HomeMy WebLinkAbout183 MONTE VISTA AVE - Building Permits (8) F CITY OF COSTA MESA
44 " ` BUILDING DIVISION
F �! ,i DEVELOPMENT SERVICES DEPARTMENT PERMIT N
PERMIT
J tPorenso B04-00717
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
•
Job Address: 183 MONTE VISTA AV Status: ISSUED
Suite: H Applied: 04/12/2004
Vicinity: Issued: 04/12/2004
Parcel Number: tpn00404 Zoning:
Applicant: GURNEA, SEAN M ISSUED BY:
Address:
Phone:
Zip:
Owner: FOX CREEK H.O.A.
Address 183 MONTE VISTA
Phone: 949 261-1120
COSTA MESA,CA Zip: 92627
Contractor WEATHERLINE ROOFING INC
Address: 1013 E WALNUT ST
Phone: (714)731-3425
SANTA ANA,CA
Zip: 92701 License: 729560
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
I/O WOOD SHAKE ROOF,REPAIR SHTG.AS NEEDED, INSTALL 50YR.COMP.SHINGLES(INCLUDES ATTACHED CARPORT).
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $5,000.00
Permit: $111.25 - Claim Valuation: $5,000.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
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Total: $111.75
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
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
2446-46(6/00)
DECLARATIONS � )
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
wfor which this permit is issued.
I 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 workce s'co/npensation Insurrg/nce carrier and policy number are: 7 Q�
Carrier: �l.U��"--C-E r Policy Number: /6 J c / /
(This section need not De completed if the permit is valued at one hundred dollars($100)or less.)
❑ 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 C ifornia,and agree that If I should become subject to the workers'compensation provisions of Section 37 of th Labor Code,I shall forthwith
comply with these ns. 11
Applicant Signature: z2? Date: V / 2, 0,1
WARNING:FAILURE TO Sr
AI ORKERS'CO ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR COOS,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.e O Class e�C-3/er�
Contractor's Signature: • i- Date: Ler
.
_
CONSTRUCTION LENDING AGENCY:
❑ I 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).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
1 hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business end 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 an owner of property who builds or Improves thereon,and who does such work
himself or herself pr 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 Lew 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.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 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,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 Permit 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 0 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 en 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? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aRPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Govemment 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 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 II 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? 0 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,end 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.
:'g 1• re Of oral Owner A ate
1 i c.
—1.-r /An.,terrorized Applicant •.te
;ODE INSPECTION DAB INTRIALS CODE( INSPECTION TYPE RATE INTRIAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /' 208 Final Plumbing
200 Final Re-Roof q' [ 44.t ' 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
Applicant to fill In all spaces within heavy border lines and,sign all appropriate declarations.
TRACT NO. LOT NO. •BLDG.NO. V r / '
CI F COSTA MESA PERMIT NO �/ y�D 1 �( �C i t
CONSTRUCTION PERMIT .E1 /. -f9 C ' 7... r' ': ' •
Project Address /// 774 a.s TYPEpF CONSTRUCTION .
Owner '7 _,c Phones'q 7c-473 NEW 0 ADD 0 ALTERATION
Addressc:3YG GGG/...%�1,7 . 0 REPAIR 0 CONVERSION ❑DEMOLISH
Arch/Eng. License No. - 0 OTHER ZONING REGULATIONS
DESCRIPTION OF WORK ' A.P.t
Address '>' • .. - S ZONE PLNG.1R UEF..pt
COntrectQr �,.- ,�/�„U �^ � � hpOn���'-p�sBUILDING
,Y TYPE OF PERMIT SETBACK C/L ST PRDPEIRTYhLGNE
Address 6j9//` .y�-UI�ILP-,7 0 GRADING,��,��❑ FOUNDATION 0 STRUCTURAL SIp YARD
LICENSED CONTRACTOR DECLARATION ❑ TENANT 2CECTRICAL ['PLUMBING ['MECHANICAL Slia YARD
I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER REAR YARD(TO P/L)
Professions Code, .nd my license Is In full force an. effect. PROJECT DESCRIPTION
License Class • a License N•*- PKG.SPACE REQ.
