HomeMy WebLinkAbout337 MONTE VISTA AVE - Building PermitsCITY OF COSTA MESA
CONSTRUCTION PERIVIIT
Project Address � � � ^' �
Applicant's Mailing�A7ddress : �11
Owner's Name C���,^^�^C'`-��
Address ��� Y".�^n
AOP���ant to flll In all s0aces except those wilhin heavy bortler 1(nes antl slgn all apvro0�»�e tleclarations.
PERMITNO. '�.RACTI�O. LOTNO.- BLD . . �
r1,7 r.-��r'n
Arch/En9.; � License No. :
Address ', � G ���ao,
Contractor's Nam *�� k � ' ne'
�Address Imailingll�L�O S• ' Ae�OQ S/��/"��7(�' �%'
City License No.
LICENSED CONTRACTOR DECLARATION
/� I nereby attirm that I am licensetl untler provisions of Charter 9(commencing .
`b with section 7000) of Division 3 of tne Business anG P�ofe551on5 COtl�
my Iicense is in f torce antl et�ect. ��n
Licens CI Lfi /�� eJm ��
\Date �� O� 5'9 t � `�-+' .
WORKERS' COMP NSATION DECLARATION
�1 nereby a(tirm that I have a.certiticate ot consent to self-insure or a certiflcate
of Workers' Compensation Insurance, or a certitietl copy thereot (Setflon
3800, Lab.�,Q9 r'r �. /� � /_ - t �
PolicY No. r ���__�__�_o___�— ComPanY� Tl...t�-�
❑ Certifietl copy Is nereby furnishetl. �
-�-Eer�etl cppy (s{i�g0 with the cit tl ivi��
Date� ��Q ��7 'APPlicani
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be completetl it the permit is (or one huntlretl (SS00) or ,
IE55).
I certify that in Ihe performance of the work or which this perm�t is Issuetl I
shall not employ any person in any ma ne s �/�t o become subject to t�e
Workers' ComDensation Laws of Califor �P+ '
Date - Signature �
NOTICE: It,i,afte� making� Mis Oeclaration, you Shoultl become subject to the
Workers' Compensation provisions of the Iabor Cotle, you must (ortbwlth
comply witn. such provisions or this permit shall be tleemea revoketl:
CONSTRUCTION LENDING AGENCV
1 hereby aftirm roat there is a construc ion IenCing agency for the performance �
ot the work for which fhis ��t/is^i55uetl (SectiOn 3097 Civ. C.)
�entler's Name � �
lEntler's Atltlrezs �
OWNERBUILDER OECLARATION
I hereby affirm that 1 am exempt from the Contractor'S Lic2nse Law fo� the
to flle a
rom antl the basis for the aile9etl exemption. Any violatlon ot St
5 by any ap0���an[ tor a pe�mit 5ubject5 Ihe appliCant to a
y of not more than five huntlretl tlollars ($500).
as owner of the property or my employees with wa9es as mei
ansation, wiil tlo the work, antl the sVucture is not intentletl or o1
Je t5ection ]044. Business antl Pmfesslonal Cotle: The Contra
a orooerb who builtls or
saie, ii, nowever, me owimng or improvemen[ is soia wimm one year or com-
pletion, the owner will have the burtlen Of proving he/she tlitl nOt bui1C or im-
�rove tor the purpose of sale).
I, as owner of the property, am exclusively contracting wllh licensetl con-
tractorztd cons[ructthe project (Section 7044, Business antl Professions Cotle:
Tbe Contracto�'s License Ldw dq s n t apply to an owne� ot property who
builtls or Improves thereo ntl v�ho o racts for such projects with a com
tractor(s) license pursuant to e IOM r' License l.awl.
❑ 4am exempt untler Secti n B. & P. C. for [his reason
Date Owner'
I hereby certity that I nave reatl this application and state that the above
information is correct. I agree to comply with all city antl county ortlinances
ana state laws �¢lating to builtling const�uctiy�t, antl he�eby autlto�iie r¢p�e-
Si9nat re �� \X � y��
Drivers' Li se or 55 ��
CMFO865-46 rev,12/83 Whife-Builtling;
F.J / — .-7
TYPE OF CONSTRUCTION NEW � ADO � ALTERATION REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTHER �
� �ESer� TION OF WORK LL 'S
�Je� t1� �s-r r G o Rt . � 2� �JJ� .
