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HomeMy WebLinkAbout2022 PALOMA DR - Building Permits� A7Plicant to fill in all soaces within heavY CorOer lines antl si9n all aPDroPriate declarations. - .. CITV OF COSTA MESA PERMIT NO. ^ RACT NO. ' LOT NO.� '� BLOG. NO. ' ' ' -- - '- - ` � ' - ' " ' " , CONSTRUCTION PERMIT ,C�PE s8a �v . .� , ,.� ea3 , �,2� � ����. ,,. _. �� � � .46 TL - - .. Project Address , z Z �. ' ' TVPE OF CONSTRUCTION � � . . _ - . ,. • . � � �, �', . ' � OWnef,, � C � - ' � Phone 2� ❑ NEW B ADD O,ALTERATIOIV � � ' � � - " ' � ' "' ' -. ' - . � Addre55 2 ZZ l G `�, ' ' ' - - ❑ REPAI�R O CONVERSION ❑DEMOLISH � -' '� "'"zONING REGUCATIONS '� . . " ' - � AfCh/Eng. LicenSeNo. . ❑OTHER' �� -q,P.,� Z -Z Z— . (((yyy��� Addrest .. DESCRIPTION OF WORK L \ ]1 J ��'S ' L ... ZlCIfFL TVSrI . ♦� .� . f . , . .. . . ZONE , . .PLNG. REF.'� �� Contractor 5�� i� ' � PFone TYPE OFpERMIT 5erencK C L 57. To eUiLp irvG Address � ❑ FOUNDATION' O STRUCTURAL SEDE'VARD PROPERTV LINE ' SI �LV�ti1 U� .. . � . . .OGRADING � �LICENSED"CONTRACTOR DECIARATION O'TENANT LRELECTRICAL-�PLUMBING ❑MECHANICA 5IDE'VAft � � - - ` I hereby aftirm [hdt I am IlcenSetl under provi5ion5 Of Charter 9 (com= • • �.� � , , . . RIGHT . - � _ mencing with section 7000) ot Divislon 3' of tne Business antl ' �� �OTHER� � REAR VARD (TO P/L) 1� . Professions Gotle, antl my Ilcense is n full torce anC eHect. ROJECT DESCRIPTION.. ,� ... . , _. . . � ... �� e-- 3 ',�2�� . PKG.SPACEREq. PROVIDEDL- License Class 'Ce lo Dat¢ 'l2� (5� (�2 �' Si9nature ' -. .. � SQ. FS.; � n . . . _ " . _, ' . _ � ' WORKERS'COMPENSATIONDECLARATION- �(V�-iL� �= CCUPANCV_GONST��TIONTVPE, STREEYWIOTH �(� (z .•PARWFEE'$'� I hereby affirm that I have a tertifiCate of consent o Self-ins on �/� �,,f� Q-� � ZoN�NG APPROV ED BVp �"DATE' 'I� �certitifzte ot Workers' Compensation Ins ance,'or�a-certiti-cl copy VALUATIONJAJL�ZONE � ,1 SPECIAL CONDITIONS: there fc�,'� �yry-8_f1����mPanY E�� T N �R DING . V, 5. _ " ACRES _ . .... . . _.._. PoIicY�flrti x•r ! . _ . . ❑CertiiletlCOpyisherebyfurni5hetl. - - � - � REMARKS: -'��� '�'' ". � - . ..�:.. .._ ._ .. .. .._ __ . _. .. ._.,, � _ �Certifietl copy ii filetl with the city Builtling Divisian. ' � • EXEMPTION FROM WORKERS; COMPENSATION�DECLARATION ,. -. � �.�� ��` - - ' � ' ' "- "" ' ' ' ' - " - , .. � (This section neetl`nohbe completetl it the�pe�mit is tor on¢�huntlretl . . -_ . _. .,' ,� . .. ___. , .._ .. _ . . ' . . _ N, (E300) or less(. � � � � . .. . . ' `: t : . " ' _ ' . _ . -I cartlfy�Maf�n [lie pe�tormance of the wo�k fo�.w�ich.thi5 permit is . •- ' + r pLAN CHECK � �� ' � � ' ' ELECTRICAL � `-"� " -PCAN'CHECK.' � " � issuetl, I shall not employ�any person in any manner so as•to become� PLUMBING,'•:,. �, 'subject to�the Workers' ComDensation Laws of California( . .' _ _. . � ' " � . � _". -.. . ..... BATHTUBS SHOWERS � � �� ' " " � i Ddt¢ ' ' ' Si9nature � ' - � NOTICE: �R�atter'making this tleUaratlon, you shoultl become subject ' TOIlETS'- � _ �,�� URINALS - - " - "- " GENERATOR 0-1 KW_1-SO KW - � � � to th¢ Wo�ke�s' Compen5dtion prOvisions of the Labor Cotle, you mus[ � _ _ TRANSFORMER forihwith comply with such provisions or this permit shall be tleemetl LAVATORIES �OUBLE CAVS' � APPLIANCE '30-50 KW_50 + KW •revOketl. _ _._ .