HomeMy WebLinkAbout2451 ELDEN AVE - Building Permits a ,R2 /(�y. JUL 17-69CM54001435* ****75.00
` COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely / APPLICATION FOR BUILDING PERMIT
BUILDING ,At„... , / I �r ( RECyIfV Eq BY DATE
RECEIVED DATE ISS ED
67 ADDRESS�`V7 / a e/Y�r,-Lr/'✓e • �� 9 •�/ 6 V/ 7..../ r0/
•t/ t y_ R e ll iY 'P l/ A.P. NO.ii f _ O d _a� P a N�3-D-
OWNER
MAIL y BUILDING _/ /'
ADDRESS �!7 / F ADDRESS9 ys /—A se/d de-w eve
Z 0a
,r ��[[// TEL TRACT 3 00 I LOT ,('D BLOCK
wa Z CITY r/JS T.4 / t-'? No.4' 3P 9r
CONSTRUCTION NEW / ADD ALTER REPAIR MOVING nFMO11SH
Q co LENDER r`1/uf.�..c LP
�//
am _ // •
J .t L 1
BRANCH
J N ,J OWNER . I4 • 13 E A/L/� 7- /
m J ADDRESS ( Dwell VALUE 00
-CO ARCHITECT L TEL moyari, t R'7• . • $/I 23 0 �•
Q OR ENGINEER)-r" l/fQ...�ciFj.! NO.6%2-S.f}//jl
FIRE
aw ADDRESS 5"J, /A/� .v t° .{ iT- /U..++ s, ZONE TYPE GROUP 2.....
J Z CONTRACTOR VGUA/� BY
APPROVED / ATE / ��1��
CO Z /' t
J Q ADDRESS �'Qr,M,�y v
W W TEL. ZO NO.OF USE OF NEW
Z= CITY NO. '� PLAN a BUILDING
Zi
STATE CITY YARDS APPROVED YARDS APPROVED
co CC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D SIZE / NO.OF SLOGS. (FROM C/LaS.TREET)
?...
OF LOT 6/+rkre // 3NOW ON LOT FROM Q FT.
'1R.SIDE FT. FT.
USE OF
EXISTING BLDG. /1/'Q FT.
I— SIZE OF c NO. OF ^ `/
ZNEW BLDG. ROOMS STORIES � L.SIDE L FT. FT.
,� V EXTERIOR WALK, ROOF q 1.
COVERING /weer() _COVERING REAR / FT. 6 bi FT. •
1 USE OF BUILDING AND WORK TO BE PERF RMED DISTANCE BET. BET.MAIN&
D.
C- MAIN BLDGS. ACCESS.BLDGS. •
fx` Q i VAR.# (r'"l 6 ' 6 ? DATE
O / trr ..../A0/.7C.U.P.# APPROVED C_f' & 2
fjpy `y�
, a --- r7
i /7
2 \ RAYF EO- L 1 /SATE >() —(9
Z \ VCJrY
0 \
VI hereby acknowledge that I have read this application and sAte Q
0 that the above information is correct and agree to comply withh 1� _
cr all laws regulating building construction, and I shall not employ . g�10i $^�'•�"TA'1�7 iy iy1j•'�--��`�����Tppr �
F, any person In violOtion of the workman's compensation laws of sss'K."""�y
(n the State of California. J _ / SQ. FT. m
Z
Ofto
I hereby certify that I am properly licensed as a contractor undera-
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
am exempt from the •rovisions of the State of California Business it
VALUATION n
and Professions Co.: Division 3, Chapter 9. co H
g / 7 4 _ PERMIT FEE $ .7 a�
Signature of // / co
Permittee r / $ f/ �(7 PLAN CHECK $ z D , 4n E
Authorized •panty i .y o
/ • ` il).ea " TOTAL FEE $ /.J`,en LL
v�� �
•
- 3( 33
COSTA MESA BUILDING-SAFETY DEPARTMENT C #� in7-69 „"—PSp00 i 436+ ****84.00
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 / •'
APPLICATION FOR BUILDING PERMIT
For Applica t to Fill in Completely gECEIV,yED /y DA7/�R /CEIVED DATE ISSUED
BUILDING / / q /i- - cf� D/ /—/bo- 1 7-/47-0 .
