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Home My WebLink About3408 GERANIUM ST - Building Permits� E"Sp CITY OF COSTA MESA � ' � ' evno►N� �►ws�oN F _ � DEVELOPMENT SERVICES DEPARTMENT �• " PERMIT �� (�ia) �sa-s2�s • Faz (714) 754-4856 JobAddresg: 3408 GERANIUMST Suite: Vicinity: Aarcel Nunmber: 41237209 Applicant: HOPOI, SULIANA Addresg: owner: SANDOVAL, JOE I Address GEISER, GAY A COSTA MESA,CA , 3408 GERANIUM Contractor: SULIANA MAILIA HOPOI Addre55: 170 E 68 ST LONG BEACH, CA Zip: 90805 Arch : Address: Zip: Phone: License: BUILDING PERMIT Zoning: R1 R1 Phone: Zip: Phone: Zip: 92626 Phone: 562 296-0089 License: 639249 Eng: Address: SCOPE OF PERMIT CONS7RUCT 165 LF, 6' HIGH BLOCK WALL ON THE RIGTH AND REAR PL. FEE SUMMARY Plan Check: $56.71 Permit: $87.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $144.46 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING existinq: o NOTES: Rear 0-0 Rear 0. 0 Requfred: 0 PLANNING & ZONING Left 0. 0 Lefi 0. 0 Pr000sed: 0 PERMIT NUMBER 898-02229 77 FAIFi DRIVE, COSTA MESA, CA 92626 Calc Valuation: Claim Valuation: Right 0- 0 Right 0. 0 Status: ISSUED �C,+- � Applied: 12/15I1998 Issued: 12/15/1998 Phone: License: $3,300.00 so.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. . . INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all i required inapeatlqns end final approval must be obtained. FaiNre to obtain inspections and final approval will resWt in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: ' . � ,. '• . I hereby aNirm untler penalry oi per�ury one ol the fWlowing declarations: � �' . ' ❑ I have entl will maintain e certificele ot consent to selt-Insure tor workers' wmpensation, as provided lor by section 3700 of the Lebar Catle, tor the pertormence of the work for which �his pertnil is issueA. � - , � I hava anA will maintein workers' compensation insurance, as required by seclion 3700 ot the LeDor Cotle, For t�a peAortnance of tlie work for which this permit is issue0. My workers' compensation Insurence cartier antl poliry number are: . Cerrier. � � _ PWicy Num6er: � � (This section need nof be completed /l f�e peimit is vaNed et wre huntlied tlollars ($100) or Iess.J,,, , �- , �� certity that In iha peAormance oi the work for which this permit is issuetl, I shall not employ eny person in eny manner 'so as to become subject b the workers' cDmpensedon laws of Celiforniu, entl agree �hat it I shoul bec me subject lo ihe workar9' compensetion provisions of Secijon 37 ot the Lebor Code, I shell lotlhwlih comply with ihese proTision� � ,n^ . % ApplicanlSiqnetu��-f�v � ��' °" - ' � �oace: ��J-/�.?�/ � � WARNING FAILUqE TO SECURE WORKERS' COMPENSATION ppVERAGE IS NLA Fll� rWD SHALL SU&IECT AN EMPLOVER,jO CRIMINAL PENALTIES AND GVIL FINES UP TOONE MUNDRED TMOUSAND OOLLARE (5100,000), IN AOOITION TO TME COST OF CpMPEN$AiION; DAUACsES A$ PROVIOED FOR IN SEC?ION 3)OB OF THE LABOR COpE, INrEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I herehy aHirm Ihet I em licensed under provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 of Ihe Business and P�rQfessiurs Code, end my Ilcense Is In tull force and eRect. Lic. a �Class # �—� % ContractofsSiqnewre:/ _ _ ____. ____ Date:_ _ CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm ihat there is e construction lending agency far iha peAormance af the work tor which this pertnit is issuad. (Sec. 3W7, Civil Cotle). Lentler5 Name: Lendef5 Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I here6y aHirtn thet under penelty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business ene Protessions Code: Any ciry or counry which requires e permit to constmct, alter, improve, tlemolish, or repair any strucWre, pdor to Its Issuance, also requires the applicant lor such parmit to file a signetl stetement Ihat he or she is IicenseA pursuant ta the provisions ot the Contractors License Lew (Chepter 9(commencing with Saction 7000) ot Division 3 of the Business antl Professions Cotle) ar thet he or she is exempt therefrom and t�e 6asis for the elleged e:amption. Any violation of Section 7031.5 by any applicent for e partnit subjects tha applicant to e civ�l penalry of not more Ihan five huntlretl dollars (5500).): ❑ I, as owner ol the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, entl t�e siructure is not intended or oflered for sale (Sec. 70a4, Business end Professions Code: Tha Coniractors License Law tloes not apply to an owner oi property who builtls or improves thereon, antl w�o tloes such work himself or herseli or throug� his or her own employees, provided that such improvements ere not intended or oflered for sale. If, however, the building or improvement is sold within one year oi complalion, the owner-builder wlll have the burden of proving thet he or she did not build or improve tor purpose oi sale.). ❑ I, as owner of ihe proparty, em EXCLUSIVELV CON7RAC71NG WI7H LICENSED CONTRACTORS to consiruct Ihe projact (Sec. 7044, Business end Professions Code: The contrectors Licenso Lew does not apply �o an owner of pmpeny who builds or Improves ihereon, end wha cantracis for such proJect wlth e contrecior(s) license pursuenl to ihe Conirectors License Laws.). ❑ I am ezempt under sec. Business and Professions Cotle tor t�is reason: Signalure: Date: Owner ID venfled by tlrivefs license. ❑ Yes ❑ No Drivers License No. Venfication of Ownership by (rype ot document, i.e. - properly tan bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Ezpires: ❑ I hereby certly that no excavation live (5) or more teet in depth into w�ich e persan is required to descend, wlll be made in conneMion with work euthodzad by this pertnit, end that no hulltling structure, scaHolding, falsework, or tlemolition or tlismantlinp thereof, will be more then thirty-six (36) faet high. (Chap. 32, Grp 2. Art 2, Sec. 341, Tltle 8, Callfomia Administrative Code). ❑ As owner-builaer, I will not employ enyone to tlo work which would require e pertnit irom the Division ot Industriel Safery, as noted above, unless such person has a pertnit to do 5uth work from the division. Signeture: Date: Division oi Industnal Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I certify under penalry ot perlury ihat I have read this application antl state ihat the intormetion given is correct. I agree to comply with ell siate lews and ciry ordinences relating �o building construction, end euthorize representatives ot the Ciry oi Costa Mese to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or a0ow occupanty of any building authonzed by this permit uniil finel inspection. �� Signe Of� �Owner(s) r2 /� �� Date And/ r Auth'on d ADDlicant � Dete GOUE /. INSVECTOXTYPE 1616 Fi:etl System Final Fire Preven6on 1266 200 Pool Spe Finel Flnal Re-Rool 201 finel BIocWRetaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 2446d6 UAiE It�ElS ? 