HomeMy WebLinkAbout962 JUNIPERO DR - Building Permits�I
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�oonrssovemioc+o: 962 JUNIPERO DR
arxeasr+u�eiviwavKNEAL JUDITH A
i '0°"� 962 `JUNIPERO DA
"' COSTA MESA,CA 92626
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I11MXRECT Oli EINiNFFA:
MCX.OR F.N..'4 �DDRE54:
CONiP1CTOR'8 NAYE:
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4CENSED COMNRGTOflS DECLI�F�TION: 1 hereby ellirm undor peneAy ol peyury thel I em Icenaetl under prwieions af Chepbr e
(wmmand�p xilh Seciion ]000) d Dimun 9 ot the Bueiiwx eM PMmebn� Cods, ud my lioenx o in lull brce vd eHw.
cm uc. No.: uc. cuss: uc. No.: EXP : .
om.� comrea«:
OWNER BUILDEN DECLAPATION: I Iweby ai(um uMs peWy d perjny tAe� 1 mn e�emq Imn IM Catl�adw+liceroa law la Ns
�lo'�'n0 reeaon (Seebn )W1.5 Busiwae enE Prdeae'vu Cade: My cry' a aowM' whirh �eVww e Po�u �o mmWct. etls.'vnYow.
mduh, a repei eny eVucWro, pnar b ib ia�v�, ebo raquirm iM eppliraM Iw euch permu to Rb e egmE sbbrtimi tlW M u eM
liceneed W�� lo iM pw�oiu d IM Canireqaa lioeroa law IClupv e lcanmenanp wuh Seaion 1aW) d Drveion 9 M Or
Buuroa eM Rdawiom Codel «�het Ir v ehe e uemq �nadran W the buu la �he eDewd ezempun. MY vnlmun W seaun
)aot.s Ey em� epp4ra�a t« e permt vubpea Na eppceN �o e tivi pwieW d roi maa ihen fHe hwk�sd doY+n �SSaoD.
� I.mowiwdtMpopenyamyemWn/eeswthwapeamihredemmpeneeum.willEOlhexoh.aMtheemxv�iecnainteMed
w dlered lar eeb l5eelion IOM. Bueirev eM PMeasionaCode: TM Conirada+liurue lewEme not epplyto en owewr d popeny
wM W Wa a inpwae iherean. md Wo Eom swi� v.ak limsetl a Mne� ar Ovaph he v her own emWyam. V�+b� Ihet wrli
' pioiwnaks ue mi imended a WseE fa eab. tl. haMever. �tw dntlm0 a inpwa^arv u wld rmlun wrYm d camWetian. tM
axrwbu� vri0 M1ew Ilw buMm d G�+�q M or ¢M EN nal Wdd a impwa la ihe RoOae d�eb).
x[] I. m owwr d �M pWeM. em exdufNeN mnlrap�q wilh Iiw�eaE convectore lo canetrud �he P�IeC (Sedon )OM. Bueineea eM
Pmlevbns Coda: The Conlradas License law doee m� eppF/ w en o�mer d poparly who Witic w'vnpovm Ihnaan uM wtro
liceiwd �wil t Ihe CoMredas Umrua lew)
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 087203 PLAN CHECK NO:
i�
p- 003
0 7 0
GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : REROOF W/COMP SHINGLES SQ FT: 2,000
CLAIM VALUE: 2,000.00 CALC—VALUE: 2,000.00 GROUP OCC: R-3 /
COMMENTS: REROOF 2800SF RESIDENCE W/COMP
**�e*+r�r�r*it****it�r�kkit**�r�r�r**��+r*�+rritir***�eit*ir*�r�r�r+rr**�r**it*+r+r+�*+r+rit��r*****�tatat*�***�rir
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 BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAA: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV: PARCEL: 14133411 ZNE: REF NO:
PLANNING N�TES>
i T�^
ikiEifNiFiFMit7flfiFiEiEififMififkiFMkMMMlFikikikM3E�FifiFiEifiFiEiFifiFKMitiFMlfiF±kKMiflFiEiFkiFlklkiFifMMMlhMikiflFi6'Ih1FM3fikiE�Fikif
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: �
BUILDING APPAOVED HY : DATE: "�..
