HomeMy WebLinkAbout951 NEWHALL ST - Building Permits�1.
�1
Ci7Y oF cOST,a nbESA qO� STRUCTION PERMIT
Pfo�ect Address? Q� ��^Y��.U.d�L
, A lic t's Mail'
pp' 'dti r1�A� g �Ad�pr�eyss�-r,�,� �
O�'�r's N mec11C�4�__�ciV ✓��V�� Phone.�
Address �,�� �E�/�11.1. �[Ki.� /71E3�4 Gi/}- .
AddfQ55 ' - V/W/�✓ R7 IN4�I// /Y (%a'
� Contractor's Name___-y1� � Phone
Address (m� I'nnl
� Ciry License No. (l�GZr�7
� LICENSED CONTRACTOR DECLARATION
I hereby at/irm that I am licensetl untler provisions o/ Charter 9(mmmencing
with se<tion ]000� of Division 3 of the Bu51ne55 dntl Professions Cotl¢, antl
my Iicense is in (u o�c ntl eftect.
License Clazs ��� ense No. � /,n9b
Date�..%c��`�— Signature
W00.KER5' COMPENSATION DECLA ATIO
I hereby atfirm tM1at 1 have a certificate of conse o self-Insure or a certiticate
'brkers' Compensation Insurance, or a certifietl <opy thereof (Secti
, Lab. C.) /� 2 `. � c'
r.,��cy No. %�%pZ_�F� lS Company
Cerlifietl copy is hereby lumiSM1etl.
Certif' tl c�pyis_filetl with tne city B il ivi on.
Dat �'��_'9 APPlicant . .
(This section nee0 na[ be completetl if the p¢rmit iL fdr bnk huntlred (5100) or
SF.$). � V / �
Ilcertity that in tne performance of the work tor which this pe�m�t is i55ueQ I
SFall not employ any pe�son in any manner So as td�bcome SubjeGt to the
�W rkers' Compen5ation Laws of California.
te Signature
N TICE: If, after making this tleUaration, you shoultl beWme subject to the
Wo�keR' Compensalion O�ovi5ion5 of the Labor COtle, y0u mu5t torthwith
tomply with such provisions or tnis permit shall be tleemetl revoketl.
CONSTRUCTION LENDIN6 AGENCV '
I hereby affirm that there is a construction lentlinq agency for the pertormance
of the work tor whith this permit is issuetl (Section 3097 Civ. C.) '
Lenaer's Name
Lentler's Atltlress
OWNERBUILDER DECLARATION
I hereby affirm lhat I am exempt from the Contractor's License Law for the
tollowing reason (Section 7031.5 Business antl Professlonal Cotle: Any city or
county which requives a permit to const�utt, alt¢�, improve, tlemolislt o� �¢palr
�any slructu�e, p�io� to it5�is5uance, als0 Yequires the applitant fo� such pe/mi[
to file a si9netl 5tatemeM that he/she is licensetl pu�5uant to the p�ovisions o(
the Contractor's License Law (Chapter 9(commencinq with Section 7000) of
D��ision 3 0� the Business antl Professions Cotle) or that he/she is ezempt
from antl the basis tor the allegetl exemption. Any violation ot Section
5 by any applican[ for a pe�mit subjects the applicant to a Civil
ry of not more [han five huntlretl tlollars ($500).
V I, as owner of tM1e property or my employees with wages as their sole
com0ensation, will tlo the wo�k, antl the structu�e is no[ intentletl onof(ered
tor sale (Seetion 7046, 9usine55 antl Profe55ional Cotle: The Cont�acto�'S
License Law'�oes not apply to an owner ot a p�ope�ty who builtls or irtiproves
thereon, antl who tloe5 such wo�k himself/nerself or th�ough his or hEr Own
employees, provitletl that such improvement5 are not inten0etl or o�feretl tor
�. sale. If, boweveq the builtlin9 or Improvemen[ is soltl within one year ot com-
I pletion, tne �!'�ner will have the burtlen ot proving he/she tlia not build or im-
• p�ava torthe'purpose of sate).
