HomeMy WebLinkAbout2568 WESTMINSTER AVE - Building Permits, � . ,-. ,
� > > CITY OF COSTA MESA
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i`�� 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w�wv.ci.costa-mesa.ca.us
:
� FOR INSPECTIONS CALL: (714) 754-5626
�'°'�� PERMIT NUMBER: BC09-00349
PERMIT TYPE: 8 COMBO
Sub Type: RES_ALT
�oe aooRess: 2568 WESTMINSTER AV CM
APN: 43919215 Zoning: , ,
Vicinity: REAR OF HOUSE
ConstType: V-B SQ.FT: 1147
STATUS: ISSUED
DATE ISSUED: 12I31I2009
ISSUED BY: KJB
Suite/Unit:
Primary Occ: R-3
Valuation: $102,168.80
SCOPE OF WORK: ADD 1,097 SF 1-STORY, A 50 SF FRONT PORCH COVER, AND INTERIOR REMODEL TO A SFD.
ELECTRICAL, MECHANICAL AND PLUMBING WORK. � � '�
REF#: MM-09-11 AND MM-09-21
OWNER: DE BASSIq, DANIEL J III
Phone: 949-650-7530
APPLICANT: DE BASSIQ, DANIEL J III
Phone: 949-650-7530
CONTRACTOR:
Phone:
Cell:
ARCHITECT:
ENGINEER:
Address: 2568 WESTMINSTER AVE
City/Sfate/Zip: COSTA MESA, CA
Address: 2568 WESTMINSTER AVE
City/State/zZip: COSTA MESA, CA
-Address: Unit:
Ciry/State:
License No.
License No.
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $656.56
Building Fees: $1,010.55
Electrical Fees: $185.54
Mechanical Fees: $30.75
Plumbing Fees: $260.10
SMIP Residential: $10.22
SMIP Commercial: $0.00
Bldg Std Admin Fund $5.00
TOTAL FEES: $2,159.02
"f2e(er to (ee receipts for all fees paid for project
License No.
Unit:
;%'i%C�_Q����-3
Unil: :
ZipCode
PHONE:
PHONE:
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NOTICE: The work authOrizetl by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulalions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must wmply with all applicable codes, and all
required inspections and Fnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit.
COpE t. INSPELPONTYPE �ATE INTITIAIS CQOEt INSPEC710NTVPE qOA7E INTIIII�
1818 Fixed System Final Fire Prevention 208 Final Mechanical X /' rl—/ �J
12fifi Pool Spa Final 208 Final Plumbing � L% ��%'�� �
200 Final Re-Roof 270 Final Electri�l 1 C-'1 �i l� C�
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Pla¢e 220 Final Planning Approval �
203 FinalSign 222 FinalSite � -;!;` `.•�a"�
204 Final Demolition 250 Final Builtling/Occupancy
/ �
WORKERS' COMPENSATION DECLARATION:
I hereby aHirm untler penalry o( perjury one of the following declarations:
❑ I have and vnll maintain a ceAifcale of consent to selhlnsure for workers'
compensation, as providetl fqr by section 3700 of the Labor Code, for the
performance of the vrork (or which this pertnit is issued.
❑ I have and will mainiain workers' compensation insurance, as requiretl by
sectbn 3700 of the Labor Code, br the perfortnance of the work for which this
pertnit is issued. My workers' compensa�ion Insurance carrier and policy
number are:
Carrier
(This seclbn neetl na be complelptl qthe peimG is valuetl at one nundretl tlollars (5100) oi less.)
licy umber:
I certify t�at in the peAormance of the vrork !or which this permit is
s etl. I shall not employ any person in any manner so as to become subject
ro the vrorkers' compensation laws of California, and agree that if I should
become subject to the vrork pensation provisions of Section 3700 of
t�(a� � � ha omply with [hese provisio . �
( � Applif2nl's Signalure Dale �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL. SUBJECT AN EMPLOYER TO CRIM1IINAL
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, IMEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS pECLARATION:
I hereby affrm Iha� I am licenged under provisions of Chapter 9(commencing
with Section 7000) of Divisio� 3 of the Business and Professions Code, antl
my license is in full force and e(fect.
Lic. # _ Class #
Conlratlor's SignaWre Date
CONSTRUCTION LENDING qGENCY:
❑ I hereby aKrtn ihal lhere is a constructbn lending agency tor the
per(ortnance of the v.ork far whlch this pertni[ is issued (Sec. 3097, Civil Code).
Lentler's Name:
Lender's Atldress:
Date
OWNER•BUILDER DECLARATIONS:
I hereby aKrm that under penally of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LqW (or the tollowing reason (Sec. 7031.5,
Business and Professions Cotle: Any ciry or counry which requires a permit ro
construct, alter, improve, d�molish, or repair any stmcture, prior lo i�s
issuance, also requires the applicaN for such permit to file a signed statement
Ihat he or she is licensed pursuant to Ihe provisions of the Conlractors
�icense Law (Chapter 9(commencing vrith Section 7000) of Division 3 of Ihe
Business and Professions Code) or Ihat he or she is exempt therefrom antl
the basis (or the allegetl exemption. Any violation o( Section 7031.5 by any
applicant for a permit su6ject8 the applicant to a civil penalry o/ not more than
five h tlretl dollars ($500).):
I, as owner of the pmp0rty, or my employees wilh wages as their sole
co pensation, WILL DO THp WORK, antl the sWcture is not imentled or
offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner ot property who builds or improves
Ihereon, and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of
completion, Ihe ovmer-builder will have the burden of proving that he or she
did not bui10 or impmve for purpose ol sale.).
❑ I, as ovmer of the pmperty, am EXCLUSIVELV CONTRACTING WI7H
LICENSED CONTRACTORS to consWct the project (SecJ044, Business and
Professions Code: The contractors License Law dces not apply to an owner of
pmperty who builds or improves thereon, and who contracts for such project vnth
a contractor(s) license pursuant to ihe Contractas �'cense [aws.).
