HomeMy WebLinkAbout768 CENTER ST - Building Permits� ,� . ;
, `= CiTY OF COSTA MESA �
- BUILDING DIVISION
77 FAIR ORIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us �
FOR INSPECTIONS CALL: (714) 754-5626 ' � �
PERMIT NUMBER: M08-00106
PERMIT TYPE
APN: 42420111
JOB ADDR�SS:
Vicinity:
SQ. FT: 0
SCOPE OF WQRK:
MECH STATUS: ISSUED
DATE ISSUED: 07131/2008
: ;ISSUED BY: RMD
,r , : _ r`
768 CENTER S�T CM ` , ` `Suite/Unit �
, ,�l).�/ � ` � : r . . . . � "r
i� ' :� �• '
„ �. � ��.�
HANGE;OUT OF WALLFURNACE < 100 K BTU FOR A SFD ''" '�'�'�
..A.,. ..h.l
, /" 7 r� ;'. .�y; . i '
: ,y � `,'�,.�
.'i�: � i ':• � - �
n�,;' i �',I`� •4i5. .
OWNER: 3ULLIVAN, SARAH�M ;� �� Address: 768 CENTER.ST.` UNt: �i-
PHONE: � �,. � . t l�,?'. - . .. City/State2ip: , COSTA MESA, CA � �. ' �
APPLICANT: GEOFFREY{MERRIQK�'`G; �_ � �-� �' �'= iAddress: . 3350�NEVADAAV lUnit �^,�
PHONE: 714•369-4002 •� `� �P'.:' � � /" �" ' ' CltylStete/ZZlpl � .COSTA�MESA°�,CA �.{ }`�'�
�� � .✓ ' ' y. �, ',. .'.. ._'. \ .. .� 4 \ .�. 5�.''
CONTRACTOR: MERRICK PLUMBING AND REMODELING License Na. � 802626- �, ,�� `
Address: 3350NEVADAAWnit: PHONE: 714-369�002 _.
City/State: COSTA MESA, CA;�.-- ZipCode:`92626' � � � �� , ' -CELL: ; ; � �
,�. . ... . . : _ _ . . . , t :.
� J.
� ��.� - ' . . , _
..l'� . '.. � - ' - �
. , . � . . . . - . ,.. � - �
' � i ' � . . ' �. !
MECHANICAL PERMII' F,EE SUMMARY =. - ' " ' `;` ' :
MECH ITEM FEE: '� ,,, � �. � 538.30 .
PLAN CHECK FEE: _. ' . $0.00 �
INVESTIGATION FEE: � - � $0.00 � �
REINSPECTION PEE: � 50.00
TOTAL FEES: $38.30 .
, . L, � _'- . . ' ,
' :��' ... . . . .
^ 1-- . .
A
NOTICE: The work authorized by lhis permil shall comply with all applicable handicap access requirements under Califomia statutes and related
re9ulations. (Ord, No. 92-28. § 1, 12-21-92) .
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. � �
INSPECTIONS: In order for the work authonzed under this pertnit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiraGon of this permit.
co�Er. ix�cnoxtrre o� i� � ixsvEcnoxirve p n� /yl�r���• .
1616 Fized System Final Fire Prevention 206 Final Mechanical r�A- � [� �� ��
1288 Pool Spa Final . 208 Final Plumbing
200' Final Re-R�f 210 Final Electrical �
201 Final8lock/ReUining Wall 212 Final Fire Prevention
202 Final FactOry Fire Place 220 Final Planning Appraval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final BuiltlincyOccupancy
� , .�
WORKERS' COMPENSATION DECLARATION: �
I �ereby affrtn under penaly ot peryury one of ihe following declarations:
❑ I have and vrill maintain a certificate of consent to self-Insure (or workers'
eompensation, as provi0etl for by section 3700 of the Labor Code, for the
performance of Ihe xvrk for which lhis pertnit is issued.
❑ I have aM will maintain workers' compensation insu2nce, as required by
sectlon 3700 of tlia Labw Code, fa the peAamance of the xork fa which this
pertnit is issued. My workers' compensation Insurence cartier and policy
numDer are:
Cartier.
(il�u �.Yim MeCnot De rampkletl /fMpermT u rehrea et me himOred cbRars (f f00) arless.)
Policy Nu ber:
� I ceRify that In the peRortnance of the work for which this permit is
issued, I shall not employ any pereon in any manner so as to become subject
lo the workers' compensation laws of CalHomia, and agree that if 1 shoultl
becoma aubject to the wnrkers' compensation provisions of Section 3700 of
the Labor Code, I ahall torl with wrp y with Nese Drovlsions.
l
%3�� ° �"
Fppll�bnfs 99naWre Dale
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE
IS UNLAWFUL AND SFiNLL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDRION TO THE COST OF CAMPENS�ATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST. AND
ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereDy allirm that 1 am licensetl untler provisions o( Chapter 9(wmmencing
with Section 7000) of Division 3 of the Business antl Professions Code, and
my license is in full force and eftect.
Lic: #� - �� a �.. ,� �_ Class #
�(�--� �� - I•_O
Canlreclors SipnaNre � Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn ihat there is a constructbn lentling agency fa the
peAormarice oi llie �wrk for which this permit is issuad. (Sec. 3097, Civil Code).
Lender's Name:
Lendars Address:
OWNER-BUILDER DECLARATIONS:
I hereby aRrm that under penalry of peryury that I am EXEMPT FROM 7HE
CONTRACTORS IICENSE LAW for lhe (ollovring reason (Sec. 7031.5.
Business and Pro(essions Code: Any ciry or counry which requires a permit to
conStNtt, alter, improve, tlemolish, or repair any slructure, pnor to its
issuance, also requires the applicant tor such permit to file a signed statement
that he or she is licensed Dursuant to ihe provisions of the Contrectors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business anC Professions Code) or ihat �e or she is exempt therefrom and
the basis !or the alleged exemption. My violation of Section 7031.5 by any
applicant for a pertnit subjects the applicant to a civil penalty of not more than
five huntlre0 tlollars ($500).):
❑ 1, as owner of the pmperty, or my employees with wages as Neir sole
compensation, WILL DO 7NE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law dces not apply to an owner ot proDeAy who builds or improves
thereon, and who dces such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. I(, however, lhe building or improvement is sold within one year of
completion, the owner-builder will have the burden of proving that he or she
Cid not build or improve for purpose of sale.).
