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Home My WebLink About2753 MENDOZA DR - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 2753 MENDOZA DR Suite No Vicinity: Parcel Number: 14768205 Applicant: HERNANDEZ, GEORGE � � . � i :� . � Address: 9911LARSONAVE�-' � . /.ii . .� , � . GARDEN�GROVE,�CA� ��' ` � � % % . � � , ' -� . _ _ owner�� CREELY, CHRISTOPHER�C� , �, � Address:- 2753 MENDOZA DR� "'-� . .�, ,i/ - �� . COSTA MESA; CA , ,� j � L' - , Contracror: � A AMES PLUMBING, HEAT, AC � � - � ISSUED BY: ; � , �. � � � ' � Phone:'714-530-2440 ' �' ��.��.� � �� Zip: 92644 . � � _ ti Phone: Zip: 92626 Status: ISSUED Applied: 12/13I2002 Issued: 12/13/2002 _ _ . _, , ,1 • . �A.,�,� ` � � i �� i �� - �� i � � � ��„�� _�� - �� `�••A .�'. \ \; `\ � � � �� ,; ., . . `��. \' �/ � ` �-�:�. `> � + ?, ', �.�. �..., �� ,�`\ � � Address 9911, LARSON AVE • - - � �� _ ,'^ � � , - � ` ,'� �� `�� • �/ ;':;' � � -�Phone �774-530 2440 : , - 1 '��` `,� �� , , i : � '_GARDEN GROVE CA' � - - . �Zip: . 92644 - , ' � ` ` , � �. i � � � ;. � . /° - ' ' License:250307 - '��` � '�� .. � � �` '•, i � . � � ' _ �'" j � \ _ , . , � , . . ,/, �_ , � i �� ; r� � �' CHANGE OUT FAU. j � � . , � SCOPE OF PERMIT \ V� � � , � _ _. _� _ - . _ ' � � \ r�^ �J i" r- ,:r•--;-v /' P " �\ ;.i�. - :� ' � � � � .__ . .: .. ,.: FEE SUMMARY ��_ -- '- � �1 �� . . , , �; �' . � ' i ' - � Quantity � �j � ,� Qua'ntity'; , ISSUE'FEE , $23.50 � Repair'/ Alt Atisorbtion Unit '� $0 00� 0� '� Inst FAU <100 k BTU �� $14.80 7 � � � � - � ',� Repair% AlkRefrigeration Unit �� ,�:'$0 00�_`-0/ �� ` Inst�FAU >100 k BTU . $0.00_ -0—'— " "" - ,� Ventillatiori System - � / ' $0,00 Ot f ;,� i Repair/Alt Cooling/Heat" $0.00 '-0 � � ' ' - Evaporative�Cooler �. J��$0.00 -0 � � � Inst LRep., Recess Wall Hlr $0.00 0 Commercial Incinerator �i �% �$0:00,; 0: y i Refrig Sys <100 k BTU��- $0.00 0 Domestic'Incineretor � � �'s,r',' $0.00`�',�0 , "' � Refii9�Sys?]00 k BTU',�' $0.00 0 Compressors�/Absorption Svstems �";% � '��` -:' �r �� ? Gas Plping ��. � � $0.00 0 Up to 3 hp / 100 k BTU �� $0.00� 0� i� i Factory Fi�eplace � ��-� �, $0.00 0 ,.; �>�;r,:,' �� '��3 To 15 hp / 500 k BTU � l�{%/ ��$0:00 : Or ,� Hood w/Mech Exhaust �� $0.00 0 x�� .�- �- 15�To 30 hp / 1,000 k BTU , � � $0.00 �� 0;� VAV Boz �'�� ` i `� ` $0 00 0 . 30 To�50'hp / 1,750 k BTU � � ; � � $0.001�� 0` Vent Fan / Single Ducl� � ��: � �$0 00 .; 0 �: � , . �" Over 50�,hp;/ Over �1;750 BTU- !/i� �_ � % $0.00') ;.0 Appliance A � � / : -$0 00 � 0 . - Boilers /"% � �; ' i Fire Dampers �, �- / � � $0 00' 0 � - ' ; � Up to.3 hp _ �, � � � �� $0.00� 0 Smoke Dampers �� . � ,�; $0 00� ��0. �. , - - 3 To 15 hp� �� „�� ,$0.00 0 InstorRelorateApp6Vent ',$000 0 -.�' - ,15to30hp , � �� ` . �,� $000 0 Air Handlers < 10000cfrri V ' ' ' $0.00� 0��- - � � _, , 30 to 50 hp � �� i - �` �� - $0.00 0 � Air Handlers � 10000cfro �� ' $0.00 ; - 0 - - Over 50 hp : !�' � � � i � $0.00 0 FloorFurnace ��" ., $0.00�,0 OtherMechanica6Fee � � � i� Ploor or Suspend Heater � � -$0.00 0 � - � � . Investigation Fee � ' �� % $0.00 �- "� ' . � �' • Plan Check Fee' � � �� , � $0.00 ' � �- Reinspeclian"Fee _ , /j ��"� $OAO "�=, �,_ - : -, -, , . . ��,- %TOTAL�CALCULATED FEES $38.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia 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. INSPEC710N5: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 244666 (NW) WORKERS'COMPENSAnON DECLARAnON: � I hereby attirtn untler pdnalry of perjury ona ot the following decleretions: ❑ I heve end wlll maintein e cenificate of wnsent to sell-Insure for workers' compensation, as D�o�ided for by section 3700 of the Lebor Code, lor the peAortnance of Ihe �� work tor which this pertnit is issuetl. `lJ 11 have end will malni "n orkers' pe ' n ins� �, S� required by sectlon 3700 of ihe Lebor Cotle, for tha peAortnance of the work tor whlch this permlt Is issued. >•JNr workers' com n e cerne anC II n4�nbe� ere: ! �O � //( Cerrier. < � �� Policy Number: rs/L� , (This section neeO nof be iom0�eted i/ the pe t Is valued et one hundred dollars ($100J or less.) ❑ 1 certity Ihat In thp pertortnanca oi the work tor which Ihis pertnit is issu , I shall not employ eny person in any manner so as to become subject to the workers' compensation IaWs ot Califorr�la, end egrae tha 1 shoulC become s ect ro the workers' compensatlon provisions oi Sectlon 700 of the Labor Cotle, I shall fort�wit� Comply wlth �hese P�a�isi j/ I 2 r I�( � 2 Applicant SigneNre: Date: _T� WARNINQ: FAILUFE TO SECURE WORKFjj OMPE T10N COVEMGE UNIAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND GNL FlNES UP TOONE HIINDRED hKK1SAND00LLFRE�51W.W01.INAD�VYIONTOTHECQSTOFCOMPEN