HomeMy WebLinkAbout3218 MONTANA AVE - Building PermitsPfl0.1ECT RDDHESS: 3 2 S B MONTANA - AV UNIT: �
OWNEN'SN�ME: j(IP SIAOTA � . �
- nooxcss: 3218 MONTANA AV
COSTA MESA � J"+ ��.
�. CA 92626
(714)979-6861
� RflCHIENGINEEfl: flEQ.NO.: '
� FODBESS: .: � �� , ' IINR:
PEHMITTEE: JAMES�R, COX CO. � ( 714 ).551-1938
' ROOflESS: S i Z CHAPMAN i��% . C
ORANGE CA 92666 C�7�(L�I'"(
uCENSEO CONTIIACTOB oECUM710N: I nereby aRirm tnat I am licensetl unUer D�ovisions at Cnapter 9(wmmencing with Sectian
7000) of Division 3 of ihe Business antl Profeuions CoJe, anA my license is in full lorce anU ettect.
ciiv uc.: 0 50 3 6 3 BiRTE LIC.: Q S 2 9 S cuss — 2
e� ���� "' �Q SipnaNre'. -
^ �EBS'LOMPENSR710NDECIAMTION: I�erebyattirmtA veacertilica ��onsenttoselFinsureoraceNficateafWorkers
�ensation Insurance, or a certilietl copy tAereof (Section 0, E. q.
(YOLICY NO.: E% TE: �
COMPRNY: l
� Ceriifiea copy is hereby fumis�e0. ❑ Cetlifie0 caDY is IileO with ihe ciry BuilOinq Oivision.
EXEMPfION FNOM WOHI(EIiS'COMPENSIITIOX OECIAHRTION
I certity ��at in the pertormance of Ihe work for which this �
subjecl to 'iJhe Worpkers' Copmpensation laws of Califomia:
Date: 7^' / �( � SipnaWre:.
NOTICE: II, affe� makinp lhis tleClaraii0n, you S�au10
Cotle, you mu5i forthwi�A comply with sucA pmvi5ioi
CONSTflULTION 1FN01N0 �GENCY: I hereby attirm iha
which,�his permit is issuee (Sec�ian 3097, Civ. C).
IENOEN:
nODflE35:
I iI �he Dermi� is for one hunOrea �E100) or less�.
any person in any manner so as to become
e j¢ct ro the WOBers' Compensation prodsions of ihe Labor
iis De it s�all be tleeme0 revoketl. �
is a construction lending aAency lar ihe DeMormance olihe work for '
OWNEB BNWEP DECIAMT10N: I hereby attirm that I am exempt imm t�e Contractors' State License Law for ihe followinA reason
(Section 7031.5 Business an� Pmtessianal CaOe: My ciry ot counry whic� requires a permit ta consimct, alter, imprave, tlemolis�, or
re0air any simctura, prior tn its issuance, also reQuires lhe aD0licant for such permit ro file a signea statement that he/she is IicenseA '
pursuant ro the Orovisions ol che Contractors' Stare Licensa Law (ChaD�e� 9lcommencinA ��h Section 7000) of Oivision 3 oi t�e Business
antl Protesvons CoOe) ur that he/she is exem0� ��erefmm antl Ihe 6asis for the ailegeG exemption. My violation ol Section 7031.5 hy
apDlicant for a permit su�jecis the apDlicant to a civil penalty of not more t�an five �untlred dollars (E500�. �
� I, as owner of the D�opeM or my employees with wages as iheir sole compensation; will do the work, anA tAe �
LJ � stmcture is not intenaeA or attereA tor sale (Section 70a4, Business an0 Prafessional Cotle: T�e Con(racrors' State License Law
� does not apPry ro an owner of a pmperty w�o OuilEs or improves thereon, an0 w�o Oces such woM himulfl�erseli or t�rough
his ar Aer own employees, provitlea that such improvemenis are not intenAea or oilereU lor sale. II, however the building or
- impmvement is solU wit�in one year of completion, t�e owner will have the Durden oi DrovinA he/she OiU not bui10 or improve
, for Ihe pury05e oi sale). � ' ,
I, as owner of t�e properry, am exclusively coniracting wit� Iicense0 contratmrs to consimct the D�olect (Section 70d4, Business
❑ antl Professions Coee. The Contracrors' State License Law Oces not a00ry ro an owner of pmperty who hmlds or improves ihe2on
anA who contracts tor such prale�ts with a contracroqs) license Dursuant to t�e Contracmrs' State License Law). I am aware
[ha� D�oo� of �heir Worker's Compensa�ion insurance shoul0 6e Drovitletl to me. ,
� I am exempt un0er Section: B. 8 P. C.
