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Home My WebLink About3333 BEAR ST - Building Permits (152)Aoo�icant to till In all zoatts exceo� those within neavy boraer lines ana sign all approoriale aeclarationz. ; ciT_v,oF cOS7A MESA CONSTRUCTION PERMIT P,o;e�,nad,�s 3333 Bear Street Fpplican�'sMailin9Address 211 E. Columbine Avenue owner'srvame Calif.Pacific PY'Op@I"C12$�hone� Address 3401 W..Sunflower, Santa Ana�92704 Arch/Eng. ' ' Licenie No. Address Contractor'sNam�offman & Son, Inc. �j,$,/e �J4F B45J . Addresilmailing1211 E. Columbine Ave.. -Sta Ana 9270Z City License No. ��662$ . UCENSED CONT0.ACTOR �ECLARATION � I hereby affirm that I am Iicensetl untler provisions of Char[er 9(commencing witn uctlon 7000) of �ivision 3 oi [ne Business antl Protessions Cotle, antl my Iicense ii in full force antl effect. � . :""' .:"" r i n _ �/J � �.,.a....a 1 O 1 R7.T � �/ OI Date ��4_L Signature "ORKERS'COMPENSATION �ECLARATION ' ereby alflrm tbat I have a certlticate of consent to telbinsure or a certifiwte . VJorkers' Compensatlon Insurance, or a certifieE <opy thereoT (Section 3800, Lab.,C.) WC6447 00227�2 Argonaut Ins: Co. Policy No. om0any Certifietl toDY is hereby furnishea.� Gert'Aq etl y is�'°�_ `'tth the cit in9 Divisio Date___/ � O r Applicant EXEMPTION FROM WORKERS' COMPENSATION DECL TION (Thissection need not ba completetl i� the permit is (or one untlratl (5300) or less). I certify [hat in the pe�fo�mance ot Ihe work fOr which thi5 pCrm�t i5 issuetl I shall not employ any perzon In any manner so as to become sub7ect to t�e Workers' CompenSaHon l.aws of Calitornia. , Date Signature NOTICE: I(, a(ter.makln9 Nis CeclaraHon, you shoultl become subject to tne Workers' Compensation Orovisions ot the Labor Cotle, you mus[ /orthwit� comply with suc� p�ovision5 or this p¢rmit shall De tleemetl revoketl.. CONSTRVCTION LENDING AGENCY ' - � 1 hereDy attirm that Inere is i construction Ien0ing agency foF the periorman<e of tM1e work.�for which this'Oermil is issuetl_ (SeCtion 309] Civ. C.) LenOer's' Name Lentler's AGtlress - - - OWNE0. BUILDER DECIARATION� � ' I nereby affirm tha[ I.am exempt trom.the ConVactoi'i License �Czw for tne following reason (Settion 'l031.5 Businezs antl Professional Cotle: Any city.or counry whlch requires a Oermit lo�construc[, alter, improve, tlemolish or repair any'sVucture,�prior to its issuance, also requires the aoP��cant Por such�permlt- to fi1G a 5l9netl stat¢m¢nt that he/she is licensetl Ou�suant to th¢ provislons of `�e ContractorY License Law (Cnapter 9(commentln9 wi[h Sectlon ]000) of vicinn a ni �nn wucine.0 antl Professions Cotlel or that he/she IS exGmOt �/031.5 by any applicant tor a perm¢ Sl1O�BC[5 ma appiwan� �o a avn �enalty of not more than five huntlretl tlollars (E500). I, as owner of the O�oPCrty or my employees with wages a5,[heir sole� .compenwtion, will tlo the work, antl'the structure Ii not fntentlotl or ofteretl tor Wle (Section 7044, Business and Professlonal Cotle: The Contra<tor's License law aoes not apo�Y to an owner oi a property who builtls or Improvas; thereon, antl who Coes such work nlmselt/herself or through his or har own employ¢es, p�ovitletl thdt such imOrovement5 a�e not Intentlatl or ofiered to� 5ale.Jt, nowevtt,; the