HomeMy WebLinkAbout2570 ELDEN AVE - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PEEMITN TRACT NO. LOT NO, UNIT NO.
Project Address 25-90aO�'� 211 '
TYPE OF CONSTRUCTION . El NEW H ADD U ALTERATION LJ REPAIR
Applicant's Mailing Address ����� 0�L 0-1172.Owner's Name -fir,Vu,/, /JAJ 70 hl Phone6YS-9511S ❑ CONVERSION DEMOLISH ❑ OTHER q,p,# Zone
,t/_4e cf ...
/ ��n DESCRIPTION OF WORK/USE OF BLDG.
Address S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING El FOUNDATION CI STRUCTURAL E Front Z
0
Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N
❑ OTHER I
Contractor's Name o/3GJt/f6' Phone • C Right N
Address(mailing) PROJECT DESCRIPTION SQ. FT. OCC UPAT�� •
ti K Left G
CONSTRUCTION TYPE VALUATION $
City License No. - ZONE GRADING CU.YDS. ACRES R
LICENSED CONTRACTOR DECLARATION _ Ping. Ref. # Parking Req./Provided E
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: Q
M
with section 7000) of Division 3 of the Business and Professions Code, and - T
my license is in full force and effect.
License Class License No S
Date Signature PLUMBING FEES
WORKERS'COMPENSATION DECLARATION Bar Sink ShowersELECTRICAL FEES
Sereby affirm that I have a certificate of consent to self-Insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
..d00, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+ KW
8 Certified copy is hereby furnished. '
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dui)to 100 amps
Date Applicant - - -
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel
I certify that in the performance of the work for which this permit is issued, I
shall not e plo any person in any man er so as to be subject to the Drinking Fountains Solar Tank - Fan • Motors IDI 0-1 HP Div -8
Worker s ion Laws of Califon' �_ -
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP❑16-15+
NOTICE: f, fter making this declare ion, you should become subject to the — — •'
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures
comply with such provisions or this permit shall be deemed revoked. Microwave ,
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes
I hereby affirm that there is a construction lending agency for the performance Pole Light
of the work for which this permit is issued (Section 3097 Civ. C.)
t
Interce ors Water Heater
Lender's Name pOutlets Range .
Lender's Address - Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash '
following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry
any structure, prior to its issuance, also requires the applicant for such permit Trays - Generator ❑0-5 KW ❑5-15 KW Trash Compactor
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
'livision 3 of the Business and Professions Code) or that he/she is exempt
erefrom and the basis for the alleged exemption. Any violation of Section •
-
J31.5 by any applicant for a permit subjects the applicant to a civil
malty of not more than five hundred dollars($500).
U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee $15 Issue Fee $ 3
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own Boiler Hood Type 0 DEVELOPMENT SERVICES REQUIREMENTS:
or
employees, provided that such improvements are not intended or offered for yp Zoning Approved By Date
sale.If, however, the building or improvement is sold within one year of com- Canopy Type II ❑
elation, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date
provlfor the purpose of sale). q/
as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date i--1 X170
tractors là construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU SUMMARY OF FEES Sl
a,
or improves thereon, and who contracts for such projects with a con- ,�y�r
tractor(s)•license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration ' BUILDING PERMIT $ L _ SMIP $ 0
proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT
a. 'i am e mpt under Section B.& P. C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers
PLUMBING $ ISSUANCE $
r1i Date ir owner ,./..e.71/ AZ Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
_'i' I hereb ce ify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTU--�- ELECTRICAL $ GRADING $
informs ion is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre-
PLAN CHECK 50% $ MICROFILM $
sentatives of this it to eny¢r upon the above-mentioned pr pe y for
inspection purpos ✓1 �� MECHANICAL $
Signature [lir
•
Pink - Accounting: Goldenrod - Assessor in VUUIJ Y2-IJUUlJWSY3 I LI I 25.511
CONSTRUCTION AND'PLANNING POOL& SPA
APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
1:. Temporary ElectSical 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
5. Steel 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, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1.
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: I -
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38::-Final Plumbing
39�Water Service-Final `
:40. Gas Seivice-Final
.41. Solar Domestic-Final
{42. Backflow Preventer - /
43. Backflow Irrigation
144. Landscape Irrigation System '
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING 0
('
48. Special Requirements Completed
49. Electric.Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
_ -c
• irr .1, toUil 1
COSTA MESA BUILDING-SAFETY DEPARTMENT t •
P. O. BOX 1200
Costa Mesa, California
PERMIT NO.
