HomeMy WebLinkAbout767 SCHENLEY BAY - Building Permits •
• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
Cali?OF COSTA MESA t -'I -j __.._{'_ -_ _ --- -- _' _ ---i
.c__ I' 1 ( - . , PERMIT NO. f •.T CT NO LOT O r. I (BLDG NO ' .. i ., I • y ; _ ` I y., t �r�9, ";,6/c;l 78'3!' c- i •' 312.5Ir,. jTi_
1 CONSTRUCTION PERMIT i 2 /?. 7-b-5a;�l 'i apt o ' - : �a C i '3 it 1 ta'
Applicant's Mallin: Address E '-A i i . LS' Sr` 1 f _j h 1 r _ I
I �A : TYPE O_F CONSTRUCTION-' •� EW LJ ADD�UALTERATION`U�REPAIR- t' m I � � � • , T ,,,, t` I�
:' AEI", rr , - 1 - ❑,CONVERSION c❑ DEM I A • 0. {nrojniu1 t 5 c f I ' 1 • 1 - , c I
Project Address; _ y •v ' - I i
'I ..tek sem/ b 1 H' -J37 DESCRIPTION OF WORK 4 / - f `•
OwnerslNal opeiviv__— natwi h•ne '1 .z ' •= i ' I 1 ' : ' t S. ; '� - 1 . 1 Q ! ' ' •SING EG LAT aN '
Address' a a / ■r��i. ' .. I'.r t. _ x'418 _ i -
1•��ny,1�r : , ,� ._+ ♦ _ �TYPE OF PERMIT • UIGRADING rt❑ FOUNOATIONSTRUCTU RAL' A P gWl I�' I ZONE ' _ , 1
Arch/Eng '�� I nra Ice N / ' t I ❑ TENANT ❑ ELECTRICAU ❑tPLUMBING ❑ MECHANICAL .PLNG. REF.* I ' 1 I ! ;-BUILDING! C 1'-
Address 14 �. I0191#1
l E1 #1 V P y l , d. - r • • ❑ OTHER .. r ! :, I . I ` . o -T 1 • 4 i ' .TO BUILDING: ! W i/ 1=.1 Y�`t , .. r
E R YARD(TO P/L �, f II__id
• �� i " ' E-- • I r _ - - •PR•PE• V INE - . !B /.Ie A �i_r IU Yid .
Cantractor.'s Noel-. •• • �/ L 7�r - •hone 1 PROJECT DESCRIPTION: 5Q�.�F\Tf��; CCUP Y ' .. _ ' 1
• Address(Mailing) i _.., -/ AAI - ! i - i`L I ! ! -/ rCONSTRUCTI TVPF ' : `VALUATION$1"'i�177 -LEFT SIDE YARD - C GHT SIDE YARD '
l i ZONE ' GRADING co. DS. ;ACRES l �t. ' la•v • T
, ' - PKG.SPACEI REQ. i I PROVIDED ^^-4
License No, i i + � i C�/ J {30 t E�
LICENSED CONTRACTOR DECLARATION I i I I ' Remarks: t • ' ' ' • ,•
l 1 , I STREET WIDTH I ��, ) PARK FEE$ �� 'i S_II
i;hereby'affirm that•I am licensed under provIslons of Charter 9(commencing - , •
with section 7000) of.Division 31 of the Business and Professions Code,and I i I � 1 I r 1 I ! , SPECIAL CONDITIONS: i I I I I ,,•,3a�ea�TC 1 i^
my license-Is in full force and effect. I • U• 1 aJ
Ocense Class • - License No - - I l ) I PLUMBING c , , i I , kIOLD. kUK .11rEGi1L,icv.. ; 1 ! : l
Date ! ' • - Signature - I.. - ' { Bar Sink + t Sewer Cap' i 'i t - ! 1 r ELECTRICAL + , {
WORKERS'COMPENSATION DECLARATION • :� ' , ' l - • I '
of Workers' mCthat I sa ve ertif I nce,1 or cert to se copy thereof (Section i '' Backflow Preventer- -r•-'I- - 1 - Sewer Connection`--f- 4--- ' ;-- : -- Automatic Washer_+- _ ` „• -_ „,l__ !Meter•Dover 100 amps- -ry
:1 hereby affirm that nhave a,cartirance,00 consent to selfdnsure or a.certectioe..�. _ 1I '
' 3800, Lab. C,) 1 ' I - ' ' j i •' - I - - Construction Pole l :Sub Panel, l 1
I t ) ; ( I )_ • Backflow Irrigation I - Solar Collector's I { t I - :+' {
v�Po cy No, ' • I Company - -- Cooking Unit { 1 'Sub Pole ' `
. -'7�lCertifled copy is hereby furnished. I i I Bathtubs I I I ; Solar Piping i - I I 1 -1} { - -
��LL��YLLJ Certified copy is filed with the city Building Division. I , I ; Dishwasher i I I ,Motors 00.1 HP 011/2-B
Date - _.Applicant 1 t ' I I 1 ' _ I Clarifiers i v SotarTank t 1 I
{ EX EM PTio N'FROM WORKERS COMPENSATION DECLARATION - 1 } - y Dishwasher � ' s Swimmin Pool w/S •a . Dryers OGai`OElectnc .. ` - TInc.SOlariO9-1501615+. I
(This section need not be completed if the permit is for one hundred ($100)or i I I l _ •g P. �" - -
Hess): '! I 'I I f I • - I , - t I Fan. Microwave % , :-i I. ((
I certify-that in the performance of the work torwhioh this permit Is Issued I . { Drinking Fountains ; Urinal; �',^ � ]�`JI '.,.0• { I I • I I r, - 1
shall'not employ any person In anymanner so'as to become subject to the ' I 1 - - . F.A.U- ' Pole light '..� �"'.I
Workers Compensation Laws of California.; , 1 ; Floor DrainsI Y 1 %Water Closets ;�\>.,) I 1 �. ^- I
' Date, Signature + r ! - r , ' -' Fixtures-I ,
workers', Compensation il i.the Labor Coe , yome•subj forth the- I --{- Flopr Sinks - --L --., -•-i --• -Water Heater, - . - -- - = -+ - - .i.. L-_ ,Range,„• _- __ -_, _ ,__- �_
I
9' Y I
1provislons,ofe, 1deemstiforthwitn I - --- -
' complyCONST with; such provi5ioni',or,ahisnperm_it ,shall be Ideemetlt revoked:I a Gas Services -.Outlets i Water Service y, - -. i Device Boxes Y I •Sign j I I I l
CONSTRUCTION;LENDING AGENCY I • I' j • ; • - ' - - 1 ' ' J' I-- -• l1, -
I hereby affirm that there H a'construction lending agency-for the.performance Interceptors I i j _ -� j J "' J 1' r.-' n 7 Outlets i i '$tending Sections , ! i I
of the (work for, which this, permit Is issued Section 5309T Civ. C s• i , -
r - f , Switches I 1
Lender's, Name st�� t � ).j / '�'• ' '. 1 Y 1 Krtchen;Sink I a + I - I .(.I ; i I • I. • sTrash Compactor I I,
Lender's Address ` - ' i - _ D1� _A,./, ■ ,� , !. , I Garbage Oral ' I - - t - I `
OWNE RIBUILOER D CLA RATION r ' l i .. , c. y 1 , I Lavatories I in ;v i . 2 1 ..7.: 1 9 P 1 ' , i I 1'
I hereby,affirin that I am'exempt-from theiContractor'sllcense Law for the • ,- i • Generator ❑o-5 KW ❑5-15 KW I ! ;
' following reason.t(Section:703115 Business and Professional'Code: Any city or I 2 I P Trap{ +- ' w' % i' i .. +.. 1 � ' I
'county which requires a permit'.to construct,alter improve;demolish,or repair : . I .. - _ Transformer Di 5-50 KW. ' 1 i '
,any structure; prior to its•issuance,'also requires the.applicant-for such permit I - 1 Roof Drains f cr : , u i r;. < 1 I- + • , i 'I i i I I I I ' - ' �.
to file a.signed statement that he/she is licensed pursuant to thelprovisions of - 1 O5U+KW} I i 'Rain coon Fee
the Contractor's License Law;(Chapter,9(commencingtwlth-Section-7000)of I ` i a- - { w I J 1 a, I -- ' I r spa i Sm.
Division,3 of the Business'and'Professions Code)•or'that he/she-is'exempt Showers r,• ... I o. , Reinspection1Fee . $15
I ' " I. - Meter O'u to 100tam s ! I I : '$ 3
:7031:5om .tan tha,plica for the alleged t-subjects,the
vplabnt S:civil i _ - i p' p 'Issue Fee: l -
.7031:5 by.+any applicant fon-a;permit-subjects the applicant to a civil i I , t I - -
penalty of not more than five hundred dollars($500)- ; .0 1 n. I ,V.Iii I Service, , ! I I t. Issue Fee,: I _ $ 3 Zoning Approved By '��f��-n`— t 1 Date inn
LJ I;as fawner of'- the property or-my empioyees:with wages as their.sole I 1 ', I }
I compensation wlll?do the work,andsthe,structurei is not intended or offered 1 t ' r _ ! I r MECHANICAL 'f ' ( , ' Application Approved By ' •• � Date ^�
for sale'(Section 7044', Business'and Professional Code:1 The!Contractor's _ - mr i i / .
r License Law does not apply to-an owner of a property,who builds or improves ' r• Boiler- i _ Refrigeration System ! j ! Application Issued By I I'� 1 !Date 10
' thereon, and who'does,such'.work himself/herself or through his or her own • - • `-. ' i
employees, provided that such Improvements arenotIntended or offered for 1 ❑0.100,000 BTU ❑100,000 BTU,
1 sale, If, however,the building or improvement is sold within one year of com- I I Duct-Under1Ground 1 b • I 1 I I" I' ' i SUMMARY OF FEES
' pletion,the ownerlwill have the burden of proving he/she did not build or im- • - - I I qqq I ,ci
r ve for the purpose of-sale)',- I' I. ) •-' I, I ', , t l : Duct Structural 1 1 i System Repair/Alteration BUILDING PERMIT $. �0/�_ ' . SMIP • i $ / �L
1p��y I,as owner of the property, am exclusively contracting with.licensed con- - - : ,. /1 I • t i,
-•wactors to construct the•project (Section.7044,Business and.professions,Code: J_ _ L. Duct;Ventilating I _ - _ __ I i i 'PLAN CHECK $' I •5 - I PERMIT , , ,
The Contractor's License Law does not apply to.an owner of property who I `"� -� ' `• - i. I . ISSUANCE $ : I
I builds or improves thereon,and who contracts for such projects with acon- I Exhaust System 0 Multiple O, I I 'PLUMBING $. i I l
tractor(s) license pursuant to the Contractors License Law)! I 1 ' • i ' _ i - i i PLAN CHECK: $� I GRADING ' I $ ' I '
O-lam exempt under Section ' I B.&P.C.for this reason Fir -Blt. ICBG'/& I i .1- i i I t r
• I • s s i I 1 I ! ELECTRICAL.. $ ' f +. 4' • $ I i
Date ' Owner i" a I I I I I. Heating System&Ducting l t I ' l I I I' I MICROFILM I $ I I '
PLAN CHECK, $
:i-hereb certify. t t-1) ye read-this-a li niand-state that the above-t •- b008TU--- t
r ypp catio - I]0.100,000BTU-0100, r •^ I 1 t I i '. - l
• Information is cor in. 0 •,: to comply all city,and county ordinances t 1 r i • �_' T I I �I , TOTAL FEE. $ I
and5state laws r- .tin• o •eVONn ;upon
constr c - n and hereby authorize repro- , - •
, i i IME MECHANICAL $1 { ..__L_, I
' sentatives of it ;c !t• en upon abov entioned pr perry for Hood O� Typal ❑' (' i ' i I I LESS ' i
Inspection pu,fse / I 1 Catnap? .Type II ❑1 I' f I Reinspection Fee $75 ''
DU, i pY IPLAN CHECKI $ { , l ADVANCED PC I. $ 1 t
Signature I { •
��• f Registers i I Issue Fee { $ 3 I ( I•
l FINAL F $ -.+zJ
j F LFEE�
CMF 0865-46 rev.12/82 White-Building;Canary-Appli nt;Pink-Accounting;Goldenrod-Assessor - .