A DOR ESS„1_ y3 7�L l��.N ?',C 1 Oi.et 1 F}
OWNER 1/ r '/ ' f7 SP iY'/1-x. 17 A.P.NO. //Q_Ofl_ t* itr34 //////'''
BUILDING I^ '/5/_a e// /J (I
MAIL y .r/ ADDR ESS ,[//' (�C.-QL.Qin "�j�l�4J/
Z ADDRESS�3O / /J l p
L.
2O CITY ('r 7j �P S'/7 NoI1y1-3c,71 TRACT 390 LOT) b0 BLOCK
ZC CONSTRUCTI NEW ADD ALTER REPAIR IMOVINn DFMl1LISH
d m LENDER r /
J 0 BRANCH
JN 'fit` /
OWNER li 'J e_10,,,i,”��[
tt] J ADDRESS (('' q �I VALUE ( et
J Q ARCHITECT ����� ` TEL.„ / US Es)r�H • (Dwell re, r✓CPS $ //Jj m�
UN OR ENGINEER
`fn C!/r'len., 'Sy NO.o Y2--.) y� .9FIRE 'j��
Z CC 03j PdvP�sSt. 1.4„/„„47-2-
8 ZONE TYPE Y GROUPS5Ar
w¢ ADDRESS DDD J
aw /
APPROVED 2/' 7. .
// _Gj
LU
O CONTRACTOR Quj�/ p BY i/ DATE / tO EW+//'�/.
Z
JK ADDRESS 54 ....n."9.__ _ ,J
W TEL. Z NO.OF USE OF NEW' ��I••
Z1- CITY NO . TZ e;),.... PLANS 1,..'"'-' BUILDING p
-O STATE CITY YARDS APPROVED YARDS APPROVED
til
T
O LIC.NO. Lit.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE A NO.OF BLOCS. (FROM C/L STREET)
OF LOT /) NOW ON LOT ? ERONT l 7 FT. G A FT.
USE OF .^^ Ti /
EXISTING B • '-7 R.511W 4 ( FT. 6 FT.
1� SIZE OF NO.OF /
w Q NEW BLDG. ROOMS STORIES Z L.SIDE j? FT. 6 FT.
EXTERIOR WA ROOF •p /
V COVERING "ern, COVERING//L n LT REAR f FT. A Id FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
1 ' -'1t '� /.. - - , MAIN BLDGS. ACCESS. BLDGS.
DATE
v O // �3 C /, VARP.•lµ V-/�'�� APPROVED 9_f-6 ex
/'/viYi( j d
to sn ^ -1n. ARVPR`rri I`rt- r DATE -1 --.2s-67
_et
0
UI hereby acknowledge that I have read this application and state N /
r that the above information is correct and agree to comply with • , /7/ (((•••���
er all laws regulating building construction, and I shall not employ /�, Apq, t h•/� N•LS•
F any person in violation of the workman's compensation laws of '717P +T19t4• Y
CO the State of California. q/� p�s� p' CO
Z I hereby certify that I am properly licensed as a contractor under ^+/ ' SQ. FT: �7 r7 �QQ� o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: la
am exempt from the provisions of the State of California Business VALUATION
dd C0
and Professions •tle, Division 3,Chapter 9. OP PERMIT FEE $ ‘..1.6 r N
—
Signature of / //`�nJ �// �' C
Permittee - // $ /I 'p�Q PLAN CHECK $ o r 04 E
/ o
Authorize-z Agent , // . �ti TOTAL FEE $ aii,eo LL
3 � �31 �/ . a, JUL 17-69cesa001437* ***124.50
COSTA MESA BUILDING-SAFETY DEPARTMENT v
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
NNIIMMMMINIIMIIIIIW
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REC E'D/BV /_ RECEIVEpD DATEJi7 EED /
BUILDING /�i-e // 3 �" 4d.� r�J I 7 C'
ADDRESS YSI F. tom--.. ! Ac-'l`�.
