HomeMy WebLinkAbout328 MONTE VISTA AVE - Building Permits! � A i�
.OJECT p00PE55: �8
� OW.%EP'S NpMF: MC 'HU
AOOPESi�CRANST
328 MO
COSTA
646-81
AXCHIENGINEEX: '
�SDOflESS:
TE VISTA AV
, THOMAS �
ALHERT E
VISTA AVE
A,CA 92627
NEG.NO.:
IINIT:
UNIT:
PFflMITTEE: VALDEZ & SON CONSTRUCTION ( 71A ) 554-3907
nooncss: 1106 N, MARLES DRIC�E
SANTA ANA CA 92706
LICENSEO LONTflRLTOfl OECUflRTION: I �ereby a��irm IAai I am licensed under pmvisions ot CAapier 9(commerrcinp wii� Seciion
71100) ol Diyision J ol I�e Business an0 Pmiessions Coae. and my license is in �ull lorce antl eflect.
cm uc.: 0 3 314 3 suTe uc.: z g 0 411 ��'Sf' C 2
"Q�}�� I�20 , Ci 1 Si9nature� —///��Q.//���Q-O�._
WOBKEB$' COMPENSRTION OECLAflATION: I AeteCy aflir6rfnat I nave a ceaifiwte of consent m seii-insure or a cenilicate ot workers'
ComDensalion Insurance. ar a cenilietl copy Ihereol�5ection J800, lab. C�.
raucvxo.: 3823-92 EXP.DATE: OSIOLI93
comrnxr: STATE FUND
❑ Ceniliee copy is hereby tumisneA. � Cenifietl copy is liled with ine city BuilOing �ivision.
� ,�% �. 9 I APPlicanti' r.i e LF ��� L��i
El/�MPTION FBOM WOBI(EPS' COMPENSATION OECLi1PRTI0N: Qhis senion neetl not be complete0 ilihe permit is lar one hunAreO (5100) ar less�.
I Cenify Iha� in Ihe petlormance ol Ihe worklfor which Ihi4 permil is isSueA. I shall no� employ any person in any manne� so as �o become
su�iec� to ihe Woikers' Compensation Lawraf CalilormaJ
Oale: SiB�amre:1
NOTICE: I1. aller making IAis Oeclaration, you s�ould'hecome subject b the Workers' Campensation pmvisions of Ihe LaGor
Coae. you musl IotlAwith comOty wi��'such pmvisigns or Ihis Dermil shall be deemetl revoked.
CONSTNUCTIDN LENOING RGENCY: I hereUy allirm ��at �here is a constmc�ion IenOing agency �or Ihe pedarmance of ��e work for
wnicn �his oermi� is i=.suetl �Section 3097(�Ciu. CL i;''
IENOEfl: �
ADOPE55:
OWNEN BUILOEB OECLABpTION: I here6y allirm �hat I am eaempt imm Ihe Contractors' S�a�e License Law �or lhe followinp reason
(Sectian 70.31.5 Business antl Pro�essional CoOe: Any city o� coun�y which reQuires a Dermi� �o conslrucl, alter, impmve, Aemalis�, or
repair any SVutlure. pri0r la iI5 �ssuance, also repuire5 �h¢ applicani lar SUCh p¢rmi� �o file a SigneA Slaiement tha� he/she is IitenuG
pursuant io i�e Omvisiws af i�e Coniractors' State Licenu law (ChaO�er 9(commencing vnN Sectron 7000) of �iv¢ion 3 0l tAe Buvness
anG Pra�essians CoEe) Or I�a1 Ae/s�e is exemp� Iheretrom anG I�e GiGs for OIe allege0 eKemplion. Any violaGon al Sec�ion 7031.5 by
any applkant lor a permii su�lecis I�e appliWn� �o a civil penally o� not mare Ihan live hwCreE GOIIarS (5500�.
1, as owner ol t�e pmDeny ar my emyloyees with wapes as tAeir sole campensation, will do the work, antl t�e
❑ slmtlure is nai intenGeO or ollereJ lar ule (Section 704d, Business anA Pmteuianal Catle: T�e Coniracmrs' Staie License Law
Aoes nat apoN lo an owner o1 a v�openy wAo huilds or impmves thereon, and wtw does sucn woA himseltmersell or t�mup0
Ais or �er own empl0yees. D«eE Ru� suc� imOmvemenls ate not intenCeE or oflereA for 5ale. II, how¢ver t�e GuilEinA or
impmvement is sold wil�in one year ol completian, t�e owner will �ave ihe burEen o� D�oWnp ApJshe ditl noi 6uiIE or imOmve
lor ihe purpoSe ol 5ate).
