HomeMy WebLinkAbout1100 SOUTH COAST DR - Building Permits.Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
ESA
J PERMIT
Applicant's Mailing Address 2�7d'`��'-✓ "'L
Owner's Name MC 1`a//✓ 09a Phone 6(O
Address1TZi t{ COZPi?-2q. jet• f'lY Z J'W/aJ AlAk7
Arch/Eng. License No.
Address
Contractor's Name '�� �c�E //V16644'hgfKhone •11?
Address (mailing) /�°Y2 ROSE dvo
\\ 0 5U 20 G 30• £r
`D City License No.
LICENSED CONTRACTOR DECLARATION
\I hereby affirm that I am licensed under provisions Of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my Incense Is in full forte andyf
License Class YX License No.
Date 2 /G If%ignature
\ r KERS' COMPENSATION DECLARATION
fby affirm that 1 have a certificate of consent to self insure or a certificate
o, Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.)
POI1cY Nc�0� -%?52/ComPanY •S'/gl2il�✓rrJ
�Certi gyopyAs yedcertified copy Is owithrthehcity BuI Slaw
Data / Y'
Applicant
EXEMPTION FROM WORKERS' COMPENSATION DECLAR
(This sectlon need not be completed if the permit Is for one nun red
($100) or
leis).
I certify that in the performance of the work for which this permit Is Issued I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation. Laws of California.
Date Signature
NOTICE: If,iafter making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is Issued (Section 3097 Clv. C.)
Lender's Name -
affirm that I am exempt from the Contractor's License Law for the
7031.5 by any applicant for a permit Subjects the applicant to a civil
malty of not more than five hundred dollars ($500).
1, as owner of the property or my employees with wages as their sole
compensation will do the work, and the structure is not Intended or offered
for sale (Section 7044, Business and Professional Code:, The. Contractor's
License Law does not apply to an owner of a property who builds or Improves
thereon, and who does such work himself/herself or through his or her own
employyees, provided that such Improvements are not In tend ad or 0ffe retl for
sale. 1}, however, the bun to ng or Improvement Is solo within one year 0
1 cohn
plat 1 on, the owner will have the b. rd of proving he/she tlltl not build or Im-
t
rove for the purpose of Sale). ] I, as the
of the property, am exclusively contracting with Il'anSao .0n-
tractorsto construct the project (Section 7044, Bus l nest antl Professions Coda:
The Contractor's Llcen se Law does not apply to an owner of property who I
bullds or Improves thereon, antl who contracts for such Projects with a con-
tractor(s) license pursuant to the Contractor's License Law).
❑ 1 am exempt under Section B. & P. C. for this reason
Date iOwner
Wherebyy certify that I have -read this application and state that the above
ormat Ion Is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre-
sentatives of t city to enter upon the above -men roperty for
Inspection
-4224' 2/14/84
8a.oa TJ,
TYPE OF CONSTRUCTION LJ NEW LJ ADD
LJ ALTERATION LJ REPAIR
Backflow Preventer
Backflow Irrigation
❑-CONVERSION 1-1DEMOLI ❑
Bathtubs
Sewer Connection
H OTHFT�
Solar Collectors
A.P. # Zone
DESCRIPTION OF WORK
K
Drinking Fountains
Solar Tank
Floor Drains
Swimming Pool w/Spa
�
S
Main Building: Accessory Building:
Water Closet
Interceptors
E
Kitchen Sink
TYPE OF PERMIT LJ GRADING LJ FOUNDATION
0 STRUCTURAL
T
Front '
❑ TENANT ELECTRICAL ElPLUMBING
ElMECHANICAL
B
OF FEES
SMIP
PERMIT
ISSUANCE
ENERGY P.C.
GRADING.
MICROFILM
TOTAL FEE
❑ OTHER `
'
'
'
bileo
A
Rear
PROJECT DESCRIPTION SO. FT.
