HomeMy WebLinkAbout731 18TH ST - Building PermitsProject Address:
I.D. No.:
9
CITY OF COS7A MESA
PERMIT APPLICATION
731 18TH St. Costa Mesa CA 92627
Purpose: (check one)
❑ Addition
❑ Alteration
❑ Conversion
❑ Demolition
� Qther
O Repair
Plan Check No.:
Category: (check one)
❑ Minor Construction
� Major Construction
Grading Cut/Fill:
Job Description: PubliC AcCess Alley
Occ. Type: Constr. Type: _
Legal Building Owner:
Address:
City:
Associated � .
Building Permit No ,.
� ��
(If Applicable)
Suite/Unit:
❑ Legalization ❑ GoJt ❑ Supplemental
cu. yds.
Stories:
State:
Permit Type: (check one)
❑ Building
❑ Fire
❑ Electrical
❑ Mechanical
O Plumbing
❑ Sign
❑ Grading
Valuation: 3500
Phone No.:
Unit:
Zip:
Architect/Eng.: Nabil S Kabbara Reg. No.: C040812 Phone No.: 714/669-3739
Address: 130 South ProspeCt Ave. Unit:
City: Tustin State: CA Zip: 92680
❑ Contractor
❑ �mployer/Owner
PERMITTEE STATUS
❑ Contractor/No Employees
❑ Contracting Owner
❑ Exempt
❑ Unassigned
Applicant: Beta Construction Inc. Phone No.: 714/642-3700
Address: i651 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.: 4829�1 Class: B
Workers' Compensation Policy No.: 1263814-95 Expiration Date: July 96
Insurance Company: State Fund
(See Back lor Itemized Electrical, Mechanical, and Plumbing)
(525Bde.WP)
�
ELECTRICAL
MECHANICAL
PLUMBING
(5258�ae.WP)
' Gonessaem�uo� 700 JAMES ST �M:
� 'd'MERSN4IEIFIPlOMTk JAMES ST ALLEY#1 :iOA
, .�,�ee�s r/O 17220 NEWHOPE it220
OUNTAIN VALLEY, CA 92708714-557-1935
�vx. �uina.noness
uwwrrecron�ar+t�n: NABIL S KABBARA uc.uo: C040812 '�
n
YKN.OPENQ'SA�DNE55: 13O SOUTH ?ROSPECT AV uM: ,
TUSTIN CA 92680 '
' caimec,arswuE BETA CONSTRUCTION (714)828-5300
CpfiA1CT01f5MNWIG 1651 PLACENTIA AV
�noarss: COSTA htESA CA �cxo, 4f12901
9 2 n 2 7 ,,,R: M
LICENSEO COfRN�CTOFS OECLAfl�TION: I he�eby ellim under peea�y d pmjury Uut I em fcanaetl under powvu d Chepx 9
(wmnenmq xah Secum ]000) d Drviaun ] d Ne Buairon end Prafovau Cod�. eM mY liav� e in hA laa erd Mlaa.
cm uc. No.: 0 4 �0+ 5 7 6 uc. cuss: B uc. No.: J}4 8 2/�9 �.�9 7
Dats: ����I /� Gonvaaor:��CB_ ���7 '
OW NER BUILOEN DECI�FATION: 1 Mreby eMrm uMer per�ely d perNry �he� I un e�emq fmm �M CoMretlm Lirw lew la IM
tdbvnnp reeeon l�� ]0'J�.5 Buanm� eM Pmloaians Code: AnY cry a oounry hfiidi repuime e pertn� to mrobud. Mw. impvn.
Mmdeh, p raper vry slruc�un, priar io 1� ewame, ebo raquires IM eppliunl la euch pame b fib e sprod etetomer� Nq M p�M
i lirona�d W��� �o IM pv+ivon+ d tlw CoMredan lionaa lew �Cheqr 9(�m�ntip wnh Sedm ]000) d Di.vcn J d Ur
iuvinaaa end PMeaiom Cotle� « ilw M a �M u eRemq ihselmn ud iM bsm lor Ne eAepeE memqun. Arr/ vialetun d Setlion
IW 1.5 by erry app�irem la a parmi� vibp6� IM eppl'rsnt to a mN peroRy d na mon Ilun �� huM�ed daWa �S500D.