�
Ovmer ID venfied by dnve� ., iicense; ❑ Yes j 0 No
Driver's License No. Fycpires; `i
Verifcation of Ownership by (lype o( documenl, i.e. - property lax bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATtON:
❑ I hereDy certify that no excavation (rve (5) or more (eet in deplh into wfiich a
person is required to descentl, will be matle in connection with work authonzed
by Ihis permit, and that no building slructure, scaffdding, falsework, or demolition
or dismantling ihereot, will be more than thirty-six (36) feet high. (Chap. 32, Gry
2, Ar12, Sec. 347, Title 8, Califomia Adminisl2We Code).
❑ As ovmer-builder. I will not employ anyone ro do work which would
require a permit (rom Ihe Division o( IntlusMal Safety, as noted above, unle55
such person has a permit to tlo such work from the division.
Applicanfs Signat�re Date
Division of Intlustrial Safety Permit Numbec
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fWure builtling occupant neetl to file antl
certily a Business Plan (or emergency response to release or threatened
release ol a hazardous malerial? � Ves ❑ No
(Seclion 25505 of lhe California Health antl Safery Code requires, with some
eaceptions, that a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time during a reportetl
year a quantiry of hazardous materials equal ro or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas
at standard lemperaWre and pressure).
2. Does or will the applicant or presenl or (uture building occupant need lo file
a regislralion form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of Ihe Califomia Health and Safety Code. with some
exceptions, requires registration wiN the Cosla Mesa Fire Department by
each business which at any one time has on hand a quantity of aculely
hazardous matenals equal to or greater t�an a weight of 500 pountls, or a
volume of 55 gallons, or 200 cu6ic feet of compressetl gas at stantlard
temperalure and pressure).
3. Does or will the applicant or present or fulure building occupant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazardous materials�? ❑ Yes ❑ No
(Section 25534 of Ihe California HeaIN antl Satery Code provides that the
Costa Mesa Fire Department may require the preparalion, certifcation and
fling with the Fire Depariment o( an RMPP by businesses which are required
[o register awtely hazardous matenals with the Fire oepartment.
4. If an RMPP is presently requiretl, has Section 25534 of the Califomia
Health antl Safely Code been fully complied v+ith? ❑ Yes ❑ No
5. Does or will the applicant or present or (uture building occupant require for
lhe work which is the subject of lhis application a pertnit for such construction
or modifcation from lhe Soulh Coas[ Air Quality Management District or from
any other air pollution control distnct or agency? ❑ Ves ❑ No
(Section 658502 of the Califomia Govemment Code requires that the requestetl
informalion be tumished on applications fa non-residential building permits).
6. Will any part of the facility to be constmcted under this permit be wi�hin
7000 feet (rom the ouler boundaries of a school? ❑ Yes ❑ No
pf'yes", ihe faciliry must meet Ihe requirement o( Sections 25534 and 42303
of the Califomia Health and Safery Code).
7. It a Dermit from lhe South Coast Air Qualiry Management District or other
air pollution wMml tlislrict or agency is required tor the work which is the
subject ol this application, have all of the disclowres prescnbetl by Calitomia
Health antl Sa(ety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf "yes", attach certifcate o( compliance from the appropriate air pollution
control olticer�.
CER7IFICATE OF COMPLIANCE: I certi/y that under penalty of perjury the
information given above is cortecL I agree ro wmply with all sWte laws antl
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry o( perjury that I have read this application antl state that
❑ I am exempt under sec. lhe intormation qiven is correct I agree ro comply vnth all state laws and ciry
ordinances relating to building conswction, and authorize representatives of
Business and Professions Cotle for Ihis reason: the Cily of Costa Mesa lo enler upon the above-described property for
inspection puiDoses. I agree not to occuDY or allow occupancy of any 6uiltling
authorizetl by this permit until final inspection.
I2 3I � I S' na� r o ega r ate
$19naWre Date / �
�(I d61��) �� Antllw AplM1w�zM APd��nt Dale
, np . .h!:,
,. . . .. ' • 1. � � ...
� . •
NEWPORT-MESA UNIFIED SCHOOL DISTRICT
CER7IFICATE OP COMPLIANCE OF DEVELOPMENT FEES
PURSUANT TO AB 1600 AND AB 181
To: (x) City of Costa Mesa
( ) City of Newport Beach
( ) Counry of Orange
Applicant:
Address:
� �CcSSi Q
Telephone Number: I T� �' � Q� u—��� U
TracUParcel and Lot Number(s): �,"T/ - i 9a - �5�
Location of Project:
Number of Square Feet of:
Residential Space
Commercial and
Industrial Space
CommerciaUlndustrial Project is: (Check One)
�
Warehouse
R8D
Movie Theater
Mini-storage
Heavy Industrial
Regional Shops
Light Intlustrial
This prajed is exempt because
/D � ! x 51.84
x 3 .30
_ Motel
Bank
_ Neighborhood Shops
_ RacqueUHealth
_ Hotel
Medical Office
Oifice Park
il'==�Y�L{i�l',;�'{L*.Rfi,..�i:�:�rj{;?'' '
( S,,.vey .F � - iYY':. .
��1:'::��'���=y � ;
N� 6956
DisUid Receipt No.� T'1""/ V�
Plan Check No.1.W�����r/
Total p� � � �. T �
Total
Preschool
Auto Repair
Hospital
Large Otfice
Office Bldg.
Restaurant
FastFood
this certifies that the above-named DevelopedApplicant has paid schooi faaMy fees in comp8ance with Government Code sections
53080 and 65995. The Building PerrtiLs for this square footage in this proposed development may now be issued by your jurisdic6o�.
