HomeMy WebLinkAbout433 WOODLAND PL - Building PermitsPNOJECf �DONESS: 4] 3 WOODLAND PL
OWNEH'S N�ME: MARY W I LL IAMS
�DOflE33: SAME AS ABOVE
714/646-4329
RNCNIENOINEEfl:
RODflESS:
.Iv
UNIT:
HEO.NO.:
UNIT:
PEflMITTEE: CRANK BROTHEAS ROOFING ( 714 ) 548-5569
nooness: 126 COMMEACIAL WAY
C.M. CA 92627
UCENSED LONTMCTON �ECIAMTIOX: I AereUy amrm t�at 1 am Iice�rse0 unOer provaions of Chapter 9(commencinp with Section
7000) al D'msion 3 al I�e Business anE Vrofessians CaOe, an0 my license a in full torce anU effed.
cirruc.:005993�$Tpreuc.:408677��cus� ���
oate: g^� r'" d Sipnamm: �L�
WOBI(EHS' COMPFNSIITION OEClAMT10N: I hea6y attirm Itut I luve a certificata of consent ro setl-insum or a certitiwte of Workers'
Compensation Ins rance a c rtified copy th¢reof (Sectiw 3800, Lab.
raucr xo.: 2�$ 5 2� 4� 0 oca. o�n: 1/ O 1/ 91
coMrexr: STATE
1 CeNiied copy is Aexhy tumisAeO. � CeNfieO copy is fl� the i uildinq Divivon.
' Date: S�' ^.y/ ' S' D ppp�icanr. �
' � �
E%EMPfION FlIOM WONKENS' COMPENSITtON OELlAM710N: (Ih6 stt6on mN rot Ee ample4d if the ce� a �a one AunEr¢d (5100) or less�.
I cetliry Ihat in t�e pertormance af the work tor which this permit a issued, I stuA not emDby any person in any manner so as to become
suble�� ro I�e Workers' Compensatlon Laxs ot Califomia.
DdIB: Sipndl0f0:
NOTICE: If, aiter maltinA �his AeclaaGon, you shoulC becoma su�ject to tAe Workers' ComDensation Omvisions of t�e LaCor
Code, you must (orlhm(h comO�Y ��h sucA provisions or tks permit sAatl Da deeme0 revake0.
CONSTHUCTION LENOING �GENCY: I hereEy amrm IAat there is a carrsWction lendinp apency lor the Dedarmance o/ t�e vrork lor
wAic� t�is permit is issueC (Section 3097, Civ. L�.
lENOEfl:
noosess:
OWNEN BOILOEB OECUMTION: I �eahy amrm Ilwt I am exempt irom tha Contactors' State License Law lor Ihe tollowinp aason
(Section 7037.5 Business anE Pro�essiorul COGa: My ciry ol cowity wtuch rryuires a perm¢ to consWtt, alter, imOrove, tlemolis�, ar
r¢Daif any SiNctufe, prbr lo Its iauanCe, also reQWres llie applluni lor wch pemtil ro lile a slpne0 Statemenl Ihat hdsh0 IS litensed
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 047403
PERMIT NO: B 047403 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/OFF 6 REROOF SQ FT: 8,250
CLAIM VALUE: 8,250.00 CALC—VALUE: 8,250.00 GROUP OCC: R-3 /
COMMENTS: T/OFF REROOF W/ SHAKES
*�r********�r***x �r**�**�r**�r*�r+r+r�rat��r*��***�r**x x �r***�**�r�r*�r�r*�r*�e�r�****�r�r��t�**+r*+r��e�e
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
---------=-- MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
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: 13905403 2NE: REF NO;
PLANNING N6TES>
�
fk if 1!!f k ik ik 1k iF iF 1k iF iE if If M 1k it f!!f iflh iF iFlt if k if k if if if if iF iF if if if if k k �f if 1f ff fF �E �k 3flf if ik iF 1F �klk 3f M iE %M ff if i! 1F it M iF M if.iF �F if it fF f! M ff k
