HomeMy WebLinkAbout612 THAMES WAY - Building Permits►i
OJECTAULNESS: �1'2 THAN:ES WY
OWNEP'SNnME:HROOHVI�N CONDOS
RODflESS:HUNCOWNF.RS ASSOCLATION
630 FAULARINO
COSTA MF.SA CA
APCN/ENGINEFH: � 8 7_ O 3 9 9
AO�HESS:
NEG,NO.:
UNIT:
UNIT:
PEflMITTEE: MESA ROOFING ( 714 ) 54A-3012
AOOflESS: 8 4 3 W 1 7TH
CM CA 92627
UCENSEO CONTNRCTOfl OECIAPATION: I �er¢Gy allirm Iha� I am licens¢e under provisians ol C�apier 9(commenting with $ec�ion
7000� ol Oivision 3 0l I�e Busine55 antl Prolessions Coae. antl my license is in lull lo¢e anJ etfect.
ciTvuc.: 356R��qZ STFTELIC..564151 ' +. �
�Ba�e: _ Signature:.� ��(
� / �
WOBREflS' COMPENSATION OECIAflATION: I �ereby al�irm ��at I �ave a cerlilicale af consen Io s( ell�in5ufe Dr a Cehi�iCaie oi WOrkers'
Comoensatian Insurance. ot a cenifiee coDY �hereol (Sedion �800. LaU. CI.
, POLICYNO.:PWC 24167500 E%P.OATE:OIIOLI94
camraxr:GOLDEN EAG�E
C7 Cetli�ied topY is hereby Iurnis�ea. Cetlilietl CopyJiLJY4�wRMB � Buildi Divisi
. (, LY �79� AOGlicant: �, �—� A�. �
E%EMPiION FPOM WOBREBS' COMFENSRTION OEClANA710N: (This 5aiion ne[d not �e comDleteO if 0e permt is la one INnOrttl (5700) or less�.
I cenity Ihat in I�e per�ormance ol �he wark lor which ��is permi� is is5ue0. I s�all nol employ any person in any manner so as �o �ecome
sublec� ta I�e Wo�iers' ComDenSalion Lavrs o� Calitomia.
Oate: Sipnatum:
NOTICE: Ii, atler making Ihis tleclara�ion. you shoul0 Decome SUEject Io I�e Wotkers' ComOensalion Orovisions of I�e Labor
fqEe. you musl IOMvn�� comply vnl� suc� D�ovisions or �Ns permii SAall be Oeemetl revokeG.
CONSTBOCTION LENOING ACENCY: I �ere�y atlirm I�al I�er¢ is a ConSiruction IenOinp agenty for l�¢ p¢dorman[¢ ol I�e vrork for
whicn inis permii is issuetl ISection 3W7. Civ. CI.
iexoEn:
aooeess:
oWNEfl BWLOEP oECuflRTION: I nereDy afli�m Inat 1 am exemD� ��om ine Coniractors' State License Law lor the lollowinp reasan
(Seclion 7031.5 Business antl Professionat Cotle: Any cily o� coun�y whicn re0uires a permit Io consimct, alter. impmve. Oemolish, or
repair any 51mcWre, prior lo ils issuance. alsa rtpuires l�e applicant lor suc� perrttil Io lile a 5ipne0 Slatemen� ihal �elshe is IicenSeE
pursuam to Ne D�ovisions oi �ne Comracmrs' Sla�e License Law �ChaD�er 9(commencing with Seciion 7000) al Division 3 0l ��e 9usiness
and Pmtessians Code) or that ne/sne is exempi Iherelwm ane the Easis lor Ihe allegetl exemption. My violalian ol Seclion 703t.5 Uy
any aOP�icani far a Oermi� Su�leqs I�e a001itan� �o a Civil penalry 0� nol more �han five �unGreG G011ars (ASpI).
I. as awne� of t�e OmDeny oi my emptoyees with wages as their wle compensatan. will Aa ihe wark, and Ihe
❑ slNctureis nolintenaea orallered lorsale (Section 70Ea, Busineu an0 PmlessionalCotle: T�e Coniractor5' Slale License Law
does no� apply �o an owner of a pmoeny wno �ui10s or impmves �hereon. antl who tloes sucn work nimsell/nerself onnmugh
�i5 ot �¢r awn employees. O��aea Ihai 5ut� improvemenls ar¢ n0i inlendeJ Or oftere0 Iar sale. I1, howev¢r I�¢ EuilGing ar
imOrovemen� is sold within one year ol complelion, Ihe owner will �ave I�e �uraen oi Dmving �elshe tlitl nol builtl or impmve
'', lor Ih¢ purpose ol Sale�.
