HomeMy WebLinkAbout590 KNOWELL PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.cos�a-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 590 KNOWELLPL
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Conslruction: V-N
Parcel Number: 42213126 Zoning:
npplicant: BRENNON, RICK '
Address: PO BOX 304
- �Phone: . 714-799-7300 ISSUED BY:
HUNTINGTON BEACH, CA., _ . �;':Zip. 92648 --
� ' r:;e; -�-
Owner. KRICORIAN; DAVID J , `
Address 590 KNOWELL PL � �� � � ' .. � �.
,.�-Phone . . ..
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COSTA MESA, CA - � - - Zip: = 92627-2621 � � �
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Contrecror ;�;A-1 FACTORY DIRECT ROOFING INC � !i; • �
Address' ��PO BOX 304'�" - 4 J
a �,.. , ,
� ; .�. _` �� :� Phone: 714-799-7300
�'-;
r�i; �` HUNTINGTON BEACH, CA
"':� Zip: 92648 License: 797789 , '� � .
�Arch: -_" �.,� E�g. �.,._ .;...,, .
Address: , Address: , '�; �
� .. . Phone: - ' . . - - . �: Phone �: '
_- _ �. ' , E,'�.� � _. ,
Zip: .License 5� ,,,�,_...,�. .y .,':� License: , �
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° -- = ° SCOPE OF PERMIT � "
}�REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, 7 CAYER 30# FELT; APPLY
�. "30 YEAR CLASS A'SHINGLES.' 2100 SQ FT ��'" "" , �
' � _ , 1 ���_? -
�'�°� ; � �FEE�SUMMARY , �
r Plan Check: ; $0.00 ` Calc Valuation g5,000 oo,
, Permit $111 25 ,' Claim Valuation: $e,000 oo;
" ` SMIP-Res. u $0 50�-" �
�"' SMIP Com ��-$0:00'.. _ ` _ . ^
��a
Other �$0:00, . � _ _ -° �� �� ,. �;
, Inspection �'$0:00 �_ � a,a., '.: � �
�Total: �$111.75 � � , � �
PLANNING & ZONING
SETBACKS --� � �- �. s
MAINSTRUCTURE Front 0--0 Rear -0-0 � Lek. 0�0'�' �_ .Right `0-0 _�°�"
- ., . _ . y � . , ,
ACCESSORY Front .0-0 Rear -b-0 Lek 0 0., �,° Right ���0-0 ` -
PARKING ��, Existinq '- . 0 - Reauired ,0 -.- � Pr000sed ,��0 ��
. . � . � , . _ � � � �'�'� ,� _
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Ip
Stalus: ISSUED
Applied: 09/22/2005
Issued: 09/22/2005
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspentled or abandoned
for a period of 180 days. ,�
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of thls permit.
FOR INSPECTIONS CALL: (714) 7545626
tmwa (aoo�
WORKEHS'COMPENSAnON DECLARArON: .
I hereby attirm untler penalty of perjury one ol the tollowing declarations: �
❑ I have and will maintain e cenificate at consent to sel4lnsure for workers' compensation, es provitletl for by section 3700 of the Lebor Code, for the peAormance of the
work tor which �hls pertnil is issuetl.
�I have and will meintain workers' compensatlon InSuran as required by section 3700 of the Labor Code, for the pertortnance of the work for which this pertnit is issued.
My workers' compensation Insuran�,� rder and poli umber are: y �y i
CeMe� ; �%�- �C� �Gt /i � p ' ,N ber: J '% 3� � �l G �O ✓
valuea ef one hundred dollars ($100) or less.)
❑ 1 certify that in the pertortnance ot ihe work for which this pertnit is iuuad, I shall not employ any person In any manner so as to 6ecome subject to Ihe workere'
compenseUon laws of Celifomla, an gree thet should become subject to t�e workers' compensation provisions of Secti9n 3700 oiJ he Lebor Cotle, I shall forthwit�
wm with Ihese Orovisio / /
��iican[ �SI e: �qp iID�L+.fi1/�'I OiitaY �/ � Z / � �
WARNIN�: FAILURE TO SECURE WORKER$' COMPENSATION COVERAGE IS UNLAWFUL rWD SHALL SU6IELT AN EMPLOVER TO CRIMI PENAL S AND CIVIL FlNES UP TOONE HUNDREO
TMOUSAND DOl1ARE (5100.000). IN ADDITION TO THE COST OF COMPENSAiION, OAMNGES AS PROVIDED FOR IN SECTION 31060F THE LABOR COOE, IIJrEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y affrtn that I am licensed under pro ' ons of Chapter 9(commencing with Section 7000) ot Division 3 f the Business an o sions Code, end my license is in tull
torce and etted. L9C.-i � � �% � �
ContracloLsSigaattGre: {bate:'t �'s 2.�
\ . Az'-' ' �,-�
CONSTRUCTON LENDING AGENCY:
❑ I hereby aHirtn Ihat there is e constmction lending aqency for the pedormence of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lendef5 Nama: Lentler'S Atldre55:
Signawre: Date:
OWNER•BUILDER DECLARA710N5:
I hereby affirm thet under penelry of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons
Cotle: Any ciry or counry which requires a permit to wnstruct, alter, improve, demolish, or repair any sWCNre, prior to its issuance, elso raquires Ihe epplicant for such permit
to file a signetl stetement that he or she Is Iicensed pursuam ro ihe pmvisions oi tha Contractors License Lew (Chapter 9(commencing with Sectlon 7000) oi Dlvision 3 of Ihe
eusiness antl Prolessions Gode) or thet he or she is exempt therefrom and the basis for ihe allegetl e:emption. Any violation of Saction 7031.5 by any applicant lor e permit
subjects the epplicant to e civil penalry oF not more than tiva hundred tlollars ($500).): ,
❑ I, as owner of Ihe pmparry, or my employees with weges as iheir sole compansation, WILL DO THE WORK, and the siructure Is noi Intentled or oHeretl tor sala (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, and who tloes such work
himself or herself or thmugh his or her own employees, provided Ihai such impmvements are not intended or ottered for sale. It, howavar, ihe buildinq or impmvement is
soltl within one year of completioq the owner-builtler will have ihe burden of proving ihat he or she did not build or improve for purposa oi saleJ. '
❑ I, as owner oi the Oroperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Prolessions
Code: The conireciors License Law tloes not epply to an owner oi properry who 6ullds or improves thereon, entl who comracts for such project with a contracmr(s)
license pursuant to the CoNractors License LewSJ.
