HomeMy WebLinkAbout1741 Tustin Ave - Building Permits (19) Cs"'MF q CITY OF COSTA MESA
a �, BUILDING DIVISION aG%
1-1 `=' `� ' DEVELOPMENT SERVICES DEPARTMENT //
te• • PERMIT PERMIT NUMBER
A`°"ro�° P98-00826
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 1741 TUSTIN AV Status: ISSUED
Suite No 10B Applied: 11/09/1998
Issued: 11/09/1998
Vicinity:
Parcel Nunmber: 93328032
Applicant: RON
Address: W/NOCK PLUMBING
Phone: 714-895-1246
Zip:
Owner PAHLEN, TIM D
Address 1741 TUSTIN AVE#108
32 Phone:
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COSTA MESA,CA Zip: 92627
Contractor: NOCK PLUMBING
Address: 11612 KNOTT ST
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Phone: 714 895-1246
GARDEN GROVE ,CA Zip: 92841
License: 707775
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT •
INSTALL NEW DISHWASHER
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $22.00 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00. 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $8.75 1 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain, Roof $0.00 0 Shower $0.00 0 Water Heater/vent $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe - $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $30.75
COMMENTS/SPECIAL CONDITIONS
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended 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 Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carder and policy number are: �+ - q
Carrier.- ��(--.�G�V Eiger, 1.--e" Policy Number. AJ lock-7 3 1.8.10 2
(This section need not be completed/f the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions
Applicant Signature: ! "c �� Date: , Z — /Lr
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,003),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under prov.lsiof Chapter 9(commencing with Section 7000)of Division 3 of the Business and fessiors Code,and my license is in full
force end effect.Lk.it -_70 J2.> S Class a G 5 6
Contractor's Signature: /�3��' —� Date: /(-7 'L
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a dV l penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.).
O I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-slx(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
Compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feel from the outer boundaries of a school? 0 Yes 0 No
(If"yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Afr Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safely Code Section 42303 been made? 0 Yes 0 No
8 (If'yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with at state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection.
j Signe Legal Omer s)i —� Lf
Date2
And/Or Authorized Applicant Date
OOOEt WSPFC7MN TYPE PATE =US Oaf 12521.012 1.221 Dag yQ711Ay$
1616 Fixed System Final Fire Prevention 206 Final Mechanical ' n j
1266 Pool Spa Final _ 208 Final Plumbing 4 P—.SS7 G A L JI Y
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site _
204 Final Demolition 250 Final Building/Occupancy
2446.46
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IDJ�71oBaoC, I00
OWNER BP.AEBURN CONSTRUCTION CORPORATION DATE 3-20-62
JOB ADDRESS 17111 Tustin Ave.,Bldg.10,Units 130,131,132,133 BUILDING PERMIT NO. 16578
GENERAL CONTRACTOR Geo. D. Buccola VALUE $ 39,5111.00
AP No. 117-281-2,27,MY 28 TRACT FIRE ZONE DESCRIPTION OF WORK I! Unit Ant.
INSPECTIONS Signature DATE GROUP H g ,I TYPE V ZONE R-2
PE/ ISSUED
(as '. SUBCONTRACTOR DATERMITSNUMBER
Water rags'
Rough Corn. Refrig. ❑ Air Cond. 0
Rough Heating wr r'a/ rawirw
Rough Plumbing - ILMMI (AF - ,1 !/
Miscellaneous
Prop.Swr.Line PI-louse Con. p St.Swr. ❑ . D
Sprinkling System n
construction fl �— Mi.
Underground ❑ Power 0
Rough Wiring � afilfirolgt . wan, e.,.."
renc es ❑ onus 0 tee . ',n . I �faMt - —(_
Floor System
Bond Beam 0 Steel Reinforce ❑ MIPIM
Sheathing r�4
Frame and Flashin' 1t/'�n
Lathing — In rV Out M `=
Plaster, brown coat
rig. 0 • r -.n.. ❑ in.
sating, Final t
Plumbing Fixtures, Final
Final Gas Test AraM
Electric Fixtures, Final
Building, Final , -_
OCCUPANCY �j0-7
FORM BU4-5M — 7-61 �J 165713
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FEE ICCrVED
16578 MAR 6 1962 " .
-COSTA MESA BUILDING-SAFETY DEPARTMENT 'FINANCE DEPT,
'P. O.SOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill in Completely CITY OF COAs MESA
PP P Y i D APPLICATION FOR PER
TYPE OR PRINT q g c D BUILDING
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ADDRESS 1741 Tustin, Bldg. $10 /J,vITs ten- /c,3/- /$2 - /3e
COSTAy� MESA, CALIFORNIA} For Office Use Only
OWNER Brae bail Cont. Corp.
