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HomeMy WebLinkAbout1111 SANDI LN - Building Permits.6 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. v CITY OF COSTA MESA , - 1 606 7101/83 54. 1 a -.TL CON_ STRUCTION PERM/}IyT-�— - P T NO TRACT NO • LOTj�NO..,• BLDG NO.: Applicant's.Mailing Address //!/ , 'TYPE OF CONSTRUCTION- NEW ADD ALTERATION""U REPAIR -///y ' , : h' _ i , 1 '• ' Project Addressilli GiANDI'��L..A,r`�� G.M• :-{ • CONVERSION ,0 DEMOLISH ❑ OTTHERR�/��' .... _ I/♦// •- `' f �7/4 ' 30 DESCRIPTION OF WORK �+� i t/✓ter' I �- Owner iName � . i'� Phon - ., , / - - �1 . ZONING REGULATIONS ' ' - Address '' I.. .. . I - - •L'•1,/ Hc�01.' O'1 -'! / 'YY/�-�0 . TYPE OF PERMIT U GRADING U FOUNDATION STRUCTURAL A.P:qp ZONE , Arch/Eng. • License No.• - ❑ TENANT 0 ELECTRICAL ❑-PLUMBING ❑ MECHANICAL 'PLNG.REF.. BUILDING " ' • S'FTQG(`K n i CT ❑ OTHER PROPERTY LINE EAR YARD(TO P/L) Address - tl�' • TO BUILDING /'� f� Contractor's WIMP ` OWE ErL'Phone - PROJECT DESCRIFI L� OCCUPANCY t��/ r'' �'`^ 1 Giant- de la/LEFT SI DE YARD •t1 I) 0", IGHT SI DE YARD ' I ' ,9 • Address!Meiling) r 1" - - CONSTRUCTION TYPE VALUATION$ .,�r - r�/`(' Q ' 'I ZONE • - GRADING CU. ACRFS - PKG.SPACE'REO. PROVIDED I ' License No. __ .. /^ LICENSED CONTRACTOR DECLARATION Remarks: • — STREET WIDTH W�r PARK FEE.$ � ,,, I hereby,affirm that Pam licensed under provisions of Charter 9 (commencing _ - with section 7000) of Division 3 of the Business and Professions Code, and , SPECIAL CONDITIONS: , my license is in full force and effect. - . - _ ��nn ,�,/ q T .. �7t�ny License Gass • • License No. - PLUMBING - N• r r I l_./Ii qui A-S±r r• F I WIJ Ty e - Signature " "�G ' ` rtLi Zia •EC .i KERS'COMPENSATION DECLARATION ? , • Bar Sink Sewer Cap I • EL CTRICAL { ) -"'ieby'affirm that I.have a.certificate of,consent'to self-insure.ora certificate !' Automatic Washer !Meter Dover 10U amps( C, ;I (' .‘`Workers' Compensation Insurance, 0 C certifletl.00py thereof (Section BeckfIOW PfeVenter" --- - '- Sewer Connection: - - ^ - • -y ._L. --. 3800, Lab. C.) I ' . ' - '-' Construction Pole Sub Panel ' Backflow irrigation , Solar_Collectors, ! 1 Policy No. - I Company ` l Cooking Unit Sub Pole ; !, 9Certified copy is hereby th thehed. • 1 Bathtubs I Solar Piping I 1 D certified copy is filed with the city Building Dlvislon, I I Dishwasher Motors ❑0-1 HP ❑1 A-B Date Applicant • -''- I Clarifiers •_ Solar Tank . EXEMPTION'FROM WORKERS COMPENSATION DECLARATION , - Oryeis ❑Gas ❑Electric Ine.Solar'❑9-15 HP ❑16-15+ .- I (This section need not be completed If the permit is for.one hundred($100)or , Dishwasher : Swimming Pool w/Spa '. ' less): I i - - - / , t Fan' Microwave ' I certify that In the performance of the work for which is permit is�fisfu.�erq,I I I Drinking Fountains i Urinal - . . ; i shall not employ any person In any man r so,as to e /o]e the - - • I ( 1 Workers,QOm��nsan•Laws of Califgryu - I • Floor Drains , , F.A.U. ,Pole iLigh[ (( (�// (( Water Closet • I 1 Date D Signature - - r Fixtures ' I I - r ' '-NOTICE:If,-atter-making thvisionaratloni you-should.b come su orto the -- i Floor Sinks - Water Heater - • - - 'Range _ . Workers' Compensation provisions.of the labor Code,.you.must forthwith. - "O- , comply with. Such provisions 'or this permit shall be deemed revoked. Gas Service , ,Outlets. .Water Service • Device Boxes ' Sign ' CONSTRUCTION LENDING AGENCY ' I hereby'affirm that there is a cis ttlomlendin9 agency for the performance, Interceptors •- - , ' v Outlets , -Standing Sections - of the ,work for. which this permit s .issued Section 3097 Clv C,) ' • - ' • _' Lender's' Name (�/t// r Kitchen;Sink; - "'" Switches I '. Trash Compactor 1, ' Lender's Address' ��'�'_• ' ' � - - ., - OWNER BUILDER DECLARATION • 1 .I Lavatories - ' Garbage Disposal • • i I • ' I hereby,affirin that 1 am exempt from the Contractor's License I.aw,for the ! _ - , • following reason (Section'-7031.5 Business and Professional Code: Anycity or _ l—,Trap ! '- ( Generator ❑0-5 KW ❑5-15 KW .county which requires a permit'to construct,alter Improve,demolish it repair gny structure, prior to Its issuance,'also requires the applicant for suchpermit Roof Drains' , ' - - Transformer 015-50 KW , - • 1 F.""Lontractor'ssLicense lawa(Cht aptere ls licensed 9(commencing ing with Sectiursuant to the on 7010)ofons f t - 'T I' ' • • . I Sion.3.-of the:Business and•Professions Code`or that.he/she-is ,xemt : I - ❑5U+KW ( - 1 Reinspection Fee $15' ' t p Showers - a Reinspection Fee $15 V'{„'aefrom and the basis for the alleged exemption- „applicant ion of•pctien ! - - .i ii31,5 by-any applicant for a permit-subjects the applicant to s-civil Meter ❑up to 100 ampi 'Issue Fee '$ 3 enaltyof not more than five hundred dollars $500 ( Service Sink: .: Issue Fee $ 3 fir• , I::as owner of,the•property i ), F - I Zoning Approved By • ��S1 .Date willdo the work,and the structure is not intended or;tiered -. P i MECHANICAL , cibi ' for sale•(Sec/ton 7044, Business and'Professional Code: The'Contictor's - ' Application Approved By _ - - 'Date' Wit _ 1 • License Law does not apply to an owner of a property-who builds or Inoroves Boiler 1 Refrigeration System I , /- ' thereon,Iand who does,such work'himself/herself or through his or hr own :C - , ' Application Issued By ' I Date ! employees, provided that such improvements are'not intended or offend.for 1 - ❑0-,100,000 BTU ❑100,000 BTU: I. ' ' ' sale. If, however,the building or improvement is sold within one year demo- I Duct-Under Ground I ' , I a ' • pletion, the,owner,wiii have the burden of proving he/she did not builcor im- - I ; SUMMARY OF FEES 1 rove for the purpose of;sale), ' . I I I I I ' I Duct-Structural I 1 System Repair/Alterationr I, as owner of the iopert am exclusively tontractin 'with llicensd con- I Si - r BUILDING PERMIT $ 32rSo $MIP $ ; O• • __ • tractors to construct.the project(Section 7044,Business,a d.Professioncode:-! _ I Duct-Ventilating ' - - _ .. _ 1 1 $ 2/. /Z PERMIT { I The Contractor's License Law does not apply to an owner of propel who - - a 'PLAN CHECKI builds or Improves thereon,and who Contracts for such projects wit! con- , Exhaust,System 0 Multiple 0 ! PLUMBIN• G ! $ ! ISSUANCE $ . I ' tractor(s) license pursuant to the Contractor's License Law): i '1 • I I i I I ❑ ham exempt unoer Section B.