TVPEOFPERMIT GRADING UNDATION STRUCTURAL ,
❑'TENANT 0'ELECTRICAL ' PLUMBING O MECHANICAL ,
❑ �OTHER ' � � �
PRQIECT DESCRIPTION Sq. FT, oCCUVA,ry1 cv
CONSTRVCTION TVPE VALUATION $ �. �O�
ZONE GRADING CU. VDS. ACRES
Remarks: . /' d� — � �
Sink
Clarifiers
Dishwasher
Drinking Fot
Floor Drains
Floor Sinks
Gas Service
Outlets
Kitchen Sink
L3V8[0f125
P-Trap
Roof Drains
Reinspaction Fee $y5
Boiier
Duct - Under Ground .
Duct - Structural
Duct - Ventilating
Ezhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑P700;000 BTU 0100,000
— I I Reinspection Fee I $25
AppllGdnt; Plnk - Acroun[ing; Goltl¢nrotl - ASsesso�
S�S`ink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Issue Fae
Hood or Typel ❑
Canopy Type II � ❑
Refrigeration System
❑6100,OOOBTU ❑100,000
System Repair/Alteration
laue Fee
FEES
$ 3
$ 3
��
A.P. # ,
S Main Buildi
�E
T Frant
' B Rear
.A
C Right
K
� S Left '
Ping. Ref. #
Parking Req./Pn
Use of euilding:
Planning Notes:
Automatic Washer
Construction Pole Su6.
Cooking Unit
Dishwasher
Fan
F.A.U.
FixtUr¢s
Device Boxes
OULICLS
Switches
Garbage Disposal
Generetor �65 KW
4372 ;2/IS/84.
Zone
Accessoty Buildin9: ,
Park.Fees $, �
. �
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+ KW
Meter ❑up to 100 amps
Meter �overi00amps
Sub Panel
Moiors �0.1 HP"� 7'/: - 8 '-
Inc. Solar 09-15 HP �i6-15+
� Microwave ,
Pole Light
Ran9e
� Standing Sections
15 KW Trash Compactor
I Reinspection Fee I$25 � laue F¢e
PUBLIC SERVICES REUUIREMENTS: "
Zonin9 APProved By
Building Approved By
Appliration luued By � �
22,p� TL
FEES
S 3
SUMMARV FFEES -
BUILDING PEfiMIT $ SMIP $
PLAN CHECK $ PERMIT
PWMBING $ � ISSUANCE $
PLAN CHECK 25% $ � ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $
MECHANICAL $ ' TOTALFEE $ .��.E%Z�
PLAN CHECK 25% $ . . .
O
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'CONSTRUCTION.A�JD PLANNING � POOL & SPA , .
� APPROVALS `- Permit.# Date Inspector qppROVALS Permit# � Date Inspectoi
�, 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 Conduit-Undrgmd�. . ." 55. Electrical Bonding -
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test '
6. Electrical UFER Grnd. ; . 57. APPROVAL TO COVER-GUNITE . ,
7. Footings - ': ' � " - 58. Electrical Conduit-Undrgmd. � "
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. Pcoperty Sewei 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 '
75., Rough Electrical-ConduiY -� `� 66. Solar System-Final -
.�i6. Rough,Electric Wiring . - - 67. Fencing & Access Approval � " -
�17. Rough�Wiring Sign . � 68. APPROVED FOR PLASTERING � -
- 78.'Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. Rough Heating &�Air Conditioning ,. FIRE DEPT. REQUIREMENT �
20., Rough Factory Fireplace i APPROVALS Permit # ,
21. DuCts, in Structure � 70. Underground Hydro
`'�2. Ducts,-Ventilating � ' ' 71. ProductPipingOGas OOiI
- � 23. Gas Pipe-Rough & Test .� ' � +,�� = �l 72. Underground Flush �
24. Roof Framing �: � � � . 73. Undergrnd. Storage Tank O Gas ❑ Oil '
25.�,Roof Sheathing ' � � � •74. Overhead Hydro �
' 26. T-Bar Ceiling (Structural) & Monocoat i 75. Dry Chemical •
27. Frame and Flashing . 76. Dry Standpipe .�
- 28. Lathing & Slding � 1 � 77. FIXED SY57EM FINAL '
29. Insulation ' ' , 78. FIRE PREV. FINAL �
30. DrywaIl,IVailing ' � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' � ' 79. FINAL INSPECTION
32. Electrical Power MeterFinal �• �' 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: �
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test . ,
36. Hood or Canopy� � , ' , -
37. Final Factory Fireplace � ' , ' '
�
38. Final Plumbing � . �
, 39. Water Service-Final � � ' .
