HomeMy WebLinkAbout751 SCHENLEY BAY - Building Permits _ _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _-
I CITY .P. dt 'i~— It'd• , •
I # 1 'a PERMIT,NO. I ITR • ,�j O LOT NO. f B .NO. !— 1 t• _ �_ _ - . __
• I Ns.• { ., 7'S •
i> Fi • `. , f I , •r I = { 177Q2'01702' 211/03 it n' • Ia.51 It
Ik7CONST ON PE.1)441T ' "
Applicant's Mailing//Addr: O sw.kJ/q/^At•_ D 1/ • ' TYPE OF CONSTRUCTION IBJ NEW cU AOD LJ ALTERATION y' .REPAIR - I '• • I • f- •• • • I
•
Projec •t Address"7 I! I y y J" - !' A/ ..: I ❑ CONVERSION '❑ DE • q / r v -F An' - _ 1 - : '• t , - . - - •
Owner s'N,• er � _ • il► • ' - 11 •h e' ey .('149 , DESCRIPTION OF WORK 'II A'I?I!•IAI Ri' JIIY���®lsI VAS[ r ,-. 1 - I .,.-
n �.',c _ < a ' , - ZONING REGULATIONS- P "
Address'` •-� I I ' 1 I�- �' /'Thew „ ' TYPE OF PERMIT U!GRAOING�❑ FOUNDATION STRUCTURA•L. - A P':5W' :1I6 -- Ia1 -,I 1 n ZONE 'IUW • is ,
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ArchfEng ' III "J I II Lic N /%�^ '❑•TENANT ❑ ELECTRICAL ❑ PLUMBING ❑, ECHANICAL ' -I q 'BUILDING' 1 '
a'�/Fe : � / I�ice_ • PLNG.REF :.ZE' - -1 - Hi
, u•,eFrg�•r rir et
Address / 0 / �' lir, 'D..071-1. _ +' �,,/{ - i , ,TO BUILDING ' 1 / b '^ _�
Contractor sham - f�� - Phone rte '� :PROJECT DESCRIPTION: sq. J f a)y (/t� OCCUPAN V ,/ '.PROPERTY LINE I�- `� i�J' AR YARD ITO P/U �q) •r� Hyl Gly
m { , Sy/1147.7
RS%S fit , I I _ t CONSTR�CTIr (/- {{{ / V L ATION$" - 1' / LEFT SIDE YARD cit. . HT SIDE YARD f �+ ',y e !VI
Address(mailing) - fir/Il/ c., ,J� Y '.
'�' •+ , _ 1 , ^ 1 I i ZONE ' GRADING CU.VDS:•�/� (ACRE Y ' PKG.SPACEiREQ. a 5, I I i PROVIDED �;1•LI on •
"�'Z'j1T
License No. - , , c , ✓
LICENSED CONTRACTOR DECLARATION • ! - ' I I , ' r ^
I i Remarks: 1 r i i i I ; ! I 1. 4STRE ET WIDTH 1 \�� , ,. ;PARK FEE$ ! wory _�� -
Fherei caffIrm that I.im licensed under provisions of Chartessi (commencing i - ` L'
-• with section 7000) of Division 3 of the Business and Professions Code,and i I '• I ^ ; . I I t t - ' I ' ; 'SPECIAL CONDITIONS: , i ' I I ()5117;
my license is In lull force and',effect. ! ., ,. ' I • - I •
Idcense Class! i �' i t r , I {
'r I -License No. 1 ! • I i I 1 I t PLUMBING ; j l ' I x 1 , 'BOLD!FOR SP;ECI_AL RE2UiBli6ttd`11a, ` l'
Dates i Signature - • . ' I I. ' ,_ I ' _ _ +, I.
WORKERS'COMPENSATION DECLARATION 1 I I G i ! - 1 , I Bar Sink ! , - i Sewer Capp ( { I - f • ELECTRICAL I ; I f I
_.I.hereby,affIrm that I have a certificate.of consent.to.self-Insure.or.a certificate-1. ' ' .-J -. Automatic Washer-._--_)-_.4 Motor.„Dover 100 amps.......... .........—..
' of Workers' Compensation Insurance,.or a certified,copy thereof (Section ( 88c•
kflOW'Preventer”' - --" - S¢Wer Connection,' _ - - r "3800, LAb. C.) ! I 1 I I . �' Backflow Irrigation ! { - Solar Collectors ' _,I -i : - Construction Pole I i I I Sub Panel ' I`;1
,7pssas�/1cY No. 1 Company i - - - • Cooking Unit 1 ! ) ' I 'Sub Pole'' a'; .y' I
F.7 Certified•copy Is hereby furnished. 3 ! j j Bathtubs I j Solar Piping I �. 1 ( I f
LJ Certified copy Is filed with the City.Building Division. I i - Dishwasher + ,Motors 'Do-1 HP ❑1 X$;- i
Date !- ' " ! Appllunt - 1 I I Clarifiers .I I 1 _ I _, . Solar Tank 1 r•l' "1 , I
___.• - - I •,._ .. _ _ _ _ - _ __ _ i
EXEMPTIon need We RKERS'CO the per TION DECLARATION 1. Dishwasher I ' Swimming P001 wf$ a , ! Dryers OGes 1 OElec ii."•' - 1—• j c. Solarl-O9-15 HP 016 15+ 1
• (This section need not be completed if the permit Is for, hundred($100) or , i _ 9 p -
' I certifythat In the performance of the work forrwhich this permit Is(Issued,I I , I Drinking Fountains I i j Urinal I I •.' u , Fan, , I I I ;Microwave 1 „I:.r' i 1
shall'not employ any person in any manner so'as to become subject to the . I I . .. F.A.U. I 'Pole Light , s i ' 1
Workers'.Compensation;Laws of California." 1 1 I Floor Drains' 1 • I Water Closet - I i ,
Date - Signature I ' _,^ - r Fixtures y _ 1- - '
NOTICE:df,-aftertaking-this•declaration,-you should become-subjedt to the•' - Floor Sinks ---1 --I- - - -Water Heaters -•-1 -- -•�'- - - - -^ - - --}-. u - .Range._....•._ :- _ --......}_ ,..
' Workers', Compensation provisions of the Labor Code„you must-,forthwith+ . - T , Device Boxes
comply .with, such provisions.or.this;'permit'shall be deemed' revoked ' : Gas Service. i Outlets 4: Water Service c;. cc-, ! °? 1 i ) Sign; - I .I
CONSTRUCTIONWENDING-AGENCY - I , ! { - [ ' ' - i - '- 1 , '
I hereby affirm that there is a,construction lending agency,for the'performance ! + , Interceptors i a; ' _ + ”' S 1 ' : f 'i + I•:. 1 Y I w 1 Outlets I .i • -{ I I I Standing Sections . I { -,'I 1 ,
of the work for,,,,777NNNhich_this: permit is' issued••(5gctiion 13097• Civ. CO- - - - ' ' _ - - 1• i • - • , 1
Lender si Name^ ' I/y��a I�Lrs�/_r{Srs••' '//•((i( l,I {,,J ' 4 • 1 ' , - f Switches I Trash Coin actor,
IC�Ii ' IV�Cif-71�Y�F� fj,'�(� lll(Vj,( - f Krtchenl5ink .,r I x ' I _ - , _ i r • I P {
-Lender s' Address i ; , i . a - -� Garbage Disposal - 1
I OWNER BUILDER DECLA,R TION' , ! - ' i j a j ,3 f . Lavathries, h• N i i (' 1 '- { , 9 P ! I +
I I hereby;affirm that I am exempt:from thelContractor'5f License Law for the ' .:, P-TYa f S: ' . I i S- ' r'k Generator 0015 KW 05-15 KW ' i' i
• following reason:(Section:7031:5 Business and Professional[Code: Any city or, p I ,". .. I .L { C , 1 I
'county.which.requires a permit'.to construct',alter improve;demolish ofirepalr ., "- ,
. 'any structure;prior to itslissuance,'also requires tne.applicanbfor such permit ; r 1 1 fe` 'l ,. - ?:' I Transformer , . , KW j 1 {
to file'a signed statement that he/she Is licensed pursuant to theiprovisions of { ROOf-Drains i t t. j I I I I.
', the Contractors License Law' Cha ter,9 commencin with Section•7000 of •• I r - = , I '! ❑5U+ KW' •'I I i iReinspeetiois'Fee
thvision anf the Business and,Professions ption or,that he/she f mpt • Shouters f I . I , 1M 1 I , Reinspection)Fe_a ' $15
-
' therefrom-and the!basis for the alleged exemption. Any violation of Section ' - , - .- . Meter Clop to 100;ampi. I iP ! ;Issue Fee ' .$ 3
• ,.703`5 by%any applicant tors I permit-subjects the applicant to a:civil r i --; , ' I - _
penalty of not more than five hundred dollars($500). • \ Service Sink , 'r. ' Issue Fee�. $ 3 __ - -- 1
cr i I ,. t, I ! i i Zoning Approved BY 1 i I I 'Date • a
I ctas'owner of the 1property ontmy employees with intendwagesias their sole I ,� - - i I ' I.
compensation' willido the work', andtestructure Is not intended or offered I I•? , - i ; i Y-> 'MECHANICAL' I• I I ! I --_P - + I 'aal.
- - , Application Approved By Date1
• 'tor sale l(Secdlon 7044', Business an of essional Code:!The'Contractor's j ® - ,e
License Law does not apply to'an owner of a property who builds or improves Boiler; I '' 1 I ' I Refrigeration System I I A I , 'i I
-
I thereon,land who<does'such work Himself/herself or through his or her own 7 - ' Y ' ( - ( i ppliption Issued By 'Date - ;wafts k
' -
e If, es, provided that such improvements Issolt intended or offered for ; -� 1 00-100,000 BTU ❑100000,BTU, -
sale.• If, however,the building or improvement leiold within onot 'of com- I , Duct-Und¢r!Grou nd. _ I t ! I• i . ' ' SUMMARY OF FEES " a !
potion, the owneriwill have the burden of proving he/she did not build or im- ' - - I I
I oI, for the purpose of,sale). .! a .. 1 , Duct-Structural ' -, ' -' •I System Repair/Alteratiori I BUI`DING PERMIT $ 3 7 a SMTP ' I $ -' ^d '
• I,as owner of the property, am exclusively contracting,withelcensed con- -- ; c/� ' 1
a ctors tract struct the'projec ection apply Business aner of Cotle:__). . ._ Duct.Ventilating__!, __ _. _,_,._____!_$____i__ -1 ' (PLAN CHECK: ) $ /St) PERMIT 1 !
��Yhe Contractor's License Law does not apply to an owner of property who ' I ( I , • ISSUANCE ) $
1 builds or. Improves'thereon,and who contracts for such projects with a con- ; ' Exhaust,System 0 Multiple 0'I ' i ! I •!• I (PLUMBING ! $ 1121 It I i
tractor(s)license pursuant to the Contractor's License Law), t t
O -Il'am exempt under section I ' ' B.& P.C.for this reason 1 ' I Fiiepl/Fact.Blt,(CBO# I • I I , . . I PLAN CHECK! S.
