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Home My WebLink About2335 ELDEN AVE - Building Permits (6)(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa•mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 a335 Jobnddress: 22-35 ELDEN AV Suite No C Vicinity: UNIT C Parcel Number. 93068456 Appliwnt: PUIG, ALLEN Address: 2020 E HOWELL AVE #J ANAHEIM, CA owner: BUTEYN. ANNE Address: 2335 ELDEN AVE UNIT C - COSTA MESA, CA MECHANICAL PERMIT Status: ISSUED Applied: 09/10/2007 Issued: 09/70/2001 ISSUED BY: ' Phone: (774) 634-8860 Zip: 92806 Phone: (949) 548-6983 Zip: 92627 Contrector: ALPS AIR CONDITIONING & HEATING Address: 2020 E HOWELL AVE #J . ANAHEIM,CA FAU CHANGEOUT ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst I Rep. Recess Wall Htr Refrig Sys <700 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Veni Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> t0000cfm Floor Furnace Floor or Suspend Heater 523.50 514.80 $0.00 50.00 50.00 50.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 so.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: (714)634-8860 Zip: 92806 License: 667953 SCOPE OF PERMIT FEE SUMMARY Repair / Alt Absorbtion Unit Repair I Alt Re(rigeration Unit Ventillation System Evaporative Cooler Comme rcia l I nci n e ra tor Domestic Incinerator Compressors / Absorption Systems Upto3hpl100kBTU 3To75hp/500kBTU 15 To 30 hp / 7,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 7,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAI CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity 50.00 0 $0.00 0 30.00 0 $0.00 0 50.00 0 so.00 a 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 50.00 $0.00 538.30 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 72•27-g2) EXPIRATION: This permit shall automatically expire and become void il work Is not commenced within iB0 days, or if work is suspended or abandoned lor a period of 180 days. . INSPECTIONS: In order tor the work authorized under ihis permlt [o be considered legal, such work must comply with all applicable cotles, antl all requlred Inspeetiona end final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2a4&d8 (9N0) WORKERS' COMPENSATION DECLARATION: � � I hereby eHirm under penalry of per�ury one ot Ne lollowing declare6ons: ❑ I heve antl will melnteln e certiticate oi consent to self-Insure br workers' compensailon, es pmWtled for by section 3700 ot Ihe Lebor Code, lor the peAartnance ot the � WOfk 10f WnICh �h19 p8rt111i IS ISSu2d. D�have antl wN malntein wwkers' campensatbn fnwrence, as requireA Oy secllon 3700 oi Ne Lehor CaAe, lor the peAortnance ot Ihe wark Iw whl,M thls pertnit is issued. My workers' c mpens$tjon Insurence carrier entl poliry umber er9 :' ^��.- /� e� CerAer." Z�Qmni I.� -L�nS - �� /1/ MY+"L� �CA PoiicyNumber,N�G ��0 / l �� (Thb�sect/an neStl not be cam eted II�Ne permlf Is valued et one hundretl dollers ($100J or less.) ❑ I cortity Ihet In ihe poAortnence ot lhe work lor whic� is lssued, I shall not employ eny pereon In eny manner eo es to hecome sub�ect to the workars' compenseUon laws ol Celifomia, enC apree Ih FF Id beco su6�ect to t�e workers' crompansetion provlsions ol Sectlon 3700 of the Labor Code, I ahall torthwiih compty witt+ ��ese provlsiau. /� /' ApPlicanl-SigneNre: Date:_ - � % ! /C� �� / WAHMNO:�FAILURETOSEWREWIXiKERS' !AP COVERAGEISUNUWRILANDSWILLSUBIEGfANEMPLOYERTOCRIMINALPEWLLTIESANDCMLFlNESUPTOpJEHUNDRED ilKK1SAND DOLIAHE (5100,000), IN AODRION T COST OF WMPENSATIpN, OAMAGES 0.S PROVIDED FOfi IN SECiIIXJ 3)080F THE LABOR CODE, INTEREST, AND �TTORNEI"5 FEES. LICENSED CON'�ACTORS OECLARATION: I here�y eHirm thd� I am IlcenseE lorce entl eMect. l�c: p� �� Contrectora Signeture: _ CONSTRUCTOM LENDING AGENCY: ❑ 1 �ereby aflirtn ihat there Is e consiruction Lendefs Neme: Signeture: OWNER•BUILDEA DECLARATIONS: 7000) ol DlWsion 3 of.the Business antl Professians Coda, enA my license Is in lull (Ciasst�l ('2c7 :!-�L pertormance ol ihe work for w�lch this permlt is issuad. (Sec. 3097. Civil Code). Lentlefs Address: oata: _ I hereby eHi'm tha� under penalry of pe�ury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Business an0 Protessions Code: Any city or counry which requires e pertnit to consWct, alter, Improve, Oemollsh, or repalr eny atructure, prior to Its issuance, elso requires the epplicant for such pertnit lo lile e slgnetl std�ement thet �e or she Is licensed pursuant to ihe proNsions oi ihe Coniractora Ucense Lew (Chapter 8(commencing with Section 7000) ot Dlvision 3 of t�e Business entl Pro�eulons Code) or that he or she is eaempt therefrom end the 6asis for the elleged exemptlon. Any vlolatlon of Sactlon 7031.5 by eny epplicent tor a pertM; sub�ects the applicent to e clvll penalry of not more ihen