HomeMy WebLinkAbout173 FLOWER ST - Building Permits '' .. + \
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_ - w.�. _ _ Applicant to fill in all spares except those within heavy border lines and sign all appropriate tleclarations~ _ f
•
1'CITV Otif'COSTA MESA. :CONSTRUCTIONj �jPERMIT, P MIT NO. / TppURACT NO. LU N (� UNIT NO, .y ____
Project'redress " 1 /. LIS
45-neje' , "T"S / /, O�f1 9 d •^LI
^, r‘ii Iicu't's Mailing Address ' u S FLbWEP__ STRE-ET TYPE OF CONSTRUCTION NEW U ADD Li ALTERATION REPAIR - -
r� _ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER .1 A.P..#_ - " • Zone
Owrer'a Name I YNN AWN (AMY' LOA-1 eats-63.3i" - tar-- �-'�"- I<Z_
• i DESRIPION OF WOR1U $E OF BLDG.-
Address CA/45R 5T , ME�11In- 7OLC S '(l_n\ (Awl - S Main Building: / f'.t opo424AcceuQriyrBt�lding'.t�I-r ,•.rii i
.. 2
� . Arch/Eng - 2 s ' _J=', 'd.i��nse Zoo
/ If�'j -' TYPE OF PERMIT ' LIGRADING III''-''y�y❑ FOUNDATION El STRUCTURAL .E Frontf�e�� ' o L, ATE. 11/291 1iIME 12:43 ' . O
Address ��• • ' I 6 ' 3 !.t/Q 7 1 r 11'I -1 ❑ TENANT ❑IELEC eRICAL PLUMBING ❑+ MOCHA ICAL B Rear Ii 1 N 1 :P• N ,
r •
Ci 1.! /II LI OTHER • 'r11 f`9 .v(,.'•', 2L, '.tt-c't $ `C �/}(���/, 0��_ .A l
Obntractor's Na'm' ♦ -� ■_ y one C7"IS�73�L' 1 rj f4�_(C Right ( I 14'q/1 N ,
. r r • PROJECT DESCRIPTION SQ. FT. • -- occu PA CV 1
r Addrescense in, 3'73. �� ��1" C• M•' , ( r7 �•s K S/ l-�_ talA- Al O
/,/ !L _ CONSTRUCTION TYPE (V VALUATION $ `. I r $ Left ' ( J �1- JY R
I �ity License No: ► //� _ ' - ZONE - '— --GRADING CU. -ACRES-- - _ "!
'LICENSED CONTRAC OR D 9 ARAT +' a/ . - Y�''1 - -- " ' nnn-.,,l,� Ping. Ref..# d[,�/�- �^ ti Pdrki Req./Provided
-+'//(�,�„ E
I hereby affirm that I am licens, uncle • ovi of Charter 9 (commencing Remarks ?fi C 1...47 �_n_.al Planning Notes: Acy( pp tyr 0p 2;,YJ L �i' r.9 r/ecer. M
with section 7000) of Division 3 o e usiness,a ntl,Professions code, and ' Yl lY� 1 �" (. M ` Zl�� v't 1 S
my license is in full force and effect. . .d 111 \,1'J i/ r7r- 111/
License Class - 'License No. G 4 I (,.(
Date t Signature •- 'r .. P UMBING 1 -,"_.----_^^-- - FEES j I 1 FOR SPECIAL REQUIREMENTS
OR KERS'COMPENSATION DECLARATION I, "- Bar,Sink I Showers • ✓ 2 ELECTRICAL FEE$
ereby affirm that I have a certificate of consent to self-insure-or a'certificate - .
Workers' Compensation Insurance, or a certified,copy'thereof (Section ' '
0, Lab. c.)'' cy _ Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW' .
liNo. Company .. Backflow Irrigation Sewer Cap - Construction Pole Sub.
0 50+KW
Certified copy is hereby furnished. :> , ..ti '
Certified copy,is filed with the city Building.Division; 2. Bathtubs 4t) I Sewer Connection • C•:) - 9 0� Cooking Unit / Meter ❑up to 100 amps ha. .
Date ' Applicant • •
EXEMPTION FROM WORKERS'COMPENSATION DEC LA RATIO N1• > Clarifiers Solar Collectors . Dishwasher Meter Dover 100 amps .
