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Home My WebLink About295 CAMELLIA LN - Building Permits OWNER DIRE gr C0T,rnROVF DATE 12-2-55 / JOB ADDRESS 295 Camellia Lane BUILDING PERMIT NO/2132 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,000.00 ' LOT 17 BLOCK TRACT 2562 Residence & garace I GROUP I & J TYPE V ZONE Rh FIRE DISTRICT 2155 PERMITS ISSUED INSPECTIONS /v/ATE/7SUBCONTRACTOR DATE NUMBER Footing Trench ,��/jd / Foundation Forms and Grade to Garage Rough Framing ctr44 /ia -.^.. 7wT r a---,6-,re ,' Plumbing,Rough to lab {{/ /),-2. R...... Plumbing, Rough Complete `lti/7 I• SIS‘ a_ _ -� -t) /0 .�fG-Sr ,36?l,L (" Temporary Pole 7LLcCl7)1,zn Gh_r, B-3o-SS Wiring, Rough :f)44:1 / '2 .r)-Sh 771st,-...,.,-c.-..J /-//-fli //P7/ . Heating,Rough ` Heati r Z—` Y 4/ L b.+'vui , ,,/ r>Ji, /d -/<i-it 3/ T/S -- ✓SeweSewer,St. e ,7)a.A-nf-(:71 / - .l -St 1120 ,�e • Septic Tank or esspool Lathing, In Out X o 't. / - 3/34 &/ te Plastering , A 2//¢¢ i. Plumbing,Final,Fixtures Com tor�� Plumbing, Final Gas Test42$ ,k & [,I - Wiring,Final tog `;i//)'ir[ Occupancy GG/� V.tJ 4/-1'1 ti•,.,-..,'N nr_.u 1 Snn 1 SS • 1 OWNER LaBORDE, C. S. DATE 3-19-62 JOB ADDRESS 295 Camellia Ln. BUILDING PERMIT NO. 16782 GENERAL CONTRACTOR Owner-Builder VALUE S 101.00 AP No.118-151-9 LOT TRACT FIRE ZONE DESCRIPTION OF' WORKAdd Slab +- Re; INSPECTIONS Signature DATE GROUP ,j TYPE V ZONE R_1 Soil PERMITS ISSUED bas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. 0 Air Cond. ❑ Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line 0 House Con. ❑ St.Swr. ❑ Sprinkling System Construction Pole Underground 0 Power TO Rough Wiring Trenches 0 Forms 0 Steel Reinf. ❑ /y/ v— - — Floor System Bond Beam 0 Steel Reinforce ❑ Sheathing Frame and Flashing Lathing — In ❑ Out ❑ Plaster, brown coat _ Refng. 0 Air Cond. 0 Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final _ Building, Final ,52/nc� OCCUPANCY FORM RU4-5M - 7.61 16(8L 'C1ADDRESS: 295 CAMELLIA LN UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 055367 NEB's NAME: ACIERNO RUDY ADDRESS: 295 CAMELLIA LN PERMIT NO: B 055367 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92627 CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT 631-5946 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF W/20 YR COMP SHINGLES SQ FT: 2, 784 ADDRESS: UNIT: CLAIM VALUE: 2, 784 . 00 CALC-VALUE: 2, 784 . 00 GROUP OCC: R-3 / PERMITTEE: ORANGE COAST ROOFING ( 714 ) 631-1924 ADDRESS: 2489 FAIRWAY D• COMMENTS • SMOKE DETECTOR REQUIRED IN THOME . C.M. 1 • 92627 COMMEN**i*SMOKElE aEETECTORlE REQUIRED IN9E THE HElEHOM3EiEBEi(-BE9 ***1FTEiFyF****iEiEiEiElFiliFlEiE***iFiFi41F** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I: licensed un/ eand rovis' ns of Chapter 9(commencin ith Section Z ONING R EQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and , license is in effecS E T B A C K S CITYUD.: 035937 sTATELIC.:43674 ¶ CLASS — Date:_ht.—y•97 Signature: __ _ — _ -_ - MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance or a certified copy thereof(Section 3800.Lab.CL LEFT: . FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 2859122 3 EXP.DATE: 0 1 /0 1 /92 COMPANY: STATE PARKING REQ• PROV: PARCEL: 42615209 ZNE: REF NO: 0 Certified copy is hereby furnished. ® Certified copy is filed with the city Building Division_ PLANNING NOTES> • > nor 1.2 -11-�j` / Applicant: iE iE(Elf if if 9E lFiE iE#E lF1E 1E.