HomeMy WebLinkAbout352 18TH ST - Building PermitsAoollcanl to fill in all soaces axcept ihose within heavy boraer lines anE slgn all avV�oD��ate tleelarationz.
CITY OF COSTA MESA - . P MIT NO. TRACT NO. - LOT NO. BLD . . ' OF'�C I 2/ I 3/3": ' 5a��� T'
CONSTRUCTION PERMIT - : � - 9' . '
PrOject Addre55 ' �� / � � . ..TYPE OF CONSTRUCTION NEW ' P.DD ALTERATION REPAIR
Applitant'sMailin� Addreu ��33 `�. ; �✓ � CONVERSION ❑ DEMOLISH ❑ OTHER� , q,p,�t _ . 2ona
�` Ai FIC e ���'`-�Q�Q . DESCRIPTION OF WORK
Owner's,Name c hona , S� Main Building: � � Accessory Building Z
Address `�'A�� P �' TVPEOFPERMIT � GRAOING FOVNDATION STRUCTURAL � T Fmnt ' .� ' pJ
AfCh/Eng. . Licenie No. � - ❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MECHANICAL B Rear . � � �" ' � . � � � � ' � �
Address , � . .' . . : : . ❑ �oTHEa - . � � . . . . p� - � N
Contrector,'s Nam��`irr/srP/v.nbiwJn_ ��_pPhonr�-�--3 S�%O PROJECT DESCRIPTION� 5(i. FT. � OCCVPANCv ' C Right �" � _. .. G
��� � � �/��O � � y-,/A CONSTRUCTION TVPE ' VALVATION $ S Left _ ' ' E
Address (mailing) t..�- . .
r p' , ZONE GRADING CU.YDS. ACRES ping. Ref. # ' . Park:Fees $ ' �
Citµ LicPnse NO. �L � 6
LICENSED CONTRACTOR DECLARATION ' ' i Remarka: . - . - � POrking Req./Provided � • � . ' ' . � u
I' hereby'aftirm Ihat I arn Iicensetl untler provisions oi'Charter9 (mmmencing � , . , , , p
witn sectlon 7000) o( pi��sion 3 of the Busineu antl Professions Coae, anA ' � � , _ , . Use of Building: . � � . E
my Iicense is in full forca antl'efJect. q �7 � � . � .
LI �e/�Iay` n'�- .3 ( � Lice9�e rv '/ 1/ �.r ✓ � ; ' PLUMBING ' � ' � FEES Planning Notes: : � _ . M �
k S'e t �•C� , _�9�n� � E
:^i�'RKERS'COMPENSATIONDECLARATION � BarSink , ShoWefi l �`%
hil � t . , . . • , � • . T
,.'-�iereby aifirm that I haye a certificate of wnsent to self-insure or a certificate gackflow Preventer Service Sink � ' ' ' '
of-Workers' Compensation Insurante,-or a�certl(ietl copy thereof (Section - , ' S
3800, �ab. C.) (� - /; ' . Backflow Irrigation � Sewer Cap � � � � ' � ELECTRICAL � FEES
� Po17cY No. .� �� ` � � ComPanYG �PR ve � ��5� . . . . . ^� , �
yf'y'1 �,.ertifiea copy is nereby turnisnetl. 7 • • � � Bathtubs i . Sewer Connection � Auromatic Washe, , � a Trensformer ❑ 15-50 KW
IO Ce(tifleQ �op i tlleq with tne tlty�/� Itling Di�v% si9 �n. }/f ' Clarifiers � 1 $Olar Collectors ConsVuction Pole Sub. . � � 50 + KW
Date/� �u � � _ APPlicantd,.[�� �-l�L /��G�`!�� �"� . .
wxcMCTiAN FR�M W(�wicERS"GOMVENSATION�DECIARAilO 5100) o� Di5hWe5h¢� . • � S012f PipiOg. � - � � COOkiny UOit . � � � � � � 'M¢tC� �UP t01008Tp5 ' � - -
is�issuea, i ' Drinking Fountains � ' SolarTank Dishwasher � Meter �over 100amps� � j
e�t to the . . ' ,� � '
� � i Ploor D�ains� � � Swimming Pool w/Spa' � Dryers ❑Gar DElectric � Sub Panel ' i .
i
ectto,the, �� FloorSinks • Urinal: � ' Fan ' � . Motors00-iHP�1'h-8 � '
fortnwith " : - . �, � - " " - � - � - � � � - �
revoketl., � - GasService j 'Outlets '.- _ Water poset • � � F.A.U. . ( ' �InaSolar �9-15 HP �16-15+ '
rforenance � � Interceprors' � ' Water Heater � � . � Fixtures � � ' Microwave ' ' �
Civ. 'cJ .. .
