HomeMy WebLinkAbout717 18TH ST - Building PermitsProject Address:
I.D. No.:
CITY OF COSTA MESA
PERMIT APPLICATION
717 W 18th Street Costa Mesa CA 92626
Purpose: (check one)
❑ Addition
❑ Alteration
❑ Conversion
❑ Demolition
� Other
❑ Repair
Plan Check No.:
Category: (check one)
❑ Minor Construction
� Major Construction
Grading CuUFill:
Job Description: PubliC ACCess Alley
Occ. Type: Constr. Type:
Legal Building Owner: Chester & Helen Cawthon
Address: 1029 Presidio Drive
City: Costa Mesa
Associated'
Building Permit No.
(If Applicable)
Suite/Unit:
❑ Legalization ❑ GoYt ❑ Supplemental
cu. yds.
Stories:
State:
Permit Type: (check one)
❑ Building
❑ Fire
❑ Electrical
❑ Mechanical
❑ Plumbing
❑ Sign
❑ Grading
Valuation: 3500
Phone No.: 714/754-7234
Unit:
CA Zip: 92626
ArchitecUEng.: Nabil S Kabbara Reg. No.: C040812 Phone No.: 714/669-3739
Address: 130 South Prospect Ave. Unit:
City: Tustin State: CA Zip: 92680
❑ Contractor
❑ Employer/Owner
PERMITTEE STATUS
❑ ContractodNo Employees
❑ Contracting Owner
❑ Exempt
❑ Unassigned
Applicant: Beta Constructlon Inc. Phone No.: 714/642-3700
Address: 7651 PlaCentia Ave Unit: M
City: Costa Mesa State: CA Zip: 92627
Driver's License/Social Security No.:
CONTRACTOR INFORMATION
City License No.: 040576 State License No.: 482901 Class: B
Workers' Compensation Policy No.: 1263814-95 Expiration Date: July 96
Insurance Company: State Fund
(See Back for ltemized Electrical, Mechanical, and Plumbing)
(5250Jfi.WP)
ELECTRICAL
MECHANICAL
PIUMBING
(5258<B.WP)
,��nnrssaeu�mn 700 JP.MES S'T �M:
pYNER4NYlE1GIRqAN: StiMES Si' ALLEYkl HOA
----- �/O 17220 NEWHOPE Jt220
'OUNTAIN VALLEY, CA 92708714-557-1435
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�xcxREcron�aNrfn: NABLL S KABBARA uc.xo_ C040812
uicx.ox�s.00xess: 130 SOUTH 2ROSPErT AV uMr:
TUSTIN CA 92580
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cwm�ctorts�uwa i_651 PLACENTIA AV
.00xEss COSTA htESA CA ucw, 4(32901
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LICEMSEG COMfl�CTOflS DECL�FATION: I Mreby ellim uMs peroly M pe "ryry tl� 1 mn liwusd uiMr pwv'vu af Cheqr Y
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cmuc.No.:/0405/�76 uc.cuss: B ruc.ANo.: 482'901 XP: 1/97
Dw: a �I) ��IG CanreCm. //S�C�y� `^'/�'����"`�'� •
OWNEfl BUIL�EP �ECLAfl�TON: I Mreby tlfi�m uMer peroly W pa'�uy tAr I em eiemq Imm Ihs Conlrtlm Licaw Lew la iM
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vndoh, a rapv eny ebuclun, pia io na ewercs, abo requirm tM epplimnl Ip wch pame io fik e upnsd simwrcr�l tlW M a�M
IiceneeE W��1 to I�e povuione d �M Contredon License law �Cheqer 9(oommendry xilh Setlion 1000) W Dveion � d tlr
,udriem eM Ndeniona Cod�l a Ihet hs a ehe u esemd iheelvn aM �M bub la Ne albped mamqion. My violelun d Sad'on
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a dlaad In mb (��^ ]Ou.Buvrou end Protessbna Code�. The Conlrmore lioenae lew Cou mi pplyto m ownad qapany
who Eulda a inprovm Iherson. ud v.Ao doea suN xak limvell a henN a Ihrap� he a Ax orm a�qiqew. pwidsE iAtl adi
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��� A��i.c EXPIRES
P w,,,� - 07/O1/97
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3'ctlon »f18 0l fM Labor CoW, Inronar, �nJ �Romry i l�.
