HomeMy WebLinkAbout340 MONTE VISTA AVE - Building Permitseoa� ir.eNt oo Nor Fa� iN sWenFn epens:
CITY OFEO''��HE3A CONSTRUCTION PERMIT . PeaMir No.(� /��/7 uNir MODEL A•P �' 7Ane
�r- � 3 L�L 1 j�.�•e � � 5-� �-+ `�`-'� ^"' -D S Main Building A.ccaswry Building Z
Rolecl MErott: Unit: E
OrnaY N¢ie: �� G .�J� PURPOSE: ❑ NEW ❑ ADDITION � ALTERATION REPAIR 7� Front N
Manu� i � `� i�-��'J� A Lefl I
—���� `� ❑ CANVERSION ❑ DEMOLI710N ❑ OTHER N
C qigM G
MCAIEnpineer: Rap. Na: I� re Q��� s aear
A04tst: Uni1: DESCRIPfION OF WORK/USE OF BLDG. q
!{L, � �G✓Qt p,—� � � _ 1 �. • Ping. Ref. M Perkin9 Req./Pmvitled O
Vmmitlee: $ •�(.�j �• •�-LNr Y�
-{ Planning No1es: ry�
MErttt: ..,� U., ,,,/I T
�.�{pu y � TYPE OF PERMI7: ❑ GRADING �1 FIRE LaJSTRULTURAL ❑ SIGN S
❑CEMSEOCONfHACfOBOEtIAMTIUN: I�ertC�alfirmNatlam6certscduMerprm�aionsoiCAapter9�commendn0 `(� ELEC(RIG1L �PLUMBING � MECHANICAL ❑ REINSPECfION
wi1� SeaiOn 7fq0� ol Orvivon 3 ot I�e Bu9ness aM P olessi COEe aM my ticense k iyy II face an0 eflect. ELECTNICAL FEES
cm uc:2ql.3 sr�n uc: L�{ �i s 17 � -7
JOB DESCRIPfION: ❑ SO. FT. OCCUPANCY GROUP _�y � _ Automatic Was�er Motor" O 0-1 HP ❑ 1-10 HP
�Me: �' SiOnaiure: � �„ �
� Z Z-� Chdstmas Tree Lot ❑ 10.50 HP ❑ 50.100 HP
WOflNER3' COMPENSIITION OEClAH11TI0N: 1 Aereby aflirm �Aai I �z,e a cerii icate of consen� to self-insure CONSTRUC�ION TVPE ���ur' VALUATION $ ' GRADINO CU. VDS. _
or a cenilicate ol NbM1ers' ComDensation Insurance, oi a cenifiee capy t ereol (Section 3800, IaO. C�. � 5 ^J Constmt�ion Pole ❑ over 100
PoLICY NO.: WS �O !SL%,�35% E%P. MTE: 4�� 2( P� CATEGORY: MINOFi CONSTRUGTION ❑ MAIOF CONSTRUCfION (Under Z00,000 sq.XJ Sub Pole Outlet
LOMPIINY: �N �S • GO.
❑ Qtlifie0 co rs Ae Iurnishe0. Certiiie py ' f1e0 wHh t�p, ciry Bu inp D"sion. � MAIOR/HIGH RISE (Over 200p00 Sq. fl.) Cooking Unit Pole Light
`/6,�,� i Dishwasher Si n Outlet
Oale: Z 2 �� ADDlicanL �L��/ W �`� �� Remerks: ' -� �� 9
� , r Dryer � Gas _� Eletlric Square Footage fee
E%EMVfION FPOM YIOpNEPS' fAMPENSRIOX DECIANATIOH: �TAis section neeG nm �e comyletetl if Ihe permit
is lor one hundre0 �5100) or less�, I cenify thal in Ine penormance of ine wurk for which Inis Oermrt is issueU, . PLUMBING ' �� F,EES EA.U. i: Standing Section
ISNpiroiemObiarNDe�wninaM��«aztaUttamesu�l?��ot�eNbM1crs CompensatronlansafCalitomla. , Baekllow Prevention Repipa � Fireworks SIanB• SuD Panel
Oate Sipnature: �Backllow Irrigation Root Drain ' Fia[ure ' Swimminq Pool/Spe - ,Lb
NOfICE: II, atler makin0 �Ids Oedara�ion. 1ou shqAtl bernme subjecl �o Ihe Nbrl�rs Compensaiion pm+i • ' �' .�£ Garba e Dis sal ,3 . 00
sias ai IAe labor CaAe, pu mim IatlrniN mmay with such paisions a tla pemvl shall be OeemeE rewlad.. r 8ar Sink Service Sink g po / Swilch
COMSfNUCf10N LENOING MENCY: I hereGy affirm tAal tAex is a cons�mction IendinA aAene/ far tAe Derfor- � Balhtub Sewer Cap '' � - � � Generator. Size �" Temporery Wark With
m�nce ol t�e eork lor wOicA t�is permit is iSsueG (Section 3047, Gv. C�. � Clarifier Sewer Connection �; ' ,
LENUEB: . _ i`� Meter � up l0 200 amps Transiormer
�UDPESS: Dishwasher Shower � �� Meter 0 over 20D amps Size
OWNEB BUIIDER OECLABATION: I Aerehy aflirm t�at I am aemyt irom the Cont2clors' State License law Drinking Fountain Solar Colleetor Microwave ' Tesh Compactor
for t�e lollmvinp reason (Settion 70315 Business a(M Pmhssional COUe: My ciry oi county wNc� apuires a
permil to constnat. alter. impro.e. EemoGs�. ar repair aM ��ua. D�r to its issua�e, alm requues the applF Floor Drein Solar Piping .
