HomeMy WebLinkAbout230 HILL PL - Building Permits' - - - � - —� • ' ' '- ' �' Applicant to'fill'in'atl'spaces except tnose within �ea�
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CI7Y.oPcoSTA MESA ;'r�/ N�g7-TRUCTION PERMIT � PER ' N� ��j� r.Racr No.
i � J� • . �I� LL- �i:.. , . . ` ' . oVJ C1 ��
: ProjeGtAddress � •- ' � ' '
Applicantfs Mailing Address '�3C7' Iit �-L �L �� ' � TVPE OF CONSTRUCTION NEW��
' � q/�� ���� "❑ CONVERSION ❑ DEMOLISH''LtC(
Owner's♦N�j,n. �� ! � �� _ . Phonellt�JJ.,,,2! � ,DESC _ I� � r{ _ Y� /USE � B�DSy
Address' �/w���Y��- - T� �����
Arch/Eng.'' � �' TVPE OF PERMIT ❑ GRADING:: LJ C
� � ' �: -❑ TENANT�_�0 ELECTRICAL PLl
Address -'�' ' � .-��i� � � ,
Con[fattor{sName � 'L I�%`N> I �Ph� 9ne�7S-SY[� ' .��OTHER� � : � �
Address(mailing) ��'IZ � 4 1�Jr�iG`Y � PROJECTDESCRIPTION SQ, Fr. �
- �`G��.7(� , . • • CONSTRUCTIONTVPE
City License No. "� t� ' . � ZONE ' � GRADING C
n LICENSED CONTRACTOR DECLARATION ' . , ; -
�� I nereby atfirm that ��I am licensetl untler provisions oi Charter 9(commencing Remarks: � � .
n_ wi[h section ]000) of Oivision 3 ot the BuSiness antl Profe55ion5 Cotle, antl
�my license is in II fwc antl eitect. (� �A�.��-y� ��
Licens }y'y'�`{ J � Li��J�se��po.��L�—
Date �1 �� ' Sg �t 'V� W�-�/\ i . . .� PLUM61
� WORKERS' COMPENSATION DECLARATION 1 �
� 1 hereby affirm that I have a certificate of cons¢nt to selt-insure o� a certificate � Baf $ink ' � � $h
of Workers' Compensafion -Insurance-• o� d certitietl�copy LherE f(Section �
lines anA si9n all app�opriate Eecla
JT.NO.>. , UNIT Nb. �� -
� � _ . . j -. ...
D� ALTERATION_' REPAIR
R ' A.P. #
- S Main Building:
�ATION ' �STRVCTURAI. . T Front - �
VG ❑�,MECHANICAL . � B R2df ' �
_ ' ' A
OCCUPANCV- C R�9ht �
_ VALUATION $
S Left �
75. � ACRES , p�ng. Ref. #
�
�
�
� 3800, Lab. C n1 � � r�,�` �pJ� Backflow Preventer Service Sink '
\ Poiicy No. ��'� I l ' Company �C1 ��.N �"1 • Backflow Irrigation Sewer Ca •
Iy�1.Ce�titietl c py is hereby fu/nishetl. ; • P
IIJ C�t ' tl 5 tiletl with the city g iv���qw�, �/, /_ BathtU6s � � . $eWef Connection
Dat¢ � Applicant� vr4� bMJ
EXEMP ION FROM WORKERS'.COMPENSATIO DECLARATION "- -:- Clarifiers- -�- ' Solar Collectors .-'
(Thissection neetl not be completetl if the permit is for� one huntlretl ($300) or ' :
less). , ; Dishwasher � i Solar Piping � �
I certify'that in th¢ performan[e of the work Por whicM1 this perm�t is i55uetl, I ' �
snall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank � �
Workers' Compensatlon' Laws ot Califomia. . ,
. Date � Siqnature � � Floor Dreins � Swimming Pool w/Spa,
�NOTICE: If, after makin9 this tleclatation, you shoultl becOm¢ Subject to the.
