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HomeMy WebLinkAbout401 BRYSON SPRINGS - Building Permitsy. (714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT � �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 401 BRYSON SPRINGS Suite: Vicinity: 401-411 Parcel Number: 93786054 Appliwnt: BATIOFF,JOHN Address: 17182 ARMSTRONG AV IRVINE, CA owner: BRIGHTON SP HOA Address 412 BRIGHTON SP COSTA MESA, CA C.M. , CA Contracror. DAVEY ROOFING INC Address: 17782 ARMSTRONG AV IRVINE, CA Zip: 92614 Arch : Address: Phone: Zip: License: Zoning: Phone: (949) 852-9955 Zip: 92614 Phone: Zip: 92627 Phone: (949) 852-9955 License: � 700710 Eng: Address: ISSUED BY: Status: ISSUED Applied: 0412 3/2 0 0 7 Issued: 04123/2001 Phone: License: , .a�.vro �r r�rtmi i � TEAR OFF CEDAR SHAKE INSTALL 30 LBS FELT REROOF 21 SQ W/40 YR COMP. SHINGLES AND 51 S� WIBUR. Plan Check: Permit: SMIP Res: SMIP Com: Other.' Inspection: Total: $0.00 $237.25 . $1.40 $0.00 $0.00 $0.00 $238:65 � . FEE SUMMARY ' � � — '" =� —� � �� Calc Valuation: � � - � � ` � � �Claim Valuation: ' �� . . „ _ _ !/ , „; '� . � � / i- , , �• ;., , , � , � �:':,::�';.5 ,�"� c;;/ `Q� �� � , , � PLANNING-& ZONING- s�� � '.� `• SETBACKS �� � �j ' ����� �� � _ .. �� � �c % � i � ; �� � � ��', �_ ; \ r - � MAINSTRUCTURE�Fronl 0'0 �� Rear_ �0-0 �� -Left � 0-0� � Righf- 0 0! ���, � i� , � � ACCESSORY Fro�l 0.0 `- �i�" �Reai, 0.0 Left , 0.0 ;`�.'� Right /0 0;: ,. .� `V �1 /! ' PARKING Existina: '�0����_ Reauired: 0 _. � � Pr000sed: `— 0'- � � � � �� % �� - - . , ._. , �� !i,.�i NOTES: - _ - , — — _ _ . - '_ ,, % ,,_i E13,957.00 $73,957.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 9248, § 1, 7247•92) EXPIRATION: This permit shall automatically expire and become void I� work is not commenced within 180 days, or if work is suspended or abandoned lor a period ot 180 days. - INSPECTIONS: In order for the work euthorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred InapeUiona and tinal epproval must be obtained. Failure to obtaln inspections and final approval will result in the explration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ri�r�.r:i(•i9] WORKERS' COMPENSATION DECLAfiAT10N: I hereby attirtn untler penalry of per�ury me of Ne Idbwing tledaretions: ❑ I heve entl wlll melntein a certiiicate ol consent lo sell-Insura tor workers' compensetlon, es provided for by sedion 3700 ot the Lebor Cotle, for ihe pertormance of the work tor which this pertnit Is issued. QJ 1 heve end wIU meintain wwkers' canpensatian insurence, es requvetl by section 3700 ot the Labor Catle. for t�e pertortnance ol the vrork iw whlch Ilds pertnit is Lssuetl. My workers�' omp�eIns_at_ion Insurg�p��/.�grtier and n mber ere: �'y.y�� r�.