live hundretl Collars ($500).): ❑ I, es owner oi Ne propeny, or my emplqees wlih wages as thelr sde compensation, WILL DO 7HE WORK, end the structure is noi Intended or otleretl tor sale (Sec. 7044, Business and Professions COAe: T�e Contraaars License Law tloes noi apply lo an owner of property who builds or impro�es ihereon, entl who tloes such work himself or herselt w through �is or �er own employees, provided that such ImD�ovemenis are not Imentletl or oHered lor sale. II, however, tha building or imprwemem is soltl within o�e year af completion, �he ownar�builder will have the burden of proving that he or she did not build or impmve tor purpose of saleJ. ❑ I, es ownar ol the pmperty, am E%CLUSIVELV CONTRACTING WITH LICENSED COMRACTORS to consiruct t�e prqect (Sec. 7044, Business anA Pm}e5sion5 Cade: The Gonhactors License Law tloes �ol eppty to an owner ol property who bullds or Improves theraon, and who contracls lor such pmject wit� a conirector(s) license pursuant to the Coniractors License Lews.). ❑ I am exempl under sec. Business end Professions Code lor this roeson: Slgnature: Data: Owner ID venfied by drivers license. ❑ Ves ❑ No Dnvefs Ucense No. Expires: Verlficetion ot Ownership by (rype ol documenl, i.e. � properry tax bill or tleetl): DIVISION OF IN�USTRIAL SAFETV PERMR CERTFICATION: ❑ I hereby ceAiry that no excavatlon Ove (5) or more teet In tlep�h Into which e parson is requlred to tlescend, will be metle In connection with work euthodzed by t�is permit, antl Ihat no bulltlinp siructure, scalloltling, telsewark, or demolition or dismantling Ihareol, wlll Oe more then ihirly�six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, lltle B, Cellfomia Administretive Code). ❑ As owner-bu��der, I will not employ enyone to da work which would require e parmit from Ihe DiWsion of Industrlel Setery, es notetl ebove, unless such person �es e permit to tlo such work Irom Ihe division. SlgnaNre: Dote: Divislon ol Industdal Sefery Pertnit Number. CERTIFlCA7E OF COMPLIANCE AND AUiHOARATON OF EMRV: i cerlity un6er penalry of perjury Ihet I have read �his epptication antl state Ihat ihe information grven is conect. I egree ro�py �th all state laws and dry ordinances relating ro buil consiruction, entl euthodza representatNes of the Ciry ol Coste Mese m enter upon the ebove-described O�operry tor Inspeqion purposes. I egree not to occupy or all occupency of eny building euthonzetl by ihis pertnit until tinal inspectlon. COnE �. �Q�Qb.ffiE 1616 Fixad Sy418m Fine1 Fire PrBveMfon 1288 200 201 202 203 204 Pool Spe Final Finel Re-Roaf Flnel BIOCk�Relalning Well Flnal Fac�ary Fire Place Finel Sign Finel DorPolllion f(�5 �2 INSPECTONTYPE 208 Finel Mechsnical 208 Finel Plumbing 270 Finel Electricel 212 Flnel Fira Prevantlan 220 Final Plenning Approval 222 Final Sita 250 Final BuiltlingiOccupanq � � ;I�'Y Of COSTA1VIESA Project Address �L33� Applicant's Mail' g Addreu Owner's Name'I�n � T Applicant ta /III in all iDaces exceD� ��ose w(��In �eavy UorCcr Ilnas anE tign ail apvro0��ate aeclarations. ArchlEng. F G*^ License No. 'Address - �� Contractor's Nem Phone Address (mailing) Ciry License No. -� /2 � � LICENSED CONTRACT00. DECLARATION 1 hereby afflrm ihat I am Iicensetl untl<r prOvi5ion5 of Cbarter 9(commencing with sec[ion 7000) o( Division 3 of tha Businezs antl Professlons Cotle, antl my license is in full for<e an0 effeci. License Class License No. Date Si9nature WORKERS' COMPENSATION DECLARHTION hereby aHirm thal I have a certilicat¢ of mnSCnt to solt-Inmre or a Cartlll<ate 1 Workers' Compansalion Insuranco, or a CartHi¢tl tOpy thoreol (SecHon 3800, Lab. C.��Z /f � � // Policy No. 0�� Company ��'+�� Certife "coyPY��'s f I�rObwltnrthehctlY 8' � Divlsio .{�,`/J/ / EXtEM�N RV OM WORKERS C��4 PI OECLARATION �NSA \(Thisseclion neetl not be completetl ii Ihe permi[ is for one huntlred (5100) or I¢55). 1 certify lhat in the Plrformance o! tM1e wOrk IOr whlch lhis pe�m�t Is Issuotl, I \sltall nol employ any person in any manner 50 as t0 bocome subject t0 Ihu Work¢rs' Compensation Laws ot Calitomia. oate Signature �NOTICE: I(, after making this tleclaratfon, you shoultl become subject to tne Worke�s' Compensa[ion provisions o( lhe LabOr Cotle, you musl fo�Nwith comptY �+'��h suc� P�ovi5ion5 Or Ihis pe�mit sball be tleemetl revoketl. CON5T0.UCTION LENDING AGENCV 1 hereby altirm [hat inere is a construcUon lentlin9 agency tor the per/o�mance 01 lne work lor 'cb tn pgrmjl,ii isiu¢tl ction 3097 Civ. C.) I..entlels Name �� .[t� �_ �/,,'� Lentler's Atltlre55 D�%� 7 Q/F/ n A/ �� 7 NS.