HomeMy WebLinkAbout961 SONORA RD - Building PermitsApplicant to till in all soaces except tnose within neavY bortler lines antl zign all avvropriate tleclarations.
P RMIT NO. TRACT,NO. LOT NO. UNIT NO. •
.ci� ��FcosTn�(QQ�,� CO TRUCTIONPERMIT . n.v.# , zo�a
Project Address %/ ✓� - .� ��� ' � _ � E Main Building: Accessory Building: ' z
� �"" TVPE OFCONSTHUCTION NEW AD� ALTERATION REPAIR
Appricani's Mailing�dress �� > � ' � � .
Owner'SNa.m4e; ��.,�/�uL �/'�G'u=L�✓ ' phon��yY��t � CONVERSION ❑ �EMOLISH ❑ OTHER B Front . IN
�X&+� �J Ip Sfl✓hA.G - DESCR� IOi OF WQ$�C/U�EO` �OG. ��r A Rear II
Addresy � ��� C � Ri ht . � � � N
i 9
Arch/�Eng. License No. . TYPE OF PERMIT GRaoING FOUrvDATIorv SrauCTURA�• , . i K� G
Address � ❑ TENANT ❑ ELECTRICAL �❑ PLVMBING ❑ MECHANICAL g Left R
Contractor's Name Phone ❑�OTHER ' Ping. Ref. # Parking Req./Provided ' E
PROJECT DESCRIPTION Sa.FT. oCCUPaNCV n
' Address (mailing) � Planning Notes: � M
� GONSTRUCTION TVPE �� VALUATION $ . � T
CityLicenSeNo. ZONE GRADINGCU.VDS. ACRES � $,
LICENSEO CONTRACTOR DECLARATION � � �
1 nereb ffi�m that I am lic¢n5etl untle� prOvi 113Tr 9(commencing Remarks: 3 ' '
with sectio of �ivision 3 usiness antl Protessions Cotle, antl
my Ilcense is in tull ect. . - , � ELECTRICAL - FEES
License Clas '� Nn
oat� __ s�ana���P � PLUMBING . FEES Automatic Washer Transformer � 15-50 KW
WORKERS' COMPENSATION DECLARATION �' COnStfuctiOn POI¢Su6. '0 5O+ KW
I hereby'affirm tnat I nave a certificate of mnsent to self-insure or a certiticate � Ba� Sink ShOwers
of Workers' Compensation Insurance, or a certifietl copy thereof (Settion � gackflow Preven[er Service Sink � Cooking Unit Meter ❑up to 100 amps �
3800, lab. CJ - ' ' - - � -
aaicy rvo. Company � Backflow Irrigation Sewer Cap . Dishwasher f„��' Meter ❑over 100 amps
eCertifietl copY �5 hereby fumi5hetl. . . . / DryE�S �Gas OElectric $Ub P2nCl ,� O
Gertifietl copy is (iietl with the city Builtlin9 Division. Bathtubs Sewer Conneclion
Date ' Applicant � .j � Fan Motors �0-1 HP 01'/a- 8 � p
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifiers SOId� COIICct0�5
(Thissection neetl not be completetl i� the permit is tor one huntlretl ($100) or Dishwasher F.A.U. .' - Ina Solar �9-15 HP �16-15+ � �
less). Solar Piping
1 certify'that in the perto�mance of the wo�k fo� wnicM1 this pe�mit is issuetl, 1 - � FiztU�¢5 MiC�OWavC
shall not employ any person in any manner so as to become subjecl to the Drinking Fountains Solar Tank - Z
Workers' Compensation Laws of California.
