HomeMy WebLinkAbout755 SCHENLEY BAY - Building Permits �/ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
3 CITY OF COSTA MESA, f PER IT Nq. • 1"-� N LOT NO. I I . B .NO. _ • 1 7 • t
• CONSTf 21CTlON PE MIT ? S a 7 i/e "` 1 I •:i. .. . _ •
1
Applicant's Matting •A•ddress• A_1 yrsa /.� a 341," V , ' 1' TYPE OF CONSTRUCTION '•! NEW LJ ADD U'ALTE RATI•ON` • REPAIR ' I- ❑( ,
- v Address, �'_ Or at, it WI U 4r _ ❑ CONVERSION '_❑ DEM rL S�1}�'j �n�-,,/J}^� H •n ,I '. • •`• < _ 1 •- I +. { ..n 7Q� ' 6�4'i ✓V3 •
3I�G.51 1 '��.
Owner SING I. > •��1BCS 1)?a'1���7, •• ..ii 'JI / rDESCRIPTION OF WORK-j'� 11�! 0'tl 11/41 it-
/sI / v' I i •' ! (�-
J J a /a : ; `:UU , . - , • , : 1 r ZONING REGULATIONS'
Address ,I' eL4 far7L �V i�' '/ ! - - - + )
tarn/ 1 -TYPE OF PERMIT ❑GRADING"U FOUNDATION � 7.STRUCTU RAL ` -A.P.-* '�I �,1gl I1� r ZONE Lett
''_L s4
Arch/dog..• ion r �7f7A ❑ TENANT ❑ ELECTRICAL ❑ P•. . . .G ❑ MECHANICAL 1 ! G /� '�i, • Bit)ILDING' i ` `
y/'IY�II��py�/�T��� i /^ / •J ,. , _ i. ., 1 1 tl PING.. vk.- (�S.! �'1�.�"f� 'l �-4 .rt !
Address' rtiri tlifi I�J7 illi IPJ lsa e1.11 'f�$ - ❑ OTHER '` 1 'SFranrr rn CT + -
r rr� `IJ�J�$' I! PRO EIRTOYNLINE I /,,
Connector's Narn: i. •.� - • -• Phon:�lr�L '-r ' PROJECT DESCRIPTION VII " I III///`Y1�OCCUP � J/ G� • iJ 1'4/YARD IT P/U ,7 G1/'�I ,�]d�
- , r - i ;, rr + r 'LEFT SIDE YARD Q w t RIOkyf SIDE YARD :r N.
Address(mailing/ '' r I CONSTRUC 10 TYPE"' V L TION$ a` .!' 1
3. . , ZON ' GRADING Cu YDS. P►rt�l/A- ACRE • PKG.SPACE REQ. ` PROVIDED ^ e, / in
License No. � • I E =-- 1"_ I"G 1 f ! ` ne S i of ,J�I.I J 016 ' `� •
LICENSED CONTRACTOR DECLARATION y 1 ' I Remarks: c I 1 STREET WIDTH , i ,PARK FEES ��:tMMnAi
I Thereby.affirm that I'am licensed under provisions of Charter.9(commencing -
with section 7000) of Division 3 of the Business and Professions Code,and S I 7 I , •
I , . SPECIAL CONDITIONS: , ! , I i ' j .0.... 5,I':.
my Ilcenseis In full force and''effect. I t I-, ' ' .
Cleanse Class I 1 ( License Np.,•• �' 1 I I t , I , ' PLUMBING ! i ( I I ' '
Date ' , , .. Signature ' ; j ' Ktit,p' �aR SPECIAL FEQUiRERRR i�. 8 (,.,
WORKERS'COMPENSATION DECLARATION 0 1• 1 j I I ' I Bar Sink ' I 1 Sewer Cap I I . ' • i -' i - t ! ELECTRICAL 1 1 „ I
_-hereby.affirm.that I have a.certificate of•consent to selTdnsure.or.a certificate _I. ._ -- Backflow Preventer----(^ •1 -,i --- -Sewer Connection' -r•1" r-- --- - - Automatic Washer.'- .ice __ 'Meter Dover:100 amps'_ L., . U - .
of Workers' Compensation Insurance,;or a certified'copy thereof (Section - '
3800, Lab. C.) I 1 'I - + I - i 0 ; Backflow Irrigation t Solar Collectors 1,-: �1 Construction Pole i y • 'Sub Panel' ; t-i I d": ' I
Pal; No. Compa• ny I + - - ' i„ - 1 V Cooking Unit , 1 i .Sub Pole ' ; I: '*z ' i
„
rtifie0<opy Is hereby furnished. i ' Bathtubs Solar Piping . I 1 , I , I I .. I . s
ertified copy is filed with the clty.Building Division, t . I - i { •- Dishwasher ` ,Motors ❑0-1 HP El 114-8'2;.,
Date - Applicant ' 1 I I I , 1 Clarifiers ' _; _ ' Solar Tank i I i _� p �.-` I 1
EXEMPTION!F ROM WORKERS COMPENSATION DECLARATION - •
- - - - Dryers-❑Gas• ❑Electric ; Inc.Solar•❑g 15 HP 016-15+ ! I
(This section need not be completed if the permit is for,one hundred(5100)or ; Dish Washer ; J j , Swimming Pool w/Spa - i
; less) i , , • I 1, i - Fan' i 1 - +{ - - I
(' DrinkingFountains - 1 i , i M¢rowave
s shall'
in the performancepersonInany the work fso!as tali become per is subject.tot I • , . Urinal 1 ) I I d;-t '
i shall'not employ any person of manner so!as to the . _ , F.A.U. I • I Valetii ht -s: (
Workers' Compensation!La Si California.• 1 I } Floor Drains. } j' Water Close[I I j I • I - + . g 1� I I
• Date I I I Signature ' ' I 1 • , - ' i 1 I , l 1
Fixtures,1-._- __..Ran a-.._...._{_..,• _.1_.
..Workers•Compensation
provisions
ions,of
th, La or Code yousubject to ite• - 1 FIOOr$inks-^ --'-- ,1- ._Water Heater- - E '1 --}..._ .. (___ -..I g r._-.
• comply
Cth( sue ;pn prionsioor,of - Labor Code, you_must
„
,
LICE
NI •
^
comply 'with] such this'provisions",or; permit!shall be'tleemetl., revoked.; • n I Gas Service • 'Outlets; � ' • I--• Service, ,: f `- ,• �, I 1 I ! Dewce Bores i + 'Sign i j • !
CONSTRUCTION;LENDING 'AGENCY' I w I 1 I - - � Outlets ) e ' • t
I hereby affirm that there Is a,construction lentling agency for the•performance, } j Intercepto•rs' - I i +_ _ L, I ; ,�. , ' I e I. . Standing Sections I , r - 1
• of the ,work for which'this: permit ;is I issued (Section 30g? civ: C.); . -
Lender's Name- -- - ' rI.! ' KitchenlSink • a , .v i s - t r I T i 1 Switches ' • I I .Trash Compactor ; , !
''Lender's Addressi '1�1®1AliV�itwaiMU�i�1'i�LINIi1INV, • - .� .`_ I i Garbage osal ` ( I ,
OWNER1BU1LDER D CLARA ION + , ' �- '• •c I Lavatories ( ' , 1_ r! i ,., ti n-• ( I 9 P 1 1 i ' ` .'
' I herebylaffirm.that I am-exempt'from the(Contractor'z License Law for the . - ` i -� ..--.I , I - Generator ❑0-5 KW ❑5-15 KW I
- .following reason;(Sectiont7031'.5 Business and Professional Code: Any city,or P Trap . i•, - j E L t } + ' + ' ' _.
county which'requires a permit to construct,alter improve;demolish-or repair I _ ,,, .. _ , , ,
I'an structure, prior to Its requires the licant'for such ermit - •-• ) Transformer ❑15-50 KW i , • 1 i
Y q PP io t Roof Drains ; ! -' �,- ' + , I
I to file a signed statement°that hapte•I9 licensed(comma pursuant to tct on 7 00) of + I -' ' , ❑5U+ KW ( I f
' the Cont;3ctor'tel usLawind: rofr 9 on Coder-or!
Section 7000)of - I '1 ' ' ,•i - i ' - i - - , , I . 1 !Reinspection Fee 1 $1 •
5
Division r'3 •oT the Business and;Professions Cotle)!br that he/she is!exempt - ) Showers ,', 1 •- i t n ! ReinspeQion�Fee i $15 — _
therefrom and the!basis for the alleged exemption.- he applation of:Section , 1 ! Meter ❑up to 100 amps : i 1 .Issue Fee i V '$ 3. •
,7031.5 by-,any applicant for=a,permit'. ($5ts.the:applicant to a civil '
i malty of not more than five;nuntlred dollars($500). ( E ,T ; f ,; ) i I ,..Service.„ Sink I •_ '-i . I. 7 I Issue Fee.,, , $ 3 Zoning Approved By 1 • - • Date r( 773-
"U ins of thelproperty or'my employees:with wages as their' sole I I i I , ( .MECHANICAL I 1 ! ' t 1 gg•
, compensation;wlllido the work,and the.structure,ls not intended or.offered 1 , . 7 3
•for sale i(Sec{lon 7044; Business.arid'Professional The - - - .. - - - Application Approved By sate /
License Law does not apply tolan owner of a property who builds or Improves 1 % Boiler I - i•' I - I - Refrigeration System - 1 - i4* 7 -
•thereon,:and who'does:such work himself/herself or through his or her own - ''' • Application Issued By ! 1 !Date I.
