HomeMy WebLinkAbout608 TERMINAL WAY - Building PermitsPNOJECT p0�flE55: ( O B TERMINAL WY
OWNEaS NFME: �OSE GREY SHOCK
aooness: 1130PECADOR DR
NEWPURT B�ACH
CA 92660
PPCHIENGINEEB: �� 1 9� 6 31 — S 7 3 6
nooeess:
flEG.NO.:
UNIT:
uxiT:
PERMITTEE: G,G, ROOFING (714)965-2387
nooness: 19792 POTOMAC
HONTINGTON BEACA CA 92646
LICENSEO CONTBRCTOP OECIABATION: I hereby allirm Ihat I am licensed untler pmvisions of C�ap�er 9(commencing wi�� Seclion
7000) ol Division 3 oi ��e Business antl Pmlessions Code. an0 my license is in lull �orce ai tlect
cirv uc.: 5/3� sTaTe uc.: 3 6 4151 cuss: �_ a
Date: � � � � � Signalure'.
WOBNEBS' COMPENSATION OEClAeA710N: I �ereby affir e a cenJ�al oi consenl ro self-insure ar a certificate of Workers'
Compensation Insurance. ar a certilied coDY ihereof (S � n . LaD. Cl/
roucrxo.: 1263417-93 %P.ORTE: O%IO1�94
coMvaxr. STATE rUND
. � Certiiietl copy i5 her¢�y �umi5�e4. G{ C¢rtitietl tOpy is �iletl with Ihe ciry BuiiOing Uivison
--{ Dale: �` � � � L � Applicani'.
IEXEMPTION FflOM WOPREHS'COMPENSATION DECIABAT10N: Rhis n need no�be co�9q e0ii�he permi�istorone hunOre0�5100�orless�.
I tetlify Ihai in �he periormante of �h¢ work fof wAit� IhiS per ' i55ueA. I Shall nOt employ any person in any manner So as to beCome
su�led �o �he Warkers' Compensaiion Laws al Califomia.
-� �
�ale: Signa�ure:
NOTICE: II. after making this Oeclara�ion. you s�oulU 6ecome suble�� �o the Workers' Compensa�ion pmvisions ol �he Labor
GoOe. you musl fori�wi�� comply wi�h such pmvi5lon5 or t�is permil s�all be OeemeU revoketl.
CONSTPUCTION LENDING AGENCY: I here�y a��irm Iha� �here is a cons�mction lending agency lor ��e perlarmance o� Ihe work for
w�ich this permi� is i55ue0 (Sedion 3097. Civ. C�.
�Noex:
aoosess:
OWNEN BWL�EP UECIAHFTION: I here�y aftirm �ha� I am exempt imm Ihe COnVac�ors' State LiCense Law �or �he lollowing rea5on
(Section 7031.5 Business an0 Professional Cade: Any ciry oi coun�y whi[h requires a permi� to constmct, al�er, impmve, demolish, or
repair any simdure. prior to its issuance, also repuires ine applicant Ior sucn permit b file a signe0 statement that helshe is IicenseU
pursuam to ��e provisions oi �he Conlrac�ors' Sla�e License Law (Chapter 9(commencing with Sec�ion 7000) a� Division 3 of �he eusiness
and Professions Code) or Ihat helsne is exemo< <herefrom ana Ine hasis for ihe allegetl exemD�ion. Any violation of Sectian 7031.5 6y
any apD�icant (or a permit subiects ihe apDlicant to a civil penalry of nol more lhan five AunOreO Oallars (5500�.
� I, as owner oi ��e pmpeny or my employees wilh wages as iheir sole comDensation, will tlo ihe work, antl ihe
�I ❑ s�mcNre is not intentled or oifere0lor sale �Seclion 70d4, Business an0 Pmfessional Cotle: The Con�racfars' S�ate �icense Law
does no� apDly to an owner oi a pmpeny who builds or impmves �hereon, and who tloes such work himseli/herself or t�mugh
�is or her own employees, pmvitletl Ihat such improvemenis are not inlende0 or offeretl lor sale. I�, however the huil0ing or
impmvemen� is SoIA wit�in one year o� campl¢lion. Ihe owner will �ave t�e burden of proving he/she ditl not builtl or imDmve
Ior Ihe purpose of sale�.
