HomeMy WebLinkAbout3269 IOWA ST - Building PermitsVNOJEC7 AODflESS: 3 2 6 9 I OWA ST �
OWNEH'SNRME: BOYE, DAVID R
RUOflE$5: 3'l6j IOWA ST
COSTA MESA,CA 92626
(714)545-5022
AflCN/ENGINEEN: / NEG.NU.:
aooxess:
UNIT:
uxiT:
PEflMITTEE: DAVID R. BOYE ( 714 ) 545-5022
nooncss: 3269 IOWA ST
COSTA MESA CA 92626
LICENSEO CONTflACTOfl DELIAflATION: I nere0y alfirm Ihai I am Iicense0 un�er Omvislons al Chapter 9(cammencing vn�n Sec�ion
7000� of Division 9 0l Ihe Business and Pmfessions Cotle. anE my license is in fu0 Porce antl effecl.
CITY LIC.: STqTE LIC.: CLASS:
Wte: Sipnature:
WOPNEPS' COMPENSRTION DEClAeA710N: I hereby aliirm Ihat I have a certilicate of consem to self-insure ar a certificale af WOBers'
fqmp¢nsa�ion InSurance. or a cenilie0 cooY ��er¢ol (Section 3800. LaU. CI.
PULICY NO.: EXP. OATE:
LOMPANV:
❑ Cetlili¢tl [opY �5 �er¢by �umiSheA. ❑ Cenilied copy is IileU with �he ci�y Building Division.
�a�¢: AppliUnt:
EXEMPTON FBOM WOXIIEPS' COMPENSATION DECUN�TION: QhiS seciPon need iwi Oe complelM if Ue pe5rpmt k for one hunGreG �5100) a kss�.
I cerlily I�al in ihe p¢rlormanc¢ 01 t�¢ work tor whiC� thi5 per� issue�e�y any per n in any manner so as to hecame
subien to Ihe Workers' Compen5ation Laws ol Cdlifomia. l /�
— o��e: Z '� ��L'C ?Z . ���f .a,
i
Sipnature:
NOTICE:II. afler making 0is declaration. you shoW�Oecame subjecl Io t�e Workers' Compensauon pwvisions of Ihe Labor
CoGe. you musi fon�with mmply wil� sut� D�ovisions or lhis permil slull Ge deemeJ revoke0.
CONSTPIIC710N LENDING RGENLY: I �ereby allirm t�at ihere is a tonsiruttion IenOing agenCy tor tAe pedormance ol t�e wark for
w�ich ��is permil is issued �Stt�ion 3097. Civ. C�.
LENOEP:
ROOPESS:
OWNEN BUILDEfl OECWMTION: I h¢re�y allirm I�ai I am exempl Imm IAe fAn(ratlars' Suie License Law for ihe idloxing reason
�Seclion 7Q31.5 Business antl Pro�eSsional Coae: Any ciiy ol counry w�ich reQuires a permi� �o cans�Ncl, alter, im0��'e, aemoli5h, or
cepai� any slmcWre. prior to i6 issuance. also repuires tAe a001icanl far suc� p¢rmit ta lile a siqned statement that �rlshe is liansetl
Dur5uan11ol�e Orovisions olt�e Conlrattor5' Slaie License Law�C�api¢r9�cOmm¢ncinA ��� �ction 7IXq�ofOivision 3 olihe BuSiness
anC Professions Cotle) ortAai he/s�e is exem0��herefmm and ihe Oasa lort�e altegetl eKemption. Nny violatian oi Secl'mn 7031.5 6y
any applicant for a Oermit su0jects t�e appliwnt to a civil Denaity ol not more than /Ne nuntlre0 aollaa (E500).
1. as owner ol ihe pmpeny or my em7loyees wiih wages as tAeir mle wmpensation, will Go tAe xrork, and ihe
❑ simaure is not intenaea ar oilerea lar sale (SecUon 7094, Business ana Pmlessional Coae: 7he Contracmrs' State License Law
aoes nol aDD�Y la an owner ol a proDeny wAa Uuilds orimo�oves tnereon, an0 who Ooes such work himself/hers¢If orinrough
�is or Oer own employees, O�ovi4eE t�at suc� impmvemenis are nol intenGed or oflereA for sale. If, however Ihe DuilOing or
impmvemenl is so10 wi��in one year ol complelion, Ihe owner will �ave Ihe burden ot pmving he/s�e Oi0 no� Ouiltl ar imOwve
lor �h¢ purpos¢ oi sale�.