`',ndONSTRUCTIONANDPL'ANNINGG1 ' ;, ¢q ^t;� = `' -" ,- 30 f. x -10 oPOOL&SPA ; ?0au -
A tris o40a 3 ti .r: ..;‘'7.--
= L-.it :-•� . : cr til, `pr
' r £ ? i °.- F r a. ?•Date- .Inspector 6 - + F '-' Date �` Inspector o
i APPROVALS Permit: - P �=APPROVALS Permit# •-
n t.4 I emp"ora_ry, ctycal Service or Pole ! r= -- - '''1,3A , c? -_" I ;- 2 c. of &`EgwPrnent`Location,` c.'• ;', fi _ i. I ; ._'_- _"i a
rel ‘11
<`u 2! :Siiil Pipe�Undrgrnd' 4.,;I; I s C.Il&I,III I 1 0. 14,......' I r$ i i�• rE '.53 Steel Reinforcement',; �=_'r ' ..=- - ,I
-.. • a i;l _, 1 :�-, m - a:'• 1 -'r:: 'Z'. ' r§..-Z....
§... .Dfv�... � i - _ -. Vie.l '+
m �`! Electncal-Conduii Utility-Undrgrnd! �; � 1r,_ �!� ;,:^54�-Formf,� -•.off ' '3.9:e '-;,<< � __�• - li:=�:y�' u
Ai•m Electrical-Cb d"Urt`-Undi red_ .4:1.' I L,• _ *2•e- ar ° ''56o Electrical Bonc n o . ., °� i ' "`• & 4_A
�. g 1rf TX- f° .' .ao r. _ _g c 1 :J 'c. ,r I -
".55 Steel:Reinforcem'erit" I , "Al` I P. c I o'r-, a n F•E°- . '•:56_ Rough Plumbing&'PiessurejTest; _ i I; 4.
•6. 'Electrical UFER GrniH` - 1e. ;-.9.-- i 2`i a '•S' nt .57".'APPROVAL TO;COVER-GUNIT i z- ' 1
7. Footings : ji 'I t o; • . _: I�:_ ` . - - - , I •eI ?
( r -• o y� G i ,58 .Electrical Conduit Undrarnd
8. Founhation 't . , ' i I 1 . g' r .r g; 59. Gas'Pip'e;,D`Undrgrnd.;Te'st" -gv 1
9. Water Pipe-Undrgrnd. 1 1 ;� ' = : ' _ I = '' er,: ' '6p. Backwwash'Lines;TP-Trap,O'Undrgrnd.:. =_r _ I • `-';`'a '! ..
•
10. Structural'Flo• `or�Systern I c 1 - Q I' ,g - 1 .61 : APP.ROVAL'TO DECK --.7.1.!'s.,';.;!-!,- - ,r • ;�•
L
11. Property`Sewer Line &'House`Connection; _ ! 1 ,L JP: I ` ' " &' n - r ,: , ' -I
;62. 'Backwash�&�Recepto�-Final: ;; � °n
.- .� ! Cr, : i iaa - r no<< � �. .. 1 ':11
12.'SewertCap'. -"i F. 1- I t i ri I i o' "5 -:63. Heater.-&-.Vint-Fina_I. `"c'- " " - 1 I ' 5 `<
. `A ;v ! iI I ! - N 1 r 1 T 1-; � . n- _ __ - - . e
13. Roof Drains ,.N ; 1 ..` I = ? ! 0 • : 64. PlumbingSystem=F,inal`�.;'• _ "I ;
< 14. Rough-Plurnbing4' •• I 1 `l ; I ' c I 9 -a 1L65. Electrical Final'- ' -_ .7- • - • -
S .- . --ss_ -..
P15?!Rough'Electrical:Conduit- j-Y'TT T r -- "r-i- j66. Solar Sys'tem-FinalT-f1'-'r r r-"'-, '- i -'1 I =
; - ! - en2.` '
;16IFough ElecnrlcWking9 ., I r .1- to o i Ir 67 ! Fencing& Access:Apoall-- sr !'?
e 1, . in rt : • . • v _ , , j- _
t17 IRough'1NiringlSignr '' K I ill it; 1119 j: IFI a 1 4 i •' 168 APPROVED FOR PLASTERING I;: 1 `• : I ' I , ^ 11
1 18.,1Rough Electrical T Ba?. Ceiling I 1 - i I i:!1' , 1 J_I- '69.1 POOL/SPA SYSTEMS FI NAL , ' ! - ' 1 -,_I
o 19.*Rough•Heating & Air'Conditioning ,• " ! I ! j I FIRE DEPT. REQUIREMENT 1 ;; 1 - , -
R ;iI. I 1 7 1 1 1 ,
20.1Rough Factory Fireplace I I ° 1 I I APPROVALS; I Permit# 1 , I � 1
li i1 _ . t I ..
T. I
E , 21.)Ducts,,in Structured• `9 I 1 !} I' 1 l i - 1 1 1 170.'Undergroun Hydro I i : I 1 I
4
y 1.224Ducts_Ve•n ilating .4 .� c 1 I It I; I I f 1 1 1 !71.1 Product Piping O Gas O Oil - I :.; ' 1 , ' 1
P 9 I 172. - t
c I;2,„.. PI a-Rou h &=Test ' I I e" I{ r 1- I i _ 1- ' Undeigrounii Flushi =�' '
C24. Roof,Framing, 1_1_, " r I i W a �l I`> >I$1: 73: Undergrrid.Storage Tank jOGas- O Oil t
> 1 --1+ .. . r1 ->' .,. � 1 11n i1_ 1_S I'3 . f1 _ I 1- I-. I . 1 tee . _ � I. .. i . .
„ ' 25.'Root Sheathin ' 1 I i itg //r / ! ."t - 1 ! , 1 t i ` i
`- _25, .. ., - 9 .' I 1 > 1; . .1I'` II; ,)I1•l,sigk g>F,I- 27,,, 1.0yerhead Hydro I 4 ' , !
-26. �T Bar Ceiii g (Str'ucturaQl& Monocoet' i 1 I g,i ;•6'.1, I q. ,;7%I Dry Chern• lcal I -` I I ' I
8 '1�27. 'FrameandfFlashin , I .- I ' '
I ... - e 1. . 11 .r � � / I76.� Dry Standpipe I " , ! .
' 1 2B. .!lathing& Skiing, n - + t • I I! 1I I I I i7, f� (77 C FIXED SYSTEM FINAL •J I . ' 1 1 I r_
•r• r 29.�llhsulation �,,t a_ 1 1 II I' e I I i(1%`�IlrAir 178! FIRE PREY. FINAL . ; i I ! ; 1 I `7 ;
7 " 30,IDrytvall Nailing 1t 1 is 11 i1
I� /..a�.tcGiNoes: I 11 ! I 1. ;•_; } I i .
n"_ 1? I.
-Brown Coat 1,-., °; 1_ I i1 II - (- -l1- 1--- • _id���?'''$moi(( -(--I- -, I- 1 - 1 - I - --- - I- -i- - r -,-
a " 32..EIecirical�Power Meter�Fin_al 1 11 --_I .II . i 1 _i - ( I I i i I ' • I _ ,
r '• p _ . 1 a�' 'LLI___ i ! I 1 1 - I i 1
d 33.�FinalElectric - -,.--1� �� 11,- 1 1_
34. Final Heating &Air' Conditioning . 11 i I 1 I I 1 I. i+ I {rI ,}
et
35. Final GasPipetii; nkl -'.I I g Ij21 '61- 1 ' i •ImI >I_' 1 '`9,1.0 ' .- - - - - -t '
.•I . i w
36. Hood er!CarioPY lc'IS' i _ c1 1 IiftI_- I Ic1 IJI = ; Y; '.I ; I ; . •t• 4 ' t5 - f' .' - _ , r
i t' . - 1, • e v - _ 1
37. Final Factory Fi're,lace',' ! x 1 ?1 kl I'r IT 1 c I I ; I 1 1 1k;I 1 I •: ! IL•, ,.''- > i m r x . '
•
38. Final Plumbing 1 11 • I. 1 sol . 'I i ? f 1 1 1 4. it 1 I . 1 i 1i • �- J 1 r; - i -- ` .
39. Water SeiFin
ice, alt 4. -};' ! _ _ , . j $- .,
40. Gas Syrvibe- inal 1 I . . I i I! I I I 1 i I I I I I I I i _ i I - ' i'. I i
•
41. Solar Domestic-Final I I II I_ 1_ 1 ! I _ -1---k-- L4 �__{
! __ !
I - <=-"` r ' ' I 1 ( '
42. Backflow Freventer Iilrz ,___- 1 1 F -!' _
-ll •d nl r'.I I ( i-. . t-,I- L-I-- -�---F--'r- r' 1--r -^_-�._-:-� b 11 , '' ' , � !'
=1 1 I Ii" IegI'° j tj l I . I -
;Ra >` a. I is - 4 u I n ' , re!: -.