40. Gas Service-Final � � ' � �
i .
47. Solar pomestic-Final : �
-��- �r
42. Backflow Preventer, � ��
43. Backflow Irrigation � • '
44. �Landscape Irrigation System ' � �
45.. Sound Atten'uation� , �
46. Handicap Regulations � . -
47. FINAL STRUCTURE & BUILDING � -
, �
48. Special Requirements Completed , -� � � '
'49. Electric Release to Edison � . . � � �
50. Gas Release to Southem Califomia Gas Co . ' -
51. CERT1FiCATEOF.00CUPANCY ' - ' / �
No. � � Date ' �`r
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I AMCOR SOLOId 120
� �Tfiermosyphonic Solar Neating System
.�-o���g . o�x-1 x o nc�wvuu
LCC.ATED `��.oCICS
MOUNTING £vEe� LA� $�i
The Solon 120 can be installed on any flat or pitched surface. Racks .•
are available in pitched or flat roof models and custom radcs can be
fabricated tor unique installation sites. ,
INSTALLATION METHODS
The Solon 120 can be used in two diHerent installation methods. The
first is as a preheater, integrating the device into your current system.
The second is as a primary source for your hot water supply, in which
case you'll need the bptional electrical back-up heatec Whichever ap-
plication is preferred, we supply a comprehensive owner's installation
manual to guide you through the installation step by step.
�
Mbther qualiry produc� by
�`AMCOR�
TME AMCOR GROUP, LTD.
350 Fihh Avenue, Suite t807, New lbrk. NY 10018. •(212) 736-7711
76/8 AIBb9mB Avenu4 Carapa PaA4 CA 81304 �(213) 882-8692
AMCOR SOLON 120 SPECIFICATIONS
SOLARCOLLECTOR
Length: 7B"
Wid�h: 49"
Gross Area: 25.9 sq. ft.
Net Aperature Area: 22.8 sq. fl.
Absorbing Plate Coating: Solarionm Superior
Selective Surtace
Grid Conatruction
Risers: (10) 5/8" O.D. Copper Pipes
(7) 7/8" O.D. Feeding Pipe
Headers: (2)1-1I8" 0.0.
Absorber Insulatlon: Cast Polyurethane
1.45" (37mm) thick, fire
, retardant
Enclosure: Anodized Aluminum
Glass: Low iron tempered Solatex glass or
equivalent.
Thickness: S132" (4mm)
Weight Empty:1411bs.
Fu11:150 Ibs.
Pressure
Test:12 atm. (176 PSI)
Working: 6 alm. (88 PSI)
Thermal PeAormance Rating'
Low Temperature (35'C. 95°F.)
27.800kJ/day: 26.300 BTU
Intermediate Temperature (50°C.122°F.)
21.500 kJlday: 20.400 BTU
High Temperature (100°C. 212°F.)
5.300 kJ/day: 5.000 BTU
•aelinp u oasoa ori an eni.Ma uwua ar. Tw rapon mev oe
owainea�ron,eWw�.
STORAGETANK
Length: 49"
Diameter:18.5"
Volume: 32 gallons (1201iters)
Weight: Empty —127.5 Ips.
