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Home My WebLink About3225 WASHINGTON AVE - Building Permits. �� 4`�SiN MFs9 °�ei > � r J �O4hxorto �' r. � .. CITY OF COSTA MESA B!/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: B11-00319 PERMIT TYPE B_ROOF2 APN: 13909602 JOB ADDRESS: 3225 WASHINGTON AV CM Vicinity: HOUSE AND GARAGE Squares: 2500 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Valuation ISSUED 09/2612011 RMD $7,600.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF MATERIALS, INSTALL 2 LAYERS OF 15# FELT ON A 3:12 PITCHED ROOF AND REFROOF WITH COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 2500 SF. REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT. NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment wllnspection Card OWNER: VOGLER,FRIEDAA PHONE: APPLICANT: MASFIELD, ALEX PHONE: 714-736-4477 CONTRACTOR: MANSFIELD ROOFING CO Address: 2260 YUCCA AVUnit: CirylStatelZip: FULLERTON, CA 92835 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: $0.00 Reroot Permit Fee: $15325 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 Address: 3225 WASHINGTON AVE Unit: Ciry/State/Zip: COSTA MESA, CA Address: CitylState/Zip: PHONE: License No. License No. License No. 580433 714-738-4477 CELL: PHONE: PHONE: Unit: : TOTAL FEES $154.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18I2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal New Years Dav, Memorial Dav. Independence Dav, Labor Dav, Thanksqivinq Dav and Chrisimas Dav NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia staNtes antl related regulations. (Ord. No. 92-28, § 1. 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in Ihe expiretion of this permit. GO�E t. INSPEC710N TYPE 1676 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 207 Final BIocWReWining Wall 202 Final Factory Fire Place 203 Fina15ign 204 Final Demolition oare ixnna�s x�ln,a�� I �� CODE� INSPECiIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electriwl 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy onre ixnnus � \ WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate o( consent to self-Insure for workers' wmpensation, as provi0etl (or by section 3700 of the Labor Coae, for the pedormance ot the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as requiretl by section 3700 0l the Labor Code, for the pedortnance of the �+ork fw which this pertnit is issued. My workers' compengation Insurance carrier and policy numberare_ . r�' t Carrier �`�-'e •ri-. V� (ihrs secYron neetl wt De wmple(e� Alhe Jpe�mrt is valued af one �undretl dollms (S I00) or less ) �Policy Number. �� z� —Ld� O ❑ I certify ihat in the peAormance o( the vrork (or which this permit is issued, I shall not employ any person in any manner so as to become subjecf to �he vrorkers' compensa�ion lavrs of Cali�omia, and agree Ihat if I should become subject lo the v.orkers' compenSation provisions o( Section 3700 of the b�Code, I shall foAhwilh o�ly ' these pmvisions. 2 �/ CA07 rvn' ignaWre (j le WARNING: FAIL RE TO SECURE WORkERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SU&IEC7 AN EMPLOVER TO CRIMINAI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aKrm �hat I am licensed under provisions of Chapter 9(commencinq with Section 7000) of Division 3 of the 6usiness antl Professions Code, antl my license is in (ull lorc2e and effect. /' ��# �� Y3/ Class tt ` � � / �Conba s5ignaWre `—� �e CONSTRUCTI N LENDING AGENCY: ❑ I herehy aKrtn Ihat there is a consWctbn lentling agency fw the peAormance of the v.urk fa which ihis permit is issuetl. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: Signawre Daie OWNER-BUILDER DECLARATIONS: I hereby affirm that untler penalty of perury that I am E%EMP7 FROM THE CON7RAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to consWct, alter, improve, demolish, or repair any slrucWre, pnor to its issuance, also requires the applicant lor guch permit to file a signed Sla�emenl that he or she is licensea pursuant iq the provisions ol the Contractors License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 0l the Business and Professions Code) or Ihat he or she is exempl iherefrom antl the basis for the alleged eaemption. Any viola[ion of Section 7031.5 by any applicani (or a permit subjec�s the applicant to a civil penalty o( not more than (ve hundred dollars ($500�.