The URL can be used to link to this page

Home My WebLink About3413 SUMMERSET CIR - Building Permits/ ! Y OF COST MESq� �ject Address �y�� plicant'$ Maijiyq Address 4�Z � � Applicant to fill in all SDaces except tho5! wilhin hedvY bo�Ee� lines anG si9n all apP�op�iate Oeclarations. PFRMIT NO� �,_ � TRACT NO. LOj fVO. UNIT NO. . A / esslmailingl �'"`��J�'(.rv��N,��C�� `•�`v��o License No. - ~� '.NSED CONTRACT00. DEGLAftATION eo 'rm that I am licensetl untle� provi5ion5 of Ch CQRimencing SEClI0I1 VISIOfI 3 Of S��u+��f15 COd2� dOd Si9na[ure RKERS'COMPENSATION DECLARATION ' hereby aftirm that I have a certificate of consent to self-insure or a certificate o/ Workers' ComOensation Insurance, or a certifietl copy thereof (Settion 3800, Lab. C.) � P�licy No. Company eCertifietl CapY is hereby tumishetl. Certitietl copy is filea witn the city Bulltling Division. iDate APplicant . EXEMPTION F0.0M WORKERS' COMPENSATION DECLARATION (Thissection neetl nat be com0�etetl if the permit is tor one huntlretl ($100) or less). 1 cartify that in the performance ot the work tor which thi5 perm�t is i55ued I Shall not employ any pe�son in any mann¢r 50 as to become Subject to t{�e Wo�kers' Compensalion Laws o( Califomia. � Date Siqna[ure NOTICE: It, after makin9 this tleclaration, you should become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such O�o��sions o� thi5 pe�mit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV . I nereby affirm that there is a construction lentling agency for the oertormante ot the �wark for which this permit is issued (SeCtion 309] Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILDER �ECLARATION ' I hereby affirm ihat I am exempt irom the Contractor's License Law tor the following reason (Section ]031.5 Bu5ine55 antl P�ofe55iOnal Cotle: Any City Or munty wnich requires a permit to construct, alter, improve, tlemolish or repair '�y sVucture, prior to its issuance, also require5 the applicant for such permit file a signed statement that he/she is licensetl pursuant to,the provisions of Contracror's License Law (Chapter 9(commencing with Section 7000) of �ision 3 of the Business and Professions Cotle) or that he/she is exempt ,.,.refrom anE the basis for the allegetl exemption. Any violation of Section ]031.5 by any,applicant for a permit subjects the applicant to a civil alty of not more than five huntlretl tlollars (E500�. I, as owner of the properly or my em0�oyee5 with wages as their sole . c oensation. will tlo the work, antl the structure is not intentletl or offeretl Law tlo¢5 not apply to an own¢r antl who tloe5 SUCh wo�k him! wle. It, howeveq tne bwitling or pletion, the owner will nave the I p/OveJor LM1e purpose of sal¢). 0 I, as owner of the property, a tracto�s to con5truct the project (: The Conirattor's License Law tl bulltls or impwves thereon. antl' (IdCIOY(51 license pll(SOdO[ IO fOC proof of their Worker's Comper ❑ I am exemo� untler Sec[ion— Date.. � I hereby ce tity t information is mn antl state laws rel� sentatives of in5pection p , Si9nature • I�, Drivers' LiCense or ` \ 0865-46,rev. 5/88 mis 55 � operty wno Dwms o� improves �elf o�.thrOugh his o� her own re not intentletl or oiteretl for is soltl within one year of com- �in9 he/she tliG nat builtl or im- contracting with licensetl mn- Business and Protessions Cotle: to an owner of property who ; for such� oroiects with a