HomeMy WebLinkAbout842 MAGELLAN ST - Building Permits' . ADollcant to fill in all soaros exceot tnosa witnin neavY oortle. Iines an0 sign all approorlate aeclantions.
CITV OF COSTA MESA CONSTRUCTION PERMIT , P�MIT N2 TRACT NO. LOT NO. UNIT NO.
Project Address /`
pp y �l�O MG�OSE �-MO�J ��C TVPEOFCONSTRUCTION NEW � ADD ALTERATION REPAIR
A litant'S Mailj Add E55 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER
Owner's Name `T2�r�C�/�11� Phone DESCRIPTION OF WOFK/USE OF BLDG.
Address ��/� M/��%L�—/}N ' _
No. 3�C'6 v5
Address � o' '_
Contracror's Narp ^ �� Phone s SG'�(
Address (mailing)��% ICJO /���'ROr3�
�Ciry License No. � � ���
LICENSED CONTRACTOR OECLARATION
I nereby affirm [nat I am Iicensetl untl.r provislons f Ch ter 9(commencln9
with saction ]Ob0) of Divislon 3 of ne Bus ezs ntl fessions Cotle, antl
my Ilcense i in`1 il ❑ o c a tl lect. �� `�
�Llcense CI s L Ic s V
Date Signature
WORKE 5'C MP NSATION DECLAR TION �
. ' hereby /firm that I have a ttrtiiicate of onsent to selbinsure or a�ertiflcate
/ Wotke�s' Corppen55tiOn InsurdnGe, r a certl �etl <Opy t�ereaf (SeCtiOn
d800, Lab. .
aorcr ' 4 3G.3C PA �� P, y ��
¢rlitie copy is reby furnisnea.
r"'i C¢ ' i o i with the city iltl g D ion
UDate __ Applicant
EXEMP ION FR M ORKERS' COMPENSATION DECLARAT N
(This se ion nee not be completetl it the permit Is tor one huntlretl (5300) or
less}.
I certify tha� in the Pertormance Ot thn work lo� wnith this Oe�m�t is i55uetl, I
shall not employ any person in any ma�ne� so a5 lo become 5ubjeCt to the
Workers' Compenzation Laws of California.
Dato Signature
NOTICE: If, altgr makin9 tnit tleclaratlon, you zhoula becoma subject to tne
Wo�ker5' COmppp���on provislons of th! Ldbor Cotla, you must forNwi[h
comDly wltn such provl5iOn5 or (his Oe�mit Shall be tleemetl rovokod.
CONSTRUCTIpN LENDING AGENCV
I hereby aftirm lhat tbare is a constructlon lentlin9 agency tor tne performance
of tha work (or which this Permit iz issuetl (Secllon 3097 Clv. C.)
Lentler's Namc
Lentler's Atltlresy
OWNER BUILqER �ECLARATION� �
1 hereby afllrm ��at I am exempt from the Contractor'i LlcenSe �w for tha
following reason (Sectlon 7031.5 Buslne5z antl Prolesslonal Cotle: Any city or
county wnicn reqWres a permit ta construct, alter, improva, aemolish or reoair
any structure, prior to its issuance, alm req Wrez tno apD���ant tor such permit
t0 file a sign¢tl slatem¢nt thal hc/She Is II<¢nSeU puRudnt lo lha provisions o1
the Con(ractot'S LiCenSC Law (Chapler 9.(commenCin9 with Sactlon ]000) oi
Olvision 3 0l lhe Businoss antl Profesvons Cotle) or tbat he/ine is exempt
perofrom and (h¢ ba5is lo� lh< allegetl ezemplion. Any viOlaHon ot Sactlon
/031.5 Dy any ap0�icant tOr a p¢rmit Subjects lhC applicant t0 a civil
�enalty o1 nol more tnan fivo buntlre� tlollars (5500�.
I, as owner p� Iho property Or my employees with wa9es as their solo
COm0en5ation, Wi�l tlo iha work, antl tha sVucture I5 nol inten0etl or ofleretl
lor sale (Sectipn ]044, Business antl Protessional Code: Th¢ Contractor's
�Icensa Law tlqes not apply to an own¢r of a property who bulltls o� IrnProveS
theraon, antl wno tloos such work nimselt/herseli or lhrou9n hls or her own
emplOYees, O�ovitletl thal zucll Improvements are nOt Intentlatl Or Otteretl tof
sa1o, 11 hOwCVQ�, the bulltling 4r imorovement is soltl wltnin ono ycar of com-
plclion, IM10 owncr will nave ttl0 Ourtl¢n oi prOving Oe/she tlitl not bWltl or IT-
�1rOve tOr [he pUfDoSe O� sale).
