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Home My WebLink About2238 MINER ST - Building PermitsCITY CF COS�4 MESA � �,��pMF3'q BUILD/NG DIVISION i` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 � Fax (774) 754-4856 • � � e$ FOR INSPECTIONS CALL: (774) 754-5626 �'b,,,,,,.,fi PERMIT TYPE MECH APN: 42219303 JOB ADDRESS: 2238 MINER ST CM Vicinity: SQ. FT: 0 www_costamesaca.aov PERMIT NUMBER: M12-00019 STATUS: ISSUED DATE ISSUED: 0'1130/2012 ISSUED BY: RMD Suite/Unit: SCOPE OF WORK: MECHANICAL PERMIT TO REPLACE FAU < 100 K BTU IN SAME LOCATION FOR SFD. COMPLIANCE FORMS ATTACHED TO CtTY PERMITAND JOB CARD. OWNER: PHONE: APPLICANT: PHONE: Address: Ciry/State: WIRTZ, JACK V TR WERLEY,ANTHONY 714-530-244 A-AMES PLUMBING HEATING P 0 BOX 1017Unit: PHONE: 714-530-2440 GARDEN GROVE, CA ZipCode: 92842 MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $38.30 PLAN CHECK FEE: $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: $0.00 TOTAL FEES: $38.30 Address: 259 E ALBERT PL Unit: City/State/Zip: COSTA MESA, CA Address: Unit: City/State/zZip: License No. 250307 CELL: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 1. 72-21-92) 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 lo obtain inspections and final approval will result in lhe expiretion of this permit. COOE /, INSPECTON tYiE �� $ �QQ[p INSPEC710N T19E IN R 7616 fixetl System Final Fire Prevention 206 Final Mechaniral X� 9-�a 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-ROof 210 Final EletVical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Flnal Builaing/OtGupanty � WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to se141nsure for workers' compensation, as provided �or by section 3700 of Ihe Labor Cotle, tor the peAormance of the work for which this permil is issued. �[ I have and will maintain �wrkers' compensation insurance, as required by seclion 3700 ot the Labor Code, tw the peAortnance o! Ihe wvrk for which this permit is issued. My workers' compensation Insurance carrier and policy number are,:� �j�� . �Ca"rrierl(�1/�10� J �(sf/�1�v.� .lnc✓� �n. (Tnrss imne�/p�i�e�Melhepe^rmaisvaWe7oatwenuntlredddlars(StoO)alessJ Po CyNumber: �1� � ��/ ��7 �l � ❑ I certify that in the pedormance oi the work tor which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensalion laws o( Califomia, and agree that if I should become suDject to the vrorkers' compensation provisions of Section 3700 of the Labor tle. I shall forthwith wmply with these provisions. /� 3o-/Z i� ' i�pWre Oyale�t.� v �� WARNING: FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHAII SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AN� CIVIL FINES UP TO ONE HUNDRED THOUSAN� DOLLARS (5700.000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I �ereby affrm that I am licensetl under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of lhe Business antl Professions CoOe, and my license is in full force an0 e(fect. u�. u 2 �aa;s,n— C�� % � 3U—/ Z ontran ure ' L;,Date=+ � CONSTRUCTION LENDING AGENCY: ❑ I hereby atfrtn thal there is a construction lending agency fa the peRortnance of Ihe wurk for w4ich this pertnit is issued (Sec. 3097, Civil Cotle). Lender's Name: Lender's Atldress: Da�e OWNER•BUILDER DECLARATIONS: I hereby aKrm that under penalty o( perjury that I am ExEMPT FROM THE CONTRACTORS LICENSE LA�N for t�e follovring reason (Sec. 703t5, Business and Professions Code: A�y dty or counry which requires a permit to constmct. alter, improve, tlemolish, or repair any strucWra, pnor ro its issuance, also require5 ihe 9pplicant lor such permi� �o f le a signed statemen� that he or she is licensed pursuant to the provisions of t�e Contractors Litense law (Chapter 9(col�mencing wi�h Section 7000) ol