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HomeMy WebLinkAbout2530 SANTA ANA AVE - Building Permits ADOREss OPemLOao: 2530 SANTA ANA AV UHT: C CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF KNOWN: MARK 6 LOTTIE MILLER PERM NO: E OR"' . , minus, 2530 SANTA ANA AV #C C.M. CA 92626 PERMIT NO: E 087770 PLAN CHECK NO: N GOV . ' SUPP : N 242-6107 APPL.MAIUNG ADORES& CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH ARCHITECT OR MOWER: UC.NO.: JOB DESCRIPTION : ELEC . WORK . SQ FT : ARCH.OR ENO's ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 / canRAOTOxs,wu IDEAL HOME IMPROVEMENT ( 714 ) 642-6107 CONTRACTORS MMLpG 19142 BEACH BL COMMENTS: REF:M-87669 ADDREss:H. B . CA Lx.NO_ 727498 ******Ir*x*>Ex**N** *****x**>E*x*x****x*** *xN+r****** *****iESE*************AERN-***** 92648 WIT: Y ZONING R " QU IREMENTS UCENS • .•NTRACTORS DECLARATION:I hereby altim under penally of perjury Ow I am licensed under provisions of Chapter g S TB ACK S (rim 'h Section 7000)of Division 3 of the Business and Professions Code,end my license is in lull force and effect. crrY • UC.CusS: B UC.NO.: 727 98 EXP: MAIN BUILDING p90RY BUILDING FRNT: FT IN REAR: FT IN FRNT: IN REAR: FT IN D. - i concis: 4 — r.--"` LEFT: FT IN RGHT: F'Fl IN L T: nn IN RGHT: FT IN 0 . : •UILDER D CLARA ON:I hereby affirm under penekT el perjury that 1 an a ampt from the CeMmde a license Law for the IVet`// (��U l Ido .reason(Section 7031.5 Dueness and Pm(anions Code:Any city or county y whichrequires a Perm's to oommtu,seer,imProte, PARKING REQ: P'10 V: 1 PARCEL: 6 S 0 INE: REF NO: ' .ism,orrept*any souclure priortous issuance.also requires the applicant for such permit to Tale a signed statement that he or she PLANNING NOTES> [/ F F. need pursuant to the provisions of Me Contractors License Law(Chapter 9(commencing with Section 7000)of D'wuian 3 d the Amines and Professions Code]or that her or she b exempt therefrom end the basis for the alleged exemption.AMT violation of Section > 7031.5 by any applicant for permit subjects the applicant to a dvil penalty el not more than five hundred dollar IS5001). *************** ***** i ***************** .********************************** ❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not Intended D EV OPM T S E V I c S REQUIREMENTS or altered b sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to en owner of properly who builds or improves thereon,and who does such work himself or herself or through hY or her own employees.provided that such improvements ere not intendedor offered for sale.11.however.the building or improvement w sold within one year d mmWdan,the ZONING APP' eVED DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ Las owner of the r. .am exduuwely contrdi a with licensed cantronas to warder the pitied(Semon 7044.Busies and Professions Code:The Contractors License al Law does napplyowner to an d proprly ewho builds or trnproves thereon and who B U I LD I s AP P RO E B ` DATE: _ contracts for such projects with a wipe ntrador(s)licensed pursuant to the Contractors Lnse Law). / ,, m. o Ism exempt under Section: B.A P.O.,for this mayor: APP +Apr 1 I. 'UED • . A. DATE: V * • * * 3 y *********• . I * **************. " kiF** Date: Owner - EGAL .Ait 'N :N F E E SUMMARY STRUCTURAL SEGMENT: N Ido hereby certify that I em aware of and understand the requirements o California kleenh and Solely Code Sections 25505.25533,and 25534,perm for rlaanyrmoebdtiingadamantn, wal *naeneednne) to comply con ruidmmooations eeremdmmew.. BLDG iP LUMB ING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 2permklamrouotan or modification the Ai3i y o (circleeone) iResidential whsldisn°pcoce anathe requirements \�\U� amain. PERMIT 2 . 