The URL can be used to link to this page

Home My WebLink About2335 ELDEN AVE - Building Permits (8)(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Number: Applicant: Address: Owner: Address: Contractor. 2335 ELDEN AV B UNIT B 93068455 PUIG, ALLEN 2020 E HOWELL AVE #J ANAHEIM,CA MECHANICAL PERMIT Status: ISSUED Applied: 09It 012001 Issued: 09I10/2001 ISSUED BY: ' Phone: p74)834-8860 � Zip: 92806 WONG, MARTIN 2335 ELDEN AVE UNIT B Phone: (949) 548-2203 COSTA MESA, CA Zip: 92627 ALPS AIR CONDITIONING & HEATING Address: 2020 E HOWELL AVE #J ANAHEIM, CA FAU CHANGEOUT ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU Repair / Alt Cooling/Heat Inst I Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >700 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Sing�e Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater 523.50 514.80 50.00 $0.00 50.00 30.00 $0.00 so.00 50.00 30.00 50.00 50.00 30.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 Quantity Phone: (774)634-8860 Zip: 92806 License: 667953 SCOPE OF PERMIT FEE SUMMARY Repair / Alt Absorbiion Unit Repair I Alt Refrigeration Unit Ventillation System Evaporative Cooler Comme rcial I nci ne rator Domestic Incineralor Compressors / Absorption Systems Uplo3hp/100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp I Over 1,750 BTU Boilers Up to 3 hp 3To15hp 75 l0 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantiry $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 so.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 50.00 50.00 TOTAL CALCULATED FEES E36.30 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92•2B, § 1, 1241-92) EXPIRATION: This permit shall eutomatically expire end become void if work is not commenced withln 1B0 days, or it work Is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell required inapeetlona and final epprovel must be obtained. Failure to obtain inspections and final epproval will result in the ezpiration ot thts permit. FOR INSPECTIONS CALL: (714) 7545628 zmass �aroo� WORKERS'COMPENSATON DECLAHAnON: ' ' I herehy ettirm untler penalry of Perjury ona o1 the fWlowing dedarations: ❑ I heve end will malntain e ceNflcate ot consent to sell�lnsure tor xrorkers' campensetion, as proWded for by section 3700 ot t�e Labor Code, for the pertortnence of Ihe work ior w�lch Ihis permU �s iuued. ❑'1 �ave end will maintaln workers' campensation Insurance, es requlred by section 3700 of I�a Lebor Code, for the perfortnance of the work tor which Ihla pertnit I5 issuetl. �'My worke omp� nns,a,t-lo_n Insu�ance certier entl pollcy n ber ere: /� 9 /J CarAer:�" '. �i'7��i1') Z r'7 � JU �« �policy NumDar. /UW G�/�% I�� Q� (m!s secNon need not e comp/eted I/ t permif /s ve/ued et one huntlred dWlers ($100) or less.) ��'—�"– -' ❑ I Cetlity Ihet in the peAormance of wmpensetlon lews of CB�Ifomia, i comply wNh ihose Dr�`+�slore. WPRMN(3: FAILUFE TO SECURE rHousrwo oauae nioo.000�. LICENSED CONTAACTORS I hereby aHirm thetl em Iicene torce end ettect..uc..M J work I sued, I shell not employ eny parson in eny mennoi so es to 6ecome suDject to Ihe workers' Nmt II � a ultl Eecomo b�act to the workers' compensatlon provisions oi Section 3700 of t�e Lebor Cotle, I shell toRhwith /, r--- _ � � r7' /U � D l �--Dete� TION COVEM�E IS UM.AW FUL AND SHNL SUBJECT AN EMVLOVER TO CRIMIN,LL PENALTIES AND CML FlNES UP TO ONE HUNDRED E CQST OF COMPENSnTION, OPMAGES AS PROVIDED FOfi IN SECTION 37080F THE LABOR CODE, IMEREST, ANO ATTORNEI"S FEES. CONSTRUCTION LENDING AGENCV: ❑ I horoby eHirm Ihet there �s e construction Lendefs Name: Signaturo: Cheprer 8(commen ' with SecNon 7000) of DlWsion 3 ol.lhe BuslPess antl Prof¢$�ions CaCe, end my Iicense Is in lull � �7�' � CIe`_.M ✓ �%U ff�� _ . lor ihe peAormance ot Ihe work for which thls permit is Issued. (Sec. 3097, Civil Code). _ LBndePs Atltlress: Dete: OWNER-BUILDER DECLARATONS: I hereby uttirm t�ai unCer penalry of perjury Net I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7037.5, Business entl Protesslwu Code: Any Gry or counry which requires a permit to consiruct, elter, improve, tlemolish, or repair eny siructure, pAor to Its issuance, elso raquires the applicant tor such permit to file e signetl stetement thet he or she is Gcensetl pursuant Io the provisiau oi ihe Contrectars Lkense Lew (Chepter 9(commendng with Sectlm 7000) ol Dlvlsion 3 oi Ne Business end Pmtessians Cotle) or that he or she is axempt therefrom end tha 6asb for ihe elleged e:emptlon. Any violatlon of Section 7031.5 by any epplicam for e perm0 sub�ecis Ihe eppllcant to e cHil penalry of not mora than fne hunEreE dollars (3500).): ❑ I, es owner oi the property, or my employees wlih wepes es Iheir sde campensation, WILL DO TXE WORK, end the siructure Is noi Intended or otfered Iw sele (Sec. 7044, Business and Prolessions Cade: The Contractors License Lew does nat epply to an owner ol properry who builds or improves thereon, and who Coes such work himself or herself or thro�gh his or her own employees, provitletl