43. Backflow Irri anon -• 1
T--1 '
.• .1 9.r •t!s I :� 1J1E1 �0I .= 1 � i FI Ic I 1 I ,I, -
.On I�;, - ; , .u • , 1ri . .LIZ i:: : o! - ` 1 -- i
44. Landscape Irrlgation:System ,t • ^!•-` - a 1 1 I I o1 c; 1 4 • •' ?'' ' -,•:
• 45. Sound 7Attenuation >'o I ! It I '(' ( 1 n ! -,i 1 I I i "1'1: a II 1 I 'a : r'' ,is ,g T '^' _ 6: i
rl-n 1. I R i.. 1 4. I , I' i ro I 1 1 i t ! 1 . -
,Iw, I 1 1 ^I t. I '- I I I d1 -o i ' I i •T ''g„ o C: '3• ` ~
46. Handicap.Regulations I 1 ,- 1 'L `! iL 11 1- 1 r 1 I I I '1 1, _ c ' o ' _ 2 a r.r. r
47. FINALS!TRUCTURE& BUILONG II IE �� I '6h 91,Fa I 1 I ! 1 ' I .11 r.
•
46. Special Requirements Co npleted n pp (��1// I stlo !��`T I j I 1 1 ' ` 1,,
n , I I I i 1 1 1! I Otitilll ? L/A'f/ I 1 I { f 1 I t_ a :, I_ .i.
49. Electric.Release'toiEdison _1 1 1_, .:- I _;_I-,-I- I r_1 1 I I ' - i i 1ff'
... e _ i. 1--1 ! -'1 1 9 1 I i- i l 1 1 1 1-��__ "i-_ .A .1 - 1 . I
,I 1 I I i. 1 i l l i ! r " ni -• ' - i t
50. 'Gas Release to Southern California Gas Co I I n':3'';
c r. J 1 I :I 1 I I I 1 I I I I I 1 { 1 :Il.i• -
51. CERTIFIICATEiOF OCCUPANCY i-_ }_j ;_t_4_4_, ;�- I,__ .� _j `" l; I• I 1 1��;
. I1 1 I , . j .r
No �` I: 1 •r1 Date I i i 1 I I I I_t____,,, I ' . ' ,
'/_vii-._--6-_-.xlwJ-+v-�u>ti--mane,l-_,-. • -�.-�_
_ ca .to.fil in allspaces exceptse within heavy border lines and appropriate -, •-.. - --• i
_ Appll nt I !ho ar bo a sign all a ri declarations,
CITY OF COSTA ME$ 1 I 1 i - PERMIT-NOTRACT NO i LOT NO.r, BLDG NO I i y - 1 I
*CONSTRUCTIO P� '.T k • i, is :{• t; a .: •
q-I•ss' $/®<1�ie:•i�ol � - ,TYPE OF CONSTRUCTION r w a ADD-e ALTERATION' a REPAIR I _ 'T I ( tl' ' ' °r85 ���I f/N3 ; r 36.00 f YL
eplicant s Mailing 0' ;Hips z I ^- i E. ; �, - I , - ! .
!Ir
�O Project Address��v •
7 � ',-.i i\ T' '❑'CONVERSION '❑ DEMOLISH ❑OTHER' - I - I 1 ' • 1 %• ' • I .! ' .4
.,1 - '3� J7�s at h ,DESCRIPTION OF WORK - - - r _ 1.
Owner s Namr - 1 :- ,• l' - , I - !I G :E U -• .N '-. 1
Address' _ • — :TYPE OF PERMIT, U GRADING FOUNDATION ❑ STRUCTURAL• I A P-# I - I ' • ZONE , 1 ., I : ..• 1 • I
AfCh/nig '" License No ' I .❑ TENANT ❑'ELECTRICAL' -P4 UMBING ❑•M•ECHANICAL ' t I • - f . ',BUILDING; ! ''
i " . .n ,i •
I ' „ ! I „ T • PLNG.REF.Yf• t - I
A:dressl ❑,OTHER i ) . i • SPriaAra r t et '
.TO BUILDING'
• a 0 • w , - { - - t REAR YARD(TO P/L) 1 I . O - '
1 •' r PROPERTY LINE
Contractors Name_ -� 1 ` ! �y�s �=Phon .PROJECT DESCRIPTION' SG F7 OCCUPANCY ' . . - - ,
I Q ' ,Yj� ]/y/y� •
CONSTRUCTION TYPF I ' VALUATION$ • LEFT SIDE YARD RIGHT SIDE YARD i ' t 1 I f
Licenss(mailing) ! • I 6 1': 1 ^ I PKG,SPACE REO, I ' PROVIDED f •
-
• n' 128�7 1 I - j I ( , I ZONJ= - 1 ' GRADING CU. I rACRFS : , - _ i - k `
License No '__ , " .,LICENSED CONTRACTOR DECLARATION ! 1 t i Remarks: j •:, j 6 75, /' ' t I ', I I - I STREET WIDTH i � i C PARK FEE-$ 1 7 I I,�I
• I'hereby affirm that-Pam licensed.under provisions of Charter 9(commencing i�
with section 7000) of Division 3 of the Business and Professions Code,and I F ' I y I s , I SPECIAL CO•NDITIONS: ' I .• I -' I d {
MY licenseds in full for . an.':ff-ct - , - t
' License •la- 1 ` - — - Licen/No fl ; I 1 j I ' PLUMBING i i 1 t 1 t i. , 1• , 1 'fl'
' Date ' . / 'W' Signature AK/%., - i. . . . . • _
�/ Bar Sink Sewer Cap " . ; ELECTRICAL ! I 1
WORKS-S'C•MPENSATION DE • -ATION 1 -.= • '
:.thereby affirm.that (have a.certificate.of consent to selNnsure,ora certificate,..' ' Connection'----t-- }�. !�7 �, Automatic Washer- - y IMeter_,Uo_ver t0a amps_ ' t 11 ' i i
j Backflow•Preventer-• - E--- - -Sewer - - _ - - -- --,- -�-+ v- - - -r ^
of Workers' Compensation Insurance,jor a cert' ed'copy thereof (Sectlon'F ! - - - I
3800, LaD. I�I { ' I J; , Backflow Irrigation I i Soler Collectors ( -,--Li
Construction Poled , Sub Panel I ( t 1
Policy No. L{tiC� [q�Irf• ompany l ¢) l - - -.- i �I/ Cooking Unit ' 'Sub Pole ' I. ,
Rrtifletl•ropy,is ereby furnished. 4 • , t� i ( Bathtubs ( Solar Piping . 1 — 1 i 1 i
rtWe c I with the c Divislorg ') , i ,- { Dishwasher . Y; - 'Motors Do-1 tIP 01X$ •
Data Applicant 7 p " Clarifiers I ; Solar Tank , i ,
r IFR M ORKERS'•C COMPENSATION DELRAT N - - - I' - a j ' Dryers •OGas1 DElectric ,_• •-- -� " -1----1 •-`-'
EXEMPT( Dishwasher ; Swimmin Pool w/S a ' — .. � Inc;Ia Solar D9/5 HPD16-15+
' (This section neectnot be completed If the permit's for,one hund d($100)oT!• /' j I . , 9 P I a
less):. : led.( , f i 1 - t _- _ Fan! I P Microwave t 1 1 I
1 all-not employ
in;the performance of toe work for-whichsoas
this permit is issued/I' • I Drinking Fountains i Urinal ) ; I ''.I- t I
•
shall-not employ'any person in any manner so'as to become subject to the:I - . , , F.A.U. ' fi ' i Pole Li ht I I '
Workers'1 Compensation!Laws of California.' 1 , AI 1 I Floor Drains , ,"/_ Water Closet 1 1 71 — ' ! g 1 1 1 1 '
Date Signature 1 4 '• 1 t / Fixtures ' 1 " !
(-NOTICE:If,--after-making this-deciratieyou•should•becou mustect-to the--, -- Floor Slnks.b '-- -,•----- -- -'WatenHeatef, ---/^-�1 '-•--d---I- - - •--- i•-.-•—_..« - -_ i.-,- _�- . Range-.�,_,� _(.__,_(_. I
I Workers• Compensation provislons,of the Labor. Code, you forthwith 1 4 - : 4 I
comply ;with! such provisions_':or this„permit shall be I deemedrevokedIt 1 ?i I Gas Service; ! Outlets 'Water Service m, ' a t 41 • • Device Boxes I ; Signs ! 4 1, 1, I )
CONSTRUCTION(LENDING AGENCY i ' ' r ' I • I '' I 1 H `n t i
;hereby affirm that there Is a construction lending agency for the performance 1, interceptors r - )' , ! Outlets '- i :Standing Sections 1 ,
• of the work for..which_,this; permit Is ,issued v(Section '3097 Civ C:) p ' I •I 1 1 • ' s I / , i
Lenders' Name ' - ' - I ' I :> 1 1 :, i' '/• KitchenISinkl 'r _-' ; 2;4 .- -' :? ! x j .� 1 j .b' - Switches , 1 •• Trash Compactor • .
Lender's' 'Atltlress'j = [. ,+ 1 i1 I - '- ! - - _ _ 1 n , Sr r t i - i { Garbage Disposal ' I I 1 I 't I ' ; I I
OWNEy affix DER DECLARATION 1 I ^; 1 n { r, _, , 1 . ' L8V6LOflest 1 f� , �; , - I 1 ' ,
I I hereby affirm that I am exempt from the Contraession License Law for the • d •. - - - Generator DO-'5 KW D5-15 KW • 1 •
following reason- 'a per 31'.5 Business and er, essionah Code:Any city or- ; - Trap! - tr, , r ' •} I _.' : i I. 1 ' 1 1 1 i
,county which requires a permit to construct,alter,Improve;demolish permit.
I '
r - Transformer 015-50 KW I I I 1 I
I Zany structure; prior to Itt that
he/she
iso requires purse pllcan t'.for such permit T j :Roof Drains I- T p + ter` I ! er, •3 I j '� _ ' •I 1 i �
.to Nle a signed statement that he/she is licensed pursuant to the'provislons of I D5U+KW `
theDiv Contractorsthe
Bu si Lawand 9(commencing with!Sec she is7900)of ,,/ - I 1 `� _ 1 p s' r { ” ere ( - - I • , I j I ( jRainspeetion Fee $sr�'. t
.thereon•3 aof,the;B asiness and'Professions Code) -or�that.he/she='s exempt ' '-/1 Showers - j - I , Reinspection�Fee $15 -
therefrom and the'basis for the alleged exemption,-Any_viplation-of;Section fff - `1 ' - - Meter ❑up t0 100 amps , i .:Issue Fee' '- • .•
$ 3
,7031:5 by:any applicant for I permit-subjects'the•applicant to az civil I I ' ' ' �- 1 ' 1 1' ' '^ I '
penalty.of not more than Mahundred dollars($500)1 I is.r :, I i y1 t Service Sick 1, , f 4 Issue Fee i i $ 3 Zoning Approved By ! Date ' f
LJ I,'as lowner of,the property or:my employees with wages as their sole •t 1 I - j 1 l
: compensation' wieldo the work,and)the,structure is not Intended or offered I I ,- I f i r; ,MECHANICAL ; I I , I I I 1 - i '
for sale (Section 7044; Business'and;Professional Code:1 The Contractor's r - Application Approved By gate ,
License Law does not apply to an owner of a property who builds or improves ' ^ Refrigeration System I j t I �7!�� I •
1 Boiler ' • I ; • 1 I A lication Issued By • Date
. thereon, and whoCoessuch'work himself/herself or through his or her own i I - . I - PP. I
• employees,ho ever,provided that such Improvements is t Intended or offered for , Duct-.Under'Ground , I j D0-100,000 BTU ❑100,000 BTU - I i
I sale, If, however,the building or improvement is sold within one•yearlof cam- I - ; ! I _l a I 1 I, 7 I SUMMARY OF FEES , j ,
I pletion,the ownerlwlll have the burden of proving he/she aid not build or irlt- -
Iwpiveforthepurposeoftsale)'. - , .1 I ; .r: t 1 j I Duct-Structural S ; j System Repair/Alteration ,I i - . BUILDING PERMIT $' I ' I SMTP t 1 • $ ? I
I LJ I, as owner of the property, am exclusively contracting'with',licensed con , - 1• 1 , • ' I ,
'-tractors toconstructthejproject,(Section 7,044„Business and,Professions,Code:. 1, __,, Duct-Ven_tllating�- ' ___,,,, - ; _ __,-;y,_-. _I-_ _y- -4 ,' • PLAN CHECK- ' I $ 'I 1 t PERMIT. I ' ! - I
' The Contractor's License Law ddoes not apply to an owner of property who , I i ' -• I I I '1 ISSUANCE $ I I
•
builds or Improves thereon,and who contracts for such projects with a con- 1 ) Exhaust,System 0 Multiple DI '� I ) ,PLUMBING $� ��'r i j ' —
tractor(s) license pursuant to the Contractor's License Law). I I • I .I - • .i .PLAN CHECK( I $ /1/ I 1 GRADING $ I I !
