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Home My WebLink About365 LOURDES LN - Building Permits" `s 365 LOURDES LN 9' �ME: �ACK DAY GARDENS HOA eonness: �50—B RIVIERA ST, C.M. ►PCHIFNGINEEN: RDONESB: flE0.N0.: UNIT: UNR: PENMIfTEE: W�STERN ROOFING CO ( 714 ) f193-4377 ►ooaesa: 7931 RONALD DR A H. D. CA 92547 110ENSED CONTMLfOB DECIAMTION: I here�y aKrm WI I am IicenseE unCer praWvons of Clwpter 9 �cammendnp wit� Section ' 70W) ol Division 3 0l �M Businas anE Proleuiore CoCe, anE my Gcense 6 in full larce inG ellect. cin uc.: 0 3 017 0$T"T� uc.: cus : �... Po � � $�� >: c oate: 14�—�6q Si namre � 4'— �--^— WOPIIEBS' COMPENS�TION OECIAMTION: I AereCy aflirm tlut I Aave a ceNGcale ot wnsent m sel4insure or a cetlifica[a of Workars' ComDensation Insurence, ar a cetlilie0 coDY �herea/ (Section 3800, LaD. C�. voucrxo.:2II5—ti9UNIT764 ar.oeTe: O1/0.1/91 coMrexx: STATE � Certifie0 capy is heaby tumishe0. � Certified�\9Y�a� fileE wi��+ ��w 'tv BWIENQ \�O\lvislon. �ata:�'� \ l� 15\ �MDOcant \'� � \ Y\�d' J ( IXEMPIlONFl10MWOHKFA3'COMPEN5ITIONOEpAIWTON: (iAissectimiree0nd0emmpktMiiltnpcmil'sloram�undre0(5100�wkss�. , 1 certiy tAat In t�e perlormanca of itie work tor wNch iNs permii ¢ isweE. l s�all �rot emdN' NY Derwn in any manner so az to Eecome 5u61eti �a l�a Woders' fAmpenSdtion LawS ol Caffomia. , Date: ' SqoaNre: NOTICE: II, alter maldnp N'a OeUarztion, you stwuW become SuEject to the Workeri Compensauon D�a�ons al Na LaOor Code, you must forlAwit� compty xdh sucti prouisians or ilis pemut sAaO be EeemeE rewked. CONSTNUCfION LENOING �GENCY: I IrereOy amrm that Ihae is a mmt�uction IeMinp aO��Y �or tlre peAormance ol Ne work for wliith Itus Petmil 6 i55uM (SMbn 3W7. Civ. C). IENDER: �OOflF38: OWNEP BUItDER OECUWITION: I �ereEy amrm itwt I am exemD< <rom the CanVactors Suta Lkense Law lor t�e lalloxinp reason (Section 7031.5 Businea anE Prohsvanal COUe: My dry al caunry wNc� reQWres a Dermit to wnstruci, alter, improve, tlemolisA, or repair any slmcNm, O��or ta hs issuance, also aQuires l�e aDV��ant far sucA Oermil Io lile a 510�eE siatemen� t�at �e/s�a Is licensea pursuant m t�e pmvisions ol �he Cantadors' Siaro license Law (Cnapter 9(commenUnO �� SecUon 7000) ol OMslon 3 0l tAe eusiness an0 Professlons Code) or tlut IMJshe Ls exempt t�eretmm anE tAe Eas6 lor I�e allepe0 exampllon. My vioWtlon al Sectlon 70.31.5 6y any apD��cant lor a Dermit su6jttts Ina applicant ta a civil penalry ol not mare than liva nunOraO dollars (5500). � I, as owner al the D�opeM a� my emyloyees with wapes az t�eir mla compenutlan, wlll Uo'Ihe work. an0 the ❑� slmcNm is noi intenUeC ar oflared lar sale (Sect�on 7047, Busness anA Pmtessional CoGa: The Contractors' State Licanse Law Aaes nat appty to an Pxne1 al a propGM � �uilds or imprOveS tllereon. an0 wlp Oaes suc� wOfk Nmull/Aersell or I�mug� hls or har own emDbY�s, DrmiON Wt wc� improvemmis are mt inteMeG ar atlere0 tor ule. II. �owever I�e OUIIEinp or imDrovement is so10 witNn ona year ol campletion. t�e ovmer wlll twve Ne Curtlen ol pmvinp �e/sAe Cid nol 6ui10 or improve lar Ihe Durpwa 01 sale�. I, as owner of t�e D�W�rry� am excl�iveIy wntractlnp wit� liunsed cwtractors to constmct