HomeMy WebLinkAbout275 NASSAU RD - Building PermitsAVD���ant to /III in all spaces ezcept thosa wlihin heavy eoreer lines ana slgn atl avPropriate tleclarations.
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CITY OF COSTA MESA �/ONSTR UCTION PERMIT � PERM NO. TRACT NO. LOT NO,- UNIT NO. .
Project Addr�ss � �-r �1A!SS1A(//, � � " O ' -
AppliCan��SMdilinqP�d�¢55 �J3 / N� ����/� TYPEOFCONSTRUCTION � NEW ADD Al_TERATION REPAIR � �
Y/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER '
Owner'sName �10�P/P1" /�GG�i�f pryo�ef�j'%�d� p'•P�`H' ZO^°
DESCRIPTION OF WORK/USE OF BLDG.
Addreu �A"�%'� P � � S Main Building: Acceuory Building: �
E - z
Arch/Eng. LicenSC No. TVPE OF PERMIT GRA�ING FOUNDATION STRUGTURAL T Front ' p
Address - ❑ TENANT ❑.ELECTRICAL PLUMBING ❑ MECHANICAL 8 Rear ' N
COn[racior'SName � hone%�+f "-�`�70 � �THER %� �
PRQIECT DESCflIPTION 50. FT. OCCVPANCY C Right N
ntltlreu Im� �'�g� �5� 3. ` �./CA�.� �,?-lnPi m . K � C'
CONSTRUCTIONTVPE VALUATIONS g Left
City License NO. 'S_�`3 �_ ZONE GRAOING CU. VDS. � ACRES E
LICENSED CONTRACTOR DECLARATION Plny. R¢f.'ip Parking Req.IProvided
I hereby atfl�m that I am IlcenSetl untler provisions ot CbarlCr 9(commencing Remarks: Planning Not¢Y. � M
with sec[ion 7000)� ot Division 3 of the Business antl Profeislons Cotle, antl
my Iicensc is in tuu to�.� anq elfect ����5�7 5
� Licens�j Class � �� f� � - � i<eg se�` �
�, Oate /�� gS 5"g t ll //ii7`� � - PLUMBING FEES "
W00.KERS' COMPENSATION DECLARATION Bd� Sink � ShOWe�S
I hereby aifirm that I nave a certiticate oi mnsent to selt-insure or a tertiticate � ELECTRICAL FEES
\of Worker5' Compensation Inzurance, or a certifietl copY thereof (Section BackflowPreventer ServiceSink _ _
3800, LaG. C.)Q,l�,/ A �p� vGr ��S Automatic Washer Transformer ❑ 15-50 KW
Policy No. 5" Y�ll �ompany Backflow Irrigation Sewer Ca ' ' � � ❑ 50 } KW
�ertitiea copy is hereby tumishe�. � � P COnSt�UC�iOn POIC Sub.
Certlti a co is Oled with the city utlin�9/��1 isionz � Bathtubs Sewer Connection Cooking Unit , Meter ❑up to 100 amps •
Date ��/� �r APPlican��-ti«�—+ ����
' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Cldfifi¢�5 � $pld� C0112Ct0�s Dishw25he� M¢tC� ❑Ov2� 100dTp5
(Thii section neetl not be completetl if the permit iz tor One huntlrOtl (§700) or '
less). . Dishwasher Solar Piping ' Dryers �Gas ❑ElecVic Sub Panel
I C¢rtify that In tlte Oerto�mance o( Ne work tOr which thi5 p¢rm�t is i55uetl, I -
zhall not employ any person in any manner so as to become subject to the Drinking Fountains ' Solar Tank Fan Morors �0.1 HP �1'h- 8
Workers' Comp¢nSaUon Laws of Calitomia.
' Dato 5iqnature Floor Drains ' Swimming Pool w/Spa ' F.A.U. Inc. Solar �9-15 HP � 16-15*
'NOTICE: II, aiter making ihls tleclaration, you shoultl becoma subjact [o the . .