Ihei such Improvements are nol IntendeA or oHeretl for ule. It, however, the builAing or improvement is sold wilhin one year of completion, the owner-builder will �ave ihe burden af proving ihet he or she tlid no� build ar improve for purpose of sale.). ❑ I, a9 owner o1l�e property. am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTIiACTORS to COnstruct the project (Sec. 7044, Business and Profes5ion5 Code: The contractors lJcense l.ew does owt appty to en owner ot property who builds or improves thereon, a�d wlro contrecis for such projea wrih a conirector(s) license pursuam ta ihe Canirectoro License LawsJ. ❑ I em exempt under sec. Business end Professions Code tor �his reason: Signeture: Data: Owner ID verlfietl by tlnvets Iicense. ❑ Ves ❑ No Drivefs License No. E:pires: Veriflcetlon of Ownership by (rype oi tlocument, i.e. - properry tex blll or deetl): DIVISION OF INDUSTRIAL SPFE7Y FERMR CERTIFICATION: ❑ � �eroDy certity t�et no ex�evation Ma (5) or more teet in Cepth into which a person is requlred to descend, wlll be metle In connection with work eu�hoAzed by Ihis permlt, antl that no Duiltlin9 siructure, scattdding, talsework, or demdWon w tlismantling thereol, wlll De more then ihirty-six (38) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Tlile 8, Celitomia Atlminisiretive Cotle). ❑ As owner-Dulltler, I wlll no� employ anyone to do work whlch would require e pertnit tmm the DlNslon of Industdal Safery, as noteC ahove, unless such person �as e permit Io Co such work Irom Ihe Oivision. Signeture: Date: Divislon of Industrial Sefery PeR�it Number: CERfIFlCA7E OF COMPLIANCE AND AIffHOR¢ATION OF E Y: I ceNfy unOer penalry of perjury that 1 �ave read this application and state that the inlormation given is correct. I egree to wmply with all stete lews and clty ortlln s rela�ing to bulltling consiruction, end euthodze representatives oi ihe Gry ol Casta Mesa to enter upon Ihe ebova-described property tor InSpection puryoses. I py or allow occupancy of eny building authorized by this pertnit until finel inspection. COOE �. INSPEC710NTYVE 1618 Fixed System Flnal Fire Pj 1268 Paal Spe Finel �% t 200 Flnel pe-Roof 201 Final Block/Reteining Well 202 Flnel Fectory Fire Place 203 204 Flnal Sipn Finel �emolltlon Q�f. �� COUE I INSVECTION TYPE 208 Flnel MOChanlcal 208 Flnel Plumbinp 210 Flnal Electricel 212 Finel Fire Preventlan 220 Finel Planning Approval 222 Flnal Site 250 Finel Bulltling/OCCupency /� �. I 1111" " � • i • � � AVC��ant to iill in a11 soaces exceD� tnose witnin neavy �oraer Ilnes ana siqn ail apvropriate tleelarations. �,T.'� oF coS7A ESA CONSTRUCT♦IO�N� Project Address �3�n ��-S!�� '�`�� Applicant's Mailing Address{„ �E9�1�,}� Owner's Name ��yQr�%y Address 2�'7711 �f��` �• � Addre55 �/ �� "'c� N��rvr� � a.r� • Contracmr's Nam��`� Phon/ef /J Addresslmailing) �% � /�.e� �l��Q+��f //� �GS City License No: [Z� 2- �!� 9 LICENSED CONTRACTOR DECLARATION I hereby atfltm [hal I am li[ensetl untler provi51on5 of Charter 9(commencing witn settion ]000) oi Divislon 3 of the Business antl Protessions Cotle, antl my Iicense is in full torce antl effect. License Class License No. Date 519nature WORKERS' COMPENSATION DECLARATION ^reby affirm tnat I have a certificate ot consent to seli-insure or a certi/icate Workers' Compensation Insurance, or a certif' tl copy thereof (Seclion J0, LaD. C. �f / �- -- /n/ Pnolicy No. � J �0�� Company � '�`^"`�' �[J Certifiea mPY is f erObwithrthehc tlY µ�� g{�vision. EXEMP ION ROM WORKERSaCO P�TIOfO DECLAR� (Thissection neetl not be completetl if Ne permit is (or one huntlretl ($100) or less). 1 certify that in the performance of [he wo�k (o� which this permR i5 issuetl, I snall mt employ any parson in any manner so as to become subject to tne Workers' Compensation Laws of Califomia. � Date $ignaturC \`NOTICE: I1, after making this tleclaraUon, you shoultl become subject to the Workers' Compensalion provislons of the Labor COtle, you must forthwltn compty witM1 such orovisions or this permit shall De deemetl revoketl. \CONSTRUCTIDN LENDING AGENCV I hereGy aftirm that there is a con5tructlon IenCing agency to� the performanC¢ \ot tha work far ch t per t is issu (Section 309] Civ. CJ lEntler's Name I Lentler's Htltl�ezs 'n� !' N ,( � OWNER BUIL�ER�LA� �T ON � �r�— I he�eby affi�m that I am exempi from the Contracto�'s Llcense Law fo� tne followinq reason (Section �031.5 Business antl Protessional Cotle: Any city or wun[Y wM1ich requires a permit to consiruct, alter, improve. tlemolish or repai� any st�utture, p�ior to its issuance, also requires the ap0�icant (or such permit to lile a zignetl Stalement Ihdt he/sbe 15 Iicen5e0 pursuant to the provisions ot [he Cont�actorY LlcenS¢ Law (Chapter 9(commencin9 with Section �000) of r??jvi5ion 3 of [he Business antl Prote55ion5 Cotle) or that he/she is eaempt �;-;.;zrefrom antl the basis tor the allegetl exemption. Any vlolation ot $ection E�,e�°31.5 by any applicant tor a permlt subjects the applicant to a Civll �`nalty of no[ more than five nuntlretl tlollars (5500). tl LI I, as owner oi the property or my em0�oyee5 wlth wage5 as [itei� sole compenSatiOn, will tlo Iha work, antl the svucture is not intentlea or o(feretl for sale (Section 7044, Business and aro�assional Cotle: Tbe Contractor's License law tloes not apply to an owner of a property who builtls or improves It h r f r hr h his o� ner own such work himse e sel o t au the reon antl who Goes / 9 ¢mploy¢es, P�ovitletl [hat such improvements are not intentletl or offeretl for sal¢, If, �owever, the bulltling or ImProvement is Soltl wilhin one year of com- pletion, lhe owner will have the buttlen of proving he/5M1e tlitl not builtl or im- prova for tne purpose of sale). �I, as owner of the property, am exclusivery mntracting with IicenSetl con- ttor5to consVuct the O�oject (Section 7044, Business antl Professions Cotle: The Contractor's Licenze law tloes not appry to an owner of property who builtls or impwves the�eon, antl w�o contract5 for suth projects with a con- tractor(51 license pur5uant�to the Cont/aGtor'S License 1_aw). I aT awar¢ that proof o( their Worker'S Compensation insu�ance Shoultl be provldetl to me. ❑ I am exempt untler Section , B. & P. C. fo� th15 r¢a5on Date lhal I ha reCL I a9 lating to ' � dtv to Signa[ure � Drivers' Licenze - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink - . Sewer Cap ' ' Sewer Connection ': • Solar Collectors Solar Pipin9 .. - Solar Tank ' Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Trays Issue Fee Hood or T e 1 ❑ VP Canopy Type I I ❑ Refrigeration System ❑0-t 00,000 8TU ❑ 100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES A.P.;k y3 — S Main Building: T Front f}�ff A Rear /}-TT C Right �p � S Left Zg• Ping. Ref. # Pr'j � Planning Notes: f, 5P?"u 5/f6l55 :�_ioi ' 7/ — Z�, 2 L zo�a /� Z Accessory Building: �C�� (t � �!0"09 -i257f ParkingReq.IProvided i5 -Fi(�-OI Automatic Washer Construction Pole Sub. Cooking Unit • Dishwasher - Dryers ❑Gas ❑Electtic �� Fan F.A.U. Fixtures Device Boxes Outlets $ 3 I � FEES � $ 3 ELECTRICAL Transformer 0 15-50 KW ❑ 50+KW Garbage Disposal Generator DO-5 KW �5-15 KVY ��Reinspection Fee I $75 DEVELOPMENT SERVICES REQI Zoning Approved By Buildin9 Approved By Aooliption Issuad 8v Meter ❑up ro 700 amps Meter ❑over100amps Sub Panel Motors �0-1 HP �7'h-8 Inc.Solar �9-15 HP �16�15+ Microwave Pole Light Range Sign � ! Standing Sections laue Fee FEES $ 3 Z O N 1 N G R E Q M T S � SUMMARV OF FEES . � BUILDINGPERMIT $ 3�z.�� SMIP $ S.7G � ;PLAN CHECK $' � PERMIT _�;PLUMBING $ ISSUANCE $ " �PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL § GRADING $ 'PLANCHECK 50% $ MICROFILM $ ! �MECHANICAL S TOTALFEE s 387' �t0 PLAN CHECK 25% $ � ,� /.�� CONSTRUCTION ANDPLANNING - POO' SPA � w�AppROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Tempo;ary El�trical Service or Pole � 52. Pool & Equipment Location 2. Soil PIp��Undrgrnd. 53. Steel Reinforcement 3�Electtical Eonduit Utility-Undrgrnd. 54. Forms 4: Electric�f ConAuibUndrgrnd. 55. Electrical Bonding . 5.JSteelJielnforcement 56. Rough Plumbing & Pressure Test 6:';ElectnCdl UF.�R Grnd. 57. APPROVAL TO COVER-GUNITE 7.�Fg,ot�ngs �� 58. Electrical Conduit-Undrgrnd. 8:;Foundation �':�� 6 � 59. Gas Pipe, � Undrgrnd., Test 9'',V�a[er Pipe-Unilrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10.'Sir�uctutal Flapr System 61. APPROVALTO DECK 11. Propert ;Sewer Line & House Connection �] 62. Backwash & Receptor-Final �Z• SQwe4�P�, ' � 63. Heater & Vent-Final •�� 13. Robf'Or�ihs 64. Plumbing System - Final r 14. Roug�i P,lymbing 65. Electrical-Final 75. Rougti Electrical-Conduit 66. $olar SYstem-Final 16. Rough Elearic Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar:C`eiling 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 �. �Ducts, Ventilating �_:� ,', 71. Product Piping � Gas ❑ Oil 23! Gas Pipe-Rough &.T.est �' 72. Underground Flush 24. Roof Framing �' �,i � i 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing ''% i G 74, Overhead Hydro 26. T-BavCeiling (Structural) & Monocoat 75. Dry Chemical 27�. Frarf4e and Flashing � � � 76. Dry Standpipe ��' 28:� Lathing SiSiding � p'(� 0� 77. FIXED SYSTEM FINAL • 29. Insu�a,i;on � 78. FIRE PREV. FINAL w 30. Drywall fyailing �� . �� HEALTH DEPT. REQUIREMENT 31:' Plastei'grown Coat ��j=�� Z(p �- 0 79. FINAL INSPECTION ; 32. Electrioa,(,Power MeY r-Final' 80. FOOD C RTIFICATE ISSUED 33. Final Electric -� � � Notes: Y S � � (� 34. Final Heating & Air Conditioning / Q � � 9� h 6Yy� 35. FinalGasPipe-Test �,�p�g� OK 36. Hood or Canopy 37. Final Fadory 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. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 2 x MM , 49. Electric Releese [o Edison 50. Gas Release to Southem California Gas Co � :, " 51. CERTIFICATE OF OCCUPANCY � � � No. ' Date APPllcant to flll In all spaees exeept t�ose wlt�in �eavy GarEer Ilnas anG si9n all aDPropriate Eeclaralions. CITY OF COSTA MESA23{+�N�SI�UC� ON PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NBU. 9I2B 7%09%86 IS�SO j ProjectAddress �S LU A .,, ,. _ __ AppliCaN'S Meiling Address % �%� �. GRAND 4 VF _ TVPE OF CONSTRUCTION EW .4DD ALTERATION REPAIR Owner's Name R(1❑ RROWN Phone 642-3812 � CONVERSiOrv ❑ DEnnOLiSH ❑ O7HEa A.P. qW ' 2one DESCRIPTION OF WOFK/USE OF BLDG. Address 1 77 RTVFRSTl1F.