Workers' Compensa[ion provisions of the Labor Cotle, you must forthwith ' Floot Sinks t � Urinal
comply with such p�ovisions'or �this p¢rmit shall be'tleemetl revoketl.
CONSTRUCTION LENDING AGENCV ' ` ' � - " ' �� " G25S¢�viG2 ' OutIEtS� ' Wdt¢� CIOS¢t
1 hereby affirm t�at lM1ere is a construction lentling agency for tbe pertormance , '
of [he work far 'whiCh, thi` permlt 'is i55uetl (Section 3097 Civ. C.) - ' - � ,
Lender's� Name -
- � , ' Interceptors� _ � I ; �WaterHeater
Lentler's Atltlresz � Kitchen Sink ' ` 'Water Service � . .
OWNER BUIL�EN UECLARATION ' � ' � ' . _
I M1ereby affirm [hat I am exempt from tbe Contractorls License �aw forithe ; � Lavatories" � '� �
following reason (Settion,703L'S,Businessantl.Protessional Cotle: Any city or • _
county wnich requires a pe�mit to con5(ruGt, alter, improve, tlemolish or re0ai�, P-Ti2p ' � ��� '
any strutture, p�io� to its is5uance, also rCquiresJhe aOP�icant (or 4uch permit -
�to file a signetl StatemenLthat he/she is licensetl pursuant [o the pIOV151005 Of I �ROOi Dl21f15� "' ,�
' the Contractor's License Law (Chapter 9(commencing with Section ]000) of
Divisioni 3 of thN Business antl Professions Cotle) or tnat he/she is exempt � �- ,_
th¢retrom antl the ba5i5 for�the allegeC exemption. Any violdtion�of Section ' � , � �
7W1.5 by any applicant tov a permit 5ubject5.the•appliGanf to a aivil �
� enalty of not more than tive huntlretl dollait ($500).! >� � .,, �
�.� 1,. as owner of the pwperty�or my employeei-with wages as their sole '�Reinspection�.Fee ' ,$151
compensation, will do the work, antl ihe structure is�not intentled or offerea '
ior sale, (Section 7044, Business antl Professional Cotle: The Godtracror's ' • , • �_
License ,Law tloe5 not apply to an'owner of a p�operty who builtl5 or improves
thereon; antl�who tl0¢s suth wo�k.hlmself/he�self or through hi5 or h¢r own . .� . �
¢mployees, �provitletl [hat such improv¢m¢nts are not intentletl o� ofteretl tor BOiIE� � �
sale. If, howev¢q the builtling or imProvemen[ is soltl'within one year of mm- '� ,
pletion, the owner will'have the burtlen Of proving he/she tlitl not builtl onim- , DuCt - Und¢� (�i�011nd ,
prove for tM1e purposc of sale). � . .:' ' . :
❑ 1, as owner of [he property, am excWsively contracting witn licensed con- � Duct - Structural
Vactorsto conslruct the project (Section 7044, Business antl Profe55ions Cotle+ ,
The Contractor's Cicense taw-tloes not apply to'an.owner of property who- '; Duct -Ventila[i0y """ ��- '
builtls or improves lhereon, antl wno contracts for such projects with a con- �
tractor(s} license pursuant �to-the Contrac[or'i Liwnse Law). I am aware that ; Exhaust System ❑ Multiple ❑
proof of their Worker's Compensation in5urance SM1OWtl be provitletl to�.me.�
❑ I am exempt untle� Settion ' B. & P. C, fot [hi5 rea4on Firepl/Fact. Blt. ICBO'# �
, i
Date � owner. ' Heating System & Ducting
I hereby certify that I have reatl this appliwtion antl state that ttie above : ❑0.100,OOOBTU �100,OOOBTI
informa[ion is mrrect. I agree to comply with all city antl coun[y ottlinance5 . � f .
antl=5ta[e la s elatinq to �Itlin9 const Ktion,�antl hereby authorize rep�e- ' � .
sentatives of is ciiy t ter upon he above-mentionetl �oropert' tor � , �. i ' f
inspection � ! � ^ O ^� �
Signature �M�� �' Date � U ReinSPection Fee $15 %
Drivers':License or,55 �, .