TION,DAMAGESASPFOVIDEDFORINSECTIIXJ31(I60FTHELABORCODE,INiEREST,ANDATTORNEV'SFEES. LICENSED CONTRAC70RS DECLARATION: I hereby aHirtn t�at I art� licensed under pro ''� torce end etfact. Lic. A�--'�� Contrectofs Signawre: (commencing with ection 7000) ot Division 3 of Ihe Busines d Propt �sions Code, and my license is in full Class# ��1�G � oeca: t 9 / 2 Ili CONSTRUCTION LENDING AGENCY: / ❑ I hereby aHirtn thet there is a construction lentling agency (or the pedortnanca of Ihe work for which this permit is issueQ (Sec. 3097, Civil Code). Lenders Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I hereby ettirm Ihat under penalry ot perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS IICENSE LAW for the following reason (Sec. 7031.5, Busineu and Protessions Cotle: Any ciry or county which requires e permit to consiruct, alter, improve, tlemolish, or repair eny siructure, prior to its issuance, also requlres the epplicant for such permit to file e signetl stetement thet he or ahe is licensetl pursuent b the provisions of ihe Contrectors License Lew (Chapter 9(commencing with Secllon 7000) of Dlvislon 3 of the eusiness en0 Protessions Code) or that he or s�e Is exempt tharefrom anE Ihe basis tor [he alleqed eaemption. Any violation oi Seciion )031.5 by any epplicant for e Dertnit subjects the epplicant to e clvil penelry of not more ihan five hundred dollers ($500).): ❑ I, as owner of the p�operry, or my employees with wa9es es Iheir sole compensation, WILL DO THE WORK, and ihe structure is not intended or oHeretl for sale (Sec. 7044, Business end Protessions Code: The Gontractors License Law dces not apply to en owner of property who builds or improves thereon, and who tloes such work himseli or hersell or ihrough his or her own employees, provitled Ihat such improvemenis are not Iniended or oHered for sale. If, however, ihe building or impmvement is sold wit�in one year ol completion, ihe owner-Duilder will have ihe burtlen of pmving that he or sha did not build or improve for Durpose of sale.). � ❑ I, as owner oi the D�aPerty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions Cotle: The contraamrs License Law does not apply to an owner of propeny who �ullds or impmves ihereon, antl who coniracis lor such pmjec� with a wntractor(s) license purSuanl to the Contractors LicenSe Laws.). ❑ I am exempt untle� sec. Business end Professions Cotle for this raeson: Signeture: Date: Owner ID veritied by drrvefs license. ❑ Yes ❑ No DriveYs License No. VerNfcation ot bwnership by (lype o1 dxument, {.e. � property lax bifl or deatl): DIVISION OF INDUS7qIAL SAFETY PERMIT CER7IFICATION: Expires: ❑ I hereby cenity ih�� no excavation tive (5) or mora teet in depth into which e person is requiretl to descend, will ba made in connaction with work euthorized by Ihis permit, and that no building structure, scaXolding, telsework, or tlemolition or disman�ling ihereol, will be more Ihan ihirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, TRIe 8, Calibmia Administretive Code). ❑ As owner-builtler, I will not employ enyone to tlo work which wou�tl require e permit Irom the Division ot Industrial Sefety, as notetl above, unless such person has e permit m tlo such work fmm the division. Siqneture: Date: Division ot Intlustnal Se�ery Permit Number: CERTIFlCATE OF COMPLIANCE AND AllfHORVATION OF EMAY: I certi(y under penalty ot periury �hat I have read this ap0�ication end s�a�e that ihe intormalion given is correct I agree to wmply wlt� ell stata laws and ciry ortlinances relating to building construction, and authodze representatives ol t�e Ciry of Coste Mesa to entar upon Ihe ebove-tlescnbetl property for inspection purposes. I egree not to occupy or allow occupency ot any building authorized by �his permit until finel inspection. cooe �. 1676 1288 Fixetl System Final Fire Prevemion Pool Spe Final 200 Final Re-Roof 201 FIneI8lotk/Retaininq Well 202 Final Factory Fl�e Plece 203 Final Sign 204 Final Demolition INTI11A�3 COOE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Pire Prevention 220 Final Planning Approval 222 250 Final Site Finel Building/Occupency PASE i a_a�_oa N PHOJECTAOOPESS: L�53 M�i�iDOZA �)� tiM4NEp00flESS: �'��t'LY� CARISTOPHER C 2753 N�ND02A DR = GOS?'A MESA,CA 92626 AFCHIENGINEEN: �`T 9� g ft z 6 AOOHE55: flEG.NO.: UNIT: UNIT: PEflMITTEE: DAN BEACH CO..PANY ( 714 ) 549.