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pMamerca d IM xwk la xAiN t�e psm�1 v eauad (Seaion ]09). Cw. CI.
LENOEfl'S N1AIE
LENOEP'4 �DOPE39:
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Sqretwe d OwnerlApsnV�ppiranVContrma
15151J6.WP) �e-�+�M 8 SdMy. GrssrFb: Guury-Appiraie: P"vik�ie: OdEsuo6-Aa��
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: B 079084 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE; STR
pexM n�o: s o�9oaa
GOVT: Y SUPP: N
PURPOSE: REP
JOB DESCRIPTION : ALLEY CONSTR/ 702-744 JAMES6 703-745 18�µ �SQ FT: 59,642
CLAIM VALUE: 59,642.00 CALC-VALUE: 59,642.00 .GROUP OCC: R-1 /
COMMENTS: MONOLYTHIC POUR PCC 560-C-3250/ fi"THICK OVER 2"SAND PER SPECS.
��-*�*�-�*���*�**+�*+��*�t�r+��r�*��rx�*****r+�******�*���t�*****xrt�-****�-�r�*�r*�*******�-�r�-*+�
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 5
------------ MAIN BUILDING -----
FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN
--------- ACCESSORY BUZLDING ----------
FRNT: FT IN REAR; F'T IN
LEFT; FT IN RGHT; FT IN
PARKING REQ: PROV; PARCEL: 00000000 7.NE: REF NO:
PLANNING NOTES>
i
IE IE 1F 1E 3E �k k iF iE fE iE iE if k iE 3E if 1E !t k 1f 9E'k �E fE k 1E �E if 1E 1f iE iE iE it 3E 1E iE if 1f 1E iE if iE 3E aE k k 3f k iE if iE 1f ik IE iE iE iE 1E if iE 3E IE iE �f iE 1E iE iE iElf % 3E if if 3f jE iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY N/A DATE:
BUILDING APPROVED HY : W��7 DATE: S-I5'9G
APPLICATION ISSUED BY: �� DATE: S-�5 �9%
If 3f iE iE 1E ih IE iE iE iE iE iE iE i(� 14 if iE if 3F if if ih��F 1��F3F�f�iF 3FiF��� I�iF�iF� {F .� ��{F� IF fE iE �E 1E af aE iE 1E iEi��'�iE 3f
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECT�tIC_ MECHANIC FIRE SMIP/RES GRADING
PERMIT 637.25 SMIPStJON-RES �b
PLAN ' � -
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 0,00 0.00 0.00 0.00 .00
REVENUE DIVISION TOTALS--> COLLECTED:. .00 OVER/SHORT; .00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
!E If if 1E If !f !F 3E iE iE iE K if 3E iE iE IE iE iE 1E ff jf �E 1E iE if iE �f if iE iE fk iE k iE �E �f fE 1F iE 1E K iE iF iE iF iE IF 1E iE iE if ik iE iE iE if iE if 9F 1F iE iE 1E iE 3E if 1f 1E i( jE 1E iE if if if iF>E iE
I 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 0 N UNIT COST TOTAL COST
SFR ' S9642 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 59,642.00
END OF FEES
e
• .f10N AN[� PLANNING
� ALS Pc�mii �
npOfdfy EICC[riC21 $erviCe 0�
,, Soil Pipe-Undrgrnd,
3. Electricai Cenduit Utiliry�Und�gmd.
��. EI?ctrical Cendun�Undremd.
5� Steel Reinto�cema:nc
G� Eleerricrd UFER G�nd. _
-). Knot�nq5
....._'-."_'. ____ ...____ ._ ... ....._,_.. """_'.__.,.
8. I�ow,datlo�:
9. lA�ater Pfpe�Undrgrnd. �
�0. Strur.,urzl Floor Svstem
7). PrppCrp,•S�v�P: l_inE:.'f�1pi�5P.r.,O��CC[i0R
12. Sewer CaP J..--
13. Rouf D�ains
1,1. iiouah oiumbinyY_.-------'--�--�-'
15. ReUoh Hcr..r�ca��Co:,dw;
lf. Ruugh"tlec::ic41'irinr ,-
77. Raugh 1'Jf: ing Sicn
1 ii. �puqh Elur.trical.T !';a� Cciliny
19. Rouah H✓ai�na & A�� CundilipnmU
20. Rough Fac:o-Y Firenlac?
21. DuCts, in St;uciure
22. Ducts, Vent�lavnq
23. Gas W.pe�Roughll Tos� �
24. Roof Fiaminq �--v`--�-
..,:. Roof Shgg�hinq
�6. T�3ai Ceibna iSnuCtu�.i11 �i Monncoa(
27. Fram� anCi F18ctti�q�'--.Y��
Zfl. L�;hinn & Sidin�� __'. -'_--_'_'_.
