HomeMy WebLinkAbout582 JOANN ST - Building Permits`OSTN IyFsq
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CITY OF COSTA MESA . __ .. i
' ' BUILDING DIVISION ' '
'..� ....___ _' ,
77 FAIR DRIVE, COSTA MESA, CA 92626 • Q14) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us r
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE
APN: 42216303
Zoning: ,
PERMIT NUMBER:
B MISC STATUS:
� DATE ISSUED:
ISSUED BY:
BX11-00272
ISSUED
OS/25/207 7
CAC
JOB ADDRESS: 582 JOANN,S,T_CM Suite/Unit:
Vicinity: ROOF Primary Occ: Const Type :??
SQ. FT: 0 Valuation: $7,500.00
SCOPE OF WORK:
NEW PITCH ON EXISTING ROOF. MIN CALSS C TORCH DOWN
OWNER: VOZENILEK JOHN AND BELINDA Address:: 2271 PACIFIC AVE
City/State: COSTA MESA, CA Zip Code: 926273962
Phone:
APPLICANT: VOZENIL�K, JOHN
City/State:
Phone:
CONTRACTOR:
Address:
Ciry/State:
Zip Code:
ARCHITECT:
Phone
ENGINEER:
Phone
OWNER-BUILDER
JACK HOWARD
714-731-2665
FEE SUMMARY
Building Plan Check:
Building Permit:
Electrical Permit:
SMIP Residential
SMIP Commercial
Bldg Std Admin Fund
Address:
Phone
$99.61
$153.25
$0.00
$0.75
$0.00
$1.00
Zip Code:
License No. 000000
License No.
License No. S2953
Cell:
Unit
.. _- -'-:'--- i
Unit �
Unit:
�
TOTAL FEES $254.61
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3N S/2070 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 gm thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibited all hours - Sundays and lhe following Federal Holidays:
New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivino Dav and Christmas Dav .
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28. § 1, 12-21-92)
EXPIRATION: 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 fnal approval will result in lhe expiration of this permit.
COOE k. INSGEG110NTYPE OATE INTITIALS LOOEA INSPECTIONTYGE DATE �'" INTI71AL5
7676 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Paol Spa Final '�� 208 Final Plumbing �
200 Final Re-Roof 210 Final Electrical '
201 Final8lock/Retaining Wall 272 Final Fire Prevention
202 Final Fac�ory Fire Place 220 Final Planning Appmval """"'-""""'_""_
203 Final Sign 222 Final Site •� u,p:'.'.��,.. � !
I
204 Final Demolition 2W Final Building/Occupancy _ �
. . � �
WORKERS' COMPENSATION DECLARATION: '
I hereby affirtn under penal�y of perjury one of �he (ollowing declarations:
❑ I have and vrill maintain a certificale o( consen[ to sel(-Insure (or vrorkers'
compensalion, as providea for by section 3700 0( Ne Labor Code, for 1he
peAormance of the work for which this permit is issuetl.
❑ I have and vrill main[ain v.orkers' compensation insurance, as required by
section 3700 of the Labor Cotle, for Ihe pedortnance of the work (w which lhis
pertnit is issued. My workers' wmpensa�ion Insurance carrier and policy
number are:
Carrier
(TI� seCm neetl rp! be cpnpletedlNe permP a valvetl al me huritlretlWPars (5�00) a kss )
Policy Number
❑ I certify t�at in the peAormance of the uwrk for which this permit is
issued, I shall not employ any person in any manner so as lo bewme subjecl
to the workers' compensation laws of Califomia, and agree that if I should
become subjecl to the workers' compensa[ion provisions o( Section 3700 of
Ne Labor Code. I shall forthwith comply with Ihese provisions.
� Ap0liranl's Signature Date
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 DOILARS
(5100,000), 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 affirtn that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 0( Ihe Business and Professions Code, and
my license is in full force and effect.
Lic. # _ __ Class #
Contractor s Sgnawre Dale
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum that there is a wnsWctbn lending agency fw the
peAormance o/ the work fp wfiich this pertnit is issued. (Sea 3097, Civil Code).
