Loading...
HomeMy WebLinkAbout240 BROADWAY - Building Permits< �`.� �.. 7 . �-�'_—� ADClicant lo fill in all ipatts except those within_heavy��wEer lines antl sign all appropriate tleclarations.T _ � _ „ _ ��j53 I 2/ I 6/87-� 42 75 T�. r " • e � � - PERMIT NO. ; TRACT NO. � 'LOT,NO. ' UNIT NO.• ' : ' � i � � � � - '� � ' i � ' � 'STA MESA CONSTRUCTION PERMIT , � : : ; , � 2�+0 .g�w� } � � ; ` G � 1 b � ' ; . � , ; : , � ; � ; ` t ; i , � � � , � ; � i . c,a y �' � � ' ' 1 TYPEOFCONSTHUCTION ' NEWI ADD �ALTERATION REPAIRi � • ' '' �ng Address + - � . � � ! I r� - '❑.CONVERSION. ❑ DEMOLISH ❑ OTHER q,p. # � i I Zone CJ`�.: %� i..SD . Phone _._ ' ` �' ' ' '._' " _� ' . ' " .�.__. �. .... L ' �' ' _� _.-' '. � � � `DESCRIP.TION OF WORK/USE OF BLDG. � � Address '�� ' � � � 'I � ' � ' ' S Main Buildin9'_ �Accessory Building:; • � � � �� TVPE OF PERMIT� i� GRADING'. ❑��FOUNpATION ❑ STRVC7uaAL ; 1 E Front � � � � � � Z � Arch/Eng. � - � License No. ' � � T . � ' ` � t O � Addr2ss • ' � � � c . � TENANT �R ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i � B Rea� ' ' - � i � � � N y � Contiactor'sNam � ��' M�'� �/�L Phone (�4'Z Z I,�O OTHER . •. ' ' � � � ' C' Right . .'. ' � -'�' - � ' -" + F �-. . j._� N. (pec/��, M/� PROJECT.DESCRIPTION SQ.FT. OCCUPANCV ' Addresslmal'nal���` �UTL'��OQ.. ti- W.i� /�'I��' t . , � � - � • � � 0;3���'�'Z ' ' CONSTRUCTIONTVPE ' ! .VALUATION$ � �S Left � ' . � i � � G ' � Ciry LiCense No. � ' . ,ZONE � ,GRADING CU. VDS. ' ACRES� ' ' + " - � , } R LICENSED CONTRACTOR DECLARATION �-l' Ping. Ref. # � _ �Parking Req./Provided E ' � I hereby afflrm thaf I am licensetl untler�pr visions of Cnarter 9 (commencing Remarks: ' ' � • � ' ' Planning NoteS:� • � ' ' . � ' � n with �section 1000) of DiWsion 3 of th� usi ess antl P�otessions Cotle, antl - - �� M ' my license,is in tu❑ rce intl ettect: j C QY� � ��" � �,� � ' , - � � � , � . ; � - ' . . . - - . . � - .p: � , _ ' = t - � � T � LicenseClass %�_�0 LicenseNo.Z`�� V� � '�. ` � - 1 S ' �ate_,�Z"��T_ Si� � �� � _ PLUMBING ' FEES - - • _ � � J � ' � i WORKERS' COMPENSATION DE R I N �� � Bar Sink ' � ' �Showers ' � ' ' � ' . � � � + - ' ' �- ;' ,.�! hereby affirm mat I have a ce7tificSte of consent ta self-insure or a certificate • � _ ' ��. :�. ECECTRICAL. .. i� FEES n� f Woikers' Compensation Insurance, ar a tertified copy the�eot (Section L" eeoo, �ao: y � , � Backflow Preventer Service Sink_ '� -� Automatic Washer �' � � "� �� Trensformer �O I75 50 KW � . " � Policv rvo. ���C.�C�����6 a ".,GN� Backflowlr�igation � ' .SewenCa � , .. .' � . -. ?' ❑•50+'KW � � � , . - ❑ pertrtietl copy is hereby fumished. P' Construction Pole Sub � �� ( q J � , �I j ��Certi ' p ' 'lea with the ci 'I f�ivision: • Bathtubs . ' � ' Sewer Connection � - , � � Cooking Unit, , Meter up to�100 amps , 'i CUJ � (�] Date - � � ' a - ' � ' ' - ��I �t EXEMPT N ROM WORKERS' O NSA ON DECLARATION � � "� Clerifiers � _ 'Solar Collectors . _ + ` � � j Dishwasher' � ' - , Meter��oyer100amns_ ,.:, (Thissection neetl not be completetl.ii t e permit is for one huntlretl (Sl'00) or . ' less). ' ' F i Dishwasher -� .. Solar P�ping, �_ Dryers �Gas_ DElectric i Sub�PaneP � , 1 - ; I certify tM1a[ in [he �performance oFlthe work for which this perm�t is i5suetl, I � _ , , -• ' � ` 1 ' �' shall not employ any person in any manner so as to become subiect to tne Drinking Fountains � ' ' :Solar Tank � ' ' � Fan � � � , � 1i I�i P_ Motors O0.1 �HP O1 % � 8� Workers' Compensatlon Laws oi California. . . - � - .