ipnelured• - ,'UAppm..7_ /r n
(5151J6.WP) While-Building A Safely;Green-Fla;Caney-Applicant;Pink-Revenue;Goldenrod-Assessor
f
• wONSTRUCTION AND PLANNING_ . 1 ' PG &SPA
-
r APPROVALS Permit# •r ,' Date Inspector APPROVALS Permit 4 i-• ' - Date Inspector
✓ •
• / /
1. Temporary Electrical Service or,Pole 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. . _. 53. Steel Reinforcement
-3. Electrical Cond'urt Utility-Undrgfnd. 54. Forms
4. Electrical Conduit•Undrgrnd. r • 55. Electrical Bonding '
,.5. Steel Reinforcement r' 56. Rough Plumbing & Pressure,Test
6. Electricel'UFER Grnd. 57. APPROVAL TO COVER-GUNITE .1'
. Footingi. ;.� 58. Electrical Conduit-Undrgrnd.
- 8. Foundation; y 59, Gas Pipe, 0 Undrgrnd., Test ^)
9. Water Pfpg-Undrgrnd.. 60. Backwash Lines,P-Trap,0 Undrgrnd.
10. Structural Floor System 5• 61. APPROVAL tO DECK J1--
11. Property Sewer Line & House C6nnection • 62. Backwash & Receptor-Final
•
12. Sewer Cap - ., 63. Heater & Vent-Final .S
13. Roof Drains .. 64. Plumbing System - Final
14. Rough Plumbing65. Electrical-Final �t,
15. Rough Electrical-Conduit e I . - 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 i 69. POOL/SPA SYSTEMS FINAL -F
-y
19. Rough Heating & Air Conditioning g_/'-.G. FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace -- - [��- - . APPROVALS Permit 4 -•-
‘'- 21: Ducts,in.Str,Loture - _ - 70, Underground Hydro .
22. Ducts, Ventilating-. - , 71. Product Piping 0 Gas O 04
23: Gas-Pipe-Rough & Test = - 72. Underground Flush
24. Roof Framing ;-„. - - 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing r+,., - -. = 74. Overhead Hydro
26."T-Bar Ceiling IStructurall &Monocoat # - - 7. - 75. Dry Chemical -
27--Frame and Flashing - 76. Dry Standpipe 7 -
28. Lathing& Siding" - - r. •. .. 77. FIXED SYSTEM FINAL -
• 29. Insulation - - • - - - 78, FIRE PREY. FINAL -
30. Drywall NailingHEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION - --
32. Electrical,Povder Meter--Final 80. FOOD CERTIFICATE ISSUED ' .
33.•Final Electric - Notes:. p 11-910,4
'
34. Final Heating& AiConditioning_ ,. /1^J/ 6 , . J� - ,��,�
35: Final Gas Pipe-Testy - _ ;() R_/S=G-4-6Z8-,J��-,a rte-.
36. Hood or Canopy - `t .4" ' ss c
37. Final Factory Fireplace - ' Th
. �r'�'�/JL'''- Q� &eS F F��2,.
_ t. "
38. Final Plumbing /'��
39. Water Service-Final,. ' - --.: - QCiG�
40. Gas Service-Final ' .
41. Solar Domestic-Final -- •-
42. Backflow Preventer' r • - -
43. Backflow Irrigation - . :. ' - -
_44. Landscape Icrigatio"n System ,. - .-, -. - -
• 45. Sound Attenuation - - - . - - •
i. 46: Handicap Regulations ;
47. FINAL STRUCTURE & BUI LDI NG - --
48. FINAL PLANNING -
-49. Electric Release to Edison - •-
50. Gas Release to Southern California Gas Co -
.