� _ _. ... _. . __ ._. .. _.. , " GONSTRUCTION LENDING AGENCV KIT. SINK$ � ��� DISHWASHER$'-' '' "MOTORS "' ' 03'HP'_130 HP'� "' ' hercby a�firm [hat there I5 a cons[ruction lentling agency for the per SERVICE SINKS' -, SUMPS ��� ' ' '-' � -UNC. SOLAR)_ �;0-SO�HP_ 50 + HP--'- �� - - ' -•_]Y . .. . . "�' formancepf the_work,_fur_�rvh!ch,tnis permi[ is izsuetl (Sec[ion 309] - • -� ' '� 'Civ. CJ. _' _.. _.._. _._ " " '. ..— _ . . . � C��,�� FLOORSINKS FLOORDRAINS� i � � � � � ��FIXTURES"-"'-'OUTlETS -'SWITCHES"','"-'7"' "'""' LenCeCs Name. , . . .._ '" ' : �. .� ' - _ �. �DRINKIIVG FOUNTAINS� .. � � � � � Lentler's Atltlress �" � " -' �' GAS'TVBE'SIGNS' "" �' ' ' �' -�--� "' - �- -- OWNERBUILDERDECLARATION �� � ' �� `� � - ""�-" �" "��' - ' - - ' ' ,1_hereby affirm tnat I am exempt from.the Contrac[or's License Law for �NTERCEPTORS CLARIFIERS � POLELIGHTS- " -- '-" " the followinq reason �Section 703L5 Business antl'PrOfesslons"Cotle:" SWIMfvIING'POOL'� '� PTRAP" -"" ' ""' ' � - - ,An .city„o� count which re uires a � � POLES METERED ,-5UB � y„ y. q perrnit to const�uct, al[er, imprave, tlemolish or repair any structure, prior-to its issuance,also re-' yyqTEi3 SERVICE � ALTERATION �� � '- �P�1fVEL5 '""'"'- MAIN ., " �SVB '-" quires the applican[ for such pevmlt to file a signetl s[atement that hE is licensetl pursuaBt to lhe proJisions of the GonVactor's'Cicense Law G7i5 SERVICE � � OUTLETS � � ��� � ` -SERVIC ' ' -" ""-' ' " "' ;AMP � • - � - (Chdpter_ 9(commencing with Sectlon ]000) of Division 3 of the Business antl Pro(essions Cotle) or that he is exempt therefrom antl the' ' yyATER HEATERS "`BT,U OIITPUT ' "" " basis for the allegetl exemption. Any violation of Section ]031.5 by - any applifznt for a�permit subjec[s the applicant to a civil penalty SEWER CONNECTIONS�� '-'- "�"'" - �� ' ' B of not_more [han five nuntlretl tlollars (E500). ' �' . . ... .. . ..... . ._... . . _ .� ' ' ❑ I, as owner of ihe property, or my employees with wages as their SOLAR TANK � � �� � COLLECTORS � � �� '" """ � '"" "' ' " "- �� "" " ' � ' """"' sole�compensation, will tlo the work, antl the structure.is not intentletl. � "ISSUE FEE - -" '-' ' "' 8� or off¢retl for sale. (Section ]044, Bu5ine55 antl Profezsions Cotle: The SOLAR PIPING SYS. � �Contractor'S-License Law tloes not apply to an owner of.a property . . -- - -. . . .. -- _ O -qppLICATION'APPROVED BY � ' DATE -- � who builtls or improves thereon,'antl who tloes sucM1 work himself or ISSUE FEE throu9h his own employees, provitletl�that such improvements.are na[ _ ._ , intentletl or otteretl for sale. If, howeveq the builtlin9 or improvement MECHANICAC PLAN CHECK SUMMAHY OF.FEES -� is-soltl wilhin�one year-of completion, the.owner.will have the burtlen gUILDING' '- 9�%,�/� " of p�oving he tlitl not builtl or imProve �or the pu�pose of sale). HEATINGSVSTEM 0-100,000BTU PERMIT $1�i�`"' .SMIP '.