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Home My WebLink About363 MAGNOLIA ST - Building Permitse (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3B3 MAGNOLIA ST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 11729126 Applicant COFFEY, BRIAN Address: 2428 NEWPORT BLVD #5 Zoning: GOSTA MESA,CA Owner. CATHERINE C KEESEE TRUST Address : %RICHARD L KEESE �.SALEM,CA� . - 2515 CORAL AVE N E#109 Contractor. THE ROOFING SPECIALISTS Address: 2428 NEWFORT BLVD #5 Arch : Address: Phone: (949) 722-SB46 Zip: 92672 Phone: Zip: 97305-1298 Phone: (949)722-8846 COSTA MESA,CA Zip: 92672 License: 734068 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/03/2002 Issued: 07/03l2002 Phone: . - . Phone: Zip: . License: � License: SCOPE OF PERMIT _ REROOF: TRIM BACK EXISTING COMP ROOF; RECOVER WITH ONE PLY 30# FELT, APPLY "ELK PRESTIQOE 30-YEAR COMP AND RELATED FLASHINGS. ONE LAYER EXISTING ON ROOF. � 28 SQUARES � Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Ezistin : o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 ProPosed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,000.00 $3,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and ielated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This peimit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. �`� �• .. ••• INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections antl }Inal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CAL�: (714) 7545626 . znaunsfvoo) WORKERS' COMPENSATION DECLARATION: '- . � I hereby aHirtn untler penalry of perjury one ot ihe tollowing deGeratlons: . ❑ I have end wlll maintain a certilicete of consent to selfdnsure for workers' compensatlon, as provitled br by section 3700 0l the Labor Code, for the pertortnance oi the ' work for which this permit is Issuetl. . .� I tiave arW will maintain wwkars' compensation insurence, as require0 Dy seclion 3700 of the Labor Cotle, for ihe peAortnance of Ne work for which this pertnit is issued. My workers' compansatlon Insurence carrler antl poliry number are: Certier: �iif�Trr. �^�� PolicyNumber. ��'UZ ' (This secfion need not be canp/eted il e permit /s velued at one hundred dollers ($700) orless.) ❑ I certify thet in the perfortnance ot the work for which this pertnit is issued, I s�all not employ any parson in any manner so as to become subjed to ihe workers' compensatlon laws ot Celitomia, and egree tha, f shoNa become subl�� ro Ihe workers' compensation provisions of Section 3700 of iha Lebor Cotle, I shall forlhwith compy wilh these provisio , ✓J 2 AppllcantSigneWre: � Date: / �J�� WARNINO: fNLURE TO SECURE WORKERS' COMP I ION COVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES ANO GVIL FlNES UP TOIXJE HUNDRED TFKKISAND DOLLARE (510p,000), IN AODITIdJ TO CI?ST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3]O60F THE LABOH CODE, IMEREST, AND FTTORNE`f5 FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eHirm that I am licensed un0er provisions of Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business antl Professions Coda, antl my license is in full force entl ettect. Lic. x 7�i � �� i Class # �. -3�j ConiractoYs SignaWre: �/ L Date: ?