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Home My WebLink About1101 SOUTH COAST DR - Building Permits!' _ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT - PER -MIT NO. - ' - TRACT NO. I LOT NO. I UNIT NO. CITY OF COSTA MESA CONSTRUCTION , Projecl.Address //O/ SCYJTH ccmv- not AT)�illtant's Mailing Address _ `_/ G'f7(1 /.> PLA2A�sv n(ji6(h Owner's Name M, LAyN L7Ef/EP LlJ. Phone M42 -i IW Address SAMt Arch/Eng. _ _License No. Address Contractor's Name AA, L IeI nEV,5 v,O Phone E46 -/A(17 Address(maili ng) -4 C�_-VA N1A2A , IVA , CQ '2 U6 City .License No. - 1 88 7.-,5 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 license is in fu ll force and effect. 07.73�i 75 Ll Cense Class "—I 1 icen5e Date /—fy-'4s Signature WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to selfansure or a certificate f Workers' Compensation Insurance, or a certified Copy thereof (Section 800, Lab. C.) policy nio.CrAoC',E21E-7/17_A Company &F{e('01'I e� ❑ Certified copy is hereby furnished. �i Certified copy -is filed with the city B�ullq l ng Division. Date 1 -j4 -M Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section -need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date 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 ' 1 hereby affirm that there is a construction lending agency for the performance of the work fors which this permit is issued (Section 3097 Civ. C.) Lender's. Name Lender's Address - OWNER BUILDER DECLARATION I hereby affirm -that 1 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 \erefrom and the basis for the alleged exemption. Any violation of Section 131.5 by. any applicantfor, a permit subjects the applicant to a Civil 6nalty of not more than five hundred dollars ($500). - - 1, as owner of the properly 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 -dues 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- prove for the purpose of sale). - ❑ I, 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- tractor(s) license pursuant'to the Contractor's License Law). I am aware that proof o their Worker's Compensation insurance should be provided to me. ❑ l am exempt under Section B. & P. C. for this reason ' Date Owner I hereby certify that I have read this application and state that the above information 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 this city to enter upon the above-mentioned Propert for inspection purpose d S' t !� - Accounting; Goldenrod - Assessor PLUMBING Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water.Service Auto -Wash Laundry Trays. Issue Fee MECHANICAL Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System 00-100,000 BTU 0100,000 System Repair/Alteration Fire Dampers Registers Issue Fee 5631 '1/1,5/85 3900 TL Zone Accessory Building: Z O N I N G R Park ing'Req./Provided I E 0 M S ELECTRICAL FEES Automatic Washer - Transformer ❑ 15-50 KW - Construction Pole Sub. ❑50+KW - Jr Cooking Unit ,Meter ❑up to 100 amps Dishwasher I.Meter Dover 100 amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors (10-1 HP Ell 'A-8 F.A.U. Inc.Solar ❑9-15 HP 016-15a Fixtures .Microwave -. ' Device Boxes Pole Light Outlets Range ' Switches Sign Garbage Disposal - ; Standing Sections Generator 1:10:5 KW ❑5-15 KW Trash Compactor I $ 3 Reinspection Fee $15 Issue Fee $ 3' FEES '- DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Data Application Issued By =IDat I 8 - 3TU I SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ �•00 GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ 9�1.On PLAN CHECK 25% $ ' — $ 3 %- CPNSTRUCTION AND PLANNING - APPROVALS - Permit # Date Inspector POC .SPA APPROVALS Permit # Date Inspector tit Temporary Electrical Service or Pole r5CjZ452. Pool & Equipment Location's 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 LIFER Grnd. 