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Home My WebLink About2499 PARMLEY LN - Building PermitsJobAddress: 2499 PARMLEYLN Suite: Viciniry: FLAT ROOF Primary Occ: R-3 Dwellings/ Cong Res <70 Parcel Number: 43933334 app�icant: LEMtJS, RAFAEL Address: 2076 WALLACE AVE UNIT 8 COSTA MESA, CA Owner: HARRISON, LA RUE C TR Address 2499 PARMLEY LN COSTA MESA, CA Comractoc LEMUS ROOFING Addre55: 2016 WALLACE AVE UNIT B COSTA MESA, CA Zip: 92627 Arch : Address: Zip: Phone: License: Type of Construction: V-N Zoning: Phone: 949-642-7057 Zip: 92627 � ISSUED BY: Phone: Zip: 92627 Phone: 949-642-7057 License: 826813 Eng: Address: Status: ISSUED Applied: 03/202007 Issued: 0320/2007 Phone: License: SCOPE OF PERMIT REROOF FLAT ROOF ONLY: T/0 EXISTING B.U.R., REPAIR/REPLACE SHTG AS NEEDED, INSTAIL 1 LAYER OF BASE AND WHITE TORCH. 6.5 S�UARES � Plan Check: 50.00 Permit: �6925 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 FEE SUMMARY C21C V81U8tiOn: 52,000.00 Claim Valuation: 52,000.00 Total: $69.75 PLANNING 8 ZONING SETBACKS MAIN STRUCTURE Fron� 0- 0 ACCESSORY Front 0-0 PARKING Existina: o Rear 0- 0 Rear 0- 0 Left 0- 0 Left 0- 0 Reauired: 0 Pr000sed: 0 Right Right ao 9 i INOTICE: The work aulhorized by ihis permit shall compy with all applicable handicap access requirements under Califomia statutes and related � regulations. (Ord. No. 92Q8, § 1, 1241-92) ' EXPIRATION: This permlt shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned for a period of 180 tlays. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applica6le codes, and all requlred inapeetlona and tinal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaaae �e�oo� WORKERS'COMPENSAnON DECLARAnON: I �ereby eHirtn under penfllry ot perjury one at the following dederailons: ❑ I heve end will malntain e certlticate of cansent to seN-Insure br workers' campensetlon, as providetl for hy seccion 3700 at the Lebor CaCe, tor the pertortnence of the work for whkh Nls pertnii is IssueE. � 1 heve entl wlll meintain workers' compensation Insurance, as repuiretl by seclion 3700 0l the Lahar Code, for the pertartnence ol Ihe vrork for whlch this pertnit is issued. My work��omp�� n�r� � rrler end pollcy numDer flre: �� Cartler:� C� C�, PolicyNumber: (Thls sectlon need no( be complefed i! fhe perm/f /s ve/uetl e( one �untlred dWlers ($100) w Iess.J `� ❑ I certity thet in the pedormence of the work for which Ihis pormit Is Issued, I ahell not employ eny person in any mennor so es to become su�ject to the workers' compensatlon lews ol Celliornle, end egree t�et If I s ould Decome sub�ect m t�e workers' compensation provisiona ol Sectlon 3700 0l Ihe Lebor CoCe, I shell fon�with comply wlih Ihese provi � � ApplliwnFSlgnaWre: Data: 31 Z�� d� WARNINp: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAW FUl AND SHP11 SU&IECT AN EMPLOYER TO CRIM�NAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED TFKKISFND OOLLARE (5100,000�. IN AODRION TO THE COST OF COMPENSATION, DMNGES AS PROVIDEO FOR IN SECTION 3lOfi OF THE UBOR ODOE. INTEREST, AND ATTOFNE`f5 FEES. LICENSED CONTRACTORS DECLARA770N: I here6y aNirm t�at 1 em IicenseC under provis'ons ot Chapter 9(commenring vnih Section 7000) oi Division 3 of the Business and Professions Code, end my license is in tull fome end ettect. llc: � �Z. Gau k G— Contrecior�Signeture: nP i�k Date: � Z� ��- CONSTRUCTION LENDING AGENCV: ❑ I �ereDy ettirtn thet there is e construction lending egenq lor iha peAortnence ol �he work lor w�ich Ihis Dertnit Is issuetl. (Sec. 3097, Civil Catle). Lendefs Neme: Lentler'S Atltlross: Signawre: Date: OWNER-BUILDER DECLARATIONS: I hereby etllrtn thet under Denalry of perjury Ihet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the followlnp reason (Sec. 7031.5, Business and Pratesslons Cotle: Any dry or counry whic� requires e permit to construct, alter, Improve, tlomdlsh, or repair eny siructure, prior to its lasuance, also requlres the epplicant for such pertnit to Ille e signed stetement thel he or she is Ilcensatl pursuant to Ihe pmWslons of the Contrecwrs License Law (Chapter 9(commencing wit� SecUon 7000) at Division 3 0l the Business end Professions Cotle) or that he or she is exempt therefrwn end ihe ba5is lar the elleped exemption. Any violatlon ol Sectlon 7031.5 by eny applicant for a pertnit subjects Ihe epplicant to e civil penelry of not more Ihen five hundred dollars (5500).): ❑ I, as owner of the property, or my employees with wages es iheir sde wmpensetlon, WILL DO 7HE WORK, and Ihe siructure Is not intendad or oHered tor sale (Sec. 7044, Business and Protessions Code: The Contradors License Law does not appty to an owner oi properry who builds or improves thereon, antl who does such work himself ar herselF or through his or her own employees, prwided that such improvements ara not intended or oHered for sale. If, however, the builtlinq or improvemem is sold within one year of completian, the owner-Duilder will have tha burden of Dmving ihat he or she tlid not build or improve tor purpose ot salaJ. ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTAACTORS to cnnsiruct the project (Sec. 7044, Busineu and Professions Gode: The contrectors License Law does not appy to en owner oi properry who builds or Improves ihereon, antl who contrects lor such pm�ect with e contracto�(s) licensa pursuent to the CONractors License LawsJ. ❑ I em azempt untler sec. Business end Professions COGe for this reeson: SVgnawre: Date: Owner ID verilietl Dy tlrivefs Iicense. ❑ Yes ❑ No Drlvefs Ucense No. Vedliwtlon of Ownershlp by (type ol tlaument, I.e. - property teu bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Ezpires: ❑ I hereby cartity Ihal no excevetlon five (5) or more lael in depth Inio which a person Is requiretl Io Oescend, wlll be mede in wnnectlon wlih work euthonzetl Gy ihis permit, antl that no bullding swcWre, scaltolding, talsework, or demoliilon or tlismentling thereot, wlll be more then thirtysix (38) leet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle B, Celllomla Atlministretive Code). ❑ As owner-builtler, I will nat employ enyone to tlo work which would require e pertnit fram t�e Division oi Intlustnel Sefery, es notetl ebove, unless such parson has e permil to do such woM Irom the tlivision. Signature: Date: Division of Industrial Safery Permit Num6er: CER71FlCA7E OF COMPLIANCE AND AUTHORRATON OF ENTRV: I ceniy untler penalry of perjury that I have read ihls epplication and stete Ihal the iniortnatlon given is carrecc I epree ta wmply with all stete lews end city orGinances relelinp to building conslruc�ion, en0 euthodze representatives of the City ot CaSia Mesa to enter upon Ihe ebove-describetl property for InspecHon purposes. I egree not to accupy or ellow accupency ot any building euthorized by ihis permit until final inspection. 40oE �. INSPECTONTYPE 1676 Fixetl System Final Fire Prevention 1266 Paol Spe Final 200 Final RaRoof 201 Final Block/Retaining Well 202 Final Fadory Fire PlaCe 203 Final Sign 204 Finel Demolition � � �'/1 %� 3 20 � �a�- COUE� INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Siie 250 FinalBulltling/Occupency � ,� (714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ca.us � 77 FAIR DFIVE, COSTA MESA, CA 92626 lob Address: 2499 PARMLEY LN Suite No Vicinity: Parcel Nunmber: 43933334 Applicant: JOHNSON, NORM Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA Owner: HARRISON, LA RUE C TR Address 2499 PARMLEY LN COSTA MESA, CA PLUMBING PERMIT Phone: (661)259-7131 Zip: 91321 Phone: Zip: 92627 Contractor: AFFORDABLE WATER HEATERS & PLUMBING Address: 24707 SAN FERNANDO RD Arch / Eng : Address: ISSUE FEE Backtlow irrigation Backtlow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor D2in, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve SANTA CLARITA, CA CHANGE OUT WATER HEATER. AMT $23.50 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 §0.00 $0.00 50.00 50.00 50.00 QTY Phone: (661)259-7131 Zip: 91321 License: 627368 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer 50.00 Landscape Irngation 50.