U I, ai owner of tbe pro0erty, am exclusivety contractlng wlth licensetl con-
Vaclorsto cons[ruct the proj¢CI ($ection ]044, BuSiness antl ProfeS5ion5 Cotle:
Th0 ConVd<[Or'S LicenSa Ldw dOe nOt apply to an Owner f prpperty wh0
bulltls or Imprbves the�on, antl w a coniracts for su�'pr � tz wiN a con-
traGtor�z IlcenEe pu�suanl l0 he� nVactOr's ons a 1 am aware that
prool o� their Warker COT en lio �nsu� Ce sh Itl e rovltletl l0 mo.
❑ I am exempt uoder cfion B. 6 P tor [his reason
Datc
or 55 �
tate tnat the above
a county ortlinances
•by authorize repre-
IOnetl ptOpe�ty 'i/o�
DataS �i��Y
TVPEOFPERMIT I.J GRA�ING OVNDATION U STRVCTURAL
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL
❑ OTHER
PRQIECT DESCRIPTION Sc�. F7. OCCUaANCv—
CON ST0.UCTION TYPE VALUATION 5
ZONE GRADINGCU.�'O5. ACf3E5—
Remarks: � . � n � _ / AT�n �G n .-c G
Sink
Irrigation
Drinking Fountains
Floor Orains
Floor Sinks
Gas Service Outlets
Interc¢ptors
Kitchen Sink
Lavatories •
P—Trap
Roof DrainS '
Reinspection Fea � $15
Boiler
Ducl� Under Ground
Duct - Strucmral
Dutt - Ventila�ing
Exhaust System ❑ Multiple
Firepl/FacL BIL ICBO #
Heating System & Ductin9
O ai oo,000 sTu O i oo.000
Reinspection Fee � 515
0865-46, rev, 4/84 Wbit¢ - guiltlin9; �anary - Applicanh Pink - Accounting; Goltlenrotl - Assessor
� MBII
$hoWers
Service Sink
Sewer Cap
Sewer Connection
Solar Colleciors
$oiar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heacer
Water Service
laue Fee
Hood or Type I ❑
Cenopy Type II ❑
Refrigeration System
❑aioo,000eTu ❑ioo,000ar
Sys[em flepair/Alteration
laue Fee
FEES
$ 3
$ 3
A.P. iW
S Main Buildi
E
T Front
B Rear
A
C Right
K lett
S
P�ng. Ref. #
Planning Notes:
Aummatic Washer
Constructlon Pa�e Sub.
Cooking Unit '
Dishwasher
Dryers �Gas ❑Elec[ric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0.5 KW O5�
sa�2 �i3�ie�� i:3.�� '!.
2one
Accessory Building:
Z
O
N
I
N
G
R
Parking Req./Provided E
�
M
T
S.
ELECTRICAL
Transformer � 15-50 KW
❑ 50+ KW
Meter ❑up to 100amps
Meter ❑over100amps
Sub Panel
Motors O67 HP 01 h- 8
Inc. Solar �9-15 HP �15.15+
Microwave
Pole Light
�f I Slending Sections
15 KW Trnsh Compactor
Reinspection Feo $15 Issue Fee
� DEVELOPMENiSERVICESREQUIREMEMTS:
2oning Approved By
Building Approved By l
Appliqtion Issued BV �
FEES
$ 3
SUMMARV OF'FEES
BUILDING PERMIT $ ' SMIP $
PLAN CHECK $ PEFiMIT
PLUMBING $ ��� ISSUANCE $
PLAN CHECK 25% 5 ENERGY P.C. $
ELECTRICAL $ GRADING S
PLAN CHECK 50% $ - MICROFILM 5
MECHANICAL $ TOTALFEE $ I3,0�
PLAN CHECK 25% $
CONSTRUCTION ANDPLANNING � POO.�.SPA
;. APPFOVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
.1. Temporary Electrical Service or Pole -. � 52. Pool & Equipment Location
. �
F 2. Soil Pipe-.Undrgrnd. 1I 53. Steel Reinforcement .
