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977 19TH ST - Building Permits
AVP��cant to fill in all ipaeas exeapt thosa within �eary EorEer Iines anC sign all approD��ate Ceclantlons. _ _ , CITY OF COSTA MESA . � ' ' T � . . - PERMIT. O. TRACT NO. , .. LOT.NO. s BLD . . � � � � ., � .. , � ' CONSTRUCTION PERMIT • � '' ' I ' , ' ,�' �jGjO . � ,- �' , . _ . , ` 5906 '3/,'i 7/:83 :. • �J �.0�7'• ;TL � �• TVPE�OFCONSTflUCTION� ' NEW ADD ALTERATION .REPAIR � t� , � , �� t � � APPlicanYs Mailin9 ddrea - ' � � . . . . � _ . -. { . � � ' r ' ':` - � • � � ', � . ?� " , ❑ CONVERSION �.❑ DEMOLISH ❑ OTHER� _ � -�- � . �� , . � � -� . - . I � Project Address�- ' _ c ,,. c � _ � - r � OWneI5;N2me ^ � � ��J(J �/ "�'�'� � hOnO- � ,DESCRIPTION OF WORK _ , ., .. � . � . . . . � . .. � �.. ,. � \� ' ' NING� GU I S • � ABdress - � �77 '�'' _// � � � , �TYPEOFPERMI� , GRADING FOUNDATION' ' STRUCTURAL � A.P..M � ' � ' 1 � ZONE .'_ : � � �e AfCh/Eng. . . LiCenSe NO. ' , - - ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' _ 'pLNG. REF. ME ' 4 � • - . BUILDING - , :' . � . �. i. Addle55� , • , ' '� �OTHER , � _ . . ' .' . .PR PEILDVNGNE . REAR VARO (70 P/L) ' ✓ f, � �Contrector's Nam ' ' � ' '� C � O hone' S2� � �PRQIECT DESCRIPTION SQ. FT. � '' ' � OCCUPANCY � . __ � - � ,..� ��� �7�1 '� r ��CONSTRVCTIONTYPE � .VAWATION$�- LEFTSIDEVARD , RIGHT;SIDEVARD Addreu�lmailing) t� '� '?sQ` `} , � O r- . i - � -���� -� � ,� ZON� ' GRADINGCU.VDS: �ACRES PKG.SPACE�REQ I � PROVIDED , � � P , License No. .. . . . , ' . , . . , \J � CICENSED CONTRACTOR OECLARATION t � � Ramarks: i � � STREET WIOTH ; �PARK FEE $, � I:hareby affirm that I' am Iicensetl untler provislons of�Chartar 9 �(commancing - ' , , - � ' � . , with SBctlon 7000) oT DIv151on 3 01 tha BuSlness anA Profe55ion5 CoOe, anA ' ' , � � , . , SPECIAL CONDITIONS: � _ • - my II<ense i5 in full force endef/ett. � �/ ' � ' , ' j ' • ' ' ; ' 1 - IJcense CI is �' ' � Liceny� No .,, ' : � I j , � -' PLUMBING : , � � � � .� � � � 4 18eCY atfirm t � 5'9 t . . '� �� • ' , Bar Sink j . ' � � Sewer CaP, � � , � • , ELECTRICAL 1 �' ' 1 I�. K RS COMPENSATION DECLARATION � ` ' ' • � - ' ' ' �� � _ AutomaticWasher ! . - - �Meter..�over,lOUamps.;_ � �+1�'� haLl have a certiflwte of cansanY to seH-Inzure or a certifiwte . BaokfloVJ Preventer' -' ' - 'Sewer'Connection "{ - ' �"' ' ' "' uS �Workers' Compensetlon Insurance,�or a certHletl�coDY thereof (Sectl�on� � � ' ' ' ' , 3800, Lab. C � 1/-,-' �/ ,.�Y ' ' Backflow irrigatian � � Soler Collectors - � ' Construction Pole , ; � ,Sub Panel� ��p��,� � � �' � Policy No. �Q�! -�37 �� �� Companw �"S: m� /HP :�P, l ' . � --. - - Cooking Unit , � 1 �Sub Pole � � � Certitle copy IS �areby furnlshCOMGENSATIi ' i � Clarifiers � �lar Pipmg ; : , • � . ' —���.i� � " � � Bathtubs D ta � qppl�c�a tY BuU019q�on. ! ` � . � Dishwasher � � ,Motors �0-t HP 1Ye$ Cart e P A with [he nt L.,/ �r� . $olar Tank , . ; � '_ _ _ _ _ . _ . . _ . . _ -_ ' _ . __. ... . , _. .. _' ' _ ' �. � � EXEM IONi ROM WORKERS" ON CECLARATION � DIShNld5h2f � . SWlmming Pool W)Spe . Dryefs ❑G85 ❑EleCtfiC ^. ,InaSolaf 09;15 HP �16-15+ � .(Thissecjion neetl not be completa0 if the permit is for one huntlratl (E100) or � , , , iess)- � • ' � � � Drinkin Fountains ` Urinal � � Fan' �Microwave � . I cerUfy that in tha performance of the work tor whic� this permq is Issuetl I; 9 . .. _ � � shall�.not employ any person In any manner so'as to become subject.to t�a � � - . F.A.U. ' ' � �Pole Light ; f -Workers'rCompBnsatlon�LawsoiCalifornla. � . ; ' � ' FloorDrains� ; � ! .WaterClo52t� ' Date • : ' ci9nature - . � . . � . . • . . �NOTICE:�It,aftermakingthisdeclaration-,-youshoWa.become-subject'tothe�� -�FIOO�SinkS.- ���^^':-' �' 'WetEr ater. � �� - - —� ., Fixtures � . ._. _ �Range ..-.-.�- . _ _ _ O � Workars' Compensatlon provisions.of tha lsbor: CoGe, you must forthwith � Device BoxeS � � • • comply 'wlth Such provlSlons:.or � thi5'•;Dermlt -shall ba Oeemetl revoke0. ' Ga5 S2rviC2` ' Outlets •� W2tEf ire �� � �5�9^ � CON5T0.UCTION IENDING AGENCV ' - '' � ' . " ' ' � ' . 1 � I hereby aTfirm that there Is a'conStruCiion Ientliny agency for the' erformance, � Int2rC2ptors , •- .� Outlets Standing SeCtioni ' � � �Q . of the work Tor,. which, this, permit Is -I55ue0 (Sactlon 30�7 qv.� C:p ' � � - � , , Switches � ' ' � Lenaer•s Name � ' , ` ' `" - ' � ' � ' KitcFen;Smk � - -. . . TrasF Compactor � � / � Lentler's ACOress' � " � -• � • � � : . � . ' i' ' . . , . . � , � � . ' . � OWNER BUILDER DECLARATION' � ¢ ( • � � � � � - �`/etoriES Gafhege DiSposal � � � I I hereby�affirm that I am eaempt Trom the-ContiaEtor'S. License Law for the � �� Generator �0-5 KW 05-15 KW - � 1 , followin9 reason (Sectlon`7031:5 Businass antl Professional�Cotle: Any tlty or P �T�ap: - � ! � _ � � � � I . � tounty which requtres a permlYto construci, alter Improva; tlemolish'orTapaG '� -�- � , Trensformer � 15-50 KW , ' ' • •� � any struc[ure; prlor to Its'Issuance,'alzo requlres t�e�applicant for such permit � Roof'D�ains' - , � . , ' � �n file a signetl statemant that he/she is Ilcenied pursuant to theiprovislons tit : . . . . . � � �5U+ KW � � � �ReinSpeCtion FeB $15' . :3 Contractor's Licanse Law�(Chapter 9 (commen<in9'with'Sectlon 7000) of �' � � � ' I� in ction Pee $15 ' � ' 4�.',�dsion'3' of the Business' antl" Prote5sions Cotle)' or'that he/she Is exempt ' ShOW2lS .� 'y ; � M2te� ❑u to 100�am > i q����.Erefrom antl the Dasislor the allegeC exemption:-My_violatlon=oPSection .' � , , � � " P P ;Issue FeB '$ 3 • i031:5 Ey_any applicant tor�-,a'permlt subjects the�aoP���ant to a civil , � 7 ^ � � � _ - . - , , - — � j �enalty of not more than tive huntlretl tlollars (E500)�. ; : � ; . � . ' ; Service Sink " � - ; . Issue Fee ;• � . $ 3 Za�ing Approved By � � I � DaTe � !LJ I; as owner oT� the,praperty or-my amployees.witn wages as their sole � - �MECHANICAL ' � � i ' � compensatlom will!tlo [he work, antl�the�s[ructure�.is not Intantlatl or oTferetl ' � r• -� �[�: � � I ' I � Appljcation Approved By � Dat9 -�`��� for sala (Sec�ion 7044`, Business' antl; Vrofessional.,Cotle: � The; Conbactor's � ' I( %�� � � Llcense Law tloes not appty to an owner of a property.who bulltls or improves � , Boiler ��i � Y.. '. '. Refrigerotion System � � � ' � : ' 1 ' thereon, antl who tloas(such.work himself/berself or throu9h nis or her own � � ._� �. . 1 � , Applimtion ISSued By ` flat8 �, emDlo�ees, provitlatl tnat such�improvemenes aralnot Intentletl o,r offeretl Tor ' Dutt- Under%Ground � . ❑4100,OOOBTU ❑100,0008TU � � - � , � sale. I howaver, the bullaln9 or improvement is soltl within one year.of <om- ' � � � . 1 ; . � � �� SUMMARV OF FEES � � ' pleUon, the owner,will have the burtlen of proving he/she tlitl not bullA or im- 1 � � . ' . ' ' : �rove for the purpose of�sale)' ! � , � � � . ; . • ' Duct - Structural � � ' S stem Re air/Alteration � Y , P �,BUILDING PERMIT $ ' SMIP ' $ � LJ I, as owner ot the property, am excluslvery contractingiwith�licensea com � � � Iractorsto.construct.[he:project (Section.2064, Business.antl Professlons Cotle: � . � Duct: Ventilating , _. , � _. � _ �. j _ ' _ _ _ _ i PLAN CHECK � $ ' ' . PERMIT � � t ' � Tne Contractor's Llcanse law does not aDPb to an owner of prooerty who . , �' . iy � • �PLUMBING � � � ISSUANCE '$ ' � � builtls or Improves theraon, antl who contracts tor such p�ojects wlth a con- ; Exhaust Sy5t2m ❑ Multiple �; ' I � � $ 1 , + � , , tractor(s) II<ense pursuaht to the Contractor's License Law):, ' � � , ' ' . , ; � �PLAN CHECK, $�' � ( , GRADING j ' , $ � 1 � I.am exempt under Sectlon , � B. & P, C. for this reason � Firepl/FaCt. BIt. ICBO # i � i � � ;$� � , , , - , •ELECTRICAL' $ � , , j r ' �Data � ! ' ; owner,' • ' _- � � : : HeabngSystem&Ducting�g � � � ; . t � }pLqNCHECK� 1 $, � ,� MICROFILM � $ � �. I-hareby.