HomeMy WebLinkAbout1013 EL CAMINO DR - Building PermitsApplicant to fill in all spaces
CITY OF'COSTA ES C TION PERMIT
/A,}� c
Project Address I�b�.-�-���� k-
Applicant's Mailing Address
Owner's Name Phone ,tom
AddressV/I/� G1i 47�/ 15 2
Arch/Eng. License No.
Address /��I r _
Contractor's Nam,A 131.41 «� Phone�'yU -vky6
Address (mailing)
City License No. . •_ 7 �/�
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under Provisions of Charter 9 (commencing
with section ]000) of Division 3 of the Business and . Professions Code, and
my license is in full f rce tl ffect. q
Llceris Class (cense o.- 1 `�/
f Date _ - Signature
WORKERS'COMPENSATION DECLARA-
)ereby affirm that I have a certificate of consent to self -insure or a certificate
. Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.)
Policy No: - Com Pany 1
Certiie
. Certi tied copy iF f letlbw ith rthehcity BUi�j� ivi
Date Applicant
EXEMPTION FROM WORKERS' COM NSATION DE ARATION
(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 I
shall not employ any person lin any manner, so as to became 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
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
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt fromBusiness
Contractor's License Law for the
following reason (Section permit
t Burmese antl Professional Code: Any r re or
county which requires a permit to construct, alter improve ,'demolish or repair
any structure, prior to its issuance, also requires pursuant
applicant for such permit
to file a signed statement that (Chapter
i9 licensed pursuant to the provisions fof
4he Contractor's License Law (Chapters (commencing n9 with Section is exempt of
yt:y,ivi sion -3 of the Business and Professions Cade) or that he/she of exempt
1.5 -befromy
and the basis for the alleged exemption. Any violation of Section
'.31.5"by any applicant for a permit subjects the applicant [o'a civil
J(_En 1, a of not more than five property
r d011ars ($500employees
.
IJ 1, n owner of the Property ar my employees with wages as their sole
compensation, will do the work, and the structure Is not intended etl n offered
Licensee (Section not
Business and Professional Code: The Contractor's
License Law does not apply to an ownerf a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not it hin o or year
ofoffered for
.dale. If, however, the building or improvement is Sold within one year of r m -
prove f, the owner will have the burden of proving M1e/she did not build or im-
prove for the purpose of sale).
11c1 o as owner construct
the property, Se exclusively contracting with ssio s con-
Thetracforsto actor' ULi the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply ;tor s owner je property who
tracto-or improves. thereon, and who contracts for such projects aware
a'con-
tra of o .license orrer'nt to the Contractor's License Lawe I ov aware that
Proof o� their Worker's Compensation insurance should be provided to me:
❑ 1 am exempt under Section B. & P. C. for this reason -
Date Owner
I hereby certify that I have read this Application and state that the above
information.is correct. 1 agree to comply with all city and county ordlnances
and state laws relating to building construction, and hereby author)ze repre-
sentatives of this city to enter u the above- en ti one 0 property for .
those within heavy border lines and sign all appropriate
TRACT NO. I LOT NO. ,UNIT NO.
0
TYPE OF CONSTRUCTION 'LJ NEW LJ -ADD LJ ALTERATION LJ REPAIR
ElCONVERSION ❑ DEMOLISH ❑OTHER
DESCRIPTION OF WORK/USE OF BLDG.'—
TYPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ. FT. I OCCUPAN
CONSTRUCTION TYPE
VALUATION I$_
ZONE GRADING CU. YDS.
Remarks: -
i
Roof Drains
,
Reinspection Fee $15
Boiler -
Duct- Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ ' Multiple ❑
Firepl/Fact. Bit. ICBO #
Heating System & Ducting
❑ 0-100,000 BTU ❑ 100,000 BT
inspection our s ���J�
Signature Date ll.. -s.` -/Y— --
Drivers' License 6r 55 qq�
$EgAeReinspection Fee
CMF 0865-46, rev. 10/84 White - Building{ Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
$15'
Fee
Hood or -Type) ❑
Canopy Type 11 ❑
Refrigeration System
06-100,000BTU 1:1100,00013T
System Repair/Alteration
Fire Dampers -
Registers.
