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Home My WebLink About329 FLOWER ST - Building Permits(714) 754-5273 • Fax (7i4) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 329 FLOWERST Suite: Vicinity: THROUGH OUT HOUSE Primary Occ: R3 � Parcel Number: 11725317 Applicam: BRADY, TIM Address: 17740 CRUSADER AVENUE Type of Construclion: V-N Zoning: CERRITOS, CA Owner: HOFFMAN, LEANNE Address 329 FLOWER ST COSTA MESA, CA Contrador. WEST COAST VINYL WINDOWS Address: 17740 CRUSADER AVENUE - � �CERRITOS,CA= � Zip: 90703 Arch : Address: Zip: Phone: License: Phone: 800-2043854 Zip: 90703 Phone: 714-540-4433 Zip: 92627 Phone: 800-204-3854 License: 826970 Eng: Address: ISSUED BY: Status: ISSUED Applied: 06/09/2006 Issued: 06/09/2006 Phone: License: � - �� - SGOPE OF PERMI i � STUCCO CHIP 14 WINDOWS CHANGE OUT LIKE FOR LIKE FOR SFD. WINDOWS TO MEET 1997 UBC EGRESS REQUIREMENTS. FEE SUMMARY Plan Check: $0.00 - , Calc Valuation: S�,000.00 Permit: $13925 Claim Valuation: S�,000.00 SMIP Res: $0.70 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 — - -- Total: $139.95 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 Rear .0-0 Lek 0-0 Right 0-0 ACCESSORY Front 0-0 .,-. Rear 0-0 � Left 0-0 Right 0-0 PARKING Existin i 0 Re uired: 0 Pr000sed: 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required InapecNons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm under penalry oi perjury one ot ihe tollowing declarations: ❑ I have end will maintain a certifiwte ot consent b self-Insure tor workers' compensation, es provided for by section 3700 of tha Labor Code, for the peAormence of Iha wark lor which this permil is issued. � Q�I'have end will maintain worke(s' compensation insurance, as required by section 3700 of tha Labor Cotle, for ihe pedortnance ot tha work for which this pertnit is issuad. -z My�iorkers' compensation InSurance�c`a rrienr antl policy number are: �. /�, C� C3Rier��mP ��l (2 � FJr/C� PoliCy'Number:+� [l0�"U l��0 7This section need not be cromaleted �� the pelmif is velued at one hundred tlollars ($f 00) or IessJ ❑ I cenity Ihat in ihe pertormance of ihe work for which this pertnit is issueq I shall not employ any person in any manner so as to becoma suDject to tha workers' compensetion laws ol Calitomia n gree that il I should become sublect to the workers' compensation provisions of Section 3700 ot the Labor Code, I shall forthwith comply with these provi � /� /� MPAcan69tgnaWre: � Da[e: (� "—�—�(�-, WARNING:FM6URE TO SECURE WO ��ERS' COtdPENSATIqJ COVERAGE IS UNLAWFIIL AND SHP1l SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED T/IOUSAND DOLLARE (5100,000), IN ADORION TO THE CQST OF COMPENSAiION, DAMAGES AS PROVIDED FOR IN SECiION 3]Ofi OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSEU CON7RACTORS DEC4ARATION: 1 hereby aflirm that I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Protessions Code, and my licanse is in full f�rce.aad�etlect>Lic.g � Classtl �"�`J ,�ontrectofs Slgnat�� D yate --�(o � ��% CONSTRUCTION LENDING AGENCV: ❑ I hereby affirm that t�ere is a Gonsiruction lending agency for the perfortnance of the work for which ihis pertnit is issued. (Sec. 3097. Civil Code). Lentlers Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I �ereby aflirtn that under penalry ot perjury that I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe