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Home My WebLink About1009 NANCY LN - Building Permits11 Sas...."' 1009 NANCY LN """""KENNETH KENNETH GAITEN ADDRESS: 1009 NANCY LN C AC.M. CA 92626 APDL. YdUNO AWRESS: ARCHITECT OR DIGRIEER: "RCB. OR M'S ADDRESS: UC. NO.: UNIT: UNIT: cONMUTDIrs"A' ISLAND PACIFIC ROOFING (714)637-2493 COIDRACTORSMMIDIG 17762 CAMERON ST ADDRESS: H. B. CA uG Nu.: 631472 92647 UNIT: 2 LICENSED CONTRACTORS DECLARATION: I Mraby aRim udm panty of penury That I am Icarwed add povuione of ChWw S (con memnq wlth Section 7000) of Oivuun 3 of de Business and Pralaaeibu Code. ed my Ecmm b in IW lora and eNed. C m No.: 57 0 uc.cuss: C 39 uc.eq: 6 ( 09/98 D e: Codwor. 3WNER DECL ILDE ARATION: I hereby alfum under penalty d I me exam"sm IIM re Comno a Lioams law Ica the tea.von (Saeun =ii.5 Business ad Prdmsioln Cods: Mry city m county which requires a perms to construct. am, i nprove. h, b regi ey aZuM. pnd b ns issuenu, alto requim IM applira a for such pem1E to file a signed wement find he or all ia Roened pereome to the povmuns of the Corura lda Lioene law (Chadan B (man meedrq mh Sadm ]000) of Dison 3 of IM Bue'vdess and Prdeaa'ane Coda] of the M b ell b asampl therehbn and IM bmis Id Na alepml metopli0n. Arty Violation of Section 7WIS by any applicant lb a emrn aubpcte the apPIi to a dW Penalty of not tome then live Mn m l ddWe IS500U. ❑ I. aaownerdtM popmybmymnployese w"hwapas ntneieobmmpanm n. wl0dotne arurk, sdthewucdum u MWeded or piloted for safo (Section TON. Business and Prdossibm Cme: The Conrado. Liom n, law door M apply to an owner Of popeM WM bide b anplWee IMlebl. and lino dpm aucA evrk limeell or Meeh or fteu0h hie or her own enlpleyMe, proaded Illd sudh W prm.neNa ane M Wended b piled Id sale. d, however, the WWuV or mpmanant m pit MINn One year of mnndstion, the owWr Idm "11 Mw Ihe louden of p u,, M or ell did M Wild b improv Ib the Nippon, Of ode). ❑ 1. m Ower of the prapmry, an, mdWwy cbnradirq wuh Emmad d a made b mntroot fine pops (Sadnn TON. Bushes. anal Proleaion Code: TM Conlmdod Liommi law does M appy to an owner of propel dno Mild, of Ynpnrm thwson and wee contracts b edit Wgeds with a mdredor(s) liotnaed pmuen, to the Contractee Lomas law). ❑ I am asampl udm Section: B. A P.C., for Imp roeem: Data: Ovmm: I do haraby delay Ihd I am aware of and undimlad the epdmmem of California Ifeslth and Selly Cods Section 25505.25533. ad 25536. and and 1 or any M. buddhV aoomann vdl / r0 M (dreb are) reed to campy "In send "a mdse van the neahemeds lb a permitldalnslrmtionbmodir�ionhbntMAi uBTia ylrarmOmeM Demo. appEWions.soca"atom lhms pomene. Data Apprrant: WORKER'S COMPENSATION DECLARATION: I hereby Winn under pmmtly of psgdy one of the following dedwiorm: ❑ 1 new and dl meiean a confrere d ponied to saH+mum lot wdkma' pompeedbn, as provided for by Section 37M of the LAher Code, Im IM Danlarmanma d Oe wait for w Ode petoN u im ied. ❑ I hen ad aril mainlan weitum' oanamdnn itwrernoe, as required by Section WOO of the Lebd Cods. for the Padornernoe of the wok Id wN h Mu palmdi u mead. My ea4are' ddnpmdion i wed canner end policy number ear: Comer. Policy Number: (Tyrsiden mad M M opndatsd d Ne Pmml u M om hnandrd dp0ane (Sf0p) b I anN tIW m the Riddance d the wok ler wfinh Ihu pami o eeued, I s ell M employ any in anry meaner a as 10 ��ap to M woryem' mrnpermdion laws of Cddbda, anda� Nd E I *.Id beyFe wtbisd to IM wvrkbs' i(n prwE'Pyyi.'6ed'ron 3TO0 d IM labor CgL. 1 ah&Idltl/95 dN tmw ggfjlyns COMMENTS: X * din pit df dF df df pit M db ih iE df 1E dE db dE k db HE alk dE dE dE alk df dE dE pit pit dA pit alk dE iE df iE dE pit iE dE dE df pit dE iE Rf fESf ik pit if df � * �E SE+E iE �H x �+r sr �r+E+r * Dr � � sr it �H * � �r � � Z 0 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---------- FRNT: FT IN REAR: FT IN —LF—FT: FT IN RGHT: FT IN PROV: PARCEL: --------- ACCESSORY BUILDING-------- FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN 93530017 ZNE: REF NO: PLANNING NOTES>_ 1f dE ih if ik iE if iE dH kiH***dE dE dE iE kdE SE SE*dE SE*dE SE dEkdE ShlE iE if df**pili!