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Home My WebLink About2720 MENDOZA DR - Building Permits(714) 754-5273 • Faz (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 PLUMBING PERMIT lob Address: 2720 MENDOZA DR Suite No Vicinity: Parcel Nunmber: 14168113 ApplicanY. STARK, CHRIS",-i✓ F �J.- Address: / �, % � �' /i � i / , ' � . . , Owner., �KRIKORIAN, GLORIAT Address 2720 MENDOZA DR � � /�� Phone:- 818-407-1247 2ip:. . � �.; � " Phone: i . i � �' � '/� COSTA MESA, CA Zip:^ 92626 Contractor: ACAP�ASSOCIATES GP - � _ � � � Address: '7229 VARNA AVE � � � . . - - " � . . � .,�. - � Phone: (800) 444-8865 -' NORTH HOCLYWOOD, CA Zip: 91605 . � . License: 771905 Arch / Eng : - Address: Status: ISSUED Applied: 11/15I2001 I s sued: 11 /15/2001 v_ , . . .. . -j- �''� ,-z�� , -. �, , , , ' Phone: � ' ' . Zip: . . �� .- License: . � SCOPE OF PERMIT WATER HEATER CHANGE OUT. a FEE SUMMARY , AMT QTY � ' AMT �*'QTY � � AMT ISSUE FEE . - � $23.50 � _, ,- �Laundry Tub / Washer ' $0.00, � 0 :`, . =�- �Sump.Pump ' $0.00 Backflow irrigation $0.00 . 0_�-f Landscape Irrigation $0.00 0 Swimming Pool � ", 50.00 Backflow Prevente� �$0:00 0� � " - P-Trep � - �- $0.00 0 . Trap Primer ' � $0.00 8athtub , � v$0.00-�` 0 � PressureRegulator . $0.00 � 0 �- - . " �Urinal:� �' � /� $0.00 Clarifier System $OAO ..0 � �Process Piping (per 10 ft) - $OAO 0 - Vacuum Brkr Bkflow(1�4) $0.00 Connect Qce,Soda,etc) �$0.00 �� 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) y0.00 Dental Units .'$0.00 - 0 Septic Tank $0.00 0 ' � Wash Basin, � $0.00 Dishwasher -$0.00 , 0, Sewer Cap for Demo $0.00 � 0 - Wash Basin-Set $0.00 Drain, Floor $0.00 � 0 ..� Sewer Connect , "$0.00 � 0� ' Waste and Vent System $0.00 Drain, Rainwater $0.00�� 0�, �- Sewer Private Line $0.00 0 -Water Closet (Toilet) 50.00 Draiq Roo! So.00 �� o- � Snower � � $0.00 0 - �, " Water Heater I vent 512.30 Drinking Fountain $0.00 0 � � .. Sink, bar ` $0.00 - 0� , �' � Water Piping (Inst or Rep.) $0.00 Expansion Tank $0.00 0 Sink, commercial� -.$0.00 �' 0�- � Water Re-pipe $0.00 Gas EaRhquake Valve $0.00 0 Sink, Floor $0.00 � 0 Water Service $0.00 Gas (7-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 Gas (Over 4 ou[lets) $0.00 0 Sink, service/mop $0.00 0 OTHER 50.00 Gas Repipe $0.00 0 Spa (private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK $0.00 Interceptors (Grease, Oil) 50.00 0 � REINSPECTION $0.00 Interceptors (Sand Auto ) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS / SPECIAL CONDITIONS QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 G NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) ' EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. - . INSPECTIONS: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections entl final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 I 24A6�C6(N00) WORKERS'COMPENSArON DECLARATON: ' � I hareby eflirtn under penalry of perjury one oi Ue following tleclarations: ❑ I heve entl will maintain e certificete of cansent ro self-Insure lor workers' Compensation, es providetl tor by section 3700 of the Lebor Cotle, for ihe pertortnance ot ihe w r which this permit is Issued. I heve and wiil mflintain workers' compensation insurance, as requiretl by section 3700 of tha Labor Cotle, tor ihe perfoimance of Ne work for which this pertnl� is Issued. My warkers' compensation Insurence �rflel�3ntl policy number are: Certier. (Th/s s� ❑ I cenify thet in the pert wmpensatlon laws C compty with these m Applicam Signeture: � WARNIN�: FAILURE TO SEWRE THOUSAND DOLIARE (4100.00q. LICENSED CONTRACTORS DECLAR I hereby ettirtn that I am Ilcensed untler torce ena enecc. uc. a� Contrectofs Signature: one oNess.) Policy Number: o for which this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' a' e thet ii I shaultl becoma subject to t�e workers' compensatlan proWslons of Seciian 3700/ oi the Labor� otle, I shell forthwlth oa,a: 11 / S � � COlAPENSATON COVERAGE IS UNLAWFUL M1D SHP11 SUBIECT AN EMPLOYER TO CFllMINAL PE TIES AND C IL FlNES UP TOIXJE MUNDRED I TO THE COST�COMPENSATION, DAMNGES AS PROVIOED FIXi IN SECTION 37060F THE LABOq CO�E, IMEREST, ANO ATTORNEI^S FEES. 9(commencing with Section 7000) of Division 3 of the eusinass end Protessions Code, antl y Ilcense is in tull Class x—�r-7 i— �—� �-r.�— Date: I 1 / /� _./ l/ 1 CONS7RUCTON LENDING AGEN�V: ❑ I hereby ettirm that there is a construction lending agency for the pertortnance oi Ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lentlefs Neme: Signeture: _ OWNER-BUILDER DECLARATIONS: Lentlels AGtlress: Date: I hereby eftlrtn thet untler penalry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW far the following reasan (Sec. 7031.5, Business antl Professions Code: Any ciry or counry whic� requires a pertnit to consiruct, alter, improve, demolish, or repair any siruciure, prior to its issuance, elso requires the applicant for such permit to flle e signetl statement that he or she Is Iksnse0 Dursuant b the provisions of Ihe Contractors License Lew (Chapter 8(commencing with Sedion 7000) of DlWsion 3 of t�e Business and Professions Code) or that he or s�e is ezempt t�ereirom and ihe hasis for t�e alleged exemption. Any violation o1 Section 7031.5 Dy eny epplicant for a pertN' sub�ects the applicant to a clvil Denalry ot noi more Ihan five hundred dollers ($500).): ❑ I, es owner of ihe property, or my employees wit� wages as thelr sole compensation, WILL DO THE WORK, antl ihe siructure Is no� intended or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Con�ractore License Law does not apply lo an owner of properry who 6uilds or improves t�ereon, and who tloes such work himselt ar herselt or Ihmugh his or her own emplayees, pmvitletl that such impmvements era not imended or oNeretl tor sale. If, however, ihe building or improvement Is sold within one year oi completion, the owner-builder will have the burden oi proving ihat he or she did not build or improve for purpose oi sela.). ❑ I, a5 owner of tha pmparry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo ConsWct ihe project (Sec. 7044, Business and Pmtessions Cotle: The contrectors License Lew tloes not epply to an owner of property who builds or Improves Ihereon, entl who conirects tor such prolect with e contrector(s) license Dursuant to the Contrectois Licensa Lews.). ❑ I am exempt untler sec. Business and Professions Cada tor this reason: SignaNre: Date: Owner ID ventietl Dy Arivars license. ❑ Ves ❑ No Dnvels License No. Expires: Vedfication ot Ownership by (rype of document, i.a. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby cenify that no excavatlon five (5) or more feet in depth into which e person is required to descend, will be matle in connection with work euthonzed by this permi�, end Ihat no builGing sWCWre, scaHoltling, felsework, or tlemolition or tlismantling thereot, will be more �han Ihirty-six (3fi) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Califomla Atlminisiretive Code). ❑ As owner-builder, I will nat employ enyone ta do work which would require e pertnit from the Division oi Indusirial