9 qR � jQpFl INSPECTONTYPE pe¢ ��$ 206 Final Mechenical 20B 210 212 220 Final Plumbing Final Electrical Final Fire Preventlon Finel Planning Approval 222 Final Site 250 Final Building/Occupancy W�dSj!i � c! lTws:�t�p� g � oE?h7�4 , P el 2 O � .' �„ :.zi:a...:.. ' � � � \1 y � � �J N��N O � ��e � � � CI' � J � N SUBJE( : � � a _� � jl' T" Y L:'7° �� I II I ' ' � "...� e270- • ' 41�iG- 1 I� �,� p Y';1 �� r ! TA ES ,� �� - I II p�,'`L'yp : �;. ..,.', p ... :. � ce ; � .,, ' • t 'l �� e 6fi �'.• I s�`e � iFf I''` '� � ��-g. a�a 3? ' a r �S � � ��s m<� ewiatlyd � . �tr ,� k � . . �...� . � �y, �4`Fri � �, s. ' °'� 1/5 L 71I � �t_ �I ., :.^,Cc . J '7' 1 tl I I � `, ff93.9 IINtONJ�79pP :<� fF� �' eyfff.3�� ''� ; II .;a ��No'rnsnyamp • � "` � II .r'�i i1 �.^'':9 i91 �(dlfl � Nl� f �'.�?^ - ... tR • � . � R. I � � .� II 1- t; ' ueld �� i`a2"..a�. cr .�a :i �� i a' ''i}` n,-�'}5�:3�� i!Qq�e , q�.�:z:_�. `� s xo• z°� ; �;�; � • � 1rMJ:9 �'�- L'� '�, '" ti�� O � O � , �! � � II ,. ,� �, � � ,. . � ` il +. �� a' L` � �� 4 G➢Sd' �R 6Z1t' �tr'\ — — .tsm• qi'6+' . _. _ -.#JQ7 �� .. _ � R �� . - - ' a+� o°'f :�! /• e o• e� , 1':�. :. •: .' : 11 �� a � f+ '�"�� ' � � � ,. �� h d � � �, '. $ n. °' � � Q II � � � ■ • . � �D w • I i � II ! � � �1 � � � +� \ ,, '�� O 8 �-� ?r� X � � , , � ,�`�14 � .��y �.,��I �1 � 4� 1 � l I y � p • • � '� � o• / L • i :f � ■ • � � mo. �8 � y� (� � � I � II m �� h '� .. � l s �" � �� ° �.I.�.�� ,� �J 3� \ . 0 . �0 .:'};. . f �,a,a�•�\_.� y �yn•,. _ i �� 'O �r. - 4 �-F� +I y • _�� . 6ars = � a 4 � "'� y � � `� � \ -�.�,. ��. � � � - �' -}� - �� '� 3 �� % ( I /'�'` r �^�� .3 0 � f)" 324 . , -.I I � �/M► �}� j 3[� '�s � I tm or -- o ' j � 4�AMlY�1 ., 3!d °a� , Nr O � ( L` �� fv�e ! i e � .!i'J ' _ --�— f '` �vl i/f � �(R • �d � R I \\ p ' ��/ • � � I \. . !r � � �� ' I f3�� `_ , I etax 3 � � w w a �i S 3 � � '�/ �� , ::: I A ' � ' '•' o ::. . .. - i ,� �... : ��, Y OF COSTA MES/{ � t �-=Q ~ - m� PLANNING DIV.: � +,�— �� ' o� � i 70 BLDG, DEP_T. REG'. � �� !, r . � �_ A �"��'� E �c s . % � � ' � , b � � �fi 1 \— � , .. �. _ b� �� , \ j e a Mesn - Plan 5 Elev BR TI�N PERMIT Lot 6 Applicant to till in all spaces exce0< �hose witnin heavy oortler �ines antl si9n all aDVrovriaie Oeclaralions. - I � �/�-$ � V2n ll ProjectAddress $4Ln liPramum �iP22i ApplicanYsMailingAddress �.fi5_�J rna�urth��r R�y_(L, Owner's�Name ��.7oN .RB—P-Id.C�FT�se—, Phone FaF_llfi: Address � Arch/Eng. ��ms��y'��tgy' LicenseNo. ��QB.� Address, �� -�f�/—�%-��' � T.-vi ne Contracmr's Nam �P2 �VJIl2�" � Phone Address (mailingl City LicenSe No. ��gG LICENSED CONTRACTOR DECLAkATION . . Phereby affirm that 1 am licensetl untlar provislons oi Cbarter 9(commencin9 with section ]000) Of DiviSion 3 oi the BuSiness antl PrOfessions Cotle. antl my license is in tull fprcq antl effect. .- P48O�iZ ' License CISss IS 1 ' ens No. Date 1 i-.� �i_iiQ Si9nalure WORKERS' COMPENSATION DECtApAT10N � I hereby aftirm that I have a certificate of <onsent to self-Insure oi a<ertiflcate -of Workers' Compensation Insurance, or a<ertltietl -copy tnereof (Settion 3soo, �b. c�P_$4-225-856 � Fremont Indemnity Policy No. Company eCertifietl copy is hereby furnishetl.� - ,"� Certiflep cqqy i5,t,jietl with the city Bµil�a�i�arB��PdC1 fl C " Date 1C 17 254 qpplicant. J EXEMPTION FROM WORKERS'�CQMPENSATION DECLARATION _ (This section neetl nol be completetl it the permit is tor ane huntlretl (5100) or . less). I certify that in the performdnce o( the wo�k (Or whlch this pe�mit is i55uetl I shall' not emploY any person In any, manner so as to become subject to t�e Workers' Compensation' Laws ot Cali�omia. Date Si9nature NOTICE: If; atter making this tleclaratlon, you shoultl become subject to the Workers' Compensation-provisions ot the Labor Cotla, you must torthwith comply with such provlsions or. [bis permit shall be tleemetl revoked. CONSTRUCTION LENDING AGENCV � ' I hereby atfirm fhat there is a tonstruction lentlin9 agency for the performance of the work tor ,which this permit is issuetl (SecHon 309� Civ. C.) Lentler's Name � - � Lentler's Atltlress ' ' - ' OWNERBUILDER�DEGLARATION ' � ' - I hereby aftirm that I am exampt trom the,C6ntractor's �License Law Tor the • toliowing reason (Section 7031.5,845ine55 antl Professional Cotle: Any city or � countv which �eaui�es d Dermit to cOnstruct. alter. imorove. tlemolish or �eoai� efrom antl the basis for the allegetl exemption. Any�violation of Section 1.5 by any applicant for a permit subjects the appllcant to a civll alty of not more than tive huntlretl tlollars ($500). I,.as owner of the'property or my employees with wa9es as their sole ipensation, will tlo the work, antl the structure is not intentletl or offeretl sale (Section 7044, Businesz anE Professional Cotle: The Contractor's anse Law tloes not apply to an owner ot a property who Cuiltls or improves 'eon, antl'who tloes such wOrk hlmselt/h¢r5¢I( or through hI5 or her own >loyees, 0/ovitletl that sucM1 Imprbvemen[5 a�e not Intentletl o� otte�etl tor . It, nowever, tne bulltling or Imbrovement I5 soltl withln ona yea� of com- �.ion, the owner will �have the burden Ot proving h¢/Sh¢ tlitl not builtl or im- ve for the purpo5e Of sale). , I, as owner of the property, am exclusively contracting with licensetl con- 3ois to construct the project (Sec��o� 7044, Business antl ProfeSsions Cotle: � Contractor's License Law.doez not apply to an owner ot property who Itls ar im0�oves the�eon, antl who contract5 fOr SUth project5 with a con- :to�(s) IiCense pu/suant to the Coqt�acto�'s LlcenSe Law). I am exempi untler Section B. 6 P. C. for Ihis reason Date Owner I hereby certity that I have reatl this appliWtion antl state that the above intormation Is correct. I agree to complY with all <ity antl county ortlinances antl state laws relating to builtling Construction, antl hereby authorize repre- sentatives of tnis city o enter upon the above-mentionetl �ro erty or inspection 5 9L Signature � Date �o Drivers' License or 55 � . 51'49 3/01/84 59.:,�; TYPE OF CONSTRUCTION LE� NEW LJ ADO LJ ALTERATION- LJ REPAIR ❑ CONVERSION ❑ OEMOLISH ❑ OTHER ' . A,p. # - , ( � DESCRIPTION OF WORK - S Main Building: TVPEOFPERMIT GRADING FOUN�ATION STRUCTURAL T Front" zp� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Reaf �61 ❑ �OTHER C Right � PROJECTDESCHIPTION Sq.FT. �23].Z oCCUaArvCV K - CONSTRUCTIONTYPE VALUATION$.�%q:.i�]1 g Left � 20NE GRADING CU. V�S. ACRES p�ng. Ref�. # ZE �3'�US, T� Remarks: . ' , C 3I � 3 f� . Parking Req./Provided Z 3 � - � � ' Use of Building: 5 / ��L . . PLUMBING FEES Planning Notes: Bar Sink Backflow Preventer Backflow Irrioation � Jishwasher - ' ' Jrinking Fountains Floor Dreins Floor Sinks GasService �Outlets Interceptors - � Kitchen Sink . � Lavatories , - • P-Trap � � . ' Roof Dreins �� . Reinspection'Fee .I �$25 Boiler ' Duct- Under Ground Duct - Structural . Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # � Heating System & Ducting ❑ ai oo.000 aru O i oo,000 sr Reinspection Fee '� $25 CMF 0865-46 rev. 7/83 White - B4ildfng; Canary -Applican[; Pink -Accounting; Goltlenrotl -Assessor Showers Service Sink , Sewer Cap . . Sewer Connection Solar Collectors Solar Pipin9 � ' Solar Tank Swimming Pool w/Spa Urinal � Water Closet � Water Heater Water Service - � Issue Fee $ 3 HOLD FQR Automatic Washer ' � Construction Pole Sub. Cooking Unit � Dishwasher ' Fan F.A.U. ' Fixtures Device Boxes Outle[s Zone � ;sory euilding: Z � O � 'r N I N G r R E Fees $ S � U - I � R E M REtJ1�lYTS N T ELECTRICAL i = 'Transformer ❑ 15-50 KW � ' - � 50+KW�= - Meter ❑up to 100 amps . i Meter ❑over 100 amps � Sub Panel ' ." � ' .Motors�0-1 HP �1'/:-S IncSolar 0475 HP �1645+ Pole Light G`arbage Disposal I I' Standing Sections Generator �0-5 KW 05-15 � Trash Compactor Reinspection Fee $25 laue Fee $ 3 IANICAL FEES PUBLICSERVICESREQUIREMENT/g: � Hood or Type I ❑ ' Zoning Appraved By ��-/ w� ' nate�� Canopy Type I I ❑ �, ' Application Approved By � Date � �� Refrigeretion System • ❑o-iao,000eTu ❑ioo,aoosT Sys[em Repair/Alteration. Issue Fee � $ 3 � BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK SUMMARY OF FEES . $ �— SMIP $ PERMIT $ ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $ TOTALFEE • �� $ $ S $ g FQQ FQ 'I� i CONSTRUCTION AND PLANNING POG� e SPA f�"APPROVA'LS. Permit# Date Inspector p�ppROVALS Permit# Date Inspector .� 1,. Temporary Electrical Service or Pole � 52. Pool & Equipment Location � 2. Soil Pipe-Undrgmd. .� 53. Steel Reinforcement � i 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . '4. Electrical Conduit-Undrgind. 55. Electrical Bonding 5. Steel Reinforcement = 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. ' y 1/�j '� 57. APPROVAL TO COVER-GUNITE � 7. Footings . 58. Electrical Conduit-Undrgrnd. � ' 8: Foundation S�f� � 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 , 63. Heater & Vent-Final � • ' 13. Roof Drains ,' 64. Plumbing System - Final � � 14. Rough Plumbing 65. Electrical-Final - ' 15. Rough Electrical-Conduit � 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •18. Rough Electrical-T Bar Ceiling 69. �POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS � Permit # 21-. Ducts,in Structure 70. Underground Hydro Q2. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing � a, �� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical �27. Frame and Flashing � �y� 76. Dry Standpipe 28.' Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation . Z2 e/ 78. FIRE PREV. FINAL 30. Drywall Nailing $.�� HEALTH DEPT. REQUIREMENT i 37. Plaster Brown Coat �� • (�(` 79. FINAL INSPECTION .� 32. -Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 7�P�y ��._�- 34. Final Heating & Air Conditioning � � 35. Final Gas Pipe-Test . - tp � �� y � � 36. Hood or Canopy � � 37. Final Factory.Fireplace ; � � 38. Final Plumbing , � 39. Water Service-Final , � . � 40. Gas Service-Final � �� ' � 41. Solar pomestioFinal - ' . � . 42. Backflow Preventer � � � � � 43. Backflow Irrigation � � � - " 44. ,Landscape Irrigation System . ' . . 45. Sound Attenuation . 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING �p �'O � 48. Special�RequirementsCompleted ' /0�9�¢ �� , - � 49. Electric Release to Edison � � . " � 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY , . , No. Date ApP��ant lo fill in all s0aces exceD� thosa wit�in heavY OorGer lines ana sign all aoorooriate Eeclaratlons. CiTY oF coSTA M S �.CQNSTRUETION P MIT Project Address �'� Applicant's Mailin dres Owner's Nam P one Address Arch/Eng. —License No. Address Contracror's Name Phone Address Imailing) — City License No. LICENSED CONTRACTOR DECL RHTION I hereby affirm that I am li<ensetl untler provislons of Charter 9(commencing with section ]000) of Division 3 of the Buziness antl Professions Co e� �^ tl my license js in (u}t�ipyc�,antl eftect. �/ . rp/'�fj/�L// „ Date� 519nature "� WORKERS' OMPENSATION DEC RATION 1 hereby attirm that I have a cerlifica�e of consent to s f-insure or a certificate ot Workers' Compen55tion InsuranGe, or d certif tl copy there (Section 3800, Lab. �^ , �Q'//y W�o PolicY No. r- ��c«�� ComPanY 'I� ' e Certif tl c py i hereby fumished. . _ / i tiletl with the citY �tl q �C� Date Applicant EXEMVTIO FR MWORKERS'COMPENSATIO DECLARATION (ThiS section ne¢tl not b¢ <ompl¢tetl �� h¢ permi� Is fo� one huntlretl (E300) or less). I certify Ihat in the performanta of Me wo�k fo� which (his perm�t i5 i55uetl, I shall not emplOy any persOn In any manner so as to �ecome SUDject to the Workers' Compensatlon Laws of Cal�lomia. Date Si9na[urc NOTICE: It, atle� making this tlecla�ation, you shoultl become subject to the Wo�ke�s' Compensalion Orovisions of the L2bo� Cotle, you mu5t forthwith comply with Su<h prOviSiOns Or [hi5 pe�mit shall b2 tleemetl revoketl. CONSTRUCTION LENDI AGENCV I M1ereby af9rm Ihat [h¢re'S Cons VGtion lentling agency for the performance of the work for whl RS41 ermit is issuetl (Sectlon 309� Civ. C.) Lentlet's Name — �� Lentler's Atltl�ess OWNER BUILDER DECLARATION I hereby affirm that I am exempt trom the Contractor's License Law tor tM1e tollowin9 reason (Section ]031.5 Business antl Professional Cotle: Any city or counry wnicb requires a permit [o co�st�uct, al[er, Improve, tlemolish or repai� any st�uctur¢, priOr to Its issuance, al5o requires the applicant fo� such permit [o tiie a signetl sta[ement that he/spe Is Ilcensetl pursuant to the provisions at the Contractor's License Law (ChapCer 9(commencing with Section 7000) ot Division 3 of the Busine55 antl Professions CoCe) or that he/she iz exempt '.heretrom antl tne basis for [he allE9etl exemption. Any violation of Section 7031.5 by any applicant Por a permi[ subjects the applicant to a civil ' �enalty of not more than five huntlretl tlollars ($500). ' I, as owner o� tM1e property or my employe¢S with wages as [hei� sole compensation, will tlo ihe work, antl Ne structure Is not intentled or oHeretl for sale (Section 7044, Business 3ntl Profe55ional Cotle: The Contractor's LicenSe ldw aoes not apply to an ow�er ot a property wno builtls or improves thereon, antl who does zuch work himself/nerself or tnrough his or'her own emoloyees, provitletl that sucn improvements are not mtenaetl or ofteretl for sale. It, howeve�, th¢ builtling cr ImVrovement Is soltl wilhin one year ot com- pletion, tM1e ownl� will. have lhe bultl¢n Of proving he/she tlitl not builtl or im- ��ove tor the pu�0ose of sale). I, as owne� ol the properly, am exclusivery contracting with IicenSetl con- tractors to construct the pro]ect (SeG��a� �044, Business antl Professions Cotle: The Contractor's License Ldw doe4 not apply to an owner ot property who bulltls or improves thereon, antl wno contracts for such projects with a con- t�acior(5) licenie pursuant�to lM1e GPnt�actoi'S License L.aw). I am aware that proo� of their Wo�ker'S COmpenSat�on insurance Shou10 be provitlltl to me. ❑ I am eaemOt untler Section B. d P. C. (or this reason Da[e ' Owner - I her¢by certify tha[ I have �eatl tbi5 application antl state