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HomeMy WebLinkAbout1086 MISSION DR - Building PermitsAWRESSOFaURDINg: 1086 MISSION LR r OYINERSNPELIFO07W CRFNSIIAW, ROBERT STERLING ameliS: TR 360 MONROVIA AVE LONG BEACH,CA 90803 APPL. MAIUNI WDRESS: ARCHITECT OR ENGINEER: ARCH OR M'S ADDRESS: M Ni UNIT: UHT: cONTRACTarsbaME: ROOFING SPECIALTIES (714)540-0147 CONTRACTORS MMUNg 7751 MARISA ADDRESS: G.G. CA uc.m.: 362397 92751 UNIT: LICENSED CONTRACTORS DECLARATION: I hereby affirm under parody of perjury good I am Icerued under prosisions of Chapter 9 (commencing with Section TODD) of Dhisim 3 of the Businer and Pnofesior Code, and my liosnea is in full face and effect. CITY LIC. NO.: 0 18 4 0 1 uc.CLASS: C39 LIC.. NO.: 2/3/97 EXP: 11/9 ale: 2 P Comree(ry-�'7T mem l// OW R BUILDER DECLARATION: hereby affirm under perl9(ly ryry that I exempt from the Contrwae Lipme law In Its, ttg nrwun (Saxon 70313 Bisbee. end Proferiorxs Code: AM city or county which raluirea a Penni) to const 1, after. tnprove, demolish, or repair any structure, Pricer to its esuroe, dao reuires the applicant for such permit to fib a signed sweetened Met M or she is licensed purmant to the provisions of the Commodore License Law )Chapter 9 (commencing with Sed'nn 7000) of Division 3 of tie °seiner and Professions Code) or Thal lot or aha is exempt therehom end the basis for the staged!exemption. Any violation of Saxim 1.5 by eery applicant for a perms subjects the applicant to a dvt penally of not more Men TNe hundred ddlers R500D. 1, as .or of the propend or my employees Mh wags. r Ihei sole compereatien, will do the wade, and IM slrudure o net intended or o ernd for sole (Section 7014. Business and Professions Code: The Contractors, License Lew does m apply to an owneror property sunt bolds or inmepves thereon, and wro dor such work himself or herself a Mragh his or her own employees, provided Ihod such 'mprovemm. ere nal intended or Wand for sale. ft, no., the building or bnpnwemm le sold within one yean of completion, the owner "builder will have the Widen of proving M or who did tet Wild or improve la lM puryre d rte). I, r owner of the proem/. am exdusively mmrmcg with licensed contracture to construct the project (Section 7014, Business and Profesalor Coda: The Commodore License Lew does rot appy to en owner d property wino Wilda or inpro.•r thenson and wino convaom ler such projects with a ocntnmods) kered W muent to IM Contractors Liam se Law). I are exempt under Section: B. 8 P.C., for this Meson: Dene: Owner I do Mreby wiry Mel I am aware of and undershoot the reRuimmetds of California Nrfth and Soley Code Senior. 25505. 25533, and 255x, end that I or cry future building omwand will / will Trot (circle me) need to comply with said mus owr, end IM soluimments lor e parent foroaermim comndifimionhamlM Air y7.iaragemmt Diadct. Rrdenliel ewnmroctcn appgembmare exempt Iron Mee prmisbr. Dow Applicant: WORKER'S COMPENSATION DECLARATION: I hereby affirm under permy of perjury one of the b0owirl datlanulona: 1 have end wird mdmebn a tenni ate d conrM to self ineure /a waken' compensation, r podded Tor by Smion J700 d the labor Code, for the pedomroe of the work for which Mie Permit is sound. sb LTL a I her and coil mountain sunders' wanperuetion ir, rcerequiredure, as