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Home My WebLink About3357 ALABAMA CIR - Building Permits� � �1 � 30 ! 18 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 For App/icant to Fill in Completely BVILDING .—� p �._.� /] �% 0 �_ _ � OWNER HBiII19S D9V• CO. MAIL "_�. .. ,_.. _. ciTv Santa An CONSTRUCTION LENDER Unite BRANCH 19O BTOQ ADDRESS San Die AVBHUB ADDFESS L71Z E• C083'C HY CONTRACTOR Owner ADDRESS CITV STATE LIC. NO. 'z52�Q 512E OF LOT LOO X � USE OF EXISTING BLDG. SIZE OF __ __ _, NO. OF COVERING BtUCCO ICOVEpIN USE OF BUILpING ANp WORK TO BE P hPR 24-64cM;,�001312# �u¢ 152.25 APPLICATION FOR BUILDING PERMIT FECEI �� DATE RECENED DATE ISSUI 7 t7?f � �� A.P. NO. � BUILDING ADDRE55� � S NOL Y TRACT//�`� 7-7044 N W ADD ALT ional Banlc OWNER L$ No` 675-1164 SE �u°. �lJ FIRE � �rona D M zoNE rv APPROVED TEL. NO. CITV LIC. NO. INO.OF LB� NOW ON �OT O � fp'� J� PO�� USE OF NEW /'-� � �� / BUILDING VARDSAPPROVED� �'ARDSAPPROVED MAIN BUILDING ACCESSOflV BUILDING )RIES Z L.SIDE D FT. 0 or L wood fiEAR J FT. � DISTANCE BET. MAIN BLOGS. VAR. #E h, gag C.U.P.qk V_�s� APPROVED /�n / / FT. OPTE / APPROVED S��'—{p �„T� '�—//— G 9 I hereby acknowledge tnet � na�e reaa this application ena stata hIOLD FOR SPE IAL IZEQUIREht_'..'1: that the above information is correct antl aBree to comply with � all laws regulating building construction, and I shall not employ any person in violati0n of the workman's compensation laws of the State of California. —f� m I hereby certity that I am properly licensetl as a contractor untler 1 / 0 SQ. FT. S Q�. o the State of California Business antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force antl ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�V: ¢ am exempt from the provisions ot the State of California Business VALUATION antl Professions Code, ivision 3 r 9. /O/, 5 � PERMIT FEE $ D � � Signatura of ^ ^l �D� — '7L m Permittee vf �� PWN CHECK $�Q• /�/ E � o Autharizetl Agant TOTAL FEE $ i5a . as LL �nrv�R x JOB ADDRESS GENERAL CON AP No. INSPECTIONS SOIL GAS WATER � � ROUGH PLUMBING PROP. SWR. LINE SPRINNLING SYST MISCEILANE0U5 ROUGH HEAilNG AND AIA COND1710NlNG TEMPORARV SERVICE OR POLE UN�ERGROUNO � POWER � ROUGH WIRING TRENCHES H] FORMS m STEEL RE FLOOR SVSTEM BONO BEAM � STEEL REINFORCE [ SHEATHING FRAME AND FLASHING LATHING — IN � OUT � PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING. VENT.. REFRIG. AND n.L. Fi VHIC ler DESCRIPTION of WORK Residence W/A TRACT 669� FIRE ZONE VA�UE $ 29.803.00 SUBCONTRACTOR _,i Z . ww a U Z ZQ F O m J � J N Q W 0] J J m Q U N Za W � d W WZ J Q m Z J � W w � Z F W � tn ¢ 70 �" - 34868 '= r"=00",C�g��: :r*fr��5.02 -]i��.. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APP I TION FOR BUILDING PERMIT Forqpplicant to Fillin Completely RECEI E BV ATE RECEIV D D TE ISSUED eui�owc aoDaess Y � r, G '"7 ae i7 o. OWNER,� `e a A.P. NO. r' —� 1 Q MAIL BUILDING �� t �\ '^A � ADDRESS S�4 �,.. A.DORESS L_, � �e�� TEI. TFACTV� ( J LOT BLOCK CITV G y` S� NO. CANSiRUCTION W P.DD A R P LENDER �^ �� BRANCH OWNER .1GSF�pFf- t �u Tc/Cc. - A�DRESS �� ALUg �lp� ARCHITECT TEL E �� OR ENGiNEER NO. FIRE AODRE55 ZONE TVPE GROUP APPRO E �'7� GONTRACTOR Q g�' AT " rlV ADDRESS TEI. ZONE NO.OF USE OF NEW ��Q CITV NO. I P�� BUILDING � STATE CITV �'AR�SAPPROVEDD VARDSAPPROVED LIC.NO. � LI0.N0. ' MAINBUILDING ACCESSORVBVILDING SI2E . NO.OF BLDGS. (FROM GL E) OF LOT NOW ON lOT FRONT FT. USE OF � EXISTING BLDG. I E FT. FT. SIZE OF NO. OF NEWBLDG. ROOMS STOPIES -L.SIOE V� FT. FT. E%TEFIOR WALL ROOF i COVERING COVERING REAR U FT. FT. USE OF BVILDING AND WOFK TO 0E PERFORMED DIS7ANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLOGS. � � Q� �- C URP � �S�C'0 APPROVED APPROVEO / i'S Z ' � L� I hereby acknowletlge that 1 have reatl this application antl state . ihat the above ihformation is correct antl agree to comply with all lawz regulating builtling consttuction, antl I shall not amploy � any person in violation of the workman's compensation laws of the Stare of California. � y� � u I hereby certify that I am properly licensed as a connactor under SQ. FT. � ffie State of CaliFornia Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In tull torca antl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: � am exemp[ trom the provisions ot Me State ot California Business � antl Professions Cotle, Division 3, Chapter 9. VAIUATION � o „/.� PERMIT FEE S � � ///�� L v Q SiB�ature of Permittee �� $�� PLAN CHECK $ f S� t u Authorized AgenT TOTAL FEE $ ,'��OWNER MpRTUCCI� So�egh E. �, �JOB ADDRE55 3357 Alabama ''�'' GENERAL CONTRACTOR �er J AP No. 139-581-17 1.0T � INSPECTIONS � SOIL �. GAS WATER ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SYSTEM MISCEIIAN��US ROUGH HEAT�NG ANO AIR CONDITIONING TEMPORARV SERVICE OR POLE UN�ERGROUNO � POWER � ROUGH WIRING TRENCHES FORMS � STEEL REINF. FLOOR SVSTEM BONO BEAM ❑ STEEL REINFORCE � SHEATHING FRAME ANO FLASHING LATHING - IN n OUT [1 PLNSTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AN� GAS TEST ❑ ELECTRIC, FINAL BUILOING. FINAL L DATE 6-26- BUILDING PEI SUBCONTRACTOR i F � 4 a � � 2' F G F Q r.i .-I a > �- � a u� a O C4 a z S 3 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Ffll in Completely — Use Ink Only BUILDING 3357 1�la�ba�.a C�: �QS� ��Q: AODRE55 r OWNER P�.�-�-�� c `T��re _ A BUILDING � M�r.occclZ\E% Ii�I.1�7rjWil C.VL� ADDRESS .r b� TRACT APPLICA CITV l.-Vy �d �'IC CON5iFUCT10N U/'� �i ` LENDER �• �,J � BRANCH �L j � �I ADDRESS I�� J /�� ARCHITECT � � `�r OR ENGINEER Y ADDRESS CONTRACTOR ADORESS 2(j Q—�' � CITY C(�j� �'l(�/� STATE /�� /� IIC. NO. d OF LOT �6 XQ�T,�QV USE OF . _ . �� I(� TEL. NO. Fa vyn _� lxia � L'.