cam hr such permit to lik a S�A�� ��emem tAat �Nshe is IicenuA pursuam to tAe O�ions of t�e Cont2c
tors' State license law (C�apter 9lwmmencinp vnt� Section 7f100� ot 0ivisiw 3 0l lhe Business anU Pmfessions Floor Sink Solar Tank ' ' ' ^'
Coae) or Ilwt Mhne u emmpt tlierei�om and the Euis for tAe aAepM aempuon. Nry violation ot Section 70315 pelnapeetion Fee - S30 Issue Fae S15
Ey airy appliwm far a permil su0jects tAe appliurn to a crvil penalry ol not moa itwn fi�x AunAaO Oollars (5500�. Gas Service Swimming Pool w/Spa
� I, at o.mer al IAe D!oO��Y or my emplo/ees xil� wapes as Itceir sola compensation, will Eo Ihe xork, and Gas System Outlet 7oilet DEVELOPMENT SERVICES.REOUIREMENTS:
ihe ttnxture is not imenOeO or olkreE Iw sale (Sution 7tN4, Business aM Professional Code: The Con
iroctors State License la.v Aoes nol appry ro an o,mer of a pmpeM who EuilGs or impim�es Nereon, anE Interceptor Urinal '
wM Eces SucA xaA Nmtel�Aersell or thmup� �is ar �er own emplyees. prwi0e0 tlwl wch imprv.zments Zonin9 ApproveC By Date
are not inttnGM or oflereG for sze. II, Oonner t�e builNnq or imprv.ement is so10 witNn one yrar ol com Kitchen Sink Wash Basin ,� �
pielion, the wmer xill haue Itre EuNen ol Drainp ANs�e Oi0 not builU or imprv.e for Ihe Owpose ot sale�.
laundry Trey Washing Machine � da Bulltling ApproveC By Date
� I, as oxner af I�e prapeM. am aclusivep contactinp with licensetl comadars ro rnnstrud I�e pmject -
(Senian TM1, Busineu anC Professions CoEe: The Cont2ctors State License law Eces not aDON �o an P Trep Water Heater O p Iicatlon Issuetl B �g
owner of pmDerty who AuilOs ar impmxs t�ereon and wAo wntacts for such Orole�s with a cont2ctor(s) PP Y Date � �Q
license Dursuam to lhe Conlraclars' State licen5e Lax�. I am awaa tAat proof of Neir Nbrker's ComDenu- Water Service
tion insurznce shoulC Ce D�DeO to me. . SUMMARY OF FE
� I am erem0� untle� Section: B. 8 P. C. Helnspeetlon Fee 530 ' lasue Fee S 3 . � Q
lor Ihis rtamn: MECHANICAI FEES BUILDWG PERMIT . 5, � /� MECHANICAL S /`��D
Oate: O+mec Boiler Heating System & Ductinq PLAN CHECK ' y ' PLAN CHECK 2546'$
I Oo here cetlity t�at I am aware ol an0 un0erstand Ihe reQuiremems of Califomia HeaIN and Safet CoOe See Duct—Undergrountl ❑ 0.100,000 HfU .❑�00,000 HN + o
tions 2�M, 25533, an02553C an0 t�at I or aM �uture buil0in0 occuDant wil14tiII.oW (circle one) neetl to comply PLUMBING '$ —� J�� SMIP ' S
witn saiE state coAes anO llk reQuiamerrts for a permit for constmnion or modification fmm tAe Nr Dualiry Manaqe- DuM—Simdural Hood or Type 1 ❑ ♦
ment Disirict. Hesidential conslrutlion aDPlications are er.empt imm ihese prwisions. Duct—Ventileting CanopY Type 11 ❑ � PLAN CHECK 25^h $ GFADING S
� Ezhaust System Multiple ❑ Refrigeration System ELECfRICAL .$ 2'y• � �
Date: PpDlicant: .
❑ o-iao.000 aru . O ioo,000 aru . , ya 20O .5—�
I here0y certiry IA� 1 �rm rea0l�is appliwtion anE SWte ��at Ihe aGme information is wrrect. I agree to wmpry Fan P�qN CHECK 5045 $ TOTAL FEE 5 �
wit�allciryanEcountyordinancesanOstatelawsrelatingto0uiltlinpconstmctionan0lreatr�authoraere0�uo- FireDamper Sy5lemReOair/Alteration
tati�es of this ciry to nhr u n tAe aEave-mentione0 properry lor inspeclian Ourpose�
,� ^ ' I' Fireplace/FeCi. BIL ICBO X
/J(rfl�/
Oate: Z � SiOnature:. F/-ll�J '
o,�� ���u� o� �� ��ry «: Relnapectlon Fee 530 Issue Fee Sis ii�%G(1NT 0: 0130740005
- n� nn�e nn�f nnneane._nrtnern�i
oe6seu im. �ova wnrze � nwwng; �reon � woe enrorcemem; wnary - Nppiram: rmx - navenue: tiaaemoo - qxxstpr '=� (ii/iR/O�I I7) ('K TFN(S �nn 4f1
..;,a. ;:p�: nT : .. .-\z:,�1'..:=c
CONSTRUCTION AND PLANNING POOL & SPA
-iTAPP�ROVFLLS P2rmit# Date Inspector AppROVALS Permit# Date Inspector
� i. TEmporary Electrical Service or Pole , 52. Pool & Equipment Location �
. 2ti SP�iI Pipe-Undrgrnd. � " �'+ 53. Steel Reinforcement -
- �->
�3. Electrical Conduit Utility-Undrgmd�' 54. Forms __-
� - -
4:'Electrical Conduit-Undrgrnd: �� �" 55. Electrical Bonding
f5.' Steel Reinforcement � 56. Rough Plumbing & Pressure Test
n
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE "
7_Footings � ' � 58. Electrical Conduit-Undrgrnd.
8. Foundation • � . 59. Gas Pipe, O Undrgrnd., Test �
9: Water Pipe-Undrgrnd. ;j� � 60. Backwash Lines, P-Trap, O Undrgmd. �-
10.•Structural Floor System 67. APPROVAL TO DECK �'
i t> Prbperty Sewer Line & House�Connection 62. Backwash & �ieceptor-Final �.
i'
12. Sewer Cap '�1� �� �' 63. Heater & Vent-Final
13. Roof Drains � � 64. Plumbing System - Final
14. Rough Plumbing ���y'� 65. Electrical-Final
n
15. Rough Electrical-Conduit 66. Solar System-Final
i6. Rough Electric Wiring '�, Q ' 7. Fencing & Access Approval
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
,15. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
�. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.:2p. Rough Factory�Fireplace ,, APPROVALS Permit # '`
2j� Ducts, in Structure � 70. Underground Hydro
�22, Ducts, Ventilating 7 d (i%iGQ 71. Product Piping O Gas ❑ Oil
33� Gas Pipe-Rough & Test' 72. Underground Flush ,
�P+1. Roof Framing� 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing � j-ly�vU �JN� �74. Overhead HYdro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemicai
27. Frame and Flashing � ZD� (� W�' 76. DrY Standpipe
28. �athing &.Siding S 3� � 6� 77. FIXED SYSTEM FINAL
29. Insulation v.y�Pq'0 GL✓�/� 78. FIRE PREV. FINAL
30. Drywall Nailing � s�4p G,w � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ���, �`Q (��,�/ ' 79. FINAL INSPECTION
32. Electrical Power MeterFinal 80. FOOD CERTIFICAT��ISSUED l,
33. Final Electric -,Notes: S �l •�� "
n ' C-.