:9. Insulation
30. Drye:alf n!a�linr_, --------'-
31 . P�. ste: E?ro�vn Coat
32 Elr.ctricai Powr�_�vict,`r^Fin„I `
33. Final Electr.c
34. Fi;��l H?d�'���9 & Air Condltien��ny
g5. Findl Gac Apr-7��.x( '-" -'
3f,. Hond o. Canooy
;j7. Finnl �aqo:P F��r�iinrn
3H. Final i'lunihing _--�'_- _
3g. 1V'ater ServicmFinal
40� Gas Service-Finaf
41. So�ar pomes.ic�Final
�"l.. 9ac4tic�v Pre��e�::e:
43. Backflc�e I�riqai�e��
d�l. �Ond<G�p�� IrriqJ[iU�y;.iy;i�;rt? �.��
45. Sound At.enua;icn '�-"__�__'-___
4fi. H.ndiCdp ReGulaliOnS_"--"-
4Z FINA�STRUCTU�E°+SIiILi]ING �
4g. FINALPLANNING ^
49. Electrlc Reiease to Edism;
50. Gas �cleasc to $��uthr•n Califoinia Gac Q.
51. CERTIFICATE OF OCCUPANCY
Oate
[)aic. � I�cpector
PC R SF'A
APPROVALS Permit � Oate Ic�spetior
52. Pool & Equipment Locanon '
53. Steel ReinEorcement
54. forms
55. Elcctrical9ondinU I
56. Rough Plumbing & Pressurc Test �-
5'/. nPPROV:IL TO COVEF�GUNIT[ I
u8. Elr,r,trical Conrliiil�L)ndrqrnd. �
"._'_'_' -_....,.... "_'_.__.._ .... .. .,_ __ _.._�._� ._ I. ." ""'"
JJ. l�dS f�ipC. �_� Undl��nll., Ce1l
60. BackevashUnes,P-'frap,"U�:drgrnd.
61. APPRQVAL TO C[CK
62. Backuvash & ReceP;c��Final �
63. Heater & Vent�Final
G4. Plumbinq Systorn � Final
65. Electrical�Final
66. $olar Svstem�Final
Fi7. Feneinn & Access A;,proeal
68. APPROVED FOR P�ASTERID!G
GJ. PUOU;;P:1 SYS��IaP:1J FI^:L1L J---
FIRE DFUT ciEQIPc�(.MFN�� '_- -^
APPROVALS Petmit i��
70. Underground Hydro
71. Produr,t Pipin{t (�Go^. CiCi;
72. Undcrqrounc: Flush
73. Undc�gmd.5taa �c i a+:4_ U Ga< ❑ Oil
74. Ovr,nc�,d I-Ivdrn
75. Ory Chernir,el "'--�'� _- '
7fi. Drv Sta:�Nnin^ -`--
77. FIXEDSYSt'F?M(�I^!ni--'----
78. FIRE P��li. FINA�l--
tiE.4L'!H DEP':. REQUiREn-i[n��r
79. FINAL INSP[CiIQC,I ` (
80. FOOD CERTI(_ICA��F ICSUED _�
Notes;
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uooaiss oc em.ur,a: 71 7 W 1 8 TH S T
�+'swwEii�m CAWTHON CHESTER R TR
;' ��+E%� 1029 PR�SIDIQ DR
COSTA MESA,CA 92626
754-7234
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urn:
urn:
coxm�crarsru�: ROY CHAFEY ROOFING ( 719 ) 636-1747
ca+m�cmirsYuia+o 9692 LUDERS AV
�oo�ss GARDEN GROVE CA ucra.: 556624
92694 urar:
110ENSEO CONfFACTOPS DECLAfl�TION: 1 Mraby ellin� uMm pmely d pe�ury ihel I em fieenesd uMm pewabns of CMqa e
(wmmaiaiq wtlh Section ]OW) d Diviaion 3 d Na Bux�wea eM Pralmvma COEe. eM mY 4oeme b m IWl lace and elled.