required ed Sion 37M d ICode. leM r the pormce d enthe h' work dor whiW this Permit is beued. My workart Spentiwion insurance carder end policy number we: Ceder: S1ATE FUND EXPIRES Policy Numben L Ts D — J / 1 1 01 / 01 / 9 8 " ;s sxdlm need nal be oa mpkeed r Me permit or, ler ane hundred ddlans /$1001 or ben.) I cenly this in the pedonnenr of the wok ler whch this patent is issued, I shall m employ any warn Many menner r as to berme whim 10 the woken' compensation laws d Callornie, and agree that t I ehauM become subject ID the eorsers' Aomper es, pmdslore d Sedan 37W d IM Labor Code. Imo�.T tw_h�"yn�It c'om/ply wtn Mor ® worten'rompensetlon covendolDLuminiu Send "I sub/oot an employer to cr/Mrl penaltlr and q Hemosed "I.. ($gOq 000/, he ad fiffm IP the coot of comtern ry demogeso r pmv/dm ler In CONSTRUCTION LENDING AGENCY: I Mrey affirm under Penalty of poijury Ileo there 4 a mnmmacn baling deny for the pedomrm 0 the work for which thin permit is issued (Sedion 3097. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I codify IW I have read this applicomm end date that the abor idormmion is correct. I agree to comply with all city and munly aidvem<a end clue use misting to building costrudion end Mreby withorbe representations of this city to enter upon the ebove-menlione i property for inspection purposes. JOSEPH GOBSIc.R "'Sf<e WPI WhurfLii"_ A Swat, Prrk-Rmnme (3nYl odd-Aasssaor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 08548E PERMIT NO: B 085488 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: OTH ,7OB DESCRIPTION ; 1/0 REROOF RESHEATH W/VSB a REROOF W/COM SQ Fir: 4,000 CLAIM VALUE: 4,000,00 CALC—VALUE: 4,000.00 GROUP OCC: R--3 /0-1 COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY iF n * To- x;i it n if ii x it ri ii x ix x w ri it if iF iE iF it ii it is ieiE iii6 ri rE iF ie ii i' ie if w iF iF it ie it iE ie ii ie if ie iE ii• i' ii of iF ie ii ie it iiiivF iF ii re iF 3e ie k iF ie iF it iF vis ii 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 BUILDING ----- ------------ ACCESSORY BUILDING — — FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 14157103 ZNE: REF NO: PLANNING NOTES,>,- it if iexxxii ii ixxxrixiixii ie if ii iE%iixx xis ie iixkiixie it ie><xil ie is ie is if iE xir ie ii iF ii iixxxiexie it it id iF ii iF ie iv it iExri"'* alexic de it ie it ie is D E V E',"L 0 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 DAIE: BUILDING APPROVED BY ; DATE: �. APPLICATION ISSUED BY: DATE: rli xxie is if ie is de iExiF dF iE if ic'ir vE iE it ye ii is sit s'sa ye yr sy se ye se yr ye orex se xore 1r1m7'x.e eYxxiy rex sazxse sY as aexiFx it is ie is it it if nix x >c x . LEGALIZATION:N F E E S U int M A Y STRUCTURAL EGMNT Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES GRADING PERMIT 87.25 .50 SMTP/NON-RES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TO AL PAID DUE TOTALS ---- > 87.75 0.00 0.00 87.75 87,75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 87.75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/I0I GRADING PLAN -CHECK 87.25 .50 ii is itxxii ie>r it it it it is iE it icie>tx>t it it xtinxxiexic icxicir ie ie xic iF is is is is ir>c ii if;r iexiF+i is ie oft is is is irisin ii ii ie ie ie ie iExkie is ri ie iE is sit ie it#it I N D 1 V