$ �� ❑ I;�as owner o( tM1e property, am exclusivCly conVacting wi[M1 qryD �UCTING � '' �-"- " li<ensetl contracron to consVuct the project (Section ]044, Business 300,000 + BTU PLAN CHECK 5� ,PERMIT�. {- � antl Pro(e55ion5 Cotlei The ContractOr'S License Law tloes not apply to � �� -� --� - � ---155UANCE ���E F , an owner of property.who builtls or improves the�eon, antl who con- REFRIGERATION 0-300,000 BTU . PLUMBING E� �- ��• .'. - ' tracts from-such projetts'wi[M1'a contra[to�(5) licesnetl pursuant to SVSTEM ' '- ` " �`'" ^""'-� "- � ' � •' "' � " ' " - - - -_ _ ADING. S'�'� the Contractor's License Law). ' 100,0�0 + BTU PLAN CHECK '•$' �� �' ' ,r'�R , �, � , ❑ 1 am exempt untle� Settlon � B. & P. C. to� this � ELECTRICAL � $ "�O - .� . - E '""'_' '.�_... ._ . " '"'_ ""."' '... .. BOIl.ERS BTV rlason ' ' � ' � PLAN CFiECK $ ' " ' � - . . _,,.__,`MICROFILM �g Date "-� - "Owner� -� �--� ---- .-.. ..,. SVSTEMREPAIR,ALTEFEATION ��� -TOTALFEEy . MECHANICAL $ ' . ` I hereby certifythat I have reaC this appli tion. tl stateShatthe above. EXHAVST SVSTEM MULTIPLE . r _ F 1 information is correcL I agree [o com y wit all city antl county ' PLAN CHECK- 5 VANCE PC g �� I ortlindnces antl state Idws relati g to const� ction, ntl her¢by authorize ,,' /_,: . . "- '. ,_-� 1�, .•� ' �¢pr¢5¢n[ativ [his city. ent¢vu n Ih ' above menHonetl � �property r tion. u s . . ... /� /. . ' , NAL FEE $ � ,'. I✓ .Si9nature � te . . ��' . . ..__.... . . _ . . .... . , FI � ' � . . " " ISSUEFEE _ .._..._.... - .-. _...._.... ... - .,..._ .._ ._- ... . _'.... _.. ! 7� . Orivers' License or 55 � /"vI `M`F 0865-46 Wni[e-Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor "��,Y'� �rJ� �-:� �� �1 CONSTRUCTION AND PLANNING �OL &�SPA';�' '-. _ . ' , . � , =4 � r -.. , � Date Inspector � ' �� `� - - Date ' �Inspector " APPROVALS Permit # � � APPROVALS �Permit.#- - ,� � ., : /, _ � 1. Temporary Electrical Service or Pole � 43. Pool �& Equipmem �Location - - •� - � � �`6 �' � 'Soil ipe-Uncjrgrn -, �-.�� ' -�: . , . _ 44. Steel Reinforcement - . . .._.. _ . . , ... . 3.- Electrical Conduit Utility-Undrgrn . .. : � . � �_ _:_ _ _ _ _: _ 45.. Forms . . ' ' � � -- - - --'- -- . .. . --. ` 4._ .Electrical Conduit-Undrgrn 46._ Electrical Bonding � . tee em orce � - - 47. Rough Plumbin & Pressure Test --' ' . 6. Electrical_UFER Grn ' 46. APPROVALTO COVER-GUNITE 7., Footings - . 