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757 SCHENLEY BAY - Building Permits
• /p _ Applicant to fill In all spaces except those within heavy border lines and_ sign all appropriate declarations. - _ , //y CITY OF COSTA MESA 1 { „ P PER1vQ�IT NO. • T/q T NO f LOT NO. 1 B .N0. I I I • 07531 6/21 %63' 3 u.61 > TL I, CONSTRUCTION PER IT o. - ' —CJ 7 J e2-G, . :V 16� • '' -. t ..7= • 1 ' . I IP 1 Applicant's Mailin• Ad. e---���e111�S ' eL . •�L t 1�i, " TVPE'OF CONSTRUCTION- NEW -LI ADD U ALTERATION=U REPAIR'- ' •1 Pfoject Address mB to • �.! I�(J ' '❑,CONVERSION '❑ DEMO � Q, ..' -•• P lir _ I • �` t ' Owner's1N me (•IVI L~ i 1 - �.' V' ' DESCRIPTION OF WORK' - 1 - - , . - - , `J�� � I� 'honejj/y]g�E'{[����� W. � 'ZONING REGULATIONS-I1 Address' ft , -'• ^ -. .B.J.Y �� 1 ' •'ht(IL�J ,'- I i r w/ 'a. , p E •; ., r ' • T =TYPE.OF PERMIT /-7 ,, FOUNDATION •t STRUCTe •A A.PCgW Is) - I�I -I'� 'ZONE - I Alch/Eng.,`l� �f1 .rzd ' 7f can N� - ' ❑ TENANT ❑ ELECTRICAL ❑.PLUM:ING• ❑''MECHANICAL • I '^BUILDING 'C "'-� . ' Addtessl -J-71,1.•;' �) • l I I. 1 O I a « , • PLNG.REF. ^ 1Lt'I^ CFTC/At-1e CT•• e I ❑ OTHER I -� .TO BUILDING :r Contractor's Nemv ;� 1 • Phon � /s//� /, PROJECT DESCRIPTION SQ. •I l.1 Ir /ae Pb •OCCUP pp/IY - P"•9PERTY LINE 0y. ,0 till EAR YARD(TO P/L)- 'p(qj ci•,•tU Address(mailing) - • - I CONSTRUCTIO TYPE f/i e ' I : V•LJ/prTION$V11 LEFT SIDE YARD 0 •• LIGHT SIDEYARD; I. License No. 1 " ' - ; •. , ZONE ' 1 �; GRADING CU.YDSC / /1� 'ACRES ' ' PKG.SI?ACEI REQ. 2 5 I PROVIDED - % I . J a, �. S_Lo> LICENSED CONTRACTOR DECLARATION . C ' , -- STREET WIDTH i50 r 1 , PARK FEE ��j 5 1 - Ramarks: I - i �` i1 $ r X� 1• Lhereby affirm that i'am licensed under provisions of Charter 9(commencing - with section 7000) of Division 3.of the Business and Professions Code,and •i I I t ' a i I I i SPECIAL CONDI-1704 CI ' ' 1 tk?� Ff1R cQECI�r .�Fn�mERnE"dTS my Damsels In full force and`effeet. i i a • I _ - • - _ License Class• ' -..I License No.•''- I i , • l I PLUMBING 1 i • _ i I !. { ' 1 I I• I • I r ( ' ( - ' Date ' ' Signature i n I i - - I w • I Bar Sink ! Sewer Cap' '. I - t ELECTRICAL i ! ! WORKERS'COMPENSATION DECLARATION I ' I G I _ _ _. , ' I:.L hereby.affirm that I have.a certificate of consent.to.self-Insure oi.a,certificate I _:J_ y. _ Automatic Washer... (Meter ❑over 100amps I '- of Workers' Compensation Insurance,.or a certified copy Hereof (Section • ''Backflow Praventer••- •{ -- -•Sewer Connection'- , •- --- ••• -' - -- - _-:......1.._ - I 3800, Lab. C,) 1 $ I I 1• , " - i- 1 i ! Backflow Irrigation I Soler_Col lectors,: , , ' . Construction Pole t 1 !Sub Panel - 1 , j`r id . �i I ay No. Company ', • ' - - - Cooking Unit I j Sub. Pole s wW�MJ1Certified, opy Is hereby furnished. • 1 I I ' I. Bathtubs i ; Solar Piping I �' , t 1 , H1 _I LJ'Certified copy is flied with the city Building Division, , 1 4 Dishwasher r Motors 00-1 HP i h-B ' •I ' ! 7 : - I Clarifiers Solar Tank 1 t : I _Date Applicant_ f .I • 1 { EXEM PTIO N.F ROM WORKERS'COMPENSATION DECLARATION T 1 Dryers ❑Gai ❑Electrif i jinc.Solar.09-15 HP D16-15+ ...-- • -�- ' , (Thlssection need not be completed If the permit is for one hundred ($100)or i 4 Dish. washer ' ' Swimming PO w/Spa e.. , 1 - I less) i ' I i j - - - Fan) ! I Microwave I i I certify that in the performance of the work for which this permit is issued I ' , Drinking Fountains t Urinal 11 ' �� • I I - - , shall.not employ any person In any manner so las to become subject.to the ' : - v i , ---,I - ' i l : F.A.U. : Pole Light 1 { I Workers%Compensation:Laws of California.: I I Floor Drains' I I' - I I 1 1 l Date • I - Signature ' 1 ' I l I - Water Closet , • i 1 Fixtures ; - 1 t .Flange._,..!.._ }- .,1_:-,� NOTICE:I f,'after making.this deolarationr you should become subject tothe-�- - }- FIwM1$inks --,-%-.-•,'- —•'r..-. - -WateM1Heeter -+ -1- - L--. ....- • - -- •. ` +— ti •�- I Workers'( Compensation proVisi ons,of the Labor hall you must forthwith I - • Device Boxes f I i ' 1 I ' comply whh• such provisions'or this'permit •shall be deemed revoked. (a Gas Service. ''Outlets t . oNater Service -,> , i L„ II Sign /' I _ . • CONSTRUCTION LENDING AGENCY V ,, a I, • i ( I - I 1. I I hereby a orm'that there is aiconstructionsending agency for,th09erform C:ei ; • ri ' 7 >- " �'-'1 � n^=. s. p• Z.127 "tu ,,POOL&SPA �:72.;r: b-4,. _v , l , • ? . i •y CONSTRUCTION AND PLANNING ; m _te ,: PPI,-,-,I _..;;;:g�- - w - r r J ' h t •m '_- c i=.`:Date r2 a rInspector 4 V ` ' m' Date Inspector - .APPROVALS R Permit:# t l•, APPROVALS -P,er. "' - I :...,1-,.. •1 t lr 1(t_ ;emporary:Electrical SerYide OIFIP.Ole + :+i :., c'rli-, ! -o n i. :S52�:Pool &`-Equipment Location.- - , Y. -. , .. _,; n 2' !Soil Pipe'-Undrgrrid`.-'.'. h 1 s : ; i i G: r I °>y I i•,! : ' i 153. Steel R.einforcemen,t x i,•,'-7° - fl, 4 ; 1 1.F":4",....1 . 1 ' - .3: , .•,ical_Con, Utility-Undrgrnd. 'c2.7 .. 1 P; 1 3z ?'-'• _54ri'Forins.;~ «`�„- -£ - • o y•,o-c ' ` • I. -F• `^ I m w 4: Electrical-Conduit Undrgrn&.fl t' S ' '_ Grt, 1 `55-'Elecerice1B_on"ding'g" �,-- ='-- °-� '• - ' -.s ' + - Z ..c•- +' - ..r �_ , _ i ,n n° r. nt .,y , - .. _ 'F O ._ . _4./17, Steel.Reinforcement; •; . ' n `^ I ° ;:.i.52.? ;c'-',5•,r561:Rough Flurt bing& Ptessure'Test -' ``o r 1 6: IEleci ical.UFER'Grnd ; ` nx , 1 5= 2 " "'pc 57=`APPROVAL•TO COVER-GUNITE 4 ,'L T32- '1 7. Footing: i .{-1� r 1 , u `m 1 I a: I-', 1-: 1 .11/::,. e1 1 558+,E,lectricaLConduit_Ur drar;Ia{-` '.` gr_ . , ;_ i !- 8. Foundation _ ! I : _,:-Ig..: ; I `.i i; r' ' ' }.4E: p ':59. Gas'Pipe,'.O;Undrg'rnd;Test=" , : • � 1' - I .�+�{� 1 - i. I '� I 0.-5 I O I -•i• _.-. .. `tel , 9. Watei'Pipe-Undrgind. 1 1 d 1 s 1 sa _ 60. BackwasA Lines�PTra`p, D'Undrgrnd._ I s,' iv a + 10. Sthuctural•Floor:System I 4r, I 1 I 'S.-' ='> 1 .161. APPROVAL TO DECK '-9,4'I T t .- 1 i - 'L ,'"•' , 11. Property Sewer Line& House`C_onnectlore L c`- `'E I .62. Backwashe..Recepior Final ' 1 .•i I 4--. m I 12. SeweiC? p% '`_` Ri - ( 1 3' , I I 1 0;; "' '63. Heat - i & Vent,Final- lb.': :' - , �''';; 13.'ROof'Drelns" ' 1 '1iI 1 c' i 1' 1 'o ' - • • o . Fo;<r' 2- �; i .,i .,..n-- : I - - '=66 4. Plumbing,SYstem,°Final ! - _Y �' . • ¢ 14. Rough-Plumbing , I ' - I i . e - • • 765. Electrical'-Final' • J- - t -; r , -1'.:•t 11 '1 •-7-'_R-. _'1_ ,- I_'_•- _ --_r_ r11,. ,Rough"Electrical=Conduit"� 'i' I 7- '�'i ,66.x-SoIaTlSytem=Final�l-r -i"{_- 1 1 (-' - I II,- Hi._ ,... mv 1(i76. IRough-Elec'tric,Wir;ing: -.., I k .F;1-•'i'm x7-'( ,7--;„+-10.1-...t-1,67,-.1-, Fencing&,Access:Approval);-�''+ lc ,, i:'_ 1 ii,! : ' • 17. IRougF Wiiirig`Sign' t, 1 ` I I1 11- 1 ;1 i' i i Ff.:', i i - I c I,< 168± APPROVED FO Ft PLASTERING , I-: i I ' ' ' 18.,RoughrElectncal;T;Bar Ceiling; ' P ' '- I I = m c - 1 - 1 _ ' ., ' _ 1; , , _ • , , 1i I , !•;:, I '1751 . 1 691 P,OOUSPA SYSTEMS'.FINAL , , 7 1 !: i . '": u rt t9,.1F1ough;Heating&,Air Conditioning II I , i,'3I 1 1 ` 1 � i ' FIRE DEFT.iREQUIREMENT 1 ••• � ' ' 1 "1 �; ' 120. (Rough_Factory Fireplace I. 1 '1 I, 111 ' ' I I APPROVALS! ' Permit# ' ' 7. c . - 3 -L., 1 1 it 1 l l ! ' I I I 1 I , 1 i 1 I ' 21.-'Ducts,-in Structure? f H I I 11 II 11 I I I I I 0� Underground Hydro i I ! 1 ' r IL'22.;Ducts ientilating':' �;rn I I .I1 I1 I I I I ' 1 I 1 1711 Product Piping O Gas ID Oil ,, 1 ` ! -'; Ir.23. `Gas Pipe Rough &Test a i I IIT 11 f F 11. 