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HomeMy WebLinkAbout752 WINGATE BAY - Building Permits` CITY OF COSTA MESA . � CONSTRUCTION PERMIT ' _. _ !>DV���ant to flll In all sDaeas e:cept thow within �earY borEer Iines anG slgn all approoriate tleelanllont. _ ._ , , PER T N . TRAC N. LOT NO. �� BL - ApplicenYs Meiling Add� ��" � F''iV � � � �• T %oject Addres� _ 1 l• Owna's-Name � 'J �� ne � Address' �' � ' � e Arch/Eng., � Licenm Address G Contractor i Nem �✓� ° hone Address (meiling) � - - - i � License No. ' , , {.ICENSED CONTRACTOR DECLARATION � 1 hereEy.atllrm t�at I am IICOnSeE untler provisions of,C�arter.9 (commencln9 wllh settlon 7000) 01 DIVISIon 3 of the BuSiness an0 ProfeSSlons COEa, entl my Ilcbnse iz In full force ana eNect. ' . , L'Icenze Cl+ss - . Licenu No. Date 519�etUrB � . WORKERS' COMPENSATION DECIARATION ' . he�eby affirm lhaLl hava a urUflcata oT.consant to.5eif-Insure oi a certiflcata.. Workars' Compensallon Insurfince,lor a certifletl;copY theieof (Sectlon � .BOQ LdD. CJ ' � ' � ' � ' , ' Ilty No. ' Company ' Cartlflatl��toDY �5 nereby furnishetl. ' � � ' Certlfletl copy is iileE wit� lhe tl[y BUIICing DlviSion. , i , Date APPlicant EXEMPTION,FROM WORKERS'COMPENSATION DECLARATION � (Thlisectlon neeC nol ba completeE If tha permit is tor one hunCratl (=100) or � lezs)' � � - : I cerlify t�at in the OerTormance o/ the work tor which thii parm�t Is Iisuetl I shall.not employ any perion in any manner so az to become 5uD7ectto ttie Workers' CompensatlomLaws of Cnlifornla. , Date ' SlgnaWro � NOTICE: Ifyaftar inakirig [Ni Oeclaration, you shoultl become sub�ect to the -- Workers' ComDensation provl5ions ot tbe Wbor COUe, you must fort�with comO�Y �'���' suc� Orovisions-or � this. Dermit �s�all be tleemetl revoketl. CONSTRUCTION LENDING ACENCV I �ereby affirm that there is a'con5truction Iantlin9 a9ency�for tha pariormance of t�a work Tor c jfii 1��1ssu ec[ p/��v�iv. C.) LenEer'z' Name '� �y �� Lenaer's� Atltlrei�' �6t + � � � � OWNER'BUILDER DECLARATIO ' " ' . 1 hereby atfirm that I am exampt (rom Ina Conlractor'S Licenze l.aw for the following reason (Se<tlon:7031.5 Buslness and Professional Cotle: Any <Ity or � COuOty Wnlcn �equires a pe�mlt.to const�uct, alte�, Imp�ove� tlemollsh_O� repal� � �efrom antl t�� I1.5 by any � nalty o! not ma � I, as owner o ompensatlon wil or sale (Seclion icense Law tloes hereon.�ana �wha as awnei of the 0� -.faciolStO COns�IUCL�he The Contractor's Llcen! builtlz or ImprOves tnar Vactor(5) Iitenso punuai ❑ I.am enempt under 5 . � Oate '�f hereby certify at 1 intarmatlon Is c ra<t. anC.state laws latin sentatives of' s c , Inspectlon Dur se . • Sl9pdtufe � � Orlvers' Llcensa or' S 9p CMF 0865-46 rav. 12/82 �}So3 : ��6� Z . �� TVPE OF CONSTRUCTION EW ADD . ALTERATION REPAIR .❑ CONVERSION'� DEM LlSH Q DESCRIPTION OF WORK � � TVPE OP PEflM1T GRADING FOUNDATION ❑,TENANT ❑�ELECTRICAL ❑ PLUMBINO: ❑ ❑ �OTHER •• � PRQIECT DESCRIPTION, 5�. CONSTR CT,IQNTVP_�� � VALI ZON$ - —�7 GRAOING CV. VOS. � Ramarks: � � . . � � . Ber Sink Beckflow�Preventer ' Beckflow Irriqation . Bathtubi Clarifiers ` � Dishwasher ' • - Drinking Fountains • Floar Diains � Floor Sinks —� . - Gas Service' �Outlets , `- Interceptors ' - • Kitchen,Sink '. ' . Le'vatories � • . P—Trep� ' • Roof Drains ' � � CFnwnrt �.. ' i . 1 .. �.a;permrz-sun�ecis [ne appucan[ [o a civu mntlretltlollars(5500),I ' - � Servite5ink• ' , ty'or.my employees with wa9es�as their iole . �� k, antl Me'structure is not (ntenCetl or otleretl ; - - iess antl.Profeulonal Cotle:�Tha ContractoYs " an owner ot a property�who bulltls or ImOroves ' Boil2� "' .. t vork himselqherselt or tbrough his or her own imv�ovemen[s are not Inlentled or o(Ieretl lor . , or Improvement is soltl wlthin one year of com- � Duct - Untle�.Ground ' ie burtlen of proving he/s�e tlitl not builtl or Im- - Duc[ - Structural ' � am excluslva�y contrattin9�with�llcen5etl con- � � llSactlon 7oaa, Business antl Rotesslons Coae: Duct - Ventilating ', � does not apO�Y to an Owner o( p�o0¢rty who • �� � itl who <ontracts for sucn projects with a con- Exhauit System ❑ Mu�tiple ❑ �e Conlractor'S License Law�: � B. & P. C. lor t�iz reason . Fiiepl/FaCt. Blt. ICBO # � 1 thii applicatlon an <omply wlth all city y mnztr n, anC I upon t above m� -� Bulltling; Canary - A� . Heabng System & Ductmg ; e�above•- .- OP100,OOOBTU��100,OOOBTi iinances I ' .e repre• Hood oi vtv for ' TYPeI ❑ . ; . Ceno . T e I I ❑ � .. � ' Registe�s • , Accounting; Goltlenrod - Assessor � � NS. AC Sevuer Cap ' - . Seuver,Connectiom -^ � Saler.Collecrors� � Solar PiPin9 : . . . URAL Urinal ' � : ' Water poset � Water Heate� - - — - Water Service - . � � ' _ ' _ - � „ � � . � _ . . , � Reinspection�Fee $15 � Isue Fae � $ 3 1ANICAL � � - Refrigeretion System ' ❑aioo,000sru ❑iao,000aru ' System Repeir7Alteration . . "_ " " " -,- -_. � � Reinzpection Fee� .;$15 Iswe Fee � , $ 3 A. P. qW y I l) PING. REF. sM TO BUILDING PROPERTV LINE LEFT SIDE VARD PKG.SPACE�REQ. STREET WIDTH SPECIAL CONDITI� ' . " ' .. . .. - ;. 074b ;5/�I/"19 s.�4.F,1 iL ��%G Auromatic Wesher _ Construction Pble ' ; � Sub Panel � ' : �" Cooking Unit , ' � �Sub Pole . ; � .- Dishwasher � � 'Motors �04 HP ❑1X$��� Diyers ❑Gas��Electiic' � " �InaSolar'�945HP 016-15+ Fan . ' Microwave � � P.A.U. � Pole Light , ' . Fixtures � �Range_ Device Boxes ' � s;an • � � ' . VARD (TO P/U - �SIDE VARD . -� 'HOVIDED � � �� ' -PARK FEE $ ��� Outlets � � 'Standing5ections . • � Switches � � Trash Compactor � � Garbege Disposal � ' � � � � Generaror �0-5 KW 0545 KW � Transformer 015�50 KW ' ' � ' I i � ❑5U+KW � ReinspectionPee � $15 Meter ❑uptot00ampi � � .IsueFee� � � '$3 Zoning Approved By � Date Applirrtion ApProJed By ' ate 1 �- Application Issued By � � � , Date � . ��SpUM�M�ARV OP FEES I . 3I BUILDING PERMIT $ s:1Ll. — . , SMIP � $ �PLAN CHECK; ' $ � . PERMIT ' i , .PLUMBING � � $, � ISSUANCE , $ ; PLAN CHECK • $ � � GRADING I $ � . { $ 1 ELECTRICAL � $ � G . , 'PLAN CHECK $ ' MICROFILM ' $ , MECHANICAL $ � i � TOTALFEEi � $ � PLAN CHECK ; $ � � q ANCED PC : $ i � � { 1 � � , , ' ' , . � FINAL PEE; . $ �,3.� .R F �e'CONSTRUCTION,AND Pl'ANNING' . �� ;: -.-' . : � _'' ;:` ... . .i; -;;�OL 'A • . ' ` . r S- SAPPROVALS ,., Permit:#- '�m � �� - '•Date, ; Irispector . � � Date - Inspectoi �, - : ,APPROVALS , Permit# - , , F7 u , s �. .� .i � - � � � ^" �b. Temporary Electrical $erJice or;Pole ; _ � .i -. - ' ''52' Pool & Equipment Location , � - � . ,5 n�--.