HomeMy WebLinkAbout2570 FORDHAM DR - Building PermitsPflOJECTR0UPE55: ZS%O FORDHAM DR
OWNEfl'SNAME:DOOLING, KELLY M
aooness:DOOLING, KELLEY C
2570 FORDHAM DR
COSTA MESA,CA
545-8591
AqCHIENGINEEB:
ADUNESS:
� \� � I1NIT:
92626
nec.No.:
UNIT:
PEflMITTEE: f]ACIFZC COAST APPL INSTAL ( 310 ) 324-8476
nooness: 139 WEST VICTORIA ST
GAADENA CA 90248
LICENSEU CONTFNCTOF UECUIFATION: I hereby aflirm thai I am licensetl untler D�ovisions af Chap�er 9(cammencing wi�h Sec�ion
7000) oi Divsion 3 of the Business antl Prolessions Code, anA my license is in ful,liorce antl et�ec�.
cirruc.:0 03 1 sTareuc.:q62692 5' �: 9/95
�� �/��7 ��%'�� � SignaNre: _i��— — -
flNE�M NSATIOPE N OECLl�HRTION: I �ereby alfirm ihai I have a ce�ifica�e of consen� �o sell�insure or a ceni�ica�e o� Workers'
Compen5aiion Insurance. or a cer�ilietl copy �hereo� (Sec�ion 3800. Lab. C�.
voucvxo.:NWC26825303 E%P.ORTE:OS/OS/9S
;COMPRNY:GOLDEN EAGLE
� CertifieA copy is here�y �urnishetl. � Cerii�ied coDY is file0 wilh �Ae B' mg �rvi
�: NPPlicanL � � .�1,�' 4 _ �—
E%EMPTION FflOM ONeEHS' COMPENSATION OECLAMTION: (T�is sec�ion neetl no16e comple�eU if Ihe permi� is for one hunOrea (51W) or less�.
I cetli�y Ihat in Ine pedormance oi Ihe work br which �his permit is issue0. I shall not employ any person in any manner so as to become
sublecl to �he Workers' Compensation Laws of Calitomia.
�ate: SignaNre'.
NO7ICE: If, afler making ihis tleclaration, you shoultl become subject to the Worker5' Compensation pmvisions oi ine LaUor
Cotle, you mus� lorthwilh compty with such pmvisions or �his permit shall he deemea revoked.
CONSTBOCTION LENOING AGENCY: I hereby a��irm �hai �here is a cons�mclion lending aAency tor �he pedormance o� Ihe work for
which i�is permi� is i5suetl (Senion 3097. Civ. C�.
LENOEfl:
p00flESS:
OWNEB BUILOEN OECLAPATION: I hereby af�um Ihat I am exempt imm the Contractors' S�a�e License Law br �he following reason
�Semion 7031.5 Business antl Pmiessional Cotle: Any ci�y of couniy wAich requires a permil m consimct, al�er, im0�ove, Oemolish, or
repair any slmcture. Drior lo its issuance. also reQuires ine apPlicant for such permit to lile a signetl statement ihat he/she is licensetl
pursuam m t�e pmvisions a� 1he Comracmrs' S�ate License Law �C�apier 9(commencing with Section 7000) o� Oivision 3 0� the Business
antl Professions Cotle) or ihat he/she is exempt iherefrom antl ihe basis for tAe allegeU ezemption. Any violation af Section 7031.5 by
any applicant lor a permit 5u0jec�s Ihe applican� to a civil penal�y oi no� more ihan live hundretl Oollars (5501p.
I, as owner o1 ihe propeny or my emyloyees with wages as iheir sole compensation, will tlo ihe work, and the
❑ stmciure is not intenUetl or o��erea lor sale �Section 7044. Business antl Pmfessional Cotle: The Coniracmrs' Staie License Law
tloes no� apDly lo an owner of a pmpeny who 6ui105 or impmves �hereon, and who tloes such work �imSelVhersel� or thmugh
his or her own employees. O�ovitletl that such impmvements are not intentletl ar offered lor sale. If, however t�e 6uilding or
impmvement is so10 within one year of completion, ihe owner will have t�e bur0en of proving he/she tlid not �uiltl or impmve
�01 �II¢ p�fpOSZ 0� SdIE�.
