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Home My WebLink About610 TERMINAL WAY - Building Permits��I �� PflOJEC1.AU0flE55: (lO TERMINAl WY OWNCA'�.NamE:ROSE A. GREYSHOCK, TR d5oness:1130 PESCADOR DR � CAW9�2660HEACH (714)631-4897 AflCHIENGINEEfl: AOOflE55: UNIT: HEG.NO.: UNIT: PEflMITTEE:ROSE A. GREYSHOCK ( 714 ) 631-4897 � FODflE55: 1130 PESCADOR DR NEWPORT AEACH CA 92660 LICENSEU CONTNACTOfl DECIAflFTION: I �ereby ai�irm tha� I am licensed untler pmvisions o� Chapter 9(cammencing wi�h Sec�ion 7000) ol Orv�sion 3 oI Ihe Business and Pm�essions Cotle, an0 my license is in full force anE ellect. CITY LIC.: STqTE LIC.: ClASS: �ate: Signalure. WOflKEflS' COMPENSpTION OECLAflATION: I hereDy a�hrm ��at I have a certifica�e ol conseni to sel4insure or a certilica�e o� Workers' Compensalion Insurance. ar a cerlilied copy ihereol (Sec�ion 3804 Lab. C�. POLICY NO.: E%P. DATE: COMPANY: � Cenitietl copy is hereby lurnished. ❑ Ceni�ietl copy is filetl wi�h �he ci�y 6uiltling Division. �ate: Npplicant E%EMPTION FBOM WOPHEB$'COMPENSATION DECLI�BATION: Qhissec�ion neetl nolGecomple�edi�the Oermitisforone �un4re4�E100�arles5�. I reriily Ihat in Ihe performance oi �he work for which �his permi� is issuetl. I shall noi employ any Derson in any manner so as �o become sublec� lo the Worker Compensa�ion laws ot Cali�omia. Oale: �� Z �� Signa�ure��'Q-t.+ � NOTICE: II. alter making Ihis Ueclaraiion, you s�oultl �ecome subleci Io �he Workers' Co pensaiion D�ovisions of ihe Labor Coee, you mu51 fatl�wiih compty wi�h such pmvisions or Nis permi� shall be tleemeE revokeA. CONSTPUCTION LEN�ING AGENLV: I hereby a�firm Iha� �Aere is a constmction lending agency lor ��e pedOrmance oi Ihe work lor whic� Ihis permi� is issuetl (Sec�ion 3W7. Civ. C�. LENOEfl: AOOflESS: OWNEP BUILOEH OECIABRiIDN: I here�y afiirm Iha� I am exemp� �mm the Coniracrors' S�a�e License Law for lhe �ollowing reason (Secimn 7031.5 Business an0 Prolessional Cotle'. Fny city of counry which repuires a De�mi� lo cons�mct, alter, impmve, Oemolish, or revair any s�mcWre, prior �o its issuance, also repuires the apPlicant for such permit m file a signeU statement ihat he/sne is licensetl pursuam ta Ihe pmvisions ol Ihe Con�ractors' State License Law (Chapter 9(commencing wi�� Section 7000) ol Oivisian 3 0� Ihe Business and Pmfessions Cotle) or Ihal he/s�e is exempt �herefrom an0 �he basis 1or �he allegetl exemp�ion. Any violalion of Section 703L5 by any apPlicant lor a permit suble��s Ihe aDPlicant to a civil penalty of not more ihan tive huntlred Oollars (E500). I, as owner ol Ihe pmperty or my employees wit� wages as their sole comDensa�ion, will tlo t�e work, and [he ❑ s�mcWre is no� in�entled or olleretl for sale (Seclion 7044, Business antl Pm�essional Code: The ConUactors' $late License Law tloes nal appty to an owner o� a pmpetly who builAs or improves Ihereon, ana who tloes such work himseli/hersel� or �hmugh Ais or her own emDloyees, proviaetl tha� such improvemen�s are not intentletl or of�ered �or sale. A, however Ihe builtling or improvemenl is soltl wi�hin one year ot cample�ion. Ihe owner will have �he burden o� pmving he/she OiA no� bui10 or improve far Ihe