I,asowneroflhe propeny.am exclusivety coniracting with licensed coniractorsto consiNcithe pmiect(Section 704A. Business
❑ and Pmfessions CaOe: The ConVacbrS' Staie License Law tlaes not appty �o an ovmer o� pmperry who butlds or impmves �hereon
anU who tomrams lor suc� D�ole��s witA a coniramoqs) license pursuam m Ihe Conlrac�ors' State License Law). I am aware
Ihat proo� o� �heir Worker's Compensation insurance should be pmvitletl �o me.
� I am exempl untler Section: 8. 8 P. C.
for inis reason:
Date: Ownec
I tlo Aereby cenify Ihai I am aware o� antl untlers�an� Ihe requiremems ol Califomia Heal�h and Sa�ery Code Sections 25505. 25533, antl
2553a antl ihat I or any �Wure building occupanl wtlllwill noi �ciale one) neetl �o comply wi�h saiA staie cotles ana the requiremen�s �or a
permit loi conshuclion or motlitication imm Ihe Air �uah�y Management �iSVicl Residen�ial con5tmciion apDlications are exempt �mm
I�ese provisians.
Date: ADPlicanl:
I �ereby cetlify Iha� I have read ihis aOP�ication antl slate Iha� �he above in�orma�ion is correcl. I agree
oremances and slalelawsrelaling�o �uilding conslmction antl �ereUy�aulhorrzerepreSenlativesolihis cily
properiy loiinspection purposes.
�ate: � l� �— �� Signatur ' �
oriver's License or Social Securi�y
AOP��cani: Pink—Ravenue; Goltlenrotl—Assessor
CITY OF COSTA MESA - BUZLDING P£RMIT PERM NO: B 06396E
PERMIT NO; B 063966 PiAN C3ECK NO: N GUC�T: N SUPP; N
CONSTRUCTZON TYPE: S-N PERMIT TYPE; STR PURPOSE: ALT
SOB.DESCRIPTION : T/U B-U & APPLY NEW'MUUIFIEU TdRCH'DOWN SQ FT: 9,000
CLASM VAi,UE: 9,000.00 CALC-VALUE: 9,000,00 GROUP OCC: B-2 /B-1
COMMENTS: U13E BUILDSNG ENCOMPASSZNG ADDRESSES 608 THROUGH 620 TERMINAi WAY.
**�****�tx***�*��tr�t�ar#�*�**�t�t#*�**�x z+r*****at�*�**���r��#�r�c�*��c*�t*x ��#�*#�c��x****��r
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BCiILDiNG ---------- --------- ACCESSORY BIIIiDING ---------
FRNT: FT IN REAR: FT IN rRNT: FT IN REAR: FT IN
LEFT: FT iN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARRING REO: PROV; PARCEL: 00000000 ZNE: REF NO:
PLANNING NZiTE5?