���.� (r _ SQ. FT. PROVIDED
Date SignatureSTREET WIDTH PARK FEE$
WORKERS'COMPENSATION DECLARATION , OCCUPANCY—CONSTRUCTION TYPE - -
I hereby affirm that I have a certificate of consen O self-Insure or a VALUATION ZONE ZONING APPROVED BY I DATE
certificate of Workers' Compensation Insurance, or a certified copy
thereof(Section 3800, Lab. C.). GRADING CU.YDS. ACRES - SPECIAL CONDITIONS:
Repo I Icy No. Company
i(iin Certified copy is hereby furnished. REMARKS:
l'-a Certified copy Is filed with the city Building Division. /�ml
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION / 'j / az/ 1
((This section need not be completed If the permit is for one hundred - •
($100) or less). '
certify that in the performance of the work for which this permit is -
Issued, I shall not employ any pe any manner o as O ec me PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK
subject to the/Workeerrs Compenz on ws of Califo a. UW ILLI Nt,a bAHAbt
Date /4.--6. ms's Signature( /�M'�s'4 �� ✓+s.d BATHTUBS SHOWERS SO FT /6 vJS SO FT L/42 Y er, s" 42
NOTICE: If after making this declaration, you s o Id become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW •
to the Workers' Compensation provisions of the or Code,you must TRANSFORMER
forthwith comply with such provisions or this pe mit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_50+KW
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50+ HP • '
formance of the work for which this permit Is issued (Section 3097
Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES
Lender's Name •
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm-that I am exempt from.the Contractor's License Law for
^
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNSI KULIIUN
Any city or county which requires a permit to construct, alter, POLES METERED SUB
Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN. SUB
is lice d pursuant for such permitto file a igned remect that he ` / — / if)
U -
(s licensedhatenpursuant the provisionswithContractor's(commencing Section 7000)s of Divisionefr -3 the ,
Business and Professions Code) or yt he exempt ioom and the WATER HEATERS BTU OUTPUT
^ays for the alleged a permit sub Any violationpof Sectiontoa 7l 31.5 by
y more for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS
not more than five hundred dollars ($500).
J I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS •
sole compensation, will do the work, and the structure is not intended -or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such improvements are not -
intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
is sold within one year of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale). BUILDING
HEATING SYSTEM 0-100,000 BTU -
PERMIT $ - _ SMTP $ _ •
-
❑ I, as owner of the property, am exclusively contracting with AND DUCTING
licensed contractors to construct the project (Section .7044, Business 100,000 + BTU. PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License Law does not apply to ISSUANCE $
an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING $ _ _
the Contractor's License Law). 100,000+BTU_ PLAN CHECK $
0 I am exempt under Section B.te P.C.for this BTU ELECTRICAL $
-i 7.36 $
reason , - MICROFILM $
Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK E TOTAL FEE$
1 hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $
Information is correct. I agree to comply with all cityand countyPLAN CHECK E VAN E PC p VANCE PC E
Ordinances and state laws relating to construction,and hereby aUthpfl2G
representat of this city to enter pon the above mentioned
property pection purpo z/'
Siiglvats'Licea are-fe SS -�/ FINAL FEE $3736
ISSUE FEE
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
•
•
CONSTRUCTION AND PLANNING
�/'� POOL&SPA . '
APPROVALS Permit# C-/aq 7 Date .Inspector APPROVALS Permit# - Date Inspector '
4
1. Temporary Electrical Service or Pole -‘1. • 43. Pool & Equipment Location ' 'r -
2. Soil Pipe-Undrgrn - - - • - 44. `Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrn - - - • - - - - -- - 45.- Forms -
4. Electrical Conduit-Undrgrn %i.7-ti/ RU 46. Electrical Bonding
5. Steel Reinforce - - 47. Rough Plumbing & Pressure Test •
6. Electrical UFER Grn - • 48. • APPROVAL TO COVER-GUNITE
7. Footings - - - - tl 49. Electrical Conduit-Undrgrn •
8. Foundation - - - 50. Gas Pipe, ❑Undrgrn,Test • '
9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap. ❑ Undrgrn
10. Structural Floor System - - - 52. -APPROVAL TO DECK _ - -
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final ' ' . ' . .
