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2490 PARMLEY LN - Building Permits
CITY OF COSTA MESA CONSTRUCTION PERMIT _ Applleant to flll In all ._ . PERf�11T N,Q�_ • -AJ '�'{'/ Applicant'a Mailing Addreu /'�2� �a`�� �2 ✓��2� ProjettAddress Z�0 P�/LA.�LL�' G.��J� ��q�� Owner's Nama hona/�7�5.�� Address. �� ✓%9 �. / �, t�a li2. �/� /C� Arch/Eng. �K�`+n d'��� LicenseNoG /�oe�I - Addreu. ��%9in��/ /�aa�_� ifrif � �'/..LL�"1l'/��� � p�� Contrector'a Name{.(��7J°%� C �Phon�+�/ 3a�v Addresslmailing) �� �� ���^-�/ ��1���� Licanse No. 3���� � • � - LICENSED CONTRACTOR DECLARATION ' 1 hereby affirm that I am Ilcansetl untler provisloni of Ghartar 9(commencing with sactlon 7000) ot Divislon 3 of the Business antl Protezslons Cotle, anE my Ilcense 15 In lull force antl eifect. �^L�O n LitenS�..Cl�aj} �,., " L 5 0. '� X Date.`L/�uS_ SlgnaWre . 1RKEN5'COMPENSATION DECLARATION ere0y af/irm that 1 have a certitiwta ot consent to self-iniura ar a certificata / Workars' Compensalion Insurance, or a cartltiatl copY t�ereof (Seclion 3800, LaC.S �. %� .n�., PoII<y Nol�7�T!3 ' Compan�/lL���-���L��^-� �ur� tl� L,Tr�bWAPP IcantY Builtli DI s/T�� �� � � Date��_ �� /'1C.ZN��Ji , E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (ThisSaclian naetl not ba completatl it tha permit ii for one huntlretl (5700) or' I855). I certiTy.that in'lhe parformance of the work for.which this perm�t Is Issuetl I� s�all no[ employ any parson In any manner soiaz to become subje<tto t�e' � Workars' Compensatlon Lawi oi Califomia.' . � � Date Signature � NOTICE: If,�aftar making Mis tleUaralion, you shoultl� become subjett to the Workers' Com0en5ation Drovlsionz ot the Labor COCe, you must forthwlth. compiy with� such Drovislons' or this �Oe�mlt �shall be tleemetl revoke0. CONSTRUCTION LENDING AGENCV � � . I hereby afflrm [hat there is a conztru<tion lentling agency for the performance af tha work for which thls permit s issued Sec n 3q97 Civ. C.) LonAer's- Name ,(s'T LM1y� I�'�a+/•� l.enaer's Atltlresz � /.Gi�� ./(�/ A/ Si S. fi � OWNER BUILDER OECLARATION ' ' " I hereby attirm th5t 1 am exemptfrom the'Contractor'S Licansa Law for lha following reason (Sectlon 7031.5 Business antl Protasslonal:Cotle: Any city or county which requlres a permit [o construci, altar Improve, tlamolish or repalr any structure, Orlor lo it5 issuance, alm requires t{�e appl{<ant for su<h parmlt ��^_file a Slgned itatGmtnt [hdt hG/she IS Iitensatl pur5uant to the prOvlslons of' c�'Contraclor's Llcensa Law (Chapter 9(commencing with Sectlon �000) oi :"��s(on �3 oi lhe Business and Professions Cotle) or [hat he/she is axampt �� �refrom anE tha basls !ar the allegetl axempHon. Any vlalation o/ Sectlon 7031.5 Gy any applicant for a:permiY suDjects the appliwnt lo a� civll eendlty ot nol more Inan five hUnOr¢tl Collars (§500�. ' � � LJ I, as owner o( the property or�my employees with wages'as their so�e compensatlOn, wlll tlo lne woik, antl th¢ i[NcturO IS �ot IOtentletl o� ofie�etl ucenx �aw aoes not aOP�Y ta an owner oi a propercy wno ouiias or improvas tnereon, antl who aoes sucn work himself/herself or throu9h his or her own employ eas, pravlEetl lhat suth improvements are;not intentlatl or offeretl for sale. If, �owevar, t�e builtling or improvement is solA wlthin one year'of com- pletion, the owner wlll have the burtlen ot proving he/she tlIE not bulltl or Im- �rove fori the Durpose of sale). . . � i , �J I, as owner o( the property, am exclusively contractln9�with Iicensetl ccn- tractors to construct lhe proje<t (Sectlon 7044, Buslness antl Rofesilons Cotle:. The Contractor't LJcanse Law does not apply to an owner of property who ' builtlz or improves [hereon, antl who <ontracts for such projectt with a con- tractor(s) Ilcense pursuant to the Con[ractor's License Law). � . ❑ IYam axemp[ untlar Section 8. & P. C. for thi5 reason � Date ' Owner • iry l�at 1 have reaa 4hit apvliwtion antl state that ehe-abova � Corre . I dgree to COmply with all city'anC cOUnly OrElnantes 5 rel n9 f tling construction, xn0 �ereby authorize repre- �thl tlty o er on the above-mantioneA proparty !or �p ' /J. _ "/.si/%. � Orivers' LiCense or S$ a fv1F OB65-46 rev. 12/82 axeaptthofe wlthin �aary CorOer sign all apP�ooriate Eaclantlons. TVPE OF CONSTRUCTION PS NEW LI A�D- U'ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISN ❑ OTHER/� - n� DESCRIPTIONOFWORK ����"-�-ff rQ��LV /�' . / TVPEOFPERMIT GRAOING FOUNDATIO -STRUCTURAL � ❑ TENANT ❑ ELECTRIGAL �PLUMBING � MECHANICAL , ❑ OTHER PRQIECT DESCRIP710N 5�. F7. OCCUPANCv CONSTRUCTION TVP VALUATION $ ZON� GRADINGCV.VDS. .ACRES Ramarks: /1 ( A � ' D L+' � � � / Sink ' cflow Preventer cflow Irrigation � itubs ifiers • iwasher ' • iking Fountains � x Dreins � ' i x Sinks Kitchen Sink � Lavatories� . P—Trap' ' Roof Drains • Showers ' "- Service Sink ' Boiier ' Duct - Under Ground , Duct-Struciural , . Duct - Ventilating � � ExheustSystem Multiple� Firepl/Fact. Blt. ICBO # Heating�System & Ducting /�- P700,000 BTU 0100,000BTI Hood or Too» I ❑ . � ��,_��/ Registers Builtling; Canary - Appliwnl; Pink - A<counting; GOIElnmtl - ASsessor Sewer Cap Sewer Connection - Salar Collectors Solar Piping Solar Tank • Swimming Pool wlSps � Urinal - � Weter Closet. � Wete� Heater � - • Water Service � � �a a � ReinspeRion Fee `S15 � Isue Fee S 3 Refrigeretion System ❑o-ioopoasTu ❑ioo,000 System Repair/Alteration Reinspection � Fea : laue Fee § 3 A.P.qW _ PLNG.REF.qW TO BUILDING PROPERTV LINE �IEFTSIDE VARD PKG.SPACE REQ. � STREET WIDTH SPECIAL CONDITION: � Auromatic Washer Construction Pole Cookin9 Unit Dishwasher ,' � ' Dryers �Gas ❑Electric Fan � F.A.U. ' 1 i . a Fixtures � , Device Boxes ' . Outlets � 8791 ..5%16/p3 ` I' �4.5tl, TL pCVILVIIVU ' • . • c ro�� ri sr ' ' REAR YARD (TO P/L) � � RIGHTSIDE VARD ' PROVIDED ' ' � - PARK FEE $ . - i ELECTRICAL - - Meter �over 10D amps , , Sub Panel Sub Pole . . � Morors L104 HP LJiX-8 � Inc.Solar 09-15 HP 016-15+ ,Microwave . . Pole Light ' . Range�. . _ . Sign . swrtcnes . Trash Compactor � Garbage Dispoml ' � Generator �0-5 KW �5-15 KW Tiansformer �75-50KW ' ' � ❑5U+KW . RainspectionFee ' E75 Meter ❑upto700ampa IaueFee. �S 3 2oning Approded BY . � -Dete Appliption Approved By � �ate �p Appliration Isued By �� Date S��3`�-�'� � ; E � SUMMARY OF FEES ' ; � BUILDING PERMIT $ � SMIP ! ' $ PLAN CHECK ' �/$� J PERMIT ' PLUMBING V � I � ISSUANCE � $ PLAN CHECK � $� jE�� ' GRADING . �$ . ELECTRICAL $ ' ' $ PLAN CHECK� $ �`��--- MICROFILM S � 'MECHANICAC ! l$ Ld �' , TOTAL FEE $ � �PLAN CHECK, � � $ .�5� IESS � � �� ADVANCED�PC � $ � . ' FINAL FEE ♦ � $ � � CONSTRUCTION AND;PLA NING ""' �- � . - : . : _ , . �( SPA - :. - - - `:.. ` ��-r�',� .Date�, ��Inspectoi �Date Inspector' -APPROVALS " Permit.# �� APPROVALS _ �P.ermit:# ` � � � . i. i a .�i " . ' � ' _ ^ .1. Temporary Electrical Service or Pole' : � , . �52t �Pool &�Equipmenf Location � - . c • . � � 21 �Soil Pipe-Undrgrnd. _ �, y. . � ' � , � . .53: Steel �Reinforcement _ . . '. � �', ... -" . _ .r_ ,.^ ; 3: Electrirdl Conduii Utilitv-Undrgrnd. � �'� _ � - �� i -54.. �Forms �. - - � ' - 4: Electtical Conduit-Undrgind; _ � � :o c 55�. Electrical�Bonding . - �• - - '� ' - �%�� e 5, SteePiReinfoiceqient ;�r� �� ' , ,_ , - - , - `�' . ,56. Rough Plumbing & Pressure Test - �', ' 6: �Electiical UFER�Grnd.;�� z °: ' ' � �. � 3 57=� APPROVALTO�COVER-GUNITE . , --'•�� •' 7. Footings � • ' ,� - '`� : . � .� � ; `58 Eleefricaf�nduit-Undrarnd. � . . : r � 6. �Foundation � •:' ?) . , � - . •. ', �._' � •• � .- �,� .`_ _ - � 59. Gas.Pipe,��.Undrgmd:; Test ' ' � _, .d :��� i;�, � 9. Water Pipe-Undrgrnd. �; , f; � - � � + _ �60. Baqkwash �Lines, P-Trap, O Undrgmd. - . ,.. . . �y, ; v� - � . _ : � 10. Stiuctural Flooc System : , : - - ;.61. APF�ROVAL TO DECK • � - ' _ . � � 11. Pr"operty Sewer Line & House Connection ' r' .62. Backwash &�Receptor-Fival '- - �,, n 12. Sewer�Cap- .r� ' ; � - ' ��63. Heater & Vent-Final � � � - � 13. �Rbof,Drains'', , '' ' � ';� , , � • 64. Plumbing SYstem,- Final . - . ' � 14. Rough Plumbing + � � - - �,�� , �� � 65. Electrical-Final • - _ "15:'�Rough'Electrical-Conduit - � '- --�- -", '�-� -; - . � 6���Solar, Systerti-Final.' - ` •, � i16. ��Rough Electric Wiring� ^ : . I � � I�'�• �-� �`'-t • �� 6Z. Fencin �&�Access A roval' � -��" -- - -- � � i. iciT 9 Pp . � ' � -17. �Rough Wiring;Sign�' - .. , , ' - ' ' '. � 68. APPROVED FOR PLASTERING ' i ' - - �18. !Rough Electrical-T'�Ban, Ceiling, ' ', � -. • , .- � 69.� POOGSPA SYSTEMS FINAL � � �� 19. �Rough Heating & Air�Conditioning '',� , FIRE DEPT. REQUIREMENT- - ,� - � 20. �Rough,•Factory Fireplace; ; � . � � � � APPROVALS: Permit,# . - � �� 2L �Ducts,:in Structure�. ' �'' � � , � � � ;70. Underground Hydro � � y'� 22r 4quct;, Ven4ileting : ,� .� �, i ! , � �71: Product Piping O Gas ❑ Oil ' _� '� 23�'Gas.Pige-Rough & Tesi -; .,� � � � � , ,,.a,l „7Z.' Underground Flush - � . . �.�'24. `Roof Framing'-. '�'� ,. ' �.' ''�� � i � � ;��:, j• � ' _ �:`73.' Undergmd.StorageTank OGas OOiI � � 0 25. �Roof SheatRing , i � i ,"} , ' � ' ' �. � r . - 74. Overhead Hydro � - ' ' � _ . ., . - , . _ . . , 26. T-Bar Ceiling (Structuralj. & Monocoar" '. �_�, � � 75. Dry Chemical � . �: Frame and Flashing ' , • ' 76.� Dry Standpipe . � e - � ' 28. ,Lething & Siding � . ' i � �� � � . i -� � � 77. FIXED SYSTEM FINAL � � 29. �Insulatjon " � ' ' � ' � � { � 1 �78. FIRE PREV. FINAL � . � . , ' � � i . i , . -30. DFywall Nailing _'� ,� � � � ! } Notes:, � , , . ° � � .t x I.:' �i i �� � i- - �-r-- ' -� . - - . . . . _ c�" 1 i 1 � i i � � I � 1 I ' 1• � � 31. Plaster Srown Coat. �.t � ! � � ;� � L2 ' � , . = n 32. �Electrical Power Me'tlfr=Fina1. � ,. � '� �!; � ,�� . '.� ' � � '. . . 