&P.C.for thl,anon j Fire• pl/Fact.Bit. ICBO# I PLAN CHECK' $ I GRADING ! , $ • I , 1 i I , I 'ELECTRICAL. $ I i $ 1 I Date I 1 • Owner - j 1 HeatingiSystem& Ducting 0 ( I 1 MICROFILM I $ I 1 ' I hereby'certify'that l'have•read'th s application and state-that'tbPbove-I^ -- • ❑0-100,000leTU 0100,000 BTU - - - '-- - - 'PLAN CHECK' $ ' • ' , Information is correct. I agree to coJL•ly with all c a county ordances I ' • I ' andstate laws relating to building +�• struction, reby authorizlepre- Hood Or T 'MECHANICAL $ TOTA L'FEE $ i inspection fives of'this t enter G'�' entioned prop forype'l ❑• Reinspection Feel $15 1 I LESS 1 '' - inspection purpose t, ( t` eyg I Canopy/ Type I I ❑. f , , ,PLAN CHECK $' • /dim 1 �e Date -7-� � : ADVANCED PC , $ I • I Drivers' - 1 � 1 I ! ' I -_____Ci./ ! Drivers' License or'SS I _ Registers 1 _ , Issue Fee i _$_3_ _ i --------- - __ --- . .... . .... .. .. PO( 4-..- r?..,CONS'IRIUCTION ANOP12/clAgING. "--,„4!;.--; -;" -4 • c xZ,`, ,,-;„:„.•,- ?•4 v,.3 0 T.:t - ...-- 2 §Pkiri:".''i';;;-C:-.. ' .7C -' I C:i ....-''' n- -‘: t, t,„ . Date '1,,nspictoi 17.30 1..4 ,?..iDate,. rinspeOtor', 27,t i -- •• >-..!_.-APPROVALS --. Periiit.,#: tr / -- ' , 7 -"' 4''17 ?o."`. or. 7 , :0E-APPROVALS--;,7Petimit,# .C.7 c". cl- .... 41:1;-4 t. I r.. Z- , at?: ; a'41 ...,c 72 ;„_".Z 7 .--..,„. '.; -.." 4. i IT 1- i7;MISOiary iElerctricil Ser-fice. dr-EP:ale ' :.... t' '..- ; 5- /E":1 r. :52; PS015,14 - ' •-i:c . ..:;,-J •...-;:. • -. •; , ,.. , , ,c • . n L4 I `" . 1 -... ' ,- .Z!:... • . = usPrT,er,,....°catign 5 ‘ • < i?:; ; , ; ;/-;.y. - , .. 2' tS;51.,11 iipT-Undr!grid ..44L 1, _ 43 ‘15.: ' :i....''.... ;rgi'. rcc 3.,Eg I i W...Steel 1/1 erlinIol.reamentc.::: ;;;;Z..:7''Ei I::t'' .;2' .i -:..1. 7 I i '(3'• .-; i- • : 3 Ectical Conduit Utiliiy-iii502-gr1.; %.%, ,-., ir:•..-,,:. , ,--„;%.„. ig-,..g . I.:54, Forms.", -.,.! vig ., ,,,::- 4",.o..° 'Pr', ..,: ;7; "(3 tr., Efectr'iCatl clonauit-ukchi 'di el:•-• ' .11=1 :- ;"? ' an 7-I': I '5767 El if -4'' • -tr... - :.• t' --t. ..' ' :- -7 ' ' < in , • i 9r, ,7,;..,1 , , ,...,, _ ,_,,,s, ,,,„, ,„„.„,,, .....„ ectqcal Bogcling-:: ; ..; ,..,, :2 ::.; ; .,......3, ;%„, ;,1„... -, • 76'. .S.tel IR e I nfOrce.,1m;int, i ; %I.;..'„Z I 77,,9s..:.! 7,4 ; '-',.,4-,.•",,-14'..?.. 4, , ii,d9,1- liirougtif.iymbiT79-Ifiessi.Ge-.:Tesi i 4- .'' r.,',..c". 6: .Electrical tiF R 'GrOd !, FH. 1,74 57- 1..44APPROVAL!l,..:o_t- dVE8 6 NITEL: ''''; '; • °-,' ; • a ,.): . ,',: , t j k: ..2„,•; 1; 7. '' .454%;:atng.g, , ! I !,:-..1 I ! E..., ,-,"0-4. 1 ; f...r, a4478 ?f ;,1/.., I; :.`58::Electricatainduit-Uncfrarncia,.:..: ,- ' . . . . ; ' . ' •; - - -j."7. 8. Foundation ' I-1 I I .4i 4.:. .. rIfi s:- 1; 7" J35.. is- ; .,59. Gas Pipe 13 Lnbrgrnd-Test • "" T 4% , ;. ,..: 9. Wate,c Pi'Fie-UrYd rdi.iid,. ' I i L ',;„ 1 , 1,%3 I ft; .:2 ;7..51 ; t;'60. Backwash Lin.es]P-Trab Idclndrdrnd....•.: 1-; ...,...-.4";.: ; U.7 10. Structural Flapr System La li I "; 'a • 1 ir--1zi -,• • :.61. APPROVAL y '' - -.;:• _ . •, ..;,-,.• :, 11. .Prbpditce Sewer Eine&:HduserCOnneciion ;,--. • ' R% 7E I -.8 ' b ' 1 .4".- • ' - • 4 - ' 1' • • - v I I ; -; : ..„ ,.. 2. eckwash & Receptor-Final ' -.; ' ..:. - 4' ' "... 57.....7 _cr ',463. tleater kVent-Firal ' ' .. ' . 12. SeWerC.ap ' 1 , , I ; I I i :a i .... -. 13. 'R Odfi D re' i n4. ; ! I I 1 5 f.. , 1 7 `2,. : ! ;" i / r64 Plumbing.Sy'steriT7Firlal-..t. -- . 4" , . -;-....v•- .' , 14. Rough Plumbing ; ; ... , , I i ,/ ' 4-74 ;-::. 1 765. Eledtricai-Einal: , :11' 4:.4. r• ': ' - • t = ' I .1 2 ' 151ROTJgh-ElebItital:C?cnduiti...:1-1- .i f -1-TT--ITT -r66-:, SelarScilein--FinilT -7,---4,--• 1 7-.. ' ("-- -..-- ----, .8 .%:.,16..,,,rhpughirtElect4Iceirtrig; F, : I !l ,.ad,' re i T.Th : 51Th±r„, :: ,67.t Fencing 8,i Access Approval . I , ;1 ;c : - 1 .: : ,,,•..., , .•I _ 2 -..... "'c1, 7• AFO,tr,g..-cllarif.i.g'S- ign,`_... ,P2 .. ;, 1,1 =..: , .' , 68 APPROVED FOR PLASTERiNd. '• : ; '7, I ; --.I, f,... , 'it. .! -, . , ,.. , • - , " : - ,‘ . • .A 18.eousgh":„Elecririalf.T14:8a.7.Ceiling; !I !:. I;:;:.' I I Iti o I ,. , 69. POOL/SPA SYSTEMS FINAL r; 1., 4 i ! 4 },Y! !.;I .4 ti 19:Eougho'Hetating&Iifiir:Conlitininig II I :r I 21 1 i I : ; L' ' ; ' I 'FIRE pEPT.,,REOUIFtEMENT; . il 1 26\1,Fic?Ugh-falEtalf;" Firiplice 11 I II II I I - I 1, ! " I i APPROVALS Permit:# . , 'a,- 4•1.- 7. I 21.IbuOts:fin Sii-Lict. u;.e±; II ; I I :I III II I 1 ' I I ! ;lei Underlgrouna Hlydrol 1r : 1 i • 'En ' I r. • ''. 1 I .4, ...... . 10 t.' I ; ‘... ; U ! i • 1: i . I i I , • E,.1, i - I 1 o , r y 22.41Ducts,Ventilating :. H3 I l' I / I 1 I , I I; H71.", PrbdUct Piping D Gas D Oil i a it I i t. ir23.P s:Picie-Rough it T,eztc2%. r. 1 1' 1 22.; Underground Flush 1 _ _ _ . 'F24-CA • iF' 4 ,1° ;', I. 11• •11 I 1 I , i ., 90. racnTg ,,.....1 : r., , , 1,.,%.:3. II 11:63 1 c.4 1 c ,,, I.:, I c,- 173.; ucidergrndtor,age jank..p. :Easppil, ' ; I • , %. ... _ .2 " , a , , tis,! ..;; I : Iri. ;L' I .OltiLj ",7i ,' : 4; ' 26.4R5of1Speatping n ! ; I. 1 it3!!-. 1, ,.1,2171}..„ , E1-.. „,,, 17,1 Oyerhead Hydro ' : s''?4';,I,' ...: ; ,... : ; ; i , I • i • := i 26 iT-Bar Ceiling (Structural)i& Monocoat I • I id ;1 " i -.1 I .',I • 475 Dry Chemical I .) ' R. ; • ' 1= 27---1,.