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Home My WebLink About2335 ELDEN AVE - Building Permits (3)/ t / .. � AVC�icant to till in all spaces except ihas¢ witnin heavy boraer lines ana s;94.�a11 a�proo��ate aeclaratiJ'is. �� CITY oF cOSTA mESA CONSTRUCTION PERMIT � Project Address ��3 � E i�e QJ �y/ � � Applicant's Mailin Addr ss qa� �, r�� u;A,,3_ o� n-JG(C!Y Owner's Name Z 6� Address ' Arch/Eng. BrT ��G LicenseNo. Address ''2 ,� Contrector'sName ��Lt"�C��t'[� E�FC•Phone�9� Atltlress (mailing) 'l ' CityLicenseNo. �� -7 �_ LICENSED CONTRACTOR DECLARATION � 1 hereby aifirm that I am li<ensetl untler provisions ot Charter 9(commencing with iection 7000) of Dlvision 3 of the eusiness antl Professions Cotle, antl my license is in full fo ce antl efiect. Licens lass � ic nse N[l. Date Signature C W00.KER5' C MPENSATION DECI RATION -0 hereby affirm Ihat I hdve a certificate of consent to sel(-insu�e o� a certlficate of Workers' Compensation Insurance, or a certifietl copy thereof'(Section � 3800, Lab. r � Pollcy No. �-3�+�ynY9 Company rrP%y�[��j'�'� �i��c�/�1 �Certitie0 copy is hereby fumished. Cert ��]n� c^o0V' ^is 'filetl.witb the cit B i /�n1 iDY�i/,/j],'n/p DdteJL�1X�'APPIiCanfY �LL'L.UL! �� ' De�� EXEMPTION iROM WORKERS' COMPE(�SATION DEGIARATION (This section neetl not be tOmpletetl if the permit is for one hundretl ($300) or less). ! ' ' 1 tertify that� in lne perfoimance of the work fo� which this perm�t is issuetl, I shall noi emplOy any person in any manne� so as to become subject lo the Worker5' Compensatlon Laws of California: . Date Signature 'NOTICE: It, after making this tleUaration, you shoultl become subject to tne workers' Compensation provisions of the Labor Coae, you must forthwith tomply wilh such p�ovisions o� this permit shall be tleemetl revOketl. CONSTRUCTION LENDING AGENCY� I neretiy afiirm that there Is a construction lentling a9ency for the performance ' of [he work for which thi5 permit is issuetl (Section 3097 Civ. C.) ttn0er's Name �entler's Atltlress OWNER BUILDEH UECLARATI fJ ' I hereby affirm thal I am.exempt from the ConVactor's License Law (or the followin9 reason (Section 7031.5 Business and Professional Cotle: Any tlry or munty which requires a permit to construct, alt¢r, improve, tlemOlisM1 o� repair any structure, prior to its issuance, also requires tne applicant for such permit to tile a Siqnetl Statement that he/she is licereetl pursuant to the provisions o( -the Contracror'S License Law (ChaOter 9(commencing witn Section 7000) of OiviSion 3 of Ihe Buslness antl Professions Cotle) or tha[ M1e/she is exempt �erebom antl th¢ basis tor the allegetl exemption. Any violation of $ection 031.5 by any applicant for-a permit subjects the applicant (o a civil �enalty of not more Ihan five huntlretl tlollars (g500). I, a5 owne� of the property o� my employees witM1 wage5 as [M1eir Sole compensation, will tlo tM1e wo�k, antl the sVucture is not in[entleE or offeretl for sale (Soction 1044, Business antl Professional Cotle: Th¢ Con[ractor's License Law tloes not apo�Y to an owner of a pwperty who builtls or improves thereon. antl who tloes such wo�k himselt/herself 4r (hrough ttis or h¢r own employeez, providetl that such improvemen[5 are not intendetl or offeretl for wle. If, bowEver, [he buildin9 or improvement is zoltl within one yea� of com- pletion, the owner will have tne burtlen ot provin9 he/she tlitl not builtl or im- ptove for tbe purpose ot sale). ' ❑ I, as owner Of lhe O�operty, am ezclusivery mntracting with licensetl con- tractors to consbuct the project (Sec[ion 7044, Business antl Professions Cotle: The ConVactorY LicenSe Law tloes mt apply fo an owner ot property who bullds or improves thereon, antl who contracts for such projects with a con- traclo�(5) license pursuant�to the Con[ractor's License Law). I dm aware that proof