❑ ta+o.m..d�nenwana^v«ncM�.�.nw+vma,�n.:adecwnv��. Tdom.xwx.enem..tn,au.:naiM.ne.a
a ollared ta aeb (5eclion IOM. Busroa eM Prdafaona Cade: Tha Cmlretlon L'cxus leM Eoe� M aDMJ Io en anrrd papMr
wM buida a inpwa+ihaaan. eM Mo Oow auch vM timatl a IanN n C+uM he a Mr mm s^dqM. Pa'dad iAY wd
impwsnwa me nd ixeMed a a11e�eE ta ub. tl, howsver, iM buitlirq p inpovenarl u wtl �.ilhn ons y�r d mmplMion, YM
o��wua« :o n.V. in. awe� a o��w ne «.ns eu m dna w�mv� �« in. wm�e a.x.�.
� I. n ow�er d IM propeny. em utl�m,aly aomreenp weh ficer.W convectan b mrutrud IM pqotl (�a �. �+�� ad
PMauiom GoJe: Tha Contraem licen�a lew doea w� epply io an oMrcr d papMy x}n budd� a imqww Ilw�an end Wc
mntrr.0 br eri� popn+ xah e mruretlu(e) IcerueE Wnuant to IM Camratlan Lim�ua laxj.
� I em eammq urdx Sxtion: B. 8 P.C.. la I�ie reavn:
oa.: am.�
I Eo haab/ cantly tlW 1 em ewara d xM uMe�aW W IM rayui�eme� d Cellmve IIWA vd Sdery CaM Satlioro 1SS05. 255]J. eM
25S'f1. W Ntl 1 a ury Nure Euildiiq ampeM �tl / wil � le�cb ane) nseE ro oompy r.Y� uid tltls mda� nd �M npurrn W b
.vwmnwwn+o �ionarn�miriwannan�i.A'r�i�.anapemen�oibna.Rwid�n�idaonarwion•cvFwiw....x�naemnm«.
powvu.
om.: �vd�:
WONKER'S COYVENS�TION OKLAF�TOM: I Meby e1Nm �uMs prully d prpry wr d iM lobwiq bdr�om:
� I hm eM xil mmmen e ceMctls d m�uwX to setlinwn br xaken' mnpwuuion, n po.iJM In try Samon ]ro0 d iM Leba
COM.Ia tM pMamaKs d Ns wwk tor Mich INe D�� w iaued.
�] i n....�w w� m.�m.� .An.�.• oomo.�o� m.,renc.. n�un.e M swian a�ao a in. i.ec. coa.. a m. w� a in.
.mia.,n�mmc�ub�w.Mr�na,•�Mw�.�S���it`���°�'A�LLc� EXPIRES
c.m.r
Pa;�,N„m� — 07/01/97
(ThH seclion need � 6s canps�ed / �M psrm! is /w me hundnd ddlen /f100J w Im.)
� I oenN ��� D^��e d iM rak br xACA tAu pe�mi u iaued, I dieE mi wnpiv� mry perm n rry mww o n b
bacoms wbjaf to �M war4era' oompe�ion lexs af Calrtomu. end epn� tIW � I eMW boconr wAptl to �M roh�n'
mnpanaaun�jwifiam d Swian J]00 d �M Leba Code. 1 alall hwilf wmpy�wh ' io
�-1 S - �J (o wa�w: Xi ( v�i-C
Dela: cW •
Wunbp: F�9�w ro asun roA�n'romqwtlon covxp� l� uN�rIW, uW Ntll r!/M m.mplonr b eM�INpwltlr rtl
Clvtl 11� �p b wN MiMnd fMuund JdMn (tIOQWpA In Mildon b IM cmt ef COmpMW fbR Aunqu n pvv16E bI M
9�ctlm'J�06 eI tlN La6or CaY. IntMNI. uW IffOmry i/NL
CON4T11UCTON LENqNO �GENCY: I hxMy elfirm u�Mer panehy d psr'�vy �IW tMn u� amv�uaion Irifip �p�ncy b Cr
perlpmercs M �he v.ork la xfiidi �hc paimi h ewad (SeGion 309]. CN. C�.