❑ I am e:empt untler sec. Business antl Professions Code for this reason:
Signature: Date:
Owner ID varifietl 6y tlrivers licensa. ❑ Ves ❑ No Drivefs LiCense No. Expires:
Verification of Ownership by (rype af documen6 i.e. - properry tex bill or tleetl):
DIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICATION:
❑ I hereby cartify that no excavation tive (5) or more teet in depth into which a person is required to descentl, vnll be made in conneciion with work auihorizetl 6y �hls
permit, and Ihat no building siruclure, swftoltling. �alsework, or demolition or disman�ling thereof, will be more than ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Celifomla Adminisiralive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require a pertnit trom the Oivision of Industrial Safery, es notetl e6ove, unless such person has e
pertnit to tlo such work from the division.
Signature: Date:
Division oi Indusirial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTF�CATION:
1 Will the applicant or present or tuNre building occupant need to file and certity e Business Plan br emergenry response to release or Ihreetened release of a hazartlous
matedal7 ❑ Ves ❑ No
(Section 25505 0l the Califomia Health antl Safery Code requires, wit� some eaceptions, that a Business Plan be filetl with the Coste Mesa Fire Depanment by every
business whic� has at any one time dunng e reported year a quantiry ot hazartlous materials equal to or greater ihan a weight oi 500 pounds, or a volume o155 gellons,
or 200 cubic faet ol comDressed gas at standartl temperature and pressure).
2 Does or will the apprcant or presem or ruture numm�g occupanc neea �o nie e regisvenon rortn tor acutery nazertlous matenais'� U ves U No
(Section 25533 0l the Celltomia Health antl Safery Cotle, with some eace�tlons, requlres regisiretion with the Costa Mesa Fire Dapertment by eech �usiness which et eny
one time has on hantl e quantiry oi ecutely hazertlous materials eque to or greater ihan a weight ot 500 pounds, or a volume ol 55 gellons, or 200 cuDic feet of
compreued gas at standard temperature and pressure).
...... _ ................................................................................................................................................................................................................................................................................................................................................................................
3 Does or will the applicant or present or future building wcupant need to D�eDare an RMPP (Risk Management and Prevention Program tor acutely hazarUous matenels)4
❑ ves ❑ No
(Section 25534 of Ihe Calitomia Health and Salery Code pmvides that the Costa Mesa Fire Depariment may require the preparation, certification and tiling with the Fire
DeDanment oi en RMPP by businesses which ere reQuired to register acutely harartlous materials with the Fire Depahment.
........_........_.........._............-..........._ ........................._._......................_..............................................................................................................................................._................ ........................ ..............................._..................................
4 It en RMPP is presently reQuired, has Section 25534 oi the Califomia Health end Satery Code been fulty complied with7 ❑ Yes ❑ No
......................_........._......................._.............._..........._......................_............................................................................................................................................._........................................................................_..............................................
5 Does or will the eDPlicant or present or tuture bulltling occupant require for the work w�ich is ihe subject ol this a plication a germit lor such construction or moUlflcatlon
imm the South Goast Alr Ouality Management District or irom any oiher air polWtion control disMct or egencyi � Yes u No
(Sectlon 658502 of the Celifomia Govemment Cotle requires ihat the requested informetion be fumishetl on epplications for non�residentiel builtling permits).
.. ..................................................................................................................................................................................................................................................................................................................................................................
8 Will any part ot the Iaciliry ro be consiructed untler t�is Oertnit be within 1000 feet irom the outer boundanes of a school? ❑ Yes ❑ No
Qt yes", t�e facility must meet ihe requirement oi Sections 25534 and 42303 of ihe California Healt� and Safery Code).
have all ot the tlisclwures
oi aisnci or egency is reqwrea tor me �
42303 been matle7 ❑ Yes ❑ No
�priate air pollution con�rd OHiCer).
penalry of:perjury the information given above is cortecl I ag�ee to wmply with all state laws antl ciry ordinences
Dete:
CERTIFlCATE OF COMPLJANCE AND AIJf}IORIZATION OF ENTRY: I certiry under penalty of perjury ihat I heva read this application end state ihat the infortnation given is
wrrect. I agree to comply with all state laws and city ordinances relating to building consiruction, antl authonze representatives of Ihe Ciry ot Costa Mesa to enter upon the
above-descnbetl property tor inspection purpases. I eg�ee not to occupy or allow occupancy ot any building authorized by this pertnit until flnal inspection.
COQE I. INSPECTIONTYVE
1fi16 Fisetl System Final Fire Prevention
1286 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 FinalSign
204 Final Demolition
�.1. JIII:.
� , /�7P.,
CODEA INSPECTIONTYPE
206 Final Mechanical
208 Final PlumDing .
210 Final Electrical
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 ' Final Building/Occupency
�
l�
-PNOJFCT AOUflESS: j g O KNOWELI, P L
OWNEfl'SNFME: ��AN AKEN GLENN A
ADOflESS: jC�O KNOW�Li, PL
CUS'PA MESA, CA
(7I4)548-07R5
� ANCN/ENGINEEP:
. aoosess:
UNIT:
. , �
92627
flEG.NO.:
uxiT:
PEflMITTEE: SERV1Ct P1RST (�%1't%5%i—��0�
aooness: 18 01 I RV I N E
TUSTIN CA 92680
LICENSEU CONTBACTOfl OECIABATION: I hereby aifirm Ihat I am IicenSeA unUer O�ovisions ol Chapler 9(commencing with Sec�ion
7000) ol Division 3 oi ihe Business antl Pmlessions Code, antl my license is in tull lorce anG effect.
urox�iTruc!097646 STRTELIC.:jSSHIZ cas:C-20
�__��— ��_7_� q'�--
S' COMPEN ATION OECUIPATION: I nereby allirm that I have a cenificale ol consent Io self-insure or a cehificate of workers'
Compensa�ion Inmrance, or a certified copY ihereol (Section 3800. Lab. C�,
POLICY.NO.: ' E%P.OFTE:
COMPpNY:
� Cenifie0 coOY is hereby Iumisnetl� ❑ Certitied copy is lilee witn the city Builtling �ivision.
a�e:
Npplicant
E%EMPTION FBOM WOflNEflS' COMPEN511TION OECIABATION: (This section neeG na� �e comple�eU i� the permi� is for one hunAred ($10�) or less).