coni�ecn brurli pqwe waA a mMreqor�e) pun o q �
� IemnaemqimdmSenion: 8.8PA..brthi,e.�,: / APPLICATION ISSUED BY• DATE: ,.��`��
Dete: _��y'�9g O.mer: • �/� . �1L�� ififiFiFIF1FiFiFiFiE�EiFitiFiFiFiFiklFlfifiF %MikiFifiF3Fif�ifik iFif
iaon„��,er�n,�i,m..�.,a.�e���,eub��� aatw�e�en.�esmavwe.s��+uws,nsaa..�e LEGALIZATION:N . F E E S U M M A R Y STRUCTURAL SEGMENT:Y
255Je. end thet I« env Mure Wikirq ow�ara will / wil �(tlrcr me) neeE ro comW wih roid ame wdes uid ihe rewiromems lar
apmmFlwconevuctianarmoCifiWionhwniMAp�y enepememDim�.ReeidenlielmM�udmeppireliauenuemq/romNma BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE �SMIP/RES GRADING
a�.�,..
Dets: Md�
WORKER'S COYPENS�TON DECLANATION: I MreGy ef! uMer prully d pmjW ar d tM IaOow'uq Eetleietum:
� I Mw aM r.il me'vuen a eeeNkats d oonseM lo vetlinwra la wakers' mmpenmtion, ro pv.ided la by Saaion �)UO W IM lebv
ca.. �« m. o«��. a m..m �« wtn me w� e m.�e.
_f1 �newene.dmaime.iwwka.�mnw+�un'uwrerce.onmmadMsw:naroodNalm«code.b.�new�«menaea�M
?� work /a whitli Mie psmn 6 iaueE. MY wvVae' companeelion irourarcs cemx ud pdiry number ue:
cmrier: STATP FI1Nn
� ra�rwmnd:
(7Ais eseian neeE mt 6s rnnpe�ed 1 Ns P«mt'o Mr me hurrdre0 Cdbn Rr001 w Nv.1
� I mrlty ihn in Ne pMoimerca d �M wak la whch ihb parmn ia ivued, I ehdl ml empby e�ry peimn in eny menner so ro b
Eecane wbjetl to tM workm+' oomoene+�bn �ew d Cetilmtie. uM ep�ee thr tl I ehouk bacome eubjee to iM wa�wa'
eanP��ion O�+eiam d Sepion �]00 M �he lebor COAe. I tlaA lon�wuh oomW/ wuh Uva peweoro. �
Dele: ACd���
Wamlrp: F�Nun ro�xun wortx�'rompeivetlon rovsnp� h un/nrNl, �nLaNll wDhct an employer ro crlMnl p�neltlw antl
clvll Ilros w ro om hinJrW flrous�M Ao/Wn (fiP0,000A M eddltbn b tM cwl ol rompawtbn� tlenwp� u povMW br In
.. Sxtlon 91a8 0l Ms LeDor Cob. Inlxsst, eM eMmry'� /w�.'
� CONSTRUCTION LENDINO AOENCY: I he�eby effiem uMx poraM1y d perN�Y �� �� 4 e eormeuaun brdinp epeney tar Ihe
peAmmenca d IM xwk Iw whiM Ihe pemii's aawd (Seeun J08). Cv. C�.
LENDEq'S NMIE . ,
LOlOEP'SRDDRE59: � `'�_'
��/ ihet � I�m. retl Nn.CN� eM de�a �het Ne .ba,. Wwmetion n carv,. � pne �o comW wM1h eY �Y md mva„ «dine�m.
eM tWe lew� ialeliq lo ddMip mnqWim erd AareEy aMacs mp��Meln» d Ihe aryb eNs uD� tM ebo`e-men�bned VrWd7
Ini�cepeaio� purpoaes.
