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Home My WebLink About3171 COLLEGE AVE - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.c�g�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3171 COLLEGE AV Suite: Vicinity: DETACHED GARAGES Primary Occ: U � Parcel Number: TPN98079 npp�icant: VES PEARSON Address: P O BOX 3908 SEALBEACH,CA Owner: FRENCH Address 2020 E FIR; �, �/ � � ��; �SEAL BE / , ! Zip; 9074D� � � /r„ � /Arcti : i � � � '" / i Address.�- � ,��/�� y �- ' � ._ �� ;�1-,'. � ' Zip: � � ' i . � i Sfatus: ISSUED Applied: 08/02/2006 Issued: OB/03/2006 Type of Construction: V-N Zoning: Phone: 562-429-7663 ISSUED BY: c�7"'— . _ - , , - _ _ Zip: ; 90740_ � � �,lJ /.,! ' ' RTERS�HOA � . - � - ' `' � '.�� , � � ; , � � Phone: 714'-285-2626X211 ��; .� -. ` _� �� - - - - Zip:� -92705; / �� %� � V� . � t , � `�` \ �� . �, ",r �� 3 COMP.ANY _ — ` _ �,�� .J, �� ii� :. _ �� /V�c� %�.-,� - � � � -. �. , � �\ � <j' Phone: 562-429-7663�� ,A� � � �: � ��\ � =j �� ! �\� _ �� _/ � � ` �-_ � \ ' \ �. � � .�', � License: r172568 �\; `��/ �, \ . � .� i � Phone: a , ,_ .: �...: � License: �-� - � . n�� . � . _ ._ ' _ Eng: Address: 2.\ ! �\r.\ - ,) . �\��\ �� . � Phone: , { , , - �Lic,ense: � �\A � - , � ` � ' � � ;� _ =- ` -- ` SCOPE OF PERMIT ' ; V . . TEAR OFF EXI$TWG ROOF.�INSTACL 2 LAYERS OF 15# ASTM FELT, GAF 40 YEAR, LAMINATED COMPC �, REPAIR/REPLACE SHEATHING AS NEEDED. 24 SQUARES FOR DETACHED GARAGES 3171-THRU•3177 � , � !J , .� . � _ � �', 1 � Plan Check.�� 0.00 � Permit;:, ,$111.25 � SMIP Res: -- , S0.50 ;'� SMIP Com � '�-�; �0.00 ��' � � Other ��, ` �0.00 �� ,, Inspection „"� ° $0.00 `. � . e� `��, Total: ��\; \$111.75 AVE. ; iT, '� -r;, __�FEE SUMMARY j. P . ' , � � � �� ,��Calc Valuation� .'� � �� $d,zoo;oo � �Y L ' .. -.J�.. . ..... � � ; . -- - � � � Claim Valuation: " ` Sa,2oo.00 ` � ... , � � ,;. . _i - �- e -, � � _ !j ✓ r, ^� _ J ., _ — .-� . „^� �. � r J � t � ' � t�i � � i .... _. , _ _ �ir ` �, , � - �,, �. _ . : - ; i r '' \ �,�� i AV�p, , PLANNING & ZONING `� ` % � � � 'TBACKS ��V� �f ��; �� IN STRUCTURE�Fronl � 0-0 � Rear 0 0 � ,� � Left 0�0 Right 0 0;� �� ; ' 4-�.. +�. , . , , .'_ '.�' � ' � .,ESSORY. Fronb 0 0� �V � R a, 0�0= Lek ,� 0. 0 RigM. �0= 0 ` V �� i // �. -) ��V'� ' � ' C,'� � ; - / �', i ' . �RKING ,� �Existin ; 0 ��'` rReauired. . � 0�- " `Pr000sed: 0 � - . , , �� i ; , ' ... . , A ` - . . : � "� , � �; � i . '��A \ � ,\� ��.�' � ��' - .- � � . ' J��/, / \� \v f�l//\\`�- �___ .. � '� ��/;)v/ �i . I � � � / / �A�� '�l �A _' `�� .' �f7 „ _'l�-_ -,��.� ,�jJ" . __ �' ��. �.' -. "`-`>' ``. - . _ � � -., - - � - „- , 9 . � ��; � , /, j � � ' 7 i . i , `i� ' _ 'i '' NOTICE: The work aUthorized 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 suspended or abandoned for a period of 180 days. •� • ,� � INSPECTIONS: In order for the work authorized under this parmit to be considered legal, such work must comply whh all applicable cotles, and all required Inspeetions and final approval must be obtained. Failure to ob�ain inspections and final approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5626 2446d8 (fl�W) WORKERS'COMPENSA710N DECLARATON: - I hereby aHirtn untler penalry ot perjury one of the following declarations: ❑ I have antl wlll malntain e certificate of consent to self-Insure for workere' compensation, as provlded for by sectlon 3700 of the Lebor Code, for the pertormence o} the work tor which this permit is issuetl. i �ave end will meintain workere' compensetion insurance, as required by section 3700 oi ihe Lebor Code, for ihe peAortnance ot Ihe work for which ihis pertnit is issued. �My work rs' com ensation Insurence rrler and pollcy number are: /�/� Carrier: � ��//VI� PolicyNumDar:—� {�J� �� 6�.