I cerlily Iha� in Ne pedormance oi �he work tor whic� ��is permit is issued. I s�all ot emp y any person in any manner so as to become
suble�� �o ihe Workers' ComDen tion aw5 of California.
ignaWre: S i � ��
NOTICE: II. a�ier making �his �eclaration. you 5hou10 become SUDIe�� �a �he Workers' Compensa�ion pmvisions oi �he Labor
Coae. you must lonhwilh comply with such pmvisions or �nis oermii shall be tleemetl revoketl.
CONSTBUCTION LENOING AGENCY: I here�y aflirm �ha� Ihere i5 a Conslmt�ion lentling agenCy for �he performante ot t�e work �or
which ��is permil is issuetl �Sec�ian 3W7. Civ. C).
LENOEH:
aooeess:
�
OWNEB BUILDEB OECIANRTION: I �ere0y af�irm Iha� I am exempt trom �he Contractors' Sta�e License Law for Ihe following reason
(Sec�ion 7031.5 Business and Professional Cotle: Any city of counry which reQuires a De�mi� lo cons�mct, alter, impmv¢, tlemolish, or
re0air any slmcWre. D�ior �o ils issuance, also requires ��e applicant lor such permi� to �ile a signea statemeni �hat he/she is licensed
pursuanl to �he pmuisions of Ihe ConVacmrs' Sta�e License Law (ChaD�e� 9l�ommencing wi�� Section 7000) of Oivision 3 0� ihe Business
and Prolessions Code) or tha� he/she is exemp� Iheretrom antl �he basis �or Ihe allegetl exemp�ion. Any violation ot Sec�ion 7031.5 by
any aOD�ican� lor a Dermi� subjec�s �he applican� to a civil penalry o� not more �han tive huntlretl dollars ($500).
I, as owner oi ihe DmDerty or my employees with wages as iheir sole compensation, will do the work, and ihe
❑ s�mclure is no� intended ar oflere0 for sale (Sec�ion 7044, Business anU Prolessional Catle: 7he ConVac�ors' S�a�e License law
tloes no� apply lo an owner ot a pmperly who builas or impmves Ihereon, antl who does such work himself/hersel� or �hroug�
� his or her awn employees. pmvided Iha� such impmvemenls are nol in�enAetl or otlerea for sale. If, however the builtling or
impwvement is soltl within one year o� comple�ion, lhe owner will have Ihe buraen o� pmving helshe Oi0 not builtl or improve
for ihe purpose ol sale).
I, as owner af Ihe DmDe�Y. am excluSiveN contracting wi�h licensed comracmrs lo cons�mci Ihe pmjec� �Seciion 7094, Business
❑ an0 Pwlessions CoUe: The Contractors' $tate License Law Eces not aDP�Y �o an avmer of DmpeM who buAas or improves Ihereon
and who coniraas lor such prole��s with a coniractor(s�license Oursuant m ihe Coniracrors' State License Law�. I am aware
ihat D�aol ol Iheir Warker's Compensation insurance snoultl be orovitlee to me.
� I am exempt untler Section: B. 8 P. C.
lor Ihis reason:
�a�e: Owner:
I tlo �ereby cenily I�a� I am aware ol an0 uneers�and the requiremems o� Califomia Health and Safery Cotle Sections 25505, 25533, and
2553E antl that I or anY �u�ure Duiltling occupan� will/will not (circle one) n¢etl b comply with saitl s�a�e codes anA Ihe reQuiremen�s �or a
permi� for cons�mc�ion or motlilicaiion imm �he Air Oualiry Managemeni �isiricl. Fesitlenlial consiruclion apPlica�ions are exempl fmm
Ihese pmvisions.
Da�e: App6canP.
I hereby certilyt�al I have readihis application and stale ihalihe abev mlormationis correct.l agreeto comply wit� allcity and counly
ordinancesantlsta�elawsrelalinglobuildinqconstmclionantlherebyaN orize epresenta�ivesal�Aiscirytoen�eruponlheabove-men�ioned
propetly lorinspection purposes � f �
� � ?.+=���Signaiure: � I
�
o�ver�ii[ense or Socia� Security a:
16At�C6 Wbile—Builtlina: Green—Cotle ENorcement: Canarv—AoolicanL Pink—Revenue: GoltlenroC—Assessor
CITY OF COSTA MESA — BliILDING PERMIT PERM NO; E 0�7�75
PERMIT N0; E. 057275 PLAN CHECK NO: N GOVT; N Si3PPc �v
CONSTRUCTION TYPE; 5—A3 PERMIT TYPE: ELE PJRPOSE: OTH
JOB DESCRIPTION : ELECTRICAL UPGRADE (100Ah!P PANEL) SQ FT:
CLAIM VALtJE: CALC—VALUE; GROi3P OCC; R-3 /
COMMENTS: NO 'B' PERMIT INVULVF.D.
�7f iE if -I6 �� if i( �Y,--)E' if 1F 3F-)E iF dE 1E iP1E if �%� �� iE �� 1f �� �lE �1; �If �)f �1i 1F 1F �lE 3F i4 �fE df lE �7E'1E-IE iE M!E �lk iF df iE�K-9E if -!f aE �f dF ie jF 1( iE �1E df if jE 3E if if �lE �%i(-�E�iE-0E #df if'lE ##�)F
Z U N I N �S E�TEHQA�JCIKRSE M E N T S
------------ MAIiV BUZLDItJG ---------- --------- ACCESSORY BLTZLDING ---------
FRNT; FT TN REAR: FT IN FRNT: FT IN knAR; FT I1V
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: PT IN
PARKING REC1• PROV; PAR<.EL: 42213126 ZNE: REF NG:
PI.ANNING Nt3TES>
� .