_ ; Kitchen Sink � ' � Water Service ' . � Device Boxes ' ' ' Pole; Light . ' �
� , �; _ : � Outlets , � . Range � � 1 � • � ' :
Lavatories
aw for the P—Tra � C ' " �. . - . . ,
�nY citY or � P ` � - � Switches � . . � Sign � �
:h ormpair � � - - ' � ' '
icn permit ` ��Roof Drains� � � ' � � � � Garba e Dis osal '
ovislons ot 9 A I � ; Stantling�Sections ! �
7000) bt - '!� ' ' ' � Generator �65 KW 05-15 KW • Tresh Com actor �,
is exemPt • • j _ ' . � '. ' _ ' . � - P .
of Section t � ` �_ 4 ' . _ . . � .. ' i � �
to a civil j �Reinspection�Pee % � $25� � Issue Pee� � ' I - . ?�3 '� � � � � ',
thelr sole , , MECHANICAL ' � ' Reinspection Fee � §25 Issue Fee • � : $ 3
or ofteretl � ' - ' ' FEES
mtractor's' � PUBLICSERVICESREDUIHEMENTS: � � ' � ' � �
r improves goiler � ' • HOod or Type I • ❑ � . � , • � '
�nher own , � � � " • ' 2oning Approved By ' ' Date !
�tieretl for � Canopy ; Type I I. ❑ . . : � . . , . , ;
ar ot com- � Duct - Under. Ground . . Applitation Appraved By _ D'ate - -
uiltl onim- ' � Duct-Strucfural • Refrigeretion System , Applintion Issued By I Date [� �� I
ensetl con- � 00�100,000 BTU ❑100,000 67U
ions Cotle: ; Duct - Ventilating � ' . . � ;SUMMARV OF FEES , • . , ��
perty who •. , � - � -� - -' - -� BUILDING'PERMIT $ SMIP � $
ntn a com Exhaust System ❑ MWtiple ❑ System RepaidAlteration . '
� - � . ' PLAN CHECK . � $ � PERMIT �
:hisreason Firepl/Fact.Blt.IC80,# � ' ' PLUMBING $ ISSUANCE $ ,
Heating System & Ducting � PLAN CHECK � $ ENERGV P.C. $
the above - ❑0.100,OOOBTU �100,OOOBT � ' _ ELECTRICAL . $ ' GRADING $
ortlinances ' ' . . .
rize repre- PLAN CHECK �$� MICROPILM $'
operty for i
� �'3 MECHANICAL $ . TOTAL FEE $ ��� 4''U
Reinspection Fee .$25 Issue Fee $ 3 PLAN CHECK $
- �CONSTRUCTION AND PLA NING . - � � • ; �. F ..& SPA � , , ,
- � qq�, y Date. ��Inspector� ' � � � - - � � Date Inspector
, APPROVALS� Permit #+�L[.L� S . _ _ ''APPROVALS ' Permif #
"i.� Terriporary Electrical Service�or Pole � � ' . � � - 52." Pool & Equipment Location� , �
� 2. Soil Pipe-Undrgrnd. � - � ' - . 53. Steel Reinforceinent � � �' � �
- •.3., Electrical Conduit Utili{y-Undegcnd. � �' .� . � 54. Forms_ . _ � - -
' .4. Electrical Conduit-Undrgind..' �_ . � • 55. Electrical Bonding � � . . .
.5 � Stee! Reinforcement � �� � .. � � . � � 56. Rough.Plumbing & Pressure Test
6: Electrical UFER Grnd. � ' �� ^ �� 57.. APPROVAL TO COVER=GUNITE
7. Footings � • � _ � ' � ` � 58. Electrical Conduit-Undrgrnd. ' - '
8.. Foundation � .� � - 59.� Gas Pipe, O Undrgrnd., Test � �
9. Water Pipe-Undrgrnd.. - �:'� �� � 60. Backwash Lines; P-Trap, Q Undrgrnd. �
10: Structural!Floor System . - -. 61. APPROVAL,TO DECK �
11: Property Sewer Line & House Connectiori . . 62.� Backwash.&'Receptor-Final . � ,
12. Sewer.Cap � ' ; ' � � , . � 63.� Heater &�Vent-Final
13. Roof Drains ' _, � 64.'.P{umbing System,-'Pina1 � : r
14. Rough Pium6ing - - 65. Electrical-Final �
15. Rough Electrical-Conduit ' - 66. Solar'System-Final " .. ' -
.�16: ,Rough Electric Wiring - � � � - ' - . 67. Fencing"& Access Approvel - �_ "
17. Rough Wiring Sign ! ' '• 68. �APPflOVED FOR PLASTERING
18, Rough Electrical-T Bar C@iling �� �, �� 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � �� FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace , ; i ; APPROVACS . Permit�' .
