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Home My WebLink About774 HUDSON AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��MBING PERMIT �� FAIR DRIVE, GOSTA MESA, CA 92626 JobAddress: 774 HUDSONAV Suile No Vicinity: BATHROOM Parcel Nunmber: 14152209 Applicant: JIMENEZ, MANUEI. Address: 5419 SUNSET BL STE 227 LOS ANGELES, CA - Owner: TEAGUE, CAROLYN TR Address P O BOX 4274 COSTA MESA, CA, Contractor. ROYAL BUILDERS Addres5: 5419 SUNSET BL STE 227 LOS ANGELES, CA Phone: 323-464-4625 Zip: 90027 Phone: Zip: 92628 Phone: 323-464-4625 Zip: 90027 License: 803030 ISSUED 8Y: Status: ISSUED Applied: 1028/2005 Issued: 70/28/2005 SCOPE OF PERMIT INTERIOR 60 SF BATHROOM REMODEL IN AN EXISTING SFD. WORK TO INCWDE REPLACEMENT OF SHOWER PAN, FAUCET, DRYVJALL AS NEEDED, TILE AND PAINTING. GFCI TO BE INSTALLED. REF: BOS-01948 � 1SHOWER ISSUE FEE Backflow irrigation Backflow Preventer Bathlub Clarifer System Connect Qce,Soda,etc) Dental Units � Dishwasher Drain, Floor Drain, Rainwater Drain, Root Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlels) Gas (Over 4 outlet5) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 30.00 50.00 50.00 arv FEE SUMMARY AMT LaundryTub/Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Seplic Tank $0.00 Sewer Cap for Demo 50.00 SewerConnect 50.00 SewerPrivate Line $0.00 Shower $9.80 Sink, bar 50.00 Sink, commercial 50.00 Sink, Floor 50.00 Sink, kitchen 30.00 Sink, service/mop 50.00 Spa (private) 50.00 Spa (public) $0.00 an 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) � Wash 6asin Wash Basin Sel Waste and Vent System Water Closet (Toilel) Water Heater / vent Water Piping Qnst or Rep.) Water Re-pipe Water Service Water Soflener OTHER VIOLATION PtAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 533.30 R R I A oTr 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 tlays. INSPECTIONS: In order for the work authorizad under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 , 244&46�NW) WORKERS' COMPENSATION DECLARA710N: - � I hereby aHirm untler penelry ot perjury one of ihe tollowing declaretlons: ❑ I have end will meintain a certiM1�ete of consent to self-Insure lor workers' compensetlan, es provided for by section 3700 of the Lebar Code, for the pertortnence oi ihe work for which this permit is i85uetl. '�� I have and wlll maintain workals' compensa6on insuranca, as requlretl by section 3700 of ihe Lebor Cotle, for the pertormance of the work for whlch this pertnit is issued. My workers' wmpensatlon InSurance carrier end policy number are: Gemei: �' �%�T� � N � P-oliry.Number. �% Q %% — � (71ils section neetl not be comp/eted i1 the pertnit is ve/ued at ane hunared dollers ($100) or IessJ Ly____.._.�, ❑ I certity that In the peAortnance of the work for which ihis permit is issuetl, I shall not employ any person in any manner so as to become subject to the workere' compensetlon lews of lomie, and egree t� t tl hould become sub�ect to the workers' compensation provisions of Section 3700 of t e LaDor Code, I shell forthwith compy with ihese p vis' � / � y APP�t�s�9neluce:� Oate� ( Q/vv71 �� WARNING: FAILURE TO SECURE WOFKERS' G1�lAPEN A➢QI COVEMGE IS UN UL qND SMALL SUBJECT M1 EMP�O ER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TFKKISAND DOl1ARE (5100.000), IN ADDmON TO THE coYF OF COMFENSATION, GES AS PROVIDED FOP IN SECTIQV 3IO60F THE LABOR COOE, INTEREST, ANU ATfORNEY'S FEES. LICENSED CONTRACTORS DECLAAAnON: I hereby eHirm ihat I em licen d under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of the Busine s end Professians Code, antl my Ilcense is in full force end elfect, L c 1 �i��]3a n.. / c�dee�r � CONSTRUCTON LENDING AGENCY: ❑ 1 hereby ettirm that there is a Gonsiruction lending egency tor the performence of ihe work for which ihis permit is issued. (Sec. 3097, Civil Cade). LentleYs Name: Lender's AOdress: Signelure: Date: OWNER-BUILDER DECLARATIONS: I hereby ettlrtn Ihet under pe�alry ot perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which,rep�i�es e pefmii,to�.cronsiruct, elter, improve, demolish, or repair any strucNre, D�or to its issuence, also reduires Ihe applicant tor such pertnit b file a signed stetement ihet he or she is licensed.pursuant to Ihe provisions ol the Comrectors Llcense Lew (Chapter 9(cammencing wic� Seclion 7000) of Division 3 of the Businoss and Pmtessions Code) or lhat he or she�is�exempt therefrom anA the besis tor tha elleged exemption. Any violatlon oi Section 7031.5 by eny epplicant }or a pertnit suD�ecis ihe appllcant to e civil penalry of not more than tive hundred dollers ($500).): ❑ I, as owner ot the pro0erty, or my emplayees with wages es t�elr sole compensatlon, WILL DO THE WORK, antl the strucWre is noI Imendetl or oXeretl tor sale (Sec. 7044, Busineu antl Protessions Coda: The Contractore License Ww does not apply to an owner of property who builtls or improves ihereon, antl who does such work himselt or herself or ihrough �is or her own employees, proviaetl �hal such Improvements are not intendetl or oHered for sale. If, however, the Duiltling or improvement is sold within ona year of comple�ion, the owner-builder will heve t�e burden of proving �het he or she tlid not build or improve tor purpose ot sale.). � � I. es owner ot the