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: �
HUILDING APPROVED BY : DATE:
T
APPLICATION ZSSUED BY: DATE: •��
�r�r�rx�r+t�e***��r�ex�r��r�r��r*�r �t�r+r+r+�+r*+t** **
ifMitiFifMitiflk�flfffffMlfiFMMikkitMMikifiFkMMiFMMitNMMMlkiFif1F1f1f1kM ifklfifiEMltiFkMMitifikiflfiFlkifMikifiFiEiEMMikifMikifM
LEGALIZATION:N F E E S U M A A Y STAUCTUAAL SEGMENT:Y
HLDG PMT PLUMHING ELECTRIC M CHANIC FIRE SMIP/RES GRADING
PERMIT 108.00 .58
SMIP/NON—RES
pursuaM ro the D�onslons ol the Contractors State Llunsa Law (Chapter 9(commenanp wrt� Satlon 7000) of Olnslon 3 of the Busneu pLAN �
ana Pmfessions CoOe) or that �e/she a eKempt t�erelmm and t�e Eazis lar t�e alle0e4 exemD���� �Y �olaiion of Section 7031.5 Oy •. �'
any apDlicant lor a Dermit subjects t�e apDlicant to a civil penalry oi not mom than five AunAaA Uollars (5500�. ISSUE FEE . i
� as awner o� me ompeM or oy empioyees wSm wapes as meir m�e compenution, wi�� ao me wonc, ana me HUILDING—DIV—> PERMIT ISSUE PLAN-CH�ECK TOTAL PAID DUE
❑ itmcture Is not inronnen or otteree ror sale (Section 70aa, Buvness and Prolessional Coee: ine Contractors' Sute �Icense Law TOTAL S---- > i 0 8.$ 8 0. 0 0 0�. 0 � 1 � B.$ 8 1 � 8. 5 8 . � �
Oaes noI apDly �o an awner oi a properry wAo huilEs or impmves thereon, antl who tloes such woh himsatf/hersell or throuph � •�
�is or her own employees, pmviGeG Itut sucA imDrmements are nat inten0etl or offereC for sale. II, �owever t�a Eulldinp or REV£NIIE D I V I S ION TOTALS --> COLL ECTED •�_ 10 S. 58 OVER /SHORT • 0 �
improvementissolJwit�inoneyearolcompletion,t�eownerwillAavetheburUenotD�ovinphe/s�e0i0no�buildorimpmve BLDG PMT PI.UMBING ELECTRIC MECHANZC - FIRE SMIP/TOT GRADING PLAN—CHECK
lor the Ourpose al ulel. _. . ,
i, az owner oune D�ooerty� am exclusively comractinp witn Iicense0 wntractors to constmct tAe O�olect 1Section 70a4, Business 10 8, 0 0 ;-�, ��, . 5 8
❑ an0 Pmleuiom Cotla: TM Controctors State License Law Oces not appry ro an owner ol DroDerry wlio Eullds or imD��es t�ereon ' �
anAwhoconlratls�orsuchDrole��stil�aconlrattor�s�1lcensepursuanttathaComraciors'StatelitensaLaw�.lamaware **'*************�***'�*********�***************�'**************M'******'*�**'********'
that Drool al meir Warker's Compens.'wn insurance shoule De pmNaea to me. - I N D I V I D U A L =�. F� E E H Ii E A K D O W N
� I�am axem0� under Section: B. 8 P. C.
mr this reason: TYP E
Date: P+mer: I $FR
I Ao �ere�y certiry itwt I am awaa of anE unEerstan0 t�e requirtmenu al Califomu Heatih anE Salery CaUe Sectians 25505, 25533, an0
25534 anE that I or any lutum DuIlElnp oaupant vnlUvnll nat (cirUe ane) nretl to wmON ��� �4 state coGes antl Ihe requiremenis for a
permit for construclbn or moEification Irom t�e Nr Uualiry Manapement D'atrice PesOentul constmclion apDlicatione are exempt lmm
�he50 pmvisians.