� Cartier. YC1 W�+�\r 1! Uii� � POIICyNumber ��� �CRi� C2l �/'"II (Thls secNar not be campletetl il Ne permit fs velued ef one hunOreOOdlers ($f 00J o� Ie55J ❑ 1 certity that In Ne pertortnance of Ihe work for whlch this pertnit Is Issuetl, 1 shell not employ any person In eny menner so es to become subJect to Ihe workers' compensatlon laws of alifomle, erW egree Ihat il I shoultl became suD�ect to the workers' compensetion proNslons of Sectlon 3700 of Ihe Lebor Catle, I shall forthwiih comply with Nese pro au. �PllcentSlgnature: � Dalo: �'' ��� r WARNINO: FNLURE TO SECURE E0.5 S�TION ODVERACE IS UMAwFLL M1D SMALL SUBJECT AN �f.IPLOYER Tq CRIMINAL PENALTIES M!D CML FlNES UP TO ONE MUNDRED T/IOUSAND OOLLARE (5100,000), IN ADDITION TO THE WST OF COMPENSATKNI, DAMAGE$ AS PROVIDED FOR IN $ECiION 3Y08OF THE IABOR CODE, IMEREST, AND ATfOqNEYS FEES. LICENSED CON7RAC70RS DECLARATON: I hereCy eHirtn thet I em Iicensetl urWer provisions oi C�epter 9(commenGnp with Section 7000) ot DlWsion 3 0l �he Buslness entl Profes ons Code, entl my license is in tull farceflndeftecl�t7� �Z%%�� Cla�.ia l' 3� CONSTRUCTION LENDING AGENCY: ❑ I hereby atfirtn that Ihere is e constnxtion lendinp epency tor Ne pertormance ol the work lor w�ich this pertnil is issuetl. (Sec. 3097, Civil COAe). Lentlefa Neme: Signeture: _ OWNER-BUILDER DECLARATONS: Lendefs AtlOress: Date: 1 hareby etfirtn t�at unCer penelry oi per�ury Uat I em EXEMPT FROM 7ME CON7iiAC70RS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business flnd Professiwu Cotle: Any ciry or counry which requires e pertnit to construct, elter, Improve, tlemolish, or rapair eny strucWre, pnor to Its issuance, elso requires ihe epplicant lar suU pertnit to file e signed statement t�et he or she Is Ilcensed pursuant to the provisbns oi the Coniractora Ucense Lew (Chepter 9(commendng wlth Sectfon 7000) of DNision 3 of Ne Business end Profeulons CoCe) or thet ha or she b exempt therelrom end tha besis for tha elleped exemptlon. Any WWation of Section 7037.5 by eny applicant for a pertnit subjects the epplicant to a dvil penalry of nat more Ihen tive �undreE dollars (5500).): ❑ I, as owner oi Ihe Oroperry, or my employees with wages es Neir sole compensetlon, WILL DO TF1E WORK, en0 Ihe sirucNre Is not imendetl or ofreretl for sale (Sec. 7044, Business and Professions Code: The Contrectors License Lew does not appty to an owner ol property w�o builtls or improves thereon, end who does such woAc himseli or hersetl ar thmug� his or �er own employees, provided thai such improvemeNs ere not Intended or oHered tor sale. If, however, the builtling or imprwement is soltl within one yeer o1 campletion, Ihe owner-builder will heve t�e burtlen ot Droving thet he or she did not build ar Imprwe lor purpose W sale.). ❑ I, as owner of ihe property am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (SecJ044, BuSiness antl Professions Code: The wntredors License Lew does nal appty Io en owner oi pro0erty who builds or Improves ihereon, antl who contracts for such project with a contranoqs) license pursuent lo the Coniractors License Laws.). ❑ I am exempt untler sec. Business enA Professions Cotle lor ihis reason: Signeture: Data: Owner ID venlied by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Vedlicatian of Ownership by (lype of document, i.e. - property tax �III