Loading...
HomeMy WebLinkAbout265 SANTO TOMAS ST - Building Permits CITY OF COSTA MESA - rq ,I, BUILDING DIVISION PERMIT NUMBER Jo DEVELOPMENT SERVICES DEPARTMENT, PERMIT E00-00453 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT 1 Job Address: 265 SANTO TOMAS T- Status: ISSUED Suite No Applied: 05/19/2000 Vicinity: WEST SIDE OF HOUSE Issued: 05/19/2000 Parcel Nunmber: 43920139 Applicant: BALLARD, LAYNE ISSUED BY: Address: 29 BLAZING STAR • Phone: (949)552-3475 IRVINE,CA Zip: 92604 • Owner BALLARD, LAYNE Address 29 BLAZING STAR Phone: (949)552-3475 IRVINE,CA Zip: 92604 r. • Contractor: OWNER-BUILDER Address: - Phone: Zip: • License: 0 SCOPE OF PERMIT CHANGE ELECTRCIAL SERVICE RISER. FEE SUMMARY Quantity , Quantity ISSUE FEE $23.50 • Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft - $0.00 0 Res. a/c package $0.00 Standing Section $0.00 0 • New Res(1-2 units) $0.00 0 Misc Electrical Equipment $18.20 1 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 - up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches $0.00 0 - over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 • Low Voltage Equipment $0.00 0 Res Appl • $0.00 0 Low Volt Wiring System/Ckt $0.00 0 • Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 ' 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $41.70 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not-commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 R WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate o1 consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. O I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ 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 workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.N Class N Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code), Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit su,jejecIs the applicant to a civil penalty of not more than five hundred dollars($500).): I, is•owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). r❑ am a yg ._ Business and Professions Code for this reason: Signature: �.►_�- ,00lw (Date: / S//`l/6n -Owner ID verified by drivers license. ❑Yes ❑No ( Driver's License No. ! Expiies-'-��4/O Verification of Ownership by(type of document,i.e.-property tax bill or deed): ( DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ee buil_i__occupn_n_._...to _._gis_.ati-_ hazardous a_ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health end Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ... qu- --. ................. .__bull___ .... ...........................-. 4 If an RMPP is presently required has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No or future b—._._._o_ — the work which 5 Does or will the applicant orpresent a emen building occupant at y other for isi the subject this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8....... .tth .. . . .. B (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the abov�d• .:: for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. . _— � 5i/V-00 Signature Of Legal Owner(s)} C Date And/Or Authorized Applicant Date CODE INSPECTION TYPE DEE INT111AL$ CODES INSPECTION TYPE DRTE JNTITIAI5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 4 200 Final Re-Roof 210 Final Electrical `AVai R#A.u.� _r 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy 2446-46 PROJECT ADDRESS: 265 SANTO TOMAS �; hV UNIT: A & B CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 059611 OWNER'S NAME: LAYNE BALLARD ADDRESS: 29 BLAZING STAR PERMIT NO; B 059611 PLAN CHECK NO; N GOVT; N SUP?: N IRVINE CA 92714 CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE; ALT (714 ) 552-3475 • ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : KITCHEN REMODEL 6 MINOR MISC. ALT' S SQ FT: 5, 000 ADDRESS: UNIT: CLAIM VALUE: 5, 000 . 00 CALC—VALUE; 5,000 . 00 GROUP OCC; R-3 / PERMITTEE: LAYNE BALLARD ( 714 ) 552-3475 ADDRESS: 29 BLAZING STAR COMMENTS: INCLUDES MOVING 3 DOORS & 3 WINDOWS IRVINE CA 92714 *********************9r************ ***; ** ** ********* + "E** ********+E ******** UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z. ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE UC.: CUSS: CA Date: signature: MAIN BUIDDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cemilitate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN :Y'9moensation Insurance.a,a certified copy thereat(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN c �-4UCY ND.: EXP.DATE: 'COMPANY: PARKING REQ. PROV: PARCEL: 43920139 ZNE: REF NO; 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > i Date: Applicant: ************************* .%*********************3e*******************35e4r******** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This se - eed not be completed if the permit is for one hundred(51(0)or fess). DEVEL O P M E- N'i. 