HomeMy WebLinkAbout638 WHITNEY WAY - Building PermitsPN0.IEC7 AODNE55: 6 3 8 WH I TNEY WY
OWNEfl'S NAME: PASCO MANAGEMENT CO
noosess: POST OFFICE BOX 2968
COSTA MESA CA 92628
RXCN/ENGINEEfl:
noox[ss:
flE6.N0.:
UNIT:
UNIT:
PEflMITfEE: ORION CONSTRUCTION ( 714 ) 363-0727
aooxess: z8 OAKCLIFF DR
ULENSEO CONTN�LTOB DFcuAnN�AN. N IGUEm lhat I am lit¢nseC unUe oA s�w9�s o6eao�� 9(mmmenring wi�� Section
7000) ol DmsiDn 3 of the Busineu aiq Prolexvons Cotle, anE my license R in lull larce an0 eltec�.
arruc.: 04 100 sT�reuc.:485459�uss: B�
Date: '� � 1 Sipnamre: �l�/��" .�/�`
WONBEP COMPEq RTION DFLNflRTION: I here6y aliir a� ve a cenilicaie onsem to s I nsure or a cenilicale ol Wofners'
Compensalion Insurance, or a ar0lieU copy t�ereal (Secli , LaU. C�,
roucrno.: 046-93UNIT03554 E%P.DATE; OSIOIIiA
coMru+r: STATE FUND
❑ Cenilied capy is here0y IumisAeU. C� CenilieE ropy is IileG wiih the cily BuilainA Oivision.
� � �
Oate: � Appliwnt:
EXFMP710N F80M DPKEHS' COMPENSN710N DECU11A7ION: s s i n nreG no� Oe w ktM il t�e p ii is la one nuMrW 1E70� w Iws1.
I[Mily Itul in I�e peAOrrtWnCG 01 I�e wOrk lor wl�it� I�is per - 45ueU, I SAall noi CmplUy any peROn in a0y i1W��Br 50 a5la GEtOmO
wEjal to ine Workers' CAmpensali0n Laws ol Lalitwnu.
Oale: SiqnaWre:
NOTICE: II, ai�ei makinp t�is Oeclaration, you s�oultl Decome subjed to I�e Workers Compensation D�ovisians ol tAe La6or
COUe. yoU musl Io��vni� tOmDly wii� 5uch prOvisi0n5 Or ��is permil S�all be deem¢tl revOked,
LONSTNULTION LENDING �GENCY: I �ereby affirm that Ihere is a consimction lenaing aAency lor Ihe De�ormance ol ��e work lor
wnich INs Oermn is issueA ISectian 3W7. Civ. C�.
LENOEfl:
�DOHESS:
OWNEP BUILDEB OECUM710N: I hereUy atlirm ihat I am exempi Imm iAe Comractors State Lirense Law tor t�e following reason
(Seclion 7031.5 Buvneu and Pmlessional COEe: Any ciry af rAunry which requires a permit to con5imc�. ali¢�, im0�ove, Aemolhh, or
re0air any stmcmre. prior to i�s issuance. also aquires �he aODlicam lar sucA permit to fle a siBnea surement that �e/s�e a frcenseE
pursuanitolhe prmd5ions allhe Conlractors'State LicenSe Law�Chapter 9(wmmencingwilh Section 7000�o1Division 3 of�tce BU5ine55
ana Pmlessions Cotle) or that he/she is e.empt iherefrom antl the �asis for ihe alleAeA exemption. Any Nolatian ol Section 7037.5 Ey
any applicant for a permit suEjecls ihe a001icant to a civil penalty ol not more Ihan five huntlred dollars (5500).