#�)EiE-IE iE 3E'!E �!6 j(� 1( iE 1Q� �7(� 1F lr IE ?F ii� iE 3E iE # fE �lf iF %� ?4 3f jk �F )f iF fE�#�f 3E 3i� iF 1E ik�lf ii� iE 3E 3F �1( iF il� #` iFlE iE 3f iF �lE� 1f iF iE if if �%� 1F �lt If 3k iE 7h ie �1F i(� iF # 3E ii� 3E iE #(� ii� 1F
D E V E L O P M E N T;�Sl E�R tl I C E 5 R E Q U I R E M E N T S
ZONING AF'PROVF.D BY ,'�'' '�' DATE:
BUILDING APPROVED BY ; ' .� DATE:
/ �-
APPLICATION ISSliED BY: '�'� DATE:
�**��+�*�x***���r*���*x* xx ,. ��< < tn *�*�c*�x***� ?�� �x•*
1EififiE3EjEiFiEiEaf3EiElf�EfElfiflh3EiF%�a6iFklEi�3E�7fifiEiE'3FiE�6jfiElE3Ejf�iE ' F#iflEifiEiF!F�FiEif3EY��fifk�ikiE%iEiEifK�iEiFjE1EiE#�iEiF�1i-jF?:.3fiF#�
LEGALIZATION:N �`�E:E S i7 ,d M A R Y STRliCTiJRAL SEGN,ENT;N
BLDG PNT PLUMBING ELECTRIC MECHANIC FZ�E SMZP/RES GRADTNG
PERMIT 18 50
, �0& SMIP/NON—Ra
PLAN
ISSUE FEE 15.00
BDILDINt�—UIV—> PERMTT ISSUE FLAId—CHECK TOTA;, PAID DUS
TOTALS----> 18.50 I5.00 0,00 33.50 3_i,50 ,UO
REVENUE DiVISION TOTALS--> COLLECTED: 33,SQ OVER/SHURT': ,(30
HI,DG PM'f PLUMBING ELECTAIC MECHANIC FIRE S,vIP/TOT GRAllZNG PI.AN—CHnCK
33.50
3f iE if lF fFif 36 iE 7E iE if: ii�?f if 3f if 3f iE if iE if 3f iE 3F if iE if �f if 3f if i4 3F 3e 1E iE aE iE%# iF ie 3E iF iE �(� ii� iF?F �f� N iF iE iE i(� iE iE 1E �f 3E �f iE IE if-3F 3F iE iF af �: ic ai� 7E iF iE �7t- }E ie if�
Z N D I V I D U A L F E E B R E A i: D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTRL COSi
ELE 1 SERVZCES BELOW 600 V 6 HELOW 201 ��RP 18,50 18,50
END OF FEES
92 4U114`5._n0�.�.�c` � "" -' -•
�t'iTF: rt�,�Q:, . _ .��,_ ,;1� .. .
i
CONSTRUCTION AND PLANNING�•
APPROVALS Permit #
i. Temporary Electrical Serv'ice or Pole
2. Soii Pipe•Undrgrnd. ;
3. Elec[rical Conduit Utitity-Undrgrnd.
4. Electrical Conduit-Undrgmd. �
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd.
10. Structural Floor System
11. Property Sewer �ine & House Connection
12. Sewer C2P
�
13. Roof Drains
14. qough Plumbing -
75. Rough Electrical-Conduit
16. Rough Elearic Wiring
r17. Rough Wiring Sign
18. Rough E�ectripl-T Bar Ceiling
' 19. Rough Hea[ing & Air Cond�tioning
20. Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T�Bar Cs��ing (Structural) & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulati0n
30. Drywall Nailing
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
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-Finai
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas G
51. CERTIfICATE OF OCCUPANCY
No. Date
Date
�
A
0
e
POOI , .'A
Inspector p VA P '�k Date Inspector
�
. AP RO LS erm�t
' � 52..7Pool & Equipment Location
� 53.: Steel Reinforcement .
54.� �Forms - '
' 55. Electrical Bonding
56.� Raugh Plumbing & Pressure Test
57. APPROVAL�TO COVER-GUNITE
58. Elearicai Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & ReceptorFinal
63. Heater & VenrFinal
64.- Plum6ing Sysiem � Final
65. Efectricat-Fina�
66. Solar System-Final
67. Fencing & Access ApP�oval
68. APPROVED FOR PLASTERING
69. PQOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. Product Piping O Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead HYdro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
-i' 78. FIRE PREV. FINAL
� HEALTH DEPT. REQUIREMENT
� . FINAL INSPECTION
y.'-
� d . FOOD CERTIFICATE ISSUEO
� Notes:
9�
:
0
PPQIECT ADOPESS: j 9 Q KNOWELL F1.
OWNEN'SNAME: VAN AKEN GLENN A
aoosess: 590 KNOW�LL PL
COSTA MESA,CA
548-0785
ANCH/ENGINEEN:
FDONESS:
UNIT:
926.',7
flEG.NO.:
UNIT:
resmiTree: PW PAYNF, ( 714 ) 545-SSA2
aoosess: 1701 E EDINGER t�V J3
SANTA ANR CA 92705
LILENSEO CONTHRCTOfl OECIABRTION: I here�y allirm Iha� I am licensea under pmasions oi ChaD�e� 9lcommencing wiih Sec�ion
7000) of �rvision 3 0l Ihe 9usiness and Pmfessions Cotle. ana y I¢ se is in lull �orce anA eilec�.
' CITYLIC.: OSO572 STATELIC.:SA%O�G � S� CZO
Oate'. SignaWre: —
WOflNE S' COM ENSATION OECIAXRTION: I hereby aR m �hal � ve a cenificate oi cansent to sell-insure or a cenificate of woBers'
ComDensa�ion Insurance or a cenihe0 copy t�ereoi (Section 3800. Lab. C.
raucvNo.:PC9d07951 EXP.OATE: ?�OS�93
comraxr: REPUBLIC
❑ Ceni�iea copy is hereby Wmished. � Cetlified coDY is fil ith 'I Builtling �ivision.
