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Home My WebLink About2395 FORDHAM DR - Building PermitsApplicant to fill in all spaees excev< those witnin heavY bortler lines ana sign aIl appro0riate Ceclarxtions. ' CITY OF COSTA MESA � ' � � �- PEftM1T NO. . TRACT NO.- LOT NO. BL NSTRUCTION PERMIT , S., ,� . roject Address ar TYPE OF CONSTRUCTION " NEW ADD ALTERATION . ApplicanYs Maili A Id12 5� /- ,❑ CONVERSION ❑ DEMOLISH ❑ OTHER� Owner's N � �Y�� gt�e ,'�DESCRIPTION OF WORK ' ' Address /�^ ,:��Il "6L1YI , TVPE OF PERMIT GRA�INGi FOUNDATION ❑'STRUCTURAL Arch/Eng.' '_ , _ Lice�nie No.� ❑ TENANT ❑ ELECTRICAL O, PLVMBING ❑ MECHANICAL ' _ Addf s5 � ' ❑ �OTHER � � ' � ' � _ y�� O PROJECT.DESCRIPTION s[�. FT.� oCCVaaNCV— Addre55 (mailing CONSTRUCTION TVPE VALU{iTION $ + CiLy.LiCPnse No. '" � ZONE GRADING CU.YDS. ACRES— LICENSED CONTRACTOR DECLAftATION � Remarks: I.hereby aftirm that 1 am licensetl untler provisions of Charter 9(commencing ' with sectioi� �000) ot Division. 3 of the Business�antl Professions Cotle, antl � . my Ilcense is In tu rce ffe _: . t"" �'� y�. . .. �2?�4�� . .............. REPAIR , '��)ORKERS'COMPENSATION DECLARATION � (/ ;?.:lereby a(firm that 1 have a certificate of consent to self-insure or a rtificzte ' of Workers' Compensation'InsuraPce,.or�a7certl(letl copy there�(Section � copy with tliGfitv Bul �EXEMPTION,FROMWORK 5'COMPENSATION-DECLAR�YfION + - (This section neetl not be mmp etetl it tne permit is for one huntlretl ($100) or , less). : • I certity tnat in tM1e peRormance of the work tor which this'perm�t i5 i55uetl, I sM1all not employ any oerson in any �manner so as to become subject to the Worker5' Compen5ation' LawS ot Calitornid.� - � � . Date Si9nature NOTICE: If,'aft¢r makinq thi5 tleclaration, you shoultl become subj¢ct to the , Workers' Compensation provisions of-the Labor Cotle, you must forthwith"' comply_ with such.proviswns or this permit shall be.tleemetl revoketl. ' CONSTRUCT,ION LENDING AGENCV� ' I hereby �at}irm that there is a-construction lentling agency for the performance Ot the •wOrk for ,whlCh thi5 permit: i5 issued •(Section 3097 Civ. C.): ' l.entler's'� Name � L.entler's Atltlress OWNER BUILDER DECLARATION ' I hereby; affirm that I am exempt trom the Contractor's LicenSe Law to� the � followin9 reason (Secfion 7031.5 Business antl Professional Cotle: Any ciry or county whicFi requires a permi[ to construct, alter, improve, tlemolisb or repair ' any Structure, p�io� to Its Issuance, also �equires th¢ applicant fo� such pe�mit •• � tile a slonetl statement tnat he/che ic.licencetl nuraunt rn thw mnvwinnc n( M1erefrom antl the basis for the alle9etl.exemption. Any violation of Section �031.5 by,any applicant for a permit subjects the'.apP�icant to a civil �enalty of not more than five huntlretl tlollars ($500). I,'.as owner oi, the property or.