—�� u (Tliis sectlon need not be comp/eted il fhe permif is valued et one hunGred dollars ($100) or /ess.J "'�-_�l ❑ I certity ihat in the performance of tha work for which this permit is issued, I shall not employ eny person in eny menner so es to become subJect to the workers' compensation lews of Califarnle, ntl egree t if I should becoma subJect to the workers' compensetlon provlslons ot Secppp'an 37 0 of Ihe Lebor Cotla, I shell forthwith comply with these D!� �� io �_ � 1 P / Applicant Signature:-� � r--Dete:, ��> 1 � � � WAFNING: FAIW RE TO SECUPE WORI(ERS' COFAPENSATIIXJ COVEMGE IS UNIAWFUL �ND SHAIL SU&IECT PN EMPLOYER�TO CHNUN/LLPPENALTIES AND GVIL FlNES UP TO ONE HUNDRED TFiOUSAND DIXIARE (E100,000�. IN ADDITION TO THE COST OF COMPENSATION, DAM4GES AS PROVI�ED FOR W SECTION 3108OF 7HE LABOR CODE, INTEREST, AND ATTORNE'fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirm thel I em licensed un er rovisions i C apter 9(commencing with Section 7000) of Divislon 3 of ihe Business an Protessions Cotla, and my license is in full forca and eNect: LIc.N��1 ,rt �� S� � Cless,q. �.� -�^� C� CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm thal there is a consiruction lentling agency for the pedormanca of the work for which this permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lentler's Adtlress: Signature: �ate: OWNER-BUIIDER DECLARATIONS: I hereby atfirm ihat untler penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Professions Code: Any city or county which requires e permit to constmct, elter, improve, demolish, or repeir eny slmcture, prior to its issuance, elso requlres ihe applicant for such permit to file a signetl statement ihat he or she Is licensed pursuant to the provisions ot ihe Contractore IJcense Lew (Chapter 9(commencing with Sectlon 7000) ot Dlvision 3 of ihe Business and Protessions Code) or thet he or she is a:empt thereirom enE the basis for ihe elleged eaemption. Any vlolatlon of Section 7031.5 6y any epplicent for a pertnit subjects the applicant to e civil penalry at not more than five hundred tlollars (E500).): ❑ I, as awner of Ihe properry, or my employees with wages es t�eir sole compensatlon, WILL DO THE WORK, and Ihe structure is not Intentle0 or oHeretl far sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to en owner ot property who builds or improves Ihereon, end who does such work himself or herselt or �hrough his or her own employees, providad ihat such improvements ere not intended or oHered for sele. If, however, the bullding or Improvemen� Is sold within one year ot completion, the owner-builder will heve ihe burden of proving that he or she did not build or improve for purpose oi sele.). ' ❑ I, as owner of Ihe property, am E%CLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to consiruct Ihe prolect (Sec. 7044, Business and Professlons Cotle: The conirectors License Lew Ooes not apply �o an owner of proDerty who builds or Improves thereon, end