HomeMy WebLinkAbout270 BROADWAY - Building Permits�
rnaecrnooaess: 2�� BROADWAY '
OWNEfl'SNAME: WRIGHT, DOUG
aooeess: WRIGHT, PAM
2017 S CAPELLA CT
COSTA MESA, CA 92626
979-3848
FPCHIENGINEEX:
AUOPESS:
flEG.NO.:
UNIT:
UNIT:
renmincE: MESA DEVELOPMENT CO, , INC. ( 719 ) 979-9991
aooxess: Z925 COLLEGE AV #A-3 A-3
COSTA MESA CA 92626
❑CENSEO CONTFACTOB OELLANATION: I hereby allirm Ihat I am Iicen5e0 un0er pmvisions ol C�apter 9(commencing wilh Sec�ion
7000� ol Oivision 7 of �he Business and Professions Cotle. and my license is in �ull torce an0 ellect.
cirr uc.: p g y srnrc uc.: 5 3 3 50 9 cuss: g /(`
� Daie: t SignaWre: — (�/ - _ -
WOflREflS' C MPENSpTION OECLFPATION: I here�y afiirm al I have eR aie ol consen� to sel �msure or a ceriificate of Workers'
. Compensation Insurance or a ceni�ied copy I�ereo� (Semion 3800. La
�roucr xo.: 13 6 2 3 9 3— 9 3 E%P. �RTE: % I O S� 9�I
I comraxv: STATE
� Ceriifiea capY is hereby lurnis�etl. ❑ Certilie0 coDY is liled wi[h IAe ciry Builtling Division.
Dale: Npp�icant:
�� E%EMPiION FPOM WOBHEflS' COMPENSRTION OfCIAHATION: is Setii n � nol be complete tAe permii is �or one �untlretl �5100� or less�.
I cerlity Ihai in ��e petlormance oI t�e work for w�ich t�is permil is iss , I s�all nai em0loy ny Oerson in any manner so as �o hecome
suble�� �o the Workers' CamOensation Laws o� Calilomia.
Oate: SignaNre'.
NOTICE: If, atier making I�is tleclaralion, you shoultl become su61e�� �o �he Workers' ComDenSaiion pmvisions o� Ihe Labor
Coae. you mu5i �ort�with comply wi1M1 such pmvisions or Ihis Dermil shall be deemed revoketl.
CONSTFULTION IENUING AGENCY: I �ere�y allirm Iha� ihere is a constmc�ion IenCing agency for ihe petlormance o� Ih¢ work lar
which Ihis permil is isuea �Seclian 3W7. Civ_ C�.
LENOEfl:
RUONESS:
OWNEP BUILOEB OECLAPATION: I hereby aliirm ihat I am exemD� ��om ihe Contraclors' S�ate license Law for Ihe �ollowing reason
(Sec�ion 7031.5 Business and Pmiessional Catle: Any city of counly whic� reQuires a permi� to conSVuti, aller. impmve. Eemolish, ar
rtDair any stmpure. prior to ils issuante. aim repuires Ine apolicant tor such permit lo lile a signea statement iMl he/she is licensetl
pursuam lo Ine pmvisions ol t�e Contraaors' S�ale License Law (C�aD�er B(commencing wi1A Sec�ion 7000) o� Oivivon 3 ot I�e Business
an� Prolessions Cotle) or �bal �e/she is exempi Iherelrom antl Ihe Casis lor I�e allegetl eMemption. Any viola�ion ol $ec�ion 7031.5 Gy
any aOVlican� far a permit SuDlatls the aD0licant lo a civil penal�y oi no� more Ihan live hundre0 tlollars ($500).
