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Home My WebLink About2539 BACK BAY LOOP - Building Permits rl • 1 City of Costa Mesa Development Services Department e O 1 J 9 C Building Safely Division CERTIFICATE O F OCCUPANCY No. 116 P.0.Box 1200 Costa Mesa,California The Building located at 2538 & 2539 Back Bay LoOD has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto • fora Group R-3 Occupancy. Use of Building Condominiwtks Legal Description 439-121-35 (See reverse side for Metes and Bounds) Building Permit No 826734 Electrical Permit No. E27549 Plumbing Permit No- E27039 Mechanical Permit No. M28434 Number of apartments and/or guest rooms ISSUED TO: Building Official William T. Howard R.J. Investments ,cam 17602 t,urpay Avenue by -4/:•-•/-4-.0f, / itec 7 v Irvine, CA 92714 / Date September 16, 1987 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. • CMF 1015-46 rev. 1/83 White•Owner;Canary-Numerical File;Pink -Bldg. Permit File ♦'•. � eiliat [r-Ai Lccp Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ------•-••----________ _ _ CaY O # OSTA MESA CONSTRUCTION PERMIT Nth: , L, l PERMIT NO, TRACT NO. LOT NO. N. NO n • Projectadl'2!5^.� ' f.;•41,07-11, s v A NU : a c 73 q /a/HI /. . TYPE N Li REPAIR CIRRI. (a/11 /RA LnC.h7 TL '�5'5 1 l -d(ii4 AO, Di TYPE OF CONSTRUCTION EW LI ADD Li ALTERATION Applicant's Mailing Address s- . �- / t -/ 2 •c • )k)fltS -I \ Phone c (-tf `1619 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �y� q P,# / 39-/� -31/4.5- Zone ' /202-+ Owner's Name p P4-14 p DESCRIPTION OF WORK/USE OF BLDG. nkk Int Wvg "T v i Address /i ,� t>7��^ TI )g ."•�7 '� �UE5 c .0 I�L S Main Building: 4. Accessory Building: Arch/Eng.C:�.-'�� e.Z R. •�y'� ) eennse�NEo. , I TYPE OF PERMIT . ❑ GRADING �I FOUNDATION /Ca/STRUCTURAL T Front /7. Li I Address �'.Jam. v 1 ICJ.�191ti i1 /"��•�1 N -. / C TENANT El ELECTRICAL ❑ PLUMBING El MECHANICAL B Rear /0A ,5 / GI, hi N Contractor's Name F dLeimA . CQ• Phone z(0-03p* ❑ OTHER C - Right ^^ / • N Address(mailing, it 19 Sky Parr CLea, 5k r 21-VI nett PROJECT DESCRIPTION SQ. FT. OCCUP$ � K Ix/ / . G City License No. -40'�ZO l 1 / CONSTRUCTION TYPE VALUATION$ d S Left / O v G/ b/ C_..� R ZONE -- _ GRADING CU.YDS. ACRES Ping, Ref,# - r414-O/ Parking Req,/Provided ci•6J E LICENSED CONTRACTOR DECLARATION ^ � a I hereby affirm that-I am licensed under provisions of Charter 9 (commencing Remarks:na L, FEE l' '# 331,8 3 lb co, Planning Notes: Q �1p SPECIAL (1 Tp n ( / 0,� M with section 7000) of Division 3 of the Business and Professions Code, and O. 'Os hC AL __ I.11141pgy-1.5•/T1g�,.�- T ^ '� my license is in f Ifo ce and effect. . ,)O 17�^PLA.,B . !\g1.t:ot ��•2,r nQ �/ C�a r •ti,r.• 1\ • ,License CI ss 'caw o, ( ` d' l J (/VJI ' S . "nate I7 $1 SC(a Signature iA .a £. . PLUMBING FEES . ble ORKE S'.COMPENSATION DECLARATION Bar Sink Showers / ,tereby affirm that I have a certificate of consent to self-Insure or a . tificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800; Lab. k ��pC �^ {� Automatic Washer Transformer 0 15-50 KW " Policy No. �f/��Jd-36 Policy F r fN,l4•-ti Backflow Irrigation $ewer,Ca J_ 0 50+KW • P Construction Pole Sub. Certified copy is hereby furnlShCtl. WCertifi copy[is filed with the city uildini D Isla n Bathtubs Sewer Connection Cooking Unit • Meter ❑up to 100 am.-•. • Date /7-C//'3 r/pe Applicant r ,. EXEMPTION/(ROM WORKERS"COMPENSATION DECLARATI N Clarifiers Solar Collectors - Dishwasher Meter ❑over 101 - ps ' • (This section need not be completed If the permit isfor one hundred( or - I less). Dishwasher Solar Piping _ Dryers ❑Gas ❑Electric Sub Panel - '' I Certify that In the performance of the work for which this permit is Issued, I -- - - - r ' • shall not employ any,person in any manner so as to become subject to the Drinking Fountains Solar Ta ' Fan - Motor A0-1 HP ❑1%-8' Workers' Compensation Laws of California, - - _ • Date Signature Floor Drain's , Swii ling Pool w/Spa ' F.A.U. • NOTICE:If,after:making this declaration,you should become subject to the _ Ir .Solar ❑9-15 HP ❑16-15+ , Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - drinal Fixtures, ' comply with such provisions or this permit shall be deemed revoked. Microwave - - ' CONSTRUCTION 'LENDING' AGENCY Gas'Service• -Outlets Water Closet Device Boxes ` ' I hereby affirm that there is a construction lending agency fol the performance. Pole Light • of the work for which thisrs+ermit is issgetl (Seco n 7 Civ. C.) ' Lender's Name f (�- P-rt s'in-.,LLLJ � '1--C`pl - Interceptors - Water Heater Outlets Range ' Lender's Address le 4,-f / 05 / 'l.