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2712 SAN CARLOS LN - Building Permits
CITY OF COSTA MESA • BUILDING DIVISION • ).•; : �; 77 PAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 1.o• rya FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: BC08-00515 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_RRIP DATE ISSUED: 10/23/2008 • • 1 '.ISSUED BY: BJK JOB ADDRESS: 2712 SAN CARLOS•LN•CM Stiite/Unto ;>_ • APN: 14155614 Zonirig:R1, ' Vicinity: "'Primary Occ R-3 Const Type: V-B • SQ .FT» 0 • "Valuation:., $1,900.00 • SCOPE OF WORK: HOUSING PROJECT.TO CHANGE-OUT OF 4 BEDROOM WINDOWMEET EGRESS REQUIREMENTS, ' NEW 40 GAL WATER HEATER'2 LIGHT:FIXTURES(FOR ENTRY& KITCHEN). OWNER: DAVIS,PHILLIPH ; - Address:- ,15392 LORRIANEIWAY Unit: Phone: - ` Clty/State/ZIp:, IRVINE;CA - APPLICANT: PRADA, SOP.HIA ' _ Address: 915 LAKE ST �� Phone: 714-404-9846 CELL ' ,'City/State/zZip: HUNTINGTON BEACH CA CONTRACTOR: J K CONSTRUCTION • - . License No. 450297 Phone: 714.404-9846 CELL "Address' 915 LAKE STUnit: - -- ', 1. Cell: 714-960-7052'r City/State: HUNTINGTON BEACH CA - - ZipCode 92648 ARCHITECT: t i.l> ._,� License No. PHONE ''i, ENGINEER: X License Na COMBINATION PERMIT'FEE.SUMMARY • Building Plan Check: Building Fees: Electrical Fees: Mechanical Fees: - $0.00 Plumbing Fees: SMIP Residential: $0.00 - SMIP Commercial: TOTAL FEES: $125.204 . . **Refer to fee receipts for all fees paid for project • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1,12-21-92) ' EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In Order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODES INSPECTION TYPE DTP IIfMLS CODEC INSPECTION TYPF, DUI INIWAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical -• /��' 1266 Pool Spa Final 208 Final Plumbing /ZS. e ' 200 Final Re-Roof 210 Final Electrical 1 _ ' 201 Final BIOCk(Retaining Wall 212 Final Fire Prevention • 202 Final Factory Fire place 220 Final Planning Approval 203 Final Sign 222 Final Site � / 204 Final Demolition • 250 Final Building/Occupancy - 1 t/i j i C • WORKERS'COMPENSATION DECLARATION: • . - Owner ID verified by drive._..cense. ❑Yes 9 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: 0 I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the Work for which this permit is issued. 1f,5�I have and will maintain workers'compensation insurance,as required by � . 'section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth'into which a number are: ej I� Q �/ , _ ^ // person is required to no will be made in connection with work authorized r.� l.uv L(,•t by this permit,and that no building structure,scaffdding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm (]his seCun need not be competed the Pennd is valued at one hundred dollars(S100)0,less.) `/(/ 2,Art 2,Sec.341.Title 8,California Administrative Code). Policy Number: ' • Z, ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued. I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant's Signature Date Division of Industrial Safety Permit Number: Applicant's Signatufe Da1e HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 9 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my keens- i in f or : a8effect. I a registration form for acutely hazardous materials? 0 Yes 9 No Lic.# , ` Class# (Section 25533 of the California Health and Safety Code, with some � / /, , /{-�/�/ 7� exceptions, requires registration with the Costa Mesa Fire Department by !Ir �. 7�fJ/(iW L� (( each business which at any one time has on hand a quantity of acutely '' Con a'or'signature / _Gate hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.t3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑No ' (Section 25534 of the California Health and Safety Code provides that the Lender's Address: - Costa Mesa Fire Department may require the preparation, certification and • filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the Califomia OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property. or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation. WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 9 Yes 0 No thereon:and who does such work himself orherself or through his or her own 8. employees, provided that such improvements are not intended or offered for of"yes",attach certificate of compliance from the appropriate air pollution sale. If, however, the building or improvement is sold within one year of control officer). - - completion, the owner-builder will have the burden'of proving that he or she CERTIFICATE OF COMPLIANCE: I certify Lhat under penalty of perjury the did not build or improve for purpose of sale.).,, . information given above is correct. I agree to comply with all state laws and . city ordinances regarding Hazardous Materials and Emissions. ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH ' .., - . LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of - Signature - nate property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF'ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application-and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the.above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. . ' i ire t g e(s Date _/ Signature Date ItY2 2�n 3057-46(3IW) Andlo uthonzed Applicant ,VtJ (iniad l 1(� - 1 p • • CITY OF COSTA MESA 4 BUILDING DIVISION C r ) l nun / I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT ° B02-01754 es. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca..usDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2712 SAN CARLOS LN UU�I Status: ISSUED Suite: Applied: 10/28/2002 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 10/28/2002 Parcel Number: 14155614 Zoning: R1 R1 Applicant: VALVANO, DOMENIC ISSUED BY: �%L Address: 1387 GALWAY LN Phone: (949)675-6705 COSTA MESA,CA Zip: 92626 Owner: DAVIS, PHILLIP H Address 15392 LORRIANE WAY - Phone: IRVINE,CA Zip: 9260473127 Contractor: TODD ALLEN CONSTRUCTION Address: - 1387 GALWAY LN - Phone: (949)675-6705 - COSTA MESA,CA Zip: , 92626 License:. 