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HomeMy WebLinkAbout1058 MISSION DR - Building PermitsCITY OF COSTA MESA r o�pA.F, BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us ` 8 FOR INSPECTIONS CALL: (714) 754.5626 PERMIT NUMBER: B10-00215 PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 14157109 DATE ISSUED: 07/23/2010 ISSUED BY: KJB JOB ADDRESS: 1058 MISSION DR CM Suite/Unit: Vicinity: Squares: 0 Valuation: $6,500.00 SCOPE OF WORK: TEAR OFF WOOD SHAKE. INSTALL OSB PLYWOOD, COVER WITH 30 YEAR COMP SHINGLES. ROOF PITCH IS 5:12. APPROX 1900 SO FT. OWNER: HO, YU SOO PHONE: APPLICANT: BERBER, REFUGIO PHONE: CONTRACTOR: R B ROOFING AND TEAR OFF Address: 1615 S MINNIE STUnit: City/State/Zip: SANTA ANA, CA 92707 ARCHITECT ENGINEER: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $139.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 Address: 17 STARLIGHT ST Unit: City/State/Zip: IRVINE, CA Address: Unit: City/State/Zip: License No. 772680 PHONE: 714.836-8384 CELL: License No. PHONE: License No. PHONE: -OTAL FEES $140.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010 - PER CMMC Sec. 13-279 Monday thru Friday - 7:00 am thm 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibited all hours - Sundays and the following Federal holidayE New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE t. INSPECTION TYPE DATE INTMALS CODE i INSPECTION TYPE DATE INTntALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 7-s�°� 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sigm, 222 Final Site 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereby 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 edormance of the work for which this permit is issued. I d will maintain workers' compensation insurance, as required by qn 3700 of the Labor Code, for the performance o the work for which this permit is issued. My workers' comp satin ion Insur n e carrier and policy number are: `1311,N'V-1 Carrier: (This section need �t mmple(edtllhe peri I dat one hu need Odlars(3100)orless) Policy Number: S ❑ 1 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 9T Section 3700 of the Labor C9d hall-orthwitl �corpply with these provisio s. 41M 9lnture� ^�L Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 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 ffect. Lic. # Class # 400]I Date 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: 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 she 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 more than 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 not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contmctor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Owner ID verified by driver s license. ❑ Yes ❑ 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. Applicant's Signature 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? ❑ Yes ❑ 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 to file a registration form for acutely hazardous materials? ❑ Yes ❑ 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? ❑ 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 permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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 ❑ 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? ❑ Yes ❑ 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 Dale 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. Sipe at.Owner/ Date Signature Date l� 305]-46(3/0])=� / u Date Prescriptive Certificate of Compliance: Residential CF_ -IR-ALT Residential Alterations v (Pace 1 of 5) I Project Name: + Climate Zone # ( D I # of Stories /'1 r — n _ i General Information A- B C D Site Address: Enforcement Agency: Date: Building Type O Single Family Xwuiti Family Circle the Front Orientation: N, E, S, W, of