�. - t i n' - '- ' _ � � � � � J _ ' G . � � � � � L . - . . � � - _ -� 2? Soil Pipe-Undrgrnd< . s ,� � �. > � 53'Steel Re'inforcement .. - � - t. i I � ' .. -. i :r `5'� - . ,; 3? Elecfrical-Conduif Utilitv-Undrgirid. -�; ` �'.' "o � .54.' Forms � ' � - �� -�y � r4ry' Electrical Conduit-Undrgmd� � _ 5 � - �' � `�� � :" ��55=�Electrical�Bonding� -' " .. "' �. i 5. Steel �Reinforcement .ti ; �, � � ` � ' � � �� I =? = ' - , � � 56.� Rough.Plumbing:& Pressure Test - " , -�� i _, 6. �Electricai UFER Grnd:' "-'- � ' `�' - � : ' ��� : 57r APRROVAL TO�COVER-GUNITE ' - .�. i - ' �� o . `�.. 7. Footings ' ' � ,'- � - �' � �' t�: � '� 58� Electrical CpnduirUndrarod.� � ' � r • r c g -r 8. Foundation � � , � �� =y � �' ' ' � , 59. Gas.Pipe,:� Undrgmd.;Test - .' i ' 9. Water, Pipe-Uritlrgrnd. � � _� � '� . ; � ��� `.60. Backwasfi Lines,�P-Trap, � Undrgrnd. -- '' �` 10. Stiuctural Floor'Sy,stem � �_ � ; � � • 67. APPROVAL'TO,DECK - � , � � . , - �"� " 11. Property,Sewe� Line&;HouseConnection ,. -• 62. Backwash&�ReceptorFinal - _ ' c 12. Se'wer Cap � � ; �? � � � � ; ( " :;-' -�. �'63. Hea'ter &��VenUFinal '�'' • � _ ' r� 13. RooflDrains� � • � � � '' ' ' - , . 64, piumbing SYstem.- Final . � ' ' � q 14. Rough Plumbing � � �r ' , � �`- 65. Electrical-Fina1� -- - � - �� ' - : �� .: � - � � 15. �Rou h'Elect�icaRConduit' - "' "-' '�""' ;" '� � � ' „ �� � 9 � � �� � � � 66: Solar System-Final `�. ' -" ' " �.,�i 6: Rough_Eleciric Wiring � ' i `� ,' - � ""' '; � , � ;"-' "-' � 67.i Fencin & Access A � � ' � i�:. .,.�.. a ;, �. I. �" f I - . 9 PProval � ' 17. Rough��Wiiing`Signf� � � i 5 � i' V i, `�;� c � I� '= I 68.' APP.ROVED FOR PLASTERING �,� - � 18: ��Rough.Elect'rical-T.Ba� Cei�ingi �� s� j � ; I � � ' ' � '69.� POOUSPA SYSTEMS FINAL ' . , � � : �� 19! ;Rough Heating &'Air hqnditioning �� � : �. � � _ i ! FIRE DEPT,.REQUIREMENT � . � 20. uRough�.Factory Fireplace� � � . � � f I ' ' � � APPROVALS Permit # - , - - � � 21. �Duc[s,�in Structure•,� �' i � '? + � � � � j i 70.� Underground Hydro , • ` -22.;Ducts,�,Vent_ilating'. ;; I ! �� � � � I ' ' j 71.�ProductPipingOGas ❑Oil �L ��23.!Gas�Pipe-Rough&-T.est ; i � �,,:��, � i � � � � � i72.i Underground Flush� � ' . - �ir: ,� c, j�24. .Roof Framing; � � � ' ; �. - � ; � � v o ! �73! Undergmd. Storage Tank O Gas ❑ Oil � ' ' ,.�� :r.l i iw •i ri 1�� : � � ! 25. �Roof Sheat6ing . - � � ' � f '�� ,� ` I `, a �•�� � 7q. OJerhead Hydro - , � ' 26. �T�Bar Ceil.ing (StructuraQ� & Monocoat � � � i i _ �" � ^"� ' � �75., Dry Chemical j � � � � � ' , r y_27. �Frame and'Flashing� � � I il �� j ; �� � ;� �� � ;76.� Dry Standpipe , � ' � .'. I,� 28. ;�Latliing &'Siding� �� .� ' I i� �I I � I � � i �77 � FIXED SYSTEM�FINAL ; 29.'d'nsulatiori =. �. ' q '�� � � � �� � � � � � � i �78. FIRE PREV. F�INAL � � � � . . � 30..Drywall Nailirig - �? i ,' � � �(� I �� � 'Notes:� � , . � . . - .'3L. �PlasterBrown Coat �- � . � � �� • � j ; � i i � ''%p_/3� 83 �S�.{8 a [l oc� ur _ _ ' , .. .�32.LElectrical'PowerMeter'Final � �I ' i � � I i , � ' i � -_ , ,. _ _ . � , � i .' .. ? i � ' i ' � . � 33. Final Elec[ric �+_ � ; � � 34. Final Heating &!Air COnditioning � �i � � �, ^� i ^, ' � � -_ 35. Final Gas Pipe=Test �- � N � ^' .- �`. � ` _ i � �.. i = , i :- � . - . .. 36. Hood �or CanoPY: > T I � � ; ( �, �, I ` � : i �a �, � � . � � � - 37. Final Factory'Fi�eplace� = � � ! � i - - � : � � . i �_• ' _ - - ' _ , � ' � � i � i � „ . . 38. Final Blumbing ' i f �, � • � � �c , ' . ; . . . � , . I ._ 39. Water;5ervice-Final ;t J' �� I - f � � � 1 . ' , , � 40. Gas Service-Final . �' � .� . � � � � � • , , j i j I 41. Solan Domestic-Final � ' i � , � ' i � Y _1 . � �__ � - ' •� 7� i I � i- i-�t --* - --f -- - 42. Backflow Prevenfer, ' . t �. � , . . . . , � J "'• � i �I� ! I I I I . . . . _Y _ . . \: I ' . � I�1:1 �.C.•.. ' � �i -1.�.��`} -I� .�.� - , i 43. Backflow. IrrigaLon ? I.- � i � -.r„ , �� f �.: .. , � ;� � •.. , ' . , i�: .i.'.:�-i� •� � � �� � �- � - � � � i , � � � 44. Landscape Irmgation�$ystem' I '�i<?�-.' � I • _ i a 'S -� I � 'i .� � � . � ., i_ � � _�> 45. Sound� iAtfenuation �: i � � ¢ ; � { I � I I � ' � • • � � . � i � � 46. HandicaP Regulations � � � ' � � ��. � -- '. : i - ' ; . . 47. FINALSTRUCTURE�&BUILDING� �a: J .�JI 1 � � V a �. .a .� � i � 48. SPecial Requirements Completed � � � , o s ! � . � � `. .. � � " . . 49. Electric Release�to!Edison' � � �i _. _� _ _ _ . _ -� � . i � I f ': -i i-- -i- ` - � .7. 50. Gas Re�ease to Southem Califomia Gas Co � � � � � ' ; . � .- r. 51. CERTIFICATE OF OCCUPAN ' ' _ ' _ � _ _ ' . No. 'Od'� �%S Date 2l � 19 �';� , ' � " ' °( � CITY OF COSTA AAESA • � COf,�� Ry�ZION PEHMIT , � � \ Appliwnt to Iill in all spacas axca0t __. ' PERf"I / ��n I Ilnns anG si9n a112pp�aD�iata Eecla�atlons. OT NO. ' BLD . . Applicant's Mailin Address /� ' � ' ' TVPE OF CONSTHUCTION �Lxl� NEw LJ ADD LJ ALTERATION REPAIR Proj2ctAddre55��� ��A��I'���e. .A�I ❑CONVERSION ❑DEMOLISN ❑OTHER ° � �y��j ���'7 /� DESLRIPTION OF WORK Owner i Nar�7g P5 �� �y hone ��r . . . _ . Address, 'x -� I��a\� ��/1 . � TVPEOFPERMIT GRADING FOUN�ATION � STRUCTURAI ArCh/EnB.- ' . LiC¢n5eN0. ❑'TENANT �,ELECTRICAL � PLUMBING ❑ MECHANICAL . . Addreu � � � � o7HER , Contrector_s Nam � �'7 � Phon "�i I � PRQIECT DESCRIPTION SQ: FT. �OCCUPANCV AddI255(melfing)� '� 1 � � � CONSTRUCTIONTVPE � � Vq1.UATiON$ ' � � ; • r� !�}/7� � � ! ' ZON� GRADINOCU.VDS. ACRES License No: � LICENSED CONTRACTOR UECLAHATION ' � � - ' � - . . . , � Remark�: � I hereEy aftirm Mat I am IlcePsetl untler provislons of Charter 9(<ommencing � . witn section 7000) of Dlvisio� 3 of tha Butineu an0 Professions Coae, an7 _ ' � my IlCense Is In fuil forte arO�B fect. � � � Ucense Cla s' � - � � n' uconze wo.7 �-(.�-f 7 9/) ' . PWMBING ' � ' Date �/J�,7' c�g�.iure —I_�� 4 FiArq WORKERS'COMPENSATIONDECLARATION ' I BafSink ' SewCrCap" • hereGy aHirm t�at I have a certl/iwto oLconient to salt-Inzure or.a ce�dTiwte Backflow Preventer ' - • Sewer Conn2ction'' ' '' - .f Workers' Coropensstlon I�surante, or a certi/iatl coOY t�ereof (Sactlon-, � 3800, tab. �.)p� /� I ,n , Backflow Irrigation $plar Collectore � ' PoIICY No. Si.+/��_ �3-/ O�YFYTomPanY (Y1�:551ol1 � � _- � ' , Bathtubs Solar Pi ❑ Certifletl <o0Y��5 hereby /u/��zhatl. ' /l ` ping IJ�J Certl latl top y/6-filetl with tha city BWI Ing Dlvislon '1 � LSate ��l-f�1 . qppi�cant �'�{'��,�(- X[//lZ '.