JUDZTH NEAL
�L( �I L�/ Ll P,/ I.eRL Dme: � d
Sqnoture d Oxnar/ eM/AppfirenUConlreda
Whils-Buildip 8 Sefery; �eeae�Fb; Cwuy-Appf�enl; Rnk-Rewnue: (3dden�oE-Asse�w
PERMIT 62.25 .50
�—SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL '. PAID DUE
TOTALS----> 62.75 0.00 0.00 62.75 , 62.75 .00
REVENUE DIVISION TOTALS--> COLLECTED: 62.75 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT'--GRADING PLAN—CHECK
62.25 .50 i.
if iE iE if ik 1f 1E M iF 1F 1F 1f M 1f iE iE M 1E 1flFlF IE 1! M 1E 1E 1E 1f ik if iklf IF 1E iF iF it k 1F 1F if if iF iF M iF iE iklf fk 1f M ik if if �f iF 1E 1f ak iF %ik 1k iE 1F N M ik 1f 1F �F it±E �k iE iF 1k if
I N D I V I D U A L F E E B R E A K D O W N
TYPE _.QTY D E S C R 2 P T I O N UNIT COST TOTAL COST
SFR 2000 REROOF BY VALUE RESIDENTIAL NOZONE �� 2,000,00
END OF FEES o.
, �"'.
�` i�AR 0 4;i998 '
�Tl' OF COSTA l�E�.y
.�
CONSTRUCTION AND PLANNING � P00� & SPA
APPROVALS Permit # Date Inspeccor' AppROVALS Permit � Date Inspector
i. Temporary Electrica{ Serviceor Pole ' 52. Poof & Equipment Location
2. $oil Pipe•Undrgrnd. -�� 53. Steel Reinforcement
�.];
�.�y�.,�jectricel Conduit Utility•Undrgrnd. 54. Forms
�� 4_@IeMricelConduit-Undrgrnd. 55. Electrical6onding _
�.�';S`jeet Reinfnrcement 56. Rou9h Piumbing & Preswre Tesi
-+ -��'Qectrical URER Grnd. 57. APPROVAL TO COVER�GUNITE
': 7��otings 58. Electrical Con�it-Undrgrnd.
�� Fou�dation 59. Gas Pipe, O Urrdrgrnd., Test
" 9. Water Pipe•U�drgrnd. 60. Backwash Lines`�`�,.P•Trap, O Undrgrnd.
10. Struaural Ftoor Svstem . ' 61. APPROVAL TQ�DECK
+ 11. P�operty Sewer �ine & House Connection ' 62. Backwash & Receptor�Final
12. SAwer CaP 63. Heater & Vent-Final
73. Roof Drains ' 64. Plumbing System � Final
74. Rough Plumbing �'� 65. Electrical•Final
15. Rough Electricai-Conduii V� 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval .
17. Rough Wiring Sign 68. APPROVED FOR PLASTERiNG
78. Rough Electriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. �ough Hea2ing-& Ai.q�Condition,ing; -r1 ; o: _� S* � r+ FtRE�pEPT.!'FEQUIR�EMENi' 'o
_ - ' `� t'1 •":V�U .y _ .�.
Z0. $ougfi F3acor�Fir�pYace "` x�� � S,� s.x r:APP p�V�jL�'" P �t #� " T
�.z: . E.,., ...� , t- "7'� t, -g, J, � -+c^^-_
21. �ucta; im6tru`cture�.�. � _ - ;. ,7 . [tw . 70.'rUnder�auhd Hqdro ��
.,.
22.�uCts:V@atilaf�ng�Jx 'D '4 �� H`'�71. Produc�'i� ing .6as yOil -
�. � �: c x a . � q s�., �? _�
� a.