CMF 0865-46, rev. 10/B4 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor
Aut
Lau
t
�
;i_
F'
I � '
.� i
. t
Fee r� � � ' $ 3
' ; , _ FEE
Hood on Type I. �' ��
Canopy ` Type I I ❑ i
Refrigeration System ' " �
❑0:100:000 BTU" 0100.000 BTl
��p�a���v��� ,� �
Registers
i
� •
i
.. _ . luue Fee � $ 3
�
Automatic Washer' �
ConstructionPoleSub. � I
Cooking Unit �
Dishwasher . � ' i -
Dryers ❑Gas ❑Electric '
Fan •
F.A.U.
Fixtures� �
DEV ICQ BO%CS
Outlets ' � '
Switches � ,
Garbage Disposal
Generetor �0�5 KW 05-15 KW
s
� Reinspection Fee
�
DEVELOPMENTSER
Zonin9 APProved BV _
Building Approved By
Appliwtion laued By_
$15
Z
' O
N
I
, S , : `� N
� . _ ?•
�i R'
Req./Provided � - - E
, .. •. � � .: M
) rt�� �.•,n T
S
iULFR� 1 � FEES
�Transformer ❑ 15-50 KW ' �
❑ 50+ KW
Metef ❑up to 100 amps
Meter �over-100 amps � " ~ ��
Su6 Panel � � �
Momrs DO-1 HP O1 %- 8
Inc.Solar'�9-15 HP 076-15+
Microwave .
Pole'Light
Range �
$tanding Sections -
Trash Compactor ' � '
t , I
1
�
Issue Fee . � : $ 3
JTSi • � . � � .
� 'SUMMARV OF FEES • � � ' ,
BUILDING PERMIT � $ ` SMIP, ` , $ �
,' PLAN CHECK : � $ ' � PERMIT ' �
PLUMBING $ � �SSUANCE ,$ i ,
PLAN CHECK 25%� S � ENERGV P.C. 3 '
ELECTRICAL $ � GRADING '$ �-
• PLAN CHECK �50%�$ ' �� MICROFILM ;$ ' •
MECHANICAL $ � � TOTAL FEE � $ 1�
� PLAN CHECK '�5% $ � ' � : ' � �,
. . . ... - .:..✓ . .
�CONSTRUCTION AND PLANNING POOL & SPA
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 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, � Unclrgrnd., Test
9. Water Pipe-Undrgrnd. . 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 �
72. 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 � '
_...-
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. ,Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace APPROVALS Permit # ._
21. Duc[s, in Struc[ure 70. Underground Hydro '
22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush .
24. Roof Framing - 73.� Undergrnd. Storege Tank � Gas ❑ Oil
zc. n�o� s�,�eih�.,y ' � � � - � ' - � 74:'Oveihead Hydro �� " '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemicaf
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
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 .
36. Hood or Canopy . �
37. Final Factory Fireplace . � �
38. Final Plumbing Q-/(�$7 LED �
39. Wa[er Service-Final ' -
40. Gas Service-Final �. .
41. Solar pomesticFinal �" -
C') ,
42. Backflow Preventer - � r..r� �
i. �
43. Backflow Irrigation . . • '�' .
� �7r
44. Landscape Irrigation System .;,� � . �
t'>
45. Sound Attenuation _ ; .:� �
,�
46. Handicap Regulations. � ;;,; ,
47. FINAL STRUCTURE & BUILDING'�
c,. .:
48. Special Requirements Complete'd „��' �
_n
49. Electric�Release to Edison �� -
50. Gas Release to Southern California�Gas Co . '
51. CERTIFICATE OF OCCUPANCY '
No. Date - ' �
PNOJECT pODflESS: z 3 O H�ILL PL
OWNEP'S NqME: DAVIDSON, BARRY R
aooeess: z30 HILL PL
COSTA MESA,CA
AHCH/ENGINEEN:
AODBE55:
UNIT:
92626
HEG.NO.:
UNIT: ,
PEHMIITEE: BARRY R�, DAVIDSON ( 619 ) 634-2344
noonEss: z506 OCEAN COVE DR
CARDIFF CA 92007 .