I, as awner of ihe o�oveny ar my ¢mployees wilh wages as t�eir sole compensa�ion, will GO l�e wod, an0 Ihe
❑ stmc�ure is noi imentled ar offere0lor sale (Set�ion 70GA. Bu5ine55 antl Professi0nal Code: The ConVaCtorS' Staie License Law
tloes not apply Io an owner ol a property wha builtls or impmves I�ereoq and who Ooes such work �imSelV�ersel� or IAmugh
his or Aer own employees. pmviEetl t�al suc� improvements are nol infentletl ar o��eretl �or 5aie. II, however the Cuilaing or
improvemeni is sold vnNin one year o� campleiion. Ihe owner vnll have the burtlen ol proving �e/she Oid not build or improve
br the purpose ol sale).
I. as owner ol the pmperiy, am eeclusively comracling witn licensed contracmrs to consimcl the Drolec� �Sec�ion 70aa. Business
'❑ and Pm�essions CoEe: The Conirac�ors' S�ate License Law Ooes noi apOM �o an owner ot DmpehY w� builEs or impmv¢5 thereon
. anU w�o mm�acts lor suc� pmlecis wii� a comracmqs) license Dursuam m the Contracmrs' S�ate License Law). I am aware
�� that pmot of �heir Wo�ker's Compensation insurance should De D«tletl ta me.
I� I am exemp� unaer Sec�ion: B. 8 P. C.
for ihis �eason:
Uale: M/nec
1 Ua here�y cenily ��a� I am aware ol antl un0erstantl Ihe re0uirement5 0l Califomia Health an0 $alery Code Sec�ions 2550.5, 25533, anA
2553d antl ihal I or any fuWre Guilding occupan� vnlVwill not (circle one) neea lo comON �^�h SaiA slale catles and Ille requiremenis lar a
peirtul lo� wnsimction or mod�hcation Imm Ihe Air Ouahry Managemenl Uislricl. flev0ential wnslmclion aOD�icalion5 are ¢rempt imm
IheS¢ DrOvi5fOn5.
�ale: FPVlitdni:
I hereby c¢rtily Uiail haveread Ihis appliCalion and SlatetAalihe a6aveiniorma�ionis wrt¢tl.lagr¢eI0 campty vn1A alltily anC coun�y
ortlmancesanUs�a�elawsrelaling�o�uiltlingconslmc�ionanOhere au�hor¢eiepresentaliveSOl�hisciryloenteruponiheabove�menlionetl
pmDe��y lar inSPeciion Ourposes.
Oa�e' r � Signamre' /
�riverS License or Sotial Securi�y n: (
t6aba6 Whne—Boiltling: Green—Cotle Eniorcemem: Canary—ApP�icant: Pink—Revenoe: GOldenro0—Asseswr
� � CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E OG704
PERMIT NO: E 067046 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: NEW
JOB DESCRIPTION ; UPGRADE ELECTRICAL SERVICE SQ FT;
CLAIM VALUE: CALC—C'ALUE: GROUP OCC: R-1 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
�-*+r*f�******+r*�r***�rf�r*******r*+r*�r**�r�r*****f�*****�**�**��r+e**+t**+�*+r**�r*********+r**
Z O N I N GS ERTEBgAUCIKRSE M E N T 5
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
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: 00000000 ZNE: REF NO:
PLANNING NOTES>
>
**iririr�r+r**�r�r�r*rt�r***��x�r*��*****�rx�r�r*ir*x�**�r*****x ***x��**+�**+r***x�******� *�*x��+�**�*
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 ISSUED BY: � � DATE: � IS I� �
iF iE iE iE if if iF 1f iE 1f i! it if if it it it if� ik if iF if iE 1f it it if 1t iE iE k �E�iFiFjFif iE
