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Home My WebLink About2483 PARMLEY LN - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2483 PARMLEY LN Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parce� Number: 43933331 Applicant: LINNERT, CHUCK Address: Owner: TEALE, A H Address 2483 PARMLEY LN COSTA MESA, CA Contracror. LINNERT ROOFING INC. Address: 845 W GROVE AV UNIT B ORANGE,CA Zip: 92665 Arch : Address: phone: Zaning: Phone: 714-974-5059 Zip: Phone: Zip: 92627 Phone: (714)974-5059 License: 664319 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/08/2002 Issued: 07/08/2002 Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O EXISTING WOOD SHAKES, REPAIR SHTG AS NEEDED, 2 LAYERS 30# FELT, APPLY "MONIER LIFETILE CEDARLITE LIGHTWEIGHT CONCRETE TILES @ 5.6 PSF (ICBO #ER2656) 1500 SQ FT Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $167.25 $0.82 $0.00 $0.00 $0.00 $168.07 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Requiretl: 0 FEE SUMMARY Calc Valuation: ge,zoo.00 Claim Valuation: ga,zoo.00 PLANNING & ZONING Left 0- 0 Right Left 0- 0 Right Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced wlthin 180 days, or if work is suspended or abandoned for a period of 180 days. • INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 _ LG4fF4tl �fLW) WORKERS' COMpENSA710N DECLARA7ION: � - I hereby a%irtn under penalry of perjury one of the tollowing declarations: � � ❑ I have antl will mainiain a certifica(e of consent to selt-Insure for workers' compensation, es provided tor by section 3700 of the Lebor Cotle, lor the peAormanp¢ o� Ihe �/ work tor whiCh t�is pertnit is issued. �y I have antl will meintain workers' compensation insu2nce, as requiretl �y sectlon 3700 ot Ne Labor Cotle, tor the performance of the work tor whlM this permit is Issued. /\ My workers' co% �pe atlon yIn� ran-c!e� rtler and poliq number are: ��% �7� Cerrier: '��{�[�}%-TliM' /J palicy Number. ('/'l��"' !/� � �� (This section need nof be comp tetl i/ the permi( is velued et one hunOred tlollers ($ f 00) or less.) . ❑ I certily that i� the peAortnance oi the work tor which Ihis permit is issuetl, 1 shall not employ any person in any manner so as to Dewme subject to Ihe workers' compensatlon laws of lilomia, end agree i If I shoul0 become sub�ect to Ihe workers' compensatlon provisions oi Sectlon 370p ol ihe Labor Code, I shall forthwith comply with these prov' iona -� ApplicenlSignature: Dete: ��L WARNINO: FAILURE TO SECURE WORKERS' COMP SAiION COVERAGE IS UNLAWFUL D SHRLL SUBJECT PN EMPLOVER TO CRIMINAL PENALTIES AND GVI� FlNES UP TOONF HUNORED TIqUSAN000LURE�5100.000),INADDfTIIXJTO �QSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION30080FTHELABORCOOE,INiEFEST,rWDATTOFNEI^SFEES. UCENSEO CONTqACTORS OECLARATION: I hereby eHirtn thai l em licensed un provisio force antl eNecC Lic. q Comrectofs SigneWre: of Chapter 9(commencing wit� Section 7000) of Division 3 of tha Business end Pr fessions Catle, and my license is in full ��ass � � —� y � �� Dete: .�—�—i CONS7RUC710N LENDING AGENCY: I � ❑ I �ereby aflirm ihat there is a construction lending eBency lor tha pedortnance ot the work for w�ich ihis permil is issued. (Sec. 3097, Civil Cotla). Lendefs Neme: _ Lendefs Addreu: Signeture: OWNER-BUILDEq DECLARATIONS: Daie: I hereby aflirm thet untler penalry of per�ury that I em EXEMPT FROM THE CON7RAC70RS LICENSE LAW for the tollowing reason (Sec. 703L5, Business antl Protessions Code: Any ciry or Counry which reduiraz e permit to construct, elter, impmve, tlemolis�, or repair any sWCNre, pnor to its issuance, also requires t�e applicant for such pertnit to file e signetl stetement ihat he or she is licensed Durouant to t�e provisions ot the Contractors License �ew (Chapter 9(commancing with Section 7000) of Division 3 of Ihe Business and Pmfeuions Cotle) or that he or aha is ezempt therelrom end ihe basis for the elleged exemption. Any violetion of Sectlon 703L5 by eny applicant br e permit subjects the applicant to a civil penalry oi not more than live hundred tlollars ($500).): ❑ I, as owner of the pmperty, or my employees with wages as their sola compensatlon, WILL DO THE WORK, antl the strucWre is not intended or oflerad lor sale (Sec. 7044, Busin�ss and Professions Co�e: The Conirectors License Lew does not apply to en owner of property who builds or improves ihereon, and who dces such work himself or herself or through his or her own employees, pmviAetl that such improvements are nm intendetl or oHered for sale. If, however, the building or impmvement is sold within ohe year ot completion, the owner-6uilder will have the burden of proving that ha or she did not build or improve for purpose of sale.). ❑ I, as owner qf the property, am E%CLUSIVELY CONTRACTNG WIT}i LICENSED CONTRACTORS to constmct the pmject (Sac. 7044, Business antl Professions Code: The cpntractors License Law tloes not appty to an owner ot pmpeny wno builds or Improves thereon, end who contracts for such prolact with e contractor(s) license pursVant to the Contractors License Laws.). ❑ I em ezempt under sec. Business end Professions Code br this reason: Signawre: Date: Owner ID venfied by dnvers license. ❑ Yes ❑ No Drivers License