HomeMy WebLinkAbout3100 MONROE WAY - Building Permits- ✓i
. � Applicant to fill in all soatts eacept those within heavy bo.aer lines ane sign all aDVropriate aeclarations.
�CITY OF COSTA MESA ' CONSTRUCTIQN.PERMIT- PERMIT NO. ' .TRACT NO. . LOT N0. � UNI,T N6. ,
, -'3ioD —�p ' �. i�7!»�.s3%Q - •• . ; ', . ,
� Pro ect Address OA� 0 P� �ii1� � " ' ' �
(�� ' "' --�� ', ��TVPEOFCONSTRUCTION' �,NEW ADD ALTERATION� 'REPAIR �
O Applicant's Mailin Address IS.33 Gl� �/A.L�d�.✓� � i `+
� Owner'S Name UVP_ �U1�L�G.a%�-/ ` � CONVERSION 'O DEMOLISH ❑ OTHER
� Phone-��fs�-rP� DESCRIPTION OF WORK/USE OF BLDG. - � A P# �
� Address , �/h� - � ' . S Main Building
^ Arch/Enq. ' �LicenuNo. - � ' TVPEOFPERMIT � - GRAOIniG FOUNDa7ioN STRUCTURAL �� .T Front
\ ' Addre55 � . ❑ TENANT ❑ ELECTRICAL �PLVMBING ❑ MECHANICAL B Rear -
; Contractor'S Name e Phone77�"��70 � � �OTHER ; . : r ' %:-
�Addresslmailin9l�s-3"�i �w� �i-/(/eJ�.(�- � PROJECTDESCRIPTION.sQ.F7. occuaqNcv K Right ,
a� CONSTRVCTIONTVPE ' VALUATION$ Left
� City hicen5e No. S/3� � ' ZONE � GRADING CU. VDS. ACRES � �Pln Ref. #
IICENSED CONTRHCTOR DECLARATION � 9'
I hereby aftirm that I am licensetl untler provi5ion5 of Charter 9(commencing Remarks: , � . Planning NOtES:
with section �000). ot Division 3 ot the Business antl Protessions Cotle, antl
� my license is in full t,gce�7 tl eftect. ' ' � • � ' �
LJC¢lIS^E Cld,�5' �./ �� -+� . n License�C�o. ��7�-r7 �
�.[ ,Date�d2L(� Signatur �—� yd��//`-.1ix-o ' ' � PWMBING � FEES' ' '
Do WORKENS' COMPENSATION DECLARATION / � Bd�.Sipk , � ShOwe�i '
I hereby atfi�m that I have a certifitate ot consent to selbinsu�e oi a ce�tlficate '
� ot Workers' Compensation Insurance o� a certifiea m thereot (Set[ion
_. 3348 -9/18/86
� , i __ _ � .. , ,
,. : i . ,
� � - - Accessary Building:
`. ?800, Lab. C.�),/ '/ - � � �� ! PY, . Backflow Preventer Service Sink _ . - �Automatic Washei
` !N-�licy No. v`�` �T� Company�!/CK ��,✓S� ' eackf�ow Irrigation Sewer Cap� � ' Construction Pole
1 .?�] Cerhtiea copy is hereby fuinishetl. � ' ' � ' � � - , .