Workers' Compan5dtion provision5 Of the Ldbor COtl¢, y0u mu5t tor[hwilh FIOOf $ink5 Urin81 FiXIUIES
comO�Y wi�M1 Suc� provisions or this permlt shall De �eemetl �avoketl. - MiROwdv¢
CONSTRUCTION LENDING AGENCV Gas$¢NiC¢ ��[IELS WdtE�CIOSEt DeviCeBoxes
I h¢reby alllrm lhat there is a con5truction Ientling agency tor Ine pertormanca POI¢ Light
Oi Iho wo�k lo� whicb tttis Oermit is issuetl (SGCtion 309] Clv. C.) �
Lenticr's Name Incercep[ors Water Heater (fQ �^ OuUets Range
Lunaer•sAatlress � - KitchenSink. WaterService Switches � Sign
OWNER BUILDEH pECLARATION .
1 hOrOby a/�bm thal I am exempt from [he Conlfactor'S LlcenSe LAw 1or the LdvdfO�i¢5 AUtO-WdSh
following roason (Sectlon 7031.5 Business antl Prolesslonal Cotle: Any city or Garbage Disposel ; Standing $ections
county whith requires a permt[ to construct, alter, improve, aemolish or ropalr P—Trap � Laundry Trays � Generator 00.5 KW 05-15 KW Trash Com ctor
any stru<turc, p�lo� to It5 iszuance, also requires Ine apP���anl tOr such pe�mit �
. to /iio a si9natl statemen[ that he/she is Ilcensetl pursuanl to tho Provisions ot Roof Drains �
tha ContractoYs Ucense Law (Chapter 9(commencin9 with Soction 7000) o/
DlvislOn 3 of th0 BuSiness antl Professions Cotle) m(hal ht/sho is ex¢mpl _ .
[bmelrom antl lhc basis tor the allegetl exemption. Any vlolation ot Saclion � � �
7031.5 by any appliCan['tor a permit subjects tha applitant �o a civil -
�enalty OI not more Ihan tive huntlretl tlollars (E500�. " -
I, as ownar of tno property or my employ¢es wlth wages as thair sole Rainspection Fee $15 Ipsue Fee $ 3 ! � �
compansation, win tlo the work, antl the structure Is not inluntletl or offeratl Rainspaction Fea $15 Issue Fea $ 3
for salo �Soction �044, eusiness antl Professional Coac: The Contractor's - MECHANICAL ' FEES �
License Law aoes not aDo�Y «an owner Ot a property who builtls or improves �
thoreon, antl who tloes Such work nimseli/herseli or tM1rou9h nls or her own DEVELOPMENTSERVICES REQUIREMENTS:
employ ens, provitletl Iha� such improvements arn nOt IntentloU or ofleretl fm BOiI¢� . HOOd O� Typ¢ I�❑
sale. It, howover, tne builtlin9 or Improvament Is soltl within ono year ot com- Canopy Type I) ❑ Zoning Approved By Date
pbliOn, Ihe owner wlll have the burtlen of provin9 h¢/iM1c �IG nol bulltl or Im- DUCL -'Und¢/ Ci�OUnd� Building APP�OVed By DdtB
prOve tor thC purpOse oi sale). � /�
❑ I, a5 OwnCr 01 Ihe pwperty, am excluslvety conVacting with Iicensed con- DUct-SLruCiu�dl Refrigeration System Appliqtion ISSUBd By Date
lfdCtOfSIU COOStNCt Lh¢ PlOj¢Ct 15ec[i00 7044, BUSin055 dntl Pl01¢SSIOOS COtlB: �
Tne Conlratlor'S License Law doez not appry to an owner ot property who Dutt - Ventilating . . ❑0.100,000 BTU ❑100,000 BTU SUMMARV OF FEES
builtls or improvas thereon, antl wno contracts ior zuch pro�ects with a con- �
vactor(s1 litanse pursuant to the Contractor's License Law). I am aware that ' Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $
prool o( tneir Worker's CompenwUon insuranca shoum be provitletl to ma. � PLAN CHECK $� PERMIT �.�q.�
❑ I am exempt untlar Section B. d P. C. for this reason Firepl/Fact. BIL ICB09W . Fire Dampers ' PLUMBING S ISSUANCE $ �`�` !