,Date Signature Floor Drains � Swimming Pool w/Spa Device Boxes - Pole Lighc
NOTICE: It, af[er making this tleUaratlon, you shoultl become subject to the ' putleis Ran e
Workers' Compensation provisions of the Labor Cotle, you must forthwith FIoO� Sinks Urinal 9 �
. comply with such provisions or this permit snall be tleemetl' revoketl. � Switches
CONSTRUCTION LENDING AGENCV ' GasSerViCe Outlet5 WatelCloSet' �_ S'9^ .3
., I hereby atfirm that there is a construction lentling agency tor the performance
of the work for wnich this permit is issuetl (Section 3097 Civ. C.) , Garbage DiSposal Standing Sections
Lentlers Name - � Interceptors Water Heater
Lentler•z'Adtlress Kitchen Sink Water Service � Generator �65 KW �5-15 KW Trash Compactor
OWNER BUILDER DECLARATION '
I hereby affirm lhat I am exempt trom the Contracror's License Law for the Lavatories � AutO-W35h ' y � y-•L
following reason (Section �031.5 Business antl Professional Cotle: Any city or .
counTy which requires a p¢rmit to const�uct, alter, improve, tlemolish or rEpai� P—T�dp L3undry T�dys �
.any TVuctu�e, p�io� to it5 i55Uance, alzo requires the applicant for such pe�mit ,
to file a signetl Statem¢n[ that he/she is licensetl pursuant to the provisions of R001 D�BinS
[he Contractor'S License Law (Chapter 9(commencing with Section 7000) ot ' ,
Division 3 of the Business antl Professions Gotle) or that he/she is ezempt Reinipection Fee $15 Issue Fae $
therefrom and the basis for the allegetl exemption. Any violation o( Section ' � �
]031.5 by any applicant fo� a permit subjects the appliCant to a civil •
enalty ot not more Ihan five huntlred aoilars (g500). - 3 DEVELOPMENT SEflVICES REQUIREMENTS:
� I, as owner ot the property or my employees with wa9es as their sole ' ' Reinspection Fee $15 Issue Fee $ Zoning Approved By
compensation, will tlo Ihe work, antl the st�uctwe is not intEntleE o� of/er¢tl � - Ddte
for sale, (Section 7044, Business antl Piotessional Cotle: The Contracmr's - MECHANICAL - FEES Building Approved By Date
License Law tloes nol apply to an owne� of a property who builtls or improves
tM1ereon, antl wno tloes sucn work himself/nerself or through his or her own Appliwtion Issued By Dat
¢mployees, pwvitletl tha[ such improvements are not intentletl o� offeretl tor BOil2f ' HOOd Of Typ¢ I ❑
sale. If, however, the builtling or improvement Is sola within one year of com- Canopy Type II ❑ ' . SUMMARV OF EES
pletion, the owner will have the burCen ot proving he/she tlitl mt builtl or im- Duct - Under Ground • . -'
n�rov�forthepurposeofsaie). BUILDINGPERMIT $. SMIP $'
� �,'as owner of the property, am exclusivery mntractin9 witn licensetl con- Duc[-Strucmral Refrigeration System PLAN�CHECK $ PERMIT • �
[ractorsto construct the project (Section ]044, Business antl Professions Cotle: ' —�,� �
The ConVactor's License l..aw tloes not apply to an owner ot property who uct- Ventilating ❑0.700,OOOBTU ❑100,000 BTU � PLUMBING �� $ `7 - UV �SSUANCE $
' builtlsror impwves [hereon. antl who contracts for SUCh oroi¢Cts with a r.on- - - �� t
tractor(s) license pursuan� ro me Convactors License Law). 1 am aware,thai Exhaust System � Multiple ❑ System Repair/Alteration � PLAN CHECK 25% $ ENERG�' P.C. $
proof of tneir Worker's Compensation insurance shoultl be provitlea to me. E�ECTRICAL $�:�_�� GRADING $
❑ 1'am exempt untler Section� g.� p, C. for this reason Firepl/Fact. Blt. ICBO # Fire Damperi - pLAN CHECK 50% $'— MICROFILM $
1/ ��
Date � o � HeatingSystem&Ducting Registers � � • MECHANICAL $ f'7' `�- TOTALFEE ' $ ��'
I hereby certity tnat I have read this application antl st5te�that the above ❑0-100,OOOBTU �100,0006T - -' PLAN�CHECK 25%
informatlon is correct. I agree to compty with all ciiy antl county ortlinances $
� antl�5lat¢ Idws relatin to builtling con5truction antl hereby authorire /eD�e- I
sentatives of tnis uI to e[er u [he above-mentionetl Property�for . �
inspection purposes,� � , . ' �
Signature // -� /�� -..�- oate 6�YI'-$f . � �
Drivers' Li � or56--,Y� �"� Reinspection Fee $15 luue Fee � oa oro�sf�fa�-aao33472 �7_Yli' 7!��
0865-46, r¢v. 5/88 White - Builtling: Canary - qpplltanh Pink - Accounting; Goltlen�otl - Assesso� ��TE" ���jz/P� TIfif`+ 1]:j� � r �
— /
, . , �.