698984 Arch Eng: Address: 'Address: Phone: ' Phone: Zip: License: License: SCOPE OF PERMIT REROOF:T/O ROCK ROOF,REPAIR/REPLACE SHTG AS NEEDED,APPLY 1-LAYER 40#FELT AND INSTALL"30-YEAR COMP SHINGLES." 2500 SO FT - • FEE SUMMARY Plan Check: , $0.00 Calc Valuation: $4,000.00 Permit: $97.25 Claim Valuation: • $4,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 • PLANNING &ZONING • SETBACKS , MAIN STRUCTURE Front' 0-0 •-?"��� Rear 0-0 Left' 0-0 Right 0-0 ACCESSORY - Front 0-0 "Rear - 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 ".Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. 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 Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446.46(6/00) r DECLARATIONS ( ) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the ...6.,/work for which this permit is issued. I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Sj4'7 /✓Insurance arrler;annd policy number are: Q/ ' Carrier: ' /1 ) Policy Number: /0-6 2-4 / - (This section need not be completed it the permit is valued at one hundred dolls ($100)or less.) ❑ I certify that in the performance of the work for which this permit is Is shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should b ect to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these proviss.� �o �� / ^✓ �Z� Applicant Signature: (ci i� 6/ Dete: S//'1 G o WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensery a twit''•• of Chapter 9(commencing with Section 7000)of Division 3 of the Business P of ions Code,and my license is in full force and effect.Llc.4 C/' 6/ •• Class N Contractor's Signature: - - A Date: /Tj — -S^ti-t-- CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business 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 Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that 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 construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No, Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ Yes U No (Section 65650.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 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 which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws end city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes •ree not to occupy or allow occupancy of any building authorized by this permit until final inspection. rt' r s) G t—0Z � © -� Or Aut orized A plican Date ;ODE I INSPECTION TYPE PATE INTMALS CODF( INSPECTION TYPE PATE ItML$ 1816 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final208 Final Plumbing 200 Final Re-Roof it-1-6C- 1 v, 210 Final Electrical 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 Demolition 250 Final Building/Occupancy ADDRESS a BALDING; 2712 SAN CARLOS LN WIT: CITY OF COSTA MESA - BUILDING PERMIT MEWS NAME IF KNOWN: DAVIS, PHILL IP H . . _ PERM NO: P 079543 ADDRESS: DAVIS, JAN 2712 SAN CARLOS LANE PERMIT NO: P 079543 . ., PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92626 AWL.MMUNG ADDRESS; E1 6 CONSTRUCTION TYPE: VN PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : C/O R pishwAshce SQ FT: ARCH OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALL-VALUE: GROUP OCC: R-3 / CONTRACTOR'SNANE: NOCK PLUMBING ( 714 ) 895-1246 cINmACTowsuaiUNO 11610 SEABOARD CIR COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDRESS: STANTON CA us.No.: 707775 didEREdE5E1EiFdEdEdEkdEdEREdEdEdEdEdEdEdOdEdEdpdE#dkdEdEREdEdE1EdEREiidEdEdidEdEdhdEdEREREdEiEkdiifdttt9EdEdEdhdEifdEdEdEdEdEdkdkdEREdOdEdEdEdEdEdEdEdffEdE 90680 um: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under peaty of perjury than am licensed under proNsons of Chapter 9 SETBACKS (commencing with Section 7000)of Dirvieion 3 of the Business and Professions Code,and my license is in lull force end effect. //,C LIC.NO.: 050386 uc.cuss: C-36 uc.NC.: 707775 EXP: 02/97 MAIN BUILDING ACCESSORY BUILDING T Det //y� / ��e. comma«: �oc - PLvMf3� FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WE/ LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN NER BUI R DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors License few for the ' reason(Section 7031.5 Dueness and Profession Code:Any city o county which requires a permil to combua,after,improve, PARKING REQ: PROV; PARCEL: 14155614 Z NE: REF NO: motet,or repel.any amnia prior to its issuance.also requires the applicant for such prima to file a signed stmemenl thou he or she PLANNING NOTES> e 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 is exempt therefrom and the basis for the alleged exemption.My violation of Section > r 7031.5 by any applicant for a permitsubjeas the applicant to a ciW penalty penaof nor morethan Me hundred dollars(SSOOB. I *MdE*dkdEik*dEdEdEdEdEREREdkdEdEdEdEdE*dEREdEREdEdEiEiE*iEtt*dE*iEdEkdE*dE*dE4**dEkdE*dE*dE*dErtdE9E9E*iE*dEdEdERE**dE**dEdf*dEdEdEdE El I,as owner of the property or my empkyeea wAh wages as their awe comperetatkm will do the work.and lhesmwr«*is nor wended DEVELOPMENT S E R V I C E S::: REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors Lime Law does not appy to an bwnerof property ho wbuids«improves thereon,and duo does such work hl.ss « or nl herselfthrough or yh hisher own employees.provided that such c . improvements ma not intended or offered for sale.If.however,the building or mis knplrnentsold within one year of completion,the ZONING APPROVED BY DATE: owner-builder will have rhe burden of proving he or she did rat build Or improve for the puryoee of sale). ❑ I.es owner al rhe property.amexdudvaty contractile with licensed contractors a 0011311111 the project 7044,Business and BUILDING APPROVED BY : .2171 DATE: Professions Code:The Contractors License Law does not appy to an owner of property who bugle or improves thereon end offs n / contracts for such protects with a mrurear(a)licensed pursuant to the Contractors License Law). / ( ( /?