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Home My WebLink About254 HANOVER DR - Building PermitsP``a '25.00 "FR ?_?-7C1r�scQ� 14�.�iip�;n,: a.: CITY OF COSTA MESA PLANNING La�.rARTMENT A. P< No. ;i,t_•t�r._nr. Bldg. Permit rro. 3/�'c 9 —T PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address �,� r,,,,,,,,,,,. n,.;,.., r,,.,,.., Owner's Name u. c • Bachelor or 1- Bedroom Units @$25.00 = �•,� v �... i;i; 2 - Bedroom Units 3 - Bedroom Units 4 - Sedroom Units 5 - or more Units 1 Total number of Dwelling Units @ $40.00 = @ $55.00 = @ $70.00 = @ $75.00 = Total Fee Planning Department Approval Date ,. .,, •,,, Park Area No. gy A. Clcasen Applicant's Signature S2�.UQ CITY OF COSTA MESA PLANNING ,...tARTMENT A. P� No. 141-395-06 Bldg. Permit No. PARK AND RECREATIONAL FEES - ^PA?3-��icr�sF0074��i4 ��**�Z'S.00 � Apartment Developments Fee Payment Receipt Project Address 254 Hanover Drive, Costa Mesa Owner's Name Mr. & Mrs. Dickerson Bachelor or 1- Bedroom Units 2 - Bedroom Units 3 - Bedroom Units $25.00 = $25.00 @ $40.00 = @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75000 = 1 Total Fee $Z5.00 Total number of Dwelling Units Planning Department Approval Date 4_�� Park Area No. 16 gy A. Gleason Applicant's Signature C�1,�Q��iA�� '1NQIECTFOOHESS: �� ZS,4 HANOVER DR� : `� � ' uxir.�" �� ' awxen�senrne: DICKERSON • ' • • .aooeess: SAME AS� ADOVE ' . . : � � • � . ' ' -. ' �. i, � " t , ;_ . �NCN/ENGINEEP: ' - ` - ` - BEG.NO.: � � • . ROOflESS: . ' � " � � '.' ' ' � i UNtt: , . . . . . . . . . t , ��' PEPMfITEE:EARL.�'i PliUMDING '_ � (714')772--3470� U eoowess: , 1533 W. ;LINCOLN : • ANAHEIM ' CA'92II01 • LICENSEO CONTIIACTOB DEClAM710N: I here0y atfirm that I am licensetl un0er provisions of Chapter 9(commencing wk� Sectlon 7000) oi OiNsion 3 0/ ihe Business an0 Prolessians CoAe, antl my license is in full force an0 eifect. , � cmuc.:005938 sreTeuc.:217657 c�s:C-36 Date: � + SipnaNre: � ' WOBNEBS' COMPENSRTION UEIXAMTION: I Aere6y a/lirm Ihat I �ave a cetlificate of consent ro sell-insure or a certifiw[e ot WoMers' Compensation Insuance, or a cenified copy thereof (Section 3800. Lab. C�. •� , , roucr xo.: 0 4 II 4 0 � exr. onre: 1, 0/ 01 L 9 0, cornrnxv:l?EAVER , ❑ Certifie0 copy is hereby fumished. t� Certitied copy is fletl vnih the ciry Building DiNsion. , .. . � .. ._ _... . . ...__ .�. —. • � 1. . '. Date: Appliwnt: � IXEMPfION FlIOM WONIIEPS' COMPENSRTIOX OELUIUTION: (lhis section nee0 not be camplete0 il Ihe permR a for one Aundred (5100) or leu). _ I certity I�at in the pedormance ai t�e work for whic� ihis permit is issue0, I sAall nat emplay any Derwn in any manner so as to became subject to the Workers' Compensation Laws oi Califoinia. , . , � Date: - � - — ' � SipnaNre: - � - - - - NOTICE: If, atter maldnp this Oedaration, yau shoultl �ecome suhlect to the Workers' ComDensation Orovisions oi the La6or CoGe, you must torthwitli comDly with such Drovisions or ihis De�mit sAall 6e Oeemetl revoketl. � CONSTBUCTION LENOING RGENCY: I�Aere6y attirm t�at tAere is a consimctian lentling a0ency for t�e