- 7i -r�'b i� CONSTRUCTON LENDING AGENCV: ' ❑ I hereby aRirm Ihat there is a construction lentling agency for the pedormance oi ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: lentleYs Adtlress: Signawre: _ OWNER-BUILDER DECLARATIONS: Oate: I hereby effirtn that under penalry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business en0 Professions Cotla: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any strucWre, prior to i�s issuance, also requires lhe applicant tor such permit to file a signeA statemem that he or she is licensetl pursuant to Ihe provisions oi the Contractors License Lew (Chapter 9(commencing wl�h Sectlon 7000) of Division 3 of t�e Busin855 antl Professions Cotle) or thet he or She i5 ezempt iherefrom and the ba5i51or the elleged exemption. Any violation ot Section 7031.5 Dy eny epplicant for e permit subjecLs the epplicant ro a civil penalry of not more than tive hundred dollars (5500).): � I, as owner ot the property, or my employees with weges as their sole compensation, WILL DO THE WORK, and ihe structure Is not intentletl or ofleretl for sale (Sec. 704a, Business and Protessions Cotle: The Coniractors License Law does not apply to an owner of property who builds or improves ihareon, antl who does such work himself or hereelf or through his or her ov.•n employees, provided thet such improvements are not intended or oHered lor sale. If, however, the builtling or improvement is sold within one year of wmpletion, the owner-builder will have tha burden ol proving ihat he or she did not build or improve for purpose oi sale.). ❑ I, as owner oi Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to con5truct the proleci (Sec. 7044, Busines5 and Professions Code: The wntrectors License Law tloes not epply to an owner ot pmperty who builtls or improves t�ereon, and who contrects for such project with a coniractor(s) licensa pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. eusiness antl Professions Code for this reason: Signature: Date: Owner ID verifie0 by drivefs license. ❑ Yes ❑ No DriveYs License No. Venlicetion of Ownership by (type oi daument, i.e. - property tac bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavation tive (5) or more feat in depih into which a person is requiretl to descend, will be mada in connection with work authonzed by Ihis permit, end that no 6uilding sWCWre, scaHolding, talsework, or demolition or dismantling thereot, will be more than ihirry-siv (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 71t1e 8, Calilomia Administrative Code). ❑ As ownervDuiltler, I will not employ anyone to do work which woultl require a permit from ihe Division of IndusMal Safety, as noted above, unless such person hes e permit m tlo such work from Ihe division. SignaWre: Date: Division ol Industrial Satery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIfiHORIZAiION OF ENTTiY: I certify under penalry of perlury that I have reatl ihis flpplication and state that ihe infortnation given is correct I agree m comply with all state laws end ciry ordinances relating ro building consWction, antl authonze represeniatives of the Ciry ot Costa Mesa to enter upon ihe ebove-descnbed pmparty for inspection purposes. I egree no� to occupy or allow occupancy of any building authorized by this pertnit until final