/ DATE: G ❑ lamexempt undrSetion: B.aP.C..wthis reason: APPLICATION ISSUED BY: 1l./dE ii d *****iFiFiF+EiF+EiEiEiEiEiEifiFiEfElfifiEiEiEiEkffit****** *** . *.#*****************#1EM:::7:12-7:/** Data: d^TMr LEGALIZATION:N • _ F E E SUMMARY STRUCTURAL SEGMENT: N • I do hereby certify that I ern aware of and understand the requirements of California Health end Safety Code Sections 25505,25533,end 25534,and that t or any Mure building occupant will/wit not(circle one)need to comply with said tame codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction«modification from the Aloai'"Lrt anagement District Resiemnidconstruction sopiuare e exempt from these provisions. ..PERMIT. _ 8 . 75 Omit: Applicant: 25% r, SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the flowing dedretons: ISSUE FEE 22 . 00 % ❑ Ihave and wil maintain acMtliateaconsent tosen-insure for workers'compenation,sprovdedfobySerbon370oathe Labo BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for!he pedo race of the work hi k for which this pennn is issued. � � ii] in Ihaveandwillmaintaworkers'conpemmre ioninsurKe,assquiredb7Secw ion3700oftheLaborCode. lheperwm mrhathe TOTALS-- -> 8 , 75 22 .00 0 ,00 30. 75 30 , 75 00 work for which this permit is issued.My workers compensation insurance carrier end policy number are: Carder: GOLDEN EAGLE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30. 75 OVER/SHORT: .00 Policy Number: NWC J21131U1 09/01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed if the pemi is for one hundred dollars($100/or less) 3 0. 7 5• o I certify that in the performance of the work for which this permit a i d,I shall not employ any person in any mariner m as to become subjed to the con acs compensation laws of Calibur' agree ih ' I should become subject to the workers' dEiEikdidEdEik1EIElEifiilElElEIEiEM1E1E1E1EiElEiE1E1E1E1EiE1E1E1E1E1E1F1E1E1E1EiEfElElEiElElElEIE1EiEiEiElEfE1E1ElE1E1E1E1k41E1E1E1E1E3EiE1E1EiE1EfElEikiilE compensation 'sons of ion 3700 d the Labor Coda,I o r'h cornVl wr those pr 'shoe. - ,<, /��°.'as • I N D I V I D U A L �, F E- E B R E A K D O W N • (./ l/ ] �� Applicant: 1 aminS:Fellui to azure workers compensation covrage la unlawful,and WWI Stsb(eaf an employer to LyfMMl penalties allot TYPE QTY DESCRIPTIO N ' UNIT COST TOTAL COST civil fines up to one hundred thousand dollars 0104000A In addition to the cost o/compensation,damages as provided for In . Section 3706 of the Labor Code,Interest,and attorney's lees. PLU 1 ' DISHWASHER_ 7 �\ . 8 . 75 8 . 75 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury thin there is a oonstmction ending agency for the END,,OF FEES performance of the work for wfiidr this permit is issued(Section 3097,Civ.C). LENDER'S NAME: l') LENDER'S ADDRESS: n I certify that I have read this application and sane that the above information is correct.I agree to comply with all thy and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly for inspection purposes. RON NOCK Print Name 01 00215455-00215455 TOT 30.75 / //iDATE: 09/23/95' • TINE: 10:43 Date: • ? , 31e Signature ed n poi:ant/Com 1 I� (5151 e9.WP) White-Building a Safety:Green-Rle:Canary-Appicent:Pink-Revenue;Goldenrod-Assessor v CONSTRUCTION AND PLANNING _ PO ' SPA -� APPROVALS Permit# - Date. Inspector APPROVALS Permit#• Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. r_ / 53. Steel Reinforcement ' ' ' - ,fi-r, 03%=Etgctrical Cond1LiUH rlity-Undrgrn - d. 54. Forms I - 1' Hls`L'ctrical Condq'itrgrnd 55. Electrical Bonding - • - 1 L. �• •5r1Ste I RelnforceMen0 • J 56. Rough Plumbing & Pressurer7�iest ? 4 Fe ctricalUFER�rnd. 57. APPROVAL TO COVER-GUNITE i �_ S t 1Hr footings -0 ' a 58. Electrical CondLtSUndrgrnd. • "`,:._'8.-Foundation t75 y, �' 59. Gas Pipe, 0UnEllgrnd.,Test ' 1 (: t^` t;=9.'Water Pipe-Undrgrnd.m - 60. Backwash Lines.&:Trap, D Undrgrnd. r i 10.'Structural Floor System ! 61. APPROVAL T PECK • ' 11.r:PropertySewer Line & House•Connection 62. Backwash &.Receptor-Final • • 12. Sewer Cap a; trr �I 63. Heater & Vent-Final \ i 13. Rat Drains 64. Plumbing System - Final ., 14. Rough Plumbing- ^+ 65. Electrical-Final 1 • 15. Rough Electricti'-Conduit 2 , 66. Solar System-Final .p; • 16. Rough Electric.Wiring • -67. Fencing & Acc39'Approval ' 11 17. Rough Wiring Signet'' -'` 68. APPROVEDF�QPLAST€ER1NG . 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '•'. 1.- • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.r`R+ot,- Factory Firep .L lace _ -- K O v'-.n tri APRr• Qt r. Permit # • -• - e'r a 4r - _ r 'a C I-, ^•2_^ V,..-0---,r-.. l ^l 21.�udi, in_Str.Ictuc.; `; * S n ,1-1 _„, i-3. 70.3.1nd�!�rrtu d l dro e? .fir. .)H R I,. r! L IJ H. ti,V - 22. Ducts, Ventilating-,, :-) S ‹* u. 71. Producctiping' CGas 0Oil _ .,t 0 ,. -4 ....Z 23.:Taas(Pipe' ioygh &'Test T'. T "* F 72. Undergr2und ItL} ' `01 24.r}ioo`FFraming O+ , �F "E + > G 7 5x s 73 Undergt ttd Stetege Tank DGas 0-0il 25. Rod�Shthing E.Ox £ tv '• r r•1 O r ''s 71Overhead H d"-' y 26.,7-B ,Ceiling (Str"lural) &±lpnocoat r im - �* 75. Dry Chemical Sm .c r-i C 0 '-^ :+ _ - 27.nFrame and Flashin r = s X t' 76. Dry Sta ipeO2=' r 5 t i rd 4 r. �,-. =w r_- z a ,i ct z w f-�,o 'c cu ;.(„1 28.''tatkingBt Siding v: ^_Qx ,� • £ ••yr_. 7}. FIXED YSTE.... . �J Q 29. Insulatirp C* O " '• > y m � I ' . FIRE$REV. Flt1AL I .