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HomeMy WebLinkAbout437 GLOUCESTER DR - Building PermitsApplicant to fill in all spacez except tnase within neavY bortler lines anC si9n all app�opriale tleclarations. . _ _ _ Ci7Y oF cOSTA mESA � C9N'jSTRUCTION PERMIT '• PE MIT NO. �. TRACT NO..' , LOT NO_ UNIT N6: , - .. 4205 �: 6IOSIBB ': <. � 5.OQ T�, Pro�ectAddress • 7� CY/ Li�.t��5��,% ', . � � ' `� , ' ' • . . . . . � : , `,., ' � . ' .�� � . , . , - ApplicanYs Mailing Address ��%�� � TVPE OF CONSTHUCTION.' :' NEW` ADD � ALTERATION REPAIq - ' - S /��, '.��0 0 CONVERSION �O DEMOl.15H�'O OTHER A.P.# ' 2one. . Owner's Name: �/�r�. � •�Phone� ��[_F�� 'DESCRIPTION OF,WORKNSE OF BLDG. � � Address - � /�, P! � - ' � � � � � _ � ' ' ' � � - - � S Main Building:�, ' � . ' �Accessory Building]_ - „C � � � .. ?. -_� , : : E 2 Arch/Eng. - CicenseNo:�� SYPEOFPERMIT � GRAOING ourvonTioN �.STRVCTUanL�� T Front= - �'' � � '" p Addre55� � ' ' ' '� .TENANT ❑ ELECTRICAL �UMBING ❑ MECHANICAI � B Rear " � ' -' ` t " � N Contractor'SName_ - hori � `D��THER f. ' . � - . %� , , . PROJECT DESCRIPTION .5(l. F7. � - ' � oCCUaANCv � C Right . . , , � .; � , - N : Address (mailing) VL � , , � - - ,K - • - G � �' . � 'CONSTRUGTIONTVPE ` ' VALUATION$ S L¢ft � , . '. ' , � � R, t City LiCenSe No: _ � � � , ' ZONE �- ' GRADING CU. YDS. ' ACRES Ping. Ref. # � ParkingiReq:/Provided ` E� LICENSED CONTRACTOR OECLARATION ' ' � � � � � • .- - Q � I�he�eby atfirm tM1dt �I am licensetl untler provi5ion5 of1Char[e� 9 (commencing � Remarks: ' � � " ' ' Planning,Notes: � - ' - — ' ry� � with section 7000) o( Division 3 of tM1e Bu5ine35 antl Profe55ions Cotle, 5nG - � . � . . , T � my.license'is.in fW f antl effect. � ' —n..� �, . ' , , � � . . � - ' ' ' , , , , � Llrenie Cla 1 � � �,.icen e u _� � . - � - . � - S ' Date �' �Signature ' � � � PLUMBING I � � ' FEES � � � WORKER ' COMP,ENSATION OECLARATION ' � ' � ' gar Sink . � Showef5 ' � � ' � � � I herebypffirm tnat 1 have a certificate ot mnsent to self-insure or a terti�icate : ' i ' ELECTRICAL � FEES I' iq/n � , � , ..., � - - . _. _ ..-- - � -' - ' ; _ ; t Workers' Compensation Insurance, or a certifietl� Copy thereo(, (Section , � � __, __ � Backflow�Preventer. ServiceSink �AutomaticWasher�. - �Transformer ❑ 15=50KW� 900, Lab:� )�C � , A '',, . ' � � Golmy No. L`�� Company ��.d��_ � Backflow Irngation Sewer Ca �� ! � ' ' � ❑ 50+ KW � r , . P Construction Pole Sub. ; � �ertifietl copy is he�eby fumishetl. , ' Cert�i ir��/��°� y is� tiletl with the city e i in iy�sio A� /9/�� � i Bathtubs Sewer Connection Cooking Unit 1. '. , ' Meter ❑up to 700 amps � � �ate_��_V..F._ APPlicant ���(���/��t"J ^� . . . . � � C12fITl¢f5. ' $Oldf COIIECtOfS � � � EXEMPT(ION�FROM WOFKERS"COM ENSATION DECLARATION ' _ __ _ _ _ _ _ _ _ Di5hw25he� � _ i � _, _y _ M¢t2/ ��Ov¢� 1008mp5 _ _ _ (This section neetl not be completetl if the permit Is (or One-huntlretl ($100) or ` , . � Iess). �� � � � Dishwasher ; � Solar Pipin9' Dryers ❑Gas� ❑Electric Sub Panel � . ' i I certify that in'the performance of th¢ work for which this perm�t i5�i55uetl, I � ` � � � ' ' - sM1all� not employ any person in any manne� so �as to become subjeGt to the � � Drinking Pountains� ` � Solar Tank ' � � Fan;' � ' 1� ' � ! � F Workers' Compensation Laws ot Calitomia.' . .' � � � G' ,MOtOrs 00-1 NP 07Y - 8 � Date Si9nature ' � Floor Drainr ' Swimmin Pool w/S a ' " ' � - ' � � 'NOT,ICE: If, alter making this tleclaration, you should become subject to tne � 9 P F.A:U. Inc. Sola��09-15 HP 01�6-15+ � i� I Workers' Compen5ation provisions ot the Labor.Cotle, you must torthwith FloorSinks- - ' - --- i - Urinal ` .- . - ' - � - - Fixtures • � � ' ' Microwave' ° comply �with such prOvi5ion5 0� IM1is permit shall be�tleemetl �¢voketl. '" � CONSTRVCTION�LENDING AGENCV � ' ' ` "' GaSService:i �Outlets � WaterClo52t � � � ' � � ' I hereCy atfirm that there is a,construction lentling agency for the pertormance• � - '� - � Device Boxes ' ' Pole Light { of the�twork for which thi= permit is'issued. (Section 3097 Civ. CJ Interceptors� - • Water'Heater �� -� ' �utl¢t5 � ' � Lender's' Name Fiange . � LenGer's Adaiess • '� � � . - Kitchen Sink' " � � Water Service � � Switches Sign ' ` � OWNER BUILDER �ECLARATION �' � ' � - . � � � � 1 hereby aftiim that I am exempt from the ContractOr's License Law fo� the � Ldvdto�ies �. - AUtO-WdSh �' � � Garbage Disposai ; Standing Sections ' following �reason. (Section_�031.5 Business antl Professional Cotle:�-Any city or .. I county which requires a permlt'to wnstruct, alter, improve, tlemolish or repair P—Trap��� . `Laundry Trays, �� � " � Generator �0.5 KW 05�15 KW Trash Com actor ,any structure, prior to Its issuance,-elso requires the applicant tor such permiL - P 1 , 'to file a 5igneG statement.that he/she is licensetl�pu�suant to the prOvisions of � _ RoOf'D�ains ' � � � � . � � � � • ' � - • .the Contractor's License Law (Chapter 9(commencinq with.5ection 7000) ot' . . Oivision' 3 of the Busine55 antl Profes5ion5 CotlE) or that he/she'is exeinpt � � . _� - - . . � 'herefrom.antl [he basis for�the illegetl ezemption. Any violation of Section �- � �" . _ _ � . , � � � '03L5 by any. applicant for a� permit subjects tfie.applicant to a civil - ' � enalty of not more than tive huniiretl tlollars ($500). , ' � ' ' . � � ' " . , � ' ' ' ' � - , . ❑ I,� as' owner of the• proper�y �oYmy employe¢5 with waqes as [hel� sole � ' ReinSp¢CtiOn'FeB' � �$15: ' ` Issue Fee • ' $'3 i compensation, will tlo the wo�k, and the structure is not intentletl o� otferetl � �ReiOSpeCtiOn Fee $15 .Issue Fee' � ' .$ 3 ' for sale (Section �044, Business antl Professional Cotle: The� Contractor's ' . -� • ,'MECHANICAI � � FEES License� Law tloes not apply to an'owner of a property. who builtls or improves ' • - . . . thereon; antl�who tloes such work himselfjherselt or;through his or her awn , . . � ' DEVELOPMENT SEFiVICES REQUIREMENTS: . employees, pwvidetl that such�irr�Provements are not intentletl ol�otferetl�tor 80112C� � ' ! HOOd OI Typ21 I❑ � , � � � sdle. If, however, [he builtling or improvement issoltl"within one year ot com- ' '' ' ' ' Canopy ��Type II� �� � Zoning Approved By Date � Oletion, tM1e owncr-will'havc Ihe burtlen of proviri9 he/she ditl not builtl or im- Duct - Unde� Ground � ' � ..� Building Approved 6y � Date � ' p�oveforthe pu�pose of sale). ' ' - � � : ' ' � - � , . . . ❑ I, as owner o( the property, am exclusivery contracting with licensetl con- � Duct -Structural - i �' Refrlgeracion System �' � Appliption Issued By � ' DatP tractorsto.construcl the project (Section ]044, Business antl Professions Cotle: ' -� � � , , ' Sne Convactor's License Law tloes not apply to an owner of property who � Duct- Ventilating __ � _ �. ❑0-700,000 BTU �100,000 BTU '' , � SUMMARV OF FEES - � ' � 1 builtls or �improvej thereon„antl who wnt�acts to� such 0/ojects with a mn- � � '� �� ' • ' tracror(s) license pursuani to the Contiactor's License Law): I am aware that ; Exhaust System O Multiple O, System Repair/Alteretion � � � � BUI�DING PERMIT �$ � SMIP � '$ ' proof of their Worker's Compensation insurance shoWtl be provitletl to me. . � -_ �� ' pLAN CHECK $ PERMIT � � L7 �I zm exempt under Section . , B. & P. C. for this reason . Firepl/Fact. Blt. ICBO #. i i Fire Dampers ' �ISSUANCE $ ' PLUMBING; ' $ � . i Date Owner� ' ' Heating�System & Ducting 'Registers . �� ' � ' p�qN CHECK 25% $ ENERGV P.C. � $ ' ' I hereby certiry'. that .I�have reatl this appiication antl state that•tne above� � ❑0-700,OOO.BTU �100,OOOBT - � ^-- � ' ' GRADING �$ ' information is correct. I agree to comply wim all city antl counry ortlinances � - - � � ELECTRICAI ' �$ antl state laws relating to builtlin9 consVuction, antl heretiy authorize repre- ' ' � � � PLAN CHECK 50% �$ MICROFILM � sentatives of [his cit -to enter upon the above-mentionetl prop¢rty fo� . ; " ,' , , i � . inspection purp s. ' MECHANICAL $ TOTAL FEE '$ � � � Signature ' ' Date�3�/ / � ; . � ' • . � � Drivers' �icense or.55 � � �� `�/ �' Reinspection Fee $15 ��Issue Fee� . � $ 3 . PLAN CHECK 25� $ ' ' ; i CMF 0865-46, rev. 10/84 White - Canary - Applicant; Pink - Acrounting: Goltlenrotl - Assessor' � - � , , . . .. ... . .. � . _ , CONSTRUCTION AND PLANNING P��� '�'4 � APPROVALS Permit# Date Inspector AppROVALS Permit# Date Insp?cror .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 Reinfarcement - 56. Rough Plumbing & Pressure Test 6.. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . 7. Footings ' ; 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Struciural 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 Electriral-Conduit � 66. Solar SYstem-Final i 6, Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 78. 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 Fluih 24. Roof Frarning 73. Undergrnd. Storage Tank O 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 37. .Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Flnal Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing G ��j'� (�� 39. Water Service-Final ! 40. Gas Service-Final 41. Solar pomestic-Final , , 42. Backflow Preventer ,�43. Backflow Irrigation .44. .Landscapa Irrigation System � 45. Sou�d Attenuation 46. Handicap Regulations 47. FINALS7RUCTURE&BUILDING 48. Special Requirements Completed. 49. Elearic Release to Edison � ' 50. Gas ReleaSe to Southern California Gas Co . :51. CERTIFICATE OF OCCUPANCY ' Nn. Date � ADYliqnt to fill In all spaeas e:ceD< <hom wit�in �eary borCar Iines anA�ign all a�rooriata tleelantionz. :1%GrJ ' �CI22/B3 �j•00 T� � CITY OF COSTA'MESA."" . __ -i"— -r o . --; - - , .