I, as owner of the pio0erly, am er[lusively conVacting with licensed con�ractors �o constmcl ihe pmleci (Sec�ion 7604, Business
❑ aM Pmiesvons Code: The Contracl0r5' Slaie License Law Gces not apDM �o an owner of pmperry who Emlas or imD�avu thereon
anA w�o canVacR lor wc� prqecis wil� a comracmqs) license Oursuam IO Ihe Goniractors' Slaie License Law). I am aware
lhat prool o� �heii Worker'S Compensa�ion insurance s�oultl be provitletl to m¢.
� I am ecem0� un0ei Section: B. 8 P. C.
for Inis reason: //
oate�. �� Zd `Y� �L Ownec 7��/V�
I Qo hereby [etli�y Ihai I am aware o� ana unUers�and Ihe requirements al Ca omia Healih aM n0 Safety Cotle Sections 25505, 25533, antl
2553e and i�al I or any imure buil0ing acuDam willlwill not (ci¢le one� need �o camply vnih saia state coUes antl the reQuiremems for a
permil for con5lmciion or modiiicalion Iwm I�e Air �uali�y Manag¢menl OiSlnci. Fe5i0en�ial cons�mciion applica�ions arC exempt tmm
Ihese pmvisions.
oale: Applicanl:
I hereCy ceitily t�al I have rea0 Ihis aD0lication ana siate Ihal I�e a0ove intormatian is correcL I agree lo compty vnlA all ciry an0 couniy
orainancesandsla�elawsrelalingtoEuiltlingconslmclionantlhere�yaul�onzereD�ese tivesol�hiscirytoen�eruponlheaLove�memioned
pmperiy for in50eclmn purp/o�5C5.
n„� ./�—'Z-Q— 7 Z SignaWre:
Driver's ticense or 5ociai Secwiiy x: '" �
16G1-06 WM1ite—BoilOing; Green—Cotle Enlorcomenl; Canary—Applicant Pink—Revenue: Goltlenrotl—ASSessor
CITY OF COSTA MESA — BUILDING PERMIT
FERMZT NO: H 055897 PLAN CFiECK NO: 00189-92 S
CONSTRUCTION TYPE: V—N PERMI'C TYPE: STR
PERM NU; B 05589,
GOVT: N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : 31 L,F, OF CITY STD BLOCK WALL 6'HIGH SQ FT; 31
CLAIM VALUE: 930.00 CALC—VALUE: 620.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR RE UIRED IN THE HOME L,`'n1'Y'C
**�*�r*�**x*+�xx**x�*****�*�* **�***+����*****�e**�r*��*�*�****�����*�*i�.�*l�l�Rk�t*
Z O N I N GS ERTEB�AUCIKRSE M E N T S MA� BE REQUIRED
------------ MAIN BIIILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; 55 FT IN REAR; FT IN
LEFT; FT ZN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARRING REO� PROV; PARCEL; 43912109 ZNE: R2 REF NO;
PLANNING N(5T'ES> 31 LF OF 6' AIGH BLOCK WALL INSIDE THE RIGHT PROPERTY LINE.
