HomeMy WebLinkAbout3382 MARIGOLD CIR - Building Permits. .... . ..._. .
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CITY ... COSTA ."•:iSA ?tEOU�ST FO?t OCCUi�.__.:Y
TRacT tro . �1 `i 1 $ DATE 1- \ � - -t 3
LOT N0._ l?� � .
aDDxr.ss_ 3��� � � a Z� e�,�. ��z,�L E '
The developer of the above entitled trzct desires to sell the above set forth
lot prior to the ti�e that the trect has been ca�apleted end its streets
accepted by the City of Costa h`:esa. '
The undersigne3, by executir.g this egreeWent, acknowled�es that (he-thP-�
� (cras or-crere) ,,,,kS advised that this tract has
not been given final ins�ection nor has it been zccepted by the City of Costa
Mesa as having complied with,the conditions of approval which were inposed by
Lhe city at the tine the final tract map was zpprbved. �
The city assumes no'liability for;the enforcement'of the conditions necessary
for approval otrer �han those conditions protected bf surety bond,
The undersi�ned zorees to in�e�+ni;}� and hold the city hzr�less fron any clain
resultir.g in da_.�aa�e or persoael in�ur,� to the unde=signed by reason o:' �he
aforeWentioned uncenplete3 cor.dition.
;;
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gy � /7. �/"i'..�. �� —
Purchaser
BY__ ln,� c,k� u Y- o��.�
Develo_ r a�:c/q� au �-<-ec
represeatative`�_��.., q..�.
C�
BY_ �.Gc.�GGa� l,J��
Lender
Aooliwnt to fill in a11 soatts exceot tnose witnin neavv Goraer Iines anC sign a11 aoorooriate tleclarations.
CITY OF COSTA MESA PERMIT NO. . TRACT NO. LOT NO. BLD . . 8269 �/O9/B4 S.00
CONSTRUCT�ON PERMIT � /,�5� 7
Project Address TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R
Appliwnt'sMailingAddre;s. ❑CONVERSION ❑DEMOLISH ❑OTHER q,p,# Zone
%�J � n �tG�� ��%� DESCRIPTION OF WORK
Owner i Nam' �^-��w' Ph^^ - $ Main Building: Accessory Building: Z
Atldreu '..� ��. �71c/LCAA� �� � �QD e o
TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL T Front N
Arch/Eng. Licensf No. ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Rea� �
Address � ❑ oTHER A N
PROJECT DESCFIPTION 5Q. FT. oCCUVANcv C Right G
Contractor's Nam /�7/'� • Phon � K
Addreszlmailingl�/ �� • f�GL�C..��' CONSTRUCTIONTV7E VALUATION$ g Left E
p �7p"� ZONE GRADING GU. VDS. ACRES Ping. ReL � Park.Fe¢s $ �
Ciry License No. �� b�� U
LICENSED CONTRACTOR DECLARATION Remarks: � Parkin9 Fieq./Provided �
1 hereby aRirm [hat I am licensetl untler provisions of C�arter 9(commencing q
with section ]000) of Oivision 3 ot the Business antl Protessions Cotle, antl Use of Building: E
my license is in tull forc an t cL /1/�
License Glass � � L�I�ep�e No. � L��� PLUMBING FEES Planning Notes: M
-. � I�-7 S.' co�ar rP� U> 1 l 1� ' E
tKE 5' COMPENSATION DECLARATION BafSlnk ShOwe15 T
..creby aftirm that I nave a certificate ot consent to self-insure or a certiticale Backflow Preventer Service Sink � � S
of Workers' Compensation Insurance, or a certitietl topy fhereof (Sectlon
3800, �ao. C.) - Backflow Irrigation Sewer Cap ELECTRICAL FEES
Policy No. Company
8 Certifietl copy is nereby fumishetl. Bathtu6s Sewer Connection Automatic Washer Transformer ❑ 15�50 KW
Certitietl copy is filetl with the city Builtlin9 DiviSion.
❑ 50+KW
Date Aov���ant Clarifiers Solar Collettors Construclion Pole Sub.