� NFWPORT RF.ACH S Main Building: � Accessory Building: E Z ArCh/Eng. Litense No. TVPE OF PERMIT GRADING FOUNDATION STRVCTURAL T Front p Address ❑ TENANT ❑ ELECTRICA� ❑ PLUMBING ��IECHANICAL B Rear N Contractor'sNama STFI2RA FNVTR(1NMFNTAI Phone Q57_R991 ��THER A � PROJECT DESCRIPTION Sc�. FT, oCCUaANCv C RigM N Address (mailing) - CONSTRUGTIONTVPE VALUATION$ S Left City License No. ZONE GRADING CU. VDS. ACRES R LICENSEO CONT0.ACT00. DECIARAT ri Ping. Ref. �h Parking Req./Provided E I hereby affl�m lhat I am IlcenSetl untl¢r rOvi510n5 0l Cha�tor 9(commencing aema.ks: BUILDING PERMIT # 823776 Planning NOt¢S: M with 5ettion 7000) of Olvision 3 of t Bu ne antl Pr fessionz Cotle, antl my license is in full /orce ana efiect. . T IJcense Class e o � S �ate S�gnature � PLUMBING FEES WORKE 5'�SATIONDE LARATIO � Bd�Sink ShOwf�S .'qy: �yereby attirm that 1 have a cerHl wte ol conse t selt- sure or a certHiwte ELECTRICAL FEES '� -. Workers' Compensation Insur nce, or a c tifietl c OY thereof (Sectlon �' .,, Backflow Preventer - Service Sink Automatic Washer Transformer ❑ 15-50 KW � �s00, Lab. GJ ��N�Poiic rvo. H0� mi �'tnwr Co a ' Backflow Irri aiion � Sewer Ca ❑ 50+ KW Y 9 P Construction Pole Sub. Certifietl copy is heraby furnishetl. XCeretiea copy is tilea wiN tne tlty e isio . Bathtubs ..� Sewer Connection Cooking Unit Meter ❑up to 100 amps a[e APPlicant EXEMGTION FROM WORKERS' COM NSATION D lAR TION ' Cle�iii¢f5 �� SOId/ COII¢Ct0�5 Di5hwd5h¢I MC[C� ❑OVC� 1002mp5 (This SettiOn neetl not be completeG it th� pGrmit IS /Or One huntlretl ( 00) or less). Dishwasher -, �lar Piping Dryers ❑Gas ❑Electric Sub Panel �I cerUfy Iha[ in Ihe Oerto�mance of the work for whlth th15 pe�m�l i5 i55uetl I � shall nol employ any oerson in any manner so as to Decome suoject to ti�e Drinking Fountains SolarTank Fan Motors �0.7 HP Oi'rS-8 Workers' CompenSatiOn Lawi of CalifOmia. ' ` Date Siqnaturc - Floor Drains �� Swimming Pool wlSpa F,A.U. Inc.Solar �9-15 HP �16�15+ \\ 'NOTICE: If, atl¢r makinq Ihiz tleclaralion, you Shoultl become sub7ect ro the V Wolker5' CompenSdtlon proNSlonS ol tlle LdbOr COtla, y0u mu5l for(hwi[h FIOOf $iOkS Urin81 FixtUf¢5 compty with Suth prOWSiOns Or t�iz Oermlt shall be Geemetl �evoketl. MiROWdv2 CONSTRVCTION LENDING AGENCV GaSServiCe Outleti WaterCloiet DeviCeBoxeS I hereby a7(irm that thlr¢ is a conzt�uctlon Ientling agency to� lhe pe�formante P012 Liyht ot the work for wnicn tnis permit Is issuetl (Sectlon 3097 Clv. CJ Interceptors Water Heater Outlets Ran e L,Cntler's Name 9 Lentler's Atltlress Kitchen Sink Wa[er Service OWNER BUILOEN UECLARATION SwiLchES Sj9� I heroby aHirm that I am ezemp[ lrom tho Contractor's License Law lor tne LavalOries Auto-Waih � Garba e Di os&I foilowin9 reason (Sectlon 7031.5 Business antl Profeislonal Cotlo: Any dtY or 9 SP ; Standing Se[tions county whicn requires a oermit to construct, alter, Improve, tlemolish or repalr P—Trap Leundry Trays Generator �0.5 KW �5�15 KW Trash Com cmr any sVutlurq prlor to Its ISSUanca, alio rOquires Ihe apP��ant fOr Suth Oermil � lo t118 a Slgnetl Slat¢menl tllal h0/Sh0 Is Iiconsetl pur5udnt IO lhU provlsion5 01 ROOf D�Bins tha Conlractor's Ucensa Law (Chapter 9(commencin9 wit� SacUon 7000) of _�ivision 3 ot the Business antl Professions Cotla) or t�at no/sha is ozompt `;:("Frelrom ana the basis br lhe allegetl exumpUon. Any vlolatlon oi Sectlon '�j'S31.5 by any applltant 1or a parmil 5u0jetts tho aOPlitdn� to a tivll °+�3�nally ot nol mOre tban Iive huntlr¢tl G011ars (E500). ❑ I, as ownor ol the o�aoerty or my employea5 with wages as lhoir SOIe ReinSpBction FBB $15 ISSue Fee § 3 tompensation, will do the work, antl tha SVucturo is not intentletl or otteretl Reinspaction Fae $15 Issue Fee $ 3 tor wlo (So<Non 7044, Business antl Protesslonal Cotla: Tho Contractor's MECHANICAL FEES LiCenSe l. w tloCz nol aOP�Y �� an owner ot a P�operty who bulltl5 or Improves thureon, antl wno tloes such work himzoll/narselt or [nrou9h his or har own DEVELOPMENT SERVICES REQUIREMENTS: employuas, provltlotl thal such ImDrovemenl5 aro not intCntlatl or offeretl tor Boilef HoOd Or Type I ❑ salo. It, however, tha b W Ialn9 or Imo�ovomnnt Is soltl withln ono ycar of com- Canopy Type I I ❑ . ZoninB APProvad By �ate plotion, tna owner wlll navo tho burtlen ol proving hc/sno tlitl not build or im- Duct - Under Ground BuildinB %�PP��d By Date prove tor [ba OurpoSo of salo). -�/ P ❑ I, as owner of tho property, am exclusively contractin9 with Iicansetl con- Dutt - Structural Refrigeration $ystem Appliotion Issued By / zi Dat ttactOrs to <onitruct the 0/o7ect ISectlon 7044, Buslna55 antl ProleSsiOns Gotle: The Contractor's Licenso Law doos not apply to an owner of oroperty