that the above information is wr ECL I a9ree to <o� P��+�fh all tlty antl county ortlinances antl state law � aling t0 builtlingi/ConStr ction, antl hereby authoriE �e e- sentatives of 5 city to enter on he ove-mentionetl prop rty r InSpettion pur �I � Si9na[ure Oate � Drivers' License or 55 � ' � I_ I Aeinspeetion Fee r J i �— TYPE OF CONS7RUCTION � NEw ADD ❑ CONVERSION ❑ DEMOLISM ❑ OTHEq DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION LIREPAIR TVPE OF PERMIT LJ GRADING LJ FOUNDATIO�Ny LJ STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING L✓I MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5Q. F7. oCCUPANCV_ CONSTRVCTION TVPE VALUATION $ ZONE GRADING CU. VDS. ACRES_ Remarks: �� Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains ReinspaMion Fee � $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact Bh. ICBO # Heat}i 9System & Ducting �G700,000 BTU 0100,000 CMF 0865-46, rev.4/84 While - Bullding; Canary -Applicant; Pink -Accounting: Goltlenrotl -Assessor $15 Showers Service Sink SewerCap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑6100,OOOBTU ❑100,000 System Repair/Alteration laue Fee FEES A.P. # 5 Main Buildi E T Front B Rear A � Right K Left $ Ping. Ref. # Planning Notes�. Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gai ❑Electric / 3601 7/06/84 Zone B ELECTRICAL Transformer � 15-50 KW ❑ SO+KW Fan F,A,U. Fix[ures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KW �5-15 KW Me�er ❑up to 100 amps Meter ❑over100amps Sub Panel Motors�0.7 HP�1:4-8 Inc. Solar �9-15 HP 016�15+ Microwave Pole Light Range Standing Sections Trash Compacior $ 3 I � Reinspection Fee $15 Issue Fee FEES DEVELOPMENT SERVICES REQUIREMENTS: 2oning APProvad By 8uilding Approvad By �� Application luuad Bv $ 3 Ae�', Z O N 1 N G R E Q M T S. FEES $ 3 SUMMARV OF FEES � BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PWMBING § �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50°6 $ MICROFILM $ �%� MECHANICAL $ ��OTAL FEE $ !i"-^� P�AN CHECK 25% $ �a CONSTRUCTION AND PLANNING � POO�,v SPA APDROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 7. Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55.-Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE ' 7. Footings . 58. Electrical Conduit-Undrgmd. , B. Foundation . 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. ' - 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains _ 64. Plum6ing System - Final , 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar 5ystem-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 7�� `� FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. �ucts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas � Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoa[ 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28: �athing & Siding 77. FIXED SYSTEM FINAL . 29. Insulation 78. FIRE PREV. FINAL 30. qrywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. �lectrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � . 34. Final Heating & Air Conditioning ��'�Ipy G�,/� 35. Final Gas Pipe-Test , 36. Hood or Canopy . 37. Final Factory Fireplace 38. Final Plumbing ' � 39. Water Service-Final • 40. Gas Service-Final 41. $olar pomestic-Final 42. 6ackflow Preventer � 43. 6ackflow Irrigation _ 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release io Edison � � � 50. �Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date • , �j�1/1 .J AOP��ant to tiil in all spatts except tnose within heavy bortler Iines ane sign all aDV�aVriate Ceclantions. H%/ C17Y oF COSTn CO/N STRUCTION PERMI /y�. Project Address �� C-��/(l/��_( ,{ T Applicant's Mailing �dress � Owner's Name Phone Address �' �C �h U� Arch/Eng. Si�License No. Address 3 Contracror3' /f.�/ /r P / �� ' Address (rfiakf g �� 7- . City Licen�a No IICENSED CONTRACTOR DECLARATION I hereby alfirm tha[ I am licensetl untler provislons ot Charter 9(commenCinq with section 7000) ot DlviSion 3 of th0 Bu5ine55 antl Pmteszions CptlQ, antl my licenze is in i WI t rye an ef,fect. � 3d Q3 �icen Clas �� L c nse � Date � � 5'9 t ��(GQ � � '�-� W00.KER5' COMPENSATION DEC ARFTION 1 hereby aHirm tnat I have a certificate ot consent to sel4lnsure or a certiticate of Workers' Compensation Insurante, or d certlfied copy tnereof (Sectlon 3800, Lab. C.�v71[�]/ � � Policy No. t� ��/ C�1.. Company eGertlfietl copy is hereby tumishetl. Certifietl copy is filetl with the city B' in ' i' Date Applicant EXEMPTION FROM WORKERS' COM NSATION DECLARATION (Thiz section neetl not be completetl it the p¢rmit is for One hundretl (5300) or Iess). I certify Iha� in tne per(ormance of [he work fOr which this perm�t i5 issuetl, I shall not employ any person in any manner zo as to become subjett to the Wo�ke�s' Compensatlon Laws ot CalifOmia. • Date Signature NOTICE: II, aiter making this tleclaration, you shoultl become subject to the Workers' Compensation provisions of [he labOr Cotle, you must for[hwith tomply wi�h suCh provisions ot this permit shall be tleemetl revok¢tl. CONSTRUCTION LENDING AGENCV I hereby alll�m lhat Ihere Is a construclion lentlinq agency fo� tne performdnGe of the work lor wnich thi5 permit Is issuetl (Seclion 309] Civ. C.) Lenaer's Name Lentler's AtlGress OWNER BUILDER DECLARATION I hereby affirm that I am exempt frOm tha ContraCtor's License Law for tne following reason (Section �031.5 Buslness antl Professional Cotle: Any city or county whith rlquires a p¢rmi[ to constru<t, alte�, Improve, tlemolish or rGpair any ztructure, prior to itz issuance, also requires the applicant tor suth permit to file a siqnetl Slatement that he/sh¢ is Iicensetl pursuant to the prOvi5ion5 of the Contractor's License law (Chapter 9(commencing with Section 7000) ot Division 3 ot th¢ Buslness antl Protes5ion5 Cotle) o� tM1at he/She is exempt th2�elwm antl Ihe basis for the allegetl ex¢mption. Any violation oi Section 7031.5 by any applicant fo� a permi[ subjects the applicant t0 a civil �enalty o1 not more lhan tive nuntlretl tlollars (E500). LJ I, as owner of the property or my emploYees wlth wages as their sole compensalion, will Co Me work, antl the structure is not intentletl or o(teretl for sale ($ection �044, Business antl Professional Cotle: The Contractor's License law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work M1imself/herself or through his or her own employaas, provitletl that such improvements are not In[entletl ar otfe�eC tor sale. It, hOwOver, tne builtling cr improvement is soltl wlt0ln one year of com- pletion, the owner will have the burtlen of proving h¢/She tlitl not builtl or im- �rOve tor the purpose oi sale). I, a5 ownCr of tM1e property, am exCluSWery conl�ac[ing with Ilcensetl con- tractors to construci the prqect (Section 7044, Business antl Professions Cotle: Tne ConVactor'z License Law tloes not appry to an owner ot proDerty who builtls o� ImD/ovez lhereon, antl who conVactS for such projects with a Con- tractor(s1 Ilcense pursuant�to the ContraclorY l.icense Law). I am aware that proof ol their Worker's Compensation Insu�ance shoultl be provltle0 lo me. ❑ I am exempt untler Section B. 3 P. C. tor this reason Date Owner I hereGy certity that 1 nave reatl ehis application antl state tnat tne aGove infnrmaHon is rorrecL I aaree to comolv with all cltv antl countY ortlinance5 Siqnature Drivers' License r 5 � ��.....,...... ......,..._. __..