(This section need not be completed if the permit is-for one hundred•($100) or, _
less). - ), I -- ' I Dishwasher r/ Solar Piping .2 r0 Dryers ❑Gas DElectric Sub Panel • . - ,.
I certify that in•the performance of the workgfor which this permit is issued, I '
shall not employ apy person in any manne�o as't ome subject•to the Drinking Fountains Solar Tank - Fan Motors❑0-1 HP.❑1'/s-8 Date.workers' Co pe ds tjpry Laws of Californi - _
R9 Signature • - "'^ Floor Drains Swimming Pool w/Spa F.A.U. ' r
NOTICE:If aft, making this declaration, 0•
should become subject to the - _ Inc.S01ar ❑9-15 HP ❑18-15+
Workers' Compensation provisions of the or Code, you must forthwith Floor Sinks / . Urinal 2 Fixtures •Microwave /
comply with such;provisions or this permit shall be deemed revoked. ` - - ':
50
CONSTRUCTION LENDING AGENCY _ •+ Q CO %i" T---
I
•-/ Gas Servide .�- ,Outlet3 Water Closet ® 'y' ,V •. , Device Boxes /-
T hereby affirm that there whic is a construction lendinge agency for the performance _ Pole "�
of the work for which t is permit is issued (Section '309]1 Civ( C.) .2 CQ `w { j'
• Interceptors' , . , I Water+Heater l�/• 2, :S' Outlets Rangel v- . 3 75
Lender's Name '' ^, y� - r ' t .r
Lender's Address / `�/� _ - I Kitchen Sink '1 Water Service • 2 ta '/ " Switches ,Sign- [ 7S
OWNER BUILDER DECLARATION - ' C; - _ ;
I herebyaffirm that I am exempt from the Contractor's License Law-for the • "'Lavatories, _ ✓ Auto-Wash - -
followig reason (Section 7031.5 Business and Professional Cotle:'Any city or ' - f. GarbageDisposal Standing Sections ` •
county which requires"a permit to construct,alter,improve,demolish or-repair - 4- P—Trap';:'tom Laundry Trays , ,p 001 .� Trash Compactor " • ,
also requires the applicahffor,such,permit-. -'-_1' • - £7 Generator ❑0-5 KW ❑5-15 KW p -
any structure, prior to its issuance, q s _ —f: --, _ .r
to file a signed statement that he/she is licensed pursuant to-the provisions of ' : .Roof Drains -L
erContractor's License Law(Chapter 9(commencing with Section 7000) of - r • _ GM2RGE :-rotAL---
'vision 3 of the Business and Professions Code) or that he/she is exempt--; — _C�s fS
efrom and the basis for the alleged exemption. Any violation of Section- ::/- . - eOIc X I'714 r1 6�. aZ$
1.5 by any applicant for a permit subjects the applicant to a civil^. - - ! l
any of not more than five hundred dollars($500). 3 -__
I, as owner of the property or my employees with wages,as-their sole t Reinspection Fee I• $15 ' Issue Fee $ .'� - J
ompensation, will do the work, and the structure Is not Intended or offered - Reinspection Fee ! $15 'Issue Fee $I S of
11 for sale (Section 7044, Business and Professional Code: The'Contractor's;7 - MECHANICAL FEES •
License Law does not apply to an owner of a property who buildstor Improves" - DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who does such work.himself herself or through hived-her own •• - - 4 Ea
employees, provided that such improvements are not intended or offered for Boiler L I' Hood or Type I in
sale. If, however, the building or improvement Is sold within one year of cam- - Canopy Type II ❑ - Zoning Approved ey - �• /�+ '^""`'L - Date ,//D^ 1 A/��
pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - _ Building Approved By v' 7/ `'y QJ Date 01730/P7
P.r ve•for the purpose of sale). _ /
70 1, as owner of the property,am exclusively contracting with licensed con- Duct-Structural ,.v+ '- Refrigeration System Application Issued By - DatP ///7 Q/8p•
r ctors to construct the project (Section 7044, Business and Professions Code:
-The Contractor's cicense Law does not apply to an owner of property'who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU SUMMARY OF FEES '�r�
• builds or improves thereon,and who contracts for such projects with a con- lJ
tractor(s) license pursuant-to the Contractor's License Law). I am.aware that 3 Exhaust System13 5b BUILDING PERMIT $ 1297 SMTP $ - 1� -
proof of their Worker's Compensation insurance should be provided to me. Multiple 0 System Repair/Alteration
0 1 am ex mpt nder section ' & P.C.for this.reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK $ PERMIT
p _ _ 6 ISSUANCE •
$
Cy�.�� e PLUMBING $ O�
Date. 1�� /•rc-/ Owner Heating System& Ducting Registers - PLAN CHECK 25%' $ ENERGY P.C. $
I -hereby cercithat I have read this' station tate that the above ,, X0-100,000 BTU 0100,000 BTU— - _ 18 W 0 ELECTRICAL- rte_ J'FiRADING $
information is correct. I agree to comply th all city and county ordinances
and state laws re .ting to �iding construction, and hereby authorize repre- . - PLAN CHECK 50% $ 1 MICROFILM $ ��O
sentatives of t- s city t. ter upon the above-mentioned Pr pert for - (B
/^� inspection p -s. "� _ _ •°MECHANICAL $ TOTAL FEE $ �� •
Signature fa -r
�: Reinspection Fee $15 �\ IssuesFae $13 0'b I 'PLAN CHE,(CKK,/25%• $ 9/9.. 62
`46,rev.10/84 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor I- � C,IVr✓7'52> /'
CONSTRUCTION AND-PLANNING iy • .- . POOL& SPA - -
' -� Date • Inspector Date Inspector
APPROVALS Permit#- - +•� APPROVALS' Permit#
it
;.1-.;Temporary Electrical Service or Pole 52. Pool & Equipment Location '
• •
/ . r,
2. Soil Pipe-Undrgrnd. ".:1 42(01,9 (.40 53. Steel.Reinforcement
3. Electrical Conduit Utility-Undrgrnd. ;i "?)jj"9454. Forrhs �`, '1 '
4. Electrical Conduit-Undrgrnd. _ ��
. . qe6 //��_ e J�� 55.. Electrical Bonding i.. •^-+
5. Steel Reinforcement , - ,s 4y,fy A...), 56. Rough Plumbing & Pressure Test t -' .
6i Electrical UFER Grnd. G'.Ai 57. APPROVAL TO COVER-GUNITE I /
• iz�s�/��
7Fooiings I'' I Ft ^' 7 /�� 58. Electrical Conduit-Und rnd..,•;• ^
D/y'171� 9
8:1-Foundation u 59. Gas Pipe, 0 Undr rnd`;Test .,, I
9•WateEPipe-Undrgrnd. G/7/�7�1 (a) '60: 'Backwash Lines, P-Trap,'❑ Undrgrnd.
id. Structural Floor System ' 61. APPROVAL TO DECK.- '2 ' '
1, - ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final' .
. 7
12. Sewer Cap • 63. Heater & Vent-Final '�� ;-�
. f
13. Roof Drains 64. Plumbing System - Final%-• ' /r - I •'y'
14. Rough Plumbing 5,CE No-a s/ioho e.,60 65. Electrical-Final -' - r( � 'J
`
-
15. Rough Electrical-Conduit 66. Solar System-Final ;
(~
16. Rough Electric Wiring '2I^r.ho_`y p,r/{r 'n 67. Fencing & Access Approval ,
:1i7. Rough Wiring Sign ti of N0
Al c 4 e :3 68. APPROVED FOR PLASTERING
-_
Y18. Rough Electrieal-T Bar Ceiling CJ I-,I (1 G2 69. POOL/SPA SYSTEMS FINAL - .
