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Home My WebLink About1790 MONROVIA AVE - Building PermitsCITY OF COSTA MESA BUILDING DIVISION > 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 - Fax (714) 754-4856 • www.ci.costa-mesa.ca.us °. *. FOR INSPECTIONS CALL: (714) 7543626 �� - PERMIT NUMBER:�'E08-00195 PERMIT TYPE ELEC STATUS: ISSUED APN: 42406101 DATE ISSUED: 06/12/2008 _ -.- ISSUED BY: YH JOB ADDRESS: 1790 MONROVIA AV, CM = Suite/Unit: Vicinity: r Final Fire Prevention SCOPE OF WORK: ELECT. SERVICE INSPECTION PER SO. CAL EDISON VERIFY SERVICE INSTALL ='100 AMP. Final Planning Approval 222 Final Site P:'` OWNER: MONROVIA AVENUE PARTNERS LTD :Address: %MC CRAY, JOHN. W'3199 AIRPORT LOOP DR Unit:COSTA MESA, CA _- ''_ •--'"' ;;.,, PHONE: ;; J City/State/Zip: UNIT A 1':' APPLICANT: THOMSON; DONALD r Address: I'� 163 ALBERTIPILUnit •- , PHONE: 949-400-7782 City/State/zZip: COSTA MESk CA i. - CONTRACTOR THE ;THOMSON.COMPANY License No. 839252 Address: 163 ALBERT PLUnit PHONE: ,-949=400-7782 '--,s City/State: COSTA MESA, CA -',. ZipCode: 92627 - CELL.*' ELECTRICAL PERMIT FEES Electrical Plan Check Feer $0.00 Electrical Permit Fee: $54.00 . Reinspection Fee $0.010: TOTAL FEES $54.00 — NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) - - EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. - - INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. OE I. INSPEcnoN TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re -Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE INTITIALS CODE I INSPECDON ME 206 Final Mechanical 208 Final Plumbing 210 Final Electrical PM 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy 191E 11,111MIL r ' "t WORKERS' COMPENSATION DECLARATION. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued.' ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: (This sedan need mlDe mmdereE Jlhe permdB valuedat onehundred"nra (8100)aless.) Policy Number: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Lab ode, Ithe ode, l s�l 'th comply with these comply with these provisions. l2 -ll -O� Appirant Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # 9-392,E52..._ Class # if '/0 (,-12-Od7 trader's gnature Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a constmction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature Date OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, 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 for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to ah owner of property who builds or improves thereon, and who does such work himself or 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 -builder will have the burden of proving that he or she did not build or improve forpurpose of sale.). ❑ I, as owner of the property, am'EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature - Date 305746 (3M7) if j Owner ID verified by dm. ,,cense. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, a demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicant's Signature Division of Industrial Safety Permit Number: Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If'yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Cade Section 42303 been made? ❑ Yes ❑ No 8. (If yes", attach certificate of compliance from the appropriate air pollution control officer). - CERTIFICATE OF COMPLIANCE: I certify that "under penalty of perjury the information given above is correct. I_agree.to comply with all state laws,and city ordinances regarding Hazardous Materials and Emissions. ' CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all