ron- License:L'aw). I am aware'that ce ShaulG'be.p�ovitle ta me. �,B. & P.:C'f��r ason TYPE OF CONSTRUCTION �[JEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OT DESCRIPTION OF WORK/USE OF BLDG. � JVPE OF PEflM1T LI GRADING LI FOUNDATION �6TRUCTURAL ❑ TENANT � ELECTRICAL � PLUMBING O MECHANICAL O �OTHER ` � . PROJECT DESCRIPTION Sa.FT. oCCUv CV CONSTRUGTIONT.YPE �_ �/�� 4TION ZONE' GRAOINGCU.VDS. ACRES_ G Bar Sink Backflow Preventer. Backflow Irrigation Bathtubs � Clarifiers ' Dishwasher Drinking Fountains � Floor Drains FloOr Sinks Gas Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains t Reinspection Fee ' Boiler Duct - Under Ground Duct-Structuial-._ ? Duct� Ventilating `� Exhaun Syscerrim�❑ Mulii Firepl/Fact. Blt. ICBO:�k Heating System`& ducting ❑o-ioa,000 e`ru;ptoo,c Reinspection'Pee. � , 7 Wnite - Builtling; Canary - Applicant; Pink � Accounting; Goltlenrotl - Assessor $15 $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater � Water Service Auto-Wash luue Fee Hood or Typel � Canopy Typell ❑ RefriperatiOn SYstem ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers �� Issue Fee .P. � i S Main Build E T Front A Rear C Right K , ,_ Ping. Ref. # Planning Notes: _ - (�o � ' — 3 — Zo�a -,�l,p Accessory Building: i Z O � Z N 1 / N C � G �� R " Parking Req./Provided E S n M S. FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher � Dryers �Gas ❑Electric Fan F.A.U. PIXSUf25 Device Boxes �Ui�2I5 Switches Garbage Disposal . Generator �0-5 KW �5-' ELECTRICAL Trensformer ❑ 75-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors O0.1 HP 01 %- 8 IncSolar 09�15 HP �16-1 Microwave Pole Light Range , Standing Sections 5 KW Trash Compactor Reinspection Fee � $15 luue Fee $ 3f ,_ DEVELOPMENTSERVICESREQUIREMENTS: � Zonin9 APProved BY � FEES ' Building Approved By � $ 3 FEES ' SUMMARV OF FEES BUILDING PERMIT $ O • O SMIP � $ �, G 3 PLAN CHECK $ � PERMIT PLUMBING $ Y � �U ISSUANCE $ PLAN CHECK 25% $� ENERGV P.C. $ ELECTRICAL $ •�%D GRADING � $ PLAN CHECK 50% $ MICROFILM ' $ �7—�- /� MECHANICAL � $ TOTA� FEE $ �� PLAN CHECK 25% $ , �:� uao:sret-nooa�zb� -r��-r �s-.�=., aa��: a��oo,��A Tifl : 09:5? ' � � � , CONSTRUCTI�O _ APPROVALS Permit #' t 1. Teinporar,y'Electrical Service or Pole 2. Soil Pipe-Undrgrnd. , 3. Electrical Conduit Utility-Undrgrnd. 4.'. Electrical Conduit-l�)ndrgrnd. , ` 5. Steel.Reinforcement � ' .. � ; 6: Electrical UFER.Grnd. • 7,� Footings • - ' 8.,Foundation �'� - .� 9: Wate} Pipe-Undrg'rnd�. � � _ • ,. � 10. Structuial FIooYSystem , y t�1. Properfy Sewer Cine' & House Corinection 12. Sewer Cap � � . � ` � 13. �Roof.Drains �� 14. Rough Plumbing, 15. Rough Electrical-Conduit � - _ ,,.. ';7�6. Rough Electric Wiring �. a _ �17: Rough Wiring Sign ' ; ; i �18. Rough Electriral-T Bar Ceiling � 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace� '�"� � 21" Ducts, in Structure � 22. Ducts, Ventilating �,� � � .23. Gas Pipe-Rough & Test • --'' . 24. Roof Framing � � 25. Roof Sheathing �_ � 26. T-Bar Ceiling (Structural) &�Monocoat 3-� 27. Frame and Flashing � � � 28. Lathing &�Siding � �- 29. Insulation - � 30. Drywall Nailing � � � 31 . Plaster Brown Co J' 32. Electrical Power�Meter-Final .�,_ 33. Final�Electric - 34. Final Heating & Air Conditionin9 . 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 pomestic-Final. 