HomeMy WebLinkAbout380 16TH PL - Building Permitslnwcer�,?;eess: 380 E 16TH ST
OWNEP'SNAME: TAUSSIG DAVID OSKAR TR
aoosess: 2070 BU�INESS CENTER DR
UNIT I10
IRVINE CA 92715
752-15�Z
PflCHIENCMEEfl: flEG.NO.:
FOOflESS:
UNIi:
UNIT:
PEPMITTEE: PRO—SPEC ROOFING ( 714 ) 744-4541
ADOflESS: 94S N. MAIN
ORANGE CA 92667
uCENSEO CONTBACTOH OELLRflFTION: 1 �ereGy aliirm I�a� I am lic¢nsed UnOer pmnSionS ol Chapter 9(commenCinA wilh 5¢tti0n
7000) ol Drvision 3 0l Ne Busmess an0 Piotessions Code. antl my license is in lulllar[e ana elltti.
c�rruc.: 042611 sTnre .:471616 cuss: C-39
Oaie: ���� Sipnalure: .��` � _�
WOBKEBS'COMPENSRTIONOECIAXATION: I�er¢GyallirmlAall�aveatetliiita�eo�tons¢nilosel4iniur¢orat¢tli� teolworkers'
ComDensation Insurance, or a cenifieU copY �heteot ISection 7800. LaO. C�.
POLICY N�.: E%P. DRTE:
COMPANY:
❑ Cenilietl copy is �ere6y Wmis�etl. ❑ C¢nifiea coOY �s liled with ��e diy Building Divisian.
Jale: Applkani:
EXEMPTION fflOM WOflIIEXS' COMPENSATION OECWUTION: (ilus ittttfiui nttG not Oe mmpleud il Ne permt a lor one hunGreG (5100) or less�.
I[erii�y Ihdl in IAe DeAatmance ol �he vmrk �w � � WS permi i5 i55ueA ' Shdll nol employ any SOn in mann¢r s0 as to bttome
5ublet� �o I�e Nlarkers�'jComOqP^�ali n La ol Calibmia.
Oa�e: �� j � • Sipnawrt: •
NOTItE: Ii. atter making t�is aecqratron, you slroulG Gerome suUjec� ta the Workers' Compensation D hsbns ol the La6or
Cotle. you musl tan�vnlA comON �^th suc� prWkqns a IILLS permi shall Ce EeemeO revoked.
CONSTNUC710N LENOING RGENCV: I �ere�y af�irm l�a� I�¢re ¢ a COnSlmtiion IenNnO apency lor ��e p¢dormance Of Ih¢ work �or
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05369
PERMZT NO: B 053695 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; REROOF 2200SF 2 UNIT RESIDENCE W/COMP SH SQ FT: 1,933
CLAIM VALUE; 1,933.00 CALC—VALUE: 1,933.00 GpRO�OPq �OCC; 8-3 ^/MT-1
COMMENTS: REROOF 38061 /2 WITH 380 E 16TH ST �Byl�f�G �l� I��'4
�r*�r�*�r�***r**�r*+r********�r*�r�r****+r+r****�r***�e*****��r+e**�r*�r**�r** *�r * **�e*�r
Z O N I N G R E Q U I R E M E N T������
S E T B A C K S
------------ 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
PLANNINGRN6'�ES> PROV; PARCEL; 42618116 ZNE; REF NO:
�
k if �F M if M k if IF �F 1f 3f if if M iE iF 3F iE �F iF 3f 3F iF 3f iF iF �k iE �f iF if If if 1t k 1E k if k iF if if M 1E M 3f �F k fF iF1! iE 1F k iF If iE M iF if iE iE iF �k iF �f �f if if �f iF ik �F M iE if If M
D E V E L O P H E N T S E R V I C E S R E Q U I R E M E N T S
T�ONING APPROVED BY DATE; "
aUILDING APPROVED HY : C_ . DATE;
w�ic� ��is permn is issued (5tttion 3097. Civ. C1. � � * � � * � � * * * * * * * � � * *' * * *� *'� * * * * * * * *��* *'