1 �72T Underground Flush I 1`` •- 1 r i -I `^ "-24~Roof.Fr ruin %:%-"' = • 1g I• t I I:u I : ., l-_ 1.o- 1 i 1 ' r , , , I , •' 1 1, :�I B 'I 1 n I 1i�, ' I , >+`�, :' 1 ,I;- X73.; Undergrnd.StoiageTank �Gas�OOil 1 Ts 1 25. !Roof=Sheathing-• ;`` t +n 1 • I ;;= I, r 1 I I: 174 Overhead Hydro .4 1''`' `' I t , I , a :1-26. -T:Bar Ceiling (StructuraIh• & Monocoat.t' i 1 1 1 ,�I ,�.1 I `,1- 175i Dry Chemical ; ti i ; i• _ . ;j i I -c 1 2 • 7. ,Frame-and-F•lashing _;:::"-l-- •1 , p 76.1 Dty Standpipe I z ' ,- ', 1 ;1 28. lathing&'Siding• r 51 i I I I . I Tv 1 1 • I77.1 FIXED SYSTEM FINAL, o- t 2 r29_ Insulation 11_4 2 I, , 11 I'1 1 I /I 1 I I` 178.' FIRE PREY. FINAL .51 i ! 1 ' g;T30_rDrywall Nailing ,,',""' i I it , 1 p/ji-nt , DC I INo, ., I ' 1 I • ',' 7. ' . : , Pr�31.•Plaste�8�own Coat'` +' '_i � Ili I ( ; I ,(. •I �- j �- ! '-.1- -1 , , - . ! - I1 I i� d I 1 ! _---, I i .e r 32.'Electrieal,Power MetercFinal 1 11 It + I I I I f I , ( i i I ' . , - I , 1 . i .' ' tt ll i '' C 33. Final Electric i I iL ! II l L1 _ . L._!. i.._.! iI_ 1. _a.. ..i_ _ 1- I'-- 34. Final Heating&!Air• Conditioning I 1 , ! ";, • . ,: l, i ;- , , i; i 1 1 1 i 1 1 - L I • I 1 ,' c1^ rl J J1rr1 - ;it at'j i:al f• : '. - _ a - - - _ 35. Final Gas Pipe=Testr,-„ 1,,i !1 ^i I toIo1• I I , _ IF }'. , ., - • I - , . s , .,_,.I 7 i f a Q I � t �i - �, � i J .I �- - - G. 36. Hood'or•CanoPY:'1-I ,Ink H if j - I L ; , i I I • - 1k'I ' 1= ?I _ i - : 37. Final Factory Fireplaces 1 i I cI 1; !: i I ' i Tin I I 1 ' ! , ! ' - . 1 r• I I : • _ q, 38. Final Plumbing-i, I 1 ,! :;i) It 1^ I 1 : 1 j • ! ,: i.., 39. Water.Service•.F-'inall t'J ''li I`••1 it 1 I ' I 1 ` 1 I 1 1 I , '� In ` • 11 .' _ . •I 40. Gas Service-Final_1 1 • lI. . • i 11 I I 1 i I I I I I ! I ! _ • , ,' .i . • , , • 1 s II _ I{ • . 41. Solar Domestic-Final ( I I : l 6- i--t I -r---h- F-=--F-" ; ,_- --1-t - -t ..�111 42. Backflows P,reveTter_¢1 i Im I I ' 1 i 1y. ).;:,2•..--,0 . ' • p.r -1 I i I "I• t`-I- r--- i I --,- - -I- .1.. (•--'I-'*' -}`-^ , rad r , r; I t ,,,.,- 1 4o L ra _1 I 1' !'1 - ' 43. Backf v c., Irriga>;ion r I, 1 P. tt1l._ 1•-'a 1; 1 °• L 1 ' : 1 J I r'I 'a ' I 1 I ! P 1 '1 •1 ii 44. Landscapetrigatlon=SYstem I c i. _ tcs I ` i Lit 'I s 1 _- I 1 11 I ' i 1 ddf 1 1 '1 ' it _ r; ' 45. SoundirAttenuatiori alt I "1 [ N I 1 I` 1 -JI I -I i i =I [ 1 1 i 4 46. Handica Re ulation-s i^ 'FG 1 1 ' "'i •`� 1 ,' r- '� u -;1 c.. :.' pl, 1g _I „ . 1 I '., --e. i i. , i 1__ ' 1 ; 1 I I I -1 t I ., 1 • '-} L•+ •" 47. FINAL STRUCTURE&BUILDINGK IF j' .5, 1 0 1 I • ; I 1, I i, { „ 48. Special) Requirements Completed ? 1 f9/I^i III 1 1 1 I 1 I I m * "r '•,�cil f' ' ' ' ' 1 49. Electric Releaselto Edison) I i ' 1 S 1 I ' t 1 I-1_1_ _t ' i _ Li:W. ! i „+:{, u _ 1 1 1 , Y }'- 7-"1 'S -t"i'--"i-' ._ - -:'T ^. .' 1i',-I s • 50. Gas Release to Southern California Gas co I I I I I I I r ' It I ' - I ' it,;“ ,- 1 ' ' ' 51. CERTIFICATE:OF OCCUPANCY yp I4_1___.!___i ' i ?-1I-..-.� _ .j'" 1"_• 'I' , =!l; • No I! I, i l =1 Date I I 8 1 t -1 1 1 1 1 1 I 1 1 , Lir is _ _ __ ___ _ _Applicant to fill In all spaces except those within heavy border lines and sign all appropriate decla_rationss. _ __ _ 1nC�.-I�'CITY OP COSTA MESA, j '• �. -1 T r - PERMIT N0._ I I J t TRACT NO i r LOT NO. t BLDG NO _, _ - F --pd 99 -6/21 /93 .T 33.Tju TL • ' CONSTRUCTION PER T. - ,y G1 = •I`n 1 ' '.. Pi'7,5-7e 1�! • 'i � . y . 1 � i.c. J . V- I, 73r E '•' 1 “., I . 4 ;A. 1 : ".i cur c - ` 1 ; -. , r 1 .. { t0j %i Applicant's Mailing A_ddress ' �- ei �����/� _TYPE OF CONSTRUCTION -mow LI ADD Li ALTERATION-0'REPAIR•. ! I • - . r, J ' I °' : 1 ! _ , r ' t` r P(dject Address `� I " - %/ ' �- t ❑f CONVERSION •• DEMOLISH ❑ OTHER _' -� - I W - _. _ )q- . r r_ ' ` I a ' . ,.a i. 1 ', >' ' r ,r ' I ;T:71.1/2. / �'� DESCRIPTION OF WORK ' a r r -• i `/� Owner slName ' 7.-� ti i I, t i i •! i d, H. ' ' ' , I ; i 'ZONING REGULATIONS-. ' t tr ,. 1 bO Addressl ' arlii --bTvi �� • 1 - . r p c I I - I r • PP I.'•TYPE OF PERMIT LJ GRADING•'❑ FOUNDATION•-❑ STRUCTURAL A PAL! r 'ZONE E - . ' M 1-,- 1 A ch/Eng _ ' License NO.1 ❑;TENANT ❑ ELECTRICAL �! UMBING ❑ MECHANICAL : ' 1 'tBU1LDING - tl ' r r .F - a - .PLNG.REF.G i n , rr ! C I ' 1• ' I Address: , i ..- - Q : . �37g%�// 1'0.pTNER y '- -. . ., i r I 4 I ?. , ..� CFTRer v'r4s eT _ PR BUILDING' I - 1- y s - . 'PROPERTY LINE REAR YARD (TO P/L) a r Contractors Name / ! - ' 1 ^Phon •r PROJECT DESCRIPTION' Sq}FT.'' t ' OCCUPANCY' ! I . CONSTRUCTION TYPE • * -- VALUATION I { • :LEFT SIDE YARD 1 1 i ' RIGHT$IDE YARD tc'1 } ! .i 1 a "' Address(maiiing) t • Il!'7 - I § - _ - -- ' ' ,IA�� , •L j ,i 1, 1 r ! ZONJ= '' ' ' ( GRADING CU.YDS rACRFS i PKG.SPACEREQ. PROVIDED I ° C L i' Z^ License No. ZZ. (O ' i I r I , I -I I _ . - '- I I i : ,n 1 c -S - LICENSED CONTRACTOR DECLARATION I 4 I 1 ` 'Remarks: i I ! es �JC� / r ( I -' I STREET WIDTH ! ,I 'y r , I t 'PARK FEET& I ". - __ I herebyi affirm th • at-IIam licensed under provisions of Charter 9 (commencing t 6,J / �.! W ' with section 7000) of Division 3.of the Biulness and Professions Code,and i '' - I i I 1 ,• 1 III i ! SPECIAL CONDITIONS: ! ) i r j } } , an.. I n -r . - 1 Ucense a • , r I L cel:! , :,•IG/ 1 v' I 1 i i ; I 1 PLUMBING I : I -E I I i i i f ! ( 1 1 ! J i t� I I r .I E I Date 1« Signature ' //i.. _ ..0-.....--...... -� i I - I I Bei Sink r 1 Server Cap 1 I i ' 1. I i ' i 1 ELECTRICAL 1 ._ i i WORKE S'C•MPENSATION DECLARATION '. - I .� • ' t • ' i .thereby affirm.that.I have a certificate of consent to.self-insure or a.certificate `- --.y geckflow'Preventer-- 9-- '� — -Sewer Connection'— "— - -'^ '-- E-- Automatic Washer.-...-.? _ _ Met _ amps I _ _ __.. er,.❑over 100, of Workers' Compensation Insurance,:or a certified'copy thereof (Section",! • - I--. + 3800, Lab.(�G�1'' 1 'Q/ ,1 ,/ ! i r 1 ISI {� I� '.1 E Construction Pole: ' Sub Panel ' 1 • Policy No.�'73�U!�IYfTCompany %iiGICI. "� ' -�. Backflow Irngation i i j Solar Collectors I I 'I ' 1 t.❑Lertified-copy Is hereby furnished. i ! I ' �,Bathtubs 1 J i ! '• Solar Piping ' J I • Cooking Unit Y-; Sub Pole ' I ! I I rtifiey�f ith the d g�DIVIShory,, , �`) , -• I I Dishwasher � i ' 'Motors 00-1 HP ❑11$ I Y { -_Date It/LS Al Ilcan ei�FS"'f ' rr�7"� ' W I Clarifiers ! f Solar Tenk ( I I I I EXEMPTIO N�FR M WORKER71'COMPENSATION DECLARAT - _ 1 Dryers ❑Gas' ❑Electrrt--!, - sloe Solar❑9-15 HP ❑16-15+ I • (Thissection need not be completed If the permit 15 for.one hand- ($100)Or •' Dishwasher ) Swimming Pool w/Spa I l : less)• ( ICAO , I I - 1 I 1 i Drinkin Fountains ` • " I' Fan. I .! ' 'Microwave I •j j I ! 1 all:ify.that Inaba performance Of the work for which this permit is issued the.41 9 p I Urinal . I I I. , • Shelli not ompen'any person In any manner sodas to become subject.to . . p ! ,.�I , r I • ' workers' Compensation!Ldws of California.' II ' 1 r I I Floor Drains 1 I ,/ : 1 I 1 ' 1 EAU I ; I Pole LJ9ht i ; i I : .i { , I 1 I ! . ! , I L Water Closet Data Signature , I Fixtures ! i 'I I 1 1 4.. ! I I . NOTICE:If,after Makin chi isions anon- ousrioold.becou must act h then- Floor Sinks-' - J -_ --Water Heater --,---L--_ -. __. I.___ _ .. .a--r._.,p-..I_ Range_ , .-3.__., - , Workers' Compensationy j !- ..