purpose ol sale). I, as owner ol I�e pmpetly. am erclusively contrac�ing wi�h licensed conVactors �o conS�mcl Ihe prole�� (Section 7044, Business ,� antl Professions Cotle'. The ConUactors' S�a�e License Law does na� apply �o an owner o� DmDe�Y who �uilUs or improves ihereon and who coniracis lor suc� pmlecis with a coniroctoqs)license pursuant m t�e Contracmrs' Slate License Law),I am aware Ihai pmol of Iheir Worker'S Compensa�ion insurante 5houltl be provitlee �o m¢. � I am eeempi unUer Seclion: B. 8 P. C. for �nis r¢Iason: I � Z / �/ � � �_ � p �aie: `F� l/� 1 / 7 Owne�i`9_e— �l, ib"r-� •��o �"`-i I da hereby ceridy I�ai 1 am aware ol ana unders�antl Ihe requirements oi Calilo �a Heallh antl Sa�ery Co Seciions 255U5, 25533, antl 2559a antl �Aat I or any lu�ure buil0ing occupant will/will no� (drele ane) neetl �o camDty wiih saitl s�aie co0es and Ihe reQuiremen�s for a permit fa� conslmclion or moaificalion Imm Ihe Ni� Oualily Management DisVicL FeSiAeniial consimclion applications are exempt Imm IhQSE P�Ovi5i005. �a�e: ApPhcanc I hereby cer�ily Ihal I have reaU Ihis applica�ion and Slaie Iha� �he above informaiion is torreci. I agree l0 tomply wiih all tiry antl counry ortlinances and stalelawsielalingio buil0ing cons�mc�ion antl hereby aNhorizerepresenia�ives oflhis cityto en�erupon�he a�ove-mentionetl pmpetly �Or in pet�i0n purpo75e5. � �� / Oaie: �� / Signa�ure��-� Q� �S`�[.4N��"'�� ori�ers ucense or sociai secudty i64La6 White—Butltling', Green—Cotle Eniorcemenf, Canary—Applicanf, Pink—Revenue; Goltlenrod—Assassor CITY OF COSTA MESA — BUILDING PEkMTT PERM NO; E 061064 PERMIT NO; E 061064 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: PERMI7' TYPE: ELE PURPOSE; OTH JOB DESCRZPTION : 100 AMP ELECTRICAL SERVICE SQ FT: CLAIM VALOE; CALC—VALUE: GROUP OCC: / COMMENTS: ELECTRICA�ETE:R (100AMP) �1(� 3F 3F if if �IFit i! ik iF iE iF iEjE9E iF iF iE if iElk iE iF# iF iF iE iE 3F �X�if 3f if if i!!f iP if if 3E iE iE iF iE iF iEjk �E iE 1f 9F * it iP iF iF�%�-lf if iE -IFiF df dk �JF-0(-�)f �%�lE iE iE iE iE �� 1Fjf i(� if �lE Z O N I�1 GS F.RTEB�AUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN fiRN7'; FT IN REAR; FT IN LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGH'.C; F'C TN PARKING REQ• PROV: PARCEL: OU000000 'I,NE; REF NO; PLANNING Nt3TE5> i ****��*��*�*�r*x��r�r�x**x�**�-****��**�*��r*��r�*x****�x****��c�***��r*��x�c�*�*�*x��c* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY � DATE; BUILDING APPROVED BY : " DATE; . .'n , e _ i . _ APPLICATION ISSUED BY iF iF iE iE 3E �]E k if iE iE 3t 14 �k ik 16 if �E if 1f if ik it iE 1E ik 3E it iF )F iE 3f iE it iE 3E ik iE iE iE iE 1E i(� LEGALIZATION;N HLDG PMT PEkMIT iF fE iF if # it iE iF 3E 9E if iE iE iE lE 3E iE # i(� ib iE iE * 3E�E iF # iF F E• E S U M M A R Y PLUMBING ELECTAIC MECHANIC 18.50 . 