-0 :78 aooeess: � ["775 COi.i7;1BIA DP.IVE ('C��T3� �1�'S� C?, 9�K?.5 IICENSEO CONTflACTOP OEC flA ION: here y aftirm that 1 am licensed under pmvisions ol Chapter 9 �commencing with Seclion 7000) ol �rv�sion 3 0� Ibe Business antl Pmlessions Cotle. an0 my I¢ense is in full force antl e��ect. CITY LIC.: SiRTE LIC.: CU155: — 043%09 450fi93 �/�� / ate:�2�' Q� Signamre:—��'dE=e�, WOflRERS' COMPENSPTION UECLABATION: I �ereby affirm t�at I have a ceni�icaie of consen� ro seli-insure or a ceni�icate o� Workers' Compensa�ion Insurance, or a certilie0 mpy ihereol (Section 3800. Lab. C�. POLICY NO.: EXP. DFTE: COMPPNY: � � Cenifietl copy is hereby lumishetl. ❑ Ce�ihetl copy is �ile0 wi�� the ciry Building Oivision. Oaie: Applicant: E%EMPTIONFAOMWOHNEflS'LOMPENSATIONOECIAHATION: Qhi55ec�ionneetlnatbecampletetliltAepermitisforonehuntlre0�511p)orless�. I cenity ��a� in Ihe peAormance ol lhe woB �ar which �his permil is issuea. I shall not employ any Derson in any manner so as to �ecome 5ubjetlio Ihe Workers' Compensation Laws oi Calibmia. � / �e: g�y�'� / ' Signawre: �,' ��`� NOTICE: II. a�ter making Ihis declara�ion, you shoultl became su6lect to the Workers' Compensalion provlsians ot ��e Labor Catle. you musl lorl�wil� comply with such pmvisions or ihis permit shall be Aeemed revokea. CONSTPUCTION LENDING FGENCY: I here�y af�irm Iha� there is a cons�ruction lentling agency for �he pertormance ol �he work �or wAic� thi5 Permil is i55u¢a (S¢dion 3097. Civ. C). _ � LENOEN: • ' I RODRESS: OWNEB BUILDEfl DECLl�BPTION: I hereby allirm Ihatl am exempiirom �he CanVactors 5[ate License Law forihe following reason �Section 7031,5 Business antl PmlessionabCatle: Fny cily of coumy which requires a permii to cons�mcL alter, improve, tlemolish,-or repair any simcWre, prior lo ils �ssuance. also requires Ihe applicani lor such permit Io lile a signetl 5�a�emeni iha� hels�e is Iicen5e0 purSuanliolhe O�oviSions oilhe COn[mttors' $tate'LiCense Law(Chap�er9(Commenting wiih SeCtion 7000�o�DiviSion 3 o�Ihe BUsiness and Pm�essians Code� or �ha� he/s�e is exempl Iherefwm antl Ihe basis tor ��e allegea exempiion Any violaiion of Section 7037.5 by any applican� for a permii subjecis the applicant lo a civil penalty ot no� more ihan five �untlretl tlollaR �$500). I. as owner oi I�e Oroperiy or my employe¢5 with wages as iheir soie compensation, will Oo ihe wolic, and t�e ❑ stmcmre is not inten0e0 or otleretl far sale (Section 704a. Business antl Professional Cotle'. The Coniractors' S�ate License Law tloes not apDly to an owner of a pmpeny who bwlas or impmves �hereon, and who Ooes suc� work himselVherselt or thmugh his or Aer own employees, pmvitled �hai suc� improvements are nal intentled or o�ferea �or sale. If, however Ihe building or improvemen� is so10 within one year ol comple�ian. lhe owner will have ihe Ourden o� pmving he/s�e Oitl noi bui10 o� impmve bi ��e purpose of sale�. ' I, as owner oi l�e pmpeny. am exclusively coniracting with licensetl coniractors to constNct Ihe pmlect (Section 7044, Business �. ❑ ana Pmlessions Cotle'. The Conlractars' Siate License Law does not apply to an owner o� O�oPeRy who �uilas or imC�oves �hereon ana who conVac�s lor such pmjec�s with a contrac�or(s�license purSuanlio Ihe ConVaciors' S�ale License Law�. I am aware ihal proof of Ineit Worker's Compensation insurance shoultl be pmvitled to me. ' � I am exempi untler Seclion: - B. 8 P. C. ' for �his reason: �ate: � �wner . I tlo �ereby ceni�y Ihai I am aware of ana untlerstantl �he reQuiremems o� Califomia Healih an0 Safery Code Semions 25505, 25533, antl 25534 anA I�at I or any lu�ure bmitling occupan� wiIIIwAI na� (circle one) neea b compty wi�� said Sla�e cotles antl tne requiremenis lor a permil for conslmdion or motlilicaiion imm Ihe Nn �ualiry Management OiStricL Residenlial con5lmciion ap0lica�ions a�e exemp� �mm ihese provisions. Oale: Applicani: I nereDy ceridy Ina� I have read I�is apPlica�ion and s�ate Iha� Ihe above in�ormalion is correcL I aqree to compty wi�h all ci�y antl counly o�tlinances antl siale laws rela�ing �o Owl�mg cons�mtlion an0 hereby aNhorize repie5eniatives of Ihis ciry ro en�er upon ihe a�ave-mentioned ympeny far ins0eclion purpases. / /�� ' Oare�. a Z3—y � Signawre: ��—�"�'1 IDrivefs License ar Social Securily p: ��,� 1fiaLa6 Whi�e—Builtling: Green—Code En�orcemenL Canary—Applicam; Pink—Revenue: Goltlenrotl—Assessor C?'PY OF COS7'A MESA - 3UILDI�G PERMIT PERM NO'- 3 053556 PERMIT ,UO: B 053556 PLAN CHECK N�; 0322A-91 S GOVT: ;� SUPP: iv COt�ST3IICTION TYPE: V-N PERN:IT TYPE: STR PLT�POSa: ADll SOB DESCRIPTION ; CZTY.STD �ATIU COVER SQ FT: 2U0 CLAIM ��ALUE: � ?,`00,00. CALC-VALUE; 2,"760,00 GROI7P OCC; R-3 / COMMF.NTS: CI"TY S'iD PAT30 C6VER �k Y. �1E �N dE k X ii if �If �% )'c �%- iF �k 3E if �� lE�'r, iF � >:- tk df k ?E �lE iF ii� �%�if 9E �k �k �E �k �� iE �k �}; �% �k �if d'r'�lE �f i'r.IF.y..iE tE �Y: �M # iF it!(� if iE'rf �1(- d"e �tf !