33. Final Electric ���� ' ! � � ' � ' ' • � � ; '� i j� � 34' Final Heating &'Air, Conditioning � � '���. ; , . . .. , 35. Final Gas Pipe-Test' - ' i �_ i � � � � � , j � - ; i _ . ' � � � " � 36. Hood or CanbpY�_ .1 �; � = , . o � ` ' ; i � ; o � . � - . ' � i: P I' � : � � . - .. . . 37. Final Factory Fiieplace `- �,. � � �� � `- � � � � � ' ' .� - - ' ' i 38. Final Plumbing ? ^� � � � � - Z � ~ i , , , � • � i I �. 39. Water Service-Final� ; i � �� . � � � � � � � ' . � �i 40. Gas Service-Final � �� � `i ' �,� �3 � . . . ' , 41. Solar pomesticFinal � � . ' _ _ � � _ T _ _ _ �i7' � 42. Backflow,Preventer . � ! - � ' � � � . . � ,- -- - - _ ' ' ' . ,. � �. . � .- i r _ . - . � . . � . 43. Backflow�lrrigation ;= ' � _ ' �. , . � - J 1� � [ . . � � � I � � 44. landscape Irrigation�System � �� ! `- � = �: + � � ' . _. . . ' �-, - � 45. Sounda Atterivafion � � _ � '• � � � � � � ' . ' � , � � � . _ ' - . ' � , 46. Handicap�,Regulations�' ; �� � I ' I , � I •e � °� � � , : � � � - ' . ' , , � } � 47. FINAL STRUCTURE & B�UILDING , � �� y ' ± � � � , � , • • � _.' 48. Special RequirementsGompleted , ;� ' � . � i � 49. Electric Release to Edison , � . � I � � i _ �� _,_.. � . , n i i - - � i � - - -i � 50. Gas Relea'se to Southem California Gas Co � � � ' . � ' � . _ 1 '� 57. CERTIFICATEOF;OCCUPANCY ` � ' " No, h � ' i Date � i I i . '• -� - � � ' . - .'� _' � � , - �...I. : _ .. . . .�- --- --- '----�--- -- -� - - - ..... . .. . _ ,. GTY OF CONSTI �� �Address � n ' Arch/Eng. � l\ . Address A MESA ION PERMIT in all ipaces within heavy bortler T Np� � � / TRA ( �orovriate aeclantions. NO. BLOG. NO. � L/yNCG ' Y E OF CONSTRUCTION '. �� Phone /j� � � NEW ❑ A�O -❑ ALTERATION L(Q/1�� ' ! ' OREPAIR ❑CONVERSION ❑DEMI LiCenSe No:�/Vi � OTHER _.. _ ._.. DESCRIPT�pN�F WORK (a Contractor���qGO'.i�KY t5'/ivC 7�18 �r<Kt�>Y¢�rnon[e �3���X' � TVPE OF, PERMI7 � , , � - 'Addre55 � �l(, /�}LV %�'����C� . ❑.GRADING� O FOUNDATqIO�N ❑ STRUCTURAL Q LICENSED CONTRACTOR DECLARATION - ❑ TENANT �.ELECTRICAL pi.PLUMBING OMECHANIC � I hereby aftirm thct' � am Jicenzetl untler provisio 6 of Charter 9(com= .. � , mencing with secbon �)l00) of ,DivjsIoP 3 " tbe Buslness antl ❑ OTHER � - Professions COAe, my �s lh f I forc n� tl�f�ct• � , . PROJECT D SCRIPTION' Licen C s �� '- � � '1 e e No �y J• � �) ^ L�3C� /y / ": Dat ��7 z � 519nature •_���GC� /�� �5�. FT.� . . v" ._ . WORK'ERS' COMPENSATION DE l A/'f/�ION ' OCCUPANCV�CONSTRUCTION TVPE. I hereby affirm Ihat I have a car licate/� f consent to selLinzure or a VALUATION ���- y��� ZONE "(IWte of Worklr5' Compen5dtion IASUtance, o� a Cer[ifiea coOY - - - of (Se5U gn. 8$�0 La . CJ. �� GRAOING CU. VDS. ACRES .Y No./U.E�J3 CPG ComPany �1•�%�//ifs F�"�i/ - ❑ Certitietl copY is �ereby turnisheC. - � ' REMARKS: • D �� �Certliletl copy is.filatl wilh tho clry Buil0ing Divizion. ' EXEMPTION FROM WORKERS' COMPENSATION DECLARP.TION ' "'� '- ' ' (This-secHon neetl not be complo[otl if the permit is for one huntlretl . � _ . , � - SE300) or lessl. � - � � cerH1y thdbin th¢�perfo�mance of lh¢ work-fo� whlch thl5.permit is . issuetl, 1 ihall not emplOy any person In any manner zo as to Decome PLUMBING • PL/aN CHECK Subjttt-t0 thG Workers' CompenSallOn Laws of California. �� - ' . Date Signaturt BATHTUBS SHOWERS � NOTICE: It after making thit tleclara[ion, you shoWa become subject TOILETS ' VRINALS �� �- �� - to the Workeri' Compensatlon provisions o( lhe Labor Cotle, you musi �VATORIES DOUBLE LAVS ' -- (Orthwith comply wi[h Such provl5ior15 Or this pe�mit shall be tleem¢tl ' revoketl. - - - - � -. _' ' ' '" _ . CONSTRUCTION LENDING AGENCV KIT.SINKS DISHWASHERS � I hereby affirm tnat there is a construttlon lentling agency (or the per- SERVICE SINKS . / SUMPS � �� formance of the work lor whic�l, thi5 Pe�mit is is ued (Se<tion 3097 _ Civ. C.�. F/Of�' /����>lls!-, ��.� . FLOOR S�NKS� ,• •�,� FLOOR DRA'INS � LentleCs Name 4�� �/T/L %J +� _ . . �Lentler's Atltlres<!�+/� N� � S�/✓/ �✓� DRINKING FOUNTAINS - OWNER BUILDER DECLARATION � � � INTERCEPTORS CLARIFIEftS Lnereby affirm that I am exempt from the Contractor'S License Law for the following reason (Sec[ion 7031.5 8usiness antl Professions'Cotle:' SWIMMINGPOOL PTRAP �" Any city O� COunty wM1ich �equlres a permit to ConsVuct, alter, improve, tle'molisn or repair any s[ruc[ure, prio� to i@ issuance, also re- y./ATER SERVICE ALTERATION � � � quir¢5 lh¢ ap:.liwnl tOr suth permi[. [o tile a Signetl 5[atement that he is Ilcensetl pursuant to tne provisionsbf [he Contrac[or's License Law GAS SERV ICE OUTLETS '- � -` i" vter 9_ (rommencing with Settion 7000) o( Oivision 3 af the ess antl PrMessions Cotle) or [hat he Is exempt�lheretrom and'the yyqTER HEATERS �� � BTU OUTPUT � �� " for the alle9etl exemp [ion. Any violation o/ Section 7031.5 by - ai�y applifznt'tor a permil-subjectz the applicant to a Nvil penalty SEWER CONNECTIOfJS � - - -� � � of not more than live huntlretl tlollarq(E500)._ ' ' ❑ I, as owner o/ the proper[y, or