of their Worke�'s Compensation insuvance shoultl be provitl2tl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date I hereby certify tha� information is correc' dOd SIdIE �dWS relatir sentative5 of this ci inspection pur s. Si9nature Drivers' License r 5� 1F 0865�46,�ev.l0/84 _ owner I have reatl this application I agree to comply with all c to builtlin9 construction, a� � to enter upon^the abwe [he above ntlinances iize repre- oertv tor 0 TYPE OF CONSTRUCTION y_v NEW U ADD LI ALTERATION L- , 4EPAIR - ❑ CONVERSION ❑ OEMOLISH ❑ OTHER qp:# DESCRIPTION OF WORK/USE OF BLOG. _ res � pY1 S Main Building: TVPE OF PERMIT , ' GRADING FOUNDATION STRUCTURAL T FrOnt '❑ TENANT � ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER ' A PROJECT DESCRIPTION SQ. FT. OCCUPANCV C Aight - . CONSTRVCTIONTVPE VALUATION$ g Left � ! ZONE � GRADING CU. YDS. . ACRES ping. Ref. # Remarks: Q� �y,� e�,�.,.0 , :.L � %%. � � �'7 L , Planninq Notes: , Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers_ � Dishwasher Drinking Fountains Floar Dreins - Floor Sinks (�id5$ElVICC �UtICLS lavatories P-Trap Roof Drains • ReinspeMion Fee $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact BIL ICBO # Heating System & Ducting ❑0-100,000 BTU � 100,000 —"—�--� I I Rainspection Fee I $15 � White - Builtling; Canary - ApplicanL Pink - Accounting; Goltlenrotl - Assesso� Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal � Water C.�OSCL � Water Heater � Water Service ' Auro-Wash Issue Fee Hoodor Typel ❑ Canopy Type II ❑ Refrigeration System ❑o-ioo,000eru ❑ioo,000 System Repair/Alteretion Fire Dampers Registers Issue Fee FEES 6278 5%28%86 � Accessory Building: ELECTRICAL � Automatic Washer . Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit � Dishwasher - Dryers ❑Gas ❑Electric Fan F,A.U. Fixtures Device eoxes Outlet5 Switches � � Garbage Disposal Generator �0-5 KW �5-15 KW `�: G3:20 TL 2one Meter I/fup to 100 amps Meter �over,t00amps - � Sub Panel Motors �0.1 HP 01'/: - 8 InaSolar �9-15 HP �16-15+ Microwave � Pole Light � Ran9e Sign � ; Standing Sections Trash Compactor ' $ 3 I � Rainspection Fee $15 Issue Fee FEES DEVELOPMENTSERVICESREQUIREMENTS: Zoning APProved By Building Approved By Appliratian Issued By -� $ 3 Z � O N I N G R E Q M T S FEES $ 3 � . SUMMARV OF FEES BUILDING PERMIT ' $ ' SMIP $ PLAN CHECK . $ � PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% S—I��LLL ENERGV P.C. $ � ELECTRICAL $ GRADING $ PLANCHECK .50% g MICROFILM $ MECHANICAL $ TOTALFEE $ �3•� PLAN CHECK 25% $ � CONSTRUCTION AND PLANNING POO. �PA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector ., 1. Temporary Electrical Service or Pole �� '�- � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � ;�` 53. Steel Reinforcement �� 3. Electrical ConduicUtility-Undrgr4nd.�' �� - 54: Forms . 4. Electrical Conduit,Undrgrnd. . ", 55. Electrical Bonding � -� 5., �Steel ReinforcemenY� .� � • . - 56. Rough Plumbing & Pressure Test � �- � 6.;'Electrical UFER Grnd. � -� � 57. APPROVAL TO COVER-GUNITE -�'' 7. Footings • � �,�; �� { �'�?' 58. Electrical Conduit-Undrgrnd. .. � 8. Foundation ' - ; '� 59. Gas Pipe, O Undrgrnd., Test " 9. Water Pipe-Undrgrnd.� � • 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor System -' � 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap .�a -i .• ' , 63. Heater & Vent-Final � ' 73. Roof Drains ' 64. Plumbing System - Final 14. Rough Plumbing . � • 65. Electrical-Final . � 15. Rough Electric8l-Conduit -- 66: Solar System-Final � 16. Rough Electric Wiring '�~'��' �%��'� 67. Fencing & Access Approval � 17. `Rough Wiring 5ign 68. APPROVED FOR PLASTERING 18r Rough Electric2l-T Bar Ceiling_ , 69. POOL/SPA SYSTEMS FINAL � 19. ,Rough Heating & Air Conditibning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . APPROVALS Permit # 21. Ducts, in StrucCure , 70. Underground HYdro 22. Ducts, Ventilating �. 