I, as owne� oi �he propetly. am eeclusively coniracting wilh licensed comracmrs 10 constmct t�e pmlecl (Seclion 7044. Business
❑ antl Pmlessians CoGe: The Comracmrs' S�a1e License Law Ooes nol aOG�Y �o an Owner 01 prop¢tlp who DutlAs or improves Nereon
and w�o contracis �or such pmlecis wilA a contrac�or(5) license pursuan�lo Ihe Conlmctors' S�a�e LicenSe Law�.l am aware
thal pmol oi iheir Woiker's Campensalion insurance should be DmvideC �o me.
� I am eKempt un0er Seciion�, 9. 8 P. C,
br ihis reason:
�ate: Ownec
I eo �ereby cenily Iha� I am aware ol antl untlerslanU Ine reQuiremems ol Califomia Healih and Salety Cotle Sec�ians 25505, 25593, and
25534 antllhalloi any W�ure Duilding occupantwilVwill nol (circle one) neeG lo comply wi�� SaiE slaie ca0es an0 I�ereOuirements�ora
permi� fo� cdnsimcuon or mo�ificalion Imm Ihe An Ouality Managemeni Di5lrici. Fesitlential cons�mclion applicaiions are exempl Imm
Ihes¢ provisions.
Oate: Applicanl:
I �ereby cer�itythatl have reatl Ihis application and Slaie IAai Ihe a�oveinformationis corr¢ci, I agree�o comply wilh allcily anA counly
orUinanceSanOSlatelawsrelalinglobwl0mgconslmctionantlheieb aulhorizerepreSenla�iveso��hiscilyloenteruDonlheabove�menlioneU
property lor inspection purposes.
2 / C
Daie: B � v,J Signalur�j �s ���A9
�iiver's license or Social Securi�
t6u1-46 W�i�e—Butltling. Green—Code Enbrcemom: Canary—Applicnnl: Pink—Revenue; Goltlenrotl—Assassor
CITY OF COSTA MESA - BUILDING PERMIT PERN, NU: B 063360
PERMIT NO: B 063360 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCiION TYPE; V-N PERMIT TYPE; 5TR PURPOSE; ALT
JOB DESCRIPTION ; T/OFF RESHT REROOF W/TIMHERL3NE 30YR COM SQ FT: 8,645
CLAIM V1ALUE: 8,645,00 CALC-VALUE: 8,645.00 GROUP OCC; R-3 /
����*#��i�ce��R*��**�*#�� *�r***k*���������af�*x*�#*#x**��*�x##*xxsr�tt*��*#*�#uxx�tx���
Z O N Z N G R E Q U I R E M E N T 5
sETaAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING RE�i• PROV; PARCEL: 93405160 ZNE: RcF NO;
PLANNING NOTES>
.�
# ik M� #�1F ih 1F i(� lE # 1! # if it ik iF 3f� %� if lf Ik N� ##%i! lE 1! #!E-IF ff if i( iFif 1F # iE iE 1k N� iE R 3t 1f !E iF ff �)FiE # ik # iF # 1F?F )F #### 1t �%� iklE k�k^}FiF ## 1f i5 7f !(� i(� if
D E V Fr 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��'�'•'P S
ZONING APYROVED BY DATE: �
BUILDING APPROVED HY ; DATE:
APPLICATION ISS[IED HY: �� DATE; $� /-�
itx-�rir��r#*frit**itiEit*�r#tt�it*it*���., ar 3F,F �ri � _ :� ri���AiFit'�r£iFit'ir�iFT3F3FiF�r#+�it#ftat#�ttk�+Fi�u-it
���tftrt*itx�i�x*�*f�-**rt*���x�i��t*it-x��t�t�x��*ir�t�rt*x-x-*x �r#�c-�tf��r#�r�tu�t�t#�tf�it�tit##�t##�t��x���i[����s�t�r�t�!�u�srx##�
LEGALiZATION;N F E E S U M M A R Y STRUCTORAl. SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 108,00 ,86
SMIP/NON-RES
PLAN
ISSOE FEE
BIIILDING-DZV-> PERt�SZT I5SUE PLAN-CHECK TOTAL PAID DfIE
TOTALS----> 108.86 0.00 0,00 108,86 108,86 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 108,86 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
108.00 .86
k!E ik IE iF ik �7f!! if )F i! it iF �1F iE K� �f * if iE if it k ih )t # ik iE it if iF if iE if iE %� # iF ih iF-If� 1!� 1! %� # if iFif rt ft K�-lE M� %� iE �l� %� lklF ik ## ff if H� if ik iE'�f iE i( # ik k ie ih # H� h�
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
SFR 8645 REROUF BY VALUfi RaSIDENTI:9L NUZONE
END OF' FEES
1,00 8,645,00
01 00144433-00144�434 T�?T 108.86
DATE� Q?/06/93 T?11E: 15:OQ
I
CONSTRUCTION ANO PLANNING -
APPROVALS Permit �
� t. Temporary Electrical Service or Poie
2, So�l Pipe-Undrgrnd. .
