HomeMy WebLinkAbout3332 CALIFORNIA ST - Building Permitst� _ � / . .. . . ..
Applicant to fi11 in all soaces.except those within�heavy boraer lines anO sign a11 aov�opriate aeclarations.
GITY OF COSTA ME aSTRy CTION FERMIT � PER T � �j'j T ACT LOT NO� �UNIT NO. ,
Projec[ Atldress 33 =. _'a %i �CK iv�A� S` . � � ��/�" � Z� �6 �� 6 ( � � � -
. Applican['s Mai ' g Address - . TYOOF CONSTRUCTaN � NEW❑ ADD' ALTERATION REPAIR �
Owner'sName' �-°I�'t%���� u1 .N�O� one ���—�' '
Address 3 3''i' � � /GA/le(9'S'i, . �.L1 ��%'i-�'8i
Arc1i/Eng. License No.
Address
Cont�actor's Name �_ Phone�
Address,lmailingl � - � �
Ciry License No. G�
LICENSED CONTRACTOR DECLARATION � . '
I�hereby atfirm tM1at I am licensetl untler pr0�isions of Charter 9(commencing
with section 7000) ol,Division 3 ot the Business antl Professions Cotle, antl '
my license is in full force antl etiect. �
.License Clzss� � License No � �
��te Si9nature _
ORKERS' COMGENSATION DECLARAYION '
I hereby, aHirm that I have a certificate ot mn5ent to self-insure o� a certiflcate
of-Wo�ke�s' Compensation�,lnsurance,�o� d.�ertitietl-copy thereot (SeCtion'
3800, �ab. C.) ,
Policy No. � Company �
BCertitietl copy is hereby tumishetl, • , ' ,
Certifi¢tl mpy IS filetl with the ciry Builtlin9 Division. r ,
Oate ' ' Applicant_ � '
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � �
(Thissection neetl not be tompletetl if the Ofrmitis or One huntlretl ($300) or
less). ,
I tertlfy thaLin the perto�mance of t wo�k o�, Ich this permR is i suetl, I
shall not emoloy any person in any anne so a t beco subje to the
Worke ' � i ation Laws of Cali n a: •
Date Signature '
'NOTIC :-If, after making this tlec tl n, you shoultl become subject to the '
Workers' Compen5ation provisio s ot e Cabor COtle, you mu5t' forthwith
compty.wi[h such�.provisions o ��Oe�mit shal�,be.tle¢metl revoketl. ;
CONSTRUCTION IENOING�AGENCV. ' - �
I hereby'affirm tnatthere is a construction lentling a9ency for the performatnce
of the work far which', this permi[ is i5suetl. (Section 3097 Civ. C.) �
Lentler's Name-
Lentler's Atltlre55 �
OWNER BUILDEH UECLARATION � � �
I hereby affirm that I am exempt from tne Contractor's �icense Law for the
tolbwing'.reason (Section ]03L5 Busi�ess antl Professional Cotle: Any-city or
county whlch requires a oermit to construd, alter, improve, demollsh or repalr
''"�i fisera�sigre�tlPstatement�[hdtahe/Shes� IICC�sed pu�su n't to therprovh5ioos olf
'.?`he Contractor's Licenre Law (Cnapter�9'(commencing with Section ]000) of
`bivision 3 of the Business antl Protession5 Cotle) or that he/she i5 ek¢mpt
[herefrom antl the basis fo�, tM1e allegetl exdmption. Any viola[ion of Sec[ion �,
903L5 by any applicant tor a permit 4ubjects the applicant tb a civil
�enalty of not more than frve huntlretl tlolla�s (5500).
