HomeMy WebLinkAbout2738 FREMONT LN - Building PermitsPNOJEC7ADOHE55: Z-�3S FREMUNT LN
OWNEH'SNAME: NUNN, JEFFAEY E
ADOPESS: NUNN, KATHLEEN L
2738 i�REMONT LN
COSTA MESA,CA
pHCHIENGINEEfl: 6 6 2— 5 9 7 �
AO�PESS:
UNIT:
92626
flEG.NO.:
UNIT:
PEflMITTEE: NUNN CONST CO ( 714 ) 556-3750'
� nooeess: 2�38 FREMONT LN
C.M. CA 92626
LICENSEO CONTBRCTaP �ECLANA710N: I hereby affirm �ha� I am licensed under provisions ot Chap�er 9(cammencing wi�h Secliop
7000� oi �iv��sion 3 oi the Business antl Pm�essions Cotle. antl my license is in tullforce an0 efiect. /
cirr uc.: 3 040 STATE LIC.' a 1'75 cuss: H�
�aie'. D SignaNre:. _
WOPNEflS' COM NSATIO I OECIABpT10N: I hereby alfir ih I avi ceNi ate oi conseni m seli-insure or a certificate of Wmkers'
impensa�ion Insurance, or a cer�i�ietl copY thereoi (Seciion . C�.
JLILY NO.: EXP. DATE: , �
COMPFNY: �
❑ Cenifiea copy is hereby fumishe0. ❑ Cenihetl wpy is liled with �he ciiy BuilOing Oivision.
�aie: Applicant
E%EMPTIONFHOMWONHERS'COMPENSIITIONOECNNpTION: (Thi55ec�anneedno�becampleleUil�hepermi�isiaranehundretl�$100)orless).
I cetlity ��al in Ihe performance a� the work fo �ich �his �mi� is i I shall • mploy any person in any manner so as �o become�
su0lect lo �Ae Mers' C�9./Q+ensalion Law of Cahbmia.
Date: l O Signature:
NOTICE: If. a��¢r m ing Nis tleclara�ion, you ShOul 6et �e SU le �o he Workers' Compensaiion pmvisions Oi �he La�or
Code, you usl forthwi�h compry with such provision sha I be deemed revoke0.
CONSTNUCTION 1EN01NG AGENCY: I hereby a�lirm Nai ��ere is a cons�mc�ion lentling agency lor lhe pedormance o� Ihe work �or
w�ic� this permn is issue0 (Section 3D97. Civ. C�. '
LENUEH:
FDOflESS:
OWNEfl BUILDEfl OECIAflATION: I �ereby aifirm Ihat I am exemp� �rom t�e Comracmrs' S�aie License law br ihe following reason
(Section 7031.5 Business and Pmfessional Code: Any ci�y af couniy w�ich reQuires a permit �o con5tmci, al�er, impmve, demolish, or
repair any s�mdure, prior Io iis issuance. also reqwres the applican� �or such permil lo lile a signetl�statement that he/she is Iicen5e0
pursuanua the pmvisians af Ihe Comracmrs' Stale license Law (Chapter 9(commencing with Section 7000) ot �rvisian 3 ot �he Business
ane Prolessions Cotle) or t�al helshe is exemp� Ihere�mm antl ��e basis br �he allegetl exemp�ion Any violalion oi Sec�ion 7031.5 by
any applicant �ar a permi� subjecis �he applican� to a ciNl penally o� nol more �han �ive hundred Oollars (5500).
I. as owner, o� �he pwpehy or' my employees wi�h wages as Iheir sole compensation, will do �he work, antl ��e
�� slruclureis no�in�endetl orolleretlfor5ale�Sectmn 70a4, Business and Pmie55ionalCode: The Coniractors' Sta�e License Law
does not apDly to an awner of a propeMy w�o 6uiltls or impmves ihereon, antl who tloes sucll work himsell/herself or ihmugh
his or her own employees. pmvi0ed Ihat such impmvemenis are mt intended or offere0 for sale. I( however Ihe builtling or
• impmvemenl is soltl wi�hin one year o� compleiioq �he owner will have Ihe burtlen af pmving he/she aid noi huild or improve
for the ourpose oi sale). -
I. as owner of the pmpe�y. am exclusivelp conlraciing wi�� licensetl conlracmrs to consimct the pmiect (Section 1044, Business
❑ antl Pmiessions Coae: The Convacmrs' Sla�e License Law tloes not apply Io an awner o� pmpeny who huilJs or imOmves �hereon
ana who conirac�s lo� suc� prolects wit� a contracmqs) license pursuanl la Ihe Contracmrs' Staie License Law). I am aware
Ihat prool ol iheir Worker'S Compensa�ion insurance should be pmvid¢tl to me.
