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HomeMy WebLinkAbout1774 ORIOLE DR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. >SB DATE k— 0^72 LOT NO. ADDRESS /'77.5e GM c'n—o cC .YL The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she th (was or wer ) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. / BY 7V �C e%-- Purchaser BY 8ttOCA Ca. at" " 2 Developer and/authorized representative BY L.4 `a�,Ae SS) ) Lender Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. r • - Irl COSTA MESA CONSTRUCTION PERMIT PE N �Q' TRACT NO. LOT NO. UNIT NO. ' TY OF 8 7 A.P.qW J I zone .address i77y n /<'In"LE 0,� - o•l_J CJ / v II,, - S Main Building: Accessor2ilding: Applicant's Mailingli� Addressn �S,p'� • TYPE OF CONSTRUCTION H NEW ❑ ADD u ALTERATION H REPAIR E Z Owrier's Name /(08517' / /. geAral Phone 979-0151 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front . - 0 Address (-77Y U//0/-f= og• 1 GG/T��e71 . DESCRIPTION OF WORK/USE OF BLDG. + A Rear • N Arch/Eng. License No. ' ! TYPE OF PERMIT . ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL C Right N ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL • .S Left R Address E Contractor's Name E - Phone ' ❑ OTHER Ping. Ref.# Parking Req./Provided O tPROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Address(mailing) - CONSTRUCTION TYPE VALUATION$ - Notes: M T City'License No. • - ZONE •' ' GRADING CU.YDS.. ACRES • S• . LICENSED CONTRACTOR DECLARATION . //`� J /^ - - I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks- • Ls -3 5 `/ 6./ • with section 7000) of Division 3 of the Business and Professions Code, and - a my license is in full force and effect. �� ELECTRICAL FEES License Class License No. - - Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATION Construction Pole Sub. ❑ 50+ KW ' ' hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit , Meter Our)to 100 amps . 3, Lab. C.) Backflow Preventer Service Sink ,icy No. Company - Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. /' Bathtubs 57l) 0(✓7 4, Sewer Connection t �1+ Dryers ❑Gas ❑Electric Sub Panel Date Applicant • elW Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors• , __ Motors ❑0.1 HP ❑1 h-8 (This section need not be completed if the permit is for one hundred ($100)or - - - F.A.U. Inc.Solar 09-15 HP 016-15+ less). .. Dishwasher Solar Piping - I certify that in the performance of the work for which this permit is issued'-I Fixtures shall not employ any person in any manner so as to become sub'ect to the Drinking Fountains Solar Tank t , Microwave Workers Compensation Laws of Califor — Date [G/9-re- Signature s Floor Drains Swimming Pool w/Spa _' s ' Pole Light NOTICE:If,alter m king this declaration, you sho bet6me subject \the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets g /0 Range SY comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AG ENCUGas Service Outlets Water Closet Switches 3 Sign a 1 hereby affirm that there is a construction lending agency for the performance ' of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater - Garbage Disposal Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service • Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION _ ' '• I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap • Laundry Trays - ,any structure, prior to its issuance, also requires the applicant for such permit t to file a signed statement that he/she is licensed pursuant to the provisions-ofRoof .Drains - - the Contractor's License Law(Chapter 9 (commencing with Section 7000)of iwsion 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee 17;, p $15 Issue Fee $'!E ef5om and the basiscfor the alleged tzsey pina Section . LS by any re aant for a permit subjects0the applicant to a civil l I, a of not r more than five prohundredperty . dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: ems as owner of the property - Reinspection Fee $15 Issue Fee $ 3 t.....