who contrects for such project with e cantractor(s) license pursuent to ihe Cantractors License Lews.). ❑ I am exempt unaer sec. Business and Professions Code tor this reason: SignaWre: Dete: Owner ID venfled by tlrivefs license. ❑ Yes ❑ No Onver's License No. Verlfication of Ownership by (type ot document, i.e. - property tex bill or deed): DIVISION OF INOUSTRIAL SAFETY PERMIT CER7IFICATON: Expires: ❑ I hereby certity that no excavation five (5) or more feet In depth into which e pereon is requlretl to tlescend, will be mede In connection wlth work authorizeC by this pertnit, and �hat no building structure, sceHolding, falsework, or demolition or dismantling thereot, will 6e more ihen Ihirry-six (36) feet hig�. (Chep. 32, Grp 2, ArI2, Sec. 341, Ttle B, Cellfornla AtlmlNstrative Cotle). ❑ As awner-bullder, I will not employ enyone to do work whlch would require e permit tram the Divisian ot Industriel Sefety, es notetl ebove, unless such person hes e permit to do such work from the tlivision. Signeture: Date: Division ot Industdal Sefery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUfHOFiIZATON OF ENTRY: I certify unde� penalty of perjury that I have read this application and state t�at the information given is correct. I agree to comply with ell state laws and ciry ordinences relating to building consiructlon, end authonze represenlatives of Ihe CIry of Cos�a Mesa to enter upon the above-Oescnbed p�operty for inspection purposes. I agree not to occupy or allow xcupancy oi eny building authorized by this permit until tinal inspedion. GOOE �. INSPECTIONTYVE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Final8locWRetaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition O�TE �� =��i � �j� �q COUE 1 INSPECTION TYVE 206 Final Mechanical 208 Finel Plumbing 210 Final Elecincel 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Si�e 250 Finel Building�Occupency (714) 754-5273 • Fa�t (714) 754•4856 • www.ci.costa-mesa.r�.�LDING PERMIT n FAIR DRIVE, COS7A MESA, GA 92626 Job Address: Suite: Vicinity: Primary Occ: Parcel Number: 3171 COLLEGE AV 31713177 R1 41814524 Type of Construction: V-N Zoning: R2 Applicanr. PEARSON,VESS ., - - .`,�"'.;' 'P� . " _ Address: P O BOX 3908 � -- '`� ., i ,� :"�=- . _ ..._. - . � - = ` � � ��-' � - ' - Phone: 562-429-7663 �� .�� .l' � r � � SEAL BEACH,CA� �.�- � ' �, Zip: 90740 Status: ISSUED Applied: OS/10/2005 Issued: OS/10/2005 ISSUED BY: � �\ .. Owner. FRENCH�QUARTERS HOA': _' � _ � r Address ' 2020 E.1ST 3T�- ' `� � � %� �c'= = - � � � - � - .�.i�. � ��'�� - � ��-SANTA ANA ,CA� ;i";.; `�.2� - Phane: 7�4-285-7663V �_ �,� �. � ,-,�, , � ��,�� SUITE 500_ -� �, �: ; Zip: 92705 ' �A'- ,; � � i, � .� Coniractor. G M ROOFING COMPANY . Address: P O BOX 3908 . . � , Phone: 562-029-7663 � SEAL BEACH, CA � i , , Zip: 90740 •- � • License: 472566 Arch : Address: - � ��,� Zip: a •Phone: � License: ��_� Eng: Address:� - � . � Phone: License: ! � � � " , � ' � �. A"GVYtVf�YtKMII ' '.� �• . � REROOF CONDO�UNITS 3171- 3177 , TEAR OFF , INSTALL' 2 LAYERS_15# FELT UNDERLAYMENT, INSTALL 40 YR COMP. SHINGLES AND BUUILT ROOF ROFF AT T HE DECK AREAS. TOTAL .37 SQUARES. - . � ' � � � ' FEE SUMMARY �' ' � � � � ' � �Plan Check:, $0.00 , Calc Valuation: S9,a00.00 � ' Permit: $181.25 � Claim Valuation: �' " Ss,aoo.00 ;SMIP Res \1., .$0.94 - . � � J - �` _ ' �; .