Lender's Name: '
Lender's Atldress:
SlgnaWre Dale
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty o( perjury thal I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7037.5,
Business and Professions Cotle: Any city or county which requires a permit to
conslrucC alter. improve, demolish, or repair any structure, pnor to its
issuance, also requires lhe applicaN (or such permit to (le a signed statement
[hat he or she is licensed pursuant to Ihe provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt theretrom and
the basis for Ihe alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjecls the applicant to a civil penalry of not more than
f e ndred dollars (5500).):
/
, a vm of the property, or my employees with wages as their sole
� om sa �, WILL DO THE WORK, and Ihe struciure is not intended or
red ale ec. 7044, Business and Professions Code: The Contraclors
Licen aw doe ot appty lo an ovmer of property who builtls or improves
thereon, and who does such vrork himself or herself or through his or her ovm
employees, pmvided that such improvements are not intended or ofteretl for
sale. I(, however, the building or improvement is sold within one year of
completion, the ovmerbuilder will have the burden of pmving that he or she
did not build or improve for purpose of sale.�.
, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
C NSED CONTRAC70R5 to consWct the project (Sec. 7044, Business antl
Pro b � The conlractas License Law dces not apply to an ovmer of
propeny who builds or i s thereon, antl who contracts for such projecl with
a conlractor(s) license pureuant to Ihe Cont2ctors License Lavrs.).
I am exempt under sec.
Business and Professions Code for Ihis reason:
�z
Owner ID'verifietl 6y tlriver s license. D�Yes ❑ No
Dnvers iL e No. � �� � � ��' � [Eupiies:
Verification of Ownership 6y (type o( document, i.e. - property lax bill or deetl�:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cetldy that no ezcavalion (rve (5) or more feet in depth into which a
person is required to tlescen4 will be made in connection with work authorizetl
by this pertnit, and that no building slructure, scaffdding, falsewurk, ar demolition
or dismantling thereof, will be more Ihan thiny-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 347, Ttle 8, Califomia Administrative Cotle).
❑ As owner-builder, I vrill nol employ anyone to do work which would
require a permit from Ihe �ivision of Industrial Safety, as noted above, unless
such person has a permit to do such vrork (mm the tlivision.
ApWitanl'S SignaWre Dale
Division of Industrial Sa(ery Permit Number
HAZARDOUS MATERIALS ANU EMISSIONS CERTIFICATION:
1. Will Ihe applicaM or present or future building occupant need to file and
certify a Business Plan for emergency response to release or Ihreatenea
release of a hazardous material? ❑ Ves ❑ No
(Sec[ion 25505 0/ the Califomia Health antl Safery Code requires, with some
exceptions, Ihat a Business Plan be fled with the Costa Mesa Fire
DepaAment by every business which has at any one tim6 during a reportetl
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume o( 55 gallons, or 200 cubic teet o( compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or fuNre building occupant need to file
a registration form �or acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safety Code. with some
exceptions. requires registration with Ihe Costa Mesa Fire Department 6y
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or greater than a weight o( 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at slandard
temperawre antl pressure).
3. Does or vrill Ihe applicant or presenl or (uWre builtling occupant need to
prepare an RMPP (Risk Management antl Prevenlion Pmgram lor acutely
hazardous materials)? ❑ Ves ❑ No
(Section 25534 of �he Califomia Health and Safety Code provitles that the
Costa Mesa Fire Department may require the preparation, certification and
filing with ihe Fire Depariment of an RMPP hy businesses which are required
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 ot the Cali(omia
Health an0 Safery Cotle been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupaM require for
ihe work which is ihe subject o/ this application a permit (or such construclion
or modificalion from the Soulh Coast Air Quality Management Dislrict or lrom
any other air pollution control distncl or agency? ❑ Ves ❑ No
(Sectbn 658502 0( Ihe Califomia Govemment Code requires thal the requested
informa[ion be fumished on applications for nomresidenlial builtling permits).
6. Will any part o( lhe (acilily to be conslructed untler this permil be vnlhin
1000 feet fmm the outer boundaries of a school? ❑ Ves ❑ No
Qf "yes", the faciliry must meet the requirement of Sections 25534 and 42303
o( the California Health and Sa/ery Cotle).