I GRADING 1 , $ ; ;
,. ' •r ! ' ' i ' 1 • t I Heating System&Ducting ! 1 1 1 - ,ELECTRICAL' 1 $ I , I $
Date •caner. r - '` , I ! ' !PLAN CHECK! t I ; MICROFILM $
i-hereby certify• at ave•read this-application and state that-the-above -4 =r ❑0100,000 B711'0100,000 MI'. ----r-- , -i-----,- - 1 I 1 $' I i
information is co ect./ agr-e to comply wit :II clty,and county ordinances ' t - . J . i I I 1 •
•
1 1 TOTA L,FE EI • $ I
I and'state favi$ r• a to •uildi ,. constru n„and herebyauthorize repro- -� MECHANICAL $ I .. , t
sentatives of!t• s f ) -.,upon door-mentioed propertyfor ! Hood Or Type ❑' ' I i l i - 1 I •
inspection purl,s- -, ' ' Canopy) Tvoe II ❑, 'i , Reinspection Feei $15 p S $, , ., LESS 1 1• i
1 i _./D ,_, • PLAN CHECK' t I I t ADVANCED,PC I $ • i I '
' Signature -r,;.' �/ 1
Goldenrod-Assessor
r 9, (�
r 0 ' ''', TRUCTION,Ar :o• '4 " ='c- ? Tr,r- ' a •i;1=° zti` o`i:.-c°o W= cnR_;POOq•&SFAE ':-'y °> ' •'*':DateC 'c4oeci .Ir
h- Q ' •• i r c t i ' r z c �' r'. ? Date; " LI^spector c _ _ '6 _ -'• n - Inspector
} gAPPROVALS - Permit# - - I AP.PR -. r 'c .Permit# - V -.
..-n to A ',I a en, l .- 1m' e''9r -- IL.,
. I'i; " . ir ..e oa c _ `r.* - •r,r. '`«a . .
tr ' - T empor`aryElectrical Service or Pole : '° y a ' o' iri I':t5Y Pool &=Equipment Location'--i`r ' ' _ ! _ . ' ,
r_ - •
. :rn -s I
Soil Pipe-Undrgrnd m s _`,:j' I ' : _- 1 ry• as =Yg I ii53� Steel 1Reinfoioement:5 ` "4, , _- "' = "'
-zc- F. - :z ..i
3! Electrical Cond'uit'Utilitv-Updrgrndl I r.., a i __ i 3n °'rr 554?'F ss,° :8^oA=Nn.aL `','mak r't: ^ a; . _ "; ' ,, n
1 .� <_ 1 '- 1 3 •, g`- , ,. . .r,, m. ( _ »M1r i'6r1 :? is : ec ,
• ;? RI Electrical Conduit Undrgrnd._> v. I u c I > >(.• 'r a z`,;. •55 Electrical Bonding •� - _ ;• I
c =
-fr -, •- I.
t '471 - � . e ccs c c ,_ ` - - _,~-E` c 1 -
5,`Steel..Remfofcerrlen}� i 1,9'„?:, I o Ot 2 i ; n ,c_ ><< :56.• Rough'Flumbing-&PressufeTestr • 1:!: ,S ' ! i•
6. 'ElectricalrUFER arndIti R 22.1 1 I a; ^c D r 5 �- Y "--
x•57^APPROVALnTO COVER GUNITE � "v I ip 'I ht:
7',�°ot�ngs4- ,1 7 'Hit'M I o 'er I I ti' a sa ,tr t a + ''S8'. ElectricsLC&^dultUndraro'r1": '- -r l . .. •'• 1
• B. Foundajion ^I t I I ' -c -Ii ISI c' L� ;o ` ^59. GaSIPipe O Undrgrnd Test^` • - ' 1 e' I1
9.•WNat& Pipe-pr drgrnd. I 1 t j o s-, Y. •j6p. Backwash Lines .P-Trap 0 Undrgrnd • F I ' i '
10. IStructural•Floor,System � o I 2 i - 2'k .1 ;-.61. APP,ROVALTO.DECK ,, I • rr ; -=`+'
11.•Property:Sewer Line&House.Connection; V ' . 1I-Ir
�; 1 8 w" - '`-e~" " S. . • •
,.� i _ ¢n -�62. BackwasFi•&�Recepto -Final=" 1
12. Sewer Capt :-r --t- i I 1 , _ ' _ - _ - - ,
;.( y "C, c1 i 1 0 _ ,63. Heater&'Vent-Finalr, • : I' cc •i
13. RooflDrains t'/it II c I _ i o >o i '64 Plumbing;SYstern.Final- 4-�' '4.- I'', - s
n
. 14. Rough.Plumbingl4j ori E ! - I j - na _. :•,: ., - . ;: i I I`: " ^
I , -< '°65. Electrical'Fiiiab '
a f15`ROugh'Electical:Conduit -�'j- T I " E" -1'- 66ESolariSystemFinal - " --T-:
(` -
`I` -- F -T
c foIRugh Eletric Wiring, I i II aj ? ttttrc+,-71r167TF cin &rAc'ess-Approval, _ » I �• -7 �
` II . , t g I _ • , . . - ,
G .
q17 'Rough WipngiiSignV. N I " I II i E I ,I tip?-1 r I i ' i I r I o I, '.68. APPROVED FOR'PLASTERING ` I I - ..
719..;Rough'Electncal;TnBagCeiling! II I : im1 1 1 ' Ic;
: <r .,, _ , A i II I� I , �' I (• i I i :1 69 I P'OOL/SPA SYSTEMS.FINAL = ,
II 19..-Rough_Heating &;Air Conditioning 11 : 1.41,:::::1 j I I '? 1 1 j ` !FIRE DEPT. REQUIREMENTC ' 15 I -` ' - .:,
: IJ 26: 'Rough,Factor-Y Fireplace', I I 11 ii I i I I I ; I I APPROVALS! ;Peimitl# ' .1 • - f 1 ' • I :1 t
P ' 21. iDucts,:in Stcucturea i'1 1 1 1 -f i I I I I I 1 j70: Underground Hydro II 1 t i • I '
.d , : arm ,: , a � I I 11 1
i ' I' l:'9o22.gDucts,-•Ventilatng ; r � HI I I I i 11 171.1 Product Piping 0 Gas OOil : I H-; • I
v -r - - r r r r -r._
23.Gas PI a-Rou h &Test - 1P I I 72 1 Under round Flush, •r , I ' . -
. I t ., pT g . - I 1 .I,�! I i i I t g
3 Mr-24c.'cpoof Framing! I. I
:1 I I I' tiro I ; I c' I•y�I s ,o I_, I?I: i73.' Undergrnd.Storage Tank fl Gas :O'Oil , ' 1 1
tlw Lo c1 I I . .- 1 , I
a 25. !Roof Sheathing °II I. ' ,. ; I Ila Ii:, I ;.I I F.I,= I t I-- j • �_ .74.1 Overhead Hydro .c . I.` ' ' I '
.;:r-26.
:r-26. T-Bar Ceiling (Structural)i& Monocoat9 I ;I I i,14 'h 1 1 1 175. Dry Chemical , 1 I ' ' ,
II- I - -1 a, 1 11 . J I ( in •t -•1 1 I .-. r. I I
I; -27:;Frame and Flashing', _r:r1 •I • if II I '17 6r4 B o c 1 .176.1 Dry StandP Pe I _ I I ' . ,• ' ' I,
III
- I' + .V. ' ' t i i :n- 1 I I 1 c f n 1 I I
a II{ 28. ;Lathing-& Sidng] p p I i II It I II.11/g- s bG 1 i77.1 FIXED SYSTEMEFINAL. ; - III . I • I '
• 29.�Insula`tlori s _' ¢ ' • I I 11 II 1 I "f I ' It i I I78.i FIREPREV,. FINAL I, 't , i 1 1 1 ' I
ii i2 PS a ' C? r o i I i i 1 1 I I , Ii
. i
C 30. 'Drywall Nailing i ;:• _ , II. II i --47.),1:51(i ik ! 1Notesa i i i , ' ' i I
Y b. i p T>I , ,. I ♦ V: t• II -1 r r I ...I- �
c r 31: :Plaster-Brown Coat ;lc' iii - I II if I I I I ( 1 i T I I I 1 - . 1 i ` " . I i 1 1
. .132.1E1 ectiicaI Power Meier'Final I `•i It I ! I- I I I I I I I I t I a, I .. I j + •
„• , 1 I 1 it n 1 J • I, !t f r I l i, , I -
Ii 33. Final Electric ' 1 I I I II 1l • I I I 1 J ! t I I I I II1 L 1 I
• 34. Final Ideating &',Air;Conditioning l' I I • I I I I I I I ,1 1 1 - 2 - '
v , rt: fi ' I- I o -
i ' r.` ti. ''•
I I i) II C, i 2 '0 1 :i T ,T :4 1 7 L 1 c •lJ - 1 : . 'f 9, - c- o .1 p- r.
35. FinalGasPipe-Test , '" _} ! j • Io I >. I I ,�, a • .: .f ,:I:. - i a -,
n i1 C•.•ImI11 ^' I' . f 1= 1 � _= I ., 1.-.,,,
I': , ._ _ . .. 4 ._ _ -- � .• ..
•I , _ I, _1Q1 .,I :- i 'I fISt - i ' , _ I IwI_ I ., •x _ _: - , -
36. Hood or Canopy "'I n1 . 'S 1 c li 11- I _ I I _ f _ - - 1,,C Tr
-
37. Final Factopi .ry Fireplace,,i I ItI 94 �` �= (� I L.?,; 1 i a 1 I I _,t--' T 1 •_ I ; ' • -. r• . e 2 '., '
38. Final Plumbing l -I •- •, II.I , 51 11 I , ITI I 1 ;: I I I i I ' I-,., Iv .' r`+,I ,. - y11 ,- .
39. Water Seelvice-Fiinall ''i,; ''- 'I 'I -.? 1 I i I 1 s I I I II I I Lir iI t- . • 'i10.
-
40. Gas Service-Final_! I I I I ,. 1 I I .I- 'I 1 - ' t 1' 1 1 I I�: : I .t' +_ ' r _
41. Solar Domestic-Finl I I • ; 1 • I _ -- I 1 I I ill ' '` 1 Ti•,, . - ' .
42. Backflow PredenterI I 11 I i ' , 1 , n> t.} '
t:.I n i -!''.:I I I• Ihi rJ '-I--t._,j;_. -r-- -t I 1- -!- •• ! , • ':..
- 11- ;- a: e; 1 y Io IL.-] � I 1 , 1� ill .v- . 1 1 I . . - •p .
43. Backflow Irrigation: kw,- I I I it. rat- ,- I ••I 7l o f i •:I c! ,, f I , , a
y-'_, ntti . i .. I'il i - gg�� '' t3Is : _i I v , ,
44. Landscape IrrigationtSystem ; t Ila'_ I = i ^ ir-. I 'i, > I I I I r1 7: I 1 1 i It " I I' o P' r. _ - -
I' - l 'I IT '1t O I I " i, I I•c I 1 V „y t _.