Checks are to be made payable to NewpoR-Mesa Uni6ed School District.
AWaraed
The above representatlon as to square footage is We. Appticant agrees
true, then this certificate shall automadcalN terminate arn
Date: I ! 3� �
th�t it it is later determined that such rebte�nta6ons are not
S/
10/7/09
To: Mr. Charles Chamoun
Plan Checker
City of Costa Mesa — Buildine Department
77 Fair Dnve
Cosca Mesa. CA 91628
Subject: 2568 WestminsterAvenue, CostaMesa
Residential Remodel/Addition w/ Garage Relocation
Garage Retocation Ylan Approval
Dear Mr. Chamoun:
i 18'I—e" _.:t
�
Thank you very much for takine the time to help me with my garage relocation plans.
This letter is to euazantee compliance with all current building codes witl� respect to the
garage reloeation. I offer this guarantee as a safety net ta the City for anything that may
get overlooked because of the expediting of my plans.
1 hope this guarantee along with the corrections to my plans satisfies the City and we can
move forc��ard. If you have any questions or need additional information please let me
know.
��
G���
Daniel . DeBassio III, P.E.
Home 949-650-7530
Email ddebassio n ca.rr.com
Enclosed: 2-Copies MF-1R
2-copies garage reiocatian plan
2-copies earage eiectrical plan
�
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oxrhxar+weiva+arr+:TAYLOR DORIS F TR
.oaness:966 MA�GELLAN ST
COSTA MESA,CA 92626
APPL. YNIlNO �OOflE54:
ARCNRECT OP ENf�lFFA:
PCH.ON ENO.'4 �DDRE55:
�orm,�cTarSw�MIKE DIAMOND PLUMBING
camucroxsxuur«+ 3022 N HESPERIAN
���SSANTA ANA
92706
4CENSED CONTfl�CTOH9 DECL�f1�T10N; 1 Mroby dlim uMa penaYy d perj
(cwnmenciq wnh Section ]WO) d Divieion J ol iAa Buvinen eiM Prdmeiona Cod
cm uc. No.O 6f17 �.9 uc. cuss:C 3 6 uc. No./79
u�: CITY OF COSTA MESP - HUILDING PERMIT
PERMIT N0: P 081040 PLAN CHECK NO: N
CONSTROCTION TYPE: PERMIT TYPE: PLU
uc. no.:
UNT:
(714)541-9753
CA uc.�.:399170
UNT:
ury II� I em IcaneaE uMx pwi�iom d Cheqer 9
e. ud my liceme ia in eflee.
9179� P : 0 4/-9�7
WNEN BUILD�R DECLAN�TON: I hereby e1Nm ivMx peWy� Iw n q han �M retlav Limse lew la IM
�mapl (.$pG�qn i(K11 S BufMt� NM PfO�OmM1t GCdl: A C�y R vAliJl RQU�W e C 10 Nutrutl. 9�M. �mptlA.
emd'eA, a repv eiry awnwa, qbr b es evience, eYo rpurm � epplimn� 1 � to R sgned eletemenl thm he a she
YcaneeE WrniW to tM prm�vione d Ihs Conirmors Linnaa IChepr ( em Smion ]000) a�'cion 3 d IM
Buriirow aM Prdaviom Cotlel a ihu M a eM u uemq Ihsehum eM IM Edis la Ne elbpeE memqion. My vialetion W Setlion
)fp1.5 by eiry eppliunl lor a pxmA wbpds IM appliuN lo a tivJ pmdry d rol maa Ihen frve huMred doAen �5500�).
� I.eaowmrWlMpropenY«mY�V�W�e�hwapasmthaiedemmpenae�bn.xillEOlhaxak.vdNeavuelu�e4mlimeedad
a aflmeE la eeb (Sraion )Ou. Bua�m end Prduaiom Code: Tha Contrmm lioerae law dma nd e00N Ioen o�mer d piopxly
who buide a inpwes �hemm. mE Mn Eom �uch xMlvm+etl a M1see� a MrauW h's a her mm smPblM*. po+� �hm wdi
imG�meNe xe ml iivrded a dlaeE la ub. tl. howew. the bW1in0 rc inpv.anem u mtl wuhin ms Yaer d mnG�un. tM
owmrbuitler wtll heve �M buNm d pwirq M a ehe Eitl nd GriM a impws la iM prtpme d+ab�.
� I. m ormx d the propdtY. un mdur✓/ murm�q wh GcsuW mwecwe m mumn Me p9� (5eaun 1D1�. &ninroa eM
PNaamu Cade: The Comroam L'cross lew doas na WM' n en owner a D�O�Y wfu bwiCa « vnp'wm �hssan anE wM
caveaa 1« aiN pd� wdh e mmmaMe) Ikerosd w�+�v+ io �M Caurae«� Liwma l.w�.
❑ I em aasnq unds Secfim: B. 8 P.C.. br Nu naaon:
Dme: Ow+w:
i eo �«eM uMr uw i em..�. d.�w ube�iene me na��«m a cmiomie Heean d,a sden caa s,c�. uws. zsss+..�a
2555a. vq the� I a xry Mun buiMirp omipent will / wll rwi (rirch one) nsed io canply wih eeN mle mdee enE iM reQuiremmb br
e pamn IorcanaVucUonw modi&slianhamlM Ai�erepe�mnt Oimrid. RedEenlW wmwun eppirmioreersezemq Irom Noa
a�.
Dma: Appli am:
WONKEP'S COYYENS�TIOII DKI�N�TON: 1 hxaEy e1f udr paroYy d pxp�y ar d Ne bYowip EWumioro:
❑ I hew eM r�J me'viten e emNiuls d m�uem to eatl�ivwe tor xakan' oompwndion. n peoMed Iv by Sarmn J100d Na Lebor
Code. ln �M OMm�unca d tlr xak la whic� Uin D� u weued.
