HomeMy WebLinkAbout687 JOANN ST - Building Permits(714J�7S4-5273 • F8%�714) 754-4856 • www.ci.wsta-mesa.���LDING PERMIT �� Fp`�R DRIVE, GO51A MtSA, GA tl2ti1ti
- JobAddress: 687 JOANN ST
Suite:
Vicinity: REAR PROPERTY LINE
Parcel Number: 42215203
npplicant: TEJADA, LOUIS
Address: 687 JOANN ST #A
COSTA MESA, CA
Owner: TEJEDA, LOUIS
Atldress 687 JOANN ST #A
COSTA MESA, CA
Contrecror. OWNER-BUILDER
Address:
Zip:
Arth :
Address:
Phone:
Zoning:
Phone: (949)548-0554
Zip: 92627
Phone: (949) 548-0554
Zip: 92627
Phone:
License: 0
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 10/04I2000
issued: 10I04/2000
Phone:
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT 50 LINEAL FEET OF 6' HIGH BLOCKWALL LOCATED AT REAR PROPERTY LINE OF EXISTING SINGLE
FAMILY RESIDENCE. - � "
Plan Check: $25.19
Permit: $38.75
SMIP Res: $0.00
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $63.94
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Rigbt 0- 0
Right 0- 0
S�,000.00
so.00
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 it work is not commenced within 180 days, or if work is suspended or abandoned
for a penod of 180 days. � -
INSPEC7IONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlons and final approval must be oblained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit.
FOR INSPECTIONS CALL: (714) 754-5626
264fi-46(fi/00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eflirm under penalry ot perjury one ol Ihe tollowinq dedarations:
❑ I have end will rtiaintain a certificate of conseN to sell-Insure for workers' compensation, as pmvided for by sectlon 3700 of the Labor Cotle, for the peAortnance o1 the
work lar w�ic� this pertnif is issued.
❑ I have antl wlll maintain workers' crompensation Insurance, as required by saction 3700 of the Labor Cotle, for Ihe pertormance of ihe work for which ihis pertnit Is Issuetl.
My workers' compensation Insurance cartler entl policy number ere:
Carder. � Policy Number:
(This sech'on need ntl� be compleretl i/ the pertnit is velued et one hundred tlollare ($100J or less.)
❑ I cenify Ihet in tde pertortnance of tha woM for which this permit is issued, I shall not employ any person in eny menner so es to become subject to the workers'
compensatlon laws of Califomle, and egrea t�et if I should become sub�ect to the workers' compensetion provlsions ot Section 3700 ot ihe Lebor Code, I shall forthwith
comply with these provisions.
Applicent Signature: Dete:
WNRNING: FAILURE TO SECURE WORKEiiS' COMPENSATION COVERAGE IS UNUWFUL M'D SHALL SUBIECT AN EMPLOVER TO CFIMINAL PENALTIESlW� CNII FlNES UP TOONE HUNDRED
THOUSAN� WLLARE ($100.000). IN ADOITION TO THE COST OF CqMPENSATIqJ, DAMAGES AS PROVIOED WR IN SECTION 3]Og OF TNE LABOR CODE, IIJrEREST, AND ATiORNEY'$ FEES.
LICENSED CON7RACTOFS DECLARATION:
I hereby aHirm ihat I am licensetl untler provisions of Chapter 9(commencing with Sectlon 7000) of Division 3 0l the Business and Professions Code, and my license is in tull
force antl eflecL Lic. d Class»
Conirector's SlgnaWrB: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirtn Idaf there is a wnsiruc�ion lending aqency for the pertormance of the work lor which ihis permit is issued. (Sec. 3097, Civil Cotle).
lenCefs Name:
Signemre: _
OWNER-BUILDER DECLARA710NS:
Lender's AtlOress:
Date:
I hereby aHirm that under penalty ol perjury that I em EXEMPT FROM T1E CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry whlch requires a pertnit to consimct, atler, impmve, demolish, or repair any structure, prior to ils issuance, also requires the ap0licant for such pertnit
to file e signed statement thet he or she is Ilcensed pursuent to ihe provisions ol the Contraaors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 0l the
Business end Profess�ons Code) or thet he or she is exempt therefrom and Iha basis tor the alleged eaemption. Any violetion ol Section 7031.5 by any apD�icanl tor e Dertnit
subjectslhe applicant to e civil penel�y of no� more than five hundrad tlollars ($500).):
�I, es owner of the property, or my amployees wl(h wages as t�eir sole compensatlon, WILL 00 TNE WORK, and Ihe stmcture is not intended or otteretl tor sele (Sec.