I. as owner ol the pmpeny or my employees wilh wapes as tneir sole campenution, will Oo Ne vrork, ana tAe
❑ strucwre is not inten0e0 or alleretl far sale (Sectiw 70d4, Busmess anA Pmiessianal CoOe: The Contraclors' SWte �icense Law
Uoes notapptyto an owner ol a pmpeny who Luilas orimD�oves inereon, and who Joes such work nimselfPoerself or throupn
his or �er Own em0loyees. O��dea ��at suc� impmvemenis are nol intentletl or oflere0 for sale. II, Ipwever ihe buAOing or
imywement B solE vnihin one year ol completion, the ovmer will have 0e burden of DmNnO hds�e Ei0 not DuiIE or improve
�w Ih¢ purpase ol ule�.
I, as ovmer al t�e propetly, am achniveN convacting wiih Iicense0 contracmrs m constmct t�e projeci (Sectun 7044, Business
❑ artl Protessons CoEe: TM Conirxtas' Siare L'cmu Law Aoes mi apDN �o an wmer ot properry wM DutlOs ar improves Nerron
ana wlw taniracis lor such pmlecis with a coniratloq5) lit¢n5e Dursuan� lo ihe ConVac�ars' Sia�e Licenu Law). I am axate
t�al prool ot �heir Worker'S Compen5aiian insurance 5�ou10 �e prOvi4eE �o me.
� 1 am evem0� un0er Seclion: B. d P. C.
Iar inis reason:
Oate: Owner.
I Uo nereCy ceNty that I am aware oi anC unnemanE me repuimmenis al Calilomia Healih an0 Safety CoOe Sections 25505. 25533, antl
t553C anatlidl lar anyluWte builUinp occupnniwilVwillnol (circle one�neeElo comDly wil� saitl slata mAes andlAe repuiremenisfora
permit lor consimction m motlAica�ion imm I�e 0.ir Ouainy ManaOemmt Oatncl. FesiOential consimciion apDlications are exempt Imm
mae prwisio�.
oate: Appticam:
I �ere0y cenify tlwt I �ave reaA N¢ ap0�kation and siate tAai iAe aGove inlormation is correc�. I aA�ee la campty witA aA ciry an0 munry
or0inan[a aM SWIe Wws relalinp lo EmlGtrp wn5Vuclion an0 �ereby aul�Orire rtpresenlalives ol lhis Ciiy Io eni¢r upon �he a0ove�m¢nlianCG
piOpetlY �OrinSpeciion D�� Oses. �!
oaie: 3 siqnam�e� �� �'''�/—+"?� �—
Giver's iicense or - i Securny +:
�Ba�<6 Whne—Bmimng; Groon—Coee Emorcemem: Canery—nOP��am: Pink—Revenuo: GoidonroC—Auessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 06375
PERMIT NO: H 063759� PLAN CHECK NO: N GOVT; N SUPP; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE; REP
JOB DESCRIPTION : REMOVE SIDING REPLACE W/STUCCO SQ FT; 5,200
CLAIM VALUE: 5,200.00 CALC—VALUE; 5,200.00 GROUP OCC; R-1 /
COMMENTS: PERMIT INCLUDES UNIT 642
it k i! if 1E iFif iE iE 1E if if k 1E iE 1Eit iEif k k 1Ei! iE 1E iE iE 1f 1E1E 1t IE 1Eif 1E iE if iF if 1E k iFiFi! if 1k 1E iE iElf iF iFif �Fk k 1FiE i! 1E iF if iflFif -1EiE iE If ik 1t iE it iE-)E iE i!� �)k k
Z O N Z N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING RE • PROV; PARCEL: 93405129 ZNE: REF NO:
PLANNING N 7'ES> .