42. Backflow Preventer �43. Backflow Irrigation - 44. �LandscaPe Irrigation System 45. Sound Attenuation - ' � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILOING 48. Special Requirements Completed `. 49. Electric Release ta Edison � _ 50. Gas Release to Southern California Gas Cc No. Date _ -' _ &5PA • - Date Inspector � � " �� . APPROVALS • Permit# 52. Pool & Equipment Location � 53. Steel Reinforcement � 54._Forms - - � 55. Electrical Bonding � • 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit-Undrgrnd. 59.. Gas Pipe, 0 Undrgrnd., Test . � 60. Backwash Lines, P-Trap, O Undrgrnd. . 61. APPROVAL TO DECK 62. Backwash &�Receptor-Final � 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final � 66. Solar System-Final . 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL � FIRE DEPT. REQUIREMENT� e 7 APPROVALS Permit # 70. Underground Hydro i� 7.1. Product Piping � Gas ❑ Oil 72. Underground Flush ' 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXEDSYSTEMFINAL 78. FIRE PREV. FINAL ' � � , HEALTH DEPT. REQUIREMENT 79. FINALINSPECTION 80: FOOD CERTIFICATE ISSUED � Notes: $ 13 D ��a V :� � .. �' - r� ., �,�, .Y � � �.:�i � ' f.. � :�1 "' ., , ��r CITY OF COST Project Address `Aoolicant's Maili ApO��cant to flll in ail svaces excev< those within heavr bortler lines ana sign all a0vropriate tleclarationz. RMIT P�MITjVO. _��O TRACT N� 7 LO� N�. UNIT NO. A P# � � jG7 ` / � Owner's Name`�. (-�. hona�� `�'��2•� �V>ddress �K ll�� ` \ M1 �� Arch/Eng. License No. Address (� Contractor's Name � PM Address (m� �'nol ' � ��_��.�5 Ciry License No. �� LICENSED CONTRACTOR DECL yH�ApcT-910(N I hereby af�i�m Ihat I am I- ns t/ visions of Gnarte/ 9(commencin9 with section ]000) of Di ision t slness antl Protesslons cotic, antl my license is in (ull �orce tl e(t � Licenie Class license No. Dale Si9nature '3JRKERS' COMPENSATION DECLARATION �ere�y atfirm tnat I have a cerlificate of consent to self-insure or a certificate . workers' Compensation Insurance, or a certifietl copy tnereof (Section 3800, Lab. CJ Policy No. Company BCerti(ietl wpy is hereDy fumisnea. Certifietl copy is filetl with the city Builtling Division. Date Applicant EXEMPTION FROM W00.KER5' COMPENSATION DECLARATION (This section neetl not be compleletl if the permit is for one huntlretl ($300) or less). I certify Ihat in the performance of the work fov which this permi{ is i55uetl I shall not employ any person in any manner so as to become subject ta t�e Workers' Compensa[ion Laws of Califomia. Date Si9nature NOTICE: I1, after making this tleclatation, you Shoultl b¢come subjec[ to the Workers' Compensalion provisions of Ihe Labor Cotle, you must to�tnwith tompry witb such provisions or tnis pe�mit shall be tleemetl revoketl. CONSTRVCTION LENDING AGENCV I hereby atfirm that tnere is a cons(ruction lentling a9ency tor the performance of the work for which [his permit is issuetl (Section 309� Civ. C.) LenGer's Name Lentler's Atlaress OWNER BUILDER DECLARATION I hereby aftirm that 1 am exempt from the Contractor's License law for the following reason (Section ]031.5 Business antl Prote55ional Cotle: Any city or county which requires a Dermit to wnstruct, alter, improve, tlemolish or repair any SUutture, prior to its is5uancE, also �equire5 the applicant for zuth permit �o tile a signetl statement that he/sne is licensetl pursuant to tM1e provisions of Coniractor's License Law (Chapter 9(<ommencing with Section 7000) ot sion 3 of the Business antl Professions Code) or that he/she is exempt ,efrom antl [he basis for tM1e allegetl exemption. Any violation of Section .