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Home My WebLink About269 OGLE ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 269 OGLE ST Suite No Vicinity: FAU IN CLOSET Parcel Number: 42522205 Applicant: YENULONIS, LAURA Address: 422 JENKS CI CORONA,CA Owner: MORRIS, PHILIP Addiess: 2690GLE ST COSTA MESq, CA MECHANICAL PERMIT Phone: 714-998-4300 Zip: 92880 Phone: 949-650-6417 Zip: 926273809 Contractor: ALLIED PLUMBING - HEATING - AIR CONDITIONING Address: 422 JENKS CI CORONA,CA Phone: 714-998-4300 Zip: 92880 License: 610780 SCOPE OF PERMIT REPLACE EXISTING FAU WITH NEW 45K BTU UNIT, ISSUE FEE Inst FAU <100 k BTU Insl FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <�00 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfin Air Handlers > 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEESUMMARY Status: ISSUED Applied: 02/25/2005 Issued: 02/25/2005 ISSUED BY: • , ♦ r, , ; � � ' ,I Repair / Alt Absorbtion Unil Repair / Alt Refrigeration Unit Ventillation System Evaporalive Cooler Commercia l I n cineretor Domeslic Incineralor Compressors / Absorption Systems Upto3hp/t00kBTU 3 To 15 hp / SOO k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $o.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 50.00 $0.00 TOTAL CALCULATED FEES $38.30 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-27•g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be consitlered legal, such work must comply with all applicable codes, and all required Inapeetlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448i8 (8�W) WOHKERS' COMPENSATION DECLARATION: � I hereDy eflirm untler penalry of perjury one oi the following tleUaretions: ❑ I have end will maintain a cenificate of consent to self-Insura for worke�s' compensetlon, as pmvided for by section 3700 of ihe Labor Code, lor the pertortnence of Ihe work tor which ihis permii is issued. � I �ave and wlll maintain workers' compensation insurence, es requiretl by section 3700 0l the lebor Code, for �he Derformance ot ihe work for which this pertnit is Issued. My wo�kers' compensation Insurence cerrier end policy numbar ere: .�/x2p� j1 Carrier:%\AJ("�C�� -�(`��k—�C2�r�. PolicyNumber.`ll�—.f"I-7(YIYi'�l�(�� (This secNon need not be compleretl il the permlf is velued et one hundred dollers ($ f 00) or less.) ❑ 1 cenity that in the pedormance of the woM for which this permit Is issued, I shell not employ eny person in any manner so as to bacome subjact to tha workera' wmpensatlon 1 s ot Callfomla, end agrae Ihat if I shoultl Decoma sub�ect to the workers' compansation provislons of Sectlon 3700 ot the Lebor Cotle, I shell f6rt�with complywiththes rovisions. (\ , — /��) � Applicant Signature: � + lR C]� �-117M a..UC_SaYl.t,n Date: �_�Cl -�� WARNING: FAILUFE TO SECURE WOPNERS' iION Q�VEMGE I5 UNLAWFUL AND SMALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND qVIL FlNES UP TOONE HUNORED TLK)USAND DOLLARE (5100,000). IN ADDRION TO THE COST OF COMPENSATION, DAMnGES AS PROVIOED FOR IN SECTION 3]OB OF THE LABOR WOE, IMEREST, AND AiTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm Ihat I am forca end eHect. Lic. # ConirectoYs Signawre: of Chapter 9(commencing with Section 7000) oi Division 3 of the Business antl Pr essions Coda, antl my license is in full CI855 M ' C �(n A,T Date: � � — C�ri CONSTRUCTION LENDING AGENCY: ❑ I hareby aflirm ihat Ihere is a construction lending egency for the pedormance of ihe work br which this permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lenders Address: Signeture: OWNER-BUILDER DECLARA710NS: Dete: I hereby eHirm ihat under penelty of perjury lhet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for tha following reasan (Sec. 7031.5, eusiness end Professions Cotle: Any city or county which requires e permit to construct, alter, improve, tlemolish, or repair eny structure, prior to its issuance, elso requires tha epplicant for such permit to tile e signed stetemant ihat he or she Is Ilcensed pursueM to the provisions ot Ihe Contrectors License Lew (Chapter 9(commencing with SecNon �000) ol Dlvlsion 3 ot the Business end Professions Code) or thet he or she Is exempt therefrom entl the besis for the elleged exemptlon. Any violetion oi Section 7031.5 by any epplicent tor e Oarmit sub�ecis the applicent to a civil penalty of not more then tive hundred dollars ($500).): ❑ I, es owner af the property, or my employees wl�h weges es their sole compensation, WILL DO THE WORK, antl �he structure is noI intentletl or oNaretl for sele (Sec. 7044, Business and Professions Cotle: The Contractors License Lew does not epply Io an owner of propehy who builds or improves thereon, and who tloes such work himself or herself or Ihrough his or her own employees, provided thet such improvemenls ere not intentled or oflered for sale. tl, however, ihe building or impmvement is soltl wit�in one year of completion, ihe owner-builder will hava tha burden of proving that he or she did not build or improve for purpose oi sale.). ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTINC WI7H LICENSED GONTRACTORS to construct the project (Sec. 7044, Business end Professions Code: The coniracmrs License Law does not epply to an ownar of property who bullds or impmves thereon, and who contracts tor such project wlih e contractor(s) license pursuant ta ihe Cantractars License Lews.). ❑ I em exempi untler sec. Sgnature�. Owner ID verified by dnvers licanse. ❑ Ves ❑ No Business and ProfOssions Code tor Ihis reason: Venilcation of Ownership by (type oi tlocumen6 I.e. - propany taa bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION: Driver'S License No. Date. Expires: ❑ I hereby certify �ha� no ezcavation five (5) or more teet in depth into which e person is requiretl to descend, will be made in wnnection wi�h work euthodzed by Ihis permit, entl t�at no building sWcture, scaMoltling, talsework, or demolition or dismantling Ihereof, will be more then thirty-six (36) faet higR (Chap. 32, Gry 2, An 2, Sec. 341, Ttle B, Califomia Atlministrative Code). � ❑ As owner-builder, I will not employ enyone to do work which would require a permit irom the Division of Industrial Selery, as notetl above, unless such pereon hes a pertnit to do such work irom the division. Signature: Oale: Divislon ol Indusidel Safery Permit Number. CERTIFlCA7E OF COMPLIANCE AND AUTHORVATION OF EN7RV: I cehity under penalry of perjury that I have read ihis epplication and state that Ihe informallon given is correct. I egree to comply with ell state laws entl ciry ordinances relating ro builtling conswction, antl aut�onze representatives of the Ciry ot Costa Mesa to emer upon the ebove-descnbed property for inspection purposes. I egree not to occupy or ellow occupancy of any building authorized by this permit un�il final inspection. FOOE N. INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Flnel Re-Root 207 Finel BIocWRetaining Wall 202 Finel Factory Fira Plate 203 Finel Sign 204 Final Demolition Q� INTRIALg ��a�- o_� Date COPE 11 INSPECTION TYPE 206 Final Mechanical 208 Final PlumDing 210 Final Eledricel 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupancy PflIE 1[�96$ W 4 (714) 754-5273 • F2X (714) 754-4856 • www.ci.costa-mesa.�LYJMBING PERMIT �� FAIR OHIVt, GO51 A MESA, GA 92626 Job Address: 26J OGLE ST Suite No C Viciniry: Parcel Nunmber: 42522205 Applicant BOWMAN, WILLIAM Address: 2750 SIGNAL PARKVJAY SIGNAL HILL, CA - Owner: MORRIS, PHILIP Address 2690GLEST � COSTA MESA, CA Contracror HAR-6ROINC Address: 2750 SIGNAL PARKWAY SIGNAL HILL, CA Phone: 562-528-8000 Zip: 90755-2207 Phone: 949-642 Zip: 92627-3809 Phone: 562-528-8000 Zip: 90755-2207 License: 258441 Status: ISSUED Applied: 12/23/2005 Issued: 12/23/2005 ISSUED 8Y: � SCOPE OF PERMIT PLUMBING PERMIT FOR FIRE REPAIR TO APT UNIT C. WORK TO INCLUDE: 1 KITCHEN SINK AND 1 GAS LINE. REF#: BOS-02377 ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor � Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-0 outlets) Gas (Over 4 outlets) , Gas Repipe Gas Service � . Interceptors (Grease, Oip Interceplors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $6.15 $0.00 $0.00 $0.00 $0.00 $0.00 � FEE SUMMARY AMT LaundryTub/Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 fi) $0.00 Recep�ors $0.00 SepticTank $0.00 Sewer Cap for Demo $0.00 Sewer Connect - $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar - $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $9.80 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONDITIONS SumpPump Swimming Pool -- Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bk(low(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Waler Piping (Inst or RepJ Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $39.45 arv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended onebandoned for a penod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the�cpiration of this permit. � FOR INSPECTIONS CALL: (714) 7545626 2aas-as (r�oo) WORKERS' COMPENSATION DECLARATION: I hereby eflirm under penalry of perjury one ot the following declarations: � I have and will maintain e certificate of consent to selbinsure for workers' compensation, as provided for by section 3700 of the Labor Code, for the pertormence ot the �work��or which �his pertni� is issuetl. ,urance, as required by section 3700 of tha Labor Cotle, tor Ihe peRortnanca oi Ihe work for which Viis pertni� is issuetl. policy number are: � � ��O � �'� Folicy�Number uetl et one hundretl tloilars 13100) or less.) Ify atin'ihe pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' �ens tion laws of al' a, and agree thet ii I should become