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HomeMy WebLinkAbout1823 NEWPORT BLVD - Building Permits raima It . .. 6294 A JAN 16-58�C0srarEsa 151 ****12.00 COSTA MESA BUILDING DEPARTMENT P.O.BOX 317 COSTA MESA, CALIFORNIA Ei' FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING /n 02j yl �� BUILDING !COSTA MESA/ CALIFORN FOR OFFICE USE ONLY N( �1, 4 R, C RECEIPT NO. /PERMM IT NC). [�y/ OWNER .ASAI .• .I:a1 ' 4�_r.� o02 9 / / 4VEO BY I I cif;p //... DATE ISSUED 7MAIL ADDRESS _A ti---nick...--- / \ CITY TEL. ...------•-•-•NO. BUILDING Iy 3Wove 0n+— ADDRESS ARCOR EI IEER /�' ( AR., I . / ,_eN0..[ .,F,3t til COSTA MESA. CALIFORNIA ADDRESS // U a 0 ^— ZONE FIRE y ZONE NO.OF TYPE GRO GIT IC. 0.. PLANS�i CONTRACTOR ��( � N IO, ` Z. ADDRESS .r�,p.i-tru'Ij/I'S/ BYPROVEO / DATE /-/7- 5LEGAL /) ///,/(��` /�E/`•�' Il�� CORRECTIONS DESCRIPTION (75 OT / (Xy !BLOCK `„��f TRACT ' /J A.P.NO. // L Q V / .�. . . per. • �p�//* S p�9�q■ VE A �[ /I bl �'^ NO.OF BLOCS. A p p R® • L/D ' OF LOT ! �/ O $- ( V NOW ON LOT i I USE OF �y(pp'� .//�, /////q/ � �,1RO J CITY Or h2G)STA T EXISTINGESA BLDG. lY SA�V,I![ITn � lgtljlPL..WR G DfJ'TCENTERK LINE EET SUBJECT TO DG. DEPT. REG. CENTER DF STREEr V RE -416--fir SIDE YARD 10 RIGHT 2— LEFT L.--- D/b DESCRIPTION OF WORK TE BY PLAN T:CNIa�nDADA I NEW ALTERATION ' ADDITION REPAIR MOVING / \` DEMOLISH BUILDING X NO.OF , SIZE / ' f Li ROOMS I STORIES EXTERIOR WALL I/ / ROOF L /�'� / _COVERING t/J COVERING lf' 7 l( O op () USE OF NEW f�BUILDING 60:17. 6)-fr-liaLtai I /e,ly�/ & //-',///J • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAj11 ON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. VALUATION SIGNATURE OF PERMIT FEE fi PERMITTEE ,` �� s1)ZUo\ PLAN CHECKS AUTHORIZED AGEN 0 TOTALLFEEE S i Z_,_ VOMt 2 225 JUN 28-67c Tk00 1; 26114 d***;a;3.00 ..COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 52020 For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT AU' BUILDING : 0223 kE*u DILDING p A r r E For Wk. Use Only ADDRESS RECEIPT NO. ry![(�j�1,325 COSTA MESA. CALIFORNIA • G i .{,�, �.�y() /�T R8e[1V[D8T DAT�[CjIVE7 DAT[ CD. OWNER CaE:E�e Et \ i S HMS( & OC Gb-1p ` - O MAIL p� L /! 14% , . BUILDING /9a 1 Ale w QT 24'4/ ADDREq� -r i �Jo• �..SJAS-T WAV ADDRESS Cl �./ r '{� TEL• / ZONE TYPE .-CZ. GROUP FIRE 3 CITY L.�¢Iru�/� I,�JCI'/Jcl� NG�,^�zr�t©��o �j / �/� C NOINE NC•//1•JOgi 9� �'-947G.•p BYPROVED /J/J�' DATF4&Thd �7 ENGINBE /i MT C /' u,p Pas--- ZONING ADDRESSZ 'i cU.644-r ZONE- J. NO.OF . USE OINimmaEW.F1LIM40Ba,� CONTRACTOR � . " '-' /Le,-/de/2:i �{ / r/ P rye ADDRESS DESCILIIFTION LG t 7 0Ll` C t- r r p A.P.NO. I l b -0 7/ ;-.1-;-.1-CITY S TEL. NOTE: NO HAVE OVERHANG SHALL BE LESS THAN '^ STATE NO. BO'TO SIDE&REAR p.1_ NEAVES OSIZE OT ' 1 I^i x QO tI NOW ON LOT • I no.or etno ALLOWED (U.B.C.REQUIREMENT) FL UBE OP BLDG?" / YARDS APPROVED YARDS APPROVED EXISTING DLDG•IV].110 IL-�REMAIN BUILDING ACCESSORY BUILDING '� � C FROM C/L STREET) II SETBACK LIN[PROW FRONT PT. if PTI U CENTER OP STREET REAR YARD BIDS YARD I.JPT RIGHT R.SIDE FT. 5 FT. i DESCRIPTION OF WORK L.SIDE FT. h Fr. 7 1 N ALTERATION ADDITION REAR PT. (bef-P DISTANCE B . BET.MAIN& REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.131.D013. VAR.* DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P.