❑ I, as owner of the property am EXCLUSIVELY CON7RACTING WITH
LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and
Professions Code: The coniractors License law Cces not appry to an owner of
property wfio builds or improves thereon, and wTa conVacts for such project with
a cantracta(s) license pursuant to ihe Contractors License Laws.).
❑ I am exempt under sec.
Business antl Professions Code for this reason:
S�gnaWre Oa�e
]09A6 (1tt1])
Owner ID verified by tlrivt ar, j Ves ❑ No
Driver's License No. Expires:
Verifica[ion of Ovmership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation frve (5) a more (eet m depth into v.fiich a
person is required to tlescentl, will be made in connecl'an with work authorized
by this pertnit, arM that na builtling strucNre, scaHdding, falsewoilc, v demolkion
or dismanifing thereof, will be more than thirty-sa (36) feet hiqh. (Chap. 32, Grp
2. AA 2, Sec. 341, Title 8, Califomia Atlministrative Code).
❑ As owner-builder, I will not employ anyone lo do work whith vroultl
require a permit from the Division of Indusirial Safety, as noted above, unless
such person has a pertnit to tlo such work from the division.
Appliranl's SigneWro Oate
Division of Industrial Safety Pertnit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant need to fle and
certiy a Business Plan for emergency response to release or threatened
reiease of a �aiardous materiall � Yes ❑ No
(Section 25505 of the Calilomia Heallh and Safety Code requires, with some
exceptions, that a Business Plan be filed with lhe CosW Mesa Fire
Department by every Dusiness which has at any one time during a reported
year a quantiry of nazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 qallons, or 200 cubic feet of compressed gas
at standartl tempereWre and pressure).
2. Does or will the applicant or present or future building occupant need to file
a regislratlon form for aculely hazardous materials7 ❑ Yes � No
(Section 25533 0( lhe Califomia Health and Safery CoCe, with some
exceptions, requires registretion with [he Costa Mesa Fire Department by
each husiness which at any one time has on hantl a quantity o! acutely
hazardous malenals equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic teet of compressetl gas a[ 5landard
temperature antl pressure�.
3. Does or will lhe applicant or presen[ or future building occupant need to
prepare an RMPP (Risk Managament and Prevention Program for acutely
hazartlous matenals)? ❑ Yes ' ❑ No
(Seclion 25534 of the Cali(omia Health and Safety CoOe proviUes lhat the
Costa Mesa Fire Department may require the preparation, certifcation antl
filing with the Fire Department o( an RMPP by businesses wldch are required
to regisler acutely hazartlous matenals with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of the California
Health and Safety Code been fully wmplied with? ❑ Yes ❑ No
5. Does or will the appliwnt or present or fuwre building occupant iequire !or
the vrork which is the subject of this application a permit for such construction
or motlifcation from the Sout� Coast Air Quality Management District or from
any other air pollution control tlistrict or agency7 ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment Code requires that ihe requested
intormatbn be fumished on applications far rorrresidential 6uiltlirg permits).
6. Will any part of the facility to be consiructed under this pertnit be within
1000 feel from the outer pounOaries of a school7 ❑ Yes ❑ No
(If'yes", the facility must meet the requirement of Sections 25534 anE 42303
of Iha Califomia Health and Salely Code).
7. If a permit trom the South Coast Air Qualiry Management Oistrict or oNer
air polWtion wntrol district or agency is required for the work whic� is the
su6ject of this application, have all of the disclosures prescribed Gy Califomia
Health and Sa(ary Code Section 42303 been made7 ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance from tha appropriate air pollution
wntrol officer).
CERTIFICATE OF COMPLIANCE: I certify that unCer penalry of perjury tha
information given above is correct. I agree to wmply with all state laws and
ciry ordinances regartling Hazardous Materials and Emissions.
Si9naWre Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
ceNfy under penalty of peryury that I have read this application and state that
the infortnatlon given is wrrect. I agree lo compty vrith all state laws and ciry
ordinances relating to Duilding wnstruction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-described propetly for
inspeclion purposes. I agree not to occupy or allow occupancy of any builGing
authonzed by this pertnit until finai inspection.
SipnalureafL IOoneqs) Data �
�'7' /r-� %" �/ � U �'
ME/orAutl�OnzeCApd���� ��- Dale
.,
� �
� �' 4
CITY OF COSTA MESA
BYILDING DIYISION .
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER�08-00175
PERMITTYPE PLUM STATUS: ISSUED
APN: 42420111 DATE ISSUED: 08/0112008
- ,_ ISSUED BY: CAC
-y : ::�,
.1,�. � _ '. " - �
JOB ADDRESS: 768 CENTER�ST CM`�. Suite/Unit: �
Vicinity: i�<:��� �' _ •-- � . ` \
/4jj•'' �i,', .,,� `' � \ •i�
li � .,ct - - �.% ���:,
SCOPE OF WORK: WASHER AND DRYER,�`," `
. � � ,.�.... : �
�� 'Y { ` . ` ' �.
OWNER: SULLIVAN, SARAH M,� � x��J Address: 768�CENTER ST �'-� '
PHONE: .'- � , � , �� .�y,r„ � � - City/Sfafe/Zip: COS7A MESA'; CA: � .
APPLICANT: MERRICK (JEOFFERY' "r,� � � � �Address: '� 3350 NEVADA AV ��: , ' ��
PHONE: 714369�002 �-. ; j ^'�;( 1 � ' /�,' ; f '" - - -' City/SWte/zZip:` � -COSTA MESA}'CA � '�
'�� ,r�dr r� � ,r�; _ _. � _ v,-. �� .
� �., � I ; . ' _•"" ..��' " � ' � �v ��.
CONTRACTOR: MERRICK�PLUMBING AND,REMODELING License No. �802626 ��
Address: 3350�NEVADAAV.". � _ �PHONE: 714'-3694002 �
Ciry/State: COSTA MESA, CA � ' ZipCode? 92626 � � � � � CELL: � ,
AR HITECT: � �� � �
E�INEER: � �`. � � -
. i'.
i. �" i.,
, i,
.LiienseNo._ -.,
_.- LicenseNo. �.
. . -.�� PHONE: �
. . �., PHONE: �;
r.,.. ..
.,'�� , ...._ . , _ ' .
;:� ,
� PLUMBING PERMIT FEE SUMMARY
�„ ,
�BLAN CHECK.FEE: __ $0`.00'' '
PERMIT FEE:.,- � 533.30<.. :.`'
, .
. • '� `�;.
TOTAL FEES:` _ ` $33.30
NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Califomia stalutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) ,. .