E%EMPTION FROM WORKERS"COMPENSATION DECLARATION DiShvJdSh¢� 5013! Pipi�g COOkiny Unit Meter ❑up LO 100 dTpS
(Thi55ection n¢etl not be completetl if the pe�mit IS tor one huntl�eU (E100) o�
iess). Drin in Fountains
1 certify,that in the oeriormance of the work tor which this permR is issuetl, � 9 Solar Tank Dishwasher Meter �over 100 amps
shall not employ any person in any manner so as to become subjec[ to the ,
workers' C mpen a i n Laws ot California1' /� Floor Drains Swimming Pool w/Spa Dryers �Gas ❑Electric Sub Panel
Date �9��SI9natur¢ r'' `' �u . -
NOTICE: If,iafte� making this tlecla�ation, y0u shOultl become ubj¢ct t e FIOOf $i0k5 - - U�inel F9n MOt0�5 �al HP �7 h- 8'- -
Workers' CompensatiOn provision5 of the Labor Cotle, y0u must fOrt ItM1. -
comply with such Orovisions or tnis permit shall De tleemetl revokeE.. GasService Outlets Water Cloret F.A.U. InaSolar �9-15 HP �16-15+
CONSTRUCTION LENDING AGENCV
I hefeby affifm tFlat th¢re is a con5truction lentling agency (or the p¢rformance Int¢fCCptOfS WBtef He2t¢I � Fixtuf¢5 � MiCfOwdv¢
ot the work for which this permit is issuetl (Section 3097 Civ. C.)
Lentler•s Name Kitchen Sink Water Service Device Boxes Pole Light
lentler's -Aatlress � LavatOries
OWNER BUIIDER DECLARATION � ' - Outlets Range
1 hereby affi�m that I am exemOt from th¢ ConVacto�'s License Law tor thG p_Tfe
following reason (Section ]031.5 Business and Professlonal Cotle: Any citY ar P � Switches Sign
county which requires a pe�mit to const�uct, alf¢r, iTprove, tlemolish'o� �e0air .. , �
��?�py structure, prior to its issuance, also reqWres the applicant (or such p¢rmit Roof Drains ' • Garbage DispoSal Standing Sections
�'?'Contractor�'s5L cense Law (Chapter�9 (co mencing with $action ]000) Ot t • � . . �
�'i;:aiswn 3 ot the�Business antl Professions Coae) or that he/she is exempt . � Genera[or �0.5 KW 05-75 KW Trash COmpacror
Ihereftom� antl Ihe ba5i5 f0/ the allegetl exempUon. Any"violation of Sectlon .
7031.5 by any applicant for a permit subjects tne•appllcant to a civil � qeins ction Fee �$ 3
enalty ot not more than five huntlretl tlollars ($500). � $�5 , laue Fae
� I, as owner ot the property or my amployees with wa9es as their sole .- ' MECHANICAL Reinspection Fee $25 luue Fee .$ 3
compensation, will Eo the work, antl the structure is not intentletl or offeretl � � FEES'
tor sale. (Section J044, Business antl Professional Cotle:� The Contractor's � , PUBLIC SERVICES REQUIREMENTS: �
License law tloes not apply to an owner ot a property who bW IG5 0� imp�ove5 BOiICf ' HOOd O! Type I ❑ ' ,
thereon, antl who tloes such work nimseH/herself ar through his or her own ; � . 2oning App�ovad By Date �
¢mployees, provi0etl that su<h improvements are not intentlatl or of(eretl tor CenOpy , Type II ❑ � � �
Duct = Under Ground
sale. If, howev¢r, the Cuiltling or improvement is soltl within one year ot com- � ' � Buildin8 APP�Oved By Date
pletion, the owner will have �the bu�tlen Ot prOving he/she tlitl not bui�tl o� Im- ' . -
rove for the purpose ot zale). i ' Duct - Structural . � Refrigeration SVstem '�- i,� Applitation Issued By ' Dat
� I, as owner of the property, am exciusively contracting wilh Iicansetl con- ❑0.700,000 BTU ❑100,000 BTU
tractors to construtf the project (Section �044, Business antl Protesslons Cotle: _ Ouct - Ventilating _ . . SUMMARV OF FEES , � •
The Contractor's LiceBse Law does not apply to an owner oi property who - �- ' BUILDING PERMIT $ � SMIP . $
