HomeMy WebLinkAbout2545 SANTA CATALINA DR - Building Permits ent CERTIFICATE OF OCCUPANCY No. GLL1St)
id at - ;..n_3 Catolin.7. Drive, Rlxf le nn R
d and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
R-1 Occupancy.
f Building 16 Unit Anartment
Legal Description 420-212-10
(See reverse side for Metes and Bounds)
Building Permit No B 33105 Electrical Permit No. E 34787 Plumbing Permit No. P 33127
Mechanical Permit No. M 34789 Number of apartments 16 - and/or guest rooms
ISSUED TO: Building Official William T. dotard
Fairview Management
2400 Main Street, Ste. 201 by ! .i:, %n".=
Irvine,. CA 92714
Date December 9, 1988
Thi, Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the
"Building Official of the City of Costa Mesa under Sec. 307 (el U.B.C.
CMF 1015-46 rev. 1/83 White-Own "anary-Numerical File;Pink -Bldg. Permit File
•
Bg .i aik Applicant to fill In all spaces except those within heavy border lines and sig all appropriate r�elarations.
RMIT NO. TRACT NO. LOT NO. UNIT O.
ACPTY OF COSTA MESA CONSTRUCTION PERMIT 33/ �S- /2ss8 3 _ /co
.' Projes:AddfGss 25¢•S S14/lA GATAe/NA D.¢yvE F3L7Ys1`i - F''I
Applicant's Mailing Address .'2-cl 'f'�E�/HAG fay G A/ 924.24 TYPE OF CONSTRUCTION SI NEW U ADD LJ ALTERATION U REPAIR
FA'R(U.SW H0HT CoPhone$4S-73t7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.e�(, fyT _ Q.--11--'
. f ZI le I zone p0i2-ND
Owner's Name D CRIPTION OF WORK/USE OF BLDG. -1 .-TJ Ire
Address SAML. S Main Building: // Accessory Building:
A1lAMPN fl�1CTKp 41 LMI/xR7 ��� E Z
Arch/Eng..&CA- J 1.-�nr-License No. r TYPEOF PERMIT GRADING 23 FOUNDATION YJ'S-.RUCTURAL T Front 22 o
Address •l-in-t- A4 Aarit,A6,,A/.Q N/us 92a3C3 ' ❑ TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear . r /5'/ N
•
Contractor's Name Gry t- /d.f rt-cer,- • Phone k it • ❑ OTHER ' 1
L V.JPM C Right 3o N
PROJECT DESCRIPTION 50. FT.I l"I Lllj-f S'I - -0 CUPANCY K G
Address(mailing) �',i L- 1 / a x - e '
City License No. Q43A9 r CO N ST RUCTION TYPE �N VALUATION$yp��SS3 � $ Left
ZONE GRADING CV.YDS. - ACRESR I
LICENSED CONTRACTOR DECLARATION ' Ping. Ref.# PA 8S- 18 C Parking Req./Provided E
0
I hereby affirm that I am licensed under provisions of Charter 9(commencing 'Remarks: W I WD1� 31/I__ 21 A- Planning Notes: ni45C . y M
with section 7000) of Division 3 of the Business and Professions Code,and T
my license is in full force and effect. T
License Class License No. - S
IV Date Signature ti Aiiiis
! PLUMBING FEES HULll rut( SrECIAL RLQU:aZL1:.IdTS
WORKERS'COMPENSATION DEC RATION Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent to se -insure or a certificate
of Workers' Compensation Insurance, or a certifie copy thereof (Section.
•3800, Lab. C.) Backflow Preventer Service Sink
Automatic Washer Transformer 0 15-50 KW
-
Policy NoA . Company Ai 4v Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW
Certified copy is hereby ehed. 't +
Certified copy is filed withth the city Building Division. • Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps
•Date Applicant_
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 Dishwasher Solar Piping f Dryers ❑Gas ❑Electric
less). P 9 V Sub Panel .
I certify that in the performance of the Work for which this permit is issued, I '
shall not e loy ny person in any mann so as to be me subject to the - Drinking Fountains Solar Tank Fan Motors ❑0.1 HP ❑1'/e-8
Workers'. rq��W ft,A Laws of Californi¢(a/�r�^ /�"�� /— � -
Date +// �i 7/ Signature—�/fir L qbf Floor Drains Swimming Pool w/Spa F.A,U. Inc.Solar 09-15 HP ❑16-15+
NOTICE:(I,aft r making this declarati you id be me subject to the
Workers' Compensation provisions of the Lab r Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this perms 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 < P.cAt AwrA ITya/ 34“-- _ 9 -
•
Lender's Address UIn a Cr Ss.;Te 9n0 54e s[Then n 9-193 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 . Standipg 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 00.5 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 -
• - 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
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars(8500).
