HomeMy WebLinkAbout2420 NIAGARA WAY - Building Permits�ooa,,aeuim�o: zqZO NIAGARA WY
ONNEA5IUYEIFIQlONM: HERZOG , DANA S
"p°p�' HERZOG KATHLEEN C
2420 N`IAGARA WAY
COSTA MESA,CA 92626
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ca+m�crarsxu�: gTOUT ROOFING INC ( 310 ) 92 3-6775
CONfPACTOR4YYlIIA P O BOX 4309
�oo�ss DOWNEY CA ucra.: 402536
90241 uxr:
UCEN$ED COMNACTOpS OELLAA�TION: 1 Fereby M'im uMer penely d p�ury UW I an IcerueJ uMn po�vssionna d GAeqer 9
(camm�rq wilh Seclun ]ppp) ol pivuion 3 d the Busim» eM Pmleeeio Ee. en my liwnae u in lull fo aM aNed.
cmuc.no.: 059 77 ����5� 39 uc.N : q0 ,' �,3,�6a : 1/95
Due: � � Comraam V/✓C.J
OWNEq BUILOEX UECU1flRTI0N: 1 haeby aff�m unEer pendy d parjury Ihet I em axemq Imm tM Gom�atlan ' ss Lew la Me
�dbrm9 rmaon (Sed'wn IOJtS Busroa� eM Prolmons Cade: My c�r a roun�Y whidr reaw»a e O�A ro mra . M«. imP'ova.
demdqh, or ropei eny eteueture, prior io n� eweMe, Wo repuirts iM epplimnt la eueh pemin to Ib a eq'rod sbiemam Ihv M a sM
b lice�g�p punuent to iM protivipu d iM Conlredora Licenae law �Chepm B(commmi iq wnA Satlion )000) d Divubn � M IM
Bwimys eed Probaiau CoEel a Ihm le a ehe w usmq �Mrehom eM �M ba» la tM eAepW ezamqion. My videtion W Ss]ion
)0�1.5 yy ¢�y eppironi ta a permn eubpa+ ihe epplieem to e mmY perelry d ria mora ihen Me huMmd ddlaea �55a01).
❑ I. ay owier d iM prope�Y a mY empb/eaa wih wepm av IMi eob canpeneetion. wJl do iM wak. aM the avucture u'wl in�eMad
wone�e ia.de �s.��, �ao. em�.. �a r�ae..� cm,: rna coovaao� u�. �.. d�. oa aowr io.� o�, d qoc,�y
imv�mema ve ro1 inteMea «onerea for eeb. n, nowwar. �M euiainp a�unprovemem rc soN ximin me yaer W mmqmion, ihe
awirerbwldx xill heve Ihe Eurdan d pwiip M or ahe dk M builtl a imqwa /a �M WN�e d eab).
❑�, a, owiw a �ns wwsM. em uduvnN oontr.anu �mn Yceneee canum�on w m�w �ne wd� (seao� 1ow. an"v�sn ene
prdestiau Goee: Tha Cauretlm liceiae Lew doee mi epqy n en owner M Pw�Y xfio Euike a impwo �h«aan W wM
conirecla b aM yojeCa r.nh e maraaor(e) lken»d punuw ia tM Contrmas L'mroe lawl.
❑� em eaemq uMx Senion: B, d P.C.. M Nn reamn:
oa�a: ow�,:
I tlo hareby ceNry �Iw I em ewera d erd urMentaM the repuiremenb d Cellomie Heoph eM Se1My Code Seciwn P5505. T55�, aM
255�a. ad Nm I a ury Mun dnkup owpem vnll / wil m� (tirtk one) need b mnpy w�h seN ueis oodes aM iM �apuiremew 1or
aPamulaaanVurdmamodifxaunhanlMAi�i�.i iY e^eP^�Oimr'vf.RaeideNielcan%MuneppirmumeneaemqfmnNme
w�.
oe�e: n�drem:
WONkEN'S COMPENSATION DECL�FATION: I hereW elfiim untler penelly d perjury ma d �he lollowi�p Eadareiune:
� I heva vd witl meintein e cenMicete d mnaeni to eell-inwn br wakae' compenseton, m povided lar by SeUion 3100 d tM labar
coae. ia �ne wn�a a �ro ..� ia.,n�n mg v� m n.�ed.