inspection. OtLegalOwner(s) � ,Date ��'(�Z- IIhorized Appllcant Date LpDE �. INSPECTIONTYPE / 1616 Fixed System Final Fire Prevention 1266 Poo150a Finel 200 Final Re�Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolitian CODE I INSPECTION TYPE 206 Finel Methanical 208 Final Plumbing 210 Pinal Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinyOccupancy 2�I: 1�4$ / AOP��cant to fill in all spaces except Ihose within heavy bortler lines antl sign ali aDOropriate tleclarations. � _ CITY OF'COSTA-MESA � ' � -' � ' - - - - pERMIT NO. ' TRACT NO.- ; LOT'NO. � ""� -'BLD . . ' � � . � � ` ' ;' '� - - -; - - ,-� .CONSTRUCTION PERMIT 9? � ' ,. ' ' � 5T=l� :I'./?i/';': ;-�„-,• ': ;: - ' - ' ". •,. i,. _ � . - . � PrO�eCt Addre55. �`� � ' , TVPE OF CONSTHL,IC71r0lN: . NEW /�DD . •ALTERATION' REPAIR ` � _ � ApplroanLSMaili/r��A��ddt�u( �/� ' - /� '�� `y �> ❑ CONVERSION .LJ DEMOLISH THER - 1 � ' Ap #: - ; C, ,. � � =. Zone; ; " ' � �� . ' OwnefSName (.iL��T "` �(�/v�/7��, PhonB� D'' J DESCRIPTION�OF WORK : ' , - _ 1 ' � ' - . � i , i ; S �Main Bwlding -Accessory'Building � _ � Z Address' � � S/i'61"c_� . . ` _ _ . . . � � � . . � . O � . „TVPE�OFPERMIT � GRADING� FOUNDATION _ 'STRUCTVRA�' T �Front � � � � . N ArCh/Eng • LiCense No. _ ❑�TENANT ❑ ELECTRICAC ' PCU ING' MECHANICAL , , B Re'ar. ; • ' i �' � ' • � � . � ' � � . A, N Aiidfe55� • � � . ' ❑ �OTHER _ _ '� . _ ' . • � : ' - . C R19ht - - , . . G Contiactor's Name ' �Ph PROJECT DESCRIPTION� SQ. F� � ' OCCUPANC` W� - Address (mail�ng) ' � � � � CONSTRUCTION TVPE ._ VALUATION $ �� 6 � g; LefY . � ' ' � 1 � E � � � O . �. ' ZONE � GRADINGCU.YDS. 'ACFiES p�ng:Ref.# • Park.Fees $� n ' CityLicenseNo. �` ' ' � : + �' , ' ' ' V LICENSEp CONTRNCTOR DECLARATION � - ' � Rema�ks: � . ' � � � ' , � � � Pd�kipg R¢G./PfOVld2d � ' i � � " - � - ' - �� 'I-hereby'affirm that I.aT licensetl untle� ptovi51on5 at Chartei 9(commencing � � ' � . R' �' with seclion ]000) ot Division 3 of the Busineu antl Professlons Gotle, antl ' � � ' ' � ; I � • � � , . Use of Building: - ' - j . � -� � E ' • ' 1 � . my IlcenSe is in full foi antl�eff t. . . f � - ' , , . License lass � ' � • � LI se ( ' ' .i i ' • PLUMBING ! FEES P�anning Notes: � ! � ' �' �� E t . Date ,- • .� Siqnature � ' ' I � . - . • � , . - . 1 �' � � 'J� : i `�(tKERS' COMVENSATION D LARAT`ION � ' ' f �� Ba�Sink � ' �ShOW¢R ;� I + . � ' ' ' f �-` � N ' � . � . „'�;�,�eby'aftirm that I have a certi i ate ot consent to self-insure or a certificate , � gackflow Preventer Service Smk • ' ' � , , � r � ' �r � S �' 'SVorkers• CompenSaHon� su nce;' ora certifietl' copY t e eof (Section^ � � � - - - - � -- � ' - - - � � ' .�oo, Lzb. C , �� ; � i BackfloGv Irr•gation � ' � ` � ' ' � ' ' _: - ,��7 , , ��N�� SewerCap - � � � � - , , ELECTRICAL . ,,_ ;�FEES � Policy No. � Company - . . � � 1 ' '� ' � ��ertitietl copy is here fumisnea. ,-� � I 1 � � Bathtub's , Sewer Connection �� , Automauc Washer � Transformer ❑ 15 50.KW ,� �. i Cert' 'ed � Is fylQGwith the Ut i tlI9y.Drvi , ��^ ,I - � ` � . . � ' - � f � � 50�+ KW � � Date �r� Applican � �fA(J�C , Clarifiers � ! Solar Collectors � i �Construction PoleSub. ' , y : � _. � M TION'�RKERS'�COMPENSATION��DECLA0.ATION � DiSHwasher-' "!" � SolarPi in -- � (This section need not be completetl if Ihe permit is for� one hunOretl (y ) or ' . . . � � P 9; � :�Cboking Unit"1'" � '. : "`� - �Meter-Oup'to t00�amps �'�'°' 's ' Iess) .