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HomeMy WebLinkAbout2545 SANTA ANA AVE - Building Permits (8) ADDRESS a BUILDING: 2545 SANTA ANA AV um% E CITY OF COSTA MESA - BUILDING PERMIT 'QYNERSNA^EIE1047fIN: WESTPORT GROUP PERM NO: B 0816 /4 w ADDRESS: 1936 E DEERE AV #203 .AANTA ANA, CA 92705 PERMIT NO: B 081674 PLAN CHECK NO: 03024-96 A GOVT: N SUPP: N 833-5047 APPL.MARINO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW ARCHITECT OR ENGINEER: FLAIR ARCHITCTS UGN0.: C JOB DESCRIPTION : 817SF 1ST FL, 934SF 2ND FL, 418SF GARAGE SQ FT: 2, 243 ARCH.OR ENG.'S ADDRESS: 18 TECHNOLOGY DR WR: 118 IRVINE CA 92718 CLAIM VALUE: 120, 000 . 00 CALC-VALUE: 146, 166 . 62 GROUP OCC: R-3 /U-1 I CONTRACTOR'S NAME: caiwwAcrow5 MMUI40 COMMENTS : 88SF ENTRYWAY, NEW SFR PLAN "1BRr' ADDRESS: UC.NO.: ******************************************************************************* WIT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chaplet 9 SETBACKS (commencing with Section 1000)of Division 3 a the Business and Praeaaos Code.and my license is in het bin and effect. CITY UC.NO.: UC,CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: 10 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN oats: Contractor LEFT: 30 FT IN RGHT: 12 FT IN LEFT: FT IN RGHT: FT IN \WNER BUILDER DECLARATION:I hereby elfin"under penny d periury that I am exempt from the Contractors License Law for the Abwkgreason(Section 7031.5 Busies'and Professions code:Any city or county which requires'Permit toconewd.afer.improve, PARKING REQ• 30 PROW 30 PARCEL : 43919236 ZNE: R2-H REF NO: DR-91-22 demolish,or repair any structure,prior to is isuanhce,also requires the applicant for such permit to fib a signed statement 0at he or she 0 is licensed pursuant to the provisbnsa the Contractors License Law[Chapter 9(commencng with Section 1000)of Division 3 of the PLANNING N TES> 1 DETACHED DU OF 12 DU PROJECT. FT/REAR/LT SIDE SETBACKS ARE Business and Professions Code)orthat he or she is exempt therefrom and the basis to the alleged exemption.Any violation of Section -..>,. SE'P.ARATIONS . .PARK FEE DEFERRED . * P F E ' 7031.5 by any applicant to epermil aubleasthe sppf t_ltoeovt penalty since mete than thea hundred ban IS500p. *.************lE**#1rfE1E**.****�f1E******** (-******************************* ii********!L p I,as owner of the pronely ormyempbyeeswith wages astheir sole compensation,will dothe work.and the structure anot intended D E V E-•L O P M'• FF N- T S ER VICES R E Q U I R E M E-N, .T .S fa or offered sale(Section 7044,Business and Professions Code:The Cont redoe License Law does not apply to an timer of properly who builds or improves thereon,end who does such work himself or herself or through his or her own employees,provided that such - ' - immovementsare not intended offeredfosale.ff.however,thebuioing or improvement is sold within one yeard completion.the ZONING APPROVED BY - 1 l,xS`R owner'butder will have the burden od proving he or she did int build or improve for the purpose d sale). - l�- DATE: -2 I..`'j, ctrl I.as owner a the properly.em exclusively contracting with licensed contractors to construct the Digital(Section 7044,Business and Professors Code:The Contractors License Lew does not apply loaoYaw of Property Wm bale o improves thereon and who BUILDING APPROVED -BY ; , . , DATE: - contracts for ucote: tons)projects with a c teo(s)licensed pursuant to the Contractors License Law). -- -• - s ❑ tamaem/tunder SSecton::/ 7 • B.dP.C."le / ' , APPLICATION ISSUED'`;BY'i-- '. VA / S V9 DATE: . '2'“a (97 .- 1 Dae: 1 -1% -" / / °w'er: //4B/y/'e1 rne3'//LG>? *****************its*****iF;***************************************** **4********* LEGALIZATION:N F E E SUMMARY STRUCTURAL- SEGMENT: Y I do hereby cattily that I am aware of end understand the requirements a California Health and Safety Code Sections 25505.25533,and 25534.end that I or wry future building occupant will f wia not(circle one)need to comply will said elide coda and the requnements for a acme forconewaim,amodification homtheAiawtyManagement District.Residential oamrudiansanitatiaeare exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 1 , 122 . 25 pd714 .j62j Date: Applicant: 'MIP/i`V4 y�y- ES 7 i WORKER'S COMPENSATION DECLARATION:Ihereby afnn wider penally a penury one a the following declarations: PLAN 181 _t ISSUE FEE p Ihave and wlmennanceadeedauenoseDimure Sued. oompemon,aprodtledlabySedon3100dthe Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I cove.tatheped«maeamewwkfawah mopemm .aae. TOTALS----> 1136 . 87 0 . 00 182 . 37 1319 . 24 1319 . 24 . 00 d will I have a maintain workers' insurance,es compensation required by Section 3700 of the Labor Code,for the performance of the work for skid,this permit is Sued.My waken'compensation insurance carrier end policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 1136 . 87 OVER/SHORT : . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This action need not be completed i the peri is to one hundred dollars MOO]or las.[ 1122 . 25 14 , 62 ® 1 ceniy that in the performance of the work for which this permit 4'issued,I shall not empty any Peron M any manner 90 an to beans subject to the workers'compensation laws of California. and agree that B I'houM become subject to the workers' *******************************************************************************. compensation provisions of Sediee 3700 a the Labor Code,I shall forthwith campy wwth those prowisi"s. IND I V IDUAL FEE BREAKDOWN Date: Applicant: Waming:Failure to secure workers'compensation coverage le unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST cldl Dna W to one hundred thousand dollars(3104000),In addition to the sat of conwansetiorz damages as Provided for In Section 3106 of the labor Cad.,Interest,and attorneys lees SFR 1751 DWE-TYPE V-WOOD FRAME -GOOD 77 . 90 136, 402 . 90 CONSTRUCTION LENDING AGENCY:I hereby affirm under Pelt*a perjury that then Is e constnaon lending apemy lor the SFR 74 RES-PATIO COVER-POST & SOLID ROOF 5 A 15 2 . 9 2 performance Mich wthispermitieba»d(Seton3097,Cir.c). SFR 418 RES-GARAGES TYPE V 10 . 80 LENDER'S NAME: END OF FEES LENDER'S ADDRESS: I certify that l have reed this application end stab that the above Mtamellom is cad.I agree to campy with ell dry ed county ordinances FEB 1 91997 and state laws releikg to building construction and hereby authorize representatives of this city to enter upon the above-mentioned a:warty for inspection perpaaet REBECCA MORRIS (�/�/�//5Jp Pont Name Cfi-( ;r COSTA MESA - ' / IJ�KI A Q- 71/044A4-- Signature A4-- ode: c) 19'—c7 Signature of Owner/Agent/Applicandaontractor (5151 de.WP) White-Building&Safety;Gran-Flo;Canary-Appioant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING I ` & SPA ,-- APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector . 1. T;mporary Electrical Service or Pole 52. Pool & Equipment Location J 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. '�:ectrical 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. FootingsYe Z 58. Electrical Conduit-Undrgrnd. 8. Foundation G?- ` • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 0 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 ❑Gas 0 Oil 25. Roof Sheathing 49/4? a 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat L - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &Siding if a�_I/ 77. FIXED SYSTEM FINAL 29. Insulation ZL 7 ' &I 78. FIRE PREV. FINAL l i- 30. Drywall Nailing ? / HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat +--pm� � J 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 42. Backflow Preventer 43. Backf low Irrigation S , 44. Landscape Irrigation System „/ '. 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING /, �1Q 48. FINAL PLANNING ! - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date 06/18 '97 12:45 ID:WESTPk r HOMES FAX:714442759 PAGE 6 PAGE 4 -2 a 1 INSULATION CERTIFICATE • This is to certify that Insulation has been Instilled fn oonformanoe with the currant energy regulation. California Administrative Code,Title 24, State of California,In the building at SANTA ANA AVE HOMES PH 1 LOTS CEILINfS• TYPE:Fiberglass BATTS MANUFACTURER Owens/Coming THICKNESS: R•19 13-112" ta Q Fiberglass Batts MANUFACTURER Owens/Corning THICKNESS:R-13 3 112" OE RAL NTRACTOR:WEST PORT HOMES LICENSE: 1///-3 J BY: TITLE: C.Ek) SCHMID INSULAT CONTRACTORS, INC. LICENSE 0221617 C-2 Y, ITLE: PRODUCTION MANAGER DATE:06/18/97 INSULATION CERTIFICATE This Is to codify that Insulation has been Installed In conformance with the current energy regulation, California Administrative Code,Title 24,Stats or California,In the building located at • SANTA ANA AVE HOMES PH 1 LOTS .) CEILINGS; TYPE: Fiberglass BATTS MANUFACTURER:OwenalCoining THICKNESS: R-19 6 t/2" WAIL TYPE: Fiberglass Bette MANUFACTURER:OwanelCorning THICKNESS: R-13 3 12" :ENE CONTRACTOR.WEST PORT HOMES LICENSE 7//'jjC SY: TITLE: L' a CHM IN LAT CONTRACTORS. INC. LICENSE 0221617 C-2 �J{I TITLE PRODUCTION MANAGER DATE:06/18/97 , ADDRESS aeatdxo: 2545 SANTA ANA AV twz E CITY OF COSTA MESA - BUILDING PERMIT OWNER'S NAME rPM»NN:WESTPORT GROUP PERM NO. E 082327 e00" 1936 E DEERE AV #203 SANTA ANA, CA 92705 PERMIT NO: E 082327 PLAN CHECK NO: N GOVT: N SUPP : N ApPL.luIUND AoogEss:8 3 3-5047 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT OR ENGINEER: UC.ARCHITCTS CND` C JOB DESCRIPTION : 863SE 1ST FL, 1092SF 2ND FL, 418SF GARAGE SQ FT: ARCH.0REICiADDRESS: 18 TECHNOLOGY DR WIT: 118 IRVINE CA 92718 CLAIM VALUE: CALL-VALUE: GROUP OCC ; R-3 /U-1 CONTRACTORS Malt CONTRACTORS 1111111413T MC GEE ELECTRIC INC ( 909 ) 591-6461 2390 S RESERVOIR COMMENTS : 74SF ENTRYWAY, NEW SFR PLAN nn 2BRnn / REF B-81674 ADDRESS: POMONA CA uexo: 49 083 *�e******4************x*** rpt*******+r**�ri�i��f�t*****it*N*taunt*x***+t***+ted*�r�r*it*;�******�e