I D U A L F E E B R E A K D 0 W N TYPE QTY D E S C R I P 1 1 0 N UNIT COSI 1VTAL CVS! SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,000.00 END OF PEES 18-29-1997/89:59 AN/$87.75 RCPTN:81-8814636 PERMIT:O85488 CONSTRUCTION AND PLANNING. APPROVALS Permit # oate Inspector POOL & , APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location \2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement r3: Electrical Conduit Utility-Undrgr.nd. 54. Forms - 4. Electrical Conduit, Urid rgr no, 55. Electrical Bonding �5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - - '6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE - 7. Yootings ,_ 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test r_ 9. Water Pipe-Undrgrnd. 60, Backwash Lines, P -Trap, CI Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11, Property Sewer Line & House -.Connection 62. Backwash & Receptor -Final .12. Sewer Cap .. 63. Heater & Vent -Final 13. Roof Drains _ 64. Plumbing System - Final - 14. Rough Plumbing - - 65. Electrical -Final ' 15. Rough Electrical -Conduit - - 66. Solar System -Final 16. Rough Electric Wiring .- 67. Fencing & Acc ;is -Approval -. 17. Rough Wiring Sign -' 68. APPROVED FOR PLASTERING 18. Rough Electricai-T Bar Ceiling - - 69. POOL./SPA SYSTEMS FINAL 19. Rdugh Heating -& Air Conditioning FIRE DEPT_REQUIREMENT APPROVALS- Permit # 20.. Rough Facto,y Fireplace i - = 21. Ducts, in:Stru'cture •• •• S _ 70. Undergroudd Hydro 22. Ducts, Ventilating," ; , ,�. .t 71. Product -Pi ping rLl Gas OOil 23. Gas Pipe -Rough & Test r �: - _ 72. Underground Flush ' _ 24. 'Roof Framing'- - '`' ` 73. Undergrnd. Storoye Tank ❑Gas -oil 25. Roof,Sheathing 74. ;Overhead Hydra 26. T -Bar Ceiling (Structural) & Mond'coat �, - = a 75. _ PryChemical - 27. Frame and Flashing � - �'r T 76. Dry Standpipe - 28. Lathing&Siding-'; n = _ "I ", 77• FIXEDSYSTEMFINAL 29. Insulation -• +' r - •• r` 78. FIRE PREY. FINAL - -' 30. Drywall Nailina - J I le - ..HEALTH DEPY. REQUIREMENT - 31. Plaster Brown Coat I, �e T A. FINAL INSPECTION - 32.:_ElectricaFPcwer Meter-Fipal' F '' ,K 80j FOOD CERTIFICATE ISSUED, z 33. -Final. Electric _ r Notes: 34. Final.Heating-& Air Conditioning- - .. -- ' J j, 35. Final Gas-PipC.Test 1 i i ♦ , 36. Hood or Canopy - 37. Final Factory Fireplace - _ s, I _ 'A r 38. Final Plumbing 39. Water Service-Fina`i- 40. Gas Service -Final 41. Solar Domestic-Finat. 42. Backflow Preventer r i + �+ - r 43. Backflow'IrrigatiA t r ,44. Landscape Irrigation System: c + •' - =� - 45. Sound Attenuations •. - 46. Handicap.Regulations 47. FINAL STRUCTURE &BUILDING 48. FINAL PLANNING 49. Electric Release to Edison r _ - 50. Gas Release to Southern California Gas Co 51•. CERTIFICATE OF -OCCUPANCY No. Date _ r Building Address /C/OiL�jtT C.2�7cSifvw Owner , t.LLz7/'t�E'hJ%/%6 /0DZ5Contractor F CITY OF COSTA MESA DEPARTMENT OF BUILDING SAFETY Reg stered ep t Building Inspector Certificate of Compliance ' �T /t�'Voy Address Permit Date Date of this Certificate 4/65%36 Number Zy Issued To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable thereto. 