EXpIRATION: PERMIT E%PIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. " - � � �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetions and final approval must be obtained. Failure lo obtain inspections and final approval will result in lhe expiration of this permit.
CODE�_ IXSPECTIONTYPE OR�F INTRIRL CODEt INSPECTIONIVPE D�TE IN7IML5
181$ Fized System Final Fire Prevention 206 Final Mechaniral ��J ' ,����� V
1288 Pool Spa Final . 208 Final Plumbing p/� a/ 1S /il x
—IT�
200 Final Re-Ropt 210 Final EI¢�tdcal
201 Final Block/Retaining Wall 212 Final Fire Prevention �
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final �emolition Z50 Final BuildinryOccupancy
.. �-
WORKERS' COMPENSATION DECLARATION: �
I nereby affirm under penalry of perjury one of the following dectaraGons:
❑ 1 have and will maintain a certifcate of wnsent to self-Insure for workere'
wmpensation, as providetl for by section 3700 of the Labo� Cotle, for the
peRortnance af the work for whic� this pertnit is issuetl.
❑ I have and vrill maintain v.oAcers' compensation insu2nce, as requiretl by
section 3700 af ihe Labor Cade, fa the peAortnance oi the xork for which this
permit is issued. My workers' wmpensalion Insurance cartier and policy
number are:
Cartier.
(7/W mpon neeC m! Os complefed �fns pamiR is veWetl at ane hunOreO cb�ars (5100) a kuJ
Policy Number:
I certify that in the peRormance of the work for vRiich this permit is
' ue0, I ahall not employ any person in any manner so as to become subject
to the vrorkere' compensation laws of CalNomia, and agree that if I shoultl
bacome subjett to the vrorkers' compensation provisions of Section 3700 ot
the LaDor Cade, I shall fo hwith omply with these provisions.
�v �
AppiCEn1'sSipne re te
W ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE, IMEREST. AND
ATfORNEI^SFEES.
LICENSED CONTRACTORS OECLARATION:
I hereby aKrm that I am IicenseC untler provisions of Chapter 9(wmmencinq
with Section 7000) of Division 3 of the Business anC Professions Code, antl
my nse is in full force and effect.
L' � CIaC #��
Ca radar's pnaWre le
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that thera is a cwstructbn lending agency fa the
pertortnance W the �ork lor which this pertnit is issued. (Sec. 3097, Civil Code).
Lendefs Neme:
Lender's Address:
SipnaWre
OWNER�BUILDER DECLARATIONS:
1 hereby a�rtn that untler penalty of perjury that I am EXEMPT FROM TME
CONTRACTORS LICENSE lAW for Ne following reason (Sec. 7031.5.
Business and Professions Gotle: Any city or counry which requires a permit to
construct, alter, improve, demolish, or repair any structure, pnor to its
issuance, also requires ihe applicant lor such permit to file a signed statement
�hat he or she is licensed pursuant to the provisions of the ConNactors
License Law (Chapter 9(commencing with Section 7000) oi Division 3 a! Ihe
Business and Protessions Code) or Ihat he or she is exempt therefrom and
the basis for t�a allegeC exemption. Any violation of Sec[ion 7031.5 by any
applicant for a pertnil subjects the applicant to a civil penalry of not more than
five huntlreC dollars (3500).�:
❑ I, as ovmer of the property, or my employees with wages as iheir sale
compensation, WILL DO THE WORK, and the structure is nol intended or
oftered for sale (Sec. 7044. Business antl Protessions Code: The Cont2ctore
License Law does not apply to an owner of property who builds or improves
thereon, and who Ooes such work himself or herself or Ihrough his or her own
employees, provided ihat such improvements are not intendetl or offered for
sale. If, however, the building or improvement is sold within one year of
completion, the owner•builder will have the burden of proving ihat he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business and
Professions Code: The contractors license Law dces not appy to an owner of
properry who builds or impmves thareon, and who contracts fw such project with
a contrector(s) license pursuant to ihe Contractors License Laws.).
❑ 1 am exempt under sec.
Business and Professions Cotle (or Nis reason:
]OS�A6 (Jttl])
� ,
Ovmer ID verified by drive an. J Yes ❑ No
Driver's License No. Expires:
Verification of Owners�ip by (rype of document, i.e. - propeRy taz bill or deeC):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: .
❑ I he2by certify Nat rq excavation frve (5) w more fcet h depth into v.fiich a
person is required to descend, will be made in cannection with �wrk author¢ed
by lhis pertnit, and that no building stiucture, scaffdtling, false�wrk, or demoliCqn
or dismantling lhereo(, will be more than ihirty-su (36) feet high. (Chap. 3.2, Grp
2. Art 2, Sec. 341, Ttle 8, Califomia Administ2tive Code).
❑ As ovmer-builder, I will not employ anyone to do work which would
require a permit from ihe Division of Intlustrial Safery, as noted above, unless
such person has a permit to do such vrork from the division.
Applicanfs Signalure Dale
Division of Intlustnal Safery Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
7. Will the applicant or present or future bullding occupant need to file and
certify a Business Plan tor emergency response to release or threatened
release of a hazardous matenal? ❑ Ves ❑ No
(Sec[ion 25505 of Ne Califomia Healih and Safery Code requires, with some
exceptions, that a Business Plan be filed with Ne Costa Mesa Fire
Department by every business which has at any one time during a reporteE
year a quantiry of hazardous materials equal to or greater than a weight of
500 pountls, or a volume of 55 gallons, or 200 cuDic feet of wmpressed gas
at standard lempereture and pressure).
2. Does or will the applicant or present or future Euiltling occupant neetl to file
a re9ist2tion (ortn for acutely hazardous materials7 ❑ Yes � No
(Section 25533 of the Califomia Health antl Safery Code, with some
exceptions, requires regisVation with tha Costa M85a Fire Department by
each business which a[ any one tlme has on hand a quantiry of acutely
hazardous materials equal to or greater than a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compresseA gas at standartl
tempe2ture and pressure).
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Progrem for acutely
hazardous materials)? ❑ Yes ❑ No
(Seclion 25534 of the Califomia Health antl Satery Code provitles lhat Ne
Cosla Mesa Fire Department may require the preparation, certifca[ion anC
filing with the Fire Department of an RMPP by businesses which are requireC
to registar acutely hazardous matenals with the Fire Department.