� . , ' 'i � . . ' Drinkin Fountairis � � ' • � � � ' ' � � I-certiry tnat,in the performance oi the work for�which this Oerm�t is issueG I� 9 Solar Tank : � � 'Dishwasher � 'Meter ❑ove� 100 amps ,. sball'� not employ any person in any manner so;as to'become subject to S�e . - -, - . . � , � � ' � i -._ workers' Compensacion; Laws of Calitomla.� �, � , i � Floor Drains� - Swimming Pool w/Spa ; 'Dryers �Gas� �EleMric �, �Sub Panel �'�� , , � • . ' , � j � : , . Date ' • Signature ' ' ^ - ; ' , , , '— , ' ' ' ' • � ' 9 y � : _ ,_ . � E , . .. ;. � � ' 7 ; ' � ' �Fan' ' ,Morors�0.1 HP �i� 8 NOTICE:If,'after makin this tletlaration, ou shoultl become subject to the '� FIOorSinks � • �• , Ufinal � ' , • ' Workers'� Compensatiod provisions of Itne' Laboi`Cotle, y0u musYforthwith"'t' " "- '�-� ^� �- • - �-� ' ' comply �with; such,provisions-or-thi5�.permrt'shall be�tleemerl revoketl` � - � GasService��! .Outlets .- � . .WaterCloseti . � � � � � ' � -F.A.U. ' ' Inc Solar �9-15 HP �i6-15+ � CONST(1UCTION�LENOINGaAGENCV:� ^)� �-� '�' ` " ' ' ' " ' ' - - � ' I hereby afflrm tliac there is a�mnstruction lentling aqency for the� performance � I Interceptors �' �c � I , i_ Weter Heater � a Fixtures r � � �• Microwave � � i of the �work .for whlch'� tn�s, permit r,ls � issuetl .�Sechon �309]: Qv. G:) • • � -' � � " Lentler's Name.. � t � ^ . ; . 1 . v. ; _ ' , . . . - . � . r � � , . , - � ; � ; : � � Kitchen�Sink - � WaterService �- � 1 .� �Pole'Light � . � ;, - . � � . � �;, �� . . . .• = Device Boxes i � ; LenCer s AtlGress � ' - - ' ' ' OWNER BUILDER DECLARATION, � •-. . ,;. � ' . � � -' �� L-avatories ; �, �z . �, i ; � � '' ' '" � ✓, i , , ` Outlets � � 1 ' ' I Range < < � � 1 herebyaftirm�t�at I am exempt trom the Cont�acto�'s�License Law for'the i " - � - � � ' followin9 �eason�(Section �7031':5 �Business antl,Professional Cotle: �Any city or. � . P-Trep; � i �- �� ' ' �'.> ! _ � r: � ° _ Switches � � � � � ! Sign . � � � � f � � county whicti requi�es a pe�mit to cons[�uct, alt¢r, improve�, tlemolish or �epair �,_ t- " � y r . ' � Sany sVucture; prlor to Its=lssuance, also requlres the�appllcanLfor such permtt , .Roof.Drains� .'�� r`- j t, � h� �5 c� S' �., •�� . '�' Garbage Disposal � j � Standing�Sections , . � t0 file a signetl stafement thaEhe/she is Ilcensetl pu75uant tdlh¢ provi5ion5 of' � ' ' ' ' � � � � � - � �.Contractor's.License L.aw (Chapfer 9 (commencing,with Section�7000) of � ' : 1 �-: � - 4 -. I.. � ' i I � - , Generotor �0.5 KW �5-15 KW , � ' � � � " � � <i-„;lon�3-ot thelBusine55 antl Professions Cotle)-or. that he/she'is exempt {,:' i% - - � . � _ �, T�aSh�Compactor . i . . � r `'"'�from'anG the basis fonthe allegetl exemOtioni Any_vlolatibn �of Sectlon ' - � ' ' � ' '• ' � � ` � � IJIt5 by, any' applicanl forYa� permit'sub�ects 'the�:applicant to a civil � i ` ' �4 � ;� ' � I ' ' , �i " ' '� , „ . .'• '� , � . � � + i ! � ;� �enalty of not more than five huntlretl tlollars ($500). • :. , � . �-� � -Re�nspaction Pee . Y$25 �.