f �� � �
iE iE jE 3E iE iE ie if iE 1E iE �If �3f -1G ## 1E �)f �1E IE # 9E iE �lE i(� lf iF if #?E iE if� iE iE ## iE �k if iF iE �1F iE iE 3F if ## 3E �3E iF if iF�1F'�(� 9E 1E k iE 1E �lE if if �)f 3E lE 3(�9F jF.if if if 1E �lP 3f iE 3f E%E
D E V E�L O P M E N T S E R V; C E S R E Q J I R c^ M E N T` S
�� �
ZONZNG APPROVED BY DATE;
BGILDSNG APPBO;/EJ BY : DATE: ��
� i:
APPLICATION ISSUED BY:�— �ia^-� DATE; ' /I
ifiEiEififfEiflFif3fiElEifl�lEiElElEiEiElfiEl�Firit � i�F 3F t�. �+e ,c;Fit'! i"F� Y�Fi—Fx5iirleiFi�i��fiflFlFiE-IF1E�1E�lilE#iF'/1Y-It-n� ieit#. ttfkif
i4iEiEiEiEiE�EiE-0E�1Eif3EiEif�lEdfifi(�iE�IEiFiEiEifil�lE#iEiEiE3E1E3EiE�ih-lE'rf1EiF#�lElE1EiE� blf�E###iE1FiE�lE3fiE�lE#ifiEjElElEit�E #jE1C�3F1(�3F�lE#�lEiEiEif
LEGALiZAT�ON:N F E E S O M M A R Y STRUCTU�7jASEGMENT:Y
e
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 108.00 -
SMIP/NON-RES
SSSUE FEE 1�89
HUiiDIDiG-DIV-> PERMZT ISSIIE PLAN-CHECK TOTAL PAID DUc
TOTALS----> 109.89 0.00 0.00 109.89 109.89 .00
REVENUE DIVISION TOTALS--> COLLECTED: 109,89 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
108.00 1.89
iE if iE 1! iE iE-IE iE iE iE iE iE iF i! 1E iE iE if fE �If iE 1E iE 1E iElf iF iE if iF �lE 1! iF iE 1E iElf 1F iE !E iE i! iE iElE �tlE # lf lFiE # if iE # iE #iE1E ik 1F iE fE �1F iF i4 # iF #iE # iP 1E if� 9E if !F?F iF
I N D I V I D U A L F E E B R E A R D O W N
TYPE QTY D E S C R i P T I O N UNIT COST TOTAi, COST
SFC 9000 REROOF BY VALUE COMMERCIAL NOZONE 1.00 9,000.00
END OF FEES
01 00t4475¢-001447`5 T+] T iO4.:,9
DRTE: OE/11153 TIME: iQ:00
CONSTRUCTION ANDPLANNING PO� �SPA
APPROVALS Permit # Date Inspector APPROVAIS Permit # Date Inspector
1. Temporery Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrqrnd. ,� 53. Sleei Reinforcement
3. Electricat Conduit Utiliry-Undrgmd. - 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding '
5. Steel Reinforcement _ 56. Rough Pfumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Cqnduit�Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test '
9. Water Pipe�Undrgmd. � ' � 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Fioor System ' 61. APPROVAL TO DECK �
17. Property Sewer Line & House Co`nnection 62. Backwash & Receptor�Final- �
12. Sewer Cap - � 63. Heater & Vent-Final
73. Roof Drains �� � 64. P�umbing SYstem � Final
74. fiough Plumbing . 65. Electricai�Finai
15. Rough Electrica6Conduit 66. Solar System-Final
tu. Rough Elect�ic Wiring , 67. Fericing & Access Approval
77. Rough Wiring Si9n 'i 68. APPROVED FOR PLASTERING
18. Rough EleGtricat�T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning 'FIRE DEPT, REQUIREMENT
20. Rough Factory Fireplace � . APPROVALS Permit #
21. DuCts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating . 71. Produci Piping � Gas G Oil
23. Gas Pipe�flough & Test ' 72, Underground Fiush
24. ftoof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Rodf Sh'eathing -,2,.- Q?J � L..� 74, Qverhead Hydro
26. T-Bar Ceiling (Structurai) &,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. Drywall Nailing � ��`��,,� HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat ' .'� 79. FINAL INSPECTION
32. Electrical Power AAeter,Final, � �� �, $Q. FOOD CERTIFICATE ISSUED
33. Final Electric ' •"-i, Notes:
34. Finai Heating & Air Conditioning �-
35. Final Gas Pipe�Test � �
: i-
36. Hood or Canopy •�' �
37. Final FactorY Fireplace � �
38. Pinal Plumbing � "'`-
39. Water Service-Final I � �
40. Gas Service-Final '� ,I
41. Solar pomesticFinal �
42. Backflow Preventer ;
43. Backflow irrigation
44. Landscape Irripatlon System
45. Sound Attenuation
:46. Handicap Regulations �
�4J. FINAL STRUCTURE & BUILOING �5�7 � � -
48. FINAI PLANNING
, / �� � .�i
49. Electric Release to Edison � ' '
'i
50. Gas Release to Southem Califomia Gas Co ��- ;
51. CERTIFICATE OF OCCUPANCY
No. Date
noaneant :o rin in au :
CI7Y,OF COSTA MESA . .. aeRnniT No.