IICENSED CONTppCTON OECLAflATION: I hereby a�lirm that I am licensetl unaer Orovisions o� Chapier 9(commencing with Sec�ion
7000) oi �ivision 3 of Ihe Business and Pmfessions Cotle. and my license is in,full force antl eftect.
QTV LIC.: STRTE LIC.: . CLA55:
Date: SignaWre:
WOflNEHS' COMPENSATION OECLAflATION: I hereby allirm t�at 1 have a cenilicate ol consent to self-insure or a cenificate of Workers'
Compensalian Insurance. or a ceniliea copy �hereof (Seclion 380Q Lab. C�.
POLICY NO.: E%P. OPTE:
COMPANY: � ' � �
❑ Ce�ilietl copy is hereby �umishe0. ❑ Ceni�ietl copy is �iletl wiih �he city Building �ivisian.
�aie: qppliCanL
E%EMPTION FBOM WOBREPS' COMPENSPTION DECLANPTION: (This sectwn neetl irol De campleled if Ihe permi� is lor we hundred (5100� or less�.
I cerlity thai in I�e pedarmance of Ihe work for which ��is permi� is issued. IShail noi employ any person in any manner so as �o hecome
sublec� �o t� WorkerY Compensation Laws ot Calilomia. /�
'�� oaie�,_ �y .Z Signa�ure�. , 5 � �— �
�
NOTICE: I�, ai�e making I�is declaration. yau should heco subject ta the Warkers' Campensa�ion pmvisions of �he La6or
Code. yau must forihwilh camplY with 5uc� pmvisions or �his permi� shall be Oeemetl revokeU.
CONSTBUCTION LENOINfi FGENLY: I hereby afiirm I�al ��ere is a cons�mclion lending agency for ��e pedormance oi lhe work for
whic� Ihis Oermn is i=_sued (Seciion 3097. Civ. C�.
LENDEfl:
AUURESS:
OWNEB BUILOEB �ECLABATION: I h¢reby afiirm �ha� I am exempt irom Ihe Coniractors $�a�e License Law for the tollowing rea5on
�Section 7031.5 Business antl Pm�essional Cotle: Nny ciry ol counry which requires a permi� lo consiruc�, alter, impwve, tlemolis�, or
repau any slmcture. prior to its issuance. alsB repuires ihe aoDlicant for such permil to lile a signed statemenDihat helshe is IicenseA
pursuanl Io Ine pmvisions of IM1e ConVacmrs State License Law (Chapter 9(commencing wilh Sec�ion 7000) ol �ivision 3 0� �he Business
and Prolessions Cotle) ar Ihat he/s�e is e�empt t�erelmm ana ��e basis lor Ihe allege0 eeemp�ioa Any violation of Section 7Q31.5 hy
any applicanl for a permit suElacis Ihe appiicanl lo a civil penal�y of nat more l�an five hunAretl tlollars (ESOII).
I, as owner oLihe pmpetly or my employees with wages a5 Iheir sole compen5aiion, will Oo Ihe work, and the
❑ simcture is nat intendea or olferea for sale (Section 7044, Business and Professional Cotle: The Coniractors' State License Law
tloes no� apply Io an owner a� a pfoDerty who 6uiltls or impmves thereon, and who tloes such work �imself/hersel� or thmugh
his or her own emDloyees. pmvitletl ihat such improvemenis are not intenUed or offereU for sale. If, however ihe �uilding or
impmvemenl is soltl wiNin one year ot compleiion. �he owner will have �he 6urden ot pmving he/she tli0 noi build.or impwve
br �he purpose o� sale�. �
I.as awneroflhe pmperty.am exclusively conVacting wrth IicenseA conlraclors�a conslmc�ihe pmle��l,Section 7044, 9usiness
❑ and Pm�essians CoOe: T�e ConVactors' S�ate License Law tices noi appy ta an owner of pmpeny w�o hml0s ar impmves tAereon
and who canVacis lor such prolects wit� a contrac�or�s) license pursuant �o Ihe ConVac�ors' Slate License Law). I am aware
tha� pmol oi ��eir Worker's Compensation insurance ShoNe be provitletl to me.