Oaie: Applicanc
I Aere�y certiy t�at I have rea0 this apptiutlm md state ttut Ne a0ove intwmatlon is correct. I a0ree ta campty wlth atl pry anE counry
oreinances an0 state Wvrs reWtlnO �o builtlin0 �w�� ��retry auUnAreryryry Dmsenjjaabves ol tNs Ury ro enter upon Ne above�mentlane0
proDehY ior inspection Durposes. �—�J't%i�� A ^
S --->-I - 50 �` i _ ii
Cate: SiOnawm: �� �z�'��
Driver's License ar Social Securiry x: � �
1fi41i6 W�ite—BuiWiep; GreerCaEa Entweement; Canary—ApWieam� Fink—Revenue; GdtlanroE—Assesmr
QTY D E S C R I P T I O�N • UNIT COST TOTAL COST
:�
8250 REROOF HY VALUE RESIDENIAL NOZONE 1.00 8,250.00
END ;OF FE£S
� �` /
, l.
41 OCOb724o-Q�OS1297 TEj �f iGE.53
DaTE: Oi:?i/SO TIP(E: 20:'-.6
CONSTRUCTION AND PLANNING POOL & SPA '
APPROVALS Permit }# Date Inspector AppROVALS Permit # Date Inspector
1. Temporery Electrical Service or PoIQ;;I; 52. Pool & Equipment Location .
�2.; Soil Pipe-Undrgrnd � J �s� 53. Steel Reinforcement
•-,3._Electncal Conduit-CliilitY�Undrgmd=� � 54. Forms
` y.�Electrical Conduii Undrgmd. -' 55. Electrical Bonding
'S� Steel Reinforcement x 56. Rouqh Plumbing & Pressure Test
�� '}P
�6.�ElectiiCaIUFEABmd. �.' 57. APPROVALTOCOVER�GUNITE �
�•,7,•.iFootings =� 58. Electrical Conduit�Undrgrnd. ��
.,, 8. Foundation �,� 59. Gas Pipe, O Undrgrnd., Test c
� .
� 9. Water Pipe-Undig,Lnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor.$ystem ` 61. APPROVAL TO DECK
11. Property Sewei'�in`e:& House Connection� 62. Backwash & Receptor-Pinal
12. Sewer Cap -- 63. Heater & Vent-Final
13. Roof Drains � �^� 64. Plumbing System - Final
14. Rough Plumbing ✓ 65. Electrical-Final
�
15. Rough Electric�l-Conduit 66. Solar SVstem•Final
" 76. fiough ElectrieyViring 67. Fencing & Access ApP�oval
77. Rough Wiring Si,gn 68. APPROVED FOfl PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air COnditionin
�;� ;� a r r, . r� -r� a n �; ,. �,.FIRE DEPT. REnUIR�MENT� i3
20�o'u�h�actoM1 Fare lace '^`'� 4� '" `� y �_-•_+ � ��`'� +".^, x :. _
Y . P � � -� �� i� � � .p' { , PPR VA�:S �. �.Permit # �
21 rDucts, iTStructureA � " " SS �� � � ` � � �70. 0'ndergiou d' Hytlro '�
,:
' i - . � - ,: . � � ,. S e. �. �: a -r � , �
22.SDudis, Ventilating:�. • � r � ¢ n p..,* y 7�, product-F(ping �Crus O�OiI
23 �GarPipe-Roii9h & Test �� � T1 ^ S "%x �� 72. Underground FI h�`� � `' �
: , m z� �i ._ c< a� r 1 ., •, � ^ .. ��
s .. .. -.� , �,,;. �..c. a: ti !� ^ � }� rti ,? r-;i"�; �. - '
24. Roof Fr�,ming - ,-, . �.r, - y x..73r7Undergrnd. StorogeCTank:O Gas ❑ Oil
25. RoOf SFYLathing --�* 'C `� ` � � 7 ;• C.;r �� ��qCJOverhead Hydro`�_„^ �
< .-� r .r. ^I : > � y.