tollowing reason (SecJ031.5, Business antl Professions Cotle: Any city or counry which req��res e permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires ihe applicant for such pertnit to tile a signed statement that he or she Is licensed pursuant to the provisions of �he Contractors License Law (Ghapter 9(commencing with Section 7000) of Division 3 ot Ihe Business end Profeuions Code) o� Ihet he or she is eaempt therefrom an� t�e hasis for Ihe allegad ezemption. Any violation of Saction 7031.5 by eny applicant tor a permit sublecis the applicant to e civil pen2lry of not more than five hundred dollars ($500).): ❑ I, as owner of Ihe properiy, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and Ihe siructure Is not intended or oflaretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of property who builds or improves (hereon, and who does such work himsetl or hersetl or ihrough h�s or her own employees, provitled that such improvements are not intendetl or oHered for sale. If, however, the building or improvement is sold within one year ot comple�ion, the owner�builtler will have the burden of proving tha� ha or she ditl not buld or improve for purpose of sale.). ❑ I, as owner of the property, arq EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Professions Cotle: The coniractors LicensB Lew does not epply ro an owner of pmperty who builds or Impmves ihereon, antl who comracis for such project wi�h a contractor(s) license pursuant to ihe Comractors License Laws.). ❑ I am ezempt under sec. Business and Profewions Cotle for ihis reason: SiqnaWre: Date: _ Owner ID venfietl 6y dnver s license. ❑ Ves ❑ No Drivers License No. Expires: Veritiwtion o1 Ownership by (type o� tlocument, i.e. - property tax bitl or tleetl)�. DIVISION OF INDUSTRIAL SAFET�' PERMIT CERTIFICATION: ❑ I hereby certify ihai no excava�ion five (5) or more feet in depih into which a person is raquiretl to tlescend, will be made in connection with work authorized by �his permi�, antl Ihat no builtling s�Ncture, scattolding, falsework, or demolition or tlismantling thereot, will be more Ihan thirty-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit trom the Division of Industnal Safery, as noted above, unless such person hes e permi� to tlo such work irom ine tlivision. Signature: Date: Division of IntlusMal Satery Permit Number. CER7IFICATE OF COMPLIANCE AND AUTHOpIZA710N OF ENTRY: I cenih/ under penalry of perjury that I have reatl this application antl s�ate ihat the information given is correct. I agree to comply with all state laws antl ci�y ordinances relating to building constmctioq antl authorize representatives of Ihe City of Costa Mesa to enter upon ihe above-described properry tor inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this permi� until final inspection. Legal CODE 11, INSPEGTIONTYPE Q9IE IMRIALS 1616 Fixetl System Final Fire Pre�ention 1266 200 201 Pool Spa Final Final Ra-Root Flnel BIocWRetaining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Finel Demolition DEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinyOccupancy D�TE INTtfIRLS � Applicanl to fill in all spaces wilnin haavy bortler lines anE.sign all a]V�opriate Eeclantions. ' . � CIT` �"`CO$5'A MESA � � Pe i No '- � - - � . . . �y�y7 T � - I �. , � , � TRACT NO. LOl' NO. �� BLDG. NO. � - �ON�UCTION