bulltlin9'or ImprovemGnt is soltl within one year ot com- pletlon, the'owner will have the burtlen of proving he/she tlitl not build or im- p�ove torthe purpose ofsale). � , ❑ I; as Owne� ot the p�ope�ty, am ex[lusively cont�acting with IicenSetl con- tractorito construct the project (Section 7044, Business ana Professions cotle: The Contractor's Licensa Law tloes no[ app1Y to an owner o� pro0erty who builtlsbr improves thereon, antl who contracts for such o�ojects with a con- tractor(51 ilcense,pursuant to the Contractor'S Llcense Law�. I am aware that proot of t�eir Worker'S CompOnsatiOn Insurance Shoultl;be provltletl t0 me. ❑ 1 am exempt untler Section B. &�P. C. for thls reason , Date Owner I heretiy cGrtify �that 1 have reatl thl5 application antl state lhat the above Signatuie r-1.//OIIL Driver5: Licenze or 55 CMF 0865�66, rev. SO/84 TYPE�OFiCONSTRUCTION �NEW LJ ADD LI ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � A p # DESCRIPTION OF WORK/USE OF BLDG. ' � S Main Building: E TVPEOF�PERMIT GRADING FOUNDATION STRVCTU(3AL r Front ❑ TENANT � ELECTRICAL ❑ GLUMBING ❑ MECHANICAL B q¢af Q �OTHER - %� PROJECT DESCRIPTION 50. F7. ocCUPArvGv C Fli9ht K Left CONSTRUCTIONTVPE VAIUATIONS $ ' ZONE GRADING CV. VDS. ACRES Ping. Ref. #� Remarks: �R o��.� Q—� � • � PlanningNoles: Bar Sink Backflow�Preventer Backflow Irrigation Bathtubs • . Clarifiers �r Sinks $¢rviC¢ - Ou Roof Drains ' " Reinspaaion�Fee §15 Duct - Under Ground � Duct - Strucmral Duct-�Ventilating ' Exhaust System ❑ Multiple FirepVFacC BIL ICBO;I� Heating System & Ducting ❑ a� oo,000 e ru O i oo,aoo i Reinspaction Fee � � $15. WM1ite - BuilCing; Canary - Applitant; Pink - Accounting: Goldenrotl - Asseszor Showers ServiceSink' - Sewer Cap Sewer Connection Solar Collecmrs � i Solar Piping Solar Tank Swimming Pool w/Spa Urinal ' Water Closet Water Heater � � Water Service � ' laue Pee Hood or Type I Canopy Type I I Refrigeration System ❑0-iG0,000BTU ❑100,OOOBTU System Repair/Alteration � Fire Dampers Registers laue Fee FEES 5'��s Cs 31�/2� 9/16%86 Automatic Washer Construction Pole Sub. Cooking Unit Di;hwasher � Dryers �Gas ❑Elec Fan � F.A,U. . Fix2ures - � - Device Boxes Outlets Garhage Disposal Generetor DO-5 KW I8.00_ TL zone _ Accessory Building: Z O � N � �� - _ N. G , R Parking Req./Provided ' E � Q : M .. ' T S ELECTRICAL � • � ' � Transformer ❑ 15-50 KW � - ❑ 50+KW j Meter ❑up to 100 amps � Meter ❑over100amps Sub Panel Motors OO-7 -HP O1 :5 � 8 Inc.Solar �9-15 HP �16-15+ - � Microwave - ' � �� - • Pole �ight Range - Standing Sections� 5 KW Trash Compactor S 3 Reinspection Fee $75 Issue Fee FEES � DEVELOPMENTSERVICESREUUIREMENTS: ZoninB APProved By Building Approved By , Applintion laued By $ 3 0 FEES $ 3 SUMMARV OF FEES i BUILDING PEflMIT $ SMIP � $ PLAN CHECK ' $ PERMIT' PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ �ENERGV P.C. $ ELECTRICA� $ � �3.•O� GRADING $ PLANCHECK 50% $ S•OO MICROFILM $� MECHANICAL $ , TOTAL FEE $ � $• OCi PLAN CHECK 25% $ � � �' CONSTRUCTION AND PLANNING ; PC 'f SPA � �� ;AP{'ROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1.�Temporary Electrical Service or Poie 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement �" i. 3. Electrical Conduit Utility-Undrgmd; • 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 � � ' f 58. Electrical Conduit�Undrgrnd. 