49. Electrical Conduit-Undr rn � 8. Foundation. � ' " - � - 50. Ges Pipe, ❑ Undr m, Test •� • • � � 9. ..Water.Pipe.Undrgrn. - 51. Backwash Lines P-Tra' ���Undr rn '� ' 10. Structural Floor System 52. APPROVAL TO.DECK • '-' " - •- � �- � ' 1.1. . Property Sewer Line & House Connection_ -� 53.. . Backwash & Rece tor-Final � �• �• � � i- � 12. -Street Sewer Connection. ' ' " � � 54. 'Heater & Vent�Final . - ) � .. .. --.- - .. ._. . . : . . � ... . . 1.3_ .Rough Plumbing , . � . . . , . . . : ... ......, � :. . . . . � .. � . � : '.: �;... � . _ '. ..• �. . 14. Rough Electric-Conduit -• - - - �56. Electrical-Final � � � : 15. Rough Electric-Wiring - � � � � � ' � " - � - • � 57. Solar System-Final '' � � ' � ' " �' ' � '"' � ' � ' '16: Rough Heating & Air�Conditioning --� - - - - encing.& Access Approval . 17: � -Ducts in�Structure �- � ' ` � ' ' APPROVEO FOR PLASTERING � � - 18: - Ducts, Ventilating , _ _ � ' � � � ,�,,w - - 19. Gas Pipe=Rough & Test ' � � ' _ ' 6�• _POOL/SPA SYSTEMS FINAL. � . � � _• � 2'��.�; . ' , , '��.• , _ . � .. .....' . . . .. 20:- Roof'Frarrming. - _-- � .. .. , . � ,. .. ., . � • . _ �, 21. RoofSfieathin� ' -- •�. . _ . � � --- `- - -- �, _ . .. ,.� �..,�: .�_ �•> - - . . _ _ _ . _ . -: "NOTES: „ , ., .. : ---�22. •Frame and Flashin � - - -. .- - - ._ . _ . . �. - --- - --. . _ ... _. � _. a �. - , .. : . .; , ... . . . . . .. � .� . ,� _,,. . �,., , . y �,. ., � .. . -- 43: - Insulation . . . - - - � - - . �-. .. . �.. ._ � ' ' '. . ' - - --• �- --- -.. . .. . . _ 24. - �lathing &•Siding -- -.-� .. . . ., - � .'. , . . � . . _. ._ ..-------.": --�- - • - . - ' -� . _..J.. ._ . --- - -25: Drywall Nailing. ___... . ,. _ . , ..: . � .. ,- . . . . n., . , ., . . . . ,:� ,. . -� - - •� . -�... .. . . . , . .. � _.-•- - - - .� .. � . . ... _ ._. _ .. . Q6. �Plaster Brown Coat ' � � ' ' � � ' � � � � � � ' ' � � ' � - � - -` -- .. .. _ ._ . , 27. - Elec'trical Power Meter-Final . � � " � "' � � - � '� ' • � � "- ---28r Final Electric - -- � � • ' � '.� �,i ' ' ' � � 29:,-�-.Final Heating-&�Air Conditioning �� ' - ' ` � ' � � " ' � � ' � 30. � Final Gas-Fipe-Test. . _ � ' � ' - � - ' .' � - - .. -��- .._ . . _ . _ . . _ . ... . . . . . . . , �. . . . � .. , 31. Final Plumbing � ' ' - - • � ' � � " ' ' � - 32.^ Water Service-Final � ' - ' `' � . ' • .� . , . ' ' �, . , -�33: � Gas Service-Final. � � � � • � � ��34. Solar pomesticFinal " � � � ' ' � �: � ' � � � • ' � 35: ' landsca e S rinklin S stem•_'- - � '" ' �� - 36. Sound Attenuation � � � ' � � � � • � 37. Handicap_Regulations ` ' � � • - � � � � - - � 38. FINALSTRUCTURE&BUILDING • --- . ' ' " 39. Special Requirements Completed ' ' � ' � � - - �� - - - �• • ' � ' 40. Electric Release, to Edison � " ' � - . � � � � " � - - - � • • • • � �� 47. Gas Release to Southem California Gas Co. ' - • - � � ' -- ' ' 42. CERTIFICATEOFOCCUPANCY ._ _ _ � . . No �' Date ' _ ' . �. . „ .