3. Electricai Conduit Utdity�Und�gmd.
A. Elecirical Condu�t-U^C�g�nd.
5. Steel Reinforcemenc
6 E�ectrical UFER Grnd �
7. Footings
$. Foundation �
9. NJater Pipe�Untlrgrno. � '
70. Structura! Floor System � ,
it. Property Sewer �ine $+ House Connectian
12. Sewer Cap •
73. Roof Orains i"
14. Rou9h Plumbing
15. Ro�yh Electricai-Contiuit �
16. Rough Electric �Viring '
77. Rough Winng S�yn
78 Rough Elect�icai�7 Bar Ce�i�ng
79. Rough H2ating & Air Conditroning
20. Rough Facto�v F�rep:ace
27. Ductt, in Structure
22. Ducts, V4ntila!ing
23. Gas Pipe-Rough L Test
24 Roof Framing
?5. Rcof Sheath�ng _�
26. T�Bar Ceiling (5t-uct�rall & .`donocoat
27. Frane and F!ashing
28. �tning & Sid•r.g
29. Insulation
30. Dry�vau Nainng _ _
37. PSaster Browr, Coat
32 Electricai Power �vleter-Finai _
33. Fina! Electr�c _ _
34. Final Heating & Air Contlitioning
35. Final Ga5 Pipe�Tesi
� 36. Hood or Canopy -
I 37. Fina4 Factory Fireniace
�'�. 3$. Final Plumbing
I 39. 4Vater Serv�ce-Final
40. Gas Serv�ce�Flnai
41. Sala� Domesc�o-Finai
A2. Backf!ow Preventer
43. Bad�flow Irngation
44. L.+�qation System
i
i45. Sound Attenuation
� 56. Ha�dicap Regulations
i47, fIRALSTRUCTURE&BUILDING
I 4$. FINALPLANNING
� 49. Electric Release to Edison
50. Gas Release to Southern Califomia Gas
Date
i
Date
PG & SPA
Inspector a�SpROVALS Permit;$
52. Pooi & Equipment Location
53. Steei Reinforcement
54. Forms
55. EICcLrical Bondmg
56. Rough Plumbmg & Prexsure Test ~
57. APPROVAL TO COVF.R•GUNiTE
58. Eloccncal Cor.duit�Undrgrntl.
59. Gas Rpe, O Undrgrntl., Test
60. 3aCkwaSh Lines,P�Trap, L Undrgrnd.
67. APPROVAL TO DECK
_ 62. Backvvash & ReceptcrFina�
83. Heater & Vent-Final
64. Plumbing System � Final
65. Electricai-Final
66. Solar SYstem�f in„i
_ 67. Fencing & Access Approvai
68. APPROVED FORPLASTERING
69. POOVSPASYSTEP/ISP�NAL
FIRE DFPT. REQUIREPAENT
APPROVALS Pcrmit �
70. Undergro�nd Hyd�ro
77. Product P�oing r'.Gas '70d
� 72. Unde�grou id Flus �
�- -- ---
/f 73. Under�mu.5rorcr.• Tt�!< C Gas =' GI
' _/-/ /!_.« <-�_'. _
74. Overnzad Hyam
' i
Date Inspector �
75. Cry Chem�cal
76. Dry Stancn�pe
77. FiXEDSYSTEniFiNA�
78. FIRE PREV. FINAL _�__
_ HEALTH DEPT. REDUIREMENT _
7g. FINAL INSPECTION
80. FOODCFRTIFICf.TEISSUED_� �_
Notes:
�
a
APOfiE550FBNLdNO: 61Z THAMES WY UN7:
avr+E&sruuE�Faa"'+: HOLLINGSWORTH, JUDY FLOOD: X 47
AD�REBk 612 THAMES WAY �
:OSTA MESA, CA 92626 444-2213 ��
1pCNRECT OP ENtlNEEP:
ncx on u+c.�s �ooeess:
uc. xo.:
urm
caim�crarsN�: NOCK PLUMBING (714)895-1246
caxnucroxa�uiwo 11610 SEABOARD CIR
�ooeess: STANTON CA uc.xo.: 511971
90680 uMr:
LICENSED CONTNICTOP4 DECLAB�TION: I Mreby dfirm under penepy of pr�ury Ihel I em Icmeetl under povidone d Cheptx 9
�oomme�rp wilh Sxlian ]000) d Drvieion � d IM Buuriaa uM PMpaiona CoEa, ud my liceros b in hll bcs end aMatl.
cmue.No.:050386 ��`�� C-36 uc.N(�o.: 5 1971 ,yEX/JP: 02/96
De�e: %� — Z"� � / Comretlor _ � vp("� ��/�[ /7 � � ��
OWNEN BUILDEP pECLRFRTION: I hereby elfirm under peneMy d perlury �hel I em e¢ampt Irom IM COMreqon Lbenas lew Iw Ihe
JbxinO ��n (�� ]031.5 Buenese ud Prdmebn� God�: Mry c'ry n mun7 �� niuim e peimil to omatruct. ellv. impwe.