, employees, provided that such-Improvements are•not intended or offered for ' - ❑D-100,000 BTU ❑100,000 BTU ((
sale. If, however, the buildin or improvement is sold within one: ear'of corn- ' Duct-Under Ground 1. , I t !
g D v _ t I I I SUMMARY OF FEES '
, elation, the purpose o have the burden' 1 of proving he/she did not buil: or im- - I i - - • 1 i 1 1 , I I i
ve for the ur ase of sale : � , I -' ' Duct-Structural S-stem Repair/Alteration � 7�1 i T•�I�
purpose , ) i I I 1 - Y P ,BUILDING PERMIT $l +3 i SMIP , , $• I j
• I, as owner of the property, Se exclusively contracting;with scions con- I . I I I ,
�• rectors to construct the'project (Section 7044,Business antl Prufes ions Cohe: • ,- Duct;Ventilating_..1•_,I__ _, , _ . _ _ 'PLAN CHECKS $, - �I• PERMIT, I I '
' he Contractor's License Law does no[apply to an owner of property who • I ! •1 ` ISSUANCE I I $ _ I t
builds or improves.thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple❑ . I I j µ _i I ,PLUMBING SI - ' I ! I 1 ! '
tractor(s)license pursuant to the Contractor's License Law)! •, 1 - I ` t
a i 1 • ' GRADING $ _ I •
I ❑1I am exempt under section I '• i ! B.& P.C.for this-reason ' ! Firepl/Fact.Blt. ICBG# ' ' I 1 : I ( 'PLAN CH• .1 I $. - i 1 1 •
•
• , 1 ELECTRICAL i $, ' I I I $ •-
Date' ' ' . nor• I + I ' I Heating System& Ducting , ) •{ I I } I ! + I `
I ' { I • MICROFILM, , $ _
'-I hereby certify,'•.t I1 ave read-this application and-state-that-the-above --, - , -I]0-106;000 BTU-I�160;000 BTU— -- -. t-- • I 'PLAN CHECK' { $; i
! information Is cor ed. agreeq to comply wi all city and county ordinances' • I I I I > - I ^"!Y 1 1 - ' j ' . t TOTAL,FEEL • ( $ = ' i
•andIstate laws r.atin• to b lidin•.constr on,and hereby authorize repro- I • - .� , t ;MECHANICAL' $+ } I
Hood or T el ❑ I - : - !
I sentatives of;t is f to e - upon ab e-mentioned operty r 1 yp I •. ! Reinspection:Fee $15. I 1 i ; LESS j - ? '+
• • inspection our • e r } .j Canopy' TVPe II ' ❑I PLAN CHECK'. $' •
signature .e, .., I I, ate - ✓ ' I , t I, : i 1 ( i ADVANCED PC $ i
I Drivers' L,cenie or SS /'1_=- i Registers I t • (,• Issue Fee j I - $ 3 t I I i FINAL FEE - ' $ '���'!•�/ I
. •
_ ... __ .._ _..-.. nil .. - _ _ _. _v _...__....__.
CMF'0865-- rev.12/8-2 White Building;Canary-AP nt;Pink-Accounting;Goldenrod-Assessor •
7r1CONSTRUCTION ANDPLANNING9 ;;.-%' ri-;�rp ;<<; ,. •. 'c'.2 -5� .1? - SOL&SPA 'c - ;,.e -'!-,-1 ic -'- - r oi ••
- 0 r • -b .2 = ri - ri - _ ' A L 3 cDate2 ^Inspector ,. , :. Date= Inspector
> :APPROVALS P.er`mit# - -e,. , 5• _ i „APPROVALS -Perrnrt'# - - - .,
.. CO ',Oa . -, F.
1 . rii) r:. I . .-. I. -.n...r• - _-r . - - -k .a
s t1'. ITe`mpowryElectric`al Service o_tiPote t :;i: '"• -•'2 ; o� ' 62' Pool & Equipment Locaiion ••; c ' ^'- - o , , ;i y
9 ../Y t • S 'LC LL . f
'•.• ,2: ISoil'Pi Ud 2, 5' I .:,_ho'- I I t; • : .''6 i�,r'`' :c'fP '1 s53_SieelReinforcement:E c_•_ �:'. _ •a . '3 ' y-�,;;
,. .- Electrical'Conduit Utility Undrgrndl. , M1; ' PI- . 4-.5 -rfr +'• 154• Forms° (4,-....r�. f v ,-_ - f• :
c,
3 .4' Elect....-. ; -i.- .. Igrnd._' ° ' °' F- :t>;, 'a"o £55r •E.ectrical Bdndtrig' .-.: . i • _ .I ,
. �I .. - i - c~^ _ bac cnv _ i- -
5:,Steel.Reinfor'cement• 1 If; •,,‘„...:E7, I Si:.. `4r-;-LE- '56.. Rou hiPlumbin &Pressure Test• ° , n"' 111 i1 7
'6:.Electrical-UFER'Grnd tt , ,1 ?'1 i I i=
CITY OF COSTA MESA
RDWEST DDR OCCUPANCY
TRACT NO. /617/ DKTE: ,S-AP f Sl
LOT NO. a
ADDRESS 766 ,L44-,ce, i
ewe l�a�a6
The developer of the above entitled tract desires to sell units at the above set
forth tract prior to the tine 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/
sere advised that this tract has not been give final inspection nor has it been
accepted by the City of Costa Mesa as havig complied with the conditions of
approval which sere imposed by the City at the tine the Final Tract Map was
approved.
The City assunes no liability for the enforcement of the conditions necessary
for approval.
The undersigned agrees to defend, indemnify and hold the City harmless from raany •
claim resulting in damage or personal injury to { �^ n
by reason of the aforementioned uncompleted cori
•
um, a-t i°&- e o e1
BY G r r )- 311/7/-064
(Signature df Purchaser DO
cl
oxa
/ fip.../v7ifiy-6/2 ,me.s) ) ,
✓(Signature of DeveiittSper
and/or //
Authorized Representative) �&'-
/
BY
(Signature of Lender) - ,/
N rr
8757
•
_ Applicant to fill in_all spaces except those within heavy border lines and sign all appropriate declarations.CtlitierKniii-la
C0�11STR�`1CTI MESA;` -' 1` �L I f ` PER TNO. I .TRACT NO , LOT, I s IBLDG.NO. aYo! q I 0791 `6/21 /Ba; 36rO1'TL
ON PER IT . I • Ir 7, ' f '„ r. /i I _a 3 • : . ; . ' _ • -' u. , ;I. . a 54
L 4r C {
• ' -- iararl�y.--v/�/� .4 t C , , 1 tr I T 'I I ' 'e I PI {
Applicants Mailing Addles_s ' ;TYPE OF CONSTRUCTION EW`. ADD 0 ALTERATION:S 'REPAIR ' i ; Jr 1 - 1-'
N.. Project Address- • %.,hey - . -t . ,'.� �, t. ❑ CONVERSION ❑ DEMOLISH -❑ OTHER= ( ' �, Cl _. t. - j . I '
” ' '�� DESCRIPTION OF WORK ' 1 ,. , •,, : i I I
Owneraa iNeme / + ,, -' vim' - i I _ t +' :1 r I _ I 1 I 1 'Z.11 •G :E U •• Ira t
•
1 Addf855�HI I --+�_� ;/ -I f_...,
-i — -i _,T/PE,OF PERMIT ;U:GRADING:❑,FOUNDATION U STRUCTURAL 1 a _ A P 91s ,' I , 'ZONE .- ( I f$' I 11- - c '
Arch/Eng.: • '" ' - License No, -2 ' ❑;TENANT ❑.ELECTRICAL PIUMBING ❑.MECHANICAL I � {{ - 1' r I I 'BUILDING' = - i •'
_ • i - i _ , t cPLNG. REF.#'': _ 1 ?. I C -� '� i .
" ' Address} '-' ' ' '�. { j ' '" ❑ ATHER . ! I { c { - I ' - cc-rp�ry rvs cT• 1
C i I, I t Q�,f' ' J ' :TR BUILDING' y , .REAR YARD
' Contractors Nem ' •
-'/i1/ . r. I Nit, /l/�/ :'PROJECT DESCRIPTION% 'Sq.FT.' ' •- •' I "°' OCCUPANCY ' PROPERTY LINE (TO P/U_+ 1 ' 1
Address(mailing) I - Qswl j .6 7,7 " -- I• '7 I 1 CONSTRUCTION TYPF ' + `" •
' I • VALUATION$ ' i I i ;LEFT SIDE YARD I ( " RIGHTSIDE YARD' ( J ^ ' 2
License No. I • I Qt,107�o I { , I { i • ; I ! ZON): I r i I .I GRADING CU.YDS. ' 1 (ACRES •I it : • ;PKG.SPACE REQ. i i. PROVIDED ( , ' D f r, _
LICENSED CONTRACTOR DECLARATION i -,. I j 1 Remarks: I - I -I "') _� = { STREET WID•TH I 1 ' L IPARK FEES ) r I i:%
I;herebyafflrm that-I am licensed under provisions of lCharter,9 (commencing C� 3, -
p
-
with ction 7000) of Division 3 of the Business and Professions Code,and .
se ) L I • _ I I t 1 r I { I I -I ' ) -'SPECIAL CONDITIONS: I I' I ; I i • • - I G • I _ i t
mnse
Y Iice 'Is In full for ands .f:: I i - + 1 _ 1 I I kk '
License •as - '•. . - I ' Lken No .4 ...jr, f ' { I. : PLUMBING I 1 t { I . . I 1 . I ! 4 i { i ^uI :7 r ^ I
Date • 7 ' Signatur. I.
i- Bar Sink I I i Sewer Cap { I i I ! ELECTRICAL I i _ . i I
WORKE-S' ••MPENSATIDN D CLARATION1 1 . - _-- I -
.I.hereby.affirm.that l.havea.certificate.of.consent,to.self-Insure'ora.certificate . .._�_gackflow Preven[er -•j•--••J - - $elder Convection^•^^- -' a Automatic,Washer_!- __r -y._..y,._, .Meter_❑over,100 amps{,_-`_ ;_. .__
t
of Workers' Compensation Insurance,)or a certified!copy the}eof (Section': - Sub Panel I i ,
3800, Lab.•C:�aI i A ��i� + E - i - I { ;. Backflow Irrigation I ' Solar Collectors Cgnstrucuon Pole : { I { I I
PoIIcy No.gl'�1✓C'-/39G�1 r^•'ompany � I r +- i t r a _ Cookin Unit Sub Pole i t- -! -I - j
ertifietl•copy is hereby furnished. ' 2,Bathtub's j I ' Solar Piping I I �/ g { i , I i
i1 T ..i {
Bert.IC/ a with the,ct Ing Dlvlsio I _ _ I .__ Dishwasher I (Motors ❑0-1 HP I❑t+h-s '
Date �' Aophwnt 1•, Clarifiers , - I Solar Tank I �' I I ,
EXE sectionn rieetl'not be RKEcomRletetl If the permitP IOe fo ono hundT d 5300)ort' f{ Dishwasher I ,j { Swimming POO(w/$pe } I '2 Dryers❑Gas';❑Electric I 71na Soleil❑9-15 HP ❑16-15+ T "T" -
less)" , >, i 1 1 • _ i I . , Fan; + , i :Mrerowave. i G t • '
�•I certify that in;tne performance of the work for which this permit is Issued I;
C' 0 CONSTRUCTIONAND,PCANNINd `1-ii $-w cCl- z SSz i„o:at --2€,•,.;.-.-,09..!-,18,.§1.!A.I,,Th 7'-c; ' ' 9l%+
_Ip 1 v : n - c t +; :c r :Date * Inspector c c ;'"Date ' Inspector 1
•:'APPROVALS Permif�h' 'c _ I c t ;,APPROVALS . -.Peimrt# _ _ •
PCs A y In t, ti ' r7 7 c ' .1 m= ''1 c r.2: !F. >•C••• I: . e y -. , - - c . •' m
[ -: Tem orpr Electrical Service o"r=Pole 't_ ;' $ ;,'. t;u ,^^ Y 7-'Pool &-E ui ment Location' - • __ 1 ; - . .. '
it- � D _ YI n�" ✓� rift :✓s;° .c - _ -_9P -...� 'S. nc
XI 2: ;Soil rPip;,.,. ;grndr, m ,-� f 1 �j/I/' •53. 'Steel _Reinforcement
V-' W. tc I f 1 1 . tO= •i.P� �. d 7/ s �.,- _ . .. -. _ "n'] ,' Cr _ to ,.