�?i1f ♦!L�_ Clarifiers SolarTank � EXEMPTION FROM WORKERS• COMP�NSATi�ON DECLARATION . DiShWdsher ' SNilmmin POOI W�Spa � ; I ss)s sectlon neetl nat Ce <omp�etoa I/ the Dermit I5 for one huntlred (5300) o� . • _ 9 ' ' I certlfy,that M'tne oerformaP�e of tne work /or'whlch this perm�t Is IssueG I� Drinking Fountains j � Urinal � ' • ihall, not emD�oY.any person �� any manner so �as to become subject. to t�e � . -� , � ,workers•.Compensatlon�LawsofCalllornla., � � . FloorDreins� • WeterCloset � Date - ' ' SlgPatuie ' '� ' ' - NOTICE: If, aftermaking tnis tleclaration, you shoultl�, become sub�ect to�the �- - PIOOr Sinks �-^ . -` --Weter Heater - - � - Work¢rs' Compensation' provislons of tha Labor Cotle, you mus[ tor[hwith ' " . ' , comply with; tuch pfoviSions'or this permit 5�all ba itleemed' ravoketl.� � G85S2rviCe. �Ou[let5 Watel.SeNice ' � CONSTRUCTION LENDING AGENCV ' � I hareby afiirm that there is a constructlon Ientling agancy for the performan<e ' Int2rc2pt0�s . - ' ot the work for whi<h th�s, permit is issuetl (Sectlon 3097 Civ: C.) � -' � LanCer's. Name ` - � Kitchen Sink ' � � ' ` � � Lender's Atltlresz ' � - OWNER BUILDER DECLARATION . � ' LaVatorie5 , . • � • r , _ 1 hareby a(firm {hn[ I am"exertiPt lrom the�Con[ractor'S License l.aw for the „_ . � . ant for such permlP ; Root to the.p^ovisions of ! . e. �nnn� ... �� i'refrom �antl the Easls tor [he alle9eG axemptlon. Any vlolation�oT Sectlon �.'�1.5 by any apPliwnt Por a permlt,SUDje<I5 the appiitant to a civll � �enalty of not mora than five nunEretl Aollars (E500). I, as ownBr oi the Orope�ty Of'my amplOyees with wdgesias their sole compensatlon wilLGo the wofk, antl.the s[ructure is not intentletl or offeretl for sale (Sec(Ion 7044•, Bu5lPess�antl-Profe551onal Cotle::The�Contractor's '• Licensa Law Eoes not apply to an owner o! a property who builtls or improvet � fharaon,.anG who tloes•such ++Ork hlmself/her581f o� th�0u9h his O� �e� own , employ ees, provitletl that sucn Improvoments are not Intentletl or offereU for ule. If, howavar, the bulitling or Improvemant Is soltl wit�in one'year of com- pletlon, l�e owner will have t�e burtlen o� proving he/she tlitl not bulltl or Im- �rova for tha purpose ot, sale). . � ' 6 I, as owner of t�e property, am exclusively contraccing wifh Ilcense0 con- ' tractors to constru<t tha�projecL(SectionJ044, 8usiness.antl Professloni G000: The Contrattor's Ucense LaW does not apply to an owner of pro0erty who owias or improves, thereon, antl who contratts for such projects with a con- � tractor(s) Iicense pursuant to tPe Contractor's Ucense Law).� � � � ❑ 1 am BxeTpt unper SettlOn , B. 4 P, C. iOr ihis reason j Date � � Owner �I�herobV mrtifv-t�db I hdv0 reaC th15 aOPllcatlOn anA Stat< Ihdt'Ihe abOve " Vers � iw Sink , - � r � � � , Structural System ❑ Multiple ; att. BIL �CBO # System & Ducting � �,000 BTU �100,000 ana�state laws relating to bullain9 consVucuon, ana nereny autnor¢e repre- Hoodor � 'Sentaliva5 o(;thisqcity�to enter�.upOn the above-mentionetl proPerty for i Typ21 ❑ �. InsOectlon ourvos s. � /� -VJ � Cena T Ibe I I ❑' Signature � � �W Data%D�/�1 tl � ; � � ' Drlvers' Llcense or 55 � fiegitters � . � � ' t CMF0065-46rev.12/82 Whl<e-Builtling;Canary-APPIIcant;pinK-Accountlnq;Goltlenrotl-Assessor , ' Reinspection Fee §15 � laue Fee_, . S 3 iANICAL Retrigeration System �� ❑4100;OOOBTU ❑100,OOOBTU System Repair/Alteratiori � '_' � "• ' _".... . . . � � Reinspeetion Fee E15 7 Isue Fee � � § 3 A. P. qY+ • PLNG.REF.gF`: � - TO BUILDING PROGERTV LINE LEFT SIDE V.qqD PKG.SPACE REQ. STREET WIDTH � . niF� G/?I/,a3 � � 0 -' REAR VARD (TO P/U �r � RIGHTSIDE VARD � � -' ' PROVIDED - ' , 'PARK FEE $ . Automatic Washer . . . ,_ Cooking Unit Dryers ��Gas' OElectric Fan " � F.A.U. t �, i . Fixtures. _ . ,� _ _, _ Device I Outlets Garbage Disposal Generator �0-5 KW �5-15 Transformer ❑75-SOKW � ❑5U+KW� Meter �up to 100'emps 2oning Approved By ' AOPlifatian APProred By l Application Issued By 0 � MeteC . U over 100 amps Sub Panel Sub Pole Motors �0-1 HP ❑1X$ 'Inc.Solar•�9-15HP �1f Microwave � � ' �Pole Light r � ' �Range . � � � � - l Si9n_ i Reinspection Fee , 3(•.^. TI. � � , ' � SUMMARV OF FEES : � � �BUILDING PERMIT $� SMIP � ' $ ' � �,PLAN CHECK• $; ' � r PERMIT � � ( �PLUMBING ' $ � ` ISSUANCE � $ , 'PIAN CHECK• $. / l — . i GRADING � . S ' � i , $ • ELECTRICAL' � $ �- i � � � PLAN CHECK $ � MICROFILM 3 � ' � TOTAL FEE� � $ � MECHANICAL . $ �PLAN CHECK- $ � �ESS � . • ADVANCED PC $ • � ' � , . , PINAL FEE $ � 3�� � ' -CON$TRUCTION AND;PCANNING� � � +" � �� � •.' - :�- . �OI .PA - � ' , _ '' " ' - ' � ��Date Inspector � E " � - Oate Inspector� PROVALS m Permit:# 'P�� - - � AP.PROVALS � Permit.# V I . . �. ^ �1..' Semporary Electrica'I Service pr:Pole � + � `• � . _ . :!� :. .�52., Pool & Equipment Locatioa ' . . _ ' � � 2�, vil Pipe-Undrgrnd? ; , � t -." �d%�q�� £i 53 Steel Reinforcement ' .� . - � � � . ��: 3? Electrical Conduit Utilitv�Undrgrnd! ' , � � - ^ ' 54. Forms _ � � � . ', 4; Electr.ical Conduit-Undrgrnd: -= � ; t ' ' � �' 55� Electrical Bonding ' � - . � ' " � 5: Steel;Reinforcement i �; �.; ; -' � , � ' " , �56. Rough Plumbing & Pressure Test' - - ' - 6. �Electrical UFER Grnd.; • ' _ �' '' � �� - � 57. APPROVAL.TO COVER-GUNITE�� . � � c - 7. FootingS � � � ' i ' � ' "• � ` ' - � � 5S: Electrical Cpnduit-Undromd. - ' ' 8. �Founiiation � � ' � � � - ' " � � , �59. Gas Pipe; 0 Undrgrnd., Test - � • , -� 9. Water-Pipe-Undrgrnd. , � �, � • ., fi0. Backwash Lines, P-Trap, O �Undrgrnd. � ; . ' 10. Stiuctural Floor Syitem ' � � - n'_ 61. APPROVAL TO DECK ' ,. � 11. 'Property Sewer Line & House Connection� - ` 62. Backwash�& Recep4or-Final = ^ 12. Sewe� Cap i ' i , '' ; � � � 63. Heater & Vent-Final - - � • 13. Roof�,Drain's . � � g4. Plumbing System - Final ;. ' 14. �Rough Plumbing . - � ' 65. Electrical-Final " - � � • 0 � � 15r;Rough�Electrical=Conduit?^ ; -; �-'I --•�,-�.- '_" � " 86.; Sola� Sysjem-Final _„� � � � �� - , 16:�iRough E�ect,ric,Wiring, � �- �, - -- � "� ;� . -� ' � ��67., Fencing &-Access Approval. . � � -�. _ � 17.�Rough Wi�irig.Sign; - •• , � � � : �? � � , _ " 68.� APPROVED FOR PLASTERING � _ - _ 18.+Rough.Electrical-T;Bar Ceiling � � � ; , � � _. � 69.' POOL/SPASYSTEMS'FINAL • - `� 19:/Rough Heating & Air Conditioning j, i�� � � I FIRE DEPT. REQUIREMENT � ;'�` ��` ' 20� Rough.Factory Fireplace ! � � � � ; � � � APPROVALS Permit # , , � � 21.'Ducts, in Structure� ` ' ; ' � � ' � � ' � . 70.� Uriderground Hydro �22. Ducts, Veniilaiing � ^ ; ' I ' � � 71.� Product Piping OGas ❑Oil i - � � 23. Gas Pipe-Rough & Test ;: ; " �� - " � � . - '' j2, Underground Flush ! ' -� �24. Roof Framing� , ' � ��� 1 � � � � • � i , - Z3.' Undergrnd. Storage Tank � Gas ❑ Oil � .n ,- + 25. Roof Sheathing r '' .