1) Concrete 3) Welding 5) Special Cases 2) Masonry 4) Reinforced Gypsum Swimming Pool Size .3,j XI.S Gunite j,_,� Hand Pack Sacks Cement f%a Tons of Sand 4/4/ Approximate Y. of water in aggregate�P This report covers work completed during week ending Name Address 916W1>47F11 (91re"c Laboratory. elephone %J/ Form Bu a -- CRENSHAYI JOB ADDRESS 1086_M: IGENERAL CONTRACTOR AP No. 141-571—OR Lf °CTIONS Pool Location Forms Main Drain Steel Reinforce Elec. Bond Approval to Cover Underground Electric Gas Piping Test Filtering System Lines Backwash Lines and Recap. Electrical Final Heater and Vent Final r - System Final Bo.rtwash and Recep. Final Fencing Final Approval for Finish 0- A- DUILVIM, rCKMI I _DESCRIPTION of WORK privy+P Swi (yPFIRE ZONE VALUE S iota GROUP TYPE 6 -?St SUSCOMTRACTOR Date Electric 6, 78 v 6 its 50' W Plumbing IT 5--1 SSU ED Nnmbcr Sian .":.- 0 3 4::43 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O.SOX 1200 COSTA MESA, CALIFORNIA 92626 1481 1 7/24%18 54.50 T� 54.50CKT17' I.A For Applicant to Fill in Completely — Use Ink Only PPLIC TION FO# . � U IT R V V DATE -RECEIVED DATE ISSU D Z .2O %Jp L'INI/ j� ADDRESS �(� /SS/O D2 •' OWNER /! C "� a c: c /j/fy/Q(�V 1 PERMIT NO. A.P. NO. �' ' S7 � � � 7MAIL QCITYlA 1OWNER ADIRING ES !DADDRESS 6-$�,tJ NOs 7_;FTRACT -7 z d LOT BLOCK CONSTRUCTION LENDER W ADD ALTER PA BRANCH �/ P/I e&9R ,V ADDRESS j/Jj S ." rJCy//�' V VALU$ Si 02ry "j FIRE ZONE TYPE GROUP ARCHITECT q TEL OR ENGINEER ADDRESS �Z�.SS rVIL OIOn _ // / CONTRACTOR C/V% Z 0,?c,/ APPROVE BY DATE 77 f' ADDRESS ALI,TE CITY .ST,"/✓ NOL$9y ZONE NO. OF PLANS Z USE OF NEW BUILDING STATECITY LIC. NO.'LpJa7 O� LIC. NO. YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING SIZE - OF LOT NO. OF BLDGS �' NOW ON LOTFRONT IFROM CIL STREET) 0FT. FT. O USE OF EXISTINGBLDG, / N / A,, Le R SIDE FT,FT Separate permits are required for electric, plumbing and heating work. L. SIDE FT. FT. REAR FT. FT. US O 1UI LANG ALND WOR TOB PERFORMED `('� J m - oo S A DISTANCE BET. MAIN SLOGS. BET. MAIN & ACCESS SLOGS. VAR.* C.U.P. qW DATE APPROVED APPROVEDRYDATE Cry p 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 1 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, 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 �}//.ls �� r Permittee ���i.��// Authorized Agent SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION E /n(/`/ _ `2+ - _ PERMIT FEE E PLAN CHECK E TAX E TOTAL PAID E _ 2902_5 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 1262/ For Applicant to Fill In Completely TYPE OR PRINT NG i D 8�a 1,41651014 4II COSTA MESA, CALIFORNIA ARCHITECT aA4,C IssiaV OIM SIZE rM /I 'A '�'.Sb/ I rNiOW OM LLOOT OF LOT ✓� DESCRIPTION OF WORK F OF I HERSEY ACKNOWLRDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 1E CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AMD STATS WS RIOU TING BUILDING CONSTRUCTI�OJN. ///J ///� //A/�A SIGNATURE OFVZ7-f//i1�.A. /'4' _ A//A AUTHORIZED AGENT AUG 27-68PAcessIB001209* ****31.5C APPLICATION FOR PERMIT BUILDING For Office Use .Only RECEIPT NO. P MIT Rcuryi0 Rr n RKCIUV D TZ 9u�il�8q� I 6 BUILDING it Q ADDRESS CI IJ FIRE E ZONE TYPE GROUP APPROVED6 �—Xp BY DATE ZON NG ZO NO. OP USE or NEW PUME BUILDING LEGAL a r o -DESCRIPTION< A. P. NO. (33 NOTE: NO SAVE OVERHANG SMALL BE LESS THAN JO' TO SIDE B REAR P. L. SAVES ALLOWED (U. B. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) FRONT FT. Fr. R. SIDE FT. 6 . SIOX PT. FT. REAR FT. DISTANCE ENT. BET. MAIN e MAIN BLDQS, ACCESS. BLDGS. VAR. d* DATE C.U.P. APPROVE APPROVED , / I/ EY ✓ ATE 3,2- SQ. F7. THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION nl PERMIT FEE PLAN CHECK 5 TOTAL FEE [:MNSJiAW4 HUHHFRP vn i 1 �)- 'oo JOB ADDRESS 1086 Mission Road BUILDING PERMIT NO. 29025 leyDESCRIPTIONofWORKAddBedroom&Bath Enlarge StuLOT V""; TRACTFIRE SOIL ZONE VALUE00.00 `',+ti CTIONS Si nature GAS WATER Date GROUP 1 TYPE V ZONE R-1 SOIL SUBCONTRACTOR PERMITS Date ISS ED Number Si nature GAS WATER Plu in ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING ' TEMPORARY SERVICE OR POLE UNDERGROUND POWER ❑ ROUGH WIRING H atin and Yent. TRENCHES ED FORMS R STEEL REINF. © y_�7.3_asy FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN T OUT A Ai !S•AY-6 PLASTER, BROWN COAT //- J - -TURAL, FINAL _S" H. AG, VENT., REFRIG. AND A.C. FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL -�C• BUILDING, FINAL .ID•., SPECIAL REQUIREMENTS 1535 "COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 817 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA Lot 43, Tract 4204Fk.JRf C E I V E D �7 SEP 11 196t FINANCE DEPT, CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only 0 RECEIPT NO. .(1 SRM( CL�NO WNER AIL p 800 Coast Hi hwa RECEIV D BY DA R771U)6 J' ATE IBHUEDjj H10 DDRESS E. TEL. 11rlif BUILDING ITY NO. [CONTRACTOR ADDRESS RCHITECT TEL. R ENGINEER Macco Corporation No. OR 220 COSTA MESA. CALIFORNIA ' 'SS H' hwa FIRE E Cast ZONE TYPE GROUP Macco Corporation APPROVED BY DATE ZONING ADDRESS Coast Highway /_„ Corona del Mar California ZONE �J_ ���......��� NO. OF UHE OF N ' n I j� I CITY PLANBUILDING SATETEL LTL C NO. a O E- NO. OR 22G LEGAL EHCRIPnoN SIZE [ NO. OF BLDGS. OF LOT v2G NOW ON LOT none i�-T7 A P NO. USE OF YARDS EVES EXI6TING BLDG APPROVED ALLOWED SETBACK LINE FROM(CENTER 1 61, 271 LINE HT.) CENTER OF STREET REAR YARD FRONT FT. IN. SIDE YARD I LEFT 71 RIGHT 61 R. SIDE FT. IN. DESCRIPTION OF WORK �/ -- L. SIDE ( FT. IN. NEW IXX II ALTERATION I IIADDITION I �/ REAR / FT. —� IN. rR I MOVING I IDEMOLISH ABYPROVED w/d DATE 7/IwIN NO. OF4ZE 1X 01611 ROOMS 6 STORIES 1 EXTERIOR WALL StUCCO ROOF COVERING COVERING Living area 1281 S F USE OF BUILDING AND WORK TO 9E PERFORMED Garage area 445 s F w/attached garage Covered Porch etc. 25 S F 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF EeTABLIBHING A PERMIT FEE ONLY. PLV ALL CITY NCEe ANO STATE LAWS REGULATING VALUATION DWITHING BUILDING CONSTRUCTION. TION. SIGNATURE OF DeVeZO mant Co. PERMIT FEE S -� 1 /7 PERMITTE ],4 103.00 By $ PLAN CHECK S � AUTHORIZED AG TOTAL FEE 751.00 0 0 W I— O J i i J 2 W CL O Q a Z W 2 F W CL D: O COSTA MESA BUILDING—SAFETY DEPARTMENT P.O. BOX 1200 Costa Mesa, California 03341 /24/78 12.00Ck.0 038k' 98 0182 70 12100 TL - r L s r ' ' ELECTRICIAN p.a iW QA'fL [ Ac 115 PERMIT PERMITYNNO. TRACT NO.'yz o RECD B 442! LOT NO �3 DATE ISSUED BUILDING USE r C 0 BUD ESS ADDefss 0 / ADDRESS �O a'Z .CA /!Js P /'mac - CITY rQJ/AN N TEL. NO. 790f141OJ STATE LICENSE NO. CLASS. — CITY LICENSE NO. No. ITIM EACH FEE$ COSTA MESA, CALIFORNIA Dwelling, Sq. FI, S NEAREST CROSS 9. Garage, Sq. Ft. OWNFt ESI- Z Finl 20 Outlets, wch MAIL p Y? ADDRESS J . Outlets, Additional sy aTr os ,o t TEL. No.5S7-97'%6 First 20 Fietures, each 1 HEREBY LACKNbWLEDGE THAT I HAVE READ THIS APPLI. CATIO[1 MIaNBTATE THAT THE ABOVE 15 CORRECT AND AGREE T�'(f. MPLY%WITH ALL CITY ORDINANCES AND STATE LAWS REG. OU``T��ING ELECTRICAL WIRING. /1 CERTIFY THAT I POSSESS THE ABOVE VALID STATE OF LIFORNIA CLASSIFICATION OR 1 AM THE LEGAL OWNER OF TME SINGLE FAMILY RESIDENTIAL PROPERTY DESCRIBED ABOVE. rs //n��� Q PERMITTEE `�✓'/n't�y" Fl Sfafee, Additional Dryer ` Fon Hooter Oven, Domestic i NO. ITEM 1ACN FETE Palo, constructiionn Sign 6 1 Trans. 