�31.5 by any applicant for a permit subjects the applicant to a civil enalty of nat more [ban five huntlretl tlollars ($500). 1, as owner o( the prooerty or my employees with wa9es as their sole � compensa[ion, will tlo the work, and the structure is no[ in[entled or offered for sale (Section 7044, Business antl Professional Cotle: The Contractor'S I License Law tloes not apply to an owner of a property who builtls or improves thereon. antl who tloes such work nimselt/herzelhor through his or her own employees, provitletl thal sucti improvements are not intentletl or offeretl for sale. If, however, the buiitling� or improvement is soltl wlthin one year of com- pletion, the owner will have the burtlen oi proving he/she tlid not builtl or im- prove fo� the putpose Of sale). ❑ I, az ownet of the property, am exUusively cont�acting with IicenSetl con- ttactors to const�uct the project (Section 7044, Business antl Professions Cotle: . The Contractor's License l.aw does not apply,to an owner of property who builtls or impraves tnereon. antl who contracts for such oroiects with a r.on- [ractor(s1 Lcense pursuan2 m tne ContractoPs License Law). I am aware that proof of lhei� Worke�'s Compensation insuf��ance shoultl b¢1 p��, �itleE to me. ❑ I am exempt untler Section � ny t B. & P�q�dr t�(iis reason Date `� � � �� Owner I hereby certify Ihat I have reai Information is correct. I agree to antl 5tate laws r ing t i in sentatives oi t"s y nt Inspec[ion purpo s Signature Orivers' License or 5 � � TYPE OF CONSTRUCTION NE ❑ CONVERSION ❑ DEMOLISH TV L.� ADD � LI ALTERATION LI REPAIR � OTHER DG. � J FOUNDATION STRUCTURAL . PLVMBING ❑ MECHANICAL OJECT DESCRIPTION 5Q. FT. oCCUP CONSTRUCTIONTVPE '�-� VALUATION$ ZONE - GRADINGCU.YDS. A( Remarks: Sink <flow Preventer <flow Irrigation Clarifiers Drinking Fountains Floor Orains Floor Sinks Gas Service Outlets Interceptors � Kitchen Sink Lavatories Roof Orains Reinspection Fee � $15 Boiler Duct - Under Ground Duct - Structurel Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ai oo,oao sTu O� oo,000 eT Reinspection Fee I $15 0865-46, rev. 5/BB White - Building; Canary - Applicant; Pink - Acrounting; Goltlenrotl - Azsessor 0 Showers Service Sink SewerCap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Laundry Tra'ys Issue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers ' Registers Isue Fee $ 3 FEES $ 3 S Main Building: TFront 6 Rear A C Right K Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit D ishwasher 2ona Accessory Building: Parking Req./Provided ELECTRICAL � Transformer 0 15-50 KW ❑ SO+KW Meter ❑up to 100 amps Meter ❑over100amps Fan F.A.U. Fixtures DEVICE BOXES Outlets Switches Garbage Disposal Generator �0.5 KW �5-15 KW Suh Panel Motors �0-i HP � 1 Y: - 8 Inc.Soiar �9-75 HP 016-15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Reinspection Fee $15 Issue Fee � - DEVELOPMENTSERVICESREQUIREMENTS: � � ., Zonin9 Approved By " ' Building Approved By � Appliwtion Issued By 'T' FEES $ 3 2 O N I. N G Q M T S. SU R�V OF FEES ` .t �.� � s _. BUILDINGPERMIT $ SMIP' $ PLAN CHECK $ ��— PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ ��, MECHANICAL $ TOTAI�FEE $ �"� PLAN CHECK 25% $ . 