* APPROVED y/IC/ rCOTERIOR WALL I ROOF COVERING PROVED iI U ,�� /vl- DATE /_cp w COVERING USE OF BUILDING AND WORK TO BE PERFORMED 71 TALb Sro 2 E; ,135-TYIILCTII e° tiF ILEM.006RLP. 4,0`T 0-A-ID SQ.PT. 1 I HEREBY ACKNOWLEDGE TMAT.I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE 2 AND STATE THAT THE ABOVE IS FIRE AND AGREE TO COW PURPOSE OI ESTABLISHING A PERMIT IEE ONLY. PLY WITH ALL CI OR MD T{tA111E R[OYLATNG BUILDING CON O VALUATION ^ Oe al SIGNATURE O I A PERMIT PEE $ .3 PERMITTEE • ) 1 1,IR. ad ° 2 E v PLAN CHECK $ w° AUTHORIZED AGENT 3 Q Q .,:: TOTAL PEE S OWNER OMEN rroperties DATE tpGO Oi V JOB ADDRESS 1823 Newport';Blvd. BUILDING PERMIT NO. 27225 GENERAL CONTRACTOR Owner—Bldr. DESCRIPTION OF WORK Removable canopy An No.116-681-22 LOT TRACT FIRE ZONE VALUE § 300.00 • I. ECTIONS Signature Date GROUP J TYPE V ZONE C-2 Soil I PERMITS ISSUED Gas SUBCONTRACTOR Date Number Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 I Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In 0 Out❑ !Amster, Brown Coat tura], Final Electric hating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final 1 Building, Final I4�,,) g_12.-6.7 UAir to–ll–bb vwivritt HUMPHRLES, J. C. JOB ADDRESS 1823 Newport Blvd. BUILDING PERMIT NO. 26245 GENERAL CONTRACTOR Duke'a Sign Service DESCRIPTION OF WORK Elec. Wall Sign AP;No. 116_081-22 LOT TRACT FIRE ZONE VALUES 900.00 �* v?•?ECTIONS Signature Date GROUP J TYPE IL ZONE ❑-2 Sou - I PERMITS ISSUED Gas SUBCONTRACTOR Date 1 Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line O House Con.0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 _ Sheathing Frame and Flashing Lathing—In 0 Out 0 Pl stet Brown Coat t$ '1 al, Final � Electric It' Vent., Refrig. and A.C., Final /q� �� /��9 nin g /l1Guk.�o em, �O-//G/ -24,--all Plumbing, Final and Gas Test 0 Electric, Final I I 1/t•/Ce Building, Final I�l�j If-/$-•j.(p Applicant to fill In all spaces except those within heavy border lines and_sign all appropriate declarations. _ _ CIT/`f,,QQF�COSTA MESA - PER IT rJO. TRACT NO. ,LO,T NO. BLDG.NO. COI% RUCTION PERMIT ' l �, (plD 7 1 A 'plicant's Mailin �djdress u.e .t� -�-- . TYPE OF CONSTRUCTION d• � NEW• U ADD U ALTERATION .0 REPAIR - - Project Address.#Z'q+ ,e �. r' ' •f. 0 CONVERSION 0 DEMOLISH 0 OTHER - • r . • Owner's Nam: �a,.�(.a L�=� '- 'hon���-&?27 DESCRIPTION OF WORK ZONING REGULATIONS=l7^� =-, Mn Address 'l M ',III /n>M-l(h R'i r� _ 1 - - • • r - IL TYPE OF PERMIT U GRADING '❑ FOUNDATION STRUCTURAL . A.P.46 ZONE • ' Arch/Eng. License No.' 0 TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL BUILDING ' PLNG.REF.sP ❑ OTHER _ cPranrr rn cT Address - - / r� -/7<---e7 -TO BUILDING' ' REAR YARD(TO P/L) ' Contractor s Narrt ` 9 H - Phone '•/- 27 PROJECT DESCRIPTION SO:FT.' 'OCCUPq PROPERTY LINE Address(mailing)- f ' / CONSTRUCTION TYPE - VALUATION Stir3 LEFT SIDE YARD RIGHT SIDE YARD License No. •1 V . ' ' ZONE GRADING CU.YDS. 'ACRES PKG.SPACE REQ. PROVIDED -" LICENSED CONTRACTOR DECLARATION • 1 Remarks: , STREET WIDTH .PARK FEE$ I hereby,affirm that I am licensed under provisions of Charter 9(commencing - - with section 7000) of Division 3 of the Business and Professions Code,and - SPECIAL CONDITIONS: my license is in full force and effect• . , ,• - - , License Class• - ' License No.' - I I ' PLUMBING I • -. Date 1 • Signature • - - 1 IBai Sink - '_ Sewer Cap . - - - ELECTRICAL \RKERS'COMPENSATION DECLARATION ' I J - - - reby.affirm that I have a certificate of consent.to