�JG OWNER BUILDEH DE LARATIO 1 hereby affirm lha[ I am exempt trom tha COnlractoYi LICenSo Law br the following reason (Secilon ]031.5 Buslness anU Prole55ional Code: Any cily or Couniy whlch rCQui�es a pCrmil Io con5truct, a�[er, improvo, tlemoll5h or ropali anv svucture. orlor to its issuance. also reqWres the applicant for such permit relrom and the basis far the allegetl exempuon. nny vioiauon o� oecuon ;LS by any applicant (or a permlt subjecl5 tho applicanl t0 a clvil ialty ol no[ more than flve huntlretl tlollars (E500�. 1, a5 owner of the O�opor�y or my employees witn wages as lhelr SolO npensation, wW ao the work, antl tne structure is not inlentletl or oilcrc0 sale (Section ]044, Business antl Profuszlonal Cotle: Tha ContractoYs en5¢ Law does nol aOP�Y �O an owne� of a property who bulltl5 or improves reon, antl who tloes such work hlmseH/hersell or Ihrougn hiz or ner own O�oyees, provitletl Ibat such improvem¢n[5 are not Int¢nUetl Or o11e�e0 for ;. It, however, tne builtlln9 or Improvement iz soltl within one year of <om- tion, the owner will have the burtlen of proving he/sne aitl not buila or im- wa for [be pur0ose of zale). I, as owner ol lne prOPerty, am ezclusively contracting wi[h licensed con- Ctors to [onslrutt the projec[ 15ecHon 7044, Buslness antl PrOlesslons Cotle: e Contractor's License Law does not aOPly to dn owner ol properly who Itls or impwves [hereon, antl wno conVdGtz b� such Gro7e<I5 wlth a con- [lor(S) license DurSuant�lo ihC ContrattOls License Law�. I am awar0 lhat iof of lM1eir WOrker's Comp¢nSallon Insu�anca Shoultl bo provitled to ma. I am exempl untler SeCtlon _ B. & P. C. �or thi5 ruason Date Signature d� � tate tnat the above � cauncy ortlinances :by authorizo repre- lonetl pr orty tor Da _....... . . a3`7�� 2.c� TVPEOFCONSTRUCTION EW ADD ALTERATION ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. C� REPAIR TVPEOFPERMIT LIGRADING LIFOUNDATION�$TRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑[� PIL'VMBING ❑ MECHANICAL ❑ -OTHER T TD �� PROJECT DESCRIPTION 5� T. "3 oCCUaANCv= CONST CT1QNTVP VALUATION$� ZONE '��' GRAOINGCU.VDS. .....__� Remarks: � �' , �EE 47Cf � 3� /—✓ • /Z �� PC. f� QQ.2—�SL Preventer Irrigation �rinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink LavatOries P–Trap Roof Drains Reinspeclion Fua � $15 Boiler Duct - Under Grountl Duct - Svucmral Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating Syitem & Ducling ❑P100,000 BTU �100,000 Roinspection Fee � $15 Showers Service Sink Sewer Cup Sewer Connection � $Oldf C0112CLOf5 Solar Piping Solar Tank � • Swimming Pool w/Spa Urinal Water Clout Water Heater Water Service Auto-Wash Issue Fae Hood or Typel ❑ Canopy Typell ❑ Refrigeration Sys[em ❑0-100,000 BTU ❑ 100,000 BT Syztem Repair/Alteration Fire Dampers Registers , Issua Fae FEES A.P. �p �.39 S Main Building E T Front A7' A Rear � C fli9ht (y/ g Left Z Ping. Ref. # P Planning Notes: ( -,c��- zi � T fIG-� Gf�tE /� i A-s�-�9/r-is – R!n —O/ Aummatic Washer Construction Pole Si Cooking Unit Dishwasher �fyQlS �Gas ❑E Fan F.A.U. Fiztures Device Boxes Outlets Switches Garbage Oisposal Generator �0.5 KN 5 3 � Reinspaction Fee FEES ' $ 3 �QCLlIC 521? 5/IG/!�; Actessory Building: � ' A Er i 8� �Parking Req./Provided : ='7-.'��' i'. Zone � Z � ELECTRICAL Transformer � 15-50 KW ❑ 50.+ KW Meter �up ro 100 amps. Meter �over 100 amps Sub Panel ; Motors 00.1 HP � 1 h- 8 Inc.Solar 09-15 HP �16-75+ Microwave Pole light Range ; Standing Sections 5�15 KW Trash Compactor $15 laue Fee DEVELOPMENTSERVICES Zoning Approved By Building Approved By _ Aaaliwtion laued Bv— 3 $ 3 SUMMARV OF FEES ,- BUILDINGPERMIT $ ��Z•�e SMIP $ s7� PLAN CHECK $ PERMIT � PLUMBING y ��UANCE $ � PtAN CHECK 25% $ ENERGY�P�C. $� ',ELECTRICAL $ GRADING $ .. PLAN CHECK 50% 3 MICROFILM $ p MECHANICAL $ . TOTALFEE $ J �� 7 PLAN CHECK 25% $ , CMF 0865-46, rev. 30/84 White - Builtlln9; Canary - Appllcant; Pink - Accounlin9; GOItl¢nrOtl - ASsesSOr ///�,. p/ � Qi,. .// .JfA��d^_ WLlf Z O N 1 N G R E Q M T S CONSTRUCTION AND PLANNING P�� SPA ��APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Ele,ctrical Service or Pole 52. Pool & Equipment Location . 2. Soil.PiperUndrgmd. � � 53. Steel Reinforcement � 3. �ElecStical.�anduit Utility-Undrgrnd. 54. Forms 4�„Elecv�qa,l'Conduit-Undrgrnd. . 55. Electrical Bonding �., Steef �Reihforcement 56. Rough Plumbing & Pressure Test 6i'�Elecj[ic"a�l UFBR Gmd. 57. APPROVAL TO COVER-GUNITE 7:�Footings � 58. Elec[rical Conduit-Undrgrnd. 8�?,FdyndaTion �s? S ✓� 59. Gas'Pipe, O Undrgrnd., Test . '9...Wa{er Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgmd. -r ,a,, 10'YStiuctu'ql Floo; System - 61. APPROVAL TO DECK 17. Propert�!Sewe� Line & House Connection " 62. Backwash & Receptor-Final 12. Sewe'r,K'",.ap � 63. Heater & Vent-Final .� . 