� . . . .. . � ., . . . . � . �� i �oonasaew�aac: 2022 PALOMA DR owxexswwiiviva�,te ROBERT COOK : �oonEss: 2022 PALOMA DR wv�. Muinc �oowess: ANCNRECT OR F1M�NFFA: ncx on u+c.�s �no�ss: uc. w.: UNT: UNf: ca�murarsw� RONALD AUNTER ( 719 ) 642-1878 CONfPACTORSYYIINC 11671 LUZON aooxess CYPRESS CA uc.xo.: 692829 90630 uxr: LICENSEO COMRACTONS DECLAF�TION� ��reEy eM4m under penelly d pe�jury Net I em 4enaed uMer poviaiona d Cheqx e (oommeianp v.il� Sec6on l000) d Diviabn 9� the Buaimes end Pm/eaeione COEe, eM my liwnaa b in lull taro and aHeq. cmuc.No.: uc.G�s: B uc.No.: 692629 EXP: elfirm uMer d tliel 1 em exam from ihe Comrwwe Liceme Lew la ihe OWNEN BUILDER DECLAfl4TI0N: I hereby Ge�Y VaWO' q idlowing roaean (�� )�1.5 Buarefa eN �ecvbns Code: MY c1Y a mun�y whiM ieyuiiae e pOtmil to construcY. ellx. imqava. demoloh, a repei airy at�udure. pbr lo ils Bs�erce. ebe requires iha e{plium lar such pa�mil b file e agmd ele�emanl tlut M a sM ia licenaed W��� �o �ha prarobns d Ihe Conlredoro License Lew �Chepter 9(comme��p vrilh Sadion )000� d Divubn 3 d Ib BusiMes end RWeaeiora COEe� or iMt ha a� eAe u ezempt Ihxehom enA tM bam la the elbped memp�an. My violetion d Sed'an ]W 1.5 by vry epd��� �or e pmmil wbjeee �he epplceni io e civil pmwMy d M more ihen iva hurdred ddlen �5500]). � I.esownerdlMpropenYamyempb/��hwapesas�Iwieolemmpe�im.willdalMxwk.vM�MeliuiAneelwlin�eiMed a Mered lor aeb (Seetian ]01d. Buvna%+end PMessions Coda: The Con�reclon lironse LewEoea iwt epplyto en ormer d peopeny who WiEa n inprova IMreon. eM v.tro dros such xoik Mmsell or Mna� a ihrouph he a har mm mmplv�ma. qmidaE Ihet wch 'mproveineNs era nd imended a dierBd (or seb, ll, howevar, ihe Wikiig a imprwemenl o sdd w�lhin ma yeer d oompbtion. ihe ' axiwr-builtler xill M1eve Ihe buNan d pro���p he w sha dk mt Wib w impwa la �M WT�e d seb). � 1. ea owrer d IM popeny. am e�tlusrveM �^Ired�q wilh IioenseE COnhectwe t0 conatNG Iha piqact (Setlian ]D16. &»inme eM Pmfamons Code: The COMrafac LiM� �ew Eoes na apply to en awner d peopeily w1ro builde a imprv.•m �Mraon eM who cmlrMi fa euW projetl+ wilh e mnlrador(e) I'icenaed punuem lo the Caniretlae Lioenae law�. � I em exemq uMer Seciion: B. b P.C.. lar Nb raeaon: Dale: Owner. i eo n�w �r mm i� a.�.a d�e �a�n��a me rea���m�m d cmro�,e H.�m �e sar�v cma sm�, zsws. zuaa. �,e z553a. and thet I w env M1nure buikin8 aau0^^� wi�l � wil na (mcb me) riead m wmdY win uid emte cods eM iha reVuiremend ror epxmAforcwuvuc�ionwmodifiratianhantM� a�enepemeniDmrct.RmiEenlielmM�udioneppfratbnvenexemqlromNece y,ovimm�s. Oele: AVW�: WORKER'S COMVENS�TION DECWIATON: I heraby elfiem unde� panelly d par"ryry aro d IM blbwinp Eatlarenns: ❑ I hew eM xil meinien e eerldicale d ewani lo sellimure M wakan' eanpenamion, u Wwided Iw by Seqion 3)00 d �ha labar Coda. I« tM pe�pmerce d iM xark I« wlich ihn pe�mn is iaeued. � I Iwe end wil meinten woMeA wmWmetion imurerca. ea reV�red W Safim 3�0 d Ne lebar Coda. b tM Darturmenm d �M work lor which thia permn ie ieeued. MY wpkere' compenulion inwraru.a urrier eM pdiry number va: c�a,: Pdby Number: �rn;, �,a.e,�we.