►ti1� s�n�� NOL. I /! L� � � �� o N� bk� -i`t 3 CITV LIC. Np, � � NO.OF BLIX'aS. ( X J7 YIf1�NOW ON LOT Separate permits are required for electric, plumbing and hea[ing work. OF BUILDING AND WORK TO BE PERFORMED OWN FIRE ZONE APPROVED F,�.,�; "�.R i ,-77----QO 408 �' :`., •';5'�'.5C' �..,. FORSTRUCTURALPERMIT 3dTE RECEIVED D TE IS P y N � � 1 >Ai-�ti��k C p . � �/ � LOT � I BLOCK NE. NO.OF� PIAN$ YAROSAPPROVED VAR. # C.U.P.� BET �A��$ S-� 0 0 (� GROUP DATE � � � USE OF NEW BUILDING'�Yan � I�L1� YARDS APPROVED ACCESSORV BUILDING BET. MAIN & I hereby acknowletl8e thet I have reatl this application antl state '^ � that the above information is corract antl agrea to comply with m all laws regulatinp builtlin8 �onsttuction, and I shall not employ � any person in violetion of the workman's compensation laws of v the State of Califarnia. I hereby cartify ffiat I am properly Itcensetl as a coMroctor unde� SQ. FT, emv the State of California B�siness antl Professions Cotle, Divis(on 3, THE AMOUNT SHOWN UNDER VALUATIpN IS FOR m Chapter 9, and thet such licenses are in full force and effeci, or I THE PURPOSE OF ESTABLISHING A PERMIT FE ONLV: � em exempc from the provisions of the Stete of Callfornia Business VALUATION PERMIT FEE $ d and ProfeSsions Co ' islon 3, �hapter 9. J+ +_ D n SlBnatufe of m� ALRN CHECK $ � o Pe�mittee 'r` ✓ ��" $ �--(%Dv'—_ TAX $ �1 LLS/ w • V y Authoriz gent �lNi}Ly �.%3✓1' TOTALPAID S . O 1 � IL ROUGH PLUMBING PROG: SWR. LINE n HOUSE CON. IJ �TEMPORARY SERVICE OR POIE UNOERGROUND � GOWER � ROUGN WIRING TRENCHES FORMS STEEL NEINF. FLOOR SVSTEM BOND BEAM � �STEEL FEINFOPCE �J SHEATHING FqAME ANO FLASMING LATMING - IN f P��STER. BROWN COAT HERTING. VENT., REFNIG. AN PLUMBING. FINAL AN� GAS T ELECTRIC. FINAL BUILOING, FINAL F IN�L iiIILDING PERMIT N0. SUBCONTRACTOR 1 • � � CITY OF COSTA MESA BYILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www ci wsla-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER C08-00313 PERMIT TYPE: B COMBO Sub Type: RES_ALT �os nooRES3; 3357 ALABAMA CI CM APN: 13958117 Zoning: , STATUS: ISSUED DATE ISSUED: 07/07I2008 ISSUED BY: KJB Suite/Unit:, Vicinity: Primary Occ: R3 ConstType: V-B SQ. FT: 0 Valuation: 53,000.00 SCOPE OF WORK: BATHROOM REMODEL. TO INCLUED: MINOR BUILDING WORK TO RETROFIT WINDOW AND DRYWALL REPAIR, 1 OUTLET, 2 LIGHTS, REPLACE TOILET, SINK AND BATH TUB. � OWNER: NORDSTROM, DENNIS C. �� . Address: 3357 ALABAMA CIR Phone: � ,' . City/Shate/Zip: COSTA MESA, CA APPLICANT: WCE, DIANA .� . ,. � Address: 9135 A RESEDA BLVD �� ' Phone: 888-343-9111 - � City/Slale/zZip: NORTHRIDGE, CA � CONTRAC70R: UNIVERSAL REMODELING � � � � License No. 617830 Phone: 888-343•9111 Address: 9135 A RESEDA BLVDUnit: Cell: � . City/State: NORTHRIDGE, CA ARCHITECT: ENGINEER: �- License No. License No. COMBINTATION PERMIT FEE SUMMARY Building Plan Check: $0.00 Building Fees: � $83:25 Electrical Fees: � $26.80 Mechanical Fees: $0.00 Plumbing Fees: $52.90 SMIP Residential: $0.00 SMIP Commercial: $0.00 TOTAL FEES: $162.95 "Reter to fee receip� for all fees paid for project Unit: �� Unit: :UNIT 195 UNIT 195 ZipCode 91324 PHONE: PHONE: NOTICE: 7he work authorized by this permit shall comply vrith all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . INSPECTIONS: In order fo� the work autho�ized under this permit to be considered le9al, such work must wmply 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. COOEtl, INSPECTION7ypE ORTE INTITIRI 50pEp INSFECTIONTYPE URTF INTITIRlS 7676 Fixed Sysiem Final Fire Prevention 206 Final Mechanical � � 1266 Pool Spa Final 208 Final Plumhing F//I �O �� zoo Final Re-Roof zio Final Electncal �J/ �. �/ D D g !3 201 Final Blocp/Retaining Wall 212 Pinal Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy P/A. 9/D � : WORKERS' COMPENSATION DECLARATION. . I hereby aKrm under penalry ot perjury one of the following declarations: ❑ I have and will maintain a certifwte of consenl lo self-Insnre for workers' compensation, as provided for by saction 3700 of the Labor Code..for the pertormance of Ihe vrork for which this permit is issued. � ' � I,have and will maintain workers' compensation insurance, as required by sectbn 3700 of Ihe Labor Code, for the peAormance o! the work for which this pertnit is i,,s�suetl�. My �wo�rkers' c�satiqL'1 Insurence carrier and policy nu�_�L�� (/"L l� " V�-� (This secfbn nee�iw(,pg�I)g/{eled Ajt4 is value� at one hundred dollars (E100) orless ) ,.> �Number: I Z� V ( j !i ❑ I certify that in the performance of the vrork for which this permit is issued, I shall not emplo any person in any manner so as to become subject to a comp ation laws of Califomia, and agree that i� I should beco to rkers' compensation provisions of S clio 3700 of the o o ' eemp vith these provisi� C .ApplipnfsSi9nalNe L,D�(e_/- WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 affrm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot ihe Business antl Professions Code, and ,ym�y lic- se � in f c and eflect. '/�/ '7n. %� ialc'tt P �� CWss�it V �G`� �1/� Crntt�l'or'sSignaWre) (�oate_/ CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm Ihat �here is a construction lending agency for the peRormance of Ihe wurk fa wfiich �his permi� is issued. (Sec. 3097, Civil Cotle). Lender'S Name: Lender's Address: SignaWre Date OWNER-BUILDER DECLARATIONS: I hereby aKrm 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 permi� t0 conshuct, alter, improve, tlemolish, or repair any stmcWre, prior to its issuance, also requires the appliwnt for such permit to file a signed statement that he or she is licensed pursuan[ to the provisions of the Contraclors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code) or that he or she is exempt theretrom and the basis for the