4. If an RMPP is presenlly requireG, has Section 25534 0l the Califomia
Heal[h and Safery Code Deen fully complied with? ❑ Yes ❑ No
5. Does or will [he applicant or present or future building occupant require for
Ne work wliic� is the subjecl of Ihis applicatian a permit /or such mnstruction
or modification trom the South Coast Air Quality Management Disirict or from
any ot�er air polWtion control district or agency7 ❑ Yes ❑ No
(Section 65850.2 of the Califomia Govemment Cotle requires that the requested
information be fumished m applications fv ron-residential buiWirg pertnks).
6. Will any paA of the faciliry to be wnsWcteC under this permit be wiNin
1000 feet from the ou[er boundaries of a school? ❑ Yes ❑ No
Qf'yes'. the faciliry must meet the requirement of Sections 25534 antl 42303
ot the Califomia Healih and Safety CoCe).
7. If a permit from the South Coast Air Quality Management District or other
air pollution control district or agency is required for the work whic� is [he
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? � Yes ❑ No
8. (If'yes", attach certificate of compliance (rom the appropriate air pollution
control of6cer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is cortect. I agree to comply with all state laws and
cily ordinances regarding Hazardous Materials anC Emissions.
Signature
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I
certiy under penalry of perjury that I have read �his application anC state that
ihe informatlon given is cortect. I agree to wmply wiN all state laws anC ciry
ordinances relatlng to building consWctlon, antl authorize reprasenWtives of
t�e City of Costa Mesa to enter upon the above-tlescriGed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by [his permit until final inspection.
SignaWre of Legal Owpl� s) Dale
1
m« n� -=ea noamm oam
�4',osta. D�esa _ uilding Department � APPI.ICA1'ION �'OFi PERMIT
` �i��- 111 EAS 20th STREET �.� 1iO g�. LL. D. � N. G. _. ._'�.
.� COSTA MESA, CALIFORNIA -- -'
FOR APPd.ICANT TO FILL IN FOR OFFICE USE ONL�'.
Receipt No. Permit.No. �
eu��a��9 , - / / 3 �:.
Address
Costa Mesa, Ci3,�1fOTll18 ReceHed by Date Rec'd. Date ts6ued ;
Nearest
CrOss SC
Owner
Mafl
or
e ad ress
I _ .ntraetnr
Size o1 Lot
Use o}
Tel.
No.
!��
Traet
�8 x l�5 I Nowon�ot �]one
I No.of I No.of
g. Families Rooms
e irom � Rear Vard • '
reet S5t SideVard S1 1
Addition
1200 Rooms Q
Wall I Rooi
�—IJ'�.J
Building �
Address
Costa Mesa, California
Nearest
Cross St. �
Zone No. oi Type ,/ I Group
�, I Plana I V � �
Approved � •
by Dale
; CORRECTIONS
�� ��t�
_�
�
_ering At.urro I Coverin9 �omno APPROVALS
Uae of New Foundation Location Inspector
euneing c'.,,.�,, Famil Recidence
—Y�6�w Y Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolts �
I hereby acknowledge that I have read this Applica[ion �ath. Int.
and state that the above is correct and agree to comp]y Lath. Ext.
with all'City Ordinances and State Iaws regulating
Dailding construction.
Signatureof Plaster, Int.
PermRtee nlll�Il�n coL�EGRAVE
Valuation
S 8,500
,��m soa c;.�
Total Li.
Fee E
Plaster, Erzt.
Mawnry Reinforced
Bond Beam
Date
O
A
�
2
D
r
Show Iocation and distances irom
propeHy line and between buildings.
f. . _. ' ..1
�:`
�
., • C0. 5 _Tft�S,�n�. �7trizZS.��
�� pPR 19=55P�nesa
.- ':' • '
. ,- ;,=,,. . �.. . ,� •=
�•� '� '7560
:.
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA. CA�IFORNIA
FOR APPLICANT TO FILL IN
-, - �F-�Y� �.�
COSTA MESA. CALIFORNIA
MAIL n/ O �
ADDRE55 �/ (O jj
CITY C/��%�
ARCHITECT
OR E' 'NEER �
LEGAi� ILOT
DESCRIGTION NO.
A.P. NO.
S�ZE S
OF LOT
USE OF
E%ISTING BIDG.
$ETBiCN LINQ FROM
4`l�`.I
�
LIC.
NO.
TEL.
^ � d—S
'�'] �C�/_ � NO.OF BLOGS.
'J now or+ �oi
:QT / REAR VARD �
RIGHT S ' LEFT a
DESCRIPTION OF WORK'
ALTEFATION ADDITION
MOVING DEMOLIS!
� NO.OF
SIZEOING /� � pOOMS $TORII
E%TERIOR WALL ROOF
COVERING COVEFING %L U
USE OF NEW p�.y.�n ���i �
BUILDING ��
�=E� I�'�C�u���
9—�s-���c � �.
fINANCE DEPT.
�ItV �� r�ST� M1nFCq
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT� Np, �MIT ���.
IFZEWEO BY D9T ECf/IV�-D1TE I�U�O
� 7� � e�1aPz s'f.
COSTA MESA. CALIFORNIA
r f %) L \
�J'AK �[ 'DATE
CITY OF CSTA MESA
�1 1
SUBJECT TO G. DEPT. REG.
BY
� � ' �
, �� �
��, �
v. ��_�
STRTE TN�T TXE �BOVE IS CORflECT �ND �GREE TO COMPIY WITH wLL (/
CITY ONOINPNCEB �ND ST�TE L�W$ REGULFTIH�II�OING CONSTRUC�
iioN. VALUFTION
SIGNATURE OF
PERMITTEE
_ -- --- � --� - $ ��� \
PERMIT FEE $ �
PLAN CHECK $ '
TOTAL FEE $ � �°iNf
PflO1EC1 RODNESS: '� 6 8 C ENTER ST
OWNEfl'S NAME: SULL I VAN SARAH M
PDOHESS: 76S CENT�A ST
COSTA MESA,CA 92627
AflCHIENGINEEB:
RDONESS:
xcc.xo.:
UNIT:
UNIT:
PEPMITTEE: SARAH M. SULLIVAN (714)696-1093
aooness: 768 CENTER ST
' COSTA MESA CA_92627
UCENSEU CONTflACTOB �ECUBRTION: I nereoy alli�m tnat I am licensee unaer omvtsions ol ChaD�er 9lcommencing witn Sec�ion
7q10) ol DiviSiOn 9 0l ihe BuSineu an0 PmiC55ions CoOe. antl my license is in lull force an0 eileci.
