HomeMy WebLinkAbout2701 CARDINAL DR - Building PermitsApplicant to llll In all spaeas exceot thosa within heavy eoraer Ilnes ana slgn all aporovriate aeclarations. 1
CITY OF COSTA MESA .
CONSTRUCTION PERMIT '
Project Address �
ApplicanYsMaili�gAy� tl�d.�e_a,. 3t90.T AII�POQ-T LpO�wo���A��K
Owner's Name ! `�`� �� �-%L � Phone �� .
Address Z7� � �QOI N%�L ��
Arch/Eng. � License No. `''
� Address `
Contractor'sNamr ���-��b5o*'� �"�sT. vnone �'`«-��f�
� Address Imeiling) 3 ��0 ^ q� � 1 �PO � LOc7P �Q .
� Ciry LicenseNo. Z3ZZ ( '
1 LICENSED CONTRACTOR DECLARATION �
� I hereby affirm that 1 am IlcenSatl untlar provlslons of Charter 9(commencing
�wlth sectlon 7000) of Divislon 3 of t he �uslness antl Profes5ion5 Cotla, antl '
my Ilcense Is in full force,pntl effect. U � ��; /
Llcente CI 5 b- �ic (o
Date y��' � c�anaf rn —/—�
WORKEFS'COMPENSATION DECLA AR TION " �
I hereby a/flrm that I have a certlflcate of consent to selt-Insure or a certificate
of Workers' Compansatlon InSurance, or a certifietl copy thereof (Settlon
3800, Lab. C.)
Policy No. Company �� OT J..�7D m(
�ertltletl copy 15 hereby fumlSheE. � ,
Certltie copyj 5� fJ letl with the Ury Bu n9 Dlvislo .
Date Z�L /6 i� APPlicant
E%EMMION FROM WORKERS' COM SATION DECL RATION
(Thls section neetl not ba tompletetl if tne ermit Is for one huntlretl (E100) or
less).
I certHy that in tha parformance of [he work for whlth thlz perm�t Is issuetl I
snall not amploy any person In any manner so as to Decome sub�ect to t�e
Workers' Compensatlon Laws of CalifOrnla.
Date - Si9nature '
NOTICE: If,iatter making thls tleclaratlon, you shoultl become sub�ect to the
Workars' Compensation provislons of the Labor Cotle, you must (orthwith
comply with' suth provisions or thls permit shall be tleamea revoketl.
CONSTRUCTION LENDING AGENCV
I hereby af(irm that thera Is a construction IenCing agency for the parformance
Of the wotk 7or whlth fhis gEtmlt is issuatl (Se<tiOn 3097 Civ. C.)
Lentler'S Name ✓
Lentler'S Atltlrezs �
OWNER BUILOER DECLARATION
1'hereby affirm that I am axampt fiom the Contractor's Licanse Law for Ihe
fallowing reason (Settion 7031.5 Buziness antl Protasslonal Gotle: Any city or
taunty which requires a parmlt to construtt, alter improve, tlemolisn or repair
any ztructure, prlor to its Iszuance,'also requires [�e applicant (or such permii
to flle a signatl statement that ne/sne Is Ilcensetl pursuant to the provislons ot
the Contractor's License Law (ChaO�er 9(commencing wlth Saction �000) ot
Dlvlsion 3 of tne Businass antl Professlons COUe) or that he/she is exempt
t�erafrom antl the ba5i5 tor the allegetl axemption. Any �vlolation of Saction ,
7031.5 by any applicant for a permit subjec[s the aOP�lcant to a civil
�flnalty of not more than five huntlretl tlollars (y500).
I, as owne� ot Ih0 P�ope�ty o� my amplOyl85 with wa985 a5 [hBl� Sole
compensation will Ao tha work, antl the structure Is not intentletl or offeretl
for sale (Sac4lon 7044, Business antl Profe55ional Cotle: TM1e Contractor'S
llcense Law Eoes not apD�Y to'an owner o! a property wno bulltls or improves
t�ereon, antl who tloes sucM1 work hlms¢Ii/herself or throuqh nls or her own
eTploy aBS, p�Ovltletl that such Imp�Ovement5 d/e not Inte�tletl o� offe�etl fo�
sale. If, however, tha bulltlln9 or improvement I5 soltl within ono year o1 com-
pletlon, tha owner will nave the burtlen of proving he/she tlIC not builtl or Im-
�Iove fortne purpose of 5ale).