� - I Date � � ' • - Signature � � Ploor Drainsc � Swimmin Pool w/S a � • ' � ' - . � � '-� NOTICE:If,after makin9 this tleUaration,you_sM1oultl became subject�to ttie _._. � � 9 P � F^P'�U� � �Inc.Solar 09-15 HP 016_75+ � � Workers' Compensa[ion provisions of the L�bo� Gotle; you'must torthwitM1 FIOO�SiOkS ' U�inal � � Fixtu�¢5 mmpty with such provisions or Ithis permit shall be tleeme0 revoketl. � Microwave � . ' . , . . , i , � : i � � • CONSTRUCTION LENDING AGENCV ' 1 � GasService;'� ,Outlets WaterCloset ' ' � � ' � � 1 Device Boxes . � ' Pole Li ht - � � � 1 bereby af/irm tnat there is a wnstruction lentling agenty for the performance � � 9 � �' of ttie work ,/or which' this permit �is issuetl� (Sec[ion 309] Civ. C.) '' � . f . " , , �_ � Incerceptors;, � Water Heater � � ; Outlets - j . - 1' Range � ' i�� ' � ; Lentler's Name; � ' ' � � ' ' , - ,,-�ender'sP,Etlress_ � ' �' �� � . KitchenSink". _ ., :.. !.,.. ' �Water.Service.�_., �..__!.. {_ Switches � - - - �Sign � "-- �-!'�- - ' ' � OWNER BUILDER DECLARATION � � � , . � } � � � • � , I hereby afiirm thai'I am exempt from tne Contractor's License Law tor the Lavato}ies.') - � 4 �Auto-Wash ' i ' ' Garbage^DiSposal Standing Sections j foliowing reason (Section' ]031.S�Business antl Professional Cotle: Any"city or ' ' _, ' � � � � - • � � � � � , . . ' county which requires a permit to construct, alteq;impwve, tlemolish or repair p_T�ap �ir i � .. Laundr Tra s� � � � ' . ' any structure, prior to its issuance, also requires the applicant tor such permit Y Y r i � Generamr �0-5,KW �5-15 KW �� Trash Compactor � � - to tiie a siqnetl�statement that, ne/she is licensetl pursuant to the provisions of Roof Drains. ' ' ' � � ' � � • � • � . the Contractor'4 License Law (Chapter 9:(commencing with Section 7000) of - � � ( � , '� . � � � � Oivision �3 of the�Business antl�Professions Cotl¢)-or_thaGhe/she is-exempt � - - - - - - - --, - � - - - - � • - � ' -- � - herefrom antl the basis for the allegetl exemption. Any violation of Settion �� � � � � ' � � . � � � ' �� i � ' , � f ' � i031S�by any appliCant fo� a permit subjects the�applicant [o a civil � � - 4. ;p¢naltybf not more [han five huntlretl tlollars ($500). ' � � _ ' - � : � : � � �� ; � , � i ! ; ' 1 n I!ai'owner ot the �property or my; employees with wages as their sole Aeiospection Fae � $15 � Issue Fee $ 3 • - ' � - ! compensation, will tlo the work, antl therstructure is not intentletl or offered " ' 1 Reinspeetion Fee � $15 i Issue Fee. �'S - for, sale• (Section 7044; Business antl Professional Cotle: The Contractor's �-• ' ' MECHANICAL � '. - � FEES ' - - ' - � ;, i License _Law tloes,not apply to an owner of a proper[y who builds or improves � thereon, antl who'.tloes such work hlmseli/herseli or through his or her own . � , DEVELOPMENT SERVICES REQUIREMENTS: � �' �{emD�oyees, provitletl