{-.I' ie �lE iE � �N -7i--#�iF �ie if iF Ib # Z O N i N G P. E Q U I R E M E N T S s�.T.H�cxs ------------ 1✓AIN B?JILDTNG --- _---�---- ' --------- ACCES3pRY BUII,DENG -----=- FkNT: F'7' IN ��AR: 16 ^T 4 I^1 rRivT: FT 1N REAR: FT IN LEFT: iS F'T IN RGHT: ZS rT IN LccT; FT IN RGHT; �T fN PARKING k::(��: PRQV: i�ARCEL;'14108205 7N:; t`',I �EF ?10; PLANNI;�IG NCSTES> 200 SQ '=T. •AATIO COVnR TAITH 30 SQ, �T. WITHIP� THE ?.0' > �EAk YAkD SETBACK, � �*��: x•*�: x*�e++*�� *�� *�*�c��**� ��a��r� �x��r�n�� *>*�:�;;��x*k�x r�f�,�� r��<-*v��r � b�v�;.oP�,�.��r ss�vzcEs ��Ui�s,v�v��s ZU;�ING APPROVED BY �. � llAEE: �' z3�Q i BiJILIIING APPkOLrEi? BY ; DAiE: APPL3CATION ISSUED BY: �' 1�C:_. DAT�• $ ��( #�4FipiE3F#+f9e+E�K�3F14aFieYiEiF>1F#1f3Pi`tit?Fi�� . .`i.�€+F�iPi't;zif)EiE#�t'k�ie�,, x. ,K�.p(. #!� 1E 3'��+F V. }? 3F iF L:� i� iF i't i(-9: iF ie 3i� 3F 3E 3e if 3f if' )�!� 3c+E iP iF i(� �tE i't fE ## 9f iE�+E?f if- iE 7c i: ie jE iE R iP %if i:1F�)F i� i4� � 34 i� K-�l'r -%Y.• ic jF �.4 !E ±f !F 3i� if iF?i i4 LrGAF,I2ATZON:iV F E E S li M M A R Y STRUCTt�RAI; SnG,VE1�T;Y BLDG P�.�iT PLTJMF.I�G LLECTRIC �:::CHANIC: FSRE SuZP/RES r GRP,p�N(; PERMIT 54.00 5p'. PT,AN 35.Z0' SNIP/NON=��S I55UE FEE ' ,�' bOILDING-DZV-> PERi'/iIT I$S?lE PLAN-CH?CA TOTAL PAID • �r3g TOTAI�S---=> 54.50 0:00 3;.10 09,60 ' 89.60 ,pp i7EVE\liE DTV.iSION TOTAL�--> C.OLL�CTED: 84,00 OVER/SHORT: •OU Bi.DG PNeT FLi1M�TNG �LECTRIC NiECiiANIC FiRE SMSP/TOT GRADE1�tG'�LAiv-C�=CK ,a . nn . so �;'; j o : .. i't iE ii # 3i u. �. r, �(. iE'i 3i 3E �?h-Y,� ic?(� 3f 3f i:� iF if� !+f'# k Y.� V N- ii t-% ik i't ii i'r 3E if li ie k� !r ti� k!f 1E iF 3% iE 1: {)t I% lf ➢5 i` 14 if i�� ie if i'r if If Y.- ii- tE� at 3e�# ii �• iF IE ±F I�. iE k i� I N D I V I D U A L F E E B'R E A K D O W t� 1� TYPn QTY D E 5 C R\I P T T O N UNIT COST �;iOTAL COSi SFR 200 RES-PATIG COVEA-POST 6 TRE?,LIS 13,8U 2,76G,�p ` END OF = F.ES l � !: dl C�095.`,72-+�0�9s`74 T,"UT a�je: oe;zsi�i T�n�: :4;as 0 uS.bO ✓ �: CONSTRUCTIQN'AND PLANNING POOL .PA - - � Date Inspector Date Inspector � APPROVALS Permit # - . � APPROVALS Permit # i. 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-Undrgmd. ' 55. Electrical Bonding 5. Steel Reinforcement � � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footin9s 58. Electrical Conduit-Undrgrnd. 8. Foundation . . 59. Gas Pipe, � Undrgmd., Test , 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�TraO, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK _ 17. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap , ' 63. Heater & Vent-Final 73. floof Drains i� 64. Plumbing System - Final . 14. Rough Plumbing 65. Efectrical-Final 15. Rough Electrical�Conduit 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access ApP�oval 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 ' 20. Rough Fattory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Fough & Test 72. Und�rground Flush 24. Roof Framing • 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoai 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. REQUIREn�ENT 31. Plaster Brown Coat '� 79. FINAL INSPECTION 32. Electrical Power Meter-Final /�.'i ,. 80. FOOD CERTIFICATE ISSUED � 33. final Electric ' ' % Notes: 34. Final Heat�ng & Air Conditioning : 35. Final Gas PiPe�Test �� i.. 36. Hood or Canopy �_; 37. Final Factory Fireplace � � i 38. Final Plumbing � ��' 39. Water Service-Final 40. Gas Service�Final 41. Solar pomesticFinal 42. Backflow Preventer . 43. Backflow ��rigation 44. Landscap¢ IrriGation System 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL SYRUCTURE & BUILDING ^�'�� (� - � , e � �% o ` �', ,�g "`�lU 48. FINALP4ANNING �' � 49. Elettric Release to Edison ti � ,.� 50. Gas Release to Southera Cali4ornia Gas Co .�- � �" ., 51. CERTIFICATEOFOCCUPANCY '' No. Date PFOJECTADOflESS: 2']Sj MENDOZA DR OWNEP'SNFME:CREELY, CHkISTOPHER aooxess:2�53 MENDOZA DR COSTA MESA.CA (714)549-1426 ABCMIENGINEEfl: ROUflESS: UNIT: C 92626 NEG.NO.: UNIT: �Y PEFMITTEE: BRJ.AN OVERHOL'I' ( 714 ) 754'-6788 aooeEss: 1544 ELM AV COSTA NESA CA 92627 UCENSEU CONiHPCTOfl �ECIAflATION: I hereby al�irm thal I am licensetl under pmvisions ol Chap�er 9(efimmencing wi�� Sec�ion 7000� of �rvision 3 o� I�e Business zna Professions Cotle. ana my license is in full �orce antl eflecL � ciTruc.: 56774 sTareuc.q7931� f+�SSB� � ^' Oate: Signamre: _ Vys•Gr�? WONRENS' COMPENSRTION UECIABRTION: I �ereby a��irm �ha� I ha a certificate ol consen� �o selbinsure or a certi�icate o� Workers' Compensation Insurance. or a cerlilietl copy Ihereaf (Sec�ion 3800, �ab. C). POLICY NO.: E%P. DFTE: COMPANV: . ❑ Cenihe�opy is here6y tumishetl. ❑ Certilietl copy is �iled wi�r (�ciry Building Division. sl ale: �/ o(y � v — HPPIkertC v�„i— -_ E%EMPTION FflOM W0A8EflS' COMPENSpTION OECIABATION: Qhis secn n need nol Ue complete0 il