who Duct - Ventilating ❑a100,000 BTU ❑100,000 BTU SUMMARV OF FEES builtls or improves the�eon, antl who <oMrac[5 tOr SUCh projects wlth a con- � trattor(s1 Il<ense pursuant to tho Contractor's License Law). I am aware that pdyhjp(E�j System Repair/Alterati0n BUILDING PERMIT $ SMIP $ prool 01 thelr Worker's Companution insurance snoula be orovitlatl ro me. PLAN CHECK $ PERMIT ❑ I am axempt untler Section B. 3 P. C. lor this reason Firepl/Fact Blt. IC80 # Fire Dampers PLUMBING $ ��UANCE $ Date owner Heating System & Ducting Fiegisters PLAN CHECK 25% $ ENERGV P.C. $ 1 �ereby cart y hat I �av ra tl this ap cation and state that the above l-�0-100,000 BTU 0100,OOOBT ELECTRICAL GRADING $ information is c rect. agr ompl i h al tlty antl counry ortllnances $ and state laws r latln II i con < i ana n¢reby authoN r pre- ' P�AN CHECK 50% $ — MICROFILM $ sen[atives of is c u o h ova-mentlon¢U orop rt for inspectlan Pur � l �� -'� 9gnature Date MECHANICAL $ TOTALFEE $ � Drivers' Lice se or 55 � — Heinspee[ion Fae $15 Iswe Fee $ 3 PLAN CHECK 25% $ - CMF 0865-46, rev. ]0/84 White - Bulltling; Canary - Appliwnt; Pink - Accounting; Goltlenrotl - Asxisor ' CONSTRUCTION AND PLANNING POO SPA ' - Date Inspector Date Inspector APPROVALS Permit # APPROVALS Permit # 1. 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-Undrgrnd. 55. Electrical Bonding ` i � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � � 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings _ .� 58. Electrical ConduirUndrgrnd. - - 8. Foundation •� ' , 59. Gas Pipe, O Undrgrnd., Test ,- ;,; . 9. Water Pipe-Undrgrnd. :r. �� ' 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor System � � C. � 61. APPROVAL TO DECK 11. PropertY Sewer Line & House Cor�ection - 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final ., 13. Roof Drains �'' 64. Plumbing System - Final 14. Rough Plumbing C� �-� (,(!J 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . 16: Rough Electric Wiring 67. Fencing & Access Approval 17: Rough Wiring Sign f�$, qppROVED FOR PIASTERING 18:� Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19." Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. flough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating CQ�-�(o (�¢/� 71. Product Piping O Gas ❑ Oil �� 23. Gas-Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing ' 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling IStruccural) & 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. Drywall Nailing HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning � yt�/�rf � . 35. Final Gas Pipe-Test , , _ � 36. Hood or Canopy 37. Final Factory F1replace a'r �' 38. Final Plumbing . ' 39. Water Service-Final 40. Gas Service-Final 41. Solar DOmestic-Final . , 42. Backflow Preventer ' � 43. Backflow Irrigation , ' ,� 44t LandscaPe Irrigation System - 45. Sound Attenuation 46: Handicap Regulations 47> FINAL STRUCTUFiE & BUILDING , 48. Special Requirements Completed 49. Electrie Release to Edison . . 50.. Gas Relea'se to Southern California GasCo .. 511t CERTIFICATE OF OCCUPANCY Nod Date ' � � CityofCostaMesa IN��ULATION CERTIFICATION� euildingSafetYDivision oc ,�.�.5 �� G�L.4E/I/ C�✓'TA /%�%�riA i�i� Number and Street City County ! �5�� Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL �/ / Material � — / / Brand Name �l�%'/VV� /�-E Thickness (inches) ��/2" Thermal Resistance (R Value) CEI LING y/ �y Batt or Blanket Type /�- —� / Thickness (inches) � ��2 � � Loose Fill Type Minimum Thickness (inches) Area Covered (ft2) FLOOR,ELEVATED Material Thickness (inchesl FLOOR,SLAB Material Thickness (inches) Width (inches�_ FOUNDATION WALL Material Thickness (inches) Brend Name ///�"/V//�/.�G Thermal Resistance (R Value) Brand Name _ Number of bags Weight per bag Ib. Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code1. �oc�'hZy � �26LJ�1/ __,��02-�%%�$ � General Contractor (Builder) License Number L ot� ,��/_ /Il � % WESTERN�I�JP�atureandTit�e � Date 3621 W. MOORE AVE. ��/ �� Q SANTA ANA, CA 92704 p Sub Contraccor (lnsulation Applicatorl License Number � ,Pra-,� , /�'�f2— � 2 -/D -87 Signature and Title Date CMF 1106-46 Applicant ta till in all spaces except those within heavy boraer Iines antl sign all appropriate aeelarations. CITVQFCOSTAMESA CONSTRUCTIOIVPERMIT Project�Address �� 5 E��f/-�. Address I // /�' •jl✓fVS�d-c V�-�✓T. 7�!' Arch/Eng. , � License No. Address Contractor's Name 1 � � Ph4ne �'�9zSY Address�Imailing) •L�,��) ��CpI�OAy�Q jlw' r-` � �.�f Ciry License No. � �-�+ / � � - � LICENSED CONTRACTOR DECLARATION I nereby affirm that I am licensetl untler provisions of Charter 9(commencing with section �000) of �ivision 3 of the Business antl Professions Cotle, antl my litense is in full force antl effecL � L'icense Class License No. Date' � Si9nature � WORKERS'COMPENSATION DECIARATION. � hereby affirm that I have a certificate ai consent to self-insure or a certiticate Workers' Compensation Insurance,-or-a certitietl copy thereot (Section .,800, Lab. C.