I, as owner of the property or my er�P�oyees with wage5 a5 thei� sole �
com ensation will tlo the work antl the sVucture is,not intentled or ofieretl
f� � CONVERSIOM DEMOLISH OT,HE
Y . DES RIPTION ORK/U EOFBLDG. ��Y �C ��
S.v s r�a Pf,X`'rrc� �
TVPE OF PERMIT - GRADWG FOUNDATION ❑ STRUCSURAL
�O TENANT'� ELECTRICAL'O PLUMBING �O MECHANICAL • •
� ❑ �OTHER • _ � • � " � . , � _
PROJECT DESCRIPTION $Q. FT. '� OCCUPA v �
' CONSTRUCTION TVPE ' VALUATION $ �i �W���'
. ZONE � GRADINGCU.VDS. ACRES� '�
Remarks: _ � / � ' • -
. i � . � . � � . '
Bar Sink � . • � �
Backflow Preventer �� '
Backflow Irrigation
Bathtubs •
Clarifieis . � . _. . '
Dishwasher �
Drinking Fountains , �
Floor Drains
FloorSinks�'�' -�'�-�
GasService • �OuUets '"
Interceptorr � ' �
Kitcheri Sink
Lavatories: � � i
P=Trap ' .
Roof Drains ,
� _ � ..�
Reinspe[tion Fee $15
for eale (Section 7044, Business antl Professional Cotle: The Contractor's - � �
license Law tloes not apply to an owner of'a property who builtls or improves
tpereon, antl who tloes such work himself/horselt or.throu9h his or her own � .
employees, provitletl that such improvements.are not intentletl or ofteretl tor Boiler .
sale. If, however, the buildingbr improvement is sold within one year ot com- .
pletion, the owner will hdve [he bu�tlen of P/oving�he/she tlitl not builtl or� im-' DUCt - Uhd¢� i�iroUnd .
pI��Ove for the purpose of sale). �" �
p I, as owne� of the p�operly, am exclusiaely contracting witM1 licensetl con- . DuCt-$tfuCtu�dl
Iracto�sto consbuct the project (S2C2100 �O�4r BU510255 dOd PlOf25510f15 COdC:
The ContrattaYs.{License Law does not apPly to an awne� ot pwperty who ' DUct - V¢Otildtiny - - -
builtls or Improves thereon,.antl who contlaG[s fo� such projeclS.wilh a can-
tractor(s) license pursuan'[%tdtbe Contracto�'s Li nse Law). I am aware ttiat Exhaust System � MWtiple L
prooi
❑ I' a
Date
� inspeGtion
Siqna�ure
Drivers'
CMF 0865-46,
Worker:s�Compensation�insur�nc houltl.be,,provltle0 to me. . .- __
[ unCer Section � B. & P. E. for this reason,' , Firepl/FacL.Blt. ICBO�# �
� . .. T " _
owner ' Healing System & Ducting �
i.
y that I h e re tl's app�icabon antl state ihat the above , ❑0-t00,0006TU O100,0008T1
_orrecL I a ee t co Iy�W�th all cily antl county o�tlinance5 .
rela ng to uiltli <�sVUGtion, antl hereby.authorixe repre- ^� �
his `ty i ter on the above-mentionetl p� per for , � `J i � '
ose � � p� -
oate �' 7 9
� ar� 55 � . � Reinspection Fee $15 �
]0/B4 White - guiltling; GBnary - Applicant; Pink - Accounting; Goltlenrotl - Aszesso�
Showers
Service Sink
Sewer Cap� '
Sewer Connection
Solar.Collectors
Solar Piping�
Solar Tank '
SwiT^�n,�Spa
�Water Closet ' " -'
Water Heater - �
Water Service, ,
,Auto-Wash _ . , -
0
FEES
- A.P. # 'I J �
S Main Building: G
a T Front ,` �
A Rear � (Q�
— C Right "3Z �
_ �S Left :� ���
— Ping. Ref. #
Planning Notes: , '
9243 _ 2/_I I /8F _. _...;q,«.. . .i L.
[�g!�o��
� G� � .
����A
C�-�-i���
.C����
�.'� _i_ar ��- s-
� _ — _—_ _
Automatic Washer � ' -
� ConstructionPoleSub.'
� Cooking Uni[' � �
� - Dishwasher �-- � -- ` -
Dryers �Gas ❑Electric '
Fan � :
F.A.U. '
Fixtures� i �
� Device Boxes � �
Outlets
Switches �
�L211110IY I IdyS ' '
. .