�certlfy that I have read^this application anA�state�thab[he�above � -•t•�OQ100,OOO�BTUO100, -'i'- "j - � � TOTAL;FEE� � ' . IMormation is correct. I agree to compy wlth all city�antl county ortlinances ' • • * • � � ' ' ' 'MECHANICAL � $� � ' � t � ' $ ( - . antl•state laws relat g t bu m9 mnstr ctlon, antl �ereby authoriie repre- ' HoOd oi Type I ❑� i � � ' ' � ' ' ' � � ' ; �, sentatives ot •tnl o r iupo�he above-mentlonatl property for { � � 1 � Reinspection Fee; 515 ;p�,qN CHECK ' : I t LESS , � � . , • InsDecUon purpo � � � -�� . ozte j �^o T � e II ❑; ' � - ' . ; , ; ; - $, � . ADVANCED,PC � $ ' � � Signature ' � ` , ' - 1 1 ; Drlvers' Ucense or 55 � '' t t Registers � ' i �swe Fee � � $ 3 • } I � � � . FINAL FEE � j $ i� _ . _-... .__ . __ .. . _..... .__.; . . . . , . � , . � � . _ . . . � CMF0865-46rev.12/82 White-Builtlin9:Canary-ApplicantPlnk-Accounting�;�Goltlenrotl-Assessor � � � - Appllont to /ill In all s0aces exceDt thosa within heary� _ mas antl sign all aYOmD��ate Oeelarolions. ,,' TYOFCOSTAMESA, �. .. _.. _;.. . . ; �..�pEpNyT O � �/ l . ..T ACTNO LOTNO. . ..'� - '- - • • ., . . . � ' " CONSTRUCTION PERM�IT - - • ` • ' � � , ' • �' . � '',� , M S � ��- /' ��;_� ..� , .� � : AppliCBnt'S Mellin � Addf053� / ' /p ' ' ` ' �- TMPE OF CONSTRUCTION ' NEW ADD. ALTERATION � � REPAI R . ( � - ,, ' ZS V ' ' � � � ' � � �PfU)lCtAddfeSs �� w'' �y7� ���� /� �z � ❑CONV,ERSION'❑DEM LISH �OTHER/� � '� , � ! � ' ' - ' ' ' �`OWnef'S Neme' ' � �:���� � V6p�o��iF,^/fFl, 1/ DESCRIPTI OF W�RK �r` �!�` � - G� E '' I S ' 'r ��4�F , ; .�a,S • �ddfeu � . . I . TVPEOFPERMI7 'GRADING% FOUNDATION STRVCTURAL - ,� A.P.�W ' ' ' �ZONE� '^ � ' Aftll/Eng.' . LiCens@ NO.1 ' � ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL � � � ' C BUILDING' ' ' ' � ' ' -�� , � � Addrau� ' � � ' � � ❑ �O7HER '. =� � � � . . , _ PLNG. REF..Me � . , COntr9ctOr's Nem r�' �'�� p 7���3/ � PRQIECT DESCRIPTION' SQ. FT. OCCUPANCV � ' , �TO BUILDING- � ' , ;qEAR VARD (TO P/U - • • PE I �J,honE' 'LEFTSIDEVARD ' � RIGHTSIDEVARD r` � Addreu.Imailin9lL�-��� Q�I�w��`D'U.Ofi� �/�' CONSTRUCTIONTYPE ' � VALUATION$� . - � Licensa No, � �! / r n �( Q �Z La ' � ' Z�N� � ' GRADING CU. VDS. 'ACR� PKG. SPACE REO. ' �� PROV.IDED ' � - � � � � , LICENSED CONTRACTOR DEGLARATION � I � I Ramarks: . . ' � � • STREET WIDTH ' PARK PEE $ � -� - 1 hareGy affirm thabl am IlcenzeU untler.provlilonsof Charte�,9 (commencinq � . : ' . . with saetion ]000) of Dlvlslon $ o/ t�e Builneds antl Professlons Cotla, antl ' � _ , - '' ' � SPECIAL CONDITIONS: -�-0i ' mY IlcenSe.is In /W force ana eitect. I � � �� Ucensa lja s' " �� �ens�Na� ; � . � ' i PLUMBING � �! ' ' ' � �O � 2�/�'V�-. .. �' .Q.� : Date '��,G �� 51g t � 'VORK RS' OMPENSATIONDECLARATION � � , BafSiak , $ENRfCep ' , , - ELECTRICAL � tereDy e/flrm that I have.a cartl/I<ate oi consantto selfdnsuroAi a certlilWte_ ' ' ' - _. Automatic Washer , 'Meter ❑over f 0� amps � - I Workers' Compensatlon Insurance, or'a certlfietl-covY thqfeof ($ecHon . BaCkfloN/'Preventer--- -. ' SeW2rConneCtion . --"• - - � - - -- - .�_.-T- . 3800, LiD. CJ • � - - � Construction Pole , � Sub Panel, � ' � � ��� ,� �/�797 � ' f���� ��,`y����r Backtlow Irrigatian � : Solar Collectors ' - �•- � � Polity No. Com�an ' - - - - � i .�. Y Caaking Unit ' � 'Sub Pole ! • , � Cartlfietl tapy ii hereby furNshetl. ; f ' ' � Bathtubs � � � � Soler Pipmg � ' • � � �.Certi/i Cop Y flletlwRh[ha.<Ity I Ing � � , — : , DiShvsdsh2r , � ; � �MotOrs �0-1 HP ❑115�$ � Date ' � qppli<ant � � � ' : � � � Cisrifiers � Solar Tank � � . � � � � � �EXEM ION ROM WORKERS' COMPENSATION DECLARATION 1 ' Dishwmsh2� ' ' SWimmin PoOI W/Sp2 Dryels ❑Gas' OElec[nc � ' IncS018r �9-15 HP.�16-15+ �(This section neetl not De com0�etetl H tha�Dermit Is for one hunEm7 (5300) or � ` 9 ' ' � lessp� • . • � � � i —' . Fan' ' � MicrOwave ' � � I certi/y!tnat In tha performance o1 the woik tor which this permit is issuetl I � D�inking FOuntBinS . U�inal � � ' � { � ' � shall',not employ any person in any manner so�ai to becoma SUGJectto t�e � . , _� - . • � 1 ' ' ' � F.A.U. �Pole Ligh[ � � , � �, � Workers" Comoensatlon, Laws of Californla. � , . i Floor Drains • . Water Claset � � Date clenature : ' ' . ' - - � _ .Ran9e'_, �_ - _ "; , NOTICE: 1/, after makirig�thls tleclaratlon, you Shoultl. beCome suoiect to�the- � -:- Floor Sinks ;-- - �- - -�-- - Water Heater� �- - � - � Rxtures � _ _ Workers'� ComOensation Drovisions of the LaDor Code, you.must fort�with - • - � �. comply wlth such provislons'or thIS..Dermit shall be-tleBmaC, reVakeE. � � I'' / DevicCBOxES�; ;� � $i n � • (' ' ' r 9 t i � CONSTRUCTION jLENDING AGENCV ` ' � ' ` { GasService� � FOutlets; :WaterService : � � : . _ . � I nereby atfirm that there is a construction lentling agericy Tor the perTormance. � ' ' � / Outlets �• � j 1 Standing SBction5 , ' ' oi [he 'work for. whlc� this petmit Is iuuetl (Section 3097 Cir C), Inteft¢pto�s , � � . J . ' .' ' i Lentlar's Nama - ' � � - _ i : � � - � Switches � , . . � � � Lende'r's AOGrau C ` ' ' � Kitcherc5ink• - �� � -� 1 _ _ � ;�•, _ � Tresh Campattor I � � Lsvafories . � • � � ' , Gerbage Dispoml �j' � ' ' � , OWNER'BUILDER DECL'ARATION� ' - , � ' - ' � ' ^ � ' - . , ' � , . t I neraby�atfirm that 1 am exemDt,irom tha Contiactor's,Ucensa Law tor tne' � ; p_Ti& Generetor �0-5 KW �5=15 KW � � ' � ' � followin9 reason ($ection.7031.5 Businass antl Professlonal Coae: Any tlty or . P • •. ; .; � � , iT ! : - � , . . . ��County Whit�' �equlra5 a permlt�ta cOnStruCt, alter imorove, tlemolisn or repatr -' � : Transformer 075,50 KW � ' any structure, Orior to Its issuance, alw requires tl�e.applicant for such permit Roof DrainS - �� �' ' � � �, � ' � � to /ile a 5ignea itatement that he/SM1e� is Iicensetl puisuant to the•provisions of " '- - �; �5U� KW 'ReinSpec[ion Fee � � $75 [h0 COntfaCtOl's UcBnSB LdW'(ChaptOl 9(COTIIIBnCIOg wlth,$BCtion 7000) O7 I - � " � " ' � �� f• � • Nvislon 3 ot the Buslnass antl R'ofessions COUe) or that he/sheds exempt ' Showerz - ,� �� � � ReinSpBC[ion Fee �$15 - ' - - � - �erefrom anC tha; ba5is Tar the allegetl exempllon: Any_ violation'of Saction ' �' � - ' - ,y Met2r; �up t0 100 amps �Iuue Fee' I� S 9 �_'031'S �y any applicant tor�.a permit su0ject5 the:aDG���nt to' a civil `�' . , � ___. _ �enalty of not more than five �untlretl Collars (E500). . , ' . Service Sink � ; ' _ : i Isue Fee , , � �S 3 . ����e p�jProyed By ` „ � . Dab � LJ 1,'.as lowner of. the property or my employeas wIN, wagas;as their sole r � • . i 1 ; tompensatlon wlll;tlo the work, antl.the itructure I5 not Intentletl or offeretl - ' ' ' � � � -, MECHANICAL': • ' � ' � � � ' �. Applicetion ApP.roved BY � ^ate . . �for sale.(Sec(ion 7046', Business;antl Pro/e55ional Cotle:�The ContrattOr'S ' � � � � ,T�/� �� ; ' Licanse Law tloes not aOPly to an owner ot a properry who Euiltli or Improves ' ' ` . ' - !- RefrigeretiOn System ' ' '' '��� ; O�- thereon, anG who tloes such. work himselt/herselT or t�rough �is or har own � BOiler. . qppliotion Isued.By �ata amployees, pravitletl thdt suCh ImproveTBntS are nOt Intentletl or offer¢tl tor ' �. � ❑0.700,OUOBTU ❑100,OOOHTU.