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HomeMy WebLinkAbout475 18TH ST - Building Permits�eess: q � 5 E 18 TH S T uNiT: xnme: FULLER, CARL �ness: F[]LLER, KATHLEEDI 475 E 18TH ST COSTA MESA,CA 92627 ancNiexcixeEn: M I LAGRA D ES I GN flEG.NO.:C O aoowEss: 2900 BRISTOL ST 0N1T A202 C.M. CA 92626 PEflMITTEE: B, I. WILSON E SONS ( 714 ) 646-1790 nooncss: q$ 5 E 1 8 TH S T COSTA MESA CA 92627 LICENSE� CONTflACTOP OECNBATION: I hereby aflirm �hai I am li[ensea unCer D�ovisions ol CM1aD�er 9(commencing wilh Seclion 7000� ol Oivision 3 of Ihe Business and Pmtessions Code, anA my license is in full loae and e��ecl. cirruc.:0'15966 STRTELIC.:3%%4$% cuss:'HJ EXP: 12/95 �. � � � Q s Signature: �–L�/� OnK 5' COMPENSATION DECIANATION: I Aer¢�y a��irm ��al I �ave a t¢rii�ita�e 01 COnsen� b Sell-insufe or a tertilitale 0� Warkers' ensauon Insurance, or a cenifie0 coDY �hereof (Sec�ion 3800. Lab. C�. raucr xo.: 5 9 4 4 8 7 E%P. OATE: O 9/ O S/ 9 S comrnxr:STATE FUND � C¢hiliCC coDY �5 here�y Nmished. � Cerii�ied taOY �5 IileO vnlh IIIB'tl�y BuilOing OiNSion. ate: =L � T �+ ApplicanL �� ��� E%EMPTIONFflOMWONI(EP$'fAMPEN$ATIONOECLAPRTION: (ThiS5et1i0nneE0nolbetomDleleOillhep¢rmili5lINone�mMr¢0(511p)orless�. 1 cerlily IM1aI in I�e Oedormance ol Ihe work �or which t�is permil is i55uetl. I s�all noi ¢mploy any p¢rson in any manner so a5 io becom0 5u�leci to I�e Warker5' CAmDensation LaxS o� Calitornia. ' ' Oate: Signature: NOTICE: II, aller makinp I hiS GeC laraiion, yrou S hoU l d Oec O m e S U Uj e tl l 0 I h e W o r k e r s' C O m p e n S a � i o n p m v i 5 i o n 5 o i ( h e L a E o r CoEe. you mUsl lorlhwith Comply with suth provisions or Ihis permii SAail �e tleemeA revokeA. CONSTBUCTION LENOINC AGENCY: I hereby ai�irm �hal Iher¢ is a COnSVuciiOn lending agency lor Ihe pedormante oi lhe wOrk �Or whit� ��i5 p¢lmil i5 i55u¢tl (S¢LIiOn 3097, Civ. C�. • � LENUEN: aoonEss: NEW P, C. ISSUED INSTEAD t�F 4593-94A "WRONG ADDRES OWNEF BUILUEfl OECUIXRTION: I here0y ailirm Ihat I am exempt irom Ihe ConUacbrs' State License Law for tAe lollowing reason �Seclion 7031.5 Business antl Pwlessional Code: Any ciry oi counly whic� reQuireS a De�mit to con5imct, alter. improve, AemolisR or repair any s�mciure. O��or lo i1s issuance. also reQufres t�e aD0lican� �or sucA Oermii to lile a vA�etl statemeni IAa1 �e/s�e is licensed punuant to ��e pmvisions oi ihe Cantractars' State License Law �CAaO�er 9(commencing with Section 7000) af oNision 3 0l t�e Business ana Prolessions Coee) or tnal helsne is exempt tneretmm anOlne Dasis tor ine alle9ea exemplion. Any violation of Section 7031.5 Oy any aOD�icam lor a permii sublea�s t�e applicam ro a civil penalry ol not more Ihan Irve AuntlreO tlollars (5500). I. as owner of Ine pmpeny or my employees vnin wages as Iheir sole camDensation, will Oo the wofk, an0 Ihe ❑ stmaure is noi inten0e0 or otiereU for ule (Section 70<4, Bus�ness an0 Profeuional CaOe: The ConiractoK State �icenu law Goes not aDPry to an owner ot a pmpeny who builas ar improves tAeaan, an0 w�o Eoes such woM himselVherself or ihrouq� CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 070996 PERMIT NO; B 070996 PLAN CFIECK NO: 00911-95 A GOC�T: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: STA PURPOSE: ADD JOB DESCRIPTION ; 761SF AESID ADD, 204SF OPEN TRELLIS PATI SQ FT; 6,965 CLAIM VALUE: 90,000.00 CALC—VALUE: 65,333,20 GROUP OCC; R-3 / COMMENTS: ALTER KITCHEN, 6 BEDROOMS. ENLARGE DINING ROOM, ADD FAMILY ROOM r�tit+���r�t**+t+r**�tit�rr*�tit+r+tic+ritit**��tir*�t*+tr+r***�t**+t**x-*�u***�w�r**�c****r*iF*.c**it+�sr+E+r*+f+a** 2 O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- A�CESSORY BUILL�ZNG --------- FRNT: FT IN REAR: 18 FT IN FRNT; FT IN REAR; FT IN LEFT; 9 FT IN RGHT; 5 FT IN LEFT; FT IN RGHT: FT IN PARKING REQ; PROV; PARCEL; 11732211 ZNE: R1 REF NO: PLANNING NOTES> ADDITION/INTERIOR REMODEL TO AN £SCISTING SFD, REAR YARD > SETBACK IS SEPARATION FROM EXISTING 2 CAR GARAGE 1f tt if iF 1f iE+f jE if k if 1f jE 1E if if +! 1f M if if i! if if iF if 41f iE if if if iF iE iE if if k if ik iE 41h if k if ik 1f M M 1f M it i! if if if if iE if iE if iF M iE if 4�! M if M if 1t iF M M if iE+E D E V E L O P M' E N.T S E P. V I C E S R E Q U I P. E M E N T S ZONING APPROVED BY �� DATE; O 6 1� BUILDING APPROVED BY :� ��,j'L DATE: �� �Z 4�� APPLICATION ISSUED BY;. '� �/k� DATE; d2-' ��� �r**********+r***ar*�r�r�r*�t�e�iF3F�F���F**�C�C�aT*r :F�T�i��t�F+73zi��F��3F�'iF*�r�*�-*****r���a��*+� '/f if'lf'If M'If if jf if�)f i(�1E iE'IE�X-iE If iM if if'lE'M"N-')f'lf if 1f if Y{Eif'IE 1f 1E')f 1E'IkiE if ff'IE 1f if iLi4 if if if 1f aE if if Y-#'-if +E if +f if � if if 4?F if �t iF Y�iF 16 iF }{E1E ifiE if if # LEGALIZATION;N F E E S U�M M A R Y STRUCTUAAL SEGMENT;Y i,r HLDG PMT PLUMBZNG ELECTRIC'� MECHANIC FIRE SMIPlRES