ar tleetl): DIVISION OF INDUSTRIAL SAFETY VERMR CER7IFICATION: ❑ I hereby certtly that no excavatlon Ilve (5) or more teet In tlepth Imo which a person is requlred to Oescen4 wlll be mede in connection with work authodzed by Ihis pertnit, entl that no GuIlGinp sirudure, scettolding, telsework, ar demolitlon or tlismantling thereoi, wlll be more lhen Ihirty-six (38) teet high. (Chap. 3.2. Gry 2, Art 2, Sec. 341, Titla e, Cellfomia Administretive Code). ❑ As owner-bullder, I wlll not employ enyone to do work whic� would requlre e permit irom t�e Divislon of Industriel Sefety, es notetl ebove, unleu such person has e permit lo tlo such work from t�e tlivision. Slgnature: Dete: Dlvislon o1 Intlusirlel Selery Permit Numbar: CEFiTIFlCATE OF COMPLIANCE AND AUTHORVJITION OF EMRV: 1 cerUty under penalry of perjury i�et I have rea0 this appliwtion and state t�af the infortnation given is cortect. I agree to wmpty with ell slete tews end dry ortllnances releting to building construcilon, entl authodze representatives ot Iha Ciry ol Costa Mesa to enter upon the ebove-described property for inspeclion purposes. I egree not to occupy or ellax occupancy of any building euthonzed by Ihis pertnit until Mal inspection. CODE I, INSPECTIONTYVE 1616 Fixed System Final Fire Prevemlon 1268 Pool Spa Finel 200 Finel Re-Root 201 Flnal BIocWReteining Well 202 203 204 Finel Factory Fire Placa Final Sign Final DemdlUon PLg 1I�dL5 Date Gf � 2'��� -� ate GO�E I INSPEC710N flPE 208 Final Mechanical 208 Finel Plumbing 210 Final Electrical 212 Finel Fire Prevenlion 220 Finel Planning Approval 222 Finel Sile 250 Finel Bulltling/Occupency Pdg V�l@ , ._ - �Gr�G-, ��J Cfp/� 03� 0 s� 07� 09, i/ �, � COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICA'I7 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � RECEI V ED BV For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS OWNER OR TENANT M.D. Janes CO.� Inc. ADDREss 2950 Airway, D-9 c�Tv Costa Mesa 92626 No`979-33 CANSTRUCT�ON IFNhFii N/A BFANCH ADDRESS CONTRACTOR TEL. C�T V NO. STATE CITV LIC. NO. LIC. NO. SIZE NO.OF BLOGS. OFLOT ITT2g". NOWONLOT USE OF � EXISiING BLDG. Separate permits are required for electric, plumbing and hea[ing work. VSE OF BUILDING AND WOflK TO BE PERFORMED Unit Condominium & Attached Gara�es. I hereby eeknowledBe that I have reatl this application and ztnte that the above Informallon is corract antl agree to comply with all lawa reguletlnp builtling construcHon, entl I shall not amploy any parwn in violaiion of the workman's compensation laws o£ tha Stata of Californie. I hereby certify that I em properly Iicensetl as a contractar untler ihe Siate of Californla Businasa and Protessions Cotle, Divislon 3, Chaptar 9, antl tha< uch licanses e�e in full forca and effect, or I am axempt from t provislons of the Stete ot Celifornia Businass entl Professions Co e, Div fOn 3, Chapter 9. SlBneture ot Parmittea or Authoriiatl A ate A.P. NO. /I5� Z 3� GZ BUILDING �j A�DRE55 //// � 7�� UNIT OR SPACE NO. TR.NO�� LOT BLK. NE ADD ALTER