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test �� 72. Underground Flush 24. Roof Framing '. � 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (5tructurall & Monocoat 75. Dry Chemical 27. Frame and Flashing i 76. Dry Standpipe � 28. Lathing & Siding � 77. FIXED SYSTEM FINAL � ^_'ti9; Insulation� 78. FIRE PREV. FINAL :30. '�ywall Nailing HEALTH DEPT. REQUIREMENT 31.. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Powe� Meter-Final . 80. FOOD CERTIFICATE ISSUED 33. Final Electric '� Notes: _ 34. Final Heating & Air Conditioning � _ �• �.� � ..- ') 1' 'j� 35. Final Gas Pipe-7est - I � 36. Hood or Canopy ' , � 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Fin81 41. Solar pomestic-Final 42. Backflow Preventer � ' ' 43� Backflow Irrigation • 4� Landscape Irriqation System 45: Sound Attenuation 46,� Handicap Regulations ' , 4� FINAL STRUCTURE & BUILD�NG � 48. Special Requirements Completed . � 49. Electric flefease to Edison 50� Gas Release to $outhern California Gas Co 51� CERTIFICATE OF OCCUPANCY _ . Np � Date ' ., Aoplicant to flll in all spaces except thosc witnin neavY Dorper lines ana sign all avoropriate tleelarations. cirY OF COSra nnESA CONSTRUCTION PERMIT Prolect Address �3 3 � ��'� �' / Applicant's Mailing d ress �/ li L eY��ry fK.� Y(!�� Owner's Name O Phone ✓2� g Address � � {U'%-�'' � r'✓i � r' Arch/Eng. License No. Address Contracfor'sNam � � Phone �691SY Address (mailing) �� I 21 �-9 Ta �.r� K..� �'__i-t �Y'• L�/�. Ci ry License No. 7'"" �% y y�j LICENSED CONTt3HCYOR DECLARNTION I hereby a/(i�m tltat 1 ai» licensetl untler provislons o/ Cnarter 9(wmmendng with section 7000) ot pivision 3 of tne Business antl Profezsions Cotle, antl ' my license Is in full (or<e antl etfect. License Class Licenze No. Date yi9nature WORKEHS' COMPENSATION OECLARATiON � ,I hereby affirm Ihat 1 ha�e a tertificdte ot consent to seH-insure Or a Certificate of Workers' Compensat�on Insurance, or a cer[ifietl coPY thereof (Sectlon 3800, lab. C.) ' ' - � Policy No. � Com any - � � 8 Cerlifie capy i hereby fumishetl. '� •` Cer ' ' d with the city � ifi Date APplicant ' EXEMP ON OM WORKERS'COM ENSA ION ECLARATION (This sec ion ne d not be �amplete0 i( the permit is�for one huntlretl ( 00) br less). I certi(y Mat iti the perto�mance of the k Or w �ch t 5 p is Issuetl, b shall nol e p1�P4Y—o 91n anY m er o 0 5 bleci to the ' Worker ' i5a n Lav+s of Califo a. Date Si nature Wo�kets' ompejfSatlon proWSionS ot (he LabOr Cotle, You musl f�rthwilh comply Ith such pro��sions or tnis permll shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby alfirm tnat thert �5 a conSVuction lentling agency for [he performance of Ihe work tor which this permit Is issueA ($ectron 3097 Civ. C.) �.entle�'S Namo Lentler's Atltlresz OWNER BUILOEN UECLARATION 1 hereby ailirm [hat I am exem0� trom the ConVattor'S Llcense Law for tM1e follawing reason (Sectlon 7031.5 Businoss antl Professional Cotle: Any city or counry whlc� �epuires d Permit IO construcl, altet, Improve, tlemolish o� r¢pair dny sVucture, prlOr to its issuance, also �equires the app��canl tOr zu<h pe�mit - to fiie a si9nea ztatemeP� that he/sne Is Iicensetl pursuant to thu provislons ot the Contractor's Ucense ��' (Chapter 9(commencing wi[� Section ]000) of pivision 3 of tne Buslqe55 antl ProfCsnons Codej o� lhat he/ihe is exempl �erctrom antl thG baSi4 10r the allegetl exemption. Any violaUon o( SeCNon 831.5 by any applic3nt tor a permil subjects lhe appliwnt to a civil �enalty of not more than live huntlretl tlollars (§500�. Ll I, as owner of tne Property or my employees wiln wa9es as their sole <ompensation, will tlo the w0/k, antl the sl�uclure I5 not Inlendetl or off¢retl for sale (Sec[ion 7044. Business antl Prolessional Cotle: Tho Contrac[or's LiGenze Law tloes nol apP�Y �� an owne� of a property who builtlz