- _ �_ . � � _ _ _ r_..� �. _ �_� � � j PER IT�v O - TRACT NO. LOT NO. � BL _ � CONSTRUCTION P_ERMIT t . . .,. . � + � v� -(0.3 9•:a�q. ' a; � � � � �' !" j f � . � :' �'r'.: `�? � I :' . o. � � ; ` � n � � 1 i •. j > �es I. . . ' ,: ' ' . : , ; � ` '. .it � � ' --' ' _ ' c': . '; � rv. � � n .,//1'�/!'% � �l ' ' �, . . . ;' , . . . . . . � . �C , f ^ `' .J ' , j ..'�. ! . ApplitenY$ Melling Add�eA J , TYPEAF CONSTRUCTION , � NEW , ADD �ALTERATION- REPAI R _ _ � _ � � � � L � � , � �' __ � . ' �' , � VfOleat Addfesg� �iM✓ � . �. �, 1. • : 7 . �. ' , ❑ CONVERS�ON � O DEMOL�SH ❑ OTMER.. ' 4 . � ' { f . 1 � � - _ � r . f '•` 1 '�.�� � � I �t. ! G �' �� I '� , i t ( . i2 . � � . /J ' � 1 1 1 � ; '� ' �� � :DESCHIPTION OF'WORIC ' - f ' - °. : ' t . . � ' � . � .� - (� Own'ersName �'1A!lr�I9i iV 1 r., ��. ohone�'44��1�3� � I� a, .' "�� � � �"' t.� r r �,� . t � � ' �� ^ ' t t' I Z ING E ULAT O S� � �' � ��•: '�b Address I ,�A v✓ /` � � r ^� t . �.. . . . . _ . . � � . � � ` _ • _ : . - .. � , � 1 y ,� . � f � ., - �� - ...��; r� ( .'TVPEOFPERMIT � 'GRADING� FOUNOATION ;STRUCTUHAL � �' A P qW' '� i = . � � . ZONE ! . ..� {,� l m �.; i _ Arch/Eng ' ' � ° � LIC@OSBNO � I O TENANT O,ELECTRICAL �✓'PLVMBING ❑,MECHANICAL � '- � i � " � `BUILDING 4 - - � .. r ca ,� ( 1 1 �' I : '. � .. i i ' � � � . ' f � ;. �- � .PLNG. REF..#_ . , . ' 1 ' 1, i t I \ Address - � '` � . r . � . . l 'c� , 1 ❑��OTHER � t � �.- f I � � , . . , '. � � � ' i .. .' , . . � I m /� , i. . � _ .TO BUILDING;= t ' , � �r ` � a � � � a��p �%s�N L �-Y�/'in T✓P p �`.�,5 `.3 �?/� ; ; PRQIECT DESCRIPTION� 5 FT � - � � � � � " lOCCUPANCV ' ' PR E TV LI E �- � REAR YAqD (TO P/U } ; � � Contractor s Nem e� ^ hona� ,. Q � � � . . ._ , , ' , Q - '- < " 1 � � � � ; j j , ( ; ! ' ;LEFTSIDE VP.RD ' � � � RIGHT�SIDE VARD � I�i! � Addresslmeilingl�S� 3�3.�!� �'i'(��-��� + � �� I' � �.�CONSTRU fT�ONTYPE VALUATION$ . I."' I 1 � r � � �. � ^�• .. � - 1 �/+�L,�1 �� � � t • �' �? ' � I ? ?. 20N� t !' GRADINGGU.VDS:� i � �ACRES _ � PKG.SPACE REQ. �. . � PROV.IDED ' N` � j't � � = ��'• Licente No. - , . . � , , : � . � , � �. : � � . WCENSED CONTRACTOR OECLARATION � ', � '. I !, Remarkf i� v � � ! i � � ' � ° ': � � � ( . STREET WIDTH � � � ! : �PARK FEE $ r C , �� I�haraby: affirm that ,L am II<ensetl untler O�a��slons of C�arter 9'(commancing ' ' -�- . ' � wlth"settion 7000) of Dlvisl6n 3 of t�e Builne3s antl Protessians Code, an0 , .�, � � � j � � j �. : F f � ' SPECIAL CONDITIONS: � � � f� � f� my Ilcenu,is In full i rca antljaffact • }. � , ' ' �- ' ' ' � - . . , . � : � ucense Class' ��-' �� � � � Ucense No.d/;�G d 7� �� f ; r i '� Y' 1 '_PLUMBING j ; • ; f. y � � f' � ( � � � � �'_ � I i �. Datr / �;-Y9 519naWro �/..r..( �✓w _ Y'/.�ii, i 1 ' i; . � . . - ORKERS' COMPENSATION DECLARATION S c i „ j �' ! �� Ber Siok� �' , Sewer Cap � „ � � ' � ' . � 1, ELECTRICAL ' i ` - � -. ; 1 {: �?;��reoy�aHirm tnat I have a �ertlficata of consent to seH-insure or a certiiiwte �1�. •^ - . I ,Automatic Washer ' i �Meter ❑bver 10b amps r t � 1 s�"rVJorkers' Compensatlon � Insurance, or a certlfie0 copy thereof'(Settion ', "`� BackflOw.P�2 OtO� �. . _' - � Sewe� ConnEGb � ) _+.. . _. � . _ .. __ _ _ _ _ ___.,_ � _ _ S.._ ' v2 ._. �� Orl'.,.. ..y: .. _...1 . . , , ..i . � 4 � � - - �• ConstructionPole. Pt �0, Lab. C.) 1/ C . ' { _� � � Sub Panel; � j '�~� "� x� '� � �Y�d �-U ��'f1'dc'ic � Al5 � �� �� Beckflow IrrigetionY (- 1� Solar Collectors J-.. � 1 i { � . � _ . Pollcy No. ' ' Company � t. . , i ��� . COOking Unit � i� � �- � .Sub Pole � i � � ! � � �rtiflee�covY is nereoy turnishea. • ' i � � j ! ' Bathtubs �, - �' . $olar Pipmg � ! �- � . . � � � � . , � _ , � i: Certffletl coOYJ s fileil wit� the tity Bul{ying Olvisiom � �7 I (� Distiwasher +�=: ° I" i �Motors OO-1 HP �1 h-8 - Date /=.�/1�.F 5 : APPliwnt Xl-.sla :i. �9iy✓ . } �� Clarifier's I_ i t� J. ; '' SolarTank �. ' - t- . : .. . , . ;. i I' (7hE�iaction neeA oot DecomDRe G�if the pe mR I�irTor ane huna e�e (S100j or ' i� �i � I Swimming Pool wlSpa ;, � � �- -"' Dryers- OGas � O�Electnc'�• �--' ti- ���clSoiar?09�-75 HP'L716'15+ � � Dishuvasher . . , less)' ' t i' � ' �� � . 1 ; ' . . � i . � . . • , Fan% � ; � ;Microwave ' � � I I certiry�that In t�e pertormanca ot the work Tor whlch this perm�t is issuetl I' �� Dfinking Pounteins �, ��- ! Ufinel �_ �" �� �, � i , �- � � I i• ^! � t . I � � � I ' ; . , ShalFnot.employ any person in an manner so as to become subject.to t�e � � _ . . ' 1' - -� i ' • � • � , ; I. � : ��. . F.A.0 n I 'Pole�Li ht I 6. NOT.ICE:,If,aftBFinakln9.thi5.tletlaratl�on„you.shoultl.be[lmesubiect.tothe_..,._..F.IoarSinks .:1_..._�'�'ater_Heater�,.,.,._. i J , , • , ' ` 9 ' ' � , Workers• Comaenzatlon,Laws oi Ca�iforNa.