HomeMy WebLinkAbout970 JUNIPERO DR - Building Permits� , CITY OF COSTA MESA �
BIIILDING D/VISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774�754_48M5 t• wwvi.ci.costa-mes ..us 07�0�372
FOR INSPECTIONS CALL: (714) 754-56Z5�'
PERMIT TYpE: B COMBO
Sub Type: RES RRIP
�06 ADqRess: 970 JUNIPERO DR CM
APN: 14155809
ViCinity:
Const Type: V-N SQ. FT:
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Zaning: , ,
PC
CAC
Primary Occ: 7
438 Valuation: $40,477.20
SCOPE OF WORK: ADD 438 SF. TO EXTEND EXISTING BEDROOM, CREATE NEW MASTER BEDROOM AND EXTEND FRONT
ENTRY. REF: MM-07-21. � � � � � ,
OWNER: RUBIO, EDGARDO
Phone: 714-032-8742
APPLICANT: RUBIO, EDGARDO
Phone: 714d32-8742
cON7RnC70R: OWNER-BUILDER
Phone:
Cell:
ARCHITECT: ED RUBIO
ENGINEER:
Address: 970 JUNIPERO�DR
City/State2ip: COSTA MESA, CA
Address: 970 JUNIPERO DR
City/State/zZip: COSTA MESA, CA
Address: Unit:
City/State:
License No.26444
License No.
COMBINTATION PERMIT FEE SUMMARY
Building plan Check: ' $359.68
Building Fees: $553.35
Electrical Fees: � $123.00
Mechanical Fees: $37.20
Plumbing Fees: $87.35
SMIP Residential: $4.05
SMIP Commercial: $0.00
TOTAI. FEES: $1,164.63
"Refar to fee receipts for ali fees paid for project
License No. 000000
Unit:
Unit: :
ZipCode
PHONE:714-432-8742
PHONE:
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulatlons. (Ord. No. 92-28, § i, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under lhis permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit.
GODE /. IN PE TI NTYP 0� ,TF INTRIALS t UE� INSPEC➢ONME ORTE INTRIALS
1616 Pizeq System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Root 210 Final EleciriUl
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 FinalSign 222 FinalSite
204 Final Demolilion � ' 250 Final Building/Occupancy �� � ������ V
WORKERS' COMPENSATION DECLARATION: �
I hereby aHirtn untler penalry o( perjury one of the following declarations:
❑ I have and will maintain a cetlificate of consent lo sel4lnsure for workers'
wmpensation, as provided for by section 3700 of lhe Labor Code. for the
peAortnante o( Ihe work (or which IhiS permit is i55ued.
❑ I have and will maintain wurkers' compensation insurance, as required by
section 3700 of the Labor Cotle, for ihe peAortnance of the work for which this
permit is issuetl. My workers' compensation Insurance carrier antl policy
number are:
Carrier:
(Tliis seqqn neetl rrot ce mmpletedeMe peimrt a reluetl at me nunOmtlW'lars (E1001 aless.)
Policy Number:
❑ I certi(y that in the peAortnance of [he �+ork (or wtiich lhis pertnit is
issuetl, I shall not employ any person in any manner so as to become subject
b Ihe workers' compensation laws of Califomia, and agree Ihal if I should
become subject to ihe workers' compensation provisions o( Section 3700 of
the Labor Code, I shall forthwith comply with these provisions.
Appliranl's SignaWre Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE C0.ST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrtn that I am licensed under pmvisions of Chapter 9(commencing
with Section 7000) of Division 3 of lhe Business antl Professions Code, and
my license is in (ull force and effect.
