Loading...
HomeMy WebLinkAbout1620 ORANGE AVE - Building Permits t67 1620 ORANGE AV CITY OF COSTA MESA - BUILDING PERMIT —O©D�g ADDRESS OF BUILDING: UNT: OWNER'SNALIE IF KNOWN: JOSEPHINE SPRINGMEYER PERM NO: P 086778 ADDRESS: 1620 ORANGE AV C .M. CA PERMIT NO: P 086778 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MMIIND ADDRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE; OTH ARCHITECT OR BONER: UC.NO.: JOB DESCRIPTION : INSTALL WATER HEATER SQ FT: ARCH.OR ENG'5 ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 / cONmACTarsNAIIE: NOCK PLUMBING ( 714 ) 895-1246 C nitAcroWSMNIg111612 KNOTT ST COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT ADDRESS: GARDEN GROVE CA uc.NO.: 707775 *****************************************************+t+rpt******9t*+E*iE*********ytpeat 92841 WIT: 17 ZONING R EQU IR EMEN TS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under provisions of Chapter S SETBACK S (commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license u in full pace and effect. CITY LIG.No.:05Q8 UC.CLASS: C 36 LIG.NO.: Z) 777 EXP: 02/98 MAIN BUILDING ACCESSORY BUILDING ya �yJ li4 Contractor: � FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN '` T� LIT. FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN // ER BUILDER DECLARATION:I hereby affirm under peaty of perjury that I am exempt from the Contractors License law tor the fe,g reason(Section 7031.5 Basirless and Professions Code:Any xay or county which requires a permit to ommtuct,aver,improve, PARKING "RE P ROV; PARCEL: 42520103 Z NE: REF NO: demolish.or repel any stricture,prior to its issuance.who requires the applicant for such permit to file a signed statement that he«she is licensed pursuant to the provisions of the Contractors License Law(Chaplet 9(commixing with Section 7000)of Division 3 of the P LANN I NG NOTES> Business end Professions Coder or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > 7031.5 by any applicant for s permit snbpcta the applicant toe civil penally of not more than five hundred dollars I5500W ******************************************************************************* ❑ I,as owner of the properly or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for side(Section 7oas,Business and Profession Code:The Contractors License Law does not apply to an Owner of property DEVELOPMENT S ERV I CES T" R EQUIREMEN T S who builds«improves thereon.end who does such work Nmself or herself or through his or her own employees.provided that such improvements are not intended«offered tor sale.If,however,the building or improvement is sad within one yew or completion,the ZONING APPROVED BY owner-builder will have the burden of proving he or she did not build«improve 1«the purpose of sale). DATE: o I,as owner of the property,am exdusivey contracting with licensed contractors to construct the project(Section 7044.Business end Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : -• DATE: contracts for such projects with a contractor(s)licensed pursuant to the Canlrectore License Law). n ❑ lamexempt under Section: B.&P.C..for this reason: APPLICATION ISSUED BY ; > DATE: r Oats: Owner ******************************************� ****************** ** I do hereby certify that lam aware of and understand the requirements of California Neelh and Safety Code Sections 25505,25533.end L EGAL Z Z AT I ON:N F E E SUMMARY S TRUC TUR L SEGMENT:N 25536,and that I or any future building occupant will I will not(circle one)need to comply with said state codes and the requirements for a permit tor construction«modification from the ebty anagement District construction we exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 11 . 0 0 Date: Applicant: 2 5% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjuy One of the!oilmen dedaratbm: PLAN ISSUE FEE o I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided l«by Section 3700 of the Labor B U I ]_ 22 . 00 Code.forne the pedonmaeofthe w«kit«wNon this permit is issued. UILDING-DIL > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE }P I have and wit maintain workers'compensation inNaance,as required by d Section 3700 the Labor Code,for the performance of the TOTALS > 1 1 . 0 0 2 2 . 0 0 0 . 0 0 3 3 . 0 0 3 3 . 0 0 00 work for which this permit is issued.My workers'compensation insurance carrier and policy number are: Carrier: GOLDEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 33 . 