� � ` � � , , F � � � 74. Overhead Hydro - . � ' i � - L�� - .; 26. T:Bar Ceiling (Structural�, & Monocoat' � ! ` ' � J5.� Dry Chemical � � - " � - "�27. Frameand Flashing, : . � � , �' � � 76.� Dry Standpipe . - . , 28. Lathing & Siding �- i ' � 77. FIXED SYSTEM FINAL `' 29. Insulation _ ' . + T f � � ' � 78. FIRE PREV. FINAL � � , 30. Drywall Nailing � � � � � .Notes: � ' ` 31. Plaster Brown Coat ' � ' • � �� � , � 32. -Electrical Power MeterFinal , � � ' � � � ' , � � 33. Final Electric � , ! ' ' i � , . � 34. Final Heating &Air Conditioning ; , I • � � ' � . ' � 35. Final Gas Pipe-Test � . ' � , �� . - � : - � ' � � 36. Hood or Canopv ' � �. - . � � � . _ � ' � - . .�: 37. Final Factory Fireplace � . ` - - i � ' '�� � � 38. Final Plumbing f � �, �/��jjy . �Q� ' . � ' 39. Water Service-Final, . - � ' � �� 40. Gas Service-Final � � , � � . � � 41. SolarpomesticFinal � . _ � ' _ __� ,._ . !. " ' 42. Backflow Preventeri ; ' � � � � _ ' � � _ � � _ � � � --- ,- • 43. Backflow tr�igation , - - , . �. � ' ' � - 44. Landscape Irrigation.System � �-. , ', � ' � ' . ' • 45. Sound Attenuation _ � . � � � - . � - J 46. Handicap,Regulations � � � � " : , � � . _ '. ' � � - . . ' � 47. FINAL STRUCTURE & BUILDING � ;- ' � 48. Special Requirements Corripleted - � � � ^'- i � i � 49. ElectricReleasetoEdison�� _;,_ �__ '.__i _ _�.. .- � � � , � - - - - -- , . 50. Gas Release to Southern Califomia Gas Co : i � I � � , �,. . � -: . 51. CERT�FI,CATEOFOCCUPANCY ' _ � �__ �. j __ _ _ . _ ; .; . l _: . . _' .; , No � � Date � �� � � : � � � �� Applicant to fill in all spaces eaeept those within neavY �orCe� lines anE 5ign all a0G�o0riale Eecla�ations. CITV OF COST/{ MESA CONSTRUCTION PERMIT Project Address � Applicant's Mailing A��d�dre/ss� y� � Owner's Name —1�L=�L' nGS' Phon _ ��7 Addrea • Arch/Eng. License No. Address Contractor'sName ^P�hyon/R �d Addresslmailing) /� • � '�""� ��— City Litencr Nn //�S�O LICENSED CONTRHCTOR DECLARATION I hereby affirm [hat I am IlcenseU untler provislons o( C�ar[er 9(commencing with section ]000) Of DlvisiOn 3 of tho Busine55 antl Pro(¢sSlons Cotle, dntl my Ilcense is in full f r tl ettecL . n!�'/9 / License Class nse No._lt_iL/T V oate /0' — 9g t �T WORKERS' COMPENSATION DECIAR ON I he�eby afflrm tha[ I havC a certlfica[e ot Consen[ [o selbinsuro Or a re�tlflcale Of Workcrs' Compen5ation InSurdnte, Or d C¢rtifi tl CODY thar¢o1 (SeCtiOn 3800, Lab.(/��yy�/,I, /� Pollty NOJ •"'j"�� ' Company _, �d � Certifietl copy is hereby fumished. Certi ietl c py' letl wrth the city 8 iltlin I slo Oate��� APPlican[ E%EMPTION FROM WORKERS'�COMPENSATIO � DECLARATION (This sectlon neetl not be completatl If fM10 permit Is for ona huntlretl (E300) ar Iess). . I certify that In tite Oe�fo�msnca of the wOrk tOr which th15 perm�t IS issuetl I shall not employ dny per5on in dny Tannef so as to EecOme sub)ect �o t�e Woikers', CompenSdtlOn laws of California. Dato Si9naturc NOTICE: N, alter making t�is tleclaration, you shoultl become sub7ect to the Workers' Compensatlon provl5lon5 Of tha Labor Cotle, y0u must.fOr[hwith compry.with 5uch.provizions or this.permit snall be'tleemetl ravoketl. CONSTRVCT,ION LENDING AGENCV ' I hereby attirm that thetB a constructlon Iending agancy for tne erformance of the work /or wh�1Ms oermlt is issuetl (SecNon 30�] Civ. CJ � Lentler's Namn «� L¢ntl¢r's Atltlro55 OWNERBUILDER DECLARATION I hereDy aifirm that I am exempt irom the C6neracfor's Liconze Law for the following rea5on (Section 7031.5 Business antl Professional Cotle: Any clty or county which r¢quires a permlt to <on5trutt, dlter, improve, tlemolish or repair any sVucture, prior to its Issuance, also roquires [bo appli<ant tor such permit to lile a si9netl statement that he/sne is Ilcensetl pursuant to the provislons of the Contractor's License Law (Chapter 9(commencing wi[h Section 7000) of' �ivision 3' of tbe Business antl Professions Cotle) or that he/she Is ezompt �erefrom antl the basis for Ihe allegetl exemption. Any vlolation of Soctlon 031.5 by any applicant tor a permi[�svb7ec[s tbe applican[ to a civil �enalty ot not more [han fiva nuntlrotl tlollars ($500).' I, a5 ownCr of Ine p�operty �o� my employe¢5 with wagas a5 their Sole tompensation, will tlo tho work, antl fhe struc[ure iz not intantled or offeretl for sale (Sectlon 7044, Business anG Professional Cotle: The ConVactor's License law tloes not apply to an owner of a property who'bulltls or improves ' Ncrcon; antl who does such work hlmself/herself or through his or her own emp�oyees, p�ovitletl thdf SUCh'Imp�Ovamants a�e not intendetl o� offerntl for sale. If, howevcr, tho bull0ing or improvement is 5oltl within one year of com- pletion, the owner- will have lhe burtlen ol Oroving he/she tlitl not builtl or im- �rove�tor [he purposo ot sale). I, as owner of the property, am exclusively tontracting wlth Iicensatl con- trat[Ors to wnst�ucl lne projeGt (SeGtiOn 7044, BUTlness antl Pro(e55ion5 Cotle: The Contractor'S License Law does not appry to an owner of property who builtls or Improves Ihereon, antl'who con[racts for such projects with a con- tratlor(s)Iicense pursuan[[o the Contraclor's License law). �❑ 1 am exempt untler Section B. & P. C. for this reason Dam Owner I nereby certlfy that 1 have reai information Is corract. I agree to antl s(ate laws �elating'to bWltlin upon Signature 1 •YL Orivers' License ar 55 � TVPE OF CONSTRUCTION U NEW LJ ADD LJ ALTERATION LJ REPAIR � ❑ CONVERSION ❑ DEMO�7�" jdH THER DESCRIPTION OF WORK / �'�O�n� TVPE OF PERMIT LJ GRAD�NG LI FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 50.F7. oCCUPANCv CONSTFUCTIONTYPE - VALUATION$� 20NE . GRADINGCV.VDS. ACRES_ Remarkz: �—�J!'Q Bar Sink Backflow Preventer Backflow Irrigation ' Bathtubs . ` Clarifiers Dishwasher ' Drinking Fountains • FIOOf OfdII15' ' Floor Sinks � Gas Service Outlets � Interceptors ' Kitchen Sink Lavatories P=Trap � Roof Drains '. Showers Service Sink � Sewer Cap Sewer Connection $Oldf COII¢ctOfs Solar Piping Solar Tank Swimming Pool w/Spa Water Closet Water Heater Water Service A.P. ,� . S Main Bu E T Front 6 Rear A C Right K Left• S Ping. Ref. # Use of Building: FEES P�anning Notes: � Auromatic Washer Construc[ion Pole Sub. � Cooking Unit Dishwasher ' Dryers ❑Gas ❑Electric Reinspection Fea . �- $25 � �� , Issue Fee � $ 3 Duct� Under Graund Duct - Svuctural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact.8lt. ICBO # H ting Sys[em & Ducting C�0.100,000 BTU � 100,000 Reinspection