HomeMy WebLinkAbout3140 JEFFERSON AVE - Building PermitsCITY OF COSTA MESA �
BUILDING DIYISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca s
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: P08-00071
PERMIT TYPE PLUM
APN: 14105260
JOB ADDRESS: 3140 JEFI
Vicinity:
SCOPE OF WORK: Replace WateF
OWNER:
PHONE:
APPLICANT:
PHONE:
Address:
City/S[ate:
ARCHITECT:
ENGINEER:
/'t:!
TRUJILLO,HENR1/8 MAI
STATUS: ISSUED
DATE ISSUED: 03I11I2008
� �y;.�r � �,,ISSUED BY: yh
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5 � �Address: 3140,JEFFERSON AVE���>`
714 668-5663� , � ���* - _ . . Cily/State/Zip: 1 COSTA MESA,;;CA -. - ,_
MIROSLAV P BARNYASHEV - �� Address: . � : � � � ; '
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R: CALIFORNIA DELTA'�MECHANICAL INC License No. ��81]114� �'`
1235GRANDAVENUE� . `� ' _ �PHONEi 800-888-0008 '�:�
SPRING VALLEY,�CA�� � ZipCode:`97977' r �� ; - � � � ' � CELL:. � -
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�� � � �+ ,' . �,,, License Nor u �i� C � ���" �,� PHONE:�'� i
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�i���"� ,�_ ���`, ��`j PLUMBING`PERMIT�FEE SUMMARY ���
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� PL;AN,CHECK FEE = * �� h`�• :.50 00 ' � t=.-
;PERMI'f,FEE: s� _, � _ � �� _ $39:80 . :; �
..=. ,..�: '�. >_=r - � -
TOTAL FEES �' � `,1, _ ;S ;'i ` � �� $35:80
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia staWtes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EICPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit.
CODE�. INSPEC110NTYPE OATE INTITIAL CODEN INSPEL710NTYPE ORTE INII➢ALS •
7816 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final . 208 Final Plumbing P//Q- � ����-(,�
200 Final Rc Roof 270 Final Electncal
201
202
203
Final Block/Retaining Wall
Final Factory Fire Place
FinalSign
204 Final Demolition
212 Final Fire Prevention
220 Final Planning Approval
222 FinalSite
250 Final Building/Occupancy
WORKERS' COMPENSATION DECLARATION�
I hereby affrm under penalty of peryury one of the f011owing deGarations:
❑ I have antl will maintain a certificate of consent to self-Insure for workers'
compensalion, es provided for by section 3700 of the Labor Cotle, for the
peAormance o( Ihe v+ork for which this permit is issued.
,1..�,�-
�yy I have and will maintain v.orkers' compensation insu2nce, as requiretl by
'�section 3700 0l Ihe Labor Cotle, for the peRortnance of the v.ork fa which this
pertnit is issued. My workers' wmpensation Insu nce carrier and policy
number are:
' S �� � r�t e
�airier.
(This secwn neea rro(be pmWet� ine pemrR is valuM af one hurMied ddlars (5100) a less )
i ba � i3
Policy Number. < < � ��
❑ I cetlify Ihat in the pertormance o( [he work for which this permit is
issued, I shall not employ any person in any manner so as to hecome subject
to the workers' compensation laws of Calitornia, and agree that if I shoultl
become subject to the workers' compensation provisions of Sec[ion 3700 of
Ihe Labor Code, I (orthw' comply with these provision �/ r^8
� /A �— —lJ
V � A rynCSSi aWre v Dale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm Ihat I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 0( the Business and Professions Code, antl
my license pis in full for e and effect. �
Llc # 6 �I�� Class#'g L �
/9 � 3����8
' Gonl IorsSi nawre Date
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn that there is a constructbn lending agency for the
pedormance ol the v.ork fa vfiich this pertnit is issued. (Sec. 3097. Civil Code).