� � J I F �'.SM�P'C.OfTI. _ ��,. $�.Q� ' .. - ' . :i/ : . _ � , !� i � Oihef: ; $0.00 - ��'/ ' _ i�/ Inspection: $0.00 • Total: ' $182.19 ; ; . ` � .�- �� " • � ,�.. . . .. � ` . > � , • .• �; \ � - ,FLANNING&ZONING " - t'>_L/j %� i � ' _' _ ' �� /�: SETBACKS � ',� �� , . . � � �' � � . � �, _ c_,_�.,-- ..' c �,�� ,� MAIN STRUCTURE Front � 0� 0� / ��. Rear 0- 0--� -Lefl -� 0- 0'� Right ,.0-0 �! ��- � \. � �. � ' ` � ' . . '. : i ACCESSORY Fronf 0 0 T � � � Rear - 0- 0' -�� --' �Left � . 0 0 - ;� . Right 0'0 /� �� ,` , . . . . � . „ -' PARKING Exislinq: 0��_,.��- Required: 0� `• .. Proposed: �� 0 �% =,• � � -. , �'�' � � . NOTICE: The work authorized by Ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with aI� applicable codes, and all requlred Inspectlona end final epproval must be obtained. Failure to obtain inspections and�final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (774) 754-5626 260G48 (B�OD) WORKERS' COMPENSATION DECLARATION: — � ' � � � . I hereby aHirm untler penalry of perjury one ol the following tleclArations:. -: �� `'- � � . ' � . . .. .. . . . ❑, I have antl will maintain a certificate ot conseN to self-Insure for workers' compensetion, as provided for by section 3700 ot the Labor Code, lor the pertortnance of the ork for which ihis permit is issuetl. I ha and will maintain workers' wmpensation insurance, es required by saclion 3700 of lhe LeOor Cotle, for dormance of the work for which �hi5 pertnit is i5sue0 carrier antl policy number are: /y.� � ` , . PolicyNumb : UUU{ �el � �i% 1�� ermi( is velued at one hundred dollars ($100) or less.) � t in Ihe pertormance of ihe work for wliichlhis permit is issuetl, I shall not employ any person in any manner so as to become subject m tha workers' isat �law P i Ca�itomia nd agree that if I should becoma subject to tha workers' compensation provisions ot Section 3700 of the Lebor Code, I shall torthwith with t ese rovis ns. iatur �%� - ie: _ t I I o'b1 TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU81EC EMPLO�CPIMINAL EPTNALTIES AND GVIL FlNES UP TOONE MUNDRE� �LLARE(5100,000),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPFOVIDEDFORI TION31 FTHELABOqCADE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: Chapter 9(commencing with Section 7000) of Division Code, end my license is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that ihere is a consWdion lentling agency for the pedormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentler's Atltlress: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penelry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires a permit to constmct, alter, improve, demolish, or repair any sWcture, prior to its issuance, atso requires ihe applicant tor such permit to tile a signed statement thet he or she is licensed pursuaN to the pmvisions of the Contractors License Lew (Chapter 9(commendng with Section 7000) of Division 3 of tha Business antl Professions Code) or that he or she is eaempt therefrom and Ihe basis tor the alleged exemption. Any violetion of Section 7031.5 Dy any appliwnt for a permit subjects the applicent to a civil penalty ot not more then five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages es thalr sole compensatlon, WILL DO THE WORK, and the stmcture Is not Intended or oflered for sele (Sec. 7044, Business and Professions