PERMIT E o � � � ''� L030'- 2%04/83 �' 9040 TL ProlectAddress - - ' ; _ - ' � , ^'' � ., ' / T�- TVPE OF CONSTRUCTION��. OWner PhOne . ❑.NEW� ,�,A�D ❑ ALTERATION �. , ' . . _ , Addre55 � � ' ' � � ' O REPAIR ❑�CONVERSION ❑DEMOLISH � " ' � ZONING REGULATIONS `� " /�., Arch/Eng. � � License No.. . . . ❑ oTHEa � - ' - A.P. � . . - . -, , � �J � DESCRIPTION OF WORK � Address ' _ , , . . � � t' . . . i'}' ; .ZONE PLNG. REF. � � 'Controttor � ,� -f- Phone';f - 0' �TVPEOFPERMIT.' '�� ' o peU i�DING \ Addre55 _ , , . , �, �. . . •- - � • --` •SETBACK � T. �ROPERTYLINE � '1� 1' ❑ GRADINGb ❑ FOUNDATION ❑ STRUCTURAL I E VARD � LICENSED CONTRACTOR DECLARATION" �- � �. � , � 7ENANT�ye�ELECTRICAL OPLUMBING ❑MECHANICA 9IOE V � . . , • � I.hereby aftirm that I.am licansetl untler provisionspf Charter 9(com- . _ . ., _ _. . _ RIGHT mencing wlth sectlon ]000) of Division 3 0( tha Business antl � ��OTHER �- � � ' PrOfes5ion5 Cotle, antl my Iltense is in tull force antl eff t. REAR VARD (TO P/L) • � -� 'PROJECTDESCRIPTION ` Q '. .. . . � Litense Clayss-�� l �' ��o� �� ' ,; , ' ' ' PKG. SPACE REQ. � PROVIDED Date7 ' .� 519nature,�q - SQ. �� " " � ' . ' � STREET WIDTH PARK FEE $ WORKERS' COMPENSATION OE� LARATION - - ' ' OCCUPANCY=CONSTRUCTION'TVPE ' -- ' I hereby afflrm that I have a certiflcate of consent to self-insure or_a VALUATION � ' ZONE - • ZONING APPROVED BV .� .} DATE certifiwte ot Workers' Compensation Insurance, or a ttrtified copy ' .. '- - ''- - - -- ereof(Sectio 380 I,.ab. .1. _ A]_ ASSilIZA1�li�it GRADINGCV:VDS. ACRES SPECIALCONDITIONS: • � cy No G �Company /�[Q � CertifleC"copylshereby'Turnishetl. " " ' REMARKS: .- ' ' " '- ' - - - - - �Cercifletl copy Is filetl with the city Builtling Division. � _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION • �` '� .• �_ (This 5ection neetl'not be complete09i the��permit is (or one nuntlretl - - � - - - - � - - - - f51001 or leu). � � ' ' • tert(Ty IhaYln Ihe performance of the work for whlch�this permit is Issuetl, 1 shall not emPloy any person in any manner so as to Decome PLUMBING � � PLAN CHECK ELECTRICAL PLAN CHECK �- ' � su�ject to [he Workers Compen5ation Laws oi�Callfomia: - ' - ' Date Si9nature • BATHTU85 SHOWERS ' . �-' NOTICE: I! after making this tleclaration, you shoultl become subject� -TOILETS' URINALS ' GENERATOR 0-1 KW_1-30 KW to the Workers' Compensation provisions of the LaGor Cotle, you mvst TRANSFORMER� . ' - torthwitn <omply with such provisions or this permit shall be tleemeG LAVATORIES DOVBLE LAVS APPLIANCE 10-50 KW_50+ KW • r¢vOketl. - � CONSTRUGTION LENDING AGENCV KIT. SINKS DISFiWA5HER5 MOTORS 0-1 HP_1-10 HP . I hereby atflrm that Ihere is a construction lentling agency for the perv SERVICE SINKS SUMPS -UNC. SOLAR) 10-50 HP 50 + HP. formance of th¢ work fot which [hi5 permit is issuetl (5¢Ction 3097 Civ. C.