> . r..
if if 1! k k if M if M if 1f i! k M!f if �f 1f �f �t iE;ltlf �t If k if k M M ik k k if if iE ik if �f if if k 1f iE iElE �f !F i! k if if k ik ik iE k if iE 1E iE if ik if iF if iF 1Y�t.ik.i! iF k iE iE k iE k it
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
• � i
ZONING APPROVED BY DATE; '
I
BUILDING APPROVED BY ; DATE:��✓=�
APPLICATION ISSUED BY• C DATE•. R.'��
kkifkifMkiflFMkkifif4�fiFif�fifiE�F ifMiffEififilkiFlk . 1k�f
if i! if if if �t �f iF iE �k k�f k 1k 1F i! iF k if k k if if if if if if M k if ik if �f 1f if �t �f k if if 1E it k k ik if k if if iF M k 1E if 1k k k!! ik ik jf if if iF'iE ik if iFlFif if k!F 1E 1E �t iE k if
LEGALIZATION:N F E E S U M M A R Y STRUCTURP,L SEGMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 81.00 ,52
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 81.52 0,00 0,00 81.52 81.52 .00
REVENUE DIVISION TOTALS--> COLLECTED; 81.52 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81.00 .52
it if �f if if iE if iF if 1E iE iF ik k M if M 1E ik �f if iE k �f M iE 1t 1f k k!E it iE ik if iE if k if iE iF if iE iklF 1EiE 1E if if if 1f �f k iE iF k if iF i!!! �F iE iE 1E �FlE 1E 1E if M!E iF if Ik if if ik if
I N D I V I D U A L F 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 TOTAL COST
SFR 5200 ALTER HY VALUE RESIDENTIAL NOZONE 1.00 5,200.00
END OF FEES
01 00146241-00145?4? T Q T
DA E: 09/0?/93 TI11E: 09:23
V1.S2 I
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit �` Datc Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Locat�on
2, Soil Pipe�Undrgrnd. • 53. Sieol Reinforcemeot
3. E:ettriwl Cond�Yt Utflity-Undrgrnd. � 54. Pormt
4. Eiectrical Condu+t•Undr9rnd. 55. Electrital Bondmg
5. StEel Reinforcement � 56. Rough Pl�mb�ng & Pressure Test �
6. Elettrical UFER Grpd. 57. APPROVAL TO COVER�GUNITE
7. Pootings 58. Electrical Cqnduit-Undrgrnd.
�.IIti Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. L'Jater Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, C Undrgmd. �
lb. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connectio� 62. Backwash & Receptor-Fi�al
72. Sewer Cap ' ' 63. Heater & Vent•Final
t 3 Roof Drains 64. Plumbing System - Final
i 1. fiough Plumbing. 65. Eiectriwl�Final
t5. Rough Electricaf-Conduit 66. Solar System-Final
1 G. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Si9^ 68. APPROVED FOR PLASTERING
18. Rough Electriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Ro�gh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. ,Rou h F tor Fi[eplace � � . n • � � �r . '
9 Htt Y APPROVALS�'. �'Permlt # ' ��
, ,.i �: . � � �� - n
21. Dutts, in $truytu( _ ; '„�� �a, � „ �, � � � � ; , - �0. Underground Hydro - �
22. DucIS} Ventileting � �.� . ' LT •�7�, produtt Pipirig OCla� OOiI
23.'Gas PIae-Fiou &'T sc ' � '�' � ° ' ' ' � r'� ' ' • '
� � i � i 7 , .i • . r72. UndergroundiFlys},t., . i�;
24.�Poof;Framing. . i � . , •• � ;;, � �; � • � ,73.'Undergmd:StorageT^k OGas ❑06
25. Roof Shpathing � " " - '74. Overhead Hydro � �k "
26. �i;�Bar Ceiling (StrucLurall & Njonocoat � .. -� 75. � Dry Chemical � ' X : � ' �
27. �Frame and Flashiny ' LL ` ' " 76.' �1� Standpipe ' �7 � �' "
Y I � . � � � - . �.