OWNER I h A.P.NO. Il 013- - Ly PER�. y7XtlOfA
!SC /S �jt/P�� BUILDING $ ._ Cr bile
JJQ�.4MAL
MAIL ` [rte
Z ADDRESS/2f C. Ian l / ADDRESS ay q �.
er
tJ TEL. TRACT 3 O 0 LOT A BLOCK
F O CITYf bs/19 /loo'4 NO.,Y1-3o97
CONSTRUCTIot"ip NEW ADD ALTER RFPAIR MOVING DEMOI ISH
O N LENDER '-.-,--.. .....gr_ , ? P \ ,
dm ! J�
J D BRANCH
J Lu N OWNER kage79,2„..„,t..gVALUEm J ADDRESSVALUEm ARCHITECT ' t TEL. USE $ r.* 9 ]/4
_.i <
OR ENGINEER r u//JL.`�Z# . NO Ff'fJ /`
U ✓ y" FIRE
Q p
Z
W p ADDRESS U £1,e� (n/P Ne�cn�q �- ZONE 3 TYPE GROUP
APPROVED ��/e^/�j
J O CONTRACTOR /��e� BY
/ (�J CEJ/
m Z
J ADDRESS c�s� .�
W W TEL. 2 E NO.OF . ,, USE OF NEW
z= CITY NO. i--)...---- PLANS y BUILDING I
F
W STATE CITY YARDS APPROVED YARDS APPROVED
to K LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
L
SIZE 7-- NO.OF BLOCS.
OF LOT 66' �1_ 7 1 NOW ON LOT 7 FRONT + B FT. CI
fl FT.
USE OF 'y // [[[
\\\ , EXISTING BLDG. R.SIDE a 6 FT. FT.
I— SIZE OF NO.OF �/
Z NEW BLDG. ROOMS STORIES Z L.SIDE 'J FT. FT.
1
Q EXTERIOR WAL ROOF /
V COVERING Pr tee COVERING.1-,01/2/4 yrr REAR a 7 FT. FT.
J USE OF BUILDING AND WORK TO BE PEROORMED DISTANCE BET. • BET.MAIN&
O_
!. Q Q/,L gay MAIN SLOGS. ACCESS. BLDGS..
O / /// Jr _C.U.P.# VI G' APPROVED `/ / /
VAR.fi4k .914 DATE
7
`
z VAPPRO�P 0._IDATF 3-�tp-t /
(t� /P1
J
U I hereby acknowledge that I have read this application and state 0011)yt ^�.s
D that the above Information Is correct and agree to comply with A/R Rr++Y
ix all laws regulating building construction, and I shall not employ
F any person in violation of tho workman's compensation laws of
ej the State of California. / 8 et
2 I hereby certify that I am properly licensed as a contractor under O SO. FT. �f� o
the State of California Business and Professions Code. Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9. and that such licenses are In full force and effect,or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from the provisions of the State of California Business
end Professions Code, Division 3,Chapter 9. VALUATION �j to co
op PERMIT FEE $ 1J• N
Signature of D
.�,�.c. 2 .f/2 ,/. Si) m
Permittee n $ ./ . / E
PLAN CHECK $
0
Authorized gent u.