�P•[,�.FJS Kitchen Sink' Water Service ... OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I am exempt from the Contractor's Licen a Law for the - Lavatories Auto-Wash Garbage Disposal • following reason (Section 7031.5 Business and Professional Code: Any city or - - 9 P Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑•- KW ❑5-15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor n file a signedstatement that he/she is licensed pursuant to the provisions of' Roof Dr ns e Contractor's License Law(Chapter 9.(commencing with Section 7000)of _ ivision 3 of the Business and Professions Code) or that he/she is exempt' therefrom and:the basis for the alleged exemption. Any violation of Section1 - , .7031,5 by any applicant for a permit subjects the applicant to a civil. - ' enelty of not'more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection'Fee $15 , Issue Fee $ 3 ' 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 $15 Issue Fee $ 3 License Law does not apply to an owner of a property who builds or Improves FEES thereon, and who does such work himself/herself or through his or her own r - . . - - _ - DEVELOPMENT SERVICES REQUIREMENTS:?'1/ /� employees, provided that such improvements are not Intended or offered for Boiler. ' Hood or Type I 0 - f�Ci ei ' 14'�^ pp�� sale. If, however, the building or Improvement is sold witnln one year of cam- Canopy Type II 0 - -Zoning Approved By Wd" Data pletiOn, the.owner will have the burden of proving hC/she did not build or Im- Duct-Under GroundBuilding Approved•By � Date /.Z-3j'—Oe• rove for the purpose of sale). _ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration Syste • Application Issued By rifr'e-caves+ Date (k3/-gC. tractors to construct the project (Section 7044,Business and Professions Code: ((JJ The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ' 00.100,001 : 0100,000 BTU SUMMARY OF FES builds or-Improves thereon,and who contracts for such projects with a'con- _ - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 S ' •m Repair/Alteration BUI LDING'PERMIT $ Z• •' 'r $MIP 7.it proof o their Worker's Compensation insurance should be provided to me: _ - PLAN CHECK' $83•34PERMIT: • 0 1 am exempt under Section ,B. & P.C.for this reason _Firepl/Fact.Bit. ICBO 4 Fire Dampers PLUMBING • $ ISSUANCE $ • Date Owner Heating System& Duc ' • Registers PLAN CHECK 25% $ ENERGY P.C. $ ' I hereby.certify that 1 have read this application and state that the above -❑0-100,000 BT 9100.000 BTL - • - , GRADING $ information'is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- MICROFILM $ sentatives of this city v• ent- u••n the above-mentioned pro erty for ' PLAN •CHECK 50% $ ' Inspection pu e . A 4 r r MECHANICAL ' $ - TOTAL FEE $ Signature —./ - A ar Date / 3 O� , Drivers' License or SS# • _ ^ l Reinspection Fee '$15 Issue Fee $ 3 PLAN CHECK 25% $ c25-.• — CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING I -&SPA ~APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 4,1i ,Temporary Electrical Service or Pole 52. Pool & Equipment Location t ', 2jSoil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding IA 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test / 6. Electrical OF ER Grnd. - 11:1 F l7 i 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 20. Rough Factory Fireplace 4'I i..• APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 4 ..)i p 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 2 4.4 '72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing s/,L 6."0:/ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing i.:1 . gin/i7 G, /✓ 76. Dry Standpipe 28. Lathing & Siding . , . 4 /9/g, C1.1 77. FIXED SYSTEM FINAL 29. Insulation1 e)161 &I" 78. FIRE PREV. FINAL • 30. Drywall Nailing - . 6/23h1 G&/ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, . - . ib- /n b" 79. FINAL INSPECTION - 32. Electrical Power Meter-Find' 80. FOOD CERTIFICATE ISSUED • 33. Final Electric c _1 ' Notes: 34. Final Heating & Air Conditioning HOLD/EOR SPECIAL REQU1REKATS 35. Final Gas Pipe-Test 02/2.17--Do SOT "PtLLASS bta{T= 36. Hood or Canopy SO fli-twArit...