>_ 1E 1F1E iElEif iF 3F 9E lE3E IE 3E iE aE aF 3E 3E iF 3E 9E 9E iE iF 1E 1F lE If lF lE 3FM lE MiE 1E lE3F iE 1EiE 1E lEiE lE lFiF iF 3E 3E iE 3E lE IE lhiE iF if iE iF IEiE .EMPTION FROM WORKERS'COMPENSATION DECLARATION: (T- ection need not complete if the per is .r one hundred(S11, or less). DEVELOPMENT SERVICES R E Q U I R E M E N iT S i certify that in the performance of the work for which this perm issued,I shall of emplo any perso i :ny anner so a • become . n. subject to the Workers'Compensation Laws of California. ZONING APPROVED BY . DATE: d Date: Signature' {• NOTICE:If.alter making this declaration.you should beco,e blest o the Workers'Compensation provisio s of the Lab. BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• J/ I ri • DATE• I ar'`1`7 which this permit is issued(Section 3097.Civ..C). 9E3EiEBfiE#1E1EifiElEiEBE1�BE#3E1EiEie9E4***9E 9F***lE iF * 9e BE8EBE-aE3E3fiEB1#9F9E##iE9FiEiE1EBEiE1E3EBE9EiE3E9EIElBfiFBE1ETe BEaE*#BE LENDER: 3E##iE iE BE iE iE iE BE 9E iE iE iE BE 9E 3E IE iE iE iE*9c iE BE 3E 3E#iE**iE 9E fE iE iE iE BE*iE 3E iE iE iE 9F iE*BE iE*iE iE jE iE 1E iE BE 9E 9E 9E BE#*fE*9E 8E 1E'IF*BE*♦E 8E BF is!E 9E iE ADDRESS: LEGALIZATION:N F E E SUMMARY ' STRUCTURAt SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason • BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES'' GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 , 00 ' . 5 0i repair any structure,prior to its issuance,also requires the apptcant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business A� SMIP/NON-RES PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by .. `r'1 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID : DUE • ❑ structure is not intended or offered for sale(section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0 . 00 '( 0 , 00 54 , 50 54 . 50 . 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If, however the building or REVENUEDIVISION TOTALS--> COLLECTED • 54 . 50 OVER/SHORT• r, 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING-PLAN-CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 , 0 0 ...c . 50 %•• J and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon . and who contracts for such projects with a contractors)license pursuant to the Contractors'Stale License Law). l am aware *****3EBEih*********M'*******TP***********X*3E*.******ft.'*******)#OL'M'ifit1E'1F**'1E********i.***** • that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A '.L j'IF 'E E BR EAKDOWN ,j• o I em exempt under Section: B.E.P.C. .y. / for this reason TYPE QTY DESCRIPTI, ON rxUNIT COST ..../TOTAL COST- a , Date: Owner. SFR 2784 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 784 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ENP, •OF FEES 25534 and That I or any future budding occupant will/will not(circle one)need to comply with said state codes and the requirements for a • permit for construction or modification from the Air'Duality Management District,Residential construction applications are exempt from .,1 /, ! r. iy �r CONSTRUCTION AND PLANNING POOL & S 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. ' I 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 r - 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. anderyrAund Hydro 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe=Rough &Test - ' : 72. Underground Flush - , 24. Roo-f Framing - . .73. Undergrnd.StorageTank 0 Gas 0 Oil 25. Roof Sheathing • -, , / -4 c?J �� •74;Overhead Hydro , 26.'T-Bar Ceiling (Structural) & Monocoat G` - i • 75. Dry Chemical n 27.rFrameand Flashing _ 76. Dry Standpipe - ' ' 28. Lathing-& Siding ' 977. 