Division 3 of the Business and Professions Gode) or Ihat he or 5he i5 exempt therefrom antl the basis tor the alleged exemption. Any violation ot Section 7031.5 by any applicant for a pertnit subjects the applicant to a civil penalry of not more than five hundretl tlollars (5500).): ❑ I, as owner o( the property, or my employees with wages as their sole compensation, WILL DO TNE WORK, antl the strucWre is not intended or ofteretl (or sale (Sec. 7044, Business and Pm(essions Code: The Contractors License Law tloes not apply to an ovmer of property who builds or improves thereon, and who does such work himself or herself or through his or her ovm employees, provided that sUch impmvements are not intended or oHered !or sale. If, however, the building or improvement is soltl within one year of completion, the ovmer-builder will have the burden ol proving that he or she AW aot builtl w improve lor purpose uf sale.). ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo construct the project (Sec. 7044, Business and Professions Code: The contrdctors License Law dces not apply ro an avner ot property who builds or improves thereon, and who cont2cts for such project with a contractor(s) license pureuant to the Contractors License Lavrs.). ❑ I am exempt untler sec, Business and Professions COde (or lhis reason: Si9^aWre Dme ]OS'l.a6ili �) .. l Owner ID venfied by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify �hat no excavation frve (5) or more feet in depth into which a person is required to descentl. will be matle in connection with work authorizetl by this pertnit, and th2t no building s�ructure, scaf(dding, falsework, or demolition or aismantling thereof, will he more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Atlministrative Code�. ❑ As ovmer-builtler, I will not employ anyone to do work which wpuld require a permit !rom the Division of Industnal Sa(ery, as noted above, unless such person has a pe�mit to tlo such vrork fmm the division. ACd��'s SigmNro Division of Industrial Safaly Permit Number: _ HAZARDOUS MATERIAIS AND EMISSIONS CERTIFICATION: t. Will the applicant or present or future building occupant need to fle and certify a Business Plan for emergency response to release or threatene0 release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the California Health and Safery Code requires, with soma exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time dunng a reported year a quantity of hazardous materials equal to or greater than a weight ot 500 pountls, or a volume of 55 gallons, or 200 cuGic feet of wmpressed gas at standard temperaNre antl pressure�. 2. Does or will the applicant or present or luture building occupant neetl to file a registration form for acutely hazardous materials7 ❑ Ves ❑ No (Seclion 25533 of the Califomia Health and Safely Code, with some eaceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quaniity of acutety hazardous matenals equal to or greater lhan a weight of S00 pountls, or a volume of 55 gallons, or 200 cubic (eet of wmpressed gas at standartl temperaWra and pressure�. 3. Does or will the applicant or present or future Duilding occupant neetl to prepare an RMPP (Risk Managemenl antl Prevention Progrem lor acutely hazartlous materials)? ❑ Yes ❑ No (Section 25534 0( the California Health and Safery Code provitles that t�e Cosla Mesa Fire Departmenl may require the preparation, certi(cation and filing with the Fire Department of an RMPP by businesses which are required ro register acutely haurdous materials with the Fire Departmant. 