❑ I, as owner ot the property, am exclusively conlractin9 witn licensetl con-
Vactors to construct the project ISection �Oa4, Business antl Professions Cotle:
The contractoYs License 12w does no[ apply to dn owner of p�operty who
builtls or improves thereon. antl who wntracts tor such oroiects with a con-
tractor�sl Lcense pursuam [o cne ConVactor's License Law). I am aware �that
proof o1 tM1ei� Warker's Compensation insu�ance shoultl be provitletl to me.`
❑ I am exempt untler Sec[ion B. & P. C. for this reason
Oate Owner �
I hereby certify that I have reaa this application antl state that the above
InPormation is correct. I agree to comply wrth all city ana county ortlinances
antl sta[e laws latii to builtlinq construction, antl hereby authorize repre-
5entatives of ci y nter upon the above-mentloned p per`y for
InSpectlon pur / ��/
Signature l
Drivers' Licen e or 55 � $�
0865-46, rev. 5/88 - Builtling; Canary - qpplicant; Pink - Ac<ounting; Goltlenrotl - Assessor
to till in all s0aces eaeept those within heavy GorEer lines antl sign all aDPropriate
'�MIT NO_ _ TRACT NO. LOT NO. UNIT NO.
aeelarotions.
TYPE OF CONSTRUCTION L]�VEW LJ ADD �J ALTERATION LJ REPAIR
❑ CpNVER510N ❑ DEMOLISH ❑ OTHER ��
DESCRIPTIqALOF WORK/USE OF BLDG.
TYPE OF PERMIT 'LI GRADING� LI F(�GNDATION LJ STRUCTVRAL
' ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Sa. F7, oCCVPANCv_
CON STRUCTION TVPE VALUATION $ �
20NE GRADINGCU.YDS. ACRES—
Remarki:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtubs
Clarifiers
rinking Fountains
loor Dreins
loor Sinks
as Service Outlets
Kitchen Sink
Lavamries
P-Trap
Roof Drains
Reinspectian Fee � $15
Boiler
Duct - Under Ground
Duct - Structurel
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIL �CBO #
Heating System & Ducting
❑0-100,000 BTU � 100,000 BTi
peinspec[ion Fee � $15
Showers
Service Sink �
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar T k
Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Lsundry Tra'ys
IsSue Fee
Hoodor Typel ❑ „
Canopy Type II ❑'.
Retrigeratlon System
❑aioo,aoosTu ❑ioo,000
System Fepair/Alteration
F ire Dampers
Registers
�
lesue Fee J
I` 9
� _� .
$ 3
�7
A.P. #
S Main Building:
E..
T Front
A Rear
C Right
g Left
Ping. Ref.-#�
Planning Notes:
�,
�i's4— 130
�
_ Zone
Q' cessory Building:
2
O
N
I
N
G
H
Parking Req./Provided - E
Q
' M
T
S.
, , ELECTRICAL
Automatic Was�er Transformer � 15-50 KW
Construction �ole Sub. ❑ 50 + KW
Cooking Uni� � Meter ❑up to 100 arpps •-
Dishwashkr Meter ❑over 100 amps
Dryers'�JGes ❑Electric
Fan
F.A.l1 r
��itl¢t5
?witche5
Garbage Disposal
Generator �65 KW
Fee
5-15 KW
$15
Suh Panel
Motors�0.7 HP Y,-8
InaSolar 09-15 HP �i6-15+
Microwave -
Pole Light
Range
Sign
Standing Sections
Trash Compacmr
Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
2oning Approved By
Building Approved By �� �
' -� SUMMARV OF�
BUILDING PERMIT $ q� • �
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $ �
PLAN CHECK 50% $ �
MECHANICAL $ S�
PLAN CHECK 25% $
FEES
�- v p
SMIP $ • q D
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADING $
MICROFILM $
TOTAL FEE $ �.�
G'? G�02�6+4-Q�Q244I7 �B'CtT
Qf?7E� C:/iil84 i% ;' -
�_,f'r
C�NSTRJJCTION AND PLANNING
"APPR�ALS Permit #
�� '
1. `emporary�Electrical Service or Pole�
�
2.�.Soil Pipe-Undrgrnd. �:
�
3:'.�lectrical Conduit Utility-Undrgr,nd.