-1 - - - ♦'- `i - -....,_. s-._. .. p prIonslons.t the -mit I Code,.you;deemed fr revoke :1 I r, I .. y. , Device Boxes .' , comply ;with; such provl51on5or:Mils.,,permit Labor, be'tleamed revoked.y �, Gas SerViee; 1 Outlets! L- 'Water SI .. ' { ,.,• ' - I I I I Sign; i 1 t I CONSTRUCTION LENDING AGENCY• 1 - ' I' , l , i e ' ' � I I . ' t I barony affirm that there is a:tonstructlon lending agency for the performances i '�- - ' I I . Outlets I - ; StandingSections i i ' 1 of the work for .which.,this,permit-I5 Tissued •„(Section 430974 Civ C) ' Interceptors . 1 f , c^- . , I 1 -r - 1 ' I 1 I - i i tender's! Narver ' - 1 , r , v r I .I yr _ - 1 ' 1 `. . I I s Switches : I I •! I • 1. Kitchen:Sink '.,.. I I .L, h , m } • 7 _ 1:' Trash Compactor 1 j I -Lender's] Atl`dress j '- i « ` 4 , f r.0 i 7 n ! ' i I - - ' i ' OWNER:BUILDER DECLARATION' - r' ; • ! y 1 " .c '1 I j 71. I:evatOries_ • ^I ) I I O I J . 1 r / ,� I Garbage Disposal 1 I ! + 1 I • , { 1• i • I hereby!affirm that 1 ani'exempt from the jContractor's,License Law for the 1 ,. 1 P Tr& , ' . > ! l Generator ❑0-5 KW 05-15.KW ' I i - • 1 - following reason•(Section:703L,5 Business and Professional Cotle: Any city or- . i - p -itt I n F I ' I - I i ' - - 1 _ ' 'county which requires a permit to construct;alter,Improve,demolish orirepair , - ' + • 'any structure;prior to its Issuance,:also requires the applicantfor such permit '• r.I Roof Drains I I-. • l 7 , c I > j II ' r I 1 ; '7 — I Transformer X15-50 KW „j j i , to file a signed statement that he/she is licensed pursuant to the.provisions of ' - P'+ the Contractor's License Lawi(Chapter 9(commencln9iwith,Sectiom7000)of 1 i I !• i '= 4 ' ' { I - I , I I' ❑5U+'KW J 1 .i , 'Reinspec-tion Fee 1 I $15• i Division 13i of the,Business'and•Professions'Code)'orl that he/she_is,exempt /; Showers 'r' i r _i 't[ • , I ReinspectioniFee - - ..$15 - . therefrom and the,basis for the alleged exemption:Any violationof Section t - i _I - i Meter Chip to 100 amps l • ' ; 'Issue Fee! I t$ 3 i 07031:5 by any applicant form I permit-,subjects :the applicant to a' civil : I I ,, '" 'q . ' • I •r ' I - - - ' penalty of not more than five hundred dollars($590).--2! 7 I :i' t ' :: I I Service Slnk I I• I I f .- i { Issue Fee,;r• i $ 3, Zoning Approved By l ° ' - I !Date 1 + I ' • J1 , _ I,'as'owner of the!Droperty or'my ampioyees,with wages as their sole ' - •I I I i •! I compensation with do the wOrk,and,the sre'.Is not intended or offered I I I t S ' ' 1 , ' ; •MECHANICAL I ! • t i ! Application Approved By • J l • ! i Date i •i ' for sale'(Secdion 7044`, Business;;an owner ofarty ho buie i Contractor's --- - - - _ - - - --- - - - • ' i License Law does not apply to'an owner of a property•who builds or Improves Boiler I • 1 I ( 1 Refrigeration System i f Application•Issued By 1 t ' r ^'�-I 'Date /�r�f I thereon,'and oes'such'work himself/herself Or through his or her own r t i ' employees, provided that such Improvements arelnot intended or offered for I i r - ❑0.100,000 BCU ❑100,000 BTU ? : • sale: If, however,the building or Improvement Is sold within one yearlof com- +• pact Under�Ground ( { , I i i ; I i , ' I I I 1 i SUMMARY OF FEES ' '• I. $ pietion, the wneriwill have the burden of proving tie/she did not build or Irv- - - 1 I ' 1 ' - �ova for the purpose of sale): i i ! j Duct-Structural I I System Repair/Alteration I 'BUILDING PERMIT $1 r J SMTP I I i $ i - 1 I trUactors I,as owner of the property, am exclusively contracting;withl licensed con- t ' I 1 ' 1 I 1 ! ( ; I - I tractors t0actor'uct.th ; roiect. Section 7,044 -to a e55 aner of seions.COhe:_1 _ - DUCt,-Ventilating :_( I I I i ' I d p ( 1,.._..i..... y._._..t... _}.__ , (PLAN CHECK $ I PERMIT I 1 The Contractor's LicensetherLaw does not apply to an owner of property who I _j - t 1 1 3- ! ISSUANCE I ' $ L. i 1 • I builds or improves'thereon,and who contracts for such projects with a con- 1 Exhaust,System 0 Multiple❑I 1 J I t I (PLUMBING , • i $1 i tractor(s) license pursuant to the Contractor's License Law)/ ! i I I - _ I ; GRADING • $ I 1 r I ❑ ram exempt under Section ' ' " B.& P.C.for this reason ; Fire 1/Fact.Blt. ICBG# t ' • 1 j { ! (PLAN CHECK( I $ �i y 1 I ,7 1 1 I 1 • 1 ; i t I / ; 1 I ; p tj I E !ELECTRICAL: I • ! i I i• 1 j I j I $ _ • i Date 1 I 1- Owner 1 ' I ' ' ' ' j Heati• n 1S stem&Ductin 1- ELECTRICAL' I $ t • 9, Y • 9 i' - t j I i ' I ! MICROFILM I $ l i• I ,-I- certify certify-that•Iagreeeereact this'application%antl-state-thet-the•ances F• --- ❑0-100,000,BTU•0100,00I BTU•'--'—' -._I_-__ --i - 1PLAN CHECKf $� , i information is correct. I to comply with all nd hereby county ordinances I ! l I i� I ~. I 1 ' ' J I j ' TOTA L;FEE' j $ I !and and,state laws relating to building construction, nd authorize repro- • - iMECHANICA L' 7 1 II 1 Hood or Type 1 ❑ I ' iI I $I - r i } i 1 F.sentatives of Kills ctyj to enter i upon-the above- entioned pro arty or ( Reins cation Fee' I LESS 1 inspection purposesf-\ • j 1 I Canopy' .Type ll' ❑: 1 I p . '$15. 'PLAN CHECK, 1 $' ! 1 , I 9f 1 i• . FIN ANCED'PC $ _ . Sig oat use r v(.1 .1 I 11 I♦ ' ' Date : i 1 ) 1 1 J • 1 1 i •' - I ! ' Registers 1 E Issue Fee I i i j $ ! 3 I Drivers' License or ..," - , 8 I t , ' i $ 3 - I I I •, I j t t FINAL FEE; j _ CMF 0865-46 rev.12/82 White-Building;"Canary--Applicant;Pink-Accounting;Goldenrod -Assessor . i0OCONSTRUCTION;ANDPL'ANNING! 7L= °r '^-nJyzz;a- `_'_;c2,-= 1 ;o_tgOOL_&SPA ':�E-1��-T;L- '.I --_- c_:p.'_, Y.; r >- 0 1 u - A b z ° - : " 9 _ a ` >:Date = rinspector tin - `• '`' ' > - Date, Inspector -: > ft-APPROVALS Permit#: _ j r -APPROVALS a• P.eimit•# , • .� N 1 9 # R' a t w41 '..1e • tr. ' I-- jr >c.. c c >.n- v'-_GD _ v - .. . i -rrr 1- Temp"orary'Electrical Service O"r Pole_ '-N: '`• J iN-i?Tg „go) ' 452? Pool &rEquipmenf Location's:'O' I `- :a /11:1, '.-?, :-I I • N C 1.;- t�. I O C 's ;•.,_" "476- c -c ` 4 G ' I --1 " ! ISoll Plpe-Undrgrrid:, w I r...;_.:�S , �- � ' -� 3 Steel Reinforcement _ s „ i 1 , I I 't I I ' 1'1 G 3! Electncal Conduit Utility.Unlirgrnd� 1 a 7 :'"r• m v ,:54-:_i Forms C: - , :• i i • 2;5.4 t � I ' ri 4 Electrical ConduitUndr'grnd. cy•C - c `> ". x" °---' -I. -55 Electrical Electrical,B_onding.o �.�,'. _ _' , Q ril 1 .I .1 I - n• . r n ' 'I-^GSE E?3 'o.... C - -. i : 1 i? , - „ l.'Ic EgS! c-c.� 1 L '-- -'':c .: _ _ °e >iu I f -1•;i 5; Steel,Reinforcment, �I%F� t.,4-:!--: ° 6 ,i?'" ..,2- ,y;_ � _v:' o°� ' 56' Rough Plumbing& Pressui•e`Tes�' _ _ ,, I ,°_, 6: IElecttical uFER Grnd,1 I R a° )4'424, ,",. '�` O1 ''r; r57r'APPROVAL TO COVER GUNITEc 4-.1 •-74 ;: 1 1 = !? �,:i - 7. .Footings I - I 1'.- 7 I N v` •.:5“, ' o (1-4:,:, m,, ,c` ( ;58?.Electrical Conduit_Undrarnd ` -,.51'; I 1 •. 8. Foundatii,ij 14•'4 I •.7 I o G -3 ;1 a E e r � !, 9. GasiPire 1, Undrgm_ d•,Ttt.te1st� - ' I 9. Water Pip e=Undr rnd. o" '` '1 e s- '" `a p U'Undr rnd. 1 1 ;12.111:::,. -� I ; n P_1 5 , � I _ � �' ` b � . ,:, I X60. Backwash.C1nes P-Tra 9 ,, , 4 `i m c 10. Structural'Floor system 1 a o Ei,:; ?: .71 j n$ �e 1 . 61. APPIROVAL°TO DECK 3o,,-: G; qn ! r r 11. Property Sewer Line &IHousettConnection c �Ie J "; ' .62. Backwash & Recept-or Final - - ' S 12. Se"wer CaP'I };i1(�l.I/ 1 .i E^ .a-;I G'' 71 ` '- yyry -n 1,1...,-"6-3. _Heaier1&-Vent-Finaf_ _ -�c ' ,'v :,• :.- _ 1 ,'",..