property, am E%CLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to construct ihe pro�ect (Sec. 7044, Business end Professions Cotle: The contrectore Llcens0 �ew does not apPty ro an owner oi propeny who builtls or Impmves Ihereon, and who contracts tor such project wlih e contractor(s) license pursuent to ihe Comra�iors License Laws.). ❑ I em exempt under sec. Business and Profe55ion5 Code for thl5 reason: Siqneture: Date: Owner ID verilied by drivers license. Ves ❑ No Dnver's License No. Expires: Verlticetion of Qwnership hy (type al tloc ent, i.e. - property tax blll ar tleetlJ: DIVISION OF INDUSTRIAL SAFET�' PERMI7 CER7IFICA710N: ❑ I hereby certAy ihat no excave�ion five (5) or more feet in tlepth in�o whlch e person Is requiretl Io descend, will be made in connecNon with work authorized by ihis pertni�, end that no builtling siNCWre, scattolding, lelsework, or demolltlon or tlismantling thereoi, will be more ihan thirty-sia (36) leel high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Aamini8trative Code). ❑ As owner-builder, I will not employ enyone to do work which woultl require a pertnit from the Division of Indusirial Sefery, as noted above, unless such pereon has a pertnit to do such work trom �he division. Signeiure: Date: DiNsion of Industnal Satery Pertnit Number: :ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: Will Ihe epplicant or present or fuNre building occupant neetl to tile entl certlty a Business Plan br emergency response to release or threatened release of e hazartlous meterial7 ❑ Yes ❑ No (Sec�ion 25505 oi Ihe Calitomia Health antl Safery Cotle requlres, with some eaceplions, Ihat e Business Plen be tiletl with the Costa Mesa Fire Depanment by every business which has et any one lime during a reported year e quantity of hazerdous metenals equel ro or greater ihan a weight ot 500 pounds, or e volume of 55 gallons, or 200 cubic feet of compresseA. gas at standartl temperature_entl. pressure). ......................................................... . ........................................... ...................................................................._................................._........................_.......... ....................... ................................................... Does or will Ihe epplicant or present or future building occupent need to lile e registratlon torm tor acutely hazartlous matenels9 ❑ Yes ❑�No (Sectlon 25533 0l Ihe Celifornia Health and Safety Code, with some axce�tlons, requires registretlon with ihe Costa Mese Fire Depetlment by eech business which at eny one Ilme has on hend e quan�ity of acutely hezardous meterials eque to or greeter ihan e welght ot 500 pountls, or a volume oi 55 qellons, or 200 cubic feet oi r.ompressed ges at standerd temPerature and pressure). ................................................................_..,............................................_..........................................................._................................................................_..._.........................................................................._.......................................... Does or wlll ihe eDO�icant or present or fuNre builaing occupant neetl to prepere en RMPP (Risk Management antl Prevention Program for acutely hazardous matedals)7 (Section 25534 of the California Health and Satety Code pmvides thet the Costa Mesa Fire Department may requira the preperation, cetlification antl filing with the Fire Depertmem ol en RMPP by bus�nesses which ere required to register acutely hazaMous matenals with the Fire Department. ........�_ ................................."'_'_,—......................................."'..............................__...................__..........................._............................._.__.._........ ......................... ...................._..........._.............._.._............ If en RMPP is presently requirad, has Section 25534 oF ihe Califomie Heallh end Safery Coda been tulty complietl wit�7 ❑�Yes ❑�No ........................................................................._...................................._........................................................................................._..................................................................................................................._............................................ Does or will tha Bpplicani Or prP58nt or tuture building xCupBnt require br Ihe work which is the SubleC� of ihis a plitetion e gertni� lor SUth tonsiruction or motlification from the South Coast Air Quality Manegemen� Dis�dci or fmm any other elr pollution contwl tlistrict or agencyP � Yes L,J Na (Seclion 658502 ot the Celifornia Govemment Cotle requires that ihe roquestetl inlortna�ion be lumished on epplications lor no�-�esidentiel building permits). ..............__._..........................................,...._..._....._....._..._...."'..........................'_"........................._.__...................__..........................___"__... _...................... ................