� Isue Fee
iANICAL �
Hood or Type I ❑ �
Canopy � Type I I ❑ ; , -
Refrigeration Sys[em '
Oo-ioo,000sru Oioo;000eTi
SVstem Repair/Alteration
Fire Dampers �
Registers �
� � � i
laue Fee
J
FEES
�
$ 3
�
�
ELECTRICAL � ' . '
Transformer ❑ 1S50KW
❑ 50+KW
Meter ❑up to 100 amps '
Meter ❑over100amps
Sub�Panel '
Motors OO-1 �HP O7'/, = 8
Inc.�Solar �9-15 HP �16-15�
Microwave � �
Pole Light ,
Garbage Disposal �
Generator DO-S KW 05-15 KW
0
I Reinspection Fee •� $15
DEVELOPMENTSERVICESREQI
Zoning Approved By
euildin9 APProved By ��', .
Application luued BY
, FEES
1
Range •
Sign
Standing Sections �
Trash Compactor
Issue Fee � � $ 3
JTS: • ' �
Z'
O
N
1
N
G
R
E
Q
M
T�
S'
, BUILDING PERMIT , $ ' SMIP � 1 $
PLAN CHECK $ � PERMIT i , �. ,
. PLUMBING • 1 $ ISSUANCE � $
' PLAN CHECK 25% $ ENERGY P.C. $�
ELECTRICAL $ { -I� GRADING � $ � �
PLAN CHECK 50%� $ � MICROFILM $ '�]�
} MECHANICAL ; $ TOTAL F�EE �, $ ._�.y�J
j PLAN CHECK z5q' $ � �
�
� CQNSTRUCTION AND PLANNIN� � � & SPA _ � ,_
APPROVALS Permit # Date Inspector - AppROVALS , Permit # Date Inspector
' i
�;1 . Temporary Electrical Service or Pole ' � 52. Pool & Equipment Location Z:� �
� � . v�
2. Soil Pipe-Undrgrnd. ,. � 53. Sieel Reinforcement � �
3: Electrical Conduit Utility�Undrgrnd. . 54. Forms � •- �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � � L �/� _
5. Steel Reinforcement , ' 56. Rough Plumbing & Pressure Test . d,G f/ti
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE r �
7. Footings '58. Electrical Conduit-Undrgrnd. Z�� • (/L--
8.'Foundation -" 59. Gas Pipe, O��drgrnd., Test �'��- %a� (�
9. Water Pipe-Undrgrnd. � ` 60. Backwash Lines, P-Trap, � Undrgrnd. �-
10. $tructural Floor System 61. APPROVAL TO DECK .
11. Property Sewer Line & House Connection � �62. Backwash & Receptor-Final (�
12. Sewer Cap 63. Heater & Vent-Final i -
.13. Roof Dreins . � 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/SPASYSTEMS.FINAL (� _
19.` Rough Heating & Air Condi!tioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace . � APPROVALS Permit #
21. Ducts, in Structure � . 70. Underground Hydro � �
22. D,ucts, Ventilating 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test . � - 72. Underground Flush
,24. Roof Framing - � � . 73. Undergrnd. Storege Tank O Gas ❑ Oil �.
25. Roof Sheathing � - ; �74. Overhead Hydro • � ,`
26. T-Bar Ceiling (Structural) & Monocoat ' 75. Dry Chemical
i
� '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. Electriral Power Meter-Final � � ' 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning � . . '
35. Final Gas Pipe-Test � . , - . '�
36. Hood or Canopy � � � . ' • � '
37. Final�Factory Fireplace �
�
38. Final Plumbing �
39. Water Service-Final �
40. Gas Service-Final � . t` � �
41. Solar pomestic-Final � �,•.
42. Backflow Preventer � • �. � � _ .
43. Backflow Irrigation ' • � �� � . '
r
44. Landscape IrrigationiSystem ' ^
45. Sound Attenuation � � • -
46.,Handicap Regulations �
47. FINALSTRUCTURE&BU,ILDING
48. Special Requirements Completed ' � �
l�
49. Electrie Retease to Edison � � � - !
50. GasRelesse to Southerri California Gas Co � - ,,`'`..;
51. CERTIFICATE OF OCCUPANCY. . ' • ,
No. ' � � Date � � f •-
,
� � r P�-,�..-�- �t.