4 Final Heating & Air Conditioning � L�QO �
35. Final Gas Pipe-Test .
36. Hood or CanopY -�l"�� � Fj� � f,�ea � �
S /�GC c�P
37. Final Factory Fireplace �� . �G,
-� Gevi�Gc- <. n
38. Final Plumbing !_ � � l _ 6' �
39. Water Service-Final �
;'; m
40. Gas Service-Final � `•' /
47. Soiar pomestioFinal ' � F'l
42. Backflow Preventer ''� ° ,
, ; �1
43. Backflow Irrigation � � �
44. Landscape Irrigation System 4'%�j'
�,, r
45. Sound Attenuation � :�.'='
46. Handicap Regulations �, '
47. FINALSTRUCTURE&BUILDING O
48. FINAL PLANNING
49. Electric Release to Edison -
.:
50. Gas Release to Southern California Gas Co ��� y .
57. CERTIFICATE OF OCCUPANCY ��� �'� >L '-� '
r �. , ,
No. Date T ^ L�� .
CITY OF COSTA MESA
CALIFORNIA 92628�1200 P.O. BOX 1200
Insulation Certificate
340 Nlonte Vista Costa Mesa
Numba and Sveet
Orange
Counry Subdivision
ROOF
Matertal
'Ihiclrness (inches)
Description of Installation
Brand Name
7liermal Resistance (R-Value)
EXTERIOR WALL
Material F.iberqlass BrandNarne M;,,,�,; t i�
'ITtickness (inches) 4 'Ihermal Resistance (R-Value) > >
CEII.ING
Bau or Bianket Type X Brand Name r�t,rn,; � 1 a
'Ihickness (inches) 11 7t�ermal Resistance (R-Value) 30
Loose Fill Type Brand Name
Contractor's minimum installed weighUft Ib Minimum thiclrness inches
Manufacuuer's installed weight per square (oot to xheive'Ihamal Resistance (R-Value)
RAISED FLOOR
Material
'Ihic�ess (inches)
SLAB FLOOR
Maierial
'Ihiclmess (inches)
Width (inches) _
FOUNDA7'ION WALL
Material
'Ihickness (inches)
Brand Narne
'Ihermal Resisiance (R-Value)
Brand Name
'Ihermal Resistance (R-Value)
Brand Name
'Itiermal Resistancc (R-Value)
Declaration
Lot Number
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 Tide 24 of the
Califomia Administrauve Code.
Partners Construction. Tnc.
r ,i r,..,�....,.. �n.,;i,�..i
� dl f,SS�. '
- License Number �
- h�/q(1
Dam
License Number
PH0.IECTAOOPE53: 34O MONTE VISTA AV
OWNEP'SNRME: WEST
FODflESS: SAME AS AHOVE
.,
RHCN/ENGINEEN: (� 1 4� 6 4 6-1 S 6 0
nooeess:
NEG.NO.:
UNIT:
uxrt:
r�pMinEE: pARTNERS CONSTRUCTION ( 719 ) 778-2616
�ooness: 708 N VALLEY E
ANAHEIM CA 92801
LICEXSED CON7ML70B OECUIL1tI0N: I �ereby affirm Ihat I am Ikensed unEer Orovisrons nl Chapter 9(commencinp xitA Section
70W) Ot OMsion 3 of t�e Businass anC Prolessions CoAe, an0 my litense is in iNl fOfte anO etfeti.
cin uc.: 0 2 9 6� sT"Te uc.: 916 5 5 6 n J_�y� I/
�ate: _rG=� _ Q— Sipnatua: _d�(�(� �Qhh
WOHNEHS' COMPENSFTION OECUMTION: I hereby attirm ihat 1 tuve a ceniticate of ent ta ulfinsure or a certi/iwia af Warkers'
Compensation Insurance, or a certitiM copy thereof 15ec[ion 3800, lab. C).
roucrxo.: WA800823357 exr.oere: 09/12/90
cornrnxr: CNA INS CO
�$ Certified copy is �ereby fumisAeO. ❑ Cerlife0 wpy is �ileE xiN Ne tity BuiltlinA Division.
oate: i'>'� 8 '—Q� MOlicant: � {�-'�✓�'
E%EMPIION FNOM WOflNENS'COMPFNSATION OECIAIiATiOX: (IM16 sectlon neeOirolEecom ilNepemtilistaonehunOreU�5100�orless�.
I certiry �hal in tAe peAormance of the xrork tar whic� ihis pemut is issueE, I shall nat emdoy any persan in any manner so as to become
suble« �o tAe Workers' Compensation laws at CaGfomia.
'Date: Sipnatua:
, NOTICE: If, after maklnA �his Aeclaration, you 5haulA hecome suhject ro the Workers' Compensation prwisians ot ihe Labar
' CoEe, you must fotlhwitA compry xit� such pmvisions or Itds permtt sAall Oe EeemeE revokeE.
i CONSTBUCTION LENDINC ►GENCY: I hereby aKrm t�al 1Aere ¢ a construdion IenAinq aAency lor t�e pertormance of ihe work tor
'I whicn tnis permit is issueU (Section 3097, CN. C).
IENDEfl:
RO�flE33:
' OWNEB BUILOEB OECUNITION: I Aere6y a/lirm ihat I am exempt imm t�e Contattors' State Liceme Law for the I011ovnnA reamn
(Section 7031.5 Business anE Pro'esslonal CoCe: My ciry ol caunry wtiich reQui2s a Oe�it ta constmct, alter, impmve, Aemolish, ar
reDair any stmctum, priar lo fts luuance, alm reQuires t�e aDPliwnt lor suc� permit m file a sipne0 statemant that Ae/she is licensed
pursuant 10 t�a pmvisions al lhe Cont2clor5' State �icense Law (Ctupter 9(wmmennnp with Section 70W� af Divislon 3 oi tAe Business
an0 Professians CaOe) or [hat Ae/she is exemD� �herelmm and Ihe Oasis lor t�e allepeE eaemptian. My Wolalion al Section 7031.5 by
any aOVlicant far a Dermit suGjects t�e aDDlicant m a civil penalry al not more than frve AunEmE tloAars (5500).
