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Home My WebLink About2749 SANDPIPER DR - Building Permits UwN its MP;bA VERDE BUlLDISNb, .LNU. 1l2-1+� r J-v LJ1 JOB ADDRESS 27149 Sandpiper Drive BUILDING PERMIT NO. 27035 GENERAL CONTRACTOR Mesa Verde Builders. DESCRIPTION OF WORK Residence W/Att. Garage AS No. LOT 16 TRACT 6217 FIRE ZONE VALUE $ 35,385.00 INSPECTIONS I Signat re Date GROUP I & J TYPE V ZONE R-1 Soil /E-(o/ PERMITS ISSUED Gas 26-x.7 SUBCONTRACTOR I Date I Number I Signature Water : .G Plumbing Rough Plumbing J -7c,-F7o, ./ 1 / - .7 off Prop• Swr. Line Ouse Con.�� gr _ _ _ _ i • �' e . 77.7I!/, r ja Sprinkling System j Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring I /1'/(7 771-2(W( 7 eating and Ve t. Trenches p Forms ® Steel Reinf. ® 40 5-/t 67 77 a�t> . ineC2 u-/2-47 ,r i/ Floor System /fry{A 5"--2,-67 !` Bond Beam 0 Steel Reinforce 0 Sheathing 1,6/1 /-1./. gy . Frame and Flashing .O3cd R-' -07 Lathing— In ® Out p /L$b/ 5—if—E7 Plaster, Brown Coat act f—y—F,J Structural, Final � � //F�e��t�,jc�� Heating, Vent., Refrig. and A.C., Final l Po^fz7 /\a1&Q-e /4/-a7 27423 Plumbing, Final and Gas Test t Electric, Final `I - � Buildine. Final IO./ � L9/?-3r 21~'035 PAID •EOSTA MESA BUILDING-SAFETY DEPARTMENT NAY 11-67v-7(s-400 682* ***15825 P.O.BOX 217 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING Lot #16 Trar.t 8237 BUILDING �f �](`}G C 'A ///111 /�^ �f�) /J For Office Use Only ADDRESS (/( 1 / J dnJI J.PA I/1.-.1 VC RECEIPT NO. P RMIT NO. COSTA MESA. `CALIFORNIA ,/ p��7A73� RE EDp.L APR 1E81967 it 1 001967 Mesa Verde Builders Inc. EDA/ APR OWNER RUMISZxSa ii'IStf SFIF[}►D( CRZ}SiS �f 7/�/ ,P/"� �//,_,•-�/]-�,L, k. MAIL ADDRESS BU I LDI NG �jT / / 9 JeJtCJ 1 / \ VJ ADDRESS 2850 Mesa Verde Drive CITY n TEL.NO. p549- FIRE 4i ZONE ' TYPE U GROUP C a Mesa (Qg°5 ARCHITECT TEL. 547- APPROVED DATE !w C, OR ENGINEER Ka Ltpnharh NO. R(14R ZONING L J ADDRESS Ter- y l� St r Santa Ana ION ^ NO.OF USE OPNGW/60 144.466 Mesa a de gUl eT�S eInc. 3C�_� Pune I BUILDING qe2,. CONTRACTOR g`,{7 �({�C�7C]�(dSL3Sj{7,C/{XpS7�S(�C. / . / i/ 1� W DESCRIPTIONLESCR i[�/a-[.• /4 (t--e3 ADDRESS 2850 Mesa Verde Drive CITY Costa Mesa A.P.NO. �- a NOTE: NO SAVE OVERHANG SHALL BE LESS THAN la STATE TEL. SO"TO SIDE a REAR P.L LIC.NO. 1R7 R NG. 549_U19F / 3 x /00 aQ OF LOT I EAVES SIZENo.OP BLDGe. NOW ON LOT (1 ALLOWED (U.B.C.REQUIREMENT) L) YARDS APPROVED YARDS APPROVED y] USE OF EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING VWl (FROM C/L STREET) SETBACK LINE FROM FRONT CENTER OF STREET REAR YARD O FT. FT. {O7n SIDE YARD LEFT I RIGHT R.SIDS1.4 � FT. FT. Q DESCRIPTION OF WORK L.SIDS, np8 Fr. FT. 0 NEW X ALTERATION ADDITION REAR Zp SFT• FT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. VAR.* DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL I ROOF Shake APPROVED WS' - // COVERING COVERING BY DATE 4 USE OF BUILDING AND WORK TO BE PERFORMED idence ` New Res (/p � /�' 7/3 &'7� n �f D , N0. HO e I HEREBY ACKNOWLEDGE HAT I HA READ THIS APPLICATION 'THE AMOUNT 9H ma_ VALUATION 18 FOR THE ANO STATE THAT THE A OVE is C ECT AND AGREE TO COM. PURPOSE OF ES ABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION �`��yl BUILDING CONSTRUCTION. 