at ` TOTAL FE /
30' '5
PAM
COSTA MESA BUILDING-SAFETY DEPARTMENT
-
JUL 17 6gcnsaOO1438 *****5.00
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
y REC�EIIVVE •VV DATE RECEIVEDIVDATE ISSUED
ADDRESSBUILDING 72'.c'c/ .turf¢/P.✓ .>67uG{ / � T / '-�(G-/o� /�6�/
OWNER 1/ Al tU PN/r Cr A.P.NO. //9-oaa-�Y' PcR0,5 MLT . /c
r BUILDING 111
ADDRESS/30 Y , /2 MAIL T� 7/ ADDRESS �9�/- /� tb�� d,z ,
ZIr 4
t1 0 CITY JJ NO TRACT L3 ow LOT// BLOCK
- Z C'o5 Tac �r'S�'9 EVL-3<9:
Z Q CONSTRUCTION A r �V�.rQ �4 NEW ADD ALTER REPAIR MOVING fFMO1 LSH
-I- LENDER /C 41 •
a. co
J D BRANCH
_1 co ./licC.vs� O OWNER . 8OMn'1
e;
Q W ADDRESS
CO J VALUE 3_00 -I
m ARCHITECT /) TEL S $
J Q OR ENGINEER Gr 1M -.-O-r NO.64/7—SrY
(7 p� 11� FIRE TALI-
a.
T
W CC ADDRESS gni,€',/N J r, ///.pw Op„T P. ZONE �3 TYPE GROUP 1 A -'
O'w (x%(1,'/1 J APPROVED �� ATE 7-/‘-.1,
mO CONTRACTOR cu/yr/1 BY
Z n
J IY ADDRESS JM — q /1
W W TEL. ZON NO.OF USE OF NE
a
ZI- CITY NO. PLANS O BUILDING
- 0 STATE CITY YARDS APPROVED YARDS APPROVED
In(L LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZENO.OF BLDGS.
OF LOT 4%., ,3/4, A2 5 I NOW ON LOT 9__ FRONT FT, FT.
USE OF
EXISTING BLDG. 11/0/y ie SEL SIDE F FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES ;r1— L.SIDE FT.
Q EXTERIOR WALL ROOF p`r'
f, COVERING Y//SOF/7 COVERINGf�/ REAR VET. FT.
—I U E OF BUILDING AND W K TO BE PERF RMED
1 DISTANCE BET. BET.MAIN&
C VPa.. O!,Ti an/ P c'09 / MAIN BLDGS. ACCESS. SLOGS.
Qtet( 0/t VAR.sift DATE
O 40eve/% /' /'1 r C.U.P.# APPROVED
I—co APPROVED
I- SB_YAP / DATE 7-` l�'—�j
O (((///
0 I hereby acknowledge that I have read this application and state
D that the above information if correct and agree to comply with—
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
m
(n the State of California.
W
Z I hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 9
am exempt from the provisions of the State of California Business _ m
VALUATION /r Oa m
and Professions C de, Division 3,Chapter 9. PERMIT FEE $ c�r N
rcF�isis Oa _ E
Signature of m
Permittee $ ce �- PLAN CHECK $
I.
Authoriz d Agent O: o e /y/.g.• LI.