�E if if iE iF fE 1E 1E 1k 1! it iF 1k iE �k it 1! ik iE 1f iE 1E af 1E if iF 1E iE 1E iF jElf iF 1E k if iF iE if if i! iE iE iE 1E 1E 1E 1E if 1E 1f if if iE if ik 1E iE if 1E �f 9F 1E if if iElE if if fE iF iE 3E iF iP if j! if iE
LEGALIZATION:N F E E ,S U M M A R Y STRUCTUAAL SEGMENT:N
BLDG PMT PLUMBING
ELECT'RIC• MECAANIC FIRE SMIP/RES GRADING
PERMIT 18.50
502
PLAN �
ISSUE FEE 15.'00�
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 18,50 15,00 .• 0'.00
REVENUE DIVISION TOTALS--> COLLEGTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
33,50
SMIP/NON—RES
TOTAL PAZD DUE
33.50 33.50 ,00
33.50 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
1
1f if M iE if iE iE k iE if if iE if 1E iE if iE 1E it if if iE if if iF iE iE if 1E #E iE iE ff iE 1E iE if �E iE iEiE iE %�f jE it if iE if if i! iE if if i! if jf M 1f if iE iE if iE 1E iF %iE iE iE iE iE iF if iE if 14 iE iE
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
i
ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18.50 18.50
END OF FEES
ul 0016�032-00160032 T�] T 33.SQ
DATE: OS/OS/q4 TIIIE� 10:$5
� - i �
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... . . _ . -.. •""_' ".�-... ' "" ' F -- ........ ._ '
CONSTRUGTION AND PLANNING= ..._ � : . . ; . �� ,- � �� �& $PA - - '„ � ;
- - -Daie Inspestor - ' Date Inspecron
- ,-' APPROVALS Permit # " APPROVALS Permit # . � , �,, . �
� .-1: Temporary. Eiect�ica� Service or{Po�e .. .�'" �, - �: 52.,;Pooi & EGu�pment Location . � �� ,�i �
r
` 2, Soil Pipe�Undrgrnd. ', �: •„ � .- - ' -� 53 � Steel Reintorcemcnt ' � � -1.
3.�Electrical Conduit'Uii�lity�Undrg[nd�. � � -• � 54.�.Forms s r . - � � '�i
� 4: Etactrical Conduit�Undrgrnd. ' � �� t - 55.�Electrical (io,mdin� ,. � _ �
� 5. Stael Reinforceme�t, `� �� - - � �� � - 56+ Rough Plumbing & Pressu're Test �
6:.EleciricalUPER�Grnd_ .. - � ' � -. 57. APPROVALTQ'COVER�GUNITE , � �
7.�Footings , ` � _ - , 58.`� Electrical Conduit�Undrgm8. �
_ 8. Foundatian � : " ' ' - 59. Gas Pipe, L� Und'rgrnd., Test " - ' _ � ^ , �
9. VVAter Pipe�Undrgrr,d.g - *j . ' �� �- � 60. Backw3sh Lines, P-Trap, L7-Ur,dramd. � " ,y }
70. Structurai Floor.$ystenr . � -- 61:'APP�R6VA� TO DECK - � �
i i. Properry SewerLina & House Cennectio» , _�� 62._8ackwash &�Reeeptor�Finat '
`i
12. Sewer Cap ' � ^ ) „ �� �' 3 _ ' 63:'Heaier: & Vent-Einai � �
' ..
13. Roof Orains � - { ` � � . - � 64. �Plumbing SY�stem � F�oal -
14. Rough Plumbing ' Y � � 65.-Electrical-Final� � • � � �l
15. Rough Electrical-Condu;t �� � � 66. SolarSystem-Final ' �; 1
"' 16. Rou h Electric Wirin . , . Tr-�
9 9 {, . 67. Pencing & Access App'roval n�
17. Rou9h Wiring Siyn 1: �- � g$.`APPROVED�FOR PLASTERING �'
18. Rough Eleciricai-T Bar Ceiling . � ' 69. POQLISPA SYSTEMS FINAI '
'l9. Rough'Heating & Air�Coridi;ioning' - - ' ' FIf1E DEPT: fiEQUIREMENT� ' " -
20.-PoughFacto.ryFireplace '�'r. • C�-- � -APPRDVALS•' Pe,fiit# �, , ��
21: Ducts, inStructuq0. � , ',. � . i � ��70. Onderg?ound. HyrJro ��
22. Oucis, Veniitatiny� '_ ��71, product�''rpipc� LTGj+s �Oil
.