thaLsuch improvements are mt.intentled orofferetl (o� BOiI¢r • HoOd Of �Typ2.l � � ' i � , ', ,sale.' If;•however;�ihe builtling or improvement Is soltl within one year of com- _' .. � Canopy Type II ❑ � Zoning Approved By -� � Date � .pletion,�tM1e owner will have tM1e bu�tlen of provinq�he/she tlitl not builtl or im- DUct - Unde� G�Ou�d � • � , . • , , � � � - ' _ � ` ' t ^ � ;prove tor the;purpose of sale). .. � , �� -� - - Building Approved�By Date � I•'as'owner oi the properry, am excrosively contractin9�with licensetl con- Duct - SVuctuial i " Refrigeration $ystem � . �. '� i! Application Issued By � � Dat �G' g �' tractorito mnstruct the project (Section,]046, Business antl Professions Cotle: ' ' � . ' .� � The Convactor; s License. Law tloes not apply to an owner of property wM10 � Duct - Ventilatin ❑0-100,000 BTU ❑100,000 BTU . � `• • � � �� � , r � � buims or improves thereon, and�who contracts for such projects with-a mn- � 9 � . . _ , - + , ' � SUMMARV,OF FEES , . � ." .- t + � i tractor(sl i�cense pursuant to tne Contractor's �Icense Law). 1 irii aware that: . Exhaust System ❑�MWtiple��❑ System Repair/91[eration : j, � r BUILDING PERMIT $-_� SMIP � �$' 'proot of thelr Worke�'s Compensation insurance shaultl.be provitletl�to me. . • r + ry , . - 1 . - ' . PLAN.CHECK � � $ � 'PERMIT , M ❑ 6am exempt untler Section - - B. & P: C. for tnis reason - FirepVFacL Blt. ICBO # , Fire Dampers . - � � �� • j i: . • . � �� � - ' - - " . PLUMBING � , $- � •^ - � ISSUANCE . $ { . . �Date:� ' � ;Owner ' ' � Heating,System&�Ducting-., � ` Registers � � " , � _� � � - ' » � . ENERGV'P.C: $�, � � � � � ' . -� .� • � - PLAN•CHECK• 25%� S ' � � ` � � ; ;I hereby certify 11'� ave.ieatl this applicatibniantl.state ttiat ttie.above " y ❑0-100,OOOBTU�100,OOOBT : . ' �S'�•, GRADING' - $ ' �-iniormation is rre I 9ree to�compty with all aty antl county ortlinances " ' ,- ELECTRICAC ', , , : antl state'la rela ing� o bwltling construction.•antl.hereby;authorize repre-1 � , � . , .� � ' i pLAN CHECK :5096 $ ' ��. Z.� -- MICROFILM , $ � ' - ,sentatives o -this- it to'enter upon tlte abovemenliO�etl propert for ' �� �. � � � : � inspectio po .'�� ° . . � . ��� f . .: ''" -' . , , , � _ � n; MECHANICAL I , g 4 MTOTALFEE �L�$ ��'7 - r ' YSiqn - Da�e � �- t .i � . � _ - Reinspection Fee . ' $15 . � 'Issue Fee • . $ 3 � - : PLAN CHECK •25%��$ " ' ` 'Drivers''Lic -0 5 - t � � 1 CMF�OB65-46; rev 10/84 � White � Builtliri9; Canary - anh Pink - Acwunting; Goltlenrotl - AsSessor � � � � � . . f - - . � �, � I � ,r`; POOL&SPA�.. �..i ., . '� �i, ' ' CONSTRUCTION AND PLANNING�i I � � ' � ' .�� � � �� � - i' ;Date'' "Inspector" 1� A � ' "" '-� � � "'s ""Date ' Inspector ,� APPROVALS Permit# ` � i� tAPPROVALS Permit#, {�� � i, - I : ' 11Temporary Electrical;Service or Pole-� � ' ; � , 52. Pool & Equipment�Location . � , � �� - ; 2�Soil Pipe-Undrgrnd. �� � ' � �a � � � � � � �53. Steel Reinforcement y i � • � i� , i . 3. Electrical Conduit Utility-Undrgmd�. , � � �'54. Forms� , _ , . ` � � _ � 4rElectrical Conduit-Undrgmd. �� � ' � • � 55., Electrical Bonding v ' ' � � ' , 5. Steel Reinforcement � . '� � � � 56[ Rougli'Plumbing'& Pressure Test ` �� s ` 6. Electrical UFER Grnd. :' � • - 1 � 57. APPROVAL TO COVER-GUNITE' � � - � 7. Footings � � �� � i - ' _ ^ . 