lhe permit is larone huntlrea (a100) or less�. I certi�y that in Ihe pedormance of I�e work �or which �his permii is i55ue0. I sh II p employ any person in any manner so as to become sublecl lo Ihe WorkeR' Comp¢nsation Laws af Califomia. -/ �ale: �Z' / �3 Signa�ure: ,G/� NOTICE: I�, af�er making thi5 Ueclaraiion, you shoultl �ecome sublec t Ihe o�kers' Compensation pwvisions ot �he Lahor Cade, you musi fotlhwith comDly wil� such pmvisions of Ihis Dermi� �all be Oeemetl r¢voketl. CONSTPUCTION LENOING AGENCY: I hereby affifm Iha� Ihere is a constmction lending agency lor Ihe pedormanCe ol �he work fOr whith Ihis permii is i5sued (Seciion /3W7�Ci¢ C). LENUER ( aooness: OWNEfl BIIILOEB OECLAHATION: I here�Y aflirm Ihai I am exemp� hom ��e Con�raciors' Sla�e License Law tor ihe following reason �Sepion 7037.5 Business antl Pmlessional Code'. Nny city o� counry which requires a Dermit Io conSlmcL alter, improve, tlemolish, ar repair any SVuclme, pnor to ils issuance. also requires �he applicant for such permi� b �ile a signetl s�a�emen� �hat �elshe i5licen5e0 pursuanl�o Ihe pmvisions ofihe Conlraciors' Siale License Law�Chapter9(commencing wi�h Sec�ion 7000) of�ivision 3 afihe Business antl Pmlessions Code) or Ihal helshe is exempt there�mm antl Ihe basis lor ��e allege0 exemp�ion. Any violation of Sec�ian 7031.5 by any applicanl for a permit subjec�s �he applicant �o a civil penally ol nol mo�e than live hunArea tlollars (3500�. I. as owner oi the pmpetly or my employees wiN wages as �heir sole compensa�ion, will tlo Ihe work, and the ❑ strucWre is not intentlea or otleretl tor sale (Sec�ion 7044, Busness anA Pm�essional Code: The Contracmrs' S�a�e License Law Uoes nol appty to an owner o� a pmperty wha 6uild5 of impmves ihereon, and who tloes such work himself/herself of ��rough his or her own employees, providetl ihat such impmvemenis are nol inlende0 or offerea for sale. If, however Ihe builtling or impmvement is sold within one year ot complelion, the owner wili �ave Ihe burden ol pmving �e/she did not huiltl or improve for Ihe purpose ot sale). I, as owner of (he property, am exclusively wniracting with licensed wntractors �o cons�mct the D�oleci (Sec�ion 7044, Business ❑ and Pmlessions Code: The ConVac�ors' Sla�e License Law does nol apOty to an owner o� property who bmltls or imOmves �hereon ana who coniracis for such Orojecls with a coniractor(s) license pursuant to Ihe Contractors' State License law). I am aware Ihat proa� of their Worker's Compensalion insurance shoultl �e Dmviae0 �o me. � I am exempt untler $ection: B. & P. C. lor Inis reason: oa�e owner. I ao hereDy cetlily I�at I am aware a� and undero�antl fhe requiremenis ol Calibmia Heal�� antl Safely Code Sec�ions 25505, 25533, and 2559a and thal I oi any fuWre building occupani willlwill no� (circle ane) neetl Io comply wi�h saiU s�a�e codes an� Ihe reQuiremen�s �or a peimit for conslmclion or motldicalion �mm Ihe Nir Oualiry Managemen� �isVict. Fesiaenlial constmc�ion applicaiions are exemp� Irom IIICSC Pf0V151005. �ale: Fpplicant: I here�y cenily Ihal I have reatl IAis apVlicaUon antl slale Ihat Ihe above iNorma�ion is correcl. I agree �a comply wilh all city antl county ortlinan<es antl slatelaw5�ela�ingio builtling conslmciion antl herebV authariz¢r¢pre5enialivesoflhiscilylo enteru anihe above-mentioned pmperry forinspeciion purposes. �aie: 2/� Signalure: !/I / • - oriver's License ar Saciai Securiry p� '' � t64b46 Whiie—Builtling: Green—Code EnlorcemenL Canary—Apppcan�; Pink—Revenue: Goltlenmd—Assessor CITY OF COSTA MESA — BUILDING PERM.IT PERMIT NO: B 061200 PLAN CHECK NO: N CONSTRUCTION TYPE; 5—N PERMZT TYPE; STR, JOH DESCAIPTION : T!O EXZSTZNG, REROOF W/COMPO SHINGLES PERM NO: B 061200 GOVT; N SUPP: N PURPOSE: ALT SQ FT; 5,000 CLAIM VALUE: 5,000.00 CALC—VALUE; 5,000.00 GROUP OCC: R-3 /M—i COMMENTS; SMOKE DETECTORS RE�IUIRED PER THE 1991 EDITION OF THE UBC, _ �r***��*�*��****+r+r*******�� **�t**�rrt***�*�*��x*x-�x�*��x*+t�*x�****�*x�c�**�x*�** 2 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 BUILDING ---------- --------- ACCESSOkY BUILDING --------- FkNT; FT It�l REAR; FT IN FRNT; FT IN 12EAR; FT IN LEFT; FT IN RGHT; FT IN LEFT; FT Ztv RGHT; FT IN PARRING REQ• PROV; PAHCEL; 14168205 'LNE; REF NO: PLANNING NZ7T'ES> ,�. . - iF iF 1E iE jE )E it iE iE iE !E 1E iE iE jE iE �E 1E if 3f iF 1E iF 1P ik ik fE iE iE If iE 1E ik 3k it iE if iE iF iE N� 3F iE iE �E iE �k iE iF 9F iE If iE k i4 iE iE iE 1E iF iE iFib fE df i(� iE iF iF�FlEiE 3h iF iE 1t iF 1E iE D E V fi'�L O P M E N T S E R V I C E S R E Q U I R H M E-N T, S ZONING APPkOVED'BY DATE; �` BUILDING APPROVED HY ; DATE; APPLICATION ISSUED BY; Qa'�� DATE: � iEiklEifik�flEiEiFiF1lilitiP�iFiFiE�fiElE�Flk3F'iF�F'3F iF3FiF'3F 3F iF3FiFiF'iF 'iF'iF� 7FiF�F h3Fti-1EiEiEiEiEi(�tiEiEdF � jtiE iEiEiF1EK�ififif�lFitlEiElE1EiE3kdl�lE�lEiEiE%�1EiEiE3E1E3EiEiE3E iElEikiflEiflElElfiFiE3(�ikf! 3F1EifiF1E3E3F1FiE�IF%�iEi6iE-IEfE3h%•1E1F�1E�lE3fiE�lflkif3FiEiEiE LEGALIZATION:N F�E S U M M A H Y STRUCTURAL SEGMENT;Y ' (�,i BLDG PMT PLUMBING ELECTftIC ;MECAANIG• FIRE SMIP/RES GRADING PERMIT 72.00 /. 