Jate: ~"�— Applicani:
E%FMP N FflOM WONREBS'COMPENSRTION OECIAMTION: (Thissection neetl nolbecomple�etlil��e Dermitisiarone hun4reA�510D�orles5�.
I cetlity ��a� in Ihe pedormance of the work for which this permi� is issuetl, I shall no� employ any person in any manner so as to �ecome
SuDject lo the Workers' Compensa�ion Laws o� Calitamia.
Oale: Signalure:
NOTILE: Ii, a�ier making ihis tleclaration. you shoWd hecame sublect �o �he Workers' ComOensation provisions of Ihe La�or
CoOe. you mu5i fort�wi�h tom0ly wi�� Such pmvisi0n5 or ��is permil 5hall �e a¢¢metl revokea.
CONSTHUCTION LENDING RGENCY: I hereby attirm t�at t�ere is a constmction tenaing agency for �he pedormance of the woB br
which Ihis permi� is issued (Section 3097, Civ. C).
LENOEP:
aoosess:
OWNEfl BOILOEfl OECIANRTION: I hereby aflirm Iha� I am ezempt �mm the Contracmrs' S�a�e License Law �or Ihe following reason
�Semion 7031.5 Business an0 Pmfessional Cotle: Fny ciry o� counry which requires a permi� b conslmct, alter, improve, demolish, or
repair any stmclure, prior to its issuance, also requires �Ae apPlican� for such permit Ia file a signed 5�a�emenl that he/she is licensetl
pursuam to �he provisions ol �he Con[raciors' S�a�e License Law (Chapter 9(commencing with Section 7000) o� �ivision 3 0� �he Business
and Prolessions COAe) or �hat he/s�e is exemp� Iherefmm antl �he basis tor �he alleged exemp�ion. Any viola�ion o� Sec�ion 7031.5 6y
any apDlican� lor a permit sub�etts lhe applicani �o a civil penalty of nol more Ihan �ive huntlred Oollafs (5500�.
I, as owner ol lhe proDetlY or my employees wi�A wages as Ih¢ir wle cOmp¢nsafian, will Oo th¢ work, and ihe
❑ slmcNre is not inlentletl or offere0 for sale (Section 70ad, Business an0 Prolessional Cotle: The Coniractor3' State License Law
tloes na� appty to an owner oi a property who builds or impmves thereon, antl who does such work himselflAerself or through
his or her own employees, pmviAeO thal such improvemen�s are noI inlen0etl or otleretl lor sale. A, however Ihe building or
impmvemeN is sald within one year o� compleiion, �he owner will have ihe �ur0en of Droving he/she OiU no� builtl or improve
lor �he purpose ol sale).
I, as owner oll�e D�opehy.am e�clusively conlraclinA'+^��licensetl coniractars�o canstmc���e pmlec�ISectian 7M4, Business
❑ and Pmiessians CaOe: The Contracmrs' Stare License Law tloes no� apply Io an ovmer oi pmDeM who builds or im0�oves thereon
antl who conVac�s �or such prole��s with a contrac�or(s) license Dursuanl�o �Ae ConVac�ors' S�a�e License Law),I am aware
Ihat pmol al �heir Worker'S Compensation insurance 5houlA be pmvitle0 �o me.
� I am exempt un�er Section: R. 8 P. C.
�Or IhiS rea5on'.
Daie: Owner
i do here�y cenify ihat I am aware of an0 unGerstanA ihe reQuiremenis of Calitomia Health an0 Safety CoOe Sections 25505, 25533, and
2553a and �ha� I or any INure builtling occupant will/will nal (circle one) neetl �o comply wi�h saitl siate cotles and �he requiremen�s �or a
permit lor consimclion or motlAica�ion �mm Ihe Air Oualily Managemen� Oi5Vic1. Fe5i0ential coretmc�ion applications are exempt from
tnese o�omsions �
Dale: Applicanl:
I nereby cenity ihat I have read Ihis aDPlicalion and staV
ortlinances antl state laws relaiing �o builtling construc�ion
propertY far mspeclion purpases.
Oate: Signature:
oriver's �icense ar Sociai Sewri�y a:
164La6 W�ile—BuilOinp; Green—CODe EnlorcemenL Canarv—Aoolicanl; Pink—Revenue: Goltlenmtl—Assu�snr
ana
CITY OF COSTA MESA - BUILDING PERMIT PERM NO; E 057281
PERMIT NO: E 0572R1 PLAN CHECK NO: N G6V'T; N SUPP: �
CONSTRUCTION TYPE: 5-N FERMZT TYPE; ELE , PURPOSE: OTH
JOB DESCRIPTION ; INSTALL ONE 65000HTU FORCED AIR UNIT SQ FT;
CLAIM VALUE; CALC-VAL[iE: CRUUF OCC: R-3 /
COMD7ENTS: REF M57780
-)c iE i(--%��� lE iF iF aE �E K� �E iF k* iF �k iE �%�%� iE �x ie �iF-%�lF �% N dE dE �E # iF ati �F �3(� iF iF �lE iE�7F i(� jf �iE aF if �IE 1E �!f �E9E if !F �E i(� �lE �Y� 1f iE ih af iE ie IF iF# if �Yc X...aE.K..�.K..� # iF iE iE 3f
Z O N I N G R E Q U I R E M E N T S
sExaAcxs
------------ MAIN BIIILDING ---------- --------- ACCESSORY BUILDING ----�----
F'R�]T: FT IN REAR: FT IN FRNT; FT IA! REAR: rT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGi-iT; FT 1'N
PARKING REp • PROV: PARCEL: 1392II].01 ZNE: REF NO;
PLANNING N{7TES> ,
�
3F iE iE if iE N� iE 1E 1E iF 1E iE K� IE iE # 1(� K� iE iE iE iF if it if ?f iE if- iE iF � i(� �l(� iE 1F # ih %iFlF lf ff iE �7(� fE �1h iE 1E ic iF iF R�-it �lE 3f ic ;i� 3E i(� if it # i(-'�F iE 1f iE iE if i{- ii ie )f i�' i!� ?6 if 3E
P E V E L O F M E N'I' S E; R V I C E S � E Q U I R E M E N T S
ZONING AE�FAOVED BY �' DATE;
BUILDING APPROVED BY : i DATE:
APPLICATION ISSUED BY: '� � DATE• O� o i�i7�
ifiEiEjFiEi6iE3F1EiFX�lfif3E�jFK�lEitiFifiEiE . -ir . .. (�iF'.x'�F'i��£��F3F -. x jf1ElFihiP3FiEiEiE�iF�C3��R�iF3Si'r3f
�%�iF3F-If1EjEiE1EjE3E�hiE�FafiEiEiEiflEjEiE3E3Eif3ElFiFiEiE14iE%�iF�EiE�1FjE3F� iFifi't3FiF3tM�ihjE3Fif�lfK�iFiFlEiEiEiF#E1EiEaEiF9(�3ijEiE3e#3EiF3FiEiFiFaE#3FiE
LEGALIZATION:N 'F E E U M M A R Y STRUCTURAL SEGMENT;N �
��.
