HomeMy WebLinkAbout922 POWELL CT - Building Permitsmonessaem�omc: 972 POWELL CT uNT: CITY OF CUSTA MESA - BUILDING PERMIT �
avmeasruyeivanwn: CENGIA, ROBERT W. PERM NO; E 086930
�oo�ss 16326 MT NIMbUS
FOUNTAIN VAiLEY,CA 92708 PERMIT NO: E 086980 PLAN CHECK NO: r] GOVT: N SUPP: N
531-4705
�rr�.YuuNcwoxess CONSTRUCTION TYPE: PERMIT TYPE: EL£ PURPOSE: OTH
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LICENSE� COMRRCTOFS DECIAP�TION: I Mraby Mrm unEm panely d perjury ihm I em licenaed uMx pwieiono d Cheqer 9
(mmmendrp xiih Senion )000) d Dnision 3 d tM Busi�reae eM Proleseione Cotle. enC mY limnae u in tuA Iwce aiM eHap.
cm uc. No.: uc. cuss: uc. No.: EXP :
Deb: Canreaor.
OWNEN BUILDEF DECLANITION: I hereby eifirtn uMer panelly of perjury Ihet I em ecemp hom IM CaHrmon lioenae Lew la tM1a
Idbwip reewn (Sedion 1031.5 Bus'viasa vk Rofeseiore Cada: MY ciy a oouny xfiitli re9ui�ee a peim� to mnabun. eller. improw.
damoleh, a ropei eny avuclure. pbr �o ie eauenw, e6o reyuiro ihe epplimnl la euch pamil to fib a sg�l ewamenl thel M a aM
ia licenaed Wfluem lo tM provisione d iM ConVeewa licenae Lew jCheqer e(mmmmvirq vm� Sed'nn )000) W D'r�rebn 3 d the
Busimm arC Prdeasons Cotlal «thet he « Me ia eMemp iherehum arM iM bmia l« Mw elkBaE azemplian. MY vbW ion d Sedun
]031.5 by anY aPW�� fw e permN aubqtls �he epplican� to e avil penelry d m� mpe Ihenlve h�rMred ddlen �i500�). .,�
� I, ee ovrtrer d Ihe propeny a my emWqeae xVh wapm es ihei ede canpanulion, xill do tlre wak, aM Iha etrudure w rwt intendeE
«anerae r« ew (sanbn>a+. e�irresaend araea.ioro ced.: The Comreaon ticense teweoea �at enoM men owro. d propem�
wM WdM a'vnpmvu iheraon, anE xta Coee euM worklunseH a Mnetl «�hrouph he a hm ovm empbyees, qovkeE ihet auc�
impwemenla ere m� inteMed a oXered tw eab. C. M1awevar. tl�e buiki�q a'vnpowmem p aold wil�in aroY� d mmpletion.IM
x owmr-builder wiil M1eve Ihe MxEen al prwl,p he or sM1e Ek nol WiN w imprwe Ia IM puryme d eeb�. �
� I. av ovmer d �M MOVaM, em udwireN conlraUnO wnh licenaed wnvmlas lo wnstrud Ne MW� (Sedion ]OH. &ni'waa vq
Prot Gode: TM ConVmon license law tlaee M�py �o en owner d popeny x1p buiks a impwee ihereon eM x1a
con e�ci I�ar�M1 qa�e yrfi�e mn��tlor(e) Icenfed Wnuanl lo �M Con�redare Limnsa law). _
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w�vre�,auqp cd�o�. wmn �e ;
wl (arcb gh}) need io compty wih e
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WONKEN'S COMPFHSATION DECL�NITION: 1 Mraby elfirm uMx penelly d pe�juy one W IM Idlowiiq Eetleimioro:
� I heve eM xil mainten e ce�drste d con»M lo aeMinwre tar hakere canperuetun, n prwided la by Seeion 3)00 d tM LeEor
coee. �« m. a«io�a��a a ms wo�x i«.n�n mre c„mn re��e.
p ina��e�������Ma.•�v�������.m,w��aws«a�a�ooda,et.no.c�.�«meoana�.am.
wwk for wfiich �hie W�� u inued. MY waMers com0ammion irourerwe uriier erd PdKY numbr are:
c�.,:
rdrv rmmna,:
(This section rieed iwt be romGb� [ fM Ps^^d 'u br wre huMreJ ddlem I31WI a Issa.)