builtls ol imprOves thereon, antl who Contract5 for Such plojlcts wlth a con- EXhdUit $y5t¢T ❑ Multipl¢ ❑ SySt¢T REpdi!/AltBfdti00 - ' ; �
tractor(s) Iicense pursuant to the Contractor's Ucense Lawl. . PLAN CHECK .$ � BERMIT ' �
❑ I.am exempt unaer Section , B. & P. C. for this reason Firepl/Fact. Bli. ICBO # � � ,� PLUMBING ' �$ ISSUANCE $ '
Oate ' Owner Heating System & Ducting � PLAN CHECK 25% $' ENERGV P.C. $
.I hereby certify that I�hava.�reatl this apv�ication antl state that the above • �0.100,000 BTU �100,0008T' _ . .. ._ i. __. _ . GRADING '$
intormatlon is correct. I agree to comoty with all Uty ana county ordinances � ELECTRICAL � �$ ,
antl'state laws relating'to builtling construction, antl hereby aulhorize repre- ' , � , PLAN CHECK 5096 $ ' MICFOFILM •$ �
Sentatives oh this city to ente� upon the abOve-mentionetl P�opert t � . . • � , . . � �
inspectlon purpos (� � ' ' � MECHANICAL � $
Signature � oate �� •� • � TOTALFEE $ 5' �
Drivers'�License or 55 � Reinspection Fee �$25 Iswe Fee $ 3 PLAN CHECK 25% $ {
�CMF 0865-46 rev. 12/83 White - Building; Canary - ApPliwnh Pink - Accounting: GOltlenroU - Azsessor � � � - -� � � � � � -"' " - " "' '
TL'
i CONSTRUCTION AND PLANNING PC $ SPA _
-..APPROVALS Permit # Date Inspector qpPROVALS � Permit # '.Date tnspecto� .
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. ElectricalConduit-Undrgrnd. - 55: ElectricalBonding . "' - - ; �'' ' •
5. Steel Relnforcement . 56. Rough Plumbing & P�essure Test , - _
6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE�
7. Footings 58. Electrical Conduit-Undrgmd. -.
8. Foundation ' � 59. Gas Pipe, O 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 & ReceptorFinal �- .
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 �" - ", � - " - -"
i i
76.� 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' '.
� 20. Rough Factory Fireplace APPROVALS Permit # �' �� - '
21. Duc[s, in Structure 70. Underground Hydro • � -�
22. Ducts, Ventilating 71. Pr'oduct Piping � Gas' ❑ Oil � �
23. Gas Pipe-Rough & Test 72. Underground Flush _. � �
24. Roof Framing 73. Undergrnd.StoiageTankQGas ❑Oil�, �
25. Roof Sheathing .� �74. Overhead Hydro - •
26.� T-Bar Ceiling (Structural) & Monocoat ' J5. 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. Electriral Power Meter-final 80. FOOD CERTIFICATE ISSUED �
33. Final Electric Notes: (��- C'42O , c.� �� �Y L�'�
34. Final Heating & Air Conditior�ing ' _ �
35. Final Gas Pipe-Test � ' � � - .
36. Hood or Canopy � ' , , �
37. Final Factory Fireplace � ' � - � � - �
38. Final Plumbing �/?y�j��/ (EO � �
39. Water Service-Final � , ' � , -
40. Gas Service-Final � ' , � � � " �
i•
41. Solar pomestic-Final � � � � �
�(\
42. Backflow Preventer � ' '_ �
43. Backflow Irrigation � - '
44. �Landscape Irrigation System ' _ . ' � � ��
45. Sound Attenuation � : � � - �
46. Handicap Regulations � .
47. FINAL STRUCTURE & BUILDING � � , � �
48. Special Requirements Completed - � � � �
49. Electric Release to Edison � - � �" - .
50. Gas Release to Southern California Gas Co . � ,
�
51. CERTIFICATE OF OCCUPANCY - - - - - . ,
No Date ' _ . � _ . ' .
ADOXE59�CFBN�Wq: �]3BZ MARIGOLD CI 01f`
`�r'Eas".�Ei`w�w"' HOWARTH, MICHAEL H FLOOD: AH-38
�°opEs' 15357 MANDAN ROAD
APPLE VALLEY,CA 92307
MFL. WIWq �DDRE59:
�xcxrtecrox uxyxun:
/JMN.OF FNO.'B AOONE59:
uc. wo.:
uxt:
cartn�crarsxu�: CONSUMER SERVICES (714)839-4549
LOHfP"ro"81u1°10 16702 MT HAXTER .
