HomeMy WebLinkAbout2404 NARBONNE WAY - Building PermitsPR0.IECT►OOPESS: Z(fO�t NARBONNE NY
OWNEfl'SN�MF: TAUSSIG H ARTHUR
auosess:2404 NA�t80NNE WAY
GOSTA MESA�GA 92627
�ecxrtxaixeex: 645-38 "15 x�c.xo.:
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uxiT:
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� PExMIrreE: OOOOO
�ooeess: N��K PLUkBING 1 7 14 1 89 5-12 46
11610 SEABOARD CIR
STANTON GA 90680
UCENSEU CONfMLTOB DEClAM1I0N: 1 �ereby atlirm Itut I am Ikensea unAer Drovlslons at GaO�er 9(cammenGnp witA ctlon
7000) of OlNslon 3 of tha Business antl Pralessions COAe, an0 rtry Iklnsa 6 In N11 rorce anG eHed.
cin uc.: 50386 $T"re uc.: 511971 �� C—
Oate:.,�.��0=q � Sipnawm: _ _ _ _ _
WOPKEBS' COMPENSATION OEClAMT10N: I �erthy atfirm Ilut I tuve a cMlficaze al to uttinsum or a certificate ot Workers'
Compen5ation Imunna, or � cCnilie0 copy Nereoi (�a� �, Lip. q.
raucrxo.: 116799290 �P•��T�; 03/O1/92
cornr�xr: STATE
❑ Cer�n�ea copy a nereer �umrshea. � CertifieE maY's fite rN rtre dry Bu� m Oirisian.
oaie: ) b � ��l � -!. l Mo�+:
IXFMYfION FflOM VIOHNEflS' COMPENSITION OFpANI710N: (liic sutiqi neW npt EC wmplel il Ne pemrt B IW one hudaE (5100) or ka�.
I cenity Itut in t�a perlomwnce at the vmrk for wltic� ihis permil ¢ asu�, I slWl not empby any person in any manner so as ro Eecome
su0ject to Ihe Workers' Compensation Laws ol CaGfomia.
Oate: Siqnature:
NOTICE: II, atler makinp itus OeUaraOon, you slwuW Eecome w6�ect to t�e Workers' Compensatlon Drovislons al the La�or
CoOe, you must lonhwith comDly with such prmdsions or tNs De�mit shall be GeemeA revokeU.
CONSTNUCTION 1EN01Na �CENLY: I trert0y allirm lhat Nere is a epnsvuction IenOinp apenry for the Dertormance of the work lar
wnich thls Dermit is iswe0 (Sectlw 3097. Gv. C�.
�cxoee:
�DONESE:
OWNFH BUIIDEP OECLAMTION: I hereEy atfirm IIwI I am exempt Irom Ilro ConVattors' State License Law br the lollowiiry reason
(Sectnn 7037.5 Business aM Prolessional COGa: My dry al mwry wN[ti repuhp a perrtnt Io conswct, altu, improve. OemoLLth, or
repair airy sVuctura, prior ta Rs issuanw. atra reQWres Ure eDMcant for wN pemtit to ICe a si0�e0 statemenl Itu� �e/slie is Iicense0
pursuant Io Na Drovisions ol tha Contraclors' SWte Liurtu Lrx (�7ter 9(cammencmp xiU Section 7WP� al Oivivon 3 ot Ine Business
anC Pmlessions CoGe) o� Ilut M/sAe is ezemp� Nerairom a�M t�e Eay� lor t�e aAeped eaemD���� �M' �olatlon ol Senron 7031.5 Dy
anY apDliwnt lor a Dermn suEl� t�e appGcant to � cnd penalry al � �p� ttun INe �unEred Oollars (5500�.
i, as awner oi tne vronerry w my empoyees wRn wapa u mw sole compe�ation, will do tAe woA, anC Ihe
❑ structure ¢ notinten0e0 orotteredfor5ale�Sectbn 7061, Bus�ness anE PmlessiwW COEe: 7�a Contrzctors' Siaro Ucense Law
Oces not appry ro an owner ol a D�cehY w� ��IAs or impmves tMreon, an0 wM Ooes sucA xroA �imutl/�ersell or tArouph
�is or her own employees, D��4eE tlwt sucA imDrwemen6 are noi IntenEetl ar offere0 for sale. II, however iha OUIlOinp or
improvament is solC wi��in one year ol completlon. t�e awner will �ave t�e �urAen of Drovinp �Us�e EiA not UuilA or improve
for IAe DurD�e ol sale�.
