HomeMy WebLinkAbout3132 COOLIDGE AVE - Building Permitswoness cs emwwc: .j 1 J L t.! �� �L 11W t H V uNT:
'NERSNAMEIFIWOWN: KiiO, i;EVli�i FLGuU: X 47
aoox�ss: KUU� GINA I� ki
3j 1L lVVL117Gt� AVE
iSIA MESA,CA 52626932-1510
m�. �utmc �nonEss:
AXCNRECT Ofl QN�NEEN:
JICX.OP ENG'S AUDflESS:
uc. NO.:
UNf:
ca+rx�crarsrur�: appj,EGATE RvuFI13G l7i�1i734-Si9I
CONfHACTOflSYY11N0 1� u 3 W S I X7ri 5 i
�ooxess: LVttVNA lA ucra.: 494bV8
5 1/ G V Uar:
UCENSED COHfRACTOAS UECLAPRTION: I hereby eRFm u�der penNy d pe�ury Net I em licenaed uMx pw'�aau d Cheqm 9
(mmmandiq xilh Section ]000) d Oiviaion � d Ihe Buainea end Pmleaeions COEe, eM my licenee u in /ull Iwce eM Mep.
cmuc.No.:V�l%LL uc.euss: �,—jy uc.No.: e}yybVtf t.XY: Vy%7.7
� o�, � I— 7— a 7 �o�,�a: �� ! l
OWNER BUILDEH �ECIARATION: I Mreby effirm u�Mer perWy d parjury iIW I em aumq ham iM Canrmas licema lew lor tln
IWbwip reavon (Sedion ]031 5 Busineae vM Pmiavaions Cale: R�ry ciry or counry whiM requiree e pe�mit to ooneVucY. eller, improve.
Eemd'eh, a repei any eWClun. p'v io ire owarce. ebo repuiree iM epplimM far wc� pazmil Io fib a sqrod eWemani Nel M a ehe
e lieensed W��t to IM provisions d iM Cantreaon Limnx law (Cheqm 9(eommmitlep wilh Sedion 1000) d Drveion 3 d iho
Businees end Profesabne Cade� ar thet M a ehe is e�emq �haehan end ihe beais iw ihe dleped uampton. My volmon of Setlian
)031.5 by anY eVd�t In e partnG eubpCs Iha epd�l lo e rnY pe'ally d iwl more Ihen t'He huMnd Edlen �5500�.
� I.esovmard�haprope,lYamYa^DM�*�hwep»avlMiadecompeneetion.wJlEolhewak.eMiMeWctuneiatmleMad
- pwamems me nd mteMee or aiena �a sen. n, noweror. me owpi�p a mpwemem a�ao wnnin maYw a mmqnm. me
ownar-0uiNar will heve iha EUMen d pmviip ha a ehe Ek iwt Wik a improva la iM WNae M eele�.
❑ L e. ownm d �ne noroM..m..tlu�wW comreeYw x'nn &w�.ed cmo-m�ae w cmmw me nq� Iseaun rou. au'uw. ene
Pmlesame Code: The Cameedm licenae Lew doee rwi epply w an oxner d popMy who build� a impwa O�aaon eM Ma
conirecie lor auM Orol� �h e canvedor�s) IkeneeE pureuent to ihe Conlredara lioenae lew).
� I em uemq uMer Sen✓ n: B. a P.c.. l« Ne �aeavn:
Data� O�nar:
i eo n«<nv oenM � i�* eware a e�d ��aen�ene me rea���<na a ce�aomm Heenn m,e smmr coee sea�vn uws, nsaa. end
25530, end Ilal I or eny hnure WiWinp arupent will / will nW (tlrcb orw) rieed to canply w�h eeid mele codac erd tM requiremeMe lar
epermnf«muvuetionamotlifwianhamlMAi-6ue yTi %ariepememDimria.Rmkmtialepweueionappiratimeuaetemqhom�Mee
poviaiom.
Deta: Applicenl:
WORKEH'S CONPFH9ATION DECL�fl�TION: I Mreby aM�m uMx penMy d perjury me d the IMowiip EeWreliom:
❑ � neve m,e wi� meiMv� e cannwe a owuem m.w:�n �« xorkere mmo�wion,.. wo�d.e �« M s.dia� aroo a me �ee«
Code. la ifw pe�loemerce d ihe v,ork:a whieh ihie peimu u iaued.