self-Insure or a certificate_.! -s- Backflow Preventer • - '""' Sewer Connection - • - - - - Automatic Washer- ' _ . -_ Meter .Dover 100 amps". ,_ - . Workers' Compensation Insurance, or a certified copy thereof (Section _ 3800, Lab. C.) ' - - - Construction Pole ,Sub Panel • �-I • • j Backflow Irrigation Solar Collectors ' ! / • - POlidy No. • I Company - - • - " - Cooking Unit 'Sub Pole . - BCertified copy is hereby furnished. • , Bathtubs Solar Piping I Certified copy is filed with the city.Building Division. Dishwasher Motors ❑0-1 HP D115-B _Date Applicant _ ' ' 1 • ; Clarifiers Solar Tank , •-EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • - Dryers ❑Gas. ❑Elecirid - - Inc Solar O9-15 HP. 016-15+ (This section need not be completed if the permit Is for one hundred($100)or Dishwasher I Swimming Pool w/Spa . less). I , - - Fan ' - 'Microwave I certify that in the performance of the work for which this permit is Issued I ' , Drinking Fountains I Urinal .. I , shall.not employ any person In any manner so'as to become subject to the • - I, Workers':Compensation'Laws of California.. • Floor Drains: Water Closet • F.A.U. i Pole Light • Data I ' Signature Fixtures NOTICE:If,after making this declaration, you should become subject-to-the Floor Sinks - - - Water Heater• - - - _ - 'Range . . . Workers' Compensation provisions of the Labor Code, you must forthwith Device• Boxes ' • comply wlthr such 'provisions or this permit shall be 'deemed revoked.' Gas Service' Outlets - ' 'Water ServiceSign .• CONSTRUCTION LENDING AGENCY - - ' I hereby affirm that there Is a.construction lending agency,for the performance. • Interceptors , , -. - Outlets $Landing Sections I of the work for which'this,permit is issued (Section 3097 Civ. C.) , • Lender's Name Kitchen Sinka. Switches , Trash Compactor • Lender's' Address - ' - ' I - - - - • r OWNER BUILDER DECLARATION - Lavatories__ • . , Garbage Disposal• I • I hereby affirm that I am exempt-from the Contractor's License Law for the P-Trap - ' Generator 00-5 KW 05-15 KW • . • following reason (Section 7031.5 Business and Professional Code: Any city or ! ' _ _ county which requires a permit to construct;alter improve,demollsh'or repair • - , , ., _ - Transformer ❑15-50 KW ' , - I . any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains 's - , • to file a signed statement that he/she is licensed pursuant to the provisions of - - - ❑5U+KW, c Contractor's License Law;(Chapter 9(commencing'with Section 7000)of - I . - - - i a Reinspection Fee $15 + z Yion,3 of the Business and Professions Code)-or that he/she is exempt ' Showers • ' - . Reinspection Fee $15 - - ' xfrom and the basis for the alleged exemption. Any violation of Section Meter ❑up to 100'amps :Issue Fee "S 3 1.5 by any applicant fora permit-subjects the applicant to a' civil tensity of not more than five hundred dollars($500). . - - . ' Service Sink' . ' Issue Fee $ 3 — l .. . , Zoning Approved By Date • coI, 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 ' ". - MECHANICAL - ' i for sale':(Section 7044; Business and Professional Code:'The Contractor's Application Approved By 'Data p ' License Law does not apply to'an owner of a property who builds or improves ' I Refrigeration System : ' 1 I ' • �2/ G'� I thereon, and who does-such work himself/herself or through his or her own i Boiler: Application