58. ;Electrlcal Conduit-Undrgrnd. � , • " � - i vV3'. ` ' 'I 1 . ,�' ' ' .._6. _J .- � 8: Foundation '��r,� ' - _ � - , - '59..Gas Pipe;��•Undrgrnd., Test � ' 4t i.i� : 9: Water Pipe-Und grnd v . _ ' � �, . � 60., Backwash Lines, P-Trap, O Undrgrnd. � i .. � 70. Structural Floor System � , �• � ' 61. APPROVAL TO DECK ' ' , • . . 11. Property Sewer Line & House,Cc>nnection - � . 62. Backwash �& ReceptorFinal � � � , •72. Sewer Ca � ,' � � ' . � P . � � � � ! 63. Heater & Vent-Final �� � ' . 13r Roof Dreins . „ � " ' � . 64. Plumbing System - Final ' s �.7�4...RoughPlumbing '�' - • . 65. Electrical-Final� � . r� , 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'Electrica6TBarCeiling, � ', "' � 69.�ROOL/SPASYSTEMS`FINAL' � 19; Rough Heating & Air Conditioning '� � � , . � FIRE DEPT� REQUIREMENT ' . r. � 20. Rough Factory FiFeplace - �' � ` " ' - � APPROVALS � � Peimit # , • 21. Ducts, in Structure • . 70. Underground Hydro � 22. Ducts; Ventilating ' � • ' . , 71. Froduct Piping � Gas ❑ Oil . � '� 23. Gas Pipe-Rough &?est _ , '•, ' �� 1 72. Underground Flush � • ' � , ' '24. Roof Framing , � ' � � . ' �73. Undergrnd�StorageTank �Gas- ❑Oil ' . 25. RoofSheathing . � : '. � � - , 74. Overhead�Hydro � �, - - � i 26. T-Bar Ceiling (Structurall & Monocoaf � � �.. 75: Dry Chemical � . , � = �27. Frameand Flashing� � � � --�- � r � �� �. 76:'DryStandpipe ' ' � � � _�._ 28. Lathing & Siding � . . • - . - 77. FIXED SYSTEM'FINAL � � • 29 � Insulation - . ` . i � 78. FIRE PREV. FINAL . _ . � 30.` Drywall Nailing " ` . � ' � HEALTH DEPT. REQUIREMENT� . •��� �-� � �� . 31. Plaster Brown Coat . . 79. �FINAL�INSPECTION � - �� - _ ",.,d ' 32. Electrical Power Meter-Final '' � 80. FOOD CERTIFICATE ISSU,ED ��� � � . ' ' ' `.,,n. . ' 33. Final Electric • . .i • � Notes:,-�a :�y .�/R:jl�C- � OK - ; 34. Final�Heating & Air Conditioning - ' � � � _ • ' ` '�� � � � (L"J.9diY1 O/� ' �' Pc(L Ee�/Ct'! p{'"• . 35. Final Gas Pipe-Test � � I ' � ' �I.^aJ . • � 36. Hood or Canopy . - , ��'37. Final Factory Fireplace� � � � , � � �F -- ' � � � �' �'38l Final Plumbing � , _ � �• �- . : � • . � - „ � _ . �'39. �Water'Service-Final - .� _ ' '' _ �. . . ' . - ' ( _ . . . . , aL _ rrcc f .,, 40. Gas Service-.Finab� �-� - - - , nC � � ' f ;yr ' • . - � , � , - 47: Solar pomestio-Final � ' � - - . . , 'I J - � � : - - . � 42. Backflow Preventer � � , _ -. _ � � , ���;�� �- � ' . , � , 43. Bar,kflow Irrigatiori , - . � ' � � ' • .. , . � �:-/i ' " ' . � � - u..'� ,Y . ' • . . ' ���44. .Landscape Irrigation System' � � � � - � :��� �;�� ' - ' - - , , ;o, ., _ _ 45. Souod Attenuation� • - . . . _ , � ' �" - y� ; + . . - .• ' . 46. HandicapRegulations -- � � ; , � _ �:f� -- ( - ' � � . . � 47. FINALSTRUCTURE & BUILDING �. - � '' � • ' '' ` ,` �� � ' � t � . . , , _ (.J - . . . �-, 48. Special Requirements Completed � ' . � � ' �� 4 • `��' : c ' � � . � � . � i. „ "a.. � < . . 49. Electric Release'to Edison' .� ' - . _ _ . ',� .tfj'. `: ;"p.' � � �, ' - ' ' ' ' ' a,,,, , 50. Gas Release;to'Southern California Gas'Co . . � . - '�" " � . ' � . .i- . - � 51'. �CERTIFICATE OF OCCUPANCY ' - - � � -;.