7. If a ermit from Ihe South Coast Air Qualit Mana ement Distnct r oth r
p y g o e
air pollulion conVol district or agency is required for Ihe work which is the
subject of this application, have all of the disclosures prescrihed by California
Heal[h and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf'yes". attach certificate of compliance fmm the appropnate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE: I certi(y that under penalty of perjury the
inlormation given above is correcL I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
SignaNre Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry o( perjury Nat I have read this application and slate that
the information given is correcL I agree to comply with all state laws antl ciry
ordinances relating to building conslmction, and authorize representatives o!
the City of Costa Mesa to enter upon the above-described propeny for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized b this permit until (inal inspection
Y
. �� �� T �/ ��naWr Lp I � pate����
SignaWre Od�B /
309-G6�3I0] —�� q�d� Aulborize�'tl p0iicanl� Y— Dale
Date
Project
Oumer
Address
Con[act
Roof materiel
Number of squares
Installed tile weight
Plans prepared by
Calcs prepared by
Office Engineer
Pertnit under
Introduction
Conclusion
Design d Dratting
1932 Hampshire RoaO
Tustin, Co 92780
(714�731•2665
vhoy73�ca,n,com
�x�rnix woxx a� x�xooF�
AIIGII3T 25,2011
REROOF WITH 7'EAR-OFF
t�S 2953 , 1,
exa. l�' {L��.
]l
JOHN VOZENILEK
882 JOANA STREET
COSTA MESA, CA 92627
JOHN VOZENILEK (949) 244-9538
STANDARD ASTM RATED TORCHED ROOF
34 SQUARES MORE OR LESS
3 POUNDS PER SQUAREFOOT (ROOF COVERING)
DESIGN � DRAFI7NG (714) 731-2665
1932 HAMPSHIRE ROAD, TUSTIN, CA. 92780
(714) 203-7842; (714) 745-9987 CEL.
ED YANDOC (714) 731-2665
(714) 203-7842; (714) 745-9987 CEL.
JACK HOWARD, S.E., CONTACT: (714� 745-9987
LIC. NO.S002953
29436 DRYDOCK COVE
LAGUNA N[GUEL, CA 92677
OWNER-BUILDER
TH8 FOLLOWMG WAS PREPARL'D POR THE ABOVE PROJECT. THE EXIS'fING
ROOF MATERIAI. IS A TORCHED ROOF (TO BE REMOVED) OVER EHISTING
Y� PLYWOOD SHEATHING AND WILL BE REPLACED WITH SAME (ASTM RATED)
MATERIAL WITH STANDARD TORCHED BASE AND FELT [NSTALLED
PER MANUFAC'PURER'S SPECIFICATIONS. CALCS WERE BASED ON MANU-
FACTURER5 STANDARD CRITERIAS AND PROPERTIES.
ERISTIIPO R.00F PRAMiIQO I8 ADEQUATE FOR AEW ROOF COVERIN6
WITH ADDITIOFAL DEAD LOAD. (SEE PLAN AND CALC FOR REFERENCE�.
�
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NOTES:
1. ONLY CRITICAL ROOF MEMBERS ARE REFERENCED IN CALCS.
2. REPORT TO ENGINEER INCONSISTENGES HEREON (IF ANY) PRIOR TO
COMMENCING WORK FOR IMMEDIATE ACTION. DO NOT CALL FOR INSPECTION
UNTIL SHEATHING 6 COMPLETED AND READY FOR INSPECTION.
3. THE HOMEONfNER, CONTRACTOR OR THIRD PARTIES SUCH AS AGENT
UNDERSTAND 7HAT THE EXIS7WG STRUCTURE DOES NOT MEET CURRENT
CODE. HO'NEVER, IS DETERMWED THAT THE FRAMING SYSTEM IS ADEQUATE
FOR ADDED DEAD LOAD.
<o•_,.•
L GEND:
Q DEN07E5 SLCPE, 3� MIN.
� DENOTES CALC REFERENCE NUMBER
____= DENOTES LOAD BEARING WALL
_ _ _ _ _ DENOTES NON-BEARING WALL
ROOF FRAM'G PLAN:-
PROPERN OWNER:
MR JOHN VOZENILEK
582 JOANN STREEi
COSTA MESn, CA.