•�"^'� r`�”'—'�'"^ \ TOTAL FEE $ fo5.r do
PROJECT ADDRESS:-OWNEesxaME 2451 ELDEN AV • - UNIT:•4 /•2 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 068436
;MESS: STELLA EKSEN 20152 ORCHID ST.- - . .r' PERMIT N : P 068436 PLAN CHECK NO; N GOVT: N SUPP: N
SANTA ANA 92660 •
r
CONSTRUCTI •
PERMIT TYPE: PLU PURPOSE; REP
ARCH/ENGINEER: REG.NO.: ^JOB DESCRIPTION : REPAIR DAMAGED SEWER
ADDRESS: UNIT: SQ FT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: /
PERMITTEE: ARTISTIC PLUMBING & DRAIN (714 ) 262-8919
ADDRESS: P 0 BOX 11334 COMMENTS ; PERMIT TO REPAIR DAMAGED SEWER LINE TO 1 1 /2 ELDEN AV
COSTA MESA CA 92627 ********4************************************** ***********************ac-****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of' apter' • mencing with Section
70001 of Division 3 of the Business and Professions Code,and my li •• •is •full force a d feet Z O N I N GS ERT EB QA S M E N T S
CITY LIL. p STATE LIC.: 645166,40grs: CAag114,, • : 04/95
// Signature: /�%/. '/goi//�fl, MAIN BUILDING -- ---- CCESSORY BUILDING
KERS'CO PENSATION DECLARATION: I hereby affirm that have a certificate. sem to self-insure or a certificate of Workers' FRNT: 3'T IN REAR: FT IN 11 FR T• FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3:60. Lab.C). LEFT: FT IN RGHT: FT IN'' LE FT IN RGHT: FT IN
POLICY NO.: , '.DATE:
COMPANY: PARKING REQ• PROV: PARCEL : 439 133 ZNE: REF NO:
TJ Cenified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: / ********************************************* ********************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This tm not be completed' he permit' : one hundred($100)or less). DEVELOPMENT S E R V I C E S`:'• R E Q U I R E M E N T S
I certify that in the pert mance of the work for which this perm) s is ..•• shall not e .. any pefso •any manner so as to become
s ^ to the Werke Co,pensation Laws of California. ZONING APPROVED BY DATE:
,ate. 0*/ / Signature: ./1_
NOTICE:Caller making this declaration.you shouipy `Kome subject to the o•es'Compensation provisions of the Labor BUILDING APPROVED BY : DATE
Code.you must forthwith comply with such provisi, s or this permit shall be •:•med revoked. /
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction riding agency for the performance of the work for APPLICATION ISSUED B Y: --- * ' , m '
DATE:
which this permit is issued(Section 3097.Civ,C). *.*.*.*,*,*.*..)f*************„",*,*„",*,*,*,*„*****,** ************************* **
LENDER: *******************************************************************************
ADDRESS. LEGALIZATION:Y F E E . S U M. M A->R ;Y STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that tam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL ECTR IC 1• MECHANIC ' -FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or .,
PERMIT 30 . 00
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed : - ^' `
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% _ al SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by PLAN - /'- �� ' t '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20 . 00 - , .'I• '4 ., t, • ' L-
r.,
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK ' -'TOTAL 2•( PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 30 , 00 20 . 00 ' 0 . 00 ) 50 . 0p -. . 50 , 00. • 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through c
his or her own employees, provided that such improvements are not intended or offered for sale.If, however the building or j I
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED•: 'A. 1 . 50. 00 -OVER-/SHORT: 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC :t FIRE SMIP/TOT.; GRADING PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 50 . 00
•
❑ and Professions Code: The Contractors'State License Law does not apply loan owner of property who builds or improves thereon .
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law),1 am aware ***********.)f******.****.*.x.*****.******.**:**,**.****:K.*.**********,*,******,",****,x,****,***,*,*
that proof of their Worker's Compensation insurance should be provided to me. • INDIVIDUAL - F ..E 'E J' B R E A K. D O' W N
❑ I am exempt under Section: B.&P.C. d 1
for this reason: TYPE DESCRIPTION'•
N'' t` s'' S.
UNIT COST, t ' TOTAL COST
Date'. Owner: •1 'h r '
PLU 1 SEWER, CONNECTION TO 'BUILD,ING, EACH 'r 15-00'-, , 15 . 00
•
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END, OF FEES '
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ,
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ('' ' n1
these provisions. ,
IT
-
•
• Date: Applicant: • !"J l -C - h 6 '4",- ,
` !/
I hereby certify that I have read this application and state that the..,ve in. •ation is corre I. :gree to co • with all city and county r 1 . 1 ,l .^}
ordinances and state law/.relating to building construction and her:.y ant representativ':, fits city to' • upon the above-mentioned