�� naw d,a.J me"vua� xoM1 .• oomo�mid, nwu.nce. m�ec�d M s«au, a)oo a ma L.m. wa. au i�» ro�a� d �ne
wM� la whirh Nw paimn o isaueE. MY Wa�n' wmpemnniwi inurenu wewr aM poGy m�mber ve:
c�,;a,; STATE EXPIRES
Pdicy Number: I�I SZS�A�— 10 / 19 / 9 5
(This .�,y(an need rwi be cande�ed / tM pemi� is bi one hundred Eollers (S / w b.as.J
� I�Jy ihm in ihe perlwmeMe d the work lor whch �hia peemil b , I ahell nd emplvy ury permn y menner eo es to
beeome wdW io �M xwkeee' wmpMeetbW+wa d ree Um Ef elauk beeome� to iM yaken'/
�me: /1 '% - /�../ �od"<en: .iZli.v— rw• �rs-
•—T
Weml�p; FaAen m�xuro worka�'rompwwtlon cwonp� b unl�wNl, entl NVIHu6/�cf en �mployer ro ctlMiul m�IHu an0
c/v117M� �q b on� �wtlreAflauurd OalYn (S10QOWA M adrllHon ro M� cost o/ comp�wfbn, Eam�p�� �s mvWp br In
SxHp� 3)O6 al M� Lebor Cods, InfwL �n0 ettomsy'i lesa.
CON$TqUCT10N LENDIN4 AGENCV: I Mreby eifirm uMar peneliy d perjiry IMt �here u e ooneUutlim bMifq epercy tor the
pe�o�meMe d iM r.wk la xfiidi �he pem�1 u uweE lSetlion 308). C'v. CI.
LEHOEH'S NAME:
LENDEN'S ADUPESS:
1 cmily ihq I M�a neE Nis eppl'v:elion erd pme ihet IM eEove informe�ion o cwrw. I apree to canyy xith e11 ory end wunlY �imM.es
aM eime laxs rNe�na lo budAM caMrwion and hx.M eWnrae npresanieirves a Iho aiYto.ntei u0� IM ebow�mentuned propeny
lar inSpeCion puepmet.
DAR,�,ENE BURFORD i7
(5151J6.�yp) WM1ile-Buitivq d Seldy, GraeMFb: Cenery-Appfranl: Pink-Revenue; (idEeruoE_pyy�yp
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 073634
PERMIT NO; B 073634 PLAN CHECK NO: N GOVT: N SL1PP; N
CONSTRUCTION TYPE; VN PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF, SHEATH 6 REROOF W/COMP SHINGLES SQ FT: 2,999
CLAIM VALUE: 2,999.00 CALC—VALUE: 2,999.00 GROUP OCC: R-3 /
COMMENTS: SOMKE DETECTORS ARE REQUIRED PER 91 UBC
x x*x � �t**+t��r****�x�x�*�t�t+t��r*x ��*�t**�x�x x*x x�**�t�t�t�t*�t�t**�tx �t�t***x�*x�*x�*�r+�x�*x�**�t�*�*�*�tx�
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 IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL; 41916574 ZNE: REF NO: ,
PLANNING NOTES> %'
�� .
