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Home My WebLink About1995 CHARLE ST - Building Permits OWNER WESCOTT & SHEPMAN DATE 9-11-58 _ JOB ADDRESS 1995-B Charle Street BUILDING PERMIT NO. 71.132 GENERAL CONTRACTOR Romar Builders VALUE $ 8,026.00 11 -52 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res. & Att. Gar GROUP I & J TYPE V ZONE Rh PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms ' Steel �i� T®-/f'E' Floor System _ Steel Reinforce Chimney Re-Rod Bond Beam • Frame and Flashing /0 —6 -1The .r_ Lathing, In Out - M '/(} - Plaster, brown coat .. '- j `$l •57 • Underground soil/�/5� ' W/G Pipe I KO-6-6-r - Top Out 4-ls-sel Furnace 14-S /0-6161r Gas Vents Rough Plumbing /YjfS /0 li-6V 7 , f /i/Z 6'1>f q —.4'. ,59 /V 78?/ - / Cesspool Septic Tank Pron Swr Line' House Con. St. Swr. fie'- 7�.4.a �c. //-5—f� /S! 9S 0 Sprinkling System I Heating Final f�(D/ Plumbing Fixtures, Final ,S Final Gas Test I/ /$t \ 1' Construction Pole Itfik, - ,7 Underground Power IUY • Rough Wiring /Mth /4./-,,C, C-' ,1 1i- x « Lc ?—/T-51____ e? 9 y — ` , Fixtures, Final 4' j. 7,- I'"/j1\, OCCUPANCY tra / 7 trey Form 210-5M-1-57 7) 49 OWNER WESCOTT & SHERMAN DATE 9-4-58 JOB ADDRESS 1995-A Charle Street BUILDING PERMIT NO. 71131 11p�ElR4L,CONTRACTOR Romar Builders VALUE $ 8,025.00 (7No. 7y�L LOT 18 TRACT FIRE ZONE DESCRIPTION OF WORK Res. &. Att. Gar. GROUP I & J TYPE V ZONE Rh PLAN NO. - _ INSPECTIONS DATE . SUBCONTRACTOR PERMITS ISSUED ! DATE NUMBER • Trenches Forms Steel J .......*:,vg" - ..- ye-i —/3 Floor System Steel Reinforce Chimney Re-Rod Bond Beam f _ Frame and Flashing /g/s q -,70 Lathing, In Outy+t�+',f /s...a Plaster, brown coat tti£-% /) -.M ". Underground soil44-j$ WIG Pipe Test io a Top Out "9-11..rtle Furnace AVS tale-•cie Gas Vents Rough Plumbing /42% ' /o-6-Sr 4//c e rte 9-.8-3-S / '/7J' / _ Cesspool Septic Tank -Erna. Swr. Line House Con. St. Swr. r-s 7Lcc.9.0L3 //-,c Si /s/ 9g Sprinkling System Heating Final .- iv /mG-4 Plumbing Fixtures, Final he f "4--Final Gas Test Alit f/�'f -4- ''9 Construction Pole r-. -( 4_y 1 L. L C 9-/ 1-5-S ' A e1 f G .----- Underground Underground Power b' Rough Wiring 44 /(1,i-.yt(„ Fixtures, Final NUS b l° sta •OCCUPANCY 1.- lily 4 -49 Form 210-5M-1-57 71111 CITY OF COSTA MESA 4 / BUILDING DIVISION • .,,. : DEVELOPMENT SERVICES DEPARTMENT PER NUMBER �. 11 I PERMIT: 03-00196 (714)754-5273 • Fax(714)754.4956 • www.ci.costa-mesa.cay;ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1995 CHARLE ST BUStatus: ISSUED Suite: A Applied: 02/05/2003 Vicinity: Issued: 02/05/2003 Parcel Number: 42210202 Zoning: Applicant: CHEZ, MICHAEL ISSUED BY: • te Address: 1991 CHARLE Phone: 714-448-9345 COSTA MESA,CA Zip: 92627 Owner: CHEZ, MICHAEL Address -1991 CHARLE ' Phone: COSTA MESA;CAS Zip: 92627 • Contractor: - - Address: Phone: Zip: License: Arch : - Eng: Address: _ '� - Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF,REPLACE SHEATHING AS NECESSARY,COVER WITH 30 YEAR COMP.RE-ROOF WORK INCLUDES ONE DETACHED UNIT WITH AN ATTACHED GARAGE. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $1,425.00 Permit: $54.00 Claim Valuation: $1,425.00 SMIP Res: $0.50 • SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $54.50 • PLANNING & ZONING SETBACKS . MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12.21.92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ye and will maintain workers'compensation insure as required by section 3700 olhe Labor Code,for the performance of the work for which this permit is issued. My workers'compegssatlotryn;p{enOq carrier and nu r are: Carrier: ��0//��// Policy Number: (This section need not be completed/l the permit Is v lued at one hundred dollars($100)or leu.) 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 come subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3 00 of��l1ppppeeee Labor Code,I shall forthwith mSig with these provi O Applicant Signature �.' l' T l/✓ - Date: WARNING:FAILURE TO SE E NIERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES D CIVIL ES UP TO ONE HUNDRED THOUSAND DOLLARE(3100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.IJc.M Class A Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097.Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a sign statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business d Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fora permit ubje e applicant to a civil penalty of not more then five hundred dollars($500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors Ucense Laws.). ❑ I am exempt unde5 C. As ' I =. Iness and Professions Code for this reason: Signature: p � -� r Date: 0 5 Owner ID verified b driver's license. es 0 No Drivers License No. res: Verification of Ownership by(type of documen,Le.-property tax bin or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thIrty-six(38)feet high.(Chap.3.2,Grp 2,An 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to Ills a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safely Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aaermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? U Yes U No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 II a permit from the South Coast Air Duality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (if yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not Ito occupy or allow occupancy of any building authorized by itpe- it until 'n: inspection. • Signature Of Legal Owner(s) //'t" 1 �[J� Dat And/Or Authorized Applicant / Date BODE r INSPECTION TYPE DATE ItilIDMLi g00E( INSPECTION TYPE PEE MAL9 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /2 _4 ' 7 208 Final Plumbing • 200 Final Re-Roof l ( 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention _ 202 Final Factory Fire Place 220 Final Planning Approval 203 Flnel Sign 222 Final Site 204 Final Demolition- - 250 Final Building/Occupancy • '7 ,z,, . `( - '?431 I F COSTA MESA BUILDING DEPARTMENT PEE, RECEIVED • P.0. Box 317 COSTA MESA. CALIFORNIA '}IItt 28 FOR APPLICANT TO FILL IN APPLICATPPt LFO9D ?ERMIT BUILDING SU VLA EISIGIESA ADDRESS 1995 A Char$e (3rd house left side) COSTA MESA. CALIFORNIA 1 FOR OFFICE USE ONLY ; RECEIPT NO. PERMIT NO, OWNER Glenn Wescott & Arthur Sherman 7X5/ RECEIVED BY DATE RECEIVED DATE ISSUED MAIL ADDRESS 11802 Ce&este, �Ld7"S I 9- 5d--s Santa �$ TEL 1-0747 BUILDING /q9 C- �[ 4 CITY EL ADDRESSr l ��'/// ('ie1 ARCHITECT LIC. OR ENT-INTER NO. COSTA MESA. CALIFORNIA FIRE 3 ADDRL-6 ZONE ��'R^ ZONFpYy... NO.OF TYPE GROUP CONTRACTOR V/A-/P `.W2;13. NO: 7384 / , PLANS T /� �C/(/+y ADDRESS 2 300 Newport Blvd. NOLI 8-9388 BY AP �n'Irc TE / `f!