I, as owner of Ihe pmperty, am excNSiveiy contracling wii� licensetl conVac�ars Io constmct lhe prolec� (Seclion 704d, Bu5ine55
❑ antl Pmfessions Cotle'. The Contracmrs' Stale License Law does not aDOy to an owner ol pmperry who bwltls or im0�oves iheieon
antl who coniracts lor suc� pro�ecls wi�h a contractoqs)license Dursuan� to Ihe ConVactors' S�a�e License Law). I am aware
Ihat pmo� of I�eir Worker'S Compensation insurance shoultl be pmvided �o me.
� I am exempi under Sec�ion: B. 8 P. C.
IOf IIIiS I¢d5011:
Oaie'. Ownec
I tlo hereby cetlity ��ai I am aware ol antl understantl the requiremenis oi Calibmia Health antl Sa�ery Cotle Seclions 25505. 25533, antl
2553a antl Ihat I or any lulure Ouitding occupant will/will not (circle one) need to comply with saitl state co0es anA the reQuiremenis for a
permii for conslmc�ion or moUilica�ion Imm ihe Air Oualiiy Management District. Re5i0ential construction applications are exempl irom
ihese provisions.
Dale: Applicanl:
I nereby cenify Ihat I have reatl thls appbcaiion anA s�ate Ihal the aboveinformalionls correcL I agree ta camply wi�� all cily and county
ortlinance5antlstalelawSrelalinglobuiltlingconsimclionanAherebyauthorizerepre n�alives Ili ' taen�eruponlAeahove�mentioneE
pmperly la� ins cimn urposes. '
� _�'! Si9naturr� %, �
nver's License ar Sacial Securi�y x: �
t6<b<6 W�i�e—Builtling', Green—Cotle Enlorcemenl', Canary—Apphcanl: Pink—Revenue', Goltlenrotl—Assessor
CZTY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; P 070799 PLAN CHECK NO: N
CONSTRUCTION TYPE; FERMIT TYPE; FLU
JOH DESCRIPTION ;- C/O DISHWASHER
CLAIM VALUE; CALC—VALDE:
FERM NO; P 070799
GOC�T: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: /
COMMENTS; H
itit�t�t�t�t*�tit*w*+�r**fr***��t**�t�tit**r***�r*it***�rrt*it*ir*+t**�itriEfr+t*r�+t**+a**********rit***+r*+r
Z O N I N G R E Q U I R E M E N T S
s E T a a c x s
------------ MAID1 BUILDING ---------- ----r---- ACCESSORY BOILDING ---------
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 RE • PROV; PARCEL; 14138402 ZNE: REF NO;
PLANNING N TES'>
i '
*�t***+r«**x*+e�e******�r***�r�r�***�r***r�r*�***�*********�.*rr*r*+r*ri�-***r*****+***�t�e-***
D E V E L O P M E N T S E R V I C E S R E Q U Z R E M E N T S
20NING APPROVED BY DATE:
HUILDING APPROVED HY ; ' DATE; p
./
APPLICATION ISSUED BY; �. ! DATE• O( 1 �^
iEifiEikififfFifiP+fiEifiEftiEiEififitiFiF+f ifiEiEiEififiFjEiEi! iEjf
1f iE iE �f �f 1E if jE k iF af if if if if 14 it i4 if M 1k �f if if if if iE jf iF iFli �f 1E 1f af jc if iElf if if i! 1t ff if i4 if 1F if 1f %if 1F if iF iF 3f iE jE �f jF �E if iF *�1(� iF iR iF {F if * iE if 3f if aE �E af
LEGALZZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PA9T PLUMBZNG ELECTRIC MECHANIC
PERMIT ?,00
ZS%
PLAN
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 7,00 20,00 0.00
REVENUE DIVISION TOTALS--> COLLECTED;
BLDG PMT PLUMBING ELECTRZC MECHANIC