I, as owner of the pro0er[y, am exduslvaly tontracting wlth Ilcensetl con-
tractors tb construct tha pro7act (Section 7044, Business and Professlon5 Cotle:
T�e Contractor's License Law does not apply to an owner ol property wno
builtls or improves theraon, antl who con[racts for such pro�ects wlth a con-
tractor(s) Ilcense pursuant to the Contractor'S Llcense Law).
❑ I am axempt untler Sectlon 8. & P. C. for this reason
Data Owner
I have reaE [hls appllcation anC state that the abova
I dgrBe [O cOmply w I city antl Counry Ortlinance5
to bulltlin9�cq ns[ 'antl hereby authorize repre-
� [o enter/yp . ove-mentloneE propar�,y tpr
Slgnatura Date=�
Drivars' License or 55 � � ' �
CMF 0865-46 rav. 12/B3 Whlta - Bulltling; Canary - Appllcant; Pink -
,�5 - / 00 2 ;> .� ,
TYPE OF CONSTRUCTION NEW ADD ALTERATION �REPAIR
❑ CONVERSION ❑ DEMOLI//g H❑ OTHER q,p,.�j6 _
DESCRIPTION OF WORK 7� nA L�� ✓EL
S Main Building:
TVPE OF PERMIT GRADING FOVNDATION STRUCTURAL T Ffont
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear
❑ OTHER
PROJECT DESCRIPTION Sq. F7. � OCCVPANCv O C Right
K
CONSTRUCTION TYPE VALUATION $ ��CO � e° S Left
ZONE GRADING CU. VDS. ACRES ping. Ref. {k .
Remarks: Parkin9 Req./Provided
� , Use of Building:
PLUMBING � FEES Planning Notes: �
Ber Sink
Beckflow Preventer
Backtlow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Fauntains
Floor DrainS
FloorSinks '
Gas Service Outlets
Kitchen Sink
levetOries ,
P—Trep
Roof Drains
Reinspection Fee $25
Boiler
Duct - Under Ground
Duct - Struaurel
Duct - Ventileting
Exhaust System ❑ Mul[iple
Firepl/Fect. Blt. ICBO #
Hea[ing System & Dutting
❑6100,000 BTU �100,000
IReinspeetion Fee I $25
GoltlanroC • ASsessOr
Showers
Service Sink
Sewer Cap
Sewer Connection �
Solar Collettors
Solar Piping
Solar Tank
Swimming Paol w/Spe
Urinal
Water Closet �
Water Heater
Water Service
laue Fee
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
Issue Fee
$ 3
FEES
$ 3
Auromatic Washer
Construction Pole
Cooking Unit
Dishwasher
Dryers ❑Gas ❑
Fan
FixWres .