REPAIR MOVING OEMOLISH OWNER%n• J/• V�"7NFS �. I�C VA E a USE � e7/ 7 % ZONE � TVPE GROUP APPROVED BV DATE APPROVEDSETBACKS (FROM C/LSTREET) �G ( � � / ///_ FROM D FT iR.iC/v5�� 9. SIDE � � FT. /✓v�f/ //J L. SIDE L � FT. .C.J-sVG('/i/7 � REAR ZZFT. �C%� PLANNING ACTION ���/�� /S / APPROVED/� �3'7� THE AMOUNTSHOWN UNDER VALUATION IS FOF THE PURPO6E OF ESiABLISHING A PERMIT FEE ONLV: VALUATION PERMIT FEE § PLAN CHECK S � � g z17� �oo" TAx s TOTAL PAI D E !'{/ � _ ,[Zd , �� STA MESA BUILDING-SAFETY DEPARTMENT APPLiCATION FOR STRUCTURALPERMIT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 PERMIT For Applicant to Fill in Completely — Use Ink Only N� � BUILDING A.P. NO. ADORESS ^ BUILDING OWNER OR y / � ADDRESS TENANT (-/ � UNIT OR MAILING ��ra� �1 SPACENO. ADDRES52 �LJ —J TR.NO. LOT .. BLK. TEL. CITY M�(/O NO. 'j NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTON LENDER BRANCH OWNER ADORESS VAWE ARCHITECT TEL. USE S Oli ENGINEER ADDRESS ZONE TYPE GROUP CONTRACTOR /✓(/� BVP V DATE /D _ ` ADDRESS TE l.. CITV NO. STATE CITY APPROVEDSETBA LIC. NO. LIC. NO. SIZE NO.OF BLDGS. (FROM C/L STREE OF LOT NOW ON LOT R NT USE OF EXISTING BLDG. Separate permits are required for L SIDE I FT. electric, plumbing and heating work: REAR FT. USE OF BUII��NG AND WORK TO BE PERFORMED PLANNING ACTION DATE APPROVED APPFOVED I heraby eekno�+'�atlpa thet I hava raatl this aPplication antl staie that ihe above intormation is correct and egree to comply with all laws ragulatl�9 builAinB �onstruction, and � s�ell not amploy any parson in J�oletion of the workman'a compenution lews of Me Stete ot Californla. I hereby ceriify that I am properly Ilcenaetl as a convactar untler SQ. FT. the State oi California B sinau antl Profassio�s Cotle, Dlvislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that su licenses er in full torce entl aftact, Or I THE PURPOSE OF ESfABLISHING A PERMIT FEE ONLV: amexemptfromthe visi sof he5roieofCellfornia8usiness VALUATION enC ProfesslonsCotle ' s n 3, apcer 9. PERMIT FEE $ � PLAN CHECK E SiBnetura of Permittea $ TAX S or Authorizatl Agan Date TOTAL PAI O E � � 5696 ID/29/79 464.OQ...TL F�+ R W � Q h y .�9 F � � / : a�'� Q' ti� � f � �Q. � `OT �SF Q. ,e � � / �V oa� c �ST, �o., FOr " �zp�eU�< q ��<o App>>c c�� eNN Re sc ahr r� F�/��n q q���9i�'TOR ��RF G �j �TI- SS CQ. � 1�1� sr ��c " C/T� S ��C, � ePe� ,�o efectryc rePer,hit NOWo e< i� AIU sa ^'<� �/�� q �b�nB are �e9�ir a N� w�q nd heatjed f�r � k TO �g W eEP�_ °rk: �a� rti he�ab ' `� .-oq\ (V a//ar r ey aO4 a a�y ay �o 3� l�)ny AB S �aD oLe wiaOae e Sra � o' � ar�n n o rhe i re tn a'na r� her ot ��o by� rio h rhe S ebY � �eiiro �8rio �O'%nsn �s cdLB re e� aArsara os�rytY i r��a� n°� tp ��sirrrBpt a rhis g�d Pkgmp anaa/i o�ai � a a iyp � iio� �tl dB A.O//ca 31g l�jas io °jnr�ar s�d e S pJGAe ma� T ec a� s tO e'o� a�d ae �ar�f �s C+he �. �ey.s �/y �. °� ehe/� n�q�Y +tare m� a�f �a ��L' �a9 dOd �80 �sd ��t O� k'l ,�rorhaa �i��,00�sosd�B"�ofe��'esa i�n/awA/oY ho�.ze � 3 t the S t�,/ ip's C�a'r' s at aqBe nepr �rare