F 3: EIectrical ConOuit Utility- ndr rodr'`is:- -f °>•_ 1' c c 1 -
U 9 tiT �i °•..'l :c ° �54� POrinSn ==a` =a c,, c^ i ^f
� 1 P Itl t � 1 •
t r - - Cc--.-1.;::%'--' -- f'''act
<inElectticdlConduit=U.•••1 id-Are.' i '' r` c -,72-:- t `2 E- i `55�; Electrical'Bonding - - ,r - ,- ? /I :
d in •i I. rv.l I - , .e n` K X c �3 H v I �� ��? .-�
5: Steel Reinforcemenx=� i..1 n ; =Iv ;, p? . '-�, ND `h`:m `56 ,Roug14 Pl urntiing&Pressure Test `� I t, . ''d
'6: IEI., ,„, ,,,„R,Grnd,t ll _n .t t-j a" 9. 0fi'r l y=• r..'", !- 57°'APPROVAL TO;COVER-GUNITE= ;;= _ °•' - •...u....:,St
7. Footings , I. I I-ii I c 9u I i £ F. '' �'?s'5 _` ,L. I 587 Electrical ConduifUndrornil( -. *---7; l`II
8. "F,oundatiori ; i � I 2 41 S: ® '' 1,2,ri o; ?59 GasPi'pe'O`Uhdrgmd Test : " ri' r1
9.-Water Pipe,-Undrgrnd..7.1 1 2 2. : 5 ---,4. I E ; X60. Backwash Lines'rP.Trap Oi Undrgrnd , 6;, ;:i°I I c*
10. Strucural,FloorSystem 1 `..,6 i Z I .I ,il I 61 APPROVALTOZDECK -�K- _ `,r: , • " I
11. Pr'o eft Sewer Lin"e`&"IHouselConriection -- f :c '" ' -
1, P,I Y .-, : r,_ , I s -i �Z c` I •62. •Backwash & Receptor Finn l: - _ - . ,1
12. Sewei_Cari . , til i c:. •1�- r. _ aG - . h _ i .L
;i.1 ,t I •f 5 , n %'j.• ' G^ :" I •;63. Heater& Vent FinaI; . c - $ ' � � °r
13. RooffDfatns I y. I I .113.1"..,:j1 1 _ t 4.`1 c c,; :.6.4. PlumbingSYstem-__Flnal it' a "n �!j ;
a 14. `Rough Plumbing l .'.. 2., %I i - n i• In p// 65. Electrical-Final -�- , - . • t- T ,+r +
:! Ir15-eRough`ElectricalConduit I T I• e • 1 I,.A i{!'1/"'7 1` X66.1-Solar1SY'siem-Fiiar4`-':-`''--I--7- t--"1 1. --1`"1
9
i6'tRou h Electra IL 1h ' '. 1�_ I-1'-r -, '- i-- L-"'"
�� t a Ira 9 • 11W.u. ! .'91 A I.p � ti I.� tI'-?I°' I W` -' ja}I� I_ - 1671 Fencing&Access"APProvalrc"# - , ,. . r . • el�z ri
itr 7.•Roug'Wiring`Slg"ng =r I II 11_ I4 i Ir 1 r! �+ I l I '1;-{681 APPROVED FORRPLASTERING Iv ' 1 !
a 18 Rough`Eleci'rical;T,Ba^,Ceiling 11 ;1 1' II L r` f69• P_OOL/SPASYSTEMS[FINAL ` I
1 .i\ 1S ri I I I. f I I �. � w �
ti I( 19,rR�ug Heating &IAirLConditioning iI I ! I•r I I ' I c, I t i 1 iFIRE DEPT.,REQUIREMENT, ;, ' '- 1 � ' :_�
+ I I . I l ; 1 ! 1 1 j ' IC. u I
1,1• 20.rRpu h,;Fa __, Fireplace II I I APPROVALS, ! Permit# I . +
n. 9 n V I S i I I .I �� I I I I I I ' � , 1 1 11 . I ( l I !- 71
o I. 1 r _., 12 et 1 1 1 11 1 , 1 1 1 1 • , I I
21.,Ductrtl' Structure's I 1 I 70! Under round H dro ( •
.__M ,u i . u 1 G I l I) D ! 1 I 1 I 9 fY II • i I I 1
, 22. 1Ducts, Veniilating r I ,� I ,1 1I II I ! 1 I 1 I I I 171.! Product Piping D Gas 6Oil 1 I 1 ' , ' ! I
S va -1 1 ; - I r - r
c'. Ic23. Gas.Pi a-Rou Fi& Test 1 1- 'T t , ' -^- 1 I I ,---j -7�-
E 5� „ ; P e--::.91 I I. !t^L�" "I �� I 1 �1 172., Underground Flush; � I I
IC24.tRoof F'amingt I ' ! I I !!a ti:h !•l HI v j y !^ H: .73.i Undel grrid.Storage Tank,D as D Oi( 1 I
S t 11.T I i ;i- U e i ' 1 • 1 4 i I i; I . 1 I 1 I , - S C (
25.'Roof Sheathing I 1 .111 :1 , i ;I c (,; • 5I r I. h'4. Overhead Hydro 1<'+
,r. v ¢ n• II 'I: 1- 121x ' I ? ' It ; If A.; I
,CH-26. RT;Bar Ceiling (Structuralll& Monocoat`! 1 h i ;,1 ' /tr I I•a•! 751 Dry Chemical I a I . , I a 74 .
F27.
I , .. I I I -r q4 c 1 1 - ' ' I Q , - . 1
rF27. IFrame an 1 Flashing) e I !' I 1. I 1 'I I- I I I I ! (76•.1 Dry Standpipe ! t • + I ; t , t i t
fl 1 28. ;Lathing & Sidingi o 0 1 1 I II II I I I. I o ! I I /.77.1 FIXED SYSTEM'-FINAL • I ? 1 I •• .
Li 29. alnsulatiori ; _ , g al. R I I ,I 11 11 I 1 . I I 1 I78I FIRE PREV,. FINAL c, I ' f I I I , I
_ I
30. Dr tkahl Nailin I . I • '' 1 1
'o I Y g I > `� I I �� I ! I I I INotes:. I 1 , •
I i I I ! I I e r I t __ I i
a L31.{Plaster Brown Coati I •i I I d li ! 1 1 f l ! t 1 _I 1 . i I•• i ! I i I 1 ' , ..
•
F32.tElectricaliPowerMeterFinel I 11 p, I'. 1 H. �Id 1:1-1
% 1 1 i-,1'Ir 1' ' . .I , ' 1 1 1 1 I .. I ,,
I I f 1 r I ! ; t
U 33. Final Electric I I I I I H , I I I I I
111 �� � I r '- I i. 1 `I I I 1� f
34. Final Heating&)Air Conditioning rI I I 11 I + 1 11 • 1 I i < ,;;.
5 e H i rnti i i- h . I -
11 n rJ I !' - c Ira - -1t t r, IS: O rc 1ze- ._ E i rL .. _
35. Final Gas Pipe Tesf1 >_ i m e l c `c I i = 1 a . F I _o 11 ;r - - -
• I. I •I_^•1 aim l�nl el 11 I`--
- fc lL T' I - I I _ . .. 1^. E. , L .r .. .- ttt _
36. Hood or II,anOPY n 1 n 1 s ^I I I'n I `. 1 r i 1- 1.6 I a • . I . .i i `_ i, - i :r r•_ O C
u I. 1 I, . Im =i ti! It• 1_ I� -I I 171 r1 1 -• .] -
II f ,c_I . •R 1r( �'- n 2 Ic- c ' '1 1' f• , ',.n • • 1 . • '