503 iE fE iE iE �E iE 3h 3f jE �F if df iE iF ih jf 3E 1E 3E iF 3F iE 3f iE iE iF �1F iE STRUCTURAL SEGMENT;N FIkE SMIP/RES GRADING SMIP/NON—RES PLAN ISSIIE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PEAN—CHECK TOTAL PAID D[JE TOTALS----> 18.50 15.00 i 0,00 33.50 33,50 ,00 REVENUE DIVISION TOTALS--> COL�ECTED; 33.50 OVER/SHORT: .00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GkADING PLAN—CHECK 33,50 iE 1EiE iE �E i! iE iE iF if if iE if iFlt iF it ik if ik iF if ik iF i(� iE iF it fE jE if� # if iE 1E !k �F iE it iE �� iE Ik it if it 1ElF #`!E iE iE iE iE it iF iE iE iE 3E 1E iE if iE k ik 1f ik 7E iE iE iF 1f aF N� iE if i(� iE I N D I V I D U A i F E E B R E A K D O W N TYPE QTY D E S C R Z P T I O N UNIT COST ELE 1 SERVICES BELOW 600�V 6 HELOW 201 AMP 18.50 ��HND OF FEES T'OTAL COST 18.50 C¢�JSTRUCTfON AND PLANNWG PO � SPA P.PPROVALS Permit# Date Inspector AppROVAIS Permit# Date Inspector �* Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement �. 3. Eiectricai Cor�duit UtiliCy-Undrgmd. 54. Forms � � 4. Electrical Conduit-Undrgrnd, 55. Hectrical Bondir�g 5. Steel Reinforcement 56. Rough Piumbing & Pressure Test � 6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Co�duit-Undrgrnd. � 8. Foundation 59. Gas Pipe, t7 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash �ines, P�Trap, O Undrgrnd. � 10. Sauctural Floor System 61. APPROVAL TO DECK , 11. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final � 72. Sewer Cap 63. Heater & Veni-Final � t3. Roof Orains 64. Plumbing Syscem - Fina! 74. Ru�gh Plumbing 65. Electrical-Final 15. Rough Electncaf-Conduit 66. Solar SYstem-rinal � 76. Rough Electric 4Viring 67. Fencinq & Access Appruvai � ; t7. Rough Wiring Sign 68. APPROVED FQR PLASTERING 18. Rough Electrica7-T Bar Ceil�ng 69. POOUSPA SYSTEMS F�NAL 19, Rough Hea2ing & Air Conditioning „ FIi�E DEPT. REQUIREMENT 20. Rough FactorY r+repiace RPPROVALS. Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas OOiI :r3. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framin5 � 73. Undergmd. Storage Tank O Gas `� Qil 2�. Roof Sheaihing 74. Overhead Hy:sro � 26. T•Bar Ceilirg (Structurail & Monocwt 75. Dry Chemicai 27. Frame and Flashing 76. Dry Standpipe 28. lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation � � 78. FIRE PREV. FINAL 30. Orywall Naiiing � j'� j HEALTH DEPT. REQUiREMENT 37. Plaster Brown Coat �/��f�^"'- 9. FINAL INSPEC7ION � ' -� - 32. Elecerical Po�^.'er Meter�Final ��f,'�1� "0. FOOD CERTIFICA7E ISSUED �.-�� 33. Final Electric ��; Noces: 2-�8-Q� �O�( G t� _ 34. Final Heating & Air Conditioning � j � 35. Final Gas Pipe�Test � � � � 36. Hood or CanOPY � i 37. Final FactoN Pireplace , � � 38. Final Plumbing �'j 39. Water Service�Final � � � 40. Gas Service-Finai � E 41, Solar pomeseicFinal ' ' i t � 42. Backflow Preventer � � Q3. Backflow irrigation 44. Landscape irriqation SVstem 45. Sound Attenuaiion 46. Handicap Regulations i 47. FINAL STRUCTURE & BUILOlNG � 48. FINAL PIRNNiNG I �, 49. Electric Release to Edison �� 50. Gas Reiease to Southem Califomia Gas Co ' . 