�. FLOOR SINKS FLOOR DRAINS FIXTVRES OUTLETS SWITCHES � Lentler's Name lRntler'sAtltlre55 ORINKINGFOUNTAINS GASTUBESIGNS • OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS ' 1 hereby affirm that 1 am exempc from.the Contractor'S License law (or � the following reason (Section �031.5 Business antl Professions Cotle: SWIMMING POOL P TRAP Any city or county which requires a.permit to construct, alter, POLES METERED SVB � Improve, tlemolish or repair any structure, prior to its issuance, also re- yyqTER SERV ICE ALTERATION PANE�S MAIN SUB quires th¢ appliGan[ for such p¢rmit to file a Slgnetl.statement that h¢ ' Is�llcensetl pursuant to the provisions ot the Contractor's License Law GAS SERVICE OVTLETS �[' � SERVICE (� AMP !,fahapter .9 (commencing with Section 7000) of Division 3. of the '� � - % U ' '—' ;.,.ness antl Pro/essions Cotle) or that he Is exempt Merefrom antl the yyqTER HEATERS BTV OUTPUT �- ,,�. �. ` for the allegetl exempiion. Any violation.ot Section ]031.5 by ' �'~?�"•applicant for a permit su�jects [he applitant to a civil penalry SEWER CONNECTIONS -' �iot mOre than five huntlretl tlollars ($500)... _. �l I, as owner ot Me property, or my employees with wages as their SOLAR TANK CO�LECTORS . , sole compensation, will tlo the work, antl the structure is not intentletl � or otferetl for sale. (Section ]044, Business antl Rofessions Cotle: The SO�AR PIPING SVS. • ISSUE FEE � 3 �y� Contractor's Ucense'Law tloes not appty to an owner of a property• who builtls or imp�oves tne�eon, antl who tloe5 such work himself or ISSUE FEE �HPPLICATION APPROVED BV � .. DqTE thrOu9h'his own employee5, provitletl that such improvemen[s a�e not - intendetl or offeretl for sale. If, howeveq the builtlin9 or improvement MECHANICAL , PLAN CHECK ''' ' � is soltl within one year of completion, the ownerwill have the bumen . ..SUMMARY OF FEES ._ __ _ of proving he_tlitl not builtl or improve for the purpose ot zale). �BUILDING �. ' ' , - HEATING SVSTEM 0-100,000 BTU - PERMIT -- E ��SMIP" . E ❑ I, as owne� of the p�ope�ty, am exclu5ively contraCting wilh qryD DUCTING ' licensetl contractors ro construct the project (Section 7044, Business . _100,000�+ BTU �PLAN CHECK -E . PERMIT'- - antl Pro�essions Cotle: The Contractor's Llcense Law tloes not apply to ISSUANCE 8 an owner of property who builtls or improves Ihereon, antl who con-, .REFRIGERATION_ 0-100,000 BTV PLUMBING S �tracis trom such projects witn a contractor(5) Iicesnetl pursuant to SYSTEM : GRADING �S - lhe ContractoCs.LicenSe.Law�. 100,000 + BTV PLAN CHECK S ❑ I am exemo< wGer Sectlon B. & P. 0.(or this � - —� , E . . _.. . . .. __, BOILERS BTV ELECTRICAL E� . reason � ' ' - - ' '- MICROFILM'$' - Date � pwn¢r � ' - SVSTEMREPAIR,ALTERATION . _ 'PL/�NCHECK S ' � � � � TOTAL FEE $' EXHAUSTSVSTEM -.MULTIPLE 1MECHANICAL $ . - . Phereby certity that I have re is applicaUon antl state that the above LE55 AO- ' - - information is correct. I ree o comply with all tity antl county . PLAN CHECK E . VANCE PC, $ orCinances anA state aw elalin9 o Wnstruction, antl Itereby au[ho�ize � _ ' - representati s o this city to enter u the above mentionetl propurty fo ectl n- r -� , ' . . . .. _ .y� ' . Slgnature � Date � "' '� ' _ FINALFEE $� � . �_ _ " ... _. .._ . ..� . . ISSUE FEE � -� � � �' Drivers• Lice e or 55 � � — � CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Actou ting; Goltlenrotl-Assessor � , CONS7RUCTION AND PLANNING � � � POOL & SPA ' ?�4 �� - �,L� Date Inspector � . � _ Dete _, ' Inspector - APPROVALS Permit # � �PROVAL$, . Permit # „` _ � �. � , 1. Temporary Electrical Service or Pole '43. Pool & Equipment Location ' � ' - il ipe=Undrgm . ' � ' � • 44. Steel Reinforcement - �3.'" Electricai Conduit Utility-Undrgrn -�- - 45. Forms • 4. Electrical Conduit-Undrgm " - - - 46. Electrical Bonding � . tee em orce � . - -- - � 47. Rou h Plumbin & Pressure Test ' � � � 6: Electrical UFER Gm � "' -. � ,� 48. APPROVAL TO CO,VER-GUNIT.E . ` - 7. Footings - - " . . � �� .. � � -� _ �qg, Elect}ical Conduit-Undr rn, �� ' - r 8.""Foundation � - '� � � -' � � "� - - -- - -- - `- 50. 