Fee � $25 CMFOB65-46rav.7/83 White-Builtling;Canary-APPIlcant;Pink-Accounting;Goltlenrotl-Assessor Hood or Type I ❑ Canopy Typ¢ I I ❑ Refrigeretion System ❑o-ioo,000eru ❑ioo,000e System Repair/Alteration � Issue Fae I $ 3 Fan, F.A.U. Fixtures � ' Device Boxes Outlets $W ISCIIPS , Garbage Disposal Generator O65 KW O5� J20� I JI I ll;. Zone Park. Fees $ ELECTHICAL , Transformer ❑ 15�50 KW ❑ 50+KW Meter LJup ro 100 amps Meter ❑over 100 amps Sub Panel Motors �0.1 HP �iX-8 Inc.Solar �9-15 HP �16-15+ Microwave ' Pole Light � Range Standing Sections 75 KW Trash Compactor IReinspection Fee I$25 I�ssue Fee PUBLIC SERVICES REQUIREMENTS: 2oning Approved 8y Applieaiion Approtred By Aooliption Issued Bv BUILDING PERMIT PLAN CHECK : PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK MECHANICAL PLAN CHECK n T o ' Z O N I N G R E Q U I R E M E $ SUMMARV OF FEES � • SMIP $ PERMIT ISSUANCE $ � ENERGV P.C. , $ GRADING $ MICROFILM $ � TOTAL FEE $ ��� ' CONSTRUCTION ANDPLANNING � PO� .SPA _ APPROVALS Permit# h��U��� Date Inspector •AppROVALS Permit# Date Inspector • 1. `iemporary Electrical� Service or Pole , � 52. Pool & Equipment Location ,'2. Soil Pipe-Undrgmd. .- �, 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. � ' 54. Forms - 4. Electrical Conduit-Undrgrnd: .� 55. Electrical Bonding 5. Steel Reinforcement � � � 56. Rough Plumbing & Pressure Test '6. ElectricalUFERGrnd.� 57. APPROVALTOCOVER�GUNITE 7. Footings � .58. Electrical Conduit-Undrgrnd. 8. Foundation � . . 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap � 63. Heater & Vent-Final i3. Roof Drains 64. Plumbing System � Final � 14. Rough Plumbing 65. Electrical-Final 15. Rough Electriral-Conduit 66. Solar System-Final . 16. Rough Electric Wiring 67. Fencinq & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating . � 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test � ' 72. Underground Flush 24. Roof Framing � 73. Undergmd.StorageTank OGas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceilin8 (Structural) & Monocoat .. 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ., 78. FIRE PREV. FINAL 30. Drywall Nailing . � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Hea[ing & Air Conditioning 3/�jlpy/ , 35. Final Gas Pipe-Test � � � 36. Hood or Canopy � 37. Final Factory Fireplace � 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final � . . 42. Backflow Preventer � � � � 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations ' 47. FINALSTRUCTURE&�BUILDING - � 48. Special Requirements Completed � 49. Electric Release to Edison ' � 50. Gas Release to Southern California Gas Co ;, � 51. CERTIFICATE OF OCCUPANCY _ . ._ _ , . No, � Date � � A�O��W�� to fill in all spaees e:cept lhose wH�in �eary EorEer Iines anE zi9n all approoriala Eeelantions. CITY OF COSTA MESA � � � � PERMIT NO. � TRACT NO. LOT NO. B . • CONSTRUCTION BERMIT : • � ' . — 9S7,Y�$ - , • : � -' ' Applitent'6 Melling A(1d�e55 8' iVPE•OF CONSTRUCTION . ' NEW " AOD ALTERATION: REPAIR � �rojeCtAdd�Oss ?5� W1Ylg3t2 � CONVERSION � DEMOLISH � OTHER ' _. Ownlfb�NeTO M':SZ: '.T9.Y1PR C11. 1" PhOne DESCRIPTIONOFWORK MP.t:A� .F'lY'PP��$[!P..' � � . Addf@55 , . .. ' TVPE OF PERMIT GRADING ,FOUNDATION STRUCTURAL �+. P.9W Ar h/E � Licenm No � ❑ ❑ ' Q' ' . � �9�� . �_ . , TENANT ELEGTRICAL PLUM8ING� I�LI MECHANICAL PLNCa. REF, q� AddfeSf - . '�:�OTHER ' • � � � ' ' ' TO BUILDING na at Pnl a P �$ . PRQIECT DESCRIPTION SQ. FT. , ' OCCUPANCV P E V IN Contrector'aName—i' �''1'Y' C� hone' Z CONSTRUCTIONTVPE ' ' VAWATION$ - '�EFTSIDEVARD Addremlmailing) �'��N N_Rata�ri�a�(lY`:iY1�P� �QiFiFi'7 � , � � ' ' PKG.SPACE�RE�. ' . ZON� ' � GRADINGCU.VDS. - '�ACRES � � LicenxNo. __��IB� � - LICENSEO CONTRACTOR OECLARATION � � • � Remarka � " ' � � Q ' • , ' STREET WIDTH I heraby' afOrm th9t I' am Ilcensetl untler provislons of Charter�9 (commancinq . . wltn iactlon 7000) 01 Divlslon 3 oi t�e Busineis antl Profeulons Cotle, 5ntl , � - � � � . . .SPECIAI CONDIT my Ilcense Is In full foRe antl e1Poct. ' - • � .. , IJunsaClau- - c se o.���i�$.T_ i ' , ' . : PLUMBING . ' � Data ' ' S19�ature ' � . . , WORKE 5' C MP NSATION DE R TION � � � Bat Sink Sewer Cep. . � ' haraDy afilrin tnat I nave a certlflcata ai consent to se�Nnsuie or a certHitate �. BeCkflow Preventer ---- � -� $Bvuer Conn¢ction' -� ---- _- Autometic WazY f Workers' Com ensatlP n Insure ce . oi a teitlfletl. CopY thereoT jSeCtion �1 � � � ' � ' 3800, LaD. c.)S�JC/S1-'73���3�CCA � � Backflowlrrigation '� SolarCollectors I ' ' Construction'Po Poilcy No. � Company Aet' a' • - '- - -- ' - ' � CerHilea�<ovY li he�eby 7urnisnea. i � ; , . � Bathtu6s . � Soler Piping ' � , ; Cooking Unif„� C�rt il p i tilail with the cit Itl ng DI I J, Dishwdsher ' . Dab+ � �/���� _ AOP���nt ' . ' ' Clarifiers . � SolarTenk ' '. i , • EXEMPTION:FROM'WORKERS'�COM EN ION DE ARATION � � ' DiShurdShef ' ^ Swimmin Paol w/S � � Dryers ❑Ges• (7hiszectlon neea not De comD�etea if e permit Is for one huntlred (Si00j or . . � — 9 Pa , 1 lece�rtlfy'tnat in tne pe�ormince ot the work tor wnich tnis parmk is Issuea I � Drinking Founceins ') � Urinal . ' • � ; Fa^ i • f_ shall not amploy any Person In any manner so'as to become subjett. to t{�e � . . , -., . , workers'ComDanSatlon�LawsofCallfornia.� � i � FloorDiains' � t-{: � WaterGoset; • � I F.A,V' .� Dato � Si9nature � � ' ' ' ' � � Fixtures i ' NOTICEi.If, ai[er maM�9 ���s Oecla�atlon, you sfioWa.becama sub�ac2 eo.tne.. ' �. Floor Sinks_1___. . _ . . _ Water.Heater—�__ � _ _ - _ . _ _ _ Workeri" Compensatio� Provlsions of the Labor Gotle, you muit forthwit� �' ' � ' - ' � � comply wit�: 5u<h �provislons�or'�thi5 �permit �5Hai1 Ee �tleemetl' revoketl? �� I GesSBrVice � OUNBts Watef $eNiCO "� ' 1" DeviCC BOXes CONSTRUCTION'LENDING"AGENCV' ` '' � � ' '.� � "' ( " ' - ' '- ' ' ' � ' ' " - , , I heroby a}flrm that t�Fre is a construttlon lentling a9ency !or tne performance, � 4 Interceptors ' ^� . i r.� •- - � �: �- - 1' Outlets ot tha work for w���h Nir permit'.ii�issuetl"(Sectlon'3097, Civ. CJ u : � � . . �3SIi I'/!:/^._ - - .. . ' REAR VARD (TO P, RIGHTSI�DE VARD si EE,§!" emps�_ ' Sub Panel, � . : Sub Pole � � ; � Motors DO-1 HP ❑1;5$ IncSolaij�9-15 HP'�1f Pole ,Standing Sections ; ! ; Lantler•s� Name.' ' - ' � , _ Kitthen�Sink ' , � 4� . � , i ,- • _ � , � ,t ; � . ! Swrtches � �Trash Compactor � lsnEer's Atlareis' � ' � ' � � � � � � - � ' . , . � � OWNER BUILDER OECLARATION �� � - -' -' • ' � _ � ; � �'atorie5 � � -� � . � :' ;? � � Gar6age�ispoml � , � . ? . � �ereby aillrm m`t � am enempt irom tha'Contractor s'Llcense Law �or tha � � . �� Generemr; DO-5 KW 05-15 KW � ' ' � r..u,.,.a..,..e...... .. i�� �nat < w..a�..