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar 50.00 Sink, commercial 30.00 Sink, Floor 50.00 �TY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 10/29/2002 Issued: 10/29/2002 ISSUED BY: Sump Pump Swimming Pool Trap Primer Unnal Vacuum 8rkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Waler Closet (foilet) Water Heater/ vent Waler Piping (Inst or Rep.) Water Re-pipe Water Service AMT $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall compty 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 within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order tor ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeellons and final epproval must be obtained. Failure lo obtain inspections and final approval will resufl in ihe ezpiration ol this permit. FOR INSPECTIONS CALL: (714) 7545626 24a6a8�600) WORKERS'COMPENSAnONDEC�ARAnON: � I hereby attirtn undar penalry of perjury one ol Ihe I011owing declarations: ❑ I heve end wlll maintain e certil��a�e of con5ent Io self�ln5ure for workers' wmpensetion, es Drovltletl tor by section 3700 0l ih9 Lebor Cotle, lor (he peAormance of Ihe wark tor w�ich this permit Is IsSued. ❑ I have end will maintaln worker4' �mpensallon Insurance, es required by sectlon 3700 of the Lebor Cotle, for lhe peAortnance of tha e�oM br which Ihis pertnit is lsaued. My workers' campensetlon Ins�rance carner end policy number ere: Cerrier. Pollcy Number. (This secNon need nof be comp/eletl i� the permit is valued et one hundred dollers ($100) or less.) ❑ I certity that in the peAormance ol iha work for which ihis pertnit Is Issued, I shell not employ eny person in eny manner so es to become subjecl to lhe workers' compensetion laws ol Calibmle, end egree ihe� il I should bacome sublecl to the workers' compensatlon pmvisions oi Section 3700 of tha Lebar Catle, I shell farthwith comply with Ihese O�a�iision /� Applicant Signa[ure: i)� � Oata: l�% '_ Z% WARNINO: FAIWRE TO SEWRE ORKERS' COMPENSATIqJ COVEMGE IS UMAWFUL AND SHRLL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES D CINL FlNES UP TOONE HUNDRED THIXISHJD DO�LAflE (5100.000), IN ADDfTION TO THE CAST OF COMPENSATION, DAMAGES AS GROVIDED FOR IN SECTION 3JO60F THE tABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRAC70RS DECLAF7AT�ON: I hereby aflirtn that I am force end eHect. Lic. k_ CbntractoYs Signature: of Chapter 9(commencing with Section 7000) of Division 3 of the 8usinass and Professions Cotle, and my licanse is in full Clau» � C� Date: /rl� - 7 S CONSTRUCTION LEN�ING AGENC�: ❑ I herehy aHirm ihat thera Is a consiruction lending egency for the peAormanco of lhe work tor which this permit is issued. (Sec. 3097, Civil Cotle). Lender'S Neme: Lentler's Atlare55: Signature: Date: OWNER-BUILDER DECLARATIONS: I here6y flflirtn that under penalty of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Buslness antl Profe55ions Code: Any ciry or counry which requires e pertnit to construc6 alter, impmve, tlemolish, or repair any structure, prior to its issuance. elso requires �he epplicant for such pertnil to file a signetl stetement that he or She is licensed pursuant to the provisions ol the Contrectors License Lew (C�epter 9(commenGing with Sectlon 7000) ol Divlsion 3 of ihe Business and Professions Code) or thet he or she is exempt lherefrom antl Ihe basis for the alleged ezemption. Any violation of Sactlon 7031.5 by eny applicent for e permit sub�ects the epplicent to e civil penel�y o� not more than flve hundretl dollars ($500).): ❑ I, as owner ol ihe property, or my employees with weges es �heir sole compensation, WILL DO THE WORK, entl the structure �s not Intended or otfered tor sele (Sec. 7044, Business and Professions Code: The Comractors license Law does not apply lo an owner ot propetly who builds or improves ihereon, antl who tloes such work himself or hersetl or ihrough his or her own employees, pwvidad ihat such Improvemems are not imentled or oflered lor sale. If, however, Ihe builtling or improvement is soltl within one year of completion, the owner-builder will have Ihe burden of proving that he or she did not build or improve for purpose ot sale.). ❑ 1, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Pmfessions Code: The contraaors License �ew does not appty to an owner ol property who builds or Improves thereon, end who comracts tor such project wit� a conirector(s) license pursuant b tha Contrac�ars License Laws.). ❑ I em exempi under sec. Signature: . Owner ID vedfietl by tlnvers license.� ❑ Ves ❑ No Business and Protessions Code for this reason: Vedtication ol Ownership by (type of daumem, I.e. - property tax hlll or tleed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICA710N: Drivers License No. Date: Expires: ❑ I hereby certily t�et no exwvetion live (5) or more feet In tlepth Into which a person is required to descend, will be made In wnnectlon wlih work euthodze0 by �his permit, end that no building s�N��ure, scaHolding, talsework, or demolition or tllsmantiing thereof, wiil be more ihen ihlrry-six (38) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle 8, Califomia AdminisVative Cotle). ❑ As owneo-builtler, I wiil not emp�ay anyone to tlo work which would require e permit irom the Division of Intlustrial Setety, es noted ebove, unless such person hes a permit to do such work fmm the tlivision. , SignaNre: Date: Division of Intlusinal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I cenify under penelty ot perjury thet I have read this epplicatlon antl state t�al the inlormetlon given Is correct. I egree to comply with ell sta�e laws entl city ortlinances relating to Gullding construction, entl authonze representatives ol the City ol Coste Mese lo enter uDon Ihe above-tlescnDetl O�oOerty for inspection puryoses. I egree not to occupy or ellow occupancy ol eny builtling euthorized by this permit wtil final inspection. ��Sjg Wre Of Legal Owner(s) Date `� /u- zy-d� -AnNOr Auihonzed AppliCent - Date COOE1. INSPECTONTYPE QA7E L�lfl 1676 Fixed System Pinal Fire Pre�ention 1266 Pool Spe Final 200 201 202 203 204 Final RaRoof Flnal Block/Retaining Well Final Factory Fire Place Final Sign CODE I INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Flnel Flre Preventlon 220 Final Planning Approval 222 Final Sl�e 250 Final Building/Occupency PG� It�L$ A r � � �c K�� T �� May 1S, 1984 ChUClc h�t0 249y Paanelly Ccsta slesa, CaliEornia Re: 2499 PacBelly {-7iring Pn�le.m Dr.ar t4r. ttuto: In respr�nse to ywr ra.�uost tio dateunino if an electrical proble.m exists at tho abo� residenco, c:huck Conner visited ttm: aito to ir��ct the electrical. A probL�� wafl four�d to exist. The conventionally frAmed liviry room cd�ich was t�ddell to tt� existing Stato—apprwed ttodulac stxucture stnuld hmre tx:en on a tatally irr3e;�rt- cb�t circuit. t�il€j a new circuit ams provided tbr the iivir� roan. a portion of tho r.ece�tacles �aere tied to the existir}� wirir.� in the �ciular portion. Eithor the contractor who perfozr�ed the alectrical �a�otic or a. licans�l elcactrical contcaetor of your choice, �hould pull a�ecrait and porform tt� necessary woric to correct ths situation. 'Poa m�ry recepCacles on a cicc;uik can caus� the cc�ixiition thet you dos�:ribed vfiere tt� circuit brealcsr tri� +�n usic� Goo ma�ry appli— ances. if ycx� liave anyg c�u�stiore, foEl free t�o call � at (714) 754--5614. Sinoerely, S(ATT R. El1ZERti Plan Gmck Enz}ineer SRt+:tr.vm iC-is2-36) cc: Chuck Conners �J -y ."l"'�.�� i ::.