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HomeMy WebLinkAbout2940 PEPPERTREE LN - Building Permitsf _ � - . .. , - +.. �.; � � .�� ...; � _� _ .,�.,.. _ Applicant lo till,in all,Spatts!%CepS IhOSB wilhi� �edvy pO�CeLlin¢S.dOE.5i9n all.appropriale Eeclarations. .. . _ _ . _ .__.. . . . -. . . . . . ' , ' '". # " . � � PER NO. ' ;TRACT NO. j ' LOT NO. � U IT NO. � � : � � ; � � � . � i � � i i' i t - COSTA MqpES.IA' � CO STRU�C_T/-I-ON� PER I,T�/ � l' 3S� 93 � ' � � � � � � � ' ` � � , ' ! ' � ; � roject Address - OL'/ �7 � � ���/n�/ni-t : ��/JQn�c-�:e / ' t � i i ! �� • ' ' I � ! � TVPE OFCONSTRUCTION �'NEW ADD ALTERATION REPAIR � . ApplicanYs MailinqJi ddress �� � � � ' � ' - � � � . � � � ' r.J-��t�, I f E '� ❑'CONVE(3510N ❑ DEMOLISH. ❑ OTHER_ � • _ q,p�# -- -r . ,. -x.. ..-.. � - _. - -J• .- ZOne..{- -- • Owner's Nanme C<�-�,' _ / Ll�-+ �^� Ptione�� � � DESCRIPTION OF WORK/USE OF BCOG.. � � ; � � �' � � � , � ���.. � � � Address cS�'/� � e��n � 9o�Ge2% � • ' t I t l �S MainBuilding: ,JI OO�IhAcCesSOCySBuil'din9:�I,1� i �i i�j I - � , � , � � � ' : • '� � �E . VHIG. V'/1CIOG'� iL11L+:1e:2! � • Z Arcli/Eng � � ' License�No • TVPE OF PERM�T � GRAOING FOUrvoATIOrv 0 STRUctTURAL , T Front � � � , . :�' p -5 � � � � �'❑ TENANT' ❑'�ELECTRICAL' O PLUMBING ❑ MECHANICAL Addiess i : . . . I ` � �, �' � , l . � � IA Rear � , : � ' � � . . t . N Contractor'S Name � � � � � Phoness %�/yb � ' � �OTH,ER .` � �+ �----. t��-•^ � - `-�- -�- - '- � �� . ; � / p7 PROJECTDESCRIPTI(iN st�,�F7_ � ��Z- nrrimnrycy.GND�-Ny-_ �� Righf � � � N ' Addiesslmailmg1�C00 � � C%��+. ��.'/.L76% , - . � P K � � . . . � � , ; G �- � i . � � . � } CO�NSTRUCTIONTVPE � � � � VP.LUATION$ � - /�..� ,g Left � � • , R � City,LicenseNo. ��O %�� ZONE ' � GRAOINGCU.YOS. � ACRES � -� • ' � ' } LICENSED CONTRACTOR DECLARATION � � � � � - - . Ping.�R¢f.,# � � , Pa�kin9 R¢q./P�ovid¢d � � � Q � I hereby aftirm that I am licensetl untler prOvislons of Charter 9(commencing . Remarks: '� � � r �� � � �Planning NOtCs: { �-� ' � M with� sect�on ]000) of Drvis�on 3 ot the BuSinesS and Professlons Cotle, and � , ' fily IICEOSC 610 �UII PoICC dlld CfiCCL . � q �, . 1 - ., �/ � , i- I� ' ' j- '`� T � L,cense G ss . �� C-� 3� • . License�No!�.�%�02- � ! - ! y . . , - . � , � . • - , S Date Siqnature"'�1[^ ^��� 'i ' PLUMBING " � FEES, ' ' - T OaK RS-�SATION DECIARATION � . Bar,Sink• . � . ' � Showers ' ' 'i i -: ' ' ELECTRICAL � . � ' FEES '. . ereby affirm tnat I navea certificate of consent to self insure or a certificate - ' . Workers' Compensatioq Insurance,jor a EerHfietl copy thereof (Section � . i � � ' ' Backflo�rv Preventer ' ; � � Service Sink . � : . _ ; � � Automatic Washer � �., - Traneformer ❑ 15-50 KW � - � �, � �3800, Lab. C. i L �y- L � • � PI'olliry No. �OG S�I !Y/ •�. Company %a�� ��`�" Backflow IrrigatiUn ._ . Sewer Ca = � �' - ' ' ' , � ❑ 50+ KW � ' - � � Q S¢rtifietl copy i5 hereby tu,ln�shetl. , • . ' . , - P ' COnStIUCtiOn P012Sub.^ � , � ; T Certi ie copy s 1 I tl with.the,`ity B�yj/]m9 DI'I'io�j � Bathtu6s � �' Sewer Connection � Cooking Unit Metei �up to 100 amps �� j- � Date� G��' }APPlicant ' JI `yl,�� �.vi+-� _ � _ . � ' EXEMPTION FROM WORKERS".COMPENSATION DEC HRHTION� -� . CIa�iFi¢!5 r ' ' -'� • $013� COIIC O�5 ' � DiShwashC� �^ , ' ' M¢tC� ❑Ov2� 100 amp5 � . _ (This section neetl not be-cillnpletetl if the permi[ is tor one huntl 100)�or , � - � less):� � , ; il`_ - '+: � � . ' % Dishwasher Solar�Pi ng � � ,. Dryers: ❑Gas :�ElecVic � SubPanel' ' � I certi(y that in the pe�fo�mance of tfiC wO�k for which thi er " is issuetl; I � - � J� . _ '�'� " ' shail; mt employ any person',in�any manner so as t subject to tne - i ' Drinking Fountains ' �$olar n - _ - � Fan '. �' Motors �0-1.HP�01%- 8" !