GRADING PERMIT 486.50 6.53 '`�� SMIP/NON—RES PLAN 79.06 ISSUE FEE •G: BUILDING—DIV—> PERMIT ISSUE PLAN-Cii•ECK TOTAL PAID DUE TOTALS----> 493.03 0.00 79,06 572.09 572.09 ,00 nis ar ner avm em0loyees, o�avieea inat such impmvemems are not imentle0 ar ofiertU Por sale. tl, Aowever the Gmldinp ar REV ENUE D I��I S ION TOTALS--> COLLECTEIS� fo�iheepu�r0oseoolsaQ1�moneyearolcompletion,t�eownervnll�ave��eOurCenofproving�e/s�ediJnothuilEorimpmve $LDG PMT PLUMHING ELECTRZC MECHAN:IIC IRE3�SMIP�/TOT�SGAADING PLAN—CHECK I, as awner of ine o�openy. am exclusively contractinp with Iicense0 comracmrs �o tonstmct the D�oleci (Section 704d, Business 4 8 6, 5 0 6, S 3 ❑ anA Pmlessions Cotle: The Contracmrs' State License Law does not appty to an awner of properry w�o builUs ar impmves thereon ?,,� antl w�o contraps lor such Orojecis witA a comraclor�s) license Dursuant m tAe Caniractors' State License Law). 1 am aware if iFit if r it 1f it it itif if iE it af at i! +t if jE iE iF it iF ir if it it�If it if i! it if ifiE iF iE iE 1Eit k+F 1f it if if lfit iF+fr if ic�M jf aE ififitjf 1f it if r ac �c ap {f if-If 1E if ic if if r.ifdE I�ai O�ool of t�eir Worker's Compenution insurance s�oulA De pmvitle0 lo me. Z N D 1 �.� I D[J J\ L F FE E B R E 1: K D O W N � I am exempt unAer Seciion: B. 8 P. C. . i rormisreason: TYPE QTY D E S C R I P T I O N -� UNIT COST TOTAL COST .;._ oate: owner: SFR 761 DWE—TYPE V—WOOD FRAME ��'r —GOOD 74. 00 56, 314 .00 Iaoherebyceniiyma�lamawareolanAunOerstandiherequiremen�solCalifomiaHealtnanASafetyCoOeSections25505,25533,ana SFR 204 RES—PATIO COVER—POST 6 TRELLIS 14.8� 3 019.20 25534 antl ��a� I or any lulure �uiltlmg oaupan� will/will noi (tirtle one) neeC to wmpty wiih SaiO Slai¢ COEeS and Ihe repuir¢menis lof a permnlorconsimctionormoailicationimmihenir0ualiryManaAememOistricLResieentialconstmctionapplicationsareexemOtimm SFR 6000 ALTER BY VALUE RESIDEN'�`,IAL NOZONE 1.00 6,000,00 mese provisions. END ,OF%i FEES ! Date: Applicanl: 1 �ereUy t¢rii�y Ihal I �ave rta4l�i5 applica�ion antl Slatel�allAe aUOve in�ormalionis tarr¢tL I aqr¢¢ l0 tomply with alltily antl couniy ortlinan[e5ane51aielax5relaling�obuildingCOns�mclianandh¢rebyaulhonzerepresen�aliv¢5011NSG�y�o¢nterupon�heahOve-m¢nlioneG i pmDerly lor ins0e��ion purposes. � % rt)et¢�/���.s SignaWre: ��` �t/�^ C/ on�ers �icense or Sociai Security r: 164L46 Yd�i�o—Builamg; Gieen—Coee Enlarcemenl: Cenary—Applicanl; Pink—Revenua; GOltlenroE—Assessor �. � � � D � � . FEB g CITY Or T MESA � CONSTRUCTION ANO PL.ANNING � ��� APPROVALS Permit #',- ) 1. Temporary Electrica� $ervice or Pole 2. $pil Pipe-Undrgrnd. _ 3. Electrical Conduit Utility-Und`rgrnd. 4. �Eiectrical Conduit-Undrarnd. 5. Steel Reinforcement Z, 6. Elec[rical UFER Gmd. 2 7. Footings ' " z. 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural Floor System Z. 11. PrOPerty Sewer Line & House Connection 12. Sewer Cap , 13. Roof Drains 14. Rough Plumbing 15. flouyh Etectrical-Condu;c 76. RoughElectricWiring V. Rough Wiring $i9n 18. Rou9h Efectrical�T Bar Cei{ing 19. Rough Heati�g & Air Canditioning 20. Rough Faccory Fireplace ' 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe�Ro�gh & Test � 24. Aoof Framing ' � 25. Roof Sheathing �� 26. T�Bar Ceiling (Strucmral} & Monocoat . 27. Frame and Flashing � 28. Lathing & Siding �• y. 29. In5ulation � ��• 30. Drywali Nailing Y 37. Plaster Brown Coat � � i 32. Elecvical Pow2r Meter-Pinal 33. Fina1 Efectrlc 34. Finai Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Firepiace 38. Final Plum6ing ' 39. Wate{ Service-Pinat . ' " 40. Gas Service-Final � 47. Solar pomestic-Final 42. BaGkftow Preveater � 43. BaGkflow'Irrigation 44. Landscape ircigation Systzm � 45. Sound Attenvaiion 46. Handicap Regulations 47. FINAL STRUCTURE & BUILOWG � 48. FfNALPLANidING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc 51. CERTIFtCATE OF QCCUPANCY Date Date 9- 2S 9_4S -qs POOI. `A Inspector APPROVALS Permit# 52. Pool & Equipment Location 53. Steel Fieinforcement 54. Forms 55. Electrica� Bonding �(�/i 56. Rough Plum6ing & Pressure Test � rr ��„� 57. APPROVALTOCOVER�GUNITE �� 58. Electricai Conduit�Un�rgrnd. 59. Gas Pipe, � Untlrgrnd., 7esc 60. Backwash Lines, P�Trap, � Undrgrnd. ��L 67. APPROVALTODECK 62. Backwash & Receptor�Final 63. Heater & VenFFinal 64. Plumbing System � Final 65. Electrical�Final 66. Solar System•Finat 67. Fencing & Access Approval 68. APPROVED FOR PI.qS7ERING 89. POOUSPASYSTEP:iSFiNAL FIRE DEPT. REQUIREMENT . APPROVALS Permit # 70. Underground Hydro � 71. Product Piping C7 Gas ❑ Oii 72. Underground Flush 73. Undergrnd. Storaye Tank b Gas ❑ Oil �{,t� 74. Overhead HYdro 75. Dry Chemical . 76. Dry Standpipe �CU�( 77. FIXED SYSTEM FINAL Cu� 78. FIfiE PREV. FINAI � Cvf[ HEALTH DEPT. ftEQUfREMENT �Gt��L 79. FINAL INSPECTION � 80. 