�::: i ' �', ; ��ia� �sa-sz�s • Fex (�ia� �sa-aess CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT .lob nddress: 2499 PARMLEY LN Suite: Vicinity: HOUSE & GARAGE Parce� Number: 43933334 Appliwnt: LYLE COOTER Address: 650 NORTH ROSE DR #203 PLACENTIA, CA Owner: HARRISON, LA RUE C TR Address 2499 PARMLEY LN COSTA MESA, CA Contractor THE ROOF DEPOT Address: 650 NORTH ROSE DR #203 PLACENTIA, CA Zip: 92870 Arch : Address: BUILDING PERMIT Zoning: Phone: (714)992-2976 Zip: 92870 Phone: (714)650-2916 Zip: 92627 Phone: (714)992-2976 License: 701742 Eng: Address: Phone: PERMIT NUMBER 00-00624 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 05/04/2000 Issued: 05/04/2000 ISSUED BY: �,_ Phone: Zip: License: License: SCOPE OF PERMIT REROOF - T/O, INSTA�L NEW 7/76" OSB BOARD, 1 LAYER OF 30k FELT AND LIGHT WEIGHT CEDARLITE ICBO #ER2093 ROOF. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $'125.25 $0.60 $0.00 $0.00 $0.00 $125.85 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING LeR 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 $s,000.00 $6,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is notcommenced within 180 days, or if work is suspended or abandoned � for a penod of 180 days. INSPECTIONS: In order for the work authorized under ihis permi� to be considered legal, such work must comply with all applicable codes, and all required Inapectlone end flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. POR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I here6y ettirm under penalry oi per�ury one of Iha tollowing declarefions: ❑ I have antl will malntain a certilicate of consent to self-Insura Por workars' compensetion, es pmvitled for by sectlon 3700 of the Lebor Cotle, lor tho pertormance of t�e work tor whlch Ihis permit Is issuetl. � I heve antl will melnteln workers' componsatlon InSurenCe, as require0 by sectlon 3700 0l ��e Labor CoOe, for ihe perfortnance o� 1�o work lor which this permit i9 issuetl. My workers' compensation Insurance wrrler end pollcy number ere: . ��9 / Cerder: ��PtiM�i PolicyNumber. /�" (Thls section neetl nof be comp/efed!! Ihe permlf Is velued et one huntlretl tlollers ($100) or /ess.) ❑ I certity that in the peAormence of the work for which this permil is issued, I shall not employ any person In eny menner so es to Docome sub�ect to tho workers' compenseilon laws of Celifomla, entl agree that If I should become sub�ect to the workers' compensetion proWsions of Seqlon 3700 0l Ihe Lebor Cotle, I shall fonhwlih comply with these provislons. / Appllwnl Signeture: X Date: � �%" li� WARNIN(3: FAILURE TO SEWRE WOPo(ERS' CqM COVERACaE IS UNLAW FUL ANO SHALL SUBJECT AN EMPLOYEii TO CRIMINAL PENALTIES ANO CMl FlNES UP TO ONE MUNDRED i/iOUSAND DOLLARE (5100,000). IN ADDRION TO THE WST OF COMPENSATION, DAM4GE5 AS PROVIDED FOR IN SECfION 3/W OF TME IABOR CODE, IMEHEST, AND FTTORNEV'S FEES. LICENSED CONTRACTORS DECLARATON: 1 hereby aHirtn Nat 1 am licensetl under provisions ot hapter 9(commendng with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and eRect. Lic. x !7i i� ��-- Class q G39 Conirac[ors SignaWre: Date: s�� o CONSTRUCTON �ENDING AGENGY: ❑ I hereby aHirtn t�et there is a construction lending agency for Iha peAortnance of the work for which this permit is issued. (Sec. 3097, Civil Code). , Lentlefs Neme: Lendefs Address: Slgnature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn t�et untler penelry ol perjury thet I em EXEMPT FROM THE CONTAACTORS LICENSE LAW for the following reeson (Sec. 7031.5, BuSiness antl Professions Cotle: Any city or wunry which requlres e permit lo conslruct, elter, improve, demdish, or repeir any sirucNre, pdor fo Ib issuflnce, elso requlres the epplicant tor such pertnit to file a slgnetl stetement Ihet he or she is Ilcanse0 pursuant to ihe provisions of Ihe Contractors Licansa Lew (Chapter 9(commencing wlth Sectlon 7000) ol Division 3 of tha Business entl Professlons Code) or thet he or she is axempt therefrom entl t�e Desis for the alleged exemptlon. Any dolation oi Sectlon 7031.5 by eny epplicant for e permit sub�ects the epplicant to e clvll penelry ol not more then flve �untlred ddlers ($500).): ❑ I, es owner ol Ihe property, ar my amployees wl(h weges as Iheir sola compensation, WILL DO THE WORK, entl tha structure is not inlentletl ar oHered for sale (Sec. 7044, Business entl Profeuions Code: The Contrectors LJcense Lew dces nat apply to an awner of property who builds or improves Iherean, entl who tloes such work himself or herselt or through his or her own employees, provitletl that such improvements are not Intended or offered tor sale. It, hov.•ever, ihe building or improvement is sold within one yeer ol completion, ihe owne�-builtler will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi t�e property, am E%CWSIVELY CON7RACTING WITM LICENSED CONTRACTORS to wnsirucl the pm�ect (Sec. 7044, Buslneu and Pwfessions Code: The conirectors Licensa Lew does no! apply Io an owner of pmperty who builtls or impmves thereon, and who contracts tor such project with a contractor(s) license pursuem to t�e CoNrectors License Lews.). ❑ I em exempt untler sec. Business end Prolessions Code for ihis reason: Slgnature: Date: Owner ID vedfied by drivars license. ❑ Yas ❑ No Onver's License No. E:plres: Venfica�ion ol Ownership by (type of documen�, i.e. - property tax biil or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby cenity that no excavetlon Ilve (5) or more leet In depth Into which a person Is requlred to descend, wlll be matle in cannectlon with work eu�horized by this pertnit, entl thet no DuIlGing structure, sraHoltling, felsework, or Aemditlon or dismflntling Nereof, wlll be mora Ihen thlny-six (36) feet high, (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Califomia AdministretNe Cotle). ❑ As owner-builtler, I will not emplay enyone to tlo work which would require e pertnit irom the Division of Intlusinal Sefery, es notetl ebove, unleu such person hes a pertnit ta tlo such work trom the tlidslon. Signature: Date: OiWsian oi InAustrial Setety Permlt Number: CER7IFlCATE OF COMPLIANCE AND AUTHORVJITON OF EMAV: I certify under penelry of perjury thet I have read this epplication and state thet the informetion given is correct. I egree ro comD�Y �th ell stete laws end ciry ordinances relating to builtling construction, antl euthodze reD�esenteNves ot tha Ciry of Costa Mesa to enter upon the above-described praperty lor inspectian purposes. I e8�ee not to accupy or ellow occupanry ol eny bullding euthorized by this pertnit until final inspectlon. SlgneWr elOwner(s) � Dete � fJ "� And/�rAuthodzed Applicant ate 40DE t. INSPECiIONTYPE 1816 Fi:etl System Finel Flre Preventlon 1266 Pool Spa Final 200 Flnal Re-Rool 201 Final BIacWRetelning Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 2a4&38 PA7E �A� CODE� INSPECTIONTYGE 206 Final Mechenicel 200 Final Plumbing 210 Final Electncal 272 Finel Fire Preventian 220 Finel Plenning Approval 222 Final Slie 250 Finel BuiltlinyOccupency PAIE INitfIRLS Fiay 15, 1984 Chuck r�to 2495 Pannelly Costa Mesa, CaliEornia Re: 2499 Pannelly �lir.inc� Yroblem Dear t�1r. f�.itot In response tr� your r�uest to detezmine if an electrical problem nasists at.the abov2 resid�nca, C1�uck Conncr visited the site to inspect the electrical. A probLon was found to exist. �rie com.entionally fra� livin� roan o�hich was a�3ded to the existing Stat�ap�xwed rroc9ular stxvcture stnuld have. been on a totally irc.iopen- dent circuit. ti•ihile a new circuit was provided for the livir� roan, a portion oF the receptacles �,�re ti�l to the existirr� wiring in the mx7u]ar portion. Either the contractor. who perfonne<i the electrical vrork or a licertsod electrical contractor of your choice, should pull a pennit and �rfozm the necessary vx�xk to correct the situation. Too msny r�ceptacles on a cirwit can cause the corciition that you described uetere tho circuit breaker trips whon using too msny appli- aaces. If you have ary �stiors, feel free tn call ne at (71a) 754-5614. Sincerely, SCl71T R. F11Zi:KT,£i Plan Chock Gnyineer SRF:hvnn (C-Fs2-36) cc: Chuck Conners January 20, 1983 M�:3a CITY OF COSTA MESA CALIFORNIA 92626 P.O. BOX 1200 FROM THE OFFIGE OF THE DEVELOPMENT SERVICES DEPARTMENT/ PLANNING DIVISION State Board of Equalization P.i_nance !2) Building Safety Division Camnimications Mesa Consolidated Water District Coimty Clerk Engineerir� Division (2) Fire Pre�ention County Administration Office Newport-Mesa Unified School District Manager, MID File (3) County Tax Assessor Pacif ir melepMne rr_m�rr�, r?