�a�aeirnsro^^x�ro�o�n��e.eeewi�lsiao�wr.:.a � CBll�i' �h91 III Ih0 pl1�0ITBMB O/ 1�1! WOI�! �O! M�1C� Ih6 pGRllll O 1011ld. � B�19�� 11018111� Bfl�/ VSIHOII lll BfIY TBIIIIBf p tl �O becoma aubjea m ihe xwkne' cam�� �ewe d Celilanu, eM eproe Nm il I&wulJ Esome wbjea Io IM wwkma' compenambn prmvvm d Sedion 3)� � Ihe Lebar CoCe. I ehel onhxilh cwnpfy wnh thoea proviyia . /J�Z„-f��,— � om,. i_i � «iS nvoi��: i r>,_f � � 0 WamMy: F�Yun ro heuro woAsri romp�tlon rov�r�p� l� unl�wlul. entl Ns/l sWhef en 1rrploy�r ro ulMml psntlUu md clvll Hnu up ro ons h�mtlrotl fho�xnJ tlNNn (S10QOq0), M edf/fbn b fM rost o/ rompsiu�Wn de�apu �s povltlM br In Sxtlon J]06 0l Me Laboi Cotls. lnrom( ans attomsy'� lsu. CONSTIiUCT10N LENqNO AGENCY: I MrebY �� uMx penaMy d perlNrY IM1et �Mn u e canst�uaun bMirp percy br Ne �n��, a�na .�«w ro..nKn ine o�� n o�aa �smoo aas�. cx. c�. LEN�EN'S NAME: LENUEF'S ADDPE55: I ceNly �hel I hew reaE No epplcelion ud dne ihel ihe ebove inl«mation u cortetl. I eqree b comDN �h eA ary end counry adinenms e�M s�tmpeetllexa ieleliq io Wikvp e«uvWiM eM Mraby eWwrae represanteiivea W Ihie dlyto emer upan ihe abwe-meniianed peopxry R-.t�-[ui rPoua. � /^ P i�l dem !`� i��Q�I� Dme: _� �ipne�ure O,mer/Apen pPMant/Canlretla (5151�<fi.WP) Wh�e-Buikip d SMeN: Greer�Fb:Corory-Appirant: Pink-Revenue:(ioldenrad-Aeseenor CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: B 071627 PLAN CHECK NO: i� PERM NO: H 07162 GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ALT JOH DESCRIPTION : T\O 6 RESHEATH W 1/2" CDX APPLY COMPO SQ FT: 5,50� CLAIM VALUE: 5,500.00 CALC—VALUE: 5,500.00 GROUP OCC; A-3 / COMMENTS: INSTALL 25YR DIMENSON COMPO ROOF x�*�r�***r***�-**�*�c*******+�***************x�*******�■*********�c�r�v*****�r***��**rrt�t* 2 O N I N G R E Q U I R E M E N T S S£ T S A C K S ------------ MAIA1 BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGIiT: FT IN PARKING REQ• PROV; PARCEL: 42625204 ZNE; REF NO: PLANNING NOTES�> 1. � iE jf if 1E 1f if if if it i! it 1f if 1E,1E i4 �E 1F if if 1F 1E ik If 1E 1f iElE fE if iE 1f fF jf 1f if 1f �f iE if iR �f 1E ik iF ii iE iE * 1f iF iR if iP af If �E if iF !f ik 1E i! �E if iF M if ff jf if �E iE 1E M if if if if D E �' 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: HUILDING APPROVED BY : DATE: �r APPLICATION ISSUED jf if ff �f 1f iE iE1E % if iF i! 1f if 1f ifif if if LEGALIZATION;N BLDG PMT PERMIT 81,00 F E E S U M M A R Y PLUMBING ELECTRIC MECHANIC DATE; �. u��t*�-x�*r****�7�Y � �i � � ** STRUCTURAL SEGMENT:Y FIRE SMIP/RES GRADING .55 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 81.55 0,00 0.00 81.55 51,55 ,00 REVENUE DIVISIOD7 TOTALS--> COLLECTED: 81.55 OVER/SHORT; .