3. Electrical CondOit Utility-Undrgrnd. I. 54. Forms .
4. Electrical Conduit-Undrgrnd. I 55. Electrical Bonding �
• 5. Steel Reinforcement ' I 56. Rough Plumbing & Pressure Test � �
6. Electrical UFER Grnd. I - 57. APPROVAL TO COVER-GUNITE
7. Footings . �: • �' ' 58. Electrical Conduit-Undrgrnd.
8. Founda[ion I _ 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. • I 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System �� 61. APPROVAL TO DECK �
� 11. Property Sewer Line & House Connection I 62. Backwash & Receptor-Final
12. Sewer Cap I 63. Heater &�Vent-Final
13. Roof Drains - I 64. Plumbing System - Final
14. Rough Plumbing I 65. Electrical-Final
15. Rough Electrical-Conduit I 66. So,lar System-Final
16. Rough Electric Wiring I 67. Fencing & Access Approval
17. Rough Wiring Sign I 68. APPROVED FOR PLASTERING
18. Rough Electriral-T Bar Ceiling I 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning I FIRE DEPT. REQUIREMENT
20. Ro�gh Factory Fireplace � I APPROVALS Permit #
21. Ducts, in Structure I 70. Underground Hydro
22. Ducts, Ventilating ''� I 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test � 72. Underground Flush
24. Roof Framing I 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing � I 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat I 75. Dry Chemical
27. Frame and Flashing I 76. Dry Standpipe
28. Lathing & Siding I 77. FIXED SYSTEM FINAL
29. Insulation I 78. FIRE PREV. FINAL
30. Drywall Nailing I ,� HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat I 79. FINAL INSPECTION
32. Electrical Power Meter-Final I , 80. FOOD CERTIFICATE ISSUED
33. Final Electric I Notes: � ds (�'�(��p; (�
34. Final Heating & Air Conditioning I
35. Final Gas Pipe-Test � ,
36. Hood or Canopy � -
�
37. Final Factory Fireplace I
38. Final Plumbing I
39. Water Service-Final
40. Gas Service-Final
41 lar pomestic-Final . /�( �
42. Bac�Cf�Preventer �: � ,in � �i�
w
43. Backflow Irrigation U A
A
44. Landscape Irrigation System L
45. Sound Attenuation .
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY .
No. Date
SERVAMATIC 50L,AR SYSTEMS, INC
Na�„e ���DT�c (`I A-�
Address U "Y� �j 7'� �� ��-��Cl
City ���,�`�3- /'/��
Phone No.
Truss ❑ Rafter
Size of Members _�"x / "
L
Centers (�nches
Roof Span �� feet
Roof Type �f� �
Roof Pitch y ��
NO7E: See attached Standard Plan for
Maximum Roof 5pan.
they
FORM No. 5131 (10183 — 20M)
PLOT PLAN
�� R�����
C6T� C�= ���"a � Pr���E�
/;Sr.chanical Di�•i:ion
Building Dep;�;finent
ATE PERMITS ARE R�;iil„��
ELECiPIC;,I_, n� :i • . >'��,
;TiP1G, �l�i � ' . .; `�L�!ii
REFR!GERAfiO:c n�Kit
'_;':$ #._Q1�2`i7 �
Itit: " ._V�ut�ti�'�I jI
L ii!Si',_C �u�� ,;�;1;:SfS.._._J
Fo i i:,� .c :; :„�� i�RF TYl
BE E�:.r'LQ:cD; .: „�':S3' YNiiT illE
S74TE__OF G!_.: u;.,.;.� UiYISION OF
Date
Installed by
Branch
' o" �,(a
J����,�.
�
�
the job and have the customer sign to acknowledge that
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" n PRES5lIRE R@LIf:F' VALVIi
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Applicant to fill In all spaees except t�ose wit�in heavY borEer Iines anC sign all aOD�opriale Geclarations.
CITY�OF COS7a MESn CONSTRUCTION PERMIT
Project Address %?�2 m A(,Ecc � �c/
Applicant's Mailing Address n �/C�� a1,
Owner's Name � C' ` %��L%J �%��F Phone%„��Z
nddress �� Z � p��L<!a
Arch/Eng. Licenu No.