subject to the workars' compensation provisions of Secti 3700 of the �ebor Code, I shall forthwith ilywith Ihese pr i � i�gnawre: r-1 I--oate:—e-- 1 2.3��} �AILURE TO SECURE WORKERS' COMPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBIECT M}EMPLOYER-TO CRIMINAL PEN TIES AND CIVIL FINES UP TOIXJE HUNDRED DOLL4RE (5100,000�, IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 31060F TME LABOR CO�E, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: Chapter 9(commencing wiih Section 7000) ot Division 3 ot.Ne.Businas�nd Protassions Cotle, and my licensa is in full CONSTRUC710N LENDING AGENCV: ❑ I hereby attirm that ihere is a construction lending agency for ihe pertormance of ihe work for which ihi5 permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Atltlress: SignaWre: Date: OWNER-BUILDER DECLARATIONS: 1 hereby affirm that under Denelry of perjury ihat I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires ihe applicant tor such pertnit �p file a signed statement thet he or she is licensed pursuant to the provisions oi the Contrectors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is e:empt therefrom antl the basis for the alleged exemption. Any violation oi Section 7031.5 by any appliwnt for a permit supjects the applicant to a civil penalry oi not more than tive huntlretl tlollars ($500).)�. ❑ I, es owner of the pmpeny, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and the stmcture is not imentled or ofleretl for sale (Sec. 7044, Business antl Professions Code: The Contractors License law does not apply to an owner of property who builds or improves Ihereon, and who does such work himseN or herself or Ihrough his or her own employees, provided Ihat such improvements ere not intendetl or oflered for sale. tl, however, the building or improvement is sold within one year of completion, ihe owner-builder will have ihe burden of proving that he or she tlid not builtl or improve tor purpose of sale.). ❑ I, as owner oi �ha property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construc� ihe projact (Sec. 7044, Business antl Protession5 Cotla: The contraaors License Law does not apply to an owner of propeny who builtls or Impmves ihereon, antl who coniracts tor such project with a contractor(s) license pursuant to Ihe Contracbrs License Laws.). ❑ I em ezempt under sec. Signature: OWner ID verified by tlriver's liCense. ❑ Ves ❑ No Business antl Professions Cotle for ihis reason: Vefification of Ownership by (type of tlocumenL i.e. - property tax bill or deed): Driver's License No. Da�e: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in depih inm which e person is required to tlescend, will be made in connection with work authonzad by this permit, and ihat no building structure, scaHolding, falsework, or demolition or dismantling thereof, will be more Ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tiite 8, Califomia Atlminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require a permit from the Division of Indusirial Safety, es noletl above, unless suc� person has a permi[ to tlo such work fmm ihe division. Signature: Date: Division of Intlusirial Safety Permi� Number. ICEFn1FICATE OP COMPLIANCE AND AUTHORWTON OF EMRY: I certify under penalry of perjury that I have read this application and state that the intortnation given is I wrreci. I agree to comply with ell state laws and city ordinences relating to huilding consiruc8on, and authorize represantatives of Ihe Ciry of Costa Mesa lo enter upon t�e ebove-described property for inspectionpuryoses. I egree not to occupy or allow occupancy of any building authodzed by Ihis permit until final inspection. �f„�, INSPECTIONTYPE � - Qd¢, INT 1fi16 Fixed System Final Fire Preveniion � 126Fi 200 207 202 203 204 Pooi Spa Final Final Re-Foof Final BIocWRetaining Wall Final Factory Fi�e Place Final Sign Final Demolition 4qDE� INSPECTIONTYPE 20fi Final Mechanical 208 Final Plumbing 210 Finai Electrical 212 Final Fire Prevention 220 Final Planning Approval . 222 Final Site , 250 Finel Builtling/Occupancy o"re �� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesaELECTRiCAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 � JobAddress: 2GJ OGLEST �" Status: ISSUED Suite No C Applied: 01I04I2006 Vicinity: UNITC Issued: 01I04/2006 Parcel Nunmber: 42522205 ,a Applicant WHITEFORD, GLENN Address: 7811 NIAGRA STREET BURBANK,CA Owner: MORRIS, PHILIP Address 269 OGLE ST .COSTA MESA, CA Contractor. DOTY ELECTRIC Address: 24612 GARLAND DR ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixls Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp � Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Inlermed Pole VALENCIA,CA Phone: 818-563-1764 Zip 91505 Phone: Zip: 92627-3809 Phone: 818-445-0886 Zip: 97355 License: 745302 .