�I, as owner ol t�a pmpeny or my empbyees witA wa0es as t�eir sole compensation, vnll Oo the work, antl Ihe
❑ stmcWm is not inten0ad or oflara0lor sale (Section 70ad, Business anC Pmlessional Code: TAe Contacrori Staro License Law
Uces not apPN �o an awner ol a propeM � �uilEs or Imprwes t�ereon, anE x1n Oces such vrork Aimull/hersell or thrauph
his or her ovm employees, proviOeE tlut wcA ImO�%'ements are nat inten0e0 or aflere0 lor ule. If, Mwever Ne DuIlEInO or
imOrovement is salA wii�in we year ot mmDletlon. ��e axner will have t�e �uNen of provinp AUSM did not EuiIE or Impmve
far the purpose ol sale�.
I, as awner ol the Droperty. am exclusively contractlnp vAN IkenseG contractors ta wnstmct Ue prole�� (��Gon 7044, Business
❑ and Protessbns Catle: Tha Contractors' State lkensa Law Eoes not apply ro an avmer of properry wtw Umltls or improves ��ereon
an0 who coniracb far such pml�Ls cdh a caNracror(s) licensa pursuant to t�e Contractors' State L¢ense Law). I am aware
ihat Drooi ot iMlr Worker's Compens.tlon insurance s�au10 Ge DranOeU Io me.
� 1 am exempt unCer Sadbn: B. d P. C.
lor I�is reason:
Date: Owner.
I do AereUy certiry that I am aware ol antl un0erstantl l�e reQuimments al Califomu Neatth and Safery Code Sactions 25505, 25533, an0
25534 and Nat I or any IUNre builEinp occupant wiiWnil nm (tirGe one� neeE ta comDN �t� uiE state codes and the reQuiremenis for a
permit for consimction or moAifiwtion Iwm tAe ar Oualiry Manapement Disincl. FesiEential wnstmction applications are exem0� ��om
�hese provision5.
Date: MP����
I here0y tBrtity ��al I have 2aE I�is apO�iG�iOn antl Sta�B ihal lhe aEove in�Ormaiion is tarrECi. I aqrEe �o tamDN `M�h all [ity anA COunry
OrAinanCeS an0 State Wws reWiinq t0 EuilOinp co�alnwtion an0 �¢reCy aNM�¢e RpasentatNes Of this city rolmer upan I�0 aUave-mentioneJ
proDerty for insDection purpous. ^,� 1/ `
6 � $'��p s; ci:v r �=�,
Oate: pnature:
i Dnver's License ar Saaal secutlry x:
I6C1J6 W�ite—BuilEing; Green—Gma tnwrcemenq i.enary—�pucam; rina—nevenue; uoiaenroo—rusaxwi
CITY OF COSTA MESA - BOILDING PERMIT
PERMIT NO: E 047787 PLAN CHECK NO: N
CONSTRUCTION TYPE: WOOD 5-N PERMIT TYPE: ELE
JOB DESCRIPTION : REPAIR FIRE DAMAGE (100 AMP ELEC SERV)
PERM NO: E 047787
GOVT: N SUPP: Y
SQ FT;
PURPOSE: OTH
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /
COMMENTS: RE: G46290 PRIMARY BLDG. PERMIT.
���*�r*�****�r**�*it*�**��**jrrt****it****x�xx�e*�e�rir***ir�+t�*�*�+t�+r+t�r*�*****�r��r***��*��
2 O N I N G R E Q U I R E M E N T S
S E T B A C K S
---------=-- MAIN HUILDZNG ---------- --------- ACCESSORY HUILDING ---------
FkNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV: PARCEL: 43912119 ZNE: REF NO:
PLANNING N TES>
>
iE iF iE if iE ik if *�If af iE iE �lf iE iE if if if iE jE 1E if iE iF iE # iE if iE if if if jF iE iF jE if iE iE if iE iE iE iE if iE �E iE �lE if iF iE i!'lE if iE iE jE iE iF iE'rE iE iE iF iE iE it iE if iF if� iE iE �lf iE iE iE jE
D E V E L O� M E N T S E R V I C E S A E Q U I R E M E N T S
ZONING APPROVED BY "�" DATE:
BUILDING APPROVED BY : '., DATE:
APPLICATION ISSUED HY: DATE: %�l$�'—'�CJ
�tikiFit�Fifjfikilifitikif�Fk�1li4iEiEitiFit . fF�F1F'i ifiEiEiF!likiflEiEiE��iF"iF� iEiF
ifiE�fiklflFlElfiffflfffiFltjEltiflk�lEitlkklEiEjf�kfklklfillflf�FiElEIE�1ElfifiEifiElflk E�lEltifif�lEifiEififli�ElflEiElElFiEfffEiflEfEiE�1EiF�fiFiEf(�Iflfif3E
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18.50
SOt SMIP/NON—RES
PLAN
ISSUE FEE 4.50
bUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 18.50 4,50 0,00 23.00 23,00 .00
REVENUE DIVISION TOTALS--> COLLECTED; 23.00 OVER/SHORT: ,00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
23.00
it iF+! ik iE it i! ik ik ik ik �k if it it it it �F if it iF iE ik if ik it iF if iF if iF iE 1f if iE ik iF iF if if if iF if if if it ik ik iE iF ik ik i! if ik iF if iF 1E it it iE iE 9F it it if 1E iE jf if if iklt iE iE if if iF
I N D, I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V s BELOW 201 AMP 18.50 18.50
END OF FEES
0100463352-C�GOb's"s52 'fo�T ?3.00
D.4TE: Obl1�190 TIFiE: 1C:14
f
CONSTRUCTION AND PLANNING - - POOL & SPA '
APPROVALS Permit # Date Inspector qpPROVALS Permit # Date Ins�ctor
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
i'