LICENSED CONTRACTORS DECLARATION:I 91766 ° ` ZONING REQUIREMENTS hereby affirm lever pesaly of perjury that I as messed alder provisions of Chapter a S ETB ACK S (commencing with Seat.7000)d Division 3 d th hoskerne and Professions Code,and mykerne is effect.s force and effect. CITY UC.NO.: UC.CLASS: UC. 48 C-10 4 0 83P� /9 097 — MAIN BUILDING ACCESSORY BUILDING •.. Date: W 4 4? Casella IAA FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN )WNER BU DEN ECLARATION:I hereby affirm oder prWy of perjury Net I an ecContractor*U empl hon the Cor* dine Law dor the LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN lamwkp reason(SKIS 7031.5 Wawa and Profesdama m Code:Any city any which requires a permit to nsasa.abet,improve, demdish,a ss any immure.prior to in issuance.also requires the appmaa for such to awed s nenrthat dhen she PARKING REQ: PROV: PARCEL: 43919236 ZNE: REF NO: is tceroed pursuant to the provisions of the Contractors titans Law(Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES> Business and Profession Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant d d in cant fore permit subjects the ah$Ocato a ofd penalty t more than five hundred dolts(WOW > ❑ I.asowner d the property or my employees wth wages as haisol mon npeml ,any do the work and the sNWa 's m nd eintended *********************************1 *.********* *********************************** aoffered for sale(Section 7044,Business and Professions Code:The Contractors License Law dos not apply to en ownrd«opMy DEVELOPMENT S E_IR V ICES REQUIREMENTS who bolds a improves thereon.end who deal such work hind or herself a through his a her own employees,provided that such improvements are ted Weald a offend fa tele,E.however,the bsMr.g or inpove coed is sold within one year of completion,the owmerioilder win have the burdens proving he or she did not build cc improve for the tmwsedeale). ZONING APPROVED BY DATE: ❑ I,as owner of the property,am exclusively Damradna with licensed contractors to construct the projed(Section 7044.Business end /_, Pr°eSeee Ceche The Can me"Lienee Lem epee net eery aanawrerdWee"who bums ce Wow«thereon ate wee BUILDINGAPPROVED BY : " suchDATE: contracts for sprojects with a contraa(e)licensed pursuant to the Contractors License Law). ( ❑ Iamexempt under Section: B.AP.c..for this reason: APPLICATION ISSUED BY: I * DATE: s -� Data: _ Owm: **********************************W********** **********orf******************* ** Idohereby certify that lamaware oand understand the requk mdCaBaniaHdhendSewyCodeSedlrnpsos.Pan*.and LEGALIZATION: N F E E , SUMMARY STRUCTURAL SEGMENT:N 25534,and the I or any Mur building oom0ant wig hal no.(d tS ae)need to comply with mid data codes and the requitement.for Iranere• for construction modification BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 83 . 80 Dale: _ Applicant: 0% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of palmy one of the following declarations: PLAN ❑ Ihave and MI manta*.a certificated ca®u todilwmfor workers'camrromn,asproided fa by Sedan 3700d the Labor ISSUE FEE 22 . 00 performance Nwork BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ Ihave end wiimairanworker.'cancensation Insurance,as required by Seakit 3703 of the Labor Code.Ex the certormance of the TOTALS----> 83 , 80 22 . 00 0 . 00 105 . 80 105 . 80 . 00 • work for with this prod is issued.My waken'cormereson Wuence caner and policy number we: • Corer` CAL COMP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 105 . 80 OVER/SHORT: . 00 PNumber: 09/30 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (ods section nose notc he ompletedyw parva isdorm.) 105 . 80 ❑ I candy Nat In the performance a the work for which this permit S issued.I sal not employ any poison In any manner so as to - become subject to the waken'compensation laws of CaManis.and agree that d I ahold become sutjed to the eskers' compensaf ver d Sedion3700dthe tabor Code,I sherZab with Oaeeaodsos. ******************************************************************************* Dale: 4T9 ADor�en 1 kJ, INDIVIDUAL F E E BR EAKDOWN Worming:Fsd/untonouns workers'compenSsdon coverage Is unlawful,and shall subject an employer to crfnenal pensIdes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST clan fines W to one Masted thousand dollars(51IX4000).its adildon to de cost of cauterisation.damages as provided for In Settlen 3705 of the Labor Cods.busam4 and a0arney's tela . CONSTRUCTION LENDING AGENCY:I hereby affirm ander pesky of podgy dug there is a construction landing co y b the ELE 4 R EC EPT/OUTLET 1 ST 20 EA. 1 . 00 4 . 00 performance lithe wk for which this acme isiswed(Section 3097.Cie.C). ELE I RECEPT/SWITCH 1. ST 20 EA. 1 . 00 1 . 00 LENDER'S NAVE ELE 1751. NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 04 /�e� • 1 . 