Full-3921bs. "
Presaura
Test 12 atm. (176 PSq
Working: 6 atm. (BB PSI)
Corrosion Protection: �
Glass-lined vitreous enamel
Cathode Protection: Magnasium Anode
Inaulatlon: Cast polyurethane 1.6" (40mm)
thick, fire retardant.
ElacVlcal Back-up (Optional)
Power Rating:1500 Wans
110 or 220 Volt
All specifications are subject W c�enge
wuhout noGce tlue to oonstent
produq improvements.
OCopYrighilBB1. T�eAmcorGroup.Ltd. PatentPentling.
�01412
PNOJEC7AOOflE55: 337 NONTE C'ISTA AV ,xir:
awxessxnme: tdEBEP., P.OBERT J
aooeess: IdEB ER DAWN C
337 MbNTE C'ISTA AVE
COSTA MESA,CA 92627 `�
696-0874
pNCH/ENGINEEH: AEG.NO.:
ROUflESS: UNiT:
renminee: 1�610PSEABOARD CIR � �19 ) 895-1246
noox¢ss: STANTON CA 90680
UCENSEO CONTBACTOfl OECLABATION: I hereby affirm thal I am IicenSeU un0ef pmvisions of ChaO�er 9 �commencinp with Setlian
7000� ol Division 3 0l IAe Business antl PmfeSsions Cotle. and my e is in lull �o¢e and el�ec�
ruc.: 050386 sareuc.:511971 ass: C-36 E:tP: 02/95
�ate � �" _ � _ ` � Signa�ure: _��J
W NEB$' COMPENSpTION UECLABATION: I �ereUy al�irm t�ai I have a certilicate ot consenl �o self-insure or a ce�ificate af Workers'
om0ensalion I�suia�e�yjy�a�lilie�c$oY �hereo� (Section 3800, Lah. �.3 / O 1/ 9 S
eoucv r+o.: STATE E%P. ORTE:
COMPANY:
❑ CenifieA copy is nereby (umished. � Cem(ied copy � e0 t� t�e ciry Buil D'rvisan.
. z-i-��
e: � Applicant:
E%EMPTION FflOM WONREPS' LOMPENSRTION OECLAPpTION: Qhis seqion n¢[9 nol �e tompl¢t[d il IAe perrtnl is �ar one AunOreO �5700) Or less�.
I cetlily Ihal in Ihe performance o� the work lor whic� �hi5 permii i5 i56ueG. I s�all noi ¢mploy any person in any manner 5a a5 io beCome
sublec� �o �he workeri Comoensation Laws ol Califomia.
Date: Signature:
NOTItE: II, a��er making Ihis �edara�i0n, you S�ouid G¢[ome Su�letl �0 1�¢ WafkeK Compensatian provisions ol ine La�or
Code. you musl lotlhwi�h comply with such provisions or I�is permil s�all Ue 4eeme0 revoke0.
CONSTHULTION LEN�ING AGENCY: I �ere0y attirm ��at ��er¢ is a con5truciion lentlinp agency fa� I�e pedormance ot �he work lor
w�ich Ihis permit is issue0 (Senian 3097, Civ. C).
LENDEN:
aooness:
OWNEH BUILOEP OELUNRTION: I �ereDy atlirm ��at l am exemOt irom ihe Coniraclors' State License Law for tAe fallowinA reason
(Section 7031.5 Business an0 Pmfessional CoOe: Any cily ol coun�y which �eQuires a permi� lo consimc[. al�er, improve, EemoliSA. or
repai� any slruclure, prior to its issuance. also requires ihe applicant for such permit lo Iile a signeA statement tlut hPlshe is licensetl
oursuant lo t�e pmvisions of Ihe Comracmrs' Slate �icense Law (Clwpter 9(commencinp vri1A Section 7000) of Oivision 3 of [�e Busineu
antl Pmlessions Code) or t�al �e/5�e is exemp� Ihere�mm antl ��e Oasis lOr I�e alleAed exempiion nny molation oi Section 7031.5 ey
any apolitant for a Dermil sueiecis ine appliWnt to a civil penalty ol nol moR than five nunArtd tlollars (5500).