Issue Fee
i
'TL
-
A.P. #
Zone
-
,
S
Main Building:
Accessory Building:
Issue Fee
-. $ 3
—
E
T
Front'
DEVELOPMENT SERVICES
,Zoning Approved By
Building Approved By
'Application Issued By
REQUIREMENTS:
Z
O
-.
Date
Date
Data -
B
A1
Rear
N
—
C
Right .- -
- - . .. _
N
S
Left
G
R
—
Ping. Ref. #
Parking Req./Provided
E
Planning Notes:
M
S
1
ELECTRICAL -
FEES
Automatic Washer
* Construction Pole Sub.
Transformer ❑ 15-50 KW
❑ 50+KW
_
Cooking Unit
Meter ❑up to 100 amps
'
Dishwasher
Meter Dover 100 amps
Dryers ❑Gas .❑Electric
Sub Panel
Fan
Motors DO -1 HP❑i%-R
I
F.A.U. -_ _
Inc.Solar ❑9-15 HP 1:116-15+
_
Fixtures
Microwave
I
Device Boxes
Pole Light
Outlets
Range
Switches
Sign
Garbage Disposal
Standing Sections
_
Generator ❑0-5 KW El 5-15 KW
Trash Compactor
.$, 3
I
,
Reinspection Fee
$15
Issue Fee
-. $ 3
FEES ,
-
'
DEVELOPMENT SERVICES
,Zoning Approved By
Building Approved By
'Application Issued By
REQUIREMENTS:
_
-
-.
Date
Date
Data -
'
- BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK 25%
- ELECTRICAL
PLAN CHECK 50%
MECHANICAL
PLAN CHECK 25%
SUMMARY0'O'F
$.
$ -
$
$
$
$,
$
$ -
FEES
{�1_ SMTP
-PERMIT
ISSUANCE
- ENERGY P.C.
- GRADING'
- MICROFILM
TOTAL FEE
$
'$
'$ '•-
, $ ,�✓�-Ly�,
'
-
$ 3
CONSTRUCTION AND PLANNING
APPROVALS Permit# -
Date
Inspector
POOL & SPA
APPROVALS Perrnit#
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
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, D Undrgrnd., Test
'
9. Water Pipe-Undrgrnd.
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
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 D Gas D Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank D Gas D Oil
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
V-2,14
29. Insulation
78. FIRE PREV. FINAL >
,y•.�
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
-
E•.
40. Gas Service -Final
41. Solar Domestic -Final
'42. Backflow Preventer
43. Backflow Irrigation
44.e 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
No. Date
K -
API
CITYOF'COSTA�MIEtSA CO_NSTRUCTION'PERMIT
Project Address J_ I1 3 GtL. G /Le L. AJ e)
Applicant's Mailing Address
Owner's Name I 1 /l/ S (3 A RR66A&Phone.z�—n3
Address
Arch/Eng. License No.
Address
Contractor's Name PELTA ELEG— e phim, ke.N
Address (mailing) a
1-7 S IY RDAyccie y SA Aj r^ �'l i1�j
City License No. -Zq �-/ / % '
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 Cotle, and
my license is in full force and effect. L
License Class ' C — License No.
I Date q� f�-� Signature
WORKERS' COMPENSATION DECLARATION
hereby affirm-that'I have a certificate of consent to self -insure or a certificate
I Workers' Compensation Insurance, or a certified copy thereof (Section
a800, Lab. C.) i ,
Policy No. 1 Company
H
Certified copy is hereby furnished.
Certified copy is filed with.the city Building Division.
Date 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 I
shall not employ any person :in any manner so as to be me subject to the
Workers' Com �ne io Laws of Califor ia. I rte ;
Date Signature ,Q -
NOT IC >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 constructlon lending agency for the performance
Of the work I for which this permit is issued (Section 3097 Civ. C.)
ican_t to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
PERMIT NO. TRACT NO. -I LOT NO. I -I INIT Mn'
TYPE OF CONSTRUCTION L] NEW LI ADD
WALTERATION LI REPAIR
-
❑ CONVERSION' 1:1 OEM OLISH ❑ OTHER
SUMMARY OF FEES:
BUILDING PERMIT ,
_
AP
DESCRIPTION OF. WORK/USE OF BLDG.