2. Soil Pipe-Undrgrnd. "' 53. Steel Reinforcement -
3. Electrical Conduit UtilitY•Undrgrnd. 54. Forms :'
4. Electrical Conduit-Undrgrnd. 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-Undrgrnd.
8. Foundation _- .. 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrg�nd. - � 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor Svstem __ 61. APPROVAL TO DECK
11. Property Sewer 4ine & House Connection � 62. Backwash & Receptor�Final _
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
7�. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rou9h Factory Fireplace APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating _ 71. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing , 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling (St�uctural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing&Siding �� 77. FIXEDSYSTEMFINAL
29. Insulation 78. FIRE PflEV. FINAL
r
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
i �, ,
36. Hood or Canopy
37. Final Factory Fireplace � / , �
c-
38. Final Plumbing -
39. Water Service-Final '
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44, Landscape Irriqation System
45. Sound Attenuation
46. Hand�icap Regulations
47. FINALSTRUC7URE&BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PflOJECTRO�flES3: 34O MONTE VISTA AV
OWNEfl'SN�ME: WEST
aooxes� SAME AS ABOVE
RRCHIENGIXEEfl: �� 1 4� 6 4 6 - 1 5 6 0
�DOflE33:
uxrt:
CITY OF COSTA MESA - BUILDING PERMIT
PERMIT NO: IB 048004 PLAN CHECK NO: N
CONSTRUCTION TYPE: WOOD 5-N PERMIT TYPE: OTH STR
flE0.N0.: I JOB DESCRIPTION ; REPAIR FIRE DAMAGE
UNIT:
PE"MmEE: PARTNERS CONSTRUCTION ( 714 ) 778-2616
aooxess: �0{8�'7NM VAI,LEY q E
LICENSEO CON7MCTOH OECI]IUiI�N: I �erehy atlirm �ha� � am licensee uneeCr pv�anZol�C��er 9(cammencin0 with Section
70W) of Division 3 0l t�e Business anE Proteuions CaUe, and my license is in lull lorca anG effact.
cin uc.: 0 2 9 6 3t7I1S �TE�c.:416 5 5 6 /,}�� P
oate: �_� — �9naturc: �Sl=V�
WOBI(EPS'COMPENSPTIONDECUMTION: I�ere6yaifirmttutllaveaceNfiwteotconse oself-insumoracertificateoiWarkers'
. ComOensation Insurance, or a certilieE copy thereoi (Section 3800, LaG. C�.
Poucrxo.:WA900823357 IXP0"TE 09/12/90
carnr�xr: CNA I NS CO
[�( CerlifieE capy is hereC fumis�eE. ❑ Certifie0 wDY �s fled wrt' � Ne cpy BuilOi 0��n.
/� n.a��/�1
�, Date: � �� �—l� MPliwni: �udV[/1 I
IXEMPfION iNOM V/OflllEfl3' COMPENSITION OEUAM710N: (Iha secum me0 not �e mmplete0 il e pemit is la me nundreE (5100) a less�.
I certiTy tha� In �t1e De�ofmance at Ihe work tor wAit� IAis permii IS i55ue0. I Shall noi employ any person in any manner So as to 6¢fAme
suhjeCt to the Workers' ComcenSation Law3 of Califomia.
Date: SiqnaNre:
NOTICE: If. atter makinp tNs Oeclaatian, you shoWE became whle�� �o the Waders' Compensatlon provisions ot the La�or
Cade, you must fort�witA camDN'M�h such provisions or tAis Dertnit shall be Ueemetl revoka0.
CONSTBUCTION LENDINO RGENCY: I �erehy aMrm Ihat fAere is a mnswction lenainp apency lor the Oerformance al Ihe work lor
w�ich tAis permit is issued (S¢ttion 3097, Civ. C�.
LENUEfl:
FDDPESB:
OWNEB BUILOEB UECUMTION: I AereDy affirm ihat I am exemD� �rom Ne Contraclors' State Lkense Law for Ihe lollowinp reason
(Sectian 7031.5 Business and Pmtessianal CoCe: My ciry ol counry whkh requires a Oe�mil ro consirucL a�[er, Improve. Aemolish, or
reoair any stmcture, pdor to its issuance, a150 reQuires t�e dppliCant lor such permit to tile a 51pneE statement that he/sne is Iicense0
pureuant to Ihe provisions ol the Contractars' Stata limnse Law �CIUD�er 9(cammendn0 M+�� Sectlan 7000) al Division 3 0l t�e Business
and Pmlessions Caae) or thal tre/slie is exemD� ��eatmm antl Ihe basis far t�e alle0� exemD�lan. My vioWtlan of Sectlan 7037.5 Oy
any apD�icant far a Dermit wUjecis Ihe apWipnt m a cNll penalry al not mora Ihan tWa hundraG Oollars (S5W).
PERM NO: IH 048004
GOVT: N SUPP: Y
PURPOSE: OTH
SQ FT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: REINSPECTZON R.,EF; G'�c�-(�Z�,Q
iE iE 1E �)E if M�9E 3E it �N��IE iEiF �k it iE �iE it i4 3F iE �it-k iE it #-0t iE ik �lt ik �k iEiE �l(-dE-lF �lt iE �lF dk �k iF if �� �IEiE iF if iE iE iE if iF iE if -lE if iF if�-lE iE�7E �k 3F-1F iF d(� � it iE �E dE �)E dE it iF �lE dE
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: PT IN REAR: FT ZN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: F'T IN
PARKING REQ• PROV: PARCEL; 43912119 ZNE; REF NO:
PLANNING NOTES>
>
it iE iE iE iE �(-it if iE iE iE iE it it it iE it # iE it iE it� # iF iP ic� it iE it �1t # iE it it # it if �E iE iE it iE it i(� iE iE iE ik it iE iE iE iE iE iE it i4 it if if iE it it iE if iE it iE iE if iF ii� it it if i! jE iE iE
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 i�i E N T, S
20NING APPROVED BY DATE: �
SUILDING APPROVED BY ;
AF�PLICATION ISSUED BY•-
fEif�kiEitiEiE?tiEikiFifikkitfElEitlflk...-,n-x�t i7
ie iP i! it i! it i(� iE iE iE iE k iE iE iE iE iF if if iF it ik iE it dE it iF k iE # iE iE �E if .'
LEGALIZATION:N F E E
BLDG PMT PLUMBING ELEC
PERMIT 30.00 ,
PLAN
ISSUE FEE
DATE:
DATE: �• 03'
. *�**�t�*�t**�F , ��*
1E !E !E!f iE it'1F ik iF ## iE i! if'iE if it'.41E if at if !f iElk iE IF iE �1FlE 1E 16 if ikiE ib if ih iE
U M M A A Y STRUCTURAL SEGMENT:Y
C MECHANIC FIRE SMIP/RES GRADING
SMIP/NON-RES.