Lentler's Name:
Lender's Address:
Signawre Date
OW NER•BUILDER �ECLARATIONS:
I hereby aFfirm Ihal under penalty of perjury that I am EXEMPT FROM THE
CONTRAC70RS LICENSE LAW for the following reason (Sec. 7037.5.
Business and Pmfessions Code: Any city or counry which requires a permit to
cons�ruct, alter, improve, demolish, or repair any strucNre, pnor to its
issuance, also requires the applicant for such pertnit to file a signed statement
Nat he or she is licensed pursuant to [he pmvisions of the Contracrors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of �he
Business and Professions Code) or that he or she is ezempt therefrom and
the basis for the alleged exemption. Any viola[ion o( Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
five hundred tlollars ($500).):
❑ I, as owner of the property, or my employees with vrages as their sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
lhereon, and who does such work himself or hersel( or through his or her own
employees, provided that such improvements are not intended or offe�etl for
sale. If, however, the building or improvement is sold within one year of
completion, lhe owner-builder will have lhe burden of proving thal he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to conslmct the project (Sec. 7044, Business and
Pro(essbns Code: The contractors License Law does not apply to an ovmer of
property who builds or improves ihereon, and who cont2cts for such project with
a caniracta(s) license pursuant to Ihe Contractors liCense laws.).
❑ I am exempt under sec.
Business antl Professions Code for this reason:
Owner ID verifed by dri� ,ice.. .❑ Ves ❑ No
Dnvar's License No. Expires:
Verifcation of Ovmership by (type of tlocumant, i.e. - proparty tax hlll or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereDy certRy that no excavatbn frve (5) or more feet in depth into wfiich a
person is required to descend, will be made in connection with work authorized
by this permit, antl that no builtling strucNre, scaf(dding, falsework, a tlemolition
or di5mantling thereof, will be more than thirty-siz (36) (eet high. (Chap. 3.2, Grp
2. Art 2, Sec. 347, Ttle 8, Calitomia Adminisl2Uve Code).
� A5 ovmeo-builder, I will not employ anyone to do work vfiich would
require a permit from the Division of Intlustrial Safety, as notetl above, unless
such person has a permit to do such vrork from [he division.
Apphcanl'S SignaWre Dale
Division oJ Industiial Safery Permit Numbec ..
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or Wture building occupant need to fle and
certify a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Yes � No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, lha[ a Business Plan be filed with lhe Cosla Mesa Fire
Depanment by every business which has al any one time during a reported
year a quantiry of hazar0ous matenals equal to or greater lhan a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet ol compressed gas
at stantlartl temperaNre and pressure).
2. Does or will the appliwnt or preseN or fulure building occupant need to (le
a registration fortn (or acutely hazartlous maleuals? ❑ Yes � No
(Section 25533 of the Califomia Health and Safery Cotle, with some
exceptions, requires registralion with the Cosla Mesa Fire Department by
each business which at any one lime has on hand a quantily of acutely
hazardous materials equal lo or grea[er than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feel of compressed gas at standard
temperature and pressure).
3. Does or will the appliwnt or present or fuNre building occupant need to
prepare an RMPP (Risk Management and Prevenlion Program for acutely
hazardous malerials)? ❑ Ve5 ❑ No
(Section 25534 of the Califomia Heallh antl Safety Code provides that the
Costa Mesa Fire Department may require [he preparation, certi�ca[ion and
filing with Ihe Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
4. I( an RMPP is presently required, has Section 25534 0( the Califomia
Health antl Safety Code been fully complied with? ❑ Ves ❑ No
5. Does or vrill lhe applicant or present or fuWre building occupant require (or
the work which is the subject of ihis application a permit for such construction
or modification (rom the South Coast Air �uality Management District or from.
any other air pollution control tlislnct or agency9 ❑ Yes � No
(Section 65BW2 ot the Cali(omia Govemment Code requires that the requested
infortnation De fumishetl on applicatbns ta ron-residential builtling pertnits).
