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Home My WebLink About972 BEGONIA AVE - Building Permits.�. . _ �.. Z . dU �z Z � O <n am J � J N Q W 0] J m J Q U � Z a w � aw WZ J Q m z J � W w � ZH w� � 2 70 35�6� COSTA MESA BUILDING-SAFETY DEPARTMENT SOLA P.O.BOX1200- COSTAMESA,CALIFOflNIA92626 �Ali 25-73v.;�.�.00 i 3�t6"� ��*': 1 �l�.f1�� r.,._ APPLICATION FOR BUILDING PERMIT ForApplicant to Fi!lin Completely RECEI o v DATE RE%CEIVED BUILDING � C�i l^ 6 ' /�/1�� /T $�SU�� a� ADDRESS YC PERMI MO OWNEF ' LflIWlIl SO. C311f. A•P• NO. .�i`�i ^„ MAIL � BUILDING Q� � (,� C,�� ADDRESS 16255 Ventura BLVd. ' .ADDRESS I u TEL. .� TFACT %SS% LOT 9$ BLOCK cirv ncino Calif. N� 986-889 CANSTRUCTION � W ADD A fl P LENDER ar lIl .SO Calif � BRANCH 16255 Ventura Blvd. � � OWNEF ADDFESS Encino Calif VALVE � ARCHITECT TEL SE� $ OR ENGINEER N . � FIRE T ADDPESS 9100 Wilshire BLVd. BEV H111S ZONE TVPE GROVP/ ' APPROVED � �CONTRACTORL8TWIR So. Calif. . eY OATE ADDFESS 16255 Ventura Blvd. � � TEL. Z NE ' NO.OF VSE OF fyE}N cirv Encino, Calif, No. 986-8890 P�� BUILDING�IGlU STATE CITV YP.FlDSAPPROVED VARDSAPPROVED LIC. NO. 191311 LIC. NO.� B-1 MAIN BUILDING ACCESSORV BUILDING SIZE NOAP BLD('aS. (FROM GL STREET) , OF LOT bZ X 9] NOW ON LOT � FFOM 3 S FT. FT'. USE OF I �^ EXISTING BLDG. ' S ``� FT. FT. $IZE OF NO. Of ' . NEWBLDG. 1%4O FOOMS STOFIES 1 L.SIDE � FT. FT. EXTEFIOR WALL ROOF COVERING COVERING REAR FT. FT. VSE OF BUILOING AND WOIiK TO BE PERFORMED - DIS7ANCE BET. BET. MAW & � MAIN BLDGS. ACCESS. BLDGS. Construction Sin le Famil Residence C URP �IE APPROVED APPROVED T OLD FOR SP CIAL , EQUI M� I hereby acknOwledge that I have reatl this application antl state . ,, that the above intormation is cOrrect antl agr¢e t0 comply with , all laws regulating building consiruction, and I shall not employ , any person in violation ot�the workman's compensation laws of the Stace ot Californla. � a ^ � I hereby rertify ffiat I am properly licenutl as a contractor under Q. FL � C! G the State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR � � Chapter 9, and that such licenses ara in full force antl ettect, or I THE PUfiPOSE OF ESTABLISHING A PERMIT FEE ONLV: a 'am exempt from the provisions ot the State of California Businass ¢ VALUATION and Professions Code, Division 3, Chapter 9. PERMfT FEE $ 0� ° Signature y�,/ � ' a D. Downs ' ^ E Pefmltte ��.�//crt'� � s� ! �y/� LAN CHECK $ 47 . 00 (Q� �' v � Avthorizetl Agent - � �/ u TOTAL FEE S �Y %�% OWNER T JOB ADDRESS �� ROUGH PL11M61NG PROP. $WR. LINE SPRINKLING SVST UNDERGROUN� ' ROUGH WIRING TRENCHES FLOOR SYSTEM BOND BEAM � SHEATHING LOT oR TRACT AN� AIF CON�ITIDNING VICE OR POLE � POWER � FORMS n STEEL REINF. STEEL REINFORCE FRAME AN� FLASHING LATHING - IN Ot1T PLASTER, BROWN COAT STRUCTURA�. FINAL HEATING, VENT., REFRIG. ANO A. P�IIMBING, FINAL ANP GAS TEST ELECTRIC, FINAL BUILDING, FINAL F INAL DATE SUBCONTRACTOR PflOJECTp00flE55: q72 gEGONIA �1�� ql OWNEN'SNAME: �CHLING I�OSF, aooeess: SNITH i20SE � 972 B�GONIA AV� . COSTA NESA,CA 557-1079 FflCM/ENGINEEfl: IIOOHESS: 92626 UNIT: HEG.NO.: UNIT: PEBMITTEE: CHFRF CONS'I'A[TCTION ( 714 ) 546-0318 AOOflESS: 949 A�ELIA � CM CA 92626 • LICENSEo CONTqRCTOP oECtAflRTION: I hereby atfirm ihat I am IicenseA un0er pmvisions of Chapler 9(commencing with Section 7000� ol �ivision 3 0l the Business antl 7rofession5 Code, antl my license is in lull force antl eilect. cirv uc,.:'0"/2 4° 19 sraTc uc.: 3'6 2 5 3 �ss: p '. "'6ate:.�{ - SignaNre: _ a� ��1� WOHREBS �COMP NSATION OECIAflATION: I hereby altirm �hal I �ave a tetli�icale 0� tonsenl �o sel��insur or a[erti�icate oi Workers' Compensalion Insurance. or a cetli�ietl copy thereo� (Section 3800. LaG. C). - vaucv xo.: z z 9— 9 2 E%P. ORTE: O 1 I O S I 9 3 COMPpNY: STA 1 E n ❑ Cetlifie0 copy is �ereby fumis�ed. �,y Cetlifie0 cap i le wilh ��e ciry Builtli�ng (Div�ision./y/� ,."': �� "C T NPPlicanl:.<_�� ^^'^' y iiGt/� 1�� EXEMPTION FPOM WOANEflS'fAMPENSATION OECLANATION: �(Thisseclion neetl no�be compleletlifihe permiiis�orone unOre0�3100�or1e55�. I I cetlity Ihat in Ihe pedormance oi �he work lor which Ihis permil is issued I shall not employ any Derson in any manner so as �o become • sublec� Io Ihe Workeri' Compen5aiion Laws ol Califomia: � Dd1e' Signalure: NOTICE: If. after making Ihis tleclaration, you should 6ecame sublect lo lhe Worke�s' Compensation pmvisions ot Ihe Labor Cotle. you mu5i IOMwi�� compty with such pmvisions o� �his permi� shall be tleemetl revoketl. CONSTflUCTION LENOING AGENCY: I �ereby a��irm tfiat there is a consimc�ion lending agency lor �he pedormance of �he work for which I�is Dermil is.issuetl (Seclion 3097. Civ. C�. ' . LENOEfl: AUOPE55: ' ' OWNEH BUILOEB DECLANATION: I hereby aflirm that I am exempt irom ��e Contracbrs' S[ate License Law for �he following reason �Seclion 7031.5 Business antl Professional Code: Nny ci�y ot counry which requires a permi� Io cons�mc�, aller, impmve, tlemolish, or repair any simcture. prior ta ils issuance, also requires Ine aoPlicant for such permit ta file a signed statement Ihal he/she is licensetl pur5uani m �he pmvisions oi the ConVactors' Sta�e License Law (Chapter 9(commencing wi�h Sec�ion 7000) of �ivision'3 of ihe Business antl Pmfession5 Catle) or ��al he/s�e is exemD� ��ereirom an0 Ihe basis lor �he alleged exemption. Any violaiion oi Sec�ion 7031.5 �y any applicant lor a permil suble��s the aD0licani to a civil penalty ol not more I�an �ive hundred �allars ($500�. ❑ I, as owner o� the pmpetly or my employee5 wilh wages as iheir sole compensa�ion, will do the work, antl ��e simcNre is no� inleneetl or o�feretl lor sale (Sec�ion 70d4. Business ana Professional Cotle'. The ConVac�ors' Slaie Ocense Law tloes nol apDly IO an owner Oi a properly w�o builds or impmve5lhereon, and whD tloes Such work himsel�/herself or Ihmugh his or her own em0loyees, provi0ee t�at such impmvemenis are not intentle0 