. �, �� ���� �
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(a �3� 9a 3- �s�i ExT S a3 o,c aa �
A�u .� e ln a s i.v (,- � e y» //o cui.ci G:
I' /. l��SJ� — �o�t/QuisTRDo2 �'PA.
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a . So s� ,�r G°o�,e,A
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CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TR71CT NOo �� DATE.�/-19-�9
LOT N0. (� � � —
�D��,ss �,32
L'�-� �i '''L�'.,�c- .
The developer of the above entitled tract desiYes to 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 .
Tne undersigned, by executing this agreement, acknowledges
that (�e-they) (� were) advised
that this tract has not been given final inspection noY has
it been accepted by the City of Costa Mesa as having complied
with the conditions of approval which were imposed by the city
at tne time the final tract map was approved.
The cit y assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by
s urety bondo
The undersigned agrees to indemnify and hold the city harmless
from any claim resulting in damage or personal injury to the
undersigned by reason of tYie aforementioned uncompleted condition.
F-�
lleveloper an ioriau
representat've
BY
Lender
\�
�'1
\ J
PBQIECTRODBESS: 333Z CALIFORNIA ST
owxea�s xaME: 5CHAkNHURST
nooeess: 3332' CALIFORNIA ST
'COSTA MESA
: CA 9.2626
AflCNIENGiNEEfl: t 7 1 4� 9 6 6— S 3 4 O '
! �ooxess:
xea.xo.:
UNIT:
uxn:
PEBMITTEE: CAL—PAC ROOFING ( 714 ) 583-0884
�; : eooxess: 9Z�2 JERONIMO 120
7p�/7�F CA 92'71 �
❑CENSED CON7MCTOIIDEClAH11TIUN: I hereby attirm ihat I am Iicense0 untler provisions a(CFapfer 9(cammencin0 ��h Section
7000) oi:Division 3 oi the Business antl Pmhssions Cotle, antl my Ilcense is in full force an0 efled.
cm uc.: slnre uc.: uss:
: 027633 51280���D,,,,. ��,
Uate: � � SiqnaWre: �1Y\
WOBNEBS' COMPENSATION �E LAMTION: I here6y aifirm ihat I have a ce f ata o consent to selbinsura or a certificate oi Workers'
ComDensation Insurance, ar a cenified coOY �hereoi (Section 3800, Lab. C).
roucvr+o.:O1WCP1207"lA E%P.ORTE: O4IOZI9I
COMPANY: 7 � '
❑ Cenitietl ooU�PnEe�yiur�nisRhed.� Certitie0 caDY�� d;leA wit� the ciry BuilUing Division.
Date: � —' �- �9� ApDlicant � �, � 0 /� Q�+1 �' �' `+h �� _�
E7fEMPTION FflOM WOBI(EflS' COMPENSAlION �ECUIWTION: (Riis seciion neeG nob e complated tl IAe Dermit is far one hunAreU (5100) ar less).
I cenity ihat in tAe Oerformance ot [he work for wAich ihis permit is issueA, I s�all � ot emDloy anV De�son in any manner so az ro bewme
sublect �o Ihe WOBers Compensation Laws o� Califomia.
Oate: SiAnature:
NOTICE: If, after making this declaation, you sAou10 became suUlect ro ihe Workers' Compensa[ion D�ovisions oi the Labor
Code, you must forthwith comply with such pmNsions or ihis permit shall be Oeemetl revoketl.
CONSTPUCTION LENOING AGENCY: I here�y alfirm ��at thera is a constmction lendinp aAency for the petlormance of the work for
which.fhis Oermit i5 issueE (Section 3097, Civ. C�. �
lENOEN:
' ' RDOflESS: . ..