I. as owner oI tAe O�oDeny, am e�clusively coniraclinA �*'��h licensetl contractors to consiNct the pmlect �Section 70d4, Busineu
❑ anG Profeuions CoEe: T�e Canlraciors' $Id�¢ LiC¢rtt¢ Ldw QOpS n0i dpply 10 dn Own¢� 0� p�Opertywtb GmbS 0� imD�a'/�5111¢�¢Oil
antl wha conlracts lor such pmjecls wiih a coniractoqs) license pursuan� to �Ae Conlraclors' Sla[e License law). I am aware
I�al proal ol Iheir Worker'S Compen5aiion insuran<e S�ouIC Ce proviCed lo me.
�{j i am exemo� unae� Section: B p 7 Q Q 4 B. 8 P. C.
ro� �eis reasore NO EMoPLOYEES ��, �
Date: Z � ��� !� ` � Owner
I tlo here�y cenily t�at I am aware ol an0 un0erstand t�e requiremenis of Califomia Health anU Salely Co ctions 25505, 25533, antl
25574 an01�a1 I or any Iuiure GUilOinB oCtupani vnlVwill noi (tirUe one) n¢¢0 (o tompy vnl� uid S�aie todes antl ��e repui(em¢n�s tar a
permil lor consimclion or modilication Irom Ihe Pir Oualily Managemen� Oislrici. Fesieenlial cons�mctian applicaiions are e�em0� �mm
the5e O�ovisions.
Dale: ADOlicanC
I �ereby certi�y I�at I �ave reatl Ihis application and siale IAai ��e a�ove inlorma�ion is rorrec�. I agree �o comDty witA all city an0 counry
or4inancesanOstalelawsrelatinglobuildinpcons�mctionandherebyaulhor¢ere0�esenta�iveso�t�iscijjjyyy IaemeruponlheaUove-men�ionetl
pmperly lor inspec`lion purpa599 ��� �' ��
Oa1e.�� �eC � L Signamre.
oriver's License or Sacia� Securiry x.�
t8aLn6 Whiie—Builtling', Green—CoGe Enlorcemenl: Canary—Applicani; Pink—Revenue: GOIEenroC—Awessor
� �CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B4O60419
PERMIT NO: B 060919 PLAN CHECR NO: N GOVT; N� PP; N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE: ALT
JOH DESCRIPTION ; RER,�OF WZTH ASPHALT COMPOSITION SQ FT; 1,000
CLAIM VALUE: 1,000.00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE UBC.
��x�r�r�r�r�r*x�r�r�r**�r*�t**�r*x�e�r�r�r* �r�r�t�r�r�r�r�r�x�t*+t��r+t�r�t�r�r�r*�t�r��r�r�t*�r�r�rx�r***�rx�r***�r*�t**�r*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING RE � PROV; PARCEL; 13904315 ZNE; REF NO;
PLANNING N TES>
� � .