�. ISSUED BY: I SCOPE OF PERMIT ELECTRICAL PERMIT FOR FIRE DAMAGE REPAIR TO UNIT C. WORK TO INCLUDE: REPAIR AND REPLACE 8 LIGHTING FIXTS, 30 RECEPT OUTLETS, 12 SWITCHES AND 1 SERVICE PANEL TO 200A. REF#:BOS-02377 5 $23.50 $0.00 $0.00 $0.00 $0.00 50.00 $8.60 $29.30 $1320 so.00 $0.00 $30.50 30.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 Quantiry 0 0 0 8 30 12 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System I Lighting Busway /100 fl Standing Section Misc Electrical Equipment Transfortners up to 1 kva/kw ................up to 10 kva/Icw .................up to 50 kva/kw .................up to 100 kva/kw :.................over 100 kva/kw Low Vollage Equipment Low VOIt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 50.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $105.30 r�uuourc�cnvr�w� rr�un�r��uc �. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is su� nded or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under �his permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaas-as �r�oo� WORKERS'COMPENSAnON DECLARATION: — I heraby aHirm under penalry of perjury one of the tollowing declarations: . ❑ I have and will maintain a certificete of wnsent to self-Insure for workers' copipensatiA, es pwvided for by section 3700 ot the Labor Code, tor Ihe pedormance of Ihe _ �� r which thiS permit is issue0. pJ I,have and will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the peRormance of ihe work tor which this pertnit is issuetl. �My worlsers' qompensation Insurance carrier and oolicy numaEr are: P icyNu�VW��3'ZOb� or less.) ❑ 1 certify that In Ihe peAormance of the r whlch Ihis parmit Is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensetion laws of Calitornla, a ree that it I should become subject to the workers' compensation provisions oi Section 3700 oi ihe Labor Cotle, I shall forthwith comply with these p�ovisions. /�� /`p�ptpticfln{Si4neture' pa�;—� r r�"� �/{� WARNIN E TO FE WORKER$' CAMPENSATION WVERAGE IS UNLAWFUL AND SHAI.L SU&IECT AN EMP�RTO CF�MINAI. PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TMOUSAND 100,000), IN ADOITIqJ TO THE COST OF COMPENSATIpJ, DAMAGES AS PPOVIOED FOq IN SECTION 3]O60F THE LABOR CODE, INTEREST, qND AiTORNE`f5 FEES. LICENSED CONTRACYORS DECLARATION: I hereby aflirm tha�.l.am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 0l the Busin s antl P�ofessions Code, antl my license is in tull tor�} and eNec�t. L1c�N �% u�i �] � ass'p��, lJ Co�ctors Signatu�e: 1 /�— ��-. ;� �. �{ — a[� tii CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirm �ha� ihere is a consimction lending agency for the pertormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lendar's Adtlress: Signature: OWNER-BUILDER DEGLAFiA710NS: Date: I �ereby affirm ihet untler penalry of perjury Ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business end Protessions Cotle: Any ciry or county which requires a permit to consimct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires lhe applicant tor such permit to file a signetl stetement ihet he or she is licensetl pursuant to ihe provisions of the Contractors License Lew (Chapter 9(commencing with Section 7000) ot Division 3 ot the Business and Professions Code) or that he or she is a:empt iherefrom and the basis for ihe allegetl e:emption. Any violatioo ot Section 7037.5 by any applicant tor a permit sublects Ihe applicam to a civil penalry oi no� more than five hundred dollars ($500).): ❑ I, as owner of the properry, or my employees with wages es their sole compensation, WILL DO 7ME WORK, antl the strucNra is not intandatl or oNered for sa�e (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builtls or impmves thereon, and who does such work himself or herself o� through his or her own employaes, providad that such impmvemems are not intendetl or oflered for sale. tl, however, ihe building or improvement is sold within one ye�� of completion, Ne owner-builder will have ihe burden ot proving Ihat he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner ot the p�operty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, 8usiness antl Protessions Cotle: The contrec�ors License Ww tloes not apply to en owner of propetly who builds or Improves thereon, antl who coniracts for such project with a contrector(s) license pursuant b ihe Contractors License Laws.). ❑ I am e:empt untler sec. Business and Professions Code for this reason: SignaWre: Date: Owner ID verified by dnVer's license. ❑ Ves ❑ No Driver's License No. Verification of Ownership by (type of documen�, i.e. - propeny taz bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby cenify Iha� �o excavation five (5) or mora feet in tlepth into which a person is requiretl to tlescend, will be made in connection with work authorized by Ihis pertnit, antl ihat