--r,•,aq,eJ nd.::Fla..,"1shi.n!gI, .n1 , 1, 9.; 1, , 26I DryS1 tandpi`p,eIi ;= I .• -.) i a . T 'C. I I- I I 72 I: I (- I- I ° ! 28. ilLathin6&''Siding' ', ;--; I ' I Hi 1 I I I A 1 i 1 :77.1 FIXED SYSTEMFINA1 '..,-; I : . .j I 4 . , LE I l . .. • in .. . . , 1 , , • # • i ,,. III ! ! I I I i i , .. . ' i • ," ' 422,JillitsuIatEon 5 :.- ; cr '! ,c.: ‘, 1 li 1,1 1 i I 1 ; i i I ;78.! FIREPFEV„ FiNN_ I 4,,,.. a i , . 1...4 i i--. 1 0, , , , , , , , Iiii ! : 1 : ; ,; , p • Ii . i , , g iro.iprywaii Natting , .,... Iull ' IIII ,Notes:ii ; . ; • II ;i c; , . , ! ' • : i I u .1"., i..-- 31.,Plaster proWn Cot •., ! , : I II 1,1-1 Fi.- r-in-r-i , HH , , , ,, „ , ,.. , , , n 132.1EleciricaliPower164ter:-Fin;a1 i fi P,_ [ I [ . It :, I I [ ! I tliff‘r : ,., 4 I ' ; i • : :-. ' 1 1 , i 7 I ! ! r: t 33,1inai E'ietric .. . .11HILI11111111 ', L . 111. ' '' : ; , • , 4 34. Finalrialeatini &WI; COnciftiorlin: # I I I . I LI ; j g. -1;11, _- . ; I-i - ...d I I t ; _I, / I 35. nnaltal.151Pe=tes'e: #-: 13' I :; ; 1 -.1 i ti ;17 i'...:1 ' ,-. i 47 s ;to . ; ! '„E •l'. RI' •1_1,110)1,117 ' 7:- II I : ICI ‘ ii: !.. 14 . > 1 .; ' '.1 c 1 36. Hood oriCanot51106 .1, :41 : ! :;1 i ' 1'.. if.iI ' l 1 1Z ; ; ! ,1 ..... . :, I : y r, r.'. ;_ ;;,- -, ..,.: ,,, ... ... • ..-..-• IT E: 61 , I : IL' ; . I-; , -; : I . tif,• ,.-14 : . :: 1, " !, -7 -IV' :"7. I .. T ‘7 I • 1.T: ' 37. Final F1'atI ortiFir'e:9;11dce' 11 1:1-I -41.4 1 i i LE toI-.' ' 1 ':,' i i i i "4- ! I, .,1'0 1:2_, , .t-...'i r: z • 38. Final g'Iditthino 1'.. 1- . i .P5: ' 1 I i i 1 I 1 1I ' t -1 :, I. • 1 'I: I 1 I . . 1 .2 .: 17,,! il - 4 • ' I , 40. Gas S4-vtII ce-Fin1 al , I I I I --4 I I I 1 , . I i 1 ! Al II I I I I.;, 1 1._ i 41. Solar blici!nestic-Firpl I I II 1 ill* i 1 --r-t--I- -! ' 4- - ---+--4 : - 1:-- l- . : /-i . .1-r. 1. : ' • • , G•i-, 1 ! I 42. Backflow Preventer 1 1 I -'4m1 1 1 _I ; 1 L , 1 ,i ' i : TT' Ott .t;,...; ; • i : . •174,11 it'l ! ti -t- 1 I . _ 43: Backfl:o7v; b?rigatiOc 1.- ' 1. I , pre', I' I''-'; '7.:, • 7.--;...C.': i 1- ,tic. i ‘'i,i %I. ',- 1 , I I .4 ii- ID- I I • ,t ..zittovil :'!, .cll c! sil ' I , , , ' ; .., ... 1,......, .i., ..e. I::". .,, /- 1 I 1 . r : , _ 44. LandsFape'lcr!gtion7Sytemi i tjp-: I.! I ,-, I._ , 42 .:2 ; .."I ..; i ! I , ' , 1. . , , x -, • --, 4,-,, ; ../ -• > lb it ; , , i! :-. i ; n; } i : ,' I z 1 ' 5: 1 ez,;" , i ii . : .."- t.: ' :1 -• 45. So underAtterp09ci , 1 m 1 1 I li i I ! I 1,:.1 ,,i 1 i I i ,t 9,! 1 ! : 3 3,-.7, I : :, .- . 2 i,..., : • : 46 HanditZ RggdatiOnrs I ...- I I t-• 1.8 1 • I 1&- 1 ,1 I 1 1 1-... -.1 . i is-. ..,- ;, -, c!, , ,., ., -,, ! .- , -; .. , 1,.... , 2.-: I : 1 ; I , i . 0 : , a 1 :-. n .• 47;F I NA i:.StRildT1.1 hE ar Eial LONG i :Ci Li -: if .. 1 1 ; I ; :1 .4 UISi% I 71,-,r• - - : I . I ; 48. Speciaj Rpotrecnerias Corrtipleitedi , i 1 I I I- i 7._I I it ; , I III 4 V I i. 42..- .."-; - -, , • ,, ,,, • 49. Electric Release'to:Edikl; I I . 1 1 1 I J LI 'I_l_. L [... 1 4_.L. i . . ,I1 .,4-..." :-- : 1 I , - ---- -- -: -1- ' I -1 - ' 1--1--r - -- 'I" .5 I • I ; I 4. 50. Gas Ralese oujthern daliflorrlia GAs eo I . 1 I ! I 1 I I I I I 14, I, 1.„-:.T.'1,..-Ir:4,:-.'' ::1;71: .... Ill i• • 51. C ER 11 F ICATE p Fi OCCUPANCY i_ ..i_..- .4....i __.L....1____I__ L-1-. --.,.-: 14.'1 .,:e il .:. . i No 1 bate I I 11 . • i r 1 .9 I 1 1 _11 ' il. Hi 1-4- i --I.-....-- ----k----J ,.. -l_ -....,.-.. ,.-,. .......,,, •_. .--r,.„.„_., . 1 • ' Applicant to fill in all spaces except those w. heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA' PE IT NO. TRACT NO. LOT NO. BLDG.NO • ,. ' • , CONSTRUCTION PERMIT , `- _ 7d'/ Z jq-j�g/•fir (� • - Applicant's Mailing Adddrresss.'II I, •' '4 t)I (.�TAtN�S��{�l p " TYPE OF CONSTRUCTION Ll "NEW Id ADD H ALTERATION• ❑ REPAIR /� 1 s 160• 7 7/0 1 /B3 ''' .64.'02; :TL - 1111 �,4NDI L-A)JE7'6OcWI Mg6,43 • 12$ ' • - ' ❑ CONVERSION • -❑ DEMOLISH - - Project Address. a r�rr�o 11,,, ,t,mac 0 OTHER_ Owner's Name Wit`-t+-1" -44oL. �-� Phonb1 43 23° DESCRIPTION OF WORK APP- L- T- 4,,eni$ - •, 'ZONING REGU,{LJA(T�InONSyy' Address - • TVPEOFPERMIT' UGRADING�UFOUNDATION• Ll�sTRUCTURAL A.P.•M Baa - 04a-�q ZONE ' 1 Arch/Eng- License NO. ❑,TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - • BUILDING i • - • _ 'PLNG-REF.yh Address1�Y//y ♦' ,1 .❑ 'OTHER - = • �j TO BUILDING - Contractor's Name - l` O&~� Phone PROJECT DESCRIPTION $G-FT. OCCUPAf -V l�-f -PROPERTY LINE 1 REAR YARD(TO P/L:) s' o� - 1 LEFT SIDE YARD RIGHT Si ; I, 4 ' Address(mailing) ' l CONSTRUCTION TYPF VALUATIONS ,�r1f:%.T I '_ 1 , - ZONE GRADING CV.YDS. ACRES PKG.SPACE REQ. 1'�I`,jl�r D #{Nf): License No. - . ., - , bLI _ • Id (l•• • LICENSED CONTRACTOR DECLARATION •' Remarks: _ - STREET WIDTH ' �'] 1111: . /p� $ •S$1t I l herebyaffirm that Lan:licensed under provisions of Charter.9(commencing •y.' 1 V- 0' with,section 7000) of Division 3 of the Business and Professions Code,and - i ' SPECIAL CONDITIONS: • 1' :i my license Is In full force an O,effect. '" - - License Class I • -' License No. - PLUMBING ` (�J`1�(�S�L,�{� to• Signature - • Bar Sink Sewer Cap , . : ELECTRICAL • (� t pRKERS'COMPENSATION DECLARATION I - n I✓ ' I 1 /reby affirm that I hive a certificate of consent to self4nsure or a.certificate- ' _.. _ _ - ._ Automatic Washer_'. . . IMeter_0over 100 amps 1\-P' 0 ' . Backflow Preventer Sewer Connection -- - - - I Workers' Compensation Insurance, or a certified,copy thereof (Section - ' �_' - " f Construction Pole 3800, Lab- C.) j Backflow Irrigation Solar Collectors_� ' i w ;Sub Panel • Policy No. ' Company . • - - I Cooking Unit Sub Pole Certiiied•copy is hereby furnished. Bathtubs Solar Piping i 1 - • ......B Certified copy is filed with the city Building Division. .. Dishwasher .Motors DO-1 HP 01%$ ' ' Date Applicant I I . , Clarifiers - , Solar Tank ,� i , 1 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ' Dishwasher Swimming Pool vi/Spa i, ./j ••!t • Dryers ' Gas. DElectric I Inc-Solari 09-15 HP-016-15+ , (This section need not be completed If the permit is for one hundred ($100)or ' less). i + •- - - - - Fan I ) Microwave i 1 I 1 certify•that in the performance of the work for whichbe.eeth rmI' ; Drinking Fountains ! Urinal • l ( shorn not employ any person in any manner as to e - F-A.U. - ' Pole Li ht Workers•.Co pe�gQsation,,Laws of ure -nl i t Floor Drains, ; i Water Closeta 9 `• Data 7 1 Y� Signature - �� i - - Fixtures 1 NOTICE:If/after making thissdeclaration,youshpuld• she , - y- Floor Sinks - .