LITY UC.: STRTE LIL.: QA55:
Data Siqnamre:
WOPREPS' COMPENSRTION DECIABRTION: I �eieby atlirm t�at I �ave a cenilicate al consent to seli-insure or a cenificate of WOBers'
Cqmpen5dlion Insutance. or a cerulie0 cooY ��ereaf (Seclion 3800. lao. C).
POLICY NO.: E%P. D�TE:
COMPANY:
� Cerli�ieE topy is IrereOy IumiS�eE. ❑ Cerii�ied copy i5 IileO with lhe dty BuilNnp Oivision.
Uate: 4ppliwnt:
E[EMITION FflOM WOPREPS' COMPENSITION OECUMTION: (T ' 0y b mpleleC i Ne per s Iw one hwtlreU (5100) ar less�.
I cenny tnat in ine oeewmance ol me work lo� wnich tnis pe �I I5155� XSAa� ot employ p m any manner m u lo bewme
Su01�� tn Itre Work¢r5' COm eQn�alion Laws o� CalitOrnia �
Date: � l Sign
NOT E: It, alter makinp ��is OeUaratiw, you s�auld Cecame suble�� �o e Wo�ers' Conroeosatlon O�wisions oi t�e La�or
COOe. you musl fonMne� wmpty wil� suc� Dmvi9ons or INs perrtut Slldll De tleeme0 revoketl.
CONSTNUCTION LENDINC �GENCY: I �ereW allirm inat inere is a mnstruction IeMinO aAmcy lar t�e D�Normance ot ihe work lor
wnicn Inis Uermil is issue0 �Section 3097. Gv. C�.
LENOEfl:
ROOHESS:
OWNEB 9WlOEB OECUNATION: I �ereby allirm ihat I am exempl Imm itK ConlracloR' State Li[ertu Law far tne IoOowing reasOn
(Section 70.31.5 Busineu atM Ho�e5Y0nal CoOe: Any cily ol county wliit� rCpuira a pefmil ta mnSlnlCi. alter, imprOve, Uemolish, or
rtoair any simcturt. orior io Its iuuance. also repuires Ine aoolicanl lor such permit 10 lile a ppneG statement tliat ne/she is licensea
pursuant io ine o�odsions o� me Camracmri S�ate License Law �C�ao�er 9(cammencinp vnt� Sectron 7000) ol 0ivision 3 of i�e Business
ano Pmles5ion5 fAael or ItW� ne/sne a e*empt inerelmm and the basis lor ine aIl¢pea eremD��on. My vioWtion ol Section 7031.5 �y
any appl¢ant br a De�mil suDlecis ihe ap0u��� �o a citil Oenalty ol not more ihan Irve �und�ed OWdrs (5500�.
n I. as mener al t�e pwperiy o� rtry employees with wage5 as I�eir SOIe [ompe�6ali0n, will tla Ihe xrork, antl t�e
y� struCWce i5 nat intenCeA ot oller¢C lor Sale (Section 70d4. Bu9ness aM Prole55i0ndl COCe: The Contractors' Staie LicenS¢ Law
eces not aovN �a an owner ol a o�ocehY w� euilas or im0�we5 there0n, an0 MW GOeS wcl� work tlim5elf/I�erself or ihmugh
hi5 or �¢r wm emDloyee5. 0«Oe0 �ha� Sut� improvemeni5 ar¢ no�inlenOeG Or otllr¢G lor ule. I�, howev¢rlhe builtling nr
improvement R So�G willlin ane year ol com0letion, I�e owner will �ave t�e OurOen of prwmg Ae/she did not builU or impmve
lar Ine ourpose ot 5ale�.
I, as ovmer of �he pmpeny. am exclusively contracting with IicenseE camractars lo mnslrutl t�e pmj¢ci (Section 70ad, Business
❑ anA PwIe55bn5 CaCe: T�e Convaciors' State License Law tloes not apDN �o an wmer of prope�ty wM bulGs or imD�s ihereon
d110 wIq COf11f2C6 �Of SOL11 pf01eC15 WI�II 2 COt11tdC101�5) IiCCnS¢ pU20d�1 10 ihE CO tors $Iz�e li[e/ns�/�y aw�. I am aware
��:� D��� ol 1�¢ir Worker'S Camp¢nsalion insurance s�ould Ue D�oviEetl Io mCi�!�—�^�SC"� �
� I am exempt unGer Section: 8. 8 P. C. /
lai inis reason:
_/o -/-93 '
�aie. Owne
i Uo nere�y cenily tlut I am aware af anU un4ers�an0 �he repuiremenis of Calilomia Healt� antl Salery Caae Sections 25505. 25533, antl
2553d antl Out I or any N�ure Ouiltlm0 otcupant wilVwill nol (circle one) neeC to comply m1A ui0 slate co0es antl lhe BQuirements lor a
Oermi� �o� consiNtlion o� moUiliqlion Irom t�e Art Oualily ManaAemen� pstrict. NeSiGen�ul fAnStmtiion aD�liWtions are e�emp� Irom
11105! O�OVi5i005.
�aie: App6canl'.
I M1eiCOy ceridy I�atl�avereae I�is applitali0n ana Slale�hai I o mt alion is cy eci. I agre �o cOmp 'I� ali[iry ana Counly
o�tlmancesane5lateWwSielatinplo0uil0ingwnsimclionanU reGy ereprese eTrvesofiNs y u niheabove�mentioned
pmDeny lor /inspection purpose5.
Oate: !'D' �'�� Sign / �
Oriver's License o� Sodai Seanry x: `
166t�<6 W�ne—Building; Greon—COUe Enbrcemenl; Canary—ApplicanC Pink—Revenoe:�GOl�enroE—Nssessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 064278
PERMIT NO: B 064278 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; REMOVE ROCK 6 CLEAN,REROOF OVER W/COMPO SQ FT; 1,800
CLAIM VALUE: 1,800,00 CALC—VALUE: 1,800.00 GROUP OCC: R-3 /M-1
COMMENTS: COVER OVER EXISTING ROCK ROOF AFTER BRUSHING CL
��**,«*��*�r*�+r*w,«��,«*,«�*�****,«**�r***+�+r****■*�**,«*******�r**9���'�*�+�����.
Z O N I N GS ERTEB�AUCIKRSE M E N T
REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42420111 ZNE: REF NO:
PLANNING NOTES> ,��
>
***�**x���+�*�r+r+r***it**+r�r**�*+�+rir+t*it�ir*it***r***+t+rxir�r*�rit*x *�*�**+t+r*�***+t*+r�r*r**���+tx
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
ZONING APPROVED BY DATE: �
HUILDZNG APPROVED BY : _ DATE: .