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 i u hall not employ any person in any manner so as to become - r subject to the Workers'Compensation Laws of Californi ZONING APPROVED BY DATE; _ _ ^� Date:/Q-20-9( Signature. BUILDING APPROVED BY : .- a DATE; NOTICE:If.after making this declaration,you should becomes to the Workers'Compensation provisions of the Labor - Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. � + CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION I SSUEDf B Y: .. P _ - if .4..; --- DATE• eVD—d which this permit is issued(Section 3097,Civ.C). *********************** :*R' RR *R Ririe e *R' -Peat**Ft*It**)t*****it***it******* LENDER: *******.******************1E******************** if****************ff*******X-****** ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: Y OWNER BUILDER DECLARATION: I hereby affirm that I 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 72 , 00 . 50 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMI P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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($5101. ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0 . 00 0 , 00 72, 50 72 . 50 , 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: 72, 50 OVER/SHORT• 0 0 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve lot the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 , 00 , 50 ❑ 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 with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***************#**********************************!E**************Yv************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ® I am exempt under Section: B P 7044 B.8 P.C. or this reason: ALL WORK BY OWNS TYPE QTY DESCRIPTION UNIT COST TOTAL COST e— Date: /O —20—9 t Owner: SFR 5000 ALTER BY VALUE RESIDENTIIAL NOZONE 1 . 00 5, 000 . 00 I do hereby certify that I am aware of and understand the requirements of California Mea and Safety Code Sections 25505,25533.and END OF FEES r: 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 mocklication from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date:erApplicant:d herebycertifyand that I have read this application and state that the above information is correct. agree to comply with ail city and county ordinances and slate laws relating to building construction and hereby aii epr¢s¢nlatives of this city to enter upon the above-mentioned properly,for inspection purposes. <— Date: lO"'Lp—92 Signature' _../V0Q, , ' - '• • • Driver's License or Social Security a: _ 1641-46 White—Building:Green—Code Enforcement:Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNIN.. -L & SPA • ' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector APPROVALS 1. Temporary Electrical Service or Pole t 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings r, 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test .r 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd. •1 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final i'1 12. Sewer Cap I 63. Heater & Vent-Final t 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 ,,1- 75. Dry Chemical 27. Frame and Flashing /,p�3�G`•y gr 76. Dry Standpipe _2 Siding IQY l� ZZ I 77. FIXED SYSTEM FINAL - 29. Insulation I l // J/ � 78. FIRE PREV. FINAL 30. Drywall Nailing `L _t-- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat '1 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED r- ' 33. Final Electric j I Notes: I V 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test I4 36. Hood or Canopy I i ( 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final I I ! 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulationsti 47. FINAL STRUCTURE& BUILDING 7 /-Lk 48. FINAL PLANNING 49. Electric Release to Edison r � • 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date • tpcto CTAbORE55: 265 SANTO TOMAS ^Ai) UNIT: A & B CITY OF COSTA MESA BUILDING PERMIT PERM NO: E 059612 °WA N'S NAME: LAYNE BALLARD ADDRESS: 29 BLAZING STAR PERMIT NO: E 059612 PLAN CHECK NO: N GOVT: N SUPP: N IRVINE CA 92714 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH (714 ) 552-3475 • ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : KITCHEN REMODEL 6 MINOR MISC, ALT'S SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: LAYNE BALLARD ( 714 ) 552-3475 ADDRESS: 29 BLAZING STAR COMMENTS: RE: B59611 PRIMARY BLDG, PERMIT, IRVINE CA 92714 ################## ####################### ##################%%#####%#####%###* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)ofbivision 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 'POLICY NO.: EXP. DATE: COMPANY: PARKING REO PROV: PARCEL: 43920139 ZNE: REF NO: D Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > • Date: Applicant: ############%#####%##############aE############################################x EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). D E V E L O P M E N T SER -VICESREQUIREMENTS I certify that in the performance of the work for which this permit is issue t of employ any person in any manner so as to become subject to the Workers'Compensation Laws of Cahfornl ZONING APPROVED BY • DATE: _----, Date: /0 `20'9t. Signature; --2.