lENOEN: kifffif�flfMkifltMMMlFlfMlkifillklkkkkkiFifiFifiFkiflfitlflkMklklFlfifkkklFikkklfll�flFfFlfiflflFiFlflFif3Fft�kklfitkikffifklkif�tlkifiF
nooaess: LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
OwNEnBWLOENOECUBRTION: Inereuyaffirmlhatlamexemo��mmineContractors'Stateticenselawforthefollowingreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
�Seciion 7037.5 eusiness antl Pwfessional Coae: Any ci�y ol caumy wnicA repuires a permit to consimct, atter, im0�ove, Aemolish, or P$�I T 4 5, 0 � , 5 �
reDair any slmaure. o�ior to iis issuance. alm mauires �ne applicant lor sucn permii to file a siA�eO statemenl thai helsne is licensetl SMIP /NON—RES
pursuant lo Ine Omvisions ol I�e Comrac�ois' Slale License Law �C�aD�e� 9(commencinp wit� Section 7000) o� �ivision 3 al the Busmess pL�
ana PiOI¢SSionS Caae) or I�al lre/5he is exem0� lherefmm anG 1�¢ Ca5i51or I�e alleped ehemO��On. Any vi0laiion o� $eclion 7031.5 Ey
any aooiicant mr a Permit suoiems me aouiicam to a civii Penauy ot not more inan r�e nuna�ea oaiiars ISSOo). ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
i, as owner ai me o�oue�ty ar my empioyees wim wapes as ineir sole comDensa�ian, will tlo Ihe work, ana ihe TOTALS----> 4S . SO 0. 00 0, 00 4 S. SO 4 S, 50 , 00
❑ simclure is nol inlenEea or oll¢retl lOr sap (Secuon 704a, Business anE Pmlessional CaEe: The Conlraclors' State License Law
Coes not aDO�Y to an awner ol a pwpetly wM DuilaS or impmvw �here0n, an0 who GoeS Such wark AimSelVherself or �hmuph
nis or ner own emD�oyees, pmvide0 i�at suc� imDmvemems are nol imenee0 ar ofhrea lor sale. II, however the DuilAinA or REVENUE D I V I S I ON TOTALS--> COLLECTED • 4$. S 0 OVER / SHORT ; 0 0
impmvememissolavnt�inoneyearolwmpletion.�Aeownervnllluvet�eburtlenol0�ovinphe/s�eGiGnotDuilAarimD�ove BLD4SP00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOOT GRADING PLAN—CHECR
lor Ine purpose ot sale�.
I. as owner ol tAe pmDeny. am eecluvvety rontractinp wi�� IicenSeG comracmrs m constmci t�e prolect (Section 70aa, Business
❑ ane Pmleuions CoEe: i�¢ Cantractors' State Lkeme Law Uces irot apply to an rnmer ol pmDerry wAo bmlds or impmves ��ereon
an0 wno coniracis br sucn prqetis xiln a Eoniractorlsl license pursuant to ihe Coniractor5' Stale License Law1. I am aware
ihai prW� o� I�eir WOBei 5 Comp¢rl5diion inSuraMe StroVIC Oe prpviGM 10 me.
� I am exempi unaer Seaion: B. 6 P. C.
lor Inis reasan:
oaie: Owner:
IOo �ereDy cenifytnat lam aware ol and understanG I�e r¢QuiRmenis alCalifornia Healt� anU $alei!
P553< an011ut I o� any �uWre GuilOing atupam wilVwiA noi (cirUe one) eM to tompy wi�� ssiJ s.