'Gas Pi e, ❑ Undr m; Test " � � ' � � ' 9. Water Pipe-Undrgrn � � n 51.�� Backwash Lines P-Tra - � ndr m � - 10. St�uctural Floor,System "�" ' ' - 52: "'APPROVALTO DECK- - � �' ,` 11. � �Property Sewer Line & �House Connection � � � � � � � � 53. Backwash & Rece tor-Final . � � � ' ' � ' �-' ` 72. � Street Sewer Corinection �� 54. Heater &,VenbFinal �' - " ' ' ' " - 13.� - Rough Plum6ing - �� - - ` 14. �Rough Electric=Conduit " � � � � � '56. Electriral-Final_ '! - � "' ' -;� 15.� �Rough-Electric-Wiring--� - -- �- - - � .•/.._ 57. • SolarSystem-Final � . - �- ' ^�.- - 16. . Rough Heating & Air Conditioning • encing & Access Approval " ' � � ' . " � 17. Ducts in Structure � ' APPROVED FOR PLASTERING �• ' - 18. Ducts, Ventilating - �� -� � � '"' - - 19: Gas Pipe-Rough & Test � ! 60. POOL/SPA SYSTEMS FINAL,, .. , . ,. •T 20�. Roof Framing' � • � � - • � � � ` � � � • ' 21. Roof.Sheathin _ � - � � . .,. .,. - . 22. Frame and Flashin '. -- " NOTES: � � ' 23. Insulation � - ' - � - >, •�� 24. Lathing & Siding � � � � -' -� I � • 25�. Drywall Nailing - ' � ' � � � ' ' ' ' ' 26. Plaster Brown Coat ' • � • ' ' ' � � • '�' � ; 27. Electrical Power Meter-Final' � � ' " - � '- 28.- Final.Electric' ' ' ' � ' ' ' ' " ' � 29: Final Heating & Air Conditioning " ^ � � � �� ' ' � �� 30! Final;Gas Pipe-Test � � - � � • � � � � • �� - � ' 31. Final'Plumbing ' • � - � � � � -� 32! . Water Service-Final - �- ! - - '-� � � - � • � � • : 33. GasService-Final � � "` � �- •' �'- � � � • �' � �� 34. Solarpomestic-Final � �- -'- � � - ' - � _ . . .. .. - ,'n�.,+.� - .. ., . . . . . .,. . . '. 35. Landsca e S rinklin S stem ' "� ' ' `- � -' � "' � '� � - - �` � - � �� . �� ' 36. Sound qttenuation - � ' � � ' - " 1 � . ,- ... � • . .�r.- .. -37. Handicap Regulations - � "" "` "' � "' ' � - � ' � ' ' ' �. . . t ; 38. FINALSTRUCTURE&BUILDING " � "` " ' � 39. Special qequirements Completed � ` � �� - � � � � � � � � -- - - � �- ' , 40. Electric Release to Edison • � -' "" � � -' - - " "� '- -- - - - -- - � � � �- �� 41. Gas Release'to Southem California,Gas Co: =� � - ' - - " ` "'"" ' "'- - � � 42. CERTIFICATE OF OCCUPANCY " � � � �' ` '" � No , Date �. =S ^ � .. -- -- - - � • . . r - : � _ _ Appliwot to fill In all zpaces axeept thoza wit�in �eary borGer Imas an0 sign all aDP�ooriate Eeelantions. � ' ' � CITY OF COSTA MESA � � � . -. `� �,,, -."' ' PER IT �. ./. TRACT NO. „ LOT�NO. ( • B I "^ f �� f " '� ' —"" � � . "—'� _ "~ ' _' "�"" ti ` � ' � � '<� � y ` c � � � � � : �.," �"-' '_ �: ,� �r. I � ;4543� ..2�/ib'1d3�� .�, �'5.00uf �TL � CONSTRUCT�ION�PERMIT ' ! . y . � ��(o . , { ' "• }�. I � ; . ; I r� •� � � � , � � • �� i � � NEW �. ADD ALTERATION�- REPAIR''-. �' 1 � P� , f' i 7 ' t, 1 � '1 ?' _ t �:; � � i : 1 � : ApplicenYs Mailing Addrea - - , � TVPE�.OF CONSTRUCTION•: , . . � � - � "' � � , r I � ' �l t � � ' � ; � � ;? 1 .' _ I � { ❑ CONVERSION �O DEMOLISH .O OTHER' � ' � . I ._ � ' _' � � r �� f t - Project Address 1.E ." �d � : : � i ,• . - � : t f � � � � ` �= � ': •i c i ' ! � ! ' ' ' i / �� y�„ _� � - � � ' K �� , DESCRIPTION OF WORK � ' ° ' � Owner's Name p� � ( . 