No. Verilicalion ai Ownership hy (rype oi tlocumem, i.e. - properry tax biil or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certity ihat no excavation five (5) or more leet in depth in�o which a person Is required �o descentl, will be mede in connection with work authonzed 6y Ihis pertnit, entl lhat no building siructure, scaftolding, lalsework, or demWition or dismantling thereot, will be more then �hirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Administrative Code). ❑ As owner-builder, I will not employ enyone to do work whic� would requlre a permit irom the Divislon of IntlusMal Setety, as noted ebove, unless such person has e permit to do such work Irom the division. Signatura: Date: Ofvision of Indusinal Safery Permit Numbar. CERTlFlCATE OF COMPLIANCE AND AUTMOA1ZAilON OF EMRY: 1 certiy under peneiry ot perjury that I heve reatl t�is application end state Ihet the information given is correct. I agree to wmply with ell state laws end ciry ordinances releting to builtlinq consWction, end authonze representatives uf Ihe City of Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupency ot any buiiding authorized by this permit until finel inspection. GOOE 1, INSPECTIONTYPE 7676 Fized System Final Fire Prevemion 1266 Pool Spa Final 200 Flnel Re�Rooi 201 Finel Blo�k/Retelning Wall 202 Final Fectory Fira Place 203 Final Sign pp4 Finel Demolition PLSE I[�ASS 7�'�-� COUEA INSPECTIONTVGE 206 Finel Mechanical 208 Finel Plumbing 210 Finel Electrical 212 Flnel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Final Builtling/Occupancy a"��'� L Date PAg UifIDdlS CITY OF COSTA MESA � � ?'..CONSTRIJCTION PERMIT Applicent's Mailing Address � Project Addreu � Owner'sNama ��T�G� �� hon�'q^� AAdress ��l / � ��t�% I2�/�� Arch/Eng. Licenm No. G/6 fi Addren; � ��,�( Contractor's Nam hone%�zc � Addresslmailing) � ' License No. �� LICENSED CONTRACTOR DECLARATION I hereby af/irm that I am IlcenseC untler provislons ot Cnarter 9(commar wit� sactlon 7000) ot Dlvislon 3 of the�usinass �E'Ps�fe'sions COCe, my Iicense Is In full for� anE eilecl. �� \ �L« Date�'/(.'X> 519nature.��//�1�,�=��=—�`— • •„s�iKERS' GOMPENSATION DECLARATION � -`-ti:"*eEy afiirm t�at I �ava a certiflwte of conunt to selfansure or a certiticate �Jorkers' Compensation In2suranca, or a certlfieG coOY t�ereof (Sectlon Polol<Y No. �� 7 ComPan�2r� l� %��--� �eriifleE copy is �ereby �urniSheG. � rtj=!e%eyPY IS f�i�lea wlnt0� IwntY Bu I In ivlsio�/6 �� p. 6ate ,S C S�' /iYv C7a EXEMPTION FROM WORKERS'CO PENSATION DECLARATION (Thissactlon naetl not De tom0�ete01/ the permit islor one huntlratl (E100) or lass): . � I cerHfy.that in the Oerformance ot the work /or which lhls permR is lisuatl I shall not employ any person in any mannar so ai to become SUDjec[ to t�e Workers' Compansatlon Laws of Califomia. � Date �Iqnature � CONSTRUCTION,LENDING AGENCV ' ' 1 nereby affirm [hat there Is a construttion IenEing agency,}or the eriormance o/ Ine .work for y'� thii� qer� iL Iss �a i.� c n 30�7 Civ. C.) Lentler'S Name , J� ��S�7��G�� T � � Lentlar'S Atltlrea� -��(! �� `'��- `�'�- OWNER BUILDER DECIARATION ' I noroby atBrm that 1 am exBmOt /rom No Contratlor'S Litense Law lor lho following reason (Sectlon �7031.5 Buslness antl Protesslonal COGo: Nny city or county which requtres a Oermit lo <onitrutt, aller, Improve, Eemolish or re0alr rom anE the basls for the aliegetl axemptlon.-My vlola[Iomof Sectlon 5 by any appliwnt for'a permit sub�acti tha appliwnl to a civll ',y o/ not mom than flve hunCreE Collars (5500). . ' az owner of th0 DrOpBrty OI my eTPI0yE65 witll wdgGS as ltlolf sOla �nsation. wlll tlo [he work. antl Ihe slruetum It mt inlentletl ar offeretl empio ees, proviaea tnac sucn �mOrovemen[s are noc m[enaoa or onerea �or sale. I, �owavar, tha Gulltling or Improvament is soltl within one year of com- , Dletlon, the owner will have the bur0en o/ provinq no/she aiC not Dulltl or Im- ��ove fo� [he pu�pose o( sale). ' I, as owner o! l�e property, am azclusively tontracting witb Ilcenietl con- -��actorst0 Wnitrutt tha pro�9Gt (SettlOn 7044, BUSIness antl %ofeSSiOnz-COdB: Tha Coniractor's Llcan58 Ldw doei nOt apPly t0 dn OwnBf Ot plopelty who . Cuiltls or Improves t�ereon, antl who tontra<ts for suc� pro7acti wilh a ton- tractm(5) Iicenze pursuant to t�a Gontractar'S LI<ense Law). • ❑ I am eaempt unCer Sectlon B. 6 P. C. for this reason Date � Owner � � I"�ereby carUty tnat 1 have reatl thls applicatlon ana'state-tnat ttle above information Is carrect I agree t comply with all city antl tounty ortlinances antl.stata laws relati to b n constr ction, antl hareby aulharize rapre- sanWHves of'this to nter o e above-mentlon¢tl properry !or .InSpettlon Dur ses. � . ' �, Slgnature D te � �2 � , �rivers' License or 55 � --�� CMF 0865-46 rev. 12/82 White - gulltlin9: ��ary - Ap�liwnt; Pink - Accountin9: t0 flll in all sDacaf ekeept lhofe wll�ln �aavy CorCer Ilnes anC slgn all apO�oD�bte 4eClanHans. �� iM1T N0. TRACT NO. LOT NQ,� BL . ' >��, � S /z 5 G'� � � � -.- �� ,, � / L. PEOFCONSTRUCTION NEW ADD ALTERATION REPAIR J-��y ��ys�''i ❑ GONVERSION ❑ DEMO�LIlSH ❑ OTNER !