BLDG PMT PLUMBING ELECT IC MECHANIC FIRE SMIP/RES GRADING �
PER'cIT - , 50
508 5N.IP/NON-RES
PLAN
ISSUE FEE 15.00
BIJILDING-DTV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID D"J�
TOTALS----> 7,50 I5,00 D,00 22.50 22,50 ,pp
REVENUE DIVISZON TOTALS--> COLLECTED; 7.2,50 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIR� SMIP/TOT GRADING PLAt�-CriECx
22'.5�
aE �E iE 3F ii� jE if iF k�)E jE 3t 1f if iP iE iP �IE �f i(� k 3E 3E ib ih iF iE iF iE i( if �e # jf if if iE±f 3E if iE 1E �1E 3F � jP 1E-lf i't iF ic ii� lE iE+F iE if IE iF%IE aF iE iE if 3E iE iE �E ih jE 3c iF #� �. *._V.. }(� {��
T. N D I V I 1) 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 COS3
ELE 1 MOTOR/POWR APPARATUS 1,1 - 10,0 HP 7.50 7.5U
END OF F'r,'ES
Oi ��]2I45Ed-ODti;`26 T.�: ;
DRTE: Q5/43/92 Ti��E: ?.S.�S
C
-= .5"
CONSTRUCTION AND PLANNiNG , � POOI .'A - � �
Date Inspector � Date .Inspector.
APPROVALS Permit # . APPROVALS, Permit # ,
-�1, Tempocary Electrical Service or Pole . 52. Pool & E4uipmeot Location
2. Soil Pipe-Undrgrnd. � 53. Steei Reinforcement •
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electric2� Conduit-Undrgrnd. - 55. Electrical Bonding , '
5. Steel Re�nforcement - - � 56. Rough Plum6ing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings � 56. Electricai Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd.,�Test
9. Water PiPe-Undrgrnd. � � ' 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK -
it. Property Sewer Line & HouseConnection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains ', , 64. Piumbing System - Final
14. Rough Plumbing 65. Electrical�Finai ,
15. Rough Electrical-Conduii 66.� Solar System�Final �
16. Rough Electric Wiring � 67. Fencing & Access Approval '
1�. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. flough Neating & 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 Ftaming 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74, Overhead Hydro
26. T-Bar CelUng (Structuraq & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � ' 78. FIRE PREV. FINAL
30. Orywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION �
32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED
33. Final E�eciric d5"'� 2 Notes:
� 34. Final Heatinq & Air.Conditioning � ' � �
35. Final Gas Pipe�Test � � �
36. Hood or Canopy
37. Finai Factory Fireplace '
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final �
41. Solar pomestic-Final .�
42. Backflow Preventer ' �
. 43. Backflow irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicep Regulations
a7. FWAL STRUC7URE & BWLDING
48. FINALPLANNING
49. EleMria Release to Edison
50. Gas Release to Southem California Gas Co � -,�
51'. CERTIFICATE OF OCCUPANCY -
No. Date
/ �
PXOJECT AUUFE55: S 9 O RNOWELT, PL
awN���sxame: VAN AKEN GLENN A
nooness: �y0 KNOWr�'.i,L PL '
COSTA N,�,SA,CA
548-0785
FPCHIENGINEEB:
AOOPESS:
UNIT:
9267.7
flEG.NO.:
UNIT:
PEflMITfEE:llW PAYNE (7i4)545—SS42
FDOflESS: 1�]OS. E EDiNGER AV ,73
SAN'tA ANA CA 97.705
LICENSEO CONTBRCTOB DECLAPATION: I hereby a��irm ��at m li nsetl untler pmvisions of C�ap�er 9(commencing wi�h Section
]000� ai �ivision 3 of Ihe Business antl PmlesSions Cotle. and y lic nse is in �ull �orce antl eliect.
ciTruc.:p5pq'7z sTaTeuc.:587036 ss:
Dale'. � SignaWre:
WOBNEPS' COMPENS ION OECNflATION: I hereby aflirm tha� I have a ceni�icate oi consent b sel4insure or a ceni�ica�e o� Workers'
Compensalion Insurance. or a certi�ieG copy �hereof (Sec�ion 3800. Lab. C�.
voucvNo:[PC9407951 E%P.DFTF. i /01/93
COMPpNY: R:.PUBl�1C
: � Cetli�ied copy is hereby Iumi50ed. � Ceriilied copy i5 �ileA lh e ci�y Builtling DiviSion.
.�':Jate:�> /�2� ApPlicanC
E%EMPTION FPOM WONREPS'COMPENSATIDN DELLAflRTION: (TA¢ sec�ion need na�6e compleieai�the permiiislorane hundrea(3140)arkss�.
I cenify ihat in Ihe oedormance ol ihe work lor wnich Mis permil is issued I shall not employ any Derson in any manner so as lo become
sublect �o Ihe Warkers' Compensation Laws ol Cali�amia.
oate: Signature:
NO710E: if. alter making ihis aeclara�ion. you should become suhlem to ihe Workers ComDensation Diovisions of tAe Labor
CoOe. you must IOMwith compry with such DmNsions or Ihis Dermit shall be deemed revoke0.
CONSTflUCTION LENOING RGENCY: I hereby aflirm ��at �here Is a wnstmc�ion lending aAency br ihe pertormance of the wark tor
which Ihis permii is issuea (Seclion 3097. Cia C).