19. Rough [4/eating & Air Conditioning0 9AfPf FIRE DEPT. REQUIREMENT '-'t/., '
ie' r I
20. Rough Factory Fireplace APPROVALS Permit# -
21. Ducts, in Structure 70. Underground Hydro L• .1 -
22. Ducts, Ventilating k 71. Product Piping 0 Gas BOiL•. ' i
23. Gas Pipe-Rough & Test 72. Underground Flush ' ,,7 ^
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 0 Oil
25. Roof Sheathing �2� I
/t 74. Overhead Hydro - _ _ - --
26. T-Bar Ceiling (Structural) &.Monocoat Gl 75. Dry Chemical ---1 ' l
-
27. Frame and Flashing SACC --/: -3-s' - m 76. Dry Standpipe - t .r .`s `
28. Lathing & Siding '�tC 4 2.mo ew/L 77. FIXED SYSTEM FINALc.:_, c . r - '
29. Insulation ' l 78. FIRE PREV. FINAL • .
30. Drywall Nailing SCS 4 4-f Y GL.t (ew IL HEALTH DEPT. REQUIREMENT ., ,
31. Plaster Brown-Coat ff•- 5-O box,/ 79. FINAL INSPECTION _ - .fir
/ LV•r,
32. Electrical Power Meter-Final le( '0; FOOD CERTIFICATE ISSUED _ i '
33. Final Electric " - /Notesrjj."�S"i;�
lop �pL_D 0$ srV-Z' ItEQU1RE
34. Fina'Heatin4& Air Conditioning - ' /Q/p/qd �� ' - : - - ------- I
35. _Fins) Gasgpe-Test .1]of/e• c,c5 7 rgd4 OK 10crony, /6J t t
36. Hood or Canopy 3-i-f--fe,-' p yw--,-t.-Iv. .B,L fen t ik9. _l ✓
_
37. Final Factory Fireplace 117,140 treeh . ,c i �„ - / �J- /:_ '6/- Vii;- ;
38. Final Plumbing /l7 4/Qo La) '?�L3�10 epLe3a. QX- SUBt?cCGrria- I PZIg'- ;SUC•
39: Water Service-Final - to(i Io (a Pan"MSS ,L0.4 `. . . , r: ^_. !•,
40. Gas Service-Final 11011410. to S
41. Solar Domestic-Final - ' h
4-1-449- Dk. at- <r'e bs-vti, Y,�,
7b2 Backflow Preventer IL f
443. Backflow Irrigation )1 i 1
i 44. .Landscape Irrigation System '
••45. Sound Attenuation - p. ttLi�' ; J
`46! Handicap Regulations '1
/✓✓�Jy ter.
447. FINAL STRUCTURE & BUILDING ' ' . r'. ;i!-It7i '''• -'
48/Special Requirements Completed 01Z79/ "--".
. ./ _`(Lj--qj,_ c el-^11t-c---,00:,--K_ o.�- 6 rI/ -
'49' Electric Release to Edison - ' 1 f
�^
50: Gas RdJease to Southern California Gas Co • ' '
51. CERTIFICATE OF;OCCUPANC -N -
o. .; -Date
• _
rj ;�,; _ .. _ T -. ,,.. -_- ---- . 'JI:
CERTIFICATE OF COMPLIA • , - ei
PAYMENT OF SCHOOL FACILITY FEES - •
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
Developer/Applicant : I� 1/ tt`l1\-1 S®Vs .`
Address : 17S r1. a4 e0 57-, Goca Mc414
Telephone Number : 714 6 'c —& 31/
Tract/Parcel and Lot Numberr(�(nns) : /�ZAGI 3'x'7 &LOck .g � ( g
Location of Project : SAL-me
Number of Square Feet of 7 0
Residential Space D x $1 . 50 Total oZ/ 27/7-5.
..�
Number of Square Feet of / ,y-O
Commercial and
Industrial Space x $0. 25 Total
Commercial/Industrial Project is : (Check One)
Mini-storage Motel Preschool
Movie Theater Bank Auto Repair
Racquet/Health Neighborhood Shops Hospital
Warehouses R & D Large Office
Heavy Industrial Hotel Office Bldg.
Regional Shops Medical Office Restaurant,
Light Industrial Office Park Fast Food
The provisions of Government Code Section 53080 are not applicable .
This certifies that the above-named Developer/Applicant has paid school
facility fees in compliance with Government Code Sections 53080 and
65995 .
Checks are to be made payable Newport-Mesa Unified School District .
%ISx
Business Manager
Newport-Mesa Unified School District
The above representation as to square footage is true . Developer/
Applicant agrees that if it is later determined that such representa-
•
tions are not true then this certificate shall automatically terminate
and the appropriate City/County shall be notified .
tt
Date : l /�2-1t7/0qto
�
viper/App scant
• LVAJN (g0l'U5 /2--
. • . .