C 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 $15 Issue Fee $ 3
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 Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: (y)
employees, provided that such improvements are not intended or offered for Boiler !/yJ , QB
sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By Date "—
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By i� Date
prove for the purpose he oe). _ I" S�r/�
al, - --
tractors
owner the property,rojectSe tion 7 44, contracting with licensed con- Duct-Structural Refrigeration System Application Issued By • f 1L{fe Date
Theconstructthe
Business Contractor's License Law does not apply to an owner je property who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU MMARVI�F FEES �,
builds or improves thereon, and who contracts for such projects with aeon-
7 tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ 2 To SMTP S
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 11 ed PERMIT
❑ I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
,a Date Owner
m'^ Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. S
I forma cep uy that I have pea is ap i anon an state that the above (]0.100,000 BTU 0100,000 BTI.(—I GRADING $
information is correct. I agree to omply h all city and county ordinances I ELECTRICAL $
and state laws relating to building constr tion, and hereby authorize repro- PLAN CHECK - 50%
MICROFILM $
Ives of this Icy to enter upon the above-mentioned pr•per for
inspection purpos/ y 1 8/ MECHANICAL $ TOTAL FEE $ 3o30,4
Signature ' ✓
/ IIIReinspection Fee $15 Issue Fee $ 3 PLAN CHECK /28
CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor J \
CONSTRUCTION AND PLANNING 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 UF ER Grnd. s//g0 Da 57. APPROVAL TO COVER-GUNITE ,
7. Footings • ' �� * pia 58. Electrical Conduit-Undrgrnd.
8. Foundation . =��'�' 59. Gas Pipe, ❑ Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor Sysfem -GJfI88 PAI- 61. APPROVAL TO DECK !J
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final '
i 12. Sewer Cap 63. Heater & Vent-Final ''
13. Roof Drains 64. Plumbing System - Final - ,�
14. Rough Plumbing 65. Electrical-Final • ,$ t,
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 ❑Gas ❑Oil ,
23. Gas Pipe-Rough & Test 72. Underground Flush -
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 77th go 74. Overhead Hydro _ -..•
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing VGA 04 76. Dry Standpipe ,._ •?
28. Lathing & Siding y1 " 77. FIXED SYSTEM FINAL •
29. Insulation 1(/ 78. FIRE PREV. FINAL
30. Drywall Nailing �� r rPM•�{{'�_ HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat iN1 IV- 79. FINAL INSPECTION .
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning .0 e� 2)4-
35. Final Gas Pipe-Test ',WC-
t Gig o<<
36. Hood or Canopy � �, �,d ,,, '�&;�„ •pJ/. '••
37. Final Factory Fireplace i Bf ""''T ro^ 1Y-"'zt �' H �-
N,{ 788 _64 0_.� /C F¢/ -dj`/
38. Final Plumbing /
9104-09 Q� 9 / ,,
39. Water Service-Final /° /�- G / a
40. Gas Service-Final gg / •
`
41. Solar Domestic-Final r(� freed OK ///n/re• pJnJ��, / I
42. Backflow Preventer V L.[�p� oG , �� N� -',•
43. Backflow Irrigation - � .
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations ``
47. FINAL STRUCTURE & BUILDING G -
•
48. Special Requirements Completed 123 _ •
;
49. Electric Release to Edison /y_ .
50. Gas Release to Southern California Gas
51. CERTIFICATE OF OCCUPANCY Co ..‘
No. ..%.., _ Date
I 1
1 -
CONSULTANTS• INC.
December 14, 1988
CITY OF COSTA MESA
77 Fair Drive
Costa Mesa, CA 92626
ATTN: Building Department
SUBJ: CIVIL ENGINEER'S FINAL GRADE CERTIFICATION FOR A PORTION
OF TRACT NO. 12558, IN THE CITY OF COSTA MESA (FILE 1250)
This is to certify that the final grade for building No. 8 also
known as 2545 Santa Catalina was field checked on Dec 14, 1988 and
found to Ie—in conformance with the intent of the grading plan.
Very truly yours,
DGA CONSULTANTS
4A
Surender Dewan, R.C.E. 34559
Engineering Manager
i
II
C1\L-COSTA.M I� NO. 34559 ,`
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C1`t11. c `.y QSV�`�'
11
1182 North Tustin Ave. e!
Orange,CA 92667
(714)744-0802
Fax 1714)538-2152
9035 Haven Ave.,Suite 105
Rancho Cucamonga,CA 91730
(714)944-5400
Fax(7141944-2790
RECEIPT Date (• / �f 9 . 771
1
Received From $nt�rv.#c— Anor ,".4- o.�.E� eiZa
A.dress .., .A/ A. ... .. O / -' Y/ e'
,� . ,� .. :�ii � I ., /19,•�� ao
For, a/s i. ,: / 1a )—
ACCOUNT HOW PAID G
ACO N )j ik) aD CASH
ACCOUNT d(/// !C
AMT.PAID 4o Q Q CHECT C / c/
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BADAUECMONEERY 1(�-V /t^lti� � .� ; } �:
�L .S Y .