45. Sound Attenuation 5-109 i I I 9' I I y,t C '
• ��, .r . moIcl I �. a I I I- Ire t I I � .-! 1 , i'> .
46. HandicaPlRegulation-s i ,I :. 11 - C I= 1 1 f._ i _I I I i 1 'I ' I $ l {i ? u n•1 re
47. FINAII STRUCTURE &BUILDING I 1' •5/VV/74-�S I I I ! 1 1 I ! ,, ('
48. Special Requiremerits.Corripleted 1 ��� ; l • ' j I I' ' „ .1- 'Il` -1i .v . .'a ."
f I , . l I I f I f i
49. Electric tieleaseto Edison 11 -•I f' -1-1----t-,--1 ---r-t---t- •-_I-_ '.-'-1-1-1---1----.---Ii -r vi,�-i;I ., i - ` ' I iIt II �!
n 1 . 4 s I1. 1
50. Gas Release to Southern California Gas Co I I I I 1 I 1 I I I 11 1 l'- "r`}i'-J? •j i ' ., , i 1
1 1 I ij '• -1 '.... , ,
•51. CERTIFICATE OF OCCUPANCY i I I ; - + 1 _t_4_4.. !-_a'___I_ ;° ',`_4a-} ;II";
No •
Il .ii 1 1 .I Date -!i 1 8 I rr 1 1 1 I I , 1 ' I , ' a r '
CITY OF COSTA MESA
REQUEST FOR OCCUPANCY
TRACT NO. /817/ DATE: / i /9,1
LOT NO. 37
ADDRESS 7,57
The develcper of the above entitled tract desires to sell units at the above set
forth tract prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
By executing this agreement, the undersigned acknowledges that he/she/they was/
were advised that this tract has not been give final inspection nor has it been
accepted by the City of CostaMesa as havig canplied with the conditions of
approval which were imposed by the City at the tine the Final Tract Map was
approved.
The City assumes no liability for the enforcement of the conditions necessary
for approval. _
The undersigned agrees to defend, indemnify and hold the City harmless from any
claim resulting in damage or personal injury to the undersigned or third parties
by reason of the aforementioned uncompleted conditions(s).
411e-
BY i / l --
(S' nature of Purchaser
BY / o--' Com, .
(Signature of Developer
and/or
Authorized Representative)
BY
(Signature of Lender)
cosbutim
pJ 7sz9
•
Appli s _ _d. .._ and 9. appropriate ^ - __ -. . ... ... f._. .
cant to till in all space except those within hoary border Ilnes ono sten all Declarations •
rpCITY OF COSTA MESA! I I _ • PERMIT NO. 4 0 ..3 'TRAC NO 4 - - j • 't
T j ; LOT NO. BLDG.NO., i ,-,, • i 13 ,� ; n
• STRUCTION PERMIT •' : ; P 7���' + :.0,71
Q 3 6/21/B3 36.00 ' trL
Applicants Mailing Address ' 'TYPE.OF CONSTRUCTION- 4 V'NEW LJ ADD ❑ALTERATIONrIJ•REPAIR . IC t i _ _ 1 - i . I Fi , ( _ 1 } ri ;
Project Address• ' - - •C -�'* -,1/4, : Sd+ �))�'y}i " ' .- ❑ CONVERSION :0 DEMOLISH ❑ OTHERI • - a 1 :_ -3 I _ _ ' ,-
pp Owner s.Name - - id - .- :-• a•L'f 33/(n - .rDESCRIPTION OF WORK - 1 = W
�*D _ , , / ,_ _ _ - ' i c - c ' , • ' ZONING REGULATIONS.- f i .
MVO i i 1 •
Address °' I { 1 4 - * TYPE OF PERMIT .UPGRADING I.71❑ FOUNDATION L (-STRUCTURAL •_ A.P.-9/1•1 I - ZONE i i
'�' ' Arch/Eng I L I - - License No 1 ❑ TENANT ❑ ELECTRICAL LAI.PLUMBING ❑•MECHANICAL i ! 1 "BUILDING( ..
\' Address) t I•- 1 - i -, i I ..❑!'OTHER I 'S• 1•. ' , ; 1 1 { -P,LNG.REF.'/k-'I I _ -CFI-RACK rri cT -
1 i - p 1 /) ( , { ' PRTO BUILDING'- I - REAR YARD(TO P/L) : 9. I -•' 1
Cuotracton NeMp• Kmr 1 pp°19 q • � •'PROJECT DESCRIPTION; SQ. FT. i " OCCUPANCY ' • C• [ PROPERTY LINE `
t 11/14-1 I I!) 1(- 'S-{/1/11{)(-1 •:schlO(II) I e '• 'CONSTRUCTION TYPE ! • "' ! `' t VALUATION$ I -L•EPT SIDE YARD ; I. RIGHTeSIDE YARD` t ;<� '
Address 1"mailing) 1 1 -
V 1 . 1 i y u /O 6V7/ } _ I ' 1 ,, ! , , ZON)= I GRADING CU.YDS: ! • - 'ACREc ' ! • PKG.SPACE'REQ. 1 } , , I PROVIDED '' I „ f c ,"
License NO, •
'd-l) /(� 1 ._ , 1 L. , - ; I r - .,
LICENSED CONTRACTOR DECLARATION � ; i, i 1 1 Remarks (. 1 I i 1 • i : i • ST•REET WIDTH •• 1 •; ;
t pA Ding t9Z;1. 'cs3:!78?g n po ,POOL&SPA -F y'-' •17 :.
t c NSTRUC'2 .2c c D�PLANNING', a b "� i,' c - r 6 - 1_ '-
4 z ° i # m c ; ' a• r, Date'] ,Insector -; - ` r1. r - Date t! Inspector 1'_-;
PPROV. r. Permit;# ,•AP.PROVALS +-°Permit'# 'e c =
-. 6± 14 _ .. ^i .3 " a 5..4 i: .it;: -- c - - ,v_ rv+ ., i^• r a_ � _ j - . . - a . _ t
tY "1. Temiiorary!Erectrical Service o`r':Pote 3 '9 'n 2 ,o car_ ,;.52 Pool &Fr'•• ineni Location:..:f - _- g i I ..r I' -; S; "�
t , - c�•- I IC▪; ! T ' coi r a - el Rei c. , , > > ° •' •' -. r . I 1
m ! (Soil Pipe-Undrgrnd" - {i So !ey y. Gl,'to%! z- :53 'Steel Reinforcement ..T'._•^. ', : =
�• - ' I 1 . ' '. S_ 4 Ic -� o ' 54, Forms ' a z•, �y .ia c,i
r Electrical Conduit Utility Undrgrnd. N- � 1, . 3 � - � � ..
G m Electricel Conduit Undigrnd rtMi'J e n`. ; ":„.{7,2 ; a< ro , _55 Electrical Bonding ; - _r r v . ; , - 2"' ., i 1c ,:,s° !I
b" SteeIIReIMo.rcement , I .`i , t I ? o; k"'"' ' _ - v° F,__ z5 „56,•Rough Plumel)ing"it, 4.Pressure Cife.i _+ ` „ 1: 5'.
.a i • ` p� ' �57m APPIROVAL TO COVER-GUNITE 'o. ; 1 ., , '
10.
6: Electrical..• • . d =
,
7. •X5
Footinr •ig gs I i I ( ?� I- la , ` = T4. r;-` 0.. --, ctricel'Coriduit-Urid'rarnrl' _ = t.' - 2'
8. Foundation I I I : I a `+_ _1 '; c▪' n ' �=r. o;; � ';59• . G_as:Pipe '0-Undrgrnd:,Test`--' _ ;,
9.'Water Pil a-Uridr rnd: I .,� ' _ y,_ y ,' ' a t . ---_., - , -: .. d;gr . i s ,>: .^� ,
P 9 , I 4 6 i o ..-1 : g . i 60. BackwasFi lines;iRcTraP,'O:Undrgrnd.= ,
10. Structural Floor Sy;tern i `'�, -• � `14-,! � : 61 APPROVAL TO:DECK 1.1'1•4:.:1-•.F.-...!:- - a_ift ' , _ _, ;
11. Property"Sewe'r Line'&IHouseConnection'. p -I _ • c. � •^ Receptor-Final.--:- '-'- ' 4 ! . -
J ! t._ x,62. ”.. . 1 sFi'&c
12. Se'wei :api I i•' 4 -I I S: 7 -- I - o;r1 Z.;±; I 63. Heater,&_Vent-Final. -._ t -c?::- - •
13. Roof,Drain, I 1: -11 1• c m 1 rt .t ! $ 1 ;164. Plumbing.System -Final _ - I V:s-7, Fe. 7,
14: Rou h Plumbin x-3'1 :;-2 Irl i • ' '.rr '.
a 1 g . i g 1 •�/1'�� r "65. ElectricalFinal- - "-., .. . . '. c ' t ttV.
e
_ _ 7.
15aRou h-Electriral=Conduit t I T 88�Solar'S stem-Final ' -!- - r
n k 9 T 6 i T I_..i I Y, f�
. Yr' b� .. v mi ;I ,. t ,.��. • .ic
h1�a16. IRough.Electric Wiring^ $ I G I i tk,c 1"i may--, Ft Ii -' i- ''-t--- i"c ts7At ro '' - - --'hE X44,=i' ' �'_i---^__ :i
).1•,' , inti rn-! r, 's II ! i fir I -., ! ,- 67.i Fencing &Access Approval ?. ' •^ 1: 1 . 1 ,1 1?i -11 `.: _
PF17."Rough Wiririg;SignH '- 1 ii4.n l I - r I c 1 i 1 I •- ' '68 1 APPROVED FOR PLASTERING ' • I - : ,1
- : i,; - t- r c c - a -1 I'll I I i t i t ^ I' F I G I. !1 , -
� 1'B.,�R�ough^Electripl TjBaltCeiiingl l` Il 1 _ 1.- ) r I'"Id! � ;I ; ,69 : POOL/SP,A SYSTEMSiFINAL - lc-9- ' 13' 1�- '-! '
-
s i 19•-LRRughsHeating&!Air_Conditioning 1' j ' I' I 1 I I N I I I { FIRE DE+T. REQUIREMENT ' I ; ` 1 -
APPROVALS
�i 20. 'Rough.Factory Fireplaces I I I I I I II ' APPROVALS• .Permit# ' ! ,)
5°, Y " I r I n _J 1 w Y I I) II I I I 1 : 1 1 i' I I , 1--
ry M , n 1 1 • , i - 1 I 1 1 8 I t -
< k 2 1. Ducts„in Structu te& I 1 I I 11 it I I I 1 I i 1 I 70:1 Underground Hydro , I , 1 ! ' '~ t ' ' I
911• 22. Ducts, Veniiilaiing i q 1„-,1 II I I I 1 I I I l 71.1 Product Piping O Gas ID Oil "i l _•
I i
123. kGas.Plpe-Rough &Test o Ii_1 Ili`I I-.^ I i T. 1 I f r 721 Underground Flush t ii-t° , 1 - '__ 1 1 '
11 i
X24., Roof Framing ! I e. ii''' II'!CY't ; ill ;I=i:' (`1 •4 1 I3.I Urideigrnd.Storage Tank•O Gas' ❑'Oil I I
L25.25. [Roof Sheathin' 1 ' ' ' w 11 . I I - I r " "I ' 714.I Overhead H dro I :c 'f 1 r I 1 ' ' ' I
oA- 1. - ,- 1 rte B I l > I �I II - II i ,I ' c r- 1F ,' Jr, Y , l ( t
t' f-26. 1, Bar Ceiling (Str. ,., l)'I& Monocoat - L' I `1' I I s '. 75-j Dry Chemical i - u:! 1 r- I.