J� CONSTRUCTIO,N AND PLANNING � POOL & SPA -
Date Inspector - - Date Inspector
� APP,!�OVALS' Permit # � APPROVALS Permit #
1. Temporary Electrical Service o� Pole � ' 52. Pool &�Equipment Location ` ' .
2. Soil Pipe-Undrgrnd. �� � 53. Steel Reinforcement �
��3yElectrical Conduit Utility-Undrgind. 54. Forms - '
�4C Electrical Conduii Undrgrnd. �? 55. Electrical Bonding- . � �
5l Steel Reinforcement i '"- 56. Rough Plumbing & Pressure Test
; � �
�6� Electrical UFER�Grnd. �` 57.,APPROVAL TO COVER-GUNITE
?i�Footings � � 58. Electrical Conduit-Undrgmd. � . -
8:Foundation � �� - 59. Gas Pipe, O Undrg�nd., Test �
�.. �
9. Water Pipe-Undrgrnd. � �! 60. Backwash Lines, P-Trap, � Undrgrnd.
• 10. Structural Floor System i• � � � 61. APPROVAI 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 '' -
� .
�76. Rough Electric Wiring 67. Fencing & Access Approval
'1�7: Rough Wiring Sign � � � 68. APPROVED FOR PLASTERING
� 8. Rough�Electrical-T Bar Ceiling - � . 69. POOUSPA SYSTEMS FINAL � .
,19. Rough F;leating & Air Conditioning � FIRE DEPT. REQUIREMENT -
,.
20. Rough Fictory Fireplace APPROVALS Permit # �
21. Ducts �iri Structure �
� � 70. Underground Hydro
22. Ducts, Ventilating , I- �% 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test ' � 7 � 72. Underground Flush .
24. Roof Fra,ming ,j {�_' " 73. ,Undergrnd.StorageTank OGas ❑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
1�
31!Plaster Brown Coat • 79. FINAL INSPECTION " '
32. Electrical Power Meter-Final ' 80. FOOD CERTIFICATE ISSUED ry, ��
33. Final Electric • � �/\ Notes: b �' - '
, ,v S r�
34. Final Heating & Air Conditioning � � �D ' � � �
.�
35. Final Gas Pipe-Test �c� t,Ey , �
36. Hood or Canopy. � - �
37. Final Factory Fireplace '
38. Final Plumbing �(-�� �Ii � �
39. Water Service-Final � �
a=-�-
40. Gas Service-Final � �' '1� �
. �
41. Solar pomesticFinal � � ' r�� �
i,�. � i
42. Backflow Preventer � � ! �� -' �
43. Backflow Irrigation � ' � �. G•!, �
/ „. �
44. Landscape Irrigation System ' - � w%. `� �
45. Sound Attenuation ' � '� � •
��' _
46. Handicap Regulations �
'l
47. FINAL STRUCTURE & BUILDING � %� • -
48. Special Requirements Completed
49. Electric Release to Edison ' " �•'
_ i� � ,
50. Gas Release to Southern California Gas Co . ''" �
51. CERTI FICATE OF OCCUPANCY �' �i ;,' � r - �.� {"-� �, � ' I
No. Date • �; +: ^ �; j�
qppllcant to flll in all soaees ezcev� t�ose witnin neavy bortler lines anC sign all approp�iate Eeclarations.