�, as ow�er oi tne DropeM or my em ioyees �nm wapes az tneir sde wmpensation, unll do tne wor�, a�a ma HUILUING-DIV-> PEP.MIT ISSUE PLAN-CHECK TOTAL PAID DUE
� stmctum is not intentlea or oneren br saie �s�ectlon 70ae. euslness ana Pmtessiona� Cotle: Tne Contractors' State Licensa Law TOTAL S----> 3 0. 0 0 0. 0 0 0, 0 0 3 0, 0 0 3 0, 0 0 , 0 0
� Ooas nol aODryta an owner ol a D�operty wAo builas arimprovas thereon, and wAa Uoes such waB himself/Aarsell or��roup� �
Ais ar her awn employees, D�� ��� wc� imD��ments am rrot intenEeE or ofiereE lor sale. Ii, however t�a buildinp or
improvementissolOwlthlnoneyearofcomO�eGon,NeownerxUlhaveNeDurdenofO�ovinphelslieUitlnot0uiltlorimprova REVENUE DIVZSION TOTALS--> COLLECTED• 3�.00 OVER/SHORT• .0�
rormap�rvosearsaie). bLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I, as awner ol tAe proDerty. am exclusively conlraclinp vnth IicenseA coniractors to wnstmct IAe pralect (Sectlon 7044, Business 3 0. 0 0
❑ anE Prolessions CoGe: Tha Conlacmrs' State Liunse Law does nol apply Ia an avmer ol pmperty wiw hwlJs or improvas IAereon
anOwhoconiraclslorsuc�D�ajecls��t�aconiracmr(s�liunseDurSwnitot�eContrapors'State�censeLaw).lamaware *�*************�*��***�********�*���*********�*�***************�*�*******�*****
Itwt proot of their Warker's ComDenseLon msurance 51iou10 Oe D�on0e0 ro me.
� I am exemD� unUer Section: B. 8 P. C. I N D I V I D U A L F E E b R E A K D O W N
lor t�is reason:
TYPE QTY
Date: Ownar: I
I do hereby certiry I�at I am aware ot anE untlersWntl Ihe reQuimments of Catifomia Healih anC Safary COGe Sectians 25505, 25533, anA I N S
25534 an0 t�at I ar any imua buil0ing occupant wilNvill irot (drda one) nee0 to comDN ��h sai0 state coEes antl t�e reQuirements br a
permlt for consiructian or mo0ificatbn imm tlre Nr Waliry ManaOement 06lnct. NeSiEen6al canswction aDD�����ons are eKempt iram
�h¢50 pfOvi5100S.
. Da�e: Appliwni:
�I I �ere�y certity that I �ave reaA this applicatian antl state Itwt t�e aEave inlarmation is cartect. I agree ro camply witA a0 ciry anE counry
i ortlinances an0 state Wws relarinp tn OuilAinp cor¢wction an0 MreOy autM�¢e apresematnes of`tus dry lo emer upon Ihe abovrmentloned
praDerry for inspecti n pu '/�j�(J{� , �
Date: ?� �� Siqnamre: V — N I �
Dnver's License or Social Securiry X: * �
1841-06 WN�o—Buildirg; GreerCoOa Enlorcemant; Cenary—ApplicanC Pink—Revenue; GolCenroE-0.caessor
1
D E S C R I P T I�J N
bUILDING RE-INSPECTZON FEE
END OF FEES
UNIT COST TOTAL COST
30.00 30.00
\ _
01 DD06444b-Q�05#446 -�'s� � •a0.00
DNTf: 07/�73l9a TI17E: 10:1D
CONSTRUCTION AND PLANNING � POOI & SPA _
. APPROVALS Permit # Date Inspector qppROVALS Permit # Date tnspector
,. 1. Temporary Electrical Service or Pole 52. Pool & Equipmeni Location
�
2. Soil Pipe�Undrgrnd. , -� 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrqrnd. 54. Forms '" -
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcemen[ 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �. _
9. Water Pipe�Und�9rnd. ' 60. Backwash Lines, P-7rap, O Undrgrnd.
10. Structural Floor System �^ � 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection _. 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing System � Final
14. Rough Plumbing 65. Electrical-Final
75. Fough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring S�9n 68. APPROVED FOR PIASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -
79. Rough 4eating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, Ventilat�ng 71, Product Piping OGas ❑Oil
23. Gas Pipe�RougN & Test 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceilin9 15t�ucturaf) & 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 �. -;i HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat' �� 79. FINAL INSPECTION
32. Electrical Power M2ter-Final B0. FOOD CERTIFICATE ISSUED
33. Final Electric ' � Notes:.-
34. Final Heating & A�r Conditioning j �
35. Final Gas Pipe-Test'� � �
36. Hood or CanopY ' '<�,
37. Final Factory �ireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar Oomestic�Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenu5tion
46. Handicap Regulacions
47. FINAL STRUCTURE & BUILDING �
48. FINAL PLANNING . �
49. Electric Releas¢ to Edison -
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY
No. Date
PFOJECT AUOflE55: j 4 O MONTE VI STA AV
OWNEN'SNAME:WEST, ALOISE TR
aooRess:340 MONTE VISTA AVE
COSTA MESA,CA 92627
AHCH/ENGINEEH: � 714 J 646-1-�60 flEG.NO.:
RDDflESS:
uxiT:
uNiT:
PEPMITTEE:WILBER ROOFING INC. ('714 ) 827-0861
anosess:1'0D5p01 QCLAUDZA CIRCLE (' �q
LICENSEO CONTFACTLBYOECCA ATfU�: I �ereby aifirm that I am licensetl unde`r�provisanos o( Cfia�pler 9(commencing wi�h Section
7000) ol Dimsion 3 olihe Business and Prolessions Catle, and my license is in full�orce antl eftect.
cirv uc.: sTaTe uc.3 z z 1 � 9 ci ss C 3 9 ���
oa�e: 3 C `7 Signamrc:
WONNENS' COMPENSPTION DECLABATION: I �ereby afhrm t�at I have a centlicate ot consem m sel4insure or a cemfiwte of Workers'
Compensaeon Insurance. or a rer�i�ied copy Ihereo� (Sec�ian 3800, lab. C).
voucvNo.:285-930NIT59 ExP.o"TE:01/01/94
comeaxv:STATE FUND
❑ Ceeihetl copY is hereby Wmis�ed. � Certifiea copy is liletl i�� e city Builtling �iviron. _ I
/ ////
/A % , l�Y
Date: 3 a Ap0licanl: �����'�'«
i
E%EMPTION FBOM WOHREPS'COMPENSATION OECIAflATION: (This section neetl notbecomDle�etlii�he permitislorane hunA�eA�5100�or1e55).
I cetlify Iha� in ihe petlarmance ol �he work �ar which �his permil is issuetl, I shall not employ any person in any manner so as �o become
subjecl lo the Workers' Compensation Laws ol Califomia.