13. Roof D�ains 64. Plumbing System - Final 14. Ro�gh,P.jumbing 65. Electrical-Final � � 15. RougN Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar,eeiling. - 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Cbnditioni'ng FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � APPROVALS Permit # 21. Ducts, in Structure � ., 70. Underground Hydro 22.. Ducts, Ventilating :� ' ,•� 71. Product Piping �Gas ❑Oil . � ; 23�G35 Pipe-Rough &:TeSt . , 72. Underground Flush � 24. Roof Framing '�� 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing -' ._ G 74. Overhead Hydro � 26. T-Bar'�Ceiling (Stcuctural) & Monocoat 75. Dry Chemical � ` 27; Franie,'and Flashing 3 6 0(� 76. Dry Standpipe 28i Latliing & Siding �p ,f� 77. FIXED SYSTEM FINAL � 29. Insu�iion � � 78. FIRE PREV. FINAL 30. Dryv,vll'IVailing �� • &,� HEALTH DEPT. REQUIREMENT 31� Plastef:��fown Coat �. ' �� Q'f/ 79. FINAL INSPECTION 32. Electri�YPower Met€r-Finai• S0. FOOD CERTIFICATE ISSUED 33. Final•Electric �-J. !� Notes: g �IL mk � 34, Final Heating & Air Conditioning � Q � 1,P� Z _ d�' 35. Final Gas Pipe-Test �' o�� Q 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 Aitenuation 46. Handicap Regulations - 47. FINALSTRUCTURE&BUILDING �e ? f% 48. Speciai Requirements Completed .1 .� � M 49. Electrie Release to Edison � - � 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY - - � No. Date � � • AOO��ant to flll In all soaces axeeD� those witnin heavy eorCar Iines ana slgn a1l aDvroDriate tleclaratlons. CiTY oF COS7A MESA CONSTRUCTION PERMIT ProlectAddress 2335 ELDEN AVE. Applicant'sMailingAddreu z121 S. GRAND AVE. Owner's Name ROD SROWN Phone 642-3812 nddress 177 RIVERSIDE DR. NEWPORT BEACH Arch/Eng. License No. Address Contractor's NamP STFRRA FNV7RONMFNTAL Phone 957-8991 inddress Imaiiingl 2121 S GRAND AVE , SANTA ANA City Lfcense No. 024912 - LICENSED CONTRACTOR DECLAR 710N I horaby ditirm that I am lit¢ns¢G un � p�ovislons of Charter 9(COmmancing with zec[lon 1000) ot Divlsion 3 t hp usln¢55 antl Prot¢ SIonS COtle, antl my Iicense is in tull force antl efiect License CI s L e O. Dale � � Si9nature WORKEf15' COMPENSATION OEC ATI N � hereby a/tirm tnat I nave a tertifica e oi consenl m selt-i ure or a certlficata ! Worken' Compensation InsuranG¢,�0� a certlfi¢tl copY thereOt ($ectlon i80Q Lab. C.) � aoncv No. N9� 971239WG Co Pa v �crtifietl Copy Is hereby fumisbed ertitigtl4atn�s filetl with Ihe cit WI i oate � � � Applicant EXEMPTION FROM WORKERS• GO PENSATION DEC AR ION (Thiz section ne¢tl not be compl¢[¢tl It ne Oe/mit IS for on¢ hun r¢tl (5100) o� Icss). I certify that in Ihe perto�mante Of [hn Wo�k (or whith Ihis perm�t I5 Issuetl I .� shall not employ any oerson in any m8nner so az to become subject to t�fe Workers' CompensaUon Laws ot California. Date Signature Q'NOTICE: 11, atter making this deClawUon, y0u ihoultl become SubjCct to t�e WorkCrs' ComOensalion p�ovi5lon5 Of lhe ldbor Cotle, y0u mu5t torthwith comply with suc� O�oviSiOns or lltis p¢rmlt Shall b¢ deemetl revOketl. CONSTRUCTION LENDING AGENCy I hereby allirm Ihal ther! IS a conSVuclia� Ientling agency for the performanGe of tM1e work for whicn this permil IS issuetl (Seclion 3097 Civ. CJ Lentler's Namo Lantler's Atltlress OWNER BUIL�EN DECLARFTION I M1ereby afflrm that I am exempt irom tho ConVactor's License Law lor tna followinq reason (Settlon 7031.5 Buzlnass antl Profasslonal Cotic: Any Uty or counlv which requirus a permlt to consfruct, aller, Improve, demoliSh Or ro0a�' t0 tile a SlgnOtl itatemenl thal he/511e IS IICCn50tl puRudnt t0 the O�oviSiOns o1 the Contractor's License Law (Cnapter 9(<ommencln9 wlth Section 7000) of 'y7ivision 3 0l thc Business antl Proles=ionz Cotle) or [hat he/she i5 exempt ��.;;ie�ofrOm antl [hG Dasfs tor [he a�legatl OxOmptlO�. Any vlolatiOn ol $acUOn '.'031.5 by any applitant for a permil sub�ett5 lhe apD��ant to a Uvll �enally ol not mo�e than five huntlrCd tlotlar5 (E500j. I, as own¢r of thG Property o� my omployea5 with wage5 a5 th¢Ir sole com0ensation, will Co the work, antl t4a struciure is not InienOeU or ollere0 fOr salo (Seclion 7044, Business antl Prof¢SSional Cotle: The ContraGlo�'s License Law aoes not appty to an owner ot a property wM10 builes or im0�a�es llmraon, and wh0 tloes SUGh work hlmsell/hersolt o� through his o� har Own employces, prOvltletl that such improvoments are n0[ Intentle0 or ofloretl lor salc. If, howavor, lha b W Itlin9 or improvoment Is zoltl wlthin one year ot cOT- platloq the ownor will have tha burtleq Ot proving he/she tlltl nol builtl or Im- prov0 fo� lbo purpo5a ot sale). ❑ I, as owner of the properiy, am exGlusively contractlng wlth licensetl con- tractors t8 conslruc[ the project (Sectlon 7044, Business antl Professlons Cotla: Th¢ Conbactor's Litense Law does nq( apply to an owner oi properry who builtls or improvas tM1ereon, an0 wbo Sontracts to� sucn projacts witM1 a COn- t�aclor�511itense putivant�t0 [he ConVactoi's Licanse Law�. I am aware Ihat prOoi o( tnelr Worker's Compensatlon in5uranc0 shoultl be prOvltletl to me. ❑ I am ezempt unticr Section B. & P. C. �or this reason Date Owner i herebvi cer[ifv t at I have read Si9nature _ Drivers' Llcense CMF 0865-46, rev. 1 TVPE OFCONSTRUCTION �YWEW U ADD LJ ALTERATION U REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p..