0
DATE
kitMlfillflfMilMifitiflfftkkkkklllftfMMMifMMifMiflfMMlfiklEifMM7tM1}ifikitMiElkMMlfitk1f1f1E1kMiFiflfltiffFlflfMlfMMilffffiFlkYiF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC �FIRE SMIP/RES; GRADING
PERMIT 41,00 ` SMIP/NON=RES
PLAN _ � �"
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 41.50 0,00 0.00 41.50 41,50 .00
f�
REVENUE DIVISION TOTALS--> COLLECTED: 41.50 �OVER/SHORT: _';
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
4i,00 I .50 ��
1hiFltMitifillkillfiflfififMfk41F1l�FlkklfitlfklkklfiflfiEffiF4kilk�kk1f1f7f�tilifkMkklfkklk,ffM4fEM%lE1E1fit1f1fk1Fff1f7f�flkiEiflfifllM
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST
SFA 1800 REROOF BY VALUE RESIDENTIAL NOZONE ' 1,00 1,800.00
END OF FEES
i
r
01 00143143-00143144 T L�T
DATE: !0/O1/93 FIME: 13:17
41.50
r-`, ' ' ,
CONSTRUCTION AN� PLANNiNG POOI .PA
qPPROVALS Permit # Date Inspector �pROVALS Permit # Date Inspector
1, Temporary Elec[rical Service or Pole 52. Pool & Equipment Location �
2, Soil Pipe-Undrgrnd. 53. S[eel Reinforcement
3. Electrical Condirit tStditY•Undrgrnd. 54. Forms '
4. Electrical Conduit•Uqdrgrnd. 55. ElecVical Bonding
5. �areel ReinforcemeAt: 56. Rough Plumbing & Pressure Test
, 6. _�kectrical UFER Gmd. 57. APPROVAL TO COVER•GUNITE �
7. Footings ' 58. Electrical Conduit•Undrgrnd.
8. Foundation - � 59. Gas Pipe, a Undrgmd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, Q Undrgrnd.
70. 5tructural Floor System 61. APPROVAL TO DECK
11, praperty Sewer LYne & House Connection 62. Backwash & Aeceptor-Finai
�2. 5�"e� CaP 63. Heater & Vent-Fina�
13. Ftoof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical•Final
15. qough Electrical•Conduit 66. Solar System-Final
16. Aough Elearic 6Viring 67. Fencing & Access Approval
17, pough kViring Sign 68. APPROVED FOR PLASTERING
18, Rough Electrica7-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
79, flough Heating & Air Conditioning FtRE DEPT. ftEQU1REMENT
20. �Rough Factory Firep�ace - � - . ' APPROVALS � � Permit #
21. Ducts, in Structure . '� � _ �-70. Underground Hydro
22. Ductt, Ventilating - j1. Product Plping OGas ❑Oil
23. Gas Pipe-Rough &.l'esc . '. � 72, Underground Flusb
24. fioof Framing �� . 73. Undergmd.StorageTank OGas ❑Oi�
25. Foof Sheathing �'� � ' - . .' . ` 74. O�erhead Hydro � �
26. 7�Bar Ceiling (Structural) &ivlonocoat � 75. Dry Chemical '
27, Frame and Piashing� _`, �. ,, �� , ,. 76. Dry Standpipe � �
28. W[hinq$ Siding, - � . � . 77. FIXED $YSTEM FINAL '
29. Insuiation � � � �� " ' ' " : , 78. FIRE PREV. FINAL
3p, prywall Naiting ��� ' NEALTH DEPT: REQUIREMENT
37. Plaster Brown Co9f �. . ' � � 79. FINAL INSPECTIQN
32. Electricai?o�cer Meter-Final �'. � 80. FOOD CERTIFICATE ISSUED
33. F�nal Electnc . ' � � � ti. , Notes: , '
34. Finaf Heating & Air Conditioning ' -� � ,.
35.'Final Gas�Pipe•Tett ' � � "« ' � ' '
� -
36. Hood or Canopy . ' . I , r, , • , , -. '
37. Final-Facjory FireO�aet . ' . ' �. � �� If � �
38. F�nai Plumbing � ' - � ` • � � .
39. �Vater Sevvice-final � � , , � � '
,40. Gas Service-Final , , . , � ., j , �� � �
41. Solar pomestic-Final " � ` /0,�7'A�=,.��/�,,.��„� �,�
� _t_ i d�l �
42. Backflow Prevente�' . , ' � ' ' _ _
43. Backflow Irrigation' . - ' � • � _ • ' '
x e
44. Landscap� irripation System ' �� , � r , . . �- •
A5. Sound Attenuation " ' '
46. Handicap Regulations , � , , _ _� �
47. FINALSTRUCTURE&BUILDING ��,:���3 Gp,� �'�� �.,L :
!
48. FINAL PLANNING , • � -
49. E�ectric Release to Edispn� � - � -
50. Gas Release to Southern California Gas Co ' ' �
51. CERTIFICATE OF OCCUPANCY , _
No. Date
a ,,� App�iwnt lo fill in a11 soaces wit�in �eavy Dartler lines ana sign all appro0riata tleelarotions. � .
CITY OF COSTA MESA P�g TM O. G TRACT NO. LOT NO. BLDG. NO. ' 2OBI . BI I, 6IO2 -. .. %�OO T�,'.
CONSTRUCTION PERMIT P" � �0 8 1 ' � ' �' � �' � � � � ,
� . •
Project Address i TVPE OF CONSTRUCTION � � . . . .. � � .