OWNEP BWLOEP OECIAMTION: I hereby affirm that I am exempt imm the Contractors' State License Law far the fallowinp reasan
(Section 7031.5 Business antl Pmfesslonal Cotle: My ciry oi counry which requires a Oe�mfl to construct, al[er, improve, demolish, or
reDair any structure, D�or to As issuance, also repuires Iha ap0licant br such permit ro tile a siA�eO statemem NaLhe/s�e is liunsetl
pursuant ro �h0 pmvisions 01 the Contracror5' State License Law (C�apter 9(commencing wilh Section 7000) ol Oivision 3 0l the Busines5
antl Prolessions CaOe) orthat �e/she is exempit�ereimm and tAe Easis for Ihe alleOeA exemptian. My Nalation of Section 7031.5 by
any aDPlicant for a De�mifsuhlecis t�e apD�icant ta a civil penalry oi not mare than five �unOreO Oollars (5500).
"I, as owner o1 t�e pmpeny or my employees wiM wapes az I�eir sole com0ensation, vnll,tlo I�e waM, and [he
O strucmra is no� intentled ar oflereE tor sala (Section 7044, Business anU Pmiessional Catle: The Contractors' State License Law
tlaes not apDly to an owner oi a properry who 6uiIE5 or imprwes fiereon, anE w�o Ooes such vrod �imself/herseli or t�mu0h
, his or Aer own emDloyees, pmvidetl t�a[ such impmvemenis are noi intenUed or oflerBC for 5ale. It, however the building or
improvement is sold withln one year ot completion, [he owner will have Ihe �ur0en oi proNnp he/s�e did not buil0 or impmve
�' ��or Ne pury0se 01 5ale�. ,
I, as awner ol t�e properry, am exciusively contractinA ��� �icenseA contraclors ta construct the prol� ISection 70Cd, Business
❑ antl Professions Code: The Contactars' State License Law Aoes not apDN �o an owner ol property who �ml0s or improves thereon
antl w�o conirecis for such pml�ts with a caniractor(s) license Dursuant ro the Coniractors' SW[e License Law). I am aware
thatproof o� IheirWarker's Compensation insurance s�oultl be proddetl �o me.
� fam exemD� under Sec�ion: 9. 8 P. C. '
lor t�is reawn: ,
oate: Pwnec
I CO hereby Certify Itut I am awafe of anE untlers�anO lhe r¢Quiremen�s Oi CalifOmu Heall� antl Sa�eTy Code $ettion5 25505, 25533, an0
25534 antl ihat I or any tuNre builEinA accupant vnll/will not (circle one) neetl to compry wit� sai0 s[ate co0es antl ihe requiremen[s �or a
permit tor constmd'wn or motlification Irom the Nr Qualiry Manapement Oistnct. pesi0ential consiruction apDlicatians are exemD� �mm
t�ese pravisions. � � ,
Uate: � Applicant
I Aere6y certity t�at I Aave read Nis aDPlication anU state t�at the ahave in(armation is correct I apree ta wmDly wii� all ciry anC counry
ordinances an0 sWte lavrs relatinp lo DuilEing wnstnwtion and hereEy aut�onze reD�esentatives of this dry to enter uDon t�e above�mentioneE
properry/ ^for inspection purposes. �p—��
Oate: v �� ^�� SiOnature: `������ � �—?� " �. �
V
Drivei 5 Lic¢nse or Social Security k: �
�<a�ra wnno—n�die���� r....�_r..n6 F�m.�e�..e�r ce..e�.,—e.,,,r.n.�. e.... oe.,e���e� r.dno�.�n—aassonss,..
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 047896 PLAN CI-IECK NO: � , N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR
JOB DESCRIPTION ; REROOF W/"DECRATILE" O/WD SHINGLES�
PERM NO: B �047896
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT:� 9,500
CLAIM VALUE; 4,500.00 CALC—VAliUE': 4,500.00 GROUP OCC: R=3 /
COMMENTS: ICBO# 3409 • s� �
at*��t�*er*u**rt�r�r+r�*x*ir��r�r��t�+r*���r��r�tz*��*�c�c***�*x��x��x�r*xx����•�cA'rpFj'�ly�r�Lx��� I'���
Z O N I N G R E Q U I R E M,E N T S� JIVII.Jf\C
S E T B A C K S__— QUIR�L../ ,
------------ MAIN BUILDING ---------- ------ ACCESSORY BUILDI� ---------
FRNT: FT IN REAR: FT IN, FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ; PROV: PARCEL: 13957220 2NE: � REF NO: ' .