� � Issue Fee � �.. � $'�3 ; I,.as�owner of the�property'or�my�employees with wages,as theii sole � �� Reinspection Fee � � $25 ��ssue Fee � , ' $�3 � i� compensation wiu'tlo the work, antl the=structure is not intentletl or o(feretl � „ i� �,. ,.r, i' ,MECHANICAL ' �, -'�i , FEES � for sale (Sec{ion 7044, Business ana� Protessional Cotle:� Thet ContrattorY . t r � . � -�, PUBLIC SERVICES REQUIREMENTS: � � �� Lirense l.aw tloes not apply to an ownerot a property who,builtls or improves �� -1 1 � _ ��- - � � � � � � ' � '�� Boiler , .., , ,; � � Hood or� Type I i ❑ i , � ,i , thereon; and {who•tloes such work himself/herselfor tM1rough his or her own "; . � � �� '��:' Zpning Approvad By � � ' nate amployees, provitletl that Such'imp�ovements are not Intentletl O� offeretl fOr : � i - �CdnUpy ; TypC Ib ❑ � . � � ' sale. If, howeve�, [he bulltlin9 br Improvem¢nt is�soltl within one year. ot com- � Duct ; Under G�ound . i �., , . , .; �� qpp�ieation Approved By � '� ' DdtB � i pletioq tne ownedwill have the burtlan of proving he/sne tlid not builtl or im- � . - � . , 1 �- � � ��, � �rove toi the purpose of saie). 1 � • � i Duct - Structural � - , Refrigeration SyHem • ! '-'� � , Appliwtion IuuedBy ' • %L( / � � Dat �� ' � � � I, as awner of the.property, am exclusivery wntractin9� w�<h Iicensetl tom �0-700,000 BTU ❑ 100,000 BTU � �tractorsto construct the project (Section ]044, Business antl.Professions Cotle: . ' Duct- Ventilating j� , � � �SUMMARY QF FEES . ' I , : -The Contractor's License Law does not apply to an owner oR property who �= � - . � � - �� --�� - - - - ' BUILD,ING PERMIT ' $ � �3i�s . SMIP $ � . S� � � � builtl5 0� improve5 the�eon, and who contracts to� such.proj¢CIS wrth a Con- Exh2u5t $y5t2T ❑ MultiPl¢ O� System Repav/Alteration j-_ � � � tracror(s) license pursuant to the Contractor(s License Law): � - PLAN CHECK :$ � � PERMIT ' � � � { � ��11am'exempt un0er Section , - B. & P. C. tor thls reason Firepl/Fact. BIL ICBO�#. i j � � � � PLUMBING . �$ ' ' �ISSUANCE F$ � ; Date � Owner! � � - � Heating System & �ucting � ' • � � � pLqN CHECK $ � ENERGY P.C. j $ � � � i -mformatio e i� , � , , . . . � , y ity that I have reatl mis application nG state that the above � ❑0.100,OOOBTU �100,000BT . ( ' ' ' ' GRADING $� ' ' "5'<orrett:'I'agree to cOmply with-all' y'antl Countyortlinances- -' "' "' ' """' ' ' ' "' "" ""' " """" "1"" . - '! - - ' , . � i , ELECTRICAL �$ � . antl'state I ws reiating:to b'I '9 con ction„ n�h¢reby authorize repre- � � � PLAN CHECK • �$ I MICROFILM �$ � . sentatives f• this city to' e r up e ab �entionetl �Oroperty �for � ' . ' i � : ' ' : . . ' ' ' , inspection rpos's. � � � � ' � - ' MECHANICAL ' $ - TOTALFEE $ 2Q3�'� Si9nature 1at� ' � ' � i . . . DriJers', se or 55 � - Reinspection Fee � �$25, � • Issue Fea � i $ 3 i PLAN CHECK ;$ I CMF 0065- rev:O/83 - �White�- Builtling; Canary�-Applicant;�Pink-�Accounting; Goltlenrotl -Assessor -� � �- - = • '- - - �-� � ' ^ - � - � � �. . � .. . .. , ' . ., _ _ �.�. _ ... . _ _. -_.., ... . _, , CONSTRUCTION AND PLANNING , - � . POC SPA . - . ' APPROVALS� Permit # - Date,� �� Inspector p�ppROVALS - Fermit # ' ' Date. Inspector 1. Temporary Electrical Service or Pole' � - , 52. Pool & Equipment Location � ' - � ,_J '2. Soil Pipe-Undrgrnd. � � � • - 53. Steel Reinforcement _ - - � � . -3.