X� in..�.w»u��.o�k«.��o���.mnv��dMs.dma�aowm.�e«coe..ro�meo��au,e
WOIY. �Of W�IYlI �10 Ve�ll M ItlIMd. �' WRMO � GIIQ �Ci�i' MITbB! YB:
�,,,;,,, ��'���'���E.` EXPIRES
va� N�mw: - O 1/ 01 / 9 S
'Thia eecfion neeC nof be cwnpbred! ths pwmi n la one hurrdmJ EWlen �Y100/ a Isu.)
n� becomel qn�tlI OGey�oimen�y d�C�Porwiion lewe d �°1mil ie �. I iM1et �I I^ Y mo t���a
rnmpenutiqS �ia„y6na d Sedon 2l00 d �he lebor . I ehdl 1 � oom
DESCRIPTION : REPLACE GAS LINES
IM VALUE: CALC-VALUE;
PERM NO: P 081040
GOVT: N SUPP: t•1
PURPOSE: GTfI
SQ FT:
GROUP OCC: R-3 /
MENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT
�*�*x*���*�+�+��*�x�*�**��*��**��*+�**���*�«***��******��*x����*���**�c-***+�*���«*
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 BUILDING ---------
T: FT IN kEAR: FT IN FRNT: FT IN REAR: FT IN
T: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
KING REQ: PROV: PARCEL: 42514318 ZNE: REF NO:
NNING NOTES>
i
D E V E L O P M E N T
ZONING APPROVED BY .
ILDING APPROVED HY :
PLICATION ISSUED BY:
LEGALIZATION:N
BLDG PMT
PERMIT
1f 1E iE iE �f iE 1F jE jf iE iE iE 1E �E �E �f fE iE fE 3Elf �k 1E fE 1E IE fE 1E 1E jElE iE 16 if 1E 1f iE jf if iE IE 1E fE 1F iE �E iE 1E
S E R V I C E S R E Q U I R E M E N T S
DATE:
F E E S U M M A R Y
PLUMBING ELECTRIC MECHANIC
8.75
25E
DATE:
DATE:
� � �
�F�FikiklElEfEiE�EiElE'1E fEff�
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON-RES
SSUE FEE 22,00
UILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
OTALS----> 8.75 22.00 0,00 30.75 30.75 ,00
EVENUE DIVISZON TOTALS--> COLLECTED: 30.75 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN-CHECK
30.75
iE iE IE jE 1f 1f Ib iF'IE if 1E 1f iE iE if if ik if iF iE ih ih ih iE ik ff'%� iE 1E 1E iF iE iE �f'if 1E iE iE if iE if iE if iE if 1E iE if iE iE iE if 1f 3E 1E'1f IE IE ik iE IElE 1f iE iE iF ih 1h 1f')E IE 1E iE iE iE if fE 3E
I N D I V I D U A L F E E B R E A K D O W N
`� TYPE QTY
W�minp: Fsll n ro• un work�ri compwwtlon me�p� b bwNl. ��M • ll f�cf en �leyr ro MM,vI pen�ltlp �iM
cnn nnu ,y ro wr. nind.w rrounro eaun !st%000A �n �aon ro rn� r a� n d+m.W u povie.e ror �n
3xtlon 9106 0l Ms labor Cob, Infrul. �nd etrom�yi fsa. F] L(j
CONSTRUCIION LENDINO ROENCY: I herob/ elfirm uMar pe�aly d pmNN �� �� u e oonm�wbn bMi�p epezy /a Iha
peAormeMa M ihe woAc tar which ��e pemiY ia ewetl (Sed'on 309). Lrv. CI.
LENDEfl'S NU.1E:
LENOEP'S ADONE59:
I cenM thm I heva neE iM1u epplcvion enE qde the� �he ebwe iMammion ia cormd. I epree io compy xilh ell tlly eM coumY �inenw
aMstelekvnlele�iqtoWJtlipeonprueioneMMreb harte�peaentelrveedlhodlYro�tsupontMebove�maniiorieEpmperry
'°""'°°"'°"°"'°°°°�tOSS DW )
r /. � �/
� �°�°;� o�a � � l9�
preeMFle: Caru�y-AppFani; Rnk-Revenue; GolEe'vod-Rnu�a
D E S C R I P T I O N
1 GAS SERC'ICE
END OF FEES
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UNIT COST TOTAL COST
8.%5 8,�5
81-86-1997/12:46 GH/f3b.75
RCPTq:01-A600077
PEkMIT:081040
CONSTRUCTION AND PLANNING � P����PA
APPROVAtS Permit # - Dete Inspector AppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole- 52. Pool & Equipment Location . -
2. $oil Pipe�Undrgmd. � 53. Steel Reinforcement
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. . 55. Electrical Sonding
5. Steel Rei�forcement 56. Rough Piumbing & Pressure Test
6. Eiectrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
B. Foundation . 59. Gas Pipe, L7 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrqmd.
10. Structural Floor System . 61. APPROVAI TO DECK �
it. Property Sewer Line & HouseConnection 62. Back4vash & Receptor•finel
72. Sewer Cap 63. Heatei & Vent�Final
73. Roo£ Drains ' 64. Plumbing SYstem • Final
14. Rough Plumbing 65. Electricai�Fi�al
15. iiough Electricai�Conduit 66. Solar SVStem�Final
16. Rough Electric Wiring , 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & AIr Cpnditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Struc[ure 70. Underground Hydro
22. Ducts, Ven?ilating 77. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test - 72, Underground Fiush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oii
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structura1l & Monocoat 75. Ory Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing&Siding 77. FIXEDSYSTEMFINAL
29. Insulation 78, fIRE PREV. FINAL
30. Drywall Naiiing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterPina� 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-F�nal
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow hrigation
44. Landscape 7rrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAI PLANNING
49. Electric Release to Edison
50. Gas Release to Sou2hern California Gas Co
51. CERTIFICATE OP OCCUPANCY
No. Date
'r
�oonEssaam�uc+a 2568 WESTMINSTER AV
a�,hasrw�eiviuiavn TAYLOR, DORTS"F' iR
�noness 966 MAGELLAN ST
' �` COSTA MESA,CA 92626
�vr�. �una+o mo�sx
uNr:
1$'J
urcxrtecr on wmi�nn: uc. ra.:
I�RCN.OX EN4'S AUIXiESS: UNf:
�w�m��Tan.sxw� MIKE DIAMOND PLUMHING ( 714 ) 541-9753
cwm�croxs�uiwo 3022 N HESPERIAN .