pertormance of tOe woM for ; which tAis permd is issuetl (Sectian 3097, Civ. C). • . LENOEfl: � '- AODBESB:� . _. . . . , . - _ , . OWNEB BUILDEH OEIXAMTION: I hereby aifirm t�at I am exempt from t�e Contracrors+State Licensa Law for the Pollowing reason (Section 7037.5 Business an0 Professional Catle: My ciry af counry which repuires a De�mit ro construct,-atter, improve, Oemolish, or re0air any stmcWre, D�or to tts issuance, also,repuires the aDPlicant for such Dermit ro file a sipned staiement Ihat helshe is lic¢nsed� pursuant ro the provisions of the Contractor5:5ta�e License Law (Chapter 9(commencing with Section 7000) of �ivision 3 of the Business ana Pmfessions COAe) or ihat he/she is exemD� ��erefrom antl ihe Uasis /or Ihe alleAeO exemption. My nolatian of Section 7031.5 Ey any applicant for a permit sublects the ap0licant ro a civil penalry al not more ihan five �untlre0 tlallars (f500). ° I, as owner�of t�e propeM or'my employees vnih wages as iheir sole compensation,'will'do tAe work, an0 tAe O stmcture 4 na� intendeA or oflere0 �or sale (Sectmn 70aa, Business an0 Pmfessional Cotle: The Comractors' State License Law Ooes not apply Io an ownec of a pmperty wAo hwl0s ar imD�oves the2on, antl wha Oaes suc� woM himsel//�ersell or through his ar her own emplayees, O�oNdeU Ihat suc� improvements are not intentle0 ar attereA lor sale. If, however ihe buildinq or , `improvement is wIU wiNin one year of crompletion, Ihe owner will have the burden oi pmving he/she 4i0 nat bui10 or improve 'for I�0 purpo5e.o1 Sale�. , : . ' . _ � ' - 1, as owner of the pmpeM. am exclusively coniractinp wit� licensed coniractors to constmct the project (Section 7094, Business ❑ •an0 Pmf¢55i0n5 COAe: The ConlfaClOrs' S[ate LiCenSe Law Ooes not aOPh �o an own¢r al pmpeily who Gmltls or improves thereon anA wlro coniracts lar such pml��s with a coniractm�s) license Dursuant to ihe Contracrors' State License Law). I am aware that proot oi iheicWorker's Compensation insurance shoWd be Omvidetl to me. � I am exempt un0er Sec�ion: , . B. 8 P. C. . � ' � � - �or �his reason: � • ' ' . , , � i Date: Owner. ' I Oo here�y certiry that I am aware oi antl unAeistan0 tAe requiremenis of California Health and Safery CaOe Sec[ions T550.5, 25533, and 2553a ana Ihat I or any tuWre builAinp occupant wilUwill na� (circle one) nee0 �o comply wiih saiU s�a�e cotlas anA NB r¢puirements lor a 'permi� for tonslruciian or moAi�icaiion from Ihe Air Uualiry ManaAemen� Distnci. Residential consimction applications are exempi �mm these provisians. ' ' , Daie:' ' ApplicanC � � I �ereby certiry that I �ave reaA this apD�ication antl sWte [hat the ahove inbrmation is co'rrect. I agree to compty with all ciry and counry or0inance5 an0 sWte laws 2lating to builtline construction and Aereby authonze represematives of tAis ciry to enter upon I�e aGovo-me�ioneE propeM �or inspec1ion purposei , , , Oaiez � Signamra: � ' ^ry � DnveY.s License or Social Secu' X:. � ' 1801<6 W�ile—Builtling; Gieen-Catle Enforcement; Canary—Applicanp Pink—Ravenue; Goldenrotl—Assessor � + ,� C,I'PY�OF COSTA MESA�- HUILDING PlRMIT "PERM NO: P 044638 � �.,�. ��. : .. 