I, as owner of 1ne O�operN. am exGuUvelv mntractinp wlt� AcenseU wntracton to canswcl tne prol�� (Sac��on 70aa, Businass
❑ an0 Pmlesslons CaOe: Tha Convactors' State Lkensa Law doey not appty ro an awner ol pmpertywlio Cwlas or impmves t�ereon
an0 wAo wniracts for suc� D�ojects wiU a contractor(5) license Dursuant to t�a Comraclors' State L¢ensa Law�. I am aware
l�al prool ol Iiair Worker'a Compenuiian insurznCe SMWC qe DroulOaE co me.
� 1 am eMempt uMer SecUon: B. 6 P. C.
lor tttis reasan:
�a20: �er.
1 Ao tcereW uniry tlwt I am aware of aM unAerstaM tlw repWremena ol Calilamia Meattn aM Safery CoOe Secllom 25505, 25533, anU
2553d and tAat I ar any iNure buil0lnp occupant wdYwill irot (drde one) neeE �o mmON ��� � sWte coGes anE t�e repuiaments Por a
permi� tor consiructlan or moEilkation Iran Ue Air atiry Manapemm� pisMct. NesiGemial consuuction aDV���s are exampt Irom
ihese p�oWsbns.
Daro: p77����
I �ere�y ceNy t�at I have reaG tNs apDliwUon an0 staU Nat ��e aEove infarmaGon rs carrecL I a0ree to compry wit� city anA counry
ordinances and state Wv5 rela6np to OutlEinq wnstruNon anU hereDy a Aze apresenlaC s ot tlik ciry m[er upon Oove-memioneE
propeM �ar inspettion Du us.
DaU: �� Siqnature:
Driver's Liunu or Sadal Securiry
...���.—,.o.o ....................... .v.....�. p
GITY UF GOSTA MESA — BUILDING PERMIT PERM. N�: P 052299
PERMiT N0: P 052299 PtAN CHEGK N0: � G�VT: N SUPP: N
CO�STRUGTION TYPE: V—P! PERMIT TYPE� PLU PURPOSE: GTH
JOB OESCNIPTIUN : GHANGE OUi }JATER HEATER SC FT:
CLAIM VALUE: GALC—VALUE: GROUP QGG: R-3 /
GOMMENTS: SMOKE DETEG70R REQUIREO IN THE HOME
*C###at��R�##*####�i##+k#YF#####��#�*%�i�II# #A�ROO###�#t#t�+ittY�#*###t####*##*#�A#t###�'�
Z 0 N 1 N GS ERTEBQAUCIKRSE M E N T S
— MAIN BUiLDING -------- ----- AGGESS�RY BUILDING -----
FRNT: �FT IN NEAR: FT IA FRNT: FT IN REAR: FT IN
LEFT: FT iN RGHT: FT IN IEFT: FT 1N RGHT� FT IN
PARKING RE9: PROV: PARGEL: 04391434 ZNE: REF N0:
PLANNIN6 NO7FS>
i
#�tt#��#II###�#�#3#C##tt#�#Y��###3#�k�33k3#i##�Pg##�3##t#t3#####�#2#�#33#*3 #3333#
D E V E L 0 P M E N T S E R V I C E S; ,R E fl U I R E H E N T S
ZONING APPROYED 9Y "_ DATE:
BUILDING APPROVED BY : :�� � DATE:
APPLICATIUN ISSUEU BY: 3���� DATE: ��
#aa*����*�*sat�asasa*sa�sax a sa 3�€33�3#aaa#sa##*�3�
##�C*##�k�k�3########�k*iII3�*###i##4�R03+k0*�t�*i�R #�#�i?i�Rt3t##ti�Rt�4�f�#Oi3�R�T#3#*O�
LEGALIZATIUN:N F E E 5 U M M A R Y STRULTURAL SEGlIENT:N
BLUG PMT PLUMBING ELECTRIG MECHA+NIC FIRE SNIP/RES GRADING
PERAfiT Z25$ SMIP/NGN—RES
PL AN
ISSUE FEE 3.00
BUILDING—DIV—> PERMIT ISSUE PLAA CHEGK TOTAL PAID DUE
TOTALS---> 2.00 3.00 0.00 5.00 5.U0 .00
REVENUE �IVISIDN T�TALS—> G�LLEGTED: 5.00 OVER/SHGRT: .00
BLDG PMT PLUMBING ELECTRIG MECHANIG FIRE SMIP/TOT GRADING PLAN—CHECK
5.00
t� ar��aa�za��#�a��»a�aax�aaaa�c��a�a*�*sas�zsca�ax�a� a*��a�ataas4saasssss*��a*ssas�sss*s#*
I N D I V I D U A L F E E 8 R E A K Q 0 6' �'
TYPE Q7Y D E S G R I P T I 0 N UNIT.GOST TOTAL CQST
PLU 1 WATER HEATER AND/Qk VENT 2.00 2.00
END OF FEES
' LJC:' J;• -1 � .i'%�i:' � _ . .