OCCUPANCY
C
K
Right
CONSTRUCTION TYPE VALUATION $
S
Left
ZONE GRADING CU.YDS.
ACRES
Ping. Ref. # Park.Fees $
Remarks:
Parking Req./Provided
Use of Building:
PLUMBING
FEES
Planning Notes:
Bar Sink
Showers
Backflow Preventer
Backflow Irrigation
Service Sink
Sewer Cap
Bathtubs
Sewer Connection
Clarifiers
Solar Collectors
Dishwasher
Solar Piping
Drinking Fountains
Solar Tank
Floor Drains
Swimming Pool w/Spa
Floor Sinks
Urinal .
Gas Service Outlets
Water Closet
Interceptors
Water. Heater
Kitchen Sink
Water Service
Lavatories
Roof Drains
Reinspection Fee
Boiler'
Duct - Under Ground
S25
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Bit. IC80+
Heating System & Ducting
110-100,000;BTU 11100,000BT
Signature Date 7 •Vr
Drivers' License or SS :
FF
Reinspection Fee
CMF 0865-46 rev. 12/ - Applicant: Pink - Accounting; Goldenrod - Assessor
S25
Issue Fee
Hood or Type 1 ❑
Canopy Type II ❑
❑0.100,000BTU ❑100,000
System Repair/Alteration
Issue Fee
Automatic Washer
Construction Pole Sub..
Cooking Unit
Dishwasher
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50 + KW
Meter ❑up to 100 amps
Meter ❑over 100 amps
Sub Panel
Fan
Motors ❑0-1 HP ❑I%.8
F.A.U.
Inc.Solar 09-15 HP 016-15+
Fixtures
: Microwave
Device Boxes
Pole Light
Outlets
Range
Switches
Sign
Garbage Disposal
Standing Sections
Generator 00-5 KW ❑5-15 KW
Trash Compactor
FEES
Z
O
N
1
N
G
R
E
Q
U
R
LC
Y
$ 3
Reinspection Fee
S25 1
Issue Fee
$ 3
FEES
PUBLIC SERVICES REQUIREMENTS:
• Zoning Approved By
Building Approved By
Application Issued By
1
I
Date
Date
Dat
ITU
BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK
ELECTRICAL
PLAN CHECK
MECHANICAL
PLAN CHECK
SUMMARY
$
$
$
25% $
$
50% •$ '
$
25% $
OF FEES
SMIP
PERMIT
ISSUANCE
ENERGY P.C.
GRADING.
MICROFILM
TOTAL FEE
$
'$
$
$
$
$
'
'
'
bileo
$ 3
STRUCTION'ANDPLANNING
PP.ROVALS Permit# 'G110�iS Date v
Inspector
POC SPA
APPROVALS 'Permit #
.:Date'
o:
Inspector
1.. Temporary Electrical Service or Pole
52. Pool & Equipment Location
• 2:' it Pipe-Undrgrnd.
53. Steel Reinforcement {
rical Conduit Uti lily-Undrgrnd.
•-
54. Forms'' - -
i -s-
.,4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding"
5. Steel Reinforcement
-
56. Rough Plumbing & Pressure Test
-�
6: Electrical OF ER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings -• c r
o f
58. Electrical Conduit-Undrgrnd.
8. Foundation -
�•�
59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd.
F
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
.
1
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 & Accesf Approval:. -
-•- i -
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING '
-
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT:
APPROVALS Permit #
-
-r
-
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
-
22. Ducts, Ventilating
71. Product Piping O Gas O Oil
23. Gas Pipe -Rough & Test72.
Underground Flush
'.