-nzw4 9accata.ce, AS A • 37. Final Factory Fireplace 38. Final Plumbing ri7f, L4 vver cedeeat -/t 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 ?h ,- 48. Special Requirements Completed 9 7 gn in M 49. Electric Release to Edison • 1 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. �'a PE IT NO. TRACT NO. LOT NO. UNIT NO. bi 0'I 5 3/04/87 109.20 TL • -CITY OF COSTA MESA syCOgNST UCTION PERMIT poi Project Address '3o�/ Loots a 7x99 , • • • TYPE OF CONSTRUCTION r.4.NEW U ADD H ALTERATION U REPAIR Applicant's Mailing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER.,, A.P.# I Zone Owner's Name �/Y� Phone DESCRIPTION OF WORK/USE OF BLDG. t�lr//✓00N/N/�� Address S Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front D Address . ❑ TENANT IPS ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N Contractor's NameB4/SSC `t-C- /CfPho e � ❑ OTHER A Rear C D Address(mailing/ S S• �%7e CH- U PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N K G O CONSTRUCTION TYPE VALUATION$ S Left City License No. O/t'7� / • ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION • Ping. R¢f.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ....r...8 oZ(e'7.3`$ Planning Notes: - M with section 7000) of Division 3 of the Business and Professions Code,and • T my license is in full laic')•�5ffect. 3 O3 40 License Class V Licens- u '•S $ 'Iv nate mat Signature de. -e. 7....#4,4......-__. PLUMBING I FEES DRKERS'COMPENSATION DECLARATION / Bar Sink Showers , ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-Insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink G, /1 y 'L Automatic Washer Transformer ❑ 15.50 KW 3800, Lab. ....4 I �t �/t. C tZifl-T ^ PolicyNo.� Company / Backflow Irrigation Sewer Cap ❑ 50+ KW 06 Certified copy is hereby furnished. Gdn$tr Udtldn POIe$Ub. al Certifie o is filed with the city B •is• Divi.44s,� Bathtubs Sewer Connection 3'PFAy1 ` Cooking Unit - .2._ Meter Aup to 100 amps 10 00 aterT��F FF Applicant -enN )O EXEMPTION FROM WORKERS'COMPENSATION •:EC ON Clarifiers Solar Collectors 1'. Dishwasher Meter Dover 100 amps a, • (This section need not be completed if the permit is f.r one hundred ($100)or less). Dishwasher Solar Piping yDryers ❑Gas Electric Sub Panel 2'�///J�� }( 1 certify that in the performance of the work for which this permit is issued, I ,P.o.. �{l shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar TankFan Motors 1:10-1 HP ❑1 h-8 ✓ OD Workers' Compensation Laws of California. Date Signature - Floor Drains Swimming Pool w/Spa Inc F.A.U. XS NOTICE:if,after-making this declaration,you should become subject to the .Solar 09-15 HP ❑16-15+ a Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal / Fixtures /�! comply with such provisions or this permit shall be deemed revoked. 3p p Microwave q- CONSTRUCTION LENDING AGENCY • Gas Service Outlets Water Closet I Device Boxes Pole Li ht I hereby affirm that there is a Construction lending agency for the performance g of the work for )1/Well this r it i sued (Section 3097 Civ. C.) Interceptors Water Heater g // O Lender's Name r /Y/t A p ,7p Outlets Range AO Lender's Address. .S/0 G S#r Su./7C }S/5 L.it97/¢ Kitchen Sink . Water Service Switchesl,,..s OWNER BUILDER DECLARATION Tv Sign g'• I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash � Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections a_n county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0.5 KW ❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor n file a signed statement that he/she is licensed pursuant to the provisions of ROO Drains ie Contractor's License Law (Chapter 9(commencing with Section 7000)of f AIvision 3 of the Business and Professions Code) or that he/she is exempt - - - therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered -- Reinspection Fee f $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES 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 ownDEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date - , p , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date P� prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 04— Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU SUMMARY OF FEES 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 Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ - PERMIT 0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PERMIT ISSUANCE $ PLUMBING $ Date Owner Heating System& Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ / i hereby certify that I have read this application and state that the above El 0-100,000 7g/ j7i,A,100,000 BTU ❑100,000 BTL GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% _ 11 MICROFILM $ se'tatives of this city to enter upon the above-mentioned property for - $ inspection pur e . Signature Date T� 1/17 MECHANICAL $ TOTAL FEE $ /09.JD Drivers' License or SS$s - '�= CONSTRUCTION AND PLANNING POOL &SPAN . 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. , 8. Foundation - , 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final 12. Sewer 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 • 20. Rough Factory Fireplace APPROVALS Permit# _ , 21. Ducts, in Structure 70. Underground Hydro . 22. Ducts, Ventilating • 71. Product Piping O Gas 0 Oil - 23. Gas Pipe-Rough & Test . 72. Underground Flush 24. Roof Framing ' . -. 73. Undergrnd.Storage Tank 0 Gas 0 Oil y, 25. Roof Sheathing 74. 0vef head 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 • 33. Final Electric 8-6_87 J C Notes: 34. Final Heating & Air Conditioning O • 35. Final Gas Pipe-Test 36. Hood or Canopy 37'<Final Factory Fireplace 38"r Final Plumbing . _ •� i' - 39. Water Service-Final , 40. Gas Service-Final } i- 1 ' .41. Solar Domestic-Final n., - ;42. Backflow Preventer ' -2-2 ' ,43. Backflow Irrigation - I •� ,• 44. -Landscape Irrigation System , . . 1 - 45• Sound Attenuation . is *i 4.46: Handicap Regulations - r' --' -'• . ' 47. FINAL STRUCTURE & BUILDING • ' , ' _ 48-:.Special Requirements Completed _ j ii 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co • - 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r�'CF-COSTA MESA CONSTRUCTION PERMIT PERM O. TRACT NO. LOT NO: UNIT NO. , C1T`G- a�o3s 3 . �2 ��-�9 1 .,lett Address 2-L�� -�ci iJaL� I,7/4 I--polo 7 1 TYPE OF CONSTRUCTION NEW CJ ADD LI ALTERATION LI REPAIR ,/� /Applicants Mailinng Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER IAP # Zone Owner's Name `C •T• I h✓RC+I ✓N1�11�j Phone U O-�g DESCRIPTION OF WORK/USE OF BLDG. Address )70(.2- !i'Aua1^ /lLC �-I'UIL7(L7 43 - '12714 ` I-' S Main Building: •-•is. ,LL�� Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING L FOUNDATION LI STRUCTURAL : E Front `i_l 1I 1! \ • p ❑ TENANT ,❑ ELECTRICAL I�PLUMB!NG ❑ MECHANICAL - ❑ OTHER Address - A Rear (� i t N Contractor's Name a'1(•'-(lt�i(r Pi.-0411:41L Phone �� 9� - - C Right JAN 27� 198/ 1 t�• N / ^ 1� PROJECT DESCRIPTION SO. FT. ' OCCUPANCY Address(mailing) l�3��- ��V1PA D . {.tl Vl nisi �P- � 7 K • ; 1 G 2 'r��/ _ - CONSTRUCTION TYPE VALUATION$ $ Left R • City License No. JY—I t!/ ZONE GRADI NG CU.YDS. ACRES ' LICENSED CONTRACTOR DECLARATION •2 Ping. Ref.# A' :t/ ^r an'A FIE°' Parking Req./Provided Q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: I l l(0'1 3� • Planning Notes: y,i M with section 7000) of Division 3 of the Business and Professions Code, and nC / '`\\.w.` my license is in full force and effect. '2 T `-'C! License Class - .License No. ' J $ . Date. i—'l7—� Signature IF / i f""t• PLUMBING • FEES .- - -..,3/4. ORKERS'COMPENSATION DECLARATION • neo Iereby affirm that I have a certifidate of consent to self-insure or a certificate , Bar Sink "- Showers 1 I ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink J 3800, Lab. /A, /� Automatic Washer • Transformer 0 15.50 KW Policy No. 0T57CASI GFJ Company AIf.IJ,ff- l.F{;L AL, ' Backflow Irrigation, Sewer Cap P Construction Pole Sub. 0 50+KW Vi_Certified copy is hereby furnished. - - �,`f • - Certified y is f' d with the city �qII ,g i Ilion- ,//1 ^ 1.{ Bathtubs' • /L Sewer Connection 1� o✓ - Cooking Unit. : - Meter ❑up to 100 amps - Date / ? ( Applicant el O y.� •is EXEMp4 --,-z,—&- TION FROM WORKERS'COMPENSATI N DECLARATION Clarifiers Solar Collectors - .. Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or � • less). 