1"I i n� �,a �;e �md,.�,ona� oomaa+�vo� nre�,�..�.�a��e M sea� s�oo d me �.ee. coe., m, me v�,m.� d m.
rT work f« xhid� ihu parmil b asued. My waken' oomperaelian imurence'ar'rer erd pdiry number ere:
c�«: -Oi,LEN EAGLE EXPIRES
Pdiry Number: l� W t. G V //. U U U//,i �) /�J �
�inrs �aAn naee �wr ae �darae r �re ae�� ia ro, are nwnree ewmslsiool � wu.�
� I centy inel in tha pe�lortnenca d Iha wak tor whch ihie pemiil ia iawed. I shell iwl employ e�ry peiwn in eny menmr ao m �o
e«�m ad� m ina �• canoe�� m.. a cdnomm. .�e m� mm e i.naa n.�om. wqm io ma won�n�
companaeiian pmvisbm ol Setlion 310U d Iha Lebar Cada, I ehall fwMvriih mmp/f� wiM t/hwe /p�^'��'
Dem: I � � � � �i � Aodcem: __� �j / /
Wem/n0� Fellun ro�xuro worken'romperustlon roveraps l� un/ewNl, enJ Mell �ub/ecf en smploysr to cNMnl psneltlp en0
c/vll fllros up ro ons hunCretl tM1ouund tlo1Mn (5100,000/, /n �AEltlon N M� eoat o/ rompxuetbR rl+mep� u proHtlN M In
Sxtlon J1P6 0l Ihs Lebor COAr, /nbruL uitl ettomsy� /su
CONSTFUCTION LENDINO ADENCY: I Mreby elfi1m uMer panely d pmlwY �� �here u e conatiudion bMi'p epency M tM
�no�� d ma w«x i«.nwn m: vmm� o m�d (sec� aos�. cw. c).
LENOEN'S NAME:
LENUEN'S ADDHE34:
I<enity thet 1 heve eead i�is epplieelion eM sime thm the ebove inlamelion is eorred. I epree to eampy wnh ell dry eM counry adinemm�
eM ste�e leus mlatn8 �o buildiip conwueion eM hereby eNhor¢a repreeen�mivee of Ihu ciry io emm uqm iha ebwa�mantioned paperry
r« ��reea� a,rp�ae.
LAttitY lYUME
Pnnl Neme
�-�--1'I � / oma: � 1 — % � g �
5' ure d IApenVAppkranVCon�reqa
(5i5t-a6.WP) Whne-Build'vq85detY:OrearFle:Cenery-APP��t:Pink-Revenue:OONmio�Maes+ar
C3TY vr CGST�: i�LSy - i+uli,L�IidG i•Elir•t.I'C
PEkMIT iv0: b "v87b79 rLAN CHE�K iJG: N
PL•RM i40: R i��95t�7•.
l.iV�'I: N SUPY: IV
CGivSTHU�TIUN IYFE: v-N PERMII TYPE: Si'n YUttYVSt.: ttF.Y
JVti LGJI,t(lYlIVI`I : 1%Vtt R�.SriEATri W%USt1 l_VVF,tt 'W% I:VMY S�1 Y1: J,GUV
CiAIM tiAI,UE: 5,2"v"v.u"v I.ALI.—VALUt: J,20u.vu GRUIIP OCC: ft-3 i
CuMMEivTS: RESIliE'tvTIAL kEkuGFi SMuKE UEiECIOHS kEQ PEk 94 Ubi:
...... . . ........... ....... ... ............................... . .
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Z U iV I N G R E Q ii I k E Id E N i S
S n 7 n A C ri S
MAlIV HUlLL11Nl� — AlCt.55V1tY tS1.11LLliVG
____________ • __________ ________ __ _________
t'I(lVl ; t 1 IiV AEAk• Fr YN FnNi : FT SN x�.AR; r i SN
LfirT: Fi IN RGriT: Fi 3N LEY1; L'1 IN nGrii; FT IN
PtlnriING ttEQ: Yttl�V: YAt(C'.F.L: I�{1b�1JV LNt; 1[t.t IVV:�.� :
PLi�NNING iSOiES'�-
j. f.•�
.............. . ............... ...........