I, as owner ol the Ompeny or my employees wilA wages as tAeir sole cam0ensation, vnll Ao the work, ana ine
❑ svutture is nol intenaeA at offered tor Sale (5ectian 70AA. BUsiness anA Pmfeuional Cotle: The Contractors' State License Law
Eoes nat apON �o an owner ol a pm0eny w�o EuilOs or imp�oves I�ereon, antl wtro Oces suc� work himseli/hersetl or t�muqh
his or her awn employees. Dmvitled I�a� such imDmvemen�s are noi inlenEetl or olleretl br sale. Ii, Aowever �he buil0inq or
imOrov¢ment is soltl vn�hin one year ol com0�aiian, t�e awqervnll Oave lhe buraen ol proving he/ihe did no� build or impmve
Ior Ine ourpOSe of Salel.
1. as awne� ol I�e D�oOeny, am exclusivety conirattinq with licensetl coniractors �o consimcl ��e O�ole�� ISection 704d, Business
❑ antl Protessbns COAe: 7�e Coniractors' Stare Lirense law Coes rw� appty Io an owner o� pmpeM �a buACs onmpmves Ihereon
antl wlla Wniratls lor Suth prolecl5 wi�ll a cOn�raCior(5) IiC¢n5e pufSUan� ID IAe COnfraC[or5' Slaie LiCenSe Law). I am awafe
Ihat pmol ol Iheir Worker'S Compensalion insurance shoultl be pmvitled to me.
� I am eeempl unaer Seclion: - 8. 8 P. C.
br mis reason�. .
Oa�e: Ownec
I tlo hereby cenify Ihal I am aware ol and untlersiantl ��e requireme��s al Calilomia Healt� antl Safety Code 5¢c�ions 25505, 25533, �antl
255Y1 and I�ai I or any Iuiure OuiltlinA occupan� wilVwill not (circle one� neeU ta comply vn�� 5ai0 s�ate cotles and I�e requiremeNs for a
permil tor conslmclion or modilica�ion imm Ihe Nir Oualiry Managemenl OiiVicL Fesiden�ial consimclion applicalions are eaempt fmm
(h¢5¢ pfOvi5i0n5.
Daie: Npplicant: � .
1 �ereCy Cetlilyl�alltuve�eaGi�iS appfica�inn an0 Sialelhal Ihe 4pveini0rma�ioni5 mrreCi. lagr¢eio tomply with allciry anE t0unty
a�Ginance5antl5talelaw5reWlingta�ml0ingcons�mctionan0 y ulhorizer r lalivesof��iscily�oemerupontneaDove-memione0
pmpenV �a� inspetlion ourposes. �
Oaie � Z^I' � L% Signawre: ° �--
n,r's License or Sociai Securily .:
I6n��G6 Wbne—Builtling; Green—Code Enlo¢ement; Ganary—qpplicanl: Plnh—Fevonue; Goldenroo—nssessor
CITY OF COSTA ME5A — BUILDIA7G PERMIT PEP.M NO; P 07014:
PERMIT NO; P 070?42 PLAN CHECK DIO: N GOVT; N SUPP: N
CONSTRUCTIOP] TYPE; V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB UESCRIPTION ; CHANGE OUT OF A DISH WASHER SQ FT:
CLAIM VALIIE: 102,00 CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
*ir-�f*�tft�**�t+fv-��E#*+t�i�*+r*+F�tiE�f*�v«*ar-+r�***i�*+t�i�*iE*#��f+�*ac**�q:#*it+ex*��lt*+r�c**r+F#*a�****a*it�x#*
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSOP.Y BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT ZN
LEFT: FT IN RGHT; FT IN LEFT: r^T IC7 FiGHT; FT IN
PARKING REQ: PROV; PARCEL: 43914110 ZNE; REF NO:
PLANNING NOTES>
>
�ki(�i(�if�lfifi�iFi(��l(�#1FkiFMififNiFif �l�l+fitirrMritkiFv�#YkiFif�tk�klfrifltMMiFiF+fiFif-il��Eiti4+f+criFiFif�Eifltf(��tiRif+raciFif iEracaF�ls#'u