� I am exemp� untler Section'. $ P'] 0 Q 4' B. 8 P. C. •
mr ims reason ALL WORK BY OWNER �%
'�— Oale: �/'Z�/f Z Owner /> �S �� C
I tlo hereby cem�Y �hat I am av+are of and untlerstanU Ihe reQuiremems ol Califomia Heal�h and Satety Code Seclions 25505, 25533, and
2553A and Iha� I or any lulure builtling occupant will/witl nal (circle one� nee0 to comply vn�h said Sla�e codes an0 lhe requiremenis lor a
permil for cons��uction or modilicatmn irom �he Air ualily Managemen� Disiricl. FesiDential cons�mciion aDPlications are exemp� Imm
Nese pmvisians.
Date: Applicant:
I hereby ceruty �hat I have reatl t�is applicalion and s�ale Iha� Ihe above inbrmation is correcL I agree to qomply wi�h all city antl counly
or0inances an4s�atelawsrelalingio buil0ing constmqi0n and hereby auihorizerepresenlalivesot[his ciry�o Anieruponthe above�meniioned
��ooetly loi ins0ection rposes. �
Date: // ?' � SignaWre: � f - � —
od�e�'s �icensa o� sociai secuniy a:
I6ai�a6 W�i�e—Buil�ing; Green—Code Enforcement; Canary—Hpphcam; Pink-Revenue; Goltlenwtl—Assessor
CITY OF COSTA MESA — BUILDING PERMZT
PERMIT NO: B 060082 PLAN CHECK NO: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR
JOB DESCRIPTION ; LEGALI2E A 196# REDWOOD DECK
PERM NO; B 060U82
GOVT: N SUPP; N
PURPOSE; ALT
SQ FT: 196
CLAIM VALUE: CALC—VALUE: 2,900.80 GROUP OCC: R-3 /
COMMENTS• RE�OIREMENTS FOR PLANS AND/OR CORRECTIONS SUHJECT TO FIELD INSPEC •
�t�t�rx�r�t+��r�*** *�e�r�r�r�r�r�r�r*�r�r�r�t�t�r*�r�r��x���r*�***�r***�r�*�r*�r**�rx*�*��r��r*�****�r�**�r�r��r�r�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S � .
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; 35 FT IN FRNT; FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: 10 FT IN LEFT: FT IN RGHT; FT IN-
PARKING REQ • PROV: PARCEL: 11910123 ZNE; Al REF NO;
PLANNING N(31'ES> 196 SQ,FT, REDWOOD PATIO DECK LEGALIZATION,
i
�,����r�,r�r�e�r**,��****��*********���**�*�***�****��r***����**����*��*��*��,e*�*+�**�**
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 ; S -� DATE: ���2
BUILDING APPROVED BY ;
APPLICATION ISSUED BY: ' ��'
iFiFiFiE iflE IE iE 1k 1k iF iE iE iF iF IE ik iF iE iE iE iE
iEkiEifiE3EifiEikifiEiE�EiFiEiEikiliFiFiFlEiFifiEiEifiEiflE.ifiEiEiEiliEififiliEillliEifi klfiEiE
LEGALIZATION:Y F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 108,00
DATE;
DATE: ll 2 �
3�F£iEifiEiEiEiE9EiEfE3F if
fE iE iE ik iF 1E ikit iE if 1F ik iF iF if 1E iF iF ik 1E iF if jE if if
STRUCTURAL SEGMENT;Y
FIRE SMIP/RES GRADING
SO
SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL � PAID � DUE
TOTALS----> 108.50 0,00 0,00 108.50 108.50 �,00
j.