LENOEN:
RUOflESS:
OWNEB BUILOEB oECIABFTION: I nere0y affirm ihat I am exempt imm ihe Caniractors' State License Law for ihe followinp reason
�Semion 7031.5 Business and Pm�essional Cotle: Any cily oi counry which requires a permi� to wnstmc�, atler, imD�ove, demolish, or
repair any slNcture, prior lo its issuance. also requires Ihe aDPlicant lor such permit to file a signetl siatemen� t�at he/she is licensetl
pursuam to Ihe pmvisions o� Ihe Comracbrs' Sta�e License Law (Chapter 9(commencing wi�h Seciion 7000) ol Oivision 3 0� the Business
an� Pmiessions Code) or Ihat he/she is ezempi Iherelmm an0 ihe 6asis for the allege0 ecemption. Any violation ai Section 703/.5 by
any appliwnt lor a Dermit subjects ihe apDlicant lo a civil Denalty ot not more ihan five huntlretl Oollars (5500).
I. as owner of ihe pmpeny or my emyloyees with wages as iheir sole comDensation, will tlo ihe work, antl the
❑ s�mc�ure is no� inientletl or oflered for sale (Section 7044, Business and Pmfessional CoOe: The Coniractors' State License Law
Aoes noi apply to an owner ol a pmDe�Y who bwltls or improves t�ereon, antl who does such work himsetl/hersel� or through
his or her own employees, pmviUeO ��at such imD�ovemen�s are not intentled or oflere0 for sale. Ii, however the builtling or
impmvement is solA witllin one year of completion, Ihe owner will have Ihe 6ur0en of pmving helshe ditl not huiltl or impmve
tor the purpose oi sate).
I, as owner of ��e property, am exclusively contracling with licensed contrac�ors Io consimct [he pmleci (Sec�ion 70A4, Business
❑ ana Pmlessions Cotle. T�e Contractors' State License Law Ooes no� appry m an owner o� pmpeM who 6uilJs or improves �hereon
antl who conlracis for such projects with a contrac�oqs�license pursuant to the Cantractors: S�a�e License Law),I am aware
thai pmoi of Iheir Warker'S Compensation Insurance should be pmvitled to me.
� I am evemD� untler Seclion: 6. 8 P. C.
for Ihis reason:
Da�e: Owner:
I do hereby cenify ihat I am aware ol ana understand tAe requiremenis of Calilomia Healih and Safery Code Sections 25505, 25533, an0
2553A antl tha� I or any INure builaing occu0an� willlwill no� (circle one) neetl �o comply with saia s�a�e cotles antl lhe BQuiremen�s br a
permit br cons�mc�ion or motlilica�ion imm Ihe Air Ouali�y Managemen� Dis�ricl. ResiUen�ial consimction aDDlications are exem0� �mm
tAese pmvisions.
Oa1e: Applicant:
I here0y cetlily thal I have rea0lhis appliw�ion anA stale Iha� Ihe ove i f rmation is correcL I agree Io comply wilh all ci�y anA coun�y
ortlinance5antl51a�elaw5relating�oUuiltlingconstmclionantlhereby iho' re0�esen�ativeso��hiscitytoenterupon�heabove-men�ioned
pmperly for inspec�ion pur0ase5. .
Daie'. � 2� Signalure:
�river's Laense or Social Securiry a:
i641 n6 W�ite—BmlOing', Green—Code En�orcemenP. Canary—Applicanf. Pink—Revenue; Goldanrad—Asseswr
CITY OF COSTA MESA — Bti2LDING PERMZT PERM NO: M OS'718C
PERMIT NO; M OS"/').80 PLAN CHECR NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMZT TYPE: NEC PIJRPOSE: UTH
JOB DESCRIPTION : INSTALL ONE 6Sd00BT[7 FORCEn AIR IINIT SQ FT:
CLAIM VALUE; CALC—VALUE; GROuP OCC; R-3 /
COMMENTS: NO '6' PERMIT INVpI,VED
ii��lE X� dE �iE 9f �%iE �%� iF % dF 3E 1(� k�# -X-�IEiF �KlE dEiE �k iF�E �� je it �%if'�F iE ic IF iF lF ic d(� iE k� 9E �>:-it� jF N��� IE iE�k iF 1EdF-?F iE �� �� # iE �7E �k �k jE �lE iE�If � jE 9F �1F �%�jE iE iE lE�k3f iE �#
Z O N I N G R E� C) I R E M E N T S
5 E'I' A A C R S
-- NAIN BliILDING ---------- --------- ACCESSQRY HJILDING --------
FRNT: FT IN REAR: FT Ih �RNT: F7' IN REAR: FT I��
LEFT: FT IN RGHT; FT IN LEFT: FT ZN kGHT; FT I13
P-ARKING REp• kROV: PARC:EI,; 13928101 7.NE; REF NU:
PLANNTNG N15TE5>
y
*+t*��*x*�+�**��*��t*x*�t�r***�rx•x��***x-��c��e��***��•*��*�c�*�*�����u��x*x•+��x�i �c*��c�ux**
D E V E L O P M E N T S E R�V I C E S A£ Q U I R E M E N T S,
ZONING APPROVEI7 BY r DATE:
BUILDTNG APPROVED BY ; �.; DATE;
AFPLICA't:CON ISSUED HY: +^ DAT'E; oSo�?'(�
iF3E1'riEif�%3eiE�fi(�3tiElEiElEieiFiEifiElEiEi�- .... ,r xir - i(�ifaF3E%9fiEifiE}?iF�'£��Fir"ii���3'tiE
3i�iFiFiflEiEifiE3EiflfifiE�lElF3iiFiF-}EiEIRlEiEif•it . X�34iF1E�1fiF1F�Fifi- �iEiFibiE9(�iE3fiC�iFifif?fiF1E#'•ifif-iFifK�iflF�7fiE#3F1FiE7EtieiE#�e3Pieif�
LEGALIZATI(�N;N F E E S U M M A R Y ST'RUCTliRAL SEGN,ENT;N
BLDG PMT PLi7MBING ELECTRI MECHANIC FIRE 5MIF/RES GRADI:NG
PERN.IT 9 , 00
25Y SMIP/NON—RES
PLAN
IS5CiE FEE 15,00
BUILDING—DIV—> FERMIT ISSliE PLAN—C$ECK TOTAL PAILI D'UE
TOTALS----> 9,OU 15,00 0,00 �4.00 24,00 ,UO
REVENUE DIVISION TOTALS--> COLLECTED: 24,00 OVER/SHORT: .00
BLllG PMT PLUMBING ELECTRIC MECHANIC F'IRE SMIP/TOi GRADING PLAh—CAECK
24,0�
iE iF 1F iE iF iE iE 3E i't iF #- N� IE iE 3H iE if iE 1E iE 3F 3F iE ji- iF if 1F IE dE jf iE jF iE iR 3E iE iE ib 3(� 36 iE aE K� iE if iE iF 3E # iE i(� iF iE iE if iF iE 3E iE iF if if iE if 1F iF 7E 14 iF 3f- j( �E 3b a4 iE � 3F 34 if
S N D I V I D"J A L F E E B R E A K D 0 W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
.�iBC 1 REFkIGEkATION SYS'tEM <= 100 K b'I'UIH 9.00 9,00
Enn oF FSEs
a� ea�i:se�-oatisssa �-�:,��- �s.��.