5.�. PERMIT; NO:. P'� 0.44638� PLAN CIiECK.NO: , .. �I � GOVT: N�SUPP: 'N . CONSTROCTION TYPE:' c� �'4•.PERMIT_`TYPE:�PLU . � .PURPOSE: NEW • ., . . �. ' ,�-_ �" , JOD DESCRIPTION 3'WATER HEAT�R `• �:�` "', •SQ FT:,' . CLAIM VALUE: �, CALC,-VALUE:: ' ' ' � GROUP' OCC:. . Y , . . . . . . . , . , , . . � , , r,. "COMMENTS: : ' ; , . ; .. '. : . � , ; •; .: ., . **��r**� �t+tx ** �t****�**x �t+t *� *�t*�**�+t*u�*�t'*�***�t �t�** **�r** **u **�t x ** x'*+�* ��r x�*:�r�****�r*** �� Z O N,I N G R E Q�0 I`R � M E N T S� �. : . � . , S E T B A C K 5 ' , �; . � ---�--------- MAIN�IIUILDING ------,---- •-----.---- ACCESaORY BUILDING — —=— •FRNT: FT IN REAR: ' FT � IN. FRNT; F7' IN REAR: ;:FT ;IN' LEFT: FI' IN.RGHT; FT IN' LEFT; � FT, IN RGHT:� FT ZN' . 1 . . . , . . . . � . . PAAKING REQUIRED;., PARKING PROVIDED: PARCEL: 1415421FS ZONE: PLANNING NOTES> ' ' , � � y . . . 1_ . . . . . . - � . . - if if iE 1f �F iF iE iE iE iE �lE iE iE iF iE iE iE 3f it K� iE iE iE iE iE iF'it iE iE iF if 3F iE iE 3F iE iE 3E iE iE iE if iE iE iE 1E,iE'iEik iE iE 1F iE it iE iE iE iE 1k if iE iE iE if iE iE iE ik iF iE 3E iE iE iE iE jE iE �E 1E �. • D E V E L O+P M E N T 5 E R V I C E S.,•,:R E Q U I R E M E N' T S -' , f . ==, ' ZONING APPROVED RY, � ' ' • I �DATF: � � ' - ._ y... . DUILDING APPROVED DY : ' -i' DATEr � !�'r'• . �.Q APPLICATION ISSUED QY: DATE: Z� p/ �t*ic�itit�tx�i��ti��tit�t�t*�t*�t�**�t�FiF�F�FiF�F��F�F�F�f�FTF�F � �i'�F�F�F�F�F7F�F?F�FTF�t�F3FT�'i�*x-***i�***�t��t�! 1E 1E 1E iE iE iE 1E ik 1E iE if iE 1E iE if iE iE iE 3E iE iE�iF iElF iF iE it if ik �E iE it iE iE iE iE iE dE �E �E aF �1E iF iF iE iE iF jF iF 1F i� iE k if if iE it iE jE it ik�iE 1E if iF iE ib �E iE iF �1E�iF if it jE �E iE af if LEGALIZATION:N .- F E E' S;U"M M A.R Y''`. ,STRUCTURAL 5EGMENT:N ' , � F � . . . ' . t . BLDG PMT PLUMHING ELECTRIC :MECHANIC �FIR� 'SMIP/�RES GRADING PERMIT ' '2.00 � ' - "l58 . � ' ' . SMIP/NON-�RES • I PLAN " ' t ' , . ' ' ; , ' , : ISSUE- FEE ' . ' ' J•: 00 " ' BUILDING—DIV—> E�ERMIT ISSUE PLAN—CHECK TOTAL� �AIll DUE ITOTALS---->• ,. 2�.00• 3.00. 0.00 5.00 '.' � 5.00 '.00 I REVENUE DIV3SIUN� TOT'ALS-->� _ COLLECTED:: 5.�00 OVEA/SFiORT: .00 , BLDG PMT PLUMBING ELECTRIC'MECHANIQ FIRE. SMIP/TOT GRADING PLAN—CHECK 5.00, . , , i i . . , : . � . . dE ik it !F iE k#t iE iE iE iE i! it iE it it iE iF ik iF iE 1E �E iF ik iE iE dE af iE iE iE �)E 3E jE �)F �E �E iE iE iF.iF iE �E �k iE it if aE iE 3E iFiE iF �f 3f iE 3E �EiE iE �1E iE iE iE iE �E iE �IF iE IE if iE iE iF iE 1f iE iE ' I N D I�I I D U A L I' E E� B R E A�K D O W N ' ' i TYPE QTY' , D E S�C R I.�P T I O N UNIT;COST TOTAL COST � i PLU 1 WATER HEATER,AND/OR VEN1' ' 2.00 2,_00 � END OF FEES . :. , � i � . � � , � � i ' 1 i � O1 OOi�45$95-40D4559: �" P�`� ' ' =� ;ii� � - - - '�kTE: 1D/25/$9 :TIkiE: �S9:t� ' T - - - CONSTRUCTION AND PLANNING .• � = , ' ". POv� & SPA � _ - • Date Inspeotor -- Date' Inspector` � APPROVALS , Permit # � . APPROVALS , .P.ermit # �. 1. TemDorary Electiical Service or Pole..' '�. � -, ' 52.