• �� � _, , � � � � sale. If, however, the bulltling or ImD�oyement Is so1C within one year oi com- � ' Duct - Under Ground , r � �- � '� ' UMMARV OF FEES � � plotlon, t�a owner wlll have the Durtlen of proving he/ihe Oitl not bullU or Im- � � � . ' �' �"� � +. � , �rove far the Durpose o1 uie). ; . � : � Duct - Strucmral ' ' System Repair/Alteretion � ' �,BUI LDING PERMI�T $' -4� � SMIP � ' � $ ,� U I, as OWne� of thB OrOperty, aM1� exCIU5lvBly COnt�a<tlng with Iicanietl COn- , ��� r� �• � � � �.tractorsto conztruct tne prolect,(SecUon 7044, Busineu antl,Professions Gotle: � Duct- Ventilating �_�_ _ _• ' _ � ' _ • ��PLAN CHECK $, � a PERMIT: � � ' ; The Contractor's Llcen9e Law tloes nof apply lo an owner of pmperty who . p ', PLUMBING - .$ '�S?UANCE $� 'Eulltls or ImD�oves lhereon, antl w�o cantracts for such Dro)acts wi[h a con- j � Exhaust System ❑ MWtiple ❑ '� � � I GRADING • S tractor(s) Iitansa pursuant to lhe Contractor'S License Law), � � -. � I ❑ 1 am exem0� untler Se<tlon � e. & P. C. for this reason Fiiepl/Fxt. Blt. ICBO � I � �, r� �. �, PL[lN CHECK, ' $ 1 �$: � ' Date ' - owner' ' • ! � 1 I Heating System & Ducting ; � � , � � ' , ' �' .� ELECTRICAL ?• $ - � t � - , ,. � ' . '_ ' " . • • � MICROFILM .1 beroby certify tha6L�ava�reaU this'appllwtlomane state t�at tne abow ❑6100,OOO�BTU �100,0008 -�o -�PIAN CHECK '� $ + � I$ �' "i' . , � , 1 � '- Intormation Is torrect. I agree.to comoly with all city antl county ortlinances ' . . - ' MECHANICAL' �.! a$� TOTAL'�FEE i$ antl itate lawt relatlng to bulltlinq co structlon, antl hareby authorlie repra- . ` - , - ' � � LE55 ' sentatlJez ot' is'tity,t a ter n the above-mentlonatl ro ert for HOOdo� Typ21 ❑ � , � - � inspactlon ou es. �� P� v Reinspecnon Fee .' 4575� . PLAN CHECK • $, . . t . �, / � � Cano � T e II ❑- � � � r, i . � ADVANCED PC '$ Signature Dateu� •� � - � � ' ' Drivers' License or 55 �' � - ` :' � � Registers � ` � � Issue Fee � j $ 3' � � ' � � ! �' FINAL FEE � � $ ! �S .�� � � CMF 0865-46 rev. 12/82 White - Builtling; Canary - Applicant; Pink -Accounting; Goltlenrotl - A55essor - ' �' t • , r ' - r -� - POOL. . aPA � • � = - - - 'j � , "CONSTRUC� ION AND� PLAN tN G' � � � '= � . - � ° � � - - , � � ' � - � G` - � ,�� (/p"�]���� �� Date Inspector �> . -� �Date � Inspector � , y �APPR�VACS'_ Permit;�h�L.L:562.� � _ . , _ - APPROVALS�''Permit# � . _ _ . c.� � � �. . . _ . �. . � �1, iTemporary,Electrical $ervice or;�Pol@ � +- _ .� �� � :52.'�Pool &_Equipmeni Location � . � ' " -, � � , ,. n' - . u 'Z� � . . . . ' : . _ ... _ a v �2. 'Soil �Pipe-Undrgrnd: '� } � �' _ ;= � ` - �53. Steel'Reinforcement , . „� _ � .. i : . . _�. - ' _. • ' : 3: �Electrical Conduit Utilitv-Undrgrnd. - �" = _ � i54, FOrms ' ��" � - _ - � � -- " : • � �` `' � � _ � - � j �4�. Electrical Conduit-Undrg�nd. � : �' � _ ,t -` : 55. Electrical Bondirig ' � - "'= � ' „ " - _ ' r i. �5: ,Steel.Reinforcement ' ' � � �_ �_er � `-� :�' �: - 56. 'Rough`Plumbing �& Pressure Test . - ' • i � r� � _ - . , . ' , 6: �Electrical UFER Grnd., ',_ �- - "= 57,, APFROVALTO COVER-GUNITE : , _ , � � . 7. Footings � ' ti� � � � �: Z.��' -`58. Electrical �pnduit=Und_rarorl. � . -- _ - ' ' ': 8. Foundation � . ; ' �: � = ' , � � - � �;59. IGas�Pipe;_O,Undrgrnd, Test � � - � 9. �Water Pipe-Undrgrnd. . ' " - _: . ',60. Backwash'Lines',:P,-Trap, O' U�drgmd.` - `. � 10. �St�uctural Floor System � �' � ' ` � �61. APRROVAL'TO DECK.- . _ . � ' . 11. Property Sewer Line &;House Connection • . T � - 62. �Backwasli & ReceptorFinal� � - ' � - . 12. SewerCap ' ' - ' , � _ '63. Heater & Vent-Final . . . � � � 13. Roof�Drains 1 ; � - • ' - =64. Plumbing System.� F.inal� .. - - > 14. �Rough Plumbing' , � ��� � ' ' ° ��65. Electrical-Finai • - - ' - '' `- ` ' - � � ' � �'15:�Rough Electrical-Conduit�'- . __ ; -�..-------f-�-� 'i -� "66. SolaiSYstem-Einal ._ .�____, _.." " .- ; - -.� -.- � . '` �_�6: `Rough ElecfricWiring � ; � ' = �-��-'� ;t- -_ i- ? !",67.'Fencing &�Access Approval,�;= i . ^ ' � = f+..;�y , ' ,;`17.'Rough.Wiring Sign^ � �, ; y ' , , ` ' I - � � � . 68! APBROVED FOR�PLA$TERING " � , �' ` _ ' 18: �Rough Electrical-T 8ar' Ceiling � : � . � , ' � 69 � P.00L/SPA SYSTEMS!FINAL � .1 ' � : • . � 19:'RougFi Heating & Air Conditioning �, � � � �FIRE DEPT.�REQUIREMENT •. '(,, , i_. ;: � 20. �.�Rough Factory Fireplace ! ' � f � � j APPROVALS� � Permit # � . ,� � i i i 21. Duc[s,:in Structure,� ' � � ,� , � ', ; i � 70.- Undeiground Hydro . � � ' a - "'�22"Ducfs, Venfilating � , j ! :� .� � � ' , � �71.� Product Pip�ng OGas ❑Oil ; • � � , � `�23.''�as Pipe-Rough & Test � � i ���'�� � i � j � 72.' Underground Flush� !��+ . , � , ' i.. � ` .� 2+1_r� �of Framingi ' ' j � ; �" �' ;� � ' ; :_, .:q i ,i �o ! -, , --) � •Z3.i Undergrnd. Stoiage Tank O Gas, ��Oil� • - � , In 25: , oof Sheathing i. �� � ��; � �,. I�_ t ; E' � 74.; Overhead Hydro , �;` � � � � � � a 26.'�T-Bar Ceili,ng �Structura�l, & Monocoat �, i� 1-� i.f � �„ I'. ,75. Dry Chemical ��M ' - ,27,.,�Frame and �Flashing � � ' � �76.� Dry Standpipe , - 28.',Lsthing &'$iding' : f � ? i ' : �' i � 77.i FIXED SYSTEMFINAL '� � � � . I V,_29.'Insulation - � � �I 4 ' � 'i i � � i78: FIRE PREV. FINAL ; ° 30. Drywall Nailing > "� �� �' � i � I �Notes: • ; � � � . r i - ; � � -, -- � � � �31. �Plaster Brown Coat ; ` � � '�_ • _ , , � i I . ' 1 � - ' � � 32. �Electrical'Power Meter-Final � ^ i � � � � 33. �Final Elec[ric � ' � , � j � � � ' 34. Final Heating & Air Gonditioni�g �� � � �, �� 35. Final Gas Pipe:T,est' ' � : - ' - "�. � . ' - - . � 36. Hood or Cah,oPY � - � � � � • , _ . . � - ' - -$-8 � 37.. Final Factory Fii'eplace � � : � - � � � � I r � ' �f n _ ;; � 38. Final Plumbing� �� ` i �. � , �, i . ' � � � I ' � - - � . • � i 39. WaterServic�-Final. , ' f �I . , � I i : � � ; � ' � • � � ., � ,) ,i , , -: � . r' �40: Gas$ervice-F.inal : �"? ' ' ' - , ' ; . . n � i � 41. Solar po�mestic�Fina� s ' �, ' , � ; , , ' v� � - -` - - - � - i � - , 1 '42. Backfiow�Preventer _ j � "'� -. - i - ,-+ ,- I - - , ' . . '. 43. Backflow' Irrigation _ -' -'�� � _ � ;; � ; . � ` � I , . , }•. _ . j � - I 44. LandscePe_IrrigatioqSYstem � `rl � -: �_� . ,' �= _ ._ j ' � . � . i . � . . - - . 45. Sound Attenuation � , , � { I'' ' � � � � � � � i • � � � - -- . 7 � �. _ 46. Handicap�Regulations t _ � � � '" ' - � +' ! ' ; � �" � + � . �, I r •. , - 47. FINAL6TRUCTURE&BU'ILDING�' �� ',��_$ ! � ; 1 I: �' , ` i � � , 48. Special Requirements Completed �� � � _ i , : ! , � I � �` . -� . . . -, - i - - � ` � 49. Electric Release.to �8dison� � " � ' 1 ' ' ' � , � , f" i� i- ---' --- -��-��--; ` . . 50. Gas Release to Southern California Gas Co ' � , ' � ' � ' `�.; . � - � � ' � � i. •}, " , . 57. CERTIFICATEOF�OCCUPANCY' ' � ' t i � °! ": + � ' i •,t _ - . 4-- � No. /�n0%F�� Date � � r%�G% �� � � L' � i.L4dri , � � , ' � � �_. �_ � Ciry of Costa Mesa Development Services Department Building Safety Division P.O.Box 1200 Costa Meu, Cafifornia CERTIFICATE OF OCCUPANCY No.Q�Q�,�¢� The Building located at q77 ui�cT 1 Wru Gim�T has been inspected and found [o comply with the provisions of all City of Costa Mesa Ordinances applicabte thereto for a Group �1 Occupancy. Use of Building AutD RadiatD7C Ro*uir Legal Description 424-321-03 (See reverse side for Metes and Boundsl D-6341 Building Permit No. R—fiF,A4 Electrical Permit No. F.