� .. I' .� i Floor Drains' i � . { ' I Fixtures i i f.}. ,I ; � Range.. . I i J. _ �. ;. y f ( r � � � � Water Closet i Data � � Stgnature ' ' ' - + � Workers': Compensatlon provisions of ;the Labor Catle, you must forthwlth i. � � ' ' - � � - � - � � ' I tomply !wlth� 5uch !proVlslonsl or -this�}Dermlt' Sha11 be Itldemetl rov,okatl J•' � � Ges SeNicB. $ � qOUtletS � �.� � W2tef SCrv¢e �' ��_ � I- Device Boxes 1 � � Sign; � �� � J� .. � -� i - 0 - ('CONSTRVCT,ION�L'ENDING`'AGENCV� � %' � �' ' �� "{' • ' ' ' � -� . . 1 here�y aifirm that Ihare is aicon5trucHon lantling agency.for t�elp ertormal ce �� ,: !. In[erceptors'� '�� � � � 1�.-,' � �. _! , r;- Out1Et5 ! � � �Standing Sections . � � � �� ' � w t ! . . � �. - ot the work 'far Whlch,�this perTit is �i55Uetl^(SeCtion 3097,� qv C � i ' ^ • - � "' � . , � ' ' ' I Lentler s� Name� � - � ` t • 4 t - '� . � , t ' r ,: - - - Switch2s � l � �� � � � . .. I ", Kitchen�Sink �� . � y, � � � ; �" a . r f � � . i C�. . . � ! : , rTrash ComPactor � . � � � �. ..lxntlers'Atltlreii ' ! � 1 .L �; - : f � ^'; � . . � . : . . . - � - � � ! ; cr . . . C' I Lavatoiies � �� � � u � c ' ' - -� . � . f- Gartiage Disposal ; ,� j � OWNER BUILDER OECLA, RATION E i 'r ' ..: � ? ... � ; C ( � .. � y �1, , . . ,q � o , �I 1 � .. �; I ` . � ' i �" � I herebyjatfirm that I am exampbfrom thejContractor's'Llcense I,:awYor the ; �, . � - r - e - - Generator,�O0�5 KW 05-15 KW �" - � { �` ' tollowing �eason:(Sectlon„7031:5 Business antl ProfeSsionxl'Cotle: "Any city or j�. �. P Y�eP� � , �.', p s- :�. i i, y', �--' S, (i , � i_ �.county which raq Wres a permitto construct, alter improve; tlemolish�oi repair' � �, � � - �.� . ,- - T�anSformEr � 75-50 KW � r , t - ` ` �. �any structure' prb� to its:issuanca,�also requires tl�e:avP�icant.tor such parmit, � Roof Drams •, � +,•� � ;; � � - � � , � � . - � �� f � ' f' � to file a:slgnetl statement that he/she ii licensetl puisuant to the:provisionz ot � � " ' ' �" ' �- ' ' � • � � ' � ^9 Contractor'sLicanse Law;(Chapter 9(commencin9�wlth Saction 7000) of i_ -. � I"!. e�. '� -'^+ i v�" � I•_ "".��. - � �5U+KWi 1 � !Reinspettion Fee � f $15' the'�Business antl�.Professions�COGe):or:that he/she•is:exempt '� ShOw¢�5 �,;,� � ., � �„ , Reinspection`Fee. %$15 � � t .'$ 3 � miont3'of. ' . . • .,.'�°k:from antl the, basls tor the alle9eC exemptlon. Any.violation`'oT�Sattion �� � - , . - ' " - Meter ❑up to 700:ampi � ' � � ��Sque'Fe01 ' i � 1 5 by,yany applicant for_a:permit=SubJects.the;applicant to'a�civll � � • :� � l � � ' 1 : � ��~ ��� ! _ ., . _ _ _ :iit oT not�more than five hunCretl tlotlars E500 - � - � � - ( i S2rvic2 Sink {- ' _ � laue Fee � � ' $ 3 ' � � � i� Y. ( ),- � r �.. .. .a.. , '. � j � � i � .�.t I I� � 2onin9 APProired BY I. I f t i ; f i.Date , . �:J�I�+es owner oft�the.property orllmy employees with wa9es:a5 their sole . � � �-�� ! ; j � � ' � � F .�mmpensation' wilYOo the work, antl tha;structure'is not Intentle0 orofteretl �� � ; (; � , ! � � � ,MECHANICAL' t i � �� qppjjption Approved By � r ' ' � 'Date � � � � � tor sale •(Sec{ion 7044', Businessi anCj Professional' Cotle:� Thel Contractor's - � � � � � • . . . � • i i ; License Law tloes mt apply toan owner of a property �who builtls or improves i Bo��ef_ ;, ' �{. _�. �� {_( Refrigeration Systern j i' �p lustion lauad B { } �� , { � �� ' Date ! j� ' � � thereon,jantl ;who �tloes�.such�work nimselt/�erself or through his or her own'' �� �� �' �� � ' • . - 1 ' ' i- ' � � " PP . Y . � ' - -- . � _ �'employ eas, provitlea th5t such improvements are�not Intentletl or otferetl im �'� Duct'=Under;Giound � ❑0100,OOOBTU �t00,000BTU; {, , ; � � ;�sale. If, however, Ihe Gulltling or Improvement Is soltl wlthin one•yeariof mm- � �- , , . 1 � -.- , ; . , . , ; , ; S � . { SUMMARV OF FEES � � � � ' � � '. ' pletiOn, the owne�Iwill have the burtlanpt proving h¢/sh¢ tlitl not bulitl o� �m- , _ . - .. - ' �� : j� �. � � �. 1- � �,�,Qroveaor,the purposeofsaie)-: 1 � � ,; � �� � i- ., ' � Duct-Structural � i. �; � �, System Repair/Alteration I� 4'� !BUILDING PERMIT -$ ; � �� SMIP ' � �� $ i' � -� i � LJ t, as owne� of the pioperty, am exclusively contracting�.with�llcensetl con }. .. � � ' ` ' 1 ; � � }� � tractorslo constru<t tha proje<t (Sectlon 7044, eusinesz antl Rotessions COHa � ` Duct- Ventilating_ i' � , ! M !