iF iEiE iF iE iE iE if 1E 1E 1E iE if 1E iF iP it 1E it 1E 1E iE if iE 1F1ElE fElElE 1F �E iflE iE 1FlElE iE iF iE iF if 1E iE 1E ik 1E it ik if ik 1k ik 1E if if iF if 1E 1! iE if if iE ikiE iFlE �f iF iF iF 1F 1F 1E 1E ik �k
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
ZONING APPROVED BY , DATE _
BUILDING APPROVED BY ;
APPLICATION ISSUED HY; -
if iE iE iE if iF 1f if �E fE i! if 1E iF iE iE ik iF iF 1E 3E iE
ifiEiF�E�flf�fifiFkiEiEifikikiFlllE3F�k�tik�EifiEifififikiFiFififlf3litftfkiElFifi!lfit IhifififiFikitik
LEGALIZATION;N F E E S U M M A R Y
DATE: �'
DATE IZ-i
iFlf iF ik iE if !F �k �k iE
SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 25.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
TOTALS----> 25,50 0,00 0,00 25,50 25.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 25.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
15,�� � ,5�
iF iE i!!E �E fE if iE 1E iF iE if ik iE iE it i! if if if iF iEif if k iE if 7f if iF iE M 1E 1k if 1f ii 1f !t if 1f ik 1F ik if if ik �k1E it 1E ik 1FlE iF �
I N D I V I D U A L F E E H R E A K
TYPE QTY D E S C R I P T I O N UN
SFR 1000 REROOF BY VALUE RESIDENTIAL N020NE
END OF FEES
I
O W N
COST
\QO
if iE if iE iFiF iF iFlE ik
TOTAL COST
1,000.00
� POOL & SPA
CONSTRUCTION AND PLANNING
APPROVALS Permit # Date Inspector qPpROVALS Permit # Oate Inspector
t. Temporary Electrical Service or Pole - 52. Pool & Equipment Locatio� �
i
.,
2. $oil Pipe�Undrgrnd. 53. $teel Reinforcemen[ �;';
3. E{ectrical Conduit Utility�Undrgrnd. 54. Forms ,
� 4. Electrital Conduit•Undrgrnd. 55. Electrical Bonding .. -
- 5. Steel Reinforcement 56. Rough Piumbing & Pressure 7est. .
=�6. ElectricalUFERGrnd. 57. APPROVALTOCOVER-GUfVITE�l
�� 7.� Footings 58. E�ectrical Conduit•Undrgrnd.
B. Found9tion " 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK �i�
r
i i. PropertY Sewer Line & House Connection ' 62. Backwash & Receptor�Final !� �: �
72. Sewer Cap � 63. Heater & Vent•Fina� �
73. Roof Drains 64. Plumbing System � Final �-%j ���
14. Rough Plumbing "'' � 65. Electrical-Final �' �� �
�; i
15. Rough Electrical•Conduit 66. Solar System-Finai =�', "
76. Rough Electric Wiring ' 67. Fencing & Access Approvai
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING,;.�
18. Rough Electriral-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace ; � ' APPROVAI,S Permit #
21.��Dudts, in Structure � �� 70. Underground Hydro
22. Dutts. Ventiixting • . . , 71. Product Pipi�g C7 Gas ❑ Oil
23.` Gas Pipe-Rough & Test . � 72. Undergiound Flush ��
24' Roof Framing � - ''• ' 73. Undergrnc�. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � � � , �� 7q, p�erhead Hydro �
26. T�Bar Ceiling (Structural) & Monocoat _ - • 75. Dry Chemical
, 27. Frame and Flaehing. 76. Dry Standpipe ' �
� 28. Lathing & Siding • � 77.� FIXED �YSTEM FINAL
29. Insulation . 78.�FIRE PREV. FINAL .�
30. Drywall�Naili�g I � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat. . 79. FINAL IN$PECTION ��
� 32. Electrical Power Meter�Final � 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' �� � Nofes: . '
34. Fina� Heating & Air Conditioning � I _
35, Final Gas Pipe-Test � I ` .