Satery, es notetl above, unleu such person has a permit ta do such work From t�e Oivision. SignaWre: Date: Division of Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF EMRY: I certiry unAar penalry of perjury that I have read this application entl state that the information given Is correct I agree Io compty wlth all state laws er10�C�y ordinances rela�ing to building construction, end euthonze representatives of fhe City of Coste Mesa to emer upon Ihe ebove-described properry for inspectio �es. egree not to occupy or allaw occupancy of eny building authonzed by this permit until final inspection. S' n Owner(s) ' � , � aiq / � ` An Iho' dAppliwnt I Dale� 40oE r. INSPECTIONTYPE 1616 Fi:ed System Final Fire Prevention 1268 Pool Spa Final 200 Finel Re-Raaf 207 Finel BIocWRetaining Well 202 Final Faciory Fira Place 203 Final Sign 204 Final Demolition PA� IN7I71AL5 COpEt INSPEC110NTYPE 206 Final Mechanical 20B Final Plumbing 210 Flnal ElecMtal 212 Final Fire Pravention 220 Final Planning Approval 222 Final Sita 250 Final Building/Occupency PAg lN�ELS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2720 MENDOZA DR Suite: Vicinity: Parcel Number 14168113 Applicant: GLORIA KRIKORIAN Zoning: R1 R1 Status: ISSUED Applied: 12/06/2001 Issued: 12/06/2001 ISSUED BY: SI� Address: _ � - ,�� ^�'�-�' . Phone: 714-540-7604 �� ,-'�r'� �_ '-_��.. -,, ,� ', �. , ' 2ip: . / � � _ ,-� ; 1�� ,� i" '= - . . ` �- �''. % Owner KRIKORIAN,-GLORIAT, �� ?J `\��, Address -2720MENDOZA DR - - � � �.,� � '�, . Phone: � � ,�`• � � , �,. . - : . ,COSTA MESA, CA � �'� - Zip: 92626 - ' , . - . � - . .'i � , Conlractor: '#1 BEST.ROQFING COMPANY � � � � �'� ,� � Address: 939 SERFt,4 WAY ' ' �• ' �� ,". ". - Phone: p14)434-2525 /�.� '� ' � � COSTA�MESA, CA � � " ` � �' ' Zip:_ � 92626�� _ License: 722805 � - -_ - ' � �� '�, i � _ �� Arch . . . . � . � - E09� � , � , : �� _ , ' . Address: - ' � , Address; ,. � � — � . ,,. .Phone:- � , !� ; Phone: � � �\, , � � ,i� - `' •:-j> �� -� , . _' . ��Zip: , � � ' . License: � ��, � ��_License: _ � , ,,. -�r -.._� �,,. SCOPE OF P_ERMIT_. ;_ .,y � � - T/OFF SHEATH AND REROOF 2700SF RESIDENCE W/COMP SHINGLES� � � �, '' � . . '. '. . _ ' ._ "'_' � . . J Plan Check: $0.00 _ Permit''. $125.25 �' SMIP Res: � $0.54 SMIP Com: $0.00 Othec $0.00 Inspection: $0.00 � �. �� T.otal: ,. , $125.79 �\ _, ��`\. \� i . SETBACKS'` MAIN STRUCTURE�Front 0. 0 � . � ,. �� . � . � - � Rear'� 0-0 ACCESSORY 'F.ron( 0-0 � � � . PARKING Existin : o NOTES: Rear 0- 0 Required: 0 FEE SUMMARY - a Calc Valuation: .Ss,azs.00 ClaimValuation: ��:'.�� ,�� $5A29,00 � _ - ; i%,'�� , ,- , � PCANNING & ZONING � . ,%i Left 0-0 = _ - Right `�0;0 � - Left 0-0 , Right-�.�0-0 Proposed: 0 , " ", NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and ielated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. �NSPECTIONs: In ortler for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 zaas�as (sroo� WORKERS' COMPENSATION DECLN:ATION: - I �ereby atlirm-untler penalry oi perjury one of Ne following declarations: . ❑ I have antl will maintain a certifice�e ot consent to self-Insure tor workers' compensation, as provided for by section 3700 of tha Labor Code, tor Ihe pertortnance of the work tor which ihis permit Is issued. . ❑ 1 have and will maintain workers' �mpensation insurance, as required by sectlon 3700 oi the Labor Code, Por �he pBAOrmance of Ihe work for whic� Ihis pertnii is issuetl. My wo ers' ompe satlon Insurance car�°�r a�n�d�° licy number ara: / � Cartiar. �l �b�A.'