27.00
FIRE SMIP/RES GRADING
SMIPJNON—RES
TOTAL PAID DUE
27.00 27.00 ,00
27.00 OVER/SI-IOAT; ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
i! i! iF if if iF k iE 1f if iE if iE if ik if ik if iF if it if �)E if it �F jk iE iE k if k jf if ff iF 1f if if it jf it iE 4 iE iE ik 1E if 1F iF M iE if af iF if if it if if if if +E i! 1f if if iF M 1f ff iE iE if if if if if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 DISHWASHER
END OF FEES
7.00
nr nwt�4w5�—QGl.?.52+a1 7"�l 7
D�7T�: Gi/it�"/43 'iTiic': 14..3
rR�z��
�7. t,��
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CONSTRUCTION AND PIANNING P��� 'PA T
APPROVALS Permit# Date Inspector APPROVALS Permit?k Date Inspector
1. Temporary Efectrical Service or Poie. � � 52 Poo1 & Equipmem location
2: Soil Pipe-Undrgrnd. , , � 53. Steel Reinforcement '
� 3:.Electrical Conduit-Udlity-Undigrnd_ -: � 54. Porms
4. Electrical ConduibUndrgrnd. �� ' 55. Elactrical Bonding
�,5_.StQeI.�Reinforcement' . 56. Rough Plumbing & Pressure Test
. 6: Electrical UFER Grnd. � 57. APPflOVAL TO COVER�GUNITE
�, 7. Footings � . � 58. Electrical Conduit-Undrqmd. �
8. Fbundation � 59. Gas Pipe, � Undrgrnd., Tesc ,
9. Water Plpe-Undrgrnd. - 60. Backwash Lines, P-Trap, � llndrgrnd.
10. Structural Flooi Sys[em '' 61. APPROVAL TO DeCK �
17, Properiy Sewer`Line & House Connection •' ''
, r , 62. Backwash & Receptor-Final
12. Sewer Cap , ,. - 63. Heater & Vent-Final ,� i'
_ ,�•
13. Roo( Drains � i l � 7 64. Plumbing System - Final '
14. Rough Plumbing. . ` 65. Electrica6Final -
15. Rough Electricat•Condu�t . 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access A�proval
17. Aough Wirin9 Sign 68. APPROVED FOR PLAS7ERiNG
78. Rough Electrical;T Bar Ceiling 69. P00�/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� �. . •
20. Rough F�Ftorjt Fite�ilace ' `� , : ` - - _ ` APPRO.VAIS,; ', PerrrZit iF _
21. Ducis, in�Structure� • � •- •• � % � - ' '70. Undergroun`d-Hy2lro "
22. Ducts, Ventilating' � ' � . _ _ , . �'77, product Ri�ing L��Gas JOiI
23. C`ias Pipe:�Rough &�Test , - �� :i • ?2. Underground�Flush', �
24. Roof-Framing' '� �-�, " _.` 73. Undergmd:Storag�:Cank CGas n0ii
25. Roof Sheathln9 �, � � � 74. Overhead Hydro � ^
26. T�Bar'�Geiling (StructUral) & MonoCoat '� �'' ''� ` " 75. Dry Chemical � �" '
27. ;F.rame and Flashing - '. . . . •+: 76. Dry Standpipe . , •'
•28. Lathing $ Siding • � � • ' - " ' ` 77,,.FIXED SYSTEA1,fiN�AL � . , ,
29. Insulatio"n, . ' � .. . � � 7$, �FIRE PREV. FIN'AL' ` �
30. Drywali Naiting � ' � ' -'' HEALTH DEPT. REQUIREMENT
31. Plaster Brbwn Coat � , �: ;� . , , � :7g, F(NAL INSPECTION
32.'ElectriCal_PoWAr A4eterFinal - " ' 80. FOOD CERTIFICsaTE ISSUED
33. Finai Electric� .. � � " . � ��Notes: . � : .
34. Final.Heating�.& Air Conditionirtg . • � � :� � _ �' . '
i: � �
35. Final'Gas Pipe„Test ; ��� ,, r � • � . , . ` .
36. Hood�or Canopy . � - � �� . •�.�
- � . -
Y � , z.