��>� ' DESCRIPTION OF WORK �/��`LG fJ��G ' , TVP.E OF PERMIT LJ GRADING LJ FOUNDATIOpppN�� U STRUCTURAL ❑ TENANT ❑ ELECTRIGAL �PLUMBING pIMECMANICAL ❑,OTHER � PROJECT DESCRIPTION Sq FT OCCUPAN v . CONSTRUCTlONTVPF� ' VAII_IATIQNS �� ZON€ � aRADING CU. VDS. ACRE� - Ramarkf: - / /� � � � � � Bar Sink Backflow Preventar Backflow Irrigetion Bathtubs Claritiers Drinking Fountains � Floor Drains � Floar Sinks -� ^ p Gas Service � � OuHets Interceptors ' � � Kitchen Sink� " � Lavatories, � P—Trap ' Roof Drains � Showers Service Sink � ' Duct- Under Ground Duct - Structurel Duct - Ventilating Exhaust System Multiple Firepl/Fact. Blt. ICBO •/k � Heating.5ystem & Ducting ' �' 06100,000 BTU �100,000 Hood or Tvoe I ❑' l - As5¢55or Soiar Collec Solar Piping Sotar Tank Urinal Water qoset Water Heater Warer Service Reinspection.Fee laue Fee ❑ai oo.000 eTu ❑ i oo,000 aru System Repair/Alteration Reirupection Fee laue Fee S75 S 3 � $15 S 3 PLNG. REF. qW' LEFT SIDE VARD PKG.SPACE REQ. STFEET WIDTH GOnS[rucbOn YOIE : � Cooking Unit . Dishwasher Dryers �Gas ❑Elect Fan � F.A.U. Fiztures Device Baxes � 0 a�yo siE6�� REAR VARD (T0 P/U RIGHTSIDE VARD PROVIDED PARK FEE.$ �Meter LJwer 1 W amps Sub Panel Sub Pole Motors O04 HP ❑1X$ - �� - InaSolar �g45HP �1645+ ,MicrOwave ' � Pole�Lighi Range Sign . Standing Sectians � �Tresh Compactor � Disposal rc 00�5 KW OS-15 KW ITransformer L115�50 KW ' ' ❑5U+ KW Reinspec[ion Fee Meter ❑up to 100 emps � luue Fee Zoning APPtoved BY Data Ap0liption Approved By �ate ApPliotion Isued BY � � Date 54.;i0 TL � SUMM/1RV OF FEES BUILDING PERMIT $ SMIP PLAN CHECK $ PERMIT PLUMBING $ �S ISSUANCE PLAN CHECK $ 1,� GRADING I ELECTRICAL $ � , PLAN CHECK $ ' MICROFILM MECHANICAL $ TOTALfEE• PLAN CHECK' . $ � � LESS �� ' ADVANCEDPC � , � , FINAL FEE 4 . � '�%CANSTRUCTION AND P�AN ING- - --� - ' .� . c ' �O' SPA _ - - , - -- � �- . - � '�� " �• " �Date ' �Ins edtor � ' � - . - Date ` Ins ecfor � I > ,�iaPPROVALS � Permit #�� P- � �APPROVALS , Permit # ' _ P -- � .l � ' m - - t . ' : r " n 1; Temporary Electrical Service or,Pole,' ' -. 52: Pool & Equipment Location' �,�. � �� 2` Soil Pipe-Und�grnd. � -• • - �• - ' . - 53.' Steel Reinforcement - � � � ' ' � • ?� � .fi _ . , . . . . _ , . . . ' �, .. 3: Electrical Conduit Utilitv-UridrgmA ; � - ' " 54 � Forms. � . . � � . ? 4: Electr:ical Conduit-Undrgr�d. . ' 55: Elec{rical Bonding ' . �� i �" Steel �Reinfqrcement • � ; � - � � ' � _ ' - • '56. Rouyh Plumbing & Pressure Test � � - ' � r.. , � 6: ElectFical UFER G�7�d.f' ' r :. � - �• ' � 57: APP,ROVALTO'COVER-GUNITE _ , �th' 7. Footings -': `. � ' } � ' �� i ^ � 58: Electrical ��duibUndramri. . ' , 8. Foundation, • � °' � , . � -`� �' -�59. Gas�P.ipe, � Undrgrnd., Test . t �� - 9. Water Pipe;Undrgiri�l.... �� '� -�s � _ 60. Backwash Lines, P-Trap, O Undrgrnd. - . � 10. Str'uctural �Floor System � '�' , ' � . 61. AP,HR,QVAt TO DECK � • �. 11. Property Sewer Line &.House Connectlon "� , � 62. Back'wash.& Receptor-Final � . 12. $ewer�,Cap' �" • ' � � - � i f : _, : 63. Hea[er,'&,Vent•Final _ ' , � '�'�, �i i. 13. Rdof �D�rains- � �-! � ' /� F' . � �64. Plumbing SYstem -�Final � � , . �� ' � � - 14. Rough�Plumbing � � ' � � �'j �, 65. Electrical-Final � � - - - � � ° 15. �Rou h Electrical=Conduit�' - � ' -- � - - • - - 9 S . � , � . - " '6fi;,' Solar;SYsterri-Firiaf , � , . ' �:�16. Rough.Electric Wiring � i ° " - '.: �'� -�7 67. F.encing�& Accesi Approval � .- - � ' - . ' ��17. Rough Wiring Sign'. '; � ' � , � � ' . 68.� APPROVED FOR PLASTERING -„' 18. �Rough�Electrical.T Bar Ceiling ' . ' - � • 69. POOL/SPA SYSTEMS FINAL . � � �,,� 19. R�ugh Heating & Air Conditioning ; �� 8�3 ; � , FIRE DEPT. REQUIREMENT � � - , 20. Rough_Pactory Fireplace' � � � � � , APPROVALS Peimit # '' ' � � ' � 21. Ducts,.in Str'ucture �� , ' � � ' � 70.� Underground Hydro . � ,f22 :Ducts, Uentila4ing � � , ` . , � ' ' 7L� Product Piping O Gas ❑ Oi� � . . : 23. Gas.Pipe-Rough & Test � � ' � � � � 72.� Underground Flush � �' �'`24: �Roof� F�aming. � � ' i: � ' �• ' � ., � � 93. Undergrnd. Storege Tank 0 Gas ❑ Oil , • I 25. Roof Sheathing ' � � � � � ' - , � � - 04.� Overhead Hydro . ' � . � , � ` � 26. T-6a� Ceiling (Structural) & Monocoat � � ' ` � � 75.� Dry Chemical � . • � � - „ 27.• Frame and Flashing _ ' �. 76. Dry Standpipe , � - � , i 28. Lathing & $iding _ , . 77. FIXED SYSTEM FINAL � � . . � . ,� P 29. ,Insulation'-`, '_ `� ' � � � � . ' i78.; FI��RE�PREV. FINAL � • � � o '30. Drywall Nailing � '• � . � . �Notes:� • � ' , ' , -� .� 31. Plaster Brown Coat : i' � i' - � �i 32. Electrical Power MeterFinal � � ��' ' �� ; . ' � • � ' i � 33. Final Electric � � � i ' i ' � � ' ., ' � 34. Final Heating & Air Conditioning ' Z �� j , � � � � . 1 I 35. Final Gas Pipe-Test: '- � i . � � y � � = _ ' ' � /� . -i , 36. Hood or Canopy . , I �. , . � � � � , . _ 37. Final Factory Fireplace- � . �.. . - ' � � � _ - - � 38. Final Plu'rnbing . � � �� g' � 9'',�- ' � ' , � ' u <. 39. Water Se�vice-Final� ' � � � � ' � � _ j � � � � • - ' � � 40. Gas Service-Final � ' � � � �� 1'� , . 41. Solar pomestioFinal � ' i ' . '-- _ ' ._ - /!' � 42. Backflow Prevetiter . ' ; � � r � _ � � i � . ,; ' - 43. Backflow�lrrigation , . � �� • � � � , ' � , 44. Landscape Irrigatio,n System ' ! � � � � ' � � � � I � � , � � . � 45. Sound�; Attenuation . - � �' � . . I � � - , � " _ ' - ' • . 