1E if 1f iE iE iE 1E ik 16 fF iF 1F 1ElElE 1k 1f iF 16 iF iE iE 1F iE iE 1F iE 1ElE iE iE iF 1E 1k iE 1! 1k 41E 1E iE iE iE 1E k 1E 1ElE iE iE 1E 1f 1E 1E 1E k IE 1k iE 1E 1E iE iF iE ik iflE 1E 1E IE 1E iP fE 1E 1f if iE iE 1f
D E V E7L 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 ; ,/ DATE; � �
APPLICATION ISSUED HY: l� DATE:
1E14iE1EiE1E1E11�1Eibif1E1E1f1EiFiFlElEiEi(�iE F�iF i4iEltikiBfffl'if'If�if if
LEGALIZATION:N F E E U M M A R Y STRUCTURA� S GMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TqTALS----> 54.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED:
BLAG PMT PLUMBING ELECTRIC MECHANIC
54.��
TYPE
SFR
TOTAL
54.50
SO
SMIP/NON—RES
PAID DUE
54.50 .00
54.50 OVER/SHORT; .00
FIRE SMIP/TOT� GRADING PLAN—CHECK
if 1E 1E 1F fE iE 1E 1E 1E i8 jf i[� iE 1E 1E 1E iP iE fF iE iF iE 1E 1E 1E iE iE if� 1F 1E if !E 1E iE iE iF iE iI� iElE 1f 1F1E fE 1E iE iE iE 1E �E if iE 1f if 1E i61f if iE fE iE iE fE 1F iF iE'14 iE 1E 1E 1E
I N D I V I D U A L F E E B R E A K D O W N
QTY D E S C R I P T I O N UNIT COST TOTAL COST
2999 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,999.00
END OF FEES
�: "O1R7b8�J—OOtE7581 T 4 T ;4.50
CATE� QE/04/Y5 TFti�: �9:20
� -
�, CON57RUCT40N AND PLAP1NiNG POpL & SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
i
1. Temporery Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgmd. � , 53. Steel Reinforcement .
J
'3_Electrical Conduit Utility�UndJgrnd. 54. Forms , �
�$ .@leetrical Conduii-Undrqmd. � - 55. Electrical Bonding � .
_��'� Steei Reinforcement'� 56. Rough Plumbing & PressuYe Test . �
'fi E10ctrical UFEfl.Gcnd. r' S7. APPROVAL TO COVER-6UNITE - �
= ��,Fipotings = _ � 58. Electncai ConduiFUndrgmd. _
.-. J
^' Q�Fpundation _. 59. Gas Pipe, O Un�Jigrnd., Test •
' 9� Water Pipe�UndrgrIId� ' : 60. Backwash Lines, P_��Trap, Q Undrgmd. •
10. Scructural Floor Svstem ' 61. APPROVAL TO DECK. �
1 t. Pro�perty Sewer Line & House"Gonnection 62. Backwash & ReceA'tor-Final
12. Sewer Cap ' 63. Heater & Vent-Final �
�$. Roof Drains 64. Plumbing System � Final
14. Rough Plumbin�; � 65. Electrical-Final • -
15. Rough Electrical�Conduit �_ 66. Solar SYstem�Final �
� -
76. Rough Eleciric Wirint�', � , 67. Fencing & Access Approval -
17. Rough Wiring Si�n ' i 68. APPROVED FOFAPIASi'ERING
T
t$. Rough EtectricalFT Bar Ceiling' 69. POOL/SPA SYSTElNS PINAL
�g. Rough Heating & Air ConditioniRg FIRE DEPT. REQUIREMENT
- - - .�r c, - -
Zq. Rouc,�h Facto�� Fir��3tace _ _ - �` ;. � ? �" � %APPfiOV3`LS�>- QeYmit # �; �
-�
21. U{.�ct�;,in$tructurEj. . .. .. _ r t+ -„ • 70. •t�ndergr�nd H�ydro = �
22. Duct� Ve,�tila�ng= _ _ � � � ` ' ^P, 9 C� Oil
� - 77. ProducL� �n C1.Gas
23. ('ias Plpe•iiou�h & l`ast Y � � , s E �x � 72. Undergr6�nd Ftes6 _ • -� .