80 LENDER'SreADDRESS: END OF FEES fir" li I caddy athatlaws I have real this application road date Mai els above information is oared.I epee lommypon role and court'ordinances • arae laws relating to building constriction and hereby authorize lepeeemathm d thistly to enter upon the abwa.mantnned property for inspection Wt0law � DAVE ALLEN 41991 .0 J 6(4)w Gv.P I9 �i 3 APR Data: CpgtA ON. Signature OwmlAgrelAppirantrCmtred« WI 1 0� (5151'46.WP) Whits-Building A Ssdy:Green-Fla:Canary-Apples*Pink-Revenue:GOMeruod-Aamnor ' CONSTRUCTION AND PLANNING A & 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, 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 r� w 66. Solar System-Final 16. Rough Electric Wiring 117/5'/ ` 67. Fencing & Access Approval 17. Rough Wiring Sign ■/ D 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 / yy// 79. FINAL INSPECTION 32. Electrical Power Meter-Final , 6Ct1 t (A- FOOD CERTIFICATE ISSUED 33. Final Electric /2¢j m:. -s: /!7 id-r j No F tees 34. Final Heating& Air Conditioning 1240 �! 7 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 42. Backflow Preventer 43. Backflow Irrigation y^ ? • 44. Landscape Irrigation System r 45. Sound Attenuation f` 46. Handicap Regulations �. 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison - 1C' " ' 50. Gas Release to Southern California Gas Co .rr 51. CERTIFICATE OF OCCUPANCY No. Date ADDRESS OF BUILDING, 2545 SANTA ANA AV uMT: E CITY OF COSTA MESA - BUILDING PERMIT ONNERSNAMEIPKNOwN: WESTPORT GROUP PERM NO: F 079857 ADDRESS 1936 E DEERE AV #203 SANTA ANA, CA 92705 PERMIT NO: F 079857 PLAN CHECK NO: 03744-96 L GOVT: N SUPP: N 833-5047 APPL.MMUNG ADORES&: CONSTRUCTION TYPE: PERMIT TYPE: FIR PURPOSE: NEW MRCNDECTURENGNEFR: FLAIR ARCHITCTS ucNa: C JOB DESCRIPTION : 863SF 1ST FL, 1092SF 2ND FL, 418SF GARAGE SQ FT: MCII OR EMI ADDRESS: 18 TECHNOLOGY DR uMT: 118 IRVINE CA 92718 CLAIM VALUE: 1 , 350 . 00 CALC-VALUE: GROUP OCC: R-3 /U-1 OANmACTOWSNAME VALLEY FIRE PROTECTION ( 805 ) 583-2984 CWTRACTOPrS MING 2370 SHASTA WAY COMMENTS : 74SF ENTRYWAY, NEW SFR PLAN "2AR" , INSTALL FIRE SPRINKLERS AODREss: SIMI VALLEY CA uCN0.: 442825 *******+ ********** *********************rE***+M***i<+ *******+cx.********* -********* . 91365-5028 UMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under sanely of perjury that I am licensed under prodsio s ol Chapter I SETBACKS (commencing with Section 7000)of Division 3 a the Business and Pmfeseiau Code,end my Bowe Sin full forte end effedt cry o.: 068120 uc.cuss: C-16 uC.NO.: 442825 EXP 08 /97 MAIN BUILDING ACCESSORY BUILDING J 'qg/q4 CorFRNT: FT IN REAR:IN RGHT: FT IN FRNT: FT IN REAR: FT IN • n / LEFT: FT FT IN LEFT: FT IN RGHT: FT IN UILDER DECLARATION:I hereby affirm under penally a perjury that I am exempt Contractors the Contras License Law for the reason(Section 70+13 Bueiess and Professions Code:Any c*y or county which requires a permit to construct.atter.improve. PARKING REQ: P RO V: PARCEL: 43919236 Z N E: REF NO: Slielish,nedp�rrs°8ir antton»pr ,sure.prior wdteComra rsalso LiiicnseLawhe 1hawnla( er�,Rsuch gI•thSethon77DD°t0)0)ofDinion or1she ee PLANNING NOTES> Business end Professions Code)or that he or she is exempt therefrom and the bane for the alleged exemption.My violation of Section > 7011.5 by any applicant fora Perrot subjects the applicant to a civi penally of in more than five hundred dollars[S5030. ******************************************************************************* ❑ Les owner of the Property«my emgweee wit wages as trait sole compensation.wM do the work.and the structure a not intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an owner of property who buids or ingwes thereon.end who does such work linseed.hand or through he or her own employees,provided that such improvements are not intended or offered for sale.f,however.the building or improvement S sold within one year completon,da ZONING APPROVED BY DATE: owner-builder will have the burden a proving he or she did nor bald or improve for the purpose of sale). ❑ Las owner of the property.am exdueivey esa camerae:contractile with/vaed contractorcamerae: the proem(Section 7044,Business and Professiorn Code:The Contractors License Law does not apply to an owns,a owr property who pensor improves thereon end who BUILDING APPROVED BY : DATE: ❑ I am pt under Section: cont actor sl licensed pursuant to the Contractors License Law). ^ f /T � I esemq atter Section: B.AP.c..for this reesn: APPLICATION ISSUED BY: (\\iiTT\tt,11ff J\ ` P4F/"1/s�7H DATE: 1./J ******************************** ** **** ** ** i* F*.dt.tr•************* ** * * *** °"°' Oe LEGALIZATION:N F E E SU MARY STRUCTURAL SEGMENT:N I do hereby wily that I am aware or and understand the requirements of Caiomla Heath and Safety Code Sections 25505,25533,end 25534,and da I or any Man building occupant will/wit not(circle ore)need to canny with geld state codes and the requirements for a permit forcemwnon or modification horn the Airy aagenien Dindd.Readitetmherwon applications are exempt from these BLDG PMT PLUMBING ELECTRIC ECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 46 . 