�+ - l, •9 d iT7 �' �: � '3 3' '- '
26a'f�B�r Ceiling (StGiic�tura�) &-�npcoat y v �, e;x� a: 75,r_Qry Cherr�ical
F'1 F l-
27 �Frame aFld F.iash[pg: �.���: _^ 'ax � 76. Dry Stana"pi'pe Y� k h C
^28. Lathin � Sidin ` � ': f s '^ ` � .. .•{ � �' �Y�Qi'E�r7�� � ;J �
4� . 9� , p^_. p x ���� � a� 77:7 FIXED INAI.a� :-,
ry29. Insulation v • _ � •• ?? � � �� pw � 78�FIRE PREV. F1��,1. �` "'
"� :: � i: i r. 1' ti r T ' f- ti
` 30. DrywalLNailtng .-,., y i x� I I/ �� y; S ,NEALTF{-DEPT�; REQUIR61VlENT
p37. Plaster Brown Co3t-' s �:T'^ '' I ( .'�v x.79� FINAL IIUSP£CTI�N X,� �,
-�32�lectricaj Power N1GterF.�nal� � `' � �'y ,..� �� � ,_.� .�
ca I �SO�POOD CERTIFI'GATE IS�I}ED_
�33.-�Firral Electric• > ;n � d + _ � i + NaTes: '? :C� *'� �!S�._
t• x
^�34r Finel Heating&Air�Cqriditionrng- � ' ' �:; f� - ��^ � -' c�
�; S. a" i•: t^ I � �' a J � I�• y
35`^Final Gas Pipe-Test. d w " �� I I ��` * � _S ;�/ 0�� ~�
; 36yHood or CanoPv * = n ; y� �; n � � '; � � ,�' �� .� * n yin
-y . �.� � �•, .. � � . .'. ;'
�7;:Final Factory Fireplaces; �E+ Y� f �, '.Y Y., " ` M +� i�
•ti { 4 �' n� ` + '� ' � T O
�38. Final Plumbing - a. y •�,_� �' .. �;� y. �;
. � � v -
`39. Water Service�Final; � � -' +: .; �� x: � � � --� ��" x � s
�� i: -
T40. Gas Service-Final * r. c,c^r- S * r, ' � x 0��� '�;� a� ^
'l `: � .Tj i � !' t �^-� . ,Y, �'
R �J.
`47. Solar pome�cFinal S �� . i I ;�: * ;n �:,;; J� x:� p
- �� . �
42. �Backflow Preventer� � ! ! k* * � " ' �� �' �'"'
i � ��� -.� x- :e c .�7 [70��� K F
'T '" �.SS M . .-.r �
43. Backflow Irrrgation,: ; �: .; .y �,: � i e: � (`. •
- - - n� n
:'44. Landscape IiiigatiBn System�h� ^ k "� =' S � � M. ^ c:,' ',_ `" ^r :� ^ ro _
r. r w r �<:.�".. :� x < d; �.,^ X Y' 'J ',� G #^ F
i � ^ x -. � :» . � z n :+ r � r, � � - �..,, T
45:�Sound Attenuatior� �.. .. � ir, ;r, 4;a: a p+ ,� '. F•.,, r
_ _ y.
:46.•Handicap Regulations '' G �` y * � '- n�� = *
r� Y c x g � 1� tl: k ;rJnJC`_, :i �:
;L47=FIN;AL STRUCTUEIE & BUILDING ' � � y � "' - * ^
(' L � '�r. . �. �.
48-FIN-AL PtANNINa� ' ^E" " n' � p +� • -� ;; ' F "
�t r I , �' > 'J :� !U .x C, •
„49 EleciricJRelease ro;Edison ' � I . � � y C •C� t '�
�.
•�50 =fias�Release to Soufhem Califorhia Gas Co * i I• 1t x^ .+ O• ot*f a O^•
, << r ��•• s �o n � cu c
.51. CERTIFICATE OF'OCCUPANCY ' " •" � �� •� � �-
No. Date
�
�
AOPi��ant to /III in all spaees exee0t t�ose wit�in heavy OorEer Iinas antl sign all appropriate tlaclarattons.
CITY OF COSTA MESA
ONSTRUCTION PERMIT
,
r �rojecc Address �-= �i
�cpplicant's Mailing Addren �
� ,/,��'� �q
Owner's Name � P ona,�R-'Z�l�t'1
f
Address %
Arch/Eng. License No.
Address _ 1���-Q
Contractor's Nam Pho��3l-u-ad.�- V
Addreu (mailingl C %-
City License No.
LICENSED CONTRACTOR DECIARATION
I�nere�y affirm that I am Iicensetl untlor provlslous of C�artor 9(commencing
with SecUon 7000) 01 Division 3 of Nn Buslness an0 Profusilons Cotle, antl
my Iicensa is in full orce ntl effect. T
License Class �—��� License N J
Pate I % � � ��� Si9nuture -d
VORKERS'COMPENSATION ARATION
hereby aHirm that I �ave a cerb cate of consent to self-insure or a tertiflcate
et Workers' Compensatlon Inwrance, or a certifietl to thereof (Secti n
3800, Ldb. C.) .