37. Final Factor Fire lactim x r e I_` I' a i '.1
� Y , PI„ 1 I1 '1 !- - .� ! I ( I '. I ia1'ri t_ c, °_ 1 0 �1 `.:: 7
38. Final Plurnbing.1 ! ! I I, �I II 1 .,,�4„ y1 _�/ £'I I . . 1 y 1 • '' i . m -
d n I 7�t r - '` _
39. Water Service-Final! I I 11 h I I I I I I I I I I I ! 1t�. 1 r i _ • ; I
40. Gas Servide-Final I I I 11 I I I I I I .. III I I 1 11 v I :'1 I , .
41. Solar Domestic-Final I I I I H-'--1 -I--J----J--j- -2---J--1---1- ___ -^ ,i . ' ' ', .
42. Backflow.,,P.reveriterl E I 1 I I 'IT I_ -1---1-1-1 _ i,---F- 4_4:1 I I_ 1 L ': I ' I
'!SII " L .:i I •hIt. I;c it +. EI °: I � rtl ?' ti ! i • I I.`, ri
43. Backflowroi)lrngatloh ? !P I I ! n•_I: It- or inI °IsI 1 r I .61 t :?; I ' I '• "•
9.gf 177:4 ' Imlccl r'- - e '-3 c =i.-.,• .=1r• i i
44. Landscape Irugatiyon,Sytem I I i I: ! A r 1 & 1 v " I m l 1 `•1 >•, e: I I _ ' I.' ^' a r-
45. Soundl•Attenuatiori I n I :5.1 I P I' I I In 1 x1 I I I 11I F,I I r. i . 1' ^r P p q j 'J
I.411 I rd' :.I
t'mr, 1 1 i' 1 '-' 1 1 .- I c 1': ..1 1 I I I I I i f 1: - '•
46. Handicap Regulations/ A c I _ 1 - ++ it '"
-I ._I - 1 I I' I ll I 1 L_ . SI 1 I ( a1 , 't I • n , ` �_ -. C I r. ' al r- fi;
47. FINAL STRUCTURE & BUILD�NG I I I I41 �! I' l i i i Y I I I ° ' ,I , ., '
✓ II _ •
48. Special Requirernerits Completed 111 II I III 1 I I I I- 11°1 I I I I I I . I +j I � I I ro ,. /4 _ ." r_ :3•
49. Electric Releaselto Edison I • It. I_. 1y I 1 1rI + ' ' I t ''
• 11 . I t 1 V.• I i I 4 I` I I I I f 1 -1 . 1-1 7 I 1 . T''1 ' '�•.1' I 1 I ` i'
50. Gas Release to Southern California Gas Co , I I I I I I . I, I I' 11 I I I I I i I ,
II I : III II t UI
51. CERTIFICATE iOHODCUePA'CY a i 'r ` I 1--t- .`-1_ I I I --,--.1.'-j-12"..,1 I ( " I ii i
No ' I 9 L� II 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 NO.' LOT NO. BLDG:NO. • --- . - --- - - -
CONSTRUCTION PERMIT • - •' ?s .�
•
_ V 9247 I I} I 7/93 r' _"n •T'
Project Address _ lL..�_ '''= - TYPE OF CONSTRUCTION NEW UADD U,ALTERATION. U.REPAIR 1 _ - __•
Applicant's Mailin• Ad• ¢ss' �y rr�ili�1 f ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A,p•.# .: Zone •
Owner's Name � tit' • DESCRIPTIONOF.W ORK
Pone' " ' S Mairi Building: - ' i -Accessory Building:' ' . . - ' Z
Address - .. - •
. 0
TYPE OF PERMIT GRADING' ❑FOUNDATION ❑'STRUCTURAL E Front- t _ _ N
Arch/Eng. - - • License No. I ' ❑ TENANT ELECTRICAL ❑ PLUMBING ❑'MECHANICAL ; , B ';. I - , _ I
Address; 1 I '- /) ^ .'❑ .OTHER : - , A Rear •
-,
Contractor's Nam rti ��+�� •, L.2. 0 p er C7 PROJECT DESCRIPTION; SQ: FT. OCCUPANCY • -- C Right _ • _ ^ G
- ' ��,�1---`�t' M_I,r - rCONSTRUCTION TYPE ' : VALUATION$ 1 .. ' g Left . • - • , E.
Address(mailing) : A I_ 1 - - i
City.License No. - �'s q : ZONE •' G,RSADING CU.YDS. ACRES I r Ping. Ref.# .•- ' , Park.Fees $, a I ,; -
LICENSED CONTRACTOR DECLARATION `i. ' i I Remarks: - ; -6 -75?. , y Parking Req./Provided ' • i U
I:hereby,affirm that I am licensed under provisions of Charter 91(commencing , - tel/ / / • , - • R
with section 7000) of Division 3 of the Business and Professions Code, an• • - I ' Use of Building: .• , E
my license i51 once dna a,Ly t. - - ' - ' M _
' G License • ��!11 o FEES PlanningNotes: 1 .I _ E
License Ca- ` - i
Date ' Mt; - ignature i err- �►r•111.-...--k `reAl'11A I •
• Bar Sink ; 'Showers N
WORKER- CO 'P, SATION DECLARATION ' •I ( . - ■ .- - I ■ "' T
I hereby affirm that I have a certificate of consent to self-ordure ora e Uf'eate . - •■ Ell
1 I I -' . ' • - I
..of_Workers'_Co ens tion nsurance,,.or_a cent gd popy thereof.(Sect on.t Backflow Preventer Service Sink i i I S
3800, Lab. C. ,l -_I y'1'�; •� - _ Backflow Irrigation I ' Sewer Cap ' - -I 1. " i _ ' .ELECTRICAL • ; ' . 'FEES I
Policy No. ompany +C—�V - - •
- '
• Cer .'copy is ereby furnis • I n Bathtubs 1 Sewer Connection_ I '.w Automatic Washer ' ,Transformer ❑ 15 50 KW
■ rY f' y i f ith the c • g a is'o .• ", .,I, I 1 I 1 0 50,+ KW
Date - pelican • I 44 clarifiers j I Solar Collectors • 1 " , Construction Pole Sub. I _
- EXEMPT; N,FR M WORKERS'.COMPENSATIONDECLARATIO - .t Solar Piping Cookie Unit�•-•- • • ^- • - Meter to 100 amps'. - ' a
Dishwasher •
(This section need not be completed if the permit is for One hundred ( 1J 0)or ® _ - , P 9 •,®®' 9 P P "` i
Tess) y p DrinkingMilFountains ■ 1 =® ampsi /
I certify that in the performance of the work for which thio ermit iect t ed 1 Solar Tank Dishwasher i Meter Dover.
shall not employ any.person In any manner so as to become subject to the ii -
Date s'.Compensation.Laws of California: i- ill Floor Drains; I l■ 'Swimming Pool w/Spa I- , I �'.ii Dryers ❑Gas .L?Electric I !Sub Panel • I- 0
•
Date - • Signature ' I •
NOTICE:•lf,'after making this declaration, you should become subject to the Floor Sinks ' • ' Urinal ' I ' ' Fan
-Workers'•Compensation-provisions of'the Labor-Code,-you-must-forthwith I Motors 00-1 HP ❑iX-B
comply :with' such provisions.,or ,this-,permit. shall be'deemed revoked.- . Gas Service i :Outlets( . Water Closet ' ' .F.A.U. ' 'Ina Solar ❑9-15 HP ❑16-15+ ,.
CONSTRUCTION LENDING.` GENCYr ' 1 {pr f •
I hereby;affirm that there is•a,construction lending agency for-the performance!i Interceptors r h- Water Heater - , 1 r Fixtures • • , Microwave ' '
of the work for which, this permit is.Issued, (Section 3097 Cry C.) - •
-
Lentler•s _ ! - Kitchen,Sink • - --Water Service ' !• - Device Boxes Pole'Light •
Lentler's Address t• L ' " ' I ° - ` - I - Lavatories- ' :5 S `..., t• ' ''I •�
OWNER BUILDER DECLARATION i .. { • ' : 1 ' i `,. 7 •, 4 Outlets ' ! I 'Range , p
I hereby affirm that I am exempt from the Contractor's License Law for the - ••-� -
following reason (Section 7031:5 Business and Professional;Code: Any city or P-Trap - .1 j : - r- 1 - Switches; " • Sign - I - I ,� i
county which requires a permlt;to construct,alter,-improve,demolish or repair i l
any structure, prior to its.issuance, also requires the'applicant for such permit 'Roof Drains, 2 I i Garbage Disposal StandingSections • :'
.to file a signed statement that he/she is licensed pursuant to the provisions of ; ' r ' t
,the Contractor's License Law(Chapter 9(commencing with.Section-7000)of �1 � C' .. j I- _ I I Generator ❑0.5 KW❑5-15 KW 'Trash Compactor I'- ^ j I
Division;3•of the!Business and Professions Code or that he she.is exempt C , .- I i '
therefrom and the basis forthe alleged exemption: Anyiviolation of Section , - 4
-70315 by any applicant for a permit subjects-the applicant hto .a• civil , ' S ' ',' ' r' • j -. I . + ' j j ' . . . • 1
enalty of not-more than five hundred dollars ($500). ' •Reinspection Pee-1 ' $25; ': ' Issue Fee - 1-` . c $(3 - '
DI,•as-owner of the property orjmy employees with wages as their sole f Reinspection Fee •I . ; $25 ,Issue Fee $'3
compensation, will do the work,and the-structure is not Intended or offered ' ' i. ! - I . ' ' ;MECHANICAL -• ' FEES - -
• for salei(Section '7044, Business and: Professional Code: The Contractor's. I - i - PUBLIC SERVICES REQUIREMENTS:
. License Law does not apply to•an'owner,of a property,Who builds or improves ; Boiler Hood or; Type I 0 i ' tt : 4 f 1 •
I
thereon;and who-dues such work himself/M1msoif or-through his or her own ^' "" i f Zoning Approved By ' Date
employees, provided that such-improvements are not intended or offered for - Canopy Type II' ❑ 1 I - ,
sale. If, however, the building or improvement is sold within one year of coin- • Duct;Under Ground 1 Application Approved By - Date '
pletion, the owner will'have the burden of proving he/she did not build or Im-' • ('� f .
rove'for the purpose of sale). • ; ;_ i i Duct-Structural i Refrigeration System t Application Issued'By �J '/ Data_.•±/ //�
1, as owner of the property, am exclusively contracting with licensed con- ❑0• 0.100,000 BTU ❑100,000 BTU I
tractors to construct the project (Section 7044,Business and professions Code: ' Duct-Ventilating j I - I I I - •' i (SUMMARY OF FEES
...The Contractor's License Law does not apply to an owner of,property_who - - •_ - - - BUILDING PERMIT I $ - SMTP $ • '
builds or improves thefeon,'and who contracts for such projects with a con- Exhaust System ❑ Multiple ❑' System Repair/Alteration . I - - '
tractor(s)-license pursuant to the Contractor's License Law). ; ". , - • PLAN CHECK $ PERMIT 1
❑(l am'exenipt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# { ! '! - ' I I
•^ '! PLUMBING ; $ I •
',ISSUANCE { $
Date - - ' Owner - Heating System& Ducting t j ', • PLAN CHECK $ ENERGY P.C. $ . I
I hereby certify that i have read this application and state that the above 00-100,000 BTU ❑100,00067 ® I ' ' �.�� 3 ' GRADING $ •
j
-Information is-correct:l-agree to-comply with all•city antl•county ordinan es I-. - - .- -T_. -,-. . 1 - . . ._._ '-. .--y,._ .. .,,__. _ ill ELECTRICAL i-$ h i
and-state laws relati ng•t0 building constru ,a•i••).reby autnpr zetr•.:� ® • I ; . • PLAN CHECK $ 7�7,I4/ MICROFILM $ •
sentabves o city• to'enter upon '"- I • MECHANICAL I [-i �s
Inspection rp.ses. , . aI �I�;�. P('•
cv ,r • • $ • TOTAL FEE $ SV u
Signature
.Pink-Accounting;Goldenrod-Assessor.._ _. . ' _ _i. 1 . . I ' __ -, -, _ - ....... _,• '. •_. 1
-CONSTRUCTION AND-PLANNING + c. : . : • :` ',t : : : _' ,;POOL &SPA _ " .