emuc.No.:02 615 uc.cuss: C_39 uc.No.: 566y2���7/97
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OWNEN BIIILOEP OECIARATION: I MmEy dfiem uMr ppally W pmjury ihet I uemq han �he Com�atlae ' Lew la IM
fWbMvq raeaon (5eeion ]W1.5 Buaneva vd Rde++ions COCe: My Uy a caunry which npui�ee e pamC lo cansbuq. Mr.'vnyan.
md'oh. a repei eny stNnure, pnor w da baueMe, Wo �equiree �M epplimm ta wch pmnil b fib a eprod netemeN tliel M a cM
IimmeA W�^� to ihe pwieiom o� tM Conlredore Licansa law IChapr e(mmmenenp Milh Sedion )000) d Oivuion 9 d Or
.u�inem vy p�olmauru Codel a �hm he a ehe u uamq tlwrelmm eM iM bexe la IM dbped �empion. My violelion d Swbn
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a aRereE for ceb (Section ]Oa4. Butl�wm eM Pmisaorn COAe: The Con�rotlaa Limnas lawdose �w WWYIoen vwierd papsity
who Wide or inV�'ee ihereon. end who Eme euM �k h'vnsatl a Mnd a Miaqh Im a her own emObiMe. p^"� �hel wW
impwemeMa ue mt imaMed a dfered lor aeb. tl, howewr, �Ip buiNi�p a inpwe�neN n wk wil�in aro yev d mmplelion. IM
oxmar-0uilder xill heve �ha buNm d pwiiq he w eM dN nal Euik or impwe la �M qvpms d ub).
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conpeciy br mrh prqeqe xnh e omirodor(e) IiurueC p��� lo �M Conlrapas licwa lewl.
� I em exempl imder Saetion: B. 8 P.G„ �p this eemon:
Dam: �er
� Eo he�eby cMily thm I em eware M aM imdentvM tM reqYi�amenle d Cel�omis HoMh vd Selary Code Satliam 25505. 25533. eM
?5511. aM �hel 1 a enY Muie WiNiry aowpeM_ will / wil not (�b ms) � to compy Mh uid qeU codm ud tM nQu'usmaM b
aoe�miilawuwclionormodifrelmnhantMAr�ly erypemamDi&riq.WddsuidmneburJioneOV��iamaneamV�hanNw
WOPKEWS CONPETlS�T10N DECIAPATION: I Mroby eifirm uMar penMy d prjury one d Ns blbxi�q detlarelan:
� IheveandwilmeiMenacenRiceledcawnitoeall�iny��(�xyrkere'eompanWbn,s+paiEetllabySapbn3]ODdtMleEa
coms. n. rna o�«mv�ce a x» won� ra wnen uH. oamm n i..uaa.
1�_l I heve eM xil mainlen wwkeii mmpenae�un ineurence. m rpui�ed by Ssqion �100 M �he lebor COEs. br iM pe�larmenoe dtM
�C wak la �Mich thic pertnil ie iesued. My wake�e' mmpemetpn ineurenca urner uM poliry numbr ere:
c�r: STATE FUND EXPIRES
PWiry Number. � 0 1� 0 1� 9%
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become wbjed lo the xoMen' compenmtion levn q Celibmie, end e res ihe� N I ehouM Exanep� Ejed b �M worbn'
compenae�bn o� m ol 6e tion J]W M Ihe lnbor Code. I etiell loh ' oomply wX �yy���y'`ai yp! /J
y !/ /
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Sectlon J�O6 0l fhs Lebor COA, Infxut, entl ettomry's /�y,
CONSTPUCTON LENDINO RQENCY: I �ereby elfirm unpar penelry d perW'Y �� �� a e conmwfbn bMinp eyawy far the
perlormenm W iha wark br wTich Iho pem�i ia owed (Sed'yn 3pB), Cw. C�.