� � Wo�ke�s' Compensation Lilws.o! CalitO�nia. � • � � ^ - ' ' " f = - ' � _ - . Date • - �Signatur,e ' ' ' Floor Drains ' � � Swi ' g P ol /Spa 'F.A.0 ' � � . . . . ,. . . _ NOTICEd�If; after making'4his+tleclaration, you.sho Itl become'subject to'the - ' ' . " ' � F-. Inc.Soiar �9-15 HPs�16-75+ _ Workers",Compen5ation;p�ovisions,of,;the labo� otle, you must forthwith FIOO�SinkS ' ' � ' ' ' mmply witn such' provisions or tnis permlt shall be tleemetl revoketl. W� I � ' ' , Pixtures ' -} . Microwave i • CONSTRUCTION LENDING"'AGENCV . � ; G3s vice ' ' O rCloset � � � DeviceBoxes � ' � � ' I herety affirrri tM1at.tM1ere is a mnstiuction lentling�agenc r the performance � Pole Light � of the work � for� which' this permit is Issuetl (Sectio �309� Civ. .CJ � {� , � , � , 1, terceptors , ter Heater Outlets • ' Ran e � � Lentler's :Name 9 . . c:._..' . ' : _ : ` . - _ f "Centler'sAtlaress' � - �'' ' '"'�"' ' •' - -` � � KitchenSink;�' }' ', '� - -' I aterService' � ' . . • - 'Switches �� � � � � Sign � � , OWNER BUILOER OECLARATION ' � � � r ' � I hereby aftirm that I am exempt from the ContractoYs Lice se Law for the LBVdtO�iBS • , AUtO-WdSh = ' • { Garbage Disposai . ' . Standing Sections � ..j _ followin9 reason.(��tioo �031.5 Businessantl Professlonal Co e: Any city ,� . - ' • . . <ounty which repwres a permit to construci, alteq improve, tle olisn or re ir ' P-Trap � � Laundr Tra s � � ' � . any structu�e„prior [o its issuance, also reqWres the applicant oi such p it Y Y •Generator00-5 KW 05,15 KW , i � � � Trash Compactor � [o file a signetl statement that he/she is licansetl pursuant to t'provis ns of Roof Drains � ' � - - � � e Contractor's License;law (Chapter9 (commencing with Sec'on 7 0) ot . _ � l - _ . . „vision 3 o£the Business antl Professions Cotle) or that,he/s ezempt , , � `' ' .erefrom antl [he�basis for the allegetl exemption. Any violation o( Section , � ' � ' ' , � ' � � i031.5 by any applicant for a permit sublects tbe applicant to a civil� ' �nalty of not more than tive huntlretl dollars ($500). - � . - 3 ' , LJ I, as owner ofi the property or my employees with wages as tneir sole Reinspection Fee $15 � laue Fee � $ � �� ' compensation, will tlo.the wo�k, antl Ihe SVucture is not intentletl or otferetl � fleinspection F¢e $15 - ISSue�F¢e � - � �$ 3 ' for sale (Section Y044, Business. antl Professional Cotle: The Contractor's ' • MECHANICAL � , � FEES License Law tloes not appry to an owne� ot a properry wM10 builds or impmves - .. thereon, and who tloes'such�work himseli/herself or through his or her own � � - ' DEVELOPMENT SERVICES REQUIREMENTS: � , S _ � employees, provitletl [hat such improvemenis are'not intentletl or offeretl for • Boiler '. ' Hood or '� Type I�❑ ' � ' Zonin A roved B � � � • ' - 'sale. Ii, however, the buimin9 or improvement is soltl within one year oi com- . '' .Canopy Type 11 ❑ 9 PP Y 'Date pletioq the owner will have tne burtlen of proving he/she tlia not builtl or im- , DuCt - UOdE� G�OUnd -� . � � � ' ' '�' prove for tne purpose otsale). -- � ' �, � Building Approved By � �Date • ❑ I, as owner of the prooerty, am exUusivery contracting with licensetl con-� � Duct-StruMural . Refrigeration System ' ,, ' Applintion Issued By '- 'Dat ��� ' ' . t�actorsto conrt�uct lhe projecb(Sectian 7044, Business antl P�ofe55ions�CotleE � " - ; The�ConVacior's �icense �L.aw'does not�appry to an owner of property who Duct- Ventilating , � � �0-t00,00067U ,�700,000 BTU .