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3036 KILLYBROOKE LN - Building Permits
• r • Applicant to fill in all spaces within heavy border lines'and sign all appropriate declarations. 13'.. , ;CITY OF"COSTQ'ME$Q-.,.`ly. -PER Mit NO: ,- -, TRACT NO:._-_ 'COT=NO;'Tr _9`� jCON$TRU,CTIONPERMIT. E=a� 7� ' It It - I • , VWl''-t0038,21''2/.30/8'LIN f?.i?ru3' 800 T1.1 ;Project Address ZO�4 1 i1_LW34,00.k;i lir (9ji TYPE OF CONSTRUCTION .9 tc "` ( ^ -•r� i_ _'`,c ''t rt :e.1 .t un IA,. .1 (Owner fiT1,. -'r t-//G-G//115 _•r�_ -7Phone341157293• ❑'NEW"'❑ ADD � T ' ;1.. • 'II JSP ,I_,XI iV4' J :)J V1 19R V. I r Address-303 'k/'AL"y' Gap,(�t:.7 - - REPAIR ❑.CONVERSION-E DEMOLISH-. r _ __ ",n `P'71 i:-:Ts • 41' -` ZONING REGULATIONS t �+" ) -- • _ .OTER . - ,+ .. A:P.' - _ ,;- �_ .� . --&---"----."-- DESC RIP'_I_°WOE WORK l) ' _ - 1 '"' t, r r _, . ,•I•nrs. of.oi=ly . . il, _ '_".`.7 '.."--7" -: - `ZONE._`.__ - ,P,LNG REF aP‘.7-72-17.77.-17.'37:'47,' V '-}. f ContractoreG��eK, �3 r,• • Phone'- . i TYPE:OF PERMIT""'.t ->" -BUILDING--• --- - TO BUILDING T -i.ry ) /. - v _ _ 1 - SETBACK C/LST.' ^PROPERTY LINE T •I , - { j Address -----"--7-i"----,-- '^- --'- " '--_`- ❑ GRADING U'FOUNDATION- - U STRUCTURAL -� 51E1E-YARD. -'-r-^ - - - -y- :^_ •+ '•t- { - in i ,- Lf " - ^ •LEFT ▪ ii--) WPiil i • t LICENSED-CONTRACTOR•DELL"ARATION---•---= �: -.D-TENANT-�YELECTRICALt-O PLUMBING+DLv1ECHANICAL 1510E-YARD - _ { -,------ I hereby affirm thstll am licensed under provisions Of Charter 9,(com-; - +n .a , Yj , rj. .ii, . . 't- i RIGHT - �d rr n;i t mencing Wlth"sectlon 7000)"of,,Division--3,-of-the-zBuslness^and- ❑ OTHER --- - a 1 _ t Professions Code,- and my license is in full force and effect.. .0-f-, - R ;1 - REAR VARO(TO R L)" _ - ., I r r---•�-- -_ f1PROJECT.DESCRIPTION .— _ 3. License Class - License No . r l ,., - 4 .. •It_ I- trPKG:-SPACE REO. .PROVIDED - -.i - Y • Date Signature"♦-` -�'•"` -' " - - fT ,q�« _ Z — - - -S ?STREET WIDTH - PARK-FEE$ -j -[ _Z WORKERS'COMPENSATION.DECLARATION---•-_.--a- .,,1x _OCCUPANCY_CONSTRUCTION TYPE { - ;,•DATE-"^"' '- ± I hereby affirm that P have ansati certificate of consent to self insure or,a i1V ALU ASION" `"cl fA ZONE _' .- - I - ^• ^ -• ^„t+ r' - i - "^ I P. certificate"-of<Workers Lab C)nsation^insurance;-or-a-certified=copy --- .. .".,.,r thereof(Section 3800 Lab.'CJ, 1 . ' 'gGRADING,CII )V,DS. � - ACRES '' •(� • - - ,S PECIA L'CO NDITIONSi_"--»�.t8 -" "'- thereof -"y No , _.u.Coo mPa nY ��..•-.-_,_ -...„._..�...-- ... ('_.rA.. - __•- - .-__ _ T .__ .. lrtifietl copy ns:hereby.furnishetl --__y+ .,-..,,,.:..wLl REMARKS w1.1%, _. ,.:.1.,.......i..,____-........_ ._ ...4_______„....___„.._ Y,,,•, _ l _ "' c „_ertified copy is.filed with the city Building Division. - , - _ `l' (J,.,.( . j •4 �'liUi Q.Z..,t.rJbl f i...3R ` S EXEMPTION"FROM WORKERS' COMPENSATION-DECLARATION' ;e' : ^/ O`,J r .- :: -r'^ " C^- - " - -- - - - - 'I (This section-need.not,be,com plet¢tl•.if_the,permit,is,for_one hundretl -,;,,� -.\ J +y_ i _ U ill./0.:1d2$,'1 I c' ort r ' ($1o0) or less). 7 - - ,-4,.5....,./•,- -. +.--_` I t�.__ - -_. ,�. l ycertify_that,in.,the?performance;of_the_work for_which„this permit is _ , , issued, I'shall not employ any person in any manner so-,as.t0$become ,(PLUMBINGtatfc PLAN CHECK`"" ` t----- 7 .;ELECTRICAL;-9-":•7---7` ` PLAIN-CHECK':;"'- �- • SubjecLtoThe,WOrkersCOmpen Sation-LdwS,Of.,Cahf Ornla..�-�--:- __ - _ _ .-. _-- --_ -__-,- UW LLLING__.-� �GA KHGt t BATHTUBS .SHOWERS Date ' E' Signature I. -�-- NOTICE: If after making this declaration, you should becomefsubjech.epr01 LETSQ,s1-t 'b Ifj fI URINALS '-^"`-. -'j - "•GENERATOR^^•- 01 KW 1 10 KW - '-1 rr to•the Workers' Compensation provisions of the Labor,Code;you must' - ',TRANSFORMER Ne :.,n ,�. St I• forthwith comply,with such provisions or this permit shall be deemed LAVATORIES` ,. : DOUBL"E'LAVS"'^-' ( "-' 'APPL'IANCE" .'-10 50 KW- 150 +KW -- - .F revoked ,_ ..�,,..._,L - -,._... ._"_.: .`-•,..-.-:.._ , 4 . CONSTRUCTION LENDING AGENCY. - �KI'.'SINKS - ""-' DISHWASHERS ^'"` - :IM OTO RS ^^^--r-07 HP_1 10 HP i ti' ' I hereby affirm that'there is a construction lending agency for the per- SERVICE SINKS - tZ SUMPS""" • '- '17"'":""-""'+ .,(INC.SOLAR .-_-.. _ •rs -1d3.'C ^"-', I M ,i - ) 30-50 HP -50 + HP • - fov:"C:1 -- the work for which this permit is issued (Section 3097 - - .Civ'C.) - - ...7.--,.....,..?„,....-.-.-,---,--,,--- .FLOOR SINKS '='.Y,� FLOOR'DRAINS_'" 'j�' iFIXTURES-"�"^^OVTL'ETS;^•"SWITCHES." Lender'-Name . . • ' 'ORI NKI NG FOUNTAINS'_"'i F`0"M- -. -'GASTUBE'SIGNSY-••"-•'•� d ' `Lender's Address, -"'�` ' OWNER-BUILDER'DECL-ARATION '-""-- ---7----;-•- ` -et 7 *-- I,hereby affirm that l-amexempt from the Contractor's License taw for INTERCEPTORS CLARIFIERS ' '" ""'--•' "" `�?OL'E'L'IGHTS-`^-•"-•` • the'following"reasom'(Section'•7031:5Busines-and-Professions•Code:_ rSW I M MI NGPOOL"`- '-'P'TRAP-'-'+ — .j• ,,l-UIVOr Ru I-iluR._ -„_ - - •Any city or• county which requires a permit to construct,.alter, - - - �� POLES ' improve, demolish'or repairany-structure, priorto-its-issuance,"also-re=, ^WATER SERV ICE-71--ALTERATION - T-""s:.1_ „-" '<PANELS- '-"" -'MAIN • ` SU quires the ap,Jicant for such.permit.to,file a signed statement that he ' - - - B z,, z �„ f isalicensetl"pursuantto'the'provisions'of the'Contractor's-L'Icense-tzw` GASSERVICE OVTLETS Y"f)";`t''``--"--'-`" y `{ ERVICE-_-/ ' AMP Q(i. i_ (Chapter._9-(commencing with Sectionri000)-ofrDivision.3.of•the- - - - -- , . y 1.- • Business'and'Professions-Code):or'that'he is exempItherefrom-and'.ther -WATER HEATERS" BTU"OUTPUT '+"'" i --,-; 1. ' ,:0' - -- -- h • for the alleged.exemption. Any violation of Section 7031.5 by - - - ..�/�//� ,k:eoncant fora-permit-subjects"t he-applicant-to-a«civl penalty "SEWER7CONNECTIONS 'Z "" "' '- l4Gt' fia�2o �--�� :/ ) °L^' - - '6,....„,'-- more than five hundred'dollars ($500) '- • . - '^ ; `~ � J�`•Ga�fF�- l . 