tor inis reazon: � �
Date: Ownec -
I da �ereby certity thai l am aware ol anA undersiantl the requiremenis af California Heal�h ana Sa�ery Code Seciions 2550.5, 25533, an�
25530 an0 �ha� I or any �Nure building occupant will/will noP(circle one) neetl �o comply wi�A said state cotles antl �he requiremen(5 �oca
permit tor constmition or motlification imm ihe tir Oualiry ManaAemem Ustnct. Hesidentia� consimction aODlications are exemD� ��om �
Ihese pravisions. .
Oate: ApDlicant: � ' �
I hereEy certiy that i have rea0 this application antl state t� above inbrmation is correct. I aAree m comDly with all ciry an0 counry
oNinances an0 state Wvrs relatinA �o Cuildinp construction an ere autAonre represe�Hines of this chy to enter u0on t�e above-mentimetl
pmperty for inspection puryosesp. ,► \)
Oate: / � � � / � Signalure: 1� � `�--�
oriver's �icense or Saia� secudry x: '
160L48 W�ite—BuilEin9; Green—COEe EniorcemenL Canarv—Applicen�; ink—Revanue; ol0enroC—Assessor
� CITY OF COSTA MESA — HUILDING PERMIT
P.ERMIT NO: H 046880 PLAN CHECK NO; 0�3548-90 S
CONSTAUCTION TYPE: 5—N PERMIT TYPE: STR
JOH DESCRIPTION : 418# SQ FT "TAELLIS" TYPE PATIO COVER
PERM NO: B 046880
GOVT: N SUPP; N
PURPOSE: ALT
SQ FT: 418
CLAIM VALUE: CALC—VALUE; 5,768,40 GROUP OCC: A-3 /
COMMENTS: SMOKE DETECTOR(S) REQUIRED IN HOME..
�r�t�t*���r*x��*�*�e�rr�e�*�r**��r**x�r*****�*�t****r*+r**�r*�*****�r�r**�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 HUILDING ---------- ---------,ACCESSORY BUILDING —
FRNT: FT IN REAA: 47.FT IN FANT; FT ZN AEAR; FT IN,
LEFT: FT . IN RGHT: 10 FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 13909107 ZNE: R] REF NO: �
PLANNING Nf3TES>'418 SF PATIO COVER ATTACHED TO REAR OF GARAGE AND SIDE OF
> HOUSE
�r�r*+r�r�r�r�rx*��rx�e�r*xx*xx*����rxx��rx*�*�r**�rr**�**�r�r�**xx��r***�r*x*�****�*�r*x�*x*+�*�r*�r�
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 ✓� ' DATE: .�/ : �--PO
BUILDING APPAOVED HY : � DATEi 5`—���
APPLICATION ISSUED BY: DATE; ������'�
lfikikiFitik3k3F1kikjk�fik�t�t�klkMMiFitit ikiEiflFiFifiF1FlE�f ifiF
IfiEiFiFMifikiElfdtikMiFiFiFikiFiFMiFiFMKififilif3klfikiFififlflkifiF�FifklEiFiF MifitiFklEMifMiFiEifiEit%MlEififk�FlEiFffiFiflFiElEiF�fiE1E
LEGALIZATION:N F E£ S U.M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRZC MECHANIC , FIRE SMIP/RES,. GAADING
PERMIT 81.00 ' 'SO'�
PLAN 52.65 • , � SMIP/NON-RES
ISSUE FEE ""
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID , DUE
TOTALS----> 81,50 0.00 52.65 134.15 134.15 . �,00
REVENUE DIVISION TOTALS--> COLLECTED: 134.15 OVER/SHORT: i�•� 00
BLDG PMT PLUMHING'ELECTAIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81.00 ,50 '; 52.65
M IF it M iF M M iF if iF if iF iF iF iF iF iF N M iF if K if if if if 34 iFiF Ki4 if it ik N M if 1F iF M iF 1F iF if M iF iF if if iF if 1F iF %iF iF iF M 1f if if iE �f iF iF iF iF.iF if if iF iF iF iF K if if 1F iF
I N D I V I D U A L. F E E B 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