�my employees witn waqes as their sole compensation, will tlo the work, antl the structure is not IntenCetl or ofieretl for sale (Section 7044, Business antl Professionai Cotle: The Contractor's License Law'tlOes not apply to an,owner Of a prop¢rty who builtls or Improves thereon, antl who tlo¢5 such wo�k himselt/herselt or through hls o� h¢r own eTployees, provitletl that such imp�ovements a�e not intentletl or offe�etl to� sale. It, however, the builtling or improvement is soltl withln one year of com- pletion, the owner wlll have the buraen of proving he/she tlitl not builtl or im- ��ove (or the purpOse of Sale). I, as owner ot the property, am exclusively contractin9 �+�tn'licensetl con- tractorsto construct the project (Section 7044, Business antl Professions Cotle: �The Contractor's License Law tloes-not apply to an owner of oroperty who builtls o� imp�oves ther¢on, antl who cont�acts for such O�oject5 wlth a con- tractor(5) Iicense pursuant to the Contractor's License Law�: . ❑'I:am ezempt untler Section B. & P. C. for this reason Date Owner ' + I herebv rertiN that 1 have reatl this aoolica[ion' antl ctatw inat the above Qivers' �icense or'S5 �� CMFO865-66rev.7/83- White-Builtling;Canary Bar Sink Backfiow Preventer _ Backflow trrigation Bathtu6s Clarifiers , , rinking Fountains , loor Drains � loor Sinks . � as Service � Outlets Kitctien Sink � � ` L•avacories ' � P—Trap� . . � ' Roof Drains ' ReinSpection Fee • $25 Boiler ' ,-� , � - �uct - Under Ground Duct - Struc[ural Duct - Ventilating � ExhaustSystem ❑ Multiple FirepUFact. Blt. ICBO # � Heating System & Ducting �_ S 0-100,000 BTU O 100,000 � I � I Reinspection Fee nk - Accounting; Goltlenrotl -'Asseszor $25 Showers ServiceSink, � Sewer Cap Sewer Cannection Solar Collectors Solar Piping "� � Solar Tank Swimming Pool w/Spa Urinal �Water Closet Water Heater Water Service ' A.P. # '. S- Main Building: E T Front• ' B Rear ' • A C Right K _ g. Left Ping. Ref. # � Parking Req./P,rovided Useof Building: Pla'nning Notes: - Automatic Sub. Cooking Unit F � Dishwasher • ' Dryers ❑Gas ❑Elecirii Fan ' F.A:U. Fixtures' Device Boxes - nilriers :�. 9262 LO/D2�84 - Zone . .. � . - Accessory Building� � Park.Fees $ - �� . ELECTRICAL - � Trensformer ❑ 15-50 KW ❑ 50+ KW � Meter Dup"tot00amps ' Meter ❑over 100 amps �' Sub Panel Motore �i Inc. Solar'I � Miciowave Pol'e Cight Range DiSpOul m 065 KW �5-15 KW Standing Section; Trash Compactor ❑1%-6 HP O16 � �,��V .�TL � O � � . N I N R E Q . U i ' R ., M'. ' N „ T � - c , Issue Fee � � $ 3 �� Reinspection Fee . $25 Issue Fee � • $'3 IANICAL � � FEES Hoodor T PUBLICSERVICESREQUIREMENTS: ' ' YPe I � ❑ . 4%� Zonin .A . . Canopy Type I I ❑ , J 9' PPraved By � ' Date - � Application�Approved By ' � DaTe —f— iefrigeretion System � _ Application Issued By� ' � �� - Date_1..Q(2` r ;T0.700,OOOBTU ❑100,OOOBTU ( .� -`r' '�r'", � 'SUMMARYOFFEES � System�Repair/Alteretion � ^ ••BUILOING�PERMIT $ � SMIP $ ; t�: PLAN�CHECK �� $ � PERMIT PLUMBING � $ ��SSUANCE $ , � .."P,LAN CHECK ,' , $ � ' . ENERGV P.C. $ - � - ELECTRICAL , $ �GRADING $, � • PLAN CHECK ' : $ � � MICROFILM $ - - ' MECHANICAL $� I I. O C� ' TOTAL FEE $ I �.