�mdeh, or repeir eny etmtlura, pip to in ueueme, eho repuiroe tha epplirent Im axh psrmu �o fila e sipned aletemem Ihet M or eha
.� licenwd punuent lo ihe prwiaions d 1ha Comreqon Licenee law �Chepix 9(mmmoninp wilh Sepion ]000) d DHuion 3 0l �he
Buainev erd RMaaione CaEe� or tMl he a ehe b exemq iherahom aM IM bcria Iw Ihe Nlaped snempion. My vidqon oi Setlion
]031.5 by eny eppliranl lor e parmX eubjede �ha epplicen� to e ciWl penely W rwt mare Ihen /'rve huMreE Edlen �5500�).
� I, es o�.ner a11M propertyor my emplv/eea xilh wep» ai Ihei eob oompanaetion, will do Ihe woA. end tha ewnu�e u nd inbnEed
or oMerad lar We (Sac�ion ]00<, Busineee enE PMeeaione Cade: T�e Conireawe Licensa l.ewdoae nM epply lo en ownerd propery
wno w,b. a mo� �n«�o�, d,d »ro ao„ a�n ..wx ��n «ne�.er a m�wan nm «ns� owo �dq*as, w�ea mm w�n
improvamenla me ml inleMed «dleretl lar eele. H, howaver, Ihe EuiNing w improvamanl ie eoM wilhin aro yeer d mmpleiion, iM
owr�xbuildw Mill heve tM WrEen d proviep he w ehe tlk ml build w imqove for iM WN�a d cele�.
❑ I. es ovmar d �M propeM. � axd�mivaty conireain9 �h IimnaeC conireclon to mnaVuq ihe pmlecl(Sedpn ]044. Bueinma vM
Profaseiona Cade: The Comreewa liervva law doee iwt epply lo en ow�r d peopenY � buiNa w impo.•ee Ihereon eIM who
comre<u fw euM prryects wnh e oonlredoqa) IicenxC punueni m ihe ConUeGae Licema law).
� 1 am exemq uMer Seciim: B. 8 P.C., br Nb reemn: �
oe�e: o�.,��:
I tlo hereby canity the� I em eware W end underslend the raquiremen�a W Celilomie Heetlh end Sefety Cada Sepiom 25505. 25533, end
zs53a. aM uiel I a em' Mure builaiiq om�o�t wi11 / wal na (tlrcb are) need to wmDM w�n eaitl mele oodm eM iM reauimmma (m
oeie: /.rJ nodK���
t
WOHKEH'S COMPENS�TION UECLIIHATION: I hereby eifi�m urder peneM1y W pe�ury wn W IM IdlowinB d���c:
❑ 1 hew azd hil meinten a eMXcate d meuent to saXimure /or wwken' ewnpe�yelpn. sy pwided la by Semon J)00 d Ihe �ebor
coee, a, �ne oanormenca o� me xaM �« wl�icn ini, re�n ie laeuea.
f] i new d,e wi� meim.� �nen� como�� �,.erce. m�ea��red M s«aian a�oo d ine �ee, wa. �a me wrto.�ce a ine
7C wwk fa xfiich �his permit is issued. My wakers mmpenseiion insurenca rerrim eM paliq number are:
c�s�: GOLDEN EAGLE EXPIRES
Pa�r N�me�= 0 9/ 01 / 9 6
�rn;: ,en� �eee,�w ea �aarad r r� ro�s;, ro, are nunaree eo�ws nrml � rm,.l
� I eenly tM1m in �ha peelormar�ca d tha waM la whieh thia perm'il u iae�ed, I a a empby eny penon in eny menner eo as �o
become wbjed to tM1a xaM1an' wmpemetion bwa d Cef�anie. en ree il�m ' I nhauM bxome eubjea to �M xwken'
rompansetion DroNsions o15ec�ion 31 e lebor Code, I ehell lo vrilh mmD ��h �h� pi��
oe�e: �0 ' Z� � � aodKe�n:
Weminp: Fallun ro secun warkeri rompensatlon rovereps /s unl , en �Mll wbjecf en m�ploysr ro crlMiul p
clvll Nns up ro one huntlretl tMuw�M Golbn (5100,OOpJ, In eWltlon ro M� ro�f o/ compaiva0oq d�mepsi o provlOM /oNn
Sxtlon 3105 0/ Me LaCor Code, Infxesf, enL ettomsy'� /rx
CONSTflUCT10N LENDING AGENCY: I hareby eHirm uMer peneny oi perjury ihel Ihere ia e mnslruaion biMinO e9ency la tM1e
rort�� a�n� .� �« .n� ina rom,� � es�ad (s<ao� aw�. cx. ci.
LENDEP'S NAME:
LENDEfl'S AOOqE55:
1 ceniy Ihm I heve road ihia eppliceiion eM 9ate thm �he ebave informetion ia mrtea. I epree lo wmply xilh ell ury uW coun7 �inaima
end s�eie Wwe rela�ing m dlilding conslrvqion arA hereby eulhwrze repreeema�ivea d Ihis dry to emer upon iM1e ebove-memoned pmparry
�orinspetllOn pUfposes.