CSNSTRUCTION PERMIT �C— SZ
Address
Contractor
1 herdby a1
rttenC��9 �
Professions
Phone
within heavy bortler lines anE 5ign all app�opriale tleclarations.
TRACT NO. LOT NO. �BLDG. NO.
.ARATION
untler prOvisions of Charter 9(com-
Division 3 of tne Business antl
se is in full force _antl _ effegt.
Dat��.�. �'� Si9nature
WORKERS'COMPENSATION DE R A �
1 hereby affirm that I nave a certificate consent to self-insure or a
�e{titicate of Workers' Compensation Insurance, or a certifietl copy
��,=qf (Section 3800, L2b.-C.). ' c ` ''l�n
��`� No. =OOiG�/C�ComPany J�� i�iTK N"
� ertitietl copY is hereby furnishetl.
�[,CertifieG-copy is filetl with the city Builtlin9 Oivision.-
EXEMPTION GROM.WORKERS' COMPENSATION OECLARATION
(This section neetl not be completeG if the permit is for one huntlretl
(5300) or less). . .- . - .' ' ' '
1 certifv that in the oerformance ot'the work for which thic oermiYis
TYPE OF CONS7RUCTION '
❑ NEW ❑ AOD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ODEMOLISH
❑ OTHER
OESCRIPTION OF WORK '� '
TYPE OF PERMIT. -
❑ GRA�ING�/ ❑ FOUNDATION ❑ STRUCTURAL'
❑ TENANT IA ELECTRICAL ❑PLVMBING ❑MECHAP
.t
❑ OTFiER'
PROJECT DESCRIPTION _' .
$p. FT. '
OCCUPANCY_CON57RUCTION7YPE
VALUATION � ZONE
GRAOING CU. VDS. ACRES
REMARKS:' � . .
PLUMBING
6673 IOLU,4/82 .
� �•�-F. �
ZC
A.P. �
ZONE
REAR VARD (T
PKG. SPACE RE
STREET WIDTH
NG APPROVED BV
IAL CONDITIONS:
N CHECK - -' � ELECTRICAL � ' �
oate -�-�—�^ Si9nature - - - -
NOTI�E: 1f a5tei makin9 this tle , you Shoultl become subject . TOILETS . URINqLS --""' '
to thR �^1o�kers' Compensation proVisions of the Labo� Code, you must
fOrthWith mmplY with sUch provizion5 or this permit shall be deemetl LAVATORIES OOUBI.E LAVS'-'"
�evok2tl. �
GON5TRUCTION'L'ENDING AGENCV ""'— "_"'.• "". - � KIT. SINKS - -- '^ "- DISHWASHERS "
1 hereby affirm that ther¢ is a construction lentling agency for the peo- SERV ICE SINKS � -. SUMPS - '
formance of roe work for which this permit is issued (Section 309] '
Civ. CJ. _ --- -- - FLOOR SINKS - - FLOOR DRAINS
Lentler's Name
Lentler's Atltlress DRINKING FOUNTAINS ' ' ' -
OWN&R BUILDER DECLARATION INTERCEPTORS - CLARIFIERS
I here�Y affi�m that I am ¢xempt trOm.the Co�t�actor'S License Law for
the to�lowing reason (Section ]031.5 BUsiness antl Protessions Code: _SWIMMING POOL- " P TRAP ' "'
Any ��tY'"or county which requires a permit to construct,� alter,
impro�e, tlemolish or repair any structure, prior,to its,issuance, also.re- . yyqTER SERVICE ALTERATION -
quir¢5 the appliCant to� sUch permit to file a signeiJ 5tatement tM1at he
is IlicePsetl pursuant to the provisions of the Contractor`s License Law. GAS SERV ICE' '"� �-� OUTLETS �� �
(Cb�ay ter 9(commencing with'Section�]000) of Division 3 ot the
F,.is;'y„'F�;gss antl Proiessions Gotle) or that he is exempt therefrom and the yyqTER HEATERS - gTV OUTPVT ''
