HomeMy WebLinkAbout2257 PACIFIC AVE - Building Permits/ �BEGIbNALOFFICE APPLICATIO`N FOF�PLUMBING PERMIT � • . 'rnnifvo�F�ce Q
COUNTV OF ORANGE 6UILDING AND $AFETV
260�52GuTTYDRIVE //p MAILINGAD�RESS 400C�VICCENTENDRIVEWEST
�GUNA NIGUEL, CALIF,_ 92677 �J� � P,O. BOX 4048 SANTA ANA, CALIFORNIA 92]01
714.831.2610 � 3��� 1Y !/ �ANTA ANA. CALIFORNIA 92�02 714.894.2646 �
V F� Viw�I /
AUDRESS J�1J � ��G(.C�.�l,
T°`"" Cos�-a Mpsa
OR AREA
NEAREST �jLSvcy
CROSSSTREET I
OWNER S T/2D J�'�S�`7'�—
PROPOSED CD/V I� O S UI
USE
TER CLOSET (TORET)
TH TUB
SHOWERSTALL
LAVATOfiV IWASH BASIN)
KITCHEN SINKD GARBAGE DISPOSA
LAUNDRV TRAV�AUTO.WASH.MACI
�ISHWASHER
5[FVICESINK
FLOOR SINK
FLOOR DRAIN
URINAL
DRINKING FOUNTAIN
SAND TaAP O ��`1TEflCEPTOF ❑
SWIMMING POOL FILI'ER
WATEF MEATER
WATERSOFTENER
LAWNSPRINKLERS flES.00OMM.❑
TRAILER HOOK-VP
AUTO.FIHESPR.SYSTEM
MAIN DRAIN
I10USE SLWER (V/1�UATION)
SEP7'ICTANK �
SEEPAGE PITISI
LEl�Ch11NG FIELD
PERMITISSUANCG
�pv� �a��AY19'78
��,��J �' ? o ?
CASHIER DM'E
�
TOTALFEE I5
33 5, 007
PERMI'I' NU.
TqACT �f��Io LOT NO
CONTRACTOF�DIIA CI �G.}%I1cSV%'�
ADOR[SS3�,0 �/J4/�].G10/IOKY
CITV �)Qj,�//�Q}�/,J�(,� NOL6J
���T7
QfR. VOHcy NOJN�Y-//'- �' Eap.Oa[e�
"I Certily Nat Ne following $mm Contr, li<. No.
antl Classifiwtion is in full force antl eHect".
�"1 Hereby Cer[i(y I am oaempt from Sec. ]071.5 of the Busi-
ness & Profezsional Cotle, Div.3, Chan.9. Convactors' License
Law untler tM1e following section:
Owner5ecJ044 I 1; Minor Work Under 5100-SxJ048 ( 1;
or employee working tor Wogos Oniv - Sec. ]053 1 1;
Oiner
�"I Cenify [he� in [M10 pertarmance at [he work for whic� �his
permi[ is issuetl, I shall not employ any person in any manner
so as ro become subjec[ to the WOrkmen'S Compansetion
l.aws af Calilornia".
"1 Hereby ecknowletlpo antl s�am t�nt the information I havo
provitletl is Cct untl nqree to c mply wi1M1 all Coun�y Ortli�
wnces an � em Law�.iopylf�jn � Itling cons�tryru`�[ion".
SignuWre Y'v�
i APPFOVALS
I GROUNO WORK�SOIL f�l
, GROVNO WOHK WIT �
� WATEflPIPEO GASP C
FOUGH PLUMBING
' GAS PIPING TO
� WATEH HEATEfi f
� $EPTIC TANK 4
SEEPAGE PI'f
�SEWEN
�
GAS TEST
SPqINKLER SYS7"EM
FINAL
7 00 UTILITV CO NOTIFI
HEC'D dY
� 0�
VALIDATIQNO + 3
i
OWNERPLAN
CHECKED BV:
pQ� 1 -�99A0#
�
P[RMI"fFEE CODE PLAN CH[CK TOTAL
LOTS NOS: THRU
BUILDING PERMIT NO:
PLUMBING INSPECTION RECORD
ISSUED FOR LOT NO:
TRACT NO:
i
PLUMBING PERMIT NO:_
LOT I GR.SOIL IDATEI GR.WATER �DATE� TOPOUT �DATE� SEWER IDATE� GASTEST IDATE� FINAL
0
�
�
DA�'E
i
,
..