alleged exemption. Any violation o( Section 7031.5 by any appliwnt for a permit subjects lhe 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 stmcture 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 ihereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or oflered for sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi ihe propehy, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business and Professions Code: The contractas License Law does not apply to an ovmer of property who builds or improves thereon, antl who contracts for such project with a contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 309-A6 (3I0�) Owner ID venfied by Ari�ense. ❑ Yes ❑ No ` Driver's License No. Expires: � Verifcation of Ownership by pype ot document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: . ❑ I hereby certRy �hat no excavation frve (5) or more feet in deplh into which a person is required to descend, will be made in connection with vrork authorized by ihis permit, and that no building structure, scaffd0ing, falsework, a demolition or tlismantling thereof, will be more lhan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2. Sec. 341, Title 8, Califomia Adminislrative Code). ❑ As owner-builder, I will no[ employ anyone to do work which would require a permit from the Division of Intlustrial Safety, as noletl above, unless such person has a permit to do such work (rom the division. Apolirants Signalure Division of Intlustrial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or (uNre building occupan[ neetl �o fle and ceAi(y a Business Plan for emergency response to release or [hreatened release of a hazardous matenal? ❑ Yes ❑ No (Sec�ion 25505 0( the Cali(omia Health and Sa(ety Cotle requires, wi�h some exceptions, tha[ a Business Plan be fled with [he Costa Mesa Fire Department by every business which has at any one time during a reported year a quantiry of hazardous materials equal to or grea[er than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard tempereWre and pressure). 2. Does or will �he applicant or presen� or fu�ure building occupant need lo file a registration form tor awtely hazaidous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Heal[h and Safety Code, with some exceptions, requi�es registra[ion with the Costa Mesa Fire Department 6y each business which at any one time has on hand a quantity ot acutely hazartlous ma[erials equal to or greater than a weigh[ o( 500 pounds, or a volume of 55 gallons, or 200 cubic feet o( compressed gas at slandard tempereture and pressure). 3. Does or will Ihe applicant or presenl or future building occupant need to prepare an RMPP (Risk Management and Prevention Pm9ram for acutety hazardous materials�? ❑ Yes ❑ No (Section 25534 ot ihe Califomia Health and Safety Cotle provides that the Cos[a Mesa Fire Department may require the preparation, certification ana filing with the Fire Departmen[ of an RMPP by businesses which are required to register acutely hazardous matenals with the Fire Department. 4. If an RMPP is presenlly requiretl, has Sec�ion 25534 of the California Heal[h and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or Wture builtling occupant require tor the vrork which is the subject of this application a permit for such consiruction or motlifica�ion from Ihe South Coasl Air Quality Management District or from any other air polWtion control tlistrict or agency? ❑ Yes ❑ No (Seclion 658502 of ihe Califomia Govemmenl Cotle requires that the requestetl information be (umished on applications fa rwn-residential builtling pertni[s�. 6. Will any part ot the facility to be constructed under ihis permit be within 1000 (eet from the outer boundanes of a school? ❑ Yes ❑ No Qf "yes", Ihe faciliry must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permil from the South Coast Air Quali[y Management Distric[ or olher air polWtion control district or agency is requiretl for the work which is the subject of ihis application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from ihe appmpnate air pollution conhol offcer). � � � � CERTIFICATE OF COMPLIANCE: I certifyihat under penalty of peryury the infortnation given above is cortecL I agree to wmply with all state laws and city ordinances regarding Hazardous Materials and Emissions. SignaWre Dale CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of peryury that I have reatl this application and sWte that the information given is correcL I agree to comply with all state laws and ciry ordinances relating to building construction, and authodze representatives of the Ciry of Cos[a Mesa lo en[er upon the above-described propeAy for inspection purposes. I agree not to occupy or allow ocwpancy of any building authorized by this permi[ until fnal inspec�ion. � f� • J Applicant to fill in all svaces excev� those witnin heavy Eortler lines ana sign all apD�oDriate tleclarations. CITY OF C0ST�1 MESA CONSTRUCTION PERMIT PER T NO. _T TRACT NO. LOT NO. UNIT NO. P,o�e�tAaa,es� 3357 Alabama Circle Applicant's Mailing Address 5457 Crenshaw Blvd Owner'snlameg;�s (�'�� {30�,'Y13_^ PhoneS4Fi—S'I�O Address _��:�' Arch/Eng. License No. Address � Z 13 � Contracror'snlame Adee P�.Q & HtQ IIICphdne �59-910 Addresslmailing) 5457 CY enshaw BZVCZ City License No. 03�2�3 LICENSED CONTRACTOR DECLARATION I M1ereby affi�m that I am licensetl untle� provisions of Cnarter 9(commencing with section 7000) of Division 3 of the Business antl Profes ons Cotle, antl my license is in full c�antl effecL J 240186 License Class ' � Date 1 SiJn'�ture — ✓ �JRKERS'COMPENSATION DECLAR TION ereby atfirm that I Fiave a certificate of consent to self-insure or a certificate , Workers' Compensation Insurance, or