*TY IA9262STA PME*
Insulation Certificate
Number and Street City
County Subdivision Lot Number
Description of Installation
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
EXTERIOR WALL
Material Brand Name /14 /LL
Thickness(inches) 3 'L" Thermal Resistance(R-Value) //
CEILING
Batt or Blanket Type Nerr5.
. Brand Name IN 470 V/L-1,_g
Thickness(inches) 6 elL " Thermal Resistance(R-Value) 19
Loose Fill Type Brand Name -
Contractor's minimum installed weight/ft2 lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value)
RAISED FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
SLAB FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Width(inches)
FOUNDATION WALL
Material Brand Name
Thickness(inches) 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 Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
Yn1/ aoSc
General Contractor(Builder) /o sthvai . License Number
/
Signature and Title / .Date
.I^ reivtS l/J1s✓L4Jo4 CO. //UG: 301-/
L9Z
Sub-Contractor(Insulation Installer) - License Number
SC& Aorta CCS-77/t i a,J 3 -
Signature and Title Daie
e \
/ Wells Insulation Co., Inc.
/ 'v 7778
11162 Westminster Are. #G Garden Grove.(A 92613
714-530-9530
license # 384692
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
CURRENT ENERGY REGULATIONS,CALIFORNIA ADMINISTRATIVE CODE,TITLE 25,STATE
OF CALIFORNIA,IN THE BUILDING LOCATED AT:
RESIDENCE LOT# TRACT#
STREET 173 FLOWER STREET CITY COSTA MESA
•
EXTERIOR WALLS:
R-
MANUFACTURER p1ANVTT,T,F THICKNESS/TYPE_334VALUE 11
CEILINGS:
BATTS. R_
MANUFACTURER _ NVTT.T.F_ THICKNESS/TYPE_61/2 VALUE_9_
BLOWN IN: MINIMUM R-
MANUFACTURER THICKNESS VALUE
SQUARE FOOTAC;E COVERED NUMBER OF BAGS USED
FLOORS;
R-
MANUFACTURER___ THICKNESS/TYPE VALUE
SLAB ON GRADE: R-
MANUFACTURER THICKNESS/TYPE VALUE
WIDTH OF INSULATION INCHES
FOUNDATION WALLS: R
MANUFACTURER_ THICKNESS/TYPE VALUE.
GENERAL CONTRACTOR _— --� —
CALIFORNIA CONTRACTORS LICENSE # •
DATE
SIGNATURE TITLE
INSULATION CONTRACTOR
CALIFORNIA CONTRACTORS LICENSE #
_DATE_03-30-90
rn�^ IAJ I Sl / , p ,J PRESIDENT
g U f! .
SIGNATURE TITLE
•
FINAL GRAQING CERTIFICATION
Project Address: 1 73 E W wak S GPSTA Mc61 CA-
Lot Number: 2LOCK .43 LCC a
Permit Number: C LIC 1 6/
By Civil Engineer:
• I certify to the satisfactory completion of grading in accordance with the approved plans,
specifications, local and state codes. All drainage devices required by the grading permit,
grading plan and grading ordinance have been installed. Adequate provisions have been made
for drainage of surface water from each building site.
•
The minimums are: •
2% Fall from structures within 5 feet from exterior walls.
1% Fall for asphalt surfaces and landscaped areas.
0.5% Fall for concrete surfaces to approved disposal areas.