(1Cl , Issue Fee ' $ 3 PLAN CHECK $ � ' . . . • � - . .� �. . _ . . _. . � _-�_�— ��'_ — ' �NSTRUCTION �ND PLANNING�r , • � . . - � . '?� & SPA, � - ' r . " Date ; Inspector• ' � Date. Inspector . APPROVALS� PeJmit # � ��= -APPROVALS � Permit #� - � : �`I' ��1.� Temporary� Electrical Service or Pole, � �; .� 52. Pool & Equipment Location -� � � 2. Soil�F?ipe;Undrgrnd. . - . ��'+ � " '. 53. Steel Reinforcement � � � , 3.;Hectrice��ConduitUtilityrUndrgmd.' '`� '��,� . �54.�Forms. ' � �� .�D~,� � 4.'�Electrica� Condu'rf-Undrgrnd. ' ' . - � 55. Electrical Bonding ' � � � � �' -,r �� ... i .�_ . . . . � 5.` Steel�.Reinforcement;;:`;, . � , 56. Rough Plumbing & Pressure Test �� i" 6.; �Electri�CaI.UFER Gr'nd. � � � ' � 57.' APPROVAL TO COVER-GUNITE ' 1 7.�Footi'ngs; ;�' ! . °r-' :�;' �^ � .�-58. ElectricalConduit-Undrgmdt y!;i ., 8: �oundation � � � : � 59. Gas Pipe, � Undig}nd., Test 9.' Water Pipe-Undrgrnd'�' ,�-�; •,% 60. Backwash Lines, P-Trap, � Undrgrnd. ' �• � 10.� Struc�yral Floor Syste�n .� '�f' � 61. � APPROVAL:TO-DECK � . ,. 11.� Proper'ty�Sewer Line & House Coniiection � , _ ; 62.. Backwash & Receptor-Final _ . -_ � :� 12 %�Sewer�Cap ��' ' � • � �. � t: � �' 63. �Heater & Vent-Final . . � ��' �'� ., :�. 13. Roof'Drains � • , .i' � , � 64. Plumbing System -,Final � � ' 14! Rough Plumbing f.` �. �� i' - � 65. Electrical-Final . - 15: Rough�Electrical-Conduit ' , � � -. 66. SolarSystem-Final � � � ' . ' / � � 16. Rough Electric Wiring 1� ' � 67. Fencing &-Access.Approval ' 17. Rough Wiring Sign� '. " . .�� ' 68.'APPROVED FOR PLASTERING ' . 18.. Rough Electrical-T Bar Cefling •' � 69. POOUSPA SYSTEMS FINAL � 79. Rough Heating & Air Coniiitionl'ng ' _ FIRE DEPT. REQUIREMENT '� 20. Rough Factory Fireplace .� � � APPROVALS Permit# 27. Ducts, in Structure l':. � • � � 70. Underground Hydro � . , 22. Ducts, Ventilating �" ' , 71. Product Piping O Gas ❑ Oil ' � 23. Gas Pipe-Rough & Test • ,' '" � � � � 72. Underground Flush � i. � .� . 24: Roof Framing ' �'�t . . , 73. Undergrnd.StorageTank OGas ❑Oii� 25. Roof Sheathing � ,'f= - ' � � � _ . 74. Overhead Hydro 26:• T-Bar Ceiling (Structurall(8(:Monocbat • " � 75. Dry Chemical - . 27. FrameandFlashing- � �" . . 76. DryStandpipe 28. Lathing & Siding � ' � . ' 77. FIXED SYSTEM FINAL � 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing � . � � HEALTH DEPT.�REQUIREMENT , . � 37. Plaster Brown Coat _ • 79. FINAL INSPECTION 32•. Electrical Power Meter-Final � � 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric ' Notes:� Z�/� GE�C� L.� 34. Final Heating & Air Conditioning�_ � 35. Final Gas�Pipe-Test . , 36. Hood or Canopy ' - ' � � 37. Final Factory Fireplace . � 38. Final Plumbing . - � 39. Water Service-Final ' . � 40. Gas Service-Final , � ' � � . 41. Solar pomestic-Final � • . ' 42. Bsckflow Preventer ' � � 43. Backflow Irrigation � 44. �Landscape Irrigation System ` � 45. Sound. Attenuation • � � ' �. 