37. Fina�Factory Fireplace' � � � - . � , -i
38. Final Plum6ing � �J � _ � - - �"
39. Watei�Service�Final - E; ' ' , �
, , , ,.
A0. Gas Service-Final • _ ., , r . , . . � .
41. Solar pomesticFinal =� " �. ' . - r _ ,
42. BackfloW P�eventer . � . ' �� -._ � _
43. Backflow Irrigation � ' � ; 4 � , : _ - . ',
r
44. Landscape Irngation System . , �' � � �. � � � -' �' � _,
45. Sound Attenuation ; '`. ,', � ', - , . , ' . . , ,
46. Nandicap�Regulationa � • . �
-';
47. FINAL STRUCTURE & BUILDWG " � " �
i ' �
48. FINAL PLANNING • -
�;
49. Eiectric Release to Edison • ' , ( � � �
50. Gas Release to Southem California Gas Co � ' �
51. CERTIFICATE OF OCCUPANCY� � .
No. Date
�.!
Applicanl to fill in all
�'ITY oF COSTA MESA CONSTRUCTION PERMIT
. ProjectAddress o��j�Q�ora � co - Tc-s � �A
ApplicanYs Mailing Address� ���1]._� �" ,4 ' 'J�'- ' �
Owner's Name ��'�', �-Y'. N l C 2� �� z u�fibne �'ZQ�,[�
Address�aSr/O�or�IflAM-nr. C'ns�fa-/1esA�Cq.9a.G16
_ �
Arch/Eng. � ' License No. �
Address.. ' �
Contractor'sName � Phone;
Address,lmailing) �
City License No.
LICENSED CONTRACTOR DECL RATION � �
I�he�eby�affirm that I am licensetl tler provislons of Charter 9'(commencing
with section 7000) o( oivision 3 o1'Che Business antl Protessions Cotle, antl
fOy IICC052 IS 10 illll (OIC2 dOtl 2ilECi. . . � �
�. License Class ' - - , License No.
Date ' Si9nature " • � ,
WORKERS'COMP,ENSATION DECLARHTION ' ' .
�'. I hereby`atfirin that I have a certificate ot consent to selLinsure or a certiticate
.;�pf Workers' Compensation_ Insurance, or a certifietl',copY thereot (Section .
:(��900, Lab. C.) i . � � � .
�"`�olicy No. ' � • Company
� e_Certifietl copy is nereby furnisnetl. ' , ' , ,
�Certitietl copy B filetl with the clty Builtling Division.
�, Date Applicant
EXEMPTION FROM WORKERS'�COMPENSATION DECLARATION
(Thissection neetl�no£be completetl i( the permitds tor One hunGretl ($300) or
� less): i i ' �
'�, 1 certify�that,in the performxnce of the work tonwhich this permi( is issueQ I
', shall n .employ any person m any an er so as to be me subject the �
' Work ' ompens io - ws of Caff i �
. Date 9nature�� V��C.o- �' �
'NOT CE: If, aftei m king M1is declarbtion, you shoultl become j to the
Work rs'� Compen5ation provi5ion5 Ot 4he Labor Cotle, you must forthwith
comply witn� such D/ovisions or Inis permit shall be tleemetl revoketl.
CONSTRUCTION LENDING"AGENCV � '
1 her¢by a(firm that there is a construction lentling a9ency to� the Oe�fo�mance �
ot the work for which thiz permit i5 issuetl _(5ection- 309] Ciy. CJ
Lentler's. Name`
�entler's'Atltlress � -
OWNER BUILDEH DECLARATIOfJ � ' ' '
I hereby, at(irm'that I am.ezempt trom the Con[�acto�'s' License Law tor the
followinq reason (Section 7031.5' Business antl Professional Cotle: Any dty or
county wM1ich requires a permit to const�uct, al�er, improve, tlemolish o� �epair �
any structure, prior to its issuance,-also requires the applicant for such permit
�to tile a si9netl statement'that he/she is licensetl'pursuant to the proJisions ot
the Contracror's License Law (Chapter 9(commencing with Section 7000) of
Division, 3 of t�e Business antl Professions Cotle) or that he/She is exempt
�[he�ef�om antl the ba5i5 for thE allegetl exemptioo-: Any violation ot $ection
:?;J03P.5 .by any applicant for a. permit subjects..the applicanl to a�civil
<'. enalty of not more than hve huntlretl tlollars ($500).