PLUMBING PERMIT APPLICATION TRACT NO. RECD. BY 9.5
CONTRACTOR 'j"I-(E Gfr(t C-5 Plsmi biAl ,Jets C.. LOT NO. I DATE ISSUED
•
BUILDING USE
Address
1 S3� LAI v l�r.C4C.v 7'7-?/
city A_,_,(,. Q;, Zip Code qz w"._ Building 2,510 L L )O/J
Address
State License No. o117GS) Class. L_3U Owner )sN01S OJJ
w City License No. 5 q-3 Tel.No.77,Z -300aii
Address 2 S-7 0 E:l-ban ---
y��
Q NUMBER TYPE OF FIXTURE OR ITEM FEE City C OSS/} �e�}s6�\\k 5 Tel.No. (,VG, 9 S.5c
O Bathtub •_ NI y
J Laundry Tub or Tray --- 1 hereby acknowledge, that Ilhave read this application an.
Q state that the above is correct and agree to comply with all
Automatic Washing Machine
� Shower City Ordinances aritl'State Laws regulating plumbing.
I certify their?U pdssess the above valid State of California class'.
Sink,Bar fication orlllm athe legal owner of the residential property de-
CC Sink, Kitchen scribedcbov'e.
W Wash Basin(Lavatory) ,.1.11 I (Willy that I have obtained a permit from the State Division of
1 WaterCloset(Toilet) n 11 1 Industrial Safety for excavations,other than swimming pools,five
a
Ofeet deep or deeper and into which a person is required to descend.
CC Drinking Fountains d'9 1s 4\.'I' Signature of TH CrTrus ?co rr-e3ie S T-rl.c
d Floor Drains _'( i lia) p, Permittee 1 I' .-,`�-4l-
Z Interceptors vy Ili
= Receptors , i1. INSPECTION RECORD
, Sinks,Commercialorilndditrial .p�
F- Sinks, Floor . r9 % l.....4 _ t -tv`^'
Sinks,Seryid! I ➢'� t ll Q
`
S Swimming`I!ool' PAC
W _ Wrinels 1 C. ii//
tl tU Dishwasher i`.
rt
IL, Disposal Owt�
D Water Softener
O Water Heater and Vent 4 cro
Gas System ...Outlets...
ti Roof Drains APPROVALS
CO Water Piping Alteration INSPECTOR DATE
= Backflow Preventer U/G Soil
I- Lawn Sprinklers(Res or Non-Res) U/G Water
Property Sewer... Feet Services—Water 0 Gas 0
Solar Piping Rough Plumbing
Cesspool,Septic Tank Sprinkler System
Sewer Cap Gas
Miscellaneous Property Sewer
Pool Receptor
Filter System
Sub-Total Pool Heater
Reinspection Fee Miscellaneous
Processing Fee -g Qi)
I TOTAL FEE . Final Gas
Plumbing Final
7 Utility Co. Notified
CMF 0450-46 BLDG. PERMIT NO. ,sic
II
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10583 x- 1;1. RE.CEVEU
COSTA MESA BUILDING-SAFETY DEPARTMENT /0_ /6-Sy
R 0.BOX 317 COSTA MESA. CALIFORNIA
• FINANCE DEPT.
TOR APPLICANT TO TILL IN COMPLETELY APPLICATIONCF,OR [PERMIT
[tet/• TYPE OR PRINTJ/L / �/I BUILDING
BUILDING ✓7J //Jj( .N�,✓'„P, l C . 111 .
ABUILDI G L
COSTA MESA. CALIFORNIA TOR OFFICE USE ONLY
y/"J �/�9 Ga, RECEIPT NO. I /P0 6TA 3
OWNEIa-/"GLI-P.(/1 / /�/1/I/L�+L✓-�07'(, T
ADDRESSE
. S /[) A �/(/ �l'1 4-yi-IMAIL '. RECEIVEq.BY O7'7 --/k
/ V/E b�/��f_nn��Ai ISSUEDG�y`�.
. CITY (2/1..:/� /4752-`6---4*-- TNO. ADDRESS 5 / D l//(_ // 3'� .l •
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR ENGINEER NO. o
FIRE
'. ADDRESS ,,��JJ 2 /�/y�. ZONE TYPE GRODUUPP) CJ//J
CONTRACTORgi/- & ag;1-�'LC1C.NOnt L 6 7 . APPROVED �/ DATE 3
ADDRESS/..787! /1/66.4 a4A.' • S .-A ' ZBNING
LEGAL LOT ZONE NO.OF VSE OF NEW /1
DESCRIPTION NO. BLOCK 'TRACT /f/ PLANS �^/ I BU ILDINO /,(7Pt.°
` ' .. �.. '2 C� APPROVEDED F � DATE )0//6/7.,
' A.P.NO.. SIZE //II 1/ �A�
EVES
OF LOT �j l,/ •^ AP-0 l NOW ON LOTS / REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. ,„...a,','s'-1 ...:4-0-‘--C-77-Q-- FRONT Jr-?� FT. IN.