PLANNING NOTES> ;
] � '" `" _ ' ; '. _ � : � � ' .
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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-
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ZONING APPROVED%HY DATE:
BUILDING APPRO�/ED BY : DATE: � '
APPLZCATZON ISS[IED BY:�, DATE: 6���U
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LEGALIZATION:N F'E E S U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMZT 72.00 .50 �
SMIP/NON—RES
PLAN
ISSUF. FEE
BUILDING—DIl'—> PERMIT ISSUF. PLAN—CHECK TOTAL ' PAID DUE
TOTALS----> 72.50 0.00 0.00 72.50 72.50 ;.00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
ii.00 .so � ,
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I N D I V I D U A L F E E b R E A K D O W N
\ �
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 4500 REROOF BY VALUE RESIDENIAL NOZONE
� � END OF FEES
1.00 4,SOQ.00
� �
O1 ODQ6341�-900b34S5 T r�T ?2.SG
4ftTE:; 4b/?6/90 'iIfiE: 12:37
r�
_
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" CONSTR CTION AND PLANNING .. � � � POOL & SPA
Date Inspector � Date Inspector�
- � APPROVALS Permit # , ; }. � APPROVALS , Permit # ' .,- _
1. Temporary Electrical Service or Pole • � 52. Pool & Equipment Locacion • `�;
2. Soil Pipe•Undrgrnd. ,1 , y _ 53. �SteePReinfor`cement � � � . �'
3. Electrical Conduit Utility-Undrgrnd. 54. Forms � '
4. Electrical Conduit-Undrgmd. �, ��1 � 55. Electrical Bonding - n
5.. Steel Reinforcement ''- � � 56. �Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVA� TO COVER�GUNITE
7. Footings - � 58. Electrical Conduit-Undrgmd..
8. Foundation �,.�., � 59. Gas Pipe, � Undrgrnd., Test '
'� ..
9. Water Pipe-Undrgrnd. "� .� " i ' • 60. Backwash Lines, P�Trap, � Undrgrnd. -
10. Structural Floor System - � � ' 61. APPROVAL TO DECK �.
11. Property Sewer Line & House Connection - 62. Backwash & ReceptorFinal� �
�
12. Sewer Cap . ' ! ' 63. Hea{er�& Vent-Final � � �
13. Roof Drains � . - 64. Plumbing System - Final
14. Rou h Plumbin . • • : �_ '
g 9 . _ 65. Electrical-Final
15. Rough Electrical-Conduit � � ' 66.-Solar System-Final ' � '
,
' i 6. Rough Electric Wiring� , � 67. Fencing & Access Approval '
17. Rough Wiring Sign = � � � 68. APPROVED FOR PLP;STERING
18. Rough Electrical-T Bar Ceiling ' - 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Cond�itfoning � . FIRE DEPT. REQUIREMENT
20. Rough FactorY Fireplace � - APPROVALS Permit #
27. DuCts,in�StrUcture 70. Underground Hydro
22. Ducts, Ventilating � 71. Produci Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing (� .� l�I� 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 � I�" - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � '� 79. FINAL INSPECTION
32. Electrical Power Meter-Final ,:� 80. FOOD CEFTIFICATE ISSUED
33. Final_Electric ;'f"� Notes:
34. Final Heating & Air Conditioning - �.^� -
35. Final Gas Pipe-Test � � '
� 1.l
36. Hood'or CanoPY . ^ /'�/ �
//�J,
37. Final Factory Fireplace � ;� .�l - . �
, i6
38. Final Plumbing �,' • , --
39. Water Service-Final � ,� �_
40. Gas Service-Final -
41. Solar pomescioFinal � ' - �
42. Backflow Pre�enter ' ' '
43. Backflow Irrigation � . -• -
�44. Landscape Irrigation System . . � .. -
45. Sound Attenuation� � . �
46. Handicap Regulations ' .
47. FINAL STRUCTURE & BUILDING �/ ' f' "
,
48. FINAL PLANNING � i ,
.49. Electcic Release to Edison ���
50. Gas Release to Southem Califomia Gas Co �� - �
51. CERTIFICATE OP OCCUPANCY
No. Date
VryNCK
JOB ADDRESS
GENERAL C01
AP No.