_—.............._..............._......... Will eny pan of the faciliry to be ��structed under this pertnit be within 1000 feet trom the outer boundanes of a school4 ❑ Ves ❑ No (II yes", the laciliry must meet the reQuirement ol Sections 25534 and 42303 of ihe Califomia Healt� and 7 II e pertnit from Ihe South CoSst Air Oualiry Management Distticl or other air polWtion contml tlistnct or egency is required br tha work whlch is the subjecl ot this epplicatlon, have ell of the discl0.sures prescnbetl Dy Calitornle Heallh antl Salery Cotle Section 42303 been made7 ❑ Yes � No .........................._........................_............................__...'_'_"'.._................;_...._:_.............,......_._.__........................._..................._._......................................_�._._..._........._....................._.............._"..........._ 8 Qt'yes", anach cenificate ol comp�iance from t�e eppmpnate av polNbon wntrol oHicer). CERTIFICATE OF COMPLIANGE: I certify that under penalty ol perjury fhe intormetion given ebove is correct. I agree to comply wilh all state lews antl ciry ordinances regartling Hazerdous Meterials 9�d Emissions. Signawra: �� Date: f, � ,r.,�—..�, CERTIFICATE OF COMPLIANCE AND AUTliORIZATION OF'�Fyn��y,+q: I certity under penelty of perjury that I have read this epplication end state ihet ihe informetion given is correct. I egr comply wittj�ell state lew enC,City ordir�'39CesYWgtlng to bullding constmction, end authodze representatives of the City of Cos�a Mesa to enter upon ihe above-de ibetl ro erty lor Inspec�ion p esi � re� e I�� cu� allow occupancy of any huilding authorized hy this D/'�� u il finel insp c� .� i� i , �� /I __ Sig BtUr L§ al Owner(s) �— � D t COOE I. INSPECTION TVPE 1676 Fixed System Final Fire Pr��ention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIacWRetaining Well 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition BZL �y� cooe� iNsrernoxTrve 206 Final Mechanical 208 Final Plum6ing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency �. � .uu_ . �� (714) 754-5273 • Fax (714) 7543856 • www.ci.costa-mesa�C��sCTRICAL PERMIT n FAIH UHIVt, GU51 A Mt.�'A, GA BZ6L6 Job Address: Suite No Vicinity: Parcel Nunmber: 774 HUDSON AV BATHROOM 14152209 Applicane JIMENEZ, MANUEL Address: 5419 SUNSET BL STE 227 LOS ANGELES, CA Owner: TEAGUE, CAROLYN TR Address P O BOX 4274 COSTA MESA, CA Contractor: ROYAL BUILDERS Address: 5419 SUNSET BL STE 227 LOS ANGELES, CA ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) � Pool / Spa Lighting Fi�As Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over t000a Motors to 1 hp Motors lo tOhp Motors to 50hp Motors to 100hp Motors over 100hp Communiwtion drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: 323-464-4625 Zip 90027 Phone: Zip: 92628 Phone: 323-464-4625 Zip: 90027 License: 803030 Status: 1 SS U ED Applied: 70/28I2005 Issued: 10/28/2005 R ' A SCOPE OF PERMIT INTERIOR 60 SF BATHROOM REMODEL IN AN EXISTING SFD. WORK TO INCLUDE REPLACEMENT OF SHOWER PAN, FAUCET, DRYWALL AS NEEDED, TILE AND PAINTING. GFCI TO BE INSTALLED. REF: 805-01948 1 LIGHT FIXTURE, 1 OUTLET, 1 SWITCH $23.50 $0.00 50.00 $0.00 $0.00 $0.00 $1.10 57.10 $1.70 $0.00 $0.00 $0.00 $0.00 $0.00 . $0.00 $0.00 50.00 80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantiry FEE SUMMARY Temp Dist System I Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up l0 1 kva/kw ................up l0 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduil Misa Conductor � . Circus ( gen or ride) Circus (mech ride or lighls) Christmas Tree Stand � Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity 50.00 0 50.00 0 50.00 0 50.00 0 so.00 0 50.00 0 50.00 0 50.00 0 30.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 $0.00 50.00 50.00 TOTAL CALCULATED FEES b26.80 r�uueureienenu� rriun�r��uc NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-27-92) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectiona and final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot this pertnit. FOR INSPECTIONS CALL: (714) 7545626 zaa�ee laroo) WORKERS' COMPENSATION DECIAHATION: I hereby eNirtn under penalry of per�ury ona of tha tollowing dedaretions: ❑ I heve end will mainiain e certificate oi consent to selt-Insura tor workers' compensaiion, es proNded for by saciion 3700 oi Ihe Labor Cada, for che peAormance of the �/ work for which this pertnit is 155u6d. p[� I heve end will maintain workors' Wmpensation insurance, es raquired by sedion 3700 of Iha Lebor Code, for the pertortnance of the work lor which Ihis parmit is issuetl. ' ✓ Mv workecscomoeosation Insurens9yaeier andnolicv number e�e: permit is valued et one Policy.Numbec/ %8'��771a ^ 2� �.