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HomeMy WebLinkAbout170 FAIRHAVEN LN - Building Permits _ 7015 4/j8% 79 102.34 IL; COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED BY PERMIT nil For Applicant �jt'o�Fill in Completely —Use Ink Only ^� q ADDRESSG I Ill - 0. 3 � , A.P. NO. /9/ —t7/1 — 2 7 OWNER OR 66b ` ,�,//�� ADDRESS ,,O Ci.LIBN CA , TENANT �� �� ) � {., UNIT OR /1 ( /// ,,, MAILINGA SPACE ADDRESS I � D G� . }}}�[��S��r T1RACE NO. LOT BLK. TECITY I lJJ,1 U_c`IDZ7f NO. ✓�I% 11 NEW ADD 2 CONSTRUCTION NEW ALTER REPAIR MOVING DEMOLISH LENDER r/ BRANCH OWNER,//Via() /JXJC//4-rt&S ADDRESS ',f/ 'A p VALUE �-�( ARCHITECT TEL. 213 USE ({.y G/�/C s.�7�9f/// - OR ENGINEER Isz::' r .: N•. 7 __=-_ �J / ADDRESS-TOSS Sj 9 o5o5 ZONE �G 3 TYPE TrGROUP 1 II1 , A, ��p APPROVED CONTRACTOR C t W r 410 1,JW 1 //Are , BY DATE ADDRESS 4 R� b ( AAJ YYYYYY KK.\ TEL 3 F+ STATECITY I 1 S qn7 7�'C IT VO t 1C APPROVED SETBACKS LIC. NO. .Z I1 /_f>f1 LIC.NO. tag SIZE ) ttw NO.OF BLDG& (FROM C(y57$EET)n 0. OF LOT 3©X(01 NOW ON LOT Pr.) FRONT V< .-)FT.�Js(s^.�/'A yUSE OF rn EXISTING BLDG. R SIDE J v FT. /[/KnV�LjI/.nV-^W w F.-icn Z v s�.�YC Separate permits are required for L.SIDE FT, _ G electric,plumbing and heating work. REAR /1 /f IW. .. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION 1�..�v a A�� fn �� b y� In In 51 I PA-hnA.4 �tULA} A/Ikq �f- 787--/e/c1 APPROVED &A .7�.G7 . } I a l lJ '^T. - �Y R,�„lj.., ^ Pt�i DATE�(< /�f ,'iI a La 0 I hereby acknowledge that I have read this application and state a that the above Information is correct and agree to comply with 0. all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of U / / // u S the State of California. X6.50 SQ. FT.�EC1(�(p �/ '�/7 ico N 3 I hereby certify that I am properly licensed as a contractor underD \ the State of Calif.rn . Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and at s h licenses - In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am exempt fro the p isi.no t e State of California Business VALUATION PERMIT FEE $ Y m 1\ and Professions ode, • hi•' t h..ter 9. Signature of II9 PLAN CHECK $ �0 o Permittee ii. $c53/71 �/ (� TAX $ 31 cry Authorized Agent Date a / TOTAL PAID $ QZ OWNER FAIRVIEW ASSOC. DATE 8-19-79 JOB ADDRESS 170 Fairhaven Lane BUILDING PERMIT NO. 47879 GENERAL CONTRACTO C. W. Howe DESCRIPTION of WORK Res w/ Gar AP No. 141-711-24 OT . TRACT 10522 FIRE ZONE VALUE S 54,900.00 INSPECTIONS Signature Date TYPE V GROUP ,J & J ZONE R3 SOIL PERMITS ISSLED GAS SUBCONTRACTOR WATER- Date Number Signature �e Plumbing_ ��� ROUGH PLUMBING I�-I $_t1' /-,7-70 Ain, a i._..C.Nti f-a/7A 767fy '' PROP. SWR. LINE f-}HOUSE CON. LJ SPRINKLING SYSTEM '�Y{-� ff MISCELLANEOUS I1JS caJUJ T.»./ I}(�5 ...7.7-Q.12ROUGH HEATING AND AIR CONDITIONING (Ger j-ir-ro . TEMPORARY SERVICE OR POLE ••! UNDERGROUND ❑ POWER 0 ROUGH WIRING C ^. 12.20 ')1 Heating and Vent. TRENCHES I J FORMS STEEL REINF. 1 �P�J,� t\ie`N e a e (tJC. c I h Sari FLOOR SYSTEM ^ �,/y )y : ;Y A/� 1_76. `75 'J /- SHEATHING BOND BEAM 7 STEEL REINFORCE t J IrC/�y'NI"/� / �I�r � .1_76.4v,7,55,JZ' SHEATHING ' 1 FRAME ANO FLASHI . ---w. °Yr. LATHING , IN r,' OUT r • 07• , /��/.� -22-(x0 PLASTER. BROWN'COAT .. 3-13-. O _ STRUCTURAL, FINAL ���� !��l 1..2B_21 Electric • �,r, HEATING. VENT.. REFRIG. AND A.C., FINAL NJ F''if'f/ WLB[3 f3 GL4 cT— 12.-i9-7 "1ls' ` Z. — PLUMBING. FINAL AND GAS TEST n ^� r 1-14.J7 ELECTRIC. FINAL C'_ C 4,22-51 • BUILDING. FINAL 1 vanAN I - `� ' 9 CITY OF COSTA MESA BUILDING DIVISION ).• •.- -,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER b. 1PERMIT �4. irigt P05-00131 env (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 170 FAIRHAVEN LN Status: ISSUED Suite No Applied: 02/11/2005 Issued: 02/16/2005 Vicinity: • �' 1 ISSUED BY: - [ !