'as owner of the property,6-1- -� - - ,.. - •- SOLAR'TANK -1"' COLLECTORS - d' -'-"$""^-'-'^-t- - I c „'. -rj s a n,,,wlli.do•the_work,and the structure isnot intended^ or'offered for'sale. (Section 7044, Business and.Professions'Code. The SOLAR.PIPING SYS' -" 1 "y 1 ' "i"_' ISSUE FEE 7 --""--'- •, - Co' :Contractor:s.License_Law-does„not.applyto.,an,owner_of a property_ _ ---'------,--T--"--- _ ,Who builds or improves thereon, and who does such work himself or "ISSUE FEE -r _J it ' 'IAPPI_ICATION-APPROV ED•BV - ATE------"n* • • through_his.owiLemployees,-provided that such improvements are not. intended or offered.for sale.-If,'however, the building or'improvement MECHANICAL ° PLAN CHECK ( - , _ T - ' " Z ' •is.soitl_within,one year,of-completion,the owner will'havet he burden �SUMMARV OF FEES 5•_Ii-. t&Z(.� ,y y . of proving he did''not or improve for the-purpose of sale).: o-I;'as':owner-of-the-property-am-exclusively--contracting-with- :HEATING DUCTING EM --13-166;066-BTO- ,{ • _ -j PERMIT $ z _T`. fas)SMIP C;:klt $ , '. licensed contractors-to construct the project(Section 7044, Business, • -100,000'+BTU - ;PLANCHECK $ - .. PERMIT n ' RI 3a pa antl"Professions`Code:=The-Contractor's-License-Law:does•notapply.to- - ISSUANCE $ ..- 'an owner of property who builds or,.improves thereon, and who•con- REFRIGERATION '0-100,000 BTU • ;PLUMBING -$Y^ r' c tracts^from^such-projects-with-a contractor(s)-licesned- pursuant-to- -,S VSTEM-_ $ ._. - 64[10,' RADING._ $riR£al�, ° 1� ' the Contractors License Law). •-100 000+,BTU . ' - - - " V f PLAN CHECK p aY U IJ Sl T AI.rI E 3 I am exempt`untler'Section - - - 'B & P C tor'thls BOILERS BTU T-,---- - ELECTRICAL $--- 7b0-----7---f-------t-----': • T• - JPLAN'CHECK $ ^'�-c`94,1"',-.1 2/R.MIG RO FILM'S' W ' + - SYSTEM REPAIR,ALTE RATIION .,,r+, ,L t yR �„ ijVP - G ii i f lh, "Al Date-- - Owner "' - : .._ ` 'MECHANICAL- $ ` TOTAL FEE$ I-hereby cert fy that I have read this application-and state that the above EXHAUST SYSTEM .MULTIPLE l i l a5L1 F i4 -!) 1 i Ytfi LESS AD t a T. tF information'is correct. I'agree to-Comply,with all and-county - fl„ I •+PL•AN CHECK -$`-s- ---t-- VANCE'PC $ -"`^- ' ^' ordinances and state laws'relating to construction 'and hereby authorize ;', •-,f^IP A;:4411:11.0 ca4f,1 3 '/y IA 1.o-1-CIL) h representatives of"this city-to enter ,upon-;the above mentioned-' - r y •l.' �' property for nspect on •urposes ,„„_ . _ a 'a )• ri '' Signat ur ?a. - a" ate. _- ate/2 �r '• s - 7V{ FINAL FEE $ O•'®� (I�• - Drivers' Llcenselor SS$ / -�.�,�� _--__' ""`;SSU E-FEE - -- +-•-.---.- _ _ y _ / • . -,CMF 0865-46 Whan ite-Building; • Cary-Applicant;Pink-Accounting;Goldenrod=Assessor ' 6 1„,..•-. '"a • . , • ..7 ... • . . . . "1/41-4-14"."' -1.1* • ,:y111'1,14:5414'111•±1111111"44(4 Ili"6'4'14466 Z14al',L.:4\661d.,44 nititivi 6;•....:•‘;6 44-al I lai.0i:4-,4.34'lam •. . . 14? ..I. 00..f) •CONSTRUCTION1/4AND1PIZANNING -•. • . i - Pop Li& SPA, 1c.x- \(rt.‘,--- ....\., t.,i li,,i,;,3t, 14.:•) ---,A11,::1-2,4c•--i:. . • APPROVALS C 7 CIS Permit+ - - ,- Date . L'Ifispectiart- : ' ---m-,•,-.,-.-----------n---.W--Ita...-...... ,‘-'0,-r-'74," ;-.,•-t`a.-AC...' ',ea*, '4. Date,.. ..s.,,,InspectoLar ..., . - , . •APPROVA LS a to,3 yr bEermit+i,.:-:- -,:, . . :: , ..., : Li_ ,4 .,../. ...... 11•_Terriporary„Electrical Service or Pole : • '--"4-tcl ,... t-,. ,:. '4,j-. '. FfS61:8; Equipn:1104i C.:oCitiiCrartfc-L'.------.---,c. 2-•"4:-1.2- - - 2- •-II , 1„,_,2._,Soil P.ipe-Undrgrnm-,-"J"-': ''''''.1.1'1_1•_. _—.... . -re . 44. Steel Reinforcement- -----771-- •-. ----i?-----1-'---&-113 ' '''''-'-'-'-':-"ti- •-'21`-''1'1-1"-:SL. -I! 1--31..-Electrical_ConduitUtility.-.Undrgrn__ ",- :,-2: _114 ___z_ 1_ ..,_...1 •___,.._ __45...,v.Forms-1•.1-,,n--,. t----- --:- .: 1 :flt,.... _ _ _ : I--41-.1.Electtical,Condtilt1Undrgrh____ 1 ,-.. ..,....2. _11 -1--1' _:- -. -_ .__ .. . _46,_Electrical.Bonding..:)----1------------ ... -:'' 5. SteelReinforce .j Pei . , ,, ..„._ ..,"., ,:_,;;;;;4; 47. ,ROtigH'Plurnbida& Pressure-Testf-'n---- -- -1-- -.1.-).:,- ',11':'-.1-.2,1--j----- ±I-:- -1 6.-ElectricaLUF,ERgrri,..: „,..H.1,....:-..-2: : ;14-1 _i 1 T : 11;11 T: 'I • -.485-1 App90 vAL.-roCOYER-GUN ITE----7--"''''''.':::-t —': . -2.""r ,i 7._,FootingL, .2._ . ,..J.. , _ ,.111 : i • : ; - - 1, 49. Electi'ical.COnduit-Undrgrit1"wf"..cd c:!ntnn c';',2-?! ,.." . t.1.1o&.,4 s. e i f..fil it:,tif: 1-13:,.,-..Foundation ..,....„..._.L.- - 1.-11.1:._`-'''11-1-":`: ' 44•1 ..,1 .. : ', : " 50.-,!Gas:Pipe,,.,0 lincrgiln,1111et 1•"-. 41'61 00' 1;0 >i -,i -1;.7,,i 7-1, ',I:: .1,1:0„-,-1 ;011;,1::::!"r.-; :14 J....9.-,....Water-Pipi1:11Indrgrn ' , _. . ,,.:1,1ri ‘, 2._ __fl J • . . :. 51.• Backwash Lines,P-trap:-H.Undrer'd ''' '", • 1..10..... Structurak'Eloor.System..14„. .;...:,-........-.:,..1- 1 -.2:1-1'.. A___ .._ . __. :ivy .1,..,:.-: -.I, 52: -,:APP RO VA L,TO,D ECIC-7 . . . -7-7-__-:=7-- - '1' '.111-1111.7- 7--- _ L.-1-1.--PropertV.SeWer-Line,&,Hous&C,:dridection„1._1'_=„ ..1___;._ _ : , ,__ ,..,....'J41-,..-. ...,53. _ BackwaSly,& Receptlir.Finaki.,A1 . 64.44d-44?.64--64 46 "44;"4: 64-4; 6 4.-v•--.4 r • ' 1.....12.-Street„Sewer:Corinection._ :c''';11:1.1.‘.?..V.L.:1_''1'1 .i.---------- 1-".-, e..`.1....i") . -:-.... --54.-. Heater&Nent-Final , t • ' , •- , .,.:1.,, 44's j.• lair];,IV:•• ;--4;.;-',4';': " . • 4-13.,Ro ugh.P.I u mb ing___L"•_ : : „-._ '55: '111PlUdibi2ig SVii;rTh'gin-al-- ::-'-'—±"-- 1"1: 1.:!:-----:a-- -14---'` es:T. 14. Rough Electric-Conduit. . . i-----7----7-- ----e---------r".-. ---c:56:-Electrical,Final-r--it • _ ' I-54: ...., ,,..4.3.,4464 v „., n•,4,,4,...4; ;4;vi„; ..),.:„ ,. . i 15: ' Rough Electric-Wiring - ... /---4-:--02- -9e....:.---------T-1-' -1:-.-57..--So lar:1SYstern-Final-,j4.''',;„1.14,111'11:`,- -4, " :411',d:t •-1: • ,' ,' - d24 ,,, , ,,,,L, ,•,,,2:-:_.,?.,_ 1-1116:"1-‘--Rbligh"Heatingtr•Air1Cohditioning-7.--='"- --4;72".. * ===.: .—.= -_r:-.._.‘r,_.r.-_„ .,......pi.-„.E.encing,&-Acceshpprgyl ; ..,, , , . _. ,..... . .f ffe.,,.".. .1(`." •- --,-1-7-., -Ductsicin.StivatuTh1,11;:.:.„ _.--2__'1,11,14.;:.2217.1.4:.1'. t__1.,___ i _ _ _,._ 59. . APPROVED'FOR PLASTERING *-111,,_11,1"1.;,711,11. (11,' If',91-.,..'''_' .-.. :'.:', '.'2.*,..,I!'"'_T. tb-t').'' I--18:----Ducts'4-Ventilating-i„:-.1-k:.‘.._:___,..___•.____-p ay., _L___i___ .4.______ 5T"---- L'.1..!:;____ ___. _ •-•.t.''...Y.-• ' 1 ._ _. i____,_____ .. __. _..,,,,,Tri-,_,_ ....Q.!, :0 . i 191 Gas Pipe;Rough:&'Test-,---11.1-."71, p4;.; ••E.,,,ri../4.4;17 ii.-.------- -1.:_.,.....____:-....;,.= 1'160...