23 Gas.pipe'-fiou�h &�Test � . � ;�. • �72, Underg�ound Flush ,
� . -
� 24 �Roof Framing �� . �" i; =73' Undergmd. Stora,geTank O Gas ❑ Oii „
� 25. Roof Sfieathing ,- -- � ;` 7q; ,pyerhead Hydro
26. �T-Bar Ceiling (Struc.uralj & Monocoat ' '�" 75.' Dry Chemical -' � .
�
�.
27.-Frame and Flashing ' �; . ;. , . � x, ; 76. 'Ory Stanc(pige ;: ��
28. Laching-& Siding•� - �,, . ,. .:a , 77:1� FIXED SYSTEPA FINAL �
�29. Insulation� -' ; '� � � I., , 78�FIRE PREV. FINAL ��- � �.
•30. 4rywall �Naiting '� 1 � �; � HEALTH�DEPT�. REQUIREhAENT
' 37. Piaster B„o�vn,CqaY` . _ - � i �'. , .79�"PINAL INSP;[CTIO.N: � -
�32.:Electrical Power Meter:Final: �� � � , !r � 90.-�FOOD CE(iTIFI.CAT[ ISSUED '�
_ . ., j I
._33. �Finai Eleccric '' � „ � � ,�-r�(/ //� � Nofes:, S.�j'.,- g' �' n, sv�,,, �i,
- � 9 �_�,�.�'� � . N' h ca��-_/�.�s ��
/- .;
,.34. Finsl Heating & F:ir, Condition;ing,-', ;+ J/'- (j=�i/��e� f n�� �� 1 1.�� �
f 7 �w / 0� n�
35`Final Gas Pipe�Test� _ � - ; � �j " ��j��%// �
'• • , :� S'{D"�L7 _Qf?a� /fCl�l�f��_/ s �� f3��
_36: Noqd or:CanoPV � . ' �.,._ � � l � ; � .. - " ' -- - -)
.. '; ` i
'37.-Fina� Factory Firepiace • � � -_
� 'A �y
1:38. Finat Pi�mbin9 :.. • . . .. .. . . �, , �; y r . '. . � � ----�---...-.-. �
r � �? �
39. Water Service-Finel� ,• � i � Y� " ' � . �
... .( �
'-AO. Gas Service-Final � � � � • � �
:41. Solarpomestic-Finai' `� �• � � ' � ,� �.c. -• � y�
� re 2
' 42.-Backflow Preventer_ � , ' '; -� � � ; - � _- .
, ��.n �
..43. Backflow Irri9ation^ .: • - ' � .i;�� j
' ^ ' �rtl� �•
: '.;44. Landscape {rrigacion System � � �-. -. _ _ . � , ,:;,�. �
45.'Sound Attenuatron � . _ . ='� ;
- " ' i�_ r .li
`.96.�,Handicap;Regulaiions� � , � ' f; _, . _ ' . �� � i
�= �
_47. FINALSTRUCTURE&BUILDING ' �;� - � ', f
� t:..
48:'FINfiL PLANNING � � ' ��; ;
� V : l � � '
49. Elec[ric Release to Edison . - � . . -' , �
'50. Gas Retease to Southem Califorpia Gas Co ' "' ;�,� ,
�G
61. CERT�PICATE OF �CCUPANCY , �, �
Na. Date
4
AD�PE55: z7O HROADWA�t
r�x°vE: WRIGHT, TOMMY D
n�uoaEss: WRIGHT PAMELA
2017 SbUTH CAPELLA CT
COSTA MESA,CA 92626
ANCH/ENGINEEfl: 9 9 7— 7 8 9 B REG.NO.:
pU0pE55:
UNIT:
UNIT:
PE"""nEE: CALDERON ROOFING, INC, (714)542-7023
aooxess: 10 2 7 N. LOGAN
SANTA ANA CA 92703
LICENSEO CONTNACTOP OECIANATION: I �ereEy aflirm Itw1 I am licens¢E unEer O�ovitions o� Clwpter 9(cammencing vrit� SMtion
7000� o� Drv�sion 3 af t�e Busine55 ana Proleuions Cotl¢. anG m�y I °"� i�s m full lorce anA eifeci.