�v Parcel Nunmber: 41914228 Applicant: COAST ROOTER PLUMBING HTG & NC Address: 17390 MT CLIFFWOOD Phone: (714)241-1414 FOUNTAIN VALLEY Zip: 92708 Owner: MAC DONALD, DONALD Address 170 FAIRHAVEN LN Phone: COSTA MESA,CA Zip: 92626 Contractor: COAST ROOTER PLUMBING HTG &NC Address: 17390 MT CLIFFWOOD Phone: (714)241-1414 FOUNTAIN VALLEY Zip: 92708 License: 529127 SCOPE OF PERMIT WATER HEATER CHANGE OUT. FEE SUMMARY AMT QTY AMT QTY AMT OTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 . Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 } Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 _ 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 ' Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if 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 all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446.48(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. (OnI jiave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: rCC�aarriec—S-rP ra �--x.J r-A Po Cy.Numbe \,�a 85 St) -2-004 LyYn's section need not be completed it the permit is valued et one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,andaaree t at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall fdrthwlth comply with these provi I s._ (( 1 ApPII SipneTuie:'--. ,roars:""^^-.. '7..\L lot O C WARNING:FAILURE TO SECURE WO K RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I a icensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force and effect.LIc--Y-A Sti L t-1 � I Class.� C '3 (p Contractor;sSlgnature:^- tvn.�... Dater 2\t Lo I o S CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit ' subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 WIII the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code.with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No ..... ppi ant or present 5 Does or will the oast Air u present ar future building occupant at other for the work which is the subject this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? J Yes �No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. a ♦ _ srwilia eget Owner(s) Date tit 2_\ (0 o ndl•r uthoii±ed Applicant r- Date CODE 0 INSPECTIONTYPE gag IMTTUL£ CDDE. INSPECTIONTYPE prig MALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing —,s-a 6 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ADDRESS OFBIALDOIG: 170 FAIRHAVEN LN UMT: CITY OF COSTA MESA — BUILDING PERMIT . OWNERS NAME IFIWOSN: MAC DONALD, DONALD PERM NO: P 073587 ADDRESS: 170 FAIRHAVEN LN I COSTA MESA, CA 92626 l6 d PERMIT NO: P 073587 PLAN CHECK NO: N GOVT: N SUPP: N APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: REP ARCHITECT OR ENGINEER: 13C.N0.: JOB DESCRIPTION : DISHWASHER CHANGE OUT SQ FT: ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / CONTRACTOR'S NAME: NOCK PLUMBING ( 714 ) 895-1246 CONTRACTOR'SMMUNG 11610 SEABOARD CIR COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT moms: STANTON CA ucHD_ 511971 *********Rr*it* *****SERENE*SFifSE*RF*RFRF*SF*RE**SFRFRFRERE****+FxRFx*** RF**RERF ******RF*RF+A*****RF*RE* 90680 Mk Z ON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby alum under penalty of perjury that I am Icansed under provisions of Chapter 9 S E T .B A C K S (commencing with Section 7000)of Division 3 a the Business and Professions Code,and my liana is in full force and effect. CITY UC.No.: 050 86 uc.cuss: C-36 uc.No.: 51 971 EXP: 02/96 MAIN BUILDING ACCESSORY BUILDING e� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN 7� 2 Contractor: Pw,Voi LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 1 WN BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors license Law for the So Meath(smion7031.5Bonen end Professions Code:Any thy or county whim requires a panne to construct,alter,improve, PARKING