—/CD NOTICE:It.after making this declaration,you should become subject 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. ' / /7 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y, /l �/ DATE• /Gy/ 2CJ/7� which this permit is issued(Section 3097.Civ.Cl. r, ######################rt# k x #du.` /.-R#%#k%r.#ki/Ok##knkx#########ie#irie kir it iek it ## LENDER: • ################################-******%**###### #######*###################### ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that I 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 10 , 50 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed '10% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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 penally of not more than five hundred dollars(5500). ISSUE FEE 15 . 00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the LI TOTALS----> 10. 50 15. 00 0 . 00 25. 50 25 . 50 UO structure is not intended or offered for sale(Section 7044,Business and Professional Code. The Contractors'Slate 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 employees,provided that such improvements are not intended or offered for sale.II, however the building or REVENUE DIVISION TOTALS--> COLLECTED • 25, 50 OVER/SHORT• 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business • 25. 50 ❑ and Professions Code: The Contractors'State License Law does not apply to art owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law), I am aware ###################################%%####************########################## that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN n lam exempt under Section:B P 7 O 4 4 D.8 P.C. for this reason: ALL WORK BY OWNER TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date:_/C7-%ZO '4 Z Owner: ELE 2 FIXTURESLIGHTING 1 ST 20 EA, , 75 1 . 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and ELE 8 RECEP T/OUTLET 1 ST 20 EA• . 75 6• 00 25534 and that I or any future building occupant wiltwill not(circle one)need to comply with said state codes and the requirements for a ELE 4 R ECEP T/SWITCH 1 ST 20 EA. . 75 3 , 00 permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions. END OF FEES Date: Applicant: I hereby certify that I have read this application and state that the above information¢correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hererite representatives of this city to enter upon the above-mentioned / prnpeny for inspection purposes. /•� •// e- Date:/0• 2.0—9 L Signature Cll a_J • Driver's License or Social Security•: _ 1641-46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor . CONSTRUCTION AND PLANNING - Pt . & SPA ` Date Inspector Date Inspector Ij 4 APPROVALS Permit# - APPROVALS Permit# I1. 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. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. -� 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test r,} 9. Water Pipe-Undrgrnd. • ! 60. Backwash Lines, P-Trap, 0 Undrgrnd. ti.,, 10. Structural Floor System 1 I • 61. APPROVAL TO DECK .f;� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ,• r. 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing System - Final - • 14. Rough Plumbing 65. Electrical-Final `f 15. Rough Electrical-Conduit ! 66. Solar System-Final • 16. Rough Electric Wiring 4.4 67. Fencing &Access Approval 17. Rough WiringSi 9 9n 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 ❑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 & Sidingi i 77. FIXED SYSTEM FINAL . 29. Insulation I I 78. FIRE PREV. FINAL 30. Drywall Nailing I I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final ; 80. FOOD CERTIFICATE ISSUED I 33. Final Electric9 f Notes: 34. Final Heating& Air Conditioning ��pI I f 35. Final Gas Pipe-Test 1 36. Hood or Canopy I I 37. Final Factory Fireplace ' 38. Final Plumbing I I 39. Water Service-Final i I 40. Gas Service-Final I i 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I 48. FINAL PLANNING I I , , 49. Electric Release to Edison I I - ; 50. Gas Release to Southern California Gas Co I I 51. CERTIFICATE OF OCCUPANCY No. Date x N gr axi.sr r, i 2 X = �eIocarc. l(1. P 1_,. G�,>� J , R“te .y 44 S h k /O c a vi;Okt al go ck, ge - - - - Re.(0ea{rot wait/OW 41 3bx7° rywsr --� o W Lix 8 Header- op¢tliRx . 9CivwI}- ® (o • i riep e;Vw+0 fr%rsr fG- + p>55 I id r- be" • • ' Rx , -EA Relocated aoor- .24 keo8 {.t\&& beaele— isO{k Vr : I,C © € 1 Door 'l*) garohc Soot-' Jam: O.n (y E Re pence JAIissc }p ('V SkPe1-} I WMdyu wit1‘ jUwl GIdi2 t1 Fe se.