12. - Street Sewer Connection 54. Heater & Vent-Final •
13. Rough Plumbing- - - ! . 55 Plumbing System-Final .
14. ' Rough Electric-Conduit .56. Electrical-Final '
15. Rough Electric-Wiring • r/_9-91 C .0 57. Solar System-Final •
16. Rough Heating & Air Conditioning _ 58. Fencing& Access Approval ' •
17. Ducts, in Structure :. . 59. APPROVED FOR PLASTERING ..
.18. - .Ducts, Ventilatirig . -
•
19. Gas Pipe-Rough.&Test 60. POOL/SPA SYSTEMS FINAL
20. •Roof.Framing
' 21. Roof Sheathing NOTES:
t 22. Frame and Flashing
23. Insulation
24. Lathing & Siding
25. Drywall Nailing - •
26. Plaster Brown Coat
27. Electrical Power Meter-Final • _
28. -.Final Electric - St -12. 'QC,
_ 29. Final,Heating & Air Conditioning .
30. Final Gas Pipe-Test
31. Final Plumbing
32. Water Service-Final •- '
-
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System I -
36. Sound Attenuation •
37. Handicap Regulations . - ' - '
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed � -
40. Electric Release to Edison (L' ra- e-/. - - - - - • -
41. Gas Release to Southern California Gas Co. - --- -
42. CERTIFICATE OF OCCUPANCY - ' ' ,
• .No Date _ _
i
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA P RMIT NO. [} TRACT NO. LOT NO. ••BLOGi.r�O.
CONSTRUCTION PERMIT c, -/�'J00 //1I iv 7`r
Project Address /���3 /�SAAA' �S T� 57Th TYPE OF CONSTRUCTION "4 't 1;1 6934 12/O2/9_I 15.00 1-?
Owner 70 air Cloz.cdt/ Phone ,gNEW 0 ADD . 0 ALTERATION
Address // 0 REPAIR 0 CONVERSION ❑DEMOLISH ie.
ZONING REGULATIONS
Arch/Eng. License NO. ❑ OTHER
Address •
DESCRIPTION OF WORK A'P-'yt
ZONE PLNG. REF.4'
Contractor 574te2eAle 6%//fw garret ne TYPE OF PERMIT • BUILDING Tp gill IrvG
Addresses ��/�/L �� SETBACK Cit ST. PROPERTY LINE
�C �T- Ae/ftfjf 0 GRADING ❑ FOUNDATION 0 STRUCTURAL SEDT YARD
LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL ❑PLUMBINGSrMECHANICAL • SIDE YARD
I hereby affirm that I am licensed under provisions of Charter 9 (com- _ RIGHT
mencing with section 7000) of Division 3 of the Business and ❑ OTHER
Professions Code, and my license is in full force and effect.,�/ PROJECT DESCRIPTION REAR YARD(TO P/L)
License Class r� - License No./ J - .- PKG.SPACE REQ. PROVIDED
Date - Signature _ SQ. FT.
WnRKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$
;by affirm that I have a certificate of consent to self-insure or a VALUATION ZONE ZONING APPROVED BY I DATE
Kate of Workers' Compensation Insurance, or a certified copy
b._.eof(Section 3800, Lab. C.). _ GRADING CU. YDS. ACRES SPECIAL CONDITIONS:
1 Policy NO. Company
f 0 Certified copy is hereby furnished. REMARKS: r)z • /O �/
❑ Certified.copy Is filed with the city Building Division. . .
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -
(This section need not be completed If the permit Is for one hundred -
($100) or less). .
I certify that in the performance of the wor for which this permit is
Issued, I shall not employ any person in y nn r so as become PLUMBING PLAN CHECK :ELECTRICAL PLAN CHECK •
subject to the Workers'Compensation S o Ia. - UW ELLING GARAGE -- -
Date /.2' i-7/ BATHTUBS SHOWERS
Signature 50.FT. SO FT
NOTICE: If after making this declaration, you should become subject TOILETS• URINALS GENERATOR 0-1 KW_1-10 KW '
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - -
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW 50 + KW •
revoked.