N.
88806 REC4FORM
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t :
CERTIFICATE OF COMPLIANCE
• PAYMENT OF SCHOOL FACILITY FEES
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
Developer/Applicant : Fairview Management Company
Address : 2S7(1 Tv'nrrirnnr Wry , Cn01-a A^.r+an , Cr 99676
Telephone Number : (710 545-7177
Tract/Parcel and Lot Number ( s ) : Trarr 1E175Sg
s• , i t ,
' ','Location of Project:: .254'i-.9517 Santa Cnraiina - _951L-2554 'Anarapa
Mr i'nclrn Mega ('.a Q7a;25
250 840 sq ft . new construction-1.1 , 200 sq . ft . demo . (16 old apts . )
NamBer of Square Feet of 359.460
Residential Space 739.640 x $1 . 50 Total
Number- of Square Feet. of
Commercial and
Industrial Space 3 .00) x $0 . 25 Total 350.00
The provisions of Government Code Section 53080 are not
applicable . ,
This certifies that the above-named Developer/Applicant has paid
school facility fees in compliance with Government Code Sections
53080. and 65995 .
Checks are to be made payable to Newport-Mesa Unified School
District .
4e rta>1 /c. L..7L;4uaru.✓
Busirgss Manager
' . Ndwpiirt-Mesa Unified ,School` District ,
The above representation as to square footage is true .
Developer/Applicant agrees that if it is later determined that
such representations are not true then this certificate shall
automatically terminate and the appropriate City/County shall be
notified .
Date : `/4,'/ _ Deveroper/Applicant
'/ Fairview Management Company
MERRILL BUTLER
CI'A I OF COSTA MESA •
CALIFORNIA 92628-1200 P.O.BOX 1200
Insulation Certificate
1545 cant-a ratalina nrivr+ Crista Mesa
Numba and Street City
orange
County Subdivision Lot Number
Description of Installation
ROOF
Material Brand Name -
Thicicness(inches) Thermal Resistance(R-Value) .
EXTERIOR WALL •
Maw Fibergalss Batts Brand Name Manville
Thickness(inches) 3 1/2" Thermal Resistance(It-Value) K-11
CEILING
Baa or Blanket Type Batt Brand Name Manville
Thickness(inches) 6 3/4" Therma!Resistance(R-Value) R-19
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft` lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive ThermalResistance(R-Value)
RAISED FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
SLAB FLOOR
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Width(inches)
•
FOUNDATION WALL
Material Brand Name
Thickness(inches) Thermal Resistance(R-Value)
Declaration
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code.
General Contractor(Builder) License Number
Signatmeand Tab SFERN INSULATION Date
3621 W. MOORE AVE. r -11 ce/o22'
//A�///b-c '%J//-(Insulation Installer) License Number
�l/ / /igtamre and Title Dale
94t. I /'. P'E7' eel: i
COSTA MESA SANITARY DISTRICT n
MONEY RECEIPTS ADVICE
• Date .3 31 — 33
Amount $ R'11 'e\'1 t:'i , PINT)
•
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Name n\G?\14;La) Mal( Ch1Ck
Payer --
Address 5)(.) .�a.i 1 C- ��1�t I 1 �� � 111 C' `l A
For
C QA 71- \�('
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Sign-. ..
CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File
7942 I /.! .:::.-t is
4
COSTA MESA SANITARY DISTRICT
MONEY RECEIPTS ADVICE
Date CI3�, k `
3
Amount $ Q7 t0`):-.)1 —
lIli
Name \--M2 \I l•;1ljf)c,tA\��
Payer -
Address (t)(•') . C-)1 �.- V`1)1.6 I � 'l.k_' ! I . ,
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For '�-)l,� �i • la- ;V:: 31 \-\,(?1% L���
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Signed`i_.>U ti_ :1 Y\Q t' .�
CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File
/94E 3/31 /.' 27E7E.P0 •
COSTA MESA SANITARY DISTRICT
MONEY RECEIPTS ADVICE
Date
Amount $ cf:A t< 1 ((�,
Name A-c\\(LV 1( l) (\0C?.��C «Yt•- ,
Payerf�Q . >>�� �` �� l . At i Re
Addres�c cI
1 L I />
For wt 1(c% -,`1Z_ 1 r t �>.)1 )-A4_
1 135, 2-
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signea�4-'Kltt �'���i��� �
CMF 0944-68 White-Customer;Canary-Department:Pink-Finance;Goldenrod-File
• , 7915 s/JI
COSTA MESA SANITARY DISTRICT ti int a
0-10 114 t
MONEY RECEIPTS ADVICE
Date 3 -31 CO
Amount $ aL C k —
Name \ (•\\Q.' 'QU I 1 11GO\��S\e-At
Payer Address lPO ,Y" yN Q .- �C I QVt ne \��
For
.kCr--) r 0VI) ()VT ; QThirL
—r. i ;)-55 :7\
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SigneAlArkk VW;
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CMF 0944-68 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File
31:7 3/3 1 /'J, 3561F; -•
COSTA MESA SANITARY DISTRICT
00'•: 2, 51
MONEY RECEIPTS ADVICE
•
Date_ `,—'Jk\
Amount $ °IV' (-)"\--) ry
Name \-c\\2. l�.W 15� Q (I)-P I� t
, Payer Pc . P -.)( L— �` 1G 1--Lb;
Addres(a� � I 1
For V J l'�S l e C 1 - D5.1
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• SlgneAltuN -`C` vyko,
CMP 0944-66 White-Customer;Canary-Department;Pink-Finance;Goldenrod-File
SEWER PERMIT APPLICATION /946 PERMIT .- .
' COSTA MESA SANITARY DISTRICT • .N" 2251
P. O. BOX 1200
COSTA MESA, CA 92626 �yy
Contractor FQ,&w frJ « tivmeri� � •- CJ'13
J
Address J�.r'o:el mom,-�/eN�t cala
City state , - Zip /
wu Building Address?. 6a gc5T,
tin / HIftcf' 6%' Owner /frill✓V i rfnar/neM L ' •
C Phone N06;14-114'0.7 State License No. 1/4,17.) 11.1.1) City Business License No. C)I-1 Th
Q
I hereby acknowledge that I have read this application and state that the above is correct and agree to
> comply with all State laws, City ordinances and Sanitary District regulations pertaining to sanitary sewers. I
-J certify that I possess the above valid State of California class' ication or am the legal owner of the property
w described above.
a-
0
cc Signature of Perm' eo
O. OFFICE E ONLY
2
w Street Connection Fee $ Date Issued
= l\ •
Q_>
House Connection Fee $ ) 3 Received by
Issuance Fee $ `I- •
cc
a TOTAL $ 'I9 • �
� INSPECTION USE ONLY
0
} DATE OK'O BY
Street Sewer Y Sta
House Sewer M. H. Sta
H No.
REMARKS:
AN "5" MUST BE PLACED ON ALL SEWER CONNECTIONS MUST BE
CURB BEFORE CALLING FOR INSPECTED.
INSPECTION. I CALL 754.5307
PERMIT
CMF 0706-66,rev.2/80
CITY OF COST. .ESA 790
:!/.. ! ;.`!!: T ^ !
PARK FEES
Fee Payme,enG)
t Receipt 001123
F�•Yv�ew vi x\\4(2 (fk[SC sr.a +zs
Project Address 2520-'1s45Ck,4;v,0, Or, 2oi-2554 Arnacapa DP..
A.P. Number *2—O— 012 1`
Building Permit Number ,,/� L
Owner's Name /4t /�'y/fjv /c.1r.t4er,1&1T cc'
Mailing Address 'AP; 4t-t "' t $_ 4 — i�.�,,,// c 714:v.2...k)
FEE: Single Family * -Number of Units
2-Bedrooms or Less @ $ 861.76 =
3-Bedrooms @ 1,205.67 =
4-Bedrooms @ 1,545.62 =
5-Bedrooms+ @ 1,810.50 =
Multiple Family •' D 114. 90
Bachelor or Studio @ 474.37 = `�
1-Bedroom @ 573.18 = 2152 • (p4
2-Bedroom 1 ' ' @ 881.51 = 1 9 '+4
3-Bedrooms+ 5(0 @ 1,229.38 = InO�`1���• 22)
Total Fee "' 242_c5
4 L Zl0• I v
Planning Department App vel Date ), )I gcb By t(y�J�a,is y
Applicant's Signature ` - -.-� —
• City Ordinance 72.44 .• City Ordinance 72.45 ••• City Resolution 78-116II
,.�
CMF 0174-30,rev.7/85 White—Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant t 1L�C,V
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fe2 . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT
,� PERpMIT NO. TRACT� NO. LOT NO. UNIT NO. / ,,/ ,
Project Address 2545 SANTA rATAT,TNA '- -r-1 8 r 3312-1 ! "'6/, 1 ,� I(,r I � +6.41(-4O?