F COSTA ESA CONSTRUCTION PERMIT PEHMI I" NO. TjjACT NO. L�QTJ�G. UNIT NO. A� # t
�6/ Sd�.,�,c�a ,�e _ a� �o � Y7 � /� "� �
��ddress _ _
Owner'S Name .N�/+'Ll� 9-/Ko/iE�K// / Phone S ✓3 G-fYy�"
Address �� �/���G/J L✓!i. / (�CrA /l�Cf/v�
Arch/Eng.'-Sg�%�, � ��%✓1( i7 License No. � � �� �l
Address n
Contractor's Name ;%%9UL E/d�it/yTA/V � Phone r�%�z-
Addresslmailin9) �9 ^�q � b - A ✓�
Ciry License No. _- d,{ �i
IiCENSED CONTRACTOR DECLARATION
I nereby affirm that I am licensetl untler provizions af Charter 9(commencing
with section ]000) ot Divislon 3 of the Bu5ine55 antl Pro(essions Cotle, antl
. my license is in fuil e antl ef�ect. �� �/�!/'1
License Cla �-+ n �Jy� se No. � 7�-�
� Date � �- 13`1 c'onar rw _I. .�.GCQGf //�� �� —
WORKERS' COMPENSATION DECIARATION '
I hereby affirm tnat I have a certificate of consent to self-insure or a<ertiticate
` of Workers' Compensa[ion Insurance, or a certifietl copy thereoi J,,�ection
3800, Lab. C.) / /^ �1
� �icY No. ��_{7 �26 - 89 GomPanY S� l�Wl 7. LYI� � V
Certitietl copy is hereby fumish¢tl.
Cert' ietl py' fi tl with the city 'n i
� �� Dale�� Applicant
EXEMPTION FROM WORKERS' CO PENSATION DECLARATION
(This sec[ion neetl not be tompletetl if the permlt is for one huntlretl ($300) or
less).
I certity that in [he performance ot the work for which tnis perm�t is issuetl, 1
� snall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of Cali(ornid.
Date Si9nature
NOTICE: It, after making this Ceclaration, you shoultl become subject to the
Workers' Compensation provisions o� the Labor Cotle, you must forthwith
mmpty with such provizion5 or [his permit shall be tl¢emetl revoketl.
CONSTRUCTION LENDING AGENCV -
1 nereby attirm that there is a con5truction lentling agency fOr [h¢ p¢rtOrmance
of Ihe work fot which thls permit is issuetl (Section 3097 Civ. CJ
Lentler's Name
Lentler's Atltlress
OWNER BUILDER OECLARATION
I hereby aftirm lhat 1 am exempt trom the Gontractor's License Law tor the
following reason (Section 7031.5 BuSiness anC Professional Cotle: Any city or
county whith r¢quires a pe�mit to con5t�uct, alter, improve, Gemoli5h or �epai�
any slructure, prior to ils issuan<e, also`requires the applicant for such permic
to file a signetl statement that he/sne Is licensetl pursuant to the provisions of
the Con[ractor'S License Law (Chapter 9.(commencing with Section ]000) of
Division 3 of the Business antl Professions Cotle) or that he/she is exempt
therefrom antl tne basi5 for lhe allegetl exemption. Any viOlatlon ot Section
7031.5 by any applicant for a permit subjects the applicant to a civil
�enalty oi not more than five huntlretl tlollars ($500�.
1, as owne� o( the property or my employeEs with wage5 a5 thel� Sol¢
comoensation, will tlo the work, antl the structure Is not intentletl or-ofteretl
for sale (Section 7044, Business antl Vwfessional Cotle: The Contractor's
�icense �Law tloes not apply lo an owner ot a properry who builtls or imDroves
tnereon; antl who tloes such w0/k him5elf/herselt o� through his o� Ite� own
emD�oyees, provitled that such improvements are not intentletl or ofteretl for
Sale. 11, hOwev¢q the builtlin9 0� improvement is soltl within ane yea� ot coT-
pletion, tne owner will have tne burtlen oi proving he/she tlitl not builtl or im-
p�ove for the pur0ose ot sale). �
❑ I, as.owner of the property, am ezUusively mntracting with licensetl con-
IraG[orsto construct(he Oroject (5¢ction ]044, Business antl PrOtession5 Cotla:
TM1e Contrattor's License Law tloes not apply to an owne� of propetty who
builtls or imOroves thereon. antl who wntracts for such oroiects with a ron-
� t�actov(s1 hcenSe pur5uani to ine Cont�ac[o�'S License Law). 1 am aware that
proot o/ theii Wo�ker's Compensation insurance Shoultl be P�ovitletl to me.