21. Ducts, in Structure � � {! • � � � 7�. Underground Hydro '.
22. Ducts, Ventilating � � � � 77. Product Piping �Gas .00iI
�
23. Gas Pipe-Rough & Test : ��,� �� ' � � 72. Underground Flush '
�;�1 Roof Framing � ,� ' '. � 93. Undergrnd: Storage Tank:� Gas ❑ Oil
25. Roof Sheathing . � ' � � ' ' 74. OJerhead Hydro ' � � ' �
26. T-Bar Ceiling (Structural) & Monocoat' � � -_ � . � 75. Dry�Chemical � � '
27. Frame and'Flasliing , � ' � . . , 76. Dry�Standpipe : _ .
28. Lathing & Siding. � - � , � �, � ' i ' � ' 77. FIXED SYSTEM FINAL _ . -
29. Insulation; � ' q � � 78. FIRE PREV. FINAL ' - . �
' � � HEALTH DEPT. REQUIREMENT
30: Drywall Nailing, � � . . �
31. Plaster Brown Coat � , � � 79. FINNL INSPECTION �
32. ElectriralPower.Meter-Final' � � � � 80. FOODCERTIFICATE�ISSUED �
33. Final �Eleciric � ' Notes: • '
34. Final Heating & "Air Conditioning- . ` ' • . � ' � , . ,
35. Final Gas Pipe-Test � , ' � � � i �' " � ' � • � .
36. Hood or. Canopy . � � ' � , I � . � ` - , �
37. Final F.actory Fireplace . ' � � _ -� , ' � . _ - .. . � ,
3S. Final Plumbing ' . , � . � � 6�1��J`/,, ' LE(�
39. Water Service-Final . . . �
40. Gas Service-Final • � . � � � ' . � ' '�
�
41. Solar pomestic-Final � _ . . _ '. . � - .
. - � - - , . � , � ; ��. �
42. Backflow Preventer � ' � � i � • ' - '
43. Backflow Irrigation , � ; � ' _ ; � � • " z � � - �
44. ,Landscape Irrigation SysTem , • : `d � � �. _ ' ' � . � ` ' '.
' } .
45. Sound Attenuation � � I " ' � d ! , � , � , � : . . , ' _ � �
46. Handicap Regulations , . � - � � � ' � � ', � �
�
47. FINALSTRUCTURE&BUILDING � •: � ' ' , � .. -
,.
48. Special Requirements ComPleted . � � � ' . • � . • � � ' �
�
49. Electric Release to Edison '. � � - � -- � � -� • ' - � • �
50. Gas Reiease to'Southern California Gas Co -. � � � ' � � ' , .- � � '
51. CERTIFICATE.OP OCCUPANCY . _. ' . ; .. __' . � '
No. " - ° Date- � � � , .. � .
7qOJECT AD�flESS: � S Z E 3 8 TFi ST
OWNEfl'SNAME: STLPHANlt MACKAY
noosEss: 3 S 2 E 18 Tri ST �
COST'A MES�„-CA
AflCHIENCINEEfl: � 7'I ���J 4�— 5 � 4 n
AOONE55:
UNIT:
92627
F .
PEG.NO.:
UNIT:
PEflMITTEE: ST�EPFANTE MACHAY ( 714 ) 548-5040
aooness: �� 1 � 18 TH S'P
COSTAMESA CA 92627
LICENSEO CONTPACTOB DECLABRTION: I �ere�y allirm t�at I am licensetl under provivons oi C�apter 9(commencing wiN Section
7ppp) ol Division 3 olihe Business anE Pmfessions Cotle. an0 my licenge is in fullforce an0 ellect.
C�TY LIC.: STATE LIC.: CLASS:
Oa�e: Signaiure:
WOBNEBS' COMPENSRTION DECIABRTION: I �ere0y affirm Iha� I Ilave a cenifica�e of consent b selbinsure or a ceniticate af Workers'
Compensalion Insurance, or a certilied capy ��ereai (Seclion 3800. Lab. C).