�oo�ss:SANTA ANA CA ��,�., 432734
92706 uM
4CENSED CONTH�CTONS UECLAPATION: I Ameby Wim untler paie�y W peQury Nm I em Ilom�mE u�Wer pwirims W Chaplm B
(wmm� wn� Seciion ]000) d Drvivion � d IM B�aineea vd Pmiaseione Code. eM mY �nse u in lull lace eM e1teW.
C�rv .N,064799 uc.cuss:C 36 uc.No.:432739 EXP: 04/97
I�o , - - . .G ��a ,u,°k.� D;��� �o
NE BUILOEH DECIANATION: I herab/ df uider paWy d perjvy IIW I am uemq Imn �he Cpweqm Lbwue law Ip tlro
Yo ' ievm (Setlion )031.5 &nnea+md Rafwimi Cada: MYW rc ouauY wfiid� nC�� e O�e to muwf. eEr. "unpwe.
alBh. p rper enY nrucfwa. por b e� uvuenca. ebo feVam �M WWreni far wch G�t ID fib e Wned eteteme�q Net he IX ahe
w IicenseE W�aunl lo Ihe po,'niau d the CaMredon Licenx Lew �Cheqa 9(mmmenenp xilh Sedion )000) d Diveion 3 W Ile
1Buairen ard Raleanm CoMI a ihet M w ehe u a�emP �AwaM1an ark �M bem la tlr eCWb ssmmqion. Am'vidmion d 6eeian
�W I.5 by erty xpp4am la a parmi uApaa �M eppli sM lo e dvi penely d ra maa �hen Ma NW�eE da0en RSW�.
�•-1. m o�.ner diM poperry a my ampbysn wYh wepea n tMi ede mmperuetion. willdo ths Mwk, md tM ewcwro e m� imeMeA
a dtmed b We ISeciian lOu.Buri�nv ud Prolaee'vn Code: The Cwradas Limnse lewEoea �wl eVdYb en owmrd pW�Y
»no e�am «mwo.e. in.�ea,..�e .ro ma..w� ��.en «naw � w«wn ne w n.� o.�, «oo�.. wowae inm .�d,
'unpwa�mb me nol uMMad u aflanE la eeb. tl. hows.er. tM bwtluq a mpaanem u wld rm�in ons Ym d can0�ion. ihe
awmrkutldr xill heve iM WNen d pwiip ha a eha Ek nol dnN or imqove la the purpne d We�.
❑ I. m o..w a ine wwMv. em uauweM conina�0 wGh limnsad wno.cbn ro aawua ur wqb (Seaion 1a+. Bus'v�wa aM
Prdemoeu Coda: TM Lontrmae liearua Lew tloes no� epply to en owror d papMy xho buik� a imqwp Ihmson vd xfn
wnlractn for eutli qqecU wiih a wmreaoHe) Icsnaed WnueM lo iM Camrmon lioerue law).
� I em exemp uMer Senion: B. 8 P.C., /m tha reeaon:
Dab: Ownv:
I Eo hereby carlity Net I em ewue d vd uiWenleM IM repuiremeMs W CelLomie HaMh eM Selery Cade Seaions 25505, 255]3, erd
T5536. ard Uat I a eiry tulwa buikvq mupem xill / wil rwi (arcb are) mad to camply wiM1 uid ntle codx ud iM raquirsmama M
Dma: ApWce�a:
WOPKER'S COMVDISATON OKL�R�TION: 1 MnEy elfirm uder pmMy W pe�pvy ans d tM bbxfrp dsderqiwn:
� I hero eM N meime� e canE'rds d awment io vaXim�n br xakse' campemtlbn, o prwidetl lor Dy Sedian �100 d IM lebar
Cods.la Ihe pMmmrca af Ihe wak la wlich tlua pemd u ivued.
i n�..�e w�v� .onw.• �o.�o� �.,�... �.mm.a w s,c�, mo a me �n« coe.. w m. w�«�. a u»
,.� i�.nw� mm o�u m n.�.e. Mr .�.G���ym���.p,�a °akr �.,me., de: E X P I R E S
vw� �mn.� O 1/ O 1/ 9 7
(Thr senion neeC ial 6e cwnpbro0 ) IM prml ia la ms hund�ad dd/an �SIOOJ w bu.1
❑�I cenLY � in ihe perlmnvica d �M wM 1« v.Ach ihis pamn u's�ued, I ehetl m� employ erry perwn in eny manner o av lo
wbjm �o IM xwMme' oompnwion 4xe d Cefdamia. vM aJree Nm i I MwN bxwm wbjsa m �M xarlmn'
'�mpanmtion perniaiom d Seeion �]00 d iM Lebor CaEe. I eheA IM�wnh oompfy Mith iMn�,y^���
�a: / — — Aow��;��,✓�N/%D NLc� �' 2ol-F'7
m p: FaNvn ro ucun rorkwi rnmpwwtlon corerap� la w1ewM, uW Msll r!/�et an wmploysr fo MMIu/ psiuMa uM
� Irc, up ro om hWroA fhouuM Jal4n lS10d,Od01. M eWitlon ro M� ewt ol rorr�wruetbn ��p� �� pA��� br In
Srotlm J]P6 0/ M� LNor Cod�. Inhruq md ettomsY'a /wa
CONSTfiUCTION LENDINO �QENCY: I hweby Wrtn uMx pxuCy d{wjvy IMt IMn u e amprvtlion WNiep pmi.y br tlr
w��aw a me wn �« wnid, mu o«m� m aa,ae Ismon aoe�, cw. c>.