permil lor conslmclion or moailicalion Imm Ihe !ti� Owliiy ManaBemr � Aricl. fle5i0eniial Co �
I�eSe Wovis�ons
Date: %— � • � / pplicanl:
I hereGy ceruty Ihai i �ave reatl t�¢ applicaii d04 SldiP I�dl IfIP d�W! iI1�0�I11dii0015 LOrt2tL 1 d9f¢�
orainazesanOSlalelavrsreWlingloGuilUinq uuclianaM�ereOyauilp''�jerepresenWtiv¢SaftNs•
pr00e��Y �ar in5pe[IiOn pu�po5e5 �♦
3 - 4 i. �+t
Daie. �/ Signa�ure: �`�-
DnvefsLicenseor5ocia15ecunly.:
i505,25533,ana
:Quiremenls lor a
are e�emD� ��om
all ciry ana
t6�1-46 W�ne—Bmbmg: Green—CWe Enbrcemem; Canary—Applicanl; Pmk—Revenue: Golaenroa—Pssessor
kkMkMiFlkkklfkiklFkiflFkk�k�k�FklfkifikifMiklf*ifkkifitkkifikklFkifiFifififlflfftklf�fk*lflElfkiFiFiEiflkiF3f�F�tifiFiFMiFkiF�FM1F
I N D I V I D U A L F E E B R E A K D O W N
TYPE (JTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1933 REROOF BY VALUE RESIDENTIAL N020NE 1.00 1,933,00
END OF FEES
ci coa�h�.>.-c:e,s�,�r -,-:� -
RATE- 04/G�'a: ?';;� t?^�_�
� CONSTRUCTION ANDPLANNING POOI A
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Permit #
1. Temporary Electrical Ser 4g�.or Pole ! 52. Pool & Equipment Location i'�
2. Soil Pi e-Undr rnd. .`:: 1 • �
P g � 53. S[eel Reinforcement
Y3i-..-.. .. Y' d 9 "' -r
`,�`,��ical ConcF�L.�l�iilit U dr rnd. 54. Forms
,�ir��'Ele,cjrical Con¢uH:,-ndrgmd. i' 55. Electrical Bonding r; �'
'7c8:?SYee�t"Reinforcement ' 56. Rough Plumbing & Pressure Test ' S
- �c� �,s
�nr„6;'Electrical UFE;RyGmd. �`�'' 57..APPROVAL TO COVER�GUNITE �
'77tcFootings O�-+ �c 58. Electrical Conduit-Undrgmd. �
U$^Foundation �: `� 59. Gas Pipe, O Undrgrnd., Test � `=
C9:.�Water Pipe-Undrgmd. �, 60. Backwash Lines, P-Trap, � Undrgmd. �� Z. �
r c_.
��4Structural Floor System • '�� 61. APPROVAL TO DECK " �J��
t7�Prpperty Sewer Liqq & Hw"sa• nnection =� 62. Backwash & Receptor�Final , �
r- - l
72. Sewer Cap y �� i 63. Heater & Vent-Final �
1
13. Roof Drains .c �, � 64. Plumbing System � Final � .�r :�
14. Rough Plumbing -� ��' ,�r• 65. Electrical-Final /� _��"'
15. Fiough Electric�l-Conduit ' 66. Solar System�Final `,"l �'-' y.'•�
16. Rough ElectriCWiring `�� !
y.�, 67. Fencing & Access ApProval
17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.r,Rc�gh FactotY �Place i tch? �;�-! � C a:� x t i<1PPR41Vl+¢L3b.;, P mnit #< � t�
� .. � a T ,
21ZDSCts, � StSucec�CeX �� ;_�" :CS * �-+ '7� * 70. llndL�r en�.tl ��^y,ro � r"'
a e �.: i.. . H S * S r� x. x�] 9�',Q' ., '-"S� v:
22� Du�.ts, bknci+ati4ign � cjS # �y �' �a x c. 71. �product'�ping flt�as G�OiI
�
23-Ga`SPipe`-Rou",gh �&afest � � �` � "Y' �' � 7Z, Underg�ourid F y � a -'
-� , i ns x�� r ox •�� �£�a. � F e,
24�RocfFiaming �* ��-.:- a7 O %��?: 730Undergrnd.Storage'TenkAOGas ❑Qil
25. RQef Sy'Pathing'��� E �'� � M � n"� �` • 74� verheaci�H dr�`•"'a *
r c ._.w �y v �. t7 NY x. .,.� Y 7
� � �
26.,T-�ar Ceiling (Stru�turall 85Monocoat x. rb ' �iyF y 7��Dry Chemical ��y .+ �� O �
27�Frame and Flashl�q� � �T �, p 7 r 7�;'�ry Star�e O� * S M C
:v o. '] x,. W� ;r tx7 w
.,28.' Wthin��$& $tdin9-:�. r. r�[*1CJ o' � }. x r� :r � � �.
`��25 0. £ ••:k x� 77,r FIXED S�(�3TEt�C�INAE: �r
29. Insulat'Wn - �''� � ,�'S, "" � *'•'� � ` � 7�? FIRE PREV. FI;N{jL y..� � �
�q .