Lic. # _ _ Class #
Cw�ratlor'S Signamre Dale
CONSTRUCTION LENDING AGENCY:
❑ I hereby af(vm thal there is a construcl'an lentling agency for the
perfortnance of the work for v.fiich this pertnit is issued. (Sec. 3097, Civil Code).
l.ender's Name:
Lender's Address:
Signalure Dale
OW NER•BUILDER DECLARATIONS:
I hereby aKrm that under penalry of perjury Ihat I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW /or the (ollowing reason (Sec. 7031.5,
Business and Professions Code' Any city or counry which requires a permit lo
construct, alter, improve, demolish, or reDair any structure, prior to its
issuance, also requires Ihe applicant for such permit to file a signed slatement
that he or she is licensetl pursuant b the provisions ot the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe
Business antl Pro(essions Code) or Ihat he or she is exemp� therefrom and
the basis for t�e allegetl exemplion. Any violation o( Section 7031.5 by any
applicant for a permit subjects Ihe applicaN to a civil penalty of not more than
fve hundred dollars ($500).):
I, as owner of the propeAy, or my employees with vrages as Iheir sole
co pensation, WILL DO THE WORK, and the structure is not intendetl or
oKered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply lo an owner of property who builds or improves
ihereon, antl who does such vrork himself or herself or through his or her ovm
employees, provided that such improvements are not intended or offered (or
sale. If, however, the building or improvement is sold within one year o!
wmpletion, the owner-builder will have ihe burden of proving that he or she
ditl not build or improve tor purpose of sale.�.
Owner I b tlnve�.�/��.
�ires: S-��' ��,
� ' vmership by (type of document, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihat no excavation frve (5) or more (eet in deplh into which a
person is required to descend, will be made in connection with wwk authorizetl
by ihis pertnil, and that no building sWcture, scaftdding, falsework, or demolition
or tlismantling thereof, will be more ihan thirty-six (96) feet higR (Chap. 3.2, Grp
2, Art 2, Sec. 341, Tdle 8, Califomia Administ2tive Code).
❑ As owner-builtler, I will not employ anyone to tlo work which vrould
require a permit trom lhe Division of Industrial Salely, as noled above, unless
such person has a permit to do such work from the division.
Applicanl's Signalure paie
Division of IndusMal Sa/ety Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need lo fle and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Ves ❑ No
(Section 25505 of Ihe Califomia Health and Safery Code requires, with some
exceptions, that a Business Plan be filed vrith I�e Costa Mesa Fire
Department by every business which has at any one time tluring a reportetl
year a quantity of hazardous materials equal to or greater than a weight of
500 pountls, or a volume o( 55 gallons, or 200 cubic (eet o( compressetl gas
at standard temperature antl pressure).
2. Does or will the applicant or present or future builtling occupanl need to file
a registration lorm (or aculely hazartlous materials? ❑ Yes � No
(Sec[ion 25533 of the Calilomia Heallh and Salety Code, with some
exceptions. requires registration vnth the Costa Mesa Fire Department by
each business which at any one time has on hand a quantiry of acutely
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre and pressure).
3. Does or will the appliwn[ or presenl or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for aculety
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of Ihe Cali(ornia Health anC Salely Code provitles Ihat t�e
Costa Mesa Fire Department may require the preparation, certification and
fling vrith the Fire Department ot an RMPP by 6usinesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 ot the Califomia
Health and Safety Code Deen fully complied wilh? ❑ Yes ❑ No
5. Does or will the applicant or present or fumre building occupant require lor
lhe work which is the subject of this application a permit for such construclion
or modification from the South Coast Air Quality Management Dislrict or from
any other air pollution conlrol distnct or agency? ❑ Yes ❑ No
(Sectbn 65850.2 of Ihe Califomia Govemment Code requires that the requestetl
infortnation De fumishetl on applications lar non-resitlenlial builtling permits).
6. Will any part of the faciliy to be constructed under ihis permil ba within
1000 feet from the ouler boundaries of a school? ❑ Yes ❑ No
(If'yes", the faciliry musl meet the requirement of Sections 25534 and 42303
of Ihe California Health antl Safery Code).
7. I( a pertnit from the South Coast Air �uality Management DisMcl or ot�er
air polWtion control district or agency is required lor the v.ork which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health antl Safety Code Seclion 42303 been mada? ❑ Yes ❑ No
8. pf'yes", altach certificate of compliance from the appropriate air pollution
control oRcer).
CERTIFICATE OF COMPLIANCE: I certity Ihat under penally of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regartling Hazardous Materials and Emissions.