cirruc.:034261 sT"TEuc.:388107/ �'" ,�—C�Y)
���-2� 9 � Signawre:��.� «
WOflNENS' LOMPENSATION DEClABA7lON: I nereDy aflirm Ihat 1 nave a cenilicate of consent to selbinsure or a cenilicate ol WaMers'
Compensa�ion Insurance. or a cer�ilietl copy Ihereol �Seclion 3800, Lab. C�.
POIILY NO.: EXP. ORTE:
COMPRNY:
❑ Cenified cooY �s hereby fumishea. ❑ Cehilietl copy is lil¢E wit� I�e ciiy Building DiNsion.
Oaie: App�itani:
EIEMPIION FHOM WOflNEflS' fAMPEN5ATI0N OECLAB�TION: (T�iS seclion neM nol0e wm01e�e0 il Ihe perml is lor one huMreO (5100) or less�.
1 t¢rliiy Iha� in Ihe pedormanCe ot Ihe work lor wAith I�iS permil is i55ueA, I Shall n0i ¢mpiny any Derson in any manner w as lo become
Subeci�o t�e Workers' Campensalian laws o� CalitOrnia. O�� /)
�r ii
naro lo � C� n1 � Signamre: ����
NOTICE: II. alier making Ihis tleclaralion. you ShoWd �ecome sublec� �0 I�e Worke�5' Compensa�ion pmvrsians ol I�e a or
Code, you must Iarthvnin comply vnih such O�ovisions ar ihis permi� stwll 6e UeemeO revoketl.
COkSTNUCTION LENOING RGENCY: I �er¢Oy allirm Itut IAere a a consVuclion IenCinp apency tot I�e peAormance ai l�e wark for
w�ic� ��is permii is issue0 (Section 3097. Gv. C).
lENOEB:
ROOflE55:
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B 057938
PERMIT NO: H 057938 PLAN CHECK NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: ALT
SOB DESCRIPTION ; T/OFF REROOF W/HUILT UP SQ FT; 2,200
CLAIM VALUE: 2,200,00 CALC—VALUE: 2,200.00 GROUP OCC; R-3 /
COMMENTS• SMOKE DETECTOR RE�UIRED IN TAE HOME
*x*�*+��r�i�**�*�**x�***x*��r�r*�r *x�r*�r*�t�r�r*�t+��t�t�r*��r�t�r��*�r�*�r�r**�r+r**x�+��t�r***�r�r**�r+��*�*
Z O N I N GS ERTEB�AUCIRRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT ZN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL; 11721305 ZNE; REF NO:
PLANNING Nt7T'ES>
�
kiEkiEiElEiElEifiEiFiEiEiEiEkiFifiFkkkiFif3fkiEkikilifikilk�f3fiEitiFiFiFkk�lififiEifkikifiPitkif�tif�l(�k�ElEiEkif3FlEiFik�lEitikiEiFkkififrt
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: __ ^
HUILDING APPROVED B ; DATE:
APPLICATION ISSUED BY; DATE: ':�� z�
i! �E iFiE j! iE fE iF 1f # �E iE iE iFiE iFiE iElF iF 1E 1E i'r iE �h if jE iF iE �E iF iE� iE if
iFi63Eil�EiEiE1kIP�E3EiE3EiEifiEiflEiElfiEiF�F�EiEifiFiFiEiF�EikiFiEiEiE1E1E aEiF1EK�1EifjEif�fifiFiP�F�k1EiFaElf3FifiElf�FaEiEiEii�lEiPiEiEiEiEiliEiEi�iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