`Pool�&�Equipment Location ' - � r2�.� Soil Pipe�Undrgrnd.: ' � � , � J' : ' 53. Steel Reinforcement � _ . . -' 3: �Electrical Conduit Otility-Undrgrnd. '-' . � - 54. Forms � . �- - '4'.,�Electrical Conduit-Undrgrnd. - . . 55. Electrical Bonding �� 5. Steel Reinforcement � • ,�. . 56. Rough Plumbing & Pressure Test ` --n , _ 6.;-Electrical UF.ER Gmd. , '� . ' �'. . 57. APPROVAL TO COVEii�GUNITE - � ' '= 7rFootings � • � � � � , . 58. Electrical Conduit-Undrgrnd. -.� 8. Foundation �' , ' � 59. Gas Pipe, O Undrgmd., Test = 9. Water Pipe-Undrgrnd. � � 60.� Backwash Lines, P-Trap, O Undrgrnd. . " 10. Structural Floor System .� � - 67. AP.PROVALTO DECK �. , 11. Property Sewer Line:& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - _ - � � . 63. Heater & Vent-Final . � � � 13. floof Drains - ._ 64. �Plumbing System - Final � .� 14. Rough Plumbing ' 65.=.Electrical-Final . . ' ; 75. Rough Electrical-Conduit . 66. Solar System-Final 16. Rough Elearic Wiring: 67. Fencing & Access.ApProval � _ 17. Rough Wiring Sign ' 68.=APPROVED FOR PLASTERING , 18. Rough Electrical-T Bar Ceiling ." - 69. POOUSPA SYSTEMS F.INAL � � 19. .Rough Heating & Air Conditioning � � � � � �.FIRE DEPT. REQUIREMENT t C. t F,. - � 20i-Rough Factory F,ireplace �,� . = = r�x �-APPROVALSi�-Permit# A - - -- - ..,. ,. - y .r 21'�Ducts,in.Structure;. " - t' '":. - � .�Jrt. Y: . , . y ._70. Undergiound;Hydro „ . 22^Ducts, Ventilating r �' r�_ ;� -� : �77, product Pfping O�Gas O�OiI - 23.'Gas.Pipe�Rough & Test �_ __ ,= : ` �"- �_'", - �' ` �, -7z, Underground Flush` . - � 24. Roof Framing . � J "�r- - � - z .� 73-Undergmd.Storage:Tank�OGas ❑Oil 25. Roof Stieathing * - `, _ `' =� _•-"' 7q;�Overhead Hydro L. " r.._ . _. .� 26.��T-Bai Ceiling (Structural) &"Monocoat _ ,. �� . 75 _Dry Chemical - - . _27. Framea�nd Flashing': Hr`" i �= -" :j�f' !� 76. Dry Standpipe `r-'• � `. � y::: ^}:�� c e. , ��28. Lathing�& Siding i; r;r: z, ' �f� ; 77-� FIXED SYSTEM FINAL� � .' � _29. Insulation � - _ ' �` "` 7g ;FIRE PREV. FINAL � ' T I� b: � 30. Drywall-Nailing �' _" �' _ � �. � �-:,� ,� :��HEALTH�DEPi�rREQUiR�EMENT -�31. Plaster 8iown Coat� -� '`"` � i I' `� '"79,� FINAL INSPECTION - A �� - e32=Electrical Power Meter�Final +' �� t • F, x^80: �FOOD CE�RTIFICATE ISSUED._ � i - .. � 33:�Firial Electric A _ "% ; ;: ': � i ; "� '" Notes =`'" '. , . ` �- . > r: x x rt- �. • "34:.Final Heating,&�AirxConditioning- _ :� - � �;: x - r,y , "' ... - 1. 35"Final Gas Pipe•TesY� ' � -• :.✓-�" -` � • '_ - * - c. �. - �. ' '36.-Hood or CanoPY - ,_ . : � . �r ' . j," - � .-.` x , . , �"37:•�Final Factory Fireplace' "" , (�;'; - ` ' . <38. Final Plumbing µ � � r '�� ` _� '� y �� t y� c;Er� : 39. Water Service�Finab F '* x` ! ;� � �� ' �� c .� x �l ': C' >; K'.: �o ,. �;� . p" _ o:o ' ;_40. Gas Servite-Final � i ,�,�,� , i_ fi =j" . . ,_ , i .. � �-41. Solar pomesticFinal � - � �+; a. - °"r - � .� - � ��. , ti, - - 42* Backflow Preventer _ �' ' ' ' " - ' ' � ^ . � � ,_� _� " v: N . � .. rr �� a �' � 43. Backflow Irrigatiom y � � -. � � " ;' � � . ,. ",_.., >� r i . ' ."i:�. 