� I cmlty iMi in Na parlormerrce d Ihe wak 1or which �hn pemin p im�retl. I ehell rot emWay erry penm in eiry menner eo c to
bacoma wbpd to �ha xvhnro' canpensetian lews W Celilomie. e�M eprae thm tl I shouW bxoma eubjen to tM woM1en'
�omv�«� w�o�. a sea� moo a in. �.ne, c�, i.iwi renn.nn w,�,oN wnn mwa ww�.�e.
Waminp: Fe/lun ro ucuro worten'romperuatlon rowrp� la unlewlul, end sMll sub/xM en �mploysr ro crlMnl pxiNtln �rW
c/vl/ flMa �q ro ms ��nCrsd tlro�axie aNHn (Sfaa,a00A M edfltlon ro tl�� roaf ol rompxwW2 demeps� u proNtlstl br In
9ectlw ]1G5 0/ tla LMor Cob, /ntwxs4 erM artomsya /su.
CONSTPUCTION LENDIII� AGENCY: I hareby elfirm uMer peneAy d perjury thet iMie is e canst�ud'an bM'up epeMry lor the
�n�� a m..w,x �« wn�a inm w�� n�aa (sea� aos�, cH. c).
LENOEH'S NAME:
LENOEP'S �DOPE55:
1 canity the� I hew read thn eppl'raian aW mme �het iM ebove inlammion ie canep. I pree to canqy wi�h all tlry aM counlY �inezes
erM elele lexs reletiip to buildpp wnsVupbn eM hereby eNhorrse �apeaenle�ive5 d this ety lo enlm upon Ihe ebove�maMioned popnly
�°`It9°°"�""°�ROBERT _CENGIA
(5151-46.WP) White-Buik'vq 8 Salely: Grlp�.Fb; Cvwy-rlppYranl; Rnk-Re�enw; GddanmdAvamwr
JOB DESCRIPTION : EXTEND "1 HEDROOMS 269SF INTO EXIST DECKS SQ FT:
CLAIM VALUE; CALC-VALUE: GRGUP OCC: R-3 /
COMMENTS: EXTENU 2 BEDROOMS 2695F INTO EXISTING L CKS, RE:H8E979
ifiFiEiEjF?f�f*9E3E3EififiFdEifiEjEiEififiEiE3EiE3ElfiEiE3EjfjEaEafiEikiEiEiEiEiEifif�EdfiEjfiFi;-. Yc#EiEifdFiF�fif3f�Eifi�9edEiiiFiEifiEififiFjEjf�lEiE3Eic3E
Z 0 N I N G R E Q U I R E M E N T S
S E T b A C K S
------------ MAIN BUILDING ---------- --------- A ESSORY HUILDING --------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT Ir] RGHT; FT IN
PARKING REQ: PROV: PARCEL: 41808323 ZNE: REF N0:
PLANNING NOTES>
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jE if i6 iE if if if iE 1t iE �E?c �e 1F 1f iE if it if 3't 1E 3E iE if iE 3f if �f if jF if iE if if iE�iE if jE 1E �E iE iE iF iE 3E �E iE iE iE jf dE jElE iE 1E 3E iE iF it-1E if i' 3E 3E iF iE iE ik i' iE i' iE jE iE 3E 3E iE 1E fF
D E V E L O P M E N T S E��R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : ' DATE:
APPLICATION ISSUED BY: �� � DATE; Z I�`lY�
'Ii�iE'lfifif�iEiEiEif3liEiElEiEiF'lEiFifiF'1F?Fif�F�3Fi-F1�SF�3F�F����FiF��iF�F'f��3F�tii�a�ihiFi�3FiFiFTfiFiFiE'YfifieifiE'kiElfiEiT.'SF iE�E'
LEGALIZATION:N F E E' S U M M A R Y STRC7CTURAL SEGMENT:1`�
bLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING
Pc^RMIT 5,00
50� SMIP/NON-RES
PLAN
ISSUE FEE 22.U0
bUILDING-DIV-> PERMIT ISSUE PLAN-CHECx
TOTALS----> 8.00 22.00 0.00
REVENUE DIVISIUN TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
30.00
TOTAL PAID DUE
3C.00 30.00 .00
3U.00 UVER/SHOkT: .00
FIRE SMIP/TOT GRADING PLAN-CHECK
iE iE -%� iF iF i:'K' !E iE iF iF 3E -lE iElk iE i: # iE iE iE jt if # if 3f �7E iE jE �E aF iE 3E �F iE !f ?f iE i4 iE iF iE'±F iE tf iE iE ik if� it iE iE iF �1E �1E iE 3!� if 1E 3f iE if iE jE iE iE iE �)E-1k iE 9E ic?F iE sh 3f if iE iE
I N U I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 FIXTURES, LZGHTING 1 ST 20 EA. 1.00 1.00
ELE 6 RECEPT/OUTLET i ST ZO EA. 1.00 6.00
ELE 1 RECEPT/SWITCH 1 ST 'l0 EA. 1.00 1.00
END OF FEES
82-1�-1998/11:19 AM/f38.08
RCPTR:81-8819718
PERMIT:086980
t. . \
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CONSTRUCTION AND PLANNING� ' � � POOL & SPA � _ .
