HomeMy WebLinkAbout2480 NAPOLI WAY - Building Permits�oop�ssaem�axo: 2qg0 NAPOLI WY
a�nsr+�EiF�v,a�T+: HOLDEN, JEAN
��% 2480 NAPOLI WAY
COSTA MESA,CA
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ARCX.OH FNG.'S AWRE55:
wxm�crarswue ALAN D 6 CO
cwm.croas�u�a'a 359 SCANDRIA RD
�no�ss: H I G Fi EAR
92315
110ENSED COMHACTONS DECLANATION: I heeeby Nim mdw peeWy �
(oommena�q wnh Sxtion 1000) d 'pn � d Ihe Buainesn ud Gmteseiom.
�C O.: �j 11G/CLAS4: B 11C. NO.:
i� i %// Loni�fer /
UNT:
CITY OF COSTA MESA - HUILDZNG PERMIT
92627 \��� PERMIT NO: P 086590 PLAN CHECK NO: N
�.5 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU
uc.ra.: ,p�P JOH DESCRIPTION : REPLACE KITCKEN SINK 6 DISHWASHER
UNT:
(909)866-6905
CA ��: 383787
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ry that 1 em liromed uMw a'vbu d Clups 9
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78 � P:
�17yHEfi8UIL6EN OECLI1fl�TI0N: I hereby dfi�m uMer penNy al I em Imm IM CaMMan L'mue Lew Iv Ihe
Idbxin0 �mwn (5edion )W I.5 Bueiwsa arM RdpSions Y a caun�Y � n9vires e VM^d lo wnatruel. Ms. impova.
demde�, a�epai ury ebuct�ve, pv ro ia cauence. ebo ' �he epplianl la qrmu to Rb e eproE ewamenl thet M a�he
' i9 IicenaeE W��^� �o iM panram d tha Coniredas licen�e lew �Cheqx 8(wmmeniip xvh Saqion ]000) M OAvian 3 tl ib
Binirow eM Ndmun+ Code� a �hm M a ehe ia ezamq iherehwn vd tM bam la tM elbpeE uempion. MY videtion W Satlion
]W t.5 by eiry eppFfail la a permn abpda the eppl"ran �o e tivY penMy W ru more ihen fxs hundnd tlo0v� �f500p.
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nMeraE/oreeblS tion]ou.6utlneaeMPMeaaianCotle:TheCaqrepanLiwnwlawdouewiewN�oenoxirdpoprry
wM10 buids a inprtrves Iherem. end Mo don vuM wark limaell a Mne� a Wap� he ar her own empb�vm, pwks0 ihm wcA
o�auua« wi n�..re me�w�de� a�pw,'m�. e.�nor««, i�wue�!�o� ��w ��ne wm� d�la» r«r a m�N.i�. w
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conv�n a o,a� wa.d• wen . m+�.a«c.) �K.mee wi+�w �o ine cw�ena, umn.. �..t.
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Dme: ��:
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Povmon9.
Dme: Md�
W OPKEfl'S COMPENS�TION DECIARATION: I Mreby dfvm urtler p'ully d pr'ryry ans d Ihs b0owuq dotleem'uu:
� I hew ma rril me"vu+n e mnfcros d mueni m eetl�imim br wMra' mnpensetion. n pwidad ta by SMoi �]00 d tM leEa
CoCa. la the pMormerce d iM1e wk tar wlic� Nia pamG b iesued.
❑ �nev.ena.,ilmeim,n.oil�en�mmo«vmu,wwawe...AN�dMsaiona�moam.Lm«coa..aueo��^�*a�l�.
wM la v.fiidi 1lue C�u'a muA. MY warMen' eanDenamian imueanee urt's aM V�Y wmber era:
c.m..:
Policy Number.
�sxTian reM m� be candksJ / IMY�l "s br aa huMmd Eo9ers �SI001 a Isn./
�1 mniy thm in Ne pMame�m d iM r+ork br whN Ihw pamu u'veued. 1� emplvy in erry menrwr w m to
parnma wbpe io tM v.aYero' wnweiumian levn M CelilmJe, ae d I� aibjefi io IM MMa�'
(?�� cwnroM1++U� po+RAv d Seaon 9100 d tM lebor CaEe. I �wtl -� ' !