or, Ir r _ .. 1 a 1. r I I r I « I t i!n .0
F'`-27. 1Frame and'Flashing ; 1 I I !1 15 I 1 I 1 ' 176•'Dry Stand i'e - ' , ' 1 I
w 1 � III. r! I . 1 1 1 � I 1 I l pP • . I t
t• a.. r 7 u r 1 r n, i 1 , , 1 :i I I ' i
28. Lathing&-Siding) X c 1 I I II II I I I I i a l I I 77.1 FIXED SYSTEM F!NAL. .L r ., 1 , ,' , 1 'E ,
t
' ,
ta I fillet ; ipIlrsuiatiiori I'� ac II I f I '78.1 F11REI,PREV. FINAL ,, ; ! ? i s
rlig II I II �• -30. DywalNailing ' IR
1 I I I I I I 1 ,Noies:l I 1 ' I I d ; i I . ! I I
.2f0
F. I , itt ' ! ' 1 II I -.1-- I I , 'I t 1 i I I I
d 31. .Plast, Brown Coat I I ' ,I II I I I ( I ' 1 . , i i 1 i
I I I ._I ( I -I -i'-' ' I 1
a x`3• 2. Electrical Power Meter-Final I (! '1 •- 1 " 1 I '1 1' j!.: , ` ° t 1 ,. I 4'
_ •133. F nal Electric 1 1 I = I I I 1 r 1 I j in hI t ' ti • I- I • I I I
----71------
.r
-O P 1ti 1 1 its , 1 ' 1 I - , 1 i ' - .ft -' !_J
34. Final li ii . &1AtrlCon ii- i L-I 1 1 I _ _I I _ 1 1 I - r;
-itry n. Ixl ' I c' It I - -1___._1._. L. ___ . __. - - _-_l..___. • r m
35• Final GaslPi . ••,...... ,k4 I^ I-¢1 � I'- Io li1 `-`I -I.� I_ I I tl 1 - _ • _ r1 �.
36. Hood or'Cano15Y9r1 °IAI '1 "1 g ' IIcI ` I - 1 Iy1 : 1 i1• • `' - I ;- . ' - n - r • -
37. Final Factory Fireplacem or E = I" I I ^i'-' ;` I - r 4;'3 _ S? c.
A n ,� � .In 1 'I I M I� Iv� - I - I,� I INI I I ^-:c. . V. ° � .. `� c• S
38. Final Plumbing I �I I I Col ii 1 ' :,
77/3k' �i I ' I I I I:` l._. " 1r' .- ~1. _ H
•
39. Water Service-Final) I I I I I ' I t; I " I 1 1 I 1 '1- i - ;;
14 11 t I I I -I 11 - i I I c' 1 I I ... ... -* Ii ',. a, x 4 m ,• AT :-
40.
40. Gas Service'Final I I ' I I 1 I ` ' i '; ''1' .
III I i i -I . 1 1 ii 1 I I iii I • I T i l l . _ I 44. ._ , , '
41. Solar Domestic-Final I i I I ry t' I I _, _ '-4_ I I I_1--I- I. r_ ; it -c [
42• BackflowIPreveriterl I l I I F I I 1 i 4---1---}----:--1---1"---4. I ' 1 ! '
vy =1 K i 1I-- - I - -"+.*-_ . 11 ' 1 1 I
43. Backflowllroigation' F, I I , ,< I , I I.o 1 ( 1 I ; 1 ,_j , _ I i 1 i • •
ac,l 1 .v lhly (Hr.-, . - % Is i _ ,
44. Landscape IrrilaationiSystem 11 ?Qv- 1 : I'a 1 I r 1 'E 1 21 ;,'I 1 1 i 1 . IC i- - ' - n.
} ee I I I 1 e 1 , I 1 •. i • ,•
45. Sounds czy .iiaiiori -".I v I ¢ I I i1 I`' I I.- I i I I ! ;I ." ' ! i - ' I ° o .
OaW 1 l - ' I I r- (C iT rt� - S-.74 '..,-, C.
46• Handicap,Regulations' I l : c I 1 r , l 1 I j ' ' ' , r,
n II .1 In,I 1 1. I I "I ' f X11 -� r ' •
47.•FINA6STROCTURE & BUILDINGA I' 1 11=1- I I I I i I I l
lilt I 1 , I I qbq , t I I
48. Special)Requirements Completed)111 : 1 , 11 k I I I 1 ZI I I I A I , . I f 1 ' � '
49• Electiig Release i o Edison' I I St I- � .L._l__•1.__}.•.,•1._ I i 1'T'"'--.`-f 'I ! 1' I 1 ! I . '. !
i' 1! 1 ! ( , .I , I r I 1 1 ' I I
50. Gas Release to Southern California Gas Co I I � ' ! ,
I.1 11 . . I 1 r 1 11 I 1 ' l I I .1 I I - I I t • r a
51. CERTIFICATE OFIOCCUPANCY L- I _ L_ 4_±.4___ft...:-.1._:_l• l_; , , ; ii
,II !
I d I j III {_I 1
No 11 i1 I i I Date II 11 I n ± 1
N3a'_r- ,_Z'.-LAK-Ti��v_� s�-.GeCf�-''i�'�- �+-1 • _q��{.-' �l .•.�' .tom '� L�'_K:.'tt.'r _�[�"�'.•�c.' '-r_�
I
•
_ Applicant to fill in all spaces except those within heavy border lines and sign_all approonate declarations.
t CITY OF COSTA MESA: 'e PER IT NO, ! TRACT NO ; LOT NO.• •+ : BLDG NO i 1 1 i "
CONSTRUCTION PERMIT I { .� QS�, `, /16187/-?- Q3 ' 1 ,3 i. ,• ' 2.. ' . 72 9•Nlb%1+3%133 i • 9o'0C!'; IL
•
IIPApplicant's Mailing Address i *./- / _ 'iA La t ,/ /A' S a/" TYPE OF CONSTRUCTION.. , KNEW 'LJ ADD JLJ ALT RATION•' REPAIR ' _ a + ! \ •
-
Project Address- ( 76� � -•5I/ -. . ❑ CONVERSION_❑ DEMOLISMI I❑ HE
-t •? I I •
+
Owner'slNemr. B ` /4 1- h.(.L' n L hone•q��371� DESCRIPTION-OF WORK • ea G ', t• - _ -- - `
/�a1� t • :ZONING REGULATIONS' i - i'
Address r /' ./ / / I'L.p1=amF,' t ryl. - i - - 'e
. TYPE OF PERMIT Li GRADING-LJ. _41 arn' • LJ STRUCTURAL' - A P.W' -' ZONE - ' '
Arch/Eng,, i - - — License NO, ' ' ❑ TENANT ❑'ELECTRICAL .0.PLUMBING LAMECHANICAC',1 ' I 'BUILDING - •�
p' PLNG.REF •50' - { - .
Address. .- -Za// -1 I ' - - O.OTHER • I : - I 1 sr-rn Cv rn Sr
-TO BUILDING".
• - • f i - + r i - - PROPERTY LINE • • ,REAR YARD (TO P/Li 1
Contr`actor's Nam. C.1�,,,at,^/ 19 _iv ! •hon• b PROJECT DESCRIPTION SQ, FT- - . OCCUPAN y/1
Address(mailing) 5Lf'"tr•s ' DW O1 / iia--�l - ' 'CONSTRUCTION TVPF • 1 VALUATION$•.`:""t-V .LEFT SIDE YARD ! ' RIGHT;SIDE YARD • t ID .• ._
• . .
'^ O �� f I 20NJ3 ' - - -: GRADING CV.YDS: • IAC RES : - - PKG.SPACE;REQ, i • PROVIDED
License No. __ �" .' .- _ . ,• _ - ] ,
LICENSED CONTRACTOR DECLARATION ' . I Remarks: i c /J l + STREET WIDTH , 4 { (PARK FEE$
I hereby affirm that-t am licensed under provisions of,Charter,9 (commencing - z•-�• /`� �' ' -
with section 7000) of Division 3,of the Business and Professions Code,and c- t , SPECIAL CONDITIONS: { i u ' )".• ,
my license is In fullgqttorce and effect, . ' - - .
license 'lass L- .t '' a. tic,, �'7 TL-1�,' 1 t ; PLUMBING ''I I E 1 1 .. ) � l• I - I ( , {
• Date O' Signature i ��%A ��5�/• 1 • '
WORKERS'COMPENSATIONDECLAR'f �N' I ; tt - I 1 Bar Sink I - ,. Sewer Cap' ) ! ELECTRICAL ,
. I hereby affirm that I have,a certificate.of consent.to.self-insure.or.a,certificate _ . . .� ._ ._ Automatic Washer. .'.._. ) _. _ +Meter. Dover 100 amps: __� _ ...(.
1. BackfI ' 'Pre' t`---r SeWerConneMlonc-
of Workers' C mpensatlon Insurance,'or a caroti d copy thereof (Section , - I
'r Construction Pole
3800, Lab. C �jj�q / (, I .,, Backflow!trip-den Solar Collectors 1 . .. .Sub Panel , )' I `
Policy No. FVL-i vo Id S9 Company � "fs"'
Lyn,
, i 1 - "' „ Cooking Unit Sub Pole ` I ,
QCertHled•copy Is hereby furnished. I I ' 1 , 1 i ' ! I Bathtubs t--"pt) Solar Piping 1 • ,•• I •i
r e c s filed with the city B ding plylhion. I
p YY7/tfXlua-7 �[�/ _ ' Clarifiers i . Solar Tank • •_._ r / Dishwasher ,Motors �0-i HP ❑1'rSS I .._..