__. .....� �.... � 1385 � TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p.� DESCRIPTION OF WORK/USE OF BLDG. 5 Main Building: E TYPEOFPEFMIT GRAOING FOUrvoqTloN SrRucTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL A Rear ❑ OTHER PROJECT DESCRIPTION SQ. PT. oCCUPANCv C Pight - K Left CONSTRUCTIONTVGE VALUATIONS S ZONE GRADING CV. VDS. ACRES P�ng. Ret. # Remarks: �/��(l.� Planning Notes: 3ar Sink 3ackflow Preventer 3ackflow Irrigation 3athtu6s Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks GasService Outlets In[erceptors Kitchen Sink ' Lavamries P—Trap Roof Drains Reinspection Fee $75 Boiler Duct - Under Ground Duct - SVuccural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,000BTI Reinspection Fee $15 _ CMF 0865-46, rev. 4/84 White - Builtling: Canary - ApO�kant: P��k - Ac<oun[in9: Goltlenrotl - AsSessor $howers Service Sink $ewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,0008TU ❑100,000 System Repair/Alteration Issue Fee Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher ' Dryers ❑Gas ❑Elec Fan F.A.U._ Fixtures Device Boxes 3018 6/27/B4 2one Accessory Buildin9: i Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter LJup to t00amps Merer �}6ver 100 amps Sub Panel Morors�0�1 HP CZ} 'h-8 Inc.Solar �9-75 HP �16-15+ Microwave Pole Light Range Switches Sign Garhage �isposal �Standing Sections Generator O0.5 KW �5-15 KW Trash Compactor $� Reinspection Fee $15 luue Fee FEES DEVELOPMENT SERVICES REQUIREMENTS: Zaning Approved By Building Approved By Appliption luued By /» � $ 3 � SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT P,LUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ . �� GRADING $ PLAN CHECK 50% $ � ,..7 MICfiOFILM $ MECHANICAL $'� " TOTAL FEE $ PLAN CHECK ZS% $ 8�.95 TI FEES $ 3 0 Z O N I N G R E Q M T S. ' CONSTRUCTION ANDPLANNING POOL�SPA APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector � 1. Temporary Electrical_Service or Pole 52. Pool & Equipment Location 2. Soil�Pipe-Undrgrnd. - ,' 53. Steel Reinforcement 3.' Electrical Conduit Utility-Undrgrnd. 54. Forms � 4.� Electrical Conduit-Undrgrnd. . 55. Electrical Bonding _� 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test � "6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE ' 7.�Footings : , ,- 58. Electrical Conduit-Undrgrnd.. � S. Foundation �• -� 59. Gas Pipe, O Undrgrnd., Test F. ' 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, 0 Undrgrnd. � '10. Structural Floor System -' 61. APPROVALTO DECK 11. Property Sewer Line & House Connection � ' 62. Backwash & Receptor-Final i 72. Sewer Cap . . � 63. Heater & VenbFinal 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing ' 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring � 67. Fencing & Access Approval - 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace APPROVALS Permit # 21. Duc[s, 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 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 CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning � - , � r � 35. Final Gas Pipe-Test . 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service-Final - 40. Gas Service-Final 41. Solar pomestio-Final ' 42. Backflow Preventer r,v�,.' / . 43. Backflow Irrigation . . - !' 44. .Landscape Irrigation System � 45. Sound Attenuation ' 46. Handicap Regulations � � - 47. FINAL STRUCTURE & BUILDING � 48. Special Requirements Completed � 49. Electrie Release to Edison . 50. Gas Release to Southern California Gas Co � . /' J 51. CERTIFICATE OF OCCUPANCY - j_ No. Date - � ( � ��?r_.r�a0// .5,8aZ.. Ao CITY OF COSTA�ESaA��COfySTRUC� RMIJi Project Address 1� /J �S� ApplicanYs Mail' g ddress Owner's N, �m/e� � Pho �� Addres�.�[/ � %%1't? �4i 2aZ�l%7��•� . Arch/Eng: License No. Address Contractor's Nary Pho � ��Q � Address (mailing) Q �- City License No. LICENSED CONTRACTOR DECLARATION I hereby a/(i�m tM1at I am licensetl untler provisions of Charter 9(commencin9 � with section ]000) ot Division 3 0( th Business antl Professions Cotle, and my licens is in full � dqtl�ftect. �� . .] c ��I�,�� Lice��%� •O'Ci A/ i irL J�N`�7c�iJ�f�+-�J Datq WORKERS'COMPENSATION DECLARATION� I hereby affirm that I have a certificate of consent to self-insure or a certificate ot Workers' Compensation Insurance, or.a certifi tl copy the�eot (Section 3800, La�,,,/. J)./)/n! p PolicY Nb.'^"�'�i7�/ ComPanpy �ertifietl copY is hereby fumishetl. � ertif� c p) is i ith the city B i v� � Date � APPlicant ��' �� '✓ EXEMPTION FROM ORKERS' COMPENSHTION DECLARATION (Thissection neetl not be completetl if the permit is for one hundretl ($100) or less). ' I certify that in the performance ot the wark for whicM1 this perm�t is issueE, I shall not employ any person in any manner so,a5 to become subject to Ihe Workers' Compensation Laws of Califomia. Date Signature NOTICE: If, after making this tleclaration, you shoultl become subject to the Workers' Compeniation provi5ions ot the Labor Cotle, you must forthwith-- comply with such p�ovisions or this.permit shall be tleemetl revoketl. CONSTRUCTION IENDING AGENCV - I hereby atfirm that the�e is a construction lentling agency tor the performance I ot tne work for which this permit is issuetl (Sectian. 3097 Civ. CJ '. LPntler's Name lentler'S AtlCress . OWNER BUILDER DECLARATION-- I he�eby affi�m that I am exempt from the ConGactov'S License �aw tor the followinq reason (Section 7031.5 Business antl Professional Cotle: Any city or �ounty wnich requires a permit to construct, alter, improve, tlemolish or repair any structure, prior to its issuance, also requires the applicaM tor such permit to file a Signetl statement that he/she is licensetl pursuant to the provisions oT �the Contractor's License Law (Cnapter 9(mmmencing with Section ]000)�ot Division 3 of the Business antl Professions Cotle) or that he/she is exempt therefrom anA the basis for the allegetl exemption. Any violation of Section �03L5 by any applicant for a permit subjects tM1e applicant �to a civil eenalty of mt more [han five huntlred tlollars ($500). ' Ll I, as owner of the property'or my=employees with wages as their sole compensation, will do the work, aBtl the structure is�not inten0etl or offeretl for sale (Section ]044, Business antl Protessional Cotle: TM1e Contractor's License Law tloes not appty to an owner of a property who builtls or improves tnereon; antl who tloes such work himselt/herseif-or throu9h his or her own employees, proviGetl that such improvements are not intentletl o� oHeretl for sale. It, howeveq Ihe bulltlln9 