ADDfIES& FOUNTAIN VALLEY CA 10�N0�' 676090
92708 u"T
LICENSED COMNACTOfl9 DECL�PATION: I MnEy aRim uMm pe�y d perjury IMt I em liroreetl uMer powbm al Chepx B
(com lip r.ilh Seclion 1000) ol Dhiaion 3 0l Ne Bueimu eM PrM»sione Code, eM my licenee b in lull bece enA eMM.
c uc. io.: � 1 42 uc.cuss: C39 �c "/0� 676090 EXP: SO/96
/qeia: Z!7 �Y� comrea«: _ C--B N$L(�/I/7'C9y S' f$Q(flC�S
( �W N BUILOEN DECIARATION: I Mnby df�m uMar penely d pe�ry ��p l em uemq tmm the Conumon lioerae law la Ne
' ne.on (sxibn )mis ewnm+end aideabn cods: My Gv «ooumv wrid� reau'vee e o�i io mmmcr. en«.'vnnon.
d'ah. a iH+v anY uvnun. ➢^�+'to'as eauence. ebo �Wwrm IM aCd�� b sucROs�010 fib a eqrntl sbtaxnl Uut M w oM
.,cemed W��� lo IM pwieiam d the Canlreaore L'xema lew �Cheqm 9(oommentl�q wlh Sedian ]UW) d Drvbion � d Ihe
Buzroa erd Prdeuiona Codel a thu he « eha o vemq �nereM1an vM iM E�a 1« Ne dbG� uemqion. Nrv vcW bn d Seaion
�w�s w�v aoowm ia a v«�,m waaa+m. eocr� �a. aa paw�. a �a mo�. m.�, r. n��e�e aoo� �ssaau.
❑ i.�o�.amewwanv«mr�oim�.�,.n..ec�...m.:.a.�w�m�.�;neo�wwk�d�.��,rn��.a„a�me�.e
or Mared lor eeb (5eciiwi'lOaa. Buarieav eM Prdeasiona CoM: Me Contredae Licenae Law Eoes ml eppyloen ownm d popa�ly
who EuiM a inV�� iMreon. ad who does auM wak h'vnmtl a Mnell a thrnM he a Mr awn emW%ees. Va'� �ha wch
impwwnems ere mt iruentleE a Wered la seb. tl. Mwewr, iM Wikirp or inpovanaru e sold wnNn one Y� d oomplelion. Ne
owmr-0uiHm xill heve tM WrEm M pwiep M w aha did mi b�W w imprwe la iM puipme d eela�.
� 1. aa owinr d ihe OAVaM. d^ �dumeN �nireGiq wilh licens� conVaclon lo cm9rud ihe qol� (5edion )Oaa. Buainme eM
Proleevau Codo: TM Gonimtlwe license Lew Aom iwl eppty lo en o�mer M poqrlY ��iWs a impwm Ihereon vM who
convena lar euch yqeea wnh e mMredoKs) Iranaed punuem ia ihe Coniredws Limme law).
� I em eRamq undar Seclion: B. 8 PA.. Im Ihie memn: '
Dete�. Ovmer:
I do heraby cenity tlw I em ewere M aM uMasiaM IM reQuimmenis W CelLomie HeMh enE Selary Catle Sediom 25505. 25SU, vM
2553e, erd iMl I a enY Mure Wikirp om�pem will / wil mt (tircb a�) �� ie �p�y µh aeid mma oodn vd �M �apuiremsnia tar
s0am11amre1tuctionamoddrwionhomlMAi�u I�ar�epe^emDqlrid.FefiEeMielcan%iutloneGO�iomaneaemqfrom�hma
a�.
Dale: Apd'eeeu:
WONKEN'SCOMGENS�TIONDECWiAT10N:IhereEyeH wdrp�pydprjWanadtMloOow'vqEsdaratum:
� I hew vM vnl meinten a eenifema d eonxni to eaHinwn lue w�� �p�eqp�. m p�� la Cy Sepion �)00 d ihe lebor
cae.. i« ine wnw�. a�..m �a �n �w. w�u ��awe.