prorrtyforinsria pure es. - L1 T02O`742-OO1n5%42 TOT 50.00/�i // -
-' DATE: 08711/94 TTI11E: 09:22
6. 27/7
$ Signature: .4� r/v ✓ iC -
6nver's License or Social Security
Applicant;Pink—Revenue;Goldenrod—Assessor r
!r
CONSTRUCTION AND PL7\NNING • POOL ?A
'APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
L"Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
-3'. Electrical Conduit Utility-Undrgrnd. 54. Forms
.,4 :Electrical Conduit-Undrgrnd. 55. Electrical Bonding
15. Steel Reinforcement: 56. Rough Plumbing & Pressure Test
_6. Electrical OF ERGrrd. 57. APPROVAL TO COVER-GUNITE
7. Footings • ''
58. Electrical Conduit•Uncirgrnd. .
8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap. 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line-8, House Connection 62. Backwash & Receptor-Final .
12. Sewer Cap :, - 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Aough Plumbing - 65. Electrical-Final
15. Rough Electrical.-Conduit 66. Solar System-Final
16. Rough Electric Wiring _ 67. Fencing & Access Approval
1.7. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricai•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
•20. Rough Factory Fireplace i T:rl 4:-i • T 7 - ' LAPPROVALSJ._: Peretit # • `l
e _ - 7
21.. uc s, in-Structure :- " C .-I -1 , v. ': .1
- -, • -70. Underground:Hydro
r4,.=�
22. Ducts, Ventilating, - _r ,y,- 71. Product.Piping ❑-G s DOil
23. Gas eine:Rough &'Test ; ,-. - r '72. Underground Flush' - •,
-t J . J
24. Roof'Framingi ;1 • . • . : ' . ,. 73. Indergrnd:Storage Tank 0 Gas 0 Olt
25. Roof Sheathing .y ` - , : _ , •-•LI . 74. Overhead Hydro -
.
26. **Bar Ceiling (Structural) & Monocoat - 75.:Qry Chemical 1 ° + 1 11
27. Frar a and Flashing 76. Dry Standpipe , -,. -� .1 1 '•I -..j
28. Lail-ling&Siding � ., . 7 : --LH,. •• . 77.:'FIXED SYSTEM,FfNAL ,
29. Insulation - • " 1 1 irt. . 78.;�IRE PREV. FINAL _ _,
30. Drywall Nailing • i + HEALTH OEPT,REQUfREtMMENT
3 -1. Plaster Brown Coat;' ' I i,I ,. _79. -FINAL INSpgCTlO J t: -
32. Electrical 'Pow`er Meier-Final : "!r, I I s 80. 'FOOD CERTIFICATE ISSUED
33. F.inal_Electric Notes:
. _ lc " qr./6 t4_ et2eio-urD_2ec._8eweee_iaav
J.4. Final Heating & Air Conditioning ' - 1 : + 'a It
Wfxir irt1Y Pt a74,c. ge%..
35. .Final-Gasr.Pipe-Test - 1i •�'
'- * 1 ! 1 `t s FS=1444 . tea;? 4-•
36. Hood:or Canopy r I it •
7-rales :, a L d¢ar` t.