;28. hing & Siding ' , � �� .� + 77,' pIXED SYSTEM RiNAL'
'29. Insulation ' " ' "'� ' ''� 78.�FIRE PREV. Flf�Al '
�. a -
30. Drywall (Vailing � � ` _ � � HEALTH DEPT:AEQUIRE$'IENT ,
B7. Plaster Brow� Coat � � - 79.' FINAL INSQ.ECTION ��' � �;j
-32.,ElectriralYowqr Mete�-Final i � � . .� �80. FOOD CERTIFICATE ISSLED �
33. Final Elx ric� �' � '-' � ' ' ''Notes: , '�
a � �.,
34. FinalHe�ting&AirConditioqi�j•. .', " �- ti ' ,� .� .
35.'FinAI Gas Pip�.Test ' ' ' � � ` � � 1: • <<'
� �� t '
36. Hood or Canopy ,. � , , � ' ���' ; �
� �i .
37. FinAtFaatory Firepiace � -� ' i.
38. Final Plymbing . � ,.. .. � .• .` ; • ` . -
39. Water Service-Final i � -
40. Gas Service-Final � ' '
41. Solar pomesticFinal � � ��� . �-
42. �ackflow Preveoter � � ' � ' . , , � �
43. Backflow Irrigation�� . . � � � -� , -
[' -
44. LandscaPe Irripation SYstem ,,i., ' , .- . .,l . ': �: �, . _;
45. Sound Atienuation -� � � . . � � � . r .
.
�46. Handicap,RegUlations � � � . " `
47. F,INAL STRUCTURE & BULLDING /„/��0� � �_ ,; �.� �
7� (
48. FINAL PLANNING � ;
49. Electric Release to Edison , �
50. Gas Release to Sout(tern Califot�ta Gas Co , . _ . .
51. CEij51FICATE OF DCCUPANCY' ; � , � , � _ . - ,
No. Date
i�
'
PflOJEL�ooeess:s 6 3 8 WH i TN EY WY
OWNEfl'SNAME:BROOKVIEW C�1�D�J
nooeess: �OMEOW�ERS ASSOCIATION
630 PAULARINO
CO5TA MESA CA
AHCM/ENGMEEfl: '� $ 7 — � � 9 9
AOOflE55:
flEG.NO.:
UNIT:
UNIT:
PENMIT7EE:MESA ROOFING ( 7] 4) 548-3012
aoosess: 843 W 17TH
C'AS CA 97F+?7
LICENSEO CONTNRCTOH �ECLAflATION: I here�y af�irm �hat I am licensed untler pmvismns o( Chapter 9(cammencing wi�� Section
7000) ol Div�sion 3 0� Ne Business anU Prolessans Catle, anA my license is in tull�arce and elleci.
pTY UC.: 3�sraTe uc.:5641 51 cuss
W�e: Signature: �J ��'�
WOFNEBS' COMPENSFTION OECIAPpTION: I hereby a�firm I�ai I M1ave a cetli�itaie Of tonsenl b Sell-insure or a certilitaie OI Workers'
COmp¢n5aiion Insurance. or a Ceriiliea COpy Iherea� (Set�iOn 3800. Lab. C�.
POUCYNO.:F7hj�' 24167500 E%P.ORTE:O%�OLI9S
comraxr:GOLDEN EAGT�E
"[� Cerlifie0 copy is here�y fumished. ❑ CeNfietl copY � u' ' g• ' i'
,
-oate: �''[/�� 1 npPlicw `�
E%EMPTIONFNOMWOflKEflS'COMPENSATIONOECIAflATION: Qhissec�ionneetlnmbecompleledii�hepermi�isforonehunOre��S100�orless).
I cenily ihal m ihe peAarmance ol Ihe work �or whic� �his permit is issuetl. I shall no� employ any person in any manner so as �o become
su�lec� lo ��e WorkerY ComDenSaiion Laws ol Califomia.
Oa�e: Signature:
NOTICE: If. afler making (his tleclamtion, you shoultl become subjec� to ihe WOBers' Compensa�ion provisions ot �Ae Labor
Code. you musl lorthwil� comD�Y wiih such pmvisions or Ihis Pe�mit s�all be deemea revoketl.