Date Applicant ' _ _ �( / _
• ' EXEMPTIONIFROM WORKERS'COMPENSATIO DECLARATION ' ' •• - t Dryers OG-as ❑Electric • •flnc.Soiar 09-15 HP 016-15+
• (This section need not be completed if the permit is for,one hundred($100)'or i , Dishwasher , Swimming Pool w/Spa ' •
-
i-certify that In the performance of the work for which this permit Is Issued I Drinking Fountains Urinal - •%( Fan • ,Microwave , •
shall not employ any person In any manner so as to become subject.to the _ ' - t '
' Workers',Compensation Laws of California.. • I Floor Drains. F.A.U. ,Pole Light { I
Date Signature ' I t I Water •Closet_ I i , -
NOTICE•coin er Making rhNsoni o(on;you-should become subject to-the-; • Floor Sinks.Workers' -•- — - Water Heater,- •'-- - -- - -- - fixtures,- - -
F
Compensation p the Labor Code,.you must.forthwith. Device Boxes ' - 1
comply 'with! such .provisions=,or this:permit'shalt be deemed revoked. . Gas Service ,Outlets - • , Water Service 1, ' - • 1 'Sign'
CONSTRUCTION'LENDING'AGENCY - • - - Outlets '
I hereby affirm that there is a,construction lending agency for the'performance 'Interceptors • ;-;' _ - - Standing Sections ' '
of the ,work fors wtlicb:Stis permit-is issued :(Section 3097' Civ. C:)- - - ,Trash Compactor
• Lender's Name /\/CT/6e% - 1 s ,_ , - Kitchen Sink, _• _ .`' - • Switches ' '
••OWNER.BUILDER DECLARATION' I ,2 i .� -- _ Lavatories,- t. t i u- •
Garbage Disposal , ,
• I hereby-affirm that I am exempt from the:Contractor's License Law for the, I -- I ; 1 - - -• y i _ Generator,❑0--5 KW 05-15 KW i ' I
following reason.(Sectioni7031.5 Business and Professional;Code: Any city or . r , P-Trap I I - „- (, , . I _ ' ,
• county which-requires a permit to construct,alter,improve;demolish or repair - - ; - Transformer 015-50 KW . ' • ' , I. ,
•
','any structure,prior to Its issuance,also requires the:applicantfor such permit• 1 I Roof Drains - , , ,1 I I •
Ito file a signed statement that he/she is licensed pursuant to the provisions of I .� - 950+ KW :Reins action Fee I
I the Contractor's:License Law(Chapter 9(commencing;withjsection,7000)of I si ;,;y 1 , P + $15''
,Division 3'of the Business'antl:Professions'Code)•or.that,he//she:islexempt ' ,Showers r , i • s- - I • Reinspection,Fee 1 $15 • — E
• therefrom•and the basis for the alleged exemption-Any,violation-of,Section . _ ' Meter ❑up to 100:amps 1 issue Feet i , '$ 3 1
x703115 bydany applicant for_alpermit'-subjects the'applicant to' as civil ' i I .i +: ' ? r _
I'9enalty of not more than five hundred dol•lars($500):i • .,. i t - . I. • Service Sink I - I Issue Fee i $ 3 Zoning Approved By - I Date - i • ' '
J
insnsowner of.the property or^•my employees,with inceWages as their sole ' l , , I i.
• I compensation willldo the work,anchtherofessture'_is not :- The!Contractor's
or offered •' i : `.' _ ; ! •• r-; MECHANICAL 1 ' Application Approved-By ' ' • gate i I I I
, for sale.(Section 7044; Business and:Professional Codeei The!Contractor's ---- -- __ - -- - - ---- -- - - , f �y"��-•� !
' License Law does not apply to an owner of a property who builds or improves Boiler , Refrigeration •System i 7 v �0 -/P ,93 I
I thereoo,land who does;suuch k himself/herself or through his or her own ) 1 . + i •- , i t Appiitation:Sued By ' I Date �J i
• employees, provided that such Improvements are-not intended or offered for ❑0-100000 BTU ❑100,000 BTU,
I sale, If, however,the building or improvement is sold within onelyearof com- Duct-Under Ground I , ( i I I , SUMMARY OF FEES ' I • x
elation, the owner will have the burden of proving he/she did not build or im-. I 1 , '
prove for,the purpose of,sale)t 1 , t ; tr I 1 Duct-Structural I System Repair/Alteration - BUILDING PERMIT $, - I ' SMTP , l $ ' '•
`
U I,as owner of the property, am exclusively contracting•with,licenied con- t .- , I I . ; j
; tractors to construct thelproject (Section 7044„Business ane-Profen ions Codec I_ _.1.. Duct-.Ventilating._ I cy -j- -_I .. -__i_ _ _..7 _, i___1 PLAN CHECK; 1 $; ; PERMIT I ( '
j The ontrattrr's License Law does not apply to.an owner of property who I i ` . PLUMBING '• $I I. ' I ISSUANCE • I $ i '
I builds or Improves thereon,and who contracts for such projects with a con- j Exhaust System 0 Multiple 0! - , ! ) -
,tractor(s) license pursuant to the Contractor's License Law): _ - ' GRADING I $ ' + I
I_am exempt under Section ' - B.& P.C.for this reason i I Fi�epi/Fart.BIt. ICBG# ' I I I I ?LAN CHECK I $ I I
I + i ' { I - ELECTRICAL, $, i i I 1 $
Date i L owner • - + HeatingSystem& Ducting I r ! ip LAN CHECK' I MICROFILM $ i— + +•
-I-hereby-certify-that I'have read-this'•application-and•state-that the above-- P9-100,000 BTU-0100,000Bit-- - - -- - - $ I i i , 1
t information is correct. I agree to comply with all city:and county ordinances i - I ' I i s• ) t ! TOTAL FEET $
and'state laws relating to building co struction,and hereby authorize repro- - MECHANICAL • $ , I
•sentatives of:this city to enter•u-i the above-mentioned propertyfor Hood of Type I ❑i i - O , I.
inspection purposes, ,4475
�� (,Q + Canopy' Type II ❑. Reinspection Fee' $15 ,PLAN CHECK- $. 7 LESS i
' Signature I ' •( tLCJf J I' I i I ' Date /V 7-U2 i i t I
ADVANCED: • $
! Drivers' License or 55 8i. / / : 1 - 1 i ' Registers 1 I i t I. Issue Fee I $ 3 i • I FINAL FEE! $ �- ��
• CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor •
t? ()CONSTRUCTION AND PL'ANNING1c '. °' g - E:-23 m .8n- 2 ?c POOL-&SPA =; i, c '
_ 1• O . I?t_C a f� Y..^>: m o_ ] .. e
O a - 3 c - n n ,t; •77-
, Q, y•`Date : ylnspector i•:E - - - Date ° Inspector,
y ^APPROVALS in Per`riit,g;` . E - ' . a : 'P. a t APPROVALS, P.e?mrt,# - P';- -I
- rpl _ . S d 5 mar , n ' :-, v-_•I so. 11 ¢ .c_ . i.c ., ' ::•,..:- _ ' , -• .. . " 1R:
I f emporEry1Electrlical Servi or_Poie• o _Z7 c; 2-8}y 6 `9, '•'52?:Pool &!_Eguipinerii Location .'�_ = • 4 r ,n ' 'b..!`
J t" - <. v c -'-'4 . f
Li 2f JSoli Pipe Undr. 1 1gind^ ` I,s g2. I ' � p~ � r 'as `Oc 1 L53? Steel Reinforcement _-ir 'ti f i `" -l '
3:14 - Electrical;Condui Utility Undrgmr1: s� tt _ mn t r. , !`543•Forms;;, ' • y?`fi , �- - o: _ ., n - i 1 --
Ns ' ' "` I } t rl'.I L. ti,i J '- 't•i ' Rn c:"? I-`t ^ , ,arc _. 's ,n c, - �i:.-. 1
4: Electrical Conduct-Undrgrnd c } u ,„,„ 55 Electrical Bonding,` ,_,i - I;=a
�i rn1 - I 1 -I I I .n _I nne . ten _:GS•c E` ' s_ �� _,- I :
I H I r I ✓ c°m -"c.
•C
5: Stee1lReinforcemfnt I "I g Ina .it-!..!.,‘,-.5i ;cr` ',56. Rough Plumbing& Pressure.Test : ,flc ...6.:%:',_.,•1)i I
6:1Electtical'UFERGrnd..I 1Ia'°� i 1s; ^ ° >' n-- , '.57'•APPROVAL TO_ COV. ERG.UNITE- `4
{ _ •{ ',
7. Footings ,-' , r.! ,1 I 0 • i - . "±` ;,�x f iS58-,ElectricaECooduit'-Undrarnil - '.' -- I _-
i 1 I � i, la>z ,' ,.g' ., i'. 'aft CE _ ^ - r' Yc ye n^ . 1 t
8. Foi• iundation I $ ;I I - 1 ri : f '•59. Gas,Pipe Uridrgrnd Test- - I✓;'
. 1
9._i •; -i Pipe-! .: •• .i I o y �": r > ;n� i `•60, Backwash Lines zsz.P-Trap,• Undrgrnd.:_ •_ - • 1 -
10. Stiuctural Floor System I a" w ;'T 1 • C' � 61. APPROVALTO-DECK •,'�. - ▪ - t •• -
11. Property Sewer Line&�House'Connection c - • <? •F`' :.62. -Backwash &`Receptor Final - . it
i - I e I I m I ci q ' I ` n _1 K n .. o _ ' r.
12. Sewer+Capt 1 �. {„1 I � ' "I 1 _ '. `I '� ° i 1'63. Heater,&-.Vent-Final -?> r.c - - _,u ', i i -
13. Roof:Drains1 I 1 -I 1 ^� ..I I A; c Pc j `;64. Plumbing'Systen Finale;_ ;_0 - -
a 14. Rough,Plumbing I'.P 1 1 irc I l , t I ° - ,7 1 „65. Electrical`Final� a'- '}: T ' r`• 14 ' - "v, x
l "
o
15"'rRou h'Electrical=Conduit' --t- r-7-'- -
; E g r- T I it I �� I I I�-r i66.rSolarlSYsiern-Final--i--il-- -1�--�_ - 1 - I-- ,
I�ei 6.FRough,.Eleic iic Wiring- a I E i1 'Fo I ;1 I �i n r67a•Fencing&Access.App'roval'--a;_,`.1!; 17:+7, IT-..i. 47-7,--
0 1;�_, I ml 1 ... t!n1 I _ > I r I 1. t .. 1 ,r-F5-101r7-Ii- = . o t . > :5.
17:1Rou'gh7Wiiing'Sig"n0 m ii ! I ' ;i .: - ' ' I o I '68.!APPROVED FOR'PLASTERING I t-_,•'-
u x,� : 4 ;_ L :- ,' 1� , I - I Ll i'61 - f " I �� 1 ' � 1 - 1 . I , - t f
18.JRou h"Elec ricai,T';Ba.,Ceilin II I I I a I' I ,' ,.
� 9 : , s ,r, , , 9I II 1 1 ; I �. I { ? I � �' 69 POOL/SPA SYSTEMS�FINAL _ _ _ ' . � .
I _
19:'xR�ug Heating &IAir,Conditioning 11 I ���� 1 I I FIRE DEPT. REQUIREMENT.; ' , F I• , •• I,, , 1=_;
I. 20. 1,RoughsFactory Fireplace) I I II 7 I I I 1 j ' APPROVALS, 'Permit)# • " - _ : 11
• r 1 > > ! 1 i I I i , 1 1 - , •
-
fl 21. Ducts;in Sfructurem 1 i 1 ` I I 1 i 1 I 1 X70.; Urideiground Hydro ' i _ i '
""; ?2,'Ducts, Ventilating F i ra 1 1 1' 1 I 1 I i I I +71,i product Piping DGas yOil } ' '
-air ir33,-Gas Pipe-Rough &Test r I, •I IF 1� ��--- I .I 1 ! 72.1 Una ground Flush •- �1- t -.- _i-- __!._1 -'. __, ._
E _
o' 1 g 1 I 1� 11 7.3.E UrideF rn'd.Storage e • ,-,- �Gas,D,Oill , I
f�24. il , ... Fra1n 1 ,zIII I.