7 PERMIT FEE $ /61%....r,LJ Uj SIGNATURE OP /rl .y,. W (\ � t,_ .Tin PERMITTEE �''`� w `/ $ 35,3i./ H C Q 3 1D AUTHORIZED AGENT /.57,�f TOTAL FEE $ oc ` OWNER HASELFELD, LOUIS J. DATE 5-18-70 r�1 JOB ADDRESS 2749 Sandpiper Dr. BUILDING PERMIT NO.31850 ,N GENERAL CONTRACTOR Owner-Bldr. 4 DESCRIPTION of WORKPatio Cover AP No. LOT 16 TRACT 6237 FIRE ZONE VALUE $ 1,000.00 INSPECTIONS Signature Date GROUP J TYPE V ZONE R1 SOIL PERMITS ISSUED GAS SUBCONTRACTOR Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER fl ROUGH WIRING � f Heating and Vent. TRENCHES gj FORMS ❑ STEEL REINF. 0 4-4' 8.A 5-/t-" FLOOR SYSTEM BOND BEAM 0 STEEL REINFORCE n SHEATHING FRAME AND FLASHING ' LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL BUILDING. FINAL 4 ..�• 31850 CO t C a i A MESA COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 1 - 1970 P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICAT ON FD. BUILDING PERMIT REC • BY DAT`JL�FISEIVED p . BUILDING 4 /� �� ADDRESS 5,p c 7�pt per �✓'' .� �vdvu J { I��lll I�` /)��t� / 1` P RMT NO. OWNER lnutS i MAIL (HYSCMp A.P.NO./ T" (6-3 3`�'(; . 8716 ADDRESS >19 50...�(ptetr ah- ADDRESSNG • I7U 9 ` ter.41-12.4.) z 111 TEL. 0 0 CITY c�.5t&_ 1k4 S& f NO.LOA-5 36 TRACT 4_/37 LOT BLOCK ZZNEW ADD ALTER REPAIR MOVING DEMOI ISH Q CONSTRUCTION ..f O N LENDER v �/ O. CO n JD BRANCH J In OWNER J�// m J ADDRESS „� VALVE�B ��` _j•CO ARCHITECT TEL. USE $ Q15 OR ENGINEER NO. N FIRE , / W M ADDRESS ZONE '-TYP GROUP �+a J O CONTRACTOR moo/ � 1}ay.Q, 1J APPROVED YSi'AT EcIa _ 7o J m ADDRESS W w TEL. ZOI/Ig) NO.OF USE OF NEW�(�CO ✓ G ' Z= CITY NO. Oc-J/ (PLANS a BUILDING Q�y�',/-� ZF- r (. 44 W O STATE CITY YARDS APPROVED YARDS APPROVED fn CL LIC. NO. LIC.NQ..- MAIN BUILDING ACCESSORY BUILDING 0O ' E T (FROM C/LST ) SIZE NO.OF BLOCS. OF LOT # 3 , / e NOW ON LOT FRONT,,Afg ' i FT. USE OF S EXISTING BLDG. R.SIDE FT. FT. I— SIZE OF NO.OF E// Z NEW BLDG. ROOMS STORIES L.SID * FT. FT. VEXTERIOR WALL ROOF 9 COVERING COVERING REAR '/ FT. FT. 1 J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& 1 MAIN BLOCS. ACCESS.SLOGS. d &1/C< • Q 1 /' A( - `jam VAR.# DATE O a 1 t 0 Ok,GSCIi' %k 0 Jf rt.Sgi / C.U.P.# APPROVED I- / r APPROVED/40e/ z silt-LA-his. - AP //0 e/ rIATF ti----Ar- 7D O U I hereby acknowledge that I have read this application end state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ H any person in violation of the workman's compensation laws of (p the State of California. I hereby certify that I am properly licensed as a contractor under $Q. FT. o the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from the pro ' ions of the State of California Business CC VALUATION y and Profession Code, w' ion 3,Chapter 9. PERMIT FEE $ /Dr N 60 Signature o /) �,,p/� co D Permittee tp-�"%%�i��L $ // (//i'V PLAN CHECK $ �— E 0 Authorized Agent ` /Or CO u. TOTAL FEE $ . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. lillifY OF COSTA MESA COIy$�TR U TION PERMIT PERMIWO' TRACT NO. LOT NO. UNIT NO. ,� ayyR uRier • 1 .23.5040 3586 14/2 /3C F. Project Address - Applicant's Mailing •ddres5 TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION ek REPAIR // ❑ CONVERSION El DEMOLISH ❑ OTHER A.P.# Zone Owner's Name l -.I' SWANPhone• — DESCRIPTION OF WORK/USE OF BLDG. Address _ r - S Main Building: Accessory Building: Arch/Eng: License No. TYPE OF PERMIT 0 GRADING FOUNDATION El STRUCTURAL E Front ,a. • 0 Address ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B N 1,� a Rear >' Contractor's Nam- 'L' a- �/ "/L/ ' Phone 8, MS U -OTHER A • - I ♦ p �'I PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right • - G Address lnseN . L , /) % CON ST RUCTION TYPE VALUATION$ S Left • - R City License No. Gln/5 �!/ ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION — - Ping. Ref.# • Parking Req./Provided. E I hereby affirm that.' am licensed under provisions of Charter 9(commencing Remarks: - Planning Notes: 5••' (1p Q with section 7000) Of Division 3 of the Business and Professions Code,and ' 4 f77S M my license is in f f. c- and effect. RCEIVEC MAR 1 c T License ass / • 4 .ic' se N. Ad , r • lj S Date • Tit - Signature irr'7.II PLUMBING FEES I \-EChtVED APR i & . *erebRKERS'COMP"NSATION DECLARATION Bar Sink • Showers y affirm that I have a certificate of consent to sell-insure or a certificate ELECTRICAL FEES ',,Ir f Workers' Compensation Insuran or a certified- copy-thereof (Section - ' - - - - - .\ 3800, Lab. )_yl,,2 07 --98Yany J 1. y, n^ n�-�,ertabc -r Backflow Prevenier Service Sink' Automatic Washer Transformer 0 15.50 KW Policy No. 717i�i y 7 tet' Company T ��def,�' y� Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW \ edified copy is hereby furnished. Cer dfhp/��k{/r��led with the city B D is' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date ///1f� Applicant /�y'fp�y/sW��` .-/r EXEMPTION FROM WORKERS'CO PM ENSATION DECLARATION Clarifiers Solar Collectors - _ Dishwasher-• - Meter ❑over•"(00 amps. ' - - (This section need not be completed if the permit is for one'hundred($100) or • less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric I certify that in the performance of the work for which this permit is issued, I Sub Panel shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan ' Workers' Compensation Laws of California. Motors❑0.1 HP ❑1%-B Date Signature Floor Drains Swimming Pool w/Spa F.A.U. — NOTICE: If,after making this declaration, you should become subject to the Inc.Solar 09-15 HP 016.15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - _Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. . Microwave 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 -P-- Outlets Lender's Name Range Lender's Address Kitchen Sink Water ServiceSWitches OWNER BUILDER UECLARATION _ O Sign 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 requirC5 a permit to construct,alter,improve,demolish or repair P—Trap LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit ft' 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 '+ • Division 3 of the Business and Professions Code) or that he/she is exempt - therefrom and the basis for the alleged exemption. Any violation of Section • - . n7031.5 by any applicant for a permit subjects the applicant to a civil _ , enalty 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 / ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee I $15 Issue Fee $ 3 License Law does not apply to an owner of a property who builds or improves FEES 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 Typo I ❑ ice. sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 s,• ZoningfApproved By Date pletion, the owner Will have the burden of proving he/she did not build or Ina- Duct-Under Ground 'BUildi g Approved By Date / prove for the purpose of sale). _ 2y� . yy ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date / �"0� tractors to construct the project (Section 7044,Business and Professions Code: ti The Contractor's License Law does not apply to an owner of property who - Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU -aa• builds or improves thereon,and who contracts for such projects