RON NO
.. Pnnl Neme /
' De�e:
sre���eaame�aaa� av�cenvcom��or
(5151�<6.WP� WM1ne-BuildinB 8 Sele�y: GreerFle; Cenary-Applicant: Pink-Pevenue: Goldenrod-Asxssor
CITY OF COSTA MESA — HUILDING PERMIT
PERM NO: P 074721
PERMIT NO: P 074721 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : C/O DISHWASHER SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO HUILDING PERMIT REFERENCE
�*****w�r**�*�*�r�r+��r***�r�e��r*x+e�r*�e*�ex*******�r*��***�e��e�x*�er�**+r*�r�****+r***�r+r**�r�r�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
------------ HAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 93405160 ZNE: REF NO:
PLANNING NfSTES>
i
if iF If 1F if ik 1E 1E 1E 1E 1E IE 1F 1f� 1E iE 1E iE IE 1t iE 1ElE 7E if iE if if iF 1f If 1f 1E 1f 1FiE 1E �IE 1E iE If IE 1E 1E i@ if if 1F1f iF iE iE 1E IE ik 1E 1k 1E iE if iE 141P iE iF iF iE 1E IE iE 1E 1E af if iF �1(' 1k iF �If
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 .
BUILDING APPROVED BY :
APPLICATION ISSUED BY: �
1i ik IF iF iF iE iF iF iF IF 1FlF iE iF iE 14 if iE 141f 1E iE
LEGALiZATION:N F E E S U M M A R Y
�� ��� � i
BLDG PMT PLUMBING ELECTR=IG MECHANIC�
PERMIT 7.00 '" ''>',/� !."U
253 ti �.. ; J
PLAN �: L"
DATE:
DATE;
'�"��F+r x�+r x�� * * � � �r�i`iF��'1F��S
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
ISSUE FEE 20.00 � �� ' '�
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK �` '� TOTAL
TOTALS----> 7, 00 20.00 �'.0 ;00' n^� 27. 00
` ' � l�'
PAID DUE
27.00 .00
REVENUE DIVISION TOTALS--> COLLEC.TED: l �27.:00 OVER/SHORT: 00
BLDG PMT PLU27IN�G� ELECTRIC MECHANIC• ^.-FIRE`�SMIP/TOT GRADING PLAN—CHECK
.K � ✓ ; ,�
1E fF 1ilf 1f if iE iE 1f iElElE if if if 1f iE 1E 1f !E iElElF fE �E 1E iE IE 1E 1E fE 1E 1ElE 1F,�f 1E 1f�1E iE If.iE 7E.1E iF;1F 1f�E.1E 1Eif iflE iE 1F 1E 1F iF 1E 1E 1ElE iE 1f 1E1E 1F iE IE 1F iF 1F 1E 1E iE If iE 1E if
I N D I V I D U A L� %F,, E'E '✓ B R-E A K D O W N
. �1 �"v �, � �
_T.)CPE-�. QTY D E S C R I P T I O: N ��! � i � � UNIT COST TOTAL COST
PLU 1 DISHWASHER J'! :; �� " �� 7, 00 7.00
� � � � � � END�OF�,FEESI n
/� �
� �i � � '�� <� t'
. % �, h- � �' � � ��
��
; EX�IR���- � +� n� � y �
____1____ � w� y
DATE � �% �� � c�
.i � � ,�
-�'r�—' `� `1 '� �-.�'
� . _l /
��1 �7014:!9bh-D�1R'�9�h � �:?�"� ��?.DO
uATE: i0'2.�r'"'� TIY.£: 7.2:01
, ' \\
,
_ COmSTRUCTION ANDPLANNING PQ `SPA
� APR.ROVALS Permit # � Date Inspector qppROVALS Pe�mit # Date Inspector
r
1. Te�raporary Electrica� Service or Pote 52. Pool°& Equipment Location
,
2. Sd'�% Pipe-Undrgrnd. 0 53. Steel Reinforcement
�_Electricai Condurt-Uz+Jity�Un�Cgrnd. 54. Porms
� 4. El�trical ConduR'tl�'drgrnd. � 55. Electricai Bonding
:�+' o--
;;3�Ste`,el Reintorcer en{:' 56. Rough Piumbing & Pressure Tesi -
':s'0n Electrical UFEF�67:nd. ' 57. APPROVALTO COVER�GUNITE
?� Y
`!r7.,Pootings ��� i' 58. Elecirical Cond�3i�iiJndrgrnd.