;.51. CERTIFICATE OF.00CUPANCY (;-"' -
No Date
ADDRESS OF BUILDING: 2.38 FISCHER AV WIT: CITY OF COSTA MESA — BUILDING PERMIT
• '&NEWS NAME IF IGIOWN: BEANIE ELF,I5 /PERM NO: B 078815
ADDRESS: 1857 IRVINE AV
PERMIT NO: B 078815 PLAN CHECK NO: 02474-96 A GOVT: N SUPP : N
NEWPORT BEACH, CA 714548-2605
AFPL.MMUNGADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: ALT
ARcxWECTOREt IER: ERIC G LES/ GLESS ARCH mac.: C-11855 JOB DESCRIPTION : 3882 SQ FT OFFICE T. I . SQ FT: 89, 000
ARCM OR EMIADOREa: 6 EFFERSON MIT:
IRVINE CA 92720 CLAIM VALUE: 89, 000 . 00 CALC—VALUE: 89,000. 00 GROUP OCC: B /H-7
c01mACTars taut M A N RSEINC. ( 714 ) 757-1884
NIII
COACTOWSMIIDIG 193 E DEERE ST COMMENTS : "ORKIN EXTERMINATING CO" OFFICE & STORAGE
AD CA uCND.: 617556 RS****+F*******REEF+E+S+ ****RE*Rr***RERE**+E**RE****RERERERE***Rr***********rFRE�E+rRERErE**+S**SERE******
92705 UPC: ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 S E T B ACK S
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my lienee is in lull force end effect.
c.No.: uc.cuss: B sac.No.: 617556 EXP: MAIN BUILDING ACCESSORY BUILDING
44°
�� Z � 'Q C An �o1..tf FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
conlred«: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
• NER BUILDER DECLARATION:I hereby affirm under penaky a perjury Thal I em exempt from the Contractors License Law for the
following reason(Section 7031.5 Buairesa and Professions Code:Any city or county which requiree a permit to construct.alter.improve. PARKING REQ- PRO V: PARCEL: 42703203 Z NE• MP REF NO:
demo/bn
h.orrepel any structure.prior to its issuance.also requires theapplicaforsucheermttofileasinedWaltmantheheorshe PLANNING NOTES> INTERIOR ALTERATIONS FOR THE 1ST AND 2ND FLOORS OF BUILDING
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Dimon 3 of the
Business and Professions Code[orlhet he or she is exempt therefrom and the basis forlhe alleged exemption.Arty violation of Section > FOR'"-OFFICE CONVERSION AND TITLE 24 REQUIREMENTS .
7031.5 by any applicant for a Pernik subjects the applicant to a civil penalty of not more then Me hundred dollars IMOD. ********************************************************************"***********
❑ i.asovmer°McPrpe1yormyemplgmswihwagesastMiaobmmpenwion,wedothework,andtestructureisnotinterded D E V E L O>P M E N_T SERVICES R E Q U I R E M E'it T
or offend ler sale(Section 7044,Business end Professions Code:The Connectors License Law does not apply to an inner of properly r. /�
DATE:
who bolds or improves thereon,and who does such work himself or hotel or[Moue.he or her own amplgwes,provided thin suchsuch '. -,
improvements ral e nintended o offered for sale.D.however.the building or improvement is*DM within one yam of completion, ZONING APPROVED BY•"' C/�s.n /^�
owrsr bji der wit have of proving he or she did not build the burdenild or improve for the purpose poee sale). r /
Drif
❑ I,esomsr of the propend.amexclusively contractive with licensed contractorstocanted the project(Section 7044,Business and BUILDING APPROVED BY : .' D
Professions Code:The Contrac:a Law does not apply to an owner of properly who hurtle or improves thereon and who 5 DATE:
contacts for s sad'projects with a a(s)ticersed pursuant to the Contractors License Law). ..