4. ElectEica!'ConduiNUndr9rnd. `
5. Steel�Reinforcement �
.r
6::Electrical UFEF2 Grnd. ,
7' Pooting� ,
8. Foundation ,j '
9. Watei'P.i�e-Undrgmd. ���,~
10. Structural Floot System
11. Property Sewer Line & House Connecti
. �;
12. Sewer'Cap- � � . i
�
'3. Roof�Drains �
Rough' Plumbing
Rough Electrical-Conduit
i.�v Rough Electric Wiring
1�7:-.Rough Wiring Sign
1�8 � Rough Electrical-T Bar Ceifing
1�9.� Rough H'¢ating & Air Conditioning
20' Rough F�Ctory Fireplace '
. � ��
2�1!'Ducts,in•Structure
22. Ducts, V¢rtilating
�
23. Gas Pipe-tfjlough & Test ',_`.:� "�
24. Roof Fra,� ing
25. Roof Sheatfiing •
,�
26. T-Bar Qe�t�ng (Structural) &� Monocoat
27. Frame and Flashing /:. `- �
i+
28. LathingBiSiding "
��
29. Insulat'wn � �
30. DrywalhNailing " ✓
31. Plaster 8rown Coa�.-, -
32. Electrical Power Mete,"r=Final'-;
,, ..
33. Final Electric '
34. Final Heating & Air Conditioning
i
35. Final Gas Pipe-Test
36. Hood or GanoPYLn� /l / !J
! hr �
37. Final Factory Fireplace
38. FinalPlumbing � .--"- �
39. Water Service-Final �
, .._., _�
. �� ..,��,
_ . �, =.,� - POOL' 'vA
, Oate Inspector PP
41. SolarpomesV�-Final
42. Backflo , r'reventer
43. Bac ,tlow Irrigation -
�,�9a .Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulatio�s
47. FINALSTRUCTURE&BUILDING
� 48. Special Requirements Completed �
� ,
7� 49. Electric Ftelease to Edison
�� 50. Gas Rele�se to Southern California Gas
51. CERTIFICATE OF'OCCUPANCY •
" No. Date
-i�
�
-'�
�l
0
A ROVALS Per�,.,c #
52. Pool & Equipment Location
53. Steel Reinforcement �
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
� FIRE DEPT. REQUIREMENT •
APPROVALS Permit#
70. Underground Hydro
71 %Product Piping O Gas ,OOiI
-72. Underground Flush �
� 73. Undergrnd. Storage Tank � Gas ❑ Oil
74. Overhead Hydro
75. Dry Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINALINSPECTION I, �:
80. FOOD CERTIFICATE ISSUED�� �
r_ -
es: • . - ' � �• .
Date �Inspector
�=-
_�
City of Costa Mesa
MEASURE "G" EXEMPTION
Plan Check # 80088s
Permit #
Address: 951 Newhall Street
Exemption #
Case #
AppliCBnt: European Auto Restoration/K. Gallimore
FACTS:
❑ Residential � Commercial/Industrial ❑ Other
❑ Existing Lot ❑ Not Part of Larger Project
Unit:
PfOjeCt DeSCripti0n: Install interioc' apray 600th at• an existirig -a�to CesCorA@i.'ori�
business.
No. of Dwelling Units Gross Floor Area Square Feet
I�:#
Estimated Traffic Generation:
Avg. Trips/day
FINDINGS:
The above described project is exempt from compliance with Measure "G" for the following reasons:
❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross
floor area is equal to or less than 10,000 square feet or has an average daily trip generation
of less than 130 daiiy trips, has buiidable fioor area ratio of less than 0.5, on an existing lot,
and is not part of a larger project.