6. Will any part o( lhe facility to be wnstructed under this permil be within
1000 feet (rom lhe outer boundaries of a school7 ❑ Yes ❑ No
(If "yes", the facility must meet the requirement of Seclions 25534 and 42303
of the Califomia Health and Safery Code).
7. I( a permit from the South Coast Air Quality Management Dislnct or other
air pollWion contml disMct or agency is required for Ihe work which is the
subject of this application, have all of the disclosures prescribed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", anach certifcate of compliance trom the appropriate air pollWion
control oKcer).
CERTIFICATE OF COMPUANCE: I certify Ihat under penalty of perjury the
information given above is correcc I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
Sgnawre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read Ihis application antl state [hat
the infortnation given is wrrect. I agree to compty with all state laws antl ciry
ortlinances relating to building wns[ruction, and authorize representatives of
the City of Costa Mesa to enter upon the above-described property (or
inspection purposes. I agree not to occupy or allow occupancy of any builtling
authorized by this permit unlil final inspection.
SignaWre egal0 r�s) Dale
Sgnawre oate /T /i 3—��—�8
305]�46 (3/W ) qn . r AulhonzeG Appl¢am �/ Date
`
PB0.IFCT RO�BESS:
OWNEH'SNAME: 3190 JEFFERSON AV
nonness: MiiLER, GEORGE L
190 JEFFERSON ST
COSTA MESA,CA 92626
AflCHIENGMEEB: 5' 4 �— 7 6 Q 5
AOOflESS:
UNIT:
NEG.NO.:
UNIT:
� FEPMITTEE:
aooness:PACIFIC AIR COMFORT (714)937-1333
• n�1)8y�97p47 S� SANTA CRU'Z 9pn
UCENSED CONTPALTOA'DECCrtRATON:' I herehy aitirm �ha� I am h ens unAe isioynsbl`Cliep�r 9(commencing wi�h Sec�ion
7000) of �ivision 3 of I�e Business and Pro�essions Code, an0 my I' nse 5 in N force an0 elfecL •
CITY LIC.: STATE LIC.: C S5:
042?,..1 500236
�a�e: �� Signa�ure: � '
WOPKEP 0 PENSATION OECIAP/1TION: I here�y allir al I n e certihcate f onsent to sel4insure or a cehificate ot workers'
Campensation Insurance, or a certihea capy thereot (Sec' n 9800. Lab. �. �
voucv ao.: 1209753-91 ! EXP. DRTE: 0� z
COMPANY: ��+��� �+n� DY
7 Ce�ifietl is re IudithS C� Cenifietl co is filea wi� I cit ildin Division.
'�, Daie: '�' � � 2-- Applicanl:
EXEMPTION FHOM WOflNEfl$' COMPENSATION OECLAXATION: RhiS eqion nee t be completM il l�e Dermit is fo� one hunOreO �$100) or less).
I cetli�y ��a� in Ihe petlormance of the work tar which Ihis permit issuetl, I all not employ any person in any manner so as �o hecome
subjecl lo Ne Workeri' Compensa�ion Laws ai Calilomia. .
"Date: ' ' ' Signawre'. ' ' ' "
NO710E: II, after making tAis declaration, you should become subject to the Workers' fAmpensation D�ovisions of the Labor
CoOe. you mus� fonhwith comply wilh such pmvisions or inis permi� shall be deeme0 revoke0. �
CONSTflUtTION LENUING RGENCY: I hereby aifirm �hat �here is a constmclion lenaing agency �or �he petlo�mance o� lhe work �or
whicn Ihis permit is isscea �Seciion 3097. Civ. C).