�-(,7'iS Plumbing Permit No. P-6629 M¢chanical Permit No. Number of apartments —�— and/or guest rooms —�— ISSUED TO: Building Official /�7 /S ��?ii�� _ Tr�rin NUmi.a bY/�1� � `_�1 `� .. '� /� i � �G/,GtAv�— Q77 W� 19+h Rt-.. ('nata Mac�. ('A /� ��� 19r�3 Date This Certificate of Occupancy SHALL BE posted in a conspicuous place on the prem ses and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa unde� Sec. 307 (e) U.B.C. CMF 7015-46 rev. 1/83 White -Owner; Canary - Numerical File; Pink - Bldg. Perm�t File . -' ApD��Unt to flll in all spSeas eK<ept t�ose wlt�in heivy COrCe� Iinas anC sign all approD�iate ElClaritlons. • CITY OF COSTA MESA , , veR T NO, �� TRACT NO. LOT NO. BLD . .. � , -� ' � CON�TRUCTION PERMIT � «� - " � • �� � - i , �AppllCent'fM2ilingpc.�dd�e55" - �' TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR • � � � . � , . � , ' PIOjBCt Addless / 7 � �' ,� - ❑ CONVERSION ❑ DEMOLISH O OTHER � • . - • . ' � � _ ' ' � . ' Owner i�Name I� l�/N M/iRC lR ` vhone ��� DESCRIPTION OF WORK Z ING' �� Address, /55�i lv�.�fO�Rr/gc-u�. ��M. � � . ; � - ' .. ' . . . � i , ' bUUh 3L21IH3' , ,,^ , , i TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL � A. P. qW 'ZONE , '� �l] T� J��� A�th/Eng. Lk2n50 NO. - .'❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL PLNG. REF.�W BUILDING ( � Add1853 • . l • ! . � ' ❑,�OTHER . . - • � � TO PUILDWGNE . . , . ' . . � � � � ntrettOP2 Ne honB%�+/-��3/ FNQIECT DESCRIPTION Sa. FT. OCCUPANCV �REAR VARD lT0 P/U,.' ' GONSTRUCTIONTVPF - VAWATION$-- LEFTSIDEVARD RIGHTSIDEVARD ddrea (mailing) � . . . � , . , � ' ' 20NE GRADINGCU.VDS. �ACRES PKG.SPACEREQ. � PROVIDED . License No. � � - . - ' . . ' - UCENSED CONTRACTOR DECLANATION � � pemarW: • . . ' ' , STREET WIDTH ' PARK FEE�§ ' 1 ` I, nereDy affirm thaLl' am IlcenseE untler provi5ions of Chartar 9(commencing ( . , . � - � witn sectlon 7000) of Dlvlsion 3 af tha Businau antl Profeislons COCe, antl - i ' •- . � � SPECIAL CONDITIONS: ' �� ! � mY.11canse Is In ty�I torce ana,efPoct. � � ' � ( ' ' • . • . ; ' _ � � ' ' i� IS � n� � �%L en o'3�7%� - � ' � PLUMBING � ; . 1 ; ( � , . i LJcense lass' . : . � .' � i , , ' � � Date�� / i a t / ���� :.' ' :. � . . , . . . . � . ^ 7-'�- � �T , Bar Sink � Sewer Cap I I ' ELECTRICAL , �WORKERS' COMPENSATION DECLARATIO "'tieraD 8/flrm that I nave a certlflcate ot consent ta selNnsuro or a certlflwte_ , 'Automatic Washer ' •Meter over 100 emps ; c. � Y, � - Beckflow Preventer - - - - Sewer Connection' � ' � - . - - - - - - - - 1� Workars' Com0en5ation Insuranta,�, or a cert letl; copy thareof (Section i _ _ , _ �y, 00, laD. �C�"r� 6 . ; 8eckflow Irrigation � $oiar Collectorz ; ! Coristruction Pole' Sub Panel ' PoIICY IJo. ✓"�o�'� I I ��� ComPany •� i - - CqOking Unit '"� SubPole � ❑ CartNIeE copy li hemby furnishatl. ' ' f ; BethtUbs $ola� Piping � � . . . � � �] Certiflatl copy Is filatl witn tne Nty.Bulltling Division. . , Dishwdsher .Motors �O-1 HP ❑ 1'h-8 � . Date ' ' Avalic5nt ' . _ _ Clarifiers Soiar Tsnk : . � 1 . EXEMPTION'FROM WORKERS'�COMPENSATION DECLARATION � DiShweShBf � SWimming POOI W/Spe DfyErS ❑Ga5 �EleClriC"" , �(This sectlon neee not be comDletatl it tha permit is for-one huntlretl (5300) or . _ I InaSolar 09-15 HP ��16-15+ � � i less). � • , � ' , . . , : �� � . � Fap : Microwave � . � 1 certHy lhat in the parlorm5nce of the work for,whlc� [his parmR Ii lssuetl 1 Drinking FounWins Urinal ; . � inall not emplay any person in any manner so as to become SUDjectto t�a ; - , � � Workers^CompensatloniLawsof Caufomla.•, � � i � FloorDrains, � . Water�Closet � , � F!A.U. _ � :Pole,Light � � �ate� ' � ' Slgnature � - , ' ' " : � � Fixtures � ' Ran e ' � � � NOTICE:If,.after makin9.this Oeclanlion,�yoashoultl.becomesubjeft to-the� � ' FloorSinks. . . _ � . Weter Heater - - - 9 ._ . _ _ __ _ Workars' Compensatbn provisions o/ the LaCor Gatle, you,must forthwith Deviceeoxes ' � � ' � ' � I comply with; such �provislons,o�.[his permit:shall De'EeameB ravokatl. ', GaSSerJicO, �� COutlats� ,_ 'Wate�Service'., �, ' Sign �CONSTRVCTION LENDING'AGENCV� '' - ' •' �' � ' , " , ' � ' ' ' . ' I hereby affirm t�at thera iz a.<onstructlon Ientling agency-for tha performance ' �pterc2pt0�5 _ • _ -� ' Outlets; � Standing SEctions 01 the wOrk for . this; permit Is issuetl ,(SaCtion 3097 Civ. CJ: - ' . . �e' ._ , - � Switches Trash Com actor LenOer's Name, � ' - ' � , ' � , . , Kitthen Sink _. � i � � ' P � Isntlei's Atlaress j ` -� �� . � � �. . _ �.eyatories ' � . Garbage Dispoml � � � � f OWNER BUIIDER DECLARATION � � � ' - � - ' � 1 hareEy atfirm that 1 am exempt from the:Contractor'i Licenze Law for the p_T�a � ' ' f- � r'� Genereto� �0-5 KW �545 KW � , tollowing reason,;(Sectlonp7031.5 Business antl Profas5lonal,Cotla: Any city or , _ P: `.^ - � ' ' . �<ounty wnich raquires a permit to construcY, al[er, improve, Eemolish orrapalr ' . . ` T . , _ . . , • Transformer,-075�50 KW , � ' , any structura, prior to ItsAssuance,�also �equires t�e:applicantfor su<h permit ' Roof DrBins; ; � - to flle a SlqneC statement:that he/ihe is Iicensetl pursuant to the�provislons of . ' ;,- i, ,: � �� , "- �... , M� ; � O5U+ KW; � 'qeinspection Fae � 515 �.the Contraclor's.License Law (Cnapter 9 (coinmencinqlwith�5actlon 7000) ot , , �" , j; ; - ' qeins ection Pee'� � ?' � i ^ivislon �3 of the Buslness antl� Professlons Cotle)'or thaf ha/she Is,exampt Showers � � � , , ;� ' P � �$�6�� . , , . , refrom antl the basis for the a11e9eE BxempSion.�Any Nolatlod oh5ectlon [ ''"' � . ,_ �` �, Meter '�up'to 100amps Issue Fee: '$ 3 31.5 b -any appliwnt for -a permit-subjects .the. applican[ ro a_ civil ' ^� � - � � • � .. . _ nalty o�not more than five nunaretl tlouars (fsoo)l �. , . Service Sink ++�. � � � �_ , � Issue Fee � � �$ 3 2oning AOP�oved By � pate � �'n 1,. as �owner ot the property or'�my employees with wagas�as their sole • . - MECHANICAL - - ' -- � ' � compensatian wlll tlo the work, antl, [ha �structure is not Intentletl or offeretl ' , ; . � . . Applimtiori /1pp'oved By etB �� � for sale (Sacfion 7044; Business'antl�Professlonal Cotle::The Contractor's , . . . - LICBnie Law tloe5 not aOP�Y tO;dn OWne� of d property�who bulltls o� ImOrOves BO11ef - • Refrigeration SyStem • ' � ' � � '� j i ' }� :� � � . ,� APPliptionlauedBY � � 'nate 3-a3� '. theraon„and who �tloez�such work him5elt/herself or lhrough his or her own • - 1 . . amployeai, proviCetl t�at 5uch�Improvements aro�not in[enGetl or olteretl tor � ` ❑p�100,0008TU ❑100,OOOBTU� � , - sala. I/, noweveq the bulltling or Improvement Is soltl within one�yearof <om- � Duct - Under Ground � . �� � SUMMARV OF FEES � � ' � ' � pletlon, the owneriwill have the burCen of provin9 he/she CIG not bulltl or Im- , . - � - � � � , . � � �' ' ' , � • � � ' rove for tne puroose of, sale). ( : � � t, � � ' � i � Duct - Structural � � System Repeir%Alteration � �, � � � I I � , � � "n IBUIIDING PERMIT $ , SM,IP . � { $ � � I, as owner of the pioperty, am enclusively contraBUng�wlth!Ilcensetl com i - , � , � ` � ' . ' ; , ' tractors to <onstruct tha'projett (Sectlon 7044, Businass antl Aofesslons Cotle: ' _ i Dutt - Ventileting . _ _ , __ _ 'R PLAN CHECK� $ � ' � PERMIT ' The Contractor's �icense' Law doas not Spply to 5n ownar o! propertywho� � � ' ISSUANCE � {$� ' , bulltls or Improves thereon, antl who contracts for such projects wlt� a con- � ExheuSt System ❑ MWtiplO �� � • ' { " ''PLUMBING � $� . ' tractor(s) Iicense pursuant to the Contractor_s Llcense Law): , i � ' ' � � � GRADING � ;$ 1 ��PIAN CHECK $ ❑ I'am enempt untler Sactlon B. & P. C. tor thls reazon FiI2pVF2Ct. Blt. ICBO # i ' � � I k/ •� � - , ' .. . t _ . : i $ . � Data � owner 1 ' � � � HeatingiSystem & Ducting , ! � � i ' � �EIECTRICAI� $. � : j , - I hereey cartity that I� nava rea0 tnlz� appiiwtlon� antl stata ttiat tha above.�/ -� �❑o-100,000 BZU��100,OOOBT' -- - . .