36. Hood o��Canopy - � -
i
37. Final Factory Fireplace ' � - � . .
38. Final Plumbing -
39. Water Service�Final �
40. Gas Service-Final . �
41. Solar OomesticFinal �
42. 8acktlow PrevenFer , - -
43. BackfloW Irrigation - -
44. LandsGape Irriqation System , . � . �
45. Sound Attenuation
46. Handicap Regulations • ._
47. FINALSTRUCTURE&BUILDING � � �
48. FINALPLANNING �
� ��r
49. Electric Release to Edison � j 1• -
50, Gas Re�ease to Southem California Gas Co � ;, � •
51. CERTIFICATEOFOCCUPANCY .
No. Date
.acn�ssaem�ara: BOYE, DAVID�R
�""E"e"""E"'°'°"": 3269 IOWA ST
�DOXE'g' COSTA MESA, CA
645-5022
�vv�.ruiura �ooxess:
92626
1PCXRECT Ofl FNtlIlFEIi:
iPCX.OP ENQ'8100RE54:
A.H.C. HEATING 6 A/C
mxmurararw� z951 GRACE LANE
CONfPACTORSYYWq COSTA M ESA CA
�WflElk O O G O C
VNT:
11C. ND.:
UNT:
(714)540-0972
133298
uc'a:
urn:
LICENSED COMRACTONS DECIAF�TION: I MMy dlim �Nx pruly d papuy Ihtl I em li:anee0 uMs pwwbna d Cheqer B
cm uc o�B�i '�'id ° uce c� ��° // �C/ i��"° m m r�'�° °i� / 9 6
a: � J cmtree �(J
N BUILOEN DECU1PR710N: I hereby elfrm unMr pmely d perjiry IMI I em men mm IM CaNretlas License Lew la Ihe
Idbw'M rwm (5etlion )O�t.S &niwts W Pralaaaan Gods: AnV vY a mmtY whif� �Nwe+ a Po�� �o mrtvua. eAs.'vnpwe.
demdeh. a repv eny avic�ure, pior b b eaurqe, e6o raQwe+�M eppl'vau Irc wch pemiu �o Rb e apned etaiemanl thei M a eM
u �iceneeE W�� �o ths ppavu d tla CaY�atlas liorw lm' �Cheqp 8(wmmaK'sp w4h Sqvn JOW) tl Oivcion 3 tl Ib
Buairea erd Rdeaima Codel a Ilw Ir a eM e e�emq iherelmm end �M bue la Na e0eped e:�emqion. My videtion d SeUion
�mis M e�y wq�+ i«. wm++�pd �ro wvr�+ �o. d.a v�r d �a m«e wm r e mudna edia�+ �SsooD.
❑ I.moxmdiMpeapanyamyempb/ae��nhwaqamtMisdammpeimtion,w0dotlnwork,eM�lnetruaunum�"vueMeA
or dtered lor aeb (Sa:iion )OM. Busineaa aM Pmlwvom Cods: TAe CoNerJm Liwnas lew tloea rol MM'to an oxnerd papery
wln buida a inpova� �hseon. rd wfio dom wN �.aklvnwtl a Mne� a Wap� he n Mr own empbM9. P�� ihet wM
�w�m�u �. �a �i�e «anm.a i«..b. n. no.�«. m. nmmm « mw�w m.da wnn� o� v� a oomdmoo. ub
owiwr-0inldx wa Mw �M duden M pwinp M a dn did nd hdd a enpevw la �M Wryaa d ub).
� 1, u awrcr W tM MWMY. am ud�vi�alY mN�atlYq wM i�w�xE canne[bn b conV W Ne p9ed (5etlion )OM. Bua'vrosa eM
Pmleae'wne Coda: TM CaNrayon licane Lew Aom nal appy b en owror d papMy who WiWe a impwm ��areon eeM wM10
comrecb la wtli prqeae v.ith a mMreqoe�s) licsmed pvsuvu �o tAe ComraMe Limise lewl.
� I em uemq wMx SeNbn: B. 8 P C.. b No reum:
De�e: ��✓:
I do Mreby ceniN IMt 1 am ewere d eM ivMrsYM tM remuiem«m d CNlanie IMelll� eM Sdsry Gode Sedbeu 25505. 255JJ, ud
2555a, eed �hei I or eery hnun WilEi�p ooapenl will / wil �(�b aro) � lo oomyy wIh eeiE aete mEee eM Ihe repuiremaMs la
epartnnlamneirvctionamod'drmianhom�MA'i waTiyl.rarw��enianiDiarkf.Ruidamalm�aaruaioneppireiiomwaxemqlmmNae
provisiona.
owe: �odK.m:
WONKEF'S CONPEN9ATION DECUN�TON: I Mrsb� efNm uMr peneEy d psjuy an d iM fdbrrirp detlermiom:
� I hew eM W meinten e eanilcme d aauw to eWimiva M r.vrken' oompenWion. m pwidd lu by Seabn �]oo d the lebor
Code. la iM pnamuKa d iM hwk Ia wlich iAi� prmX e buad.
�hara ud rAI meinten wrMen' oom0�nn hmwonw. u na�ued M Saaian ]]00 d IM Lebar Goae. br tM v�umence d iM
wwio�.n�m�.w�m��nn.w.Mv���A'�t9�B'PY4't^�"�'"°'wod'�'"°"'e«°'°: EXPIRES
°01ner �+=�4-.'G'Q O1/Oi/96
Pd'ry Number.