24. R'oof=Fraining^ �,x ' "-' x= � - ' �;73�Under9rrttl.Storac}�T`ankKOGas ❑Od
25. Roof,Sheathing �;. „r ���3_�'S ('pf,,j�J:' 7q��pv,erhead Hydr6� � � � � � -
w
26. T•Ba�xOiling (SLruotlirBl) & Nb��{oat - `�A 75:.Drv Cheeiical . �" - �
27. �i'ame and, Flashing.' � : - X 76.� Dry Staridpipe -_ �
28. Lathing &'Siding _ � � � T_ ^ � '<- " '��; 7?„ FIXED SY�STEMi�FINA� _, �
'� 29. Insulation. �� _ J .. .. '� ' � r . ,
. 78:. FIRE PREV. FINAL '>
30� Drywall Nailirig ,K.,:; ' y ' PI�ALTf�DEPfi.iiEQUIR�MENT
- 31. Plaster BC6wn Coat` ;, _ --r � 73. FINAL INSPECT�ON x` � -
" . - �.- -
� 32. �tectricaL7?owar M€ter�6inal k�� �� 80T FOOD CERTIFI.CATE I$SUED 1
J X
33.�na�lectric; =.x � x � � �N4tes: - '- -'_ � '
; 34. Finat'%leating�Ai�,Conditionirtg` �� • � n = _ �' - - �
m u- x: c-.G x
35. F-�{naPiiasFipe'Test_;: _ : � _ . j� ` ' -
• 36. Hoodor Canopy .^y ^ ' - - a * .' �* ' - - - � �
� � - - ' -
._ ' c j ` „_ � '
y 37, Final;FaGiory Firet}1�ce - __ , n' a - ,
38. Final'Plufhbing '•?' �� . - T - " � -. ' _ < -
r x. .c
� 39, Wate��Service-finAl " � � ' - . , ` .,
, ,r i x
. 40, Gas Service-Final , .;, - = . , s ' . �
A =. �
y41, Solar pom�stiy-FinaP � _ .. Y „ C.' - Y x
� - - ` -
42, B'ackf�ow-Preventer ,� . � -r - � � ;� C'
' � .:�, .
43, Backflow Irrigation � � �� j K � ' �'` " n '' .- �
J
,44, Landscape Irqgatiort!System _ S . v - G - : ' - r � _ =
� .� : c v 't '�
$5. Sound Attenuation> "'_. " . `� _E"',.,. � _" '�' ` • T'r ;
46. Handicap�Reyulatiorip ] r � - t; .:,c ��
m�
�. F-1P7Fti�LSTRISETUAE&BUILDING lj��Lj�� '--'��' ` _
T
48, F_IN,4L PLANNING , F �^� * .� ': � ' '"
li r �C
a9. Etectric R8lease to Edison ' # ' � � , � , ,, �
1
$�, �ss �elease to Southern CaliforMa-Gas Co * � �- • `� r� ' ' �
_� _
51, CER3iFICATE OF �CCUPANCY~ * + • � '"" � ' '
No. Date
PHOJECT ROOHESS: Z 4 2 O N IAGARA WY
OWNEfl'SNAME: HERZOG, DANA.S
aooeess: HERZOG KATHLEEN C
2420 NfAGARA WAY
COSTA MESA CA 92626
714 557-1Ob6
uxiT:
AflLMIENGINEEfl: HEG.NO.:
AODRESS'. UNIT:
PEPMITTEE: NOCK PLUMBING (714)895-1246
aooeess: STANTONEABOAAD CIR CA 90680
LICENSEO CONTHRCTOP DECIABATION: i here0y aifirm IAai I am IicenSeA untler provisions of C�aO�er 91�ommencinp with $ec�ion
7000) ol Drvision 3 0� �he Business and Pmlessions CaCe. and my license is in lull fo�ce anG eilec
ciTruc.:050386 STFTEUC.:SSS9%1 cuss: C-36
'-� z 9 `
+Jate: J.�4 L_ — y � SignaWre: _ _ _ . _ — —
WOBREPS' COMPENSATION OECLANATION: I hereby aifirm �hat I have a certilicale of consem �o sell�insure or a cenilicate oi Workers'
�omDensaiion' s r, copy t�ereot (Section 3800, �a0.
f 1'6799`29d 3 /01 /91
OLICY NO.: E%P. ORTE:
comraNr: STATE �}[
� CerlifieA copY i� �ereby lumishetl. L1 Ceriified capy is filea wit� Ihe city BuilOing �ivision.
Oate: � � ' � _ �� Applicanl: �ter.rM
E%EMPTIONFBOMWOpKEHS'COMPENSA➢ONOECUBATION: (i�i55ttlionnee0nolbecomple�eail��epermili5foronehunOre0�3100�arless�.