or olferetl lor sale. If, however ihe huilding or impmvemeni I5 SoIU wi�hin one year of complelion. �he owner will have �Ite 6u�den of proving he/she tlid no� builtl or impmve lOr Ihe purpo5e of Sale). I, as ownerailhe pmperty.am ezclusively con�racting wilh hcensetl conVacmrs m cons�mclihe pmjeci(Sec�ion 7044, Business ❑ and Pmfessions Cotle: The Comracmrs' State License Law Ooes not apply to an owner of pmperry who builds or imD�oves thereon antl who contracts �or such pmlects wilh a conVacior(5� license pursuantlo Ihe Conirac�ors' Sta�e License Law�. I am aware Ihai pwol o� iheir Worker's Compen5aiion insurance should be provideA �o me. �. I am exempi under Seclion: B. 8 P. C. for Ihis reason: �ale. Owner I tlo hereby cenify ��ai I am aware oi antl untlerstand Ihe requirements oi Calilomia Hcalt� and Sa�ety Cotle Seclions 25505. 25533, antl 25534 antl tnal I or any fuNre building ocr.upan� will/wtll not (cucle one) need Io complY wiN saie s�a�e cotles and Ihe �equi�emenls lor a permit lor constmc�ion or modilica�ion tmm t�e Air Oualily Management Disirict. FeSiA¢ntial cons�mction applications are exemD� ��om Ihese pmvisians. Oata ApplicznL I heieby cetlity thal I have read I�is ap0licalion ana slate �ha the above inbrma�ion is correcl. I agree �o comply with all ci�y and counry ordinancesantls�alelawsrelalinglo�uiltlingconslmctionandle BS'aulhorizereD�eSenta�ivesolihisciryloenleruponiheabove�mentioned Pmperiy foi m�stpeciiapn purposes ��/ � �tfile', �/ /�(�— � _ � Signature: ��`� '�- � / / OriverS Lmense or Social Security n: , 164t�a6 Wbne-6uiltling�, Green—Cotle Enlorcemem: Canary—Applicanl; Pink—Revenue; GOltlenro0—Assessor C_TY OF COSiA MESA —$JILDING PERMIT PERMIT NO; B U59775 PZAN CHECR NO; 04269-92 5 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR JOB DESCRiPTION : 2—PATIO COVER,176SF SOLID RdOr CiAIM VAi,UE: 3,200,00 CALC—VALGE: 5,002,40 PERM NO: B 0597"/S GOVT; N SUPP; N PURPOSE: UTFi SQ FT; 338 GROJP OCC: R-3 / COMMEN7S: 1605E' OPEN LAiTICE PATIO **�*at�x*x�rx�atat-�a>*K*�*��cz�cx+�x�-r��x,�u�kx�.x.K..x.x..x�x*�kx�*x��:x��x-r�xxxx�ticx-x�xu-r.a�*x:x��riExva: Z O N T N G R E Q U I R E M E N T S S E T B A C K S MAiN HUILt�ING --------- --------- ACCESSORY BUILI�ING --------- FRNT; FT IN REA£: 13 FT IN rRNT; =T Ih REAR; FT iN LEFT: �0 FT 5 IN RGHT; 5 FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 4121781�i 'LNE: R1 REF NO• PLANNING N6TES> HKWARD "L" SHAPED TRELLZS PATIO COVER TQ BE CONST TO RIGAT 6 >.,REAR OF AN EX SFD, 312,5 SF REAR YD COVER OK� lft9 SF PROP. . at�+�-*.+t�*�**�tx*�**�� *�***�**�c��x*�x�*+�*�t��c*�cx *****�c�**�x�***rt�*%�*z*��rx��c�rac-xx�**-�*+t+� � E V r�+. L❑ P M a N T 5 E R V I. C E S R E Q G I R E M E N,,T S ZONING APPROVE�b BY : W�K— �" 9i4TE; 1� 'Z 2 BUILD�NG APPROVED BY ; �c--�IR' �— DATE'; L1. , �ti' APPiICATZON ISSUEU BY: �` U.ATE; ft.