Owner PhOne D ❑ NEW O ADD ❑ ALTERATION � 1' ' -" •
�Address " - ���0.EPAIR ❑CONVERSION ❑DEMOLISH 1 , _
'Arch/Eng. - � - - License No. - � o7HER � � ' 20NING REGULATIONS � , �
. DESCRIPTION OF WORK A'P' � �
'Addre55 - " ' � ' -� � " '- - ZONE � � PLNG. REF. � , "
� Contractor . � 1- � �- Phone -' - . TYPE OF PERMIT' .� . . . . . . . - ' Tpg�/ i�p ING � " �
SETBHC C T. 7ROPERTY LINE
I Addre53 Q U ❑ GRADING ❑' FOUNDATION - � STRUCTURAL SIDF YARO - .� ' �' ,
LICENSE� CONTRACTOR OECL'ARATION- LE . _ _ �
��5� �J " v'O TENANT � ELECTRICAL':�PLUM8ING ❑MECHANICA SIDE VA -
I hereby affirm thc41 am II<ensltl untler prOvislons ot C r er ( om-, �.� �,- RIGHT �
inenUng with sect[on 7000) of Divislon �3 of tha Buiinezs antl =��OTHER - �- -
Protesslons Cotle, antl my IlcenSe is in tull forte antl effecL. . ' ' , � REAR VARD (TO P/L) '
�PROJECTDESCRIP_TION � '
License Class ' License I � - � � � PKG. SPACE REQ. � PRO V IOED: ' ' . ' '�
Date � " ,L.Fa_�al9nature� - SQ: FT. ' - - .. . . _ . . . _ . - ' ' ' ___ '
ORKERS• COMPENSATION DE ARATION-� � �STREET WIOTH ,PARK FEE $
l OCGVPANCY_CONST,RUCTION TVPE,
S � � �I . ;ZONINGAPPROVED�BY �� .. DATE ' ' '
1 eby affirm that I have a tertiticate of consent to e or a � i c; -
certi ot Workers` Compensation �Insur certitietl copy ' VALVATION ^ ZONE
tnereof ( ' n 3800, Lab. G.�. GRADING CU. VDS. ACRES �SPECIAL CONDITIONS:�
y No. - mPanY -'f�i� ` TL/ �7' _ ' ' ' ' ' _ " " " " _ ' ' _ 1
�ertifietic e�eb ish¢tl..._ .. _' '_ ' ' REMARKS:'r-lt J' _ '__ __ ' ." _ . . .._ __ __..- • � . .� i
Cer copy is flletl with the uiltlin9 Oivision. • , -- , , ' � ' , : � ' ;}• .
PTION�F,ROM�WORKERS'COMP ION'DECLARATION - - -' " "' '� "- ^" ' ' ' ' --' - -
(This.section neetl not Ee.completetl if the permi _ ne nuntlretl _ . _. � . i. . .... _ _. __ .� . _ ._ _ �. _ . .. _ . _ j
(E100) or less). • � - '
i.certiry that In.the�performance of the work,(or whi<h this permit'15
issued, 1 shall not employ any person in any manner so as lo�bemme qPLUMBING -� �. . `.PLAN CHECK -' � - " ELECTRICAL -`�-- PLAN CHECK,�; " -
subjectto the Workers'.Compensatio9 ws of Calitornia._ . . . - ' ' - _ _ _ ,_ . . _ . � � � . �
Date�L5lgnature BP.THTUBS SHOWERS � �� � - . _+�_ -
NOTICE: I af[er making this laration, you oultl be subjecD 701LET5• � � ; URINALS" Y'' � ' -GENERATOR" ' 0-1 KW-1-10 KW � - �
to the Workers' Compensation provisions of the l.abor C you must � ,TRANSFORMER - � '� ��� �
forthwith <omply with such provl5ion5 or this permit sha I tie tleemetl LAVATORIES OOUBCE'L"AVS ""'�"' -' ' APPLIANCE ''10-50 KW=50 + KW -- ^
�
CONSTRUCTION LENDING AGENCV � KIT:SINKS � � �'�DISHWASHERS - ' MOTORS - " ' '0-1 HG'_1-10 HP - " ,'." ' �
I hereby affirm tM1at [here Is a constructlon lentlin9 agenty tor the perv -- �- - � - ON0. SOLAR)- - 10-50 HP���_-•50-+ HP- - �•�, • �
formanCE of th¢ work fOr which this perml[ is issuetl ($ection 3097 SERVICESINKS �],, �;SUMP$""
Civ.'C.1. -' "'"_ ._ "" ,-- .. _' ' .- _ _ _ '_ '._�.._ � ' . -_.__.' '_'.
FLOOR SINKS� FLOOR DRAINS � �FIXTURES "' '' OUTLETS -- SWITCNES
LentlCYs NamC f
' � � � � - DRINKING FOUNTAINS" � -� ` �' -� ' , "- � -' � "GAS TUBE'SIGNS - � ' "' - - ' '-�, ' ' ' 1
LenCer's Atltlress
OWNER'BUICDER DECLARATION '- " " " - ' � -' � ' INTERCEFTORS CLARIFIERS � i � � -'�POCE GGHTS' � " - ' ' - ' ,.� " ',�, �
I hereby afflrm that I am exempt f�om tne ConVactor'S Licenie Law fo� i
tha followln9 reason'(SecHon 703t.5'Business antl•Professions Cotle: 'SWIMMINGPOOC � PTRAP" ` ' '- ' '- ' ' -
Any City o� munty w�ich �equire5 a permit to Construct, aller, 4 POLES METERED SVB !
I
improve, tlemolizh or repair any structure,-priorto its 155uante, alzo re- yyqTER SERV ICE - ALT,ERATION� ���, � PANECS '-" MAIN "' SUB-"" � -
quires th¢ ap� lican[ for sucM1 pe�mit to flle a Signetl stdt¢m¢nt Ihat he `" �
is Iicensetl-pursuant to the provislons-ot the-Contractor's License'Law' GASSERVICE OUTLETS SERVICE- - -" " �AMP' --
IChapter 9(wmmencing with Sectlon 7000) ol Dlvlzlon 3 0( the � � _ �
pn5lne55 dntl'Prp1¢sslOns COtle) or tnat ne'Is'exempt tberefrom antl Ihe- y,rqTER FiEATERS � �BTI'1 OUTPOT
'S for the allegetl exemption. Any viold[iOn OI SeGtlon 7031.5 by �
appliCdnt for a pErmit SUbject5 tha"appllcant to a clvil"penalty -SEWEF CONNECTIONS � -1; -' � "i- ' � - - ' -" "' ' " ' - ' ' "
not more than live M1untlretl tlollars (E500). � "
❑ I, as owner ol tne property, or my employe¢s with w5ges�5z [heir �SOLAR TANK -'� �COLLECTORS • " � -"� ' -' ' - � - ' "-
sole compensatlon, will.tlo the work, antl.the structure.IS.notJntentled
or o/feretl for sale. (Sectlon ]040, Business antl Professionz Cotle: The SOIAR PIPING SVS. � ' � ' '�SSUE FEE ' ' -"- '. ,
Contraclor:s_License. Law.tloes noL apply lo an. owner_ of a proPerty , _ ._ �; _. . _ _ __
who builtls or improves thereon, antl wno tloos such work himselt or ISSUE FEE - ��-� P.PPLICATION APPROVED BV � DATE -
throuyh hls own employees„p�ovitletl. thdt zuch improvement5 are not _ �
intentletl or oiferetl (or sale. If, howeveq tne builtling or improvement MECHANICAL PLAN CHECK � SUMMAflV OF, FEES . `
is Soltl.wilhin onCy¢ar_ol COmplelion„the owne� will have t�e burtlen . u•'- D�'
of proving he tlitl not bWltl or improve Por tne purpose ot sale). � BUILOWG -- - -�- -- -�
HEATING SYSTEM 0-]00,000 BTU 1 ;PERMIT S � � �SMIP. •. .' E � ' �
v ❑-1, as �owner�of [he� property,�am ex<Ivsively-conlracting� wil�� •qND-�VCTING'" � - ' '-' ' ' ' -"'-- - ' "-' ' --
Olicensetl contractors to construct [he pro{ec[ (Section 7044, Business 100,000 + gTU �PLAN CHECK S PERMIT� ,•� .'l _.i,
dna'Professions Cotle:' The Contractor's Licans¢ Law Ooes not apply to �ISSUANGE � E
an owner of properly who builtls or improves [nereon, antl who con- REFRIGERATION 0-300,000 BTU �PLUMBING E� ., �,�-{
� tracts-from �zuch projects-wlt0 a mntractor(s)-Ilttinetl purzuant to SVSTEM � ' - - - • -� - - - - - GRAOING 5
� the ConVaclor's License Law). _ 300,000'+gTU PLANCHECK E� -_ � , �.� • �� ; .