%1 DETAIL
��� NO SCALE
U'-� . � t2'-0' ... t3.-�• . a-Ja
��
ODEfAIL
NO SCF
7'-�'
CROSS SECTION THRI'
SCALE i/8"=i
1
4
� / i �i
� 3
ODETAIL
NO SCA�E
ODETAIL
NO SCALE
OPP.
HAND
STD. TORCHED CAP SHEETS W/ UNDER-
� LAYMENT OVER 1�2" OSB ROOF SHEALHING
� V010 SPACE
E%ISiING (E) 2X6 SOLID
3 ROOF SHEA7HING/CEILING
�RIPPED 2%10 TO 0" TOE NAIL STAG'D.
W/ 8d 1JAIL5 �12" O.C. EACH SIDE
5 1.5"xI.S', 26 GA. GALVANIZEO SHEET
METAL EOGE, (PRE-PAMTED)
�(El 4%8 �ROP BEAM
SEE FRaMING PLRN
7❑ SEAM/BUTT JOWT
��2%8 DF N0.2 RIDGE W/ lOd NAILS
�12" O.L. EACH SIDE, STAGGERED
�Sd NAILS �6� O.C. BOUNDARV
& 72" O.C. FlELD
�
�
�oExessa ewioma: S 8 2 JOANN S T uxT:
M'NERSN.WEIFRlOWN:`�AN SLOOTEN, EVERDEAN J
aooxEu TR
�VOZENILEK, JOHN TR
271 PACIFIC AVE COSTA MESA,CF� 9262E
i1PPL.IWt1N0 AOONESS
�RCNIfECT 011 ENtlNEEfl:
MCN.Ofl ENQ'S IUDIiE55:
uc. xo:
caxm�crarsruue:
caxrx�crons�uiwo
woxEsa uc ea.:
UNf:
uxr:
LICENSED COMHACTOFS DECLAPATION: I heraby ellim uMs parely d peejury Net I em licemed u�Ms prwiwona d Cheqar 9
(commeria�q wnh SMion 1000) d Oivi+on a d rtie Bua�wu enE Pmise'vro Code. end mY 4ceme o in hA Iaw vM sl�ed.
cm uc. No.: uc. cuss: uc. No.: EXP ;
Dele: �ameeor:
OWNER BUILDEF DECLAHATION: I Iwaby df'm uMer penely d per'Fvy Ihm 1 un ezemq fmm ihe COMratlon Licenas law la Ne
Idbxinp �aaron 1�� ]W t.5 &ni�asa eM Prdeasona Coda: My cty a caunty Mfiid� nyuiiee e pe�mG b multut�. Mx. impova.
'.mols�, a repes eny awuure, priar b 4+ eeuarn, e6o rxryryiree the eppliixnt lor euch pmnu �a fila e apred a�etemeM Mel M a eM
,�naee w�� �� �n. w��+• a me cavm� w�,.e �e�. [cn.px a(mmmorc,m .an saa� roaol or oi�can a a�ro
uims ud Prdeuiom COEeI a Nei b u Y» o e�emq thaehpn end ihe bess la Ne eAapaE uampion. My vbbtion d Sedion
]031.5 M enY aGWcw lu a VarmA su4�a �ha eGWiratl �o e rnJ V�Y d m� mara ihen fiae hurWed ddbn IS500�.
p �.avmme.a�navW�v«mv�^vbr«s.vn.v�amma:.aemmpnu�m.»�Tmma�wx.enem.em,wm:�am�ena.a
«dlmeE tor aeb (Saetion ]OM. Busiiwaa ad PMaeaaa Cade: The ConVafae Limnsa lawdos ml MGh �a en oxnerd peopeily
who Wids a'unpoves Ihereon. ard who doas suW work IvmseX or hene� or Waph he or Mr own empbyees, qwidad iMt euch
impeovememe ara mt inienEetl aW«ad far aeb. tl, howewr.IM Witli�q n inpewemeM ie add xilhm ms yem M eompblion, Ihe
��,�erw�ux wn n.�re m. n,�dm, a ap+�ro ne «.na ea �,a nad « �mw� t« u,e ww�e a.wl.