I.",.x;,ifffo� the allegetl-ezeTPtion. Any violation ot SeCtion ]031.5 by
"'d ipplicant for a permit subjects the apPlicant to a civil penalty. -SEWERCONNECTIONS � -""�"
of`hot more'than tive huntlretl tlollars ($500�. ^
❑,I,_as owner of the property, or my employees witb wages as�their -SOLAR�TANK �—' �' COCLECTORS
SOIC cJmpensation, will tlo the work, and the structure is not intentletl '
or offCred for.sale..(Section ]044, Business antl Aofessions Code: The SOLAR PIPING SYS: ' - '`
Contrattor'S License Law tloe5 not appry to an owner of a property ,
who builtls or improves thereon,-and-who�tloes�such work himself or ' -ISSVE FEE - --- .-' �
through his own employee5, p�ovitletl that such Improvements are not
intentletl.or offeretl-for-sale. If, however, the�builtling�or improvemeni MECHANICAL PLAN,CHECK
is soltl within one year ot completion, the owner will have the burtlen
of p�Oving. he- tlitl not builtl-ov. improve to� tbe-pUrpose of sale). ryEATING SVSTEM Od00,000 BTU
❑ I, as owner of the property, am exclusively contracting with qND DUCTING '-' ''
licensetl conf�actorsto'const�utCibe"proje<t (Sectioa �044,Husiness 100,D0�+gTU
anB Professions Cotle: The Contractor's License Law tloes not apply to .
an owner ot property`who builtls or improves thereon, Bntl wM10 ton- REFRIGERATION 0-300,000 BTU
bacts �rom such projects with a contractor(5) licesnetl_pursuant to SVSTEM
the Contractor's License Law). " 100,000 + gTU
❑�1 ai'n exempt untl¢� $eCtion B. & P.'C. tor this g01LER5 � BTU ,
reason -
Date ! OWnev SVSTEM REPAIRr/>LTERATION
I herebY tertity tM1at I have reatl t�is dpplicatio0 antl stat¢ that the above EXHAUST SVSTEM MULTIPLE
into�matio� is Cor�ec . 1 agree to com ly_With all city anQ county
o�tlinaPces an state I s relating to wns ruttion, antl hereby autho�iae
representat'v of th'S ciTy to. e upo�� �the� above mentionetl �
propertY t r insp i n urpos . � � �
Signa W re Date
Driver5' Licen r. � _ �SSUE FEE
CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accountinq; Goltlenrotl-Assessor
PLNG. REF. �
PROVIDED
PARK FEE $ � �
_ DATE
PLAN CHECK -- i ,�
FT _ . . ..�, . .
B.OQ TL
" GENERATOR �" O-1 KW_140 KW"� � �
TRANSFORMER
' �APPLIANCE 70-50KW��SO+KW ' - '
. MOTORS � - Od HP_1-10 HP '}. r�.
- w - - - � (IN0. SOLAR) - 10-50 HP_- 501 HP. � .
" FIXTURES OUTLETS SWITCHES t, '
- " GAS TUBE SIGfVS - �
. . ' 'POLE LIGHTS � � �..�'. �. ._,. '
�ERED SV6.
IN . SU .. : �.. . {
: � '. __ '_ . ...i
.,_+ � ._ . __... _ ' . _ ' .�. .� -,� .
� � � ry
APPLICATION P.P7ROVED BV DAT �
SUMMARV OF.FEES"' � �^ ,
'BUILDING —' � � � -
PERMIT , __$ �� . �SMIP '. � $
PLHN CHECK $ PERMIT � - _. _.
- " ' ' ISSVANCE�$ � �
PLUMBING $ �
. ' GRADING"$ - ��
PLAN CHECK $ @ ' � ' J ' �
ELECT0.ICHL S �7 "�� `$ � i:i,'. .�
PLAN CHECK $ ' -MICROFILM $ -
MECHANICAI. �$ � TOTAL FEE $
- � LE55 AD- a -
PCANCHECK _$ � VAI4CEPC $ -
. . -� FINAI FEE $$.� � tL. �
_. . . _ .� - K ' " '. .