*dr dE dE*itM d6 dH iE iE*****dE*iEkkiE iE%**Rt if Rt RH**ii it pit pit iE** 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 ;T_e S '.ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE:A APPLICATION ISSUED BY: DATE: dl dl il+l�dldl Rrdr Hl****RF dl RE it Ni Rl dEk *�***�iF BF Rl Rl it it LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 45.75 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 46.25 0.00 0.00 46.25 46.25 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 46.25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 45.75 .50 *iF df dE df lE it it it**kSl if dE dE dF Sl if 1E*fitilM****kR*MiF Sf if iE SE iE**iF it it df it iE alk if#iF Rl#**dl RF**dE it**RE***dl dE 1E***fitdl*iF dl lE iF I N D I V I D U A L F E E B R E A K D O W N Wm,,W: Fjum m mean wortam'ronApenatlon rovmapo is ung.;W and shell m4/aclan meta/". m Wminal pm ddss and dr/l Onto M m oto hundred tMeamd "Mrs; /STOg000A an addition W the cost of rornpmteaWra darrmpes m pmyMad Nr to S.H. 3T(15 of fie labor Cods, lntemal, and attorney's lean,. SFR CONSTRUCTION LENDING M AGENCY: I mby dine,under Penalty Of W perAthe Clemu a cmndmau" n lmndMil ai nIce Ne pedoememe dM Iedit lor which this pumi unwed (Sedan 30 p1, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I eW IMt I tide mel No eppinatie ad dda IMI the above Wdmmim u cared. I pee to comply with all piny ad county ordhuuxm ed$Me kit mWaO b Wiling cmaoudion ed hereby autherbs mpreeenldrvm of Iles ally to enter upon IM a -rnmilomd popsy for 'pedion Nrm*ee. FR NK RANDA Pnnt Data �ignilluro of OwneffAp A 1 car 15151 de.WP) While-BuiWhd A Safety; Gran -Fie; Celery-Applmnl; Pink-Rawnm; Gpkenrpd-Assured QTY D E S C R I P T I O N UNIT COST TOTAL COST 1366 REROOF BY VALUE RESIDENTIA NOZ 1.00 1,366.00 TEND OF F ES 1 ® •A qweae MAR 111998 ")(001 CITY OF COSTA MESA — BUILDING PERMIT 12ERM NQ- B 0872654 PERMIT NO: B 087264 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: OTH JOB DESCRIPTION 1 LAYER COMP, OVER EXIST. 1 LAYER COMP. SQ FT: 1,366 CLAIM VALUE: 1,366.00 CALC—VALUE: 1,366.00 GROUP OCC: R-3 /U-1 COMMENTS: X * din pit df dF df df pit M db ih iE df 1E dE db dE k db HE alk dE dE dE alk df dE dE pit pit dA pit alk dE iE df iE dE pit iE dE dE df pit dE iE Rf fESf ik pit if df � * �E SE+E iE �H x �+r sr �r+E+r * Dr � � sr it �H * � �r � � Z 0 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---------- FRNT: FT IN REAR: FT IN —LF—FT: FT IN RGHT: FT IN PROV: PARCEL: --------- ACCESSORY BUILDING-------- FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN 93530017 ZNE: REF NO: PLANNING NOTES>_ 1f dE ih if ik iE if iE dH kiH***dE dE dE iE kdE SE SE*dE SE*dE SE dEkdE ShlE iE if df**pili!*dr dE dE*itM d6 dH iE iE*****dE*iEkkiE iE%**Rt if Rt RH**ii it pit pit iE** 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 ;T_e S '.ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE:A APPLICATION ISSUED BY: DATE: dl dl il+l�dldl Rrdr Hl****RF dl RE it Ni Rl dEk *�***�iF BF Rl Rl it it LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 45.75 50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 46.25 0.00 0.00 46.25 46.25 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 46.25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 45.75 .50 *iF df dE df lE it it it**kSl if dE dE dF Sl if 1E*fitilM****kR*MiF Sf if iE SE iE**iF it it df it iE alk if#iF Rl#**dl RF**dE it**RE***dl dE 1E***fitdl*iF dl lE iF I N D I V I D U A L F E E B R E A K D O W N Wm,,W: Fjum m mean wortam'ronApenatlon rovmapo is ung.;W and shell m4/aclan meta/". m Wminal pm ddss and dr/l Onto M m oto hundred tMeamd "Mrs; /STOg000A an addition W the cost of rornpmteaWra darrmpes m pmyMad Nr to S.H. 3T(15 of fie labor Cods, lntemal, and attorney's lean,. SFR CONSTRUCTION LENDING M AGENCY: I mby dine,under Penalty Of W perAthe Clemu a cmndmau" n lmndMil ai nIce Ne pedoememe dM Iedit lor which this pumi unwed (Sedan 30 p1, Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I eW IMt I tide mel No eppinatie ad dda IMI the above Wdmmim u cared. I pee to comply with all piny ad county ordhuuxm ed$Me kit mWaO b Wiling cmaoudion ed hereby autherbs mpreeenldrvm of Iles ally to enter upon IM a -rnmilomd popsy for 'pedion Nrm*ee. FR NK RANDA Pnnt Data �ignilluro of OwneffAp A 1 car 15151 de.WP) While-BuiWhd A Safety; Gran -Fie; Celery-Applmnl; Pink-Rawnm; Gpkenrpd-Assured QTY D E S C R I P T I O N UNIT COST TOTAL COST 1366 REROOF BY VALUE RESIDENTIA NOZ 1.00 1,366.00 TEND OF F ES 1 ® •A qweae MAR 111998 r CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POuL & SPA APPROVALS Permit dk Date > Inspector i 1. Temporary Electrical Service or Pole 52. Pool & Equipment Locatioir 2 +'soil Pipe-Undrgrnd. 53. Steel Reinforcement _3" Electrical Conduit'Utiiity-Undrgrnd. 54. Forms - e -4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding -0 Steel Reinforcemeet 56. Rough Plumbing &Pressure Test � '6. -'Electrical UFER Gend. 57. APPROVAL TO COVER•GUNITE T7- Footings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation _ 59. Gas Pipe, 0 Undrgrnd., Test e 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, 0 Undrgrnd. 10, Structural Floor -System ,r. 61. APPROVAL TO DECK ,' 11. Property Sewer Line'& House Connection 62. Backwash & Receptor -Final Y ' 12. Sewer Cap ; I 63. Heater & Vent -Final 13. Roof Drains - - 64, Plumbing System - Final r 14. Rough Plumbinga -� T' 65. Electrical -Final 15. Rough Electricaf-Conduit• 66. Solar System -Final 16. Rough Electric Wiring c 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electricaf-T Bar Ceiling 1 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioningj .. z t+ FLRS DEPT. REQUIREMENT 20.'RougAFactory.Fii4place'APPR.IJVALS-';.^Per]nit# 77 W r 21. Ducts, in Structure;• l • ' + _ J � � � g '70. °llnderground Hydro 22. 4'ucts, Ventilating-; r'- t X 71. Produci •,Aping C_J,_6as f; Oil J r _ Y ,r,. 23. Gas P'i'pe�ough &Test � - - F ^, 7.. '= r �. - 72. Underground FJush-� v. o 24. Roof Framing . 73 Undergrnd.Storage7anK0Gas 0Oil 25. Roof Sheathing :: ," 3 t .�D �. / •• 74' Overhead Hydro 26. T -Bar Ceiling (Structural) & Mond'coat 75' -Dry ChenSical 27. Frame and' Flashing t :. 76. Dry StaLd.P �e _ 28. Lathing &'Siding .: - �'� - _ 77. FIXED SYSTEM FINAL X 29. Insulations - r 76 -FIRE ,REV. FlN�1L 30. Drywall Nailing_H@ACTH DEPT. REQUIREMENT ',. 31. Plaster Brown Goat 79. FINAL IM1IjPECTJ'gN r 32. Electrical Power Meter�Final �; 80: FOOD CERTIFTCzA-TE 1.5SOED" • _ 33. Final1letitric-' _ - _ �; Notes: -34. j:jna C}ieaung;4 Air Conditioning 35. Finat GaQipe-Test =�'v I �z ' " - _ r 136. Hood -or Canopy ti - ,.