I cetlily Itul in ihe Oe�ormance of Ihe work lor whic� �hi57ermit is issue415ha11 noi employ any Oer50n in any manner so as �o bewme
suDlecl to IAe Worke�s' Compensation Laws ol Cabbmia.
oa�e: s�a�a���e:
NOTICE: If. al�ei making Ihis declara�ion, you shoultl become suble�� �o Ihe Workers' Compen5aiion D�ovisions ol ihe La�ar
Code. you musl �o�hwilA comDly with such pmvision5 or this permii Shall be tleemetl revoketl.
CONSTqUCTION LEN�ING AGENCV: I hereby alfirm ��at ihere is a constmction lending agency for ihe pedormance af Ihe woB for
vihith lhii permil i5 Ie5ue0 �Setiion 3097. Civ. q.
LENOEN:
FUDflE55:
OWNEfl BUILOEfl oELLAflpTION: I nereby affirm Ihal I am exempt Irom Ine Coniractors' State License Law for �ne following reason
(Sec�ion 703t.5 Business ana Pmfessianai Code: Any ci�y ol counry w�ic� repuires a Oe�mit ta consimct, alter, impmve, demolish, or
repair any s�mclure. Pdor �o ils issuance. also reQuires Ihe aDPlican� foi such permit [o file a signed slatemeni �ha� �e/s�e is licensed
pursuant io �ne DmviPans ol t�e Comranors' State License Lavi (Ctupter 9(commencing vnt� Seclbn 7000) af Oivision 3 0l the Business
and Pmlessions CatlE) or �hal �e/she is exempl therelwm and �he Uasis br �he allegetl ezemplion. Any viola�ion af 5¢Clion 7031.5 6y
any a001icani tor a permit SUGI¢cis Ihe applicant to a civil penalty o� n0� more than live huntlred Aollars (5500).
I, as owner ol Ihe propeny or my employees mth wages as iheir sole compensation, will do ihe work, ana �he
❑ stmmure is no� inrenAea or oltered lor sale (SecUon 7044, Business an0 Prolessional CaOe: The Conlracmrs' State License Law
aues nol apoly to an owner ol a propeny who Uuilds or impmves ihereon. and who does such work himselflhersell or Nrough
Ai5 Or her o�Yn emplOyE¢5. pmvi0e0 �ha� 5uth impmvemenis are noi in(ena¢d or oflered lOr sale. II, however ��e buildinq or
� improvement is solC wi�hin one year of com0lelion, �he owner will have ��e burtlen ot pmving he/she di0 no� �uild or impmve
fot Ihe putpose ol Sale�.
I, as owner of Ih¢ pm0¢ny. am extlUSively contracting wii� Iicense0 comractors m consimci the pwject (Section I044, Business
❑ antl Pmlessions Catle: T�e Coniracbrs' Slate License Law aoes nat apDN �a an ovmer ol propeny who bulltls or impraves ihereon
antl who con�racis for suc� projecis wil� a conlractoqs�license pursuanl �o the CanVac�ors' Siate License Law), I am aware
��� 9wa1 0l ��� WOrk¢r'S Compen5alian in5uta�ce shoula be pmvided W me_
� I am exempt un0er Section�. B. 8 P. C.
lor Inis reaso�:
Oate: Oanec
I do �ereUy cetlily th0� � am aware ol antl untlerslantl Ihe requirement5 0l Calilomia Healt� an0 Saleiy CaAe 5¢tii0n5 25505. 25533, antl
25534 an4lnai I or a0y �Wure building occupanl willlwill no� (circle one) need to comply wi�b saitl s�a�e cotles antl I�e reduiremen�s for a
permil br cons�mcli0n or moailicaiion �mm �he Air Oua6iy Managemeni Dislrici. flesidential cons�mciion applicalions are exem0� ��om
mese pmvisions.
Dale: ADPlicanl:
I hereUy certity Ihat I have reaa inis apv6cation antl sta�e tAal ine a�ove inlormalian is correc�. 1 agree lo comON �+'��n atl city and tounry
ordinances ana s�ateldwsrelalingto Duiltling cons�mclion ane hereby authorperepresenlatives oi��is iryto en�e�upon��e aUove�men�ioned
pmpeily brins0ectinn purposes.