� I am exempi un0er Seclion: B. 8 P. C.
for �his reason: �
�ate' Owner
I tlo �ereby cenify �hal l am aware o� ana undersiantl �he requiremenis of Califamia Healih and Safeiy Cotle Sections 25505. 25533, and
25534 antl Ihai I or any Wture building occupan� willlwAl nol (ci�cle one) neetl �o comply with saitl 5�aie co0e5 and Ihe requiremenls lor a
permi� lor conslmction or motlilicalion Imm �he Air �ualily Management Oisirict. flesidenlial cons�mc(ian aDPlications are exemD� ��om
Ihese provi5ion5. '
Oa�e: NpplicanC.
I hereby ceriify �hai I have rea4 ihis applicalionp nd 51aie �hal �he a�ove
ortlinances and stale laws relating io buAAmg cq�slmqion � tl hereby aWY
o�openy.f^or ins1A-enion � irposes. /
oate: _I( \ I I_���„f�1_� SignaWre.
�-� �— _
Oriver'SL¢enSAorsod secmnya:
lo tompty wi�� all ti�y antl
to enter upon �he aboue�me
J64La6 Wbpe-9uilding: Green—Cotle Enlorcemen�� Canary—ApplicanC Pink—Revenue: GolOenmtl—Hssessor
CITY.OF COSTA.MESA —,BUILDING PERMIT
PERMIT NO: BE 099�499 PLAN CHECIC NO: 06255-90 5
CONSTRUCTION TYPE: PERMIT TYPE: ELE STR�
JOB DESCRIPTION : ADD 71SF TO ENLARGE LIVING ROOM
PERM NO: BE 049499
GOVT: N SUPP:' N
PURPOSE: ADD
SQ FT: 71
CLAIM VALUE: 9,000.00 CALC—VALUE: 4,899.00 GROUP OCC: R-3 / ,
COMMENTS; X � •
****��r**��**+�*�*�*�**�*��*��**x**���r***�r+�*�*��rx��******��rrt*���+�***���*�r�*�***�r**
Z O N I N G R E Q U 2 R E M E N T S
' � S E� T,H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: 20 FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
PARKZNG REp• PROV: PARCEL: 14155203 2NE: R1 REF NO:
PLANNING N6T'ES> ADD BAY WINDOW TO LIVING AOOM '
i
�r***��r�**�r�+r****�r***�r*�e�r��*+���r*+�x�*��rx****�r*�rxx*�***�**���*��r*�r�r*�rx��cx��x�*�**+��*
, D E V E L O P,M E•N T S E,R,V I C� 5 A E Q U I R. E M E N' T�,S
ZONING APPROVED BY ' � C��a_0. DATE: �(�"I���
HUILDING APPROVED BY-:
�
DATE:
APPLICATION ISSUED BY: 'f '�1� DATE: ��l ��
iEfFifiEiE�FiFikififikiFiFiEikikiFikiE�kkki�fE�iF�� ikiF��iE � iEiFlEifif-0f;E�i��iE�1f1E�IFiE�lfifiFif�ik �%# iEi iF r if
iF iE iE 1E k 3E iF �)t iE if iF iF �E ik �t ik it ik iE ik ik iE 3f iE iE if iF if !F iF ik ik if iF iE iF ik if 3k 1k iE �F iE iE iE 3F iF iF1f iF iE iE 1E M iP ik IE if iE iE it i! 3E 3F iF if iE �lE # 7F �JE i! 9E if iE �E iE if iE
LEGALIZATZON:N , F E E S U M M A R Y STRUCTURAL SEGMENT:Y
FiLDG PMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/RGS GRADING
PEkMIT 72.00 75 50
SOR SMIP/NON—RES
ISSUE FEE 46.80 15.00
BUILDING—DIV—> ,PERMIT ISSUE PLAN—CHECK TOTAL PAID ' DUE
TOTALS----> 73;25 15.00 46:80 135.05 135,05 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 135.05 OVfiR/SHORT: .00
' BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT 'GAADING PLAN—CHECK
. 72.00 15.75 .50 , 46.80
iE aE iE 3F iE 3! iE iE �E iE jElElF 9f dF 3k dElE iF 1kiEif dE dF dE 3k if iF iE ik ik if dk iE iE iE dk iF iFlE3F jF �F it di ik * jFlFdE dE dElF iF 1E j! 1E jElF �l(� IF iE 1E iE 1E 3E jf 3f dE if jf jf if iE iFlk iE 9E df
I N D I V I D U A L E E E B R E A K D O W N
TYPE
SFR
EL E
QTY D E S C R Z P T I O�N UNIT COST
71 DWE—TYPE V—WOOD FRAME —GOOD 69.00
1 RECEPT/OUTLET 1 ST 20 EA. .75
END OF FEES
�
TOTAL COST
4,899,00
.75
�
�
CONSTRUCTION AND PLANNIfv.. .. � $ SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1: Temporary Electrical Service or Pole 52. Pool & Equipment Location -
2. S4'il Pipe�Undrgrnd. � � ; 53. Steel Reinforcement �
3^,Electrical Conduit Utility-Undrgrnd. 54. Forms �
'4: Elect�ical Conduit-Undrgrnd. 55. Electrical Bonding .
i�5n�Steel�Reinforcement � 56. Rough Plumbing & Pressure Test �
"6."�Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE c-
�):r..
' Z.,�F;ootings - 58. Electrical Conduit-Undrgrnd. ��
�.�Bf �Foundation ' �_r _ 59. Gas Pipe, O Undrgrnd., Test -�,�
9. Water Pipe-Undrgmd. •�� - 60. Backwash Lines, P-Trap, O Undrgmd. ' �
10. Struttural Floor SYstem • _ 61. APPROVALTO 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
16. Rough Electric Wiring 67. Fencing & Access ApProval '
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical;T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning " � FIRE DEPT. REQUIREMENT
�7 S , �
20.; Rough Factory Fireplace '"« �'7 � �' J � .x .��. rAPPROYALS''- �Permit # �
c. ti �I: 'I �� � :F t .
21. ��Ducts, in Structure : � •• •• ;.�: t :: � '-a !� y�� 'j0. Uriderground".HyF1Po �
.. � ..
22. Duct's,Ventilating. ' `��l �� _ �;��,�; ,�77, Producr.PpingO'Gas ❑Oil
. i
23. Gas�Pipe-Rough & Test �� ��i �.� i� • i �f, �j�i .i� 72. Underground Flush- V !:
� � � F. . :.�:. .�; � - � ".r '. r. �.
24.�Roof�Framing' � �, * - ;i �_� * ;�3._Undergmd^StorageiTankOGas ❑Oif -
., � �
25. Roof,Shea[hing • �y '� tV i. + 74.; Overhead Hydro � l
26. T-Bar Ceiling (Svuctural) & Monocoat '� �" u ti - "'-" i� 75.�Dry CBemical '' � -'
�, � � i �. � � t: �: .s ..
` .. .. ��'' . . .a :r. � �.�, y .
27. Frame and Flashing; ,,..; r.• u� V: ,.�: .r 76. Dry Standpipe �;;z
�28. Lathing�&Siding �� ' �'Q%'= "� ' "�"-�� 77.�'",FIXEDSYSTEMiF:INAL". '�"'
� rir•-, F �i::i' 7.
�29. Insulation �. � � { V� � �f * 78 -FIRE PREV. FINAL . � '
''30. Drywall�Nailing � � `� + �� #� " HEALTH'DEPT?'REQUIREMENT
�� � �� -i : c. �a� i� �. �..