CLAIM VALUE;
CALC-VALUE:
9 - a3�
PERM NO: Y U86590
GOVT: N SUPP; N
PURPOSE: OTH
SQ FT;
GROUP OCC: R-3 /
COMMENTS: X
�*��***�rx���r**�x**�r��*�x�**�********+�**+��*�*�*�*�*�*�r*�**�r*�+���+�*******�*�***�r�*
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 HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 43914143 ZNE: REF NO:
PLANNZNG NOTES>
� �:
!! if �k iE iE jE 1E iE iE 1E 1E iE iE 1E ik iE iE iE 1f if 1Elf i! if 1P iE 1E 1E iE iE jE iE iE iE jE iE iE if iE iF if 1k iE iF * iE iE 3E iE iE �E 1k 9E if 1E if iE iF 1E * iE iE iE 1E 3E �E �E iE if if �E iE if 1E iF 9f aE aE jf
D E V E L O P M E N T S E R V I C E S 'R E Q U I R E M E N T S
ZONING APPROVED BY . ' DATE•
BUILDING APPROVED BY :
APPLICATION IS
ff 1E 1k k k if iE �f IE f! 1E iE 1E iE
LEGALIZATION:N
F E E S U M M A R Y
DATE:
DATE• i
iFfffE�EifjfjEfE jfaE
STRUCTURAL S GMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 17.50
25� SMIP/NON-RES
PLAN
ISSUE FEE 22,00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 17.50 22.00 0.00 39.5.0 39.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 39.50 OVER/SHORT; .00
BLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
39.50
iE fE fE 1E iE if fk iE fk jE i! iE 1E iE i! iE 1ElElE iE if iE if 3E if It iE if M ik 1k iE iE 1E �E iE jE iE If iE fE iE iE iF iE iE iE if * ik �E jE iE fE 3E iE iE ik iE iF ik if iF iE 1E iE iE 3E iE jf iElf iE 3f if if �E iE if
I N D I V I D U A L F E E B R E A K D O W N
.�a.wn.�per�n.mnrayrrowmw�.m...�e TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
avx nn.a w ro m. n,ner.e rnou.w dwYn ls104aool�.maon ro m. ro.t o� mlro��an �Yu u v�Mwa roi In
Sxtlm elob ol M� lalai Cod, Imem4 W ertomsY'i /w P L U
CONSTIIUCTION LEHOINO OGENCY: I hrab� eRum �rtder pe�Wly d perjury IMt IMn o e wn9rWbn Wdiiq eprv.y br Ne PLU
penwmeze d �n, xan �«..niM ma ro�� o osu.d (swa, ao9�. ca. cl.
LENOEP'S NMIE:
LENDEN'S ADDPE55:
I cMiy Ihei I heva reed Nia eppfwion aM qma tl�ei tha abova iMamubn ia �w�ea. I q��iae lo canqy wil� eA dry and coumy adimmes
ard ewa IeM MetM b drikM �uaion eM MrebyaNMrixe mpsaeniatiw d �hu u1y b ama uP� �M eEova.meNioned popay
im�"°°°d�""°a".JIM JO
��
oma: � �J
je � a o..KK��noo� �m«
(5t51<B WP) � W�de-Buikiq 8 Selety Q�eaMFle: Cwuy-Appfuni: Pink-Revenue:l3oNanroFMmamor
DISHWASHER
SINK, KITCHEN
END OF FEES
f �y./A CL C�t �22� 9g
��.�LJ
8.75 8.75
8.75 8.75
81-IS-1998/81:49 PN/f39.5B
RCPTq:81-B018218
PERMIT:086596
i.
GONSTRUCTION AND PLANNING POOI ?A
pPPROVALS Permit # � Date Inspector qppROVALS Permit # Date Inspector
i. Temporary Electrical Service•or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Stee1 Feinforcement
3. Electricai Conduit UtilitY-Undrgrnd. 54. Porms � '
4.�Electrical Conduit-Undrgrnd. . 55. Electrical Bonding
5. Steel Reinforcemeni 56. Rouqh Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7.• Footings 58. Electrical Conduit�Undrgmd.