0'Tram exempt under Section ” - B.& P.C.for this reason I I Firepl/Fact:Bit, ICBG# • ; I 4 I l 1 • 1 , 1 I 1
^ -I I , 1 I , I .ELECTRICAL( I $ ' ! - i ; j $
Date _' i -' ' Owner) r ; . I . - i I 1 'I HeatingiSystem&Ducting I '. • t t I ' . '; 1 .I 1 ) ' 'MICROFILM , $ i • •
P hereby certify-that 11-have•readthis-application-and-state-that-the above --'- ❑0-100,000;BTU•D100:00 BTC=:' -..---1--•-•-- --- (PLAN CH,ECKI I -$ _ i I , ,
� Information is correct. I agree to'comply with all city and county ordinances - '1 I 1 'I s 1 'I 1 • 1 ' $ , i I TOTA LPEE' $ i '
'MECHANICAL •
and',state laws.relating to buildingater- construction,Ian- ention authorize repro- , r I I I
sentatives of this cit t• enter ' Hdod or -ripe ❑• i I i - I , I •
y. Yupon the abo e-mentioned pr arty or 'I VP I j Reinspection Feel ,$75 1 LESS
Inspection purpose- / % �f I 4 I I /qPM Canopy .Type II D) i ' ! I r 'PLAN CHECK( $� j ' ADVANCED PC 1 $ • '
Signature L %
1 1 I ' Registers f - 1 I i 1 Issue Fee I .j $ 3 I i I 1 t
, , ! i 1 i i ; FINAL FEEL 1 $ I_�5�plI.
'CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor .
- t AND;PLANNIIVG„- �- -'aclscCn�8n ?,9, :2n rap - -POOL&SPA 1: ,vc n In - - ,, c g
t? ='CONSTRUCTION - o' . - f= n g o y E a x • o_ ,
Cl r 7 n - ,_ ;' _ ` '1 3[Date,b [inspector x, = c _• Date • Inspector
Y Z<+APPROVACS ?�Perm't.1#' r, lay c 1.1,.yAPPROYALS Permrt# it r-,
'A q: S c :. " if lar .1 Pn n" - - 'o
rr .1 .empoar•;Elect caI Service ora:Pole.-1 pi. %+h n O 2 t-.4 I 152) P661 &'Equipment'Location,;
Applicant to fill in all_spaces except those within heavy border lines and sign all appropriate declarations. - . _ _
CITY OF COSTA MESA' T _ 1 PERMIT O.. TRACT NO. , LOT�uQQ BLDG.NO.,
•
CONSTRUCTION PERMIT • 90 —0 71-7- L(i•: ! I ' •
• J. •• 7221 I0II3/F3 9 - 1 TI-
Applicant s Mailing Address 0• - a.Y/t - ..aIfL i f PE OF CONSTRUCTION: ]' EWDDD111yyy��.111LI ADD LI ALTERATION• REPAIR ; - I s i 7 t I '
Project Address •• et'l •• � �cn r i ' " ❑ CONVERSION -L-4 DEMOLIS� Q SER - - • •_, , - - • :1 -_ _
Owner's Name �• ` / 'ho a , aft:efh ..DESCRIPTION OF WORK ?� 1 -n -
_ . . i _ - - •- - - (� • - •ZONING.REGULATIONS - -
Address r ,� ' v'' /�s,�'•�_ - tat : TYPE OF PERMIT Li GRADING U FOUNDATI U STRUCTURAL • A.P.tI' , . . ZONE - , - <
Arch/Eng - License No, • ; ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ;MECHANICAL I BUILDING • • ;
r rPLNG.REF.qW. . . ' - . gxranrie?yr t '
Address '` ' ' ' '' , - ❑ 'OTHER ` I ' + I : - TO BUILDING ' _ '
/• `., / v - • - - •PROPERTY LINE - REAR YARD(TO P%L) r
Contractors Nam i�Llt / - ne •hone D'- PROJECT DESCRIPTION' SG.FT, '- - occupgry /'�I /,/ J -
• • ,� N/- P) n4^ i /� CONST RUCTION TVPF ' VALUATIONS- �t�'J'V`' LEFT SIDE YARD 1 , RIGHT SIDE YARD •
Address(mailing) ✓y^w{q� ^' A _
__ A//�+�"[A ` PKC.SPACE REO. - I PROVIDED i i--
• P
No: •
ZON)_ GRADING CU-YDS: ' .ACRES
LICENSED CONTRACTOR DECLARATION ' Remarks: ,v�t1 / •
r - STREET WIDTH ' I - SPARK FEE•$
• I,herebylaffirm that I am licensed under provisions of Charter,9(commencing " ,•� �� �+ -
wlth sectIon 7000) of Division 3}of the Business and Professions Code,and i ! I , i SPECIAL CONDITIONS: ' Y -' •
my license;is In f f and effect. i ' -
license Class • cen o, af�`(�b I r j PLUMBING i ' - , 7 • i_ i
Date - I J 'signature / / - ' ' - '
WORKERS'COMPENSATION DECLARA V[ Bar Sink Sewer Cap• 1 ELECTRICAL y -
ofeWorkeMrmthat.I ave insurance,'oansentitoself-Insure cothereof -I -'---- '-'- Automatic Washer 'Meter ❑over 100 ampsa-L_�I
{e - Backflow'P,reventer 'Sewer Connection' - -r - -t•
3800, Lab. CJ a1• i , /-:_-�y (Section Irrigation , Solar Collectors r ' ' ' • Construction Pole i
O y /�' 7q Backflow Sub Panel I ' • ,
Polity No, o • Company w`•� - - �- Cooking Unit Sub Pole '
Certified-copy Is hereby furnished. , Bathtubs 1 ' Solar Piping 1 , , '
Cer fie c¢P1�Is filed with the city Bu{1tl�n9 Division 1 • L s , '• Dishwasher Motors ❑O 1 HP ❑i vs-s I
Oat J�'- S 7 APPlicant •-• 7rU7 fro t�C'/' i _i.I •
Clarifiers '1 - i _ Solar Tenk + ,
EXEMPTIONIFROM WORKERS•COMPENSATION bECLARATION , - - Dryers ❑Gas' ❑Electric '1' 9nc.Solaf,09-15 HP 016-15+
Dishwasher SwimmingPool w/Spa
(This section need not be completed If the permit Is for one hundred($100)or -_ , p
less), I 7 l Fan Microwave
• I certify,that in the performance of the work for which this permit is Issued I ; ' Drinking Fountains Urinal • - I + - '
I shall not employ any person in any manner so as to become subject to the - - - - - F.A.U. Pole Light Workers' Compensation Laws of California.; I Floor Drains' :� I . Water Closet' I g . I
Date 1 I Signature 1 ' - '
NOTICE:If;after making this declaration,you should became subject to-the- -'-' Floor Sinks +--- -:-- -'- -Water Heater -;* - .... ... F,iixtoures - -- Range_ ._. . .- .. ,._.
Workers', Compensation provisions,of the Labor;Code,.,you,must forthwith - I Device Boxes ' i '
comply with; such provisions:or•this„permit shall be{deemed• revoked:, Gas Service : 'Outlets . - - ;Water,Service � . _ Sign '
CONSTRUCTION I LENDING AGENCY ' - - ' Outlets ' '
I hereby affirm that there Is a construction-lending agency for the performance i Interceptors r Standing Sections . '
of the work for; which,t is�per it is.issued (Section :3097 Civ. C.), - - - $witchesI
Landers'•Name' (`!�r•`i- - Kitchen Sink' - I r , , Trash Compactor , h 1
' 'Lender's Andress; I ' ” ' ' I 1 - - - Garbage Disposal •
! I- I
r - - Lavatories, - 9 p
I OWNEGBUILDER DECLARATION : I : , , i e _ _ , ^ , 1 1 i
I herebylaffirm that I am exempt:from the.Contractor's License Law for the - - - , - Generator❑0-5 KW ❑5-15 KW ' •
-
, following reason (Section'7031.5 Business and Professional'Code: Any city or ! rt Trapj ... - t _ , i , 1 ?
'county which-requires a permit'to construct,alter improve,demolish or'repair , r - - - - Transformer 0115-50 KW ' i 1 I
' any structure, prior to its-issuance,also requires the'applicant for such permit. , - Roof'-Draina - ^, - i
'.to file a signed statement that he/she Is licensed pursuant to the provisions of - - • 0150+ KW - - '
! the Contractor's-License Law,(Chapter 9(commencing with-Section.7000)of l s, I - t.- t I - - Reinspect- -ion Fee I
Division'3 of the Business and:Professions'Code)'or that he//she as exempt - Showers -.t 1 ,T. - i i - _ F • Reinspection Fee 1 $15 - • ! $15 i.
I therefrom and the;basis for the alleged exemption. Any violation of;section ` - Meter ❑up to 100 amps I -Issue Fee; ' '$'3.
:-7031.5 by.-any applicant its'-a1permit=subjects 'the applicant to a civil .•L 1 _
eeenaity of not more than Jive'hundred dollars($500), I ., , : ; (Service Sink! i Issue Fee„ 1 • $ 3 Zoning Approved By - 'Date '
LJ I; as owner of'the•property or-my employees with wages•as their sole '
compensation will-do the work,and the struciureJs not intended or offered _`= - . : MECHANICAL • 1 Application Approved By 'Date '
l for sale (Seciion 7044, Business.and Professional.Code:'The;Contractor's ' L.� - r 1 .