- 2� 2� iFi(�iEiEifif�3E1(�'7E�JE)EiE3Fif%itiEiE-lfihiFiEu�icfei��itiri"F�]�iF3�FiFSiSitiF �iTiFloitiT�%�x�i'Fil�1t%�itiii'tiC3rilikl(-ibiFiEiEikiElEiFiFir 11• - � iE+:� �% iE iE iE 3E 1E �lE-lk iF if �IE if !f if i63f !F 1E if ie 3F'IF �If i4 iE K� �lf �( iE 1f iE �lf iF1E 7E iE iE iF iF if !E iF if� if %� iE 1f if i(� 1(� iE if� 1E iEiE-1E #-1E %�'.E 1F i(� iE �lE iF if iF M� it� if� if iE iEif df if iF if if LEGALIZATION:N F E E S U M N A R Y S`fRUCTURAL SEGMaNT;Y HiDG PMT PLUMbING ELECTRIC MECHANIC FIRE SN,IP/RES GRAT)SNG �ERMIT 81,00 ,SO SM I P /iVUN—RE:5 PLAN 52,65 �ssoE r•sE BUSLDING—DIV—> PERMIi ISSUE PI.AN—CHECK TOTAL PAID DUE TO'I'ALS----> 81.50 0,00 52,65 139.15 134,15 ,00 REVENUE DIVISION TOT'ALS--> COLLECTEA; 134,15 OVER/SHORT: .00 BLDG F�MT PLUN,BING EI,cCTAIC MECHANIC FTRE SMIP/TOT GRADING PLAN—CHECK 81,00 ,50 52,65 iE if iE iE if # iE iE iE iF 1f tE iE±t # if iF iElf -lE iF N�lE i(� iE iE 3F }� iE i4 if 3E-IF if i(�-1E if ?E iE iE if �lE iE �1(� N� it f! i(� if %-IE?(� iE if i(� if if if �lE jE iE i(� fE #%fF �IF 1F 3E tE if� iE i[ iE i41(�3F %1f I N D I V I D U A L r E E B A E A K.D C1 W N TYPE QTY D E 5 C R I P T I O N UNIT COS'P TOTA1� rpSi SFR 160 SFR 178 RES—PATIO COVER—POST 6 T?tELLZS 19.8p 2,368.00 RES—PATIn COVER—POST 6 SOLID ROOF 14,80 2,634,40 END Or FEES �,�iG•'I. ��i : � .«- L _r * CONSTRUCTION ANO PLANNING POOL & SPA ' APPROVALS Permit #-- Date Inspector p�ppROVALS Permit # Date Inspector .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location " � 2. Soil Pipe-Undrgrnd. � 53. Steel Reinfoccement . � 3. Electrical Conduit Utility-Undrgrnd, . 54. Forms _ � � . - 4. ElectricAl Conduit-Undrgrnd. '' 55. Electricai Bonding , 5. Steel Reinforcement � 56. � Rough Plumbing & Pressuie Test 6. Elettrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE ' 7. Footings , (L�$I�f� �'i� 58. �Eiectrical Conduit-Undrgrnd. 8. Foundation , -, t-1 - 59. Gas Pipe, O Undrgrnd., Test r % 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-Finai . • 13. Roof Drains - . 64. Plumbing System � Final 14. Rough Plumbing . 65. Electrical-Finai . 75. Rough Electricai-Conduit 66. Solar SYstem-Final 76. Rough Electric Wiring 67. Fencing & Access ApPToval . 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.UndergroundHydro 22. Ducts, Ventilating _ . 71. Product Pipin9 O Gas ❑ Oil 23. Gas Pipe�Rough & Test . . � � 72. Underground Flush, 24. Roof Framing � " 73. -Undergrnd�. Storage Tank O Gas ❑ Oil � 25. Roof Sheathing �t��9I_q � 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 "�_� ',I � 78._FIRE PREV. FINAL 30. Drywall Nailing •I � � ;� HEALTH DEPT. REQUIREMENT �. 37. Plaster Brown Coat , I`'-I � 79. FINAL INSPECTION i 32. Electrical Power Meter-Final �-, I'- � 80. FOOD CERTIFICATE ISSUED � 33. Final Electric� � I �� i Notes: � 34. Final Heating & Air Conditioning � � I� � � 35. Final Gas Pipc-Test ' I I ', , 36. Hood or Canopy � I � I 37. Final Factory Fireplace I I ! 38. Final Plumbing f 39. Water Service-Final I I ( 40. Gas Service-Final � � � 41. Solar pomestic-Final � � i � 42. Batkflow Preventer � � j .43. Backflow Irrigation . 