INSPECTIONS
SOIL
GAS
WATER �
ROUGH PWMBIN(
PROP. SWli. LINF
SPRINKLING SVS'
MISCELLANEOUS
ROUGH HEA7ING ANO AIR CONDITIONI
TEMPORARY SERVICE OR POLE
UNOERGROUNO � POWEF �
ROUGH WIRING
TRENCHES FORMS STEEL
FLOOR SYSTEM
BOND BEAM � STEEL REINFORC
SHEATHING
FRAME AND FLASHING
LATHING - IN [1� OUT �
PLASTER.BROWN COAT
HEATING, VENT., REFftIG. ANO A.C.
PLUMBING, FINAL ANO GAS TEST r
ELECTRIC, FINAL
BUILOING, FINAL
SPECIAL REQUIREMENTS
TRACT
VHIG �-1"
BUILDING PERMIT
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For Applicant to Fill in Completely
ADDRESS �����'�(_`�'Get'Z���j�+.��—.C1C
OWNER Hermes D2V. O.
ADDRESS 1104 E. 17th Street
CITV Santa Ana NOL 547'
BRANCH ly0 tSroaflway Ave.
ADDPESS San Dieeo. California
AFCHITECT TEL.
ADDRESS 2�12 E, Caast Hwy. Corona D
CONTRACTOR Owner
ADDRESS
TEL.
CITY NO.
LIC. No. 25256o LICVNO.
512E 1 OO X NO.OF BIDGS.
OF LOT 5� I NOW ON lOT �
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEWBLDG. ZI 5 ROOMS STORIES Z
EXTERIOR WALL ROOF ompo OP
COVERING S�)UCCO COVERING WOOCI
USE OF BUILDING AND WOFK TO BE PERFORMED �
I hereby acknowledge that I have reatl this application antl state
that ffie above intormation is correct antl agree to comply wiffi
all laws regulating building consttuction, and I shall not employ
any person in violation of the workman's compensation laws of
the State ot Calitornia.
I hereby certify that I am properly licensed as a conttactor untler
the State of California Business and Professions Cotle, Divisicn 3,
Chapter 9, and thet such licenses are in full torce and effeci, or I
am exempt from the provisions of the State of California Business
antl Protessians Cotle, 'vision 3 ter 9.
Signature ot
Permtttee �S�—
A�thorizetl Agent
PAfO
P,PR 24-69cnsadO1338+� *** 15Z.2�
APPLICATION FOR BUILDING PERMIT
RECEI BV DAT RECEIVED DATE ISSUEI
_ /u� _ �- � S �/_�
� PERMIT NO.
A.P. NO. `- O I
BUILDING � Q� ��
ADORES� '�' � � (_��rr- d,
TRACT ��L LO I/�I BLOCK
FIRE =�
ZONE '
APPROVE�
ZO NO.OF �
/, PLANS
VAR�SAPPROVED
MAIN BUILDING
(FROM C/L STqEET)
!IJ
REAR 7- % FT. T
!
DI5TANCE BET.
MAIN BLDGS:
VAF. # i/ `
C.U.P.# Y's�S—l0
APPROVED I / � I il
HOLD FOR
DATE
USE OF NEW M'�!,
BUILDIN�a��
VARDSAPPROVED
BET. MAIN &
ACCESS. BLDGS.
oare /
APPROVED S'?O—�p
1 %Q� SQ. FT.S�JD o
THE AMOUNT SHOWN UNDER VALUATION IS FOR � j
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
¢
VALUATION n m
PERMIT FEE $ U . �(/ �
2� �7� ]
m
� �D(,/ PLAN CHECK S �D� �J E
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