+ - Water-Heater •- - - - Range . - Workers' Compensation provisions of the Labor Code, you must forthwith, , - „ _ - Device Boxes , ( 1 I • comply 'with; such provisions- or this permit 'shall be•deemetl' revoketly Gal Sergiee'. ' 'Outlets ,WaterSerOice , • ' - t'- Sign CONSTRUCT,ION'LENDING-AGENCY ' i •' - • I hereby-affirm that there is a construction lending agency for the performance; I: ' Interceptors . = I 1 , - f + Outlets 'Standing Sections , ,. ' of the work for which;this; permit -is 'issued (Section 3097y Civ. CJ: ' - ' _ Lender'sI Name - L. - i - ' ' Switches • 'Trash Com actor , • , _ Kitchen'S:nk• ' _ _ _ _ `. i ` , P. 'Lender's Address ` _ • - I Lavatories 1 - ' / Garbage Disposal OWNER'BUILDER DECLARATION' , 1 i •- I hereby affirm that I am exempt from the;Contractor's License Law for the 1 Generator Do-5 KW 05-15 KW i ' following reason;(Sectlom7031.5 Business and Professional Code: Any city or P-Trap ". - , - _ _ • 1 'county which requires a permit"to construct,alter,improve,demolish or repair - - Transformer 015.50 KW ' I • - ' any-structure prior to its issuance,,also requires tkeapplicant•for such permit Roof Drains - , r ' _ .?,file a signed statement-that he/she is licensed pursuant to theiprovisions of _ - 1 0501 KW , , Reinspection Fee 1 •�:Contractor 5 License L.aw Chapter 9 commencing'with Section7000 of r .. $15' .. � airs ctipn ee ' i .. R s F 15• Ion i PPe $ �i'-s p .3-of the Bus nes: antl rofessions Code) or that he/she islexampt - Showers i ,_:,. , u.).....7s, j%efromand the.basis for the alleged exemption:Any.violationof Section _ 1 - Meter ❑up to 100 amps Tissue Fee 3 313 b anyapplicant eou n permit. ($50 )the' _ I - p 'applicant to a'civil q' __ Y PP 1 PP t .. - -alty of not more than five hundred dollars($500): ,Setvite Sink - 1 Issue Fee • -$ 3 • Zoning Approved G .�/, 1 ` 20 i g PP oved BY Date �r CS- I L9 I,t'as,owner of the property • n I - MECHANICAL • ~ ' • I / i r -- - will•do the work,and,the.structure,Is not Intended or offered , • , .. , • Application Approved By 'Date • • �l Q� for sale (Section 7044, Business:and;Protesslopert Cotle:'The'Contractor's • ,//�] 7 �i License Law does not apply tours owner of a property-who builds or improves ' Boiler • , i" ' 1 - Refrigeration System _ a - A lication Issuedr'^ I' Date thereon,'and who does:such work himself/herself or through his or her own I { Application By ' employees, provided that such improvements is sol t intended or offered for , ;\ ❑0-100 0BTU ❑100,000 BTU • Duct'-Under Ground •� 'v • sale. IT, however, the building or Improvement is sold within one year of cpm- ) 1 1 1 i • SUMMARY OF FEES • I I pletion, the owner will have the burden of proving he/she did not build or im- - , rove for the purpose of.sale), i 1 _.. ( I ! Duct-Structural System Repair/Alteration __ 'BUILDING PERMIT $' 319.50 / 'SMTP' 1 I $ ; U I, as owner of the property,am exclusively contracting with,licensed con- . 2.5":,0 21. ) • tractors to construct the'project(Section 7044,Business and Professions Code: - _ . Duct;Ventilating_ -- .,-, - ' _ _ _ _ - PLAN CHECK. '• $ _ I PERMIT 1 j The Contractor's License Law does not apply to an owner of property who ' - ISSUANCE I $ • ' builds or improves thereon, and who contracts for such projects with a con- I Exhaust System 0 Multiple❑I i j l T • •PLUMBING ' ' $ 1 i GRADING ; . $ ' . tractor(s)'license pursuant to the Contractor's License Law): i - PLAN CHECK $ ' 0 I am exempt under Section B-& P.C.for'this reason, ; Firepl/Fact,Bit-ICBO# ' , . ' :. • ELECTRICAL- s $ • .i $ . Date y Owner. this a lication and•state that the above •- ,4 D0.100,000BTU 01L00,000BIL - ~ PLAN $ MICROFILM : $ - 1-hereby-certit that. I•agree r-a pp - - - - -.r` - -- _ CHECKi • information Is correct. I agree t• omply wi, �., city and county ordinances r' MECHANICAL • ' TOTAi_cee��-��� • and-state laws rel ting to bull. g constr and hereby authorize repro- - ..S $_—+ :.Motives of'thl o ent-r1 . ,.bove-mentioned property for 1 , Hood or Type I ❑' ) , _�- • inspection our 1 ) i I Canopy Type II ❑1 ! Reinspect; x:$15- — • Signature 1 ..' . ' Date 7-153 ; Drivers' License or S � t ! -'�' 'Ra:.:r--�—'- - ;;;;2. :fialf'DC. SPA,,,,dc„:1;,: .,r„..,-”:!: ;, ._,i , ,-.I1.,C9F.7-:i,dO,NS..T:ScUP,_TI,Or O1ArND%-pL•3 AE''- -nNigynsc.-.:-.:.',,:•p°-‘:?:,%,,,cc?2I.i4:::::;:-zcj, i.H,;'t2I--r:'2-4'7I2.-:Ii"2 'L :t:--./-"..15-- 'i- 7- -,•'-•;/:••1•‘.:•-`:t• ' -. . a 1 APPROVALS tPermit rpat Qlrskat?r iaAPPROVALS , atnii# - ctiat Inspector' .,,• • ' r, .. :'' T.: , - :. , ;..-`‘ " I -; --1I-;2..... 111 -;.„ Lt, • r 7.•L• .i.,. . , - • •> , : , ,...„, , :, , „,2„,; , , .:,•;:,,1 wiz •••, . rt:I: TemOor`ary•Electric1-1Seri;ide OWItfale!' I It.'.:-. V'. It I.t it ;;---E. z.2g t': ,62:•.p" 1 &'Equipment-r• -,"1:-. • :-.---:., . .1.-: •" -;.. . . !.• . • • LI w•-' 1 ••• r 1 1 1 " ---1 • 'LI rc"1" • I : I - /-, I Z-; . r: 1, ::,.-: 9° ..- :9CPt'?n •..., - ' c.. ..(.?;., „.,..., .., ^;! • ii .,:i SilF'ipe-Updiigrr5de F., rtg 47":, I Ili r i ,t,,,'. i,P or, .