4. II an RMPP is presently required, has Seclion 25534 of the California Health and Safety COde been fully complietl with7 ❑ Yes ❑ No 5. Does or will the app�icant or present or fuNre builCing ocCupant require (or Ihe work which is ihe subject of lhis application a pertnit for such construction or motlifiwtion from the South Coast Air Quality Management Distnct orlrom any other air polWtion control disiritt or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that the requestetl infortnation be fumished on applicalions fa rwn-residenlial builtling pertnits). 6. Will any part of ihe (aciliry to be constructed under this permit be within 7000 teet from Ihe outer bountlaries of a school? ❑ Ves ❑ No Q('yes". the facility must meet the requirement o! Sections 25534 and 42303 of the Califomia HeaIN antl Safety Cotle). 7. If a permit from the Soulh Coasl Air Oualiry Managemenl District or other air polWtion control district or agency is required tor the work which is the subject of this application, have all of the disclosures prescnbed by Califomia Health and Safety Code Sec[ion 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certifiwte of compliance trom the apDropriate air polWtion Gontrol officer). CERTIFICA7E OF COMPLIANCE: I cenify that under penalty ol perjury the intormation given above is correcl. 1 agree to compfy with all state laws and city ortlinances regarding Hazardous Materials antl Emissions. SgnaWre 6ate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certiry under penalry ot perjury thal I have reatl this applica�ion and state thal the information given is correcL I agree to comply wilh all s�ate laws antl city ordinances relating to building construction, and authorize representatives ol the Ciry o! Costa Mesa ro enter upon t�e above-descriDeO property for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by Ihis permil until flnal in5peclion. �iB�awreal�epalOwner(s� / Dlale �/ ' ��—j—`/v � � Z T' u�q�zea ni Oaie Space Conditioning Systems Healing�quipmenl Duct Efficiency Locytio� Equip (�1E, (attic, Type AR] Nof etcJ�•3 ��y�_ Heazing Heating (package- CEC Certified MR. Name Reference Idemical (2CF-IR space, Duct Load Capacity hea� um and ModelNumber Number� S stems value' etc. R-value ritu/hr) Btu/tv n I Caoling Bquipment Efficiency Duc[ Equip (SEER Location Type and EER) (��, (package # of ��' aawl- Cooling Cooling heat CEC Certified Mfr. Name ARI Reference Identical (2CF-IR space, Duct Load Capecity um and Model Number Number' S stems value ° etc. R-value tu/hr tu/hr L/f project is new consm�c[ion, see Foomotes to Stnndardr Table I51-B and Table l51-C (or duct cei/ine alternafive compliance. 1. ARl.ReferenceNumber can be found by entering the equipment modeJ rrumber at http://www.aridirectory.org/arUac.phpN 3. Listed e�ciency on this page musl be greater than or equa! (> J 7o the va(ue shmvn on the CF-1 R form. 4. When CF-!R i.r rejerence it is also applicable to the CF-1 R, CF-1 R-AA or CF-1 R-ALT ALL BOXES MUST BE CHECKED TO BE A VALID FORM �10-§ 1 13: HVAC equipment is certified by the Califomia Energy Commission. �50(h): Heating and/or cooling loads ealculated in accordance with ASIIRAE, SMACNA, or ACCA. �§ I50(i): Setback 7'hermostat on all applicable heating and/or cooling systems meet Ihe requirements of § I 12(c). � 50(j)2: Pipe insulation for cooling system refrigerant suction, chilled water and brine lines meets minimum requirements of Table 150-B and includes a vapor retardant or is enclosed entuely in conditioned space. 