lENOEfl:
AOUXESS:
OWNEN BUILOEN OECL1flPTI0N: I hereDy allirm �hat I am exempt Irom the Contractars' Siate License Law �or lhe tollovnng reason
�Seclion 7031.5 Business antl Professional Cotle: Any cily oi caunry which requires a Dermit m consimcl, aller, improve, Oemolish, or
repair any s�mclure. prior �o ils issuance, also requires �he applicant �or such permi� �o �ile a SiAneA slafement ��at he/she is licensetl
pursuaN ro Ihe pmvisions ol t�e Cnmranors S�a�e License Law (Chapler 9(commencing vn�� Sectian 7000) ol 0ivision 3 oi �he Business
ana Pm�essions Code) or Ihal �elshe is exempl lhereirom antl ihe basis lor �he allege0 exempiion. Any violaiion o� Section 7031.5 by
any applitant lor a permit SUbletls �he applicant �o a Civil p¢nalty at no� mofe �han five huntlreE tlollars ($500). ,
I, as owner ol the pmpeny or my employees with wages as iheir sole compensation, will do ihe work, antl the
❑ slmcwre is not inten0etl or offeretl for sale (Section 7044. Business and Pmfessional Cotle: The Contracmrs' State License Law
does no� aOGly to an owner of a O�operty who build5 or improves �hereon, anA who Ooes such wark himself/herself or Ihmugh
�is or her own employees, pmvitle0 Ihat such impmvemen�s are not inlende0 0� oifereA for sale. Ii„however ihe 6uilding or
' impmvemenl is sold within one year ol completion. �he owner will have the 6urden'o� pmvinA �elshe tli0 not build or impmve
lor ine o�roose ot sa�e). ,
I, as owner oi I�e property, am excWsively conirac�ing wi�� licensed con�raclors to consiruct Ihe pmlec� (Section 7044, Business
❑ anA Pmlessions COAe: The Coniracmrs' Sta�e License Law does not aDDly �o an owner o� prapeny w�o builds ar imp7oves Ihereon
and who comracisfor such prolects with a conlracmqs) license pursuam m IAe Contraciors' S�a[e L¢¢nse Law�.l am aware
�ha� pmot ol �heir Worker'S Campensalion insurance shoultl be pmvided �o me.
� I am exemp� untler Section: B. 8 P. G. �
lor �his reason'.
Oale: Owner:
I do M1ereby ceniry ihal I am aware oi antl understana the reQuiremwts oi Calilomia Healih antl Safery Cotle Sections 25505, 25533, and
255�E antl�hal loranyfuture �uildmg occupaniwill/will not (circle one) neetl�o comply vn�h said sta�e codes and Ihe requiremenis�ora
permil �or con5lmciion or modi�icalion Imm ihe Fir Oualily Managemenl OiSVicL Fe5i0en�ial con5imc�ion applica�ions are exemp� imm
I�ese O�ovisions.
Oale'. ..Applicanf.
I hereby cerlifyl�at I havereatlihis applicalion antl s�ab
or0inances dntl siale laws relaiing �o bNlding consimclion
pmp tly lor inspec�ion pu�rposes.
�aie � �' 1 Z� Signamre:
�river's License or Sociai Securily q:
��:� __ . __.
1641-d6 WM1i�e-9uiltlina;
[t. lagree lo comply vnth allcily antl county
ol �his ciry �o enter upon the above-mentioneA
Pink—qevenue: Goltlenrod—H.ssessor
CZTY OF COSTA MESA — BUI�LDING PERMIT PERM NO;.M 05778
PERMIT NO; M 057788 PLAN CHECK NO; N GOVT: N SUBP: N
CONSTRUCTION TYPE: V—N � PERMIT TYPE: MEC PIIRPOSE: ALT
JOB DESCRIPTION ; 75KBTU FURNACE, 3.STON AC � ' SQ FT; ,
CLAIM VALUE: CALC—VALUE:, � GROUP OCC: R-3 /'
COMMENTS: X ' ' ' �
�r**� **x *�r�rx �r****** �r*�r**�r**�*�*x��**�**************�r�x �r�****x �*�**�rt�**�*******+�*
- Z O N Z N G R E Q U I R E M E'N T 5
• 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 RGAT; FT IN
PARKING REQ • PROV; PARCEL: 191U5260 ZNE:' , ftEF NO;
PLANNING NfSTES> , ._
�
if iE iE if 1F iE 1E if iE iF 3F if k iF iF iF iE iF iF iF ik if if if it 1E if 1f if iE iF iE # ik iF iE.�F�if if �k ik iE iF iF iFiE if �f k if if iE iF iEiE iE if iE iElk if if iF ik iF if 1E iP iF �k �E 1E iE iF iF jF iE �F iF
D E V E L O P M'E N T S E R4:V I C�E S R E Q U I R E'M E N T S.