LENDEWS N�IIE
LEN�EX'S �DONESS:
I pnh �hel I Mn nW ih6 eodkelim ud aw i1W iM abv.s iNarmvion u canen. I Ow �o candY w'vA d ay sd aarty ad's�u�
anE �W� Ws �Nm�q b buik�q conrtWion W Mrab�' euihor¢e reV��eiiw d Ihe c1Y ro aqx W� �M Waw�mr�'arA piopM�
�°""'petl1o°P+°°'°'"STEVE ARSDEN
��. � - 9
om: /! �
SpraNn d OvnrAlqenVRppiranUCmuma
ISISI�6.WP1 Whne-Buikiq b Sdery: Grsen-Fb; Ge'ary-�ppfuin: PinMaievanus: (3ddaruo�Asamv
CITY OE COSTA MESA — BUILDING PERMIT
PERMIT NO: H 079084 PLAN CHECK NO: N
PERM NO: B 079084
GOVT: Y SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE; STR PURPOSE: REP
JOB DESCRIPTION : ALLEY CONSTR/ 702-744 JAMESG 703-745 18� �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/ 8"THICK OVER 2"SAND PER SPECS.
x*�u�*�**�*�*�*�+�*�t***x+�+��-**�rx-*�r�***�t****�*�**�r�t�r��r��*���*x��*��-**�-***�*****�rt�*
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ----------
FRNT; FT IN REAR; FT IN FRNT: FT I�1 REAR: FT LN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL: 00000000 ZNE: REF NO:
PLANNING NdTES>
i
k!E iE 1E �E 1E IE iE IE 3f 1E iE 1E iE if k iE 3E 3E 1E iE iF k 1E iE iE iE ff !E �E if if iE 1E iE if iF if IE if iE 1E 3E IE if iE 1f 1f k fE fE IE if 1f iE iE 3E if if 1f iE iE �E �E iE if if IFif fE iE 3f if iE iE �E iE 1E 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 APPROC�ED BY N/A DATE:
BUILDING APPROVED BY : V�S(�7 DATE: S—I5-9G
APPLICATION ISSUED HY; ��� DATE: S—�`J�96
iE 1E if if iE iF iF iE if 1f if if !E if if 1E iE Ih iE iF 3F if�� i��lFiF f73F7F��F��F iF�� if ��3F3F3f�SF� i� 3k iF� 3E 3E IE iE iF iE if 1E �E 1E7�iE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAI, SEGMENT:Y
BLDG PMT PLUMBING ELECT�RIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 637.25 �- SMIP%NON—RES �a
PLAN ' � ' � . —
ISSUE FEE
BUILDING—DIC'—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 0.00 0.00 0.00 0.00 ,00
REVENUE DIC'ISION TOTALS--> COLLECTED:. .00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
ff �E 3f 3f iE iE 3E 3E iE iE iF �f iffE �E if If * if iE 1E if iE if if iF if 3E if if aF iE iF 1E iE 3E IE iE IE if �Eif iE 1f 1E fF iE If 1f 1E IE iE if if iF iF !E 1f iE iE 1F iE if iE iE �E if 3f iE �E if iE 1E iE iE iE % aE iF
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 O N UNIT COST TOTAL COST
SFR 59642 ALTER HY VALUE RESIDENTIAL NOZONE 1.00 59,642.00
END OF FEES
• r'
0
' ,fION AND PIANNING - POG . SPA '
ALS Permit � � Date Inspector Date Insnector
APPROVA�S Permit -#
aoorary Electriczl Service or
Soil Pine�Undrg�nd.
3. Electrical Cen;;urt lhilirv�Undrqmd.
��. Eiecvlcal Condun-Undrg:�nrl.
5, Steei Rr.in!orcemY �;_ . �V. J--
f. Eleetrical UFER Grnd.
7. Footings
g, Foundatior.