2008 Residentia! Compliance Forms Augusr 1009 Ducts and Fans �§15 m): Duct and Fans . All air-distribution system ducu and plenums instailed, sealed and insulated to meet ihe requirements of CMC Sections 601, 602, 603, 604, 605 and Standard 6-5; supply-air and retum-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be ualed with mastic, tape or other ductclosure sys[em that meets ilie applicable requirements of UL I 81, lJL J 81 A, or UL I 81 B or aemsol sealant that mee�s the requirements of UL 723. If mastic or tape is used to seal openings greater than I/4 inch, the cotnbination of mastic and either mesh or tape shall be used; and �I. Building cavities, support platforms for air handlers, and plenums defined or constructed with materinls other than sealed sheet metal, duct board or flexible duct shall not be used for wnveying conditioned air. Building cavities and suppon platforms may contain ducts. Ducts installed in cavities and suppod platfortns shall not be compressed to cause uctions in the cross-sectional area of the ducts. 2D. loints and seazns of duct systems and Weir components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. �Exhaust fan systems have back draft or automatic dampees. . Graviry ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. �9. Protection of Insulation. Insulation shall be pmtected from damage, including that due to sunlight, moisture, eqwpment maintenance, and wind. Cellular foam insulation shall be protected as above or painted with a coating that is water dant and provides shielding from solar radiation ihat can cause degradation of the material. 10. Flexible ducts cannot have porous inner cores. DECLARATION STATEMENT • I certify wder penalry of perjury, under the laws of Uie State of Califomia, the infortnarion provided on �}us fortn is we and cortect. • 1 am eligi6le under Division 3 of the Business and Professions Code to aceepl fesponsibility for construclioq or an authorized repicsenta�ive of the Qerson `es�ansibk Cor conswc�ion (msponsiblc Qerson). • 1 certify that Ihe installed Ceanues, materials, componenls, or menufactured devices identified on this certificnte (the instnllntion) conCorms to nll npplicable cudes and `egulations, nnd the installaiion is consislen� with the plans nnd specificalions approved by the enforcement agency. • I roviewed a copy o( the Ceni(mate of Compliance (CF-t R) form npproved by the enforcement agency that identifies the specific rcyu'vements for the insmllntion. 1 certify that the requirements detailed on the CF-1 R �hat apply �o the instnllation have been met. • I wilt ensure thnt u cumpleted, signed copy of lhis Inatella[ian Certificete ahell tx posted, or made evaileblc witfi thc building permit(s) ueued for ihe building, enJ maJe uveilable to the enforetment agency for all applicaAle iospeclions. 1 understand ihat a signeJ copy of Ihis Inslsllation CMifice[e is rtquired to bt iocluded wi[h fhe documentation Ihe builder provida to the building owner at occupancy. 1008 Residentia! Compliance Forms � August 1009 Applicant to fill in all spatts exce0� t�ose within �eavy borEer lines anE si9n au aooropriate eeclaratians. CITY OF COSTA MESA CONSTRUCTION PE IT�BP�I PERM� IT NO. �� TRACT NO. LOT NO. UNIT NO. A P# Zone Z h7 �vE 2 L S�Z�Ff� � Projec[ Address � S Main Building: Accessory Building: Q ^ TYPE OF CONSTRUCTION NEW ADD ALTERATION PAI R E z ApplicanYSMailingAddre55 � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T F�ont � Owner's Na � Phon '�a DESC$1� TION{J F WORK/USE B e Rear ' N Address � �«�� osr�f- MOSA /!