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HomeMy WebLinkAbout192 CECIL PL - Building Permits BUILDING: . 192. .CEC.IL _PL . ..-_ _ ___. __-.mar:,,_ __ _, _.____ - __ ._ ..„..._____C ITY OF COSTA_MESA -..BUILDING. PERMIT KNOWN:OAK HILL DEVELOPMENT _. . ___ PERM NO: B 081846 DREs&1O48 IRVINE AV PERMIT NO: B 081846 PLAN CHECK NO: 04291-96 A GOVT: N SUPP: N NEWPORT BEACH, CA 92660 111111—Z P'.MARINODRESS CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: NEW CnnccTaamKEITH PALMER .uc.mto.:. C-11096 JOB DESCRIPTION : 2110 SQ FT LIVING 472 SQ FT GARAGE SQ FT: 2, 582 toRulmlEss: 1048 IRVINE AV um 363 NEWPORT BEACH CA 92660 CLAIM VALUE: 175, 000 .00 CALC-VALUE: 174, 092 . 20 GROUP OCC : R-3 /U-1 coxmAsNAl¢:OAKHILL DEVELOPMENT, INC. ( 714 ) 825-0671 CONTRACTORS MAILING 1048 IRVINE AV COMMENTS: NEW SINGLE FAMILY DWELLING WI ATTACHED GARAGE Dflos:N.B . CA LIGND.: 730408 *****atatst�tst** *atatataEasatfEiPitiEit+t*iEAtat�tataEtEatat�Eatx*Btat�ritiE*****x********attE�t****x�t�EatatBtatit�riE�t�sit 926 6 0 ., Z ON ING REQUIREMENTS ICENSENTRACTORS DECLARATION:I hereby altos under penalty el•-T. that I am licensed under provisions of Chapter 9 S E T B A C K S comm.. ith Section 7000)d Divbion 3 d the Business and Professions • y lice. is in full force end araC. c • UC.CLASS: LW.NO.:7 ; a ''0: ) _ EXP: MAIN BUILDING ACCESSORY BUILDING -9 FRNT: FT IN REAR: 16 FT IN FRNT: FT IN REAR: FT IN Contractor: _ LEFT: 5 FT IN RGHT: 40 FT IN LEFT: FT IN RGHT: FT IN • R BUILDER DECLARATION:I hereby affirm under penalty d perjury t - am exempt from the Contractors lioerse Law for the ' ;,dlowkg reason(Seaton 7031.5 BUSS..end Professions Code:Anycty o.., ywhd,requires a permit to construct Mer,improve, PARKING REQ: 12 PROV: 12 PARCEL: 42606315 ZNE: R2—M REF NO: DR-96-07 i.t.. ofish.or repair any structure.prior lo its issuance.also requinss the applicant fct such permit to file a signed statement that ha or she PLANNING NOTES> 1 OF 4 DU PROJ. RT. STBK. IS SEPARATION. ATTACHED TO 190 I licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code]or ihm h or she le exempt therefrom and the heals for the alegedaxemvion.Any violation of Section > CEC(I'L, BY ROOF AT FT. PKING IS PROJ, TOTAL. P E. FEES-.DUE. 7031.5 by any applicant for a permit subjects!he applicant to acvil penalty of not more than fee hundred dollars j$50011. ************************************************************;i********,********** ❑ le3 Own"tha PmParlY or rnY employees with wages as their 1101.compensation,will do ihe work,and the structure is not inlended D E V E L O'"Pj' M E:N;.T SERVICES R E Q U I R E M E N^T--S or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply loan ownrOf properly who buids or improves thereon.and who does such work Nmseff or hereat or through he or her own employees,provided that such (s * ^ _ \ r/Q (: improvements re not intended o offered b.d foreaI.however,the building or improvement is sold within oneYee ownplefion.0e ZONING APPROVED BY !'• : ' - Yy `JI� DATE: cis' owner-builder wit have the burden of proving he or she did not build or improve for the purpose of sale). /a ❑ I,at owner d lit propery,em xdueinly°onradirp with Domed eontractom m conarud the project(Bede,lou,&elrou and BUILDING APPROVED BY. :.- . '� STA DATE: , -(1 Professions Code:The Connecta'License law does not apply to an owner of property wit bunds or improves thereon end who yy - contracts for sod projects with a centado(s)licensed pursuant to the Contractors License Law). /:1.. ' - ' C a- ❑ IamxemptxdsrSection: B.AP.C..for thimeeson: APPLICATION ISSUED' BY �' 'J' DATE: . ****************************************** *********************S********* Dela: Chimer: LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:Y I do hereby certify tai I am aware of end understand the requirements of California Heath and Safety Code Sections 25505.25533.end 25534,ardthm Io ayhmae budding occupant win/wa not(circle the)need to compywth said mmerodes and the.smdremrda for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for corawaonor modificationhontheAr QualityManagement District.Residents conatnctbn applications we exempt from these PERMIT 1 , 262 . 25 17 . 41 provisions. ' ) SMIP/NON—RES D0a Applicant: PLAN 205. 12 ' WORKER'S COMPENSATION DECLARATION:I hereby elfem under penalty of paltry one of the following declarations: ISSUE FEE - ❑ I have and wit meintait a certified.cl consent to selbirsure for workers'compensation.as Peffeedsdthr bY Ssolith 37C°el the isba BUILDING—DIV—> PERMIT ISSUE PLANCCHECK TOTAL PAID DUE Code.t«1hperformance dthe wok tor which this Pei.ie. TOTALS----> 1279 .66 0 . 00 205 . 12 1484 , 78 1484 . 78 . 00 ❑ I have and veil maintain s-od(ene compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work(«w++a,this permit nd.Myw«kx''w`°sin'mi°°i°'na°`"ar`ie`x,d posey number ate: REVENUE DIVISION TOTALS--> COLLECTED: 1279 . 66 OVER/SHORT: , 00 Carrier:• BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK .' Pdcy Number. (This section need not be completed]de perml is ler one hundred dollen j$1O01 or less.) 1262 . 25 -' 17. 