n30. Drywall�fVaitcng�� �" r � �. R - rp1EALvf DEP�.,BEQUIF}�MENT
� 31 . Plaster 6rown C8'a� �,*,�� M� � �� '� , 79? FINAL I�ECT N �� Q' '„"-�
� 32� ElectriCdl Po`r,3eer`.,�` + `�'` � : :k «� x . -_ �:
�Yleter-Final Y n7 a•� 8qq FOOD CEF�'IF�{A,TE I�S EO
33?Firaal Eleciric ��a y � � w t7 ( � Y t. NS�es: �'J' "7Z- * � tr
'7 4^ N�
1.� �� 4t�• �1 K 'c r� i y: _. rr A f:J
.�34..iFic�IFlBatin�&F�i�Gypditibr�r� � x I 1 Q � �.x * S��
�35rFi6el Gas Pipp�Tnr � �� :� � I x �: � (� :� M5 � tr SO
n +�^. x O �:-a w ' rr
D3B�Har`Q,d o�CanoPY,Ur p�' : t*'^. n. .! rt � . h: a� >" no n +� �n �b.
a37GFia81 Factory Fire�lace � S!T' 'o E i.'1 �F +� " Cl � w- !T7
_ �-. la' a. � :f: tJ
.r r':�� I.... � rN {� 5 W s. .�
_,38. Fin�al P�lmbing r rii � .--� x � � q� � 5 t-� +. c� C
✓39. WazEr �ervi[e-Finaf i rc � I � �t' t: � ("' ab! =: lf, O
r T � s �Y :: • n,i w ._\'
��40. Gas Ser�3jce=Fina1 " '` '. 1 � .,',. E""L • * �,� -
'! iv Qb'!�" S %�. t� � �+ ... C_� rt�PJ �:
s;41. Solar �omes2icFinalS � .. + G: � G• < �yv :� x:
" `k �4 Y. fC Y; �
�42:�Backflow Preventei `' "� '� �� � ` �k `� �'' ,�''� �' + _c
.r fil x 1 I I� �v X �' E-� • x, v �.•
V.��e
43. Backflow Irngat;on � � t�SS a �: a_ �� c�EFo � C � '-�
� • v- x. � ; :i.
��44. Lands pe � qati$n Syste `�U` '_ �' n' Y'3 n
� +.. Ri1 p; C) l:, x tT, C O+ r� CV CU ;L CJ � N �
z;45�Sound Attep � nr�' r�,�F S� � 5 [ � F��k w� r� r+ o'nr U;c( �z � �
.-� . n i• tit�. n -.�-t :r
�46:'Handic�"p Regu�i�4s.� C S r: C.-, •• ••a. �.; • i Hn� .��-� �:
z -+ p .t f x ' u: •S Co S r
��47;,;F1(�4LSTRd1�'tJAf�'$�BIt�LDING ���9' ; +�± Nos �� x
i v y.
48!?�FICrAL PL/iN N�S'i, � � rrtr "� 4• � �s, 7 :f�
_� �, .... i;�w. . N I. �. r� i c*1 rC x .
._ ", _ ... .�
,�49rEleotricReleaseto-Edison j r �.7;_ tC j r =y` o:
v 1 .I�1 Y"
�.� 50sGas,Release t�o`Sou�hem Cal for ia Gas Co w p'" •' � ,��' �' `� `^',
�!= :� I � R�:� N v c r� � O
.,51. CERTIFICATEOF,�OCCUPA f � �;, ,� �,;,
:C :% -� C ��
No. Date
PHOJECTROOflESS: 3HO 16TH PL '
OWNEH'SNRME: KELLY AOBERT E JR
aooncss: 380 1�TH PL APT B
GOSTA MESA,CA 92627
548-8182
AflCHIENGINEEH: flEG.NO.:
aoonEss:
uxir: H
uxiT:
PERMITTEE: DIAL ONE SONSHZNE PLMB. ( 719 ) 523-9219
aooxess: 10537 DALE AV
STANTON CA 92626
LILENSEO CONTflFtTOB OECLABATION: I hereby aHirm Ilui l am licensea unG¢r pmvisians oi Chapter 9 �commen[ing wilh Seciion
]000� ot Orvision 3 0l Ihe Business antl Piofessions CoOe. antl my license is in lull lorce and eiiecl.
c ic.:045489 sTaTeuc.:550716 cuss 36
ate. _�_ ' SignaWre: _
KFflS'COMPENSATION CLABATION: Ih¢r¢Eyaflir I�aveate��hCateolconse selbisur r tertilitateaiWorkers'
Comvensation Insurance. or a certilied coDY �nereol (Secuon 9800. LaU. CI.
eoucrxo.: PC943740 ezr. onre: O1 /01 /95
comraxv: REPUHLIC
Cenitiea cooY is nereey fumishetl. � Certitied capy i Iiled with tne ci Builaing 'vision.