„---G...., will do the work,and•the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's, MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own - . Application Issued By Dat employees, provided that such improvements are not intended or offered for Boiler - • Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • prove for the purpose of sale). . BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System CHECK PLAN tractors to construct the project (Section 7044,Business and Professions Code: • $ PERMIT The Contractor's License Law does nut apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU PLUMBING $ S. ob ISSUANCE $ builds or improves thereon, and who contracts for such oroiects with a con- - — tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ a4 7S— GRADING $ ❑ I am exempt under Section B. . P.C or this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ a _ PLAN CHECK 50% $ Date /04,-,1 Owner 4, - 'moi y Heating System& Ducting Registers MECHANICAL $ • TOTAL FEE $ g.ii. 7( I hereby certify that I have read this application and state that t e above ❑0-100,000 BTU 0100,000 BTL $ information is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% ' and state laws relating to building construction, and hereby authorize repre- sentatives of thi Cy to enter . . he above-mentioned property for Inspection pur.• -s./ Signature • - L�/✓/ aL_• Date (61_i9I-Af' Reinspection Fee $15 Issue Fee $ 3 01 00017511-00017512 TOT 29:75 Drivers' License or SS# • . DATE: 10/14/88 TIME: 16:30 0865-46,-rev. 5/68 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor • - . NSTRUCTION AND PLANNING P004'�;;,".i4PA PROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Localion 2. Soil Pipe-Undrgrnd. •I 53. Steel Reinforcement i ,• ' 3..Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4.,Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5.1 Steel,Reinforcement 56. Rough Plumbing & Pressure Test 6.: Electtical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ''-I --7.i Footings 58. Electrical Conduit-Undrgrnd. i . • 8.'Foundation .' 59. Gas Pipe, 0 Undrgrnd?,Test `, 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK•• ' - i ' di 11. Property Sewer Line & House Connection - 62. Backwash & Receptor{Final 1 • 12. Sewer Cap • I 63. Heater &Vent-Final 13. Roof Drains "' 64. Plumbing System - Final 14. Rough Plumbing • '2$1 Lei) - 65. Electrical-Final ) _ . , i 15. Rough Electrical-Conduit 1/'-. 66. Solar System-Final • 1Rough Electric Wiring �/ f...3.67 9 I , /)/2Z/ 67. Fencing & Access Approval - i1f7. Rough Wiring Sign ‘\ f 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL - 119. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -20. Rough Factory Fireplace I' ' I' . APPROVALS Permit# 121. Ducts,in Structure . t 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping,0 Gas 0 Oil 23. Gas Pipe-Rough & Test _I 72. Underground Flush • 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas.0 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final I 80. FOOD CERTIFICATE ISSUED , 33. Final Electric i0-12 $9 R Notes: - 34. Final Heating & Air Conditioning , 35. Final Gas Pipe-Test ) • 36. Hood or Canopy • j 37. Final Factory Fireplace I 38. Final Plumbing fof/l/fig c-i o C) (-. 39. Water Service-Final c 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer +- '' i)4 LI. 43. Backflow Irrigation ;7 44. Landscape Irrigation System -"'z 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Snecial Requirements Completed • iv 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - �;_ 51. CERTIFICATE OF OCCUPANCY ;" 0. w i.- No. t Date iv' ;• i, ij CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the pro- posed property improvement. &Yes ❑ No 2. I (have/have not) /-/M(/5 signed an application for a building permit for the proposed work. 3. I have contracted with the following person(firm)to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. 