„_P.00 IL/SR,?1/4::SYST EK4 !,N.,V1t76/:,‘1-111-117141;1Thd"-11;41 -,1;',.. :-1,1,41u1.41;:•*. 1,,.,.:.,2,4ii_riv .•:;,:,,,i . t. -204- Roof:FriiiiirTg.,-.:----11 =:-._1' -_.--a1:1 - :2 -'[..-_.L---,..- .4- --:1--1-17 : 1.11° r'..:..-__ ; "_.::-.1 cif'!'21.' 10111: 1: ' Jibe' -i- ''j -Cli '': t;.*'‘'411-1 66Y-di 41/7.:461'444-.444 Si t-144 4K il • , f 21.1. Roof'Sh-eithing . 1-17-1 11,11.11" 4, . : ,1,.--1,1:, 1-........4- ---- .-.4... ___`.2,== --,,,.._ ...___ • 'Li--;•'.2...4, ._ .. „ - . : •-....,..1 op 49.4;1F ;.1..4 004 rat-.17?4-1447.; I --221---Frame and-Flashing-- -----1----.-:-. .---,... :1- --, -1,-...-4--.. -- -4....-------.„2:2 I.' NO.Tc.SiP.'414.,!`"12.14\-2'2?'2 ?! 1”:3114(;:.)-4:21,”.r.lr;,)"!;!,-41',,,1./,!,41',.':';/7,,f-,''...71...;',.:,:it'..:', „.',;f: ;,,• ' : - . f--23:--Insulatioh:--t•----- -2---2: -----t----- -:•-'-:-1-:-:: ! -4----:.1"- ----- 4_2 .2±T. -?-2-- ---Y--- -t'---Ilt.--L--7—"• -til---" , -li , --------• -- -^,,i C;:•1.-i; 0 ' 11---24!---kathi ng-&-Sid i n6 t--4..:_,_ ....,_•_:._-.1?..12.1:.. .::_11„1-:- _.. .1.--4_,_,._ 4._____2-__,... .-1-_,: ' " -1: .1:111:1111:1.222..i-e:- ---------.----.1-- —------':---.ir-....',-, ,. lahr.r.. 11, I 25!,-.DryvVoll-Nailing.----„,----__.,_ '"1„1„.„.- 1,1„-,,..,- .4._...,-.4.--. _I"- 2...._:: .:-..'2-.-_:._ .:,,...P:''' '"' '4. 1 .:, ,-, ----;tris..! - -.1,Tir,t-r (At, ::, .A.,-,74:•;0;',-!-:1::- ; ,;-;,•tc,::,,‘ p ; • I- 26:i---Plastet-Brown.CO& --1-,1;224-1-n-a-“•---t-----4--Tri'4U-4•4 -4.4.---4.. ----4 -.4.'-,--2.4---- •-:. 2--.-- -- -- ---f: ' :22Z: 22....11 :74 • • .1;,';' ;11:1 1).1 1iiiri i! '. -4.•* 7.74,•.•; .664.4-'ice;...• .; , v 4;7'.7;/: a , --- jct.__ .1:_1:_11,. 12 _1_ :1 __”"111_1_1';',112.11T 11, 2.4 .i i..,.. .:_, . .1:1,114 : :t...1-3V--::"31: -,:":.1v..11.:1-i,":':11.. , ,i,:; .,,t ,kt--28PinaliElectrie-,-L—',....-----,.../..--;...,L 112.•-.. 4—4...±.__ -4 ___:._LI,. `.:_n-Z____ ....._.-!..-1.1.2.±f;141:!_i 7 -"„:- ..c•-;;;;;;t4.6 'ir';',;•-:,• -,:.:-.-:.:, ,:r .- 4i.1$,-;•', .;, -) ',' ,.;;,°,-;,::-, • 1--291---FinallFleating,& Air-COnditiOhingL:142.:.:---4..„:/..11-.,-1.- -11.-4 ___ ....1______:.11...1.2:1.::: .1_, _L____1'.;..:2.1_•11.' '22:.,....-1 ' ..:.tt ...i. i. T f'\-;; 14:4;' ". Th:, ;;,..,-;', •!,i;',4 1`..1.:::A.; ki. 1---301- Finall,Gas Phae:- )i4 .t,.V.,..',[-r.:•:',....r.,±1...,_, .1.. ..1 ....L... 4._ ,..._______t:t': ..z..:".::.:i.-:" r_..i ':-- : . inh!t, ”diat'. 1.-,a1!, .F.ina I:Plumbing------ _,...._, ---,L.---:-'-- - - -3-- i. - -1.--1-._::::.': if:-:-:. :-l."' 2---I-2--!? "--!-.1--',`-"' t E5.# ,-;/'''''':1-tic."-:;"57'. z'? ctilif !t -3211-r-Water"Service-Fi ha I.'---; --,---,.....,,...,-.-' •.2.1.:..1:1_, .1____4_:___,: ,,,,., ,,.:„._-„,,,,, , „,_,.....-„L___ ,i-iv:I9,.: ”.,,F.,,r,.., ,,,,...„yr...t. ,....,. ,,,, ,.„„:;,....,.,,,i ./,, ,to 4, 1 :. 1-,--33.-GasiSetvice-Final=,:--ii_-:-... -_,.,1-4::_=-11.. 171.±C. -;.-_,----.-=-2.-H ,?" ----1,---1.--1 L4- --1--....-. ---. --- . : 1 : :l1 ' iPI''.11r? 111'' 1 ' '1 '" < 1...2.11'..?,.:9.3“..„. .'erl' f.i.C.IV 34. :Solar DomesiiC-2Eirl&IP1."11A1-1g. • ; i . - ./.ii-ni.:::V ,...1q.. . • ';41:tiV 4 AIM J.n.:., T:7rii•i"::.:1,;V•1:1116? 17tt .:: ?,1 r:. •.:.1• ':.'!i' 1 -35: -..Laitdgeape Sprinkling System,...1:..1.-:.• ' i ;t11d 1 - I ,' . L--..---___,„Cera, 40 ".•,t,-4) . 7%-', ,;)y;;•;-•A;14.4 i 4 tt'ho ‘0 ;;F.,,,.;‘,,I, ;in:, ,,,, ,-,..y.,[I-T1 :3!•t!:j- )0,- 7 n, 4,1 c„.,•0 I, .#:.. 36. . -Sound:Attendatidn 1:-__:-. ::..i i.:[-I.: ,. I ,. 1._-__:______. pki.: ..I•Co in!vi c"".T4-) "----. '" --1 7.`r r:1;4', ..;hrY.0,Ci0.143al.144 ".4 ..11. 4-3.1,'.'af,a 3 -,:t! c-,,,/ :. We"., "tks', ,1 37. Handicap,Regulations - •-..t.,:,- 4-. . :- .11, r111, i11 $ ' ..1 - 4_.-.,-.__if-.- ' ..',i.r,Idi 1 :li.);t A'st0119 0. t,i 44./..i.4o,iw 4-..4 ;fa', 44i,i• #%post,tc.i„3,_ .t..„Lic .s ? •X...:1,Trzrf;.'.-:,17,':, 14 •ji I 38. FINAL STRUCTURE &-BUILDING ?r,-,- 111, :1'1 F.' $ _i __ i...c._...-7-......--;"7-- rryr-i.--pr.•. • 7 7--•:- . .. , ;',Ili t:. 1,.'/ ...ir:- t1.7.. -71 I39: . Special',Requirements Corlipleted- - "Tn-'''''''' ' __. 9 . i:71..ilf:E1 ;'; : ' x•'t -----,----------'". 4-6-4 1 ''" 14', 6 ' "t6 S, ; it . I '40.., Electric;Release:do Edisod7 T.- 4469....L ;414....1 t; 4t 4 a.4424 r 10.4..,'',.1s:13.i; 1.5.1 i r:!..,.- Ictl' • • ' 41. Gas Releasedo Southern CaliforniaGal Co '. '7 1 1 '1 1,fici" ..im . )7.0.44'''4"2 4-A.,/, 41+-i .,e.,,,,,i ir• ,ii,, Li.nr........1.16....,t) 11.,if 2 J.:6. I/.:TI rut. " •.4" '. ,'". P I. :' . . 11 ",.. 1.1jc1.1.1.:;(1t '...:, ti.!1.:3:4\ „7:1...;;;4' t,'--,;.:;;-:"...l-' :.',..;:"-.,;', ". 42 CERTIFICATE OF OCCUPANCY " I - - . ---- : , _____,_...„. . , v.,,,., .: : C11 :.,... ,. ,,,,,.. .. .- ,-, , I 7:::"..133-N%:;1:.. '•ay--, .17,vii • Date : 4 I . ,-4.-- . , . . . . . .. . - - • r;-Applkant to fill in all spaces within heavy border lines and sign all appropriate declarations. • CITY„OEtCQSTA-MESA 'PERMIT NO. --TRACT O:- -LOT NO: 'BLDG:NO: 4. `CONSTRUCTION PERMIT � `/V) 4/5,& .0C2 3cj 1 2—�7 -°E3 I, _ I ' ) Vie ii,,A1,687n.,tA/AQ8” J,,,&c332 77 TL ; Project Address � .1<il.l r - �o)cc_� _ TYPE OF CONSTRUCTION .rr' ' I ( +r.- i C'''.1[C1 } /- t+r'rc f L !9trClf i''/' I Owner:-�1! AS ---- -`1- -•^ Phone'--- '- -T ❑ NEW-ID❑ADD` ❑ALTERATION- ' -- -" - -� ^ I;Address.�jb'� j 1�).'.hv'•M L-+_^f -Q•.�y-•r,.M3 ' ❑ REPAIR- ,CONVERSION ❑OEMO LI 1. , _ i.--22\ , -y lJ� ---- - nr�----R'"n �al - G .------,rxG...- ZANING REGULAT IONS_t -,j „ 1-Arch/Eng,.. -.- ,-. _-.- - y - --License No. -. - - }''� v ( SCRIPT O OF K i A P - ' �'� �_3J - Com- ,- 'i• t r` � e'; . 11 1 f I - .. -_ (ZONE- ..i--_ REF %f-, r Ii' WOR ; 1 Contractor. ) - Phone - --{ - - BUILD( C/L$T.-;.- '�-T7�'-- „ LNG ,. 'j J'O Ic.0"(�S SOC -4 G1j'� TYPEOF�PERMIT II SETBACK c/L$T. Tp BL�ILppIrvG -- ' D ' s GROPER TV.LINEt i' j FAddress"S/OO kJr 4p Q11!•(�Oti S� P -C - -" ❑'GRAD ING ❑ •FOUNDATION--�STRUCTU RAL ----^ 1 HARD-:'^'-"---- �- f - _ uriov rt r.t r 5t A A (SIDE nt _ 'V-- iL )- -1 ri- it . LiCENyED_CO NTRACTOA_pEd under ION _ ' < - .[]TENANT •ELECTRICAL(-❑PLUMBING-❑MECHANICAL 51p E-TA RD- --� I hereby affirm ectl 1-am licensed (Dees provisions-3_ofof Charter 9(tom- ) n tti I ii RIGHT -�- • 1 -,� - Profeng-with_sectlon_7000) .of. se' islon_3_of-theor _BusmeSSJanO ❑ OTHER N {- r _ . �n _ _ i Professions de, 'and' my license- is.in full for ntl a ect. 4 j -- iREAR YARD(TO P/L)- +` "L ' +. 