� � . Y � r i �. •! '1. l`� _' � . ' .; :r 'r
r31. Plaster Brown�Coat :� r.��r p � � L?. n79. FINAL INSPECTIO.N�. g i�
�`32.'Electrical�Power Meter�Final � � � y y'�' i � (.i a::80.; FOOD CERTIFICATE� ISSUED
-33.��Final Ele¢tric�, t i�� � ` �y �� � �:r z �Notes: r ;; . _ _
��34. Final'.Heating'& AirConditioning� �t> ! � � �� �i '�' •:�� �> ' _ � _ . "
� .�. y �.ut P'� I :Y_ �: ��) fa:..n ..�r _
r. . .I F �r:l -j: 1' ' , �`..L (� _ ' lJ:)4. ' Y" `
35.,-Final Gas�Pipe-Test � , ,,, i, , ! , ` Ym _ , -;-
r�
r:36. �Hood or:Canopy + ' • ' r'• � - ,�; +. : �+ Y� •cr s' _ � � -
+ L^ �rl _ � 1 IA '4� 1 � - � -�
♦' -�
^ ' 1 t : '.. � :a C7 .'� � 0� ��
,37.�Final'Factory Fireplace , „�_ :,��; ' `�';
i I�
�38..Final�Plumbing �+ �� � � ' � � °-V� -� *
- � �Y' L 'I_' � �)
�39.;WaterService-Final' ' - � �.; I � I,�'.�,.�' � r '
,40. �Gas,Service-F,inal • ,-���� � �� - . �•
n i ; '
� I Ii. '�.
=�41.<Solar pomesticFinal � - " ; ' � f,� a �'- '
� .i t I I�{� -•i= 7 e.
�42. Backflow Preventer . � � J � , �r x 1 j = . - _ -.
� + M
43. Backflow Irrigation' , � • �' ,,. � ,.',; r. `- �' , - .. -, ,
, �. _
�44. l.andscape Irrigation System. �.�+�� �" ' *� '<' C' � '� �' •�� - . -r
.r .. .-
' 45.' Sound Attenuation' ;' � ` � " ; ' ,`, ` ' ;�� " i `� ' � �''G '
. � i` .. ,; � t i � � � .
'46.�Handicap�Regulations _i . � .i � • cj;� . .
47. FINAL STRUCTURE & BUILDING f. - �I ��_ ` -
48.�FINAL PLANNING. i .. � ' :fic : � �-' '
��
-49. `Electric Release to Edison ' � � � �� � � - ' • '
... ' '.1. ��i , w
.50. �Gas Release to Soutliern California Gas Co * .i. F � - • - � • •
- ' - ,� .
.51. CERTIFICATE OF OCCUPANCY + , r�'�� ' . � � _ -�.
No. Date
� .- ,__ ,.� - .
_ . Appiicant to fill in all spaces except enose witnin heavy eortler tines ane sign ali apOrov�iate tleclarations. �
C!TY 9F COSTA MESA UCTION PERMIT � ' PERMi i NO. � � TRACT NO. LOT N. UNIT NO. � . . , � � '._ J , � ' � ;
'7-7'� ��2��T' l-l�� 3 0 013 Z �5 (� � : , . ; .
��ject•Add;es;, , ' �- ' '
� ApplicanYs fulailing Addreu ' S"��� ' .xi,TYPE OF'CONSTRUCTION NEW � DD �ALTERATION REPAIR
a�.. �\, �� i� ( O)CONVERSION ❑ DEMOLISH ❑ OTHER q,p,#'. .� � _ 2one _ 1 �
Owner's Name���`*1J�� � Phon D SCR�PTI OF O USE F BLDG. '
Address �2'�,��,a - \ i � - S Main Building: � ' Accessory Buildinq:
ArchlEng. �-`-j�����'^�� LicenSeNo. � � �,T.VPE.OFPERMIT�q GRADING FOUNDATION TRUCTURAL T Front , . � � 1 i � p
Add�E55 � � ' j '-"O� ENANT LChELECTRICAL �PLUMBING MECHANICAL . � B R¢a! , i� I J . N
. ,
/�� , G_ � . S, ��. I O OTHE(3. . . . . A I
CO�dCtOf�SNdRIP �•'����h0 ' '�Phone . C Right � � ` - ' � � N
�.� . � � PROJECT DESCRIPTION Sq. F7. � � ocCVaarvcv
Address (mailing) • • �� ' ' �, , `,] .1� K � • _ � , - G
� O CON9TRUCTIONTVPE VALUATION$_11Y� g Left - : R
City LiCense No. ' ZONE- •GRP.DING CU. VDS. ACRES � � '
LICENSED CONTRACTORiDECLARATION "� Ping. Ref. # �Parking Req./Provided E
Q
1 hereby a(tirm that I m�icenzetl untle� p�ovision5 of Charter 9(commencin9 ��Remarks�' � / C � PI3n0iO NOt¢5: rn h •� M
- wi[h settiOn ]000) of�Division 3 ot the Business�antl P�otessions Cotle;.antl �'`- • 2"' �� 9 ,• , r''
my license is in full fo` antl eftect. /� m�j ' ' T
License - � � � Licens No. � S,
Dare ��' 1 C' � 'gnat� ^-^+i• �/� �� - � ` ' ,PLUMBING ' . - -FEES ' ' � � � � -
WORKER ' COMPEI�6ATIOfJ DEC ION ' " ` Bar Sink I Shower5 � - ' � "
' 1 hereby afflrm matlrtiave",a' Eertificate oi consent to selt-insure or a certificate _ OJ 'ELECTRICAL' , � , FEES .