a ce�titieC copY the�eof (Section 3800, lab. ) Por,�Y No. � 686987-85 Company STATE EUND �C�ejrtj{ifieV� coPY is hleetlbwith,thehc�tY Bw �Q y ///sy�JJJ�j^J/,. Date�-�/—`�� Applitant �/��%y�/�/✓' EXEMPTION FROM WORKERS' COMPENSAT ON--r DE�ATION (Thissection neetl not be mmpletetl if the permit is for one huntlretl ($300) or less). I certify that in the pe�tormance of the wo�k to� which this pevm�t is is5uetl, I shall not employ any person in any manner So a5 to become subject [o [he Workers' Compensation Laws of California. Date Signa[ure 'NOTICE: If, a(ter making this tleClarafion, you shoultl become subject to the Workers' Compensation provisions of the Labo� Cotle, you must forthwith wmply with such provisions o� tbis permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereCy atfirm that there is a construction lentling a9ency tor the pertormance of tM1e work for which this permit is issuetl (Section 3097 Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER dECLARATION I nereby afflrm that I am ezempt trom the contractor's License Law tor the followin9 reason (Section 7031.5 Business antl Professianal Cotle: Any city or county which requires a permit to consGuct, alter, improve, tlemolish or repair any st�u[ture, ptlo� to its issuance, a15o requi�es the applicant to� such permit �o fiie a signetl sta[ement that he/she is licensetl pursuant to tne provisions ot e ContracfoYs �icense Law (CnaO�er 9(commennng with Section ]000) of vi5ion 3 ot the Busine55 antl Protessions Cotle) or that ne/she i5 exempt erefrom antl tne basis tOr the allegetl exemption. Any violation of Section i031.5 by any applicant for a permit subjects the applicant to a� civil penalty of not more than five huntlretl tlollars ($500�. ❑ I, as owner of the O�operty o� my employees witM1 wages as thei� sole compensation, wili tlo the work, antl the structure is noi intentletl or o�feretl for sale ($ection ]044, Bu5ine55 antl Professional Cotle: The Cont�acto�'s License Law tloes not apply [o an owner ot a property who bui105 or imp�oves thereon, antl who tloes sucn work himself/herselt or throu9h his or her own employces, provitletl tha[ such improvements are not intentletl o! offered (or sdle. If, however, the builtling o� improvement is soltl wi[hin one yea� ot com- pletion, the owner will have the burtlen of provin9 he/she tlitl not builtl or Im- provG for the purpose ot sale). ❑ I, as owner of tlte property, am exclusively cont�acting with licens¢tl con- tractorstd construct the oroject (Section �044, Business antl Protesslons Cotle: The Contractor's License Law tloes not apply to an owner ot property who builtls or improves thereon, antl who contracU for such projects with a con- tractor(s1 license pursuant�to the Con[ractor's License Law). I am aware that proof ol [heir WorkeYs Gompensation insu�ance shoultl be provitletl to me. ❑ I am exempt under Section B. & P. C. for thls reason � oate owner _ I hereby certify that I have reatl t inPormation is correct. I agree t0 co antl state laws �elatin to builtling � sentatives of [his c e u inspectlon purposes � Signature Drivers' License or 55 � above TYPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOl.ISH ❑ OTHER DESCRIPTIONOFWORK/USEOFBLDG. L��fT Ch-�nge 6�4'� TYPE OF PERMIT IJ GRA�IN6� LJ FOUNDATION LJ STRUCTURAI ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION Sci. FT. oCCUaANCv_ CONSTRUCTION TVPE va�unT�oN s354.57 20NE GRADINGCV.VDS. ACRES— Remarks: FEES Bar Sink Showers Backflow Preventer Service Sink Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Clarifiers Solar Collectors Dishwasher Solar Piping Drinking Fountains Solar Tank Floor Drains � Swimming Pool w/Spa Floor Sinks Urinal Gas Service Outlets Water Closet Interceptors ]_ Water Heater - Kitchen Sink Water Service Lavatories A uto-W ash P—Trap Laundry Trays Roof Drains Reinspection Fee I $15 I I laue Fee � $ 3 Boiler Duc[ - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FacL BIL ICBO # Heating System & Ducting ❑ o-i oo,000 sru O i oo,000 er lonetl property ror Date � (i— .4—QS Reinspection Fee $15 CMF 0865-46, rev. 30/84 Wnite - guiltlin9; Canary - Applicant; Pink - Accounting; Goltlenrod - Assessor Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,OOOBTU ❑100, System Repair/Alteration Fire Dampers Registers Issue Fee � $ 3 A.P. # S Main Buildi E T Front B Rear A C Right K' S Left Ping. Ref. # Planning Notes: Automatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes 3481 II/04/�35 � Zone Accessary Buildin9: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 700amps Meter ❑over100amps Sub Panel Momrs DO-1 HP 01 %- 8 Inc.Solar 09-15 HP �16-15+ Microwave ' Pole Light Range Garbage Dispoul ; Standing Sections Generator �0.5 KW 05-15 KW Tresh Compactor � Reinspection Fee $15 luue Fee �DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved BY 1 Building Approved By - 1 � -. Appliiation Issuad By � � . SUMMARV OF FEES !' � "BUILDING PERMIT $ ' SMIP • '�� i,PLAN CHECK $ PERMIT � � PLUMBING $ S.00 �SSUANCE � � /PLAN CHECK 25% $ ENERGY P.C. �� ELECTFICAL $ GRADING ��PLANCHECK 50% $ MICROFILM ,'�'/MECHANICAL $ TOTALFEE ` PLAN CHECK 25% $ , $ oo0fi T� FEES $ 3 Z O N I N G R E Q M T S CONSTRUCTION ANDPLANNING P� `SPA APPROVALS Permit# ''- Date Inspector qppROVALS Permit# - Date Inspector 1. �`emporary Electrical Service or Pole , 52. Pool & Equipment Location 2' Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement � � 56. Rough Plumbing & Pressure Test , .� 6. Electrical UFER Grncl. 