�'�'• , - Policy No. �• Co n� � � eCertitie copy's hereby furnishetl. - , . __._ '� Cer ' wrth the cit i Date ' � Applicant '- - EXEMP ON F OM WORKERS' C P NSATION DECLARATIO (Thissection neetl nat be completetl if th ermit is for one huntl tl( 300) or' I¢55). ��/ I certify that.in the performance ot th o�k /or x''¢'h��hhh is p is i55uetl, I shall not er�ploy �ny person in any nn /so ee �u�co ,A 51 ject to the WorkerSrC�r�p�yltWp Laws of Calif ip�� i - ),,_ . j/��. Workers"Comp�nsation provisions of the Labor Cotle, you must forthwlth comply with 5uth provisions or, this- permit shall be' tleemetl revoked. CONSTRUCTION'LENDING�AGENCV � ' 1 hereby affirm that there is a construction lentling agency (or the pertormdnce ot the work fo� which this pe�mlt is issuetl (Section 309] Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUIIDEH �ECLARATION I hereby affirm that I am exempt from the Contractor's License�Law tor the � foilowin9 reason (Section 703L5 Business antl orofessional Cotle: Any city dr munry wM1ich requires a permit to wnstruct, alter, improve, tlemolish or repai�. any structure, prior to its issuance, also requires the applicant tor such permit to fiie a signetl sta[ement that he/she is licensetl pursuant to Ihe provisions ot ihe Contractor's License Law (Cnapter 9(commencing with Section ]000) of �-�.;livision 3 ot the Business antl Protessions Cotle) or that he/she is exempt ' ti.;�iereirom and the basis for tne allegetl exemption. Any violation of Section ,.�,031.5 �by any applicant for a perinit subjects the applicant to a civil '� pe0dlty ot not mo�e than five huntlretl tlolla�s ($500�., '0 I, as owne� ot the property or my-employees with wages as their sole ' compensation, will tlo the work, antl the structure is not intentletl or otfered for sale (Section ]044, Business antl Professional Cotle: TM1e ConVactor'z License Law tloes nat apply to an owner ot a property wbo builtls ov improves thereon, antl who tloes such work himself/herself or through his or her own employees, provitletl that such improvements are not intentletl or offeretl fo� sale. If, howeveq the builtling or improvement is soltl within one yea� of com- pletion, tne owner will have tne burtlen of proving he/she tlitl not builtl or im-', �rove for thc purpose of sale). � I, as owner of Ihe property, am ezclusively contractinq with licensetl con- tractorsto constructth¢ pro]ect (Section ]044, Business antl Profession5 Cotle: Tne ContractorR Licenze Law tices mt apply to an owner of property who builtls or improves thereon, antl who contracts for such projects with a can- tractor(s1 liwnse pursuant-to the Contractor's License Law). I am aware that proof of their Worker's ComPensation insurance shoultl be provitletl to� me. ❑ I am exempt untler Section B. & P. C. for this reason Date i hereby certity hat information is c r ct antl state laws el in sentatives ot i c inspection pur es Signature Owner have reatl thi$.��l pplication and�state that the above daIP.P. [n CnPi01V.W1[h dll CItV dlltl Cnllfl[V OYtlIlidllC¢5 TYVE OF CONSTRUCTION LJ rvE� .❑ CONVERSION ❑ DENIOLISH DESCRIPTION OF WORK/USE OF 6 TYPE OF PERMIT ❑ GRnoING ❑ TENANT ❑ ELECTRICAL' ❑ OTHER� J ADD' LJ ALTEftATION IJ REPAIR OTHER FOUNDATION ❑ STRUCTURAL PLUMBING ❑ MECHANICAL PROJECT OESCRIPTION 5�. FT. oCCUaANcv CON STRUCTION TV,PE VALUATION $ _ Remarks: f%�..N� � Bar Sink Backflow Preventer Backflow Irrigation Baffitubs ' Clarifiers _ . ' Dishwasher , ' Drinking Fountains Floor �reins Floor Sinks � �� Gas Service ( Outlets Intercepmrs ' ' Kitchen Sink Lavatories� ' P-Trep � Roof Drains � ReinspeMion Fee GRADINGCU.VOS. ACRES_ � -2�"�� 6 PLUMBING SFowers � Service Sink • Sewer Cap Sewer Connection Solar Collectors - Solar Piping Solar Tank • Swimming Pool w/Spa Urinal Water Closet � ' ' Water Heater ' � ' Water Service - �Auto=Wash � Laundry Trays ' � e $15 Issue Fee' , Boiler ' Duct - Under Ground Duct - Strucwrei Duct-Ventilating - . Exhaust System ❑ Multiple Firepi/FacL�Blt. ICBO',# ' Heating System & Ducting 00-100,000 BTU �100,000 i � y,� LDrivers' License or 55 �� ""+ _' f � �----- --_.. Pen ,� :,MF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Gol enrotl - Assessor $75 Hood or Type I , ❑ � Canopy Type I I ❑ FEES A.P. # S Main Building: E T Front B Rear A C Right K Left S Ping. Ref. # ' Planning Notes: Automatic Washer Construction Pole Sub. Cookin9 Unit � � �IS�1Wd5�12! - Dryers ❑Gas ❑Electric Fan _i.' F.A. U. Fixtures Device Boxes OULIeYS Garbage Disposal Generator �0-5 KW �5-15 KW �Reinspection Fee . $15 FEES DEVE P REQI LO MENT SERVICES _ Zoning APProved By ' � Buildin A roved B � 9 PP Y Refrigeration System ❑0.1000008TU ❑t00,0006T System Repair/Alteration Fire Dampers Issue Fee ' � $ 3 t '!�� 1'n'titi�� Parki 6 Z O N ' I N G R E a M T S FEES Transformer ❑ 7&50 KW ' � ❑ 50+KW Meter ❑up m 100 amps Meter- ❑over 100-amps -, -- Sub Panel Motors OO-1 HP O1 %- 8 Inc.Solar,�9-15HP�16-75+ . Microwave ' Pole Light Range Sign ; Standing Sections TraSh COmpaCtor ' Issue Fee $ 3 SUMMARY OF FEES , � ' ' BUILDING'PERMIT $ � SMIP $ PLAN CHECK � $ PERMIT � ' PLUMBING ��{' � ISSUANCE � $ PLAN CHECK �25°I?