1 T _ ym: u '![�ROJECTDESCRIPTION 1 - '('�R�.� - _ 'Oa-rise Class •1'-�-�-� '� ,I['�icen a `:l 7 % 1 V. •- --f ---'-'"--:-----4--7- jPKG.SPACE REO. "c-5180V,111)ED r s -I Date'1' , .-Signature `c'�`'�� r ..�..-_ I .... - ... m _ --1 . II,,� WORKS LCOMPENSATION.DECLARATID N-,. OCC UPAIVCV t -'tr CfOf��NSTRVCTION TYPE _ �ST REST WIDTH s PARK°FEE $' n,- ,r pa / . (N. a hereby affirm that 1 have a certificate of consent to self insure,or,a VALUATION10M 0 V 0NE 1 - 1ZDNINC APPROVEDT-,1711- B DATE /�y "f certificate.of-Workers' Compensation-Insurance, or.a cerbf-eck copy. . ZONE - �f+.- Z{> + /D/�72 thereof (Section 3800,.Lab,f,). I,Q / GRADINGCU YDS` j1 _ ACRES 1 V ISPECIALCONDITIONS ...;;;'-:,;;;;';.'1,77-7:,..„I •, ,� • \-,) PoncY'NO.IIP-0`/-7nit"•Com15ny czar -/Llo6G. �5aC Certified copy,Is,hereby,furnished. „ ,--- _, ..-.I1 REMARKS ' jail+ •s Ei ... -.. _--__.a _ " ^I1' '0: 14 o +A -I Certified'copyis filed with the city Building Division. - - . _ - ____ - - - ' -�„ I POZ tlpt l a Au h ( I EXEMPTION-FROM'WORKERS COMPENSATION•DECLARATION I, ------ - -----•---(This section need not be completed if the permit Is for one hundred _ ).jfl i .3> op.L9 fri ($1001or less).- _'r . -- 'T` _'_'_-- .-..-. .._��_��.-- :i- - I certify that In the:performance of the work for which this permit is •Issued, I'shall'not-employ'any•person'in-any'manner'so-as tolbecome• 7 PLUMBING!\ ,ly,rn • {;r.PLAN-CHECK -' (ELECTRICAL'---- ' - 'PLAN CHECK 1 - n ✓-i subjectto the_Workers'Compensation Laws.of California,V'r I . I f' • - ---- - BATHTUBS -- SHOWERS' yuwtl_urvt.- .-._-.,__t,q RAt,t ....I `Ddt¢ - - , • y SgnatUre' i �5 ---H--•---7_ -^^^^ _ •• I �"•_ �'V 50 FT 50 FT .. .-, ., a i NOTICE If after making this declaration, you should become subject .TOILETS1.ss-,1 ;iq ;e:-,URINALS'. . 2- -7-::7)--:,-- 77-- -..GENERATOR-1-"--.0:r- 'KW=X10 KW - 1 to,the Workers' Compensation provisions of the Labor Cotle,you must' - ;TRANSFORMER - ,. ' 3;-rj" ��` forthwithcomply with such provisions or thisrpermit shall be-deemed LAVATORIESf DOUBLE-LAYS-4-'2- -r"--"' — -.'APPLIANCE7--7-10-50'KW_50+-KW-"- - - -- -KIT:'SINKS -'- DISHWASHERS • -MOTORS"--;'*— CONSTRUCTION LENDING AGENCY- -w + �" OTFiP_1 10 HP-- T I"- f"'- I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS ‘' '1 i •SUMPS'-" •-•+--• - - ..(INC.SOLAR). .30-50•HP==50 +HP!Mk''kt c U.$, a. tormance of the work for which this permit'is:issued (Section'3097 a'! < I. - s s -, _ - n 1 Lenge.) =----•-•-+- - -� - F LOOR'SINKST7.---. FLOOR-GRAINS - j- - - ''FIXTUR ES---'-OUTLETS•LSWITCHES"I % .1 Lenders Name `-- -` - T' - _ Le ntler s Atltlress - Y om-t - - '"- -DRINKING FOUNT AINE'C'11:Mb --7-----' ^t -GAS TUBE'SIGNS •^ '-'^ OWNER;BUILDER-1:7ECLARATION-=ass-'71.4811\5.1'.""1"X"-s--'‘'4-1.''; - -y,_.,,_-., ,,,,-„ 7-.77--4----7-.7:-6-4•21-4--77---2- , f ^POL'E'LIGHTS �' w I hereby,affirm that.)am exempt from the Contractors License t.aw for ,INTERCEPTORS ▪ .CLARIFIERS-• .n II \ _ �-^ the;following.reason=(Sectionv7031.5':Business•and\•Professions'Code:_ .-SWIMMING POOLt P TRAP- -- ...-.. ,.s•urv51,HUc.s,1UN -�� __ T - 1 - -Any city\or.,county.,which requires.apermit to .construct,.alter,. . •'� - - POLES - METERED SUB".. :- C. - n.^ improve demolish'or'repair•any'structure; prior-to its-issuance.dlsohre-. •'WATER'SERVICEV:y" "^-ALTERATION .- . 'T"--'-- --7- ;PANELS-"--"-"MAIN' 7 --SUB' - -- - `, quires the ap:licant for such permit to file,a signedtstatement tTat he ' +• - .. - ....0 - _ • -is-liepter. purouanfto\the' rowswnsmf�the Contractor'\`License Law. -. --- '' '77'.:,„ - --- - -L 5" .(Chapter119-(commencing wit hs•Section'.7000),of;D,vlsion-`3'of -the rGAS'SERVICE °•-'OUTLETS p, „SERVICE - ,- AMP- �'' 'Business.and\Professions Cotle)=OYithatshe•is-exemphtherefrom'antl.the. 'yygTER`HEATERS • BTU OUTPUT Y;'- j`,* 1'RP'n� y- '- /- basis for the alleged exemption,.Any violation of Section 7031,5 by /' '¢ '�' -���`°�-��//t°�FaT ..� Q..� �v applicant_for.a permit•subjects.the-applicant”)to-a'civil penalty- -.SEWER'CONNECTIONS -'° !�"'"•'e` v '-' i--•2-- - -+-•:--H--.-2-'-27.-------2-1-- x of more than'five hundred.dollars ($500),,.1-:- .,, x,,L, / - • - .�' l 'as owner'((ihe`propert Y;or'my'employees'with wages as-Neu' 'SOLAR TANK6•••••-'7. CO LL'ECTO RS - ' 6-4- s-""' "7---H---7:7---,------`--"--"--"1.--"-^" 1- - \�,sole compensation, will do the work; and the structure is not intended - - Or offered for sale.`(Section'7044,'Business and Professions Code:-The- 'SOLAR PIPING SVS--"-'`-rte(-'." - -'t-"' — "t--ISSUE FEE-'-•'-'-'-- ."•'-' ;-3- (PCI 'Contractor,s-License•Law does,lotjapply),to an ownersof,'a'property ___ _ I�\ who binds or_Improvoyees,r prow who does' imself Sr- "'"ISSUE FEE "."F''''''''-'-'1: r--- _ •s^"- - -----• rAPPL'ICATION:APPROVE D BY-0,- /.1-,(1,77,,,e-j- gTE'��j2/6 1 through his.own employees, prow ed that such improvements are not intended-oroffered-for.sale:If, however,'the'building-or improvement' - ' - ---6 - l-. --- - -----•--/-‘;/'SU - -- --- - MECHANICAL P000 CHECK T - SUM_ MA RY OF,FEES 4. is sold within one year of completion, the owner will have the burden - Lt1'T-'.a.-6_' fn• O (p• - of - Of^prOvmg.'he did"not-builQror',mprove for'the7purpose'bf sale:- - -_-"" -" - ' -- BUILDING- O - - - AND,-DUCTING EM 0:100 OOi` BTU.,- -` - 4-.--- T- _- .$ -542 rr' MTP �y r. $1 d fa� j 1' '❑-I,_as contractorsowner_ of -the (Section contracting_with, ne �licensetl to he Couct the project (Section 7044, Business, . - - 100,000:4-BTU -j_.._..._ - PLAN.CH ECK $ ^% da ` ' rPERM1T•r P '0 ' .J�antl_Professions_CorThe_C torls.Licens tloes.not apply.to- I 4„ " an owner'of property-who builds or improves thereon, and who con-- REFRIGERATION - 0-100,000 BTU { - . . PLUMBING r bRLFI ' Cb.• tractsrfrom-such.Pr icenMeet\_wit ll._a_contractor(5)_I i cesned_pursuant^t 0- ._SYSTEM- ---- 1L._..