my employees with wa9es as Iheir SOLAR TANK COL•LECTORS � r j sole-compensation, will tlo tne work, antl the.structure is not intentled. _ or oflerea /or sale. (SecUon 704G, Buziness antl Rofezsions Cotle: The SOLAR PIPING SVS. Contractor+s L}cense-Law tloes nol appry to an owner.of a properry . - _ who builtls or improves [hereon, antl who tloes such work himself or ISSUE FEE � � throu9h his�own employees, provitletl4hat suctt�improvement5.are not Intentletl or offeretl for salc. II, howeveq tne builtling or improvement MECHANICAL PLAN CHECK i5 Soltl�within on0 yea� ol complation, lha owne�.will have Ine.burtlen. of Proving he tlitl not builtl or improve for the purpoze of sale�. HEATING SVSTEM 0-100,000 BTU ❑ I, as owner of'tho property, am -excluslvely convacting-with -qND DUCTING �- �-� - ' � IicenSetl contraclors to construcl the pro�ect (Section ]044, Busin¢55 100,0001 gTU antl�Protessions Code: Tne Cont�acto�'s LiG¢n5¢ tdw UoeS nOYapply to- --- ' ' ' an owner ol property who builtls or improves tnerean, antl who con- REFRIGERATION 0-300,000 BTU trac[5 frdm such piojecis with a contractor(s) Ilcesnea- oursuant to SVSTEM ' - " tne Conlractor'S Litense Law�. 100,000;+ gTU 0 I am exempl untler Sectlon B. & P. C. for [his BOILERS BTV mason' ' -- " ' ' - ' ' ' Date � - -pw�/p� � . . _. .. _SYSTEM REPAIR, ALTERATION I her¢by �eel dy}Tal I have r�atl [his application antl.state tha[ the above. EXHAUST $VSTEM MULTIPLE Informifon\iyco[reCf. I/aqree to mmply with all city antl county � il9natu'�Y� /�l.�"iCiLl—�'C,ll oace'�/GZ//l' ��� � �rivers' L! en . �. cc xe ( �ISSOE FEE '- - ' "'� GMF 0865-46 !Nbite�Builtling; Canary-Applicanl: Pink-Accounting; Goltlenrotl-Assessor ' 4728 2/22/B3 • 16.50 'Tl ZONE � PLNG.REF.� R�IGHTA . .. ..� " ' ' REAR VARD (TO P/L) � „ � � PI(G. SPACE REQ. PROVIDED ' -- STREET WIDTH. � PARK.FEE S ZONI NG APPRO V ED B V SPECIAL CONDITIONS: ELECTRICAC � PLAN CHECK. " ..5t]. FT. . .. � _ '_ 'GENERATOft OdVCW_3-30KW � - " TRANSFORMER � � � _ APPl1ANCE -'10�50KW_SO+KW i MOTORS" - -p.l-HP_1-30HP - - �' -�(INC. SOLAR) - 30-50 HP=•50 + HP ` ' '�FIXTURES OUTLETS SWITCHES - ,GASTUBE'SIGNS ' -' ' '�POLELIGHTS "'- - "' ' - �POLES METERED SUB �: -�PANEL'S - - MAIN SUB i: ,�SERVICE� "" ' - AMP - � i" _ ."._ '" " " ' ' _ ' ' .' _ "' ' '' ' ' " "'. ' ' ' ' �:. �' ISSUEFEE `" ' � ' APP4CAT�ONAPPROVED-BY - -- DATE SUMMARV OF FEES. . i -' �BUILDING - -- - ' " - � PERMIT 5 SMIP b . �PIANCHECK S PERMIT , . , �- ISSVANCE S - PLUMBING E� . -GRADING .E� �PLANCHECK S� :' , i ' ELECTRICAL 8 ' S,� 'PLAN CHECK Ea -s�%�. MICROFILM S 'MECHANICAL'S . TOTAL FEE S'�' _ �, � LESS AD- � ' ' iPLANCHECK' S - VANCEPC E_ � � �6s° _ _ - FINAL FEE S � CONSTRUCTION AND PLANNING APPROVALS Permit # - i. Temporary Electrical Service or Pole �' POOL�& SPA ' � , Date Inspector qppROVALS Permit#' - ^ ` ` 43. Pool & Equipment Location � �,$ 44. Steel Reinforcement � 45. Forms � � ' �46. Electrical Bonding 47. Rough Plumbin & Pressure Test _ 6. Electrical UFER Grn '48. APPROVALTO COVER-GUNITE - 7. Footings 49. Electrical Conduit-Undrarn . . .8. Foundation . -9. Water Pipe-Undrgrn , 10._ Structural Floor System - . 11 .. Property Sewer Line & House Connection _ 12. Street Sewer Connection ' � � .13., _,Rough Plumbing $- � 14. Rough ElectricConduit - � -- 15. Rough Electric-Wiring � �(,h-.�� ' "�16. Rough Heating& Air Conditioning-- � - � . 17. Ducts in Structure.. ' ' ' � � 18. Ducts, Ventilating ' - 19. Gas Pipe-Rough & Test � � - � 20. Roof Framing ' 21. Roof Sheathin � 22. Frame and Flashin ' 23: Insulation � " - � � � � 24. Lathing & Siding �� �� � 25. Drywall Nailing • ' 26. Plaster Brown Coat � - 27. Electrical Power Meter-Final � � 28. Final E�ectric � � 29. Final Heating & Air Conditioning .. 30. Final Gas Pipe-Test 31. Final Plumbing � 32. � Water Service-Final � - � 33. Gas Service-Final � - on c,.i�, n.,,..o�.��.c�.,�i � .�. 37. Handicap Regulations � 38. FINAL STRUCTURE & BUILDIN 39. Special Requirernents Completed 40. Electric Release to Edison 41. Gas Release to Southern California 42. CERTIFICATE OF OCCUPANCY No'-- Date 56. Electrical-Final 57. Solar System-Final � - . encing & Access Approval . APPROVED FORPLASTERING ' 60. POOL/SPASYSTEMSFINAL � NOTES: . `' ', Inspector u.rtao, n�- } ADP����t to fill in all spaeas except thou within �eavy DorGer linas anE sign all aoo�onriate tleciarationz. , _ , CITY OF COSTA MESA. � ' ' � i pEqtvti7 nlo. � TRACT NO. �LOT NO. BLD . . CONSTRUC710N PERMIT AppliCenYSMellinJg Addrea � �)� / M, TMPEOPCONSTRUCTION' New ADD ALTERATION REPAIR m ProjectAddreu^��D ��GNGLd'"7 . U7„� � ' O CONVERSION ❑ DEMOLI H� OTHER � � � Owner'sName��T�r'���1� lN hone7h/"� DESCRIPTIONOFWORK S/y��r.�p' � q�j/�� ai,cP Addreu �u� • ` C�� . . . . � � / . - TVPE OF PERMIT�[ � GRADING -FOUNDATION STRUCTURAL h AfCh/Eng. v � ' LiCenSe NO. , ' ❑ TENANT IGi`ELECTRICAL ❑ PLUMBING ❑_MECHANICAC � � , �1 � /%�/'b C �i .