q' B-cer� {"fletl fooY�1 filetl with the ci� �w/1-N� iltli'n�' D%'vis�i Bathtubs � Sewer Connection Cooking Unit
Date /'ad'�'"� APPlica�'iL—,�^'�-� " � , '
\'� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION CId�iFi¢f5 � � SOId� COII¢Cto�s Di5hwd5h2�
(This Sectlon neetl no[ be wmplefetl if the permit is /o� one.huntlretl ($300 or -- . -- -
less). � Dishavdsher . Solar Pipin9 � Dryers ❑Gas
1 t¢rtify tha[ in the perPormance of tM1e work (or which tM1is perm�t is issuetl, I
shall'not employ any person in any manner so as to become subject to the Orinking Fountains Solar Tank � ' Fan
Wo�ke�s' ComOensation Laws oi Californla. �
. Date � Signature ' ' � Floor Drains . � Swimming Pool w/Spa ' � F.A.LL � '
'NOTICE: If, after makin9 this tleclaration, you shoula became subject to the
Workers' Compensation'provisions of tM1e Labor Cotle, you must forthwitlt ! FloorSinks � Urinal
compty with such, provisions or thi5 permit shall be- deemetl �revok¢tl. - -- _ .. .FixtU�¢5. _
:CONSTRUCTION LENDING AGENCV � ' �- - � GaSSerVice�� OuUetS�, � Wate�ClOset " ' ' ` DeviceBoxes
' I hereby a(/irm that th¢re i5 a construction lentling a9ency fo� tM1e pe�to�mance - '' ' -
'of the work tor which "thiz permit is issuetl (Section 309� Civ. C.) Interceptors � ' Water Heater � pZ � Outlets �
' Lentler's Name - '
� Lentler's Atltlress - - Kitchen Sink � . � � " Water Service � • Switches
OWNER'BUILDER DECLARATION� ' � � � �� _ , , , . .
❑Electric
_ . f ,
Parkina Reo./Pmvidis
�
- .' 5:00 TL"'
. : . ,. .. t. � �'
ne .�
. Z
_ '�
N
' 1
� ,� .N
, � . ., .G
R.
Q
. . . �' M
� ' S i
ELECTRICAL � '
Transformer ❑ 15-SO�KW -
' ❑50+KW
Meter ❑up2ot00amps�
Meter ❑over700amps
Sub Panel � � '
� I h¢reby attirm that 1 am exempt'fwm the Contracto�'s License Law for [he Cavatones ' . Auto-Wash � Garbage Disposal
following reason (Sec[ion Z031.5 Busine55 antl Professional Cotle: Any city or " ' �` _
' counry wnich reQuires a permit to'wnstrucq alter, improve, tlemolish or repair . P-Trap � � Caundry Trays -, Generetor �0.5 KW �5-15 KW
any structure, prio� to it5�i55uance, also requires the applicant fo� such permit � --� — �
t0 file a Si9netl statement that he/s�e i5 IicenSetl pursuant to the proviSiOns of
the Contractor's License' Law (Chapter 9(mmmencing with Section ]000) of
Divislon.3bt the Business antl Professions Cotle) or�that he/she_is exempt
the�efrom antl the'basis for the alle9etl exemption. Any viOlation of'Section
7031.5 by any applicant Por'a pe�mit subjects the a001icant •to a civil
�naliy of nof more than five huntl�etl tlollarz ($500). ,
I, as owner of the'pro0erty or my em0loyee5 with wages�as their zole
compensation, wlll tlo the work, antl the structure is not intentletl or offeretl
for sale (Se[tion ]044, Businesz antl'Professional.Cotle: The Cont�actor's
License law tloes not apply to an owner ot a property wM10 builds or improve5 '
thereon,�antl who tloes such'wo�k nimselt/he�self o� thtou9h his or he� own
employees, provitletl that such improvements are not IntenOetl or otteretl for
sale. If, however, [he builtlln9 0� improvement is soltl within one year of com- ,
pletion; Ihe owner will have the burtlen of proving he/she tlitl not builtl or im-
.� rove for the pu�pose of sale). '
I, as owner of the property, am exclusively contracting �with'licensetl con-
tractorsto construct the'oroject (Section 7044, Business and Professions CoOe:
The Con[ractor'S License Law tloes not apply to an owner of property who
, builtls.or improves �he�eon, antl who,contracts fo� such.projeGts with a cone.
tractor(s) license pursuant'to the Contracto�'s License I..aw). I a'm aware that '
! proof of their Worker's Compensation insurance shoultl be provitletl to me.
i� I am exempt untler Section B. & P. C. fo� this reason
Date � Owner � � �
'I hereby,certily tnat I have'reatl this,application antl state that tne above
�information is'correct. I'agree to romply wHh all city ana county ortlinances
antl state laws relatin9 to building construction antl hereby authorize repre-
.sentatives oi this city to ent upon the above-mentioneG property tor
inspection p oses. - d' c
Signature ' Date a
Roof Drains
'I �Reinipection Fee �, I $15
Boile� � - � �
Duct � Under Ground .