� Daie: ���
anl: Pink—Revenua: Goltlenr0�—ASSessor
CITY OF COSTA MESA — BUILDING PERMIT ,
PERMIT NO: P 050120 PLAN CHECK NO: N . ,
CONSTRUCI'ION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOH DESCRIPTION ; REPLACE WATER HEATER SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
COMMENTS• REPLACE WATER HEATER —**MAIL IN PERMIT*
**�**��e*i��r****��r*******+�**�**�*****�e�r��r*�*******+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 BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARRING REQ• PROV: PARCEL: 41916574 ZNE: REF NO;
PLANNING NOTES>
i
iF if 1E 1flE fE iFiF if M k M if 1f IF ff 1E iF if �f �1f if 1E 1E N 1F iE 1F iE iflk M �f iF if if * 1f ff k if �tlE 1f iF iF iE M If �FiE if 1E itlf k iPlf 1F if iP iFlE k If iE it �Elf if M iF IElF 1E if k 3F k
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 ; DATE: /I
APPLICATION iSSUED BY: � DATE: �a v
�E 1f If 3k �k M 1f !f N iF 1E IE 1E M 1Elflf �F iF �f IF �f �FiF7f'fF'{F3Fk ih �F %1E iF if IE if�ik�7F'1F{FK iE
it161klfikKiEfFlEff1f1E1f1EiEaFlkiEiFiElF4lfNiFififltitlklEiE iflEiEkfFiFiFIf�t1ElEklFifIFMlEiflf�kklEififikkMiEiEiEiEifiE�IFiEiFifiEifi6iEifiFifif
LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
PERMIT aLDG PMT PLUMZIN��G ELECTRIC MECHANIC FIRE SMIP/RES GRADING
�St SMIP/NON—RES
PLAN
ISSUE FEE 3,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
'POTALS----> 2,00 3.00 0.00 5,00 5.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVEA/SHORT; 00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK
5,0�
if i4iF If �f IE iF If M ff if 1f if Ik �f M K if 1E 3E IFit If ff if if 3f if fE �E fE ik if iE if iE �E K K iE iE 1E If 1FiF1F if fE IE 1f iFi(� IP if 1E k iE k ik iFiElE IE iE M 1FlE IF iF iFiE 1F aF i(� iE If M if af
I N D I V I D U A L E E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 WATER HEATER AND�DENDEOF FEES 2.00 2,00
Ot RD075�3�—�a�7�:35 Y �eB' s,pG
DATE% 12/04/40 TIItE: i2:39
'<_, i
CONSTRUCTION AND PLANNING PO. � SPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole�,� 52. Pool & Equipment Location
2. Soil Pipe-UndrArnd.. �-� :r��". 53. Steel Reinforcement
^� r� " -
.� �,. �-,, :., '.'.
" �3.;�IeCtrical Con�ui�Ui�hty-Undrgrnd.'' � 54. Forms
�;4vEleM"rical Conduif�Undrgrnd. � 55. Electrical Bonding
-r r^
S 5. SSeQI`Reinforcemeni .y 56. Rough Plumbing & Pressure Test ti
��6�tE1ecteical UFEfl,-Gmd. •� 57. APPROVAL TO COVER�GUNITE w
�`7��otir�s ,`-,,'� � 58. Electrical Conduit-Undrgrnd. "
y� B.:,�qundation y � 59. Gas Pipe, O Undrgrnd., Test a
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
fj
10. Structurel Floor Svstem �.. 61. APPROVAI TO DECK
11. Property Sewer Lioe & H6mse Connection 62. Backwash & Receptor�Final
i
12. Se3ver Cap _ ;' � 63. Heater & Vent-Final
13. Roof Drains � 64. Piumbing System - Final
.. ..,
14. Rough Plumbing �� 65. Electrical-Final
15. Rough Electri.ral•Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
1�. Rough Wiring.Sign fi$. APPROVED FOR PLASTERING
18. Rough Eiectric�l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
_ ' _ ' _ _ ' _ _ � U' C.-.�:.'- a; • -
20-Ro'ugh.EactoiyEireplace �'cc*t ¢'� .r. O r'» ri'APPROV�S��='Per�hit# + >
C -t • �ir tRd # s �T•:r:) v"::�-•'- � �.�- �'
�: � - �' r, . J:. r-� :z: t - ; ' _ y. � ri
21,:'DuCts, in Str.ucture„ .... :_.�� ,� 7,�y. T 770. �UndergioDnd HYdro
22. Ducts, Atenfilating f � �:.5 �� S �e��� �" �'� 7�, produ�{P�ping O'�as �Oil
c r .f y ' .1 . r '1 ._y .. , it.