51. CERTIFICATE OF OCCUPANCY � No. Date � �I PflOJECiAODHESS: 61O TEkMiNAL WY OWNEH'SNAME:ROSE A. GREYSHOCR, TR aooaess:1130 PESCADOR DR NEWPORT BEACH CA 92660 AXCH/ENGINEEfl: `714 � 631-4i97 FDOflE55: NEG.NO.: UNIT: UNIT: PEflMITTEE:ROSF. A, GREYSHOCK f714)631-4697 PODflESS: 1130 PESCADOft DR NEWPORT AEACH CA 92660 LICENSEO CONTHACTOP UECUINAIION: I �ereEV T��inn Ihat I am Iicense0 unAer provisions ol Chapter 9(commencinB wit� Section 7000� ol Orvision 3 0l I�e Business antl Piofessions Cotle, antl my license is in tull force and effect. CITY LIC.: S@TE LIC.: CLASS: Oate: Signamre: wONREAS' COMPENSpTION OELuflpTION: I nere�y atfirm rt1a11 nave a tenilicate of consenl to sel4insure or a certilica�e of workers' Compensalion Insurance, or a cenilieU copy Ihereo� (Section 3800. Lab. C). POLICY NO.: E%P. OATE: COMPANY: ❑ CertitieC copy is nereey lumisned. ❑ Cenifiea coDY is IileO vnin ihe dry BuBeing Oivision. Date: Applicant: E%EMPTION FPOM WOPI(EPS'fAMPEN$ATION OECIAPRTION: (Thissection neeE no�6ecomDleleOillM permlisloro� huntlrea�5100�orlest�. 1 cetlify I�al in IAe petloimance ol I�e work lor which t�is Dermil is i55ue0, I shail not em0loy any person in any manner so as to �ecome su�l�� o the Workeri fAmpensalion Laws of Calilomia.�Q L' / Dale: �.� . 9� Signaiure: / 1 /.� .a.�h � NOTILE: II. afler making Ihis Oeclaralion, you 5hou10 become subjec� lo [he WoBe Comvensation D�ovisions of iAe Labar Code. you mus� lotlhvnt� comON �Ih suc� Omvisions or Nis permit s�all be G¢emed revoked. CONSTBUCTION LENOING AGENCY: I hereEy a��irm t�al t�ere is a constmc�ion lentling agency lar ��e pedormante 01 the work �or w�ic� this permit is issuetl (Seclion 3097, Civ. C�. LENDEfl: AOOFE55: OWNEB BUILOEP DECLAFATION: 1 hereby ailum t�al I am exempl fmm IAe Conlractors' Stale License Law tor t�e lallowinp reason �Seclian 7091.5 Business antl Pmlessional COUe: Any city ot counly w�ic� requires a permit lo con9mcl, alter, improve, demolis4 or ie0air any slmclure. prior to ils issuance. also requires ��e applicani for such permil lo �ile a signea s�abmen� �ha� �elshe is licensetl pursuam m ihe O�ovisions of �he Convactors' State License Law (C�apter 9(commencing with Semion 7000) ol Division 3 01 t�e Business and Pmles5ion5 Cotle) or Ihat he/s�e is e�empl Ihere6om and Ihe basis for Ihe allegeU ecemp�ion. Any violation ol Section 7091.5 by any applicanl �ar a permi� suGlec�S Ihe applicant to a civil penalry o� not more than live hundreU tlollars (5500�. I. as owner ol ine propeny or my employees with wages as iheir sole comoensation, will do �he work, ane Ihe ❑ slmclwe is nol inienGea or ol�ereC lor sale (Secbon 70aa. Business anJ Pmieuional Cotle: The Conirac�ors' State License law tloes nol aOPty lo an ownei of a propetly who �uilds or impmve5lhereon, antl who Joes 5uch wofk himsell/hersell or Ihmugh his or her own employees, pmvidetl Iha� suc� impmvemenls are no1 intenaetl or oflerea �or sale. A, however IAe building or imOmvemenl is SoIA wiihin ane year ol comple�ion. the owner will have �he burGen ol proving he/she aiA not builA or impmve for Ine purvose ol 5dle�. I. as owner ol I�e propeny, am exclusively comracling wil� licensed wnlractors �o cons�mc� �he pmjec� (Seclion 7044, Business � anA Pmlessians Code: The fqniractors' Siate License Law does nol a00ty ta an owner ol propehy w�o Duiltls or im0�ovu I�ereOn an0 who comrac�s lar suc� D�qecls vnt� a wmracmqs�license pursuam to t�e Conlractars' Stale License Law�.l am aware tlu� piool ol t�eir Worker'S Compensation insurance shoulE Oe pmvided m me. � I am exempl untler Section: B. 8 P. C. lto_r inis reason: ,�Q ,y� " � � Dale: �/l12c-e.ee� � y /� Owner: 0 I h¢.