�� I, as owne� of the property or-my �employee5 with waqes as thei� sole
�compensation, will do the work, antl the structure is�not Intentletl or ofieretl
tor Sale� (Section 7044, Business antl Professional Cotle: The Contractor's "
License law tloes not apply to an owner ot a property who builtls or improves ,
thereon, antl who tloes such wo�k himself/herselt.o� through his or'her own
em010 s, p�ovitled that such improvem¢nts a�e not intentletl or offeretl for
sale. howeve�, ttte builtling or improvement is Soltl within one yea� of com- �
ple on, the owner will have Ihe burtlen of provinq he/she Cltl not Duiltl ot im- ,
P� v0 tar the purpose of sale). - ' ,
1, as owner of the pwperty, am excluslvely contra<ting with licensetl con- '
tractors to construct the project (Section 7044, Business antl Pro(essions Cotle:
The Contrac[oYs Litense Law tloes not apply to an owner of pro0e�ty�who
ouilds or imoroves'thereon,�antl who contracts for such projects with a' con-';
ira, or(sj license pursuant to the Contractor's License Law). I Sm aware that .
p oi of their Worker's Compens rance shoultl be provitletl to me. �
I am exempt untler Section B. & P. C. for [his repSon
1 �� �. ! 1
Date � iy�. �"� nwn i-Wee �
I her9by certit�/ ihat I. have read this aov�ication and statc�tN�t,tlie'above
information is correct. I agree to wmply with all city ana county ortlinances
antl`state laws �elatinq to buiiding wnstruction antl�hereby authorize �e0re-
sentatives of this cily�to en[e�-upon th¢ above-mentionetl property fo�
inspettlon p�Q oses. � !� ,,�, .�
Signature - I.l ��y�t re /]%�
. I I�B1"'P�"'°" Fee
CMF 0865-46, rev. 10/B4 White - Building; Canary - Applicant; Pink - Accounting; Goltlenwtl - Assessor
$15
Solar Collectors
Solar Piping, '
Solar Tank �
Swimming Paol w/�
Urinal
Water Closet '
Water Heater •
-Water Service .
Auto-Wash
-Laundry TraYs : �
� I
Issue Fee
�
' FEES
Hotid or Type l� �� .
Canopy Type I I ❑
I
Refrigeretion System
❑o-ioo,000aru ❑ioa,000
System Repair/Alteration
FireDampers � ;
Registers , •
� f
Issue Fee , $ 3
S Main Bu
E ,
T Fiont'1
e Rear 7
A
C Right
K Left
S
Ping. Ref-�
Planning No�
� S�
� ',�
u!: 1 •: �
����� A�:�_
-. l� l i Y` Ga2c�cmrv
� i-
� '
� Pa�king Re
!I,O.'S1(1(a Ct,�P_Q.. �bEt.l.
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher . � .
Dryers �Gas ❑Elec
Fan ,
F.A.U.
Fixfures ��- �
Device Boxes � �
A
Idin9 ��__ .
O
N
- I i
, � i" G
- . R i
'rovided� ;_ � " � E. 1
. • '. . Q �
PJ�1 ' . Q �� M ,
� T:
i r�. � ' - -. S � i
� ELECTRICAL ' , I , ' FEE
Trensformer ❑ 15-50-KW � �
' � ,0 50+,KW • i
� Meter ❑up to 100 amps � . !
, ' Meter ❑over 100 a'mps --. � '
Garbage Disposal
Generator �0-5 KW �5-75 KW
Sub Panel ' , �.