- t _ _$ E ' GRADING $ 72 the Contractor's.Li cense Law). - -100,000+BTU . ' •`-," PLAN CHECK $ > -5 1 f yc �� • L� --- - - --T -- � ;r 1R (.19 . + - •�:I'a m'exempt•untler Section--'-" ---'-'R�&'P:C'for this- '-- , - Q� / $ I BOVLERS BTV (�� ELECTRICAL $ 4t' 7S ' �, reason.' _ _ .. .. .. a 1 s MICROFILM $ice-'� t . a ' ' ' SYSTEM REPAIR,ALTERATION ON 'IPLAN'CHECK $ s { ,c- 4 tt/ Date, Owner.. ' •' " �, TOTAL_F,EE t I;hereb certify that I have read this a EXHAUST SYSTEM MULTIPLE -'MECHANICAL° $'�" r.,-- •W $-f'�r- y ypplicatkin and state that the above 1 ai 129u Sir A t i LES$•A '_ ..121 )r, o formates and s orrec :HA agnea"tot comply-with-all hcity ereby 'and-county • - - I 'PLAN CHECK -$-- VAN C $ -`- ; r.s ordinances state laws relating to construction,and authorize • it -'1,(!;: ' 1 representatives 'of -thrs•-city'to' enter upon- the above' entioned- • - \t idi -`-�-' •(Ansi-1� ` '' !if, • property f inspe bon ur es - j ( r ,' �[ r. �•�S I' s 'IJ(J-%-�/Jb �• 1-+� - 2 1 - - .. Q✓k/ FINAL FEE Signature. _{S Date 11^- _ - Drivers"License ors -+ �({'�_. 7"_,ISSUEFEE ._.-.-r.-.- -,U(/ - ' CMF 0865-46 .White Building;Canary-Applicant; Pink Accounting:Goldenrod-Assessor • " CONSTRUCTION AND,PLANNING 91J", i •••• "`-- - $ ` 1 'e 'POOL &SPA' - I I i-t I 4 -41i uti,( -. _ 1 f Date_ Inspector "" - "`" - `"F'" `f T• Date-, -Inspectoru ' APPROVALS - Permit# �� S • • APPROVALS- r,'T• - • -. i Permit* - -•- AP- ' 1, Tem orar Electrical Service or Pole •' - - '--•- "• --- -- Temporary " �, • , 43._ „Pool & Equipment Location`- -- " -"' - -' 2. Soil Pipe:Uridrgrn , _ _-:_,,.,.,,..___,-�.._ .-- 1_ - _ + ,c.�r ri ,u�:,.vs _- :_ _, - .. ,_ �� 4 _. • � 44. , $teel�Reinforcemenf"- 1_ 3. Electrical Conduit Utility-Undrgrn, t.. t __ _2 __. _ __ _. _..:45 „ :fig.:- -- - --' - -- •• - - _ 4.-•,,;Electrical. t.,:li Conduit-Undrgrn _ l• t _ ,_ -__. __46 Elecfriral.Bondingr+ - - - -- - ---•---- - -. - - - ' . _ 5. Steel Hemj..' forc _-Jr'''. n, ., •.":1; N._ . 47... Rough Plumbing & Pressure'Test r ` -- "•' - - - --- - - -;-- 1(. 6.-_ Electrical LIFER Grn „ . , `, , -' :, - 48: ''-APPROVALTO COVER-GUNITE:- ""`'d.L. C :- -. , . .- 7._-Footings__ .____ .. ._..�.- _.,_ -- __ ,, ' 49. .Electrical Conduit-Undrgerer.b+",i`: "' . .. .- - - ,.:`' - ._'. ii 1__8.__Foundation 1i. _,-. , =::: , . u:x + . ,.., . . av n •r, • t I} - ._......;�.__.-. ,.: ,� 50,r'(Gas'Pipe,i�:Undrgrn Te'st: ' 9 t _9.^_Water_PiPe:Undrgrn" - -`_ '':1' '^.._LL .S - • 51, .Backwash Lines-P-Tran,`D'U"ndri,rn'. '' 1 --- -""" - , `"" ' 1_10,= Structural'Eloor^S stem,a;,, _r '.2„'' ' '-'=1"- _ ._ ___ . . +rt:�r.. � 52o , APPROVAL�TO DECK-- - �`� •. ` 11:_'„Property_Sewer Line&& House_Connection - 'y _� -, _.-._ - __..- _.,_ vr) .53. '_:Backwash'& Receptor Finali'."::'.'^ - - '.y`' `• -2 "a'__`"'i: r''-. '» r_.12,_:.Street:Sewer,Connection '.. _'_',' -, -'_ '•' ,' J--- -- --- -.,. . :, rc, . :1 ,., --54 -Heater &-Veht'F,nal1 } • 13.MRough-Plumbing _- __ -,__--_.:__ ...= .. .-_' c_ -55''`Plumtiina`Svsfem Final • ' � � •.-• •� �• � ^ ' ; 14. Rough Electric-Conduit • --4-c F --^'-'-- ------- - t '-'56--Electrical:Final-- t • " ' 071nb'.;•/ i • ..+ ^., . rim it .:$1$ - Al•, ' 15..- RougFiElectriEWiii ng-- -- T - -t--- -- •- - _ -- --57.t-Solar'System-Final, a; ,. ;;;„..,,,,..;,:i n,- '7- ,,,,T,::,;;;; i,.:a> o- t, "-tit,,n-• - ..1-: l' '16. -Rough=Heating'& AirConditionmg . - == = ,_ _ .. ,_r T- - -....--_= -58.-.--Fencing.&AccessApproval..„:„. J,n.. ,,,, ,•w ,c, „ii,,,,,,,,,.L. •,r. r,, e./ .lig - 9' 17:- DuctsHn.Struct,irec.1): : ^- :“..:.=:::,: _t_ ti._ t .__A'_.'__ __59.__APP..ROVED'FOR.P,LASTERING ';;is; .i ...,'i... 'i;, .;;7 45) `. .> %fn, , 1' II r .18 --Ducts,_Ventilati ng--'t__r' _ _, __ _ _ n;. j_ _,.-. .4_ . _C-•.'..." _ ,_ -._ . ' ._ ... - _.__a___ ---_ ._ ur � ._ ,, __'+,.c • ! 191"Gas Pipe=Rough'&Test •r t"n 4 iM , ; ).- .../..14._. _. _} ____:..-2-: °' r,Yfa•-" ;T:,'".,11.11, 01-,11,v,„;.;.;,':;::z pt, ,,'16 ' L tL,f,rbi . 60....,.P.00L/SPA SYSTEMS'FINQLi aJ u.rm ' . !-20:-Roof Fuming-- ___ ._ __.. __ ___..__.._. ' _S_-.-4-- _ _, _. _ _ - _..=4'i•_ } ' '. l ., c w tL,'nq, e , 7 . ( 4Ml 4.11: y I 21: Roof Sheathing - t., : ..- t - ?..._-_- .._• ----. ::. - -- - - .,, { a <�c - !,_22.-.+-Frameand.Flashing-- - a-. .-.,...-_-.-...... _ ?•,a'»�� �. ..... _. °1JLNOTES '.w• ._t'_,_" c' r -';.r .., ,;,:. 'i:F,,. !. .�i}, +7•1 .' ,J. n n : 1-23)--Insulation--.2e-.2 ._•.-._. _ ; ;;---- -- -L9,_,.-__=.-.._.- 'py,61.4, --Ci54eai'-...-7:?'F2-�dN:- 3''`-via„, ,7-__c.c.? .+n. . 1. 1 241- Lathing & Siding -. -- - - - - ��-` - - --! --= --- - - --.7•=--?: , _..:..�.�..-L�U.'�e / __ at c�(.3 1 i. 25...-Drywall-Nailing_ - ,I .....4....-._ .•;- --- -- a., 6�4C4 T. :'i =c ' /?fTV✓a1.�'4,Q©' ea' ., t '' ' -261--Plaster•Brown Coat _ a_'-_ -� - .4 L_.-., _ 1' _.-- `.ff14;:Q,i -/ 7'- /trA uRivs Tv . ?St 4 ✓ -27j__Electrical Power Meter Final .- ._ _ _-� ; _ 1,*____. ...). -....12:..:::._ fJSyr -�1L' fi'g 6rCe, L° l!';R - w :-28L--Final Electric=- ---- - - ---- . -^' 'rt r -,• - -- 7�•��r2,- • �-". ' - _._ �=T.r«vr<- t,`'�s� it<}�' 'Y�fT a e?'/a,' G✓f"(•rirxt� ,'•29.41'=Final Heating &.Air•Coriditioning-- . = .•-., ` .fi j/J-fj�-4 +•-'Viy�_,_e . -&-A.ieT• -.i-,i%Sio`°Mc,%F_7ei�r�ev 'p -:C'0.P ' - .! -301- -Final Gas.Pipe-Test-_ L. ._ ,_t ..1... . ...; -_� --_ 1-rli '-LSLte fe'=/0L.,.e -'7)r '%A/':a-lint;.*• • _.3i!_..F.inal.Plumbing._ . . .. . . ' .. . - __ . •_..._. § ^_} ____ .. _ .._._. . fJ - - :.._. . - . ;".•..'w..,. -.`i,: „i.. -. •,.. . .... . '$ :'321:-Water Service-Final--- --__,_ ._ .. .F .t___ -2-- ---=-- re,.. r� .��`h`---g'*n c .tsi2 `Ai e. & sta-,_h.,,+, ft.0-hean.p . .. _ .•, s r • -- :,„ , I�-33:�::•.Gas�ServiceFinal.r; -_-:,...1.::(4._,-.-;_• _'- ='1' .-1,-C.,-.. .,.f- . ._ ,_ . --. - r`s .,.,,� o t'• 'r. -nr gib. ;'oi �Si+7,.,�� }:. I 34. Solar. fl! n SE', - ,t+,. " , , er:1" a 1M w '"..71.1:1- j- DomesticFinal '. , ! - i aa;.:.'i r , r ;t • 1 -35:':'Landscape Sprinkling'Systems- ' ._ - , •[- i :H.,•yA ' ,_ u'a.} p,;. ,�, t:,,t r ' ,. a -G: .� „ 36. Sound Attenuation _ : . i , _. ------ � ' 1 .. .. „ ...,c1. .1:/t"11‘;.:".' - 1 37. - HandicapRegulations ^= - - ,'•• I.•• -/ ' < ., • ._, ... 38. FINAL STRUCTURE& Bt11-LDING '••" .... .1.4,113"41/';--�1ti4 __ _ - _ .} 1 39.•. Special RequirementsCompteted ''. -.t' -"- ' --... _t_ .'_ _- - - --.. . ._ - -- - '` . - ' _ �__ __ _ _. - _ • 7::40:::.Electric•Release 'to Edison -- " _- " ' . ie,,, a . >.,j.`.; .''t'r' y ' - 1 41. Gas Relea`se,to Southern California Ga's•Cd:` - ' ' 42. -CERTIFICATE OF OCCUPANCY • - - _ • y. - No. :7 ,r s, , ^ r., :Date - - t., --� • . .