i
*�**�r�*u�*+c*�**��*���****�*�r***�r*****+�*�*�**�*+�*�r**x***�****��****�r�r****+�**��t***
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 (l�� � DATE: �=La—�r'd—
BIIILDING APPROVED BY � I'�% Q DATE; :�—X`����
APPLICATION ISSUED BY: DATE; t•�2� —�y��-
iE iE iEif 1E ik if iF 3t iElE iE %if iFiF iF 3E iE iE 1f 1f 1E 1E fF 1E if iF iF if iE 3F�iFif !P
iF3EiEiFiEififiFibif3fikiFik�FjF�1EiE3f3F*ifif3fifiFifiEiEiE1FjE43fiFifaflfiEifik�fikikjflFiF IE1E3E�EiFiEiEifaFiEiF�E3EiFIfiFiE�F3E1EfF3EiFikifiFiElflEiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 19,00 ' ,SO
SMIP/NON—RES
PLAN 12.35
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID D00
TOTALS----> 19,50 0.00 12,35 31.85 31.85
REVENUE DIVISION TOTALS--> COLLECTED; 31.85 OVER/SHORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK
19.00 ,50 12.35
k iE if ih iE 1E iE if iE �f !F iF i! 1f iF i(� iE 3E aF ii iE iE fF 3f IF If� iF af iF �f fF If if �F aF iE �1E �fl4 if iE �14 iE iR If IF iE K IE If 3i� if ikiE 1E iE i(�iE if iEjE jf if iF if iF iE �If #F iF �F * iE �F iE iR �1F'�E iE
I N D I V I D D A L F E E B R E A R D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3� RES—CONCRETE BLOCK WAI.L / FT, 20,00 620,00
END�OF FEES
q� r�l" i' � _
n.��= , , _ .. �.. _
9
�CONSTRUCTION AND PLANNING � POOI & SPA �
�•APPROVALS Permit# bate Inspector AppROVALS Permit# Date Inspector
1. Temporary Eleetrical Service pr Pole � 52. Pool & Equipment Location
f Soil PipP�Und�gmd. �' 53. Steel Reinforcement
�9. Electrical Conduit Utility�Undr�qrnd. 54. Forms
4. Eiectrical Condui[�Uhdrgrnd. 55. Elecirical Bonding
5. Steel Reinforcemen't / ZL-� �cv(� 56. Rough Plumbing & P�essure Test
G'
6. Electrica� UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings [ 22-�(1 (pt,..� 58. Electrical Conduit-Undrgrnd.
S. Foundation � 59. Gas Pipe, 0 Undrgrnd., Tes[ '
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
70. Structural Ploor System „ 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. Sewer Cap - � 63. Heater & Vent-Final _�
73. Roof Drains 64. Plumbing System �. Final
74. flough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final .
16. Rough E�ectric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Neating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventitating 75. Product Pipin9 OGas ❑Oi1
23. Gas Pipe•Rough & Test ' 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing ' 74. Overhead Hydro
26. T�Bar Ceiling (Structuraq & Monocoat 75. OrY Ghemical
27. Frame and Flashin9 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � ' 78. FIRE PREV. FINAL
30. Drywall Nailing - ' HEALTH DEPT. flEQUIREMENT
31. Piaster Brown Coat �_ � 79. -FINAL INSPECTION
32. Electrical Power Meter-Final 1 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning -- /'
' 'tJ� _ 1`3, � L�- � ��y(�O (% � � �
35. Final Gas Pipe-Test ' �
36. Hood or Canopy
37. Final Factory Fireplace �
38. Final PlUmbing �
39. Water Service-Final � �
40. Gas Service-Final
41, Solar pomestic-Final =
42. Backtlow Preventer
43. Backflow Irrigation
44. LandscaPe Irripation System.
45. Sound Attenuation
46. Handicap Regulations �/
47. FINAISTRUCTURE&BUILDWG 1 �fl9L ��`.v
46; FINAL PLANNING '
49. Electric Release to Edison
50. Gas Release to Southem California Gas Co `�l /�y�� , l' ������ _���
51. CERTIFICATE OF OCCUPANCY -� /iLk9'T
No. Date
.0 oT /
�• ,
PARTY WALL AGREEMENT
NOTARYZAT���
REQ�IIR�D
7SIS Ac�tEH43iT, �de and entered into this �� �� day of
,��. bY and betveen ""�� �i'e�t°� �. �i��i(/S i Or�� _
referred to as 'I.MID Otd�R'. and r1�c�T y�f%X%l� L
herei.nafter referred to as 'AD�TAC@Tf PROPS2TY OWDffi2'.
It is hereby agreed that a party vall vill be oon,stn�cted on Ue
property line betveAn
33'L E N%�/Tt
�
of Oosta lSesa, Coimty of Orange, State of California. as per
map recorded in Book �� � Page �of Pliscellanea�s Maps, in the offiae
of the County Recorder of said Camty. Rtie party vall shall be �*+�; tted -to
enc:roarh ' (/ "
IN WITT4'SS WE�RBDF, the parties have entered into this Agreement the
day and year first above vritt�.
n . . �>•
C�r� �lc�"�P .
� � � Y:i e:•�.i+:�Y • ��I:r�
���-G�.� i%:i�.�.�:�-e
siy�ature
Tl0/3z2i f� ��t /rGL
rlame Zypea or Print�-
3�a A.(.�,J �r� 1J5�
��� �
�5��,� ✓�lrSA,
.
t'`
�+ t � AVP��cant ta fiil In all spaces eaceDt lhose within �eavy GorOer lines antl sign all a00/o0�iate tleclarations.