�6 DESCRIPTION OF WORK/USE OF BLDG. S Main Building: E TVPEOFPERMIT GRAOING FOUNDATIO�N4V STRUCTURAL T Ffonl ❑ TENANT ❑ ELECTRICAI ❑ PLUMBING L`J'MECHANICAL A Renr ❑ OTHER PROJECT DESCRIPTION SQ. F7. OCcuPANCv C Right K Left CONSTRUCTIONTVPE VALUATION$ $ ZONE GRADING CV. VDS. ACRES p��y, qef. �p Remarks: n�rri nTntn ucur.�'rm A n999�� PlanningNores[ Sink Preventer Bathtu6s Clarifiers Dishuvdsher Drinkin9 Fou Floor Drains Floor Sinks Gas Service Outlet5 Kitchen Sink �.dVdt011¢5 , P—Trap Roof Drains Reinspection Fee S15 BOiler Ouct - Under Ground Duct - Structural Duct � Ventilating � � rl Firepl/Fact. BIL IC805161 �� F IHeating System & Ducting �0700,000 BTU 0100,OOOBT 55 � a�� I I Reinspection Fea I 575 14 White - Builtling; Canary - Applicant; Pink - Accountln9: Goltlenrotl - Assessor Shower5 Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Wacer Heater Water Service Auro-Wash Laundry Trays laue Fea Hood or Type I ❑ Canopy Type II ❑ Refrigeration Sys[em 04100,000 BTU ❑100,000 BT System Repair�Alteration F ire Dampers Registers laue Fea FEES Automatic Washer � Construction PoleSub. Cooking Unit �IShW25hEf Dry¢rs ❑Gas ❑Elec' Fan _' F.A.U. Fixtures Device eozes Outlets 9127 7/b9/86 Zone Accessory Building: Parking Req.IProvided ELECTRICAL ' Trensformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �0.1 HP �1 K- 8 Inc. Solar �9-75 HP �16-15* Microwave Pole Light Range Sign Gar6uge Disposal ; Standing Sections Generator �0.5 KW 05-15 KW Trash Compactor � 15�.50 TL FEES 2 O N I N G R E � M T S S 3 I � Reinspection Fae $15 Issue Fee $ 3 FEES DEVEIOPMENTSERVICESREOUIREMENTS: Zoning Approved By Data Building Approvad By � Date� Applieation IssUed By � — Det° �/�,� p't SUMMARV OF FEES BUILDING PERMIT $ SMIP E 7LAN CHECK $ PERMIT � PLUMBING $ �SSUANCE S PLpN CHECK : 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM S MECHANICAL $ � TOTALFEE $ �� $ 3 P�AN CHECK 25% $ , ' CONSTRUCTION AND PLANNING . PO( SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector i. TemporarY Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. SteeV fleinforcement � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - � 4. Elec[rical 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 Conduit-Undrgrnd. -��+ 8. Founda[ion '!•� -. -" �� 59. Gas Pipe, O Undrgrnd., Test -Y - 9. Water Pip¢-Undrgrnd. --- 60. Backwash Lines, P-Trap, O Undrgmd. 10. Structural Floor System �, -� 61. APPROVAL TO DECK 1 i. Property 5ewer Line & House Connection - 62. Backwash & Receptor-Fi�al 12. Sewer Cap i�^ ° j-' 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 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 Conditioning FIRE DEPT. REQUIREMENT 20. Rough FaCtory Fireplace . APPROVALS Permit # 21. Ducts, in 5tructure 70. Underground Hydro 22. Ducts, Ventilating ,ZY �� 77, Product Piping OGas ❑Oil -� 23. Gas PiUe-Rough & Test 72. Underground Flush ' 24. Roof Framing , � • 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Aoof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling �Structural) & Monocoa[ 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 `�8 . � � 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace Z� � 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 49. Electric Release to Edison _50. Gas Releasa to Southern California Gas Co ' , 51. CERTIFICATE OF OCCUPANCY r No. Date o- - � Aoo��ant to fill in all soaces exceot tnose witnin heavY bortler lines ana zign al1 aoProvriate tleclarations. ciTY OF COSTa ME,�s7..�a CONSTR/UCTION PERMIT . Project Address �2�, c+Yl-� 7 /� ApplicanYsMailin9 drgss �-� %.d �n YtiG 5,.7'Y U- Owner's Name � e� re �..� r /� Phone y2 �2 Address �7, ' � �� ✓��"Sia�'[ LYNY �"Q Arch/Eng. License No. Address - Contracmr's Name �' � � ho e Sxl qzsy Address.lmailing) -�`� �%=� �.Q r4 J f.4 tu��}. �.''i� CiryLicenseNo. �69yA LICENSED CONTRACTOR DECLARATION I bereby affirm [hat I am licensetl untler provisions of Charte� 9(commencin9 with section ]000) of Division 3 of the Busi 55 antl Pr ssions Cotle, antl my Ilcense is in (ull force antl eHect. License �es Date ignahre _ 'NORKE ' CO PENSATION DE LARHT ON hereby affirm t �ai I have a certificate of mnsent to selt-insuie r a certificate of Workers' �Compensation Insurance, or a certifietl cooY tnereot (Section 3800, Lab. C.). ' " - Policy No. ' ' Com ny eCertified copy Is hereby fumishetl. �. ' i-' Gert' ' copy