REQ: PROV: PARCEL: 41914228 ZNE: REF NO: eh,or teeth any structure,prior to Es issuance.abo requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> 'censed pursuant io the provisions d the Contractors license Law[Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code]or that he or the is exempt therefrom and the basis for the alleged exemption.My violation of Soden > 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more then five hundred dollars 1$500]). ******************************************************************************* ❑ L as owner of thepraeny or my employeesw1h wages es their sole cermpensation,wll doche work.end the structure is not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business end Professions Code:The C«eradors License Lawdas not apply to an owner of property who bolds or improves thereon,and who does such work limed or horse.or through his or her own employees.provided that such improvements ere not intended or offered for sale.H,however,the heisting or improvement is sod year of one yeof completion,the ZONING APPROVED BY DATE: owner builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ L as owner of the property.em exclusively contracting with licensed contractors to anAtud the project(Section 7044.Business end BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner of property who builds Or improves thereon and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). ❑ lern exempt under Section: B.&P.C.,for this reason: APPLICATION ISSUED BY: DATE: ----tulle' ************************************* * ************************* ** Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 25531.and that l«any future building ooapmt will/wet not(circle ons)need to comply with said state codas and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING aar�9ora Ons.permit fnstructionor modification from the As Quality Management District.Residential construction applications these cati« aexempt from PERMIT 7 , 00 Date: Applicant: 25% SM I P/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:1 Mreby affirm under penalty of perjury one of the foldvdgdedwatkxu: ISSUE FEE 20 . 00 I have ant Ml maintain a certificated consent loself-insure for worked compensation,as provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.for the performance of the work for which this permit islna.d. TOTALS----> 7 . 00 20 .00 0 . 00 27. 00 27 . 00 . 00 end veil mantels workers'compensation insurance,as required by Section 3700 of the Labor Code.for the performance of the for whim the panne is issued.My vnorkra'compensation insurance Amer and policy number era: Caner: STATE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 27. 00 OVER/SHORT: . 00 Policy Number: 1167992-95 03/18 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need non be completM 1 tet peon)is Au one hundred dollars MOO)or ion.) 27. 00 O I ant))that in the performance of the work for which this permit b issued,I shall not employ any person In any manner so as to subject to the workers'compensation laws of California.and agree that that ', thhoud bacome abect to the workers' *************************************************************** **************** c man sofSed/VBG of the Labor Code,I Mcomply prom s. INDIVIDUAL F E E BREAKDOWN eta: Applicant: /t_ ming:Faflu to secure workers'compensation coverage la unlewlu(end shell subject an employer to criminal penalties an PE QTY DESCRIPTIO N UNIT COST TOTAL COST vll Nos up to one hundred thousand dollars($104000k In addition to the cost o/compensation,damages as provided for/n Section 3706 of Me Labor Code,Intent,and allomeyi fees. PLU 1 DISHWASHER 7 . 