LJ i. es uwne� ui uie yiuVeny. em �n�.wa�ru� �.vnirw�.imv m
LICENSED CONTRACTORS to conswct Ihe project (Sec. 7044, Business and
Professans Cotle: The contractors License Law dces nol apply to an ovmer of Signawre oa�e
property who builds or improves thereon, and wfio contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contracta(s) license pursuant to the Contractors License Laws.). certify under penalry of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating ro building construction, and authonze representatives o(
Business and Protessions Code for this reasore lhe City of Costa Mesa to enter upon the above-descnbed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorizetl by this permit until final inspection.
� 7�— �� � �_ Sgna� o� egai Owneqs) — Date
a'lure ' —��l--r
JOS]-Ofi(]IO'!
/o�Aul onEeOAppli 1 te
f•
. .. . �.. � ', . I . .
OWNER-BUILDER
VER1F[CA`TION
Address: l�� V V�,��� Permit #: �l. V1- V 3�l Z
A city or county, which is required to give notice pursuant to Section 1983Q shall attach to such notice, and, as
a condition precedent to issuing a building permit, require the completion and require the retum of, an ownerv
builder verification. �
Attention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signa[ure.
Please complete and retum this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No buildine permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. ❑ Yes ❑ No
�I hav ave not) signed an application for a building permit for
the propased work.
� I have contracted with the following person (firm) to provide the proposed construction:
`/ Name �✓7" f�-L -j�'�K{ r' L> � II�'-�
Address City
Phone (
Contractor's Lic. No.
4. I plan ro provide portions of the work, but [ have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone (
City _
Contractor's Lic. No.
5. I.will provide some of the work bu[ 1 have con[racted (hired) the following persons to
provide the work indicated:
Name Address Phonc Type of �Vork
ioazrs �ae�. i voa�
�
�
Pfl0.1ECTA0�PE55: c37O JUNIPERO DR
" OWM.I'S NFME: RUH ZO, EDGARDO
nooeess: RUBZO VICKI
970 JUNIPERO DR
COSTA MESA,CA 92626
RflLNIENGINEFH:
aoosess:
PEG.NO.:
UNIT:
uxiT:
PFpmiTTEE: LINNERT ROOFING, INC. ( 714 ) 632-1900
nooness: z851 LA CRESTA
ANA CA 92806
LICENSEO CONTNACTOB OECIAHATION: I hereDy aflvm ��atl am Iicense0 untler pmvisions o� Chap�er 9(commencing wi�� Section
70001 of Oivision 3 0l I�e Business antl Pmlessons Cotle, and my li ense is in �ullforce an0 eflect.
ciTruc.:06216[,�0 sraTeuc.:66931� nc�u�ss�: C,p3�.9�� EXP; OS/95
Date'._�����'9l Signature: �t��`'����
WOflNEBS'COMPENSRTIONDECIAXRTION: Iherebyalhrm�ailhaveat¢ni�itateofConsen -inSureoratetlilita�ealWork¢rs'
CAmoensalion Insurance, or a cenifieU cov �nereof ISectlon 38IX1. La�. CI.
Poucvxo.: PWC226176—�1 E%P.OFTE: OS/OS /9S
comenxr: GOLDEN EAGLE
❑ Cenilie0 copy is nereUy Nrnished. � CertilieC copY �s lile it� I�0 eiiy Builtlinp Division.
I
Daie: �� —� � 9 y ApDlicant
E%EMPTIONFROMWOPREflS'LOMPENSATIONOECUflFTION: (Thi5sKlionnee0notbecomplete0i�theperrm�i5laroneM1unOreA�5100�arleu�.
1 certily Ihal in Ue pedormance ol I�e work for which Ihis permi� is i55ue0, I s�all not employ any person in any manner so a5 io become
Subletl Io Ihe WorkerY Compen5alion LawS of Calilomia.
�ate: Signature:
NOTICE: II, af@t making IIIis tleclaration, you 5houltl become Subjecl Io Ihe Worker Compensation pwvi5ion5 0l ihe Labar
Cotle. you must lonhwitn comply with such D�ovisions or tnis permit shall be tleeme revoketl.
CONSTFOCTION LENOING RGENCV: I �ereby atlirm �hai there is a conSimciion IenUing a ency �or Ihe periormance of Ihe work for
whith Ihis Vermii is i55uetl (Setiion 3097. Civ. C�.