COUNTV OF ORANGE ", �•'"'� �� /// ��/�,
ENVIRONMENTAL MANqGEMENT AGENCY - REGUTATION DIV�SfON ��Il ��� i
HUIIDWG AND SAFETV BfiANCH{j � L G�/�! ��
PPLICATIOfV FOR GRADIiVC PEFdMIi � ��• ,
D CSVIC CENTER DRIVE WEST, SANTA ANA. CALIFORNIA 92701 PHONE: 8342626
�tl dppqE55 ' . ARE4 �
L? % �GICi FIG ,Lt�lE. C�r� �ES� 20NE:
_GAL UES IPTION (OR nTT>CHI TRACT BLOCK LOTS� . yI , -/
9$%3 Tent. ) 1 PqOPO5E0 USE: „ U/✓ I T
. l0 UVE T.NO.ZONING M V L
t l c��_ i. 7�I , f3C> �'%4 �,,iA �� C"�c�v l� n n, �ni i c� vw
--Unrecorded tract
�.
REMARKS: `See $CC
nemo dated Oct.
BOND
AMOUNT § �
� w.... n �...
�
1
«., o. o.�.,. �
� U LETTER OF CflEDIT IEapimion Eate� 1
NUM6ER OF CUBIC VAROS TYPE OF PEHMIT EREBY AC� OWLEDGE THAT 1 HAVE READ THIS APPLICATION
CUT: 7 AND TATE THA THE INFORMATION I HAVE PROVIDEO IS COR- �
❑ PRELIMINARY RECT D AGPE�O COMPLV WITH ALL COUNTY ORDINANCES
� AAL FILL: Qy NO BVILOING PEHMITS AN�STA ELAWSRE� LATINGBWLDINGCONSTFUCTION.
TO BE ISSUEO UNTIL THIS CONSEN IS HEREB�GIVEN TO THE COUNTV OF ORANGE. ITS
dORFOW FILL: AEPqE1CI5E GRAD NG PERM�T CORRECTI ��AtTIONOAS TLi�E DtIRECTOR OF IBUILDINGA& SAFEOTV
FEE VAR�AGE�� PRECISE ❑• OFSUCHCOU
BUILDING PERMITS � AM AWA
VALUATION OF PROTECTIVE CLOSER OF L
MAV BE ISSUED I�FTER
DEVICES AND IMPROVEMENTS ROUGH GFiADING HAS BEEN
$ � � �� � APPROVED $IGNATURE _
GRADINC- FEES
PLAN CHECK: TH�$
TOT�� P.C. A`PE
., � A�PI
S
� �� APPIICATION APF
TOTAL PERMIT
FINaL APPROVEO
iEMS NECE�55
tNAN NO. CONCERNING THE OIS-
OW Efi OR eU ORIZED AGENT
M WHEN QPERIV O.p.LIDATED IS
TO DO TH ORK DESrRIBED FOR
) OF 1 V R FROM� ATE OF
ROv DAT '�,�
^ DATE 7�
IMPROVEMENTS: S �' U �
I� L1/q OOND RELEASLD �� ATE
GRApING $ q g ��'V
Z FEF3 2'78 320,925 VALIDA'E�Q� 9 20050� �
THIS PERMIT SUPERCEOES FRELIMINARY GRADING PERMIT NO. HAVING FEE VARDAGE IN THE AMO�NT OF
VD? ACCORDINGLV, THE FEES FOR THIS PERMIT WILL BE % OF THE ORIGINAL FEES. \
- � .. ;:
. .; � . . -
DATE
i
REMARKS
I , C �
�
INSPE�
�
I
C f �a %L
�
�
INSPECTOR
A ' -
�-_
TNIS APPLICATION WHEN PROPERLV VALIDATED. IS A PERMIT
TO DO TME WORK DESCRIBED.
t � _ RPPLI
flEGIONFI OFFlCE
Y6p52 GEiiY ORrvE
LAGUNP NIGUElf�9P 936i] �
]I.f-8]t-P610
ADDRE55 Cj�l' /J �-��t�i
COUNiV NE
CATiON FOR ELECTRICAL PERMIT.,. ",.�
COUNTY OF ORANGE CEHranl OFFlG=_
�00 CIVIC CEN iEF OFIVE l'/EST
.VVIRONMENTALMANAGEMENTAGENCY poBoeaoa0
, . . REGULATION SnrvTn nr:n. Gn 92�02
� iii -83�j526
AREA CROS$ $T w( ��
OWNER �J G] -'C
PROPOSE /�� �O 4! d, PRESEN �_
USE %'Q?(/.�^.+ � USE
PER UNII
Singlo or Mulli- ami w g. (Arca in
�New � ^nl Sp.11% OCJ I I'.Csq.11
Garages, Resitl2nlial �Area �n '.0 sV� ��
(New or pubeele�l) ;0. 112.�0 V )
Relocaled DwelLng (lry addition l0 5�
Pre-Lowenng inspecoon K Iees shOwn abOve)
Above Fees Cove� All BecUial Ins�allalions Within Ni
or Reloca�ed Oweuings E.cepi RaDiam Heating. Doe
incluae Service
Ratlian� CeiM1ng �No. ai
Heaf Roorrq � Per Room
Fi.tures � - ��
AtlQiliOnal
OuOels � - Z�
tiec�nca� n00��ances or
Factory-wned,sell-canlaine0 units (No �
Timc CIocA �No. 1
Me1dI VaOo� POIe MOun�
Fvlure5 1N0. 1 Atldl Fulu�C!