±.-6,,7.ii- .1--53i:j tel fteiblorcemint 'le'I.,:::.'. : ii klactiicaC..H II duiit U:Lilqy-i?.7jciil A•rgrrii : ri;3 !"".7"z, 1;2c g:51 : .r7;9F •47-; or rn s g:- is 7,1;:f i9t1 ;-1 \ .7:: -. 71; ;: ::--.: :: ; ; ;-,..-;cf. : •, :4"i'; 4. Electrical COnd,oil.-U!ncl rIgr Al cP._.": lie c•; 11 F.:::„i -g, I:12-i ii..2. Ii2,..i ,1;I::1,552 be' c'tricli:BOn'cings • : S•thel!Reinf(XCQIne, ni: ! 114r, F:iL,... I,,.! ;;;I:! i 1 .a..=:,-2;.1-;.,1, 525-' 5;z.2;:i..1 :::576.,,,.. 'Ey:Rio"IfIlVp1'rbig.:8t. Pressure Test . -.. c't! :1 1 ; : • ; , 01, c. 10,•-1c 'h12 .7-1L-1 "- !'' Tr . ....: .......:.r -: t' .. 6: 1EIctrical l.?FE R End.; 1 a- t: -I ci; :3 ,II.1.-- c,II:: ..--..>77 ,,i.51,:- Arr.RpvAL.,.i OiCuyER-oUNIT ..., 'C.,: 7. Footings 1 1 t i 1 Lt. Tr;'' 1 : `'', F.' .7.„. ...o vca• r.,° : i :.i.'61Y: .EleCtr' .165-c 'Thu"c - 1 • ' ‘. ..... I .4 0 ....'M $. ,., S..; 1 L. .... Ica ,n ult7 n ran:wt.-, . • :„tc- 1 , 8. Foundation .1 ,.. ,..! I I .' _i''1 4 I ci.i ?., '1, „..zw155. .oasIPIPerElTh:iickbrn-al: tresi.,,-r-..,i:. -: 1-7 ' '. ! ' ;:..• ' t.--; 9. Water Pr U9d ' rid l - ' -1- j It '''''.- l'. ' -1 '' c Pipe ri rgr . , c.,.! , ' 7, ' .f. s-z c" I .c.60 Backwash Linei,P;Tris;,c1:1-t_Indr d ' ''' •• ' '''F'I. ' ' 10. Structural 16'or Sysem i fi.': 1- ' .1 't 1 i Ir't? ::5: I ; R ''r ''. . "C; -. • r er : . * . I . 0 • ! .i fr c f ...;,; t?,.. -61. APpROV,AL TO•DECK 11. Ofopertc S4wdr Ling&11-Iduse:C2)nnelcton: t.- i Tcc is ..!..t. it :.;:-6?. BackwasliSfiRecePior-Firal- ..„ :II:, - : ••-',, . ,,.. 12. SewerCap H i i ' 1 g t 11 • ; • . 6". cS ''f" -Er ;Lbilil 3. leate8 .4n4 3' 1 tt 1"1:;:-..;tj -- • ' - .:!' ' ' ' ' 13. hOof1Dr'ain's 1 1 1 1 . .gg Ii ' ..1 V '8 ,-- i :fd4. Olu,21-ibin . - " '' ' 1: '-''':: :,'" : I i 5 7 • - " I , c, .,.„ I z.,, gSystemt Ina - 1 ; .-... ,6 - : " •• ,•. .`,..-z, .! 1 d 14. 'Rough Plurhbing 1 ' I 1 • -T-- ; I Y: I 2 .-"F• "Va5. tiotricailErnalH t-:,-!..' ' :. -ri1 r- J711 t ' ..F• ! ) t. ;--15.•-tPough-Electrical:Condulti-T-11-r1- 1-1--r-1 .1 I 1----,66Tscairtscrg,tern:Firi--,- '--- - • - ---- -1- 1 1, 1.1 t . ! , ,1 511:iii,i,,ugh.:FlecciicicejirtchgriSelyiPhictitti31 ,,,-,,.?-1-. EgrieiHng &:-..4.-ccte:ss-7,ApproyalT,--, _:,t it: ITTH'71 -4-, 7 T1,7:-r1 ' 17. 11:18uhlNirilgi-SidnP s '4 I ; I -6 4,.. el., , ,,,-, E ,..3 0. 1 , ., . , r• , _.,D JD R,P,LASITERING t.:, ,. . : ,.. ; r... , I 4.4 11 11`,2 I .1.7c- I:-Z 14- I !.I 4t I r: I,' 68 1 APPROVi ' ! r ' ' r ' ( '' Z I I iR:O.u.1 h,.,`:E I 1 AA ipak t.:1-513 a!!Cr i I i n g; f" Ifil I . 1 7,-.. 1 1r 1,1-‘2 1 1 i :66., 'POOL/SPA S`I'STErIAI aFINAll , :1' ; :.;', i tr': 1`,..-; tI !.; i '; i•-:, 1 I 19. iFlOtighlHdait pg &kir tonditiOninlg p Li!! I ! .1 '-- t • : ! FIRE DEPT REQUIREMENT I •--; ; € ; ; i ':•1 1 i 6 1 , ., ' LI ., _) _ . 1: . : t r . :. t z: , 1 t-1.! ; : i 1 ' , i , ., ., _ ti ; , ,.1 •:: • • = =, 2ditifFir.6..ughealct.ory FIrkpla.ce 1 . 1 It,: ! i 1 - 1 I ; 1 ' 1 1 Ai pf:R0y4S: I Permit# "I I: r 7. f ' It . ' '". • ' • k ..I :ifUcts,;in alitCtur'e-: "1 *- 1 I 1 1 1 170.1 Undei-ground Hydro1, '". ! -. __-1! ; •: i : -.1- ; 7. I ! ! ! LI 22. Ducts _ , .-, I I II 11 1 I I 1 I I I 1 ;71.1 Pr'oduct Piping1:1Gas O oil ' , ; • ' . : I ti iv-23. 'G!`isl!..Pide-BOugh &TIesi g. I 1 Ilir If-F 1 I 7: FT-F -1-17-21-Ulid-leig-rdi7ndF-Ph7- - ' -1- fr 1-1 T. I I' 1, . • : t V 1',.:' -I - ---• 11:- cl I i 1;;4 i 1 I 1 I 24. ! yof Fiarni41g I 2'.I ;1 7, 1 1 a it s? 1 01 ri_ i 1•131._71 ,..-:!1?.. 173.! Lindekgrqd.Stor:age Tank bdas .090 1 I 25ZiltIOci.f Sheat.!iirtg I I I >--. I I IP 1,!.6-:, I :,I t-'2I:I"! ;E2 I-1 i 1;I::)14.; 0 lie rriea d Hy.dro 1 r..: ;• 1 --1 .! .''. 3 ' 1 1 , : 1 . , i I-n-26T--Biri C,eilin-.,g (StrUctur.al).& MonocoaiilI '1 f i .751 Dr,Y Chemi"c?i' r !s : ti ' .r.- ' "- 1 , ; i I "-,27r;riamelendfrItshirlig1 :-...,,, 11 1 11 11 1',yi ilgjj,:a,47 I I76.I Dr'y StanIdpipe I i-l- : a: : '• .4. I I d -4 , ?, -,:ti 28. ci.athi5:, SSidIng: q E. 1 I 1 11 II' I I I li ;75 11 3771 FIXED SYSTEKt?FINAL . -. c , •y I , • , ,.. I le . , .:_ . 9_ ,IeSuIation D .i- 1 cc . fin 1 I II ' ;1 I I_ I I I I 1 I 178. F(REPR,EV,. FINALI: + - ! N 1 i i r, i _i s, ,...o6 5 -.1.30. DryWall Nailing I .„.. , _.-41=0t p '1;es:,, o 1 IN t i P :4 i , , , , , .-) 31.,(plaster BrOwn Coaxl I I I 1 . II ii T 1 ' 1- 1 17 ' Hs .-i R ' il, --- -r"':---13-1 1 . 1 . -13 , re, .. to, i et. f ' 1,2- i , nii- tF" 0 " dIilI1 • ' , , • , ,,I .:, 32.,Electrigal?ower Mari trip , 1, ,,, 1 I 1 ; 1. I 1inch.. 4,p , Ci : -• ,. •. , , I . . f.; 0_3,,,,Lip.atEJECTLIC,........1 .L. I• 11 r I •I JI- IL I Srtrt3 litSfell-„L . ,:: !- .37•117Li Elk ' F,ii ) ,N6 :5 `‘ .42z1 I q , 1.4-• 34. Final 1;letinb&AU; COnciftioAinj -:ti, 1 - i II 1 1 i ; i ; I i i ; . ., -_, ,..41 I 'lirtiat,V. 1 {- 10; ' t! i 1 { 1 1 I I i ! : ! ! "" r 7, : „ 35. Final dac PiPedeit. V- i'a+ .;l•ei; *•.; 1 1c.; :c 1g 1:2 ;11 r 17' .-?. : -', ' 1-; :0y-; ,7,..f, :-,; .t---, -4 .. .n ,-.. F., - ,, d l• •,I,n4 - ,0 I in; ,-;: • !i 1 .: 11: 1014'41 ;1171 •c• ; .- 1 > - 1 ' ! •* ; : 9 ! : 1‘ s i • „ -1 .' --• ; 714 : ! I 36 Hoosd Iir banoii4F FI'; r I 7.-1 gi 11E1E1-Eu. 1. 71 ,-, , i14 , , ;4. ! ".1 171,1" .1 11.1! - . . 0 • - - / . - 1 11 11 .4 .1.. ri Ir. I E_= ! tt I f ifi Int ! s 1 " 1`7. 1 I •17' ! -1.11 t I•.'1 . .j• k- " • 1 37. Final glac1;:torjrFIPep!laCFet, I li I ti ' I i'i: la! 1.1. 11 ;it 1 I ri.. i 1 1 '71 : ; " ; '--';:-4 t III ".: , • :" ; , -4 . i• 4 ,. :-L. ; ; • : c.v.. •-z, ,..: ;, 38. Final Ellurnbiri,g 1 i I 1 I. ,, I; ! 'n iz. i I I I 1 I I i I I 1 --• t , 5 1: 4 1 39. Water!Selrivicetknal1! 