-:fr ...; I' .. 1 f 1•'21•' LJ. I ( N .. 1: 1 .. , • ..Q• G9 j 1 !. _ .. n _i '. 13rRoof'Drin's •'$ i I 1 �" ':1 I J• 'c g 1,64. Plumbing"•.System;:Finals.:, 'L ., °r r� r ; w;' 1 ' 14. Rougli•Plurnbiri 1.l cc l • I ` I I ' n/,r-.7 //p� I 165. Electrical-FineVJ O _ ' `• '` ;1 I .4 1rRough-Electrical-CondultT7 g r I 777-, ZT_ -`T "66TSolaar;SYsiem-Final .- -----4-14"1---;-- ' - -- -` " ^ ype16.'1Rou h-Eledttric Wirin I di1 . A hi- 'I a I Ia t f -671 F Ci'rii & Acce`ss A , - ._ t'1r.t: '` n k`.aJ 11 rra , 1 ml 1 i gn ri I A m ! - �` 1 _ 9 ... pprOVal)'s,. ; I� ti �1j7,4Rough'Wi.riksignF n .. 1 3 1 11 II:_ : Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITVOFCOSTAMESAT �-_'� T' -- + .. - --- I 1 — - - 1 :---s I 1 , PER IT N0. 1 I TRACT NO I LOT NO., , •BLDG.NO. , CONSTRUCTION PERMIT I •-• j to 1 c• - . ;i i • "'"�i �• , . i ,1 •, 1 c 1 . I,`: : - ' i'L.`. ..rt ! r- ` 1 I 1 n a ' ro l r� . ".• r I:7" �' I!re Applicants Mailing Address I e S L "•L• - - e = -TYPE OF CONSTRUCTION ' t,a,l;NEW -U ADD..U ALTERATION- REPAIR 1 rr , n i F _ tl " , + , -r s ^ Project Address; 75! SCh 6111 Py BAy ' - +- ❑ CONVERSION ,:❑ DEMOLISH ❑' OTHER - y , 4 ti ' • • `' I• • i_ Owners•Name 1'M D -Jane13 .COL- I r 1.1 ; • } 1 _ I DESCRIPTION OF WORK i11Pt�11 f' x`CT1�are, - I ' _ - .. ' 'Phone + r: r . .n I I - ' I "' -ZONING REGULATIONS- r Address' 1 ' ' I :_ I i I t i: 1 - n - - .+ f h _ , 1 ' "' i t ; ; -TYPE OF PERMIT ,GRADING:U FOUNDATION ❑_STRUCTURAL s , A.•137.7#7 .: i i ' , . 'ZONE , _ 1'„7 r ! 1 e'- Arch/Eng. I '” i I I ^ I ' I I License No,1 i • I • 4 ' ❑t • TEN•ANT ❑a ELECTRICAL 0'PLUMBING ®'MECHANICAL : c I I J.'LNG.REF 1# c i - BUILDING, �- _.. ' - I r; s Address is I g • - 3 .. ' •' .: I ,- I , - t - ! - -c I. i -+ r . t- ..ScTBnrr rn'eT .. • _ I ❑:OTHER 1 ' •I -TO BUILDING-- - , - , ' ,(1 , ! Contractor's Name1CATS t Firepl A r P 1• • ;Phone 639-1 820 -PROJECT DESCRIPTION; SQ. FT-' ( ) OCCUPANCY ' - I ' PROPERTY LINE I.c t.. , ;REAR YARD (TO P/L) , I I - I + ;LEFT SIDE YARD RIGHT SIDE YARD . , ,. l ir: Address(Mailing) •1.0 0-N •N: :Rcltd.Vl`d•,O -c).Y1ge:92667 ; { CONSTRUCTION T-12VALUATION$ i I ' ZONE i GRADING CU.YDS: 'ACRES I PKG.SPACE,REO.• ' PROVIDED I '.1 ' , - 1777 License No. , Mal•liFi ; , : !1, t • I 1 1. . -- LICENSED CONTRACTOR DECLARATION l' I 7 I ! Remarks: - I • i - 75 t9 1 1 ,• STREET WIDTH I PARK FEES I - (4'5 .. I..hereby'affirm that:I:am licensed under provisions of Charter•9 (commencing ' - • 'r , ••, I - i with section 7000) of Division 3'of the Business and Professions Code, and ' I ,' i _ j j I i f <7 + I I I I ' 1 . SPECIAL CONDITIONS: j , (_} ' ' 1 I my license is in full for a andieffect. I - I ; - { • : LJcense Cla s' -e' • ' Ia I en No.` • i - I I PLUMBING ' 1 ' I I I 1 I I . - • I Date • . Signature '—`'.MV� , , • ✓ - Bar Sink " t Sewer Ca ' : '. i ELECTRICAL ? !- • f' WOR r by affi COMPENSATIOCertificateN DEC • 'ATION I 1 Beckfl0':r Presenter-•,-- -- -- --Sewer Connection`• - I ---f- - - i _ _2-+- _.'„.��. _: of Workers' C rn a hive.a Insurance of consent toself,-InSere (Section I _ AutgmatlC WaSher_I 1Met_er_ over 10.0 amps' • of Workers' Com enation Insurance,:o a certified copy thereof (Section .- -- r Construcbon Pole I� , -! - 3800, Lab. CJ 04.8 0CCA 1 i • BackflowIrri Irrigation - - ( I SubPanell ; i i ! I 5 73 3 m59JC Aet a" I ( I e i } Solar Collectors f T Policy No. ' Company _ _ „I , 1 i Certified copy is hereby furnished. ; I 1. , I Bathtubs , I Solar Piping ' I r Cooking Umt'! 1 �' f I Sub Pole I • i I I 1 I . Ce ttrle c sled with the city, w ng i 1 i - 1 • 1 , Dishwasher . ! Y„1 I I •Motors 00-1 HP 01%-8 - I Date I h�nj I Applicant gg((��J�^^I,)y/� , i , I Clarifiers I. Solar Tank I 3 I I ' 1 EXEMPTIORFROM WORKERS COMPFjNSAT N DEC'L' ATTON 'r-. , - f - Dryers'OGas' OElectric "'1--' 1-7",InESolar'❑9-15+HP'016:15+ ---_ - _- Dishwasher I • f Swimming Pool,w/Spa j , . I I . ' (This section need not be completed If the permit is for one undretl($100) or 'I 1 ' ' less(' I . I' ! - I ri. - .. + I FanI I (� ':.1 (Microwave ' 1 1 • I certify that in the performance of the work for.which this permit is Issued I 1 Drinking Fountainsa,` . Urinal ! ' shall not employ any person In any manner so as to become subject.to the ; , - •, - ) , - F-A_U. ''•"I ; 'Pole Light ' 'Workers'.Compenation:Laws of California,: I • I I Floor Drains' I ; I.' Water Closet' • 4 I ,I ' ' - g , Date I Signature 1 - , ' , I ' --NOTICE:•If,atter snaking thivsietlaratlon,you should•become-subject-to the _,. •. .Sinks.• • - _. _Water-Heater _ Fixtures I - _Range i _ ' Workers', Compensation provisions of.the Labor,'Code, ayou,dee Must.forthwith 1 _ - _ - , , I comply .with, such provisions or,of.the be;deeme� revoked`. , GaS ServlCe, r "Outlets I t. ' (1.. 7Wffier�Serviee $ r i . ' i Device Bo%e5 I 1 I• i Sign; I I , CONSTRUCTION(LENDING 'AGENCY - I , - • ! I , , - I 1 hereby affirm that there is ahconstruction,lensing agency for theOperformance� I • Interceptors' x ' • S r _ S` I Outlets I I Standing Sections 1 of the work for which,'this', permit is 'issued (Section 3097' Civ C) '" ' - - ' - •I Lenders' Nettle/ ! - - •- I . ' •7- I - 1 Krfchen'Sink - $ ( -'. , I a ' - ;� - Switches ! ',Trash Compactor ' - f I • L.entler's Atloress, a V LC' p' r s .. i I I _ - - -- I OWNER BUILDER OEC L`A RATION , 1 i •} C t c. ? C I i ! Lavatone5,; ! n� _ • c t' .,+ !µ I Garbage DISPosal 1 1 I I I ' I hereby)affirm that I am-exempt from the Contractor's License Law for the' 1 , P• Tra ' v i _ I I I'; Generator 00 5 KW 05-15 KW „ I I } following reason;(Section.7031.5 Business and ProfessionallCode:Any city or . _ , , P1 F . t L - - . :county which requires a permiCto construct,alter,improve,demolish'or,repair j - , i " . _ , Transformer 015-50 KW I ' ' ) '.any structure; prior to its issuance,,also requires the applicant'for such permit , i Roof trams I '• _ • _ I ? 1 1 , ,to file a signed statement:that he/she is licensed pursuant to thelprovisions of I - ' 1 ' ` 1 ❑50+ KW, , ,. - I , $�5: I • the Contractor's:License Law(Chapter 9(cpm mencing:with Section.7000) of r_• 1 r ' (. ` j •" i 1 t : Reinspection Fee Division t3-of the,Business'and;Professions Code)or.that.he/she;is-exempt ( ' Showers :.1 f ' , (--� ,; ..! ) Remspectlon1Fe'0 $15 - - - , 1 ) 'therefrom and the basis for the alleged exemption.•Any violation of section , ,;_ C. _ Meter ❑up•to 100 amps t ! I Issue Feet .'$ 3 .7,031-.5 by':any applicant forra.permit:subjects•thei applicant to a-civilI I ' 1 • I 1 I) - N'i 1 j e'-% • - , enalty of not more than five•hundred dollars($500). 1 -17,( Service Sink 7 I 1 I- I Issue Fee $ 3 , t 1 'i I ! n' ' f 1 } -_ I ! i - Zoning •Appro4ed BY 'Date j I,'aslowner of, to the perty ordm'y employees with as their sole ) I I ' i j, I ( , compensation', withdo the work,and the'structure,is not intended or offered 6! ! ;;7 : , n- 7 i i1.-, MECHANICAL' 1 Application Approved By • I I 1 'Date ' , 1 for sale i(Secfion 7044', Business,and)Professional Code:'The Contractor's • -- _ - - . ( 1 I 4 1 + I . 'i•License Law does not apply to,zn owner of a property:who builds or improves I :P Refrigeration$ stem I 1• i tI thereen,id ntl,who,does:such work himself/herself or through his or her own 1 Boiler ••,� ) j j i'- y,. 