- � . " SUMMM Y FEES` - �� ' builtlsor' imD�oves thereon, antl who cont�act5 for such projects with a mn- ' _ - . � '� __���� . � i� � � tractor(s)�iicense pursuant-to tne Contractor's License.Law). I am aware that � ExhaustSystem p ' y p / o�� BUILDING PERMIT, $' ', SMIP, ,'$ �~ � `� Multi le ❑ S stem��Re av Alte�ation proof,oi�cheir Worker's Compensation insurance shoultl be provitled to me. ' . . _ - . pLAN CHECK ' $.. PERMIT� - . � ❑° I am exempt under Section , �B. &' P. C. for�this reason Firepl/Fact. BIC ICBO # � Frte Dampeis - � -� , � "' - - ' � ' PLUMBING� `� $� ' ISSUANCE S - Date - � ' Owner ' - , Heating System�& DucLng - Regisfers - ' ' � pLAN CHECK '25% �$ ' � . ENERGY P C � $'�, � I nereby certify�that.�l have`reatl.tliis apDlication antl'state that-the above � ❑0-t00,000BTU��d00,0008T � . - , ' " GRADING. $ '�� � '� information is.m'rrect. I agree to comply with�all city antl county ortlinances� ECECTRICAL �$ - ' ' I antl'state laws�r¢lating to builtling const�uctian, antl he�eby authorize repre � - _ , . _ � $' - MICR�FILM '$; �' � � , � PLAN CHECK � 50% sentabves oi� thls ciTy to.enter upon the� above-mentionetl property for' � � � i- inspecLonpurp es. ���/'� p �d ' '� - MECHANICAL,• '$,.• � TOTALFEE- $�.3I•S� , Signat�re ��l�%�14�L�"T�v�•TlL�"�^" � Date�/' G I1 e ^' . , , , ., , � �, Drivers' Cicense or 55 �' �� peinspection Fea, ` $75" . Iwue�Fee'� � '$ 3� PLAN CHECK 25%' �$ CMF OB65-46, rev. 10/84 White - Builtling; Canary - Applicanp Pink - Accountin9; Goltlenrotl - Assesm� � . . '_� .. .., . ,. . ._ . _.• `- POO L & SPA' - _ _ -� ., .� . LCONSTRUf,TIONAND:PLANNING �- • I --�--{._.. �._ . :- ;_. r , , . _L;, �APPROVALS `Bermit# ,Da1te Elns ector� � ' ''� Date . Inspector p � APPROVALS Permrt # � Y ^ � � t I i t 1 t%Temporary Electiical,5ervice or Pole ' ' � � 52.;Pool & Equipment Locatiori '� � � � Arr _ . H .. ' . -' _ . . ..., - . , \ 2. Soil Pipe-Undrgmd:. , � � 1 � � � ,53. Sieel Reinforcement� j . , � ' � 3. Electrical Conduit Utilify-Undrgmd. ' ' ' � 54. �Forms �. , „ � � � " � � � r i 4. Electrical Conduit-Undrgrnd. � � . � ��55��Electrical�Bonding � � i; �� • i � ' �� 5. Steel Reinforcement'�� '� � � � ' � ' ' 56. �Rough Plumbing & Pressure Test i ` � i -� , .� :. 6. Electrical UFER�Grnd. � - , � . ' '. i 57-.',APPROVALTO,COVER-GUNITE ' � � i c' 7. Footings � n:� �•� ' r' •'� � � ' - � � � 58. jElectrical Conduit�Undrgrnd. , �-. � � � ' � 8. Foundation •�� � � - "- �'� � '� - 59: Gas Pipe, O Undrgrnd., Test � � � �� � 9�. Water Pipe-Undrgrnd. : i � � -�- -- --60:+Backwash Lines; P:Trap; ��Undrg�nd. ' � � i_ '.10. Structural Floor System , � � � � 6L �APPROVAL�TO DECK' � ; � � ' � � 11. Property Sewer Line & House Connection ' � � 62. ,Backwash & �Receptor-Final. ' r , � � t 1 72. Sewer Cap ' - � � . , 63. Heater & Vent-Final � � ' �� � . i 93. Roof Drains , � . � � � � 64. Plumbing System - Final � � � � ''^ � + - � 14. Rough Plumbing �. � � ' 65.'Electrical;Final � . - , � ' _ �� 15. Rough Electrical-Conduit ; '� � � . �- � . -,; 66.'Solar SysEem-Final ', .. � _ ". � _ :' � - � -; y 16. Rough Electric Wiring , - ' � - � . � � - � � � --'"67. �Fencing & Access Approval` _ 1 � � � � -�'� 17. Rough Wiring Sign � - � -t ' ' �� � � ' 68..'APPROVED FOR PLASTERING x ��J � • � ' 18. Rough Electrical-T Bar Ceiling .. , ' � � ' 69.