�' orless.) � —1 ❑ I certity that in the pertortnance ol Ihe work for which this pertnit is issued, I shall not employ eny person in any manner so as to become subject to the workere' compensetion laws alifomie, dntl egr e that if I oUltl Uecome subject Io Ihe workers' compansation provisions ol Sectio 3700 oi the Lebor Code, I ahall forlhwlih compty with th r i'o s. App�fi=n1'Sign�re: �1pg te:—� �U /%� fi� WARNINO: FNLURE TO SECURE WORKERS' �P T101�1 OWERAGE IS I�FUL AND SMP11 SUBIECT AN E OVER TO CRIAU P�� qryp CaVIL FlNES UP TO ONE MUNOREO TYqUSAND DO�LARE (5/00,000), IN AODfrlO�'1 TO TH T OF COMPEN , DAMAGES AS PHOVIDED FOR IN SECiIIXJ 3)W OF THE IABOR CODE, IMEPEST, AND ATTORNEY'S FEES. LICENSED CON7RACTORS DECLARAnON: I hereby eHirm that I am licen under provisions of CheO�er 9(commencing with Section 7000) ot Division 3 01 Ihe Business antl Professions Code, antl my license is in full force nnd eXect. Lic�M�� J�B 0 i,..i Class # Comrtic�g ature � • TT/.buw /nr2�r� Date �_,,�/�) �� !i c r� CONSTRUCTION LENDING AGENCV: ❑ I hereby aMirtn Ihat ihere is a construction lending agency tor Ihe peAortnance of ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Signaturo: _ OWNER-BUILDER DECLARATIONS: Lentler's Address: Date: I hereby afllrm that under panalry of perlury thet I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business entl Professlons Cotle: Any ciry or county which requires e pe construct, after, improve, tlemolish, or repeir eny sWcture, priw to its issuance, also requires the applicenllor such parmit to Ille a signetl statement Ihet he or sh9 �s I' ,pursuant to the pmvisions ot the Conirectors IJcense Lew (Chapter 9(commencing with Seclion 7000) oi Divlslon 3 of the Businoss entl Pmfession5 Code) or the� he sheii9 ezempt t�erefrom and Ihe basls for the elleged exemplion. Any violetion ol Seclion 7031.5 by eny applicant tor e Dertnit sub�ects the applicant to a cihl y 0� �o� e �Fr�n,fiva hundred tlollars ($500).): �-+ � "r � I, es owner of the pro�y employees with wages as ihelr sole compensation, WILL DO THE WORK, antl the siructure Is not intantletl or otterad tor sale (Sec. 7044, Business antl ProfessTon9?Code: The Contractors License Lew does no� apply to an owner of properry who builtls or improves Ihereon, antl who tloes such work himsetl or15e��etl or Ihrougli his o! her own employees, provitled that such improvements ere not intended or oMered for sale. If, howeveq lhe building or improvement is eo�within o7i�year of completion, ihe ownerbuilder will heve the burden of proving that he or she did not build or improve br purpose of sale.). ' ❑�, ,'owner of ihe property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTOHS to construct the prolect (Sec. 7044, Business antl Pmfessions � COGe: The contradors License Lew tloas not apply �o en owner ol property who builds or Improves thereon, antl who wniracts for such project with a comractor(s) •�iCense pursuant b Ihe Conhactors License Laws.). ❑ I am e:empt under sec. Business and Professions Code lor this reeson: Signature: Date: Owner ID verifiad by dnvefs license. Yes ❑ No Drivers License No. Vedtication of Ownerehip by (type ol tl ument, i.e. - properry taa bitl or deetl): Expires: DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION: ❑ I herahy certify Ihat no ezcevation tive (5J or more feet in tlepU Into which a person is requlretl to descend, will be made in cannectbn with woAc authoAzed by lhis pertnit, end ihat no building simcture, scattolding, talsework, or tlemolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminlstrath'e Code). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit trom the Division ot Indusirial Salety, es noted abwe, unless such person hes e permit to do such work Irom Ihe di�ision. Signature: Date: Division oi Industrial Safey Pertnit Number: CERTIFICA7E OF COMPLIANCE AND A�MORIZA710N OF EN7RY: I certify under penalty of perjury ihat I have reatl ihis epplicatlon end state that iha information given is correct. I e comply with ell stata laws end ciry ordlnances rela�ing to building consimction, and euthonze representa�ives o� ihe Clry of Costa Mese to enter upon ihe ebove-de ribed ro e for inspection pu s. gre t to occupy or ellow occupency of any building authorized by this permit until 1nal insp/ecy6n. o l��/ !i�/ � Slaneture Leg ner(s) � Da et COOE I' INSPECTIONTYPE - 1616 Fisetl System Finel Fire PreveNion 1288 Pool Spa Finel 200 Final Re-Roof 201 Flnel Block/Retaining Well 20'2 203 204 Final Fadory Fire Placa Final Sign Final Demolition PdIE It�Lfl COQE� INSPECTIONTYPE 206 Flnal MeChaniCal 20B Finel Piumbing 210 Final Electrical 212 Final Fire Prevention 22� FinalPlanning Approval 222 Final Site 250 Final Builtlin<yOccupanq BAg II�4S (714) 754-5273 • Fax (774) 754�4856 • www.ci.costa-mesa.43�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 774 HUDSONAV Suite: Viciniry: BATHROOM Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Conslruction: V-N Parcel Number: 14152209 Zoning: R1 Applicant: JIMENEZ, MANUEL Address: 5419 SUNSET BL STE 227 LOS ANGELES, CA Owner: TEAGUE, CAROLYN TR Adtlress P O BOX 4274 COSTA MESA, CA Contractor: ROYAL BUILDERS Address: 5419 SUNSET BL .