OWNEflBWLOEBOECIAHRTION: Iherebyaifirm�hallamexempllmmlheConVaclor5'SlateLicenSeLawiorlhefollowingreason BLDG PMT PLUMBIi�1G ELECTRIC MECHANIC FIRE� SMIP/RES - GRADING
ISection 7031.5 Business anA Prolessional Cotle: Any city ol caumy which reauires a permit m conslmcL aller, impmve, demolisA, or PERM I T 5 9. 0 0 S Q;
r¢pair any Simtlure, pri0r Io its issuana, also reQuireS ihe applicanl �or SUCh permi� �a file a AqneE 5lafemeni IAa� he/sh¢ is lit¢nsetl
pursuam m the pmvisions ol �he Comracmrs' State �icense Law ICnapier 9lcommencinp wim Section 7000) oi uivision 3 of ihe eusiness ' SM I P/NON �-RES
ana Pmfessions Cotle� or Iha� he/s�e is erempt I�erelrom and the basis lor I�e allepe0 exemption. Fny vio�a�ion ol Section 7031.5 by PI�AN r.
any apDiicant for a permil subjecis the apDlicant to a civil penalty ol not mare Ihan live �undred Jollars (5500). ISSUE FEE � � -
i, as awner a� ine pmpeny or my emyioyees witn waAes as meir soie comoensation, will ao ihe work, anA ine BUILDING—DIV—> PERh1IT IS$UE PLAN—CH$CI( TOTAL � + PAID .�r DUE
❑ slmmure is no� in�en0ed or o��erea for sale (5ection 7044, Business anO Pmfessional Cotle'. The Coniracmrs' State License Law TOTALS----> 5 4, 50 0. 0 0 0. 00 S 9, 50 S 9, 50 , 00
Uoes not aDDly lo an owner ol a pmperiy who builAs ar impmves �hereon, anU who does such work �imSelN�ersel� or Ihmugh '
�is or her own emD�0yee5, pwvided �hai SUC� impmvemenls ar¢ n01 in�¢nE¢d Or 011efed lof Sale. II, how¢v¢r the bUilding Or
impwvemem is so10 vn��in one year o� cOmpleiion, ihe owner vnll �ave Ihe burCen o� O�ovinA ��she tliA not 6uiltl or impmve REV ENUE D I V I S ION TOTALS -- > COLL ECTED • 5 4. 5 0 OV ER /SH�RT ; ' � 0
�or�eenurPaseo�u�el. BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT � GRADING PLAN—CHECK
i, as owne� oi tne o�openy, am exc�usive�y comracting witn iicensed comracmrs to constmct tne nroiec� �Section 7oaa, susiness 5 9, 0 0 ,.�i 0
❑ antl Pmlessions Catle�. ine Camramors' State License Law tices noi appry m an owner oi prapeny who Uwles or impmves IAereon
antlw�oconlratlS�orSuthprojeClswilhatOnlraCior�S)IitenSepUrSuanl�o�heCOnlraCiorS'S�aleLitenieLaw).lamaware {p{(.{(.{pj(.j(-.�pa(.�(-*3p�(.*{f{(.�{.{pa(.*{f*a(.*j(.�.{p*{F{(.{p{pj(.{�.K-*�-{p.7(-*{(.{(.{(-a(.*�(.{(.{(.{(.{�.*.{E.�{F{(.{�..K.�(..K..K.*{(..�(..�y.{�.y.*.{py��.{g.X.{p�..7�.jr.�,*..K.
ihal omol ol their Worker's Compensaiion insurance should De pmvi0etl lo me. I N � I V I D U A L F E E H R E A K D O W N
� I am exempl unAer $¢c�ion: 8. 8 P. C.