¢- /""-'='�/� I �o h¢r¢Dy cemly Iha� I am awate oi anC unAer5lan01he requirements o� Cdlilomia Healttl anA $aiely e Sections 25505, 25533. ane 25594 an01na1 I or any luture Uuilamg occuvanl wiNwill nol (circle one) neee to comply with Saitl state coaes an0lne requiremenis lor a permi� tor mnsimtlion or motlilication �mm Ihe Air Oualiiy Managemenl Uisirict. Resitlenliat wnslmc�ion a001icaiion5 are exempi �mm Ihese O�ovisians Oate: p001icanl: I �ere�y cerlily IAat I have reatl ��is ap01¢ation an0 s�a�e Ihat ��e aDove inlormation i5 corretl. I agree to compy witM1 all ciry and couniy oitlmances anU stale laws relaiing Io �uil�ing con5imclion anA �ere0y auUwr¢e reDresentalives af ihis ciry to enler upon Ilie abOve�menlione0 pmperlry_lo-r inspeclion purpases. � /� Date: (r��-�4/ � 93 Signalure: �' DI .�/-P C� i—"`^s"`�^„t'z-� Driver's l.icense ar Sacial Securiiy 16<ba6 While—BmlOiny; Green—Co�e Enlorcemem: Canary—AO��ant; Pink—Revenue; Golaenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 061171 PERMIT NO: E 061171 PLAN CHECK NO; N GOVT; N SUPP; Y CONSTRUCTION TYPE; PERMIT TYPE; ELE PURPOSE; OTH JOB DESCRIPTION ; 100 AMP ELECTRICAL SERVICE SQ FT; CLAIM VALUE; CALC—VALUE: GROUP OCC: / COMMENTS: P&RMIT FOR SUHPANEI. RE;#E61064 +��t+�+�x�xx�x*+rx **�*�r�*+�*+t*�-*�+�+�*�rx��*�tit� �*�r*x�*x�t x ��r� x ��**x��r***��*��x*�x x*x—�x Z O N Z N G R F' Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCE5SORY BUILDING --------- FRNT: FT IN REAR: E'T IN FRNT: FT IN REAR: FT IN LEFT: E'T / IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL: 00000000 "LNE: REF NO: PLANNING Ni3'I'ES> i �r�ex*�r��e�*��*�r**�***�r�r*�r��*�r�r�r*��r�r*�*x*�x*�*�*�******#*�r*****+�*�*�r*��r�*x**��*** D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLZCATION ISSUED BY: DATE• 1E it if iE IF if iE if if if �f iE it ik iE ik k If iF ih ia iE iF7F7F'iF3F7F3FlF�TF3F'iF3FiF7fiF3FiFif ir iF iFiF if ii"i}7f7riFi't3FTi� rt 1t lf iE %� X� i(� 1E ik IE .� � � e e-a �r � if iF�IE !E if iE 1E 3f iE iE I4 iF ff iE iE iE iE iF ik iE iF 3E iF iE 1E if iE 1E 1F if iE if ik if iE �k iE �f 1E iElf fF 3F 3E if 1E iE if if if iF if iF fE iE 3F iFiE iE # iE iE IE iF if iE N� iE iF%ib i! if iE M� 3E it iE iE iE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC M�CHANIC FIRE SMIP/RES GRADING PERMIT 11 00 S03 SMIP/NON—RES PLAN ISSUE FEE 4,50 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 11,00 9.50 0.00 15,50 15.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 15,50 UVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 15,50 iE iE iE iE fE iE 1E i! 1E if iE rt iE iE iE if if k iE if if iE iE jf iElF iE jElE jFlE iE 1E iE if 1E 1f iP iE iE iE iE iF ik iE iE if �1E it iP if if iE if iE iF if iE iE IE IE ik # if # 1E iE if iE aE 1E �E iE if 3E iE if !F dE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SUB—PANEL 11.00 11.00 ,' END OF FEES EXPIRED IncOm Iete InspectlonS �tc �� ' � . i r� F} 'J� CONSTRUCTION AND PLANNING APPROVALS Perm�c $`- i. Temporary Electncal Service or Pole 2. Soil Pipe�Undrgmd. 3. Electricai Conduit Utility•Undrgrnd. 4. Electrical Condult-U�drgrnd. 5. Steei Rei�fo�cement 6. Electrical UfER Grnd. 7. Footings B. Foundation 9. Water Pipe�Undrgmd. 