stale laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. . Sig uIre p Le er(s) Date UV G yZ AraA.Au onxw Apphcarn Date e 06-1 Requested Inspect Date: Tuesday, June 17, 2008 Site Address: 1790 MONROVIA AV CM AIP/D Information Activity: E06-00195 Type: ELEC Sub Type: Status: ISSUED Const Type: Occupancy: Use: Insp Area: Owner: MONROVIA AVENUE PARTNERS LTD Contractor: THE THOMSON COMPANY Phone: 949-400-7782 Applicant: THOMSON DONALD Phone: 949-400-7782 Description: ELECT. SERVICE INSPECTION PER SO. CAL EDISON - VERIFY SERVICE INSTALL - 100 AMP. Reguestedlnspection(s) Item: 50 ELEC. POWER FINAL/METER RELEAS Requested Time: 08:00 AM Requestor: Phone: Assigned To: ""'*'***** Entered By: TEMPEMP K Action: Time Exp: Inspection Histo Item: 150 MISC Item: 34 TEMP Item: 36 UFER Item: 38 ELEC Item: 40 ELEC Item: 42 ROUC Item: 44 ROUC Item: 46 ROUC- OUCItem: Item- 48 ELEC. Item: 50 ELEC. Item: 100 ELE( Item: 106 ELE( Item: 118 POO Item: 210 FINA RELEAS 1 - vlluRUMlV NAL RHB Action: CO Correction(s) Required GROUND ROD REPT131 Run Id: 9576 (714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT Job Address: 1790 MONROVIA AV Suite No Vicinity: BACK HALF OF BUILDING Parcel Nunmber: 42406101 Applicant: JOHN HAMO Address: 1013 E RAYMOND WAY ANAHEIM, CA ELECTRICAL PERMIT Phone: (714)525-7739 Zip: 92801 Owner: MONROVIA AVENUE PARTNERS Address, LTD I - 3199 -A1 AIRPORT LOOP DR %MC CRAY, JOHN W Contractor: CEMCO ELECTRIC INC Address: 1013 E RAYMOND WAY ANAHEIM, CA ; Phone: Zip: 92626 ,Phone: (714)5254739 - Zip: 92801 License: 651713' NUMBER E00-00482 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 05/30/2000 Issued: 05/30/2000 SCOPE OF PERMIT 8 OUTLETS, 1 200 AMP SERVICE, 2 200 AMP SUB -PANELS, 5 MISC. CONDUITS AND 5 MISC. CONDUCTORS FOR DIGITAL INC. " COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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 order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 FEE SUMMARY Quantity - - - Quantity 'ISSUE FEE $23.50 Temp Dist System / Lighting $0.00 0 Temp service test $0.00 Busway /100 ft $0.00 0 Res. a/c package $0.00 Standing Section $0.00 0 New Res (1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res (3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool / Spa $0.00 0 ................up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 ................. up to 50 kva/kw $0.00 0 Recept Outlets $8.80 8 .................up to 100 kva/kw $0.00 0 Switches $0.00 0 ..................over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System / Ckt $0.00 0 Service to 200a $30.50 1 Misc. Conduit $91.00 5 Service to 1000a $0.00 0 Misc. Conductor $91.00 5 Service over 1000a $0.00 0 - Circus ( gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus (mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $61.00 2 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 " Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $305.80 Intermed Pole $0.00 0 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements 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 order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. CwI have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. __y workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (7his section need not be completed i/ the permit Is valued atone hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which,thts permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and§§§9ggree that if Iy ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these p�ViUyn // Applicant Signature: �_% .