� CITY OF, COSTA MfJSA ` � ^, PER IT NO. TRACT NO. � LOT NO. BLD . . � � --
CONSTRUC,TION PERMIT JOB # 27-$9 ��Z��1 D � �
� 9290 4/25/B4 �,. �„
PrOjeCt Addre55 3�R rvhn Vl C A AV T� 1 ' TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R
Applicant'sMailingAddre55 i�+iQ(i TA PR2 Rfi_ �i2�/� T.a[fH�R� � CONVERSION ❑ DEM IqLSH_ _4 �H6.R T,a 1 ' q•p•�# Zone �
DESCR PT Q F WORK I<er001 LR
Owner's Name Teff Nnl-�nci Phone i(� �#n�� . .•- S Main Building: - Accessory euilding: � Z
Address �T+t2 Ulstrl AU2 Casta Mesa E o
TYPEOFPERMIT GRAoirvG ❑FOUNDATION ❑SrRUCTVRAL T Front - � � N
Afch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL B Reer �
Address � �O7HER �r�f ' A - _ N
PROJECT DESCRIPTION SQ. F7. Z4OO oCCUvarvcV SECI C�Right . � �
Coniractor'sName (�-$j1f' I�YIES�N'� IN�' Phone.�.%$-64Q( K ,
Addresslmailing) �S�n� T^- D^ Ay� $:ld T��m� Flc Q9( CONSTRVCTIONTYPE RMfin�.�__ VALUATION$ 3,6�0-�� S Left . . R
ZONE GRA�ING CV. VDS. ACRES - �
Ciry License No. !1?'�QG�� Ping. Ref. # Park.Fees $ u
LICENSED [ONTRACTOR DEGLARATION Remarks: � - . P3rking REq./Provid¢d ' �� �
1•�nereby affirm tnat i am iicansetl untler provlslons of Chartor 9(<ommencing , , , q
with section 7000) of Divlsion 3 ot tne Buslness antl ProfeSsionz Cotle, antl � . ' ' Use of Building: E
my Iicense is In full farce antl altect. '
License Class B �L'Fce o, 3�9SO3 - � ' pLUM81NG . - FEES P�annin9 No[es: - M
Date � d �� A �Rd � � ' E
�z �,��_ Signatu BarSink � Showers N
W00.KER5' COMPENSATION DE LARAT N T
I hereoy affirm [hat I have a certiiicate of consent to self-insure or a cerliiirvte � ' Batkflow Preventer � Servite Sink � S
ot Worker5' Compan5ation Insurance,� or a'certifiGQ cOpY �he�aoi ($ectlon - - '- - �
3aoo, tab, �c. c ' Backflowlrrigation ' SewerCap ELECTRICAL FEES
• POI1cY No. +�^� 137$$6 ComPanY �V� IIlS. �A. ' � '
�Certl(iea covv is nereby fumishetl. � i Bathtubs ' � � Sewer Connection � Automatic Washer ' �Transformer ❑ 75-50 KW , �
Certifi op�y)5file0withthetlt iltll ❑SO+KW
Date a�����/t34 Applica Clarifiero SolarCollectors � � ConstructionPole5u4. _
EXEMPTION FROM WORKERS'�CO PENSAT N DECLARATION- � '�' DiShN95h¢f ; � � S012t PipiOg ��� � � � ' �� � � (�AOkIOy Unit . � � M2[¢f OUp t0 lOO2rt1P5
(This section neetl not be completetl i the permit is for one huntlretl (5100) or
1255). � Orinkin Pountains ' ' � - �
I c¢r[ity Nat in th¢ perf0/mance of th0 wOrk tOr wttich this pe�m�t ISlssuetl, I 9 � $Old� Td�k ' Di5hWd5hE� � M2t¢� ❑over 100 amps �
shall not employ any person in any manner sa as ta become subjett to Ihe ,
Workers' Comoensation Laws of Calitornia.� Floor Orains ' . Swimming Pool w/Spa Dryers �Gas ❑Electric Sub Panel
Date Si9naturc ' , � �
NOTICE: If, atter making this oeclaratlon, you shoultl become sub7ect to tne ' Floor Sinks � ' ' Urinal Fan Motors 00.1 HP �1 h- 6 �
Workers' Compensation provislons of the Labor Cotle, you must for[hwith " - - , " -' -� ' -'
compry with such provisions or this permit shall be:tlaemetl revokeG. � GasService Outlets� � WaterCloset - F.A.U. � InaSolar09�75HP�1645+
CONSTRVCTION LENDING 'AGENCV • � - � '
I hereby affirm that there is a mnstruction lentling a9ency for the performance Intercepto/5 - Water Heater Fix[ures � MicrowavC ' ' '
ot the Work tOr which tn15 parmit - IS ISSuetl (SecHon 3097 Civ_ C.) ' '
Leneer•s Namn-• � ' Kitchen Sink �' Water Service - � Device Boxes � � Pole Light ' �
Lenaer•s P.tlilress -' � � - Lavatories '