I. m owmr d tM poDsM. em udmveM oontreeM Mn� Gmrned an w emmw Ihe D�I� (Setlion IOH. Buaierose ud
riwea.are coee: me com�.aa. lcanae �ew me. na roMv ro a wno euiaa « mwwe. mmem .�d .,m
convecu la autl� peqaee M'vh a mtlreCa(e) Icereed pvauaeu to a Lew�.
� I em e�amq uMm Se�yon: 8. 8 P.C., br '
p�,,: � I — � —9(i �«
I Eo heretr/ uMily IMI I em ewae d enE �Meiaiard the �equ"vernaw M ellanu IIeeA� end Selety CoEe Satliom 25505.255U, xM
2553a. vd tlw I a eM' Mun bui{iinB �W^� xi0 / wA m� (mcY an nsed b camWY x'vh eeid ms mdes ud �M n9u'vemsMe br
� epermdlacauwciionamodifralionhantheAi3 IuTy��anqenwN tritl.PeWWWamY�utlbneppYutbmaneasmqtmmtMea
wwida,..
om.: �wr�wa:
WORKEN'S COMPEN411TION OECL�PATION: I hsreW eHim untla psully d perpuy ons d Ihe Idbxinp deduatbn:
❑ in.,.d,ew�m�.�.naKm.a�«vm..u;�.i«.on«A��v��...awwawnys�a�roam.�
Gade. lor iM parlornunce d iM xwk la wlvch �his pemW is iseuetl.
❑ in.w.m.a�,�wonw.•oo�o���..�.m�.mm.dbrsw�,aoowm.i.e«coee.ro�in.w�ro.m.�w.ain.
waM la which ihu peimn u Ivued. MY'+'a�' ar^De^^^�a^ �^*�rvics urt'w vd pdiq wmber ae:
c.�w:
Pdcy Number:
�rnia seaim �sed mr w cm�dw.e r rn. w�+u ro. ms nwwee edws 1 w wu.l
x❑ I can'h � in iM pMmnu�ce d ihe wark la xliich Ihie porm� u' . I datl m� em vry pxeon N arty memwr w n to
Eecams wbjea w iM wMen. canpanwian levn d CeNan uN lul E I k beaoma abpd to the wkae'
compamelion poviaiona d SW an 9100 d iM LeEor Cade, I Yi I lat� ' M1 wYh .
o�s (1 — B � 9G ��:
W�minp: F�Nun ro s�cun workx�' compruetlon cov�np� l� un4wlul ntl 4Wl rtl/�ct an mylorr ro e�IMrol pwltl�� erM
chll nM� up ro ons �untlrW �Muund EelMn fS1pp,000/� M etltlltbn tln cwl ol romprwtbn, Gmep� �� povMM br In
Sectlon J106 olT� LeEor Ca6, InNml, uW ettumsy i/w�.
CONSTNUCTION IENDINO AOENCY: I hereW effirm uMer perehy d per'�vy ihel tMn u e miuruebn bnE'up epanCy br Ne
paAomieMe d �na v.oAi ror wniM me p«mY o ewed (sedion �, cN. c1.
LENDEP'S NMIE:
LENOEP'S10DFE59:
I cenM tAm I hew reed INa eGG�ion enE Ae�s �hm tM ebv.e iNametian's careri. l eG� w mmVN w4h M ti�f' md oouniY ad'vivKae
eM slela kxe rNmM �o WYEM cans4u�ton ud hareM ewlnca nM��eiivea d Ihe M'ro enlx uP� �M ebow�meMioned piaperry
�°`��'°°°�0�`0°'°°�OHtd V07,F.NiI,EK
oma: 1 I - � — 9
(5151-4B.WP) I Whuo-Buidvp 8 Salely: GleemFb: CeneeWAppiam: Fnk�iermiue: Gddan�ad-Asaaor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 080384
PLAN CHECK NO;
PERM NO: B 080384
GOVT: N SUPP: N
CONSTROCTION TYPE: V—N PERMIT TYPE: STR PORPOSE: OTH
JOB DESCRIPTION : T/OFF INSTALL MODIFIED TORCH DOWN SQ FT: 5,000
CLAIM VALUE: 5,0�0.00 CALC—VALUE: A,�4�.00 GROUP OCC: R-1 /
COMMENTS: APARTMENT RE—ROOF W TORCH DOWN MATERIAL
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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 AEQ: PROV: PARCEL: 42216303 ZNE: REF NO:
PLANNING NOTES>
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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 .