degrees Values From JA4 Table Project Type: El Alterations ❑ Envelope ElFenestration Wof O HVAC Conditioned Floor Area (CFA): Replacement or Change Out ❑ Duct Re laces ❑ Water eater NOTE: This fort is not it, be user) Jar New4+ Constructer) Buildings of Additions Insulation Values Far Opatlue Surfaces (for Furring use the Mass and Furring Scrips Consunuction table below) Assembly Alteration ❑ Opening of framed cavity alone- Aherations that involve the opening of the flamed cavity of wall, ceiling, orfloor must install the inundation, minintun insulation value per §1511 fo the altered assembly. Fill in Columns A -C and enter mandalmy insulation value in Cohlmn H. ❑ Replacement of entire assembly -Replacement of an entire wall, ceiling, ar floor assembly requires the installation of Component Packer e- D insulation values in Table 151-C Fill in Columns A -J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A- B C D E- F G I H I- I - J Proposed see Num Standard Values From JA4 Table Framing Thickness, Framed Continuous JA4 Proposed Tag/ IDS Assembly Name or Type' Material and Size' Spacing, or Other U- factor" JA4 Table Number' Cavity R -value Insulation Assembly R -Value' Cell Values Assembly U-factor9 j Y Assembly Final Mass Name or JA4 Table ,_ ,.• 'v v o F E o m > r Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4.1. Far calculanngfmred walls use the Mass and i Pip , mf Construction table below. I. For Tag/1D indicate the ideni(fication name that matches the building plans. 2. Judicate the Assembly Name of type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicale the Frame type and Size. For "toad' Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. the , .. for mass in inches m' Spacing between framing members enter; 16"or 24 "OC; or Otherfor all other assembly description 3. Enter thid such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone; enter the Standard U factor from Table 151-B, C or D for each dierenl assembly Name or type. 5. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the wall cava" obetween the framing; otherwise, enter "0 ". 7. Enter tine Conlinuous Insulation R -value fo the proposed assembly; otherwise, enter "0". d'. inter the nom and column ofllue U -factor- value based or Column F Table Number and enter the Assembly U,factor in Column J 9, The Proposed Assembl, U factor, Column.], must be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Only A B C I ll I C F G H 1 J K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendh Table 4.3.5, 4.3.6. 4.3.7 .foint A pliendix Table 4.3.13 j Y Assembly Final Mass Name or JA4 Table ,_ ,.• 'v v o F E o m > r Assembly Thickness' Ty c' Numhei' <" Em LL w e 4 '� m r U -factor" Comment Regise ution Number: Registration DaielTinrc: 2008Residenliol Compliance Forms HERS Provider: August 2009 Prescriptive Certificate of Residential Alterations Project Name: I A Residential Climate Zone Stories T ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roofsurface to be replaced exceeds mare than 50% of the existing roof area, or more that 1,000 fr', whichever is less, the new roafangarea must meet the roofing product "Cool Roof" requirements of §252(b)IHi, 152(b)I1Iii, or 152(b)IHiil. Check applicable alternative or exception below if the roof alteration is exemptftom the roofing product "Cool Roof' requirements. Note: !Jany one of the alternatives to exception below is checked, the Aged Sola Reflectance and Thermal Emittance requirements for roofing products in §118(i) are not applicable. Do notfrll table below. ❑ ool Roots Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less h n 51ble. Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitell >2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr•ft2-OF/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(1)10; or . ❑ In climate zones 10, 12 and 13, with I If -of free ventilation area of attic ventilation for every 150 11' of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(B2; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low -slope roof (pitch <2:12) D Building has no ducts in the attic. Other Exceptions ❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. El Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft' is exemptfrom the below Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box below if Exem t from the Roofinp, Products "Cool Roof' Re uirern : Roof Slope Product Weight Product Aged Solar Thermal CRRC Product 1D Number! < 2:12 > 2:12 < 5lb/ft2 > 5lb/ft2 Type' Reflectance''' Emittance SRI ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRCProduct ID Number can be obtained from the Cool RoofR'ating Council's Rated Product Directory at www.coolroofs.are/mnductslsearclr.nhn 2. Indicate the Qpe ofprodtat is being used for the roof top, i.e. single -ply roof asphalt roof, metal roof, etc. . If the Aged Refteclance a not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value firm the sane directory and use the equation (0.2+0.7(p„ rao,1— 0.1) to obtain a calculated aged value. Where p is the /sinal Solar Reflectance. 4. Check boa ffihe Aged Reflectance is a calculated vale using the equation above. 5. Calculate the SIU value by using the SRI- Worksheet at hilw Aviv v enerev ca env/titlel4/and enter the resulting value in the SRI Column above and attach atopy of the SRI- Worksheet to the CF -1R. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other Registration Number: Registration Date/Time: 2008 Residential Compliance Forms HERS Provider: August 2009 I Prescrfntive. Certificate of Compliance: Residential , CF -IR -ALT I Residezztlrrl Alterations Wage 5 01� 51 't'niject Name: Climate Zoned 1 hof Stories HERS VERIFICATION SUM MARY The enfm'cen+em agenei should pnr special unemiwr ro rhe HE/iS Nleusm es specified +n ons checldisi below. A conrpl eled cnrd signed CF-alP Form+ for all the meastu es specified shall be submitted io rile building impeclor before final inspeclion. Duct Sealing & Testing HERS verificalion is required.forIhi.+ measure. ❑ YES ❑ NO VES: In Climate Zones 2 and 9-16, if more than 40 linear feel of nem, or replacement ducts are installed in unconditioned Space, the ducts are to be sealed per §M(b)IDii and the newly installed ducts are to be insulated pet § 151(ill 0. ❑ EXCEPTION: Existing duct systems that at extended, which are constructed, insulated or scaled with asbestos. ❑ YES ❑ NO YES. In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)IDi. ❑ YES ❑ NO YES. In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of -the air handler, unmoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per §152(b)IE. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 finear feet in unconditioned space. ❑ EXCE'PTION': Existim, duct systems constructed, insulated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is require fm this measure. ❑ YES ❑ NO YES: In Climate Zones 2 and 5-15, when the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system A/C at beat pump, cooling or heating coil; or the furnace heat exchanger) a refrigerant charge measurement shall be verified per §152(b)IF. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of §1 50(o) do not apply to existine residential homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verpicatimt is required for this measure. ❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced. the airflow and fan watt draw shall be verified per § 152(b)l Ci to meet the requirements of § 151(f)7B. cumentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Name: to 1r;!