Oa�e'. Signa�ure:
NOTICE: II. aner making ihis declara�ion. you 5hou10 become su�lec� �o Ihe Warkers' Compensa�ian pmvisions ai Ihe Labor
Code. you must forihwilh comply wit� such pmvisions or this Dermi� shall be tleemed revoke0.
CONSTBUCTION LENOING AGENCY: I hereby a�firm �hat Ihere is a consimc�ion lending agency �or Ihe DeAormance o� the woB �or
whith I�is permi� i5 i55uee (Set�ion J097. Civ. C�.
LENOEH:
RUONFSS:
OWNEH BIIILOEfl OECLAFATION: I hereby aifirm �ha� I am exemp� imm ihe ConVactors' Staie License law lor �he �ollowing reason
(Section 7031,5 9usiness antl Pmiessional Coae: Any ciry o� coun�y which reQuires a Oe�mi� to conslmci, alier, improve, demolish, ar
repair any sVuc�ure. Drior to its issuance, also requires the applicant lor such permi� lo tile a 5iqneU stalemenl lha� he/she is Iicen5e0
pursuanl lo Ihe O�ovisions of Ihe Comrac�ors' State License Law (Ghap�er 9(commencing vnth Section 7000) ot Division 3 of �he 9usiness
an0 Pm�essions Code) or that he/she is exempt �herelrom antl Ihe basis �or Ihe allegetl exemption. Any violation ot Section 7031.5 by
any applicanl for a permi� sublec�s Ihe applican� to a civil penalry o� not more �han five hunOreU tlollars ($500�.
I. as owner o� ��e pmpehy or my employees wi�h wages as Iheir sole compensa�ion, will ao the work, and �he
❑ SimcWre is no� in�entled or ol�eretl �ar sale (Seclion 7044, Business and Pm�essional Code: The ConVac�ors' Slate License Law
tlaes no� apply lo an owner of a pmperly who Uuiltls or impmves I�ereon, anA who tloes such work himse�i/hersell or Nwug�
his or �er awn employees. provitletl Iha� suc� improvemenls are noi imenUeO or otferetl �or sale. If, however the �uiltling or
impmvement is soltl wi�hin one year ol comple�ion, �he owner will have lhe Durtlen oi proving helshe tlid nol �uild or impmve
�or ihe purpose of sale�.
I. as owner ol �he pmperty, am exclusively conVac�ing wilh licensea conlractors lo consimcl lhe prolect (Section 7044, Business
❑ and Pm�essions Cotle'. The Coniraclors' S�a�e license Law Ooes not apply m an owner o� DmDerty who builOs nr impmves [hereon
an0 w�o coniracts �or such pmlects wilh a conVac�or(s�license pursuant b Ihe Conlractor5' Sia�e License law).1 am aware
Ihat pmof of ��eir Worker's Campensa�ion insurance should be pmviUed �o me.
� I am eKempl unaer $ection: B. 8 P. C.
lor I�is reason'.
oate: owner'
I tlo hereby cetlify I�at I am aware ol and unUerstand Ihe requiremems ol Cali�amia Heal�h and Safery Cotle Senions 25505. 25533, and
255JA and tha� I or any INure buAtling occupanl will/will noi (circle one) neetl to comply with said slale cotles and I�e requirements for a
permit for consimctian or mo0ihca�ion Imm 1he Air Oualily Management �islricL Residen�ial cons�mction applications are exemp� �mm
Ihese provisions.
�ale: Apphcanl'.
1 hereby ceruty �hat I �ave reatl Ihis appliwtion antl s�ale Ihal lhe above inlormaiion is mrrecL I agree lo comply wiN all ciry anA county
ordinances antl staie laws relating lo �uiltling consimciion an� hereby au�ma�ives o� ��is�uPon ��e above�mentioned
pmperly for inspe Iion u�pases
_ Date: Signat �
Oriver's License or Social Sewriiy a: ��
t6a1 n6 Wnite—Bwltling'. Green—Cotle Enforcement; Canary—Applmanl: Pink—Revenue; GOltlenm0—Assessor
CITY OF COSTA ME5A — BUIliDING PERMIT PERM NO; B 061181
PERMIT NO: H 061181 PLAN CHECH NO: N GOVT; N SUPP: N
CONSTROCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE; ALT
JOB DESCRZPTION ; T/O ROCK, APPLY FIHERGLASS SfiINGLES SQ FT; 4,000
CLAIM VALUE: 4,000.00 CALC—VALUE; 4,000,00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE UBC.
x�r*�r******�**�r*��****�**�*�� x��r�*��r�*���**�r***x*�r*�r�*�r�t*�r�r*�*�*�*******��**�*�
Z O N I N G R E Q U I R E M E N T S
sErBacxs
------------ MAIN BOILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN HGHT; FT IN LEF2; FT IN RGHT; FT IN
PARHING RE�i • PROV: PARCEL: 43912119 ZNE; REF NO;
PLANNING NtST'ES>
�
iE iF 3F iEiE 3f k iE 3E �F 3E �f iE jf it fb 3f 1f 1E if if if 1E �lE ik �1ElE iE iE if iF 3f �f ff iE %iE IE ff iF 1FiF jE if iE �k �E iE # 3E 3F if If 3E 3E �E iE iE iF iElf iEjf �E IF �E !6 jk iE 3(�iE �E iE 3f 9E jF �E jf 3f
U E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N�_�' S
7.ONING APPROVED HY , DATE:'�
HUILDING APPROVED BY ;
APPLICATION ISSUED BY:
�**�rx��*�r�r�r�r�r*�*�r�t*�*�. � .'. . . . � , �
lE 1E �E iE �ll� 1F if� dE k iE jE 3f �Ik 3E 1E iE 3f iE-1E 3E 3f 3E aE if # iE 1E �f iE * Ik iE 1F 3F iE �1(� 3E if iEj(' 3f iE 3E jf ak jf 3F
LEGALIZATZON;N F E E S U M M A R
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 63,00
PLAN
ISSUE FE2i'
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 63,50 0,00 0,00