•la:•a.C. ,.:(.4 Jf,.r Yt�v_ -t .r fi ..r ,3\_:)r ; ,. ,•M1•r i. 't .. 1 • Applicant to fill In 011 spaces within heavy border lines and sign all appropriate declarations. - Y OF COSTA ME'Sia _a I. PERM rya TRACT NO. LOT NO.' ••BLDG-NO, f CONSTRUCTION PERMIT ,4 E"—j $3 r'a�4/ .--2[o )r o3:: I i,C /4_� ,.; „t- .--.,did,, 'J S� Protect Address +• < '.: }r "+ -•';+�" 30 (s /i rtL yfJ/Pn0/Pho 1./d,' TVPE. CONSTRUCTION • _ • Owner en lk, ' i1/44ii lA - _ PhoneSY'i-7272 ❑ NEW -� ADD 0 ALTERATION -� (•�J-1(/\ • • ^ - • - v.= `Address30 4 -ii;,...-t -,•26 a-z0ke - - O REPAIR 0 CONVERSION ❑DEMOLISH" j ZO/NI/NG REGULATIONS - , 0 OTHER . ..-_ -- - / ZONING K7 3 .._ LA DESC RIPTIj,N OF WORKeiti - A.P. , AddreE4 -/�• 1/,`J � �A . ,,. _ 'ZONE f y/.'PL•NTGo.gRlE/FL.perry t-Contractor .a��Nf•) // ' - PhoneIt • TYPEOF PERMIT//� 3 _ _ ? ;BUILDING C/L T.'t/A Jet -P 2OBk TVLG NE Address l• ")l , ❑GRADINGa:� L9«FOUN DATION �STR UCTU RAL ERE YARD /3/i ..x fi^ t. -I !LICENSED C that l am ION - '" ' ❑.TENANT !O•ELECTRICAL-OPLl1MBING�O MECHANICAL . 5I E YARD °qq/ _ ' I,hereby-affirm that Lam licensed under provisions of Charter 9(c 1,-,-1""-4.1.. ' .2-?'•1-. ' RIGHT - cyt) w t mencing with' section' 7000) _of,Division 3 of the Business and • O OTHER - - - - ' Professions Code, and .my license is in full force and effect, r - ! REAR YARD(TO P/L) o � ' 'Licens_e Class License No. - • ROJECT DESCR DESCRIPTION '-•j - --- -- -- pit ' CQ - - PKG.SPACE REO. +� • PROVIDED `j • ' Date Signature -. _ G FT WORKERS•COMPENSATION DECLARATION '- OCCt/PAlGLV yICONSTRUCTION TVPE- _ iV- ' STREET WIDTH I•j '-PARK FEE $' ,L hereby affirm that 1 have a certificate of consent.to self-Insure ora , ' f' ZONING APPROVED BY K�f ��p I DATE p 'certificate of Workers' Cornpensation Insurance, di a-certified copy VALUATION Q�7,ONE - -. ._ _ .�I'JL;�/rL/]I �� ,'j/p� . . -thereof(Section 3800,1ab.C.). -_,- - _ _ ___ ''GRADING.CU.YDS. f ,ACRES. SPECIAL CONDITIONS • ., ' No. Company.- _ C • , tlfietl COPY Is hereby furnishetl_"' - -- - "`' REMARKS Fy 2):7-s(_p��ina !n,,',,z'-'«'- - • rtified copy is filed.with the city Building Division._,- _« --_' •.- `7 �� ^;,/ "� ./.:11-I O EXEMPTION FROM WORKERS COMPENSATION DECLARATION 1n 1 r,. //�� s/ . ., (This-section need not-be-completed-if-the-permlt is for one huntlred _ ,,- Au" / - .. _ _.. 4 ..• - �. ($100) or less). . '_ 2. .� - `- . , - '1 certify that in the performance-of-the-work forWhich this permit Is issued,.I shall not employ any person in any manner so as to-become PLUMBING , •-^-.+ --t' PLAN CHECK I ELECTRICAL - `..„/ PLAN CHECK- subject'to the Workers Compensation'Laws of California. - - Date i Signature BATHTUBS SHOWERS - 'SG.FTuwELLfNU tr...., -'SO FTUE - • - - NOTICE: If after making this declaration, you should become subject -TOILETS'._' . . .,,URINALS 'GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must .TRANSFORMER- - _ forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS 1 •' APPLIANCE 10-50 KW_50+ KW - • 1, (t , KIT.SINKS DISHWASHERS, 1 'MOTORS - • CONSTRUCTION LENDING AGENCY .S t. ,_ • '7 "(INC-SOLARIA - -� L�0-1,HP=1-10 HP I hereby affirm that there Is,a construction lending agencytogthe per- "SERVICE SINKS: : SUMPS (INC.SOLARIA\ 10-50 HP_' 50•4•1"-IP- ' ,s ' formance:of the.work.for-Which this per mit.is,lssued.(Section.3097 - . . r' Civ. C.), - - t,• , ••FLOOR SINKS 'FLOOR DRAINS, 1 FIXTURES OUTLETS SWITCHESI • Lender's'Name 'v,.: c' - •+,. CSC/ e�" jaw '., I ! Lender's Address �- - rr DRINKING FOUNTAINS f'"`Ci S.y 'GAS TUBE SIGNS OWNER BUILDER DECLARATION + , INTERCEPTORS i + CLARIFIERS f"` .- 'POLE LIGHTS - ' c•. '1 hereby-affirm that eason.am exempt'from.the Contractor's e,Lawfor - �'" .. - �- - - ... the following reason (Section 7031.5 Business and Professions Code: ,SWIMMING POOL.A P TRAP 1 •,,OE I KUL.I wN Any-city .orcounty-which_requires-a-.permit_to-construct, alter, - - -- POLES I METERED SUB`' ^ improve,demolish or,repair-any structure, priordo its,issuante,also re- WATER'SERVICE - ALTERATION PANELS __::_ .quires the-applicant.for such permit to file.a sighed.statement.that:he6 --- -� -- ,� - - '-" T-'• --- �I- is licensed pursuant to the provisions of the Contractor's:License Law 'GAS�SERVICE ! + OUTLETS 'r`"n '••+ " 'SERVICE AMP - (Chapter. 9-(commenting with, that,he Is 3.of.Me L --' 3, �,. . „• . . Business and Professions Code) or that the Is exempt therefrom and the_ WATER HEATERS BTU OUTPUT ' I •• h441"or the alleged permitexemption.-Any violation.of Section 7031.5 by, - - - - ' �;'tnoret for a permit subjects the applicant.[o a civil penalty SEWER CONNECTIONS •• none than five hundred.dollars ($500). -- — -- J6 is owner of the property, SOLAR TANK COLLECTORS -• .. ,'will do-the-work, and the structure is not-Intended' • - -' - -- ' -'•• - -- ' - - --- - - • - - - or offered for sale. (Section 7044, Business and Professions Code: The' SOLAR PIPING SYS: , I • FEE I '.� Contractor's License'Law'does'not apply to an owner'of-a-property APPLICATION APPROVED BY who builds or improves thereon, and who does such work himself or ISSUE FEE . • Ll•r - DAT s/g• through"his-own employees,-provided that such Improvements-are'not . �4' intended or offered for sale. If, however, the building or improvement MECHANICAL, _ • .. PLAN CHECK . - _.SUMMARY OF-FEES- ' • is sold within one-year of completion;the owner wlll'have the burden - -- - - --• -- - - _ of proving_he did not build or improve for the Purpose of sale). HEATING SYSTEM 0-100,000 BTU - • BUILDING • f. Q o I, as owner of the property, am exclusively.contracting with 'PERMIT - -$ /a- •_ SMIPL --- $ 1•/`i, AND DUCTING - f + licensed.contractors to construct the project (Section.7044, Business. , - -_.- . . - 100,000+ BTU _ •PLgN CHECK_ $ X70 6Q ..PERMIT it _ _.- and Professions Code: The-Contractor's License Law does not apply to . G /(• ' ISSUANCE $ _ anowner of propertyects uilds or.improves thereon, and who con- REFRIGERATION 0-100,000 BTU_ ,' ,PLUMBING- - $ - • _ tracts from such projects with a contractor(s) Iicesned, pursuant to SYSTEM PK`'-i , •r. -i ' • " GRADING - _ - - the.Contractor's License Law).. - - .. _ _ - ._ 100,000 +BTU • ` ,PLAN CHECK $ - 'E ❑ I am exempt untler Section B.