9 y , I• . I Application Issued By - , 'Ni_��'/ , ' I. Date ��/S'L G- �' • employees, provided that•suchdmprovements are,not intended or offered,for,,; - ( . i ❑0=.100,000BTU ❑100,000 BTU; ! • I, i , 1 ... i ; sale, If, however,the building or Improvement Is sold within one yearlof cpm- I I Duct?Under Ground I i •f , , ) I I 1 SUMMARY OF FEES i I t • I. I. pletion, thethe.ownerfwill have.the burden of proving he/she did not build or im- 1- 1 I 1 1 I 1 1 I 1 • - move for the purpose of sale). 1. I, I t Y I ! I. Doct-Structural i ! • ) System Repeir7Alteiation • ;BUILDING PERMIT $, I • I SMTP $ I U I,as owner of the property, am exclusively contracting.withllicensed con- - - , , I I • tractors to construct the project.(section 7044„Business,and,Professions Code:_„ �_ Duct Ventilating 1 n_-- I , _ __('. I^ ^M!.i - I 'PLAN CHECK; $' - I I PERMIT I 1 { 'The Contractor's License Law does not apply to an owner of property who '•' 1' ! I i I I I F ISSUANCE '1 $'1___L___1._i • ' builds or Improves thereon,and who contracts for such projects with a con- I I- Exhaust System 0 Multiple❑( 1 'I 1 I. I 1 i PLUMBING t $; t I' II ' tractor(s) license pursuant to the Contractor ls.License Law): (' I '• 1 'PLAIN CHECKI . i $` • 4I ,"I ' GRADING I I $"f i' ! 1 . 0 lam exempt asides Section ' ' I B.&P.C.for this reason i 1! Firepl/Fact.Bit.ICBG# 1 I I 1 I 1 }3 1 I 1 I ' , 1 l . 1 t -, 3 95' i , 4- OC ! 1 $E * i ! 1 $ . ! I , - r I ELECTRICAL' + Date I I I Owner( ' I I ' I Heating,System&Ducting 1 ' ,I i , ! : ! j I MICROFILM f•$ !_ I ' k 00-100,000BTU•D100,000BTI'�-- ' __ _ (PLAN CHECK $ - V : I •I-herniation rtify that II re read this- and-antl state-that[tie-above- 4- -f•- ✓ ---I '( ! ' , information Is correct. I agree to co ply with all city,and county ordinances T I I t - I I` -7 : I I . ; ' I ' 1 1 i in I ' TOTALIFEE $ I , i andtstate laws relating,to-,building ,onstructi anoantl hereby authorize repre- , Hood or T e I ❑' I i i t I ' i 1 IMECHANICAC I $� 7 00• i I t 1 i- I . - sentatives of'this ici to-j;nter; •on the:above-mentioned property Tor yP I • Reinspection Fee' I $75 1 ' 1I •LESS I 1 ) I •inspection p rp es U Ii I • I 1 1/;6/83! ' ' Canopy TVpe II- ❑� ' 1 j - + - , !PLAN CHECKI - $` 7 0 1 I ADVANCED PC ' $ I Signature' ' J• _ • t Data ' I 4 , Drivers'Ucens- •• Cana -Applicant Pk-Accounting;Goldenrotl-Assessor - M -4 -'--- "--' - C: CONSTRUCTION AND PLANNING •:::-11 gc • •n .',=N -"POOL&SPA • fl:.pas 2--; - -: ,j •• C 1 ' <Date • Inspector - -' - _:' ' - 'Date• Inspector `APP.ROVAL'ST Perini{#- - - ;,APPROVALS- P,ermii#- -1•: Temporary,Electrical Service or Pole ' ' ` `• .',:a 52: Pool & Equipment Location f!--tt � ' • -.;7 ' 'Soil .. , ' ' e i, ` t , _ . . _ _ : ! Soil'Pipe-Undigrnd; �.-< ' r.' :53; Steel;Reinforbement�, ▪ 3. Electrical Conduit Utility Undrgrnd - i ,< 54: Forms _' 4 Electrical Conduit-Undrgrnd_ `-.2-'1. • L. 12" 55? Electrical Bondin ^ g = ,...,`-1.7‘..-6 � _ _ - ' 5: Steel IReinforcement ' m • ^. - ;IIi,• , -56. Rough'Plumbing•&Pressure Test - _ .6. ,Electrical LIFER Grnd^ ,`. = . ✓ f -z r 57! APPROVALTO-COVER-GUNITE, •i i ; `- 7. ,Footings i -�. !.•! .Y :,....4/ t. %58: .Electrical Conduit-Undrar�d, -O •. 8. 1Foundation • ' - - i - '' ' '' • 59, Gas,Pipe .0=Undrgrnd Test - = _ 9.•Water Pipe;Undrgrnd. • r,; _ ' ., ;; < '. :60, Backwash:Lines,P-Trap, 0 Undrgrnd.-: . - • •- 10. Structural Floor System 'tar:.i ''''6: 1.,""- i =-,, �� :1.. 1 .61. APPROVAL ^r: : ' 11. Property Sewer Line &HouseConnection -: -' X- : .`62. Backwash&'Receptor Final =" Sv ? c" . _ • . 12. Sewer Cap ' i ,, ' i r p' .. . H 63eater &Vent-Final a, 13. 'Roof:Drains ' I. '. _', • : 4 '64, Plumbing,System - Final - `4 ; • 14. !Rough Plumbing 1. - : - 't65. Electrical-Final . z';-.1- - ';':`-"-i. - . • , 15'Rough-Electrical-Conduit "'t--- -1--• -1-T- E -- -- -- - - "-66: Solar'Syitem-Final--'�"'1- -E -- -.- ' -;`:j-- ' - rl I -• !,16: RoughtElectricWiring n I _. • 1,7•17.-.7 ; 07r,t_ 77 -- - 67} Fencing&�Accesi AProval;x� =-•`• � , i' ; "" 'I."" - .. -17,"RoughiWiring Signs: ;, , " I 'I r'' 11 ;- 17;; :;i. I `:68: APPROVED FOR PLASTERING .l , 18.JRougli-Electncal;T•Bar Ceiling Ii �- f -•i"" ' 69.' POOL/SPA SYSTEMS FINAL4 _ 19- Rough'Heating& Airtonditioning ' ' .-j - FIRE DEPT:REQUIREMENT` (' ' ` ' _ ' - 20.-Rough,Factory Fireplace ' i i' I /04./ /Me APPROVALS, Permit# • - , r• 21,'Ducts;in Structure_ I ' 1 I' , 70: Uncle1rground Hydro - 1 . : , 22.•Ducts, Ventilating , r ;"'i4 h '71: Product Piping 0 Gas 0 Oil ,t , i `23„GassPipe-Rough & Test T i r ,' 1 1 + - '72: Underground Flush ;- r ` 24- Roof Framing: . ; ' ' • it=,•it t' j'i=32 j•y . ; 73- Undergrnd.Storage Tank,O{Gas_O Oil . : • , 1 , 25 Roof Sheathing i i; , , 1 n i t- _ ,74: Overhead Hydro , - =, ; I ; �. 26. 71---6r Ceiling`(Structuralli& Mon. I 1 ; `-..I-= c 1 - :75.. Dr•y Chemical • , - I , 'I ,27-'Frame and Flashing 1 ,; ' I -1 1 76. Dry Standpipe I 28. Lathing& Siding' j ' y ; ' 1 I , '77. F,IXED SYSTEM FINALi'- . 1 29_'Insulation� .i. ° I •,I ' , 7• i I: , 178: FIRE PREV, FINAL • cr• - • 4'30- Drywall Nailing ' r 1 - I 'Notes: : -'31- PlasteraBrovvn Coat• i i1 i •I , 1 '32.'Electrical Power Meter-Final I ' , 1 . 1 , ' • , , 33.-'Final Electric •- , L : _,_. 1_ _ 34. Final Heating & Air Conditioning • ' . i. • • 35. Final Gas Pipe--,Test •• , - ' r ' ' ''d - y.. ' ' '1 -.- r - - 36- Hood or'Canopy. T., i i -' t I • , , a . . l ;_ ' - 37. Final Factory Fireplace' - y ',I •' ' t ' 4F71e• -' " ' ,- • ;, 38- Final •PlumbingI • : , ., ; ' '° 74y/fi. C.' ' I - - 39. Waten,Service-Final ! I , • I I - - 40. Gas Service:Final l „ ' i 1 1 i ; ' ! 1 , , ' 41. Solar Domestic1Final ' - _ _� - ! _ _ _ _ ' ' 42, Backflow Preventer ' "'.I I - ' - I 43. Backflow Irrigation ' : _ _ - _ _ • • 44, Landscape Irrigation7SYsteml , ..'t,,-- a 1 . - ^ , ,`_ , x 45. Sound cAttenuation' l - ; i I .r ; ` - , I a , , , •;I ` -- = - - 46- Handicap Regulatioris' „ i Y I i I i_ '1 ' 47,•FINAL STRUCTUREI& BUILDING'.: i ' 48. Special Requirements Completed . I 1 ! , �,•j, -- F. 49. Electric Release,to•Edisoo i! , !I l __r._ __ _ _ : _.t..____ 1•. • 1 1 50. Gas Release,to Southern California Gas Co • 1 1 • j;. 51, CERTIFICATE OF OCCUPANCY c ;,. _ I _1- _ '4... . ' ! I1 No Date i r_ _ - - - _ ' • Applicant to fill in all spaces except those within heavy border lines and sign all approo!iate declarations. _ IT OF COSTA MESA• 1 ! PER�^,IT,NOO - _ TRACT NO. L T N BLDG.NU. "c,.6 ,I 0/13/83 -9a0? TL I CONSTRUCTION PERMIT `^ ''• %"I '7 �: .S 4187/x.-- . ' 4 - -` . . • ' ' L eG, t ' L] Applicant's Mailing Address AS // /•//A !./A/� ilk,. TYPE OF CONSTRUCTION- EW�IU ADD LI ALTERATION. REPAIR ' , - - - ❑ CONVERSION 1❑ DEMO SH- L]-ot ER, - • - • Project Address- I - -„ ., �. r..-..r - - L(�( n - ,� 0179-3374 - DESCRIPTION OF.WORK ' P -�x C • ' - Owners'Name L• ��� '� ' hone - I - I ZONINGREGULATIONS • 1SlC_/ Address •e • - a" J TYPE OF PERMIT. GI•GRADING' ❑ FOUNDATION_ ❑ STRUCTURAL . I ' A.P.* - ZONE ' I , , 1 :. Arch/Eng , - r - ^- License NO ❑.TENANT ❑ ELECTRICAL ❑ PLUMBING $MECHANICAL .. , -BUILDING • - - 1. c - t 'PLNG.REF ,9k , • Address ' - ,'❑ OTHER : - , - -: cFranrx .. ST TO BUILDING i •i i • ' - 'PROPERTY LINE REAR YARD (TO P/L) ' Contiectw s Nam-' - L i .. 