HomeMy WebLinkAbout2404 CARLTON PL - Building Permits(714) 754•5273 • Fax (714) 754-4856
CITY OF COSTA MESA
BUILDIN6 DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
JobAddress: 2404 CARLTON PL
Suite:
Vicinity: DETACHED GARAGE
Parcel Nunmber: 43933207 Zoning:
Applicant: A PLUS SERVICES INC./ A PLUS ROOF
Adtlress: DBA: FOUNTqIN VALLEY ROOFING
FOUNTAIN VqLLEY, CA Phone: (714)775-1947
11237 SLATER AV Zip: 92708
Owner: DONOHUE, CYNTHIA R
Address 252 SANTA ISqBEL AVE
COSTA MESA, CA
Contractor: FOUNTAIN VALLEY ROOFING
Address: 11237 SLATER AV
Arch :
Address:
FOUNTAIN VqLLEY CA
Zip: 92708
Phone:
Phone:
Zip: 92627
Phone:
License: 675241
Eng:
Address:
PERMI� NUMBER`
�
i�
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 07/19/1999
Issued: 07/19/1999
ISSUED BY: --���-"f-,__
Phone: '
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF - T/0, USING EXISTING SHEATING, 2 LAYERS OF 30# FELT AND NEW 25 YEAR COMPOSITION SHINGLE
ROOF OVER DETACHED GARAGE. DUPLEX ALSO HAS ADDRESS OF "252 SANTA ISABEL"_
FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$43.00
$0.50
$0.00
$0.00
$0.00
$43.50
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existin : D
NOTES:
Rear 0-0
Rear 0-0
Required: 0
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$1,300.00
$1,300.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undar Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12•21-g2)
EXPIRATION: This permit shall autometically expire and become void if work is not commenced within 180 days, or if work is suspended oi abandoned
for a penod of 180 days.
INSPECTIONS: In order tor the vrork authorized under this permit to be considered legal, such work must compty with all applicable codes, and all
required Inspeetlona end tinal epproval must be obtained. Failure to obtain inspections end final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 750.5626
WORKERS'COMPENSATION PECLARATON:
1�iereby attlrtn under penelry of per�ury one ol the following tleclaretions:
❑ I �eve end wlll meintain a Getlillcete of consent to self-Insure for workers' compensation, as provitled for by section 3700 oi ihe Lebor Code, for the peAortnence of the
wark for which this permit is issuetl.
❑ I have end will maintain wo�kers' compensailon insurance, az raquiretl by sectlon 3700 oi Ihe LeDor Code, for ihe peAortnance of ihe work for which this permit is issuetl.
My workers' compensation Insurence carrier/ end policy number are: !1 p 4
Carnor. �T�i� �_l,��N PolicyNumber: .�C 11S'g / ��C7/C��
(Thts section need nat be complBted ll the permit Is velued et ane hundretl tlollers ($100J or less.)
❑ I certiy that in the performence of Ihe work for which this permit is issued, I shall not employ any person In any menner so es to become subject to ihe workers'
compensetion laws of Califomia end egree ihat If I should become subject to ihe workers' compensation provisions of Section 3700 of the Wbor Cotle, I shell forthwith
comply with these provisio� �% n (� ��y7
Applicant Signature: b /C �i2i1.0 L..a.O-"'�� Dete: _�/� 7�7 /
WARNING: FAILURE TO SECURE WO�ERS' WMPENSATIIXJ COVERAGE i LAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRINJNAL PENALTIES AND CML FINES UP TO IXJE HUNORED
T/KK15AND DOLLARE (5100,000), IN MDITION TO THE C06T OF COMPENSATION, DAMNGES AS PROVIDED FOR IN SECTION 31060F TNE IABOFi CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DBCLARATION:
I heraby aHirm thet I am licensed u� e'rrLprov� 5 o Chepter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, and my Ilcense is in tull
torce and eflecL Lic. x �� Cless a
Comractor's SlgnaWre:���� O � 1�-._ oate: !9 7� / 9�L '
CONSTRUCTION LENDING AGENCY:
,❑ I �ereby ettirm ihat ihere is a construction lending egency tor the pertormence of �he work br which this perml� Is Issued. (Sec. 3097, Civil Code).