APPROVALS Permit # Date Inspector Date �' Inspector
� APPROVALS Permit #
t. Temporary Electrical�Service or Pole �� - 52. Pool & Equipment Location .
i- �. .
2. Soil Pipe-Undrgmd. - �'' 53. Steel Reinforcement �� '�'
3. Electrical Conduit Utility-Undrgrnd. . � �. 54. Forms �"
4. Electrical Conduit-Undrgrnd. '= 55. Electrical Bonding
5. Steel Reinforcement � ' ` 56. Rough Plumbing & Pressure Test �.-;
6. Electrical UFER Gmd. .-57. APPROVAL TO COVER�GUNITE -i
7. Footings �} 58. Electrical ConduirUndrgmd. "?
8. Foundation � 59. Gas P(pe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. . � 60. Backwash Lines, P-Trap, C� Undrgrnd. '
10. Structural Floor System 67. APPROVA� TO DECK
17. Property Sewer Line & House Connection 62. Backwash &- Receptor-Final
12. Sewer Cap . �- 63. Heater & Vent�Final -
13. Roof Drains � - � 64. Plumbing System � Final
14. Rough Plumbing � . ' 65. Electrical-Final � � _
15. Rough Electrical-Conduit . 66. Solar System-Final '
16. Rough Electric Wiring � ''C 57, Fencing:& Access ApProval �� ��
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING �
78. Rough Elearical-T Bar Ceiling �`' � 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditio�ing FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duc[s, in $tructure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush -
24. Roof Praming 73. Undergrnd. Storaye Tank O Gas ❑ OII
25. Roof Sheathing � 74. Overhead Nydro
26. T•Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical �
27. Frame and Flashing . 76. Dry Standpipe
28. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV, FINAL
30. Orywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown�Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric -� Notes: . �
34. Final Heating & Air Conditioning �
35. Final Gas Pipe�Test .
36. Hood or Canopy
37. Final Factorv Fireplace
38. Final Plumbing � �
39. Water Service•Final
40. Gas Service-Final '
41. Solar pomestic-Ffnal �
42. Backflow Preventer
43. Backflow irrigation " �
44. Landscape Irripation System
45. Sound Attenuation .
46. Handicap Regulations - � p�
47. FINAL STRUCTURE & BUILDING =; _' `
_�,...
48. FINALPLANNING '
49. Electric Release to Ediso� ";,�
50. �a� Reiease to Southern Califomia Gas Co � - ,
51. CERTIFICATE OF OCCUPANCY
lo. Date
/ �
/ . � � . .
Y
BUILDING PERMIT LOG
EMPLOYEE:
ADD ESS:
PERMIT NUMBER: TYPE OF PERMR:
VALUATION: SQUARE FOOTAGE:
PERMIT FEES:
DATE: TIME IN TIME OUT ACTNITY
-2 ' G oK �SS s
0 ( W.5�L i � CrC{X.�
ONLY ONE ADDRESS PER SHEE7— TIME IS TO BE CACULATED TO THE NEAREST 15 MINUTES
PLEASE BE AS SPECIFIC AS POSSiBLE 1N RECORDING ACTIVITIES
�
10DNE5�.!JFBNLpNG: 9 Z Z POWELL C'f uNr:
�rt owr+EasruuEif�+uvr+: CENGIA, ROBERT W.