Date • • Inspector. • ` ' '- Date Inspector_
- APPROVALS; : Peimit#� - - - - -,:APPROVALS--_,]Permit# '- -
'ti1. Temporary Electrical Service or.Pole • _ _ - '527 Pool-&:Equipment Location ' ' '
2. Soil Pipe-Undrgrnd. - a , ;53. SteelReinforcement . : ' '
3._Electrical Conduit,Utility-Undrgrnd.• .i. .A � •t? . 547' Forms' - - •
CElectrical Conduit-Undrgrnd. _ 1 ' _ '55 Electrical Bonding ' - - - : -
-5. Steel Reinforcement- ,,1 Il , '•' ( '56 'Rough Plumbing"& Pressure.Test • -
' 6. Electrical UFER Grnd: "- - ' 57. APPROVAL TO`COVER-GUNITE - - • •
7. .Footings r,„" - • ... .,- _ U - i 58.- Electrical Conduit Undrgrnd.: • _ •
rte . -
8. Foundation - - - - - " = r $59r- Gas Pipe 'O Undrgrnd.?Test-
9. Water Pipe-Undrgrnd: i 1- ' :60:- Backwash Lines;P-Trap,-O_Undrgrnd:. - -
•
10. Structural Floor System - , _ ;,61: 'APPROVAL'TO DECK • - -
11. Property Sewer Line & House Connection „ - •'62. Backwash &Receptor-Final ' '
12i!Sewer Cap `',, - •
_ _ •63' Heater &-Vent-Final , . .. - •
13. Roof Drains ' --.• ^ -- - ; X64.- Plumbing System Final' -
14: 'Rough Plumbing- • ; r' .- - - - 65 Electrical-Final ' a _ - '
15. Rough Electrical-Conduit - - -- 'll--" - - ` T ' -:- - -66'Sblar-System-Final "- '- - -
. -i16: Rough Electric Wiring "'/k et-:3'- C . 67 -Fencing &`Access•Approval" - -
. ` ,
17. Rough Wiring Sign' : p ' ' '' 68APPROVEDFOR PLASTERING , • -
' 118. Rough Electrical-T Oar'Ceiling .' - t i ': . ; ! 69;.POOL/SPA'SYSTEMS FINAL - ; ' ' - 7. t. '
19.-Rough Heating &-Air ConditioningItt i I I , F.IRE DEPT. REQUIREMENT , ; I , -
20. Rough Factory Fireplace ` I' I APPROVALSi • Permit# - _ '
• 21. Ducts, in'Structure ' ' i 70. Underground Hydro1 -
22. Ducts, Ventilating 17.r ; P ! I I 71_ Product Piping 0 Gas •l0 Oil ,
23. Gas Pipe-Rough &'Test i t • i.. ; ; , 72. Underground flush ; •
24: Roof Framing.: IL., ;, . ' - ' , . I - 73: Undergrnd.Storage Tank 0 Gas ❑.Oil '
25. Roof Sheathing '' ' ' - 74.`Overhead Hydro • - . .
26. T-Bar Ceiling (Structural) & Monocoatl • �.- .75.-Dry Chemical' ; - • ' ' - t
• 27. Frame andFlashing - i • 76. Dry Standpipe : •.
28.• Lathing& Siding•. , , . ) 1 - 77. ;FIXED SYSTEM'FINAL, . .
•
• 29. Insulation I ,, 4 ; ; i 78. FIRE PREV. FINAL I
•
' 30.'Drywall Nailing • •I � l t ' ! HEALTH DEPT. REQUIREMENT 1
• 31.. Plaster Brown Coat - i , _ ; t 79. FINAL INSPECTION - -
32, Electrical Power Meter-Final - t 80 FOOD CERTIFICATE ISSUED
S.
33: Final Electric ' _ �J. l' I , ,
Notes: . `
34. Final Heating &'Air Conditioning I I--- _ .-: .-� - ;;-- -
35. Final Gas Pipe,Test . i _ , . _• ic " ' i -
36. Hood or Canopy I , _ . ,
37. Final Factory Fireplace , '• I 1 I ! ' ! " . I :• I" - - - ,
38. Final Plumbing ' ir• . .7 /. _ ••
39. Water Service-Final ,
40. Gas Service-Final I •-
41. Solar Domestic-Final` • t i ' t
42. Backflow Preventer • _ -- .'. t. _ .� _ -'_ -"-` - - r 'i ,
43. Backflow Irrigation �. ! ; -' - .+
'r- .l I . .
44. .Landscape Irrigation System -
45. Sound Attenuation ; - • - - '
46. Handicap Regulation's . i ; 1 t • •, - } , :. „ -
• -
47. FINALtSTRUCTURE &,BUILDING `; - F�. - ' j . ' - -
I , . •;
48. SpecialiRequirements Completed I ' - ' ; '. I - - -
•
49. Electric Release to Edison ' ' . - I- ---I' `--I-- '-- - = -:- ' -i! ` ,.-
1 I
50. Gas Release to So�uthernCalifoinia Galls Co '- I I I i t -I t i I. •- • q
51. CERTIFICATE OF OCCUPANCY'._ ' - i - _ T. . i :._.{,:1_,_ _ _ _ i j_ [ ! . I '
No. ` • _"-• -•Date t : . 1 I i I i '-t- --i ..
_ aexcept those within heavy border lines and sign all appropriate declarations.
• CITY OF COSTA MESA' • I ' .^ , spaces� �'- - -- 7227...10'/ I ✓831 ; ig.v�:�: ;TL
_ Applicant to n a _!
PE�^�T- O, / TRACT NO LOT NO. BLDG.NO.
CONSTRUCTION PERMIT. /` l 0 .� (lam ; .. I for7/ : •3a' ,i� • I • I :' I : I •. I
eo YV: lin I J
Applicants Mailing Address Si / ' !'a-• ' .,1A ' L-TYPE OF CONSTRUCTION L�NEW U ADD U ALTERATION-U REPAIR .: ' , 1 i '
Project Address, '7�5^5' S� '^ ._B-' l CU / - 'p - I 0 CONVERSION 0 DEMOL H R, - - „ : - '
Owners Name ' /'1 Q' Jare� o1 .••hone 7783371 DESCRIPTION OF WORK OT ` • i i „ • . 'ZONING
.A '''_' r A�,� t� �i �,.� - ' 'REGULATIONS '
Address: - - O 4ivt.a_L FYVIC, -9u-t e -D' ? 'L-,m. . _ - I . -r - _ •
/ •TYPE OF PERMIT .0 GRADING U FOUNDATIOIQ U STRUCTURAL ' A.P.9W' - .ZONE
Arch/Eng - License NO, - - 0 TENANT 0 ELECTRICAL .0 PLUMBING LAI MECHANICAL • BUILDING
r I • PLNG. REF..W.4. - - ec-rA rift T -
Address - - �y - ❑,�O7HER . - -- TO BUILDING. - B CJC S
f ..r L. - 4 / ' - ` PROPERTY LINE - REAR YARD(TO P/U.- , -
ContractorsNam= i:4. as NA' • •hone/ ''1 PROJECT DESCRIPTION, SQ. FT. .. ,' OCCUPANC .
/ ,,/ - •LEFT SIDE YARD •, ' RIGHT SIDE YARD •
Address(Mailing) 00 IV- wl'1/ n0 I i ILS . CON •STRUCTION TVPF - ; VALUATION$- -4; 57) '
• I ���1// i - ZONE ��' i GRADING CU.YDS.. !ACRE'S PKG.SPACE'REQ. ' PROVIDED
License No. c+' -
LICENSED CONTRACTOR DECLARATION 1 , ,.j I Remarks: „ 1 I ,_ 'f��,,, I f - STREET WIDTH i ! ' :PARK FEET$ : IC
I:hereby'affirm that l'am licensed under provisions of Charter 9(commencing • / - , + , '
with section 7000) of Division 3:of the Business and Professionscode,and I ( ` •,1 ' ' 1 i : • SPECIAL CONDITIONS: ; t
my Iicense_is in full f ce tl effect, ' • : • I - - '• -
• License Class - - en o.' ���i - 1 : ' PLUMBING • j : . .�, - • I ,
•
Date I 0' Signature j - Bar Sink I - Sewer CaP I I I ' ` ' I ' I ! ELECTRICAL ' I - '
WORKERS'COMPENSATION DECLARAT I , y r
I hereby affirm.thatI have a certificate of consent to self-I cera.of a certificate..)_ . i. Backflow'Preventer-- • , - 'Sewer Connection'----/ « -- Automatic Washer '-•, I_-j_- 1 jMeter,Dover 100 amps - • - ,)__ 1 �
of Workers' Compensation Insurance,:or a certified copy thereof (Section ; " ~ - . - r - -
3800, Lab. - •
'- ,1 Construction Pole -Sub Panel ' I f
n/d (Q_' I f b , l Backflow Irrigation - Solar Collectors I I
Policy No .Ls h 6 (oJy Company •�d2�'f-� •- - - "- -- i Cooking(mit ' r Sub Pole 1 1 -I I
11-{I Certifled.copy Is hereby 1Urnished, j I 1 •o . ; Bathtubs •I , '1 Solar Piping 1 i ' : , • , , •
LJt Cert f�l Q�,y ds filed with the city B Itlln Suis n. ,� //q� 1 J • e Distl'washer ,i t Motors �0-1 HP 01'h$ ' '
' Date�� 7"" ' _ ' APPliwnt4 IH-f lam, ' Clarifiers I i - Solar Tank i f 1
. E%EMPTION'F ROM WORKERS'COMPENSATIOW DECLARATION( I Dryers ❑Gas'-DElectric '� Inc' Solar'09-15 HP X16-15+
I (This section need not be completed if the Permit 15 for one hundred($100)or ., . ' Dishwasher , r: • , Swimming Pool w/Spa ; •• - i
less):` 1 i t i , I I — - I j Fan. f 1 I 'Microwave I '
I certify that in the performance of the Work for which this permit is Issued, I ' Drinking Fountains Urinal 1 i I _.