281 . :ii/. ._ 11•h.ne• '�`�'--lh6b; PROJECT DESCRIPTION SQ.FT._ ' OCCUPANC ; . I -_ - - CONSTRUCTION TVPF 1 • VALUATION$- 7/L✓(J✓ - LEFT SIDE YARD RIGHT SIDE YARD Address(mailin9) O CYYO/YI �Q: /4-n0." _ • - - ZONE - - - GRADING CU,YDS. • ACRFS PKG.SPACE REQ- PROVIDED • License No, • ©/55/, - _ - ' LICENSED CONTRACTOR DECLARATION i Remarks: • _ /3-2‘.5-e).„(.0 • STREET WIDTH ' , - PARK FEE$ ,- - l:herebyaffirm that-1''am licensed under provisions of Charter 9(commencing - _ with section-7000) of Division 3 of the Business and Professions Code,and I I i i • , - - SPECIAL CONDITIONS: I i , �, • my licenseis In f I f andeffect. I - - I . . • license Cla I l • e •e Nva;I"4.4d I t j PLUMBING ' , - I I , I Date ' Signature I ' " I - - WORKERS'COMPENSATION DECLARATION '1 1 , , ,. Bar Sink Sewer Cap , 'I ELECTRICAL ` I hereby'ers' Cothat I have a cartificate,of.consent to self-Insure ora certificate- - BackflOw'Pr¢venter^ - Sewer DOnnectldd` ; -- AutOmetio Washer _ .. . IMeter_.❑over,100,ampsy., .- .. - - of Workers' C!!99 pensation Insuran e,I or a certified copy theryof (Section - - - .. - ' . 3800, Lab, C.L'�{d/qi) p�['� , //�,,,,,,, ;/Ac • -- Construction Pole ;Sub Panel; , 1If CC(/O CJ,/( IIflfV0ffff /q�'-lyff✓ Beikfloiv Irrigation - Solar Collectors I , ' Policy No. Company - — - •- - - --- - - Cooking Unit :Sub Pole I ' . EtCertIfied•copy Is hereby furnished. i i, j : . , Bathtubs 1 • Solar Piping g 1 i I- Certified copy is filed with the city Building Division. , f - Dish Washer • ;Motors 00-1 HP ❑1'%-6 ; Date ' _Applicant • - '. Clarifiers ✓i Solar Tank. • ° . , E7(EMPTION'FROM WORKERS'COMPENSATION DECLARATION - Dryers ❑Gas" ❑Electric - Inc-Solar'09-15 HP 016-15+ - - a (This section need not be completed if,the permit Is for, hundred ($100),or_i I Dishwasher y<.' 1 Swimming Pool vi/Spa • ' : Drinking Fountains Urinal : '' Fan ( I Microwave I certify-that In the performance of the work for which this permit is issued, I I' . g - , shall.not employ any person in any manner so-.as to-become subject.to the ,y, - • F.A.U. Pole-Light ' Workers•'Compensation',Laws of California.' - I I Floor Drains - -Water Closet I I : - , ,1 Date - Signature - ' ' -.�- - , Fixtures ' - NOTICE:If;after making-this declaration;you should'become-subject to the . --1 Floor Sinks ' - T - -Water Heater, -- -- - - -. - - ,•* t--- Inge... ._ _ -".. R ' Workers'. Compensation provisions.of the Labor Code,.you.must.forthwith - - - . , Device Boles ' comply 'with' such provisions or this;,permit shall be deemed revoked:, , , Gas Service. ,Outlets , ,Water Service r I p - Sign' CONSTRUCTION LENDING AGENCY - Outlets I hereby affirm that there isp construction!finding agency for the performance ' interceptors • -' a • 'Standing Sections - , • of the 'work !or whidl/,ttds permit is issued•(Section 3097i Civ, C.) , - - — Y' - Switches I ,Trash Compactor Lender'si Name / VB/� - - _ - ' Kitchen- •Sink - ' i r _ i i p •Lender's Address ^ ' " ' - • , - Garbage Disposal I - q • ' ' OWNER BUILDER DECLARATION r• 7 ' , Lavatories , , ' I hereby/affirm that I am exempt'from the;Contractor's.License law for the ' p Tra Generator.❑0-5 KW.❑5-15 KW ` following reason-(Section 7031:5 Business and Professional Code: Any city or, 1 p. ' - _ " - • county which requires a permit to construct,alter,Improve;demolish or'repair , . . - Transformer ❑15.50 KW - ' I" ' any structure;prior to its;issuance„also requires the applicant for such permit Roof/Drains ' 1 -•1 .. t i Cr, : rr , - - , -to file a signed statement'that he/she is licensed pursuant to the'provis ons of i s , s • ( 050+ KW' i - ,Reinspection Fee ' the Contractor's'License•Law;(Chapter 9(commencingiwithSection 7000)of ; e 1 i • .j _ I I P I $15' 1.Division,3 of the'Business and:Professions'Code)�or that he/she-isl exempt - , Showers .;l ; , I I ReinspectioniFee $15 - - t Meter ❑up to 100,amps , Issue Fee $ 3 therefrom-antl the,basis for the alleged exemption:Any,viola rod of Section I - : 7031:5 by. any applicant for a/permit..rs($Sts/the(applicant to a•civil • •• ^' i I' i - — _ - peenaity of not more than five'hundred dollars($500), 1\ 1 ' E Service Sink ^ art I Issue Fee $ 3 I • , 1 ; LJ i Zoning Approved BY Date I,-as owner of he'p'property or'my employees:with s as their sole• • , • i • compensation will do the work;and,the structure!is not intended or offered 1 : , 1 _. y MECHANICAL I Application Approved By I (Date i i • for sale (Sec Eton 7044', Business'and Professloperty w e:'The I Contractor's , - _ - - j p I j License Law does not apply to an owner of a property who builds or improves ; , Boiler - Refrigeration System 1 1' ✓ I� 'Date /� - 1��0.� , thereon„antl who does;such work himself/herself or through his or her own - - 1 Application Issued By employees, provided that suchimprovements issolt intended or offered for , - - ❑0-100,000 BTU 0100000 BTU. ' I sale. If, however, the building-or Improvement sold within one.yeariof cam- , Duct=•UnderiGround - I• I SUMMARY OF FEES ' pletiod, the owner•will have the burden of proving he/she did not build or im- - ' s rove for the purpose of sale). , , 1 - , •• Duct-Structural ' i S stem Repair/Alteration I. I I • t f P P i , Y P , ,- • BUILDING PERMIT $, ' SMTP , $ ' t I,as owner of the property,am exclusively contracting Iwithllicensed con- / - - - 7 ' ' tractors tract struci these Lawt (Section 7044,Business ane.Profes ions Code:.. Duct;,Ventilating--,!_: -, . ,_ -- __ _ _ _I 1 .PLAN CHECK $- - - / PERMIT The Contractor's License does not apply to an owner je property who _ �•f - - i ' ! builds or improves thereon,and who contracts for such projects with aeon- 'I PLUMBING ! ISSUANCE 1 I $ O P ) Exhaust System ❑ Multiple • $ GRADING $ i ( ' tractors license pursuant to the Contractor's License Law).' 1 I .' PLAN CHECK, i I ❑ .Pam exempt under Section • e,& P.C,for this reason Firepl/Fact.Alt. ICBG W I 1 $ 1_ a ' ' 1 I ELECTRICAL $ ' Date Owner' - I i ; I I H�-yea�ting.System& Ducting 1 ' 1 , ! $i j MICROFILM $ I I-hereby`certify-that 11 have read this`application-ard-state that the above-,.- 7C100,000''BTU❑100:000BT1f'' - -r - -4-•- - - , eo • 'PLAN CHECK II , Information is correct. I agree to comply with ail city and county ordinances -� I : I :�' I • ( f TOTALjFEE , $ _ and:state laws relating to building construction,land hereby authorize repre- I :MECHANICAL $; , Hood or I sentatives of this:Mt Ito enter-so on the above-mentioned property for I ! Type I ❑ 1 1 Reinspection Feel $15 i I - I od LESS I 1 i inspection purposes. ,/ - i, 1 l ( Canopy -Type II 0- 1 , (PLAN CHECK $, �_ . ' Signature I f - Il/I �..,i i D to �1�' 7 t1-3 , t - 1 , I I - I i 1 ADVANCED SPC $ _ i • V '” t Registers ' i I - 1 Issue Fee I I I i , . , j FINAL , $ 1_ ger . Drivers' License or.SS* I 9 ; j $ 3 1 ,� • ' CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor l .. �.. -, 'O POOL_&SPA i a 1_0 i • v 41 :) nCONSTRUCTION ANDgPL'ANNING' o ' `� - x - c I - 'o -_ - _� , r ° lc 1C n n m t;: � e RS ''`DBte'�1 lispector <Es' - :� •` - [. j. p 1 r SAPPROVALS R Permrt3#- - •>2t ;AI:TROYALS Permit# DEte a Ins ector I1'•: Temorar Electriicl Service orEPle 06 n° c =tn '52 P of E ul mn _ ''Y o o &_q P tLocation�. .o f SoUil Pipe- ndrgrnd- 11: ;�_; -' z, F. > s.Ir r J9, • Steelq ,meReinforcentu _ - ' s _ _- „ tA 3! Electrical Conduit Utility Undrgrnd: - ' y• - U r » r>• 54Formsr - - '4• Electrical Conduit-Undr rrid�7=F r `< ' % ' G" %55� Electrical Bondiri ^ ; '' - niI I gam* ' a ! sn' , ._ + x� =orro � 9 Ir a 5 Seel Reinforcements I�1•n2-„..