.ai' . L'�, ... T ; �' _ .
CONS7RUCTION AND PLANNING POOL & SPA
APPROVALS Permit # _ Date Inspector AppROVALS Permit # Date Inspector
�-> �- .
1. TemDo�ary Electrical Service or Pole� � 52. Pool & Equipmant Location
2, Soil Pipe�Undrgrnd_ � "� ^ � 1 -. 53. Steel Reinforcement
��3: Eiectrical Conduit UtilitY-Undrgrnd.� 54. Forms ---
�
'4: Electrical Conduit-Undrgrnd. ' - 55. Elec[rical Bonding
:5« 8reel Reint9rcement � 56. Rough Plumbing & Pressure Test
!6: Elg,ctrical UFER.,Gmd. ,� 57. APPROVAL TO COVER�GUNITE �
,7. Footings '_ : 58. ElectricalCondui[�Undrgrnd. I
8. Foundation , 59. Gas Pipe, O Undrgr�d., Test -
9' Water Pipe•Undrgrnd. � , 60. Backwash Lines, P-Trap, O Undrgrnd. �
10. Structural Floor System � • 67. APPROVAL TO DECK '
11. Property Sewer Line & Ho se Connection
„ �{ ^ 62. Backwash & Receptor-Final
12. Sewer Cap �.. •�` 63. Heater & Vent•Final
13. Roof prains ' ' 64. Plumbing System � Final �
14. Rough Plumbing� 65. Electrical-Final .'
15. Rough ElectricaYConduit , 66. Solar System-Final ,-
16. Rough Electric Wiring , 67. Fencing & Access ApP�o�al
77. Rough Wiring Sign . - ' 68. APPROVED FOR PLASTERING
18. Rough Electrica�;T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Hea[ing & Air Conditioning ,FIR� DEPT. REQUIREMENT
� ) i � '� i! d o d'1 s-- J
� �" I •R ] -� � +. �r 1 , 1 J J � t :4 � '1
20. ,Rough Factory Fireplace � , ,. • ,� .- _, � y � qPPRO�VALS, .,.Eermrt # - .
21. Ducq, in Structure�.. I •• •• .. � : : -' : ` '70. URdergrou�dl-Ivdjo `?
'1 .T J i.r8 �
t ' i I J~ ,' . 1.t x•� . 1 '• -
22. Ducts, Ventiia'ting�: � , .t � ,,:x � -•,r # -.71. Product �P,iping � Gas ❑Oil
23. •6as Pipe•Rough & Test I s , � :� � -iZ. Undergrou_n'd�lu�h � � '
24.�RooYFra ing u I -` •• y }'' ^-,.'' - ' ' � �• � '~
T �..> .; ,J3rUndergrnd� Storagp Tank Gas ❑ Oil
25. Roof�5heathing x v/.t > >} � jq, Overhead Hydro ' �
26. T�Ba; Cei�ing (Struccuraq & Monocoat } ^ ti � j`* � 75.JDry Chemical ._ � '� � ' ;
27. -Frame and Flashing;; ,r .' >- .r .� 76. Dry Standpipe " ' '
: .