I shall•not employ any person in any manner so as to become subject to te I - -s, , F.q,U, i • Pole Light j j
workers'ICompensation Laws of California,; • ' • Floor Drains 4- I , Water Closet' , - i'
' Date Signature • ' - • - - Fixtures ' t :Ran e
I-NOTICE:U.-aper making-this declarationeYou-sriould become subject to-the-- -y- FIOor Sinks t--- Water Heater '--- ,, -+ -�• •- -.- - - - - -—- - - 9 --..•i- - -.r-: - .-
• Workers', Compensation provisions,of the Labor. Code,.you-must,forvoked , _ ' - Device Boxes ' ` 'a
• comply with( such provisions.,or this, permit shall be 'deemed. revoked: • v I Gas Service Outlets . - -Water Service + - ' • 'Signs • I , •
CONSTRUCTION:LENDING AGENCY ' ' 1 , - I'
' I hereby affirm that there is his permitruction lending agency for the,perfCrmance, • • Interceptors - I • Outlets , Standing Sections
' of the.'.work for wrylpp•-this, -is issued (Sectio•n .3097 Civ- C -� - r , - i
• Lentler`s• Name ( T/V6YIG c, ` - - Kitchen Sink ;r'; - - • , Switches , i Trash Compactor
I -Lender's, 'Address I _ '• - - ••' i i
• r• ",I Lavatories, 1 I r �- I - I Garbage.Disposal : • 1
OWNER'BUILDER DECLARATION' ' • :' • u • v •" . - - I(
' I hereby affirm that I am exempt.from the Contractor's:License Law for the - . • Generator ❑0,s KW 05'-15 KW - I ' I
' following reason-(Section-7o31.5 Business and Professional Code: Any city or . ' P-Trap. - • n f _ '.7 - 1 2.
county which,requires a permit to const Nct',alter Improve;demolish-or-repair Transformer 015.50 KW 1
any structure;prior to its.issuance,'also requires the-applicant-for such permit. I- Roof Drains- - ( I - _ + , I • I
' to file a signed statement:that he/she is licensed pursuant to the provisions of 1 I - 4
„- : , - - 050+ KW ,Rein action Fee•
I the siontr3c t ei Business
Lawind, rote 9 ons,Co e)'or that,
,5e 7000) of I - . r'. ( I - } Sp $15: '
I o,3 of. the Basis ass antl.Pregeexe ption or, he/she-if Secmpt - Showers ,-• I .. , 1 - Reinspection Fee $15 . - — . • - 1
therefrom' •and the'basis for the allegedpem t subjects
wh • •applicant to a-civil , S ` • ;
c nCONSTRUCTIONAND;PLANNING 13 2 %Lt : a.':'`8 - ;21:"90:21.7.:8!
SPA �_i '7; , :- • .•,, 01•'
1- '- ' - r v e t 2 ^.c a 32Date•J o Inspector " t _ mu "" ? ' ` Dater InspectorI
> SAPPROVALS Permit.#- ` o ,f- 11;!,;>'-' i'
,;;.yAP• , -_.0 +Peimit-# -- 1 •15:”.P.;
a n, • ti m n 4 N Y n C I ll. i'-1.0.:''• P n 3.48;', I l Y 7 n •.v R • L '.t J -. '" I ( I N
Ir
r - r. ' ry - " .e a -1 • ". :':1;-..i'-:-I
V�i j .l LO(1 I r 7 , r- = - ._ ` 'C • -' Y.
n r1, I emp"orarylElect�ica`I Service or`Pole a F :tea- 03 rEo .52, Pool.&:Equipment Location,"- , '•s t t =- 1 a I .,
}.....(0 2! Soil Pipe-Undigrnd:a , 1:-.1.... `o S I 1°2
g- `•- I7 -,u� ,,,3 `F53a Steel"R'einforcernent 4° -', z ' "▪ 141 r i u,
3! Electrical Conduit Utility: , . rid) I ; a I: 43" r54�r Frma ; ° ` 7. !
142
4 •.. tI ;vPo I , o -_'41y, ,e, '11o , a
ro '4: Elect?;cal Conduit-Undgrnd&`~t =) ' °', Er . . ru ^:2,-;;.;- 55? Electrical Bonding. ,;_•`•_:;_ -, 1 _ -.J..
2 m 1 . •1 ;::'I
1 t - n .t I .: '] . . :•_.';''.. c C -r.-- .- c :!
5: Steel Reinforcement 124; 4.41:11!=4-7, I na i1= fes;;'v' 2 L 56._ Rough PILmbing-& Pressuie Test t of ,$'
6: :Electrical LIFER Grad y, as- 1 -1-, fi '?:' • z 57.° APPROVAL'TO.COVER-GUNITE _ " ' I " :1
1 i 91 . : I I y. ,31 J.
tQ. c ,c I 1 - a .. ^r! , _
7. Footin s I 1 o Y a: � ,_ '"'• ;L •58. Electrical CondurYUndrarnr{' : • : ' �
1 .1 1 ! I �! -'� Q '.W tii.; L S J girl, _ .. _ , .L l:. .--
8.
8. Foundatiori 1 ; _ I I a 0c, �'-;. r r d. r Ez. _59 Gas;Pipe ❑.Undrgrnd Test; • ". 4. ' 1 I ^ ; „; _
9.(Water Pipe,-Undrgmd: , , o 5 Rte,, ' ; o '- , I !•76-I3 13 Backwash ,mes'Rt rap, D Undrgrnd `r. • X11
10. Structural Floor System 1 �K •o; 0 1 ii P. ''61. APPROVALTO DECK ;.• x
11. Property Sewer Line& House!Connection 1 `� !c;:; ,62. Backwash &-Receptor Final 2 ! -1. "'. • r- ''{ 5
12. Sewei ; 11--.1 r of I . c w_ ,o -I it
COI I I, 1 oEr, 1 "j -- •63. Heater,&;Pent-.Final , - • _ I : , i1 i
13. RooflDrains i" 1 i I '1p "� I - r'. il '! 7-• I' •^64. PlumbingSystem-.Final _ c , : ?• >•- '
14. Rougli!Plurnbing; �I I i as I ' ' 2 .l. 1 „ -• I '65. Electrical=Final .:- - . - • `. -- 1, . '*P; v' I I
I:5 151Rou h-Electrical:Condui¢¢, ,_ ,_ v ^- -� , TI I 1 i ' i66aSolariSYste -Fiial>- ;
l 1 - - , .
%e16,iRough EleidtricWirin9t v, t e I 11 (I"' 1- 1T��5}'ri'7-:'..,..:1-0----1.1.1 4 "- a__!_ '411;:t.."- r .1747 -- --
o !!�� r.,t I r,;- 'Lt � - n � I 1 � ) , I �� I�:• � - 69.1 Fencing&1'Access•APproval =�!= : j'm 1,T �� , i-..--i `
:17.bRoughzWiririg`.Sign� NMl_" i II III: I., I•zltilw `i ` 1;, 1; 1681A?PROVED FOR..:PLASTERINGIILflr0I + o
- 1118.�Rou'hE!ectric'aI;,T'Ba�,Ceilini I 1, ' j 1 ' >� irc - - ' •- ; t" 5, " 1 I C.
„ o '� 9 , •,. •. ' 1 ) 9i I� 1! ; Ic I I 't`• � ` I '169 POOL/SPA SYSTEMSFINALI In [ 1 .
r .. ,y �• - Y , 1 11 ' I 1 ' I ' • I L L I .1 I Y
p 19. Rough Heating& Air,Conditioning I ;FIRE DEPT.:REQUIREMENT? ' = c
^9 �I � n 1 '. I I i I' I �'� t I I 1 I • t 1 r ; i v 'Ji IJ i 1
.I 20. •Rough;Factory fireplace i1 , t 1 1 APPROVALS: . Permit# -
hn' , I I J- 11 1 .I I, I 1 t I 1 I , - t , • , ' _ I ' : 1 :11 _ . . ..
CZ
21. 115tcs;n Strucure;; `i 1 1 I II 1 70. Under round H dro i '
F -�, a1 ? IIIIl1l ! 11 i , ; 9 y > . , 1 - 1 I I
„ 22:,Ducts, Ventilating ,. 1 c+. 171 1 Product Pi in ❑Gas t] II 1 1
L. ,I ba r. I I �II III I 1t 1 I I 7 1 i •, I P 9 Oi I I 1'� ( I
o €23/c;•.: •Pippe-Rough& Test o I .1 11=lit_- r I i I I T 721 Underground Flush !• ^- --1-T 1-i _-i 1
•
F ¢�dFC24.1Roof Framing• I I 1 ` `` 11 11 ;:raI,,, I,v 1'N k .r1; 173.; UnIdei rrid,Stora eirank'EGas- 17Oil �
ai • : h1 , 7 I1 Int . (' IIP;{: n1 ,1� 1f 01 % ; 11 - _ 9 9 .• 1 I 1
0'1_25.IRodj Sheathing I I , i I ;it • I,, 1 Q t h_IL' I`1 I 1 ,i,1.1 I74.� Overhead Hydro a "4 _ 1 , 1 ,
l r. n p:' n -2
� 1n1 i t '7"E
'
I ' _ ' .i 1 ;
1-26. 11T-Bar Ceiling (Structural;,& rvionOWat 1 ;I o 1 21 Ia I 1 ,11 175: Dry Chemical „ •; d : ' I = , I 1 ,: j -
n.. 7 1 I 1 n , - , 1 , ..