8. Founda[ion '� . 59. Gas Pipe, O Undrgrnd., Test - 9. Water Pipe-Undrgrnd. /� ' 60. Backwash Lines, P-Trap, � 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 - . ',i` 13. Roof Drains � .�� 64. Plumbing System - Final � 14. Rough Plumbing _ '�i . 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. POOUSPA 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 �Oil ' 23. Gas Pipe-Rough & Test 72, Underground Flush � 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑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 �y Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test � . 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service�Final . _ 40. Ga; Service-Final , , � 41. Solar pomestic-Final � 42. Backflow Preventer • � � .43. Backflow Irrigation ' ' ' �!44. Landscape Irrigation System 45. Sound� Attenuation , � - -46. Handicap Re9ulations , ' . �47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison ' _ --50. Gas Release to Southern California Gas Co ' � � . �51. CERTIFICATE OF,OCCUPANCY - No. ' Date ' � '� � � �r �. UCTION PERMIT Appllcant to fill in all svaces except tnose wRNn neavy DorEer Iines anE si9n all Applicant's Mailing Address Owner'sName See's Candies Phone Address $OUt.tl COdSt Plaza SUlt2 #1'S Arch/Eng. ' License No. Addicss Contractor'sNam � Phone '418-842 Addresslmailingl W. Proviaencia — Bari�an •, City License N o. 3 9'3 7 2 LICENSED CONTRACTOR DECLARATION . I hareby affirrtl that I am Ilcensetl untlei p�Ovlzlons o1 Chartar 9(comm¢nCing wit� section 7000) of Dlvision 3 of tho Bu5ine55 antl-PrOfe55ion5 Cotle, anE my Iicensa is in iull torce ana eHect. G License Ciass G- ZG i� i pf�� Date �G'l"�1 Si9nature �� `MORKERS'COMPENSATION DE LARATION � iereby affirm tnat I �ave a cortlficate of consent to solf-insure or a certilicate ors Componsat`ion'/Insuranco or a<¢rtHletl copY thereof (Sectlon 00, ��'C�,:�C (�-90 PoliCy N _f Compan � � i/i¢tl copy is her¢by Iumish¢ j \\ Dai�rBlietl coPY I5 filetl wAVPI cantYy�u' /./�/ 1 �"t�`-�--- EXEM TION�RKERS'COMP�ATIONDECLARATION ' (Th{s seciion neetl not bo comD�eted i/ t�e permit is for ona hunEretl (5300) or ICSS�. 1 certHy tnat in tha oerbrmancu ot the work for which NIs perm�t is Issuetl I ihall not amploy any Oerson In any manner so as to become subject to t�le Work¢rs' CompensaUon Ldwi of Callfomla. � . Date Sgna(uro NOTICE: 11, afia� making this tleClaratiOn, you ShOultl becoma sub�ec[ to tM1e Workers' Compensatlan provlsions o� tne Labor Cotle, you must torthwith comply with such provisions or this permlt snall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby alflrm Iha[ [hOra IS a WnStruction 1¢ntlin9 agency �o� t�e perto�mance of tho work for which this pormit Iz I55ueC (Section 309� Civ. C.) Lentler'S Namo �Lantlor's AGOraSs " '� � - - OWNER BUILDER �ECLAfiATION � 1 hereby aflirm that I am exompt from tno Contrac[or's Licenze Law for tho lollowin9 reason (Snctlon 7031.5 Buslne5s antl Professlonal Cotlei Any Uty or COunly wM1ich reqwres a pa�mlt to <onStruGt; alter 1mprOvO, tl¢molish or �opal� any siruclura, prbr to Its Issuance, also reqWres t�e applicant for such oermit to flle d Signetl stat¢T¢n[ that he/sne Is Iicensetl pu�su2nt to [he p�ovi5io05 01 'he COMractor's License Law (Chapter 9(<ommencing with Section 7000) o� 'vlSiOn 3'of ttle Bu5Ine55 antl Profa551o�5,COtl8) or thdY110/Sh¢ Is'exempt eretrom anC Ihe basis�for the allogetl exemption. Any violatlon ot Sectlon .031.5 by any applicant tor a,permlt sub�ects lha apP��ant to a civil �enalty ot not more than fivu huntlretl tlollar5 (5500). I, as ownar ol tno property or my amployeos wltM1 wagos as their 5010 compensation, will tlo Iho work, antl the strucWre is not IntenCeG or offa�atl 1or salo (Soctlon 7044, Buslnoss anE Prolessional Cotle: Tn¢ Contractor's Licanse l.aw tloes nol apply to an ownar of a properry who EUIIOs or improves thareon, and who tloes such.work him50tl/ne�self or through nI5 or h0� own omployee5, prOvltl¢tl fhat zuGh Improvemenli ar0 nOt Intentlotl O/ otferetl for sale. It, however, t�e builUing or Improvement is sold within one year ot com- OlBtlon, the ownBr will hdv< tho bu�Den of prOving h¢/She tliC not �uiltl o� Im- ' �1�Ova t0/ Iha pu�pose ot salej. ' u I, d5 ownet ol lha pro0erty, am BxcluSivery cont�aCting with IICGnsetl mn• tractor5to conslruct tnu projec[ (Saction ]044, Business antl'Profasslons Cotla: � Tho ConVactor's' License Law doos not aOPly to an ownBr ot OrOperry wh0 bulltls'or Improvo5 theroon, antl who con[racts tor such projocts wltn a con- lractm�sl ucense pursuant to tM1a Contracror's Licanse,�aw). I am aware that proa/ of tnelr WOrker'S COTponsatlon Insuranco ihOultl bo provlGetl to mo. I] I am eaempt untler Se<tion B. & P. C. tor this reason Data Signaturo �////,/Yd. Drivers' �icensn or 55 9p Owner above TYPE OF CONSTRUCTION LJ NEW LJ ADD LI ALTERATION LTF ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � DESCRIPTION OF WORK/USE OF BLDG. TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUM6ING ❑ MECHANICAL 1 � OTHER. P,ROJECT DESCRIPTION 50. FT. � OCCUaArvcv_ CONSTRUCTION TVPE VALUATION 5 ZONE ING CU. VOS. ACRES_ Remarks: �1�` . � � � �� Sink Preventer. I rrigation Drinking Pountains � Floar Drains Floor Sinks � ' Gas Service Outlets Interceptors � Kirrhon.Sin4. . . . _ Lavatories P—Trap Roof Drains Reinspoc[ion Foe $15 Boiler Duct � Under Ground Duct - Struttural Duct - Ventilating Exheust System � Multiple Firepl/Fact BIL ICBO;4` Heating System & Ducting ❑6100,000 BTU 0100,000 ReinsOection Fea I $15 CMF 0865�4fi, rev. 30/84 White - BuilUing; Canary - Appllc� k- Accoun[Inq; Goltlenrotl - Asseisor Showers Service Sink A Solar Collectors- � Solar Piping Solar Tunk • Swimming Pool w/Spa � Urinal � Water Closet . Water Heater ' Water Service - - Auto-Wash ' Issue Fae Hood or Type I ❑ Canopy Type I I ❑ Refrigeretion System ❑a,00,000eTu o,00,000 System Repair/A�teration ' E�rs �/ /a �/ Registerz � ' /2�I R�/j1 LC✓Z Issua Fee $ 3 FE 3 $3I A.P. �W S Main Buildi E T Front e Rear � A C Right K Left S Ping. Ref. qY� Planning Notes: Automatic Wasfier Construction Pole Cooking Unit Dishwasher - Dryers ❑Gas ❑ F.A.U. Fixtures �evice Boz Outlets SwitCheS 15 KW CJ5�75 K1 Fee S15 � �,. 