Date Owner Heating System & Ducting Repisters PLAN CHECK 25% $ ENERGY P.C. S
I hereby cmtity that I have reatl tnis application antl state that the above ❑0100,OOOBTU �100,000BT . GRADING $
inPormalion is correct. I agree to compry with au tity antl county ortlinancns ELECTRICAL $
antl state laws relating to builEing construction, antl hereby authorize repra- - MICROFILM $
sentaUves of is city to enter �upo he above-mentionatl property for . PLAN CHECK 50°6 $
Inspection o r ses. �l �� f� ' ' MECHANICAL $ TOTAL FEE 5 �� �
i Signature �2�fil..� Date / � �' -
Driverz' Lic¢nse or SS � _ ' Reinspection Fee $15 laue Fea $ 3 PLAN CHECK 25% $ .
CMF 0865�46, rev. 30/04 Wblle - BWltlin9; Canary - Appllcant; Plnk - Accounting; Goltlenrotl - Assesso�
CONSTRUCTION AND PLANNING - - POOL & SPA' -
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector `
� 1. Tzmporary Electriral Ssrvice or Pole 52. Pool & Equipment Location
; 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �
� 3. Elecvical Conduit UtilitY-Undrgmd. . ,54. Forms '
4. Electrical Conduit-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-Undrgrnd.
.8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd.
,� 10. Structural Floor System 61. APPROVAL TO DECK
i t. 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 & Access Approval
17. Rough Wiring Sign� , � 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL -
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � '
20.. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro '
� 26. T-Bar Ceiling (Strucwral) & Monocoat 75. Dry Chemical
27. Frame and Flashing ' 76. Dry Standpipe
28. Lathing & Siding ' 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION �
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33: Final Electric � , Notes: �.. �y � y(o � (,�,p L �
34. Final Heating & Air Conditioning z„I� f�7 ��L �5 2u.3 Uf�.. L�cl)
35. Final Gas Pipe-Test ' �
36. Hood or Canopy � , �
37. Final Factory Fireplace � � . ' . �
38. Final Plumbing ,
39. Water Service-Final
40. Gas Service-Final �
41, Solar pomestic-Final -�
42. Backflow Preventer � ' � � � �
43. Backflow Irrigation � . � �
44. Landscape Irrigation System � �
45. Sound Attenuation � , � • ,
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING . �
48. Special Requirements Completed �
49. Electric Release to Edison - � � '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY � -
No. Date � � .
aaa�t RODHESS: Z J S NASiAU RD
�WNEN,SNRME;RODERT KEEFIN
R09�ESS: J�E ,
,��
�BCH/ENGINEFfl:
11DOflESS:
flE0.N0.:
uxir:
uxn:
PEpMmEE:AGRO—THF.RM CONST. INC. (714)966—AJ03
eooness: 169 B PLACENTIA AV
CM CA 92627
110EN5E� CON7MCTOB OEClAN11TI0N: I �ereLy affirm that I am Iicense0 wder pmdsions of ChaD�er 9(commencinA witn Section
7000� of Division 3 ol tAe Business ana Prafessians COAe, anA my licenu is in full force and eifect.
cm uc.: q 4 9 0 �l 5(Y sT�Te uc.:3 9 3 3 21 ` cuss: C— !q �,/���
Uate: II % 7 +_� Sipnamre: Z /,��'�"""'""r .
WOqKEBS' COMPENSRTION DECUIWTION: I hereEy aflirm ttut I have a cetlifwte of mnsent ro self-insure or a cenificaro of Workers'
ComDenution Insurance, or a cetlifietl copy thereol (Section 3800, Lab. C).
roucvxo.:73WC07852-0001 E%P.ORTE:OAI1�iI9O
COMPRNY:NA�rIONW].DE INS:
❑ CertitieE copy is hereby Nmis�e0. � Certifiea coDY is fqetl �w/ft� Ihe dry BuJdinq Divisio/n. ���
Oaie: I I—Z (� �j ApDlicani: J� . C t f«/ GZ""' "_' _
IXEMPfIOX FflOM WOHIlEHS' COMPENSIITION OECIAMTION: (fks sec0on neeO irot be canpleteE tt Ihe pe�mi� is for ox �undred (5100) or less�.
I certiry ihat in ihe DeMormance of the xrork tar whicA ih¢ permit is issueG. 1 slull rqt emDlay any person in any manner so as to Uecome
subject to [he WOM1ers' Compensa[ion Laws af Califomia.