or improve5 thereon, and who tloes such work nlmself/hmsclt or through his or hor own omployees, oroviactl tha� sucn improvements are not Inienaetl or ofteretl tor 5alo. It, how¢ver, the b�iltling or Improvamant Is soltl wllhln on¢ year of com- plelion, Ihe owner wlll have the bu�tlen Of proving h¢/She tlitl n0[ builtl or im- plOvO Polthe purpOSe Of sale). ❑ I, as owne� ot the pfoper[y, am exUusively conVacting with licensetl con- tractorsto Construcl lite Project (Section 7044, Busines5antl Proteszions Cotle: The Contractor's LicenSe lvw tloes not apply lo an owner of O�operty who builtls or Imoroves tnereon, antl who coniractz tor suth projectz with a con- tractor(s Ilcense pursua�l to tne Contra<tor'S License Law�. I am aware tnat proOt o� [heir Worker'4 Compensation insutance 5hou10 ba provitletl t0 me. ❑ I am exempt untler Se�tion B. & P. C. for tbis reason Date Owner _ I hereby certify tM1at I have reatl this infOrma[ion is mrr . 1 9ree [o co antl state lawz rel i g� bu'tlin sentatives of thi ity o i inspection purpo Signature Drivers' Licenze or 55 qp TYPE OF CONSTRUCTION LI NEW LI ADD LJ ALTERAT�ON I� REPqIR � CONVERSION ❑ DEMOLISH ❑ OTHER A p,� DESCRIPTION OF WORK/USE OF BLD . S Main Building: TVPr�E'l OF PERMIT GRADING FOUNDATION STRVGTURAL T Front L.J TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Reaf ❑ OTHEL: � ' A PROJECT DESCRIPTION Sq. F7. oCGUPArvCv C Aight K Left CONSTRVCTIONTVPE VALVATION$ $ ZONE GRADING CU. VDS. ACRES p�ng. Ref. # Remarks: k�y � �� 2'7� '7 � PlanningNotes: Sink Irrigation prinking Fountains Floor Drains Floor Sinks � Gas Service ' Outlets Interceptors Kilchen Sink Lavatories P-Trap Root Drains Reinspaction Fee Showers ' Servire Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Water Closet ' � Wacer Heater Water Service Auto-Wash LaundryTrays $15 Issue Fee Boiler Duct - Untler Ground �uct-Structural , �uct - Ventilating ' Exhaust System ❑ Multiple Firepl/Fact. BIC ICBO # Heating System & Ducting ❑ a� oo,000 sru O i oo,000 Rainspection Fee � $15 Hood or Typel ❑ Canopy Typell ❑ Re(rigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers laue Fee FEES A'uromatic Washer Construction Pole: Cookin9 Unit -" Dishwasher ' Oryers ❑Gas .�I Fan F,A.U. Fixtures Device Boxes Outlets ■[R ELECTRICAL Transformer ❑ 15�50 KW ❑ SO+KW _ Meter �up to 100 amps Meter �over100amps lectric Sub Panel Motors � 0. 7 HP � i h- 8 Inc. Solar �9-15 HP �16-15+ Microwave Pole Light GarUage Disposal Generetor �0�5 KW �5-15 KW Sign ; Standing Sections TraSh Compactor FEES Z O N I N G R E Q M T $ $� Reinspection Fae $15 Issue Fee $ 3 FEES � DEVELOPMENTSERVICESREQUIREMENTS: Zoning APProved By Date Building Approved 6y � Date Appiication Issued By Date..--.� 2 3/�G _ SUMMARV OF FEES �.� BUILDING PERMIT $ SMIP 5 PIAN CHECK $ ��-- PERMIT � PLUMBING � $ � ISSUANCE $ PLAN CHECK 25% $ ENERGV,P.C. $ ELECTRICAL . $ GRADING $ � PLAN CHECK 50% $ MICROFILM S- MECHAIVICAL $ TOTALFEE ^a 5�'3� $ 3 PLAN CHECK 25% $ � � / • CONSTRUCTION AND PLANNING P�� 'PA � APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �Z�-� L� � 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. Elecvical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings • 58. Electrical Conduit-Undrgrnd. S.��Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. �f-Z7�G (,ED 60. Backwash Lines, P-Trap, O Undrgrnd. . 10. Structural Floor System � 61. APPROVAL TO DECK 11 . Property Sewer Line & House Connection �_�Z_� L� �62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing System - Final 14. Rougfi Plumbing �.'j�-a'(.� (�{{/f 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating . 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24.�Roof Framing " 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead HYdro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. FremeandFlashing � 76. DryStandpipe 28.'Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall 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 / f� � . 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 Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49, Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � . � J` '� Applicant to fill in all spaees exce0< those within heavy CorEer Iines antl sign all appropriate tleclarations. ci7Y OF COSTA MESA CONSTRUCTION PERMIT ProjectAddress 2335 ELDEN AVE. ApplicanYs Mailing Address 2121 S. GRAND AVE. � SANTA ANA Owner's Name ROD BROWN Phone 642-3812 Address 177 RIVERSIDE�DRIVE, NEWPORT SEACH Arch/Eng. License No. Address Contracror'sNam SIERRA ENVIRONMENTAL. phone 957-8991 Addresslmailing) - 2121 S. GRAND AVE. City License No. 024912 IICENSED CONTRACTOR DECLARATION I hereby a/firm that I am Ilcensetl untle� provisions o( Charter 9(commencing with section J000) ot Division 3 of tl Business antl Pr te5zions Cotle, antl my license is in tull force antl effect. License Cla 5 � e oate � 2 8 9qnature WORKERS'COMPENSATIONDEC ARATIO� � 1 hereby atti�m tha[ I have a certitica e ot con5en[ to selt-in re or a C¢rti�icate �ot Workers''Compensation Insurance, or a certitietl co y thereot (Section 3800, Lab. C.) � , Policy No. **� �� T'��ki(` Co pany �Certifietl copy is hereby furnishetl. , Cevtifietl c�y,{5/(Aetl wlth the city 'I i si �. � Date � � �b Applicant EXEMPTION FROM WORKEF25' COM ENSATION D CIARA ION (This section neetl nol be Completetl if t e permit iz tor ne hun etl ($100) or Iess). ' I certify that in the performance ot the wo�k for which this p¢r �t is issuetl,.l shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Calitornia. ��^ Date - Si9nature 'NOTICE: If, after making this tleclaration, you should become subject to the Workers' Compensation provisions of [he Labor Cotle, you must forthwith comply with su[h provisions or this permlt shall be tleemed revokeG. CONSTRUCTION LENDING AGENCV I hereby affirm that there is a construction lentlin9 agency tor tite performance of the work for which this permit is issuetl (Section 309] Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER �ECLARATION ' I hereby affirm that I am exempt from the Contractor's Llcense law for tne following reason (Section ]031.5 Business antl Professional Cotle: Any city or county which �equires a pe�mit to construct, alter, imp/ove, tlemolish or �epai� any 5tructu�e, prior to its issuance, also requires [he applicant for such permit t0 file a si9netl statem¢nt that he/sM1e is licensetl pu�suant to [he provisions ot ♦no t�nnt.actnr'c 1 icense Law IChaoter 9 lmmmencinq witM1 Section �]000) of 'berefrom anC the basis for the alleqetl exemption. Any violatlon of SecUon 03L5 by any ap0licant tor a pe�mlt'subjec[s the applicant to a civil enalty o( not more than five huntlretl tlollars ($500). ❑ I, as owner ot the property or my employees with waqes as their sole compensation, will tlo the wo�k, antl the structure is not intentletl o� otte�etl for sale (Section 7044, Business antl Professional Cotle: The Contractor's License Law tloes not apply to an owner of a property who builtls or improves thereon, ana who tloes such work himself/herseit or ihrough his or her own employee5, prOvitletl tnat such improvementz are not intentletl or offe�etl fo� sale. If, however, the builtling or improvement is Soltl within one yea� of com- pletion, the owner will have the burtlen of provin9 he/she tlitl not builtl or Im- prove for the purpose of sale). ❑ I, as owner ot the property, am exclusively contracting with Iicense0 com tractors to construct the pwject (Sec[ion 7044, Business ahtl Pwtes5ion5 Cotle: The Con[racto�'s License Law tloes not apply to an owner ot property who builtls or Impraves therean, anC who contracts tor such projects with a con- fractor(s) license pursuant�to-tne Contractor's