��POOU,SPA SYSTEMS FINAL; ��� ' �' 4, . 19. Rough' Heating & Air Conditioning � i ' ' i ' �FIRE DEPT. REQUIREIVIENT �a , � �, }•�"� � : r � . .: _! �i � • ,+fi.1 � � � i �Lv � � ? 20. Rough Factory Fireplace , . � , � ; ' APPROVATS � Permib;#,- ' , -- � �' "'; ,r�„�'._„ z t i, a a 21. Ducts, in Str,uctur"e ' � � � � � ' / r' . � � � ''� F' '' : " * ` _ � `-� � - . . � 70.�Underground�Hydro� � u,� i j 5 t 22. Ducts, Ventilatin � ' ,- � ' } � . � ': 9' i � ' _71r%Product Pipin�g �Gas ��Oil � '? �' 4 ". � ; 23. Gas Pi e-Rou`�hi&�Test ^ � � � � �.. _ P 9 _ ' � � °�72...�iUnderground�Flush:� �y ; i - E :c � _. ; , _�; . . . � ' , -24. Roof�Framing,� . . .: � : �' - r�'�7�3�Undergrnd.StorageTank OGa's �DOiI � ' ` ' �=, • - . 25. Roof.Sheatliin9: , � . - � , 1;:. ; �� � .74.'�Overhead �Hydrol .- ' 4i � ! ��•._, �� ' _;�?; _ « -' � . � : + "y , i •� ' - r�y ' - Y 26. T-Bar,Ceiling (Structurall� & Monocoat + �. �: � % �. �J5: �Dry Cfiemical �� , ',�;� % � � f•., -� " r , 27. Frame and Flashing � '-- � - - � ' ; � 76. Dry Standpipe . - `:I" . ' . , , - , ' ;� ; 28. Lathing & Siding � .. . � � : � 77. ; FIXED'SYSTEM FINAL� b � � � �, ' . (; . � - _ � � �c • - -_ . 29. Insulation ' � • � _ --'-' J��`� j� � 78. �FIRE PREV.iFINAL J � : - � ' . � , 30. Drywall Nailing � � ' � . � � ; � HEALTH DEP.T..REQUIREMENT '_ _: ' �31. PlasterBrown.Coat . :i . ' � ' ` ' 79. FINAL INSPECTION . ( . � ' .' � � �'� r 32. Electrical Bower Meter-Final '. . ' � 80. FOODiCERTIF,ICATE ISSUED � � � _� , ' �"�� ' _ ',33. Final Electric` � - � ' ' � � ���� =Notes: � �' j � � - ;'� `. ' � _ •~ . . •_ � ��� �,� x �34. Final Heating &�Air Conditioning ` � % - � � � � ' � ° - � �. � � � � � '-� ` � �_ ,� i 4�'�' � �, _ . . . _ . / . �'- ' �-� .4_ jv i u . 35. Final Gas Pipe-Test � � � � � ! f � _i � � ��� � � ' ' � "' �� 36. Hood or,CanoPY .. - - - - - - -- - -- �- .� Y� /'`_ : :� �, 37,: �Final Factory Fireplace � � " � - � . � . . � %^'^ . ' � � f, �, ` i' � 38. Final� Plumbing � ; ` - � � ] � n �r'� =� �(� �t' -• ,p tn (,= ��' � � . �^ � 't .i . !, ..i� r .},i . �39: WaterService-Final� � - . ;i� '•--�.. -,. �i'%: l �"il' - � ;�` ' � �` � .� , _ , .Y' _ f M" ?' l 40. Gas Service-Final �. _- � , 3rt : � • �l: '� � ) r '' �� ' � n , .. �_� h '� i � i � �,�41. Soler pomesticFinal � • � � , �_ '1 : � ' : y' �� ';k �" : - 'L �` , � � ; ,i �'42. Backflow Preven(er � • - � �'�! � � o - - :� r ' j-� �n � ' � b e G . � �'43. Backflow Irrigation � - • . � . - _ � + ,� � � - � � V � � y ' L �. ti• �' r� , � y , !44 'Landscape Irrigation System �� � - � � - � ._ � � �;ya r ,' �,', �.' �''� r•,' .f',�. .45. Sound Attenuation - - � - ' � . ' - � ,j ' ' ' - "fL t r� ' '. n • _ � . .. �b r { 1� i ) . 46. Handicap Regulations - . � - - - a2 _ $1$� -' -'n.;' � ', •��,� �, :i ��.` �, 7 47. FINALSTRUCTURE&BUILDING� - . � . ' _ ��._.r � ^ - U , � �r,.�� ;. �;.r "' -48. Special RequirementsCompleted E - � . � �'�_ � ,� ,�� . - - Y"� ` 49: Electric Release to Edison ' � � . " - ' �' ` � - � /�. - . t - � ' ',- ' � . � . ' i. i. . y . � �')- . r' 50. Gas Release to Southem California.Gas Co ' � � � � !�� � ,!'�' ' - � 51:� CERTIFICATE.OF OCCUPANCY � �, '. � ..�� � . � - _ ' : ; : � ' ' � � - . _ . - � .' ��. . . .. - ,. - . . : No. _. . Date . � ._ _... . . _ . _. .� . . - -- - .�.. ---- ----- - • r.+ ` C..�.�, , � � . ._ ,.. . ... . .. , . ... _. CI�Y OF COSTA �. .