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 81,00 ,55 !f ififklf 1f if 1f1f �f �f iflf if fF k if M�f lfifif 1f if Mif4iflf iF�f k if if if V iF1f1f 1! 1t�! iflf if�k iFiFiE M if M lfiflk kifikif 1f 1Eif iF1t 1F if if iFiF if ifiEif ik iEyF aE if if I N D I V I D U A L F E E B R E A K D O W N TYPE SFR QTY D E S C R I P T I O N 5500 REROOF BY VALUE AESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1.00 5,500,00 o: aa.���i�-Joi7az:.7 r�� r. s1.55 GAiE: D3127:?5 TTttE: Q9=:'�:i CONSTRUCTION AND PLANNING POOL & SPA . APPROVA�S Permit #' � Date I�spector APPROVALS Permit # Date fnspe�ctor t 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location � � y 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement ; 1 ' 3. Electrical Conduit-Utfiity-Undrgrnd. 54. Forms ��' 4' Electrical Co�duit•Undrgmd. 55. Electricai Bonding � • ,-i 5. Steel Reinforcement; � 56. Rough Plumbing & Pressure Test . � 6: Electrical UFE�'Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings � � 58. Electrica� Conduit-Undrgrnd. I � 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe�Undrgrnd. , • 60. Backwash Lines, P-Trap, '�"-', Undrgrnd. 10. Structural Floor System - 61. APPROVA� TO DECK j � 11. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final � 12. Sewer Cap � 63. Heater & Vent�P±nal - 13. Roof Drains _ 64. Plumbing Sys[em ,Final 14. Rough Plumbing „ 65. Electrical-Final , 75. Rough Elearical-Conduii r 66. So�ar System-Final � ' 76. Rough Electric Wirin9 67. Fencing�& Access Approval � ; I 77. Rough Wiring Sign 68. APPROVED FOR PLASTERWG � 78. Rough Electriwl-T Bar Ceiling � � 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUiREMENT _ 1` _, 20. �F,iough Fattory Ficeplace ' � ° �[ APPSOVA'lS; , Peimit # ' ` ; 21.-Ducts, in Strtrcture �• _ ' _ ' 70'Underground Hydro 22. Ducts, Ventilating;, - ' -. - 71. Product�P.ipin9�D_Gas ❑Oil 23. Gas Pipe-Rou9h & Test ' r.� � , 72. Underground Flu"slr 24.'Root-Framing' ' � � ' �, , � ; � _ ' � 73 Undergmtl. Stoiage Tank O Gas ❑ Oii 25. Roof.Sheathing '_ . �.�C-q� Cv � 74. Overhead Hydro . 26.'T�Bar Ceiling (Structwal) & Monocoat ' �. � ` � 75. Dry Chemical � ' '� � ` 27. F.rame and Flashing , . . :+ - 76 �Dry Standpipe � . - � � � 28. Lathing&Siding1" - _ ' -- ' - ' "� ` 77, FIXEDSYSTEM'FINA',L.,_i _ �' 29. Insulation � . - ` , -� . .. � -:� � . 78. PIflE PREV. FiNA� • .. -. L. 30. Drywall Nailing ' 1 � �i -! HEALTH DEPT. REQUIREMENT 31. Plaster Br"qwn Coat � .,� � � � (. 79� FINAL INSPECTI,ON .� ' .j � 32. Electrical Power Meter�Final '' t� � � .j� '' 80� FOOD CEflTIF_ICATE ISSUED , 33. Final Electric' • :� � . � �' ' Notes: - -. , .;i.�- � i 34. Final'Heating & Air Conditioning_' ' � I ,* . :� :�:i: :� 7 r� � r ,r. t (' , * � 35. •Final Gas Pipe?Test � , �� , � � �. _ � - :'�' � . 36. �Hood or Canopy - . , _ � f � �Y _ ' r.Z �i � �� -r . :� � � 37. Final Factory Fireplace - .