❑ I am exempt untler Section � B. & P. C. tor this reason
TYPE OF CONSTRUCTION I_I NEW LJ�ADD LI ALTERATION
❑ CONVERSION ❑'DEMOLISH ❑ OTHERG�,��p
DESCRIPTION OF WORK/USE OF BLDG_J�y ���=���
TVPE OF PERMIT LI GRADING LJ FOUNDATION Lld'STRUCTV RAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 5a. F7.�—OCCUPAN �
CONSTRUCTIONTVPE V- VALUATION$�
ZONE GRADINGCU.YDS. ACRES—
Remarks: �CJ�`�
low Preventer
low Irrigation
� � d'�� 7S�
3 - 89s .'
PIUMBING
ShOWerS
Service Sink
Sewer:Cap
Sewer Conrn
Solar Collec
Solar,Pipin9
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P-Trap
Roof Drains '
Reinspection Fee
Swimming Pool w/Spa
Urinal ^
Water Closet
Water Heater �
Water Service
Auto-Wash
Laundry Tra'ys
$15 laue Fee
Duct - Under Ground .
Duct - Structural
Duct- Ventilating '
Exhaus[System ❑ MWtiple
FirepUFact. Blt. IC80 �k
Date Owner Heating System & Ducting
1' hereby certity that I have reatl this apPliwtion antl 5tate that the above ❑6100,OOOBTU �100,OOOBI
Intormation is correct. I agree to comply wrth all city antl county ortlinances
antl state laws rel 'ng to builtlin construction, anQ hereby authorize repre-
sentatives of t' ity to t upon the above-mentionetl p[pp��� ' �
Inspe<tian pur ' f �
Signature Dat J
Drivars' �icense or 55 � Reinspection Fee $15
0865-46, rev. 5/BB White - Builtling; Canary - Applican[; Pink - Accountin9: Goltlenrotl - Assessor
Hood ar Type I ❑
Canopy Typell ❑
Refrigeration Sys[em
❑aioo,00asTu ❑ioo,000
System Fepair/Alteretion '
F ire Dampers
Registers
Issue Fee
S Main Buildi
a E
T Front
�� A Rear
— I C Righ{
K
e Left -
Ping. Ref. #
Plannin9 Notes:
Zo�a
y Building:
Z
O
N
1
- N
G
R
ieq./Provided E
Q
,� M
T
S.
ELECTHICAL
FEES Automatic Washer Transformer ❑ 15�50 KW
Construction Pole Sub. � 50 +. KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher Merer ❑over 100 amps
Dryers ❑Gas ❑Electric Sub Panel
Fan Motors�0-1 HP 07X-8
F.A.U. Inc. Solar �9-15 HP 016-15+
Fixtures Microwave
Device Boxes Pole Light � •
Outlets Range
Swicches Sign
Garbage Dispoul - Standing Sections .
-� Generamr �0.5 KW �5-15 KW Trash Compactor
$ 3
$ 3
0
Fee-� . �$15 �� � Issue Fee
DEVELOPMENTSERV
2oning Approved By—
Building Approved By
FEES
$ 3
SUMMARY OF FEES
BUILDING PEFMIT $ I3Sbfl SMIP .� $ O•8
PLAN CHECK $ PERMIT�'' �
PLUMBING --' $ ISSUANCE $
PLAN CHECK �25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK '50% $ MICROFILM $
MECHANICAL� $ �TOTALFEE ,$ 3S8
PLAN CHECK 25% $ .
oi c003�8flb-6�G32887 "9"l37� ',..�;,`; �.
DATE: ��11�l39 TII1E; 15'37 y
�
, , _ - - ,, �,
.,� y �� ' `. --
'(3hSTRUCTION AND PLANNING ?` , POOL & SPA ` ' _
'Date Inspector � Date Inspector
' ,PROVALS Permit # �,:, + } APPROVALS Permit # .