�. _ . < .. ,_--- Applicant to till in all ipates ex<ept �hosB w(t�in Iteavy portler lines anG sign all appropriate tlecla�ations. ' '�PE3�g IT NO. TflACT NO! LOT NO � . UN1T N6: � �� � T ' � � � � - RUCT,IO �PERMIT Qd ` =tJ �S' � o� • � ! ` i �:,, " �Ie �� i ,� • � ; . � '� .- 1 A � ; � t ��- �i, '�,` . � r`, , � ' ' i. r � i -. � ' •�`�""�+.� � . � . ' :� —?i�;� .TYPEOFCONSTRUCTION NEW �' ADD A ERATION' ' REVAIR ' ' ' }' , Applicant's Mailing Address _' ' � � � � . � .��,o-�� � �-. . , , . ...❑.CONVERSION: ❑�DEMOLISH OOTHER � • � q.p.# - . , " . ' r. : � 2one' " � Owner s Name " /� � � Phone��" y9-Zs1 t DESCRIPTION OF WORK/USE OF BLDG: � �� �' � � � - Address ��) � �`�: ' �-��• . 9�G�7 . . .. , . ' . . -'� � ,. ` '<' S� MamBwidm9'� . M iiRIl•sAccessoryBu�lding:�fy�- el,q; � �Arch/Eng ' � License.No� � � TYPEOF,PERMIT� ' GRADirvG FOUNDATION -� STRVCTURAL' � � T Fro�t • - �9ATE7 (9/16/3v T�II�E� I��IS p � , Addr¢s5 � ' r� - • ' , � , � ' - -^ Q' ,OTHERT�O ELE TR�CA VMB NG ECHANICAL , A Rear� ' ' I ' � _ - ', , N ' C L-�O PL I � M � Contractor'sNam Phone �SS7-7yY0- � — �� �"�q �^ - , _ � ' " - . ' " � - i ' PRQIECTDESCRIPTION 5�. FL �d�C. �� eZ' �• nrruanticv ' �_ �C Right . . I = r. ; N ndd�e:��ma�i�oe�— Go' '�:� 'C�e-�.. �ii. 9a7o7 , K c p - � �' � - � � ' CONSTRUCTIONTYPE• 'VALUATION$ 3�.ob � S Left ' � . � � � ' �: - 'Ciry.LicenseNo_� ��32� 2�/ � _ ' _ ' - ' ' . . - . ' •R . ZONE GRADING.CU. VDS.. ACRES- ping. Ref. #' - � Parking Feq./Provided :.� �- �� �_ - E � "UCENSED CONTRACT00. DECLARATION ' � ' ' - - - 'Q � � ,I h¢reby affi�m thabl'am licensetl untle� p�ovisions of Chaite� 9 (commencing' 'Remarks: ,Planning Notes: - ' ' ' � , � � { � � � " . . M wit�,SeG[ion ]000) o( Division 3 ot Ihe Bu5ine55 antl PrOfesSions Gotle, antl. � � ' ' N my license is in full /orce antl effect. � � � — � � �� ' � � � .� , ' I �' � ' � T � ' LlcenseCl s ^� � "3 License o327 1- i ' ' �,. S, (� '�Date �' 4 Signature `��- �! rt2'-'-'^ � . , , PLUMBING � . _ , FEES � " . I � . . .. � � }.-. WORKERS'�C MPENSATION DECLARATION � � � ' �ereby affirm ttiat I have a certificate of consent to self-Insure or a certificate. , � Workers"Compen5ation�_Insurance„or,a certifietl copy, thereof (Sectlon� .800, Lab. C.) ' � � �7� { � ^ � PolicY rvo. �iOGS_j/ X'Y ComPanY �"'�✓ �� �� ynyJ,-.erti(ietl coOY, is hereby furnishetl:. � ' � � . ,� cer ' i cop I(iletl wrth the city uiltling Divisi�on,(� ' � Date ' Applicant �`� ��—�rTh-��� ; EXEMP ION ROM WORKERS' COMPENSATION OEGLARATION ' (Thissection neetl not be tOmpletetl'if the permit is to� one huntl�etl ($300)b�''- , less). ' � - , � 1 � �' I c¢rtity that in the performance of the work fo� which this perm�t is issuetl, I, . ' sball no[ employ any.person in any manner so as to Gecome subject to the , Workers' Compensation Laws ot California. � . , . Date Si9nature ' ' ' - 'NOTICE: If, afte� making this tleclaration, you zhoultl b¢cOme,subjec[ to the� Workers' Compensation provisions of the Labor Cotle, you must forthwitn comply with such provisions or this permit shall be tleemetl; revoketl. CONSTRUCTION LENDING AGENCY ' � � ` • I hereby affitm that lhe�e is a constiuction lending agen[y fo� the performance ' of Ne work ior which this permit is issuetl (Section 3097'Civ. GJi Lentler'StName - , �, Lenaer's Aatlress ' ' � - OWNER�BUIL�ER �ECLARATIOfJ � - - ' ' � � � '• _ I hereby affirm that I am exempt trom the�ConVactor's'License Law�for the " i i I CA J31b by,any appucan[ ior a p pendlty of not more than tive huntlre ❑ I, as owner of the property �o� .compensation, will tlo the work, ani for sale (Section 7044, Business.a Lirense law tloes notiapply to an ov tpereon, antl who tloes such wo�k�l employees, Drovitletl that such impr sale. 1f, however; the builtling or im plelion, the owner will have the bur �rove for the purpose of sale). i_ as owner ot the orooertv.