•Ty Date: � 3 y df)• WARNING: FAILURE TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (SIOD,ODO). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions gt Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. Lic. a 6 -Si -7/ Class» tr -r D Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 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 applicant to a civil penalty o1 not more than five hundred dollars (5500).): ❑ 1, 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 for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or 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 -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Pennit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a8iermit for such construction or modification from the South Coast Air Quality Management District or from any other air Pollution control district or agency? Yes ❑ No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If -yes-, the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. 1 agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of a :he Date S -3O -y AqWOrAuthorized A (cant Date CODE 1. INSPECTION TYPE pAN IyjITA CODE 2 INSPECTION TYPE DATE INTMALe 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 244646 ,.....,rf Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF'COSTA MESA- '"' pE IT NO- TRACT NO. LOT NO. ' BLDG. NO: ' -� - '-- - - 3679 3/29/62 5.00 :TL! CONSTRUCTION PERMIT Ire Q It_ : ' •-.... •' ' •^ -' i Project Address 1 / �, /Nlryiov •y --_ ,- .r-. to �•�'� 1 p'.'r I TYPE OF CONSTRUCTION + i"N* "Owner :Phan¢ - ❑ NEW----'�, ADD- 'O ALTERATION_ - iAddress" /jg -,` 3 --E OP✓- - - - - X'REPAIR.O CONVERSION ❑.DEMOLISH_ { •(i. -. -- -- }Arch/Eng.- - - -- -- - - -License No. - - - ❑ oTHE RC' ZONING"REGU LATIO N$_r DESCRIPTION OF WORK PsC re lr A Pf jAddress' )- -'- - - ._ _ .. ZONE - ... - REF � •, _ _ - - Contractor a;7/,p -P/H� �iy -'Phone-L' Z-`/3y __ . -_- _ . T _ - - TYPE OF PERMIT I -PLNG 'B To gLJ 1 LDING 7-- T -t SETBACK CIL ST. PROPERTY - O' - -- - -- -- - S 1` O- ! Y • �, ., - ❑GRADING J ^❑ STRUCTURAL �' .LI NE 1 'LEF VARO DCONTRACTO R-DECLARATION- _ ^ i ,(]'FOUNDATION ❑TENANT ❑ ELECTRICALL PLUMBING-❑MECHANICA IDE VAR --- -•--- heiflrm th;.t.I am Iicensetl untler proJislons of. Charter 9l(com- f t' 1 I RIGHTwith section• ]000)- of Division- 3 of - the -Business antl rD ❑`OTHER _ Cotle, antl my license is In full force antl effect. - r -� i iPROJECTDESCRIPTION-I_, -s }REARYA RD(TOP%L) _-` -- ,� '__--.lass _, -_ _ C'- 5 License No. 3 i?lijPKGSPACE REQ. _PROVIDED iY- _.zS: - Si9riafure-'- - SQ'FT. 'OCC 1 'STREET WIDTH' ,,PARK F•EE'$, WORKERS' COMPENSATION DECLARA ION -- - - - ` I hereby affirm that I have a certificate of consent to self-insuretoria `certificate VPANCV_� CONSTR UCTIONTVPE _ - ��V AL`UATION - ''' ZONE r ' �`V ZONING-APP PPROVED, BY � of`Workers' Compensation-Insurance; or-a-certlfied''copy _ w- t^- eof (Section 3800, Lab. C.). I GRADING,CU. YDS. I ACRES i ',SPECIAL CONDITIONS Company ertifietl copy is-hereby furnisheC.�� ..--.___-.__. _ .�1 LREMARKSi:__�-L_ s r. - V Certified copy is filetl with the city Building Division. - _ _ _ _ - f _ ..--- ',., _ - -- -" - • EXEMPTION FROM WORKERS' COMPENSATION-DECLARATION - •, _, '- --' _�� -^- ^•-----+---- --- - -- -- - (This section .neetl_not.be.<ompleted-if•the,.permiLis for one hundred, _-, - •�-,`-•- ,' ',- 1 :)i','.?-1 ,,:•i.•>i 'i ($100) or less). t I>•,n - 1 certify that,in the-performan".of the.work,for which, this permit is _ ., issued, I shall not employ any person In any manner so as torbeccme c PLUMBING- i �c •�- -'Fi PLAWCHECK' --" ' "' "•"-' "- - ELECTRICAL" --^ ---PLAN CHECK-- ` -- tto.the Workers' Conature tion.Laws.of.