SFR 418 RES—PATIO COVER—POST & TRELLIS 13.80 �� � 5,768.40
END OF FEES
0
.�
ACCRUNT :: $117402�02
01 OOSS 004"OOOS81:1-00053i7?
D</Q9/90 pl CK 7END $1.5G
�����'
01 OOOS8173—OOOSII173 TR7T `i.6.1
DATE: �4lG9/90 7IItE: 15:3¢ '
u
COFkSTRUGdION AND PLAN. � _ `OOL ?A . �
. APPROVALS Permit # �- Date Inspector AppROVALS Permit # Date �Inspector
1. Temporary Electrical Serwce or Pole 52. Pool & Equipment Location �
^w$qil�Pjpe-Undrgrnd� j�; v � 53. Steel Reinforcement �
:nc3r-ElPctri�al CondGit.�i�lity-Und�grnd. �, 54. Forms �
��'4G �eCYrj�cal Conduit�l'�dFgrnd�' 55. Electrical Bonding l�
p �5�tpe{8$einforcerttent 56. Rough Plumbing & Pressure Test o
`'�`�E�ect ical UFEq �`irnd. `'' S7. APPROVAL TO COVER-GUNITE N
$ Fi, O.t. rn c
q� 7�Footings S y � 58. Electrical Conduit-Und�gmd. 4
C 8: Foundation Oet � �- -' 59. Gas Pipe, O Undrgrnd., Test V
9. Water Pipe�Undr9rnd. � 60. Backwash Lines, P-Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Lin�& House Connection � � 62. Backwash & Receptor-Final '�
12. Sewer Cap y L 63. Heater & Vent-Final
.�
13. Roof Drains � 64. Plumbing System = Final �'
14. RoughPlumbing �� . � 65. Electrical�Final
15. fiough Electrical�Conduit 66. Solar SYstem-Final �
16. u h Electric�Nirin
9 9 67. Fencing & Access ApProval
17-�, ough Wiring Sign ' . 68.� APPROVED FOR PLASTERING
� � �
18. Rough Electri �-T Bar Ceiling 69. POOUSPA SYSTEMS F.INAL
19. Rough Heaiing & Air Conditioning � FIq E D�E,PT. REQUIR,�EMENF cJ
m /� J Y: i en�-f rn;-� 'Y u n Y ti �+u
20�Ropyh �ect�y F�-�Place � x� '�7 �' `� � °'* � PPR�V"��"CPe mit #- 7 �' `�`�
x� i sm .�.Q � s f; o�x *� ��Ht-
21�DUets, mSt�7cti7rex •• •. �+H � � � �+* � 70. iJnderg�o�r�c� Hydro r .•
22�Ducts, ��nt�atir�� � � j *�y � � �`�„* * 77, produo,i��jHrping u l�as C�'Oil
23�Gas-Pipe�Rapgh &�est i (? S � T v' a O� *-72. Undergrou�ntl Flash��=� � r 6
1"^ < '� �r Y' V
24�Ro�f FF'�' miri§ �* � `"" "� �*�. % � z H* * '73bUndergrn"�,Stor�a�T�nk�Gas ❑Oil
25. Ra,rs! Sh�athing �,j�: `� v *�� t7 ',�+ N* W 7q')gver�head Hydr6? v �
� r,.