SETBACK LINE FROM q le
CENTER OF STREET REAR YARD R.SIDE 7e.) !, FT. IN.
' SIDE YARD I LEFT I RIGHT L.SIDE /i9 6 FT. IN.
DESCRIPTION OF WORK i
NEW I [/ISL REAR /E) ./P3i( 2,{A,�T/ IN.
" II ALTERATION I ADDITION I ���-ed Ja
REPAIR 'JI I MOVING DEMOLISH I 7 "-Sr 4'tEo6/J 7/7 `UlQc4.1P P`4(yet, 9D-[9.,s
SIZEIDIN Gam••'/ nta•�4n, NO.OF
rROOMS / STORIES /_. EXTERIOR
`�
1C�
COVERING \Al14744._.ty I COVVERING I`1.,fr1y ' "'
US`E,OF BU eDING AND WORK TO BE PERF RME
tik „..tee w-j1 at
y
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION.
CONSTRRUCTION. VALUATION
097/3 A
PERMIT FEE $ alit---
. SIGNATURE O/ (44 •
l�!/ [-t...c....t.--,----
iPERMITEE / $ Cif
61)/'� PLAN CHECK $ h
AUTHORIZED AGENT / ....9/1BJ TOTAL FEE $ 3 6 J
•
Applicant to fill In all spaces except those within heavy herder lines and sign all appropriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT, NO. p TRACT NO. LOT NO. UNIT NO.
ProjirAddress 2s•l0 ,2c �L p EA.,
IJ 2J t`If. GJ s
Applicant's Mailing Address !- �t L h/f TYPE OF CONSTRUCTIONIO��� LI NEW IJ ADD U ALTERATION U REPAIR I
Owner's Name SI /� L GG T't31 Phone YS-9Y.CP ❑ CONVERSION LkTDEMOLISH ❑ OTHER A,P-ql6 I Zone ,
1L
DESCRIPTION OF WORK/USE OF BLDG.
Address / 4' at ts,9-IQ_ S Main Building: Accessory Building:
Arch/Eng. License No. TYPE OF PERMIT LI GRADING LI FOUNDATION ❑ STRUCTURAL E Front 0
Address 0 TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL BRear N
0 OTHER A
Contractor's Name SNA/e Phone C Right N
Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY
CONSTRUCTION TYPE VALUATION$ ( t T....1 — S Left 0
City License No. .GRADING CU.YOS. ACRES R
LICENSED CONTRACTOR DECLARATION Ping. Rei.# Parking Req./Provided E
O
1 herebySection
ec affirm 7 that I am licensedion underfprovisions Charter 9(Commencing Remarks: Planning Notes: M
with sense is n full of a and 3 of the Business and Professions Code, and T
my license is in full force and effect.
License Class License No. $
Date Signature PLUMBING FEES .
WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES
I I hereby affirm that I have a certificate of consent to self-insure or a certificate
1 Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink
,800, Lab. C.) Automatic Washer Transformer 0 15-50 KW
Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW
BCertified copy is hereby furnished.
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps
Date Applicant
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter !Dover 100 amps
(This section need not be completed if the permit is for one hundred ($100)or
less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is Issued, I .
shall note ploy any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1%-B
Workers' �O p�,D ton Laws of Californy �_
Date 'f/fir Signature r.! �� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09.15 HP 016-15+ J
NOTICE:If,After making this declaration, you should become subject to the —
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave
comply with such provisions or this permit shall be deemed revoked. •
CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light
i hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.)
Interceptors Water Heater Outlets Range
Lender's Name
-
Lender's Address Kitchen Sink Water Service Switches Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal
Standing Sections
following reason (Section 7031.5 Business and Professional Code: Any city or
county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW❑5-15 KW Trash Compactor f
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 Roof Drains
the Contractor's License Law(Chapter 9(commencing with Section 7000) of
Division 3 of the Business and Professions Code) or that he/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 more than five hundred dollars($500). $ 3
U I, as owner of the property or my employees with wages as their sole Reinspection Foe $15 Issue Fee
compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3
for sale (Section. 7044. Business and Professional Code: The Contractor's MECHANICAL FEES
License Law does not apply to an owner ofd property who builds or improves
— DEVELOPMENT SERVICES REQUIREMENTS:
thereon, and who does such work himself/herself or through his or her own
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement Is sold within one year of Com- Canopy Type II ❑ Zoning Approved By Date
pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By t Date
rove for the purpose of sale). — '�.