P8. Lathing'& Siding"tr ^ , =: _ `;' � '�'r �, 77,'.FIXED SY�TEMfINAL,� � -
.. � '� ••� ••I 1 r �i �
�29. Insulation �.: � � •• '+ � � I�? 78.=FIRE PREV. FI�IAL "� � -�
30. Drywall Nailing i#., 1 �•'- I i Irrr � '. .�r u .�M�?LTH QEPT.;fiEQU7REMENT
31. Plaster Brown':Coab� � I r' �r I I I'a a��79, FINAL INSR&CTION <r t
1 � .Y ^
�'32.'F�lectrical'Pow�r N��er-fi�al � i} � � I Ip '�0.,.�000 CERTIFIC�A�E IS�IED ��
�� .� I a I 1 I�:st!
� , - n � .e � .r -� � �.a � � , . .
33..Final�Electrica -.n �n i n 1 1 �Iou Notes: � i •s � _ . �
1 Y A
�4._Final'Heaiing'&Air�Cond+tiohing- � � I I •lao � � �� � : a ;
l J �.x' i �1 p 7 � I ��x p J � � r S '1
�35. �inaTGaiPip�Test,,'�y Il' ; h... � � ';��yp� � _,� j.: o � ,•�r
.
36. Hoodor-CanoPYy�`-� i�,-� �� it'� I 1;,la<5� _ �o t% • '
� r �.� � 1 • � 1 a I .al.�n ;� �: � o ��
-y37.,�inyl;Factory Fir p�'jce7� I- L n I 1 'rl r � S r tt v
'�98. Fina�Plumbing � � �� � � �I r I� ., `� �" � :7
..+ n ir
39. Wate� Service�Final� . � � F,; � � i� u� �� �
�40. Gas Service-Final a't a� - -�'1 I I W •: � .�•; +� 1
x n o I I Iif3 +- + �t uS
;�41. Solar pomestic-Fina� � 'J �� � " � � �' � � `
n �r I I lit z 'r' -t � f ts -: �
42. BackflPwPrevencerx� u a I 1 la � - �F- t•n -+
� . , .. � :. '.+ ^F .� n � �* -
43. Backfl0w Irrig"ation� ^ � � * ^ 7 ; � �r u� �_ � ' •�
... .-�
44. LandsGape Icr�igatioRSystemn+i.� : it 9 J 7 �ad ..: �v �v t� � ��
-. T -, a o 7 7 •r s i.0 o� �-
o -, t} -..r- r •:t � �- r r-a n.. •.• cr v
45.�Sound Qttenuation�, �,,,, fl -:� n,np � �. ;r Q. h•n o
x
. 46..Handicap.Regulations '� +? a a Q .%. � �-� = u
x � :� n ,? tr
T4,7. FIN�6STRyCTURE&BUILDING �_ � � j� � '� � .r �. y
48._FINALPLANNINGS I-p a.v �� n rn a a .-
i v c ii .:
-49. Eleci� ic Rele�e to Edison � � '� '` ` " '
..� u I 3 I . S} C�1 . i ♦ 7 '}
� ' '_
�,50. �Gas Release to Southem CaliforuiaGas Co # i i• ii �� �. n++ o � •
n � . es �:> Si .� '+'1^.] �1 +} ��l 7
51. CER?IFICATE OF OCCUPANCY '� •: r '< � - ^ '.� -
No. Date
PH0.1EC7 RODPESS: � 4� 4 NA.TtBONNi WY
OWNEN'SNAMF: •I�AFISSIG�• H A:=.'I'HiiR
pDONESS: Z4Oi NARHONNE WAY
COSTA M?SA,CA 926"l.7
6?5-3825
AflCHIENGINEFfl: XEG.NO.:
RODNE55:
UNIT:
uxit:
"E"m'nEE: NOCK Pi[3!<.BING ( 714 ) 895-1246
RODPESS: 1q.E11.0 SEABUARa CZR
.STANTON CA 906A0
LILENSED CONTFACTOP OECLABBTION: I �ere0y a�hrm ��at I am licensed under pmvisions 0� C�aO�er 9(comm¢ncing with Section
7q101 0� Oivision 3 oi Ine Business antl Pmlessions CoOe, antl my license is in lull lorce anC el�ec
cirruc.:0.`1 38�j5 STFTELIC.:S�� � ciass: C-36
Daie;, � � � �-{� Signatwe'�\„�idLv_1/�—�/t _ _
WOBREfl$' COMPENSATION DECLANATION: �ereby aflirm �Aat I have a cetliliCale oi ConSeni l0 Sell�insure Or a teM1iiitate ol Workers'
Compensation Insurance. or a cenifie0 copy Ihereof (Section 3800. Lab. C).