Device Bdxes •
3864 2/0�/B4
2one �
�sory Bui
Park.Feez $
ELECTRICAL
- Transformer � 15-50 KW
❑ 50+KW'
Meter Dup ro 100 amps
Meter ❑over 100 amps �
c Sub Panel
Mo[ors �0-1 HP O 1%- 8
•� IncSolar �9-15 HP �16-15+
' ' Microwave
Pole Light
Switches � ,
Garbage Dispoul •
Generator �65 KW �5-15 KW
I Reinspaction Fee
�
PUBUC SERVICES R
Zoning'APPravBd BY_
Building Approved By
Aao�ication Issued Bv_
Si9n
Standing Sections
Trash Compactor
Issue Fea
`
� �i
:il.d5 TL
$ 3
2
O
N
I
N
G
R
E
�
U
1
R
E
E
N
T
SUM RV QF FEES
BUILDINGPERMIT $' �J SMIP g ____� $��
PLAN CHECK � $ � �� • -3S � pERM1T
PLUMBING § ISSUANCE $
PLAN CHECK 25% 5 ENERGV P.C. $
ELECTRICAL � S GRADING $
PLANCHECK 50% S MICROFILM $
MECHANICAL � 5 TOTAL FEE $ �� �s
PLAN CHECK 25% � $ -
CONSTRUCTION AND�PLANNING . � ,. POOL & SPA ��-
'APPROVALS Permit-# - Date Inspector �.APPROVALS Permit# � �Date Inspector
t: Temporary ElectricBl Service or,Pole � ' � . 52. Pool & Equipment Location
2� Soil Pipe-Undrgrnd. ` � " '53. Steel Reinforcement •
_i
��- 3.� Elect^ical Conduit Utility-Undrgrnd. - 54.. Forms _ . - . , '
' 4. Elect; ical Conduit-Undrgrnd. '� - ' � 55. Electrical Bonding - �
5. Steel Reinforcement� �, . ' ' � . 56. Rough Plumbing & Pressure Test
6.' Electrical UFER Grnd. _ - ' 57. APPROVA;L TO COVER-GUNITE ,. �
7. Footings ' , . � � � _ .58. Electrical Conduit-Undrgrnd. . ' (
8. Foundation ' ' : � � �59. Gas Pipe, � Undrgmd., Test � - �
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-Final _.� �
13. Roof 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 PLP,STERING � �
18.�RoughElectrical-TBarCeiling . ' 69. POOLISPASYSTEMSFINAL �
19. Rough Heating & Air Conditioning . � FIRE DEPT. REQUIREMENT �
20. Rough FactorY Fireplace APPROVALS� Permit#
21'�'DucB, in Structure • � � 70. Underground Hydro
�22. Ducts, Ventilating ' � 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � � 72. Underground Flush
2 Roof Framing �� ' � ,73. Undergrnd. Storage Tank O Gas ❑ Oil ' �
� 2�• Roof Sheathing � _ - 74. Overhead Hydro .
• �. '
:26. T-Bar Ceiling 1Structural) & Monocoat � 75. Dry Chemical '
27.; Frame and Flzshing - 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 . S0. FOOD CERTIFICATE ISSUED ,
�
33. Final Electric Nofes: � �� �q,�
34. Final Heating & Air Conditio'ning
35. Final Gas Pipe-Test �' � ,� •
�i � c� �_ � IG..�eQ
36. Hood or CanopY �
�+Y4� Qt
37. Final�Faaory Fireplace, - . anSO' `�-� � -'a �
38. Final Plumbing . . . -l--o o , s �
39. Water Service-Final ' � . � � 8' ��
40. Gas Se�vice-Final ;
41. Solac Domestic-Final � . ' � _. . . � � , .
42. Backflow Preventer : _ � � ,
43. Backflow Irrigation . ' ' � �
44. Landscape Irripation System � � . , � .
45. Sound� Attenuation _ . �
46. Handicap Regulations ' • � ' � _
47. FINALSTRUCTURE&BUILDING D ��
4S. Special. Requirements Completed � � , � ' ,
49. Electric Release to Edison . : , � , - . . ..
50. Gas Release to Southem Celifornia Gas Co ' � � �
,
51. CERTIPICATE OF OCCUPANCY - ' ' - '
No. Date ' _ _ � _ _
0
�
;
,
2
`
.�
V
�
,.•
� c �aao,N�� �R
�t
�3' __
aPp�O���v?°� �;�s;� �� oR
I�'i4q of Costa Mesa Buiidirg Dep!. ,
��,
THESE PLANS MUST BE ON JOB AT ALL TiMES
MAKE N CHAN6ES WITHOUT PRIOR APPftOVAL
OF DEPT.
THE ISS 'FY.CE CR GRF JIP;� GF A PER4117 C3 i.PPROVAL
� PLAMS F:� SFiCiF;CATIOiVS SP'LL C.7( f� WNSiRJED
TO BE �.PEf "I? F:2, OR �N F.^,- ;.'L C;, A,VY VIOLATION
CF 6MY-G�' �E FdCI"�.0'., C: THI; G���. M1� fCRNIi PRE-
SUNING TO 'NE AUTHCFI7'� TJ CIOLATE C3 CAYCEL THE
FP,CVIEI.7nS F THIS C�C_ ..iALL BE V.1LIC, IXCEYi IiJ $0
fAR FS ThE M OfiK OR USE VihICH Ii AU7HORIZCS IS LAWFUL.