> to m 30. DrywalltNailing E-.t,- ,: t 1-r .Ii .;..,HEALTrfjf DERT..REQUIFSEMENT 31. Plaster Bpwr�,CoFi r „r!r• e ! 1.4, T 7+31-F'tNAT ,$PEChUN x C Cr 32.tElectricaj:Po er OIer,Final I ,i. cu � I 8, FOOD CElTIFIGATE SUED a �.. it . . I. . ,; I .L ,. .Q. . . 33.'Tinal'El tri( C7* c .. m r r I'(}r�Vtes: %£ p .T. S } Y' ':1 kr Y I c { `1 r IT r i .J r. 34.;Fin H€tIng` t l j {ition�ag;. r, i y i -, 2.--it il s. , , 35.ifiinbi•Gas-Cipe-Test,' = * '_ C Cl ciS I, ^ ` _ t f, .. -•t r- .. x ,-: I - o ,- x .. ,: ! tri . -r, }: m m 36.'Hooy or;CanopY j t C C r^ - r: r', I �1k £ £ no t. ^ ir m ! £ ri Ta * -- it -+ 37.�ina'PFac�ory Firerl3te ;Sr- i t_ F 38. Fina4.Plutnbing < trrJ ; • • ;t �lJ/,C7_t1� S CC tto x 39. Wath Service-Final.« . ..' i I • n :.-'t; 't x ^ rC' �~ G x o' 40. Gas Service-Final * sl * P{ H4 • x 7' .L 41. Solar Domestic-Finals nr. ,: v� .: ( i Fi d- J«-; z E" 42.=Backflow Preventerx ^ 1: =� i ` p; r'! 0 x _ c. ^ f'..-d. * I !x G - F a ^ ,'. t J A V�...-. s. F• . , to,• 43. Backflow Irrcationx V t...<- c. 1' * .- Ixn :k C: 1.44. Landscape ldgatio2 System ,- --- x tr! C 1 I p* C co ;J �;t� x _ ;,; a. r .. .� 1 _, '- + t•. ,C- C' - ... 37: s45.i5ound Alternation.- ,-!e.=. i'r :• £ i- I-, E-* C I- Go Gc r ^ 6.I-Handicaf;Regulatio'ps ti ; ` i • . i y G G S :.1 S * ., •47.fIt.gYL STRUCTURE & BUFLDING .; 1, I �K S N S .. +:tt i: !_ 46. INv.L PLANNING;: • Fe- F r, I ,'i•',. ire n ' ,; F ,�. j_-. .� t. =.49.cEleetne Release to Edison . F ^ r„ I x _ ' , !rte`. rt.,: ,n, Y ' 950._GasSoutern Release to California Gas Co ` * - o r 1... n `451. CERTIFICATE OF OCCUPANCY 'r ---'t _ r m r i.: i No. Date . i. _ •Applicant to fill in all spaces except those within heavy border lines and sign all.appropriate declarations. ` ,. IyIES �ON TRUCTI N P RMIT PERMIT NO. TRACT NO. LOT NO. UNINO.. 0384 .I I/30/87 Pr _.tress 2/( - -) C44 1.os L-0 $P.-313 7 Z 4' 'EtIp. 43 _ a. _y.:% _ • t ;,n• • 176,:72 TL AppNcant's Mailing'A1ddress .�1/, TYPE OF CONSTRUCTION NEW LPADD L I ALTERATION U REPASR' v• w+��.� Owner's l2F�14- n�' UJ5 Phone ❑ CONVERSION ❑ DEMOLISH LI OTHER .-. 'l A-P'# I i f'-5 ,� ' ' .. • Zone DESCRIPTION OF WORK/USE OF BLDG. 'CI-kir" oo/, 5 Q / y�.� Addreiss 2. 7/i- S�afti (•',6+/Z.L-6j LJJ• `v., ' •s.Main Building: dl or... . ,. Accessory Building: ,}.Jr ,.Z Ar'h/Eng:' fj�l_(', \✓2 QI`7l SiLicense No. /rad `•S TYPE OF PERMIT I�I �❑ GRADING, FOUNDATION IJ STRUCTURAL _:�;, • T� Front S4 : ^ .� t�y �� , „•- �•�..,---. ' O 'It Address ❑ TENANT ELECTRICAL PLUMBING 'ElMECHANICAL :CAB Rear - ,„ q �L _ N/ •mac' •❑ OTHER PC_ a ti• ..-,.-.,-,.-.0.1:" . .— • i�r..GS I Contractor's Namen115•$/O0 L•d'•Li-ck Penn:sj Phone ae"ci7r? 5:.0 i /•14 Al l A)C ec_ 4 S.p A. Right '. r . rj / - N e- llJJ ..nn PROJECT DESCRIPTION SQ. FT. O OCCUPANCY Address(mailing) 2 3's�•3� 117 Co�1C, •I'�✓ CONSTRUCTION TYPE ' VALUATION$ / Zi7y'>J S Left • /LS ' IB /( //- R City License No. ZONE-- GRADING CU:YDS. ACRES/. Ping. Ref. # Parking Req./Provided / E -- ;1ICENSED CONTRACTO�DECLARATION " f• ' - • aaa,,- Q �I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: u Planning Notes: M ;with.section 7000) of Division 3 of the Business and Professions Code, and - i j u'N L'�C V G7-G � cAr !my license is in full force", effect. IIbb gg338g`` - . D per/ p A/5C . - •- ' License Class License�W(� l` I G 7 9 7 O f �.lG0.YQf5GG Z;t • ft t• S Date • Signature Ale• ii�rJ✓^�x +� PLUMBING I FEES - - WORKERS'COMPENSATION DECLARATION Bar$irik .: • Showers ELECTRICAL • FEES hereby affirm that I have a certificate of consent to self-insure or a certificate . . Worker? Compensation Insurance, or a certified copy thereof (Section - - l Backflow Preventer - Service Sink. '� 400, Lab. IC,.)•, n /+ Automatic Washer, ' Transformer 0 15-50 KW PolicynNo. MrWC '�/�C1 i Com pany'•:'�/—��� E'er /' Backflow Irrigation t Sewer Cap Construction Pole Sub. ' 0.50+ KW ' • ❑ Certified copy is hereby furnished. -— Certiffi copy is filed with the city B • mq_Diyision T Bathtubs Sewer Connection CookingUnit, . Meter'❑u to 100 amps ¢� Date /t S `CC Applicant /u/y/daR.ea p P -..p/3 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher Meter Dover'100 amps (This section need not be completed if the permit is for one hundred ($100) or • less). Dishy 2sher Solar Piping Dryers ❑Gas ❑Electric - Sub.Panel • • I certify that in the performance of the work for which this permit is issued, I . shall not employ any person in any manner so as to become subject to the Drinking Fountains - Solar Tank Fan . Motors❑0-1 HP g1%-8' Workers' Compensation Laws of California. _ Date Signature Floor Drains x Swimming Pool w/Spa -5 o0� F.A.U. - Inc.• Solar 09-15 HP 016-15+ NOTICE: If,after making this declaration,you should become subject to the - -- _ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave 'comply with such provisions or this permit shall be deemed revoked. - - , • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance / - - Pole Light . of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 'Outlets Range Lender's Name - - - Lender's Address - Kitchen Sink . r . . Water Service . + - Switches - - Sign -- ' OWNER.BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash ' following reason (Section 7031.5 Business and Professional Code: Any city or Garbage •Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit P to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ,0 / L' the Contractor's License Law(Chapter 9 (commencing with Section 7000) of St; PALA- Y4y514 el oC ' ' division 3-of the Business and Professions Code) or that he/she is exempt - • - - - `j xrefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil - nalty of-not more than five hundred dollars($500). -. ' ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee . I $15 Issue Fee $ 3 'compensation, will do the work,and the structure is not intended or offered __ - Reinspection Fee I $15, Issue Fee $ 3 for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES • License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own • DEVELOPMENT SERVICESREQU t EMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 1/_3 _p1 sale. If, however, the building or improvement is sold within one year of com- -- Canopy Type II 1:1 Zoning Approved By Date u 7 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By " Date / - prove for the purpose of sale). - />•� i ' 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �' ,.��� .s...,.• Dat' " tractors to construct the project (Section 7044,Business and Professions Code: ' The.Contractor's License Law does not apply to an owner of property who Duct-Ventilating . ❑0-100,000 BTU 0100,000 BTU SU RV OF FE' builds or improves thereon,and who contracts for such projects with a con- p tractor(s) license pursuant to the Contractor's License Law). I am aware that —Exhaust System 0 Multiple ❑ Sys Repair/Alteration BUILDING PERMIT $ ' •SQ SMIP $ Vff • proof of their Worker's Compensation insurance should be provided to me.' PLAN CHECK $ C70 • I-, PERMIT 0 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ Cp . 0C, ISSUANCE $ Date owner - Heating System& Ducting c.'""-- . Registers ENERGY P.C. $ - PLAN CHECK '25% $ , 7 I hereby certify that I have read this application and state that the above _ 00-1 00,000 BTU 0100,000 BT - • ELECTRICAL $ 2.00 GRADING $ information is correct. I agree to comply with all city and county ordinances ;and state laws relating to building construction, and hereby authorize repre- -senPLAN CHECK 50% $ ..� MICROFILM $ '7 IIstmo7 ig atres of this city to enter u n the above-mentioned �ropert r - TOTALFEE $ ' /072MECHANICAL $i9na[urDatel 3 .. _ -rivers' orSS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $0/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor a CONSTRUCTION AND PLANNING ' POOL & SPA - +v.,;, APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector Y 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location l/7 815 . g(.O. � , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - - 1 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms r 4. Electrical Conduit-Undrgrnd. 55:-Electrical Bonding ' Y - i 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test i 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . • 7. Footings. 58: Electrical Conduit-Undrgrnd. z 24 .' DO 8. Foundation - 59.,Gas Pipe, D Undrgrnd.,Test74//i DS 9. Water Pipe-Undrg-nd. . . 60!^ €7Backwash Lines, P-Trap, lodrgrnd. 74•/88 p4 10. Structural Floor System. 61. APPROVAL TO DECK 666��/'2 BM- 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 25 ;"i a 12. Sewer Cap 63. Heater & Vent-Final ' • 00 13. Roof Drains 64. Plumbing System - Final " 7 44 14. Rough Plumbing 65. Electrical-Final r7/ e� Q 15.'Rough Electrical-Conduit 66. Solar System-Final / 16. Rough Electric Wiring ' , . 67. Fencing & Access Approvaloid 17. Rough Wiring Sign 68. APPROVED FOR PLASTERINGlit Clef • - 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 419///;' ,s,../ 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace - APPROVALS Permit# '.' -• - I 21. Ducts, in Structure 70. Underground Hydro - I 22. Ducts, Ventilating 71. Product Piping 0 Gas Doi?,;- • , 23. Gas Pipe-Rough & Test 72. Underground Flush ,+ • 24. Roof Framing 73. Undergrnd.Storage Tank• l 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:iva>u... . - /16 � Sty y a.., i&4 J g/( 7( Q J2,1 34. Final Heating & Air Conditioning ! /r _ fit? L sR/>, • 35. Final Gas Pipe-Test ( ( f/ 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 - - I n .i./ 45. Sound Attenuation - 46. Handicap Regulations I• • • 47. FINAL STRUCTURE & BUILDING - ' 48.-Special Requirements Completed • 49. Electric Release to Edison - •� X50. Gas Release to Southern California Gas Co oy1•yo %TIFICATE OF OCCUPANCY ':. Date Li - I J - r,_ - - _ - _ _ .. . . - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - -- - PERMIT NO. TRACT NO. ' ,LOT'NO.' UNIT-NO:; - - I - - . - - I I Cir'OF • COS7A MESA !CONSTRUCTION PERMIT -- , • -Pro t Address .�-�/Z SI.�iJ -W�-t_.CYS L-�, 7:3137 Z- ' L('28✓5 j 41....3 ! I ; I I I 4270 ''I /28/8b_' I 3O. Q0 ITL Applicant's Mailing Address ' t ' TYPE OF OO CONVERSION U NEW Li ADD. - ALTERATIDN U REPAIR! r I 1 • 1 I I ` ' • /OAULS i 7s-g- IONI❑ DEMOLISH ID OTHER V.Ct � e4-.1c—''C A,P,# -.+_ ' _ .-. _ • .-_I . ' Zone Owner�YName Phone C 7T- — - 1 DESCRIPTION OF WORK/USE OF BLDG. Address 2-'7y�7 Z ' Slab-/ GQ .A S 4-4j • I s Main Building: ) Accessory,Building:• ! ��` . Arch/Eng.1_13 C- : E v, ^vial- License No. ' s TYPE OF PERMIT ❑ GRADING' ❑ FOUNDATION ❑ STRUCTURAL T Front ) 1 - • I I ° O ` Address 1 • - . j❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHA '4 ,ff� - B Rear I N CG 3S0'09O ❑ OTHER Su0'\ k1 • e(� t' L �' - - -- - '. -,. A I S I. • Contractor's Nage C 7 i l/ C Ph'o+n1e PROJECT DESCRIPTION SQ. T. c CCUPANCY 3 C Right - - N ., Address 1rriailin I SfS‘L ,7 -C L���'(. �-1/' ET` 'CONSTRUCTION TYPE • VALUATION$ I 1 K Left ' G R ' City License No. L 3`13a2S I S - ' - R .LICENSED CONTRACTOR DECLARATION •ZONE -• GRADING CU;YDS. ' ACRES /� , Ting. Ref.# ' Parking-Req./Provided , ' E 4 herebyaffirm that I am licensed under,provisions of Charter 9 (commencing ' • ' D . I : Planning Notes:. - • _ 1 i M P ( 9 Remarks: C /JAS( , with section 7000) of Division 3 of the Business and Professions Code, and \ I� CG� 0 • �• ` F�. ' f T I my license is in full folie dnd effect: CC p C I i ` �,tart" /�,� ' r _ i I ' License Class C�G_ - LicenS o 0 "`� 11"l— 3 7 \" Q _'RN J"(�J/ $ j Date /�2Ct signature t? .