License Law does not apply to'an owner of a property who builds or,improves • ' Refrigeration System '
thereon,•and who'does;such work himself/herself or through his or her own 1 Boiler. y i I Application Issued By / -
Date ��'��-
I employees, provided that such Improvements are-not intended or offered for I - ❑0-100,000 BTU (]100,000 BTU
' sale, If, however,the building or improvement Is sold within one'year of com- . • Duct v Under,G round ' , 1 !• ' i SUMMARY OF FEES , 1 •
' pletion, the owneriwlll have the burden of proving he/she did not build or im- - - - ' - - I ' I i
grove for the purpose of sale)'- ; ' - ; ; ; , Duct-Structural i System Repair/Alteration j '
LI 1 - t - BUILDING PERMIT •$1 SMTP 1 $ ��.
• 1,as owner of the property, am exclusively cting:with edcon- 1 - I
I tractors tract struct elect (Section 7044,Business and Professions Code:- _ ; Duct,-Ventilating__.l_l_ _•;_ - --_-'�_4• - _ '--_ PLAN CHECK: $ ' I PERMIT i ( ,
The Contractor's License Law does not apply to an owner of property who ! - , ISSUANCE $
• ' Ibuilds or improves thereon,and who contracts for such projects with a con- j Exhaust System 0 Multiple 0; , 'PLUMBING , $ - ;
tractor(s) license pursuant to the Contractors License Law): 1 I GRADING i $ 1 I
'PLAN CHECK! S. i $
I 0 I:am exempt unoar Section I 1 B.& P.C.for this reason Firepl/Fact.BIG (CBO# ! • � 1
- I ! ' r i ELECTRICAL $ i r
, Date I owner i : - ( • eating System&Ducting - r ; - i - MICROFILM t $ •
`
PLAN CHECK'
` I nformationrtify^that i hhare-read this appiication and-statounty-the above - XD100,000,BTU 0100,000 BTU-'-- --- - i , $' 1 i ,
' information is correct. I agree to comply with all city and county ordinances t . 1 i . - . $ +70 , TOTAL'FEEt , $ F
l and state laws relating to building construction,and hereby authorize repro- Hood or Type I ' • 111 MECHANICAL
1 sentatives ofahls;eft •to enter; -on the above-mentioned property for , yp D, I - i Reinspection Fee' i $15 1 t
Canopy' i ' 4 (PLAN CHECK, $ ADVANCED PC $ 1
I inspection purposes. /" .. I py' -Type II ❑
. 519natore 1 I as. 1 Date 1�.0 � I I i j ' 1 —
t Registers Issue Fee , $ 3 t•/�" '
Drivers' License or SS i i ) FINAL FEE, $ ; ••'
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor •
A r .
r, OCONSTRUCTION AND;PLANNINdlo a 1 V _-Y ,'c`= ,; o�,& -; ;o ,POOL&SPA 11n :. t , j't
It: 0 ! c _ ¢ ,.Daten Inspector. ' 'Date Inspector ' ,
y co 1 mRO VA LS la ,i it.# H , n> tom _ r { ; ` APPRO,ti LS P'ermlt# z, l
n'4. I emporary1Electnca+i Service& P,b1e-..";m " ;13,n:. v ri. t :52` P6dl &r.Egwpmenir Location'. ; - - - # " _ ;,
CO IS6il Pipe-Undigrnd= = I r-9.7.1.J w; ° 3? . n° `'53'"Steel Reinfo?cement' - =:..-, p '''e . ;• - -
I ' i Y!Z': 24 •,
- ." {`y . fin - 1 $
3t Electric it C. . . t U.• $i Undr rnd s , a- 0 i‘•=-5471 Forms I
'4' Electrical Conduii,Uiirgrnd':._q; ! g t" �• N 55- Electrical Bonding' _ I, _ _; 1 _ ' '>
^ im , e- o r. -. . f I .
5t Steel;Reinforcement 1L I n .' I. - o I `n ['` 3` 56. Rough Plumbing,& Pre'ssure'Test „ i 3: it-
6" t,. ' 'Gr - -`' ' "- I L ,i • %' '' ';57" APP.ROVAL"ITO+COVER-GUNITE^ i.. 1' '
IElectrical�UFER Grnda ; Q � I � , ' r s` �� t `' I
7. Footings -j I I , !`,I _• u ° l. a1 :gas
„Coriduit'Undrornd - o '
'-=''‘-• .,�. 1 4 c as .:58 Electrical
8.Fdundat'ion I I. I l' ^' 1'1 e' 2 ' $g- 7' ' ' 5. •Gas'Pipe,:O"Undr' gr;nd;Test`` • q_ I
1.9. Water Pipe Undrgrnd:_ ' " z-' _ ' s- f '60. Backwash Lines IP_Trap, 0 Undrgrnd.
10. Stiuctural'•FIoorSy,teni 74; •4 g -I ri .61. APPROVALTO.DECK -;` `
11: PropertQ Sewer Line&jHouse Connection .f,,,....::, -r u z o, 1 62. Backwash&;Rece-erptor-Final':'''-.` - - °= n ' 1 - ' '
I . I ' I I �- I I � > 4t - �f-- _ r - u - n r r
,,
• 12: SeweriCap ' ! i I '-f ! 1 • o I '': c_44 1 `63. Heater&Vent-Final `^ - -
13. ' Drens
RooflI I ' ;ft:I I ,I I 4 m
I � ,, - I ;564. Plubinge
SYstm`i_Fina1..; :i .-' A j 0
' l'
c 14.-Rough.Pluinbing 5.:, ' • o 9 • a _p - - ,,12-.. .-`-; - _ . -
i•
I = 65. Electrical=Final
n
-' 15=Rou h-Electrical:Conduit -I ;--"-- -- - -
• �- ' g T.: � � ��� i-r���-(--r-I X66. SolailSYsiem-Final !_": 7 _�._;- 1 i i--T---
6 1 •v r h 1
ccal 6. fRiiu h-Elearic•Wirin eIII 1 1'- • hi$T.i .4-
z a--`r-_ _ ti_ T _ Jam:: _� . - .-1_----
-i - .- ! r,
R.. 1i;,, g �, I, j 9t I 1:`O I ;1-5*z j r i f?��';67.I Fencing &-AccesrAPPioval : f..i _ -
ES;1T. IIaugh�Wiriing'Sign• Fru IP 11 liti. I :1" Ii-I i"i ' 1 It ,68 APPROVEDFOR'PLASTERING 1 " ; 8! - - Ir ,. ' '
II�16q T_ r r i T % I I 1 - r ? i • 16-6: n SI 1 ^ • - I ` '- 1 «
;.Rough-ElectirlcalT,Ba�,Ceilingl j( 11 I' �l� l I ` �'� I'� 1 POOL/SPASYSTEMS�FINAL `I ' � I
f 19:1Rough'Heating &IAirtonditioning I I b3 moire I I I FIj E DEPT. REQUIREMENT. • ! , t :1 ! _'I
"y '; 20'fRough3Factory' Fireplace; I II I ` l I 1 1 I APPROVALS; Permit-1# ' - ' I -, . I
.. n1 1 n .,: Is I I. 1 I I l i I i ! t ; - ,
21. , s.. >In Sfruv I ...r '! , I I 11 N I I I I I 170.; Underground Hydro I' I
13 ia22:,Ducts, Veniilating I , -1 II li I I I 1 ; I I ! i71.: Product Piping D Gas D Oil
c ....,4Gas P1pe Rough &Test .� 4'"(I I i� � ',TT-1 i72.LUnderground Flush-Th. r I . I
c r l , 1 1 1 1 I' -1
e - ! c I IIF 11 ' ! I t I • ;
• 024. 1RoofFrameg,, I I i.?", I, I 11;i a I 1 k 1c�I eI.g1 - 1 r�r 173., Undergrnd.StorageTankibGasz..O,O_il: 1 I i
g 25.4,R8o,f Sheathing I I } 1 ' I t10II I, !, 1;;; 171 :.. ; %- !- I " I. 174.1 Overhead Hydro 1 - ' > 1 : ' I
a .� ¢ ' 6 it 11:5 : ., k { k1 I - :� 1 �
{26. IT=Bar Ceiling (Structuraih& MonacOat t -'1 R j _I I. 'I I of I j ;75.1 Dry Chemical ' .- , ;I - : ( � I 1 ; I ,
1:7 Frame and'Flashin c I II I1 I . I ' ' ' :-n- I 176.! Dr Stand it e , I ; 1
. � -, i IgiF II 1 Ill I _I � I 1131 i I 1 I Y PP i '. ! .-
" 1 28. I'Lathinl &"Sidin �- H ! 1 c i i 177.0 FIXED SYSTEM-FINAL. ': n ! ' I g
c� ,� a 19 I .v 91au . 1 . 11 Ii i I I 1 I" I I t 1 r . t 1
29.jInsuiatiod i I q J. 4 I I I II I I II I ; I 1 I 178.i FIRE PREV,. FINAL 11 t I I { r> -
u
.11r.30. Drywall Nailing tj I I 11 iI I I I I i 1 I INotesa i 1 i I i ' , i 1 i ' ,
II �h31"Plester Brown Coat_1 I I I i 11 r_i 1 r I ' I ! k
{I I ( i I -1----i I I _
:c.
r32. rElecirical,Power Me eeri Final I - II i " I I 1 I i I I I., 1 I , I , t - •
il
i tLI
e 33..FinalElectriic I I I I�I ,,,
,-.1_ ,.li ; ...,4.._.1_...1...,1..Hi... _!-1 ;.._. ' ._ _ . __ I...1_.. 1..,_ _
Ft 34. Final Heating &IAir conditioning 11 .I 1 I ri' I I ! I I ?'
q •r I 1 C� 7 i9- 1 ; 1 r •r.' 7 C ( - - _ 'r . a •
35. Final Ga.1 Pi pe .;=.4 o l_ l m l e. I1, i• 1c Icri - : . 1 IC: l r ' '^ _c
t. - c . i
36. Hood or!I i i.,?i �'1° 1:'I n! 1 :2 :-.1r; vra" I � I • 1IIr1 �1it"
I �' 1 in'I _ 1 . I-1'• a- i !it I - S' - T r
37. Final FactoryFirklaceZ `
1i .' INE l", 1, 1 - i _ I i I I4i ! II,I I _- i _¢: -I 1 " ti 17 -
38. Final.Plumbing I I i I I sI C` I:1 t; I I I , ! I I _1 I 1 { ,I : i -. ' _ 5 11 -
39. Water Seivice-Finall I 11 "1 II I 1 I ; I i I %I I i • 1.-:;; Hi.1 {'' I ;it . . ,. .
40. GasSeyvice-Final I r
I I 1 1 I I I ii ' III ( 1 I I I 1 I i .