�: ❑ I, as ovmer of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intendetl or offered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves lhereon, and who does such vrork himsel( or herself ar through his or her own employees, provided that such improvements are not intended or oflered (or sale. If, however, the building or improvement is sold within one year of completion, the ovmer-builtler vrill have the burden of pmving tha[ he or she tlid nol build or improve for puryose of sale.). ❑ I, as ovmer of Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and Professbns Code: The contractors License Law dces not aDPy to an owner o( property who builds or improves thereon, and who cont2cts fw such project with a coNractw(s) license pursuant �o the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for Ihis reason: � Owner ID verifietl by tlrive� a iicense. ❑ Yes ❑ No t Driver's License No. Expires: Venfication o( Ownership by pype of document, i.e. - propeny tax bill or deed): DIVISION OF IN�USTRIAL SAFETY PERMI7 CERTIFICATION: ❑ I hereby certily that no excavation frve (5) or more feet in tlepth into v.hich a person is required to descend, vrill be matle in connectbn wilh work authonzed 6y this pertnit, and that no builtling sWcture, scaffolding, falsewOrk, a demolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, T�ie 8, Califomia Adminis[rative Code). ❑ As owner-builder, I will not employ anyone [o do v✓ork which would require a permitfrom !he Division oflndustrial Safety, as note0 above, unless such person has a permit to do such work from the division. ACd��'S SignaWre Da1e Division of Intlustrial Safely Permit Number. HAZARDOUS MATERIALS AND EMISSIONS GERTIFICATION: 1. Will the applicant or present or tuture builtling occupant need to file and cehify a Business Plan for emergency response to release or threatenetl release of a hazartlous material? ❑ Yes ❑ No (Section 25505 of the Calilomia Health and Safety Code requires, with some exceptions, that a 8usiness Plan be filed with the Cosla Mesa Fire Depariment by every business which has at any one �ime during a reported year a quantity o! hazardous materials equal to or grealer than a weight of 500 pounds, or a volume of 55 gallons, or 200 cu6ic feet of compressetl gas at standard IemperaWre and pressure). 2. Does or will [he applicant or present or (uture building occupant neetl ro file a registration form for acutely hazartlous matenals? ❑ Ves ❑ No (Section 25533 of the Califomia Health and Safety Code, with some excep�ion5, requires regi5tralion wilh Ne Costa Mesa Fire Deparimen� by each business which at any one time has on han0 a quantity ot acutely hazardous materials equal to or greater Ihan a vreight o/ 500 pountls, or a volume of 55 gallons, or 200 cubic feel of compressed ga5 at standartl temperature antl pressure). 3. Does or will the applicant or present or fuWre builtling occupant need to prepare an RMPP (Risk Management and Prevention Program for awtely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safety Code provides that the Costa Mesa Fire Depariment may require the prepara�ion, certifca�ion and filing with the Fire Depahment of an RMPP by businesses which are requiretl to register acutely hazardous malerials with Ihe Fire Department. 4. If an RMPP is presenuy required, has Section 25534 of the Califomia Health and Safety Cotle been (ully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or (uture building occupant require for the work which is ihe subjett of Ihis application a pertnit for such construction or motlifcation Irom the SOWh Coast Air Qualiry Management Dislrict or Imm any other air polWtion concrol district or agency? � Yes ❑ No (Sectbn 658502 ot the Califomia Govemment Code requires that Ihe requeste0 in(ormation be fumished on applications for non-resitlential building permits). 6. Will any part o( the lacility to be constructetl under this permit be within 7000 �eet fmm the outer boundanes of a school9 ❑ Yes ❑ No Qf "yes", the facility must meet the requirement of Sections 25534 and 42303 o( the California Health and Salery Code). 7. If a permit !mm the South Coast Air Duality Management District or other air pollution control district or agency is requiretl for the work which is the subject of this application, have all of Ihe disclosures prescribed by California Health and Safety Cotle Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcale o� compliance from the appmpriate air pollution control oKcer). CERTIFICA7E OF COMPLIANCE: I certify that under penalry of perjury the information given above is covecL I agree to wmpty with all state laws and city ordinances regarding Hazardous Materials antl Emissions. CERTIFICA7E OF COMPLIANCE AND AU7HORIZATION OF EN7RY: 1 certify under penalry of pery'ury lhat I have read Ihis application and state Ihat ihe in(ormation given is correcL I agree to comply with all state laws antl city ordinances relating to building constmction, and authonze representatives o( the Ciry of Costa Mesa to eNer upon the above-described property for inspection purposes. I agree no� b occupy or allow occupancy of any building authorized by this permit until fnal inspection. � �SignaWreolLeBal Fn s ate Signalure . Date � �/ JOSza6 �3/0)� - ' �MlorAu�� QOAppli�nt �'Date ; ; 'i r ecl Numc: �'N �2'2� o�l'C:ompliance: P.eaidential ,� �. � �(' �]- "i 2626 CF-7 R-Al (F'ste ] ol' v ut:scor•;�s I Ona011E SllPf8C2 DBtaIIS Tm� the furred purtioned af ]Ylass VJolls see.Turring 6trips Construetion Table belnw. . � A I B P 7ag/ Aasembly lVeme ID' or Tvne' C D� �� ' F G H'- Sn°" Stenderd VeluesFromJA� ning Thiclmess, Framed Continuou�� :erial Spacing, U- ]A4 Tahle Caviq� lnsulation Size� or Other� facior° Num6ti} R-value� R-Value� aCC0uI11ins Jor' see Pogc JA4�3 and Eguatim� �. JA4 Aasernbly Cell Vefuea usc thc FurrinR Connnmlimr �oble balmr. 