Duct - Structural
Duct- Ventilating
Exhaust System ❑ Multiple
FirepUFact. Blt. ICBO �k
Heating System & Ducting �
❑0.100,000 BTU �100,000
Drivers' License or 55 � � ' � I I Reinspeetion Fee I $75
i
CMF 0865-46, rev.'10/84 Wnite -'Builtling; Canary -"Applicant; Pink - Accounting; Goltlenrotl - qssessor - -
S
Issue Fee -
Hood or Type I ; ❑
Canopy Typell ❑ � '
Refrigeration System ;
❑0.100,OOOBTU ❑100,OOOBT
System Repair/Alteretion
FireDampers' '
Registers � �
$ 3
= Reinspection Fee $75
� DEVELOPMENTSERVICESREQi
� 2oning Approved By
Building Approved 6y � _
Appliration Isiued BV
Issue Fee $ 3 �
Morors � 0� 7 HP � 1%- 8 1
Inc.Solar �9-15 HP �16-15+
. Microwave- � - _- .
Pole Ligh[ � � !
�Range ' '� '
�Sign •
', Standing Sections
Tresh Compactor �
Issue Fee �
EMENTS,
� SUMMARV OF,FEES '
BUILDING PERMIT $ SMIP � :$
PLAN CHECK ' $ —r"_�— PERMIT
P�UMBING $ � (-'O ISSUANCE �$ �
PLAN CHECK 25% '$ � ENERGV P.C. '$ '
ELECTFICAL �$ ' � � �GRADING $
PLAN CHECK 50% $ ' MICROFIL'M •$ •
MECHANICAL '$ , TOTAL FEE $ ' �� �
PCAN CHECK 25% ,$ � . ,
�+GONSTRUCTION AND PLANNING ' � POOL•&.,. A
Date � Inspector � Date - Inspector =
APPROVALS Permit # .. � APPROVALS � Permit #
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 Cond'uit-Undrgmd. � � � , 55. Electrical Bonding - � -
5. Steel Reinforcement 56. Rough Plumbing�& Pressure Test .
".6. Electrical UFER Gmd. � � � 57. APPROVAL TO COVER-GUNITE , �
^'7. Footings . . ' � 58. Electrical Conduit-Undrgrnd.. � �
_8. Foundation � r - : 59. Gas Pipe, � Undrgrnd.; Test '
�- 9. Water Pipe-Undrgmd. , 60. Backwash Lines, P-Trap, 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 ' '
i
13. Roof Drains 64. Plumbing System - Final -
14. Rough Plumbing "_ _ 65. Electrical-Final
15. Rough Electrica6Conduit � � 66. Solar System-Final
-1�6. Rough Electric Wiring � 67. Fencing & Access Approval � �
. �
�17:� Rough Wiring Sign � ' 68. APPROVED FOR PLASTERING � . ,
.18. Rough Electrical-T Bar Cziling 69. POOL/SPA SYSTEMS FINAL . ,
�
�19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . -.
20. Rough Factory Fireplace APPROVALS Permit #'
21. Ducts, in Structure � 70. Underground Hydro � �
22. Ducts, Ventilating 71, Product Piping OGas ❑Oil �
23. Gas Pipe-Rou9h & Test . �' 72. Underground Flush •
24.' Roof Framing 73. Undergmd. Storage Tank O 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
37rPlaster 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 Factory Fireplace . ' � , � � - - •
38. Final Plumbing �,�� (,�Ii ' �
Py•
39. Water Service-Final F'i � -
40. GasService-Final � �;.;"1T � ' ' '
:i:a
41. Solar pomesticFinal •;y-}, ' - � - � - - � - �. - ,�-j
42. Backflow Preventer ; ""'�'"` � , " � '
i�' _. -
,w-i J =i
�^ 43. Backflow Irrigation ' _ ��y , '
44. ,Landscape Irrigation Systein ' " � . ' - � '
45. Sound Attenuation �'t + ' • � �
� .� -
� � 46. Handi,cap Regulations � -�`' ��'�-' � , � � � � . � � �
': 47. FINALSTRUCTURE&�UILDING �- � � �
48. Special Requirements Completed � , - - � i � ; ' ' � -
49. Electric Release to Edison� � � � -�,- � � � � � � ' � . '" �.
�
�
� � 50. Gas Release to Southem California Gas Co , • • , � � " ' �
� , � � i � I
� = 51. CERTIFICATE'OF�OCCUPANCY , � ' � - - -- ' - � - • - � ' '
, � 1 .