2.00 Range. Domehic mE n Miss: Generators• as Mo 1 e Schedule) '.a. Hv Alor E D V— ZIL75L HP Sub -Total Fees HP APPROVALS Molars, w. Permit Fee 3 00 INSPECTOR DATE TEMP. FOIE O 1 C.. LD . / O - -75 r UNDERGROUHO[ONOUIT ROUGH Sub-Totol Fees _ FI%fURES 1 _ GOWER 1 1 Total Fees UTILITY CO. NOTIFIED FINAL I , E EO CMF 0313-46, rev. 7/75 -42 I:...:............I:_._�.,.F_.._a„_c_L._�..I_ R1.nf%. PDDAAIT NA- ,4 [STA MESA BUILDING—SAFETY DEPARTMENT P.0. Box 1200 Costa Mesa, California rI TnAcr Nci.!k:2A RECD. 7440.3. 35 7/24/78 LOT NO. _ 3 DATE lSf NED ✓7/J BUILDING USE Ile/a JtL•.A . �OO/• .... Building/OF6 Address iSS/O.✓ !�/I Owner �r �R .0 A/ SNif sf/ Mail �AT - Address City �'o3 to !%lt 5:? Tel. No. SS7^9�y I hereby acknowledge that 1 have read this application and state That the above is correct and agree to comply with all City Ordinances and Slate laws regulating plumbing. I certify that 1 possess the above valid Slate of California clani- frcalion or 1 am the legal owner of the residential property de- scribed above. 1 certify that 1 have obtained a permit from the Slate Division of Industrial Safety for excavations, other than swimming pools, rive feel deep or d"per and into which a person is required to descend. SiRnarure o iffrsA Permirree ��Mff'7Y+���iii APPROVAL CMF 0450-46 BLDG. PENAUT L' CONTRACTOR Address SO$Z. c e 111, City �y Zip Code A,(, State License No.' 0� Class. v 3 � F City License No. Tel. No. Q NUMBER TYPE OF FIXTURE OR ITEM FEE Bathtub J laundry Tub or Tray Automatic Washing Machine Showcr Sink, Bar Sink, Kitchen 1 Wash Basin (Lavatory) CL 0 Water Closet (Toilet) IL Drinking Fountains t D. Floor Drains Z Interceptors 2/ W S Receptors Sinks Commercial or Industrial ' Sinks Floor ~ Sinks, Service Swimming Pool W Urinals Q. Dishwasher cc Garage Disposal D Water Softener 0 / Water Heater and Vent > / Gas System ... Outlets ... y Roof Drains Water Piping Alteration Backflow Preventer r lawn Sprinklers (Res or Non -Res Property Sewer ... Feet House Sewer Connection Cesspool, Septic Tank rI TnAcr Nci.!k:2A RECD. 7440.3. 35 7/24/78 LOT NO. _ 3 DATE lSf NED ✓7/J BUILDING USE Ile/a JtL•.A . �OO/• .... Building/OF6 Address iSS/O.✓ !�/I Owner �r �R .0 A/ SNif sf/ Mail �AT - Address City �'o3 to !%lt 5:? Tel. No. SS7^9�y I hereby acknowledge that 1 have read this application and state That the above is correct and agree to comply with all City Ordinances and Slate laws regulating plumbing. I certify that 1 possess the above valid Slate of California clani- frcalion or 1 am the legal owner of the residential property de- scribed above. 1 certify that 1 have obtained a permit from the Slate Division of Industrial Safety for excavations, other than swimming pools, rive feel deep or d"per and into which a person is required to descend. SiRnarure o iffrsA Permirree ��Mff'7Y+���iii APPROVAL CMF 0450-46 BLDG. PENAUT L'