� I Ma ud W meinian woMe' mm0e�bn irouruo. n�N��'ved M Seeim J)00 d Ne lebw f:ods. far �M WAormerioe tl iM
-• work Ia whidi �hie permn ia mued. MY Ma�n �Oe�� i�uurencs umer enE pdicy nivnber ere:
Oen1eC -62�8$A�6*rT�� EXPIRES
Pdry Number. 0 3/ 2 3/ 9 6
(Thia aettiar nestl nw w comple�ed I rhe perm<b b one nun dWen a Mul
ce Inel in ine va�ormenca a �he xroik lar whcn tnin Pa�ma ia i..ued. I ahell � emv r va�n i ny mennar w ea lo
bec e euqed �o iM xnrka% comVs�tion lewe d Celilwnie. eM Wres ila� il I uk becan ied io IM r.orFen'
wn mwian On siwu W.+ a�oo a me imor coee. i ei,d �ann.mn oomoN � i ea pmvia . ^�
,�a: /2 �( � AowK��:
W lip: F�Nu� b��cun w Men'rompauetlon cwsnp� ��( ��d �IWI �u4Nct �n wmp/oy crlMnl pxultlu enL
H/ flnea �y ro ons h,nLrM tlouuM Lo/Ws /S/Oq000A /• Itlon ro Ms cwf o/ crompmutbR � pAV/CW br In
Sxtlon J106 0/ Ms L�boiCOW, Infena, entl ettomq's I•
CONSTflUCT10N LENDING AGENCY: I MreEy eKum uMm peneyy d per'µy �hu iM�e e e o.�nzNaian bndinp epency br IM
rono�� a me � �« wn� ma v�� a�,ee �seco� xa�. c:,. p.
LENDEfl'S NAME:
LENDEN'S �ODflE53:
I cmily IM1ei I heve reeE Ihis epplicmion eM Me�e �het i�e ebova iMamy�p� u rortee. I epiee lo comply wnh ell my eM coun7 �ineMea
eM etae kwe nWnp to WiWvp wnsvuaion enE hereby eWwrve repmaenlWWea d ihu cny ta anier upon �he ebv+a�meniuned propeM
Ip irupMion WN��.
JONO W NGI
� e9q
�r� o�a �z �� �
s�e��,< w o�,�� VAFPIicenUC m.aaa
(5t51�a@�W� W�ne-Buiqip 8 Sdey: GraeirFle'CSnery�Appy�i; Hnk-Rmenue; (bkenro�Anaeamr
CITY OF COSTA MESA — BUILDING PERMIT pERM NO: H 075547
PERMIT NO; H 075547 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: OTH
JOB DESCRIPTION : REROOF W/COMP. OVER 1 LAYER WOOD SHINGLE SQ FT: 2,800
CLAIM VALUE: 2,800.00 CALC—VALUE: 2,800.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTOR RE�'D PER 91 UBC.
**�rx�+rx�+rx�***�***x�*�*���*�r*** **x�+��rx�x�x�x�*x�*�*x�**�r�*x��x�rx***�r���s+r+r+r*�+�*�r*�r*******�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARRING REQ; PROV: PARCEL: 41218223 ZNE: REF NO; .
PLANNING NOTES>
i
itit�rie*�r+t*�itit***x�*itie+tit�r�r***iEftit****�rit�+titit*�x�etatx�itx���**ie*it*�rx��r**it�tatatat***ifitit*iEitatit��*
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,'I'. S
ZONING APPROVED BY DATE: �"
BUILDING APPROVED BY : DATE:
i{�►eU i ��7 \! �E.XY11�1 �7:i•1
LEGALIZATION:N F E E S U�M M A R Y
BLDG PMT PLUMHING ELECTRIC MECHANIC
PERMIT 54.00
PLAN
ISSUE FEE
DATE: '
i�TF*��r+�*+�*+�+�* �r�*
STRUCTURAL S G NT:Y
i
FIRE SMIP/RES GRADING
50
—, SMIP/NON—RES
BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54.50 54.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 .50;,
!k 1! 1E 1k 1E iFlk 1E 1F 1E 1E if if 1!!f i! 1E ii iE ik iE iF 1F if 1f if 1E if k 1E 1E 1F 1E 1E 1E 1E 1E 141f ff if 1E 1E 1E iE 1ElE IEik k 1f if iE 1E If If 1f k iF 1f fE i[' iE f! �E fE iE 1f 1E iF if 1k 1k i41k if k if iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2800 REROOF HY VALUE RESIDENTIAL NOZONE
END OF FEES
i,00 z,ioo,00
OS a"?qd:: {��C1S523= Ti n3"Q ��c�$i3
Jf7�: 12;!t"�G Ti`i�` _:-,E
r CONSTRUCTION AND PLANNING PO, � SPA ,
APPROVALS Permit# Dace tnspector APPROVALS Permit� Date Inspector
e
1. Temporary Electricai Service or Pole 52. Pooi & Equipment Location
2. Soil Pipe•Undrgmd, y 53. Steei Reinforcement
� 3�., E(`ectrical Conduit•l;Jsi�ity•Und �rnd. 54. Forms -
x 4. Electrical Condoit'd7odrgmd. 55. Electrical Bonding
_�. Steel Reinforcem�n�� g g
56. Rou h Plumbin & Pressure Test
� 6.' giectrical UFER Gr,nc� 57. APPROVAL TO COVER-GUNITE '
:JT..Fqptings -'.`�y ' 58. ElectricalCondu�-t�nd�grnd.