f��� �de ��ro� \ t e 9� �j�apaO°'e����si��ae� \. Oare f o''/a e4gj� s3 � TF� �\ � � rFOFpA �� \ Use ��� vy '9pp\ 0 \ �Fo P ' ^7 i � C r- o , �qCV PVHP �� qT��N �F ��O sz � '°Fa ��NGq�9! a M�r,o PF, �,9ry FP rqk �tiF�k a r $ OTq �'O�9i� S d � vry\ �p'9Ce� . g�\"a. � U,R�M )t v �� � \S � 46 � � 1Q '� rc � � PNOJECTpDOflE55: 9OS BRYSON SPRINGS uxiT: a�r+En�sxnrnc: �TOVALL, CLYDE `Z � . annness: �LAMBERTSON BRIAN LEE 401 BRYSON §PRINGS #54 COSTA MESA,CA 92627 719) 831-9691 RNCHIENGINEEN: ADONE55: XEG.NO.: UNIT: PEHMITTEE: A—AMES PLUMBING & HEATING (7i9)530-2940 noosess: 10422 TRASIC AVENUE GARDEP� GROVE CA 92642 �ICENSED CONTNFCTOH UECLANpTION: I �ereby allirm that I am Iicense0 untlei pmvisions ai C�apter 9(comm¢ncinp wi�h Section 7000) ol �rvision 3 ot Ihe Busin¢55 antl Pmlessions Code. antl my li ense is in lull force and e�tect. �iTv uc.: 4 0 6 6 6 9 STqTE LIC.: 2 S O 3 O% cu�ss: _ Oale: �Z— Q�- SiA�alure:_ _ _ WOflKEfl$' COMPENSATION OECLABR710N: I her¢by a�tirm I i I Aave a ce ifiute of nsem ro sel4insum or a cenificate ol Workers' Gomoensaiion I Y�G tinilietl cooY �nereal (Section IIO. laG. �C) � pOLICYNO.:'���3�b1 EXP.URTE: "3/OI/9� comraNr: REPUBLIC ❑ Cerlili¢0 mpy is �ere�y �umisheE. O Cehifietl copy is lile M1h Ihe i y BuilEing Dinsion. IA% (�� pate: �// _ �+` � � ppplicant: � E%EMP110N FflOM WOflKEflS' COMPENSATION OECLRBATION: ( is Seciion ne¢4 no� be complete0 if �he permi� i51or o00 hunGr¢G (E1W� or le5s�. 1 cehily ihal in Ihe pedormance o� �hE work �or which t�is permit is issued. I shall nat emD�oy any person in any manner so az to become sub�ecl to Ine workeR' ComDensation Laws af Califomia. Oate: SiO�aNre: NOiICE: II, alter making Ihis Ettlarati0n, you snoula become subjep to tne Warkers' ComDe�3xYon prmrisions al ihe LabOr CaGe. yoU mUSi foRMn�h tomOty wilh SutM1 �mvisions or t�i5 permil Siwll Oe Oeem¢d feVakeE. CONSTNUCTION LENOING AGENLY: 1 hereby affrm that ihere is a constmction lenaing agenry tor ine oetlo�mance at �ne wark for Which Ihis pe�mil is i=5uetl �SecGan 3097. Civ. C�. LENOEfl: aooness: tlWNEfl BWLOEfl OECIAflAT10N: I herehy affirm Ihat I am exempt Imm Ihe Coniractors' Staie License law for Ne following reason (Section 7031,5 Business anA Professional Cotle: Any cily of county whicA reQuires a permit to consimct, alteL impmve, tlemolish, or reDair any stmcWre. prior to its �ssuance. alsa reQuires the appliWnt lor such permit to lile a signeE statemeni ihat hpJshe is IicenseA pursuantlotAe O�ovisions o11�e CAnlractor5' Stale License Law�Chapter 9(cammenGnq vnih $ection 70W�a1DiN51on 3 aftlle Business anE Pmtexsions Cude) ar ttut �els�e is exempi therelmm anE t�e Oasis for the allegeA exemption. Any violation ol Section 7031.5 hy any applicantlor a permi� suGj¢c�S Ihe applicanl �o a civil penalry 01 nal mor¢ �han live hunOreO �ollar5 (5500). I, ,as owner of ine prooeny or my employees witn wa0es as ineir sole tampensation, vnll do ihe wark, and Ne Q simcture is not Intenee0 or ollered lor sale (Section 7044. Business an0 Pmlessianal CoGe: The