—� P�Q r P-- Signature: Comport)'. LJ © 8 7� t -N m=. Z 3 1� Address: 16 M y{ tt (.k $.A- if Applicable ❑ CEA or ❑ CEPE (Certification il): City/State/Zip:��11 pO S- ©1'l VL tt U o. c{ Z. D Phone: 1 N 3 6' X5-3 87 q esponsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibiliq for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications for the building design identified on this Certifmate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to doctunent this building design on the obter applicable compliance lorms, win ksllCetS, calculations, plans and specifications submitted to the enforcement aneMN, for approval with this building permit application, Name, Signauue: Company: Date: Address: License: CmdStawlZip: I Phmle: TO a,t'.s'istanec 0 quest inns regut'dint, the En aro(' Stenrda) cls, contact the E•nergr Hotline• at: 1-800-772-331/0. Regis o onion lV an bet; Aegiso upon OmelTune. HERS Provicler: 2006: Residential COntpliance FOrnrS Ai uot+s'l 2009 r -IL ['L jM POST IN CONSPICUOUS PLACE ON THE lj� SETBACKS Front 401cl Side Yd. R 40011 L20I Rear 121 • Side Yd. R L Rear BUILDING INSPECTION RECORD TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. Trenches 0 Forms 0 ------------------ Floor System - -"--. ----_--..-.. - SteelReinf.. .............. ........... . .. �'o11".1e.............................. Frame and Fleshing ...... ._----------- insulation .............................. Lathing ----- .--_-------------­--­ Dry -_..................Ory Well Nailing.... ..t.�y. Pinter, Brown - Sound Attenuation ....................... Handicap Regulation --------------- -_-- FINAL PLUMBING Soil..................•------•-'-- " Underground Water ........ ..............d. Rough Plumbing ----------------- ------ Prop. Sewer Line and House Conn... �d Street SewerConn . _-------------- ---- WaterService --------_--------------- Sprinkling System ...................... Gas Tat --_-.--.. --_-------------- It. FINAL HEATING, AIR-COND. AND REFRIGERATION Flair. Lina, Pressure Tart ................ Ducts, Underground ...................... Ducts, in Structure ................... . .. Ducts, Ventilating ...................... Rough Heating and Air -Conti ----r......... ELECTRICAL Temporary Service or Pole ................. Underground .......................... Power Meter ........................... Rough Wiring ........................... FINAL Do not Occupy this project until final inspection has been made and occupaocv has been approved I Special Requirements - I I I 91 NOTICE P.AIJS INS1�,_ UNIT" 24 -hr. notification required when the ' is ready for inspection. You must furnish PERMIT NUMBER the JOB ADDRESS FOR EACH — RESPECTIVE J%SPECTION. CA�566-5273. APPF#bVEC " ANS SHALL E ON JOB AT ALL TIF'°S=-^a „--_CMF 0559<6 t_ d DATE ISSUED 4-14-78 A.P. NO. PERMIT NO. 45837 BUILDING ADDRESS 1058 Mission Drive Units A & B TRACT LOT BLOCK NEW ADD ALTER REPAIR MOVING DEMOLISH =CX OWNER ODDO J. USE Duplex FIRE ZONE TYPE GROUP R-4 V J SETBACKS Front 401cl Side Yd. R 40011 L20I Rear 121 • Side Yd. R L Rear BUILDING INSPECTION RECORD TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. Trenches 0 Forms 0 ------------------ Floor System - -"--. ----_--..-.. - SteelReinf.. .............. ........... . .. �'o11".1e.............................. Frame and Fleshing ...... ._----------- insulation .............................. Lathing ----- .--_-------------­--­ Dry -_..................Ory Well Nailing.... ..t.�y. Pinter, Brown - Sound Attenuation ....................... Handicap Regulation --------------- -_-- FINAL PLUMBING Soil..................•------•-'-- " Underground Water ........ ..............d. Rough Plumbing ----------------- ------ Prop. Sewer Line and House Conn... �d Street SewerConn . _-------------- ---- WaterService --------_--------------- Sprinkling System ...................... Gas Tat --_-.