0 0 Date: Apprgam: 508 SMIP/NON RES WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one d the folowag PLAN ISSUE FEE 22 . 00 ❑ Ihave and will mairau°certificate oconsent toself-insure for workers'compenation,esprwkedI by ' 3700 al the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the pedathepermit TOTALS----> . 2 . 00 22 . 00 0 . 00 24 . 00 24 . 00 . 00 }❑ l have and wolf msintain workers'c mpensation insurance.es required by Section 3700 of the Labor e,ler the performance d the sushi dpi whxN Nm pence; ee.My insurance. FUND Wpdky nu ore. EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 24 . 00 OVER/SHORT: . 00 Gerrie: Policy Number. U90-70UUOVOliV v 01 /01 /99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK phis semen need not be completed i the permit is for one hundred dolma(POO;or -.. 24 . 00 ❑ I pertly that in the performance el the work for with this permit is issued.I , not loy empany person in any fram r so as to bee subject to the n'compensation laws d California,and „ 'd that I should became subject to the workers' *********************************************************** berme woke ******************** ensat compion provisions of gm 337co el the Labor Code.I shall I. .. N"' , _ INDIVIDUALV I D U A L F E E BR EAKDOWN to i/ 11 � l( ApplimM: _ a �- A.\ • a Ins:Feuunrosetups workers'compensation row on •• realawful,and shall subject anemployer tocdMW, penaltlpand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST l fines req to one hundred thousand dollars($104... addition to die cost of conpansatlon,damages as provided for In don 3706 of the Labor Cot*Interest,and afro •;" ELE 1 RECEPT/OUTLET 1 ST 20 EA. 1 . 00 1 . 00 C STRUCTION LENDING AGENCY:I hereby affirm under penny o perjury that them is a°rsuudbn lending epency'for db ELE 1 R EC EP T/SWITCH 1 ST 20 EA. 1 . 00 1 . 00 • parlamentet dine soak for wf,ih this pert-ni'reissued(Section 3097,Cb.C)' END OF FEES LENDER'S NAME: ' LENDER'S ADDRESS: I certify that I have read this application end dale that the above inrormation is coned.I agree to comply with a0 dry end county ordinances end state laws relating to building construction and hereby authorize representatives of this pry to enter upon the abwtrmentoned property for inspection purposes.EMILY TANKARIAN e4-17-1996/82:38 PFI/424.t9 n akCPT4:G1-3112262; 4i G— Data: l' 1--)),,e f-ERP1IT:08777C� (5151-46.WP) While-Building&Safety;Gree-Ale:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING • POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# - Date Inspector 1. Temporary Electrical Ser*ice 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. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, D 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 65. Electrical-Final 15. Rough Electrical-Conduit. 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing& Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24..Roof Framing • 73. Undergrnd.Storage Tank D Gas D 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 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning - 35. Final Gas Pipe;Test ' 36. Hood or Canopy 37. Final Factory Fireplace , 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final r , 42. Backflow Preventer - 43. Backflow irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47.;FINAL STRUCTURE & BUILDING 48. FINAL PLANNING --- 49. Electric Release to Edison 50. Gas Releage to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY y: s No Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. I PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT 2109 11/13/84 Project Address 2530 Santa Ana PI (a 2-0(06.0: TL Applicant's