�. . . - . :<•` _ ..._2-'� � � � ' - No.^� " ' � � Date' � ' - � . _ ' , . . . _ . _ -. . , � . . � - - -.. -_- _-. .- ' - - - -- � - - - � - . _ ` __ _ . _ � -� - -- � --.. . ... - - - t i, - _; t,: ,C. , _., _,< t , . . . . . .r. . . , . . _. . _ = .... . -. ... „ . . -. . _ ` . . . . . . . .. . , . , � . PflOJECT AOOflESS: 24 � �R�ADF,j'AX ' � ---r—UNIT: �- ' OWNEfl'S NAME. NELSON; RAliPH• EOGENE � TR � � �� � � � ' L � _ -. nooeess: NELSON,- Dr`tO�SCH SHP.cZ0�7 . , . ' " .'40 PROAD'wAX. . _ - ; . ' , : � i COSiA MtSA,CA' 92'62:7 :: ' i . 6'96-6065 �.� , , . � - ' pPCHIENGINEEFl - . ^ � � REG N0�' � . •. , � � �. ADUNESS � " . ' � � � : ' • UNIT: � ' . r • � ' .. p 1 : � PEflMITTEE. ��,;t� .PLGMBING � (.714)7�2-0374- . FOOpESS:, 17EjO MONROVIA . ° ' ' . C=1 "l ' CM •' . ,CA' S2626 � . LICENSEU CONTBACTOP DECLFHFTION: I hereby aHirm that I am licensetl�untlerpmvisions oi Chapter 9{commencing wi�h Secuon I 7000� of DiNsion 3 0l ihe Business antl Professions Cotle, and my license is in luli lome and ellecl. � . cirruc.: , 6562 sTaTeuc.:539786.,�jY/�y�Ss. C _ ; . Daie. ' Signalure'. _ _ ./_I/ ` — _ . _ _ ' WONNEBS'.COMPENSpTION OECUIBATION: I hereby afiir tl I I Mve a cenifica o co ent to sen�insure or a cenificate oi workers � �mpensatmn Insurance or a cerldietl:topy t�ereo� (Seqi 3 00. Lab. C). ' � '. aicrxo.:'10663t�S-91 + xa.onrE: O1/G2/92 , COMPANY:.''.^iTA�PE F'UND + � ! . ; , � � . � ❑ Cetlified copy is here0y lurnishetl. �'Cehilied copy i f� ' � �he 4�' g Division. � ' ' ! � T Daie'. �Applican�: � � � � E%EMPTI NFNOMWOBHEHS'COMPENSFTIONUECLANATION: Q s ctionnee0na be ompleltNil�hepermi�i5�oronehunUretl�S100�arless). I certity I�a� in �he petlormance of Ihe work for wh¢h �his p rmi is issuetl. I s�all no� employ any person in any manner so a5 io become sublect �o the Workers' Compen5aiion Laws of Calliomia . i �� � � � � � 'Date: '._ ` . �' • �SignaWre:_ • . _. _, ' ' " � ' " '' ' _ � NOTICE: I�, atier making Ihis aeclaration, you shoula became�su�leci Io ihe Workers' Compensation pmvisions of the Labor Code. you mus� forthwi�h comply�with such provisions or this permii shall be deemetl revoked: � ' j CONST80CTION LENOING FGENCY: I hereby allirm ihal Ihere is a constmc�ion lending agency for I�e petlormance o��the work �or' which �his permii is issue0 (Sec�ion 3097. Civ. C�. � � . ' , 1 � .IENUEB: ' ' • * ' � t . _ p00flESS: . ' ' " ^ .. , _ . . , . _ ; :. • . !y. - . � • � � � - o � : � - . � . ; _, .. � .� . ,- '. •-a� . •;.. � . � OWNEN BUILOEB OEClAB11TI0N:. I hereby allirm that,l am e�empt imm ihe Coniractors' State License Law for ihe following reason'� I(Section 703t5 Business and Pwle54ional Cotle:' My cily o� coun�y which repuireS a permil �o consimct. al�er improve tlemohsh,-or reDair,any slmclure. prior Io its issuance..also reQuires the applican� lor such permil to lile a signed staiement t�al he/she is IicenseB pursuanl �o Ihe pmvisions of Ihe Contracrors' Slaie License Law (Ghap�er 9lcommencing with Seclion 7000) ol 0ivision 3 o�,[he BuSiness an0 Professions Code) ar ihat he/she is exemo� �herefmm ana ihe basis br ihe allegetl exemptian. Any violation