24. Roof Framing
73. Undergrnd. Storage Tank ❑ Gas :0oil -
25. Roof Sheathing
74. Overhead Hydro -
.26. T -Bat Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
28. Lathing &Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREY. FINAL
30. Drywall Nailing
'HEALTH DEPT. REQUIREMENT i
31. Plaster`Brown Coat I.
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
-
39. Water Service -Final
40. Gas Service -Final
-
41. Solar Domestic -Final
- - - -- - '
42. Backflow Preventer
I -
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special,Requirements Completed
• -
'
i
49. Electric Release to Edison
- - - --"
50. Gas Release to Southern California Gas Co
i
r
'51. CERTIFICATE OF OCCUPANCY
No. Date
- - --- >
- --
Applicant to fill In
.� _
7�OF COSTA MESA �'--' •
- -
all spaces except those within heavy border lines and sign all appropriate declarations.
' vt- 9G.NO.
P MIT N0. TR JO.
LOT NO.
BLD
CONSTRUCwON PERMIT
— p
.
•
Dishwasher Meter ❑over 100 amps
Project Address
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
1
Applicant's Maili Address . iC�
❑ CONVERSION ❑ OEM LIS OTHER
A P 0 �
F.A.U. r, y!pc. Solar 09-15 HIS .36-15+
Owner's Name
1n1 p� -hone
ESC RIPTION F WORK l n Y
$
Main Builds
Device Boxes Pole Light, c; '
�-----iiVVll=��''
_ ^
Address s.( �
µ
T
Front
TVPE O'PERMIT GRADING OUNDATION STRUCTURAL
Arch/Eng. License No.
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
8
Generator 110.5 KW'❑5-15 KW Trash Compactor,.
$ 3
❑ OTHER
A
Rear
Address ��
Contractor's Nam ne >
PROJECT DESCRIPTION SO. FT. OCCUPANCY
C
Right
Address (mailing) (�L �'
CONSTRUCTION TVPE VALUATION$ Sa
$
Left
City License No.
ZONE GRADINGCU.YDS. ACRES
Pin Ref.+
9�
LICENSED CONTRACTOR DECLARATION
Remarks:
Parking Req./Pr
1 hereby affirm that I am licensed under provisions of Charter 9 (commencing
-
1
with section 7000) of Division 3 o the Business and Professions Code, and
Use of Building:
)1n1
my license is in ful orc d•effect f�
25
liter CI ss cense No. • �
PLUMBING FEES
Planning Notes:
Date Signatur _
WORKERS' COMPENSATION DECLARATION Bar Sink
`ereby affirm that I have a certificate of corse t self -Insure or a certificate Backflow Preventer
Workers' Compensation Insurance, or a cert ad copy thereof (Section
�\
100, Lab. C.) Backflow Irrigation
Policy No. Co a y
rti1 ed coy is hereby furnished. Bathtubs
led with the cit di
io
Date Applicant v Clarifiers
(ThiSsectlon need not be completea IT ine permit IS tWn
less). r.OrtO nunar6a (SiUU) or
certify that in the performance of the work for which this permit is issued I
shallnot employ any person In any manner so as to become subject to tNe
Workers' Compensation Laws of California.
Date Signature
NOTICE: If,iafter' making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply with Such provisions„ or this permit shall be deemed revoked..
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the performance
of the work for which this, permit is issued (Section 3097 Civ. CJ_
Lender's Name _
Lender's Address 1
OWNER BUILDER DECLARATION "
1 hereby affirm that I am exempt from the Contractor's License Law for the
also requires the applicant to
in is licensed oursuant to the
:?Jvlsion J of the, Business ane vroressions cone) or That ne/sne is exempt
g.f;vefrom and the basis for the alleged exemption. Any viola ton of Section
by any applicant for a' permit subjects the applicant to a civil
nalty of not more than five hundred dollars ($500).
1, as owner of the'property or'nty employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered
for Sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or Improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such Improvements are not Intended or offered for
sale. If, however, the building or Improvement is sold within one year.of com-
pletion, the owner will have the burden of proving he/she did not build or Im-
LJrove for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed con- '
tractors to construct the project(Section 7044, Business and Professions Code: -
The Contractor's License Law does not apply to an owner of property who '
builds or Improves thereon, and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law).