� PLUMBING � FEES ' -. . t , ' • - i - ' WORKERS'COMPENSATION DECLARATION - �' f = ELECTRICAL I . FEES hereby affirm that 1 have a certificate of consent to self-insure ora certificate Bar Sink , Showers -. P. : . •• . Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - ,S¢rvic¢Sink •• .800, Lab. c.)r ,�,,��// ��-•"" C� / - - J '' Automatic Washer , I Transformer ❑.15-50 KW • Policy Nod &/I._C �0 /t/7l?ompany-ce;k1'e"h :Et/ Backflow Irri ation - :p.56, l/ 9 Sewer Cap - _ -• , , Construction Pole Sub.' r �•50 ,KW Certifietl copy is hereby furnished. -_ _ - ` ' N. ertified copy is fileol with the city B}�sl�m Oivisio • 1 Bathtubs' ' ' - Sewer Connection '' Cooking;Unit' - Meter ❑up to 100 amps , Date ' / -ZQ " - Applicant P‘..-on-F.-&-vCL.• , `� WO _ > EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers _ .1 Solar Collectors Dishwasher Meter''Dover 100 amps , (This section need not be completed if the permit is:for one hundred ($100) or _ less).• Dishwasher , - - - I - Solar Piping _ Dryers OGas. ❑Electric Sub Panel I certify that in the performance of:the work for which this permit is issued, I - - - - - shall not employ any person in any manner so as to become subject•to the Drinking Fountains ,Solar Tank Fan. I - ' Motors D0-1 jHP 01%-8 Workers' Compensation Laws of California. ' - - , Date Signature - Floor Drains' • Swimming Pool w/Spa' r - -NOTICE: If,after-making-this declaration, ou- -. - Inc.Solar ❑9.15 HP ❑16-15+ g- y shoultl become subject to ith ) F.A.U_ 1 Workers' Compensation provisions of the Labor code; must forthwith Floor Sinks Urinal Fixtures comply with such ;provisions or this permit shall be deemed revoked. , i I Microwave i CONSTRUCTION LENDING AGENCY I Gas Service Outlets • Water Closet Device Boxes I hereby affirm that there is a construction lending agency for-the performance - Pole Light of the work for which this permit ,is issued. (Section, 3097 Civ. C:) , i I Interceptors .Water Heater Outlets Range Lender's Name ' _ ' , Lender's Address- - - •• - .- Kitchen Sink - - , --Water Service. -- - - - Switches • - ' • • '- ' - OWNER BUILDER DECLARATION - Sign - ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories 'Auto-Wash Garbage Disposal ' ' ' following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap !Laundry trays I any structure, prior to its issuance, also requires the applicant for such•permit Y Y Generator ❑0-5;KW ❑5-15 KW Trash Compactor • to file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains - - , the Contractor's License Law(chapter 9 (commencing with Section 7000) of _ ' _ __ _ _ __ _ _ ,C.Ivision 3'ort e Business-and-Professions the alregessions ption.or e/She is exempt - - - - - -- - - - . , 3refrom and the basis for the alleged exemption. Any violation of Section i _ , I I �""`31:5 '.by any applicant for a permit subjects the. applicant to a civil I ' j --knalty.of not more than five hundred dollars($500). ' I p...., - U I„as-owner of the -property or my employees with wages as their sole Reinspection Fee , V' x$73”' Issue Fee; $ 3 _ ' _ - I I compensation, will do the work,and the structure is not intended or offered - ' Reinspection Fee 1 '' 1$15 Issue Fee -$ 3 -- 'tor: sale'(Section`7044, Business and Professional Code: The Contractor's MECHANICAL ' FEES ' - - .-- •License Law does-not apply to an owner'of a property who builds or improves thereon, and who'does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: • I ' employees, provided that such improvements are not intended or offered for Boiler , Hood or 'Type I ❑ - sale- If, however, the building:or improvement is sold within-one year of com- •• Canopy Type II 0 I Zoning Approved By 1 Date • 1 pletion, the owner will'have the burden of proving he/she did not build or im- Duct- Under Ground ! - , -- ' ' ' prove for the purpose of sale). - Building Approved By �- I Date_ - I ,', ❑ I,•as:owoer of the property, am exclusively contracting with licensed coh- Duct-Str'ucfural Refrigeration System •- Application Issued By _ --� Dat tractors toactor' -Licee project (Section 7044,Business and Professions Code: - C. _ — ' - The- sontractor's-Lice re Law does not apply to an-owner of property who .. Duct-Ventilating ' ❑0,100,000 BTU ❑100,000 BTU �' �h SUMMARY OF FEE ._• , builds or improves thereon, and who contracts for such projects with a con- - Q\s�\�GC II i tractor(s) license pursuant to the Contractor's License Law). am aware'that - - BUILDING PERMIT $-' 3 0 •O0 • SMIP $ - I . proof of their,Worker's Compensation insurance should be provided to me: Exhaust System 0. Multiple 0 I v System Repair/Alteration _ - , _ I. . - I PLAN CHECK . $ - PERMIT Ii •❑ I am exempt under Secti • on - B.& P.C.for this reason - - Firepl/Fact:Blt. ICBG# - ' Fire Dampers I ' _ - t ALUM' $ ISSUANCE - $ 1:--...- __ . • . I Date Owner' ' - Heating System& Ducting Register's , f l r I - , . PLAN CHECK y 25% $ I ENERGY P.C. $ % ` I hereby certify that I have read this application aril state that the above ' 00-100,000 BTU 0100,000 BTU- - ' - -- -' :GRADING $ ` 'information is correct. I agree to,comply with all city and county ordinances ' . ' : - - r ELECTRICAL' , - $ ' and state laws relating to building construction, and hereby authorize repre-I. - - - - ' ALA N,CH ECK 50% $ MICROFILM $ 'sentatives of this city to ente u o/n the above-mentioned property for,/• - . I _ i '1 ' ISignatturen purpos4y^me -./U-�1 Dae/_2L Q% - , _ _ MECHANICAL $ .TOTAL FEE $ 3 v '-� �%Me or S�� Reinspection Fee $15 - - Issue Fee - $ 3 PLAN CHECK 25% $ Drivers''License or SS# i ' • CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 44° O`, Twining Laboratories Cf=So"tASTa ea:thin:a, Fi,e. 3310 