The final monuments as shown on the recorded tract map were set. All final grading eleva-
tions are within + 1/10 of the designed elevations. 4 C___a,Srfrre✓r /n1o»urrre e4c- coo 4 C
ea s' sz�e g[74/1e/94.1 '6f de-iiaa2�iracr aha®rente";"? :..•a/pc%ce-
Supervising Civil Engineer A../- /A, Reg. No. r 2/, 9%63Pr Irk tS gnature)
Date 9,V3O/9fa
•
(0,t•
cc No. 21,9.4: 'aI
4c Exp. V */
CIV 47
JT 0F__
STAMP and SIGN
T891<6
Ill
•
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. �
—_-ITY OF COSTA MESA , 'PERMIT NO. . TRACT NO. LOT NO. BLDG.'NO:' . 0930 1 1 /?3i62 .... _ 7.09. l'i
CONSTRUCTION PERMIT ' M a 5626' • ' • `
Project Address 3 �,Q(•lJ / Y - ° • ' . '
•TYPE OF CONSTRUCTI0�11 -
' Owner cyma"' 0(n75- Phon�yS'/3t O NEW 0 ADD ALTERATION .. (y/ s�" '
, Address • ''72- 'PLhw - 5?-; G/vt- • O REPAIR ❑ CONVERSION 0 DEMOLISH ' " 7
Arch/Eng. --- --- — -- . -•License No.. ❑ OTHER• - ZONING REGULATIONS ,•
•
• Address '• - - �'-' ^-- • - -
DESCRIPTION OF WORK - - A.P. "" -i
��� �� � IL IAL a/,Q45P `„'�•, ZONE PLNG:'REF.-t _ _1
Contractor "t/WNrA�.- Phone - , TYPE OF PERMIT _r - - - - BUILDING . . TTpp BULJILDING
.Address '_-"' •""^-' - - - - SETBACK C/LST.- --.- ._ PROPERT.V'•LINL
❑ GRADING ,O-FOUNDATION' 0 STRUCAL SIDE'VARD -
'LICENSED CONTRACTOR.DECLARATION .. "' -LEFT e
❑ TENANT 0 ELECTRICAL.OPLUMBING ECHANICALL.SIDE YARD
I hereby affirm that I am licensed under provisions of Charter 9 (corn- RIGHT - . 1 '
mencing with' section 7000) of ,Division 3. of the -Business and ❑OTHER .- _ . _ ,
Professions Code, and my license Is in full force and effect. - �R EA R.YARD(TO P/L) -
_ '.PROJECT DESCRIPTION Y _ _ _
License Class License No. �. - - PKG. •SPACE REO. ` • PROVIDED C'
Date . . .. Signature . -, _ 54. FT. " - J .111„:
WORKERS'COMPENSATION DECLARATION.. •OCCUPANCY_CONSTRUCTION TYPE "- 'STREET WIDTH PARK FEE$'
I hereby affirm that I have a certificate of consent to self-insure or a ..VALUATION " ZONE - - (ZONING APPROVED BV - - DATE _.
,i*rtificate of Workers'-•Compensation--Insurance, or a certified copy . . - . . . -- - . ._, SPECIAL CONDITIONS: - , ,
g.,-,ereof (Section 3800, Lab,C.). GRADING CU.YDS. ACRES
_ Company... , .-- - _. . _ . • - ,.
JJ Certified copy.is hereby.furnished, - -.. . :.'REMARKS: - • .. - _ - -
0 Certified copy is filed with the city Building Division.
EXEMPTION-FROM'WORKERS' COMPENSATION DECLARATION 44 '"' . ' - - - -
(This section.need-not be Completed if the permit is_f or one hundred _ _ _ - _ _
($100) or less). .. _ -_ . - _ « � •. .,
I.certify,that in t a performance of the/ ork for ich this permit is
•
issued, I s II no employ any person • any anus so as to become PLUMBING: p ''.PLAN CHECK ' - , t _ • ELECTRICAL -' • —4 - PLAN CHECK,
sgbjeCLiO W er 'Com pens WS O 'Gi' •rola. _ - _ • .UWLLLING -w .- • . GARAL,E
' .Date / lgnatu• --S��- BATHTUBS SHOWERS .. - 50 FT - , SO FT
NOTICE: If at Cr making this larati•n, you" d become subject .TOILETS s , ;.URINALS " - ,GENERATOR - 0-1 KW 1-10'.KW
to the Workers' Compensation pr•vis to s of the Labor Code,you must TRANSFORMER - _
forthwith comply with such provi-'on or this permit shall be deemed LAVATORIES DOUBLE LAYS , - ',APPLIANCE 10-50'KW - ' 50-4 KW --�7- • -_ ,
Y ^
KIT.SINKS " DISHWASHERS - " 'MOTORS
CONSTRUCTION LENDING AGENCY - ' 0=1'HP_1+30 HP -'
. ! . . , ,.c
.I hereby affirm that there is a construction itiilending agency for the per- SERVICE SINKS. • .SUMPS -
formance of the work for which this permit.is issued (Section 3097 - ..