46. Handicap Regula[ions . . � �. � .'. � , i ' � . - � I � 47. FINAL STRUCTURE & BUILDING � ' , � 48. Special Requirements ComPleted� n � � ,_ � � . � i �� - . , • � _ 49. ElectrYc Release to Edison, � . . _ � � �� ' � + � n ,� � I � -� •�-I-- f - - - 50. Gas Release to Southern California Gas Co ' . � ' ! ! � ' � . ' . f • � � 51. CERTIFICATE OF-OCCUPANCY __ . , __ � _ _ - ____. � ' _ ' ' � i. i� � � � . �" � ' No. Date � � � � : 1 AOPlitant lo fl1i In all s0aces wllhin neavy bortle� Iines an0 sig '� aP dDp�o��ate aeclarations. � CITV.QF�OS,A4VIESA PERM NO/ p TRACTNO. LOTNO.. BLDC�.NO. - 4�'J��2J2LIB3 I6rSO TL . ,'CI�NS�I'RUCTION PERMIT P '' (p 3 0 - • � �' • Project Address � PE OF CONSTRUCTION .. . , ' • � � Ownef �fj �[_ � _ �'�= hone �_S/�•'�. �� ❑ AOD ❑ A�TERATION � � � - - ' � (�/� ' Atldreu � LI ly ❑ AEPAIR ❑ CONVERSION ❑DEMOLISH ,� . 1 20NING REGULATIONS �� ' ArchlEng. -� License No.GY�� ❑ OTHER _ A P � . , ` _ _ _ ��JJ� DESC0.IPTION OF WORK - ' Af �AddYQ55 � �� ( /v[� � , . ZONE PLNG. REF. � - _ - �� Contrecror ' Phone TpgV1 �p iry � - -- 7 C '/N� _ / Z% TVPE OF PERMIT SETBACK 5T. PROPEFT��"IINE '� � Address C�P<<<�� . / ❑ GgA�ING ❑ F.OVNDATION ❑ STRVCTUftAL - SIO VARO � LICENSED�CONTRACTOR DECLARATION -O TENANT �ELECTRICAL �PLVMBIIVG ❑MECHANICA SEDFE VAR � r� , -�' � - � - I hOreDy aiflrm tnat I am IiGens¢tl untler Ovisio O�Char[er 9(Com-. � i RIGHT \ ' mentlng"' wit sectl 000) '-o( DI n f the Business antl ❑ OTHE0. - ._ - Professions otla; an my Iite i �f I/forc a ect. REAR YARD (TO P/L) � - PROJECT DEgCRIPTION ,/ / LI<ensqfl y i allo. � , y ln..�_,� i ��7 M�' PKG.SPACERE�. � � . �ROViDED •• Dat $i9nature ' . SQ. PS � .. . _ . / _ _ . . _ .. . - " Y .00CUPANCV CONSTRUCTION TVPE �� STREET WIDTH . PARK FEE $� -WORK RS`COM ENSATION DEC A ATION I hereb affifm that I have a cert'� ic e of�consent to self-insure or a '�, . ZONING APPROVED BV , , DATE' certlflt'at¢ Of-WOfk¢r5"Compensafion I Ur nFe� Or a�CertifieA copy VALUASION" -ZONE • - i �hereof $e i /� �}�. � �//`� 1. SPECIA�CONDITIONS: . . (- �"��1 ��Compan��„�� -'/Y _ � ' " GRADING CU. VDS. ; ACRES '� 'ICY No. " - ' -' ' ' - " Ce�tltieticopyish¢rebyfumishetl.- --� _ -- - - REMARKS:��T'� � _ .. __ ., _ _ _ �Certitietl <opy is filetl with the city Builtling DivisiOn. _ . � - . � , EXEMPTION FROM VJORKERS' COMPENSATION DECLARATION - - '� -' - " '" ' '"� ' ' ' ' ' ' ' - '- -' ^- �'� -�- - - - - (This section neetl not.be completetl if Ihe_permit is.for one huntlretl. _ . _ _ ' ' � _ __. , - : "' ' . �$100) or less). . . . .. "" ' " ' ' . " _ " ' '. ' "_' ' "'__ _' _' ' . _.. _ .. certi(y.that.in.the. performance of the work /or which this permit is Issuetl, 1 shall noGemploy any person in any manner so as to become PLUMBING�-� � -" PL�AN CHECK ' ELECTRICAL �� -�"PLAN CHECK � -' subject to�tha Workars' Compensation Laws of.Calitornia. .._ ' Date Si9nature' BATHTUBS - SHOWERS � �- � - "--' '" - " - - -' � NOTICE: If after�making this tleclaration, you shoultl become 5ubject TOILETS' �i ^� VRINALS ' - ' GENERATOR 0-1 KW_1-10 KVJ � �� to the Wotkers' COmpenSation provisions ot t�e l.abor Cotle, you must �� " , TRANSFORMER - � forthwith comply,with 5uU provi5ion5 or this permit shall be tleemetl LAVATORIES �OVB�E LAVS APPLIANCE `30-50'KW_50 + KW -� . -- - .�evOketl._ .. _ . . _ . . . CONSTRUCTION LENDING AGENCY KIT.SINKS � �DISHWASFIERS "' - MOTORS "' 0-1 HP"'_1-10 HP- "' "" I hereby aftirm tnat there IS a construCtion lentling dgenGy tor MC p¢r- SERVICE $INK$ ' . SUMP$' ' - - U�`1C. $OLAF) q0-50 HP=- 50 + Hp -- - � fOrmdnt¢ Of [he 'work for w�n/ip��Y�thcis �permit /is�Issuetl (5¢CliOn 3097 1 � ,.. �-. . . �,. � � ' � Lentler�s Name�',�� "� �`J�"' � "�� FLOOR SINKS FCOOR DRAINS � - FIXTURES � - 'OUTLETS � - SWITCHES '- " - I Lentler's Atltlre•< <%LC� �' � �� % DRINKING FOVNTAINS � � � � � " GASTUBE SIGNS ' ' - - " ' ' "' -' " - ' --' OWNER BUILDER DECLA0.ATION " " "' - - ' � ' ' �NTERCEPTORS CLARIFIERS POLE IIGHTS - " -" - " " ' ' - -- I M1eraby affirm [�at I am ezempt trom t�e Contractor's Ucense Law for tne-Pollowing reason (Sectlon 7031.5 Buslness antl Professlons Cotle: SWIMMING POOL '� P TRAP " �' " - - - Any city or county which requires a permit to conzVucq altar, �� 70LE5 METERED SUB � ' improve, tlemolish or repalr any s[ruc[ure; prior'to i[s issuance, also re= ' yy'qTER SE(3VICE �AITERATION �- PANELS-- �' MAIN"`� SUB quires the apFliwnt lor such permit to lile a Signetl statemeni lhat he is'llcensetl' dur5uant to the provi51on5 ot the ConlrattoYz Litense'Law ' - �' • SERVICE - - - - 'AMP - ' '�Chapter 9(<ommencing with Settion 7000) of Division 3 of the GASSERVICE OVTLETS .