1'2T Frame and•Flashin : i 1, 1I l I -` 1 ; I 176.1 Dry Standpipe• 1 l - I ' 1 I ' ` '
v .{`- , vI; 1 -,9I � rI I II 11I!' i '1 i il i 1 � I 1 4:
j 28. Illath:ing &Siding; ° p 11 I i1 II I I I I H 1 I 177 FIXED SYSTEM`F,INAL - - 1 f , I 1 i ! r; I
yy
` 29 29.IIIhsulation !; 1 :t ": T I I II i1 I I 11 I I 1 I 1781 FIRE PREY. FINAL! { ' • , 1 I 1 I I x
• tt • '
£ 1'r30. ;Drywall Nailing ; i'-1 I I 1I '' I 1 1_ I I I 1 ;Notes I I 1 1 ' ' I I ' ' I -I
312•IPlaster Brown Coat I .I 1 l I II It 1 I ! I --Hi- .i• I_�_ .i i-
�1 _ I 1 ,1 - 1 1 ---..--17-
1 !7; _I - .}
.1 . 1 I , I I i 1 1 1 _ y 1
i 132. lElectrica!Rower Meter'-Final II 1 I I I t ' I c ., . ! i �: r- 1
f 1 � 1 1 I I , I 1 1 1
LN - 1 I 1 1 I , i ' I , I : I
33.!Finai Electric ! ' I I I a 1 , ' 1 .,� 1_.., _.LI.. ____I ' _ • _ 1 I I 1
34. Final Heating& Air ConditioningnI �7 : ,_ I I I i I -I 1�. - �'.' ,
lI - 7 cto : - . - u
35. Final ; 1.Pape-Test n 11;: I in' n1 .f, I` 1.' I n I` I vI = I` IT I �I i - 1 .;:.• _ r =o "1 '' - - i
36. Hood or'CanoPy .; ,oi r ' :I n1 )1 i ., I ' I I- I ^ :�'i I --I _zZ ,} i•_•1 v - r1 _• _ _ ,• •a
1 ,.. , ii- to I ^ t ?1 I I 0.1 ,1 '.;
, - { .� .. n -
37. Final Factory Fireplace^ 1 1 ci f1 1 I� 1" 1 { ( I -,-,i., ' - , � :c c - i
38. Final'Flumbing I i -I • I IBI O Hit I n I I I J 1 1 I I I 1 " ; 1.„ 1-:. ;• ° -: ti -
• 39. Water Service- Final; I I 11 it I 1 I I •
III ' 1. I I 1 I _ I`.. •-, i E'1 1 _ I. .
40. Gas Se"avlce-Final 1 I I I I l I 1 I I -I I I I i !I I ' I I --/ ; ti .
41. Solar Dornestic-FinalI I : I 1 1 I I ' ." � c, • - 1 1 ' '✓ �; '
a..1i 1 I I I I I 1 ,-,- +- I I ,-a- -,--I--I-: �-- -----
42. Backflow Preventers x I I .I I r.,I- I I 11 !{ • 1 I I ; :• 1 ;u i�
43. Backf low l jigatio`ri =! I I I (!n l� I'11 I o I 'c I`-- I t` 1 s t R 9 -! 1 I , - Ili :
r:•, , ,-I,. I , F._l^ 1= 1 ,i ,- f 1 c-1 0- /I 1 I I 1 )
a.l , -nit - I •u,u. i - I ' ;-a ' ?
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA 1 . i' -- •— - --- - - L -_-- -- '— _ i. -- -,
• + _ ;r PER IT NO. TRACT NO. OT NO. •- -BLDG.NO- , 1 -r-�'
' CONSTRUCTION PERMIT' i., r, i - i T. - ; 1 I „• I :2 ' t • i i'. 4 • ei ; • •, 1 i : ''I• ' f , 1 ; • I -12--I.1 ' '4 � � • ! `: , ; .
•
Applicant's Mailing Addrress 1'080-N N..-$A to•Nr'L-a', Orange- ; "TYPE OF CONSTRUCTION_ NEW ADD'. LI-ALTERATION• H REPAIR''- ' - : • •
• 1 j " J I I'f •5 j ••• t1 Ir- • - te- j�.
Project Address.' +75 lr'SCYlenley• Bay ., - ❑ CONVERSION :❑ DEMOLISH ❑ OTHER- I • - • _ • • ''4 ;-
Owners,Name r' '11/1•1.); !,Tan PA 'CD. I Phones -• • ' I DESCRIPTIONOF WORK mets 1---Flrep1,ACe: 1 •' -' _,S - i y -_
-� - , _ .. .. ; r i Ir - �; ; . I - _ C • s ZONING REGULATIONS +
I - -t' } , I ! v J
Address 1 - - I - ;TYPE OF PERMIT -UI GRADING V' ❑'FOUNDATION ❑,STRUCTURAL 1 ! _ A.Pf-# , 1 , , ZONE ', _. { l a I T I 1, m L. 1 '
•Arch/Eng: I C License No - I ' E❑.TENANT, ❑'ELECTRICAL E;PLUMBING• ®.MECHANICAL 1 -' 1 1 '- , BUILDING• ' '• 1 "'
_ c _ r _ .TONG. ftEF. r ,
Address{ r , - ' •- ` '^ r • 1 - BUILDING• c.
'- .❑ OTHER I'' - : ..- _ I i 1 -,TO BUILDINGt-
i
p •r, I
COntlactor's Name Coast F' 1 rept ce Phone 1. 6 Z • i • > ., -PROPERTY LINE • - .REAR YARD(TO P/U 1
39- S2 PROJECT DESCRIPTION, SD.FT.' - OCCUPANCY
V • ' - - ' ' LEFT SIDE YARD RIGHT'SIDE YARD -
' Address(mailing) $':I $ t s •i _. - _ - •• e _.e 7 - CONST RUCTION TYPE 1 I I VALUATION$ - •T: - -'
License No. __'16406 : • I ! ZON)= i GRADING CU,YDS, 'ACRES ' I ' - ?KG,SPACE:REQ. 1 i 1 I PROVIDED i ..- I_� '
LICENSED CONTRACTOR DECLARATION ? '� I t I I , STREET WIDTH I 1 1_
i Remarks-. , �' n +J �� I - I ! PARK FEE$ ,
!,hereby afflrin.that !yam licensed under provisions of Chartessi (commencing 1 - - • / '
with section 7000) of Division 31 Of the Business and Professions Code, and I ' • j : , ' I I c • ' I i SPECIAL CONDITIONS: l• 1 I I 1 ! / j ;
my license Is In ccull i9rce and'effecL I i . _ r , _ I _ ' _
License Class 1'- l ` ense o , •I I , PLUMBING p I • ' I, + j i I I , 1 T r I i s • 1
Date 11/1 6/8 Signature /
{ ) ' Bar Sink I i I Sewer Cap" I 1 I ; 1 i ELECTRICAL I I I { - , I
7�/
WORKS 'COMP NSATION DEC A ON , •(/ 1 L` - 1 • I1 r -
thereby affirm that Ihave.a certificate of,consent to,self-Insure oi.a certificate __ '. gaekflOw PreVenteF-•- �-- - -• -_ _ . '_ Automatic Washer +' „ :Meter Dover 100 amps. 1 I • I 'I 1
of Workers' Com ap top Ir}5ura�cp qr c rtitietl�copy thereof (Section ..;I• -- 1 Sower Connection---r - -+- .- - - - -•F•=•
'1 V4'O UdC 7). • Sub Panel, i 1
3800, Lab, C.) g 3 /ID JC, 1, , , I ` • ? ` I _ -.. ConstructionPole I
Pol(cy No: Company A `tna , Backflow Irngabon. , i Solar Collectors - l- ,
i I s - I Cooking Unit - ' i Sub Pole
Certified copy Is hereby furnished. I I 1 Bathtubs 1 • j Solar Piping I { i t I 1 ,I ! i ' 1 • i
Cant ie ce }� Bled with the City Bu g I.Is1I I I. r, . • 1 1 ' 1 Dishwasher ! I Motors 00-1 HP ❑1M$
_bate J- I „I Applicant f ITT Clarifiers 1 ,• a I I Solar Tank r . I ! - r ! I 1
' EXEMPTION:F,ROM WORKERS'COM S N DECLARATION. • I Dishwasher ! /`"! SwimmingPool w/Spa t 'r�'- Dryers ❑Gas..(Electric "-` -I - _--
(This section need not be completed If the ermlt is for one hundred ry�.. line.Solar'�9-15 HP X15-15+ i"'�
less). 1 } i • , ,-, I Fan; , • ;Microwave
1 certify that In the• rmance of the work for whtch this per u is Issued,I i I Drinking Fountains Urinal . 1 I - 1,`' ' , 1
shall,not employ any person In any manner so'as to become subject to the - - - 1 I < • ! I , ,
F.A.U. t• Pole Light
Workers';Compensation)Laws of California.I I i Floor Drains: . Water Closet! 1 1 1 - g
Dace 1 I 1 Signature I I • 1 1 '
NOTICE:If,.after making.this declaration,you-should'become-subject to.the,-4---r• Hoot Si,nks_I--_ ,._. .L._.-;.--J.- _ --,Water Heater;-- .-• .I--- . -�,— _ _ Fixturesy v L....1...._ IRange__�-"_�-_ -- _ 1
I
Workers', Compensation provisions of the Labor, Code, you,must.forthwith 1 ... i ,
' comply !with' such provisions"or'this;:permit ,shall ,you.must.
revoked,; , ; Gas Service' I 'Outlets I !moi Water Service "" I v Device Boxes i I I Sign 1 I 1.
CONSTRUCTION{!:ENDING'AGENCY- - - ; - - • - - - - Outlets I ' ' ' '
I hereby affirm that there is a construction.lending agency•for the'performance. , ; Interceptors .' r - - ' -.7• • ' Standing Sections ,
of the work for which_this permit is issued;(Section 3097; Civ C.).:-I - - -
Lender'sName,° I - ` • ' .n ,t3 I Kitcnen'Sink i_ t' ' -i I ' 1 -. , , - Switches ; _ .Trash Compactor I.
Lentler's Atltlress ' .: ..
•
�- ! v .n i i Lavatories -' ' - r I 1 Garbage Disposal 1 i I i 1 i •
OWNER BUILDER DECLARATION e ( sj, ! r ,s' . - 1' I'1 ! q i r ! - I '
I herebyiaffirm-that I am-exempt from the;Contractor's License taw for the „I
Tre ._� I r*i I Generator,00=5 KW 05-15 KW , I + • .! '
following reason-(Section'7031.5 Business and Professlonal'Code: Any city or . . , e' 1 •- .7 1 - - } _ 1 i
'county which'requires a permit:to construct,alter improve;demolish;or repair ' - ' I 1 l
P 1 - RoofDrarns „ I - t- i ' 1 Transformer X15-50 KW 1 ! 1
,any structure,d prior tom nt'th t he/,!also requires the spam t nthe- such permit '
111%f
th file a rector License Law ( he/she Is licensed pursuant to ctionovisions of' - c 050 4:KW 1 --
the siontr3-of the Busi Law; Cha ter 9 coinmendn with Section/000 of •• I .. 1 - - i , rReinipeption Fee
Division 3•of the'Business and;Professions Code)-oN that'he/she=is:exempt• ShOWers i '1 J 1 ;r - I Remspep[ionlFe_e : $15 - 'I -
therefrom and the:basis for the alleged exemption..Any'vlplation:oft Section 1 I 1 ', - ' _ Meter ❑up to 100,amps tissue Fee + 1 $ 3
7031.5 by'any.applicant ',arse.permitrs bjecs•the Cepelicant to as civil'I 1 ..1 ' t ;,•. I I w ... i i ( t ^- 1 . ' j _ .