��6n o...m«tr.�m r..ne. e...,.��...... . P TiaP� ' . . � lJ I, as�owr compensatior for saie (Se� License �,aw [hereon,.anA GTploy ¢ei, p sale. If, hOw� o�etlon, tne � �toveforthe 1, as own� �tractorsto co -Tna Contracf bulltls or Im� tractor(s) Ilce . � I.am exen t ; Dale _ � I hereby, cer �informatlan I � antl s[ata lav ' sentatives o/ inspactlon eu ' Si9naturo ; Drivers' Lice CMF 0865=46 LlcenSa Ldw(Gnap[ef Y �coTmenGln9:w1[n'JBc[IOfI /UUU) ot • - ie Buslness antl Pro}esslons Cotle) or, tbat he/she-ivexempt �• ha� ba5i5 (or Me ailegeG exemption. MY vlolatlon_ot Section appli<ant for'.a•permit subjacts the appllcant to a civil • ore [han tive hunCretl Aollars (E500). , . • oi•thi'Property ot.my emploYees'wlth waqes'as their zole � ill'Eo Ihe work, antl the SVucture is not intantletl or.offerea ' i 7044, Bu57ne55�antl�Professional Cotle: The Contractor'S � s not dPP�Y to an owner of a propertY 'NM10 bulltls or Improves i o tloez�iuth work M1lrtiself/herself Or throu9h hl5 or her own aetl that such Improvaments are,not Intentlatl or offerea for , � t�e bulttling or improvement Is soltl within ona�year.ot com- er �wil� have Iha burtlen o! proving ne/she tlitl not builtl or Im- � � pose o� sale): � �, . I I } tlta OfODB(�V. dT BXC�US�V2�V contractlno�with.licensetl mm • Owner _ have rOaG this r'je ar 55 iP rev:12/8 White tne r�+ Roof;Diains� .� � ' i I., ' _' Snowe.s :., i ., - - Service Sink . '� � ' a uch pro�ects with a con- ' Exheust System ❑ Multipli law). � , B. 6 P. C. to� thB �eason � � Fiiepl)Fact. Blt. ICBO � � : � : � Heating-5ystem & Ducting � m0 state that tha.abUve ___ 00�700,000'BTU.O.lOO,00i y�antl cOunty ortllndnC05 ' . � i �ereby auMorize repra- HOod Or 7 g � ❑' nentlonetl property for � YP • Cana � T e II ❑� _ Data l0/ .8/83 ' : � ' . , . ; Registers t ' i Canary - APPlicant; Plnk - Ac<ountingi Goldeniotl - Assessor �� - `- i � . � Reinspection Pee j � ; • laue Pee . iANICAL � � - Refri9eration System , � ❑0.100p008TU ❑700,000 , � . . System Repair/Alteration i ( � � � i � ' I � � Reinspection Fee' t. . _ � . Issue Fee— " $15 $ 3 X $15 $ 3 Trensformer 015-50 KW ' � � ' ' I � � ❑5U � KW • � IReinapection Fee ; � f15 Meter ❑up to 700'amps � ilaue Fee � ' � S 3 2oning A'pproved By � Date ' � � � I r Appliption Appraved By � � Date � APPlintion Issued BY ��<N � ' Date // 3, , � ' � ' ' � SUMMARV OF FEES � � . � BUILDINGPERMIT $ i SMIP . � ; $ �� 'PLAN CHECK� � 8 ' • } ! PERMIT � � � �PIUMBING $ i I . � ISSUANCE ; • $ � � $. �— � GRADING ' $ ! '�PLAN CHECK� � � � �ELECTRICAL. � $� � � � $ F � i � . . MICROFILM $ � �PLAN CHECK� $; � � ; • ;.MECHANICAL $� %�.00 � TOTAL�FEE; � $ • LESS ' � � f �PLAN CHECK' g �� ' : qDVANCE IPC $ � . � • 1 I . ' , '. � ' � . � � FINAL FEE' � s � o.�nn � i I ? �) CONSTRUCTION AND PLANNING' _ .,, � �. �, . -��' - - � - .-� �- -� �-_ �OI ,PA .- . - - - - .� � �� - �APPROVALS` �Permit#�"% ° � � . �,Date� •Inspector� ;, � ' - � � - � Date' �InspeMor. : _ , , _ - L _ o-,pPPROVALS� ' Permit # _ � � ,.� I ' I� � - Ti.`Tertipoiary,ElectricalServiceorPole ���' � ' � i� ' C52.��Pool�&`,EquipmentL.ocation - ' . . - � :2. I �il' Pipe-Undrgrnd�. � �� � �.q � � ° - ' ' y ° �� c ; �53 .SteelfReinforcement - � - � ' r t �- ic � '' . � ��3. �Elect�ical Conduit Utilitv;Undrgrnd: � - � � � . .54: Formsc. - . � � - . ;? ;4.IElectricat Conduit-Undrgrnd _.� .- ; . � . � x' ' �- , �55: Elec[rical,Bonding . � . . ' � ,5.'Steel Reinforcement ��� i ,� i �: ; - � �� ` ; ,`� . : ';56 ,Rough:Plumbing�& Pressure Test" • •6.! Electrical UFER��Grnd! � ° ; ' � �� � ` ' � - c �� �5Z' -APPROVAL TO COVER-GUNITE , - � ' ' _ t.. 7. lFOotin 's . f � h -' - ' g , .� �., � �-58.'Elec[[icalConduit-Undrar.,�1.. 8. �Foundation ' ' _ ' � � ' - - - ��59. �,Gas Pipe, O� Undigrnd., Test - � ' '1.. ` c , . 9. �Wate� Pipe=Undrgrntl. ;, I - � .' � ' � ` `60. �Backwash Lines, P-Trap, O Undigrnd.: � ` � . `,� 10.;S4ructural Floor System ' "�? " ; ��� : ; :61. APPROVACTO DECK - � ' 11. iProperty Sewer Line & House'Connectiori. � . � � ; � '� ' � � " � � _� : � 62.'Backwasfi;&�ReceDtor-Final � � 12. �Sewer CaP, 1 1 �. ' , � � , � _�'. • -. � S �'63. ;Heater &.VenriFinal ' ' ' � -, � _ . �.� � . ; . 13. iRoof, Drains I ' ' � ' ; " _ ?64. Plumbing SYstem � Final �� - _ -� � i � - � 14.�RoughFlumbing� � � � � - � � ` ��'�,'Electrical-Final' � - ° ' � � . '=-15.}Rough-Electrical�-Conduit-�-'('-'.�-� `-��•r-�-�--i -�-�--�66'Solar�SYstem-Final� -� . ' - • �� -' '�-, =16. � Rough Electric Wirin9 n � ; ; � �; :-�. 'r,.,-� := i - ; '. -_"`-� _ -i67�. Fencing &. Access ADP�oval � , � . ' - - - -i. . 3 , -,17.�Rough Wiring.Sign' � ' � ^ � �: � � �:� � ` I - � � � '' � 68� APPROVED FOR PLASTERING �� ' - " � � ' _ �78.'RougK�Electrical-T'Ba� Ce�ling '� �I , I % I I `; ` ; ' 69: POOVSPA SYSTEMS FINAL - - �' 19. �Rough•Heating & Air�Conditioniqg ,. j , , � I , FIRE,DEPT. REQUIREMENT , � _ : � 20.. Rough;Factory Fireplace ' 1 � ( � ' ' � � ' APPROVALS � Permit # � . „ > i i i. i - � � ��' 21.nDuc[siin�Strudure '�, ' �t � � � � � � '70: UndergroundHydro � ' �:,L22.•Ducts,�Venfilating'. i, i-,;� ��� � �� i � 77� ProductPipingOGas ❑Oil . . � s �+ �-_23.. Gas':Pipe-Rough & Test c � �.j �"' � ' � � T � i �72. Underground Flush � � . i'24.�Roof Framing' ' ; �+ a�-�� ' m I� ' j _ �w i � , i -•;>,.� �73. Undergrnd.Storage,Tank OGas-OOiI � i ' � ' 25.�Roof Sheathing ' �� i ; '�;� � ,� � � � �" ` � � � �7q; Overhead Hydro � � ' � . . . . , � � _ , � _ ; � . ,-26. T-Bar Cei�ling'{Structural)i & Monocoaf � ,: � s ; [ ; i � �75; Dry Cbemical ; � - , �.�27. rErame and'Flashing _� I � � ' � � ; I � � � � � � �76� Dry Staridpipe � �. � - � ' �' � 28.`'Lattiin & Sidin � � ` � � � � � � ' ; � � ' �77. FIXED SYSTEM FINAL � ' k. 9<<� 9�. I i: � � ., i; , ; ' 29. �Insulation= `" � � I �; �� I � i i � I � 1�8� FIRE PREV. FINAL � ' � �'30. Orywall Naili�g , ' "` � � �� '' � � � I ' ' � I Notei , � � � ; -' , . . , . - -- -- - - - � - - - - .- - • . _ = i''3L�P,IasferiBrown Coat I� � p I� � i I � � � � � , � I � i ( � ' � ., ''32.��Electrical Power Meter-Final ' �, �� � j � � I ' � .I ' . . ; - ' - u � � � � - - � � � . 33.'Final Electric � � � , ,� � � � " • 34. Final Heating�&,Aii Conditioning �j �`� I , I^ i � I • ' � iz r i � 35. Final Gas Pipe=Te;t - � i ^ �; � - ' � �, - I � � - ` � � ^ ' ' ' ° ' • �� �i� -i' � � 36. Hood�oriCanoPY'- .. � _. '� �, . � y � • • I i ' � . , - � _ _ � ' _ � - 37. Final �Factory FirePlace": � i � %� � I'. .I{!!