1. fim� Tng/ID indicaie dre idenlifcation name tha! matches fhe building planr. 3.lndica+c 1he As.remblp Nume a• rype: RaaJ/Ceiling, Wa]!s, Fl oo�s�, Slab.a Craw] Space, Doors and elc...Jndicaie the Frame rype and Size: For WonA, Metal, Metal Buildings, Nlass, en�er ?xQ, 2x6, or eu�.., see JA4 for olher possible jramc rypc nssemblies. 3. Eiver ILe.ihicimesa,{or muss iu inches or Syacin; benneen,framing membera enter; 1 G"or 24 "OC; m� D(her for all other assembly descriplinn such as Cmicreic Smidwich Panel, Spandrel Panel, Logs, Su•aN� Bale Panel and e�c..., 4. Hased mi !he Clin�a�c Zone enter the Standm•d U Jacior fi•om TaLte 1 S/-B, C or D/m� euch d�ermtr assembl�� Na�ne or t��pe. S. Lnter tke Table number Iha� closel y resemLlrs !hc yropasrd na•seinbl��. G. L'nlm' ll�e li-valuelhnl ia b�ing ins�ulled in !hr ma11 cuviry� or Le�ween tl�e,fi�nming; nUienvise, cmer "0". Z Lmer Ihe Crnilinuous lnstida�imi R-valuc,/a• Ihe proposed as.�•embl,p; alhe�wise, emer "0". 8. Lmer ll�c rm+� mid colunm o/Ihe U-facmr voluc Laacd m� Colunm F7'ublc Num6er and enter ihc dasembb� U-(uclor in Colunv� J J. 7Y�e Propnsed �asemLlv U-(ncmr, Colunm J, musi Lc equal �a m• lcs.r tharr Ihe SYai+tfnrd U-Jacmr in Column E m cauplp. ' runh�� StriPs Consvuction TuUlr. f'or IViasi: Wnllr Only A ]f C ll � F G 'A ] d 1C L M l'ropnscd )'rupertles ofManunrp unU Concrctc AddeA lntcrim� ur T,xtcrior'lnsulntimi 1�hilln Trum Ilcl'erence in Purring 5pacc frum ]telcrenec Juinl h�uidb: 9liblc 4.3 �, 4.3.G. A.3.7 Joim A icndi�: 9';ihlc 43.13 :� �`c N F _E' G� 7, o� U [. � �r 4 G, m U , f. � � U ^ � V r. N �� . hnxcntblp �- j . ` `�rt � oi, � �. > Tinel INu�:�, Nnnn oi .�A�1'inhic �= e� n� E n p 't � F: �— kssembl ' 'fhicluuss' 'I- r" 7Jumbcr $� G ui ° i,t. a` i: �', c '� 'F w F �1-1�uCl(11'�� Commeni � � J� Piroticr•ipCVve Certl(i�.nT.c o1'Com�.iliiu�c �euitientiul� CT'-1.R-AL1�' I 1 Rn.,cidr.rxtlal ALtei•atinna� � � � (Yn�e 3 af 5) .! Ih•a�nG Wumc: I Glhnittc Z�iaa ll � I t! nP5tnrluR. • RUOT�'TNG PRODUCTB (CUOL ItOORS),�'l.it(p!� Wlertn Ilu� arrw n/'au�nrinr rnn(.wrrfnan m br. rapinnml aacnad.r runre 1lonn .40% n/'tltc rxdsNng rnn�nron, nr oinru Nuui I,000./ , iultichnvor Ar fa,e.e� iha nmo rno/1�tg m�an must umat Um rnnJlptfprndim� "Cnn/ ItnnJ" ruryulraniaiir.v nf,G152fL)lFfi, 1.52(L)1F(ll, m• /.5'l(bJ1HllL Checl� nppflr.abla rtl�nrurtAmi or az�aap(Inri Ga(ou� ((iha rnaf aheratiori in� asemp�,fi•nrn �he r•nolnF: produci "Cool Itnnf" requirvmanis. Nnie: /f an�, rrnn nf rGe a6rtrnu�lva.c m axcapilnn bnlou, f.r nhnahnd. ihe �igad Snlm• RaAecmnce and Tlim�mul Lb+ttmnr.r. requiremmv.e for rnaJing prnduai.e m �,¢I IU(!) nrc nar npplioaGle. Un nm /11/ �ablc balnu�. �— ❑ Cnol Itoaf� I�t Requimtl iu Climntr.'Loner. I• l2, 14, nnA IG with n Low 3loped. Lese or 2:12 pitch. �Cnol Ilnnfti �� Required iu Climn�c'Lonas I through 9 and 16 with u 9wep•9VopaA Itonfx (ryitoh grenter thun 2:12) und prudum unii weighi laer, � Alternntivos tn §152(b)I}II mid a152(b)FIII, 4toop-alapc rnof (plroh % 2:72) �-Cl�luaulntion with a thermnl roaiutunce of n� leont O.Q i he112�"P/I�tti or nt lenel n 7/4 iiich oir•npime ir, ndded iu the rnof decic ' nvcr nu ncticl or ❑ Er.iating dur.tx in lhc nttir, nrc inuulnteA nnd aanlr,d nr.corAing to G t S I(()I II•, nr CJ h� climnte znnea 10, 12 and i 7, wilh I ft.of frec ventilniion arou nf attic ventllatinn far nvery I50 fl� of attic flnor ureu, nne where el leaa[ 30 pereem nf the kee venNintiou aren is within 2 feet vertical diamnce of thc roof ridge; ar ❑ RuilAing has et leea� It-30 ceiling inaulation; or ❑ 0uilding hns radinnt 6ncrier in Ihe attic meeting lhe requirements of ¢ I 51(�2�, or ❑ BuilAin� hae nn ducts in thcnttic; nr LI in climatc zones 10, I l, U and 14, li-:i or greater mof decic inaidacion abovc vented attic. L�xeeptfnn tn §:52(b)1FIIti, Lnw-vinpe reof ( pitcli <3:12) ❑ Fluilding lias no ducts iu the a[tic. Othcr Lzception4 ❑ Roofing areu cove,reA by building integrated{ photovoltaic pancls and snlar thermal paneL: are exempl frnm thc helow Cool Rnnf r,ritcria. ❑ Rnof constructions thnt hnvc