or imp�ovement is soltl wi[bin one year of com- pletion, the owner will have the bu�den ot pwving he/she tlitl not builtl or im- �ove Por the purpose ot sale). LI I, as owner ot the propevty, am exclusivety cont�acting with licensetl ron- tractors to const�uct the project (Section ]044, Business antl Protessions Cotle: • The Contractor's License Law tloes not appty to an owner ot property who builtls or improves the�eon, antl who contracts for such projects with a con- iractor(s} license pursuant�tdthe�Contractor's Lirense Law). I am aware that proof of their Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. fo� this reason Date Owner _ I hereby certity that I have reatl this infnrmati�n is mrrecL I aeree to como Signature Orivers' � �n antl state that the above city antl munty ortlinances antl hereby authorize repre- ve-mentinnetl �rooevtv:lor o ��ed �+ 3� v o�icant ta fi11 in ali s ac t o withi� heavY ooraer lines antl si n all appropriate aeelarations. PER I i NO._ � TRACT NO. ;. LOT NO. UNIT. NO. , l �Ll�J TYPE OF CONSTRUCTION � NEW ADD ALTERATION � REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p,p, # � DESCRIPTION OF_WORK/USE OF BLDG. . . _ S Main Building: TVPE OP PERMIT IJ GRAOING L.,I FOUNDATION LJ STRVCTURAL ❑ TENANT ❑ ELECTRICAL ��PLUMBING ❑ MECHANICAL ❑ �OTHER . - . � PROJECT DESCRIPTION 54. FT. ' oCcuvarvCV— CON54RUCTIONTVPE VALUATION$ ' ZONE GRADINGCU.VOS. ACRES_ Remarks: � Sink Preventer ' Irrigation Drinking Fountains Floor Drains' FloorSinks � - --- GasService . Outlets Intercepmrs � Kitchen Sink � . Lavatories � � � - P—Trap Roof. Drains Showers Service Sink. ' Sewer Cap � Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w E T Front ARear C Right S left Ping. Ref. # Planning Notes: V Automatic Washer � Construction PoleSub. Cooking Unit - ! ' . Dishwasher Dryers ❑Gas ❑Electric vnnai - - - - � Water-Closet . ! Water Heatei � �� WaterService � Reinspection Fee ! $15 I I Issue Fee • , I $ 3 Boiler Duct- UnderGround Duct-Structurel � Duct- Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000'BTU 0100,000 or 55 � — — �� I I Reinspection Fee CMF 0865-46, rev.4/84 White - Builtlin9; Canary -Applicant; Pink -Accounting; Goltlenrotl -Assessor $15 Hood or Type I ❑ • Canopy Type I I ❑ Refrigeration System ❑0-100,000BTU ❑100,000 System Repair/Alteration Issue Fee $ 3 F.A,U. Pixcures - Device Boxes Outlets Zone Accessory Building: Parki ELECTRICAL ' ' , - Trensformer' � 15-50 KW � 50+ KW Garbage Disposal � Generetor �0-5 KW �5-15 KW � Meter LJup to 100 amps � Meter ❑over.100amps; Sub Panel � � nnoto�s oo-, HP o, i- s Inc.Solar �9-15 HP �i6-15+ Microwave - - � Pole Li9ht Range Sign Standing Sections Trash Compactor 1 Fee � $15 � � Issue DEVELOPMENTSERVICESREQUIREMENTS: , ' Zoning Approved 6y � Building Approved By F $ 3 Z O N I N G R E Q M T S. � SOMMARYOFFEES , BUI�DING PERMIT $ , SMIP $ PLAN CHECK $ ��//��'7�,,�/�P,(�� MI 1��' PLUMBING ��C C"'T R��1� PLAN CHECK 25° $ � ELECTRICAL $ GRADING $ ' PLANCHECK 50% $ .MICROFILM $ MECHANICAL . $ TOTAL FEE $ , PLAN CHECK 25% $ . • ��r � � CONSTRUCTION AND PLANNING .: � � � . POG� � SPA APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date• Inspector �rr . 1. Temporary Electrical Service or Pole' . , 52. Pool & Equipment Location ./ 2. Soil Pipe-Undrgrnd. � . � ' 53. Steel Reinforcement � . � � 3`.;Electrical Conduit,Utility•Undrgrnd. �, , � 54. Forms � � � ._ � �4!Electrical"Conduit-Undrg'rnd. •- � 55. Electrical Bonding 1 5. Steel `Reinforcement� �' �� 56. Rough Plumbing & Pressure Test " , ,6.' Electrical UFER Gmd__ ' 57. APPROVAL TO COVER-GUNITE . .� 7. Footings � ^ �' - .. '��- 58. Electrical Conduit-Undrgmd. _ � .i 8. Foundation �� _, . �i , 59. Gas Pipe, O Undrgrnd:. Test � � 9..-Water�Pip�e-Undrgrnd. "' , 60. Backwash Lines, P-Trap, O Undrgrnd. '� 10. �Structural Floor System • � 61. APPROVAL TO DECK �. , 11. Broperty,Sewer Line�& HpuseConnection 62. Backwash & Receptor-Final i-. i': 12.' Sewer Cap �, , ;�' . �� 63.� Heater & Vent-Final - � - , 13. Roof'Drains , �� - 64. Plumbing SYstem - Final "� 14. Rough�Plumbing . 65. Electrical-Final ' ' - 15. Rough Electrical-Conduit � - � 66. Solar System-Final - 16.�Rough Electric Wiring. . 67. Fencing & Access Approval . 17- Rough Wiring Sign - 68. APPROVED FOR PLASTERING � � ( 18�. Rough Elect'iical-T Bar Ceiling ' - 69. POOUSPA 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, Ventilafing ' � ,. . 71. Product Piping OGas ❑Oil � � 23. Gas Pipe-Rough & Test -� ' - 72: Underground Flush � • . 24. Roof Framing � -, 73. Undergrnd. Storage Tank � Gas ❑ Oil - 25. Roof Sheathing �. , � 74. Overhead Hydro . , 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe � ' 28. Lathing & Siding � ' 77.' FIXED SYSTEM FINAL � 29. Insulation � ' � ' 78. FIRE PREV. FINAL ' 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat : 79.� FINAL INSPECTION� � 32. Electrical Power Meter-Final �' � 80: FOOD,CERTIFICATE ISSUED 33. Final Electric - ' Notes:' �� =j 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test, �� j�� UEl7 . ' 36. Hood or Canopy , 3Z Final Factory Fireplace . „ 38. Final Plumbing � ' � JO�Iq ti�i L�� 39. Water Service-Final . � ' 40. Gas Service-Final ' i 41. Solar pomestic-Final � � 42. Backflow Prevenier' . � ' ' _ . 43. Backflow.Jrrigation.:. ._. .. ., _- , . , ' � 44. �Landscape Irrigation System . � ' 45. Sound Attenuation � , � �,_ 46. Handicap Regulations � - �� . � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison � - ' � ' 50. Gas Release to Southern California Gas Co , ' . 51. CERTIFICATE OF OCCUPANCY � . � No, Date S� `� :. � — CI•TY OF COSTA MESA- CONS,TRUCTION PERMIT Applleant to till In all spaces axeept thosa within �eavy bortler Iines anE sign all appropriate tleclarations. , Prolect Address ']`-c v7f -�-i-c��+ i+`� ^^ . � . �,,.- ti�-^-�py' � ApplicanYs Mai i Addr 55', - Owner'sName�y�i.�� ^--D��' Phone�� Address' �S 'V��' ��A� . Arch/Eng. License No. Address I Contractor's Nam - hoi �4�. i Addres5lmA �'nnli I �� 9iAw � w• Ic�cv ��ea<a N� �,9519 ' IICENSEO CONTRACTOR DECLARATION I hereGy afflrm that I am IicenSetl untler provlslons of Chartar 9(commencing '�. with sectlon 7000) of Divlslon 3 0( the Buslness antl P feszlons Cotle, antl I my Ilcense Is In fW forc antl effe t. ^��..�w^ C( I License Clzss — Icense o.�l� L I Date Signature � � WORKERS'COMPENSATION DECLARATION heraby atfirm that I.have a certlilcate of consant to self-insure or a certiflcate of Workers' Compensation Insurance, or a certHietl coOY'<hereof (Sectlon.