23. Gas Pips`�2ou¢� &�est ; �-.,� � �' - ;� ` 72. Undergroar�d Flnsh�� z� i -
24. Roof Framing MM �` � '� '-'* ,' 73� Under rnd. Stoi 5'tan `� Gas ❑ Oi�
r r,x ' r;r, n ,�a � ,7 9 �95�_ �
25. Roo�heathin9 �+ ;.i � �y-: J " �
,`y. �x 74. .Overhead Hydr�c�
26. T•BarCe�ling (Struetarap & Moriocoat � `0 � >^ � o*� 7� {;ry ChejniFal ^' T ; S � r �
.27. Frameantl�Fla'sL inn �� �^� y��' � ��r J -� � - _ -,
1� 4�� i,-'1C, � # ;••z 76. Dry$fafLS�pIPCtt-i ry n
-.28. Lathing&�Sidtng .• � :'''*'H O ,'T I ;k 7T FIXEDSYST�M�FINAk`"' �' y
1' F � Y
�29. Insulation� ,�. �;;.` _ � � : � �S 7& FIFE PREV. F6N�L �r � �
30. Orywall Nailing -� ��- x�-' i ^ NEALTH DEPY.�E¢,�UIR�MENT
� 31. Plaster Brp'wn:Eoat�� � �,._ ,� ' � 79. FINAL IN$PECTfON ; ,� �. j
*' 32. E9ectrical Powtr Meter�Final ��v � y�� 807 FOOD CERTIF7C,EITE ISSt7ED'
r33. Final�Elecjric�r '* . ' i ,- t � s � tr No�es: ,r -�� X ~" � �;'S
� 34. EjnaC��isdil�9 Aip&onditioning � .: � - ti f-.1 x -'
M ti � - r•
35. F,jnal Ges�ipe=Tesi •� `„ " �� �� I � . 'w" ' ,.; '-.,
�: �" .,, �
� > � i � -� � ' ;� •.
�36. -�IOOGi-Or Canopy i'• � .1 a K , ,� .7 ,_., � -r, ^�,-n
?37. Final'Factorv Firepia�eN� "�"; ,: � ,� � * - � ,- * c;`
-38. FinaE .IUmbing� !: R7 � -+ E+.+ �.' :1 � 'o vf
- i n �nm +. ¢' f i
39. Water.S¢rvice=Final ` - ' " � � �'� � •' '� S
.-. r� i v r L • ;;*; '*,
"40. Gas Service-Fin'al � ,��_.,, �,� �; �� j E. �. ���• % �
r
i41. $olar pomestii•FinaP+ �T1 } i '�' r "�' • - � --
4 t ✓ X - J
'� F'
y42. Backflow Preventer ' :; � _ �,� ... ' �, .r �G-, _ � c, . '
_ Y��. y:
43. Backflow Irrigation �; �'�j, ^ " ^ �� - �'� ��� ��1� y. } ,'^ yq� -
P.i '_ ' .L'rTl : -\ . - .� �. �.... ' .. P � ✓L`�
44. 6d�dscaPe Irripation�ystem �>:r,� - c� �r.a - � C��' r S 4
t
�'' M •7 ..�.. ;. � lTi rr . ..' � Q • r :. . .
45. Sound Attentiation
i �I r �-+ . .�, : , i H., ...� ,K
4¢. HandicaPRegulation� -� �� : � •' _ �
` ' .: � G7vC C, s
47. FINAL STRUCTURE & BUILDING �j � �_
1 . ,Y ��6 . _ . ^ 2, . . _ .
48. E1NAL PLANNING R _ � r, •, - • ;
. . J . . . ^-.�
49. E{ect�ic Release to Edison • T '
c - -
50. Gas Release to South�m California_Gas Cn x � _�� '' " . ,-u -
51. CERTIpICATE OF OCCUPANCY
No. Date
AOP�icant to fill in all spaces except thoSe wi�hin
OSTA�A9C��OzSTRUCTION PERMIT �
�ectAddress �Jv�ju pe2o' Dr.
Applicant'sMailingAcfdress3�;Ms� y�1�� a�v7 '�L. / iK4
. Owner'sName� D�/SiN.�A �/t/V/C%�dLf��hone 9i2 /
Address ��`���I SQIL�A/(/T L�CC'--U/VA /�l'1�'CI@G.