'FOOD CERTIFICATE ISSUED Notes: • ✓ Oate I Inspector � , _-�1.�... � .�' - i.. � `- .-i �� PHOJECT AOOflESS: Q 7 S E 1 8 TY. $ T UNIT: owxex•sxame: FULLER, CARL � nooncss: FULLER, F:ATHLEEN 475 E 18TH ST COSTA MESA,CA 92627 AflCH/ENCINEEH: M I LAGRA D ES I GN flEG.NO.: C O POOPE55: 2jQO BRISTOL ST 0N1T�A202 C.M. CA 926`l6 PEflMITTEE: B j� WILSON S $QN$ ( 714 ) 646-1740 nooaess: q g 5 E 1 8 TH S T COSTA MESA CA 92627 LICENSEo CONTBRCTOH OECUIPATION: I nereDy alfirm tnat 1 am licensetl un0er D�ovisions ol CAaD�er 9(commencinA witn Section 7000� ol DiviSion 3 al Ihe BUSineSs an0 Pro�essions CAae. antl my license is in full lorce anE efleci. ciTruc.:025966 sTnreuc.377987 cuss:H��y EXP: 12/95 Oate: _iL_�r=_4 S Signamre: _�� _K/_ ��+► WOBNEPS' COMPENSA710N �ECNBPTION: I �ere�y atfirm that I have a cenificate ol consem ta sell-insure or a certilicate ol WOMers' Comoensation�n�r�cg.$r� certifieU woY ��ereol (Section 3800. Lab CI. POLILV NO.: q EXP. UATE: O 4 I O S I9 S I comrnNv: STATE FUND ❑ Certitietl copY is Oereby Iurnis�eE. m CenifieA wpY is filea with Ihe city BuilOinp Division. Date: �'G'QS " Fp0lican�: /wL� w� ENEMPTIONFXOMWOPREBS'COMPEN511TIONDEQABRTION: (T�issectionneeOnolbecomDleteCifUecermitislorwehunGrM(E100�orless�. I certily I�al in t�e Derlormance ol ��e work lor which IM1is permit is rs5ue0. I s�all not ¢mploy any persan in any manntr so as lo Oecom¢ subject io tne workers' Comoensation Laws ol Calilornia. Date: Signature: NOTICE: II. arier making ihis tleclaration, you shoultl Oecome suUject to the Workers' Comp¢nsation pmvisians ol t�e LaGor CoUe. you musl lotlhwith comply wi�h suc� Drovisions or this permit snall he tleemed revoke0. LONSTNULTION LEN�ING AGENCY: I her¢Cy allirm Ihal t�ere is a con5imcti0n lenaing a0ency lor ihe pertormance ol ihe work lor whic� ��is Dermil is issuetl (Senian 3097, Civ. C�. LENUEF: poonEss: OWNEN BUILUEN UECLAMTION: I here�y afiirm ihat I am exemD� ��om t�e Camractors Staie License law for ihe iWlowinp reason (Section 70J7.5 Business an0 Prolessional CoOe: Any ciry ol counry wAic� repuires a Oe�mi� lo consimc�, alter, imprOv2. Oemolish, or repait any slNCWre. orior to its issuance. also rtpuires ihe apDlitant tor sucn Oe�mit Io file a 9gnetl statement ttiat hpJshe is Iicense0 pursuam ta ine D�ovisions ot ine Contracmrs' Siate License Law (Chapter 9(commencinp vnin Section 7000) of avision 3 of tAe Business and Pmlessions Coae) ot �hat he/5he is exempi Iherelmm and Ihe basi5lor I�e alle0e4 ¢eemD��on. Any vialaiion ot S¢t�ion 7031.5 Uy any apDlicanl lor a p¢rmit suGle��s ��e applicanl �o a civil Denalry ol not mare I�an live hunAreO Eollars (5500). I, as owner of ihe pmpeny or my employees wilh wages as Iheir sole comDensalion, will Aa Ihe work, ana Ihe i❑ slmcmre is no� imende0 or olfered for sale (Set�ion 7044. Bu5ine55 anU Pmiessional Cotle: The ConiraC�ors' S�a�e Lit2nse Law does nal apDly to an owner ol a propeny wno euilds or impwves tnereon. ane wAo Ooes sucn work himselflnersell or thmupA his or her own emplayees, provieetl ihal such impmvemenis are nol inten4e0 or ollered Ior sale. II, however �ne buildinv or improvemeni is so10 wilhin one year o� com0lelion, Ihe owner will have lhe burtlen o� D�ovinp he/she did no� �ui10 or imOrove tor Ihe purpos¢ of sale). I. as awner ol ine D�openy, am exclusivelp convactinq with Iicense0 contracrors to coretmct tAe Droie�� (Section 7044, Business I❑ ana Professions Code: The Coniractars Staie Lkense Law dces not appry to an mme� ol properry who �mlds anmproves t�ereon anE w�o caniracls lor such pmjecis wilh a CanVacior�s�license pursuan� Io I�e ConVacbrs' Siate L¢ense Law�.l am aware I�al Dmol o� I�eir Worker'S Compensalion insurance shoultl De D�omtleJ la m¢. � I am exempl un0er Seciion: B. 8 P. C. lor Ihis reason'. Da�e: Ownec I tlo �ereGy ceNfy Iha� I am aware of ana unAerSiantl �he requiremenis ot Califomia Health an0 Sa�ery Cotle Sections 255�5, 25533, antl 25534 antl Ihdt I or any lulure Uuiltling occupant willlwill not (circle one) need to compty wit� sai0 state co0es an0 ine requiremenis lor a permil lor conslmction or motltlication Irom I�e Nir Oualily Managemen� OiSiric�. Resitlential consimc�ion apDlica�ions are eKemp� irom ihese O�ovisions. �ale: FpPlicanl: I nereby cetlify ihal I �ave reatl t�is application antl stale tllat t�e above information is correct. 1 agree to campry wittl all city anG counry ortlinances ana statelawsrelating�o UuilOing conslmction anU here�y aul�orrzere0�e5en�aiive5 ol��iscirylo enterupan�heaEove�men�ionetl D/oOe�W �orinSDet�ion Durposes. / 7� � � ) Oate: � � � � � � Signature: �^"�t �//t.