00 Date: Applicant: PLAN 29655%% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm wider penalty of perjury one of the following declarations: ISSUE FEE ❑ Ihave and wImaintain acertificate of consent tosell-insure for workerracompensaton,asprovided for bySecton3700of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE m Code,for e performance agwork kfor which this n lls pmielaeued. TOTALS----> 46 . 00 0 . 00 29 . 90 75 . 90 75 . 90 . 00 -a I have and will'manual workers'compensation Stunners,as required by Season 3700 a the Labor Code.for the performance a the • work for which the permit is Sued.My workers'coat sation insurancecarrierand policy number are: • Caner: UNI CARE EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 46 . 00 OVER/SHORT: . 00 Poky Number. 1A50129514024 12 /22 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This sectio,need not be completed I the peril is Ar one hawed dollars Israel or leash 46 .00 ❑ I caddy that in the performance of the work for which the permit a sued,I shag not employ any person in any manner se as to become subject to the workers'carnpersation laws a Cali/onto, and ogres OW B I should become gabled to the waken' ******************************************************************************* peranon prod:/ya a Section 3703 a the Labor Code.I shall earth h py with proseions INDIVIDUAL F E E BREAKDOWN ate: /A/B/ ''l APaamn: /2 /!'i//f/// Mg:Failure M secure workan'conpensadon coverage isunlrwtd,and Shall erepetanerrPloyer toanmlral penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST clow fines W to one hundred thousand dollars($100,000).N addition to the cwt of compensator damages as provided for In s.adn37Gsofthe Labor Code,Interest and attomeya fen FIR 46 FIRE EQUIP FEE ( FROM BLDG VAL TABLE) 1 . 00 46 . 00 • CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a censtnefion lending agency for the END OF FEES performance of the work for which this permit is issued(Season 3097.CM.C). _ LENDER'S NAME • LENDER'S ADDRESS: I cony that I have read this application end nate that the above information is coned.I agree to comply with all ply and county ordinances and nate laws relating to building construction and hereby aulface nyxeaenatives of this drys enter upon the above.mentkned property for inspection purposes. PHIL MANSEEL 0100216664-00216664 TOT 46.00 � Print Name DATE: 10/08/95 TIME: 15:16 A..... y/ a /1 Jg, _a a Date: /D/06 ignature of e .ri. rw.p-- ..t... (5151-46.WP) WhiteBulding A Salary;Green-Ate;Carry-Appkcant;Pink-Revenue;Goldenrod-Assessor , CONSTRUCTION AND PLANNINL L & 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 UFER 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, 0 Undrgrnd. • 10. Structural Hoot 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 Electricil-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 Hush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil . 25. Roof Sheathing - . - 74. Overhead Hydro 26. T-Bar Ceiling IStructura0 & Monocoat - 75. Dry Chemical 27. Frame and Flashing' 76. Dry Standpipe �� 28. Lathing& Siding - - - 77. FIXED SYSTEM FINAL Wx'747 t 29. Insulation 78, FIRE PREV. FINAL eie?&/ 7 ��- 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 • 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System • :45. Sound Attenuation - 46. Handicap Regulations -• 47. FINAL STRUCTURE & BUILDING 48. FI NAL PLANNING . 49. Electric Release to Edison - • 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY' No. Date 4( ,1iEssaeuLowo: 2545 SANTA ANA AV WIT: E CITY OF COSTA MESA — BUILDING PERMIT ayimswiti io sow: WESTPORT GROUP PERM NO: P 081701 . ADDRESY 1936 E DEERE AV #203 I SANTA ANA, CA 92705 PERMIT NO: P 081701 PLAN CHECK NO: N GOVT; N SUPP: N 833-5047 APPL.MAILING ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: NEW AIICNRECTORDXWER: FLAIR ARCHITCTS tit NO: C JOB DESCRIPTION : 817SF 1ST FL, 934SF 2ND FL, 418SF GARAGE SQ FT: ABCNOREND.'SADDRESS: 18 TECHNOLOGY DR on 118 IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 CONTRACTORS NAME camACTORA ADDRESS: _ ********4***isF i**********bit*****dW SEiFE+Rr+L+PP+LL+Ar+NL+E+E+****4*****xint**************itit****i ******* AwgEsz � WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Wim under penny d PaWy than ant t Dinned der provisionsof Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 d the Bunten and Professions Code.and my Menus is in lull force and affect CITY UC.NO.: sac.CLASS: UC.NO.: EXP; MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Candor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN WNER BUILDER DECLARATION:I hereby effinn ruder pray d perjury that I em exempt from the Contractors License Law for the ,ikns)reason(Section 7031.5 Bonen ed Ptdnnon