Cantractors' State License Law Goes not appry to an owner ot a pm0eny w�o OuilOs ar impmves ihereon, anE who tloes suc� work himsell/�erseti or thmugh his or ne� own employees. OmviEea that such improvemenls are nat inlenaea or oflere0 tar sale. II, Aawever the euiltling or im0�ovement Is so10 within ane year at completion, iTe mvnet vri➢ �ave t�e GwOen ot provnp �pJshe db noi �uilE or improve lor Ihe purpose of sale�. I, as owner af the pmpeny, am exclusively coniracting with Iicense0 comracPors to constmct ihe D�olect (Sectlan 7044, Business L7 anA Pmfessions Cotle: The Coniractors' State License Law Aoes not apply io an owner of propertp who GutlGs or improves ihe2on an� who rontrac�s br suc� pmle��s wii� a conirac�or�s) littnse pursuant to ihe Conirac�ors' Slate License Law). I ain awar2 t�at D��� oi their Wakei 5 Compensalia� inwra�e slwul� Oe p�wiGeG la me. p I am exempi unAer S¢ction: B. 8 P. C. i br I�is reason: Oate: Owner. I tlo hereoy cenily �hat I am aware o1 an0 untlersiantl ihe requirements of Calitomia Healtn antl Safety CoAe Sections 25505. 25533, ana p55JE antlt�al I oranyfulure OuitQing occupaniwilVwillnot (circle one) neetlto comply with 5aid state coGes anOt�e reduiremenisfor a permit lor canslNction or moUification irom Ihe Air Ouality Managemen� Oistfict. fle9Cential consimction apD�ications are exem0� from IP¢SC pf0VI510f15. pale: Fpplicam: I �ere�y t¢tlity Ibai I �ave reaa ��is aDV�itaiion antl Slafe Ihai IAe a00ve in�ormati0n is CarreCL I agRe IO COmpty wi�� all Ciiy and Counry o�0inantesaneslalelawsreWtinplO�uiltlingfAn9mtli0nantlhereby ���nlairy¢sotthl5cily�oent¢rupOnl�eaGOve�men�OnEA pmperiy lOr inSDeClion purposes. ' ,n pa�e: �Q � �—�� Slpnature:� � prive�'s �icense or Sociai Securiiy �; IB�La6 Wnite—Bvibmg', Greon—CoOe Enb�cemenl: Canary—Applitanl: Pink—Revenue; GOICenmO—Assessor CITY OF COSTA MESA - BUILPING PERMIT PERM NO: P 467465 P£AMIT NO; P 067955 PLAN CHECK NO: N GO�,�T; N St1PP: N CONSTAUCTION TYPE: PERMIT TYPE; PLU PURPOSE: OTH JOB DESCRIPTION ; C/O WATER AEATEFt SQ FT; CLAIM VALUE: CALC-L*ALUE: GROOP OCC; R-3 / COMMENTS: WATER HEATER C/O ��+e.e+�+��-*+�*�*�#+r����a���c-�rt+�-��*+�-����c���+���c#ce#**a��r*�r-�: *�r*�ar*�r-�#+c�*-x�*�i�-***�x**x* �**�x*�** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUZLDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKZNG REQ: PROV; PARCEL: 93786054 ZNE: REF NO: PLANNING I30TES> > iF if if !f it ik if iL� iE # iF+F 1E 1f if # it iE if if af-fE �1f k iE �t if fE it iF 1F iE iE i! if 3E iE iE iE ff �E iE %i! 1! �E iE iF iE iE iFlF it iE 1E if il� M iE iE iE if iF iF 1! iE i!