of Workers' Compen5dtioB.l �surance, or a certifietl copy Mereof (Section ' � � . � � �
'0, Lab. C.) . �+ �'�. . � . Backflow Preventer Service Sink Automatic Wash'er � �' Traosfoimer..0 75-50 KW "
:y No. -' ' Company ` � __ Backflowlrrigation SewerCap' - � Construction�PoleSub. " ` � 50+KW � �
Certifietl mpy is herebynfurnished. � � '�
❑ Certifietl copy is filetl wNh tpe city Builtling Division: ' ` 5 �! Bathtubs Sewer'Connection ' Cookin9'Unit - Meter ❑up to 100 amps � � p���
' Date � •Applicant - � � ` ' -
E%EMPTION FROM WORI(ERS' COMPENSATION OECLARATION ��� Clanfi�r5 � �,, ,Solar Collecto�s' Di5hwa5her ' ' 'Meter; �ovef 100 amp5 -
(Thissection neetl noC�Ge"csmpletetl if the permit is for one hundretl ($100) or: ��
� Iess). � • jn . � i � %� Dishwasher'' , Solar Piping ' Dryers ❑Gas ❑Electric; � Sub Panel � '
I certity tha in the er(orrrldnce of t e wo which t is per �t is i55ued, b
� shall not e pioy a�qper?on in any a r as to b m subjecYto the "�"i ,. Drinking Fountains Solar Tank � Fan � F{p 07 /- g
P • , . Momrs �0-7�
worker e a i s ot Calit L(� �� m -t' tr '� .
Date ' iqnature � � - Roor �rains " Swimming Pool w/Spa ' F.A.U. ' '- InaSolar �9-15 HP �i6-15+ � '
NOTICE: If after aking this tlecla� tio o houltl become sublect to the •' , -
Workers' C mpensation provisions o e r COCe, you must forthwith FloorSinks�- U�inal . ' Fixtures � ' t..
1 com I witn such p , -• , � _� Microwave
p y p�ovisions or this ermit shall be deemetl revoketl. �v
CONSTRUCTION LENDING AGENCV '�
i GasService� Outlets� ��WaterCloset'. Device oxes .�
I hereby aftlrm that fhere-is a construction lentlin9 a9enq for the peitormance - --+-� ^� Q . Pole Light .
of the work for v✓liich tM1is permi[ is issuetl (Section 309� Civ. C.) '' ' �J �� "" ' �+' -
Lentler's Name ��� Interceptors.-yi,.� • '� Water,Hea[er ' ��. Outlets%� Range'� '�i, 8U
Lentler's Atltlress- � � � • , � - � Kitchen Sink _ ' � �1• Water Service - - - Switche�� r' ' ' � - 5�9� l - �
OWNER BUILDER DECLARATION . . . ' ' - �'
I hereby affirm that.I`5m exemot trom the Contractor's License��aw.for the , �LavatoriesA � �.r; °+� ��/� Auto Wash � p� Garbage�Disposal ' Sfanding Sections ��`
following reason (Saction 7031.5 Business antl Professional Cotle!'An"y city or -- �
county which requires�5'permit to const�uct, alter, improve, tlemolish or repair P-T�y" ' ' " ' i..
P;i� .,� Laundry T�ays Generatoi �0-5 KW �5-15 KW Trash Com acmr
any structure, prior t0-its issuance, also'requires Ihe appliwM for such�pe�mit ^' �� �' i P
to tiie a signetl stateinenCthat he/she is'Iicensetl pursuant to the pIOV151005 Of � ROOFA�31f15 �� ��� � - �'i. ' -
�
the Contractor's License law (ChaOter 9(commencing with Section;]000) of ' ' :n " -• .