ZONING APPROVED BY `�+ DATE:
BUILDING APPROVED BY ; n DATE:
APPLICATION ISSUED BY: `� � DATE• �9 /6 9 Z.
iEik�F�tiFiEiF1E1f�f1E�lfifififjFiEikikifikiF iFiEiEiFik3FiEiE�F�E iE3F
iF 1F 1E iF ik ft iF iE�E �F iE jE iF it iF iE it �E �F 3E Ik i! �k iF ikiF k �E �t Ik 3F�E IE �ElE k 3E iE 3F 3t if iF�f 1f if iE �f 1f if 3f if iFif iF if ik iE 3k 1f if �k IF iE 3E !f ff iE iF iF iF k IF if iF iF ik if iF �lk-
LEGALIZATION:N F E E' S U M,M A R Y STRUCTURAL,SEGMENT:N
BLDG PMT 'PLUMBING ELEC,TRIC MECHANIC FIRE ' SMIP/RES GRADING
PERMIT • . 18,00
,25Y SMIP/NON—RES
PLAN '
ISSUfi FEE : 15.00 ' '
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK • TOTAL PAID DUE
TOTALS----> " 18.00 15.00 0.00 33,00 ' 33,00 .00
REi/ENUE DIVISION TOTALS--> COLLECTED; 33,00 OVER/SHORT; ,00
BliDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK
" 33.00 , � .
it �E if * iF iF iF jkiE IE 1E at it �E iE �F iE if iF �F 3kiE if if If iF iF iE *�f iF iE if if if jk jf k if iF 3Flf aE iF if it If iF iF ik 3f iE aE iE iE k IE �E �k jE jE 1k iE �E iE if��1f 1f af iF 1E iF iF fE If if �E iE �E
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
MEC i REFRZGERATION SYSTEM <= 100 K BTU/H 9,00 9,00
� ', END OF FEES
' � .
01 7D�.i's�0—DC117450 "faJ''s�
DATE: OE�Shc9? 7;'rii:� :C°.`
_ �
....'(� V
. , ,,, ,..
.
CONSTRUCTION AND;PLANNING'q , - y �t �, -.,z _ . POO, �iPA , . � ��� :� �
Dafe �Inspec4or -� ` � DaCe - -Inspector.�.
-; APPROVALS Permit,# � f � � - - APPROVALS Permit # y -
' } V '. � J `- . .
\r' �. � '
,- 1.� Temporary�Electncal Service�o:.Poley~t - . �: ;52.EPool & Equipinent Locaiion � � � �
�2. Soil Pipe-Undrgmd. r " �•_. �, - � -A "� � � ^ � 53. �Steel-Reihforcement �� � ��
�3�Electricaf Conduit Utilicv-Undig�ad. . ' - � ' � � 54.; Forms f ' ' . �
:4..-�;ElectricalConduibUndrgrntl. �- J��� �r� ���'� ' ' 55.�ElectricaiBonding, �
5'Steel Reinforcemen'2` - . ` - . . , _ 56. ;Rougli Plumbing.& Pre,sure Test �
„6.' Electrital UFER �Gmd. . -- � � � 57. -APFROVA� TO�COVER�GUNITE - •�
7._Footings � - . ` ' _ � _ 58.'Electrical Co�nduit=Undrgrnd.
,-8. Foundation :� �' " 59.'�Gas Pipe, O Undrgmd., Test -
�9. Water Pipe-Undrgrrid._- _.-� � � 60. Backwash Lines, P-Trap, � Undrgmd.