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: S 1,1 t` ' . , ..nn ye, t:34.- Final Heating& Air Conditioning, ) •t. S, era "I t ' 35.•Final Gas Pipe-Test 36. Hood or-Canopy,. , 37. Final Factory Fireplace 38. Final Plumbing . ' , - 39. Water Service-Final - - 40. Gas Service-Final - ; . ` I 41. Solar Domestic-Final- I I 42. Backflow Preventer, I • - 43. Backflow Irrigation ' ;44. Landscape Irrigation System '. . . - .45.-Sound Attenuation - • • - 46. Handicap Regulations .- • j'�/ 47. FINAL STRUCTURE & BUILDING /2/6 pr, •..• � C'"bt4C a h - adv 48. FINAL PLANNING 1/2,.....Z._ C -([ , • - !Y' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co i I ' . • - 51. CERTIFICATE OF OCCUPANCY - No. Date (osta Mesa Building Department ,APPLICATION FOR PERMIT . \ i 111 EAST t COSTA MESA,CALIFORNIATREET �� BUILDING FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN 1 Receipt No. Permit No. Address 295 Camellia Lane I c• '3 / Costa Mesa, California Rea ed by I Date Reed. I Date Issued Nearest /0?- /- n /a-a -S r. Cross St 21st St. & Orange Ave. Buildig Addre Owner Dike and Cole grove Costa Mesa, California Mail Address £39 E. 17th St. Nearest Tel. Cross St. City Costa Mesa No.Li. 8-1159 Zone O No.of Type Grow - Architect or Lie. R I Plans I (- Engineer Carlson & MiddlebroNo. Approved by Date Address Garden Grove CORRECTIONS Contractor Dike & Cole grove Noy Lic 2707 Address 419 E. 17th St. , Costa Mesa , 9.,--<- ,a,...._j) - „,,.(2 ,c.. LegalLot I ayJ�S7 _ erg Description I No. 17 I Block I Tract 2562 '9 i.'l./trA\ I7 i -�-., (Attach Metes and Bounds) E .�.,/ -tJ., .( I ! j No.of BidSize of Lot 82.51 x inj,.11 I Now on Lot none I y 0 Use of I No.of No.of ,li. (+ I iV ;:� 73 Existing Bldg. none Families!. I Rooms 1 —^n^/ 4-z, O Setback Line from Rear Yard l .BI .A / R/l/: A"/( 7/ Center of Street 501 Side Yard l - 410 I, r4aO/nin r ^^-_, - D DESCRIPTION OF WORK vi l i ur uOS 1 H 1,1 1.-.JA r New I X I Alteration I I Addition I - Repair I I Moving I I Demolish I Building No.of Size 971 sq. ft. Rooms Stories 1 Exterior Wall Roof — Covering Fr. Stucco 1 Covering Como. APPROVALS Use of New Building SinevjP Family Residence & Gara, p Foundation Location Inspector Date g Forms,Materials, Under-Pinning Plan )10R Frame: Fire Stops, - Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int with all City Ordinances and State Laws regulating building construction. Lath.Ext Pe mitteenatureof Dike and Colegro e Plaster, Int • Authorized Agt. C., Plaster,Ext. Valuation Permit Fee $ Rhh 0, 0 Masonry Reinforced Plan Check $ 3. o--el Bond Beam $ 8000.00 Total Fee $ 023• . FINAL 'nmx NUL C-PP RM 11-54. • . . . .. c m • J c •0 • • cosro r,'C -1 -55 9-'74W. in**23.0 0 • TvY,, Street - • • PLOT PLAN Show location and distances from property line and between buildings • • • S. - '{ 16782 FEE RECEIVED CCSSTA MESA BUILDING-SAFETY DEPARTMENT AZAR 191962 P. O. BOX SI/ COSTA MESA. CALIFORNIA FINANCE n��DEPT. g�p For Applicant to Fill In Completely APPRAT(MQ* ft Mali 2 /STV/P�-EJ OR PRINT /[//� I. BUILDING i ADDRESS 9 J C c/J1LP GI/. o&-_t I.Ir COSTA-/MESA. CALIFORNIA For Office Use Only I / J-// /J I RECEIPT No. I 'PERMD� OWNER -�Cd}/L .L�/f/rI• VT•'f_�-Br/�(/' vv GG MAIL ' REC81 D BY DAP RE IYED DATE,ISSUES • ADDRESS 2 ��.r tYlO.G( Qi L/✓ I TEL ,BUILDING CITY ..6y-1,,eNO ,,P./.,/q/ DDRESS ARCHITECT TEL. COSTA MESA. CAL FORNIA OR ENGINEER NO. ADDRESS FIRE ��JJ��yy�fqn'' / ZONE TYPE GROUP CONTRACTOR •� ifee tat -,- i APPROVED BY DATE • ADDRESS ZONING �1 '.I' ZONE p// NO.OP E OF NEW gINLO,I-4 CITY 11�r I PLANE BUILDING �'I* STATE TEL. LEGAILI4 q 2 a LIC.NO. NO. DESCRIPTIONt 2�I3-6+r ./a. - / 7 SIZE I NO. OP BLOCS. / OF LOT NOW ON LOT A.P.NO. .lie.'