❑ 2. Project is a residential project of four dwellings or less on an existing lot.
❑ 3. Project is residential construction that does not increase the number of permanent housing
units on the parcel where the construction takes place, such as remodeling or rebuilding of
an existing house.
� 4. Project is commercial/industrial construction that does not increase the fooiprint or square
footage or change the use on the parcel where the construction takes place, such as remodul-
ing or rebuilding an existing structure. ,
❑ 5. Project is a public benefit facility, which is defined as public libraries, public administratioai
facilities, public parks, public utilities, and religious facilities.
❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitals,
police, fire and safety facilities, and schools. �
Exemption ratified by:
Q Planning Commission
❑ City Council
,��
�. - .. . ...
Date
��
�
c � Ga mcsa
City of Costa Mesa
MEASURE "G" EXEMPTION
Plan Check # 800-88s
Permit #
Address: 951 Newhall
Applic�nt: Jorgensen Furniture
Exemption # 89-130
Case #
FACTS:
❑ Residential ❑X Commercial/Industrial ❑ Other
❑ Existing Lot ❑ Not Part of Larger Project
ProjeCt Description: Interior alteration for paint sf
No. of Dwelling Units NA Gross Floor Area
Unit:
booth
'� �,.
R
NA
Square Feet � '
F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day
FINDINGS:
The above described project is exempt from compliance with Measure "G" for the following reasons:
❑ 1. Project is a commercial/industrial development which meets all of the following criteria: gross
�
floor area is equal to or less than 10,000 square feet or has an average daily trip generation
of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot,
and is not part of a larger project.
2. Project is a residential project of four dwellings or less on an existing lot.
3, Project is residential construction that does not increase the number of permanent housing
units on the parcel where the construction takes place, such as remodeling or rebuilding of
an existing house.
[� 4. Project is commercial/industriai construction that does not increase the footprint or square
footage or change the use on the parcel where the construction takes place, such as remodel-
ing or rebuilding an existing structure.
❑ 5. Project is a public benefit facility, which is deiined as pubiic libraries, public administration
facilities, public parks, public utilities, and religious facilities.
❑ 6. Project is a facility serving the health and safety of the people, which is defined as hospitals,
police, fire and safety facilities, and schools.
Exemption ratified by:
0 Planning Commission
❑ City Council
�. _. . ...
Date
1
CUsG� �lesa
Aoplicant to flll in all spaces except those within �eavY borGer lines an0 sign all approprlate tleclaratians.
CI7Y OF cOS7A MESA CO TRUCTION PERMIT
Project Ac�iess � �W G�
ApplicanYs Maili�ng'A`d^d're��ss.,.,�
Owner's Name/� �—dL����e7 u�� Pho,nfe /1 � �L
Address —�-I ��'l�/YttYt'�.. � i���ii`�Vi1�i5wJ-� l r
Arch/Eng. �y-0� �� Q�'r'�� License No.' L�'Gw �
Address �
Contractor's Nam Phone
Address Imailing)
Ciry License No. b
LICENSED CONTRACTOR DECLARATION -
I M1ereby atfi�m that I am licensetl untle� p�ovi5ion5 oYCharter 9(mmmenUn9
with sectiOn 7000) of Division 3 of [he Business antl Professions Cotle, antl
my license is in fu oyte ntl etfect.
License Clas � 10 ic nse N�
Date Si9nature
I`W�10.KER5' COMPENSATION DECLAR TION
=by aHi�m tM1at I have a certiticate o/ consent e Finsure or a certiticate
� orkers' Compensa[ion Insurance, or a cer <o y thereof ( ection
�J, Lab. CJ` 76?��
PoliGy No."��� Com an, �" '
,q Certifietl copy is hereby fumishetl. � / � //
p.4�ertif etl c py i5 iletl with Ihe cit ' i i r( _)�!'
Date Applican �� �'�'�
EXEM ION RO WORKEftS'COMPEN IOND LA0.ATI N
(Thissectian nee0 no[ be mmpletetl it the p it is tor one huntlretl (E100) or
less).