�at - ��g� 1 PPVliwnt:
EMPTIONFAOMWOBNEPS'fAMPENSR➢ONDECUBATION: (� ectionneeGnolbecomplet[diitAepe�mi 5 w e�undreA�511p�orle55�.
I certify Iha� in the Oetlormance of �he work for whic� this permi� is i55ue0. I shall not employ any person'n any �nanner to as lo become
su0jecl Io Ue Workers' ComOensation Laws a� Caiifomia.
Oaie'. Signaiure:
NOTICE: II, afler making I�is tleclaration, you slwuld become suGject Io I�e Workers' Compensation pmvisions of Ihe Labor
Catle, you mus�lorthwi�h [omply wil� such O�ovisions or �his permi� shall be tleemetl revoketl.
CONSTBOCTION LENOING AGENCY: I �ereby afiirm I�al there is a[on5tmction lending agency for the petlormance of IAe work lor
wnich Ihis permil is issuee (Setlion 3W7. Gv. C�.
LENOEH:
AUDNESS:
OWNEfl BUILOEP OECIAflRTION: I �ereby ai�irm I�ai I am exempi imm I�e Convactori S�ate License Law tor Ihe lollovnng �eason
(Sec�ion 7031.5 Business antl PmieSsional Code'. Any cily ai coun�y whic� requires a permil io conslruci, alter, im0�ove, tlemolis�, ar
repair any SlmcWre, prior �o ils issuance. also apuires I�e applicani lor such permil to lile a 5igneC statemenl lhal Ae/she is Iicen5e0
pur5uani lo I�e provisions ol the Conlraclors' Slate License Law (Clup�er 91�mmencinp with Section 7000) ol �ivision 3 0� Ihe Business
an� Pmlessions CoOe) or I�a� he/she is eeempt Iherelrom an0 I�e Dasis tor ��e alleBed eremption. Any violation ol 5¢c�ion 7031.5 by
any applicanl for a p¢rmii Subjetli I�e apD�icant la a tiWl p¢nally 0� nol more t�an �ive �unOreO Oallars (5500�.
I. as owner al ihe pmpeny or my emol0yees with wa9es as rtleir Sole comoenution, will tlo ihe work. and Ihe
❑ SINGIOf2i5 OOIIOICfId¢tl Of011Cf¢OIO�SdIC�$¢ciion 7044, Business anA 7mfessionalCoOe: The ConVac�ors' $Idi¢ LILCOSC Ldw
does not apply to an owner o� a pwp¢tly wM UuilAs ar im0�ove5 Ihereon, and whU dces such work himSelUhersell or tOrough
�is or her own emDloyees, provided I�al such impmvemenls are not intenCetl or o�lered lor sale. II. however ihe �uilding or
impmvemenl is sda wiinin one yeat ol completion. Ne awner will nave �he buraen ol pmving 11e/she AiU not buAd or imo�ove
forlhe purpose ol sale�.
I, as owner ol Ine propeny, am eeclusively contractinp witn IicenseA coniraclors lo consimct ihe Droject (Section 70aa, Business
❑ antl Pmlessions CoOe: The Contracmrs' Slaie License Law does not appN �o an owner ol pmperty who builds or imprme5 ihereon
and who conVacis for such pwletls wil� a conlracloqs�license pursuant �a Ihe ConVactors' Slaie License Law�.l am aware
t�a� pmol uf tlleir Worker'S Comp¢nsa�ion insurance strould �e pmviGea ro me.
i� I am e.empt unaer Seclion: B. d P. C.
br ihis reason'.
Daie: Umer.
I do Aereby cetldy ��at l am aware of an0 un0er5ian4l�e repuiremenis ol Califomu Healt� and Salely COAe Sections 2550.5, 25533, anU
25534 antl Ihal I or any iWure 6uilding occupan� willlwi�l not (circle one) nee0 lo comply wil� said s�ate cotles antl Ihe requiremen�s �or a
permil Im mnsimction or mo0ilication �mm ��e Ai� Oualily ManaAemenl USiricl. Pe5i0enfial cons�mctian applications are exempl tmm
�hese o�ovisions.
Date: Ao��icant:
I hereby cer�ilylhal I have rea0�hi5 application antl StaV
orNnances and s1a1e laws relaling to �wlamg constmciion
pmpeny foi inspeciian purposes.