� ��16326 MT NIMBUS
� FOUNTAIN VALLEY,CA 92708
y 531-4705
�vci. muiwc woness:
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AI1CNIfECTOFENtlNHA:
CONiNACTpf3NWE:
cartn�croxs�uuxa
ADDflESS
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UNT:
110EN5E0 COMNACTOflS DECLAflATION: I Mnby eflvm uMx peneiy d parjury thel I em Icemed u�Mx prrnitims d Cheqer 9
(commanorp vrilh Seclion )000) d OMaion 3 d iM Buaiirou eM Prdwvwu COCe, eM my liceiva ic in IWI b2e enC eMm.
cm uc. No.: uc. cuss: uc. No.: E X P:
Dme: CaNraam:
OWNEfl BUIL�ER DECLAHRiION: I Mreby tlfirtn uMx penely d perjury �ha1 I em uemq hom IM Cantretlon lioense law la tlx
/olloxinp reesan (Setlion 1031.5 Bua'vnsa eM Pmfessiais CaEe: AnY cnY a�nry whidi repuirea e parmA to mnsbuct. allx. impove.
demdmh, a repei eiry sVucWre: priar lo ils'nwarim, eho reQuim Ihe epplireni la euch peimu �e fib e eqmd etmemenl Ihm he or eM
rm limmed punuenl to IM pwuim+ d ihe CaNretlora liceroe Lew �Cheper 9(mmmemiip xilh Sedion )000) d Oiveion J d tM
e��n ena nwma�a caml «mv ne «ene o e.emq �he.e�mm ene me mw i« me e�ba� �.mM�. Mr videion d saeion
]W 1.5 by enY aGWiranl fa e permG wbjade tha epplicem ta e avil penaly d M mae Ihen INe hundreE dollve �ESOD�).
❑ 1. u owner M IM properlY a mY �V�W^ea �h wapea mthei eob wmperieetion. will do tM xwk. ard Ne evucturo e nd iniendeE
a oflared lar eeb (Saciian )OIG. Busimss arM Prdessiona Coda: TM Gonlrepae license lewEwa not epp�ytoen ownerd propeM
W�10 �11�9IX ��IIP�VB9 ��IBfBOfI.011d W�q EOM BYC�1 WJf�! �Y1118l1i M�IB9B� W 1�1f WBh hW p �1B! OMT BTpP�pM. V�'b� ��1811Ch
imP�mmH me nd imaMad a d1e�eE lor eele. X. hawerer.IM WiqinB a�pa'�ent u edd v.'nhin one Y� d wmpldion. Ihe
ownar-0uildx hill heve tM burEen W qovi�p he or sM Ek iwl WiN or improve Iw IM WNoea d eele).
Y❑ t� o:m.' a ina wocaro. ��a�wv ��,mme „mn i�„d w�v�,xo� m�.ma m. v�aw (sw� �ou. aw�� �a
P oEe: Con�redae Law doea M eppFy Io an owmr M p�apa�y who Wilde a impovea Ihereon end Mp
s uch '� '( e rma�s) IicemeE W 9�t lo tha ConireCpe Littnee Law).
� r;w` n .
� I e q rM i�w� � B. 8 P C., br Nb rearon: �// �/� �
I' 1 1 /
Dma: �/��
��l
i ao ne�w �nM �n� i�...,. a w u�wer ine�ew� ca�aom�. Heann.�d s,ee�r ead. swv.�. usoe, nsv, ene
255�6. eM ihet I a enY Mum buildi�p oav wi / wll �(�ch om) �wed lo campy wYh eeiE ¢tele mtlee vM IM �epuiremenb la
Dale� ADWieM:
WOHKEH'3 COMPEN4�TION DECLRP�TION: 1 hereby eifrtn uMer pe�uM1y d parjury ma d tM IoDowirq Eativuuro:
❑ 1 here enL ml meiMein e cMRkete d canaent io eaMiruure M xaken' aompenmtian, m pavided fa by Sedian 3]00 d the lebor
CNB.IIX Ilro DaAmrerca W Me xqk IOf WhICh IM9 Oe�n q ibued.
� I heva end xd meimen wwkwa' canpenaeton imurence. ea iaquiiad by $epim 3]00 W tlw Lebar Code. M iM pe�wmence d IM
wwk Iw xfiich ihie pertnil u imuad. My wakan' mmpenaetbn insurence wner uM pdiry number ere:
c�.:
Pdicy Number:
(rni: sectiar neee rar ae canWeree I Ms v�r is ror ene nv�n�ae aaws R�wl u' bu.)