- ' 3800, L'abiC,)�S�Qq47�� C n_ _� � Policy No.V) Company�� Certlfietl copy I5 hereby fumishetl. - � er le co y t ed witn tne clty ilgtl tl I isl8n. 0^ Date APPIICdnt�'•+� t� � EXEMGT ON ROM WORKERS' COMPENSATION OECLARATION �'� (This section neetl not be completetl if the parmlt I5 for one huntlretl (8300) o� less). I certlfy that in tha performance oi the work for whlch thls perm�f Is Issuetl .I' shall not employ any person In any manner so as to become sub�ect to t�e Workers' Compensation' Laws of Californla. Date Slgnature � NOTICE: If,iafter making this tleclaration; you 5noultl become suGject to the Workers' Compensatlon provl5ions of the Labor Cotle, you must forihwkh comply with� su<h provlslons or .this�permit shall be tleemetl� ravoketl. CONSTRUCTION LENDING AGENCV I hereby af}Irm that [here is a constructlon lentling agency for the pertormance af the work for whlch this permlt I5 Itsuetl .(Section 3097 Civ. CJ LenCer's Name l.entler'S Atltlress� � OWNER BUILDEFi DECLARATION • �. . 5 by any applicant for a permlt subjects tha applicant to y ot not more than Tive nuntlretl tlollars ($500). ' as owner of the�property or my employees with wages as tY LICenSB ldw 0085 no[ dOP�y co an ownBr or a properiy wna oWias or improvas thereon, antl who.tloes such work hlmselt/hersalf or through his or har own employ ees, p�ovitletl that such ImproveTentS dr0 not intentletl or otferetl for sale. 1}, however, the bulltlln9 or Improvement is soltl within one year o( com- pletlon, the owner' wlll �hava the burtlen of proving he/she ditl not bulltl or im- . rove for the purposa of sale). ' � I, as owner of the property, am exclusively tontracting�wlth Iicensetl con- tractors t6 <onstru<t the pro)ect (Saction 7044, Bu5ine55 antl Pro(e5slons Cotla: Tha Contractor'S Llcense Law tloes nOt apP�Y to dn ownar of property who builtls or improves thereon, antl who contracts for such pro�ects wlth a con- tractor(s) Ilcense pursuant to the Contractor'S LI<ense Law): . ❑ I:am exempt untlar Se<tlon , B. & P. C. tor this reason Date Owner 1 hereby cartify�that I have rea Intormatlon I5 corra<t. I agree to antl stace laws ralatin9 to bulltlln santatives of tnls,city' o enter Inspe<tlon pu 5e .- tl thls appllcatlon antl 5tate ttiat the above comolv wlth all citv antl counN ortlinances ' TYPE OF CONSTRUCTION ❑ CONVERSION ❑ DE � �ESCRIPTION OF WORK TVPE OF PERMIT LJ GRADIN ❑ TENANT ❑ ELECTRICAL ❑ OTHER NEW U ADD LJ ALTERATION LJ�REPAIR SH O OTHER• 1FOUNDATION LJSTRUCTURAL PLUMBING ❑ MECHANICAL PROJECT DESCRIPTION S�.FT.�� oCCUPnrvCV CON STRUCTION TVPE VALUATION $ _ ZONE GRADINGCU.VOS. ACRES_ Remarkt: // �1 _ Ber Sink Backflow Preventer" Backflow Irrigation �rinking Fountains ' Floor Drains ' - Floor Sinks . uas Sarvice Outlets Interceptors � Kitchen Sink Lavatories ' ! Roof Drains'. Reinspectian Fee ' '$25 Boiier Duct - Under Ground � Duct - Structural Duct-Ventilating . Exhaust System ❑ Multiple ❑ Firepl/Fact.8lt. ICBO # Heating System & Ducting . OP700,000 BTU 0100,0000T Signature � � , Drivers' Llcensa or 55 � Reinspection Fee �,$25 CMF 0865-46 rav. 12/B3 White • Bul Itling; Canary - AGPllcant; Plnk - Accounting; Goltlanrotl - AsSessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet , Water Heater Water Service Isue Fee Hoodor Typel � ❑ ' Canopy � Type I I ❑ Refrigeration System ❑0-t00,0000TU ❑100,000 System Repair/Alteration luue Fee FEES $ 3 A.P. # . S Main Building: E T. Front '� - B Fear A C Right g Left Ping. Ref. # Parking Req./Provided Use of Building: Planning Notes: Aummatic � 5746 3/09/84 Zone . Park.Fees $ ELECTRICAL Transformer ❑ 15-50 KW Gonstructfon Pole Sub. � 50 + KW Cooking Unit � Meter ❑up to 100 amps . Dishwasher . . Meter ❑over 100 amps Dryers ❑Gas ❑Electric . Sub.Panel. ' Fao . . ' Motors OO-1� HP O1 %- 8' F.A.U. InaSolar 09-15 HP 016-15+ Fixtures . '� Microwave Device Boxes Pole Light , Outlets Switches Garbage Disposal Generator OO-5 KW 05-15 KW 0 Sign Standing Sections Trash Compacmr ' ' 1— Rainspection Fee $25 Issue Fee S� PUBLICSERVICESRE�UIREMENTS: � Zoning APProved BY . Building Approved By Application Issued Bv $ 3 38.OU TL Z O N I N G R E 0 r ' $ 3 . � SUMMARV OF FEES � • . � � � BUILDING PERMIT $ SMIP � $ PLAN CHECK $ PERMIT � � PLUMBING, ; $ �� I� BSUANCE $ PLAN CHECK 25% $ ��J" ENERGV P.C. $ ELECTFICAL • $ GRADING $ PLANCHECK 50% $ MICROFILM $ ' MECHANICAL $ TOTALFEE �$ � PLAN CHECK ZS% ,$ . , ' t � .. CONSTRUCTION AND PLANNING- , � � POO. ;PA� -� -, � _ . _ , ' �� Date�` Inspector ' � � Date : lospector ^ ': P�PPROVALS Permit # APPROVALS �PermiT# _ ..a. t '? f 1: empbrary'Electric8l Service or Pole - � � . 52. Pool & Equipment Location ; :'"� � - � ; - .�, _ �� 2� Soil Pipe�Undrgrnd. , � . �.1�/L3�j7t�, (�� 53 ; Steel Reinforcement � _ - � ' , � � ' - � 3:. Electrical Conduit Utility-.Undrgrnd.� � � � 54., Forms �� - - ' �;4rElectrical Conduit-Undrgmd. , ' _ ' 55:.'Electrical,Bonding � � . � - � � 1 � �:�! ; - 5�� Steel Reinforcement, � . � " ' � 56. Rough Plumbing & Pressure TesC -. � ^ 6r Electrical UFER Grnd.� '. '. � .� 57. APPROVAL TO COVER-GUNITE' ' '- *� 7. Footings 't ' , 58. Electrical�Conduit-Undrgrnd.. ` � . !� ! 8. Foundation1 � + '' � ' �� 59. Gas Pipe, O Undrgrnd.; Test ' � � - �.�;, 9. Water Pipe-Undrgrnd. ' � � (,�u 60. Backwash Lines, P-Trap, 0 Und�grnd. � �'� y + - 10. Structural F,IoorSystem ' • ' � 61. APPROVALTO�DECK ' � �� , ' �i �_' 11. PropertY Sewer Line &�House Connection �� 62. Backwash & Rece tor-Final � � �`�.. ! ��%Y.� P 12. Sewer Bap I � - � , 63. Heater & Vent-Pinal • _ , - Y � 13. Roof Drains, , , ' . 64. P.lumbing System =�Final �. ' � ' ' . . - -� 14. Rough Plumbing � .,' 7l�9 d•/ („ED 65. Electrical-Final � � � " � � � -� � _ 15. Rough-Electrical-Conduit �66.� Solar System-Final , - -� �� - � � ,- " .16. Rough.Electric Wiring 6Z.� Fencing & Access Approval � - , - - "' ' - ' .-"' 17. Rough Wiring Sign ' ' 68. APPROVED FOR PLASTERING .- ` � 18. -Rough Electrical-T Bar Ceiling. � _ ' 69. POOUSP.A 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 i • � � '� '� 23. Gas Pipe-Rough,& Test � � � - 72. Undergro'und Flush . . ' � ' (24. Roof'Framing� ' 73. Undergrnd.StorageTank��OGas �D�OiI . ; 25. Roof Sheaihing � � 74. Overhead Hydro , . . � = � � �, 26. T-Bar Ceiling (Structural) & Monocoat ' � � 75. Dry Chemical . . � ! � ' , - � '`27. Frame and Flashing � . , 76.' Dry Standpipe � ' _ I , ' "28. Lathing&Siding � � ' 77. FIXEDSYSTEMFINAL � - ' � 29. Insulation - ' 7S. FIRE PREV. FINAL 30. Drywall Nailing ' � � �HEALTH DEPT. REQUIREMENT � 37. Plaster Brown Coat ' 79. FINAL INSPECTION � 32. Electrical Power Meter-Final �� 80: FOOD CERTIFICATE ISSUED � � �- ��33. Final Electric � � � Notes: ' 34. Final �Heating & Air Conditioning , 35. Final Gas Pipe-Test : (� , �y �� " ' ' - ' ., 36. Hood or Canopy ' � , � : . . � , 37. Final Factory Fireplace - ' , " �. , ', ' i � 38. Final Plumbing � p�Jtr13N (,�D ' � 39. Water Seryice-Final , , �� , 40. Gas Seivice-Final • ' � • � - � . . � ` � ' 41. SolarpomesticFinal ' , . - �- -- � � 'i' - ' ' � �� . 42. Backflow Preventer � , _ ___ _ � - ^ 43. Backflow Irrigation � � � � � ' � � � � ' � r. 44. �Landscape Irrigation System � ' - . � � � i. ,. 