57. APPROVAL TO COVER-GUNITE � , , 7. Footings 5S. Electrical Conduit-Undrgrnd. , 8. Foundation ' �_- : 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. � : 60. Backwash Lines, P-Trap, O Undrgrnd. . � 10. Structural Floor System � �• 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final 12. Sewer Cap , � 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 Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd. Storage Tank O 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 Noces: 7-rti-�JL LEFi �RlLp, LK„� Ip;3Y 34. Final Heating & Air Conditioning _� � 35. Final Gas Pipe�Test 3 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestio-Final � . 42. Backflow Preventer . � 43. Backflow�lrrigation _ 44. Landscape Irrigation System �-�� 45. Sound Attenuation ' - 46. Handlcap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed. � . � 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date � PflOJECT AU�XESS: 3� ALABAMA C I OWNEn'S NRME: NORDSTROM � RODPESS: 3SG% ALABAMA CIRCLE `�a . COSTA MESA CA 92626 r� nncx�eNcu+eea: ��14)934-7636 AOOHESS: /— I ) i ��. PEG.NO.: UNIT: UNIT: PENMITTEE: RCTION FIRST ROOF CARE ( 714 ) t191-7663 aooRess: 18352 GOTHARD ST HUNT�NG'�ON �E�C�H CA 92�4$ LICENSED CONTflpCTON OECL/1flA ION: hereby a nm 1 al am Iicen5e0 untler pmvisions a hap er 9(commencing wiih Seclion 7000) ol Division 3 oi Ihe Business antl Professions Cotle, and my license is in fullforce antl eflecl. CITV LIC.: STATE LIC.: C SS: 04513 502900 C-39 Date: �� • � • �y_ Signaiure:— — _ WOflREFS' COMPENSATION OECIANRTION: I hereDy aflirm I�a� I have a ce�ilicale ol consen� to sel4insure or a cehificate of WOBers' Compensalion Insurance. or a certihed copY Ihereol (Secbon 3000. lah. C). , POLICYNO.: lO�IZOOO-93 Exr.oare: 09/01/94 �camvaxr: STATE FUND ] CeNhetl copY is hereby �umished. � Cenifietl copy is filed wi�� t�e city Builtling Division. �ate: '� • 0 S • 7� pppl¢anC ,/V[.� ��Z E%EMPTION FPOM WOHHEHS' COMPENSA710N OELLRPATION: (T�is section neetl noi De camplete0 il Ihe permit is �or one hunAred (51W) or less). I cetlify Ihal in ��e petlormance oi t�e work for whic� this permit is is5ued, I shall no� employ any person in any manner so as lo Decome subleci ta ��e Workers' Compensa�ion Laws ol Calitamia. Da�e'. Signaiure'. NOTILE: If, after making Ihis declaralion. you shoul0 Uecome sublect io the Workers' ComOensalion O�ovisions o� Ihe LaUor Cotle. you must lort�wilh comply wi�h suc� pmvisions or ��is permil sllall �e tleemed revokeG. CORSTPUCTION LENOING pGENCY: I hereby aflirm I�a� I�ere is a cons�mction lentling agency lor Ihe Oadormance o� the work for wAich Ihis permit is issuetl (Sec�ion 309L Civ. C). LENDEP: AO�HE55: OWNEF BUILOEB DECIABATION: I �ereby afiirm Ihal I am exempt �mm I�e Conlrac�ors' State License Law �or the following reason (Seclian 7031.5 Business and Pmlessional Cotle: Any ciry oi couniy whic� requires a permii �o conslrucl, al�er, impmve. demoli5tl. or repair any simcture. prior lo ils issuance. also requires Ihe applicani lor such permil to �ile a signed Slaiemenl thai he/she is licensetl pursuant m the pmvisions ol Ihe ConVacmrs' S�ate License Law (Chapter 9(commencing wit� Section 7000) of Division 3 ot tAe Business antl Pwlessions Catle) or Ihai he/she is e�empt ��ere�mm antl I�e Oasis for ��e alleged exempiion Fny viola�ion ol Section 7031.5 by any applicani �or a permit SuDlec�s Ne applicant to a civil penalty o� not more IAan �ive hunOred Oollars (E500). I. as awner oi �he D�oDeriy or my employees wiih wages as ��eir sole comDensalion, will tlo lhe work, and Ihe ❑ s�mclure is no� imen0ed or olleretl br sale �Section 70aa. Business antl Pm�essional Code: The Canlraciors' S�ate License Law tloes not avPly to an owner of a pmDeny wno builds or impmves inereon. antl who tloes sucn work nimself/hersell or ihrough his or her own employees. pmvidetl ��ai SUth impmvemen�s are n0i inten0e0 or offered fOr Sale. I�. Aowever �Ae huil0ing or impmvemenl is sold within one year of complelion. �he owner will have Ihe hur0en ol pmving he/she Citl noi Uuild or imD�ove �ar the purpose al sale). I. as owner o� �he pmpeny, am exclusively conirac�ing wilh licensetl coniractors to con5imct ��e pmleci (Sec�ion 7044, Business ❑ antl Pm�essions Code: ihe ConVactors' S�aie License Law tloes nol apply �o an owner o� D�ope�y who builAs or improves thereon and who coNracis far sucA prolects wi�� a cantrac�or(5)license pursuan�lo ihe Coniracto�s' Slate License Law�. I am aware . Ihai pmol ol lheir Worker'S Compensation insurance shoultl be pmvitlea �o me. I� I am exemp� untler $ec�ion: B. 8 P. C. lor Inis reason: �ate: Owner I eo hereby cendy Ihal I am aware ol antl unaerslana ine reauiremenis ol Calibmia Heallh antl Safery Cotle Sections 25505. 25533, an0 25534 and Iha� I or any lulu�e Ouilaing occu0anl wilVwill nol (circle one) neea to compty wiih 5ai0 slale cotles antl the requiremenis �or a permil for consimc�ion o� modilicalion imm ihe Air Oualiry Management �istricl. Residenlial conslmciion aDDlicalions are exempl Iwm �Aese pwvisians. Date: ApP�icam: � I hereby cendy�hal I have rea0 Ihis application and 51ate1�ai Ihe above in�or)nalion i� cofrecl. I agr¢e Io comply wilh all ciiy and couniy ordinances ana stalelavrsrelatingto builtling constmction antl hereby aut�orite repre58nla�ive5 o�l�is ci�y�o enteru0onlhe above-men�ionetl pmpetiy �o�in5p¢GI�On purpp5¢5. � p Oa1e- �b ' tl� • � � Signature: , � Driver's License or Social Security a: � � i6at n6 Whne—Builtling�, Green—Cotle Enlorcemenl: Canary—ApplicanL Pink—Revenue: Golaenroe—Assessar PERMIT NO: H i CITY OF COSTA MESA — BUILDING PERMIT PERM NO; H 06433 064330 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/O SHAKES,RESHEATH 1/2"CDX,APPLY COMPO SQ FT: 5,000 CLAIM VALUE: 5,000.00 CALC—VALUE: 5,000.00 GROUP OCC: A-3 /M-1 COMMENTS: SMOK DETEC'S REQ'D PER THE 1991 ED. UBC / APPLY "TI*��'��T't�� r*��rx�r*�r�r*�r**x�*�r�r**�r�tx�t***�r**�r*��*�r**�**x�*�t**xx�**+�**�+�*+��t* Z O N I N GS ERTEBQAUCIKRSE M E N T S REQUIRE[7 ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDZNG --------- FRNT: FT IN REAR• FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGfiT: FT IN LEFT: ET IN RGHT: FT IN PARKING REQ: PROV; PAACEL: �s8 999$�6'd/B6 ZNE: REF NO: PLANNING NOTES;> � i 1E it if 1f iE 1f if iElF itlf !E 1F 1E !f ff iE iE 1f if it if 1k 1t if �Elt 4 iE k!f !F tE 1E �k if iE iE iE i! fE 1E fFlE 1ElE 1f IE iE iE iE 3E if 1E iE IE 16 if iE if ff iE 3E 1E iF if iE jE iE ff 3ElE fE fE aElE 1F fF iE D E V E'L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED•BY DATE: �. BUILDING APPROVED BY : ! DATE: " APPLICATION IS$UED BY;� � DATE: l d.T iFiFililifikitiFikiEifrtifMi�iEiEiEjEfkiEif 3FiE1EiE1f3fjEiEiE1F jEiE ififjEiEiFk�lfllEififiEiElfkiEffik�fifitlFitlfifitiFlEiEififiEiEiElElFjtltiEiFiElfiEfFiEfFffit iEiEiliEiEifiEiEiFiE1FiE3E9EifififiEiFiEitiEiEjEiEiEiElEif LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES; GRADING PERMIT 72,00 ,50' SMIP/NON—RES PLAN . ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID i, DUE TOTALS----> 72,50 0.00 0.00 72.50 72,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 72,50 OVER/S[-IORT: .00 BLDG PMT PLUMHING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PI.AN—CHECK 72.00 .50 -� jE it iE if iElE if �lf 1! 1E 1f i! 1! 1k Ht ff if jf j! i! iE ff if iE �lE �lElf if if if �k 1E i4 �E it if fE if !f if if iF iE 1E iE iE iE iE 1h iE if iE iE if fF iE iE if jE 1E iE fF IFlF iE if fE iF,1FiM1 1E ih 1E iE fE jF fE iE iE I N D I V I D U A L F E E B R E A H D O W N TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST SFR 5000 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES 1, Q 0 �� rJ � � � �, � � iY �i �liLg3JL'�Q?4$'J" �[i� iL.'.'l.' 6ATE: iG!L5193 'FII?E: 23:39 `s✓ � I CONSTRUCTION ANDFLANNING - PG rSPA KPPflQVALS Permit # Date inspector APPROVAIS Parmit # Date Inspector 1. Temparary Electr:cal Service or Pole 52. Pooi & E4uipment Location 2. Soil Pipe-Undrgrnd. 53. Steei Reinforcement _ � � 3. £leetricai Conduit U2ihty�Undrgrnd. 54. Forms � 4, Electricai Conduit�Und;grnd. _ 55. Electrical Bonding 5. St.e.el Reinforcement 56. Rough Plumbing & Pressure Test 6. .Electricai UPER Grnd. 57. APPROVAL TO COVER�GUNITE ,7. Footings 58. Electricai Conduit�Undrgrnd. 8. Foundation � � 59. Gas Pipe, O Undrgmd., Test � 9. Water Pipe-Undrgrnd. -�� 60. Backwash Lines, RTrap, � Undrgmd. ' 70. Structuraf Floot System � � 61. APPROVAL TO DECK � 7 t. Property Sewer Line & House Connection " 62. Backwash & Receptor�Final 72. Sewer Cap � 63. Heater & Vent-Final 13. Roof Orains 64. Pium�ing System � Final 74. Rough Plumbing � 65. Electrical�Final 75. Rough Electrical-Condu�t fi6. Solar System�Final i6. Rough Electric4Viring � fi7. Fencing & Access Approval I 77. Rougfi4ViringSign 68. APPROVEDFORP�ASTERING I 18. Rough Electricai-T Bar Ceifing 69. POOUSPA SYSTEMS FINAL I 79, ftou9h Heating & Air Conditioning PIRE DEPT. REQUIREMENT � Z0. Rougfi Factary Fisep4ace ., .. � APPROVALS Permit # i i 27. Ducts, in Structure .. 70. Underground Hydro 22. Ducts, Ventitating 71. Product Piping O Gas ❑ Oii 23. Gas Pipe-F2ough &'Tesc , 72. Under9round Flush . 24. Roof Framing . • "73. Undergrnd. Storage Tank O Gas ❑ Oii 25. ftoof Sheatfiing , (4C 27,5��3 G' ��.. 74. Overhead Hydro ! 26. T•Bar Ceiling {StructuraU & Monocoat � . - 75. Dry Chemical � 27. Frame and Flashing .,. . � 76. Dry Standpipe 28. Lathing & Sidinq �• + 77. FIXED SYSTER4 FINAL 29. fnsulation , ' . . 76. FIRE PREV. FINAL 3Q. Drysvall Nailing � • HEALTH DEPT, REQUIREMENT 37. Piazter Bro4wn Coai .. , �� 79. FINAL INSPECTION 32. Electrica}?ower MecerFinal � � 80. .FOOD CERTIFICATE ISSUED 33. Finel Electric `� �� Notes: 34. finai Heating & A;r Conditioning. , � � 4 i ' 35. €inal Gas Pipe�Test� � � 36. Hood or Canopy � � 37. Final Factory Fireplzce � � , � 38. Pinai Plumbing � . 34. 4Vater Service-Final � �. ' � 40. Gas Service-Fina! . � 4L Solar Damas:icFiaat ' � 42. Backflpve Prevenier A3. 8ackflow trrigation � � 44. Lardscape lrr.i8atio�Sbstem . , � , . - A5. Sound AttenUatiosi:ti - 46. Handicap Re�ulatiatis- �, ; �' � - � � � 47. FINALSTRUCTURE�&�BUI�DING ll.,��''t�� 6i.,./�� _ _ �/ � �L, _„ ..� O"_ - `�--s O-� fL- 4$. FlNALPLANNING•' ;,_� , I-, 49. EEectric Release tp Eti.isdm'- - ..... ; 50. Gas Reiease ta SoutR¢rrr,'_C�lifornia Gas Co _ . 51. CERi1FiCATE OF OCCTJFANCY No. " qate �'U'//CcG� � ��(y � `'� '•^� . .� As residents of 3353 Alabama Circle, Costa Mesa and being immediately adjacent to 3357 Alabama Circle, we hereby agree to plans for remodeling of the residence, with the following condition: That any and all damages caused by the remodeling (caused by the workmen, materials, or equipment used in said remodeling) to our properties (landscaping, fountain, decking, residence) is the sole liability of Patricia O'Toole and�or ponald R. Davi$ and all damage(s) will be repaired and the properties restored to original condition within thirty (30) days afterfinal inspection of the proiect. Agreed: 3353 Alabama C' cle � Costa Mesa, C 92626 0 A O 0 'z z z 41 �� O �� Patricia O'Too e r,...�._._- j� � `�'/� J''�G�-�,�'�/( � �Dona d R. Dqvis �J 3357 Alabamo C�rcl� Costa Mesa, CA 92626 � 3/� �-1�� Dd e' Date / - Applleant to flIl in all SDacas ektept t�osa wltMn �eavy bOrtll� Ilnes anU sign all dDProD�iata tl0clantiOns. --- � TY OF COSTA MESA ' .' -. .' - ' . - P MIT NO. . ' TRAQT NO. , . LOT NO. B �' . . . . . � _ - - __ — '�O'111STRUCTION PERMIT , , i � � � 3 ' � . . . ' • . � . . - . , . . ' ' ' AppliCenYS Meiling AddI855 � a �=' 7�i�PE OF CONSTRUCTION � ' NEW ADD ALTERAT.ION �REPAIR . � � � _ � � �a : � ' '� � PrajectAddresz� �"'P � � � � � �.. . . ❑,CONVERSION ❑ DEMOLI� ❑ �pjT,H - ' � . � . ' '. .. % �` �� Ifl�l� "� � ' I�"�1�� , -� � q/ - ' �. 