5749 10/22/86 ,- Zone Accessory Building: ' < �3 V �� ' Parking Req./Provided , . ELECTRICAL Trensformer ❑ 75-50 KW . ❑ so � Kw - ' Meter ❑up to 100 amps Meter �over 100 amps � Sub Panel ' - . ' Motois O61 HP � 1`f, - 8 ' I�nc.Solar �9�15 HP �1E15+ Pole Lighr Sign Standing Sections Trash Compactor luua Fee DEVELOPMENTSERVICESRE�UIREMENTS: 2oning Approved By 8uilding Approved By 32e3B TL � Z O N I N G R E Q M T S � _ SUMMARV OF FEES � BUILDING PERMIT $ SMIP � . � $ PtAN CHECK $ '-'PERMIT • - - PLUMBING � $ - ' ISSUANCE ' $ � � PtAN CHECK 25% $ - ENERGY P�.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ ' MICROFILM $'�i7� � ME g Z� TOJ ALFEE $--�`�'-�+� PLAN CH�/-$��j '�..�� ..�5� CONSTRUCTION AND PLANNING POOL & SPA . APPROVALS Permit # Date Inspector qppROVALS Permit # � Date �nspector 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. Elecirical Bonding �, , 5. Steel Reinforcement 56. Rough Plumbing & Pressui'e`.Test r` ' 6. Electrical UPER Grnd. 57. APPROVAL TO COVER-GUNITE � _ 7. Footings 58. Electrical Conduit•Undrgr.n.cj. �,� �,8. Foundation 59. Gas Pipe, O Undrgrnd.,'Fest � 9. Water Pipe-Undrgmd. . 60. Backwash Lines, P-Trap, D,Undrgmd. `,' 10. Structural Floor System 61. APPROVAL TO DECK �: , I: 11 . Property Sewer Line & House Connection . , 62. Backwash & Receptor-Final.. ;1J 12. Sewer Cap _ 63. Heater & Vent-Final �:J l�j 13. Roof Drains 64. Plumbing SYstem - Final "'� 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. So�ar System-Final i 6. 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 Firep�ace APPROVALS Permit #'r ' _ 21. Ducts,in Structure 70. Underground Hydro �� . � 22. Ducts, Ventilating 71. Product Piping O Gas �,Oil. ' 23. Gas Pipe•Rough & Test 72. Underground Flush �� {.' 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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. FIflE 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. Finat Heating & Air Conditioning �� /� - 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final�Factory Fireplace 38. Final Plumbing � 39. Water Service-Final � • � � • 40. Gas Service-Final �. 41. Solar pomesticFinal �� - i-. 42. 8ackflow Preventer � 43. Backfiow Irri9ation � . : 44. Landscape Irrigation System � 45. Sound Attenuation •� � 46. Handicap Regulations , 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed � 49. Electric Release to Edison �' 50. Gas Release to Southern Califor�ia Gas Cn 51. CERTIFICATE OF OCCUPANCY No. Date n AOP��Canl �o flll In all ipaces except those within heavy CorGer Ilnes antl si9n all apP�op�iat0 Oecla�ations. CITV OF COSTA MES CsN TR r TI , PERq_IYIIT � Project Address `�t Applicant's Mailin Addres� ' Owner's Name Phon Addreu �� Arch/Eng: i License No. Address Contratmr's Nam } � hon � l ZZ Address Imailing� � '% City License No. LICENSED CONTRACTOR DECLHRATION I h¢reby aHirm that 1 arti licensetl untla� prOviSiOnS Of Chart¢r 9(commencin9 wiln section ]000) ot Division 3 Ot the Bu5ine55 antl Professions Cotle, antl my Ifcense is in full Por e tl¢ffecL ,f Licon CI 5 -' ' Licens o. • Date Si9natura � � � WORKERS' COMPENSATION DECIARATION I hereby aHirm that I have a certificate of consent to zelf-i sure or a certificata o� Worke�s' Compensation Inzurance, or d Certifietl cOpy he�eo� t($ectl 3800, Lab. 1j/��p/ ),,�% (2�,'/ PoiicY No. �AIY!//J[7�W1`� . ComPanY /r�7� f �Certifletl copy is nereby fumishee. Certifie co �y/ i�s�filetl with the city ;} v� {,.