The URL can be used to link to this page

Home My WebLink About3431 HOLLOW BROOK CIR - Building Permits2 aU F Z ZQ O� am J � J N Q W Q1 J • p7 J Q U N Za W � aW W Z J � m Z J � w 0 = zF w� 7 O H z Q U J a a Q Q F � z O F- U � � r N Z �T 4.1.83 COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely OWNER State-Wide Devel GTV (;VC CONSTRUCTION BflANCN ADORES'. ARCHITF A ADDRESS C�af cirv CyF STATE LIC. NO. 72j 512E OF LOT �'L USE Of E%ISTING BLDG. SI2E OF NEW BLOG. EMERIOR WALI COVEfi1NG USE OF BUILD '�'+t3-7FP;:'.00 637r ***238.z_ APPLICATION FOR BUILDING PERMIT :EIVEDBV DAYERECEIVED �e cissw , Inc. A.P. NO. IN �-0 BUILDING .z�/7 / ADORESS ��4! .�.E.�b9G ACCl1 TRACTa�S No.`'826-4550 CITV liC. NO. NO.OF ROOMS STOf ��ter COOERING Shak AND WOFK TO BE PEfiFOFMED IYl:14L4V Ih7�l�'.lS7PlILiTLI �- 1. 1 hereby ecknowletlga that I have raatl this eP�lication antl atete that the ebove InformaNan la corrBct antl a0rea to comply wlth ell laws re8uletlnB builtlinB �onstruction, end � shall not employ eny person in vlolation of the workman'a compenfation lewz of t�e Stata of Californie. I horeby carNfy thet I em pro0arly Iicen�etl as a contrecior untlar tha 5[a[u ot Caltfornia Bwtnnsa enA Profeatom Code, Dlvisicn 3, Chapter 9, enA t�et suc� Iiron»a aro In full forca and aflect, or I em oxempt }rOm [he provisiOnf Ot [he Smte of Ce fOrnla Bu¢Ine�a entl Professions Cotle, Dlvi+ion 3, Chepter 9. s�o�n � aof e-Wide Develo r, Inc. Permlttae -�� A��no,��edAea�i Vice Presiden�t FIRE ZONE � APPROVED NE NO.OF 27 �p Pu+Ns VARDS APPROVED DISTANCE BET. MAIN BLDGS, VAR.9F .� � �IOLD FOR TNE AMOUNT 5 THE PUR706E OF VALUATION 3 ,O�IO�° 5 LOT USE OF NEW � eun.owc T/..fJ YARDS APPR ACCESSORY B BET. MAIN %' l— � � � �• � 0 R YALUATION IS FOR ^ G A PERMIT FEE ONL�: Q EE S � �O � � m =_cK S i Q E �� LL UWNtK STATE_WIDE De JOB ADDRESS 3 31 Hol GENERAL CONTRACTOR Sam AP No. Q_ I�_ t OT INSPECTIONS SOIL Gn5 WATER ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPFINKLING SYSTEM MISCELLANEOUS ROUGH HEqTING ANO AIR�CONOITIONING TEMPORnRY SERVICE OR PO�E UNOERGROUNO � POWER � ROUGH WIRING TRENCNES � FORMS � STEEL REINF. FLOOR SVSTEM BON� BEAM ❑ STEEL REINFORCE ❑ SNEATNING FRAME ANO FLASMING LATHING — IN OUT � � PLASTER,BROWN COAT STRUCTORAL,FINAL MEATING, VENT., REFRIG. NNO A.C., FINAL PLUMBING, FINAL NN� GAS TEST Q •03 ELECTFIC,FINqL BIIILOING, FINAL DAit 4-28-7 BUILDING PERMIT SUBCONTRACTOR PflOJEC7p00flESS: jQ31. HOI.LOW BROOK awxeRSNamE: VILLAGE CREEK HOMEOWNERS aoosess: ASSOCIATION 3429 TIMBER LAKE CM VA 92626 9"OS` � ( uNiT: CITY OF COSTA MESA — HUILDING PERMIT , PERMIT NO: B 049835 PLAN CHECK NO: 06479-90 A , . CONSTRUCTION TYPE: V—N PEAMIT TYPE: STR PURPOSE: REP AflCHIENGINEEN: CHESTER CARVILLE sec.xo.: C18305 nooeess: 79 Z 2 ARMOUR ST UNIT: S.D, CA 92111 PEHMITTEE: pHOE.NIX ENTF.RPRISES INC, (213)690-9559 nooness: 911 COMERCIAL WAY LA HABRA CA 90631 LICENSEO C�NiNACTOH OECLABR7ION: i hereby aflirm that i am licensed untler pmvisions oi Cnavter 9(commencing witn Section 7000� 01 �ivision 3 0l Ne Business anG Pw�essions Catle. antl my I se ' in lull torce and ellect. cirruc.: 50788(/�/' $�TaTeuc.:376639 ss: B �ata�� /�/ Signalure'.