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, 0 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 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 00il 23: Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 000 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 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: 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 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 Go 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address 171 Applicant's Mailing Address; Owner's Name - L<Z-4-W D,) -v f hone 4gi:j� Addresses p=�^,z a AC Arch/Eng. l�.Qc,L�oNP�/ LicenwNo.-/3838 Address 411 _A_= 9 AME2�_ l�i-- lee"'—I Contractor's NamedkNA6ZEdQ4Q'Vj&r rJ.Phone s Address (mailing)/2LE`�/�� City License No. rl LICENSED CONTRACTOR DECLARATION , C, 1 hereby affirm that 1' am licensed under provisions of Charter 9 (commencing }l with section 7000) of Division 3 of the Business and Profg� q;,XgCo , and my license is in fulll.{orce aJtl effect. f M Ucense Class C _;&;1 Licens o. j Date V.ti 4—Q4 Signature M WORKERS' COMPENSATION DECLA ATIO ereby affirm that I have a certificate of consent to self -Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 0800, Lab. C.) Policy No.� Q%rT� Company �+r' Certified copy Is hereby furnished. Cert i fi __0P1y Is flletl with the city Bulltling Dlvl Slon. ate n—lye iAppil ththeant9i31:I�i1=t1.8�9��A(C, EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed If the permit IS for one hundred ($100) or less). - I IAlfy 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 tyle Workers' Compensation Laws of California. Date Signature NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must.forthwlth 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 Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the followina reason (Section 7031.5 Business and Professional Code: Any city or rom and the basis for the alleged exemption. Any violation of Section 5 by any applicant for a permit subjects the applicant to a civil y of not more than five hundred dollars ($500). as owner of the property or my employees with wages as their sole snsatlon, will do the work, and the structure Is not Intended or offered Ile (Section 7044, Business and Professional Code: The Contractor's w Law does not apply to an owner of a property who builds or Improves In, and who does such work himself/herself or through his or her own �yees, provided that such Improvements are not Intended or offered for /, however, the building or Improvement Is sold within one Year of com- n, the owner will have the burden of proving he/she did not build or Im- for the purpose of sale). as owner of the property, am exclusively contracting with licensed con- rsto construct the project(Section 7044, Business and Professions Code: -ontractor's License Law does not apply to an owner of properly who or Improves thereon, and who contracts for such projects with a con- r(s) license pursuant to the Contractor's License Lawl: m exempt under Section B. & P. C. for this reason Date Owner ihereby certify that I' have read this applicatlon-and state that the above .formal lon 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 this city to enter upon the above-mentioned Property for Inspection purposes. ` 51 nature Dale 2�l ,IY- //S7 TYPE OF CONSTRUCTION ❑ CONVERSION ❑ DEMOLI TYPE OF PERMIT IJ GRADING ❑ TENANTS ❑ ELECTRICAL "D OTHER - PROJECT DESCRIPTION SO. FT._ ADD LIALTERATION LJ REPAIR J FOUNDATION L°7 STRUCTURAL PLUMBING- ❑ MECHANICAL I CONSTRUCTION TYPE VALUATIONS ZONE GRADINGCU.YDS. AC Remarks: , Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors ' Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee 1 $25 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Water Closet Water Heater Water Service 4422 2/15/84 34.32 TL Issue Fee 1 $ 3 Boiler Hood or Type 1 ❑ Duct - Under Ground Canopy Type 11 ❑ ' Duct - Structural Refrigeration System Duct - Ventilating - 00-100,000 BTU 0100,000 BTU Exhaust System ❑ Multiple ❑ System