with a con- r SUMMARY OF FEES tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration 4 ,BUILDING PERMIT $ SMIP $ proof oftheir Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT O I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers v' • PLUMBING s -coo ISSUANCE $ ' Date - Owner Heating System& Ducting - Registers I hereby "certify that [have read this application and state that the above 00.100,000 BTU 0100,000 BTL PLAN CHECK 25% $ ENERGY P.C. $ GRADING $ information is correct. I agree to comply with an city and county ordinances -- ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- sentatives o this{ ity to enter upon the above-mentioned pr perty for `,PLAN CHECK 50% $ ,l inspection .sae/ 7 ` / Date . 'MECHANICAL • $ CO V Signature / TOTAL FEE $ Drivers' License or$5# . _ _ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING 6 POOL& SPA - APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough.Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# • 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - ' 74. Overhead Hydro• . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:Ei-S--86 LEFT C440 G c(. /.Dy 34. Final Heating& Air Conditioning r Lai$-P7 i!Jn 35. Final Gas Pipe-Test � _Sr' lpLf/ /� r 36. Hood orora‘-.1-sor0 �" 37. Final Factor Fireplace 38. ' al Plum. ; 3 Water Servi - inal 4' 40. Gas Service-Finalt. 41. Solar Domestic-Final t1- }.:I • 42. Backflow Preventer ' e 43. Backflow Irrigation t; 41 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations i`, 47. FINAL STRUCTURE &BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date PROJECT ADDRESS: 2749 SANDPIPER DR UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048395 OWNER'S NAME: HASELFELD ADDRESs: 2749 SANDPIPER DR PERMIT NO: B 048395 PLAN CHECK NO: N GOVT: N SUPP: N ( CASTA 92626SA CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: ALT • (714 ) 546-5486 ARCH/ENGINEER: REG.NO,: JOB DESCRIPTION : REROOF W/"DECRATILE" 0/SHAKE ( ICBO#3409) SQ FT: 8, 000 i ADDRESS: UNIT: CLAIM VALUE: 8, 000 . 00 CALC—VALUE: 8,000 .00 GROUP OCC : R-3 / PERMITTEE: CAL—PAC ROOFING ( 714 ) 583-0884 ADDRESS: 9272 JERONIMO 120 COMMENTS : SMOKE DETECTOR(S) REQUIRED IN HOME, IRVINE CA 92718 • **************aL�r********* �r*�r********** **x*4****x+E*aE***** **iE+r*iE****** **tt**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Diws� t e B loess and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.:Q�¢n/,Q3�j '�{ju's STATE UC.:5 1 2 8 0 6///x" D S' ///'''�� Date: �-/ (— (U Signature: l ,�CF .( (�/�j'GV MAIN BUILDING ACCESSORY BUILDING ' MRAERS'COMPENSATION DECLARATION: I hereby affirm that I have a certifi a=sent nsent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN •REAR: FT IN npensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT : FT IN r•DucYND.: 01WCP12072A EKP,DAtE: 04 /01 /91 COMPANY: SUPERIOR NAT. PARKING REQ• PROV: PARCEL: 13953318 ZNE: REF NO: ❑ Certified copy is hereby fufurnished. Ex Certified copy is Cif l with the city Building elvisnI, PLANNING NOTES> -L Date: 8-1— Applicant. // �iYYI.