REVENUE DIVISION TOTALS--> COLLECTED; 108.50 OVEft/SHORT:- �,�00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING BliAN=CHECK
108. 00 , 50 "' '
if iE iEif iE iF 1F if �F iF iF 1F ff iE 1E 1k 1k 1E iE 1F iE iE if iE 1E ik ik iE iE ik i61F �F �f �E iE �E �F 1E 1E if 1E 1f 1E iF k if 3F iE iE IE �f 1E7F iE 1k 3F iE iE iE iE if if iE iF iE iFlF if if 1k 1F iF iE iE iE iE iE it
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 196 RES—BALCONY, EXTERIOR STAIRWAY 19.80 ,-2:�9,00,80
END OF FEES r,':,� a
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CONSTRUCTION AND PLANNING POOL & SPA �- -
APPROVALS Permit# � Date Inspector qppROVALS Pe�mit� �� Date Inspector
1. Temporary Electrical Service or Pole 52. -Pool & Equipment Location �� '�-
,2� Soil Pipe-Undrgmdi ,. ' 53. Steel Reinforcement �-� �
: :3 £fectrical CondvitUiility-Undrgrnd. - :, 54. Forms .; ''�
�
�-`4?Efectrical Cond�it=Urdrgrnd. 55. Electrical Bonding =
�-��. _Steel Reinforceme�i{ 56. Rough Plumbing & Pressure TesY .'
=6?EkctricalUFE�'�rnd. 57. APPflOVALTOCOVER�GUNI�E
�
��Z. Fobtings ''r 58. Eiectrical Conduit-Undrgrnd.^ „ �
�8. Foundation ^i� ' '� 59. Gas Pipe, O Undrgrnd., Test t r: ��
r
9. Water Pipe-Und�grnd. � 60. Backwash Lines, P-Trap, � Und�rnd. ��
10. Structural Floor System 67. �APPROVAL TO DECK � '
77. P/yperty Sewer Line:& HouseConnection 62. Backwash & Receptor�Final ✓��
.�
t2� ��^'ef �P = 63. Heater & Vent�Final �
.1
73. Roof Drains `� � 64. Plumbing System � Final
0
14. Rough Plumbi y' ,°� 65. Electrical•Finai � r., �
15. Rough Eleccrical-Condait � �'} 66. Solar SYstem-Finai � 4 ;�
= 16. Rough EleciriCWiring - - 67. Fencing & Access.ApProval �
77. Reugh Wiring Sign � 6S. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT �
. �=-;e= x r - n�
20'"Rough � cto�y FU€place � �`'� � �= " '� '-T' ` * `' pPR{�V,q�;$ � �Pecmit # � }
� �. ax ,i:r .�=i S - -*'c > , .�. ..u.-.: <
�� �_\ l ' � - .\ Y �: G . .- '"/ . a
21 .-�u�ts, is Strycturet � � •� .-.: < S' - = .K .70. l-fndergFbunti H�ro ti
_ ,�
22._Ducis. Venti�tirig�: � �� � ": � '� 5 ` ;77. Product.P�tng O6as Q:OiI -
� c �* � 2
l ; . � - . . ! -J __ yC � _ H.ti c . � . � i '.:' .-� w :.0
23.:.Gas�PipRRough & Test � - - , :f �*.y e .:7z. UnderqroUnd F4ushe x F- -
24i�FoSi F�aming sx • f-i-' �-'-. �% � z^�t #� 73�' Undergrnd. 5toragg7ank'D Gas ❑ CSiI
25. Ronf SF'(�athin -� �� ," .: r , •. ."� ''` -" � •� � _ _ ;
9 -,c .t v � �• ,,' > :C r m 74,r Qverhead Hydrv,� � .