�.RA"✓� I od�ers ucense oi sonai secudty a: 164i�a6 Wbue—Bviltling; Green—Cotle Enlorcament; Canary—Applican�; Pink—Revonue; GOltlenroE—Assessor CITY OF CUSTA MESA - BOILDING PERMIT PEAM NO: P 071000 F+ERMIT NO; P Q71000 PLAN CHECK NO: N GOVT; N SUPP; N CONSTAUCTION TYPE; PERMIT TYPE; PLU PUP,POSE: ADD JOH DESCRIPTION ; 761SF RESID AUD, 209SF OPEN TRELLIS PATI SQ FT; CLAIM VALUE; CALC-VALUE; GROUP OCC: A-3 / COMMENTS: REF: B-70996 ***+r**�w�f*,t***irr+r**�r**ir*r***+t�-ie*�r�.itiE*****+arr*r********�***�r�c**itr+r��r+�+r��x-****ac*** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BOILDING ----------: --------- ACCESSOP.Y BUILUING --------- FANT: FT IN REAR: FT IN FP,P7T; FT ID] REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL; 11732211 2NE: REF NO: PLANNING NOTES> > if iE if it it iF k if Y if iF Y if it if iE 4 if k if it it �t if �t if if if r if 41f iE it 3f if iF if iE if �f if 4 if fE �F 4 �f i: k i! af if M?F iF s if 1f k k iF if 4 it 1E �f if �c 1f ic iF if ?F if if iF iR iF D E V E L O P M E,N T S E R V I C E S• R E Q U I R E M E N T S ZONING APPROVEP BY . DATE; BUILDING APPROVED HY : , DATE: • APPLICATION ISSUED BY: DATE: *,��*���,.�***�*,�**,�*,�*������������������**�**»**** 6 �.* 'Mif'If if iE'N'iE aE if if iE ih if if ik 1fiF?F iE if ilif 1f if if if if if ikaE if')f itiP if if 1f ik')f if V'if 1E 1f if�lf'K lfif 1f 1f if ifif if if iE1f'I('M'iF if iF if 4 i! Yif if iE iM1 iEif ifi! if 1f'If LEGALIZATION;N F E E S U M.M.A R Y- ' STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC, MECHANIC;. FIRE SMIP/RES GRADIAIG PERMIT 56.00 _ � 25� • SMIP/NON-RES PLAPI : • ' _ �' ISSUE FEE 20.00 ' BUILDZNG-DIV-> PERMIT ISSDE PLAN-CHECK _TOTAL PAID DUE ;�;3���,4'----z. �,�5:`(�'� �'�:E1Q� � f1.UU . ,'76.00 76.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: : �76�,00 OVER/SIiORT: 00 BLDG PMT PLUMBING ELECTRIC MECHAAIIC FIRE SMIP/TOT GRAUING PLAN-CHECK 76,00 - .- ' iF jf it it iEif if 1t if if4 jE K if if if jfi! if 1f M% iE 1t if %lfif iFiFif if if if if if 1F it if iE �fitiEiFjEif iF if Maf if M iF �fit 1Eif +E s if ?Eif i: if if if if if if iFif 1c wif if iF i1 af {f� Z N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N � UNIT COST TOTAL COST PLU FLU PLU PLU PLU PLU PLU PLU � 1 DISHWASHER • 1 SHUWEP. ' s szNx, BAR .- 1 SINK, KITCHEN 1 WASH BASIN (SET) 1 WATER CLOSET (TOILET) 1 WATER HEATER AND/OR VENT � 1 WATER SERVICE END OF, FEES 7,00 7,00 7,00 7,00 7,00 7,00 7,00 � 0 7.00 0 . 7,00 � 0 � 7.00 D 7� 0 FEB �� C17Y p COSTA MESA EONSTRUCTION AND PLANNING POOL PA �qPpROVAlS Permit # Date Inspector APPROVALS Permit # Date I�spector � 1. Temporary Electrical Service o� Pole 52. Pool & Equipme�t Location 2. $pil Pipe�Undrgrnd. 53. Steel Reinforcement 3_ Electrical Conduit Utility�Undrgrnd. 54, Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steei Reinforcement 56. Rough Plumbing & Pressure Tztt �6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Elecvical Conduit�Undrgrnd. 8. �Foundation � 59. Gas Pipe, � Undrgmd., Tes[ 9. 4NB[er Pipe-Undrgmd. 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 71. Prpperty Sewer �ine & House Connection � g2. Backwash & Receptor�Final 12. Sewer Cap . 63. Heater & Vent�Finai 73. Roof Drains 64. Plumbing System � Final 14. flough P�umbing 65. Electrical-Final 15. Rough Etectrical-Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access AnProval 77, pough Wiring Sign 68. APPROVEO FOR PLASTERING 18. Rough Electricai�T Bar Ceiling 69. POOL/SPA SYSTEPAS FINAL 19. Rough Heating & Air Cond'itioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace . . APPROVALS Permit # � 21. Ducts, in Structure - - 70. Underground Hydro 22. Ducts, Ventifating 77. Product Piping O Gas ❑ Oil 23. Gaz Pipe�Rough & Test � . - 7Z, Underground Flush�. 24. Root Framin9 � �� 73. Undergrnd.StorageTank OGas ❑Oil 25. Roo4 Sheathing �4. Overhead Hydro ' 26. T�Bar Ce�Iing (Strucwrali � Monocoat � 75.-Dry Chemical 27. Frame and Flashing . 76. Ory Standpipe 28. Lathing & Siding � �� , " 77. � FIXED SYSTEM FINAL ' 29. insulation - ' 78. FIRE PREV. FINAL ' � ' 30. Drywall Nailing " HEALTH DEPT. REQUIREMENT, � 37. Plaster Brown Coat � � .79. FINAL INSPECTION - 32. Electrical Power Meter�Final ' SQ. 'FOOD CERTIFICATE ISSUED 33. Final Eleciric . � Notes: � ' 34. Final Heating & Air Conditioning ` 2 �-�} (�!-tt��lL.�k2�%i.1-Q 35. Finai Gas.Pipe�Test . ' � �;_ �`- ���4:� � ,��V�yZ �'. �% 36. Hood or Canopy � � � ��.��- ' , �`L�! 37. Finai Faczory Firepiace � . - ' .y,-_� 9t" �7�,•�;�: (�i�lu:. : � � z��?;-.���_ 38. Finai Plumbing f� 9 £ �G�L�Y� Y�„��(� �-.�' 39. Water Service-Final '=� � L�jA f/�7�1� 40. Ga4 Service-Final _ 5'- i stt� $ H�Zt7i.','L � 4�, $piar pomestic-final , 42. BaCkflow.Preventer ' � 43. Backflow irrigatio� 44. Landscape Irripation System._ • � � 45. SoUnd Attenuation ' �. ---• 46. Handicap Regulations ' t � � 47. FINAL STRUCTURE & BUILDING ' � � - ` ..i r, 48. FIhJALPLANNING i � - .'- .