DiviSion 3 of the Business antl Professions Cotle) or that he/she is exempt ' . —
[her¢from dntl the basis to� the allegetl ¢xEmption. Any violation of Section . '
' 7n�1.5 by any applicant tor a pe�mit subjects the applicant to a civil
�ty ot not more tM1an five huntlretl tlollars ($500�.
as' owner ot the prope�ty or my emplOyees with wages as lheir sole Rainspection Fee $15 ISSue F¢e $ 3 '-
..pensation, will tlo the work, antl the structure is not intentletl or offeretl Reinspection Fee $15 ISsue Fee '' ,$ 3
for salc (5ection �o44.'Business antl Professional Cotle: The Contractor's - MECHANICAL FEES '
License Law tloe5 not apply to an owner of a prope�ty who builtls or improves
thereon,-antl who tloes such work himself/herself or mrough his or her own � , DEVELOPMENTSERVICESREQUIREMENTS: � r�
employees, provitletl tha[ such imOrov¢menis are not intentletl oLoiferetl for BOiI¢f HOOd o� Type I ❑ , _ . Y,( /�p� � 3�
sale. If; M1oweveq the builtlin9 or improvement is Soltl within one'year Of com- . CdnOpy Typ2 I I ❑ ZOning ApproV¢d By _ �—'�Qate
O�etion, the owner will have the bu�Cen of provinq he/she tlitl not bulltl or im� Duct - Under Ground � ! guilding Approved By � _Date �%%
prOve for the purpose ot sale)., , �
❑ 1, as ownet ot the property, am exclusivery conVacting with licensetl�mn- Duct - Structural Refrigeration Sys[em � Appliration ISsued 8y Date �� �� ���
Vaciorsto construct the project (Section ]044, Business antl Professions Cotle: - _
. The Conbactor's License haw tloes mt apply to an owner oi property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU � � �� ' SUM� Fj,V O EES � �
builtls o� improves thereon, antl who contracti for such projects with'a rom $ �� SMIP . $ I• 3 6 -
tractor(s) ucense pwsuant ro the contractor's License Law). I am'a'ware tnat Exhaust SYstem ❑ Multiple ❑� System Fiepair/Alteration BUILDING PERMIT
proof of their,worker's Compensation insurance shoultl be provitled to me. � _ PLAN CHECK $ ;'v PERMIT ' •
❑ I am ezempt untler.5ection e. & P. C. for this reason Fiiepl/FacL Blt. ICBO # Fire Dampers
• � ' PLUMBING , $ � � ISSUANCE $ �
Date I '- owner � - Heating System & Ducting - Registers p�qN CHECK 25% $ �. � ENERGV P.C. $„ - �
i hereby certify that i nave read this appiication and state that the above ❑0-t00,000BTU �100,OOOBT ELECTRICAL GRADING $
�information is corr . I agre comply with all city antl county ortlinances ' ' � ' . ' /
�ana state I�ws ing to b il in •construction, antl hereby aut rize ore- . PLAN CHECK 50% $ •3 � MICROFILM $ ^
'=ntatives o ity to en � upon Ihe above-mentionPtl oPer �tor i \
''oection "f�` � � MECHANICAL y yS��l% ''17 •D%�''
'. ature _ .+� � • TOTALPEE $
�. �^�; icense 5 � ' fieinspectian Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ � �!% ' ' � ,
'� rev. 10/B4 Wbite - Builtling: Cana�y - Applicant; Pink - Attounting; Goltlenrotl - Assessor ��---�J
� CONSTRUf.TION AND.PLANNING
APPROVALS Permit#� ,Date
1. Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. � /C-6�;