44. Landscape Irripation System � 45. Sound Attenuation 46. Handicap Regulations - � 47. FINAL STRUCTURE & BUILDING �/ (3' � � 48. FINAL PLANNING ( i_ r 49. Electric Release to Edison .� �._,, .r . 50. Gas Release to Southern California Gas Co ''j �� ' 51. CERTIFICATE OF OCCUPANCY • � No. Date CITY OF COSTA MESA REQUEST FOR OCCUPANCY � '�RACT N0, ( S s / � DATE �� TAT N0. / 3 ADDRESS �/ G ��i'il��ii The developer of the above entitled tract desires �o sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) acivised that this tzact has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approvai which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by sure�y bond. The undersigned agrees to indemnify and hold Che City harmless from any claim reaulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. BY � --- - . ._..,...,.._...,_..�.._..,,. .. _ __--- --- � .� K.� C E.,I U� D.'. Pu chacer � ' � � : c�r�y. oF. cosrn,. ��E�sA:: �� , . ' � � � . � i i ,? n�' :''.. � i . � .J l,'.; � `:�C!,1,.�,;,1973 „'. pM ` ' ' � � FM':. 7i8�9jl0�1ia12i1'�2i3�4i5j6;:` � ' A �.� ' � i',i �:; � . � � BY �:-rc0-�,,C�a L/ • ,1�'��1��`'-��"� Developer and/or authorized representative BY /S -Gr�cCC� /,tl/-Go-C�- — Lender �; �, • �. �,a :' ,„ # 9�s�"oo r � ��D ��:�' . OF COSTA � :: _' pUkw� �_ � � � ��.�,. �� °�. _�/� _�.� ��.. c �, �� FOR iNSPECTIONS CAII �54-562(s 754-5627 �/ -._....._- J� B >> x �� PR�MED ON NO, fO00X CIEARV0.IM• G SMO�E DETECTOR ; EQUIRED ��'PR��D �,_:...�_�T� GQsta Mesa a_i d1�9�'LP�9`�'L 1 DA1E � �— �.�f :�c} H; i ll_li?hES N'EPT. 1 ..f �i� ..�..�"' ,-'" :.i l'::.� ",0.;' ?:'._ � �,.... ri . " � . . ��lR bPp; CVAL � A � ��'' i t BE T.C, - � �\,,. r; i, ,IJ�T"rJflDT��Y pf ' , , �o : °` ' �,ve � ;.uac�� This . � � � � vN5 �F USE �;t:4.. " " :;r'A„ioSO1EY:OZK�R , , ;. n , ` � � � eD ,J�ON P'`n�FFK.�IA C, , \' �.` , `„r�l T}tf E'Jn�pi. G ' � �..t .:. ��.. !y ;:�:., :.:..,.� € CORRECSloF �Pqc VON SN N •:,_'�r5,�,;�.:,';:�r�AZYkS J� THcFi£��NDERCEOF �.��" , ', �,. _.... ..:, '.�'r'��. �D ON INAN IF�.- r,.a�- oao I s�`�' �'��.,' iii:�C:.•1��;,!:`,COGE CRCF ANY 07HER 'a N��io��<�„_;�o� ;��:s i1i�rc.�u�. �� 1 ��! � �;:� ss ► 0 a K �� ax � % G� �g�5� a � n rz�T i. �. . p°�T SCALE: ' DATE: „�1aXi�z� jc� � pFi p`�� j 1 S l' �� _ X vs � ��a� _t�-' -.. �'� � y � .� ---'" � o a� �� T�``�� n � � � sC�". /��' G(. � ��- � i�xia F�TI� �/R APPttO V ED BY : � TRf3c toT �� oR�wN er REVISED DRAWING NUMBER ./ __ Applicant to fill in all ipaces exce0t those within tleavy Go�Oi — " _ ' _ ' ciTY.dF coSTA mESa NSTRUCTION PERMIT PER nto. t TancT No. � ,, Project Address � � � � " Appliwnt's Mailing Address j ��_ . . TVPE OF CONSTHUCTION . NEW aDo ��q�/� ❑ CONVERSION ❑ DEMOlISH ❑ OTHER Owner's Name � . • Phonec7=J_I_!