�. ',r- 49. Electric Release to Edison . y`. "- 50. Gas Release to Southem California Gas Co � � �a-�'. • 51. CERTIFICATE OF OCCUPANCY � ' � � , :�: �" - -. _ No. _ _ Dace � �c_. �:._ . t PNOJECT RDONESS: 4 7 j E l 8'I'H S'I` OWNEfl'S NAME: FULLER CARL aoosess: FULLER� I{ATHLEEN 475 E 18TH ST COSTA MESA,CA 92627 UNIT: ANCH/ENGINEEH: MILAGRA DESIGN AEG.NO.:C.Q noosEss: 2g00 BRISTOL ST uxir:A202 C,M. CA 92626 PENMITTEE: B, I, WILSON & SONS ( 714 ) 646-1740 nooness: q85 E 18TA ST COSTA MESA CA 92627 LICENSEU CUN7BACTON UEClAB11TI0N: I nereby aifirm ihat I am license� untler pmvisions ol Chapter 9 �commencing wit� Section 7000� of Divison 3 0l �he Business antl Pmfessions Code. antl my license is in �u0 �orce antl eHect. ciT�uc.:0259�f66 srarcuc.:377qg7 cu�ss:g��)� piEXP; 12/95 2=�j T J� Signa�ure: �l(/�(i�Vl REBS' COmPENSF7lON OEClABR7lON: I hereby aHirm Ihat I have a cetlilicale ol consent to sell�insure or a certificate of Workers' ompensaiion Insurance. or a certilie0 copy lhereof (Section 3800, Lab C). roucvNo.:594487 exv.oaTe:09/O1/95 comraxv: STATE FUND ❑ Ce�ihetl coDY is �ereEy Iumis�e0. � Certi�ied copy is filetl with ihe ciry Building Division. oa � �—d � Q � Aooi�cane 7'Q�— �� %E ION FflOM WOPREflS' COMPENSNTION DECLAflATION: Qhis seClian n¢etl no� b¢ tomple�e0 i� [Ae Oermi� is lar one Aunar[d �E700) or less�. ndy thal in Ihe pedormance of ��e work �or which �his permi� is issuetl. I shall not employ any Derson in any manner so as �o hecome subject �o I�e VJorkers' Compensalion Laws al Calibmia. pa�e: Signa�ure: NOiItE: I�. atler makinB this aeClaraiion, you Should �eCome SUble�� b lhe Wofkefs' Compensation pmvisians of lhe labor Cotle. you musl forthwilh comply wit� such pmvisions or this permi� 5hall be Oeemetl revokeA. CONSTBIICTIUN LENOING AGENCY: I hereby afhrm that there is a coretmctian IenAing aAency lor the pedormance oi ihe work lor which �his Dermil is issue0 �Sec�ion 3097. Civ. C). LENOEfl: ROOHESS: OWNEP BWLOEP DECLANRTION: I hereby atlirm tAat I am exempt imm ihe Contractors' State License Law for tAe follawing reason (Seclion 703L5 Business an� Professional CoOe: Any city o� counry which �equires a permit Io con5imc�, al�er, impwve, tlemolish, or repair any stmdure. prior �o il5 i55uante, al5o require5 �h¢ applitant for suCh permi� �o file a Signed statement tha� �els�e is liten5e4 pursuam Io the pmvisions al �he Comracmrs' Slate License Law (Chapler 9(commencing with Sec�ion 7000) o� �rvision 3 0l I�e Business an0 Pmtessions Code) or �hai he/she is e�empt ��erelmm antl t�e basis �or the alle0e0 exemption. Any viola�ion ol Section 7031.5 �y any applicanl for a permi[ su61e�t5 Ne applicant to a civil penalry of no� more �han live hundretl dollars ($500�. I, as owner oi ine property ar my employees with wages as their sole compensation, will do the wafk, antl �he ❑ slmcWre is no� imenAed or oiteretl �or sale (Seclion 7044, Business antl Pmlessional Code: The Conlractors' S�a�e License Law �. does not apply m an owner of a propeny who builAs ar impwves ihereon, an0 who tloes suc� work himseli/hersell or ihmuAh � his or her own employees. pmvitletl �ha� such impmvemen�s are no� in�en4e0 or offeretl lor sale. I�, however �he builtlinA or impmvemen� is soltl within one year o� completion, �he owner will have [he Uurden of proving helshe did na� builU or impmve � tor ihe vurpose ol sale). I, as owner ol Ihe pmpeny, am exclusively conVactinA wi�h licensed contractors �o cons�mc� ��e prolec[ (Seclion 7044, Business ❑ and Profes5ion5 Cotle: The ConUat�Ors' Slate License Law UoeS nol ap01y (o an owner o� pmpetly who bwids or Improves Ihereon an0 who tontracl5 lor SUth pmlec�s wiih a tontrac�or(s)liCense pur5uani �o �he Conbaci0rs' SIaIe Litense Law�.l am aware �ha� O�ool o� �heir Worker'S Compensa�ion insurance shauld 6e pmviAeO to me. � I am exempt untler Section: 9. 8 P. C. for Ihis Bason: �a�e'. Owner: I Oo here�y cenify Iha� I am aware ol an0 untleatand Ihe reQuiremenfs ot Califomia Healt� antl Safe�y Cotle Sections 255Q5, 25533, and 2553a antl Ina� I or any fuNre builtling occu0ant will/will nol (circle one) need to comply with said stale codes and ihe requirements lor a permit for canstmction ar motlification �rom �he Air �uali�y Management Disiric�. Fe5i0en�ial constmction applications are eeemp� imm these provisions. �ate'. Npplican�-. I hereby cetlily ihal I have reaa I�is application antl statethatihe a6oveintormation is correct. I agreeto tomply with all city and counry oreinances ana s�ate laws rela�ing to builtlmg consimciion and �ere�y aulhorite represen�atives ol Ihis cily Io enler upon Ihe ahove�mentionetl praperty for inspeciion putrpases. al �'` ' 4J Signature: � �� oriver's �icense or Socia� Secun�y M: 16o1�G6 WNte—Builtling; Green—Cotle Eniorcement; Canary—Npplicant; Pink—Pevenue: ol0enrotl—Assessar CITY OF COSTA MESA — BUILDING PERMIT PERkt NO: M 070998 PERMIT P�O; M 070998 PLAN CHECK