-a..A} . esjs ' Hdr Not+ 0K(+ emir 0265- 5 4-0 tom As KJc_{neh Ret.uode ( boj4 u is rale Za-Z PROJECT ADDRESS: 265 SANTO TOMAS -'AU UNIT: A & B - CITY OF COSTA MESA — BUILDING PERMIT PERM NO: N 059613 OWNER'S NAME: LAYNE BALLARD ADDRESS: 29 BLAZING STAR PERMIT NO: M 059613 PLAN CHECK NO: N GOVT: N SUPP; N IRVINE CA 92714 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH ( 714 ) 552-3475 ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : KITCHEN REMODEL 6 MINOR MISC. ALT' S SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: LAYNE BALLARD ( 714 ) 552-3475 ADDRESS: 29 BLAZING STAR COMMENTS : RE; B59611 PRIMARY BLDG. PERMIT. IRVINE CA 92714 ########################################### ################################### LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. ✓ , SETBACKS CITY LIC.: STATE LIC.: CUSS: r .' Date: Signature: MAIN BUILDING ACCESSORY BUILDING FRNT- FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent o self-insure or a certificate of Workers' LEFT:. FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 7 '4Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). i P"rIOLICY NO.: EXP.DATE: COMPANY: PARKING REQ. PROV: PARCEL: 43920139 ZNE: REF NO; ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOtES> Date: Applicant: #####.#################################9######RE############SE################## EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). r",, DEVELOPMENT SER V�'� C E S i R E Q U —t R E M E N T S I certify that in the performance of the work for which this permit is hall not employ any person in any manner so as to become ` ' >! // subject to the Workers'Compensation Laws of California. ZONING APPROVED BY ;✓ �/ DATE: .— Date:IQ—LO—iZ Signature: BUILDING APPROVED BY ; DATE: NOTICE:If,after making this declaration,you should become sub to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. I'<c - ` � CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lendingendingagency for the performance of the work for AP PL Y AT I ON ISSUED B Y• DATE• 0.20 t* which this permit is issued(Section 3097,Civ.C). ####' ###################xxx ### xxx xx ##.: x# #u..A. w x ; u x . ########## ' n xxxu ## LENDER: ####/############aF#############•######## ######i1#i!"#################70############ ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: thereby 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 13 • 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5;) SMIP/NON—RES pursuant to the provisions of the Contractors'State 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 PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 I. as owner of the propene 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----> 13 . 00 15 . 00 0 . 00 28 . 00 28 . 00 . 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/hersell 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• 28 . 00 OVER/SHORT: ,00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 28 . 00 ❑ 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 with a contractor(s)license pursuant to the ContractorsState License Law).l am aware ##################################i(##########Ih##R################fF############?E that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN © I am exempt under Section: Bp-7 0 44 B.8 P.C. or this reason: ALL WORK BY OWNF— TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST -- Date: /0'3/4 20'42 owner. MEC 2 INST HOOD W/DUCTS FED BY MEC EXHAUST 6 . 50 13 . 00 am I do hereby certify that I am aware of and understand the requirements of California Meath 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 Quality Management District.Residential construction applications are exempt from these provisions. I her n ancs : hereby ny that I stin this ingtlon and state that the above information ist correct.. agree to complyterwith all city and tiuntd / ordinancesoettyfand stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. f--- Dalt: ,0^20^97 Signalme. c : I J. _,. _ . Driver's License or Social Security er: 164146 White—Buildina:Green—Code Enforcement:Canarv—Aoolicant;Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING ..01`& SPA . APPROVALS Permit# Date s 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 LIFER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation / 59. Gas Pipe, 0 Undrgrnd., Test i r 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection }i 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 , - f"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& SidingI - I 77. FIXED SYSTEM FINAL 29. Insulation j 1 78. FIRE PREV. FINAL 30. Drywall Nailing j ! ) HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION 32. Electrical Power Meter-Final j j 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' Notes: 34. Final Heating & Air Conditioning j 35. Final Gas Pipe-Test 7 r''7IC 36. Hood or Canopy I I 37. Final Factory Fireplace �}1 38. Final Plumbing p/ /pf ,��t ' 39. Water Service-Final (TI 40. Gas Service-Final 1 41. Solar Domestic-Final I j. � 1 . 