Airport Way / Mailing Address P.O. Ba.47 / Long Reacn.CA 90801 / (2131 426-3355 / 12131636-2386 / (7141828.6432 TESTING BRANCH OFFICE :514-0 Norm Susan Street / Santa Ana CA 92703 / (7141554-2645 February 12; 1988 Examination: SC88-1275 COMPRESSION TESTS ON GUNITE CYLINDERS Max Sitter P.O. Box 3454 • Fullerton, California 92637 PROJECT SWIMMING POOL AND SPA ADDRESS 2712 San Carlos, Costa Mesa ARCHITECT CONTRACTOR Mission Valley Mission Valley ENGINEER SUBCONTRACTOR B.C. Adams Scott Gunite SAMPLE FROM Main drain SPECIFIED MIX 4.2-1 STRENGTH 2,000 psi DATE CAST - 2-1-88 SLUMP — — SIZE 4-3/811 x 12-3/8" DATE TESTED 2-10-88 SPECIMEN NO. 1 2 & 3 "HELD IN FIELD" COMPRESSION 9—Day TOTAL LOAD. LBS. 55,000 POUNDS PER SO. IN. 3,660 28-DAY AVERAGE. PSI COMPLIANCE 9-Day test complies with specified strength. MADE BY DELIVERED BY RECEIVED ON SPECIMENS Dave Max 2-9-88 %To' - 3 ;setae Mesa Bldg. Dept. Rick Hyden ALL REPOP.rS ARE SUSII TTEO AS THE CONFIDENTIAL PROPERTY'OF CLIENTS AU EHORIZATION FOR PUBLIC--PION OF OUR REPORTS.CONCLUSIONS.OR E cERACTS FROM OR REUARCING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL'POTEOTION i0 CLIEENTS. TLE PUBLIC AND OURSELVES. Gunite ) Post-Tens`^ned Concrete ( ) REPORT OF INSPECTION Or Masonry ( ) Flreproo j ( ) Concrete ( ) Reinforcing Steel ( ) • EBBIZt. TO: coed, 1 ' o ,, Address : OWNER: ult. PROJECT: SLoImn11„5 F66l q Report No. J / � Address: a-lig, ;1 \) C7 &L A Permit No.Dap*. 7)0.111_ Architect: e' ,ISr,ten, /Alif Y Contractor: ( ri44;b,i Address : Address : Engineer: (L,.C. oncom Subcontractor: Sc,_l71-j- bt.n4 (Gunite) Address : Masonry or _ _�� Concrete) Inspector: x �%/Tc'R Address: Vo,( bHs' RAI.J{vJ Mix Used ft- 1 Slump, inches:-.. Admixture: Designed Strength, PSI : 2 bOC The following inspection was performed in accordance with the approved drawings: Cu.Yds. No. of DATES Placed Cyls. Remarks C14/3S_____ �U 3 S1ee( Py-.7.(-lik:A) 5�zr1� 4/ eCFio j I li (tiro; mak," � le Oil- YeaYeat. (400-' J I J 4-03 Copies of Reports to: ( Indicate which Bldg. Dept . & furnish address of any not listed) Lot 43 Tract 41 E 1P%t 2EIVED 15269 I/ SES 1961 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT P. O. BOX 317 COSTA MESA. CALIFORNIA .CITI OF COSTA MESA • For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ' ADDRESS 2712 San Carlos Lane COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. PERMIT NO. OWNER Mesa Del Mar Development Co. I I. -* M',r`.C°(l MAIL _ RECEIVTD BY DATE RECEIVED DATe1881odli ADDRESS 3800 F. Coast Highway Jrr ir`/g-b,./ TEL Oriole BUILDING CITY Corona del Mar' NO. 3-4220 ADDRESS • ARCHITECT TEL.Oriole OR ENGINEER Macco Corp. NO. 3-4220 COSTA MESA. CALIFORNIA ADDRESS 3800 E. Coast Highway - FIRE g Y ZONE TYPE 'GROUT/ yr CONTRACTOR Macco Corp. APBY DATE . ADDRESS 3800 E. Coast Highway- ZONING '"�� ZON r NO.OF ,JJSE OF NEw{....-, 'I CITY Corona del Mar lc--/ I PLANS BUILDING Li! 21‘,A uc NO. 98808-SB-1 TEL..Oriole 3-4220 DESLEGALCRIPTION TY-17 ( I j_11('- 2o-r- C(3 OF LoT 6862 S F I NOOWOON LTE'none 1 A.P.NO. USE OF none YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LING FROM /CENTER LINE ST.) • CENTER OF STREET 501 REAR YARD 23 1 FRONT SO .FT. IN. SIDE YARD I LEFT 5 ' I RIGHT 10 1311 R.SIDE /0 FT. 3 IN. DESCRIPTION OF WORK L.SIDE FT. _. IN. NEW - I X VV ALTERATION I - II ADDITION 1 REAR Z.3 FT. IN. REPAIR I II MOVING I II DEMOLISH I APPROVED8/f/` BY was'd, DATE SB Z LDING59 1 911X50 I RO OMS 6 STORIES 1 /I EXTERIOR n ROOF COVERING ald S CLIC CCOI COVERING Grraveland USE OF BUILDING AND WORK TO BE PERFORMED Single family residence w/attached Living Area 1405 S F garage • Garage Area . 432 S F - Covered Porches et c_.--Ar€a 32 S F I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION • SIGNATURE OFPERMIT FEE $ 3 S— PERMITTEE u-sa Del Piss ,a;r Development Co. m By: / ��t �/ $ 15,326.00 PLAN CHECK S /7 J� as AUTHORIZED . �n& i a s .4. d ' 52.50 E TOTAL FEE - 0 ! Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTR/ICT�N P,,MIT . - PE'AgpM IT_yl O. O I TRACT NO. .LOT NO. UNIT NO. O([/ 7 • , Project Address iL iI �Cn. _ IS ,/a—I.&_'- a , Applicant's Mailing Address C/0/ Lf4 / TYPE OF,CONSTRUCTION ❑ NEW LJ ADD U ALTERATION U REPAIR `� aa..�s.s/ f I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER # • Owner's Name, 7✓^ •x/Z A S..../e7 Phone 7-.=7/4940-. - A.P.- Zone, _ DESCRIPTION OF WORK/USE OF BLDG. Address ' S Main Building: Accessory Building: Arch/Eng. • License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION T ' O ❑ STRUCTURAL RAL Front Address ,� �/q. '/9,s� ,/ ////���� /�.�t p -❑ TENANT ELECTRICAL CI PLUMBING MECHANICAL A Rear i N Contractor's Name fiatisd/vd07 ��'L'/ to hhone�di-©6OO • ❑ OTHER - - - • - I �r2'+ ^^A/(l,J L/(villi. PROJECT.DESCRIPTION SQ. FT. OCCUPANCY C Right G Address Imai ling) �a'J�t31- V K - G c -/I'(� /J/Q� CONSTRUCTION TYPE VALUATIONS S Left R City License No. DI FsI� Y✓CXy�� ZONE GRADING CU.YIDS. ACRES E LICENSED CONTRACTOR DECLARATION bbb / Ping. Ref. # Parking Req./Provided • I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: d /M p 11 . Planning Notes: M with section ]000) of Division 3 of the Business antl Professions Code, and Y/ N'� QH rem T m license is in full rceAAn effect. /�/G /] q 'nJ/�'' /�,s�ry//f/n /-^/- /�-/[License Class. e• "l�eyje�Q. /004607 417A- lI .K'f�h"� �� ; - ! '// ( S Date Signature—`������f�� -�!,Y") .-- UMBING FEES I 'OR ER COMPENSATION DECLAR.KTION Bar SinkShowers ELECTRICAL FEES - ereby affirm that I have a certificate of consent to self-insure or a certificate -. - Workers' Compensation Insurance, or a certif' d copy thyreof (Section Backflow Preventer Service Sink I 3800, Lab. C.)0-/1 /�j�/-�/ `�/,t-� t� ` Automatic Washer ' Transformer 0 15-50 KW 1� P licy No.