� �j �ate �n-P� ""' APPlicant �'�� u ' r �I � E%EMPTION FROM WORKERS' COMPENSATION DECLARATION . (Tnis section neatl n0t be com0letetl if Me permit I510r One huntlretl ($100) or less). I certHy [hat In [h¢ p¢rtormanc0 of tbe wo�k fo� Whlch this perm�t is i55uetl I snall not employ any person In any mannar so as to become subject to t�e workers• Compansation Laws of Calitornia. Data Si9nature NOTICE: It, altor makin9 thi5 tleClaraUon, you s�0u10 become Subjett t0 the Workers' Compansation provi5iOn5 Ot th¢ LabOr Cotle, you must torthwlth <omD�Y �+'�th Such provlsions o� tltis pe�mlt Shall be tleemetl ravak¢tl. CONSTRUCTION LENDING AGENCV I nereby aillrm [hat lhere i5 a conStruCUon 1¢ntling d9ency ror the performant¢ oi [M10 work tar wnich thiz ptrmit 75 i55uetl (Section 3097 Civ. C.) Lnntler'S Name LentlOr's Atldr¢si ' OWNER BUIIOER �ECLARATION ' I nareby affirm thal I am exempl iwm [he Contractor's License Law for tne followina reason ISnctian 7031.5 Business an0 PrO�esslanal Cotle: Any city or Ma '[he�ehom antl lhe ba5i5 for the alle9otl ¢xamptio�• Any viOldtion ot $actlan �031.5 by any applicant for a Permit subjects tne applicant to a civil '� enalty of no[ more than five �untlretl tlollari (5500). I, az Ownor o/ lhe D�ope�ty ar my nmployo05 with wages as Ihelr Sole compansation, will tlo lhe work, ana the structurB Is not IntenEetl or olfamtl bI Sala (SCtlion 7064, Bu5ln0ss antl PrOte55iOnal Catle: Tho ConlractOr'S License ldw tloes not apply t0 an own¢� Of a p�operty wl�o builtls or imprOves [bereon, antl who tloes such wOrk himfell/horiel} o� Nrough h15 or h¢r Own employoes, provitletl thaf such Improvements are �ot Int¢ntletl or olferetl for sala. If,.nowever, the bulltling or improvement Is sold wi[�in ona year ot com- pletlon, the ownBr wlli hdve tlte bu�tlen OI prOvin9 he/sne tlitl nOt build or im- �rOv! tOr [h¢ pufpose 01 Shce). I, as ownor ot [ne pro0erty, am exclusivaly contracting with Iicansetl ton- tractors t6 cons[tuct t�e proj¢ct ($ectlon 7044, Buslness antl RoteiSiOnT COtlo: Th0 COnlractOr's License Law tlOes not apply to an owner of property who � builds or'improvas tnereon, antl who contra<ts ipr such projects with a con- ' tracto�(51 litanse pu�suant to the Contrdctor's LlEens¢ Law). I dm awar¢ [bat proof o( [M1elr. Worker's CompensaHon insu�ance 5hou10 be 0/ovitletl to mB: '� I am exempt untler Section B. & P. C. for this reason i ; Date Owner - , 1 horeby ttrtity'that�l nave reatl this application ana ztate Mat tne above . information'is correci. I agree to comply wlth all ��ty anG county or0lnances antl Ttat¢ IdwS relating/,FO builtling cOnstru[tlon 3ntl �¢r¢by aulhoriie repr¢- sentatives of tnis ci to enter upa tha above enHoneO property tor insoect�on purpos . y�y�� Signature Dat¢ /U / � Drlver5' LicenSe or 55 � TYPE OF CONSTRl7CTION PSLNEW LJ ADD LJ ALTERATION IJ REPAIR ❑ CONVERSION ❑ DEMOl15H ❑ OTHER Ap y�6 DESCRIPTIO�IQ�ORK(y$EO�F�,�QG S MainBuildi �� '7i �.i E TVPE OF PERMIT GRADING FOVNDATION STRUCTURAL T Fronl ��pO� TENANT ❑ EIyE�CTRICA-L� ❑` VLUMBING ❑ MECHANICAL A Reaf IL�I OTHER. �,1�E �YY�U��S � C Righ� PROJECT DESCRIPTION Sa.FT. OCCUaANCv� K CONSTRUCTIONTVPE VAWATION$ ��JLi.(SV g Left ZONE � 'GRADINGCU.YDS. CRES PIng.Ref.