��$r Foundation ��� 7 m 59. Gas Pipe, � Untkgrnd., Test
�9. iN�er Pipe-Undrg �. � -�' 60. Backwash Lines; I�Trap, O Undrgrnd. �
�. �
�0. Structural Floor Svstem ' 61. APPROVALTO�,DECK
it. PrapertY Sewer �ine�& House�Connection 62. Backwash & Re.cebtor-Finai
72. Sewer Cap � 63. Heater & Vent-Final
73. Roof Drains . - 64. Plumbing System � Finai �
�7-0. Rough Plumbing. -� 65. Electricai-Final
�5. fiough Electricaut-Co:ydu(t .' 66. So�ar SVstem�F��l. _ � �
7.6. Rough Electric �iri �M1i� �-, 67. Fencing & Access,Approval '�
77. Rough N+iring Slgn 68. APPROVED FO�t'P�ASTERING
'T8. Rough Electrica'CI' Bar Ceiling 69. POOUSPA SYST�MS FINAL
79. Rough Heating & Air Conditioning FIRE OEPT. REQUIREMERfT
�. r-, �r .-� 7 F�. Q F tc f-
20. �ou� Fg�to� Fi��lace � ��; � � G � ^�x : APPF�bV�f�yc Pes�nit #� '�.-
21. �ucF;� in$t=�,turF; r i �.• .. _• .t S G �- �' . 70. �'�t7�dar�dufid 1{"y,dro �; .
22. ` 11M1. �/E1'12i�8 i!1 � r cG ,r
s�2 ? �Y, �� y: � S �`'� �� 71. ProduC�R�ping'�bas t;i0ii
23. Gias .`�'�,pe' oug,rr & T4st �:, a� ;�� c• a; U n�+ 72. Undergro'und FinSfi t ti
�
..
24. Roo£Fr�ning" %y � `"�" � %' �' � , r �, 7� Undergrn�l.Stora�Tan15FG�Gas ❑(�il �
� . ��: �`: �„ . .,
�
25. Roo�h _ hing p: �;, v � x _ �ti x 78J Overhead HYdrn'= �' .��
26, i�Ba77Ceiling (Str���ral) & Kd'dgd,�oat # � ✓ �' �?� 7�L Dry Chemical -_�j � � � �
27.',�F{araeand,Flashir�� ,��G; �Mr.� � c:.x 76 DryStart¢tp(pentz!.- �'� ,� r*
.�
�- 28. Lattfuig &�Siding ,_,�:+. u "-�� ^ � � ..� 7Z� FIXED �'STEhn�7NA ' � -
. � o � � � ; .. ..� , ,.� � r, n n;
'� 29. insulation� �; � ..•. ' ;� ' j i jt 7� FIRE�PREV. FI'P1FtL � ^ � � '
�,
' 30. Drywall �iling �_� � .� r, M` �o;y ��ALTN�DEP�.�fiEQT11REMENT
.� r� i # � ! JV . tu � . ..
37. Piaster B�wrt-Coak,; � i Mm x � i�� . 7�. FINA� IbISPECT}pN M�
: : . _� � -� -�
'� 32. E�iectrica �Go�r MR"e�[�rv"'7inal ' �: N ��, i ��� 8� FOOD CERTIFICNTE IS�5�IJED,�
I ;•. /�Ei%es�s--/xCC�.�
i c� x s m � .t �
� 33. ��,-inz��ectric;, �;* py � � � NOtes: � _ :M
� i
� 3T 4.��€inaL•'HeaTing"� AdT�on&rtioriiriy�5 C7 s� ' ik �T- c�S��-��' .x �' :�
_ .� ., ic �: � � � � ; ����U-�1E�S-- L��lO�C7LIJ
� 35. £inat'Gas Pipe�:Tesx ,'k ��,CO ,� �. r., ; .� : ,''�.t� �'��zc.,- �Q;� O r �/�'�^��
� 36. Hood or CanoPY '.^., :;n�7 ..� t n s �S/�'2'---K'rJ�6-S-=$6&Lc7-7-cL4-E� �o_�2ry,Z
.
� � -, :� F i ��1�SS-l�1G �.��5-�w� �
"1 r �F F-. : y (r a . . R7 ' � i +
37. F.�nat,Factory Firepi�ce x �^,r, � * � I P
-- � �,Q y� l�l%1� 1 L C��%��1�1«S _.