00 OVER/SHORT: . 00 Percy Numbr. Nwr 47914407 09/01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ' (This section need not be completed 1 the permits for one hundred dollars WOO]or less.) 33 . 00 ❑ I certify that in the ormance d the work 1«which this permit s issued.I shall nal employ any person in any manner so as to bpct ha pensatlon laws d Calibma.end agree Nat B l Mount bawme abject to the w«ken' ******************************************************************************* pensatiom p jars sewn 3"" d the Lab«Code.I dug fodhwrt �wM t /Del a y/" Applicant: �/ `�\� I N D I V I D U A L F E E B R E A K D O W N Warning:Failure to secure workers'conperuenon coverage Is unlawful,and shall subject an employs,to criminal penalties and -TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST _Ave fines up to one hundred thousand dollars(5100,00OA In addition to the cwt of compensation,damages as provided for In Section)]05ol the Labor Cods,Interest,and attorney's lees. PLU 1 WATER HEATER AND/OR VENT 11 . 00 11 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES performance of the work for which the pent is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and slate that the above information is correct.I agree to comply with all city end county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property ' for inspection Purposes,RON NOC !' ` / �xp +' 02-02-1998/09:13 1-0819967 •_ [2 RCPTN:81-8819867 Date: - - L PERMIT:086778 'Signature of Owner/ 0 pelican • red•• , (5151 d5.WP) White-Building&Safety:Green-File:Canary-Appicenl:Pink-Revenue:Goldenrod-Assessor ' CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. i• 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash& Receptor-Final_ 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final , 15. Rough Electrical-Conduit 1 66. Solar System-Final 00 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT.REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts;in Structure - 70. Underground Hydro 22. Ducts.Ventilating 71. Product Piping OGas OOiI 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79, FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: 34. Final Heating & Air Conditioning • 35. Final Gas Pipe-Test 36. Hood or Canopy q 37. Final Factory Fireplace ,=ti ° 38. Final Plumbing I,_15-13(l 13W J ul 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 _ t 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 1±4 DDRESS: 1620 ORANGE AV UNIT: .. - CITY OF COSTA MESA — BUILDING PERMIT Ftt(M NU: e UD'Lt • S NAME: LUMPK IN,. KEITH C.:'•• • DDRESS: P O BOX 4037 PERMIT NO: B 059256 PLAN CHECK NO: N t,Uvi ; IN SUFI'; 'N BALBOA,CA 92661 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT GINEER: REG.NO.: SOB DESCRIPTION : T/OFF REROOF W/3 TAB SHINGLES SQ FT: 2, 198 DDRESS: UNIT: CLAIM VALUE: 2, 198 . 00 CALC—VALUE; 2, 198 , 00 GROUP UCC ; R-3 / MITTEE: WHITNEY ROOFING ( 714 ) 548-0769 DDRESS: PO 15396 COMMENTS; SMOKE DETECTOR REOUIRED IN THE HOME NEWPORT BEACH CA 92659 #**************************4****************N#*#*#**#�6**####+E*g6�6s6s6####*It#*### # CONTRACTOR DECLARATION: I hereby affirm that I am ' ensed m.. •'visions of Chapter 9(commencing with Section Z ON1NG REQUIREMENTS ivision 3 of the Business and Professions Code.and ••• tic•' - i r force and - ect. SETBACKS 8035 STATELIC.:406022 ss' . -39 Y MAIN BUILDINGACCESSORY BUILDING signature: FRNT; FTIN REAR: FT IN FRNT: FT IN REAR ; FT IN ORKERS'COMPENSATION DECLARATION: I hereby affirm that ave a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN mpensation lacyy�apce.ppi,�aa,, lied.cop the`eof(Section 3:11,Lab.LICY NM: L O J-7 Z UN.L 1 3 Z 0 EXP.DATE: 1/0 1 19� COMPANY: S TATE FUNDPARKING REQ- PROV: PARCEL: 42520103 ZNE: REF NO: 7 Certified copy is hereby furnished. Certified copy isfil''the • B 'ding Divisi.•. PLANNING N TES.> L/1p 9 '> /.. ' / 2- Applicant: /� ##***********If�**#**#*****#******#********************#***#*******##*'�(#*******#** EXEMPTION ROM WORKERS'COMPENSATION DECLARATION: (This se•on need not be completed it the permit is tar one hundred(8100)or less). D E V E �'L O P M E N T S E R V I C E S R E Q U I R E M E 1=4 S I certify that in the performance of the work for which this permit is ssued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY - a DATE: Date: signature: BUILDING APPROVED BY 440, NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE .� ,, Code.you must forthwith comply with such provisions or this permit shaft 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 B Y• • DATE *************460,******* *. ** . ***** -- . .e*************************** ; ***ft** ** which this permit is issued(Section 3097.Civ.CI- *' LENDER: ************** )F*********9c***#**********************!t*#************Y'14*#***#*1E*ii ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAi! SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason • BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE- SMIP/RE$ 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 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RE S pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 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 ISSUE FEE any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(8500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 54 , 50 0 . 00 0, 00 54 . 50 54 . 50 , 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or REVENUE DIVISION TOTALS--> COLLECTED : 54 . 50 OVER'SHORT• 00 improvementis sold within one year of completion.the owner will have the burden of proving he/she did not build or improve for the purpose oof sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK o 54 . 00 50 I,as roes iofo s the d :property,amCo etractors'ly contractingLicense withw licensed not contractors to of uctpro the project hb ills or n o4,Businessth ❑ and who ProfessionsCode: The projects with State contraseLaw does nptapply an ownertentrctors'Sate icense improvesLIathereon *********#*************************************************!f***#*************** and who contracts for such protects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D O -WN , O I am exempt under Section: B.&P.C. . for this reason: TYPE QTY DESCRIPTIO N UNIT,GOS 1 TOTAL COST •Date: Owner: SFR 2198 ' 'REROOE BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 198 . 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 said state codes and the requirements for a permit construction or modification from the Air Oualily Management � al construction applications are exempt from ' these provisions. Date: Applicant: I hereby certify that I have read this application and ate that the above'' ormation is orr ct.I agree to comply with all city and county • ordinances and state laws relating to building construction and hereby au rit prese. .tiw of this city to enter upon the above-mentioned • properly for inspection pwpases.Dat �� I (� � °e: � Signature: I/ • �I y� r)3 - Driver's License or Social Security to _• „ ' I 1641-46 White—Buifdino:Green—Code Enforcement:Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor l j r CONSTRUCTION AND PLANNING POO SPA APPROVALS Permit# - Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test A. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing �yY''z tc _'9 74. Overhead Hydro O` 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 I - 78. FIRE PREY. FINAL 30. Drywall NailingI -i HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final I i.: .j 80. FOOD CERTIFICATE ISSUED 33. Final Electric ( Notes: 34. Final Heating & Air Conditioning it 35. Final Gas Pipe-Test - I _ 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 1 43. Backflow Irrigation t /_27-- (J ` G` Jp /! e 44. Landscape Irrigation System / Eteitfr 45. Sound Attenuation /p.-L�aL_ - -/- `,, �^J/ jr 46. Handicap Regulations &-4- 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • PR0L'F.67LAD ESS: 4 `. _ T UNIT: - __ - V C CONES'S NAME: 620 ORANGE AC CITY OF COSTA MESA - BUILD.NG PERM.T PERM NO: P 0.361 ADDRESS: JY-PKaN, KEITH C P 0 80X 4037 PERMIT NO: P 053614 PLAN CHECK NO: N GOV?: N SUPP: N BALBOA,CA 92661 CONSTRUCTION TYPE; V-N PERMIT TYPE: PLU PURPOSE: OTH ARCH/ENGINEER: 645 -8065 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : REPIPE GAS SERVICE SQ FT: PERMITTEE: ,/,f CLAIM VALUE: 1 , 200 . 00 CALL-VALUE; GROUP OCC: R-3 / ADDRESS: :'HIL SHAFER PLUMBING ( 714 ) 6/ 0 7 3266 P.O. BOX COMMENT S: SMOKE DETECTOR REO TIRED IN THE HOME. NRWPORT CA. 92627 / **********:*************x**# *###+6********u***** t##wax•#*+##*****#•#x****;e** #*#*x LICENSED CONTRACTOR DECLARATION' :•I hereby affirm that I am licensed under provisions of Chap ••with Section 7000)of Division 3 of the Business and'Professions Code,and my license is in fun force and etre Z O Ni N G R Q LI I R E M E N T S S E T B:7a C K S CITY LIC.: STATE LIC.: CLASS: 1�3 319610 �-Bate:_ ..., (� ' qi Signature: 000, i /-a MAIN BUILDING -- ACCESSORY BU:..,DING WORKERS'COMPENSATION DECLARATION: Ihe+• .r -•} enl to sell-inti'or a certifies of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Sect° 'r-). ..EFT; FT 1N RGHT: FT IN LEFT: FT IN RGHT: FT -_,N POLICY NO.: EXP.DATE: COMPANY: !' PARKING REQ: PROV: PARCEL; 42520103 ZNE; REF NO: 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> Twe: Applicant: /i/ / ***#*****i£#**##'t#***** f3+#***44.