1'. Te'� porar.,q Electrical Service or Pole. �, � 52. Pool & Equipment �ocation
2. Soil Pipe=Undrgmd.� ry �•r 53. Steel Reinforcement . ��
3: Electrical Condu i Uiility-Undrgtrid. .- t,� 54. Forms . '1 ��
4. Ele�ctrical Conduit-Undrgrnd. �y 55. Electrical Bonding �
� 5; Steel Reinforcement �? � 56. Rough Plumbing & Pressure Test �r
/. . l
6'.•�Electrical UFER �Grnd : 1� � 57. AP,PROVAL TO COVER-GUNITE '� l'�
, i .t
7.�Footings • ��� V-� '��-' , 58. ElectricalConduit-Undrgrnd. ��
i
8. Foundation � �) � 59. Gas Pipe, � Undrgrnd., Test i�i-
�
9. Water Pipe-Undrgrnd. v� r' 60. Backwash Lines, P-Trap, � Undrgrnd. i
� � 61. APPROVALTODECK '�1
lb. Structurel Floor System �i ;%~ �,
_ 7.
11 . Property Sewer Line & House COnnection i �+ 62. Backwash & Receptor-Final .�{-
�.
12. Sewer Cap , _ . , ; ( � � 63. Heater & Vent-Final r�'
y
13. Roof Drains, � � , 7 64. Plumbing System - Final � �✓
14. RougFi Plumbing� �I " 65. Electrical-Final �w
./
15. Rough Electrical-Conduit 66 Solar System-final . -
�16. Rough Electric Wiring G Fencing & Access Approval . -
�
17. Rough Wiring Sign 68. APPROVED fOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Fieating & Air Conditioni�g FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ' APPROVALS Permit #
21: Ducts, in Structure � �•1 �� � � 70. Underground Hydro ' �
22. Ducts,•Ventilating �, '� � 71. ProductPiping�Gas ❑Oil .
23y-Gas Pipe-Rough & Test ,'. � 72. Underground Flush . .
� �. ;� � -
24. Roof Framing ' �_. `. 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ' ' �' 74.- Overhead Hydro � ' ' • '
J.
�6. T-Bar �Ceiling (Structural) & Monocoat 75. Dry Chemical � .
��
�27? Frame and Flashing , �(y�b.B� 76. Dry Standpipe
' 2S. Lathing &.Siding `_ / 77. FIXED SYSTEM FINAL
29. Insulaiion ' . 78. FIRE PREV. FINAL �
30. Drywall Nailing , ��� HEALTH DEPT. REQUIREMENT • �
31. �Plaste� Brown Coat ` �• �� 79. FINAL INSPECTION
32 � Elect�ral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
�
33. Final'Electric "� Notes: ���G 6� C✓�ySr�; r�2�
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test � �
36. Hood or Canopy o��� � s
_37. Final Factoiy Fireplace � - � - � �
.
�38: Final Plumbing � O1 � c o ��
�39. Water Service-FinalG � y � O
r
40..Gas Service-Final ! �
J
41. Solar pomestic-FinaL �
� � rf
�,42. Backflow Prevente?c ii
�
�3. Backflow Irrigation , � � � �
44. �Landscape Irrigat�n�.System � �r�"�
i .,
�45._Sound Attenuation� ' � `� � . , � �
46. Handicap Regulation`s� � ,
47. FINA��STRUCT�E&BUILDW D �L � ,
48. Special Requirements Completed -
i �
� 9. Electric Release to Edison � �,� ' �
� i
�50. Gas Release to Sout�`�Itecn California Gas Co ��,.�, ";...I' . t I��'
51. CERTIFICATE OF OCCUPANCY �J' �p ;. , y
No.' .Date � F •:- ' . ?;. •
CITY OF COSTA MESA
CALIFORNIA 92628-1200 P.O. BOX 1200
Insulation Certificate
Cl'�/ Stio,� oS7�4
x�� �a suu�
�/�/Oti� �%�FSn�1 �%� �f4��
co�ty s�na;��,
Description of Installation
c,ry
i0
Lo� xumber
ROOF �
Material � �IZ G ��9 $ f Brand Name �%i�(� . .