Address
Convactor's NameuA'e���y%'�N �'j� � Phane �
Address (mailingl /P�3 Z i�.i�/MS n�l% C�2
City License No. 3 � � �
IICENSED CONTRACTOR DECLARATION
I h¢reby atti�m that I am li<ensetl untllr prOviSiOni ol Chdrl¢� 9(commoncing
with section 7000) ot Division 3 of the Business antl Profesilons Cotle, antl
my license is In fu❑ rce an eltect. LA
�icense Class � ice No. � v r/
Date �1"%�� Si9nature
WORKE0.5' COMPENSATION OECLARATI� �
-'�ereby attirm that 1 �ave a certitiwte o1 consen[ to selt�nsure or a certiticate
Worke�s' CompenSatiOn Inm�ance, ot a ce�UfiGtl COpy lherGOf (SeCtiOn
,JO, lab. C.) �_�^_��
Policy No. Company
Certifietl copy ii hereDy fumishetl.
ertifiea co is f' etl with the city Buj�tlin9 D�sipq?j �
D te ApplicaM � �
E%EMPTION FROM WORKERS' COM NSATI DECIARATION
(This section neetl not be <omple[etl it tne permit s tor one huntlratl (5300) or
less).
I certify that in Ihe pe�fo�mante Ot IhG wOrk 10r whic� t�is pa�m�t Is bsuetl I
shall not em0�oy any person in any manner zo as �com subject to t{te
Workerz' omp saC LawS Ot Cal a. ��
Oate ��Signa(ure �
NOTIC : It, aiter making this tleclara on, you�sq ultl becoma subject lo e
Workers' Compensalion pmvi5iOn5 o the la¢ ( Cotle, you mu5t lorthwith
comply wiln suc� provisions or tnis per� shall be tleemetl revokad.
CONSTRVCTION�LEPlDING AGENCV
I hereby attirm thal Ihere is a constructlon lentlin9 aganty tor Ihe pertormanco
O( the work for whic� Ihis permil i5 issuatl (SeCtiOn 3097 Civ. C.)
Lentler•s Name
Lentler•s Atltlress
OWNERBUILDER DECLARATION
I her¢Oy aHlrm ihat I am axGmpt /wm lhe COntraclor'S Llcense I..aw ior th0
lollowing reason (Section �03L5 Buslness antl Profesitonal Coda: Any city or
cOunty whi<h rtquires d Oermit lo conitruct, aller, ImprOva, tlemoli5h Or rnpalr
any structurq prior lo its issuanca, also requires Ihe apPlicanl (or su<h permil
t0 lile a SignCU slatemCnt Itlat n¢/Sh! Is Hcen58tl purivant lo lh8 0��`/�slOns o1
the Contractor's Licenze Law (Chapter 9(commencing with SecUon 7000) ot
-'vision 3 af t�e Butiness antl Protessions Cotla) or that ho/5he is uxempt
�elrom antl the basis tor Ihe allegetl exemption. Any violatlon ot 5ection
II.5 Dy any applican[ for a permil SUDlects the applicant to a clvll
enalty ot not mor¢ tnan five huntlretl tlollars (E500).
� I, as owner ot the praperty or my emPloyces wilb wages as Inalr sole
comp¢nsatiOn, will tlo th¢ wo�k, antl Ih¢ Struc[ur0 75 nOt IntantlBC o� oHB�etl
, for sale (Section ]044, Business antl Professional Cotle: The Con(ractor'S
� License Law tloes not appry to an owner ot a properry wlio builtls or impmves
tnereon, and who tlocs zuch work himtelt/�erself or througn his or nor own
employoes, 0/ovitletl that such ImOrovaments are nOt Inlentletl or oifaretl for
sale. II, powavGr, the Duiltlin9 or imprOvement 6 soltl wlthin One yea� of COm-
plelion, ihe owner wlll hav¢ the burtlen ot proving he/She tlltl n0t bulltl ot im•
p�ov! IOr lne pu�pose ol Tdla�.
❑ I, as owner ol the v�operty, am extlusively contracting wlth Iicensotl con-
tractorsto constructtne project (Section 7044, Business antl Proteszions Cotle:
The Contra<tor'z License Law does not apply to an owner ot proOertY who
builtls or iynoroves thermn. antl who conHacts for such orolects with a con-
tractor(s) hcense pursuane to �ne Coniracror•s License Law). I am aware that
prooi o( [heir Wo�ker's Compen5a[IOn insuranto inoultl be providetl t0 m0.