❑ 1 am exempt under Section B. & P. C. for this reason
Date i i Owner
Dishwasher
Drinking Foui
Floor Drains
Floor Sinks
Gas Service'
Interceptors'.
Kitchen Sink
Roof Drains
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Outlets ' Water Closet
Water Heater
Water Service
I I Reinspection Fee I 'I S25
Boiler
Duct - Under,Ground '
Duct -Structural '
Duct -Ventilating
Exhaust System ❑ Multiple ❑
F irepl/Fact. Bit. I CBO +
Heating System & Ducting
00.100,000 BTU ❑ 100,000 BTi
sentaUve h s ter upon ine aoove-mentlonea property Tor
inspectlon purpose
�
Pink - Accounting; Goldenrod - Assessor
$25
Issue Fee ._
1ANICAL
Hood or Type I ' ❑
Canopy Type 11 ❑
Refrigeration System
❑0.100,000 BTU ❑1C
System Repair/Alteratit
Date _
Issue Fee
6116 3/15/64
Zone
Accessory Building:
Park.Fees $
17.00 TL
" Z
O
N
1
N
G
R
E
O
U
R
E
E
i
T
S
ELECTRICAL FEES
Automatic Washer Transformer ❑ 15-50 KW
_ Construction Pole Sub. ❑50+KIN.
'
Cooking Unit ' Meter ❑up to 100 amps
•
Dishwasher Meter ❑over 100 amps
Dryers ❑Gas ❑Electric Sub Panel
Fan - --' Motors ❑0-1HP Ell %-8
-
F.A.U. r, y!pc. Solar 09-15 HIS .36-15+
Fixtures Microwave '
'
Device Boxes Pole Light, c; '
Outlets Range
Switches Sign
Garbage Disposal Stancing Sections
•
Generator 110.5 KW'❑5-15 KW Trash Compactor,.
$ 3
Reinspection Fee 1 $25 Issue Fee Ii$ 3
_
FEES
. PUBLIC SERVICES REQUIREMENT:
Zoning Approved By 5� �I�N Date
Building Approved By r Date �
APplication,lss ud By
000 BTU
SUMMARY OF FEES iy '
BUILDING PERMIT $ ��%'�� SMIP $ _ Sp
+�
PLAN CHECK l$PERMIT '
Iib PLUMBING '$ ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
CTRICAL .$ GRADING $
PLAN CHECK 50% $ MICROFILM $
MECHt1NICAL $ TOTALFEE$
PLAN CHECK 25% $ _
,Om a
-
$ 3
i
CONSTRUCTION AND PLANNING
Date
• APPROVALS Permit#
;. -
Inspector
-
' " ; _- POOL. A:--.
`- ,
.APPROVALS._ Permit#
J
Date "
Inspector,.
it 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-GUNITE6
'• ,
7. Footings
58. Electrical Conduit-Undrgrnd..
8. Foundation `-
59. Gas Pipe, El Yncrgrnd:, Test
'
9. Water Pipe-Undrgrnd.
60. Backwash, Lines, -P -Trap, 0 Undrgrnd.'-
- -
10. Structural Floor System
61. APPROVAL- TO.
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 Bar Ceiling
'
69. POOL/SPA SYSTEMS,F,INAL
-
19. Rough Heating & Air Conditioning
FIRE DEPT -REQUIREMENT.
,
APPROVALS Permit#
20. Rough Factory Fireplace
2 )ucts, in Structure
170.' Underground Hydro
,
2 ucts, Ventilating
71. Product Piping ❑Gas`,OOil
P;
. Gas Pipe -Rough &Test -
72.' Underground Flush,
24. Roof Framing
73. Undergrnd. Storage Tank'O Gas '❑ Oil ,
I,
25. Roof Sheathing
74. Overfiead Hydro -
26. T -Bar Ceiling (Structural) & Monocodt
75. Dry Chemical - - •U
' r
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 I:, .�-
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
," i
L
35. Final Gas Pipe -Test
- - -
36. Hood or Canopy
37. Final Factory Fireplace
-
38. Final Plumbing
-'
-
39. Water Service -Final
40.. Gas Service -Final
, I
41. Solar Domestic -Final
- -
- - -- - - -
42. Backflow Preven'ter
43. Backflow Irrigation
44. Landscape Irrigation System
_
I - Incomplete Inspections
45. Sound Attenuation
!