� ��siness antl'Prolesslons'Cotle�'or tnat ne is exempt tnerefrom antl tbe y./qTER HEATERS BTV OUTPUT ' - ' "- ' '� -' - - t fo� the allegetl exemption. Any violation Of Seclion ]033.5 by -� � appllcant for a permit sub7ect5 the appli[ant to' a civil penalry" "SEWER CONNECTIONS - aot more than live huntlretl tlollars ($500). � � �� ❑ I, zs owner of tbe property, or my employees with wages Ss�their SOLAR TANK � CO�LECTbRS- '- ' ' . � - sola.GOTp¢nmti0n,.wi11 tlo thC wo�k, antl lhe Struc[ure Is nOl intentl¢tl. or offorc0 for saie. (Section 7044, Business antl Role55ion5 Cotle: Tne SOLAR PIPING SVS. �� ISSUE FEE � -- ' ConlraGtor's. LicCnsa.law-tloCs not apply to an owner o/ a proper[y_ APPLICATION APPROV ED BV' ' DAT wh0 bulltl5 or imp�oves thereon, antl who tlo¢5 suth work hims¢It Or ISSUE FEE '�i � .throu9h his.own,employee5, prOvitlCtl lhat such.ImprOVCments are not Intenaea or of(erea ior sa1e. It, howeveq the builtlin9 or imorovement MECHANICAL PLAN CHECK $UMMARV.OP' FEES � is soltl wi[hin onc year o� compl¢tion,_IhE Own¢r will hdve lhe burtlen ' of proving he tlitl not Ouiltl or imOrova for tne purpose of sale). BUICDING ' '-- ❑'1, �as �owner-of- the properry,-em excWsively con[racting with HEATING SYSTEM 0-100,000 BTU _ PERMIT g _ �SMIP �� E' Iicensetl contractors to construct the ro'ect Section 7044, Busin¢ss ANDDUCTING � �� -� P 1 ( 100,000 + BTU V 1 PLAN CHECK b .. PERMI.T.�� •' � � 'antl'Professions Cotle: The Contractor's Litense Law tloes not apply to - --- � ISSUANCE E - - an owner of property who builtls or improves thereon, antl who com REFRIGERATION 0-100,000 BTU PLVMBING S� r� - •tracts trom-such-pro�ects•with a contractor(s) licesnetl pursuant lo SYSTEM ' -- - ' - �- - � - �- - � �. - �GRADING 'S the Contractor's License Law). 300,000 i BTU P�AN CHECK , E� � � � ❑ 1 am exemp[ untler�5ectlon B. & P. C. for this BOILERS BTV ELECTRICAL g � �8,�+�.� ' ��---b � reason" --'- ' ' - - ' ' - -PCANCHECK�$g�_�--. M�CROFILM�S , SVSTEM REPAIR,ALTERATION Date - � Owner " TOTAL FEE $ ' I hereby certifyt t I ryavQ�reatl'this apP��ion antl state that the above_ EXHAUST SVSTEM MLILTIPI.E MECHANICAL "$ , , ' LE55 AD- '�' �•' �� ' informatio orrfc[ I ao/ee ro comply with all City antl county . PLANCHECK $ VANCEPC �$_�1 ortlinanc an sta(C a�.r0rating to constru<tion, antl hereby authorize � - ��epres¢ aHve f� i5 cily [o e ter J+�on the dbove m ntion tl , ' .properl e /� os �/ Signature� � ` D �/ti`� / Date � � �' - F�NAL FEE $ �� CMF 0865-46 White-Builtling; Canary-Appliwnq Pink-Accountinq; GolOenrotl�Assessor �l , �, . , CONSTRUCTION AND PLANNING C� POOL & SPA �. , �� r. APPROVALS Permit # £"�� / Date Inspector qppROVALS Permit #` ^""`�'D�" � Date f "Inspector • . . �. ., � v 4! :e� 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - ' � . Soil ipe-Undrgrn 44. Steel Reinforcement � - - 3. Electrical Conduit Utility-Undrgrn 45. Forms � 4. Electrical Conduit-Undrgm 46. Electrical Bonding - � � �- . tee ein arce 47. Rough Plumbin & Pressure Test � 6. Electrical UFER Grn � 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn � 10. 5tructural Floor System 52. APPROVAL TO DECK ' � 11. Property Sewer Line & House Connection r � 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Hea[er & Vent-Final � • 13. Rough Plumbing � ' 14. Rough Electric-Conduit � ' �56. Electrical-Final ' 15. Rough Electric-Wiring 57. Solar SVstem-Final 16. Rough Heating & Air Conditioning '' • encing & Access Approval 17. Ducts, in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL � 20. Roof Framing 21. Roof Sheathin 22. Frame anq Fiashin NOTES: ,�. r�i3 �e>iloi �.�n..��i raso �i �ii r,r �a�aL 23. Insulation ,�rT. i T, 7- .,' �%/ T 24. Lathing & Siding „v T' T r.. ' e, � 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical power Meter-Final 28.- Final Electric � � 29. Final Heating & Air Conditioning 30. Final Gas pipe-Test 31. Final Plumbing 32. Water Service-Final 33�. Gas Service-Fi�nal� 34. Solar pomestic-Final 35. Landsca e S rinklin S stem 36. Sound Attenuation 37. Handicap Regulations 38. FINALS7RUCTURE&BUILDING 39. Special Requirements Completed ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date CITY OF C?STA MESA �ONSYRUCTION PERMIT � ApplicanYs Mailing � Project Addreu — Owner'S Name 1 1 � n Addreu � Arch/Eng. — � d�� Contmcrori ama � AOP�Icant to flll In all ipaces exeaD< <�ose wit�in �<avy EorCar Ilnes anC sign all apDrooriata Eeelantlons. �hane ' S� T:u.,�<<' No.–�/ �m.___ �I f�_�,PSD Addreulmailing) -/�i//V C��ciKj �uinp�,('��Z'IT Licensa No. '�C 'u� � LICENSEO CONT0.ACTOR DECLARATION I hereby affirm that I am IlcansaE untler provislons of C�artar 9(commancing wlth sectlon 7000) of Divislon 3 ot [he Business anU Professlons COCe, an0 my Ilcense Is In full lorc na efiect. LJcense Clau �– - ' L�canu No. 3G�/BCT� Date � Slgnaturo IRKER 'COMPENSATION DECIARATION � �raby at/irm t�at I have a cartlficata of consent to seliiniure or a certi(Iwte . Workers' Compensatlon Insurance, or a certlfietl copy thereof (Sactlon 3800, iab. C.) /� �� / I Policy No. 3L.Z�� Company �/�U �S, .ON• , �CCeertlfi <00 IS heStlbwlMrthe tl�yp9'^�yKJqq'l� �/��y� /j� Date APPlican �/ L� fC /1C/ GJ ��v� E%EM ION ROM WORKERS' COMPENSATION DECLARATION (This sectlon neetl not be complatetl It tha Dermit It for one huntlratl (5300) or less). ' i , ' � ' 1 certlly that In the performance of the work for whlch Ihii perm�t is Issuetl I shall not employ any parson In any manner so as to become zuDject to c�fe Workers' Compensatlon Laws o/ Galifornia. Date Signature NOTICE: If, after making this Ce<laratlon, you shoultl bacome subject to the Wofk8r5'� COmp9n5dtlon provl510�5 Of th8 LdbOf Cotle, yOu.mUSt.fOrthwlth comply with� snc� provislons or'this Oermlt s�all be tleemetl revokeA: � CONSTRVCTION IENDING AGENCV � I hereby aHirm that thare I5 a conztruttlon lentling a9en<y for Ihe par(ormance �i of ihe wOrk for vT�,p^SI�Per .I nSu 0.1P ctiA�, tiv. CJ i Lentler's Name f h �` Ll? Lentler'S. Atltlres• ��n /�%L�fj��q.