LENOEN'S NAME:
LQlOEH'S AODPE55:
I cently thet 1 hew feeC Nu xppfcNian W uele �hm tM ebwe intmvtion u mrtq. I apree to conply wqn M�Yy eM couMy pEmvaea
vd a�e bws relmip io WiMvq cam4uCon end hmsbY euthor¢e �epreaenlelivea d Ne dryto eMm upm tM ebove.mem"vrd paperty
�« ��patl� p1D°°°' F ERNANDOMORENO
5151d6.WP) While-Buildnp
Dme: /2 � ��
Pink-Rewnue: OddenioE-Mmaa
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 081014 PLAN CHECK NO; N
CONSTRUCTION TYPE:
PERMIT TYPE: PLU
PERM �10: [' U8101.4
GOirT: N SUPP: N
PURPOSE: OTH
JOH DESCRIPTION : REPLACE GAS LINES SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
���**�*�******�**u*��***�***�****�******�*�**��*�**+��+�**�*�x****�*��r�*��*���r**�
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 BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42514318 ZNE: REF NO:
PLANNING NOTGS>
� '_
iF 1E 1f ik iE iF If iE �E IE 1E IElE 1E ih fE if 1E �lF iF iE iF iElE 1E%fElE!! 1E 1f IE �E'lE IE 1f iE 1F 1E�k 1E iE iFlf 1E ik iE 1f iE �lE if 1E iE If 1E'lE iE if �F # ik iFlE if iE iE 1f i! 1E If �E j(' 1F 1f iE iflE'1F �(-
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
ZONING APPROVED BY •� DATE:
BUILDING APPROVED BY : DATE•
APPLICATION IS
if iF iF if 1E iE If 1f 1Flk iE iElf if
LEGALIZATION:N
BLDG PMT PLUMBING
PERMIT 8.75
258
F E E S U M M A R Y
ELECTRIC� MECHANIC
�. �:.
FIRE
DATE: � �
lFiEfE1EiE�EiElEiE �0
STRUCTURAL EG ENT.N
SMIP/RES GRADING
SMIP/NON—RES
PLAN '
ISSOE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CIiECK TOTAL PAID DUE
TOTALS----> 8.75 22.00 .y, 0.00 30.75 30.75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
30.75 ,
�*x**�+�+�***��****��t�**�r�+�******x�*******x***�*****�***��rx�*****�*+��*�x*�**x*�x�*x�*
I N D I V I D U A L- LF'E E B R E A K D O W N
TYPE QTY D E S C R I P T I O__N/�.;. UNIT COST TOTI�L COST
`� .
PLU 1 GAS RE—PIPE - • 8,75 8.75
END .OF FEES
oi aania2o-oo2zia2o ro-r ;o.?s
DATE: 12/31,�45 TIItE: 15:19
,
� PC � SPA
CONSTRUCTION AND PLANNINC� .
APPROVALS Permit # � Date �nspector qPpROVALS Permit # Date InspeEtor
a
1. Temporery Eiectricai Service or Pole � 52. Pooi & Equipment Locatiom •
2, Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrrnl. 54. Forms �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
5. Steei Reinforcement .� 56. Rougb Plumbing & Pressure Test
6. Electricai UFER Gmd. 57. APPROVAL TO COVER•GUNITE �
7. Footings 58. Electrical Conduit-Undrgrnd.
, B. Foundation 59. Gas Pipe, O Undrgmd., Test
, 9. Water Pipe•Undrgrnd. � ' 60. Backwash Lines, P-Trap, � undrgmd.
10. Structural F�oor Svscem .. 61. APPROVAL TO �ECK .�
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap 63. Heater & Vent�Final �
13. Roof Drains : 64. Plumbing SYstem • Final '
74. Rough Plumbing . 65. Electrical-Final � �'
15. Rough Electrical•Conduit 66. Solar SYstem�Final �
76. Rough Eleciric Wiring ' 67. Fencing & Access Approval
17. Rough Wiring Sign . � 68, APPROVED FOR PLASTERING
18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE OEPT. REQVIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Nydro
22. Ducts, Ventilating 77. Product Pipiny O Gas ❑ OiI
23. Gas Pipe�Rough & Test 72. Underground Fiush
24. Roof Framing 73. Undergrnd.StorayeTank �Gas OOiI
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidin9 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT, ftEQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Finai 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:�_c�py �_��_�e � (� h J
Q �>> �> � v
34. Final Heating & Air Conditioning
'q$_�? CoRR�CTLr� 11_oi.�C�--�,1/_�
35 Final Gas Pipe�Test �-9-�'i �� �_l=9 "� F I N �4� I z E p �/�(
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomestioFinal
42. Backflow Preventer
43. Backflow Irrigation .
44. Landscape Irr(gation System
45. Sound Attenuation
46. Handicap Reguiations
47, FINALSTRUCTURE&BUILDING
48. FINAL PLANNING
49. Electric Release to Edison ,.
50. Gas fielease to Southern Califomia Gas Co
51. CERTIFICATEOFOCCUPANCY . --
No Dace
�ow��B��� 2568 WESTMINSTER AV
�s""��R�": TAYLOR, DOftIS F TR
��� 966 MAGELLAN ST
COSTA MESA,CA 92626
�rv�. �uuao �oox�ss:
uNr:
u�cxirccr ox enaxvn: uc. no.:
UKN ON FNd'S AOOHE59: UMT:
c«mu�Ton'gru� ROY CHAFEY ROOFING (7141636-1797
eann�cmn+��w+o 9692 LUDERS AV
�ss: GARDEN GROVE CA ucw: 556624
92649 uxr:
LICENSED COMRACTOFS DECLRFATION: I Aereby eMim uMer penetly d pe�jury thm I em licenaed wrb. po.:ame d Choqm 9
(mmmemrp Milh Sepion )000) d Divbbn 3 d IM BuN� �d Vrdaeiona COEe, enE my Iloenw b in IWl lau end sMaU.