°�?��� ("�p I � .� , • . . � � ' - . 38. Final Plumbing; i i ' ' °� �� i , i . � I I � .-, _' .' � . . 39. Water Service-Final I • � : ' � � , '' , : � ' . . � ,; ,i I ' - � � � � � - - 40. Gas Service-Final � � � � '� � � i i I � � i . ' ��� � ' 41. Solar D'omesticFinal � � � ? � � _� � � I � � ' � A. 1 � 1 I �t "_' _ 'r ._.._ _ , 42. Backflow Brevente� e ' � ' �^'; ,. � I � ' ' . � '. ... i __ . ' �i--� -r - -�t -�-;- ' i -. . . , � ' I� � ' :ir , c.t-� � . 43. Backflow Irrigation �' i,. � I � ''!'I�, I o 1 . .- � � ; i `." ; � � � � = • ' � '� 44. Landscape lirigation System � '^ � �= � '- i � _' � ' . . ' . ' ' - �' i.i � !I%i �. � °' �r I ' � � ' � � . . 45. Sound� �Attenuation � ; ^, j c � i '� ; i m � { I ' � • � 1 _ '� � � � � - - ' �l v� � � � ' Y '`'� I II �f, I ' I � i '_.I -1 . T � rv �. I � 46. Handicap Regulations � � � I , _. I ' i � i ' ' ' � � - � 47.FINALSTRUCTURE&BUILDING� ;�� i ��� .� ' I I � � � . ' � 48. Specia�l Requirements Completecl ' ' � � �� � I ' � � ' , . � � . , �. i i � � 49. Electric Release to �Edison ' ' � ' ' � ' . . � : i � , � i � i �.._�_�--� �- .-1--�.�_' �: ..�--- 50. Gas Release to Southern California Gas Co � � � � t � �� I i �;. ' ' . 51. CERTIFICATE OF OCCUPANCY +, ', ! _„ _ ! _ � �_ � _; �. __ � � ' � ' , No � � �. Date ' i , - - � -- � I � ' ' : . _-.�-_-..�__� _ J )._1. - � 1 � _� Applieant lo fill in all spacef azeapt t�ose wlt�in �eary OorOer Iinas antl sign all aDO�oDrlate tleclantions. CITY OF COSTA MESA CONSTRUCTION PERMIT AppliCBnt'S Meiling A��/y e55 � �� �� � � � TVPE OF CONSTflUCTION NEW LJ ADD LI ALTERATION LJ REPAIR ProjectAddress , •�� \�, ����✓�Gn%6 .ri'�� ' ❑ CONVER510N ❑ DEM USH ❑ O7HER OWn@I's Name �� "'' ""�S �� PhQ^9— DESCRIP710N OF WORK Add�ess TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL Afth/En9. _ LiC0n50N0. ❑ TENANT �ELECTRICAL ❑ PWMBING ❑ MECNANICAL AddrOss ❑ �OTMER � Contrector i Nam �� � � h ne �- a PROJECT DESCRIPTION Sa. FT. OCCUPnNCY - Add�BSSIma����� - � �� � CONSTRUGTIONTVPF VALUATIONS D3aOa(� � ZON€ GRADING CU.�'DS. ACRFc Licenm No. LICENSEO CONTRACTOR DECLARATION Remarkt: I �ereEy affirm that 1 am Ilcansetl untler provisions at Chartar 9(commancing , � with uctlon 7000) ot Divislon 3 0! the Business anC Profeislons Cotla, antl my Iicense Is In full forcy;ntl e�fAct. �� �(�� Lluns �•« <-- �� LlcenseNL:'^�r` Date - 519nature WORKERS'COMVENSATION DECLARATION BBfSink ' hereDy attirm that 1 �ave a certlfiwte ot [onzent to selfansure or a certlfiwte 8eckflow Preventer ' Workers' Co Oensatlon Insurante, or a certifl G<o0Y t�ereot (Sectlon � ,800, Lab. 0.1/�/_/„�/�OQ-j ' � � Beckflow Irrigetion � PoIICY No. V w V �-��� CamPanY .. �Cert111aC�copy Is neraby furnlsheC. Bathtubs Cartiye=rqpy IskIIgE wlth tha city Bull g �vislon. _ oate G �f� ''� Noo���nt Clarifiers tnat Date Is for one hun�fo9 (5100) or shtobecomrs je�Lsuytl�l Ia CONSTRUCTION I.ENDING AGENCV ' ' � � I hereby af}Irm that there Is a construction lentling agancy for tha erformanca ot tne work for which t�ls� parmit I5 issuetl (Sactlon 30�7 Civ. C.) Lentler's Nama � LenAer'S ACtlress � OWNER BUIIDER DECLA0.ATION � ' � 1 herabv affirm that I am exemot trom the Contractor's Llcense Law tor the ^�vislon;3 0l [M1B �91151 �efrom dnG th0 �as 11.5 by any appllc i-�nalty of not more th: Ll I. as owner oi� the n, tha owner wl forthe purpase d5 OwOOf Of fhB Drinking Fountains Floor Droins Floor Sinks Gas Service OuNets Interce{itors Kitchen Sink' Levatories . i, also requires the appllcant for such permit ' ROof Drains 'shB I5 Iitensetl pursuant to tha provl5ion5 01 ' p[er 9(tommencing with Section 7000) of ' �' rofesslons CoAe)-or that he/she Is�exempt ShOw2�5 - Ilegetl axemptlon. Any vlolatlon�oT Section -_ Iretl Collars (�5500)�ne appli<ant eo a civn Service Sink � or �my em0�oyee5 with wages as thair zole . mE the structure Is not IntanCetl or o/feretl • �.n improvemencs aro noi imanoeo or o+.oraa .or 7 or Improvement Is soltl within ona year of com- � tM1e bu�tle0 of p�Oving he/sh¢ tl10 not bulltl o� Im- ' [y, ain excluslvely contractin9 wlth Ilcensetl con- ict (Sectlon 7044, Buslnass antl Professlons Cotle: w does not apply to an owner of proDerty who antl who mntracts for such pro�ects wl[h a con- ' the Contractor's Llcense Law). LJ I am exempl under Sectlon B. 6 P. C. tor this reason Date Ownar I•nereby certlfy that 1'hare rea� Information Is corre<t. I agree to entl stala laws rela�l{1g lo bulltlin iBntd[IvaS Of'thl$/fJty to Bnte/ that tha abOve Boiler Ouct - Under Ground . Duct - Structural Duct-Ventilating � ExheustSystem ❑ Multiple❑ Firepl/Pact. Blc ICBO qf`- Heating.System & Ducting ❑0100,000 BTU � 100,000 BT Hood or 7�onl fl � >�ynamrn � � � Registers f DrlverY Lice se r 55 # ' CMF 0865-46 rev. 12/82 White - Builtling; Canary - Appllwnt; Pink - Atcounting; Goltlenrotl - AsuSsor Soler Collectors Solar Piping Solar Tank Urinal ' Water Closet� Water Heater Water Service Reinspection Fee � $15 laue Fee $ 3 1ANICAL Refrigeretion System , ❑0-t00,0008TU �100,OOOBTU ' System Repeir/Alteration � Reinspection Fee $15 Issue Fee $ 3 PLNG. REF. qW LEFTSIDE VARD PKCa.SPACE RE�. STREET WIDTH omatic Washer struction Pole king Unit iwasher ers ❑Gas I� .U. ures ice Boxes 624! 9/���/"`�_ ulo� T' REAR VARD (TO P/U RIGHTSIDE VARD PROVIDED PARK FEE $ Meter LJwer 700amps Sub Panel Su6 Pole Motors �0-1 HP �iXA Inc.Solar �9-15HP �76-15+ Microwave Pole Li9ht Range • Sections (� Swrtches ' Trash Compactor Garbage Disposal - Generator�0-5KW �5-15KW � Transformer �15-50KW ❑5U+ KW einspection Fee Meter ❑up to 100amps � � 'Issue Fee 2oning Approvad By ' Date — Applifation Approved By ( �� � �ate Appliption laued By —/'� Date � 515 SUMMARV OF FEES �BUILDING PERMIT $ � SMIP , � $ PLAN CHECK $ PERMIT � �I . �P�UMBING $ ' �SSUANCE $ PLAN CHECK� $ GflADING $ , ELECTRICAL $ � i i � , $ 'PLANCHECK $ _�� MICROFILM $ MECHANICAI . $ TOTA�PEE; $ � PLAN CHECK $ - LESS � . , , ADVANCED PC i $ �'� . FINAL FEE $ '�. r. ... .. . . . .. ---i z � • c m- - '+ POOLc' A' - - - - � -- . . n rCONSTRUCTION AND-PL NI G . _ � • � ;, , =: .. • '� � � - • ^ ' " `� ' i r r �� -= Date �_ � • I nspector , - � �- ` - ' " � � Date � Inspector; ! ; � 5-:APPROVALS Rermif# �� ��1� ` ' .•. 1? - APPROVALS.�� Permit# .�,a'I� m :�"v:! ��.-- s: .