-Electrical'Conduit^Utility-Undrgrnd,� � . . � . 54. Forms� � • ' . - � � ' 4. Electrical'Conduit-Undrgrrid. , � •'= " 55. Electrical Bonding' , . 5.. Steel Reinforcement , - - , 56.: Rough Plum6ing & Pressure Test -��„ i - 6..Electrical UFER G�rnd:, - � � - " `� � . 57.'APPROVAL TO COVER-GUNITE � � ;r 7., Footings , ' " '. - . 58. � Electrical �Conduit-Undrgrnd... ' '�✓ 6: Foundation ^� � . '� � � 59. Gas Pipe, � Undrgrnd., Test ., � 9. Water Pipe-Undrgrnd;. � ��' . •� 60. Backwash Lines, P�Trap, � Undrgrnd. . �." �� 10. Structural Floor System � � � 61. APPROVAL'TO DECK � . � , 11. Property Sewer Line & House Connection _ 62..Backwash�& ReceptorFinal .•,-, , J 12. Sewer Cap . , " , � 63. Heater &-Vent-Final . �;" 13. Roof Drains , . • . 64. Plumbing System ; Final � . 14. Rough�Plumbing'" ' - 65.'�Electrical-Final . � � �� . 15. Rough Electrical-Conduit - - � 66. Solar�System-Final - -' . .- " 16.. Rough Electric Wiring - , .- � 67. Fencing & Access Approval ,' - 17. �Rough Wiring Sign ' � 68.�APPROVED FOR PLASTERING . 18. Rough Electilcal-T Bar Ceiling � 69.- POOUSPA SYSTEMS FINAL . . - 19, ftough Heating & Air Conditioning , � _ � ' FIRE DEPT�. REQUIREMENT , • � , 20. Rough Factoiy Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro � 22. Cucts, Ventilating - , 71, Product Piping �Gas _❑Oil � 23. Gas Pipe-Rough;&yTest ' . , � . 72: Underground Flush ' - , 24. Roof Framing � � . 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar'Ceiling (Structural) & Monocoat '� . 75. Dry Chemical ' � 27. Frame and Flashing � � 76. Dry•Standpipe � � - - 28. Lafhing & Siding ' 77. FIXED SYSTEM FINAL 29. Insulation � � 78. FIRE PREV. FINAC ' 30. Drywall Nailing -� � : � _� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat�• � • • 79. FINAL INSPECTION � � � 32. Electrical Power-Meter-Final � � 80. F.00D CERTIFICATE ISSUED . 33. Final Electric � ' Notes: � 34. Finaf Heating & �Air Conditioning� ' . � � , 35. Final Gas Pipe-Test, � . ' � � � . _ . � '� 36. Hood or Canopy � - � , , � � � .. � � - 37. Final Fattory Fireplace ' ' - "' , ' ' � 38. Final Plumbing � ' � � � 39. Water Service-Final ' , � - ' � 40. Gas Service-Final � � ; � � 41. Solar pomestic-Final � . - . � ; . 42. Backflow Preventer � � � � ' � . ' - � � . 43. Backflow Irrigation , , � �_ 1 ', � � � � . . , � � 44. .Landscape Irrigation System ' � t � ' � - � - � . ' . . 45. Sound Attenuation ; - � - � � � � ' . � _ i 46. Handicap Regulations � , � , . '. ' , . : ' 47. FINAL STRUCTURE & BUILDING ��_y� _ , � . � . , . � 48. Special Requirements Completed . � � . - ' \49. ElectriqReleasetoEdison . ; � - - , -. '; . --� - . � 50. Gas Release to Southern California Gas Co . ' ' � � \51. CERTIFICATEOFOCCUPANCY�_ ; . .. . . . : , � .. ' � . 'o. ' � Date' . . � ' � . � . � � OWNER Q1�(1NN(1R_ FRANK"':T� DATE 1�22�5'] JOBADDRESS 363 Magnolia Street BUILDINGPERMITNO. �%(y2'28 GENERALCONTRACTOROWR2T BZ(Il-. VAWE $ 9��I1$•OO — AP__ �o. 1 6 s�ocK TRACT Res, w att, ar. AS PER U. B. C. GROUP I$c �T T�'PE V ZONE R�y FIRE DISTRICT I1259 INSPECTIONS I DATE I SUBCONTRACTOR I PERMITSISSUED FootingTrench 1'��I :!. ; Foundation Forms and Grade to Garage to S '✓ Temporary Pole � Wiring,ROUgh AR � , , s��.t�].