fi etl with the city tli g vi i. Date AOP��ant ' ' EXEM ON ft0 WORKERS'CO NSA I D LAR TI (This sec ion n etl not be com0�etetl if the permit is �Or ane M1untlre ($300) or less). ` I certify that in fhe Perfo�mance of tbe wo�k Por whi<h this perm�t i5 issuetl(I shall not emplOy any pe�son in any manner so as [o bemme suDject to tne Workers' Compensatlon Laws of Cdlifornia. . Da[e Si9nature ' 'NOTICE: If, atter making this tlecla�ation, you shoultl become Subject to the Wo�kers' Compen5alion provlsions Of t�e Labor Cotle; you must forthwith comply with such p�ovision5 or tnis permit shall be tleemed revoketl. CONSTRUCTION LENDING AGENGV I herety,affirm that there iz a construction lentling agency to� the pertormance Of the work for whith this pe�mit-•is issuetl (Section 309] Civ. CJ Lentler's Name Lentler's AGtliess � � � OWNER BUILDEH bECLARATION ' � I hereby aftirm Ihat 1 am exempt from the Cont�acto�'s License Law for the following reason (Section ]031.5 Business antl Professional Cotle: Any city or county which �equires a pe�mit to construct, alt¢r, improve, tlemolizh or repai� any structure, prior to its-issuance, also �equires [he applicant Por such pe�mit to file a si9netl statement that ne/she is litensetl pursuant to the provi5ion5 of tne Contracror's License Law (Chapter 9(commencinq with Section 7000) of JiviSion 3 of tbe Business antl Professions Cotle) or ihat ne/she iz exempt .herefrom antl thC basis for the allegetl exemption. Any violation of $ection 7031.5.by any applicant for a permit subjects the applicant to a civii ' enalty of not more than five huntlretl tloltars ($500).. � I, as owne� of [he p�operty. or my employees witM1 �wages as thei� sole � <ompensation, wili tlo tne work, antl Ihe structure is not intentletl or of(eretl to� sale (Section 7044, Business antl Prote55ional Cotle: The Contracto�'S' License taw tloes mt appty to an owner of a property who builtls or improves thereon, antl who tloes such work himself/herself or [hrough his or h¢r own em0�oyees, provitletl Iha[ sutlt improvements are not intentled or offeretl fo� sal¢. It, howeveq the bullCing or imp�ovement is soltl within one yea� ot com- pletion, tne ownet will have tM1e burtlen ot proving he/She tlitl not builtl or im- prova for the purpo5e of sale). ' ❑ I, as owner of 4he property, am exclusively contracting with licensed con- fYdCi0I5f0 COI15ifUCL Ih2 pIOjCLf ($¢C110I1 %044. B115111¢55 antl Professions Cotle: The Contractor's License .Law tloes not apply to an owner of property who builtls o� improves thereon, antl who conVacfs for such projects wi[h a com tractor(s) license pursuant �to tne Contractor's License Law). I am aware that proof of their Worker's Compensation insurance shoultl be provitled to me. ❑ I am exempt untler Section B. & P. C. �or this reason Date I hereby cer[ify tha' If1fOYrtldtlOfl IS ro! - dOd SLdI2 IdWS ! d ! sentatives ot t s a inspection purp s. Signature _ Orivers' License o S` iF OB65-46. rev. 10/84 Owner nave reatl Ihis �application and state Nat ihe above agree to compl ith all tlty antl�munty ortlinances o by iltlirrr�� co Vu fion, antl hereb author///ie re re- toYknt�p e above-mentionetl �(JDerty por t�1 rh.,_.,. S /L'�lP,� TVPE OF CONSTRUCTION L�YNEW U ADD LI ALTERATION LJ -REPAI R — ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p, # DESCRIPTION OF WORK/USE OF BLDG. S Main Building: TVPE OF PERMIT GRADING OUNDATION ❑ STRUGTURAL T Front ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL A Rear ❑ �OTHER ' C Rlght PROJECT DESCRIPTION Sq. F7. occuvANCv K CONSTRUCTIONTVPE VALUATION$ � S Left ZONE � GRADWG CU. VDS. ACRES p�ng. Ref. # Remarks: �' � � � � Planning Notes: Sink Preventer Irrigation kin9 Fountains r Drains ir Sinks Service � -Outlets Kitchen Sink Lavatories P—Trep Roof Drains Reinspection Fea Boiler Duct-UnderGround Duct - Structural $15 uucc - vencuaung - Exhaust System d Multiple ❑ FirepUFact. Blt ICBO # Heatin9 System & Ducting , ❑ 0-100,000 BT U O 100,000 BT' � /__" + �� I I ReinsPection Fee I $15 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Conneciion Solar Collectors . $olar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service - Auto-Wash Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,000 BTU �0100,OD0 System Repair/Alteration Fire Dampers Issue Fee $ 3 FE $ 3 ..-� /��.. N 1 � p 1 i-. �' ' r G '. _�._._._-. � ZOn9 � �Gi S4Ty u ' ti : � 1` N v p Z (/ O c._. �,.�...._... � N I l:ll i l:r WYA�q�ry YV1CJ3i N G R Parking Req./Provided E _ Q M T S Automatic Washei Construction Pole'Su Cooking Unit ' � Dishwa5her � Dryers ❑Gas ❑Eli Fan F.A.U. Pixtures Device Boxes Outlets Switches Garbage Disposal � Generaror �0-5 KW Fee ELECTRICAL Transformer ❑ 15-50 KW ❑ 50�+ KW Meter LJup to 100amps Meter ❑over 100 amps Sub Panel Morors�0.7 HP.'