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS (INC.SOLAR) 10-50 HP 50 + HP.
formance of the work.for which this permit is issued (Section 3097 '
Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES
Lender's Name - - - -
Lender's Address DRINKING FOUNTAINS' ,GAS TUBE SIGNS
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm that I am exempt from.the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAPLUNE I Hut.I RAN
Any city or county which requires a permit to construct, alter, 'POLES METERED 'SUB
Improve,demolish or repair any structure, prior to Its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB
qui--" the applicant for such permit to file a signed statement that he
Is sed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP
((i ar 9 (commencing with Section 7000) of. Division 3 of the
Bu. .-ss and Professions Code) or that he is exempt therefrom and the WATER HEATERS BTU OUTPUT ,
' 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). SEWER CONNECTIONS
•
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS
sole compensation, will do the work, and the structure is not intended -
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law does not apply to an owner of a property APPLICATION APPROVED BY DATE
who builds or improves thereon, and who does such work himself or ISSUE FEE
through his own employees, provided that such improvements are not - .
intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK ,SUMMARY OF FEES
Is sold within one year of completion,the owner will have the burden .
of proving he did not build or Improve for the purpose of sale). 1 4...
�{/� — -BUILDING
HEATING SYSTEM 0-100,000 BTUPERMIT $ G. SMTP. $
❑ 1, as owner of the property, am exclusively contracting with AND DUCTING -
,licensed contractors to construct the project (Section 7044, Business •
100,000 +BTU PLAN CHECK $ PERMIT
sand Professions Code: The Contractor's License Law does not apply to ISSUANCE $
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING $
the Contractor's License Law). 100,000 +BTU PLAN CHECK $
❑ I am exempt under Section B.& P.C.for this BOILERS BTU ELECTRICAL $ $
reason - MICROFILM $
SYSTEM REPAIR,ALTERATION PLAN CHECK $
Date Owner MECHANICAL $ /Sri TOTAL FEE$
I hereby certify that I have read this application and state that-the above EXHAUST SYSTEM MULTIPLE LESS AD-
Information is correct. I agree to comply with all city and county /� T/ _ PLAN CHECK $ VANCE PC $
ordinances and state laws relating to construction,and hereby authorize e-c/A IC./574/1.
reoresentafives of Is c' y to enter pon the above mentioned y�� �rC /Ge �/
property for ctlo u ''/ `/F "T /�
�pZ f -Jr" ^ay.� F/ FINAL FEE $
Signature 1p,./y_ Dale ISSUE FEE Ofd- O ? -
Drivers'License or SS� - �J
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING /� POOL& SPA
APPROVALS I-\";:i\";:Permit;# m� IQ (� Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn • 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn ' 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing & Pressure Test • .
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrgrn
8. Foundation • 50. Gas Pipe,
❑Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap. ❑Undrgrn
10. Structural Floor System - 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection - 53. •Backwash & Receptor-Final
12. Street Sewer Connection - - 54. Heater & Vent-Final '
13. Rough Plumbing - - 55. Plumbinc System -Final •
14. Rough Electric-Conduit- - -56. Electrical-Final - ,
15. Rough Electric-Wiring - - 57. Solar System-Final . • .. .
16. Rough Heating & Air Conditioning - - Oval .1',/1-xi b8. Fencing & Access Approval
17. Ducts, in Structure . • 59. APPROVED FOR PLASTERING .
18. Ducts, Ventilating - - - -
19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL
20. Roof Framing -
21. Roof Sheathing •
22. Frame and Flashing NOTES:
23. Insulation .
24. Lathing &Siding •
25. Drywall Nailing •
26. Plaster Brown Coat '
2T Electrical Power Meter-Final -
-
28. Final Electric _
29. Final Heating &Air Conditioning 11453 .‘,--1 2-
30.
30. Final Gas Pipe-Test
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System -
36. Sound Attenuation _
37. Handicap Regulations •
38. FINAL STRUCTURE,& BUILDING
39. Special Requirements Completed ., -
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY •
-
- No Date