License Law). I am aware that p�oof ol thei� Worker's Compen5ation insu�ance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason / Date Owner _ I h¢r¢by cert�ry tha� I have reatl Ihi tp Idi�tl9n9u�dk �Si9nature / " — Drivers' Licens or TYPE OF CONSTRUCTION }�C}[�'NEW LJ ADD LJ ALTERATION lJ REPAIR ❑.CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRVCTURAL ❑ TENANT ❑ ELECTRIGAL ❑ PLUMBINGX�MECHANICAL ❑ OTHER PRQIECT DESCRIPTION SQ. FT. OCCVPANCV_ CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. ACRES_ Remarks: ' � Sink � Baffitubs 'r" ' - Clarifiers � Dishwasher . � • Drinking Founteins - FloorDrains �^F Floor Sinks Gas Service Outlets Interceptors Kitchen Sink ' Lavatories Roof Drains Reinspection Fee $15 Duct- Untler Ground Duct - Structural Duct - Ventilating. ', FirepVFact. BIt. ICBO # �� eating SyStem & Ducting 5(I0.700,000 67u 0700,000 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w, Urinal Water Closet Water Heater Water Service A uto-W ash Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ RefrigerationSystem .- � ❑o-ioo,000sTu ❑ioo,000eT ❑ System Repair/Alteretion FireDampers - Registers peinspection Fee � $15 � � � Issue Fee Applicant; Pink - Ac<ounting; Goltlenrotl - Assessor $ 3 S 3 A.P. # S Main Buildi E T Front B Rear A C Right K Left S Ping. Ref. # Planning Notes: a A Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan � F.A.U. Fixtures Device Boxes Outlets Switches Gar6age Disposal Generator �0-5 KW � 9129 7/09/85 2ane Accessory Buildin9: Parking ReqJProvided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors �0-1 HP �1'f.-8 Inc. Solar �9-15 HP 016-15+ Microwave Pole Light Range ; Standing Sections 5 KW Trash Compactor 15.50 �TL FEES 2 O N I N G R E Q M T $ I Reinspection Fee I$15 I . I luue Fae I $ 3 I DEVELOPMENTSERVICESREQUIREMENTS: . Zoning Appravad By Date Building Approvad By Date .� Application Issued By `� �� Dat �� i� SUMMARV OF FEES BUILDING PERMIT $ SMIP ' $ ' PLAN CHECK $ PERMIT � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GFADING $ PLAN CHECK 50% $ MICROFILM $ ' MECHANICAL $ � TOTAL FEE $ � PLAN CHECK 25% $ �aS� � � � CONSTRUCTION ANPPLANNING POOI PA , APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement .-� '3. Electrical Conduit Utility-Undrgrnd. 54. Forms � � 4. Electrical Conduit�Undrgmd. _ 55. Electrical Bonding - �� 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � '��" 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE ' 7. Footings � , _ _- 58. Electrical Conduit-Undrgmd. j_� �_ . 8. Foundation �' '�`� 59. Gas Pipe, O Undrgrnd., Test j 9. Water Pipe-Undrgrnd. �, ,,, _ 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System .-- 61. APPROVAL TO DECK 11. 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 �� (�GI� 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . ' i'6: Rough Electric Wiring 67. Fencing & Access Approval ' � . 17.! Rough Wiring Sign 68. APPROVED FOR PLASTERING 18�"Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' � 19; Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20� Rough factory Fireplace APPROVALS Permit # �` • 21. Ducts, in Structure 70. Underground Hydro t• 22.Ducts,Ventilating , �� LiA% 71.ProductPiping�Gas ❑Oil �� . � 23. Gas Pipe�Rough & Test � 72. Underground Flush � � . 24. Roof Framing �73. Undergrnd. Storage Tank O Gas �Q Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structutall & Monocoat 75. Dry Chemicaf 27. Frameand Flashing 76. Dry Standpipe 28. Lathing & Siding . � �77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL � _ 30. Drywall 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 ��y £ 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 Irrigation SYstem ' . 