� P�N CHECK $ • , MICROFILM i$ Information is c rect. I agree to comply with all city antl county ortlinances • � � � ' � : MECHANICAC ' $ I ' TOTAL FEE� �$' antl-state laws atlng to bWltlln construction,�anG hereby aulhoriza repra- Hood oi T B I ❑ . ' � � � ' � ' � san[ativei of' I�city' o nte upon the abdva-mentionatl pro erty tor � YP • peinspection Fea �'$15 , �� LESS j � � '-r PLAN CHECK $ insvectlon our o s. � I ' ' ��o T e I I ❑. � - - �� R�- , • � , - ADVANCED PC ' $ I ' ' Slqnature ' - Date . 2 ¢ � , : � � , . . , � , � � Regisrers � , 1 Iswe Fee ; '$ 3 , _ i � � i i � pINAL FEE� $ p_� � Driveri' Llcense or SS � 1 . "' _ . � . . :. _' - ' ' " __ ..._ "" _."_."' ...._... � ._..�.._ ._' '".... .. .. CMF 086546 rev. 12/82 White - Builtling; Canary - Appllcant; Pink - Accounting; Goltlenrotl - Assessor � � � -- - � � � - - -- "� -- ' -""" ' " i . , . t e ' 1 . �t • . � .'t ,?,. CONSTRUCTIONAND,PLANNIR ` 3 � „r _ ' �;" POOL �A� - _, . ' � =: � {�' - Date 'Inspeetor '� " � � Date � � Irispector , ';-,� APPROVALS P.erinif#��� } -�APPROVALS. : +Permrt # _ � 7 r. - t. >> _ . . .� �i, ;Temporary Electrical ServiceowPole;_, ^�:: : F ; ��� �� ,�52:'Pool &�Equipment Locaiion; � � . �- ' ti 2. �Soil'Pipe Undrgrndi' �t � � .�-. � � �I ', y' A� �� �53: �Steel _Reinforceme'nt ' ' " �., r .-, �= _ � " • . �` `� 1 � . . � • I � ._' � ' . . _ r '3. IElectrical Conduit;Utilitv=Undrgmd� yti k - ' ` :54��Forms�' � � : - ' ; _ . � _ _ � �'4. �Electrical Conduit-Undigrnd._ = ' �, -' _ _ -55,�ElectricaCBonding _ � - � �5. $teel.Reinforcement ' � � _ `� ' ' _ ' = ' - � �56; ;Rough Plumbing &�Pressure Test. - . '- � � - � 6. �Electrical UFER�Grnd`! � s � °� ' �'' , ' • '�� -"� :.57�; APPROV,AL-TO�COVER-GUNITE: ' "" ; 5 ' �i _ rt� 1: ��� . . ' � 7. �Footings ':��J^ ' � �i ' , ._ li . _= ! `58. .Electrical��('q�duit-Undrar�d: � ' _ _ � .. '� ` 8. �Foundation � � ' �� � r - - ' '= � � � 59. Gas Pipe, ��Undrgrnd.', Test� �` ' _ , , �" _ � _ . � I_ 9. Wate� Pipe-Undrgrnd��, c � ;�-' �` �' e i' - ��60. Backwasfi Lines,:P,-Trap; O Undrgmd:` -'� �`' �� 10. ��Structural FI6or System ' -'- o ^ � � l � � " � � • � � � � :�° ,61. 'APPROV%{L TO�DECK �- 11. Property Sewer Line &�House Corineciion' - � . ' �62. Backwash &.Receptor-Final , , . � 12. �Sewer Ca ' , - � ' ' . - ' , . .. P. o '' , i � { ' _ � ' �•= _ ' 63. �.Heater &-Vent-Final � •'�� - . .. 13. IRoof. Drains ' � . . . __ ;, � � .64. Plumbing System - Fi�nal �; ' „ � � � I 14. �Rough Plumbing� �� � �- ` - � "'65. Electrical-Final- " � � • - ' � _ '=15: �Rough'Electrical-Conduit"-r--1,-' --,- � --� -^-- �I �-;� fi6� Solar System-Final � ' _ � �� � � � -- - � - - ' .16. Rou h Elec'tric Wi�.in � � : ( �1 �' ,-,'�' ? - - ' ' ' ' - - - • . +-- � -- y' �, 9 � . 9. , i � li�c � i?��1 �j _ � �67: Fencing & Access�APProyal; �c i ,,. - .' �;�- . � � '17, f�Rough Wiring�Signr- s " I �• � �, ( �_; �, �" ` � - ' � � '' �68. APPROVED F,OR PLASTERING ' � � - ' - � r �, e _ �+18. �Rough Electrical:T,.Bar C,eiling .• I; � . ' ` ' , ' . ,_ � , � � ' � ' �69. POQUSPASVSTEMS FINAL' � ' � ' � � � � 19.��R� ugFi Heating & Air�Conditionin;g �� i ,' � � � j ' ; �FIRE DEPT.�REQUIREMENT � ' � t 20. �Rough Factory Fireplace � �� � ' I ; � AP,PROVALS, Permit # ` � _ i I � , , " ' 21. Ducts:�in Stiucture '� i � � ' � i � � , � ' � � • i ,, � � � � ' .70. Underground Hydro , . . . ' •'22.�Ducts, Veniilating� � � � : 1 � � � � � � ,77. Product Piping OGas OOiI ; � ; � j '.23. Gas.Pipe-Rough & Test �� � ��? �� � i � ' � � � I72TUnderground Flush� ���, � � � ' � • � , , � r�24.rRoof Framing , • •� � � �i�,�ro ia �'', y' � .7:3� Undergrnd.Sto�ageTank;O�Gas �Oil � ' 25. ���Roof Sheathing � � J � j � ;� ' � - " ; � ! � - '74. Overhead Hydro . ' � �-26.�T-Bar Ceiling�(SV�uctural��& Mon�ocoaf� � � �, � a� " s_ i � l ,75.' Dry 6hemical � F ��,�` � � : � _ -27.' Frame antl`Flashing � � � j� ;� � � � � �76. Dry Standpipe . ,� '� - � ' . • � - 28.,'Lathin & Sidin ' ' � . � • � � 9 g '� � ' � ij i � � � � � � �77 � FIXED SYSTEM FINAL �� , 29.��1'nsulation � , R ,O r ! � �� �' � I I i � ! �78. FIRE PREV. FINA'L �� � ; � i �-�30.��Drywall Nailing � i i �i � u �E � I i � ; , �Notes� �,7f '3 � ,f3 � � ' ' . : .. � . . � � v �' --- - --. .._T. . --- --' - -� - - � � - -- � -- -. - o�- - - - -31. Plaster Brown Coat " � ' ' � f � � � � ' � i � �, ! � • � i i �32.AElectrical Power Meter-Final i �� � � ( � � � �'� � ' j � � ,; . ' ., i � - 33.rFinal.Electric � � i ,�-'i � � ; � t � .1'� � �/ �' '��' .,.r ° 34. Final Heating &�Air Conditioning �' I�l i ^� �� .• � �� ' { � : � � 11 i 1 r 35. Final Gas Pipe=Test '- 1 N : � `'' (` i ^ ,L�G �� ,9j' � � . ' ' ' - - . � ' _ - ! .. - - ,. , 36. Hood �or�CanoPY? . ` � �_ ( r � 'E � -. � . � .. I ; , �,����/ '. - r t1 .�.- i ��n nl i �� ,I � i� .t % 37. Finai Factory Fireplace � i i � _!. � � _ ` i � _ � • ' � ' � � S ' . 38. Final Plumbing� ^ � � � � � _� (s' � ? , ��� 83 � � ' , i . - ' 39. Water�Seivice-Final � ; I '+� j , , , : � '; . �i i i i � ) ' ' i � � � �� �. 40. Gas Service-Final I I i I i 1�, � �� i � � � i 1 � 1 �.. �, .. �,. � 41. Solar pomestio-Final � � � � " � �-;--�-! ' � Y ' -+ . _ - � �--- - - . ' . 42. Backflow Preventer = i � � ,"n � ; � � � ' � � � ^ � . ,i _i. - -t-..,. _ ..- - �cy, •.� -� :- - . � - 43. Backflow Irrigation ?_ I. I i i �����: :;� �„ i•� f 4i i s �� "=� . � � , . � '� ' '• r' y��'- i-,i �; I nf., �'j'i ' 44. Landscape Ir�i9ationSystemi i u".; �- I ; � �.� � , ,i - � � � � . 1� _ - , n"� �_ ' ..� � s! - • ' � ' ' � - 45. Sound��7Attenuation , �': � a� I ;� ��; ; i 1- �',� � � � ,'' - - r. 46. HandicaP Regulations � � ,- � j p � ; ' � � � ` � � j ' � � , . ' . ' _ � � - r. 47. FINAL$TRUCTU�RE�&BUILDINGb E � , I` i �I ' ; � � ; , • ' • 48. Special Requirements Completed c} � i � � ' I , j � � ' � � , ' � � . . �, � � � � � � � i 49. Electric ,Release to �Edison ; : � �. __ .�_ J_� _ i _ �_ . _ _ � _ _ , � � ' ' � � tr ��� � i I i � � i � � _ 50. Gas Release'to Southein California Gas Co � � � � � � � � � � • • � i 51. CERTIPICATE OF, OCCUPANCY � LY _' , ! ! ' ._J_ � �'� _. � � i , , � �- � - , - - -� - r-- �- � , , No �` ' Date ' � �� � � �1 � � . ' o- �. _i ADD��Gnt to fill in all spates excapt.t�osa wlt�in haavy DorGer Iines antl si9� +�� aDD�aoriate tleclantions. __ _ _ . _ . . . ,_; CITY OF COSTA MESAj : . � � � . � PERMIT NO. TRACT NO. LOT NO. . . . � ' __ � � . � . ' , ' � . 1 - , � • CONSTRUCT.ION PERMIT '' ` " ` , ' ' � ` ' ' ' t� , A' plicenYs Mailin A�ddfeis � � TMPE OF CONSTRUCTION. NEW . ADD� p.LTERATION'� REPAIR . � � � �' � � � � ` , ProjeCtAddfes5 �� � , ,' �CONVERSION ❑DEM LI OT ER - ' � . , ' ' i ' 6�(1� �IQ��B3 IJItZSi T�- i� Owner'S�Neme ,� honel�y �� DESCRIVTIONOF.WORK .��F��� . �� ` ' ' :. . .. . - . I LATI � Add�Bsti �� � , 7VPEOFPERMIT f'� GRADING ' �FOVNDATION STRUCTURAL � �A.P.qW ; � ' . �ZONE , �' . ' � Arch/Eng..��� ����� ! ALipC0n5BNO.Cr���� • . ❑TENANT ❑ELECTRICAL O'PLUMBINCi'O'MECHANICAL .- :pLNG.REF.