' _ � L' + ,: J i :, 't I I I n 'I 1'711 , `� /' `r3 •`fit ,� I31:� � I ,9 i 9 � 4 I . I 1 t
• t 1' , n. ' I J I i5 in o = 1 I i • i 1 s1 i i ' I 1 1 I
a L25. ;Roof Sheathlrig 11 1 > I 1 ec'Ii I , I Q i c I i e ( , ,,1 '74,1 Overhead Hydro ..n I l , t
(-26. t"Toa.Ceiling (Structural,& Monocoat4I. I 1. o 15 IP i i `',I :75.1 Dry Chemical 1 c. I , II^ . `-' : i I 1 j {
n 1 - r 1 I .t " I 1 1 . i c. I , I
7'TS .game and Fia fling i -3 I I I II H I 'I . I I 1- I I 1 76.1 Dry Standpipe : I : ' _ , I I I r
l 28. Lathing &'Sid ng, Q o 11 1 li 11 I I I I I cl I I 77., FIXED SYSTEM'FINAL. •• - 1 , . 1 I . ,
29. Insulatlori j s2. I c ^' I I[ I' I. 1 1 1 + 1 I I 178.1 FIRE PREY. FINAL ' 2 i I I ' i - '
1730.,D� wall Nailin i• -- ' i I I I I 1 I
F : y 9 T; -' I h ti ! I I I i I I I (Notes:i i I - I 1 , I 1 t
4a�: 1'^ .' • I is I ' (� - -T-'.-__ � - ._ -�--_.,,_ _ ._ ..- - -._- " ... --
jt31. Plaster Brown Coat 1 -a I I 1 II _ I I i _I t I P 1 I ; 1 l i • i _ ' • I I _-
T I I + ' I ' ' '1 ! 1 I ) I I, I I i i
.2 32. (Electrical Power MeteriFinal 1 ' 1 I I -I 1 I :; 1 F �;,_I_�, ' •o
I
1133. Final Electric I I I I l I 1t. Ii Ili_`�_�. L .' I I _ i 1
it, 34. Final Heating &1Aii Colnditioning' g, /f g.,f/I f�� . 1 I 1 �I i ' - 't
V 11 -I -,¢Irt1, Ih ' ci 0 I 7/Y. i J%•^ i . I r I ": �. �.,
35. Final Gasi lP$e,1est•, r1-ef1ti IinITiii li iI` 1�_ iIvn 1. •> ' 11^-_ I" 1 :; rH1�>= t•1r1''' ': t1�:-r.' a- .1- -: • a m. sL; `zI
36. Hood Sr Can1Pyc"yl . I I i.1 r ' I • I , 1t. 1= I L i 1 J I ' I `,1 t '''' 1H . a 0 c - n - . •
¢
a II I .ft m M I '_ r -,fi , 0 4' _ - l'
37. Final Factory Fireplace, �1 6❑ - �I_ + y. -,
L 11 I a '•-I 1 '''1 r1 d0 io I1 • 1 l I � I o '.- J ; ., _. .•
38. Final alulrnbing I -I 1 I i <I p I ' Iii j I i l l I i I I 1 1 :,I '- .' - 1;.1•; :.r 11 _
39. Water Service-Final) I '1 let I I I I ' ti
I t Imo_ j? ;' ' I
x it I 1 I I 1 C I I "' I I } i I -, - - : "5'.
40. Gas Servi a-Final 1 - '
i ,
tl f I I I I i I I1 I ! III 1 1 ! [ � i I ''' I 1
41. Solar Domestic-Finl I I I I II II I -71- _ i I _I_ I '__ T4_I ' - ' "111 _ I -
42. Backflow Preveriterl a 1 11 I zmr- .1_l I ..�I.��_. vj ._j_.j I I._.1......I , 1 'L - I ' ' I '
43. Backfl�w,llrrlgatignj Im l l I In I 1 ` I ° I , ,1 * I 1 I ` '�
rJ1 1...r, F t;l7 , ' InIj n11 7, f ,,1 1 iII '
1:.nt 121.11 1 Ula I Ltd-WI
c' � I -. 1 , 1 n'
44. Landscape Irrlgation,System 1 1 Vii 11 ' I I I f l 1 1 'r,1 G I 1 'I i I 1 -- n - .
n4„ ,_ , 1 111 r-t -'t t _ , 1 I 1 I II1 - n' r- - t:: ^-, -
YY 1 I G A. - I ` 's I '' 1 l I 1 i I ' ^ 1 Ili � Y'1 . . 111.:'
' I ✓ :7 + - ` i
45. Sound-4-,11 io-i nElmIcI I i; l I� l`_,,t l i i _ I I _ _
em I(J't e1 Is p 1 1 I I ! t tr ',
46. HandigIRegulatioln I i m l l It 1-: I I (_ i nil I : 11 °I #I I ' '. 1.7.:. ' ?it _R _
47.•FINAiSTRUCTURE & BUIIIDINGi1yl c I 1 1= r 1 1 1 1 1 ,, 1 1 : 13I it
J ll I 1 1 1 - 1 1 'i I` 1 11 1 T
48. Special Requirements Completed) I F I I I 1 1 1 ' P- t
❑
S I 1 1 I I !I f 1 t i t
49. Electric Release to Edison' I I ,� `• ,�'- I-'.- 'I I I. ! 1_�-i--4 i •1 , r'll I ' • I '•
x II I I i ' , i i-ru'.-' I 1 - I 1
50. Gas R•
elease to Southern California Gas Co I •I I I I 1 I 1 I 1 - ' '
II n 1 ' I I 1 1 I II I i 1 .I 1 I • ` i I `- ' 1 '. , ' • I I V '
51. CERTIFICATE OF OCCUPAI CY ll '... ...;__4---.1.-.. i I__l..- t!-1 i I -42-1:1-.2:!' l I, I i I
No Iii II I l l Gate ,_I I �L I i ' t
Applicant to.fill in all spaces except those within heavy border lines and sign all appropriate declarations. '
- r
' CITY OF COSTA ME'SQ - i I -' PERMIT NOLO ! / ; I TRACT NO. COT.NO. BLDG.NO. I I 7 1 i '
I CONSTRUCTION PERMIT - in. i . i ` !' 1v f t' • . I :Al '�, 7V/fGl � 1 '. I ° i :: ' °: , i i . . -. (I ; 0 • n• 'i!-
' Applicants Mailing Address±Udl N'IN'• .B`C1't`d'Vld•,orange { :TYPE•OF CONSTRUCTION•'. . 1f11 NEW !U ADD •Ur ALTER•ATION U REPAIR 1. { 'p , , s I t C : t 1 1- I '.4 • • I^ 1
' Project Address 751 'Seher1Py" BIy ' 1 t •
- •❑'CONVERSION 0 DEMOLISH ❑ OTfiER' r' ' ' '' ' I 1 "' I .• 'u I ' : ( `r , • _ •. 47. `7 1 u , I I
I '- M.D } J 'I ' '`i 1 - • DESCRIPTION OF WORK metal- fireplace J i :9 r'r _ , • - 1
Owner i Nama .•- ones -Cos - -Phone';f 1 f•12 , c. I ! i •+ i - 1 • I -- i - • , _ 0 • I - • .• . I - ' 'ZONING REGULATIONS. - -' ? i 1
•
Address ° ,1 I ' rs ' 'TYPE OFPERMIT' LJ,GRADING7''U"FOUNDATION LI:STRUCTURAL r A P.'#. 1 - 'S I 'ZONE I ._ 1 -. I ` ^ '
Arch/Eng.- 1 ! I I .r License No.' > 1 I I I ' ❑ TENANT -❑ ELECTRICAL) ❑ PLUMBING ®MECHANICAL' ,• ''"- , t _ ! " I ')BUIILDING' - 4 - I . l i
. ; b 1 I , I II' . - I i 'r I : , ' { , „ C i I t I s PLNG.REF fir' carn.CK (VI. CT• I i
Address' C" _ - • ❑;OTHER - ,. , I c ! ,
i .i. TO BUILDING: r ! ! i o9
Contractor's Nama Coast 'FI rPpl'AP` Pr "Phone 639-1.220 y PROJECT DESCRIPTION- SD. FT.•• - • - OCCUPANCY , PROPERTY LINE 1 ° • - ~REAR YARD (TO P/L) , - Ir- I
Andress!malting) • 1080-N V. ' Batavia,Oran-} 92667 1 'CONSTRUCTION TYPE • ' ,VALUATION$" . .: 'LEFT SIDE YARD ! � '- RIGHT SIDE YARD' j .: IU
k ' - I ZON€ ; I GRADING CU.YDS:. 1 ,ACRES ! r' PKG.SPACE'REQ. PROVIDED ? I i,-.
License No. • __• l fi4.0( _ _ -.. , , - - - -
LIGENSEDCONTRACTOR DECLARATION ' I Remarks: I /3 • ' I . I i ; - STREET WIDTH I i PARK FEE$ i '- It '
I'herebylaffirm that i'am licensed under provisions of Charter 9(commencing ✓ - - -
1 with section 7000) of Division 3 of the Business and Professions Code,and I ' • r ' ' - ' I I i SPECIAL CONDITIONS: { j {f {
• my license Is In f II f•r e and effect 11 I i I `"
License Cla s' -••'-' 1 • • I e -• No'"I" •• 8 : I r . PLUMBING - 1 I ,
Date • : Signature -moi_,._ S' IL . - i - I
WORKERS'COMPENSATION DEC #TION , / , 1 i 1 Bar Sink a Sewer Cap' ' , ! ! i ! ELECTRICAL I _ • , I "' I ) f
I hereby affirm that.! have a certificate of consent.to self-Insure.or.a.certificate!. ..--r Backflow Preventer -- -• -Sewer Connection- - - -- - L.- L. Automatic Washer-„t„_. ._ ..: - I -_MIT'_❑bver 100 amps 1-. I Y i- _ ,,;, I
of Workers' Com nsation In urance,•or • certified;copy • ' • - .. ..r_ •'f+'_' I
p thereof (Section Construction Pole i I Sub Panel. I 1 1
3800, Lab. CJ • 17•304•$30C CA�59JC 'I I I Backflow Irrigation �, I Solar Collectors '
• '1, Policy No: ' • I Company Ae na ' ' i j _ -.
{I��sy-i ! ,p u - I Cooking Umt�1 I ; 1 I Sub Pole ! 1 ' i
fJ` Certifiegticopy Is hereby turniseatl. ! , i Bathtubs I -.t I Solar Piping , I t •1 , i • '
•
,CD'Jatesltili/111/463
p/�3ed with the'city Bu nil ivi I Clarifiers I I Sotar Tank ' Dishwasher •.•i i I Motors ❑0-1 HP 0114-8 1 I , 1.