CONSTBIlCTION LENOING RGENCY: I herehy affirm �hat Uere is 3 cons�Nction lending agency lor Ihe pedormance of Ihe work for
whlch Ihis permii is issued �Sec�ion 3W7, CN C).
lENOEfl:
AODHE55:
OWNEB BII1LOEfl OELLAflRTION: I hereby aHirm Iha1 I am exemD� ��om I�e Conlractars' State License Law for �he fallowinA �eason
�Seclion 7031.5 Business and PwIe55ionai Catle: Nny ciry of county which requires a permi� to cOnstmc�, alter, impmve, demolish, or
repair any simcture. prior to its issuance. also requires Ine apDlicant for such permit Io file a signed statement ihat he/she is licensed
pursuam ro �he pmvisions ai I�e Conlractors' S�ate License Law (Chap�e� 9(�ommencing wi�h Sec�ion 7000) of Divisian 3 0� Ihe Business
an0 Prolessions Code) or Ihat he/she is exempi Iherehom an0 the basis for �he allege0 exempiion. Nny violaiion ol Seclion 7031.5 hy
anY appl¢antior a permi� subjecis ��e applicanl to a civil penalry o� no� more than five hundre0 tlollars ($500).
I. as awner al ihe pmperiy or my employees with wages as t�eir sole compensation, will Oo t�e work, an0 ihe
� s�mcture is not imen0e0 or offere0 for sale (Section 7044, Busness an0 Pmlessional Cotle: The Coniractors' State License Law
does no� appry to an owner ol a pmpeny who builds or imp�oves �hereon, and who Joes such work himsel�/hersel� or Ihmugh
�is or her own employees, pmvitled �ha� suc� impmvemenis are no� in�entled or O��ered �or sale. 1�, however �he building or
impmvemen� is sold wilhin one year o� completion. the owner will have Ihe Curtlen ol proving �e/she aid no� builtl or impwve
lor ihe purpose af sale�.
I, as owner oi ihe property, am exclusivety coniracting witA licensed coniractors �o constmct tAe pmlem (Section 70aa, Business
❑ ana Pmfessions CoOe: The Comracmrs' Sla�e License Law does not apply �o an owner ol pmDeny who builds or impmves �hereon
antl wha conlrac�s for such pmle��s wi�h a canlrac�or�s) license pursuantlo Ihe Canirac�ors' Slate License Law),I am aware
Ihal pmo� of I�eir Worker's Compensa�ian insurance shoultl be pmvitletl �o me.
� I am exemp� untler $ection�. B. 8 P. C�
for �his reason:
Daie: Ownec
I do �ere�y cendy �hai I am aware ol antl underslan0 Ihe reQuiremenis ol Cali�arnia Healih antl Salery CaOe Sec�ions 25505, 25533, antl
25534 antl ��at I or any fuWre �wlding oca0an� willlwill nol (circle oAe� neetl Io comply wilh saitl state cotles antl t�e repuiremen�s lor a
permi� for conslrudion or motlificalion Irom Ihe Nir �uah�y Management Oistricl Resitlen�ial consiruc�ion apD�ica�ions are exempt �mm
IIICSQ pI0V1510115.
Da�e�, Appliwnc
I �ere�y certitytha� I have read Ihis applicaiian and s�ale Ihal Ihe ab��e in�ormation is correcL 1 agree lo comply wi�h all ciry and caunry
ordinances an0 slate laws relaling io builAing conslruclion antl hereDy aWhorize represenla�ives of ihis ciry to en�er upon Ihe above�mentioned
pm0eity for inspectian purposes.