i2 iE i'r i'r iE ii ii'se ii iE ie ii iF ieiF iF iF s' �w �e x x x x ie ir �e �e x w� ie x w� ii ir x se �e se x ie i'r iF ii iE ie iE iE ii iE ie iE if ic ic iE iE iE iE i'r+<i<ii ve if ii ii� ii� it'Eie iE iF iE i'r ic iF ii ii� i'r
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i,tGALIZA7Iu1V;iV F E E s u t•3 M A rc Y S11tUl,lUk(AL SEGMENi:z
tSLLI.+ YMT YLUMt11Nl.� GLECTt(ll. MEi.:ri7�1VIC YlHt SMlY%Ytt.S GtCAlJ1Nl'�
YEttMIl ILL.L7 . �L
SMIFiNGN-nE5
PLAN
ISSUE FEE
bi7ILuING-LIV-> PEkMIT ISSUE rLAN-CriECri
TUiALS----� 112.i7 0."v0 u,G`v
hEvENUE uIVISIUN ZGZALS--� CUiLtCrEL:
bLLG rMi PiUMttING ELECinIC MECriANIC
IIL.L�
1VrI�L YI�111 llUt.
112.77 lii.77 .'vG
112.77 GvEki5HUk7: .v0
'rIRt SMiFiiUi Gi"tAiiiNG YLAIV-l.Atl:K
.�L
ie ic i' iE ic ic i� ii ie ie iE ii ie ic ie ic ie if ic ie ic ii ic i� iF i� if i� ic ii i� �k i� ic ii ii ii� if i4 ic ii� ii� ii iE ie ii iF ii ii� i� ic ic if i� ie i� ic ri� ic ic ie i� iE ii ii� i"v if i' iE iE ic ic ie ic ii� ii ii� ic ic
I N L I v I L u A L F E E n R E A ri u G W N
lYYh �,11Y L G S l' H 1 Y 1 1 V!V UTlll C:VST 1V1AL l_US1
JtR �LUU lttt(VV! BY vALOc. t(GJ1Lt1V11AL tVVLV1Vt 1,UV �,LVV.VV
E1VL UY YtES
SMOKE DETECTOR
REQUIRED
i�-a�-i99�iaz:ie vnisiiz.n
RCPTq:�I-8815196
P'ERI'I I T : 085674
`�ONSiRUCTION AND PLANNING POOL & SPA .
APPROVALS Permit # Date inspector APPROVALS Permit # Date InsPector �
1. Temporary Electrical Service or Poie 52. Pool & Equipment Location'
2. Soii Pipe-Undrgrnd. ' � 53. Steel Reinforcement �'� �
3. Electrical Conduit Utility-Undrgrnd. � � 54. Forms ' �� �
4. Electricai Conduit�Undrgmd. .. 55. Electrical Bonding ` �� �
5, Steei Re�nforcement _ 5G. Rough Plumbing & Pressure Test
6_ Electrical UFER Gind. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electricai ConduiFUndrgmd,