46. Handicap Regulations � � . � 47. FINALSTRUCTURE&BUILDING f : � . . 48. Special Requirements.Completed , . 49. Elearic Release to Edison ' ' - • - i 50. Gas Release to�Southern California�Gas Co ' 51. CERT.IF,ICATE OF, OCCUPANCY . " .. No. � � Date ' ' ✓ '� Applicant to fill in all spaces except those within neavy boraer Ilnes ane sign all appropriate Oeclarations. _ ._ ..q_ . _ .. . _ "_'_ __" .� . . " " • _' _ __. _ _ � _ ' " ' 'I _ . i � '" ;" j '"" " " CITY OF COSTA MESA CONSTRUCTION�PERMIT ' ' PER^ N TqqCT NO. � � LOT NO: � 'UNIT NO: � � . ' � ' ' ; � ; �� ,.�/ � . � $ � , � � i !9847 'E/i9/?7 p4o50 ;TL Projech.'�'ddress 0�.t,�..1�/7�-� ' � � � ' ' • : ; A�ppLcant'S Mailing F{ddress �///%� i i -' TYPE OF CONSTRUCTION • NEW' ADD LTE ATION REPAI R � ' �0 CONVERSION. ❑!DEMOLISH OTHER F ' q,p,# _ � � _ ' � . ' ,Zone..� _ Owner's Name E� �a�C�� ' � Phone�G��7 'i `�; � DESCRIPTION OF WORK/USE OF B�G. f �' � � � � , � i , . Addrew �MS � i' ,;,S��l ' �6 //1/j%�L 'T/ �,j � - S Main Building: � • ' '. Accessory Building: i, , � , . . . . , . , Arch/En9. LicenseNo. ��TVP,EOFPERMIT � GRaDWc ❑FOUNDni'rorv STRUCTURAL ! T Front, � ' ' � � ' ' : p Address � � ' � � .❑� �ENANT i ❑ E ECTRI AL ❑ PLUNIBING � MECHANICAL . � B Rear ! � � � � � � � . , N I Convactor's N2m � -'.,' � ' ' DF � Phone ys q � t. ..i� OTHER _��(�i ' �'�F ' - ' � . C' Ri9ht -' • ' ' � '- " ' , —` . ' . ' "" { ' N �y �.; PROJECT DESCRIPTION . 5Q. Fr.?y oCCuv.arvCv ' ' � nddresslmai�ingl��%5� I�� — G�/Z% � 7.ua-17 � _ � K � � � . . C+ •CONSTRUCTIONTV,PE ' ' VALUATION'$S9SS � _ g LeFt . � CiryLicenseNo. 3Sy%3 � � ' � � � /"•" ,•Z��,jE GRAOINGCU.YDS. ACRES + � , ! E UCENSED CONTRACTOR DECLARATION � • , � - Ping.'R¢f. # � ' � � ' � Pa�king R2q./Provid¢d � � � I her¢by affirm that:l� am licensetl untlei p�ovisions ot Charte� 9 (commencing ' Rertiarks: ., ' � � - � � '� . _ - Pl3nninJ NOL¢Si ' � � . � , n with section ]000) oij�ivision 3 of the Business antl Professions Cotle, antl - �� t { M my license is in full farce eftect. ' '• , ��7/% p[�� ' � � ' , � ,- � , ' � � � . ' ' � - T License Cla�ss � � � ' Lic 9��S,Z�� * . � . . 0. , , S � Date�Q -'7� ' �5'9 at � � � r ` ,j. ` ' PLUMBING ' � . FEES ' � ' • ' • ' 'vORKERS' COMPENSATION DECl/1RATION � • � - •� i � � �' � Bar Sink � � � � Showers, ' � � ' , . � � - •� ereby atfirm thaLl have a certificate of consent to selt-insure or a certitiwte _ , ��ELECTRICAL . , �, ,�, FEES Worke'rs' Comperisation Insurance, or a .certi�ietl cooY tnereot (Section . gackflow P�eventer � � Service Sink ' � ' � ' ' ' - �' seoo, �.ao. C. �'� � y�y� '- � Automatic.Washer � � Transformer O 15-50 KW �" �' Policy No.� ComPanY LJli�r Fii//i�� . Backflow Irrigation � Sewier.CaP :. ' , Construction PoleSub. �� ' '. � 50+ KW � n CertitiEtl cop is hereby (urnishetl. �/j ' /% �'/�p Cer iti cp�' is fnetl with.the city�J�'� p� Div�'si/'�' Y�/ � Bathtubr _ • SewerConnection : � Cooking Unit . , Meter ❑up ro 700 amps � Da[e'�� d_/ .