2 Dishwasher Solar Piping , U V Dryers ❑Gas '❑Electric Sub Panel 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 , Drinking Fountains Solar Tank , ' . Fan Motors❑0-1 HP 01%-8 Workers' Compensation Laws of California. - - ' Date' - Signature Floor Drains SwimmingPool w/Spa ' NOTICE:If,after making this declaration, you should.become subject to the - p F'P"U Inc.Solar ❑9-15 HP❑16-15+ , Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such:provisions or this' permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY :'z Gas Service ' /0 Outlets Water Closet • ' Device Boxes 'v I hereby affirm that there is a construction lending agency for the performance s Pole Light of the work for which this permit is issued (Section 3097- Clv. C.) =' Interceptors t Water Heater ' Lender's Name - - - 2. WT�s •Outlets j/� Range .. .Lender's Address - .Z Kitchen.Sink . 2 Water Service - - - Q oV Switches - Sign ' ' OWNER BUILDER-DECLARATION Q' V • I hereby affirm that I am exempt from-the Contractor's License'Caw for the V Lavatories /1 I Auto-Wash �-Op I Garbage Disposal ' - Standing Sections following reas5n (Section 7031.5 Business and Professional Code: Any city or // my which requires a permit to construct,-alter,improve,demolish or repair ' P—Trap , ' LaundryTrays V • Generator ❑0.5 KW ❑5-15 KW Trash Compactor � structure, prior to its issuance, also requires the applicant for such permit - p - 'o file a signed statement that he/she is licehsed pursuant to the provisions of f Roof Drains ie Contractor's License Law(Chapter 9(commencing with Section-7000)of • • y„ ivision 3-of the Business and Professions Cotle) or that he/she is-exempt - - - . -- - , - , , .nerefrom andlthe basis for the alleged exemption. Any violation of Section 7031.5 by any applicant far a permit subjects the applicant to a civil enalty oft not more than five hundred dollars($500). ' ' U I, as owner of the. property or my employees with wages as their sole Reinspection Fee I $15 ' Issue Fee i $ 3 - compensation„will do the work,and the structure is not intended or offered - Reinspection Fee I' $15 Issue Fee • $ 3 for -sale (Section•7044,'Business and Professional Code: The Contractor's MECHANICAL FEES License.Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself,or through his or her own - • DEVELOPMENT SERVICES REQUIREMENTS: ' employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 • sale: If, however, the building or improvement is sold within one year of com- - - Canopy - Type II ❑ Zoning Approved By Date pletion, the owner will'have the burden of proving he/she did not build or lin- ' Duct-Under Ground - - prove for the purpose of sale). •- 'Building Approved By Date ` / '❑ I, as owner of the property, am exclusively contracting with licensed-con- Duct-Structural Refrigeration System Application Issued By Date 11,74/: tractors td construct the project (Section 7044,Business and Professions Code: The Contractor's--License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU SUMMARY OF FEES - builds or Improves thereon, and who contracts for such projects with a con- - - tractor(s) license,pursuant to the Contractor's License Law). I am aware that' stem System 0 Multiple 0 - System Repair/Alteration BUILDING PERMIT $ SMIP . $ - proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $. PERMIT ❑;I,am exempt under Section - - B.& P.C.for this reason - Firepl/Fact.BIL ICBG.# Fire Dampers • r - PLA MBING $ ISSUANCE $ Date owner - - J Heating System&Ducting Registers - PLAN CHECK 25% $ / Ud DO ENERGY P.C. $ I hereby certify that I have read this application and state that the above. 00-100,000 BTU 0100,000 BTU— GRADING $ information is correct. I agree-to comply with all city and county ordinances - - ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50%• $ _ MICROFILM $ ' sentatives • this cit to enter upon' a above-mentioned property for • - - inspection ;�rr��les. (,n �I `^ • • `� ams l.0 J` Y, i-2 f 41 ' MECHANICAL $ TOTAL FEE $ L(J Signature �� r Date -Drivers' License or SS# . --�� / Reinspection Fee $15 Issue Fee $ •3 PLAN CHECK .25% $ - . CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ' 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. 