-- `- /L.57 -2 USE OFYARDS EVES EXISTING BLDG a'l 1.--. APPROVED ALLOWED SETBACK LINE FROM (CENTER LIN!ST.) CENTER OP STREET REAR YARD FRONT /0 FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE GO,FT. IN. DESCRIPTION OF WORK -- ` //'] V �/ L.SIDE / Y'h FT. IN. , NEW I V ALTERATION I II ADDITION IX REARAC- 7FT. IN. REPAIR I V MOVING I II DEMOLISH I APPROVEDBy DATE BUILDING/ /�i /b/NO. OF SIZE ROOMS STORIES 4 Tr I S 1 C•A - riJ L t EXTERIOR WALL ROOF •�� COVERING COVERING 191 t-• 0 .•j,:. • 1 / i WILL Ur BUILDING ANDr.•R TO BE PER ORM D / i1..r, A • S - LIOUA P I.. . o . . 3- Z- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VAL, TION is FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• ' PURPOSE OP ESTABLISHING A -ERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCT( VALUATION PERMIT FEE SIGNATURE OF / / $ PERMITTEE o P S /� PLAN CHECK $ �— „ AUTHORIZED AGENT �J o TOTAL FEE $ �` E PROJECT ADDRESS: 295 CAMELLIA LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 055632 OWNER'S NAME: ACI ERNO RUDY ADDRESS: 295 CAMELLIA LN PERMIT NO: B 055632 PLAN CHECK NO: 05318-91 S GOVT: N SUPP: N COSTA MESA,CA 92627 j CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH 1ACHIENGINEES: REG.NO.: JOB DESCRIPTION : REPLACE DAMAGED 320SF GARAGE SLAB SQ FT: 1 , 000 ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: 1 , 000 . 00 CALC—VALUE: 1 , 000. 00 GROUP OCC; M-1 / ADDRESS: RICK HOLLIDAY ( 714 )641-0251 SMOKE DET ('�p 3140 BOSTON ST COMMENTS• X ir******r4******�r*********�t*******et�E�t****+tit****** ret*****fir* T ***** �t x LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions 2of6Chaptteer 9(commencing with 5eclion, Z ONING REQUIREMENTS f EQ D I FR E D 70001 of Division 3 of the Business and Profession Code.and my license i in lug fo ce and effect. l/ SETBACKS CITY LIC.: 047 2 ST TE LIC.: 4184 S5: / Date: 72 3,6 / Signature: ✓L / MAIN BUILDING ACCESSORY BUILDING WORKERS'COM ENSATION ECLARATION: I hereby affir at l have a certificate of cone oself-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.Ch LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ. PROV: PARCEL: 42615209 ZNE: REF NO: 7 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > i I Date: Applicant: /******************************************************************************* iMPTION FROM WORKERS'COMPENSATION.DECLARATION: (This section need not be co:pet.:if the perrnit is for one hundred(s1W)or Jessl. DEVELOPMENT SERVICES REQUIR E M E 'N;T S .ertily that in the performance of the wor for which this permit is iss =: shall no •mr •any p'-,n in any manner so as to becom• subject to the Workers'Compensation :ws of California. ZONING APPROVED BY . DATE: Date: "'Signatur. -w • ,t NOTICE:I.aft: making t s d:c.ration,you should o: ome subject to the Workers'Co:.enation provisions of the Labor BUILDING APPROVED BY : DATE: .'' Code.you must forthwith empty with such pravisio or this permit shall be deemed :ked. ) CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lendin• :gene),for the performance of the work for APPLICATION ISSUED BY: 131F DATE• Iv 16 which this permit is issued(Section 3097.Civ.C). ********************* ***************iF*friF ********************• UNDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E S U M MARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the fotowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7037.