thermal mnss over Ihc roof inembrane with at leex� 25 Ib/R� ix exempt from thc below Cool Roof criteria. Notc If nn C.RRC-1 lahel is availnblc, this complinnee method ennno[ be uned, uae the Performance Approueh ro show compiiance, otherwise, C}�ecl< the a licable nox 6elow if Exem t from the Rnofin Productr, "Cool Itoo"' Requirement Raof Slope Nrouucl Weight Vroduct Aged tiolar Thermel CILRC Pmdur.l ID Nnmber� 5 2:12 > 2:12 < Slblft= >_ SIb/ft' Type� Reflectnnce�'� Emittenee ❑ ❑ C} � D p" ❑ �❑ � ❑ � D � �Ll^ �QQQ_� � ■ � 0-� ❑ � D � � �� II° SRIS Thc C/tRC Produe!!D Nmnber cou Le obminedfi•om rLe Caol2oa/'Ra�ing Councll'r Itaiad Yroducl Directory al www.coolroofs.ore/nroduclrlseorch nhn Indicaic tl�a iype ofprodnc� is b¢ing useA,fnr rlre rnoJ�oy, i.e. single-pl�� roof, asphaN mof, maial roof, eic. If Ihe Aged ReJleciartce ix rwl ovaifoGle im�he Coal Roo(Raiing Cmmcfl'a Rated Praduc! Direcrory Ihen use Ihe Inlliu( RaJlectance value from Ihc.rame direcmry and uae flm eqim�imi (01+0.7(p��— 0.2) io abmin n calculated aged va6�e W6er¢ p is �he InNial Sofar RaJlecmnte. Gieck bax j/'Ihe AR¢d Re(lecmnce iz n cafndaied vuluo icring ihe equa�ion aLove. Calmda�e Ihe SR/ value �i� naing Ihe SRI- Wor•kshum a� hltn•Orv�nm enerm�.co.env/IIIIe1A/ aud enier Ihe resulling value in tlic SR/ Colurnrr abovo and anuc6 ucopy �he SRI- Wm•Ir.eheei m Ihe CF-1 R. o¢pply Liquid rieid Appiied Cuatings, the coating must be applied acrass tlie entire mof surface and meet the dry mil thicknoss or coverage :comme�ided by the coatings menufacttva� and meet minimum performance requirements listed in §1 I B(i�. Select the epplicable coating: Aluminum-Pigmented Aspheli Roof Coeting I❑ Cement-Based Roof Coscing Other �� ; Regisu•a�imi Number: Regis�ration DatelTime: FILRSYrnvider�: 2008 Residentiul Compliance Forms � �lugus! 2009 Yrescrinf'mr Cerfilic:ne of Rr.siden7ird Altr.rniinn,c Pru4ecl IVumc: � Climatr'Lunc41 C. �F-1 R-ALT }�YIUC i O��j) tl1 ui'S[uries � �1�]�S 1��I'�1'1(;AT) Ul� $UH411�1�)' Thc e�7lo�'�emem �igenc�'shmdd ynrsyecfal uuciviai in Ih�� NERS' h7�as�u�ea� specifierl m Ihis checldi.ri Lelnw. A cmnpleicd emd signed CG-4Jf Ia�nr 1nr n)I the menxw•e.r speciJied shnll Le a�ubmi�ied io ILe buflding inspecior Lefm�e fin�J I)uel Seflling $ Te6tllle F1L/l�nert/iccuim� iaraquiredior�hi.vnunsure. � ❑ 7'ES ❑ NO 1'SS: Ju Climnte "Lune: 9 nud 9-I L, if more thuu 4U linenr feei ohieir or replucemeni duc�a nrc ins�alled iu wicnnditiuned � spnce, the ductc m'c w he senled per �152(b)ILii and Ihe newll' llISWIICfI (IIICIS OTC lU bl' IIISl1Ii11C(I'�1C1 1151(�jl ll. � L�XC�PT10�: Lxistinp duci Fystems thai ure estended; �vhich urc cunstruc[ed, insul;uetl ur ewled �rith as6estus. Q Y�S ❑ NU S'E5: ]n Climatc Zanes 2 and )-7 G, i1'the existing spece-conditioning sysiem (NI�AC equipmeni uncl duciinej is replaeed, the � ducts are �o be sealed per (152(6)1Di. � [) Y�5 � NO )'i5: ]n Climole "Lones 2 and 9J G, if the existing HVAC equipmenl is repluceJ (including the replacemeN of thc ttir handlet, ' owduor condensing unii of n splil system, cooling m� heating coil, or [he furnece l�eei er.changer) the ducts nre tu 6e seoled per y152(b)lE. ❑�XC�PT]On: Duct svstems tlin� nre tlncumente0 Lu Lave been previuuslp senletl eoniirmetl tl�rougL H�]tS , � verlfication iu acwrdnnce with procedures in the Re7erenee kesidentinl Appendix ItA3. ' '' �,LrXC�PT10�: Duc� systems wJtl� leas thnn 411�linenr leet in unconditiuned spuce. . . uU�i insulated or aeuled wltli ItefYigerant Charee - Split S)'stem HERS verijicaliou ir reguirec�,/m thia measm•e. 1:J Y�S O NO YL�S: ln Ctimate Zones 2 and R-15, wLen the exis�ing H\�AC eguipmentis replace� (including tl�e replacemeni of the air hendler, outdoor condensing unil of n splii system H/C or lieat pump, cooling or 6eating coil; or the furnace heet rznhnnoar� n refrioerent charee.measurement 6h011 be vBL1I"ied per FI52(b11F. Central Fan Inte;rated (C`FIj Ventilation SYstem and Fan i�'att Draw The ventilation remiirements of §15010) do noi apnlv tn existine residentiel hmnes. Ducted Split S,ystems - Air Condifioners and Heat Pumps: Airfloh� HERS nerilica�ion ia reguired,for lhia mewure. D YLS ❑ NO YIES: ln Climate Zones 1 U t6rough 15, wl�en the existing syac�conditioning syetem (NVAC equipmenl and ducting) is repleced, the eirttow and isn wstt drev.� shell be ver'rfied uer �+152(b)1Ci to meet the renuirements of ,ti li i(f17B. )ocumenYntion Author's Declaration S •� 7 cerHip thal� tlii � Certlfsate of Compli �ame,n �CX l�Gv�� L �c•l 7—1 6o t�lucca documentnt'�on is.accurate � C.