� Police Departrnent - Ping. & Research Rob H�mrers, Sanitary District Engineer County Registrar of Voters Southern California Edison Co. Southern California Gas Co. Street Division United States R�st Office, C.M. United States Post Office, Santa Ana Zip 4 - Santa Ana California Coastal Camnission The City of Costa Mesa wishes tn advise you that in revisirr3 street xldresses, the following a�dresses have been changed: OLD ADDRESS 273 Monte Vista Avenue 273 Monte Vista Avenue 273 Monte Vista Avenue 273 Monte Vista Avenue 273 Monte Vista Avenue 273 Monte Vista Avenue 273 Nbnte Vista Avenue 273 Monte Vista Avenue NEW ADDRESS 2499 Parmley Lane 2493 Parmley Lane 2489 Parmley Lane 2483 Pazmley Lane 2479 Parmley I,ane 2482 Parmley Lane 2490 Parmley Lane 2498 Parmley Lane 77 FAIR DRIVE A.P. NO. 119-143-04 119-143-04 119-143-04 119-14 r04 119-143-04 119-143-04 119-143-04 119-143-04 RECr�� CITY OF COS'in Ary(iSA BUILDING DiV15G�J � �� 8 g 1g83 � 7�b��,wi�lilZi1�2�3�4�5i8 (714) 754-5245 Address Changes JanuaLy 20, 1983 Page 2 For your convenience vre are listing the agencies above that we have notified of the d�ange. In addition to those listec3, ya� are advised tt> notify your correspondents of the d�arge in oxrler to avoid any possible intec-rvption of mail service. Your c ration in this matter is appreciated. �'A -y� � ��),�:,�_-- �` JOSEP[i E. WIC�I7MAN Planning Intern hcam ( F-1-4 S ) cc: Iian Dol�nan c% Heritage Hanes, Inc. 1796 Co4ran Street Irvine, California 92714 .ry+ _ n . .. . _ . . ' .. � �T a.s Ol � . _ ]�' � F�'�`s�` 'cP � "1- � N — ,.ti � C� / J ' a /1i ._ -� N � a r � � � -_-��'' N '' -- � i i ` I L_ ' 4� 0 � N � er+�e �• ••la' Z� Appliwnt to fill in all CITY OF, COSTA MESA �`OIVSTRUCTION PERMIT Addres Address _ OpntleCtOf Addrea a within neavy Doraer lines ana si9n alt aoV�oDrlate tleclanlions. . TFACT NO. LOT NO. �BIDG. NO. j .'r��(t; TVPE OF CONSTRUCTION PhOn ," '0 �NEW ❑ ADD ❑ ALTERATION '�� ❑ REPA10. ❑ GONVERSION ❑DEMOLISH LicenSC NO. G'�%p� ❑ OTHER �__.....— DESCRIPTIONOFWORK I hereGy aff(rm that 1 have rtifiwle of onsnnl l0 5eH-insure or a carti(Ifzte of Workers' Com ensatlon Ins ance, or a ccrtifietl copy "ertifietl copy is hereDy furnishetl. _'�1'ertifietl copy is filed wllh Iha tity 8uilqing Division. ' � XEMPTION FROM WORKERS' COMPENSATION DECIARATION (T�is sectlon neetl not �e completatl if thg permit is tor one nuntlretl 1E300� or leu). cert fy tnat In the performance ot the wOrk tor which this permlt is issuetl, i snan not emPloy any person In aryy.�nnar so as to become subject to the Workers Compeniation Laws o/ Glifornia. Date Signa[ure NOTICE: If afte� making this tleclaratlon, you shoultl becomo subject lo Ihe Workers' Compensatlon provislons of the Labor Cotle, you muit torthwith comD�Y �'��n suc� provisions or tryis permit shall be Eeemetl IOVOktG. CONSTRUCTION LENDING AGENCV I hGrGby aHirm Ihat lhere IS a Construttloq Ientling a9enty tOr [he Pet- formanca of tho w/a-�rk for whic� NiXs p`er,�rnit is Isiueyp( �Sect/ip n 3097. Clv. C.1. /�� ,��/C/47/�� il/l� �� Lentler's.Namo � l/ � � /VT/T /IA.riC� �.01148f'S Atltlf6f< � OWNER BUIIDER•DECLARATION � � � ' I he�eDy atiirm thal I am exompt irom tho Cqntractor's �Icense law lor the following reasan (Section 7031.5 Busl�¢ss antl Protessions Cotle: Any clly or COunty whictl !¢quir¢5 d DCrmlt to conSVUCt, alt0l, Imp rove, tlemOlisn o� repdi� d�y structure, prlor to it5155uance, alio ro- quires the ap011�an1 for such permit to file a 5igne0 italement that ho Is Iicensed WrSuant [O tne provislons ot tne Contracror's LI<ense Law (Chapter 9(commencing with Sectlon �000) ot DlviSion 3 of tne Buslness antl PIde55ion5 COtle) or [hat he Is ¢xempt [hC/¢trom antl [h0 bails for the allegetl exemp[ion. Any vioidtion of Section ]031.5 by y applifant for a permit SUDjects the dppliWnt f0 a civil penalty no[ more (han tive huntlr¢tl tlollars (E500). .� 1, as owner ol t�e property, or my emp�oyees wilh wages as Iheir Sole compensation, will tlo Ihe wo�k, antl the strutture is not intentletl Or offerea tor sal¢. (Section 7044, Bu57nesg an0 Aofes5lons Cotle: Th! COOtrdctor'S U<¢nse Ldw tloe5 not apply to dn ownGr ot a pro0erty wh0 builtls or Improves lhGrGon, antl who tlOes such work �im5eli or lhrOugh hiz own emO�oyG¢5, ptovitletl that such imD�ovements ar¢ nol IntenCeU or ofleretl for sale. If, �oweve�, the builaing or Improvomunt Is Soltl withln ono y¢a� ot complCtion, the owner will have the burden 01 prONn9 he tlitl not bui10 0� improv¢ fOr [he-purpose o1 sa10). ❑ I, as owner of tne pro0erty, am ekclu5ivery conVacting wit� Iicensetl contraclors to construc[ the projp�t (SecHon ]044, Business and ProlMilons Cotle: Tho Contractor•5 Litense Law tloes not appty to an Owner of properly who builtls or Improve5 thCreon, antl who COn- t�aG�s from suc� P�oject5 with a conbactor(S) Iicesn�tl purivant to the Contractor's Ucense Law�. ❑ I am ezempt untler SecUon 8. & P. C.�fOr this reason Dalo Owner r,` % $i9natur¢ _ OrlverY Lice �� CMF OBfiS-46 0 io� TVPE OF PERMIT — � ' ❑ G0.ADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELEGTRICAL ❑PLVMBING, OMECHAI ❑ OTHER � RROJECT DESC TION 'So. �.__ �z? . �� "1 M•� .. OCCUPFNCV � CONSTRUCTIONTVPE �� VALUATION �a ZONE GRAOING CU. VDS. ACRES PLUMBING PLAN CHECK BATHTUBS SHOWERS TOILETS URINALS LAVATORIES �OVBLE LAVS KIT.SINKS DISHWASHERS SERVICESINKS SUMPS FLOOR.SINKS • F.LOOR DRAINS DRINKING FOVNTHINS, . ' - INTERCEPTORS CIARIFIERS SWIMMINGPOOL PTRHP ' WATER SERVICE •AITERATION GASSERVICE OUTLETS WHTERHEATERS BTUOVTPUT- - SEWERCONNECTIONS 1 SOIAR TANK -CO�LECTORS SOLAR PIPING SVS: ISSUE FEE MECHANICAL - PLAN CHECK HEATING SVSTEM 0-]00,000 BTU_ AND DUCT.ING 100,000 + BTU _ REFRIGERATION 0-100,0008TU_ SYSTEM ' �OO,OOO+BTV_ BOILERS BTU - SVSTEM REPAIR,ALTERATION EXHAVSTSVSTEM MVLTIPLE ISSUE FEE White-Builtling; Canary-Applicant; Pink-Accoun[ing; Goltlenrotl-Assessor 29'�% I/14/�13 ZONING REGULATIONS A.P. � I I�l — I �-h�— ZONE pnP,- L^D SgETBACK C/� l 5T. �YL SIDE YAR� O L5EpFT ^ R�IGHT �.�{, O REAR VARD (TO P/L) PKG. SPACE RE�. � 57REE7 WIDTH �I�- ZONING AVPROVE� B` SPECIAL CONDITIONS: �+nr.n r.rn ELECTRICAL � PLNG..REF. PROVIDEO, PARK FEE E PLAN CHECK GENEfiATOR 0-1 KW_ 1-SO KW TRANSFORMER APPLIANCE 10-SOKW_SO+KW MOTORS 0-1 HP_1-30 MP (INC. $OLAR) 10-50 HP 50 � HP FI%TURES OVTLETS 'SWITCH GASTVBESIGNS - POLE LIGHTS PANElS ' MAIN SVB SERVICE ^ AMP q6@a2� TI • - ISSUE FEE ' ' APPLICATION APPROVEO BV � DATE � i � � SUMMARV OF FEES � BUILDING l.�Q�SO PERMIT E SMIP $�.73 PLAN CHECK S PERMIT . ISSUANCE S PWMBING E GRADiNG S PLAN CHECK S � • ' �ELECTRICAL S b PIAN CHECK E MICROFILM S MECHANICAI E TOTHL FEE $ PLAN CHECK E �-E55 AD- VANCEPC S FINALFEE b •�� CONSTRUCTION AND PLANNING �,�, POOL & SPA � , � APPROVALS Permit# � Date Inspector pppROVALS ' --Permii# Date Inspector i. Temporary Electrical Service or Pole 43. Pool & Equipment Location � � � Soil ipe-Undrgrn 44. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrn 45. Forms ' � � A.. Electrical Conduit-Undrgrn . . - • • � � 46. -Efecirical�Bonding � " tee ein orce � 47. Rough Piumbin & Pressure Test � 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE - � � 7, Footings 49. Electrical Conduit-Undr rn - . g. Foundation __ 50. Gas Pipe, � Undr rn, Teit 9. . Water Pipe-Undrgrn • 51. �Backwash-Lines P-Tra ❑ ndr rn ' 70. Structural Floor System • 52. APPROVAL TO 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 ' . 