• 41. Solar Domestic-Final. I I I i .1 -1-I------4 i I1-_j=.,,l_ 1 ;;L:_-_„; . I i ro ; I '
II 1':"II ' ' I I Ii';21:--
till l i I 1 I r
42. Backflow{Preventer, 1 1 1 'n1 1 I I ! ' 4 _ •
1 e1 „1 I c $-. ;� 1s -:-c v_ r- ! a)a '- 1 ' I
43. Backf aorwH Slrngation. _ I , I 1 Fir,: 1 E: 'i � 1.:. , l i 11 ?it' , i i
e.-;%! 1 , fr41 I i I, ! * u - • 1 . 1 I y 1i,e -
44. Landscape Irrigratid "nLSYstem i I jI 1 ; (oI ' I mI : `- 1 - I •
45. Sound,,,c-e, ill m 2' ; i
_ .luaa �n t •_r ..
IfNit I I - I •� N ISI LI 1 . Iii ; I I' . - ,_
46. Handicap,Regulations'I I I;I I P i� I I L_ i _ i ! I '• 1 1 r.. t 3 `.1- • •1 ,r r
L. I
47. FIN AL STR UCTU RE I BUILDING 1 I i14I - 1 1 ! t ( . a gy •
.¢ .1 1 I I 1 1 1 I-:: I � I I l l t T r I! I tl
48. Special Requirements Cornpleted ,} I I1 I co l1 tit I t t i ! ` I } 1 6" ^I (- a'I
11 1: r 1 I 1 '1 1 I iY : .`.1 1 1 i I {
49. Elects c:Releaselto Edison I t 11 �4-I `I 1_ f _� I_-1-1 } -i---.'! • rill I 11 i 1
I I I I i I II f!T' 1 1-1 t !
1 I I II ' 11 1 ' I , ; I I I 1 -
50. Gas Release to Southern Califor Ia Gas ii I III !
1 I ! 1 ! - 1 '
n u r I I ! coI I I 1 I t I^�1 -
51. CERTIFICATE OF O.000PANCY y--{ t ; _,J_ _ .I t I I__ `�: • , t ! : - i.
1 1 I 11 f1 i- - - -.1-j--1 1j , 11
No 11 I Date 1 1 I I I -1 I -1---I
_ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
1 CITY OF COSTA MESA' 1 I i { 1 tt PERMIT NO q I 1 n; . TRACT NO I LOT NO... 1 r BLDG.NO.,_
I CONSTRUCTION PERMIT' ' , '. : j I .) I r Il, N = j 7 I26Lo' -' ,. 1.• 1, t o I = :• , ' – i t : i " is I 7r1 C-.!.)ot,5
pplicant's Mailing Addre Qb°'' 'N . Batavia Oran•e : : , 1 i a 1 ( 1 I •
A 551 N. �1�� - TYPE OF CONSTRUCTION ® NEW•-U ADD' LI ALTERATION- REPAIR - - 1 ' 1 - x • .
Project Address 767 •cenenrrev.if. may _ -- -1 , ❑ CONVERSION ❑ DEMOLISH ❑ OTHER 1 - !- ,_ _ 1 I G 'S •
T ' ' '/ • ^DESCRIPTION OF WORK met%11" f'1repld 6P •
ZONING•REGULATIONS.'. ' 1 '
Owner's Name M.Da ,Jdne5 '•CO Phone 1 I - - 1 i _ IY i 1,�
I , - I . I , , 1 r I 1'. � I
Address i TYPE OF PERMIT' U;GRADING -❑• FOUNDATION L.STRUCTURAL A P..#1 ' • . r - 14 I •ZONE •;'.T. ' 1 ' ' -
I Arch/Eng - ' r -T. I -• ' License No.; ' •t I Di ❑.ELECTRICAL ❑'PLUMBING ®'MECHANICAL i - - f BUILDING. • -v • % I It; I I
s , • • 1 P,LNG. REF yk - ye e-r •learn i ; ; ,
Address) - ' - I '❑I:OTHER .'i ; -- ! 1 E. TO BUILDING- I - -- - IC 1
• - . PROPERTY LINE •
TREAR YARD(TO P/U - i -
Contractor's Nam •f- - __ - • ;rchone 1339-1 R20 PROJECT DESCRIPTION: SG:FT- : ' 'OCCUPANCY _
' ' - CONSTRUCTION TYPE I ' ,VALUATION LkEFT •SIDE YARD 1 { '� i RIGHT SIDE YARD M. I •��
• Address(mailing) 1080—N N.Ratavi a t Orange, 92667 , ,. ; . $ _ ri
I I - -i I - ' ZONE "- ' GRADING CU-YDS: ' I ACRES ' PKC.SPACEEREd. I j PROVIDED % i H. • •' , . '
Y• {cense No. ' __itnut0(i I, j" 1 I ... _ -, _ I
LICENSED CONTRACTOR DECLARATION ! 1 _ - , _^. ' . !�
• ,Remzrks: I I STREET WIDTH { - , c. PARK FEES •
' Fhereby affirm that'pam licensed under provisions of Charter 9 (commencing - I ' / al_r.. 1 - { . . , ( • ` +
with section 7000) of- Division 3,of the Business and Professions Code,and ' : . - I 1 ' ' ' I ; ' I ± . 1 •SPECIAL CONDITIONS. , I, •• • • .. . r ' r:� I
I.my Ilcensells In full for a andreffect, • ' i. 1 • i ' ' i i
Ldcense Class 1 -•• I - 1�• , I s No 36'387 • ' • 1 I - I. I j PLUMBING ; ;j , ! j ' ; i i. I � - • ., 1 °' I
; Date Signature • ' ��^^ P
GjcT • I
1�1G� el
jp' j c 1 Bac Sink i . Sewer Ca ' ' - I I ELECTRICAL , i
WORKERS•COMIC NSATION DEC • R•TION • I : i i r rV . i
.I.hereby.affirm that.)-have a.certificate ot consent to.self-Insure.or.a certificate 1 ' i-,.,_� - .__ _ Automatic Washer. _ i_.. .'Meter ❑over 100 am s 1
;of Workers' Compensation Insurance)or a certified copy thereof (Section~ • Backflow'Preventer-�- -- ' - ^Sewer'f.Onneetlon_— - - --!- - 1r---' -•- p .1-- t- - I---• !
"3800, Lab. C:) } ' { ( Construction Pole' 1 I Sub Panelf Ae J Backflowlrngation,'r1 Soler CollectorsI I r ,
• Policy No. CO any ' ' - "i i i I
® Certified copy is hereby furnished. 1 j 1 I s I I 1 ' - Cooking Umt Sub Pole I
'? ; 1 Bathtubs 1 .--11 • Solar Piping i t. 1
Ce.OL i71cgp/}S glad with the city.Bill 1�i/q�IDI I I ' 1 I , • , I ' Dishwasher/ Motors 00-1 HP ❑1 6 8 r •
: Date I IF 2S 1' Applicant `P4N A I ' ' ' Clarrtlers • r 1 Solar Tank I 1 4
EXEMPTION:FROM We R mpleteCOMP N ATION Drone Ared I - ' Dishwasher { Swimmin Pool w/Spa I Dryers❑Gas' ❑Electric { Ina SOlar,09-15 HP'-016-15+
I (This section need not be Completed if the permit is for,one hundred ($100) or I "i __ 91 1 -
less). 1 I I I - ._J •1 1 ' ' Fan I i ; 1 1 'Microwave r `, I I '
I.I all,not employ
In the performance of the work for:which this per u Is Issued 1 • Drink{ng Fountains, 1 ' Urinal t . I 1 1 •
shall:not employ any person In any manner so;as to become subject to the 1 - I J
' Workers',Compensation Laws of California-' - I i I �'rl 1 , F,A.U. Pole'Light I I
I t I '� I ! Floor Drainsj . I f . Water Closet{ I E I 1.Pole.Light i
1 Date • ' Signature - r
i-NOTICErlf;after-making thvisionaratiohe youshouldlbecome msubleettowthe-- . ' -'t Fl pot Sinks -,-----1- -4----' - -Water eatert - --�--- --}--- --- -- _ Fixtures i I I :Range _ „^�y,,,,_ j-r,t,.,. .� _I. ,.
Workers'; Compensation provisions.of the Labor.Code,-you must.forthwith - _ _ t ,
I comply ,with; such provl510n5'or:thiz;(permit ;shall be;deemed,: revokedy C 1 Gas Service £Outlets: - { W3t6i SeNice ,r C: c; � - I Device Boxes I j i ' I Sign' I I j
CONSTRUCTION'LENDINGAGENCY i t a I i, t ,
I hereby affirm that there is a construction•lendmg agency for the performance• ' .• I Interceptors . ,-, • '•'i I '-. 1 -, ' C ; 1,. I r ' I o 1 I Outlets I I 'Standing Sections
1 of the work for; which?.,this; permit'-is;issued u(Sectioh'3097 CW' C)- i - J
Lenders' Name_ I I --- V ' '• p- o ' _ , ' I v : I • '1 ' KltchenlSinkV I. I j. '5, .1 1 _ I J ; "' Switches { i i Trash Compactor j ' 1
61-¢oder s Adtlress' - I p Lavatories-, ' s Gartiage Disposal ; 1 i {
OWNERIBUILOER DECLARATION .z i ` , G q - I I U 1 1 '
• I hereby-affirm that I am-exeropt,from the!Contractor's,License Law for the I - r. - ~ Generator,00;5 KW D5-15 KW • , 1
1 following reason:(Sectionr703L5 Business and Professional Code: Any city of ui ! ? Trap1 ♦ ; :!1 I " , p ' _?. i I -1 I i I I , • i
county which'requires a permitto construct,alter,Improve;demolish or:repair I _. I i _. -. - ,
any structure;prior to Its issuance,.also requires the licant'for such permit' 1 ! - , Transformer 015-50 KW ,
q Pp ii Rooff.Drains 1 r ' c` 9 1 i I - 1 o- s ' I
':to file a Signed statement'that he/she Is licensed pursuant to thetlon-7?ions of I - V ' { ' I '
' j the Contractors:License Lawi(Chapter 9(comniencIng;wlth•Sectlon-7000)of '.1 J I 'Y' I r Ur ' ' :- - ' ; - - ' I-e - I 05U+KW, , ' 1 •Rein'peetion Fee $15
therel i
on;3'of, the:Business'and•Professions,Loden or.that/he zhe,is.exempt I - , Shwers ,r• i fY , „y.{ i I , Re{nspectionl ee • $15 - -
// Meter Dup to 100 ampi , 'Issue Fee' i I • '$ 3 I
, therefrom-and the;basis for the alleged exemption:Any,violation of; - - -'
..7031:5 by]any applicant eorae irermlt_Ss($5s;the•applicant to a' civil " 1 w ' " --Lf_ - I -v. I ' I 1 ,
enalty of not more than five-hundred dollars($500): I T. •1 j _ ( I Service Sink; -- I • - I Issue Fee ` • • $ 3 Zoning Approved By ' ' -1 'Date I
I'* l,tas?owner of;the.property or my employees,with wages,as their sole . . I • ' I 1 I I 1
compensation' willido the work,and the.structure is not intended or offered ; i _> ; { i . MECHANICAL' i ; - I I Application Approved By I 'Date
for sale 1(Seatioo 7044; Business and•Professional Code::The'Contractor's • ' - -- ` - ---- - - -- - - , I ,
License Law does not apply Wan owner of a props or through
o builds or improves I +M1 ' - Refrigeration System J I I ' I lL/I J j 1 }y
thereon,land who does.such work himself/herself or through his or her own i • Boder { • I 1 i j Application Issued By _- /sig ( � ' ' Date 7%/ ��';3 ,
femployees, provided that sing or improvementents is sol t intended or offered for ' • - I 00.100,000 BTU 0100,0006TU, , ,
sale, If, however,the building or enof is sold within oneryearof com- ' i Duct t Under'Ground • 1 k I 1
i i I • i I SUMMARY OF FEES
pletlon,the purpose o have the burden of proving he/she did not build or im- - - i I I j 1 1 i {
' nrove for the purpose ofisalert I 1 t I ! ; • Duct-Structural , System Repair/Alteration . I . ,BUILDING PERMIT S. I . SMIP ; I • $ 1 t
LJ I, as owner of the property, am exclusively contracting!withllicensed con- 1 I
1 tractors to construct,the;project.(Section-app) Buslness.aner of property
Code:_-L __ DuctyVentilating_--i-, _!_�i _. __..._- '... ;.__..^,!..___f 'PLAN CHECK; I $I i I PERMIT ' I ,
The Contractor's License Law does not apply to an owner of property who , y , p• I i i ^1 1 ' I PLUMBING I $, i ISSUANCE . ' $ F 1•
I builds or improves'thereon,and who contracts for such projects with a con- Exhausts stem 0 Multiple ❑ $i I i ; GRADING $ '
tractor(?) license pursuant to the Contractor's License Law). s ! �- IP LAN CHECK ' '
0 :ram exempt under Section B.&P.C.for this reason 1. F{reps/Feet.Bit ICBG# 31 95 I ; Q� '
j _ ; : I I I 1 I • 1 i , I I 1 _ ' 1 I • , • • $ .