RepailEAXe13t' Firepl/fact. Bit. ICBO # 1000mplete. Ins Heating System & Ducting I i 00-100,000 BTU❑100,000BT ilo g I I Reinspection Fee ,I $25 Drivers"Licen or SS '* CMF 0865-46 rev. 12/83 White - - Accounting; Goldenrod - Assessor ' Issue Fee $ 3 ELECTRICAL F Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100 amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors ❑0-1HIP ❑1%-8 " F.A.U. Inc. Solar 09-15 HP ❑�16-15+ Fixtures Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal Standing Sections - Generator 00-5 KW ❑5-15 KW Trash Compactor 1 Reinspection Fee I $25 1 Issue Fee /°( 1 $ 3 PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued By Data SUMMARY OF FEES - BUILDING PERMIT $ 20.5_0 SMIP $ 0 SO PLAN CHECK .$ ' / 3, .S'2 PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL ;$ GRADING $ PLAN CHECK 50% $ MICROFILM ' IS ��•.�Z MECHANICAL • $ TOTALFEE '$ PLAN CHECK 25% $ - - , AND.PLANNING • ,POOL PA .•-- .� _ „";CONSTRUCTION - - - Date -APPROVALS - Permit _ -, Inspector .. t APPROVALS Permit .Rate" Inspector " Temporary Electrical Service orPole.; 52. Pool & Equipment Location - • 2. Soil Pipe-Undrgrnd. •� 'rl - ' ' 53. Steel Reinforcement Electrical Conduit UtilitylUndrgrnd. 54. Forms - •" - •r� `. 4.'&ctrica) Conduit-Undrgrnd. 55. Electrical Bonding _ �{ _ 5. SteelsReinforcementl-,; �, 56. Rough Plumbing & Pressure Test 6. ElectriaIUFER�Grnd4' 57. APPROVAL TO COVE R-GUNITE --- .Y . • A 7. Fiiotings •' �,�+'` L17,8� z_ 58. Electrical Conduit-Undrgrnd. y; , 8. Fo' undaiion _ ;_- 59. Gas Pipe, D Undrgrnd., Test ' 9. Water Pipedlndrgr d, ,. 60. Backwash Lines, P-Trap, D Undrgrnd. t n" 10. S ructdr!NFlooglSystem ' ` 61. APPROVAL TO DECK 11. Property Sewer Line &,House Connection - 62. Backwash & Receptor-Final_ 12. Sewed Up •�%.,'� s 63. Heater & Vent-Final - �" 13. Roof.�Drains � ^% .� 64. Plumbing System -Final 7' 14. Rough 'Plumbing 65. Electrical-Final 15. Rough Electrical=Conduit - 66.- Solar System-Final - T .i6. Rough Electric Wiring , - 67. Fencing &Access Approval - - --" - - 17: Rough Wiring Sign" 68. APPROVED FOR PLASTERING r 18: Rough Ele'ctrical-T Bar Ceiling 69. POO L/SPA SYSTEMS F I NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , APPROVALS Permit # Fireplace „20.-Rough-Factory 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,:Ve',ntilating 71. Product Piping O Gas D Oil 23. i3as Pipe-Rough & Test _� '. 72. Underground Flush ; 24. roof Framing ,- 73. Undergrnd. Storage Tank 0 Gas D Oil �4' 2E 'oof Sheathing 74. Overhead Hydro ' .; f-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - :. 27. Frame,and Flashing ; ,.28..Lathing 76. Dry Standpipe ._ ,; • �� ' & Siding .- ,l 77. FIXED SYSTEM FINAL ' 29. Insulation 78. FIRE PREV. FINAL, i .: 30. Drywall Nailing HEALTH DEPT. REQUIREMENT' I _ 31. Plaste;l3rown Coat .- 79. FINAL INSPECTION 1 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 I ., 38. Final Plumbing ,-- 39. Water Service=Final ' 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventers 43. Backflow Irrigation + I - 44..Landscape Irrigation System 45. Sound Attenuation E X P I R E D 46. Hind icap,Regulations -, I ncgrnp e 47. FINAL STRUCTURE & BUIL'DING' Sig • - - 48. Special Requirements Completed 49. Electric Release to Edison •- - "" - - i 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. �- Date f O j 0 �-✓/• Q" r) U�t,,� Applicant to fill In all spaces except those within hlavy border lines and sign all appropriate declarations. ' ,` - 0 CI•i.YPF CIA MESA SO Vit (jWS1-NC%v'1 PERMIT NO. TRACT NO. LOT NO. - BLDG. NO.- CONSTRUCTIONPERMIT ilr'( 2059I/fl9/84 35fi.02 % Project Address =� 1./ - TYPE OF CONSTRUCTION. NEW ADO- ALTERATION REPAIR ' Applicant's Mailing Address. /e '� ❑ CONVERSION -0 DEMOLISH ❑ OTHER A.P. 46 - �b ' - Zone //�� Owner's Name%✓ Phonelr!YO /. i,°�D _ DES RI TION OF' ORK 12. aLL 1/Wi<}Ki�s /✓N F7- O�- &j;t �/. Ar,! S - _ _ Main Building: 9: Acceuor Building: v g: Z 72 i . /. G Tm v o . _!r<!