� 8. Poundation � 59, Gas Pipe, O Undryrnd., Test
9. Water Pipe�Undrgrrid. 60. Backwash Lines, P-Trap, � Undrgrnd. �
10. 5trutturai Floor System 61. APPfiOVAI TO DECK
; 17, Property Sewei line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap . � 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System � Final
14, Ro�gh Plum6ing� 65. Electrical�Final
15. Rough Electriwi-Conduit �� 66. Solar SYstem-Final
16. Rough Electric Wiring � 67. Fencing & Access AnP�oval .�
17. Rou9h Wiring $ign 68. APPROVED FOR PLASTER�NG
18. Rough E�ectricaY-T Bar CRifing 69. POOL/SPA SYSTEMS F WAL
19. Rough Heating & Air Conditioning � � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace �- APPROVALS Permit #
21, pucts, in Structure 70. Underground Hydro
22. Ducts, Ventilating • 71. Product Piping �Gas OOiI
23. Gas Pipe-Rough & Test � J2. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof�Sheathing ' _ 7q. Overhead Hydro �
26. 7-Bar�Ceiiing (Structuraq & Monocoat � 75. Ory Chemical �-. . � �
27. Frame and Flashing . 76. Dry StandPipe �
� 28. Lathing & Siding - 77. FIXED SYSTEM FINAL
29. Insulation . 78: F�RE PREV. FINAL
30. Drywall Nailing -� � HEALTH DEPT. REQUIREMENT
� 3t. Plaster 8row� Coat 79. FIN0.L tNSPECTION
32. Electrical Power Meter•Finai 80. FOOD CERTIFICATE ISSUED
33. Fina� Electric � Notes: - �
34. Final Heating & Air Conditioning �
35. Final Gas Pipe-Test � � , � -
36. Hood or Ganopy � �
37. Finai Factory Fireplace _ `.
38. Final Plumbing ' ' Z!/g8 -
39. Water Se�yice�Final � ` , ..
40. Gas Service-Final � ' . � - - '
47. Solar pomestic-Fi�al �
42. 8ackflow Prevencer . �
43. Backflow Irrigation �.
i
44. Landscape Irrigation System � . r• - �
� 45. 5ound Attenuation ' ' . � - ' � 'T �
q6. Handicap Regulations � '. t
47. F�NAL STAUCTURE & BUILDING • . - - •
- z, �',
_,� .
48. FINAI PLANNING Y .' -'
� :i
49. �.lectric Release to Edison ' •1'-^ � „ !.,ru
_ �,�
50. Gas Release to Southem California Gas Co ,` - "• ;d�
., � ;
51. GERTIFICATE OF OCCUPANCY
No. Date
�oonessa eN�wx+: L y O V IVAYSJL 1 W Y
owruasxwEiviu�axN: liVLL�N, J�SFiN
woncss: �ynV NHYl�1 WAY
l.VS1A MtSi1,l',.4
�vr�. �,uuwc �ooxeu:
ApCNRECTOHENC�NEFA:
I�RCN.OP FN�: S �OOPE55:
UNT:
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UNT:
coxm�cTars wuu: ALAN U 6 l. V l y U y 1 f1 b b— b 7 V 7
caxrn�croxs�uuxc J59 SCHNUnIA kL
�oo�ss: bIG bEAR CIi uc.rn: 383787
7L'J17 uNT:
UCEt15ED COMP�CTORS �ECLAH�TION: I M�eby dlim uMx peeWy d pxjuey Na I em lieemed under pwieime d Cheplx 9
(wmmarKiip wilh SMion ]000) d Divcion 9 d IM Bvdiwa ud Pm1oe'vu Code. W my Yoema u in 1u01au eM Wep.
CITY UC. NO.: 114 CIASS: jj IJC. NO.: ��} ,] %(} % t, ,
o,� 4 ���
OWNER BUILDEP DECLA ATION: I hrab� e1Nm iudse pene�y M parjury tAm I un e�emq hvm ihe Capratlon Liemua w lor Ihe
'dlovnng reeeon �Sedion ]0�1.5 Bue'vroaa vd PMmuone Code: Arry cty a ooumy MfiiN rtQuiree e parmn �e mrovucl, er, impwe.
emd'nh, a repei eny avuaum. p'v b is i+wanm. ebo rWu'vas IM epqiraeu la eueh pemm to fib e egroE slatame ha a sM
.e IicenseE W��� lo tM praisions W IM Cwreaan licenae Lew jCheqer 91�m��q'�h Sepun 10W) d DH6bn 3 ot ihe
Bupres+ arM Prdaseian Cotlel n thm Ae a ehe o ezamW theaM1an e�d tM b� la Ne eYepeA uemNion. MY videtion W Sacun
)031.5 Ey ary eppliceM 1« e permil wbjetln the eppficam to e dvd penMy d nol mae ihan Me huMretl doAen �5500�.
p �.e,o..ne.a�nenw�v«mr�^W�A'^�winxapm.sun:.dewn,wm.��..aa�unxvek..nam..wrn,reenam�eneee
w ollmaE M eele (SecUon )OM. Busirem vd Pmfeaebna Code: The Coiurmas lioense lawtloea rot epplyto en owneraf propeity
wtw buiEa a inpm+%�Miean. ad �Nio Eroe �ud� xak h'vndl a hxad a Maqh he ar har ovm emqv�ee�, pm'idad thm wch
improvemenla ere rw� inieMeE «dleraA la eeb. tt, however, tAe b ldi�q a inpm+emeru o eold wilhin aro ymr d wmpb�bn, dro
w.�.-wuda .w n..re ma w� a w��a n. «.ne e�a m awd «�wo.+e�, me wwa• a.�>.