00 7 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a comtnaion lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and date that the above information is affect.I agree 10 amply with all city end county ordinances EX I D and laws relatingto toeing construction end hereby auWorrserepasentetivesaMb thy to enter upon the shwa-mentioned property P ' 1ED for inspection purpose.. '1\p(//, 1/ON NICK DATE .. .,,,,,.:-.. .,,,,,.:.. .,,,,,.:-,_,,„-27351 TOT' Arra''fppian.,... tea.' .. .,,,,,.:-,_,,„-27351DATE. o3': = Tfl : o?:18 (5151-46.WP) White-Building i S.ey:Gree wary-Appian;Pink-Revenue;Goldenrod-Assessor r lir r CONSTRUCTION AND PLANNING PO' S SPA - r 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 �1. 'Atr 'lectrical Condit`ttA-Usality-Undrgrnd. 54. Forms ,` • , 4. Electrical Conduit_Updrgrnd. -• 55. Electrical Bonding ,� r r •- ..;Steel Reinforceri*GLtt:j 56. Rough Plumbing & Pressuje Test - :;:r rElectricalUFEFF-CInd. 57. APPROVAL TO COVER-GUNITE 1 _ e.:.4.- , 5,,.Footings __,..t, • 58. Electrical Condu ,Undrgrnd. r '^:8. Foundation = co '0 59. Gas Pipe, 0 UndLgrnd., Test ' .ST-Water Pipe-Undrgrrid. ° 60. Backwash Lines, ir,Trap, 0 Uhdrgrnd. 10. Structural Floor System �, 61. APPROVAL TO BECK `- I tf II 11. Property Sewer Lined& HoustrCorinection 62. Backwash & Receptor-Final 1 j 12. Sewer Cap 63. Heater& Vent-Final • 1 13. Roof Drains 64. Plumbing System - Final 14:Rough Plumbing.. t: . - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar Svstem-F aaI 1 Y ' 16. Rough Electric 7diriLt�g - 67. Fencing & AccessApproval ' 17. Rough Wiring Sign ' -i- 68. APPROVED FiQR-PLASTERING - •- i I. , 18. Rough Electrica�T Bar Ceiling - 69. POOL/SPA SYSTEMS ANAL,, 19. Rough Heating & Air Conditioning r", * ` Cr �� - FIRE DEPT,.j$EQUIREMENN�T c 20. lough Factor Fide"lace ' =t? Ste��; ' H c* `' APP DV�L Permit # Q s Q,r % w . S C. 21. Ducts; incStrdtturB7r 1 •• •• `=' r = _ '-1"" 70.�Under�'ryU d Hydro * I 22. Ducts' V8iltilatintf'* C" x > Q* % r•r i, _- „ a - ,J c-.y 71. Produ,'¢INin9 C.4as Oil J 23. Gas Pape-Rough & Test r_ F m T ' s r 72. Undergr6uhd P-ttk„A r 'J !4• F• -.r• - - t - --0.. -- 24. Roof=Framing' :..t.' ' - "' - t ` 'r ,r *- _• r, ,..,» :1 742 Undergrfiii.Stq:,giye Tank O Gas ❑Oil 4;,j 25. Roof Sheathing E-, - a : m* 7tL. Overhead Hydre 1'••-•": 1 26. T-Bar-Ceiling (StrEiwal) & Pfeocoat t _ x ` ;71* 7(, Dry Cher�tical [...4„- q r - - sr- 27. Frame and Flashiry, j.a T t. t. >, r t 76. Dry St x - • : - in ;� •`• � z , Er• 28. Lattiing&Sid ' M ' 7FIXEDSi-$TGl ,NAt. _ 29. Insulation •• x S •• ' ' Y 7$ FIRE REV. FINIAL ,a -'' "'• 30. Drywall tailing 3' 4_ F, s �`;� _;;L14EALTiiDE4.-REGIJIREMENT 31. Plaster Brawl-Coat -r-r. . z n• I `"" ' 1 ) I_ 5 79. FINAL CNSPECT'tON s 32. Electrical'Pov+1-r tv1Ei`er Fi,tnal + rr 8EC FOOD CERTIF-ICATE I SLJED ' t. r. - 33. rina6.Electric ,m• x _ Notes: '- .1� * ., ti S: t•. t"... ... .. ,� ,, r r ` 34. •FinaEHeating_& Alt Concitionigr r ¢•' :1 ,� ..n :-at a - ti 35. --Final Gas_Pipe-Teii . .. $ „ a•- ;,;C) c-1., t 3 s; 36. Hood+or Canopy '* L. T-' a * 1 --n a ^� rr T 4. r t '-1 C7 it G. �'x 2t 37, Final.FaMory Fireplace - = r- _ a, It - 38. FinatPlumbing Z^ 't' • .a y a x K- r; Z: - f 39. Water Service-Fink': Ft cc T. ,71 40. Gas Service-Final * ", 4t"" ' t'f * _ - - ':, x t., - c:X 41. Solar Domestic-Fina: = ` '- ; t,, �'`.�- R 42. Backflow Preventer . i1 . ,n • r `-• cr 43. Backf low Irrigation , -. r A -' a C • 44. Landscape Irrigation System-•'ma -4:. : " T. ^ 'C r, & pJ -C * Ci o :45. Sound Attenuation, - r•* T '. r ,. e ,d6. Handicap•Regulatioris ,- '+' _4,7. FIN, i STRUCTURr & BUILDING ' -• - •,. F ` 48. FINS-L PLANNING* i--i-a * ru i Y 7'1 `t t F 49. 'ElectFic Release to Edison , • '* ` - Jr :50. Gas Release to Southern California-Gas Co • =t+ - •• �t_I - ., -- _ , - • •-• 51. CERTIFICATE OF OCCUPANCY t, . 1 - ( `T' ' ^ t No. Date