/5O LEGAL ��RECTIONS OT p DESCRIPTION NO./ x`10.. .cB.LOlCK �^ TRA`-T A.P.NO. /( `--� a F//— J �/...e. .G�t I/ iO ...- SIZE SIZE NO.OF BLgb/y46. '/ 1 OF LOT 250 x 97.86 NOW ON L li q+{�/IUSE OFC"'•'EXISTING BLDG. {"SETBACK LINE FROM / - - / - ITY 0I IDEPT.AMESA CENTER OF STREET 1 1 O - -EAR YARD - FL \W SIDE YARD RIGHT�•�..LG LEFT 5 SUB EC TO BLDG. DEPT. REG. DESCRIPTION OF WORK ll / /111� -g BY ta aral ns,-�� /i L. aYi i� NEW % ALTERATION ADDITION PLAN TLC REPAIR MOVING I DEMOLISH SIZE / BUILDING 25 5 x 32 ROOMS STORIES 1 EXTERIOR WALL ROOF COVERING �� COVERING BUILDINGEWrr11ttiwo Bedroom Dwelling with Att. . Garage I HEREBY ACKNOWLEDGE THAT I HAVE READ TH19 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY OROI NC STATE L EGULATING BUILDING CONSTRUC• TION. % VALUATION SIGNATURE 0 `1 ��y � PERMIT FEE S 4,,./4,7 �• PERMITTEE Ja-fl V V RL��Y , 5 g Ddi vPLAN CHECK S // AUTHORIZED AGENT ., / TOTAL FEE 5 3 3 j 1"'F IP-432 . FEE RECEIVED COSTA MESA BUILDING DEPARTMENT AUG 23 19AA P.O. BOX 3 1 COSTA MESA. CALIFORNIA FINANCE DEPT. • FOR APPLICANT TO FILL IN APPLICA;TIPN: MI5\ PUMIT ADDRESS 1995 B Chary (3rd house right _id)) r BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. OWNER Glenn Wescott & .Arthur Sherman 71.32-- MAIL RECEIVED BY DATE RECEIVED DATI ISSUED ADDRESS 11802 Celeste ..°`7cr ' • .?,e'a/ S- CITY Santa .Ana TEL. NO. JE 1-0747 ADDRESS /qf 5r(3 .(€Oz p/'<i ARCHITECT LIC. ARFNTER C. COSTA MESA. CALIFORNIA FIRE 3 ADDRESS . ZONE ZONE NO.OF TYPE GROUP' CITY LIC. PLANS . CONTRACTOR l.U] • , - NO. • _ ////// /Y TEL APPROVE* ✓ Gj/ / ADDRESS 21y30 Newport Blvd. NO. LI 8-9388 BY Gtr ' ATE /Y/S 47 LEGAL LOT �RECTIONS DESCRIPTION NO.S• 18 BLOCK ��J/'� �T �J d 1 A.P.NO. /1 J —0O /— C 1 -K-A-wt :semi :s „/ SIZE NO.OF DGS. OF LOT 250 lc 97,86 NOW ON LOT • ' 4 /� } ��II''''�� USE OF ..iC' IIli },1 K p EXISTING BLDG. a� ."-,--••7r;- f,7 SETBACK LINE FROM „Otte./only p CENTER OF STREET 2D REAR YARD .rI ITY OF ..STA MESA pp ' PLANNING DEPT. SIDE YARD RIGHT 5I LEFT231pb r'1 s 4�I T TG RI FV RENT. REG. , DESCRIPTION OF WORK /11.7 ; / q- — ST • NEW X ALTERATION ADDITION gyps-ran' I DATE aW- • LAN TLC REPAUR MOVING DEMOLISH NO.OF SIZE BUILDING 25 x 32 . ROOMS 5 STORIES 1 EXTERIOR WALL ROOF COVERING COVERING - USE OF NEW BUILDING Two Bedroom Dwelling with.Att_ Clang, I HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL . CITY ORDIN STATE REGULATING BUILDING CONSTRUC. TION. / VALUATION �7 SIGNATURE OF QA 1I_I , -C PERMIT FEE $ 0507 - PERMITTEE u • A LL�7 1„ / 02.„1",.. ,• A �, $ // w /)� PLAN CHECK $ AUTHORIZED AGENT (/r d TOTAL FEE $ 3 3 — vBrF ' $ - 1940(..)35 ADDRESS OFBNLDaq: 1995 CHARLE ST UMT: B CITY OF COSTA MESA - BUILDING PERMIT D«tIEIrSNMIEWFaaOWN:MARTIN MILLER PERM NO: P 086440 ADDRESS, 20332 COLONIAL CI H .B . CA 92626 PERMIT NO: P 086440 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MMIaa ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT ORENO1EER: UC.NO.: JOB DESCRIPTION : REPLACE WATER HEATER SQ FT: *11511.OR EROS ADDRESS: WIT: CLAIM VALUE: CALL-VALUE: GROUP OCC : R-3 / CONTRACTORS NMN: caiTACTORSNUIwO COMMENTS: X ADDRESS: Lit NO: MMMMMMMMMMMMMMMMMMMMMMMMMMMM M MM it MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM wit ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby diem under penaly a pajvy MR I em licensed under mansions of Chaplet B SETBACKS (commencing with Section 7000)of OWacn 3 d the Business and Professions Code,and my license n in hit force end effect. Cm LC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Dale: Camino FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby atm.under pansy d Perils?that I em earns horn the CaYrtlon License Law la do fdlowng reason(Section 70315 Business and Professions Code:Any eayoovudyMich nadns a permit to construct,alter improve PARKING REQ: PROV: PARCEL : 42210201 ZNE: REF NO: kense pr ursuant to tthhprovisi�s to acorrsiorequires the Liatne Law(iia 9(commencing such perm*Iwith'•Seatm 7statement)d vision he w the PLANNING NOTES> Business and Professors Codd]or that he or she is exempt Use ten and the baso for the alleged exemption.My videtion of Section > 7031.5 by any applicant for a parch subjects the applicant to a cid penally of not mon than five hundred dollars POOD. 1411 MMM M M MM M M Mill M M M M MMM*MMill M MMMMMMM ill MMM MMM M ill MMMMMMMMMMM MMM*MMMill Mill M MM MMM MMM*MM M M ill MM ❑ Las owaw offer property a my employees with were as Mei ane oanpematian.wet do the work.ed the tincture um intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E U I R E M E N T S or offered to sale(Section 7044,Bueass and Professions Cade:The Contractors License law does not apply torn Owner d propety Q who beide or inra es thereon.and who does such work himself or lessee a trough he or her own employees.Provided that such bnlrovamerti we net imadedadfsedfaseb.II'haws.w'the building a inete•"edu add within en."le dooplaion,to ZONING APPROVED BY DATE: owner-builder well have the burden d proving he a she ofd not lead or theYapese improve for pe of sale). ❑ I,as owns of the property,em atMunly antreaip With Dowsed mnums to mmvuct the project(Section 7044,Busies and Professions Code:Tbe Comma.License Law does ed apply w an owner of property bats oammwe thereon and who BUILDING APPROVED BY : DATE: ocnbacte proems such proeewith a coettacta(s)Danes*pursuant Gammas ae to the as License Law). 7 eemptadetsetsonBP7044 B.APer: 97aWN U �� : APPLICATION ISSUED BY ; DATE I/7/9k ower '// *********************4******************** MMMMMMMMMMMMMMM DATE : MM LEGALIZATION:N F E E SUMMARY STRUCTURAL MENT:N ..hereby certify that I are swan d e d udetaend the requirements of Collado Heath Safely Code Secbrs 25505.255' 3.and 35534, ets for eperadoallaamyhaa.eratiing ran theAlQipant win yMaeil not :memo)net.emmmtidcone:daalpplai nearsand ie hem these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING apermtta construction I or an amod3Wan occuM/v�ly on(camaoneiata. tosianiwl rvWrmunle 07debmenaammeme lMea provisions. PERMIT 11 . 00 Dalt Apprwa: 25% S M I P/NON-RES WORKER'S COMPENSATION OECWLATION:I hereby affirm under peretly of perjury one d the browing declarations: PLAN ISSUE FEE 22 .00 ❑ !hays and will m.:tenacanine*of consent towiuuefor wMmmprration.asmaidedlabySmion3700dtheLabor BUILDING-DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE Code.foe performance dthe Issued. TOTALS----> 11 . 00 22 . 00 0 . 00 33 . 00 33 . 00 . 