Lenders Name: Lentler's Address:
Signature: Date:
OWNER•BUILDER DECLARA710NS:
I hereby etfirm �hat under penal�y of perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business and Professions
Cotle: Any city or county which requires a permit to consiruct, alter, improva, demolish, or repair eny structure, prior to Its Issuance, elso requires tha applicant tor such pertnit
to file a signed stetement ihat he or she Is Ilcensed pursuant to ihe pmvisions ot the Conirectors License Law (Chapter 9(commencing with Section 7000) ol Divlsion 3 of ihe
Business and Protessions Cotle) or Ihat he or she is ezempt iheretrom and tha Dasis for ihe alleged ezemption. Any violation oi Section 7031.5 by any applicent for a pertnii
sub�ects the eppllcant to a civil penalry of not more Ihan five hundred dollers ($500).):
❑ I, as owner of �he D�operty, or my employees with weges es their sole compensation, WILL DO THE WORK, entl the siructure is not inlended or oHered tor sa�e (Sec.
7044, Business entl Professions Code: The Contracbrs License Lew tloes not epply to en owner ot property who builtls or improves thereon, and who does such work
himself or herselt or Ihrougn his or her own employees, providetl that such Improvements ere not intended or otlered for sale. If, however, ihe building or Improvement is
sold within one year oi completion, the owner-bulltler will have the buraen of pmving ihat he or she tlitl not bulld or Improve for purpose of sale.).
❑ I, es awner oi the properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consirucl tha project (Sec. 70G4, Business and Professions
Code: The comrectors Lice�se Lew does not epply to an owner ot pmperry who builds or improves thereon, and who contrects for such project with a contracbr(s)
license pursuant to the Contrectors License Lews.).
❑ I am exempt under sec. Business end Prolessions Cotle for this reason:
Signe�ure: Date:
Ownar ID verified by tlrivers license. ❑ Ves ❑ No Ddvers Licensa No.
Varifica�ion of Ownership by (type o� documen�, i.e. - property taz bill or deed);
DIVISION OF INDUSTRIAL SAFEn' PERMIT CERTIPICA710N:
Expires:
❑ I hereby certlly Ihat no exce�etlon five (5) or more fee� in depth into which a person Is requlred to descen4 wlll be made in connectlon wlth work euthorized by Ihis
permlt, end ihet no huiltling slrucNre, sceflolding, telsework, or tlemolltlon or dlsmamling �hereot, will be more then thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Calilomia Administretive Cotle).
❑ As owner-huilder, I will not lmploy anyone to tlo work which would require a pertnit irom the Division ot Industdal Setery, as noted above, unless such person has a
permit to tlo such wark irom the division.
Sipnature: Date:
Division of Industnel Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTMORVJUION OF ENTRV: I certity under penalty of perjury tha� I have reatl Ihis application and state ihat the information given is
wrrect. I agree ro comply with all stete laws entl ciry ortlinances relating Io bulitling consiruction, end authorize representatives of Ihe Ciry of Costa Mesa to enter upon Ihe
above-described pwperty tor inspaclion puryoses. I agrea not to wcupy or allow ocwpancy W any builtlinq aNhodzed by this pertnit unti111ne1 fnspection.
Signetu e Ot Legel Ownar(s) ate
��' _' ��<,�.a.o--- D �� / �� -�'i 4
AnNo� Au�hod Applicant Date
COOE 1. INSPECTIONTYPE
1616 Fised System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 FInaI Block/RBtaining WB��
202 Final Fedory Fire Place
203 Finel5lgn
204 Final Demolition
zue�as
Q�.