Code: The Coniractors License Law does not appiy to an owner of propeM'�ho 6uilds or improves thereon, and who dces such work himseH or herself or ihrough his or her own employees, provitletl that such improvements are no� intended or oHerad tor sale. Ii, however, the 6uilding or improvement is sold wit�in one year of completion, ihe ownerv6uilder will have the burtlen ot proving ihat he or she did no� builtl or improve for purpose of sale.). ' ❑ I, as owner ol lhe property, am E%CLUSIVELY CONTRACTING WITH LICENSED LONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Lew tloes not apply to an owner ol propeny who bullds or Improves Ihereon, end who wntreas for such pmject with a comractor(s) license pursuant to t�e Contractors License Laws.). ❑ I am exempt under sec. Signature: Owner ID verified by driver's license. ❑ Ves ❑ No eusiness and Professions Cotle for this reason: Venfication of Ownership by (rype oi daument, i.e. - property taa bilt or daed): DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Date: Ezpires: ❑ 1 hereby certify ihat no excavation five (5) or more feet in depih into which e person is required to descend, will be matle in connection with work authorizad by this permit, and iha� no building simcture, scaHolding, talsework, or demolition or tlismantling ihereof, will be more ihan ihitly-six (3fi) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifornia Atlministretive Code). ❑ As owner-bulltler, I will not employ anyone to do work which would require a permit from ihe Division of Indusirial Safery, es noted above, unless such person has e permit to do such work from ihe division. Signature: Date: Division ot Industnal Safery Permit Number: CER71FlCA7E OP COMPUANCE AND AU7HORVATION OF EMRV: I cehify under penalty of perjury that I have read this application and state Ihat the information given is correct. 1 egrae to compty with all state laws and city ortlinances rela�ing to Duilding construction, antl authorize representatives of the Ciry ot Costa Mesa �o en�er upon the above-described propedy for inspection purposes. 1 egree not to occupy or allow occupancy of any building authorized by this permit until finel inspedion. ' natn ure Oi Le� ��^ Antl/Or A z COpE 6 INSPECTIONflPE' ' ' ' ' 1616 Fixetl Sys�em Final Fire Prevention 1266 Pool Spa Finai 200 �Final Re-Roof � ' � ' 201 Final BIocWRetaining Wall 202 Final Factory Fire Place � 203 Final Sign � � 204 Final Demolition Q� �$ . , / —�� K� . . CODE� 'INSPECTONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final fire Prevention 220 Final Planning Ap'proval 222 Final�Site � � 250 Final Building/Occupancy �' W 3�� I L�(,/� `�� AOV��ant to fill in all ipaces except t�oze wit�in heavY Dortle� lines antl sign all approD/iate tlecla�ations. 0490 5/13/8a � 54a50 TL CITY OF COSTA,MESA CONSTRUCTION PERMIT�,w,��F �✓� PERMIT NO. a� � TRACT NO. LOT NO. UNIT NO. � Project Address 3i7i � 3�... �,- T �.9-Z, �J ?J 4' f � � AppliCant'SMailingAddreSs �'��130 (.St L'�py TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR Owner'S Name ��-^�N Q,/koK.rf �/ d. A Phone � ote � CONVERSION ❑ DEMOLISH ❑ OTHER , Zone ' DESCRIPTION OF WORK/USE OF BLDG. 7i'AL OFG P..� �c .(., F.(�/!n tE ' A.P. # Address .zS°' s fC 4-/� a•��*N�T i �7i ,ee S MainBuilding: AccessoryBuildin9: � E Z Arch/Eng. LicenseNo. TYPEOFPERMIT cRaoiNG FOVNDATIOrv STRUCTVaa� T Front O Addr¢ss . O TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contrecwr'sNamP Ss�.