� a ,
CONSTRUCTION AND PLANNING ' POOL & SPA � � � � � �+' � � � .,.
S'-�id�l•1 Date Inspector.. �� � - � � .� Date� ' Inspector
APPROVALS Permit # ---_-f_ . APPROVA'LS � � � ` � � Permit.# � =- � � - - - -- -
1. Temporary Electrical Service or Pole ' ,� � �- 43.. Pool & Eguipment Location - - �� �
P 9 _ 44__ _Steel Reinforcement .
2:-�"Soil Pi e-Undr rn. � �r . >, - - � -- - ---" --
3. Electrical Conduit Utility-Undrgm ' . 45: Forms-� " � ' � � � ' -` �- " ' " �
9 _ _ ___„_ : _ . .. _ 46.. Electrical Bonding• ' ; , �
� 4. Electrical Conduit-Undr rn - � - _ - ' � -
. tee ein orce• � , .' - 47. Rough Plumbing & P7essure Test ' � '" ��-' - - � � �
� �6. Electrical UFER Grn '��� ' �'-'� ` � � 48.,, APPR�VALTO COVER=GUNITE� � � � � � �. � ' � �
i 7. Footings . - - 49. Elec"trical Conduit-Undr m . � � � �� �
��8. � Foundation �r ' .. � _ 50. � GasPipe, ❑ Undr rn, Test ' � -
' 9. Water Pipe-Undrgrn ' 51. Backwash Lines �P-Tra O.�Undr m .i��- '�'��
..10. Structural Floor System � � 52. APPROVALTO DECK � � - �
11. Property Sewer Line & House Connection ' 53. - Backwash & Rece torvFinaf ��
� 12. Street Sewer Connection � • � �� 54. Heater & Vent-Final
13. Rough Plumbing - ' -� p
14. Rough ElectricConduit � - - ' �56. Electrical-Final " ' � �
•�15. � Rough ElectrioWiring �� ' - - - 57. SolarSystem-Final�� � - � ' --
.16. Rough Heating & Air Conditioning . � � . - � • Fencing & Access Approval. � , - � � '
17. Ducts, in Structure � - 59. .APPROVED FOR PLASTERING . -
18. Ducts, Ventilating ' � . . - - � - ` � - - � -
- 19. Gas Pipe-Rough &Test - ' . � 60...POOL/SPA SYSTEMS FINAL ' ' � -�
20. � Roof Framing ' - � ' � � -: .. . - - � � - ' � ' � �
21. . Roof Sheathin - � - - - � - � - . ' . �
22. Frame and Flashin - ' ' � � NOTES: - �.. _ � . � � � � • ' �
23. Insulation ' " � -- --� - - -� - � �
24. Lathing & Siding - . . • ' .. . . . ' - - -- - - ' - - '
25. Drywall Nailing � ' .- '�- - .
26. Plaster Brown Coat • � � ' � � ' -
�27. Electrical Power Meter-Final ° � '_ /g.$- (�._ . � - - � � � � � - � � ` �.
28. � F.inal Electric � • ' � � �i � -� � I � � � ' ' ' ' � � ' "'
29. Final Heating & Air Conditioning I � � ' - - � � � •� ' ; . �
30. Final Gas Pipe-Test �" � - '•
' '31. Final Plumbing ' � � � . � �
32. Water Service-Final - " . - - 1. - � . � �
- i33. . Gas Service-Final � ' "' � � i ' � � - � ' '
34. Solar pomesticFinal. • � � ' ' ` - � -- ' � - '
35. Landsca e S rinklin S stem 'i�� ' ' • ' ' ' � �
'36. Sound Attenuation ' ' ' � �
37. Handicap Regulations � � � ' ' � . � � � �
-38. FINAL STRUCTURE & BUILDING � � - - "
,39. Special Requirements Completed � �
'40. Electric Release to Edison �
41. Gas Release to �Southern California Gas Co. � ' '
42. �CERTIFICATE OF OCCUPANCY . � � �
�.
No Date - - .. . . . . . .