of Sec�ion,7031.5 by any apPlicant �or a permii subjecls the applicant'�o a civil penal�y of.not,more Ihan �ive �undred'aollars (8500�. �,_ �' ,:, ��I, as�owner'oL�he proDerty or'my employees wi�h wages�as Iheir sole compensalion, will Oo �he work, antl the � stmcmre is not intenaed or ofiere0 for sale (Section 70a4, Business antl Pmfessional Coae: T�e Cnntractors' Sta�e License Law � does noi apply �o an ownecol a pmperty�wfro builds oi impmves,�hereon, antl who Ooes'such work him$el�/hersel� or [hmuAh � his ocher own employees. providetl t�aYsuch impmvements are no� intended or oife�e0 bt sale. I�, however Ihe building ar, impmvemenl is soltl wi�hin one year o� completioq,l�e owner will have ��¢ burden ol pmving he/5Ae tlitl not builtl or impmve : ..lor ihe'purpose o1 sale6 � . ' ' ' ' ' • . • -' � '� - I, as owner o� the pmperly, am eeclusively coniracting with licensea contraciors to con5�ruci the pmlect (Section 70d4, Business ❑" antl Pm�essions Code: The Conirac�ors' State License law tlaes noi apPty to an owne� ol properly who builds or imDmves �Aereon f �an0 who conlracls br such pmle��s with a coniracroqs� license pursuani lo ihe Canlractors' $tate License Law�. I,am aware � �hat D�ool of Iheir Worker's Compen5aiion insurance s�aultl be pmviaed �o me. . �- � � � I am exempl un0er Section: ' B. 8 P. C. , ' . � ��or I�iS rcason: � ' ' ' ' . , � - i - Dale � . : .Owner. � } � I tlo here�y cenity I�al I am aware of anU unders�anJl�e reyuiremenls of CalibmiA Heal�h and Safe�y Code Seciions 25505, 25533, antl � 25534 antl Ihal I ar any luture builtling occupan� will/will no� (circle one) nee4 io comply with 5ai0 state catles antl the reQuiremenls lor a+ permil for cons�mction or motlifica�ion �mm Ihe Air Ouali�y Management DisVicil Residen�iai cons�mc�ion applications are exempt �mm' Ihese pmvisions.� � . ' ' � . , � . . , t , , 1 �ale. � Applicant _ I hereby cer�ity Ihal I have reatl Ihis applica�ion antl slate ihat Ihe ortlinances an0 slale laws relating �o Outleing conslmction and heret pwpeii' lo� inspeciio/n�pu�r ose � � � Oate'.,�_// SignaWre:� , ���• orivefs L¢ense or Social Securiiy a: �{ ( I agrea m compty with all ciry an� counry Ihis ciry �o enter uDon �he above�meniionee � � . 'i Ifi4L46 Whi�e—Butlding; Green—COtle Enlo¢emenl: C i-Applicanl; Pink—RevPnue: GoltlenmG—ASSe55or � - i t,, �, ' �_ CTiY Oc COST'A,,MESA,-',di7ILD,ItvG RakMI'i ;PERN AIU; b' 051439 ,� ' - - � � c, � � . r . .: � ; • . � •� . . .. i �- ' � , �, PERM11', NO; P h51tiS39. • PL'AN CHcCF NO:` j AI. ; �`GOVT; j iV'SiJPP; N., ', ! � , t.- ,. i, '� � 4 i 'CONSTRUCT.ION :T=YPE. C'-.N � PERMI'f �TYPE;� i�i;U � � =� � -' �` PDRPGa^E: OlH � ` , - � 1 ,. . _. , : • _ . ;, • �j • ,� . i r , JOB DtSCRSP l IQN ' .GAS RhP1P�, 6 u-EIX'PURE CHANGE'OJT � " � '''': ' ` ` ' ! j . , . „ � �Q:r. �'-� '� � f:' � � .CLASM t C�ALU�, ' � � , � � ' i ' CALC=C�ALUE:° � ' - ' � � r G!tOUP' OCC^ R <3 ` I / ' � 1: �_'. .r. u. �,,�I . ,.. , ���ti�; �, i' i,t Yr �� i:: � � s�. � COMMENTS-; ' 6AS�BPIP�.' & F iXTU�E, CHANGE C�UT � "� ' �tlE;Y:jciEiF}�.k.ic}'.�IeiElf�fF3%+kiF3F7clF,Ir3(��lf#ii'3cics;ih.ifle7FM'kit%?�iF!E?f+}3f3e!f'r�fi�i++ErY:�i°#°i!�1!�}iFu✓Vxac.y.