NO; N GOVT; N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: MEC PURPOSE: ADD JOB DESCRIPTION ; 761SF RESID ADD, 204SF OPEN TRELLIS PATI SQ FT; CLAIM VALUE; CALC—VALUE: GROUF OCC: R-3 / COMMENTS; REF: H-70996 df �1F * iE iE if iE iF if if iE if �lE it jf iE 1f iE ic i! 4 iE iE 1f �f * aE N iE �If i41E?E if iE af iE iE K iE iP 1F iR iF iE iE iE if �lf if fF:f fElF �f if iF if iE IF 1F i� iE iE IF if 1f iE iF i! k iE d(� if jf if if �It� iF Z O N I N G R E Q U I R E M E N T 5 S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSOP.Y BUILUING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN F.EAR; FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IP] AGHT; FT IN FARKING AEQ: PROV; PARCEL: 11732211 ZNE; REF PdO: PLANNZNG NOTES> > iF�eiri�*�t�t*it*�t*attt�t*ir�r�t�t�r*irit**it+t**�ric-�kar**itit**�r*r+F*irjt**�rrit*�tia**�tit*ie�**�is*aF.FiF+r*'s+t*�t*�* ' D E V E L O P M E N T 5 E R V I C E S R E Q U I_R E M E N T S 20NING APPROVED BY DATE; BUILDING APPROVED BY : .- DATE; APPLICATION ISSUED HY; " DATE; it*i�**+tilit*xikiti[�ifi�*i�i�*it*�tiFiF3FiF'�FiF�r�iF�F�iFiF37iFv�s��F�F'iFiFixiF �r�.7FiFiF*�lf**i[�*�+r** *i� ifitititititatitititilif�tifltiEia+tltitifititif�lfitjEifitiFitjtititiEififiEiEitificftitkifiFitititiFif9cr�lFicititifiEifitifiticriFaFati�s{� YiE#fiEiEit LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:P] BLDG PMT PLUMHZNG ELECTRI� MECHANIC FIRE SMIP/RES GRADING PERMIT 39 00 PLAN ISSUE FEE 258 15.00 SMIP/NON—RES BOILDING—DIC'—> PERMZT ISSUE PLAN—CHECIL TOTAL FAID DUE TOTALS----> 39,00 15.00 0.00 49,00 49,00 ,QO REVENUE DIVISION TOTALS--> COLLECTED: ^ 49,00 OVEA/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAP]—CHECK 49,00 iF if �f iF %1f iE af iE 9f if if iElf fE iE 1f iE if �E if if iE if iE if jk iE if �E if ik iE if if i! iE 1� �If 1E �E iE jE iE iE if iE if M if if it �f M iE �1f if if 1F M iE iF if if iE+E af k if if it if iF iE iR {F iF if iE I N D I C' I D U A L F'E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 INST'FORC—AIR/GRAV FURN <= 100 K BTU MEC 1 GAS PIPING SYS 1— 4 OUTLETS MEC 1 FACTORY FIREPLACE MEC 1 INST AOOD W/DUCTS FED BY MEC EXHAUST MEC 2 VENTILATION FAN CONN TO SINGLE DUCT END OF FEES 9,00 9,00 3.Q0 3,Q0 6.50 6,50 6.50 � 4.50 ��0 � FEBOG1995 CIT`( OF CONSTRUCTION AND PLANNING POOL ., SPA I APPROVALS Permit # , Date Inspector APPROVALS Permit # Date Inspector I i 1. Temporary Electrical Service or Pole 52. Pool & Equipment l.ocation 2. Soil Pipe-.Undrgrnd. . � 53, Steel fleinforcement 3. Electricaf Conduit U[itity•Undrgrnd. � 54. Forms 4. Electrical Conduit-Untlrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement, 56. Rough Plumhing & Pressure Test 6. �{ectrfcat UFER Gmd. 57. APPflOVALTO COVER�GUNIT[ 7. Footings 58. Electricai Cond�it�Undrgmd. 8, Foundation . 59. Gas Pipe, O Undrgrnd., Test � 9. YJa:er Pipe-Undrgmd. 60. 8ackwash Lines, P�Trep, O Undrgmd. 10. Structural Floor SYstem 67. APPFiOVAL TO DECK 7 7. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal 12. Sewec Cap 63. Heater & Vent�Final 73. Rnof Drains 64. Plumb�ng System � Final 74. Rough Piumbing 65. Electrical�Final 15. Rough Efectrical�Condwt 66. Solar Syr.em-Flnal i 6. ROugh Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Si9n 68. APPROVED FOR PLASTERING l8. Rough ElectcicaPT Bar Ceiling 69. POOIJSPA SYSTEMS FINAL 19. Rough Heating & A.ir Conditioning -� !� � FIRE OEPT. REQUIREMENT 20. Rough Fectary Fireplace APPROVALS Permit # 21. Ducts, in Structvre : 70. U�dergrou�ci Hydro 22. Ducts, Ventildting . 71. Product Piping � Gas ❑ Oii 23. Gas Pipe-Eiough & Test ' 72. Underground Flush � 24. Raot Framing ' ' � 73. � Undergr�d. Storage Tank O Gas G Oil 25. Roof Sheathing 74. Overhead HYdro 26. T�Bar Ceiling �Structura1) & Monocoat - � 75. Dry Chemicai - 2�. Frame and Flashing f6° Dry Standpipe � I 28. Lathing & Siding . 77. FIXEO SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL - � 30. Drywall Nailing � '. HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. F WAL INSPECTION 32. Electricaf Power Meter•Finai - � 80. POOD CERTIPICATE ISSUED 33. Final Electric Notes: 34. Finai.Heating & Air Conditioning ,.��� ��� �„ �� _ �S '� ,�,� ��/ � tG'�- 11 �� 35. Fina��Gas Pipe�Test - . � j_- ��` �P�7�!_i�3'_--�/� 36. Hood or GnopY ' .. 37. Final Faaory Pirepiace � . � . 38. Final Plumbing ' ' ' . 39. Water Service-Final , 40. Gas Service�Final 41, Solar �omestioFinal � � . 42. BaCkflow Preventer 43. Backflow Irrigation 44. LandscavP Irriaation System � � � 45. Sound Attenuation �` ` _ 46. Handicap Reguiations � . -. 47. PINAL STRUCTURE & BUIIDING � ' _ . 