W•Cas owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date
tractors to construct the project (Section 7044,Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU SUM ARY0F FEES
.p uilds or improves thereon, and who Contracts for such projects with a con- O s O -
tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ -� SMTP $
, proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ - - PERMIT
tgrikrain exempt under Section ,,�_�0.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $
.�/��.✓-/A7
ate Owner ! Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $
I hereby car ify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $
sentatives of this city (o enter upon the above-mentioned pr.•ert for
inspection purpo s..v/�,
Signature •�f' l7� Date 7 - MECHANICAL $ TOTAL FEE $ eZ.0
Drivers' License or SS# _ _ — Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $
CMF 0865-46,rev. 10/84 Pink -Accounting; Goldenrod - Assessor til UUUU8836-00U08887 TOT 25.56
CONSTRUCTION AND PLANNING POOL &SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1'. 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
5. Steel 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, D Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater& Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 7.
20. Rough Factory Fireplace APPROVALS Permit # ,.
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping CGas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank D Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
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. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test • '
36. Hood or Canopy
37.. Final Factory Fireplace
38: Final Plumbing
39. Water Service-Final
40. Gas Service-Final
•'41. Solar Domestic-Final
`42. Backflow Preventer •
43. Backflow Irrigation
Landscape Irrigation System
45. Sound Attenuation '+ ) .
46:' Handicap Regulations •
•
47.-FINAL STRUCTURE & BUILDING 0/97. a • 1
48..Special',Requirements Completed •
49. Electric Release to Edison •
-
50. Gas Release to Southern California Gas Co •-t `
51. CERTIFICATE OF OCCUPANCY
No. I Date -
0:
COUNTY OF ORANGE - •
BUILDING DEPT. Permit No
3 ?a? Crti,
.
636 No.Broadway
Santa Ana,California Application for Building Permit
Phone:KI 2-6211 AND FOR A
Certificate of Use and Occupancy
Date - 94 r 3.— - ---
I. OWNER'S NAME g 11E4 74- ,ti FR w 00 13 PHONE-
MAILING ADDRESS 2-.6.-76 r E.-424nel (dr V C CITY(lb.5 774- 11 1171"
Name Name
(Architect or Engineer) (Contractor)
Address Address 5" A Pi r
City City
State State
Lic. No Phone Lic. No. 2 9 VY 1 Phone
PROPOSED USE- h/4- R A-ye
2. JOB LOCATION r.5710 - v — , &as...7-4 S 4
(House No.) (Name of Street) 0 (Town or School District)
3. LEGAL DESCRIPTION: Lot)/r, aca- 0 / 33 .Block Tract...3 2 .6_
(Metes and Bounds Description—Use reverse side of form)
4. CORNER LOT ( ) INTERIOR LOT ( )( ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG ' -)-o ri-C2 AREA- V0 0 SIZE OF LOT' G.O._X3 ) 6 AREA•
6. HEIGHT OF BLDG • /i
CEILING HEIGHT- Cie li NO. OF STORIES
7. NO. FAMILIES Size of Smallest Bedroom Size of Kitchen
S. EXTERIOR WALL CONSTRUCTIONS "711_7 Nil•rig-74±4TERIOR WALL COVERING
(Frame, Stucco,Etc.) (Plaster-Drywall, Etc.)
9, SETBACKS: Front Yard From Center Line of Street eb i
Nearest Side Yard ' Rear Yard...V.-22 7 Distance in Feet Between Bldgs. on Same Lot_ /4 /
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
g sifr
11. For (a) Footing: Width Depth in Ground Width of Wall
Accessory
Bldgs. and
Similar (b) Size of Studs- -5.,Y. y. Spacing /fel "CC Material of Floor 0../TQ 11 Structures:
(c) Size of Floor Joists Spacing "CC
if tr
(d) Size of Rafters- --)-- -71C- - I-- Spacing > 4* "CC
12. ' VALUATION OF p#OPOSVA,WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $. 6. op —
1 3. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA-APPLI IRE THERETO.