50 r � SMIP/NON—RES ISSUE FEE t' �` TOTADSNG_D�V—> P72M50 IOS00 PLAN—COE00 '� f 7�T50 72A50 ll00 � :.� REVENUE DIVISION TOTALS--> COLLECTED:; �— 72:50 OVER/SHOkT• 00 BLD7zPQo PLUMBING ELECTkIC ME�HANIC FIRE,! SMIP/TOT� GRADING PLAN—CHECK iEiE�%3fif�lklElEiEiFiklFlEiEilitltifiEibfEiEiEiFiFi(-3(�iE3fiEiE1E* 3F-1EiEiEifili(-iEih3klttiEN�iEjFiFihiE3hlFifiEif%-%iFiEikiE3FiEikitif�iFiFlFIE�K�X��I(�if�1Ei(��3E I N D I V I D IJ A� L�. � F E E� H: R$ A K D O W N TYPE QTY D E S C R I P T I O N..— �/' UNIT COS'I' TOTAL COST SFR 5000 REROOF BY VALUE RESIDENTIAL' NOZONE 1,00 5,000,00 END 'OF FEES 7 ,.% ! . ! / ^'% ' J, `t ! '� . ' / �Q. �""1� ! .' . / i^1 - I - - ' �..�rr �� .�. .. 't: .. CONSTRUC7IUTAND PLANNING � APPROVALS Permit# 1. Temporary Electncai Service;or Pole 2. Soii Pipe-Undrgrnd. � 3. Electrical Conduit Utility-Undrgmd. 4. Electricai Cond�irUndrgrnd. 5. Steel Reinforcement ' 6. Electrical UFER Gind. 7. Footings $. Foundation 9. Water Pipe-Undrgrnd. � . 70. Structural Floor SYstem � ' _.___.__._ .._ 71. Property Sewer Line & Ho�e�Connectic 12. Sewer Cap, � - ' 13. Roof �rains ' 14. flough Plumbin9 15. Rough Electrical-Conduit i6. Rough ElectricWiring 77. Rough Wiring Sigr� 18. Rough Electrical-Y Bar Ceiling 79. Rough Heating & Air Conditioning 20. Rough Fattory Fireplace ' 21. Ducts, in Structure 22. Ducts, Ventilating . 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing � 26. T-Bar Ceiiing �Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insuiation 30. Drywail Naiiing j34'. Piaster Broevn CoBt -32�JElectrical Power Meter�final 33. Final Electric � �� - 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 pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap fiegulat�ons 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Etectric Release to Edison 50. Gas Release to Southern California Gas 57. CERTIFICATE OF OCCUPANCY No. Date : Date I inspector a POOI i A APPROVALS Permit # Date Inspector 52. Pool & Equipment Location 53. Steel fleinforceme�t � 54. Forms 55. Electricai Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNiTE . 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 6Q. Backwash Lines, P-Trap, � Undrgrnd. 61. APPROVALTODECK 62. Backwash & Receptor-final 63. Heater & Vent-Pinal � 64. Plumbing Syscem - Final 65, Electrical-Finai 66. Solar System-Finai 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOUSPASYSTEMSFINRL FIRE DEPT. REQUIREMENT . APPROVALS. Permit# 70. Underground Hydro 77. Product Piping O Gas OOiI 72. Underground Fiush 73. Undergrnd. Storage Tank O Gas ❑ Oii 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 76. FIRE PREV. FINAL . HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICAT�F7 ISSUED Noies: L't . /� // �0 _ . w n .r (/ I. o CIJ__ �/�l � �j .. _ . _ . _ . . . Applican� to fill in aIl�sDaces except lhose within heavy bortler�lines antl si9n all approD�iate tleclara[ions. - - -- - ' ' ' ' V " CITY OF,COSTA�M/E�rySA CONSTRUCTI ln�/N/ PERMIT � ' ' PER T N�j ^ � _ �TRACT NO. -, LOT NO.� � UNIT NU. , ' � , � . _ Projec1 Address � � /53 � ��?-A /J1� � �� U _ � ' _ . .. . ' . . ' � '� � ' � � � TYPE OFCONSTRUCTION . - NEW ADD ALTERATION REPAIR � �F'pplicant's Mailing Address, . �_ � CONVERSION `� DEMOLISH ❑ OTHER � q.p, # ' } Owner'sNam r�� ' , " Phone -1� DESCRIPTIONOFWORK/USEOFBLOG. - � � ,� - � Address �7�� z✓� � ' ' ' ' ' ' S Main Building: ` ' " . . : .. , � . J � ` .: ; . E Arch/Eng. License No. ' TVPE OF PERMIT GRA�ING ❑ FOUNDATION STRUCTURAL �. T Front � � _ Address •� � � . ❑ TENANT ❑ EIECTRICAL ❑�LVMBING ;❑ MECHANICAL� -. B Rear � � � Contractor N` %{1'E�L�7��5 Ll/J7k$ldJ�%,.�`7�1'�_ %p � ❑�orHea - : . ' - ' " : � � a . • � ,�� ;� n � PROJECT�DESpRIPTION 54. FT. � ' ocCUPANCv C Right _ Address (mailing) ' �H �� . - - � . � ' K Left � 5q,� ; ' CONSTRUCTIONTYPE � VAWATION$ $ Ciry License No. 1 , , ZONE' GRADING CU.YOS. � , ACRE$ � - Plny. REi. # � LICENSEO CONTRACTOR DECLARATION � - ' - ' Phereby affirm that`I am IicenSetl untler provisions oi Charter 9�(commencing Remarks: ,_ ' � � �_' , , , PldnnlnJ NOL¢5: with section 1000) of Division 3 of the Business antl Profeszions Co4e, antl my license is in full o e antl effect. , � ; '^�`^ � � � ' , ' � ' . � • LicenS s � �icen.a 6. � O / . oate� ' Q 'S'g 't �� PLUMBING .FEES WORKERS' COMPENSATION DECLARATION. � � 82� Sink 1 ' t ShOW¢�5 J ' � � II nereby atfirm thal I have a certificate of mnsent to self-insure or a certiticate � ' ' _ � � Workers' Compensatio'} Insurance, or a'certifietl <opy Ihereof�(Section ' ` ' , � . 