9/,/y7 )fir 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 "A /fr Oa 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 20. Rough Factory Fireplace APPROVALS Permit# -• _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping D Gas D Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas D 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 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 7-/-Y7 LE 0 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing (13-Y1 Lfo . 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No Date _ / ..• . I' . / • Applicant to fill in all spaces except those within heavy border lines and sign all afpropriate declarations: 'r • PERMIT N TRACT NO. LOT NO. I NO. �I �/ `' '�1 ��- - }-Z Ire "_ • CITY of COST ESA CONST CTIONaPERMIu (� �y /�?�/ _ / ' .v c . 01:7517 `t,/ _ Project Address 3% 34 11 a.'' L . ,ZT a 0, U �) Applicant's Maijj g Addr 0. '• /I 1 / - / TYPE OF CONSTRUCTION �NEW D ADD ALTERATION IA REPAIR' f i •in - ❑ CONVERSION ❑ DEMOLISH ❑ OT jR . Owner's N190 !9—;/ + .. •" -Phone DESCRIPTION OF WORK/USE OF BLDG. �l • Address f ' (,� . s Main Building: , Accessory Building: . Arch/Eng. ' License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION STRUCTURAL Address OO11-,�GG El TENANT ❑ ELECTRICAL 0 PLUMBING MECHANICAL Contractor's Nam O0�� -� 47 -Phone9 '�G� ❑ 'OTHER ' Address(mailing/AXL • K-• PROJECT DESCRIPTION SQ. FT. - OCCUPANCY CONSTRUCTION TYPE - VALUATION$ ' City License No.OZONE GRADI NG CU.YDS. 'ACRES LICENSED CONTRACTOR DECLARATION /� z►x.' ' 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing • Remarks: R0�/_ 94,... .�.�• _ a r 7 3 4 with section 7000) of Division 3 of the Business and Professions Code,and •�""(/j my license Is in I f• c and effect. �I License Class License V Cr ''ate - a- • Signature V . -- ._ _! PLUMBING FEES • MFEES . l ORKERS' COMPENSATION •, CLARATION Bar Sink affirm mp I have a nn re of consent to s•co thereof or a certificate Showers ' ELECTRICAL of Workers' Compensation Insurance, or a certified co lher¢o1 (Section l t�1 3800Lab.0 q� `` �• - I_ /7/1 /�/1 QQQ.".... BackflowService Sink Automatic Washer Transformer 0 15-50 KW 1 ` Policy, No. 810'SLZ7 Company-4;a 0 50+KW ConstructioII- n Pole Sub. FCertified copy is hereby furnished. .cwiffQQyry filed with the city��1'1Iain99�v�m' sten. Cooking Unit 'Meter ❑up to 100 amps • Date ons- APPlicantrT/ws��'''' 7 /yJ r. EXEMPTION FROM WORKERS'COMPENSATION4ECLARATION Dishwasher Meter Dover 100 amps' (This section need not be completed if the permit Is for-one hundred($100)or less). • Dryers ❑Goa ❑Electric ' - Sub Panel -- 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 • Fan • Workers' Compensation Laws of California. Motors❑01 HP ❑1h-8 • Date Signature a F.A.U. Inc.Solar ❑9-15 HP 016-15+ • 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. Fixtures _ Microwave CONSTRUCTION LENDING AGENCY- • bullets Water ClOset i Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is Issued (Section 3097 Clv. C.) • I nterceptOrS Wafer Heater Outlets Range Lender's Name, - Lentler's Address Switches ' OWNER BUILDER DECLARATION ' ' Sign , 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 Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair any structure, prior to its Issuance, also requires te applicant for such permit Generator 00-5 KW 05.15 KW 'Trash Compactor file a signed statement that he/She is licensed pursuant to the provisions of e Contractor's License Law(Chapter 9(commencing with Section 7000)of 'vision 3 of the Business and Professions Code) or that he/she is exempt ' therefrom and the basis for the alleged exemption. Any violation of Section , 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). U 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 Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves _ - thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES•REOUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of com- . Canopy Type Ii ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or Im- Duct'Under Ground Building Approved By Date rove for the purpose of sale). /�7 r' I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat: SCJ tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT ry�.y{ ❑ I am exempt under Section B.