I certify that in tM1e Performance oi tM1¢ work fOr whiM this permR is issuetl, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws ot Calitornia.
Date Signature
NOTICE: It, af[er makin9 [his tleclaration, you shoultl become subject to the
Workers' Compensation provisions of the Labor Cotle, you must (orthwith
comply with suc� p�ovisions o� tnis pe�mit shall bE tl¢emetl revoke0.
CONSTRVCTION LENDING AGENCV ' �
I hereby aifirm that there is a construction lentlinq a9ency for the performance
ot the work for which tnis. permit is issuetl ($ection 3097 Giv. CJ
Lentler's Name
Lentler's Atltlress �
OWNER BUILDER DECLARA710N
I hereby affirm lhat I am exempt from Ine Cont�actor's License Law for the
following reason (Section 7031.5 BuSiness antl Professional Cotle: Any city or
tounty which requires a permit to construct, alter, improve, tlemolisn or r¢pair
any slructure, p�io� to its issuance, alio requires tM1e applicant fo� SUCh pe�mlt
to tile a signetl Statement [hat he/she is licensetl pursuant to th¢ p�ovisions ot
'he Contractor's License Law (Gnao�er 9(commencing with Section 7000) ot
rision 3 0/ the Busine55 antl Protes5iOn5 Cotle) ol that h¢/She is e%empt
refwm antl the basis !or the allegetl exemption. Any violation o( Section
.31.5 by any applicant for a permit subjects the applicant to a civil
�enalty ot not more [han five huntlretl tlollars ($500).
I, as owner of [he ptope�ly Or Ty employee5 with wages as their Sole
compen5ation, will do the wo�k, antl [he st�ucture i5 nOt intentled or_otf¢retl
tor Sal¢ (Settion 7044, BuSin¢55 antl Prof¢Ssional Cotle: The Contractor'S
� License Law tloes not apply to an owner of a property who builtls or improves
ihereon, antl who tloe5 Sucn work himself/herself or throuqh his o� h¢r own
employees, provitletl that such improvements are m[ Intendetl or offeretl for
sale. It, M1owevet, the builtling or improvement is soltl within on¢ year ot com-
pletion, the owne� will hdve tM1e burtlen of provin9 he/she tlitl not builtl or im-
prove tor the purpose of sale).
❑ I, as �owner of the property, am exclu5ively conttacting with lic¢nsed con-
t�actors to cons[�uc[ [he project (Section ]044, Business antl Pro�e55ion5 Cotle:
The ConVactoYs License law tloes not apply ta an owner ot property wno
builtls or improves thereon. antl who contracts for sucn oroiects with a r.on-
Vactor(s1 Lcense pursuani to �ne'Contractor•s License Law). I am aware that
proof o� their Wo�ker'S ComPensation insurance shoultl be provitletl to me.
❑ I am eaempt untler Section B. & P. C. for this reason
�ate
SBIIid�IVCS Of I IS 11
inspe<tion pur
Signature
Orivers' License or 55
owner
have reatl this application antl state thac the above
agree to comply with all city antl county ortlinances
o byilQing COns[ruction, antl he�eby autho�ize repre-
to�Rnt;r upon the above-mentionetl property,for
�- 3
�EOFCONSTRUCTI N NEW
❑ CONVERSION ❑ DEMOLISH C
DESCRIETION OF ICIORK/USE QF BLDG.