-70d0'Business antl Professions Code: The Con�rectors License Lew does not apply to en owner of pmpehy who builds or impmves thereon, and who does such work
himseH or hereeli or thmugh his or her own employees, pmvidetl that such improvements are not Inlenaetl or oHered tor sale. If, howaver, ihe building or improvement is
sold within one year of completioq �he owner-builtler will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of tha prope em EXCLUSIVELY CONTR C71NG WITH LICENSED CONTRACTOHS to cronstruct the project (Sec. 7046, Business and Protessions
Code: The contreaors nse Law Coes not eppry to owner of property who �ullds or Improves thereon, antl who conlracts for such pmject with a comrector(s)
license pursuant to t ontractors Li e LewsJ.
O—��em.eaemptye� s. Business anA Pmfessions Code for ihis reason: — / i
Owner ID venfietl 6y dnvefs license. � Ves � No �
Veriticetion of Ownership by (rypa ot document, i.e. - properry tax bill or daed):
DIVISION OF INDUSYAIAL SAFETY VERMIT CEiiTIFICATION:
❑ I hereby cenify tpat no excavation five (5) or more feet in depih into which e person is required to descend, will be made in connection with work euthonzetl Dy ihis
permit, and Ihat no building sWdure, scaflolding, falsework, or tlemolition or tlisman�ling �hereof, will ba more ihen thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
347, T10e B, Cali�omia Administretive Cotle).
❑ As owner-builder, I will not employ anyone lo do work whic� woultl reQuire e permit from the Oivision ol Intlustnal Safery, as notetl above, unless such person hes e
permit to tlo sucn wark from the division.
SignaWre: Date:
Division of Intlusinal Safery Permit Number:
COOE I. INSPECl10NTYPE
1616 Fixetl System Final Fire Preventlon
7266
200
201
202
203
Paol Spe Final
Finel Re-Roo�
Final BIocWRetaining Well
Final Factory Fire Place
Final Sign
204 Finel Demolition
F�IL I[�ELfl
jD-L) - lb �. "'
CODE� INSPECIIONTYGE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
P�IE Q�L4
•1}DSSI�TaifSFORINFORMAi70NALPURA06ES
ONLY. APPIJCAM' IS RESPONSIBLE FOR PROVIDING
AN ACCURATE RFPRESENfA770N OF 7}gIIt PROPFR7Y
IN CASE TF� SHAPE AN4 SIZE DO NOT OORRFSPOND
WCfH Tt� INFORMAiION PROVmID ON h05 SF@PI'.
�
�Ori�- C�lJ�cl�
������
CITY OF COSTA R�ESA
PLANNING DIV.
SUBJECT. 70 BLDG. DEPT. REG.
BY DATE �U
iSSGCNQ
• SOLID WAL15/FFN�S BEIWEII�12'�' k 6' QJ }ffllCfilSFIALL
BE SE7HAIX AT IFASf 10' F7iOM FROM PROPFRTY I1NE.
• SOI.m WALLS/FFNaS SHALL NOT ID(� 2' 6' IN }ffIGHi
N7f}�J ld OF iHE FRONf PROPER7Y I3NE (NOT CIJRE IAIE).
• VERhY DSI'AN� FROM CURH TO PROPEKIY LINE
AND 9iOW ON PIAN. VERIF7G7ION FROM 7HE QIYS
ENGINF,PRING DIV610N 6 REQUiRFD. GIL Ql�) 754-.531i
RJR INR�RMA170N.