tla D�ojoct (Sactlon 704a. Business ❑ and Prolessions CoOe: itro Contanors State License Law Eoes mt apply ro an ovmer al properry wAo EWQs ar improves Uereon anE x1w cmtrncts for wU Dro�ec¢ vAN a cantractw�s) liceme W�� a Uo CanVactors' State lxenu Law). I am awara tlwt prool al tAeir Worker's Compensation insurznu sIwNO Oe D��4� ro me. � I am exempl unEer Sectlon: B. 8 P. C. lor Ihis rea50n: Date: Ownec I Go �ereEy certity I�at I am awam ol antl uMerstanG t�e reQuirements ol Calitamia Healt� an0 Salery CoOe Sectiore 25505, 25533, ana 25534 anU tnat 1 ar a1ry tNure WiMinp Otcupant wiNwtll nOt (tirde one) n!N to tomply vnlli Sab stata mEes dM the reQuiRmenu lor a permi� tor consVuctlon or moEiliatim trom Ne Air owliry ManaOement OisUict. Ne5i0ential consiructbn appliptions are exempt from t�ese D�%'islons. Uate: MO�m: I hereby ceriity IAa� I �ave reaOlhis apD��ion anG sute that ihe aAave intormaGon is correct. I apree to comDN m�� all city anA counry orGinanCM anE state Ww5 aWtinp to Duil0in0 cansVuc�ion arN IcereGy aNtptiie represmfatives ol �Ila nry to enter upon Ine a6ove-m¢nnonEG pmDeM lor insDeciion purpo5es. oata:�� ' � �SiAnature�� — — oriver's license ar Soda� Secunry x: 1BOi�a6 Wnite—BuilEing: Green—CaOa Enforcement: Cenary—Applicant: Pink—Favenue; GokenroC—Asaesaor CITY OF COiTA MESA — DUILUING PERMIT PERM NO: b U45429 PERMIT NU: B 045429 PLAN CHECK N0: N COVT: N SUPP: N CONSTRUCTION TYPE: ' PERMIT TYPE: i'fR PURPOSE: OTH JOD DESCRIPTION : REROOF W/40LB FELT & HOT MOP SQ FT: 400 CLAIM VALUE: 400.00 CALC—VALU$: 400.00 GROUP OCC: M-1 / COMMLNTS: - ��r+t*f�***��x��t*�t*�r�r*�r*�***�*�*�:*��t�tx��r��r***�t�r+��t�*�t***i�********�r�rr�r*�+r*��-�r�t*�*�**�t*v��t Z O N I N G R E Q U I R E M E N T S S E T D A C K S ---- ------ MAIN BUILDI�IG --------- --------- ACCESSORY DUILDING --------- FRD]T: FT IN REAR: FT IN PRNT: FT IN REAR: FT IN LEF't: FT IN RGHT: FT IN LEFT: FT IN 2tGHT: FT IN PARKING REQ: PROV: PARCEL: 4]914125 ZNE: REF NO: PLANNING NOTES> � � �-�x-�t�tat*��x�*�**�*x�*�x�at**etit�*�t*ie*xat*I�at**x�rt�-�ia*�-at*�i**�-*�t-*****�t*�-�-x-�t�titat*at**�titit*it�ir±t� D E V G L�O P M E N 1' S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY � �DATE: �JUILDING APPROVED DY : DATE: APPLICAT.LON ISSUED 8Y: o�— DATE: �2—"I�—eS5 �N�3CitK�iEiEktF�lFitlEitiEiEifititlEiEiF3E . 'iFiF'�F"iFiFiF'�iFiFifikiEiliEit�t36#k3F'�FiF�F3F'i`i�'iFiF'Ei�:1�iE it iE if ik 1t if k if �k i(� 1E IE fE i! 1E 3E fE #!f 1E iE iE iE fE if k iE fE ik IF iE if if iE if iE M!f iE if iE df i, iElE 14 it M if 1E iE # IE IE if ik 3! iF ik i4 if fE # af if if � k ih ik �k iE iF if ik?E jE-1(� iF LEGALI2ATION:N F E E S,U M M A R Y ��STRUCTURAL.:S,EGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 15.00 ' �:50 PLAN ' • � StlIP/NODI--RES: . ��.. ' TSSUE FEE fIUILDING—DIV—> PGRMTT ISSUE PLAN—CHECK TOTAL :�PAID DUE TOTALS----> 15.50 0.00 0.00 15.SU P,:15:50' .00 , _ v , • RE�,�ENOE DIVISION TOTALS--> CULLECTED: 15.50 OVF.R/SHbRT�• 00 �LDG PMT PLUMDING ELEC'PRIC MF:CHANIC FIRIi SMIP/TOT RGRFUJ,I,NG PLAN—CHECK 15.00 .50 . *�c*�r��t�r*x�r��t*�r*x-*��*a��i�*�*��*+r�**�r*x*�r***��r�*�*�r�**�ra��*�r�if��irrt�iC*****�t�t*��**� I N D I V I D U A L r E E H R E A K D O W:N ,.' TYPE SFR � � i q�rY 4U0 D E S C R I P T I O N RLROOF BY VALUE RESIDENTAL NOZONE � LND OF FEES EXPIRED I�compiete.