No. .. . 'Date . - ,. .. . -- - _._ ._ .. � . ' . , .- . . .. -. ..
� _ . .. .'' .. - �_ ' - - _ '�, �
_ . . , :. . .. . .,.
. ,. . . ,
-- ° -
r ,.. , . . . ... _ .
. . . . .. ,,. � . _
_ - � ., � � ,. ._.. - .. . �
' � ' ` � ' . . . ' . ' . . . j., .. � '. .r ' . � . , . ' .
t . . • - - .. Jan� � i9, ,1965' - , .
� _ :. • -
. , ; • . . . � .. . � .# j �,
" _: ' � ' > . ,
` ' • ' , .. , '
., . � . - ,. • _ - • ., .. .. ,
. .. r . y . ' . . . . ` . � .
, 4 . . . � t� a � .
� .. . .. i . � '. ♦ . _ • . '.
To iatereated principal pi�rties:_ .: . ' ` , ' - *
The'reaideace�crith�attached garage�.locate8 at �100 Monroe Wav.�.r5,thin ' "
the .City, oP Coeta Mesg, . 1ega11.y knawa ao Lot 11. oY,'Traot: 4536, .�+ae constructed �
_ �uuder the. ffittimt�m requiz�meirto oP, bhe iAilYorm BuiZding;CoBed. �.Z961;,F�ditian:� . '� .
, , .. - .. -
. Tliie atructure was. �ons�ructea ,�na�r Buildin� Pe t.��18714;, e]1`neceo=
sauy inspectiona were msde ai�d'a�rproved .py C2ty;Deputy, 1diri�,OfPtciqie,,and �
n
� :PYnal butldin�.inspection.�ao'inado sud approved on.Octobe ' -1963,', ' ; r . �
, .. . � �
�FaiII�IDATI0IP IREqRMATION: • � .
- �. - -
" ' %= 2t�ro �e steol'bt}ro,' ono a. 'the.tcrA an$ , t the�'liottan;� in a11 � , , ._ ..
interior and'exterior,be 'ng walla. " . `- '
• . . , �: • _ - _ • - . .
, -. ;' � � ,
_'Three £q three and or.e-huif;'nch cori5re.te.'slsb �. 1
� �`� . , . .: % -'� �.. . ' � � - � . -
. , ' ' ` I': r . . . ` . .
� . .� . � . . _ .
, + , ,
. � . . -y. • _, .
..> - ;. - . . . .,
,' ,. . " � ' • . : ..
, .±, c , - ' Bezgtuz�d McGeough • �
. � . . � ., '. r - 8enior Depizty. BuiZding OPfYcie3.` ' .
.`PMcG:dh s- z ' ' J y�,. , ", _
. k' .' - . .. . . " ' .. . ' ' .
A., . � . . .. �. . . .
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' " .. _ ' . . a . I� `: ' - _ _ ' _ .
3 l t3D M.c� iJ R� �. w
CiTY OF COS7A MESA CONSTRUCTION PERMIT
Project Address 3 � U V �'`9+'� /�J� w� ,1 ^ _.
" nt'sMailingAddress 33� S• �,�.�/�(�eU�F �AR �i"1'�
r' Db.e...k Dav�:•ep..zt .f'If-StiSY
f0 � Name Phone
•_. � 31U0 /�a�.nU.Q WH CU.Rc. r�RS�
Add.��es�s
Arin7Png. License No.