26.^�-T-Bgr Ceiling (StaGc[ural) &sAonocoaY� '� 2' - �+'� '� 75�R�Y Cherrucal � T ^ �- '
r x ci� x.� i.c �.. i�
27QFrame and Flashin' '` . � •: x -- ��' � � ': � :`+ � :t"+.' ��+ `=a
x� :.�: ^.+:-C +.' Y �x K 76. �6ryStan(tp19e - x �i cw e-+
� 28� Latding:�L Siding-'x -. '?-ri^ -�� x � '•K K 77' FIXED SV'$TENI;�INA�'` � •r � '' `i
.�, `� ;. x y �._ .. .. >.T .�1 i � f �.. ,. ; ._, ..., x : � , �.�
29. Insulatiqn 'r,�< S •.c• ' r-•; r„ 78s FIRE PREV. FINAL �'.: - ^ ��^�
.c� '
r30. DrywaIlTJailing ~�' ��k" ' � . V�;• _ �HEALTItDEPT�.R'EQUIREMENT '
� • - .. :
`-'31. Plaster Brovrn Co�tr � i�r,r ',^n," x i� : r x 79.` FINAL li'3SRECTi�'}2N �`' e -
, �:,
i-32.^Electrieal Power:Nlete?.-Final� ^ u :� � .Y = .780tiF00D CERTIFfC%CTE ISSUED _ - � ,.r
�,33 �Final Ef�ctric K Y ' r � v x ^ t ��t x - �- � � • � r . � --� �"y
� S�: 1 NOtes: � . n
-1 .l " , _ _ � � _ . -, -i
_34c�Fipal He2ting&flitiCondition&�g: f�¢ x µ .�c c z ; C`._ x r� .cJ �
'
"+ - -�- �, •r• x , � k s , r
35:'.:FinalGasPipc�Test`..�` - ,�. ��._" r `c`� •.�� :�'' '=C,; `-_f �,,,
i36�Ho`odoCCanoPY�x.� L �.r'-: --,,- �>� i�'�k.Y � i-� � r' -''' -•, w:
- - r r � i � x 'r .r. :�j
_37rFinal Fdctory Fi�ER1ac ^ � �} ` '"r' ' "" _ n . S.� �"
� � i < t <1� ,T . l' �
y38. Final Plumbing , ; _ � � i r < _� - ::�
�.
�=39. Water Service=Pinal' � ='��- '` " �� � �� �� "`�
y. � x v � z -C , x r _. . - _
°;40. Gas Service;fjinal'; � ; ;��;.;- _� � Y .-, l:; :� �<e - � _ « � .<. �
_ „, �
:41. Solar pomesficFirizl� �� ' K � '� *� Q'�� t �-" '
� rx ;n �< x: � s ,:x -
,
^42.'Backflow Prevente�i' :j .�`rj t ` � . . ti �� _
- - �
43. Backflow Ir'r4yatiom zSS :- +� a;l-�o -. � n. �'
x -r x. z x.. :t � f -
- J. �-:s: +.c�. s .._ ,.. _
',44. Landscape Irripanon System;�,-: ; - x .� ;, - � x x - :,; �. � ',=q i � T *� '
'�45'.-Sound Attenuatioh ^ ^•' �`' " = - -' -- - ' �'L * s> -
�� � � _ �-� • '� 'r . � ;_ - -`„'. - . ., .
�46., Handicep Regulaiians ' n x '` �� � � `' �� ; ; '
? •� ...� . ` 7 ;
y47:::FINXaL STRUCTUflE & BU�LDING �� � i�,� k;:��0 5 E� p ��R E �
r .r.
48i,FINALPLANNI�G I E-`�- .= n: �' � t;�, .; ; FfKO%�� S; ,�� ,.
,-.49sE�ectric Relsase to�Edison � = ��, a'��= * `_ .c - :.. � � ;
r ' F / .
�50.aGas�Reiease to Sou'them Califoroia Gas Co � �„�i�' j�(,i�;� % �'_ " � . `' = . , ; .i,
51.CE.RTIFICATEOF#OCCUPANCf r �� "I<:�c _ �j a. q% ~T .: " "
No. Date
t '
ORANGE COUNTY BUILDING DEPARTMENT �_ APPLICATION FOR PERMIT .