�1X-8 Inc.5olar 09,15 HP �i6-15+ Microwave ' � �--' Pole Light � � Range ' ' ; Standing Sections � i-15 KW ' Trash Compacmr $15 Issue Fee FEES $ 3 DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By Date Building Approved By � Date c/ Application Issued By Date� i 6 Y SUMMARV OF FEES BUILDING�PERMIT $ SMIP $ PLAN CHECK $ �� PERMIT � , PLUMBING $ _1-�•?`� ISSUANCE $ � PLAN CHECK 25% $ q.SS� ENERGV'P.Q $ � ELECTRICAL '$ GRADING $ PLANCHECK 50% $ � MICROFILM $ ` MECHANICAL $ TOTALFEE $ S'�•3C PLAN CHECK 25% $ � CONSTRUCTION AND PLANNING POt 1 SPA • APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - . 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. ,� -527-YL� C.4I� 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. i.� 57. APPROVAL TO COVER-GUNITE 7. Footings . .' ' 58. Electrical Conduit-Undr9rnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. s-Z,'7-)%b L�� 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . 11. Property Sewer Line�& House Connection /a�� 62. Backwash & Receptor-Final b 12. Sewer Cap � 63. Heater & Vent-Final 13. Roof.Drains � 64. Plumbing System - Final 14. Rough Plumbing . a"3i'+%'b (�14'/) 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 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. Undergmd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing � ' � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & 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 � /js� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing �x �+l 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final - 42. Backflow Preventer � 43. Backflow Irrigation � 44. Landscape Irrigation System 45. Sound Atfenuation 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 �� AVP��cant to till In all spaces ezcept lnose wilnin heavy portler Iines ana sign all appropriate aeclarations. CITV OF COSTA �ME�jSA CONSTR CTION PERMIT Project Address �L.1� +�� E�� C/��DP�, � /�` A�! �• Applicant's Mailing Add ess m! _Ly.• l 1J ��7�g � t ' Owner's Name C Phone Address �� L 1��P1^�1 F' Arch/Eng. � License No. Address /�� -q� Contrac[or'sNam _ (� - Phone�P�J=aZ�/!� Addreulmailingl�� W�A� City License No. ��'�1 � ' 9 LICENSED CONTRACTOR DECLARATION I hereby allirm thal I am licensetl untl¢r provi5ion50( Charte� 9(commencin9 with sectlon 7000) oi Divislon 3 oi the Buslness antl Professions Cotle, antl my Iicense Is in full to ce ana effect. License ass � ' a se lo. �are S9�ature (L 1RKE 5' C MPENSATION DECLA ATION "(' ereby aHirm Ihat 1 �ave a certitiwte of consent to self-insure or a certlficate of Workers' Compenzation Insurance, Or a certi�ietl copy Iher¢of (SeGtiOn , '3800, Lab.►,��y(,��.( ' � P�olIiCY No. i.9iv-S� �yy��'omPanY��PMQ�1� T-y�IeM" I p Certif ietl caoy is filetlbwithrlhehc t�y B d nl��v131 / I pa[e�—'APPlicant � ^ � (�,�� EXEMP ON ROM WORKERS' COMPEN ATION DECLARATION (Thisseclion neetl not be Completetl If the permit i4 for one huntlretl ($300) or ^ less). I certily thal in the pa�io�mance of Ih¢ work for Which thi5 perm�t i5 iSSuetl I shall nol employ any per50n in any mdnne� so 55 [o becom¢ Suble<t to [�e Workers' Compensa0on Laws of California: . Date Signature 'NOTICE: If, after makin9 [his tleclaration, you should become sub�ect ro the � Workers' Compen5alion provisions oi tne labOr Cotle, you musl lorthwilh Compty wltn such p�ovl5ion5 or tM1is perml[ zhall be tle¢metl revoketl. CONSTRVCTION LENDING AGENGV I nereby a/firm tM1at tM1ere Is a construction lentling �9ency for tM1e pertormance of lhe wa�k for which [his p�mit is issued.(Sectian 3097 dv. CJ Lentler's Name _� �� Lenaer's Atltlress OWNER BUIIDEIt DECLARAT ON I hereby atFlrm that I am exemp[ from tho Cont�actor's License Law for the followinq reason (5¢clion 7031.5 Buslness antl Professional Cotle: Any city or county wnlch r¢quir¢s a petmit to wnstruct, altel, im0�ove, tlem011sh or repal� dny SltuCturC, P/i0/ LO I[s i55udnC¢, also �equires the appliGant lor sucb permit �o file a Si9netl statement Ihdt he/She IS IICCf15ZG {�URlldlll SO II1C O(OVISIOIIS Oi e Contractor's License Law (Chapter 9(commennng witb Section ]000) of rvision 3 of the Business antl Professions Cotld) or that ne�sne is exempt �herehom antl the basis for tne allegetl exemptitln. Any violation of Seccion ]031.5 by any applicant for a pe�init subjects Ne applicant to a civil �enalty of not more than five huntlretl tloiiars ($5�0). LI 1, as owner of tne property or my employ6es with wages a5 [heir sole compensation, will tlo tbe work, and the structure is not intentletl or ofteretl for Sale (Section ]044, Business antl Profe55bqal Cotle: The Con[ractor'S Llcense Law tloes nol apply to an owne��ot a proparty who builtls Or improves thereon, antl who tloes such wo�k