PLAN CHECK -
$I
PERMIT
--.
PLUMBING
S
Main Bt
TYPE OF PERMIT�,/ GRADING FOUNDATION STRUCTURAL
T
Front.
1-1TENANTLL7 ELECTRICAL ❑PLUMBING
❑ MECHANICAL
B
$� I
'E1 OTHER .. `
-.
A
Rear
PROJECT DESCRIPTION SQ. FT.
_
OCCUPANCY
C
Right
CONSTRUCTION TYPE VALUATION $
S
Left
ZONE - 'GRADING CU.YDS.
ACRES
Ping. Ref. #
Remarks: 01�At�U
,"
Planning No
Bar Sink - '
Backflow Preventer
Backflow Irrigation
Bathtubs.=
Clarifiers'
Dishwasher =
Floor Sinks
I Lenders Name
- - Lenders Address - - L - - - _ --- - - - Kitchen Si
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories
fnunw na reason-ISectlon 7n31-5 Rusiness antl Professional [otlei Anv cl[wor
I to file a signed statement that he/She is licensed pursuant to the provisions Or
the ContractoCs License Law (Chapter 9 (commencing with Section 7000) of
*-ywision '3 of the''Susiness and -Professions -Code) `or that'he/she is exempt-
^'refrom antl the basis for the alleged exemption. Any violation of Section
i
A .)31.5 by any applicant for a permit subjects the applicant toga civil
jtPnalty of not more than,five hundred dollars ($500).
n I; as owner of .the' property or my employeeS with wages as their sole
corn e[ion,]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 aproperty 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
mle:'If,.however,the building or improvement is sold within one year of com-
t pletion, the owner will have the burden of proving he/she did not build or Im.
rove for the purpose of sale). - I
-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 applytoan owner of property who
builds or improves thereon, and who contracts for such projects with a con-
tract or(s) .license 'pursuant to the Contractor's License Law). I"am 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 '
I hereby certifyethaCl 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_ th city to_enter upo 'the above-mentioned Property for
l inspection' purpo es.
Signal ure Date 9-� i -k
t I
PLUMBING
Showers t "
Service Sink - -
Sewer Cap -
Sewer Connection -
Solar Collectors -
Solar Piping '
Solar Tank. I •- j
Swimming Pool w/Spa
'Urinal
Outlets Water Closet
' I Water Heater i
- -- Water Service
I
Auto -Wash
I LaondrylTrays
I
i t
Feed $15 ,Issue Fee'
Boiler
Duct - Under Ground
Duct - Structural
Duct - Ventilating '
Exhaust System ❑ Maltiple
Firepl/Fact. BIL ICBO #
Heating System & Ducting
C3 0-100,000 BTU ❑1DD,000
$15
Oriveri' License or SS # - - Reinspection Fee
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Hood or Type I ❑ ,
Canopy Type 11 ❑
Refrigeration System '
00.100,000BTU 0100,000BTU
System-Repair/Alteration
Fire Dampers -
Registers. -
FEES
Automatic Washer
Construction,Pole Sub.
' Cooking Unit I
Dishwasher r
Dryers'❑Gas ❑Elec
Faq
F.A.U.
Fixtures
Device Boxes
Outlets
t Switches- 1- +--
Garbage Disposal
Generator ❑0-5 KW::
t
2916 9/11/86 10.651 TL
Zone _
Accessory Building:
Z
O
N
1
- - .-- , -- - G"
R
_ ,Parking Req./Provided ' I E
Q
- M
T
- S
ELECTRICAL' I -a FEES
Transformer ❑' 15-50 KW
-0 56 '7
i I
Meter 0 u to 100 amps
. Meter ❑over`100 amps -
I ) , Motors et
_ Ina Solar I
Microwave
Pole Light
Range
Sign
Standing S
15 KW Trash�Com
$13
Reinspection Fee $15 Issue Fee
FEES
DEVELOPMENT SERVICES REQUIREMENTS:i 1
Zoning Approved By
Building Approved By
Issue Fee '$ 3'
1 I
ation Issued By.
i
,1. Data a -L' (
SUMMARY OF FEES:
BUILDING PERMIT ,
$ -
SMTP
$ _
•:
PLAN CHECK -
$I
PERMIT
--.