OWNER BUILDER DECIARATION � ' - Outlet5 Renge
1 hereGy,af(irm tn5t I am ezempt from tha Contracror's�Liconse Law for the p_T�a � � � � '
tollowing ieason (Section ]031.5 Business anU Professional Cotle: Any city or P � ' Switches $ign �
coun[y whicM1 requires a pe�mil to con5trutt, dlter improve; Uamollsh o� re0ab �
any structuro, orior ro Ils issuance, also requires t�e aoPlicant tor such permit Roof Drains � '-' � � � " Garbage DispOsal Standing Sections '
to (ile a 5i9netl statement tha( he/she is Ilcensatl pursuan[ to the Provisions of ,
the Gontractor's License Law (Chapter 9(commencing witn.SecUon 7000) of -' � � ' ' - Generator �0.5 KW 05-15 KW Trash Coinpactor
Divis{on 3Tof [he Business antl Professions Cotle) or that be/she' is exempt . ! ' �' �
-ther¢froT'antl th¢ baSis iOrithe allegetl Bxamption. Any vlolation oT SOctiOn ' " -
�031.5 by any applicant for al permlt subjects'the applican[ to a civil � � '.. � • � , '
� enalty of not more than five huntlreG tlollars (E500). - Reinspection•Fee $25 �. laue Feef S'3
� 1, as owner ot the property or my employeos.with wa9es as thelr sole MECHANICAL Reinspection Fee � � $$5 luue Fee ' $ 3
compensation, will tlo the work, antl tne'structure is not intantletl or ofieretl � � FEES
for sale (Sectlon 7044, Business and Professionai Cotle: The Contractor's . . . . - PUBLICSERVICESREQUIREMENTS � �
License l.aw does not appty to an owner ot a O�operty wno builtls or Improves I ' Hood o� T � � � � �
the�eon, antl who�00es sucn wo�k himSelf/h¢r5¢If or th�0ugh his ot ha� own Boiler , _; Vpe I ❑
amployees, provitletl that such improvements are not intentletl or ofteretl �or � Canopy Type I I ❑' � �
Zoning Approved By Date • �
Duct - Under Ground
sale. If, however, the builtlin9 or improvement Is soltl within one year of com- . � , Application Approved 8y Date
pl¢tion, the owneqwill have tlte burtl¢n of proving �e/she tlitl not builtl or'im- � .
rove for the purpose of sale). ; Duct - Strucnrel Refrigeration Sysiem , Application Issued By ' Dat�
� I, a5 owner ot the property, am exclusively contracting with Iicensotl con- - ❑4700,000 BTU ❑100,000 BTU
tractorsto construct the project (Soctlon 7044, Business antl Profasslons Cotle: ' Duc[ - Ventilating , SUMMARV OF FEES
The Contractor's license Law does-nOt apply to an owner ot property who - � - - -- -' '' BUI��IN(�i PERMIT $� Z4�.00� SMIP �$ ' .SO
builtls or improves thereon, antl who contraccs for such projects with a con- ExhauSt System ❑ Multiple �� System Repair/AlteratiOn �
tractor(s) license pursuant to the Coniractor's License Law). � PLAN CHECK $ PERMIT
❑ I'am exempt untler Section e. & P. C. for this reason � Firepl/Fact. Blt. ICBO.# ' PLUMBING $ ISSUANCE '$
oate • ' owner ' Heating System & Ducting � ' ENERGV P.C. $
� ❑0�100,000 BTU 0100,OOOBT PL�N CHECK $ �
I hereby certity that 1 have reatl chis application antl state ttiat the above , - ELECTRICAL $ GRADING $ �
info�matlon Is co�rect. I ag�ea to COmply with all Uty and co�nty ortllnanc85 ' ' ' -
antl state laws relatlng�to builtling co struction, antl hereby authoriie repre- ' PLAN CHECK $� MICROFILM •$
Sentatives y' his cit�eo r p R the dbov¢-mentlonetl O�operty (Or ' . '
TOTAL FEE � $
Inspecti q �4 MECHANICAL $ 24.SO
Si9na r� a . . . . ,
DriJers' ense or, �
� Reinspection Fee $25 �aue Fee $ 3 PLAN CHECK $
rnne �o«_.� ..... -.,e. ,.,.ue _ o�..�..i..... �_....... �....��,....�. o�..� . n����ior���, rninne.nn - nsceccnr � . . . ' . ' " _ . . , . �.