8. Foundation - . . � 59. Gas Pipe, O Undrgrnd., Test
9. Water PiDe�Und�gr�d. . . � 60. Backwash l.i�es; P-Trap, � Undrgrnd. '
70. Structural Fioor System 67. APPROVAL TO DECK
11. Propertv Sewer Line & House Connection 62. Backwash & Receptor-Final .
12. Sewer Cap � � , 63. Heater & Vent�Finai �
13. Roof Orains , , - gA. Ptumbi�ig System 'Final •
14. Rough Plumbing 65. Electrical-Final � �
15. Rough Electricat•Conduit � - 66. Solar Svstem-Ptnat �
76. Rough Electric Wiring . 67. Fencing & Access Approval � . �
17. Rough Wiring Sign 68. APPROVEQ POR P�ASTERING � �
18. Rough E�ectrical-T Bar Ceiling' 69. POOUSPASYSTEMS FINAL '� �
- 79.-Rough Heating & Air Conditioning ' FIRE-DEPT. REQUIREMENT
20. Rough Fac[ory FirBdlace ' �, ' - , ' APPROVALS � Permit # � �
i
21. Ducts, in Structure � �• �• - � 70, Urtdergr6uad Nydro '
1
22. Ducts, Ventilating � " � 77, Product Piping Cl Gas ❑ OII f
23. Gas Pipe-Rough & Tes[ • 72. Unde�ground Fiush �
24. Roof Framing � ' ` � ' 73. Undergmd.Sto�ageTank OGas ❑Oit
i
25. Roof Sheathing -. � /�/�� �� l_l ' 74. Ove�head HYdro . i
26. T�Bar Cel�ing (Structurai) & Monocoat t " -' ''" 75. Dry Chemical , �' .
27. Frame 3nd Flashing � , r �� 7fi. Dry Standpipe ' � ;
28. Lathing & Siding ' ' _ : . ' " 77� FIXED SYST�M-FINA� " �
29. Insulation . ' 78. FIRE PREV. F1fV�AL '- � �
30. Drywall Nailing - ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . . �� 79. FINAL INSPECTfON � '
� 32. Electrical Power Me,er�Finai � SQ? FOOD CERTIPICATE ISSUED � �
33. Final Electric � , �� � Notes: • .
34. Final Heating & Air Conditioning � '' - - "
35. Final Gas Pipe�Test . ' , . ,. , � _, � �
--I
36. Hood o� �anopy � � ' � - . (
37. Fina4 Factory Fireptace �
I
38. Final Piumbing . • � � � �
39. Water Service-Final ' ' ' ,
40. Gas Service-Final - , � - �
47. Soiar Oomestic-Finai ' :' ' .. .. " ,
42. Backfiow Preventer � , � . _ � �
�
43. BackfloW Irrigation ' ' : , ' �
44, Landscape Irrigation�System � � - . � � i
45. Sound A2tenuation' - '
46. Hardicap Regulations .
47. FfNAL STRUCTURE & BUIIDING //�iG� �� ,
7 �j
48. FINAL PLANNING � I
49. £{ectric Release to Edison � � � � � �
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date �
:'
�..r
NOTE� SHOW AND DIMENSION PROPOSED �,/-��"�
PATIO COVER AND YARD AREAS ��C
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Tc�mr go�cos sn
PLANNING DEP .
{1jp1ECT TO lLUG. DEP7 REO.
_�
� 6Y ... DA
� ne[Te! OF ►UNlIINO
�
� APPR i�'�D
` City of Costa Mesn BuilcJing Dept.
I
E '-Y ---- —1-I?P,TE��1�
{ THF,'i �'i.. >eyiA:jr�: H:F ni�: �'� l.7:J.� �i1.��� hL
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�STR�E:T-. �� �:��;:.:� ��.:: v, 4
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� � '�'. iti;�n[AY f. tCVJIi(li,fi :1•.`C ('.if:l:. i,t_t. � -: :::j
� r1AN5 ANJ S?BCii�ICA.?tCNS pH pkC:�n nrviL:F.NT!1
!i P,'_JING OPERA?I!);!g gE�:•!3 CAR:iC'. Ore vc'.v�_
�i7JiC�1F iZF i: l.I.JE OR OF ANl' �?T}.�r, pRDiN'ANCE
PLQT'E"PLAN
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ADDITIONS, DELETIOiJS, Oi3 CO �,`-r,TIONS SHALL
BE APPROVED B'( 7HE PLNtJi;ING llEFARTP,�ENT
S ON REVERSE SIDE
ROOF SNEATNIN�
_%_RAFTERS
AT� O.C.
_X—BEAM ��
T-STRqP E.f• y�
FOK Posr-BFp« �
L�NNEC TiON. � �
Q �
OPoP P,��D � 14
FCc�v.e2" �'.Q
<y
SLOPE TO ORAIN I
—�
1v ea.G.i. fNsw,�4
�,Er000 ftoo�
LoNST,QCicT/ON
SIDE ELEVATION
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PIERS 12�� SQ,-�
CONSTRUCTION DETAILS
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0� ROOF CONNECTION
DETAILS
CONT
LEDGER
CONT.
I.EDGER
SOLID BLOCK
1/2�� DIA. X 5� LAG SCR
AT 32�� O.C.
DETAIL I
CR 9 CL ��TFCO��
GRIPS OR JOIST
HANGER
3/6�� DIA. X 5��
ar �6" o.c.
DETAIL 2
G SCR.
10" OR. LIGHT WEIGHT ROOFS
ONLY CONNECTION DETAII.S
2��X FACIA-MIN.REO.