45. Sound Attenuation - • . � - ' � . �� ' ^ 46. Handicap Regulations � � � � � � � ` � ' � 47. FINAL•STRUCTURE&BUILDING � ' ' . � ` 48. Special Requirements Completed , . . ' , � , ' " � � - ' 49. Electric Release fo Edison �. - i �*- . � ' 50. Gas Release to Southern California Gas Co ' �� • � 51. CERTIFICATE OF OCCUPANCY ' � � - - -- � --- - -- ' � . ; � No. . ., . Date � . . . ' -' . . ' - ' . . . - . . Applicant to till in a11 so��es exceot those within heavY eorae� Iinas ana sign all aporooriata Geciarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. _ TRACT NO. LOT NO. UNIT NO. PmjectAddress �4f1R f,aranium St. Applicant's Mailing qddreu Owner'sName _$�a.pdy.��—j_>gL.j_f_7'�[g�P.--Phone_rjJ:��].(7� Address j��J—�j.�—kjd.6{i�hyJ.r �gj.'td—ZYj6$d Q�G.2() Arch/Eng. License No. Address Contracror'sNam New R1Eim�inQ Phone ��zo__,_,_71.QQ Addreis�mailing) �1l19 M Cee 11na I1n�L.eim Ciry License No. �' 071 LICENSED CONTRq�TOR OECLARATION I Itore�y affirm that 1 am liconsetl under provisions ol Chailer 9(commencing with soction 1000) o/ Dlvislon 3 0l th¢ Business antl Prplesslons Cotla, antl LJce��sense Is in tun fo�ce�¢tl eftect. enz �, 426109 Dale I��I _ cigb�n�... WORKERS' COMPQNSATION DECLA0.ATION 1 hereby aflirm that I have a certifitate ot con5ent to selNnsure or a certi7lt'ate of Worke�s' Com0ens5tion Insu�ance, Or a certifietl Copy thereof (5¢Ctlon 3800, Lab. C.)r - PnoIICY No.P�b—��1a7_ ComPanY �jJje R9 C4qijittl��c�p� is fil�etlbwitbr[henc ty Bu{I.tlM9 Q1yisioq Date� V/ I V/ u APPlicdnt � ryPW P I IIIIIIII ll{� E%EMPTION FROM WORKERS' COMPENSATION �ECLARATION (Thi55attion neetl nbt De completetl if the permit i51or one �untl�etl (E100) or less). I cartify that In the p¢rfOrmance Ot the work for �yhich this pe�m�t is i55u0Q I shall not emo�oy any pe�son in any manner So�as to becoma subjeGl to lhe WOrkets' Compensation LawS of California. Date Si9nature NOTICE: Ii, atter r�aking thii tleclaration, yo� shoultl become subject to thp Workers' Compensa��an provlsions ot the Labor Cotle, you must bsthwlth Compiy wltb suth p�Ovlslon5 Or tnls Oermit Thal� be tle¢m0tl revoketl. GONSTRUCTION LENDING AGENCV I horeby ailirm that (here is a construction lentling a9ency 1or the performance of tho work tor wnlch this permit is Issuetl (Section 309] Civ. C.� Lentler's Name �entler's Ailtlress OWNER BUILDER DECLHRATION� � I hereby atiirm tha� I am exampt /rom tho Can(ractor's License Law tor tne following reason (Sectlon ]031.5 Business antl Prolessional Cotle: Any tlty or wunty which requ��es a permit to ConiVUGt, alt¢q imprave, tlemOlish or rePdir any structure, prlor (p its issuance, also requlres the applicant tor such pnrmit lo il�o a signetl sW[¢ment that he/she is licensotl pursuant to the provislons o/ tho Con[racror'S LlCense Law (Chapter 9(cOmmOncin9 wiN SectiOn 7000) ot OlvltiOn 3 of [he Busino55 antl Pro/esslon5 COtlC) or thal he/she i5 exampt Ihorefwm antl the basis br the alle9etl exomplion. Any violation ai SocHon 7031.5 by any applicanl tor a pe�mit 5ubfect5 [hn appllCant to a clvil �e�dlty of not mo�@ (han fiva huntlretl tlollars �5500). I, as owner of �hu p�operty or my emplOyeas wilh wages a5 lhoi� Solo �' ComponShciOn, will Oo Iho work, antl the StructUle IS not Intentletl o! ol(arOtl for Shce ($ection 7044, Business antl Protessional Cotle: The Contractor's I �icanse Law tloes nOl apply t0 un owner of a prOperty who builtli or ImprOvOs thoreon, ana who tloes such work himself/nersetl or through his or her own ¢m010yeas, provi0etl tnal such improvamenti are not Int¢n�atl or olfarotl for wla. 11, however, Ihe bullaing or imp�ovemenl Is soltl wlthin one yCar ol coT- pintlon, lhe owner .Hp� pave NO burtlen of prOvin9 h¢/she Eitl not builtl or im- �fOve IOr Ihe pufpq50 ot Sa10). I, a5 owner o1 [h0 property, am exclu5ively Contracting wkh IIC¢nzetl wn- bactors lo conz[ruG{ tne Orojacl (Seclion ]044, Buzlne55 antl Profassioni COda: Tho Contractor's License Law does not apO�Y Io an owner of property who builtls or Improves theraon, antl who contracts tor such projects witn a con- Vactor(s1 Ilcense pursuant�to-cbo Coniractor'z Liconsu Law�. 1 am awaro [hat prool ol their Wo�ker'S ComPensation insuranco shoultl be provitlOtl to mo. ❑ I am exempt untl¢r Section B. & P. C. for this reason Date certi(y )n i5 cc Signature _� Drivers' License or 55 ° TYPE OF CONSTRUCTION PLX NEW U ADD LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, q�6 DESCRIPTION OF WORK/USE OF BLDG. S Main 8uildl E TVPEOFPERMIT GRADING[-� FOUNDATION STRVCTURA� T Fronl ❑ TENANT ❑ ELECTRICAL ea PLUMHING ❑ MECHANICAL A Rear ❑ OTHER PROJECT DESCRIP710N 5Q. F7. oCCVvnNCv C Right K Left CONSTRUCTION TVPE VALUATION 5 $ 20rvE GRADING CU. VDS. ACRES p�ng. Ref.'/k Remarks: � � ��C( � r% i+(�(1� Plannin9 Notes: Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Ftoor Sinks Gas Service ( ouUecs Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Rainspection Fee � $15 Boilcr Duct � Under Ground Duct - StrucWral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. BIL ICBO # Heating System & Ducting ❑6100,000 BTU O 100,000 BTi Reinspection Fee � $15 CMF 0865-46, rev. 4/84 White - Builtling: Canary - Applican4 Pink - AccounHn9: GolOenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimmin9 Pool w/Spa Urinal Water Closet Water Heater Water Service laue Fea Hootl or Type I ❑ Canopy Type I I ❑ Refrigeration System ❑0.100,OOOBTU ❑700,000 System Repair/Alteration laue Fea FEES Automatic Washer Construction Pole Sub. Cooking Uni[ Dishwasher ' Dryers ❑Gas �Electric F.an ' F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generemr �]0�5 KW �5-15 01 71 10/ I 2/Ei4 Zone Parking Req./Provided ELECTRICAL . Transtormer ❑ 75�50KW ❑ 50+KW Meter �up to 700 amps Meter pover 100 amps Sub Panel Motors�0.1HP�1R-8 � Ina Solar �9�15 HP �16�15+ Mfcrowave Pole Light Standing Sections Trash Compactor 5.50 T� FEES $ 3 Reinspection Fee $15 luue Fee $ 3 FEES DEVELOPMENTSERVICESRE�UIREMENTS: Zoning ApProved By � Date Buildin8 APProved By Data Appliwtion IssuBd BV— Det�� $ 3 Z O N I N G R E Q M T S. SUINMAFV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK 3 PEFMI7 PLUMBING $ .�aSO ISSUANCE S PLAN CHECK 25% 5 ENERGV P.C. S ELECTRICAL S GRADiNG 5 PLAN CHECK 50% S MICROFILM S r^ MECHANICAL $ TOTALFEE $ Jr'� PLAN CHECK 25% $ � CONSTRUCTION AND PLANNING PO(,_ & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms "' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE ^ � 7. Footings 58. Electrical Condui[-Undrgrnd. . 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final .. 14. Rough Plumbing 65. Electrical-Final � ,. 15. Rough Electrical-Conduit � . � 66. Solar System-Final 16.� Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace APPROVALS Permit # 21 : Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Svucturaq & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 26. 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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test IO�,Sld �i �� 36. Hood or Canopy 37. Final Factory Fireplace 3S. Final Plumbing �D,��°j i/� 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 . 51. CERTIFICATEOFOCCUPANCY No. Date �I