� _
NER
GENERALCONTRACTOR
GROUP 1'��
INSPECTIONS
Foundation Forms and Gra
Rough Framing
Plumhina. Rouah to Slab
Heating, Rough
Heating, Final
Sewer, House Sewer, St.
S� ''c Tank or ess Ool
L .�ng, In i Out
Plastering
Plum6ina. Final. Fixtures Comolel
0
K & BAZIL DATE
erminal 4Tay sui�oi
, $j�T. VALUE
BLOCK TRACT Npt,. Mesa IRt
TVPE V ZONE MZ FIRE D
IDATE I SUBCONTRACTOR %I I�A
PERMITS ISSUED
LMBER
/ � h i
Wiring,Final I I �G�;lu,e�J��T����l—`-��.�-. x�-�f�
Occupancy
FOHM 210 3M �a..� � � . l�659
" C.�d- �..� �',-�,�- �� 6T 5�i 3 3
�� , ��`39 FEE RECEIVED �
G`OSTA�MESA BUILDIN6 DEPARTMENT �1„ �� �.y ��1 S'J� ��
P.O. BOk 31� �/\
COSTA MESA, CALIFORNIA FINANCE DEPT.
FOR APPLICANT TO FILL IN APPI.��AQFI�@$TI�BG�SAPERMIT
aui�oirvc
ADORESS
OWNER
0 8 -�e<vwwh,a,�i �
COSTA MESA, CALIFORNIA
� � . %� '
MAIL [,���
ADDRESS !
ER
LIC.
NO.
/� � CITV LIC.
CONTRACTOR L: _%� NO.
AD�RESS
LEGwL NO '�G�
OESCBIPTION
A.P. NO.
%/�— `
size � � � x � ��
OF LOT
USE OF 'a� � I
EXISTING BLDG. �
�E,a.�K � �E FaoM � k .
CENTER OF STREET
J ^ _�[,
NO� OON LOTS I
ow
SIDE YARD RIGHT l X � LEFT C f
DESCRIPTION OF WORK
r.
NEW A'LTERATION ADDITION
i
REPAIR MOVING pEMOL15H
BLJILDING `OOM t NO.OF
SIZE � 1.Q ROOMS STORIES
EXTERIOR WALL ROOF
COVERING i COVERING
��w�Is�X �-v:
1 H EBY ACftNOWLEOGE THAT 1 NAyE FER� iH15 AP
STF TMAT TME A90VE IS CORRECT qND l�GFEE TO COI
CITV OR�INANCES ANp $TFTE LPWS REGULFTING BVILU
TION. t 1 ..+� /'� D
SIGNATl1RE OF 14� I/\ I M . _�. I I
AUTHO
o /2
i•
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO, pEAMIT NO.
S�`
FECEIVED BT Dl�TE RECENEO pATE ISSUE
�o _ �_ �.� �� 3-� -;
BIIILOING
COSTA MESA. CALIFORNIA
APPROVED
BY
nr��
C1TY �
�-�
SUBJECT
DATE
�EFT. REG.
CONSTRUC
VALUATION
PERMIT FEE S
3/ O r PLAN CHECK S
5
TOTAL FEE $
U
OWNER (inMARK &-RAZIS. -' DATE 1-�1-5T
JOBADDRESS 608 Terminal Way BUILDINGPERMITNO. �(�'1Fjn
GENERALCONTRACTOR Owner BZCIT'� ` VALUE m].3�800�00
�_.. N�1�07 BLOCK rancr Newport Mesa Light M£g.
IN PE�TIO�� NS__
vt.�ca•rv �
Footing Trench � �
� n iv�+—
Founda i3iigForms and Grade to
Rough Framin�
Plumbing, Rough to Slab ��
Plumbing, Rough Complete
�/Heating, Rough j�,
Heating, Final
�wer Giy� Sewer St. Y{�
Sr-'�c Tank or Ces pool
L ag, In � Out
Plastering v
Plumbing, Finai, Fixtures Completen
Plumbing, Fin.al GasTest/ f- �/j
Wiring,Final c���
Occupancy %
�'FOPM3IA 3M 10�55 (��� /y�(l)
DA
�i
1
SUBCONTRACTOR
PERMITSISSUED
DA� NUMBE
-�/�� 8oi/S--
� y� �
-v-s � - �r � y.�
.�i._c� G/lii�
� /i /<L�
4ieo
'r �osza mesa nuucung Lepartment
•. �., . P. O. Boz 3!7
�-, COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
Buflding Qg FR I"1 t N W
Addresa
Costa Mesa, California
Nearest p tt E7 .i..