IENDEF'S NAME:
LENDEX'S AODXE%:
I ce�ily ihel I heve reed thia epplcelim and mme Ihet ihe above inlametbn ia cortaq. I eyrae �o canpy xilh M dry eM oounly adirienoee
eM etme le�n relet'vp b build'vq conwWion aM hareby eWpr¢e mpreaen�elivee d ihb dry ro enlm upon ths ebove�menlianed pope�ly
������°���'�"�� ROY CHAFEY
� I �� o� �—
SigneW Qnnd�penVRppb n�reda
(5151�M.WP) Whna-Build'np 8 Selety; GrearFFIB; Cenery-Appirail: Pink-Rewnue; Oddenro�Mxuv
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO; B 079849
PERMIT NO; B 079849 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF REROOF WITH FIBERGLASS 30YR SQ FT: 4,685
rLAIM VALUE: 4,5d5.�0 CALr_.—VALUE: 4,685.OU GROUP QCC: R-1 i
COMMENTS: REROOF 4PLEX RESIDENCE
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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 BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42405207 ZNE: REF NO:
PLANNING NOTES,>
i -
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D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY :
APPLICATION ISSUED BY: �N7'
If 1E 1E iE iE iE 3E 3E jE 1f if iE iE 1F 1E �)E 9E iE iE'1h'lE 3E
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 99.75
E��;�
DATE:
DATE: ��b�
IflEifiEl6iEiFifiE 3EiE
STRUCTURAL SEGMENT:Y
SMIP/RES GRADING
50
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 100.25 0.00 0.00 100.25 100.25 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 100.25 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
99.75 ,50
iE iE 1F iE'1E'IE 9E fF 1f'K' �E 1f iE 1f iElf If if if if 1E IE iE'1E IE'If' iE it ik ik iE iE iE If i8 ik if 1f if if if iE if iE iF ik iE 1E if jE 1f 1E iF iF if if iE iE IElE iE IE 1E iF iE 3E if iE 3k �E iP iE iE �E iE'lE �E 3E 1F
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 4685 ALTER BY VALUE RESIDENTIAL NOZONE ]..00 4,685.00
END OF FEES
O1 OQ2tb640-002161,41 TOT 100.25
DATE: SO/03/95 TIME: 13:31
CONSTRUCTION AND PIANNING � POO SPA
�iJ
,APPROVALS Permit# Date Inspector qppROVALS Permit# � Dace Inspector-
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location�>
�� 2, Soil Pipe-Undrgrnd. " . 53. Steel Reinforcement � .
3. Electric9l Conduit Ueility-Undrg4ntl. 54. Forms � �
� 4. Electrice� Conduit.U'ndrqrnd. 55. Electrical Bondiny �. �
5. Steel Rein�orcement 56. Rough Plumbing & Pressure Test ��
, 6. Electrical UFER Grnd. : � 59. APPROVAL TO COVER�GUNITE - J
�-7. Footings � � . 58. Electrical ConduiFUndrgrnd.
8. Foundation � � 59. Gas Pipe, O Uridrgrnd., Test �
9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P�Trap, � tindrgrnd. :� -
16. Stsuttural Fioor Svstem � 61. APPROVALTO DECK '�
ll. Property Sewer �ine & Hause Connection 62. Backwash & Receptor•Final _.-
12. Sewer Cap - . - � .� . - 63. Heater & Vent�Finai '
73. Roof Drains y 64. Plumbing System - Final �
14. Rough 7�umbing � , 65. Electrical•Final -- _
75. Rough Electrica6Condui2 � 66. Solar System-Final "
16. Rough EleMric W�ring � 67. Fencing & Access'AnProvai • �/� �
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough ��ectricabT Bar Ceilinq � 69. POOUSPA SYSTEMS PINAL
79. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � � � �- APPROVALS Permit # !