I RECEIPT NO. I ++ttPE[[[R��]�MIT�7N((((D�]}T
MAIL RECEIVEb BY DA qE5E�Y �, I OAl£ MD
ADDRESS
PO hot 1937 9 y / k I j RE EJ MR p ? 62
CITY Newport Beach • TNO, 0113124( BUILDING
ADDRESS
ARCHITECT TEL. 6 COSTA MESA. CALIFORNIA
OR ENGINEER -it
Bomberger Np, 1VY� FIRE '/ !AL
ADDRESS 3355 Via Lido. Newport Beach ZONE 1-ft
wY/ GRODUP/ i://)
�A
\. CONTRACTOR Geo.yDy.� Becco,ls APPROVED DATEfr('/ADDRESS 3700 Betcert Bl.�w. NING
City Newport Beach
ZONENO.I PL. S -I- I BUILDING USE OF NEW
y
.�L I/�,/ �p� 'L PLANS
LIC.NO. 152367/Y69,aJ NO. OB31240 LEawL 47t /de /6-,a/re i/ ijc
DESCRIPTION O'�
ORE330 g z 6601 I NO. OF BLOTS.n / L(� — 2- z 7 z.'
OF LOT NOW ON LOT IO A.P.NO, l 7 4 I
USE OF YARDS EVES
EXISTING BLDG. _ . , , APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) 9 /y.-
CENTER OR STREET Lg./ REAR YARD?7`/ FRONT Z FT. /QQLf..I//T'4��.TL.� IN.
SIDE YARD I LEFT/0:6 �, I RIGHT/2 -D. RESIDE / Z FT. �'u+.•44i IN.
DESCRIPTION OF WORK _ SIDE 1 L FT. r�P2 CC , IN.
ry
NEW I> 11 ALTERATION I II ADDITION I -- REAR -2.-"7 FT. 7'Lero...., IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED /�n� DATE t/2y��L
SIZE D/.!�/-4- Sc?9../- ROOMS �NO. OF 4 STORIES / �t
EXTERIORRINGMils,-
LUflpLLSCROOF
COVEO I COVERING Rock
USE OF BUILDING AND WORK TO BE PERFORMED
I HEREBY ACKNOW D TH -AEAD 7X18 4LIGTION THE AMOUNT SHOWN UNDER(JALUATION IS FOR THE
AND STATE THAT T E SOV+ O AND a- TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CII 1 • =TATE "GULATING
BUILDING CON ON. VALUATION
. SIGNATURE I i PERMIT FEE $ ,...51-y____..__
PERMITTEE 4 -- /� ,[' /0 �T n
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$ •S o,/7 y, PLAN CHECK $ c Y, Sd
AUTHORIZED AGENT \/ C3 P �-D Q
TOTAL FEE S !i O
I..
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Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PER. T NO. 6 ' TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT
Project Address7J// • - Jay ` , TYPE OF CONSTRUCTION 7249 I0/21/61 be00 Th
„Owner £.� �ir-�7r/..,,Q S` S - PhOne3,p.Q509 0 NEW 0 ADD 0 ALTERATION L')/5 _,
Addres gA,nl ..t. 0 REPAIR 0 CONVERSION ❑DEMOLISH
ZONING REGULATIONS
Arch/Eng- License No. 0 OTHER .-
A.P.
Address DESCRIPTION OF WORK
ZONE PLNG. REF.Bt
Contractor�Q�, �y tPhone/32-/./,77,-4 TYPE OF PERMIT BUILDING o gl11LDI11G
Address 7/ J" SETBACK C/4,ST. �170PE RTY Lf NE
7%lI QA4J 0 GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD
LICENSED CONTRACTOR DECLA TION 0 TENANT 0 ELECTRICAL IHP LUMBING ❑MECHANICAL/ LS IiDEE YAIL!J
I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT
mencing with section 7000) of Division 3 of the Business and 0 OTHER
Professions Code ad license Is in full force fft. REAR YARD(TO P/L)
/� nmy andec
PROJECT DESCRIPTION
Liven/9a Class-12./ FT
B J/ �e�`r LI Se No PKG.SPACE REG. PROVIDED
Date/0-a0-21 signature O e: 2- SQ. FT.
WORKERS'COMPENSATION DECLARATION OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEE E
I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE ZONING APPROVED BY I DATE
certificate of Workers' Compensation Insurance, or p certified copy .