9. 4Vacer P�De-Unti;g;nd. �
70, Suur.tural Floor Svstem
1 t. ProPnr�y Se�:�c� Linc Fr ��.lpiis^ CUnnnCtion
12. S,�wcr Caq._-.._.__..._._--�_._�_
13. Roo` Diairc '--..._.._..'.-'-----'.-.�'--
1 .. Rough F�iumh�nq --�-`-�--^-
15. Rouuh [Icc.��ca6Coodu�t---
16, fi0ugh clqctr�cE1'� ��.,r�� �-����
77. Roun�, 4Viring Sicn
If3. Rouph Elur.�rir.al�T Ra� Ccilinci
19. Rouyh Heac;no & A�r Condilioninu
20. Rough Far,ory Fireolac�
21. Oucts, in Sc:uc.ure
22. DUctc, Vent�iz;i�g _
).3 Ga; Pn;,, nou�A` ,_,-'_'_'.-- _
i•l. Rnpf Frentino �'i""-"
licof $h_a�hin❑ `
Y5. �'Uai C.C�D�:g;'.it�uct.ndll P'� MunJCUL:
?.7. Frame ano Flach:�r '- '
^i. �_8itnn,� ,fir $irii�.n ._. . --'--"---' --
;9, In,ulation
30. Drywall Na�i�nc
31. Pleste: i;ro�vr Ceat _
3?. EICCinc31 Ppwe� ivle[er�Flnr�1 _
33. Final �I^.cbic
34. Final Hed:i�g & Air ;ondiUUr,�ny
_i$�Findl lidp P�nn.Tp•�__ _,.___ _
3fi. Hnod or C:,�oov
37. Final Fac[erv F:�^plz�:r-_'�----
38. Findl Plumbing `
39. LVaier Se�vice-Final
�0. Gas Sr.rvir.e-Ginai
41 $nl, i Do��cStic�Fina1
A2. 9ar,ktlo�v Preve�.[Ci__.___'_„_"._'.____'_.._.
d3 Rackflo�v luigat�on-----��i
4A. Landccao� irrir.ation S��c;�m ._.'
45. Sound Aisenua;ic�
4fi. Handicap ac9ulztio��s -'--
47, FINAI $TRUC7URE & BU�LDING �
qg, FINAL PLANNING ! ^
49. Electric Release to Edison
50. Gas Feiease to Southem Califomia Gas C<
51. CERTIFICATE OF OCCUPANCY
Da:e
52. Pool & Equipment Locat�nn � �
53. Steel Reinforcement
54. Forms
55. ElcCtriCal i3onqing . j
56. Rough Plumbiny & Acswre Ti�st �
--�-
57. l�PPGipVAL TO COVER�GUNITE '
58. Electrical Conduit�U��drarnd.
59. Gas Pipe, �� Undrgrm,',., TeS; � �
60. Backwash Lines. P�Trep, � U�idrgmd.
61. APPROVAI� TQ 0[GK
fi?. Hackw2sh & Rr,r,epb.-Fin,il
63. Heatcr & Vr.nPFinal
a. Pliimhin '--." �---
G q $Vstorn � i�nal
65. Electrical-Final -�-~-------- -
fi�. Solar SVStrm�Fin.l ^I
Gi. Fencir,n �\ Access /+-:�i•roeol --
----- --l_-�
G8. APPFOV[D FOR PLASTEHIMG -� i
69. POOL/SP:1 SYS7Ei!tS FI�JAL
^ F1RE DENT. tiEQU1REMFNT � i
APPROVALS Pcrmit,�'r �
70. Underground Hvdro '
71. PrpdVct f i�,inq O Ga_ �_; Oii __I
72. Undcrqi��und I luch �
73. Undcrgrnd.Stnr�ry�,' ,U `'�Gas ❑O�i I- -"�
74. Qv�•i!��`nr� HWLn �
"'_"_�_' "_ ' " _.___"" -' _ j
%5. Uiy Chemical �
76. Dry Standu�n�, i
---------- - -'- --- �
77. FIXEp SVSiLM FtpJAI_
I
78. FIRE PR[V. F�Nii� �
bIEALTH DEPT. fiEQUIRFh4EN"i I
- -----, �
79. FINAL INSPECTiO^i (
ao. F�oo c��T�r-�c�-� ,ssu�� �-1 �
Rotes:
_� =�6 S 6- 5�,,e e� -
-1
_._O� � pmu�lr- -�4/�----- -- �
Pfl0.1�CTA00flE55: %jS W 18TH ST
iOWNEP'SNAME: ALLEN MILBERT
FDOflE55: 3S%9 CORTE PORTIFINO
N,B. 92660
' COSTA MESA,CA 9"1627
719) 640-1916
RNCNIENGINEEH: flEG.NO.:
aooxess:
uNiT: CITY OF COSTA MESA — BUILDZNG PERMIT
PERMIT NO: B 067715 PLAN CHECK NO: N
CQNSTRUCTION TYPE: V—N PERMIT TYPE; STR
uxir:
PEHMITTEE: ALLEN MILBERT ( 714 ) 640-1916
nooncss: 3179 CORTE PORTOFINO
N.B. CA 92660
LICENSEO CONTHALTOfl DECIABATION: I nereUy aflirm Inat 1 am licensetl unaer D�ovisions of Chapter 9(commencing wilh Seciion
7000� ol �ivision 3 0� ��e Business anG Pmlessions Co�e. an0 my ticense is in lull brce antl ei�ecl.