}�.}�1FK3FiE�3i�ii.}yNav.,x . i � � 2'O N 1 N� G R'c Q U�I' R'c N, E{N '1' $ ,, � ' �� 1'� -� t ' S E T B A C Y,' S ; . „ 1 � • i � y . - � - 'MAiN BUILT>ING ---�------= . --------� ACCE�SSOicY� HJILDiNG --- ;.= � FRI��T; rT ' IN REAR; ' F.i � ZN �, cANT�: FT IN REAR; I F'T 'IN+ i�cFT: . ! FT iN RG�T: cT IN � LaFT; � FT • IN RGH'P:� !:. FT' IN� i: � _� � . : � � : i : ,. 1 � , � PAr�KFNG RECI; PROV;! • F�Ai2CEt,; 42540311 2NE; � ' ' REF NO;` � ���• , �PLANNING tiOTES> ' � ' , � ' ' i�. -� - . . _ . ,..�. _.� ..: . � �_ �_ . _ . ,�. • --. _i_ ; - -' —,- -�.. _:_.�- ; -�r- - ' •- -� i('iFY'h'1f�1Fif'!4N•fEMlfiiiE'1E'1E1E3Fi4K}?'i'3tYli!'k'NYii'iii!ie'lfii'!e}+F71'1t11('i('3i"Irif:y`�iI-}�Y�FY'aFiEY�Aei�lEt'i4Flfii'>.'�E�F3FY.'3E�-+�.Y.3�i/�+E�kiF+r�k I U E V E L O P' M �n N T S,E R V I, C[E S� - R� r; Q U I R E`M E N' i� S� ; ZON�lNG APPROV�iD BY ' � , � ' � "' . ' � I DAT�,: i � � ._.: . -�_ ... .. _. i.. �. ..' _ • } ' _ . . . ' . - 1 �_ —� .,,_ �UILI)3NG�APPROV�D HY� �,1' '__. ; .. ..�_. _ _ . � � � DA� Ej; � t : ` � . •_ _ _ ;.: • t . , _ APPLICAT.I4N ISF,JED HY: • ' � •� � i DATc: c3a—�1/( � dF # ielF M� if iF #�%�E R dP i:�iE if 9E iF i�� 1E if iE if . ..� ' � , SF"�"$"R�'�7Flr'�k� .'�'£'ie'?F N� �+F 1E }.3k i: if K�'y3F':iF,T�"7Fi`"F i: R•. 3fDkk�iFiff�a6-)FiiifiFV�ieif�ifiE?f1EiF+f�fiF3[�lF�7tN�iEIE�FieiE�lkiFiF!(3(�YYF)Ejf ':�1F)FiF�i'r#iFiE1F?E1f�NifiF+fiF?'r-aE#f+#3fR�:M'r.k�3(�N�1E1E#�+4a�F;an}.�iF . 1 iEGAi,IZATIONcN '�'� i '� ' F; E;E ' S U M M A�R Y� F S,TRiJCTJftAi, S�GN,ENY�N „_ ' . . � i . ' . �'r 'J , i � ' _ � . i � , � � � � : i BLDG4 PNT PL'OMBING ' EliECTRIC � MECHANIC ; f rdRE � S;�iP'/iZES , GRADTN � } P;RMIT. ; � 10;00 ' ' i' � � . , . � '- � . � ,:� 15�.. � . � , � SMIP,/NGN-R�S . � V .PiAN , i ! + .�• � .: , : . ' , , ; , ' i ..Issur. ^C� , � � 3.�� ^! � � bUILUING_DIV->. PER,�IT 3S'SUE� PLAN-CHECR TOiAL. :PAIU; ; ,.' Di7c TUTALS- ->' � �10.Q0 z3,00. � , 0.00 1J,00 � 13,OOi ,00 � .r � i ,,:. f.i I ' i � =.kn.VENUE DIViSION TOTALS-->= ' = ' COLi,ECT`ED'; ,13, 00' ` OVER; Si?ORT'�; , . 00 ' - .'BLDG PM1' PLi7MHING 'F.LECTRiG ,MECHANIC P1RE .SM1F/TQT � GRAL�ING Fi,Aiv-C:iE:CY. r ' i3.00 a ' ; + , � , , � � t ' . . .. r � . . 1 � 1 � r : i � � . � -��Jfffi7iaif#1fi!�-N.�.iP�l!�}E#iEatffii�l±ie!!-+#i!�-lhii{:fi;f�li�f6±f�klfii�i(�itiE#EjFiFiPlP?h#1fiEiEi£iti%u{:�'sleii�ii�ifs;.l'r}Y;�kii�#if?e�kY;�lfiFi:�?i-ic3'tiF`�ifii*:�iF• ' - I N D I� V' I!D tl -A L� �F E z B,R E A A, ll O W N t � ` ' � � �. -• � � , . . : TYP,'r'. , �1'Y; ', D E S C R�'L �P .T I O N ' � � �' JNIT COS'i � TOTAL COST � PL t1; F� L U+ PLJ PLU PLU !1 SHOWER` ' � ' ' 1 SI'NK; itITCHnN ' + �. . 1 WASH,t3ASIN- , ' 1, . WATcR Ci,05ET ( TOILcT ) i � i �1 ; aGAS t,ZE-PIPE , . : ENli 'OF FEES' -... � . . . _ . . _ _ . i . . � " ' . _ . .' i ' ' f � , i , i i . � , �2.OG . � . , ;z,00 � ' 2.00 � 2.00 � , :1.�� � � r � . � � ti'_ }' � ?! QOQ:t32?,i—L�t7�832?5 �'i�s`� 7pTE: 7s/2!/9! FIMEs �SL:SM i � �.00. , 2,00 2.00 { { � - ' - - - - _ - _. . CONSTRUCTION AND PLANNI"�. � "' ' . � � - �� & SPA, � � � S' Date Inspector ' - Date ..Inspector . � APPROVALS Permit # APPROVALS Permit # . . _ t: - ?: :1.'