41 ( 't ecemiytatnct Nic pit wd cshe paonkwlen les d sC « b,'en Lethal teploy any beceroe an bbmanerh:ZZ:: *************************************************************** ****************bpensmion provisions d Section 3700 of the Labor Code.I mag forth Z z7 l App em: provisions. INDIVIDUAL l-FEE BREAKDOWN Warning:Failure b secure workers'compensation coverage Is unlawful, shall subject an employer to criminal penalties and TYPE QTY' D E S C R I P T I O(N UNIT COST TOTAL COST civil fines 4 to one hundred thousand dollars($104000),In siltation to coat of compensation,damages as provided ler In Section 3706 of the Labor Code,Interest and atomaya fees. SFR 2110 OWE—TYPE V—WOOD FRAME —GOOD 77 . 90 164 , 369 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there b a construction lending agency for the SFR 472 RES—GARAGES TYPE V 20 . 60 ' 9 , 723 . 20 performance of the work for whit this panni b issued(Section 3097.Civ.C). END OF FEES LENDER'S NAME LENDER'S ADDRESS: I 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 slate laws raising to buidrg candudion and hereby authorize representatives d this city to enter upon the above-mentioned property for inspection wrPosasAUGUS T LACONO 82-27-1997/11:89 8M/$1279.66 Print"am° 2"7r9r7 „ PERMIT:981846 ���� � %�� Date: Sgared1 V v tu `4151da.WP) White-Building a Safely:Green-Flo:Cuwy-Appiur:Pink-Revenue:Goldenrod-Assessor , CONSTRUCTION AND PLANNING ; - Pr &SPA + . Date Inspector 1 APPROVALS Permit# • APPROVALS Permit # - 1. Temporary Electrical Service oDate Inspector r Pole: 52. Pool & Equipment Location f -2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .' a,t E4ctrica Co uit-Utility=Undrgrnd. . - 54. Forms :: - -d - • =4'. ElectricaLCOrtipt‘Undrgrnd. 55. Electrical Bonding w •-3 •.-j Steel Reigfnrsement 56. Rough Plumbing & Pressure Test c . 6, EfectricaPQL PEITGrnd, . 57. APPROVAL;TO COVER-GUNITE C 7 , .m. m In r”, _ - - r -;;;T: Footingsmn'rs•..•r'.^ 58. Electrical Conduit-Undrgrnd. 7. :OS: Foundation:_ "•v: 3 59. Gas Pipe, 0 Undrgrnd., Test , r9. Wier Pipe-Uncairnd.,r,, _ 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Flooi-System i. - 61. APPROVAL TO DECK 11. Prpperty Sewer,_ &Line_ Housg.:Connection • . 62. Backwash & Receptor-Final 12. Sewer CaP 're, o 63: Heater & Vent-Final- - - -n 13. Roof Drains�' - . ' 64. Plumbing System - Final 14. Rough Piumpyng t-: - 65. Electrical-Final 15. Rough Electrical-Conduit 7 66. Solar System-Final , 16. Rough 6Tectric,;Wir`ng 67. Fencing & Access Approval ' 17. Rough Wiring Sign -- 68. APPROVED FOR PLASTERING 18. Rough ElectricaGT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - . 19. Rough Heating& Air ConditioningFIRE DEPT. REQUIREMENT -, r• .- ..:1 .-. !'•'•'e- n -r rt.- r. '3 7-Wt.- 'K - r...0) 20.rMRough FactoL. ry F�xeplace _ 7:.t: ■: S 7,Y APP&OV ,L3 E, Permit# „ - 21.rOucts, i2Structure-t •• -S v hi 70.--Under- 13vdro y a 22. Duds V until'tin " ri0 n ��r t. y , ,e VI+ n x r ET a 71. Product's iping 0:Gas b oil 23.--Gias.Pipe.Rough 8; Gest S t• ?• 7- M C? r 72. Undergr`ouncl Ruch= r - 24.aRoofiFra7nin§' ^ac -" �'"•`: , = .; _ 1. -.7:, .-U 73ndergYnd.Stow elan& OGas O"Oif of S V h@athin r r.9 J G 25. Ro74; Ove'head Hydro,_ t _ _= -� " • .Y- -" _- : r26- -Bar CeilingJSt•uiural) &41017coat 7Dr - yamut: r _ L i,�_27.?rame and Flishi ze _ y -. [ ip,.. 76. Dry Statitipipe F r , ^ - 28. LatFng_. Siding•r u; . G"t / y_ T7FIXEDSSTEfV:FINAL ---:f.1...: Insulation1-11- ••J si 57 78. FIRE PREVFINAL x = }• CI • 30. Drywall,Nailing r"* ,� ^ g'7r a j c ,vHEALT.H DE1T. REQUIR@MENT r;z ::.s, .- 31. Plaster B--owCoat . :- - I r 79. FINAL7SPEC9ON x J . nv,r V 32�Electrical'Power Mdtte?•Frinal °' 7." ci i : M 8Q . FOOD CERTIFICATE ISSUED ,.rr`t , 33-Final Electric <f <•:-•z ` ' I Dtotes: 34.,C_FinalHeating& Qi;Conditioning= ,_" � i $ 1 -- 1V9 e-c; ir,'_. - tt 35`Fina`l Ga"s,Pipe-Test- ,-:= •r,-i e: .-+ _ q: .-.:, r �,=• f -. 36. Hood or-� -Canopyt-•' " " a. -s: ^ : 1 v F_ s a rt• IT 37.:Ein:I:Factory Fi eplace7 .- ci - , ' ` „ It- .•v: . ..- ._ _ - 38.�Finaf Plumbing _ 1 j .i: _ s '7" 7-• , ' , - '47,'' '../M 1 .:i t- -' -tc ," lI 39tnater ServicesFinal. r• r"r rr r. >- LL - - • , •- • 40. Gas Service-Final4Y ::n c -m Zi- ,- 7, I 2-J t T • e.^' -r-. c, ,- -c • rta Cr 41'Solar Domestic•Frip4IS --SI-• ' _ ; _ _ _. - 42. Backflow Preventer.- m 7x V 1 • x r' p 1 N; ./ - s'. ^ ::C.,..-" 1. 43. Backflow Irr, anon;` 1^:.a 1.--1a: t ._ - -• -: . >: i-•�•.:' C x n„ i X C ,-44. Landscape 17igation System=•??: :740'7' Er: t-a . u x c. _ Li :` - r .n e" :71 .44: Cr Cr ,2 it •. T C.C .t. .c . '45 Sound fttehuatio ` -.I,- r • rn E 7 v • f.7.-.. -,•-•: .r • " C - S ✓ - `46. 'Handicap-Regulations - Gt- -:.- v = ct- •7 - , =F 47. IhFAL STRiiCTUE & BUILDING ,-_ uu- - 48.4INAL PLANNING r . = - '� I • •- - `: -^ C: r _49.=EIecTric Release to Edison �" ,Xi i, .* _"1 -30. Gas Release to Southern California Gas-Cor .- = r -4; r. .. c - ,� ' 51. CERTIFICATE OF•OCCUPANCY - `• ::, C -T= - No Date At/DRESS 192 CECIL PL °NT` CITY OF COSTA MESA - BUILDING PERMIT eaElr wvnl:OAKHILL DEVELOPMENT PERM NO: M 082407 jr: '1' 1048 IRVINE AV PERMIT NO; M 082407 PLAN CHECK NO: N GOVT : N SUPP : N NEWPORT BEACH, CA 92660 APDL.IMMO ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: NEW ARn"RECTDRPNGNEER:KEITH PALMER uc.NO.: C-11096 JOB DESCRIPTION : 2110 SQ FT LIVING 472 SQ FT GARAGE SQ FT: Not 0Din ADDRESS: 1048 IRVINE AV inn 363 NEWPORT BEACH CA 92660 CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /U-1 MIIACTCRS"AIE:DLS HEATING & AIR CONDITI .