(LC'9 v�i ******************************************************************************* EKEMPTION FROM WORKERS'COMPENSATION DECLARATION: (fhis section need not completed if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES R E Q U I . R E M E N ,T S- I certify that In the performance of the work for which this permit is issued,I shall t employ any person in any manner so as to become - . subject to the Workers'Compensation Laws of California. ZONING APPROVED BY : DATE: Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. r CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: which this permit is issued(Section 3097.Civ.C). ************************* **** * ** *.y ** **** ********D***** *,4 ** LENDER: ********************************************* ******************************** ADDRESS: LEGALIZATION:N F E E SUMM R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 99 , 00 ,56 • repair 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 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business J SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty 01 not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 99 . 56 0 , 00 0 . 00 99 . 56 ' 99 . 56 , 00 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 employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 99 , 56 OVER/SHORT: 00 improvement of�sae)hinin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 99 . 00 56 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects lith a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compens:bon insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ tam exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner. SFR 8000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 • 8, 000 , 00 I do hereby certify that 1 am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building constmction and h :• authorize representatives of this city to enter upon the above-mentioned 4K?Kkji\ props for inspection purposes.8--1-90 ��i%♦ iL DATE: CE/O1/900eTIt�E 6659 Lr55 T 49.5G Date: Signature: A . .t . `^-L+•x.Uce se or Social Security a: . • =.wcemenr Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNI..,; POOL & SPA li APPROVALS Permit# Date • Inspector APPROVALS Permit # I! Date Inspector 1. Temporary Electrical Servjce or Pole::i 52. Pool & Equipment Location 1• 2:-.Soil Pipe-Undrgrnd. 1:i - - 53. Steel Reinforcement - 1-Electrical Conduit Utility:Undrgrnd`; 54. Forms ',, 4'. Eledtrical Conduit-Undrgrnd. o..-7,„ 55. Electrical Bonding . '5,=Steel-Reinforcement 4.%< 56. Rough Plumbing & Pressure Test 6. Electrical OF ERGrnd. i 57. APPROVAL TO COVER-GUNITE --7.-Footings 1:_ 0 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, 0 Undrgrnd., Test , ....Hi9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK • 11, Property Sewer Linet& House Connection 62. Backwash & Receptor-Final 12, Sewer Cap _ 63. Heater & Vent-Final • 13, Roof Drains - ' 64. Plumbing System - Final 14, Rough Plumbing 65. Electrical-Final 15, Rough Electrical-Conduit • 66. Solar System-Final 16, Rough Electric.Wiring 67. Fencing & Access Approval 17, Rough Wiring Sign; 68. APPROVED FOR PLASTERING ' . . 18, Rough Electrical•T Bar Ceiling 69.-POOL/SPA SYSTEMS FINAL • 19-Rough Heating & Air Conditioning2.-, G c-;, _FIRE DEPT. REQUIREMENT 20.i.;Rough Factory FiFeplace ^ r' -'•S • - t.APPROVALSi- -Permit# 'ti 21.=Ducts, in-Structure z' `1-+ i i„ 70. Underground•Hydro 22.:Ducts, Ventilating;;+ ti•• . .,. ,_A' 'e'71. Product Piping 0Gas 0Oil n 23. Gas;Pipe-Rough & Test ;ij '' t. t �w ' `72. Underground.Flu-rcr : f' 24. Roar Framing •- t ;r, t• > '- 73.-Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof;Shesthing -•,d ""• o D '' 74.Oberhead Hydro C.-. -.^ 26.-T•Bar. Ceiling (Structural) & Monocoat t " ' t * 75.`Dry Chemical r .7 . 27. -Frame and Flashing-I' x' C' %