= - .., -- . I 137. Final Factory Fireplace. - -38. Final plumbing 39. Water Service -Final - J40. Gas Service -Final r ,• X41. Solar DornestiC-Final* ° r� 42. BackflOW_YreV ntef 43. Backflow Irrigation 44. Landseape,lrrigation S stem - y i A: I r +. -- 1 45. SDund Attenuation ' - ... 46. Handicap Regulations` ,W. FINAL STRUCTURE & BUILDING �� } 48. FINAL PLANNING « C 49. Electric Release to Edson _ - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Memorandum To: Development Services Rrom: Dusty Bent, Treasury Management Date: March 23, 1998 Re: RETURNED CHECK The following check did not clear the bank: Island Pacific Roofing - $138.75 - Amount now due $158.75 Please do not give any further inspections for Permit #B087263, B087264 and B087265 until r payment has been received by this office. Should you have any questions, please contact me at X5072. ai eoz Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITvoFCOSTAMESA QCONSTRUCTIONPERMIT r,. Project Address I � 0 7 it AU (_4i /�� PERMIT NO. 6 / K� T (�jry LOT NO. UNIT NO. A.P.# y2 —a. Zona- Z S Main Building: Accessory Building: TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHERT DESCRIPTION OF WORK/USE OF BLDG. rr Applicant's Mailing Address s's'1 E ' Owner's Name Sr£1)e (7 t 1`4N Phone Gq2—S5 1' Address X00 Q N GUMC E Front a Z 0 A Rear - N C Right G IQiO/4 v'✓Is l oie3 Arch/Eng. License No. Address �Z'Z /1C. A'C to P&w� All rE E I� TYPE OF P MIT GRADING ❑ FOUNDATION 5p STRUCTURAL ❑ TENANT �E LECTRICAL PLUMBING ❑ MECHANICAL ❑ OTHER .. PROJECT DESCRIPTION 50. F7. OCC VPANCY CONSTRUCTION TYPE 7 VALUATION$ 2900 ZONE GRADING CU.YDS. ACRES K S Le 1 R Contractor's Name a9'tU E��F,R �Pa Cy Phone 0(67 Ping. Ref. # Parkin Re /Provided g' g Req./Provided E �wl�� Address (mailing) 722 .So V.C�y,A//-% �9'L!t City License No. !W_7! �3 Plannin Notes: g M S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed unser provisions of Charter 9 (commencing Remarks: ELECTRICAL FEES with section 7000) of Division 3 of the Business and Professions Code, and my license is in full for a and effect. /�.•s� /41 l� Q Iu License Class Icense No.a2.Z Date�'T- / SS� Signature •3�' �� ! '^'ORKERS' COMPENSATION DECLARATION reby affirm that I have a certificate of consent to Self -Insure or a certificate Norkers' Compensation Insurance, or a certified copy thereof (SectionCooking ,000, Lab. C.) Policy No. Company eCertified copy is hereby furnished. Certified copy is filed with the city Building Division. PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+ KW Bar Sink Showers Backflow Preventer Service Sink Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps \ Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Clarifiers Solar Collectors Fan Motors ❑0-1HIP ❑1'/::-8 Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Th is section need not be completed if the permit is for one hundred ($100) or less). certify that in the performance of the work for which this permit is issued, I shall not employ any person in any nner so as to becomes b' ct to the Workag„�ntr, S�Sat pA Aaws of Calif '^ Date I��AA // 157Wi nature��m nq �s� ��CCC...III��, 9 ^b�v look Dishwasher Solar Piping F.A.U. Inc. Solar E19-15 HP 1:116-15+ Drinking Fountains Solar Tank Fixtures Microwave Floor Drains Swimming Pool w/ a Device Boxes Pole Light 9 NOTICE: If, after making this tleclaratlon, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Floor Sinks Urinal Outlets Range"'' :,.s Gas Service Outlets Water Closet Switches Sign I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Clv. C.)Garbage Lender's Name Lender's Address Interceptors Water Heater Disposal Standing Sections Kitchen Sink