Applicant's Mailing Address E O.BOX 967,STANTON, 90680 TYPE OF CONSTRUCTION LJ NEW LI ADD LJ ALTERATION UREPAIR
FAfR •
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.eft, . Zone
Owner's Name uz u! k ! u zT-Ptfcq-1NE Ci 9 7327
2714 .DESCRIPTION OF WORK/USE OF BLDG.
Address l°l 1 litV G 4 S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING SIU FOUNDATION U STRUCTURAL T Front ' 0
Address
El TENANT 1 TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
B Rear N
❑ OTHER A I
Contractor's Name PAOLRYTsSnNS PT,IIMR Phone 297-740= PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N
Address(mailing) P n RUX 967• STANOTN rA 90620 - KG
CONSTRUCTION TYPE VALUATIONS S Left
City License No. 0434510 ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ,,,nnn 2 / Planning Notes: 0
with section 7000) of Division 3 of the Business and Professions Code,and &lid,>3 [Je).ln✓ 6 ✓�(� M
/ T
my licensees in full foCrce and eftegtulllbin 498533 S
License Class bb pl gLlcense rvo.
)ate Signature PLUMBING FEES
- tplu
WORKERS' COMPENSATION DECLARATION Bar Sink Showers
I hereby affirm that 1 have a certificate of consent to self-insure or a certificate ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section •
Backflow Preventer Service Sink
3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW
Policy Non Company.C.:41414n Backflow Irrigation Sewer Cap Construction Pole Sub. 050+KW
ertified c py is hereby furnished. - ,
erti tl<2 iled with the city B ding n. / 20 Bathtubs Sewer Connection 1.,0 ITO • Cooking Unit Meter Dup to 100 amps
Date Applicant t/ ATION�•
EXEM ION 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). 16 Dishwasher • _ Solar Piping 32-co 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 01%-B
Workers' Compensation Laws of California. _
—
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 01616+
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal
comply with such provisions or this permit shall be deemed revoked. Fixt UreS Microwave
CONSTRUCTION LENDING AGENCY 16. Gas Service 48 Outlets °1S 20 Water Closet N �— ' ?
hereby affirm that there is a construction lending agency for the performance �� 4�V 1 Zoo Device Boxes ! Pole Light •
of the work for which this permit is issued (Section 3097 Civ, C.) Interceptors Water Heater 3 '>
I Lender's Name • - .1 0 2 W Outlets ^ Range
`' Lender's Address 1.6 Kitchen Sink ,t Water Service 32 ts", - Switches Sign
OWNER BUILDER DECLARATION - _
C I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash U1'QI, Garbe e'Dis osal
following reason (Section 7031.5 Business and Professional Code: Any city or 20.
Q —"ill 9 P - Standing Sections -
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor
iy structure, prior to Its issuance, also requires the applicant for such permit '
, file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains
ne Contractor's License Law (Chapter 9(commencing with Section.
7000) of - - 1• .
Division 3 of the Business and Professions Code) or that he/sheis 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
pe natty of not more than five hundred dollars($500). • ,
Li I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - • - Reinspection Fee J $15 Issue Fee $ 3
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 0 '
•
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By - Date
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). pp,,pp
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued ByIck Datn�-4q"1S
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 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES
builds or improves thereon,and who contracts for such projects with a con-
tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $
proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT'
❑ I am exempt under Section B. & P.C.for this reason - Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING $ .2 Sicm, ISSUANCE S
Date ' Owner Heating System& Ducting Registers PLAN CHECK 25% $ l02 co ENERGY P.C. $
I hereby certify that I have read this application and state that the above 00.100,000 BTU ❑100,000BT ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws rel ing to building construction, and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM $
sentatives of the Ci to enter�spon the above-mentioned proper y for 2
ngnature pur Ca / MECHANICAL $ TOTAL FEE $ J1�"'^
Signature '¢—.�--- Date Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
Drivers' License or SS
CMF 0865-46,rev. 10/84 White - Building; Canary 1 Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# _ Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - . 7s rY Late 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation. • . . 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. C72/W (.Lo 60..Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
-11. Property Sewer Line & House Connection 64lrir ttp 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 7:7.44Y GED 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: •
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test 9116-gie LE
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing 1/,'68Y LE°
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
51. CERTIFICATE OF OCCUPANCY
No. Date
1
•
. k _ ...., _. . .,
Applicant-to fill in all spaces except those within heavy border lines and sign all appropriate declarations.•
�//
CITY OF COST ) :• Ag N$S CTIO't PER
' 'PERMIT c.... NO. M�11TRACT NO. LOT NO. UNIT NO. `i/%C. / / 1
Project Address abed • ' •�� `~ L-1•♦ e'`)�•
Applicants Ma ing A.:ress 31 ' ( a i •A AI _ ' TYPE OF CONSTRUCTION ❑ NEW ❑ ADD Li ALTERATION U REPAIR
d ��jj��/ •�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # Zone
Owner's N.me rii: l ��t� uT�L �'! DESCR•j�T ION WO K/USE OF BLDG.