❑ i mnM mm in ine wnom�e�e a me .af� �a .nbn mre oe�nn a oeuee, i snen na emWw �n o� � vn m.��..o .. m
bacome wbjetl to ihe wvrkxa' canpenmlion k�w d Celilornie. enE eprea tMi il I Mwk bxome wbjetl b IM worken'
campenselion ponabne ol Sepion 3]00 W tha labor Code. I a1W1 fMhwilh comply wilh iMw prwieiwu.
Deta: ApplicenC
Wamlrp: F�llun ro�x�n wor,F�ri rolw�ru�tlen rov�rep� l� unl�wNl, �ntlWll su0fset m�mp/oysr ro er/rNiul pxuMu �ntl
c/vll Hiros up ro ons huMrstl IMuierH Sollm lSfOd,0001, In ed.11tlan ro M� cwt ol rompwuetbR tlamepn u povltletl br In
SxUon JlQ6 0l tlro Lebor Coda. Infresf. entl aMrnsY i/esa .
CONSTHUC110N LENDINO AGENCY: 1 hereby elfirtn uMx panehy d parlNrY �� �� u e conn�udion WMirp epancy la tM
�IBBf�01Tfi11CB 4�1�18 WJ1�(�IX W�1If�1��1W�10l1111 q 9911Bd�$C.1O11'.1C9%.{�iM.ri�.
LENDEN'S NAME:
� LEN�EP'S ADDNE55:
I cenAy thm I heve reed Ihis epplicetion eik mma thm tha eboro inlame�ion ia crorted. I eprte b canpy xi�h dl cry uM coumy ardinercm
enE stele levn releing to Wikip corgo-Wbn end heroW eiRhoriza repesentelivea d tl�n aiyto enter upon tM eEove�mentioned qoperry
��°�I�°'p�P�`D°'°';.RC7:ZERT. CENGTA
(St51de.WP) Whilo-BuiMipB
Dma: I ! "
FnkJlmronue; GoldanmdAseemw
`�d�' ,/
CITY OF COSTA MESA - BOTLllZNG PERMIT
PERM NO: B 086979
PERMIT NU: B 086979
PLAN CHECK NO: 00599-9� S
CUNSTROCTION TYF'E: PERMIT TYPE: STR
SOB DESCRZPTION : EXTEND 2 BEDROOMS 269SF INTO EXIST DECKS
GOVT; N SUPP: N
PURPOSE: OTN
SQ FT; l0,OG0
CLAIM VALUE: 10,000.00 CALC-VALUE: 10,000.00 GROUP O�C: R-3 /
COMMENTS: EXTEND 2 BEDROOMS 169SF INTO EXISTING DECKS
��itx****+r�r�x���x**�****�*���fat+����***x��t�*�***�**�*+r�*�� ��g ��` +�-g� �. � �
Z O N I N G k E Q U I R E M E N � �p�j'�� [j����
.
------------ MAZN BUILDING --•--S-E-T --------- ACCESSOR���'t72'�..`,;'P;�6��+-------
FRNT: FT IN REAR: PT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN . LEFT: FT IN RGHT: FT IN
PARKING REQ• ,FPRUV!-✓��% PARCEL• 41�10II323 ZAIE: k2-M REF NO;
PLANNING NOTES>yENCLOSE E&IS`,�TING UPSTAIRS bALCONY. PRIVATE OPED1 SPAC£-.
�'�STI�T� PROVIbED AT GROUND LEVEL.
iF it if iE 7E � if iE it iE it iE it ik YRiF iE iE i!�!F iE �lE iE f@ #�'#'ie'# iE iE 3E.if # if iE iE fE iE �E �1E 3E ib it iE i�-k # iE �)E fE if iE if ft±f �lE Y� if itiE iE i:-�lE iE fi-it iF?f �l'r �}t iE iE i(- �lf �1f rt iE iE
D E V E<L'� O P;,M E,N GT,�, S E Ft V I C E S R E Q U I R E M E N T S
+S1 hi f.: �'.:. '�
ZONING APPkOVED�BY �7(S(� DATE: 2��1���1Q,_
BUILDING APPRdV;�D BY�': '.''`� DATE: "'�
�� �i l7 '.