� � C'Ul'lCl . � PolicyNumber: I.S��'7 �� (This sectlSn need not be comp/e ed il the permit is velued et one huntlretl tlollars (§f 00) or IessJ ❑ I certiy Ihat in Ihe peAormance tl� �he work for which Ihis pertnit is issued, I shall noi employ any person in any manner so es to 6ecome subject to the workers' compensation laws of Califomia ntl egree Ihat if I should become subject to the workers' compensation provisions ot Seclion 3700 oi the Lebor Code, I shall forthwith comply wilh these pmvi5ion ' � �Applican� Signa�ure: �, �/ oe�e: 12 _ 6- I WARNING: FAILURE TO SECURE WORKEFS' COMPENSATION COVERAGE IS UNIAWFUL PND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES NND CIVIL FlNES UP TOIXJE HUNDRE TFIOUSAND DOLURE (810p,000), IN ADDITI(Nd TOTHE COST OF COMPENSATION, DMUGES AS PROVIOED FOR IN SECTION 3)Ofi OF THE IABOR CODE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLAPAnON: I I hereby aHirm ihat I am lorce end eflecL Lic. M_ � Contractor's Signature: of Chaprer 9(commencing wilh Section � of Division 3 0l ihe e� Class k Date: _ Code, and my license is in full CONSTRUCTION LENDING AGENCY: ❑ I here6y aRirtn tha� there is a consiruction lending agency for Ihe peAormance ot the work for which �his permit is issuetl. (Sec. 3097, Civil Cotle). Lendefs Name: Lentlefs Address: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby attirm Ihat under Oenalry of pe�ury that I flm E%EMPT FROM TT1E CONTHACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: My ciry or counry which requires a permit to construcC alter, imDrove, demolish, or repair any strucNre, prior ro its issuance, also requires Ihe applicant for such pertnit lo tile a signetl statement that he or she is licensed pursuent to t�e provislons of the Contraaors License Lew (Chapter 9(commencing with Seaion 7000) ot Division 3 of the Business antl Professions Code) or that he or she is e:empt Iherefrom and the basis for tha elleged exemption. Any violation of Section 7031.5 by any applicent lor e pertnit subjecis the apPlicant to a civil penalry ot not more Ihan five huntlretl dollars (§500).): ❑ I, as owner of [he properry, or my employees with wages as t�eir sole compensation, WILL DO 7HE WORK, and the siructure is not intentletl or ofrered tor sele (Sec. 7044, Business and Protessions Code: The Coniractors License Law tloes not apply to en owner of properry who builds or improves Ihereon, and who does such work himself or herself or through his o� her own employees, provitletl that such improvemenis ere not intendetl or ottered tor sale. If, �owever, ihe building or improvement Is sold within one year ot completion, the owner-builder will have tha burtlen of proving ihat he or she ditl not build or impmve for purpose of sale.). ❑ I, as owner of the properry, am E%CLUSIVELV CONTRACTiNG WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The contractors Licensa Law does not appty to an owner ot property who Dullds or Impmves Ihereon, entl who contracts for such project with a contrector(s) license pursuant to Ihe Contrectdrs License Laws.). ❑ I am exempf under sec. Signature: Owner ID veritietl by driveYs license. ❑ Ves ❑ No Business and Pmfessions Code tor this reason: Venfiwtion oi Ownarship by (type ot tla�ment, i.e. � properry taz bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFIGA710N: Dnvels License No. Date: Expires: ❑ I hereby certity ihat no excevetio� five (5) or more teet in depth into which e person is required to tlescend, will be made in connection with work euthorizetl by Ihis permit, and that no building