Da[e: SiAnature: '
NOTICE: If, after maknA �his Oeclaration, you shoulU bewme subl� �o t�e Workers Compensation Orovisions ol tAe LaOar
COAe, you must fatlhwit� compty with wc� D��ons or Itis permit shall he AeemeO rtvoked.
CONSTBUCTION 1EN01NC �GENCY: 1 �ereEy attirm that there is a wnstructian IenUinp a0ancy for t�e pedormance of the work for
which this Oermitis issue� (Sectlon 3097, Gv. C�.
lFNOEfl:
aoneess:
OWNEB-BII�IUEN OECIAMTION: I �ereEy affirm ttwt I am exemD� �ram t�e Contracrors' State License Law for the Pollowin0 reason
(Sectian 7031.5 Business anE Professional Cotle: My dry of wunry wNch requires a Dermit ro consiruct, atler, imD��, demolish, or
repair any stmcWre, D�or ta its issuance, also requires the apDlicant for such permii to file a slqned statemem that heJshe is licenutl
pursuant to t�e provisions of t�e Coniractors' State Licensa Law �CIuO�er 9(commencinp wi�A Seclion 7000) of �ivisian 3 0� the Buslness
antl Pmlessions CoGe) or Ihat Ae/s�e is eaempt I�erefmm an0 t�e Oasis tor t�e alleped eKemO«on. Any violation ol Section 7031.5 by
any ap0licant lor a permit suCle��s the apDliwnt to a civil penalry ol not more than INe huMreO tlollars (ESUO�.
I. az owner ol tAe O�aDehY or my em loyees witn wapes az tAeir sole wmpenution, will do t�e work. antl the
❑ simtWreis nolinlenEea oroflerealorulel�ctian 7044, Business and PmlBssionalCode: •TAe Cantractars' Slaie licanse Law
tices not apDly to an ovmer ol a property who WOtls or imprwes t�ereon, anE who don such work himull/hersell ar IhmuOh
his or her own employees, provqed tlut SucA Imprwemen6 am not intenEeO or aflereC for sale. If, Aowever ihe huiltlin0 ar
im0�ovementis wltl wrthin ona year oi wmplation,tAe owner will �ave IOe Curtlen ol provinp he/she dia not 6ui10 o�imDrove
for tne purpase ol sale�. �
I, as owner ol IAe Droperty, am eeclusively coniractinp with Ilcense0 comractors ro canstmct t�e prolect (Section 704C. Business
❑ anG Pmfessions CaOe: Tha Contractors' State License Law Aoes noi appry Io an owner ol pmOeM wlw bwlas or im0�oves Nereon
an0 wAo coniracts br Suc� prol�s wit� a contractor(s�license Oursuanito I�e CAntraqors' �tate License Law),I am awam
ihat Draol of ihur Worker's Campensatbn insurance SAouIE �e Dravi0e0 to me.
� I am exempi wEer Section: 8. 8 P. C. .
lor I�is reason: � .
oate: Ownec �
I ao here6y cartiry lhat I am aware al antl unGerstanC tAe repuiremems al Califomia Healih anG Satery COEe Sections 25505, 25533, anA
25534 anC i�at I or any future GuilAinO acupant willlwill irot (drtle one) nee0 ro compy with uid state coGes antl t�e reQuirements for a
permii tor wnstruciwn ar motliliwiion imm f�e Nr Oualiry Manapement DLSMct. NeS�JeMal constmction aODlications are exem0� ��om
ihes0 Drovisions.
Dale: ApDliwni:
I h¢re0y t¢riity lhal I have reatl fNs apD�����an antl Siate �hai Ihe above IntOrma�lnn is correc�. I a0�ee to ComDly wiih all tiry and COunry
or0inances an0 state lavrs relatinA �o huilainp consWcfian and AereUy authorize representatives ot tAis ciry to enter upon t�e a�ove�mentionea
propeity for insp¢ction purpqo5es.