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
ZOT7ID7G APPP,OC�ED BY ,
DATE;
BUILDING P.PPROVED BY : DATE:
APPLICATION ISSUED BY: �- �� �'�(� DATE: 2 '�l l�
iEicaE{fiFMr{F{fafafiF+fififiFKMiRitlfihiFiri�ifK-YjFafiEificifif�iEiflEifiRiFaFifiF��FaFfFifih+tiFiiFif+F*.ifi:ifafiEiFM�Fr.i4M�'.ifi �aF{caF
ifaM1it�rif-iFificY�aE-N�3taEi4iF14iGiFacfF*ifit+FifM�lf�iF�1tM#ifiFi(-�(-ic�lFac�lt�wfiicicipicaFxic+ciFiEafiF+r-+Fic{Ficifit�Lar�+ciFaciF?FMxx +FifaFir-iFiFiFx
LEGALIZATIOD]:N F E E S U M M A R Y STRUCTURAL SEGMENT;T]
BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/RES GP.ADIP7G
PERMIT 7,00
252 SMIP/NON—RES
PLAN
ISSUE FEE 20,00
BUILDZNG—DIl'—> PERMIT ISSUE PLAN—CHECR
TOTALS----> 7.00 24,00 0,00
P.EVENUE DIVISION TOTALS--> COLLECTED:
BLUG PMT PLUMHING ELECTAIC MECHANIC
2%,��
TOTAL PAID DUE
27,00 27,00 .OQ
27.00 OC�ER/SHORT: .00
FIRE SMIF/TOT GRADING PLAN—CHECY,
ifif ihif if � if i! 1F �f iF 1f +! )f iF if if�Mif r if 1p if jt V 1t ifififiFif af af iE acif 1f ! 1f tt if 1f if �Fif �R riF �F if itjf iFY 1f �f aF if af iR if k+c iF �+r r E+tiFicif iF afitiE iEif >
I P] D I V I D U A L F E E B R E A K D O W N
1
TYPE' QTY; D E S C R I P,T I O N UNIT COST TOTAL COST
PLO 1 DISHWASHER;,n END (�F FEES �•00 7,00
�
' . _ � ' '
�
� fi V
i
0± ,'1C1Y" ;.726fi2 ToJ� 2i.L0
j�FliE: (?i�+; �,':� TI(E. 11:4i
; ' r' �
, '
CONSTRUCTION AN� PLANNING POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Oate Inspector
1. Temporary Elecirical Serviceor Pole 52. Pool & Equipment Location ,
2. Soil Pipe�Undrgmd. � 53. Stee! Reintorcement "
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ; �
4. Electrical Conduit-Undrgrnd. 55. Electricai Bonding "�
5. Steei Reinforcement 56. Rough Plumbing & Pressure Test ' I
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE i
7, Footings 58. Hectrical Conduit�Undrgrnd. �
8. Foundation - 59. Gas Pipe, O Undrgrnd., Test , .
i
9. Water Pipe-Undrgrnd. � 60. Backwash l.inet, P-Trap, a Undrgrnd. ��
10. St�ucturai Floor Svstem .� 61. APPROVAL TO DECK ,' i
11. Property Sewer �ine & House Connection � 62. Backwash & ReceptorFinal � I
12. Sewer Cap ' 63. Heater & VenPFinal �
�
73. Roof Orains ; 64. Plumbing System • Final '
14. Rough P4umhing � 65. Electrical-Final �
15. Rough Electrical�Conduft � 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
I
18. Rou9h Electrical•T Bar Ceiling 69. POOL/SPA SYSTEPltS FINA� �
19. Rough Heat'ing & Afr Conditioning P1RE DEPT. REQUIREMENT f
20. Rough Faccory Firepiace APPROVALS Permit #
21. Duccs, in Structure 70. Underground Hvdro
22. Ducts, Ventilating 77. Product Pipi�g �Gas ❑Oi1
23. Gas Pipe�Rough & Tes[ 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oii
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (Struct�ral; & 1-0onocoat 75. Ory Chemical