ciTr uc.: sTnTe uc.: cuss: EXP :
Da�e: SignaWre:
WOflNEHS' COMPENSPTION OECIAPFTION: I �ereby atfirm ihat I have a cenilicate of consenl to sell-insure or a certilicate of WOMers'
Compensaaon Insumnce. or a cetlifiea coDY ��e�eol (Section 3800. Lab. C1.
POLICY NO.: E%P. DRTE:
COMPANY:
❑ Cetlilied copy is her¢by lumi5netl. ❑ Cehified capY is filetl with IAe city BuildinA Oivision.
Jate: AODlicant:
E%EMVTION FflOM WOPKEflS' COMPENSATION �ECIABATION: (T�is secuon nee0 iro1 he comple�eE il Ihe D�Mt is ior One hunareU (510�) or less�.
1 cetlily ��al in ��e DeAorman�¢ o� ��e work tor w�it� this p¢rmii i5 i tl, I S�all ploy any De�sj��� n�er w a5 io Uetome
sutr�ec .. �e Workers' Compensaiion LawS ot Calilomia. �i; /
/��}/z; � � Signaturt: / �vuL�i
,/NO CE: II. atler malting ��is declaration, you shoNG Oe me subjeci Iryme Workeri Campensaiion D��ions o� Ihe Labor
CoUe. y0U muil foM1hwilh Comply with Sut� pmvisions Or this permi� SMell b¢ Aeemetl revokeC.
CONSTBOLTION LENOING AGENCY: I �er¢Oy ai�irm ��at �here is a tonslmc�ion IenEing aAency tor the pedormance 0� Ihe work br
wnic� I�is permit is issued �Seciion 3097, Civ. C).
1ENOEN:
FOONESS:
OWNEfl BUILOEB OECIAMTION: I here�y allirm Ihat I am evempl Imm I�e fAntratiars' Siate License Law for tne lallovnnp reawn
(Section 7031.5 Business and Pmlessional Code: Any ciry ol county which repuires a oermii ta constmct, alter, improve, aemolis�, or
repair any sirocWre. prior to its issuance. also reQuires Ine apDlicant for such permil ta lile a signed statement ttwt hPJshe is licens¢d
pursuanl to I�e O�ovisions ol i�e Comracmrs' Siate License Law (COapter 9lcommencinq vnt� Seciion 7000) at Division 9 0l I�e Buvness
an0 Prolessions CaOe) or Ihai M1e/s�e is exempi ��eretmm an0 the �asis for i�e all¢qeA exemptian. Any Nolaiion ol Sectian 7037.5 Gy
any ap0licanifor a Dermit suojecis ine applican� to a civil penalty of not mare than live hundre0 dollars (5500).
�' 1, as owner ot t�e DmPetly or my employees wiih wages as iheir sole comp2nsation, will tlo t�e wOA, and tAe
❑ stmcmre is not intende0 or offered lor saie (Section 7044. Business an0 Pmfessianal CoCe: The Coniracrors' State License Law
Ooes nol apply to an owner ol a pro0efly who Ouiltls or imD�aves tM1ereon, anG who tloes suc� work 1limsell/herself or tllrauA�
�is oi her own employees, Dmviaetl Ina� such impmvemenis are nol intentled or oifere0 br 5aie. It, however the builtlin0 or
improvemenl is solA wi�hin one year ol comple�ion, ihe owner will have ��e burden ol provinB he/she Oitl noi builtl or imD�oue
lor Ine purpose of sate).