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Condui[-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. �� � 57..APPROVAL TO COVER-GUNITE
7. Footings ., 58..ElectricalConduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � . 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System � 61. APPROVAL TO DECK
11., Property Sewer Line & House Connection 62. Backwash &-ReceptorFinal
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
,i6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign. . 68. APPROVED FOR PLASTERING
� 18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. iiough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure � 70. Underground Hydro
9
22: Ducts, Ventilating ' 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough,& Test 72. Underground Flush
J
24. Roof Framing . 73. Undergrnd. Storage Tank 0 Gas ❑ 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 PREV. FINAL
30. Drywall Nailing � HEALTH�DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final . 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy �
37. Final FaaoiY Fireplace � ,
38. Final Plumbing '
39. Water Service-Final . .
40. Gas Service-Final ,
41. Solar pomestic-Final �
�
42. Backflow Preventer , �
43. Backflow Irrigation � _
44. Landscape Irrigation System . �
45. Sound Attenuation � • �
46. Handicap Regulations . . �
47. FINAL STRUCTURE & BUILDING $ B C
48. Special Requirements Completed �
49. Electric Release to Edison "
50. Gas Release to�Southern California Gas Cv - .
51. CERTIFICATE OF OCCUPANCY . .
No. Date
' ' � I���Q ,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 60X 317 CO6TA MEBA. GALIPORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT �
BUILDING .��� ��
ADDRE56
COSTA MESA. CALIFORNIA
� ARCHITEGT
��y� �VT 1%��2
I �� +��.V�uV? D
� � �. .t,���� .
��o ,� FII��,I�rE DEPT.
APPLICATION FOR PERMI7
�� I 1 ur COSTA MESA
BUILDING
For Office Use Only
pECE1PT NO, PPJ{MIT.,NO.
. . RECEIV D BV I OA'pE�R=CE ED6 r��* 3 O3O�a°6Z
(? A � / /�
N 'V /a � ADD EI55 ✓� �LQ%�e� I/ �+'�/`C
—Tu„�' COSTA MESA. CALIFORNIA
PIRE
Sa_.�C� ZONING
LONE NO. OF U8E OF NEW.S�� '
������`'. �•- Z I PLANe � I BUILOINU� �
l�"c V , NO. LECAL h� 1 �ji /� 'G`'
G �H6CPIVTION
' ! `" 9 � }� �i � I NO..OP BLDGp. n _
0 BETBACK LINE FPPM
�/ / (CCNT[R IINC BT.J {
REARYARD.C.l� FRONT �/ FT. ��
IRIGHT Fi.51DE /O FT.
OF WORK •� ,�
� L. SIDE � FT.
II IIAOOITION I ��.� �� __
BUILDING �� �v NO. OF �
SIZE /J ROOMS
EXTERIOR WAL4�' {� IROOF ��/
COVERING Y[J COVERING w
USE OF BUILD{NG AND WORK TO BE PERF I
1 HEREBY ACKNOWLEDGE THAT 1 HAV6 R6AD THIB MPIJGTION
AND BTAT¢ THAY TH�OVE �b�� iND�R68�T0 GOM-
PLV WITX ALL C1T! O INANCEB N ATE LA RBGULATING
BUILOINa CON9'fR oN. ...
'AUTHORIZED AGENT
�
APPROVED
�
..� /`��� '° p �� s�.
TH6 AMOUNT BXOW IINDER VALUATION 19 FOP THE
PURP09E OF EBTABLIBHING A PERM�T FfiE ONLY.
VALUATION ' L /
. PERMIT FEE $ � %'
$ /� O�� " PLAN CHECK $ � �'—
iOTAL FEE $ O/—