struc�ure, scaffolding, talsework, or demolition or tlismantling ihereol, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, TtOe 8, Califomia AtlmiNsira��ve Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Division of Industnel Sefety, es noted e6ova, unless such person has e pertnit to do such work from Ihe ��sion. SignaWre: Date: Division ol Industnal Safery Permit Number: CEHTIFICATE OF COMPLIANCE AND AUIMORVJITION OF ENTRV: I certify under penalry of perjury ihat I have read this ap0liwtion and state that Ihe intormation given is wrrect. I egree to comply with all stete laws end ciry ordinances rela�ing to building construction, entl authorize represen�atives ot ihe Ciry ol Costa Mesa to enter upon the ebove-described property for inspection purposes. I agree not to occupy or allow occupency of eny building authonzed by this pertni� until fine� inspection. ( Signaiure a Legal Owner(s) Date ,�,�✓ % I L- 6_ o l � And/OrAulhorized Ap0licant � Date COUE t. INSPECTIONTYPE 1616 Fivetl Sysiem Final Fire Prevention 1266 Pool Spa Final 200 Final RB-Root 201 Final BIocWReteining Wall 2�2 Final Feclory Fire Place 203 Final Sign 204 Final Demolition QdI€ INfiTULS IL 2 pI �� CODEt INSPECTIONTYpE 206 Final Mechanical 20B Final Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Planninq Approval 222 Final Site 250 Finel Building/Occupancy PAg II�Ln _( . Y� Aoolicant to fill in all spaces except tnose within neary Gortler Iines anE sign all approoriate tleclarationz. CITY OF.COSTA MESA CONSTRUCTION PERMIT � � PERMIT NO. • . TRACT NO. LOT NO. • UNIT NO. � , j, %��(o00(v � � _ ao , _ . Project Address _� � , ApplicanYs Maili g Address �.� '�� I''a TYPE OF CONSTRUCTION '' NEW P.00 ALTERATION �REPAI R� � ❑ CONVERSION ❑ DEMOLISH �❑ �THER p�p #� � Owner's Name '-� rl �0 f �w.n � ' Phone - - � �DESCRIPT,ION.OF WORK/USE OF BLDG. - � Address - � -✓�• ' ` f . ' � . . • .. . - ' ` � 1 . � ” ' ' - S Main Building:' Afch/Eny.�' I�� 1,� ^ Lic2n5C No., TVPE OF PEflM1T ' GRADING' FOUNDATION � STRUCTURAL � T Front . Address � � ' � ' �� ' 1 � ` � ' � - O TENANT ❑ ELECTRICAL' ❑ PL'UMBING .� ' B Rear ., ' ❑ MECHANICAL C_ ' ' i i � • p,�'YBP,S.• ❑ �OTHER . a f' � � . � � � , � A 'Contractor'sName' �' ��Phone �,p - - � , C Right � 7 - . ' - PROJECT DESCRIPTION� Sa! F7.' �� '� �occuPANCv - � � Address Imeiling) � �' � �U ' - - ' ' . ' � K Left ' � � - �CONSTRUCTIONTVPE " 'VALUATION$ $ City License No. � �� - � ^ � !_ ' ' � ZONE � GRADINGCU.VDS. rACRES � � � ~ � ' � , , � , . � Ping. Ref. �/- . LICENSED CONTRACTOR DECLARATION � � � j I he�eby affirm that I"am'Ilcensetl untle� provi5ions of Charter�9 (commencing qemarks: � ' ' ' ' � � � . i • � � � Pldnniny NOte5: , with Section ]000) Of Division 3 ot ihe Business antl Profe55ions Cotle, antl � ' ' ' ' - - my license is in t II force antl ettecL . I/J o Lirense cless � �-Z�' � Lisan�P No.`7d!� �/S � Date ��[L�'� 5'9 ,[ � . , � WORKERS' COMPENSATION DECLARATION � � � � � , ': nereby'atfirm that I have a certificate of consent to self-insure or a certificate t-Workers'..Compensztion Insurance, or_ a.certi 'etl�mpy.thereof (Section .800, Lab. C � � � , � � � P IicY No. �� IO-� � ComPanY ' . 1 Cert�Jifietl mpy is hereby furnislietl. }, 1 \ i ateef�>e�^S�+ I/• WApPhcanitYu�� Divi� r�j�1 / . /L l.a`ru.