15. Rough Electric-Wiring - 57. Solar System-Final �• 16. 'Rough Heating & Air Conditioning ' •� encing & Access Approval 17. Ducts in Structure . APPROVED FOR PLASTERING 1g, Ducts, Ventilating - ' 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL � 20. Roof Framing - Z�. Roof Sheathin 3- 22. Frameand Flashin - NOTES: .� - � �y � _ ` � ' �,Z" Stn'�•la ' 23. Insulation - /�1 Sa � � anl , O� I 24. Lathing & Siding � � ( " �} A 25. prywall Nailing � �; _8 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-Final � 34. $olar pomestic-Final , 35: {..andsca e S rinklin S stem �- 36. 5ound Attenuation � 37. Handicap Regulations 3g. FINALSTRUCTURE&BUILDING �S _&�$ 39. SPecial Requirements Completed Gq�} e Go B � 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY ' ' No Date �► CITY OF COSTA MESA 4 CONSTRUCTION PERMIT ADV�Icant [o flll In all sDaees e:eept thom wit�in �eavy DorEar Iinas anG slgn all apP�ooriata Gaclaratlons. Applicent's Mailing Addrea .,,�./ Prolect Addres� ��y� � ��'(-L� (�7�� Lj'��(�'�•� Owner'sName .C//L�/LL/%�i �r�� Phon(.2.(�S� Addrea %��Q/i�!✓ /� ✓/N� Arch/Eng. �� V�� Licenm No. G�� Address ` ��Q � Contrector i Nam hon � Address (mailing) � License No. . UCENSED CONTRACTOR DECLARATION - I hereDy'a1/1rm inat 1 am Ilcensetl untler provlslons oi Chartar 9(commancin9 wlth 5ection 7000) ot Dlvlsion 3 of the Busin s ntl Frofesslons Cotla, antl rtly IIC8050 IS lfl (Illl iOft na e/fect. �y LICBn58s�,ys �� li n a0� Data S�L IC�f 9e t � G W00.KER5'COMVENSATION DECLARATION . SereDy aTfirm that I have a certificata of <onient to self-Insura or a tertiflcate Workars' Companution Insurance, or a certl/ietl copy t�ereo/ (Settion� d800, Lab. C.) � �ro�yl,n�r No. /02�573 comva��I"��.��', .�i.;�ew� i}(tCerti�tl cqpy Is h�jyy�,Q wlthrtheht�Y Bull I 9 D vI51oT�� ./ _`p . 6a / G tiL AGPlicant /�<�/d+ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This sectlon neatl not be complatetl if the Dermlt I5 br ona huntlratl (E100) or , less). I certliy �that In the perform6nce of the work for which this perm�t is Issuetl 'I' snall not employ any persan in any manner so as [o become subjectto [{ie, Workers' ComOensatlon Laws of Californla. , Date 519�ature ' . �NOTICE:If,after making this tleclaratlon, you shoultl bacome subject to the Workers'. Compensation Drovl5ion5 of the Labor Cotle, you,mus[ /orthwitn ' comply with tuch provislons or this; permit snall be tleemeC revoketl. CONSTRUCTION LENDING AGENCV � ' � I hereby afflrm that t�ere ii a constructlon lantling agency for the arformance of the work for wh c�y thls permit Is siuo Sectloy�� 0��7� Civ�. C.) LanUe/'s Name - �S ��%�/�c,[Tr`- ;_� Lentler•s Atltlre<_• � ( ��fy�� OWNER BUILOER OECLAAATION � I hereEy at/irm tnat 1 am exempt /rom the,Contractor's Licanse Law tor the a therefrom anA the basls for the allagetl axamptlon. Any vlolation of Sactlon 7031.5 by any appllcant Tor.'a permlt subjects tho applicanl to a clvil �enalty ot not mOre than five hunCred tlollars (E500). i 1, as owner of tha property or my amployeas with wages as thelr sole compensation wlll tlo lhe work, anA the s[rucWre.is not Intentlu0 or offeretl for sale (SecEion 7044, Business antl Prolessional Cotle: The Contractor's Ucense Law tloes not applY to an owner m a proparty who builtls or Improves theraon„antl who tloes such work hlmself/�erself or tnrougn his or �or own employ ees, proviEetl that such improvemants are not IntentlaC or offaretl !or sale. 1(, however, tho DUIItlin9 or Improvement is soltl wlt�in one year ot com- D�etlon, the owner wlll have tne burtlen o� proving he/she tlitl not bulltl or im- �rove for the purpo58 of Sale). - - I, as owner of tna Orop¢rty, am axclusively contracting•wltn Ilcensea con- tractors to construcl the pro�ecl (Sectlon 7044, BuSinest and Profes51on5 Catle: The Contrat[or's License Law does not aOP�Y to an ownor of property who Cullas or Improves theraon, antl who <ontractz for such pro7act5 wlth a con- tractor(t) Iicense pursuant to the Contractor'S LlcenSa Ldw). ❑ I am exempt untler Saction B. & P. C. for this reason Date Ownar cerU}y thpC P hara reatl thit �n Is corN<t. I aryeC�(o comp ja��//i .. . Orlvers' Llcenie or 55 q/ CMFO865-46rav.12/82 White-BuIltling:Canary-ADD��cant:Pink %E OF CONSTRUCTION r NEW LI ADD LI ALTERATION LJ REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTIONOPWORK� S%NGL� /G.� GS. TVPE OF PEHMIT I_I GRADING ❑ TENANT ❑ ELECTRICAL ❑ �OTHER PRQIECT DESCRIPTION SO.FT.� FOVNDATI� LJSTRUCTURAL A.P.qW LUM8ING MECHANICAL PLNG.REF.#e CONSTRUCTIONTVVF �� VALUATION$ ��/SS�� LEFTSIDEVARD 20N� GRADINGCU.VOS. ACRFS PKG.SPACEREQ. Ramarkt: STREET WIDTN "' SPECIAL CONOITIONS: Bar Sink Backf�ow Preventer Backflow Irrigation Bathtubs Claritiers Dishvrasher . Drinking Fountains � Floor Drains ' Floor Sinks � - Gas Service� Outlets3 Interceptors KitchemSink � Levataries � P—Trep Raot Drains � � - . Showers � � Service Sink . Boiler Duct - Under Ground Dutt - Ventileting � Exhaust System Multiple Firepl/Fact. Blt. ICBO # ' HeatingSystem & Ducting / aloo,o00BTuOtoo,000 Hood or Typel � , b61 Reginers /�'F Goltlenrotl - Assessor Soler Collectors Solar PiPing ' Sotar Tenk � Swimming Pool Water Closet Water Heater Water Service .. Reinspection Fee f$15 . Isue Fea ' '$ 3 �ANICAL Refrigeration System , � ❑0-100,OOOBTU ❑100,OOOBTU System Repeir/Alteretion Reinspection Fee $15 laue Fee � .$ 3 8797 5/.16/B3 57.50 TL 8U1 REAR VARD (TO P/U RIGHTSIDE VARD PROVIDED PARK FEE $ Auromatic Wazher . Meter LJover 100 emps Construction Pole Sub Panel ' Cooking Unit Sub Pole Dishvrasher ' Motors �0-1 HP ❑1K-8 Dryers �Gas ❑Electric InaSolar �9-15HP �1f Fari' . Microwave F.A.U. ' . Pole Light ' Fixtures � . Range . . . Device Boxes c�.. . Sections Switches � Trash Compactor Garbage Dispoul . Generator �0-5 KW �5-15 KW ' Transformer �75-50 KW � ❑5U+ KW � qeinspection Feb , $75 � merer uup to iUU amps � � Issue Fee ��'$_ 3 I e. - 2oninp APProved By � , Date ApPlintion APProved BY ' Date Application laued By Date �� —�3 �'� • SUMMARV OF FEES BUILDING PERMIT $ � SMIP $ ' PLAN CHECK $ PEFiMIT � PLUMBING �/$�� ISSUANCE ' $ � �PLANCHECK $ ��Z� GRAOING $ , ELECTRICAL $ � $ � . PLANCHECK $ - MICROFILM , $ MECHANICAL � �$ � � TOTALFEE $ � LESS PLAN CHECK $ � qDVANCED PC $ �-��7/�-�.�--��-�.} FINAL FEE - : $ :�c.=Fid1�- ' �. � _�'�dO.NSTR.UCTION.AND'PLAt�NING � � = " ' ' � ' - �- " :^ POOL�t'��$PA . -, - • � � /"M'7/YR ; t Date ' Inspector ± ' � - Date Inspector _ APPROVALS . Permit # , APPROVALS � Permit # �r it'. Temporary Electrical Service or Pole_:.. � � _ ' -� 52. Pool &.Equipment Location _ - .� 2: ;Sdil Pipe:Und�grnd.' - � V -., °c t'� yy�.: i �� - 63� Steel Reinforcement . � , . - , ;. . , . _ v; . _ - - . �3! Electrical Conduit Utilitv:Undrgrnd: � �'54. �ForJns? _ --� � �� . . � ., � " - - ... `, .. . . '}` 4: EI'e�t��ai coFld��c-u�er9rhd. � ., ;"�' .' � � - ' 55- EleCtrical Bonding: � � �� • ,' 5. Steel Reinforcement , �' �� '�' � : ,' , ' „� . - . 56. Rough Plumbing & Pressure•Test _ - " 6: ElectricalrUF�ER:Grnd�.� - , - ' , - .' �'- _ 57�. APRROVALTOCOVER-GUNITE � • .�� ' �. 7. Footings� �' � � , , - � � ; _ " _ 58. EleGtrical'�nduit-Uodrar��i. ' .8. Foundation r �. , - _ �� '� � ' � - . . ':59. Gas;Pipe; O Undrgrnd., Test _ - . � , 9. Watei Pipe;Undrgrhd..�� "� � � �" _ - �. �;60. �Backwash Lines, P-Trap, 0 Undrgmd. - � 70. Siructural. Floor System , '�� .. . " �61. APPROVAL�TO DECK � , 71. Property Sewer Line &��House Con6ec(ion �(�f-1 . �,62. Backwash & Receptor-Final - . 12. Sewer, Cap : . ' . . . �.'� � " ;'63. Hea�er &'Vent-Final - . . 13. R6of�Dcains �, ,�; . �`� , _ : g4. Plumbing6Ystem.-Final -- r � 14. RougH-Plumbing - - :-- � S .,-,�3� ��£' �'65. Electrical-Finsl � ' � " �� _' '1'5: �Rough'Electrical=Conduit ' - ' '- ' � • - � - - � ' - -- - , - .