•^ APplicant�/'/� ��/�1L��; ' . ~ EXEMPTION FROM'WORKERS' COMP NSATIO DECLARATION ' Cl2fifi¢f5 �� 5012� COII¢ct0l5 . - � Di5hwd5h¢i � M2Lei DOv¢� 10� aTpS , _ (Thissectibn neetl not be complete0 If the permit is far one huntlretl ($300) or ,� � - , . . less). - � Dishw(dsher. P i � Solar Piping - Dryers ❑Gas ❑Electric � Sub Panei ' � I certify that in the parformance Ot the work fo� which Ihis pe�m�t is issuetl, I � � � ' shall not emoloy any oerson in any manner so as to become subject to the 4 Drinking Fountains , Solar Tank Fan � . Motors�0-1 HPO1h-8 . Workers' Compensation Lawsbt Califomia. � , � ' - ' ' ' . . . , . . Date' - � � Si9nature � t Floor Drains � ' ' Swimming'Pool w/Spa � ' ' F.A.U. Inc. Solar �9-15 HP.016�1�5+ NOTICE: H, after making this declaration, you shoultl become subject fo-th¢ -� - Workers' Compen5afion provisions of the Labor Cotle, you must fortnwith , FIoo�Sinks � � Urinal � � FixtuiEs ' Microwave� . � ' ' comply with such. p�ovisions or this pe�mit shall be tleemetl �evoketl. ' ' , � CONSTRUCTION,:��ENDING AGENCV � - ' , ' , Inereb aHirm� Gas'Service Outlets • WaterCloset � DeviceBoxes PoleLi ht j y that there.is a construction lentlinq aqency for the oertormance � � � � 9 ot the work'for which this petmit; is iszuetl (Section 309] Civ. CJ Int¢rCept0�5 ' � ' WdterN¢ater � Outlets ' . � 1 � - i Lentler's Name Ran9e ' � . � , � -Lentler's Atltlress.- ' - I- � � � � ' ' - - - . Kitchen Sink � • - Water Service•� - ' - � Switches .- • " Sign � � " " � OWNER BUILDER OECLARATION � � � � � I hereby affirm that�l'am exempt from the Contraccor's License Law for the Lavatories ' ' - • Auto-Wash ' • Garbage Disposal , . Standin9 Sections � { followin9'reason (Section 7031.5 Business antl Protessional Cotle: Any city or county wnich requires a permit to wnstruct; alter, improve; tlemolish or repair ' ' p-Trap � � • I , Laundry Trays Generamr DO-5 KW �5-15 KW � � ' any st�ucture, prior, to'i[5 issuance, also requires the applicant for sucM1 pe�mit - � T�35h COmp2ctOf to file a signetl statement that he/she iz Iicensed pursuant to the provisions of Roof Drains ' , .he Contractor's License Law (Chdpter 9 (mmmencing wlth Section ]000) of � ' ' ' ;%'a-.vision 3 of tne Bu5ine55 antl'ProteSsionS,Cotle) o� tltat he/she'is exempt- - - ' - �-' , '-�;� refrom antl. tM1e �basis tor the allegetl exemption. Any violation of Secfion 1 , �, � � � i � 1 'b31.5 by any applicant for a permit subjects the applicant to a civil ��penalty ot not more than five huntlretl tlollars ($500). . ' 3 ,, � � � � ❑ I, as owner ot the� property or my employees witlt waqes as their sole ReinSpBCtion Fee $15 ISSue Fee ' $ . ' compensation will tlo the work, antl the structure is not intenEetl orbfferetl � Reinspection Fee $15 Issue Fee � � .$ 3 for sale (Section']044, eusiness and Professional Code: The Contractor's ' , - MECHANICAL � FEES , License Law tloes not apply to an owner ot a property who builtls or improves � . thereon, antl who does sucn work himselr/herselt or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: � ; ' - employees, p�ovidetl tfiat sucM1 Improvements are not intentletl or ofieretl for Boiier ' • Hood o� � Type I'.