1 1 I l s. 1 i I 1 I 1 -1 . - ;-: i ,.' uhil ! , 1 I 1 tiii 1 1 : ; 1 • , 11 1 , ,' ' . . - _ , ' I; ; ,- • • , .. . I 40. Gas Saif4e-tinIIIIII- 1 IIMILI 1 1 1 1 1 ! Hui I I ;•1 , ,... i, I I I ' 41. Solar bitiritnesiic-Finkl 1 I ,:1-i" I • p. k. iiiiii ; - - - - , -h• 1 f •-• 'A 1 ': i 42. Backflbw,8reyenter - 1 1:1' 1 1 i'ml 1 1 1 I 1 I 1 It-. I 1 1-,,- 4-4-4--, -.1 --,- -1-- -j---F--1----1---ir---,.--1 -- -...1:1 :".,..• ' 11±•LI 71 7 . i • • i 43. Backfl!orU litiio i r'n! 11 .2---' I - II Ini. :eli:,--TE, rf. i ' I '41 r-,' t'. I , i , r ! •-.4 I - 4,°-; t- 4 t.. I 1 ,Y- E It !"t7 . - , `, f.:: t . z c.) 1"#1 ; 1 -4, 1.3111 147'21 i ..!! -;! -• 1 L 1 .--.:f „ 1 i 44. Landsg. e:Irir.tg?tipin;Syltem 1 1 • 1151E 1-5 11;: i....t ; 7•;7-1 . ib1 . I 1 ;5). %,;1 i : I 1 , 1': :: ,_ .; c. -; ] 45: SoundirAtt' enu-aiio-ri , SI,v 1 5,-4 I AI t 1 I !-cnit - • ; 1 • i ,,,i :41 1 r no: .4,--:, ;40•, t.. .i.4...r l-,4 .+-• - 1 r i 1/- I '4,1 : I 2. ;LI • Fr ; ::r. 1 . , ,; 46. Handicap RegulatIon 1 2,,- I. c, . .1: is 1 1 ' itr• 1 iii I 1 i ' r5.i 't" 1 • --;i '''' ..... !, ;I: 1 4it Sreidiolo . ; 1 " h 47. FINAISTRIJCTUFIE p4 BiU,1}.DliNG, F. , ...., _ , ; -1' .1). ; : .; 1 , . , t . I , • , ,, „ ,---• , t' 48. Special Firquirenants ictonpletec II 1 , I I- I (..);1 I. ! ; i I ! I ; I " , r•--12.:7:,..-I.II ,, -,, 4, 49. Elec4 ieleIaselto Fdlopl- i',1 -. 1,_, 4 I. ; _ I LI__4.......- i--I ... .1-.I-1-.;--1.-.1;,...$ --/".'II ! 50. 11 Gas Relegse io Sot.iihdri;dalifarnria GIs-9eo I 1 I I I I I I I ; 1 1 I . i ,... N •• • • • ..,. • ,,..... • .1 . . • t i • ' t . ± -'. • c...., .•.1 . :"-: 51. CERT1FICATEOFi0OCURANCy, A L... .1_44,i ....;_._ i i__L_ i_l_..„4.. .1 ).'2_.r.s -,- 7 .1: Cit No I I' I I I 11nate-1- I --i, I I I I I . 1 - - • -„; - ... I ._ .. . .. ...,• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. + ' A - PERMIT NO. FRAC7 NO. I LOT NO. BLDG.NO. 2791' 71 28/83 '�,GO TL :- TiON PERMIT — $O9/• • Applicant's Meiling Address I'll l JSpu n LDYIQ/ - - TYPE OF CONSTRUCTION' ❑,NEW LI ADD: ALTERATION U REPAIR - ' • Project Address COI I' SQj'l11l Lc vie-' ''1 - ❑ CONVERSION -❑ DEMOLISH ❑ OTHER - • _. i t .. Owner's Name -` OIr1P✓ 4 en rl ' [TDInephOne G` -CI 230 DESCRIPTION OF WORK - 1 ^ �^�/"� /t (} - • ZONING'REGULATIONS Ad • dress' II �' nO1 1.-(A VIP 'Caste,. mesa l Cl' 9z TYPE OF PERMIT U GRADING LI FOUNDATION U STRUCTURAL A.P.#s ' i ,. ZONE ' - ' ': Arch/Eng. • License No, - •' ❑ TENANT I ELECTRICAL ❑ PLUMBING ❑ MECHANICAL. PLNG. REF. 'BUILDING •• - : SFTBAC1c rn CT• Address- - --- - • - CI,OTHER ` TO BUILDING ' REAR YARD (TO P/L). //¢a PROPERTY LINE Contractors Name ©/ 7---"• Phone • PROJECT DESCRIPTION SQ.FT- • - ' TIOS OCCUPANCY .LEFT SIDE YARD . RIGHT SIDE YARD - ' Addfe55(meiling) • _/ CONSTRUCTION TYPE VALUATION S. - • , I ZONJ= ' GRADING CU.YDS.. ACRES •' - PKG.SPACE'REG: 1 PROVIDED License Na • . __ _ - - L`ICENSED CONTRACTOR DECLARATION Remarks: .....•:7,8 '�` , j - STREET WIDTH - PARK FEE$ I'hereby affIrm that I.amlicensed under provisions of Charter 9(commencing • ' ^ - - - • - - with section 7000) of Division 3 of the Business and Professions Code,and i - I • • SPECIAL CONDITIONS: ' t t _• r—1 my Iicense'is in full force and effect. ' : • ' ' , License Class ' License No. ' i ' PLUMBING I , ?e ' Signature „..e - Bai Sink i Seiner Cap , • ' ELECTRICAL • •9'-4KERS'COMPENSATION DECLARATION • I - I I 1.".7 i-`-'.eby affirm that.I.have a certificate of consent to self-Insure or a certificate L. - - Automatic Washer-.__. _ I Meter ❑over 1Ob amps'_ _ - 'Workers' Compensation Insurance or a certified' •copy thereof (Section BeckflOw'Preventer - -Sewer Connection Construction Pole • �3'a0a, Lab. C.) '. t i ' Backflow Irri• gation , I Soler Collectors t' 'Sub Pane. I } � - Policy No. I I • Company - - - -- Cookin Unit Sub Pole •• 18 Certifiedcopyis hereby furnished. Bathtubs • j Solar Piping 9 I 1 I Certified copy is filed with the city Building Division, ; I - Dishwasher : :Motors 0o-1 HP 011,4-8 • i , Date - Applicant ' - ' Clarifiers 1 , • Solar Tank- I - • - EKEM:1-16 FROM-WORKERS'COMPENSATION DECLARATION - Dryers 0Gail0Electric - e. , Inc.Solar HP 016-15+ t - Dishwasher Swimming Pool w/Spa ' ' . • (This section need not be completed If the permit I5 for,one hundred($100)or i • I certify that In the performance of the work fso.as t h this permit is Issued, I • IDrinking 1 , ' I - Microwave - less) ( I I Fountains Urinal - Fan , I I I •shalt not employ any person In any manner so as tp,Decop�e subject:to the I _ • "'- - - • I F.A.U. I ' ( ' i Worker m tion, L LL pWater Closets• ' I (Pole Light I 1 Q(ap qq55,,�a ILaws of Calif grpfa l7 lrv��tl�.�� Floor Drains] + , Date �/ �n5 Signatures /1 you opt,should r _...- • a Fixtures : • -NOTICE:If:after snaking this declaration; Labor. become subject to the - -- i Floor Sinks- -- + -- Water-Heater, _ Workers•. Compensation provisions of the Labor Cotle,.e :deemed.; forthwith .- I comply 'with: such provisions"or this'Dermis shall be deemetl' revoke0: - - Device Boxes Sign '7, , 1 Gas Service ;Outlets .Water Service - 1 1 9 CONSTRUCTION LENDING AGENCY ' I - • • • -- I hereby affirm that there is a construction lending agency.for the performance I Interceptors i ! - .. Outlets. 4.) , • I I ;Standing Sections tl I of the work for which,-this. permit is •issued (Section 3097„ Civ: C) _ - r- - I ' - Lender's' Name ' • • - - - - • i - ; Switches I 'Trash Compactor i a • 1 KitcFemSink I p ! . 'Lender's; AddressI `• - -• - i - - • _ Garbage Disposal i • I .' 1 ' 'OWNER'BUILDER DECLARATION i• >• ,'` . - 1 Lavatories • • I hereby,affirm that I am exempt from the1Contractor'5 License Law for the ' - Generator,❑0-5.KW ❑5-15 KW i '- v �+ ) following reason.