'hereof(Se Ion Wig, Lab.C.). n / GRADING CU.YDS. ACRES • SPECIAL CONDITIONS:
'Icy No.r"-s'. f/ Company -+4a
Certified copy is hereby furnished. REMARKS: _ _
LzeCertified copy is filed with the city Building Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completed if the permit is for one hundred
($1001 or less). - •
I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK
subject to the Workers Compensation Laws of California. uwt LLl Nle taH HAt.E
BATHTUBS SHOWERS
Date Signature SO.FT. SO FT
NOTICE: If after making this declaration, you should become subject TOILETS URINALS - GENERATOR 0-1 KW ,1-10 KW
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10.50 KW 50+ KW
revoked. - KIT.SINKS DISHWASHERS I MOTORS
CONSTRUCTION LENDING AGENCY { AAA ��, 0-1 HP 1-10 HP
I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS aC"SUMPS I , (INC.SOLAR) 10.50-HP 50+ HP
formance of the work for which this permit Is issued (Section 3097 �+'
Civ. C.). FLOOR SINKS FLOOR DRAINS • FIXTURES OUTLETS SWITCHES
Lender's Name
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS
I hereby affirm that I am exempt from the Contractor's License Law for
the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNs,HULIIUN
Any city or county which requires a permit to construct, alter, POLES METERED SUB
Improve,demolish or repair any structure, prior to Its issuance,also ro- WATER SERVICE ALTERATION PANELS MAIN SUB
quires the applicant for such permit to file a signed statement that he
Is licensed pursuant to the provisions of the Contractor's License Law roc CFRVICE OUTLETS SERVICE AMP
(Chapter 9 (commencing with Section 7000) of Division 3 of thhee(/
sisBusin for ss a the nd alleged exemptCode)
Anyt violation of Section 7031 5t by\ WATER HEATERS BTU OUTPUT --"S 00
iy applicant for a permit subjects the applicant to a civil penalty S WtKTplg SECTIONS
,f not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS.-
sole compensation, will do the work,and the structure Is not Intended - - ---- —
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE
Contractor's License Law does not apply to an owner of a property
who builds or improves thereon, and who does such work himself or ISSUE FEE 3 QO APPLICATION APPROVED BY DATE
through his own employees, provided that such Improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES
is sold within ono year of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale). BUILDING
HEATING SYSTEM 0-100,000 BTU PERMIT $ SMIP $
❑ I, as owner of the property, am exclusively contracting with AND DUCTING
licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License Law does not apply to MI55UANCE $
an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ IVC/
tracts from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING S
the Contractor's License Law). 100,000+ BTU PLAN CHECK $
❑ I am exempt under Section B.& P.C.for thisS
BOILERS BTU ELECTRICAL S
reason - - MICROFILM $
Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE$
I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - MECHANICAL E
information is correct. I agree to comply with all city and county PLAN CHECK $ LESS
ordinances and state laws relating to co struction,and hereby authorize VANCE P PC S_ _ _
representatives of this city to ent upon the above mentioned /.
property. for ry'nsgectl purpos �f,, r O""
Signature `74 !1
ISSUE FEE -
CMF 0065-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL&SPA
APPROVALS ' %; I Permit# Date Inspector APPROVALS Permit# Date Inspect:r
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1. Temporary Electrical Service or Pole 43. Pool & Equipment Location
2. Soil Pipe-Undrgrn 44. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electrical Conduit-Undrgrn 46. Electrical Bonding
5. Steel Reinforce 47. Rough Plumbing & Pressure Test
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE
7. Footings 49. Electrical Conduit-Undrqrn
8. Foundation 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap. ❑Undrgrn
10. Structural Floor System 52. APPROVAL TO DECK
11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing 55. Plumbing System -Final
14. Rough Electric-Conduit •56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final
16. Rough Heating & Air Conditioning - 58. 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 Sheathing
22. Frame and Flashing NOTES:
23. Insulation
24. Lathing & Siding
25. Drywall Nailing .
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric
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29. Final Heating & Air Conditioning
30. Final Gas Pipe-Test
31. Final Plumbing
32. Water Service-Final
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System
36. Sound Attenuation -
37. Handicap Regulations
38. FINALSTRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release to Edison
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
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BUILDING SAFETY DEPARTMENT �� 1636
P, O. Box No.317
Costa Mesa,California � /
� Data /A --/,5 -6.2-
CITY OF COSTA MESA
CERTIFICATE� �(� OF OCCUPANCY /��/
Building Permit Noj4_ /d E11 trlc� Perm No -7 Pi mbing yP$rmit No 33 74
Use of Building ••!1-0411✓ 7/' '✓ f�� t ./Q
lc /3.� - / ; /1/23� �� lob;/oB /ocr
The building located at / 719/ �1 /fir Ar
Legal Description b_r_ l 71A7 • �7G 7( 1//- 2�l l - .2 2 2,
(See reverse side for M s aed Bounds)
has been inspected and found to comply withtyle provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group trOccupancy.
ISSUED
� y�isy: de � Cil./
City B '
(Owner of Building) By �V 1
CC: 0 Original-Owner 0 1st copy-Gas Co. 0 2nd copy- ,P •. 0 3r opy-File
Form 206 S-B P LM 1-60
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