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd. `
5. Steel Reinforcement � _ ,
6. Electrical UFER Gmd. ' (O-L-
�7. Footings � �G�_
8. Found'ation� , , �� r0-6.-�
9. Water Pipe-Undrgrnd. � ��.�_
10. Structural Floor System
11. Property Sewer Line & House Connection ,
72. Sewer Cap � -
13.' Roof Drains
14. Rough Plumbing � 21�76
15. Rough Electrical-Conduit
16. Rough Electric Wiring ,
17�. Rough Wiring Sign �
18. Rough Electrical�T Bar Ceiling
19. Rough Heating & Air Conditioning �� b
20. Rough Factory Fireplace � �
21. Ducts, in Structure
22. Ducts, Ventilating .
23. Gas Pipe-Rough & Test
24. Roof Framing - �, �
25. Roof Sheathing . � �!
26. T-Bar Ceiling (Structural) & Monocoat
27. Frame and Flashiny -
28. Lathing & Siding �
29, Insulation �. /Q
30. Drywall Nailing
31. Plaster Brown Coat ��
32. Electrical Power Meter-Final ;���;
33. Final Electric �
34. Final Heating & Air Conditioning g
35. Final Gas Pipe-Test
36.� Hood or Canopy
37. Final Factory Fireplace�
38: �Final Plurtlbingr Y i
�39. Water Service-Final .� .
'40. Gas Service-Final �
,4,1. Solar pomestic-Final
'42. Backflow Preventer . �
�43. Backflow Irrigation
� '
44. Landscape Irrigation System
�45. Sound Attenuation
�46.-Handicap Regulations
47. FINAL STRUCTURE & BUILDING
;48.;Sqecial Requirements Completed
49.;Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANC`
o. Date
� • , POOL & SPA . _
- Inspector � AppROVALS Permit # Date
. 52. Pool & Equipment Location. � �
7 Li� 53. Steel Reinforcement � �
54. Forms � � '
„ ,
55. Electrical Bonding �
i
56. Rough Plumbing & Pressure.Test '
i L�J 57. APPROVAL TO COVER-GUNITE ,
r L�� 58. Electrical Conduit�Undrgrnd.`
� �,k� : 59. Gas Pipe, � Undrgrnd., Test . �
i �„�p 60. Backwash Lines, P-Trap,'� Undrgrnd. '
� 61. APPROVALTODECK �
62. Backwash-& ReceptorFinal; ' �
' 63. Heater & Vent-Final � � �
64. Plumbing System - Final ' . ,
L� ' 65. Electrical-Final � � � �•. i . �
66. Solar System-Final � � • � .
r• - 67. Fencing & Access Approyal . -"
' •r, . 68. APPROVED FOR PLASTERING�
� 69. POOL/SPASYSTEMS�FINAL
- �,� FIRE DEPT. REQUIREMENT '
� ' APPROVALS Permit# '
70. Underground Hydro ''
71 . Product Piping � Gas ❑ Oil . �
72. Underground Flush . � ' `
',
y 73. Undergrnd.StorageTank OGes ❑Oil �
� 74., Overhead Hydro _
i
75. Dry, Chemical . . '
76. Dry Standpipe _ . � -
� 77. FIXED SYSTEM FINAL � .
i B'�%' 78. FIRE PREV. FINAL '
� HEALTH DEPT. REQUIREMENT
79. FINALINSPECTION � :' �
80.� FOOD CERTIFICATE ISSUED
� Notes: / A.'� /'�. . _ .f4��iti - �' .. 1 �
�
9
. 1�`�� e
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 977 C08TA MFHA. CALIFORNIA
For Applieani fo F111 In Compleiely
� � � TYPE OR PRINT
BUILDIN6 2736 FY�emont Iane
ADDREBS
COSTA�:MESA CAUFORNIA
owNen Mesa Del Mar Development Co.
MAIL 3g� ��• Coast Hikhcray
ennerac
ona del 1�ar Cali£• TNO.OR
_R Macco Corporat9nn No; OR
3800 E. Coast Highwa,y
iR M3CC0 COPPOT3t]AR
c�rr Cox+ona del °�ar Calii•
ucTNo. 98808-SB=1 No' OR 3-Z4
gF �oT 655a s F Pins I NOWOON �
use or � none . �
EXIBTING BLDG
8[TBACK LINB PROM
C¢NTHR Ov eT1uET �9 � ' REAR YAR[
61DE YARD I LEFT � I RIGHT S�.