�ate: � I—Z� ��( Siqnamre: ��Zj/TI—�AO� �"' U'�y(�L�
Driver's License or Socia� Seanry �
Ifi4L48 Whita—BuilEiig; Green—COCe Enlarcemenp Canary—Appliwnt; Pink—Ravantie; GOIEenroO—Asseswr '
CI'TY OF COSTA MESA -�OILDING PERMII' YERM NO: 6 045146
PERMI'[ NO: B 045].46 I?LAN CIIECK NO: N GOVT; N SUPP: N
COI�ISTROCTION TY]?E; PERMI7'; TYPE: STR PURPOSE: NEW
JOB DESCRIPTION : T/O 6 RE ROOF . .' S� FT: 4,F300
CLAIM VALUE: 4,800.00 CALC-VALUE: 4,A00.00 GROUP OCC: R-3 /
COMMENTS; T/O SOME SHTG.-TIMBERLINE CL�ASS A COMP. '
*�r******+t*�*�t��**�r******��r�-**x��rx�*�**�rit****�t�t�-rtx*x��r�rx�*��*+rx****��-*��-*�'.�t+t**�*+�*�x��r*
Z O N I N G R E� U I R E M E N T 5 '
S E T B A C K S
------�---- MAIN FtUILDING ----------- ---------- ACCESSORY BOILDING ---------
FRNT: FT IN REAR: FT ZN FRIVT: FT IN REAR: FT IN,.
LEFT; FT SN RGHT: FT IN LEFT: FT iN RGfiT: PT IN
i ,
PARKING RE�: PROV; PARCEL: 141442].5 TNE.: ' REF NO:
PLANNING NOTES> •
. > � ' ... . � . .' �_
iF iE iE if 1E iE !E if 3E iE 3f iE if k!E 3E if i6 dE if if 3F iE if i! ik iE iE iE 3E i(-1E iE # iE if k aF k�F iE if iE jf if iF iE ik if df %iE 1E if jE jE 3F iE �7E 9E ik iE iE iE i! 3t #�E 3E-0E iE 9E iE �E iE �E i! iF iE
D E V E L O.P M E N T 5 E R V I C E S R.E tJ U T R E M E N T• S
ZONING• APPR(�VED BY DATE: •
BUILDING APFROVED BY : 'DATE:
APPL�ICATION I;SUED QY:��F�� DATE: �����F�'��
i(�f1iE1EiElhiEiEifiEiEiEiElEihiEifiE3EiE3EfE ���aE1f3f%1F{FiE1E-1ffF iF
iEiEiE3EiEiEfElfiE3EfElF1E3EiEfE3EiElEiEiE3E3E3E3E�1EiEiE3EiEiE9EiEiE it3k 1E�EiEi43EfEfEiEiEiFiEiEkiEfEiflfitiliF3EiEiElfikiEikiEdEiE�)FiiifiEkiEikifif�
L6GALIZATION:N F E E S U M M A R Y . STRUCTURAL SEGME:NT:Y
BLDG PMT PLUMAING ELECTR C. MECHANIC FIRF:. SMIP/RES GRAI)ING
PERMIT 72.00 � .SO �
� ' SMIP/NON-RES
PLAN
SSSUE FEC '
BLIIL�DING-DIV-> PERMIT ZSSUE PLAN-CHECK T07'AI. PAID DUE
TOTALS----> 72.50 0:00 ' 0.00 72.50 72.50 • .00
ktEVENUE DIV7SI:ON TOTALS--> COLLECTED: 72.50 �.OVER/SHORT: .00
BLDG PMT PLOMBING ELECTRIC MECHANIC F7RE SMIP,/TOT GRADING PLAN-CliECK
%2.a� .5�
;�'
�lE ik ik iE 1E il-1E IE ik if iE 1E iE M if if iE iE iE if iE iF if iE iF iE iF iE it iE if iElF iE iE iE k iE fE iF iF i6 M iE �f 1E iE ikik it %� if 1Flk 3E it if iF 3t iE iE �lE iF i! 1(� 14 �)E it iE k it 7(� ib iE # k iE iE iE
I N D I V I D U A I� F E E I? R E A K D O W N � �
TYPE
uFR
QTS' D E S C R I P T T. O N UNT.T COST
i:
4£300 RERQOF BY. VALUE RESIDEDl2AL NOZOD]F. .". 1.00
END OF FE�S
� ' •
�
TOTAL COST
4,F30Q.00
01 0�04827?-00043273 T C�T 32.SQ
DArEe 11/27/89 TIME: 14:50
� .! 5.