��SPeG� s � / r� , � Y Oate �--- - --_v-- S�B :� UNIT COST y TOTAL COST 1.00 , 400.00 ..,.. �1 Q0049945-00049945 Y 4 Y DATE: 12/18/89 TI�E: 13:03 ' \ 0 .50 Oi 00049942-00049942 TOT 15.00 DATE: 12l18/89 TIME� 13:01 � CONSTRUCTION ANDPLANNING POO, iPA A� Date Inspector Date Inspector \ ApPROVALS Permit # APPROVALS Permit # 1. Temporary Electriwl Service or Pole 52. Pool & Eq�ipment Location Z, $oil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgmd. 54. Forms 4. Electrical Conduit-Undrqrnd. 55. Electrical Bonding 5. Sieel Reinforcement • 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ' S7. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Cqnduit-Undrgrnd. 8. Foundation ' � 59. Gas Pipe, C7 Undrgrnd., Tes[ 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. St�uctural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �2• Se`^'e� CaP ' 63. Heater & Vent•Final 13. Roof Drains ' , 64. Plumtiing SYstem - Final 14. Rough Plumbing � 65. Electrical-Final 15. Rough Electrical�Conduit � 66. Solar SYstem-Final i6. Rough Electric Wiring 1- � 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. REQUIftEMENT 20. Rough Factory Fireplace • APPROVALS . Permit # 21. Ducts, in Struc[ure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil . 23. Gas Pipe-Rough & Test 72. Underground Flush , - 24. Roof Framing 73. Undergrnd.S[orageTank OGas ❑Oil 25. RPof Sheathing �L 74. Overhead Hydro � 126. T�Bar Ceiling �Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe _ ' 28. LBthing & Siding . 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. DrYwall Nailing HEALTH DEPT. REQUIREMENT � . 31. Plaster Brown Coai 79. FINAL INSPECTION 32. Electrical Power Meter-Pinal S0. FOOD CERTIFICATE ISSUED 33. Final Electric • Notes: - 34. Final Heating & Air Conditioning 35. Final Gas Pipe�7est � � 36. Hood or Canopy '' 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service�Final 40. Gds Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Bzckflow Irr'igation � 44. LEndscape Irripation System n� �e �nS��t10f15 45. Sound Attenuation � �� 46. Handicap Regulatlons �• 47. FINAL STRUCTURE & BUILDING , � 48. FINAL PLANNING ; ! � 49. Electric Release to Edison ' :� 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � No. Date ROOr COVERING� CERTIFI�.,aTION �, '� PermitNo.�� Z-� �` Propertyaddress ��a5 �nvRh45___�C �SA �\�Si� Owner �QC� �A.�� \r �0.��5 �� Contractor WES'C� Q.�J 'f�C�CS 6 \�J\r � State Contractor License Number ��a Classification G-�� I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the 1979 Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). CJ I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division by: � I2-�IIJ`V5 Initial Date � Speea Por No[arial Sbtement to� autMorizetl office� or aqent WEST �(�iJ Q�o6��;u Cc�rr,PRt��I � Company or Corporate Name. - '1G3\-� Q�t�w� A`.O \ AtlCress �vu-c��L,-T(�w� �� AGl� Si9nature or CMF 0990�46 Wni[e - Bulltling Div.: Canary - Conlratto�; Pink - Owner Date \ Applicant to /ill in all spaees excep� t�ose witnin neavy eorOer Iinas antl sign all aoo�oo��ata Geclantions. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address �� ✓ • ApplicanYs Mailing Addres a Pr� n Owner's Name �,��/� Q�p� Phone �rL 7 Address v��, /v Arch/Eng. License No. Address Convacror's Nam � Y hone " 5 Address (ma�l"ng) ^ � City Licencr Nn �// � LICENSED CONTRACTOR DECLARATION 1 hCrCby atlirm lha[ I dm IicenSetl untler provisions ot Cha�ffi� 9(Commencing with seclion 7000) ol Divislon 3 of [he Business antl Protessions CoCe, antl my license is In full for e na ettect. License Cla L' e Date Si9nature WORKERS' COMPENSATION DECLARATION '`^reby a/firm that I have a certificate of consent to selttinsure or a tertifiwte Vorkerz' Compensation Insurance, or a certifiea copy thereof (Sectlon 0. Lab. /; /± �L., Policy No. �H�N��f� Company �� L/1G—�� E�MiITION FROM WORKERSaCO�NSATION DECLA� (Tnissectian neetl not be <ompletetl if the permit Is for one huntlreG (5300) or iess). I certity that In the perbrmance ot the work for which this Derm�t is Issuee I snall not employ any pe�son In dny mann¢r 50 a5 l0 DlCOme TUbjecl [o t�e Workers' Compen5alion LawS of CdlifOmia. Date Si9nature NOTICE: It, aite� making �his tletlaration, y0u ShOUId beCOTe subje[t to Ihe Wo�kers' Compensalion provi5iont Of the LdDor CotlO, y0u must torthwi[n comO�Y �+��h SUCh provlsiOnz Or tttis pe�mlt snall be tleematl rOvok¢tl. CONSTRUCTION LENOING AGENCY 1 M1oreby a/flrm that Ihere is a mnstructlon lentling agency tor the Oartormance ol the work tor which t�is permil i5 issuetl (Sectlon 3097 Civ. C.) Lentler's Namc Lantler's Atltlress OWNEfiBUILDEN OECIARATION I hereby alfirm lhat I am exempt (rom the Contractor's LlcenSe Lnw (or tho /oliowing reason (Sectlon 7031.5 Buzine5s antl Protessional Cotle: Any city or county which reqWres a permlt [O cOnstruCt, al[¢r, improve, tleTolish or mpalr . any 5lrucWra, priOr ta Il5 ISsuance, also requires lhe appli<dnt IOr SUGh Oe�mlt l0 file a Sign¢tl ztat¢ment [hal he/ihe IS Iic¢nsetl pur5udnt l0 lhe provi5ions ot the ConVaclor's Ucense Law (Chapter 9(commenNng witn SacUon 7000) 01 '�ivision 3 OI the Businasz antl ProfGisions Cotle) or that no/sha is ezem0� �relrom antl the basis tor the alle9etl exemption. Any violaUon ol SecUon 31.5 by any aOP��anl (or d Pe�mit ZUDjects lhe appliCant lo a Clvil enalty oi not more lhan five huntl�etl tlollars (5500). b 1, as ownar ol the property or my employees witn wagos as lnolr sole COmOCnsatlo0, will do th0 wOrk, a00 the SVUCturO IS nOl IntanE¢tl o� ofleretl tor sale (Section 7044, Businest antl Protessional Cotle: The Contractor'i Ucense Ww tlocs not aoa�v �� an awner of a proporty wno bulltls or improves lhereon, dnd wno tloes Such w0/k himillt/her5elf or tM1�ou9M1 his or har own employecs, provitle0 lhat SUGh Improv¢ment5 are nOt intentletl or OHaretl for sale. II, nowover, tne builtling or improvament Is zoltl within one year ot com- plelion, lhC owner will have the bu�tlen OI proving he/Sh0 tlitl nOt builtl Or im- prove ior iho purpose o1 sale). ❑ I, as owner oi Ine property, am ezclusively contracting with Iicensetl con- tractors to co�struct tne project ISectlon 7044, Business and Prolessions Cotle: The Gontractor's Li<onse Law does not apply to an ownar ot property who builtls or Improves lhereon. antl who cont�act5 tOr Such oroiacts wlth a ron- tractor�sl license pursuan[ to me Contracror's License Law). I am aware lhat prooi of lheir Worker's Compensa[ion in5uranco 5hou10 be prOvlEetl to me. ❑ I am exempt unaer Section 8. & P. C. for Inis reason DaSe I hereby <ertify Inat If110IRIdIiOO IS <OI!