-SL� , DESCRIPTION OF WORK/USE OF BLDG. — Address � lin¢5 antl si9n all a OT�NO. � ALTERATION riate tleclaralions. NU.' ; � • . -� �� i � Arch/Eng. License No. � TYPE OF PERMIT GRA�ING� �❑,�/�p UNDnTiON I_I $TRUCTURAL , Add�255 ' ❑ TENANT ❑ ELECTRICAL �LJ PLUMBING ❑ MECHANICAL s ❑ OT�HER. _ � � . Contracror; s Name u Ph e � � ' - `_ . .� G � PROJECT_DESCRIPTION �5a. PT. � oCCUaANCv_ Address Imailing) CON STRVCTION TVPE � VALUATION S City License No. ' �- , ZONE � 'GRADING CU. VDS. ACRES— LICENSED CONTRACTOR DECLA0.ATION� ' � I I he�eby a(tirm'that; I arti licensetl untler provi5ions of Charter 9(commencin9 Remarks: � � • � � � with section ]000) oi Division 3 of Ihe Business and Professions Code, antl , ' my license;is in fW f c antl eftecL � . � ( p. ' ' ' ' � , ' . ��,0 License CI ss ��' - LiC n o. �� 'I StJ � ' �•�O Date �j�- 7 5'g t r / .��,/�'.�� PLUMBING WORKERS'COMPENSATIONDECLARATION Ba�$ink �. 'ShOw2�5' ' hereby atfirm tnat I have a certificate ot mnsent to selt-insure or a certificate f Workers' Compensation Insurance, or a certifietl copy thereot (Settion BackflowPreventer � ' ServiceSink 3800Y lab.�C�j /� r j� � P Y�p��q� Polic No.'J�I�+I�y Com an ��/'�/n � �� ' Backflowlrrigation ' , ,SewerCap- �Cer[ifietl copy is heteby (umishetl. � � - . . - , Cert fietl copy is filetl with the city d%�,�� i si n: Baffitub5 �: 'Sewe! ConneCtii Date �.��,�X'� . APPlicant ��✓/ �� J . EXEMPTION FROM W00.KER5' COMPENSATION OECLARATION Clarifief5 . � Solar Collectofi (Thi55ection neetl not be mmpletetl if the permit isfo� onC huntlretl ($100) or _ , � � less).: i Dishwdsher � , � - �SolaiPipin9 � I certify tha[ in [he performance of Ih¢ work for whiCh thi5 pe�mk is is5uetl, I � � - . shall not emplay any person In any manner so as to become sub7ecLto the Drinking Fountains� Solar Tank workers' Compensation Laws ot Calitornia. ' - Date �' Si9nature Floor Drains' " �Swimming Pool � NOTICE:-If; afler-making'this tleclaralion, you shoultl-become subject to the- Workers' Compensation provisions of the Labor Cotle, you must forthwitn Floor Sinks . Urinal comply with such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING�AGENCY ' � GaSService .OutletS 'WaterCloset I hereby affirm lhat there iz a construction lentling egency for the performance of the wbrk f0� whicM1 this permit is issuetl' (Section 309] Civ. CJ _ , ' Lanoer's Name Inrereeptors i �WaterHeater ' �Lentler'sAdtlress� - - KitchenSink �� - '-WaterService � OWNER BUILDER DECLARATION � � � , I heleby aitirm tha{ I am exempt trom the CanVactor's License'Law for the LdvdtO�iCS � , AutO-W25h following reason (Section �031.5 Buziness antl Professi6nal Cotle: Any city or wun[y wM1ich requires a pevmit to const�uct, alter, improve, tlemolish or repai� P—T�ap � � �Undry T�2y5 any structure, prior to its issuance, also requires the applicant tor such permit to fiie a signetl statement that he/she is licensetl pu�suant to the p�ovision5 of ' I Ihe Contractor's License law (Chapter 9:(commencing with SettionJ000) of Roof Dreins • � Division; 3-of the-Business antl"ProFessions-Cotle)'or that he/she