Momrs O0.1 HP O1'K�-�8
Inc.Solar:09-75 HP ��16-15-
Microwave . .�. . �� � .' �-
Pole Light � �, �, �
Range ' ! �
Sign
; Standing,Sections '
. Trash Compactor � �
Reinspection Fee I$15 � luue Fee '$ 3
DEVELOPMENTSEHVICESREQUIREME7 TS: i ' '
Zonin9 APProved BY � `�'U� Data=i� '
Building Approved By � I ' ' ' Date �
Appliption laued By � '�-�-�^'�'�-- Date I
� SUMM RY QF FEES �
BUILDING PERMIT $ •Q� SMIP ', $
� PLAN CHECK I $ � PERMIT �
� PLUMBING � $ � ,ISSUANCE $
� � ENERGV P.C. � $ �
PLAN CHECK 25%� $ .
GRADING • $ �
ELECT,RICAI , $ i -
PLAN CHECK 50%' $ � MICROFILM $ -__�_
MECHANICAL �' $ � TOTAI FEE � � $
PLAN CHECK 25%,$ � � � ' �
. . , . > �.. . _. _. _ •
•,,
( � CONSTRUCTION AND PLANNING 7 � • : POOL � ..PA �_
, Date'- Inspector ' " � Date Insper.tnr
APPROVALS Permit �{! . - APPROVALS Permit # .
'1 . Temporary Electrical Service or Pole �_ - 52 Pool & Equipment Location -.
2. � Soil Pipe=Undrgrnd. ' . � � 53. Steel Reinforcement •
3. Electricsl Conduit Utility-Undrgrnd. � 54. _Forms - �
��4. Electric8l Conduit-Undrgrnd. . � 55. Electrical Bonding �
� 5. Steel Reinforcement . r 56._ Rough Plum6ing &"Piessure Te:t -
'�6• Electrical UFER Grnd., , 57. APPROVAL TO COVER�GUNITE .
7. Footings � . . � � . 58. Electrical Conduit-Undrgrnd. �
8. Foundation 59. Gas Pipe, O Undrgmd., Test ..,
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, Q Und�grnd. .
. 10. Structural Floor System 61. APPROVAL TO DECK �� � •
71. Propertv Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
4 13. Roof Drains � �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 Electrical-T Bar Ceiling - � 69. POOL/SPA SYSTEMS FINAL �
79. Rough-Heating & Air Conditionfng , ,' � FIRE DEPT. REQUIREMENT
20. Rou h.Factor Fire lace �'� �
g Y p �� , APPROVALS Permit#
21. Ducts, in Structure ' � � 70. Underground Hydro
22. Ducts, Ventilating � . ' 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test . � . 72, Underground Flush ,
24. Roof Framing , . � _ 73. Undergmd. Storage Tank �Q Gas ❑ Oil
� 25. -Roof Sheathtng - . - 74. Overhead Hydro . �
26. T-Bar C�iling (Structural) & Monocoat 75. Dry Chemical •
27. Frame and.Flashing �, � 76. Dry Standpipe , �
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulati0n � � 78. FIRE PREV. FINAL �
' 30. Drywall"Nailing ' � HEALTH DEPT. REQUIREMENT � .
31. Plaster Brown Coat- .. 79. FINAL �NSPECTION .
�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 orCanopy � � � " � �-
37. Final Factory Fireplace - � � � ' -
�
38. Firial PlUmbing - ' . . , � .
39. Water Service-Final � � �
40. Gas Service-Final . , . �
41. Solar pomestic-Final _ _ . , .
�..42. Back4low Preventer � . � . �� � �
�'
. 43. Backflow Irrigation � . � � �' � � � '•�� � ' � �
44. CandscaPe Irrigation System , - - � � ' � � ,
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�� 45. Sound� Attenuation' � . i ' i , . ,
. � 46. Handicap Regulations ' � � _ '- , _ � ' � � ' ,
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�48. Special Requirements Completed - , ' � ' � , �
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49. Electrie Releaseto Edison � � � � � �; � � -- • - _.