� � q»M1'�r • OWNER BVILDER DECLARATION I hereby aftirm thal I am'exempt /rom the Contractor's Ucense L.aw lor the followin9 reazon (Settion 7031.5 Businass antl Professional Cotle: Any city or by any ap oi not more an Any vlolation of 58ctlon :ne appllcan[ So a Uvil :. A . with wages as Ihalr sola � not IntentleA or offeretl Cotle: The Contractor's y who builtls or ImDroves r[hrough his or her own [ Intentlatl or of(aratl for tt, nowever, me oWitling or �mprovament is soia wimin one year oi com- ion, the ownar wlll have the burtlen ot proving he/she tlitl not builtl or im- ve for t�e purpote of sale). I, as owne� of the pwperty, am excluslvely contractin9 wlth licensatl con- � tor5to constfuctthe ploject (5¢CtlOn 7044, Bu51ne55 antl PrOte55iOns Cotle: Contractor's �Icense Law does not apO�Y to an owne� oi prope�ty wh0 � as or improves thereon, antl who contracts for such pro�ects with a<on- tor(s) Itcense pursuant to tha Contractor's License Law). . I am enempt untlar Sectlon B. & P. G(or thls reason Date . Signature " � — � Driver5' tJcense CMF OB65-06 rev. TY�OF CONSTRUCTION IL�l NEW LJ ADD LJ ALTERATION U REPA�R CONVERSION ❑ DEMOLISH 4 OTHER � �ESCRIPTIONOFWORK S�j}T P �Q i��i rPS/ PacP TVPEOFPERMIT GRADING FOVNDATION STRUCTURAL ❑ TENANT � ELECTRICAL ❑ PCVMBING ❑ MECHANICAL ❑ OTHER . PRQIECT DESCHIPTION SQ. FT. OCCUPANCV CONSTRUCTIONTVP VALUATIONS� 3 S� ZONp GRADING CU. VDS. ACRFc Remarkt: ,LO� Bar Sink Beckflow Preventer Beckflow Irrigation Bathtubs Claritiers Dishwasher Drinking Fauntains � Floor Drains Gas Service Outlets In[ercep[ors Kitchen Sink ' Lavatories- P–Trap Roof-Drains Shower5 � . ; Service Sink � Boiler Duct - Under Ground ' Duct-StrucNral ' Duct- Ventileting Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO ;W Heating System & Ducting ❑6100,000 BTU �700,000 Haod or Typel ❑� %��E��J oate S�-/4 �4'3 . // � � Registers Wnile - BuIltling; Canary - Appliwnt; Pink - Accountln9; Goltlenrotl - ASse550r Solar Collectors Solar Piping � Solar Tank : Swimming Pool w/ Urinal Water Closet Water �Heater 'Water Service Reinspection Fee � Isue Fee ' i ❑o-'ioo,000sru ❑ioo,oao System Repair/Alteration Reinspection Fee- Izwe Fae � $15 $ 3 $15 $ 3 A. P. sW PLNG. REF. �k LEFT SIDE YARD PKG.SPACE REQ. STREET WIDTH SPECIAL CONDITIONS: .A.U. Washer Unit . ,_ Boxes 7429 4/19/33 a1.30 TL BUI REAR VAR� (TO P/U RIGHTSIDEYARD , PROVIDED PARK FEE $ � Merer Llover 100 amps Sub Panel Sub Pole �Motors 1J04 HP LJ1'h-8 � � Electric Inc.Solar 09-15 HP 016-15+ Microwave � Pole Li9ht _ Range Tresh Compactor Garbage Disposal . Generator OO-5 KW OS-15 KW � • Transformer 0�5-SOKW . ' ❑5U+KW peinspectionFea 575� Meter ❑up to 100ampe Issue Fee '$ 3 2oninB APProved BY 'Date Appliotion Approved By ' Date t, � p Applicatibn Issued By Date `�"�� 'O 3 � ' . SUMMARV OF FEES ' ' BUILDING PERMIT $ SMIP � . $ - PLAN CHECK $ PERMIT ' PLUMBING $ ISSUANCE $ PLAN CHECK $ GRADING $ ELECTRICAL $ � � $ PLAN CHECK $ � : (O MICROFI�M $ MECHANICAL $ TOTALFEE $ PLAN CHECK . $ LESS ADVANCEDPC $ � FINALFEE $ 3p �� — '� .0 C, � , . , c . . . . . . . . . � �J ,-? � �CONSTRUCTION AND PLANN G' '- � ' � - �_ .. , P�� -"'"'PA � - � ' - �Date � ,Inspector�- . � Date � Inspector _ '� APPROVALS � . Permit-#- �"�� . � _ - :'APPROVALS Permit # . . � �1- Temporary Electrical SerJice or Pole ' , � • - D u �� _ � � ' �. 52 � Pool &,Equipment Location. . - � � v 2't Soil Pipe-Undr,grnd:' � � • . . i ,:' ° �- � ° 2 �r �_ : ' � 53.� Steel �Reinforcement - � , . . - , �� ' �_ 3! Electrical Conduit�Utilitv-Undrgrnd. ''-�; "� � _ � .�. � ' ��54:��Forms,-; � � .� - � � �: 4. Elect�ical Conduif-Undrgrnd�.- � ' � `' � �_ _ � 55� Electrical��.6onding � � - ' = � ' . � . ' .�':; - 5: Steel'Reinforcement � �,� , ; ?' : ' ' ' 56.� Rough Rlumbing & Pressure Test ' i �6: !Electrical UFER �Grnd! � � � ^ � • � �?c - . 57.� APP.ROVlYL TO COVER-GUNITE � - 7. �Footings ' � ; . � _ � ' i � - ` i . ; _ ` ' `- 58.� Electrical.Cpriduit-Undram.i. _ , - ..� . � .., � y � . -- '_' . ., ' . . . - 8. Foundatioii �;� � � � �� _ � �'' � r' . ,�59. Gas�Pipe; O Undrgrnd., Tesf'_ �� _ . . . 9. Water Pipe-Undrgmd. �, '� � A_ �60. Backwasli� Lines,'P�Trap, O Undrgmd. . , 10. $tructural FloorSy�tem `�!- s � , 61. APPROVALTOUECK �� , - 11. �Properry" Sewer Line &�House_Connection . � 62. Backwash & Receptor-Pinal • 12. Sewer Cap ' ; -j � ; ' _ � _ � . . -,•63. Heater & Vent-Final - � �: 13. �Roof Drain's ' � ' � - - �� . � i •64. Plumbing-SYstem - Final � ,, 14. ,Rough Plumbingl ' � � � � ' � ' � _ � �--� •�65. Electrical-Final � '�- - � _ � � ,'' y15`� Rouyh'Electrtc3l=C�nduit � '' - j�- � -� 7 - i j " -- - ; ' � 66.i Solar System-Final ' - , � � . ^16C R ugh-Elec'tric Widng, � � ' ' j ,� � � , ' ��=- 67h Fencin & Access:A � ioval --- ' `- �� o -�1t1. �lt� I - d �r7j"%� �. 9 PP _ - � - t t = �'17?Roucjh WiFing;Sign4 �, i � ' ' "' � � � � ; ?'� � � � �68.! ABPROVED FOR•PLASTERING � ' � � ' � . iM f��Rough Elec[rim1=T`Baf Ceiling; � j; i � -� ,, 69.; P00 VSPA SYSTEMS FINAL �� F9`: ;Rough;�Heating & Air Conditioning , ' ; �,�; • � � FIRE DEPT. REQUIREMENT . . n � �. : . � �� . � . s 20. Rough.