00 ❑ I have and will mWdn workers'caveman*inflame.as rePated by Seabn 3700 d the Labor Code.kr the performers of the work ler which this permit 6 mued.My waken'compensation insane cedar and poliiry number ere: Carder: REVENUE DIVISION TOTALS--> COLLECTED : 33. 00 OVER/SHORT: . 00 Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need no.vee completed I the permit 6 sur as hundred dMaa(S1031 or Rea/ 33 . 00 ❑ I comfy that In the pod aema or d t a web for which this permit 6 issued,I dull net employ any parsed in any manner so as t0 became subject to the waives'anpesatbn taws d Calors•and ogres eat t I shold become steed to the workers' **Mit***M M M M de M M M MMM id M M M M M MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM MM M M M M MMMMMMMMMMMMMMM de *crab=mvs d Section 3703 of the Labor Code.I shall fwdtwhh candy wed dos provision. INDIVIDUAL F E E BREAKDOWN Date: APPfmt Waning:Faaua to secure workers'conwmaoncoverage lawawnd.andwll added enerwioyer to a6dna penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST chill fines tee to one Modred thousand dollars($104000),N add/don to the cost of compenastIo,damages al provided for In Seed on3706otthe Labor Cod.Int«ntand eroon 'riattorney's PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00 CONSTRUCTION LENDING AGENCY: I hereby arum under pemhy d penury that there is a construction lending agency for the END OF FEES performance of the work to which the perm*6 issued(Section 3097.Ci.C). LENDER'S NAME: LENDER'S ADDRESS: I cattily that I have read this application and date Na the above irdonnation is corned.I agree to comply with all city end county ordinances end state laws relating to butiq arduumm and hereby authorize representatives of this toy to enter upon the above-mentioned property for inspection purposes. MARTIN MILLER • 01-07-1946/11:11 n.J533.Z7 Date: t/Z./9d PER17IT:gi86446 a 15151•46.WP) Whit- : .•. •A Serer Green-Re:Cavy- 91cent Pink-Rawo»;(bMetvod-Nassar c\)NSTRUCTION AND PLANNING r POG` y SPA APPROVALS Permit # Date Inspector• APPROVALS Permit # Date inspector 1.4Temporary 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 OF 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-Anal 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 1 sr FIRE'DEPT:REQUIREMENT 20. Rough Factory Fi)jplace i - APPROVALS, : Permit # 21. Ducts, in,Struicturej 70. Underground Hydro • 22. Ducts, Ventilating...! _ y" " 71. Product Piping 0 Gas 0Oil 23. Gas Pipe:Flough& -list -.7 •` • • 72. Underground Flush . 24. Roof Framing i • 73: Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof-Sheathing , 74. Overhead Hydr ' 26. T-Bar•Ceiling (Structural) & Modotoat '' 75. Dry Chemical � .. • 27. Frame aria 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 : - -I • -- Notes: .• - ' • 34. Final-Heating$ Air conditioning • - 35. Final Gas Pipe-Test ? . • - , 36. Hood or Canopy . 't _ ' .� 37, Final Factory Fireplace, . 38. Final Plumbing . �� - 39. Water Service-Final - ' : 40. Gas Service-Final . ., I , 41. Solar Domestic-Final ' , 42. Backflow Preventer . . . 43. Backflow Irrigation . 44. Landscape Irrigation System � • , _ _:-i - - - 45. Sound Attenuation ? •• 1 • `t• 46. Handicap Regulations - i 47. FINALSTRUCTURE & BUILDING - • --- , • ! 48, FINAL PLANNING, »' • • • 49. Electric Release to Edison -- 'i • 1 ;, 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY - • y No Date