-� � �, . �� , � � 66.. Solar�System=Final � � l�:�16. �Rough-ElectricWiring, ,- I : � �i � „'': -� im j-, ! � - �:'.6Z.` Fencing ffi Access.Approval - � y � � '17. Rough Wiring Sig"n�. ' � � b � = � = ' � � �' _ _ �� 68. APPFOVED FORPLASTERING � , c - '18'. .Rough Electrical-T.Bai' Ceiling � ' ! �'- � � � 69.� POOUSPA SYSTEMS FINAL � 19. ��Rough Heating & Air Cond,i{oning � , f( j'7 ' �' FIRE DEPT. REQUIREMENT '' , � - - - � � >� �ti 20. ,Rpugh,Factory Fireplace , � � i � � � ' APPROVALS , Peimit # � � ' , �i � , i � . .. . _ . , ' ; ' � . . . '. 21.'�dLc[s, in Struc[ure � � �, � ' ' � � � 70.� Underground Hydro � c • i22:'buc[s, Ventilating �_ � + I,' ' � � � � �7L� Product Piping O Gas ❑ Oil ' . � � >' _ ,,. . ' ._..._, .... -..._ ._ - - - _ _ -". � � 23.-IGas�.Pipe-Rough & Test -, � �,t . �'.r j ' ' i� � 72.; Unde�ground Flush `^ � 24.';Root Framing �.;�, � ' � _ � , j . i . � � �� : , - � .-r 73.' Undeigrnd. Storage Tank O Gas ❑ Oil � 25. �.Roof'Sheathirg ` � �• ' •� � � . ' y - ' �74.�. OJerhead Hydro . � �` �-26. T�Ba} Ceiling (Structural).& Mpnocoat � � - , r ,- � � l � 75.I Dry Chemical ' - ' � � _ ; 127. Frame�and Frashing � : � � ; ' -' � ;� ' ' .76. Dry Standpipe � � = ��28. �Lathirtg&�Siding � � � � � �. - ' � ; �77.! FIXEDSY$TEM:FINAC . � i 29. ,Insulation'� ' � r ' �, ' � �_ � � ' ; 78.' FIRE PREV. FINAL � �30. prywall Nailing � ' �. � � Notes: � T � /f T �f31. Plaster;BrownCoat,�.;� �� 1 ' � ii - � ,- i ,- - - - T - fyl ? ; 32. �Elec[rical Power Meter-Final � •' � ' 1. ,�(9 �.. �� /� � . � , , 33. ;Final Electric . � � i. � ' � � . , ' . 34.�Fina1 Heating & Air Conditioning '. 87.�3 ' ' 35. Final Gas�Pipe-Tes[ - ,�� . � ��i �' ' � � � - - : Git� I � 36. Hood or Cano . . •. � ` : V , � � . - ' , � � . . PY . :. � 37. Final FacKory Fireplace �� • � = � , � , . � � , � � � . 38. Final Pluinbing � �' � - ' 8� � � ' � . � � � ` , , ., , � , , . , 39. Water Service-Final , . . � � � i ; � 40. Gas Service-Final � � � ' • � � �' 47. SolarpomesticFinal , � ' r� _ _ _ ., � __ ' _ __ _ _ _ C�.',r ' 42. Backflow�Preventer� ` ' '� ..r '_ - -�-. �-_, - . - - i � � .. . 43. Backflow' Ir�igation � i i ; . .- ; �- ' � i � ' � - � � � �� . � , � � �. , � � : 44. Landscape Irrigation;System i � , � -, , _ , � " ; s; , , � � � � � - .- � 45. Sound Attenuatio_n ,', . � < ; . s . , . . " � � , � . � " �• 46. Handicap Regulations � ' ,. � � - � � � � , � � ' ' ' ' �� I T: 47. FINALSTRUCTURE&BUILDI�NG ! ' i - � i 48. Special Requirements Completed� � � � ' ' � ! � '� � • � � � � i � i i � i 49. Electric Aelease to Edison� I ' � �_ � _ , _ ) ' _..{ � _ . ' _ , � � 50. Gas Release to Southem Califomia Gas Co � j � � I . � � �' • �- ' � i 51. CERTIFICATE OF'OCCUPANCY _.. v _ r _ � _ ... . �! __ �. � _ . '_ . " � � No � � ! Date � � . � . , � . . . .. , � . - - -' ' '- -' -'- -._ . , . ---"-- i c ',:CITY QF �COSTA N1ESA . . CONSTRF�ICTI0�1 PERMIT ApplicenCs Mailin�g7 Addr�a //yG t CNlL/A7L� '� Project Address tl1y y� '��"��f y� � Owner's nlameC!,�� 7�« l C'�YF 6�+' . Addreu, /%(�� C��1[U�li/ %f'1// '� r . Arch/Eng. �./ ��F/� L�i gna Addreu / %�/�" / �r[�U�ia>Lf .5�� Contractor's Nam ��/ ��t� /`��ps � Address (meilingl �75c' � - �LU�'V :�'� License No. � � �� Q� LICENSED CONTRACTOR DECLARATION I �ereby altirm that I am Ilcensatl untler provislons o! with sectlon 7000) ohDlvlslo 3 0! the usina55 ani 9 Aop��cant to fi11 in ali spacas azeaot tnosa wleh�in naavy eorGer Ilnas ane sign all aoarooriate aeclaratlons. PERMIT NO. _�� TRACT; O. LOT NO. . BL . . - TYPE OFCONSTRUCTION �•NEW AOD A�TERATION REPAIR ❑ CONVER510N ❑ DEMOLISH ❑/ QJTNER � DESLRIPTION OF WORK �� - ,C�� 5 �� -�� - i � ' " TYPE OFPERMIT 7 ' �GRADING�/�FOUNDATION STRUCTURAL - � ❑ TENANT�(�LECTRIGAL LLG'PLUMBING ❑ MECHANICAL � _ � ❑,�OTHER ; , PR0.IECT DESCRIPTION 50. FT, 7� 7 - OCCUPAN�/CY �-�--- _ CONSTRUCTIONT.VPE �� VALUATION$ `�C�.�,)�'/ � 20N� GRADINGCV.VDS. ACRES Remarks: � � � // �� — r (,�,(� U my Iiconse i�.in full f ce�ntl afiect. / ' Ucenxa{I�75s, � Uc�e No. �� ` ��—� Date�� —� Slgnatur x -��' WORKERS' COMPENSATION DECLARATION � � hereDy atflfm that I hav0 a Certifl�te o/Sonsent to selNnsur¢.Or a<ertlfiwte . ' Workbrs' Compansatlon Insurance, or a certifie coDY thereof (Settlon. � 'Boo. �°. `�C S7'� � K A/s �'x1i11 . Policy No.� � Compd j� � e�Certifietltopy is hereby Tumishacj� � � Cer ' iatl is f E with the ci • rfq Divlsi �,[//��/ , Date� ��/a �' ADPlitan �—�� " '-"F"L'N � I EXEMPTION FROM WORKERS' COMPENSATION DECLARIITION � ,(This sectlon neeE not Da com0�etetl IYthe permU.li for one huntlretl (E300) or ' lezs)'. ' � I certiry tnat in t�e Performdnce of the work for wnlc� this permR Is issuetl 1 shall� not employ any perwn in any manner so as to become subjact. to t{�e workers', Compensatlon', Laws o/ Calltornia. � Date 99nature - NOTIGE: If, after making this�tleclaration, you shoultl Decome subject to Ihe� Workars' Compensatlon Orovlsions of the tabor COUe, you,must fort�wlttl , comply ,wlth su<h provlslons or this Dermit 5hali tia tlaemetl revokatl.' � CONSTRUCTION LENUING AGENCV ' � � 1 hereby affirm that�.t.Wnere Is a construction IenUing agency for the performance . Lentler'S Namef �'Y%�/ h15��u�Y��ssY�SecLap 3f197 CIv. C.) / �9/lJl ' i,ender's nacrezs /U/C� /�l J7//t/ �/1irf79: i /�!1 r Clerifiers Ploor Drains! Floor Sinks . � � _- GasService �Outlets Interceprors _ Kitchen Sink� ' ' OWNEH.BUILDER DECLARATION � � - Lavatofies � , � . I hereEv�af/Irm �that I am ezemobfrom the Contractor's �icense Lavi for the � '-" anE 5 by any apPllcant Por a permlt' su. ',y of not more t�an five huntlretl tlollari as owner of� the proDerty or my Bm� 3nsatlon: will tla the work-. antl the sV� �Slonal Cotle: Any Nty or P—Trep . _ � Iprove, tlem011sh,or rOpair . applicant (or such permil � Rppf Oreins ' - ._ �uant to l�e 0rovisions of g'wlth Settlon 7000) O( • ' ' �r that ho/she Is exempl ' Showers ' My vlolation o/ Sactlan ' � . ha aPPlicant to a civll -� � ' : . . �' S¢fViC¢ $ink � : �r with wages as thelr sole ' not Intentlatl or ofteretl � � � ' ' � Cotle: The Gontractor's - � wno builCs or improves , Boile�� ' 1 ' � ' lhrough hls o� he� own �. Intentletl or offeretl for . Duct-UnderGround . ' �wimng or �mprovemem is soid wlt�in one'year o/ com- . I have the burtlen of proving he/sha tlitl not bulltl or Im- >fsaieY. � ' , . Duct-Structural . , , I, as owner of the property, am exclusively contracting�with�licenietl ton- ' :torsto construct tha project_(Secllon ]044, Business antl Professlons Coae: i Contractor's Gcense l.aw does not apply to an ownei of properly who Itls or Improves thereon, antl who <ontracts for such pro)ects wl[n a con- ' :tor(s) Iicense punuaut to the Contractor's Ucense Law). i � I:am exempt untler Sectlon B, & P. C. for thi5 reason Date I^ he' orlvers' Licepse or 55 � ' � f MF 0865-46 rgv�12/82 Whit¢ - Bulltling; Canary - APPiicant; Plnk EzhaustSystem LJ Multipli ' Firepl/Fact. BIL IC80 �!+ � Heating System & Ducting . -;- � a� oo,000 sTu � i oo;ooi Haod or Type I ❑ ' Cano , T e II ❑ Registers � ; Goltlenrotl - Asseszor soia, con�m�: Solar Piping , � Solar Tank . � Swimming Pool wlSpa Urinel Water Clout Water Heater � - - Water Service A � r Reinspec[ion Fee . $15 � laue Fee �., $ 3 iANICAL fiefrigeration System � ❑aioo,000eru ❑ioo,000eru' System Repair�Alteration Rainzpection Fee , Issue Fee � ' $75 $ 3 A.P.qW PLNG. REF. y/+ � TO BUIL�ING PROPERTV LINE IEFT SIDE YARD PKG.SPACE REQ. STREET WIDTH SPECIAL CONDITIONS: Auromatic Washer Construction Pole Cooking Unit � � Dishv.asher Dryers ❑Gas � ❑ Fan F.A.U. Outlets i I � 4734 2/?��83, . Ie.SC TL . 'BUILDING CTpI�!