( 714 ) 965-1990 CGRRACTOW$K"lam 8542 CARTHORN DR COMMENTS ; REF: B-81846 ADDRES&:HUNTINGTON BEACH CA LK.Ha: 584220 **********************xx*x********x*x***** *** *N*+E*******************it*+E **+EN-x 92646 LINTZONING REQUIREMENTS a SED CONTRACTORS DECLARATION:I hereby tam under paddy a perjury that I em limned under provisions of Chafer 9 SETBACKS nang with Section 7000)of Division 3 of the Business and Professions Cade.and my license u n full force and reed. "'I:068589 uC.ams,C 20 uc.No.: 584220 EXP : 10/97 MAIN BUILDING - '-- ACCESSORY BUILDING ' ,. Li-(0-i 7 Contractor: DSS (fie EIC FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN • k5 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penely ot perjury that I am exempt from the Contractors license Law fon the ' tofbwng reason(Sedm7031.5 Business and Professions Code:Mycayocounty which requires a peril to oone""L alter. PARKING REQ: PROV: PARCEL: 42606315 ZNE: REF NO: demolish,or rapes any mama prior bas issuerce.ileo requires the applicant for such peed to Mea signed statement that he CI she is licensed pursuant to the provisions of tha Contractors license Law(Chapter 9(commencing with Section 7000)Of Division 3 of the PLANNING NOT ES> Business and Professions Code)or that he or she is exempt therefrom and the basis 1«the alleged exemption.My violation of Section > 7031.5 by any wk.'tor a pend subjects the epficard toe Su Penally of not more than(we hundred dollars($500U. ************************************* **************************************** ❑ I.es owner ot the property o my employees with wages as thee sole compensation,viill do the work.and the soudure is not intended ooffered for sale(Section 7Ot4.Businem and Professions Code:The Contractors License Lew does not appyd to an Owner EVELOPMENTproperly DM E N T S E R .V tI C E S REQUIREMENTS win bolds or improves thereon,end who does such work himself or herself or through his or her own employees.provided that such 1/ impravememe we nal intended«dWed fprsale.B,however,tlabui"ag°"1"pmanaa eso"within°neyem"eanpbtkn,da ZONING APPROVED BY . DATE: owner.builder • will have the burden ot proving he or she did not bead or improve f«IM purpose of sale). ❑ Las owing of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors Lkse anlaw cloes nM apply to an owner of property elm builds Of improvwh es thereon and o BUILDING APPROVED BY : ,''1 DATE:• contracts to such projects yeah a contractor(*)licensed pursuantto the Contractors License Law). - v „ ❑ I am exempt under Section: B.AP.C.,brthis reason: APPLICATION ISSUED BY: DATE: 4111 O Date: Owner. I do hereby certify that l am aware of and understand the requirements of California Health end Safety Code Sections 25505,25533.and LEGALIZATION: N F E E -5 U M M A R Y STRUCTURAL SEGMENT:N .apemn cand ohat nstruction ormor any o`ddi nfromnthheiu"06 yManagembmo nneed d tRatcomply with wionastale pplcodes mionssrem�tromth BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 13 , 25 Date: Applicant: . ....5.,' I 25% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby armunder penalty of perjury one of the following dedermios: PLAN ,v, r ❑ Ihave and will maintaina certificated icate consentto setinsure ler workers'compensation,as provided t«by Section 3700 of the Labor ISSUE FEE ;,y - 22 . 00 Code.fothepen«mnbeoftheworkfow"ohthispemdtisissued, BUILDING-DIV-> PERMIT ISSUE PrIAN-CHECK TOTAL PAID DUE ❑ Have and slmalmainworkers'comp.watnn insurance,anapes by seam 3700 as me Lees coda,la the woman=d the TOTALS----> 13 . 25 22 . 00 0 . 00 35 . 25 35 . 25 . 00 work for which this permit is issued.My woken'compensation insurance canter and policy number are: Carder: REVENUE DIVISION TOTALS--> COLLECTED : 35 . 25 OVER/SHORT: . 00 Poky Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK section need not be completed a the weds is for one hundred dollars/SlOO/«lova `.- 35 . 25 I certly that in the performance d the work for which this permit u isnotm sued,I shall eany person in any manner so as to . subject to the wvkers'oonpencaicn leveeci CalB« ,and gree Ow A ire I bme sailed to the mike". *MN***********************************!f**************************************** peneatxn provisions of Sedate 3700 d the Labor Code.I shall forthwith with pomatums. I N D IV I D U A L- "°.F E E BR EAKDOWN —/C!-r1 Applicant:rile,....y / jig We Ins:Fallun•1 o secure worken'compreadon coverage la unInfuL and shall abject an employer to admin.;amain**arid TYPE QTY D E S C R I P T I O , Na' UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($104000).In mNldon to the cost ol cornpenestlo4 denies as provided ler In Section 3706 olds Labor Coda,Interest,and attorneys lees. MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 1.3 . 25 13 . 