(Section•7031.5 Business and Professional Code: Any city or - P-,,Trap' •r - i . ,. .h' '7 i _ 1 county which'requires a permit to construct,alter,Improve;demolish-or repair 1 , - _. -_ Transformer 015-50 KW r1 w” any structure, prior to Its.issuance,,also requires the applicant for such permit Roof-Drains • - ' += i= - • file a signed statement that he/she is licensed pursuant to the:provisions of ' .- - - 050+KW' - - ontractor's License Law,(Chapter 9(commencing.with Section. 7000)of • i - - Reinspection Fee $15' • ;ion 3 of the Business and Professions Code) or.that:he/she is exempt I Showers r „ • Reinspection Fee $15 - _ •efrom and- the basis for the alleged exemption. Any violation of.Section - '- - Meter ❑up to 100:amps -_p •Issue Fee - $ 3 • 031.5 by:any applicant for a.permit subjects'the.applicant to a civil I + - I - - - -- alty of not more than five hundred dollars($500). Service Sink � ' Issue Fee $ $ Zoning Approved BY yr ` Date . I, as owner of:the property or'my employees'with wagez'as their sole y - - 4 - "i i compensation will-do the work;and.the structure is not intended or offered • MECHANICAL , Application Approved By t ••Date i • for sale (Section 7044•, Business:and•Professional Code:,The•Contractor's :• _ ! � ., License Law does not apply to an owner of a property who builds or Improves Boil; t Refrigeration System • A L f i r - c•es j ' thereon, and who does,such work himself/herself or through his or her own Application Issued By !Date j , employees, provided that such improvements is sol t intended or offered for ' I • ❑0-'100,000 BTU 0100,000 BTU - ' sale. if, however,the building or Improvement is sold within one year of com- ; • Duct-Under' t - I SUMMARY OF FEES ' Diction,the owner will have the burden of proving he/she did not build or im- , - i - ' ) • r[_rove for the rpurpose e). i ° Duct-Structural System Repair/Alteration , ' .RUILDI G PERMIT $ SMIP I $ ? • s U I,as owner of the property, am exclusively cting.wltheicensed con- • tractors to construct the'project (Section 7044,Business and.Prof who . i- Duct-Ventilating_ i__ _ ' , ,., . .- .-, .. _,- 1 _ 'PLAN CHECK, $ ; PERMIT --Iri-; 4 i I The Contractor's License Law does not apply to an owner of property who ; '- j I builds or improves thereon,and who contracts forsuchX U (,k L : ISSUANCE $ Pprojects with acon- Exhaust System Multiple�; , •:E' PLUMBING 1 $ ' tractor(s) license pursuant to the Contractor's License Law). 1 'lif J(1P,IO11S + GRADING I $� : 0 Lem exempt under Section • 1 ' - B.& P.C.for this reason I Firepl/Feat.BIt. ICBG# j s 1 • IlneomP&, 'PLAN CHECK $: i ' � �p� ,�/ ELECTRICAL • t_ -- Date 7 ,L F-`•r3 Owner/v�;1r7n+t Wol-( 5.1 Heating System&Ducting , I f - I-hereby. certify-that I'have read this;application-antl-state-that the above- ' +- 00-100,000,BTU 0100,000BT(LLJ�� I Information is correct. I agree to comply with all city,and county ordinances I . I fl I� __(�8t8t- • and.state laws relating to building construction,and hereby authorize repro- Hood Or T e I ❑' t ,sentatives of;this;city;t/o )en/ter:upon the above-mentioned property for ' • yp a.� Ins ectlon r s, 1 /�-��� { / /pp Canopv__----- I Signature p (M "F�'L �-1!� ) Date? �`�( V_- Drivers' License or SS 7? ' .."--- CMF 0865-ec•- -` ., IONSTR.UCTION AND PLANNING - "'1 e r. c. . 72 1.'5g SPA , - a; `_ 4: ' " ° r - ' 3`Date tnspeitor' " - . ....• , .- • •+ Date ' Inspector .. PROVALS - Permrt# - - ''APPROVALS,.='Permrt# . Temporary,Electric`al Service dr Pole M1 ,It 7-,,i'' 'E , - 52i Pool &% uipment Location • ▪ �. 2! ISOiI'Pipe-Undrgrnd^ - i` _ � ' I `: "533 Steel Reinforcement . 3! Electrical Conduit Utility-Undrgrnd. `" > ms � 7 - _ >c � '754: For ' - '' "i 4'. •Electrical Conduit-Undrgrnd c__ _- n 'y I a Ea '),91„; '55J Electrical Bonding:,; rp- y;S ,I t 5: Steel'Reinforcement ' "- - n: ', ;2..-.' •;,:. -.56:,Rough Plumbing& iressurnest 1 a� ▪ I r 16: ;Electrical OF ER Grnd II' r!" ' ; • i. 'Thr_ o, f 1:7 7 ` . 57! APP.ROVAL TO COVER-GUNITE.; - . .': - 1 7. Footings ' ; ! I ' b ^gym ¢" ° E o 172c ; 'T, -C587'Electrical'Conduit-Undrornr-i 5 • _ I. 1 . 1 8. Foundation ! i_:‘,.,' 1 i o C� O' t59. _ . t peI. 0:: -,'r -II Test_-: : n- -- 1 9. Water Pipe-Undrgrnd. 1.2r 60. Backwash'Lines, P-Trap, 0 Undrgrnd.. ` I " = 10. Structural Floor System c c 8 I , i 1 2',..- . s ,-61. APPROVAL TO DECK • - _, 'L.T. -, r 1 11. Property Sewer Line& Houserconnection� = , z; -•F X62. Backwash &:Receptor-Final=' : 'V - 31 12. Sewer Cap ' , • ' • 2 , - I •o= I •I :'63. Heater & Vent Final "' , h .1 13. ',Roof'Drains I 5c. ( ' - 1 < 64. P.lumbing!Syste m.- Final . ._" q 14. 'Rough Plumbing - 6 = E. ' • - "65.*65. Electrical Final -' - - • ' r • "• '; 1 ' ` 15 -'Roug h-Electrical-Conduit--" , T"r-- - - ` • •-- -• - - 11., 9 _ '; �� �;~ j-.66.1 Solar)System-Final-� , ...1 1 �. I-!16:;Rough Elec'tric•Wiring, I E ' y j.;- *-t>-� -6 ,5I =r_'167'Fencing&-Acces`s.Approval, _ - - _-4 1 ;r'u n n c l L R r - - - a .' 17.FRoug'Wiring:Sign•: 1 �'i I I I- i ti ; ,•I` I n :r ,68.. APPROVED FOR'PLASTERING , : !-.; i _ . _ z ` •J18.}Rough-Electrical-T'Bar Ceiling' 1 . I•_ l ; I '- I q' 1 X69.! POOL/SPA SYSTEMS FINAL . _ ' -1 :I r ., 19-)Rough Heating at Air.Conditioning o t j " I ' ' t - , 1 ' I FIRE DE!T.'REQUIREMENT- :., i c ' , 'I :I I . ' 1 20.FRough.Factory Fireplace 1 - t i I t 11 I I I APPROVALS, ! Permit.# ' . ' - 1 r n . r, _• it I I I ' I . I . 21.IDucts,in Structure ; '•; 1 I• '! II i' I ; I I I I ' 170.1 Underground Hydro I i ''+ , I 1 o !`:22. Ducts, •Veniilating i ' r. t I i i ' i ! ' 171 Product Piping O Gas ❑Oil ' • ' "1 ! i I J '23..GasPipe-Rough&Test r ,v, I 1 I 72.1Underground Flush t t 1'24. `•Roof Framing; ; I ! 1 i I,'m lin o 1?. I n I '1 -1. ,73.j Undergrnd.Storage Tank.D Gas Oil' ' i 'J • j 25. . ,f Sheathing ' I I �i" '�" j �,. I r 1 1 :7,4., Overhead Hydro - J ; 1.` h6. ;T Bar Ceiling{Structural) . Monocoats I _ I i �" r ,t75 f Dry Chemical .' t t i 27. sFrame and'Flashing: F . I I P ! 