-California. r Date Signature r 'Date 'Date _ BATHTUBS - SHOWERS- —" --i"'- - — _ _ '—FT_ '--go, - W. NOTICE: If after making this declaration, you should become subject. _TOILETSOG• jg rl .URINALS - '- --"'(-'---- -- •' GENERATOR'-' 0.1' KW_ 1'-10,KW to the Workers' Compensation provisions of the Labor Code, you must - -"' TRANSFORMER .. , •. •, -i C "APPLIANCE forthwith comply with such provisions or this permit shall be deemed �, -- LAVATORIES DOUBLE L-AVS---'-' -'-"10-50KW=50 +-KW-- --- - revoked _ �... ___L_ . _ _1 — _ KIT. SINKS---- '-"-DISHWASHERS'^ - -'-"- -"- ) 'MOTORS'-----• - '0-1-HP_1 to HP - _ _ _ CONSTRUCTION LENDING AGENCY _ � v. I hereby affirm that there Is a construction lending agency for the per SE0.VICE SINKS ;-, y'SU MPS ^^ T""-'�•"" -"�"---•"'""'- �(INC..SO LAR) 10-50 HP=- 50-+ HP � r it ,1 _ ' f (ormance of the work which this permit is issuetl (Section 309]- - - OOSINKS FLOOR DRAINS - '!( -" FLR' - '--OUTL•ETS'- SWITCHES--'--' ''FIXTURES"'-' . w-for Lender's Name • .__ Lentler's Address DRINKING FOUNTAINS"'„_""--" •"' - -- a "-"'- -' -,G AS TUBE SIGNS•- - -...• _• OWNER' BUILDER DECLARATION-'" "'-'--"----"' 1 _- --'-^�----iPOL'E' (NTE RCEPTO RS� _ CLARIFIERS CIGHTS"---------'^-----r "gin I hereby affirm that I am exempt from the Contractor's License Law for 'SWIMMING POOL '-'-'P'TRAP"•-^^'---'-1-'�••--'�--• ---- - - --- 'POLES METERED SUB . -'I the-following reason-(Section 7031-.5 Business antl"Professlons Cotle:- Any city or county which requires a permit to construct, alter, - WATER SERVICE`---"ALTERATION -`-' f""' - 'jPANECS- -' "-"' MAIN �- '-SUB" - - _- improve, demolish or repair any structure,, prior to'its'issuance',-also re-- quires the applicant for such permit to file a signed statement that he - - - ------- -- ---- ------AMP- GAS SERVICE - OUTLETS - -"- - T _ - jSERVICE""- '- - - --T -AMP- - is licensed' pursuant totherovisions of-the Contractor's-License-Law p p I (Chapter(commencing with Section 7000) of Division 3 of the (Chapter { WATER-HEATERS "-"BTU'OUTPUT ""'-� -"'--' - -- ( --^ - - '-' •- - - - -- - --- - n the p--nfo and Profesalleged ) the alleged exemption. Any violation of Section 7l-pen by exemption. Any violation of Section 031. SEWER"CAWPfEQ-fiONs" - - '-i" "� i--- ---' ^'-- -- - - ip subjects t($500)licant'to-a civil-penalty- pp more than five hunt ot more than five hundred dollars ($500). 'SOLAR "TANK"-"-COLL'E ORS Ll I, as owner of the property, or my employees with wages as their` ctio the work, structure is notintendedThe- sole compoffered for sale. (S sandthe or offeretl for sale. (Section Business antl Professions Code: The Business _ _ sol-AR-PIPING-SYS.- 1; V }"ISSII E'FEE' - -- - - ^-DATE--_-- es.n property' _ _ _ . _ , -. ��. _ _____..___. .__- __,_ C)•APPLICATION-APPROVED `J BV--• - --- whobuild$orimpeLawtloes,,at-apwh does who builtls or improves [Hereon, and who tloes such work himself or work pro hided that such improvements are not. through his. own emfor sale. offered for sale. If, however, building or improvement is sold. within lhi of-completion, won t will have burden • - - '- - -- MECHANICAL PLA N CHECK t ti ' , --__ __�_ _._ SUMMARY $UMMARV OFIF EE$ ! i osold. year .o of -' •�, BUIL-DING------'^--oLP`SM ^7•$.- �' - 1 he di imrov,o of proving he tlo not build rt improve for the purpose e sale). 