25 CONSTRUCTION LENDING AGENCY: I hereby affirm under Malay d perjey that there e a sen trudge tending agency b the END 1 OF F 'ES performance of the work for which this permit is issued(Section 3097,Ch.C). LENDER'S NAME: LENDER'S ADDRESS:I .i atyt read to building application and suns herr•t the above lirepresentatives of tisS comply with enter cabty end contn properly i and ell .awe ler''--to building construction and herr authorize of this dry to enter upon the above-mentioned properly In tori •vier ver.._ . �3 84-18-1997/01:52 08/$35.25 D01•I�,IdF,F..D V / e V PERMIT:082407 _ Dere: 7 /D-/ Signature or Owner••ent/Applun •tract, • (5151 d5.WP) White-Building&Safety:Green-Fla;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor I , y -CONSTRUCTION AND PLANNING' • - POt SPA • APPROVALS Permit# - Date Inspector 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 UFER Grnd. • 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. s 8. Foundation - .. 59. Gas Pipe, 0 Undrgrnd., Test ? 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, OcUndrgrnd. 10. Structural Floor System ,r - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent•Final t ' • 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 • 20. Rough Factory Fireplace APPROVALS Permit# 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 0 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 8� • ``'-ti� ''rlt�f}G _ f, , 8� _ j 35. Final Gas Pipe-Test !!!! t�•/ 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing • i 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 - f 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date • ADDRESS OF BUILDING: 192 CECIL PI, WIT: CITY OF COSTA MESA — BUILDING PERMIT ,CMNEITsfiaNaEIFIwaxN:OAKHILL DEVELOPMENT PERM NO: P 081870 7 ADDREs3: 1048 IRVINE AV PERMIT NO: P 081870 PLAN CHECK NO: N GOVT: N SUPP: N • NEWPORT BEACH, CA 92660 ;APPL.MMIONG ADORESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: NEW ARCNITECTORB NEETKEITH PALMER uc.mm C-11096 JOB DESCRIPTION . 2110 SQ FT LIVING 472 SQ FT GARAGE SQ FT: ARCN.ORIBIG'sADDREss: 1048 IRVINE AV on 363 NEWPORT BEACH CA 92660 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 CONTRACTCRSNAME:BLYLEVEN' S PLUMBING ( 714 ) 750-5461 CONTRACTORS MAIl1NO P.O.BOX 9485 COMMENTS: NEW SINGLE FAMILY DWELLING W/ ATTACHED GARAGE PLUMB #B81846 AODREss:ANAHEIM CA uc.ND. 691598 +E+E+E*+EeEiESERE+E+ESESE+E+rx*+fix*+E**u+E***** ***sEsr*sEiE********sE+E+ESEiFitsrsrlr+E+rs ***x+EeESESE -*********** 92812 UMT: ZONING R EQU IR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em licensed under provisions of Chapter 9 SETH ACK S (commencing with Section 7000)d Division 3 of the Business and Professions Code,and my licensee in lull force and effect CITYUC.NO.:064038 uc.cuss:C-36 uc•NO.: 691598 EXP: 01 /98 MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: 19-1b7 cmmarran -raw-. SLC(J'e-44.. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under Penally of perjury that I am exempt the Contractors License Law for the following reason(Section 7031.5 Bushes'end Professions Code:Any city or county which requires a permit to construct.alter.improve, PARKING REQ: PROV: PARCEL: 42606315 Z NE: REF NO: demolish,or repair any structure.prim to its issuance,also requires the applicanl for such permit to file a signed statement that he or she PLANNING NOTES> S licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she'e exempt therefrom and the basis for the e0aged exemption.My violation of Section > r• . 're 1. . 7031,5 by any applicant fog a permit subjects the applicant loecivil penalty o not mon than Dm hundred dollars MOOD. **************************************itlt******************1E******************** O L a owner ofthe pmPenyOrmyemplwees with wages a their sole compensation.writ do the work.ed the structure i not intended D E V E L O P M E N T S E R V I- C E S -- R" E.-Q U -"I R E M E N T S or offered for sale(Section 7044.Business and Professions Code:The Connectors License Law does not appy roan owner of property , who builds or inproves thereon.end who does such work Nrnaeff or herself or through he or her own employees,provided that such I improvements ere not intended or offered for sae.If,however,the building or improvement a sod within one year of completion, ZONING APPROVED BY to - '`` . DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). - H - ,�i ❑ I.as owner of the property,am exclusively conlrmiq with licenced convenors to construct the project(Section 7044,Business and BUILDING APPROVED BY : "r ' • ' DATE: - Professions Code:The Contractors License Law does not apply to an owner of property who bulls or improves thereon end who .' �, contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). 1, ' ❑ Iamexempt under seclon: B.&P.C.,for this reason: APPLICATION ISSUED BY: ` 1 DATE:C"iF�F Date: Owner: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I am aware of end understand the requirements of Carcoma Health and Safety Code Sections 25505.25533.end 25534.and that I Or any MUM building occupant will/wil nal(circle one)need lo comply with said state cedes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for conem,ctionor moderation Iran the Aiyaagemen District Residential cestmaon appicatons are exempt from these PERMIT 176 . 