Issued By _ '�`J Date • r employees, provided that such improvements areinot intended or offered for - ❑O-100,000 BTU ❑100,000 BTU sale, I,, however, the buildingor improvement is sold within one.year'of cam- , Duct'-Under'Ground i 1 ' elation, the owner will have the burden of proving he/she did not build or im- ' - ' _ I I • I SUMMARY OF FEES , 1 rove for the purpose of,sale)'- ; I Duct-Structural • System Repair/Alteration BUILDING PERMIT $� I 1 SMIP $ .3 I, as owner of the property,am exclusively contraeting!with licensed con- , 1 l (tr tors to construct the project.(Section 7044„Business and Professions.Code: ”, Duct:Ventilating I - PLAN CHECK' $' •(p SO PERMIT • ' . The Contractor's License Law does not apply to an owner of property who ' • I • ISSUANCE 1 $ I builds or improves thereon,and who contracts for such projects with aCon- i Exhaust System 0 Multiple 0 I PLUMBING $ tractor(s) license pursuant to the Contractor's License Law). I I 0 ram exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.IC809W I I PLAN CHECK. $1 GRADING l • $ WELECTRICAL, $' I • . i $ . L . Date Owner 1 Heating,System&Ducting • 1 I I MICROFILM ' $ ILS\ -1-hereby certify.that-I:-have read this-application•and state-that-the above - . ❑0.100,000'BTU-0100,000BTI PLAN CHECK, I $ I information is correct. I agree to comply with all city-and county ordinances ' I I , ,I ' • I I I ! TOTAL:FEE ' $ ' • and state laws relating to building construction,'and hereby authorize repr - , - MECHANICAL $� - sentalives f :this may to t the above-mentioned • ••arty •r I Heod or Type I 0• 1 Reins Ion Fee" ? ' : ! ' • `V!\' I Inspect r s /.,. ( ; Canopy! Type II ❑. 1 I $15 'PLAN CHECK. $ ( LESS I ( i J • /J - , ADVANCED PC 1 $ Signatur - . -/.- - Ji Pink-Accounting:Goldenrod-Assessor 5\ 0 Cr;C9NSTaUCTION AND PLA 1 c- _ ,.{ = �� ` . --�,I' r G• - t:"- - H, - Date -inspector c"- r --. - -• Date Inspector Y r-APPROVALS „ Permit# � '�'/^� I-- - ,APPROVALS Permit* r • - r Temporary Electrical Service ora Pole +' r2, o� ' . 52 .Pool &'Equipment Location ,.- i Soil Pipe-Undrgrnd) - .= - o' `__ . ` ' it 53.: Steel Steel Reinforcement - - - 9: Electrical Conduit Utility-Undrgrnd: 1 i;; •- • _ ;-r . '54? Forms, - : '' ' _ - - `' 4: Electrical Conduit-Undrgrnd, . e : , = '_ 7 `55= Electrical Bonding ; 5 Steell,Rernforcement ' . �' :444-1 . ; 2_ ,, 1 7- = 4 _. 1 56; Rough Phi-gibing-4k Pressure:Test ' ' _ 6: 'Electrice! UFER Grnd. • 4 ` ' : 2% ^ ,57.' APPROVAL TQ : I . ii7. Footin s i _ 1 °a' ` - s . 58. Electrical ConduitUndrarnd. 8. FoundationI ' ' _ , 0 - is 1 '59. Gas.Pipe;.0°Undrgrnd:;Test-. ' •' 9. Water Pipe-Undrgrnd. 60. Backwash'Lines,P-Trap,;0 Undrgrnd. ` . 10. Structural Floor System ;l s { 61. APPROVAL.TO DECK - 11. Property Sewer Line& House Connection. : Applicant to fill in all spaces except those within Heavy border lines and sign all apPloPdate declarations. D f Oa r ,.. I — PE M T N TRACT NO. LOT NO. UNIT NO. I - 66pa. -)./'29/106 -- --- -- 6O@- Li; CITY OF COSTA MESA �7CONSTRUCTION PEftMiT �.I, 3b - - - ' Project Address "8 � � ��^'� _ • , - • + - , I - I TYP�FOFCDNSTRUCTIO U NEW Li ADD U ALTERATION U REPAIR- - ' ' . ' .'t ' 1 �° 'Applicant's Meiling Address CONVERSION DEMOLISH 0OTHER ' /• :2 Owner's Name-CI,-/17• i eCOEU •-acknexhrthone ' " ' - . ' - I A.P.