1:, '� ' �,rr. _ "v ' ':t� 4^ � :..44._,Landscepe Irrigation System;.,� _ - .y C.t , t: :�^ .- . �. _ . ' 45.rSound 'Att nuation ' •• •• -+ �T. h, T: • F� �' � - . i - _•>� � - _� � -'46.'Handicap Regulations . ",�. '� ,, F " ' ^ "' - �r - ..� :1: F�' .y ;-47'FINALSTRUCTURE&BUILDING=; - j ' •'7- +: � ~ r -- y' H. Y" - 48'_FINAL PLANNING `�'� " ;; "' /�,j,s � �� s � � -- _ � �49.-Electric Release to-Edison . � �`J`M ; _; - - �� ' _. � � 4 ` 50.-'Gai:Release to Southem California Gas Co y �� .'.: J'� t_ ;=; ; . .-;•a - -" 51. CERTIFICATE OF OCCUPANCY �� ` " "-" - , No. Date . APD��tant to fill in all ipaees exeept those within heavy DorCer Iines antl sign all avoroo�iate aeelarotions. i ��OF COSTA ME A CPJ�QS�T/�R�U�CTION PE IT PERMIT NO. TRACT NO. L N. � �IT NO. Project Address �Vn�✓�� _ Applicant'S Maili{�Q/ Andd!¢ss �� /) ' TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Ownef's Name /� �` ✓p%�S�^-� Phon CONVERSION ❑ �EMOLISH ❑ OTHER . DE RIPTION OF WORK/USE OF BLDG. Address Areh/Eng. LicCnse No. TYPE OF P� MIT GRADING�Y FOVNDATION ❑ STRUGTURAL Addre55 p q �7/� 7 ❑ TENA ❑ ELECTRICAL LJ PIVMBING ❑ MECHANICAL Contractor'�Nama �\ ��ii%/J��/U--��. P6....a :fY1 ' �'�THER � - Address (ma'�'�nl s�,� ��( �. !-J/V(1 /)/ M7 PROJECT'DESCRIP ON 5�. FT. ' OCCUanNCV � CONSTRUCTION VPE VALUATION$ City License No -i/� `J/� ZONE � GRADING CU. VDS. ACRES LICENSED CONTRACTOR DECLARATION \, I hereby aftirm that I am licensetl untlev provi5lon5 0/ Charte� 9(comm¢ndng with section ]000) oT Division 3 of [he Busines�t antl Professions Cotle, antl'•� my license is in tull rc Ptl� eifect. n `�/J� LICEOS �d5 �u � � ' I1/IC¢//�/qe Nn«��V / Date � ' S'g t �LL(.�C�n� 'ORKERS' COMPENSATION DEGLABATION ereby attirm lhat I have a certificate oi consent to selt-insure or a certificate Workers' Compensation Insu�ance, o� a ce�t 0 cOpy thereot (Section J800, Lab. C�/� // ,n , 1 Policy No. (,/�1 y COmpany L�v��' C i(ietl copy is hereby furnished. '� er(�' e �}y_ i filetl with the ciry ByiJtljr�lj q�vis�o ��i� Date /��d � APplicant r f5 / �� EXEMPTION FROM WORKERS' COMPENSATION �ECLARATION (This section neetl not be tompletetl if the permit is for one huntlretl ($100) or Iess). I certify that in the petfo�mance of the wo�k fo� whlcM1 tnis pe�m�t is issuetl, I shall not employ any pe�son in any manner So as to become subject to the Workers' Compensation Laws of California. . Date Signature NOTICE: If, after making this tlecla�ation, you shoultl become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwitn wmpty with such provisions or this oermit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that there is a construction lentling agency for ine performance of the work �or which this permit is issuetl (Section 3097 Civ. CJ Lentler's Name Lentler'S AOtlre55 OWNER BUILDER DECLARATION � I hereby affirm'ihat I am ezempt from Ihe Contractor's License Law for the following reason (Section 7031.5 Business antl Professlonal Cotle: Any city or muniy which requires a pe�mit to construct, alteq improve, tlemolish o� �epair any structure, prior to its issuance,-also requires the applicant for such permit , to tile a signetl statement that he/she is licensetl pursuant to tM1e provisions oi ":�;.