�Factory Fireplace � , ;!, I � i i �' � AppROVALS� Peimit# � � . i �, ; . .. '- -' " , , - q I ' ' � - i � . ' 21. DucLs;�in Structure � 1 � , , 70. Undehground Hydro ' ' ' ' i �•`22.'Ducts, Veniilating � �- � � �� ' � j�.� prpduct Piping OGas OOiI ' � �, �23.'Gas Pipe-Rough & Test - „•, �� T ! 72. Underground Flush' � "�24. �Roof Fiamingi . � ' ^ ' � : �� : � ' w � . I . 73. Undergmd. Storage Tank O Gas ❑ Oil ' i. �' t,• i e „ 25.,Roof Sheathiny � �� !�c: � �, 1. � � 74., Overhead Hydro � 26. 4f-8a� Ceiling (Structurap. &`lylonocoaY � ; �,< '. j - �� 75. Dry Chemical • � - , •27. Frame and �Flashing� � � � 1 � . � �� ' i I . � �76. Dry Standpipe ' ' _� �� 26. ;�Lathing & Siding� � ;. � ,� • i ' I � � . 1 77.� F�IXED SYSTEM FINAL � � _ �_29_ Insulation _ � ' ' ? � � � �� ' � � � � i 78. FIRE PREV. FINAL - ' � '30. �Dryv✓all Nailing ' �'' � � � � ' ! � � ' Notes: � i � � . � 31. Plaster Brown Coat � . � � - � . � . . - - ��32.'Electrical Power Meter,-Final � � ' I i i � �. ' ' 33. Pinal Electric � ' � ' ' � � ' ` � 34y Final Heating &tAir, Gonditioning , ' � �� ,� , � � �� c.- � i _i 35. Final Gas Pi-pe-Test � � _ ' ' �� ' " � - � � � ' - ' .- � • � � �� . . - 36. Hood or Canopy=- -� � � � ' . _ _ - ' � - �: . I i_._i � � , � ' . ' ' . 37. Final Factory'Fireplace . , ; � � � , : � I � .. � , _ � ' 3S. Final Plumbing . ; �//y��'f � i � � � i • - � ri � . �yi ,' - , i � � , � 39. Water Service-Finall ' u , � i • � . ' � � 40. Gas Service-Final � � � ' ! ' � ' , ' - , � � � , - ' � � ' � � � � � i i ' �� . 41.SolarpomesticFinel � � . �� ' ! � � '. � � . _. __�_r . . � ��;, . iU�'� 42. Backflow P.reventer - i ' ' 1 ' � �t ' � .. , . . _ - -' - � - - - -- .. !1 'I n, i � � I _ i•, , � 1 - , -� 43. Backflow Irrigation ' � � ' ! �g , . � � � - " ' � _ ' ' ' � 44. Landscape Irrigation System � ! '` �' ��' - - - � � ' � � . �. T v ' ' - i r - , _ . . 45. Sound �Attenuation Q', +a' � � ' � � � ' �; ' ; � � ^; s � ' . ' 46. Handicap Reguiation"s �„i � �, i � , ' ' � ' ' ; � I � � I � ;' ' � � '. _ ; . 47. FINALSTRUCTURE&BUILDING' �E i I 1-'- �' � �� , i i' `� - � t � 48. Special Requirements Completed + f � � � ' � , 'r � � i I � 49. Electric Release;to Edisoni � � ; . i _t � ..1. '___,__. _ _._1 _�. _ _ ��;, � �%,. 50. Gas Release to Southern California Gas Co � � � � �' � • u � i i.1;'a i "'� 51. CERTIFICATEiOF.00CUPANC�Y '__y � �._�_.r" 1.�� L_,__ _ _' ,, `�'� ' No, � f � � � : � f . � I I �,�' '. . , , •' �: ' � Date � ._: ._. .. . ..i '_ __ " � !__-t=- � fl11 in all snaees within heavv Eortler Ilnes ana sign all CITY OF COSTA MESA CONSTRUCTION PERMIT NO. 1Q„ �T,—� TVPE OF CONSTRUCTION hone� �NEW ❑ ADO ❑ ALTERATION '�Uj� f ❑ REPAIR ❑ CONVERSION �DEMOLlSH NQ,C'�G�J ❑OTHER .. ._ DESCRIPTION OF WORK 0 ucense ab�F,=�' WORKE 5'CpMPEN5Al1UrvUE N'MFI rv 1 h¢r¢by aHirri� that I have a C¢� d Cate o cOnsent [o Selt-Insure Or d certlflczte ot Workers' Comp6A5aUon In ranca, or a tertlfietl Gopy Poliry No.��/•ay -i= ComoanY ��c v_�� n�.:. w. ,• -' Certifietl copY I5 hereby turnlshecl. , �ertifiatl copy I5 flletl with Ihe city Builtling Divislon. _.<EMPTION FROM WORKERS' GOMPENSATION DECLARATION (Thii sectiOn neetl not ba completetl If tha pe�mit IS fo� one hunQretl ($100) or less). - I cert�ty th In tha performanG¢ o/ lha work fOr which [his permit I5 hSUGtl. � 5 11 noi emplOy dOy peison in any (nannM 50 as lo b¢CDme subjeGt to e Wo�ker5' Compenzdtl0� Laws of Cdllfornia. Dat¢ Slgnatura NOTICE It afte� making tltls tleclardtlon, yoU ShOultl betOme subje<t to the arkers' Compensdtion provlsiOns of tne t.ibor Cotle, you mus[ fOrthW�� comply with suCt1 piOvi510n5 of thlz p0rmit shdll be deeT¢tl revokCtl. GON5TRUCTION LENDING AGENCV � 1 hereby aftlrm tM1at there I5 a COnStruction ICntling ag¢nCy for the perv forma��e of the work tor which [nnis �permit is issuetl (S✓ection 3097 LenUe��s Name ��S/ ��"�/�� ` Lentler's AtlareS< l�'�� y'��3f!� � a is IIC¢�setl pulsuant fo the provl5ion5 ot �th8 CO�[rac[or'S-l.icense 12w (Chapter 9(commencing wi[h 5ectlon 7000) of Divislon 3 of [he eusiness antl Rofessmns.Cotle) or. tnat he ii exempt therefrom antl the Oasis for the allegetl exemption. Any violation of $ectlon 7031.5 by �ppli�nt fo� a permit subject5 the-appliGant-to�a civil pandlly t mOre ihdn tive huntlr¢tl tlolldrs (5500). gs owner oi the proPerty, o� my employee5 with wag¢s aYtn¢Ir s COmpensation, will tlo the work, antl the 5[�ucture is not in[entled O! O1/C�Cd fOf SdIC. ($¢CUOfI i044[ BIl5Ir1G55 LOd PrOfessiOns COOe:'Tho Con[r3c[or'S Li[ense Law tloe5 not appty to an owntr Ot a property who Cuiltlz'o�' improves tneteon, antl'wbo tloCz such wO�k him5elf or [hrough his own employees, provitletl that Sucn Improvements are not intentletl or ofTeretl for sale. It, however, the bulltling or improvemenl is Soltl �+ithin o�e yea� ot Completion, the owne� will have the burqen of p�0��9 he tlitl not bui10 0� ITProve f0� [he pu�pOs¢ of sal¢). ❑ i, as owner of the Droperly, am eztlusivery .contracting with Iicen5e0 cOn[ractoR [o ca05truCt the projeG[ (Se<Uon 7044, Busi�ess antl Professions Cotle: The Contracror's. License Law tloes not apply to an owner of prOPe�ty wh0 builtls or improves the�eon, dntl who Con- tracts from such projects with a contrattor(5) Ilcesnetl pursuan[ to the Contractor's license l�w}. ❑ I am exempt untler Section B. & R C. for this reason Date _ Owner SignatU�e applicalion antl sta[e [hat the above comply with all ci[y antl cou ty cons[r tlo antl hereby ut� ize ��e. bo he abo��` �%�/ i�3tl / !