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CITY OF COS MES,4
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NCSOEIiQ
6g�
_ )ate � • `7 - U
MUST e k'I on t is j at all time and rt is unlawiul 1
'� � oa �Men rrti �ion frcm ih D�risia of Buiidiri
:��icrs ,k,'n�,�lOPbe h Id to pertnit r io ce n app;cvr
�"�' ry � nst f�e Crdinanc znd/or Statu la;
r ���� ` t�lad h cem r,ull and ti� id if Iho �uild�n� .
i;,o aqrvc ��. 30? d? v:rhv� 1 days r is�u;^--
----- - --- ---. . i
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—— �
— 73
.�
S REET J��LL�1Y�
S�-
BLOGK WALL LAYOUT FOR BUILDING PERMIT
PLANNING DIVISION
0
,
�
TYPICAL 6�� CONCRETE BLOCK FENCE
Cemenl Coping Op��anal �
Channel0bck With 1�3/8�
Horiiontal Top o1 all
Fencn
For Fence� 5' or Less
Ven. Bars 3/8"�i a� 0' �0" O.C.
For Fences Higher Than 5'
Ven. Ban 3I8"� at 12" O.C. �
Fill Cells Solid With Groul
Where 51ee1 Otturs
Rcinlnrcing $teel $hall
Cunlorm to Sec.A�15�39
A.S.T.M.
All Steel lo he Lapped
24" or to Code
NATURALGRADE
TWOJ/8"O9AN5 L�
CONTINUOUS TOV I
6 BOTTOM y.{
4
HOQILSTEEL MUST BE TIED IN
VLACE AT TIME OF TNENCH
>
a
3
n �D^
I-�—NIDTH
SEE CM�
� BELOW
GENERAL- NOTES
MORTAR: pne Part Plastic Cement, and
T�rte Parts Sand
GROUT: One Pa�t Cemenf TAree ana
One Holf Ports S�ond
COPING: One Part Cemenl, T�ree
Parfs Sand
CONCAETE: We11 M�aed 1:2-I/2:3-I/2
Mo■ ot 7- I/2 Gol;ans ot
Water Per Sock of Cement
GNOVT MAV BE POURED FROM TME TOP
OF 7HE FENCE IN CELLS WHERE STEEL
OCCVRS.
CELLS ANU AREAS OF HONIZONTA� REIN
FORCEMENT SHA�I BE CLEAR, CLEAN 6
FREE OF ALL MORTAR OEBRIS, ETC.
'll C�" C4RTHTCOTH
INSPECTION. �/� TrIE ME�GTM O� �ENCE
o L ' � L�„ I, �LOW BOTTOM OF �OGT�NG
l..-a,...�✓�-• �o� � z..,— � SCALE: I/2�� = I'
FOOTING RE�UIREMENTS CHART
WIDTH '"' . 14..
rHicKNE35 io"
OEPiH OF-�•EARTNTOOTN 24�
SPACING.OF EARTHTOOTH Ip'
14.
lo"
20"
I4�
BUILDING DIVISION
12'
9�
16"
16'
12"
8�
12"
i6'
� • ., .
C� � C� � �ui�'di y Diuiaiosz
OWNER-BUILDER
VERIFICATION
A city or county, which is reyuired to give notice pursuant [o Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building pertnit, require the completion and require the return of, an
owner-builder verification.
Attention Property Owncr.
An bwner-builder' building permit has been applied for in your name and bearing your signa[ure.
Please complete and retum this information in the envelope provided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No buildin¢ aermit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for conswction of the proposed
property improvement. Yes ❑ No
2. 1(have/have noQ � signed an application for a building permit for
the proposed work.
3. I have convacted with the following person (firm) to provide the proposed construction:
Name
Address
Phone (
City _
Contractor's Lic. No.
4. 1 plan ro provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address
Phone (
City _
Contractor's Lia No.
5. 1 will provide some of [he work but I have contracted (hired) the following persons to
provide the work indicated:
Name
10a2-4fi (RpV.9501
Address
Phonc Type of Work
APolicant to flll In all spaces exceo� those within heavy bortler Ilnes antl slgn all aoo/oprlate eeclantions.