ALTERATION
TYPE OF PERMIT LJ GRADING LJ FOUNDATIbN L/STRUCTU
❑ TENANT ❑ ELE AL ❑ PLV/��g�yN�G ❑ MECHANICAL
❑�OTHER ��k� L�/�_��
PHOJECT DESCRIPTION 5�. PT. _ oCCUP�AIN Y
CONSTRUCTION TVPE VALUATION q��
ZONE GRADAJCi6U.VD5. ACRES_
Remarks:
$ink
Preventer
Irrigation
Dishwasher
Drinking FOuntains
Floor Drains
Floor Sinks
Gas Service Outlets
I nterceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains �
Reinspection Fee � $15
Duct - Under Ground
�t - Structural
Duct-Ventilating �
ExhaustSystem ❑ Multiple❑
Firepl/Fact. Blt iCBO # . �
Heating System & Duc�
❑ 4100,000 BTU � 100,000 BT
Reinspection Fee , � $15
0865-46, rev. 5/88 White - Builtling; Canary - Applicant; Pink - Acmunting; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar.Piping
�Sotar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Aufo-Wash
Issue Fee
Hood ar Typel ❑
Canopy Type y0
Refrlger i6n System
❑ O,OOOBTU ❑100,000
System Repair/Alteiation
Fire Dampers - �
Registers
Issue Fee
REPAIR
FEES
A.P. #
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notez:
Auromatic Washer
ConStruction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Elecvic
Fan
F.A.U. '
Fixtures
Device Boxes
Outlets
Switch¢5
Zane
Accessory Building:
Parking Req./Provided
EIECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW _
Meter ❑up to 1 mp
Meter ❑0 100amps
otors OO-1 HP 1'F, - 8
� Ina Solar �9-15 HP 016-15+
Microwave
Pole Light
isposal ' I I Standing
❑0-5 KW �5-75 KW Tra o
ReinspeMion Fee ' $15 Issue Fee
$ 3 DEVELOPMENTSERVICESREQUIREMENTS:
2oning Approved By
FEES Building Apv�oved By
APoliration Issued Bv
$ 3
SUMMARV OF
BUILDING PERMIT $ Zr' dU
PLAN CHECK $
PLUMBING - $
PLAN CHECK 25% $
ELECTqICA� $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
N
I
N
G
R
E
Q
M
T
S.
FEES
$ 3
SMIP $ � .� V
PERMIT
ISSUANCE $
ENERGY P.C. $
GRADING $
MICROFILM $
TOTALFEE $ � ' �
at aao�,�iz-ano2���a Tr�� ;;.�:o /
Ot�TLr U�.�77%v� i�.�E� !.����� �
v f
CONSTRUCTION AND PLANNING - POC SPA -
APPROVALS Permit # Date� Inspector pppROVALS Permit # Date �Inspector
1. � emporary Electrical Service or Pole � 52. Pool & Equipment Location �
;CSoil P.ipe-;Undrgrnd. � «� � '� 53. Steel Reinforcement � � ;�t
' 3? Electrical Conduit Utility-Undrgcnd. � � ' 54. Forms "
+ -
4��Electrical Conduit-Undrgrnd. '"� �, . 55. Electrical Bonding
5.,Steel Reinforcerrient, •� 56. Rough Plumbing & Pressure Test � ti'� '.�
•.. � ..
�Electrical UFER Grnd� ` - 57. APPROVAL TO COVER-GUNITE ;��
7.sFootings', r. , � � " . � 58. Electrical Conduit-Undrgmd. � '
S�Foundation ��. �' �. -, � 59. Gas Pipe, O Undrgrnd., Test �"
�.