_
46. Handicap Regulations
-1
47. FINAL STRUCTURE & BUILDING
,
48. Special Requirements Completed
49. Electric Release to Edison
-i
50. Gas Release to Southern California Gas Co
I
I 1 I i i - ' '
51. CERTIFICATE OF OCCUPANCY
No - Date
- --
-I T
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
COSTAMESA CQNSZRUCTI0NPERM1T
AppTant's Mailing Address A
Owner's Name
Address
Arch/Eng. - License No.
Address
Contractor's Name
Address (mailing) 0
City License No.
LICENSED CONTRACTOR DECLARATION
Thereby affirm that I am licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of th usmass at Professions Code, and
my license is in fulArce,rgd effect. A SOL2 rw
Date0' /� Signatu
WO RKFJi S' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent o set insure or a certificate
Workers' Com n tion Insurance, or a cert ( tl pY thereo (Section
�+, 00, Lab. C.1- �(/]5a�}
-i'olicy No. I Company t
00ee OTied cop Is hereby furnished.
Cert ifie o y f th the city Bu'
Dae Applicant
EXEMPTIO FRO W RKERS' COMPENSATION LARATION
(Thissection need not be completed if the permit is f one hundred ($100) or -
less).
I certify that in the performance Of the work for which this permit I$ issued, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of California.
Data Signature
NOTICE: If, after making this declaration, you should become subject to the
Workers' Compensation provisions of the Labor Code, you must forthwith
comply ,with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's'. Name
Lender's Address- - -
OWNER BUILDER DECLARAT10N '
I hereby affirm that I am exempt from the Contractor's License Law for the
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct, alter, improve, demolish or repair
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of
Division 3. of the Business and Professions Code) or that he/she is exempt
'herefrom and the basis for the alleged exemption. Any violation of Section
'031.5 by any applicant for a permit subjects the applicant to a civil
Znalty of not more than five hundred dollars ($500).
LJ 1, as owner of the property or my employees with wages as their sole
•compensation, will do the work, and the structure is not intended or offeretl
for sale (Section -7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself-or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement Is sold within one year of com-
pletion, the owner will have the burden of proving he/she did not build or im-
rov0 for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed can.
tractors to construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con.
tractor(s) Ilcense pursuant to the Contractor's License Law). Iam aware that
proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B. & P. C. for this reason
Date Owner
certify that I have read this application and state that the above
in is correct. I gree to' omply with all city and county ordinances
laws relatin builtli construction, and hereby authorize repre-
9 Y
of thicity o me upon the above-mentioned pro pe�r{ty�jfo/r/
our Pgs j �
Drivers' L eo-SS'
f
CMF 0865-46, rev. 4/84
poor Lrtams -
O, -
Reinspection Fee =
$15 Issue Fee $ 3
- y
6190 6/13/84
TYPE OF CONSTRUCTION NEW LJ ADD U ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
A.P.
Zone
EMain
Building:
-
Accessory Building:'
TYPE OF PERMIT
❑TENANT ❑ E
OTHER
GRADING- ❑ FOUNDATION ❑ STRUCTURAL
C�TRICAL El PLUMBING El MECHANICAL
T
Front
10
B
A
Rear
-
C
Right
Reinspection Fee
��
PROJECT DESCRIPTION SO. FT. OCCUPANCY—K'
CON STRUCTION TYPE VALUATION $S
ZONE GRADING CU. YDS. ACRE
Leff
ping. Ref. #
Parking, Ran./Provided
Remarks: -
Planning Notes:
PLUMBING FEES
Bar Sink
Showers
ELECTRICAL
Backflow Preventer
Service Sink
Automatic Washer.