NO�cC • FLOOR SINKS - - • - FLOOR DRAINS':- '. :FIXTURES OUTLETS -" SWITCHES "'" "'-" '-""'
- 'Lender's Name
•
„Leeder's Address DRINKING FOUNTAINS j(
., rGAS TUBE SIGNS ' - •
OWNER'BUIL'DER DECLARATION' ---' - ----- - --- •---
INTERCEPTORS -- •CLARIFIERS - - . - -;POLE LIGHTS - " ' - ' '" '
I hereby affirm that I am exempt from the Contractor's License Law for -- -' - -' I )'' ' ! '
the following reasonrcounty(Section 7031,5' Business and-Professions Code: SWIMMING'POOL P-TRAP - .. POLES Hut„IIUN._.
Any city or county which requires a permit to construct, alter, - •POLES METERED SUB improve,-demolishuires or'repair any structure:prior to its issuance,also re- WATER SERVICE - ALTERATION . 'PANELS -" - MAIN -5UB'"• - .
quires the.ap,licant for such permit to file a signed statement that he • . .
is licensed pursuant to the provisions'of the Contractor's License Law - GAS SERVICE' - OUTLETS • - 'SERVICE _ AMP
iiifChapter 9 (commencing with Section 7000) of Division 3 of the - - '
5iness antl Pllegedonempti ) or-that he is exempt therefrom and the "'WATER HEATERS' BTU'O UTPUT "'" " - - '-
is f the alleged exemption. Any violation of Section 7031.5 by ^ - ' - - _ :2',..-:::::.41 -
• pllcanY•for-a per mit-subjects the a pplicanbto a civil'penalty- "":SEW ER'CONNECTIO NS
of Ot more than flue hundred dollars ($500). -
I, as owner of the'property, -- - - - 'r SOLAR TANK COLLECTORS'" - - - ' - - „tLr.':. -
1 ��i" .mmrw-.a•n-- will do the w rk,and the structure is not intended - ,
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. , - ISSUE FEE - n+
"_Contractor's.License Law.does not apply:to an owner of a property ' APPLICATION APPROVED BY DATE Vt
who builds or improves thereon, and who does such work himself or ' ISSUE FEE - I' - - ----11 ' (�
through.his own employees, provided,that such improvements are not
intended or offered for sale. If, however, the building or improvement - """ .„ " ' •`
MECHANICAL PLAN-CHECK - - SUMMARY OF,.FEES:_.,•,;:.
is sold Wng he nr of completion, the owner t will have rpo the burden v-�
sof proving he did not build or improve for the purpose of sale). BUICDING - •� -
❑ I; as •owner- of. theproperty,-am•exclusively contracting with HEATING SYSTEM 0-100,000 Bl"U ' 'PERMIT --
licensed contractors to construct the project (Section 7044, Business AND DUCTING'
100,000 +BTU PLAN CHECK' $ - PERMIT
and Professions-Code:ofpertTho builds or I LicenseoveLaw does a not apply to G; _ _ ._ - _ _. - .. .ISSUANCE $
-tr owner of property who builds c Improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ n
the C from r$ insuch-projects with a contractor(5) licesned .pursuant.to SYSTEM - - - - - ' - - -• GRAD" • " -
• 'the Contractor's License Law). 300,000+BTU iPLAN CHECK $ •- _ '
•I 0 I am exeinpt udder Section ' - ' B:&'P.C.for this - - -
' - BOILERS BTU 'ELECTRICAL $
reason 4 - 'MICROFILMSr'
SYSTEM REPAIR,ALTERATION
PLANCHECK $ o
Date _ Owner ' - ,_�/ ,O°',';• .TOTAL ••
I herebythat I have read this EXHAU_ST SYSTEM MULTIPLE [ MECHANICAL"$ / - - ,
certifycoml application and state that the_ above LESS'AO-
-indinancion is rrect a• ee9 to comply with all city and-county , Cs - O0 PLAN'CHECK $" VANCE PC •$_ - '
ordinances and a law rel. in to construction,and her_ autho ize
represen[a[I this - tq enter upon the above enti ed WE.