1 . Ph�ne I ; , r, . . � e � 1 � . � � ;. _ � '� f t 4 . i c 1 y � n ., ; � ' ! = � i � I G�REG " TI . ' -,- I . i ri i ; ; Addrau� --: �f!'/%/� - � aC L ! .- t � `.i ! ' i r � � � _ � tT t '�. � ' , � 'n ; . i , - ' � � � . � c t .-, I - � yt � � , > ` � .j � � � _ • i . � f � _ TVPE OF PERMIT� + 'J �GRADING �FOVNDATION . ' STRUCTURAL ' �. ' ,� •A. P..�f . . � � t ZONE , - � , - i Dd Arch/Eng _ � - � ; � ' � � , ^ License No.� ^ � '_ I � .❑ TENANT ❑ ELECTRICAL '��PLVMBING ❑•MECHANICAL i ' • I tiPLNG. REF 9W- : ' - I o � �' ( '.BUILDINCr ,� � � ^ �.;�� # A'ddress� � 1 :` ' . L I '' t . 1 � . : , " , _ ' _ ,. . . 1 . ,. 1. _ 5 . _ � C, k . ' I � a�. 07HER �' - f . � � { i ' 1 - i ! y I . � .PO PEI�LDVNG,.E� i '°. { I � I �REAR YARD (70 P/U : �. � �� Contrecfor,sNeme ��4Pl�j^��'C • ' ' � `Phone , � ::PpaECTDESCRIPTION� Sc� FT.� � � � � : � ' �oCCUPANCv� � � ' _ , , _ : - � ' � a �.l'r � ' n 1 • 1 m I :,(, - � ,''.: j -.7 j ' � ' !. : l ;;, i :'LEFTSIDE VARD � � RIGHT'SIDE VARD 1 �t° "' I �<� •% Addfe53l�i0iling) i - ! - � � t � � c � �CONSTRUCT�ONTVPE VALUATION $� � . I � . _ _ � , j 4 � ; { ' i - ZONp • � GRADINGCU.YDS: � � ACRES � � � � 'PKG.SPACE�REQ. ' � PROV�DED � � . � ' CmenSe NO.. � 4 � . � i - _ i i r 4 I[ i, . CICENSED CONTRACTOR DECLARATION E V ^ ' I � Remarks: i �, � � '.t . � �f � I � . F ', - ; . �STREET WIDTH ; ' ' �' � � � � ' �PqRK FEE $ { ~ i � 14 I:hereEylafflrin th5t I am IlcenSed untler provislons of,Charter�9 (commencing ; . , ' � � , , � � � . '-. wlth Sectlon 7000� of Dlvlslon 3 of the BuSiness antl Prote55lons Cotle, antl I � ,; �.,: � r 4 ', 1 '^' � ± �- � � ' .�SPECIAL CONDITIONS: ' � ' [ � (� F �; f!'� t) ' my Ilcanse'i5 in full torte anG�effeM. , - • . � . 1iJunse CISss � � `" � ' � Licensa No.� ` ' � .� � .j � � i . � PLUMBING ' � 1 ( j � � ! � ' ! ' � i � . .. ! ' ; ) � � Date � ' � � Si9natura ' � I ; ' :. ' f . ' : , . � : ' . . '. ' - 1 � cs 1 � - . Ba'r Sink ' ; t . i � Sewer Cap' i � ( � t i. _ � � . ELECTRICAL ;. . � � i � `: I ° �yqRKERSSCOMVENSATION DECLARATION j � j . � ' • ' � � - � - ± +$ eraby'aiFl�mthaLl.have.a.Eartlflwte.bf.consenPto�self-InSuieora�Certlfltat8��.+.--�• ' ' '..-.�- -1 ' t � . !_.. _..,�.,..-,��__ Automatic.Waiher.,_ . .. _ t . �Meter_Dover100,ampsi,,,,� _i��..� ' . ." Workers' Compen5atlon InsurSnce,� or a certifletl cooY thereof (5actlon � I BackfloVY Preventer-- , 'Sewer Conn20tion_ ' "�" "' � 'P-' , : 't � , '�- i '�800, Lab. Cd 1 1 . : i " . � ' i �- . + • Coustruction Pole ' � � i �Sub Panel . ' i �. { , � , Backflow Irrigation Solar Collecton , . : I � I �. POIICY No: � � - ComOanY a : . i . i i . .. " . . _ � . 1 r. .. f . . � Cooking Unit � �.Sub Pole' ;� � f e Certlfietl-copy I5 hereby turNshetl.. � ' � , � ; 1 i Bathtubs• �' 2. i Solar Pipmg �� i � � � � � _ � Certlfletl copy I5 filetl with the city BUIItlin9 Dlvlslon. , , DishvcashCr � � ,Moto�s �0-1 HP � 1X$ � i � • ' oate � � � y � ADolicant � � � '-� A � � � Clsrifiers � ' , �SolarTank ; � ; i t � . .� . _ .._..�. ��...�_�.