6Sb� • DESLRIPSION OF WORK ' � S 1 f �fi�`2. ✓ . ' ' � ' � Owneri�Name � hone - � ' Z 1 G'RE ULATI AAdress, ��? C�i. f}'_�A a�d C4VL�' � ' ' - ' . � _ •�� . - . � TVPE OF PEflM1T GRAOING FOUNDATION STRUCTURAL A. P. � ��/ i ZONE �: ; . . - Arch/Eng.- r L'ICen50N0. �� n�yTENANT ❑ELECTRICAL ❑'PLUMBING ❑MECNANICAL � P�NG.REF.#- ' �BUILDING, , . � ' Address ' �• , ' � -UV�'OTHER � S P � � ' - - ' TO BUILDWG - - � i P PE V LINE ' REAR VARD (TOP/L)- Q,- Contrector's Nam Phone — � PROJECT DESCRIPTION 5�. P7. • oCCUPANCv . �� AddfB55 (m � ' ' CONSTRUCTION TYPE VAIUATION $ +z� LEFTSIDE YARD � RIGHT�SIDE VAqD ' ` ' � w'I'nnl I . • ' ' �� ZON� ' GqADING CU.VDS. 'ACRFc PKG.SPACE REQ. � ' , PROVIDED �' Licenx No. - ; ��.CENSED CONTRACTOR DECLARATION � Rema�ks: - ' � ' � � STREET WIDTM PAqK FEE § � � _. .tip'�!�eby aififm that I am Ilcensetl untler proWsions oT Charter 9(commencln9 , _, , , � . .� section 7000) of DIvl5lon 3 oi the BuSinau antl Piofe541on5 Cotle, antl . ' , , '- SPECIAL CONDITIONS: ' � ' ' '�. �sicenze Is In tull force ana eHect. ' ' , 4� ucense aass Ucensa No. � . . PLUMBING " � � � i � • . � nata � Signnture , � BarSink SevuerCap' ' • � ELECTRICAL � �RKERS'COMPENSATION DECLARATION � •. ' � araby-aftirrtm that I have a Certlflwte of wnsent.to SelHnzure or a certlfiwte � ggpkfloVJ PrEVenter ' $BWer ConnCttion - Automatic Washer _' _ �Meter over 10b amps . __ � Workers' Compansatlon Insurance,� or a certlfletl coOY t�eleof (Sectlon 3800, Lao. C,) i , � Backflow Irrigation Soler Collectors � Construction Pole , ',Sub Panel� • � � �� Policy No. �� ' � company � . - �- � � - - - Cooking Unit ' ' �Sub Pale ' ' ' 8CerUfleC-copy Is hereby fumisheU. • � ', ' Bathtubs ' $OIBf Piping , � � , � Certlfietl copy is tiletl with the,Gl[y Builtling Dlvislon. Di5hwa5hEr MotOfs �0-1 HP ❑ 1 X$ Date � Applicant ' � ' Clarifiers � � � Solar Tank . � � EXEMPTION FROM WORKERS' COMPENSATION OECLARATION - - 'Dryeis ❑Gas ❑Electric � �InaSolar' 09-15 HP 01645+ � �(Thissaction neatl not be completatl If the permit is tor ona huntlretl (S100j or . DishwdShEr � Swirllming��ISpe � , � iess) , �� . . � Pan � i � Microwave � 1 tertlfy,thai in the pertormance of tha work`or whic` this pe�t is Issuetl I , Drinkiny FOuntains ; . U�inal . � • . • I shall not employ any persan in an �Dec Olect to t�e . . F.A.U. Pole Light . . Workers' Co ti p.Laws of Caifornl . Floot D�ains� Water Closet ' � Date� �� ` Si9nature _ � ' - , i Fixtures ;Ran e.. NOTICE: It; after making this tlatlara you�5hou1 acoma Subject to the- FIOo� $ink5 - WetBr Heete� --� � - - - �� 9 - ' -{ _ _ Worken', Compensation provi5ion5 of the labor tla,.you must.torthwith - - ' � �- � comply with. such .p�ovisions or [his, permit �all be tleemetl revokeC.. Gas Service� OuU2t5 Wate� Servit¢ . � Device Boxes g�9� � , ' CONSTRVCTION LENDING AGENCY ' � ' ' � OutlEts � � � � I hereby aflirm that there Is a construction-lentling agency-for tha'performance q. Intercept0�5 - '� •� : " i Standing SectiOns ' . - oi tha �work tor whlch�j[�is. Darmit is .Issuetl _(Section 30B7 Civ: C;� ' � Switches ` ' ' � � . Lenaer's. Name� . � KitcAen Sink . � �- - � -� � - . � • • 'Trash Compactor er's Atltlress' Garha e Di oml �'P 4' �ER BUILDER OECLARATION� �. , '. . : ' � 1 � �vetOtles': . _ . � ' . � 9 N� , � . ,�i, by�atflrm [hat 1 am'exempt from the Contiactor's Licanse Law for [he; ` I P_T-a � ,. _ i.. • ��, . Generatoq �Oc5 KW �5-15 KW i � � j� yy�.'.Jwing reason (Sectidn 7031.5 Business antl Professlonal Cotle: Any dty or , Pi . , � I i I county which raquiras a permit to construct; alter, Improve, tlemolish�or repav � - TransFormer Q 75-50 KW • � ' Iany structure, prior to Its,izsuance, also requires the applicantfor such permit RoOf D�ams �' � - ' � . I � " ' - s ' ! � �o flle a signetl statement that ha/she is Ilcensetl pursuant tb the'provisions of ; ' �' - � � ❑5U+ �CW � ..Contra<tor'S License Law,(Chapter 9 (<oinmencin9iwith Se<tlon ]000) ot -' ' �- ' ' ' , ' � '� � Reinspection Fe0 $75 -'':slon�3 of the Bu51n855 antl BroteSsionS Cotlej'br [hat he/5he.i5�exempt $hoW2f5 � � . . � . Reinspection F8e' $75 ' ' • ,�'efrom �an0 the• basis for the allegetl exemption. Any,violatlon' of Section ' � ' . � i ' Meter �'up to 100�amps ' j �155ua Fee. � ' '$ 3 �._31:5 by-,any apPliwnt tor-a,permit subjects Iha apP��ant to a civil " : ' � - . _ - ' � i�e alty of not more than flve huntlretl aollan (E500). . - �. Service Smk �.. .� -. � laue Fee �� a 3 7_p�jng ApproJed By ' Date I, d5 ownl� Oi the plopelty oi my amployee5-wlth wdga5�as theif Sole f pensatiom wlllrtlo the work, an0 the structure Is not intentletl or ofteretl - � _ - MECHANICAL � • qpp�iption Approved By ' DaTe ��3�8� , tor sale (Se<�Ion 7044, Business' antl' Professional. Cotle:, Tha � Contractor's - � . , , � , ` -License Law tloes no[ aOP�Y to an owner of a property;who builtls or improves � gOiler `" •' RCfrige�ation SyStCtO ' ' `-L � ' tne�eOn,�antl who COGS�Such wO�k himsell/hersetf or [hrough his or her own '. � '� ' ' r � � APp��wtion Issuad By � ' '- � �Det9 3-B 3 �� employees, provltletl that sucn improvements are not intentletl or offeretl Tor . " ❑0..100,000 BTU ❑100,OOOBTU, sale. If, however, the Eulltlin9 orim0�ovement Is soltl wkhin one.year of wm- � Duct = Under,Ground � , i i SUMMARV OF FEES ; � j i ' pletion, the owner wlll have the burtlen of proving he/she tlid not builtl or Im- � - ' - . I � I � . . �.�rovetortnepurposeoisaie)�, j .