POLICY NO.: E%P. OFTE: ,
COMPANY:
❑ Cenilietl coDY �s hereby lurnishetl. ❑ CertilieU copy is IileA wit� the city Building �ivis�on.
Oa�e: pOPbWnI:
EXEMPTION FBOM WOBREflS' COMPENSATION OECIAflATION: (This seC�ion ne¢tl no� 6e tample�etl ii Ihe permi� is �or one hUntlr¢tl �3700) ar lyss�.
� cetlify Ihai in I�e pedormance ol �he vrork lor whic� this permii iS issued, I SAall na� ¢mplay any p¢rson in any mann¢r so a5 ia 6ecOme
I Sublac� �a ihe Wod¢rs' Comp¢nsation Laws o� CalilOrnia.
bate: Signalure:
. NOTICE: II, alter making this tleclara�ion, you should hecome subjeci �o Ihe Workers' Compensa�ion provisions ot �he Labor
CoOe. y0u must fonhwith comDly wit� such D�ovisions or t�is permit shall be deemetl revoketl.
CONSTflOC7tON LENOING AGENCY: I hete�y allirm I�at t�ere is a construction lentling agenty br the DeAorman�e of t�e work br
wNch iNs permii is issuea �Section 3W7, Civ_ C7. .
LENDEfl: ,
AOONESS'
OWNEB BUILOEH UECIABATION: I here0y aitirm Ina� I am exempi Imm tne Coniractors State License Law for Ihe tollovnng reason
(Sec�ion 7031.5 Business an0 Pmtessional Code: Any cily oi county which requires a Dermit m consimct, alter, impmve, tlemolish, or
repair any simcwre. Odor lo its issuance. also repuires Ihe aD0licam for such permit Io file a signeA slatemenl Ihat he/she IS Iicense0
Oursuanl to t�e D�ovisions ol the CoNractors' State License Law (Chapter 9(commencinp with Section 7000) ol Division 3 of Ihe Business
ana Pmlessions Code) ar thai he/she is erempt inerefmm and �ne easis Ior ihe allepetl exemption. Any.violation of Sectian 7031.5 Dy
any applicant br a permit subjects t�e apPlicant �o a civil Oenalty oi nat more tAan Irv¢ �unOred dollars (5500�.
I, as owner of ihe pmDe�Y or my employees wilh wages as i�eir sote compensalion, will tla ihe wark, an0 Ihe
� SimC�ureis na�inlentled orOl�eretl�of5ale�5etlion 70E4, Busne55 antl Pro�e55i0nalCoAe: The COn�faCbrs' S�ale Litense LaW
tloes not apply to an owner of a pmDerty w�o �uiltls or improves thereon, and who tloes such work Ilimselt/�ersell or ihmuAA
nis ar her own emD�oyees. pmvitlea �ha1 suc� �mprovemenis are not intentled or oflerea lor sale. II, however tAe �uil0ing or
improvemeni is SnW wi�Nn o�e year oi cnmplelion. I�¢ nwnu vnU twve �he Gurtlen o7 proving he/s�e �i0 not builA ar improre
. lor,me puroose of salel. -
I, as awner oi the pmperty, am eRclusively cunVactiny wiih licensed comracto�s to con5lmci the pmleci (Jec[ion 7044, Business
❑ antl Prolessions CaGe: T�e Comractors S�aie License Law tices not apDly to an owner oi O�openy who buil0.s or impmves ihereon
an0 w�o com�acis lor such D�olecis with a comractoqs) i�cense pursuanl to the Coniracmrs' State License Law). I am aware
tnat prooi o1 t�eir Wa�kets Compensation inswa�e sROWd De prov'We0 to me.
� I am exemp� unAer Seclion: B. 8 P. C.