Cross St. . ni �* sr F, � J
Owner ��/✓�AR K ['1'� �E4ZLL
�! q
ZD Z
(Attaeh Metes and Bour
oKl`Fa ARTo
izeofLot /S�Y fi
Use of �_,
Existing Bldg.
Setback Line from �_
Building
l
City Lic.
� No.
— az U O ' �-
� I Block I r'act�/,y
dg>W.3o`cF f, i3o'
�' No. of Bldgs
(� I Now on Lot �
No.oi No.oi
Familles Room:
Rear Yard
i Side Vard !Y
Alteration
Moving
_ No.c
Addition
Stories �
:�YP1.1C;EirluN r'utc, r�icivu•i•
m�:z3 BUiLDING '
FOR OFP'ICE USE ONLY
Receipt No. Permit No.
,�!/ r�0
Received by Date Rec'd. I Date Isiued
.�l ia- �a�14 /- :<.�
Costa Mesa, California
Nearest
Crou St.
Zone/�,� No.of Type Group
/ � � I Plans I 1
Approved
by Date
CORRECI`IONS �
�C. ��Covering�' y�� APPROVALS
— / ' Foundation Location Inspector
Forms, Materials,
H�-"'(�.' . Under-Pinning
Frame: Fire Stops,
Bracing, E
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building construction. Lath. Ext.
Signature of �.yp �j
Permittee /, �l �, Plaster, Int
Valuation Permit Fee $ ,3 0� '—
�3i �� �% -- Pian Check $ —
,g�� Total � `
Fee
FORM 206 10�55 D. P. G 5.
eeam
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f
Date
1 LV 1 1 L[ll�
Show loeatlon and distancea irom
�c , property Iina and between buildinpa
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C087A MESA BUILDING DEPART,._NT 1T0 ��� C
111 Eaat 20fh Street lr
Coeta Mesa, California / ,.
Date._...._...L..�.....".........1...�. ""_�' �"'
CITY OF COSTA �MESA
CERTIFICATE OF OCCUPANCY
�Q �Q ..�J �
Builtling Permit No.,..../��� riwl Ppermit No.�/�"..Plumbinp Permit No..:.'..�.._--...
Ux ot Buflding...�./_�JY..�.....���A<..'.....�1�`/�ilA,r�r
. � _ ,.y......_ .......... ............._... ---� ................._......_.---..
F � �S"-- /� .� A/i .v,a L ,t i^ �
Th b-u� -Iding loeated �at .:.............'_".............................................."""....""•""... "'..._.I'�..�..............
(�' "/Y .•'...F:....��-`�'..:��",...�!/�sA ..................................
........_ ..... ---...--��---......----.._._....---�---......
. �, j �� � ��—i��-��- 2 T���L� .�?"..�1.�s.�
�ot ..............................._........... a� k......................... ............ ..---..
($ee rcverse nide tor Metes and Bounds) � T
has been inspec[ed end found to comply„v�'�th the provisions of all Ctity of Costa Mesa Ot-
dinances applicable thereto for a Group_C...�.�......Occvpancy.
ISS�UEq TO: ' l A. JGVOLZ � �
��'3+"�l/R R k� L�4Z / L ck j'�4�ng Q9i�i `"`
, .,�' /
........;......_..........."" ......... ..............."'......""'...... , GGG.!"'/!/f J
(Owner of 8ulldinp) By._.-'...�7F�:......_ ......... ..........f.....1:�
CC: ❑ Original—Owncr ❑ lst rnpy—Gas Co. ❑ 2nd copy—Edison Co j3rd copy—Flle
Form ZO6 GH �M IL69