TF:E I;cU,NCE CF A FEfib;1T B�oED CPO`7 PLANS AND
SPECIfICAY10�1 ; SHau �?Lf��V£:�i—�i�i�-£�J;tB11 ;'OP}ICfR
PRON THfREAFTfR 6EQUIRfNG THE �/^51�:;�:BROdS
IN FAID FLANS AND SPECIFICATIOh,�F fROM PREVENTING
FUIIDING OPERATIONS BEING CRRRIED 09 THEREUNDEA WHEN �
iY �ICIFTtCYOF TH4S C06E OR OF ANY OTHE4 Oft01NANCF
�' TNE CIiY_ .
_ _ '_� —��ae-o.�
��s`D�N�
����-� �O�I ;,
�xsn�+G- J,nd s;�Y �
1!lovL �'Rp'Yl:uSlO� _
;�� d
2�'�e � � � '���
�G°,N� �
��� �����������
��n!� �g[� ��..�^qq
_/ /'/ U O� 1V W V
Il � ��l
V
�
�'(
��
s
�$.
CITY� OF COSTA MESA
PLANNVISG DEPT.
gUNECT TO B�DG. DEPT• aKl•
�G (�� DATE.��(.�-`�--
��. _
I a� �-��°�
1 �PRO��
3 Cr � CITY OF COSTA MESP
PLANNING DEPS.
SU6JECT TO BLDG. DEP1. kEG
� DYI.�C`..^�+ZC.... DATE.�—���. .
DIRFCP01 O� FLANN�NG
�1�y�jGLN+/tq �3 ��-
�
�
a ?�a
:''f
L
�
.
3'
Srl�Pi,klP
x Sf}�A'IiJiN(✓
C/�1SS C'ti1/ti.
�C $ON2
� 5r}/Nd�/LS
� w�i� ¢ F�f
u JND��
��x4
F/�w/t
'ARATE PERMITS ARF-F�'JfF
fOR ELECTRIC^.L, PLUMBING,
HEATIi!G, !�L'I;!f.�IP!S AVD
REFRIGERE �'�;? `:'DRY
�\ �, �',_.,r #_ �- // Co �
� THIS ;:t, ; � !�^��J.�i°AIVY
5/�� '�I�� � ALL If�S?..C,�.,.: REQUESTS
.
/y FOR bL�i`'�;:..a � �, C SJ�:S ARE 70
� N � � • BE Eiti�?LO';,.�.'-- �!�Sf�%�NT L�
STATE OF C.,, %. � XU� ��xN��6
INDUSTRI;,L S F '; �_ '�jyG�$R
ADDfTIONAL f, lflr;EME�j�3�
sZ % fl J G� k n � N q L P�.- � �✓ s r,a.e � P—
� H8200�E0
G c:: 'i ,9 J�11� Sfj-
X3 ��G�Z2 /��'1" w/3/����9GS /6"�.�
/
'1 � _ _� _ i � 1 � _ ._ _ = _ �_ = �_^ _ —'�'
a �P. � -5c,s: ,-t� Nd a,cs
� (TY� �
�+�Z x � F�3 c�,
16" �U � I �p � —� /b
,�
�Z� r ,
•� ,
h�X h� 2
-�
U'/.Zic6 0��
A1> Bo�7S
w.
�7�X rD
v
F'L(ON I (/ l �� 1tJ
/`���' / �
_ . . _ y,- i�. .—�• _ tn .,
SHtg�-
S N�cA
PflOJECTR00flE55: z']OZ CARDINAL DR
/4VNE�SNAME: PLOCK� KENNETH A
aooRess: pLOCK, CATHLEEN M
' � 2701 CARDINAL DR
COSTA MESA,CA 92626
545-9192
ABCHIENCINEEfl:
ROONESS:
UNIT:
FLOOD; AE-46
HEG.NO.:
UNIT:
PEHMITTEE: NORLIiND ROOFING (714)855-0549
aooness: Zqz�2 ENCORVADO
MISSION VIEJO CA 92691
UCENSEo CONTBACTON OECLAHRTION: I hereby a�lirm Ihal I am IicenseG wGer pmvi5ion5 0l C�aO�er 9(comm¢ncinp wi�� Seciion
7000) ol Div�sion 3 ol t�e Business ana Pmfessions Cotle. anG my license is in lull torce anE enect.