� 8: �Oundation -�-ic 59. Gas Pipe, O Undigrad., Test
i -v.
'�.�Water Pipe-Undr�nd. � 60. Backwash Lines,'P�SFap, � Undrgrnd. .
70. Structural Floor System 61. APPROVAL TO•DECK
1 t. Property Sewer line & House fAnnection 62. Backwash & Aecepror-Pinal
12. SeG+er Cap `' a, 63. Heater & Vent•Final
13. Foof Drains 64. Plumbing SYstem � Final
r.
74. Rough Plumbing' 65. Electrical�Final
7'5t Rough Electrical-Conduit _ 66. Solar System�Fir�al�, .
76. Rough Elearic4V�rin¢' . 67. Fencing & Acces`sApproval
�
77. Rough Wiring Sign v i 68. APPROVED FO,I�{ PIASTERING
18. Rough Electricab'x' Bar Ceiling`� 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning T ,+ _ FIRE DEPT. REQUIREMEN
�' C^ O'•-+u:c'� �. .I �-� 'li
20. R�Iugf�_Fa�pry`,�FirCp�ce ' r �'. � ?y' PpR�2V,�YS:�=�era"'jit���
� .
21. Duas, in SVu3Gre^� � •� •• •- , � _ G -rr �70. Undergroy�Hy�ro �
22. �utts;.Ventila:),t�9 ;�w � ��� �� �� F�. �.,71. Product P�rgip9 C1Gjs D�7if
23. G3s Pipe-f�ough�& Tesi ;,�. �� 4 Ox 72. Unde�gro6li d Flusif.+'�-� • �
.�
24. fi'eof Frarinhg " � � ` '
Y� :yr C �x . _
�, �.y t' ��..K .73�nUndergmB. Storagckr_''fa�iik p Gas ❑ 0�
25. Roof $heaihing r:t. _ �, v�r � � - N t� 74I'�.Overhead HydroG v z�
26. T-BarCGeiling (Struti *ali & NfVfr)qpGdat * _ �' C K 75 ��'.�-0�r'Y Chert}ical �� _' . ' "
27. F7amaandzFla;hin�",j� ,;;G * e� �+ �.+* 76. Dry Stand �ipe :1 � ?; � -
�-28. Lathicig &�Sid`rig nj: `: ?r'W `r`, r E . � ...* 77_FIXED E INAL��., ti �' ''�
s�?7 n4i F.
'�29. Insulatiork;� . s� _ :� � t 78£FIRE PREV. FIN.�R x-• ��
T30. Drywall N�ilin5� �%* � ; F, 4 � �. H�EALTM.'�EPT; Fi'EQbIR�VIENT
. = h ' s j
�-31. Plaster BrmNn �atC> r i;•-rr � i '* ,r7g; FINAL INSP_ECTI�IN �f
, . . "�._
:-32. Electrical PbwedMeTe�"�Fn�i "" "� � �} �80;�FOOD CERTIFIGATE IS�U;ED.., _
�,33. Fdhal`�yfecNic � G� � �' F � � � �' Notes: 7 =:i +. `- f. �':�,
r 34. F,inal'Neating &?AirCbndFtionin�'S � � �X � � �% y �� F?� y -� ,�,��
1� T / �
• 35. �Inal'Gas PiPe-T:esta� J.�' - � ,y � I ' ,� � " �,p _r,�; ' -'
^36. Hood'.or(?anoPY �a =� T'"' <. �- . ; .r'E ��c .� � rt�.