�yk - '�BUILDING . � ' � Addresa '��dZ�'�i� IY/('IGj�'� /Y[� � . ' 'O,�OTHER i } , '� ., yi; PR PEILDyNG E ` ' = REARVARDITOP/U� . • � ContrectoCs Nem ��U»- �� f'�fiZ � ��Phone��11` � PRaECT DESCRIPTION, SQ. FT. occuvaiv�v , . , . Y �(`/}�/) -LEFTSIDEVARD RIGHTSIDEVARD � 9 /�_f' � CONSTRl1CTION�TVPF - VALUATIONE Address (msilin 1 �q�l �/4 Uw � _ � � . � ��-'��T , . • ZON� GRAOINGGU.VDS. ACRFe PKG.SPACEREQ. . PROVIDED � license No; _ ' - `. . - . . - LICENSED CONTRACTOR DECLARATION � � ", Ramarks: -G 3� — � }`'",��,5 " . STREET WIDTH , , � � �PARK FEE $ - . " I'hareby aifirm that'1'. am litansetl untler pravisions of C�arter,9 (tommencin9 . . � � , with Sectlon 7000) of Division 3 ot t�e Buslnett anG Professlons Cotla, an0 , . ' �' ' . , SPECIAL CONDITIONS: - � _ ' my Ilcense Is In fu force antl effact. ' � � � , ' ' , ' ' � ' � lJcen CJI �s � � LLcen e N� g�TT y � � PLUMBING �� ' ' � � � ' � '.:� ,/ �,r � i Date���,�� �3- 519�at e � � : BarSink SenerCaP � - . � ELECTRICAL � . ' � � i WORKERS' C MVENSATION DECLARATION ' - -- ' _ _ _ , -_ � 3;p�preDy aftlrm that 1 nava a Certlfiwte of consent to self-Insure or a<erUtiwte Backflow Preventer -- ' " Sewer ConnECtion_ - �.4utomatic.Wazher ' Met2f ❑over 10b amps �t�. Construction Pole �Sub Panel�. ' � . Workers' ComOensatlon Insurance,i or, a' <erUfleE, copy theraot (Sectlon � �� ' -." "300, LaD. CJ . ' i Beckflow Irrigatian � Solar Collectors � � ' � � - PoIIcyNo.W��B����'74� Company FiZE�'IONT: � - ' . .-"� -- , CookingUnit' � SuhPole� ' I '� �Certlfletl�<oDY �s hereby furnlshetl. � � � Bathtubs � Sola� Piping , � I . ., ' Certifletl copY Is filetl with the city Itlin9 Iv ' Dishwasher Motars �0-1 HP ❑1'h$ � Data . : . : .ADolicant�':��� � ' Clerifiers � _ SotarTank _. . , . . _ . . _. .-. . _ . .. : . EXEMPTION FROM WORKERS' COMPENSATION DECLA ION ' Di5hWd5hef - SWimming Pool w/Spe , Dry2ro ❑G85 ❑EICt[�it InC,SOler�09-75 HP 016-15+ � (This section neetl nat ba tomDletetl if the�0ermit Is for ona huntlreC (5300) or � -- � � iess)� � � ' " �• � ' ' Drinkin Pountains Urinal � � Fan: � Microwave ; .f I certNy �,that in the parformance of the work far;which this permit is BsueE 1� j 9 , � .. . � , , � shall' n0[ employ any pef50n In 2ny Tallnef sa�a5 t0 blCOTe subj8tt.t0 t�1G � � - - � F.A.U. , �P012 Li9ht �'� ' Workers• comvensatlon•Laws of Calltornia., � � � '� Floor Diains� � 1 Water Closet • � � Dale � � - ' Si9nature � � , , , Fixtures � � � , 'Ran 8 � � � ' NOTICE: If, after making thls'tleclaratlon�'you s6ouitl'beCome SUDfect to'the' � - FI00� Sinks -�- � - �� Wetef HCetef ' - '� ' ' - r -^' ^•-'F 9 - - � — � - � � �F Workers', ComDensatlon provislons�of �the Labor Gotle, yoq,must forthwitb, � ,5 � ' „ , . , . - - ^ _. � '; - - Device Boxes ' ' Si n� � � I � � comply with such p�ovisions .or�.thl5 .permit �Shall be �tleamatl rovoketl. GaSService` � -Outlets � � .WatefServlC2 � � j y iy 9 � 1 I CONSTRUCTION.LENDING AGENCV' � ' � ' , �i %Outlei5 � , , I hereby affirm that there Is a conitructiomlenCing agen<y for t�e performance � ��terceptor4 �� - ' ' � � -� - � � � � ' Standing Settions ' j ot the wdrk tor, wliich= thlL permit ' Is issuatl (Sectlon .3087 Civ. C.) _ ., ' . , � � �, l.enEer's' Name. � - Kitchen Sink � - - - ' � � ' � �' f Switches • ' Trasfi Compactor � � ' i. , UnOer's 'ACtlrau � � . ' ' � 1 ' " _ � . , • ' . , . `7 . `t .' Gar6a9e Disposal ' � � � � � OWNER;BUILDER DECLARATION ' � "' ' � ' • � ' Lev3tofle5 _ _ � ` ; ,. I heraby afiirm that I am exempt, from Ibe�Contractor's License Law tor the ti_ . -_ . �_. _ „ �� -�. �� Generatoc DO-5 KW 05-15 KW ' . , , . tollowing reason (SeCiion 7031.5 �Business antl Prafa551ona1 Cotle: Any tlty or, ' P—T�eP' �- ' - ie ' ' toun[y whith requires a permit [o construtt, alter ImOrove, aemollsh ormvair - -, _ � � Transformer ❑ 15-50 KW � � ` �any structure, prlor to itz issuance, also requires t{�e'applicanttor such permit � Roof.Drains _' ' - �'�' , ' , to lile a iignatl statement'that he/s�e I5 Ilcensatl Dursuant to the Orovisions at ' - , ,, � , � ❑5U+ KW � 'Reinspection Fee • §75 • the Contractor'rLJcense Law (Chapter 9 (commencing with'Sectlon 7000) of � , � � ' , � � peinspection Fee •j $15 ' "vislon 3'of the Buslnest an0 Profesilons COGe), or that he/she:is'exemp[ Showers . �- -_ _ f•;� � ' Meter ❑u to 100em i reirom antl the� ba5is tor the alleyaC exemptlon.`Any,violationbf SecHon � _' , ' - � �, .' � P P : � Ilssue Fee ' �$ 3 11.5 Cy-,any applicant for..alpermif,subjects�[ne applicant to a�civil , , � ---, - . , . . .— � nalty of not more than tive huntlrotl tloltars (E500): � i� .��� I Servite Sink � , � , Issue Fee .�. $ 3� . . ' � I, .as �owner ot the �pioParty oi�'my employees �with wa9es as lhelr sole , �' � - j^!^9 NPP�oved By � � Date � ' ' � .MECHANICAL' + � tompensation wlll tlo Iha work, an0ithe'strutture•Is not intentled or offereG ; ': 'c t t ' � � . /'• ' � Appliption Approded By Date � lor sale' (Sec�lon 7044, Buslnass anA' ProfesslonaL Cotle:' The'. Contractor'S . . , . � /f ' Ucense Law Eoes not aDP�Y �o'an owner ot a property who builtls or ImDroves � goiler. � � � i Refrigeretion System . ' t' - � �o� 1 � thereon, anE who Eoessuch work nlmself/�erself or through �is or her own . � ! ! _ AppliotiOn Istued By +� - Dat9 ��J '�� r am0�a�'eas, provitletl that such Improvements are not Intentletl or olteretl for Dutt- Under GrOund �6100,OOOBTU ❑100,OOOBTU � M , , , , , sale. 1 howaver, tbe Euiltling� or ImOrovement is soltl within one year of com- f , , � . . '.. -' ' ' SUMMAR�' OF FEES ' ' � �c � platlon, the owner'will have the burtlan o/ proving �e/s�e tlitl not bulltl or Im- � -- , • +� � � � ' rovatortnepurposeoisale). � , - � - ( ; • • � Duct-Structoral . SystemRepair/Alteration �',j� v;gUILDINGPERMIT $ -S�' � SMIP � I $ � � �u � I, aT Own¢� Of ihe pioparty, am exC1u51vely wnt�atting with IicanSetl Con- � I - , , � � ' ' - ' ' ' , I '.tractorsto construcl the vrojecl (SecUon 7oaa, eusinesz ana aroraszions Code: Duct - Ventilating. . _, ..._ __ . _ - — � � �P,LAN CHECK: $ � PERMIT � � �� Tne Contractor'S License Law does not apply to an owner ot property who � • . „ � � , ; ISSUANCE � $ I I ' builOs or Improvas thereon, antl who contracts (or such projects wll� a com Exhaust SystEm ❑ Multiple ❑ �� !' i 4 �,PLUMBING $ •' � � tractor(s) Iicensa pursuant to tne Conirattor's Ucense Law): � � � � GRADING . $' O I�am exempt untler Section ' B. & P. C. tor thli reason �. Fii¢pl(FaCt. BIL ICBO � ; , � y,•,PLAN CHECK $ � ; � , P�. = ' ' t � . . ; . . .; . , . . - , " •"'��ELECTRICAL ' $ � i � i , � $ ' �`� Date � � owner+ ' � Heating System & Ducting � i � � . � �;r ' � ± MICROFILM $ % � (�, . � � � � - - , — _- � `PLAN CHECK� ; $, � ! j \� I^hereby-certlfy'S�at9rhave•reatl-tnis applicatl0n'antl'stateYtiat tha above'"� �6100,000 BTU �100,OOOBT� i � � � � Wintormatlon Is correct. i a9rea to comply with all dty antl county ortllnances � : . � 1 � � � � � ' _ � � ! t j TOTAGFEE' $' . antl �state laws relatln9.to bulltling nstructlon,'antl hereby authorize repre- Hood or ' vMECHANICAC $, � � ( � sen[atives of � ii �<It to nter% on tha above-mentbi etl property t r,' �� ��o � TYPe I I ❑! ' � � Reinspectjpn Fee; _:$15 � ' � .' �� � � , LESS t . , �,PLAN CHECK' $ � � � InspactlonDu sei � � _ . . .. i A�VANCED'PC ' $ � � Oate , � Signqturb � � � � � � Registers • , � I t�e Fee � S 3 '' � � � � . ' FINAL �FEE j � $ � � �', orivers' Liunso or�55 3t � _ I � I i - CMF 0865-46 rev. 12/B2 White - Bulltlin9; Canary - APPii�an[; Plnk - Accounting: GolUenrotl - Assessor .• � - . _ � .ADO!��ant to fill In all sDaees a:cept t�ose wit�in �aary GorCer Iinas anE slgn all approorlate tlecbntions. CITY.OFCOSTAMESA ' . � ' � � � PERMI O._ .. ' , TRACTNO.�' LOTNO., . BL . i, ' ' G.�!I? 4l04/b3`,� ,i6.6Q 'TL ': CONSTRUCTION PERMIT- ,, . , , � -. (�, .3�5� ' : � • i. , , „ , � . . . • , . , - . , � ' . . � . 