2B°�T�Ber Ceiling (S��tural) p�^�F}�coata *~ � `� M* �' 75�. r Che cal � '� � � x
•'o t�s'.x ""'i�� �r.%c O >: C+x M .�� Y,.. � Fn +k !-1
27pFrarre ai�d Flasl�& 7„� `* p+ j, x:#: � 76. Dry Stantl�pipe E�-�� W� ��
�28. La�in'�$c Sidin *`'� '�`tz �'"^�"` � E "* �' 7� FIXED,w� 5T�;y INA� � ¢
� �J K t7 .C^. F O � ••� .•I ik '� '7 a-!'�. �c'!7 � + ^, i-•
29. Insulatron --* v S ^�C '� ' `- ��,�.�C �* 7� FIRE PREV. FIN�L *� x O
. i:+
' 30. Drywal�.Nailing "* i„{ ap �! .� �, , y . I '� .� s �HE�4LT�DEP�'. fiEQOIR�MENT
'l c, x i z i � ..1 .,
31. PlasterBroWn Cqek' S i T�'[i' (l x .'- �,.' E� 79. FINAL I@LSBECT�N x ;r,
„321'Electri I Po er=PviP'ted.Ffnal� � >�` C3 �.� * SPTFOOD CERTIF �aTE I ED '•
��i' �-.x .� i m x x °7 Z., �� �; a
r i x* i rn x m * c� ,�
33,a5Fi��a,l Ele�ctrie ;n,� T i � �: � •`._ � � Nvtes: *y "7;iy �F �7 p ;J;�7
v34^.Fir3alFketirt�&Ai1�Coitdition?`nF,�. n^ � �;) I 'X � S Ciw. * 'S � O
N t� �-! * M F �c ? x� U �-. � ^ rC x �4
i 357� ¢J # I ' • ��.. .> �•
Firlal Gas Pib}-T �� ,n � H > >r * x;n C7:�+ � i-�[^
36. Hdod oT+CanoP1Q� �=% � tr•�-7 �a,:, � n -'�� '�-.�� x : � n�n � * � ttim
Sa� C1 � wt7 r `� K m .�;?� �k [�] '7C�7
� ts.] .?, � H I S (L' �v M (�7 ., �
y37_.Final F'a�ctory Fi'r�[�lacex � E.,�., p:, * � , :y. x � HN
�;38?Fi�l PYt�lmbing * V�� i O �K � �7 # i-si -+� �r. �
�39,vyWat~tr $�vic`e=Fina� < i �'"Q y � � ` � ' ,.� n`'' * � - -
,40i Gas Seroice-�inal � n K:+'a' S * t*7 -�+ Oa `+N *"
[., c. m r � i '�.' t F• N i �K
41�Solar D�me�ticFirt� IS m "�" * �-" ' � y �' '�
I � r' [T' `7 N C � ."'. �
� 42�Backflow Preventere � N �e( � v � � �h'� * �". >F • � C7 ti
.� v n n Y: X '1 ^J :X e+ '-�
43. Backflow Ir'�atior�`. �`�S � �` * * Fo � `,'
} fJ x LC *�k ti i X (l
h
44. �andscape trtipati0n SystertPCJCJ S� �[T1 t7 'J C7� *. c'.1 N � �.`^.(� *� Zi o
�r r s � � * S F
p ,(� w ra C, E^ [�' S *£ F i-� c-�K 'k. - " r-i a a ,t^, x.
4�Sound tt uatio -. -. ;Q . F,p x
,� C"' i'1 fi `7 •• .• G * ?7 fTi R]�K � �, �
�4 ,.Handicap Regulatians r-� pn7 � � M � , C7n% �' x �
. �• i � M1
47�FI�p.L ST�ICTU�iE & BUNLDING � :`'� :, i .�� * �7p3 `�[ 8"�BG � `�
49�FIty�4L PLANNIN6 i f-F O � N ,--f ,� � � t•' � * F" '� . '
N �K
45s EI66triE'Release to�dison � * � :�I � * - S � '� '� .