Y �' Y r I � '
-37. FiOal Fycto y Firepla��.e� SM _ , ,.,; � ,
-38. Final'Plumbi�g k �'- : + I� `-" �' �' - -
L. Ir,u •A i .. G [C y f G]
�-39. Water�Ser ke�FJinal * _ ' � ., ; � ;.��" ; r' :,... }° '' �
�--40. Gas Service`-Finel z. t i �Ii�^ �� �: �T � i�. O-ti n�ro r
�a r. 1• < <-� C<. Y'`
`41. Solar porti`esti�inal � = ;... x �` � � ',� r. _ _ �' x � _
''42. Backflow Freventer r r✓ � i �+ - ' i^ r
� � . - _. : : �r ^ - 'J ^ F
43. Backflow lrrigaiion v r -`' ;.- f�; Z- /Z l�s�_ ��! /,-- ^�
( � �!!`CS3� �
44. LaodscaPeirri�ationSVstem `_" - •� . - r �'t . _ �: �-,-� �` ��' - �C�E,�/
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45, S,@und At,t,enuation " _ � " �' s F � F- F - -_ +� H �'-^� _ ;
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46. Handicap Regulationsr - c�� �' �•.� �= '�
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47. FtN.�I,STRUCTURE'�'&BUIIdING h_�L�,g �w r.� "s�s �,. ;
t" � �' -
48. FJJJAt PIANNiNG � - • x :•' I : '� _, � L * `, `-
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49. Etectri@ RelYas�to Etf"ison ' _ I � :i� ,�; � . ' .. ' �,
50. Gas Release to�Southern CaliforniaGasCo . �: E �� h ' % •
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57. CERTIFICATE OF OCCUPANCY '» > �' ':� ' -
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35162
COSTA MESA BUILDING-SAFETY DEPARTMENT
ZOLB p,0. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
ADDflE55 �7� Zt�Sari old Circle
OWNER Larwin Southern California lnc
MAIL ".___ ' _
aTv tncino, Calitomia N�•Yt
CONSTRUCTION
LENDER �On,V11� SMI}iip�[I1 Iifnrn
BRANCH 16255 Ventura Boulevard
nooaess Encino, California
AFCHITECT . . _..... . TEL._.
ADOFiE55 �/IUU V)
CONTFACTOR LONJ11'1
ADDRESS 16255 �
cirv Encino
uc". No. 191311
OIF LOT ]$ X 1
EXISI'ING BLDG.
S12E Of _ _ _
:qIOR WALL
ERING
OF BUIL�I
TEL.
a No. 986�8
CITV
LIC. NO. B��
INO.OF LB�DGS.
NOW ON LOT O
ROOF
COVERING Wpp(� �
K TO BE PERFOFMED
aur, is-�2P"-10OOios�� ���126.05
uisn
APPLICATION FOR BUILDING PERMIT
_/ — � _
PERMITTI
A.P. NO. '�� �
ADDRIES�p2 U 2( QL,�C/,
TRACT � / � LOT/J BLOCK
A
OWNER Y/T�: N S.�• lUG
��.... vG 41�A7rrC>4nALUc,'J�/D.
ZONE NO.OF
PLANS �
VARDSAPPROVED
r
DISTANCE BET
MAIN BLOGS.
VAR. �F'+
C.U.P.q�
APPFOVED �
I hereby acknowletlBe Mat I hava reatl this application antl state HOLD FOR :
thot the ebove information is eorrect anG eBrae to comply with
nll laws re8ulotinB builtlinB connruction, antl I sholl not employ
any Oerson in violailon ot the workman's compensation laws of
the Stata of California.
I hereby certify that I em properly Iicensotl as a conbacror untlor Sn'
the Stuta of Celifomie Businass antl Profeszions Cotle, Divisicn 3, THE AMOUN'
Chapter 9, antl that such licensos ora in full foreu antl effoc[, or I THE PURPpSE
om exumpt trom the provlsions of iha State of Celitomia Business
antl Professions Cotle, Division 3, Chepier 9. VALUATION
Sipnat�re���,l�N�� �. �OWf1$ g �//��
Pe�mlitee
Authorizetl Agen[
USEOFNEW!'� �
BUILDING J
VARDSA ROVED
ACCESSORV BUILDING
BET. MAIN &
�v
T,qX
/ m
b
0
VALUATION IS FOR �
A �ERMIT FEE ONLv: ¢
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E 5 �
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m
KS E
5� o
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$