�uc.: 054f95 sT^TEuc.:562R5' ��5 C�— FXS' 04/95
Dat _��'c�-��`�--_ SignaWre:
flREHS' COMPENSATION OECLAflATION: I hereDy ir ihat I have a cerli�ica�e ol con5eni to sell�insure or a Cerii�icate hWe,�^�c
Compensaiion Insurance. or a certifie� copy Ihereol (Section 3800, LaD. C�.
roucrNo.: 1167112-93 exv.oaTe: 11/O1/94
comraxv: STATE FUND
❑ Cehdied copy is ere�y Wmishetl. � CenifieU copy i e wifh the ciry Buildinp �ivision.
� qpDlicant � �✓� �
E%EMPTION FHOM WOHREPS' fAMPENSATION OECIAflRT10 : �This sedion neetl not Ge compleletl if Ihe permil is for one Auntlr[d (5140) or less).
I cenity Inat in Ine Derformance of ihe work for which inis Oe�mit is issuee, 1 shall not emD�oy any person in any manner so as to Oecome
sublecl lo ihe Workers' Compensation Laws ai Cabfomia.
Oate: SignaNre:
NOTICF: II. ai�er making this tleclaralion, you s�oultl �ecome suhlec� to ��e Workers' Compensation D�ovisions of tne Labor
Code. you musl lorthwith comply wi1� suc� Orovisions or Ihis Dermi� shall De tleemeG revoked.
CONSTFUCTION LENOING AGENCY: I �¢r¢Gy attirm Ihat Ihere is a mnSlmtiion lentlinp agenty �Or I�C pedOfmant¢ at I�e work lar
w�ic� Ihis permit is issue0 �Section 3097. Civ. C�.
LENOEN:
nooeess:
OWNEP 6UILOEfl DECLANATION: I hereby a��irm ��a� I am eeempi �mm �Ae Can�racbrs' $tate Li[ense Law �or Ne followinA �eason
(Seclion 7031.5 Business anG Pmiessianal Cotle: Any [iry al coun�y whic� repuires a permii to cons�mc�, al�¢r, impmv¢, Gemolis�, ar
r¢pair any stmctu�e. prior Io its issuance. also reduires �ne applicant tor such permii to fAe a sipnea statemenl ihat hpJsne is licensea
pursuant m t�e pmvisions ol �ne Conlractors' State License Law (Chapter 9(commencinA ��� Section 7000) af Oivision 3 0l t�e Business
ana Pmtessions Cotle) or I�at he/she is exemp� ��erelmm and ��e hasis br ihe alle0etl exemption. Pny viola�ion ol $ec[ion 7031.5 6y
any apDlicant br a permit 5u�jeci5 Ihe ap0licant to a civil Denalty oi no� more t�an IivC �wAred tlolla�s (5500).
1, as owner ol ihe pmpeny or my em loyees vntA wages as t�eir sole compensation, vrill Ja t�e work. anE 1Ae
❑ s�mcture is not intenaea or oflered Por sale I�ction 70a4, Business and Pmlessional Code: T�e Cantmctars' State License Law
aoes noi aDOty to an owner ol a pmpeny wno builtls or impmves ihereon, an0 wAo tloes sucn work himseli/hersell or ihrouAn
�is or Aer own employees. proviEetl that suc� impmvements are no� intenJeA or oHeretl br ule. II, Mwever ihe huil0ing ar
impmvement is SalO vnthin one year ol com0letion. 1ne owner wili have ihe �uraen ot proving helshe aie not huild or improve
lor the vurpose ol salel-
I. as owner o� t�e pmDeny, am exclusively contracting with licensetl conVactors Io wnstmci �Ae Omjecl (Section 70a4, Business
❑ antl Pmlessims Coee: The Comracrors' State lkense Law Ooes not apply m an ovmer oi pmDeM �o bmltls or impmve5 therron
antl wh0 tonlratis br Suc� pmje[t5 vriih a mntracioq5)IitenSe Dursuanl �o �he Contratror5' Staie Litense Law�. I am aware
t�at pmol ol Iheir Worker's ComDensalion insurance should De provi0e0 to me.