£y .I Address '4 TYPE OF PERMIT GRADING OUNDATIoN 'STRUCTURAL _ T Front - N Arch/Eng. License No. - ❑ TENANT ❑ ELEC RICAL ❑ PLUMBING ❑ MECHANICAL - t7Rear r ❑OTHER /tic z4i � A - N to Address, _ _ Contractor's Nam r 1 Phone � .2 PROJECT DESCRIPTION SO. FT. igd OCCUPANCY _�� K Right - - G _ q Address9rneiIin9) •� 7 tp JAL AAL ;- L / 17a - CONSTRUCTION TYPE VALUATION $ -3 ].�.- X017 S Left - E 1 City License No. ' a D�i'am "" ZONE GRADING CU.YOS. ACRES Ping. Ref. # Park. Fees $ ' Q _ U \ LICENSED CONTRACTOR DECLARATION 1� Remarks: - Parking Req./Provided _ - I hereby affirm that I am licensed under provisions of Charter 9 (commencing _ R with section ]000) of Division 3 of the Business and Professions Code, and ' ' Use of Building: - E my license is in full force and effect. .. /•�03s�"' PLUMBING Planning Notes: �Q- M License Class License No. , _ FEES E , Date Signature. - Bar Sink , Showers - I N V 10RKERS' COMPENSATION DECLARATION T reby affirm that I have a certificate of consent to self-Insure or a certificate Backflow Preventer , Service Sink ) - ' S Workers' Compensation Insurance, or a'certified. copy thereof (Section - _ _ 3800, lab. C.) .= , Backflow Irrigation Sewer Cap ELECTRICAL FEES Pott No. Company - - , Certified copy is hereby furnished. •� Bathtubs Sewer Connection Automatic Washer Transformer ❑ 15-50 KW Certified copy is filed with the city Building Division. - - - , I ❑ 50,+ KW I 1 Date Applicant Clarifiers 1 , Solar Collectors Construction PDIe Sub. _ .EXEMPTION FROM WORKERS' COMPENSATION:DECLARATION -- - -- (This section need not be completed if the permit is _for one hundred (E300) or -- Dishwasher - i Solar Piping 1 " - l Cooking Unit -' 9 ,P 'Meter'❑u to 100,am s-' P ss). lecarless}. I I }'that in the Performance of the work for',whto this permit is issued, I Drinking Fountains11 9 Solar Tank Dishwasher • 'Meter ❑over 100 amps s shall not employ any person in any manner soles to become subject to the Workers' Compensation Laws of Californla.) I !� Floor Drains, j Swimming P601 W/Spa I Dryers ❑Gas' ❑Electric t Sub Panel 1 Date Signature NOTICE: If, after making this declaration, you should become subject to the s FIOor Sinks - - - - _ Urinal - - -- --' - "- - Fan ' I. `'F,A.U. .Motors.❑0.1 HP ❑1 %x- 8 -Workers' Compensation -provisions of the 'Labor Code, you must forthwith'- s or-this. shall be'deemed revoked. - " - - _ comply with' uch. provisions permit Gar Service Outlets -Water Closet - ✓ - Inc. Solar 09.15 HP❑16-15+ CONSTRUCTION' LENDING. AGENCY. - - I hereby affirm that there Is a construction lending agency for the performance I Interceptors I Water Heater I L Fixtures I 1 iv Microwave c- of the 'work for which this permit .Is • Issued dSecHon -3097 Civ. C.). - - - Lender's Name,- '_ Kitchen Sink - Water,Service • . i Device Boxes . ' Pole Light Lender's Address OWNER BUILDER DECLARATION - Lavatories - K Outlets Range' I hereby affirm .that I am exempt from The,Contractor's License Law for the iBusiness P-Trap, following reason (Section 7031.5 and Professional' Code: Any city or Switches Sign - •,t �; " county which requires a permit to construct, alter Improve; demolish or repair to Its. issuance, for - .- - ;any structure, prior ,anyalso requlres lite applicant such permit file that he/she is licensed to Roof.Drains, _ - Garbage, Disco set Standing Sections,,,, �_ •i' ' a'signed statement pursuant the provisions of a Contractor's License Law (Chapter 9 (commencing with Section'7000) of si on, 3 of lha. us i ness antl Professions Code), or that he/she is exempt 1 Generator ❑0.5 KW ❑5.15 KW ' 'Trash Compactor C • - `refrom and the basis for the alleged exemption. Any,violation of. Section .,31.5 by, any applicant for., a permit subjects 'the 'applicant to a civil enalty of not more than five hundred dollars.