48. FINAL PLANNING - � � � - �',' 49. Electric Reiease to Edison � '� �, i. - 50. Gas Release to $outhern California Gas Co "' - '-r 51. CERTIFICATE OF OCCUPANCY ,._ � � •., No. Date ' ... , OJECTROONE55: q'�S E 18TH ST OWNEH'SNAME: FULLER� CARL aooxess: FULLER KATHLEEN 975 E �BTH ST COSTA MESA,CA 92627 UNIT: APCMIENGINEEH: M I LAGRA D ES I GN flEG.NU.: C O noon¢ss: 2g00 BRISTOL ST uxir:A202 C,M. CA 92626 PEXMITTEE:H, I, WILSON & SONS (719)646-1790 aoosess: q 8 5 E 1 E TH S T COSTA MESA CA 92627 LICENSED WNTBACTOB OECLANPTION: I �ereby attirm I�al I am IicenseG un0er D�o�isions o� C�apter 9(commencing wit� Setlion 7000) o� DirSion 3 0l Ne BuSiness an0 Professions Catle. anA my litense i5 in �ulllorce antl eileCt. ciTruc.:025966 STRTELIC.:3]'JQ$7 cuss:g ' EX`P: 12/95 (/'aie�'' �� ii� s Signature: _�—�w14.�' N{WIlEHS' COMPENSRTION DECNBATION: I hereby aHirm Ihat I �ave a cetlifitale of consEni Io selbinsure Or a certi�icat2 0l Workefs' Cbmpensation Insurance. o� a certilie0 caDY ��ereol �Section 3800. LaE. C�. PaucrNo.:594487 E%P.DRTE: O4/OS/9S comrnNv: STATE FUND ❑ Cerliiie4 mpY i5 �ereby �urnishetl. � Cetlilietl copy i5 liled vnID tA! tiry Builtling DiWsiOn. r�� �'li'Os AOOlicant � !(/� E EMPTION FBOM WOflNEBS' COMPENSR710N OECNflR710N: (ihis seClion nee0 not be mmplet¢G it tAe pefrtut is lor one �undred (510%or Ie55�. I certily Ihal in ��e pedormante of Ihe work br whiCh I�is Oermit is i55ue4. I 5�ail n01 employ any DersOn in any mannef so a5 to bewme subleci to t�e Workers' Compensation Laws ot Calitomia. • Daie: SignaWre: NOTICE: II. atler maiting �his G¢tlaration, y0U S�ould GEtam¢ SUble�t IO t�e WaMerS' Campensation pmNsions ot ihe LaGor Cotle, you musl lorthwilh comDty wiih such provi5ion5 or Ihis permil Shall De �eemeA revoke0. .. CONS7BUCTION LENOING �GENCY: I hereby aflirm that t�ere is a constNction lending a0ency fot I�e pertormance of ihe work lor wnicn �his permit is issue0 ISection 3W7. Gv. C1. � LENDEN: . A ADOflESS: OWNEH BUIWEB UECLAIUTION: I �ereby aflirm �ha� I am exempt imm ihe Coniractors' Stare License Law fo� Ne PollowinA reason (Seciion 7031.5 Business antl Protessional Cotle: Any ci�y 0� caunly which r¢quire5 a Dermit �o conSlmci, alter, improve, tlemolish, a� repair any stmcture. o��or to its issuance. also reouires the aoV�icant lor such permit Io lile a signeE statement Inat h¢/5I1e �s licensetl pursuanl Io Ihe pmvisions of t�e Conlra[tars' State License Law (Chapter 9(mmmencinA ��h Section 7000) ol Oivisian 3 al t�e Business and P�ofessions Code) or ihat he/she is exempt iherelrom antl Ihe easis lor tAe alleAetl exemption. Fny viatation of Section 7031.5 Uy any applicanl lor a permit SuUlet�s Ihe appliWnt �a a CiWI Oenalry 0� noi maf¢ �twn INe �undre0 dallars (f500�. I. as owner of t�e pmDeny or my emVloyees wilh wages as iheir sole compensatian, will tla t�e work, an0 ihe ❑ simcmre is not intenAeA or otfered for sale Isection 7044. 8usiness and Pmiessional Code: T�e Contracrors' State license Law tloes not a001y to an owner ol a pmperlY wM �vilCs or impmves I�ereon, an0 who Goes sutli vroM him5¢II/�erself ar t�roupil his ar her own employees. Omvide� I�al suc� impmvemenis are not inlenAeU or atleretl lor 5dle. If, however �he 6uilOinp or impmvement is soltl within one year of comoletion, ihe owner vnll have ine Euraen af pwvinp Ae/s�e tliU not �uild or improve � far ine purpase ol ulel. I, as owner oi �he pmDehy. am exclusively comractinp wi�h licensed comractars to constmcnhe D�ojeci (Seclion 7U94, Business ❑ anafmiessions CoOe: The Contmclors' State �icense Law Ooes not appty m an awner of properry who OwIUs or improves Nereon antl w�o conlrans �or sucA D�ajecis w�t� a Contracior�s) license pursuant m the ConVaciors' State License Law�. I am aware ihal Dmaf ol their Worker's Comoensation insurance shoul0 Oe provitletl lo me. � I am exempi untler Seciion: B. 8 P. C. lor I�is reason: �aie: Pxnec I Oo �ere�y cetlify ihal I am aware of an0 un0er5tanG IAe reQuiremenis of Califomia Health 2nG Sa�eiy Code Sec�ions 25505, 25533, antl 2553d ana Ihal I or any fuNre CuilGmg o[cu0ani vrilUwill noi (ci¢le one� nee0lo compty wi�� ui0 Slaie toCes anG IM1e reQuiremen�s lor a �. permi� for consimction or motlilication imm Ihe Air ualiiy Management Dislric�. flesidential canslruction applications are eeempl irom '�, Ihese o�oWsions. Date: pDDlicanc I heieCy certity Ihai I �ave reaA IhiS aOPlita�ion and Slaie l�ai I�e a0ove iniarmalion i5 wrr¢ti. I aqre¢ l0 wmpty vni� all tiry antl wuniy ortlinances and stale laws rela�ing to �uiltling conslmclion antl hereby aNhorize represenlaiives o� IAis ci�y �o enler uDan Ihe above�mentianetl pmDenY �ar inspeclion pwposes. /� � . ��'Qs Signamre:YS��- �� =ww� nvei�s �icense oi so��ai sec��aY +: t6aba6 W�ile—BuiWing; Green—CoOe Enlortemenl: Canary—Applicant; Pink—Revanue; GOICenroE—Assessar I�ITY OF COSTA MESA — BUILDING P�IT PERM NO; E 070997 PERMIT NO; E 070997 PLAN CHECN. NO: N GOVT: N SUPP: N CONSTRUGTION TYPE; PERMIT TYPE: ELE PURPOSE; ADD I JOB DESCRIPTION : 761SF RESID ADD, 204SF