� I'
oai : S h �� `/ Signawre:
ver's Gcense or Social Secumy ar
; Pink—Revenue: GOItl2nrotl—ASse550r
lagree�o comply wiih all cily and coun�y
IAis cily lo enter upon I�e a6ave�mentionetl
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 06705
PERMIT NO: P 067055 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : REPLACE GAS SEAVICE SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
COMMENTS: NO OTHEA WORK AUTHORIZED BY THIS PERMIT
*�**+t**�r�****+�*******x�s*�*�-�r��r�***********+r+�********+��?�**+r*****�************�rf�*
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; ET IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGAT: FT IN LEFT: FT IN RGAT: FT IN
PARKING REQ: PROV: PARCEL: 42519213 ZNE: REF NO:
PLANNING NOTES>
>
�r**�r�t+r*�rx�x�***x�x��**x�*�r�r**** rt�r*�**xx*�+r�r�r*�rx��r**+r+r�t*�rx*�-*�-**�r**�*+�x**«+r******�r*xr�r
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 :
�
APPLICATZON ZSSUED BY: + ".'i
ik ik iE jf iE if 1E iF iE iF aF if if iE 1E fE IE IE iE fE 1E iE .
iF K 1f iE �f IE * 1F iF 3E if iE iP iE iF iF if iE iF iF iE iE iE iE iF 3t if 9f iE iF iE iE 1E iF iE iE if iF 1E if iF M ff iE �lE aF if if iE iE iE iE if
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRTC MECHANIC
PERMIT 7,00
25R
_ DATE: (�
DATE: Y1'
�iFiElEiEiFiFiEihiEiE�1f � �IE
iE if jf iF it {f 1flFiE iF if iE if iE i� iE if * 1E 1E k Ifif IF
STRUCTURAL SEGMENT:N
FIRE SMZP/RES GRADING
SMIP/NON—RES
PLAN
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7,00 20.00 0.00 27.00 27.00 .00
REVENUE DIVISZON TOTALS--> COLLECTED: 27,00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECAANIC FZRE SMIP/TOT GRADING PLAN—CHECK
2%.��
F
iF if iE if it it fE iE iF if !F 1E 1E fF fF fE �f 1E iElF �f iE 1E iE if iE k 1E if iE iE iE ik 1E iE if 1f !F!E ff 1E if 1E if iE ik iE iE iE if if 1E 1F �f Ik iE it iE iElf iE if iE ff iE iElE iE 1f !E ff if iE if if 3f iE if iE
I N D I V I D U A L ��F E E H R E A K D O W N
TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST
PLU 1 GAS SERVICE • 7,00 7,00
END OF FEES
O1 OOibOQ3E—D016003E TU T 27.OII
DATE: 0`!OS/94 TItIE: 13:14
CONSTRUCTIOR AND PLAfVNtNG ' POOL A � ,
APPROVALS Permit �`- I D3te Inspecior AppROVALS Permit ;:`- Date i ImnF�tnr
t. Temporary Eiectr�cal Service or Poie
52. Pool & Equlpment locaton
2, Snll Pip_�Undrgmd. � _I 53. Steel Reinforcem_nt __ _ �i _ _ � _ ___
3. Eltctncal Condurt U'.'„y�Und�gtr_. h 54. Forms _`�� �,
�-------- --- - --- ---- --
4. Elecir:cal Condu t.Urd•��-.•! -- � I � ;
. � 55. Flectrical8oi�d�nq �
-��---�--- -`- - ! ---t----�
5. StOe: Rrinfor�em:at i 5G. Flo�:9h Plumbmg & Prceswe Tzst i ,
I-- ---- ---- -
6 E'^ctric:� U�ER Grnd � � � 51. APPR�VAL TO COVEH�G� i�!�TF ' �
- --I-----�---�-- ----+- -
i. Footings � 5FJ. t��eci•icai Cur.uiJY W��rcrnu
- �------�-----�---�--------�- -'-----'-----
B. FoundaLon � � 59. Gas P�pe, (J UnW q�nd , Test ; �
9. !:'nter Pi e�Un�r rn . �-----�-- i------- --"� �
P 9 d'-- 60. 8x�w�sh Li�ie:, P Tr„n. _-'-. '___ .I _
--L - --- ----- _ --1-- _
10. SVuctural Floor Sy.�en . � -r67. AFPROVAL. TO CtCK I � i
------ -�----- -
17. PrrP,:�ty Sevrnr ! i�;; & No�r� �.�'�.cr�.on I-____ -�- j �Z 3;cicr:&sh IL Hccc_'- �� ,i --_ ._ __ -_ I .
-.__ � -_'__ _ ., �. . c . ... ,
__�_�'-_-T-_-_____` ._ _ *_ _ ___�_ _ .__-,
12. S�:ier Cap . � � 63. iieater Ut Vent-Fira�. �
-�---- - ---�---�-- --
13. Roof Dra�ns � �' I 6h. ?�um6lnc� System F���31 I �I
�- ---�- ----� - ------ - --r- '- -
14. Rou ��. P-umu - --�� - .
9' 9 _ _ __ _�� � � 65. Elect�ical-Final _
1__-__ -�, _--:-.