�m;:..a�w, mee �w as c�a's�ee i ms a«m. u ra, m. n�.w.e maaa Riool n�.�
� 1 cMly Net in �M pMamenca d tM wak In v.Aic� i1Jw pemw b mueE. I NeE nd amplry ury peicn m enY memer n m to
becmie wEptl lo �M w�en' mnqenWcn k�n d Cefdonv aek opns Ihtl d I tlpuq be�cros wpjsp IM wM1we'
mmpeme�ion 0'w' m d Se ' n YlOp�E11(w labar CoM. I ' mr�pltj'vh tMro p�w�idaro.
e: � � MVfrs�: I ��
p: F Nun ro��cun woKwi mnpuu�tlon rovwap� l� �vWwM, �M Ntll utlNer mployw eo eAMiul a�bu �nA
mre. w ro m. hi..�e�.n �rouune eaun ltia{aooA h� �w+uo� ro m. cwr o� m rron wm.w... po�w ro. �n
S�ctlon ]1(16 0l fM L�Dor Cod, IMrpt �� ��mry%� hu.
CONSTRUCiION LENdNO AGENCT: I hssby aff inMr pxulry d perjvy Nm Ywe u e aaw�ueion bMuq qprcy fa Ne
ounomiv�n d ine wwk �« wna� �ne w�� m u.uea (seeun xe). cM. cl.
LENOEH'4 NANE:
LOl�ER'S AODPE54:
I cendy tAm I haw reed Nb appfrmion ud nm� tM tlr abwa'vdamelion b I ryae Io canpy wCn el cry eM mvay ord'viv�e
arNnt Ie�nrale�iqwWdd cmwud'vnmdb ewbcsnP�� tlNumYwxusupaniMeEwtrmeNianeCpeoperry
����si �I�� F'%f�' i�q�r
Pmt Ne�ro !
� p�/I J
(515td6.WP) WAda-Buddiq85dery:OrsemFle�ESiW-Appiram:Rnk-Menue:GdEenmd-Asmw
CZTY OF COSTA MESA — BUILDING PERMIT
. V /
PERMIT NO: M 075386 PLAN CHECK NO: N . ,
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: O'fH
JOB DESCRIPTION : REPLACE F.A.U. SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: X
+�x�****+���rx�***+��*�***�***+��+�*x�*�*�***+���u+�*+�**x�*��*+�+�x�**+�*�*�r*****+�+�*�r*���*�*�*
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 BUILDSNG ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT ZN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 19116406 ZNE: REF NO:
PLANNING NiSTES>
i
*�**�****��*�*�***�+���*+�***�*�*����**+���*�*��******���x��**���**�*�+�*�**+��*****
D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
!E iF if �1FlE if ik if !f iE iE iF iE fF �F jE 1E 1E 1E iE 1E 1E
LEGALIZATION:N
F E E S U M M A R Y
DATE;
DATE:
DATE: 1L �
iEififiEiEiEiEiE�iF�lf-#i��� ��
STRUCTURAL S �MENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 9.00
25$ SMIP/NON—RES
PLAN —
ISSUE FEE " 15.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 9.00 15.00 ;•� 0.00 24.00 24.00 .00
AEVENUE DIVISION TOTALS--> COLS,ECTED: 24.00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
24.��
iE iE iE iF if if �E iF if ik 3f jk k iE iF iF if 1E if 1F iE 1F jE 1F 1E aE iE iE IE iE �E iF �E If if 1f iF iE iE K iE 1E if 1E �)E!E �E �E iE iE if if iElE 1E fE iE 1E 3k iF 1E 1f K iE iE 16 if iE iF i! jF fE iE iE 1E �! iE if iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O.N UNIT COST TOTAL COST
MEC 1 INST FORC—AIR/GRAV.FURN <= 100 K BTU 9.00 9.00
END OF FEES
__�"J - _ _ .!� "•� 1 !„�'
E
e. ' .. ,1 �. l.