,��,
70. Structural Floor System �` � � ` - ___ � � 61. �APPROUAL TO DECK- '
11. Property Sewer Line,& bouse Connectio� • "�• 62.=6ackwash & ReceptorFinal ' �
r
72. Sewer Cap � " f� ; � =c ' � - , 63.� Heater`& Vent-Final � -
13. Roof Drains v �� + . � 64. Plumbing System - FinaF
14. Rough Plumbing' 't , - 65. Electricai-Final �-
15. Rough Electrica(�Conduit � - . 66.� Solar. Sysiem-Finai �
16. Rough Electric Wiring � 67.-_ Fencing & Access.Approval
17. Rough Wiring Sign � - - 68." APPROVED�FOR PLASTERING -
18. Rough Electriwl•T Bar Ceiling . _ . 69. POOUSPA SYSTEMS FINAL
- '19. Rou9h Heating & Air Conditioning - " `- " FIRE DEPT. REQUIREMENT - � '
� -^-,,n- :, z y,.
20. Rough Factory, Fireplace � u: � -L J t� _• ��-� � APPROVALS.. � Permit # '� '�'� '�
't � •Y� l• •�9'• _'.11 - -
21. Ducts,in.Struciure'` ' - , �- W ��� ' > -':� � � •r : T
n� . � c ' i..,.,. - 70. Undergrou�^Hydrp
22. Ducts,, Ventilatin8�y • �"' � a S �Z* 71. Product Piping O�6as OOiI
I^ _. i '. K
23. Gas Pipe�Rou h & Tesi � `` � = , "�' '" � � -
9 :r � . � ��- '72. Underground,Flush�
24. Roofframing.. - `"�`' a,:> ^ _ �' 3�3.'�Undergmd.�Storage,Tank Q'Gas �Oih'
..z
25. Roof Sheathing t '' � F `' r'" �;'.` �/4. Overhead Hydro - ,
26. T�Bar Ceiling (Svuct�ura0 & M,onocoat .. u� : n� .. . 75.'Dry Chemicai � _
27. Frame and Flashing ^ - _ " ' r v.;, �. 76. �Dry Standp,ipe. ;� � ` ��' �
. �i : :.: r . .�._ _ iv
28. Lathin9 &.Siding . �-�,a; �. • ' •• -�x � 77. FIXED SYSTEM F.INAL '�
29. Insulation� = "" � � �' .; 78.:FIRE PREV. PINALZ p z` �
30. Drywall Nailing f. �� � I i� � :r HEALTH D�EPT.�REQUIREMENT
31. Plaster Brbwn Coat �_ _ � t �, " , I ��� 79. `FINAL INSPECTIO�N . - ' '�' ` �
n� ,+- , . � � r�:_ .; ,:�.'. „ . . _
32. Electrical'Power MeteqFinai ; t;) i� ��� 80. �FOOD CERTIFICATE ISSUED c.`-
33. Final%Electiic � �^ � `�, " ° �� �' � �Notes: ���'� ,- _
�4. Final`Heating & Air Conditionin9'S L�� f�QL L� '�"� �C : }�i� n 5 ��
35. Final Gas Pipe=Test �� r �'+ ''•� i �' ^ �' : n" c�'* p� , l r
k "+ 1.0
� . .. ..,? . -; o -� - . .�: s t:� - .
36. HOOd,Of CanOpy n , � �,.�-� ,-, ' � � - ,s-, ,:, � r, : �s
[1
37. Final Factory Fireplace+ � �_� _ * '� I "' �= •
r
- . .. � '� .. . �, a�rt� � - � . , + .,, -
38. Pinal,.Plumbin9 . � :i 1 ��^ 1i �•�. - e 7
39. Water Service•Final � � 1 ^ -- ( f. � .�•7�� c �.�,a +� 1 �
. Y �Z 'S - J- W �
40. GasService-Finaf y '� '} '-' -' .-
�Ti a:�nl�' �� -r-t ` ,.w S•. _
41. Solar pomesticFinal ^ - �•� : Cs � b:> c .- � �
�� r.� y0 ti • r
42. BackflowPreventer �`� '' -' -� . '�
-'i � ' tr i j' ' 4 -
r •.� .. .. .._ . �
43. Backflow Irrigation .: � : >: - � - ` � _ � �.
i � „ :. ,r ;- ,i �� � . .