�am Du1105 of Improves mereo� tractor(s1 Iicense pursuant proot ol [heir Wo�ke�'s C ❑�I am exempt untler,5ect Data I bereby certify thai�l-ha intormation is <orrect: I aq antl state laws r¢Iating [o ��. sentatives of this city to inSpecUon purp ses. , Si9nature � Drivers' license or 55 # IF 0865-46, rev. SO/84 Wh who tlon. Any vloldlion oi Sec[lon �cts the applicant to a civil 650a). iyees with^wages as;their sole :ure is not intentletl or ofteretl ional' Cotle: The Contractor's - �OP¢Ity wF10 bUIItlS Of IfI1PIOVES Self or throu9h his o� her. own re not Intentletl or offeretl tor is soltl within one year oPcom-, iing he/she tlitl not builtl or im-� contracting wi[h IlcenseC con- BuSiness antl Profe55ion5 Cotle: �to an owner of property who S tor such projects'with a con-- License �aw). I am aware tha[ me shoultl be provitlea ta me. — B. & P. C: for [hi5 red5om �or Drain � , FloocSinks. . . . Gas Service` _ Outlets Interceptors ' Kitchen Sink� � LaJarories " P-Trap ' • Roof Drains �' - � ! � . ._ � t. � . . . Reinipec[ion Fee � 1! Boiler, , Duct -. Under G round � Duct-Structural j i ' Duct ' Ventilating : � Exhaust System ❑ Multiple FirepUFact. Blt. ICBO # ' Heating System & Ducting, $f10WCf5 I � ServiceSi k -�-- ���� � -- Sewer C5 " , i Sewer Con ection__.` Solar Solar -Urinal � � � fer-. . rice ` ' ' n ,, . 'rays ' � _ Issue Fee Hood or Type I ❑ �� Canopy T.ype II ❑ Refrigerotion Sysiem ' � ' ❑aioo,000 aru, oioo,000 er System Repair Fire Dampers itl-this�auP�ication ana-state�that�the abover--� -- �0.100,OOOBTU�O100,0006T � -.- , - -�---,- . � comply with all city and county ortlinances. t ng mnstructlon, antl hereby authorize repre-� � • . � r upon the above-mentlonetl property for� ' � ; � ' � 1 � . , ���_ �i - ' . � I . . ��`, oaca 9 c�I , i E i � Reinspeaion Fea � $15 ' Issue Fee i 3uiltlinq; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor � � • ELECTRICAL 1'____'�_,.,`__`_. _. __.. .�� ,���� ����I///I 1�� ' " .����i ��`�� �����.� �� � ��i�}�� D¢vicC BOxeS ' Outlets � Switches Garbage Disposal �, Generator �0-5 KW il I ' �� , FE '�'115=50 KW " ' � ,0 50+KW , �� to 100 amps � � Meter LJovei 100 amps � _ � _.-+ Sub Panel : ' ""�`l � j - Motors�0.7,HP:�iX;-8 i Inc.Solar�9-15�I-IP'�i6-15+ r � -� Microwave7 ;.r'j*� .� - -_. . Pole Light-,�'}' ' . Ranger. � � . - ` Si n '� 9 "�' tli �. i: '"+; I ' ; Standing Sections' � � 15'KW Trash�Com'pacto�T`� , r - .. 4 i . • ' l s. . � � $ 3 : � Reinspection Fee $15 Issue Fee FEES DEVELOPMENTSERVICESRE�UIREMENTS: 2oning Approved By � Building Approved By . APPliotiOn Issued BV ' n R � ; I $ � � � SUM�M-A.�}'V� F FEES � ' ' ! � ' BUILDING PERMIT $ � � SMIP ' � $ � � S� PLAN CHECK � $ � PERMIT• � � PLUMBING � $� � � ISSUANCE � $: PLAN CHECK 25% $. � ENERGV P.Ci $, � - i � . GRADING . $� � EIECTRICAL' $ . � :MICROFILM� ' � PLAN CHECK' S0% $ �, ' � $; MECHANICA�• � $ j � TOTAL FEE :$� S.sv PLAN CHECK � 25% � � � ; ; � ; $1 f r . '. . .. , . .. .. . .. . ' ,- . n �- ^ ,� . : r.. � ..�.�«.za. ..n. . qn. ;.�;i;:-, y�h.M1 ax ., .>."