,.�COtdSTRUCTION AND PLANNING � � POOL & SPA �
APPROVALS Permit #� Date Inspector qppROVALS Permit # Date Inspector
7. ti emporary Electrical Service or Pole � 52. Pool & Equipment Location
�2. Soil Pipe-Undrgrnd. ,- 53. Steel Reinforcement
3: Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrgrnd. � 55. Electrical Bonding
� 5, Sreel Reinforcement . . 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. , 57. APPROVAL TO COVER�GUNITE
7. Footings .- 58. Electrical Conduit-Undrgrnd. �
S. Foundation , � 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. • • 60. Backwash Lines, P�Trap, O Undrgrnd. ,
70. Structural Floor System + � 61. APPROVALTO 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. flough Electrical-Conduit f' � 66. Solar SYstem-Final �
16. Rough Electric Wiring � 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling - � 69. POOUSPA SYSTEMS FINAL
79. 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 O Gas ❑ Oil
23. Gas Pipe�Rough & Test , . . '- ., _ � ]Q, Underground Flush ' ", -
24. Roof Framing - �� • 73.' Undergmd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing , ' 74, Overhead Hydro
26. T�Bar Ceiling (Stcucturall & Monocoat . •� 75._Dry Chemical -�
27.-Frameand Flashing " ' ' ' 76. Dry Standpipe '
. 28. Lathing & Siding �. � ;- 77. FIXED SYSTEM FINAL -
29. Insulation �' 78:-FIRE PREV. FINAL �
30. Drywall Nailing _. � 1� - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � � �� �79. FINAI INSPECTION =
32. Electrical Power Meter-Final �80. �FOOD CERTIFICATE ISSUED
'=33..Final Electric ' " � Notes: ' " � -
� 34. Final Heating & Air Contlitioning � - .
�.
35.� Final Gas Pipe-Test• � � . � _ _ ` '
�36. Hood or Canopy . � � ;�' S ' ' . _ ; . _
-37. Final Factory Fireplace - � ^ � � • �
:38. Final Plumbing - _' ! ' � - ` '�
39. Water Service-Final ' . �
� 40. Gas Service�Final � � � - - ' ' � -
. . . x
41. Solar pomesticFinal � -�� �� - S � �
.,
42. Backflow Preventer ' ' . _- � �� � -
� -
43. Backflow Irriqation � - � � ,
'44._ Landscape liiigation SYstem �' � - � '� � -
<.
45:- Sou�d Attenuation � - � � � � • . �
46. Handicap Regulations - _ " � - ' .
47. FINAL STRUCTURE & BUILDING ? % � - � � � '
48:'FINALPLANNING ' ��' ' `� - � -
�
'49.^Electric Release to Edison '�'
� 50. Gad Release to Southem Califomia Gas Co �i `' ' ' - � � � . -
•{
51.' CERTIFICATE OF�OCCUPANCY `�-'� ' - '
No. • Date '
�OWNER RutRers Dev, Co. DATE 8-29-58.,�� •
lOB ADDRESS 275 NasSBu Rd. � ' BUILDING PERMIT NO. - 7�56
& COle�ove, Inc. VALUE S 16,168.00
AP. No. LOT 12 Txacr 2 54 cnxe zoxe DESCRIPTION OF WORK Res. w�att. g8T'8gee
GROUP I& J TYPE V ZONE � PLAN NO.
PERMITS ISSUED
INSPECTIONS DATE gUBCONTRACTOR DATE NUMBER
coat
Fiml Gas Test I
� �
'7350
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
BIIILDING
ADDRE55
FOR APPLICANT TO FILL IN
COSTA MESA. CALIFORNIA
owr,ER Rut�ers Development Co.
cirv COst1a M85V�8
ARCHITECT CAi�1SOII CL
OR ENGINEER Mldd�ebx'ook
.______ Garden Grove
CONTRACTOft (��
ADDRE55
IEGAL LOT
DESCFIPTION NO.
A.P. NO.
SIZE
OF LOT 71
USE OF
E%ISTING BLOG.
SET�PCK IINE FROM
CENiER OF STFEET
. . , .�n
�� �'��'vv�'��..
AUG 2 � 19�g
Fli,",f�CE DEPi'.