� STE 227 LOS ANGELES, CA Zip: 90027 Arch : Address: 2ip: Phone: License: Phone: 323-464-4625 ISSUED BY: Zip: 90027 Phone: Zip: 92628 Phone: 323-464-4625 License: 803030 Eng: Address: Status: ISSUED Applied: 10/28/2005 Issued: 10/282005 • • , ' ' � • % % i _�� Phone: License: SCOPE OF PERMIT INTERIOR 60 SF BATHROOM REMODEL IN AN EXISTING SFD. WORK TO INCLUDE REPLACEMENT OF SHOWER PAN, FAUCET, DRYWAIL AS NEEDED, 71LE AND PAINTING. GFCI TO BE INSTALLED. � FEE SUMMARY Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Calc Valuation: s2,800.00 Claim Valuation: Ez,soo.00 Total: $83.25 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0- 0 Rear 0- 0 Lek 0- 0 Right 0- 0 ACCESSORY Front 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0 PARKING Existina: 0 Reauired: 0 Pr000sed: 0 R R � A NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis pertnit. FOR INSPECTIONS CALL: (714) 7545626 / i zaawa 19Ao) \/ WORKERS' COMPENSATION DECLARATION: � I hereby ettlrm under penalty oi per�ury one of the following tleclarations: ❑ I have entl wlll meintein e certificate ot wnsent to self-Insure for workers' compensetion, es pravided for by section 3700 of the Lebor Cotla, for the pertortnente of Ihe work for which ihis pertnii is issuetl. � I �ave and will meintain workers' compensetion insurence, es required by sectlon 3700 of tha Labor Coda, for ihe pedortnance oi the work for which this peimit Is Issued. t?My workers' compensation Insurence er and oliq number ere: n �7/ Carriar.^'�.�� /v� POHry Nwnqer:� l�Q7!(O ^� Q 1%�Sl� �(�ThAasection neeC not be complefed i! e permif is ve/ued et one huntlretl dWlars ($100) or /essJ ❑ 1 certify ihat in ihe pertortnanca ol t�e work for which Ihls pertnit is issued, I shell not employ eny person in any manner so es to 6ecome subject to the workers' compensation I Celitomie, end egree t� it I sh I�become sub�ect to tha workers' crompansation proNsions of Secilon 3 00 01 the Lebor Cotle, I shell torthwlth compy with t� se pr �i i s. �}�-- Applican65lgneW�e: Dale:1� �� /�._I W�� NO"FAIL RU E TO SECUR WORKERS' COMPE S ODVERAGE IS UN FQL AND SHALL SUBJECT PN EMPLOYER TO CRIMINALNENALTIES AND CML FlNES UP TO ONE MUNDRED TFKKISANDDdlARE(5100,000),INADDR��TOTHE OFNlAPENSATI GESASPROVI�EDFORINSECTION31080FTHEUBORCODE,INTEREST,ANDATTOHNEI^SFEES. LICENSED CONTRACTORS DECLARATION: 1 hereby eHirm that I am lice�@ d under pmvisions at Chepter 9(commencing with Section 7000) of Division 3 of the Busing@s enA P�ssions Cotle, and my Iicense is in full torce and eNecL Lic: p� 1(��'� .i. i ��s,p "� f� CONSTRUC710N LENDING AGENCV: ❑ I hereby ettirtn that there is a construction lending agency tor �he pedortnance ot Ihe work for which �his permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lentler's Address: SignaNre: Dare: OWNER•BUILDER DECLARATIONSi, . '_ . ' I hereby aHirtn thei under penalry of PerJury that I am El(EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business and Professions Code: Any ciry or counry whic� reQu�res e permit lo constmct, alter, Improva, demolish, or repair any strucWre, prior m its issuance, also requlres ihe applicant for such pertnit to file a signed stetement Ihat he or she Is Ilcensed pursuent to ihe provlsions ot the Conlredors Licensa Law (Chepter 9(commencing wit� Sectlon 7000) of Dlvislon 3 of the Business end Professlons Cotle) or ��et he or she is exempt therafrom end the besis for the alle9ed exemption. Any violation oi Section 7031.5 by eny epplicant for a permit subjects ihe eppliwnt to e civil peneUy ol not more than Nve hundred dollers ($500).): ❑ I, es owner oi Ihe Droperry, or my employaes with wages as ihalr sole compensation, WILL DO THE WORK, end the structure Is not intendetl or oHered for sele (Sec. 7044, Business antl Professions Code: The Contrectors License Law does not apply �o an owner oi properry who builds or Improves iheraon, end who tloes such work himself or herselt or through his or her own employaes, provitletl ihet such improvements are not imentled or ottered for sale. If, however, the building or ImprovameN is sold within one year of comple�ion, �he owner-builder will have the burden of proving that he oi she did not build or improve for Durpose of sele.). ' � ❑ I, es owner of the properry, em E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACT085 to consimct Ihe projeq (Sec. 7044, eusiness antl Prolassions Code: Tha conirectors License �ew Coes not apply to an owner oi pmperty who builds or impmves thereon, entl who cronirects for such project with e comractor(5) license pursuant to ihe ConiraG�ors License Lews.). ❑ I em exempt under sec. Signature: Owner ID verifletl by tlrivers Ilcense. ❑ Ves ❑ No Business end Professions Code for this reason: Veriticetion ot Ownership by (rype of documeni, i.e. - properry tau bill or deetl): Drivefs License No. Date: Explres: DIVISION OF INDUSTRIAL SAFETI PERMIT CERTIFICATION: ❑ I hereby certify Ihat no azcevetian five (5) or more leet in depth into which a person is required to tlescend, will be made in conneciion with work euthorize0 by this permit, and that no building strucWra, scaHolding, falsework, or demolition or dismantling thereof, will ba more than Ihirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomla Atlminis��ative Code). ❑ As owner-builder, I wlll not emp�oy enyone to tlo work which would require e pertnit from the Division ol Industrial Safety, as notetl e6ove, unless such person �as e permif to do such work trom the divislon. SignaNre: Data: Division ot Intlusinal Satey Permi� Num6er. CERTIFlCA7E OF COMPLIANCE AND AllTHORIZATON OF EMRY: I cenify under penalry of perjury ihat I have read this epplicetion and state Ihat the inlormation given is correct. I agree to comply with ell state lews a�nBdg ciry� ordlnances relating to building consiruction, anA euthonze representatives ol the City ot Costa Mesa to enter upon ihe ebove-de ed r� tor inspect(orypurpo . I a ee not to occupy or ellow occupancy ot any builtling authorized by ihis