o Iamexempt under Section: B.AP.C..for this reason: APPLICATION ISSUED' BY: DATE: Jill
Date: can LEGALIZATION:N s ./ F E E SUMMARY STRUCTURAL SEGMENT:Y
•
I do hereby codify the I am aware and understand the requirements of California Health and Safety Code Sections 25505.25533,and
25534,and that l«any future bu"ngocwpenl will/Mtt not(three one)need to comply with said slate codes and the requiremennbbr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Ar DualityManagement amdd.Remdentim construction applications are exempt from these
provisions. / PERMIT 818 . 50
SMIP/NON—RES
Date: Applicant: PLAN 133 . 01 :• 18 . 69
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedrations: ISSUE FEE t•'
❑ than and MI maintain acedncme of consent to self-insure for workers'compensation,as prda
provided for by Sen 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
coda,r«lhapedomanoemtnew«kr«wnientnrapennhaiaauee. TOTALS----> 837 . 19 0 . 00 /".. , 133 . 01 970 . 20 970 . 20 . 00
9 .....,„„d,..maintainworkers'compensation insurance,m required by Sedbn 3700 a the labor Code,ler the pedurmrr<o the
7C work for whid,this permit is issued.My workers cone ion insurance earner and policy number ars: '1 "
Carrier SATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 837 , 19 OVER/SHORT: 00
Poky Number. 125628b—Jb 06/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This stadia,need not be completed r the panne s for one hundred dollar/$foO]or less.) 818 . 50 18 . 69
❑ I y the in the performance of the work for which the permit is issued,I shat not employ any person in any merrier so as to
�`�bbd to the workers'compensation Taws of California.and agree that B I alsuM to the workers' *********************************!f*********************************************
mansions as.dion 37mathe Labor Code.Ishad r �� I N D I V I D U A L +; F E- E B R E A K D O W N
— qts Appta„:
Warning:Failure to sedumworti rcompensation coverage bun shall subject an rroloyr to cdMnl AMINO,and TYPE QTY DESCRIPTION UNIT COST TOTAL COST
doll fines up to one hundred thousand dollars($iO4000A M addition to the cwt of componential;damages em Provided for In
Seddon 3706 oIMa Labor Code,Interest,and attorneys fess SFC 89000 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 X89, 000 . 00
•• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is eeYtiperformancethe cndion ding agency for s "ENDS OF FEES
of the work for Wad)this permit is issued(Section 3097,Cb.C).
LENDER'S NAME: ,. _ .
LENDER'S ADDRESS: _ / .
I certify That I have read this application end m
ate that the above information is correct.I agree to complyth all city and county ordinances . r
and elate laws relating to building construction and hereby authorize representmivee of this city to enter upon the above-mentioned properly i .
for inspection purposes. GARY VEITH / '
•
g Signature a Omer n pp can «
(5151-46.WP) While-Building A Safely:Green-Ate:Cvsry-Appicanl;Pink-Revenue Goldenrod-Assessor
•
• CONSTRUCTION AND PLANNING ; PO. & SPA
/ - Date •Inspector Date Inspector
APPROVALS Permit# _ APPROVALS Permit #'
I. Temporary Electrical Service or Pole • 52. Pool & Equipment Location r.-'
- r
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement
r.
3. Electrical Conduit Utility-Undrgrnd. 54. Forms /'
4. Eleetrical•Conduit=Undrgrnd. ,55. Electrical Bonding
.5. Steel-Reinforcement - 56: Rough Plumbing & Pressure„,Test
6. Electrical UFER Cry-id. 57. APPROVAL TO COVER-GUNITE
•• Z-. Footings • 58. Electrical Conduit-Undrgrnd. ,•
8. Foundation •' 59. Gas Pipe, 0 Uridrgrnd.,Test
u
9. Water Pipe-Undrgrnd.• 60. Backwash Lines,•P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK .1_. .
11. Property,'Sewer Line & House Connection 62. Backwash & Receptor-Final
i
12. Sewer Cap ' 63. Heater &Vent-Final
13. Roof Drains - I. 64. Plumbing System - Final I -
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 Ceiling69. POOL/SPA SYSTEMS FINAL -
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.- 20. Rough Factory Fireplace - - APPROVALS Permit#--
21. Ducts, in_Stricture. 1 70.'Underground Hydro
22. Ducts, Ventilatih:g _ - 71. Product•Piping-O Gas 0 Oil
23. Gas Pipe-Rough& Test -. • 72. Underground Flush-
24. Roof Framing , ' - - 7:3. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ' 74._Overhead Hydro
26. T-Bar Ceiling {Structural) &`Monocoat � //2/Q'6 Apv-7 75. Dry Chemical -
27._Frameand Flashing - - /e716 • 76:-Dry Standpipe
28. Lathing& Siding - - . 77. FIXEDSYSTEM FINAL
29. Insulation ‘ 78. FIRE PREY. FINAL
30. Drywall Nailing e/h6 . HEALT,H DEPT..REQUIREMENT
31. Plaster Brown Coat - 79. FINAL INSPECTION r -
32. Electrical Per Meter-Final 80. FOOD'` CERTIFICATE ISSUED //
33. Final Electric T _ - - Notes:-4G,/ ''6 eON,+$. �jr'�J - -
34. Final Heating&Air GonditionFng - -
/� � � / (/// '/
35.-Final Gas Pipe-Test _
36. Hood or Canopy'' - •
•`•1 - - -
' • 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 - L
48: FINAL PLANNING - -
49. Electric Release to Edison -'
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY s
No Date