PLUMBING
$ t
ISSUANCE '
C„
'$ '1
PLAN CHECK 25%-
$'
_ ENERGY P.C.,
$ .
ELECTRICAL -
$� I
-GRADING ;
$
PLAN CHECK 50%
$
MICROFILM.
$ c
MECHANICAL
$
.,TOTAL FEE
$
PLANCHECK 25% $-
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
IPOOL & SPA
-JAPPROVALS 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
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, 0 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 0Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas 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-Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
�.�
Notes:
34. Final Heating & Air Conditioning
35. Final Gas 'be-Test
67-Hood or Canopy
n
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
,
41. Solar Domestic-Final
i�
,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
_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY 6FC0$- AI MESA CONSTRUCTION PERMIT
PERMIT
a V&
TRACT NO.
LOT NO.
UNIT
NO.
OB2I B/05/86
•-
25.60 7L
Project Ad(Siess Li1i F l Gr4Nw ! !
V
• • -
-'
Mailing Address 3 y'/ G9+1 / "U
TYPE OF CONSTRUCTION
NEW ADD ALTERATION
REPAIR
1jpolicarlt's
❑ CONVERSION El
❑ OTHER
Owners Name L"ut-S - JRwe a f Phone
A. P. 6
Zone
DESCRIPTION OF WORK/USE OF BLDG. L + — OJ f
Address S �"" f'
r ZZ(9
S
Main Building:
Accessory Building:
E
Z
Arch/Eng. License No.
TYPE OF PERMIT GRADING 0 FOUNDATION LJ STRUCTURAL
T
Front
O
❑ TENANT ❑ ELECTRICAL
&PLUMBING 0 -MECHANICAL
N
Address //ss
❑
A
Rear
Contractor's NameACA"'I IE 0i1, 13r V'a) G Phoned?_; �L/
OTHER
-
C
flight
N
�/
�!� i�r�
PROJECT DESCRIPTION SO. FT.
OCCUPANCY
K
G
(mailing) ����� 2 n r/H / H✓r-lT-
F
'CON ST RUCTION TYPE
VALUATION
$
Left
CityAddress
City License No. % 7 .TL
Licens9
2orvE GRADIrvG
Cu.YDs. ACRES
Ping. Ref. #
Parking Req./Provided
R
E
LICENS EO CONTRACTOR DECLARATION
Q
I hereby affirm that I am licensed under provisions of Charter 9 (commencing
Remarks: -
O
Planning Notes:
-
M
with section 7000) of Division 3 Of the Business and Professions Code, and
T
my license is in full force and effect.OO 'f'C7
/
S
License Class J License No.y
-
Oaletr q, — k4- Signature !
PLUMBING -
FEES
e"1RKERS' COMPENSATION DE TION
Bar Sink
Showers
-
ELECTRICAL
FEES
coy affirm that I have a certificate of consent to self -Insure or a certificate
Yorkers' Compensation Insurance, or a certified copy thereof (Section
Backflow Preventer
Service Sink
a
1
Automatic Was her
Transformer ❑
so00, Lab. C.)
15-50 KW
Policy No. Company
Backflow Irrigation
- Sewer Ca -
P
-
Construction Pole Sub. .
❑ 50+'KW
8 Certified'copy Is hereby furnished.
Certified copy is filed with the city Building Division.
Bathtubs' i
Sewer Connection
Cooking Unit
Meter ❑up to 100 amps
ate Applicant
EMPTION FROM WORKERS' COMPENSATION DECLARATION
Clarifiers -
I Solar Collectors
-
Dish Washer
Meter ❑over 100 amps
This section need not be completed if the permit is for one hundred ($100) or
less).
Dishwasher
Solar Piping
Dryers ❑Gas ❑Electric
Sub Panel
I certify that In the performance of the work for which this permit is issued, I
shall not employ in any man er s as become subject to the
Drinking Fountains
Solar Tank
Fan
Motors 00-1 HP Ellh- 8
Woo
Worker Compe tI n ws Of Calif Or
Date Signature
Floor Drains
Swimming Pool w/Spa
F.A.U.