10. Structural Ploor System 17. Praperty Sewe. Line & House Connectio� 12. Sewer Cap 13. Roof Drains 74. Rough Plumb�ng 75. Rough Electrical-Conduit i6. Rough Electricl-Viring __.. _ ___. . _. . . . . i 7. Rough lNiring Sign 18. Rough Electrical-T 6ar Ceihng 79 Rough Neating & Air Conditioning 20. Rough Factory FireP�ace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & 7est 24. Roof Framing 25. Roof Sheathing 26. T�Bar Celing (Structural) & Monocoat 27. Frameand Flashinq 28. lathing & Siding 29. Insutation 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. Finai Pactory Fireplace 38. Final Plumbing 39. Water Service�Final 40. Gas Service-Final 41. Solar pomestic�Fina� 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46. Handicap Regulations 47, FINAL STRUCTURE & BUILOING 48. FINAL PLANNING 49. Electric (ielease to Edison 50. Gas Release to $outhern California Gas Date Date POOL ?A Inspector APPROVALS Permit # Date 52. Pool & Equipment Location 53. Steei Reinforcement 54. Forms 55. ElecSricat Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P-Trap, � Undrgrnd. 67. APPROVAL TO DECK 62. Backwash & Recepto��Final 63. Heater & Vent-Final 64. Plum6ing System - FiRal 65. Electrical-Final 66. Sotar SYstem�Final 67. Fencing & Access ApP�oval 68. APPROVED FOR PLASTERING 69. POQUSPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit �F 70. Underground Hydro 71. Produci Piping � Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Ory Standpipe � 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL ' HEALTH DEPT. REQUIREMENT ' 79. FINAL INSPECTION __� �- , 80. FQOD CERTIFICATE ISSUED ' Notes: fl u L' a 1 . _ COSjfA�TAEBA BUILDING DEPARt NT � NU �nC� C T11 Ea'st 20th Street y Costa Mesa, Calitornia .. � Date.---...._�.... ........ �..."...... �....:� GTV OF COSTA 7NESA . CERTIFICATE OF� UCC•UPANCY ?%! 5 i�'/"v r7� � 7 r- Buflding Permit Nor.d± ..............Electrical Permlt Nots...__,:,...;_Plumb�ng Permit No..l...t!y�'.- '."- ' '.r � / `' � - . Ux of Bufldfna.__`..L.:"f.�f.'a»...a.......:�.lta.�.�..!_A.!.._�........_' .............._'..........'_.............._""_"__"'_' _ . _._. .._ - ___._.____ / � = �� '. .:�i'r , � Lot.......................................'... Bloak...'........................................ Tr ..........._.................""""'..._"'..-/ (See roveree side for Metes and Bounds) has been inspec[ed and found to comply /w--ith the provisions of ell City of Costa Mesa Or- dinances applicable thereto for a Group...,l.'�..'�....�.�r........Occupancy. 183UEDT0: � � ' A.J.VOLZ � � !". /�fy yt � � ,q �� "' City Bulldl g Olflp151 � - -. ,, . . r:a- ''. -......-.'.:.....� 1 .- . ��.f ............... ... ..........._.. (ownerofeul�e�ng) sy_..��..:_'�r.�.z.._!..C...:�:!_�'.:.l..L:I.C. t / CC: ❑ Orig�inal—Owner ❑ lst copy—Gas Co. ❑ 2nd oopy—Edison Co. p 3rd copy—Flle Farm 206 GH IM 12-6L L � DATE JOBADDRESS 610-620 Terminal Wav BUILDINGPERMITNO. �% 8!y% I GFNERAL CONTRACTOR OWIIBT BZdT'_ VALUE � rjrj�QOO.00 I AP11�-200-ll �or N. - oP h07 BLOCK TRACT Spec. Rental _ Fa n�o_ �a I Plumbi Heating, Rougl Heating, Final �wer, House,� 5 : Tank or L. .np. In F Plumbing, Final, Fixtures Com Plumbing, Final Gas Test�..i Wirina. Final hM ZONE UZ/CLL PIREDISTRICT j7}[j SUBCONTRACTOR PERMITSISSUED DATE � NUMBER Occupancy /YJ ��q`�� S-S— j, I I � CONM 210 3M IO.vS 7RI1% � ..