RAFTER
APPROVED METGL
HANGER
DETAIL 3
DsvErAPr�rr
sEavrc�s nr�ntrir�rrr
BUIId�1NG SI��El'Y DIVISION
• .!
� � �: �,. / <,. ...� , •„_.�
- - - ,
CONTRACTOR:
ADDRESS�
RAFTERS
CARPORT, PORCH OR PATIO
NOT SUPPORTING CEILING
SIZF. SPACING SPAN
2"x4" 12"O.C. 9'-6"
16" 8'-0"
24" 6'-6"
32" 6'-0"
48" 5'-0"
2"x6" 12" 16'-6"
16" 14'-6"
24" 12'-0"
32" 10'-6",
48�� 8�_���
2"x8" 24" 15'-6"
32" 13'-6" �
48" 11'-6"
4"x6" 24" 17'-0"
32" 15'-0"
36" 14'-0"
4"x8" 24" 21'-0"
32" 19'-0"
36" 18'-0"
48" 16'-0"
4"xL0" 32" 22'-0"
36" 21'-0"
/i8" 20'-0"
72" 17''0"
PATIO COVER
TYP. PLANS
DATE � _
PHONE �
LIC. N0.
PHONE�
RAFTERS APPROVED FOR
LIGHT WEIGHf ROOF COVER OF BUILDINC PERMIT
LATH, FIBERGLASS, ALUM. By Da[e
SIZE SPACING SPAN
2"x4" 16"O.C. 9'-6"
24" 8'-0"
32" 6'-6"
48" 5'-6"
2"x6" 16" 16'-6"
24" 14'-6" '
32"� 12'-0"
. 48„ .. - • lp' -0��
2"x8" 24" 19'-0"
' 32" 15'-6"
48" 13'-6"
HEADERS
LIGHT WEIGHT ROOF ONLY
SIZE : POST SPACING
4x4 6'-0"
4x6 • 9'-0"
4x8 12'-0" �
4x10 15'-0�
CARPORT, PORCH OR PATIb
SIZE POST SPACING_
4x4 5'-0"
4x6 8'-0"
4x8 10'-0"
4x10 12'-6"
GENERAI. NOTES:
1. These plans must be
kept on the job at
all time during
cons[ruction.
2. All framing [o be
Douglas Fir �,Z .
grade minimum.
3.. Raf[ers may no[
a[tach to facia ex-
cept for t04� roofs
as shown on detail�,
20�k roofs must use
a cantinuous ledger
attached as shown
on de[ails #1 6�i12.
4. Llght weight roofs
may attach to facia
for 14' span max.,
spans over 14' must
use a continuous
Ledger as shown in
details ii3
� �U�l9�C�l
�9927
COSTA MESA BUILDING-SAFETY DEPARTMEM
P. O. BOX Jl] COSTA M88A. CALIFOHNIA
For Applicani fo Fill In Complefely
TYPE OR PRINT
BUILDINO � � -
AODRESS / �
COSTA MESA, �CALIFORNIA
STATE
LIG. NC
SI2E
OF LOT
USE OF
�1 HEREBY ACK
AND STATH TN
PLY WITH ALL
BOILOINO CO!{
OP
s � E��N�EC 63UED
APPLICATION FOR PERMfT
F� �1N ��9L�'.
c� r�G�°�i�r�'i���l''r
R[<6iI� NO. P�g�
u iatn+�,�i
p[C[ry[DtY DA]LR[Qq�VHDx, DAT6
�� �/ ZONING
f�`� �7 ZON[ NO. O� Y8E O� N6W
B_1 �une 2 eu��cina W &tt
pee�R,„,,„ Lot 71 Tract 4536
w. P. No. none
l i NOTE� NOEAVEOVERHAN66HALLBELE98THAN
iFT O I R16HT �
DESCRIpT10N OF WORK
:c.�cay
WORK
9,
�J
YARDSAPPROVED
MAIN BUILDINO
VAR. �
I AUTHORIZED A6ENT . �I S
YARDSAPPROVED
AGGESSpRY BU I LDI NO
BET. MAIN
ACGESS.E
DATE
Bo. Fr.
7 �y a�
NT BXOWN UN�BR VALIIATION IB POq TH8
OP 88TABLISMINO F PEPMIT FE6 ONLY.