Mailing Address TYPE OF CONSTRUCTION Li NEW U ADD U ALTERATION CIREPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name Bill Presnell Phone 957-3003 A.P.9V. I Zone DESCRIPTION OF WORK/USE OF BLDG. Address 7530 Santa Ana Costa Me_sa 92627 S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT U GRADING 0 FOUNDATION 0 STRUCTURAL E Front O r Address 0 TENANT ElELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear N CS) Contractor's Namp Cullman ❑ OTHER A Water Gond Phone 750-2233 PROJECT DESCRIPTION SQ. F7. OCCUPANCY C Right - N I Address(mailing) 1911 S Manohecrer Anaheim 92802 G ti CONSTRUCTION TYPE VALUATION$ $ Left R City License No. ZONE GRADING CU.YDS. ACRE$ E co- LICENSED CONTRACTOR DECLARATION Ping. Ref. Parking Req./Provided� I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: • CI M with section 7000) of Division 3 of the Business and Professions Code, and T my license is in fu a and effect. License lass L' ense No 168763 S. /Date — Signature U •--/ : - .:-/-.- ...... PLUMBING I FEES WORKERS' COMPENSATION DECLA•ATION Bar Sink Showers ELECTRICAL FEES hereby affirm that I have a certificate •f consent to self4nsure or a certificate A Workers' Compensation Insurance, or a certified copy thereof (Section _ Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW - GB518 Galla her-Basset Policy No. Company !+ Backflow Irrigation Sewer Cap0 50+ KW Construction Pole Sub. _ Certified copy is hereby furnished. 1,� Certified Copy is filed with the city Building Division / Bathtubs Sewer Connection Cooking Unit Meter Oust to 100 amps 7q` Date //-.5-434' Applicant "•h��////7✓c, pj1Kh!/l7iAl.•if ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar TankFan Motors❑0-1 HP 0115-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa F,A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - comply with such provisions or this permit shall be deemed revoked. - FixlUr¢s Microwave - CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work ,for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Name Lender's Address Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION - Sign N I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Water Softener 310 Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P—Trap any structure, prior to its Issuance, also requires the applicant for such permit Generator 00-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). O I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Foo $ 3 I compensation, will do the work,and the structure is not intended or offered 1 —— Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an Owner Of a property who builds or improves thereon, and who dues such work himself/herself or through his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered foryp Zoning Approved By Date sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved ByDate rove for the purpose of sale). O I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractor(s) 'S—HH' license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP § proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.,Blt. ICBG# • PLUMBING $ E40.CO0 ISSUANCE $ 3.00 Date Owner Heating System& Ducting PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above - 00.100,000-BTU 0100,0008 - ELECTRICAL $ GRADING $ Information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repro- I MICROFILM $ sentatives of this city to enter upon the above-mentioned property for PLAN CHECK 50% § inspection pur••ses. MECHANICAL $ 7 Signature • // .i/ ...fLet. If-5461 TOTAL FEE $ 6.00 ( Drivers' License or SS - Reinspection Fee $15 Issue Fee ' $ 3 PLAN CHECK 25% $ ��CMF 0865-46,rev.4/84 White-Building:Canary-Applicant:Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION 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 COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test 9. Water 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 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. 'Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro . 22. Ducts, Ventilating 71. Product Piping 0 Gas' 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 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 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ///I',/tj 39. Water Service-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 �/. 1' REFUND REQUEST FORM • From: Finance !Y!Permit # `7_0 / MI, Building Safety ,��;;j ❑ Planning PP 11" Amount $a� �' • ❑ Public Services 1 ❑ Leisure Services ��W Account # • ❑ Other 11 • 90 90 � 3t UU _ j P Dept.Head Signature Date / l! 11,�,, r� /� Name and address of applicant: t 1G !i i/-LYl Fit a ti/;i _ (Please Print) /(r:- , i wt;T1 Ir 1 n i a Reason for refund: I' I Q (;C u I C( r' �_ •—• �• — d—y)iA / CO yAA�r•+ic�/ .� , `_ IC, C>-J A PIA �U yV rl - 3J- P, ( . Applicant's Signature Date • RECOMMENDED ACTION Approved Disapproved ❑ Finance Director ❑ ❑ -Signature Date ❑ City Manager ❑ ❑ Signature Date ❑ City Council _ ❑ ❑ Signature Date REMARKS: H T& . X 10 _ . 0 o RE ., N / , O U Kiel C E . o d (Ndr REFUi/AA/3tr) • 3 `i , cU' D d = f =ae �G CMF 0644-22 rev.8/82 White-Accounting:Canary-Department Copy 0 CITY OF COSTA MESA, CALIFORNIA COUNCIL POLICY SUBJECT POLICY EFFECTIVE NUMBER DATE PAGE REFUNDS 100-1 10/17/77 I of I PURPOSE The purpose of this regulation is to delegate limited authority for the authorization of refunds and to establish guidelines for refund procedures. POLICY Limited authority for refund authorization shall be delegated to the City staff. The refund form must be signed by the department head of the initiating department and then forwarded to either the Finance Director or the City Manager for their countersignature. The Finance Director shall be allowed to authorize any amount up to $1,750; the City Manager shall be allowed to authorize any amount up to 53,500, and any amount over $3,500 will require City Manager's approval with City Council concurrence. PROCEDURE 1. Refunds are to be researched by the initiating department. 2. The initiating department will then fill out a Refund Request Form and submit it to either: a. The Finance Director for any amount under 51,750; b. The City Manager up to and including $3,500; c. The City Manager with City Council concurrence for any amount over $3,500. 3. The approved form will then be forwarded to the Finance Department for payment. 4. A separate list of refunds contained on the warrar' Pst shall be provided to the City Council by the Finance Department. • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT (4.- 1. o/ 8953 5/18/83 I 439.00 TL I Project Address�n2S2�c� � sa,,,, <e✓ L2a/lXJ a(k _ TYPE OF CONSTRUCTION , , ' - . Owner n.wM/ /y/ /n'a*. Phone Xi NEW CD ADD.. 0 ALTERATION - -. - ;Address t'W direr/ S? c_Q ,%. /90 )JP,aj9/ 0 REPAIR 0 CONVERSION ❑DEMOLISH . Ar-ch/Eng. - License-I A 0 OTHER ZONING REGULATIONS- No. - — DESCRIPTION OF WORK 1(/(-'sRfM• vGA/r A'P'I` Address ���� - ZONE PLNG. REF.