IENOEH:
ROOPESS:
OWNEB BUIlOEN OECLANATION: I �ereby allirm ihat I am exempl Irom the Coniractors' State icen
(Setlion 7U3L5 Bu5ine55 an� Pwlessional COde: Any tity O7 Couniy w�iCh repuire5 a permit Io Co ln
repair any simclure. Drior lo its issuance, also requires the aDDlicant br suc� permit to �ile a signe si
pursuam io ine pmvisions ol me Comractors' Sta�e License Law (Chaptei 9(commmcin0 ��h Sec�ion lA
an0 Prole55ion5 CAOe� oi I�al �eR�e R e+¢mpt lAeretmm anE �he Gasis fot lhe alleqeE exem0�ion. M�
any appli[anl ior a permii suble��s t�e apDliwm m a civil penalry of noi more ��an �ive hundretl Oolla
I. as owner of t�e D�oUeny ar my employees vnt� waAes as l�eir 5ole compenu�ior
❑ simcmre is not imenaea or alleree lor sale (Section 70aa, Business an0 Pmlessional CoOe: The
Uoes not apDly lo an owner of a O�operty who Luilds orimproves tAereon, antl who Ooes such
�is or her own employees. pmvitletl t�at such imD�ovements are nol intenUetl or ofiere0 for :
impmvement is soltl wi�hin one year of comp@tion. Ihe owner will have ihe burtlen of pmving
lor I�e purpose of sale�.
I, as owner ol �he pmpeny, am e�clusively contracting with licensed contramors to consimct the
❑ antl Pmlessions CoOe'. The Conlraciors' S�a�e license Law does noi apply �0 an owner of pmpert
anJ who con�rac�s lor 5uch prolecls wilh a contraclor�s) license Dursuan� to Ihe Cantrac�ofs'
Ihat prool ol ��eir Worker's ComOensalion insurance s�oulE �e pmvitle0 lo me.
� I am evempt untler Section: B. 8 P. C.
lor I�is t¢ason:
Law forihe lollowinp reason
, alter, impmve, demolish, or
�ment ihat he/sne is Iicense0
� of Division 3 ai the Business
iolatbn ol Section 7031.5 �y
(5500).
'0 Go tAe wark, antl t�e
ln a[Iors' Stale Lit¢nse Law
Irk ims¢I�/0¢r5el� Of �hroUgh
;. I�, owever �Ae �uilding ar
I � n 1 builA or im mve
se o p
�
Business
esthereon
am aware
Da�e: Owner.
I aa nereby cenny Ihat I am aware ol ane unaerstanU Ihe repuiremenis ol Calilomia Heaith an0 Safety Cotle Sections T5505, 25533, a
25534 an0 I�al I or any lulwe EuilOing accupanl will/will no� (cirtle one) neeU lo compty wi�h said 5tate co0e5 anA IOe requiremenis br
permil for consimtlion or motlilicalion Imm I�e Air Ouali�y Managemen� Di5lrici. Fesitlen�ial constmc�ion applications are exempi imm
Inese pmvisions.
Oale: Fpplicani:
I �ereGy cenily Inal I �ave ieaE Inis aD�lication and state tha� �he ove inlormation is correcL i agree Io comply wil� all ciry ana counly
orJinances an0 sialelawsrelatingto �uilEing consimclion and h re y Nhorizere0�esen�atives of��is ciryta en�er upOn��e aEove�menlioneE
pmverly loi insoetlion purpoLses.