SOi��al $pwOment '� HOm
Inspec�ian (No MOun) t HOur
Underground Raceway
Residenial Serv¢e � or 2 a.50•
Me�ee - Untlerg�ouna Wo 1 3 or more a.50�
Gommeraal Servme Me�ers
Undergmuntl (No. �
Wor4.-wnn Sermce ResiGential
Commercial
Gonslruclian or Mclere0 OOIe
Permanent POIC. AQa 1 pOles on
Petles�al or P�ggy BaU (No 1 same Scrv¢C
OItRr 45t qenCratOrS, mdt0 . Itdnp�OrmCp.
ero 8 give rdhng in MP, KW Oe NVA
� �'y� TRnCT LOT t
�b� GONTRnCTORc,la • LU'w�SM— 7
noonEss 3�U L��d 0 i CtG ��0�'�l
��,� � iY P No 6�' —��3 s
no�
5 � 25 i
25rta �
tt ea I
25cu �
i2en �
2.00 en �
LYS ca �
�
L25 ea �
15 ca I
600 �
12.00 �
2W �
300m �
SOOca �
5.� l'd �
�
1000 1
IS00 �
500 �
900ca �
�x� i
Boiltlmq Permil Insurance 3.00
Permit
Number TOTAL PEFMIT FEE
Vcrihed p�qN CHECN FEE
ey � �
4 +iir, 15'7A 3a0; 056
�rM�,
_ .,. r �
CERTIFIGATE FOR REGULnTION PERMIT
Conbactom
I cerbly Ina� ��e lollowinq Conlr. L¢ No a�d
CWssil¢mion �s in lul� io¢e and elfect
1'lorMman'S ComOensabon Insurance Cetlilmate on lile venhetl by
En0^auon da�e.
Other R006eants
I M1ereby Cerl�ly 1 am ¢aempl Irom Sec. ]091.5 of ine Bus�ness anC Prolessional
Codo. Drv. 3. Cbap. 9, Coniracbr s L¢ense Law under Ihe lolbwing secuon
� OwnCt (Sect ]Oa41. oi
� Minor WorF untler 5�00 �snct ]048�, or
� Employco wa�xing for waycs only �sec� ]059. o�
� OiMER.
CerbbwUon ot E�empi�on bom Seci 9BOD ol tne Cuhlomia La�or CoOe.
An¢ic 3. Consimcbon Peimn
� Tno yermi� is io� One NunUred DoiWrs (5�00� or less.
� ICCI�1Iy�hd11f1�110VC1101T➢11CCOIIM1OwOl4IO�wM1IC11(M1COQ�m�1�5155uC0
I Slldll OOI COIpIOy 0ny pClSOn rt120y mdnnC150 d5100ttOmC SUb�CC� 10
Ibe WoikmCnS COmpensation laws o� Calilornia
11. B��C� mdAing SUCM1 CCIIiliC01i0� IIIC dppllCOn1 10� Ih4 pCllnil SM1OUIO b2COTC
su0let� b tM1c lVO�Fm¢n s Compenselion pwvrsions ol I�e LdbO� Gode. t�e dpplr
eanl zna11 tqlnwrtn comply mN the o�ovwwrs al $eq ]100ar tnrs o�m�l snallGe
ticemeu revo4N
�y ac nowleOge an �te I�a� Ibe mfoema:ion I M1ave provided iz werecl
yoin on ine • n na re cerlJ¢ale and ageee to tomply w��� �il'Coonty
O ainancus a i gulnhng �wl0inq conSU��ry �
�. - � Date ��
�AO �¢ams Si w�ore� Permil No
APPLICATION APPqOVEO �Y
MEiEFS LIGM
nND
SERviCES
I APPROVAL$
I UNDERCFOUND
IHWGM WIRING
I FI%iUFES
�00 SEFVICE
�� f'� wORrc-wiiH RELEnSE
�CJ FINALPPPROVPI
I
I UiILITYNOiIFlED
VALIOATION
8.00 + 2
FC 8 jiFG � VOLT � PHpSE �
'JM1IRECORD
DATE INSP SIGNAiURE
� � L��'i,i�I . , l
l
R ,(10 #
� �eTd .
cNecK rora� `
ELECTRICAL IIJSPECTION RECORD
LOT NOS. THRU
BUILDING PERMIT N0. ISSUED FOR LOT NO. _
LOT UNDERGROUND ROUGH WIRING
SPAC. - SER V. - CI RC.
INSPR.SIGN. DATE
PVC - METAL D.B.C.
INSPR. SIGN. DATE
TAACT N0.
ELECTFiICAL PERMIT N0. _�_ I
FIXTURES �ONDING
INSPR. SIGN. DATE
Y