voucrxo.: ? 5.679y790 E%P.UATE: O3IO�.I9L
COMPRNY: $'1 A 1 C i n
❑ Cenilied topY is hereby lumished, yy Certilie0 copy rs h/� wilh �he ciry Builtling Division.
.Da�e:��..iJ—� AODlicanL� �`"'�4�y �'y1! l
E%EMPTION FHOM WOflHEBS' COMPENSRTION UECLl�HRTION: (iAis seqion nee0 nol be com0le�etl il l�e pefmil is lor one �unEretl (3100� or less�,
I certily Ihal in I�e Dedormance ol �he work for whic� ��is permit is issued. I shall not employ any person in any manner so as �o become
5u0�ed lo IAe Work¢r5' CAmpenSalion Laws 01 Cali�ornia.
Daie: Signature:
NOTICE: II, alier making ��is OeClaralion. you Shoula betome SUbieci Io t�e WOrk¢rs' ComDensation Drovisbns of the La�or
CoCe. you musl �otlhwil� comply wi�h sut� pmvisions or Nis permi� s�all be 4¢eme0 revoke0,
CONSTBOC710N 1EN01NG PGENCY: I �ereby afli�m inat ihere is a wnswction lentling agency lor IAe De�ormance af the work for
w�ic� I�is Oermii i5 i5sue4 �Seclion 3097. Civ. C).
LENDFN:
AOOHESS:
OWNEB BUILDEfl DECLABRTION: 1 hereby allirm t�at I am exempt Imm tAe Conirattors' State Licenu Law lar tAe followinq reason
(SecliOn 7031.5 Business an0 Pmlessional Cotle: Any [ity oi counry which lepuires a permil �o con5imci, alter, impmve, Jemolistl, of
reoair any slmcWre. D�ior lolis �Ssuance. aiso repuires ihe aOPlicant far sucn oermil lo fiie a signed statement ihat IIPJshe is Iitense0
pursuani Io ��e prOvisi0n5 oi Ihe Coniraclors' State License Law (Chapter 9 �commencing vnth Section 7000) ol Oivision 3 0l ihe Business
ana Pmiessions Coee) or thai hMshe is exempt Ihereimm and �ne basis for ihe alleAeU exemo�ion. Any vialation ol Section 7031.5 by
any a0�lican� for a permii suDle��s ihe apPlicant to a tivil penalry ot no� more than live �undretl Gollars (SSOU�.
I, as owner al Ihe propetly ar my employees wilh wages a5 Iheir sole compensation, will Oo �he waM, antl Ihe
❑ simclureis noiimen0e4 oraileietlforsale�5ection 7044, Business and PmiessionalCotle: T�e Contractors' Sta�e License Law
tloes noi apply lo an owner ol a pmpetly who �uilas or im0�oves therean, and who Ooes suc� work himselflAersell or Nwug�
his or �ef own emplayees, pmvi0etl Iha� such improvemen�s are not intentletl or oflere0 lof sale. II, howevel Ihe building or
impmvemeN is soltl within one year of completion, ihe owner will have ine burtlen of pmving nelsne tlitl not huild or impwve
lor Ihe purpose of sale).
I, as owner ol Ihe pioperiy, am evclusively contrac�ing with licensetl conVac�oR lo con5imct ��e pmj¢c� (Sec�ion 7044, Business
❑ and Pmlessions Code: The Conlrac�ors' S�ate LirenSe Law Daes no� apO�Y �o an awner ol pmpetly wtw builds or improves thereon
antl who Comfatls br suth pmlet�s wi�� a tontramoq5)liCense DurSuan� to Ihe ConnaCmrs' S�ale License Law�.l am aware
, Ihat pmaf ol �heir Worker's Compensation insmance shoultl he pmvi0e4 lo me.