45. Sound Attenuation ' v =46. Handicap Regulations � c� =47. FINAL STRUCTURE & BUILDING � ' 48. Special Requirements Completed 49. Electric Release to Edison -50. Gas Release to Southern California Gas Co .t51. CERTIFICATE Of OCCUPANCY � " � No. � � pate � � � � � � Y 1 , � Applieant to fill In all spaeet exceo� those wltnin neavy Ooraer Ilnes antl sign al1 approvriate tleclarations. \ C��*oFCOS'rn S CONSTRUCTIONPERMIT ��+' Project Address �� Applicant's Maili Add.re�szv�,-, • �1 Owner's NAamne�•L�iLu�P..,�.�y.ly�J1. �� {� ��, P�honey. "L Address �L��IT�� """' ^�i��"�� Arch/Enp.� a•w�' ,�p License No. Address I��l�.�-� J/�� • Contracror's Nam �--� Phone / Addresslmailing) �� VO l��dF.�t/d1E �U City License No. �� O 7 LICENSED CONTfiACTOq DECLARATION 1 bereby a/tirm t�at I am Ilcensetl unUer Orovisions ol CM1arter 9(commencin9 with sec[lon ]000) of DlviSion 3 ot [he Buslness antl Prof¢Ssions Cotle, antl my Iicense is in tu11 lorcn ana eHect. License Class License No. Datc Si9nature WORKERS'COMPENSATION DECLARATION �� I hereby aiflrm that I nave a certifitate ot consent to self-insure or a certlticate of Workers' Compansation Insurance, or a ceriifietl copy Ihereof (Secilon, , 3800, lab. CJ �� aoi�cr No. Z�Z 6// comoa�v ��c�.✓ �l ��Cerlitietl copy is �ereby fumishetl. Certili¢tl op Ile with tne Cit Itli Divisian. Oale � Applicdnt��- EXEMP ION ROM WORKEftS' COMPENS 10 ECLARATION (Thi55ectiOn neetl no[ be completetl if the permit is tor one huntlred ($100) or less). I certity that in the pertormance oi the work tor which this permk is issuetl, I snall not employ any oerson in any manner so as to become subject ro(he Workers' Compensation Laws of Calitomia. DaIC $i9nalur¢ 'NOTICE: 11, alter making this tleclaratlon, you shoultl become subject to the Workers' Compensalion provisions of [M1e Labor Cotle, y0u must forthwl[n �comply wilh such p�ovl5ion5 Or this permit shall �e deemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby aHirm that tbere 75 a mnilrucllon lentling agency tor the p¢rformance of tho work tar ¢b NIs rmi[ 5 issuetl (SeGtiOn 3097 CIv. C.) \ Lentl¢r's NamC �4� \�ender's Atltlress ,&� Q) y� 7— / S2r�h \ OWNER BUILOEN U�ECLARATIOrv I hereby alfirm thal I am axempt irom the Contractor's LlcenSe Law tor [he lollowin9 roa5on (Section ]031.5 Businai5 antl Professional Cotle: Any city or county which requiret a permlt to construct, alter, lmprove, oemolish or repair any structure, prlor to Its Issuance, atso reqWres the aoo��ant tor such permit t0 ille a zlqneC Slatemenl Ihdt ho/sba IS IlcenSCtl pur5udnt [o Vle proviSiOns ol the Contra<tor's LicenSe Law (Chapter 9(commencing with Section 7000) of DiviSion 3 ot lhe Businuss antl PrOfession5 COtle) or tnat ne/sh< is exemo� 'hCrefrom anU tna baSis tor Ih¢ allegetl ax¢mpHon. Any violdtiOn ot $eclion 031.5 by any apPlicant tOr a p¢rmit SUDjectS tha applicant to a Civil ¢nalty of nol more than five huntlre0 t1011ars (5500). ❑ I, as owner ol lho property Or my emO�aYeaS wi�h wage5 a5 [h0i� sole compensation, will tlo the work, antl the structure Is not IntenOetl or offeretl br salo (Soctbn 7044, Business antl Prolesslonal Cotle: Tne Contractor's LiCenSe ldw tlOes nol apply t0 an Owner ot a property who builGs or imp�ovei thureon, and wno tlOCs such work nlm5¢It/hersel( or throu9h his o� her own emoloyces, orovitletl tnal sucn improvemenis are not Intenaetl or oiferetl for sd10. I1, howeva�, thB DUlltlln9 or Improvament Is soltl wlthin one yea� ol Com- plotlon, tM1u ownar will nav¢ tne burtlen of proving he/she ala noc builtl or Im- p,IOva fOr tna purpose ot Sal¢). �{tl I, as owner O/ IM1e prop¢rty, am exclu5ivety contractlng with Iicensetl con- tractors to <onstruct the project ($ectlon 7044, Business antl Professioni Cotle: Tho Contractor'S Ucanse 12w does nol apPty to an owne� of property wno builtls or Improvas tharaon, antl wno conVacts for zuch projects wifh a con- traclo�(s) Ilcense Oursuant to the ConVacfor'S License Law�. I am aware tnat � proof o( th¢Ir WOrke�'s