❑ � , � , • .-sal¢. It;,howeve�,.the builCin9 or improvement is soltl within one yea� of com- . C2nOpy � Typ¢ I I �❑ ZOning Approv¢d By _ 'Ddte 7pletion, the-owner wili'have tM1e burtlen Ot proving he/She tlitl not builtl or im- Duct - Unde� Ground , � , Buildin8 APProved By . Date - - rove for the purpose,ot sale). . ' ' - ' . ��"(� �'I, as owner of the o�operty, am eztlusivery contractin9 with licensetl con- Duct � Structural ' Refrigeration System � ,;� Appliption Issued By n- ,� Date_�Z_'_T� ,� t�acto�st6 constructthe pro7ect (Section ]044, Busine55 antl Professions Cotle: ' � The Contractor's License Law does not apply to an owner oC oroperty who Duct - Ventilatin9 ' ❑0-100,000 BTU ❑100,000 BTU' i- � �SU =OF.FEES . . . . + builtls br improves,thereom, antl who contracts for Such Drojects with a.mn- - � -' '- - ``T•- tractor(s1 iicense'pursuant to the Contractor's �icense Law). I�am aware that ' BUILDING PERMIT $- , SMIP r y$ v V. � Exhaust System �� 'MWtiple ❑ � System Repair/Alteration � proof of their Worker's Compensation insurance shoultl be provitletl to me. _ - � PLAN CHECK � $= - PERMIT� �" - ❑ I am exempt untler Section ' e. & P. C. tor this reason Firepl/Fact. Blt: IC80 # ' Fire Dampers _, PWMBING � ' $ ' " ISSUANCE '$ �- � Daie� ' - Owner Heating System�& Ducting - Fegisters .' � . - PLAN CHECK ' 25% $ ' '.' ENERGV P.C. �$ -. . - ' i nereby'certity that 1 have reaa this appiication anE state that me above ' �0.100,OOOBTU �100,OOOBT . � ' - ELECTRICAL .�$' , � GRADING '�$- intormation is correct.'I a9ree to mmply with all city antl county ortlinances' - ' - ' antl state,laws relating ro builtlinq constvuctlon, antl hereby authorize repre- - � �. . � � � ' � MICROFILM� 5. � � sentatives of this city to ent / n he' above-mentionetl properry for •� ��' � � - ' '' PLAN CHECK 50% $ � . inspection py s • � TOTAL FEE �$� � � i G�y �-/ MECHANICAL $_ � Signature� � Date . � - � i ' • � • Drivers"�icense or 55 � ' ' Reinspection Fee •�$15 Issue Fae �' , $ 3 i PLAN CHECK � 25q $y ' ' CMF 0865-46, rev. 10/84 White - Builtling; Canary - qpplicant: Pink - Accounting; Goltlenrotl - Assessor CONSTRUCTION AND PLANNING POOL & SPA � ._ � APPROVALS Permit # ,Date Inspector- qppROVALS Permit # � Date �� Inspector � 1. Temporary Electrical Service or Pole ' �, 52. Pool & Equipment Location 2. Soil 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. APPROVAL TO COVER�GUNITE 7. Footings '58. Electrical Conduit-Undrgrnd. - � 8. Foundation - � 59. Gas Pipe, � 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. Backwesh & ReceptorFinal - 12. Sewer Cap � 63. Heater & Vent-Final � • . 