- �, � �., � • � Duct-Structural SystemRepair/AlteFation ; �BUILDINGPERMIT $ � � ; SMIP ' ' $ Ll I, as ownei of the pioperty, am exeluslvely contracting�wit��licensetl com �' • � tractors to construct tha,project.tSoction 7044, Business antl Protessions Cotle:_' Duct,-.Ventilatin9 .' '__ _ i � _ _, !PLAN CHECK' � $� � PERMIT � � ' The Contractor's Cicense Law does not apply to an owner of propertywho..� . .. ' QD , ISSUANCE : �$� � builtls or improves thereon, antl who contracts tor such projaUs with a con- � Ezhaust System ❑ MWtiple �, ' . � �PLUMBING ' � $' � � � tractor(5) Iltenie pursuant to the Contractor's Gcense Law)i . p 1 ; � - ' - � $ ! � � � GRAD�NG ' . $ '^ � � I am exempt untler 5action � B. &.P. C. for'this reaion I Firepl/Fatt: BIt. ICBO # , � �, � � r � . •PLAN CHECKi . i� - � v I . . (�. 0C9, I $ - Data � ' owner ' . . Heating�,System & Ducting : ' ELECTRICAL $ � . 1 ' � � 1 . : MICROFILM � $ � � �I nereby. certify�that (�have reatl thirapplication antl state that the above ' 00.100,OOO�BTU 0100;OOOBT� - -- ,- , � �PLAN CHECK� $ . informatlon Is mrreci. I agree to comply with all cley antl county ortlinances ' .. � �� TOTALFEE �$ antl state laws relating to builtlin9��on5truction„antl hereby authodxe reDre- Hood O� � ' ' � MECHANICAC $ , . , , � sentativez . Ity-(o e � p9n the above-mentionetl or pert for ' TYPQ � �� Reinspection Fee � $75 i ' � � LESS � � � inspecu ourp s o ( 1/ � �� " � � � .i Y 3 �Cano T e II ❑ ' : � ,PLAN CHECK� $ qDVANCED PC . $ � Signat re� : v` "� oata ' � � i FINAL FEE. ,$ i�_ Drivers' License or 55 �� ' Registers , . ? Issue Fee , $ 3 , , p � � � GMF 0865-46 rev. 12/82 White - Builtling; Canary - Appliwnt; Pink - Accounting: Goltlenrotl - Assessor . - ��CONS7RUCTIONAND'=PL-A� � 3 ,; . ,: 3t '^j`�-��C ,PA� � • - �-��f "APPROVALS �. Permrt.#,- ` ' Date - Inspector � qppROVALS .- Pe�mrt # Date �� Inspector .; . ; _ . . . _ . .. �;y 1` Tempoiary•Electrical Servic� or�Pole _� � � 52�; Pool &�Equipment Location � � ' �--e, ''��}53'3 , �- 2: ;Soil Pipe-Undrgrnd.`.' ^� ;.,� �� . '• � - � ��53. Steel Reinfoicement � • � �3! Electnical Conduit Utilitv-Undrgrndi -.: y - - � � 54.. Forms � � � � _ " _ � ? 4: Electrical Cbnduit=Undrgrnd� �' . i ' - � ' � �� " 55� Electrical Bonding � , � i �, . a �. i- . . 5: �teel ,Reinforcementi ' - ' �� ' ^ � � - � - 56.; Rough Plumbing.& Pressure Test ' � 1 � ' 6: !Electrical UFER Grnd.� i ;< < ` � � � ,: . ' � 57. APPROVAL TO-COVER-GUNITE . � 7. Footing! ' � t � ; �, � , ' ' �' � _ � 56. Electrical:Cqnduit-Undramd. !� �2Yi � 8. Foundation _� . � � I �� .. � ? . t ; � _ �'59. Gas�Pipe;�O=Undrgrnd., Test � - , �" 3-,j�-$3 9. Water, Pi�pe-Undrgmd. ;� � � = -, � �,Sp, Backwash Lines,�P-Trop, � Undrgrnd. 10. Stiuctural Floor System � � , i ` I 61. QPPROVA'L TO DECK ' = 11. Property Sewer Line &�House�Connection ± - •• , - - � i�, , �_ 62. Backwasfi & ReceptorFinal - 12. Sewe��Cap , ; � i ��.� ' � � � ? � ' � 63. Heater & Vent-Final ' ' - _ .� I'Z C � 13. Roof,Drains ; � ; ' ? - . � 64. Plumbing System,- Final � • �.�.C2l�j L° L', 14. Rough Plumbing � ��, � 65. Electricaf-Final� {,�2 CC - � 15. ;Rough �Electricat=Conduit"� i *, `-�- i- � - ' � - � ��,66., �Solai SYstem-Final - � - � ; 1�6i �Rou h _Electric.Wiring; ; � �_ � �� - � -' . , 9., ;-� � 67. Fencing & Acce'ss Approval �� L' C - � - '17. �Rough:Wiring:Sign _ �; �. ' � ' ; , I � `' � � '68.� APPROV.ED F,OR P.LASTERING . - i ,I .� � ',i. 18.'Roughflec[iical,T,Ba%Cei�ingi � �� ' ' � �69. POOUSPASYSTEMSFINAL � �S��L-� �'� � . 19. �Rough,�Heating &jAir Conditioning , ; I - � FIRE DEPT. REQUIREMENT" � ' �� 0.(Rough Factory F.ireplace, � '�� j f � � � � � APPROVALS� � Peimit# I . � ` 21. �Ducts,:in St�ucture-� ' i ; ' � , � �� j ' � 70. Underground Hydro � . ' �22.'Ducts, Ventilating ' �. � ' � �� 71., Product Piping OGas ❑Oil ' :;'2��Sas�Pipe,Rough&Tes�� ,'�; I � ;. � T � •72)UndergroundFlush� � ��24 Roof Framing; � � " �' � ;;-'�_ � , �; � . j.� ; 73.� Undergrtid.StorageTank��Gas -O�Oii ' 25. Roof Sheatfiing � � � � � _ ; , ' ` ! ' � '' i 74.� OyerFiead Hydro _ � , ' . _ i I. �. -26. 'T-Bar.('ieiiing (Structural)� & Monocoat � � � ;' • � � �, 75. Dry Chemical ' � , 27. �Frame and'�Fla'shing' ' � � ' y ' ; � , i � � , 76., D;ry Standpipe .� � - 28. ,.Lathing & �iding, � ;� ' I ' ;i � i � _ � J7.' FIXED SYSTEM.FINAL � � � u! p n � � , - , � - 29_'�Insulafiori . - �� 78� FIREPREV,.FINAL r � _ -1 1� 1 1 I a � .NOt05: . � � �"30. Dryo'vall f�ailing � " ^? � i , ' . � , � . . - .� r - - � . . . ' 31. .Plaster'Brown Coat �' � .. � �. , I � i . . _ . � . . . - - - . � � - � , � 32. ;Electrical Power Meter'-Fi�nal. ;� • � . � �5 i � , � ' � � - • �� , j � , , 33.�Final Electric � ' j .� j � �� 34. Final Heating &�Air Gorxiitioning . I , , � �''� ; � I � . - � 35. Final Gas Pipe=Test'. '� �, � _,, - � ' . - I � � � � . � � ' � . r 36. Hood 'or �CanopY ,� � ; ', , ? , . � . , . . _ . .. . �� ' � '� . ,i _ 37. Final Factory Firepla`ce� � ; 'i . � - . � i'. ' � r t - i � i --i� . ' ,� � � � � _ <.� . 38. Final Plumbing , ! � ' ,� � � ' , , � , , . �� ; i � . . 39. Water Ser:viae-Finaf i � '�� - � � � u a i � 6 1 I �� j� � � � ' �:; 40. Gas Service-Final � � . , , : i � I „ i I 41. Solar pome4ticFinal '�� I ; ' , I � � ' = ; � � . ' ' . , i i � - • -i--- - � -� - - - � � � 42. Backflow Preventer� . i � ' ;I , � � � _ j � � i I ' ' �� r I.i I -1 i- i- r' 43. Backflow� Irrigafion � s � ! i ' ; `' f :. ,-. t ",' � ' ` �',;: . .. . � � i . 44. landscape Irrigation System I � ��r - � ` -; i � ' � ' - - - 45. Sound,gFAttenuatiori � �;, � ` � � , ' .. . ' . ' . . ' � -� - � � - .� .,,. j f ;, � � ... i i__'"__� o'_..i�.:1.r.: ' � � � � . � � ` - � . �' I � . I�NG , ' ` � - I ; ' � � . , I 1 � � i� � � i ... � � . � � i �. I 1 � t- - � - � ; ' ' -- � '- - , . . , ,, � � ; � i � iia Gas Co � � i ;Y . -�-- - . . .. - - - -�---.; , ,., . . n � 1--%--, � . , ; i, i , r-:. �