.Tempora'ry•Electr`iGalServi'ceorPole ' �;, �52. Pool�&.Equipment��Location . � -� � � 2.l Soil Pipe-Undrgmd. - . , � " � �` � : _ 53.'Steel Reinforcement � � ' � r� y � . 3. �Elec;rical Conduit Utility-Und�grnd. -� �� � 54.•Forms - � ' 4. Electrical ConduibUndrgrnd.�;� ' - � i ` � . ' , 55. �Electrical Bonding • 5. Steel Reinforcement - ` �_. `' 56. Rough Plumbing,& Pre'ssure Test 6. Electrical UFER.Gmd. , , � • • - � " 57. APPROVAL TO'COVER�GUNITE � � 7. Footings � ' � - i . ' 58. Electrical Conduit�.Undigrnd. - 8. Foundation � `� �"' � 59. Gas Pipe, O� Undrgrnd., Test �" � � 7_ � -'r _ _- _ ,i 9.i Water Pipe-Undrgmd. �� L-+'' V'; � ; 60. , Backwash Cines, P-Trap; � Undrgrnd. !.�.�j T 70. Structural Floor SYstem: ' � ��'P � 61. APPROVAL TO_DECK . G 11. Property Sewer Line & House�Connection' ���` _ 62. Backwash & Receptor-Final � --�J . 12. Sewer Cap ''/�✓ , -i' � 63. �Heater & VenY-Final ` �' , i'� • ! ' - r. 13. Roof Drains . ^" - ). � - " � . _ � - 64. �Plumbing System - Final�_ _ � � 14. Rough Plumbing � � -, � � 65. Electrical-Final � �' 15. Rough Electrical�Conduit / - � ' 66.;Solai�System_F.inal ' 16. Rough Electric Wiring � ii � � 67. Fencing & Access�Approval _ ' 17. Rough Wiring Sign ' � . � 68. APPROVED�FOR PLASTERING � '18. RoughElectrical-TBarCeiling � . - � 69.,POOUSPA�SYSTEMSFINAL ' 19"Rough Heating`&'Air Conditioriing "'.- - ' ' ' � FIRE�DEPT.�REQUIREMENT ' � �� � 20.'Rouyh Factory Fireplace , • = APPROVALS� ' � Permit # - I _ � 21.'Ducfs, in,Structure . . �' � � 70. Underground. Hydro 22. Ducts, Ventilating'' -� � '�' � 71. ProducfiPiping O Gas O�OiI � 23.�`Gas Pi�pe-Rough & Test ,. ~ , i' 72. Undeig ound Flush�� . ' 24.�Roof Framing� � . . � ,-. '� �A ' �73. Undergrnd.StorageTank �Gas ❑Oil � 25. Roof Sheathing - �, ., - ' _ ,•��. . '74. Overhead Hydro- , 26. T-Bar Ceiling (Structural) & Monocoat � , ' - 75.%Dry Chemical i � � _ • , 27.�FrameandFlashing� ' � _ �'- , 76.�Dry�Standpipe �"'� h �' � . � 28. Lathing.& Siding ' �t � _ "> . ��+' � 77, FIXED SYSTEM�FINAL` � � ' �29. Insulation ' ' � -: ' ; � ' 78. FIRE PREV. FINAL � .. � :30. Drywall Nailing ` � •��� � • � HEALTH_DEPT. REQUIREMENT ' ;-31. Plaster8?ownCo�at` � . 79. FINAL'INSPECTION ` • - 32.-Electrical Power Meter,-Final � • y � 80. �FOOD CERTIFICATE ISSUED .33.`.Final Electric . � ` � 'Nofes: � � � - , � 34., Finab Heating_& Air Conditioning , c .r/" .. �, _ .. .. � 35. Final Gas Pipe-Test . ' � ' � - � ` - . . . �� -�y , . 36: Hood orCanopy � - � _ � . • r �. � ' - ,37. Final Factory Fireplace,,, ' ' . ' " : . - - - �' 0 � 38. Final Plumbing � � �� �2- G.��- : • 39. Water Service-Final� � � " ' - '' ;40. Gas Service-Final . . ,. � - - _ , � ? �41. Solar pomesticFinal � � • . . � - � . 42.�Backflow Preventer �. , , ' ," _43. Backflow Irrigation �r � ' . � " , � '44. Landscape Irrigation SYstem,. ,. - c; - .� _ , .� - . ' �� .. • ..� �45.�.Sound Attenuation ' • � " ., . " i 46. Handicap Regulations � '' � � ° , 'r- .' , " '_ : 47. FINAL STRUCTURE & BUILDING �� - � ' � ,�:: 48.�FINALPLANNING '` . � '� � � rJ . 49r Electric Release to Edison �• ' � 50. Gas Release to Southem California Gas Co - � � �'/, . - . . -� ' � � . . 51'. CERTIFICATEOFOCCUPANCY , , • ._ , No. -_ Date '