no builtlinq structure, scattoltling, falsework, or demolition or dismantling thereoi, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla e, California Administretive Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require e permit irom ihe Division of Industriel Sefety, as noted ebove, unless such person has e permit to tlo such work fmm ihe division. Signalure: Date: Division of Industnal Saidry Permi� Number: CERTIFICATE OF COMPLIANCE AND AU7}fORIZJ1T10N OF ENTRY: I certity under penalty of perjury that I have read this application and state that the information given is correct. I agrse to comply wi�h all state lews antl ciry orainances rela�ing to builtling constmction, and au�horize representaiives oi ihe Clry of Costa Mesa to enter upon ihe above-described property �or inspection puryoses. I agree not to occupy or ellow wcupancy ot eny buildinq authorizetl by this permit until finel insDection. COOE L INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Ra-Roaf 201 Finel BIocWRetaining Wall 202 203 204 Final Factory Fire Place Final Sign Final Demolition Q[�jf, INTRIALS � /X-8�6 Date�/ COpE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval , 222 Final Site 250 Final Building/Occupency � oA�T INTRIRLS QJ , f�(!# (714) 754-5273 • Fax (714) 754-4856 • www.cl.costa•mese.c�ILDING PERMIT 77 FAIR �FIVE, GOSTA MESA, GA 92626 ,lobAddress: 269 OGLEST Suite: Vicinity: UNIT C Primary Occ: MR Parcel Number: 42522205 ,4pplicant BOB MC KITTRICK Address: 2750 SIGNAL PARKWAY SIGNAL HILL, CA Owner MORRIS, PHILIP Address 269 OGLE ST COSTA�MESA, CA ContraGoc HAR-BROINC Address: 2750 SIGNAL PARI(WAY � SIGNAL HILL, CA Zip: 90755•2207 Arch : Address: Phone: Zip: License: Type of Constmction: V-N Zoning: Phone: 562-528-8000 2ip: 90755-2207 Phone: 2ip: 92627-3809 Phone: 562-528-8000 License: 258441 Eng: Address: Siatus: ISSUED Applied: 12/16/2005 Issued: 12/16/2005 � ISSUED BY: � Phone: License: SCOPE OF PERMIT DEMO PERMIT FOR FIRE DAMAGE REPAIR IN DOWN STAIRS LAUNDRY ROOM, DINING, KITCHEN, LIVING ROOM, UP STAIRS, SMOKE THROUGH POSSIBLE�FR4MING, DRY WALL, INSULATION, WINDOWS AND DOORS FOR APT B�DG. FEE SUMMARY Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAINSTRUCTURE Fronl 0-0 ACCESSORY Front 0-0 PARKING Existina: o PLANNING & ZONING Rear 0- 0 Lefl 0- 0 Rear 0- 0 Left 0- 0 � Reauired: 0 Pr000sed: 0 Calc Valuation: 5s,000.00 Claim Valuation: $e,000.00 Right 0. 0 Right 0- 0 NOTICE: The work authorized by this permit shall comply with ell applicable handicap access requirements under Califomia statutes and relatad regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall eutomatically expire and become void if work Is not commenced wllhin 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order lor lhe wark aulhorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetlone and final approval must be oblainetl. Failure to obtain Inspedions and final approval will result In the ezpiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545828 � WORKERS'COMPENSAnON DECLARATION: ' . ' � ' � I hereby ettirm undar penalry of perjury ane ot the following tleclaratlons �' . . ❑ I have and witl maintain a certificate ot consent to sell-Insure tor workers' compbnsetlon,� pmvltle0 for by section 3700 0l the Lebor Code, for ihe pertormance of the worJc.tor.which Ihis perml� is issuetl. �� , � ,. �., I;�ave�aotl wlll maintain woBero' compansetion Insurance, es raquire0 by section 3700 of Ihe lebor Cotle, for Ihe peAortnence oi Ihe work for which Ihis pertnit Is Issued. � bAy'workers' compensat/I�7n Insuran a rder entl policy number ere: �� /'� Canier:�� !] /Z ( . r/U �i P.'oliry NumCer. �_7 � � � � (Tfil��seG� nof be camplete �/ the permit 15 velued et one hundred dollers ($100) or IessJ . . ❑ I certify that In Ihe pertortnence ol ihe woA pr which this permit is issuetl, I shell not employ eny person in any menner so es to become suDject to Ihe workere' compensatlan laws oi Celifo ', ena agr e hat I shoultl come sub�ect ro the waMers' wmpensatlon pmvisions oi Section 3700 oi tha La6or Cotle, I shall forthwit� compty with Ihese p �'ons A,��, S��a: �' o'� e�/2 /G � o S" Y/ARWINp:'FAIWRETOS UREWORI RS'CO NSATIONCOVERAQEISUNLAWFULANDSHALLSUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFlNESUPTOONEHUNDRED TFi0U5AND DdlARE (5100.OD0), IN ADDRION TO TH COST OF OOMPENSATION, DNMGES AS PROVIOED WR IN SECiION 7lOB OF iHE LABOR CODE, IMEFEST, AND ATTORNE`f5 FEES. LICENSED CONTRAC70RS DECLARATON: I hereby aHirtn that I am licensetl under pmvi ion ih'ap1 e�r 9/(�y�^mencing with Sectlon 7000) of Division 3 0l Iha Busineuf� Professions Code, antl my license is in full fmCB'eRd"BftBc[: L'k: q.� Y 7/ Gless M.