EXEMPT ON FROM WORKERS'COMP S TTION DECLARATION - Dryers❑Gas t❑Electric 'inc Solar;Os:l HP❑16-15+ h -- 1
This section need not be completed if t • Dlsh washer ) $Wimmin Pool w/S a ' �1
( D permit!s for one hundred ($100)or ,. I , • _ 9 D I • y
, Ie certify that in the performance of the work for iwhich this permit is!issued I ! ' Drinking Fountains:. Urinal , i Fan ! !M icrOwav¢ ' ,
shall not employ any person In'•any manner so las to become subject.to the ' - - ' I
Workers' Compensation' of California. I ' 1 F.A.U. Pole Light I 1 •
, P ' i I i . Floor Drains Water Closet I• f {
Date ' ' ' Signature ` - I
• NOrkers" f,after-Making-this declaration,you-should become subjeorto the - ^i Flat,!Sinks ' - ---= - Water Heater --, --j- • -�.• -_ _ _F lxtures • _- • I _ !Range � • I ; _
i Workers'.Compensation provisions of the Labor Code, you_must forthwith - - ,
comply .with' such provislonsVor thio:permit shall be deemetl revoketl: 1 ' - Device Bodes i
CONSTRUCTION:LENDING AGENCY` • ` , I � ) Gas Service` i ?Outlets Water.Service ' - I l ' I ,Sign, I
I hereby affirm that there is a•construction.lending agency.for the.performance- I • . Interceptors I ' - I, . ; • Outlets Standing Sections ! '
of the work for, which'this. permit Is (issued .(Section :3097' Civ C) ' - : - 7
• Lender's: Name - ' " • - - • r' -• 1 - l i. Kitchen Sihk' : I r ;
? ;-CONSTRUCTION AND,PLANNING 7 a- re -�-•• - POOL&SPA -. ,y
+ : - C . '. Date -•Inspector • - , - - .Date • Inspector
"APPROVAL'S Permit.# - - - APPROVALS Permit# -
- '_T. Temporary;Electrical Service or_Pole , " v •F ,i.= - - •• 52: Pool &Equipment Location .'-j(' - ' ,
2. 'Soil Pipe-Undrgrnd c I o; ' , t7 53. Steel Reinforcement ' 1 - -
. 3. Electrical Conduit Utility-Undrgrnd. - :- 54. Forms'- _
? 4. Electrical Conduit-Undrgrnd: _ "=: -' - _ - - , 55. Electrical Bonding
5: Steel.Reinforcement n �
' , 0.. • ";t .,` • 56. Rough:Plumiaing & PressureTest; - ri '.-
;6. 'ElectricalUFER•Grnd: , G 'q' . '-`;-t,? :, `• _ 57. APPROVAL TO-COVER_GUNITE7 - :- •-
7. Footings ; r ' -`. ,.;;A: _ 58. Electrical ConduitEUndrornd°. .,. ..
B. Foundation -' '-<'c - ':c - . 59. Gas•Pipe;9O'Undrgrnd';Test' - -
•
9.•Water Pipe-Undrgrnd: : _ ,'. > ' ' 60. Backwash Lines,-P_Trap, U Undrgrnd.; ,
10. Structural Floor System ; --,I: .- 61. APPROVAL:TO DECK = ' `-
11. Property Sewer Line & House:Connection -. : .' 'A' i.' -62. Backwash'&'Receptor-Finel _ - -
12. Sewer Cap I dr'.i - 63. Heater 8/Vent-Final .. _ _ , . _
13. Reof'Drairis I, 'it.) , I s. 64. Plumbing.System- Final .. I? - :
14. {Rough Plumbing) • - 65. Electrical-Final _. - - - -
- -' r-'-- - - _ ._. --._ - ' -' --
`15 -Rough Electrical-Conduit �'; ! , I-''-' ' -` ' 66.,Solar'System-Final-, - --,'---'' ,
16. Rou hElectric Wirin ' 17; " '-'-.11-:-&-i-211: - _ i .' .' .3____ _ • _ _ Y .-
RPugh •u g' � . w r i F 67.: Fencing&Access:APProval�- . _
17. RougF,Wirirg:Sign; L i` . - r_ 1 'c; • :68. APPROVED FOR PLASTERING -
18."Rough:Electrical-T_Bar Ceiling ': _ ' .t !''; • , I '69. POOL/SPA SYSTEMS FINAL ' .e
' 19,. Rough'He'ating&'Airtonditioning I._ 1 FIRE DEPT.•REQUIREMENT- , • t - ' -
g y I , /.g/� .9 APPROVALS ' Permit# ' o
20.''Rou h.Factor Fireplace
21.'Ducts;in Structure, r' 1 ' 1 '� - ,
. 70 Underground Hydro
' 22.•Ducts, Ventilating: i ! ' 71. Product Piping 0 Gas ❑Oil • :
23.,Gas"Pipe-Rough&Test .i %i i , 72. Underground Flush • I : '
24.'Roof Framing • I •� :.!I '?1 `,! ', I- ,;-. . ,73. Undergrnd.Storage Tank,0 Gas' 0 Oil- J
25. Roof Sheathing '• ! ' .-, i _ . , 04. Overhead Hydro • 4,
26. T-Bar Ceiling IStructuralh& Monocoat' ' . ' • 75. Dry Chemical - _
..27. Frame and Flashing i ,I 76.' Dry Standpipe
28. Lathing& Siding` '3- ' I I i 77. FIXED SYSTEM FINAL , ,.
29. 'Insulation n. '• = , •, ( j 78: FIRE PREV. FINAL .. , H
30. Drywall Nailing : ` ' I .' I Notes: 'i • ; , ,
31. Plaster Brown Coat' ' ' ! 1 . I • .
•
32. Electrical,Power Meter-Final i I ` , I : . - .. . - - . ,
33.:Final Electric
. 34. Final Heating & Air Conditioning ; ' 1 ' , ' • -
35. Final Gas Pipe:Test - I T` _ = - - `
36. Hood or'CanoPy'. _ ' r, i I ` I - c.
-
37. Final Factory Fireplace i -,: i yf , i ;!1 7,/� ,9 I ; It .) '
38. Final Plumbing 1 11 t t' , :t .I, ,' 1, i I „ ! , ' ,
39. Water Serivice-Final j I i- . ' , , l I
40. Gas Service-Final
; I It i I , ., r I. I
41. Solar Domestic-Final ! i t ' " ' I I i i t "
42. Backflow P.reve• nter , i ' _!Y . _..-___ , . • ! ' • ' I 1
43. Backflow Irrigation - , 1 :f ? ' I i _4 . _
44. Landscape Irrigation System ' i A 1`-- it ! , 1 ` - _ r
45. Sound. Attenuation I -. j I: ; ! ,•_ 1 -I.; , I : , , . :, t r =
c
46. Handicap Regulations' , r ! ' '' I- _ I i , - _ . s
47. FINALSTRUCTURE& BUILDING;: 1;' ' ; 'H I ; . , ' •
48. Special Requirements Completed ' / 1 i - 1 r''• i t 'v - -3
49. Electric Release.to Edison I , „ y. -_--__ __ .. .- _ _ ___ __ _ . _
50. Gas Release to Southern California Gas Co 1 I ,
51. CERTIFICATE OF.000UPANQ' ^ ,_ 1 ' __ _- _ _ _ • I i ' .
No , I I Date I - , I . . I
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA'MESA - - - ` PERMIT NO. -- TRACT, "'LOT NO: - BLDG.NO. - . . - - 5248 I I/I'T/p9, - . - 5r•ePE; :. TL
CONSTRUCTION PERM!• .
4' - 9630 . • r • r ,, .
Project Address r •- �_a����ilk I '-w--• Il .�/.1� ' r TYPE'OF CONSTRUCTION �2.aW ❑ ADD H ALTERATION- ❑ REPAIR. -
Applicant's Mailing A•.res . � tI ttssf•M"`'1� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER- - c A.P.# • I Zone
- - ' DESCRIPTION'OF WORK •
Owner's Name _ A. I- ' 4, *lion- _• - r S 'Main Building:' - 'Accessory •Building: Z
Address _ - E. _ - 0
t _ • • . - 'TYPE OF PERMIT GRADING. ❑:FOUNDATION• ❑ STRUCTURAL • T Front . N
Arch/Eng.- - - •License No. _. • ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL • B Rear ' - ' ' •- I
N
Address 1 - ; ' , ��r (�sry .❑ 40THER - -- - - • C Right , j - -
Contractor's Nam - 7�� _ !'�_�r P o ,�Y//�, PROJECT DESCRIPTION 5(,. FT. OCCUPANCY - - _ -
G$ %% --11-1_: CONSTRUCTION SUPE VALUATION$ K Left C. • l EQ •
Address'mailing) w ZONE GRADING CU.YDS: ACRES • '
• '�'- I i Ping. Ref.# •• Park• .Fees $
City License No. dr • - - U
LICENSED CONTRACTOR DECLARATION - . •\ ea 9
Remarks: ,v�21 7S
I Parking Req./Provided I
1•hereby!aftirm that I am licensed under provisions of.Charter 9(commencing' ^' - • - - „ R
with section 7000) of Dlvisi•n 3 of the Business and Professions Code a ,� • Use of Building: .i , - E,
m-y licens is in f •rce and -f�'t. • 1 .a 01 ` ' • - -•
-- M
•
License a - Licens: L�t.*4 - j • i 1 PLUMBING ! j .i , 'FEES ?tanning Notes: ' , _ . , -
` �7/i..—.-� E
Date 1 �_ 51 nature ' ��� �� ����h' Bar Sink - i Showers 1 1 N
• ' WORKE-S'C.M- NSATIONDEcLA'RATION ' w •II • •" ' I I.• ' ' .T
I hereby .f firm that I have a certificate of consen to self-insure or tlflcate I Backflow Prdventer ' Service Sink I ! • i I S
-of Workers' Co pen ion- s ance, or a cis op h reof-(Sec on...- - .
3800, Lab. //qq,������ }��j • �' Backflow Irrigation t Sewer Cap • .i ,'ELECTRICAL ' ;FEES '
Policy No. rby LY Com Pan """•'' " \ . - '
_ C copy Is erebyfurni • Bathtubs ; Sewer Connection i I .�' 1
ertf c yi Q�di'1ltht � it ' g - - / �in, { t / I• i 050+ KW , —
Date I �� tl 2 KE RS)!n ,�00 or i Dishwasher }' ' ' Solar Pipingtors Cooking Unit Pole Sub •
I Meter• p•to 100 amps, i
_ her Transformer 0 15.50 K
Solar
Construction
L Automatic Was
•in Dlvisl•n ` /♦ i
EXEMPT' N FR M WORKERS!,COMPENSATIO N.DEC LAR ATIO — -- __ r_ _ ., . . _. _ _ ' ' •••.4.
i •{_
(This section need not be completed if the permit is for one hundred ) ' ' ' �•J
- ' 11 certify that in the pert person
i e Of the work fso as t h thio permit iscissuee, ' •Drinking Fountains ! Solar Tank ' , rL 4 1 Dishwasher • ;Meter Dover 100 amps /
shall•not employ any person in any. manner so as to become subject to the ) '
workers'. Compensation'La Signa lire'rn ia.l ! ., ' Floor Drains '• Swimming Pool w/Spa I i k I ,Dryers ❑Gas. ctric 1 i( :Sub Panel , J� — t
Date ' Signature • . • S(
NOTICE: If,'after making this declaration, you should become subject to the i Floor Sinks Urinal i ! / Pani ' `Motors ❑0-1 HP 01%-8 . ' '1 --
Workers! Compensation-provisions of,the Labor'Code',-you must forthwith - ' , t r I -- - - - -' !