—�A�� —/�—`l� WOflREflS' COMPENSpTION DECLI�NATION: I hereby a�firm �hat I have a cer�ilitaie o� consen� lo seI6m5Y�e or a tertihCate o� Workers' Compensalion JhS�{apc� � y.cQrtified copy �hereo� (Semion 3800, Lab. GI.� � O 1� 9 1 POLICY NO.: W! U 79 E%P. UpTE: V �omrnxr: CA COMP 6 FIRE Cenified copY is nereby Wr/n{ishetl. ❑ Cenifie0 capY �s/��e v 1� � ciry Building /Diyyy11Wuu/Jy�n. �ate:�� Applicant �•� � ` ' " �' _ E%EMPTION FflOM WOflNEflS' COMPENSATION OECIAFATION: (Thi55ettion n¢ed not �e complete0 if I�C permi( 5 fOr one hundre� ($100) ar less). I cerpty �hat in I�e peAormance o� the woB for which Ihis permit is issued, I shall not employ any person m any manner so as to become sublecl lo Ihe Workers' Compensation Laws of Calilorma. Date� Signamre: NOTICE: If. af�er making �his Aeclaration. you shoultl become SUGjec1 �o ��e Workers' Compensation pwvisions o� Ihe LaOor Coee. you mu51 forlAwi�h compry wi�h such pmvisions or this permi� shall he AeemeO revoked. CONSTPUCTION LENOING FGENCY: I Aere�y alfirm Iha� Ihere is a tonslrUttion lenaing agenCy Por �he pedormante oi ihe work for which this permii is issued (Sectian 30W, Civ. C). LENUEX: • aooecss: OWNEfl BUILDEN OECLABRTION: I hereby allirm Ihai I am exemp� Imm IAe Contractors' State License Law �or �Ae lollowing reason (Seclion 7031.5 Business antl Pmfessional Cotle: Pny ciry of county which requires a Dermi� to conslmct, alter, impmve, tlemolish, or repair any SimC�ure, prior lo i(5 issuanCe, also r¢quires Ihe appliCani lor SUC� permit �o �ile a 5igne0 Slaiemen� �ha� helshe i5 litensetl pursuam Io �he pmvisions oi �he Contracmrs' S�a�e License Law (Chap�er 9(commencing wi�h Sec�ion 7000) of Division 3 0� the Business antl Prolessions Code) or Ihai he/s�e is exempl Ihereiwm antl ��e 6asi5 for Ihe allegetl exempiion. Any viola�ion of $ection 7031.5 by any aOPlicant lor a p¢rmi� sublects Ihe applicanl to a civil penal�y of nol more ��an tive hunOretl dollars (5500�. I, as owner ol Ihe pmpeny or my employees with wages as iheir sole compensation, will do t�e work. antl the ❑ stmcture is no1 intentlea or offere0 for sale (Secnon 70aa. Bus�ness anU Professianal Cotle: The Contractors' State License Law tloes nol aD�ly �o an owner ot a D�oOe�y who builtls or impmves I�ereon, antl who Does such work himseli/herseli o� �hwug� his or her Own employees. pmvi0e4 iha� 5uch impmvemenls are nol inten0etl or otl¢red IOr sale. If, however Ihe 6uilding or improvemeni is soltl wrthin ane year ol completion, the owner wi0 have �he burden o� proving �e/she AiU no� huild ot improve for�he purpose of sale). I. as owner of Ihe pmpeny, am e�clusively con�racling wi�� licensetl contrac�ors lo cons�md the pmlec� (Sectian 7044, Business ❑ and Pmfessions Code: The Contractors' Sla�e License Law tloes no� apply �o an owner ol property who builtls or impmves thereon an� wha conlracls br such pmlects wilh a contrac�or(5� license pursuan�to �he ConVac�oK S�a�e License Law�.l am aware Ihal pmol ol Iheir WaBer's Compensa�ion insurance shoultl be pmviaetl �o me. � I am exemD� under Sectmn: B. 8 P. C. for inis reason�. Dale'. Ownec I ao hereby cenity Ihat I am aware oi and unUerstana Ihe requiremenis oi Caltlomia Health antl Sa�eiy Code Sec�ions 25505. 