� � � ' � � ., . �" I i' Z - 38. Finai Plumbiog � . � •1 r � I i" -. ., . � - --' � n] 39. 4Vatei SerOice�Final ; ` � ' .r. ' ' ; �' � - 40. Gas Service�Final � , �•�� _ • ��) I � `t : - � �^� t � � �, . . � 41. Solar poinestiaFinal �- � " ` ' � � j, . . ', � � . . 42. Backflow Preventer � ' ' � *3' � • . -� �� - 43. Backtlow Irrigation _ ': - . ; ' " � ; 44. Landscape Irripation System ' � . . ^ `' � ^! ^' ' �� - 5' 45. Sound Attenuation " 1' �-� `" " � � � ' � ' y .�.. p, n c• _. • . : 46. Handirap.Regulations - , . t � • �- �S '_� � _ � i i_ �j. . r-. 47. FINAL STRUCTURE & BUILDING _�_. � �� ' � ' 48. FINALPLANNING� : - . I ' ! r - � � . 49. Electric Release to Edison � • `� ' -' '. . 50. Gas Release to Southem California,GasCo .• � � ' �. r • 51. CERTIFICATEOFOCCUPANCY - _ - N0. Date OWNER JOB ADDRESS GENERAL COP AP. No. 1� INSPECTIONS . D_ L. & 3�'..PHAiiT. ^D. A. ✓ OCCUPANCY Form 210—SM-11-59 5-B P DATE DATE V ii-io-59 PERMIT NO. 10%9� �,�1 .�Oi SUBCONTRACTOR I PERMITSISSUED_ i� 10796 . -�_� S=EE RECEi�ED �' i�/�/.�s COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT V�� P.O. BOX 377 COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APP[/CANT TO F/[[ /N COMP[ETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING aooR'Ss 2022 Paloma ive r COSTA MESA. CALIFORNIA . FOR OFFICL USE ONCY I� RECEIPT NO. I /POERMIT NO. OWNER !jt R• D n' MAIL RELE VE BT DATE NECEIVED DATE I65UED nooaess 6 10 �?est Coast Hiwv Nn. Bea I/—� /' O- TEL.�i j_�e BUILDING GITY \1Pi.fn t R r �� N0.5 7 nooeess �D..2aZ � ARCHITEGT ��c. COSTA MESA, CALIFORNIA � OR ENGINEER qp NO. ADDRESS Ei310 W. CoaSt NiwV Ne�✓T�. Beach FIRE ��/ ( ZONE TYPE y GROUP CONTRACTOR n.3.T1 KBn�IATti L C NO.�f�.�� BI B",r'ROVE� � ATE�/ t, , � ADDRESS h n�.r (' , Nv R oh Z NING LEGAL I LOT I I?g�(, ZONE NO. OF ^ IUSE OF NEW ,�� DESCRIPTION NO. BLOCK TRA I PLANS -J 1 BUILOING ¢. �" � c� �I A.P.NO. (J � � � V S APPROVED _ � / � _ BY � 1 �'DATE OF LOT �O'J / 1 x I.S�i..1G I rvow Orv Loi6 O REQUSHED ALLOWED ' '' USE OF � (CENTER LINE BTJ ' � EXISTING BLDG. ��RE FRONT '�FT. IN. ` 9ETBACK LINE FROM O ' CENTER OF STFEET " SO ��0�� REAR VARD �� �� R. SIDE FT.- IN. SIDEYARD ILEFT K�— �� IRIGHT �— �� �,SIDE S�� �N., � DESCRIPTION OF WORK � REAR FT. IN. NEW I II ALTERATION I II ADDITION I REPAIR I IIMOVING I IIDEMOLISH I BUILDING 1 ROOMS STORIES � SIZE EXTERIOR WAL� ROOF p ' COVERING WOOCj�StiLlCCI(COVERINGIR03, shake � - • � USE OF BUILDING ANO WORK TO BE PERFORME� O� l\T 4IP� O .t •.. .•' I � I 1 HERE9Y ACKNOWLEDGE THAT I HAVE NEAO THIS APPLICATION AN� STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM� THE AMOIINT SNOWN UNDER VALUATION IS FOR THE PLY WITH ALL CITY DINANCES ANO STAT AWS GULNTING PURPOSE OF ESTABLISHING A PEFMIT"FEE ONLY. eui�oirvc coHsrRu r� ru. VALUATION SIGNATURE O PERMIT FEE E .�6 ^ PERMITTEE � �/ � /�/ a / A PLAN CHECK $ � � ^- AUTHORIZED AGENT ��:i�' TOTAL FEE $ S , �