¢Cl anC state laws relatin Sentatives o/ this ci� in5pection purp s. Signature _� Drivers' Llcense or 55 OBfiS-46, rev. 5/8B _ Owner have reatl this apolitation antl state that thn aEove agree to comply with all city and countY ortlinances o builtling conztruction, antl hereby au[horize reo�e- ld enter LOoO tlle above-mention0tl PlopCrty tor . _... .._. � ....._. .--' -- - -- .,.... ..... A.P. ,� TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR S Main Building: E ❑ CONVERSiON ❑ DEMOLISH ❑ OTHER T Front DESCRIPTION OF WORK/USE OF BLDG. I A Rear TVPE OF PERMIT GRADING FOVNDATION STRUCTURAL � C Right K Left ❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MECHANICAI 5 ❑ �OTHER Ping. Ref. �' PRQIECT DESCRIPTION So. F7. OCCVPANCV Planning Notes: CONSTRVCTION TVPE VALUATION $ ZONE GRA�INGCV.VDS. ACRES . Remarki: Sink Preventer Irrigation Drinking Fountains Floor Orains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Rainspection Feo � 515 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple FirepllFacC BIC �CBO dk Heating System & Duccing ❑ ai oo,000 eru O i oo,000 Reinspection Fee � $15 Whit¢ - Builtlin9: Canary - Applicant; Pink - ACCOunting; GoldenrOtl - ASSe5501 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Isue Fee Hood or Typel ❑ Canopy Type I I � Automatic Washer Construc[ion Pole Si Cooking Unit Dishwasher • � Dryers ❑Gas j�E Fan F.A.U. Fiztures �, Device Boxes � OUtI¢t5 SwiLcheS Garbage Disposal Generator 065 KN Fee Actessory Building: Parking Req./Provided Zone Z O N 1 N G R E Q M S. ELECTRICAL Transfoimer ❑ 15�50 KW ❑ 50+KW Me[er LJup ro 100amps Meter ❑over100amps leceric Sub Panel Mo[ors DO-1 HP Ol Y, - 8 Inc.Solar �9-75 HP �16-15+ Microwave Pole Light Range Standing Sections 5�15 KW Trash Compactor $15 luue Fee S 3 DEVELOPMENTSERVICESRE�UIREMENTS: 2oning Approvad By FEES Building Approved By � APPlication Issued BV SUMMARVOF FEES $ 3 BUILDING PEfiM1T $ SMIP $ Refrigeranon System PLAN CHECK $ ,,T PERMIT ❑0�700,OOOBTU 0100,OOOBTU PLUMBING $ ��W ISSUANCE $ --�� PLAN CHECK 25% $ ENERGV P.C. $ System Repair/Alteration GRADING $ ELECTRICAL $ Fire Dampers PLqN CHECK 50% $ MICROFILM $ �—��,� Registers MECHANICA� $ TOTALFEE $ ^��Uv PLAN CHECK 25% $ Issue Fee � $ 3 01 �CO26466-Qi1�Tb466 Tay� �.�� OHTE: D?/16/89 TIi9E� 12:�5 .` � CONSTRUCTION AND PLANNING POO iPA P;PPROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement 3.�Elec[rical Conduit Utility-Undrgrnd. 54. Forms ' 4. �Electrical Condui[-Undrgrnd. ' 55. Electrical Bonding 5. Steel Reinfarcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7.'Footings • � 58. Electrical Conduit�Undrgrnd. •8. Foundation 59. Gas Pipe, O Undrgrncl., Test 9.'Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. �Proper[y Sewer Line.& House Connec[ion • 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof.�Drains ' 64. Plumbing System - Final 14. Rough Plumbin9 � 65. Electrical�Final � 15. Rou9h Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 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, Rough Factory Fireplace � APPROVALS Permit # . .. 21'. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing . 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Shcathing 74. Overhead Hydro 26. T-Bar Cciling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Sitiin9 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing Zru � (�� 39. Water Service-Final fJ: 40. Gas Service-Final '", 41. Solar pomestic-Final^� 42. Backflow Preventer �'; � =� y ,� .l 43. Backflow Irrigation ..� ' _ � 44. Landscape Irrigation System ��, 45. Sound Attenuation. '�� 46. Handicap Regulations 47. FINAL STRUCTUftE & BUILDING aR. Snecial Requirements Completed 49. Electric Release to Edison , �, 50. Gas Release to Southern California Gas Cn �;�i',F �;�� 51. CERTIFICATEOFOCCUPANCY ' :'.�I� No. Date " � \ � JOB ADDRESS DATE 6-3-63 BUILDING PERMIT N0. INSPECTIONS Sigaature DATE GROUP I&J TYPE Soil _ �._„ i �,_�„ �.� SUBCONT1tACTOR 1iRFMFNTC . FEE RECEIVED .. � 5 i � r. , � ,�5, COSTA MESA BUILDING-SAFEfY DEPARTMENT .�� P� P.O. BOX 917 COBTA M6HA. CALIFORNIA �iaANCE oEPT. � . CITV OF COSTA MESA For Applicqnf to Fill In Complefely APPLICATION FOR PERMR '�YPE OR PRINT BUILDING For Office Use Only BUILOING ��/' /"-� . ' A�DRESS U� qHCEIPT NO. pERMIT NO. COSTA MESA, CALIFORNIA I � (� // /� 81V[ GV D�TB P8C6�yED D�TH198UeO OWNER �% G ,..J I�L/UJ C l4-�NL -� 3 � x�^// �( DINO /3/�_ � . MAIL �+� S NCIILf/C% DRE58 �v ADDRE59 / Y p p FIRH C�.n. �/) C� � Q/i N��n .iJde�O ZONB TYPB 6ROU � ARGHITECT /•-/ / C� —^ THL.f � {y BT�'ROVED DATE ' ORENGINEER'/a� ILZ� NO.� I�.�O/ aq %� I ZONING � AODRE33 �/ �C j� W �H h+eN Vv� W�T� ia Ho. oF use or rv PLANB OWLUINO CONTRACTOR A N'� (/ ua.,� / -J} (J3 ADDRE88 r'✓�'� Ei o¢acrttrt�on .L.O� � 0.c1 37 3 CITY �A 1/1+ �� A. P. NO.'S� J Q NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.TNO. /S�� `f�' ry�� /\ �� (� u� O 90" TO 81OE 9 REAR P. L. / EAVES SIZE 7 rvO.ORe�oae. ALLOWED fU.B.C.REQIIIREMENTI OF LOT � 3 xr3..ro NOW oN LOT yqRDB APPROVEO YARDS APPROVED USE OF MAIN BIIILDING ACCESSORV BUILDING EXISTING BLO6. � ( FROM WL 6TREET) BHTBACK 4N¢ FROM � O. J PRONT FT. FT. CENTER OP IITRE6T REAR YARD SIDHYARDI LEFT �� R16HT — R.SIOE FT. FT. DESCRIPTION OF WORK . aioe /O� F-r. �. NEW ALTBRATION ADDITION REAR �/ Ff. FZ'. DI6TANCE BBT. BET. MAIN R REPAIR MOVINO DfiMOLISH MAIN BLD08. ACCE59.BLDG9. S ZE�1N6�� , ��iafO ROOMB � 8T R168 � GAU. P. APPROVED EXTERIOR WAL��[ ROOF /� APPRO � � COVERING J7�4Cto COVERINO W� O BY DATE J� US60 ILDINBAryDWORKTO H BR OR � ,'d z�<<a �rwr. ad 3�z-- /J �� so �F-r. t,� `"� I � 1 HEHEBY ACKNOWLEOpg TX.�T 1 NAVE NGD TNIB ApPLICATION TNE AMOIINT BX N UHOEH VpL11ATION IB FON TM8 AND BTATE THAT THE ABOV6 IY CORflECT ANO AOflE6 TO COM� rUflP08H OI BBTABLIBXINO A PERMIT FEE ONLY. . PLY W1TH A!L OTY ORDINANCU ANC BTATL LAWB ft66ULAitNQ euILOINo coNaTRUGTION. VALUATION ..J SIGNATURE O / PERMIT FEE $ S�vo PERMI7TE �•�� C$/G/79D� A E v�� AUTHORIZED A6HNT �, /w(, �JL(1,� . Q,� � TOTAL FEE OI