Address - '� 1 • �� G .{� SMain Building: ac E.„,11, Accessory♦8),i[ding:M1 �--r,,-m
E
E.. .
Arch/Eng. icense No. TYPE OF PERMIT GRADING FOUNDATION ❑ STRUCTURAL T Front 01 00011426-00011427 TOT 37 .6:
Address El TENANT ❑ ELECTRICAL 0 PLUMBING PgjaCHANICAL B Rear Wilt; LS/(1Jyd'$ lint: 14i1UU N
Contractors N..°41. s L ki`.e Pho e ❑ OTHER A
C Right N
�7 PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G
Address(mailing) `.-�� ��� CON ST RUCTION TYPE VALUATION§ S Left
City License No. ZONE GRADI NG CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION q I l Ping. Ref. 'Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: I2 1,^ /y] /s-'yys ' K S37�105 Planning Notes: M
with section 7000 f Division 3 of the Business and Professions Code, alt in
sJ[)a•yd/ •14/x/` II rvv"--��s` T
my license ign effect. •5��/�1] ,y(9V'
Lice Lic $
Date Signature PLUMBING FEES
% her K RS'COMPENSATION DECLARATIONe Bar Sink Showers ELECTRICAL FEES
I hereby affirm that I have a certificate of consent se o sure eorr a certificate
of Workers' Compensation Insurance, or a eerie-d co thereof Section I
3800, Lab. rT') Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW
Policy No. / �� 1 Compaalb Backflow Irrigation Sewer Cap Construction Pole Sub.
0 50+KW
Cer "fab d co is hereby furnished.
\� C f op with the city I . Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps
Date Applicant
EXEMP ION ROM WORKERS'COMPENSATION DELL A N Clarifiers Solar Collectors Dishwasher - Meter Dover 100 amps
(This section need not be completed if the permit Is for one u dred ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
1 certify that in the performance of the work for which this ermit is issued I
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan
Workers' Compensati9n Laws of California. Motors 00-1 HP 011/4-8
—
Date Signature Floor Drains Swimming Pool w/Spa 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 Urine Fixtures
comply with such provisions or this permit shall be deemed revoked. Mic ave
CONSTRUCTION LENDING AGENCY Gas Service Outlets ater 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.) •- t.i
Lenders Name [riterceptors 7 Water Heater Outlets Range
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 Disposal Standing Sections
Garbage
following reason (Section 7031.5 Business and Professional Code: Any city or
€;:,gunty which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays •- Generator 00.5 KW 05-15 KW
l -iyiy structure, prior to its issuance, also requires the applicant for such permit Trash Compactor
Iv file a signed Statement that he/she is licensed pursuant to the provisions of
,Roof Drains •-
' e 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
7031.5 by any applicant for a permit subjects the applicant to a civil
penalty of not more than five hundred dollars ($500).
LJ I, as owner of the property or my employees with wages as their solo 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 (Section 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 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 com- Canopy Type II ❑ Zoning Approved By Date
pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under GroundBuilding Approved By _a At
prove for the purpose of sale). Sr•"".s gyp'
❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By — - �� a Date o —6 D
tractors to construct the project (Section 7044,Business and Professions Code: �— j
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY •F ES
builds or improves thereon, and who contracts for such projects with a con- —
tractor(s) System license pursuant to the Contractor's License Law). I am aware that Exhaust ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
proof oftheir 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.BIt. IC80# Fire Dampers PLUMBING $ _ ISSUANCE $
Date owner Heating System& Ducting Registers Or00 PLAN CHECK 25% $ ENERGY P.C. $
I hereby certify that I ha . read this application and state that the above 0-100,000 BTU 0100,000 BTL GRADING $
information is correct. I ag e- • comply with all city and county ordinances ELECTRICAL $
and state laws relating to • a;,tyg.:• truction,and hereby authorize repre-
sentatives of this ity t• 1 t - •bove-mentioned r pe for V }
Or J I/♦ ,�• s
inspection purposes '�• V r O •
1 MECHANICAL $ 33 ` TOTAL FEE $ 'w
Signature
• n O c_
CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor - DATE: O3/O5/E8 •TIME: 14:00 V, ••,v
CONSTRUCTION AND;PLANNING POOL & SPA
APPROVALS Permit'# Date Inspector APPROVALS Permit# Date Inspector
r.