Comp¢nSatlon Insu�ance ihoub be provitletl to me. ❑ I am exemo� untler $ection B. 6 P_ C. fo� thls �ea5on oate K��_�• ' uwne� I hareby certify that,l hava re tl this a informalion it torrect. I agree (o complY antl stale laws relating to builtling const Sentativ¢5 of t rs enter upp �y InSPecU --/��' // Sign re �� Drlvers' cense or 55 � - Appliwnt; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap . - � Sewer Connection Solar Collectors ' Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Wster Service Auto�Wash laue Fee Hood or Type I � Canopy Type II ❑ Refrigeration System ❑aioo,000sru ❑ioo,000 Syslem Repair/Aliera[ion Fire Dampers Registers A.P. 51� C. �a �.2-� �—� � a a Zone � o� S Main Building: Accessory Building: TFront 'r'„J O ARear N C Right N S �eft R Ping. Ref. #� -��j^-O ��7f' arking Req./Provided �..r7 o Planning Notes: M _ T _ ..nnll. .i - .� g " - Automatic Washer Construciion Pole Sub. - � Cooking Unit D ISh Wd5f1Cf ' Dryers ❑Gas ❑Elec'� ' Fan F.A.U. F ixtures Device Boxes Outlets Switches Garbage Disposal Generator O0.5 KW C $ 3 Issue Fee � $ 3 Fee ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+.KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �0�7 HP �1�h-8 Inc. Solar �9�15 HP �16-75+ Microwave Pole Light Range ; Standing Sections 5�15 KW Trash Compactor $15 laue Fea DEVELOPMENTSEFVICES 2oning APProved By Building Approvad By _ FEES $ 3 �•�. SUMMARV OF FEES • BUILDING PERMIT $ 38Z.00 SMIP $ S7�o , PLAN CHECK $ PERMIT PLUMBING S ��UANCE $ 1 � PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ � MICROFILM $ MECHANICAL $ TOTALFEE $ 3d'7 7� PLAN CHECK 25% $ il � � . �CONSTRUCTION AND PLANNING P�� PA � ' r�APPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location : +- 2. Soil Pipe�Undr.grnd. 53. Steel Reinforcement 3:;Electiical Conil.ui[ Utility�Undrgrnd. 54. Forms 4,�'�Iectr�I:Conduit-Undrgrnd. 55. Electrical Bonding B.' $fGeGRei7iforcGment 56. Rough Plumbing & Pressure Test 1� .�. fii:�l�+ctric`dl UF��R Grnd. 57. APPROVAL TO COVER�GUNITE 7t.]F40[ings, ' �` ✓(j 58. Electrical Conduit-Undrgrnd. B.w�`ndation •' ' AI� � (%L 59. Gas Pipe, � Undrgrnd., Test 9.'-Wa,ter Pf"pe-Undrgrnd. 60. Backwash Lines, P-Tra ❑ Undr rnd. n. P. 9 .10',•StrUctural Floor System � 61. APPROVAL TO DECK 11. Pcdperty�Sewer Line & House Connection 62. Backwash & Receptor-Final 12. SeOvei:�ap 63. Heater & Vent-Final . � 13. R'obf�Dr,'alns 64. Plumbing System - Final 14. RouJ�i Plumbing 65. Electrical-Final ' 15. RougH Electrical-Conduit 66. Solar System-Final 76. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air (bnditioning FIRE DEPT. REQUIREMENT 20.� Rough Factory Fireplace , . APPROVALS Permit # 21. Ducts,in Structure ', ' 70. Underground Hydro 22. Ducts, Ven[ila[ing ; �.. . 71. Product Piping O Gas ❑ Oil 23.JtGas Pipe�Rough.&,Te3t .' - 72. Underground Flush 24.F�RoofFraming ,M'1 � J 73. Undergrnd.StorageTankOGas ❑Oil 25. Roof Sheathing � • � � 74. Overhead HYdro 26. T-Bar;Ceiling (Structural) & Monocoat 75. Dry Chemical � - i 27. Frarti'e;and FlasFiing " �p 76. Dry Standpipe 28,, LathiFig &;Siding O � p� 77. FIXED SYSTEM FINAL 29.� Insulation • � � Y� (� 78. FIRE PREV. FINAL 30. Drywall Nailing '�,�, . � �f� HEALTH DEPT. REQUIREMENT 3tr Plaster Brown Coat y"'t 79. FINAL INSPECTION � 32. Electrical Power Meta'r,-Final 80. FOOD CERTIFICATE ISSUED � ' ' SHE�i+i 33. Final Electric .n,; Notes: �� 34. Final Hea[ing & Air Condi[ioning 2�� O(C 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Fac[ory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final . 42. Backflow Preventer ' 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound Attenua[ion 46. Handicap Regulations . i 47. FINAL STRUCTURE & BUILDING ! �7 D 48. Special Requirements Completed � 2„I S� 49. Electric Release to Edison - ' - 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY • - No. Date •