(riy _3-�/-S% '�7�pb Roug Final ° 'c Tank or L nq, In X Plumbing,Final,FixturesComplete/�jffQ //-57 / Plumbing, Fin,al GasTest M{{$ //-� 7 /�ic:/i`,f. e'� � ` 3� Wiring,Final _ - MAY J �7�� "`'` `"�, -�� _ occupancy Mf+°S G-i/ -s� nQ �ORM 210 3M 10�55 42L\J .,�� A 4zss COSTA MESA BUILDING DEPARTMENT P. O. BOX 31] � � COSTA MESA. CALIFORNIA 3��0 � `� - � �1 s'�� — �-cQ , FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING �6 J��Q �o �� S � � BUILDWG A�DRE55 ! cosTn � ESA. CALIFORNIA FOR OFFICE USE ONLY sv� � � RECEIPT NO. PERmIt NO. OWNER C�i.1s��-iL ,� � �C� �r� - RECEIVEO BY DATE RECEIVEO OATE ISSUED MAIL / / 2�.� T O ADORE55 C9 Z /� /3"3LLII�UCt)/ n'"� - O " -v2.� -� CITY UP�'ir Q(/y�L �NO/^n T.,. BUILfJiNG . ry• I'J�1I ADORE55 aac� -�r ��c. COSTA MESA. CALIFORNIA OR f _ER NO. FIRE A�DRE55 ZONE � �.{JNG ' IONE \ NO.OF TYPE GROl1P ciTv uc. -(J �/ P�.�� // ��/J CONTRACTOR� NO. n /\ ✓ L,(" I TEL. APPROVEO � /� Aq_ ADDRE55 NO. B� DATE ff �E�A� �or G� RRECTIONS o[Scaiviior� NO. ��) /�� TftACT � A.P.NO.//C� �e�JA lY I�I��INl i� IIS� p $I$E ` D.�c X r3 S.�o. oF 6LOG5. � 1 1 OF LOT J riow oN LOT EXISTOING BLDG. FL • �ri (V , sereACK uHc vAom � , SUBJcCI BLDG. DEPT. REG. CENTee oF sinEEi SO REAR YARD �^ �// (' i SIOE VARD RIGHT .J � / LEFT �Jr ]1 � DESCRIPTION OF WORK PLAN LCH. NEW 1I ALTERATION ADDITION REPAIR MOVING DEMOLISH � SIZIEDING ./OX,l��G � ROOMS -4� STORIES � '7" 7 EXTERIOR WALL i��jG� ROOF S'/Q�pS - COVERING I COVERING /{-%� USE OF NEW �`��`� ,��/'/. ,.� ^ BIJILDING V'K � �' �..L Vi� 0' �& li' U��3 . C. I NEREBY ACNNOWLEDGE TMAT I XAVE flEAD TMIS.FPPLICATION tNO STATE TMFT TME PBOVE IS CORRECT ANO FGREE TO COMPLV W!TH 4LL � CITT OR�INANCES /�NO 5 TE LRWS flEGULh,T/IN�G BVILUIrvG CONSTRUC TiON. [C��/�} //� VALUATION PERMIT FEE S � % / // SIGNATURE OF `/(�..0 y�1�w., ' PERMITTEE / . n . .. � � � /�� P�AN CHECK $ . � � $ AUTHORIZED AGENT � TOTAL FEE $ '� �� y \ 1'�Ll lYylYVllfu'1) -' ADDRESS' . GENlRAL 3CTIONS or Pole y_y/-Y BUILDING PERMIT NO. DESCRSPTION OF WORK VALUE SUBCONTRACTOR ,, 2343� COrTA MESA BUIIDING-SAFETY DEPARTMENT P. O. BOX 81] G06TA M88A. CALIFORNIA � � For Applicant to Fill In � Comple�ely TYP� OR PRINT JRE�53 36 3 - NJp-�ti�p�.iy COSTA M�SA, CALIFORNIA. NER I' /A'R CV�U /Z�� A�'VJ IL 3E.3^ / //��/t.�04�'�. ... - ]RESH Y�osir-�/"',�Fsr� Na•sy�-��63 S�'J�' v•�2i'I�1LiPSn.✓ iJ�., . . !� . e'.%2%!J/ - - NO' �/s�l r'/37. -c-7I �Z . I 1 '( �� I No. OP BIDOe. USE OF EXISTING BLDGL 6ETBACK LINE FROM DESCRIPTION OF WORK BUILDINO � NO.OF SIZE X G ROOMS ' 8TOR168 EXTERIOR WALL � I ROOF COVERING GOVERING�<<��' USE OF BUILDING AND WORK TO BH PERFORMED ��Qi'F�rt1�'c i� L i:�a�liNv�',i ^4j �O I HERE9Y ACKNOWLEDOH TqAT 1 NAVB RCI1C TXIB APPUCATION AND STATE TXAT TH6 ABOyg IB CORRECT AND AUflfiB TO COM. PLY WITH ALL CITY OqD�NANC88 AND BT�iB LAWB HQOULATINO Bl11LO1NG CONSTRUCT�ON. SIGNATURE� /�A�� An PERMITTEa < <� /7 il n � AUTHORIZED A6ENT FEE REC�EIVED JAN 19 1955 fINANCE DEPT. APPLICATIOINYFOR Pe�A MESA BUILDING For Office Usa Only r-- I I �uHe 'Y IIMf10N O � �C _.� ��'/ii YAROSAPPkOVED MAIN BUILOING P VAR..}j % � ��-�i SHALL BE LESS THAN '<U.B.C.REQUIREMENT'. YARDSAPpROVED ACGESSORY BUILDIN6 DATE � THE AMOUNT SNOWN UND¢R VALUATION Ie FOR THE PURP056 Op GBTABLI6XIN0 A PEpMIT FEE ONLY. VALUATION � � //' PERMIT FEE $ S 7 4/ J PLAN�CHEC - V �- L