�/� PERMIT FEE $ ((J � �
/✓ A HE ���
/OJ'""� TOTALFEE $ /���J
.
Applicant to fill in a11 spaees exceD< <�ose witnin heavy Eortler lines antl sign aIl aoP�oOriate aeclaratlons.
�GTY'OF COSTA MEs� CONSTiuc I� PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NU.
� Q '1 Orf'lj r Q�i�i� !%I
Pi0lect Address 1 �i / O Cml «a�(sD.'1 C/� Q'
f
ApplicanYs Mailino AAdress !t / S1. P - �� n O_ (�'�
Owner'sName ��N KUO Phon<7!4)�
i Address �
� Arch/Eng. License Na.
Address
Contractor's Nam Phone
Address (ma�i��g�
City License No.
LICENSED CONTRACTOR DECLARATION
1 hereby affirm thaf I am licenzetl untler provisions of Charter 9(commencin9
with 5ection ]000) of Division 3 of the Business antl ProteSsionS Cotle, antl
my license is in tull lorce antl elfect.
License Class License No.
�ate Si9nature �
WORKERS' COMPENSATION DECLARATION �
1 nereby atfirm that I have a certificate of consent to selt-insure or a certlflcate
of Worker5' Compensation Insurance, or a certifietl copy thereof (Section
3800, Lab. C.) �
Policy No. Company
Certifietl copy i5 hereby furnishetl.
Certitietl capy is (iletl with Ihe city Builtling Division.
Da[e Appli<ant
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl not be completetl if the permit Is tor one huntlratl ($300) or
less).
1 certify that in the performance ot the wo�k fo� wM1ich tnis Oe�m�t is issuetl, I
Shall not employ any pe�son in any manner so a�ie-beC'vme�uplect to the
Wo�ke�s'Somoensatlon l.aw5 0( Calitosnid/% � /
NOTICE: It, after making thi5 tleclara[i you sh b¢ subject f0 thB
Wo�ke�s' Compensation provisions o e Labo� tle, must fo�thwith
comply with such p�ovisions o� is Oe�mit shall be tleemeG revoketl.
CONSTRUCTION LENDING AGENCV
1 b¢reCy affivm that there is a wnstruGtion lentling a9ency for the pertormanCO
of the work for 'which this permit I5 issuetl ($ec[ion 3097 Civ. GJ
Lentler's Name ��
Lentler'S AEtlre55
OWNE0. BUIL�ER �ECLARATION
I hereby affirm tha[ I am exempt from tM1e Gontractor's License Law for the
following reason (Section ]031.5 Business antl Professional Cotle: Any city or
county which requires a p¢rmit to construCt, alt¢r, improva, tlemoli5h Or repal�
any structure, prior to�its Issuance, also requires tne applicant for sucn permit
to file a signetl sta[emenl that he/she I5 licensetl pursuant to the pvovi5ions ot
the Contractor's License Law (Cnapter 9(commencin9 w��n Section ]000) of
Division 3 of the Business antl Professions Cotle) or tM1at be/she iz exemp[
therefrom antl the basis for the alle9etl exemptlon. Any violation of $actlon
�031.5 by any applicant for a permit subjects [he applicant lo a civil
penalty of no[ more than five huntlrea tlollars (5500).
'❑ I, as owner of the proper[y or my employees with wages as tboir sole
compensa[ion, will tlo IhC wo�k, antl the structure i5 not in[Cntletl o� offeretl
tor sale (Section 7044, Bu5ine55 an❑ Professional Cotle: The Contractor's
LicenSe Law tloes not apply to an owner of a property who builtls o� improves
thereon, antl who tloes such work himseli/herself or throu9h his or hor own
employees, provitletl tM1at such improvements are nol Intentletl or offere0 fo�
zale. It, however, tne bWldin9 or improvement Is soltl within one year of com-
pletion, the owner will have the burtlen of provin9 ne/she tlitl not builtl or im-
prove tor the purpose of sale).
❑ I, as owner o( the properry, am ezcluslvely coniracting wiih Iicensetl con-
tractorsto con5truc[ tM1e projec[ (Section 7044, Business antl Profe55ion5 COtle:
The Contractor's License Law tloez not apply lo an owner ot property who
builtls o� improves tM1ereon, antl who contracts /or such projects with a con-
tractor(5I htense pursuant to tM1e Con[racto�'S Llcense Law). I am awa�e that
proof o( [heir Worker's Compensatlon insurance shoultl be provitletl to mo.