25 provisions. Date: Applicant: 25$ - e ' SMIP/NON—RES P WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: S S U r/_ i SSUE FEE 22 .00 o Ihave and wilmaintain a°endca°oconsent losef"insure Mr workers'compemato°,esprovidedforSection BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.foglhapudannena.etthe wdkfogY whthiepenbiel®sed. TOTALS----> 176 . 25 22 . 00 0 . 00' 198 . 25 198 . 25 . 00 ❑ I have and will maintain waiters'compensation insurance,as required by Section 3700 of the Lam Code,for the performance of the work for which this permit a issued.My workers'compensation insurance carrierer end policy number e: •-' Carder STATE FUND . _ . _ . EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 198 . 25 OVER/SHORT: 00 Policy Number 1443410-97 _ 01 /01 /98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be competed r the arra is for one hundred dollars 131001 or les) 198 . 25 ❑ I terry that in the performance of the work for which this permit is issued,I shag not employ any person in any manner so as 10 I become subject to IM workers'camperreation laws of California,ed agree that B I shoPud become abject to the works& ********************************** E*****. *********************** **************** g compensation provisicns of Section 3700 of the Labor Code, INDIVIDUAL- FEE BR EAKDOWN Dae�2O/ — 40.17:01._ tw '� TYPE__.;,QTY__ . DESCRIPTI0,N UNIT CO- T TOTAL COST Warning:Failure to secure workers'conpensadon coverage la unlawful,and shall sub employer to criminal penalties and• civil fines up to one hundred thousand dollars($i00.000A In addldon to the cwt of compensation,damages as provided for In • • �°''� Section 3703 of the Labor Coda,Interest,and attorney's fou. PLU . 1 BATHTUB •° ) D ,: J ® 8 . 75 • CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the PLU_ _ _ 1 DISHWASHER / '• , 7 ""'at''++�� 8 . 75 performance of the work for which this permit is issued(Section 3097,Civ.C). PLU - 1 LAUNDRY TUB OR WASHER 75 8 . 75 LENDER'S NAME: PLU 2 SHOWER ,� e., .. F� 95R egg] 17 . 50 LENDER'S ADDRESS: PLU 1 SINK, KITCHEN 8 . 5'' - " 8 , 75 I certify that I have reed this application and state that dm above information is coned.I agree to comply with all dryad county ordinances PLU 4 WASH BASIN ,'•` • y�8 s 7�5q 35 . 00 0 and sate laws relating to buidng coretrudon end hereby authorize representatives of thaolyto en '.05'mtheabove•mentbned propend PLU 3 WATER CLOSET (TOILET) CITY Ut•QEySjA MESA 26 . 25 I«insPeci°npa°oesPAM BLYLEVEN PLU 1 WATER HEATER AND/OR VENT . 11 .(NISTA 11 , 00 Pd Name PLU 1 WATER SERVICE • .1' I I 8 . 75 8 . 75 PLU 1 •_ GAS PIPING SYS _ OF'. , 1. TQ 74;OUTLETS__ "_. _ _ 5. 50 5 . 50 �(y/NL� a \ L-QIM_ Dmeag/ii, PLU 2 GAS PIPING SYS 5+s`rOUTL PER,_OUTLET___ _. 1.. 00 2 . 00 Signature of Agem/ApplcenUContredo • (5151-46.WP) White-Buildiq A Safety;Green-File;Canary-Applicant Pink-Revenue:Goldenrod-Assessor . r CONSTRUCTION AND PLANNING PC 3t SPA APPROVALS Permit # Date Inspector % APPROVALS Permit # Date Inspector ; 1. Temporary Electrical Service Or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - c - 53: Steel Reinforcement ' • c3. ElectricahGorrduit Utility 54. Forms - ::::-.7-447. Electrics rt�uft-LMdrgrnd. - . 55. Electrical Bonding -5: Steel Reinfor<semenC. 56 • . Rough Plumbing &Pressure Test Ete,ctricak�-ff@R.Grnd. .. -57. APPROVAL TO COVER•GUNITE '" c r. '=7: Footingsr F-'.7.-.-_,oo 'I 58 Electrical Contlua Undrgrnd. -. 8. Foundation:LL J a' ns . 59. Gas Pipe, 0 Uhdrgrnd., Test 1 =9. Water Pipe-Unci'cgiid..'', ., 60. Backwash Liner,ETrap, 0 Undrgrnd. '10. Sfructural FloorSystem r., - 61. APPROVAL Tp.DECK 11. P perty Sewer Line-& Housjconnection 62. Backwash & Receptor-Final - 12. Sewer Cap .S '' c. I 63: Heater & Vent-Final 1 oi a- - 13. Roof Drains;` - , 64. Plumbing System - Final i • 14. Rough Plumbing 65. Electrical-Final . r. r 15. Rough Electrical-Conduit Cr. 66. Solar System-64N) - 16. Rough EjectricAtViri+ig . 67. Fencing & Aeons Approval . 17. Rough Wirxtg Sign a 68. APPROVED FOR'PLASTERING _.- • 18. Rough ElectricaLT Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air ConditioningEMENT EDE r. r• r A I r'•- C^? r. r� m rc:l- .-. a., .F1,R_Ea c-PT�REQUIv Rcr.t ._ r-,_. 4 _ _ c. 20.�ncit gh Factq y Fifeplace , �-2 <c 't.• g` APP$OVP,1Z PPmit # � -- - -•7 =- •--17 - - . 21.rDudts,irVStructure; ; •' '• x S V H- -' "'",'"2.,,--,^ ; r rr S;: c r fl._ 70.RUndecound Hydro t •22..-Ducts', t..Entiiin # 0 ; " C, 5 r-,y: < 71. Product-Piping L&Gas DOil z - 23.GasI-Pipe-Roach & lfest rr, ?:c ;r a: v' 14 C '= drt-• 72. Underg tld EjSsh .•• "' 24. Roof Framing' 3'f• * > _,* -. 7C'3. Undergrnd.Storage Tank 0 Gas O Oil J 1 C1 25. Roof•Shuathing n4:.1 '1 1,;; • C > = - 74. Overhead Hydr`-ntr At' 26._T•-Baf Ceiling (St nr urall &iNorwcoat * cr rl 'Tut** rr z '.- ." o r -`' - n i!to . :K C'. ,. Flash;' < ^ 7§. Dry Chemical t.,t.,' .•,•• * d;ra r-r._ _ e 27.„Frame and giGQ 4 C r ID* 76. Dry Statjll'pipeFwy a =w•S ;='-i r _, 28. LatRng`&Siding; y ;15.'' T yx -I - ', FIXE6fS$JSTEN'F-F`INPd:- r �'~'>:,r-r- - tr 29. Insulatioi /-4 IC S •• f r I � k #11-...7:FIREPREV. FI[y"AL 'r a Tt' H--C < - _ - 30. DrywallrNailing4. r I-, r. ,-• rn-: cuHEALTH DEt .�REQUIREMENX: _ ,- c �• _ 79. FINAL 31. Plaster -.2 <Co3i* S. . tr t. I i :x ;^ x - 32.0 lectri Power a erQFinaI: ... i. 1 '-- �, ca'!; I pR „� FOOD CERTIIC'ATE JS�UED - ,_. - 33.