. 38. FinaCPlumbing ?`. �N ! e I. y 1* ' 7� �� �j� ��
.�K r .,� _ _ �
� 39. 4Vatei�Service-Final x'. � � " � � { ' ' �' �,
-� '"� _ _
� -�-�'Ll��"!.� a_�� cz�c�rzO.L�'
� 40. Gas Service-Finai �.-; GL � S � t- � �+K O� v� *� ,
' 41. Solar pomestic-Fina� � n " � '-i' � � �
m � � t� rP ho � .r. ^
� 42. Backfbw Preventer ��r N x V , w cC � F^- ��^ '
1' - ' H F � •�/ � C'
43. Backtbw Irri�tion � � -ss x �. " ' � '
ja : s r X
i
` _ '
,7}4. Landscape IragatioraSystem =�'7:� " � T � = �* � r� N '"� '� � �
'+• �-+ * * S_ c�t r1C, t S F
.+`�. �ound Atjenaation,.*v �x`•" ^' '� � F '" `"� -.' - -� at� L
, x r•. m m« rn ¢ c�
�. Handicap.Reguiatiorx � % t. � - c.7 S �o "
.^ r c I f -n (;
Q7. �N� STRIJCTURE & BUIL�ING * � ,�' '�' � r
c- i ^ .K F
r
48. �Nt�'l PIANNING t i E-�, r�v � .t� � :*i r; M �
-t � C' CU S � d
��t9. Elec�ric Release to EBison :`, � � '� ; � '� �
� -.�
� �
�b. 6es R,�lease to Souttiern CalitorAia�Gas Co * � „ ^ • ' �� �� •
j�: ,� a d
5A. CERI:IFICATEOFO'CCUPANCY ! I t.,' i. �T� -• � •-
No Date _ __.. .. •
sosG c a
CMF p569-26
City of Costa Mesa Planning Department
Pos[ Office Box 1200
77 Fair Drive
Costa Mesa, California 92626
(714) 5565245
REQUESTFOR OCCUPANCY
(Single Family Residential or
Condominium Units)
1
Tract No. � 7�
Lot No. / � O
Address
Date �/ � l�/
_�
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, they)_,�(was or were�_�advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final,tract map was approved.
The City assumes no liability for the enforcementof the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
r^cECEiVEt�
ct�v n, c,;;,� �ti+�s��
. . „�., _
,�_�.;n;:�;:, , _� .
A.UG 51977
AM PIN
7i8i9il0illi12i1i2i3i4i5i6
4
BY Purchaser
'-L3�i
BY �—Y ` '�=.s/iC/L/ dil /
F:i� G�! i°�b�t C�4'�r�`�§Y
t7i31 iRYINE BOIiIEVARD, SUITE 210
rucTi�1 rel IF(IRNIA 9268A .
City of Costa Mesa Planning Department
Post Office Box 1200
77 Fair Drive
+ Costa 11Aesa, California 92626
� o ��� o (714) 556-5245
REQUESTFOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. �a`� ��
Lot No. �S �
Address
}
Date �� .�� % �
The developer of the above entitted tract desires to setl the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(`"', -�,e, theyl__y / (�aas—er werel_J��advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reaso� of the aforementioned uncompleted condition.
lS �� � � V�i
� � �� r'"� �";7ESti
i'1.:1:;,��.,::`' --
��:.:.: .��,
n.! � c s is?�
AM
7�8i3i10i11i12i1i2i�i4i5 6
!
CMF 0569-26
ld/��'RDOIYi DRilbiwC�;lYnSq s�Hbtip�s kiJ
iUSTiP�. GAi.B�O��IA �?��� �
co�s�Ga ��csa
City of Costa Mesa Plan, . Department
POSI �HjCE BO% �20�
77 Fair Drive
Costa Mesa, California 92626
(714) 556-5245 �
REQUESTFOR OCCUPANCY
(Single Family Residential or
Condominium Units)
.� � e�� f( �,� / � W
5
7ract No. ZS � 7' ~ /� Date �� 3 �
Lot No. � ��
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
-�he-sh , hey) �� � were) Cl!`�- advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted co tion. ,
�i'��'`��--�-
f�
k ^ B�I �� P.Oh ei..� / if/6�?i
�1t�t�vt�
c:��r r•, c�,-; r,,es,� �
::, .., : -
�'�'.^.�' i_:.. , _r , _
�!UG :, i97?
AM Ph]
7i8i9il0illi12�1i2i3i4i5i6
A
�MF o569-26 'C91E COl.V��LL COMPANY
. 17731 IRVINE BOULEVARD, SUITE 21Q
City of�Costa Meu Plam . Department
Post Office Box 1200
77 Fair Drive
I ��j(��j Costa Mesa, California 92626
G11W19� � (714) 55G5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
�3R�dK �,�' i E�v�1
Tract No. O T T�— ��
Lot No. � ���_
Address � 0 L �
Date � � � � �T /
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(ker-slwrthey)�(v✓�ser were���advised that this tract has
not been given final inspeciion nor has it been accepted by the City of Costa Mesa
as having complied with ttie conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition. /
���������,
��cErvt� sY .� . �
�:',i �� C?��.1 i14E$A Purcheser
�'i_�.i;" '!` nc
��'' • _. . � �� � A nP
�1UG ; 197%
A� PM
7iSi9il0illi12i1i2�3i4�5i6
[l
CMF OSfi9-26 �
av �l ,,,,lQa�C�n.`�
T�P� �Oi•��E�L COEviPANY
17731 iR�i�lE BOUIEVARO, SUITE 2i0
TllSTiN, CALlFORNIA 9268�
. City of Costa Mesa Planning Department
Post Office Boz 1200
77 Fair Drive
Costa �9esa, California 92626
� eJ� o� ,��� o (714) 55G5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. B�
Lot No. � S S
Address lo oi
S
Date � f�[Q77
/ // �SA� Cfl,
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
{he, =�..,_they) (vyas-or werel�dvised that this tract has
not been given final inspec ion nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned
"� ^ n —
` I li t t1
,�, -: :� t_
�.... �_ __ �;��,
� I ' �' � 1,�'�. I i
,. U .7
��8�9�IO�il�u�1�2�3�4�5P6
�
CMF 056946
�
B� D veloper antl/o A thor z
� Repreuntative
T COLWELI C��'¢ANy
By 17731 IRVINE BU�"LEVARD Zj�
CG/9�, C ff°ORNIA 92680
CrnF o5641.6
City of Costa Mesa Plam, Department
Post Office Box 1200 --
77 Fair Drive �
Costa M1�esa, California 92626
(774) 556-5245
REQUESTFOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. /2 � — v
Lot No. �� O
� �� �
Date U
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City ot Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, they)��was or werel__1�l�advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersiyned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted
%RECEIVED
I CITY OF COS7A MESA
�� P�AVMIPlG ^""i.