At 1'
Signed:. -•Pot71t-4/14/0--e •
(Owner)
Plans Filed'
5?-1-•,•--tr -).-- •
By'
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: . .„1.,CH KING BY
Bldg. Permit - $ 9_0 V GROUP 4 APPLICATICC.2.. . HEALTH
Plan Check - , $ /.-0 0 TYPE ZONING it FIRE
Total - - in- $ 4,57:00 DIST. MARSHAL
Receipt No. (IC- ......./ .5-.61 MAPersi...51 PLANS AND
SPEC'S /1 STATE
Paid to - - SHEET NO. CORRECTIONS ENGINEER
Date .5-'IA ttl... VERIFIED CAL
PERMIT IS 1,p tikea COUNTY -BUILDING
ON HU
I I
DATE.........3.7(2er.0.../S sts
t -----'•-•; ;•.;•---------. DEPUTY
SM-fl-Si
M
* ETES AND BOUNDS DESCRIPT' •
.
•
110 2I0 3I0 4IO 5'0 610
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` oI- 1 L I I I I i�-1 --1 I I I I ----I -�---�--I I I I .•
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 North FORy _ BUILDING 1
• SANTA ANAA,, CALIFORNIALI
\ FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
• �••� _ ///'-/� RECEIPT NO. /�P EERRMI06T- NO.
. BUILDING ADDRESS �./ / 0 El Q'E/U , ,4 V r ' 7SJf !J Al
SCHOOL DIST. /pTOWN 11.. ]`O C i /`-/ T CCS �/. RECEIV D Y DATE RED. DATE ISSUED
NEAREST ,{� p ,�I ,/�yyf
CROSS ST. �^y• DL-2 .'%tJ.�rr/11' t /1 V t T arra a T j
�• OWNER 1�`® In Lit tt ! !9 4 ,\� 1/f6(1 /J ADDRESS • I2/ a 4 i In".. •O
I MAIL 2 R 7bFL eft Iv I/2 , SCHOOL DIST. e
ADDRESS J l�
/� Al ]] wvoti
OR TOWN ,/(����
CITY \ D .c TA / L Es'I�' NO. ' CpROOSS ST.' �,E"X iv�t
ARCHITECT OR LIC. Z// /d. I PLANS % I TVP I G
ENGINEER ��'••�� NO. ` ��TT
ADDRESS ,
// ��FLEA
p 9,7C111/
,�,,// �� APPROVED- • - - ' -.d!' 1.1044 '
`NTRACTORV..iLEArfnERw°Ap NO. 2-Y6/i%' BY - DATE
•
ADDRESS ;115 70 E/ itw A yr ORRECTIONS
LEGAL I LOT u I criedTRACT) /
DESCRIPTION NO.
(ATTACH METES @ BOUNDy )/�
SIZE OF LOT A .1 NOW'/O, NO.OFON LOBLDGS.T /
USE OF fie-EXISTING BLDG. 2A 9C NAOLOIEFS/ ROOOF
.0 .•
SETBACK LINE FROM: ,y`+/ REAR,YARD 0./..1.4-•
CENTER OF STREET D./ SIDE YARD n: '
DESCRIPTION OF WORK 0
C E
NEW I I ALTERATION I I ADDITION I d Z
y
REPAIR I I MOVING I I DEMOLISH I r
SIZIEDING /� ^1+! ROOMS .3 STORIES /
EXTERIOR /WALL $ Amar ROOF ee Cab t_ `N'
COVERING 5 M/N9LFSI COVERING n r.I,Ur, �! ! j/� `RS;E OF NEW j� w i j 1 / / � ` `❑LDING ✓ L F V - i ��ROVALS
FOUNORMS. TERIALII�J^�CTOR % ��i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS UNDER. MATERIALSVi/./O
O
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS.
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACING, BOLTS 1/170 W Pt-
/'QM'� LATH. INT. I
SIGNATURE OF A'• n,� /.i II,t r J� LATH. EXT.
PERMITTEE _ {l PLASTER. INT. a.
AUTHORIZED AGT. 'PLASTER. EXT.
O 0 PERMIT FEE S MASONRY REINFORCED /�-L���... -+
VALUATION F, `�] do o PLAN CHECK S BOND BEAM ) t.s
m n.ao.nn `7 TOTAL r FINAL• 1 �
CJ 0 :Z -_,Ty
n. .. .y •TOE $ 1
4•
Z w
!.
• a _ .-q, Lr'-<. 5 .
4
f'a '• t kt,k -4 �
y� C r'f: .-► �.. %.L./ �`��wc.... �'' ' .�..'`' t_e/' r, ,rte
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fr LD\ STjEETA If }�
" PLOT PLAN
Show location and distances from
property line and between buildings. _ _ .
06, 47- 3 3
a57' ,