mr mis reason TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COS 1
oate: Owner: I $FR
tlo hereby cenify ihai I am aware oi and untlerstane tne requiremenis of Calilomia Healtn antl Safery Cotle Sections 25505, 25533, antl
255Ja and Ihat I o� any fuWre Duildmp ottupanl vnlVwill not (tircle one) neeG t0 Comply wii� 5ai4 Slale cotles anJ the reQuirem¢nts tor a
permi� lor cans�mction or moaAicaiion Irom t�e Air Ouality ManaAement Oistrict. PesiUemial consimction apDlications are exemD� ��om
��ese Dmvisions.
�aie: Applitanl;
I heBby cer�ily I�at I have reaU I�is apDlicalion and s�ale Ihat I�e a�ove inlormalion is correcl. I aA�ee �o camply wi�� all ci�y antl counry
ortlinances antl 5laielawsrelalingto buil0ing conSlmciion antl here� aulhorizere0�esen�aiive5 ollhis cii o enlerupon�h¢ above-mentioneU
pmDerly �o� insp/ection ou/rposes.q � C�J //�'
4df�b `�d — ` � SignaWre: �--^� 6tL
Oricer's License or Sociai Securiry x:
16nLa6 While—Builtling; G�een—CoEa Enlorcement: Canary—ApPlicant: Pink—Revenue: GdOenrop—Auessor
2200 REROOF BY VALUE RESIDENTIAL NOZONE 1,OU 2,200.00
END OF FEES
Ri
�CONSTRUCTION �+ND PLANNING � POOI & SPA �
PROVALS permit # Date Inspector APpROVALS Permit # Date Inspector
1 Temporary Elec[ricai $ervice dr Pole 5T. Pool & Equipment Location ,
-y
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steet Reinforcement 56. Rough Plumbing & Pressure Test
6� Electrital UFER Gmd. - 57. APPROVAL TO COVER-GUNITE
7 Footings 58. Electrical Conduit•Undrgrntl.
£i: Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, C7 Undrgmd. .
�0. Structural Floor 5vstem 61. APPROVAL TO DECK
it. Propertv Sewer Line & HoJse Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Hea[er & VenbFinal
13. Roof Drains 64. Plumbing System - Final
�4. Rough Piumbing 65. Electrical�Final
15. Rough Electrical-Conduit 66. Solar System-Final �
16. flough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sig� 68. APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOUSPA SVSTEMS FINAL
79. Rough Heating & A�� Conditioning FIRE DEPT, ftEQUIREMENT
20. Rough Factory Fireplace APPROVALS � Permit #
21. DuCts, in Structure - 70. Underground Hydro �
22. Ducts, Ventilating 71. Produci Piping � Gas ❑ Oil
23. Gas Pipe�Ro�gh & Test 72. Underground Fiush
24. Roof Framing �� 73. Undergrnd. Storage Tank Q Gas O Oil
25. Roof Sheathing ., (p-�.`� �Z �/(�(- 74. Overhead Hydro
26. T�Bar Ceiling (St�uctural) & Monocoat 75. Dry Chemical
27. Frame and Flashin9 � 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation - 76. FIRE PREV. FINAL
30. Drywall Nailing •� ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat i � 79. FINAL INSPECTION
32. Electrical Power MeterFinal �" � 80. FOOD CERTIFICATE ISSUED
33. Pina� 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 .
47. Solar pomestic-Final �
42. Backflow Preven4er , 7._� �` �� / - �� `
/T l6
43. Backflow Irrigation t�l�G,�` Ko 6
�
44. Landscape Irriqacion System. l��G�y " 6'� 1./
-'�T
45. Sound Attenuation
A6. Handicap Regulations
47. FINAL STRUCTURE & BUIIDING �._./Q 6 �� ��-� `
L
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southem California Gas Co �-
51. CERTIPICATEOFOCCUPANCY �
No. _ Date