� I, ea owror d iM O�WaM. em utluv�'MY mmerfiq wYh IqdueE eonleeelm b emaVutl IM W9b (Senion )OM. &airwes end
Pmfeaian COEe: TM1e Canraam Licenae law do» nal nVdY b en o�+ner W V�W�Y who builds u imYa'ro tAe�eon eM who
convecb la eurh pqeda wM e mmretlar�e) ��� W�� �o �M Cwvreaore lioeroe lawl.
� I em eeemq urdx Senbn: B. 8 P.C.. br uo rseaon:
De�e: �
I do hereEy eenity thet I em ewere d erA uri0eiaieM tlw repw�snam M CeliaMe IbMh aeq SNMy Coda Swiane 15505.?55�. eM
YSSN. erd Nel I a enY �uro WJEinp owpeN vrill / wil rot (acb ar) ��o canply wY� eeiE tlels aodo aM iM �quiremenu br
epermillwmrumiclianamodilKationM1amiMlv�iy anepene�tlD'wirid.ReaiCeXalamaewioneGGG'�iomuae�emNlmmtAw
pwieioiu.
Date: Md�
W OHKER'S CONVEN9ATION UECLANATION: I Mrsby eHum unOer pa�My d pajury me A Ne Idbrriip Eedvetiom:
� I here enE wil meini�n e cenGicel� M muxu to eatlimun br wAere' mnpsiuetion, n praided la b� Sefiion �)00 d IM l�bar
Code. la IM pMamerice d iM wk In wlirJi Ni� permE u ivuW.
� I hew eM vAI mein�en xaken' mmpeneeto� imuruwe, n nyuireA by Seeion �)OU M Ne Lobar Gode, lor the p�lormerKe d iM
work tor which Ilie Ve�G u isuM. My xnken' comW�ian irourance mrtiar eM G�Y m�mbs ue:
Cemer:
Pdiy Number.
:�e;w� ,,..d �wr e. �o,�d«.d r w a«me e ro, w�. n�.a eoa.., 6�001 w iw.l
w
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D: I I/ IT 4���"�_ �K.�:
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elrll flnu ,q b orh h�nCrM flroua�nd JWI�n /JiPq000A b��n b IM rosl al romowwUon demspp � !etl br In
SKXM .�%LK 0I1�11 Li60/ CO�]. I/IIM)S 1/Id IiJIM�'1 iN�.
CONSTtiUCTION LENOINO �GENCY: I M�eby dfiem uMer pmMy d perjury thm ihen ie e evnaruaion Isndiip epericy la IM
peAormeMe d �M xak br whiM Ihe D�i e uaued (Sadian 3D8�. Cw. CI.
LENDER'S NI1ME:
LENOEN'S ADUPE55:
1 eenity Iliet 1 heva reeE �ho appGrsivi W 9tls thm the ebo.a iNametim o eaned. I pne to e«nply xnh aA my end oouMy adireem
end etete lewa releiinp to Wik'vp wngn'mon e�A MreW eWa�¢e reqeeentmiree d ihu ery to enbr upon ihe ebwa-memuned poperry
ta inspeeion purpmas.
HLI'.iV Ut.LAIVI.GY
(St51J6.WP) NTno-Buildip85dery;OreemFb:
Date � / �
Hnk-Ra.enue; Gakenmo-Avseeaor
CIiY Ut CGSiA MESA — duILLING FERMII
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11-19-1997/iG:4b A!4/f35.2;,
FIPT�:sil-3G1�6k2
F'EkMIT : 0858(98
CONSTRUCTION AND PLANNIN(; PO�_ & SPA �
APPROVA4S Permit # . ' Date Inspector qppROVALS Permit #_ Date Inspector
7. Temporary Electrical Service or Pole 52. Pool & Equipment �ocation � �
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement .
3. Electrical Conduit Uiility�Undrgrrid. 54. Forms
�4. Electrical Conduit-Undrgrnd. �� 55. Electrical Bonding �
5. Steel Reinforcement �'� 56. Rough Plumbing & Pressure Test .
� Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE
7. Footings ' 58. Electrical ConAuit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgmd. � 60. Backwash Lines, P-Trap, � Undrgmd. .
10. Structural Floor Svstem . 67. APPROVAL TO DECK .� �
1 i, Property Sewer Line & House Connection 62. Backwash & Receptor-Final '
�2• SeWe� CaP � 63. Heater & Vent�Final '
13. Roof Drains 64. Plumbing Systcm � Final �
14. Rough Plumbing . 65. Efectrical-Final -
15. Rough Eleotrical-Conduit . 66. Solar SYstem-Final � +
,
16. Rough Electric Wiring r', i� 67. Fertci�g & Access Approval � � .
:/
17. Rough Wir�ng Sign ! 68. APPROVED FOR PLASTER�;JG '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Condicioning . . FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace � APPROVALS Permit #
21. Ducts, in Struccnre . , 7D. Underground Hydro �
22. Ducts,Ventilating • � '- ' 71. Product�PipingOGas ❑Oil
23.'Gas Pipe�Rou9h & Test , - � �. 72. Underground Flush
24. Roof Framing ' ' 73. Underymd.StorayeTank OGas �Oil
25. Roof Sheathing � . 74, Overhead Hydro
26. T•Bar Ceiling (Svucturaq & Monocoat � 75. Dry Chemical _
27. FrameandFlashing� � ' . 76. DryStandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation �� . 78. FIRE PREV, FINAL
30. Drywall Ndiling � . .HEALTN DEPT. RE�UIREMENT
31. Plaster Brown Coat � ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: '
34.,Final HeSting & Air Conditioning z� � -
35. Final Gas Pipe-Test �
36. Nood or Canopy � , � �
37. �Final FactP�Y Fireplace .
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final �
41. Solar pomestic-Fi�al �
42. Backflow preventer .
43. Backflow Irrigation
44. Landscape Irrigation System " - -.
45. Sound Actenuation "
46. Handicap Regulations .
47. FINALSTRUCTURE&BUILDING -- �
48. FINAL P�ANNING -- -- -
49. �Electric Release to Edison �
50. Gas Release to Southern Caliiornia Gas Co . '-` '
51. CERTIPICATE OF OCCUPANCY
No. Date
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wpjetl to �M worFen' aonqeiwmion lew d Cefdamie. eM yn IM A I diadd Escmr EjW lo iM wM1a�'
penwbn qwbbm a Saaion aloo a �M leEa Coes.1 Nee n' mmoh �•i ',o .
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CONSTti11CT10N LENpHO �QENCY: I lwob/ dfvm uMr psuEy tl parjvy IIW iMn u e ouuf�uaion bM'up epery W iM
pmiamence d tM work b MJti� Ihe pami e ewwG (�� ��. �'. CI.
LENDEP'S NAME
LENOEP'S �DOPE39:
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11-l9-1997/1�:47 AN/t33.G8
RCPTN:01-C31�641
PERMIT:0858fi9
CQNSTRUCTION AND PLANIVING .` HO�_ & SP�A
ApPROVALS Permit #��� Date lnspectar qppROVAIS Permit ;� Date I�sqector
1. 7emporary Electrical Service or P.ole 52. Pool & Equipment location,' -
2, yoil Pipe-Undr9rnd. �, 53. Steel Feinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