❑ I am ex¢mpt unde� Section 8. 6 P. C. fo� lhi5 reazOn
Da[e � Owner
I hereby certiry tnat I have rea
InfOfmatiOn is cofrect. I a9r¢e to
antl state laws relalin9 to builtli
SentaUves ot this city lo nte
InSDection purpq�
Signature �
Orivers' Licenu or 55 �
tl this applicatlon antl state that tne abova
comply witn all city anC county ortlinancet
ng construttion, dntl her¢by authorlEa r<p/e-
p ypoO jh¢ abOve-TenllOneO prOpeft tol �
i /jy .!/ �Z � �'A<I
`-y"// Dat
_ .�
TVPE OF CONSTRUCTION � LJ NEW U ADD LJ ALTERATIO 4 U REPAIR
❑ CONVERSION ❑ D OLISH ❑ OTH R
DESCRIPTION OF WORK/USE OF BLDG. r
� �
TVPE OF PEHMIT GRADING FOVNDATION STRUCTVRAL
❑ TENANT �LECTRICAL ❑ PLUMBING ❑�MECHANICAL
❑ OTHER
PRQIECT DESCRIPTION SO.FT. oCCUrArvCV
CONSTRUCTION TVPE VAI.UATION 5
ZONE Gf3ADING CU. VDS. ACRES
Remarkt: AID Cl-�.�.. ��. . .r�-.� ��
Backtlow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
Dishwasher
Drinking Founteins
Floor Drains
Floor Sinks
Gas Service Outlets
Kitchen Sink
�,Bvatofies
P—Trap
Roof Druins
Reinspaction Fea $15
Boiler
Duct - Under Ground
Duct - S[ructural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/FacL BIL ICBO #
Heating SVstem & Ducting
00-100,000 BTU 0100,000 BTi
Reinspection Fee � $75
OB65-46, rev. 5/BB White � Builtling; Canary - Appllcant; Pink - Accountin9; Goltlenrotl - Assessor
$ink
5ewer Connection
Solar Collectors
$olar Piping
Solar Tank
Swimming Po01 wlSpe
Urinal
Weter Closet
Warer Hearer
Water Service
Auto-Wesh
laue Fee
Hoodor Typel ❑
Canopy Typ¢ I I ❑
Refrigera[ion Svstem
06700,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Iswe Fee
FEES
S 3
FEES
S 3
A.P. �
S Main Building:
E
T Front
�A Rear
C Right
SLeft
Ping. Ref. �
Planning Notes:
Automatic Washe�
Construction Pole Si
Cooking Unit
Dishwasher
Dryers �Gas ❑EI
Fan
F.A,U.
Fixtures
Device Boxes
Ou21e[s
$WI[C�125
Garbage Disposai-
Generator �0.5 KW
Zone
Accessory Building:
Perking Req./Provided
ELECTRICAL
Transtormer ❑ 75-50 KW
❑ 50+KW
Meter �up to t00amp5
Meter ❑over100amps
Sub Panel
Motors �0.1 HP O1 i4 - 8
Inc.Solar �&75 HP �1E15+
Microwave
Pole Light �
Range- �
Standing Sections
5-15 KW Trash Compacror
� Reinspeaion Fee �$15 � � Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
Aaoliration Issued Bv
FEES
N
i
N
G
R
E
Q
M
T
S.
SUMMARY OF FEES
BUILDING PERMIT $ SMIP 5
PLAN CHECK $ PERMIT
PLUMBING $ < .. ISSUANCE�. $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTFICAI $ � GRADING 9
PLANCHECK 50% $ MICROFILM $ --�, —
MECHANICAL $ TOTAL FEE $ _L�=_
PLAN CHECK 25% $
Oi GGU211;;5-GCL2I43° �"C4-! :7.�`
44TE: 12in7/8E TIffE: 12:.?�
� CONSTRUCTION ANDPLANNING POO iPA
' Daie Inspector Date Inspector
� APPROVALS Permit # APPROVALS Permit #
r
1. Temporary Electrical Service or Pole� � i 52. Pool & Equipment Location �
2: Soil Pjpe,-Undrgrnd. �j' , 53. Steel Reinforcement �
3. Electripal Conduif Utility�Undrjmb.� '' 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..Foo[irigs �! �• I� 58. Electrical Conduit-Undrgrnd. ,
Sr'Founda[ion � � _ � , 59. Gas Pipe, O Undrgrnd., Test
9. N/ater-Pipe-Undrgmd. � '� � ' 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System �� -� 67. APPROVAL TO DECK
11.• Property Sewer Line & House Connection �. � � 62. Backwash & Receptor-Final .