13. Roof Drains 64. Plumbing System - Final ' � 14. Rough Plumbing 65. Electrical-Final . � i 15. Rough Electrica6Conduit � 66. Solar System-Final � � 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough 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 r:� , , 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. Storage Tank 0 Gas ❑ Oil . 25. Roof Sheathing �(0 8 fi (T 74. Overhead Hydro - � 26. T-Bar Ceiling (Structuraq & 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. REQUIREMEIVT ' ' � 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 Factory Fireplace � �38'd Final Plumbing . � . , . r.; 39/WaterService=Final . . ' � • � ' 40. Gas Service-Final � - � - i` 41. Solar pomesticFinal • - � �'� • - - 42. Backflow Preventer �.' ' " � '43. Backflow Irrigation . . - � '� - � 44: _Landscape Irrigation System . . � '45..Sound Attenuation . �' ' 46. Handicap Regulations . ' - . ` ": '-� i.. . . . v. : 47. FINALSTRUCTURE&BUILDING .8 D � �a • BSCaB� �Cb�� . 48.. Special Requirements Completed � � . , • � � - _ �.. 49�.'�Electric Release to Edison � � � � 50. Gas Release to Southern California Gas Co � � ,� �,f' . 51. CERTIFICATE OF OCCUPANCY l- No. Date " ER DATE BUILDING 'In_. cCTIONS Si nnrure Date irre �nt�u SOIL GAs SUBCONTRACTOR 'wniER Plumbin ROUGM PLUMBING QROP. SWR. UNE � MOUSE CON. � PRINKLING SVSTEM MISCELLANEOUS ROUGH MEATING ANO lIR CONOITIONING TEMPOliARV SERVICE OF POLE lINOERGROUNO � POWER Cj � ROl1GN WIRING C �ieOfin and Vene. TRENCMES FORMS STEEL REINF. C,✓ G •� FLOOR SYSTEM �. BONO BEAM I^ STEEL REINFORCE SHEATHING FRAME PND FLASHING LATMING — IN� P' YR, BAOWN COA 5 .URAI.FINAL PLUMBING. FINAL AN� GAS TEST I � ELECTRIC, FINnL '._.rOSTA MESA BUILDINGSAFETY DEPARTMENT �" P.O. BOX 7200 COSTA MESA. CALIFORNIA 92626 4028 2%23/79 4029 ?723/79 54.5� •Tl� 54.50CKT0 APPLICATIONFdIA��'RI�TU[N�'L��f��MIT �,A,� I, For Applicant to Fill in Completely — Use Ink Only IIl Ili RECEIVED BY OATE RECEIVED DATE`�ISSUED �y- ADDFiESS 239Sf��ia.nOf' �<� � `/� PERMIT NO. OWNER GdLrJrf� O'/jJ� �JuJ A.P.NO MAIL / /� BUILDING � ADDRESS Z3�S�O/��fJ�`Yfr�� /aDDRE55 p� CITV �pff2 ��s�✓' NO`)vp �L / TRACT' �� LOT BLOCK CANSTRUCTION W ADD Al R P LENOER �tlC C/" � Yi � BRANCH ��C j[/�y„ . ADDFESS � � pG� G. •� �/`� OWNER ^ S VALUE � ARCHITECT / TEL. $ OR ENGINEER ��%��f" U/%C7EI'�N . FIRE ADDFiESS ZONE T PE .GROUP , CONTRACTOR (J(� � Ls i � �`�2 B�PROVED DATE r r ADORESS TEL. ZONE �� NO.OF USE OF NEW CITV NO. PLAN$ BUILDING STATE CITV �'ARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FPOM C l ST EET) OF LOT � NOW ON LOT I FRO FT. USE OF � EXISTING BLOG. /J�S/��/G i/ FT. Separate permits are required for L SIDE FT. FT. electric, piumbing and heating work. REAR FT. FT. VSE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & / � •MAIN BLDGS. ACCESS. BLIX'aS. /%«r-c�.f/a��. �Fmi/y �am vna.� DATE C.U.P.