'ILickness (inches) ' 'R�ermal Resispnce (R-Valce) /
EX'TERIOR WALL �t� �7
Material ��'T�/1�/,,4 �S Btand Narne //�%/$ X< <
'It�iclrness (inches) S/ � � 'Ihermal Resistance'(R-Value) 1(
CEII.ING
Baa or Blanket Type Brand Name
'iliiclrness (inches) 'Ihern�al Resistance (R-Value) i
Loose Fill Type Bcand Name
Con��r's minimum installed weight/8 Ib Minimum thiclmess inches
Manufacnuer's installed weight per square foot to acheive Thamal Resistance (R-Value) _
RAISEA FI.00R
Matcrial
'Ihic}�ess (inches)
SLAB FLOOR
Matcrial
'Ihickness (inches)
Widlh (inches)
FOUNDAT[ON WALL
Matcrial
"Iluckness (inches)
Brand Narne
'Ihertnal Resistance (R-Value)
Brand Name
7hem�al Resistance (R-Value)
Brand Name
Thecmal Resisfance (R-Value)
Declaration
I hereby cerbfy that the above insuladon was installed in the building az the above locaUon in confoimance with
the cwrent Building Energy Efficiency Standards for new residenUal buildings contained in Tifle 24 of the
Califomia Administradve Code.
� ltiu rti c �o� `�.�.� ��/ �-
GeneralConaactor(Builder) � Number
�G(, �,� v- �
Signanue and Title Dem .
Su6Contractnr(Insuletion Installa)
Signauve erd Title
Licrnse Nwnbcr
JOB nDDxEss 961 Sonora Road
GENERAL CONTRACTOR M3CC0 COT�7.
AP No. LOT 35 TRACT �
INSPECTIONS
0
� Signature
>O P'IRE ZON�
DATE GROUP
�_�y
DATE �-
VALUE $ 10�4b�(.UV
DESCRIPTION OP WORK
TYP� 7.ONE
TE'S W�IIt'G gB.T
— A�
'S ISSUED
NUMBFR
i
�9� �
�-��''°�
G���- i��e
: ��'� "" ' I 6633
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX S77 C087'A MEBA. CALIPORNIA
For Applicani fo Fill In Complefely
TYPE OR PRINT �
BUILOING 61 Sonora Rozd
ADORESS 9
,COSTA MESA CALIFORNIA
OWNER PSesa Del Atar Develo nent Co.
MAIL jSOO E�CO35t. H7.�YlY72jr .
AnllliFl�'C
OR ENGINEER�ff OSStgn �� NO.{�A3�12
AOORE55 90252^E. Florence A�¢', owne
hlacco Cor oration a�
CONTRAGTOR p
ADDRESS 3"OO 1+• C�15t H7-g�3W3�
��n, Corona Del 24aY, Ca1if..
LTC.NO. 7�SOV—SB—S ryp, QR 3-1}220
SIZE NO. oP BLD6e�r
OF LO7 6975 S.F. � NOW ON LOT 1��4
USE OP NO Y�
EXISTING BLDG.
66T9ACK LINE FROM t� C
CeNTeR oP 9TREei I}Z � REAR YARD ?l: �
SIDE VAR� I �EFT S� I RIGHT 8'6"
DESCRIPTION OF WORK
�1p OF [
�Z�bA�MS V STORIES 1
:RIOR WALLATiUCCO.��RC
;RING LJ..nA Gg
OF BUILDING AND WORK'�
S'zr�le Fam;1y Dwe
urfAttached �rage
1 HCREBV ACKNOWLEDGE TH�T � XAVE R6�D TXIB APPYWTION
aHD BiATE THAT THE A9WE 18 CORRECT AND AORE[ TO CON•
PLY WITN ALL CIN ORDINANCEB AND BTATE.IAWs REOULIITNO
aU11DING CON9TRUCT1oN.
SIGNATURE oFL+;gSB Del 1�qar Development Cod
FE� �EGEi�'�D
�' MAR 7 196�j�,
F�Nrirv�E �tF'�.3p1anT400t�260
CITY Of CUSTA MESA
APPLICATION FOR PERMIT
euaDiN�
For Offlee Use Only
xece�rT No. Y
!Y
DAT6
COSTA MESA. GALIFORNIA
APPROVED
ZONING
ZONE�^/ I PLANB � I BVIIDINO �/R {. 5
TT
�:w.� Lat 3s' %�P L/ 2/o 0
oeacxirr�on
YARDS
APPROVEO
fC8NT6R uNe eT.� /l
FRONT �1 Z
s
Z(v
APPROVEO
IN.