--.. --_-------------- It. FINAL HEATING, AIR-COND. AND REFRIGERATION Flair. Lina, Pressure Tart ................ Ducts, Underground ...................... Ducts, in Structure ................... . .. Ducts, Ventilating ...................... Rough Heating and Air -Conti ----r......... ELECTRICAL Temporary Service or Pole ................. Underground .......................... Power Meter ........................... Rough Wiring ........................... FINAL Do not Occupy this project until final inspection has been made and occupaocv has been approved I Special Requirements - I I I 91 NOTICE P.AIJS INS1�,_ UNIT" 24 -hr. notification required when the ' is ready for inspection. You must furnish PERMIT NUMBER the JOB ADDRESS FOR EACH — RESPECTIVE J%SPECTION. CA�566-5273. APPF#bVEC " ANS SHALL E ON JOB AT ALL TIF'°S=-^a „--_CMF 0559<6 t_ Project Address /C/L--;' 7 A.P. Number Building Permit Number ,p Owner's Name Mailing Addrei CITY l .OSTA MESA PARK FEES Fee Payment Receipt FEE: Single Family " 2 -Bedrooms or Less 3 -Bedrooms 4 -Bedrooms 5 -Bedrooms + Multiple Family ' ` Bachelor or Studio i -Bedroom 2 -Bedroom 3 -Bedrooms + Planning Department ApG Applicant's Signature • City ordinance 72 CMF 0174-32 Rev. 7 N° - 316 Area Number of Units ' @ $ 702.70 = @ 983.13 = @ 1,260.33 = @ 1,476.32 = @ 386.81 = @ @ 467.38 718.60 ]z Z +1 �792 @ 1,135.66 Total Fee 6 G ince 72-45 ••• City Resolution 77.89 ; Canary—Planning; Pink—Finance; Goldenrod—Applicant i ' TA MESA BUILDING—SAFETY DEPARTS"NT P.O. BOX 1200 Costa Mesa, California �� l /- TRACT CONTRACTOR✓ _ . Th t si _!Ll v r / LOT N Address 3;/ NINA A/ 's.! City 11 i_ VI N `. Zip Code ��(�(i % Building Address State License No. Class. /_ - Owner _ No-/.' T No Li LU City cense . TeLI Mae r i-Yl� Address RECD. BY BUILDING USE DATE ISSUED Q NUMBER TYPE OF FIXTURE OR ITEM FEE ICity /�'// "- iw M r,5 0- '. Tel. No. J Bathtub ,� t here ackmywjVge. that' f have read this applicatiojand Q Laundry Tub or Tray _ Dishwasher state at theaboveIscorrect and agree to comply wAutomatic cc Garage Disposal Washing Machine Z) Gly dinances andState'Laws regulating plumbing. 0 Shower 1 ce tify, that Vpossess the above valid Stale of California Cas System ... Outlets Sink, Bar Roof Drains ° fic tion off am the legal owner of the residential propercc N Z Sink, Kitchen = ibed above. L H Wash Basin (Lavatory) - certify that t have obtained a permit from the State DivisQ. Water Closet (Toilet) ndustrial Safety forescavations, other than swimming poolfeetdeep or deeper and into which apersonis required to de cc a Drinking Fountains Si nature o8 f Floor Drains Permittee Z Interceptors _ L _' Receptors INSPECTION RECORD ?� Sinks Commercial or Industrial Sub - TOTAL FEE I APPROVALS INSPECTOR CLAP 0450-46 BLDG. PERMIT 410 Sinks, floor s Sinks, Service- — Swimming Pool cc L Urinals .- (L _ Dishwasher cc Garage Disposal Z) Water Softener r 0 Water Heater and Vent _ Cas System ... Outlets N Roof Drains ° N Water Rping Allem[ion = Backnow Preventer USG F— Lawn Sprinklers (Res or on -Res) USG Sub - TOTAL FEE I APPROVALS INSPECTOR CLAP 0450-46 BLDG. PERMIT 410 5837' --i= COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only R BUILDING r ,r�A s e , ['1n OWNER �lO�E.