-51,.; 'I 5• a • ^:L' , �iR ,c; .-.'',4:. :;56_ Rough' Plumbing-.& Pressure,Test c ;1.-c: 1 1 ,,'4> .J ii 6: 1Electrtnal_UF ERGrnd:I 4u'r 11 .51 ;' n'-': :. kit. z' 57'APPROVALTO:COVER-GUNITEa 1 - , l' 1j 7. 7. Footings -'� .I,:, L- o„ I ; �: o E •:t� c : .. ' q 5 *; -, r;t -, I I � ' 1'rl n .� 1 rI_, - ;? � t- -� � �'58� ElectricalEConduitUndrorn�l. , ;} ; ~,• , ! , 8. Foundatio 1 a f`- t i' 61.--. 1 `59. Gas Pipe O Undrgrnd Test' !' 9, yyater Pipe,Undrgrnd. I ( c c S- -n ^ ,60. Backwash;Lines RTrap C Undrgrnd. " _ -1 • l 10.•Structural Floor System I s zt • I _' _9 , ;•, APPROVAL .. :DECK ; `' I, I .._ 1 I 11. Property,Seewe'r Line&'Houser Connection! '< 1 i:.' ¢:r' I i g2. Backwash&[Receptor:Final.-`sr • -', ' ' • .i: - I .•1 I 1 1 1 ' 1 " 1 1 'n o " 'I-1 -. . lib- 1 _ - .. r. . _ i 1 .l i* 12. Sewei.Cap I t. I I ^" -' : ,' �'' ' ;'63. Heater & Vent-Final, ;, ^, ;',a - ; o 1:1 i" .i- 1 1 1 1 1 • in I I c n 13. sr. .rt•i I. 1 , �) • �? G_I. r. - 64. Plurnbing'System Fioal- - •.-,_ >=-, I - . 14. •RoughPl• umbing !-•:'1 ' I F;. ' ' = - " 65. Electrical-Final"-- • - ° - - • - :I ` .,211 I 6ugh'Electrical=Conduit"1 W I-"+-�(-'T i I I - , ii-t1--66.1.-Sol'ar1System-Final r ?I- �•� "� --� :; j Po16.;Rough_Eiet icW,iring, •• I 1- i n, --1--,...,1-,4-, ?I-o'rr -t67.rFenei�ng&+Acce"SstAPProeal -n, c"�,�_ - ~--- ...--!":.7,11 - '' o d`-:-.. t nti , w t nll_' -� ,, n -I�m Ir f 1 n � 1 - -' i - :r"- � c� s" ki17:�Ro'ugh`Wiri ig^Signl",- 03 1 1 I 'II II I l ,1 r I r I .�i y J 'j -, I,• r68.1 APP__ROVED FOR-PLASTERING ; S j'' q i e _. 1• .} C ' 1^ a i ,. • 1' ft I m r' r '. •1 1 .. J I Q 3: i 18. Rough•Electrical T,Bar,Ceilingt 11 11 I I I I 1 I o 1 g-., 69.1 POOL/SPA SYSTEMS;FINAL I�' 0 1% I 1 ' 1 ; • , ' • P II 19.4174h11-leating &lfatretond!tioning II lp* I#?,--T I ;FIRE DEPT- REQUIREMENT - � ; I: _ • I ' ; 20:lRough,Factory Fireplaces l 1 P �j I l I l 1 I i I APPROVALS! Permit.# - • l 2. . _ 11 1 21. :Ductsr' Structurep r' . 1 I '11 11 I I I I X70.' Undetgrouna Hydro 1 1 . I = i' ' ' , 9 -�._J '+ - 1 1 1 '11 ' 1 I I I I I { ; I : 1 I . , • �jw22:�Ducts,-,iVen{slating ' to {. •j 11 Ii I I I I 1 I I I 171_*Product Piping ❑Gas ❑Oil ! ! • _ 1 ; ! I 1 - V23r-Gas Pipe-Rough& Test o 1 'I kr I TT i -i-7- l ;72.1 Underground Flush1 -,---i----,- I nt24.iiRoof Fiaming� l ! • n i I It 11`N 1' ' I o I I 1 a i D; `-1 • ;• 73.1 Undeigrrid.Sto rage Tante'd Gas`1161! I { ' I I 1 ' r i -]. 1 , 1£ ', -1 •' I t ¢ , - I , 1 r . '. 1 E i I 1 � ` 25^Room$heating ! I ; I I Hca ll, t '•l c, I� I 1 E I I I.' 174. Overhead Hydro 1-:•• � ' I I I a - a 'i 1'j • , 1•_ Ie: In I ' r• 75.' Dr Chemical 1 - - i? i - I I ' I t pyt-26. tit -, I Ceiling ( . 1 . > •�& Mon tl 1. ( a 1 411 "I I0.: 1 l 1 . 1 ,y ., i , ! .m lin , 'O 11 J r U 1 ;' 27^f=rame and Flashing I i I I ;i H I ;1 " I I i° I I I X76.1 Dry Standpipe 1! .1,- t ; ts- ' 1 1 , ! 1 I d 28. I thing&Siding I . ' I I Il if 1 I I I 1,=I I I 97.1 FIXED SYSTEIM•F,INAL I 1 • • p 1 p {� 1 P I 1 1 I 1 ! t ' ! i i . '1 29. �IInsulation a s I r `� n I 1 I . 178. FIRE PRE\* FINAL . I v 1 - ;-T n 7 .. 1 •'' I 1 II 1. I I 1 I l r r 1 I i I I`r30. !Drywall Nialiilcg I >Y N I 1 1I 11 1 _I 1 1 I I I. I INotes:, I I i i I 1 ; {' ' j I ' 1 1 • - 1 °e _' 'J f r i G I - I I l p 77 _I_ t , _r.?_ r- - _--r-`.�__-, -. - _ . ,- . t°31. 'Plaster Brown Coat 1,.• , ! 1 i1 , I I t 1 i ; 1 I I i h ! 1 I .^ I • ! -_ ✓ 11�32.-Electrical Power Meter=Final 1• II 11_ 1I 1 i I I I I - ! I 1 1 ' i 1 '' , 1. ' I , 14' rFiinnal Electric _' • ! I I_ ,11,..} 1 j__Li_ _i ,,,LI ' - 1 1_ .. I. i $ * 34. Final Heating &IAir Conditioning . A 1 id7/sk 1 t ! ' i -I ^Ii•1 -, e I F-1 a r a 1 re ! 1 r I 1 • 1 • 35. Final Gari •. =resit j`a• l I j tl 1 o I ., I 1 ' r [ r ; 1 5ir: •4' t' • - - - - tl n 'IJ' fJ N n 1 c �I - 1 I ; 1 - I '1 . i .. 36, Hood or banit)O-Nir':1:1 m l ^ .I I 1 i 1 , : I I ' 12 1 -. I c I . 1 o ' :I n <* U 11' I . cd 1n1 =1AI 1 1LIf, 1S1 ' 1 H �' j ,I - i ^ ff : 4 -I - IS 1. >j - o _ , 1 1 --Jr 1 = _� c, 37. Final Ft.actor, ,...,lace ,. I lit °-f Iii I s is I ` 1 1 ` ' , 1 "I ! . 1, . . 1 --C ., : ' n 38. Final Plumbing 1 I I 1 LEI 1. I ` i 1• I I I 1 •• ' I I I 1 4 I2 " ' - , ; v.ti ' n u 1 I I 1 „ c l J " r I 39. Water Service-Final I l 1 1 1 . 1 1 I "7 r I 1 r, It 1 r I . it 1 1- 1 1 1 I I = 1` . .. r it - - . . 3 9 1 1I II I 1 I 40. Gas Setme-Final I 1 1 I I I, 1 i i I 1 I I I ! t I 14 ' 41. Solar D mestic-Finl I Jit I_ _I____I___4_4 1 _! _ ___'__' _ _ _ - ' yam, 1 1 I I I tl. i T_I _�.� �i�J -hT J T• - {! ., r ' ' '-, 42, Backfl'owlPreveriterl E I I I I• Y 1- t-':_ 1 4 _1_, 1 1 I-+- -1-_'- - '' . 1.1 L . I t I kWl u•. n '= 1 I 1 Iy, 4 •Y _''‘.11 .--; - I _ 1 = •t:-!,I M1i ' I I 43. Backflow!lirigationi 1=I r- 1 : I tl_-I c i.-c 1-` 1 6'. !- 1 : ' . i . i ; : i-/II in'i ' ' "i 0- 1 01 ' ,i < I ' - t I 11 - 44, Landscape Irrigatiop System ( i I: I ,1 1 , " I r i c 1 _ * ; &I I s 45. Sound Attere nuation ••'1° I s I I 1iI " I I 161 -31 ; 1 1 i �1 i : L ; 1 1 • 6^,p. g I ,! ci le l 'bi •I -, '- 46. Handica Re ulations I 1 1= I I� 1 y I I i I I i , a' _ +n, m n _ ,; i ,t 47,•FINAL'STRUCTURE & BUILDING Ij i' ' 1 r I - 1 ' I : I ' ' ' ! '' 1 1 �1:l 1 -11 1 1 1 1 1 1 r i 11 1 h 48. Special Requirements Completed) k I 1 1 1- 1 .`i 1 I I I I ! ' ' I 1 ' I � a a if w 49. Electric Releasejto Edison) I I G Li__.! i 1 ; 1 i_ 4-_`_,;. _l_J_J-' . ' ' l -I i• i I 1 50. Gas RSlease to Southern California Gas(1- I I { i t k ' , n n n r* , , 1 1 1 f 1 1 1 ( - I i:' IPJ, ''I • 51, CERTIFICATE OFIOCCUPANCY 11 1 f I _f__! _ :„._'......1..-±--1----i-__ r . •i 1 I ' ' No II I 11 Date I I I 11 i I 1 1 I ! : I it r , 1 -,_:-s- 1 __ - __"_-__ c-_ 1_,,_,' . 17 �� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA.' --r - -r - j-: ' PERMIT NO, - ' " ' :TRACT NO: . LOT NO: - BLDG�NO. - - - - - - - - - - • CONSTRUCTION PERMIT • - - " 4 - - 9�.7 (p ' 8201 I'i/09/83 — 5 :w 'Ti t 'Pr±Oject Address -1757 _b(' - 1 '� TYPE OF CONSTRUCTION NEW ❑ ADD ID ALTERATION Ell REPAIR _ - - e ''Applicant's Melling address i "estak r - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • • - A.P. - _ Zone : - 11 - • \C� r h"� -Ph•ne -DESCRIPTION•OF WORK - - • - Owner'sName' �- - ' - _ - S Main Building:' Accessory Building: i Z Address - TYPE OF PERMIT ❑ GRADING- ❑ FOUNDATION' ❑'STRUCTURAL T Front: - •_ - N Arch/Eng: License No. ❑ TENANT ELECTRICAL ❑ PLUMBING• ❑ MECHANICAL B• Rear -• N Address ❑ OTHER . - - ' -- • A - • • ' rJt�1�/^� C ,Right i _• - G Contractor's Nam Ph .�-" f2_L • PROJECT DESCRIPTION SQ.FT.' OCCUPANCY - - - •' - '��0 "Y-rte I •CONSTRUCTION TYPE 'VALUATION $ s LeftK ' • R4 Address(mailing) ( / - - E ZONE .i GRADING CU.YDS. ACRES City License No. O'I ��15 ' - - Ping. Ref.# Park.Fees $ - • • U LICENSED CONTRACTOR DECLARATION Remarks: ' • - • Parking Req./Provided `' I', +hereby affirm that I am licensed under provisions of Charter 9 (commencing - - R with section 7000) of Division•3,of the Business and Professions Code,and - ,/ , L �j ' • Use of Building: I • E my license is in full f -e a and,ef - t. , _S_ • C:.J ' License •I•ss / �' 1 "' License aLy}/I `i 2 II • PLUMBING I I_ FEES Planning Notes: - 1 ' v E ` Date • kn. Signature i •.