1 I ` 1 76• Dry Standpipe t �• t . ; , ' I 28.fttaathing& Siding �; F• 1 ; 1 it 1 I I 1 i1 ' •r I i77 1 FIXED SYSTEMFINAL , ! t i t. 1 _ : 29.itInsulation ; - r , n i 1It' I,I I l I 1 1 , X78. FIRE PREY. FINAL ' - 1;. ; 1 O Il ri : � , p „ r . I ` 1Notes:. I i • '' i _ 1.1 Ii_ 1 l'30. ,Drywall Nailing '' •I 11 1 . I I ! - (C31.1Pl;3ster Brown Coat`I , ! � i h I+ I i I 1-- -1- - -- - r ; � - I-- -i, • - -- - i1 3 1 1- .l ^ r32.�ElectricallPower Meier:-Final 1 li Ii_ ' I ' 1 ' i ' I _ I n 1 _ I 1 I t I I ! ! I 1:,I ^, 33.Tina! Electric ' I ' ;;;_;1, 1l 1 ( ' t ' __ : ✓ 34. Final Heating&IAir. Conditioning 4s i ' I I ' .--..41 --i I I r • +: 1 f. 1 Lr 1 t' tc ,O •U J ' 1 ,C',= , ii' , •, I 1 35. Final Gas'Pipe=Testi r !•.. 1 Iei r. I - t . I I --- '� - _ i 'wt'• I ;l _ -, '`c J1 1 .n 36. Hood 6°r'CanopY 'o . > ; p.n' h 1 ., ! '- IJ ' ' ' I , e i _t ` - ' a ,`c - I I _ _ 1 37. Final Factory'Firepla`ce', _ j, �.1 .J � ' ti.- 1 :.1 It 1� 1 I 1 C` 1, IJ •-I 38. Final Plumbing 1 I -I 11 Ot I ' ii 1 I L I , 1 ! , . :, I c I 39. Water%ervice-Finall : I i ' I t : ! I I : 1 ., I I I I +I a 1 ' ' ' , 1 - ! i I' . .r. 1 1 40. Gas Service-Final 1 , I 1 3 i i ! ., 1 ! i ti • ' 1 I - I • 1 41. Solar Domestic-Final I 1 j I ; :. _I _i ._l _r._1__ I,_! I ' I ' , •'• v . , 1 � �Y J 42. Backflow,Preveriter. _ 1 1 1 1 SIr.,' 1_. _ r • ^r { _ 4 43. Backflow Ir i ationl 1 i ; + "I i,:I.': i':• i'? , -" 1 ; I t' ' - `. _ 4 1 r ,, , - , r 1 1 _ b 1 0• - I , I f 1 44. Landscape hrigationSystem I , 1 j . ' n. .. EXP 1 R E'D i• his ctior� - 45. Sound,;-Attenuation �.ti", I , ! ' . . I 'I i •' I t I Inco. p, . , ; Qe - ;1,3' it i 46. Handirap,Regulations 1 j.:...i l a i' I i l`, -LL.'; il l�tl [ c- IB _ ."1 47. FINAL STRUCTURE & BUILDING II IC: I - ! j ' I '• ; ' 1 48. Specim al Requireents Completed, lit t :i I j le I 1 , I I . . ,i! ,1 49. Electric Reldaselto IEdisom i 1 a 1- .-.i__i--i I 1_ -- _i._.i- _'- ,.__-'_- •'-_,__ ,,, J 50. Gas Release to Southern CalifornialGas Co 1 t I t I I I I 1 F i . ' ' I 51. CERTIFICATEOF;OCCUPANCY I_ .1__ .-y_i_ .-1-- t .tom!__ + " t No 11 1 Date , �i l ' I l ;l ; 1 - - 1 1- I w ' City of Costa Mesa Pla I Department Post Office Box 1200 " 77 Fair Drive COmaimrn1 Costa Mesa,California 92626 JLc1119itl (7141556-5245 REQUEST FOR OCCUPANCY (Single Family Residential or Condominium Units) Tract No. IJ 8/ Date .5Y7h/7 7 Lot No. Address 7// / -�3;9-i u.f (fria-a—F e! )7te-0-./ C The developer of the above entitled tract desires to sell the above set forth lot prior to the time that'the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he, she, they) N;— (was or were) coot advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. ' The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition.soid_dc. a.,:,....) RECEIVED CITY OF COSTI MESA By �eurc aser AUG 1 8 1977 — _ M PM �1B 1819111:111111211121314t516 y `� Developer and/or •1ized IRepresentative By t Iii 2/s/ .ed • Lender 1 v ?try, 1 ' OWNER NOWLIN, C.L. . . DATE 5-7-79 JOB ADDRESS 1111 Sandi Lane BUILDING PERMIT NO. 4Rnn7 GENERAL CONTRACTOR •,,,r- e • DESCRIPTION of WORK ;-_ e. y„ . e AP No. 422-042-19LOT TRACT FIRE ZONE VALUES inr nn INSPECTIONS Signature Date TYPE GROUP - ZONE PDR- MM SOIL SUBCONTRACTOR PERMITS ISSUED GAS - 'Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. f SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ROUGH WIRING Heating and Vent. TRENCHES [J FORMS U STEEL REINF. U _ FLOOR SYSTEM BOND BEAM [ ^STEEL REINFORCE I I SHEATHING �r, FRAME AND FL AS HI NG4.E/nGG�9T/d/lJ " oG lil� [�-peov LATHING — IN fl OUT U or — TO L, PLASTER. BROWN COAT STRUCTURAL, FINAL / Electric HEATING, VENT., REFRIG. AND A.Cr.,-�FINAL PLUMBING. FINAL AND GAS TEST I l ELECTRIC, FINAL eew�e BUILDING, FINAL ' .! i6 S J/ 79 5061 5/07/79 05%0 1L1 COSTA MESA BUILDING-SAFETY DEPARTMENT AP LI A ION FOR STRUCTURAL PERMIT �x P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • 89' REC I PERMIT t\ 4tete,g 14i For Applicant to Fill in Completely —Use Ink Only .t BUILDING A.P. NO.Y22 -OGf 2 1y ADDRESS I l / / 54-..a..3 D i C Al -.,Q / OWNER OR // f ADDRESS /{ / SmY/ A TENANT G� ` J :A P FC / . rcO t-.J L-/ -�� OR MAILING SPACCE NNO. ADDRESS .! t / I SA-5c3Di C.4-....J SPA TEL. TR.NO. G LOT q .g/ BLK. CITY 0.4 v✓/ . NO. CONSTRUCTION NEW I ADD ALTER REPAIR IMOVING IDEMOLISH LENDER I( BRANCH OWNER C. 1 p W L! ADDRESS U /+ _./ het 6/' LUE$in ARCHITECT TEL. -�l.(eT�•N/Ir. �VL��/ 4^III�//`J. • OR ENGINEER NO. f(��((�,j�A AD RESS // /! SA IQ/ / A PJ,:' Lt+rye T PE GROUP `x/p APPROVED '''7 OONTRACTOR BV DATES'— /i? !!!ADDRESS TEL. CITY — — NO. i-i STATE CITY APPROVED SETBACKS LIC. NO. LIC.NO. J (FROM C/LST SIZE r NO.OF BLDGS. v� gag OF LOT NOW ON LOT (I F yyy��/ Q USE OF 1%/ n �/ '^ EXISTING BLDG. IDE 1J✓�) // E Separate permits are required for L.SID Fs. t/�J electric,plumbing and heating work. REAR FP' \ I.,. USE OFF )BUILDING AND WORK TO BE PERFORMED PLANNING ACTION , / // I• ')r //y/ DATE Q �(r�y C›II /� /1 ^/L /J APPROVED >. • ,S /`J . 0- /`C/ L APPROV #4 K. fIATE ✓ 't IX 14 0 I hereby acknowledge that I have read this application and state n. m ge that the above information is correct and agree to comply with IZ Q. all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of 14 the State of California. 'i I hereby certify that I am properly licensed as a contractor under SQ. FT. ry the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR t0 I Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLZ'; m I am exempt from the provisions of the State of California Businessa VALUATION PERMIT FEE $ I. and Professions Code, Division 3, Chapter 9. 0 in 0144%.PLAN CHECK $ n 0 Signature a of if.t���. • LL Permittee s� $ fr, TAX °f ` u IAuthorize Agent Date TOTAL PAID $ J` ,