-Tn /9�'� �f-cFi�C jSt/!' PhoneS�V �7�� o7HeR A _ N PROJECT DESCRIPTION 5Q. FT. Z OCCUPA v C Right G AddresslmailinglPo..��oX'ISS� 4.Tq �M,`I'Z%o2 K � City LiCenSe No. �,�/^� �TiY OY CONSTRUCTION TVPE VA�UATION 5 '� S Left ZONE GRADINGCU.VOS. qCRES E LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Feq./Provided Q 1 hereby aHirm that I am licensetl untle� provislons of Charter 9(commencing Remarks: Pldnning NOt¢s: M with section ]000) ot Division 3 of Iho Bu5ine55 antl Professions Cotle, antl T my Ilcense i5 In full f rce antl ef(¢ct. � � S License Class �� _Licens No � � Date Z'% Signature �- PLUMBING ' FEES WORK a�SATION DECLARAT ON Bar Sink Showers ELECTRICAL FEES (_ I hereby affirm that I have a certiiica[e ol consent to self-insure or a certi/i<ate of Workers' Compensation Insurance, or a certified copy thareof (Section Backflow Preventer Servite Sink Automalic Washer Transformer ❑ 75-50 KW 3800, Lab. C.) - Policy No. 2-��^ b'�C� Company S:ni� f✓�O Backflowlrri ation . ❑ 50+KW ' 9 Sewer Cap Construction Pole Sub.� n Certifietl cooY is hereDy furnishetl. jy�' Ce�titietl copy is tiletl with tne city B��IdJi� g Divisio_n. / Bdthtub5 $¢w¢/ COnn¢ctiOn COOkin9 Uni[ M¢t¢� �Up LO 100 dmp5 Dai�1_(}� �'/� �5',[.� APPlicanl ��i EXEMPTION FROM WORKERS' COMPENS�TION DE �ARATION Clarifieri Solaf ColleCtors DiShwasher Meler pover 100amps (Thissection neetl not be completea if [no permit is tor one huntlretl (5100) or , less). Dishwasher Solar Piping � Dryers ❑Gas ❑Electric � Sub Panel I Cerli/y Ihal in the perto�mance o1 the work fOr which this�pe�m�t is Issuetl, I shall not employ any person in any manner so as ta become subject ro the Drinking Fountains Solar Tank Fan Motors �0-1 HP �1 %- 8 Worke�s' Compensation Laws of Calitomia. Date 5iqnature Floor Drains Swimmin9 Pool w/Spa F.A.U. Ina Solar 09-15 HP �16�15+ NOTICE: U, a(ter making this tleclaration, you shoWtl become subject to Ihe Worker5' Compensation O�ovisions of tM1e Ldbor Cotle, you must torthwith FIOOfSinkS Ufin21 FixLUfCS MiclOwdv¢ comply with sucM1 prOvision5 or thi5 pe�mil shall be tleemetl �evoketl. CONSTRUCTION LENDING AGENCV GaSService Outlet5 WatefClOset DeviCeBoxes 1 hereby affirm that there is a mnstruction lentling agency fo� tne performance POIE Light ot tno work tor which tnis p¢rmil is ISSuetl (Section 309] Clv. CJ l.enaers Name Interceptors Water Heater Outlets Range Lentler's AEaress Kitchen Sink Water Service Switches $ign ' - OWNER BUILOER DECLARATION I nereby atflrm that I.am exempt 1rom the ConVactor's License Law tor the Lavatories Auto�Wash Garbage Disposal Standing Sections tollowin9 reason (Sectfon 7031.5 Business antl ProfeSsional Cotle: Any city or county wnith requires a permit to construct, alter, imorove, tlemolish or repair P—Trap Laundry Troys Generaror �0�5 KW �5-75 KW Trash Compactor any 5[ructur¢, prior to i[s issuance, alm reqW�es the aDP�icant (or Sucn pe�mlt to file a si9netl staterilent that he/she is licensetl puRuant to the provisions ot Roof Drains the Contractor's LicenSe Law (Chapter 9(commencinq witn Section �000) of Division 3 of the Business and Professlons Cotle) or tnat he/she i5 exempt therefrom antl [he basis tor lhe alleqetl exemp[ion. Any violatlon of