Policy No. Company
Ce fietl <opY �5 hereby fuTiSheC.
er[ fieQ,co0� i�s �tiletl wit� the city i ing Divisio .
Date/ "5-`TL—AOPlitant '
E%EMPTION FROM�WORKERS"CO ENSATION DECIARATION
(Thi55ecUon neetl no[ be completoG tne parmit Is tor one huntlretl (5100) or
lasz). �
I certlfy�that In the oerlormance of lhe work for which this perm�t Is Issuetl, I
Thdll not employ any p¢�san In any Tanner so as t0 be<Ome lubject to the
Workers' COmpensatlon LawS of CalitorniaJ
Dato Si9naturo
NOTICE: It, dflGr mdking th6 UeGlaratlOn, y0u shoultl become iub7ect to the
Workcrs' Compensation provislons of thn I�bor Cotlo, you muit torthwitn
compty wlth SUGh prOVI510n6 0� Ihli •pe�ml[ shall bo tlBBTOtl rBVOk¢tl.
CONSTRUCTION LENDING .NGENCV' • -
I hareby aHirm tnal t�era is a<onztrucUon lentlin9 agency fOr the perforrtiance
of tho .work for which this Dormit is 155uetl '(SecHon 3087 Civ. C.)
LBOtllf'S NdT9 �
LonAar's 'Atltlress �
OWNER BUILOER DECLARATION � - _ ' '
I herebYl altirT thdt I am exompt irom [he Contraclor'S LicBn58 Law fOr the
following raason (Se<tlon 7031.5 Businass and Pro/esslonal,Cotla: Any city or
county which requires a permit'to conztruct, alter, improve, aemolizh or.repair
'dny st�uctu�e, priOr to It5 issuance, also req�ir¢5 the�applicant 10/ zUch permlt
[o fil¢ a Signatl itatemeOt thdt he/Sha Is Ilcensetl pu�suan[ to the p�ovlslons of
the Contractor's License Law (Cnap[or 9(commencing with,5ectlon 7000) b�
Dlvislon 3 of the Busineu antl Professions Cotle).or that ho/sne is exempt �
therefrom ane the basis for'[he alle9etl exemp[ion. Any vlolation of Section
7031.5 by any applicant fnr a permiF subjects the- aOP�icanl to a civil
�natty of not more than Bve huntlretl tlollars (E500�.
LJ 1; az owner ot the pwp0/ty O� Ty CmplOy¢05' with wages as thBi� Sole
compensation, w71i tlo the work, antl the'structure is not intentlatl or otferetl
br ule �Section ]044, Business antl Professional Cotlr. Tno Contrattor's '
License taw tloes not aooW [o an owner of a orooertv'who bulitls or imornves
nr �p�o eas, prov�aea inai sucn �mprovamencs are no[ m[enaea or onerea tor
sale. 1, howaver, tne builtling or improvement Is soltl within one year of com-
pletion, tha owner will'have the burtlen of Droving he/she tlitl nat builtl or im-
�fOva'fo� the putp05¢ O7 salo). . . �
U I, 85 ownet of lhe property, aT e%cluslvely contraGtlng wlth Ilcln58tl COn-
lractorsto tonstrutt the pro�oct (Sectlon 7044, Buslnass an0 Pro�esslons Cotle:
The Contracror's Ucanse- Law doos not apply to an owner ol proparty who
bulltls or improves thereon, antl wno contracts for such pro7ects with a con-
[ractor�z) Iicensa Oursuant to tho Contraclor's License Law). .