__ i �-/� /S`L � � �/�a/.S'-� �,.4.;�1, �Z�'�- G;¢,�',� Q°-��-F�t �,Nv7.d...� c-�-�� /-.3-rC �-cs � �^ �' ro'sta Mesa Bnilding Departme� ; ''�;°w,. P. O. Box 3�� ,, � --! `'� COSTA MESA, CALIFORNIA • "' ��R APPLICANT TO FILL IN Building Address �' .Z Q Costa Mesa, California � Address ach Metesand Bounds) / of Lot �xOX � �%�%� of �/ ting Bldg. �r 0/1 � ackLinefram Bs �.er ot Street New I ' � Alteration Repair I I Moving Building ODx I�Q No. c Size 0 Roor Exterior Wall COh[ raF►I �� ' Tel. N o. c�cy :�PPLICATION FOR PERMI'— BUOLDING ' FOR OFFICE USE ONLY I Received by Date Rec'd. Date �� d'3�-.��/O- iltling dress Costa Mesa, California st. L^ I' I Plans I D Appr ed by Date — CORRECTIONS 'JF/'U — // Jo. of Bldgs NOh �ow on Lot Jo.of No.oT ',amilies Rooms Rear Yard — s�davard Nohp F WORH II Additioa I IDemolish I � Stories � •� �f �, o�� P � �P�'1I1(f ' I hereby acknowledge that I have read this Application - and state that the above is correM and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building construction. Lath. Ext. Signatureof /e_ Permittee ��Q-�� Plaster,lnt Authorized Agt. Plaster, E�ct Valuation Pe�mit Fee $ �p2// � Masonry Reinforced Ci O O'� Plan Check $ �{� '"� Bond Beam $ �J� � Total �O � � I FINA� Fee Am zoa �o.ss o. r. e s. ' T / 1!/ a S a .Y ' ' .�`. .1 £ . .s,T , r � p � � �t ` ._ '� i t i' �i .. � Street '.. . . PLOT PLAN i Show Iocatlon and distances from property Itne and between buildinga� ; a � � �'-�s ,y"�. � - ,�- �R' i �� i';• - `. v � . , i . '� . . , , , , �. h� , �J . , . � � . .�. , . � ,� ,� . - .,•� ,, � , , , , ; � , �, ', : , • . .. , , � � � � !� � . , � .. _� � � � �n .` , ' \ � � � ` � � � � � ,4 � • ' �. . . _. `� -.. .� �'., . � •. G ��, • � `l�t �. r �,`1: . � i ��.� � , i . .� t , 1 , ' " i 1 � . �� " i � r- �)! 1y ,7I.f� I ` COSTA MESA BUILDING DEPARTMENT a. o. eox 3 n COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN AODRE155 (+)/O ��Ci1I Z 1 1' �YII� L COSTA MESA. CALIFORNIA OWNER �irv � pGutin ARCHItECT OR ENGINEER TEL. NO. LIG. NO. /� CITY LIC. CONTRnCTOR e / CLJr (�! �'J�� NO. TEL. ADDRE55 NO. icw�� or (✓ �35d $ uB -PI ocsc vr o� No. yr�1T+r� BLOCKG i1�2A� TRAC��^ A.P. NO. � �/ O � SIZE No.or e�ocs. � OF LOT �'i o X��F-b �iOW ON LOT USE OF ) EXISTING BLDG. � � ! SETBwCN LIrvE FROM CENiEN OG STNEEr REAR YAqD NEW REPAIR BUILDING � SIZE EXTERIOR W� COVERING USE OF NEW BUI`DING DESCRIPTION OF WORK ALTERATION ADDITION MOVING DEMOLISH y NO. OF La /\ O ROOMS STORiES ��ONL•T3L� COVOERING�� CT1 _ 1'1 — � ��t_•— 'fr,'f.,o I n �.8� .y'-O . � � F E REC�IV �s � � `� � FINAN DEPT. Y �pF �Q�TA MESA AP�LI A N FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. �[RMIT ljQ. � DBUILDING AO�RE55 COSTA MESA, CALIFORNIA FIRE ZONE 20NE NO.OF TYPE wil • PL�NS APPROVED BY DATE CORRECTIONS STATE TMl�T THE �BOVE IS CORRECT AND .�GREE TO COMPLV WITN eLl CITY OflDINANCE$ RNO STATE 1�W5 XEGUL�TIN BUILOING CONSTflUC� TiON. VALUATI ON SIGNATURE OF PERMIT FEE S PERMITTEE �� PLAN CHECK B S AUTHORIZED AGENT TOTAL FEE 5