# APPROVED DDtT�oS..i • nmaov � , �3%% I heraby aeknowletl8e that I have read this appllcation antl stete '^ . � that the ebova lnfo�matlon is correct antl agree to comply wlih � all laws regulating builtling conrtruction, and I shall not employ • eny person in vlolation of Me workman's compensation laws of � Me State of California. � • 1 hereby certify that 1 am properly licensatl as a conbactor untler �Q• FT. N i tha State of Callfo�nia Business antl Protassions Cotle, D(vls(on 3, THE AMOVNTSHOWN UNDER VALUATION IS FOR m Ghapter 9, antl that 5uch Iicenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONIY: � am exampt from the provisions of the State ot California Business VALVATION a' and Professiona Cotle, Division 3, Chaptef 9. � PERMIT FEE E �� N PLAN CHECK $ m Signatura of i1'1/� � J //J� �j� m 0 Permittee �CPL ii`Y i�ffisii�s�Y $��/�fJ. TAX S � LL v � u Authorizatl Ageni � ' TOTAL PAI D $.� Ji� , OW NER Costa Mesa Estates � JOBADDRESS 2395 Fordhazn Drive GENERALCONTRACTOR �ven-Spie . 66 BLOCK CO GROUP I&' J TYPE V INSPECTIONS DATE FootingTrench f'./ � 7 /o Foundation Forms and Grade to Garage� /G -/G Rough Framing %�-.�.6' Plumbing, Rough to Slab w�'��- r y�...�.5 -� Plumbing,RoughComplete %'Y� � 5 i� �y�5'L Temporarv Pole Heating, Rough 1'h Heating, Final /N i�ewer. Hous %ji�( Sewer, St 1 Tank or Cesspool a.ln Out fl] TRACT �75� ZONE � SUBCONTRACTOR DATE �-ZZ-Cb T' BUILDING PERMIT NO. Z6C�6 VALUE $11,2DO.00 Single nes w/att �ar FIRE DISTRICT 2688 PERMITSISSUED DATE � NUMBew -//-S 4 /nJY.1 --' / 1. � 8SS 3 �-� -d�1-.S-� GS�7_ -/<.f/ .S�^f / p � 1 :r7ng �G/� �'�..��J / Plumbing, Final, Fixtures Complete�Y] �hf y_/jS7 � / / Plumbing, Fin.al GasTest/,j �Y�fis y�(? -S) d` � � Wiring, Final iY1QY 1957 V� ' Occupancy MAY 1 1957 VCB FORM 210 3M lO�iS � �Costa Mesa Bnilding Department .�,' , ' 111 EAST 20th &TREET ' ;, COSTA MESA� CA4IFORNIA �%^� F'(7R APPLICANT TO FILL IN Costa Me'sa, California est � � St.q A%llt�l-C/ � :r C,cJI%�ii�" /°��%�/i C�7%f%��j ess � J� l(/. �i v�( �.� , �.t� � �j(ili-'�L�S if, N t:l ��ic eer �r�l�i�L-c�- C��G-, No. essi�//�'iv� �L.>�-� /i�1�'/fi � Contractor r��.ovCA! �/C_' Address �,fTo �: 3 "� Legal J Lat // Description I No. F' �? I E (Attach Metes and Bounds) . APPLICA' 'ION FOR PERMIT 2�;8g B U . D �L Id G '� ' S � "fii 82ZE� % �7 Tract Z / � Size of Lot /,.�X / 6iN � Now on Lot Use of No. of Existing Bldg. I F�amiifes Setback Line from / Rear Yard Center ot Street Sf� "� Side Vard Alteration �X CSa-C� Wall cTC�� Atldition FOR OFFICE USE ONLY ' Receipt No. Pe/rmlt N/o. �4' �.(� /�� /.�-J �� S� Building � Address Costa Mesa, California NearesY CORYLECTIONS � vw�ti IVICJH arrx.ov�s Foundation Location Inspector Data Forms, Materials, Under-Pinning � Frame: Fire Stopa, Bracina. Bolts I hereby aclrnowledge that I have read this Application ' and state that the above is correct and agree to comply Lath. Int. with all Clty Ordinances and State Laws regulating building rnnstruction. � Lath. ExS. 3ignatureof �(�� s��T Permittee ��5i'� �/ �S plaster, Int Authortzed Agt. l/»<<7 �•Gl�C�-'�'�' plaster, ExS Valuation Permit Fee $ �i � Masonry Re /�L' s.<� Plan Check $ � Bond Beam $ �/ .r% - Total 7 Fee $ O� �� FINAL AM 204 S-HP 2M B-:5 O S � Z D r