�1 _�1 _.i\ 1 , ' f. �"' (�iNSTRUCTION AND-�PLANNING ` �,� � . � P01 SPA � " - - ' �_ - -" : � , F! � - ' ' "- , � : :Date Inspector - � � , Date�� InspectoF: �, �- APPROVALS = Permit# - . � ' APPROVALS, Permit# � - -•,;� , _ r� - ' ? �*1.'Temporary�Electrical Service or�Pole �� � , � 52: Pool �& Equipment Location � . ' - ' - � � � t. - 3 n2. ;Soil Pipe=Undrgrnd. �- � p � : ��' � '� r� ;!I . .53`. Steel Reinforcement. � � � � " �-'+ = � .r '� '-<; �I � �3.,Elecfrical Conduit Utility,Undrgrnd';: � j� '`"`'; � -� � 54..Forms � ' ..i . � ' � � _ " �;+ ? r4:,Electrical Conduit�Und�rgr;nd.- ;'1 ' , ���� �� f �. - ' _55. Elect"rical Bonding � . � ' ' 9 �� a. � 5 =.Steel'Reinforcement .::! - - - _ � . . �56: �Rbugh Plumbing & Pressure Test:�� . "-� ;�:+ ', .„ „ ' S6.`�Electrical UFER Grnd.7�, � � �:� � - 57�. �APPROVAL TO COVER,-GUNITE - • �' �� :� � n � - ,. � 'r 7.*F,00tings � � ', - � � � 58. Electrical'.Conduit-Undrgrnd. � . - - � 'r,�„ � � ::8. `Foundation -- . - . . `�•' ` � . � v .. � i, � ..59. Gas Pipe, O Undrgrnd., �Test- . _ � r9.,Wate�',Pipe�Undrgrnd. � � ' _ i • ' 60. Backwash�Lines-, P.-Trap, O Undrgrnd.' � � ' • '�'_ �;'. s.10�. Structu"ral Floor System � � " - � � ', � 61: -APPROVAL TO DECK� �� � . ' �; - ;1 �11 . ,Property;�Sewer Line & House:Connection� � , , 62. �Backwash &. Receptor=Final _ , - . � � ,i '',12..;Sewer'Cap � � � - a-,', ! '�' ' - 63.'�Heater�& Vent-Final - ��' - ,,' y , i r ' � ',' . � . ��.13•�����Roof'Drains � �;',� � j�;_` 'i� : - ' '�.64:,Plumbing�System.-�Final `. , ,. - : ... 1; ,; � 14:;t�Rough`Plumbing'; ' � � ' ' ' • � 65: Electrical-Final ,- . - • � _ ' . - � � _' 2 ' ' _� _t_5.�,Rough.Electrical;Conduit__ __ _. _ _ _ __ . _ 66. SolarSystem-Final _ . _ , . _ _..._�{ � =T96a;Rough Eleciric Wiring ' � �`%,> �'�� . � 67. Fencing & Access.Approval . ' ._ � . _. ' 3.:F:' . . ' - . . n ��7�7:«Rough�Wiring Sign^. � ,� `_�' , '' ��~ - 68. APPROVED FOR PLASTERING - i �Y, r- - r ` �=18'�Rough Electriral-T�Bar Ceiling . ,' f� ,i ' " I ' ' :69: P,OOL/SPA SYSTEMS FINAL � � � � � ;` j � �%. ; 19,;;�Rough Heating & Air'_Conditioning ,, " � ` , , - - �--��-----FIRE DEPT. REQUIREMENT � ' . � d i . . � I , V � 20;.�Rough`Factory Fireplace , ��;i; � � , i' . APPROVALS, Permit# - . _ � P � n r ; 2}� �Ducts,�in Structure� :. ' "�' ' � � � , . �� _ ' - � i � _ �,r �� � ; , 70. Underground Hydro � , . : . '.. .. . . . _.. �� . .. .._;, . . � �r22 hDucts; Ventilating - ; �� �� !, ; �� � "���-�� -�71,_producLRiping����Gas��� O�OiI, � ' ' � � " � } �; 23.,Gas;Pipe-Rough & Test % � �;-''��� ;; , - - . �- 72. U�tderground Flushr - - � - - • - r - ; 'v" - c . i � �.�24.�Roof Framing ` -( '�: �; �' " � 73.�Undergrnd.Storage�Tank��Gas �❑Oil �- ���`-i 25.�Roof Sheathing ' � � ��- � � ' f � 74. Overhead Flydro _ ' ' � i �_ : '- .. ' . r . .r.: - _ , . J _ 1 n� 26. gT-6ai Ceiling,(StructuraQ & Monocoat� � . ' 75. Dry;Chemical . -� - q,; --- _..--- � � � � v . �=27.RFrameandiFlashing� �„ •i,� � _�-� ' ," ��76. DryStandpipe' . ^ _ ' ;, � _ a !`28. Lathing & Siding � � " � yt � 77: FIXED SYSTEM FINAL ' ' � � ' , � � i '.29.�.Insulation: � ' � � . 78. FIRE PREV. FINA:L , - � ,-30�.��Drywall Nailing � '�� ' � � i �- HEALTH DEPT. REQUIREMENT � . � v .. � �. : . . . . _ . o ��31:iFlaster'Brown Coat';j' � ,'"� �:;� �� `� "��� �'" ��' � �'�� >; ���99� FINAC�INSPECTION � ' --� -� - � �_p ;.. __._� - ,'.,, -@ a�32:�"Electricaf Power Meter-Final i' ��."_ � ' � ��. 50.�, FOOD CERTIF,ICATE I�SSUED � ' "' � n� v - ,. , r, - -- ' - - -. .._ -. . - - - . _. _. _ � .. . .___t 'y � 33.sFinal Electric �. !� ��� Notes: -�' �� � � ..