�iv" .. . . _ "' ;1- Temporary;Electriral Serviceor;Pole �' �' o • ��'? -� •.;52��Rdol &`Equipment �Location � � �y �' 'f _ � c • - . * �! �Soil Pipe-Undrgrnd:�� . � �r•o', � � „�r s' "� ' '53� Steel Reinforcement � . ' - ° ' `' " a 3! Electrical Conduit Utilitv U,ndrgrnd; � _�. y-. i - � �_ ^ 54i �Forms �� -� . . ' - � . . _ ` - = ; � � � 4. Electrical Conduit-Undrgrnd n; P �- -,r.:� F aN.,'55`- Electri,cal Bonding.: " - � . ' � �6: Steel �Reinforcement � • n � - � � i � ?� . �56. Rough �Plumbing.& Pressure�Test , ' � _ , �:, �. � . 6: �Electrical UFER Grnd.' ,' n ° � � , ,-, �'.' iz -" � 57.'• APPROV7aGT0 COVER-GUNITE" - . . _ � - - 7. Footing§ ' , , ' � � ; _ ' - r _ � �a : 58.' Electrical �nduit-Undrar.,�1: � ` _ ;� , . � _ ' _ _ . _ . p;. , . � ' ' _ - � . . _• . _ _ - ' ' ' ' � 8. Foundation . � . � � . .' � � ; , � � r_ �, � ! 59. Gas�Pipe,:O_Undrgrnd., Test! - � � � � � � ; 9. Water Pipe-Undrgrnd. , I - '- � � = _ ' '.��60. Backwash Lines,�P-Trap, O Undrgrnd. � � � � � � , 10. Structural Floor System ' � ' � � , C�` � �.61. QPPROVAL�TO DECK' ' . � -. 11. �Pro�'erty Sewer Line &'House�Connectiorr � i Q� '; `; � g2. �Backwash &. Receptor-Final � - � '' ^ 72. 5ewer CaP • ' . I ' :: ., ' ' . 7 , o � .'-, � � . . . � , , � . ; , .,. , . j`63. Heater, &',Vent-Final . � ; � _ i 13. Roof;Drains � ; � ' : � ' � ' ; �i , o ' - • � �64. Plumbing;Syste'm - Final-, . � , � - . . 14. �Rough Plumbing � ' � � ��a � �� { � = - �65. Electrical=FinaP ^ � � - �� � � � � V = ;� 15'. �Roogh-Electrical=Conduit� � '-� �"'•' , -r-T • 7- � i �66. -So'Iai�Sys4em=Final� • - ",- � " I c i .,� ���16. �Rough Elea^ricWiriBg. , � ,, � �, ;� z ; � '� f �- "' ' ; �' - - ;67. �Fencing & Access Appioval -- - - - � - - '�- ��17. �}iough Wirifig`SignH ry 1 ' -� � : �t t � ' ; ' "- . - ' . - �' :.. : I"; ��. �' �68. APPROVED FOR PLASTERING � � �' ..,, �,. 'i��ic� . i� �`i18. yRougfi�ElecTrical-T;Bac Ceiling� �� �! ! � � ;- � ; � j � i^. , t � �69 � POOL/SPA SYSTEMS.FINAL • � I x � � � � � � �. -� 1 � 1.9. �Rough�Heating &;Air;Conditiooing �� � � � � � � � , ' j �FIRE DEPT.IREQUIREMENT,_ � . � ,, � - _ � � � �O.;Rough Factory Pireplace � � �� �� � � � i � � APPROVdLS ' Permit# ' " ' . _ •v , r ` i � 2L �Ducts; in Siiuctu�e � ' , � j j� i+ ` � � ' � ! � �70.; Underground Hydro � � ; ''22. Ducts, Ventila'ting �_ � r� � j ' % i �' ' � 71 , Product Pi in � Gas ❑ Oil 7. ; i�� i i:. �l � 1 I 1 i P 9 23. �Gas-Pi 'e-Rough & Tes� ` � , ^ : , . , � ' - .., _. ' r " .' " __' _ ' " _ _ . ' ' _' 'r - �P -1 �I�. � � � j- ?_"_' 1 - . t� � ,.� � � i � �72.. Underground Flush �� '-24. .Roof Framing? ' � � � i ��5 F', n I � I l ! �;7 � o � �. � _ 'Z3: Undergrnd. Storage Tank O Gas ❑ Oil � + : , ' � 25. �Roof Sheathing . , � �,a j. '� , , . � � � : � r ', � i ! ' � � 74 � Overhead Hydro � . . . � x - . � i , -:. : : _ � � . .. � � i � - � . . - �,� 26. T_BarCeiling��Structural).&MonocoaY i � ��:i�'' j�;' , ^.'{ '75: DryChemical � � � ' � � ' , : j�27. lFrame and flashingi _ � � + �I �� � I �° � � ' � � � �76. Dry Standpipe � ,� ' . � � � � � u � '', i 28. ��Lathing &'Siding� r; � � ' �j j� � � � � ;� �, ��77.• FIXED SY$TEM FINAL. ,. � t � 29.j�lnsulation � n �:i ":� I �!� � i ( �.� ' I I78� FIRE PREV. FINAL � � �,30. Diywall Nailing '� I � �� � � � I � � iNotes:i � i ' ' . • � '!-- '� --- �:r31. Plaster Bro`wn Coat'• i , � � �� `'� � -�- � � � - --� � � � � �i �� i T i ' . ' � � � ... u. - ' ' � i . � i � '. 1 � i i + � , � � � . � ,. ' . � - ' 32."Electrical Power Meter-Final �, ,� � . � � i` � `�' � ; � , � - - . . � • � 33. Final Electric '. ' ! � ' � --.!_ t �'- - � � � � i _.,�... i. ' ' 34. Final Heating &�Air�Go xdiYioning �� � . � ( � -j-�'; � i ' � � � � . � - � � � � � � I � �� I � n � ' a � , c ' :3 ! � ' . � �T ' � : .� � , _ , _ . - . . . , 35. Final GaS Pipe=Tesi� `- ' � 1 �. � � � ; i`- . � ; '- �'x ' , _ : ' � ��-, :� � � � I � 36. Hood or �CanovV>� ° I �, � .• i , � . . ; 1 � j ;` : : � ' ' ' i . � g � _ . .. . . � �� I � 37. Final �actory'Fi�eplacer ' 'v� � ' �= f � ' � � I � � - - . � ' i� _tr' ("� -.d �. a I�-i 1 Io 38. Final Plumbing y' � � �� � i - �= � � I , i i � � � � , '! ; ". '� � - . ' � � � i � � i : i 39. Water��eFvice-Final: � . ...� .'� � 1 ; 1 � � � � ` � ' . tl i � i I � � - i I � � -' i' 40. Gas S�vice-Fin�l � � � ` I � � � ' � ' � � ' � � . , � � � � � i 47. Solar pomestio-�Final � � � 1. ' �. i -"�_ 1. � ,� -� �- I- � � •_ � - . -- . ' ; '� ' � . ' . • � , . -�- � � 42. Backflow Preventer �' - � � �' � v'`) � � • ; � ' - � • . - - ^i � 1 ��•,t.' ' � '�'- . r. `_ __t_ ' ."' ,�.. < "1 I �."��.. �.;- -.. iv at . i . . 43. Backf�pw lirigation =1 � � .�,�i? ; i°� << - . o j ,� ., , , � . � , cm� i i� I� i�� � i- .. �: t �I �n`� .� ILL I ^�'- -� i I .I � i.. � 44. Landsc,ape Irngation"System�� �"p_� = � . I , � : I � = I � "'� '' � � ' � � " �' ,- �-=_;"c'�' ' �u�, � � �:-�, � G I 1;� ' � . ` 45. Sound iAttenuation ;, I ^ I -� i � p � , , ' • ' � . r - , t,i� �r r., ,c: � . I' I I I i� I � i �=1 �; I � 46. Handica`P RegulstionS , � ,: � '. �" i" � I i; , ;i � I � ' � � _ � . , , - . - • ' �� �.� i � �. . I I' I 47. FINALSTR�UCTURE&BUILDING�I �5 ��i i�� y� ; , � � �' i . � i 48. Special Requirements Completed � � I w�� � I ' � ''�° I '. .' . �49. Electric Release�to iEdison� � � . _ j.��_ f _L�_�_ _ � _.,� _ _.�_ '.._ �__� __. _� � �' ' l 50. Gas Release to Southern Califorriia Gas Co j � � � i `� ! � . � , , � � � '� „ ; - � � , � '`� u � � � i � r 51. CERTIFICATEiOF OEC PANCY '� � J�I__ + ..i _1_' f. .t � _�. �._ ' I � Np, �I i' � I � bate � , � i i j i 1- { � i f�'1 � i ; � � ��'� � , . �'•' _ _.J--•,__,s '_,1 �;� ';1__ - ' ' 1_�_,.� _� Ciry of Costa Mesa DeveloPme�t Services Department Suilding $atety Division P.O.Box 1200 Costa Meu, California CERTIFICATE OF OCCUPANCY No.OL�465 The Building located at 742 W2�TC'�A't^r. Ai�Y has Ueen inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for g Group R-1 Occupancy. Use of Building (YkR]fN.'TUTirn Legal Description 41A-73]-17 (See revarse side for Metes and Bounds) Building Permit No. R-7S(1z Electrical Permit No. r_AR1A Plumbing Permit No. v_7SG7 Mechanical Permit No. ��9��1.- �.�Q�+'�`� Number of apartments and/or guest rooms � 1 � /� j�%` �SSUED T0: • Build�Official ��Ll,�-/onJ� !/�/�'ti�Ov" M n .Tnnrrc mtironnrv. mn^. � /� /�� �- 1 by t� ��.`�/.�:ru-!o�^- 2a�f1 ATRWAV A\IF'.NfiR n—G� (Y1CTA NIF4Ar C'..A Date O`l %/•�itc�P ��0 / This Certificate of Occupancy SHALL BE posted in a conspicuous place on t� �premises and SHALL NOT BE removed except by the Build�ng Official of the City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 3015-46 rev. 1/83 Whi[e - Owner, Canary - Numerical Flle; Pink � Bldg. Permit Flle