Inc. Solar ❑9-15 HP E116.1 5+
-NOTIC If, after making this tleclara on, u s uld become subject to the -
Workers' Compensation provisions 'of tha Labor Cotle, you must forthwith
Floor Sinks
Urinal
Fixtures
Microwave -
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Gas Service / Outlets
Water Closet
Device Boxes - -
Pole Light
g
I hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is Issuetl (Section 3097,.Civ. C.)
Interceptors
Water Heater
•-Range
Outlets,,
Lender's Name
Lender's Address -
Kitchen Sink
Water Service
.�.
Switches
Sign
OWNER BUILDER DECLARATION F
I hereby affirm that I am exempt from the Contractor's License Law for the
Lavatories
Auto -Wash
'
9a P
Garbo Disposal
Standing Sections
following reason (Section 7031.5 Business antl Professional Code: Any city or
county which requires a permit to construct, alter Improve, demolish or repair
to its issuance, also requires the applicant for such permit
P—Trap
P
0, Laundry Trays
^^
o�
-
Generator ❑0-5 KW ❑5-15
KW Trash Compactor
any structure, prior
to filo a signed statement that he/she Is licensed pursuant to the provisions of
�� Roof Drains
e•- Contractor's License Law (Chapter 9 (commencing with Section 7000) of
-
tion 3 Of the Business and Professions Code) or that he/she is exempt
ifrom and the basis for the alleged exemption. Any violation of Section
A.5 by any applicant for a permit subjects the, applicant to a civil
malty of not more than five hundred dollars ($500).'
$ 3
LJ I, as Owner of the properly or my employees with wages as their 5010
Reinspection'Fee $15
Issue Fee
compensation, will do the work, and the structure is not Intended or offered
for sale (Sectlon 7044, Business and Professional Code: The Contractor's
MECHANICAL
FEES
Reinspection Fee
$15 Issue Fee
.$ 3
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
Boiler
Hood or I ❑
DEVELOPMENT SERVICES
REQUIREMENTS:
employees, provided that such Improvements are not Intended or offered for
Improvement is sola within of com-
,Type
Canopy Type ❑
Zoning Approved By
Date
sale. If, however, the building or one year
pletion, the owner will have the burden of proving he/she did not bulla or im-
Duct - Undar Ground
11
Building Approved By
Prove for the purpose of sale).
_Date
. ❑ 1, as owner of the property, am exclusively contracting with licensed con-
Duct - Structural
Refrigeration System,
_
Application Issued By
p
Date
S
tractors to construct the project(Section 7044, Business and Professions Code!
does apply to an owner of who
130.100,000 BTU 11100,000 BTU
'
The Contractor's License Law not property
builds or Improves thereon, and who contracts for such projects with a con-
Duct - Ventilating
SUMMARY OF FEES
tractor(sl license pursuant to the Contractor's License Law). I am aware that
V
Exhaust System ❑ Multiple ❑
System Repair/Alteration
BUILDING PERMIT
$
SMIP $
. proof o their Worker's Compensation Insurance should be provided to me.-
❑ 1 am em t u or SecjiDn 8. C. for this reason
�
Firepl/Fact Bit. ICBO #
Fire Dampers
PLAN CHECK
$
PERMIT
-.
PLUMBING
$
ISSUANCE - $
Date -' - owner
Heating System & Ducting
Registers
PLAN CHECK 25%
$
ENERGY P.C. -
_§,
-�-' --
I hereby certify that I have read t icxtion —and state that the above
❑0.100,000 BTU 13100,0008
ELECTRICAL
$
.
GRADING $
information is correct. 1 agTtmplYlwith all city antl county ordinancesantl
state laws relating 0 construction, and hereby authorize repre-
l for
I
PLAN CHECK 50%
$
MICROFILM $
sentatives of this t pon the above-mentioned property
inspection purpos �� _y�
Date,
MECHANICAL
$
.TOTAL FEE = $
Signature
-
Reinspection Fee
$15
Issue Fee
$ 3
PLAN CHECK - 25%-_
$
Drivers' LI<en or 5 #
,MF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting;
Goldenrod - Assessor
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POOL & SPA
APPROVALS Permit #
Date
.:
Inspeytor
r
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
-V'744
LAD
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-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
c
8. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
9-744
1-90
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
�.�
G
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 0 Gas 00il
23. Gas Pipe-Rough & Test
_
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas 0 Oil
'
25. Roof Sheathing
74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
r
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
143. Backflow Irrigation
'
_
- 44. Landscape Irrigation System
45. Sound Attenuation
-,
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
.. /
48. Special Requirements Completed
• r
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
a
Am
I
Applicant to fill In all spaces
CITY'dCLcosTAMES-A CONSTRUCTION PERMIT
Project Address /0-4?, LL C^ At /Al
Applicant's Mailing Address t5 H M t'
Owner's Name. W(oSlAl _57 p e
Address -Ir-4 - it F!M C
Arch/Eng. License No.