� ^C P�1Ci9 r.':r
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERMIT_NO
No: Li 8-1159 ADDREI55
��C. COSTA MESA. CALIFORNIA
NO.
CITV L10. tf�
�trn Tnn_ NO. o
17th St. No: Li
BLOCK TRACT
� NO.OF BLDGS.
NOW ON LOT
t REARYARO <
SIDE YARD RIGHT S�u' LEFT Jt
DESCRIPTION OF WORK
NEW p ALTERATION ADDITION
REPAIR MOVING I DEMOLISH
B?cLDING lOVl 9O.ftROOMS 6 STORIES
OR WALL
iNG
ROOF
COVERING Comp
iily Residence with
garage
FIRE
ZONE
ZONE '
APPROVED
CORRECTIONS
Plan 750A
I MEPEBV I�CKNOWLEDGE TNRT I H4VE RE/�D THIS PPPLIC4TION PNO
STwTE TNnT THE ABOVE IS CORRECT /�Np AGREE TO COMPLT WIiH nLL
CITY OFOINFNCES f�NO $T lAWS GULATING BUILUING CONSTRUC�
iion. � VALUATION �/�
PERMIT FEE S 3��VV
SIGNATURE OF
PERMITTEE
�� S�S'�Ln•^^ PLAN CHECK S Z��OO
_1_ VO W C
AUTHORIZED AGENT D111e FL COZB rove� IRC• TOTAL FEE $ l7�OO
yO.xl
r
ADDRE55
fl
M PLUMBING
SWH.LINE
POWEN
BONO BE�M U STEEL
SNE�TNING
FRAME �NO FL�SNING
DATE 4-4-
SUBCONTRACTOR
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457��
COSTA MESA BUIIDING-SAFETY DEPARTMENT
P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant [o Fill in Completely — Use Ink Only
BVILDING n, 5 1 Sg Q V I�(/.
ADDRESS L
_�
OWNER 1—lw� T Ki�e.i ll �f
CITY
BFANCH
ADDRESS
TEL.
ADDRESS
CONTP�+CTOfi Ly`j`��. ��SiNGFR.
1
ADDRESS �9
TEL. p
CITVI 11rTlPfylbai NO.��a/]'I
STATH CI7V / �
IIC. NO. � LIC. NO' pL
512E NO.OF BLDGS.
OF LOT NOw ON LOT
USE OF
EXISTNG BLDG.
Separate permits are required for
elecVic, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFOFMED
H
I harebV ecknowledBe that I �we reatl thia epplication entl state
Mat the abova Informetion Is eorraet and a0/ee to comply wlch
ell IawS repuleTlnq CuIlEinp conrt�u<tion, antl 1 shell not employ
eny palson �n vloletlon of tho workman'� eompenmNon Iaw� ot
Ma Sta� af CelHornie.
I ha�ebY certify that 1 em ptopxly Iicensetl ea e conbactor untler
Ma Stnte of Callfarnie Busineu entl Profaalon� Cotla, Olvlaion 3,
Chepmf 9, entl ihet �uch Iieenwa ere In lull force and atfact, ar I
em exempt from Me provlslone A mn oi Callfornie Bu�lnen
e0tl ProfesfloM Catla, DIvb10 , Chept � O.
Slpnatu�a ot
ParmlttN
Author�ied ABsnt
R�
A.P. NO./�
BUILDING
ADDRESS
TRAC
�
OWNER �
US=
FIRE
ZONE
APPROVED
8575 4/�4/7�
FORSTRUCTURALPERMIT
DATE RECEIVED ppTF ISSIIF[
• �(_ L/G�
Ca�'
T PE
^ USE
VARDS APPROV ED
DISTANCE BET.
MAIN BLD6.
VAR. ¢
.SS'Av
�
VARDSAPCqOVED
0
2900 : Tl.
N
n
m
i
e
SQ.FT. n
THE AMOUNT SMOWN UNDEfl VALUATION IS FOR m
THE PURPOSE OF 6TABLLSMING A PERMR FEE ONLY: �
VALUATION PERMIT FEE S �� �
m
�/L PLAN CMECK s 3 ^�
_ o
$/�� TAX S 2 LL
f
U
TOTALPAID E