�� Cr/�ZECr6�l/ O '� . '' Add�2R ' ' �, �OTHER ' , , � Contractor's Nam � Phon G 'nS��/ 3 _ PROJECT DESCRIPTION 5�. F7. - OCCUPaNCv � Addreulmailing) ���� � �'P%�'U� ��C �/ CONSTRVCTIONTYPE ; - VALUATION$- ' License No. '��'3l S��O�-' ; ZONE � �' GRAOING CU. VDS. ACRES _.. ...____... ' UCENSED CONTRACTOR DECLARATION ' • I hereby atfirm that 1 am Iicensetl untler provislons of Ch rter 9(commencing my II ense�l o uO�toroOOaV'm et 6ct t the B sin ss�ia rotesslons Coae, antl O� ucensa y � �� e o. . „+te�' � Signdture � � "-�9RKE 5' COMPENSATION DEC ATIO ' '�wii�ereby�affirm that.l have a certificate ot con � t to self-Insure o� a cerUtiwte - of Workers' Compensatlon Insuran e,�or a ceryt�l%fie�tl%/,c'yo�p/y't/h/e'ieo[t'}(�Se/<it�ion 3800, LaC. � . J% i��omPanY /i`v[L\C/Vi �' Cj`_`i, . Policy No. �Certifie �copy h re�yfurnisnea. - " { (� � Cer le 5 tl with the <ity gait7qlp9,�WAENffi' // �y (.[/ ,/��. Date APPllwnt ITGL/ ///lJ� <'1U UJ . . EXEMPT ON F OM WORKERS' COMPENSATION DECLARATION - �(This section neetl not be complatetl if the permit Is for one huntlretl ($100j or ; Iess) . , � � 1 certity �[hat in the performance of [ha work for �which this permit is tssued I � shall not employ any person in any manner so as to become subject. to the Workers' Compensztlon Laws oi Califomia. � � ', Date � Slgnature � ' � � ' NOTICE: Ii,�atter�making this tleclaration. You�shoultl' bemme�subject to the � Workers', Compensation provisions.ot the Labor Cotle, you must forthwith � comply .with zuch 'provisions' or this' permit shall be 'tleemetl revoketl.� . �CONSTRUCTION LENUING AGENCV � �� - � ' I hereby affirm that there IsalCOnstruttion 1¢ntling agenCy for the pe formance of the work iq� ry�.,��ys ppr/��t� s� I�swp��e cti iv. C.} I.,entler's, Name G1��7 �• /////5'/l�3/�Yl/ . " � l.enCer's Aaare« `� �y- 'S/%7(/' ' OWNER•BUILDER DECLARATION�- • � � ' ' 1 hereby atfirm that I ain exempt from the!Contractor•5 license I..aw for the iwi.a ny.-any appucan[ ror�a�permrt suo�e<ts tne�appncant to a-civn �enalty of not more than five huntlreH tlollars ($SOOjr �•� -� - i LJ I, as owner of ihe property or'my employeas with wages'as their sole . compensation will tlo the work, antl the structure is not intendetl or otteretl �or sale (Secfion 7044, Busines5,antl,Protessloual Cotle: The Contractor's � Llcense Law Goes not apply to an owner of a property who builtli or improves thereon, antl who Goes such work himself/herselt or through his or her own ' employees, provitletl that such improvements are not intentletl or otteretl for ule. If, however, the bulltling or improvement is soltl within one�year of com- � pletlon, the owner will have the burtlen ot proving he/she tlitl not builtl or im- �ove tor the purpose of,sale). . . , LJ I, as owner ot the proverty, am exclusivery contracting wkh Iicensetl con- tractorsto mnstruct the'project (Section 7044, Business antl. Professions Cotle:...� The Contractor'S License Law does not apply to an owner of property who ' builtls or improve5 thereon, antl who contracts tor such project5 with d con- [ractor(sj Iicense pursuant to the Contrac[or'S License Law). ❑ I.am axempt untler Sectio B, & P. C. for this reason Date . � .� ... .���� I� M1ere y certlf t intor ation is r ! antl st t s sentati 'insoectl o se� Sl9nature � orivers• I.jce se or CMF 0865-46 rev, 1. tnis . ��Z l��l�. � , PLUMBING � Sink � � Sewer Cap , kflow Preventer � Sewer Conne< kflow Irrigation � � Soler Collecta rtubs � Solar Piping . �ifieri • . Sotar Tank Floor Diains• ' FloorSinks��; - - � Gas Service�� Outlets � Intercepiors ' � Kitchen Sink � - � laJatories � � ' - ' P—Trap •. � � � Roof,Drains , ' ' . ' . 1 ^ Showers :+ � ' � i , � Service Sink � � Boiler � � "5 . � Duct = Under Ground , Duct-Structural � Duct - Ventilating _ _ Exhaust System ❑ Multiple ❑ Firepl/Fact.8lt.ICBO# � Heating System & Ducting ❑ a100,000 BTU'� 100,000 BT Hood or Type I ❑ � �_��/�(! / � � � Registers ; White - Builtling; Canary - ApPlicant; Pink - Accounting; Goltlenrotl - Assessor Urinal Water Closet, Water Heateq Water SerJice • f . � A.P.# PLNG. REF. # _ TO BUILDING PFOPERTY LINE LEFTSIDE VAqD PKG.SPACE REQ. STREET WIDTH . SPECIAL CON�ITIONS: 7434 =4/ I 9/i33' , ZONE � . B�UILDING -� . c rneCv C/ . er ' REAR VARD (TO P/L) _ � RIGHT�SIDE VARD -, j � PROVIDED � .. � � � � PARK FEE $ � � ! �' . ;2I.3a' TI. , � � CLCVIRIMHL � ' ' - ' , Automatic Washer . .. . ,Meter ❑over 100 amps t.. , _. Con4truction Pole Sub Panel. . � � i � Cooking Unit . ' Sub Pole ' , � ' , Dishwasher � � ' � ,Motors �0-1 HP 01%-8 ' Dryers ❑Gas ❑Electric Inc.Solar��9-15FIP 016-15+ , � Fan � • ' �Microwave ' • F.A.U. ' . , ,Pole Light � ' ' - Reinspection Fee �' ! Issue Fee � IANICAL Refrigeration System , ❑o-toopooaru ❑ioo,000aru System Repair/Alteration $15 $ 3 0 ,. . _ , Reinspection;Fee� $15 , Issue Fee ! $ 3 rixtures �. .