- /'1 �d"� `r � k'+�R�� / ^f"' ContractoCAs'Sjgnature: �,Date: P-:�?:��7 i i i - _ .../ CONSTRUCTION LENDING AGENCY: ❑ 1 hereby aHirm that Ihere is a construction lentling egenty tor Ihe pertormance ol ihe work for which this pertnii is issued. (Sec. 3097, Civil Code). LentleYs Name: Lentler's Address: Signawra: OWNER-BUILDER DECLARATIONS: Date: I here�y attirm thet under penalry of perjury thet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the followinq reasan (Sec. 7031.5, Business antl Professions Code: Any ciry or county whic� requires e pertnit to construct, elter, Improva, tlemolish, or repair any strucWre, D�or to its issuance, also requires ihe applicant tor such pertnit to tile a signed statement thet he or she is Iicensed pursuent to Ihe pmvisions of the CoNractors LJcense Law (Chapter 9(commendng with Section 7000) of Dlvision 3 ot ihe Business end Profeuions Code) ar that he or she is exempt therelrom entl the Eesis for Iha ellege� e:emption. Any violation of Section 7031.5 by flny epplicant for a pertnit subjacts the applicent to e civll penalry of not mare than live hundred dollars ($500).): ❑ I, as owner ol the proDerty, or my employees with wages as thair sole compensa�ion, WILL DO TI1E WORK, and Ihe structure is not Intended or aHered tor sele (Sec. 7044, 8usiness and Pmfessions Code: The Contractors License Lew does not appty �o an owner of propeM �'ho builds or improves Ihereon, antl who does such work himself or herself or thmugh his or her own emplayees, pmviLed thei such Impmvaments ara not Intendetl or oflered for sale. N, however, Ihe building or impmvement Is sold within one year of completion, the owner-builder will heva ihe burden ot proving that he or she did not build or imDrove for purpose of sale.). • ❑ I, es owner ol the propeny, em E%CLUSIVELV CONTRAC7ING WI7H LICENSED CON7RAC70RS to construct the prolect (SecJ044, Business antl Pmfeuions Code: The contwcmrs Licanse Lew does not appty Io en owner ol property wh0 bullds or Improves thereon, entl who contracts for Such project wit� a contraclor(s) licensa pursuant to tha Contractors Ucense Lews.). ❑ I em exempt under sec. Business and Prolessions Code for this reason: Signe�ure: Date: Owner ID venfietl by tlriver's license. ❑ Ves ❑ No Drivefs License No. Verification of Ownership by pype oi documem, i.e. - property tax 6111 or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: 6cpires: ❑ I hareby certih/ Ihat no excavetion five (5) o� more feet in tlept� into which a person is requiretl to tlescend, wlll be matle in connection with woM euthonzed by Ihis permit, and thet no building siructure, scalloltling, felsework, or demolition or tlismantling thereof, will be more then thiny-siz (36) feet high. (Chep. 32, Gry 2, Art 2, Sec. 347, Title 8, Gelifomle Adminisirative Cotle). . ❑ As ownerbuilder, I will not employ enyona to do work w�ich would require a permit trom t�e Division of Industnal Safery, as noted above, unless such pereon hes e pertnit ta do such work Irom �he tlivision. Signeture: Date: Divi5i0n ol lndu5�nel Sefety PBrtnii Number: CERTIFlCATE OF COMPLIANCE AND AUTMORIZATION OF ENTRV: I certity under penalry of perjury that I have reatl this application and state that the infortnation given is correct I agree to comply wlih ell state laws antl city ordinances relating to builtling wnslruction, antl euthonze representatives of the Clry of Coste Mesa �o enter upon ihe ebave-descnbed Droperty for inspection purposes. I egree not to occupy or ellow occupancy ot eny building authorized by this permit until final inspection. CODE L .INSPECTIONTYVE , � , , - Qdg, 1616 Fixed System Final Fire Preventlon 1266 Paol Spe Finel 200 Final Re-Root 201 203 2 4 Final Block/Retaining Well Final Fectory Fire Place Finel Sign Final Demolilion ��$ �Qp[( INSPEGTIONTYYE 206 Final Mechanical 208 . Final Plumbing 210 Final Electrical 212 � Finel Fire Pravention � 220 Final Planning Approval _ 222 Final Site • _ � • 250 � Final Building/Occupency �g � � . PBOJECT POONE55: awNee•s xame: BODROGIGLJOSEPH �r� aooness: 17 BRIT�I'ANY - NEWPORT BEACH,CA 92660 AXCHIENGINEEN: 7 6 O 6 8 4 4 AU�NE55: NEG.NO.: `` UNIT�� C UNIT: PEflMITTEE: EARLS PI.UMBING ( 714 )772-3470 aooxess: 1jJ5��3j�37 WM, LINCOLN Q IICENSED CONTNFCTdP�DEC �IAl1�ffl�IlhereDy a�tirm that I am Iicense0 unde oA �so9nsZfCAoapler 9(commencinA w�� Sec�ion 700111 of Oivision 3 of Ihe Business an0 Pmtessions Cotle. antl my license is in tull forte and effect. cirv uc.: 0Q Q-�'+�p STFTE LIC.: Z 1-� 6 S-� /��.,,c�uss:�r y7�� Dale: � � 1 � / Z Signature: ��l—(/_IL_��.