- O
property too roses, ,_ - /¢� La-!10 •2 e ' -• - .. Q
Signature Ps���_ " _ Date //Z '2. • FINAL FEE 36_7
Drivers' L7 or SS* " �. ISSUE FEE- - -.... 300 - _ . - . .. . .. ,. _. .. ._
CMF 0865-46 White-Building;Canary-Applicant; Pink.Accounting;Goldenrod-Assessor
I
CONSTRUCTION AND PLANNING POOL&SPA , •
APPROVALS Permit# Date Inspector -- ' - , • - •• -Date Inspector
�l .'S�2 j. .APPROVALS Permit#'
-
1, Temporary Electrical Service or Pole "` j 43. Pool & Equipment Location- - _ _
2. Soil Pipe•Undrgrn44. Steel Reinforcement - - ` -
_3. Electrical Conduit Utility:Undrgrn _ . - _, 45. Forms -•
- - -
4. _Electrical Conduit-Undrgrn .. . _ . . - - '.. 46: __Electrical;Bonding - - --
5. Steel Hemforce • •_ 47. Rough Plumbing & Pressure Test - ••
- - •-
6. Electrical UFER Grn .. _ " ' ._ 48. APPROVAL TO COVER-GUNITE - -
.7. Footings49. Electrical Conduit-Undrgrn - - -
8. Foundation. . . .._ _ - 50. Gas Pipe, LI Undrgrn,Test ' - •
9. Water Pipe-Undrgrn _ :`.... ' 51.• Backwash Lines.P•Trap. ❑ Undrgrn •
-
10. Structural Floor System ,. 52. APPROVAL TO DECK .
11.. Property Sewer Line & House Connection. '.. . . . . -53. _Backwash & Receptor-Final - '
12. Street Sewer Connection . - . - - • - 54. Heater& Vent-Final
13. - Rough Plumbing .. •- .- - • 55 Plumbing'Svstem•= Final •
14. Rough Electric-Conduit - -- - - - - - :56. Electrical-Final - - .
15. Rough Electric-Wiring• - .. • - 57. - Solar Fencing &Access Approval Solar System-Final- - - , -.-
16.-- Rough Heating&-An-�Eondi;inning-hpy�l,j�tn f9Q
�- - 3 ��y�•• - -
17: Ducts, in Structure . . _ _ . 59. APPROVED-FOR PLASTERING _....=. .. "'• . .
-18. Ducts, Ventilating - . . . _. - _ ' - ,. . _ . _ - ..
' 19: Gas Pipe-Rough &Test - . . . . - 60. POOL/SPA SYSTEMS FINAL • I" ' ,•, ,;. • ✓' ;„ ... .
-_20: Roof Framing . - . - _ - . . - _ _ _. - - ' . - .- '
21. Roof Sheathing. - ' ' . .. -
22. Frame and Flashing - .- - - . . , . _ _ NOTES • • • -. •
. .
23:- Insulation . .. _ .. _ _. _.'.'. .
24: -- Lathing& Siding . _ - . . _ _- .. - - - . - • .
25. Drywall Nailing - - ,
26.- Plaster Brown Coat . . ' ' - _ _
27: Electrical Power.Meter-Final . .. . _ - • -
•28: •Final-Electric r . - i - ' _
29.---Final Heating-&Air Conditioning . . - - - - - - - , . -
30. Final Gas Pipe-Test ..
. . r.,�..,.. �,,,,N- -...,
31. Final Plumbing.. _ - • .
- ' 32:- WaterService-Final--•- - .. . _ _ - - - - , - .
-33. ,' Gas Service-Final _ . . . . ,. .
34. Solar Domestic Final '
35.- -Landscape Sprinkling System . t . .
36. Sound Attenuation - - • '
37. Handicap Regulations .. . - -- _ _ o .,r1 :
_
' 38. FINALSTRUCTURE & BUILDING ' . - , c -•
-
' 39. Special Requirements Completed '' ' • --_. . -
40. Electric Release-,to Edison• • - I _. - • - -- - •--- - __ _ _._ e
I. 41. Gas Release to Southern California Gas Co: - _ ..
42. CERTIFICATE OF OCCUPANCY : •'
No Date I• - _ _