/
�CONSTRUCTION AND PLANNING '; POOL & SPA
F APPROVALS Permit # ' Date Inspector qppROVALS Permii �p ` Date Inspector
1, Temporary Electrical Service or Pole 52. Pool & Equipment Loca[iorr ^
2, Soii Pipe-Undrgrnd. 53. Steel Reinforcement '
3. Electrical Conduit Utility�Undrgrnd. 54. Porms
4, Electrical Conduit•Undrgrnd. , 55. Electrical Bonding .
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
8. Etec[rical UFEA Grnd. 57. APPROVAL TO COVEA•GUNITE
7. Footings 58. Electrical Conduit•Undrgrnd.
g, Foundation , 59. Gas Pipe, O U�drgrnd., 7est
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. S[ructural Floor SYstem 67. APPROVAL TO DECK
11, Properiy Sewer Line & House Connection 62. Backwash & Receptor-Fin�l
12. Sewer Cap . 63. Heater & Vent�Final
13. Roof Oraim � 64. Piumbing System � Final �'�
� �q. Rough Plumbing 65. Electrical�Final -
75. Aough Electrical•Conduit � 66. Solar System-Final �
76. Rough Electric Wiring 67. Fencing & Access Appro'val
t7, Rough Wiring Sign 6$. APPROVED FOR P�RSTERING �
18. Rough Electriral�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEIVT
20. Rough Factory Fireplace APPROVAIS Permit #
21. Ducts,in Structure 70. Underground HYdro
22. Ducts, Ventilating 71. Product Piping .I7 Gas ❑ Oii
23. Gas Pipe•Rough & Test 72. Underground Flush
Zq, Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T•Bar Celling SStruceurall & Monocoat 75. Dry Chemical
z7. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insu�ation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: / ,31J_ ��'�`�-l� -
L
34. Final Heating & Air Conditioning
1 ��� --
35. Final Gas Pipe-Test -
36. Hood or Canopy
37. FinaV Factory Fireplace -
38. Final Plumbing `
39. Water Service-Finai
40. Gas Service-Final
41. Solar pomestic-finaf
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape irrigation System
45. Sound Attenuation
46. Handicap Regutations
47. FINAL STRUCTUfiE & BUILDING --
48. FINALPLANNING " -
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co -•
51. CERTIFICATE OF OCCUPANCY •
No Date -
. 12�;��'i
-�COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 3f7 COBTA MEBA. CALIRORNIA
For Applicanf fo Ffll In Complefely
TYPE OR PRINT
BUILOING ,,,,i,. T ,...
COSTA MESh CALIFORNIA
OWNER Nerr York Avenue Properti�
A�DRE55 1 F+• ].%tiYl JC�E•
TEL.
CIN NO.
ARCHITEGT C�ZSOIl RL TEL.
� STATE
60' X 100�
TEL.
NO. OF
FIRE
20NE
R-
LEGAL
(. � . .
�)J/ • 14 -r �
�_Gi ./� .s '" / /l' E'G
�� ... _ � .
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
RECE�PT NO. iPEHNITr.NO �
COSTA MESA. CALIFORNIA
ZONING
NO. OF US¢ OF NEW
PLANB Q BUILDINO�v/
SBTBACK LINE FROM r «��Q ��N= e�•]
ceNiea oF sixeei SZ � REAR YARD 2J � FRONT
e
SIDE YARD I I.EFi t� RIGHT � R, SIDE
DESCRIPTION OF WORK
L. 51 DE
NEW I X II a�TFRaTioN I II ADDITION I ..�...
APPROVED
NO.
� USE OF BUILDING AND WORK TO BE
1 HCR¢BY ACKNOWLEOGE TXAT 1 HA�'�-' REAC TM�B APPLIGTION THE AMOUNT BXOWN UND¢R VALUATION IB FOR TH¢
AND 9TATE THAT THB ABOVE 18 CORAGGT AND AGRBE TO COM- pURPOBE OF EeTABL19HINe A PERMIT F6E ONLY.
PLY WITH ALL CITY OIiDINANCE6 pNO BTATB lAWB IiBpUL�TINO
BUILDIN6 CONeTRUGTION. VALUATION
SIGNATURE OF . � PERMIT FEE $ �15�
PERMI7TE ' �
s 15, �45 • PLAN CHECK $ 1� �SO
AIJTHORIZED AGENT �ke & r'O �T'OVe� ITIC•
TOTAL FEE S2�SO