23�Gar Pip€:Rough Bi.,Test ; � Y r i.y Cr,. � �.+. ;`�a 7Z, Underground Fluq}i �` U
24"Rtl0'f Framing t*t.k i� ; �•�. �;> p = �•� �� :' 73� Undergrnd. Stoi, y.Tank�O Gas ❑ 0'il �
n � •�. :� i
25. R��pf Sheathin �- CJ ` i'� `•r ,�3,�a ' - D � , � '.
_� 9 � �., > ��,. :. ' 74� Overhead Hydro� �
26 T-�ar Ceiling (Structural) f%Monocoat .r ^ m �7 ��ir ?� 75.T Dry Chemical J Y� - �
27-'Fr me and Flashin� " 'D ' 76� Dr Stan' i e"� ' S T`'
r^ � ... ^t".�k � �. �r tL'�. Y �PP -w�� �i�
v � -�; .r . -. :� .. �. , e • �t � • .. .
_ 2�' Lathing& Siding�:y r.� -�¢`,i= o; :� f ••� �r 77' FIXED S`F9TEM:`��WJAL �
_ r. .,
`29. Insulaton '.'� �� � "" ? .� �" � %� �,'f 7&= FIRE PFEV. FINAL .� � ,x �
�30. DrywallNailing�-.a J �� c+. �+ •� v'kEALTNiDEPT.�REQWIREMENT
«.- � ,-
. Y
; 31. Plaster Brown Coat � ' ` f 79i `FIf3ALi�SPECT((JN '�� C
. i ..t K 1 iT`t� A' t%[' � 'i �.
�32-Electri�l Poqrer (NR�F3-Final �`� �e N r i�+.SQ�FOOD CE�RTIFtGATE I�SUED '�
s33:�Final Eftcv�� ` n ' � ,� ' i r ��Notes: _ �� � � ';
C
x. s. t � • r +. • � _ •y . � � •
y 34-� Final Heatiny &:AiC G�qaditiop�.riq �- -i; � �:: ,S i-:,: > 5 -
.'35�Final Gas Pipe-Te'kt. _ r� "'� � ^ . ' f1 ." .':� •. �r S'-'
n >;: :LG =�1-i ,-iT'
�;36''HoOd or Cano � ` ,-�� - � :� �� • . � � .. �-
PY' .�. C� I r. g_ :'lo
r�
-'37�: Firt`�I Factory Fireelgce�, ' S °' r'' �!' � � iu
. � �_
- . .. � � : ' �}�, 4 � .
' 38. Final Plum6ing � p; , � 7 {..e.1/ � i-. ,� m
; 39. Water Service-F(nal � � I � � . a� (� <<7 •� �.K
. s' r. ¢ I .-.� i:
�.40. GBsService-Final �' r C�.ii. � a-;r i�. "r� r_>�.; .���
�41. Solar pomesticFirial�: !: � �^ r. �� � + •1� � �
. , x �,7 �� �- 5
'42SBackflow Preventei `, '" " � � �' ,�' �; � � "
� � l•: U. � O r
i� . �. -. .. , .
43. Backflow Ircf9ation c`CS.S x �r� � ir:f- : n �,
m .a .
` .� ~ �S ^ V
�
44. Landscape lirigatipn Sysrem',.�,..s, ,� ;. ; i � � -7�` ;;_ , 1 „ =n n' o
^45,Sound AttePuation -�� i* � - - :-" r. -• r"- ��;'�, `
n n r. : r �t �- r �
'�46� Handic�a;p Regulati8ns - `, •`� ' �' �� ;� � '�"��_', ��S ;
�47�FINALSTPoUCTU.RE&Bl'JjLDING w'� I .�'i .. S � �
i
4&;FINALPIANNING ��n Y � ��" q '.` �"
` _ _ �z� . r ; � r,
- 49� Electric Release to.Edison � . �� " u; � . ;
- .1
� Y :J{i Y' ^ ..