*******it#**141E#####*"r*##*#!4#****3:*#**1W**3i-3.-3+3414****3+* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed i der•, 4 undyed(5100)or less). DEVELOPMENT SER VICES REQUIREMENN TS I certify that in the performance of the work for which this permit is issued,I shall not em i• ,ai• • manner so as to become subject to the Workers'Compensation Laws of California. i f ZONING APPROVED BY - DATE: le'. "? - i — 9/ Signature' '� NOTICt:If.after making this declaration, ••• .: i� t• i'• rs'Compensalii provisions of the Labor BUILDING APPROVED BY : AV CONSTRUCTION DATE; lT�♦i77 aR ir ..iii^' Code.you must forthwith comply with sue 'I .•si adeemed revoked. C0NSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for he IKnOrmante of the work for 3 �r• 2=2.4".-2> c- which -��-2 " which this permit is issued(Section 3097.Civ.C)_ APPLICATION I CAT ION if ISSUED BY• 3 DATE: *#*******#44* *#1Y****3F* n�F iK t'h':w H%X st 1e# ' N v'3!*? ******it**'**h#f**.i)4*****i'.3.'*k14 w) wim 3-# LENDER: *******##*****#***i.*****#***************.'** ***#*****************************w.#* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N 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 PERM T 2 . 00 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)of Division 3 of the Business 2 5t SM I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alteged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00 I, as owner al the property or my employees with wages as their sole compensation, will do the work, and the BUILDING - > PERMI'." 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----> 2 . 00 3 . 00 0 . 00 5 . 00 5 . 00 . 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 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 ; 5 . 00 OVER/SHORT• . 00 for the purposeol sale). BLDG PMT, ^LUMB:NG ELECTRIC MECHANIC FIRE SMIP/T0T GRADING PLAN-CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5. 00 LJ 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 contractor(s)license pursuant to the Contractors'State License Law).l am aware r.***********#*#***********************'*3( #******************#iii************#**4:#3 that proof of their Worker's Compensation insurance should be provided to me. EJam exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner' e PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2. . 00 2 . 00 - 1 do hereby certify that I am aware of and understand the requirements of California Mealih and Safety Code Sectio 51 . 533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes,a, tLu,• mens for a RQga/A e permit for construction or modification from the Air Quality Management District.Residential construe on pii "'••• . exempt from , • these provisions. Date Applicant: O��Y" I hereby certify that I have read this application and state that the above information is cor imply with all city and county • ordinances fand spection laws relating building construction and hereby r �/ uponU .,., oenterthe above-mentioned properly for inspection proposes. Date: " L.� // Signature' - ';E,j'.' ? `: ; Ti . '' _. Driver's License or Social Security': .—.. 16a1-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL 8 \ -1 APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector :k, 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 LIFER 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, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection -• 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL l 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ..f 30. Drywall Nailing .' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat i 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 e `S0 ylja/q/ /`!,YJ ' 36. Hood or Canopy F/ � .!-� 37. Final Factory Fireplace • - 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison • ' 50. Gas Release to Southern California Gas Co ; 51. CERTIFICATE OF OCCUPANCY No. Date ,