REVENUH DIVISION T'OTALS--> COLLECTED;
BLDG PMT PLUMBING E:LE:CTRIC MECHANIC
63.00
il� 34 i6 3F 1f 3k
Y
FIRE
DATE; '��
DATE� c3/
iE if fE 1E iE iF iE�l(-�Fii�i�iFif 1E
iE iF iF �t �f jE if 9F�1E 16iE 3(� if%jE iE iE 3E iF i�
STRiICTURAL SEGMENT;Y
SMIP/R50 GRADING
SMIP/NON—RES
TOTAL PAID DUE
63,50 63.50 .00
63,50 OVER/5HORT: 00
FIRE SMIP/TOT GRADING PLAN—CHECK
.50
iF iEik k iFlh k!E 3t-1F iE iF iE iE ik ik if ik #!E iF iF iF 3E it iE ik if iE iP iE iE fE iE iE IE iF iE iE !E ik iE iF 1f iE iE iFiEik itlElt IF iE iElF if ih iF 1E iF iE iP iF 3f iE 1f #ib it �E ff ihi(� iF 1E if iE 1E
I N D I V I D U A L F E E B R E A K D O W N
T'YPE QTY D E S C k I P T I O N UNIT COST T�TAL COST
SFR 4000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 4,000,00
END OF FEES
r
,
r---� �
CONSTRUCTION ANp FI.ANNWG POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date fnspector
t. Temporary Electricai Service or Pole � 52. Pool & Equipment location
2. Soil Pipe-Undrgmd. , 53. Steei Reinforcement
3. Electrical Conduit Uxi�ity-Undrgrnd. 54. Forms
4. Electricai ConduiFUnd�9rnd. 55. Electrical Bonding �
5. Steel Reinforcemenc 56. Rough Piumbing & Pressure Tzst ; i
6. Electrical UFER Gmd. 57. APPROVAI TO COVER�GUNIT[
i
7. Footings 58. Elecirlcal Conduit�Undrgmd. �,
8. Foundation ' 59. Gas Pipe, O Undrgrnd.. Test �
9. Water Pipe-Undrgrnd. � - 60. Backwash Lines, P-Trap, � Undrgmd. I
_t
10. Structural Floor Sysiem ' 61. APPROVA�TO DECK '
11. Property Sewer Line &}�ouse Connection 62. Backwash & Receptor-Final ��I
12. Sewer Cap � 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing SYstem � Finai
14. Rough Plumbing 65. EleMrical�Finai
i
15. Rough Electrica6Conduit 66. Soi2r System-Final I
16. Rough Electric Wiri�g 67. Fertcing & Access ApP�uval �
17, flough Wiring Sign 68. APPROVED FOR PLASTERING '
1S. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL �
19. Rou9h Neating & Air Conditioning F(RE DEP7. REQUIREMENT �
i
20. Rough Factory Fireplace APPROVqLS Permit # i
27. Ducts, in Structure 70. Underground Hyctro '
I
22. Ducts. Ventilating J1. Product Pipin9 �Gas OOii �
23. Gas Pipe-Rougfi & Test 72. Underground Flush '
24. Roof Framing 73. Undergmd. Storage Tank O Gas ❑ Oii (
25. Roof Sheathing � 74. Overhead Hydro �
26. T•Bar Celting 4Sxruct��ali &�rtortocnat 75. Dry Chemical
27. Frame and Flashing 76. Ory Standpipe �
28. t,athing & Siding � 77. FIXED SYS i EM i-INAL j
29. Insulation � � 78. FIRE PREV. FINAL �
30. Drywail Nailing � � HEALTH DEPT. REQUIRENtENT i
i i
37. Plaster Brown Coat , j � 79. FINAL INSP£CTION �
32. Electrical ?ower MeterFinal � � i' S0. FOOD CERTIPICATE ISSUED ___��
33. Final Electric � �._ Notes: -i
34. Finel Heating & Air Conditioning � I
35. Final Gas Pipe-Test j '
(
36. Hood or Canopy � , '
i (
37. Final Factory FireplaGe � f I �
38. Final Plumbing � � �
39. Water Service�Final � � '
40. Gas Service-Final %� .
�
4/. Solar pomestic-Fin;l � �
i i
42. Backfiow Preventer ! �
43. Backflow Irrigation
44. Landscape Irripatio� SYstem
45. Sound Attenuetion �
46. Handicap Regulations /) , � �
_''1--�-
47. FINAL STRUCTURE & BUILDING �/��f i` �� � �
48. FINALPLANNWG ' 1 , i
49. Electric Release to Ed�son � ,';
50. Gas Release to Southern California Gas Co � �
51. CERTIFICATE OF OCCUPANCY
No. Date
. � 18029
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COSTA MEBA. GLIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING 3 /�O //K
ADDRESS / ��
COSTA ME A. CALIFORNIA
LIC. NO. -�U v �'�. "' NO.
SIZE �U ��/ X X L I NO. OP BIDGB.
�]P f.[]T NOW ON L�T
.; , I i 7 iy6Z
' ' ��n_j� - �
�
�
� ° � _"i�....�4:�._ ��E�'�i
��� � FiN �CE OEPT.
� � � �CIIY QF COSIH iV1ESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
` RECEIPT NO. PGpyIT �19.
�ii ri� �
aecerv�p �er oe*� ,� ece5Ye.,n L �owre �eaueo.
l�, I /71-(/-�v.f�,�C( `� � Iy02
COSTA MESA.
ZONING
zoHe rvo. oF uea on Hew
�—, I PLANB � BUILOINO �
LEOAL L� /� /� L/ �
OEBCPIPTION l
A. P. NO.
YARDS EVES
9HTBACK LIN6 PROM / h �/. (�NT6N IINH BT.)
CENTER OF sTReei • REAR YARDL �� FRONT
� /
SIOE YARD I LEFT RIGH7 ft.51DE
DESCRIPTION OF WORK
NO. oF
EXTERIOR WALL ROOF
COVERING COVERING
USH OF BIIILDING ND WORK TO BE PERFORMEO
I HERE9V ACKNOWLEDGE TlIAT 1 HAVE REAO T APPLIGTION
AND BTATE THAT TH6 ABOVE I8 CORRECT AND AGPEE TO COM-
PI.Y WITX ALL CIiY O INANCE9 AND 6T/�TE LAWB PE6ULAi1NG
BUILDINO CONBTRU ON. � f/ / �
i� ��
SIGNATURE OF Ai M Lf.I / A/M.
'AUTHORIZED AGENT
�
ry
y � FT. IN.
S FT. IN.
{ FT. IN.
�% FT. —J �N.
�O�n... DATE I%6/�Z.
�J -��3 y.��'L�-y�� � �
THE AMOUNT HXOWN UNOBR VALUATION 18 POp THC
PIIIiPO6E OP EBTABLI9HING F PERMIT FEE ONLY.
VALUATION � , �f
PERMI7 FEE $ ,11��
�CL'_/ N
$ ���� PLAN CHECK $ L�� / — p
S
TOTAL FEE �� �
4