- _ Range ' . �. _. Jevice Boxes Sign Jutlets i Standinq Sections � �_� >wi�cnes Trash Compacmr ' ) 3arbage Disposal { , � , ' 3enerator �0-5 KW 05-15 KW ' � . � iransformer �15-50KW • ' � � ' ❑5U+KW . .ReinspectionFea . � � $15' + Meter ❑uptot00amps ` �Iaue,Fee '$ 3 Appliption Approved By1� Date /� � - I � ApplicationlauedBy --�/� -Date ���7 � ' : SUMMARV OF FEES � . BUILDING PE�RMIT $� ' SMIP ; $ �PLAN CHECK� � $ � PERMIT. ' ' . PLUMBING $. � ISSUANCE ! $ � '- PLAN CHECK: � $ � ; GRADING $ � ELECTRICA� � $ • � • • � PLAN CHECK $ _� � MICROFILM � $ MECHANICAL $ TOTALFEE ' $ ' � PLAN CHECK` � $ LESS � � � ' ; � � , � , � ADVANCED�PC ' $ � � ' , FINAL FEE . $ '� Cc Y:` k.;., `5' � o •r �� .i, n- '� _ PO tSPA� � ' � -`o� ^'�•CONSTRUCTIONANDPLAN ING ��T� :P _ � - =`•� �.Date �inspecfoi : �: ; } � � - ° r � ��Date � I ns ector � � - 'APPROVALS � Permit:#��� - � � � ,APPROVALS- ' Permif# iU I � ti a n . • �` ` m�at'�..Temporary Electr�ical Serwceor�Pole ^ ' � _ ��: F' i'. 52;�Pool & Equipment Location _ . � , i' � =' i•+ 2; �Soil Pipe Undrgrnd� � V � ; � � / " , -� ,53> Steel Feinforcement - ' - � } ' � I � �. i � . , _ - i : ' o ';54 � Forms'' ... . . _ ; m ; 3! Electrical Conduit Utilitv Undrgrnd. � • ; . - . �-: _ �- � 'v. < s^ .�, . ' � � � r ... - � i , � � _ _ . � _ . � 4, Electrical ConduiYUnd'rgrnd - j a _ . >�- - � ' ,55. �Electrical Bonding�, � . _' _ ,� 5? Steel �Relnforcement I �� � ` � � �= � ' `- �.;56.� Rough Plumbing & Pressure Test �� "� ' ,6:,;Electrical UFER, nd � � � � � �576": APPROVALTO COVER.GUNITE c'�o� � � i i , ,. _ _ . � � �. : 7. Footings ' i � � i ' C ,�,_ , ; i ''• - � ��.58.1 Electrical Conduit=Undrar��1. � _ �. . . ., �. . . � �I n 8. Foundation _ �;; � � '� � _ ' . • ' ��59. Gas Pipe, O' Und�grnd., Test , � , , . 9. Water Pipe-Undr'g'r�d. i ( , ._ � �'60. Backwash Lines,�R-Trap, �'Undrgmd. �, . - � ' ' � � _ . 10. �Structural Ploo��System . � ti � ' � - = ` ,.61. APPROVAL TQDECK � - - , _ � � 17. Property Sewer�Line &'House Connection' t , . � � �,62. Backwash &,ReceptorFinal � - ' ' � 12. Sewei Cap ; � i � i � - ' ;+ - ' 63. Heater & Vent-F,inal � i t�� �. - r, - - .. . -. 13. Roof Drains � , � ; j _ . � � � • � •,64. Plumbing-SYstem,- F.inal •... - � ' � � 14. Rough Plumbing � . � - � � `- � � �'65. Electrical-Fina� � � � - - ' � � � ' ' 15.= Rough Electrical=ConduiT-j -r-.- �- - - � -�; --,-- - - -- - - - -�-*' ---- � - - � - - � � - -.�. � ,,_ 6 . � � r� �, , i 66.' Solar�System-Final � � . ' i - � i, 1�,�Rough�;Electric�Wiring; r I � i, i ` � � � ?r� I.:C.�r .� � � 67. Fencing & Access.Approval � -. _ � - _ � : k,t��qRough.Win'ng'Sgn^ �', s!�' ji �� I, t'_ I �'.' �., c i 88. AFP.ROVED FOR PLASTERING .. � _ '�.. �� = 1$G�Rough_Electrical-`T;Bar•Ceiling� ;� �i � - � � !" � ` � 69. POOL/SPA SYSTEMS FINAL - • �' 7�9.'�(Rough�Heating &'Air Gonditioning fl �_� .,: � i I i- i . FIRE DEPT. REQUIREMENT.� � .:j , �. k + 20. Rough�Factory Fireplace � i; � �� ' � � ; I �� APPROVA'LS, Permit�# ' - �. � , i ? � M ,.. m � � � � � � � - ; 21. Ducts,.in Sf%ucture• �� ; p {. ; � � ! � ; , 70., Undeiground Hydro ' ' -� � �• .., ie .i � c- , . . . . , ' ' . ' . �''22. ,Ducfs, Ventilating ; I�; � il !� � I , � �, 71. Product Piping 0 Gas ❑ Oil � � , ' � �.`23. Gas Pipe-Rough & Test r "V � : {-�-� �- � -"." -� ' j2.; Undeiground Flush, ,: � � '�'"24. ;Roof Framing- � � � `; � f� ,' il�; � `•, I �' � •�' , � � y '`� � � I "� : 73., Unde�gmd. Storage Tank;O-Gas �❑ Oil, , o ; 25. ��Roof Sheathing � �•� �� � � � I ., _ � I " " �7q, Overtiead Hydro ��•' ' � . i i �� II �� �, �. i` i - , ' 26. T-6 i Ceilirig (Structural�� &�.Nlonocoat' 1 : � .: � ��, � - �;. � � � ' 75.� Dr,y Chemical � � , � � � , ��27. Frame and Flashimgi � � � , ; �� �I � ' I I � ' � 76.� Dry Staniipipe , � , ' � : � i - .. � ` 'i/28. iLathing &-Siding � ;' � � � , E� ;I I ' � I i� � j ! 77. FIXED SYSTEM FINAL �; � ,_ . � � � . ` �29ylnsulation '� "'_ I `J '. R ' � I '� �I � � � � � � j '78•' FI�RE PREV,. FINAL '� � ' � . � = 'j�30. Drywall Nailing ' �' 'I ; "=i i� �� � � 1 � I � ( �Notes:' � 1 � " . ; I ' ' : , 31. Plaster Brown CoAi � � , � � . � ' , . a i � � ' ` � '� ` . . , . 1 I � '.__.1_�_ ..�.' � . .. � . '.. .� � - I �� � I � � � i I � �� , i , e - � � i i ' � { . � � . � �32. �Electriral �Power Meier;Final �' i. ' �. � � � : � i • • ' � - � . 33. Final Elearic ' . , .y_.�.,. � � --� - - , � i - - � - - • , --- G 34. Final Heating &iAir Conditior�ing' � � � � � v� � � ,' ' � � - i � � _ t i�. :-, � '- . . 35. Final Gas Pipe-Tesf1 �, � ,� .. '� � � . ,.; , ` - - ' �'; ' ' � � � , ` � - -. 36. Hood or CanoPYP�i . � � _ � ,' �. � � � ; . ; � � . . . , • . � � .- - � - � - . '� n I � � .f� • - � i . , � . _ . 37. Final Factory Fireplace' ! =- %� ��:� � � : , � ' ' . -. " i� 38. Final Plumbing j � � � ��I I ' � • � � � � ' � � � � - ' - ' - � . 