�1 EXEMP.TION FROM WORKERS' COMPENSATION DECLARASION � (Thiszection.neetl not be completetl if the permit is for one huntlretl ($300) or less): , ' � ' , I certify that'in the Performance of ihe work (Or whith thi5 perm�t i5 i55uetl, 1 shalP not employ any person in any manner so as to become subject to the Workets' Compensation Laws oi Calitomia. l � ', ' , Date ' � � Signature ' ' � NOTICE: If, after making this tleclaration, you shoultl become subjett to the : Workers',-Compensalion-O�ovision5 ot'the-LabOr Cotle, y0u must forthwith .. comply with� such provi5ion5. or this perml[ shall be�tleemetl revoketl. CONSTRUCTION' LENDING:�AGENCV= ! .' � °` ' � "- � ' , I hereby affirm that lhere is a�'s[puction IenGing agency'tor the performance � Of th¢ �work for which jh ogrmit .is; issuetl� (Section 309Z Civ. CJ � Lentler's� Name' � �� X -- Lentler's AtJtlieis ' �' • - ' � _ � OWNER 6UILDER DECLARATION �- � • ' l I hereby aftirm�that I am �ezempt trom the Contractor's License Law for the : followinq reason (Section 7031.5 Business antl Professlonal Cotle: Any city or wunty wbich requires a p¢rmit t0 conztruct, alte�, improve, tlemolisb or �epair '.any-structure, prior to its-issuance, also requires Ihe applicant fo� Such permit .to tile a sign¢tl statemenDthat he/she is licensetl,_pursuant to the provisions of � 'the Contractor's License Law (Chapter�9!(commencinq with Section 7000)�of -DivisiOn 3-of Ihe•Busine55 antl Professions Cotle) o� that he/she is exempt I � t � �. ' f . . PLUMBING 3ar Sink 3ackflowPreventer �r- -�--� 3ackflow Irrigation 1 3athtubs ' Clarifiers � . � Dishwasher , ' . Drinking Fountains , ' Floor Drains ' � � Floor Sinks-� � - - ; GasService : ' .Outlets _ , Interceptorsi ' � - � Kitchen Sink �' i �� c Cavafories ' '_ , . i P-TraP . - . . - Roof'Drains ' a" ' � '�eretrom�antl tne basis for the allegetl exemption: Any violationtot Section i -� � .� , D31.5 by any applicant for- a permlt subjeCts. tne' applicant to a civil � ,� : endlty ot not mo�e than five huntl�etl tlollars ($500). � , i -' • ' ' � I; as owner o( the property�or my employees witb wage5 a5 [heir sole Reinspec[100=F¢e • $75 compensation, will tlo the work, antl the structure is.not intentletl or offeretl for sdle (Section�7044, Business antl Protessional Cotle: The Contractor'S „. � License.t.aw tloes�no[ apply to nn owner oPa property who builtls or improves ' the�eon, antl� who tloes such work himself/M1e�self or throu9h his oi he� bwn , , i emplOyees, provitletl tnat such'improvements are m[ intentletl o� offeretl for BOiIC� , �� sale. It,lhaw¢ver, the builtling cr Improvement is sold within one year ot mm- �� pletion„[he owne� will have the bu�tlen of p�oving he/she ditl not buim or im- Duct - Under Ground � �rova tot the purpose ot sale). ' � I,'as!owner of ihe property, am exclusively [ontracting with licensetl con- • Duct - Stfuctural �: ,' t�actorsRo construct tbe project ($ection 7044, Business antl Profe55lons Cotle: .. The ConGactor's. License Law tloes not apply to an owner of Oroperty who Ouct - VBMildting buiitls or improves thereon; antl!who coniracts for such projects with a con= - tractor(Sl license pursuant�to�the�Contractor's l.icense Law). I am aware that Exhaust SyStEm ❑ Multipl¢ ❑ proof of their Worker's Compensation insu�ance shoultl be provitletl to me. � � I am exempt untler Section B. & P. C. (or this reason ' Firepl/Fact BIL ICBO # � i �ate � Owner, � Heating System & Ducting � I hereby-certify tM1at 1 have reatl this pplication antl state inat [ne above ' ' �0.100,000 BTU 0100,OOOBTI information is mrrecL;l a9ree to comply with all city antl county ortlinances ' antl state laws relating to builtling const�uction, antl'hereby authonze �e0�e- � - , � sentacives ot this city to enier u�p�on jhe above-mentionetl pro�perty to/�r , � �� . ins0ection purpos�es-:�o '� %�%y / , / �0 �s�7 � Signature /!!tit :4/lwi.