• comply 'with such .provisions,or this :permit•shall be I deemed revoked. • u , Gas Service j <OutletsI - Water.Closet, i I. i, I - F.A.U. " • •Inc Solarl09-15 HP 01'6-15+ '/
CONSTRUCTION LENDING ,AGENCY:; " • .� i . - - - -
I hereby affirm that thele is a construction lending agency for the performance - Interceptors 1 ' • Water Heater ' ` .I ' • , Fixtures , Microwave
of the 'work ,for which- this permit-is issued i,(Section 3097 Civ. C.) - 0 - / -
Lender's Name' - "- 1••••-• • • - I ' I Kitchen Sink ;' I ( - I Water Service ', , ' I %�• Device Boxes ' i i .IPole Light • •
Lender's 'Address? - - • _! I 'i - '
OWNER BUILDER DECLARATION . - . ' Lavatories c al •- ' , ' , C'_I f
n r. • r i Outlets , i ./ 'Range . f 0 '
I hereby areaso that I am•.exempt from the Contractor's License Law far,the , •— - 7 $ I ,
following reason (Section 7031.5 Business and Professional ode: Any city or.1 : , P Trap i „ y.1 , : : i , J' Switches' Sign , r79_
county which requires a permit to construct,alter,improve`,demolish or repair I - - _ - _ / - - '
"any Structure, prior to its issuance, also requires the applicant for such permit i Roof_Drams I. c .1 - '' -.' I , i •
/r//s
ho file a signed statement'that he/she is licensed;pursuant to the provisions of : - - - - '- 1 �' { - " I. ,/ Garbage Disposal StandingiSectlOns i / — '
`the Contractor's License Law(Chapter 9 (commencing with Section7000)of ' n - . I ' - ' `- j .� p ' • Generator 005 KW 05.15 KW Trash Compactor •
Division 3-of the.Business and Professions Code).�or..that he/she is exempt t - I -,. , }
.therefrom and the basis for•the alleged exemption. Any/violation:of Section -' ' ' - - , -
7031,5 by•any•applicant for,-al permit-subjects-the' applicant •to a' civil - - �" I • • I I I
_penalty of not more than five hundred dollars($500).i • 1 • I i ;Reinspection-Fee •$25 ,`_ Issue Fee- ,. S;s - `
LJ I;.asl owner of the:property or-my employees'with wages as their sole • _ Reinspection Fee , $25 Issue Fee I $•3 ,
compensation, will do the work, and•the-structure is not intended or offered ( . ' _ . I I !MECHANICAL - r FEES . ,
• for sale'(Section 7044, Business and; Professional.Code,' The Contractor's - PUBLIC SERVICES REQUIREMENTS: '
License Law does not apply to an'owner of a property whojbuilds or improves • Boiler , Hood or' Type I • ❑ ' ' '� i
thereon;and,who does such work;himself/hersolf or through his or her own I - : - Zoning Approved By i • Date
employees, provided that such'improvements are not intended or offered.for • i • Canopy Type II O ' - 1 - . , , - I
sale. If, however,the building or improvement is,sold within one year,of cam- I Duct--Under Ground ' , I I Application •Approved By ' Date
pletion, the owner'will'have the burden of proving he/she did not build or im- ,
• Qrove'for the purpose of sale). j - ) i ; I • Duct-Structural t . Refrigeration System - Application Issued By ' •/c+-/�--/ i - Dat
LI I,as owner of the property, am exclusively contracting with licensed con- 1 ° " U
tractors to construct the project (Section 7044,Business and Professions Code: , Duct-Ventilating I f 04.100,000 BTU ❑100,000 BTU i SUMMARY OF FEES j
The Contractor's License_Law.does.not apply.to an.owner of.property who _ _ _, -r---• .! BUILDING PERMIT $ ! • - SMIP $
builds or improves thereon,iand who contracts for such projects with a con- ' • Exhaust System O Multiple O; System•Repaii/Alteration 1 I
tractor(s) license pursuant to the Contractors License Law): • I PLAN CHECK $ PERMIT
O'I'am'exempt under Section B.& P.C,for this reason Firepl/Fact.Bit, ICBG# I ! ' ! • PLUMBING I $ • t ISSUANCE ' $ - • r
I t , I I I 1 , , - '
•
Date : Owner, I I • Heating System&Ducting ; l • I PLAN CHECK $ ' • ENERGY.P.C. ' $ ' ,
•
• I hereby certify that I have read this application and state that the above 00.100_,000 BTU 0100,000 BTI, 1 ( t • ` ' GRADING $ l .
information-is'correct:I.agree•to'comply with all city-and.county ordinances - - - - -^ - -- - - ELECTRICAL $
andtstate laws relating*to building constructign;.nd hereby author ze repre- p •
W f i MICROFILM $ '
sentative• • 'is,city, to'enter! upgw�t,pe b'l e- ention•tl •pP�� rt ppb 1 PLAN CHECK $ ! J '7 v
inspection p a-0e s '1„1> , irk h / CO
I !« MECHANICAL $ ' • TOTAL FEE $ yy_.S.X& '
Signature -� T�Y� Date / 1(/ U J• •• -
Drivers';License or SS# , I Reinspection Fee I .$25. i 1 Iswe Fee $ 3 • PLAN CHECK , • $ • I
'CMF 0865-46-rev. 7/83 ' - White-'Building;•Canary-Applicant Pink-Accounting;Goldenrod-'Assessor - - 1 - .- c-
{ - - - - --- - -, :POOL& SPA -
_ .CONSTRUCTION AND PLANNING , = . •- :. >;; - " �_c .� . - _ _ _
Date - Inspector- _ • --` Date Inspector
APPROVALS. Permit#_' r - 4 :APPROVALS ; Permit# -
• 1. Temporary Electrical.Service'or,Pole- - t ' -, : 52._Pool & Equipment Location - - . •
. _
' 2i Soil Pipe-Undrgrnd. ` -r .u s•-•,„T _ 53,Steel Reinforcement : A.: •
.. 3. Electrical Conduit Utility-Undrgrnd'. ' =fir; , - - ,54:'Forms?:.::,:. 5 , •; = ''• • . . -,
' ,' 4r,Electrical Condu,t-Undrgrnd: ' , ' : - '1 r, ' 56. Electrical Bonding_ -•• _ , ' ; _,
5:-Steel Reinforcement t '; " - '" 56., Rough Plumbing=& Pressure ' ,Test ,
6: ElectricaliUFER Grnd. - - 57.4APPROVAL TO,COVER-GUNITE
7.•Footings ' - •• _ �
. • ° '' X58:' Electrical'Conduit-Undrgrnd,,: ' . -
8. 'Foundation. '4 • _ 4' '-59._GasPipe-D=Undrgrnd.;Test , •
9: Water Pipe-Undr•grnd. . 60.-Backwash`Lines',.P-Trap;,0 Undrgrnd'.=:
10. Structural Floor System ? ' "61._APPROVAL'TO•DECK - - - - '
11. Property Sewer Line•& House Connection , ' _�" , - 62r-Backwash-& Receptor-Final' - , - " .
12.Sewer Cap , , , - '63: Heater & Vent-Final - ,:1 - .
13-Roof Drains • _ - • ^ r. :, - "64 PlumbingrSystem{Final. ! * - • , . ' .
14., Rough Plumbing' - `65. Electrical:Final - - - s'. '
'15. Rough Electrical-Conduit -, - - - -- - - -'66:-Sola? System-Final - -, - - . -- -' -
16: -Rough Electric-Wiring, - ' • -
• {, , 9. 11,h.'�J 53 CC•:"' 67:�Fencing &'�A'ccess-Approval -
17?. 'Rough Wiring Sign I • • - ` . '68 APPROVED FOR;PLASTERING ' •
18. Rough Electrical-T,Bar Ceiling 1 " : ` !'. 69.:POOL/SPA SYSTEMS FINAL . _ '
'19. Rough Heating SE-Ail' Conditioning' f ; . . : : FIRE DEPT. REQUIREMENT ' - -
- - .
•
•20. Rough Factory Fireplace • E APPROVALS ' 'Permit#
21. Ducts, in Structure " ' 70. Underground Hydro •
. 22.-Ducts, Ventilating, , : I 71. Pro• duct Piping 0 Gas ''0 Oil . • '
• 23! Gas Pipe-Rough& Test. r. �A ; 72. Underground Flush , ' .
24. Roof Framing . '•c-L... •j .c l . ' ,73: Undergrnd�.Storage Tank:0 Gas 0 Oil.. • •
• 25. Roof Sheathing . 1 - '74. Overhead Hydro
26: T-Bar Ceiling (Structural) &Monocoat. - - ' t X75.-DryChemical' . •
27. Frame and Flashing • - 76. Dry Standpipe : .•
• 28. .Lathing & Siding ! '
• 77. FIXED SYSTEM FINAL . - ,
_ ' 29. Insulation , ' i 78. FIRE RREV. FINAL '
• 30. Drywall Nailing, u •
' - , ; . , HEALTH DEPT.-REQUIREMENT .
31,. Plaster Brawn Coat . 1, ' ' ' 79. FINALINSPECTION
32. Electrical Power Meter-Final' ^ I ' ' 80. FOOD CERTIFICATE ISSUED •• .
• 33. Final Electric , / Y_ e,� Nates: • i _
34. Final Heating &.-Air Conditioning" .---'1.• -1-'`:C. ..,.'--j -.
}
35. Final Gas Pipe,Test. •, , ;,;. , - , o . t i ' ., _ .
36. Hood or Canopy • , - -
37. Final Factory Fireplace - ' ` ? i- ; i i _ , + -
38. Final Plumbing , ' ! ; V ' ; _ ;
39. Water Service-Final 1 '"
40. Gas Service-Final i I - . - - •
r
41. Solar Domestic-Final r , r ' -
42. Backflow Preventer ; ! --a " '� •
43. Backflow Irrigation , ' ., .r t - • I _ : . ''-
44. ,Landscape Irrigation System ' - • ' - j e : '' ;
• 45. Sound 'Attenuation . ' . . , ; 4- - , - J ' } ' _
r - - ,, , ,
46. Handicap Regulations 1 - ; -
•
47. FINAL STRUCTURE &'BUILDING i ; - I i I ' -1 - '
. . - . 1 - • I:
48. Special Requirements Completed ' , ; 7 • , i '1 . . . - • e - - •
49. Electric Release to Edison 1
; -� -I- _ . -
50. Gas Release to Southern California'Ga's Co r ) I p I ; ' ; ,, ,
51. CERTIFICATE.OF OCCUPANCY- •.,; .14. ,`__ . .' 7 •__ i. . I. I
_ r ._.._�•T' • _� 1 .�^-r .