❑ I am exompt untler 5ettlon B. S P, C. tor Ihis reason
TYPE OF CONSTRUCTION LJ �
❑ CONVERSION ❑ DEMOqLIS�
DESCf�IPTION OF ORK sLrS
i
TVPE OFPERMIT GaaoiNG
❑ TENANT ❑ ELECTRICAL
❑ OTHER
ADD LJ ALTERATION L7 REPAIR
JATION LJ STRUCTVRAL
NG ❑ MECHANICAL
PROJECT DESCRIPTION S�.FT. OCCUPnNCY
CONSTRVCTION TVVE VALUATION $_
ZONE GRADINGCU.VDS. ACRES_
Ramarks:
Bar Sink
Preventer
Irrigation
Bathtu6s
Clarifiers
Drinking Fountains
Floor Orains '
Floor Sinks �
Gas Service ' �I'
Interceptors
Kitchen.Sink
lavatories ' -
P—Trep "
Roof Drains,
qeinspection �Pee
Showers
Service Sink
Sewer Cap �
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank •
Swimming Pool w/Spa
Urinal
Weter Clout
Warer Heater
Water Service " � �
�■■
Boiler - .
Duct - Under Ground .
Duct-Structural t
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fect. Blt. ICBO �F
Data ' • Owner- • Heating SyStem & Dutting �
I hefC�y cellity that I have lOdtl Ih15 dpplicati00 dOtl StalO thdt ttle abOva ❑a7��,000 BTV 0100,��08T
Information-Is corrett. I agree to comply wltn a tity antl county ordinances - - �
anE sta[e laws r¢lating to builtling constr ti , ntl hereby authorize repre- �
sentatives of t' city to nnter upon ie ve-mentlanotl Property for �
InsOection purp es. .
Signature � Date '�� ,
Drivers' LI se or,55 � Reinspection Fee
CMF 0865-46 rev. 7/83' White • BuilGing; Canary - APPlicanh Pink - ACcounting; GOItl¢nrotl - ASSe55or
$25
Issue Fea �
Hood or Type I ❑
Canopy Typc I1, ❑
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
Issue Fee
FE
5 3
A.P. �
S Main 8uildin9:
E
T Front
A Rear
C Right �
gLeft
Ping. Rei. #
Parking Req./Provided
Use of Building:
Plenning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit �
Fan
F.A;U. �
Fiztures
Device Boxes
OUll2t5
Switches '
Garbage Disposal .
Generator �0.5 KW 05�15 KW
PUBLIC SERVICES REd
2onin9 APProved BY—
APPlifation APPIOved By
APo��wtion laued By_
BUILDINGPERMIT
PLAN CHECK
PLUMBING
PLAN CHECK
ELECTRICAI
PLAN CHECK
MECHANICAL
PLAN CHECK
Park
Transformer LJ 15-50 KW
❑ 50+KW
Meter -�up ro 100 amps
�Meter �over100amps
Sub Panel
Motors O0.1 HP O 1 Ya - 8
Inc.Solar �9-15 HP �1�6-
Micro�vave ' .
Pole Light �
Range '
Sign '
StandingSections �
Trash Compactor �
S25 � �ssue Fee
��
SUMMARV OF FEES '
$ SMIP. $
$ PERMIT
� S. C� ISSUANCE � $ �
$ . ENERGV P.C.. $ '
$ GRADING $ �
$ MICtiOFILM $
g TOTALFEE $ �•C�
$
' �;,Tif�STRUCTION AND PIANNING . - POOL & SPA
' APPROVALS Permit# Date ' Inspector p�ppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. 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. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE .
7. Footings � . 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Wa[er Pipe�Undrgrnd. • 60. Backwash Lines, P-Trap. O Undrgrnd.
10. Structural Floor System '67. APPROVAL TO DECK
71. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains • 64. Plumbing System � Final
14. Rough Plumbing - 65. Electrical-Final '
15. Rough Electriwl-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Electricai-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duc[s, in Struaure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and F�ashing 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: � �� � -r /.` �'�
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �� �
36. Hood or Canopy
37. Finai 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. FINAL STRUCTURE & BUILDIN�G , ,
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southem Califomia Gas Co � � -
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNERFAIRlANR HOMF.S TNC_ DATE 1 2% Sa �
JOB ADDRESS �33 Woodland Place BUILDING PERMIT'NO. g�,���
GENERAL CONTRACTOR $av C�nat.r VAL[lE � 15�9'j2.00
AP. No. COT 8 �raACT2598 FIRE ZONE DESCRIPI'ION OF WORK Res. att,(gar
GROUP I&.T TYPE V ZONE ni PLAN'NO. Ah7L
1PECTIONB I DATE I SUBCONTRACTOR (___ PERMIT8t8&UED
P' � Gas Test
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COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT.TO FILL IN
COSTA MESA. CALIFORNIA
IMAIL
A�DRE55
ARCHITECT 2
OR E' VEER �J
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TEL.