L•'Temporary ElectricahService 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
t
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
'.7.:Footings „•',•,v ' 58. Electrical Conduit-Undrgrnd.
•
8. Foundation / / 59. Gas Pipe, O Undrgrnd.,Test .
9.,Water Pipe-Undrgrndr60. Backwash Lines, P-Trap, 0 Undrgrnd. •
10. Structural Floor System 61. APPROVAL TO DECK ,
11. Property Sewer Line $t 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
r
17. Rough,Wiring Sign 68. APPROVED FOR PLASTERING
\18! Rough;Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning g-jz- LCn 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 ❑Oil .t
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat (S
75. Dry Chemical A
27. Frame and Flashing / 76. Dry Standpipe - - • JA!
28. Lathing & Siding / 77. FIXED SYSTEM FINAL •
29. Insulation 78. FIRE PREV. FINAL •^, ,,r
30. Drywall Nailing HEALTH DEPT. REQUIREMENT - ..-i
31. Plaster Brown Coat 79. FINAL INSPECTION ,r>;)
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: I • t
34. Final.Heating & Air Conditioning /d;L•Y' GEO
.4•
35. Fir1al•Gas Pipe-Test
36. Hood or Canopy S
I
37. Final Factory Fireplace • -
, 38: Final Plumbing .
• ' 39. Water Service-Final - • . ' . ,
.. 40. Gas Service-Final - . - .
41. Solar Domestic-Final - '
' 42. Backflow Preventer i. ;
43. Backflow Irrigation . - I ' .
,
44. Landscape Irrigation System -
45. Sound Attenuation IA,
46. Ha •
ndicap Regulations -
47. FINAL STRUCTURE & BUILDING . - - .
48. Special Requirements Completed r
49. Electric Release to Edison ( 1
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY - • -
No. Date _
.% . .
✓ 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.
CITY OF CQSTA MESA_ CQNSTRU�,TION PERMhT,, 1 A.P.# Zone
Project Address 43 rJT'A (;;ICI--gq s�Npt d/1 • - 1 � 47 �7 �// S Main Building: '• , Accessory Building:
Applicanes'R!ailin Address TYPE OF CONSTRUCTION VIEW U ADD U ALTERATION ❑ REP I R E Z
V, ❑ CONVERSION ❑ DEMOLISH ❑ OTH T Front 0
Owner's Name 112V 1E1r,) MAaA EMc�T" Phone prs • I B - N
9DESCRIPTION OF WORK/USE OF BLDG. r , • A Rear I
Address
Arch/Eng. License No. TYPE OF PERMIT GRADING L I FOUNDATION U STRUCTURAL C Right G
Address !� ( ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ ' Left R
Contractor's Namp�QU5,•Gtr.CIc ttlC. Phone-nit-CO/0 1 0 OTHER Ping. Ref.# Parking Req./Provided E
PROJECT DESCRIPTION SQ. FT- I I a Ic OCCUPANCY—KI._ 0
Address(mailing) 110OLR MT H1cs F V. 7— Planning Notes:
CONSTRUCTION TYPE VALUATION$ M
City License No. 4:1-3ST‘ ZONE GRADING CU.YDS. ACRES T
ILICENSED CONTRACTORttI DECLARATION 3310 S.
I hese Ionaffirm 7 t0) I am licensed under Business of charter 9i (commencing, Remarks'
with section 7000) of Division 3 of the Business and Professions Code, and
my license IsensI iss f-u'._-'ti-ulL-- (3antl effect. , ELECTRICAL FEES
License I ss l.� • ense N• 74
Date Signature •f%-.- - if PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW
' WORKERS' COMPENSATION DECLARAT ON Bar Sink Showers Construction Pole Sub. 050+KW
I hereby affirm that I have a certificate of consent to self-Insure ora certificate
of Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit 17 Metera to 100 amps
3800, Lab- C Backflow Preventer Service Sink _,
Policy No. .)$-3w36to Company STATE rUtiD •
Backflow Irrigation Sewer Cap "c Dishwasher - Meter Dover 100 amps
'r�•-Ilfertified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
IVl CerlilleQ tysled with the city.$gllding l e.lsinp... 1_ ne Bathtubs Sewer Connection
s\ Date d/J 'd" Applicant_ LC>UQ JC-e/l �-, .I C. Fan Motors 00-1 HP ❑iX-B
EXEMPT(ON FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors i�"
(This section need not be completed if the permit Is for one hundred ($100)or Dishwasher Solar Piping �'. F.A.U. Inc.Solar 09-15 HP 016-15+
less).