Code:Anyriy or county which requiree a permit to oaaeud.eget.inane*. PARKING REB; PROV; PARCEL : 43919236 ZNE: REF NO: demean.cc rear any auu se,prior lo OA issuance.ober npintheepIcan ter such pang to fib a Byrd stain"Nat he a she PLANNING NTES> re licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Oration 3 d the Business and Professions Code)or that he or she is e empt thadmn and Ite basis for the alleged exemptkn.My violation of Section > 7031.5 by any applicant for a permit subjects the applicant to a Oa pansy d not more than Bra hundred dollen(55°OD. ******************************************************************************* ❑ I,nowner a the property a my employees dh rages nthri de compensation.wig do the wok,ed the mean u not intended DEVELOPMENT SERVICES ' REQUIREMENTS or offered kr sale(Section 7044.Business and Profession Code:The Contractors License law does not apply to an owner of popery who builds or names thereon.end who don such work Tinel or hand or though ha or her own employees.provided that such bnawsneda aretn idaded or alteredla salt l.however,thebuildnporiapmrd a sold*WM ono Tem elcompbtien.the ZONING APPROVED BY . DATE: corner-builder I have the burden d pawing he or she drd not build or improve for the propose d sub). `j I,n°ewer of the propsoy.wnexthnivey calm:lin"WI•••••ad eennelmnmmvud theaofed(Bedion 7wa.en"bnen and BUILDING APPROVED BY : DATE: Professions Code:The Contractors Liam Law does not wady to an owner d pnpaly ewtol w), or improves thereon and who contracts for Cods Theprojects lra a saicense L) atmtl to r actors Bovero law). ❑ Iamexempt urderSection; B.AP.C..tor this- : eci. i �IB1�l.Q APPLICATION ISSUED BY: DATE; L 'l fl Date: LEGALIZATION:N F E E S U M M A' R YSTRUCTURAL SEGMENT; N I do hereby certify that I am swan of and wdenurnd the requirements of Caliade Heath and Sagely Code Sections 25505.25533,and 25531.ad eve lawny Mun dn'Idinpamrpamt wall/wD nal loci ans)ned bcanply nhaeld seta cavies and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a pep for wnuuction or modification born the Al Gueldy Management Dadrcf.Rainfall mwnnon eppiratba are exempt from these PERMIT 143 . 50 Date: Appian* 25E SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby Wim under penal'd paNry one of the following ddaattions: ISSUE FEE 22 . 00 o Iheveendvdiretinal acar(tateiuention snbrworkers'canpwn,np auendedfabydc Sen3700cftheLain BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE at «Ihedawa Ce.Ipnwedu» ktor which udr this permit issued. TOTALS----> 143 . 50 22 . 00 0 . 00 165 , 50 165 , 50 , 00 .] I have and til maintain worker'compensation insurance,as required by Section 3700 of the Labor Code,for Pe performance of the sodk law d mPaier: .Mywana'oamwandwninda e:derwpdKywme«ane: REVENUE DIVISION TOTALS--> COLLECTED : 165. 50 OVER/SHORT: . 00 Policy Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This sedbn need not be caudad t the perm/a for one hundred dates Rrxj or nes.) 165 . 50 t] I catty that in the performance of the work for which this permit M Issued.I shell not employ any person in any manner so as to becomeeubled tolhe workers'compensation laws of California.and spree Nat d I shook' become whied to the workers' ******************************************************************************* compensation provision of Sedan g7D0 of the Labor Code.I shag forthwith o°mpy with Non a nitons. I N D I V I D U A L F E E BREAKDOWN Dora: Applied: Warning:Failure to secure workers'compensation coverage Is unlawful,end shall subject an employer to criminal panitn and - .TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines w to one hundred thousand dollars($ILG000A in addition to the cost of COMPO112•604 damages a Provided for In SecdonS708 of the Labor Code ISM,and attomey'a/sea PLU 2 BATHTUB 8 . 75 17 , 50 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of per 'y that there la e construction wiling agency for the . PLU 1 DISHWASHER 8 . 75 8 . 7 5 PerformancedlheworkforMidith:pe.nlSaa»d(Sedan3097.Ch.C). PLU 1 LAUNDRY TUB OR WASHER 8 . 75 T 5 LENDER'S NAME PLU 1 SHOWER 8 . 75 • LENDER'S ADDRESS: PLU 1 SINK, KITCHEN 1F20'992 • I certify that l have read this applicationanddate that the above information is cored.I agree to comply with ell city and county ordinances PLU 2 WASH BASIN 13 •�s and stale laws relating to building contrudin w hereby authorize representatives of this city n rue won the movememiaud aapaty PLU 1 WASH BASIN ( SET) t aaPedonPwPc°°° REBECCA MORRIS PLU 3 WATER CLOSET (TOILET)PLU 1 _ WATER HEATER AND/OR VENT • 16A,0_50 Pad Name PLU _ _. 1 ._ GAS PIPING SYS OF 1 . TO 4 OUTLETS 5 . 50 [ Ort. e�2P.P1f! 214;4122.4.-. One oz 0'97 PLU .. _1_ SEWER, CONNECTION TO BUILDING EACH 22 . 00 2 . 