Daie: �� � �_f ` S��P �
oriver's �icense o� Socia� Securiiy p:
164La6 White—Buil�ing', Grean—Cotle EnbrcemenP. Canary—Applicanl: Pink—Revenue; Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: H 069305 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR
PERi1 NO: B 06930=
GOVT; i•I SUPP: �
PURPOSE: ALT
JOB DESCRIPTION ; T/OFF SHEATH 6 REROOF Id/COMP SAINGLES SQ FT: 6,900
CLAIM VALUE: 6,900.00 CALC—VALUE; 6,900,00 GROUP OCC: R-3 /M—:
COMMENTS: REROOF 2900SF RESIDENCE W/COMP. SMOKE DETECTORS REQUIRD PER 91UBC
�*�r�r*�*�**x�*#�*��r�***�r�t**�r****�r+a�r�***+r#****�*#�-**�**i�+�***�� •��v�.�uxu.�.�.xxx.�x�.x����*��
ZONING RE�UTREMENT:'�MOKEDETECTOR
S E T B A C K S
------------ MAIN BUILDING --------- --------- ACCESSORY BL'I`:.�QUI.RED ___
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; PAR�EL; 14155809 ZNE: REF NO:
FLANNING NOTES>
�
ffit##iEiEiFiEiFiFi!#iEk#iE##iEiliEi(�',EiE%iE##itiEi!##iC�i(�3EiFifiEit###iEici(�iE�E#itil�it#ilif�kiE'YifiE',Fit##if#it3E+fb#i(�#iEif�1liFit#
D E V� L O P M E N T S E R V I C E 5 R E Q U I R E M E DI T S
ZONING APPROVED BY DATE:
BUILDING APPROVED HY : DATE:
APPLICATION ISSDED BY; DATE: �(� �� �� �
iEifil143EifiEiEiEiE#iPiP###iF%fEiElf�iEit iE +tiE i.ic^�Ek��iFiliFiEic�iFi.'#iE��M-9F!f��xir t�i�-if#
iE �lE iM1 if !E')t if i@ if iE if iE iE i! iE 1f fE f6lF if iE iE �IF iElE iF iE 1Elt'IE if fE iE iF if iE iE # 1k iE i! iE if if iE if # i4 iF ff iE k if i! if 1f if ### IE iFlF ic i(� i! iF iE #!E iE if iE if iE 1f i(� ##
LEGALIZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMZP/RES GRADING
PERMIT 90.00 59
PL� SMIP/NON—RES
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL FAID DUE
TOTALS----> 90.69 0,00 0,00 90.69 90,69 ,00
REVENUE PIVISION TOTALS--> COLLECTED: 90.69 �OVER/SHORT; 00
HLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90,00 ,f�9
i! iF iE iE iE 1E ic iF iE iE iE 1E it iE i(� iE 1F 1F if if 9E 1E iF iE iE 1E iE if iE 1f jf iE fF iEiF 1E iE iF iE if iE it iF iE �IE jE iE 1E jE if jf if iE # M- k!! iE iF 3f �k� iF iE iF # 1E it iF i' iF iE jF i6 �k 1f if # iE #
2 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 I P T I O N UNIT COST TOTAL COST
SFR E�'aUC1 RER���F RY V�LUE RESIDENTIAL NOZONE 1.00 6,900.00
END OF FEES
0! OUtbFd23—�0169629 YC�� <'�.c�
DA7E� lU/i%;44 7i1�_. v9: �5
.
' CONSTRUCTION AND PLANNING
APPROVALS Permit #
�
7. Temporary Electrical Service or Pole
2. $pil Pipe�Und�gmd. ..
3. Electrical Conduit Utility-Undrgrnd.
4. Electricat Conduit-Undrgrnd.
5. Steel Reinforcement
6. Electr�cal UFER Grnd.
�. Footings
8. Foundation
9. Wa[er Pipe-Undrgrnd.
10. Strucwral Floor SYsiem
17. PrOperty Sewer Line & House Connection
72. SeWer Cap
73. Roof Drains '
74. qough Plumbing
15. f;ough Electrical-Conduit
16. Rou�h Electric Wiring
77. Rough Wiring Sign
78. Rough Electrical�T Bar Ceiiing
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventitating
23. Gas P�pe�Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T•6ar Ceiling (Structurall & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30, DrY�vall Nailing
31. Plaster Brown Coat
32. Electrical Pow2r Meter�Finai
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Pinal Factory Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Finai