`/J[/f�G'�O �� . . A 1 Arch/Eng. License No. TVPE O ERMI� GRADING FOUNDATION STRVCTURAL I K Right G ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING �MECHANICAL ', g� Left R Address c7�� Pin Ref. # Parkin Contracror's Nam V � � Phona�� OTHEa g, g Req./Provided E Address Imailingl �d�ZZ T I�S�iG �-�o. PROJECT DESCRIPTION 5�. FT. OCCUVANCv Planning Notes: M / CONSTRUCTION TVPE VALUATION $ Ciry License No. �`pG.7� ZONE GRADING CV. VDS. ACRES g, LICENSED CONTRACTOR DECLARATION I hereby affirm Iha[ I am licensetl untler provisions of Charter 9(commencing Remarks: with section 7000) of Olvision 3 of the Business antl Professions Code, antl my licenze is in full rt tl effect ELECTRICAL FEES �icens Class � �� Li ns 0 � oat �� Siqnature - PLUMBING FEES AutomaticWasher Transformer ❑ 75-50KW n WORKERS'COMPENSATIONOECLA ATION ConstructionPoleSub. �50+KW �` I here�y affirm that I have a certificate of consent to self-insure or a certiflcate Bar Sink ShOw¢�5 . of workerY Compensation Insurance, or a certitietl copy thereoi (Se tion Cooking Unit Meter ❑up to 100 amps Backflow Preventer Service Sink �400, c.) �� W� � Dishwasher Meter ❑over 700 amps � ;y'�wcaaT/3�fcvuYrompany Backflow Irrigation Sewer Cap �Cer[ifietl mpy is hereby furnishetl. /�. Dryers ❑Gas ❑Electric Sub Panel �CerY ' co y' 'letl wrth the city B il I�' Bath[ub5 Sewer Connection Date_�� '�_ AOP��cant ��N � Fan Motors �0-1 HP �1 %- 8 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Clarifier5 Solaf ColleCtors 1 i5�55eGtion neetl mi be mmpletetl if the pe�mit i5 for one huntlr¢tl ($100) o� Di5hW35h¢f SOlaf PipiOg F�A�U� Ina Solar 09-75 HP 016-15+ - I certify that in the performance of the wo�k fo� which this pe�m�t is i55u¢tl I FixLuf25 shall not employ any person in any manner so as to become subject to t�e Drinkin9 Fountains Solar Tank Microwave Workers' Compensation Laws ot California. D¢viC¢ BOxeS Date Si9nature Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If, after makinq tM1is declaration, you shoultl become subject to the Outlets Ran e Workers' Compensation Drovisions ot the Labor Catle, you must forthwith Floor Sinks Urinal 9 [omply with such O�ovi5ion5 or tbis permit sball be deemetl revoketl. CONSTRUCTION LEN�ING AGENCV GaSServiCe OutIeLS WatefCloSet SWiiche5 Sign I hereby affirm that there i5 a constructlon lentling aqency fo� the performdnC¢ of [he work for which this permit is issuetl (Section 309� Civ. C.) Gdrbag¢ Di5pO5dl $tdnding SectiOnS Lentler's Name Intereepto�s Water H¢eter Lentler's Atlaress Kitchen Sink Water Service Generator �65 KW �5-15 KW Trash Compacmr OWNER BUILDER DECLARATION I hereby atfirm lhat I am exempt from the Contractor's License �aw for the Lavato�ies Auto-Wash following reason (Section 7031.5 Busine5s antl Professional Cotle: Any city or county whictt �equires a permit t0 construGt, alte�, improve, tlemolish or �epai� P—Tlyp L2u�d�y T�dyS any structure, prior to iti issuance, also r¢quires the applicant for su<h permit to file a signed siatement that he/she is licensetl pursuant to the provisions of Roof Drains [he Contractor'S LicenSe l_aw (Chapter 9(commencing with Section 7000) o( \ Division 3 of tne Business antl Professions Cotle) or that he/she iz exempt peinspection Fee $15 Iuue Fea $ 3 thereirom�antl the basis for the alleged exemption. Any viOlation of Sectlon ]031.5 by any applicant for a permi[ zubjects [he applicant to a civil �alty of not more than five nuntlretl doiiars ($500). DEVELOPMENT SERVICES REQUIREMENTS: � as owner of tne property or my employees with wages as their sole ReinspeMion Fee $15 ' Issue Fee $ 3 2oning Approved By Date .ipensation, will do Ihe work, and the struciure is not inientletl or offeretl for sale (Section �044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES Building Approved By Date �� License Law tloes not aOP�Y �o an owner of a property who builtls or improves � thereon, antl who tloes SucM1 work hlmselt/herself or through his or M1er own ' Application ISSued By �� Dat employees, pravitletl tha[ such improvements are not intentletl or offeretl for Boiler Hood or Type I ❑ � sale. II, however, Ihe bulltlin9 or improvement is soltl within one year ot com- Canopy Type I I ❑ SUMMARV OF FEES pletion, the owner will have the burtlen of p�ovinq