�,_ 1, , I I '� �PLAN CHECK� � ; PERMIT �' -! ! {' . The� Conttattor's'License"Caw'does'not'applyto'an'owner oYproperty who'-"' -' � ' ' - ' - - - --- "- - ' - -' '"- ' ' ' % $� ' t � : � $ t � , � builtls oc Improves.tnereon, antl who contracts for such proje<ts with a con - t ; i. ;PWMBING �. � S(yl 1� � ISSUANCE : � ; � �' . I i � Exhaust System � Multiple 0 � j-- : ! ��. ; � j , $�; i , , . � ', � tra<tor(s),-iicensa pursuant to the Contractor's Llcense Law): � � i p - ' '" � � ; �P�P,N CHECK� ( $� 1 � GRADING � � $ � S . ❑ I'am exempt unCer Sectlon � ' � i B. & P. C. for thls reason 7� Firepl/FBCt. BIt. ICBO � � � � �'. � { f� � f � ' ' j ' � �$� �, � .. i. i � i, t I 3. E 7- f. 7 � . . . . ..i ' { i ; J Date * • ' � Owner� � ' t � � � � � � I Heatin �System&Ductin � � � � - i a:. 'ELECTRI�CAU I. $ � �' � � � , ; .. . � . 9� � 9 i � � � � i . � ' ' � �PLAN CHECKI. 1 g" I f: .' ! MICROFILM : $ � ! �. �'. '�,I.hereDy.�certify._that I_nave,rea0.thii.apD�ication.and.stete..that.ttie..abo.ve.,� �_ �R100,OOO.BT,U.�100,000 - ; �.L. ..`A._..,'� - � _ � , { : ( , ,I , infocmation is correct. I'agree to comply with all city:'antl <ounty ordlnan<es . 9 . . + � ! ' e �t� � i ��.� i ' ��'F � �. j. � �', TOTAL�FEE� � $ 1 �� �"%�/ �' j_antl.ztate laws relaUng to builtling construction„and hereby authoriza rapra- - � �. �MECHANICA� ,$ : . ' i sentatives ot.this dt .to enter: ' Hood or T� e I ❑f { �` •t f 1 , r � � , � ! � � [ Y up q the: above-mentionetl property for k �P � �� Reinspectiari Fee�� e`$15 � ., LESS f � S S' � � ,Insoectlon ow� qo�ses. �; {, ! :� 1 � � y. . Cano : .T e II �i' 1 . F t, t ; .. � , } $' + �. ; ADVANCED PC � $ � � i� �Signaturel�ll�//N.,rt./iC '% -�'-i'r/�1 Y Date� i�U��- � � � �. ; � r. fPLANCHECKI !.'' ; . { ; t, f � ! � DrlGers' License or�55 �. " ���' �� t ?� Re9ister5 I; i � � Issue Fea t �.S 3 � � . �' ) FINAL FEE. i$ ��'L`"��� CMF'0865-46"ieJ.l'282.:.�White=. . .�_.'--.�. ,�. _'�': .^o' _"""'" • .. . ; " "_' _.....�.........__._....._.�-..- _ ..�.-. .-,...... _... ,.�.-.-_. — .. _ ._ .......�_"___..._....�'_ _�'�"__....._�....-...,. ...-......,, / BUllifin9;CaPary-qpplicanhPink=AccountlngTGoltlenr8il"=�P.ssesso7 ` , . � %�PFlDy -rc�.- ��/SP_c°Tio.✓ ; . .s .. •.�. . . c�S�. � ..^4r ' " - . 7� . � . � . . ' ,v . : X,a-��„-f. , " Y � `�, • 1 � � �� - . f ` '_. _ ' _ __. __ __ . _ _- _____"____ _ - " ._'_"___ __ ___ __ c> - ' ns�;r � � .�, POOI=`�a�- �:�A � ., � . ��,t' �-:f � ��� CONSTRUCTION AND PLA NING L� � • r :_ _- . Q �.. � G ( ' V C �, r �APPROVALS- Peimii # ° '- � � ". ` ; �Date , � �Inspeetor( .. sy�PROVAIS Y- Permrt �° �� ' . n '-,.Date ; �Inspectori , .1�1� � ,l :S �v' .,^ eo.,��-� :.nic._a�. �3 - . .c..f I .: ' ' ,a � � :1�. yTemDocary� Electrical Ser'vice o� Pole � N � . '' "� n : I : � „; �? �: 052. ��Pool &iEqwPmeni�L"ocation:;: '_ ' � � . i , ' � ' • 1 _ c , �oi2,�Soil'Pipe-Undrgrnd: ` '� _o� 1 �� -- j�iy c� `>, °53�:Steel�R'einforcement `y' ���. ° ,a _ �- .; � � � � � i � _ � ,. _ . , ,, . � = C3. Electrical Conduit Utilitv�Undrgrnd. f ���-' °- _ -� ' � ;54 -Forms= -'< <.-^ "- ; , T v- � I :i � i i.�e :t �� �a i , c- (. 1 V� �� � . . ' n ^ ., r ' t : , c4 Electricai Con'duit-Undrgrnd.�>: ; �_ r,�2 ' '" � �� � °55:'Electrical,Bonding^ �c�: , � 2.,'� , � i i ac •�n =.a c`� t�_�a"Sic,. ?E'c - i. - � 5. �Sfeel� Reinforcement �, �^�'; m� i o; ; �` a=,`,� d � r�, �56 -. Rough`Plumbing &�Pressure, Test '� � I �'' - i�) ; t6.+ElectricalUFERiGrnd: �q�=�' � ����n �°,�,i. r'z`���57 APPROVALTOCOVER-GUNITE ;,�"__ ��''; ;-'_ ,: � � � i � F ' � ¢ : � c I ' a, i t � _ ' _ . _ . . , � ' y �: , - 7.jFooting's � � � , ��;.m � �; a - �.o ,.r � ��58.'ElectricalCpnduit,Undraro�{F.. `�� r _ , "` 8. }Fouridation : � � I I � �'� _ I n � '" � i - � � i' %�59.'Gas PiPej O� Undigind:,-Teit' � f -_ -. � t � - _ ' �-, o, z- o �3 � �. - .c '; �- 9. �Water Pipe� Undrgrnd. � � � < < ( `. � � � I = ' ;'g0. �gackwasfi'Linesj P-Trap; O�Undr'grnd ^ • ' ,^ � � _ � � - , 10.�S4ructural Floor�Sy,stem I ;^ 5 I � ; � ' i �< �� <, �61.,'APPROVAL'TO_DECK' -;�' - -� m � � = r �� 11. �Property Sewer Line &' House�Gonnec[ion� _ � � � � i: �`, � f �62. ;Backwasfi &� Receptor-Fin'al�_ : ; : . 12.iS0WerC3P 1 I' 1 .^�^ i � � i: rv .i �' �' ... .- �:> '�''�' ' i , i � i � I � j r� � � s - '63.�Heater & Vent=Final - �z: . _ � , , 13.�Roof D�airis � � � � �= I � 3 � � - � �^�,� ' � rgq: PlumtiingSYstem� Final�. - . c � ���� ' � �.� , -��> , � ., 14.�RoughPlumb�ing� � � ! -�- I 1 "O I t -.`+� '�=65.'Electrical-Finel" -_- �-�� - � " � �� �� n ;`15�Rough'Electrical=Conduit'� � LL _ -_.r_.,..�. _.._ .,.. ,: .,_ I � 1�_il�- -r t E--T-T_T� � 66- Solar, SYstem=Final"' �'� I I � .�, ; 16.� Bou h ElectricWiiin �� --}-�•r L" � ' �"'�-- -' - - : - -' .- ''_ _ . 'q .��,, 9 � 9 n� � I �I �,� -f"W i;; f� �� c 1 � I_?67rFencing & Access Appioval� r-' �`, r-'.., .�.T �. IT.• 11 , f li `� _ �'17..{',Rough'Wir,ing;Sign� ; z. �{ J� ��,° " � � i r � r ' �gg; �APPROVED.FOR.PL;4STERING � _( I _ � - i' '! � ! - - �7.. : i��1 �I, I=�i�o�ct �c;��� .- .!. , - viB.fRougFi.Elec[ncalT�Bar Ceiling !