Water Service Generator 00-5 KW E15-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business antl Professional 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/she is licensed pursuant to the provisions of Contractor's License Law (Chapter 9 (commencing with Section 7000) of :'-jF ysion 3 Of the Business and Professions Code) or that he/she is exempt ey¢from and the basis for the alleged exemption. Any vielation of Section by any applicant for a permit subjects the applicant to a civil „penalty of not more than five hundretl 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 forsale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who doe, such work himself/herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. It, however, the building or improvement Is sold within one year of com- pletio n, the owner will have the burgen of proving he/she did not build or im- prove for the purpose of sale). .„ ❑ I, as owner of the property, am exclusively contracting with licensed con- tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such oroiects with a con- tractor s license (1 pursuant to she Compensation insure ccense Lawe ov aware that proof off their worker's Compensation Insurance should be provided to me, ❑ I am exempt under Section B. & P. C. for this reason Lavatories AUtO-Wash -L P_Trap Laundry Trays „ Roof Drains - ReinSpectiOn Fee _ $15 IssUO Fee $ DEVELOPMENT SERVICES REQUIR N {f Zoning Approved By Date 1 Or `(�// -/ Building Approved By Date Application Issued By r Dat O ReinSpeMlOn Fee $ $16 Issue Fee 3�/\ MECHANICAL FEES - Boiler Hood Or Type I ❑ Canopy Type II EDSUMMAB BUILDING PERMIT PLAN CHECK PLUMBING c { PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL CHECK 25% EFEE �i $ f.%' SMIP $ $ �-- PERMIT $ q 0 ISSUANCE $• $ ENERGY P.C. $ $ �-�O• 00 GRADING $ $ MICROFILM $ $ TOTAL FEE $ $ Duct - Under Ground Duct - Structural Refrigeration'System 00:000 BTU 0100,000 BTU Duct- Ventilating❑ Exhaust System ❑ Multiple ❑ System ¢pair/Alteration " Firepl/Fact Bit. ICBO # Fire Dampers Date Owner I hereby certify that have read this application and state my the above Infor mat' is correct. agree to comply with all cit and county ordinances and St a la s relating building cbnstru n, antl hereby authorize rept¢- s¢ntdN thi it o e ¢r. Pon t bove-mention¢ pr p rt for InSpectlo - r o '71 519nat .D DrlverS. License or SS � Heating System & Ducting El 0-100,000 BTU ❑100,000 BTLPLAN Registers Ii f15 �� } �1 116�§4171-('Cu:; .,'^�. -,•�=? o i 1 ;':' , DATE: lQ/C4/,,9 iil'E' ./ ,� �j Reinspection Fee $15 Issue Fee $ 3 0865-46, rev. 5/88 White - Builging; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor .. 66NSTRUCTION AND PLANNING POr l SPA J; Date � APPROVALS Permit # Inspector APPROVALS Permit # Date Inspector p 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. _% 53. Steel Reinforcement 3.'Elect}ical Conduit Utility-Undrgrnd. 54. Forms •l 4� Electrical Conduit-Undrgrnd. 55. Electrical Bonding 0 i7 5 -.'Steel Reinforcement , t 56. Rough Plumbing & Pressure Test ` 6- Electrical UF,ER Grnd.- '' 57. APPROVAL TO COVER-GUNITE .r Z= Footings t }. 58. Electrical Conduit-Undrgrnd. MIA • 8n Fouridafion 59. Gas Pipe, O Undrgrnd., Testn` (9 ID i1 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 1 tOIStructural Floor System 61. APPROVAL TO DECK I 11;rProperty Sewer Line,& House Connection ? 62. Backwash &Receptor -Final " 12.Sewer Cap - •� Z , ' �" , 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 J 8'. Rough Electric Wiring ?