L�ll$
GOOE� INSPECTIONTYVE
206 Final Mechanical
208 Final Plumbing
210 Finel Eleciricel
212 Final Fire Preventlon
220 Final Planning Appro�al
222 Fina151te
250� FinalBuilding/Occupancy
�g
.•
(714) 754-5273 • Fa�c (714) 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDfNG PERMIT
JobAddress: 2404 CARLTON PL
Suite:
Vicinity: DUPLEX
Parcel Nunmber: 43933201 Zoning:
Applicant: A PLUS SERVICES INC.I A PLUS ROOF
Address: DBA: FOUNTAIN VAILEY ROOFING
' FOUNTAIN VALLEY, CA Phone: (714)775-1947
11237 SLATER AV Zip: 92708
Owner: DONOHUE, CYNTHIA R
Address 252 SANTA ISABEL AVE
Phone:
COSTA MESA, CA Zip: 92627
Contractor: FOUNTAIN VALLEY ROOFING
Address: 11237 SLATER AV
Phone:
Arch :
Address:
FOUNTAIN VALLEY CA
Zip: 92708 License: 675241
Phone:
Eng:
Address:
PERMIT NUMBER
✓
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
APPlied: 07/19/1999
Issued: 07/19/1999
Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF - 7/O, USING EXISTING SHEATING, 2 LAYERS OF 3QIf FELT AND NEW 25 YEAR COMPOSITION SHINGLE
ROOF OVER DUPLEX.
DUPLEX A4S0 HAS ADDRESS OF "252 SANTA ISABEL".
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$112.25
$0.60
$0.00
$0.00
$0.00
$112.85
SETBACKS
MAIN STRUCTUR� Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING 8 20NING
Lek 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
$6,000.00
$6,000.00
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspanded or abandoned
for a penod of 7 BO days. � �
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all epplicable codes, and all
required Inspeetlone entl flnal epproval must be obtained. Failure to obtain inspactions and final approval will result in the expiretion of this permit.
FOR INSPECTIONS CqLL: (714) 7545626
WORKERS'COMPENSATON DECLARATON: • � •
I hereby efrirm under penalry ol per�ury one ot the following tleclaretions:
❑� I have end will maintein e cartlticate of consent to sel(-Insure for workers' compensatlon, es provided for by section 3700 ot the Labor Code, tor Ihe peAormance of the
work for which this pertnit is Issuetl.
❑ I have end will maintein woMers' compensation insurance, as requiretl by section 3700 oi the Lebor CoCe, for ihe peRortnance of Ue wwk for which Ihis permit Is Issuetl.
My workers' compensetlan Insurance cerrier and policy number are:
Carrler: STIi'T� -�L/scJ% policyNumber: ��s"�%% O�� �b;y0
(Thls sectlon need not be camp/etetll! the permit is velued et one bundretl tlallers ($f 00) or /ess.)
❑ I certify ihat In ihe peAormence of the work for which this permit is issued, I shell not employ any person in eny manner so as to become sub�ect to the workers'
compensation laws of C ornie, end agree that if I should become subject to ihe workers' compensation provisions of Sec�ion 3700 of the Lebor Code, I shall forthwith
wmply with ihese provi s. /J O�� � �1
Appllcani5lgnature: C ...P.�-�� K• �X��CWit�-- Dete: O��19�7 �
WARNING: FAILURE TO SECURE WORKERS' WMPENSATION GE IS UNLAWFUL AND SHHLL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND OqlARE ($100,000�, IN MDfiIIXJ TO THE WST OF CQMPENSATION, OAh1AGES PS PROVIDED FOR IN SECTION 3]O60F THE IABOR WDE, IMEREST, AND AiTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm ihat I am licensed under pr�si�
force antl eflect. Lic. p__�
ContractaYs Signature:
9(commencing with Sectlon 7000) ot Divislon 3 of the Business �d��ssians Cade, antl my license is in full
Class a C �
R�,....�.-- oa�e: �2,i / 9,L
CONSTRUCTON LENDING AGENCY:
❑ I �ereby ettirm ihat there Is e construction landing agency for Ihe peAormance ol ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lendels Nema: Lendefs Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereDy aNirm �hat under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or county which requires e pertnit to conSWcL alter, improve, demolish, or repeir eny strucWre, prior to its issuanca, elso requires the applicant tor such pertnit
to filo e signed statemem ihat he or s�e Is Ilcensed pursuent to the provisions of t�e CoNractors License Lew (Chaptar 9(commencing with Section 7000) ol DiNsion 3 ot the
Business and Professions Code) ar thet he or she is exempt �herefrom end the basis lor the alleged exemption. Any violation of Section 7031.5 by any ep011cant tor e pertnit
sub�octs Ne applicant to e civll penalty of not more ihan fiva hundred dollars (5500).):
❑ I, es owner of tha property, or my employees with wages as their sole compensalion, WILL DO THE WORK, end the siruciure is not intended or oHeretl for sale (Sec.