15. Rough Eiectricai�Contlwt I � � 66. Solar Sysiem-Finai i i
�____- ______ �__ -.
16. Rou^h Eled^CLthring � i � 67. Fencing & ACceis ApG�J�a! �
__i . _ _-,_ __ -�___ _ -
17. Rough ll�inr.g Sgn 68. APPfiOVED FOR PLASTERI��G �
18. Pcugh Electricai-T Ba. Ce-��ng � 69. POOL�SPA SYSTE�'S FINAL � �
19. Rough Haat�ng & A�r Cord�,:c���.g I FIRE DEPT. REQUIREMEIVT � '
I
20. Ro�nh f-act�ry Flren'aca I I-�� i.qpPRQV.GL5 �?ur�!rt :- _i
-�----�-- --1- -- - --- - - -- - -�
21. Durs, in Strccturc i 70. Unde+grcur... tiyo ., '
-- - ---�---'-Y---� � - - �-- � -- -
22. DuCts, b'Cn!�tating i � � 71, Pruduc[ P'pin9 `]Gas L.O�' i
-�. _.-__ - _ -_-
23. Gas Pi?�cRo��l� L4 �es: � � I 72. Unda:'lrou-+J Flus____-._-_`._--_ .
' - _-,_-___�{__. -J-__ -__- _-_- _ __-- _ _ __ L_ _ _ _'_ _.
24 Roof FraminB ' I � i J3. llnocrnmil,Stnr��,��l,:n!c JGas U � '
25 RuaiSi�cath�- -i----f-------i ..-- ---------- - - -
a ----- 7C. O�rrF�.�a�l H�;dro '
�-----+--- ---- - - --- - --- - L._.. . . .
76. T•o:r Cuhng IS: ucF. :� �i '. ^urn�t �-- � I, 75. ❑ry Chonucal � !
27.Framea�dFie•hi,-� ---'--- -T----I---- ��-----------------i' _._i.
G. Jry $t3ni'^.i•_ i
_ -- _ _ _ _ - -+-___ _'i____-_" - -_ "" __ _-- "__ � _- _ y
?8. La;�i{,�uScP�j - --�-- . � 77. f�kEDSYS�E'c:�-�NAL � i
L--- - --- --- --
'-9_n7 I a,:ir❑ 1-- -- `.l -__I 70- FIHF PREIEALTH_D'cPT_REL�UIR; � �'
sulatn� -----� I - - .
30. �-r::,, � �d �
31. P�.��i�. 6�oi�m Coat --- -- --�-- � � � 7^. 'r'..,.4! in15PCCTIQN
----- ---------. _.-- --i-- '��-'- - - - - '--- --�--� - - - i
32_Eect^c.:'R��_r_... '�,_�--- - -�-- - ---�3^_ �nCDCEHf_f:Cl.'E-i�,-- -_- -�---
-=--- - �
33. rinal E�rCtrir_ � 'i �Nutcs:
34 F��ne.i Hc.�tirn n, A�� i:o� :.".c..--- -�---- --I� '~
� �--�---- . --� -
-- -- - --�- -----: - � �_� '�_¢_ _ �G,�� C� _ �
35. Pinzl Gas P�G.rTcst �
- ----�S-�=i�-� - ---- -- - --- -- -
36. Haod or C:,ropy I �
--- --1�---�---- =�-- -- ------ - - - -
37. F�nal Fectory Fvep..,a �
----- �- --L- - �-
38. FinzlPlumbing �C.^ •I _� `� �I - ---- -------------------
�Z 7j�
39. 4:'ater Serv:re�Final -� �
-�
40. Gas Serv�ce�F�nal
11. Sn�a� Domest:cF�rz�
d2. Bacictiow Preventcr
43. Badcflow Irr.Gation
44. Landseape Irnqauon SY>tcm
45. Sound Attenuatlor.
46. Handitap Regu'aGors
47. FIR�.�L STRUCTURE C� BUI'_Dt�'G
48. fIi/�L PLARP:I�!G
49. Eiecric Rele�se to L-dison
50. Gas Release to Southem C;lifo�n�a Gas
51. CcRTIFICATE Or OCCUPANCY
No. Date
r- - - --
-_I- __ I
i
1 __�_
- -- -r-- -'- 1 _.