1 plan to provide portions of the work,but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted(hired)the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowledge, i compliances;this State law. Signed: • %/ /t Date: /D —/l P-f Name: goA e4 r•2 (Printed or Typed) C.D.L. # or S.S. # - 754-5273 104246 CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION • A city or county, which is required to give notice pursuant to Section 19830, shall attach to such - notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. (2 Yes 0 No 2. I (have/have not) /1211/r" signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my personal knowledge, in compliance with this State law. Signed: q Date: / - Name: ��/C F� (Printed or Typed) C.D.L. #or S.S. # / 754-5273 CMF 1042-46 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT ND, TRACT NO LO N UNIT NO. (fin j I - 71 CITY OF dress MESA CONSTRUCTION PERMIT 2A.P.# ✓ l U ' zgne 7� 1. Project Address i • _ �r CUPi4 Ai .0 • `� 0������ �- TYPE OF CONSTRUCTION - U NEW U ADD U ALTERATION S Main Building: Accessory Building: Applicant's;Maiill�ing Address S�jAA-iC p • U REPAIR ROQCAr� POitrrR Phone (W-din ❑ CONVERSION ❑ DEMOLISH ❑ OTHER I' TB Front 0 • Owner's Name • DESCRIPTIOfFWORK/USE BLDG. - Rear Address 177y •OR/.n ft .0,"? COTrAMFfA 92C2C � ,, A • - h rA C Right - N Arch/Eng. • License-No. TYPE OF PERMIT U GRADING ❑ FOUNDATION, ❑ STRUCTURAL , K' G Address • - - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑'MECHANICAL $ Left- , Contractor's Name Phone ❑ 'OTHER ��qPing. Ref.# - Parking Req,/Provided • R PROJECT DESCRIPTION SQ. FT. _ j) OCCUPANCY_1 i E Q Address(mailing) © � 1 Planning Notes: reuse. 'roof _app�1Y)C .5 YnCt/ M illS CONSTRUCTION TYPE V Al VALUATION$ .. J .. i�reA L �i r''�y, City License No. ZONE_- GRADING CU.YDS. ACRES es- Y)/_ �1 bYl 0 c,,xlcsl J 'G1l ems+ " $, LICENSED CONTRACTOR DECLARATION A / n t,y„-1.9„^ /J �( JO I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • C/ (/`^ 9'lJ P` V /C) C/ J with section 7000) of Division 3 of the Business and Professions Code,and my license'is in full force and effect. c? c-It Ld10 —�5 ELECTRICAL • ' i FEES ' License Class License No. •Date PLUMBING - FEES Automatic Washer, Transformer.0 15-50 KW - Signature - 0 50+KW WORKERS' COMPENSATION DECLARATION • Bar Sink Showers Construction Pole Sub. lereby affirm that I have a certificate.of consent to self-insure or a certificate _ - Workers' compensation Insurance, or a certified copy thereof (Section - Cooking Unit Meter Dup.to 100 amps ' 00, Lab. C.) - ' ' - • • - - - .. - • - . . - • . - . - Policy No. Company Dishwasher Meter Dover 100 ams Backflow Irrigation Sewer-Cap. - i .' _-+-_-- p - • 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electfic J Sub Panel Certified copy is filed with the city Building Division. • Bathtubs Sewer Connection,. , Date Applicant Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ;{ Motors❑0-1 HP 011/2-8 (This section need not be completed if the permit is for one hundred ($100)or - Inc.Solar 09-15 HP'❑16-15+ less). Dishwasher Solar Piping r-- F.A.U. I certify that in the performance of the work for which this permit is issued - Fixtures Microwave ' shall,not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank .. Workers' Compensation Laws of California. Date Signature - Floor Drains • Swimming Pool w/Spa-a• Device Boxes • Pole Light • ' NOTICE:If,after making this declaration, you should become subject to the • Workers' Compensation provisions of the Labor Code, you must forthwith - Floor Sinks, . Urinal -. - _. Outlets Range ' -_ .. , _ ._ comply with such provisions or this permit shall be deemed revoked. - Switches CONSTRUCTION LENDING AGENCY - - Gas Service 'Outlets Sign I hereby affirm that there is a construction lending agency for the performance - Water Closet - of the work for which this permit is issued (Section 3097 Clv. C.) •- Garbage Disposal Standing Sections' Lender's Name • Interceptors Water Heater Lender's Address ' Kitchen Sink - Water Service • • - Generator 00-5 KW 05-15 KW Trash Compactor r-` OWNER BUILDER DECLARATION - - - I hereby affirm'that I am exempt from the Contractor's License Law for the LavatoriesAuto-Wash . following reason (Section 7031.5 Business and Professional Code: Anycity or county which requires a permit to construct,alter,improve,demolish or repair P-Trap '- Laundry Trays • - any structure, prior to its issuance, also requires the applicant for such permit . to file a signed statement that.he/she is licensed pursuant to the provisions of Roof Drains - - the