permit until f�insp�n. /. / // _�� /� �� Js � �A/ L2��P, �t� Slgnal�eOfy�4l mer(s) ate COpE I, INSPECiIONT'PE PAIE 1676 Fixetl System Final Fire Pre�en�lon 1266 200 201 202 203 Pool Spe Final Finel Re-Root Final BIocWRetaining Well Final Fectory Fire Place Final Sign 204 Finel Demolition INTRULS CODft INSPECTIONiYPE 206 Final Mechanical 208 Final Plum6ing 210 Flnal Electncal 212 Final Fire Prevemion 220 Final Planning Approval 222 Final Site 250 FinalBuiltling/Occupency Q23i ll1I�L5 June 30, 2006 CITY OF COSTA MESA P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Carolyn Teague 774 Hudson Av Costa Mesa CA 92626-3007 PERMIT NUMBERS: FOR: PROJECT ADDRESS 605-01948, E05-01148, P05-00817 Remodel 774 Hudson Av., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project and additional fees will be required to finalize expired permits. According to our records, the permits listed above have not had an inspection for a period exceeding 180 days. If you have a signed inspection card indicating an inspection was conducted within 180 days from the date of this letter, please contact this office so we may correct our records. If you need to request an inspection please call our Inspection Request Line at 714-754-5626. If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you do not have an approved final inspection, your permits will expire on July 17, 2006. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, Mary Jane Weidenkeller Office Specialist II Building Division (714) 754-5273 • Code Enlorcemen� (714) 754-5623 • Planning Division (714) 754-5245 FAX (714) 754�4856 • TDD (714) 754-5244 • �.ci.costa-mesa.ca.us RealQuest.com � - Report Property Detail Report For Property Located At 774 HUDSON AVE, COSTA MESA CA 92626-3007 Owner Information: Owner Name: Mailing Address: Phone Number: Location Information: Legal Description: County: Census Tract / Block: Township-Range-Sect: Legal Book/Page: Legal Lot: Page 1 of 1 �eal0uest.�om TEAGUE CAROLYN 774 HUDSON AVE, COSTA MESA CA 92626-3007 C039 Vesting Codes: / / TR N TR 3500 LOT 59 ORANGE,CA 639.08 / 2 59 Legal Block: Market Area: Neighbor Code: Owner Transfer Information: Recording/Sale Date: 04/17/2002 / 04110/2002 Sale Price: Document#: 305837 Last Market Sale Information: Recording/Sale Date: / Sale Price: Sale Type: Document #: Deed Type: Transfer pocument #: New Construdion: Title Company: Lender: Seller Name: Prior Sale Information: Prior RedSale Date: / Prior Sale Price: Prior poc Number: Prior Deed Type: Property Characteristics: Gross Area: 1,320 Living Area: 1,320 Tot Adj Area: , Above Grade: Total Rooms: 6 Parking Type: Garage Area: Garage Capaciry: Parking Spaces: Basement Area: Bedrooms: 3 Finish Bsmnt Area: Bath(F/H): 2 / Basement Type: Year Built / Eff: 1961 / 1962 Roof Type: Fireplace: / Foundation: # of Stories: 1.00 Roof Material: Other Improvements: COVERED PATIO Site Information: Zoning: Flood Zone: Flood Panel: Flood Panel Date: Land Use: Tax Information: Total Value: Land Value: Improvement Value: Total Taxable Value: APN: Alternate APN: Subdivision: Map Reference: Trect #: School District: Munic/Township: Deed Type: 1st Mtg Document #: 1st Mtg AmounUType: 1st Mtg Int. Rate(fype: 1st Mtg Document #: 2nd Mtg AmounUType: 2nd Mtg Int. RatelType: Price Per SqFt: Multi/Split Sale: 141-522-09 27-F31859-C4 3500 NEWPORT MESA UNIF TRUSTEE'S DEED (TRANSFER) / / / / Prior Lender: Prior 1 st Mtg AmUType: / Prior 1st Mtg RatelType: / GARAGE/ Construction: CARPORT 2 Acres: 0.14 X500 Lot Area: 6,000 0602160267H Lot Width/Depth: x 02/18/2004 Res/Comm Units: / SFR $48,596 Assessed Year: 2005 $18,323 Improve %: 062°/, $30,273 Tax Year: 2005 $41,596 Heat Type: Exterior wall: Porch Type: Patio Type: Pool: Air Cond: Style: Quality: Condition: BASEBOARD COVERED PATIO GOOD GOOD County Use: SINGLE FAM RESIDENCE State Use: Site Influence: SewerType: Water Type: Property Tax: $873.78 Tax Area: 15013 Tax Exemption: HOMEOWNER http://www.realquest.com/j sp/report.j sp?serverid=rq03 &client=&action=confirm&type=g... 06/26/2006 PflOJECT AOOHESS: 7% Q HUDSON AV aWNEN'S NAME: TEAGUE JAMES P nooREss: 'J'7Q HUbSON AVE COSTA MESA,CA 895-1246 AHCH/ENGINEEH: ROOflESS: UNIT: 92626 flEG.NO.: UNIT: PEPMITTEE: NOCK PLUMHING (714)895-1246 nooeess: 11610 SEAHOARD CIR STANTON CA 90680 LICENSED CONTFACTOfl UECU�NATION: I hereDy allirm �hat I am Iicense0 untler Owvisions of Chap�er 9(commencing wi�h Section �000� ol Dimsion 3 0l Ihe Business and Pmlessions Code. antl my license is in full force an0 ellect. _ ciTv uc. ��G6 STRTE LIC.: S S S 9% S ,�}��s:�-�6 �. <V"Ciui = SignaWre: _�_ iHNEflS' COMPENSATION �ECLAflRTION: I hereby aitirm Ihat I have a cenifica�e of consent �o self-insure or a ceni�ica�e ol Worker5' Gompensalion I�sW a. Q� t°^�f e copY �hereol (Seciion 3800, la�. POLICYNO.: 1+��J�`�� EXP.ORTE: 3IOSI�JS camraNv: STATE ,�y� ❑ Cen.i�fie1tl copy is here0y tumishetl. I� Cenilie0 copy is liled wiih �h/��9 Oivision. �ate: I �� (� ' ApplicanC ,� / / E%EMPTION FROM WOBREBS' COMPENSATION OECIAPATION: (This seciian nee0 nol be campletea if ihe permii is lor one hundreA ($1W) or less�. I cetlity Ihat in �he petlormance oi Ihe work for which Ihis permil is i55ue0. I shall noi employ any person in any manner so as to �ecome sub�eq �o Ihe