21.;DuCts, in Strutture� ,- ,; ; -. ' , 70.� Underground Hydro
22. Ducts, Ventilating �- + � ^• 71. Product Piping C] Gas �J Oi:
23. Gas Pipe•Rougfi &'Test � '. ��. 72, Underground Flush
24. Roof Framing . �� '- . - �- 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing .� . �p.////(� - = 74..Overhead HYdro
26. T�Bar Ce��ing IStructural} & Monocoat � T 75. Dry Chemicai - - -
27. Frame and Flashing , _ _ '. 76.'Dry Standpipe
2$. �.athing & Siding;.,.� : �-'_� � : � _ �. �� - 77t pIXED SY5TEM.FINAL
29. insulatipn - ^ �� "' ' ' ` '' � � 78. FIRE PREV. FINAL '. �
30. Drywall Nailin9 �� � � . ' HEALTH DEPT.-REQUIR�EMENT
31. Piaster Brown Coat �' 79. FINAL INSPECTION � �� ,
. 32. Electric2� Power Meter-Finai .� 80. FOOD CERTIFICATE ISSUED �
33. �Final Elactric ' .. ' Notes: . . - '� ,
34.,Pina4Heating:&AirConditioning� ,- . .' -, - , - �
35.�Fina1 Gas Pipe•Test _ � ' • � ' -
36. Hood or Canopy .' ' „ . -
37. Finai Factory Firepiace�_ � - � � � �
. 38. Final Plumbin9 � .. �' � ' � � � ` j
�
39. Water Service-Final � � � .- -
40. Gas Service-Finat . . � -
� 41. Solar pomesticRnal _ � -
42. Backflow Preventer�- - - � � � ; � " ,
43. Backflow Irrigation ' . ' ' - __
44. l..andscaPe Irriqatioq System . � . - - � . . - � .
45. Sound Attenuation• - "
46. Handicap Regulations - - . _ � ,
47. FINAL STRUCTURE & BUILDING d�/5 {/ �
48. FINALPLANNING . �� . � _
49. Electric Release m Edison - �"
50. Gas Release to Southern California Gas Co �
"51. CERTIFICATE OF OCCUPANCY'
N0. Date
. ' r � �. 2205
,_ ,,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 377 COSTA MESA. CALIFORNIA
fOR APPL/CANT TO f/LL /N COMP[ETELY
TYPE OR PRINT
BUILDING ' �T'�
ADDRESS • � , �(
COSTA MESA. CALIFORNIA
AR�'HITECT �, -- LI0.- �
O' 'GINEER i J NO.
ADORESS ��y / �� /�Il/yyy---... /6MO�L+�i l�� x
�/��/ Yb�
CONTRACTORfe'j ���� � LSC. NOI �� �
ADDRE55 ✓%g
LEGAL I LOT �� I I!J IO
SIZE L e � �/ /O/� I I NO.OF BLDGB. D
OF LOT l.J /� / NOW ON LOT
USE OF
EXISTING BLDG. �
BETBACK LINE FHOM I
CENTER OF 6TNEET REAR YARD / S
I � � I �
SIOE YARD LEFT RIGHT
DESCRIPTION OF WORK
e�
ROOMS�,ri�' STORIES
—l�� nnn
JGW�}T((P(1[� ICOVERING �i�
BUI NG AND WORK T BE PERFORM D
k�r.c!%/�l / ., .� G l
'r�o. �P��Q�n,
/ // , �
�
HEREBY RCKNOWLEUO T T � HAVE HEAD THIS APP LATION
AND STpTE THqT THE ABOVE IS CONNECT NN� AGFEE O COM�
PLY WITH ALL CITY OflDINANLE6 RND ST E LAWS RE6lIL�TING
BOILOINO CONSTNOCTIO .
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT
.E� 'e�.��.€'J�,�
AUG 201959
�;�°,�=��;;CE DEPi.
c, -r�.
APPLICATION� FOR PERMIT
BUILDIN
A--�, L�- � d- �/
fOR OFF/CE USE OHCY
RECEIPI' NO. I PERMIT NO.
flECE1VED BY I OATE REC6IVED I DATE ISSUED
_,... � x—. �•: ,� r�,�, 4„ iy�`j q
BUILDING
ADDRE55 �
COSTA MESA, CALIFORNIA
FIRE J �
ZONE TYPE GROUP � �
BYPROVED �-\`-�. DATE � ry �% 'S�
/� ��LONING �
ZONE�n' Ip�qNB � I BUEILDINGEW �
APPROV D �7 /
BY � DATE (�II `��
VARDS EVES
REpUIRED ALLOWED
�CENTER LINE 8T.)
FRONT �Ii FT. IN.
�
THE AMOUNT SHOWN UNOER VALUATION 18 FOR THE
PUFPOSE OF E9TABLI6HING A PERMIT FEE ONLY.
VALUATION •
� PERMIT FEE $ 'y � '—
S � �. ��� � PLAN CHECK $ � / JU
TOTAL FEE $ �,/ �,>'�� I