�� ENERGV.P.C. $ ' ELECTRICAL $ GRADING $ ' PLAN�CHECK -50%. $ � MICROFILM $ • MECHANICAL $ TOTALFEE i $ � ��.3� PLAN CHECK 25% $ � � CONSTRUCTION ANDPLANNING POO �PA �APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector . 1. Temporary Electrical Service or Pole i ��-" 52. Pool & Equipment Location. ' 2. Soil Pipe-Undrgrnd. 5-277-TJ(, (..,Ft��.. 53. Steel Reinforcement � 3. Electrical�Conduit Utility-Undrgrnd. � 54. Forms 4. Electrical Conduit-Undrgrnd. " 55. Electrical Bonding - 5. Steel Reinforeement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE , 7. Footings � 7 . 5S. Electrical Conduit-Undrgrnd. 8. Foundation , �� .- 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. /�. =2%-d�G (,� 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System � . 61. APPROVAL TO DECK - 71. Property Sewer Line & House Connection d,t��, �� . 62. Backwash & Receptor-Final 12. Sewer Cap ' -"� 63. Heater & Vent-Final � � 13. Roof Drains ' 64. Plumbing SYstem - Final ; . 14. Rough.Plumbing , $-'��r L� � 65. Electrical-Final 15. Rough Electrical-Conduit 66r Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 6S. APPROVED FOR PLASTERING 18. Rough Electrical-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 OGas ❑Oil 23. Gas Pipe-Rough & Test .. 72. Underground Flush , 24. Roof Framing � ' 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling lStructural) & 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. 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 � 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 Irri9ation System 45. Sound AttenUation � � 46. Handicap Regulations � � 47. FINALSTRUCTURE & BUILDING � 48. Special Requirements Completed 49. Electric Release to Edison � 50. Oas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � C cr ApP��cant to fill in all spaces exce0< <�ose within heavy Oortler lines antl si9n all appropriate tleelarations. -- - CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. __ TRACT NO. LOT NO. UNIZNO. PrOject Address �Applicant's Mailin Addr s9 Owner's Name t �Q�(jN,�� Pho e Address '� � [,,,, � �'U P t� � �� F' Arch/En9. License No. Address � ��7�p Convactor'sName �7—1 ` , Phone�Gl.2.LSLV f0 Address (mailing) �lGw+!�r.�fv YV�,,�.�� `� �. � City License No. - CV ��y/� -� �_4__ LICENSED CONTRACTOR DECLARATION I hereby affirm [hat I am licensetl untler provisions of Charter 9' (commencing with section ]o00) of Division 3 oi the Business antl Profeszlons Gotle, antl my IiCense is in full forC ntl etfect. ' u License ass � __�.ic nse No .y�i. Date� Si9nature WORK RS' OMPENSATION OECLA ATION I hereby affirm that 1 hdve a certifitate of mnsent to sel(-insure Or a certifiGdt¢ N Workers' Compensation Insurance, or a certifietl copy thereof (SecHon 5800. Lab.�SS ��y� Policy No. � 7��ompany Fr,�e,.�-1- I-w�leti ❑ Cer[ifietl copy Is hereby�furnishetl. i , �l Ce�£etl c i fiietl with Ihe city Bu' in9 Diylsi n. Date APPlicant EXEMP ION ROM WORKERS' COMP ATION DECLARATION -� (Thissection neetl not be completetl if the rmit is tor one huntlred ($300) or less). '� I tertify that in tM1e pe�foymance of the wo�k fo� which tnis pe�mit is issuetl, 1 shall not employ any person in any manner so as fo bewme subject to the Workers' Compen5ation Laws of Califomia. . Date Signature 'NOTICE: If, aiter making this tleclaratlon, you shoultl become iubject to'the Worker5' COmpenSation provisions ot the labor Cotle', you must forthwith wmply wilh such provisions or thi5 permit shall be Eeemetl revoketl. � CONSTRUCTION LENDING AGENCV � ' I hereby afflrm that tnere is a construction lentlin9 agenty tor the pertormance of ihe work far which this pe�mit is issuetl (Sectlon 3097 Civ. C.) Lender's Name � +�w Lentler's Atldress�4 OWNER BUILDER OECLARATI N I nereby aifirm that 1 am exempt from the Contractor's �icense�Law for the - following reason (Section ]031.5 Business antl Professional Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish or repair any structure, prio/ to ifs issuance, also requires Ne applicant for such pe�mit [o file a signetl slatement [hat he/she is licensetl pursuant to tM1e provisions of the Coniractor's Licenze law (Chapter 9(commencing with Section ]000) of Division 3 0l the Business antl Professions Cotle) or that he/she is ezempt `herefrom antl tbe ba5i5 for the alle9etl ezemption. Any violation ot Section 031.5 by any applicant for a permit subjects the applicant to a civil Znalty ot not more tnan �ive huntlretl tlollars ($500). LJ I, a5 owner of the property or my employees with wa9e5 a5 their sole , mmpensation, will tlo the work, antl the sVucture is not intentletl o� offeretl for sale (Section 7044, Business antl Professional Gotle: The Contractor's Lirense law tloes nat appiy lo an owner of a properry who builtls or improves thareon, antl wbo tloes such work himself/hcrselt or tM1rougb his or her own em0loyees, providetl