Sectlon � 7031.5 by any applicant for a permit subjects the applicant to a civil �enalty of nol more than five nuntlreE tlO11ar5 (E500). LJ I, as owner of ihe property or my employees witn wages as thair sole Reinspection Fee $15 Isue Fee g 3 compensation, wiu tlo tne work, antl tne structure is not intentletl or offerotl Reinspeetion Fee $15 Issue Fee $ 3 for sale (Section 7044, eusiness antl Profezsional Code: The Contractor's MECHANICAI FEES Lic¢nse Law CoeS not apply to an owne� ot a properry wh0 builtl5 or Improves tbereon, antl who tloes such work himseli/herseli or throu9h biz or M1er own DEVELOPMENT SERVICES REQUIREMENTS: employees, PrOvltletl that SUCh imOrov¢men[5 are nol intenCetl or o/faretl lor 8oile� HOOd O� Typ¢ I ❑ zale. If, nowever, the builtling or improvement is sold within one year ol com- Canopy TypC I I ❑ Zoning Approved By nate pletion, the owner will have the burtlen Of prOving he/She tlitl nOt builtl or im- DuCt - U�d¢� i�i�OUnd BUilding App�oved By Date prova Po� the Ourpose ot sale). n ❑ I, as owner oi the property, am exclusively caniracting wifh Iicensetl con- Duct -Struciural Refrigerati0n System Applitdtion IAued By �ate S�� r� � tractor5 f0 conStruCt the project (Section 7044, Buzin¢zs antl ProteT5ion5 Cotle: The ConVactor's License Law tloes not apply to an owner ot property who Duct - Ventilating ❑0�100,000 BTU ❑100,000 BTU SUMMARV OF FEES �� builtls or Improves thereon, antl who con[�acts for sucn o�ojects wltn a con- ` tractor(sl ucense pursuant to the Contraclor's License Law). I am aware enat Exhaust System ❑ MWtiple ❑ System Repair/Alteration BUILDING PERMIT �$ 7 Q'i� SMIP $ proot of their Worker's Compensatlon Insurance zhoum be provitletl to me. PLAN CHECK $ PERMIT ❑ I am exempt untler Seciion B. & P. 0. br this reason Firepl/Fatt. Blt. ICBO # Fire Dampers PLUMBING $ ISSUANCE $ Date owner Heating System & Ducting Registers pLqN CHECK 25% $ ENERG�' P.C. $ i nereby certiry that I nave r¢ad this aoo��<ation ana state t�at the aGove ❑0.100,000 BTU �100,OOOBT � ELECTRICAL $ G,F�4DING S inlormation Is mrrecL I agree to comply with all clty antl county ortlinances antl state laws relating to builtling constructlon, antl nereby authorize repre- P�P.N CHECK 50% $ MICROFILM S sentatives of [his city [o enter upon the above-mentionecf prop¢rty tor �-^ � inspettlon pur _ / MECHANICAL S TOTAL FEE $ T 5iqnature a� / Date�p�Ti7. �IY� Reinspeetion Fee $15 luue Fee $ 3 PLAN CHECK 25% $ Drivers' License or 5� —� CMF 0865�46, rev. 30/84 White - Bulltling; Canary � Applicant; Pink - Accountin9; Goltlenrotl - Assessor CONSTRUCTION AND PLANNING POOL'd SPA Date Inspector Date Inspector APPROVALS Permit # - APPROVALS Permit # 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 Gmd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ' ' 59. Gas Pipe, O Undrgrnd., 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 PLASTERING 18. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathin9 74. Overhead Hydro 26. T-Bar Ceiling (Structurap & 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 37. 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 . 3f. Final Factory Fireplace 38. Final Plumbing , 39. Water Service-Final . 40. Gas Service-Final . , � 41. Solar pomestic-Final 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. CERTIFICATE OF OCCUPANCY � � No. Date