-_finat Electric• S r t^ < 5; Nbtes: ^'' `t f+ '- '-' r= ' 34.CFin&Heating`:& Ai thetwidition igt r * r ! ( .' t --• ' / i' 9 u' 99171 gr;2,G• __ 35.,_Fma Gas•Pit Test .0 1 C /,24 - -- Pr' .. G g':!'! �'' .i - 36. Hood or"'CanopyE,* - I tT"-: 4, : c• I . f Z ter'- (� /� e - L;. E-.r. t :.�'IT7 :c I 1 [')- =IL L / O(y�y� �t r. 37. 'Finel.Factory Figeptacex 7,-HT. c ( - .r - :i !r -.r e: m q 38. Fina'liPlutnbing *, n,N " ( ril I ,/ m. s yam' - - r., - . 39 atW Er Sekvice-Finals. g 1 '-„ * ' I /�, >. ` .. -• • :-.rt - 40. Gas Service-Final. ` r Cmc -= ' ,. r" i` "w c•:ct, r rr, ', .: rF+:.. ,r• - !!`J f_i r.,. 1-. . t ter.. :1: < 41. Solar Domestic-Final' `� ' I x r -- �' * �. G r• -d' ' CD .- 42.4. Backflow Preventers c.r - c -&-• : '- 1- Ice* rT- - rrir t2,1 r l.. 3iii • -�.4 - . - t'IC' * r - _r _ 43. Backflow Iry'gation; rt�crit* n.; 744._Landscape 1fFigatioh SystenF"T^ c + to r" -• n-: _ ^= :: - "fu e.{y '- -1/4.1' - . `_ 455Sound A.ttenuatltrkt ; ._ ., .. r. tr. •nx s 7c • &-i 0 "t Ict - y t 171 _46. •Handicap-Regulat{ons C' r tt TC ' :Ir.; 5 * `4 CO IT Y': •. r �' I I C T • _47.=FINAL STRCICT,4FE & BUILDING ,; I r t1" -' C F. •u r t'' * a _ f • 48.,.FINrALPLANNINO' i-? -, n: 1 hr., •c. ; r, .- - �49.`Ele6tr c Release to. dison ` `-rr. ^ "` _ Y: I rk -, - - _ - -•. _ _ _ - , 50..Gaslielease to Southern California Gas Co r i i--- r-' k-_-' ' • - • . ' ' =51. CERTIFICATE OF'OCCUPANCY * = C. - No Date U - ADDRESS OF BUILDING: - UM: .0WHERS NAME tile/OWN: ADDRESS PERMIT NO: P 081870 PLAN CHECK NO: 00884-97 N PACES 2 - ****iE+E**+Ex****x*************x*******x************+E******* ***** *************** *APDL.MAADIG ADDRESS: TYPE . QTY DESCRIPTION UNIT COST TOTAL COST • ARCHITECT OR MINCER: MO IC: ARCH OR EMS ADDRESS: uM: PLU 1 SEWER CONNECTION TO BUILDING EACH 22 . 00 22 . 00 PLU 1 LAWN SEWER, SYSTEM ON 1 METER 13 . 25 13 . 25 CONTRACTORS NAME: j END OF FEES cONmAaorrs WANG ADDRESS ' ' UC NO.: UM: LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 d the Business and Professions Code,end my license is in full force and effect. CRY UC.NO.: UC.CLASS: UC.NO.: Date: Caroada: OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5&aiyss and Professions 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 or she is licensed pursuant to the provisions of the Co tractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the Business end Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section �.i 7031.5 by any applicant for a pennk sobpds the applicant to a civil penalty of not more then fire hundred-drifters[mow - ❑ 1•as owner of the propertyimmure or my employees with wages as their sole compensation,will do the work,end the scture anot intended t,y or offered for sale(Section 7044.Business and Professions Code:The Contractor,License Lawdoes not apply to an owywr d property / who builds or improves thereon.end who does such work himself or herself or through his a her own employees.provided that such -• improvements are not intended a offered for sale.f,however,the building or knprovemerk is sold within one year of completion,the - v owner-builder will have the burden of Proving he or etre did not build or improve for the purpose of&del: ❑ I.as owner of the property,ser exclusively contracting with licensed contractor,to Construct the protect(Sedbn 7044,Business and Professions Cale:The Conlnecters license Law does not apply to an owner of property who builds a,inproves thereon and who / d1 such' contracts for projects with a rontreda(s)licensed pursuant to the Contractors License Law).-1- . ( y 4...,❑ I am exept under Section: B.&P.C..fa this reason: i L h 7;� Ii t 7 �, m Date: Owner I do hereby certify that I anis aware of and understand the requirements of California Health end Safety Cade Sections 25505.25533.and ,a' 25534,and that I or any future building occupant will/wit not(circle one)need to comply with said dZ' t SIMS codes end the requirements for _ -" e permit forcnstmction or modification from the Ak uely anagement District.Residential construction appiostias are exemprfrom these provisions. ..-- s.-• A) Dale: Applicant: yds WORKERS COMPENSATION DECLARATION:I hereby affirm Nader penally d perjury ane d the following declarations: il„ ❑ I have and will maintain a certificate of consent to sett-insure for waken'compermton,as provided for by Section 3700 d the Labor " AY Code,for the performance permitthe work for which this permit is is issued. ❑ I have end will maintain workers'canpenaelon insurance,as required by Section 3700 of the Labor Code.for did Performance of 144 work for which this permit is issued.My workers compensation insurance carder and policy number are: Carver: I r+ r Policy Number: 1 (This section need not be completed y the permit is for one hundred dollars(5100)or less.) n] '!, ❑ I candy that in the performance of the work for which this permit is issued,I shall not employ any person In any manner to as to ' • ' become subject to the workers'compensation laws of Calilanie, end agree that d I should became subject to'the workers' - compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. Date: Applicant: D ,. -- Warning:Failure to secure cornet wtlon coverage la unlawful,and shall subject an employer to criminal penalties and '` t y �,� . /F 12 deli Moss 06 to one hundred thousand dollen(610G000f In edd/tlon to t nor cwt of compensation,dameps a provided for In ! '• ` ti q 5// Section 3706 of Me Labor Code,lnternt,and ettOrners yea. n _ . 