�I � I am eeem0� unaer Section: B. 8 P. C.
tor I�is reason:
�a�e�. Owner
I eo nereoy cenily tlWl I am aware ol ane unaerstand Ihe repuiremenis of California Healih antl Safety fAae S¢ctions 25505, 25533, an�
2553a and Ihal l or any WNr¢ OuilAing occuDani vnlVvnll not (drtle one) neee lo compN ��� sxia state catle5 and lhe �equiremenis �or a
permil lo� consimction o� moaili[alion imm Ihe Air �uality Managemen� DiSVici. flesidential conSlmciion applicalions are exempt Irom
t�ese D�ovisions.
Date'. p00�icanl:
I hereby cetlily i�al I have reaa Ihis application antl State thal tAe above intormaiion is carreq. I agree Io comply wilh all ci�y anU county
ortlinance5anastalelaw5relalinqlobuilQingconsimclionantl�¢reby �onzerepresentaiivesoflhiscity nleruponl�eabove�menlione0
pmpeny �orinsDecu'non Ourposes1. � _
Dale` � � � �+� ` ignamre � '��'
` -
�river's License or Social Security '
164i�C6 White—BmlOing; Green—CoOe EntorcemenL Canary—Applicant: Pmk—Fevenue: GOIEonroE—Assessoi
CITY OF COSTA N,ESA - BUILUTNG PERMIT PERM NO: F 051'70(
PERMIT NO: P 051708 PLAN CHECK NO: !v GOVT: N SUPF>: N
CO�ISTRi7CTiON TYPE: V-N PERMIT TYFE: FLU PJRF05E: UTFi
JOH llcSCRIPTI01� : CHANG� OJT WATER ntATE� SQ :T:
CLAZM VAI,[1E: CALC-VALliE: GftOUP OCC: R-3 /
COMMENT5: SMUICE llETEC�OP, RE�CiIRED
if iE �% If # if K k k le 1E 3E If K Y. ��7E If K� % if �Y. IE �1F :1 if �li K iE 1E if �iE 3'r ii� Y, ic �if iE 1i 7i� } iE 1F�K dF %�� �IE iE It �k �N�if iF ?F 1� �k # df'Y: 3F�lf lE ?! % H� % k iE Y Sf iE it M x� k ii� ie
'L O N T N G R E Q U I R E M E N T S
S E T B A C K S
------------ A1AI7� BUILDING ---------- --------- ACCESSORY BJILDLN(� ----- ---
FRNT: FT IN REAR: FT IN rRNT; FT TN REAR; PT IN
L�F'P; F'T' IN RGiiT; rT IN LEFT: FT IN kGHT: F'P IN
PARKING REQ: PROV: PARCEL: 439143�9 `I.tVE; REF NO;
PLAN1�iII�TG NCSiES>
> �
?E i'r if Y?E �k� �F �Y� iF ih �)f 3( ?L� �:�±'r ii� if 1E if i( ii� �F K iE # ii� 3r if i!- ii� < 1'r iF 4#% If 1E iE iE �K� 7e if !f ?i� Y if•if 3e 3: ?E� d(� 1f if ii � if if 3: if '.E 3e * tE ?f ii ik k if ?i� % 3F iF # is� � if iF?i
D � V E L O P M E N T S E R V I C a S.. R � Q L I R c N, c N T S'
ZONING APPROVED BY DAT£;
BUILDING APPROVED BY ; — - : DATE;
APPLICATION ISSUED BY; /y�� �; � Y DATn: ���
�ie�flFihiF#Y-Y.-if!F±f3�+:rtiiY�kY.�ihN-Y��7F� � . .%.�rib'Tr - if�Ikii:%�K7E1(�k�RX�.�., it£...�±:
ififif�iFiE3!�+fi�-Y�Ylf?EiFi'rfilEiiRiE�9Pi:�ifiFiEWlfiiiFlE3Fi��#�#��f�f3fikifii- icil�M�Y�34Rif7i��aE3i�+e%��i�ii�lFRki%ieii�3!�3e}iEiE3Fihif};'rfiik�3t�-]E#�#?b
I��GALIZATION;N F t: . t M M A R Y STRUCTfJRAL SEGM:N;:N
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Y GrZI'�1 i T .�. , � 0
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PLAN
ISSiJE FEE 3.00
HiiILDING-DIV-> PERNIT I'a'SU: LLAN-CHECK TOTA3, PASD DUE
TOTALS----> 2,00 3.00 O.OQ 5,00 5,00 .UU
REVcNUE DIVIS]"UN TUY'ALS--> COLLECTEll; 5.00 OVER/S�ORT; 00
BLDG PMT PI�UN,BING cLECTR'iC MECHANI(. rIRE SMIP/30T GRADZNG PiAN-CH�CK
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I N D i V I D 0 A L F E � B R c A K D O W N
T'YPr. QTY D E S C,� I P T I O N UiVIT COST iOTAL COSi
FLi7 1 WATER HBATBR AND/OR VENT 2,00 2,U0
END OF FEES
QI C'u^8h!it-''�=OPbt�. -L� "i'k- :.L':i
6ATE: 0#/3Di9i fIME: 20:?:
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-U�drgrnd. . -, 53. Steel ReinEorcement �
3. Electrical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conifuit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgmd.