CI7vaFCOS7q�M�Sn�ON�TRUCTlO/N� PERLM/I�T
Projett Address �� ��/ //N/T /�J [�
Applicant's Maili dd e ��-j-3 � /��Z��aJ'�m
Owner's Name ���A/'� �—�,� honc�� ��a�
Address ��!��� Qi/NN�,j Ur AlPii/BC �'ii
Arch/Eng. LiCense No.
Address
Contractor's Nam '/ / p�p ne �/�� "3J�70
Address (mailing) �S-3�. IT/ .C�/.t/�-D�� //✓�f'//P/ �YJ ,
City License No. S1�-� �
LICENSED CONTRACTOR DECLARATION
I h¢reby afflrm that I am IicenSetl under provi5ioq5 oi Chartor 9(Commencing
wi[h iec[lon 7000� of Dlvision 3 ot ihe Busines5 and Prolessions Cotla, antl
my Iicense is In tull fo e antl e tect.
Licens Claf � L ense o. � �
Dat�-�j 519 t
WORKE0.5'COMPENSATION DECLARATION �
� hereby aftirm that 1 have a certificate o/ mnsenl to setl-insure or a<ertificate
it Workers' Comp¢ns5tion InSurance, or a cert ({ttl cOpy thereof (Section
3800, Lab. C.)
Policy No. � ��� Company ✓ ^�
ertifietl copy is hereby furnishetl. ���nnn
C¢rtiti�jtl co X is tilf�etl with the city i'n'Diyizipn. �
oate r'�3 � APPlican !il � /{tyfifA�
E%EMPTION FROM WORKERS' COMPENSATION D CLARIiT10N
(This sec[ion naetl not be complet¢tl if the pa�mil �s lor One huntl�etl (5300) or
less).
I certlty lhat in lhe performance of th¢ wo�k to� Which thiz permk is Issuetl, I
5I1a11 noI Cmploy dny Pefson in any mannel So ds t0 become subjett t0 the
Workers' ComOe�salion Lawz ot Calitornia.
Data Signa[ure
NOTICE: 11, aiter making this tleclaratlon, you shoula becoma sub7eGt to tne
Work¢rs' Compensalion provisions ot Ihe Labor Cotle, you must forthwith
compty wilh such provlsions or [nis permlt sM1all be tluomed �evoketl.
CONSTRUCTION LENDING AGENCV
I ltereby a/flrm thal tM1ere I5 a ronstructlon lentling agency for tM1e pertormance
of Iho wark ior whiGh [his Oermit is issuetl (Sectlon 309] Civ. CJ
LAnaer's Nama
Lentler's Atltltass ,
OWNER BUILDER DECLARATIOti
I h!r¢Dy afflrm thal I dm exempt from tha COn(�aclOr's Licenso Law ior tne
tollowin9 reason (Sectlon 1031.5 Husiness antl Professional Cotlo: Any city or
county whic� requires a permit lo <onStrucl, alteq ITprovO, tltTolisb or r¢pdir
any sVucture, o��ar to its issuance, also reputres the applicant for suU permit
to iile a signetl z�alemenl that he/She I5 IlconsOtl pu�ivant to lhe proviSiOns o1
tne Contractor'S Ucense Law (Chapter 9(<ommen<In9 wil� Saction 7000) o(
'�IviSiOn 3 of the BuSinass antl Pfofes5ion5 Cotle) or lllat Ilo/sha i5 exem0�
ncrolrom antl the bazis for t�e allegetl exempllon. Any violation ot Saction
l031.5 by any ap0���ant (or a permit subje<(z tbe appliwnt to a civil
�enalty ot not morc tnan live nuntlre0 tlollaR (SSOOJ.