Address
Convactor's Name '�W A I I� So r� /�� Phone �3�-f3r %
Addresslmailingl 33S S- P�SADEN�s �7�'.� 1�1Stih
City License No. 47gZ--R
�ICENSED CONTRACTOR OECLARATION
1 hereby affirm that I am licensetl untler provislons o( Charte� 9(commencing
with se<tion ]000) of Division 3 of the Business antl Professions Gotle, antl
my license is in full forc antl etfecL �
License CI ss L'� icense No. S� f ��
Date G � (�I k5 Si9natwe
WORKERS' COMPENSATION DECLARATION
�I hereby aHirm tnat I have a certiticate oi consent to selt-insure or a certificate
o/ Workers' Compensation Insurance, or a certifletl copy thereoi (Section
-^^oY Ndo. cJ IU�Z.GCJU ComGanv iTk.1t F'l-1.N0
ertifiea copy is hereby (urnishetl.
L�Oertifienr to is filetl with tM1e city Bu�in rvi�%'on. �
Date �I"(� Applicant � �/"^�/
EXEMPTION FROM W00.KER5' COMPENSATION DECLARATION
(Tnis section neetl not be completetl ii tne permit is for one huntlretl ($100) or
iess).
I�ertify that in the performance ot the work for whiM this perm�t is issuetl, I
shall not employ any person in any manner so as to become subject to tha
Workers' Com ation Laws oi CallfornjL�
Date ���.—Signature J
NOTICE: If, atter making thi5 tleGlaration, you Shoultl become subject to the
Workers' Compensation provisions of the Labor Cotle, you must fortnwith
comply with such p�avisions or this permit Shall be tleemetl �evoketl.
CONSTRUCTION LENDING AGENCV
I hereby affirm that there is a mnstruction lentling a9ency for the performance
of the work for whiCh thi5 permit is is5uetl (Saction 3097 Gv. C.)
lRntler's Name
Lentler's Atltlress
OWNER BUILDER DECLARATION
I hereby afti�m that I am exempt from the Contractor's license Law for tne
foliowin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or
county wbich �equires a pe�mit [o const�uct, alter, improve, tlemoli5h O� �eOal�
any strucWre, prior to its issuance, also requires,the applicant for such permit
to file a signetl statement that he/sM1e is IicenSetl pursuant to the prOvlsions of
the Cm[ractor's License Law (Chapter 9(commencinq with Section 7000) of
Division 3 of the Business antl Professions Cotle) or tnat he/she is exempt
i ihe�efwm antl the basis for [he alleged exemption. Any violatiOn o( $ection
'I 7031.5 by any appliwnt for a permit subjects the apPlicant to a civil
alty of not more than tive huntlretl tlollars ($500�.
as owner of the orooerty or my employees with waqas as their sole
,pen5afion, will do the work, antl the strucWre is not intentletl o�-otferetl .
�or sale ($ection ]044, Buslness antl Professional Cotle: Tlte Contractor's
�icense Law tloes not apply to an owner o( a pro0erty who builtls o� improves
thereon; antl who tloes such work himselt/nerselt or through his or her own
employees, piovitletl that such improvements are not intentletl or offeretl for
sale. H, however, the builtlin9 or improvement is soltl within one year of com-
pletion, tne owner will have the burtlen of proving he/she tlitl not builtl or im-
p�ove forthe purpose of sale).
❑ I, as owner of the pro0erty, am exclusively contracting with licensetl con-
bactors to mnstruct the project (Section ]044, Bu5ine55 antl Professions Cotle:
The ConVactor's License Law tloes mt apply co an owner ot property who
builtls or impvoves thereon. antl �who cont�acts fo� such oroiects with a ron-
trac[or(5) Lcense pursuan� [o [ne ConVactor•s License Law). 1 am aware that
o�oof of their Worker's Coinpensation insurance shouttl be provitletl to me.
❑ 1 am eaempt under Section 6. & P. C. �or this reason
�ADo���ant to fill In all spaees except those within �eavy Doraer Iines ana sign al1 aovrovriate tleclarations.
ni r nill TRACT'N(]. I(1T Nfl � i mu-r nin
Date
sentauves or tnis crt
inspection purpose'.