(J/ <
' Oale'. 2ZQ��� Signa�ure: �sf-���
Oriver's License or Social Seariiy a:
164La6 Whpe—Builtling', Green—Cotle Enlorcemem; Canary�APP�ican�; Pmk—Reven�e', Goldenrod—Assessor
CITY OF COSTA MESA — BOILDING PERMIT PEkM NO; H 063353
PERMIT NO; B 063353 PLAN CHECK iVU: N GOVT; N SUPP; N
CONSTRUCTION 'tYPE; V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF RESHT REROOF W/TIMBERLINE 30YR COM SQ FT: 6,645
CLALH VALUE; 8,645.00 CALC—VALUE; 8,645,00 GROUP OCC; R-3 /
COMMENTS: PERMIT' INCLUDE 638 640 642 WHITNEY 'AAY
*�***�r�r�x*���r�rxx x#�rr���*�r*+r��r�rx*�tf�xu*x kux*�t �r��#*�*#�rx��*#u�r#u�x#� �#*�x��*�ru***x��
Z O N I N G R E Q U I k fi M E N T S
s�rsAcxs
---------- MAIN HUILDING ---------- --------- ACCESSORY BUILDING --- -----
FRNT; FT IN REAR; FT IN FRNT; FT IN REAF2; FT IN
LEFT; FT IN kGHT: FT IN LEFT; FT ZN RGHT; FT IN
PARSCING REQ• PROi%; PARCEL; 93405129 ZNE; REF NO;
PLANNING Nt7'PES>
> '
3E ik !E i! !f # lE 3F !E iF fE # 3(� 1f i(�'If !E lE !f fE N• iF K 1t i!� 7E i(� #�lE it iE if �It IE IE if # 1h IF ik !f }(��7E iF IF iE iF !f lE N• i('1P% lE iE iE iF iF If )t f4 iF X-ik �IFlF ## iE�41F if iF 3F iE # if� �E if
A E V E�T� O P M E N T S E A V I C E S k fi Q U I R E M E N. T'. S
20NING APPROVEb�BY DATE; �
BUILDING APPROV£D BY ; DATE; "�.-
I L^
APPLICATION ISS�ED BY• ' DATE; ��
iFiElE�lEikiFiEiE1F-%iFif1E#3�, ih3kiE7fif�lEi"'Ff'Fii' ��if3F iFi .. ��.iF�iFi"F3FiF�iF3F�ii-iFR�iF3F�1FitlEif�3fjElFihilK�z�o r it < iFk
iF iE 7F 1E ih f(� if iE 16 iE iE 1F if� if it 1E iE lE iE iF if iE lE iFlE if iE �k �JF iF 3E # i!� %if ie -.c fF �lE it # iF iE iF iP it # ff if #3f iE iF # ik iE iF if� if i4 �)h IE iE iE # 7F # iE i! k� #?E!E 3E # iP 3E iE Yf
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT';Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 106,00 ,gb
SMIP/NON—RES
PI,AN
ISSDE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID D[lE
TOTALS;---> 108,86 0,00 0.00 10H,86 108,86 ,UO
REVENUE DIVZSION TOTALS--> COLLECI'ED; 108,86 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE '.�'MIP/TOT GkADING PLAN—CHECK
108.00 ,gf
iE if iP iI' 7F 1f iF if iF'K� !f !F'1F M' if iE iE if iE �t if iE iE 1F if i4 if If lE If !E 7P M' iF i(' �(' if it 1F if �(' lE # if iF if'IE M� IF iE 1E # If 7E If kiE iE M' 1f i4 IE iF 3(-1h # 3E jf # if 1f'1E if iF'.E ih if' it i!
I N D I V I D U A T, F E E H k E A K D 0 W N
ITYPE
f.99:7
QTY D E S C R I P T I O N
8645 REROOF HY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1.00 8,645,00
O1 00144439—Q�144440 T�] T I08.86
DATE� Oi/G6/93 ??tlE: 15:02
i CONSTRUCTION AND PLANNING
� APPROVFlLS Permit# .
t. Temporary Electrical Service or Pol2
� +ti 2. Sod Pipe�Undrgmd. �',,
3. Elec!riC�l Conduit UDhty-Undrgmd. '�.
4. E!ectnc.,l Candurt-Undrg�nd. '
5. Steel R�-�,nfo�cement
�� Electnea! UFER Gmd.