I, as ownei ul Itie pmperly, dm excluslvely conVactinA �'/it� licensetl coniractors lo con5lNct Ihe D�olec� (Seclion 70a4, Business
❑ antl Pmteuions Code: The Contractors' State License Law does not ap01y lo an owner of Omperly w�o bmltls or imD�oves t�ereon
dOd WI10 C011ildCIS IDf SOCII 0lO�CtlS vnill d WIIIfdtI0f�5) IILEIISC pU60dtIi �0 IhE COOIfdCI0f5 $I3IC LILE058 LdW). I drtl dWdfC
I�al O�oo� of �heir WOBer'S Compensa�ion insurance shoWtl be pron�etl �o me.
�` I am aemp� untler Sec�ion: B P% O 4 4 B. 8 P. C.
m� mis reason: OWN ER —B U I LD ER
����M.[�!+Zy—�qri� Owner: ^-
�.
I do �er¢ y ceN�y I�a� I am aware ol anA unGerSlanA I�e reOUirement5 Ot Cali�omia H¢al�h an alety Cotle Sections 25505, 25533, anA
2557< and i�at I or any imure builtling acupam willlwill not (cucle ane) need to camply wit aiC Slaie COtles antl �he r¢puiremen�5 �ar a
permii for cons�mc�ion or motlJication Imm i�e Pir �uali�y Management OistricL Fesidemial cons�mction apD�ications are exemp� imm
Ihese provisions.
Da�el Applicanl:
I �ere0y tetlity IAaI I haue reaa fhis applitati0n anU Slale Ihai Ihe a�Ov¢ in�ormaii0n is Correci. I agree �o tompty vnih all Ciry an0 county
or4inancesantlstalelawsrelaMglobuilUingconsimctionantl�ere�yaN�orizerepresemaliveso���i ciryloen4= � anlheabove�mentione0
pm0 iY r ins0eciion purposei � �/��
e: _ �. (�/ � Signalure: � �� �, �
oriver �icense or 5� ecurny �: �—
t6a1�46 Wbae—Bmltling: Green—CoOo Entorcoment; Canary—AOPlicenC Pink—Revenue; Goltlenrotl—Assessor
PERM NO; B 067715
GOI�T; N SUPP: N
YURPOSE: REP
JOB DESCRIPTION : REPAIR TO CONC. STAIRS SQ FT; 350
CLAIM VALUE; 350.00 CALC—VALUE: 350,00 GROUP OCC: R-1 /
COMMENTS: THIS PERMIT TO COVER REPAIR WORK TO THE STAIRS
**�t�c**�ti�**�*�x-*+c��f*�c,c*�t�t**�t**�t�c******�-ir#*r�*#*�i�*******+��#**�-�*�*�c�r�r�+�i��f#�ca��i�*�i!��-�-
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 BUILDIT]G ---------- --------- ACCESSOP.Y BIJILDING ---------
FRNT: FT ZN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN P,GHT; FT IN
PARKING REQ: FROV: PARCEL: 42405209 ZNE; REF NO:�
PLANNING NOTES>
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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
20NIP�G APPROVED HY DATE:
BUILDING APPROVEP BY : DATE:
APPLICATION ISSUED BY: (_ /Q� DATE; v 6 2Z/t'T--'
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LEGALIZATION:N F E E S U M M A R Y STAUCTURAL S�.GMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES.�, GRADING
PERMIT 15.00 50
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 15,50 0,00 0,00
REVENUE DZVISION TOTALS--> COLLECTED;
HLDG PMT PLUMBING ELECTRIC MECHANIC
15.00
SMIP/NON—RES
i
TOTAL PAID DUE
15.50 15.50 ,00
15,50 OVER/SHORT: 00
FIRE SMIP/TOT GRADING RLAN—CIIECK
.50
'�.'� # iE i(� i! i! # if iF iF if iE �1E it iF fi i! it iF 1F iE 1F iM1 it if iE iE iE iE ih iF iE i(-it ir iE iF it it 1E if it M# iE if iE iE ib jE k i4 �lE if iE iE 1F if if iE # if if iE 1f if iE if iE if 1k iE if ao aE if ?f iE �1t
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 O N UNIT COST TOTAL COST
SFR 350 ALTER BY VALTJE RESIDENTIAL NOZONE 1,00 350,00
END OF FEES
01 00162771-00162772 T CIT
DATE: Ob/23/94 TI{tE: 15:35
15.?�
% C�NSTRUCTION AND PLANNWG , POOL. R '
� qPPROVAlS Permit # Qate lnspector APpROVALS Pe.mit �k Oate tasSSecmr
i. Temporary Electrical Service or Pole 52. Poot & Equipment Location .