& P.C.for this reason Firepi/Fact.Blt. ICBG# ' 0,�p op J /1 • PLUMBING $ ISSUANCE $ �T Date Owner • Heating System& Ducting r a ► ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,0008TL ELECTRICAL $ GRADING $ information is correct, 1 agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ Inspection . fives •f this city to enter upon the above-mentioned property for Inspection - noses, t' jab Signature Lam• , i1 Date '5/5/17 MECHANICAL $ _ TOTAL FEE $ -V v Drivers' Llcltse or SS it. CMF 0865-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - • CONSTRUCTION AND PLANNING _ I -&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 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 20. Rough Factory Fireplace -. APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil 23., Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical 27. Frame and Flashing .1,,. 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 311' Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning y i7 !. 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. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 0876 4/09/85 , 8000 IL CITY OF COSTA MESA CONSTR •UCTION PERMIT p�R"MIT NO. TRACT NO. LOT NO. UNIT-PIU. , •Project Address I e• ' • r_.. 'rim. . r✓I i • Applicant's Mailing Address .30 J f ,- TYPE OF CONSTRUCTION W NEW. U ADD U ALTERATION U REPAIR Owners Name - A0 -- A few Phone ;5-2-2- ❑ CONVERSION. ❑ DEMOLISH El OTHER A.P.*, - I Zone DESCRIPTION OF WORK/USE OF BLDG. Address 5 Z' S -..;,c-- f�f � SFr'Fp S Main Building: Accessory Building: E Z Arch/Eng. • License No. TYPE OF PERMIT ❑ El FOUNDATIOry/❑ STRUCTURAL Fr T yamont 0 Address ' ❑ TENANT ❑ ELECTRICAL ❑��ePLUMBING �9 MECHANICAL B Rear _ N Contractor's Name .r�_ S . •hone_1t_v2..L—LU ❑ 'OTHER h1•'1 545 • G Right - N Address(mailing) 113 '' • 1 r • . PROJECT DESCRIPTION SQ. FT. - J OCCUPANCY K. . G /h J CON ST RUCTION TYPE VALUATION _ S Left City License N_o. Op?/a-, • ZONE GRADING CU.YDS. ACREG E LICENSED CONTRACTOR DECLARATION 1 Ping. Ref.# Parking Req./Provided - Q l-hereby,afflrm that I am licensed under provisions of Charter 9 (commencing ' Remarks: Planning Notes: NI with section 7000) of Division 3 of the Business and Profen ions Code,and • - • T my license is in fWlfor�sea • effect. Z ' . License Class • C.-, LI e �- • S Date .S Signature gall f . !' PLUMBING I FEES { ' WORKERS'COMPENSATION DECLARATION - Bar Sink . Showers • ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate - r . f Workers' Com ensati n I surance, or a certified _copy thereof Section Backflow Preventer- • -Service Sink - - -- •- —,800,'Lab. C.) I/�P - Automatic Washer Transformer ❑ 15-50 KW Policy No. r 3 `E �� Companyi9zW! Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KWa Certified copy is hereby furnished. ertjjje cQPybctiled with the city Bui ng_Divi • Bathtubs • Sewer Connection Cooking Unit Meter ❑up to 100 ampd Date s�"'SS �{t�l-S Applicant rf J -0 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers , Solar Collectors Dishwasher _ Meter Dover 100 amps •_ _ _ _ (This section need not be completed if the-permit is for one hundred($100)ar less). Dishwasher j Solar Piping . Dryers ❑Gas ❑Electric Sub Panel 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 I rinking Fountains Solar Tank ' Fan Motors❑0.1 HP OVA-8 Workers' Compensation,Laws of California. ' . Date Signature Floor Drains Swimming Pool w/Spa F.A.U. 'inc.Solar 09-is HP ❑16-15+ 'NOTICE: If,after making this declaration, you should become subject to the ' Workers'.Compensation provisions of the Labor Code, you must forthwith- Floor Sinks. • -Urinal - -- Fixtures : - - - 4 comply with such provisions or this permit shall be deemed revoked. Microwave' CONSTRUCTION LENDING AGENCY • Gas Service• .Outlets Water Closet Device Boxes 1 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 Outlets Range Lender's Name - - - . • Lender's Address . • Kitchen'Sink, ^ Water Service Switches :Sign OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories •.1 - - • :Auto-Wash I Garbage Disposal :Standing Sections following reason (Section, 031.5•Buslness and Professional Code: Any city or ` county which requires a permit to construct,alter,Improve,demolish or repair - , P-,Trap - • • - - ' any structure, prior to Its Issuance, also requires the applicant for such permit p Laundry trays - - -Generator ❑0.5 KW ❑5-15 