�
'----�'_'-- -�-
232_�n
STA MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX H1] COBTA M6BA� CALIFORNIA
For Applicant fo. Fill In Completely
TYPE OR PRINT
9u�Lo�NG O �
AODRE58
COS'fA MESA. CALIFORNIA
iEL.
No. ���
ILIC.rNO. �%Z Z.I� NO. �7/ "��O �
SRE �.✓ �, // nG I NO.OPBL006.
USE OF ��
EXISTIN6 BLO6.
BETBAGK L�NE FROM �� '
DESCRIPTION OF WORK
I HEREBY ACN�WLEOOi THAT 1 NAVB qEAO TXIB ApPLICAT�ON
AND BTATE T AT TX6 M1BOV6 10 COHNECT ANO AOqE6 TO COM-
PLY WITH PLL CITY ppI11 NCBB ANO BTAT[ UWB P[OIILATINO
BOIL�INOGONBT RIO! .
61GNATURE F /
PERMITTE
AUTHORIZfiDAGENT ' �
FEE RECEIVE '
oEc�� tss4 --
FINAN E OEPT.
CITY OF COSTA MESA
APPLICATION FdR PERMIT•
BUILDIN6
For Oiiice Use Only .•
,.� � � i .� ^ d^6 I �` —/
DING �/_ryD I� r-
R688 r�
B TYPE " pROUP�L
tOVHD 7�
ATE'
NING �
NO.O� Yp60PN[W �
��� �lANO �� pU1LDIN0
RIPf10N Q �/C `V � Y/ CJ / K�N`T4
No. (/Ta� ��3
?: NO EAV E OV ERHAN6 3HALL BE LEH9 THAN
YARDSAPPROVED
MAIN BUIL�ING
(FROM C/LSTftEET)
♦ - ___ r)1 __
VAR.1C
/ �`� SQ. Ff
THE �MOUNT 9H0
PUqP03H OP E61
VALUATION
$ �l �OD
r�
YAROSAPPROVED
ACGESSORY BUILDIN6
DATE
io a .
V�LUwTION IB FOR THE
A PERMIT FEH ONLY.
IT FEE � `
, D
CHECK $�
_ PEE �L / � "
' 235�,
STA MESA BUILDING�SAFEfY DEPARTMENT
P.O. BO1[ i1] COB'rA MHBA, CALIFORNIA
For Applicanf fo Fill In Completely
PE OR pRINT
ADDREbB �j. (� / �+
COSTA MESA, CALIFORNIA
IG��1flORAO _�i �L /� ' •
3yz� Na�3�'d97GL
/ � no. o� e�noi.
USE OF
EXISTIN� BLOO.
BETBACK LIN[ FROM
DESCRIPTION OF WORK
[]J
WALI
I1 HHAEBY �CKNOWL8D08 THAT 1 MAVe qBAD TNIB �PPLICAT�ON
AND BTATB THAT TNH ABOVH 18 COppBCi �NO AOqH6 TO COM-
PLY WITH ALL CITY OHOINANC4H AND iTAT[ LAW9 R[OYLATINY
BUILDINa CONBTRUC7�ON� � /
SIGNATURE OR ( r �I �/ L U
e AUTHORIZHD AOBNT
FEE RECEIVE�
' FEB 5 1965�
FINANCE UE 1.
• CITY OF COSTA MESP
' APPIICATION fOR PERMR
BUILDING
Fo� Office Use Only
ar
ZONING
ruHs
-r7.' �/�r � 7 �.�
OV fiR HANG SNALL BE LE38 THAN
YARDBAPPROVED
MAIN BUILDINO
tOM GL HTRQETjrJ
vwrs. #
YARDSAPPROVED
ACCESSORY BUILDING
DATE
n
80. FT. �
TH8 AMOUNT BHOWN UNOER VALUATION 19 POP TN8 9
PYqP048 OI UTABLIBHIN� A PEqMIT IE8 ONLY. �
VALUATION � u
� PERMIT FEE �
/�� � �
m
s i '
s
0
----• --- - � -� .