25533, and 2553a antl tha� I or any IUWre �uildin9 occupanl willlwill nol (circle one) nee4 io comD�Y wi�h saiU s�ale cotles antl �he reQuirements �or a permil �ai cons�mc�ion or motlilication iwm �he Air Oualiry Managemenl �istric�. flesitleniial consimc�ion applica�ions are exempt tmm Ihese pmvisions. �ale: AppliCanl: _ I hereby cer�ily Ihat I have reatl �his applicalion and sta�ethai Ihe or�lnances antl s�a�edawsrelaling�o butltling constmction ane here pmpeny i�spection pur0 ses. �aie: � � �� Signature: � oriver's License or Social Secumy >: is correcl. I agree �o comply wi�h all city antl counry nlaiives�fl�is ci�ylo enteruponihe above�men�ione0 164n46 WNte—Bmltling�. Green—Cotle EnlorcemenL Canary—Applicanf, Pink—Revenue; Goltlenrad—Assessor JOB DESCRIPTION ; REPAIR SETTLEMENT DAMAGE CLASM VALUE: 14,388,00 CALC—VALUE: SQ FT: 143 14,300.00 GROUP OCC: R-3 / COMMENTS: BUILDING SETTLEMENT REPAIR/FOUNllATION �r***�*�r*�r�r*+�******�r�x *��c��r�r�*�r*�**��r*****�rx*�r***x***x�x+��r�r�t.*�r**��r***�x****+��r** Z O N I N G R E Q U I R E M E N T S S E T B A C K S - ------------ MAIN H[IILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: F'T IN REAR; . FT IN FRNT: FT IN REAR: FT IN LEFT: FT :CN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 93506124 ZNE; R2 REF NO: • PLANNING NO'PES> REPAIR EXISTING FOUNDATION. > $OLD FOR SP�CIAL I�QUIliEht�1TS **�,��*��**,��,��,��,��,��«�***,�**��,��**��**,��***�� 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 N:'T S 7.ONING APPROVED HY G� �L �� DATE; lL C'i l� � D BUILDING APPROVED HY : DATE;.� APPLICATION ISSUED BY: DATE; iF IE 1f �F If if iE IFlt iFap iF iF IF iE 3F �F k iF 3E if 3! £�E�iF{Fi(� if iE iE iE 1E ih iE if ik�iFiF if if iE1FIFikiFlFiFlkiFlFK�ififlFifikiFikiFiEitififiEiEltififikiP kifit iElfifiFlflEifiElEiEif�FiElflkkiFiEiFifiFiFlFikiFiFlElkfFiflf3EiFiF9lif�F�EiEik LEGALIZATION;N fi E E U M M A R Y STRUCTURAL' SEGMENT:Y BLDG PMT PLUMBING ELE RIC MECHANIC FIRE SMIP/RE5 GRADING PERMIT 162.00 � SMIP/NON—RES PLAN 26.33 2,15 ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 169.15 0.00 26,33 190,48 190.48 ' ,00 REVENUE DIVISION TOTALS--> COLLECTED; 190.48 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP✓TOT GRADING PLAN—CHECR 162,00 2.15 ',, 26.33 iE±E ik IF �F !F ik If If iE �IF IE 1F 7f iE IF aE iF k 1E 1E 1i iF iE iE IE 3E �F K�lF iE it IE dE if if 1f IE iF 1f if iE Ik 1f iF �FlF 1f 1f 1f 1E jE 1E if ff 1E 1k �E If 1E if !E �E 3f Ik �f iE if !f 1E if iE lE iE �f iF 1E IE iF I N D I V I D U A L F E E B R E A K D O W N i `r, TYPE QTY D E S C R I P T I O N UNIT COST TOTAL GOST SFC 143 FOUNDATION BY VALUE PER $100 100.00 14,300.