27. Frame and Plashing 76. DrY Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH OEPT. REQUIREIViENT
31. Piaster Brown Coat 79. FINAL iNSPECTION
32. Electrical Power Meter�Fanal 80. FOOD CERTIFICATE ISSUED �
33. Final Electric Notes:
34. Finai Heating & Air Conditioning
35. Final Gas Pipe-Test .
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbinq '`/�/,��/;
c ! 7'
39. Water Service�Final
40. Gas Service-Final
47. Soiar pomesticFinal �
42, Backflow Prevenier �
43. Backflow lrrigation '
44. Landscave Irri9ation System �
45. Sound Attenuation
i
46. Handicap Regulatio�s
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release io Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER DOYLE & SHIELDS
aos nnnaEss ��7 Monte '
Inc. vALUE $ 19,�
tE ZONE DESCRIPTION OF
GROUP I&J TYPE V
SUBCONTttACTOR „
� 1959�
COSTA MESA BUILDINCrSAFETY DEPARTMENT
� P.O. BOX 91] COHTA M69A. CALIPONNIA
for Applicant to Fill In Completely
TYPE OR PRINT
BUILDINO �� ~
ADDRESS
COSTA MESA. CALIFORNIA
OWNER �� I� �//IGIN S �J lA.�
MAIL �' s�j, /�'10.h L{1Cl�Gi �K:�
ADDRESB
1
cirv �hR- ei No./�(+ �Po�:
ARCHITECT `�/ � �'T THL.
OR ENGINEHR i-r0.� � 0.Y1 NO. 7� I
FEE RECEIVED
�JU id 3 1963
FINANCE OEPT.
APPLICATION�I� P�wbRsTA MESA
BUILDING
For Office Use Only
� p6C[I'TNO. P�RW�p�^
lJ IJIJ
�i ..i��
Y UAT6flEClIV6D DATE199UED '
�/ °� W /1 J' ZONING � •.
wooaess w� WI'Nm on wGc�'7'7�
ZO NO.O� UH80PN8W'
(� •UNO BUILOINO
CONTRACTOR �/4,!'AG. Tn 1%
L80�L Ot /O �0.(��/�3
ADDRE88 LCih L DBYCNImoN
CITY �.JAFh A. P. NO. '"CT-
L?C.TNO.I�� �"�{�- NO. �/l /� a U 7- O 90T TO S�IDE 8 REAR pHLN6 SHALL BE LESS THAN
EAVE6
61ZE q� �,! � no.oralno9. ALLOWED fU.B.C.RE4UIREMENT)
OF LOT •-L% t f3. S � NOW oN wT �•
' YARD9APPROVED YARDSAPPROVED
USE OF — MAIN BUILDING ACCESSORY BUILDING
EXISTING BLOG.
� „ fFROMC/ REET)
eETBACK LINE FNOM � �� FRONT Ff. FT.
cervrew ov arweR � � pEAR YARD
HIDE YARDI LHFT I R�GHT � R.8I06 0 FT. FP.
DESCRIPTION OF WORK �. s��e �. F-r.
eu���Ncaj��l�s3.Se noi
SIZE
EXTERIOR WALLI�Ju�`J R
COVERING ✓/ C
USE„QF BUILDIN6 ANO WOR�C �
H
I HEqEBT ACKNOWLHOO[ THAT � HAV6 PBAD TMIB APPL�CATION
ANU 6TATE TNAT THC ABOV6 16 COflflBR ANO AOREi TO COM.
PLY WITH ALL CIiY ORDINANCBH �XD BTATB UW8 H80ULATING
BIIILOINQ CON6TNUCTION. ^ I w� n
SIGNATURE O��' � �%.(�� Y J . '1' ,�, �0. 11 ..
PERMITTfia � 1.U4 WU. /�^`
AUTHORIZEDA6fiNT � �.
VAR. �
DATE
TM8 AMOUNT BHQWq UNOHA VALUATION 19 POF TH8
PURPOSB OI 88f/tBL18HIN0 A PBRMIT PHE ONLY.
VALUATION �� �
� PERMIT FEE $
s 1��7� 3 .