I Date i 1 Owner' I I • I ; I HeatinwiSystem& Ducting i I. 4 i -ELECTRICAL t $ i
I... 1 MICROFILM , $ ' I
-1-hereby-certifythat-If have read motion-and-state-that'the-above- i- ---1' •D0100,000 BTtJ0100,000BTL— T ---- - I PLAN CHECK $ 1 i I_ I •
information is correct. I.agree to comply with all city.and county ordinances • I 1 1 1 - I I I ; ' ? !MECHANICAL $ 7:on' ! ` TO•TAL:FEU $ I 1
I sentatate laws relating to building c•nstructi hereby authorize repre- Hood or t I i ' ±• f - 1
sentatives of'this;cityIto ,ores up•n the above-mentioned property for + I TypeI 0' I ( I ; 1 I ,
inspection our•• es. I Canopy. ' 1 Reinspection-Feet t $15 I I I I LESS 1
j 1 ? , - Type II DI I I PLAN'CHECKI $' 2• oQ i
Signature - �- .....a...............4.,' i Date �.� ec $ 1 i i , , I ADVANCE D'PC $ i
3 I 1 i , I I I 1 I I 1 i
„Drivers',Llcens or SS - - I 1 I 1 Registers I I I 1 Issue Fee $ 3 1 I I I FINAL FEE' : $ i 9..no
CMB-6E466-46 rev.12/82 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - .
..a - ..---: -r j, POOL-& PA LL • , `3- t
c. .. ,-,. - ..- r ON,A• • PLANNING ,, a =' s� •o - - " .,�
(Date r; ;Inspector : Date • Inspector
• :APPROVALS .,,, Permit:# - - - _AP.P ibi A .8 3• Peinut# :
ri- Temporary,Electrical Service or.Pole .i C'-. -- ' ' :. 1 i521-1:Pool &.Equipment Location`..>:' -
v 21 Soil Pipe-Undrgrndrl <. 1 ,, i T= = -'i .5;4 .1�; .?_ ' 53t Steel 'Reinfo?cement •`; _ : •.i• -;:t -
3: Electrical Conduit Utility-Undrgrnd v. 9 oz.. - I. `.541 Forms- " - 'S° - ;
f 4: Electrical Conduit-Undrgrnd. -._ 2 i ; - ' . , r . C . - .55, Electrical Bonding:-. •
5: Steel'Reinforcement: ! : 7: ^ ` v; 7 : r^ 2 -,-L.P.) ;'56: Rough Plumbing & Pressure Test• 7 }: , ,
6: Electrical UFER Grndr - 57, APPROVAL TO COVER-GUNITE ,
7. Footings i :. • ;, '.V. .4 ' -` .
• .. t o - -1 ,s:c y - • 58: Electrical Conduit=Undrari,d. _ _, - _. -
8- Foundation _ i• 0 ` ` o. ; I'59. Gas1Pipe El Undrgrnd Test:_. i •
- / _..
9. Water Pipe-Undrgrnd. '
- .- - x`60. BackwashLinee,P-Trap, O Undrgrnd.` •
-
10- Structural Floor System ,7` - j, , r'.`
.61. APPROVAL'TO DECK
11. Property Sewer Line & House Connection: p '.4' ',62. 'Backwash'&rRecepfor-Final:: '`=
12- Sewer Cap r , - , - + :'63, Heater &;Vent-Fina( . - ' - -
13: Roof:Drain's . i I I4. r c - � 64, Plumbing System�:Final . - q.
14. •Rough-Plumbing' - ' 1 t:` ! ' i te.l- ' - { :--65. Electrical-Final - - _ , - - ' 1 '.- " -
15:.Rough'Electrical=Conduit";"r"p " r 3 1 i T- 766.. So'Iar System-Final 1 -",-- --i` --- - - - - -
46: Rough:Elec%ricWiring, '-,I ;'i ,-6.-.'771-51-: ` -'67 Fencing& Access-Approval; _ - -- - .
17:. ,Rougn9r
h;Wirisign�� ! ' ? ; 1 i ' ' ' s !CO.'. APPROVED FOR PLASTERG IN _ -
18-;Rough Electricall; :Bar,Ceiling ', 1 ..( - 1 69 POOL/SPA SYSTEMS FINAL - - i
19. ;Rough Heating &'Air_Conditioning I' 1 1 _ I : FIRE DEPT,:REQUIREMENT _ • • -
20. Rough Factory Fireplace I APPROVALS, Permit# ' -
21, Ducts, in Structure ; l : l i i ; I I I, ,70.' Underground Hydro •
22. Ducts, Ventilating b ,• 1 ; i 71., Product Piping 0Gas 0Oil
:23. 'Gas Pipe-Rough &Test �? hr i ? ' - { 172,1 Underground Flush, • •
24. Roof Framing; ' r ''? ;! • „ .r i •-.7 l :±!m - I -.i- 173- Undergrnd.Storage Tank 0 Gas'-0 Oil ,
. 25. Roof Sheathing , ,' a t,•" !: = i : I ! ` _ _ - - ' 74- .Overhead Hydro , •
• ' 26. T--"Baer Ceiling (Structural),Sc Monocoat 1 '. : �f ' `.1 • :.' r ;, :75.;,Dr♦y Chemical ' - , 1 i
•27. Frame and Flashing) m . • 'I " ;t - l ;76.' Dry Standpipe I ` ! ::
' 28. 'Lathing & Siding : ! . ' ' • i r . ; _ r I 77: FIXED SYSTEM_FINAL. '. ,
29, Insulation & • '- ' i p t I 1 4 i ,78! FIRE PREV. FINAL i •• . ' I
30. Drywall Nailing , ' ' • ; I j : ' l ;Notes:, , ,
: 31. Plaster Brown Coat; , . ,
32. Electrical Power Meter-Final ; r , r i u
33 Final Electric ' '' I ' • '
:
34. Final Heating &Air Conditioningti t i -
35, Final Gas Pipe`•Test I •i i-.4 ' '' r !--- l - - -' ,
36. Hood or Canopy._-•• _r . : P - .
37, Final Factory Fireplace, 1 ,.1 ?5 �t/l ,D/e,C ` ;
38, Final Plumbing 1 ^i i ; ! - • -
39. WaterService-Final. ' ' , i ' t • -
40. Gas Service-Final i - !
' 41. Solar Domestic-Final _ _ _ _ __ _ _ _ _ __ ,
42. Backflow Preventer, 7 l I r _y. ._.'! _ t. (_ . _. •
43- Backflow Irrigation _ '. :c : ° - '
44. Landscape Irrigation'System - - !
45. Sound Attenuation 17, 1 . i -
n , -
46. Handicap Regulations , ,
' - : ;'f 1 , _j • -1 j ' i -
47.-FINAL STRUCTURE & BUILDI,NG', r � , - ' , ,I ,
48. Special Requirements Completed : . , r r 'y, I ! ' ! , ! ' " ° ! •, <_
49. Electric Releasetto Edison - ! r _.. _!_ - - _ __ - -
50. Gas Release to Southern California Gas Co : ' ', ! , ! i ! i ; . ` , .
I
51. CERTIFICATE'OFOCCUPANCY __ ' ' I ' 1__, ' ` '
No • ,I I Date 1 i i 1
,
riate declarations.