01 QOr39'�56-GOa39253 �tj"� �5.1� GaTE: QSI4i/89 T?YE� lu:3s CONSTRI•1�TION AND PLANNING � PO �� SP.A APPROVALS Permit # Date Inspector qppROVALS Permit # - Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �.,,� 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �. �, 3.'ElectFical Conduit;Utility�Undrgrnd. 54. Forms ^c` :2 � 4. �Electrical Conduit�Undrgrnd f�� 55. Electrical Bonding r' �\.�' 5. Steel Reinforcerrie�nt� � � 56. Rough Plumbing & Pressure Test . �J�1 57. APPROVALTOCOVER-GUNITE � � � � 6, Electrical UFER Gmii. `'_ _� t- •,: � . . 7.-�'Footings' ' � � ��' � 58. Electrical Conduit-Undrgrnd. � ' &`Foundation �'' �, 59. Gas Pipe, � Undrgmd., Test '" , . � • � �: � � • a 9.`Water�Pipe-Undrg�nd". 60. Backwash Lines, P-Trap, O Undrgrnd. �;`+ �� ' ,, � . � ,., .; � 10: Stwctural Floor SYstem 61. APPROVAL TO DECK '� �� 4` � ` 11. Pro.perty Sewer.Line & House Connection 62. Backwash & ReceptorFinal �`� � �� i'. ti� 12. Sewer'Cap " -� 63. Heater & Vent-Final , :. � -L _, 13. Roof Drains �� . 64. Plumbing SYstem - Final "- 14. Rougli Plumbing ' 65. Electrical-Final � 15. Rough Electrical :Conduit 66. Solar System-Final �1�6. Rough Electric Wiring 67. Fencing & Access Approval �1� . Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1.9�. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT e. ' 20. Rough Factory Fireplace � APPROVALS Permit # t, .. � 27. Ducts, in Structure '� 70. Underground Hydro v 22.-Ducts, Ventilating i_j 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test �� 72. Underground Flush . � �24: Roof Framing • 73. Undergrnd. Storege Tank � Gas ❑ Oil . �25!Roof Sheathing :f . 74. Overhead Hydro 26. T-Bary'Ceiling (Structural) & Monocoat 75. Dry Chemical '27--Frameand Flashing � 76. DryStandpipe 28. Lath�g &'Siding ,( '77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat %I 79. FINAL INSPECTION � 32. Electrical Power MeterFinal 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 pomestic-Final 42. Backflow Preventer � `• � � 43. Backflow Irrigation ' �� 44. Landscape�lrrigation System � , , 45. Sound Attenuation ' . 46. Handicap Regulations Qp p� a�. FiNa� STRUCTURE & BUILDING __ � /� BS C�BI d°Ar- 48. Special Requirements Completed �49. Electric Release to Edison ;'•ti ' �, 50. Gas Release to Southern California Gas Co -"' '" , 51. CERTIFICATE OF OCCUPANCY fr1�� r" _s ��i No' Date y► b ►. W W a .. N IIL{IDLIIR ,� 7-.`!_�' 5 �cfy ,r;F��lk�-� - o.q � , F�:'v,. ,.ieSA f..� _� �� (:i�;�;� .�'iEPT. ;F^ O 31�•�, � y '?7.:_:7, $Y__4-T-,.,-- �y�L. "` ` '4 �;7:3��"'-- ��t10[NC[ � �LtID�Nt[ _� l �� SvhM�i �i--� STREET S _�—_� ;��+�� Cfiy of Co�`a �:'�PSi. ��..U•�i.,if?C fin03. 8t �^---�-----� '�� ' � U� � �,� i�..,r:: pl .. .. n1;.=' c"c GN .,:t3 1' :�Ll TI!:n°G �.5q:<E '.i�C.`�:.`�:555. _..._�/ijr,-,.,..-,.� �-c:-,yL��i�i �^::;E?T. _L/ /'? � 1 � - ;NE�i.Si�.a^�[c06 ,...cN71NG G. q ,.:r_n�� GB :.noP.(�wl OF P�AN� FN7 5%FC:`''!--i!^'IS $nA¢ ��Oi Bc CONSiRL'EG r0 BE A Fi?.'.�ii FGR. <;;.� A "40\•4.':;F..e:+l' ::01A`ION OF ANY CF ;hE A;GJf51GN? [:�'i ".;5 [:�nE t � 7EM1nVt FRESIf'.!�G f0 GIVE n��rr,oein re ��c��, �.:�_ :,�. cn>,cei rHe �zo�nsioNs oF r4is �v. ' '.l.t� Il :.. _9 dS iry. ..r-.O� �,p licG .. i� .. � ... _LL:� .,.u..,�.. - , i � 'J i✓V�l P��NJ nND ':i ��,'_- ..G : rE� � - 5�_ tu �G :':�FrlUat i=Ci:.: ,. ' "CV!. irB r;'�7RK : C.` E48CF5 L•. �-lu " :I'CGr;: ' �a, FROm PpE:'E`:i'�uG vQ�' " iiC::�:S`�i 3 CG.c�cJ OM1 iF.EfiEUNOE; �.vY.Er: ,:;r::,c ;�.:ii [..