%� ��6� ]f Npplicable (Certificalion Phone: l� or � CEPE - `t �1'�"� ronsiblr.Iluildinellesinnu''s])eclarat'inn Statemenl ] �mi eligihlr. under Li��ision 3 of Ihe Culiiomi�i Bucinecc tmd �I'rafexsionc Codc lu uceepi reapunsi6iliq- I:m� lhe bulld'mg design identiiied mi thi:: CcrliLcme nf Camplluncc. ] ccrtiip lhm thc energy le¢Wre,� und perl'urmancc cpccillcntiun; inr ll�c builtliug denigu idemi5e.il on lhls Certiilcaic of Compliuncc cunfurm tu tl�c rcquirenu;nu+nl'7'iqc:'L4, Pmtc 1 mul G nf tlir. Culilumiu Cndr ol'ke�ulatlonc. Thc buildlu�: tlesi�!u ieiuure:: �ielemilied un lhi;. Cerlilictue nf Cumpl�itmue ure cunuiniun wilh lhe �iniunnnilun pruvided tu ducumem lhic builA�m� (IL'til�;ll DII Ille OIIICf 11)))7IICf1IlIl CUIll))IIOIICC'IUfI➢G, Wlll'I:fiI1L•L'lL� culculu�ionc, plm�c und rpeeiheiuiunr, subu�ilte0 �u llie en'J'ureemenl ueencr im nPPruv�d wilh lhic 6uildm,^. Permii ripplicuiion. nc: 5lgnnlure: . :,' ompnnl': k6drecs: ��; }hui�lZlp. ]Ja�e: Liccn ,r. �� CITY OF COSTA MESA �,O�pMFs,➢ BU/LDING DIVISION t i�.,,,,......, a 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�wv.ci.costa-mesa.ca.us f � o �' FOR INSPECTIONS CALL: (714) 754-5626 �A� hs � PERMIT NUMBER: BX11-00244 PERMIT TYPE B MISC STATUS: ISSUED APN: 13909602 DATE ISSUED: 08/03/2011 Zoning: , ISSUED BY: KJB JOB ADDRESS: 3225 WASHINGTON AV CM Suite/Unit: Vicinity: Primary Occ: 32 Const Type :?? SQ. FT: 357 Valuation: $5,754.84 SCOPE OF WORK: 357 SQ FT ATTACHED PATIO COVER PER CITY STANDARD. OWNER: VOGLER, FRIEDAA Address:: 3225 WASHINGTONAVE Cily/State: COSTA MESA, CA Zip Code: 92626 Phone: APPLICANT: HOLLENBECK,JEFF City/State: Phone: 949-421-3910 CONTRACTOR: HOLLENBECK HOMEWORKS Address: 26 WILLOWBROOK LN City/State: RANCHO SANTA MARGARITA �Zip Code: 92688 ARCHITECT: Phone ENGINEER: Phone FEE SUMMARY Building Plan Check: Building Permit Electrical Permit: SMIP Residential SMIP Commercial Bltlg Std Admin Fund Montlay thru Friday - 7:00 am thru 7:00 pm. Address: Zip Code: License No. 750586 Phone 949412-3910 License No. License No. $81.41 $125.25 $0.00 $0.58 $0.00 $1.00 Cell: C Unit Unit: Unit �TIVITY: EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal Holidays: NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes antl relaled regulations. (Ord. No. 92-28, § i, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in lhe expiration of this permit. CODEt. INSPEC110NTYPE �ATE INI1TIAl5 CODEk INSPECTONTYPE OATE INPTIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanirai 7266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 2�0 Final Electncal 201 Final Block/Re�aining Wall 212 Final Fire Prevention 202 Final Factory Fire Place z20 Final Planning Appmval 203 FinalSign 222 Final Site 204 Final Demolicion 250 Final Builtling/Occupancy O• 0' �� WORKERS' COMPENSATION DECLARATION: � I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure (or workers' compensation, as provided (or by section 3700 of the Labor Code, for �he performance of the work for which �his permit is issued. ❑ I have and will maintain v.orkers' compensation insurance, as required by section 3700 0( the Labor Code, for the perfortnance o( Ihe vrork (or which Ihis pertnit is issuetl. My workers' compensa[ion Insurance carrier and policy number are: Carrier: (ThrssfC(.qnneetlirolbecomplel n(be e�mrtisvalu¢dafMehu edtldlais(5100)o�less) �" Policy Number � I certify lha[ in !he peAormance of the wod for which this permit is issued. I shall not employ any person in any manner so as to become subject to �he workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of ection 3700 of ihe L 1� od , �(� hwi h c pty with these provis� �t ppicanG �pdaWreu'` D e �+� ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLAR4TION: I hereby a(firm that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full (orce and effec�. iG_#-j—� 'lass:#;:. :,7 uon r p�5Si9nalere Da 'L_ � i CONSTRUCTION LENDING AGENCY: ❑ I hereby a(firm lhat there is a construction lending agency for the peAortnance of the aork fa which this permi[ is issuetl. (Sec. 3097, Civil Code�. Lender's Name: Lender's Address: Dale OWNER-BUILDER DECLARATIONS: I hereby affrm lhat untler penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW fOr lhe foilowing feason (SeC. 703t5, Business and Professions Code: Any city or wunry which requires a permi[ to consWct, alter, improve. tlemolish, or repair any slrucNre, prior to its issuance, also requires Ihe applicant /or such permi� �o fle a siqned slatement Ihat he or she is licensed pursuant to [he provisions of Ihe Contrac[ors License Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 0( Ihe Business and Professions Code) or ihat he or she is exempt Iheretrom and the basis for the alleged exemption. Any violation of Seclion 7031.5 by any applicant for a permi[ subiects the applicant to a civil penalry of not more than five hundred dollare ($500).): ❑ I, as owner o( the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the strucWre is not in[ended or oftered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not appry lo an owner of property who builds or improves thereon, antl who does such work himself or herself or through his or her ovm employees, provided that such impmvements are not intended or of(ered for sale. If, however, the building or improvement is sold within one year o( completion, the owner-builder will have [he burden of proving that he or she did not build or improve for purpose of sale.)