�/��f/�/��� ! Company/ /`',/' �/�-/ Backflow Irrigation Sewer Ca I I• 0 50+ KW P Construction Pole Sub. Certified copy is hereby furnished. LLLIII • tiny is filed with the city a di DiyK1 Bathtubs Sewer Connection - Cooking Unit , -Meter ❑up to 100 amps EXEk // APPlicant N DECLARATION • Dat AT EX fiction FROM WORKERS'COMPS TION DECLARATION Clarifiers. Solar Collectors - Dishwasher Meter Clover 100 amps , • (This section need not be completed if the ermit is for one hundred ($100) or less). Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel . I certify that in the performance of the work for which this permit is issued, I - shall not employ any person in any manner so as to become subject to the ' Drinking Fountains Solar Tabk Fan Motors 00-1 HP O%-8 Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+ 'NOTICE: If,-after making this declaration, you should become subject to the — Workers' Compensation provisions-of the Labor code, you must forthwith Floor Sinks Urinal Fixtures Microwave • comply with such provisions or this permit shall be deemed revoked. - - CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance . of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors - Water Heater Outlets Range Lender's Name Lender's Address • - Kitchen Sink Water Service Switches , Sign ,— OWNER BUILDER DECLARATION . . I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P- Trap Laundry Trays • / Generator ❑0-5 KW 05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit . to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains O6 L.-I Y�+p-7 flv , IC/ : /i c '- 'e Contractor's License Law (Chapter 9 (commencing with Section 7000)of ( I ..]h V vision 3 of the Business and Professions Code) or that he/she is exempt �J� •refrom and the basis for the alleged exemption. Any violation of Section Il/1!1 f.WAp Li f)by any applicant for a -permit subjects the applicant to a civil _ �]YlOOYY f� enalty of not more than five hundred dollars($500). 3 AT Gl. �es/1 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ /_T {I„ /' • f L' ' compensation, will do the work,and the structure is not intended or offered - - - - Reinsphction F e $15 Y Issue Fee , for -sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - .. License Law does not apply to an owner of a property who builds or improves _ . thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for - Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ - Zoning Approved By - Date ' pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date . prove for the purpose of sale). ❑ as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System .. Application Issued By Dat tractors to construct the project (Section 7044,Business and Professions Code: — - • The Contractor's License Law does not apply to an owner of property who Duct-Ventilating Din0-100,000 BTU 0100,000 BTU 7 ,o . SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- _ - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ - PERMIT • 0 I am exempt under Section B.& P.C.for this reason . Firepl/Fact.Blt. ICBG* Fire Dampers AA PLUMBING $ ISSUANCE $ Date Owner - / Heating System& Ducting Registers QV , b PLAN CHECK 25% $ !] ENERGY P.C. $ • I hereby certify that I have read this application and state that .the above �jj'yQ0 Qp0.RTU ❑100,000BTU ELECTRICAL $ "�t� �� GRADING $ information is correct. I agree to comply with all city and county ordinances ((p` K- "/ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this ity to este upon the above-mentioned propert f • • �1 �'1 � inspection puns•s MECHANICAL $ JeW e-5",50 Signature �- �'f�// / Date, - AVC TOTAL FEE $ Drivers' License • SS 5 " / Reinspection Fee I $15 Issue Fee �"Y� PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor fl! 0027572-00029573 TOT ' 55.!.0 DATF1 117/?11/R9 TTHC: 1F,:59 • POOL&SPA • CONSTRUCTION AND PLANNING. . APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector 4,, • 1. Temporary Electrical.Se vice or Pole • • • 52. Pool & Equipment Location 2: Soil Pipe-Undrgrnd.. I 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 1 -54. Forms . 4. Electrical Conduit-Undrgrnd. i 55. Electrical Bonding 5: Steel Reinforcement i 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE 7. Footings N./ i 58. Electrical Conduit-Undrgrnd. 8: Foundation t. l 59. Gas Pipe, 0 Undrgrnd.,Test ' 9. Water Pipe-Undrgrnd. , _. wasBackwash Lines,P-Trap,0 Undrgrnd. ' i , 10. Structural Floor System 1 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 7. 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 - (et 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 119. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro r_ 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil- 23. Gas Pipe-Rough & Test 72. Underground Flush ' - • 24. Roof Framing 73. Undergrnd.Storage Tank ID ❑Oil - ... 25. Roof Sheathin 9 • 74. Overhead Hydro t '- . 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 0; 31. Plaster Brown Coat 79. FINAL INSPECTION _ c,; 32. Ele&iiical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - 33. Finial Electric Notes:/ /f� Id-S /.. 90 r�rE2nri,i rKP,rvl(.r r=te?,; 34. Final Heating & Air Conditioning f/ 2 UQ, a UMG, -4 .Ea) -_- 35. Final Gas Pipe-Test - . 36. Hood or Canopy 37. Final Factory Fireplace -?ft 38: Final Plumbing , 39/Water Service-Final 40. Gas Service-Final ' 41. Solar Domestic-Final 42. Backflow Preventer - - ' 43. Backflow Irrigation . 44: Landscape Irrigation System - ' • - '45. Sound Attenuation . \46. Handicap Regulations - . 47. FINAL STRUCTURE & BUILDING ' - ' (48: Special Requirements Completed 49.. Electric Release to Edison 50. Gas Release to Southern California Gas Co - . - j 51. CERTIFICATE OF OCCUPANCY ' ' • No. Date