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 25 . 00 _-� . 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)01 Division 3 of the Business - SM Z P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN 16 . 25 ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE . • I. as owner of the property or my employees with wages as their sole compensation, wit do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 25. 50 0. 00 / ' 16, 25 41 . 75 41 . 75 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himsell/berself or through his or her own employees.provided that such improvements are not intended or offered for sale.I1,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 41 . 75 OVER/SHORT: . 00 I lot the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25 . 00 ' . 50 16 . 2 5 7 and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon : and who contractsfor such projects with acontractor(s)license pursuant to the Contractors'State Lkense Law).l am aware ******************.*************************************************************. Mat proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with sad state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residenti. :n ction app' .tions are exempt from --� these provisions. / f iDale: /Z/ye /c/ A licanL / ,/../ '/�S • I hereby certify that I ha read this appficati and state at the above information is correct.I agree to imply with all city and co my ordinances and state laws relating to building struction and hereby authorize representatives of this ci :enter upon the above-menti ned property for inspection purposes. • Dar. .signature: Us aa10-.751)4':V'::=:. __ - . Driver's License or Social Security a: , : # '.RTE: 12,.ri: 51 T'lt :::, 2—,,,,, 1641.46 White—Building:Green— Pink—Revenue:Goldenrod—Assessor • - CONSTRrjCwN AND PLANNING P0, . SP. APPRO'/ALS 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. 1 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 Cap63. 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 .. .r ' _ -• - • APPROVALS. Permit# " _1'- _ • I S..- .; T. - _ .. 21. Ducts,in Structure • , _ 70. Underground.Hydro 22. Ducts, Ventilating • _ 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe:Rough & Test t - - , 72. Underground Flush 24. Roof Framing • - . - 773. '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 ' , ri• - • 77. FIXED SYSTEM-FINAL _ 29. Insulation • o ' 78..FIRE PREV. FINAL - •• • 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown-Coat ' 79.' FINAL INSPECTION - 32. Electricat•Power Meter-Final - ti 80. FOOD CERTIFICATE ISSUED 33. Final Electric - io ' Notes: - -. 34. Final Heating'& Air Conditioning_ !r y2/5/91-a7�.- -_� �l/D-_ - 35. Final Gas Pipe-Test • " - ,�'�"'�' 36. Hood or Canopy - r 37. Final Factory Firepface - - _ - �' _ 38. Final Plumbing , I - . '- , I. -. - 39. Water Service-Final 40. Gas Service-Final - - 41. Solar Domestic-Final . - - 42. Backflow Preventer ' -.1• - 43. Backf low Irrigation S • 44. Landscape Irrigation System , - - - - .� ' . 45.'Sound Attenuation • - - I 46. Handicap Regulations / /•�, • , 47. FINAL STRUCTURE & BUILDING . t0 - 48. FINAL PLANNING //��77 • 49. 'Electric Release to Edison I 50. Gas Release to Southern California Gas Co . , 51. CERTIFICATE OF OCCUPANCY ' - , No. Date •