a7. Final Factory Fireplace 1-
38. Final Plumbing - S-3 - /C: L , s_-
40. Gas Service-Final . l ' .
"t I
47. Solar Domestic-Finat - I, •
- ��9 t/ _�„- T /VO/G
, -
42. Backflow Preventer, ; - i
43. Backflow Irrigation - - (/
-14-da-4-.. < to CC . 1 5,5 LAO,
/b
44. Landscape Irrigation-System _ - •.. - - D 1-4 _ _Gt /�Go
45. Sound Attenuation ' ' - - ,' n,/„ �•µ� � OG
46. Handicap Regulations - "'nv- ...RI47. FINAL STRUCTURE & BUILDING I 1. J --'
48. FINAL PLANNING -. -I. 1
•
49. Electric Release to Edison 1 I" • : • - -
50. Gas Release to Southern California Gas Co . I - - - -
51. CERTIFICATE OF OCCUPANCY - •
No. Date
• 5t" CITY OF COSTA MESA
4 BUILDING DIVISION
F 1 ,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT B06-00756
4y�
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.BWILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2451 ELDEN AVStatus: ISSUED
Suite: IfilleApplied: 05/18/2006
Vicinity: ROOF Issued: 05/18/2006
Primary 0cc: R Type of Construction: V-N
Parcel Number 43928133 Zoning:
Applicant: SANDOVAL, ISHMAEL
Address: 106 W CANADA
Phone: 949-500-4370 ISSUED BY:
SAN CLEMENTE,CA Zip: 92672
Owner HANSEN, MARK VICTOR TR'
Address 711 W 17TH ST#D-Z
Phone: " 4 I ' I
COSTA MESA,CA Zip: 92627-4350 A ti kir/
I 4
Contractor -TTG CONSTRUCTION SERVICES INC f, p /
N4 2
Address: 106 W CANADA,
Phone: 949-500-4370
SAN CLEMENTE,CA
Zip: 92672 - License: 771813
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF.INSTALL-1 LAYER OF 30#FELT,30 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS
. NEEDED.1300 S.F." -
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $5,680.00
Permit:. $125.25 Claim Valuation: . $5,680.00
SMIP Res: $0.57 '
SMIP Corn: $0.00 - •� _ -
Other: $0.00
Inspection: $0.00
Total: ',$125.82 ,
PLANNING &ZONING
SETBACKS r
MAIN STRUCTURE Front 0-0 , ` 'Rear 0-0 Left 0-0 - ' Right 0-0
ACCESSORY Froth" 0-0 `: Rear 0.0. Left 0-0 " Right: 0-0
PARKING Existing: 0 - Required: ' 0 " _ Proposed: - 0 _ .
1 1741 0./1/17.1)
� 5 e' G
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2448-4816'00)
DECLARATIONS r
WORKERS'COMPENSATION DECLARATION:
thereby affirm under penalty of perjury one of the following declarations:• •
❑' I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
3} I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier Sh /L CPr•-p • /n yr, f. -Ft ., Policy Number: 7 T/7
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
•
0. I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
• . compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pro s. _ J
Applicant Signature: — Date: /3 0L
WARNING:FAILURE TO SECURE WORKERS'COMPENSATIONVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OFICOMPENSAGON,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lis.# 2 f- ( 3 Class a 3 C-1
Contractor's Signature: QG�- 0 Date: s-/9 •0 6
CONSTRUCTIONLENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
" a.
OWNER-BUILDER DECLARATIONS: F
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city d;ounty'which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statemee�btt that j e osfhe Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or,%he Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not n pre than five hundred dollars($500).):
El I,as owner of the property,or my emplo ees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). '
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
_._ —_._. _.
2- Does or will the applicant or present or future building occupant need need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater then a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure). _ _
3 s o
Doeroccupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 if an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 present dn__ requireor the.._...__._ __e_t._.f..t__...._..plIcat.__..........er...__...._.such wrist. _._.._i_i__...
5 Does or will theCoasttcAir u or futureebustling occupant at anyothr for the work which is the district oof this a estion aPertnit for construction or modification
from the South Air Ouaiiry Management District or from other air pollution control or agency? �Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8- (If"yes;attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions. -
Signature: '- Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Ignature Of . ner(s) ate
1 i/ �� • �• t ' J/'
Or A onzed Applicant Date
CODE 1 QISPECTION TYPF EEIF, EMU CQDF( Q{SPFCTIQN TYPE gAiF IlIMELS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
•
200 Final Re-Roof 210 Final Electrical •
201 Final Block/Retaining Wall 212 Final Fire Prevention
•
202 Final,Factory Fire Place , 220 Final Planning Approval
203 Final Sign 222 Final Site
•
, 204 Final Demolition . . 250 Final Building/Occupancy
.
t.