Arch/En9. , License No.
Address
Contracror's Nam q�K /�✓� Phone �� �L
Addresslma'I' 912( 2.Z' $F3uhv /�L �J.�:S���.N
2.t�Slq '
Ciry License No. �
^ LICENSED CONTRACTOR DECIARATION
S� I hereby affirm that I am licensetl untler provisions of Charter 9(commencing
�with section 7000) of Division 3 of the Business�antl Professions Cotle, antl
my license'is in full force ntl effeci! Q^ 2 Z
�License Class '` - License o+�.� 3�
Date ��� 74� �� Signature
( WORKERS' COMPENSATION DECLARATION
veby affirm ihat I M1ave a certificdte of con5ent to 5¢If-in5ure or a certiticate
QNorker5' Compensation Insu�ance, o� a certi(ietl copy thereot (Section
�_,JO. Lab. C.� �jG / `Ln�e ����
Policy No. Q 6 p`� ��(� Company V,T�
C ifietl coOY �s hereby furnishetl. A
erSifje02oBy i�filytl with the city Buif�� ivl "on.�
paie �O" 7 G AOP���ant 'Y'e�
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thi55ectiOn neetl not be completetl if the permit i5 tor one huntl�etl ($300) or
less).
1 certiry that in tne performance of tne work for which this perm�t is issuetl, 1
shall not employ any pe�son in any manner So a5 to became 5ubjeCt to the
Workers' Compensation Laws of Califomla. � �
Date ' Signa[ure
rvOTICE: If, af[er makin9��his tleclaration, you �shoultl become subject to the
Workers' Compensation provisions of the Labor Cotle, you must torthwith
comply with Such provisions or this permit shall be tleemetl revoketl.
CONSTRUCTION L'ENDING AGENCV ' -
1 bereby affirm [hat theie is a const�uction lentling agency fo� the pe�fo�mance
of th¢ work fo� wbich tbis pe�mlt is i55u¢tl (Settion 309� Civ. C.)
�entler's Name
Lentlei'S Atltl�e55 -
OWNER BUILDER OECLARATION
I hereby affirm that 1 am exempt from the Contractor's License.Law for the
followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or
county whiU requires a Dermit to construct, alter, improve, tlemolish or repair
any slructure, prio� lo itz i55uance, also requires tne ap0�icant for Such pe�mit
to tile a signetl s[atement that he/she is licensed pur5uant to the provisions of
the Contrac[or'S License Law (Chapter 9(commenGing with Section 7000) of
�ivision 3 of the Business antl'Profe55ions Cotl¢) or that he/site is exempt
erefrom antl the basis for the allegetl exemption. Any violation of Section
J31.5 by any applicant fo� a permit subjects the applicant to,a civil
penalty of not more than five huntlretl tlollars ($500). '
�J I,' as owner ot the property or my employees with wages as their sole
compensation, will tlo the work, antl the sVucture is not intentletl o� otteretl
� tor Sale (Section ']044, Busines5 antl Prote55ional Cotle: The Contractor's
License Law tloes not appty to an owner of a property who builtls,or improves
the�eon, antl who tloes sucn ovork himselt/herielf or Ihrouqh his or her own
¢mplbyees, provitletl that such improvements are not intentleG or offeretl tor
Sale. H howev¢r, the builtling or Imp�ovemeni Is soltl witbin one year of com-
pletlon, the Owne� will have the burtlen of proving h¢/She tlitl not builtl or im-
�ovd for the.purpose ot sale). �
LI'I, as owner oi Me proDerty, am exclusively contractin9 with licensetl�mn-
tractors to <onstruct tne project (Section 7044, Business antl Profezsions Cotle:
The ConVactoYS License Law tloes not apply to an owner of pmperty who
builtls or irtiproves thereon, antl� who conVacts for such projects with a con-
Iractor(s) imense"pursuant to tne ConVactor's License �aw). I am aware that
ptoof o( [heir Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C. for this'reason'
� Date � owner
I hereby certify that 1 have reatl tM1is application antl state that the above
information is correct. I agree to comply with all city antl county ordinances
antl state laws relating.to builtling construction, antl hereby authorize repre-
'sentatives of t ��5/,'yyJtty to enter on the,above-mentionetl.P�operty Ctor
inspection "E/f��g/� _ e "��__(L�
Signature � !l�$I%�( /�1J1/�% �at�
lines anC si9n all app�opriate tl
�T NO., UNIT NO.