7044, Business and Professions Cotle: The Contractors License Lew tloes not apply to en owner of property who �uiltls or improves ihereon, and who does such work
himself or herselt or ihrough his or her own employeas, provided Ihet such improvements are not Intended or oHered for sale. If, however, ihe bullding or Improvement is
soltl within one year of completion, the owner-builder will have the burden of proving ihat he or she tlitl not build or Improve for purpose of sele.).
❑ I, as owner at the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Prafesslons
Cotle: The contractors License Lew tloes not apply to en owner of propeny who bulltls or Improves ihereon, end who contracts for such project with e contrector(s)
license pursuant to �he Conirectors License LawsJ.
❑ I am exempt under sec. Business and Protessions Code lor this reason:
Signeture: Dete:
Owner ID venfietl 6y drivefs license. ❑ Yes ❑ Na Drivefs License No. Expires:
Venfication of Ownership by (type of daument, i.e. - pmperry taz bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify t�et no excevetion tive (5) or more feet in aepth into which a person Is requiretl to descend, will be made in connection with work authonzetl by this
pertnit, antl t�at no builtling slrucNre, scaHolding, falsework, or tlemolition or tlismantling thereol, will be more than Ihirry-six (36) feei high. (Chap. 32, Grp 2, Atl 2, Sec.
3a1, 7itle 8, Celifomia Atlministre0ve Code).
❑ A5 owner�builtler, I will not amploy anyone to tlo work which would require a pertnit from the Division ot Indusiriel Safery, as notatl above, unless such person has a
permit to do such work from Ihe division.
Signemre: Date:
Division ot Inaustnal Sefery Permit Number:
CERTFICATE OF COMPLIANCE AND AUh10RIZATION OF EMRY: I cehify under penalty of perlury that I have reatl this epplication and stata that the information given is
correct. I agree to comply with all stete laws and ciry ordinances relating to building construction, end euthoriza representatives of Ihe Ciry of Coste Mesa to enter upon ihe
ebova-tlescdbed property tor InsDectlon puryoses. I agree not to occupy or allow acupancy of eny bulltling authonzed by this permit until final Inspactlon.
,�§Ignalure O� Owner(S) � �� � / 9 �
4i� e ' /C f.�..r—
� And/ rAutho' Applican� � Date
cooe., ixsvecnoxrrve
1616 Fixad Sysiem Finel Fire Prevention
7266
200
201
202
203
Pool Spa Final
Finel Re-Roof
Final BIocWRetaining Wall
Final Factory Fire Place
Final Sign
204 Final Demolition
2A48J8
BdIE mm�ais
/ ' v ��
cooe� ixsveenoxnre
206 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Sita
250 Finel Buildinq/OCcupanry
P9IE
Applicanl to till In all spaces exceD� those witnin neavy OorEer Ilnes antl sign all approvriate Geclaratlons.