39. Water,�Service-Final� �•�� p� I . I i ` � ' � i �1 � 40. Gas Service-Einal � ' ' ' ' � � • � ` . "� � � i. i � ' i I �� 1. � � � ' . . ; � I � � ; : I � . ..r . .V r: 41. SolarpomesiioFinal - � � I i '- � _ - -- -- _ �-�_-.--. . . �. . , . � 42. Backflow�Preventef. � � i jmi i ' ; ' . . : 1 '. vic-f'i . � �+ -� ' - �- - -- - - -- - - ,. 43.Backflow�lrrigatiorl��� ' I � ?�� .I.y -" - .. .- i � . .. � i. �i 1.. �I . bl i ' � ! ^ I � ' � [ r �r • ' ! ' • � . 44. Landscape Irngation,System � i ; � � " ; , � � ' � _ . - , � � d --1 '_�... �c��l . '�I: . � ' � ' .�=� ' . .� . . _ . 45. Sountl.:9ttenuation ' � � � • ' . • . � �. �� b � -i� - 46. Handicap.Regulations � , . � � ,� � �� '�'; � ' � � �, " _ . ' . ' " - 47. FiNAL STRUCTURE & BUILDING �� � `. � � - �Y I ' ' . ' t �� i i i � � � t' i i 48. Speciab Requirements Completedl ' . ' � •' ' . � . j • ' ` ' � � �e . � . • n n i 1 � i � �� i / 49. Electric Rele�se to Edison � � i ! :_.t._-L - r� - --i . .- _. ._ - -'--_ - . ' ^ � 6 i 4 1 3 ir 50. Gas Relee'se to Southern California GasCo ( f � � j, ':��.�,. � . ��� . �' �� i i � i i a 1 1 � I� ,t -i�� • 51. CERTI'FICATE OF'OCCUPANCY � ' _' ' _ _, _ I . J.__• _,_ ' � . "' , ^ � 1 i t . � - 1-'i' � -�� . . , , .,.. No i, � � I date i I t � � � `� �'--- . . . _ i�,�. - CITY OF.G�ISTA MESA CON�STRUCTION PERMIT Addrea Address LI in a1l s0aces within neavy Gortler lines anE sign all NO. � -6D �-f Z l/55/Z 2� S�i.Ui` TVPE OF CONS7RUCTION Phone �4YY �NEW ❑ AD� ❑ AITERATION '��� � � - ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ii/ "i iiiJli License No.G J�OS% � OTHER ,_.,._ ._ DESCRIPTIONOFWORK ror = �/���� /,/(7� � �� rnone��j ,3yc,�— TVPE OF PERMIT ' . T/� i 1 1)A . J II�I 1h� ❑ GRADING �OVNOATION �TRUCTURAI ED C NTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBING iOMECH;41 affirm that I am Ilcensetl un 2T pro slon of Charter 9(com- � -_ . with section 7000) ivly6�1 3 o the BuSinCss antl ❑ OTHER ' ns Co Y, anG my ens./ £ fU force antl eHect ' / Llcense CI '�'� � ��% , /: SQO�ECT iESCaRI TIO ,/ 3�j' M'� � � � Date ' Siqnet ' n� ' � WORKE 5'COMPENSATION L AT N OCCUPANCVbIiCONSTRUCTIONTVPE I herenY atfirm that I have a P�ificate o onsent to self-insure or a VALUATION 9Ty7OZONE lrtiti(a�e of Wo/ker5' Compen5ation I�S /ance, or a Certifi¢d copy . .�ereo�(�SU2/8574C) �f+'L�C.��/���')(C%%�i�.�.'GRADINGCU.VOS. ACRES Pollty No.� Company � ❑ Certltietl copy is hereby (urnishetl. REMARKS: �� /� b` �er4�fle0 copy is filetl with the ci[y Builtling Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � ' (This 58ctlon neetl not be complatetl if [h0 p<rmit is fOr one hundretl (5100) or te55J. - 1 certi}Y [ha[ in tbe pertormanC¢ Of tha work for whith this permit is i5zue0, I shall not employ any Gerson in any manner so as to become PLUMBING - PLAN CHECK 5ubject to the Workers' Compensation Laws of Callrornia. Date Signature BATHTVBS SHOWERS NOTICE: If after making this tleclaration, you shoWtl become subject TOILETS . - URINALS ' to th¢ `/dorkeri' COmpGnSation Provlsbns Of the Labor Cotl¢, y0u must forthwi[� comply with suc� Orovislons or this perm�t 5hall be Geemetl LAVATORIES DOUBCE LAVS �evok2d. . CONSYRUCTION LENDING AGENCV ' ' KIT. SINKS ' 'DISHWASHERS ' I herebY aftirm that there;is a constru<tion len�ing agency tor Ihe per- SERVICE SINKS '� SVMPS " ' formance oi [he work forwhich this�p¢rmit is/I��5uetl (Settion 309� � � Civ. C.). Sj E S �E /7 � PLOOR SINKS '- FLOOR DRAINS ' Lentler's Name ' Lentler'sAtltlres� ��L -'� - DRINKINGFOUNTAINS OWNEP BUILDE�CLARATION Z Q� - I hereby atfirm that I am exemp[ trom the Contractor' lic�5e w for �NTERCEPTORS' - CI.ARIFIERS lhe tollowing reason (Section ]031.5 Business antl.,Protessions CoOe: SWIMMING POOL ' P TRAP' �' Any cRy ot - wunty which rGquires a P¢rmlt to consiruct, alter, ImprovC, tlemolish or repair any structure, prior to its issuance, also re- yyqTER SERV ICE 'ALTERATION qpir¢s the ap0���nt fo� suth permit to tile a siqnetl statemen[ that he �s IlcenSetl pursuant to [he pr0��5ions ot the Contractor's License Lzw GASSERVICE' OUTCETS�'�� Chapt¢r 9(<ommencing wi[h Settion �000) o/ Division 3 of the (uSine55 antl fhofessions Cotle) or lha[ h¢ i5 ezempt th¢refrom dnA tbe. . y�rqTER HEATERS ' BTV'OUTPUT - oa5i5 fOr the alleg¢tl exemptiOn. Any v101ation Of Section 7031.5 by Iany apPlifznt for a permit subjec[s the appticant to a civil Oenalty SEWER CONNECTIONS ' '� ol not more than tive huntlretl tlollars (5500). � I, a4.owner.of. the property, or my employees with wa9es�az their - SOLAR TANK "COLLECTORS Sole cof�Pensafion, will tlo th¢ wo�k, antl lhe structUre is nol intentletl o� offeletl for sale. (Section ]044, Busln¢ss antl Ro(essions Code: The $OLAR PIGING SVS. ConlraGtor's License Law tloes not appry to an Owner of a pro0erty wno bU��tlS or imp�oves (hereoa, ana who Aoei su<h wo�k himself or ISSUE FEE througl+ his Own employees, p�ovltle0 lhai SUch imp/ovement5 d/e not intentletl or� ofteretl