TVPE OP CONSTRUCTION LI NEW U ADD LJ ALTERATION LJ REPAIR�
'� CONVERSION ❑ DEMOLISH ❑ OTHER
TYPE OF PERMIT �LI GRADING LI FOUNDATION LI STRVCTURAL
❑ TENANT ❑ ELEC RICAL ❑ PWMBING ❑ MECHANICAI
❑ OTHER ��L NO��%AJ�
PROJECT DESCRIPTION Sa. F7.�%� _�`J�� � oCCUaA Cv
CONSTRUCTIONTVPE ' VALUATION$�
ZONE GRADINGCU.VDS. ACRE
Remarks: ' ' . � � '
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service ,
Interceptors
Kitchen Sink -
Lavatories
P—Trap
Roof Drains
Outlets
Reinspection Fee � �' $15
Boiler
Duct - Under Ground ,
Duct-Structural �
Duct - Ventilating
Exhaust System 0. Multiple
FirepUFacL Blt. ICBO #
Heating System & Ducting�
❑ 0-100,000 BTU 0100,000
Drivers' Licenze or 55 � � Rein50ection fee $15
CMF 0865-46, rev. 30/84 White - guiltling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
ABING
Showers �
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping. ,
Solar Tank .
Swimming Pool w
Urinal
Water Closet �
Water Heater
Water Service
Auto-Wash
Laundry Trays
Issue Fee
Hood or Typel ❑ '
Canopy Typell ❑
Refrigeration System
00-100,000 6TU .0100,000
System Repair/Alteration �
Fire Dampers ,
Registers� .
Issue Fee
0
`
A
0
O5.
i �
11.P. $
S Main Building:
E
T Front
A Rear
C Right
S Left
Ping. Ref. #
Planning Notes:
FEES "
� Automatic Washer
_ r.........._..__o_�_�..
6i b326 10/30/85
t`.r ' .
Accessory Buildin9:�
Parking Feq./Provided
ELECTRICAL
'. � Transformer ❑ 15-50 KW ,.
� 50+KW -
Meter, Dup to 100-amps � -
Meter ❑over 100�amps; !
Sub Panel' �
Motors �0-7 HP � 1'/: - 8. .
Inc.Solar �9-15 HP �i6-15+
Microwave
Pole Light
Range
Sign ' '
Standing Sections
Trash Compactor
��26e50 TL
Zone •
2
` O
� N
1
N
G
R
� ' E
Q
M
, T
$
FEES -
Cooking Unit ' - � �
Dishwasher. _ ' ' . �
Dryers LJGas LJElecvic
Fan �
F.A,U. i
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator 00�5 KW �5-151
$ 3 � !
�- Reinspection Fee $15 luue Fee
'FEES
_ DEVEIOPMENTSERVICESREQUIREMENTS: �
- Zoning Approved By '
8uilding Approved By '
' n
Application Issued Bv
$ 3
�
�
BUILDWG PERMIT $ SUMN](�qV QF�ESMIP - $- c� v"�
�<l0 YJ
PLAN CHECK $ PERMIT � . . � ,
PLUMBING ' $ �SSUANCE -� $ -
PCAN CHECK 25% $ " ENERGV.� P.C. $. '
� GRADING � $ � ^ �
ELECTRICAL $ ' ��
PLAN CHECK � 50% $, MICROPILM -� $ ��
MECHANICAL $ , TOTA� FEE $
PLAN CHECK 25% $ � �
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector AppROVALS 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, � Undrgrnd., Test �� �
9. Water Pipe-Undrgrnd. 60. Backwash'Lines, P-Trap, O Undrgrnd.
70. Structural Floor System 61. APPROVAL TO DECK ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing SYstem - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electriral-Conduit 66. Solar Systein-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. 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 O Gas ❑ 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 (Structurall�& Monocoat 75. Dry Chemical
27. Freme 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 8rown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED � �
33. Final Electric Notes: '
34. Final Heating & 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 pomestic-Final . � ' � � �
,
42. Backflow Preventer . ' c •
43. Backflow Irrigation ", • � �
44. Landscape Irrigation System � � • . _
45. Sound Attenuation ' . , ' � ,'
' 46. Handicap Regulations , � �
47. FINALSTRUCTURE & BUILDING ��6 G . �
48. Special Requirements Completed . ' ' � • .
49. Electric Release to Edison , • -
50. Gas Release to Southern California Gas Co ' •
51. CERTIFICATE OF OCCUPANCY
No. Date
- F�EEM�CCE2V�D
� isso5
COSTA MESA BUILDING-SAFETY DEPARTMENT �fIN,'aNCE DEP},�t 17- Tract 4260
P. o. aox 9,� COSTA MEBA, CALIFORNIA ITY OF COSiA MESk Plan 301�
For Applicanf io Fill In Complefely APpLICATION FOR PERMIT
TYPE OR PRINT �
BUILDING BUILDING
AODREBS 962 Juni ero Drive
COSTA MESA CALIFORNIA For Office Use Only �
_ _ . � RECHIPT NO. P6RMIT
E,Coast HighVr�y
E
LTC.TNO. 9 V V O V—SB—�.
siZE 6968 S.F.
tlF LAT
RCCRIVB� BY
� BUILD_G
nv�.,..�....�y
Calif .
ion
p_hwav
lif.
ox 3-�,zzo
I NO. OP einoe.x,_
USE OF '
E%I TING BLDG T
86TBACK LINB PROM
CENTex ov sTrt86T O� REAR YARD
SIDE YARD I LEFf V� ( RIGH7 l� �
DESCRIPTION OF WORK
u�,� I X II ., r�e.r,�ti I II e��,,,�u
OF
COSTA ME6A. CALIFORNIA
ZONING
ZONE NO.OI UBH OP N8W Si.�� F)w
R—� I r�wns 2 I eun.o�Ho �ir�aYf 9
o;�;�..�,,,, L-o7` /7 T�P v2 60
1 (C6NT[M I�NC BTJ
FRONT SD
R. SIDE �
L. SIDE �
acea Z �
I1 NEPEBY ACKNOWLHD08 THAT 1 NAVE qlAD 'I1118 ARLlGT10N
wfaD BTwTe TXAT T11H ABOVe 18 fARREGT ANO AGR66 TO GOM-
PLY WITH ALL CITY OPDINAN�B AMD HTAT6 La�WB R80ULATNO
9UILDINO CONBTRURION.
�ara�e �� 4la3 S.�'.
Covered Porch 38 S,F.
THE ANOUM BNOWN UNOHp VALUAiION le POR TH!
PURP086 OP 88TABLIBH�NO A PlRMIT F¢ ONLY.
$ 17, 333 ��� PLAN CHECK $ �a• �%j (.% �
�+ �
TOTAL FEH $ SSa7O �
OWNER MESA DEL MAR DEVIIAPMIIVT COMPANY DATE 3-12-62
dOR ADDRESS 9� Junipero Drive Ri7iI.D7NG PERMI'I
GEN�RAL CONTRACTOR
AP No. LOT
INSPECTIONS
c
OCCUPANCY
'OFM FI16. SM _
PIRE 7.ON�
DATC I GROUP
VALUE $ 1%1�.00
DESCRIPTION OF WORKT'06
TYP� `/ 7.ONE
SUBCONTRACTOR