Address '
Contractor's Name ��— Phone v sr
Address Imailing) I r, 3G
City License No.
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I ani licensed under provisions of Charter 9 (commencing
with section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
License Class License No.
Date—Signature
WORKERS' COMPENSATION DECLARATION
hereby affirm that I have a certificate of consent to self -insure or a certificate
,f Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.)
Policy No. Company
BCertified copy is hereby furnished.
Certified copy is filed with the city Building Division.
Date Applicant
EXEMPTION FROM WORKERS' COMPENSATIONOEC LARATION
(This section need not be completQfpermit is f r one hundred ($100) or
less).
I certify that in the performancerk for ch thI a 'tisissuetlsnail not employ a rson in ner to be on bject to LilaWorkerC�omq� iso Laws df Date /Y/
\ NOT CE: It, after making this aeclarat on, you should .become subject to tt
T Workers' Compen sa lion provisions of the Labor Code, you must forthwit
comply with such provisions or th permit Shall be deemed revoked.
CONSTRUCTION LENDING• AGENC
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 DECLARATION - ^
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 -
she Contractor's License Law (Chapter 9(commencing with Section 7000) of
4vision 3 of the Business and Professions Code) or that he/she is exempt -
ierefrom 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
Hnalty of not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sole
compensation, will do the work, and the structure Is not Intended or offered
for sale (Section 7044, Business and Professional Code: The Contractor's
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not Intended or offered for
sale. If, however, the building or improvement Is Sold within one year of com-
pletion; the owner will have the burden of proving he/she old not build orIm-
Dve efor the purpose of sale).'
L I, a1owner of the property, am exclusively contracting with licensed,con-
tractorsto construct the project (Section 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con-
tractor(S) license pursuant to th ntrattdr'S 'cense Law),I am aware that
proof off their Workers Com neat n insgra shpuld be provided to me.
❑
lam exempt untle SectionliC 1/8. `4 PP, C. for this reason
Drivers' License or SS yp
CMF 0865-46, rev. 1'1484
Owner
tion and
all city a
a, antl in
those within heavy border lines and sign all appropriate declarations.
TYPE OF CONSTRUCTION LI NEW LJ ADD V:TALTERATION L-1 REPAIR
❑ CONVERSION, ❑ DEMOLISH ❑ OTHER
3 DESCRIPTION OF WORK/USE OF BLDG. _
TYPE OF PERMIT LJGRADING L -I FOUNOATIOJJ I -'STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING EMECHANICAL
b3ffOTHER,
ZP?DJECT DESCRIPTION SQ. FT. OCCUPANCY -_-A
// CONSTRUCTION TYPE VALUATION '$
ZONE GRADING CU.YDS. ACRES_
Remarks:
- PLUMBING
1 -FEE
Sar Sink Showers '
Cooking Unit
3ackflow Preventer Service Sink
Dishwasher -
3ackflow Irrigation Sewer Cap -
Dryers ❑Gas ❑Electric
3athtubs - Sewer Connection
Fan - l �.