`I! /`/ CT REAR VARD (T0 P/U RIGHTSIDE VARD ' PROVIDED - ' PARK FEE $ • � ELECTRIC Meter veri0bamps Sub Panel Sub Pole Motors �0-i HP ❑1X-6 � � � Inc.Solar �9-15 HP �16-15+ Microwave Pole Light � , , Range_ � , _ Compactar t GeneratorlJO-5KW LJ545KW ' ; � i Tran'sformer �75-50KW - � , � - ❑5U+ KW � Reinspettion Fee $15 Meter ❑up m 100 ampi � •Issue Fee � � ' $ 3 � Zoning APProved BY � Date i Appliption Approved By ' ' � Date � � I AOPliotion Issued By � �� ' �Data 'ZZ" -� � , • - SUMMARV OF FEES � . i � �;BUILDING PERMIT $� � SMIP � $ �� PLAN CHECK $� � � � �� pERMIT � PLUMBING $� �— r ISSUANCE � $ � PLAN CHECK ' $ GFADING ' � E EIECTRICAL: � $ � � $ - PLAN CHECK � $ • SD .' MICROFILM . $ � ' MECHANICAL t $ � TOTAL FEE� , $ � PLAN CHECK $ LESS ' � � : , • i �, ADVANCED�,PC � $ �,`,�}� � � � , FINAL FEE $ �� __' _~ �-- ---- --- - - - -- - - - - - --- - - - - - -- - - ;',�� CONSTRUCTION AND;PLq NING - � � - � d - �: � � -, - ;�OL 2u 5PA - > >APPROVACS � Permit#� �Z Date Inspec4or� : APPROVALS Peimif# ' - 'Date .Inspector m � . ` :1: ,Temporary Electrical Service or Pole ; . �. � 522 �Pool &-Equipment Location � � . � ,i 2'; jSoil.Pipe-Undrgrnd. �- � � � ., f' �3� � r �/�. 53; Steel'Reinforcement � - ' � � �, 3. �Electrical Conduit UtilitJ-Undrgrod. ' " _„ - . � 54: Forms4 . : � ' - - - : '�4T, Electrical Conduit-Undrgrnd.. _ - � � � ` .. � ,55: Electrical Bonding. . � � ' 5�. Steel,Reinforcement - � ' ;r - , �56. Rough Plumbing & Pressure Test � - . 6.�ElectricalUFER�Grnd. � � - , - - • - 57. A�'PROVXiLTOCOVER-GUNITE� ' � : 7. Footings. � . - � - . . - � - - -58. Electrical Conduit-Undromr{: . � 8. �Foundation ' , ' � : � 59. G2s Pipe,�O Undrgrnd., Test � - � 9. Water Pipe-Undrgrnd. .� ��- � . 60, Backwash Lines, P-Trap, O Undrgrnd.. . ' 10. �Structural Floor System '_ - , - � �� , � - 61. APPROVAL TO DECK �. , _ 11. �Property Sewer L'ine'& House Connectio�� _ '•� .-62. Backwash & Receptor-Finai , i 12. Sewei Cap �. - � � � � � ' � ' � � 63. Heaier &.VenYFinal ' : � 13. ��Roof Drains �. - , 64. Plumbing:System • Final � _ 14. ,Rough Blumbing � 5�,�3 65. Electricat-Final - ;. � = 15`-�Rough�Electrical-Cbnduit-; ' -� ", - � �' -"` ' ' �66: Solar System-Final � . - � �, 16. rRough Electric Wiring � ''r - •67: �Fencing & Access Approval _ " � .2y.�j �: - ; 17..'Rough Wiring Sign` ' � � � �� . ' � � � '68. APPROVEO FOR PLASTERING - t - � - � 18: flough�Electrical-YBar Ceiling �� -' 1 �. � 69. POOUSPA SYSTEMS FINAL � . ' - 19. Rough Heating & AirConqitioning � � � ; FIRE DEPT. REQUIREMENT . , `� + 20. �Rough Factory Fireplace � � �. ' . APPROVALS� � Permit # � � 21. Ducts,'in Strucwre! ' �' � ' . . 70. Underground Hydro � � � � 22 .Ducts, Ventilating, � ' � '' 71.; Product Piping � Gas ❑ Oil - I �,23. Gas Pipe-Rough & Test _ -� ' 72. Underground Flush � 24. Roof Framing' �� , � R� �, , - 73. Undergmd. Stoiage Tank O Gas ❑ Oil ;; � 25.��Roof Sheathing � . �� - * � � � j4, Overhead Hydro � �-26. T-Bar Ceiling'(Structuraq.& Monocoat, � � � . �75: Dry Chemical - � k �r27. ,Frame anil �Flashing - � , � , , � '76. Dry Standpipe ' � � � - 28.. Lathing & $iding� ,; -. � � � � � ' 77. FIXED SYSTEM FINAL 29.' Insulation'� ' ' ° " ' � �` � ' 78: FIRE PREV. FINAL � -30.�DrywallNailing � '� � ; � Noter. � 31.;PlasteF Brown Coat �� 32. Electrical,Power Meter-Final � � ' � 33. Final Electric � , � � � 34.� Final Heating & Air Conditioning � � , - � - ., ' 35. Final Gas Pipe•Test n- � • ' �� - ' ' " � � • � . � . 36. Hood or Canopy_'', �' T i r� -� ' ' - , 37. Final Factor,y Fireplace= - � � � � , � ' � � � � . � i - 38. Final Plumbing � ' � � � � ' � , - � . ' - � 39. Water Service-Final ; . � , . . � ' � � � 40. Gas Service-Final ' , . � ' � ' ` ' ' . � 41. Solar pomestio-Final � ; � . _ , � , . 42. BackflowPreventer ! � i ' . �_ � � � 43. Backflow Irrigation ' . • , � � . . .' ' 44. Landscape Irrigation�Systemi � � - ' � � � . � 45. Sound<Attenuation, � � ; - , � • � ' 46. Handicap Regulatioris' �� ' i � � '. - ' - 47. FINALSTRUCTUFE'&BUILDtNG � i ' � � � � � 48. Special Requirements Completed � , ' . � ' . � . 49. Electric Release to'Edison . � _ . . _ . . _ _ - ; . 50. Gas Release to Southern California Gas Co � � , . � , , ' 51. CERTIFICATE OF OCCUPANCY _ _ _ _ _. _ _ _ .. '_. ' No ' l� Date ' ' . � ' � � AYplicanl to fill in all spaces ezce0< <�ose within �aary EorCer Iines antl sl9n all approorlate tleelantions. � CITY�OF COSTA McSA � . � � PERMIT NO. TRACT NO. - LOT NO. B D. �� . �' CONSTRUCTION PERM T• 7 � - � • 74;;h U/i 9/0� • 19050: TL AppliianYSMailin A TVPEOFCONSTRUC710N • ' EW AD� ALTERATION REPAIR . , , � . Proj¢ctAddrMS - ❑ GONVERSION ❑ DEMOLIS ' ❑ OTHER � � ' _ , ' �� 3 DESCRIPTION OF WORK � . Owner's i � , `�ne S� � - . - ' " ' I G E U TI Address � TVPEOFPERMIT GRADING FOUNDATION� �STRUCTURAL, A.P.9Y� ' ZONE - ' � � Afth/Eng. � nse No. O TENANT J�ELECTRICAL ❑ PLUMBINO ❑ MECHANICAL ' ,PLNG. REF.sW � � - BUILDING Addfess � O�OTHER ' TR pE LDyNG. E qEAR VARD (TO P/l)' Contrector's Nam hone � PROJECT OESCRIPTION, Sa: F7.' Z oCCUPANQ v - , . CONSTRUCTIONTVPE NALUATION$,F� LEFTSIDEYARD RIGHTSIDEVARD � � Atldfezslmeiling � � ' P.KG.SPACEREQ. ' PROVIDED "�'�� ' ' ' . ZON� GRADINGCU.VDS. �ACHES ' ^ � � License No. � � LICENSED CONTRACTOR DECLA0.ATION ' , ' Remarks: , . . d _ / � r� STREET WIDTH � � PARK FEE $ : - ' ' ' . I hereby�af irm tnat am Iicensetl untler provisloni 6f Charter 9(commencing � � ,+- with set£ 7 00� Dlvis bn 3 e� us bu/antl Prof slons Cotle, anC • . � '� , � ' � SPECIAL CONDITIONS: � ' my II<en IS i�tul �g.a� ef tt. / J' / � � . . - Llce � L� � ns No � � ' PLUMBING � . i Date ' Slgnatur � Bar Siok • Sewer Cep . . ' ELECTRICAL ' - ' WORKEEtS' EOMPENSATION DEC AT101! ' � � � - - - hereby afflrm t�at I hava a-cartillcata ot <on66nt to seH-Insure or a certulwte .. � Backflow Preventer -- -Sewer Connection � �-� -{- Automatic Washer �Meter �over 10D amps , / Workerz• Compensatlan Insuranca, or a tartit etl co y thareof ( ttl n - , 3800, Lab. � p /� ' , - - Construction Pole Sub Panel � � ��f(� �� Backflowlrrigation SolarCollectors� Polity No. � `^' `Tam - -� - Cooking Unit ' Sub Pole ' ' ' �erUfie CODY hereby furnlsneC. : �� Bathtu65 � Solar Pipin9 . � I � • � Cer ie Cwitnthe'cit I� 4I ,i��{ Dishwasher Motors OO-1 HP OtR-8 �� at � ' ApPlicant � ��v`- �� Clarifiers ' . SotarTank � • • EXEMPTION FRO WORKERS' COMP SATION DECLARATION . � Dryers ❑G85 ❑EleCtfiC � '� ' .(Tnis section neetl not be completetl if the permit Is for one huntlretl (5700) or Dishwasher � Swimming Pdol wlSpa , InaSolar 09-15 HP �16-15+ less) ; : � , - Fan Microwave ' I certify �tnat in tne perlormance of the work for which this permk is issuetl i Drinking Fountain5 Urinal • - � . shalLnot amploy any person In any manner so•as to become subject to t�a . . . . F.A.U. 'Pole Light ' � Workers' Compensatlon Laws of Califomla. Floor Drains � Water qoSCY Date � � �ignature ' � - � . Fixtures ' Ran e ' � NOTICE: If, after makin9 this tleclarailon, you shoultl become�subjact to the �, Floor Sinks � • - , Water Heater . � - 9 . Workers' ComDensatlon OroviSions ot the Labor Cotle, you must torthwith. DevicC BoxEs Si n' comply wlthi sucn ,provlsions or � tbis permit shall be -tleemed revokea. GasService '�Outlets � �. WaterService .' . - 9 CONSTRUCTION'LENDIfJG AGENCV � OUtlets I hereby affirm that Iuyq5 Iru�cfij Wion �JeYn�tlt�iWn9t,�la(/9��nc o ha }e��.(o�rma/npy�o?� Intercept0�5 ., ' •� �Standing Sections of the work nJjt9�/ pe/ / t// C/C.r./��/�///�/L\ " tantler's Name / � ; �/�/ �, KitcheroSink . _ - � � � Switches Tresh Compacmr � 12ntlers Aatlra« Lavatories - � � Gar6age Disposal ' • OWNER BUILOER OECLARATION' � ' - - ' ' • I hereby a/flrm tnat I am exempt from tne'Contiactor•s License l2w for tne p_Tra - Generator �0-5 KW �545 KW � . following reason (Saction •7031.5 Builness anC Professlonal Cotle: Any city or P '<ounty which reduires a permit to construbt, alter ImDrove, Cemolishror repair , ,_ , - TransfOrmer ❑ � 5�50 KW � any structure, pdor to Its.issuante, al5o r8quiras t�e applicant for suc� permit RoOf D�einS � . , \ to file a signetl statement that he/sne is Ilcensetl pursuant to the oravisions ot - , ❑5U+ KW, tne Conhactor's License Law (chaDter 9(<ommencing witn Sectlon:70o0) of � � ' ReinsDection Fee S75' DiviSion 3 of the,Busina55 antl Profeuions Cotle) or. Mat he/She Is exempt ShoWers � _� RBinSpecHan Fae $15 , . . , theretroT antl th¢ ba5i5 fOr the ailegeC exemp[ion: Any violatlon'oi Sactlon , . ' Meter ❑up to 100 ampa 155ue Pee ' '$ 3 . 