DESCRIPTION OF WORK
. . I. II I II � -
,BUILDING �Q�
■ U9E OP BUILDING
� NO. OF 6
ROOM6
ROOF
O WYERI G C'
NORK TO BE PERI
Lot 61, Tract 112tS5; �an�IVED
SEP 6 1981
INANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Oifice Use Only
RECE�PT NO. PERtdIT NO�
av I owrynec�vep� I owre issuao
X �-/ Y
BUILOING
COSTA MESA. CALIFORNIA
FIRE
ZONING
NO. OF use oF n
ruHa auao�ea
LEGAL
' f' (GBNT[P LINe eT.l �
FRONT 6
R.SIDE �
L.SIDE s
REAR �6 �
APPROVED / . : / n _
1,
3
O1'�
1 XEpESY AGNNOWL6DOC TXAT 1 HAV6 R6�D TH�9 APPLIWTION THE AMOUM BHOWN UNDER VALUATION IB FOR THE
ANO BTATE TXAT TH8 ABOVE IS WRR6�'� ANO AGPEE TO COM- pUPP09E OP, E6TABL16HIN6 A PERMIT FEE ONLY.
PlY WITX�ALL CIT' ORDINANCEB AND dTATE LAWB qtOULATINO
emLolNa CONeTRUCTIon. VALUATION
SIGNATURE OF a Del D2V8�.O IDGII'f. CO• PERMIT FEE $���
PERMITpT�E� r ^7
� "J � � $17,326�� PLAN CHECK $ ///,�^
AUTNORIZED A � �f
TOTAL FEE �G�[O
. : v�.. Cr K une.+� K . ,
. � , ... . .;.'l'4�i.., ,.,, ij vv,+ or" � ' �� )�J� 7"'i f1' a',qri � t,irp+�.V,tirt+ni,'�}. ; Pd.:r ,..
� .. l �l . �. � .
. l Y ' .,` /, .
� '� " � !'1 - '
� i.': . � '� . ... .. �+, .. �'a� ��� �': lj ��
\ � y .Jq •�: �� n �S �1` �
Y ' �1
; + :•..: , .�y,.
1. ,�' ''
CERTIFICATE OF COMPLIANCE' �. w,;��"` - �.,�:
PAYMENT OF SCHOOL FACII.ITY FEES ' • i
..,.. . �4
, .!
NEWPORT-MESA UNI�FIED SCHOOL DISTRICT ti '
�L} t '��..)��;�1r\v : ' ��U���i
�7 r , y f,
�\\ �� � 1�Y� `�\ . � ' �`,�� � , � L14��'i�.ic.''�
Developer/Applicant,:� '�1V�Cj�CO - � �;_1
r —7v�.� ,Frz � r� c�r.-c`� �+ c�", �os� �
� ddress: Z I-J�
7'elephone Number• 'V�"-��-� 1�•:^ C �`,`'t"�
�; . - .. �:. ._,, �~ , v _ `.�" � ^'z.���� �,�� _
;Tract/Parcel and `ot' Number("s),: � "'T ����`h {
.- , . �.; , �-`
Locati,on of Project: �'13� ���t'���\ ''
, R'
Number of Square Feet of �j.,
Residential Space ✓� � x $1.50
.X
Number�of;Square Feet of
' C � ' 1 d
,�-... , +..
>.�, r �
'�! � i 1 i,� i H lu(i;.
T t 1�S`�'S• O O
x._ - ,
� „ 0 '
ommercia an
Industrial Space x $0.25 Total
;'. ♦
The provisinns of Gokvernment Code Section 53080 ar.e nof .
applicable. ,
This certifies that the above-named Developer/Applicant'�has paid
school facility fees in compliance with Government Code'�Sections
53080 and 65995. `
Checks(a'r.e� to;,be'.made payable to Newp,ort-Mesa Unif:ied�Schoa��. ��U 1�'' �`�
Distri`c't:�-� {='�f-+ � �'
•��_ . — _ J _ . .L. ''�• �
, 1��� -f��,i�,:�� ��: r� .
�� . .-�. _
�.�i �� � �.�•�FCa �' �i(,'`� � L-S {L+(�,15 � ' ���o���
�
Busi ess Manager �, ����1��j" �s�,,�, �, t,:
-� 1 New,port-Mesa Un'if.ied S'chool Distr`ict �
1! �G i,c;V;w/` : � . , a
�r— �"�p7?�/ t:�U�h
r ,.. _' J�% � f� n'� G r! J�d
The above representation as to square footage is true.
Developer/Applicant agrees�'that if it is later`determined that � �
such representations are no,t'true'then this cer.tificate shall �'
automatically terminate and the appropriate City/County sha'll be
notified. " �' p.
<
Date: G��� 1
1
� `� �I
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