for sale. If. however, the buiitling or improvement is soltl within one year ot mmpletlon, the owner wiil have the buraen ol prov�n9 he tlitl not build or Improve for the Purpose-of sale): Q I, as owne� of the pro0erty, am exclusively conVactin9 with I¢en5ed mntrac[or5'to const�uct the prOleC( (Sec[iOn ]044, Business antl Pra�assions Cotle: The Co�trac[or's License Law tloes not apply to an,owner of property wM10 builtls or Improves thereon, antl who con- hacts from such pro�ects with a contractor(s) ❑c¢Snetl pursuant to Ihe Conbactor's Litense Law). ' ❑ I am exempt untlec $ection 8. & P. C. fo� thi5 reason Date � OwfleT,+ b15 appli W tion an0 state tha[ _to comply with all tity�ai 3 �o <onStYu<tlOn, antl h¢reby MECHANICAL P�AN CHECK NEATING S�'STEM 0-100,000 BTU_ AND OVCT�NG � 100,000 � BTU_ f1EFRIGERATION 0-100,000 BTU_ S�'STEM � �00,000 + BTU _ BOILERS BTU � SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE ers' ' or��� �/ �� � r _ ' �SSUEFEE ' n865-4fi Whi[e-Builtling: Gnary-APpliwnh Rnk-Accountinq; Goltlenrotl-Azsessor l, A.P.�f IIG-IN' ZONE —�, $ETBACK Gl 5T. �IOE YARD r'c �EGHTA � . REAR VARD (TO PKG. SPACE REQ. STREET WIDTH ZONING APPRO I �SPECIAL CONDITI t1VLU 1'V ELECTRICAL � 29'3 I/14/;3 PLNG. REF. � PROVIDED PARK FEE § N CHECK 7RANSFpRMER 0-1 KW_ 1-30 KW _ APPLIANCE 30-SOKW_SO+KW_ MOTORS -� � p-1 HP_1-30 HP _ (INC. SOLAp) 30-SO HP_� SO + HP _ FIXTURES OUTLETS SW�TCHES GAS TUBE SIGNS - - POLE LIGHTS ` � � � MAIN SUB E AMP 4e�io61 T ISSUE FEE ' ' APGLICATION APPROVED �' � DATE �, SUMMAR OFFEES (pl�� BUILDING ,� PERMIT. $.L� SMIP �$� p�y,AL6FttT,��$ PERMIT ' �ISSUANCE $ PLUMBING $ �� PLAN CHECK $ " GRADING $ � , ELECTRICAL 5 $ PLANCHECK S MICROFILM,S MECHANICAL $ TOTAL FEE $ � PLAN CHECK $ . LE55 AD-• VANCEPG 5 FINAI FEE $ � • `� CONSTRUCTION AND PLANNI '_a " POOL & SPA '.. - ' - ,. _ r � � �� ya- Date Inspector Date � Inspector� � � APPROVALS Permit # � APPROVALS Permit # _-. 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location � � �r�' 2. Soil ipe-Undrgrn. . • � 44. Steel Reinforcement ' " � -' ' � - � � � 3. Electrical Conduit Utility-Undrgrn _ _ _ 45. � Forms ' ' ' ��,r� 4. Electrical Conduit-Undrgrn � _ . 46...Electrical Bonding ' ' - � � . tee ein orce. • . 47. •Rough Plumbin & Pressure TesY ' ' � - � � �� 6. Electrical UFER Gm 48. APPROVAL TO COVER-GUNITE ' � � "� " ' - � ' � • 7. Footings ' ' L'� ` 49, Electrical Conduit-Undr m ' ' - : 6. Foundation �,' � 50. - Gas Pipe, ❑ Undr rn, Test ' '� � 9. Water Pipe-Undrgrn ' 51: Backwash Lines P-Tra ❑ ndr rn ' � ' 10. Structural loor System � ' . 52. APRROVAL TO DECK � 11, Property Sewer �Une & House Connection ' �53:: .Backwash & Rece tor-Final � � � 12. Street Sewer Connection 54. Heater & Vent-Final ; . 13. Rough Plumbing ' " � . ,,.�. � 14. Rough ElectricConduit - � - - �' � ' �56. . Electrical-Final ' ' � -15. Rough Electric-Wiring - - 57. Solar System-Final •� 76. Rough Heating & Air Conditioning - • encing & Access Approval � 17. Ducts in Structure � ' APPROVED FOR PLASTERING 18. Ducts, Ventilating . . . � ` t9. � GasPipe-Rough&Test - 60. PQOL(SPASYSTEMSFINAL � 20. Roof Framing - - � 21. Roof Sheathin j� - . - � 22. Frameand FlasFiin 5 �, NOTES: '�� � i' N ,a,,,,,,�e'� '�3 23. Insulation � - n - - - - ' � - � � ' ' ' � 24. Lathing & 5iding � � - - �" � � �� - ' " 25. Drywall Nailing � ' ' � ' ' - ' 26. Plaster Brown Coat - �27. Electrical Power Meter-Final ' � � '28. -Final Electric � ' ' � 29. Final Heating & Air Conditioning 30. Final Gas FPe-Test 31. Final Plumbing - � -32. Water Service-Final. � � � �33. � Gas Service-Final �: \ � • � � � 34..- Solar pomestioFinal •� ' � - � - ' 35.- Landsca e 5 rinklin S stem � . 1. 36. Sound Attenuation ' - � • � 37. Handicap Regulations • � 38. FINAL STRUCTURE & BUILDING � - � - ' � 39. Special Re uirements Completed � � 40. Electric Release to Edison � - � 41. Gas Release to Southern California Gas Co. � ' � 42, CERTIFICATE OF OCCUPANCY .. . � No � � . Date � : 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, �alifornia Administrative Code, Title 24, State of California, in the building ated at: rn�titTE V 5Tp �-s/.5Ti7 p//eS,O .IIOT '�1 Address Ciry Trect Number Exterior Walls Owens-Corninq Fiberplas Tvpe�� Insulation � %y Thickness CeilinQs � Owens-Gornincl Fiberqlas Tvpe�—lnsulation 6 /2 Thickness Floors Owens-Corninq Fiberqlas 7ype Insulation .•oundation Walls Manufaclurer Thickness �� R-Value 2_r4 R-Velue R-Value Type Thickness R-Value General Contractor License No. By Title Date �Syrowre� / Insulation Contractor ��1t7D�E�b/117� �3..��Q License No. �BO� O By � v' ��"e� Title Date T�/7�83 (SiB�ewra Homeowner Copy (White) Stete Copy (Yellow) Builder Copy (Pink) OWENS-CORNING FIBERGLAS CORP. v„e. wo. �e-ei�sss-e Insulation Operating Division uma in usa.. �a�.. isez caw.;cm e ivaz owe�,-co,�;�q v;oe�ciaa caro. Fiberglas Tower. Toledo. Ohio 43659