• �.b * i * � %�� � � ; •nr� * �n
D5�Ga�Release to Souihem Califernia Gas Co � � '� �*� �� v� o�� * O 4 �
^ 51. CERTIFICATE OF.:OCCUPANCY x *� �.� mo xo� x E. o
No. Dace
Pfl0.1ECT 110DHE55: 3 Z S S MONTANA AV
owxen•sxune: ALICE SIROTA
anon�ss: 3 218 MONTANA AV
COSTA MESA
CA 92626
(714)530-2440
UNIT:
�HCH/ENGINEEN: PEO.NO.:
RODflESB: UNIT:
PEflMITTEE:A—AMES PLUMBING 6 HTG. (714)530-2440
nooeess: 10422 TRASK AV
GARDEN GROVE CA 92642
LICENSEU CONTMC70P OECUIUITION: I AereGy atlirm tlwt I am 9anse0 unEer D�oNsians at Chapter 9(commencinq wttA SecGon
7000� of Oidsion 3 oi the Business anU Professians CaJe, anA rtr/ license is In lull lorce anG effect.
anuc.:006664 srareuc.:250307G..1 �cus�s: C-3i � r
Oate: �� �—' � Q Sipnature: _ J l P�..�n f—`.' �tJ�'�
WOBHEHS' LOMPENSF710N OECUMTION: I �ereby alfirm ihat I hava a cetlificate of consent to selbinsure ar a cartilicate of Workers'
Compensation h�s��, ��oqt�ie� pP� �r�oj�(Section 3eoo, �ab. �1.3 / O 1/ 91
eoucrr+o.: NATIONWIDE exv.onre:
caMenxr: ,y
❑ CertllieE caOY �s here0y tumished. L'] Certified copy is filed witA �he ciry BuilOinp Oivision.
Oate: � � �"' � � AppliwnC �.' l �--� `��
E%EMPTION FHOM WOHNENS' COMPENSITION UECUIIATION: (Ihis SeNon need not he canDleted ii tlro pertrvt is Iw one �unEreO (510� ar leu�.
I certity �hat in ihe pedormanca ot t�a work for whic� ihis permit is iuued, I shall nat emDlay any Derson in any mannar so as to hecome
su6ject Io t�a Workers' Compensation Laws of Calilomia.
Oaie: - SiqnaNra:
NOTICE: If, aher makinq tAis Aeclaration, you shoultl become su�lect to ihe Warkers' Compensation pmvlsions ol t�e LaEor
COCe, you must fonhwith comply with sucA pmvisions or Ihis Dermit s�all be Oeemed revoketl.
CONSTBUCTION LENDIN6 �GENCY: 1 here�y affirm that tAere is a constmctlan Ien0in9 apancy for the DeAarmanca ol tha work br
which this permit is issued (Section 3097, Civ. C).
IFNOEP:
noosess:
OWNER BUILOEN OEClAMT10N: I �ereby aflirm t�at I am exempt Imm t�e Conirapors State Licensa law lor tAa foilowinp reuon
(Section 7031.5 Buvness anE Profeuional CoEe: My ciry ol counry wAlch mquires a permit to consiruct, alter, imprwe, Oemolis�, or
repair any swctura, prior to its iuuance, also repuires the aOVlicant for such permit to file a si0�e0 statement tAat Ads�e is IicenseE
pursuant in the DmNsions al t�e Cantractors' Stata License Law (CAaD�er 9(commencin0 wit� Section 7000) ol Divislon 3 0l tha Businau
anE Protassions COUe) or that ha/s�e Is exemD� ��e�e�rom anE the hasis lor tAe alle0� axemption. Any vlolation al Section 7031.5 by
any applicanl tor a Dermit sublecis ihe aD0licantto a ciNl Denatry oi not mom than Ava huntlretl dollars (E500).
I, as owner af t�a pmpeM or my emplayees with wapes as thelr sole compensaiion, will Oo t�a work, and Iha
� s[mctum is not intended or onere0 for sale (Section 7044, Businass anE Prolessional Code: T�e Contractars' SW[e License Law
Oas nat aDPN �o an owner ol a propeM w� huilCs or improves t�ereon, an0 w�o Gaes sucA waM himself/herselt ar tAmuph
his ar her awn employees, D�oviAeE t�at such imprwemenis are not IntenUeE or oilemE lar sale. It, however I�e huildinp or
impmvement is so10 vnthin one year ol completlon. Ihe owner will Aave �he Eurtlen of provin0 �Ushe EIE not DuiIE or ImO�'e
for ihe Durpou ai sale).