Workers' Compensa�ion Laws ot Califomia. Pate: SlgnaWre: NOTICE: IL ailer making �his tleclara�ion. you should become sublec� to ihe Workers' Compensa�ion pmvisions o� �he Labor Cotle. yau musl fo�hwith comply wi�h such pmvisions or �his permit shall be deemed revoked. LONSiBUCTION LENOING pGENCY: I hereby affirm tnat ihere is a consimclion lentling agency for ihe penormance ot ine work for which �his permit is issued (Sec�ion 3097. Civ. C�. LENOEN: aonness: �� OWNEfl BUILOEH OECLABRTION: I �ereby at�irm I�at i am exempl Imm Ihe Contracmrs' Slate �icense Law br �he tollowing reason �Secimn 7031.5 Business and Professional Cotle: Any ciry of counry which requires a Oermitto cons�mct, alter,improve, Oemolish, or repair any s�mciure, prior lo its issuanw. also requires the apDlican� for such permil lo �ile a signetl 5ta�emen� �ha� he/she is licensetl �ursuam w the pmvisions of the Comracmrs' S�ale License Law (C�ap�er 9(commencing wilh Sec�ion 7000) ol Division 3 oi �he Business' a Pmfessions Coee) or thal helshe is exempt �herelmm and ihe basis lor tne allegea exemption. Any vialation ot Seclion 7031.5 by ,y applicant for a permii sublec�s Ihe appiican� to a civil penal�y ol no� more Ihan �ive hunOred dolla5 (5500). I, as awner al ihe property or my employees with wages as their sole compensation, will do the work, an0 ihe ❑ slmcWre is not intended or oilered for sale (SecUon 704a, Business an0 Professional Cotle'. The Conlractors' State License Law tloes no� apply lo an owner ol a pmpeny who builOs or impmves �hereon, and who does such work himsel�/hersell or Ihmug� �is ar her own emplayees, provitletl �ha� such impwvemenls are noi inlendeA o� olleretl lor sale. I1, �owever Ihe huil0ing or impmvemeni is soltl within one year o� completian. Ihe owner wili �ave the 6urden ol Droving he/s�e tlia noi buiiA or impmve lor the Durpose of sale�. I, as owner o� Ihe pmperty, am ezclusively conlracting wilh licensed contractars �o constmc� the prolect (Sec�ion 7044, Business ❑ anU Professions CoEe: TAe Conlmciors' S�aie License Law does noi apply to an owner of pmpehy who builds or impwves Ihereon antl who conlracts far such pmlecis wiih a conVactoqs�license pur5uani to �he CanVactors' Slaie License Law). I am aware I�a� Omof o� I�eir WorkeYs Compensation insurance 5hoW4 Oe Omvidetl lo me. � I am exempl unAer Section: B. 8 P. C. for ihis reason: oa�e: Ownec I tlo hereby cetli�y �hal I am aware ol antl untlersiantl Ihe requiremen�s of Cahfomia,Health antl Safery Cotle Sections 25505, 25533, ana 25534 ana thai I or any fuWre builtling occupant will/will not (circle one) need to compty wi�h saitl sla�e codes and �he requiremenis for a permil lor conslmction or moddication imm Ihe Air Ouality Managemen� Dislrici. Resideniial consimction appliw�ions are exemp� from these pmvisians. Oate'. ADPlicant: I hereby cerlitythai I have reatl thls apPlicalion and slale�ha� Ihe ahove 'mformatlonls correct. I agree tn comply wi�h all clly and counly ardmances and sia�elav�srelalingto builtling cons�mc�ion and hereby aulhonze reprEsen�atives ollhis ciry ro enleru0onlhe above�mentioned propenylo inspeC'a�urposes. �� Da�e'. �� Signalure' orive�'s L¢ense or Social secunry a: 1641 a6 Whi�e—Builtling; Green—Cotle Enlorcemenl: Canary—APPbcanf, Pink—Revenue: Goldenmd—Hssessor CITY OF COSTA MESA — BUILDING PERMZT PERM NO; P 05106 PERMIT NO: P 051061 PLAN CAECK NO: N' GOVT: N SUPP: N CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE: OTH SOB DESCRIPTION : CHANGE OUT DISHWASHER SQ FT; CLAIM VALUE: CALC—VALUE: GROIIP OCC: R-3 / COMMENTS: CHANGE OUT OF DISHWASHER ******x�******x*�x***�e*�*�r**********�*****��c•�t*+�**� �+r**�*+t*+�*x�*+�*�r****x��******* 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 BUILDZNG --------- FRNT: FT ZN REAR: FT IN FRNT: FT IN AEAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 91218113 ZNE; REF NO; PLANNING N15T'ES> ' ) iF iF if 1f if 3f �E �E if �f iF if iE aE �E if �E �E iE It �f if iE �f if iE if if if iE if iE if 1E if �f±E iE �E k �F 1F 1E �f if iE jf if iE jf k if �f iE �f 1f kif if if iF k if 3f iE iF IE iE 3E if iF jf iF iF �E iF if 16jf D£ 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 5 20NING APPROVED BY DATE; HUILDING APPROVED BY : APPLICATION ISSUED BY: DATE; DATE: ��Z�� iE if if iE iE fE�Ei! 1f �k if iE lkif IE 1E iE �E1k if IF iE 3f iF IF if if iE iF M IF iE if af ff 3f iE if iE �E �f iE 3E af �F if if it 1E if 1E iF IF iE iE if it iE�E iE 1F IF if if M iE if if iFiEiF iF iE 3F �F iF M iF iF LEGALIZATION;N F E E S U M M A R Y ' STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMZI�N�G ELECTRIC MECHANIC FIRE SMZP/RES GRADING '�SY SMIP/NON—RES PLAN ISSUE FEE 3.00 BUILDING—DIV—> PERMIT 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 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK rJ . Q 0 iF if 3f iF iF if k�f if iF M iFif iFiF if if 1f if if if M iF iF k iE�E M�F If �f iE if iE if i! if �f if iF if �F if if iF M iE if 3Flf 1E iF iF iEiE if �F k k ik iF 1F IF iF1F if if 1E iF �E 3f if iF iE iF aF �F iE ik 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 PLU 1 DISHWASHER 2,00 2,00 END OF FEES of OQQ824GD—G�e�:•.ao r�o � ;,:,� CAT�� 03i 12l91 TI!'