00 Signature of oww/Age uAppicadlCodrada Or CAST - (5t51'e5.WP) WhieAWAin&Safety;Green-Re:Canary-Appicent:Pink-Revenue:Goldead-Asmaar CONSTRUCTION AND PLANNINt- L & SPA w APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undr c970,19 %3fY ' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms - ' 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding • - 5. Steel Reinforcement 56. Rough Numbing &Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE -7: Footings' 58. Electrical Conduit-Undrgrnd. • ' 8, Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe•Und S-in-q 7 eV ' 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 ®Rough Plumbing - l.(,t$''o Ely 65. Electrical-Final 15. Rough Electrical-Conduit ��YY 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 Fjreplace - .- - APPROVALS Permit# 21. Ducts,in Structure - - 70.-Underground Hydro 22. Ducts, Ventilating - - 71. Product Piping O Gas 0 Oil 23. Gas Pipe-Rough & Test - - 72. Underground Flush 24. Roof Framing - _ - 73. Undergrnd.Storage Tank 0 Gas ❑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 PREY. FINAL ' 30. Drywall Nailing - - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - - 79. FINAL INSPECTION 32. 'Electrical Power Meter-Final 8Q 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 - / -r-I /d--- - 38. Final Plumbing I2tb:flr 1 dir - 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 - : . - r-.. 46. Handicap Regulations • = try" 47. FINAL STRUCTURE & BUILDING - - p� : 1 VI L 48. FINAL PLANNING -�-'"S o' 49. Electric Release to Edison ° `' ` t- 50. Gas Release to Southern California Gas Co - - - * *-.-;,�` ' 51. CERTIFICATE OF OCCUPANCY No Date la AES5aBUILDING: 2545 SANTA ANI' V01ST'. ,E. . .. . _. • . CITY OF COSTA MESA .— . BUILDING PERMIT. 01L'NERSIaM&QA'Nfb WESTPORT GROUP ._ _ ._ PERM NO: M 08167; ADDRESS( 1936 E DEERE AV"R203 SANTA ANA, CA '92705 PERMIT NO: M 081677 PLAN CHECK NO: N GOVT: N SUPP: . N 833-5047 1 AM.MAILINGADORES9: . CONSTRUCTION TYPE: PERMIT TYPE: MEC .. PURPOSE: NEW ARCNITECTORENONEER: FLAIR ARCHITCTS UCNO: C JOB DESCRIPTION : 817SF 1ST FL, 934SF 2ND FL, 418SF GARAGE SQ FT: ARCH OR END'SAD0RESS: 18 TECHNOLOGY DR WIT: 118 IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1 • CONTRACTORSNAIe DCWRACTOWSIINUNG ADDRESS: *O****RTL.*it*d8t*****F **iRfi****fit**iEtiwt*****R *******B*it(tilt****it****atiRt***B*****Atx Stx Rtitit+tft�tx*Rt e ADDRESS( uo No.: gNT; ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby dfinn under penely of perjury that I am licensed under provisions of Chapter 9 S E TB ACK S (commencing with Section 7000)of Division 3 d the Bumess end Professions Code,and my kcense is in hill force and effect. CITY UC.No.: UC.CLASS: UC.NO.: _ EXP:. ___ _ __ MAIN BUILDING ACCESSORY BUILDING FRNT: _ FT , IN REAR: FT IN FRNT: FT IN REAR: FT IN Dere: ConoatlOfr LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I ars exempt from the Contractors License Law for the IoOowiw reason(Section 70313 Business and Professions Code:Any city or county which swathes•Permit toomsmc,iler.ince pre, PARKING REQ: PROV: PARCEL : 43919236 ZNE: REF NO: demolish,or repai any structure.ATe.price its issuance,also requires'he applicant for such permit to fib a signed statement that he or she is licensed pursuant to rhe provisions d the Contractors License Law(Chapter 9(commencing with Sedan 7000)d Denson 3 of the PLANNING NOTES> B usiness and Professions Code]ce that he or she is exempt therefrom and the best fon the alleged exempion.Amy violation of Section > 7091.5 by any applicant for amutt subjects the applicant to a civil penalyof non more than free hundred dolled(S5031). , ******************************************iE************************************ O I.es meei el'he PeoPertY ei mY 011P/oyes*will wages as the sole compensatian,will do the work.and Ihe ranctura is lid intended DEVELOPMENT SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law doesnapply to an Owner of properly who colds or improves thereon,end who does such work himself or herself a through his or her own emPloyeee,provided that such • improvements are net intended or dewed kwsale'n,bowever,the building orinpovernad is sold within one year of compldion,the ..ZONING APPROVED BY DATE: :y, owner-0uildr will have the burden of proving he or she did nit build or improve la the purpose of sale). 1 I,es owcer of the popery,an exclusively c niradig with licensed oontracas to mrwtrud the agect(Section 7044.Business and Professions Code:The Contractors License Law does not apply m an own, of property who budds or improves thereon and who . BUILDING APPROVED B Y : DATE: conbects for such projects with a contractor(s)licensed pursuant 10 the Contractors License taw). _ rrG, ❑ lamexempturderSedbn: B.APA.,b this APPLICATION ISSUED BY: DATE: iP if�F 1 7 *********************************************** ****************** tfAf**** Dale: —I�I'�I7 °""°" �/_tI - LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby eery that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,Peva,and 25594.and that I or any future building occupant will/wit no.