� IN.
�� IN.
/O iN.
ATE 2�2f /�C�Q_�
I.ivine area 1702 S,F
Garage �� 1�63 S.F.
Covered Porch 63 S.F.
THE AMOUNT BXOWN UNOlR VALUAiION 18 POp TXH
PUFIPO86 OP l9TAOLIBHINO A PERMii F!E ONLY.
$ 18,t�67.o0
�wNER KIS
�.)OB ADDRESS 961
ENERAL CONTRACTOR
PNo.l41-581-09 LOT
� �ISPECTIONS
m�
.f--
OUGH PLUMBING
AOP. SWA. LINE
PRINKLING SYST
MISCELLAHEOl15
MOUSE CON.
ROt1GH HEFTING /ND RIF CONDITIONING
TEMPOR4RV SERVICE OH POLE
UNOERGROUNO �l POwER �
ROUGe wIRING
TfVENCHES I J FORMS ST
FLOOR SYSTEM
BONo BEnM L STEEL REINF
SHEATHING
FRAME /NO FLASMING
�ATHING — IN I��
PLnSTER.BFOWN C04T
STRl1CTlIRAL FIN4L
NE4TiHG, vENT., FEFRIG. �
PLUMBING. FINaL ANO GAS
ELECTRIC. FINAL
BU�LOING. FIN4L
�
!
INF.
DATE
4-2-
IING PERM�T
x 'o .n �
E E � en
SUBCONTRACTOR
47751
F�+
W
W
6�
Q
�
y
z
F
COSTA MESA BUILDING-SAFETY DEPARTMENT AP LI AT N F�6$'Rl���j PERMIT 36i
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 - -
REC I PERMIT �—
Fo4 Applicani to Fill in Completely — Use Ink Only �� f`� '��
BUILDING � , ` , ` A.P. NO. � �
AD � R ESS ��J
BUILDING /
OWNER,OR � . �V � �� I � ADDRE55 (�
TENANT )� 1—�
MAILING � SPACENO.
ADD R E55
TR.NO� f � LOT � ` BLK.
TEL ' �Gb v
CITV ��� NO.�
NEW ADD ALTER REPAIR MOVING DEMOLISH
CANSTRUCTION
LENDER
BRANCH � �� ,
OWNER
ADDRESS qLUE
ARCNITECT TEL. USE E� �
Ofi ENGINEER N
ADORESS ZONE TV E GROUP
APPpOVED
CONTRACTOR j�(L� BV DATE �
ADDRESS �� C �^-
CITV � NO`q�316Z� �
STATE CITV ' APPROVEDSETBACKS
�IC. NO. � � LIC. NO. i
SIZE NO.OF BLDGS. (FROM C/L STR )
� OF LOT NOW ON LOT + qOM
USE OF D �_ �/
EXISTING BLDG. J
Separate permits are required for �. s�o �
electric, plumbing and heating work: ✓J�
FEAR �/FT.�
USE OF BUILDING AND WO�K TQ BE PE FORM � P�,qNNING ACTION
b
r
� ��_�� /t DATE ,
�-� APPPOVED
s� ,�Ro� • 3—� -7
1 hareby acknowled8e thet I have read this application antl state
that ihe above intormation is correct and agree to comply with
all laws regulating building construction, antl I shall not employ
any perwn In violation of the workman's compansation laws of
Me State of California.
I hereby cartity thai l em properlY licensed as a contracto� under Q• FT'
tha State of California Business entl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses ere In full force end etfect, or I THE PURPOSE OF ESTABLISMING A PERMIT FEE ONLV:
am exempt trom the provisions of Me State ot California 8usin05s
antl Professions Code, Division 3, Chaptar 9. V AlUAT10N � pERMIT FEE $
Sig^ature of 1//�. O J'�� �/ //.�//�� / PLAN CHECK $ —��
Permittee V ��Ly' ^ p �j $/`�/'y(//% / TAX E
Auffiorizetl Agent Date �� A /�� t , ` V�
TOTALPAID
80 TL
,V