I, as owner ol thC Property or my employees wi[h wagei as lheir solo
compen5ation, will tlo the work, antl the structur0 IS nOt IntonO¢d or olfer¢tl
for SdIC (Soction 7044, Bu51ne55 and PrOt¢SSiOnal Catle: TFIe ConlraGtor's
Ucenm Law tloes not applY �o nn owner o1 a properry wno builGs o� Impwve5
theroon, antl wno tloes such work nims¢It/hersell or tM1rouqM nls or nar own
CmplOyeas, O�ovltletl lhat such imP�Ovements arp �Ot InleOtlotl o� oHeratl for
sale. II, howCVCr, thC builtlin9 c� improvemenl is soltl wllhin ono yaar ol com-
plelion, IM10 ownar will havc the burtl¢n ot provlpg h¢/She tlitl nOt bulld o� Im-
�rove tor tnc purposa of salo).
I, as owner o1 the pro0erty, am ezclusively contracting witb Ilcensetl con-
tractors to construct lhe prolecl (Section ]044, Buslnoss antl ProleSsionz GOUe:
The Contractor'S LlcenSe Law doe5 not appty to dn Own¢r of pro0erly who
builtls or Improva5 [hareon, antl who wntra<ls �o� sucn pro7ect5 with a mn-
tractor(s license pursuant�to t�e�ConVattor's License Law). I am aware tbat
proof o� thelr Worker'S COmpensatiOn insurance ShOuIO ba pwvltlatl to me.
❑ 1 am exempt unUer Section B. 6 P. C. lor thls roason
Date Owner
I hereby <ertlfy tnat I have reatl this aoP!�catlpn antl state that the abova
informatlon is correct. I agree to comPlY wiN al1 city ana county ortlinances
antl sta[e laws re ing to builtling constr ctlon, antl hereby authaNze repre-
sentatives of 5 clly lo en[er uy on e abOv¢-RlGntiOnCtl property tOr
inspection p p s 5 �7
SI na[ure /`� ��K� Date�/3 �'J�
TVPE OF CONSTRUCTION LJ NEW U ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p.�
DESCRIPTION OF WORK/USE OF BLDG. r�_,� �-�
$ Main Buildi
TVPE OF PERMIT GRHDING FOUNDATION STRUCTURAL T FrOnt
❑ TENANT ❑ ELECTRICAL PLV�- B^INGy �❑.� MECHANICAL B Rear
❑ �OTHER �7I � 1( %�
PROJECT DESCRIPTION 50. FT. OCCUPANCV C A�9ht
CONSTRUCTIONTVPE VALVATION$ S Left
ZONE GRAOING CU. VDS. ACRES p�ng, Ref. �i-`
Remarkz: ' Planning Notes:
Bar Sink
Backflow Preventer
Backflow IrrigatiOn
Bathtubs
Jrinking Fountains
Floor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavamries
P—Trap
Roof Drains
Reinspaction Foe I $15
Boiler
Duct-UnderGround
Duct � $tructurel
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIL ICBO �
Hea[ing System & Ducting
❑ O7 00,000 BTU 0 7 00,000 BT�
g �
Drivers' LI s o 55 � � '� I I ReinsOeQion Fea I 315
CMF 0865-46, rev. 4/84 White - Builtling; Canary - qppi{�anh Plnk - Atcounting; Goltlenrotl - Assessor
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heacer
Water Service
laue Fee
Hoodor Typel �
Canopy Type II ❑
Refrigeration System
❑aioo,000sru ❑ioo,000
System Repair/Alteration
laue Fee
FEES
$ 3
$ 3
Automatic Washer
Constructior Pole Sub.
Cooking Unit .
Dishwasher
Dryers ❑Gas ❑Elec'
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator �0�5 KW �
r 9193 3/12/85
i
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+ KW
Meter ❑up to 100amps
Meter ❑over 100amps
Sub Panel
Momrs �61 HP � 1 X- B
Inc. Solar �9�15 HP 016�15+
Microwave
Pole Light
Fange
Standing Sec�ions
5 KW Trash Compactor
� Reinspection Fee I$15 I I Issue Fae
DEVELOPMENTSERVICESRE�UIREMENTS:
Zoning Approvad By
Building APProved By �
Application Issued By
SUMMARV OF
BUILDINGPERMIT $
PLAN CHECK $ �
PLUMBING �%$
PLAN CHECK 25% $
ELECTRICAL $
PLAN CHECK 50% $
MECHANICAL $
PLAN CHECK 25% $
0
5.0" Tl.