�/_[-�V_�b WOPREBS' COMPENSpTION OFCUBFTION: I �ere�y aifirm ihat I have a certilicate ol ronsent ro selbinsure or a cenificate oi Workers' ComDensation Insurance. or a cenitied copY lhereol�Sec�ion 3800. Lah. C). roucrxo.: UCA-11686 E%P.URTE: O3�OLI93 comrnxr: UNICARE ❑ Certilietl copy is Aere6y fumishetl. � Cenitied capy 6 Ijl�dn �� ihe cit� ing0ivi ion. r: 7-14-5a qOplicanL �W�•� E%EMPTIONFflOMWOPNEBS'fAMPENSRTI0N0ELUBATION: (ihi55eclionneMno16eCompleleAi�Oepermiti5�arane�unOfe0�5100)orkss�. I cerlity Ihal in I�e perlormance ol �he work for whic� Ihis permit is issued. I shall not em0�oy any person in any manner so as �o become SubRci Io ihe Workers' Compensation Laws o� Calitomia. Date: Signature: NOTICE: II. afler maMing �his tleclara�ion. you s�oula become SUCIe�� o Ihe WOM1ers Compensation provisions oi Ihe Labor CoEe. you musl totl�witA comply wit� such Orovisions or Ihis permit SAalt Ue tleemetl revoked. CONSTflOCTION LENUING RGENCY: I hereEy a��irm Ihai lhere i5 a tOnslmtlion IenAinA agency br Ihe pedormante ol Ihe work lor whic� ��is permii is issue0 (Section 3W7. Civ. C�. LFNOEP: ADOflE55: OWNEH BWlDEB DECLABATION: I here6y affirm tlut I am e�empt imm the Contractors' Sta�e Lirense Law lor tAe lollovnng reason .�Seclion 7031.5 BuSiness antl Pmiessional Cotle: Fny ciry oi coun�y which reQuires a Oermit �o [ons�mc�, alfer, impmve, aemolish, ar repair any stmciure. prior to its issuance. also reQuires Ihe applican� lor suc� Dermit to �ile a signed Slatemeni tha� �e/she is licensetl Oursuam m the pmvisions of Ihe Contractors' State License Law (ChaO�er 9 gommencinp w�th Section 7000) of Divisian 3 a� the Business antl Prole55ion5 Cotl¢� or I�at he/5he is eaempt �Aereimm anA I�e hasis lor ��e allegeE exempiiort Any violalion o� S¢tlion 7031.5 �y any apD�icant �or a permi� subjec�s lhe aOV�iwn� to a Civil penalry of nol more Ihan �ive hunUrea doltars (5500�. I, as vwner of the D�openy or my employees with wages as t�eir sole campensation, vnll Oa �he work, and tAe ❑ stmcture is not intenAeA or offered for sale (Section 70na. BusineSS antl Pmlessional COae: The fAntrattors' SWte LicenSe Law Ooes not appry �o an owner oi a pmpeny wtq builtls ar impmves Ihereon, antl w�o tloes sucA work himsel�/heruli or ��mugA �is or �er ovm employees, pmvideA ihat suc� improvements are nol intentled ar ofleretl for sale. If, however t�e builtling or improvement is sola wit�in one year ol completion, ��e owner will have Ihe burtlen o� pwving he/she Ai0 no� Uui10 or improve lor Ihe purpose ol sale). I. as owner ol the D�operly. am exclusively contraming wil� licensetl comracmrs m cons�mc� lhe pwject (Section 7044, Business ❑ and Professims Code: The ConUactors' S�are Lkertre Law tices not appry lo an ovmer of DmpeM w� bmltls or impmves Ihereon antl who comratls for such Omlects wit� a coniracmqs) license Dursuani to t�e Cantracmrs' Stare License Law). I am awart Ihai pmol o� I�eir Worker's Compensa�ion insurance shoul0 6e Dmviaetl to me. � I am ezemp� untler Sectian: B. 8 P. C. lor �nis reason: Oate: Ownec I tlo hereby cetlify ttul I am aware ol an0 underslan� Ihe reQuiremenis o� Calibmia,Healt� anE Satery COAe Sec�ions 2550.5, 25533, anE 25534 ana tAa1 I or any fuiure buil�ing occupan� mlVvnil not (circle one) neea Io comON �� iC s�ate cotles anG Ue repuiremenis �or a permil lor conslmclion or moAiticaiion Irom ��e Air Ouahty Managemenl �istricl. flesidenlial cans�mc�ion applications are ¢Kempt tmm �hese pmvisions. Date: Applicam: I�ereEy ce�Lfyt�at I �ave readl�is apD�italion an0 statethat I�e aDmeinformdtion ¢ cortecL lagreeto campty with allciry anU munty oreinances an0 siatelavrs relatingla builtling conslmction an0 he y auihorizerepresenta�ives ol��is citylo enteruponthe above�mentione0 pmperty �or inspec�ion Durposes. �I,y, /,] //' _ � -Daie: 7_ �� Signature: V�"'� VVA�I.(.T.G{�w� Driver's license or Social Securiry a: � l6at�a6 W�ile—Bmlaino: Green—COEe Enlorcemam: Canary—Aool¢am: Pink—qeuenue: GOWenroE—Assessor CITY OF COSTA M�— HUILDING PERMIT PEF NO: P 057731 PERMIT NO: P 057731 PLAN CHECK NO; N GOVT; N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION ; INSTALLED WATER HEATER SQ FT; CLAIM VALUE; CALC—VALUE: GROUP OCC: / COMMENTS: SMOKE DET. RE� PRIOR TO FINAL **�***��**+��x****�***�* +�**�x��r�e�r**�r�r�rx+�x****�r*****�*�e��e*��r�r+��r�********x**�e**** Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDZNG --------- 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: 42522205 ZNE: REF NO: PLANNING NiSTES> i �r+e*�e�r�x �t��t*�t�t�t�t�t*�t�t�t�*�t�r�t*�t�t�r�r�r�r,r+t�e�r�t*�r,e�r�t*�r�r+t.�t�r�e�e�r+t***�e�t�t�r��r*�e*�r�r**�t**�r**�r*�r *�r 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; ********��*�t**+St**D�tB**��F �� t�+t+tD**�ir*�t't �.