Construction Pole Sub.
Transformer- ❑ 15-50 KIN
El 50+KW -
Backflow Irrigation Sewer Cap
Bathtubs
Sewer Connection
Cooking Unit
Meter ❑up to 100,amps
Clarifiers
Solar Collectors
Dishwasher
Meter ❑over 100 amps
Dishwasher
Solar Piping
Dryers ❑Gas ❑Electric
Sub Panel
Drinking Fountains
Solar Tank
Fan
Motors 00-1 HP ❑1'/:- 8 '
Floor Drains
Swimming Pool w/Spa,
F.A.U.
Inc. Solar El 9-15 HP 016-15+
Floor Sinks '
Urinal
Fixtures
Microwave _
Gas Service
Outlets Water Closet
Device Boxes
Pole Light
Interceptors
Water Heater -- i
Outlets
Range
Kitchen Sink
Water Service - -
Switches
Sign
Lavatories
Garbage Disposal
Steniling Sections
P -Trap
_ _
Generator 00-5 KW 05-15 KW
- Trash Compactor
poor Lrtams -
O, -
Reinspection Fee =
$15 Issue Fee $ 3
- y
Reinspection Fee $15 Issue Fee;
-- - MECHANICAL FEES
DEVELOPMENT SERVICES
Zoning Approved By -A,2IREMENTS: -'
Building Approved Byj�+�-`^� [
Application Issued By [
Boiler Hood or Type ❑ -
Canopy Type 11 ❑
Duct - Under Ground
Duct - Structural Refrigeration System
.100,0_00BTU ❑160,000BTUDuct-Ventilating
s SUMMARY OF FEES
BUILDING PERMIT $ -3A SMTP
PLAN CHECK $ CPZ ` () a— PERMIT
PLUMBING $ ISSUANCE
PLAN CHECK 25% $ ENERGY P.C.
GRADING
- LECTR ICAL $ MICROFILM
PLAN CHECK 50% $
MECHANICALS $ TOTALFEE
PIAN CHECK 25% $
Exhaust System ❑ Multiple ❑, System Repair/Alteration D-
Firepl/Fact. Bit. ICBG # QC
10
Heating System & Ducting
E10-100,000 BTU ❑ 100,000 BT
Oate _ -- - SI
Reinspection Fee
$15 .t Issue Fee $ 3
Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
64,,02 TL
Z
O
N
1
N
G
R
E
0
M
T
S.
FEES
CONSTRUCTION ANO PLANNING:�
AN41O VA LS Permit# Date
-
Inspector
POOL ._. SPA
APPROVALS Permit #
Date
Inspector
1. emporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. -
53. Steel Reinforcement
3"'Elecr cal Conduit Utility-Undrgrnd.
/�
54. Forms
•I '
4. ,Electrical Conduit-Undrgrnd.
-
55. Electrical Bonding ..
-
5; )Steel Reinforcement "� r - -
56. Rough Plumbing & Pressure Test
6.,%E16 ctrical UFER Grnd!' -
57. APPROVAL TO COVER-GUNITE
7cjbotings
C�,
58. Electrical Conduit-Undrgrnd.
.'
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrn4.
i
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10✓Structural Floor System
61. APPROVAL TO DECK
11,. Property Sewer Line& House Connection
62. Backwash & Receptor -Final
12JSewer 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 Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit#
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22.:Ducts, Ventilating
71. Product Piping 0Gas 0Oil
23.'Gas Pipe -Rough &Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank El Gas 0Oil
25. Roof 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
L
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: c
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 Domestic=Final
42. Backflow Preventer
RED }
43. Backflow Irrigation
Incomplete
44. Landscape Irrigation System
IInspections
7 7 '
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