7. Footings
' B. Fountlatmn
L
�J. 6':ate� P�pe�Undr9md.
I 1Q. Structura' Fioor System
, 1 i. Property S�wer line & House C.onnectio�l
i 72. Sewer Cap -
13. Ronf Crams -
�4. Rougn Pi�rn6inq
r15. Rough Electrica6Conduit
i6. ftough Electric4Viring
f -
i 17. Ro�'gh {'; �, ing Sign
� 18. Ro;,�h Electriw! T Bar Ce�i�ng
19. Rouyh Heating & Air Cond�uoning
20. flo��9h Facmrv Firep!ace �
2L Ducts, �n SG�cture
22. Cuc:s, Vr�.til�!ing
Z3. Gas ?ipe� Ro�gh t4 TEst
24. Roof F�aming
ri5. Roo� Sh�+ihing �
- �
26. i �Bar C'�.��ng (Structu=all & i�7o^ocoat
I2;. �rame>-:, F.ash�ng
�28. lath�nq 6i Sidmg --
25, inSUlai�.On _
3�. Drywa!I ��'vailing
31. ?laster 6.u�•,n Coat
32 Electrc.� Power G4eterFina; _
33. Final Elcr.tric
34. �inai Heat�ny & Air Conditior:�3
35. Final Ges Pipe�Test A
36. Nood a Ca�ovv
37. Final F2ctory F�replace
3&. Fna� Flumbing
39. i'Vater Service-Finai
30. Gas Ser��c��Final
r41. Soiar pomcstic-Fina!
42. 8ackflow Preventer
C3. Batkflow Irrigation �
I 44. Landsc��pe Irriqation System
45. Sound Attenuation
46. Nandicap Regulations
47. FitVAL STRUCTURE t4 BUILDING
A8. FINAL PLANNING
49. Electric Release to Edison
50. Gas Rele.:se to Southern California Gas Q
51. G£RTIFICATE OF OCCUPANCY
No. Date
Date � Inspector
POOL & SPA
APPROVALS Permit # Date Inspector
52, Pool & Equipment Location
53. Steei Reinfprcement
54. Forms _
55. Elect�ical Bo�dmg
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
58. Elecirical Conduit�Undrgrnd.
59. Gas Pipe, C UnUrgrnd., Test
' 60. Backwash Lines, P�Trap, � U�idrgmd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Finai
G3. Heater & Vent-Finat
64. Plum6fig System � F�nal
65. Electricai-Final
�6, Solar Sysiem�Final
67. fencing & Access Anprovat
68. APPROVED FOR PLASTERING
69. POOL1SPpSYSTE�.iSFINAL
FIRE DEPT. NEQUIREMENT
APPROVALS Permit,$
%0. Underground Hydro
77. Product Piping C Gas u Oil
72. Underground Flush
73. Undergrnd. Stora9e Tank � Gas r7 0,!
74. Overhead Hydro
� 75. Dry Chem;�a' --
76. Dry Standpipe
77. FIXEp SYSTEA1 FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREP�iE.'.T
79. FI�ALINSPECTIOV �
�RO. FOOD CEfiTIFICAI"E ISSUED �
Notes:
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= 4252�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to FiIV in Completely — Use Ink On1y
eui�oiNc /�O _/n/w��//./._.._..
OwNEA HEj
MAI l
ADDRE55
CITY �
�pryy�flUCTION
LEND R
BRANCH
ADDRESS
ARCHITECT
TEL.
NO.
TEL.
CONTR/>CTOR (D�O� lJ�L / Gt�G (:O
ADDRESS
TEL.
CITV NO.
STATE �� 0 �i (� CITV
LIC. ND. � J IIC. NO.
SIZE NO.OF BLOGS.
OF LOT NOW ON LOT
USE OF
EXISTNG BLDG.
Separate permits are required for
electric, plumbing and hea[ing work.