LJenaity of not more than five hundred•doltars mom; I :, 1 , 1 1 Service Sink • j �- 1 Issue Fee;,f i $ 3 1 Zoning Approved By 1 ' I 1 Date ' t •
I tas•owner of the Iproperty or•'my employees with wages1 as their" sole' I - I I }
compensation' willldo the work;and the•structure-is not intended or offered I i -. I I-. , _ .t 1 ! -� MECHANICAL' ' i ; ' ApplieeYion Approved By ' • I f { gate t '
for sale)(Section 7044, Business'and!Professional Code:'The•Contractor's 1 - - - - _ - - - , I 1 I
1 License Law does not apply town owner of a property who build's or improves Boiler. I 1 ' i Refrigeration System ,' . , I' ' - LO Lae ' i ///��/o�
i thereon,land who:doesrsuch'.work himself/herself or through his or her own t 1 - i ! 1 Appl•iptiOn IssUBd.By _ Date O
-i employees, ever, ed that such improvements are Snot Intended or offered for 1 ❑0-100,000BTU 0100,00DBTU''
sale. If, however, the building or Improvement Is sold within oneyearofot com- • ! Duct=Under'Ground I I , i I i I I ` 1 ; , i SUMMARY OF FEES ' ? 1
elation, the owner;se have the burden of proving he/she did not build or im- , - I i• , 1 I 1 ' I '
trove for;the purpose of,sale), j , . . 4.. . I i 1 ! 1 Duct Structural I 1 i i System Repair/Alteration ' 1 - 'BUILDING PERMIT $I' ' I SMTP 1 I i $ `
I,as owner of the property,am exclusively contrading:with.'llaeosed con- - , - I 1 I • I I .I ' - i
tractors to construct the'project(Sectton 7044,Business and Professions Cohe:_I —L Duct_Ventilating L-;_I ) - _I _.1,._ , _- _. • I ,3 ' 'PLAN CHECK! $I PERMIT i I I , I -
:The'Contractor's License Law ddoes not apply t0 art owner Of property who r , - I I 1 1 I ! ' I ISSUANCE • l $ ,i •
i builds or Improves thereon,and who contracts for such projects with a con i , Exhaust System ❑ Multiple ❑1 I ' 1 •I i I I , !PLUMBING ' $ ' I ' I GRADING I 1 $ I I r
trac_tor(s)license pursuant to the Contractor's License Law) 1 I 3195 ' , ; i I 1 i 00 iPLAN CHECK•! $• _ , . 1 1
1 0 Ilam exempt under Section -1 B.&P.C:for this reason 1 l; Firepl/Fact.Bit. ICBG# i
V i f I I : • i 1 f 1 r
ELECTRICAL t $; I , ' 1 I I • $ •
Date . ' • .Owner' I I : 1' I HeatingiSystem&Ducting ) •I , ! i . ! I. j I { MICROFILM $ i_ I I
1Ihereby.certify.-that•!}have-read-this-application.and state-that-the above- ❑o_100,000'BTU-0100,0006 - - 1PLANCHECK! $ i f ( I 1
Information is correct. I agree to comply with all cltyland county ordinances j t I I , I I i� r 7 �1 I I I I i I I TOTA CIFEEI 1 $ 1
1 andrstate laws relating to buildi g construction, antl herebyauthorize re re- $ - !MECHANICAL $ 7•ICC' I I
' sentatives of+this I t I t. ente 'I upon the above-mentioed property pfor • Hood o; Type I ❑I , 1 I Reinspection Fee' $15. I I ' LESS I 1
. inspection •ur..s•� , a I Canopy, Type II ❑I • 1 I i PLAN CHECK! i $I 2 On 1 ADVANCED,PC ' $ -'
, Sign•etere I / i , Datel!l/16/R3 i I 11 f
Prhers.Lice se or S9P . 1 1 - I Registers i 1 1 Issue Fee + $ 3 ` ( ' I } 1 I I I
r 1 _l I 1 ! $ i 1 1 1 i ' 1 1 FINAL FEE; t $ 'g '2n .
-. _.- -_ _.�_-..._ _.-... .. __--... __�.___... _._- .. r - -__- ,i
CMF 0865-46 rev.12/82 Wh to-Buhding;Canary-Applicant Pink-Accounting;Goltlenrod-assessor - - - -
„CONSTRUCTION AND;PLANNING -" ! '- !I.: � ' - ;Q POOL&SPA I.r J - -y r • _ - . .
APPROVALS Permit# `-- ,: ,Dater` Inspector! APPROVALS..::•Permit# - - - Date Inspector
• '
1. Temporary,Electrical Service oC Pole _..."1 __ ; ;52; Pool & Equipment Location's . - - -
r ( '• _ . '53:;Steel Reinforcement -
Y `2�. Soil Pipe-Undrgrnd• `_ � � �- " - -• - ' ...
- •3. Electrical Conduit Utility-Undrgrndt • __ - - , 54 Forms - - ",: - -
"4. Electrical Conduit-Undrgrnd.: , 1 , - E t _ - 55; Electrical.Bonding - 'r- .. r
5'. Steel Reinforcement • ,r `" - : -+,- " -`°" 2 •56. Rough:PIumbin '& Pressure.Test • • r
6. 'Electricel UF ER'Grind:- -' f r . _ 57: APPROVAL TO COVER-GUNITE„ _•. - _ '
7. ,Footings . j : ?-7.,: r, ' Vw` . :..^: - 158. Electrical Conduit=Undrardd: _ f '
8. 'Foundation ' I _-. ." 9' '59. GasiPipe O Undrgrnd- Test, i . -
9. Water Pipe,Undrgrnd: ' _;1 4, scI '60' Backwash Lines,P;Trap,UUndrgrnd.='. : . ,
10. Structural Floor System - t 61. ;APPROVAL TO DECK •
11. ;Property Sewer Line & HouseConnection 62. .Backwash & Receptor-Final:'' •.i, _ '
12. .Sewer Cap; _ e�. -
; ,rl i _ 63. Heater & Vent=Final.•
13. iRoof;Drains I ; ? �' I :64. Plumbing System-Final - - •
14.IROugh Plumbing - - -` 'r 65.42Electrical,Final° •- - -
. ' 15: Rough-Electrical-Conduit-I'- T-.r-'• ---• -i 1T-" •---'l m-
- -66!-Solar SysteFinala - 1, H ,.; - i`� `�
7 , ' -
q ,.L
16. ;Rough,ElectricWiring I. 1 '. I .7' 74'.o';-= --;n r m• .67, Fencing&rAccess.Approval`T, ._ ;T , ,
17.LRhugh.WiringSign`: ` i 1 1 lilt 1. : .; I L ; r.Ir '68! APPROVED FOR PLASTERING • " , ;
18:'Rough-Electrical-T.Bar Ceiling ' ;;_ii. 1 1 ;69. POOL/SPA SYSTEMS FINAL 4., -
19:*Rough'Hating & Air:Conditioning I ' 1 ,FIRE DEPT-,REQUIREMENT t ". 1. i ' -
20::Rough:Factory Fireplace ' ;r I- L'7,24.0.1.,!SiX-� APPROVALS Permit# • -
21:;Ducts;in Structure, , I,..' i i ' i i , ,70. Underground Hydro :, . ! ( `"'
.22..Duets,IVentilating; i , , ;71. Product Piping 0Oil I --,: ,
23.'Gas Pie-Rouh&Test ;i'a'
P 9 1 i .72: Underground Flush,
-24. Roof Framing, ' r `tr rs i`• ' • ,c : -, , . ''739 Undergrnd.Storage Tank'OGas. 0 Oil' . . ;
25. Roof S heathin ; , "' ; - '
_ ,9 , �'' i '74. Overhead Hydro
- -26. T-Bar Ceiling (Structural);& Monocoat , ' ; 75: Dry Chemical .' - ' •
27.'Frame and'Flashin ' ' :' - •
9 {' i - ! X76., Dry Standpipe Pe ' .
26."Lathing & Siding' • I. i77. FIXED SYSTEM-FINAL.
29., Insulation : . ',t r•_ ' ' •' ; 78 . FIRE PREY. FINAL •• ' - , ,
30.'Drywall Nailirig ' « ' " • ,i , i i Notes: - .
31,•Plaster;Brown Coat „ a i ,
. 32. ElectricalPower Meter-Final 4 . , ; ' •
33. Final Electric ' - - _ ' _ ._!. . . :-. ... -. _ . .
34. Final Heating is;Air Conditioning 1• + -�,
35. Final Gas Pipe'Test > ^I I ' - ..
36. Hood or.Cand5y , 1 - ; ' ;- i _ _ _
37. Final Factory Fir• eplaces . =' c, `7r �frJ,, /�t_' . I
• _
38. Final Plumbing, '; - I - - -
.
39. Water Service-Final , i .
, ..
40. Gas Service-Final ' i r, ' i i "J ,l t ..
41. Solar Domestic-Final_ ' ' I __I i I :a
42. Backflow Preventer ! - t
43. Backflow Irrigatio`n i t;, r- 4 % I ri • ' , . , -.' -
44. Landscape IrrigationSystemf ' i I " :� : - i+' L. o
45. Sound ;Attenuation ', - ^ I , ^ t - __
46. Handicap Regulations•; ,- I ' • r j
47.-FINAL STRUCTURE& BUILDING', 't . t j - : 1 i 1• ' -%
48. Special Requirements Completed ` - ` I- I ` , t IC .. „ :,• - -
49. Electric Releaseto'Edison 1-r: 1. �.___I .'_:__ t - , ' • '
50.Gas Release to Southern California Gas Co ; ! l ' ' - t
., I - . . !
51. CERTIFICATE:OF OCCUPANCY i ' ' t t _ _ ___ i •
No I bate . • 1