*, Contractor _�>�5• p a h `(` I Phone 9? ,/f9� TYPE OF PERMIT — BUILDING - - Tp gU1LD lrvG - - _ ' SETBACK CA_ST. PROPS 0.TV LINE IAddress /-"90 SeJ/77U,-, at,lt array IJh 0 GRADING 0 FOUNDATION 0 STRUCTURAL- `DFS YARD __ - " " , - - - LICENSED CONTRACTOR DECLARATION ' 0 TENANT 0 ELECTRICAL ❑PLUMBINGAMECHANICAL SIEDE YARD - - - - - -- I hereby_affirm that I am licensed under provisions of Charter 9(corn- RIGHT • mencing with section 7000) of Division-3 of the Business and 0 OTHER -- -- - • . - _ ._ Professions Code, and my license Is In full force and effect. - REAR YARD(TO P/L) a PROJECT DESCRIPTION _ _ ' _ _ _ p License Class G�11 ���.icens�e�N�on-' 'PKG.SPACE REQ. PROVIDED. • l` DateC�//•, Signature -11T"-s"/4� - SQ.FT. - , ., _ - - -- - - , WORKERS-COMPENSATION DEC ATION- OCCUPANCY. ---CONSTRUCTION TYPE STREET WIDTH PARK FEE $ (., I hereby affirm that I have a certificate of consent to self-insure or a VALUATION - ZONE ZONING APPROVED BY I ,DATE' \ certificate of Workers' Compensation-Insurance, or a certified copy - - - .. - - . . - _ ( thereof(Section 3800, lab.S...). s GRADING CUA YDS. ACRES SPECIAL CONDITIONS: & ty No: 23/C__Q_,2 L Company Lccf/O!✓ 94�S.YOC• -- _ _ - .. _ ._. , _._ -_ - _ _ -- ._ - - - :ertifled copy is hereby furnished. - - - - -REMARKS:I ' •. 4,- _. - _ - ._ i _ - _ _ •� ' _ Certified copy is filed with the city Building Division. _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - -s - - —' - - - _--" - -- - - - - - - (This section-need-not be completed if the permitIsfor_one hundred _ - _ _ ' ' MOO) or less). _ - - __ - _ _ _ _ 1 certify that in_the'.performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to.become PLUMBING _ - _ -- ^ PLAN CHECK - ELECTRICAL - PLAN'CHECK - I subject to the-Workers'-Compensation Laws of California. - - Uwt Lll Nta - VAHAbt BATHTUBS SHOWERS Date Signature ' ' - S- QFT SO FT •• • ' NOTICE: If after rtia king this declaration, you should become subject TOILETS . ) .hURINALS -- _ - - GENERATOR -- 011 KW_1-10 KW - ' to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - / - 'APPLIANCE 10-50 KW_50+ KW -- - - - --- revoked. --- -- -- - ___ - ._ CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS -" 'MOTORS I hereby affirm that there Is a construction lending agency for the per- -- �- -,(INC.SOLAR)- - 10-50 HP_50+ HP - - 1 '— - - I I ce of the work for which__thi5 permit is_issued (Section 3097 SERVICE SINKS - SUMPS C ; Civ. C.). FLOOR SINKS - FLOOR DR SI .‘s# FIXTURES ' OUTLETS" SWITCHES - - " fh. Lender's Name - - _ - - - - - - _ -s - ) Lender's Address DRINKING •FOUNTAINS i' {{,/�rr`d s \GAS TUBE SIGNS "" '- ' - - ' OWNER BUILDER DECLARATION INTERCEPTORS C j FIRS nI r saQLE LIGHTS - ' _- - _ - " I hereby affirm that 1 am exempt from the Contractor's License Law for D the following reason (Section 7031'.5 Business and Professions Code: SWIMMING POOL - P,fi:RAffi\ \` i nil stuL.l wN _ __ 'Any city or county which requires a permit to construct, alter, fJ��'" ,S OLES METERED SUB I Vmbro ve,demolish or repair any structure, prior to its Issuance,also re- WATER SERVIC AC EsErP,ti�O PANELS" - - MAIN - - -SUB . - -'• quires the apt-licant for such permit to file a signed statement that he 1 is licensed pursuant to the provisions of-the Contractor's License'Law GAS SECCTIFN 411(OUT4ET5 s/7 ✓ - -SERVICE - 'AMP - "- (Chapter 9 (commencing with Section 7000) of Division 3 of the te� 1 V Business and Professions Code) or'that he is exempt therefrom and the WATERRS --- ,,,,,,..•7,a, ' B�IU OUTPUT �. _<,,, - - - r'-- 'T ' - - - - basls for the alleged exemption. Any violation of Section 7031.5 by - •my applicant for-a permit'subjects the applicant to a civil penalty SEWER -of not more than live hundred dollars ($500). _ �t J -1 . . -t r i ❑ I,'as owner of the property,or my employees with wages as their SOLAR TA' K CO r7( — - - sole compensation, will do the work,and the.structure Is not intended l�I , or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPIN SYS. f'11 ISSUE FEE - Contractor's-License Law does not apply to an owner of a property - • 4- %ys'� - --- - APPLICATION APPROVED BV:hB DATEL, ` who