� A 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 APPROVALS Permit# 20. Rough Factory Fireplace 21': Ducts, in Structure 70. Underground Hydro ,22. Ducts, Ventilating •, _ 71. Product Piping []Gas ❑ Oil Gas Pipe -Rough & Test 72. Underground Flush `24. Roof Framing\ 73. Undergrnd. Storage Tank OGas ❑Oil i 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 •: �, +1. 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 C37. Final Factory Fireplace e38. Final Plumbing ' 39. Water/Service-Final 140. Gas+Service-Final " X41. Solar Domestic -Final yt 42. ,Backflow Preventer 43. Backflow Irrigation 44. Landscape -Irrigation System 45. Sound Attenuation lib j 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING -- n. 48. Special Requirements Completed .,t1 Electric Release to Edison • E X PIR E U-. 14- r49. L,50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY 4L4Sjg,o; No. Date Oat@� OWNER BAIALIS & PIGNERI DATE 4_26-77 JOB ADDRESS 100 BUILDING PERMIT N0. 4 GENERAL CONTRAC OR Owner-Bldr. DESCRIPTION of WORK Triple x v garages AP NQnc;-021-71 LOT TRACT 4691 FIRE ZONE VALUE S15)n_5onn_M INSPECTIONS pt Al Signature Dar. TYPE GROUP ZONE — SOIL Z SUBCONTRACTOR GAS Dal* Humber Si nature WATER f ' r29.7Y Pl umbin ROUGH PLUM81NG PROP. SWR. LINE C] HOUSE CON C7 .2p_-7 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING •9Z ' TEMPORARY SERVICE OR POLE UNDERGROUND POWER ❑ ROUGH WIRING dig C TRENCHES I FORMS STEEL REINF, FLOOR SYSTEM BOND BEAM STEEL REINFORCE SHEATHING FRAME AND FLASHING ■ .7 LATHING — IN OUT PLASTER, BROWN COAT 71 STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST ELECTRIC, FINAL G BUILDING, FINAL SPECIAL REQUIREMENTS //'r 7-17^ i ' COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS X407- A OlCY E OWNER A2144,1f d Y/GJ✓6R l ADDRESS ZD/S W, /3AG61/4 /3L✓O. TE CITY jyg:, Mr 111Pi19cH NO-L6%7_ZoTs CONSTRUCTION LENDER BRANCH ADDRESS APP VA'i/ION FOR STRUCTURAL PERMIT V Q SIZE DATE RECEIVEDDATEnSUE' ,;k( O PERM T 'O 3~ I LDII LDING NOW ON LOT APPROVEDINA rADDRESY40fl,16ii9q,,�611 TRACT LOT BLOCK CONTRACTOR i�.�,<,r By DATE iN. EXISTING BLDG. R LAL IlGNG7t101j1VALUE L. SIDE FT. TEL. CITY NO. IPL {iI SIZE FIRE (FROM C/L S EETI ADDRESS (SILKLEY 00. Q• ZONE YPE GROUP 14 NOW ON LOT APPROVEDINA �� O/ 21 CONTRACTOR i�.�,<,r By DATE iN. EXISTING BLDG. Or F ADDRESS Separate permits are required for L. SIDE FT. TEL. CITY NO. IPL OF NO.OF USE OF NEYy LA BUILDING STATE CITY YARDS APPROVED YARDS APPROVED w LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDIN {iI SIZE NO.OF BLDGS. (FROM C/L S EETI \ d OF LOT NOW ON LOT RONT FT. 4 USE OF iN. EXISTING BLDG. Or F Separate permits are required for L. SIDE FT. electric, plumbing and heating work. REAR Fr. w SE OF BUILDING AND Wg RK TO BE OR ED DISTANCE BET. BET. MAIN 8 l -i L G JVU� MAIN BLDCS. ACCESS. BLC �Q VAR. $ DATE Q _ _ C.U.P. APPROVED > APPRO rATERY a w 1 hereby acknowledge that I have read this application antl state O 0d that the above Information Is correct and agree to comply with 0. all laws regulating building construction, and I shall not employ Z any person In violation of the workmen's compensation law%of — the State of California. i hereby certify that I am properly licensed as a contractor under SO. FT. _ THE AMOUNT SHOWN UNDER VALL the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are In full force and effect, or I THE PURPOSE OF ESTABLISHING A PER rovltlons of the Stets of California Buslnett em evempt f/n, VALUATION PERMIT FEE S antl ProfettidDNif on 3, C pnr Of PLAN Signature of CHECK s Permittee s/_/� �%Od '( TAX 7 Author tad Agent -LI► TOTAL PAID i 1._ 4 I n .S1 � N FOR m JLY; b n n n 0 LL f _ U I1