Contractor's License Law (Chapter 9 (commencing with Section 7000)of - - - - `:5 ivision 3 of the Business and Professions Code) or that he/she is exempt. • - - - • Reinspection Fee $15 Issue Fee $ 3 rr,arefrom and the basis for the alleged exemption. Any violation'of Section - • 131.5 by any applicant for' a permit subjects the applicant to a civil M1 • 'Anatty of not more than five hundred donars'($500). • - , ..DEVELOPMENT SERVICES REQUIREMENTS:77lI � (�Q(2 I,'as owner of the property or my employees with wages as their sole 'Reinspection Fee I $15 pp Issue Fee $ 3 - Zoning Aroved'By I�� r Date -0 `I•✓'Cl .compensation, will do the work, and the structure is not intended or.offered - - _ QQQ���REI - for sale (Section 7044, Business and Professional Code: The Contractor'sMECHANICAL FEES Z.. "Building Approved By • Date- License Law does not apply to an owner-of a property who builds or-improves - thereon, and who does such work himself/herself'or through his or her own -Application Issued By natal° `S employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- - - _ , Canopy Type II 0 SUM ARV OF FEES P�. pletion, the owner will.have the burden of proving he/she did not build or im- Duct-Under Ground - 1 ' , $ • Dj i prove for the purpose of sale). BUILDING PERMIT $ S• SMTP _ ❑ ,'as.owner of the property,am exclusively contracting with licensed con- Duct-Structural ' Refrigeration System . - v PLAN CHECK $ _ PERMIT t•'dors to construct the project (Section 7044,Business and Professions Code: - �{ he Contractors License Law does not apply to an owner of property who Duct-Ventilating __ ❑0-100,000 BTU_ ❑_100,000 BTU • f' 13 • PLUMBING $ _ ISSUANCE $ • Amos builds or improves thereon.and-who contracts for such oroiects with aeon- - ENERGY P.C. $ tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • I - PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ • GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers MICROFILM $ .>s - I PLAN CHECK 50% $ Date an.SI • Owner i �,se _ Heating System&Ducting' • Registers .{ MECHANICAL' $ .. TOTAL FEE (�.LK I hereby certify that I have read this application.and state th.t-the above 00-100,000 BTU 0100,000BTU. - . • - • - • - • $ �� / information is correct. l agree to comply with all city and county ordinances . ^ ' PLAN•CHECK 25% $ and state laws relating'to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for ' , inspection p •..co. Signature _ _AI//� a Date---4.5p a� • 'Drivers' License or SS 9f _ - . — Reinspection Fee $15 Issue Fee $ 3 01 00016972-00016974 Ts7-1104.45 086.5-46,rev. 5/88 white - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor GATE '10 1]I � TII?Ef-09:32 - ' '-- r 4 . CONSTRUCTION AND PLANNING POG SPA APPROVALS Permit Date Inspector APPROVALS Permit# Ff, Date Inspector r i • 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location i • 2. ILSoihPipe-Undrgrnd. 53. Steel Reinforcement 3.;Electrica;1 Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - ' 5.1 Steel Reinforcement. ' 56. Rough Plumbing & Pressure Test 62 Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE �-;; 7.;Footings "J 58. Electrical Conduit-Undrgrnd. : I .I 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water, Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. .• 10. Structural Floor System 61. APPROVAL TO DECK i, 11. Property Sewer Line.& House Connection 62. Backwash & Receptor-Final .1 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 i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING . A8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL fe- 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • .20: Rough Factory Fireplace ' i ' APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro - 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe:Rough &test i 72. Underground Flush 24. Roof Framing r ' " J/ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing •-1 t� t 01It � Oil- 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat // ��ll 75. Dry Chemical '27. Frame and Fla y -al • 76. Dry Standpipe •28. Lathing& ?VP • _[ �& B� 77. FIXED SYSTEM FINAL 29. Insulation i W8. FIRE PREV. FINAL 30. Drywall Nailing RO/� p14. ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .i, 79. FINAL INSPECTION 32. Electrical Power Metes-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: //'LII i"( , , ....€3.,4„...... 34. 34. Final Heating & Air Conditioning 101;4 DK rd LOP-6 p •' ., 35: Final Gas Pipe-Test - • ,v r, 0 ' ,ji! • - i 36. Hood or Canopy ' - n• 1e, r,9 :37. Final Factory Fireplace , 38. Final Plumbing - .39. Water Service-Final . •40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer, . f 43. Backflow Irrigations ' I • '' ` �-t '�` • f •-r 44. Landscape Irrigation System C �'1 45. Sound Attenuation '' r 46. Handicap Regulations - 47. FINAL STRUCTURE &IBUILDING jb //i �- 48. Special Requirements Completed if:/ „ -� 49. Electtic Release to Edison �\ '50. Gas Release to Southerri,California Gas Co --.I • 51. CERTIFICATE OF OCCUPANCY - I No. Date r "1 /- I , 'TY OF COSTA ME! CALIFORNIA 92628-1200 P.O.BOX Insulation Certificate 1779 OR/nLF D/'( C0I'Ti4 /lcEf4 Number and Street City County Subdivision Lot Number Description of Installation ROOF Material S Brand Name Thickness(mches) Thermal Resistance(R-Value) EXTERIOR WALL Material 1 /;E/(LAS/ Brand Name Thickness(inches) 3/4_ Thermal Resistance(R-Value) /7 CEILING Batt or Blanket Type Fi fiEtc CA f7' Brand Name Thickness(inches) ( t i Thermal Resistance(R-Value) 19 Loose Fill Type Brand Name Contractor's minimum installed weight/ftt lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor(Builder) License Number Signature and Title Date S b-Contracto (Insulation Installer) License Number Irric7T i� -t O — /U –//– 9 Signature and Title Date 33595 • SEP 1a-71?Tic OO 349*. ***?O1 cc COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 ,COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT '7'x" ,// For applicant to' in Completely /1-17 7 RECEIV�,D BY 'ATE RECEIVED GATE ISSUED BUILDING �I�/[1 /, n • �iU/ //�� �of// SEP 14 1971 ADDRESS / / ! t/+y/© Jc..l.ei-[q� IWI�(-4‘..0i OWNER /,1 A.P.GAil NO, PE 7 ]J MAIL (n\� • � /n� s BUILDING �7 / e �/l��J ADDRESS 6.�o , Otl W ADDRESS //(�� /�C��-C�E�Z�(% .�/ ID LIJ /' / aS- TRACT 6 !S�� • LOT y/- BLOCK .a U . . CITV j4.-0 6....t i/�Pw NOL(O off$' 73W / +7 F-Z "—(/� NEW ADD ALTER REPAIR MOVING DEMOLISH 4 CONSTRUCTION O 1-. LENDER 0- 03 -• Al � 7241:14-601 J ID n BRANCH /% (� J OWNER � aLB N.J ADDRESS fie ARCHITECT �q�J� e,_ / �fri �j� ALUE J Q OR ENGINEER 1',ry, le•Gt(r/iµ�-ELt tV NOL87p ss2 VSE/et4/ '/< S"� $ ..'/{!R�//��/p](� N 2 ! � � J GROUP i • V O Q . FIRE W ADDRESS S�5' yyy,L,,,-, ZONE TYPE tL W {d APPROVED J O CONTRACTOR e-'P� P +� By DATE CO Z J cc ADDRESS ./1 50 1 9- iA In ya yCr7_ WW 1— pp Z4 NO.OF.s / USE OF NEW.4 z I- CITY )1"4.."34..A.,/ �,� NOTEL../7'/{O-p a 5 3 `, — ' PLANS I.'''. BUILDING (--agg/1 i O STATE CITY YARDS APPROVED YARDS A`ISPROV D Li, iiII MAIN BUILDING ACCESSORY BUILD! D0 LIC. NO. Ip J.F�3 LIC. NO. vLO� �O - (FROM C/L STREET/ SIZE / �4 NO.OF BLDGS, COF LOTS, 7 . X/ D • I NOW ON LOT D FRONT JFT. FT. USE OF EXISTING BLDG. p qq / � R SIDE FT. FT. Z NEW BLDG. / �ar ROOMS 1f STORIES/. L:SIDE . J FT. • FT. Q EXTERIOR WALL �J/ ROOF ^ / ✓ COVERING S/.LCX-Co I COVERING REAR J.LL FT. FT. J USE OF BUILDING AND WORK TO BE ' RFORME DISTANCE BEY/. BET.MAIN& n' ) MAIN BLDGS. ACCESS. BLDGS. a /] < r/d�, / �� `7� VAR.# DATE O /l-Y/ll/ ��(!�L - ' / C.U.P.# APPROVED I— / APPROVED 1/ / ��/ C/) _BY l�/`� I{J DATE 9//3/7-/ Oan• I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with HOLD FOR SPECIAL REQUIREMENTS CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of co, the State of California. /�/ Jr • CO Z I hereby certify that I am properly licensed as a contractor under jfs/'/�" SO. FT ///�/���/ 0 the State of California Business and Professions Code, Division 3. THE AMOUNT SHOWN UN'j�ER VALUATION IS FOR Chapter 9, and that such licenses ar+ ' full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the provisions o the tate of Car or !a Business VALUATION a and Profession e, Divis' n 3, Cha.. er 9. PERMIT FEE $ / i2834. 8 + Nt D Signature of / m Permittee d $$'}/./r� PLAN CHECK $ (a - r E Authorizetlgent / / 2 ralITOTAL FEE $ CaO//'""'''''' LL