='�^ Contractor's License Law (Ghapter 9(commencing wltM1 Section �000) ot ';::aision 3 of the Business antl Professions Cotle) or that M1e/she is exempt `">;refrom and the basis for the allegetl ex¢mption. Any violation of Section �,�31.5 by any applicant tor a permit subjects the applicant to �a civil .�enalty of not more Ihan five buntlretl tlollars (5500). LJ I, as owner oi the property or my employees with wages as meir'sole •[ompensation, will tlo the wo�k, antl the strUctu�e I5 not intentletl o�-ofteretl for sale (Sectlon 7044, Business antl Pro(essional Cotle: The Contractor's License law tloes not apprySo an owner of a property who builtls or improves Ihereon, antl who tloes such wo�k him5elt/herself o� through hi5 or he� own employees, provitletl tnat such improvements are not intentletl or offeretl tor sale. If, however, the builtling or'improvement I5 soltl within one year of com- , pietion, the owner will have the burtlen ot proving he/she tlIC not buila or im- Iprove for the purpose of sale). ❑ I, az owner oi Ihe property, am exclusively contracting with Iicense0 con- tractorsto construct the prqect (Section ]044, Business antl Professions Cotle: .Tne Contractor's License Law tloes not apply to an owner ot property who builtls or improves IM1ereon. antl who contratts for such aroiects with a mn- tractor(s) Lcense pursuan� to [ne ConVactor's License Law). I am aware that proof of thei� Worker'S Compen5ation insurance shoultl be P�ovitletl to me. ❑ I am exempt unaer Section B. & P. C. for this reason Date Owner - I hereby certity that I have reatl tnis appliwtlon anC-state that the above intormation is correct. 1 agree to compty with all tlty antl county ortlinances antl state laws relating to builtlinq constructlon, antl hereby authorize re0re- sentatives ot this city to nter. upon the above-mentionetl property for inspection pur � � .7/ � Signature � Date 8� Drivers' License or 55 � ' - Remarks: � � Bar Sink Backflow Preventer''�- Backflow Irrigation `'�.,, Bathtubs ' Clarifiers Dishwasher Drinkin9 Fountains Floor Drains Floor Sinks GasService Out s Interceptors Kitchen Sink Lavatories . P—Tiap Roof rains Reinspection Fee $15 Boiler Duct - Under GrOund Duct - Structural Duct - Ventilating _ Exhaust System ❑ Multiple ❑ FirepUFact. Blt. �CBO # Heating System & Ducting ❑0.100,000 BTU �100,0006TI Reinspection Fee $15 0865-46, rev. 5/88 White - Builtling; Canary - Appliwnt; Pink - Accounting; Goltlenrotl - Assessor Sink Sewer rS61ar Piping Solar Tank Swimming Pool Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Isue Fee S Main Building: E T Front ARear C Right K Left S Ping. Re PI ing Notes: FEES . />utomatic Washer Construction Pole Sub. Cooking Unit , Dishwasher ' Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures � Device Boxes Outlet5 . � $ 3 $ 3 Garbage Dispoul Generator �0.5 KW �5-15 KW � Zane Accessory Buildin9: Z O _ , , N I N G R Parking Req./Provided E � M , T S. �. � :AL ' � . FEES Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100 amps Sub Panel Motors �O7 HP 01 h- 8 Inc.Solar �9-75 HP �i6-15+ Microwave ' Pole Light Range. Si9n Standing Sections Trash Compactor Reinspection Fee �$15 I I luue Fee /ELOPMENT SERVICES REQUIREMENTS: . Iqp Approved By Idin�Approved By $ 3 � SUMMARV OF FEES - BUILDIN PEPMIT $ SMIP $ PLAN CHE $ PERMIT , PLUMBING $ .