is exempt - , . • I i there(rom antl �the basis for the allegetl'exemption. Any violation of Section , � ' � �]031:5 by any applicant for a permit subjects the applicant to a civil penalty�of.not more�than five nuntlretl tlollarsq$500). � - � � '� � 1, as �owner ot the�'property or my employees with wa9es as their sole Reinspection �Fee ' $15 �' : IiYue Fee', coTpensation, will do tne work, antl th¢ struc[ure is not intentletl o� o(feretl - ' for' sale (Section. �044, Business antl Protessional Cotle: The Contractor's , � ' MECHANICAL , license'law tloes not apply to an owner of a property who builtls,or improves � � �- thereon;�antl who tloes such work himself/hevSeH�or through his or her own - t ' emoloyees, provitletl thabzuch improvements are not intentletl or oiteretl for BOiler Hood or 'Type I ❑ sdl¢. If; howeve�, the builtling or improvement i5 zoltl within,one yea� of com- . CdOOpy �Typ211 ❑ � pletion, the owner will have the burtlen of proving he/she Oltl not builtl or im- Duct - Under Ground . , , ' �1/Ove tor the purpose oT sale). � . ' - � IJ�I,�as'owner of the property, am exclusively mntracting with licensetl con- Duct-Structural RefrigerationSystem - � iIdC�0I5f0'COfISIYOCS IhE pfOjCCf ($¢Cil0f1�%�44� BIISIOE55 dlltl PI0IQSSIOOS COdC: "- � ' The: Contractor's License Law tloes not apply to'an owner-of property who Duct - Ventilating ' � " DO-100,000 BTU ❑100,000 ' builtls or improves the�eon-, antl_who contracts�fo� such projects witb.a con- - � '� Lactor(s) Imenze pursuant to tne Contractor's License Law). I am aware that - Eihaust SyStem ❑ Multiple ❑ SVstem Repair/Alteration ' proof of their Worker's Compensation insurance Shoultl be provitletl [O me: . • L7 I am exempt untler Section B. & P. C. for this�reason EirepVFact. BIL�ICBO # � Fire Dampers t ; . " i � i . ' : . _. . Date' Owner ' - � ' � Heating,System & Duc[ing_ • Registeis � � � 1 hereby certiry th5t 1 have reatl thiz application antl� state that the above ❑0.100,000 BTU �700,000BT � � in(ormation is correct.,l agree to comply with all Uty ana county ortlinances ' ' ' , �antl�s[ate laws relating'to builtling const�uction, antl hereby authorize repre- � . . � � .- �Sentatives oh t i5l city �[o ente . upon'the above-mentionetl p�operty ,for � .: ' � �� ' ' � � � inspection pur e . T � � ' � , � � Signature �`+ Date��_(�j�,Z' � ` . Drivers' License or 55 �� Reinspection Fee �-$15 ' (� Issue Fee CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Acmuntin9; Goltlenrotl - Assessor A.P.. # S Main Building E T Front ARear C Ri9ht � K Left ' S Ping. Ref. # Planning Notes:' u ._ . . ' __ _ i . , -. _ ., �3978 :3/1�3%B7 � ;5.00 TL �� . r � _ Zane 'Accessory Building: ' ' . Z O i � . ' N ' I . . �..7 . . '� N , � ' . � R �arking Req./Provided � � � E M : J � I' � S � , _ �; ELECTRICAI , , � FEES � � � Automatic Washer � � � ' Transformer ❑ 75-50 KW � �� ' + Construction PoleSub.