� iE iE iE i(� iF Y- N i! # it if � D E V E L O P M E N T S E R V I C E 5 R£ Q U I R E M E N T S ZONING APPROVED BY DATE: HUILDZNG APPROVED BY : DATE: APPLICATION ISSUED BY: ///� DF1TE: (f� �J � *�r******�*x�*+�rt+�+�***�-+�**�y-3F**�-��3F***�*i:x**=��e�+��F�iFrt#��F�F+t***+r�****�aF'���r < #w iFN�l6jfititiFir-iFiE+ciE�f#iEiF«iciFiEiEiFiGiE*iFiFifiEiFir�iFiFif��lfiEiFiEiEiEiFifitiFifiFiEaEiEiEiEiFiEirjr�if�ElEiFi(-if�N?faEiE�f-ifif' iFiFiE�E*iEifrtiE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF/RES GP.ADING PEP,MIT 7 00 PLAN ZSSUE FEE BUILDING-DIV-> TOTALS----> 25$ 20.00 PERMIT ISSUE 7.00 20.00 PLAN-CAECK TOTAL o.00 zi,00 SMIF:NON-RES PAID DUE z�.00 .00 REVENUE DIVISION TOTALS--> COLLECTeD: 27.00 OVERlSHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECY. 2%,�� jk �f if aE �E 1E 1F af 1E if 1E fF i4 iF iF If iE iE if iF iF �E 3E iF iF dE iF 1F iF if jf iE iE if 9E 1E #E k tiE iE # if ik iR if iF+F jE k iE iF * if if M iF iE AP ic 1E i�-iE if if iE if if ?E 1f if iE iE fE fE 1F 41f iF?f I i�l D I V I D t3 A L •F E E B R E A K D O W[3 TYFE QTY D E S C R Z P T I O N . UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OF. V.ENT 7,00 7,00 END OF FEES O1 OD1b1631-00161631 TO T 27.OQ DATE: d5i0319i 7I11E: �5:14 . CONSTRUCTI4N AND PLANNING POOL & � . .�?PiiOVALS Permit # - Date Inspector APpROVALS Permii # Date Inspector 1 �Temporary Electrical Service or Pole 52. Pool & Equipmeni Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reiniorcement "� .- 3. Electrical Conduit Utility-Undr9md. _ 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electricat Bonding 5. Steel Reinlorcemenc 56. Rough Plumbing & Pressure Tesi 6. Electncal UFER Gmd. 57. APPROVALTO COVER�GUNITE 7. Footin�s 58. Electrical Conduit-Undr�md. 8. Foundation � � 59. Gas Pipe, :� Undrgmd., Tesc 9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, O Ur,drg: nd. 10. Structural Pioor SYstem 61. APPftOVAL TO DECK 17. Property Sewer line & House Connec.ion , 62. Backwash & Receptor �F(nal 12. Sewer Cap ,�� , � 63. Heater & Vent�Final ' 73. Roof Drains ; ' 64. Plumbing Sy,xem � Finai I 1 14. Rough Piumbing , ' 65. Electrical-Fina1 � � 15. Rough Electrica6Condult 66. Solar SVstem-Finai 16. Rough Elect: ic Wiring 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEPAS FINA� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rouyh Factory Firepiace APPROVALS Permit # 21. Ducts, in Structure 70. Under9round Hydro 22. Ducts, Vent(laiing 77. Product Piping C� Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. fioof Framing 73. Underymd,StorayeTank OGas ❑Oil 25. Roor Sheathin9 74. Overhead Nydro 26. T�Bar Ceiling (Structuralf & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry StandP�Pe 28. l.athing & Siding 77. PIXED SYST[M FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nail3ng HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Powe� Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Finai Elec:ric Notes: 34. Final Heati�g & Air Conditioning _% _G /l.. �Q ��J � 35. FinalGasPiPe-Test ,_ �_e�s ��P1�� 36. Hood or Canopy 37. Finai Pactory Firepiace 38. Final Plumhin9 - ' 39. Water Service�Final 40. Gas Service-Finai 41. Solar pomestioFinal 42. Backfiow Preventer 43. Backflow Irrigation 44. Landscape irr;gation System 45. Sound Attenuation . 46. Handicap Regulations d7. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release zo Edison 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE 6F OCCUPANCY � No. Date