�� ISSUANCE $ � PLAN CHECK 25% $ ENERGY P.C: $ ELECTRICAL $ GRADING ' $ � PLAN CHECK 50% $ MICROFILM $ �r^ MECHANICAL . $ TOTAL FEE $ V�i PLAN CHECK 25% $ � 0 � CONSTRUCTION.AND PLANNING APPROVALS Permit # �1. Temporary Electrical Service or Pole �2. Soi�Pipe-Undrgrnd. �� 3. "Electrical Conduit Utility-Undrgrnd. ,� 4. Electrical Conduit-Un'drgrnd. , �5.�Steel Reinforcement �.� '� 6�Electrical UFER Grnd. '� 7:.Footings . ' 8�Foundation �; � , 9. Water Pipe-Undrgind�. �, � 10. Structural Floor System . . 11.'Froperty Sewer Line.,& House Connection .. � 12?Sewe%CaP : ' . ..�. :i 13!Roof•Drains ;� , 14. Rougfi Plumbing 15. Rough Electrical-Condw 16. Rough Electric Wiring 17�. -Rough,Wiring Sign ,�y 18.r'Rough Electrical-T Bar Ceiling i�. 19. Rough Heating & Air Conditioning 20' Rough Factory Fir`eplace � i, r 21'. Ducts, in Structure '.n 22. Ducts, Ventilating ='� 23� Gas Pipe-Rough & Test � �, 24� Roof Framing �� '. 25. Roof Sheathing . � � 26. T-Bar Ceiling (Structural) &,Monocoat :, �27. Frame and Flashing 28. Lathing & Siding ,�� . � � . 'L 29�. Insulation ' . / �30. Drywall Nailing � , 31. Plaster Brown Coat �� 32. Electrical Power Meter-Final� ' J 33. Final Electric � 34. Final Heating & Air Co'nditioni � 35. Final Gas Pipe-Test+' 36. Hood or Canopy� 37. Final Factory'Fire ace 38. Final Plumbing 39. Water Seivice-Final T �, 40. GasSecvice-Final �.-? � �t, 41. Solar pomestic-Final � 42. Backflow Preventer �-� � �::, 43. Backflow Irrigation �,� �� . 44. .Landscape Irrigation System 45. Sound Attenuation - �� 46. Handicap Regulations �=�� - ��- 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co Date i Da4e � � ,� ` _ . . .Y .a ,. PO t SPA Inspector qppROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding ' 56. Rough Plumbing & Pressure Test - 57. APPROVAL TO COVER-GUNITE �58. Electrical Conduit-Undrgrnd. 59. Gas Pipe; O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVALTODECK � 62. Backwash & Receptor-Final . 63. Heater & Vent-Final 64. Plumbing System - Final � 65. Electrical,Final � 66. -Solar System-Final - - 67. Fencing & Access Approval '68. APPROVED F,OR PLASTERING . 69. POOL/SPASYSTEMSFINAL � � �FIREDEPT.REQUIREMENT / APPROVALS Permit # � i� 70. Underground Hydro ' ��71. Product Piping O Gas ❑ Oil � 72. Underground Flush � 73. Undergrnd. Storage Tank O Gas ❑ Oil 7 Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL � � 78. FIRE PREV. FINAL - � , HEALTH DEPT.REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIFICATE ISSUED Notes: 1`` � u Date � Inspector � 0 � � A u � �,_,, • �7�4 '\ MESA BUILDING DEPARTMENT \�' , s.,I P. O. BOX 3I� `�� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN eui�oiNc 2 LL HANOVER