Applicant to fill in all spaces except those within heavy border lines and sign all approp
-CITY OF COSTA MESA. — t - I - PERMIT NO. --' g9 '` TRACT'NO. • LOT NO. ' , BLDG.NU. - • - . • - - q2�/1 1 ri 1 7/63 ' '" '" '5!(•PC it
S]JNSTRUCTION PERMIT` �' wo -_ IrI • ,
II�� JProjeot Address- - i -� - "` .a �..e.+; a - TYPE OF CONSTRUCTION• LJ ADD. Li ALTERATION U-REPAIR , ' ' - ,
Y, - ` ' l�'11 t ❑ CONVERSION ❑ DEMOLISH• '❑ OTHER' - , ZOne - ( " '
Applicant's Mailing ress I ,
,g`�{� • ,DESCRIPTION OF•WORK
Owner's Name - \ v�' 'U Phone - .. S :Main Building Accessory Building , _ . Z
•
' Address "- TYPE•OF PERMIT . • GRADING ❑;FOUNDATION ❑ STRUCTURAL T Front •• ,t - N
' Arch/Eng - • 1 I' - License No. '❑'TENANT -�J ELECTRICAL ❑ PLUMBING III MECHANICAL e
" B - ' I r
Rar,
Address :❑ OTHER • - r i A N
Contractor's N•ag 1 n 2_ ee PROJECT DESCRIPTION 5G FL. ,OCCUPANCY C
Right _ ._ - - .. R
Address(mailin ) O '-! ' \ 1 CONST RUCTION TYPE VALUATION$ " $ )Left ' - -. E
, i• ll
City..License No. _ ZONE + GRADING CU.YDS. 'ACRES ' Q
. Ping; Ref.4 Park.Fees $
LICENSED CONTRACTOR DECLARATION • - Remarks: 7 _ " Parking Req./Provided ' __ '
1'hereby affirm that tam licensed under provisions of Charter 9 (commencing ,•`� + ��� . ,- .•
- • 1 R
with section 7000) of Division 3'of the Business and Professions Code, d ' • .1 I Use of Building: - E
my license sin full • ce an'-p(fect. - - -
M
Dcen {•_ Y " Licenr • /_� l , ' : PLUMBING . FEES Planning Notes: - -
Date 1J har4 Signature •_.__l ' 41I!'5 E
WORKE•5' C+M' NSATION DECLARAT•ION ' ' 1 ,� Bar Sink — Showers • - _ N
I hereby affirm that I-have a certificate of consent to self-Insure of a q:,titicate • I t i ' I ;• T
Backflow Preventer Service Sink" I S
ofWOr kers' Com ynsptio Insyca ce,'-Or a-cer(�t�edcOpy•t ereof (S tion -- - - - -- - - - - - -
3800, Lab. C /_/_�/�V �]I - .�.t, ._:...A • Backflow Irrigation Sewer Cap I i• • ' - : ELECTRICAL 1 FEES
Policy No. U1 , L1� Company ✓) `J I�A"LO�J - _
Ce copy Is hereby"furnish '^ I Bathtubs Sewer Connection _ / ,Automatic Washer ' 'Transformer 0 15-50 KW
ertl i d py i with the c B n Divisionr / -, - , - I• I i i 0 50+KW
_Date f id I Applicant ) Clarifiers , Solar Collectors • - Construction Pole Sub. i • f 1
EXEMPT! FRO RKERS'COMPENSATIONLA RAT( , - i _ ... - _ _ _ _ • _ / k • 1
Dishwasher- _ - Solar Piping -j - - ' CookingUnit - - - // Meters to 100 amps — S—
_ (This section need not be completed if the permit is for one hundre ( 00)or . p
•
I certify.that in the performance of the work for which this permit Is Issued, I' ' Drinking Fountains , • Solar Tank - 1 '" ` l• Dishwasher � i :Meter ❑over 100 amps / —'
shall not employ any person In any manner so'as to become subject to the , • . . I 0 1
Workers' Compensation Laws of California., ,. I Floor Diains1 ( - I - Swimming Pool w/Spa I , Dryers Gas lectric • .J Sub Panel •
Date - 1 Signature ' - ' ' - �)
' NOTICE:If,'after making this declaration, you should become subject to the • Floor Sinks - Urinal i I ' 1 • ' I Fan. •
'Motors❑O-1 HP ❑i'/:-8 /
' Workersr:Compensation--provisions of the.Labor Code, you must forthwith . i • - -I
• comply with such provisions or-this permit.shall be;deemed revoked. • Gas Service -Outletst -Water Closer y ' i .> I F.A:U. Inc.Solar:09-15 HP 016-15+ % —
CONSTRUCTION:LENDING 'AGENCY I
I hereby affirm that there is a construction lending agency for the performance t Interceptors' 1 - . Water Heater,• - „, /1 Fixtures / '.Microwave i 3
of the work for •which this permit .is-Issuedr(Section•:3097- Civ. 'C:) - _ - '- J• C' - _
' Lenders Names . - c I " Kitchen Sink - _ Water Service . - Device Boxes Pole Light '
Lender's Address -' • • - s' - i - ' - •
OWNER BUILDER DECLARATION , - Lavatories - • - } y 94 Outlets / ,Range _ 7 gZi
I hereby affirm that I am exempt froth the Contractor's License Law for.the - �`, ,
following reason (Section'7031.5 Business and Professional Coder Any city or P-Trap .. /A Switches I + ' Sign i a
re
county which requires a permit to construct,alter,improve,demolish-or- pair _,'any structure, prior to its.issuance, also requires the applicant for-such permit Roof Drains - n l - - ) Garbage Disposal - ,Standing-Sections I i / —
-
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 - - l i
-Division;3:of the Business and Professions Code),or that he/she is exempt • - , - • _ r _ i Generator 00.5 KW 05-15 KW :Trash Compactor i
therefrom and the basis for the alleged exemption. Any-violation-of Section ' ' _'� • - - . �' -
7031:5 by)any•applicant for a' permit subjects' the applicant-to a civil ' -• , t • •
-
penalty of riot more than five hundred dollars ($500),• r • , ... - Reinspection'Fee $25 Issue Fee . $ 3 . -
'0 I, as'owner of the;property or'.my employees with wages as their sole Reinspection Fee $25 Issue Fee $ 3
' compensation, will do the work,and the structure is not intended or offered I MECHANICAL i .FEES •
- . - -
for sale (Section 7044, Business and-Professional-Code: The; Contractor's i - ----- - - --- PUBLIC SER VICES REQUIREMENTS: I -
License Law does not apply to an/owner of a property,who•builds or improves ' Boiler - - Hood or Type I 0 '
thereon, and who,does such work himself/herself-or through his or her own 'Zoning Approved By Date
employees, provided that such.Improvements are not•intended or offered,for ; Canopy Type II ❑
sale. If, however, the building or improvement is sold within one year of cam- Duct Under Ground y Application Approved By ) : ,y ''I
Date i )
pLove f, the owner will have'the burden of proving he/she did not build or im- - i - y •
1, (+p/ / - Date1[�S(
k) rove•for the purpose of sale). .. • ' , i Duct-Structural Refrigeration System Application Issued By
LI I,as owner of the property, am exclusively contracting with'licensed con- 00-100,000 BTU ❑100,000 BTU
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES
-The Contractor's License Law does.not.apply to an-owner of property who__ _. .. -- .
- - -. - BUILDING PERMIT � $ SMIP $
builds or improves thereon,'and who contracts for such projects with a con- Exhaust System 0 Multiple ❑ 'System Repair/Alteration
tractor(s) license pursuant tothe Contractor:s License Law). i
i I PLAN CHECK . $ -. PERMIT •
❑Jam exempt under Section - B.& P.C.for this reason Firepl/Fact.Bit. ICBG 4 ' , ISSUANCE $ L
i ' i PLUMBING $
Date ` Owner' I - I • Heating System&Ducting I PLAN CHECK i $ ' p ' ENERGY P.C. $ ' •
I hereby certify that I have read this application and state that the above 1 El 0-100,000 BTU 0100,000 BT ELECTRICAL $ 3;7, 5-e: GRADING $ _ - "
-information is-correct. 1 agree to-comply with•all city andfcounty ordinances--- . . _ - . - ---- - . - - - - _
and-.state laws relating-to building cons n, . Y"reby autho•ze r-p e- •• — • PLAN CHECK ' $ . / '7, 4'L. MICROFILM ' $ L • l
sentatives qf-Hrisre" to enter up. i tlonetl rt ! ' 1
inspection purpo s. � 4�' � W /'� I ' ' MECHANICAL ' $ TOTAL FEE ' $ !SS a d
Signature , `ate •Al I , i
Drivers' License or SS# ' Reinspection Fee I$25' Issue Fee $ 3 PLAN CHECK $ I ,
`CMF0885-46 rev. 7/83 White-Building;-Canary-Applicant;Pink-Accounting;Goldenrod -Assessor _ - . . - . __ _ .. — __ ..._. . _ .,. ... - - - _ _ _" I_ .
' CONSTRUCTION AND PLANNING - -' .POOL &SPA -
- Date - - 'Inspector - 'Date' Inspector
- APPROVALS Permit# _ - APPROVALS Permit#
'1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location r .
•'2: Soil Pipe-Undrgrnd. • J ,,, " : - . 53.E Steel Reinforcement - •
3. Electrical Conduit Utility-Undrgrnd:- • - - 54. Forms r
4 Electrical Conduit?Undrgrnd.. _ 55. Electrical Bonding' '
"S.-Steel Reinforcement - a - - 56.:Rdugh Plumbing & Pressure Test - -
r 6.' Electrical UFER Grnd. _ • •• _ 57.,APPROVAL TO COVE R-G UNITE
7: Footings - - - - ' _• - 58. Electrical•Conduit-Undrgrnd. '
8: Foundation : . ' 59._ Gas Pipe, D-Undrgrnd.,Test • •
9. Water Pipe-Undrgrnd. - ••- •• • 60.'Backwash Lines,P-Trap, 0 Undrgrnd. - ,
10.-Structural Floor.Sytem . • . • - 61.f APPROVAL-TO DECK- -
11. •Property Sewer Line.& House Connection : `_ ,62. Backwash& Receptor-Final -
12: Sewer Cap ,. •. - . 63. Heater & Vent-Final , •
13. Roof Drains • - • ' i - - - • 64. Plumbing System - Final.. •
14. Rough•Plumbing . . ` -, 65.^Electriczl-Final • - • ' •
' 15. Rough Electrical-Conduit - • 66. 'Solar System-Final' -
. • '16. Rough Electric Wiring , n13 is '•1iC-- '.67:- Fencing & Access Approval -.
3
17. Rough Wiring Sign . . '684 AP-PROVED FOR PLASTERING' ' '
18. Rough Electrical-T Bar Ceiling - 69.'POOL/SPA SYSTEMS FINAL . - -
19. Rough Heating & Air Conditioning I . . - FIRE DEPT. REQUIREMENT
20' Rough Factory Fireplace APPROVALS i Permit# .
, 21. Ducts, in Structure .70. Underground Hydro
22.-Ducts, Ventilating I . 71. Product Piping 0 Gas 0 Oil •
23: Gas Pipe-Rough &Test. • ' 72. Underground Flush
•
24, Roof Framing • ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil '
• 25. Roof Sheathing ' --� - , ; - - 74.-Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat . _ - - 75.-Dry'Chemical
27. Frame and Flashing ' , • 76. Dry Standpipe
f
28: Lathing & Siding, r 77. FIXED-SYSTEM FINAL •
29: Insulation • 78. FIRE PREY. FINAL " '
30. Drywall Nailing. - I • ' ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat - 1 79. FINAL INSPECTION - -
- 32. Electrical Power Meter-Final' :
�t 89. FOOD CERTIFICATE ISSUED
33. Final Electric �. Note's:
34. Final Heating & Air Conditioning - - r • •
'
35. Final Gas,Pipe-Test: , , , r
36. Hood or Canopy • •
-
,
37. Final Factory Fireplace " - •
38. Final Plumbing 1 ' ' . 1; ' .- ; i .
39. Water Service-Final - . ,
•40. Gas Service-Final ! •
41. Solar Domestic-Final; ' .- ‘••
42. Backflow Preventer .r '
43: Backflow Irrigation r .
44. ,Landscape Irrigation System . : ' - • -
45. Sourid Attenuation - I • • ' - •. . .
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. - - ' 1 Date .. - '. , .