-pla MAIL ADDRESS 1q &8 41LIMA CITY s7 -A M E' CONSTRUCTION _ LENDER cAl. BRANCH /- sCTn M ADDRESS 1-1 t'1 CONTRACTOR ADDRESS CITY .e a 7 PLICATION FOR STRUCTURAL PERMIT EJVED BV I I DATE RECEIVED nnTTPIc ,,r mi OI +�9' VAA.P.NOL � {��/�� SE/VI I/ 1 FIRE ZONE NOLrJ'f'tP 104- C CL 1/lflJ,dL M 1L�lMl'e' APPROVED BY �I 11 ZON TEL. NO. DATE USE OF NE BUILDING __ f%1, .4, STATE CITU YARDS APPROVED YARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO. OF (FROM C/ ST d RFT) t 7 /. OF LOT I'LC 9'.f I n A NOW ON LOTS I ROM FT. Q USE OF /E ,�. EXISTING BLDG. AAA -Q f1l.,G,.i A-,-j'r T. . F- Separate permits are required for L. SID FT. C' electric, plumbing and healing work. REAR f E V, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS, BLDGS.VADATE ' q C URP. M 2 APPROVE } n /+ n p� APPRO DATEa W $" 1 hereby acknowledge that I have read this application and state SPECIAL REQUIREMENT (Y that the above Information Is correct and agree to comply with —� o m all laws regulating building,constiuctlon, nntl I hall not employ � 2 any person in violatirn'of the workmen's compensation laws of the State of California. 3 I hereby certify that I em properly licensed as a contractor under 1 5VSO. FT. .7 = Q( y r the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMTr FEE ONLY: em exempt from the provisions of the State of California Business VALUATION PERMIT FEE f < end Profession' Code, 151_3slon 3, pte/r/ PLAN CHECK f Signature of /2 $ \ TAX Z�/ d-AgartC/ � � TOTAL PAID 3 / 41V I COSTA MESA BUR LDING.SAF TY DEPARTMENT Ir P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS f OWNER Q MAIL ADDRESS TEL. CITY NO. CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT TEL. OR ENGINEER ADDRESS CONTRACTOR ADDRESS TEL CITY NO. F' STATE CITY LIC. NO. LIC. NO. SIZE NO. OF SLOGS. O. OF LOT NOW ON LOT a USE OF .y. EXISTING BLDG. h Separate permits are required for L1 electric, plumbing and heating work. LQ USE OF BUILDING AND WORK TO BE PERFORMED J ..l a �.7 a w 0 1 hereby acknowledge that I have read this application and state IX that the above Information is correct and agree to comply with A. all laws regulating building construction, and I shall not employ Wany person In violation of the workman's compensation laws of �. the State of California. 3 I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. Signature of Permittee Authorized Agent 0735 5/10/70 197.0:; TL. AP CATJON FOR STRUCTURAL PERMIT ZONE IP° NS I USE NEW YARDS BUILDING�ACCE ACCESSORY BUILDING DISTANCE BET MAIN BLOGS. VAR. + APPROVED SET. MAIN & ACCESS BLD DATE [VALUATION ;PURPOSE NT SHOWN UNDER VALUATION IS FOR OF ESTABLISHING A PERMIT FEE ONLY PERMIT FEE $ PLAN CHECK E TAX Err TOTAL PAID S i n I m� DATE RECEIVED DATE ISSUED 15--/0, PERMIT NO. LOT BLOCK EFIRE PVALUE $ ZONE TYPE GROUP ZONE IP° NS I USE NEW YARDS BUILDING�ACCE ACCESSORY BUILDING DISTANCE BET MAIN BLOGS. VAR. + APPROVED SET. MAIN & ACCESS BLD DATE [VALUATION ;PURPOSE NT SHOWN UNDER VALUATION IS FOR OF ESTABLISHING A PERMIT FEE ONLY PERMIT FEE $ PLAN CHECK E TAX Err TOTAL PAID S i n I m� C_ 45991 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING /4 moi- ADDRESS J�,r/ OWNER ` / /t I"r MAIL TEL. CITY NO. CONSTRUCTION BRANCH L. ADDRESS CONTRACTOR U/ BUILDING ADDRESS ADDRESS L CITY TEL. NO. STATE LIC. NO. CITY LIC. NO. SIZE OF LOT IND OF SLOGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. UILDING AND WORK TO BE PERFORMED I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person In violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, such licenses are in full force and effect, or I em exempt from th pro ' 'ons of the a of lifor 'a Business antl Profes>nsCo�d si 3, Cha erSignature Permittee Authorized Agent "0 7Z4 2k-0 TL AP LICA ION FOR.STRUCTURALPERMIT ;J.: :;/ ..111 111.4i, TL ISSUE /V/ A.P. NO. REC�JV D / DATE RECEIOGROUP BUILDING ADDRESS TRACT L A D A P OWNE SE FIRE ZONE TYPE APPROVED BY DATE ZON NO. OF PLA USE OF NE BUILDING QI YARD APPROVED MAIN BUILDING YARDSAPPROVED ACCESSORY BUILDING (FROM C/L STREET) ROM SFT. R. SIDE 'qz2l T. 042 L. SIDE FT. Z T. / REAR FT. FT. DISTANCE BET. MAIN SLOGS. BET. MAIN & ACCESS SLOGS. VAR. ah C.U.P. ¢'+ / DATE APPROVED 2— APPROVE By DATE,5-16 HOLD FOR SPECIAL ►fol-, EN SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FE O VALUATION PERMIT FEE $ l� PLAN CHECK $ TAX $ O TOTAL PAID $ -- 7