.�1. Electrical Conduit�Undrgmd. � 55. Electrical Bonding ' `i�
5. Steel Reinforcement � 56. Rough Plumbing & Pressure�Test '
+� Electriwl UFER Gmd. 57. APPROVAL TO COVER�GUNITE •
7. Footings 58. Eloctrical Conduit•Undrgrnd. -
8. Foundation 59. Gas Pipe, � Undrgrnd., Test , ,,
9. Water Pipe•Undrgrnd. ' 60. Backwash Lines, P•Trap, � Undrqrnd. '
10. Struttural Floor System 'P� 61. APPROVAL TO DECK :�
i 11. Property Sewer Line & Housa Connection 62. Backwash & ReceptorFinal
12. Sewer Cap '��' 63. Heater & Vent•Final .
13. Roof Drains 64. Plumbing System • Final ,
14. Rough Piumbing 65. Electrical•Final .�
15. Rough Electrica�-Conduit .- 66. Solar System•Final �
16. Rough Electric Wiring � _ 67. Fencing & Access ApProval � �
J
17. Rough Wi�ing Sign �� �
68. APPROVED FOR PtASTERING
18, qough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAI
79. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT
20. Rough Faccory Fireptace APPROVAtS Permic#
21. Ducts, in Structure � 70. Under9round Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Test � 72. Underground Fluth
24. Roof Framing 73; Undergrnd.StorageTank OGas ❑Oi�
25. Roof Sheathing � 74, Overhead Hydro
26. T-Bar Cei�ing (Structural) & Monocoat - 75. Dry Chemical - �
27. Frame and Flashing 76. Dry Staridpipe
26. Wthing & Siding - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEAL7H DEPT. RE�UIREMENT
31. Plasrer 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 �� �.
37. Final Factory Fireplace '
38. FinalPlumbing � L�s� �
39. Water Service-final �
40. Gas Service-Final �
47. Solar pomestic-Final '
42. Ba�kflow Preventer '
43. Bdckflow Irrigation '
44. Landacape Irrigation System
45. SOund Attenuation �
46. Handicap Regufations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING .
49. Electric Release to Edison -- •
50. Gas Release to Sou[hern California Gas Co
51. CERTIFICATE Of OCCUPANCY
No. Date
AOG���ant to fill in all spaees exceot inose within neavy Gortler lines ana sign all aoarooriate Ceclaratians.
CITY OF COSTA ME A, CO STR C�TION PERMIT PERMI O TRACT NO. LOT NO. UNIT NO
'Project Address �
Applicant'sMailin Address DL/1(+�j/j/J
Owner's Name � Phone s.i�d—`7Q.Ly{,
Address �
Arch/Eng. License No.
Addrext
Contracior's N � � � y � � �� �hoPe '
Address (ma'I' 9) ����� , �
City Licen� No _ _ _ _ _ _ — — _ _ _
LICENSED CONTRACTOR OECLARATION
I hereby aflirm thal I am Iiconsetl untler provi5ion5 ot Charter 9(commencing
with sec[ion 7000) of Dlvision 3 ot tha Business antl Profesiions Cotle, antl
my license iz in IWI ntl eHect.
License G s ice se o.
� Date Signature
'ORKERS'COMPENSATION OECLARATION
iereby afiirm that I nave a certificate ot cons¢nt to self-insure or a certifiCdte
.r Workers' Compenvtion Insuranc¢, Or d cert�it+le�tl� cOp/Jy� t�ereot (Sectlon
3800, Lab. i���c� y�L( fCJ l�L d!%I�
Policy No. Comoany � �
er[i/ietl coOY i5 nereby furnishetl.
Cer i�i py £ etl with the city Bujl�p9 9Lp��o� /� �
Date Applicant Iq6.e/" LL� ��
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION
(TM1issection neetl no[ be compleletl if fhe permit Is f0� Onn hundretl ($100) o�
less).
1 certi�y lhat in lhe perfo�mance ot the work for which this p¢rm�t I5 65uetl, 1
sM1all not employ any Oerson in any TannGr zo as to become subjecl to the
Work¢rs' ComOensalion Laws of Californla.
�ate 5�9naturo
NOTICE: I(, after making this tloclaratlon, you shoultl becoma subject to tho
Workers' Comp¢nsation provisions of lne LabOr Cotla, you must /orthwi[h
comply with sucb 0/ovisions or thi5 p<rmlt Shall b! Ueemetl �evoketl.
CONSTRUCTION LENDING AGENCV
I nxreby affirm that t�ere is a construction lentling agency for the performance
o( [he work for which [his pormlt Is Issuetl (Section 309�,CIv. CJ
LanOer's Name
LonEer's ACtlress
OWNER BUILDEH UECIARATION
I heraby al(irm that I am exompt lrom the Contractor's Licenso Law for tne
tollowing reason (Section �031.5 Business anU Professional Cotln:�Any city or
county wM1ICM1 requires a permll to ConStruct, allor, Improv0, demol(sh or rapalr
any stru<ture, prior to its Issuanco, also reqWres thn appllcant tor ivch permit
to /ila a signetl slatemenl thal ho/slte Is II<enSOtl pu�suan� to th0 provl5ions of
' he Conlractor'S License Law (ChaDter 9(commoncin9 with Seclion 7000) of
Ivision 3 of tnu Busine55 antl ProfoSsiOns Cotle) or that h¢/She I5 exempl
ierefrom and lho basis for the allo9otl oxemptlon. Any vlolatlon o1 5ectlon
J031.5 by any appllcan[ tor a Permit SubIBC[S Iha ap0licant to a civil
�nalty ol not more than fivp huntlretl tlollars (f500).