__ _�_. _ � � � � � , � �EXEMVTION;FROM WORKERS' COMPENSATION DECLARATION �. �' � DIshN25her ` SWimRlin POOI W/Spa t � � � D�yelS OGes � OElectric ��' �`+�" � ! (Thissectlon neetl not ba complatetl if tha permit Is for,one �untlretl (EI00) or . I t � � 9 InaSolar7�9 15 HP �1645+ , . less). .1 ! . . �i 1 1 ' f � � f � - + - - • . t J � , � i � Fan� ; � � � � 1Microwave � � ` 'r � I certirylthat in Ihe performance.of the work for whlch this perm�t is issuetl I I � D�inkmg Fountairis ' ,+ � Urinal_ � � �-( . � � I. , t . ! a i. � � shall. not employ any.penon In any. manner so as to become subject.to t�e j �- . . � - � � � , i ' ^ • � Worke�s' Com ensatlonl Laws of Californla.�. '� I I � -� � F A;U.. E � I �Pole;Li ht �' � j � � p � � 1 f ' ` i �• Floor.OFains�. • � j � f . Water Closet' � , � - � � � ' � � 9 � t . f � �.'Date' 2 cl9nature 1 E - . . . - . - � . - '-NOTICE:If,(aftermaking�thistleclaration,ryou�shoWC become iuoJecrto•tne -i� --t• PloorSinks-E- -�---�- �---� --- -�WaterHeater� •- -�; - f -+- - , • -k- � - r.- . Fiztures ,_ __ _ , � �qa�ee _� � �__ _'�-_�;� ! , � Workers'� CompenSaHon Drovlsions�of the Labor'Cotle,�you.must,forthwith - " ' ' � � �� , � • comply .wlthj such ,provi51on5= or � this�permi[ ! Shall be .tleemeC �¢vok' d: • G85 S¢rviCB �OUt12t5� - ;W2t2! S¢NiC2 •,y � i.- (� ,n � � � X,'T� �. DeViCe BOxes ' � � .,�gj9p� � . � .{ ... f � - r � �' �CONSTRUCTION�LENDIfiG��AGENGV' ( ' � I- ' j. '�� ' ') ~' ' " "' ; "' ' ' " ' ' ' � + • 1 , 1 heraby aftirm that there is a.constructiondantlmg agency for the�performance; I�? � Interce t0�5; `` T ' r+ �� !' -� -' �; ,�q Outlets �� 4 � 'y � 'Standing Section5 �' . . p i; i " � ..ot the `work tor . which.t this; permit �I5 f Issaed =�(Settion i30B7� qv: C.). - - P - �� t - i � � '1� ' � , - - - - , � Lender's Name ^ � - - + �� ' � °' - ' - _C � I '_ � � x � ��- � � �+ � - Switches � ; � � 'Tresh Com acror ^ � 1 � . ; �. � 'e � Krtchen�Sink� , r � � . ;. ,. y ! u . � P � e I ' . -LenGePs�� Atltlresz f -. -. I -;. � t " i t • � �- . . � . . , . , , � OWNER BUILDER OECIARATION� � .e., r. � __ � :T t : �, .Z i y � { i CavatOfieS j f •'1 !� ?' ; ' � k � �' � t : r: i ' i � Gefbage Di5po5al � � { ] '1- � � � 4 ( '.� ` � . r ' �l heroby:atfl�T th5t I am'Bxempt,from [he�Cont�acto�'S Licanse Law forthe - - � � � r� .. � I - � . i - ; � •� � '' � �.? �z : Generator �0-5 KW 05-15 KW ' � '� following reason:(Sectlont7031.51Busine55 antl Profeislonal{Coae: Any tlty or ' ,� i P ,iT�apj �t j 7 • � � '•� 1 ^ �. � � � s: { ` i � .`t . , 1 � ` . '�'county whictr requires a permiYto construct, alter, Improve; tlemolish!oc.repalr � . .. - ' -_ � � _� ,. � ,- r_ . Transformer 015 50 KW � � � ' � � 4 'auy structure' prior to its Issuance, also reqWres tha'applicant for zuch permit' �=-- ( Roof Dia�ns � �' =,� � �� ;� � - - � } S'~ � . , � � � �� ' � �' - � to file a signetl statement that he/she is Ilcensetl pureuant to thelorovisions of �� -'"' ` i ' ' '' ' ` '� ' � O5U+�KW� � t � ' � �. � he Con[ractor'S�LJcense Law;(Chapter 9 (toinmencing'with'Sectlon:�000J oi ' •• ; G 1 . � -� � . I � "r � � � i� 'Reinspeetion Fe0 $�5�� x,.',vislonl3'of the�Busines5 antl'Profasslons CotleJ,or�that�he7she•is�exempt ! = s ShOwers L9i 7?l .;. i r � .