42. Backflow Preventer I ; I 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I ' • 48. FINAL PLANNING 49. Electric Release to Edison I i 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 265 SANTO TOMAS atO UNIT' A & B CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 059614 OWNER'S NAME: LAYNE BALLARD ADDRESS: 79 BLAZING STAR PERMIT NO; P 059614 PLAN CHECK .NO: N GOVT; N SUPP; N IRVINE CA 92714 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH ( 714 ) 552-3475 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : KITCHEN REMODEL & MINOR MISC. ALT' S SQ FT; ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE; GROUP OCC; R-3 / PERMITTEE: LAYNE BALLARD ( 714 ) 552-3475 ADDRESS: 29 BLAZING STAR COMMENTS; RE; B59611 PRIMARY BLDG, PERMIT, IRVINE CA 92714 **t�*****�6rf**TF�E�E�6* * ******** �c*�F�6�Efc **T6x-xu***** *** rE*,t*********** ** ******* t LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN •OLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV; PARCEL: 43920139 ZNE: REF NO; ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N TES> > - i/ Date' Applicant' *********-*******************if*********#aNC** ****If;*****************,***3Q*********** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(Sf00)or less). -D"•.E V E L O P M E N T S E R V I- C E S 4 REQUIREMENTS I certify that in the performance of the work for which this permit is i hall not employ any person in any manner so as to become ,/ _ subject to the Workers'Compensation Laws of California ZONING APPROVED BY N' ,...) DATE; Date eV— 20'49 t Signature: NOTICE:If.atter making this declaration,you should become s to the Workers'Compensation provisions of the Labor BUILDING /APPROVED BY ; •- .e DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPL ICATt,I,ON ISSUED BY; - 'i2.�...-, DATE- _/p/2c:�. which this permit is issued(Section 3097.Civ.C). ********"****************>i *** * .* **tr;F^.*w rx* x�e**_**,T**********-****„-*a **it***ee * LENDER: *******4C''#***********************************Y©***)f•***************************** ADDRESS: LEGALIZATION;N F E E SUMMKRY STRUCTURAL SEGMENT;N 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 1400 00 repair any structure.prior to ifs issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 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). ISSUE FEE 20, 00 I. as owner of the property or my employees with wages as their sole compensation, will 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----> 14 , 00 20 . 00 0 , 00 34 , 00 34 , 00 , 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: 34 . 00 OVER/SHORT: . 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve r for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 34 , 00 ❑ 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 with a contractor(s)license pursuant to the Contractors State License Law).l am aware **********************************************************-16******************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN © I am exempt under Section:3P7044 B.S P.C. for this reason. ALL WORK BY OWNER TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST "---- Date: f0- 2-0-92 owner: _62:2— L—e-1 PLU 2 GAS RE—PIPE 7. 00 14 , 00 I do hereby certify that I am aware of and understand the requirements of California Health d 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 far construction or modification from the Air Quality 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 construction and here ize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: IV.—aW""rpEZ Signature. 3 L7.;aL.dc-Li , C^,TE: 1C},_Ir 'y TTS;- '" Driver's License or Social Security k- 1641-46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING , _UL & 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. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation - r 59. Gas Pipe, 0 Undrgrnd., TesttJ - r` 9. Water Pipe-Undrgrnd. r ` 60. Backwash Lines, P-Trap, O Undrgrnd. • 10. Structural Floor System 'V t 61. APPROVAL TO DECK •j -11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • n • 12. Sewer Cap 63. Heater & Vent-Final .' 13. Roof Drains z 64. Plumbing System - Final 'ir' 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 /,�j✓- 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test /!r 7�� i`%�'`/ 9 I 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O 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 'I 77. FIXED SYSTEM FINAL 29. Insulation Ii I 78. FIRE PREV. FINAL 30. Drywall Nailing i t HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final I ( I 80. FOOD CERTIFICATE ISSUED -1. 33. Final Electric I • Notes: 34. Final Heating& Air Conditioning 'I 35. Final Gas Pipe-Test bit 31 -- -T- 36. Hood or Canopy • ' 37. Final Factory Fireplace 38. Final Plumbing _Aril 31 dr 39. Water Service-Final J 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations I 47. FINAL STRUCTURE & BUILDING r I 48. FINAL PLANNING I I - 49. Electric Release to Edison 50'. Gas Release to Southern California Gas Co 51: CERTIFICATE OF OCCUPANCY • No. Date