!E; ?6:3? �/ CONSTRUCTION AND PLAI �G POOL & SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector i. Temporary Electrical Ser�nce or Pole 1 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. �c�L 53. Steel Reinforcement - - _� �3'�Electr.ical Condui'E�ltility-Undrgrnd;"' � 54. Forms ' r ��4.=EI0ctrical ConduitUndrgrnd. _� 55. Electrical Bonding r^ ;� 5��S�eel Reinforcemenr 56. Rough Plumbing & Pressure Test � }��6;yEfectricalUFER.Grnd. �- 57. APPROVALTOCOVER-GUNITE �`� ��:��lotings �,J ?' 58. ElectricalConduit-Undrgrnd. "" hi$.�Foundation '� �� 59. Gas Pipe, O Undrgrnd., Test ,.. 9. Water Pipe-Undr�nd. � 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System LL� 61. APPROVAL TO DECK 11. Property Sewer Line & Hovse Conrrection 62. Backwash & ReceptorFinal - rt i �2• Se`'ve� CaP :r,: . 63. Heater & Vent-Final 13. Roof Orains �0 64. Plumbing System - Final 14. Rough Plumbi�g =' � 65. Electrical-Final 15. Rough Electriral-Conduit - 66. Solar SYstem-Final 16. Rough ElectriE•Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric�,el-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rou9h Heating & Air Conditioning FIRE DEPT. FiEQUIREMENT - - - - - 7 r. �A �-• cc 20:� Rough FactocY FJfeplace � tKt�, eC"� � C h; � %r 'r �APPROVA'l'S:%JPeetiiit # �' 'r " 's � �7' �C cn� .i :� tn 7:� :ti l �i' Qt'.+- -. a'. ET J i N: �_. T Y. � r �. n, � ,.. ly e-". ': T � .�::i' _ t9 "• ii] 21.�uCts, in Stwcture.K „ .. �;,, � � c �.,a�. :� .70. � dei9poun� Hydro � 22. Ducts, VPntdatirig�+ :`�� z � S et�x r^-71. Produc�t�P}p�ng O'�as QOiI ' '� .-� n.. r . r. er �. ,� 23:�Gas,Pip�=Rough &'jest i.;;s '; :,, T � �".,`. r .,72. Underg o,,qnd Flus, , � ' 24:,-Roaf Fiaming 'Y�� i- �yE- G _ J� x'73�Undergrn'c�'. Storage,Tank't7 Gas ^O Oil � .r�> rn - �:�+c . r ��> - 25. iioo $�2ih10 �^ tL "�h t^. '� N?" > S C. -tF '�' ,f � 9 = � ;, . � �, � t1; � .. 74,�Overhead'Hydro� ,� 26:.,T-Ber Ceiling (Stiuotural) &�Monocoat � w �:� t*;�t� � 75-:"Dry Chemical .T. r, '� � -r- r.� r � i� 27F:Fra[ne and Flash%n�' ;�� '^ C' ` 76�Dr Stan.l1 i e'v� �� Y th �� crU: •. � tAT. : Y yf� FtAP.I a. �.-28.�Lathing-$t Siding�:e o� ��-q'.-�, rr, :e F �•..-.� 77.^ FIXED SY� EM�6f19AL J '< ..i i .� n�n., v = n� �"29.Insulation _"= a"" ; �"• i � �;; 7gFFIREPREV.FI�VA�L xr �l; ,j ��30.Drywall"JVailing�v=� �� i -_�':r o-aJ•cn ��MEALTktDEPT.R�EQUIREMENT � - <,.., , •�31. Plaster Biown Coat�;; ! .�.�_ ;� 1 ' ~� x r79:°�IFV'AL`'f(�}S,�P�ECT(QN � - ' �J - �L ,r: r � � � a - .. t . �: z i-.32-�Electrical Power�Meter-Finali :. N - �. a SO,n,FOOD CERTIFYCATE ISSUED 5.33:`Final Elyctric �'^ r, � �" "� � �Noies ` �� ' r. x x ; a �rr! ,1 n7 pi • J" O � '� I ... � �,� . � . f .. .� � : �: � ! ,� i�34 ;Final Heetingj& AigCoeiditionmg i-; - i ' r�•� ,� � c; S i�;c � S �7 r ..+ . 35�,�Final Gas Pi�Se-Tesr - - � '� `� '` . . '� °;s � �'" i 'v' a. ._.O <:• �� i r r.-36.��Hood or CanoPY ,.. r�` t i•�•� .... �' :-� � f; .' _ i'; • . . :v _ i ' iiJ � * r^i � n �37 =FinS! FaMory FirePlace,� � .� "' �' ' , 1 4 ". ' �: �,",- �'? � F F �-� �t � 'f � �38. Final Plumbing � ::: � .... � `• 9 � (��' .r .S x m .;'39. Waier Service-Final� � � -�- � � � '� • �'- <�+3' . �,r, � � � ,. . � �. "r40. Gas Service-Final '' , ..�r�r � : ,� � � � =. ;7N :7::� ' Z41. Solar pomesticFinal S "� •• r r,,. � j �.t �Se �-+ �e � i�• 1 :R :i• -:U R T _ '-42i'Backflow Preventer� `' `-'� `'� � . ; �� ! ; :l: Y. I J 43. Backflow Irrigatiom �=, � .� " r' �a� �` =' �� . . u• �: i � .,. (1 �44. Landscape Icripation Syste `; "' „ - i. �: p� p � �� mnt �.^ tr. t �• ,� �.. C , 3 iL, � - •� L�+ ~ . . . _ _. .. .�.•. ;�.45:�Sound Attenuation ��+:t� i�' "'� � � �-' -^ ' ,� �''� r�-.w - !:t �r, n. �i. �' C '2 �--G � 46'Handicap Regulatio",ns � �J 'r '� �� t � ;��a ��:; " � 47.•.FINAL STRUCTURE & BUI:LDING � � "`� fi 7 tU .`.i � � r y �48^FINALPLANNING �i�':�� •_, ; ,�� = . `J v � r r, . r � � J b. ?. h . n s ' f- _49.= Electric Release to:Edison i r � j,^,4 = s u� � � �� r, i. ,t .� - �,50.�Gas•Release to Southem Califoynia GasCn ; � ' � 5 ;; , �t; � `: - � �= ;`_'51. CERTIFICATEOF.00CUPANCY - ;; r;r: 7; F �� No. Date Lot 59 Tr. 3 00 . � �9l-.rS1'R COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 9f7 COffTA ME6A. CALIFORNIA For Applieanf fo Fill In Compleiely TYPE OR PRINT BUILDIN� AODRES6 �i1d90II Avenne COSTA MESA. CALIFORNIA MAIL 1555 Placentia �ve. ADDRE66 TEL. cITY tetizaort-Ae-ch NO.' ARCHITECT TEL. IC, Vl, Koll Hew Port Beach TEL. NO. ({ (,_7q7r7 »�sr_ . II '� �AA_ I✓1 � NO..OP BLOGB. 0 U6E OF EX16TING B DG �.. SBTBACK YN8 PAOM rI a� CeNiCR OP BTAE6T tJ REAR YARD �/ rI rJ SIDE YAR� IEFT c7 RIGHT �7 DESCRIPTION OF WORK BUILOING BIZE exreaioe w��ucco rnveoiun TO 9ttatched ahingle FEE RECEIVED � N1AY 17 i9S1 � FINANCE DEPT. CIiY OF CbSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only flBCHIPT NO. PCNMIT NO. REC6lyE0 0Y [�Li PIRE LEOAL COSTA MESA. CALIFORNIA ZONING NO. OP use ov rew PLANB 2 Bl11LOING W/ $t't uwe st.� , i^ APPROVED rlb d� 1 X8P8BY AGKNOWL8D0¢ THAT I XAV6 PBAD TXIB MPLIWTION TNe AMOUNT BHOWN UNOBq VALUATION 19 POR TH8 ANO 9TAT6 THAT THH ABOV6 te GORPBCT AND AOPHB TO COM- PUIiP08E OP 88TA9L19N�NG A P6NMIT P88 ONLY. PLY WITM ALL CIiY OFDINANCE9 ANO BTATE LAW9 ItHOULATINO aullalNa cOMeTRu o . � VAI.UATION � 91GNATURE QP PERMIT FEE $ �- PERMITTE S ~ PLAN CHECK $ / � AUTHORIZE� AGENT ( � (p / � TOTAL FEE