� I T. �'; �� ReinSpection�Fee� �„�$15i ' ' ' ' ' � � �� s- �rafrom-znC the� Dazis to� the allegeG exemption: Any'violatlod�ofj5ection '' ' - ' Mete� ❑up to 100amps �� jssue Fee.. ! � ��' $�3 ! "�"�-0` 31:5 byJany applicant for .a • permit-subjects 6the _applicant to a=.civll I '� �� " 1 C' �,�j-". ' ��, i � I I i - , ,,�nalty ot not more than five huntlretl tlollars (E500). � ` ; p � , �'� m � � � Service Sink � � , � ' ,� j � �sue Fee � �, ,'} � � � �$ 3' Zoning Approved By _ � � � � i ' � Dat9 : � ! I; as'owner of, the iproperry �oi-my employees �with wa9es�a5 their sole i - l � � - �- • ; I � � ; � � .compensatlon .witLCo the work antl,t�e structure�IS not intentletl oroftere0 ; � i- • ��} ; �i MECHANICAL J � �. ; j•; y., � _� - � ! � tor sale:(Secfion 7044, Business'antl!Vrofessional Cotle:lThe�Contractor's � �� - � APPf�wtionApprovedBy - 'Date- � ' I' License Law tloes mt apply to�an owner ot a property who bulltls or improves ' BOileC � �� , � ' Refrigeration Systein � � � „�`; � � - � � t : �:Q, � {' '� �%�� , � theraon,�antl who tloes'sueh'work himselt/harself or through hls or her own � f �• �� ". ' * � e�.' � I-) � , Application Issued By : � �� ' �Dete' i � emplorees, provltlatl that such'Improvamants are!not Intentletl•or offeretl for 'i ❑0-100,OOOBTU ❑100,OOOBTU �� . � �'sale. I� howeveq the builUing or Improvement is soltl within one�yeanof com- � � Duct Unde��Ground 1 I �� . �, '�� ' • + {� ' . t j , I SUMMARV OF FEES , � 1 ' ,.pletlon, the owner�wlll have the burtlen of proving he/she tlitl not builtl or Im- j - � . � �� ! j . � ' � � � ' �rovefortnepurposeofsale)., , , � �� i � i � � Duct Structural � i i' SystemRepair/AlteraLon- E- BUILDINGPERMIT- $ � � � ' SMIP � $� � t. I, as ownei oYthe property, am exclusivery contr5cting�with Iicensetl con- � � � - . � � . - . � � : ' 1 � � � � 1 .tractorsto,construct.the�project(SectionJ044,.Businessantl.ProfessionsCotle:_�. }.DuttyVentilating, �..,t,_.j..,___j ,,,,+,,,�_'�_,,,�„�,,,,,�___„�� ,� PLANCHECK! $ � � I �,pEflMIT' � � +( f ' 4 � I The Contractor•s Cicenie Law does not apply to'an owner of property who ! - � �� ' - �� ISSUANCE � $!" � • �..builtls or. improves thereon, antl who <ontracts for such projects with a com � � Exhaus[ System ❑ MWtiple �; ! I' �� ' �a �PLUMBING �� $'� � r ; � � tractor(5) licenze pmsuant to the Contractor's License Law). f , '. 5 ( � - � ' � � � ' � ' ' � , ' I GRADING ( $' � ' '� I'am exempt unEer Section, ''. � ' e. 6 P. C. for this reason � � FiiepVFa[t. B�t. ICBO �h � � � � I � - i � � � � �P�N CHECKi $ � • � ' i . ' . .' . i ' � r: - ' � ' , .. (ELECTRICAL� f g � � 1 � . , � � � $ { F i � ! ' oate . e . ' Ownerl 7 - ! �. ' , 1 � ` � Heatin9i5Ystem & Ducting i ' � ! � !'. I 1 '�! � � � I � : f'MICROFILM i �$ I ' E � �. i �I•nereby�certlfy-that-I�have��•ieaE-thli^application-and^stzte-ttiat-ttie^above-t� --a- 00.100,000 BTU-0100;OOOBT -� --r-�� • - PLAN CHECK' $ • f I ' � { ��) •$ F' � informatlon is mrrect. I agree`to compty with all clty, antl county ortlinances i � � � : � i I � � , r ; , � 2;! - � ' " � ' �' '� TOTAL FEE� . � ' antl'state laws'reJatlhg o GuiW Ing construcUo antl heretiy.authorize re0re- ' . , MECHANICAC. $ � � �-. � � . ' sentatives of ,[Ms;clt ;to eAte ;.upon the ove mentlonetl property Tor ; � Hood Oi �TypO I ❑ . t � M • -� 1 � � . �, � (: � � � ; � � ' inspectlon ur bses. � ' � ' Cano . T e II ❑� t� ; ( � Reinspection Fee� �;$15 � �pLAN CHECK $ � � '• �E� �� ' Signature • � ' ° Date2 LG"k.7� : ' � ' ; - � . ; � � I . ( � . � , i " �$ ADVANCED�PC i $, � �� i � Drivers' � en e or 55 �_ - - � t :� : Registers � �, , i. � � Iswe Fee �:� �� $ 3 j I: I I � i � t' 7.FINAL FEE j� ��$ j� . I' � CMFO865-46r¢v.12/82 Wry�te-�Builtling;Canary-AppllwnhPlnk-Accounting;Goltlenrotl-Assessor , . ' � . �