I, az ovmer oi t�e properry, am eadusNeN conlraNnp wit� IittnseE conirzc�ors Io consiruct lhe D�oleci ISectian 7614, Business
❑ anC ProfesUons Coae: 7he Camractors' Stata Lkerrse Law Oces rot appty to an owner of D�ope�tywho Duil6s ar improves theaon
an0 wlro contracts lar such Dml��s ij0 a cantmctor(s) license Dursuant to ihe Contractors' State License Law�. I am awam
Ihat D�� of their Worker's Compens.tion insurance slwultl Ue Drovi0e0 ta me. -
� 1 am ex¢mD� unUet SettiOn: B. 6 P. C.
/or tAis reasan:
Ioaro: Pener:
I Oo �ereby aNty Nat I am axam ol anE untlerstanE [he repuirements ol Calilomu Healt� an0 Salery Cotle SeMions 25505, 25533, anE
� 2553A antl tlat I or any tuture builUinO �upant vnlUwip not (cirde one) nee0 ro compy vntA saiE state coEes anE tAe aquiaments tar a
�'�, permit tor wnsuucUon or moCi/ication Irom Ihe Nr Oualiry ManaOement Disirict. HesiEential wnstructlon appliwtbns are exemDi lmm
' Neu DroYsions.
� Date: Appliwnc
. I nere0y certiy IAat I �ave reaE tnis appliwtion anA staie Ihat tha abova inPormation is cortect. I a0rce ta compy with all ciry and counry
ordirences an0 sGte laws relatinp to DuilCinp con5trucUon aM AereOy authorixe repre5en�aWeS oi tMs dry ro enter upon Ue ahova�men6oneE
DmpeM �or inspection Duryoses.
Wte: � � � ` �� Sipnatura: _ v "'—� � � ' �
oriver's �icenu or Soda� secudry x:
ieat�e8 W�ito—BuilOing: praen—CoEa Enlorcement: Canery—Applicent: Pink—flavenue: GokenroO—Asaoaaor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 04714'8 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU
JOB DESCRIPTION : REPLACE WATER SERVICE PZPING
CLAIM VALUE:
CALC—VALUE:
PERM NO: P 097148
GOVT; N SUPP: N
PURPOSE; OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS:
�t**�t*�t***�r**�t�t��+t�t�t�t**�t�t***�t***�t�r*�tx��t��t*�t�r��t***�t�t�t�t�t*�t***�t*�**�t�t*�**�t�tx�t***�t***
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: FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 13909107 ZNE; REF NO:
PLANNING NtST'ES>
>
ik if ib 1f if if if� if �f iF iF ik 1F iF it iF it jt it if !t iE if it it 3t iE iF �f if iF if iF iE it it ik iE if �f itlE it iE if iE iF iE iF 1F it it 1E iF iE ik 1f dk iF ik ik iE if it iF M if jF if iE iF iE iE iE 1f �F iF 1F 1f
D E V E L O P M E N T S E A V I C E S'"'- R. E Q U I R E M E N T S
�' '
ZONING APPROVED HY � DATE:
HUILDING APPROVED BY : '1 DATE:
APPLICATION ISSUED BY; ��' DATE: S�
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEAMIT 225R SMIP/NON—RES
PLAN
ISSUE FEE 3,00
BUTLDING—DIV—> PENMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 2,00 3.00 0.00 5.00 5.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT; .00
BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
5,00
iE iE if 1f if iE iF iE if 1f iflF 1t %iE it iF M M it iE if ik it 3E iE 1k * it M if it it if it ik ik iE iE iE iE 1E iE iE if iE iE * jE * M 1E iF if iF iE i4 3E 3E 1E iE iF 1E 1k ik it iE if �E aE jf 1E if iE �E �1E 1E iF iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N UNIT COST TOTAL COST
I�LU 1 WATER SERVICE 2.00 2.00
END OF FEES
�J1 OOD5486s—OU059E63 T U-6
UATE: DS/01/90 TIfiE: 1?�12
5.0�
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit # Date Inspector pppROVAIS Permit # Date Inspector
1. Temporary Electrical Service or Pole � 52. Poo� & Equipment Location
2. Soil Pipe-Undrgmd.� _ � 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. Foundat�on -� _� 59. Gas Pipe, O Undrgrnd., Test .