KW Trash Compactor to file a'signed statement that he/she Is licensed pursuant to the provisions of Roof,Drains - r I 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 - `herefrom and the basis for the alleged exemption. Any violation of Section . . - I ' ' '031%5 by_ any applicant for a permit.subjects the applicant_to a civil , - - - en alty of not more than five hundred dollars($500). . O I, as owner of the property or my employees with wages as their sole Reinspection Fee ' $15' Issue Fee , $ 31 '.compensation, will do the work,and the structure is not intended or offered - - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's ' MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves I _____---.— - _ • thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: 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- Canopy Type II 0 Zoning Approved By •• Date pletion, the owner,will have the burden of proving he/she did not build or im- Duct-Under'Ground Building Approved By ' Date prove for the purpose of sale). (� �� ❑ I,as owner of the property, am exclusively contracting with licensed con- • Duct-Structural , , Refrigeration System Application Issued By 1?)i/'�{u_ Dat I tractors to construct the project (Section 7044,Business and Professions Code: - • (JJ The Contractor's License Law does not apply to an owner of property who ' Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU I SUMMARY OF FEES builds or improves thereon;and who contracts for such projects with a con- - - ' • tractor(s) license pursuan(to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING PERMIT $ SMIP $ ' proof of their Worker's Compensation insurance should be provided to.me. . PLAN CHECK $ PERMIT • ' ❑ Lam exempt under Section B.& P.C.for this reason Firepl/Fact Bit. ICBG# Fire Dampers• PLUMBING $ • ISSUANCE $ Date Owner I ;HHeating System& Ducting Registers • PLAN •CHECK 25% $ • ENERGY P.C. $ ' I hereby certify that I have read this application-and state that the above I 'yu100,000 BTU•❑100,0000TL - Q� ELECTRICAL $ GRADING $ ' information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ • MICROFILM •$ sentatives of this city to enter p n the above-mentioned property or �Y/I inspection perp(Qes...y y� (�,{,yJ (P 1 MECHANICAL ' $ 1-a) ' TOTAL FEE '$ ' E5.c 0 Signature 'a i- \I \l TF.I/•`�M•- Date 3-ti,�� - - - Drivers' License or SS# . Reinspection Fee I $15 • • Issue Fee pp$�0 3 PLAN CHECK 25% 1$ ) ' . CMF 0865-46,rev.10/84. White - Building; Canary -Applicant; Pink•-Accounting; Goldenrod - Assessors • V G CONSTRUCTION.AND PLANNING • ' . . - POOL _ SPA - - . - .' Date Inspector - Date Inspector- ` APPROVALS Permit# APPROVALS Permit# I-, _1. Temporary Electrical Service or Pole • 52. Pool_& Equipment Location 2. Soil Pi e-Undr rnd. • - , A g 53. Steel Reinforcement .3: {Electrical Conduit'Utility-Undrgrnd. 54. Forms . . 4..Electrical Conduit'rndrgrnd.- •_ •> . ' . 55. Electrical Bonding 5. Steel Reinforcement • - ` 56. Rough Plumbing & Pressure Test '-6.-ElectricalUFERGrnd. • • 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 r' 62. Backwash& Receptor-Final '•12. Sewer Cap :, . C - - 63.•,Heater & Vent-Final ' r _. 13. Roof Drains '- 64. Plumbing System -Final 14. Rough Plumbing; 65. Electrical-Final - ' ?V 15. Rough Electrical-Conduit - 66. Solar-System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough-Wiring Sign 68. APPROVED FOR PLASTERING . 18. Rough Electrical-T'Bar Ceiling • - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. 'Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping 0 Gas 0 Oil _23. Gas Pipe-Rough&Test , 72. Underground Flush 24. Roof 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& Siding77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL. ' .. 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION , • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .J • 33. Final Electric Notes: ,, 34. Final Heating & Air Conditioning /q/ifir ccD 35.-Final Gas Pipe-Test /0 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 1 - 45. Sound Attenuation - 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - 49. Electric Release to Edison t - _ ' 50. Gas Release to Southern California Gas Co ' I 51. CERTIFICATE OF OCCUPANCY. '. - - . ' _ 1No. - Date