CITY OF COSTA MESA
CONSTRUCTION PERMIT
Projeet Address ' � /
ApplicanYs MailiPn Addreu ��S 3 3 Li % / i/ F n�.V '
�uvner's Name L�� !/ A/�U// F1 �i r1 C Phonc%�� "�-3 Q/
Address ��
Arch/Eng. License No.
Address
Contrector'sNam s �� hone77� j�7a
Address (m 'I' gl �5.�� �i.d Co �.cJ �,.l.e %i � i m
CityLicenseNo. 3 �3�
LICENSED CONTRACTOR DECLA0.ATION
I hereby affirm that 1 am licensetl untler provisions of Charter 9(commencing
with section 7000) ot Division 3 ot the Business ana Professlons Cotle, and �
my Iicense is in full torce a effect.. �� G�
License lass �� 3'� License� o. � �
oa« 'P' 3 �,G' s-e t .L6J �"i6�at� ..J
ORKERS'COMPENSATION DECLARATION' �
�ere�y affirm tbat I have a certifica[e ot consent to selNnsure or a certificate
of' Workers' Compensation Insurance, or a certifietl copy tner-eyo—t �(Sectlon
3800; Lab. CJ �'/��O �e/;I/2/C LR%.$.
Policy No. ��t� Comoany,
Certifietl cooY �s hereby turnisnetl.
Ce�tij�tl co�y is fil¢ti with the city ulitling Diy i5ion �6
Date $�'-%- ' ��, APPlican��%y.+Ll��1 /�i �%,'.�'_'/�-�-� J
EXEMPTION FqOM WORKERS' COMPENSATION DECLARATION
(Thls sectiOn neetl not be completetl if th¢ permit is tor one huntlretl ($100) or
lesz).
I certify that in the performance oi the work for whlch thls perm�t Is issuetl, I
shall not employ any oerson in any manner so as to becoma subjett to Ihe
Workers' Compensafion Laws of California.
Datn Si9nature
NOTICE: It,'aiter makin9 this tleclaralion, you shoultl become subject to tne
Workers' Comp€nsation orovlsions of the I.sbor Cotle, yo� musl forthwith
comply wi[h such . provisions or tnis permit shall be tleemetl revoketl:
CONSTRUGTION LENDING AGENCV. ' "
I hereby afflrm Ihat there Is a conSVuction lentling agency for the performance
of the work for which this permit is Issuetl..(Section 3097 Civ. C.)
LenGer's' Name _
Lentler'S Atltlress
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's Ucenze Law for [he
following reason (Sectlon�7031.5 Business antl Professlonal Cotle: Any city or
munty whlcn requires a permit to construct, alter, improve, tlemolish or repair
any strutture, prlor to its issuance, also requires the applicani for such permit
lo (ile a signetl statement that he/she is Iicenzetl pursuant to tne orovisions o!
'�e Contractor's Llcense Law (Chapter 9(commencing with Sectlon']000) ot
vision 3 of Iha Buslness antl Protessions Cotle) ar Ihat he/she is exempt
erefrom antl [he basis for the aile9etl exomptlon. Any violation of Section
7031.5 by any applicant for a� permit subjacts tne appllcant to a civil
�enalty of not more than fiva huntlretl tlollars (5500).
I, as owner of lhe propecty or my employees with wzgas a5 tM1eir sole
compensation, will tlo tha work, antl the structure is not Intentle0 or offeretl �
for Shc¢ (Se<tiOn 7044, Bu51ne55 antl Profe55ional Cotle: Tha Contra<lor'S
License Law tloes not apply to an owner of a property who builtls or Improves
thereon, antl who tloes such work himself/nerself or throu9h his or her own
employees, provitletl that such Improvements are not intentletl or offeretl �or
sale. If, however, the builtling or improvement Is soltl wlthln one yoar of com-
pletlon, the owner will have the burtlen ot vroving Oe/she tlitl not builtl or im-
�ove�for the purpose oi sale). .