4`Da�M6 9 CITY OF COSTA MESA
e ter �,�
•
• BUILDING DIVISION
F I •_� � - DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBERr/� "�' PERMIT
-`�o.`m�1�, 00-01709
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.tLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2451 ELDEN AV C 'Status: ISSUED ,
Suite: 01/02/2000 Applied: 10/23/2000
Vicinity: BACK PORTION OF ROOF Issued: 10/23/2000
Parcel Number: 43928132 -- ' Zoning: - •"
Applicant: RASOA, ODILLE _ ISSUED BY:
____f, ,,_-__-
Address: 939 SERRA WAY " .. -
- . Phone: (714)434-2525 -,
COSTA MESA,"CA - • Zip: 92626
Owner HANSEN; MARK& PATRICIA
Address 321 23RD ST'- - - - -
/ .' i �/` ' - A
Phone: \\'
// + COSTA MESA;CA - Zip: 92627 -`��
Contractor: #1 BEST ROOFING COMPANY •
"Address:- 939 SERRA WAY
Phone:- (714)434-2525
COSTA MESA,CA
Zip:.1 92626 License:- 722805
I
- Arch : - , , - Eng: - .
Address: . -- Address:, • `
Phone: - Phone:
i r 7 i
Zip: _ , - License: License:
�-
- T SCOPE OF PERMIT _ ,
REROOF EXISTING SINGLE/FAMILY.RESIDENCE.(1050).TEAR OFF EXISTING ROOFING,&INSTALL NEW BUILT-UP'
ROOF(HOT MOP&CAP). . - - •
. . r
FEE SUMMARY .
Plan Check: $0.00 -2 = Calc Valuation: -- $1,500.00
Permit: " " $54.00 - ' • Claim Valuation: $1,500.00
SMIP Res: . $0.50 ; ,
SMIP Com: $0.00 - - • '
Other: ' -$0.00 - .
'Inspection: 2 $0.00 ,
• Total: ' $54:50, - ,%j'
_ -
7 7/ • - , �C , - PLANNING-&ZONING : 7- ;/
y �!✓'
SETBACKS,' • <i
MAIN STRUCTURE Front 0-0 Rear 0-0 - , Left 0-0 = - Right - 0;02' /
ACCESSORY Front, 0-.0 . • Rear 0-0 Left 0-0 Right .. 0-0'.'. 7�
PARKING Existing 0 Required: 0 , - Proposed: 0;
,
NOTES: . ,
i
4Pt /, � c
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-48(6/00) .
DECLARATIONS -
WORKERS'COMPENSATION DECLARATI•
I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
��I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
'My workers'compensation Insurrance.carrierirand policy number are:
Cameocrit(
}j J.iAD--RAJ\Q rPollcyNumber:— 154'71L t9
j,Thissection�d not be comp ted if the permit is valued at one hundred dollars($100)or less.) ` __ _ 1
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,end agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these p s.
Appliwnt.Signeture:" '.Date: /-0-.23_oe
1MARNINGrFAILURE'TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirmmthat.l.am.licensed under rovis ons of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effectfiicj, `l Z-JQ (Class. C-31
Contractoris.Signature:— pate:—,-.40-2 _OD
r
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: ' Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or yy�1e is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he-or she is'exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not morethan five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does nTh apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Stillness Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes U No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions. r�
Signature: f 1't-.�f �s2`7� _• Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all stattlaws arid city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspectibh pu oses.I'agree not to'occupy or allow occupancy of any building authorized by this permit until final inspection.
.a Y CSaitat .;: vd 1
Signature Of Legal Owner(s) Date
23 o-0
An 2r'AuthorizedApplicant,-7-- . Dates ,
CODE! INSPECTION TYPE GATE IISIIIIALS CODE! INSPECTION TYPE 261 ' ' RSL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Root ( / 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place" 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition . 250 Final Building/Occupancy