Clarifiers Solar Collectors
F.A.U._ _ _
Dishwasher - - Solar Piping
l
Qrinking Fountains Solar Tank
Device Boxes
Floor Drain's l Swimming Pool w/Spa '
Outlets
Floor Sinks Urinal '
- Switches-- — >- —
Gas Service Outlets Water Closet
Garbage Disposal
Interceptors Water Heater
GeneratorE10-5KWE15.15KWJ
Kitchen.Sink - --- -- _ Water Service - - -
-
Lavatories Auto -Wash '
?-Trap Laundry Trays
Roof Drains
ReinspectioniFee
$15 1 Issue Fee /
$'3
Boiler
Duct - Under Ground '
Duct - Structural
Duct - Ventilating
Exhaust System' ❑ Multiple
Firepl/Fact: Bit. ICBO #
Heating System & Ducting
❑0-100,600 BTU 0100,000
Reinspection Fee 1 $15
Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Hood or Type M1
Canopy Type 11 ❑
Refrigeration System
00-100,000BTU 0100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee I $ 3
A.P. #
S Main Building:
E
T Front,
ARear
C Right
K Left
Ping. Ref. #
Planning Notes:
0 4233 10/01/86
Zone
Accessory Building:
Parking Req./Provided
I
6e75 TL
Z
O
N
I
N
G
R
E
Q
M
T
S
' - ELECTRICAL - FEES
Automatic Washer
Construction Pole Sub.
Transformer ❑ 15-50 KW '
1:150+KW .
Cooking Unit
Meter ❑up to 100 amps l
Dishwasher -
Meter EJ over 100 amps
Dryers ❑Gas ❑Electric
Sub Panel '
Fan - l �.
Motors E-10-11 HP ❑1X-8
F.A.U._ _ _
Inc. Solar ❑9-15 HP 016-15+
Fixtures
Microwave
Device Boxes
Pole Light
Outlets
Range
- Switches-- — >- —
Siyn -• - -
Garbage Disposal
Standing Sections
GeneratorE10-5KWE15.15KWJ
I Trash Compactor
I Reinspection Fee 1 $15 1 I= Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
Application Issued By
BUILDING PERMIT $
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% S
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK - 25% $
SUMMARY OF FEES
,
SMTP
$
PERMIT
ISSUANCE
$
ENERGY P.C.
S .
- GRADING
$ -
MICROFILM
$ -
,TOTALFEE
��
$'.
CONSTRUCTION AND PLANNING
APPROVALS Permit=*
Date
Inspector
POOL & 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
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
'
t 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 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 ❑Gas ❑Oil
23. Gas Pipe -Rough & Test
72. Underground Flush -
24. Roof Framing
73. Undergrnd. Storage Tank O Gas ❑ Oil
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
t
48. Special Requirements Completed
1"
49. Electric Releaseto Edison-__. - -
---- -
50. Gas Release to Southern California Gas Go
No51. CERTIFICATE OF OCCUPANCY
. Date
^"�
R
I
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations
��
ZL
PE ITjVO. 5/
T CT 9
�/❑
La NOO.
UNIT NO.
BUILDING PERMIT
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH OT ER
DESCRIPTION OF WORK/USE OF BLDG. W7 -AZ_
L TAk/�
AP # L
S
Main I
Sewer Connection
TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SO. FT, OCCUPANCY
/// ///������,��sr ��-
CONSTRUCTIONTYPE VALUATION$
T
B
A
C
K
S
Fiont
Rear
Right
L t --
CITY OF COSTA MESA CONSTRUCTION PERMIT
Project Address .42)43 Z --I— «Af,141 D
Applicant's Mailing Address .A /�% —
Owner's Name %7T 8 5'F L�`7 F Oji f�s'1A f ,{vA hone �L�.�a A
Address /��ELe��i 41"0 A MC0
Arch/Eng. License No.
Address
Contractor's Nam Phone
Address Imailing) `
City License No.
LICENSED CONTRACTOR ECLARATION
I hereby affirm that Imam licensed under provisions of Charter 9 (Commencing
with section 7000) of. Division 3 of the Business and Professions Code, and
my license is in full force and effect.
License Class - License No.
Date Signature
WORKERS' COMPENSATION DECLARATION
hereby affirm that I.have a certificate of consent to self -Insure or a certificate
.f Workers' Compensation Insurance, or a certified copy thereof (Section
3800, Lab. C.)
Policy No. Company
H
Certified copy is hereby furnished.
Certified copy is filed with the city Building Division.
Date Applicant
EXEMPTION FROM.WORKERS' COMPENSATION DECLARATION
(Thissection need not be completed permit oro ed ($100) or
less).