� `� � � � � � � ` � o ; c j � �89t ,POO�L%SPA�SYSTEMS FINAL, T' ' . � � � }� �. � � � ;. , . „ � 19.�8ough� Heating & Air`Co.nditionirig 1�` 'j , �� � f � ^ 1 � � � FIRE,DEPT. REQUIREMENT , � '-� � � =� t . ' ': ; •rn� .� i �. �� C.• i r i o- . I �.". � 1' i �+ . ,; � ; I � � �i - �` ��� :� 20.'"; Rough. Facto'ry Fireplace � " + � � � . �APPROVALS, Permit # : ' ' ' � _, � � �. „ ,i i ., � 1 ! s r � i '+ � I � I � S I � � i � � � ; . ' 21.��Ducts`,-`.in�Siructur �`" � � -! �� h � � i � i � � �70f Underground Hydro �� ' , j, � � a I'� c � � j � � �22.i'�Ducts,!Veniilatin9F In 1{ fi �� 1 i I � ��� i71� Product�Pip�ing3OGas �Oil �����,� j ; . 3 - ? �' . d ' ' � � I I"_ �___ i � "'��_r-r _-._. .__'-_�z :._._-r . x�23. GasPipe-Rough&Test;, ��T � E •) 72! Under roundFlush � 1 I � T . � it _ - � , � I I .,-� �� I i , ! 9 , r_ ; � -� - � � � _ , '. ;- � , . � � � � -� �� � i � , i � � i -. '?24..RoofF.ra'ming ; �, � � ��a,��,�- �coin�+,, .;.�;y�� �73t Undergrnd.Storage�TankrOGas.�Oi�l �� � � j � - - 25.'� Roo`f Sheathin9 I 1 I : � � t" I�: � , �1 i �') � E { ' ; � � ; � 74� � Overhead Hydro � �.:; ,� � •; � �: i ; � R ! �I � � �-.. .. � ,; 1 • •i i�'� _ � c I F. u' I ' � � ' i! � 1 ,. i � . i � 1 � - -26.�T,Bar Cei�ing��Structura1�il& Monocoaf f ; ± h � „�i , Q � , ;� a �75� Diy Chemical ! e- � -, i `� _ � � , . � � � 1 �27.�Frame�and'Flsshing F � � � 'y il , ; f �'' � � � I I �76: D�ry Standpipe� - `'` `' I � � ; : : ( � ^28.�lathing&'Siding" �; � i I � �� �; � ; i i g1 � ' �77; FIXED�SYSTEM'`FINA�L: �� �' � ' � ( � T ` 29�Insulation } �• � Q ", � ` � f� �� � + � I i ! , �78'• FIRE PREV. FINAL" '' � � ' j � I " t f � ' .. '30. �Drywall Nailing I �� � a � I i) u ( I � I i � � i Notes ; � } + � i ? � 1 � i � ' � - , . . � _ .. :_ . . . -- - -- - -- - --- - - i i �� -- -�-- -� ;- � T r-7-: -- � _� � : �31.�PlastenBrown Co`at� � � � i� � 1 ( � � � ,3 � ; � o � � � i � , � ' � � i � � t � � - �. r . � t t � ' , � , 32. Electrical Power Meter-Final � ' � ,�,� ! � I i i 3.� i i r t � � i i � , ' .. � . + 1 :: . ' .`��1.�1��._� _:_.L. _ _.��.. � , � 33.'�Final Electric i� � , i � � � ! � ; � � � ' � 1 � ! i � i I � � �-._.Y_ �• i-- •� . � � - i i r � ' ..�.,., ' �'�---�' ` . _ -. - - - - - �'34. Final Heating,&,Air Conditioning � i i E �� � , � � � � �. d }.; . � " I: :1 lliCiT' iFiR. 1 .0 t1 • � i a.�-�ml .1 � I! r'�r',�PI tt� r. ^���� oa�.���'�. �� _-. _ -1 . 35.FinalGa`sPiPe'-Test*,����„�,iry. � i'����fll�ei.rf`�4���> -�:I�<<�� ,, - ` '� - ''��-�`�� 5 36.HoodAora;CanoPY��im!n{:�n� k�����of�� �� � �'' �l t:i ��. f� r'j '` n �' 37. FinaLFactor,y`Firevlece� � = i °I �' i �: i„ I c i ' � i � � i I � a � , � � ' . �� � � f , .� �� ` .j 38. Final �Plumbingl � � i ^ 1 � �l �; ( � i9� %i83 O.l� £N. � � � _ � r �' � _'�!' � _+ � µ � � 39. Water�Service-Final � . � �`� �� t � i � � � � � t ' �_ ;" _, � . �, ,, ' � 40. Gas Service-'Final � ! � I ! ' � � f � ; � �-' ' � ' � . , n t� i � i � I � �� � 1 � I � 1 � ' i ' �{ ' � � i i 41. Solar pome'stio-Final ! � � ' � j_. ! i ' � _� - � - �_ ; �_� � -' i . �' � � . �r �: I , , . ;a.i � t � i �----"� - --r- --- r :J i ' 42. Backflow Frevente� _ � � ; °m' . . �_+ i ! � - ���---� �- � � _�- '�: ' � 7; ;£ � ' i i � ' I �s, „i r r�, '- 4 � � �.-.r- ��- _ aGil � r1'' ' V ;: . rJ'c _, � �Q�rc r�l?�� . � - ' n' � . 43. Backflow I�iigation�! � � i��� i�� � ��z' ;� j�, �; i'�i �i ;' � � ( `�. � n.r., - �,� , , r � � . _ . �',: f c I � �; � - � � c � ` � 44. Landsca e tr�i ation�S sfem � nG .>' �:r; '�,� n' � I , ;� ^" ,T . Q e<,P ,9 .�Ya� � �__.�-.1"1„�c l i I' r� . .] -';1 45. Sound cAttenuation; ( � I a � j ' �1 .: � i �D �. � � ♦ y � �� � � � "i � � _ � ; ", °' � �•` .. ,� n..l _i .a n` 1 ��t i � � _I ��. r - J - �v ,.mv :..; � •r_�i I I� I•. � �f,l r� f i i " :f 1 ' ' '] � ^� ' v •� ' 46. Handacap Regulationsi : i`.' • 1 I. _ � c i f 1 ' � ! ' � j '� '.-� , � ;i � '� ' .� 47. FINA2STRUCTURE�& BOI�LD�NG� �N ( ! �c � ;� � � � j , ' � � ` � ;� , , -. 48. SPeci�l Require�ments �Completed � ' � I ( � W � '� � ` , '� � i � � ' � ' � ,'!�� -a � .s t .. , .. <, � n i � i � � . � ^ � I , 49. Elect�ic Release tolEdison � I.� ���_,4- �._+_.�. i�.r..t_.'� ;--��... : i ;; � I i�,' I � �' I � 50. Gas Release:to Soutfiein 6alifornia Gas Co i � �� � f I �,.� , t�? , ��`• � '; 1' I � : d u„ i � � �� � � 1 l 1 � 1. � � 51. CEFiTIF�ICATEOF OCCUPANCY � � "„_t_.., F _j._.�_�'_�..}._ �..1�-_�_�-�4 i , , � � , { ' �, . No �I .i � { � Date � il � � � �; � � �, � � i , � � � � ,.� T -...�--'`.:, ....:�.�. l�.`�. _�,_ �._J---- --k=" -' - - - \ -- AVD���ant to fill in all sDaces exceo� thosa within heavy oortler lines antl sign all aoo�opriate tleclarations. CITY oF COS7AM•h• S(�pj CONSTRUCTION PERMIT Projec[ Address 4J� `"`oucester, �S� �Sd� Cti 9xJ27 ' Applicant's Mailing Address Owner'sName Tho Mhmc ('n �Phone.