. 636 North Broadwoy • - � � ' � � � �
� SANTA ANA, CALIFORNIA -
FOR APPLICANT TO FILL IN POR OFEICE USE ONLY
' RECEIPT NO. PERMIT NO.
BUILDING
nooreess 230- H111 PlaCe � � �9�� �y�v 9
scHoo�� �isr. Costa 'ARe$a
OR TOWN ��{jC�E�VED�BY �ATE REC'D. DATE ISSIrED
CROSSS T. ileStIIIlIIS VBZ� P�$Ce //! � lirl ��� 1�'� n// /��! J S
OWNER Robert H Paulsen ADD EI55 /� � � /`�"L(�(' //� �
ADDRE55 GJ9 — 2Yt11 P1$CP. SCHOOL DIST. ///��/�� �, �
Fi,. c OR TOWN ��L � I(f��Llo� �
CITY COStiA MeBa NGJBa V791 NEAREST ' I�� �
CRO55 SL �jC�
ARCHITECT OR LlC. 20ryE� '� NO.OF I TYPE GROUP
ENGINEER NO. / ) PLANS
�� ��.�
ADDRE55 /{ � �/�
BYPROVED /(/�� ..:,�z.DATE/ .f'J J�
CONTRACTOR Q�1@r No 303948 , //�r� - ,,,.
ADDRE55 V CORRECT�,I.,01�5 �
LEGAL LOT ¢ BLOCK TRACT�`t4G �
❑ESCRIPTION I NO. li1 I I �^�
(ATTACH METES @ BOUNO51
SIZE OF LOT JG X 1'Yl.� I NQW ON LOTS O
USE OF I NO. OF I NO. OF �
EXISTING BLDG. FnMi��¢s ROOMS - "
II
SETBACK LINE FROM: �.Qd� � REAR YARD t �
CENTER OF STREET SIDE YARO �:�"'
DESCRIPTION OF WORK ,$
NEW I A I ALTERATION I I AD�ITION � I��T� � D
a'
� REPAIR I I MOVING Ic I DEMOLISH I �, �,�' �� . � �(,� `. r
"SZIEDING 35x42 ROOMS `� STORIES �
EXTERIOR WALLry.uCCO I COV�iRING comp
COVERING ���
�USE OF NEW � � � t ' ' '
B���o�N� Dwelling� and'garage""
�1,_'`PPROVALS
� - FOUNDATION: LOCATIQ t INSPECTOR OATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS FORMS, MATERIA�
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING ' ��N O �_'� SS� .
AND AGREE TO COMPLY WITH ALL COUNTY OROINANCES FRAME: FIRE STOPS. � ��� Z_/� s�
AND STATE LAWS REGl1LATING BUILq�NG CONSTRUCTION. BRACING, BOLTS '
i
^ LATH.INT.
//�� �
SIGNATURE 05 I\� LATH, EXT.
PERMITTEF1 '
PLASTER, INT.
AUTHOHIZE� AGT. PLASTER, EXT. l�'li..
PEant�T Fee $7,ZJ ' MASONRY REINFORCED
VALUATION � ^10 �� pLAN CHECK $ J �
OBON� BEAM
FEEAL Sy� FINAL - W� -?O'S�
5M 9-90-09 _ �
f. '
�: . - �
' . '
PLOT PLAN �
,.,,- .
Show location and-distances from • ' ' . -- +;
property line and between buildings. . � -- �'iJ�$
j . , - -
. . .' - - ..- ' _ . � . r� - ..
- - ;-£S= 9Z A01� , Z � O�Q_: Q�'�.� -- �•
�
•. . . <�. ; - .. " . . ,
- -- .. � . . , .
� � - -
" _ - - - - ._ .
. _ _. _ ;
� _ . __
- - . - - .. _.- , - ------
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