2. Soii Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Und�grnd. 54. Forms
4. Electricai Conduit-Undrgmd. 55. Electrical Bonding .
5. Steel Reinforcement 56. Rough Pluml�ing & Pressure Test �
6. �,lectrica! UFER Grnd. 57. APPROVAL 70 COVER�GUNITE
7. Footings 58. Electrical ConduirUndrgmd.
S. Foundation 59. Gas Pipa, Q Untlrgrnd., Sest
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd. •
10. 5tructurai Floor System 61. APPROVAL TO DECK
7 t, Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final �
73. aoof Drains 64, P�umbing System � Final '
14. fiough Plumbing 65. Electrical�Final "'
15. Rough Electrical-Conduit 66. Solar SYstem��inal •
16. Rough Electric Wiring 67. Fencing & Acceu Approval �
77, pough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEAAS FINAL
19. Rotsgh Heaxing & Air Conditioning FIRE DEPT. REQUIR£MENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Oucts, in Structure 70. Underground Hydro
22, ducts, Venti�ating 77, Produci Piping �Gas ❑Oii
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Praming 73. Undergmd.StorageTank �Gas ❑Oil
25. Foor Sheathing 74. Overhead Hydro
26. TBar Ce�ling (Structural) & Monocoat 75. Dry Chemical I
27. Frame and Flashing 76. DrY Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. E�ectricai Power MeterF�nal 80. FOOD CERTIFICATE ISSUED
33. Finai Elec:ric Notes:
34. Finai Heating & Air Conditioning
35. Finai Gas Pipe-Test � '
36. Hood or CanoPY ,-�r'
37. Final Faciory Fireplace '
38. Final Plumbing
39. Water Service�Pinal
40. Gas Szrvice-Final
41. SO�ar pomestic-Final
42. Backfiow Preventer �
43. 88ckflow Irrigation '
44. Landscape Irrigation System '
45. Sc�und Attenuation
46. Handicap Aegulations
47, FINAL STpUCTURE & BUILDING ,� /� �,� � �e �
7��y �l�. !" L�C S'B�1 �G !9'i S!/� liwt*�
46. FINALPIANNING ��' �
A9. £tectric Aetease to Edison ; i,
50. Gas Release to Southern California Gas Co `� '
51. CERTIFICATE OF OCCUPANCY -
No. Da2e � _
- 0208
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 91] COSTA MESA. CALIFOPNIA
FOR APPUCANT TO f/LL /N COMPLETELY
TYPE OR PRINT
COSTA MESA, CALIFORNIA
I ORCHITENEER �OL.1y ( J/�i /iwI N'O.
� I NO. OP BLDGe.
USE OF
EXISTING BLDG. O/���
SEfB�CK LINE PNOM � � �
DESCRIPTION OF WORK
F�UILDINA� � %J -Ti NO.OF
��" ��ioN ) �al��1 n.r,� ;
HER6BY ACKNOWL TMAT 1 HAVE REAO THIS AP L CATION
AND STATE THAT TNE ABOVE IB CORRECT ANO AOREE O COM•
PLY WITH ALL CITY OPOINANCE6 STATE LAWB HEGULATINO
BUILOING CONBTHIICTION.
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT
_ � AUG 20 1959
• ��,_ � �rz�
APPLICATION FOR PERMIT
BUILD�v G �
� - �- e - b� � 4r-�-c�,:r/!
FOR OFf/Cf USE ON�
IRBC6IPT NO. I PCRMIT NO.
FECEIL6� 9V I o�re RECEIVEO � �ATE IBBU6D
COSTA MESA. CALIFORNIA
ZONE NO. OF UfiE OF N�.
PLANB 2 BUILDIN6
APPROVED // ///
BV �/�/.G DATE
REAR
THE �MOUNT BHOWN UNOER VALUATION IB FOR TME
PUHP08E OP EBTA9LI8HINp • PERMIT FEE ONLY.
VALUATION pERMiT FEE S ��'--
$ ��l ��� � PLAN CHECK s �/ 5a
TOTAL FEE 5 �li y'J �
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