APPLICATION ISSUED b`�': ••> .;% DATE: �-r' IA�? I�L
iE�E?fiEifiEiEdkdEiF�EiEiFiE3fiE*�EikiEfEiE � . . . . iEi(�3E�fifif3fiEiEiE :t� .iFifiE
LEGALIZATION:Nt F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/kE5 GRADT-NG
PERMIT 162.25 1.00
SMIP/NON-RES
PLAN 105.56
ZSSUE FEE
bUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 163.'l5 0.00 105.96 268.71 268.71 .OU
REVENUE DIVISION TOTALS--> COLLECTED: 268.71 OVER/SHORT: .00
HLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN-CHECK
162.25 1,00 105,46
'lf ir'Y.' if if iE �E i't iE iF 1E?f'1E � iE if 1F f4'1f iE 3E iE i' iE'lE 3k'K� iE 9f �E'if iE jF'% 3E iF'1f Y.� iE ih iF i(� iE iF iF it iF if 3F'N� if i�?E'%�'lE iE 3E i'r iE �E �k �7E iF iF 7E i(' jf iE iE iE iE if'fr ic!P'N�'Y '� �K
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT CUST TOTAL COST
SFR 1000U ALTER BY ��ALUE RESIDENTIAL' NOZONE 1.00 10,000.00
END OF FEES
82-17-1998/11:IB pM/tZ68:71
RCPTH:BI-8019789
PERMIT:086979
!- - +
� - POOI & SPA • '- .__..
CONSTRUCTION ANDPLANNING � - ' ��
APPROVALS Permit # Date Inspector Date' .inspector
APPROVALS Permit #
�% -
1. Temporary Electrical Service or Pole �� . ��'�.� 52. Pool & Equipment Location . '
2. SoilPipe-Undrgrnd. � . � ' 53. SteelReinforcement � � t'�f� �
�. Electrical Conduit Utility-Undrgrod. - �?-=-�, 54. Forms - '-',
4. Electrical Conduit-Undrgmd. , 55. Electricai Bonding ' � '
5. Steel Relnforceme�t ' '" ' S6. Rough Plum6ing & P.ressure Test '�
6. Electrical UFER Gmd. � :;' -37.'APPROVAL TO COVER•GUNITE - -�7_,'_ �
. �
7. Pootings � 58. Electrical Conduit-Undrgrnd. ';
8. Foundation � . _. ��59. Gas Pipe, O Undrgmd., Test . '
9. Water Pipe-Undrgrnd.- � . � -'60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structurai Floor System . � � 61. APPROVAL TO DECK � �
i 1 t. Property Sewer Line & House Connection .-, � 62. Backwash & ReceptorFinal -. . �
12. Sewer Cap � � ' 63. Heater & Veni-Final . . � � .�
7 3. Roof Drains � . 64. Plumbing SYstem - Final � . '
74. Rough Plumbing - � � , �65. Electcical�Finai . � - -
15. Rough Electrical-Conduii . • 66. Solar System-Finai �
76. Rough Electric Wiring . . 67`. Fencing & Access ApP�ovai �� �-�
17. Rou9h Wiring Sign � � . �68. APPROVED POR PLASTERING ' ��
18. Rou9h Electricat•T Bar Ceiling 69. POO�/SPA SYSTEMS FINAL �
19. Rough Heating & Air Conditioning FIRE DEPT. REnU1REMENT
20. Rough Factory Firepface APPROVALS Permic#
21. Ducts, in Struc[ure � 70. Underground Hydro
22. Ducts, Ventilacing 71. Product Piping rJGas OOi:
23. Gas Pipe•Rough & Test 72. Underground Flush - .
24. Roof Framing 73. Undergrnd.S[orageTank �Gas ❑Oil
25. Roof Sheathing /B 9e 4. Overhead Hydro
26. T,Bar Ceiling IStructurall & Monocoat 75. Dry Chemical � �
27. Frame and Flashing ��ZC� �'8 � 76. Dry Standpipe �
26. Laching & Siding 77. FIXED SYSTEM FINAL �
29. Insulation 31.y 9y �c�,� 78. FIRE PREV. FINAL �
30. Drywall Nailing 3���g �u�- HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai . 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: �
34. Final Heating & Air Conditioning ' �
35. final Gas Pipe-Test . �
36. Hood or Canopy �
37. Final Factory Fireplace ' . ' �
38. Final Plumbing . _ �
39. Water Service-Final '
,
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer �
43. Backflow Irrigation �
44. Landscape Irripation System . . - ,
45. Sound Attenuation ;"
46. Handicap Regula[ions ,. ,
47. FINAL STRUCTURE & BUILOING 2�-Lj'� �u� _.
48. FINALPLANN�n�G,
49. Electric Release to Edison `�i.
:.,.