50. Gas Release to Southern California Gas Co � -' � �, � �r �•
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THESE PIANS MUSi BE Ci! JOB P.i .'�
NiAKE NO CHAN6ES WITHOUT PRIOR . �;
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�'S,yLAdS AtiD SPCGFlCATIONS SHALL NOT F.= OilSTRUED
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%f VISICNS CF THIS COCE SHALL BE VAUD, C �CPT IN SO
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�' Ci::CAT10M1S $HALL �Ci PR:VC!T 7HE E'JI! �\� O(flClhl
i-I:OIN THEREAF7CR P:QUINING 7HE CC��RECTI79 C' C.2;t0.:S
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.iJ 91ID PIAN$ AND $fECIFICATIO':� C3 F37`A P�L7EAIl[d,
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JOBADDRES3 2570 Fordham Drive BUILDINGPERMITNO. #I�]���
P--'ERALCONTRACTOR Harbor COriSt, CO. VALUE $ ],],�ZOO.00
LUY 5Q BLOCK TRACT Q%Q(� $eS.�det_ gar.
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GROUP I& J TVPE V ZONE RJ1 FIRE DISTRICT �8�j
PERMITS 18SUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Footing Trench
Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Slab �
Plumhing, Rough Complete
Temporary Pole
Wiring, Rough
vSewer, House (,(�/i� Sewer, St. yY�.Gs S',/�('S � 4l�irn�- •�Z,y�i� �, ��
& Tank or Cesspool � �, —I�
La. .m. In Ouf r�%� , `�/�//�
Plumbing, Final, Fixtures Complete � �(����—�.
Piumbing, Fimal Gas Test /� �,� � �'"�
Wiring,Final ,;,�"'�j �( yy'd
Occupancy t-2�]— 'yr^�c.�;
, �
FORM 210 3M 10�•v5
. r�„ n n .. ,. O .`.
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.. Costa Mesa Bnilding Department APPLICATION FOR PERMIT
�= . P.O.Box3�� d��5 BIIILDING '1
- COSTA MESA, CALIFORNIA — — �
FOR OFFICE USE ONLY
FOR APPLICANT TO FII.L IN Receipt No. Permtt No.
Building . . I L//t//
Addresa 2 O FORDHAM DRIVE >>
Costa Mesa, California Received by Date Rec'd. Date Issued
Nearest ��i�rn %d-'�'%–� � ��''.7-� S�
Cross St. g • Building
Address
Owner (�, O L L E G E P A R K N O. Z Costa Mesa, California
Mail
Address z � �( $O. �l�A I N ST. Nearest
Tel. Cross St.
City SANTA ANA CAL i F. No. K I Zone // No.of Type Group�-
Architectar Lia 7 I Plans I 1J
Engineer No. Approved
by Dafe
_Address CORRECTIONS
City Lic / I
trectorHARBOR CONST.CO No. o '
Address SAME -
Legal I Lot I
Descriptlon No. 52 I Block I Traci�%26
(AtWch Metes and Bounda)
2 No.ofBidga
Size of Lot Q I Now on Lot �
l�seof � I No.of I No.of A
Existing Bldg. Famiiles Rooma �
Setback Line from Rear Vard Z
Center of Street � Side Vard . y
DESCRIPTION OF WORH ' �
New I X I Alteration I I Addition I
Repair I I Moving I ( Demolish I
Building No. of
Size � 7 Rooms Stories
erfor Wali I Roaf
ering Covering ApPRQVE��.�'
Use of New Foundation Location Inspeotor � Date
Building RESI�ENCE &: DETACHED Forms,Materials,
G AR A G E Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acicnowledge that I have read Uus Applicatlon
and state that the above is correM and agree to rnmply Lath. Int. �
with all City Ordinances and State Laws regulating
building construction. Lath. Ext.
Signature of
Permittee HARBOR CONSTRUCTION C0. P�aster,�nt
Authorized Agt plaster, Ext
Valuatlon Pe�mi! Fee $� g'— Masonry Reinforced
Plan Check $ �y gond Beam
S I I �200. Total t�
Fee $ 7 `�'� FINAL
vonM xoa� io�ss o. r. e s.