'ownactors the - -property,-am- con Gactin HEATING SYSTEM 0-100,000 BTU 1 PERMIT ? ISMIP, _f's vtS;,B - P P Y; Y 9--with- st licensed contractors to construct the project (Section livens d Business - -• -�-_ _ - -AND OI/CTING" '- 7� '-- 100,000i+BTU i -$ _ -_ -{'- - - - - ' -"'^'� - PLAN CHECK $ -PERMIT- rr -r and' es not apply 40- and' ns- Code: The Cont ractor'sprov sethereo , .I _ _-- _ ®� -- ISSUANCE $ j owner of property who builds or improves thereon, and who con- , and REFRIGERATION 0-100,000 BTU 'PLUMBING $ - "GRADING tracts-from theCofrom such-projects with a contra<tor(s)••licesnetl pursuant to- --SYSTEM-----'--- --+s---------�-- _.. _-_._ -.._ _-J - _ _. ]:$ the Contractor's License Law). 300,000;+ BTU PLANCHECK $'- � ,. .* h - q I-am n exempt utler Section "-" BT&'P. C. for this'" -81 I BOILERS BTU I (ELECTRICAL $ !$A reason-'--._ _ _-___.-. ___. __-__. ._ � •: .' MICROFILM -'Pl_AN'CHECK,-$',_Date- - Owner _ -- SYSTEM REPAIR, ALTERATION I NOTAL'FEE $hereby SYSTEM MULTIPLE MECHANICAL'''$_P Certify thatJ have read this a plication antl state that th_e above information is correct-I agree to comply with all City antl county EXHAUST _ u:I J'1' .J ...L'ESSAD ',PLAN CHECK •-$ ---- ''VANCE PC' $; �' - - i ordinances and state laws relating to construction, and hLauthorize -this - -ter representatives' of city to upon the aboentioned property, t in5�ii o,purposFINAL FEE $Signature- ISSUE FEE- - - Drivers- License or S =) MF 0865w46 White-Building; Canary-Applicant; Pink-Accounting; Goldenrod-Assessor CONSTRUCTION AND PLANNI G APPROVALS Permit # Date Inspector' POOL& SPA APPROVALS. Permit # - Date Inspector 1. Temporary Electrical Service or Pole 43.. Pool & Equipment Location 2. SoilPipe-Undrgrn ' _ 44. Steel Reinforcement - •- - - " " -3.._ Electrical (onduit Utility-Undrgrn • 45. Forms -- - - - - _ _"_4. Electrical,Conduit-Undrgrn- � ,.. _ 46... Electrical Bonding - --- 5._ tee_ ein orce -. _ _ _ _ r 47. Rough Plumb in & pressure Test 6._ Electrical .UFER Grn _ _ ,) "' 48. APPROVAL TO COVER-GUNITE -- - - - - ` - `-• ! 7. _ Footings _ _ _ 49. Electrical, Conduit-Undr rn +• - "- -�- u 8. Foundation 50: Gas Pipe, ❑;Undr rn, Test ' 9. Water Pipe-Undrgrn - _ .:- c 51. Backwash Lines P-Tra ` ❑ ndr r'n 10.,.. Structural Floor System ., "' 52:. APPROVAL TO DECK' 11. .Property Sewer -Line & House Connection . 53..- Backwash & Rece tor -Finals•'.'*' 12._ - Street.Sewer-Connection.- - - 54. -Heater & Vent -Final Rough Plumbing_ - - 14. Rough Electric -Conduit - -- -^ - - - -- - 56.-- Electrical -Final 15. Rough Electric -Wiring - -- 57. Solar System -Final k " "" -"- '" •: , 16. Rough, Heating & Air Conditioning - en(img &.Access Approval 17. Ducts in Structure_. APPROVED FOR PLASTERING 1' 18. 19. 20. - -Ducts,-Ventilating- Gas Pipe_Rough"&'Test'' Roof Framing. -_ - - - _ - ;__: '. _- - - -- - _-60. POOL/SPA SYSTEMS.FINAV,;,", , - _ _ •` .. .. .. - , I: 21. Roof Sheathing - _ _ 22:- -Frame-and Flashing- - - - _ s _ _ •NOTES: • ,,, . -. �• i i 23r' --insulation 24e Lathing& Siding 25: Drywall Nailing 26: Plaster Brown Coat 27: Electrical Power Meter -Final 28: Final Electric ' 29: FinalHeating&-Air Conditioning 30. Final Gas Pipe -Test -•31: Final,Plumbing- 1 32.' ---Water Service -Final - -- 33: Gas Service -Final - "_ - -- - - - " - 34. Solar Domestic -Final tr .., ', - n • . - 35. Landscape Sprinkling System r ; ! 36. Sound Attenuation r, 37. Handicap Regulations II 38. FINAL STRUCTURE & BUILDING - •- _ _ __ ! - - - c 39., Special Requirements Completed 40. Electric Release- to Edison - """ 1 IF..^ • ' -- --' - - - -_ � 1 41. Gas Release to Southern California Gas Co. - 42. CERTIFICAT E OF OCCUPANCY No Date _