jWater Pipe-Undrgmd. . - �� �� ;' 60. Backwash Lines, P-Trap, O Undrgrnd. �`
10. Structural Floor System � . 61. APPROVAL TO DECK
11. Property.Sewer Line & House Connection ' � 62. Backwash & Receptor-Final
12. Sewer-Cap' : �' 63. Heater & Vent-Final �
13. Ro9f �Dreins �' � 64. Plumbing System - Final �.
14. Rough Plumbing - 65. Electrical-Final �'
r,
15. Rough Electrical-Conduit � 66. Solar System-Final � �
i:
16. Rough Electric Wiring . 67. Fencing & Access Approval �
17: Rough Wiring Sign � 68. APPROVED FOR PLASTERING �
1�8. Rough Electrical-T Bar Ceiling ;, 69. POOL/SPA SYSTEMS FINAL
1�9. :Rough Fi�eating & Air Conditioning � FIRE DEPT. REQUIREMENT
20.• Rough F�c,tory Fireplace � APPROVALS Permit #
21. Ducts, in Struc+tii'E - 70. Underground Hydro �%
22. Ducts, Ventilating -"'' �; 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe:Rough & Test __ !•jt � 72. Underground Flush �
� : . ."I
24. Roof Framing -' �� � . 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25. Roof Sheathing' J ' 74. Overhead-F4ydfe� .. -
26. T-Bar Cei�ing (St��uctural) &.Monocoat ' ^ 75. Dry Chemical
27. Frame an�d�Flashing :�•� 76. Dry Standpipe . ,
28. Lathing & Siding � t, � .77. FIXED SYSTEM FINAL
29. Insulation a � 78. FIRE PREV. FINAL
30. Drywall'Nailing -�. HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat '� ' 79. FINAL INSPECTION
32. Electri�rai Power Meter�Finalr 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning ,
35. Final Gas Pipe-Test
36. Hood or Canopy i, .
37. Final Factory Fireplace ,
i�
38. Final Plumbing
39. Water Service-Final '
40. Gas Service-Final � ` '
�
41. Solar pomestic-Final / • .
�
42. Backflow Preventer , / � . t :'•_ �'
1 '
43. Backflow Irrigation - � � . j. � �
44. ,Landsrape Irrigation System ' � �� ,
45. Sound Attenuation � � "���
i .�
46. Handicap Regulations �' � �' l
47.�FINALSTRUCTURE&BUILDING �' - ��� ',
48. Special Requirements Completed
4� Electrie Release to Edison . ".. ,
50. Gas Release to Southern California Gas Co `
51. CERTIFICATE OF OCCUPANCY �. � ', I
No. Date • ` ,_ �,
/\
\
COSTA MESA BUIL�ING—SAFETY OEPAHTMENT �'iFC —5-7ti�� �,'�OO 3�9 G.:: : t�t�g, `
—„ t �' S
P.O. BOX IY00
Costa Mesa, California JOB#�F218
Address 2956 Band�
c�cY Coata Mest
State License No248604
City License No. fj
N0. ITEM
IFAU, Wall, or Grav.
Fum. �ncL Ductt and
Vents
Vent lif not incl. a6ove)
Suspended Heater
Alter or Fieplace
Appliance
ver 7 eet o
gas p�p�ng
COMPRESSOR
3 H.P. orless
Over 3 H.P. to
75 H.P.
Ven[ Fan—Single I
.. �� D
Venti�ating Hood
' r�
Miic)` :�`'
� Sub-7ota1
Permit Fee
TOTALFEES
ronrn ev tx
Tel. �
Class.
PERMIT N0.
TqA�T N0. qEC'0 BY '
LOT NO. :` ,,4 I„I
BUILOING USE ' DATE ISSUED
BUILDING
AD�RE55
ERCH I FEES COSTA MESrI, Cr1LIFOFNIq � _ - —
NEr1RE5T
CRO55 ST.
f' .
OWNER geaTt "
MAIL '=r
A�ORE55
`"Y New�ort BeaTL�h"� 4�_g565
e � 1 here6y acknowlcdge that I have read this application
and;sta[eithat [he above is corroct and agree ro comply
wi[h�ell"City Ordinanccs and State Laws regulating Heat-
� ing;�Ventilating, Refrigeration and AirConditioning.
% '7J 4
I cenity that 1 possess the above valid State of Calif-
�T'� � omia classitication or I am the I g I owner of the single
,.,� ,; �'��'" tamily residential pmperty des rib above.
1; ���� � Signature of �
Permi tm e
REMARKS:
� 11
OATE
DUCtS UI
�lICIS 1❑
�UC(5 VI
Refrigeration Cines
Pressure Test � �
AirvCond.-Final '
Ven[ilating Final
Heating Final -� � Z��
Retrigeration pinal
Finat Gas Test 2 �/
U[ility Co. Notified �
BLDG. PERMIT NO.