❑ I am exemp[ unBer Section B. S P. C. tor this BOILERS BTU ��ELECTRICAL y , b� � ,
reason - � ' ' ' - ' "' ' 'MICROFItNI E �
� SYSTEM REPAIR, ALTERATION PLAN CHECK" E y
Date- - � - Owner � _ _ _ �. TOTAL FEE E
I hereby Cer[ifythal I have.reatl ltlis appliwtion antl state tha[ th¢ abov¢ EXHAUST SVSTEM MULTIPLE � MECHANICAL E � �-
informatlon �s mrrect. I agree to comply with all city antl county - . � PLAN'CHECK E - VANCEPC '$_' "
o�tlinances anE state laws rela[Ing to coniVuction, antl hereby auth0/iie ' ' '
repre5entative5 of this city to enter upon Ihe above mentlonetl . ' � � ' ' i
properiy for_ ' spectlon urposes. _ _ /
Signature Da[�� � . ! .FINAIFEE $�
Drivers' Litense or 55 � ' ISSUE FEE -- - � - - - - -
CMF 0865-36 White�Builtling; Canary-qpplicant; Pink-Accounting: Goltlenrotl-Assessor �
. ..
CONSTRUCTION AND PLANN� G ����J y � POOL & SPA �� � � . � � , �
APPROVALS Permit # L�[CL_¢1. ate Inspector qppROVALS � Permit #• Date �.Inspector
1. Temporary Electrical Service or Pole ' � 43. Pool & Equipment Location --- � - - - �� - - - - -
2. Soil ipe-Un rgr� ' 44. Steel Reinforcement - -�- � - �
.3.. _. Electrical ConduiY Utility-Undrgrn �' . 45. Forms � - �- � '
_ 4.__Electrical Conduit-Undrgm _ 46. Electrical Bonding - •- - - - '
tee ein orce' 47. Rough Plumbin �& Pressure Test ' '
6. ,_ Electrical UFER Grn .; " 46. APPROVAL TO COVER-GUNITE'- ' - •i'
7. Footings '� 49. Electrical Conduit-Undr rn � � � �
8. .Foundation __ _ � � 50. .GasPipe, ❑ Undr rn Test ' - - • �
._.9. Water Pipe-Undrgrn.. ' ' 51. Backwash Lines P-Tre C� � ndr m• � - � � �
_10._ Structura� Floor $ystem ' . 52. APPROVALTO D CK ' � " "" - - " - � --� -' - " ��
..71. Property Sewer Line,& House Conriection ' 53. Backwash & Rece tor-Final � � �
.._. . .. ....-
12. _ Street.Sewer Connection ' � "'' � � � . 54. Heater & Ven[-Final � '
13. Rough Plumbing - - � _ - � "" F' �- - - - '� - ' - �. -. - - . . • ,
14. Rough Electric•Conduit � -- - - -- - - --56. - Electrical-Fina4 -�• • �
� 15.� Rough Electric-Wi�ing. � � � - �� - - - - -•- - 57. Solar System•Final -- "' '''' ^"" " ' - ' � � " 3�� �
- �-76. " Rough Heating & Air Conditioning - . � - � encing & Access Approval �
-17! Ducts in Structure �'' ' • � ' ' APPROVED FOR PLASTERING ' � ' • ' '
- 18. �Ducts;.Ventilating_ . - - - - , - - . � - . • ' �. ' -1 ..r ,
19. Gas Pipe-Rough &Test�- - � ' 60. POOL/SPA'SYSTEMS FINAL� � , ' , � ' ' - '��
�� .
20. - Roof Framing - . - • " � � �� � • � �
� 21. Roof Sheathin � - - - - - - �"
-22: . Frame and Flashin ' -' NOTES_ � ��" .� O � � � ����� �"�.� • �"
23. - Insulation ' . _ � ' � � ;� ;
24. Lathing & Siding ' - - - - - - - ' ' - ' - - - - - - • � li
25.. Drywall Nailing - - - - - -- - - -- -- - ' . . , ,
. 26: Plaster Brown Coat - - - - .. , . . - . . ;
27' Electrical Power MeterFinal - � ' ' '� � � � �
' 28. - Final Electric - � ' � �
. 29. � Final Heating & qir Conditioning . � ' � ��� • � � � � � -
30.' Final Gas Fpe-Test " ' ' ' " } ,�
� .31. Final Plumbing 3 ' ' ' � - � ' '��y
32. � Water Service-Final � � _ _ _ _ ' � ' ' r
33. � Gas.Service-Final - - - - _ ' _ i ._ ' ' � -
�. 34. Solar pomestio-Final � ' • �' ' � � � �
35. Landsca e S rinklin S stem - ' "�
36. Sound Atcenuation ' �
37. Handicap Regulations ' • � ' � � � • �
38. FINALSTRUCTURE&BUILDING � �
39. Special Requirements Completed ' � � ' `
� 40. Elecvic Release to Edison � ' � � � � � �
� 41. Gas Release to Southern California Gas Co. '
� 42. CERTIFICATEOFOCCUPANCY
No Date � - . , ,