7 p CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a Construction lending agency for the i t J� Performance of the work for which this permit is issued(Sedan 3097.CM.C). LL FEB 2 g 199 LENDER'S NAME: pr`A LENDER'S ADDRESS: _ ' k ,_ ) 7 `I Pr''N"ff 1 , Vl) .S I certify that I have reed this application and stele that the above information is corred.I agree to comply with all city and county ordinances S'c /f Ct' { V I V J J and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property f-+ for inspection purposes. I Print Name /4, Dole: AF Signature of Owner/AgenttApplicsnt/Conuector _ - (5151-46.WP) White-Building&Safely:Green-File:Canary-Appicent:Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING - - PC & SPA , APPROVALS Permit#� Date Inspector 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-Undr .. 3_'_g1 Q ' 54. Forms • - - t , ` 4. Electrical Conduit-Undrgrnd- . 55. Electrical Bonding i_ 5. Steel Reinforcement '. - - - 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVE R-GUNITE 7. Footings , . - .58. Electrical Conduit-Undrgrnd. • • 8. Foundation . - 59. Gas Pipe, 0Undrgrnd.,Test • 9. Water Pipe-Undr :rs. �, O�P�1'R, �3_la-cls d� `60. Backwash Lines, Pi-Crap,0 Undrgrnd. I 10. Structural Floor System - 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection - 62, Backwash & Receptor-Final , i 12. Sewer*se t, r'.` r 7r? • . 32. Heater& Vent-Finan em . 7 �7. •�' r 13. Roof Drains - - • 64, Plumbing System - Final 14. Rough Plumbing 4-7Vt?2 -65; Electrical-Final ! : , • 15. Rough Electrical-Conduit, // 66. Solar System-F1nal 16. Rough Electric Wiring - . - - ' 67. Fencing & Access Approval t 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling • ,69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning - r . FIRE DEPT. REQUIREMENT I 20. Rpugl`Facto`Y Fireplace APPROVALS Permit # iii. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gss P pe-Rough & Test -1t f�) 72. Underground Flush 221. •o f F r athirig' I` 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Rbof Sheathing 74. Overhead Hydro I 26. T18ar'OeiIFg'y'Structural) & Monocoat 75. Dry Chemical 27. Frame and-ifiashing 76. Dry Standpipe 28. Lathing& Sp.ing 77. FIXED SYSTEM FINAL a.. ..29. Insulation ± 78. FIRE PREY. FINAL 30. O`iywdfl Nailang HEALTH DEPT. REQUIREMENT 31. Plaster B• rown Coat 79. FINAL INSPECTION j 32. Electrical Poiwer Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final,Electricng Notes; 3,9. Final IiIleatingyAir Conditioning ,�;� //'f'/,7,4:,-. t. - (� !- 35. Final Gas P-ipee,7est 9-ts--t) ( /a 36. Hood or Car p`9 ! �7 �+ It H 37. Final Factory,F.ire lace p '?-!s 7� Ck_scer rO _ 3 Final Piumbi`ng 8/�j97 /''wg, _ _ GQ�� - 39. WL ter Sere-Final ! (( 40. Gas Servic-xFinal Al. Solar Domestic'Final I 42. Backflow Preventer -w'1 43. Backflow'Iirigation =' 44. Lands'dape-lrrigation System .j 45. Sound Attenuation ins 46. Handicap Regulations ..:...c --- i. q. FiNA),STRUCTURE & BUILDING v' - FL; _ J 48: FyNAlV.iPLANNING t'- ---.1 4 49. EMectrTe Release to Edison 50, Gas Release to Southern California Gas Co 4 n- 51, CERTIFICATE OF OCCUPANCY No. Date - 1 ADDRESS OF BUILDING 192 CECIL PL OMT: '' CITY OF COSTA MESA - BUILDING PERMIT vNERGN'aaEIFIDlOpN OAKHILL DEVELOPMENT PERM NO: E 082447 ' " ' ADORS& 1048 IRVINE AV PERMIT NO: E 082447 PIAN CHECK NO: N GOVT: N SUPP : N NEWPORT BEACH, CA 92660 APPL.MAILING ADORES& CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT ORENGNEER: KEITH PALMER ucND.: C-11096 JOB DESCRIPTION : 2110 SQ FT LIVING 472 SQ FT GARAGE SQ FT: AIICNARENDJS ADDRESS: 1048 IRVINE AV on 363 NEWPORT BEACH CA 92660 CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /U-1 cONmACTareNAME OAKHILL DEVELOPMENT, INC. ( 714 ) 825-0671 CalTRACTONS MAILING 1048 IRVINE AV COMMENTS : REF:B-81846 ADDRES&: N. B . CA uGND.: 730408 ****+E -*****x********M-************IEae**K-** - -* -*****+r************N-**N•*+t*********** . 92660 gNm ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby dlim under penalty of perjury Nal I em licensed under provision of Chapter 9 SETBACKS (commencing ebb Section 7000)of Division 3 ol the Business end Professiae Code.end my acarus is in tug lace and sped. UC.NO.: sac.CLASS: sac.No.: 30 0 E} MAIN BUILDING ACCESSORY BUILDING o �f`�5- 57 couado FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN WNER BUILDER DECLARATION:I hereby affirm under Penal',d perjury that I am exempt from the Contractors License Law for the folot. reason(Section 7031.5 Business and Prohassions Ca*Any ay cr c,ounty with requires a perrne lo Construct.Idler.knOrwe. PARKING RE PROV: PARCEL : 42606315 ZNE: REF NO: demolish.or repai any slncture.pin to its issuance,also requires the applicant to Stant prima to file a signed Stat thator he she Q S licensed puissant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)d Division 3 of the P LANN ING NOTES> Business and Professions Code]or that he or she S exempt Iherehom end lhe basis for the alleged exempton.My oblation of Section > jib 7031.5 by any eppimnt for a Permt=Neda the applicant to a wit Penally of not mote than Me hundred doW MOOD. *******************************!