he/she tlitl not bui10 or iT- DUct - UOd2� C��OUnd prove tor the purpose ot saie). BUILDING PEflM1T $ SMIP $ ❑ I, as owner ot the property, am exclusively contractin9 with licensetl con- Duct-Structural Refrigeration System pLAN CHECK $, PERMIT tractors to consbuct the project (Section 7044, Business antl Professions Cotle: � Tne Comractor's �icen5e iaw does not apply to an owner of property who Duct � Ventilating ❑0-t00,0008TU ❑100,000 BTU PLUMBING $ �SSUANCE $ builtls or imoroves tnereon. antl wM10 con[racts for such oroiects wlth a r.on- tractor(s) license pursuane m me Contractors License Caw). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteretion PLAN CHECK 25% $ ENERGV P.C. $ prooi of ineir Worker's Compensation insurance shoultl be provitletl ta me. ELECTRICAL $ GRADING $ ❑ I am exempt under 5ection B. & P. C. for this reason Firepl/Fact. BIL ICBO # Fire Dampers MICROFILM $ PLAN CHECK 50% $ _ Oate Owner Heating System & Ducting Re9isters MECHANICAL ��d(j I hereby cerU that reatl tnis pplicat n a state tnat the above / �0-100,OOOBTU �t00,000BT .O TOTALFEE $ informati n is cor t I agre to com with al cit ntl county ortlinances � antl state ws relati to buil 'ng co struction, ntl reby authorize re0re- sentatives his ci fo ent up n the abo e- e'onetl property for inspection oses. Si9nature - �,�� . na�.�%�i�i'��.li.:i � .- . Orivers' Licenze or 55 9f ReinspecKion Fee $15 Issue Fea $� Qa*F� f�� J�� G ��. �� lJ/..i T_. . 1+.: 0865-46, rev. 5/88 White - Builtling; Canary - AppliGant; Pink - Accounting: Goltlenrotl - Asse5lor ,,. . . _ . _ . .�•,,,,: CONSTRUCTION AND PLANNING �� POOL & . APPROVALS Permit # .+ate Inspector qppROVAIS Permit # Date Inspector 1. Temporary Electrical Service or Pole , • 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. � , 53. Steel Reinforcement � � 3.�Electrical Cond�'t Utility-Undrgmd. �'� � 54. Forms ' 4. Electrical Conduit-Undrgmd. '� 55. Electrical Bonding �, 5;�Steel Reinforcement� v , ^ 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.` � �� 57. APPROVAL TO COVER-GUNITE , ,r 7'�Footings � /' 58. Electrical Conduit-Undrgrnd. 8. Foundation � �` � j 59. Gas Pipe, � Undrgmd., Test i . 9' Water Pipe-Undrgrnd. �l � 60. Backwash Lines, P-Trap, O Undrgrnd. ..� 10��St�uctu�al Floor System ,� 61. APPROVAL TO DECK 1�1.'Property Sewer Line & House Connection �r 62. Backwash & Receptor-Final y• 12. Sewer Cap , ,� 63. Heater & Vent-Final 1'3.' Roof.Drains � �� a 64. Plumbing System - Final � ,14:; Rough Plumbing' � ' 65. Electrical-Final ' '�.15'.`Rough Electrical-Conduit � 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ,„ 17.. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18:' Rough E�ectrical-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 �Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ 011 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and F,lashing 76. Dry Standpipe 28. Lathing & Siding , � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31.rPlaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' l 33. final Electric Notes: `r 34. Final Heating & Air Conditioning �/ (�� ' 35. Final Gas Pipe-Test r 36. Hood or Canopy f� 37. F-inal Factory Fireplace I 38. Final Plumbing `-�- 39. Water Service-Final � � ' 40. Gas Service-Final t '� 41. Solarpomestic-Final=-= � 42. Backflow Preventer �+ � � �'''�' ri _- � 43. Backflow Irrigation • a 44. Landscape Irrigation System �� 45. Sound Attenuatio r1 ' J� 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison �` . � 50. Gas Release to Southern Califomia Gas Co -i' , � •� - 51. CERTIFICATE OF OCCUPANCY � '� �� , No. Date � , ', OWNER O�COAINfiR� Frank J. DATE q_o_�7 , ]OB ADDRESS 2298 Miner St. BUILDING PERMIT NO. 5(�00 GENERAL CONTRACTOR S3I� ' VALUE S 9.99C.00 AP. No. LOT 3 TRACT 3Q'j9 PIRE ZONE DESCRIP7'ION OF WORK Roc �•�a+.