1 .. - . � , ^ i . � � ' AppliCent'i Meiling Add�9ts ' � � " « , , T.VPE OF CONSTRUCTION NEW ADD p.LTERATION , REPAIR � • , . , , �� ' ' ' ' ' ' , P�OjeCtAddleis' ���� ���' ���JT��w,,,'J <. � ❑ CONVERSION •❑ DEMOLISH .O OTHER _ � � � ' � � � . " - � ' ' � � Owner's NeT 8 I�l YI� /��l/Y,�CO/ � � ohone - DESCRIPTION OF WORK �_ � � � 1 G GU I - " Address� �• Sr�"����G'� �L� ����� . � 7�'pE OF PERMIT � GRADING - FOUNDATION ' STRUCTURAL A. P. qW ZONE '� �' ' � �p[ Afth/En8• LiCen5BN0. _ ' ❑ TENANT JoELECTRICAL ❑ PLUMBINO ❑ MECHANICAL. � PLNG. REF.7p BVILDING . ' . � AddfOu O,9THER - ' � TO�BUILDING - ' ,� !. . . ' ' � P PE V INE REAR YAHD (TO P/U . - . � � COntfeCtol.'S Nem �� ' hOnO ��1 j PRQIECT DESCRIPTION 50. FT. OCCUPANCY . �-d .LEFTSIDE VARD ' RIGHTSIDE VARD � Addresslmailing) l�� � L� �C�y� -��"` � CONSTRUCTIONTVPF ' - ' VliLUATIONS� - ' � ' - " � ZON� � � GRAOINGCV.VOS. �ACRF� PKG.SPACE.REQ. . � . PpOVIDED ' � License No. , �� �/ 7� � ' ' � ' ' . . . � LICENSED CONTRACTOH DECLARATION Ramarks: , � � . � STREET WIDTH � ' - pqqK FEE $ � . '� I".hereby�afflrm thdt 1� am IlcenseE unCer provislons of C�arter.9 (commencing ' � _ , , . _ � witb sectlon 7000) 07 Dlvislon 3, of the Business anE Professions Cotle, antl . , . � i ' , , � SPECIAL CONDITIONS: ' � � my Iicanse i5 in full force antl etfect. • ' � ' , � . � ucens� qI9ss %3'• �. � � LJc se ` - - T� � , . � - PLUMBING �. • • ' t � , , � . � , ' . -DateT/—G�J7�-4��4 n„�����..! �.,���. �----• . � . . . � . . . WORKERS`COMPENSATIONDECLARATION� � BefSink� S2wCfCap , ELECTRICAL sraby aiflrm that 1 hava a�certifiw[e bf consent[o-self-insure.or a.certlflcata - r gatkflow P�Eventer" " —" -- ' $BwErCAnn¢cTion'' ' ^ - - � �� - w � - %�utamatic W25h2�, � _ _ _ . � Meter ❑ove� 100 emps _ _ , ' � Workero' Compensatlon Insuronce,'or a certitieA•,copy [�ereof (Sectlon � �- � - - � _.,00, tab. �C.)����� � ' � � , Backflow Irrigation � . Solar Collectors � Construction Pole � �. Sub Panel '� ! ' � Po11cY No. LILi=.iZ'�//95�•7ComPanY ��������• � . • . . - � - . . . i Cooking Unit . 5ub Pole r A Certlfietl copy is hereby turnishatl. /'? 1 � ' Bathtubs � Solar Pipmg L5l Cert Ie co Is fllea with tne city,QqNk�O9 Dlvlslo � / . ! . Dishwasher , Motors 004 HP X$ ' � � Date__��.A�Pliwnt �1�—�"� `�`Z� . Clarifiers � � SotarTank - � � . , . : �, d �. EXEM ION�FROMWORKERS'�COMPENSATIONDECLARATIO � Di5hWe5hCr � . ' SwimmingPoalw/Spa' � Dryers �❑Gas: �Electric � �Inc.Solaf'O915HP �7645+ y �U � (Thissectlon neatl nol ba comPbteC if the parmit is tor�ona huntlretl (5100) or , , - � less). �- t � � � � � - Fan � • Microwave � • 1 certly that in the OerTormance of the work far�whi<h this permit Is issuetl I i D�inking FOuntein5 . U�inal . . � � , ' shall not employ any person In any manner so as io become subjectto t{�e . -- - ' � ' , i ! ' Workers', Compensatlon� Laws ot Calltomia. , � � � FlOor Drains • yVater Closet � ' F'A��� �Pole,Light , � Date tignatura ' � - . Fixtures - - ' � � NOTICE: If, aftar makinq tNs tleclaratlon, you Shaultl batome Subjett to the -, - FIOOf SinkS� �• � - - �- Wate� Heetef - �R2ng8 - �� � Workers', Compensatlon provlsioni af the labor� Cotla, you musLtortnwitn. � ' ' � Device Boxes � � ' � Comply with such prov151on5 or t�is-permit S�all be tleemetl reJoketl. Ga5S0rvid2� :Outlet5 WetC�$ervice .. , Sign ' CONSTNUCTION!IENDING AGENCV' � � � OUtlets � I herdby afflrm that thara I5 a.wnstructlon lentling agencyior tha partorman<e� ' � Int2�cepto�s . ' ' . • '. � Standing Sections ' of tha work for whl<b� t�ls permlt I5 �ISSuetl (Sectlon 3097 tlK C.) � . i � i � , . $WitChes 1 1 , I,nnCer•i Name _ " - , . KitcFen'SiuK �.� . . � Trash Compactor � � Lentlar's ACtlress' ' ' � -� . • • ' OWNER�BUILDER DECLAHATION, I , � LaVetO�ies � - � , � . Gefbeg0 Di5po521 � . I hereby,affirm that 1 am axbmpt.from the'Contraetor's,Liconse Law forthe � - - . , , - -. Generato�� �0-5 KW �545KW . ' • � following reason. (Seclion 7031:5 Business antl Protassianal Cotla: Any city or _� P-Trep� • � ,�county whlch' raq Wres a permit'to canstruct, alter Improve; aemolisnror iapalr � ', � Ttantformer 075-50 KW ' � ' any structure' prbr to ISS ISSUdfltB. d150 leqUlfeS fI18 dDP���dOFiOf SUth OBfTIC � ROOI DI8105 � �� �' I '�;, ' - � ; , � � . . �t0 fll8 a,slgnatl ftat0ment that ha/sha IS Ilcen58tl pufSOd�t t0 [hB�prOVISiOns Of ❑$U+KWI � ' • ' �Me Cont�actor's Litanse Law (Chapter 9 (commencing.with.Saction 7000j of � ` � � � : . � ' ' � • Reinspection Fea � , $75� ; �yl5ion � 3-o} the Busloess anO- Protessions Cotle) or that he/she Is exempt Showers �- �. . - - � , ReinspectlomFee ` $15 , r,�,�.iefrom and the, Dasis tor [he allagetl axemptlon.;Any.;vlalatiodoi-Sectlon ' . _, ' „, , , , ' Mete� ❑up to 700amp> � IsSue Fe9-� � ��$ 3. 1 � �1�.5 by'any appliwnt 7or'a parmit SUD�ecti the�_aOP����t So a;civll . ' . , _ �nalty of not more than tiva huntlre0 Collars (5500). : • � . - Serv�ca Sink ` , , ,. � laue Fee , � . S 3 ��i� A � I;� as;owner of Ihe:0�a0erry or`my amployeas wlth waqas.as Iheir sole. , ' A PPfO�d BY , � , , � Date � compensatlon wiil.tlo the work, antlithe�structure is not IntenEeO or oi/erea � �' ; pr, t�` !�' '-, MECHANICAL , i qpplication Approved By ' ate � � ' for sale<(5ac{ion 7044, Businass anOjProfesslonal,Cotla:�ThaContra<tor'S ' �_ , , � LlcenSe Law tloes not appty ta"an �owner of a propertyiwho�Duiltls or improves : �; )�� ; • Re,frigerotion Synem ' - ' � u' S' i � � Boiler. A lintion lauad B � . • � n [hereon,�antl'who tloei suth work �Imself/herself or through his or her own � � �� '`• '- i ' OP � Y . ate - : employ ees, provitletl that such'Improvamenls are�not Intenaetl or offeretl for I j Du<t'- Onder Ground ❑00.100,000 BTU ❑100.0008TU� 1 � i � �-� i u1e. 1(, however, the CUIl01n9 or Improvement Is solC wlthin one year,of com- , , �, � . • , � � � � SUMMARV OF FEES � ; � platlon, the ownor'wlll �ava tha bWden of proving he/sha tli0 not builtl or Im- � . . - � • � . ' �rove for tne purpose of saie). ; ; . -, , ! � f . Duct -Structurel ; ! System Repeir'/Aiteration � 'BUILDING PERMIT $' ' � SMIP ' : $ . U I, as owner of the property, am exclusive�y contracting'with.licensetl con- ' � � � , ' � ' �, Iracmrsto,construct tha project (SectlonJo44, Business antl.Protassions.Cotle:._�., _..i.. Duct-.Ventilating__: _� __I� ,,, _ _ _4 _�,_ _ _ :, : 'PLAN CHECK � $ � � PERMIT • f ' , The Contractor'S License Law tloes not apPIY �a an owner of property who . , � ' � � 1 � � I � bulltls or Improvas thereon, antl who <ontracts for such projects with a con- � �� Exhaust System ❑ Multiple �' � j � � � � � :�LUMBING I $ i ISSUANCE � $� - tractor(s) Iicense pursuant to the Contractor s LJcentt Law); i • - � _ ' ' } $ I GflADING j$� 7 � 'PLAN CHECK; ❑ Cam exempt untler Sectloo , � � B. & P,. C. for Ih�s reason ' � Fi�epl/PeCt. BIt. ICBO �h � � , � � � � ' � ��, —� 7 � . � � , .�• � • ' 1 � � . i �EIECTRICAL' i $ � ' $ � Date � � � � Ownar� ° ' ' � ' � ' � � Heating System & Ducting ' ; ; • . � • � % $ � i � ! ' MICROFILM iPIAN CHECK�. �'•I'hereby^certify�that�l �have'reatl-this^appliwtion�antl stete-itiat�the-aEbve � � '� - 00.100,000 BTU 0100,000B -r-• -� � -� � $ Information I5 mrrect. 1 agrea to comply wl[h all city antl couniy ortlinances y 1 � � � • . .' `i � . � • ' •. TOTAL,FEE $' anA: state laws re�atlng �to builtling constructlon„an0 hereby authorixe repre- � { Hood oi T� e I ❑'� ` � � � - ,MECHANICAL $ � , santaSives of,t (s'Icity; to nter on the above-mantlonad pro erty itor . { YP i j ' , Reirapection Fee� $75 � ' + � LESS ' � - i � . • Ceno � T� e 11 ❑ t i �PLAN CHECK' $ Inspectlon pur 5 • , . ; ' ' ' J � 4� � � � . , ADVANCED PC ; $ ; Si9natura . �-"�� Da[e � 1 ' . • { . ; � F . . . . , � Drivers• Licanze or.55 � � ' Registeis � � r Iswe Fee - � $ 3 � i , + ' ! � ' i ; FINAL PEE� � $ , ' � CMF 0865-46 rev. 12/B2 Whife - Builtling; Canary - Appliwnt: Pink - Accountin9; GOIEenrotl - Azsessor � • �; riC�NSTRUCTION AND;PLA NING� .; :, c� - � r , : -_ ., ' � � -POOL, .A _ . -- � . - :'o ,' �' v � �- �'�-73j �• � � Date� :Inspectoi - :. - . - . - - Date' .Inspectnr ' >.iAPPROVAL$ '� Permit#- - �APPROVACS ="Permn� - � N � _ - .. y. . r . .. ,� 1-�Temporary �.Electrical Service or�Pole � C, �� � `, ; c. � ' •'V , � 52.