Signature �
Orivers' License or 55
Owner
upon
tate that the above
tl countY ortlinances
aby authorize re0re-
ionetl /p�r Pe Y for
Date G �
13�8-rR� I I . � _.. --
TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTIONOFWORK/�SEOFBLDG.Tl - S �R - IrS'
'�il�ilt+ D�1rtiTnY.�_.�, SS f��b� ➢�
TVPE OF PERMIT _��caaolMG LJ FOUNDATION STRUCTV RAI.
❑ TENANT ❑ ELECTRIGAL ❑ PLVMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ.FT. � oCCUaAN Y '
CONSTRUCTIONTVPE � VALUATION$ ��SO�UR
ZONE GRADINGCU.VDS. ACRES
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
Bathtu6s
Clarifiers
Dishwasher
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service
Kitchen Sink _
Lavatories
P-Trap
Roof Drains
V
Showers
Servite Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Sol Tank
wimming Pool w/Spa
Urinal
Warer Closet
Water Heater
Water Service � �
Auto-Wash
A.P. �
S Main Building:
E
T Front
ARear
C Right
g . Left
Ping. Ref. #
Planning Notes:
FEES Automatic Washer
Construction Pole Su
Cooking Unit
Dishwasher
Dryers OGas ❑Eli
Fan
f.A.U.
Fixtures
Device Bozes
Outlets
Switches
Gar6age Dispoul
Generamr 00.5 KW
Rainspactian Fea � $15 I I Issue Fee / I $ 3 I
MECHANICAL FEES
Boiler
Duct- Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. BIt. ICBO #
Heating System & Ducting
❑ 0.100,000 BTU � 100,000
Reinspection Fee � $15
0865-46, rev. 5/88 White - Builtling; Canary - Applicanh Pink - Accoun[in9; Goltlenrotl - Asseszor
Hood or�e I ❑
Canoov Tvoe I I ❑
�rigeretion System
�0-100 000 BTU ❑100,000 BTU
System Repair/Alteration �
Fire Dampers
Registers
Issue Fee � $ 3
Accessory Building:
Parking Req./Provided
ELECTRICAL '
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter �over 100 amps
Sub Panel
MOtOrs � 0-1 H P � 1%- 8
Inc.Solar �9-15 HP �16-15+
5KW
Pale Light
Range
Sign
Standing Sections
Trash Compactor
I Reinspection Fae !$15 ' � Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
2oning Approved By
Building Approved By �
Aooliwtion laued Bv
SU ARV OF
BUILDING PERMIT $ O � d0
PLAN CHECK $
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50°k $
MECHANICAL $
PLAN CHECK Z5% $
O
N
i
N
G
R
E
Q
M
T
S.
FEES
$ 3
SMIP $ •�
PERMIT
ISSUANCE $
ENERGV P.C. $
G(iADING $
MICROFILM $ /�
TOTALFEE $ v�SD�
U4 '30Q34732-64�a473.; TA?3
DATE: C+5Jt77r29 TIIYE: GSt4�,
CONSTRUCTION AND PLANNING
APf#/A'i�S Permit #
�
6-J 1. Temporary Electrical Service or Pole
� 2. Soil Pipe-Undrgrnd. ' •
„�1 3. Electrical Conduit Utility-Undrgmd. ,
V
4: Electrical Co�duirUodrgr�d. �
�_ -
� 5.�Steel�Reinforcement'�
6. Electrical UFER.G[nd�
� 7. Footings � " ���
�
� 8. Foundation �
(7 9. Water Pipe-Undrgrnd. L
�� 10. Structural Floor System �
� 11 . Property Sewer Line_ & House Connection •:
G 72. Sewer Cap � '
} �
13. Roof Drains �
14. Rough Plumbing+
15. Rough Electrical-COnduit
�16� Rough Electric Wiring �,--
.-�
1�7! Rough Wiring Sign �:"