❑ I am exempt unaer Section , B. & P. C. for this reason
Date ���L�� Owner
I hereby certity thal I M1ave rea�
information is correcL I aaree to�
' �rive�s' LiceRfk
6
CMF OB65�46, rev. 1
ite tbat [ne above
county ortlinances
ry authorize reprc-
.nee orooertv to�
TYPE OF CONSTRUCTION LI NEW U ADD LI ALTE ATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH 0 OTHER T� ��r/er
DESCRIPTION OF WORK/USE OF BLDG.
TVPE OF PERMIT LJ GRADING L'J FOVNDATION LJ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 5�. FT. OCCuaa cv—
CONSTRUCTION TVPE VALVATION S��,.3�I i
ZONE GRADINGCU.VDS. ACRES_
Remarks:
3ack(low Preventer
3ackflow Irrigation
3athtubs
�larifiers
�ishwasher
7rinking Fountains
Roor Drains
Floor Sinks
3asService O11t12t5
Intercepfors
Kitchen Sink
Lavatories
P—Trap
Roof Orains
Reinspaction Fee $15
Boiler
Duct-UnderGround
Duct - Sttuctural
Duct - Ventilating
Exhaust Systein ❑ Multiple
Firepl/Fact. Blc ICBO #
Heating System & Ducting
❑ a i oo,000 aTu O i oo,000
Reinspectian Fee
White - BUlltling: Canary - AppliGan[; Pink - ACcounting; Goltl¢nrOtl - ASSe55or
$15
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimmi� ool w/SUa�
Water Closet
Water Heacer
Water Service
Auto-Wash
Laundry Trays
Issue Fea
$ 3
iANICAL FEES
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
❑o�i oo,000 eru�O i oa,000 aTu
/
System pair/Alteration
re Dampers
Registers
Issue Fae $ 3
A.P. iW L
S Main B�
E
T Front
B Rear
A
C Right
K Le(t
S
Ping. Ref. #
Aummatic Washer
Consvuc[ion Pole$u6.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Eleciric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switch¢5
/
Garbage Disposal
Generaror �0-51' ❑5�15
Parking Req./Provided
2�
ELECTRICAL
� Transformer
Meter LJi
Meter ❑i
Sub Panel
Motors ❑
Inc Solav
Pole Light
Ran9e
Zone
FEES
❑ 1550KW
❑ 50+KW
m 100 amps /
�.r 100 amps
I ❑1%�B
9-75 HP �16-15+
Standing Sections
Trash Compacror
Fee �$15 � � Issue Fee
$ 3
2
O
N
I
N
G
R
E
Q
M
T
S
DEVELOPMENTSERVICESRE�UIREM TS:
Zoning Approved By Date � �/ ��
8uilding Approved By __r1�Date '�-�_�o �
SUMMAR OFFEES
BUILDING PERMIT $ 6. �% SMIP
PLAN CHECK $ ��•77- PERMIT
PLUMBING g ISSUANCE
P�AN CHECK 25% $ ENERGV P.C.
ELECTRICAL � GRADING
PLANCHECK 50% $ MICROFILM
MECHANICAL $ TOTAL FEE
PLAN CHECK 25% $
$ � j�
.CONSTRUCTION AND PIANNING
APPROVALS Permit # �
1. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. �
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings _
8. Foundation ��
9. Water Pipe-Undrgrnd.
10. Structural Floor System
11. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains
14. Rough Plumbing
15. Rough Electrical-Conduit
16. Rough Electric Wiring
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
� 19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiting (Structurell & Monocoat
7� 27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
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
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
Date
Date
7
Inspector
6�
POOL & SPA
APPROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement �
54. Forms
55. Electrical Bonding �4
56. Rough Plumbing & Pressure T,est
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK �
62. Backwash & Receptor-Final '
63. Heater & Vent-Final '
64. Plumbing System - Final ., . .
65. Electrical-Final
66. Solar SYstem-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit#
Date � Inspector
.'
70. Underground Hydro
71. Product Piping OGas ❑Oil
72. Underground Flush
73. Undergrnd.StorageTankOGas ❑Oil
74. Overhead Hydro
75. Dry Cfiemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
0
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