8. Foundation , 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. �
10. Structural Floor System ^ 61. APPROVAL TO DECK
17. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
�Z• Se`'ve� CaP 'i 63. Heater & Ve�t-Fi�al '
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 & Access ApProval
17. Rough Wirinq 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 OGas ❑Oil
23. Gas Pipe-Rough & 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. F000 CERTIFICATE ISSUED
33. Final Electric � Notes:
34. Final Heati�g & Air Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy -
37. Final Factory Fireplace
38. Final Plumbing !Y
39. Water Service�Final
40. Gas Service-Final
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STfiUCTURE & BUILDING �
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to $outhern California Gas Cn
51. CERTIFICATEOFOCCUPANCY
No. Date
JOB ADDRESS 2404
GENLRAL CONTRAC'l0R
INSPECTIONS
n�r
DATE
DATE 6_3-63
BUILDING PERMIT N0.
VALU� S l Q_ Sh(1_ fl[1
SUBCONT2ACTOR
/
. . �
COSTA MESA BUILDING-SAFEIY DEPARTMENT
P.O. BOX 917 COBTA M89A. CALIFORNIA
For Applicant to Fill In Complefely
TYPE OR PRINT
GOSTA MESA, CALIFORNIA
831 So. Manch
Anaheim
o Hai C. Tan
same
�.
802
NO. OP 6LD09.
'USEOF ��
EXISTING BLDG.
'HETBACK LIN6 PPOM ZD � 50 � pEAF YARD ��
CENTER OF 6TIiE6T
6FT 1 RIQHT
DESCRIPTION OF WORK
L
I HERE9Y ACI(NOWLEOOB THAT I HAVB READ TNIB APPLICAT�ON
ANO STATE TH�T iHE ABOVB IB COqRECT ANO AOPEi TO COM.
PLY WITH ALL CITY ORDINANCiY AND GiATQ LAWB H60UlATING
BOILDINO CON§TA QION,
SIGNATURE OF -
PERMITTE �'�I ��'�
AUTHORIZED AGENT A,_� /"'� . Y j�1��,(�-- �L
F ECEIVED
E� � 3 1963
/�'FfNnA�NCE DEPT.
APPLK"ATIOTY I�ST��
BUILDING
For Office Use Only
ZONING
Ho. op ( useon
LBOAL
NOTE: NOEAVEOVERHAN68HALLBELE95THAN
90" TO SIDE 8 REAR P. L.
EAVES
ALLOWED (U.B.C.REQUIREMENT.
YARDSAPPROVED YAROSAPPROVED
MAIN BUILDING ACGE590RY BUILDING
(FROMG(�8TREET) �
VAR. iR
THE �MOUNT
PlIRP036 OI
$ /°�, S�a �°
OATE
.��id "� "
m
UNDER VALUATION IB FOR THE F
18HIN0 A PERMIT FEE ONL/Y. p
/ V Y m
PERMIT FEE ' $ �j � � j
� m
PLAN CHECK $ �I � ¢
9 `� o
TOTAL FEE S / � ✓