•\ t'- • • 1 i I • Bar Sink Showers N ' WORKERS'COMPENSATION DECLARATION - • T I hereby affirm that I have a certificate of consent to self-insure or 1 •-rtificate Backflow Preventer Service Sink . S of Workers'•Compensation-Insurance, or a certified copy thele•' (Secti+n - - - - - - - - v: 3800, Lab. / JJ �'l 7(C 2 .... -k--( �� Backfl•w Irrigation • Sewer Cap _ • I ELECTRICAL 1 FEES Policy No. `-l�� Com•any -� C 'tied copy is hereby furnished. tubs t - . Sewer Connection • • �'�- �,SLt! _ PI c / Automatic Washer Transformer 0 15.50 KW I Certifi//cogqy��rs ' with the city Buil•ing ee,is • :-' •ry. - D 50,+KW Date- - N Applicant - '�`l t,.�� ,)'-.� Clarifiers Solar Collectors I Construction Pole Sub. •• i EXEMPTION FROM WORKERS'COMPENSATION DECLARA ON ` OiShwasher (This section need not be completed if the permit is for one hundred ($1.•yl or , Solar Piping �- - -- Cooking Unit' - . -- . - ' ' -1 - -Meter gSlito•100 amps - - - S-^ i less). I certify that in the performance of the work for'which thii permit is issued,to Drinking Fountains Solar Tank ,.-s / Dishwasher Meter Dover 100 amps / shall,not employ any person in any manner so as to become subject to the •- - - - : Workers';Compensation.Laws of California - i - l Floor Drains 1 Swimming Pool w/Spa_ g `3 f Dryers ❑Gas' B�ectric / Sub Panel 1 /0 �' Date Signature -- NOTICE: If,'after making this declaration, you should become subject to the ( Floor Sinks ' Urinal ' I Fan' • Motors❑0-1 HP ❑1'/>>-B / —• Workers''Compensation-provisions-of the Labor Code,-you must-forthwith• ' - , ' - comply with such provisions or this,.permit,shall be:deemed revoked._• ' Gas Service Outlets'. I ,Water Closet I I F.A.U. ' 'Inc.Solar ❑9-15 HP 016-15+ l CONSTRUCTION LENDING AGENCVI' ' - - ' I hereby affirm that there is a construction lending agency for the performance , Interceptors' Water Heater. Fixtures 'Microwave 3 of the work for. which- this permit.-is issued,-(Section 3097 Civ. CO - -- - - .- - Lender's Name -' - - ' - Kitchen Sink - ' , Water,Service -" - ' l - - ¢ ," Device Boxes (Pole Light • Lender's Address' r ' • ' r OWNER BUILDER DECLARATION J ' Lavatories- ' ;p : - - - • - 9.11 Outlets i • / Range 7 $-J ' I hereby affirm that I am exempt from the Contractor's License Law for•the p fha following reason (Section 7031.5 Business and Professional Code: Any city or • - p - I - - I/� Switches Sign 1 cz county which requires a permit to construct,alter,improve,demolish or repair — - -- //y ' _ any structure; prior to its'issuance, also requires the.applicant for such permit Roof Drains - _ - - . Garbage Disposal , I Standing Sections / '� 'to file a signed statement that he/she is licensed pursuant to the provisions of - the Contractor's License LaW (Chapter 9(commencing with:Section 7000) of - s - - • - thereon 3 of the Business and Professions Code) or that he/she is exempt ' • - - I • Generator ❑0-5 KW ❑5-15 KW ;.Trash Compactor ,• therefrom and the basis for the alleged exemption. Any violation of Section - '7031.5 by any-applicant for ai permit'iars jthe .applicant to a civil in ' ' - I • I ' • - • enalty of not more than five hundred dollars($500). Reinspection Fee , ,I •$25 Issue Fee , I _ $'3 -• U Las owner of the property;or. my employees with wages as their sole MECHANICAL Reinspection Fee $25 ;Issue Fee, $ 3 compensation, will do the work, and the structure is not intended or offered - I , ' - FEE$ 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 who'builds or improves ' • Boiler - -, I - Hood or Type I ' 0 thereon, and'who,does such work himself/herself or through his or her own : - i Zoning Approved By - Date employees, provided that such-improvements are not-intended or offeredjfor • - Canopy Type II ❑ - , - - sale. If, however, the building or Improvement isisold Within one year of com- , Duct-- Under Ground Application Approved By ' Date i pletioh,the owner will have the burden of proving he/she did not build or im- �, r Date/i/Q��3 grove for the purpose of sale). ,: Duct-Structural Refrigeration System Application Issued-By • LJ I, as owner of the property, am exclusively contracting'with licensed con- I. • tractors to construct the project (Section 7044, Business and Professions Code: , ' Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES , • The Contractor's License Law.does not apply to an.owner of property who _ -- builds or improves thereon, and who contracts for such projects with a con- - Exhaust System ❑ Multiple O. System Repair/Alteration • BUILDING,PERMIT $ SMTP $ tractors) license pursuant tolthe Contractor's License Law): i I - PLAN CHECK . $ PERMIT • ' ' ❑'I•am exempt under Section - B.& P.C.for this reason Firepl/Fact..Blt. ICBG# PLUMBING' $ ' .ISSUANCE $ I Date Owner - i i ( Heating System& Ducting - $ 1 ENERGY P.C. $ 1 PLAN CHECK I hereby certify that I have read this application and state that the above , 00-10.0,000 BTU ❑100,000 BTL- � GRADING $ ' i information is correct:I agree to-comply with-all city and county ordinances-,- -- - - --• .--- - - - - - • - - ELECTRICAL ' $ and,state law relating lto building co. of n: ,eby authorize rept¢- - • •• • PLAN CHECK , $ ` 1 7; MICROFILM $ ----Thsentatives of!, ' city to,enter u,• e e toned inspection purp s. • `, p-�r /lll.��t• t • MECHANICAL . $ • TOTAL FEE $ Signature e , ' Drivers'License or,SS# Reinspection Fee '$25 Issue Fee • $ 3 PLAN CHECK $ // CMF-0a65-46 rev. 7/83 --White-Building;-Canary 1Applicant;Pink:Accounting;Goldenrod -'Assessor - ' - - -_ - _ . _ -. . . - - CCAISTRUCTION AND PLANNING . • - . . POOL&SPA . APPROVALS Permit# Date Inspector APPROVALS Permit - Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. - . . 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement .. 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings _ 58. Electrical Conduit-Undrgrnd.: ' 8. Foundation .. 59. Gas Pipe, 0 Undrgrnd., Test 9. Wafer Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK _ - 11. Property Sewer Line & House Connection - - 62. Backwash & Receptor-Final 12.'Sewer Cap 63. Heater & Vent-Final 13. Roof Drains. - 64. Plumbing System - Final - 14. Rough Plumbing : 1 65. Electrical-Final - 15. Rough Electrical-Conduit / ( 66: Solar System-Final - - 16. Rough Electric Wiring - /r/i7i C� 67. Fencing & Access Approval . 17. Rough Wiring Sign . /_. 68. APPROVED FOR.PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace APPROVALS Permit#- 21. Ducts, in Structure 70. Underground Hydro ' 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test l 72. Underground Flush 24. Roof.Framing , • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 57 / c 80. FOOD CERTIFICATE ISSUED 33. Final Electric 9 l�n Notes: 34. Final Heating & Air Conditioning • - - t•, 35. Final Gas Pipe-Test '. ' ' 36. Hood or Canopy . 37. Final Factory Fireplace . . • • -• - • 38. Final Plumbing • . 39. Water Servide-Final • ' • 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer - • • . , 43. Backflow Irrigation • - ' 44. ,Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48. Special'Requirements Completed - 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF,OCCUPANCY .. . - -No. Date i .! .' i 1 '.