OPEN TRELLIS PATI SQ FT: � CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 / COMMENTSI; REF: H-70996 if if if if ifih if if M'1f if ikif if'If ifif iE it if if iF iE if iF 1F iE 1E iEaE if if iE if if�MiE if af i(�1f�1f if if 4 iflfifdf if iF if if if iF if iF'IE'7F if iE if if 1F if Y iF �f iF if if iEif ifiE3f iE�IF i4 Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDZNG --------- FRNT; FT IN REAR: FT IN FRNT; FT IP7 REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING RE • PROV: PARCEL: 11732211 ZNE: REF NO: PLANNING N TES> i �titit+fat*�r+t**at*atat*+trr�tar�rit�r+tiritr+eaf+tiF+t*ar*+t*r*r*rr**ir********;�***�**+ct�itxirar;�*,t�r�riF**rat-x- D E V E L O P M E N T S�E R C� I C E S R E Q U I R E M E N T S ZONING APPROVED BY - DATE: HUILDING APPROVED HY ; '- DATE; �/p APPLICATION ISSUED BY: '` " DATE: ��F������/ ) ()''' itklfifltit4MiEif41l1EifiEififililirif�k KifiF�cis*itiEl�ac F3F�F#�'�Y �f9fifiEifMkifMlf�fifif4jflfifiFififMilififiEMiEiliEKMiEifi�itlklfitifiF�FifififilifiEaflf4atifififk3fYi4ifiFis{FM*Mihitr�FiFifiE ifiFifjEaEif LEGALIZATION;N F E E' S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING PERMIT PLAN ISSUE FEE SUILDING—DIC�—> PERMIT ZSSUE TOTALS----> 53.00 15.00 ELECTRIC MECHANIC 53.00 � SOt :1:5 . 0 0 PLAN—CHECK 0.00 FIRE SMIP/RES GRADING SMIP/NON—RES TOTAL PAID DUE 68.Q0 68,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: � 68,00 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADIP7G PLAPI—CHECK 68,00 i! iF �f iE i! if i! i! if if if if it it iF 4 if iF it !t 1t 1f iF iF if iF if if M 4 M if if iE 1f 1f 1f if iE if iE if if if if j! if if if 1E if if i! M iE 1E M i:1f if if jf k if iF i�+F r iE r r if if if 1E iF iF iF it I N D I V I D U A L F E E B R E A K D O id N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 16 FIXTURES, LIGHTING 1 ST 20 EA, ELE 18 RECEPT/OUTLET 1 ST 20 EA, ELE 12 RECEPT/SWITCH 1 ST ZO EA, ELE 1 SERVICES BELOW 600 V 5 BELOW 201 AMP END OF FEES .75 .75 .75 18,50 � � F CITY. 12.00 13,50 9.OQ COSTA MESA �r...,.' CONSTRUCTION AND PLANNING POOe=`�:`$PA ApPROVALS Permit # Date t�spector qppROVAIS Permit # Date lnspector 1. Temporary Electrical Service or Pole � � 52. Pooi & Equipment Location 2. $oil Pipe�Und�grnd. • . . � . � 53. Steel fleinforcement 3. 6lectrical Conduit tftility-Undrgmd. 54. Forms A:'�lectricaf Conduit-Uridrg: nd. 55. Electrical Bonding 5. $cea( Reiatorceaier+t�- ' 56. Rough Ptum6ing & Pressure Test 6. �tecVicaiUFERGrnd. � 57. APPfiOVALTOCOVER�GUNITE 7. Fobtings �� 58. Electncal Cond�rt�Undrgrnd. 8. Foundation - �� , 59. Gas Pipe, O Undryrntl., Test ' 9. Water Pipe-Undcgmd. . 60. Backwash Lines, P�Trap, G7 Undrgmd. 10. Structural Floor Syscem 61. APPROVAL TO �ECK 11. property Sewer Line & House Conneciion � 62. Backsvash & Recep;or-Final 12. Sewer Cap - ' ,�. . 63. Heater & Vent-Final 73. Roof Drains �. ' -; 64. Plumbing System - Final 14. Rough Plumbing. :. 65. Electrical-Fina� 15. Rough Electrica�-Condurt " 66. Solar System-Finai 16. Rouc�h E4ectricNliring ,:. �/ J���QG � 1-v`_v' 67. Fencing & Access APprovaV -� ` �✓ 17. Rough Wirinq Sign � 68. APPROVED POR P�ASTERING 18. Rough ElectricafT Bar Ceiling 69. POOL/SPA SYSTEi�AS FINAL 19. flough Heat�ng & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rc �9h Factory Pireplace '', T! � ' ; - 11PPROVAL�S.'. PeroSit # 21. �Duccs, in StrUtture ��• -- � � � i0. Urlderqr8und Nydro � 22. Ducts, Ventilaiing". � � .. . . � )1. Product �?iping t7�Gas ❑ Oil 23. Gas Pipe�Rough & Test ,, ' 7Q, Underground `rlosL 24. Roo( Framing' y" � " . - ' , ;73..:Underr,�rnd, Smra,e;fank C7 Gas ❑ Oil 25. Roof Sheathing �- � . ��74. Overhead Hydro �: 26. T�Bar Ceiiing (Str�cturaq & Monocoat � 75. Dry Chemical . 27. �rame and Flashing 76. Dry Scandplpe � •• 28. Lathing & Siding' ' � . ' - � ' ' 77. FIXED SY$ZEM f#NAL 29. Insulation � _, .• -� � ' 78.~FIRE PREV. FINAL 30. Drywall (Vailing � .. HEALTH DEPT. REQUIREMENT 31, Plaster Brown Coat � .. . � ,79. FINAI INSPECTION 32. Electrical Power Meter�Ffnai ' 3r{.e��Cr5��L R". �OOD CERTIFICR7E ISSUED rc.a,i� Sl � 33. final Electric� . 7T��� �/�. �,otes: Zg.-qs NO Oil� �J� ! '" � 34. Final Heating & Air Conditioning' , • � 35. Fi�a( Gas Pipe-Test . . � . 36. Hood or CanopY ' ' � � , . 37. Pinal Factory Fireptace • � - ' 38. Final Plumbing � ' ' - _ 39. Water Service�Final � � � � . � � � 40. Gas Service-Final . _ ' '� 47. Solar pomescicFinal .. ' , , 42. Backfiow Preventer � � 43. Backfiow irrigation ' . 44. Landscape Irrigation System � • � � - 45. Sound Attenuation :. ' . _- 46. HSndicap Regutations ' - ' " • • � 47�, FINAL STRUCTURE & BUILDING , � , � � ` `•' 46. FINAL PLANNING � • " �._ , � � 49. Electric Refease to Edison � �� +;��: i": :�-: rr 50. Gas Release to Southern Califomia Gas Co �y�'"" "' �a; 51. CERTIFICATE OF OCCUPANCY � .�,.� S No. Dace