i i •
12. Sewer Cap . � , 63. Heater & Vent�Final �
73. Roof Drains ' � � � 64. Plumbing System - Final '
14. Rough Plumbing � 65. Electrical-Final
15. Rough Electrical-Conduit � 66. Solar SYstem-Final
76.� Rough Elec[ric Wiring 67. Fencing & Access Approval
17: Rough Wiring 5ign 68. APPROVED FOR PLASTERING
n
78.. 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. Duc[s, in Structure � 70. Underground Hydro
22. Ducts, Ventilating , 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. RoofFraming 73. Undergrnd.StorageTankOGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structurai) & Monocoat 75. D�y Chemical
27. Frarr�e�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 CAat 79. FINAL INSPECTION �
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Ijeating & Air Conditioning _ _
35. Final�Gas Pipe-Test ,
36. Hood or CanopY
37. Final Factory Fireplace '
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestirFinal
0
42. Backflow Preventer •-� • � . _
43. Backflow Irrigation .: i � T 7 � '
I�._�.
44. .Landscape Irrigation System 111Ct �piLt�.�', IT:S,�C�t�Q'�
45. Sound Attenuation ,6 7 � gig � ___
46. Handicap Regulations
,
47. FINAL STRUCTURE & BUILDING � 1 �
48. Special Requirements Completed
49. Electric Release to Edison �
50. Gas Release to 5outhern California Gas Co � I• i '
51. CERTIFICATE OF OCCUPANCY , � :
. . ,c
No. Date . •'
. ���59 _ ,
COSTA MESA BUILDING-SAFETY DEPARTMENT- �� DEC 9 196�
P. O. BOX 917 C06TA M�A. CALIPORNU
�o r�a, p�gN 3a Bc 2
For Applicanf io Fill In Cortlplefely APPLICATION FOR PERMIT�
TVPE OR PR�NT
BUILDING
BUILDING
ADDRE88
CASTA MESA CALIFORNIA For Offite Use Only
N6ClIPT NO. P MIT NO.
OWNER � � rC
MAIL REC IVHD GY DA q8C81V D DATH 166UlD
ADDRESS I � 7' �p }FC2 0 19F�tl
c�rr Corona del Mai � No:OB 34220 BUILDING
ADDRESS 842 Ma ellan Street
ARGHITEGT re�. COSTA MESA. CALIFORNIA
OR ENGINEER �CCO COI OSC�OII No.OR 34220
ADDRESS3HOO E. CO88C HSghvaq " FIRE �-onne��� Yr
— . _ 7ANF lVOC _
� SIZE
� BUILDING
M8CC0 COIp
� s, coase
�ns del lfar
NO. O! lLDQ/.
FPOM �/7�
DESCRIPTION OF WORK
ROOF
VH6R80Y�IfCKNOWL8D08 TXAT 1
LAND BTATY THAT TH ABOVB 19
PLY WITH ALL GITY INAN�ve
BUILDINO CON6TPU TI
61GNATURB OP �
PERMITTE
AUTFiORIZED AGENT
APPROVED
ZONING
zone I no. or I uee ov n
R-1 � PV`N9 2 BUILDINO
�ea�� YA�C, 7 3 �
oeecn�rr�ox�` i � w
n. P. No. nnnP
YARDS EVES
APPROYED ALLOWEC
IC6MYp LIN[ eTJ / / T' /1� �
61 (/
�
�
TH�9 APPLIWTION TXH AMOUM BHOWN UNOHR VALUATION 19 IOR TM6
D A6MH8 M COM� pUI806E OP H6T/�GLIBHINp � P¢RMIT RHe ONLY.
L.AWO R60UL.ATNO
' VALUATION
PERM{T FEE $ D�O
S Ij�� (� /�. O'd PLAN CHECK 8 I�. �V
TOTAL FHH • ��