I certify that In the performance of the work for which this permit is Issued, I Fixtures
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tan. Microwave
Workers' Compensation'Laws of California. 1
•
Date Signature . Floor Drains Sw.• ming Pool w/Spa Device Boxes Pole Light
NOTICE: If,after making this declaration,you should become subject to the ' ' Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rinal :
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign
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.) Garbage Disposal Standing Sections
Lender's NaMe Interceptors Water Heater I
Lender's Address Kitchen Sink Water Service Generator'00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION Held
�//,yy �1- y �T�
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ■ Auto-Wash el a . vim( • (nt..l�/ --- /a • S7 .a
following reason (Section 7031.5 Business and Professional Code: Any city or J
county which requires a permit to construct,alter,improve,demolish or repair P-Trap , Laundry Trays
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 /
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 Reinspection Fee $15 Issue Fee a
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). DEVELOPMENT SERVICES REQUIREMENTS:
Ll 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 Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By a /// Date
License Law does not apply to an owner of a property who builds or improves ! h•-- �Y
thereon, and who does such work himself/herself or through his or her own Boiler HOOd Or T e I ❑ Application Issued By /I '���.ai."-ate •ate J —O o
employees, provided that such Improvements are not intended or offered for yp
Ir
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEE
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 PERMIT $ SMIP $
0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System
tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100 'ti BTU 0100,000 BTU PLUMBING $ ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con-
tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 S em Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ •J
T GRADING $
0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG dk , Fire Dampers
■ AN50% $
MEC
Date Owner Heating System& Ducting Registers MECHANICAL MICROFILM $
I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,00P :T $ TOTAL FEE $ I
information Is correct I agree to comply with all city and county ordinances ■ _■ PLAN CHECK 25% $ `Cr/ s 3 G
and state laws relati to building nstructl on,and hereby authorize repre-
sentatives of t ' K to enter u n the bove-ment toned property for
Inspection pur s . 2.....
$� - 01 00011410-00011411 TOT 551.36
0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod - Assessor DATE: 08/05/88 TIKE: 13:19
•\ \a
aliNSTRUCTION AND PLANNING - I'uOL & SPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
1.Temporary Electrical Service or Pole 52. Pool & Equipment Location
+ -• .
2. Soil,Pipe-Undrgrnd. ��▪ 1 '. 53. Steel Reinforcement
3: Electrical ConUuit Utility-Undrgrnd. 54. Forms •
4 'Electiical Conduit:Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcernerit 56. Rough Plumbing & Pressure Test
6: ElectricalUFERGrnd. 57. APPROVAL TO COVER-GUNITE -
J
7: Footings cI H :••• • ' 58. Electrical Conduit•Undrgrnd. tet.
•8J Foundation 59. Gas Pipe, D Undrgrnd.,Test '
9: Water Pipe-Undrgrnd. -' r ' 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10: Structural Floor System t ' 61. APPROVAL TO DECK
11: Property Sewer Line & House Connection - • 62. Backwash & Receptor-Final '
12- Sewer Cap -•
.
63. Heater& Vent-Final - v
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 lcP 67. Fencing & Access Approval
17. Rough Wiring Sign4 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 i 1 70. Underground Hydro
22. Ventilating .( ,t Ducts, CI-, 71/Product Piping 0 Gas 0 Oil •
23./Gas Pipe-Rough & Test 72. Underground Flush
i
' 24. Roof Framing '-_ / 73. Undergrnd.•Storage Tank 0 Gas 0 Oil
25. Roof Sheathing . • g 7,4. Overhead Hydro -
26. T-Bat Ceiling (Structural) & Monocoat 75. Dry Chemical - '
27. Frame and Flashing '76. Dry Standpipe •
_ 2
28. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation .'f 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
-
31. Plaster Brown Coat, 79. FINAL INSPECTIONI.
32. Electrical'Power Meter-Final kit* 1/ 80. FOOD CERTIFICATE ISSUED
33. Final Electric 1,2Z •• ,.1Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace .
38. Final Plumbing
39. Water Service-Final L• •
40. Gas Service-Final . -i
41. Solar Domestic-Final . I ,
42. Backflow Preventer • ,
43. Backflow Irrigation -
44. Landscape Irrigation System 1
45. Sound Attenuation
46. Handicap Regulations I •
r
47. FINAL STRUCTURE & BUILDING , .
48. Special Requirements Completed
49. Electric Release to Edison
50: Gas Release to Southern California Gas Co t
51. CERTIFICATE OF OCCUPANCY ' •
No. Date • '