�'�Q��,.�_� Aildress p n B(1,X �G ��if�lfl� �id � �5 � �� �GJ� - � . Arch/Eng. License No. A'ddress Convactor's Name ������ Q_�.o�e� DW�i 9�� Phone �14_��G�rK')11 Addresslmailingl�n,o�n�P,1MC�__�� �a _�_��(��� Ciry License No. ���.�� LICENSED CONTRACTOR DECLARATION I hereby af(irm that I am licensetl untler provisions of Charter 9(commencing with section 7000) of Divislon 3 of tM1e Business antl Professlons Cotle, antl my iicense is in full,(oc� a�a ettect. ,��� License Class �_'���_^�^ ^�^� Date WORKERS' COMPENSATION DECLARATION "�ereby affirm that 1 have a certificate of consent ta self-insure or a certificate 'No�ke6' Compensatioq Insu�ance, o�.a certitietl Copy thereo( ($ection ,.o,;°;, No. `' WCL6160302530�p Libertv Mttual Insuran Cbmpany BCe/tifietl coOY is hereby fumishetl. Certifietl copy i i�•tl, wp��� h tne city B Itlinq Dbi ion. Date � ��L—�+Rpplicant �Vance B� Ilssoc Roofina Inc EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (TFiissection neea mt be completetl if the permit is for one huntlretl ($100) or ' less). I certify that in M¢ perfo�mance of the work for which [his permi{ is issuetl, I snall no[ employ any person in any manner so as [o become subject to [he Workers' Compensation Laws of Calitornia. , Date Si9nature NOTICE: If, after making this tleclaration, you shoultl become subject to the Workers' Compensalion provision5 Ot the Labo� Cotle, you must to�thwith comply with such provisions or tnis permit shall be tleemetl revoketl. LONSTRUCTION LENDING AGENCV I hereby affirm tnat there is a construction lentlin9 �a9ency for tne pertormance oi Ihe work for wnich this permit is issuetl (Section 3097 Civ. C.) LenGer's Name LenOer's AtltlreSs OWNER BUILDER DECLARATION I hereby aftirm ihat I am exempt trom the Contractor's License Law for the � tollowinq reason (Section 7 W 3.5 BuSiness antl Professional Gotle: Any ciry or counry wnich requires a permit to construct, alter, improve, tlemolish or repair •,any st�ucture, priOt to its is5uantE, also �equireSlhe aOP���ant for such.pe�mit to file a signetl statement that he/sne is licensetl pursuant to the piovisions of the Contractor's License Law (ChaDter 9(mmmenung with Section 7000) of nivision 3 of the Business antl Professions Cotle) or thal he/she is exempt �efrom antl [he basis for the allegetl exemption. Any violation of Section 1.5 by dny applicant fo� a pe�mit subjects Ihe appliGant to a civil �alty of no[ more than five huntlretl tlollars ($500). ' , L� 1, as owner of tne property or my employees with wages as their sole � compensation, will tlo N¢ work, antl the structure i5 not intentletl or ofteretl i for sale (Section �044, Business antl Professional Cotle: The Contractor's Lirense Law tloes not apply to an owner of a property who builtls or improves I thereon, antl who tloes such wo�k him5elf/M1erself o� through hi5 or M1e� own' Iemployees, pwvitletl that such improvements are not intentletl o/ ofte�ed for sale. If, howeveq the bulltling or iTProvement i5 Soltl within one year of Com- pletioq the owner will have the bu�tlen Of proving he/site ditl not builtl o� im- �ove for the purpose of sale). • LI I, a5 owner of'Ihe property, am exclusivety tontracting with licensetl mn- tractors to construct the project (Section 7044, Business antl Protessions Cotle: .The Contractor's License Law tloes not appty to an owner of property who builtls or improves thereon. antl who contracts tor sucti oroiects with a'r.nn- t{actor�sl license pursuan[ to cne ConVactor's License Law). I am aware tha[ proo( of Iheir Worker's Compensation insurance shoultl be provitletl to me. ❑ I am ex¢mpt untler $ection B. & P. C. tor this reason Date Owner I M1¢rEby certify that I have rea intormation is wrrect. I agree to antl s[ate laws relating to builtlir Sentdtiv¢5 of tbis city to e! In50ec[i0n pu�po Signature Drivars' License or 55 � _ �n upon [ion antl state that the above all city antl county ortlinances i, and hereby authorize repre- bove-mentionetl property for L oate 7-1?-R9 . ",..... .._. _. .