+,r.nr iPECTIONS � DATE � SUBCONTRACTOR C., IT81&SUED � � 'COSTA MESA BUILDING DEPARTMENT P.o.eox 3i� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN 2 2 � g �iiU �I2 5 - COSTA MESA. CALIFORNIA MAIL �,�z w.. � p AODRE55 / CITY V' �� ARCHITECT ,� OR ENGINEER AOC — CONTRACTOR ��✓�lY ADORESS LEG�L — LOT OESCRIPTION NO. � E A.P. NO. OfF LOT J01'� �� USE OF E%ISTING BLDG. SETBACM LINE FPOM Y'D CENTER OF STREET Q �GD�tl.cJO /L y sf TNO.`� d /vT LIC. NO. ��rY ��. G�F/S'_ NO. TEL. NO. :K rAncr-�2' NO.OF BLDGS. � � SIDE VARD RIGMT � �EFT �� DESCRIPTION OF WORK NEW � ALTERATION � AODITION REP/ �MOVING DEMOLISH SIZE �ING i1 !LX �O ROOMS V STORIES I J E%TERIOR WALL FOOF /�� COVERING ��, �G� COVERING �`��OO BUELDFNGEW L�'eS � I�'/ �Q//�• O � L �v . � FEE RECEyVED 9� INANCE DE�T. AP�'fCAF��SNA FOR PERMIT BUILDING FOR OFFICE USE ONLY COSTA MESA. CALIFORNIA FIRE ZONE APPROVED BY CORRECTIONS 1 XEFEBV �CRrvOwLE�cE i vE NEM1� iXIH • LIG�iIOrv �np STATE TNAT THE r18OVE IS CORRECT 1NO �GNEE TO COMVLY WITM PLl CITV OHDINANCES �nO � eiE L�WB RQGUUTING BUIIDING CONSTRUP T�o�. VALUATION SIGNATURE OF �n PERMIT FEE S PERMITTEE �� l �p PLAN CHECK S S AUTHORIZED AGENT TOTAL FEE $ � SSUE _ .0 � I':r � �JOB AD G,EN ER, A° �o. i. =c SOIL GAS � WATER CLYDE HOUSE CON. MISCELLANEOUS ROUGH HEATING ANO AI TEMPORARY SERVICE Oft POLE UNOERGROUN� � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM SHEATMING FRAME AN� FLASHING LATHING - IN � PLASTER, BROWN COA 5' H. ii BUILDING, FINAL ��/ ��JSGC<Yi�N T DATE �-10- ulll��]I:[H•1�:7S1ilRi] SUBCONTRACTOR � Z . a cwj Z Za �� a m J � J V1 Q W Q1 J (.� Q Z � w p. W WZ J Q m Z J � W W 0 = zr w� N � �O � z Q U J a ../ H � z 0 � U � � � N Z '��iti�', COSTA MESA BUILDING-SAFETV DEPARTMENT P ll. ROX 1200 COSTA MESA_ CALIFORNIA 92626 DEf.10-7(YPA��00 577 0+'�****S.CO tnsa APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely FECEIV V DAryTE RECEIVED DATE ISSUE�Dj BUII.DING 1�NG / <_/O` ` �� /D—/O ADDRESS � OWNEF � � 'J� Q A.P. No. /- of3-o,3 PERMIT NO. /� �} AD1DRES5 � � 7j ADDRESS ty- .� M � E h ^ TEL. TRACT��3 � LOT BLOCK CITV `_�g NO. � � CAN5TRUCTION W ADD LENDER O BRANCH OWNER ADORESS VALUE ARCHITECT TEL S $ OR ENGINEER N FIRE ADDRESS 20NE TVPE GROUP � APPqOVED CONTRACTOR � (/� BV / DATE ��/D— ADDIiESS TEL. ZON7E� NO.OF USE OF NEW � CITV NO. /[�— P��p2 BUILDING i STATE CITV �ARDSAPPROVED VApOSAPPROVEO IIC. NO. IIG. NO. MAIN BUILDING ACCESSORY BUILDING SIZE , � NO.OFBLDGS. (FR.(p��M,E/LSTREETI OF LOT O x a� NOWONLOT RONf FT� Fr. USE OF �G� EXISTING BLDG. E� U �. SID FT. SIZE OF NO. OF 1 � NEWBLDG.� 1 � ROOMS STORIES / L.SIDE �SFT. FT. COVE ROINGALL Qo COVEftING AKE ftEAR � FT. USE OF BUILOING ANO WORK TO BE PERFOFMED DISTANCE BET. BET. MAIN & � �.'� MAIN BLOGS. ACCESS. BLDGS. VAR� DATE �.j C.U.P.� APPRpVED APPROVED A- I hereby acknawlatlge that I heve read [his application antl state that the above information is correct and aBree to comply wlth all laws reBulatin0 building construc�ion, antl I sholl not employ any person in viola[ion of the wo�kman'S compensa[iOn laws ot [he Sta[e of Calitomia. m m I hereby ceriify thnt I am proparly licensetl as a convactor untler SQ. FT. o tho State ol California Business antl Professlons Cotle, Dlvisicn 3, THE AMOUNT SHOWN UNDER VAIUATION IS FOR � Chapter 9, antl thnt suc� licenses ere in tull force antl ettecq or 1 THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONLY: m am ezempt tram the provisionz ot Me Scate of Calitornia Business � and Protessions Cotle, Division 3, Chapter 9. VALUATION m QO PERMIT FEE 5 �� O ^' 7 SI namre of /� '''�� m Permittee � ,�� N�� ` $ 2 OO PLAN CHECK $ E �� a Authorizetl Agant LL TOTA� FEE $