�50__Gas�Release to So3them Californ;a Gas Co ;� ; , ; `, `� , ,-, ;, �� ,
: 51. CBRTIFICATEOF,OCCUPANCY � � +„ ,=, j,j`� y� ; �; ;�
No. Date
01YNER
DATE
tE ZONE
GROUP
SUBCONTRACTOft
� 22?�� FEE RECEIVED c - ✓
� COSTA MESA BUILDING-SAFEfY DEPARTMENT �WY 1 g �8
P.O. BO%9f] COSTA MEBA. CALIFORNIA �
For Applicant to Fill In Complefely APP�� fIoANCE D P
TYPE OR PRINT. ��J������`��SA .
For Offiee Use Only
BUILDINO � O I , ,
A�DRESS ��V R[Ce1R NO. �I _` I( .
COSTA MESA, CA IFORNIA ��
R[C[IV Y DA 6 6CHIV[D p�i61SSUEO
� �u��� 1 +954
OWNER O �
MAIL / „ � � BUILDI O
ADDRHSB
ADDR888
TEL. �/jI0 FIRH � `
CITY t NO / Q ZONB TYPE GROU �t"
ARCHITECT TEL,OR �^ APPROVHO
ORENGINEH NO. Q/ V BY DATB
�%//1 �_/�� Z NIN6 � �
ADDRESS Y�� ✓.LP7� '�"N "
N NO. Or 119H OP N
,^•^ PLAN9 OY�LDINO �
CONTRACTOR �v� � e W /�
/G [� i/ L80AL ! O pLO
ADDRE38 I I �O V SO y� O6YCRIRION
CITY I/ A.P.NO.
- �7 NOTH: NOEAVEOVERHAN68HALLBBLES9THAN
STATE �� '� NO. D� / � 90' TO SIDE @ REAR P, L.
LIQ NO.
EAVE8
OF LOT Q I HO. Oe e�oon. Q ALLOWED <U. B. C. REQIIIREMENT)
NOW ON LAT
YAROSAPPROVED YARO9APPROVE�
USEOF �^ �— ^ MAIN BUILDIN6 ACCESSORY BUILDIN6 �
E%ISTING BLDO. �\ V u ���
� <FROM C/ REETI
6ET9ACK LINE FNOM FRONT FT. FT.
CENiER OF 6TREET RHAR YARD O
SIDEYARDI LEFT '"I R16HT V R.BI�H .J FT. Pf.
DESCRIPTION OF WORK L. SIO6 Fr. Fr.
NEW ALTERATION ADDITION REAR : Ff. FT. +
� DEMOLISH D18TANGE BEf. BET. MAIN 8
REPAIR MOVIN6 y MAIN BLDGS. ACCESS.BLDOB. ;
BUILDIN6 NO.OF J � VAR.Oj DATE i
SIZE �O� ROOM9 STORIES C.U.P. APPROVED ' �
EXTERIOR W I ROOF APPRO fi '�"/' �
COVERING COVERIN6 BY OATE. V �
USEO ILD 6 DWORKTOB6PERFORMED V
p
:
ef
• . � N �
� SQ. �. �
t HEHEBY A<KNOWLEDOE THAT I HAVE RHAO TXIB APPLIC�iION TH8 �MOUNT 9HOWN OEH VALUwT10N 16 FOq THH F �
•Np 6TNTE THAT TH6 ABOVE 19 COqRfiCT AND AOREB TO COM- PUflPO3E OP 88T/�BL HINO w PERMIT PE! ONLY. p �
PLY WITH �LL CITY OpDINANCHe �ND BTAT[ LAWB H[QYLATINO ypLUATION . '
BUILo1rv000 CTION. �( ✓` ry
PERMIT FEE $ u�� �
SIGNATUREOF � m �
PERMITfE o^^ �//1 �.n
$�� J J� PLAN CHECK S`^ �� V` ¢
AUTHORIZED A / "�.//Jn �`
TOTAL PEE $ / '^ ' �