& P.C.for this _BOILERS - BTU • ELECTRICAL $ • 9. —• . -- - - - $ reason .....-_. SYSTEM REPAI R,ALTERATION. _ t I PLAN CHECK $ - 'MICROFILM $ - MIn�L �J Date-�-- Owner - - -�� IMECHANICALr$ - ;TOTAL FEE'S L2.1'L•JO- + • Thereby certify that lhave read this application and'state that the'above EXHAUST SYSTEM MULTIPLE .- « - - - -_ •..._ ,._.,.._. EESSAD - •• - - Information Is correct. I agree to comply with all city and county • i - (PLAN CHECK $ - VANCE PC $ • ordinances and-state laws relating to construction,and hereby-authorize -- - - • - t •. . .,,,,. _- , representatives of this city to enter upon the above mentioned, ; f property-for--1nspection rpose ._ ' -' - '" ' ' - - . _ - - — -- . . n _ py _ _ FINAL FEE E'• 2 J• o signature -.€2-' q�• . - Date/d—.S-P/ _ �_ __ - - ._ _ _.r .. .. _- _�. . -•.� JV , Drivers'License or SS 5F - ISSUE FEE CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - . CONSTRUCTION AND PLANN(I�NGG - ' ,POOL&SPA _ , "' ,.'.,,, U LJ�., 'I� , '-.PP O St _!'?y ..i�" ' Y'- - I' et1. ' t Date : -Inspector - - �-rr='7�, .: . - Date;,,c, ' Inspector APPROVALS Permit# ,APPROVALS, _ ; * Permit'#" ' , . . ..-, T •} 1. Temporary Electrical Service or Pole • . '1% ':1" '3143. Pool&'Equip ierrt Location :- "tr_-- - - . .a-3- -_-__ -2..., :_.:_.. .'' _. r'"' :"_Soil ipe-Undrgrn':,-•;: , -,rc'.us` .-__ ._. _ - ..- F - ,_. .' ..-. '-^44:""Steel Reinforcement-^--_.._._....,-_-._._, „._-:.:._ 4.........i.-_,2,... ,.:_ :,•. -',.. ?- ' 3. - -Electrical-Conduit=Utility=Undrgrn,-, - ,-"'^"---'- -' -" `-"'-- 45.,-:For,msr ;. ,. �, ..,,;,', 9.._ _ .-._v.0•,a �_. ,_._ _ _-_._ ___.- -- .-__.rer.:,,b..1.- .1{ ? 4. Electrical Conduit,Undrgrn ;_ _ 46. Electrical Bonding 1___� _. - -_._ 1 !. -5. - Steel Reinforce.:. ,41; _ ,1•I, ; 1 -47. 'Rough'Plurnbing'&.P.ressure Tesf"P1 - - _ ° c" iO't 1- --6.T- ElecfricafUFERGrn `•,.i> nn" ni= V .u,•.u''"UP ' 7, '10a: 0948! : 'APPROVA'L^TO-COVER:GUNIT.E__._ - _ __ -__ __ ______°i�. �7}!!! 7 - Footings Se,a,,,,A,,,,„ •_ • °... '•e•:, fre.4, r�3(' ' ' it.f•' •'' ''-'49! - Electrical Conduit-Undrgrn•,•, .. • in -, , . 7.:,-,!:7 r.,';',.-7..:;',1,' i! .!--'8`-Foundation ,7_r---ta, -,-,-1-,;. .2 - v. ---'-- " --- -50.--Gas Pipe, EUndrgrri,,Te`st'... "' . ; „ „✓ , ii J. 3911 v,^ . `n; �h'., V'n�c�/:.>ld I 9. -Water Pipe-Undrgrn 0t>; wok. vn I • 51:- •Backwash Llnes,•P Trapr❑.Undrcirn' r.-9i.' ,._ .- --1------- _.___ ..'•u :t--. ' " T10. Structural Floor " _ ,SYstem ^^'�---- • ill iv ,xAu ,k --527-:'APP ROVAL TO DECK -------•-- - -"tu xt -. -.._._...._rf-c- {1 1,.11. - Pro ert •Sewer - Connection, ;, flo ti,•- "' tnI ` t P Y Llne Houses ' -I� � - ' 53: • Backwash.&.Receptr F.inaLnt-v : <n ('� , •,,. , . .. t , - n ,, Y,ti••J ary, ,n4] p v ,v,t a•v..c m-I Sirt :J a, n t 7121 Street Sewer Con`nectionT • •zyto.Trot,c:r.•+moos i 54. Heater & Vent-Finalli ' 4.1 c.t " AP >'•' 2 13. Rou h Plumbiri - - -- - _ - - -- P 9 9 r1-�--"� *-n om-�-� =a55-a55 - -"-- -- ••-`n`' 1Oo --- -- -"� `;n ;t: iey 14'--Rough ElectIic=Conduii - ___ . - 156:__Electrical:Einal"' .0 ,� .„ 1-15:--Rough-Electric-Wiring-- ego _cr-.5.l_ -fj'G--__--___ __57._._Solar-System-Final4+rctrAAA-t^•;ovOIT:,:.+_ar:O. rs.]. AO,• • n1vto+rrtd yytl9tl9 1- .16- _.Rough Heating&Air-Conditioning.:_-__:__ _ .1 _ -_ __ - 58-_ Fencing & Access Approval - - - '- - ' - - - - ` -"'-ne;+',o t^ot; .F I 17! Ducts, in Structure r+ W nn:en I ii I - -?noel _I•59. ' APPROVEDTOR PLASTERING. I'-- If' 'e,,: n: : .::;•;r•'i, - ,ir,r ; If:-;C; i :nen i ' 181 Ducts, Ventilating '. ,1,1. .0 r :rn,• f i -3 •i• J ,roe .-.... • .., 19. Gas Pipe Rough &Test ., r nr.,-.A =v,',w 4 ( I • AP v�60. -POOL/------,tI FINAL,na o r IJr. Q t •,nt xn i • ,. c '''').!'"041 i I20! Roof Eramin n1: , ___ n'o-:-- -,uua,a''' I • rtv,-.i ager ou -•rapi nvr..] `- Ian u.v a 4'u u in: v,u ai:.i It • m , t 9 l I -�T r.bd,- ,. ✓ J ,, •> , a•, .1,1:+.0 , rnf i tica J1� a ✓ir , ? 21! Roof,Sheathing at toan.DS•; - s /z.-/44.:7 v, •to '>u..t' " •' ' - ._ c, y ;rt Q ' 22! . Frame.and-Flash' "t, l ,t_:' /te n ,n ,-• ! ,,.. NOTES:, 1., -;!>•+., ... �'s _�. -c�-!�rr, ,/,• v,,. Ing i "�' -c'•(Uts.`rfer.,p..�'t'jr•✓reh.: . -F kc'�:rn.r, o� %li:i.rte %:;;li i 23'1. Insulation 'Trr,: ;;r2.,.uD c_,:vr>,•' pia-se). g')fl-caarn j; Co'e4i3iiet"'-'{'-i sj f S'Q47-- T'oc; Jnw - Moiti ' ii 24! Lathing & Siding ,r+ar 1E0-'1 • ,2/-/2-52_, IS 21 q 1,rJ'-'' 77'i1 h'u a/- At.7.- _5's£` rPar te*o' 25'. Drywall Nailinger .'-1 + +.,� ;LIZ' . 't st ° "" n „'�, a: - i v _ I-•1ragP� �� - ���A�'e- �,� -,,,�;•ryreu fiw'n.u>6ovu �) l' .ii ! 26: Plaster Brown Coat e-, ;re ,. ,. `" =:;'="' 1-a9- Sa , ]37F/ t. s,-h7 n• r ,t•0%2 z/31�.'- n -u,' n ,.. ,,, : , v. AI I tt„ !Li i inrnT _ J.m rT�1W t' / - I 27. Electrical Power:Meter-Final _ - � •?�// ,,/_ .. _ �_�/./, �y�y�j,�,� i � �-¢a%d, c:.7wr.�:� t R 'J.✓a 'e$, L i /7.t(V .:,3 , ..r i'-I, t� .�j�' b• /O'�2��r�f,.`t 1 r Uv ,/ .�.;ro . - t . 28'. Final Electric ""__ / i 29. Final!Heating & Air Conditioning , ' Jr') •c] 2 ' 1% ' ' RG%Z iI4 S( '" ' '7'4.'1' I 30. FinalGas Pipe-Test FI 31t Final;Plumbing et° . _,- ,;. ` .., as.,r7 .,•n e,.- n , . •• (n :dr-, ,- . ,yz,o,.. r'. :o .n . A . j{• . I 32l Water' Service-Final - : tvue:! 1 -i-- -- l - - -- - - - ' .. ,- ,:-r.,. ,.i -11:;,----;.:...''',12"-2. 12'02; ..:1 •, : ,, . . ',ei ''-'.;,1-,'' ':: '1l !,';33..• Gas Service-Final 0 vd ea < i,,. i"•4 i 4,, :a9A i i • 34. Solar Domestic-Fini , . /ions-. ._._ - • )---1-- --. -. . _ -7-7;7 -7-- -- ..;-.:"r ,,, ;; .-? i r, ' i ;_ _ it I , 35. 'Landscape Sprinkling System a„• , ;--'-j'- .-- -1 -----77`...7 -: i - ,.. - ,?• co 1)1;lc; H- « o„! a ri ; I 36. Sound Attenuation I ! i : .,r„ n-(`;9 10 ,.,. '_,. '. ..:","'9 .2dt iu , ,_ _i - 11 - I 37. •Handicap Regulations ' - .;,,:: ., ,. 't ---T --.. i - -;77-17.7:::::,4;7-,G . _ vl c,n. '" . .;. . :'.. -F.n<.°.- r ..-r a_ - ' --' , ' 38 FINAL STRUCTURE & BUILDING -;v;^ ^ d7-I&-ca _25174 " ,nn... t ' 39. Special Requirements Completed ---' T• --, • , -- "3 -- --- -..-.-- --•-------- "40. Electric Release' to Edison_ _. __ >' : a,- - 7- -1 -' •-r-r••-r-r• - • `-"-"' 'T1.7 ---- ---------- --. - -, - _ _ • ' ' 41. - Gas Release'to Southern-California Gas'Coft1 t „n .!-- ---- j ----,- .