oar�: �s;��s.�y� f,�;F: i:�:���
. ..
CONSTRUCTION AND PLANNING . -. P.00L 'A� - �
- Date Inspector - ' Date Inspeccor
�
APPROVALS Permit # � � APPROVALS Permit #
1. Temporary Electrical Service or Pole J -� 52. -Pool & Equipment Location �
✓
� 2.� Soit Pipe�Undrgrnd. ' � -- 53.:Steel Reinforcement
3. Electrical Conduit Utiiitv-Undrgrnd. -. 54. Forms
4. Electrical Conduit-Undrgmd. � 55. E�ectrical Bonding .. -
5. Steel Reinfprcement . � 56. Ro�gh Plumbing & Pressure Test
6. Eiectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
7. Footings . 56. Electrical Conduit�Undrqrnd.
9. Foundation , 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. . . - 60. Backwash Lines, P�Trap, O Undrgrnd. �
10. Structural Floor System . ,�: 61. APPROVAL TO DECK - �
11. Property Sewer Line & House Conneciion - 62.' Backwash & Receptor�Final � "
12. Sewer Cap 63. Heaier & Vent-Finai
73. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing / 65. Elecirical-Final � �
15. Rough Electrical-Conduit � 66. Sola� SYstem-Final ,
16. Rough EleCtric Wiring � 67. Fencing & Access ApProvai
17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
18. Ro�gh Electrical-T Bar Cetling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heatin9 & Air Conditioning ' FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. OuMs, Ventilating " 71. Product Piping OGat ❑Qil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Fram�ng 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashin9 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulatton 78. FIRE PREV. FINAL
30. Drywall Na�ling ' � � HEALTH DEPT. REQUIREMENT
31. Plaster BroWn Coat � ' 79. FINA� INSPECTION
32. Electrical Power Meter-Final � i 80. FOOD CERTIFICATE ISSUED
33. Final Electric i � Notes:
34. Final Heating & Air Conditioning �/��q��� �
35. Final Gas Pipe-Test �
36. Hood or Canopy �
37. Final Factorv Fireplace �
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final .
47. Solar pomestic-Finai
42. Backflow Preventer -
43. Backflow Irrigation
44. Landscape Irripation SYstem
45. Sound Attenuation
46. Handicap Regulations . ,
47. FINALSTRUCTURE&BUILDING
a8. FINAL P�ANNING .
49. Electric Release to Edison � '
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY .
No. Date
OW NER K. K, RO�BPS ..'.. ... . •� .. DATE 9-3-54
5-9 0
JOBADDRE33 -�,g; Knorrell Place BUILDINGPERMITNO. S17
GENERALCONTRACTOR Owner VAWE $ 9�5Q(1.00
LOT 9 BLOCK TRACT Z1C�E� RE51dP.i1CP.
INSPECTIONB
TrenCh
:ion Forms and Grade to
Heaking, Final
Sewer �' i�-ti•�'"E�
Septi�c Tank or Cesspool
Lathing
Plastering
Plumbing, Fin�al. FiMures
Plumbing, Final GasTest
Wiring, Final
Occupancy
Form 'L10 G-H lbf 1&68
TVPE V
IDATE
ZONE NL�
SUBCONTRACTOR
c
PiRMITSISSUED
NUMBER
�,. Cos#a Mesa Building Department n APPLICATION FOR PERMIT
� . 177 EAST 20th STREET �5�6+� �` � D ���, I
COSTA MESA� CALIFORNIA �
u,�p - � FOR Od'FICE USE ONLY
F��yrAt P�C� IN � Receipt No. Permit N
a�ud��9 ,__ _- - - - ��g-D S /
Address .
�i Received by Date Rec'd. Date ssu
C sta Me� California
q �i� J
rest �(/ / -/ — %�.j
CrouSk..� �""''�(i !� O i uilding S"i
,.�– � Address
Owner ^ . CO5ta, M05&� �i'B,�OTII1&
Address
No. r I Block
�� �' No. of Hldgs
Size of Lot >y,� /��,� Now on Lot
Useof �• ' ' No.of No.oi
Existing Bldg. I Familfea I Rooma
Setback Line from Rear Vard
r.��e...sc�.w e�aev�.d –
�
I hereby ac4
and state th��
with all Ci1
building con
Signature of
Permittee _
Valuatfon O�
$ q, syo.
FORM 2U4 G-H 2M 5-5
Addition I ��
Demoiish I
`1–Covering'�i _ /1 APPROVALS
/ ) Foundation Location Inspectoi
, Forms, Materials,
��-- � Under-Pinning
/ � Frame: Fire Stops,
,. Bracing, Bolts
I have read this Application Lath. InS.
correct and agree to rnmply Lath. Ext.
and Stat I.aws regulating
��� � Plaster, Int.
✓ �/'7
✓•- '�«— Plaster, Ext.
Masonry Reinforced
Total
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