#' -�'S,�? - �` i - Zone, , , DESCRIPTION OF-WOiiK/USE OF BLDG. - Address - -7_? ;i47/e- [ . ad -• '7Y70 %6C. .C%S€-.0�+ CS' ox.) -s r. •• I - S Main Building: • ''Accessory Building: ' , - , E Z , Arch/Eng. License No. TYPE OF PERMIT . -❑ GRADING ❑ FOUNDATION �,STRUCTURAL - T Front' , • D Address __ I —^ ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL - BA Rear - - t' N 11 Contractor's Name • ! • ' Phone �'0(}-t91,14' . 0-OTHER C Right - - N ( � ) - / PROJECT DESCRIPTION SO. FT, OCCUPANCY . - ' Address Imaiiingl•� ' , - K • G ���///ttt , �.+( v-/ ' CONSTRUCTION TYPE VALUATION$�OOOi p� 'S Left ' r City'License No, . 7 .S4aP - ZONE GRADING CU.YDS. ACRES ' ! R 'uCi LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided r , E- ' I hereby affirm that I am licensed under provisions ofi Charter 9(commencing Remarks: Planning Notes: ) , ' ' M with section 7000) of'Division 3 of the Business and Profefsions Code, 8ntl T. \ my license is in full f•(ce an. effect. / ,J t r S 4\ Llcen ass ,- Lie-nse f•. - - i , Date -11'r '`_Q�_- Signature -+.�. -,+ /as<10.1 , PLUMBING -FEES WORKERS'COMPENSATION DECLARAT'N insure or a certificate Bar Sink Showers _ ELECTRICAL FEES I I herebyaffirm that I have a certificate of consent to self- 1 of workers' Compensation Insurance, or a certified ropy thereof*(section • Backflow Preventer Service Sink -Automatic Washer - - - ' Transformer 0 15-50 KW-- 3800,-Lab. Cv) �.r b C--n-1.6 ^• •. _ _ _ _ - Policy No-/O/IS 44So ���� Company• -? �^1r�� Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50, •K ,4„. Certified copy is hereby furnished. x - .. - + W I / — Cert)fiegQ co y 7z Nied with the city��nndQQmg Divisio Bathtubs 1 ' 1 Sewer Connection Cooking Unit - Meter Dup to 100 amps ' �//` Date 1-4e•-•••• Applicant e> ^t' EXEMPTION FROM WORKERS'COMPENS ION ECLARATION Clarifiers Solar Collectors Dishwasher , Clover 100 amps• ' (This section need not be completed it the permit Is for one hundred($100)or. . - - - _ ti ' less). Dishwasher 1 Shier Piping' Dryers ❑Gas ❑Electric Sub Panel K y ' 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 00-1 HP ❑1X-8 ' Workers' Compensation Laws of California. — Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9.15 HP 15-15+ 'NOTICE:If,after snaking this declaration, you should become subject to the . Workers' Compensation provisions of rthe Labor Code, You must forthwith Floor Sinks _ Urinal - Fixtures Microwave-- comply with such provisions or this permit' shall be-deemed- revoked. - - - " CONSTRUCTION, LENDING AGENCY. r ~Gas Service Outlets' Water Closet. Dev'Ice Boxex Pole Light I hereby affirm that there Is a construction lending agency for-the performance • ' - 9 t of the 'work for' which this Permit is• issued (Section 3097 Civ. C.) iInterceptors , Water Heater Outlets Range Lender's Name - - Lender's Address I I = Kitchen Sink • - Water Service Switches Sign OWNER BUILDER DECLARATION s I - „ - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories . - , following reason (Section 7031.5 Business and Professional Code::Any City or - Auto-Wash • Garbage Disposal ;Standing Sections countywhich requires a permit to construct,alter,improve,demolish or repair P. J • ,any sructme, p�pr toJts-issuance, also requires tn@ applicant for such Permit ' Trap_ - - Laundry Trays: pactor•to file a signed statement'that he/she Is licenseo,pursuant to the provisions of RObf Drains r - ''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 - •-therefrom and the basis for the alleged exemption. Any violation of Section - -7031.5 by any- applicant for a permit Subjects the apollwnt'to a civil ' - -rp-e�nalty of not more than five hundred dollars($500),•'LJ 1, ds Owner of the property or-my'employees with Wages as their seta Reinspeetion'Foe , $15 Issue Fee - SIS-compensation, will do the work,and the structure-is not intended or offered ' - I - I for sale (Section 7044, Business'and Professional Code; The Contractor's _ - - .MECHANICAL - 1 FEES License Law does not apply to an owner Of'a property who builds or improvesthereon, and who does such work-Himself/herself Or through his or her own . . -. - lin employees, provided that such'Improvements are not Intended or offered.for , Boiler •- Hood or Type I ❑ ' te sale, If, however, the building Or Improvement is sold within one year of corn- i _ - Canopy Type II ❑ • a'pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground •prove for the purpose of Sale). • • a' `❑ I,'as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration Systema.tractors to construct the project (Section 7044,Business and Professions Code: 'The Contractor's License Law dues not apply to en owner of property who Duct-Ventilating I ❑0-100,000 BTU ❑100,000 BTU builds or improves thereon,And who contracts for such projects with a con-._ ___tractors) license Pursuant'to the Contractor's License Law). 1 am aware that ❑' ~— $ystam Re roof o lHeir Worker•s Exhaust System ❑ Multiple pair/AlterationP { Compensation insurance should be provided to me, , VW❑.1•am exempt under Section B.& P.C.for this reason I �� Firepl/Fact.81t. IC8O dr` Fire Dampers• 1 I �_ •Date Owner �_Heating System& Ducting RegistersrI hereby certify that I have read this•app!ication and state that the above ❑ :100,000 BTU ❑1og000 STU . . - ... _ rinformation Is correct. I agree to'comply with all city and county ordinancesand-State laws relating to buil-,ng construction,and hereby authorize repre-sentatives o this city to a 'r up'n he above-mentioned property for I , , . PLAN CHECK Inspection !�..:es. - TAL FEE $ Signaturea -�rii.�. •.14 /MijDataf-�qFr�'i t Reinspetxidn Fee $16 I Issue Fee $ 3 Drivers' License 0-# -Accounting; Goldenrod -'Assesr . so - -4 • 'CONSTRUCTION AND PLANNING - POOL& SPA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date .Inspector- . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location r 27 Soil Pipe-Undrgrnd. _ _ '53. Steel Reinforcement h 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 fr 11" Property Sewer Line & House Connection. 62. Backwash & Receptor-Final -12. Sewer Cap !/a/go, /a 63. Heater & Vent-Final 13. ,Roof Drains W 64. Plumbing System - Final -. 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final - -I 16. Rough Electric Wiring 67. Fencing &Access Approval - - ) '17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I 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 0Oil 23. Ga .Pipe-Rough & Test 72. Underground Flush ' - • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas El 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 • 1, 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 )la/8� 4 - I\ 48. Special Requirements Completed • It • 49. Electric Release.to Edison' - • - - - -- o \50. Gas Release to Southern California Gas Co i 151. CERTIFICATE OF OCCUPANCY lo. Date. - - - - 1 J