1 100, Lab. C.) ��/ /�//�/� , � R�� . r � Backflow Preventer Service Sink� Auromatic Washer : Qrolicy No.�� Company 1/�/�✓� /NS Backflowlrrigation , SewerCz '' � \ � V ' ConstructionPoleSub. �f� ifietl copy Is nereby furnisnetl. 11 LYC rti e,� cov is filetl with the city/��',yI�il.tl,in i ion.,4/(� � S',��,.^\/ . Bathtubs ' � Sewer Connection � Cooking Unit , � Date��/'�Q�'_qpp�icantLw//� /-+ `^'✓�„"�-! � -EXEMPTION FROM�WORKERS',COMPENSATION DECLARATION "- - CId�i1i2R - _. .. .._. $ola�C011¢ctOR � � � � -- - Di5hWa5h2� � ' ' � - (Thissection neetl not be comple[etl if the permit�is for one�huntlr¢tl ($300) or � IessJ. � ' , � � � � Dishwasher � • ' Solar Piping 1 �� Dryers ❑Gas ❑Electric i certity that in Itie pertorm`ance'of the work for which this perm�t is issuetl, I , . shall mt employ any person in any manner m,as to become subject to the � Orinking Fountains SolarTank � I Fan � Wo�kets; Compensation Laws of Calito�nia. � � ' � . oata ' Si9nature � Floor Draini � . Swimming Pool w/Spa' � F.AtU. � 'NOTICE: If, Sfter �making this tleclaration, you shoultl become subject ro tne ' , ., _ , _ _ _._ . _ _ �_ . _ Wofker5' CompCnsation plovision5 of th¢ Ldbo1 Cotle, you must forthwith � FI00lSinkS � Uli0d1 � FixtUf¢5 compty�with 5uth.provi5ion5 or�this pe�mihshall �be tleemetl revoketl. � ' � CONSTRUCTION' LENDING'!AC�ENCV• I " I =' ' • ', � - � GasServiie ��Outletv WaterCloset ` . ' Deviceeoxes i hereEy��.affirm that ihere is a construction lentling agency fo� the pe�fo�mance of [he � wo�k tor 'wM1icb this permib is is5uetl (Section� 309] CiJ. 'C:) � ' _ • ' � LenEer�s Name � � �� - � ' � �nteiceprors .Water Heater Outlets . � Lentler'i Aatlresz �� ' ' ° ' � � ' � - Kitchen Sink ' . � ' Water Service • ' ' + Switches' OWNER BUILOEH �EGCARATION ' � ' - � ' ' ' " ' , . I hefEby affirm that 1 dm exempt from the Contracto!'S LicenSe Law tOr.the � Ldv3tO�i29� � �- ,AutO-W25h ,- ' � following reason (Section ]031.5 Businezs antl Protessional Cotle:,Any�city or � -� � z '�" ' Garbage Disposal county whicn repuires a permit to construct, alter,'improve, tlemolish or repair • P-Trap „ - !` Laundr Tra 5 �� .!any s[ructure, prior to its issuance, also �equires [he applicant for Su[h pe�mit , Y -Y � Ci¢n¢�at0� �0-5 KW 05-15 KW qto file a signetl'�statement�tnat nA/she is liten5etl purouant to•thE Provisions of - ` � J ' ; I 1 �the Contractor's License Law (Chapier 9(commencing with Section �000) ot � Roof.Drains � '�Y - � "�ivision 3� of the Business antl ProtEssions Cotle)-or that Ite/she. is exempt , . • � � � 'her¢from antl the basi5 (or Ihe alleqetl.exemption. Any violation•of Sec[ion _. '• - � _ � � " ]3L5 by� any applicant fo� a pe�miE subjects the. appliwnt to' a civil "�� - - •nalty of not more than five huntlretl tlollars ($500). _ " ' ' • ; i � - $ 3 :� I, as owner ot the prooerty� or my'employees witn wages as their sole ReinspeMion �Fee � ,$15 ' Istue Fee � com0en5ation, wlll tlo the work, antl the struc[ure is.no[ intentletl ov of(e�etl - - (or sale (Section�7044, Business anE Profeisional Cotle: The Contractor's- � - '-�. .- :MECHANICAL � ' • FEE Llcense Law tloes�not apply to an owner of a property who builtls Or improves . � '� �� thereon; and who tloes Such work M1imself/herself or through his oLM1ar own ' � - � - �- , emploYees, provitletl that sucti improvements are mt intenCetl or o(feretl tor Boiler ' '� �! ' Nood or Type I' ❑� sale. If,.however, the buildin9 or'imp�ovemeni is soltl�within one year of com- ':. . � C2nOpy � Type I I ❑� .-. pletion„the owner will hdve the burtlen of proving he/she tliC no[ bwltl or iT- � Duct - Under Ground � ' _' � � : prov¢ fo� tbe purpose of sale). �� ' i , ❑ I,'as owner of Ihe propeity, am excluslvely Contrncting with licensetl con- . DuCt - St�uctWal ', � Refrigeration SYstem � � � trac[ors to mns[ruct the project (Section ]044, BuSiness antl Professions Catle: ' � � ' '' The Contractor's �icense law does notapply to an•owner.of-propercy�who � Duct'-'Ventilating � ' �0-100,000 BTU 0100,000 BTU builtls or improves thereon, antl,who con[racts tor sucM1 projects with a con- . � • ' • _ tractor(51 license pursuant to the Contractor's License Law). I zm aware that � Exhaust System ❑ MW[iple ❑ SyStem Repair/Alteration ' proof oi tbeir Worker's Compensation insurance shoultl be provitletl to me. . ❑ I am exempt uutler Section � B. & P. C. for this reason ' Firepl/Fact. Blt. ICBO #' Fire Dampers � � Date owner � Heating System & Ducting ; Registers ' � I hereby certify that I have reaa this appiication antl state that the above ❑p100,000 BTU �100,OOOBT - - i ; , information is correct. I a9ree to comply wiih all city antl munry ortlinances . ' antl.state laws relating�to builtling construction, antl �hereby authorize repre- , � � . , Sentatives of [his city� to enter� upo t e above-mantionetl O�operty tor , � t � , inspec[ion pur0os � /} n/ ' � • � Siqnature Jl7e:-,c� o te��aY -A�CI ' • ' , ' . � Reinspection Fee $15 � laue Fee ' � $ 3 Drivers' License or 55 >k �'��-_�_ _ � CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicanh P�nk - Accountinq; Goldenrod - Assessor � ` 1 , .... '� L I,155: 3/�I8(86' I `,.5o�G � • . � . : �- .• ' - � Zone . Accessory'Building: , Z� :. . �• '"i i i. p . . ' N i r.. '^ � � ., � . N � G . ,.: . ' . :.ti � , R' � � Parking Req(/Proviiled' : � .:*. E M . S. i i _ i i � . � ECECTRICAL , , ' � FEES Transformer ❑ 15-50 KW ' ❑ 50+KW , Meter ❑up to 100 amps � Meter �over100ampr— Su6•Panel � Morors �0-1 HP 01'f. - 8 � 6u.Solar'��9-75 HP 016-15+ Microwave � Pole Li9ht � � Range ' Sign Standing Sections , • ' Trash Compactor � � N I Reinspection Fae ' .) §15 I '� luue Fee I�$ 3 I DEVELOPMENTSERVICESREQUIREMENTS: � ' ' � � Zoning APProved BY � . � Date � : Building Approved By � " Date �� 7j'/� Application luuad By DatesS({� � � '� SUMMARV OF FEES � � ; BUILDING',PERMIT ' $ • � SMIPi � � $ � . ` PLAN CHECK ' g � PERMIT � ' �. PLUMBING . y�,� :ISSUANCE � $ � PLAN CHECK �25%� $ � ENERGV'P.C. , $ � ELECTRICAL , - $ GRADING � $ ' ' , PLANCHECK 50%. $ MICROFILM � $ ' � ' MECHANICAL . $ ' TOTALFEE ' $ '� � �, PLAN CHECK '25%� $ � � � t , CONSTRUCTION AND PLANNING -. POOL. A _ APPROVALS�, Permit# Date Inspector pppROVALS �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�UFERGrnd. - � 57. APPROVALTOCOVER-GUNITE . 7. Footings ' • . : - 58. Electrical Conduit-Undrgrnd. - 8. Foundation •� , 59.� Gas Pipe,-0 Undrgmd.; Test . . 9. Water Pipe-Undrgrnd. � . -'� 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structurel Floor System , i ' 61. APPROVAL TO DECK 11. Property $ewer Line & House Connection � 62. Backwash & Receptor-Final . 12. Sewer Cap 63. Fleater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final . , 14. Rough Plumbing -�' • 65. Electrical-Final � 15. Rough Elsctrical-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 � 20. Rough Factory Fireplace APPROVALS Permit # � 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas � Oil . 23. Gas Pipe-Ftough & Test 72. Underground Flush � � � 24. Roof Framing • � . 73. Undergrnd. Storage Tank O Gas ❑ 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 ;}" �'t'i 38. Final Plumbing �� - . � rri 39. Water Service-Final . = �3_�{, L� , ' 40. Gas Service-Final � � 41. Solar pomesticFinal � } , ; . , 42. Backflow Preventer � ' � 43. Backilow Irri9ation � v.. �� , 44. .Landscape Irrigation System ''�2 :J Fl 45. Sound Attenuation � ' - 46. Flandirap fiegu�ation5 , . ' � 47. FINAL S7RUCTURE & BUILDING � ' . � 48. Special Requirements Completed � . � 49. Electric Release to Edison ' - -- , � 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY' _ � , • No. Date :. - . 19488 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BO]L 917 C08TA MEBA, CALIPORNIA For Applicant to FIII In Complefely �. TYP� OR PRINT COSTA MESA, CALIFORNIA '_MAIL 3g00.E.Coast Highway rADDRESS I�._,Forona del Mar,Calif. TEL. OR same as above same as above 207343-A-SB1 No• OR 34220 %'1 � x 93'' � I rvo. or e�oae�OIIC NOW ON lOT EXIS�IN6 BLOG. n��e 6eTewcrc L�NH FwoM - ' ceHten or srrseei 4O � RHAR YARD �LH � BIOEYARDI L6IR 5�6�� I RI6NT S� DESCRIPTION OF WORK _._... � x �� ••'e-•-•--.� �� ---•-•--. � gzE�'N661'6��XS4�ZROOMB 6 ST RIfiB 1 BXTERIOR WAL` ' � ROOF �� K COVERING $tllC(.'O COVERIN6 St1�TR�_P u U9E OF BUIIDIfi6 AND WORK TO BE P6-RFOR�Mfi Sin le Fam.Res. W/Att Gara e PIAN NOr 400-B - i HEREBY ACI(HOWLfiDOi TH�T I HAVH RBAO THIB APPLIGTION AND 6TAT6 TXAi THd ABOVg (g COFR6CT AND AOREB TO COM- PLY WITX ALL CITY ORDIN4ryC[{ AXO �iTpA/T�[ rL�A�W�/ R80ULATINO BYILOIN6CON6TqUCT10N. �CCO l�l'i1L11 CO• 516NATURE OF ' - PERMITTE p��,,.�y �-AUTHORIZEDA6ENT /� � _ . _.. ..�_ FIRE ��A��CE3��D !' FtN1iNCE DEPT. APPLICATIONjFORfPERMITA MESA BUILDING For Oiiice Use Only I RlC61PTNO. I P9RR�1T�1�!7 ZONING NO. OF UH8 �urvs �, eun T,OC 2� � TI8( _OWED YARDBAPPROVED MAIN BUILDING VAR. IF �� 298E 1963 SHALL BE LESS THAN YARDSAPPROVED ACGESSORYBUILDINO BET. MAIN 8 ACCESS. BL[ DATE Dwalling-1896 S.F. Gax-483 S.F. o so. �. THE AMOUNT 9NOWN UNDEP VALUATION Ie FOR TN8 a PURPOSB OR 88TPBLIBXIN6 A PEqMIT PEE OryIY. Q VALUATION m PERMIT FEE S � � �"' n J n n +�' m S LO�ZpH�OO� PLANCHECK Y J�� F 4 TOTAL FEE