� I am e�emp� under Section: 8. 8 P. C.
for ihis reason:
Dale: Owner.
I do �ereby ceNly that I am aware ol antl unders�antl t�e reQuir¢menis ol Califomia Heali� antl Saf¢ry Cqde Sections 25505. 25533, an0
2553< ana that I or any lumre builaing ouupam wituvnll not (ciale one) nee0 to wmpN vnN saiA state catles ane the reaviremems for a
permil lor cansimction or moAilicalian Imm tne Air Ouality Management Dislric�. flesiaential consimction applicaiions are e�empt imm
I�ese provisions.
Date: AO�licant:
IhereGy ceNlyl�ai Ihavereatl Ihls applica�ion and Slalet�a� Ihe abmeinio�mationis correci. I apreeio comply vn�h allciry antl munty
oremances antl Sla�e iaws relaling to Ouiltling cons�mction and �ere0y authorize representalives of Ihis city Io ¢nter upon itle a0ave�mentioned
propeny lorinspec�io putvoses. /�//) / S/�
O SignaWre: T/ � -�✓(�� /— � �
,iver's �icense o� Sociai Security x:
t6aba6 Whi�e—Builtling; Green—CoOe EnbrcemenL Canary—Appliwnt: Pink—Ravenue: Gd4enroC—Assessor
CITY OF COSTA ME6A — HUILDING PERNIT
PERMIT NO; B 069328 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE:
JOB DESCRIPTION : T/OFF RSTH E REROOF W/COMP
���
SHINGLES
PERM, NO: B Ob937.t
GOVT: N SUPP; N
PURPOSE: ALT
SQ FT: 7,000
CLAIM VALUE: 7,000.00 CALC—VALUE: 7,000.00 GROUP OCC: R-3 /�i-1
COMMENTS: 5MOKE DETECTORS REQ PER 91 UBC
it+rer�t-#�r#�x��x�it��ttt+r�x�rx��xttar�-at*trttx��rir#+ttt��t�r+r�u�tr�titn�t#��ir��tr�t�titx �rtr�x#���+t�t�x�x*� :� ###u #�rtE##a+r�t�
Z O N I N G R E Q U I R E N, E,� T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------
FRNT; FT IN REAA: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGFIT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 13952516 ZNE: REF NO:
PLANNING NOTES>
>
iEiElf{I'i49fiFiFY.'#%1k'IE�('iFN'#ffll'#ihM'ifM'il1l'Il'M'1EIE>Ei!#IEiFltl4if#1iil'iEifil"Y.'#iC'i!#'k1FiRif�iFlhifll'Iilfi('iP#M!f'i('iI'✓�Y3!'#'IF1E'M-#'X-fE')4'11'#
� 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 APPROVEU BY ; DATE;
APPLICATION ISSUED BY• ��' � DATE; �V lI Ily'
�t�r�rfrf�**��rx�#ir�raE�ir�*i�i�irir � x�i�'iFiF�iFiF���'R����iF'i�F*�r**u*ir**�r'�3F'f�:�/i�:�/��.�.1�
�t*�t***etft*ic�*�t+t#er+r*#it�***�r*ir*if*3t*#*erar*i�isit*�t�t*�*��*�r#i�i�x�c��t**it*x�*z�*�r��tx#*�t�i ������q a���;
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING
PERMIT 90.0o SN10KE DETECTOR ��
PLAN REQ� IRED
ISSUE FEE
HUILDING—DIV—> PEAi�IIT ISS�c PLAN—CHECK '�� TOTAL
TOTALS----> 90,70 0.00 0.00 90,70
SMIP/NON—RES
PAID DUE
90.70 .00
REVENUE DIVISION TOTALS--> COLLECTED: 90,70 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAid—CHECK
90.00 ,70
#'%###iE#iF###iE#ki(�iE#####1(-###iEY.�i!###�K1ilE#if#it�#i;#iE#iE###��##}`iFf!#iEY.�k�it}�fEKY�####�t###1fi4##t'� #iF?'�
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 COS�
SFR 7000 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 7 000.00
END OF FEES
• � �N
�D �
� OCT 17 199�
ClT1L OE C9STA MF�
• �7NSTRUCTION AND PLRNNtNG POOL & SPA
�,.,,?ROVALS Permit# Date Inspector APPROVAIS Permit� Date inspector
�i. Temporary Electrical Service or Pole 52. Pool & Equipment Locaticn
2. Soii Pipe�Undrgrnd. 53. Steel Reinforcemenc
3. Electrical Conduit UtiGty-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Elect�ical Bonding
5. Steel Reintorcement 56. Rough Plumbmg & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings . 58. Electrical Conduit�Undrgrntl.