7031.5 by- any appliwnt tor a permit Subjact5'the' appliCa�t to a� tivil •' . _ �enalty of not more than flve huntlre0 Uollars (E500): .�' , 52rvitC Sink � ISsue Fee -. $ 3 7_p�ing Approved By � � DatB - I, as owner of the properiy or my amployees with wages as their sole ' . - MECHANICAL i � -• � compensatlon will tlo the woik, antl the strutturo is not Intentletl or oHeretl ' � � � {�ppliCdtion ApprovBd By DatO tor ule (Sec�lon 7044, Business aritl Protesslonal Cotle: The Contractor's : . ,, . �i/� � �� LJcense Law tloes not appry to an owner of a p.operty•who buiitls or improves ' goiler ' � ' Refrigeration System . pppliption Issued By -/� Date T ( 7�7J tnereon, antl �wno Coes such w0/k hlmself/hers2lf o� through hi5 or hBr own - , � employees, provitletl that such ImOrovements are.not intentletl or offeretl for � ❑6100,OOOBTU ❑100,OOOBTU sale. I/, howevar, the EUIICing or improvement is soltl witnin one year ot com- � Duct � Under Giound � SUMMARV OF FEES � pletlon, t�e owner�wlll have�the burtlen of proving he/she tlitl not bu110 or Im- _ � . ' ' . �rove for t�e purpose of sale). � : � Duct -S[ructural �' � System Repair/Alteretion �BUILDING PERMIT $ � � SMIP $ I, ai owner of the pioperty, am exclusively <ontracting'wHh�llcensetl mn- - - ' � � � ' I tractorsto.construct ihe project (Section 7044, eusiness and Pro(essions Cotle: _' Duct - Ventilating, _ � _ __ PLAN CHECK ' $ � PERMIT ' '�, Th8 COntfaCtOr'S Lic¢n50 l2w dOes nOt aOPly t0 an owne! of plopelSy who . - � I$SUANCE $ bulltls or improves tnereon, antl who contracts for such projetts with a con- ExhauSt System ❑ Multipl2 ❑ . PLUMBING $ tractor(s) Ilcense pursuant to tne Contractor's Llcense Law): � PLAN CHECK' $ GRADING ' $ ❑ 1 am exempt unAer Saction ; B. & P. C. for this reason � Firepl/F2[t. Blt. ICBO # . � ' ' ' � • , . � Date ' � /owner ` � � � ' ' ' g y g ELECTRICAL $ � � $ i Heatin S stem & Ductin ' MICROFILM $� � vv j — ❑4100,OOO,BTU�O100,0008 -• - PLAN CHECK $ . S,SU �. I hereey�lfave� reatl thli a lication ana-state that �the Cove '• ' ' . informa ion i rrp t. 1/agrea to compry with all dty antl county ortl an s . , j � . TOTAL FEE $ antl'sta e Ia�G , el t n9/,to buildin ons uction, antl nere0y authori re e- Hood or T 81 ❑. MECHANICAL $ � � � untati �/ 1 i to enter po tne above-mentionetl pr� ar y � �no TVpe II ❑ Reinspection Fee $15 , • LESS � P�AN CHECK S qDVANCED PC $ inspect se U . ' Signature �� Oa[e / - . ' � ' . � orivers' � orj� 5� / Registers � ' laue Fee S 3 ' � � � FINAL FEE, $ �� CMF 086 -46 rev,� 2/82 White - BUIIEin9: �nary - AGP��cant; Pink - Accountin9; GolUenrotl - Assessor � ' ' " - ' " � �_ c� c- , '\ c." _ • • R � - --- -- - -- - - - - - - ---- _2 � �CONSTRUCTION�AND PLANNING, � s � '� �� `� ' � ' ' ' �'� �OL & SPA -- . � . .' . � =' • ' - �� • i �,��m-, ��' ��Date �� Inspector L ' $ " " ' ' � '- � Date ` �Inspector �. APPROVAlS ,, Fermit,#- �� , � - � -APPROVAES � � Permit # � - •'1 � . , M1 _ . . . ' 1: Temporary Electrical Service or:Pole- � '+� �- _ � � � ��.�52� Pool &'Eguipment Location � - � _ .. � � - x' - � . - _ . �. - - . �� -Q� - - � : . � 2! Soil Pipe-Undrgrnd : _ _ - , � � � ' ' _ � 53. Steel Reinforcement . ' . � . -. - 3' Electrical Conduit Utilitv-Undrgrnd. �' ? "_ E 54�. Forms � - - + i �� , c _ . . . � . . . � , 4; Electrical Conduit-�Indrgmdt . - . ; ' ` ; w� ' _ i v- �'55, �Electrical Bonding. , . � � - 5f Steel �Reinforcemerif � � " . I . • ' _` ^ ; �� ' 56. Rough FI'umbing-& Pressure Test �� ' � - = ; "� � - - - - 6: 1Electrical UFER Gind.3 ` � � `-� _ '. ? - � -� �, 57l' APP.ROVAL TO-COVER-GUNITE � - - � �' i' - 7. Footings ' �; � � �� - :'58! ElectricaP�p�duit-Undromd..- - � 8. Foundation ' � � � � .- ; � � � ; �- _� � 59. Gas Pipe, O Undrgmd., Test . � , � 9. Water Pipe-Undrgf�d. , � � � • �'60. Backwash Lines, P-Trap, O Undigrnd. ' - 10. St�uctural Eloor SQstem ' � ! 61. APPROVALTO DEGK' "': `- • 11. Property SeweF Line & �House�Connection' •:.. �� • ,62. Backwasfi �&`Receptor-Final_. . � " ' � !. 4: . . 12. Sewef Cap , �'. ' � . � , , � . - �^ � � ' _ .. . . . � , - � 63. Heater & Vent-F.inal.. . _ , " 13. Roof'Drains � , ' - � � � � � , . _ . � 64. Plumbing SYstem - Final . 74. 'Rough Plumbing � ' - � � � � ' � '65. ElectricabFinal� • � � � 15.�!Rbugfi-Elect�ical=Conduit' - ; - � - ,;'- � "� - "-r- � " "-�66. Sola��System-Final - ' �� " `- " ' - - ,^�7 � Rough�ElecfricWiring� v� . � ��.s - --' 'n -�"j -67.', Fencing&�AccessAppinval --� � -" - ,� :, ; _ , =�i° � e ' 7�1Rough WirfnglSign�: .; �� ' � ,j �i �' : �=;' �;� i �' , � � 68.' APPROVED FOR PLASTERING , . 'f� � � �18�Rough Electrical�T;Bai Ceiling� �' " � 1 �- ; � ' � - � � � 69.� POOVSPA SYSTEMS FINAL - . , �, 1�9 Rough^Heating & Air.Conditioning � �'. i 3� i' ! FIRE DEPT. REQUIREMENT ' , � _ � , . y;, 20. Rough Facto'ry Fireplrce, . � �; � � , ' � j � qppROVALS� Permit# � ,' � ' 21.'Ducts,'in Structure`� � , � � , � p0.' Unde�ground Hydro ' , � ' ''" 22. �Ducts, Ventilating � q � ; � � � ' � ; 71.� Pr'oduct Piping O Gas ❑ Oil � � � . _ :23.'Gas-'Pipe-Rough & Test n �� ;; �{ A_ _� � ; ; I � �72.' Underground Flush� � , ' . ^ � =24. Roof Fiaming � ' • ' 7 ��'' �� ; � �; � �� ; I � �73 � Undeigrnd. Storage Tank � Gas.O Oil � � ' n l i "� � _ 1 ; 25. Roof Sheathing ' ; `� , : � �. � _ f �- , � � !74., 0'verhead Hydro � - , ,26. ;T-Bai Ceiling (StructuralL &�Monocoat � ; , � � �., � " � , � �75: Dry Chemical , - . � . � •.27. Frame and Flashing, � ' i i c f - � i ; : � � � {76.� Dry Standpipe �• • - ' - , � : - . � 28. Lathing & Siding ' ; ,� , i i � ! ', ; '77: FIXED SYSTEM FINAL , - . ' � = � 29. Insulation �: ' � t .�: � I . �� I; 1 1 ' ` I i 1 �78: FIRE PREV. FINAL �� . . � . . � t i i ' ' 30.'Dry�vall Nailing ,� � � ; � �� I � ! ; � � 'Notes: , , ' . , . ; �i�31..Plaster�Brown Coat• � , il �f- ; �I � --, -. _; _.. . . ' -- ;-. . - - _... -' - - , ,�32. Electrical�.Power Meter.-Final � j , � ! ' � , . � _ . ' . : 33. Final Electric, � �� i I L � � , � � 34. Final Heating &��Air Conditiooing � � � ; � � ' � , � . � i � � .. � r� � �') [, i �� J�. �r �r . ' r � ,. - , 35. Final Gas Pipe�Test N i,,; 1 , +� � �' � t � : _ - !' �' '. � , . � ' 36. Hood or�CanoPY- " � ., I - : � � ` � � . +- , - ' . . . ' . � 'i i I � i _ � ^ , - 37. Final Factory FireplaceJ � . ' ; ` ' ' � � `. , � , . � " � ' � - . . - � 38. FinalPlumbingt � �� ' �� i° � f � ' � , � - . . , . 39. Water Service-Final � '; , • � , + � � � �, . i i 40. Gas S�rvlce-Final � I r � ' � I 1 � � � � � -� -' 41. Solar po.mestic,Final � ' _ _ � + � _ � _ � ' � _ ' _' . _ _ .. y � � :%i �L 42. Backflow Preventer _ � � .. � . _ a . ' _: ' i � ' . . i'�'' {' �; �, _ 43. Backfio'w Irrigation �' i . � I'' _ ' � � � ' � � ' � . _ ., .. -_ ' , � , _ , � . 44. Landicape Irrigation,System� � � • ' � ; , :,� . ,� �� . , "'. , � • . . 45. Sound rAttenuation� i � � �� , � � � ;' � � . . .- , , . ; . o, �- � �, ��i i i •� , _ i . . 46. Handicap Regulations 4 I ,. � � h ' � � ° � ° � . � , �; .. ' � ' ' _, 47.�FINALSTRUCTURE�& BUILDING. �: � � - � ��, � � � � � i � ' � �� 48. Special Require'ments Completed `� j � � � � I � � � � �� , , 49. Electric belease to Edison� � I L _ � 1 � ; �� ' � ' i'' � . � � � I � .1 --i--,- -E -'--- - ---._ _ _+. . -� � •n.- f 50. Gas Release'to Southein California Gas Co ;' ' � �', � � i � j .' .� 51. CERTIF,CATEjOFOCCUPANCY " ,� -, ,-Y. �' I _, .. _� _' _ __ , ., _ ' � , �� No � �� Date � � `� i ' 1 . � , �� i-. � '-' -, ' ._ . � -� '�' -` - � ._ _ �-z•:-.a.-- - - „r --- -' '-- � -. . _ . _. . ._. . � -- - _ . .