50. Gas Reiease ta Southern California Gas Co ._'Y'�
57. CERTIFICATEOFOCCUPANCY
No. Date
SOMMERSET CITIHOMES HOM1IEOWNERS ASSOCIATION
� REQUEST FOR ARCHITECTURAL APPROVAL OR EXTENSION
Please prlrttlegibly.
Homeowner: lf you a�e requesring approvaf for an
improvemtnr ro your unir, fi!1 our Secrions 1, 2, and 4. !J
you art requesring an esrension of the complerion dare,
fitl our Secnons 1, 3, and 4. Send rh�ee copies ojrne
completed jorm ro thc manngement compans'. Airer rnr
A�chirecfu�al Commirree �eviews rnis �euuesr, vo� � i(l I
receive a tigned copy ojrhis(orm. .4pproval does no�
relieve you Jrom obtaining the necessary bailding '
permits from the governmenra[ agertcie.s i�vol*ed.
Improvement
sr_ � �
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R;.� t-R l l,L-�. L,E �,? q 1 A
Aoo�ow oi �ookv�cn ��nn �
I v�-�2 O lti�'� ���,OC: Q I
�omaor:��e��s eac:ass � cMe:an:':o�^, ecc��e
My signorure ven�es rhnr ( hove Ho cro ner's s g at re:/`�
read !he A�chi�ec�wa! Guidelines � K �.(C
ond k�i!( abuie by rhem.
aRcrrrrFcruRa� coMr�r
AppfOVBd � DiSepp�ova0 I C)on02i0n3 0� 6pDroVsl i FeasG�s lo' OnBDP�CVBI
mmifletr Sign att rh�ee copier. Keep � nr-n-na7�.�e� Commmeq C�e��
e, and serul rhe o�her rxo copies ro ine�i �—'`1�LLC�
ard otDvectorr and the homeownec �:
pnone
�-zsza
n data
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USE ONLY
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ome �eieanone
7i MS��� 4705
Erii �� co�a�avun oett
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Cae �vquenW
j Date:
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I Dett
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Insulation Certificate
,I�2 �r��.��,�z� CT �s���� �-9z� u2
Number and $tzeet Ciry
�,C�3ti��= �r��� G'rTy,�'�.�,�
Counry Subdivisio [,o� tiunber
Description of Installation
ROOF �
Material ' —
'i'hickness (inches)
Brand Narne
Thermal Resiscance (R-Value)
CE141NG }�
BattorBlanketType ,p"�77'���D BrandName ��jGlJ �lil/� ��j%7!� �J,F'pL
'Thickness (inches) � Thertnal Resistance (R-Value) — ���
I.00se Fill Type Brand Name
Contracror's minimum installed e�eight/ft` Ib Minimum thickness inches
Manufacturer's installed weight per square fooc to acheive Thermal Resistance (R•Value)
EXTERIOR WALL /
Material ��y� c�L/�$'S BrandNarne � G!N(s� O GO,V7'.QDCG,
77iickness (inches) Thermal Resistance (R•Value) =l3
RAISED FLOOR
Macerial
Thickness (inches)
SLA6 FLOOR
Iviaterial
'I?�ickness (inches)
Width (inches)
FOUNDATION WALL
Matcrial
Thickness (inches) _
Declaration
Brand Name
Thermal Resistance (R-Value)
Brand Narne
Thcrmal Resistance (R•Value)
Brand Name
Thermal Resisrance (R-Value)
I hereby cenify that the above insulation w3s ins[alled in the building a[ [he above location in confomance ui[h
the current Building Energy Efficiency S�andards for new residential buIldings contained in Tide 24 of the
Califomia.4dminisvative Code.
Ge.-,era! Concactor (Builder) License Numbe
�� - CC��G'iA, - � Z! - 9�
Signaturz and Title Da�e
S u6Convacmr (Insulaeion Uu[alle: ) License A`w�nber
Signa[ttre and Title
Compliance Forms J�uaq� 1, 1995