+0.:025615 ��.��^Sg: C-39 uc.No.: 556�6J�4 E} P: 07/97
e
''b: �% co�vm«:�i�.. sL'
i �
VE UIlOER OECIAN�TION: I Fweby dfirm urde� penMy d perjury ihal am ezamq /mm iM Con�rmon Liroms lew la IM
' 0 esewn (Setlbn J0.91.5 &niims end Rotmei0�e Coda: �^Y UY ar cauM' v.fiid� raV�uip a Vs�G to mnshu[I. etls. Mpp1.
d"nh. a iWei mY aWctwe. p'v b es iawm. el� �W�� �M WV�'e�Y tar wrli 0� to fJe e uY� mtema4 tlW M a�ha
e�.e w� �o me aw� a ne coH�eor. u�� �. Fnap« e(oommd,a�a .un s.a� rorol a u.:o� a a n,.
e�...�e a.ae.:w coe.l «mm i» «.ne e�a�a me� �e m. e.,�. �or u» .a�e a.a+wo�. Mi Vowo� a sw�
)031.5 by erry epp4rent lor e permY wEpda �he epplira� to e a`il peiWly d na mva tAen liva Mu�dnd ddWa �fSWp.
� I. e� Oxnef d Ihe propanY Or my empbyees wth w6pae es IMi ede mmpanaation. rnll do tM work. eik IM stnwturo u� iNended
a oflere� fa eele �Section )6as, Buvrea end Prdoasiona Code: The CanVepon Liconae lawdoea rot eppty�a an oww ol prapMy
.ro nae. « mn�w., in.�o�, �,d wno eo� .�h w�x w�.n «n�a� «m,wan ne � na ow� �o�w�+, w� �nm .�n
impwameme ere mt interded a oflereE la eele. A. M1�'�.Ihe Wiqiip a inpwpnem b eold vrithm an ymr d mmpbion, Ne
ow�wr-0uitlw wJl heve iM WNm d pwiiq M d� db ���d a impews lar IM pu�poea d ub�.
� I. n owner d �M P�W�Y. em eRfheirM' aontied�0 vmh liransad wntrMae to conmua Na pol� (Satlion ION. &ninms enC
Proleaiorm Code: Tha Contieaaa l'canx law d� na eVVN w en owmr d pW�Y rAn buYa v imV�'m IMrson uM Mn
eomreeb la wtl� proppe wuh e mm�mw(e) lieeneed WnuaM to tM Comrmoee Limnee lew�.
❑ I em esemd uMer Sectim: B. 8 P.C.. br Ne rumn:
i ao n�renr �.nM w� i em e.ae d.m �,�am.w,e me �.cw�,�. a ca�ao�,r ww�.na smar coee seaion, uws. nsa�..�a
2553C. aM iM1Y I a anY M1�un Wikiip ¢wpnl will / wil M(drcb one) �eed b canp�' wh eeA tlela md� eid IM rp�inmanb M
e pe�mn laoonelNcibna moEifiralianhantM �iaueTiy �erepement Dialnd. Ruidemid mMrupion eppimtionaen exemq Irom tMes
prwisiona.
Oa1e: Appcw:
WOHKEN'S COMVENSATION DKWIATION: I MreW M� Wd« W�e�ly M psjW me tl tlp IoOorriip dstlaratum:
� IheveeMwilmeinienemnAwedmmentio�W+ro��a��e�e'canpenwon.epvritlsElabySetlion3ro0dtMlebv
COM.In �M pertormerce d Ne xoM la wlw:h I�u prmi� u ivued.
I hew aM wJ meinlen r.vlwY mm0�ion'vuurara. a iWw� M Safion ])00 d tlr leba CaGs. br tlr P��W� d tM
_ work lu Mwi� thu W� u mued. MY xalun' o'+mV��ion imuranee artise mtl D�Y mimbar ms:
cdd..: G'i'ATF FITNTI EXPIRES
PdicyNumber. Aac�_yinnirrnn��ai O1/O1/98
(This secliar need na 6e rompbfed I Ne pennl ie lor Me hundietl dd/as /510J/ a Iw.)
❑ I cMily �hN in ihe perlormenw d IM wak Ia vMk� thie permn b ieaueE. I�hell ria empby a�ry penon In ury manrror �o n to
become euEjee io iha xakne' companwion lewe d Celilomia eM �ea ihtl tl I elwuk bec q a y ea lo �M r.orken'
�/ ion pwiaiaw d Sxfion �)W d iM Lebor Code. I e1W11� cpnp�y �' :Ep i6 /
/me� _ / /� �/-. AGV��: .
�
,I,dm:F.n,.ro..��,..om..•rom�,.,�.•ae�m.�w.w�.�„n.�.n,i. erwi.�el.a.o. im�..mw,.+,w�»roe.�a
c/vll Anu ,p b om hlnErW thouuM tlo/Nn (SIQ0.�A In rH/tlon ro fM eaf o/ ro�vruetbn, tlemspn u povMM br N
Sxtlon ]]P6 oI1M LNor CorY. Iirtem4 ���mIY's M1u.