`00, ENll OF FEES " oi oeo746t�-ao��a�3s 3+a� i%�.=� QATE: 11/ib!90 TIYE: :2:03 /� CONSTRUCTION AND.PLANNING • POi._ d SPA APPROVALS Permit # Date- Inspector • APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole _. 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. � - V 53. Steel Reinforcement - : r. -` 3:::Elec'trica7;Gond�it:Utility-Undrqrnd;�; 54. Forms -- 4:'Electiical�Conduit4�)ri,drgrnd. 55. Electrical Bonding :'5.`�-Sfee1,ReinFprcement,`�'-. .r 56. (iough Plumbing & Pressure Test � "' :c6.'Electrice[�UFER Grnd. ��; 57. APPROVAL TO COVER-GUNITE � ',7.`Footings �'� �'�•' '6 58. Electrical Conduit-Undrgmd. -_ �.� �.�• :��,;8. F,eundati'qn� ��; `� 59. Gas Pipe, O Undrgrnd., Test � '_-9. Water Pipe-UndYgmd. 60. Backwash Lines, P-Trap, O Undrgrnd. . w 10. Structurol Floor System 67. APPROVAL TO DECK 1�.91 Property SeweGLine.& House ConnBction 62. Backwash & Receptor-Final 12. Sewer Cap �' n 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final - 14. Rough Plum6ing -' . 65. Electrical-Final 15. Rough Electrira`I-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 - - - - - - v� r��r� - .-. �; 20r-Rough Factory F.iieplace � � � .l'� ` O = - • � �APPROVAL'S�=-=Permit # ' '" lS. '�. � �. :' �:"+� t J !Y S. +..S�.F'iC � • C T� 21 :_Ducfs, in�,Str�uctu[e^; . , ;�_ , - .; �, - ��-_•... y ' a _-.•a �i, � :�� . :� ,70. lJndergcound Hydro .s 22. Ducts, Ventilating} ��S , �S ^� 77, Produc[Pipfng O'Gas ❑Oil .,• :: . r. :r x - 23�,Gas.Pipe.Rough & 7est �� 'T '�'- 72, Undergroun[1 Flush�;� x - - 24a�Roof Framii,g �:�i i-�- ; ' :-` � � �� -� �73:t'UndergmB:StoraggTank��Gas ❑Oil ••m ct �.v x t, .:� 25. Roof Sheathin ~ : �" . " n',' ' � - ' •�`-:: ` 9 `'�-� ;. ;�,r : 74� Overhead Hydro_, ,. 26aT-Bar Ceiling (Str.ueturaq & Monocoat•}: '��= ln>. - 75?Dry Chemical - ' �- �" �� - �. r- r--� �r - 27°=Frame and FJashing`' �y `n ? 76 D"r Stand i,e '��' *� g ,,, y } rnx Y P P �ID + •28.`Lathing�& Siding� ? _ :`•.i,:: . _ �. r �• ! � 77." FIXED SYSTEIy FINAL'� � _ "`• '�29. Insulation "�� ,;; " ,- '�' ''_"' 'K r I - 7&�FIRE PREV. FINAL �- - .^30. DrywalfNaipng =,�- � � :; � �. ' - �i �-+ HEALTH-DEPT.REQUIREMENT �'31. Plaster 8rown Coat;� � � _ '' � � '` � ,.79:` FINAL INSPECTION ' - ' • �-32rElectrical Power;Meter: Final � � �� r :' �� : r�,f� =.SQrP00D CERTIFICATE ISSUED �' �33:+fin�,l Eleciric `t.� -.. � J�' " � , 'f, �� nNdtes:,- _ �S: _ _ '� \ J �Y T I 1�_i l '�'r ��1 1:'!i� [� � !� • •.r - . . H '^ .� y 4� `1 � ;i34rFinal Heating&..�ii,G�onditionSq; _ �- .S ^ c �- ..,� I _:r 't` . +35L'�Firial Gas Pi�e-TesY- ' - ' � (. �. /' I �'�' �"�' < m �� ' f � •.ti 'i:l" � F. / �� a,36'�1Hoorl or-�CanoPY.�a , s ..� a� = ,� �-� I � . ,. __ 's � - (� l I •37.-Fina! Factory Fi`ep`lace ' s�'`' '� ` �`� ' �- ` -. � `� ., -'r- C ' k� ;�4 t J : �38.�Finai Plumbing ;�.r, �'tV i .. .• .