I, as owner of the property or my employees wl(h wages as tlteir solo
compensation. will tlo tha work, antl the strutWre is not intentletl or offeree
for sale (SetUon 7044, BusinMs anU ProtMsional Cotlo: The Contractor's
Licens¢ L, w tloes not appry lo an owner ol a property wtio �uiltls ar impmves
lhereOn, antl who tloe5 Su<b work bimselt/M1orsalf or lhrouqh nis or h¢r own
employReS, provitletl �hat sucb ImprOvemonts are nOt Inlentletl of Ottored fof
sale. If, how¢ver, t�e builtling or ImprovOment ii SOItl wilhin on0 ycar of com-
plOtion, Ihe owner will have tna burtlon ot prOving hC/Sha 010 not builtl Or im-
prove lorthe purpose of sale).
❑ I, as owner ot lhe property, am exUusively contrac[ing wll� li<Cnsetl con-
tractors to tonstruct the proiect (Se<tlon 7044, Buslness ana Ro(esslont Coee:
The ContractorY Licenso Law does nOl apply t0 an owner ot properly who
builtls or improves tnermn, antl who canVacts for such pmjecls with a con-
tractor(s imense pursuant ro the Contracror's Liwnso law). I am aware tnat
prooi o� thair Work¢r'S COmpunsation Iniu�ance ihoultl be provitletl LO me.
❑ I am exempt untler 5¢c[ion B. 6 P. C. Por ihis reason
Date Owner
I hereby c¢rtity tnat I have reatl this applicatlon antl stata that the abova
information �s correcL I agr¢e to comply with all city antl tounty oralnances
antl state laws relatin9 to builtlin9 wnstruction, antl hereby aulhorize repre-
cantafivoc nl thiz [iN [o enlef u00n.the abwn-meNinnett nrooeltv f0!
Signa[ure /-X�/ /
Drivers' License or 55 �
.��a�a-.
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p. �
DESCRIPTION OF WORKIUSE OF BLDG.
S Main Building:
E
TVPEOFPERMIT GRADING FOUNDATION STRVCTURAL T Front
❑ TENANT ❑ ELECTRICAL PIUMBING ❑ MECHANICAL �B qeef
❑ OTHER A
PROJECT DESCRIPTION SQ. FT. oCCUPANCv C Right
K Left
CONSTRUCTION TVPE VALUATION S S
20NE GRADING CU. VDS. ACRES p�ng. Rei. �ik
Remarks� Planning Notes:
3ackflow Prevencer
3ackflow Irrigation
3athtubs
Clarlfiers
Jishwasher
�rinking Fountains
Floor Drains
Floor Sinks
3as Service �U[12t5
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspaction Fee $15
Boiler
Dutt- UnderGround
Duct - S V ucmral
Duct � Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact.8lt. ICBO #
Heatin9 System & Ducting
❑0.100.000 BTU 0100.00OBT
Reinspec[ion fee � S75
CMF 0865�46, r¢v. ]0/84 Pink - Atcounting: Goltlenrotl - Assessor
Showefi
Service Sink
SewerCap
Sewer Connection
Solar C011ectors
$olar Piping
Solar Tank
Swimming Pool wlSpa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
Issue Fae
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System
❑aioo,000eTu ❑ioo,000eru
System Repair/Alteratian
Fire Dampers
Registe�s
Isue Fee
FEES
Automatic Washer
Construction PoleSub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elec
Fan
F.A.U.
Pixtures '
Device Boxes
Outlets
Garhage Disposal
Generator DO-5 KW �5�15
5262 �/17/8;�
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Su6 Panel
Morors 00�1 HP �1 X� B
Inc. Solar �9�15 HP �76-15+
Microwave
Pole Light
Standing Sections
Trash Compactor
$ 3
Rainspectian Fee 515 Issue Feo
FEES
DEV ELOPMENT SERVICES REDUIREMENTS:
2oning Approved By
8uilding Approvad By
Aoolication Issued Bv �
$ 3
50�1' TI
2
O
N
I
N
G
R
E
�
M
T
S
FEES
53
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ O �SSUANCE 5
PLAN CHECK 25% $ ENERG� P.C. 5
ELECTRICAL $ GRADING 5
PLAN CHECK 50% $ MICROFILM 5�_
MECHANICAL $ TOTAL FEE $ �j ��v
PLAN CHECK 25% $
CONSTRUCTION AND PLANNING POOL & SPA
A�'PROVALS Penpit# Date Inspector AppROVAIS Permit# Date Inspector
1. Temporary Electrical�Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �.s
3. Electrical Conduit Utility-Undrgrnd. 54. Forms -�
��
4. Electrical Conduit-Undrgrnd. 55. Elec[rical Bonding
5. Steel Reinforcement 56. Rough Plumbing & PressurexTest
6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgr2d�
8. Foundation � 59. Gas Pipe, O Undrgrnd., Tesf
ii
9. Water Pipe-Undrgmd. �� 60. Backwash Lines, P-Trap, Cr]•Undrgrnd.
���
10. Structural Floor System 61. APPROVAL TO DECK K.
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 & 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 •
i
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 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. FOOD CERTIFICATE ISSUED
33. Final Elect�ic Notes: ,Z•yy.g8 LEFJ'Cq-R�. G.E.]7 ''
,�
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace '� � � ' � �
38. Final Plumbing �� (f�/� " � �
� J I
39. Water Service-Final . , ' �
40. Gas Service-Final ,, „ '
41. Solar pomesticFinal ' �
42. Backflow Preventer �
43. Backflow Irrigation � �
44. Landscape Irrigation System • � '
45. Sound Attenuation � ;. � ^ • ,
46. Handicap Regulations - � � ' " �
47. FINALSTRUCTURE&BUILDING � �
� .. � . �
48. Special Requirements Completed - _ . - •
49. Etectric Release to Edison ' -
50. Gas Release to Southern California Gas Co -
51. CERTIFICATEOFOCCUPANCY
N0. Date � ��
�
. ! 9632_
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 91] COBTA MH$p, CALIFORNIA
For Applican! �o Fill In Completely
TYPE OR PRINT
ILDING ��{�O 'r�. 1 � D a
ORE59 (..1 (�� Y\..1�
COSTA MESA, CALIFO NIA
■ MAIL
F E RECEIVED
JUN 3 1963
FINANCE DEPT.
CIT�'PpCICdTIO1V FL)R"PERMR
BUILDING
For Office Use Only
RHCHIPT NO. IP��
� y�
:IVBOSY DAT[RHC8IVED OATE189UED
h✓ �� 9—� 3 JUN 3
�
nNo �/�L�D i��G.l(r�
=<4
NO.O
PLAN:
L�
LIC.TNOJ�%/�f�S�l �'��! NO. a O� O 80' TO 81Dfi Q REAR F
EAVES
SIZE (� �,/ � I NO.OFlLOOl� ALLOWED
OF LOT 7 1C NOW ON LOT yqRDBAPPROVED
USEOF /� MAIN BUILDIN6
EXISTING BLO6.
� . fFROM C/LSTRBBT)
BBTBACKLINGRpOM �� `rD -._V. _' PRONT O FT. _
OP WORK
Z/ NO. OR � / VAR. Ji
ROOMH 6TORIE9 C.U.P,
I ROOF S�__���':€3LE APpRO'
«4'I P'fIVFR�urs lIiYY�iYA BV
US6 OF BUILDINC APID WORK TO Bfi pfiRFORM6�
�SR�4,cc� w 7Ta��c� trYAr.
o J. e.f 3 !
1 HEHEBY ACKNOWLEOGe THAT 1 HAV6 qg�D THI9 �PPLILATION
AND 9TATE THAT THE ABOV6 18 COqq6CT AN� AOqEE TO COM�
PLY WITX �LL CITY OR�IN�NCBB AND 9TATQ LAWY RHOULATING
BUILDINOCONeTRUCTION. �
� AUTHORIZED A06NT
eeT
/sG 80. �.
THE �MOUNT 9H '
PUHP09H OI
VALUATION
$ /69a5 `°
BHALL BE LESS THAN
YARDSAPPROVED
ACCESSORYBUILOIN6
BET. MAIN
AGCESS. B
DATE
�q� n
e
VALUAT�ON I8 FOp THH F
A PERMIT FEE ONLY. �
m�
��(L �' n
IT FEE $ � T j
� m
CHEGK $ �� o
n � � LL
OWNEft
INSPECTIONS
Water
DOYLE & SHIFT.1l4
Co.,Inc.
�r. Co. , Inc.
�FIRE ZONE
DATE IGROUPJ
vai.uE 8 16,905•00
DESCRIPTION OF WORK
TYPE V ZONE
SUBCONTRACTOR