n�
1�8. Rough Electrical-T Bar Ceiling�
19. Rough Weating & Air Condittoning
n_
20. Rough F.actory FirePlace � n
21. Duc[s, in Structure j "
22. Ducts, Ventilating `�
l, � �'1
23. Gas Pipe-Rough & Yest •��'}��
24. Roof Framing "� • �_�. a
25. Roof Sheathing " '� G
26. T-Bar Ceiling (Siructural) &�Nlonocoat
27. Frame and Flashing C, L{
28. Lathing &?Siding ��r:��
.. a
29. Insulation � i '�
30. Drywall Nailing ���' �+%..,
�i
31. Plaster Brown Coat /- `���•'.
32. Electrical Power Meter-Final�.. 7
w
33. Final Electric
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
47. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape Irrigation SYstem
45. Sound Attenuation �
46. Handicap Regulations �
47. FINALSTRUCTURE&BUILDING
4S. Special Requirements Completed
49. Electric Release to Edison
50. Gas Fielease to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. - Date
c
Z�
i
POO L &
Inspector AppROVALS Permit#
52. Pool & Equipment Location
* 53. Steel Reinforcement
.� 54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
: ,+ 58. Electrical Conduit-Undrgrnd.
� 59. Gas Pipe, O Undrgrnd., Test
�.; ,
� 60. Backwash Lines,P-Trap, 0 Undrgrnd.
� 61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
6S. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
n
70. Underground Hydro
71, Product Piping � Gas ❑ Oil
72. Underground Flush �
i
73. Undergmd. Storage Tank � Gas ❑ Oil�
�
74. Overhead Hydro � �
75. Dry Chemical �
76. Dry Standpipe
:�
77. FIXED SYSTEM FINAL
r
78. FIRE PREV. FINAL'
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Noter. �...,._.. � __� ...� i .
Date � Inspector
f'
� 18�14
;OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. 60X 917 COBTA MESA. CALIFORNIA
For Applicanf to Fill In Complefely
TVPE OR PRINT
1 ARCHITECT
COSTA MESA. CALIFORNIA
TEL.
'61ZE NO. OF BLDCB.
i F LOT " woW oN �or
SE OF
ISTING BLOG.
BETBACK LIN¢ PROM
ccp'rert ov srrteer REAR YARD
SIDE YARO I LEFT� / I RIGHT
DESCRIPTION OF WORK
EW I XII ALTERP.TION I II ADOITION
EPAIR I IIMOVING .I IIDEMOLISH
UILDING NO. OF
IZE ROOMS STORIES
E%TERIOR WALL IROOF
OVERING COVERIN �
. SE OF BUILDING AND WORK TO BE PERFORMED
FE ` R����'���.�J
FEB Y c 1 ,
FINANCE O��i.
APPLICATI�NY FOFR 7E�MI�ESA
BUILDtNG
For Office Use Only
RECEIPT NO. P¢RMLS NO
9Y
���� //1
COSTA MESA.
FIRE
ZONE
APPROVED
ZONIIdG
ZONEp NO. OF ll$E OF NEWSn9 y
K � / � PLANB � 91lILDIN��y/Q µ
I1 /1
LEGAL LCT �� / !J ", ,�� /
DEBCHIPTION �� �
A. P. NO. .
YARDS EVES
�(C6NTER L�NE 6T.) --
FRONT 'y `� FT.
R. SIDE �� FT. �--
L. SIDE 3_ FT.
Iwwsa .. 30 cr �
:,—/ �' �-�� � � Y� - 3P6°
1 HEPEBY ACKNOWLBDGE TXAT 1 HAVE READ TXIB APPLIGTION }Hg AMOIINT SNOWN UN�ER VAL�ATIOrv IB FOR THE
�1ND 9TAT¢ THAT TXE ABOVK �9 GORRECT AND AGREE TO COM-
PURPOBE OF EBTABLIBHING A PEpMIT FEE ONLY.
PLY WITH ALL CI - INANCEB AN� 6TAT¢ IaWB REOUTATING
smim�a coN c�l. VALUATION
81GNATUR ._ PERMI7 FEE $ L// �
PERMI �} �7 '% �
" $ o�•/ O o'� y PLAN CHECK $ rJ` � SU v
AUTHORIZED AGE T ' / L� 0
TOTAL FEE /i J 4
' / A. 3 Li
�.^