- • �� r �• ,� � � � :�' _ .. t`: _ .. ii39��Water Service�FinaF � « y �� i �y ' � �� ' � � � - v �"40:i Gas Service��inal ` / � °' � ~ �� T 'r +..rC' � -c .T I 1 t � �`.� .. .L :j . �-` ;�:41^Solar pomesticFinelS � �� x •- � ' � �:a . �r � .•. '/-"42'.`BackflowPreventex :�:. ,`� Y . " I f` x � �"�✓. . - - � 43. Backflow Irrigation � : _ �•-x �x` ^ ' �� =' �,44. Landscape IGrigation SYstem ' ; ` �� - - - �' �' , . '7 _ ? _. - , � y, r. - ._ M1 �' <`'-45.:Sound Atteouation � . ��'-'„' -- := `-Y 4 � . - �'� ' � /" C T YY tP •�';l �' �46i'HandicaP R yulatio`ns ' -, _ ' " �� > i - „ j` � ;; I. •. _ . _. .- �47�_-FINAL STRUCTURE & BUILDING J -' J� � � `� t� S'� �� . � ... : .r: - q�' 48:'',�NAl�idfdj%1 ` ` ../:� f ' -?(:.:i. 7 � � ' n ?"�� •�49.r•Electric Release to.Edison � �' ? r, � ' i: � - _ �� :+ �l i � , -. - . r � '{" '' 50._Ga�.RelE�se to Souihem California Gas Co " _ f, 'i, = " - . ;j';.��" . � r; _ . _ �5L CE,RTIFICATE OF, OCCUPANCY i � + „ ; ; (:; =. -; .; � i-� No Date Applitant to fill in all spaees ezce0t thase within heavy bo�Eer lines antl sign all a0P�o0riate tleclarations. PE IT O TFACT NO. LOT NO. UNIT NO. CITV OF COSTA MESA C N R'U.C1T N�PE MIT (/p A,P,# zo�a Pro'ect P.ddress � " �� vV r _ S Main Building: Accessory Building: 3 � TYPEOFCONSTRUCTION NEW A�D ALTERATION REPAIR E Front Z •,Applicant'sMailingAddre5f5/ ,/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T O Owner's Name ��Sdy^�� Phone��y_�f DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address �5��' `� A I I C Right N Arch/Eng. License No. TVPE OF PERMIT GRADING FOUNDATION ❑ STRUC7uRAL K G Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL i g� Left R ❑ �oTHER Pln Ref. # Parkin Contractor's Nam Phone 9� g Req./Provided E � PROJECT DESCRIPTION 5c1. FT, oCCUPANCV M Addre551mailing) O r CONSTRUCTION TVPE VALUATION $ P�anning Notes: _ T City License NO. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DEGLARATION . S' 1 hereby affirm that I am licensetl untler provi51on5 ot Charter 9(commencing Remarks: with section ]000) of Division 3 of the Business antl Protessions Cotle, antl my Iicense is in full t rc a effect. ELECTRICAL FEES License Class ice se �0��7 Automatic Washer Transformer ❑ 15-50 KW oate ' Signature ' PLUMBING FEES WORKERS' COMPENSHTION DECIARATION ConstruCtion PoleSub. ❑ 50+KW I hereby affirm that I have a certilicate ot consent to selt-insure or a tertifitate Bar Sink Show¢rs of Workers' Compensation Insurance, or a certitietl cooY thereot (Sectlon gackflow Preventer Service Sink Cooking Unit Meter ❑up ro 100 amps 3800, Lab. CJ . ' / � Poiicy No. �p�9�'��%� Company�Y�,. Backflow Irrigation Sewer Cap Dishwasher � Meter ❑over 100amps � �S ertifietl copy is hereby furnishetl. Dryers ❑Gas �Electtic Sub Panel � I�Cert'f'etl y� ij�/iletl with the city/� iltli ivi 82thtub5 Sewer Connection Date �� (i$— APPlicant� +�� Fd� � EXEMPTION FROM WORKERS' C P NSATION DECLARATION Clarifier5 Solar Collectofs Motors O61 HP O1 %� 8 (Thissection neetl not be completetl if the permit is for one huntlreA ($100) or - Diihwasher