DATE:
BUILDING APPROVED BY : DATE: '
APPLICATION ISSUED BY: DATE: I��
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LEGALIZATION:N F E E S 0 M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRTC MECHANIC FIRE SMIP/RES GRADING
PERMIT 87.25 �' .50
• SMZP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 87.75 0.00 0.00 87,75 i17.75 ,00
REVENUE DIVISION TOTALS--> COLLECTED: F37,75 OVER/SHORT: .00
DLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
87,25 ' ,50
iE 1E IE fE fE fE fE iE fk fE 1E iE 1E �E iE iElE jF �E iE iE iElElE fE 1E fE fE IE 3E iE fE iE 1E IElf if'iF iE iElE if 1E if if iE if 1E �E �E IE iE iE 1F iF fE 1E 1E �E �E fE �E k �E if iE 1E iE 1ElE iF if 1F 1E iE fE iE iE 1f
I N D I V Z D U A L 'F E E B R E A K D O W N
IlIZ'J;Z
ISFR
QTY D E S C R I P T I O N
9U00 ALTEH BY VALOE RESIDENTIAL NQZONE
END OF FESS
UNIT COST TOTAL COST
]..00 4,000.00
�F ��21337b—a0213377 T C�T 37.7`
OATE: 11/OE/9S TItfE: 13:?9
� CONSTRUC710N AND P4ANNING POO ;PA
� APPROVALS Permit # Date Inspector APPROVALS Permit # Oate Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement
3. Eiectrical Conduit Utility�Undr9rnd. 54. Forms '
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Ptumbing & Pressure Tesi �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings 58. Electrical ConduibUndrgmd.
8, Foundation 59. Gas Pipe, [� Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgmd. �
10. Structural Floor System ' � 61. APPROVA� TO DECK � �
7 7. Property Sewer Line & Hou:e Connection 62. Backwash_& Receptor•Final
72. Sewer Cap ' 63. Heater & Vent�Final
73. Roof Drains 64. Plumbing SVstem � final •
14. Rough Ptumbing 65. Electrical�Final
75. Rough Electrical•Condult 66. Solar System-Final
i 6. Rough Electric Wiring 67. Fencing & Access Anvroval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrica6T Bar Ce��ing 69. POOUSPASYSTEMS FINAL
79. Rough Heating & Air Conditioning FiflE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVAIS Permit #
21. DuGts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ pil
23. Gas Pipe-Rough & Test 72. Underground Fl�sh
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 7q. Overhead Hydro
26. T-Bar Ceiling (Struct�ral) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Iaihing & 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 CERTIFICFlTE ISSUED
33. Final Eleciric Notes:
34. Final Heating & Air Conditioning (�� 9� C. C. �
35. Final Gas Pipe•Test
36. Hood or Canopy
37. Final Factorv Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Ftnal
41. Solar pomestic�Final
42. Backfiow Preventer
43. Backflow Irrigation
q4. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FlNat STRUCTIlRE & 6U4�DING 1�..��� (����
48. FINAL PLANNING
A9. Electric flelease ro Edisoa
50. Gas Release to Southem Califomia Gas Cn i
51. CEFTIFICATE OF OCCUPANCY
No. Date
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LOCATION S�sZ �'o.,�a
DATE � -�-�g INITIAL ��-�.`.
LOCATION`
DATE INITIAL
LOCATION
DATE INITIAL
LOCATION 5 (SZ JoP, ..� ,.�
DATE ��5-�� INITIAL
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• � � 9946 � � ,' �� �� '�� t �_ v � .. �� � ��
�j�.JUL 2 11959
"COSTA MESA BUILDING-SAFETY DEPARTMENT ,-f �r^�/�� rc4�
' P.O.BOX�31] .COSTAMESA.CALIFORNIA " , ��`,,'+;',JL��'� � �•
. 1. . .nn .. - . . .