�� Oate � • Oriven'�License or 55 � ' � Reinspection Fee $15 CMF 0865-46, rev.4/84 White - Builtlin9; Canary -Applicanq Pink -Accounting; Goltlenrotl -Assessor Sewer Cap , Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal -� - - Water Closet . Water Heater .� Water Service . Issue Fee � � -. $` 3 FEES Hood or Typel ❑ ' , Canopy Type I I ❑ ' Refrigeration System - Oo-i ao,000 sT u,O i oo,000 sT u System Repair/Alteretion - , i , Issue Fee � $ 3 ' • 1.298 '10/3'I/84 _ - i` ' ' - � � -. � � Zone.: • �Accecmrv Ruildino: ' . � ' ' T , � � �. i . . ' � ' � Pa'rking � i , 1 . i � i I E LI AutomaticWasher-�------ - Construction Pale.Sub. � : Cooking Unit � �,� _ ' ' � Dishwasher � ' . � ' � Dryers ❑Gas ��Electtic Fan �, - � F.A.U. Fixtures�- - Device Boxes OUtI¢ts . Switch¢5; Garbage Disp� ❑0-5 KW 05-15 KW I Reinspection Fee � I$15 I DEVELOPMENTSERVICESREQUIR Zonin9 APProvetl BY . � Building Approved By Aoolication Issued ev �� i c � C � •, ' '/Provided � �- _ � ' �.00 iT,L � � � � . " IICAL ; � � , . FE Trarisformer-�95-50�KW - - -- ; ❑50+KW i � � . Meter ❑up to 700amps i Meter ❑over100amps ' , Z - O N I : N G R �' E � Q , M • T � S. �uo�ranei . , � . ' Motors DO-1 HP � 1%- 8 • � � Inc.�Solar �9-15 HP �16-15+ - � Microwave- -� � �--- - � _ Pole Light • , _ Sign � ' , Standing Sections . i Trash Compacmr ' . I Issue Fee' � ' $ 3 U7S: • Date � i SUMMARV OF FEES . � � � � � BUILDING PERMIT $ SMIP � $ ' ' P,LAN CHECK � $ PERMIT ' P,LUMBING $ Si� , ISSUANCE , $ P,LAN CHECK 25% $ ENERGV P.C. $� � ELECTRICAL ' � $ GRADING i $ ; � P,LANCHECK 50%� $ � .MICROFILM $. ; MECHANICAL , $ ,TOTALFEE � $ � i@a PLAN CHECK 25% $ - � CONSTRUCTION qND PLANNING �•'�:�� ' • P�OL PA APPROVALS �•Permit# - � Date Inspector AppROVALS Permit# � Date Inspector 7. Temporary Electri�yl_Service or Pole� � � 52. Pool & Equipmen( Location � 2. Soil Pipe-Undrgrntl. - � .. �' 53. Steel Reinforcement � '� -3. Electrical Conduit•Utility-Undrgmii.' : ,,, 54. Forms �, . . ' - 4: Electrical Conduit�Untlrgrnd. � 55. Electrical Bonding- ' � � 5. Steel Reinforcement� .� � � . 56. 'Rough Plumbing & Pressure Test .+ ( � 6., Electrical UFER•,Grnd. ' ' � � �. 57. APPROVAL TO COVER-GUNITE . � ' F ' 7. Footings . • �. 58. Electrical Conduit-Undrgrnd: ' , ' _ 6. Foundation , � , �' ' . 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 � %'r , ' - 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 Elec(rical-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 � Gas ❑ Oil , - .. 23. Gas Pipe-Rough & Test 72. -Underground Flush . ' 24. Roof Framing . 73. Undergrnd. Storage Tank O Gas ❑ OiI 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. Electriral Power Meter-Final . � 80. FOOD CERTIF.ICATE ISSUED , 33. Final Electric Notes: � . , • 34. Final Heating & Air Conditioning � . 35. Final Gas Pipe-Test �- . , �. � 36. Hood or. Canopy � . � . � . � �, . . � � 37. Final Factor,y Fireplace � � � � ._ . ' 38. Final Plumbing . i , �(��(�ld�( L�cr� 39. Water Service-Fingl � ' 40. Gis Service-Final � f , � ' - , .. 41. Solar pomestic-Final , , . _ . . • , ' . 42. Backflow Preventer - � � � ' i 43. Backflow Jrrigation : �.:�. , , ' � � ' 44. ,Landscape Irrigation System. . . ' 45. Sound Attenuation ' � � _ - 46. HandicapRegulations+ " ' � 47. FINALSTRUCTURE&BUILDING - - ' � 48. Special Requirements Completed� � - 49. Electric Release to �Edison � - � - - �- � � • . 50. Gas Release to Southein California Gas Co � � 51. CERTIFICATE QF OCCUPANCY , ' No. Date