($500). Reins etioh-Fee Pe $25 Issue Fee`__ $ 3 ' 1, as owner of the property or 'my employees with wages as their sole Reinspection Fee '$25 Issue Fee! '� t` $' 3 compensation, will do the work, and the "Structure is not Intended or offered - -' - _ MECHANICAL FEES _ 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 Boiler Hood Or T ❑ Type l 'PUBLIC SERVICES REQUIREMENTS: i L thereon, and 'who does such work himself/herself or through his or her own improvements 1 Canopy Type II ❑ Zoning Approved By gate ' % 9 _e employees, provided that such are not intended or offered for sale. If, however, the building or Improvement is sold within one year of com- Duct -Under Ground - ' Application ApprO ��u'I /� fl8tel� o l —g� pletlon, the owner will have the burden of proving he/she did not build or Im- drove for the purpose of sale). Duct - Structural - Refrigeration System - - Application Issued By . - Date— LJ I. as owner of the property, am exclusively contracting with licensed con- tractors to construct the Project (Section 7044, Business and Professions Code: Duct - Ventilating} ❑0-I OO,000 BTU ❑ iDO,000 BTU SUMMARY OF FEES 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- Exhaust Ust System ❑ MUI [iple ❑ System Repair% Iteration BUILDING PERMIT. $ ' SD -SMIP $ tractor(s) license Pursuant to the Contractor's License Law). ❑ PLAN CHECK' $ /yO C PERMIT . 1 am exempt under Section S. & P. C. for this reason Firepl/Fact. BIL ICBO 516P I R te, $1 - ISSUANCE $ In tIOnS'PLUMBING - /, Date owner, Heating System & Ducting IIII romIEt6 PLAN CHECK $ ENERGY P.C. $ 1 hereby certify that I have read this application and state that the above -Information ❑4100,000 BTU100,000 BT ELECTRICAL i GRADING $ is correct. I agree to comply with all city and county ordinances - $' and state laws relating to building co tructlon„antl hereby authorize repre- •PLAN CHECK - $ MICROFILM $ sentatives of this y, a r, u the above-mentioned properly for - Inspection pur” pate'— - „ 3^' pZ, Signature Dates: y Cy MECHANICAL $ TOTAL FEE $ '� - Reinspection Fee $25 Issue Fee $ 3 PLAN CH CK $ Drivers' License or - Applicant; Pink -'Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # -•' -Date •..• Inspector -= .•-'?O( SPA - APPROVALS Permit# Date Inspector 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 - 1.41 'Ady- 6..Electrical LIFER Grnd" - -. 56. Rough Plumbing & Pressure Test ' 57. APPROVAL TO COVER-GUNITE 7., Footings 3.2 $ B ," 1 .58. Electrical Conduit-Undrgrnd. 8: Foundation59.'-Gas - r Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrntl S 60. -Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL.TO DECK - 11. Property Sewer Lirie & House Connection 62. Backwash & Receptor -Final • 12. Sewer. Cap 63. Heater & Vent -Final 13. Roof Drains ,�L r,64. 141 Plumbing System - Final 14., Rough Plumbing r; �• 65. Electrical -Final 15. Rough Electrical -Conduit 66.' Solar System -Final - 16.' Rough Electric Wring - 67. Fencing & Access Approval 17: Rough Wiling Sign 68. APPROVEb1FOR PLASTERING 18. Rough Electrical-T'Bar Ceiling ..` 69.`POO L/SPA SYSTEMS FINAL - 19. Rough Heating &!Air Conditionirig FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 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 30. Drywall Nailing HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat 79. FINAL INSPECTION -� 32. Electrical Power Meter -Finals 80. FOOD CERTIFICATE ISSUED 33. Final Electric - ` Notes: t to - 34. Final Heating & Air Conditioning �E ^ 35. Final Gas Pipe -Test , 36. Hood on Canopy - - , 37. Final'Factory Fireplace 38. Final Plumbing , 0 39. Water Service -Final 40. Gas Service -Final t 0& ell 41. Solar Domestic -Final 42. Backflow Preventer $ ./i 43. Backflow Irrigation - 44. ,Landscape Irrigation System .L S /i✓ .gGd z 45. Sound, Attenuation,. 46. Haridicap Regulations _ 47. FINAL STRUCTURE & BUILDING Inco plete Inspections 48. Special Requirements Completed ` Date 49. ElectricRelease to Edison 50. Gas Release to •Southern California Gas Co r h 51. CERTIFICATE OF OCCUPANCY No. - Date ` _ ., '4