AUG 19 1977
AM PM
7�g�9il0illi12ili2i3i4i5i6
!
�
m
L�i
Tustin, California 92680
:171NWA81:a�IPYY YJ:�6Y71. :7A�Dl.
� C • � � ' . . Y. . .. - . � � � .
I�
soii
5
�ns -�.i
warea UG� ifl /o.2i•76
ROUGN PLUMBIN
GROP. SWR. LINE � HOUSE CON. �
SPRINKI.ING SVSTEM
MISCEILANE0U5
ROUGH HEPTING ANO RIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO � POWER �
fiOUGH WIRING
TRENCHES�. FORMS i STEEL REINF.
FLOOP SYSTElA '
BON� BEFM [-J STEEL REINFORCE �
SNEATHING
FRAME ANO FLASHING -
LATHING - IN OUT n
PLNSTER, BROWN COAT
ST TURAL,FINAL�
H! IG. VENT.. REFRIG. ANO P.C., FIIAL
PLUMBING. FINAL HN� GAS TEST
ELECTRIC, FINAL
BUIL�ING,FINAL
:»��i����/���
SUBCONTRACTOR
/'/� /./� � � // �
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� 42508
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 12U0 COSTA MESA, CALIFORNIA 9262fi
For Applicant [o Fill in Completely — Use Ink Only
BUILDING/ ./// �I / U I.n i<_ i w� i�w./e
MAIL
CITV / (( yi%��T NOL.
BRANCN
CONTRACTOR O .F�'D I7FELI�LE�L ]
AD�FESS
TEL.
GTV NO.
STATE n �j CITV
L�C. NO. 2�y / s LIC. NO.
SRE NO.OF BLDCS.
pF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
11SE OF BUILDING AND WORK TO BE PERFORMED
�
� hereby acknowledpe that I have reatl this applleetion and stete
thet tha above Informeiion Is correct entl aprae to comply wlth
ell laws repuletlnp buildin0 construction, end I shall not amploy
any person in vlolation of ihe workman's compansaHon lawa of
Me Stata oi Colifomle.
I hereby certify that I em properly licansetl as a eontrecior unaer
the Stnta ot California Businass antl Profeulons Coda, Divlsion 3,
Cnapfer 9, antl that such licenses ere in fuli torce end effect, or 1
am exempt from tha provisions of the Stete of Celitornia Buslness
entl Profesalons Cotla, Dlvision 3, Chapter 9.
se�oi�,eof �' �LtLE/Z b
Permlttee U �Tf
qNthorizetl ABent
�.�!r, 7n-7e,�°s`.001545's �-*:r6Z1.58
APPLICATION FOR STRUCTURAL PERMIT
I7EGEIVED BV pP�=Eg+C�V D D,y TE ISSUE
7 / 1J o?� �
A.P. NO.
/ —O P
BUILDING ,^' C I 1 , .
ADDRES �( W
TRACT 8�/ LOT Y BLOCK
ADD AL R P M
OWNER ZE
�V/�/r AJ � VALU$ Z d00
S
FIRE
ZONE VPE GROUP
APPROVED � j Q �7
wv / �AT@ v I
E NO.OG �
.� PLANS �
VARDS APPROV ED
DISTANCE BET.
MAIN BLDGS.
VAR. �Y' �7
FOR S�EC
THE AMOUNT 5
THE PURPpSE OF
VALUATION
523�aoo
USE OF NEW � UN�1
BUILDING ��O
VARDS APPROVED
ACCESSORY BVII.DING
BEf. MAIN &
N
n
m
i
m
N
YN UNDEF VALVATION IS FOH m
"ABLISNING A PERMIT FEE ON�V: �
PERMIT FEE E a
J�
rn
PLAN CHECK E "�
i .L o
TAX E r LL
f� U
TOTALPAID S � �