CONST(iUCl10N IENDIN(i �6ENCT: I haaby e1Nm urder peiWy d per'ryry Ow thrs e e odwiuccn bndvq q�w�cy br tM
oen«menm a ine.�uk ia .nd� m: w�� �=.�d Is.ao� aos�. cH. cl.
LENOEP'S NAYE:
LENDEfl'S �DDPE55:
I canily ihel I Mve roeE I�e epplicetian arM pme Ihet Ne elwe iMwme�bn u cmrM. I epree �o canpN �h all cry mM coumY ordiroricae
enE stae levn Mpip io buik�q cmWueion erd MreEy euiMixs �eprmentetivea d ih'v ary W eMer upon tM ebore�mmtionsd qoperry
la impetlon Wrpoees.
ROY CHAFEY
P _ �%�� s7
/� Dma: /
- sq� a
(5i51dfi.WP)
v�k-a�,�:c3dde���..�sm.
CITY OF COSTA ,1ESA - BUILDING PERMIT
PERM NO: B 083760
IPERMZT NO: B 033760 PLAN CHECK NO: N GOVT: N SUPP: N
,CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
JUB DESCRIPTION : REROOF OVER EXIST. COMP. W/1 LAYER COMP. SQ FT: 2,100
CLAIM VALUE: 2,100.00 CALC-VALUE: 2,100.U0 GROUP OCC: R-3 /
COMMENTS: o' rnp���G2C� ���1rtt �-S"�t/(' N� (,A...,�oS����n� Srti/y��I��
iE�I?Eifil'If'N'dE'1fiEifih EaEN'iEx� 'lI"IFXiFjt�tA'T' fh?f Y' iEA"�1f1(')E'JE'Jfif '1F'ILJ'iF if FA 'R: .'M'h'ic'K.31'IFiFRr'iEl�'h�,4:iw. f1.+E#'1R
Z O N I N G R E Q U I R E M E N T S C �,(�
S E T B A C K S `
------------ MAIN BUILD'ING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 43919215 ZNE: REF NO:
PLANNING NOTES>
>
3f iF �7F;E �lt it if * it iF iP iE iE 3f ?E 3E iE jt ik it i4 it iE 3f iF if �lt # iE if iF it iF if ik i4 iE 3F jE i!� iP 3E iF �lt 3f if if if 3f it �lf �1R if 3F 3f iE it iE iF jF if i� 3EjF if �t jt jE �7E * aF jt jt �E?E �lt 3t iE a'r
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
ZONING APPROVED HY DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED bY: � DATE: �` l���,
iEiEiEjEiEif�ifitif�lE3f3E?EiF3f�1F�1EiE�lEiFiE3E . . �{�Ftn . .ifif3f?F-1�ifiE�lEifiE�..�iit����,FiF�rtiF
LEGALIZATION:N F E E S U M M A R Y STRUCTL7RAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ' SMIP/RES GRADING
PERMIT '74,'75 ,50
PLAN � ; SMIPfNON-RES
ISSUE FEE ��
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS-- -> 75.25 0.00 0.00 75."l5 �f' 75.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER(SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI?/TOT GRADING PLAN-CAECK
79 . 75 , 5 ��,�
if �E fE i(�'If j(' if �)E!E if if jk jE �f iE 3F iE iE iE # iE 3f if iE fE iFlh if?E'7E 1f iE'N� �If iF jE ik iF i! if ih jE'H"1f iF �1E �lE jE 34 jE jF if'7f'1E'1E �f iE?E iEii,:! iE 3F'lE �f iE' �7f �1E if �f iF'k �1F'3E ic-1P �1F �Y �E
I N D Z V I D U A L F E E B R E A K D d`'iJ N
TYPE QTY D E S C R I� T I O N UNIT �OST TOTAL COST
SFR 2100 REAOOF BY VALUE RESIDENTIAL NOZONE 1:00 2,100.00
END OF FEES
. !c
(I .
� � 87-16-1997/82:IB P�/f75.25
� RCDTY:81-0809158
' PERMIT:B8376B
�� CONSTRUCTION AND PLANNIt, . `L & SPA
APPROVALS Permit # Date Inspector APPROVAIS Permit # Date Inspector
� i. Temporary.Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Elecirical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure 7est
6. Electrical UFER Grnd. 57. APPROVAL TO COVEii�GUNITE
7. Footings 58. Electricai Conduit-Undrgmd. �
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor SYstem 61. APPROVAL TO DECK _
i t. 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�Finat � � .
16. Rough Electric Wiring � - 67. Fencing & Acwss AnProval
17. Rough Wiring Sign 6g. APPROVED FOR PLASTERING �
18. Rougb Electrical�T Bar Ceiling '-69'. POOLlSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVRLS Permit #
21. Dutts, in Structure 7Q, Underground Hydro
22. Dutts, Ventilating 71. Product Piping OGas ❑OiI
23. Gat Pipe•Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing -� 74. Overhead Hydro
26. T�Bar Ceilin9 (Structurai) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
26. Lathing & Siding 77, FIXED SYSTEM FINAL
29. Insulacion 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai 79. FINAL INSPECTION
32. Electriwl Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Hea:ing & Rir Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plum6ing
39. Water Service�Final
40. Gas Service-Finai�
47. Solar pomestic-Final
42. Backtlow Preventer
43. Backflow Irrigation '7 _ [ (J [ '7 � �� ��t9- �/•�Q�-
44. Landzcape Irrigation System � �L
45. Sound Attenuation
46. Handicap Regulations , ,
47. FINALSTRUCTURE&BUILDING �i//_G�? �W� �
7
48. FINALPLANNING "
•.,
49. Electric Release to Edison .- ,
50. Gas iielease to Southern California Gas Co �
51',. CERTIFICATE OF OCCUPANCY
No^ Date