� 44. Landsca e Irri, ation.System „� ;:;z '� • `" v ' ` -�
P Q � UI ��' �7 C.1 C.k . 1;�'. �C 0: -7G
� � �.w .. . . ._ - :"_" : . "
45. Sound Attenuation -.�: n; � i � ` � !' , - .r�.- -�.V '
r •n�� r- �, e�� .,` ,>
46. HandiuP,Fegulation3 � `� : ;" •. ..Y - . � y � _ � '•'' .�
47. FINA�L STRUG7URE & BUIL�DING * � � /��� - . �: �" � _
46'. FINAL PIANNING° �„" a 1{�'�, �' "' J x "
� . �;'� !r, ;1 i
49�. Elec{ric Release to Edison j -: '.fl> ; i:• �v � . �-�
.r
50� Gas Re�ease to Souttiem California Gas Co ; �_nj: :'- �, � i`• -� :..
51'. CERTIFICATE Of OCCUPANCY` � ;� . � ; � , R - .-r�
No. Date
,�
m
A
Ju2� 12, 1968
MAIN OFFICE
SANTA ANA
9E19 W. W��fminsfir M�.
P. O. Bo+ 53�
S�nfa Ane, Call(omf� fI70I
Ih. 71a•531-01�0
C�..ty ob Coexa Meaa
Bu�.2d�.ng Dep.t.
P.U, Box 1200
Coe.ta Meea, CaZ�./�onn�.a
' C. KIDDER
Prs�idenf
BRANCH OFfICE.
CAMARILLO
Dawsan Odr�
P. O. Boi I]d
Camarillo, California 93010
1h. 805•483-9831
A.t.ten.t�.on Ed Honnacha
6en.tPemen:
We 22qu¢6Z n2hmt66.cOn .to �.nexaee asc - flwv- veaez�.�
waate and venx 6y6�t2m �.n acco2dance w1.th (U, P.O.A.
�.ne.ta�ka.tLon axanda2da �.eeued 565-65,
Th<e neques.t �.e bon Tn.ac.t 5341 �.n �he C�..ty o� Coe.ta
Meea, CaC.ibon.n�.a.
Veny .tnufy youna,
PLUMBIN6 CON7RAC70RS, INC.
`{�.c��-w �o-'-w(.�-e�
(UtZf.�am Combe
Supe2�.n.tend2n.t
lUC/6C
R
�c�m�� ��e���rcen�
July 25� 1968
City of Costa �Gesa
7'] Fair Drive
Costa 1Sesa� Caiforn3a
Attention: Building Department
Dear Sirs:
BU/LD/NG
SUBD/VlD/NG
Ph.540•0960 540-0961
2940-A Rando/ph
Costa Mesa, Ca/il. 92626
Re: �act 53�11
We, the owners and general contractors of the subdivision knrnvn
as Tract 531�1, Costa Mesa, Cali£ornia� hereby release the City c#'
Costa Mesa of any liability or responsibility in connection wi.tkt
the use of approved plastic pipe and fittings to be used for drain�
vent and waste lines in hanes to be built in t}as tract.
Sincerely,
�i � �
�
SC D 0 T, INC.
Levas R. Schmid
LRS/clp
zot 1 28728
C05fA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA� CALIFORNIA 9202!
For ApplfcaM to Ftll In ComplN�fy
TYPE OR PRINT
�ut�nina � �it-V '�'
ADDREYG "�^
COSTA ME6A. CALI ORNIA
Inc.
Pl.,Costa Mesa
R. Schmid
ucTNo. o�' S40-0960
srze --r , � _ See I r",°o'w'on°wr ' C
OFLOT_LI'�/d+Q'1 q/'
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