builds or improves thereon, and who does such work himself or ISSUE FEE • through- his own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or Improvement MECHANICAL v PLAN CHECK is-sold-within ono year of completion,-the owner will have the burden SUMMARY OF.FEES , of proving he did not build or improve for the purpose of sale). " BUILDING ' -' - - '-' - - - - HEATING SYSTEM 0-100,000 BTUX Ct PERMIT $ - "'SMTP • I,'$ • - ' o 1,'as owner of the property; am exclusively contracting with AND DUCTING ' .. " - -f(� licensed contractors to construct the project (Section 7044, Business 100,00(6+BTU I Pr 7- 00 PLAN CHECK $ (-PERMIT t and Professions Code:-The Contractor's License Lawdoesnot apply to - - - ISSUANCE $ an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with-a contractor(s) iicesned- pursuant to SYSTEM - - - - - - - GRADING S ..' the Contractor's License Law). 100,000+BTU PLAN CHECK $ ` ' ` , _ ' , • ❑ am exempt under Section : B.8 P.C.for this BOILERS BTU ELECTRICAL $_ - $ • _f MICROFILM $ •' ' reason PLAN'C HECK $_la__ - SYSTEM REPAIR,ALTERATION •• Date .- - Owner-• - - - TOTAL FEE$ I hereby certify that I have read this application and.std to that the above EXHAUST SYSTEM MULTIPLE MECHANICAL 1 - information is correct. I agree to comply with all city and county - - ,PLAN CHECK -$-f r?-'C1 s- LESSAD- 9 PYa VANCE PC $_ ' ordinances and state laws relating to construction,and hereby authorize representatives of this city to enter upon the above mentioned property for ins ction. rposes.. - ' P� '�r�,,_ FINAL FEE $2 •� Signature -�'�'•`-� ' Dates-y G.'-2 Drivers'Lice a or SS# / ISSUE FEE 3 OO CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING _ . POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • 2. Soil Pipe-Undrgrn _ 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn , 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing & Pressure Test .- 6. Electrical UFER Grp _ _ 48. APPROVAL TO COVER-GUNITE 7. .. Footings 49. Electrical Conduit-Undrgrn 8... Foundation _ _ 50. . Gas Pipe, ❑Undrgrn,Test • 9. Water Pipe-Undrgrn _ 51. Backwash Lines, P-Trap, ❑Undrqrn 10. . Structural Floor System _ - -. 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash& Receptor-Final • 12.. Street Sewer Connection .. _ 54. Heater & Vent-Final 13. Rough Plumbing - 55. Plumbing System -Final , 14. Rough Electric-Conduit -- - 56. Electrical-Final - • 15. Rough Electric-Wiring - --� 57. Solar System-Final 16. - Rough Heating & Air Conditioning _ 58. -Fencing &Access Approval ' 17. Ducts, in Structure ' - - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating_._ . • 19. Gas Pipe-Rough &Test60. POOL/SPA SYSTEMS FINAL 20. Roof Framing • 21. Roof Sheathing • 22. Frame and Flashing .. . _ NOTES: • 23. Insulation_ 24. Lathing & Siding . - _ 25. Drywall Nailing _ 26. Plaster Brown Coat . • • 27. Electrical Power Meter-Final ' 28. Final Electric - - - . • 29. Final Heating & Air Conditioning - ' _ 30. Final Gas Pipe-Test - • 31. Final Plumbing 32. Water Service-Final - . _ _ 33. Gas Service-Final - ' 34. Solar Domestic-Final • • . 35. Landscape Sprinkling System ' 36.•._Sound Attenuation . . . ' 37. Handicap Regulations • ' 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern Califotnia Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date APN Owners Property Address 1 937-65-016 VELDE RICCARDA L 2530 SANTA ANA AV 1 2 937-65-017 JEFFRIES GEORGE J 2530 SANTA ANA AV 2 3 937-65-018 MILLER MARK W & LOTTIE 2530 SANTA ANA AV 3 4 937-65-019 SILER PATRICIA 2530 SANTA ANA AV 4 5 937-65-020 MILLER EDWARD C JR & GAIL E 2530 SANTA ANA AV 5 6 937-65-021 NORRIS CHERRYL 2530 SANTA ANA AV 6 ("±\ Copyright©1996-97 Experian Page: 1 of 1