FEES
5 3
Z
O
N
I
N
G
R
E
Q
M
T
S.
ES
SMIP $ �
PERMIT
ISSUANCE S
ENERGY P.C. $
GRADING $
MICROFILM $ �
TOTAL FEE $ �
r�
a .
CONSTRUCTION AND PLANNING - POG. . SPA
APPROVALS Permit# Date Inspector ,qppROVALS Permit# Date Inspector'
� 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location .
2. Sail Pipe-Undrgrnd. , 53. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55.� Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
-6. Electrical UFER Grnd. 57. APPROVALTO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing � 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System+Final �
76. Rough Electric Wiring 67. Fencing & Access Approval
17. Rou9h Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T�Bar Ceiling �Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe �
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test '
36. Hood or CanopY
37. Final Faaory Fireplace
38. Final Plumbing /��S ��
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation .
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING ,
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
"e ..l
. �-��_:3`� AUG i o r::,�
COSTA MESA BUILDING-SAFETY DEPARTMENT
'ii`°r�i,F_ !1[�(.
P.O. BOX 317 COSTA MESA. CALIFORNIA � ' '�
fOR APPL/CANT TO F/LL /N COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /�
ADDRE55 - O ryK� nC
COSTA MESA, CALIFORNIA FOR OFFII.G USE ONLJ
% / y NECEIPT NO. �FpERFLI N�yO.
OWNER . COU 2 (. %� .f�- �V�_�'Y.
MAIL RECEIVED BV I DATE RECEIVED I DATE 153=6D
wooRess S O L�/. S.i r� r�c �. Z Z— T
TEL. BUILDING
CITY 6/✓/ NO- II ADDRESS
ARCHITECT ���� COSTA MESA, CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRE55 ZONE TYPE GROUP �
STATE �/ qppROVED
CONTRACTOR /ti/Q LIC.NO 7y�0 gy DATE
ADDRE55 / ZONING
LEGqL I LOT I ( ��y�J ZONE NO. OF OSE OF NEW
DESCRIPTION NO. Gl BLOCK THACT IP�-ANS �6UILOING
APPROV D
A.P. NO. BY DATE (
SIZE - rvo.OF aLOGB. T VARDS EVES
OF LOT /Oa rvow orv �oT REQUIRED ALLOWED
USE OF "�,.. (CENTER LINE ST.�. T
EXISTING 6LDG FRONT �V FT. IN.
SETBACK LINE FNOM f
ceHrEw or erweet REAR YARD fJ R. SIDE � FT. IN.
SIDE YARD ILEFT S I� IRIGHT �/ L.SIDE i7 FT. IN.
DESCRIPTION OF WORK .
REAR FT. IN.
NEW � I�IA�TERATION I II4�DDITION I // �^��,v �j
REPAIR I IIMOVING I IIDEMOLISH I I�K �
5 ZIE DING .q YXZG ROOMS � STORIES I
L
EXTERIOR WA I ROOF �S� S��'� �
COVERING cJCGu COVERING rZdGlL
USE OF BUILDING AND WORK TO B� PERFO/R.MED �� q_ 6�p �
l
� )� `�'
d�� � � e�
I HERE6Y ACKNOWLEOGE THAT 1 HAVE READ THIS APPLICFTION
ANO STATE THAT THE ABOVE IS CONRECT AND AGREE TO COM- THE FMOIINT BHOWN UNDER VplUAT10N 19 FOR THE
PLY WITH ALL CITY OPOINANCES .tNO 9TqTE LAW3 REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CON {JUCTION. VALUATION �
P RMITTEK�a�"-`='K-�;� "'�-"^'�-�` / PERMITFEE S c'�rJ.
$ �7 Z,(��� PLAN CHECK $ I�� `��
AUTHORIZED AG � TOTAL FEE $ S S S