- ❑ I, as owner of [he property, am EXCLl151VELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the pmject (Sec. 7044, Business and Pmfessions Code: The contractors License Law does not apply to an owner of property who builds or improves Ihereon, and who contracts for such project with a Contractor(s) license pursuant to Ihe Cont2ctors License Laws.). ❑ I am exempi under sec. Business and Pmfessions Cotle tor this reason: 309-A6 (310]) Owner ID verified by tlriver s iicense. ❑ Yes ❑ No ` � Dnver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF IN�USTRIAI SAFETY PERMIT CERTIFICATION: ❑ I hereby certi(y that no excavation five (5) or more feet in depth into wfiich a person is required to descend, will be made in connectbn with vrork authonzed by this pertnit, antl Ihat no building stNclure, scaHolding, falsework, a demolition or dismantling �hereo/, will be more Ihan Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, California Administra�ive Code). ❑ As owner-builtler, 1 will not employ anyone [o do work which would require a permit from Ihe Division of Industrial Safety, as noted above, unless such person has a permi� �o do such work /rom Ihe division. Appl¢anfs SgnaWre Oale Drvision of Industrial Sa(ety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupan[ need to fle and certify a Business Pian for emergency response to release or threatened release o( a hazardous material? ❑ Yes ❑ No (Section 25505 of �he Califomia Heal�h and Safery Code requires, with some exceptions, that a Business Plan be fled with Ihe Costa Mesa Fire Department by every business which has at any one time tluring a reported year a quantity of hazardous materials equal [o or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas at slandard temperature and pressure�. 2. Does or will Ihe applicant or present or fuWre building occupant need to file a registration form for acutely hazardous materials? ❑ Yes 0 No (Section 25533 of the Califomia Health antl Safety Cotle, with some ezceptions, requires registration with the Costa Mesa Fire Department by each business which a� any one time has on hantl a quantity of acutely hazardous materials equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will Ihe applican[ or present or fuWre building occupan� neetl to prepare an RMPP (Risk Management and Prevention Program (or acutety hazartlous materials)? ❑ Yes ❑ No (Section 25534 of ihe California Health and Safery Code provides Ihat the Costa Mesa Fire Department may require the preparetion, certification antl fling with the Fire DepaAment of an RMPP by businesses which are required to register acutely hazartlous materials with the Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 0� the California Heaith and Safery Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuNre builtling occupant require (or the work which is Ihe subject o! this application a permit (or such construction or motlification from the South Coast Air Quality Management District or from any other air pollution control tlistnc� or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires Ihat Ihe requestetl iMormation be (umished on applications fa nomresidential building permits�. 6. Will any part of the facility to be cons�ructed under �his permi� be within 1000 feet from the outer bountlaries ot a school? ❑ Yes ❑ No (If'yes", the (acili�y must meet the requirement of Sections 25534 and 42303 of the Cali(omia Health and Safety Cotle). 7. I( a permit (mm Ihe South Coast Air �uality Management District or other air polWtion control tlislrict or agency is required for the vrork which is �he subject of fhis application, have all of the disclosures prescribed by California Health and Sa(ery Code Section 42303 6een made? ❑ Yes ❑ No 8. Qf "yes", attach certificate o( compliance from the appropriate air polWtion coMrol oKcer). CERTIFICATE OF COMPLIANCE: I certify Iha[ under penalry of perjury �he information given above is correct. 1 agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty ot perjury that I have read this application and sta[e that the information given is correct. I agree to comply with all state laws and city ordinances relating to building consWciion, antl authorize representatives o( ihe Ciry of Costa Mesa to enter upon ihe above-tlescribed property for inspec�ion purposes. i agree not to occupy or allow occupancy of any builtling authorized by this permit until fnal inspection. � Siqn� re o e i O neqs� te ��f� / / T/Ji�� /�lfi . e ; � / / � �� ImthOnxnC�AW�C3d a wonEssaem�w+a: 3225 WASHINGTON AV uxr: oxxeasxrre�.