`. P.00� & Equipment Locstion � _ � _ - - .� F 2? �Soil Pipe-Undrgrnds > t - '' _ � ' _ �53,, Steel Reinforcement � - - , ' _ - � � _, 3? Electrical Conduit Utilitv-Undrgrnd: � N' � "� , 54.� Forms � _ ���- � - : . � . ; ` - N� Electrical Condui4-Undrgrnd�:: � � . = .' � �� � �55:�Electrical�Bonding•-� - � ; - � - , :� _. � Steel Reinforcement� � ;; :; ` � � � '�' _ � ' S= � '56. Rough Plumbing,& Piessure'Te4t� -'. . I 6' �Electiical UFER Grnd.' �, �< <�' , - � :' - • ' ; 57,, APP,ROVAL'70 COVER•GUNITE , � 7. Footings � � . � � � � y , w - � � -_ ��_'58� �Electrical:Cqnduit-Undrar'od.-:• _ ' 8. Foundation � � '� � f . � 59. Gas Pipe; � U�drgrn0�., Test - - � � - - 9. Water Pipe-Undrgrnd. j . � •� ' " ; " . �'60. Backwash �ines, P-Trap, O �Undrgmd.-. _" ' ' ' � 10. St�uciural Floor System , � `. i � � - . ', . ' 61. APPROVAC TO DECK � 11. Property Sewer Line & House Connection. "• : 62. Backwash & Receptor-Final -_, -� .� '' ' �D � 72. Sewer Cap � ' � � =' . o � _ � �'63. Heater & Vent-Final � � � ' - ' � � - �i � 13. Roof Drains . , � � _ ' � ' . . . �64, plumbing:SYstem = Final - . : -, . 14. Rou h Plumbin � � -' a � 9 9 � -- � � - '65. Electrical-FinaV � - , - - � � c ; G'15`. �Rough"Electrical�-Conduit � �" -' -�* -r-i '�'r-�---� - "'66.� SoIaF;System•Final '" '�', -T � � '. � � , " ..'�16. �Rough-Electric Wirin9- � "= � ' � � ' -�- ' - - -- - - ;; ,- „ ;: ';t �.�-$3 -.� � � 67. Fe'ncing�&Access�APProval: .:--- , , . :� �;:1�7�.fRough Wiring'Sign;' i- - � � ' �, ' _ ` : _ = 1 . ; :68.: APPROVED FOR PLASTERING . " - : , � - � 18. �Rough=Elect�ical:T;Ba��Ceiling ; � � : �-. � � '' � ' - ; . �69. POOL/SBA SYSTEMS�FINAL � ;! 19.'Rough,'Heating�& Air Conditioning i� � '; _ ' I ' � � FIRE DEPT. REQUIREMENT - - . � _� ' ,•_ - � - ' 20. �Rough_Factory Fireplace , ' �i ,� � i ! � I ! APPRO,VALS � Peimif# � � t � , ,. . � � �`21 D�ucts, in Structure�_� , ' t � � � � � � � � i 70.� Underground Hydro ' - � '� � � ����,22. Duc[s, Ventilating i � ' � � � 1 i I �71. Product Piping O Gas ❑ Oil ; � r:`.23. Gas Pipe-Rough & Test _� 1 ' ��� 1 j � , � 7Z.� Undergro,und Flush � = ' ' ^ .� �24. ,Roof F�aming' - � � '- I - i ( ,• � ;. � y � • ' , . 73. Undergrrid. Storage Tank O Gas-,O Oil�� � � 25. ,'Roof Sheathing . a , ' � � . _ � .' : ;_ ; � � 74. Overhead Hydro , .- ' ". ;; 26. T,Bar Ceiling (Structural). & Monocoaf' � ' � � " � � � J5.� Dry Chemical ; ,•. � ; ' � , i ' � . . '� 27. '�rerrie and Flashin � � � _ � �9� ' � ii � � 76.�DryStandpipej i L h 28. tLathing & Siding � �.'� � i � i_! ,77. FIXED SYSTEM_FINAL � ` 29. ��Insulation'; - - � � � � � � I ' ' 78. FIRE PREV. FINAL , � ! � �° -30. Drywall Nailing � ' � � , � ' �Notes: ' � � : . i i . �' �31. �Plaster Brown Coat � . i y � 1 � i r �� � , i -- - - - - -- . _ . . . . � . � i , , � �-32. ,Electriral�Power MeterFinal � � � � � � � , - � - . � �, .. ! . . . i . . . , ~ �� 33. �Final Electric ' � _ �, .� _!f-$- �. , 1� � . ' 34• Final Heating & Air Conditioning ^;! I � j � , � � � ', � "� • � _ , 35. Final Gas' Pipe>Test � ,, ' ` � . , ` '.� � . � � � - � • i � - � . ' � � _ � . ,, . . ` - " 36. Hood or Canopy� r � . . ,� 1 ; ' .' ° i - - _ � � i ' . ,. '. . ' .' `_ . ` a 37. Final Eaaory�Fiieplace� ' -; uj , �- _ � � I � - V ' � "- . � x � � � � R 38. Final Plumbing � ' • � ^ ' � - - . , ' ' . � - , - .` - � � � 39. Water�Service-Final� '�� , � ' , ' < � • i � i � � i . �' � 40. Gas Service-Final � � ; � � f I � � � ' ; � � �� � � . 41. Solar pomestio-Pinal - � ' F F I f -- - � � - _ - - - . �- • , - - � � • 42. Backflow Pr.evente� ; � � �. , -. �- - -L _ _ : . . � � � � ' . -� r i i ` , i 43. Backflow IrrigaLio`n r � i I I ���'- t •! i- ' ; ; , ' ' `,. , . � , • ' � 44. LandscaPe Irrigation System �� � • � i ; : � .= _ , - � � • � , � �. 45. Sound �Attenuation -' ' ' � a ' ' � � ' ' : � , ` �Ti �� I � -�� ��� •' " ,.,_ , � . 46. Handicap Regulations • i.. � �� ,- ; � , � � • � 47. FINAL STR�UCTURE & BUILDING " ' � � i � � : , � . �� � � `; 48. Special Requirements Completed � � ! i � � � T � � i � . � . . I � • �� . . . , . .. i i � �' 49. Electric Release'to Edison �; ._ __, '_ _ . ;__� . _ ; � _ _ ' �.-.. . � . ' n 50. Gas Release to Southern California Gas Co � I � � � i ;•; ; � - ' 51. CERTIFICATE�OF OCCUPANCY � � ..,_ � � ".! • � � •1 No. � � Date 0 - �-- i , - . . . _ _'. .._i, � � . � -, ' COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. BOX t100 - COSTA MESA. CALIFORNIA 9262! For Appl7cant to Fill In Compleroly TYPE OR PRINT / / / (���/,1n .1 T ' COSTA ME$A, CALIFORNIA lI I 0 G6TCACK LIX[ �ROY DESCRIPTION OR WORK WALL 1 HHP6BY ACKNOWL6Df AND BTATB TNAT TN6 � PLY WITH ALL CITY OR BUILDINO CONSI'RU SIONATURE Or P6IiMITT6 AUTHORIZiD A06NT i i MAV[ RGD TXIB APPLICATION 1� CORRBGT�AND AORBi TO COM. :O AND �JAT{ LAW� R[O{)1�11TIN0 �CT 24-68�Msti001197 �*****6.UC APPLICATION POR PERMR BUILDING ►or Offico Uae Only eiceirt no. I I ZONINCi �o.o. a �.�o. .�„w e���, � /f�h — YAROB MPROVHD MAIN BUILDIN6 vwR. it Z LE88THAN YARDS APPROVHD ACCESSORY BUILDIN6 cwre U _ , a w � ea. Rr. � 0 TN[ IIYOUNT 6MOWN UNDCH VALUATIOH IB FOR TX[ j ►UPP09[ OA [BTABLIBXINO A PHRMIT F68 ONI.Y. js VALUATION �y � p� PERMIT FE8 S �� � v p ��� � w s TOTAL FE8 C/IJG.' % � � F;�: ' ��'�'�9 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 917 G08TA MESA. GLIFORNIA For Applieani fo Fill In Complefely TYPE OgggR PRINT BUILDIN6 // / J � AD�RH88 / / � COSTA MESA CALIFORNIA S�' ■ SIZE � 9HTB/�GK LIN6 VMOM i NO. OI BLDGB. DESCRIPTION OF WORK NO. OF WALL APPROVED FEE RECEIl�ED JUN291961 INANCE DEPT. APPLI�A'�19�J ��(l�F�Fc�vll� BUILDING For Offiee Use Only % / "/ /"/• ` / % �' COSTA MESA. CALIFORNIA �ZONING �� NO.OF � I USH OP NCW PUNB BUILDINO �i y Ji- //D� 7�-G � h'_' � �,� ^ � EVE9 (QMtP LlNB BTJ 1 HBHHlY AGKNOWLHDOH THAT 1 HAVB R6AD iN19 MPYGTION 1H8 AMOUNT 9HOWN UNOeR VALUATION IB POR THH AND CTATG THAT TNH OVE 19 GpRH¢CT /�ND AOPEB TO COM- pUIiPOB[ OP eBTABL�9H�N6 A PBqMIT PH6 ONLY. PLY WITX ALL CITY OR INANC88 AND HiATe LAWB R80ULATINO BUILDINO CONBTRU N. VALUATION � 81GNATURE OR 7A � �� PEftMiT FEE $ PERMITTE � q � , � S -/,� PLAN CHEGK $ -^ � AUTHORIZED AGENT v� a � �! iOTAL FEE T� .- s- �f ^� I 7524 COSTA MESA BUILOING-SAFETY DEPARTMENT P. O. BOX 9f7 COSTA MEBA. CAL�RONNIA For Applieanf to Fill In Complefely TYPE OR PRIN-T/ BUILDING iirJiY . � ..1J �s� COSTA MESA CALIFORNIA � �/ - �Cr� .Z o� ns. TEL. ■ ARGHITECT ■ SIZE � 8[TB�CK 4Nt PPON DESCRIPTION OF WORK � PXTERIOR WALL ry_. �/ I MeQ6BY ACKNOWLEDGe THAT 1 HAVE RBAD TMIB APPLIGT(ON AND 8TAT6 THAT TH2 BOV6 I8 CORliER ANO AGPHE TO COM- PLY WITH ALL CITY INANCEB AND BTAT¢ LAWe ft20ULATINO 9YILpINO CONBTRU ON. ��DQ '. 81GNATUR6 OP s � Jti_ '�AUTHORIZED AGENT F�� R���IV�� JUL q �gg� � �fNAN�� 6��fi: �i�v e�. �a�fia M��a APPLICATION FOR PERMIT BUILDING For Office Use Only rteceirr rvo. �aq([wqt /�JL PECCIVfiD BY I DATB RECfiNED I DATE 196UHD COSTA MESA. CALIFORNIA \ � �� IONFy, �, I puNB � I BUILOINO EW �N ll L� r� „ �ecw� �. [o�f- //D//�'�7'Mtso. TiP D88CRIFf10N A. P. NO. I�(O � O ZO �� �/ YAR�S . EVES APPROVED ALLOWED — (carmrt uHe sr.� 7/9/�i �° <�20 .�`�tu-v.�.,�, ,C�e.� O M10UNT BHOWN fINOER VALUA ION 19 R TXE PURPO86 OP 88TABL19HING A PeRMIT P66 ONLV. VALUATION /� oQ � PERM17 FEE $ P $ lno�'� PLAN CHECK $ oa TOTAL FEE