IJ I, as owner of the property, am exclusivery contracting wi[h Iicensetl con-
tractorsto construct the proje<t (Secllon 7044, Business an0 Protessions Cotle:
The Contractor4 License Law does not apply to an owner of property who
builtls or improves Nereon, antl who contracts tor such projects with a con-
j tractor�s) Iicense pursuantto the Contractor'S Licens¢ 12wj.
I❑•Pam exempt untler Section B. & P. C. tor this reason
Da[B Owner
I hereby certify tnat 1 have reatl this apv�ication antl state that tha above
information is coirect.'I aqree to comply with all'clty antl county ortlinances
ana state laws rel5ting fo builtling mnstructlon, antl hereby authorize repre-
Sentatives ot (hiy '�city to enter uppn t dbove-mGntiOnetl O�operty (o�
InSpection purpq59s � � /�J' �.� G Date - '�-��
S�gnature � Y �c
Drivers',�icense or 55 � - - ^ � �
TVPE OFCONSTRUCTION LI NEW U AOD LI ALTERATION LJ�REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, �5
DESCRIPTION OF WORK S Main BUildi
E
TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B qyaf
❑ OTHER A
PROJECTDESCRIPTION 54.FT. oCCuaaNCV C fli9ht
K Left
CONSTRUCTIONTYPE � VALUATIONS S
ZONE GRADINGCU.VOS. �ACRES PIng.Ref.#
Remarkz: Parking Req./Pr
- � • - UseofBuilding�.
� ' PLUMBING FEES Planning No[es:
Sink
Preventer
!rrigation
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks �
Gas Service Outlets
Interceptors �
Kitchen Sink �
0
Roof Drains -
r
Reinspection Fea , , ;$25
Duct-UnderGround �
Duct - Structural '
Duct-Ventilating �
Exhaust System ❑ Multiple ❑
Firepl/Fact.�BIt.ICBO# �
Heating System & Ducting
O ai oo,000 s ru O i oo,000 en
Reinspection Fee - � $25
CMFO865-46rev.7/g3 White-Bu7itling;
%-
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
$olar Piping '
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Wacer Heater
Water Service �
Isue Fee
Hood or Type I ❑ '
Conopy Typell ❑
Refrigeration System
❑6100,OOOBTU ❑100,0008�
System Repair/Alteretion � �
Issue Fee
$ 3
$ 3
Automatic Washei
8�62 9/20/B4 S.OG TL
Zone
Accessory Building: � 2
O
N
1
N
G
R
E
Park.Fees $ � 4
U
R
E
M
E
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+ KW
Cooking Unit - ' Meter ❑up to 700 amps
Dishwasher • Meter ❑over100amps
Dryers ❑Gas ❑Electric Sub Panel '
Fan � � � Motor5O0.1 HP�7%-8
F.A.U. InaSolar 09-15 HP �16-�
Fix[ures ' • �Microwave �
Device Boxes ' Pole Light
Outlets �
Switches
Garbage Disposal �
Generator O65 KW OS-15 KW
Standing Sections
Trash Compactor
I Reinspection Fee I$25 � Issue Fee I $ 3 I
PUBLICSERVICESREDUIREMENTS: � ,
2oning Approvad By Date -
Application Approved By Date
Application luued By ��� Data�
. � .SUMMARY OF FEES .
6UILDING PERMIT $ � SMIP � $
PLAN CHECK $ PERMIT �
� PLUMBING S.C`�� a�� ISSUANCE $
PLAN CHECK $ ' ENERGV P.C. _ $ �
ELECTRICAL $ � GRADING $ �
PLAN CHECK $ MICROFILM $ '
, MECHANICAL � $ TOTAL FEE $ S, �
PLAN CHECK , $ ' i
�. CONSTRUCTION AND PLANNING POl � SPA
A�PROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings � 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. PropertY Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
13. floof Drains . . 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Faciory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground HYdro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Foof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing � ��� Le% �
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation -
44. .Landscape Irrigation System
45. Sound Attenuation -
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co ,
51. CERTIFICATEOFOCCUPANCY
No. Date