Ior ��is reason: �
Dale: � "�� Owner: �„�L�'
I eo nereby cenily �ha� I am aware ol ana understantl tAe requiremen�s al Calilomia Health an0 Salery CoOe Section 25505, 25533, antl
2553a ane Ihal I ar any lulure buildinA accupani wiltlwill not (ciRle onel need �o comply wilh saitl stale cotles antl �ne requiremenis for a�
permit lor con9mction or motli�ication Imm ��e Air uality Managemen� DisiricL Nesidential conslme�ion applications are exemD� �mm
ihese O�ovisions. ^
Date: � �f_!1 APPlitanl: � 1 '��
I here�y cetlily I�al I have rfatl Ihis applica�ian and slale�ha� Ne aDove in�ormation is correct I agree to c mply with all ciry and county
ordinanresandstatelawsrelatingto�uiltlingronsiNclionandhere yaNhorkerepresenla es thiscirytoenteruponlhea6ove�menlionetl
D�opetly brinSDec�ion pWposes. '
Oale: _� '� � �— / / Signatwe: _ _
od.e�'s ucense ar Sociai Security
�6aLa6 whne—Builtling: Green—Cotle Enbrcemenr, Canary—Flpo�Kant: rmx—nevenue: uoiaenroa—Auessor
+ �..
CZTY OF COSTA MESA - BUILDiNG PERMIT PERM NO: E U5234�
PERMI7' NO: E 052399 PLAN CHECK NO: N GOVT: N SIIPP: N
CONSTRUCiZON TYPE: 5-N PERMIT TYPE: ELE PURPOSE: 01H
JOB UESCRTPTION : ZNSTALL 100 AMP ELECTRZCAL SERVICE s'Q FT:
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /
coMME�•rs:' �
x�!�*��*v *x x*�t�**� �x ***x x���****���*�t�+r+�*x:f*+�+�*����**�***x �*+r�*��+� ��c�*�**�**+e�t���r
Z 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'
------------ MAIIv BIIILDING ---------- --------- ACCESSORY HUTLDING ---------
FRNT: FT IN REAR; rT' IN FRNT: FT IN REAR; rT IN
LEFT': FT IN RGHT: FT IN L$FT: FT IN RGHT: FT IN
PARFCZNG REQ• PROV: PARCEL: 11729116 ZNz; REF NO:
PLA1vNING NtSTES> �
� '
ii if 3E �E if 3E iE i(� if if iE if iE 3F if if fE iE iE if i'r if ii ii # iF if if iF if if �E i(1E if iE ie �f if # iE if if �if 1f �E jE K%iF if if lE iE IF 3f i'r if ie ji iF ie iE �E 3F if af 1F IE if� if �)f if iE 3E'w: iF iE dF
D E V E L O P M E N T- 5,E R V I C E S R E Q IJ T R E N E N T S �
ZpNING APPROVED BY DATE:
BUILDING APPROVED HY : DATE;
APPLICATION ISSi7F_L BY: �/���� ' DATE: 6��e�'I�`�
ih'1PiPiFif�'H-iE3fiflfil�ifiF'IE3fiI'1fiFifli}EiF . t• Y Yit�k`�f�'IfiFif�Y-3FiFif+Fir'X' R aFif
aF�i(�i4�41faEiPaF{F�fMaFlEjFiEiFfEiEitiF3fifk3E1FiElFikiE3(�ik�KifiF3FlEifkitif#iF1EiE1P3Fih7FM'� : iE�iklE�fliaFjfiE3FiE�FY.-if3eiEiF�1(�ifiFi6lFiFIF�F3FiPiF
LEGALIZA`I'ION:N F E E S U M M A R •' STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMTP/RES � GRADING
PERMTI' 18.50
SUx SMSP/NON-RES
PLAN
ISSUL FEE 15.00 '
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
'I'OTALS---->� ].8.50 15.00 U.00 33.50 33.50 .00
REVENUE DIVISION TOTALS--> COLLECTED; 33.50 OVEk/SHORT: 00
BLDG PMT PLUMBING ELECT�IC Mc,CHANIC FIRE SMIP/TOT GRADZNG PLAN-CAnCR
� 33,5'U ,
i'r iE IF ) iE if �1't ik 3F if iE It iF i(� iE if if i4 3F ie 1E if iE 1c iF )E iE iE 3E 3� 3f K� iF aF iE ie if iF if if iE iF if iF iF � ie a4 i(� 1[� iE i'r iF 3P iE 3E ii� ii� 3e iF �iE iE aE if -1F iE if 3E �f-1E if iF � fF ae IF ii� if 3f
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 E O N UNIT COs'T TOTAL COST
ELE i SERVICES BELOW 600 V& BELOW 201 AMP. I8,50
END OF FEES
� 18; 5 0
, , V
i �
01 GCC99<"19-G�CQ9219 'F' =e � -
DATE: �Jti/14�191 TFME: iu�ZO �•
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit � Date Inspector APPROVALS Permit # Date Inspector
�.; ,r
1, Temporary.Electrical Service or Pole 52. Pool & Equipment Location . ; �
y, Soil Pipe-Undrgrnd. 53. Steel Reinforcement , �
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgmd. 55. Electrical Bonding � ,
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. �Igttrital UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
$: �oundation � 59. Gas Pipe, � Undrgmd., Tett '-� �-�
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. `_�
�
10. 5tructurol Floor System 61. APPROVAL TO DECK �- � ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ` '�
!