D 1 VE ADORE55 COSTA MESA. CALIFORNIA OWNER COLLEGE PARK NO. LL � nooaess z I I C� SO. <<�q I N 5T. TEL. � ciTv SANTA A A l, LIF �o. KI rj ARCHITEGT LIC. OR ENGINEEA NO. ADDRE55 � / CjT Y LIC. �� CONTRACTOF I �MwA1� Jt NO. �111'iJA LEGAL LOT DESCRIpTION NO, B�OCK TRAC A.P. NO. SIZE / /1r uo.or e�ocs: OF LOT Yl'I � X � lI'l � NOw orv LOT SETB4CK LINE FROM � ccNrEa or srn[cr REAR YARD G SIOE YARD RIGHT LEFT DESCRIPT.ION OF WORK NEW �( ALTERATION ADOITION REPAIR MOVING DEMOLISH BUILDING NO.OF SIZE � �i ROOMS STORIES EXTERIOR WALL ROOF COVERING' COVERING,,../ L15E OF NEW ' _ .. �lA FEE �ECEiif �D 9 /j�/s7 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONL.Y veccivr Ho. v�nN4MP neceiveo av � ILOING t<.�.�a APPROVEO BY I HEflE6V ALKNOWLEDGE THPT I HqVE REFp THIS FPPLICqTION FNO $TATE TNPT TME RBOVE IS COFRECT PNp PGREE TO COMPLY WITH 4LL. CITY OR�INANCES FNO STPTE L�WS REGVIFTING BUILOING CONSTRVC� iioN. ' VAWATION e�eNATTRE�irlli I �f;F �ARK IVn. LL .ceiveo onTe issueo .,< SEP 2 6 MESA. CALIFORNIA CORRECTIONS I ��% T •� I$ � � �� • AUTHO IZ D AGEN PERMIT FEE S OZQ � PLAN CHECK SC � �' TOTAL FEE $ SL� _ veMe OWNER DI JOB ADDRESS GENERAL COP 7 141— :TIONS s. GAS WATER ROUGH PlUM61NG PROP. $WR. LINE SPRINKLING SVSI MISCELLANEOUS ROUGH HEATING ANO qIR CONDITIONING TEMPORARV SERVICE OF POLE UNOERGROUN� ❑ pOWER � ROUGH WIRING TRENCHES � FORMS � STEELi FLOOF SYSTEM BOND BEAM � STEEL REINFORCE SHEATNING FRAME ANO FLASHING LATHING — IN PLASTER. BROWN COA1 h V^VENT ,nREFR PLUMBING, FINAL AN❑ ELECTRIC. FINAL FINAL F INAL DATE of RACT 31g7 FIRE ZONE VALUE Si nature Date GROUP I TYPE SUBCONTRACTOR �.. � : ,�, �. � 1 9 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo� Applicant fo Fill in Completely MAIL GI BRANCH —� ADDRESS '^ ARCHITECT ' ADDRESS CONTRACTOR ADDRESS QTV STATE LIC. NO. SIZE OF LOT USE OF EXISTING BLDG. SIZE OF WALL IROOF USE OF TEL. NO. TEL. CITY l IC. NO. INO.OF BLDGS. NOW ON LOT FORMED BUILDING ADDRESS � TRACT FIRE ZONE ED PA10 iPl; 23-70cnsn�Q1443� •a��a3f.1.50 TION FOR BUILDING PERMIT DAT RECEIVED DATE ISSUI ' 3-%o z 9-, i-39s-a6 Pd�"�o9 fyE NO.OF �� PLANS� YAFOSAPPROVED DISTANCE BET MAIN BL�GS. VAR. � C.U.P. # BLOCK 1, r _. � �!� VAIVE OF ' VAP�DSAPPfiOVED ACCESSORV BUILDING BET. MAIN & ACCESS. BlD DATE I hereby acknowletlge that I have reatl Mis application and state that the above information is correct antl agree to comply with all laws regulating builtling consvuctian, antl I shall mt employ � any person in violation of the workman's compensation laws of the State of Calitornia. X�i � I he�eby certity that I am ptope�ly licensetl as a contractor untle� "� SQ. FT. •� O the State ot Calitornia Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses ere in full forca antl eftect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: a am exempt trom the provisions ot the Stete of Calitornia Business VALUATION antl Professions ode, Division 3, hap m � PERMIT FEE ^y � � OO � Signatur � � �� I �/` / m Permittee � - � ��t/ d � �� s �� /� PLqN CHECK $ � � sb E �� o � LL Authorized Agent ^� � (� TOTAL FEE $ ` �