USE OF BUILDING AND WORK TO BE PERFOFMED
I horabV ncknowlatlBa that I heva reatl thls applieeNon ontl steta
that tha ebova InformetiOn 19 COrfBCt Bnd opree to cOmply wI[h
el� law4 repuletinp building construction, end 1 shnll not employ
ony parso� in vlolallon of Me workmen's compancallon laws of
tha Sta�o of California.
1 �arebY cartity thet 1 em proPerly Iicenaetl es a contrattor untler
tha Sm<a of Callfornie Business antl Profauians Cotle, Oivision 3,
C�apie� 9, and that such licanses ere in full (arce end effect, or 1
am exemPt from the provisions of the Sta[e of Californla B�siness
antl Protossions Code, Division 3, Chaptar 9.
s�pnaturo ot / � L yz�2 +'y ,C �
Permittee ����
I
Auihorizetl ABent
��,�
•��r?0-7f,�,,..001537` *e�`SZ3."Z
APPLICATION fOR STRUCTURAL PERMIT
RECEIVED BV DATE CEIVE DATE ISSUED
7- - � ..aa ,
P �
.P. NO. �O
BUILD�NG �/�
ADDPESS� �(Q�/� �� ,
TRACT Z / LOT � BLOCK
N NW ADD AL R P
r
OWNER ELT2E2
SE �U��I QNa/VVAWSI/ BD�
FIRE
ZONE TY E GROUP
APPROVED �-� �� � /�i�
E NO.OF �
.0 PIANS (
VARDSAPPROVED
MAIN BUILDING
DISTANCE BET.
MAIN BLDCS.
VAR.� �J�
C.U.G.�W 7
FOR
VALUATION
5 // � d �Q
�
USEOFNEW '�UN�%
BUILDING ��9
VARDSAPPROVED
ACCESSORV BVILDING
BET. MAIN &
CI L REQUIREMENT
. N
n
m
i
m
m
N
VN UNDER VALUATION IS FOR m
"ABLISHING A PERMfT FEE ONLV: `
e
PEitM1T FEE $ /2� s� m
PLAN GHECK E /j "
0
TAX E �� U
TOTAIPAI� E �
�
- �s �c a
GMF 0569-26
City of Costa Mesa Planning Department
Port Office Box 1200
77 Fair Drive
Costa Mesa, California 92626
(714) 55G5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. L a� y�
Lot No. �-h /
Address
Date C I �� - ��
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowiedges that
(;e;-;,�hey) ,��I.Q,t�Iwas-er-were) (/��R_P, advised that this tract has
�
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resu�ting in damage or personal injury to the undersigned by
��
reason of the aforementioned uncompleted condition. ,�/�y�/1 ,� - � /
ii . . /
�t�-w
By /(����s�iL 7) ' LCJa??�2�1/
Purchaser
m
11131 iRVIME'gnu►.�.„��,
TUSTIN, CALIFORNIA 92680
"•' ' nC,a,iLca\ 4lv1GtCYn1JG
JOB ADDRESS 638-642 Whitn
GENERAL CONTRACTOR Owner/
AP No. 418-071-01 LOT
INSPECTIONS
501 L
cns n �y,
WATER (( fy, S L,..S I/ %
ROUGH PLUMBiNG
PFOP. SWR. �INE Q H0115� CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONOITIONING
TEMPORARV SERVICE OR PqLE
❑N�ERGROUNO � POWEq �
ROUGH WIR�NG
TRENCHES FORMS STEEL REINF
FLOOR SYST M
BOND BERM � STEEL REINFORCE �J
SHEATHiNG
FRAME RNO FLRSHING � �
LATHING - IN OUT
PLASTER, BROWN COAT
STRUCTURAL,FINAL
HEqTIN0. VENT., REFRIG. AN� A.C., F NAL
PLUMBiNG. FINAL ANO 6A5 TEST
EIECTRIC, FINAL
BWL�ING, FINAL
SUBCONTRACTOR
FFI
i�� � �� �%���