€ a.********************************************* ❑ " or e " ee'" °° °'tion WO dand IM aintendedDEVELOPMENT S'..±..'..±..-R V I C E S R E Q U I R E M E N T S;aad for le( 7044, ns and with sionsses as CodeTnecaada,License oro.the snnotappytenbwr. operty who builds or anpoves thereon.end who does such work himself or lane)or through hi Or her own empb/ees provided that such i'4 .. kmproveenentstlend intended odksad musele.I,howewn.the maMmgor mm in° ."m "sddwahin°eye dconPleion.d" ZONING APPROVED BY ( - DATE: owner-0budder Oa have the burden d proving he or she did not build or improve for the purpose d sale). _ ❑ I.as owner of the properly.am exclusively antradog with lensed contractors to construct the rimiest(Salon 7044,Business and Professions Code:The Catradon LSO=Law dose nor apply to an owner of property who builds owwraves thereon andwho BUILDING APPROVED BY : DATE: contracts kr suds coeds with a contractor(s)licensed pursuant to the Contractors License Law). ❑ lamexempt under Secton: B.AP.C..for tlireason: APPLICATION ISSUED BY : 4,.., - DATE: 1 ii Date: Owner: ********************** ********** ** I do hereby catty that l am aware of and mdeestand the requirements of Carloads Health end Selly ll Code Sections 25505.25533.aLEGALIZATION: N F/ESE SUMMARY STRUCTURAL SEGMENT: N 25534.end is I or any Kure building g occ uen will/all not(dale one)need to comply with said state codes end the negdre menls for apemdfamnsmatononaddaetonfrom the A:a xranuseersDistdd.Reoda Sa construction cs nappiinthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING pry. PERMIT 101 . 95 Date: Applicata:_ 50% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm der pen*or perjury one re the followingu:&dudoPLAN CIIhaveandwMmeaiaMacerlawedatnsenttosw:uwnawwkete.aompenatlon,®pra,idedfidSiSedien3TmdtheLmor ISSUE FEE L2 . -0 Code,for thepedoem.nceofthewokfowlxhtispemmlsoeued. BUILDING-DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE CIIhave and vol m.itanworks&compens.toaa<arewe.esrewired Sec lion o n3700dwLaboCode.krteperf«marcealthe TOTALS > 101 . 95 22 . 00 0 . 00 123 . 95 123 . 95 . 00 work for which Nov Fame S issued.My workers'compensation insurance eerier and pricy number are: • Carie: REVENUE DIVISION TOTALS--> COLLECTED: 123 . 95 OVER/SHORT: . 00 Poky Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK section need not be composed i the Pent is for one hundred dollars 1$5001 or Inti) 123 . 95 I cen that in the perlaof Permitmanner mancethe work for which INN ceS issued.I Nell notemploy any person any mannso to d 4, witty • Scan.aubted rrthe aka.canPeweon lawd CtaMMe.and °Wethat 4. erm�s4sdthe woken' *************************************************************** ****************4wnperoat 3700 of the Labor Code,I N (TT—/S f7Applicant INDIVIDUAL F E E BREAKDOWN Wa lop:FsPwwosecure workers'compensation coverage la unlawful,and shall sWlactanemployer to admired penalties soil TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil liras w to one hundred thousand dollars($500.000),In addition to Ne cost or compensation,damages as Provided kr In Section Code, t aaeawaDomaYa less. ELE 2 FIXTURES LIGHTING 1 ST 20 EA. 1 . 00 2 , 00 ' CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty o palsy that then e e mntlMbn;amino agency for the ELE 3 R EC EP T/OOTL ET 1 ST 20 EA. 1 . 00 3 , 00 performance alhe wakfo which the gem/lsSued(sedbn 3097.cit..c). ELE • 2 RECEPT/SWITCH 1 ST 20 EA. 1 . 00 2 . 00 LENDER'S NAME LENDER'S ADDRESS: ELE 2110 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 04 94 . 95 I certifythat I have read this application stale information application ande that the above infation S coned,I agree to comply with all city and county ordinancesEND OF FEES and state laws relatiw to building coavwtim and hereby authorize representatives d the city to enter upon the above.menlioned property for inspection purposes. AUGUST LACINO P• 1, M:1311004856 i 84-15-1997/81:29 PM/$123.95 � -11- L Date: 097 PERMIT ✓ ..882447 Signature ol a . UAppimn 082447 (5151<9.WP) White-Buioi.g A Safely;Gree Applicant:Pink-Revenue:Goldenrod-Assessor 9tCONSTRUCTION AND PLANNING _ POs.c & SPA :APPROVALS Permit# Date Inspector .APPROVALS Permit# - Date Inspector rf. 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 COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8, Foundation 59. Gas Pipe, 0 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 `1\ ) I(a' , At` 67. Fencing & Access Approval 17. Rough Wiring Sign •' 99 68. APPROVED FOR PLASTERING 18, Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 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 0 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 4 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final //J qqq 80. FOOD CERTIFICATE ISSUED 33. Final Electric 17/3071 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. FINAL PLANNING - _- 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date