� Remarks: , �_�/%_ �f �� .3 PlanningNotes: Ber Sink Beckflow Preventer � Backflow Irrigation Bathtubs . Clarifiers . Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink � Lavarories � P—Trep . � Roof Drains Reinspection Fee � $15 Duct - Under Giound Duct - Structural Duct - Ventilating Exhaust System ❑ Multipla Firepl/Fact. BIL ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,000 Reinspec[ion Fee , I $15 CMF 0865�46, rev. ]0/84 White - Builtlin9: Canary - ApPliwnt; Pink - A�tountin9: Goltlenrotl - Assessor Showers Service Sink S¢wer Cap Solar Collectors Solar Piping Solar Tank � Swimmin9 Pool wlSpa Urinal Water Closet Wacer Heater Water Service Auto-Wash laue Fee Hood or Typel ❑ Canopy Type 11 ❑ Refrigeration System ❑aioo,000sru ❑ioo,000 System Repair/Alteration Fire Damperi laue Fee � FEES S 3 ES $ 3 ._. _�_. • ` E AummatiUWasher' - Construction Pole Sub. • Cooking Unit � Dishwasher Dryers ❑Gas ❑Electric ' ' Fan F.A.U. • . ., .- Fixtures • Device Boxes Outlets $wilChes Garbage Dispoul Generator �0.5 KW ��5-15 KW Fae � Zone iing: z O N I • N G R ovided E Q ' � M � T � S • FEES TrAnsformer � 15-50KW .- ❑ 50+KW Meter ❑up to 100amps Meter �over t00.ampi . JUD rJne� . , MotorsDO-7 HP �1�-8 inc. Solar �9-15 HP �16-75+ Microwave . � Pole Lighc� � � Range 0 Standing Sections TraSh Competmr ' lisu9 Fee ; . § 3 DEVELOPMENT SERVICES REQUIREMENTS: 2onin8 APPtoved By Building APProved B� -l�� 0 0 SU ��y��(pR�[y��.p) FEES ' �'r-�i BUILDING PERMIT $ -L:�� 'SMIP - $ ', v PLAN'CHECK $- � PERMIT. PLUMBING $ - ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ = PLANCHECK ,50%� $ � � MICROFILM $ � MECHANICAL 3_ _ TOTALFEE S � PLAN CHECK 25% $� ' CONSTRUCTION AND PLANNING POOL & SPA , APPROVALS Permit # Date Inspector qppROVALS 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. APPROVALTO COVER-GUNITE ' 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . 12. Sewer �ap 63. Heater & Vent-Final 13. Roof 6rains 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. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. Rough Factory Fireplace APPROVALS Permit �h �_ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas OOiI 23. Gas Pipe-Rough & Test 72. Underground Flush ', 24. Roof Kraming 73. Undergrnd. Storege Tank O Gas ❑ Oil . 25. Roof Sheathing 74. Overhead Hydro - .� 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and F�ashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED Sl'STEM FINAL , � 29. Insulation 7E. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - `- 32. Electrical Power Meter-Fina! 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Fina� Heating & Air Condi[ioning Q '.y 35. Final Gas Pipe-Test 36. Hood or Canopy ' � ' 37': Final Faaory Fireplace . ^ � a.. 38. Final plumbing , . � � 39. Water Service-Final J �- - . ... , 40. Gas Service-Final . ' ' - ' 41. Soiar pomestic-Final .. � . - � 42. Backflow Preventer � • � ' ., � • ' '43.Backflowlrrigation ' , � - '�, .44. Landscape Irrigation System . ._ . ,!�-� •45. Sounq Attenuation . , - � '�� 46. Handicap Regutations � � � � � ' _'' 47.FINALSTRUCTURE&BUILDING �v:. , ' . 48. Special Requirements Completed , � � ' 49. Electric Release to Edison �- • � . 50. Gas Release to Southern California Gas Co ti 51. CERTIFICATE OF OCCUPANCY No. Date ' �