himself/hers¢I� or thrOugh his or M1e� own emplOYees, Orovltlea lhat suCh improvements are not Intentletl or offer¢tl for sale. If, pow¢ver, [he bulltling or lmprovemenl is 5oltl wlthin one year of com- pletion, lhe owner will have the burtlen Of provin9 he/she tlltl not bulltl or iT� p�ove to� the purpo5e of sale). ' ❑ I, as owner oi tM1e property, am exclusively contracting with licensetl con- traclo�s to construct the projec[ ($ection ]044, BUsiness antl Proles5ionz Cotle: The ConVactor's License law tloes not apply to an owner oi pmperty wno builtls or improves thereon, antl wM10 con[ractz far Such Orojects with a can- tractor(SI licenso pur5uant m tite Con[rac[or's Llcenzo Law). I dm aware tha[ proo/ of lheir WOrker's Compen5alion insuranc9 sboultl be provitletl to me. ❑ I am exempt untler Sectlon B. & P. C. �o� [his reason cr o�« I hereby certity iha information is wrrec dOd SIdIP IdWS 2ldlli Sentatives ot lhi ci inspeGtion purp Signature Drivers' License o ' iF 0865-66,rev.30/84 — Owner I have rea0 tbis applicatip� I a9ree [o compty with all c to builtling consVUGtion, a� � to �n[er� u0on the ab0�< 1 � A :oy aUmOn¢¢ �ep�e- ionetl oroperty lar DateT�Bb TYPE OFCONSTRUCTION II�I.NEW LJ ADD LI ALTERATION� LI REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' q,p. # DESCRIPTION OF WORK/USE OF BLDG. �"� � 1 �."'�C� S Main Building: E TYPEOFPERMITp� GRADING FOUNDATION STRUCTVRAL T Front ❑ TENANT IR� EIECTRICAL ❑ PLUMBING ❑ MECHANICAL 8 Reaf ❑ �OTHER %� � C Right . PROJECT DESCRIPTION Sq. FT. oCCUPANcv K CUfV STRUCTION TVPE VALUATION $ S L¢ft ZONE GRAOING CU. VOS. ACRES Ping. Ref. �/+ ' Remarks: RI�A �P.i^AI�'T� �a.7i �%% % PlanningNotes: Bar Sink Backflow Preventer � Backflow Irri9ation Bathtu6s Clarifiers . Dishrvasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavamries P—Trap Roof Drains Reinspection Fee §15 Boiler Duc[ - Under Gwund Duct - SVuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/FacL Blt. ICBO # Heating System & Ducting ❑ o� i oo,000 eTu O i oo,00a Reins ec[ion Fee �` � � - P. Pink � Accounting; Golaenrotl - Assesso� $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Weter Closet Water Heater � Water Service " Auto�Wash laue Fee - Hoad or Typel ❑ Canopy Type I I ❑ Re(rigeration System Oo-ioo,000eru ❑ioa,000 System Repair/Alteration fire Dampers Registers ' luue Fae ES S 3 $ 3 Automatic Washer Construction Pale Su6. Caoking Uni[ Dishwasher Dryers ❑Gas ❑Electric fan F.A.U. Fixtures Device Boxes OuLIetS Switches Garbage Disposal Generator �0�5 KW 05�' "6�76 5%2B%86 2one Accessory Building: Parking Req./Provided' ELECTRICAL Trans(ormer ❑ 15-50 KW ❑ SO+KW � Meter mup to 700 amps Meter �over 100 amps Sub Panel Motors �0-1 HP O1'F. - 6 Inc.Solar �9-15 HP �16-75+ Microwave Pole Li9ht Range ; Standing Sections 5 KW Trash COmpactor � Reinspection Fee ,� $15 ' I laue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By /� Appliration luued By / � - ;, G3.20 TL FEES $ 3 SUMMARV OF FEES BUILDINGPERMIT 5 SMIP $ PLAN CHECK $ PERMIT � , PLUMBING $ ISSUANCE $ PLAN CHECK 25%� $ ' ENERGV P.C. $ ELECTRICAL $ Z GRADING $ � PLAN�CHECK 50% $ MICROFILM $ MECHANICAL S TOTALFEE ' $ U3.a0 PLAN CHECK 25%� $ - 2 O' N 1 N G R E Q M T S CONSTRUCTION AND PLANNING APPROVALS Permit# 1. Temporary Electrical Service or Pole�� 2. Soil Pipe;Undrgrnd. „ ' 3: �lectrical Condu{t.Utility-Undrgrtnyd. 4. Electrical Conduit-Undrgrnd. 5: Steel Reinforcement � 6._Electrical UFER Grnd.� ' e • 7. Fooiings� '" �- � 8..Foundation � . " 9. Water Pipe-Undrgrnd. . - . 10. Structural Floor System � 11. Property Sewer L�ne & House Connection 12. Sewer Cap . ^ ' , 13. Roof Drains . n • 14. Rough Plumbing . � 15. Rough Electrical�Conduit 16. Rough ElectricWiring�"7•a'�'�'y 17. Rough Wiring Sign � 18. Rough Electrical-T Bar Ceiling � 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace � 21. Ducts, in Structure • 22. Ducts, Ventilating • 23. Gas Pipe-Rough & Test 24. Roof Framing ' ' 25. Roof Sheathing �,. 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing � 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 Faaory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer �: Backflow Irrigation �4: Landscape Irrigat�on System �5. Sound Attenuation �6. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOFOCCUPANCY Date Pl & SPA Inspector AppROVALS Permit # Date 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Ro�gh Plumbing & Pressure Test 57. AePROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, 0 Undrgmd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System�Final - r� 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. ProductPiping�Gas ❑Oil 72. Underground Flush 73. Undergrnd. S[orage 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: \ Inspector