1 certify that in the performance of tie w k fo is inis per st is issuetl; I
Date
comply with such provision
CONSTRUCTION LENDING
I hereby affirm that there Is a r
of the work for which in
Lender's Name
Lender's Address
OWNER BUILDER DECLAR
I hereby affirm that I am exempt from the Contractor's License Law for the
7031.5 Business and Professional Code: Any city or
armit to construct, alter, Improve, demolish or repair
Issuance, also requires the applicant for,such'permit
that he/she Is licensed pursuant to the provisions of
aw (Chapter 9 (commencing with Section 7000) of
'S and Professions Code) or that he/she is exempt
or the alleged exemption. Any violation of Section
for a permit subjects the applicant to a civil
ive hundred dollars ($500).
'operty or my employees with wages as their sole
M
V
become
the performance
3097 Civ. C.)
'efrom and the
11.5 by any a
alty of not mor
1,. as owner of
r oensalion. will
License Law does not apply to an owner of a property who bullas 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 of red 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-
rov or the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed con-
' ractors 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 rise Law). I am aware that
proof of their Worker's Compensation Insuran a h�..,dd Abe provided to me.
❑ 1 am exempj�under Section q. ty ✓a C. for this reason
Date Owner -
I hereby ce tifv that I have read this aov,licattori and state that the above
in
ZONE GRADING CU. YDS. ACRE Ping. Ref. # '
Remarks: _ �/� � n S Planning Notes:
3ar Sink ,
3ackflow Preventer
3ackflow Irrigation -
3athtubs
Zlarifiers -
3isliwasher-
7iinking Fountains
%or Drains
%or Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
?—Trap
Roof Drains
1 4z
Reinspection Fee
Boiler
Duct - Under Ground
$15 I I Issue Fee • I S 3
Duct - Ventilating
Exhaust System ❑, Multiple
Firepl/Fact. Bit. ICBG #
Heating System & Ducting
00.100,000 BTU Ell TIP""
Signature �Date�L Reinspection Fee $15
Drivers' LI SS �
� // ''
CMF 0865-46, rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor
Hood or Type ❑
Canopy Type II ❑
Refrigeration System
00-10010 BTU 11100,000
Sys Repair/Alteration
Fire Dampers -
Registers
Issue Fee 1 $ 3.1
0673 ,8/64/86 73.93 TL
Zone (�
r 1
Z
O
N
I
N
G
R
Req./Provided E
D
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter Dover 100am2_
Sub Panel
Motors❑ HP❑1'f.-8
IncS r 09-15 HP E116 -
Pole Light
Range
Standing Sections
5 KW Trash Compactor
FEES
Reinspection Fee 1 $15 1 1 Issue Fee $ 3
DEVELOPMENT SERVICES REQUIREMENTS, /U (���
Zoning Approved By - 9 1/ t.t-yt !"'—}}ate J{(p
Building Approved By 9 Date
SUM V EES
BUILDING PERMIT
$
SMIP - -
$
PLAN CHECK
$
PERMIT
- -
PLUMBING
$
ISSUANCE,
$
PLAN CHECK
-25%
$
ENERGY P.C.
$
ELECTRICAL
__
$
-GRADING -
$
PLAN CHECK
50%
$
'MICROFILM
$ -
MECHANICAL
,�
$
TOTALFEE
$ 3 3�
PLAN CHECK
25%
$
--
CONSTRUCTION AND PLANNING
,APPROVALS Permit
;Date
Inspector
POOL & SPA
APPROVALS Permit*-Date
q
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
W
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
c
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
Q
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
m
7. Footings '.�'
58. Electrical Conduit-Undrgrnd.
8. Foundation �,! : -
59. Gas Pipe, ❑ 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 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 ❑Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank 0 Gas ❑Oil
'
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 PREY. FINAL
'
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION -
• ,
32. Electrical Power Meter-Final
80. FOOD CERTIFICATE ISSUED
_!
,I-
33. Final Electric
Notes: t ,.
34. Final Heating & Air Conditioning
LO FFR ,SuIrjA[, MQUWAM - •,
35. Final Gas Pipe-Test
y
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
,
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
i
42. Backflow Preventer
43. Backflow Irrigation
; ••r,
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
�7
afl.3- U
48. Special Requirements Completed
49. Electric Release to Edison
'
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
It � 1 -