41. Solar pomestic-Final
42. BaGkflow Preventer
43. Backflow Irrigation . �
44. Landscave irrlgat'ion System
45. Sound Attenuation � ,
46. Handicap Regulatio�s� • '
."�
47. FINAL STRUCTURE & BtJt�.DING L
. r. `
48. FINAL PIANNING ,: � Li
49. Electric Release to Eclison t
50. Gas Release to Southe�n California Gas Ct
Date
Date
0
POO� dPA
Inspector qPPROVALS Permit #
52. Pooi & Equipment Location
53. Steel Reinforcement
54. Forms
55. E�ectrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNiTE
58. Eiectr(cal Condult�Undrgrnd.
59. Gas Pipe, O Undr9rnd., Tes�
60. Backwash Linos, P�Trap, O Undrymd.
61. APPROVAL TO DECK
62. Backwash & Recepior-Final
63. Heater & Vent�Final
64. Plumbing System - Final
65. ElectricabFinai
66. Solar SYstem�Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. RE�UIREMEN7
APPROVALS Permit #
Date � Inspecmr
70. Underground HYdro
71 . Product Piping � Gas fl Oil
72. Underground Flush
73. Underyrnd. Stora9e Tank O Gas ❑ Oil
74. Overhead HYdro
75. pry Chemical
76. Dry $tandpipe
77. FIXEO SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
rvat�s: �o _Ls -Q9 .lia ax� ��.
0
OWN�R � DEL MAR DEVELOPMEN'P COMPANY DATE 3-12-62
JOB ADDRESS 970 Junipero Drive BUILDING PE£MIT NO. 1 19
GENERAL CONTRACTOR
AP No.
IN^rCTIONS
LOT21 TRACT lf2
� 5ignature
FIRE ZON�
DATE GROUP
VALUE
DliSCRIPTION OF WORK x'�S
TYPE y ZONE R1
SUBCONTRACI'OR
g�T
� ,- FE RECEIUED
COSTA MESA BUILDIN6•SAFETY DEPARTMENT �+1AR 7 1962 �t 21 - Tract 1t260
P. o. aox s,� COSTA MEBA. CALIFORNIA fINANCE DEPT. p�.n 450-c
CITV OF COSTA MESA
For Applieani fo Fill In Complefely APPLICATION FOR PERMIT
" TYPE OR PRINT BUILDING
BUILOING
ADDRE68 70 �� ero.Drive
COSTA MESA. CALIFORNIA FOr Off7ee Use Only
R8G81PT NO. I�I V
owr,ERNesa Del �Zar Develoament Co.
uw�� �GE�VEO BY I DAT[ RCGtfYED I DAT6 188U6D
� ARCHITECf
E, Coast
Qr
Ave
1�;� No. 9aaos-ss-i No: oa s�,22o
SIZE L n! O n n I NO. OR BLC
BCTBACK LIN6 FflOM '
ceurea oF erxeer
SIOE YARD I LEFT V� I I
DESCRIPTION OF
COSTA MESA. CALIFORNIA
ZONING
ZONE_ —/ I pUNB Z I U96 OP NHWiR/hq �� �
/( emin�xa ii
oeeew�'r�eu �O� Z� %� � Z 6 0
YARDS
APPROVED
(C6M6R LJNe BTJ
RD � �� FRONT �C
8 R. SIDE 8
K L. SIDE "
ION I araw � Z
s�ie '���'60�x 0�10" Rooms � sroF
C�OVERING� LL 5�7.CkIGOVERING Lijnn(1
USE OF BUILOING AND WORK TO BE PERFORMHD
" � P P � Ytv
EVES
e
�
W/attached Garage Gsrage �� 1t60 S.F.
Covered Porch 108 S.F.
I HeqEBY �GKNOWLEO66 TH�T 1 HAVE READ THIB MPLIGTION TH! AMOUM /XOWN UND[P VALUATION t! FOR TNH
AND BTATE TXAT THe ABOVe 18 COfiAECT ANO A6R6H TO CON- pURP09L OP [BT/.lL18HING A PERNIi FEE ONLY.
PLV WITH ALL CITY OflO1NANCEB ANO BiATE LAW! RlOUl.11TIN0
BOILDING CONBTRURION. VALUATION y/5� �]
81GNATURE OF T� C ?i� �n PERMIT FEE $ O.//I
PERMITfE //� �
By �/`��� _���(�� $ 18,960.00 PLAN CHECK $ �i
AUTHORIZE W ' - 5'7�00
TOTAL FEE