9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structurel Floor SYstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -
12. Sewer Czp - � 63. Heater & Vent-Final i
13. Roof Dreins - 64. Plumbing Sysrem � Final�- �
14. Rough Plumbing 65. Electrical-Final �
15. flough Electrical-Conduit ' 66. Solar System-Final �
16. 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
19. Rough Heating & Air Conditioning ,. � FI�RE DEPT. REQUIREMENT
20. Rough Facto'ry Fireplace - ' • - � � �APPROVALS � Permit # � ~
21: Ducts, iq Structure ' " � � ; 70. Underground Hydro .
22.-Ducts, Ventilating _ � � �� 71, producttPiping O Gas OOiI
23. Gas Pipe=Aough & Test _, , 7� ' 72, Underground Flush ."
24. Roof Fr2ming " • • 73:. Undergrnd. Storage Tank � Gas ❑ Oil
25: Roof Sheathing � '� 74. Overhead Hydro _ �
26. T�Bar Ce�ling (Strucwral) & Monocoat - . . 75.i. Dry Chemical .
27„ Frame and Flashing . -' 76. Dry Standpipe :_ � .
28. Lathing & Siding ' . ' ' � ��, . 77; FIXED SY,STEM`FINAL � �
29. Insulation ' 76:. FIRE PREV. FINAL ` "�
30. Drywall Nailing . -�, . '. _ ,- � -,�HEALTH�DEPT. REQUIREMENT
31. Plaster 8rown Coat ^' ' , ' 79. FINAL INSPECTION
. �. .
� 32: Electrical Power Meter�Final ;' ,.� SO.-�FOOD CERTIFICATE ISSUED
�33.�Final Electric ' ' ' ' Notes: ' - • � �
, .,
34. Final Heating & Air Conditioning . � , ' � �
35. Final Gas Pipe-Test • -� -' -
36. Hood or Canopy ' • , _ -'
37. Final FaGtory Fireplace �. - � ' , • . � "
.�
38. Final Plum6ing %d , -
39. Water Service•Final . s � (�p � '
40. Gas Service-Final � � . - '
41. Solar pomesticFinal .' �� • ' , - . -
42. Backflow Preventer = - ' �
. a ,
43. Backflow Irrigation � ' .. . . � - . �
"44. Landscape Irrigation SVstem ; � ` � � � -•�-
. � . -
45. Sound Attenuation ` � � , '
46. Handicap Regulations _ ' '
47. FINAL STRUCTURE & BUILOING ' .
i
48. FINAL PLANNING � ,
49. Electric Release to Edison . . '
50. Gas'Release to Southem California Gas Co �' .�
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER �,+p N_ �_ ' w DATE �_?_67 _
JOB ADDRESS 3218 Montana Ave BUILDING PERMIT N0. 1�{632
GENERAL CONTRACTOR Fiec,a Pools VALUE $ Q�$00.00
AP_ Nn. L(1T �Z TRACT 9h(1� FIRE ZONE DESCRIPTION OF WOAK Pvt.swim i�ool
IN�PECTIONS DATE I GROUP J Pool TYPE III ZONE R�1
i _ground Soil Y� U.G. Water C�� e—C � _I I PeRna�rs issuEo
— SUBCONTRACTOR
�e
L
and Gas
u!
Form 210-3M-4-59 � � ��7
' • _ 14�,�2
Cp57A MESA BUILDING•SAFETY DEPARTMENT
P. O. 60X 917 COSTA MEBA. CALIPORNIA
For Applicanf to Fill In Complefely
TYPE OR PRINT
1 BUILDING
COSTA MESA. CALIFORNIA
TEL.
/��/rJ No. �cJ �S�'.2 S~
, X�O��� L" I NOW ON LOTB �
� serewcK uxe nxom
DESCRIPTION OF WORK
v � �� .. _�e._.,.., � �� .....,_.,.