F.A.U. IncSolar �9-15 HP 016-15+ iess). Solar Piping I certify ihat in [he performance of tM1e work for whicn thls permi� is issuetl, I Fixtures � shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. � �ate Si9nature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If, after making tnis tleclaration, you shoultl become subject to the Wo�kers' Compensation O�ovisions of the Labor Cotle, you mu5t forthwith , FI00� SinkS U�ifldl Out12t5 Fange [ompty with such provi5ion5 or tltis permit shall b2 tleemetl �evoketl. CONSTRUCTION LENDING AGENCV � GaSSefVice Outlets WatetCloSet $WitChes Sign I hereby affilm that there i5 a ronstruttion lentling agency (o! [he peffofmance (�idfbd ¢ DIS 0531 ot [he work (or which this petmit I5 issuetl ($ection 309] Civ. CJ Int¢Ice�t0�5 Water Heater — 9 P Standing Sections Lentler's Name Lentler's ACtlress Kitchen Sink Water Service Generator �0.5 KW 05-15 KW Trash Compactor OWNER BUILDER OECLARATION I hereby affirm lhat I am exempt frorn the Contracto�'s License Law to� the LBVBtOfi¢5 AUtO-WdSh following reason (Section �031.5 Buslness antl Professional Cotle: Any city or county which requires a permit to construct, alter, imorove, demolish or repair ' p—Trap Laundry Trays any sVucture, prior to its issuance, also requires the applicant for such permit to file a Si9netl statem¢nt that he/sh¢ I5 licensetl pur5udnt to tM1e provi5ions of ROOi D�ainS the ContractorR License Law (Chapter 9(commencing witn Section ]000) ot . Division 3 of tne Business antl Professions Cotle) or that he/she is exempt Reinspection Fee $15 Issue Fee therefwm antl the basis for the allegetl exemption. Any vlolation af Sectlon $ 3 7031.5 by any applicant for a pe�mit Subjects tM1e applicant to a civil �nalty ot not more tnan tive hundretl tlouars (E500). � DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my em0loyee5 wim wages as their sole RelnspectiOn F88 $15 Issu¢ Fe¢ $ 3 compensation, will tlo the wo�k, antl ihe struc[ure Is not intentl¢tl o/�o(te�etl ZOning ApprovBd By ndtB br saie (Section ]044, Business antl Professional Cotle: The Contractor's MECHANICAL PEES Building Approved By Dat� License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work himself/herself o� th�ough his or he� own Applltetl011 IssuBd By D3t employees, provitletl that sucn improvements are not infentled or otteretl for Boile� Hood or Type I ❑ ule. It, however, the building or improvement is soltl within one year ot com- Canopy Type II ❑ SUMMARV OF FEES pletion, the owne� will have the burtlen of proving he/she tlitl not builtl o� im- DUCL - UndC� G�Ou�d nrove for the purpose of saie). BUILDING PERMIT $ SMIP $ ❑ I, as owner ot the property, am extlusively contracting with Iicensetl con- Duct -Structural Refrigeration System pLAN CHECK �i / tractorsto consvuct the project (Section 7044, Business antl Protessionz Code: $ PERMIT The Coniractor's License Law tloes not apply to an owner of property who Duct � Ventilating ❑0.100,000 BTU ❑100,000 