FOR APPL/CANT TO F/LL /N• COMPLETEIY aPP�ica-riorv FOR^�'PERMIT
� TYPE OR PRINT . BUILDING , - ' �
BUILDING� p � � ..
"ADDRESS �."S_A Z C � �/�p � � V �
-COSTA �MESA. CALIFORNIA � ' ryq OFFICE USE ONLJY "
• ' � • . I RECHIPT NO. . .I . l /,T��
OWNER L � .P N � �.�
MAIL, flE EIV6D Y �' OATfi RECHI fiO DATE 185UED
ADDRE55 c , ,� . �� .�:1 `Z,� •I :- 7����"�'I JUL •2- 5
TEL. � � BUILDING
CITY N W 7 L . NO.[ i-0� % pDDRESS -� '
ARGHITEGT � ., � uc: COSTA MESA, CALIFORNIA �
OA ENGINEER ' NO. �
_ FIRE "'
.RESS ZONE �' T/YPE _GROUP � / .I D'� .. '
CONTRACTOR W/�' ��' L C NO. � BYPROVED / J/ � DATE' �/�•'/S / -
�T
—. . . / .
ADDRESS . ' . ZONING ', �
LCCwL , I LOT -/� � I . I��.�� IONE NO. OP � IUSE Op NEW \/� _ .
OEBCRIPTION NO. L' � ' BLOCK TRACT '� P�ANB.' J��BUILOING /��� �
1 / 1
A.P.NO. � .. ' � - APP ED •��: `M•' �
- BY DATE �� J
SIZE . " ' .. I no. oF atDcs. t�, YARDS . VES. . "
OF�LOT I D now oN wi REQIIIRED ' `ALLOWED -
USE OF � . � (LENTER LINE BT.) '
E%ISTING BLDG. FftONT Fi'. ��' IN. ,
SETBACK C�NE FROM ' � � � � //�
cervr¢rt oF siAe¢i � .% 7 . REAR YARD �G R. SIDE ' FT. � scilN. �
SIDEYARD�ILEFT ��-6'�` 'IRIGHT � �-�" L.SIDE � �/FT. ' .IN.
• � DESCRIPTION OF.WORK � � REAR 3CoFr. �' i
N � � I X.'II�ALTERATION I-' II ADDITION - I • { yq �p
h...S�IR. I IIMOVING � ��I � ,II�DEMObISH. I �`n�� !• `� u , �'�� 1
.vVh
BUILDING / NO.OF � � , � •-••�:� i�y{ ��� �4r '�� f��-'�d:�.
SIZE �O T�7.b�' ROOMS %''� STORIES'. :,� y, . ;t.+. �� "�
EXTERIOR WAl.L" ROOF � � � y' �'� �
COVERING J'TU[CU ICOVERINGCOM OC/1��� � ' � ./
USE OF BUILDING AND WORK TO BE PERF MED
7 . �♦ �
� f
,.� �i-�� �� . - _ � VAR. Nc:3 AP?ROVED _� �-� ,
� HOLD FOR SPECIAL Rc�JIREI�IENT�
11 HEHEBY ACKNOWLEOGE THAT I H6VE READ THIS APPLIGTION - • "
�AND STATE TNAT THE ABOVE IS COMRECT hND AGftEE TO COM- �7MC AMOUNT BHOWN UNOER.VALUATION I6 FOR TH8
PLY WITH ALL CITY OPUINANCEO AND�BTATC LAWB REOULATING PUHPOBE OF E9TABLISHING��:A 'PEHMIT .FEE ONLY.
eUILDING coHs�inut�iioH. � (\�)��� � � VALUATION ( /l j�
SIGNATUREOF� //�_..l).�✓�/l'l/W1/VAl"-� ^ � PERMITF.EE S�J � �/`IC1 •
PERMITTEE /n'T�ZIi'V /•�' � n ( �
'� `'a PLAN CHECK 5,�� �_J � D
. . • � . 53'�%.�� �,- . : , .
AUTHORIZED'AGENT � • TOTAL FEE �$ �S `� S G
' . . :. . '•�— i.3—�.c