BUILDING �/ S � NO. OF
SIZE �S X.31 ROOM6
EXTERIOR WALL IROOF
i HEREBY ACKNOWLEDGE TXAT I HAVE AHAD i1118 MPLlGT10N
RND BT�1TE TXAT THE ABOVE I6 CORRECT AND AGRE6 TO COM-
PLY WITN ALL CITY ORDINANCEB AND BTATH UWB filOULATINO
BUILDIN6 CONeTRUCTION. f �j�
31GNATURE OF y/ �///�
IAUTHORIZED AGENT
��� FEE RECEIVED
(�� JUN 2 �1 .
n1�� `FINANCE DEPT,
��� APPLICATIOrF�dSROPE@�j'q MESA
� BUILDING
For Offlee Use Only
RBCHIPT NO. ( $py�ryq �
� �I �
j
ReCHIVEG BY UAiB RECEIVCD D� T8 189UE�
�, � �.0� / -,.7 - G / I //l-.,2�(0 �
COSTA MESA, CALIFORNIA
ZONING
zoe/¢) r� no. or uee ov n
�(� I PLANB �/ BUIlDINO
L6WL 7 'l �/'
YARDS
APPROVED
ccarmn uHe er.�
EVES
ALLOWED
fi
7. —
r. fi
T.
T.
�er� L .
U
TNE AMOUM 6MOWN UNDHR VALUATION IB FOR THE
PUftP09¢ OP. EBTA�LIBXING A PERMIT FEE ONLY.
VALUATION /
PERMiT FEE $ ( D, ��
N
O
$ PLAN CHECK $ `S �
� I
��. �
TOTAL FEE y
�or 33 - rR 3403
.� '' 13'�ti2
GQSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 817 COBTA MEBA. CALIFORNIA
For Applicanf io Fill In Complefely
TYPE OR PRINT
ewLDWG 2�8 MONTANA AVENUE
ADDRESS 3
COSTA MESA. CALIFORNIA
�555 PLACENTIA QVENUE
NEWPORT BEACH T�E�•MI E)-3
�oR K.W. KOLL CONSTRUCTION CO.�IN
t555 PLACENTIA F�VENUE
NEWPORT BEACH, CALIFORNIA
iic.'rio. 611 No`,-M I 6- 22 LeGAL
oescrsi
OF L T 65x t o8. 28 I N . OR BLD68. O
��F R�CE���D
� JAN 3 O 1�Si
fii�AP10E DfPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. ���N�
BY � DA{E eEC61VHO � JIb( e.issu '
FEB y i965
COSTA MESA. CALIFORNIA
TVPF / GROfIP `�+� +
ZONING
NO. OF U66 OR N
PLANB � j BUIlDINO
O ow ox Loi A. P. NO.
USE OF YARDS
EXI ING BLDG APPROYEO
CENTEROF'N6TN86TM �� REARYARD2�t3it FONTePLINEeT.)
SIDE YARD ( LEFT � I RIGHT t�t R. SIDE
DESCRIPTION OF WORK
L. SIDE
vrw I i� II ei rcoe�rinu I II ennrtinu I __. _
BUILDING / NO. OF
SIZE �V2ISF ROOMS STORIES �
EXTERIOR WALL STUCCOIROOF ROCK
COVBRING GOVERING
USE OF BUILDING AND WORK TO BH PERFORMEO
SINGLE-FAMILY RESIDENCE AND ATTACHE
GARAGE PLAN -C
l�I
1 HEREBY ACKNOWLED08 THAT 1 HAVE HEAD TX19 APPLIWTION THE AMOUNT BHOWN UNDER VALUATION 18 POR TXE
AND 8TAT8 THAT TH6 ABOVe I8 CORR¢GT AND AOHC¢ TO COM- pURP08E OF E9TRBL18HING R PbRMIT FEE ONI.Y.
PLV WITH ALL CITY ORDINANCH9 ANC 9TAT6 LAWB RE6ULATIN6
BUILUINO caNeixucT�oN. VALUATION /
SIGNATURE OF � PERMIT FEE $ �G"'—
PERMITfE - �� /% /�ur /�—
$ � �F/ �� PLAN CHECK $
■ AUTHORIZED AGENT