- -- __ _ 7_7,---_-.7--4 - -- - - ------ ---- _ ___ _._- . • I 42: CERTIFICATE OF OCCUPANCY -f _ _ _ _i " ' c " "' "' - • Date ---- r - - - --`- ----- -�_. -. . -• .; ' V O 11 PAIL l'11YYV1LLIt L• - WW1 C-1y-O, JOB ADDRESS 3036 Killybrook Lane BUILDING PERMIT NO. 25583 GENERAL CONTRACTOR Kool Metal Awning DESCRIPTION OF WORK Add sunshde. to res. AP No.12a-163-05 LOT TRACT FIRE ZONE VALUE $ 155.00 I 'LOTIONS Signature Date GROUP J TYPE IV ZONE R-I Se.. SUBCONTRACTORI PERMITS ISSUED Gas Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 _ Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power D Rough Wiring Heating and Vent. Trenches.D Forms 0 Steel Reinf. ❑ Floor System Bond Beam 0 Steel Reinforce 0 _ Sheathing • Frame and Flashing Lathing — In ❑ Out D • Plaster, Brown Coat ? `mai, Final - _ Electric L ng, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final r/0,/U q-/7.-65 Snarial Rannirnmantc • 235 • FEE . RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT FIFEgCl•�� P.C.BOX 317 COSTA MESA,CALIFORNIA NAPI Eo,�`j� (y� ESA • . For Applied nt'to.Fill In Completely APPLICATION OFOR P�kAAII , • TYPE OR PRINT. ' - BUILDING For Office Use Only BUILDING, �} �/ v /y '/ -' ADDRESS ,30310 Kl\1��12D0{�.- /�N-. RECEIPT NO. E COSTA MESA,- CALIFORNIA _ /j3�Y o, 3 RHCeIVj.D BY �J�p./ E�c 07---79.--1-(< OWNER Aczl�OC..D _ 4V. bL/ MAIL' BUILDING ADDRESS 3o3 C• I��J4 IUh BUILDING - j1 TEL. FIRE `` - CITY COs A. N(C$p NO. .. ZONE 'TYPE] GROUP APPROVED ., �// / �i, ARCHITECT TEL. . BY /DM/I'/� OR nrGINEER NO. - • ZONING {qpl,� j'QJ A. -a"9 - - 27,-- I NO.OF ^ I USE OF NEW./ +JS/ ,/� I tl ,�( PLANS -at- BUILDING • CONTRACTOR'VOL 4 'Th.L ,.. AWn1yU6 1 rr�s LEGAL ADDR'E�S2S� R an E -Coi-ipi / RI-op DESCRIPTwN Ufi IV• � y� • crcY-'-Ct-1tzAMOo1J1.. -_ :". w:P.NO. 14( —, fro 2) - C) 5— . • NOTE: NO RAVE OVERHANG SHALL BE LESS THAN STATE // TEL. a 20"TO SIDE&REAR P.L. LIC.NO.` -Al.'214.9v . N9. 4t 437.1 \. ... . SIZE . EAVES F "� ( -�J . ,_ � 1 i-+ _ 1, I NOW ON LOTS.i s LLOWED YAR S APPROVED (U. U YARDS APPROVED REQUIREMENT) OF LOT LCl !� �/'V USE OF- 1 • (;: MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. - (FRO STI* _ SETBACK LINE FROM FRONT FT. CENTER OF STREET .REAR YARD SIDE YARD I'LEFT - I RIGHT R.SIDE ri FT. FT. DESCRIPTION OP WORK .sloE gar, Fr. • NF ✓ ALTERATION ADDITION REAR. 1407. FT. DISTANCE BET. BET.MAIN& REI--.R. MOVING ± DEMOLISH MAIN BLDQ$ *ACCESS.SLOGS. • SIZE'BUILOI . 740,0 ROOMS NO.OF II - STORIES - CAU.P.# - APPROVED EXTERIOR WALL -_ROOF ' ' / // APPROVED a o /1^1 r�,� (� / COVERING I COVERING �L ! D BT U A O (II/ve E ' 1 �/ 9 USE OF BUILDING AND WORK TO BE PERFORMED - - ___ VVV UI ✓ _ 7ATin Sonj ShvLTry n ric/ To _ H 1 HEREBY ACKNOWLED THAT I HAVE READ THIS.APPLICATIOX - Tp E'AMOUNT SHOWN UNDER 1/AALUATION IS FOO THE S ANO STATEEA THAT THC A O IH CND ST :AND AGREE TO COM. - PURPOSE OF ESTABLISHING PERMIT FEE ONLY. O PLY WITH ALL CITY Op I NCES AN ST Hwe recau TING VALUATION , PERMIT FEE $BUILDINO CONSTRUCT( ,r<� [// J�� / �w eg PERMSIGNAITTEF/\ w�/ lll f/f'✓/�-� � a - QS $ ' A C E P O 4 AUTHORIZED AC T. .. j, TOTAL FEE $ _- • OWNER College Mesa Co. - / DATE 9-15-55 JOB ADDRESS 3036 Killybrooke Lane BUILDING PERMIT NO. 1765 1 GENERAL CONTRACTOR The Hale CO. - VALUE $ 8,000.00 LOT 26 BLOCK . TRACT • = 1 _ _• �t p GROUP I TYPE V ZONE Rh FIRE DISTRICT #1$81 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench .&- if 9'/- -5 Foundation Forms and Grade to Garage ' `.,.7-0 A-A- -y Rough Framing n '�f't -. i/ - " n Plumbing,Rough to Slab ,�y/��J, F ______r.-al•f•t F�crli-yLs-„11C ufg /0-/Q-SSS .,3., 27 . : Plumbing,Rough Complete \tLit. i - 2 Y_ U U Temporary Pole Wiring, Rough ‘-- (i4-110 `/�V # � �� , �d- T�S- ,SS �Ln✓ Heating,Rough , / Heating,Fina ---/A N !. . Yo -' F J'.3aj/ Lar . Sewer, Hou Sewer,St. ,,,,e _.4. // zj—z - J*Li$" Septic Tank or Cesspool ) Lathing, In /n2 - Outs _ .. // --231-•"5.7^, Plastering , -g H•I 3 Plumbing,Final,Fixtures Complete .4. £ 3-42_2-, Plumbing,Final Gas Test2 >� 9.C/r,' -12-' Wiring, Final - 'V-Glee Occupancy 00 I, - 2. Pnrrn 210(:_A 15(1111,71F _ • Costa-Mesa Building Department APPLICATION FOR PERMIT i•-c' 111 EAST 20th STREET 198 . BUILDING 9 CPSTA MESA, CALIFORNIA sv NI®sem FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN ._ - .. -Receipt No. Permit No. Building - /7 /, Address 3036 Killybrooke Lane - e + Costa Mesa, California Receiv by Date Recd. H Date t Issued Nearest -/3- 5;1955 Cross St. Baker Avenue - ' Building Address ..03 Co - Owner College Mesa Co, Costa Mesa, Ca' ornia Mail Address 8002 Central Avenue, Nearest Tel. Cross St. ' City Garden Grove No. LE 9-2158 .' zone /7 No.of Type // Group Architect or Lim • . ft t. Plans I v Engineer Davis & Quigley No. C-1790 Approved by Date dress43 Mala a Cove Plaza,Palos Verdes • CORRECTIONS City Lia tractor The Hale Company No. 3422 . Address 8002 Central Ave. , Garden Grove Le l Lot Description I No. 26 I Block i Tract 2341 (Attach Metes and Bounds) , - No.of Bldgs. Size of Lot 7440 I Now on Lot None _ o Use of I No.of I No.of - ,- A Existing Bldg. Families Rooms 6 Setback Line from Rear Yard ' Center of Street 50+ Side Yard 51 D DESCRIPTION OF WORK r New I X I Alteration I '' I Addition I - - - Repair I I Moving I I Demolish I • - J ' Building 1181 No.of - - - c'''e .Rooms 5 Stories 1 rior WallRoof _ring Stucco I Covering. Shake APPROVALS Use of New Foundation Locati . Inspector Date Building Single family dwelling with Forms,Materials,on attached garage,, Under-Pinning s Frame: Fire Stops, - w ' Bracing,Bolts ' I hereby acknowledge that I have read this Application z - . in and state that the above is correct and agree to comply ..- Lath. Int —o - with all City Ordinances and Slate Laws regulating i; 4- building construction. Lath.Ext. y�� Signatu re of THE HALE COMPANY - -I • PermitteenPlaster, Int. w Authorized Agt. l G1.-C,(_, n ) , t k l f Plaster,Ext. Permittee ‘ iry1 Valuation Permit Fee $ eK O , O0 Masonry Reinforced ?r $ 7:��iy, Plan Check$ 3• O D • 00 0 Total Bond Beam n Fee $ P3. 0 0' FINAL w 0 FORM 204 S-BP 2M 0-55 L.1 Lid 1:., _.. J J n. i' " T•'_ .. . .;:L. 'e a. t1 F ,./..2_ S. i _t, J• c4cC { ..`'J:Y. .f. 4,i2 _:IC R:-- , o: ^ - : -_ . 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