— - -- .,,., ,..,. � 30 . A.P. S Main Buildi TVPEOFCONSTRUCTION NEW P.DD ALTERATION REPAIR 'E �❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front -0ESCRIPTION OF WORK/USE OF BLDG. . I A Rear TVPE OF PERMIT GRAOING FOUNDATION O STRVCTURAL C Right ❑ TENANT ❑ ELECTRICAL ❑ PWMBING ❑ MECHANICAL - I' S� LeFt . � -OTFIER Ping. Ref. # PROJECT DESCRIPTION Sc]. FT. - oCCUaarvGv Planning Notes: CONSTRUCTION TVPE VALUATION $ 3703.00 ZONE GRADINGCU.VDS. ACRES ReTdYkS: Tear off shakes arid replace with Class B hardi Shakes Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers � Dishwasher • Drinking Fountains Floor Dreins . Floor Sinks . . Gas Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee ! $15 Boiler Duct - Under Ground DUCt - $tfuctufd� Duct-Ventilating � Exhaust System ❑ Multiple Firepl/Fact. Blt. iCBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 Reinspection Fee � $15 0865-46, rev. 5/B8 White - Builtling; Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecmrs Solar Piping � Solar Tank $wimming Pool w/Spa Urinal Water Closet . Water Heater Water Service Auto-Wash Laundry Tra'ys Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES .4utomatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric $ 3 $ 3 zone Accessory Building: Parkin9 Req./Provided ELECTRICAL � Transformer ❑ 75-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps� Fan F.A.U. Fiztures Device Boxes Outlets Switche5 Garbage Disposal Generator 00.5 KW 05-15 KW Sub Panel Motors 00�1 HP O� Inc.Solar �9-75 HP Microwave � Pole Light I Range Standing Sections Trash Compactor �� Reinspection Fee '$15 � � Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: 2onin8 APProved By Building Approved By — 8 6-75+ FEES $ 3 N I N G R E � M T S. SUMMARV OF FEES BUILDING PERMIT $ f_�._� � SMIP $ �i� n PLAN CHECK $ PERMIT PLUMBING $ �SSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTfiICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ —�� � PLAN CHECK 25% $ ax a�o�nsa-oaoa7�a4 �o-r sa.so DHTF� G7:S3/8° Tili'c: 10:%5 < \ '_' CONSTRUCTION AND PLANNING POOI 'PA � . APPROVALS Permit# Date Inspector pppROVALS Permit# yDate Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement � r. 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ''� .7•, 4. Electrical Conduit-Undrgrnd. ' � 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -'� • �� 6. Electrical UFER Grnd. 57. APPROVAL TO�COVER-GUNITE '� ' .-, i• 7. Footings � `r,� 58. Electrical ConduirUndrgrnd. � f l 8. Foundation w_, 59. Gas Pipe, O Undrgrnd., Test f� 9. Water Pi e-Undr rnd. %i � P 9 � . 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � 67. 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 74. 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 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r� 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure ' 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas ❑ Oil 25. Roof Sheaihing 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: 34. Final Heating & Air Conditioning 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 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. CERTIFICATE OF OCCUPANCY � ' - 'y "� No. Date '.__ � �,��a rtt Ktctivt� � • ' c�Qy 2 7 1963 � COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT, P.O. BOX 8i] GOHTA MEBA. CALIFORNIA � �� CITY OF COSTA MESA For Applicanf to Fill In Completely . APPLICATION FOR PERMR TYPE OR PRINT � BUILDING � . � � BUILDIN6 �/ �] � f0! Offlce Use Only (�i ADDRESS /�.! G'L ov cEs�cR y?��G RHCEIR NO. �E�A�jj . . COSTA MESA. CALIFORNIA U fl[C61V O tY O T REC V6 DATE199O6D OWNER Cape Series Inc. � � � - �' - �a % - MAIL 504 No. Newport Blvd. �oo E'ss AOORE88 . �i�,�, Newport I3each, Calif. No�b46-9341 20NE rrre GROUP nT APPROVBD AORCHITENEER llYent S. 1 �bey No`.HY46985 BY ' DATE � ZONING ., .el 20 a mel'ta La n Beach ' ZO [ NO.OF UG60FNCWi .YJ � �I..�N9� I GUILDI�?�hi1 �, �µ` �(f . /'. ((�H'f � CONTRACTOR l�a e Series Inc. W "°"� Lot 20 Tract 5212 � ADDRESS SO4 NO. N2W1JOYT BIVCl. ceccx�►rwn �� CITY Ne ort $each l�allf. A• P• NO. ' , � I NOTE: NO EAVE OVERHANG 6HALL BE LE55 THAN � STATE `�'ll'�`3'3 TE�. 646-9341 30" TO SIDE 8 REAR . L. a LIC. NO: N . � � EAVEB SRE 4'3.83X44�Q9 I NO.OpBLO60. O ALLOWED �U.B.C.REQUIREMENT> J OF LOT JJ NOW ON IAT ' YARD3APPROVED YARDSAPPROVED <' USEOF nOne MAINBUILDIN6 ACCESSORYBUILDING �i EXISTIN6 BLDO. . . O (FROM C/L 6TREET) W ,I�\ C- 6ETBACK LINE FROM y� U` FRONT (/ FT. FT. �- CENTEP OF BTFEhT C��Ep,R YARD ��J c/ SID6YARDI LfiFT � I�7' I R16HT � 2�.5 ' R.91D6 ��J FT. ' ' F9'. Q LL DESCRIPTION OF WORK �.s�o�� �r. Fr. p � �� NF X ALTERATION ADDITION REAR PI'. Ff• .�y+ ' DI8TANGE BET. BET. MAIN B� , REF..�R - MOVING � DEMO�ISH MAIN BLDG8. ACCESS. BLD09. , BUILDIN6 ^� NO OF VAR•# DATE � SIZE IZ/ 6.S . ft.ROOMS S BTORIB� C. U. P.# APPROVED EXTERIORWALL.CCO I ROOF APPROV �,,U,� ��/��,6_ 6� GOVERING �«� ��o�ER�N�edar shake BY 1.� �ATE USEOFBUILDINCA W R7(7 BEPERFO MED � sin `ibe i°ami�ly resiaence 1276 so. Fr. � 1 HEREBY ACKNOWLEOa@ THAT 1 HAVE REAO THI6 �PPLICATION THE AMOUNT 6HOWN UNDER VA�UATION 19 FOR THE F wN� 9TATE THAT THfi ABOVB �e CORRECT ANO AOREB TO COM. PUHP066 OF fieTABLI8HIN0 A PERMIT FEfi ONLY. � PLY WITH ALL QTY OR��NANCfiB ANO BTAT6 LAW9 R80ULATIHG �(p�UApTf�O?..00 ' pERMIT FEE '$ 3H. 41 m BUIL�IN6 CONBTPUCTIOry, �Yl oUJ � PERMITfE E OF �Jp %N�-� � � m �.� S PLAN GHECK $ OO Q 'AtITHORIZEOA6ENT ' � �Jp. A1 �` TOTAL FEE j JO •Tl �