�; _4 JF _::l Oru:80qn:r:criCE O` �[{ID(MC� d� � W W a ►. N CITY C�F C�'I'A REQUEST FI�R OCQ7PANCY �� No. /O�l � � LCIi' N0. :��•a.' n��: ,� /`l =� �e developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been �npleted and its streets accepted b� the City of Costa h3esa. By exea�ting this agreement, the undersigned acknaaledges that he/she/they was/�.ere advised that this tract has not been given final inspection nor has it been accepted b� the City of Costa Mesa as having corrplied with the conditions of approval which �re inposed b� the City at the time.the Final Tract Map was approved. The City assim�es no liability for the enforce�nt of the mnditions necessaiy for approval other than those a>nditioru protected t� surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in dam3ge or personal injuty to the undersigned b� reason of the aforc�rentioned iv�corrpleted con �;��I`JEJ ,_.,, ,��. c.. ^ r �-� DEC CrC, 1979 P� �� 7igiyiiuiiiiu�a.izi3i4i5i6 4 4j79 . m HOME SAVINGS AND L07CN ASSOCIATION r� NOTE� SHO AND DIMENSION PROPOSED PATIO COVER AND YARO AREAS � . � s ��' `.�� -:1 �.t � � y � ^ . 4.,;,` BY _. _ �"i.'I��i!iti 'l � ., . ., ! ani. � cSE^l �•"`�-�0��`��Y� � rH� r-tr;Nc:, _ _ _ � �� C'a+, � �, ,.. , . . � i� ' , � . . ,.t �� ,_.,- ' _ .�_. .. _ � 3R�"� �. ,. , �R ,�, �� I .`n I c V' t� ` J Sp A � �'i � . i - - . 5:0,^. = r �''E .. , . , .._i y. . ... _... . � ��.�,jj�S ni _ E , � ^ t -1A � �<< ' � r < <� � .,,o , :> r �« ��r.� � .� O,. � C, -,t5.:� ' . ':�CE J>pp ,� '`;�' :Nc%Z.' �<��R:��. � .,_;v.�r��_e CF � PLOT PLAN w 0 � � a 0 z 0 J � m F � x � r /� � ' 'fb. �,' �" -�; "l.11 �� Ce�, '=T ro le`_/ o�a "'.-._ D n . .� F��= Of c� .. SEE DETAILS ON REVERSE SIDE ROOF SHEATNINB OVENNAN6 _X _ RAFTE RS AT_ O.C. _X_ BEAM T-STRAP EA. SIDE FOR POSi- BEAM CONNECTION. J DROP VATIO • 8 � � �ooA i- Q3Q3 SIOPE TO_D� IN I �:,.:e _ .:. . _ 0.1. RASMIN6 D iLOOR E ELEVATION m < J N V 2 O t) z s 0 n� < Z f f N �( a � Q � O s � N = x � J � o I =1 � `� ' N � � �.1__J PIERS 12� S0� CONSTRUCTION DETAILS O Q � t9 2 � W 0 0 a W O a rc u 2 � Applieant to fill in all spaces exeept �hose witltin heavy Dortler lines antl sign all appropriate tleelare[ions. ciTY oF COS7/2� E$\ ON TRMUCTION PERMIT iProjectAddress J `� �v��\ (Rpplicant's Mai � Addreis � 1 Owner's Name � ^ Phon w A�idress ` a Arch/Eng. License No. Address ' � Convacror's Name Address (mailingl S City License o. LICENSED CONTRACTO DECL O I hereby affirm that 1 am li ovisions oi Cnarter 9(commencing with section �000� of DiviSion 3 f the Business antl Professions Cotle, antl � my license is in full force antl etfect. . License Class License No. oate Signature '�ORKERS' COMPENSATION DECLARATION iereby afiirm tha[ I have a certificate oi consent to self-insure or a certificate � Workers' Compensation Insurance, or a certified copy thereof,(Section 3800, Lab. C.) , Policy No. ' Company BCertifietl copy is hereby furnishetl. Cer[ifi¢tl Copy i5 filetl with [h¢ tity Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMiENSATION DECLARATION (Tnissection neetl not be completed if the permit i5 tor one huntlred ($300) or Ie55). I cer[1fy that in tM1e performance ot tbe work for which thl5 perm�t i5 i55uetl, 1 shall� not employ any pe�son in any manner So a5 to becOme subject to tite Workers' ComOensation Laws ot Calitornia. Date Si9nature NOTICE: If, after making this tleclaration, you shoula become subject to the Workers' Compensation provisions of the labor Cotle, you must forthwith compty'with such provisions or tM1is permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby aftirm that there is a construction lentling a9ency tor the oertormance of Ihe wark ror whicb this permit is issued (Section 309] Civ. C.) LenUer's Name �entler's Atltlress OWNERBUILDER DECLARATION I hereby aifirm lhat I am exempt from the Contractor's Licenre �aw for tne followinq reason (Sec[lon 7031.5 Business and Profezsional CoOe: Any city or county wnich requires a permit to construct, alter, improve, demoiish or repair any slructure, prior to�its issuance, also requlres the applicant for such permit to file a signetl Statemen[ tbat he/she is Ilcensetl pur5uant to the prOvisions of • Cmtractor's �icense Law (Cnapter 9(commencing with Section 7000) ot ision 3 of the Business antl Professions Cotle) or that ne/she is exempt' re(rom an0 tlte basis for the allegetl exemption. Any violation of Section .J31.5 by any applicant tor a pe�mit Sublects the aOP��ant to a civil enalty of no[ more tban tive huntlretl Collars ($500). I, as owne� ot the property o� my employees with wages as thei� Sole co pensation, will tlo the work, antl the structure is not intentletl or ofteretl for sale (Section 7044, Business antl Professional Cotle: The ConVactor's License Law tlo¢5 not apply to an owner of a property who builtls ov improves tnereon, antl wito tloes such wotk himSelf/herself o� through his o� her own employees, provitletl that such improv¢ments are not in[entletl or ofteretl fo� Shce. It, however, the builtling or improvement is Soltl within one y¢ar o( com- pletion, tM1e owner will have the bu�tlen of proving he/she ditl not builtl or im- ��ove torthe purpose oisale). I, as owner ot the property, am exclusivery cont�acting with licensetl con- trac[ors to construct the project (Section 7044, Business and Professions Code: �. Tne Con[ractor's License Law tloes not appty to an owner of property who ' builds or improves thereon. antl who conVacts tor such oroiects with a con- tractor(s1 Lcense pursuant to tne Contractor•s License Law�. I am aware that proof of their WorkerR Compensation insurance shoultl be pro �tle�tl to me. ❑ I am exemot untler Section /'! 1��. B. & P. 6 fo�tiLs reason . Date Owner I herebvi cert fv tha I have reatl antl Signature \V.�.I.T� Drivers' License or 55 ��: � iE OF CONSTRUCTION LJ NEW Ry�ADD LJ ALTERATION LJ REPAI R ❑ CONVERSION ,❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. �E OF PERMIT LJ GRADING LJ FOUNDATION {�`6TRVCTURAL ❑ ENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAL OTHER JECT DESCRIP710N 5p FT oCCUPAyrv—Cpv� CONSTRUCTION TYPF VGI L_1GTIpN $�LJQ� ZONE GRADING CU. VDS. ACRES_ Remarks: , Bar Sink Backflow Preventer Backflow Irri9ation Bathtubs 7rinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Ki[chen Sink Lavatories P—Trap Roof Drains PLUMBI Service Sink Sewer Cap SewerConm Solar Colle ' Solar P' ing Pool w/Spa Urinal Water Closet Water Heater . - Water Service Auto-Wash Laundrv Tra"v FEES Reinspection Fea I $15 I I Issue Fee I $ 3 I MECHANICAL FEES Boiler Uuct-UnderGround Duct - Structural Duct- Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-t00,0008TU �70s, OOBT Reinspection Fee � $75 0865-46, rev. 5/98 White - Builtling: Canary - Applicantp Pv - Accountinq; Goltlenrotl - Assessor Hood or Typel ❑ Canopy Type I I ❑ iefr� eretion System -100,OOOBTU ❑100,OOOBTU System,Repair/Alteration ' Fire Dampers Registers luue Fee $ 3 A.P. # � L� S Main Building: E T Front 8 Rear ' A 2R C Right g . Left Ping. Ref. # , Planning Notes: �' Automatic Washer Construction Pole Coaking Unit Dishwasher Dryers ❑Gas ❑ Fan P.A.U. F i xtures Device Boxes Outl¢t5 Switches Garbage Dispo Building: Parking Req./Provided iG N I N G E � M T ELECTRICAL � . Transformer ❑ 15-50 KW ❑ 50+KW KW �5-15 KW Fee � $15 DEVELOPMENTSERVICESREQUIR Zoning Approved By Building Approved By ApplicatiOn IssUBd BV Meter CJup ro 1 amp Meter ❑ove OOamps Sub Pan Mo�s OO-1 HP O�1'/: - B naSolar 09-75 HP 016-15+ Microwave Pole Light Range Sign Standing Sectioos'.. TrashCompactor l.- FEES Issue Fee � � $ 3 UTS: ��.'-� �'— �' �� Date=� Date� /—B f. /a i n SU OF FEES •' BUILDING PERMIT $ ' SMIP _.t PLAN CHECK �$ �� PERMIT PLUMBING $ ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAL $ GRA�ING PLAN CHECK 50% $ MICROFILM MECHANICAL $ TOTALFEE PLAN CHECK 25% $ _ $ •JV a_ aoo�v2�v-0003q?oi r+�-r �.;, DAiE: Q�; p1: �S 7:ttE: t17:�5 CZA�SiR-IJj:TION AND PLANNING _ PO 1 SyA • APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector r. 1. Temporar�y Electrical Service or Pole 52. Pool & Equipment Location ;! , 2. Soil.,Pipe�-Undrgmd. 53. Steel Reinforcement '.. '� �..., 3:"Electrical:ConduibUtility-Undrgrnd. 54. Forms .��' 4.'Electrical Conduit,-Undrgrrnd. 55. Electrical Bonding �� 5. Steel Reinforcement � �i , 56. Rough Plumbing & Pressure Test - �, � � 6:"ElectricatUFER.Grnd.�'��- 57. APPROVALTOCOVER-GUNITE ''"'�c ''1••- � 2 '•7:;Footing§ ` = � ` ,�� '� 58. Electrical Conduit-Undrgmd. �� ` "' ` `, , 1 �� „ 8`Foundation �� 59. Gas Pipe, O Undrgmd., Test �' � �'� � 9�Wa{er� Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. - � '; ., y 10: St%uctuial Floor'System 61. APPROVAL TO DECK � ,``� �•�. 11.- Property SewerL'ine & House Connection .62. Backwash & Receptor-Final . '� `' 12: Sewer, Cap , � 63. Heater & Vent-Final t� ;, ._--�� 13. Roof Drains � 64. Plumbing System - Final � •�;" ��. 14. Rough Plumbing 65. Electrical-Finel - 15. Rough Electrical-Gonduit 66. Solar System-Final ;1.6.� Rough Electric Wiring 67. Fencing & Access Approval � 17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING :/ i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioriing FIRE DEPT. REQUIREMENT r; 20.. Rough Factory Fireplace ' APPROVALS Permit # 21. Ducts, in Structure �� 70. Underground Hydro ' 22._Ducts, Ventilating 1 71. Product Piping 0 Gas ❑Oil • ' 23! Gas Pipe'-Rough & Test ,i 72. Underground Flush � 24. Roof Framing +�.1 � 73. Undergmd. Storage Tank O Gas ❑ Oil - c 25.�Roof Sheathing �,, � � 74. Overhead Hydro , r• 26. T-Bar Ceiling (Str`uctural) & 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 '39. Water Service-Final �,:. .40. Gas Service-Final r � � � 41. Solar pomestic-Final � 42. Backflow Preventer ' -" . � --__. 43. Backflowlrrigation' ,�. --1,�;� 44. Landscape,lrrigation System ' � 45. Sound Attenuation 46. Handicap Regulations o � 3oa 47. FINAL STRUCTURE & BUILDING � .�- � !�8 UBC D/�- 48. Special Requirements Completed 49. Electric Release to Edison �'r' '.� " 50. Gas Release to Southern California Gas Co �� ! �� ' •57. CERTIFICATE OF OCCUPANCY � � �.- �-�- �'� No � - '� Date �� (