- � - . . ; I � SO+�KW -:, i „ � Cooking Unit, �,. . Meter� Dup to 100 amps � Dishwasher - � -� Meter.�oJer100amps, -� ' ' Oryers ❑Gas ❑Electric Suti Panef � . ' i " � ` : � _ ' Fan� . � . _ j ., ' �Motors�0-1 HP�1%--8 . � � ' F.A:U. � �� InaSola'r 09-75 HP 016;15+ , �, Rixtures � � Microwave ; j I ' ' Device Boxes . . Po1e Light ' � i ' : � Outlets . � ' ' � � Range ' ' . � 'Switches' . �- - -' ' Rinn � '' .' .. . y. , _ Garbage Disposal Generator �0.5 KW �5-15 n : t ` Reinspection Fee '$15� Issue Fee � DEVELOPMENTSERVICESREQUIREMENTS: � ' 2onin9 APProved BY. - . .Building Approved By Application Issuad By n � u '. $ 3 )ate �, - SUMMARV, OF FEES - _ - -' BUIL�INGPERMIT`$'� ' .SNIIP ' $' � ' - PLAN-CHECK � $ �� —�.p ,�v� 'PERMIT � � � � � PLUMBING . `'�$ '�� -�SSUANCE� �� $ �� ' PLAN CHECK 25% $ ENERGV.P.C:, $ - - � � ELECTRICAL ._ 5 GRADING , ; $ ' . -' PLAN CHECK 50°k�_ $. � MICROFILM $ ,�5�__ , MECHANICAL $ _ . ; .TOTAL fiEE $ PLAN CHECK 25% $ � ' , '_ � � ' CONSTRUCTION AND.PLANNING POOL & SPA . � APPROVALS Permit:# �� Date .Inspector qppROVALS Permit# Date � Inspector 1. Temporery;Electricgl Service or Pole 52. Pool & Equipment Location . 2. Soi(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 Grnd. ,57. APPROVAL TO COVER-GUNITE ,::� '� 7. Footings j, 58. Electrical Conduit-Undrgrnd. �.;�; � ' 8. Foundation' .- 59. Gas Pipe, O Undrgmd., Test - � � 9. Water Pipe-Undrgrnd. , 60.. Backwash Lines, P-Trap, O Undrg�rnd. ' 10. Structural Floor System � 67. 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 �� i 66. Solar System-Final ' 16. Rough Electric Wiring ' . . - - 67. -Fencing & Access Approval � 17:-Rough Wiring Sign _ .-• . 68. APPROVED FOR PLASTERING - 18. Rough Elec[rical-T Bar Ceiling .' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE OEPT. REQUIREMENT . . 20. �Rough Factory Fireplace � � � APPROVALS Permit # 21'. Ducts, in Structure ' � 70. Underground Hydro 22. Ducts, Ventilating 71. Protluct Piping 0 Gas ❑ Oil . 23. Gas Pipe�Rough & Test , . 72. Underground Flush � 24. Roof Framing • � • , 73. Undergrnd. Storage Tank O Gas O 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 . . FIEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final � 80. FOOD CERTIF.ICATE ISSUED � . � 33. Final Electric � Notes:�{-Zv-i% L.E,pT GI}rUJ� L,t,�J ' ' 34. Final Heating & Air Conditioning ' ' � ' � . � ,_� 35. Final Gas Pipe-Test � ' • 36. Hood or Canopy 37. Final Factory Fireplace . � ; � 38. Final Plum6ing � L{-Z(-�'] CEt� � �' � ' 39. Water Service-Final � ' � 40. Gas Service-Final . - ' 41. Solar pomestic-Final � � � 42. Backflow Preventer � � - � � � 43. Backflow Irrigation � - � � _ , � . 44. Landscape Irrigation System � , � 45. Sound Attenuation � � � " ' ' 46. Handicap fiegulations 47. FINALSTRUCTURE&BUILDING• � . . 48.�Special Requiremenis Completed � � . . , � � 49. Electric Release fo Edison ' � ' � 50. Gas Release to Southern California Gas Co ' . . .' � •51. CERTIFICATE OF OCCUPANCY • No. Date � � � � � � r ,r