� Date /. ❑ GftAOING �FOUNDATION �$TRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING� ❑MECHliNICL ❑ OTHER PROJECT DESCRIPTION �[ ^7 � - � � SQ.FT. I9On��' �7�T / M�� _//., OCCUPANC'��S.iCONSTRUCTION TVPE j VALUATIOfV 9 8 ZONE GRADING CU. VOS. ACRES PLUM64NG -PLANCHECK BATHTVBS SHOWERS - TO�LETS . � URINALS - LAVATORIES DOUHLELHVS KIT.SINKS' DISHWASHERS SERVICESINKS SUMPS FLOOR SINKS � FLOOR DRAINS: DRINKING FOl1NTAINS � INTERCEPTORS CLARIFIERS SWIMMINGPOOL -'PTRAP WATER SERVICE � - FILTERATION � GASSERVIGE � --OUTLETS WATER HEATERS ' BTV OVTPUT SEWER CONNECTIONS - ' � "'- SOCAR TANK -' COLLECTORS SOLAR PIPING SVS. ISSUE FEE � MECHANICAL PLAN CHECK HEATING SYSTEM 0�100,000 BTU _ AND DUCTING �00,000 + BTU _ REFRIGERATION 0-100,000 BTU_ $VSTEM 100,000+BTV_ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUST 5`�STEM MVLTIPLE I55 V E FEE CMF 0865�46 White�Builtling; Canary-Appliwnt; Pink-Ac<ounting: Goltlenrotl-Assesso� A.P. � I 19 - 14 ZONE OR"L SETBACK L T. SIEF YARD 1 R�IGHTA , /�i REAP VARD (TO PKG. SPACE REQ. STREET WIDTH ZOfJiNG APPRO F SPECIAL CON�ITI � ELECTRICAL 29`t6 I / I ��/0' PLNG. REF. � 7R0 V I �ED PARK FEE S PLAN CHECK i"�rti"�"� 0-1 KW-1-30 KW _ TRANSFORMER APPl1ANCE 10-50 KW_SD + KW _ M0T00.5 0-1 HP_1-10 HP _ . ❑NC.SOLAR) 10-SOHP 50+,HP_ �FIXTVRES � OVTLETS SWITCHES . GAS TUBE SIGNS - � 424061 Tl �PANELS MAIN - . SVB SERVICE � AMP - ' ISSUE FEE APPLICATIONAPPROVEDBY /�) DATE �(SU�MiMARV OF FEES PERMDIT G g • �`�•OO _ .SMIP . $ � •� � PLAN CHECK § PERMIT - - ISSVANCE�$ PlUM81NG S ' 6RADING' S PLAN GHECK E �ELECTRICAL $ $ PLAN�CHECK $ " MICROFILM E MECHANICA� $ TOTAL FEE $ � PLAN CHECK � �-ESS AD- - S VANCEPC E FINAL FEE S �� ' CONSTRUCTION AND PLANNIN �� POOL & SPA • • . APPROVALS Permit # ��s Date Inspector qppROVALS .�- -Perrriit # , Date Inspector . 1. Temporary Electrical Service or Pole `� 43. Pool & Equipment Location " ��- ' �� ''-� � Soil ipe-Undrgm , 44. Steel Reinforcement � � � `" 3. Electrical Conduit Utility-Undrgrn . 45. Forms � � ' - ' � ' � -' ' � 4. Electrical Conduit-Undrgm 46. Electrical Bonding .-, " ' ' - - ' - ' �' . tee em orce � 47. Rough Plumbin & Piessure Test ' ' ' - ' ` ' 6. Electrical UFER Grn ' � �� 48. APPROVALTO COVER-GUNITE " - " � - ' ' ' 7. Footings ' 49. Electrical Conduit-Undr rn . ' '' � 8. Foundation � kj 5 50. � Gas Pipe, ❑ Undr rn, Test ' 9. Water Pipe-Undrgrn � � � 51 . Backwasfi Lines P-Tra ❑ ndr rn �! � � 10. Structural Floor System 52. APPROVALTO DECK � � -- 11. Property Sewer Line & House Connection •53. ,Backwash & Rece tor-Final' �� ' � � 12. Street Sewer Connection 54: Heater & Vent-Final- 13. Rough Plumbing • � � �- - � - �� 14. Rough Electric-Conduit � ' �56.' �Electrical-Final � .r> 15. Rough Electric-Wiring � 57. Solar System-Final - i 6. Rough Heating & Air Conditioning � Fencing &�Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING � 18. Ducts, Ventilating , - � _ . 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL ' 20. Roof Framing � � 21. Roof Sheathin _ ;3 . , " ' • 22. Frame and Flashin S , 3.�� NOTES: � � 23. Insulation -3L�-� 3 � 24. Lathing & Siding ' - 25. Drywall Nailing $_ �_ Zj '� � 26. Plaster •Brown Coat ' 27. Electrical Power Meter-Final 28. Final Electric ' ' - 29. Final Heating & Air Conditioning - � 30. Final Gas Pipe-Test ' ' 31. Final Plumbing � ' 32. Water Service:Final - � .� - �33:'�GasService-Final � � � 34. Solar pomestic-Final � � • • � 35.• .Landsca e S rinklin S'stem � � � - 36. Sound Attenuation - � � � 37. Handicap Regulations � � 38. FINALSTRUCTURE&BUILDING ,�2>� 39. Special Requirements Completed 2 L 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - � 42. CERTIFICATE OF OCCUPANCY ' � . . No"� Date �� :' h �` � OWENS-CORNING Fiberglas Building Insulation The contractor named below certifies that the Owens-Corning Fiberglas Building Insulation used carries the NAHB Research Foundation, Inc. label for assured thermal performance and that the Building Insulation is installed in conformance with current energy conservation regulations, California Administrative Code, Title 24, State of California, in the building located at: � Mmur� V�sra � rp fY1�A_ .�T ,� Address City Tract Number Exterior Walls Owens-Corninq Fiberqlas Type Q i 1'.5 Insulation Ceilin s Owens-�orninq Fiberqlas Type� Insulation Floors Owens-Corninq Fiberqlas Type Insulation Foundation Walls Manutacturer General Contractor By Title Type _ �� R-L9 Thickness R-Value (o%. {2-14 Thickness R-Value Thickness R-Value Thickness F-Value � • e No. Insulatio^n Corntracto��PO� � License No. 308 03 b By `� r%%ti+�-� 7itle �• Date S�2 � ISpnewr HomeOwner Copy (White) State CoDY (Yellow) Builder Copy (Pink) OWENS-CORNING FIBERGLAS CORP. v�e. Ho, i�e�aesse Insulation Opereting Division umo m us.e..�ao,. isez coorNu�� °�� -��w F��ca• �wn• Fiberglas Tower, Toletlo, Ohia 63659