8. Foundation 59. Gas PiPe, O Undrgmtl., Test �
9. Water Pipe�Undrgrnd, 60. Backwash Lines, P�Trap, C1 Untiryrnd.
10. Structural Floor Svstem 67. APPROVAL TO pECK �
11. Property Sewer Line & House Connectlon 62. 8ackwash & Recepcor�Finaf
12. Sewer Cap 63. Heater & Vent-Final
73. ROof Drains 64. Piumhing System - Final
7A. Rough Plumbing 65. ElecCrical-Final
15. Rtlugh Electrical-Conduit 66. Solar System-Finaf
16. Rough Electric Wiring 67. Fenc�ng & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOLiSPA SYSTE��7S FINAL
19. ROugh Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT
20. Rnu9h Factory Fireplace APPROVAIS Permit #
27. Ducis, in Structure 70. Underground Hyc;ro
22. Ducts, Venti�ating 77. Protluct Piping � Gas ❑ Od
23. Gas Pipe�Rough & Test 72. Underground Flust�
24. ROof Framing 73. Undergrnd. Smraoe Tank O Gas � Oil
25. Roof Sheathing fB �_� �(,�,�,( 74, Overhead Hydro
a
26. 7�Bar Ceiling (Structurall & Monocoat 75. Dry Chemicai I
27. Frame and Flashing 76. Dry Standpipe
28. LBthing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. DrY�vall Nailing HEALTH DEPT. REnUfREMENT
31. Pl�ster Brom�n Coai 79. FINAL INSPECTION
32. Electrical Power MeterFinai 80. F000 CERTIFiCATE ISSUED
33. Final Electric Notes:
34. fi�al HeOting & Ai� COnditioning
35. Final Gas Pipe•Test ,
36. Hood or CanopY
37. Final Factory Fireplace �
38. Fi�al Plumbing
39. Water Service-Final
40. Gas Service�Final
47. $olar pomestic•Final
42, BackftowPreventer jD�/�j�Gj (�� � �.j'� `r��
t t t
43. Backflow Irrigation
44. Landscape Irrigation System `"
45. Sound Attenuation i, `y
46. Handiwp Regulations �
47. FINAL STRUCTURE & BUILDING �,���C���..� �� �
48. FINAL P�ANNING . ' ' ��� _
49. Electric Release to Edison
50. Gas Release to Southern Caiifomia Gas Co '„' -
51. CERTIFICATE OF OCCUPANCY
No. Date
GEISS, MR. & MRS. B.
INSPECTIONS
soi�
G/�5
W ATER
ROUGH PLUMBING
PROP. SWft. LINE Q I
SPRINKLING SYSTEM
MISCELLANE0U5
ROUGM NEATING FND P
TEMPOFAFV S�qy�CE
UNOERGAOUNO �
ROUGH WIRING
TRENCHES FORM
FLOOR SVSTEM
BON� BEAM ' ST
SHEATMING
FFAME AND FLqSHING
LATHING - IN r I
CON.
REI
REINF.
HEnTING, VEN7., REFRIG. r1N0 A.C., FINAI
PLUMBING. FINAL /NO G�5 TEST n
FIN
DATE
SUBCONTRACTOR