(circle one)need to comply with said stale codes and the requirements for a permit forcnsnolion or modificatonfromMe AirWanangemenl District.Residential constructionappicaion are exempt from these BLDG PMT PLUMBING ELECTRIC, MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 28 . 25 D ate: Applicant: 25% SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 22 . 00 o I have and wil maMtaa a certificate of consent lo sallinsuns for workers'compensation.as provided for by Sedion 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance dthe work tor which this permit heissued. TOTALS----> 28 . 25 22 . 00 0 . 00 50 . 25 50 . 25 . 00 o !have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workers'compensation insurance rainier and policy number are: Cartier: REVENUE DIVISION TOTALS--> COLLECTED : 50 . 25 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (ThisMsection need not be completed I the panne is for one hundred dales(5100)or lass.) 50 . 25 pl I tartly 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 suMed to the wafters'compensation bore d California.and agree to f I should become subject to the workers' ******************************************************************************* compensation provisions of Section 3703 of the Labor Code,I shall forthwith comply with those provisions. INDIVIDUAL F .'E E BREAKDOWN Date: Applicant: Warning:Failure to secure workers Corryasutlon coverage is unbar/rut and shall aubNct an employer to alm'nal penaltles and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ones W to one hundred thousand dollars($100.000),In addition to the Cost of Compensation.damage.as provided for In Section 0a,37oftheLaborCode,Interest,andenoma'aleas. MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 13 . 25 13 . 25 CONSTRUCTION LENDING AGENCY: I hereby Wynn under penalty of perjury that there e a mnatmd'on lending agency Lor the MEC 1 GA i PIPING !i YS 1 - 4 OUTLETS 5 , 5 . 50 penama,ceoftheworkforwhichthispermitisissued(Seden3097.Civ.C). MEC , . 1 FACTORY FIREPLACE9 . 50 LENDER'S NAME: 17,9 . itIL 1.END OF FEES ) fss�'LENDER'S ADDRESS: I I certify that I have read this application and Cate that the ebae ifamation is corred.I agree to comply with a0 city and county ordinances / [l ] t and state laws retstng to building oastrudial and hereby authorize representatives of the city to enler upon the abovememared popery FEL' 1 91997 . .. for inspection papeses. REBECCA MORRIS 1 { p� >a/2o 7��//,� Pma Name I i , , l;.•1 .,IESA a/2 /!n— 1v (F/riu Done: /! ~'T 7 L/i 1 I ... Signature d OwrodApmuA trectce (5151 J5.WP) White-Buildig A Slay:Green-Al:Caary-Appicanl:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING- .j'UL& SPA Ili ' APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector P. 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement =3. Electrical'Cor+duit Utility-Undrgrnd. 54. Forms 4.,rElectrical-Conduit-Undrgrnd. 55. Electrical Bonding _ 5: Steel Reinforcement 56. Rough Plumbing & Pressure Test -6. -Electrical UFERGrnd. 57. APPROVAL TO COVER•GUNITE 7:: Footings-.S 58. Electrical Conduit-Undrgrnd. • • 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 1 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 J 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. POO USPA SYSTEMS FINAL '© Rough Heating& Air Conditioning 1f 6c'r I ( .1%(.2 AFIRE DEPT. REQUIREMENT 20.-Rough Factory Fireplace - - - le r- APPROVALS: Permit # 21. Ducts,in Strut-tun - • . . . • 70.. Underground Hydro 22. Ducts, Ventilpting , _ - = 71. Product Piping D Gas OOil 23. Gas!PipeRough &"Test ,. _ - , _ 72. Underground Flush 24. Roof Framing. • . _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - • 74. Overhead Hydro ' ry _ ' 26. -T•Bar Ceiling (Structural) & Monocoat - _ 75. Dry Chemical " 27. Frame and Flashing76. Dry Standpipe' t - 28. Lathing & Siding.; r - . 7-7. FIXED-SYSTEM-FINAL • 29. Insulation - 78. FIRE PREV. FINAL - 30. Drywall,Nailing - . - - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat _ _ 79. FINAL INSPECTION - . - 32. Electrical.Pow'er Meter-Final B0. FOOD CERTIFICATE ISSUED _ 33. Final Electric Notes: • 34. Fina`) Heatin '& AiVVConditionin 7 .,'-) 9 9 � X47 1 � t� Qf� 5y_'.f 47"A ' _ 35. -Final.Gas Pipe-Test t -. / r /y li I 36. Hood or Canopy ' - 37.'Finat Factory Fireplace - - 38. Final Plumbing t . ' - ` - 39. Water. Service-Final - - 40. Gas Service-Final , - 41. Solar Domestic-Final - - 42. Backflow Preventer . - " ' 43. Backflow-lrrigation - 44. Landscape Irrigation System r, - - - - f • 45. Sound Attenuation - - - - -. .. :r - -r - . 46. Handicap Regulations - • ,.- Ie c - _ - - .. I-,_�- • v 47. FINAL STRUCTURE & BUILDING t� 48. FINAL PLANNING V---- ' c" ‘Q�e_ 49. Electric Release to Edison ` it........-- 50. Gas Release to Southern California Gas Co ; _ . • _ 51. CERTIFICATE OF OCCUPANCY . No. Date