�2• Se''ve� CaP . � 63. Heater & Vent-Final
13. ftoaf Drains 64. Plumbing System - Final '• '• ---
14. Rough Plumbing 65. Electrical-Final � _.
." '.
15. Ro�gh Electrical-Conduit 66. Solar System-Final '-
16. Rough Electric Wiring 67. Fencing & Access ApProval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Fough Electrical�T 8ar Ceiling 69..POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Fough Factory Fireplace - APPROVALS Permit #
21, Ducts, in Structure � 70. Underground Hydro
22. �ucts, Ventilating 71. Producc PiAing � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. •Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil �
25. Roof Sheathing _ �. 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat - � 75. Dry Chemical ��
27. frame and Flashing 76. Dry Standpipe ,
26. Wthing & Siding � • ' 77. FIXED SYSTEM FINAL
29. Insulation �;�' � 78. FIRE PflEV. FINAL �
�30. ��Ywall Nailing � • HEALTH DEPT: REQUIREMENT
31. Plaster Brown Coat � � 79. FINAL INSPEC710N
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric � � ;g , ' Notes: .
34. Final Heating & Air Conditioning � .�.�� ,
�,
35. �Final Gas Pipe�Test f'�j ' , �
36. Hood or CanopY � , �i � �
37. Final Factory Fireplace " � '
/ �
38.� Final Plumbing %;.�'
i. •i,_
39. Water Service•Final• .�,' •
�
40. Gas Service-Final , . `'� .
41. $olar pomestirFinal � �
42. Backflow Preventer ' .
43. Backflow Irrigation '
44. Landscape Irripation System .
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING i� � �
48. FINALPLANNING �':�.
49. E�ec[ric Release to Edison ��' -
50. Gas Release to Southern Califomia Gas Go � /�
51. CERTIFICATE OF OCCUPANCY .
No Date „
. :' � a/
COSTA MESA BUILDING•SAFETY DEPARTMENT
'P.O. BOX 317 COSTA MESA, CALIFORNIA
fOR APPL/CANT TO f/LL /N COMPLETELY
TYPE OR PRINY
BUILDING �` L�
ADDRE55 �J �
COSTA MESA, CALIFORNIA
� LEGAL
i - �y/ -i�/
'/� �� v�'1 L� j w ��I NO. OF BLDGB.
6ETBACK LINE FNOM j �
CENTER OF 9THEET � REAR YARD
I / , �/ I O �
SIDE YARD LEFT R�GHT
DESCRIPTION OF WORK
REPAIR I IIMOVI
Bt11LDING � �
SIZE
EXTERIOR WALL.%
K TO
\
I HEFEBY ALKNOWLED6E TMAT I HAVE READ TNIB APPLICATION
AND STATE THAT THE ABOVE IS CORflECT M1ND AGREE TO COM�
PLY WITH ALL CITY ORDINANCES AND ST LAWB RE6V ATING
BUIIOINO CON6T TION.
SIGNATURE OF
PERMITTEE
AUTHORIZED AGENT
BU
�, .� �tCti�ED
7�- � -� � �u
FINANCE DEPT.
rITY nF r(1$rq MECA
APPLICATION FOR PERMIT
BUILDING
fOR OFF/CE USE ONCY „
neceivr no. I Pe L
/l ! .
. V£D BY I OAT E IIfGO. I OAT� S'.
COSTA MESA, CALIFORNIA
TYP ROUP
1
7 ��` �%�'� < < E � �
ZONING
INO.OF � I USE OF NEW
PLANS 9UILDIN6 //� � A
VARDS /
REpU1RE0
(CEHTEP LINE STJ
f A �' �
THE AMOUNT BMOWN IINDER VAIUATION IS FOfl THE
PURPOBE OP ESTABLISHING P PEHMIT FEE ONLY.
VALl1AT10N
PERMIT FEE $ �'4+�+r—
/ �7 -..�
$ y o � \ PLAN CHECK $ "�—
/ TOTAL FEE $ � [_