� — % MififiFkiFlfiFkklfif%iFif�liF�fikiFMif�fifiF3fif�fitiflfikiFiFifiFkifk iFMMlFMifk�fifkkklfM�kiFiflFiF�FiFMlffkMiFiFMiFiFiFif3fiFltiFiF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMBI00 ELECTRIC MECAANIC FIRE SMIP/RES GRADING 25Y SMIP/NON—RES PLAN ISSUE FEE 3.00 BIIILDSNG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 2.00 3.00 0,00 5.00 5.00 ,00 REVENUBLDGVPMT PLUMBING ELECTRIC�MECHANnIt FIRES�SMIP/TOT/SGRADING PLAN—CHECK 5.00 �f �f iF iF iF �f it k it iE iF i!!! 1E ikMlE iE iF 3F iF if it if iE �F M if af if Ik i! ik IF if IF It �f if �f k 3f 3f if iE if k if iF if iE if k M if ik M 1f iE iF �f IF if 3k i! if �f i! �f 3! �f it if if iE Ik if �E iE I N D I V I D U A L F E E H R E A IC D O W N TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST PLU 1 WATER HEATER AND/OR VENT 2,00 2.00 END OF FEES CONSTRUCTION AND PLANNING POOL & SPA . APpROVAIS Permit# Date Inspector �ppROVAIS Permit# Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location �- 2, $pil Pipe-Undrgrnd. .� �� 53. Steel Reinforcement 3: Electrical Conduit Ut'rlity-Undrgrnd, ', 54. Forms . .�4. Etettricel Conduit�Undrqrnd. �� 55. Electrical 8onding 'S. Steel Reinforcerner�t 56. Rough Plumbing & Pressure Test .6_ Electrical UFER�Gmd. - 57. APPROVAL TO COVER�GUN17E - -�7. FOotings ' 58. Electrical Conduit-Undrgrnd. � � 8,. FO,unda[ion '_ " 59. Gas Pipe, O Undrgrnd., Test 9P��V8ter Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd. - � 10.�Structural Floor System ; 61. APPROVAL TO DECK - 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor-Finat � Z. SeWe� CaP - � 63. Heater & Vent-Final . �. 13. ROof Droins� ' 64. Pfumbing SYstem � Final � 74. qough Plumbing 65. Electrical-Finai 15. Rough Electrical=Conduit -� 66. Solar SYstem�Final 16. ROu9h Electric Wiring 67. Fencing & Access Approval '. ROugh Wiring Sig" 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. ROu9h Heating & Afr Conditioning FIRE DEPT. REQUIREMEN7 - - i .. 20. ROugh F3ctory Fiteplace . � t � -'� • 'PCPPROVALS'•�'%,P.ermlt # � "S r - w • � �> SN'� > ' 21. ducts, inStructur�. � � . . _ - F c -;: �: �0. Uridergrouad }IYdro • 22. Ducts, Ventilating � ' a � .,'�� ?Y n� 7. product Pipir{g ��as ❑Oil 23. ,fi,as Pipe�Rough & Tesc n y ` � '` t•-72. Underground Plush;; < 24. Roof;Framing � - - � + � _ � � j3. �lndergrnfiStoragg �ank � Gas ❑ OII 25. ROof Sheathing ' �„; -' _ �':� T �4. Overhead Hydro - , 26.'Y-8ar Ceiling (Structuraq & M14onocoat • •.7 G •�i ` �o- 75.-Qry Chemical � ' � 3 27. Frame and Flashing ' { ' _ y �. � �. 76. Dry Sta�dpipe ' � ' � � 28. Lething & Siding,r. r.� �,i, � + a J- a 77. -FIXED SYSFEM•FidVAL • . 29. Insulation � - � � " � � �� ' 7$„FIRE PREV. FINA6 � � �. � 30. DrYwall Nailing � x� i � HEALTH DEPT. REQUIREMENT r 37. Plaster Brown.Coat ; ,r . ° I�-,�; '. Z9. `FtNAL �iVSPECTION ' = � '32. Electrica4 Power Meter-Final �� ' -.80. �,FOOD CERTIFICATE ISSUED � 33. Final Electric - � � : ` ,f � ��'I�ot�s: - � � : ` � . Finaf Heating�& Air Conditi0ning � •� , r , � . _ _ 35. Fina4 Gas Pipe-Test ' _ ' • " �' " _ _ � ' � , �. t 36. Hood or CanopY � . � � , n ^ . �'• � �. . T. Y �. ' . . 37. Final Factory Firepiace -> � - � � �' a % . � ;� i � . ' 38. Final Plumbing ,� r.� � , � � 'GF.%,,• � � + .c 39, Weter Service�Final -• ' � � : � . ` % > + 40. GasService�Final , � ,1.,, , ; . ', � � �4.7. So�ar pomesticFinaf . - • - ' i ' .r,= - Y t' " - 42. Backflow Preventer ` � � � . . � i_ _ 43. Backflow Irrigation • � �=�•�' * ' 1 ' � ' i . �:� 44. C,andscape Irrigatioq SYscem , . j' , �� ,j - �. ' �� V $ound Attenuation4 � � ' ` � - ' ' �� - " � �r 'n< 46. Handicap,Regulations - ' � �, -� ,-� ' . _ � . 47. FINAL STRUCTUR�E & BUILDING � � I j f� := �' ` 48. FINAL PLANNING� ' '` "� . ,. � '� � �� " � : 1�� n t. + .49. Electric Release to Edison , . t ' ,,� � i � � � � v'1- i ' �50. Gas Release to SoutFiern Califorqia Gas Co � � ��' �' '�' , - " � - � . . � �,n � 51. CERTIFICATE OF OCCUPANCY' . .; i= , �, a , " _ No. Date .: ��- � la COSTA MESA BUILDING DEPARTMENT P. o. eox 3 n COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN OUILDING IA�ORE55 _269 0��.6 Sti• A� B♦ C � COSTA MESA. CALIFORNIA OWN MAIL ADDf CITY Newport Beach� V81• TNO. NI ARCHITECT s$jOB LIC. OR ENGINEER NO. ADDRE55 $'�8 COI18t. CO, ciTv LEGPL LOT / DESCFIPTION NO. /{ BLOCK A.P. NO. SIZE �F �aT 50 , USE OF E%ISTING BLOG. SETBiCN LINE FROM CENTER OL $TREET NO, g�e BV TRACT z996 of' e�ocs.o N ON LOT ��2n REAR YARD ZS t0 DESCRIPTION OF WORK NEW g ALTERATION ADDITION REPAIR MOVING DEMOLISH SIZ�EDING �� ROOMS Zp STORIES 2. EXTERIOR WALL , RaOF �. _�. _. _ .'�-,f� it�'�tl�lE� - `�^" f�AY 21 �g5g FINANCE QEPT. C�T� Qf C��TA M�SA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIP? NO. ERMIT NO � �ENtO BV pnTE wECEiVEO OnTE ISSUF .C� C-7n.t'9 K'-�/_t COSTA MESA. CALIFORNIA � rvO.OF iVpE PLRNS 'G � I�I'JL!/ OATE �/ DATE Plan Q-A � ' I MEflEBV ACKNOWLE�GE TXiT 1 MAVE RE10 TMIS .�PPLICATION ANp ST.�TE TX�T TNE ABOVE IS CORRECT ANO �GREE TO COMPIY WITX tLL purpose of establishing a permit fee onty. CITY ORDINANCES /.ND ST/�TE LnWS flEGULnTING 9UILUING CONSTRIIC� norv. /� VALUATION L ,J/ PERMiT FEE S I{V�OO SIGNATURE OF �� PERMITTEE n a� 26,378�0� PLAN CHECK S G3�� AUTHORIZEO AGENT TOTAL FEE 8 69�00 v�M