�o+wvx: VOGLER, FRIEDA A FLOOD: AE-37 �ooncss: 3225 WASRINGTON AVE � COSTA MESA,CA 92626 �q` 549-3767 \ .w�. uuur+o wo�ss: �xcxrtccT on �m�x: uc. xo< /iqtll OP ENQ'4 ADUPE54: UNT: carmncrarswu¢ A—AMES PLUMBING 6 HEATING (714)530-2440 cwm�croirs�uiwc 9911 LARSON AC' eooeesc GARDEN GROVE CA uar+o.: 250307 92642 uxr: B LICENSED COMflRCTOP4 DECLAHPTION: 1 Mreby ell�m uMm pereYy d pa�juy Nm I em Icaved uMx pwirime d Cheqer 9 (eavnmerq �m� Smbn ]000) d Oivoion 3 d Ne Burim�s and Pmlma"vn Code. end mY Wwnae c in tu0 beu erd eflea. cmuc.No.: 006669q uc.cuss: C-36uc.No.: ^ 30— EX : 06/U Dme' ! v / T � / � CaNreC � M � OW NEN BUILDEfl OECIAHATION: I hmeby ellrm uMx perjury thei 1 am exemp Imn �he Coniretlan limma lew Iu Ne IWb+w�B �seaon (5eqion )O�t.5 &niiea� enJ Rdesabns : RM eiY a caun�y xfiitl� nWi�ae e V�n �o mum i. Ms. imprwe. eemdon. «r.pe: e�y m�uu�re. yi« w aa mwence. ebo reQan. �ne epqi�m t«.ucn Oeme �o rue e apnee mmemam inu ne a.n. : � iim�we w� m ina aa++�+ a ur cavreaon Licame ler Icheps 9(cmmebna wen s.eia, r000) d oi.elm s a �no uzrie» eM Pralaaiwu GoEal a inm he o ehe u exemq �hereham end the buu la iha db0� memqion. MY violelion d Seaon /W t.5 by ury epWira'� I« a pam�u vubpaa �he epqirau �o a aril par�elly d na mora ihen Iwa huMred dd4n �5500p. ❑ I.mowrcrdtMpWe�YamYemd%�r.thwepe=miheiedecan0��ion.wdldothexwk.eMihesinclu�eenaliNaMeA «meree w aeb (s«tion'la.. eutir�sa ena viaeasiaucme: rne ca,vaaon lioans.lawme. na ewNm en ow�ro, d po0,ey wln Wide a inW� �haeon. eM vRa doee aurh Mvrk limmtl rc MnM a Waqh hc a her own emVbY��. pa+deE ihel ach impv.emama are m� inteMad a atlereC lar eab. tl. Aowmx. tM bu�liinp a inpiviemau u aald wnhin wr Yav W mnpblion. �he ow�ror-0uiNlar xill Mw IM buNm d prv.•i�q he « eM Ak �wl buik or imqora In tha purpme al eeb�. � I, m wner d iAe V�Y. em utlua�NY ca4retln0 v.4h GwmE cannxvaa b can9rW ihe pM� (Smion N/t. &n"vina ud Pmiwioro Code: TM Camrauan Limae law tloea ml eppty w en ovmm d popaity xiw Wiks w impwm Ihneon vd rAa caniracb 1« �uM pqwa wiih e mermor�e) Icemed punuam m the Convadan Limua lawl. � I em exemp Wx Senian: B. 8 P.G.. br tlie ieeam: De�s: O.mer: i eo n.renv �«W w� i�..�. a.�a �enu�,e m. �.a��mm�, a cs�omie r�eeen ena smmr waa sw�. zuos. usa3. ene 255J1. end Nm I a enY Mwe Wikvp oo�upem will / wil M(e�cb me) need b cn^dY xvh uid qe�s catla end tM n9wemxus iv aoamdf«mmvuciianumodifimianhamiheAi3i y�enepemant0imrcf.Rmkeniielmnvufaionerofrat'vuenezmmdlmmlMae Dme: Appl'r.enL W OFKEP'S COMVO151TION DECLAN�TION: I hereby elfirm uMer penMy M perpvy ay d ihe b0or.'vq Eetle�maa: � I hero arM wil meimm� e cenXEme d wneem lo aellimuro for warkan' canpaneetion. m prwkeA for by Saeion J]00 d I�e lebar coa.. i« ins wn«�a a me »on r«..wa� u,b wmm o��a. ❑ � n.» ena m� maimen xwken• canv�on imurenoe. m na��,.e M scion a�oo d me �m« cae. �o. in. w�,m.� a m. won��a�Um'�n„�ti�d.Mvw�' R�PUBL C ��um�� EXPIRES c�� vaKrN�mn«: :7uci.�,:�n�� , u � �'i jfJlv4f nb ssuiar neee nor ae �o,�W��.e � rn. v�, a ro. on. wndi.d dalers /s�aol o.,4v.) � I cendy �het in the pxloimence d �M wak br which ihu parmn ia eaueE. I Mell ria amploy any panm in vry menner vo u Io becoma wbpo lo Ihe xwtwa' compenWion kvn d Ce4laniq erd qrae Nel p I ahauk bacama eub�ea to iM v.dksn' �n�xiion pmnaum M Seaion 9)00 d Ihe Labor Cade. I ehall tMhvmh wn� � pwvm Deie:/ i Y � s--� ��. ��/�..� -�_ Weminp: F�Ilun ro�xun wortxs' compxwUon rovsr IswNl, and �MII �ibHct �n �mpleyw ro cNM�ul p�naltl�� ib clH/ flros �q ro om huitlrorl Mova�M do/len (SIOq000A�� ro+� ol rompeiu�WM1 demsys� �+povMN br In CONSTNUCiION LENUING AGENCY: I hereby df uMer penetly d parjury thm iMn w e wn%�uqion bnN'p epency la Ne pe�lOrmsnce o11M1e xvM Iar whltl� I�e peiml c eeUeE �Sedion �09]. CH. C�. LENDEP'S N/JIE: LENDEN'3 AODNESS: I canM thet I hero read No epplcetim eM de�e Ihel the ebwe inlarmmion is cartaa. I ep�ee to compy wilh ell dryand oounry adirorcea eM e�ate kwa reimvp lo buiMvg cma�eueion eM Mreby eNhorixe repreaentatrves d Ihb rny to enter upan tM ebma�mentioned properry mrms�am�a�roo�a. PATRICK BROADLICK �. Deie: � � � � (5151de.WP) Whne-BuilEip b SefNy: GraemFle: Cenery-RppYran�: Pink-Revmue; Goldenrod-Nneaaor CITY OF COSTA MESA - HUILDING PERIdZT PERM NO: M 07465 PERMIT NO: M 074653 PLAN CHECK NO: N GOVT: N SUPP: C1 CONSTROCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPTION : REPLACE FAU SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 ! CGMMENTS: FAU REPLACEMENT UNDER 100K BTU PLUG—IN TYPE �**�*�r+�**��*�*��*�#��*+�**�*�+�*+�a�*�**u��c*****x�*��**rt***+�*�*x*x �****a�+�*#*�**�** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------ MAIN BUILDING ---------- --------- ACCESSORY BUILllING --------- FRNT� FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKZNG REQ: PROV: PARCEL: 13909602 ZNE: REF NO: PLANNING NOTES> i 3F iE if iE if 3E if fE if jF �E iE'1E if if if')f if if if if if 1F i(' 3E if iE if iE if iE �k iE if 1f if !E if if 1f iE i41k iE'� iE'IF iE iE 1f !