NO.
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NO.
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SIZE �] NO.OF elDGS.
OF LOT Rq 1 Z rvOw ON LOi
USE OF
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CENTEa OF SiREEiM REAR YARD
SIDE YARO RIGHT �s/t� LEFT J f
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DESCRIPTION OF WORK
NE� � ALTERATION AppITION
REPAIR MOVING DEMOLISH
BUILDING , NO.OF
SIZE L�n ROOMS STORIES
EXTERIOR WALL
COVERING
USE OF NEW
BIIILDING
ROOF
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FINRt�CE D�Pi. �---
CITY OF CQ�TA S9E�'
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPt NO. PE(yn1fT�Y('j
.iJ��6 I /--'n.�G�lYI .1NI
BUILDING
AODRE55
COSTA MESA. CALIFORNIA
FIRE
APPROVED
BV
CORRECTIONS
h wn under valuation is tar the
I HEflEBV NCKNOWLEDGE TN>T 1 MTVE RENO TMIS tPPLIC>TION RNO Purpose of establishing a permit fee ony.
ST<TE TNAT THE ABOVE IS CORRE<i nNO sGREE TO COMGLY WITH aLL
LITV ONOINPNCES FNO $T<TE LSWS REGVLPTING BUILDING CONSTNVG�
riorv. VALUATION
SIGNATURE OF PERMIT FEE � ,� S. clp
PERMITTEE
S �Sf PLAN CHECN S /�7 �(
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niirunwnrn er.rur {Yrt....._ __ "�nn.._ 1l._ _ I TOTAL FEE 5 S o7 .� � �°'��
O�VN�R I`l'T. & 14rs Howard Struble DATE
JOB ADDRESS �i33 Woodl.and Pl
PERM[T NO
GENERAL CONTRACTOR �7ner VALUE S S110
AP. No. LOT 8 TRACT 2 9B FIRE ZONE DESCRIPTION OF WORK b10Ck wall feni
INSPECTIONS I DATE I GROUP J TYPE III ZONERI
SUBCONTRACTOR
Form 210-3M-4�59 I.OZI13
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 3f7 COSTA MESA. CALIFORNIA
�OR APPI/CANT TO f/L[ /N COMPLETE[Y
TYPE OR PRINT
BUILDING �l�. �. . ) [-. �
COSTA MESA, CALI
�LEWL ILOT
DESCRIPTION NO.
�SRE �
OF LOT
1-15 I�:1
TEL.
NO. OF BLDGS.
NOW ON LOT
SEfBACK LINE FftOM {/� � T[�
CENTER OF STREET '/ Q f REAR YARD O
�� ��
SIDE YARO LEFT O RIGHT Q
DESCRIPTION OF ,WORK
BIIILDING NO.OF
SIZE ROOM;
EXTERIOR WALL IROOF
COVERING COVER
. �, ^`d r_ ol ._ c �:..
�Ia�l �sq �u.
•-r���� ''
.�,.. ,'CE D_!�.
APPLICATION FOR PERMIT
BUILDING
fOR OfF/CE USE ONLY
HECEIVED
�
BUILOING
FIRE
COSTA MESA. CALIFORNIA
TYPE %V� GROUP A
ZONING
IONE /'� / I NO, OF �I USE OF NEW
rQ PLpN3 6UILDINp
A�PPROVE9Ai G� � ( n�r� A
YARDS
REQUIRED
(CENTER LINE ST.)
li�
" E{ � 2 S"� �
I HEREBY ACKNOWLEOGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT BHOWN UNDER VALUATION IB FOH THE
ANO STRTE THAT THE ABOVE IS CORRECT pNU /�GflEE TO COM� pUFP08E OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY OROINANCE6 AND STATE LRWS NEGULATING
auILDInG CONSTRUCTIO y� " �s VALUATION
SIGNATURE OF �/ � . /AL PERMIT FEE $ � �
PERMI'ITEE // aVD�� �� �
PLAN CHECK $ �
$ `�
AUTHORIZED AGENT TOTAL FEE S T'