that such �mprovement5 are not intentletl or o(feretl fo� sale. If, however, [he builtling or improvement is Soltl.within one yea� of com- pletion, the owner will have the burden ot provinq he/she tlitl not builtl or im- prove for the purpose of sale), ❑ I, a5 owner Oi [he property, am exclusively tont�a[tinq with lic¢nsetl con- trattorsto construct the project (Section ]044, Business antl Protessions Cotle: I Tne Contractor's License Law tloes not apply to an owner of property who builtls or imp�oves Ihereon, antl who contracts for Such pwjects with a con- tractor(s) Ocense pursuant�to the Contractor's License Law). I am aware that proof of their Worker's Compensatian insurance shoultl be provitletl to me. ❑'I am exempt untler Section B. & P. C. lor this reason TVPE OF CONSTRUCTION � NEW LJ qDD I.J ALTERATION U REPAIR — ❑ CONVERSION ❑ OEMOLISH ❑ OTHER ' q.p, # DESCRIPTIONOF.WORK/USEOFBLDG. Y`e��C ��C� S MainBuildi TVPEOFPERMITp� GRADING FOUNDATION ❑STRVCTURAL T Front ❑ TENANT �N ELECTRICAL ❑ PWMBING ❑ MECHANICAL B Rear ❑ OTHER A PROJECT DESCfiIPTION 5a. Fr, oCCuaANCv C Right K Left �CONSTRUCTIONTVPE � VALVATION$ ' $ 1 ZONE GRADING CU.YDS. � ACRES p�ng. Ref. # Remarks: � Planning Notes: � a Sink Preventer Irrigation Clarifiers. ' . Dishwasher � Drinking FOuntains Floor Drains Flaor Sihks' � Gas Service Outlets I ntercepmrs Kitchen Sink .- Lavatories ' - P—Trap Roof Drains � Reinspectian Fee � $15 Duct - Under Ground Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # Date Owner Heating System & Ducting ' I'hereby certity tnat 1 have reatl this application antl state tnat tne above �0-100,000 BTU 0100,OOOBT info.mation is correct. I agree co comply witn all city and county ortlinances antl sta[e laws relating to builtlinq construction, antl he�eby autho�iie repre- senta[Ives of' t' <ity to enter upon he abov -mentionetl praper y for inspettion pw s. ' � Si9nature Date Reinspection Fee Drivers' License r 55 � 1F 0865-46, rev. 10/86 White - Builtling; Canary � Applicant; Pink - Accounting; Goltlenrotl - Assessor $75 ShOwers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank � Swimming Pool w/Spa Urinal Water Closet � Water Heater Water Service Auto�Wash - Laundry Trays Issue Fee Hood or Type I' ❑ Canopy Type 11 ❑ Refrigeration System ❑0-t000006TU ❑100,000 System Repair/Alteration Fire Dampers Registers luue Fee Automatic Washer ConsVuction PoleSu6. . Cooking Unit' , Dishwasher � - Dryers ❑Gas ❑Electric � ' , Fan F.A.U. Pixtures � Device Boxes � Outlets Switch¢5 Garbage Disposal Generator �0-5 KW 6277 5%28�86 Zone Accessory Building: � Parking Req./Provided EIECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW r Meter �up to 700 amps Meter ❑over900amps - Suh Panel Morors �0-1 HP 01 %- 8 Inc.Solar 09-15 HP �16-15+ Microwave Pole Light I I; Standing Sections 15 KW Trash Compactor $ 3 _ Rainspection Fea $15 �Issue Fee FEES DEVELOPMENTSERVICESREQUIREMENTS: -� Zoning Approved 8y Building Approved By � Application Issued By $ 3 ' . _ " ..r 43.20 TL � FEES $ 3 Z O N I N G R E Q M T $ SUMMARV OF FEES BUILDING PERMIT $ SMIP . . $ � PLAN CHECK � $ PERMIT PWMBING ' $ ISSUANCE $ ' PLAN CHECK 25% S ENERGY P.C. S ELECTRICAL $ GRADING $ ' PLANCHECK 50% $ MICROFILM � S � �MECHANICAL S ' TOTAL FEE ' $ � PLAN CHECK Z5% $ , . CONSTRUCTION AND PLANNING APPROVALS Permit # 1. Temporary Electrical Service or Pole 2. Soil Pipe Undrgrnd. � ° 3' Electrical Conduit�Utility-Undrgrnd. 4.•Electrical Conduit-Undrgrnd. '� � 5. Steel Reinforcement�, � - Y 6� Electrical UFER Grnd.'_� . -� 7. Footings� .,. .f' �, 8. Foundation � � 9. Water Pipe-UndrQrnd.� .' 70. Structural'Floor System, " 11 . Property Sewer Line &.House Con"nection 12. Sewer Cap . �-. 13. Roof Drains , . 14. Rough Plumbing'„ � 15. Rough Electrical-Conduit 76. Rough Electric Wiring ��" '�"`�'�� 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling� 19. Rough Heatin4 & Air Conditioning 20. Rough Factory Fireplace � 21. Ducts, in Structure 22. Ducts, Ventilaiing " 23. Gas Pipe-Rough & Test . 24. Roof Framing - 25. Roof Sheathing 26. T-Bar Ceiling (Struciural) &IMonocoat 27. Frameand Flashing .� i 28. Lathing & Siding 29. Insulation { 30. Drywall Nailing 31'. ,Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 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�lrrigation 44°:Landscape Irrigation System 45:LSound Atte�uation 46yHandicap Regulations 47 LFINAL STRUCTURE & BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison � 50 TGas Release to Southern California Gas Co w 51.uCERTIFICATE OF OCCUPANCY 0 No. Date POOL ,PA Inspector p�ppROVALS Permit# 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, � Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Receptor�Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final ' �� 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas .D Oil 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oil .. 74. Overhead Hydro . 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: � � . '.4.. Date � Inspector ■ e