BTU PLUMBING $� �SSUANCE $ '�� builtls or improves thereon. antl who contract5 fo� such oroiects wlth a mn- - tractor(s1 Lcense pursuani �o cne ConVactors License Law). I am aware thai Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGV P.C. $ proof of ineir Worker's Compensation insurance shoultl be provitletl to me. ELECTRICAL $ GRADING $ ❑ I am exempt untler Section B. & P. C. tor this reason Firepl/Fact. Blt. ICBO # Fire Dampers MICFOFI LM $ PLAN CHECK 50% $ Date Owner Heating System & Ducting Registers MECHANICAL $ / I hereby certify lhat I have reatl this applicatlon ana state that the above ❑0.100,000 BTU �700,OOOBT TOTAL FEE $_l7� iniormation is mrrect. I agree to wmply wrth all city antl county ortlinan<es PLAN CHECK 25% $ antl state laws rela[ing (o builtling con5tructlon, and hereby authorize repre- - Sentatives of thls cily to enter �upOn the above-mentionetl p�operty fo� InSDection pur 5 � cA Signature Date 1/�� • /�T Heinspection Fee S�5 �ss�e Fee S 3 ry_ 00�.1681-OOO.ib'�1 i'�]T S.f10. Drivers' License or 55 � 1 7 '1 A 0865-46, rev. 5/88 White - Builtling; Canary - qpp�icant; Pink - Accounting; Goltlenrotl - Assessor �a�E: f��G9�sE TItie": �,27 �i ;` `� . Y . COIVSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspettor 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. . ; 53. Steel Reinforcement 3.�Electrical Contluit Utility-Undrgrnd. 54. Forms � 4.'Electr',ical ConUuit-Undrgrnd. ' 55. Electrical Bonding � 5. Steel �ReinforcemenY 56. Rough Plumbing & Pressure Test ,� � 6.! Electrical UF�R Grnd.� ' 57. APPROVAL TO COVER-GUNITE �7.�Footings ' ", 58. ElectricalConduit-Undrgrnd. • 8. Foundation �� 59. Gas Pipe, � Undrgrnd., Tesi � 9.�Water Pipe-Undrgrrid. � . 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' 10.�Structural Floor System ' 61. APPROVAL TO DECK i i t.. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap '. • ' 63. Heater & Vent-Final ' , 13. Rtiof�Drains � � • 64. Plumbing System - Final � 74. Rough Plumbing 65. Electrical-Final . 15. Rough Electrical-Conduit , 66. Solar SYstem-Final � 6. Rough Electric Wiring � . - � ��67. Fencing & Access Approval . 77. 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing � 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheathing , 74. Overhead HYdro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical r 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 (;oat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating & Air Conditioning 35.-FinaLGas Pipe-Test - 't> 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbin8 �-/-}1 �(. LE� 39. Water Service-Final 40. Gas Service-Final � �; 41. Solar pomestic-Final , 42. Backflow Preventer � � 43. Backflow Irrigation � 44. .Landscape Irrigation System ��^. 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE�& BUILDING 48. Special Requirements Completed 49. Electric Release to Edison -' � % 50. Gas Release to Southern California Gas Co r' .� 51. CERTIFICATE OF OCCUPANCY �!� No. Date ,�'