� if !E if if !E IF i! if if' 1f -0E 3f iE iE if if'%iE iE iE �k iE if iE iE if iE if D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S 7.ONING APPROVED BY . BUILDING APPROVED BY : i ..'-! APPLZCATION ISSUED BY: � -i iE �E iE iE 3E iE iE jE if iE * iE iE fE iE 16 3f if 1E if if iE LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLOMBING ELECTRIC MECHANIC PERMIT 12.00 258 PLAN - ISSUE FEE I5.00 FIRE DATE: DATE: ' /D..6`-9�' �*.�°*��.�,�� STRUCTURAL SEGMENT:N SMIP/RES GRADING SMIP/NON—RES BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 12.00 15.00 0,00 27,00 27,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: ,00 pLP�= P�ST PLUMBING ELEGTR.IC MECHANIC FIRE ShiIP/TOT r,RALING PLAN-CHECK 2%.�� I if' �f'1C i'r ft s it 1t tt'It X Y. !t #%� R�Y'I[,7j 1� iE j� if � 3tj� i! p'1[ 1G')k jF ie 1f # js i[ � IE � 3f if #}} iE }t'If � if �F 1t'Jt itj51E {{ IE* # i� #'k'A'k 1!'i[ # IE')f i! ## i,''R 1F iF / rv U �/ 1J U A L t� H kt A 1C ll V W N TYPE �TY D E S C R I P T T O,N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRA�� 'URN <= 100 K BTU 9.00 9.OU MEC L GAS PIPING SYS 1— 4 OUTLETS 3.00 3.00 END OF FEES r'�'� , / 02 9C�153�'�-^G192375 �'t= w ;7.J� t'A'�: i[i,Yo!': Tl��i: �x•lo CONSTRUCTION ANDPLANNING POOL �A APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduii Utility-l)ndrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �� 6. Electriwl UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. � 8. Foundation .' 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe�Undrgmd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System ' 61. APPROVAL TO DECK ' , 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fina� � 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains 64. Plumbing Sysrem - Final 14. R`ugh Plumbing 65. Electrical�Final � 15. Rough Electrical-Conduit 66. Solar SYstem-Final i 16. ftough Electric Wiring 67. Fencing & Access Approvai � 17. flough Wiring Sign 68. APPROVED FOR PLASTERhNG 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAC 19. Rough Heating & Air Condiiion ng FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping � Gas ❑ Oil 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framin9 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Scruccuraq & 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. Drywali Nailing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION 32. Electriwl Power Meter-Final 80. FOOD CERTIFICATE iSSUED ,. 33. Final Electric /�\ Noies: l�._f,_C,� hr-711 6 `�G�A=i--L� 34. Fi�al Heating &%��r Conditioning 1,9 S ��r//�h� 35. Final Gas Pipe-7est 36. Hood or Canopy 37. Final Factory Pireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar �omestic-Final ' 42. Backflow Preventer � 43. Backflow Irrigation 44. Landscape IrriUation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. FINALPLANNING • 49. Electric Release to Edison 50. Gas Release to 5outhern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date , 12�ti0 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX J1� COSTA MEBA. GALIPORNIA For Applieant to Fill In Complefely TYPE OR PRINT AD�RE66 3225 Washington Avenue C057A MESA. CALIFORNIA OWNER �erst Development Co. AOORFSS 1�33 Baker S��iP.Y & TEL. oR Dike & Colegrove, Inc. 1$33 �ker Street Costa Pfesa, Calif. 167293 NEo`KI• 9-1151 bo x 100 I"�. �P a��ione �y� NOW ON 1 U6E OP None EXI6TING BLOG BBTBACK LINB PROM �1 S(JI CeMaw av 9TR88T REAR YARC SIDE YARD LEPT i� IRIGHT �� DESCRIPTION OF WORK NF_W I 6 IALTERATIONI IIAODITIO EXTERIOR WA{,L ROOF COVEBING SLIICCO COVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Single £acnily residence with attached garage. Plan 1t1A I HHRHBY ACKNOWLPP46 TH�T I XAVE RGC THIB MPLIGTION AND BTATH THAT TH6 ABOVE IS CORRECT AND AG 8 TO COM- PLY WITX ALL CITY O�INANCEB AND TE LAW R80UL.ATINO BUIlDINO CONBTRU SIGNATURH OF � � PERMITTE AUTHORIZED AGENT D1iS6 �'. Cr egrove, II1C• APPROVED ZONE R- LPOAL FEE RECE6V�D �,�SEP 1 61960 �FlNANCE OEPT. qTY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only BY o�re COSTA MESA. CALIFORNIA ZONING NO. OP I UBE OP NHW • y PUN82 BUILD�NO W/ Htli LINH 8i.) APPROVED THE AMOUNT BXOWN UN�¢R VALUATION IB POR TXe PUIiP098 OP E9TABL18HIN0 A PERMIT PEE ONLY. VALUA710N PERMIT FEE $ 36• g 16)�1µ�60 PLAN CHECK $ �� F 0 4 1