�� �. �.: � _ _ ...� .. . . - . . ... .. . ._._�..... '"34: Final Heatiog &,Air,Condit�ioning � � � � � ...i, '� w� « � , _ , �. 35. Final Gas�Pipe-Testi •• �,_. i . ' � - -� ' -- - ; �-; -. -.- . . '..- rr' ' t ' . �.. ' i 36. Hood or�CanoPv. � I i' � . ' � � � � i ' � .-f , _ ' . -. � i 37. Final Factory Fireplace � " �• _ ' ` � , � - � �` - �- _ � � t !i - 38. Final Plumbing � � � � ' � - ' ' � � � � - 1�, � � • ' � ,+ � � , 39. Water�Service-Final ' � 1 �� - ' '� � ' i � . _ 40. Gas Service-Final � � � i � ; � ! . ' ' . . : � 41. Solar pomestic-Final � , # � � i i ' • ' � , , - •�� �, i ' ' � � 42..Backflow,Preventerl � � ' % i j • � , � ' ' ' � '���� ' � � � �i� � _.r.. ."_�' __.__ .. . � 43. Backflow�lrrigation.""1""`� � ( i5 � � • . �..�' -. , , , � t ,.�" . � � �- • ! � c � , . ' i . - � . . - . . : - � �e� 44. .Landscape Irrigation SYstem � � � ' u,p I R'E �' � ^` ��: 45. Sound ^A'ttenuation ti � j � � " � ' � - �_� �I �complet ilnspections � ' � • �r - ;. � ;: •� ', :. _.,. , ; �. ; . � ; _ _ , - ; � , � - _� ;. 46. Handicap,Regulations ; - � � '� �- � � ' - - .� �7 , �. -� , . 47. FINA_LSTRUCTURE&BUILDING`, � . • . = j•' - �� 48. Special�RequirementsCortipleted ' �� � � � - + �i i � � ' . - ,,, r! ; 49. Electric Releaseito Edison � ; ;;_ _� � _ _ � _ � _ r,,;;_� �_ , � � .I i ' �' 50. Gas Release to Southern California Gas�Co j � � i ! � ' � � � � . - �," •'�' � - ' �� �� � r � i i. 51. CERTIFICATEOF�OC�UP�NCY ��h' ' j � • :_ ' ' µM � �' >4 ' t �� i ; � i� No. A �Date� � - � - -M--�-'- � � "�� � i � ' , � I , • ' ,�`: I� � � i �, i. ...�.._. ..._. - ' � i t i �� '+ � - - -- -`. i . ... ���'ry.0 COSTA MESA BUILDING-SAFETY DEPARTMENT u� � E (1 � C L�!1 � D P.O. BOX 31'l COSTA MESA. CALIFORNIA �. J/D / ' ' LC/ � ✓% J � . fOR APPL/CANT TO f/LL /N COMPLfTfLY ' APPLICATIONCFOR:�PERMIT TVPE OR PRINT � ' C�IBUILDING��-Cz no'o`a°E's"s 2940 Pe er Tree Lane ' COSTA MESA, CALIFORNIA FOR Off/Cf USE ONLY � OWNER Yi�������� Dike &.Colegro I �RECEIPT•NO. ,���MITiNo. JLIJ MAIL �� E♦ �ryyL Cy• C� ' RECEIV p.BY D� E NECE� S DATE ISSUED ADDRESS !�dl Ub I Qi�. I 2�' 9�g � QTV Costa Mesa . TN�i,IB-17.59 BUILDING ADDRE55 na 'cr CaP1SOri $c uc. .. COSTA MESA, CALIFORNIA OF INEER ' NO. � A�ORE55 GaT'CIeYI GTY1Ve, FIRE � � � ZONE TYPE "GROUP 2 8f. o egrove� flC. STATE 167`zO'� pppROVED - � CONTRACTOR. LIC.NO. �� BY � DATE � aooRess �9 E. 17th St., Costa i�lesa ZONING � LEGAL I LOT � I - I 2gz2 I�NE ''�/ NO. OF USE OF NEW � � /, OESCRIPTION NO. BLOCK TRACT f� / IP�AN9 �I BUILDIN� /�_?�� �'`� /Y / �l ! �1 ByPROVED/A�. �L � DATE �C "—,rCI ^V�� A.P. NO L^ L—iii : / OF LOT W X ZO5 I NO.OF e�ocs. nOn YARDS EVES now oH �oi REOUIRED ALLOWED USE OF ' � (CENTER LINE BTJ EXISTING BLDG. C^ - FRONT �J�Ff. � IN. SETBPCK LINE FROM /<t l�� i � CENTER OF 9TrsEET REAR VARD 'i R. SIDE ,> FT. IN. 5�.. � SIDEYARD ILEFT IRIGHT 5 L.SIDE �FT. IN. � DESCRIPTION OF WORK � REAR .��J Fr. +�� �4 ,/.i�U�! � NE\ I� II ALTERATION I II ADDITION I , � � 5 Z'E DING 3516 �R�OMS STORIES 2 attached garage. Four living units. . ��-�-�Q ��3o v I HEREBY ACKNOWLEOGE TMAT 1 HAVE READ THI6 APPLICATION THE AMOUNT SHOWN UNUER VALUATION I6 FOR THE AND STATE THAT THE ABOVE IS CORFECT AND ACREE TO COM- pUftPOSE OF ESTqBLISHING R PERMIT FEE ONLY. PLY WITH ALL CITY OR�IN�NCES ANO STATE LAWS REGULATING BUILDING CONSTRl1CT10N. /} VALUATION SIGNATURE OF /� , PERMIT FEE � S J�'O�OO PERMITTEE `� y� - ' ' $ 30,97.�'ieq P�p`N CHEGK S QSwOO AUTHORIZE� AGENT � TOTAL FEE $ � (S��