HomeMy WebLinkAbout2747 FREMONT LN - Building Permits�oon�ssaemicma: 2�q7 PREP90NT LN
OYMERSNY1EIfRlOYM: HOFFMAPIN, JAMES GAILEY
' �ooncss: I-IOFFMANN, ANTONIA C
� 2747 FREMONT LN
COSTA MESA,CA 92E26
�rv�. uuuxa wowess:
u�cxrtecr on �x�a:
41CI1 ON FNO.'S AUOflE55:
uc. w.:
UNT:
uxT:
coxrx�crarsxwe: ISLAIdD PACIFIC P.60FIhli, (7i4)999-7683
cwm�aoxs�,uuxc 17940 BUSHAP.D ST
wo�ss: F, V. CA uc ao.: 6 314 7 2
92708 uxr: 13
' LICENSED COMH�CTONS DECLAFATION: I Mreby eR4m uMar panely d pe�ury ihe� I an Icanead uMm prwieiona d Cheqer 9
I(comme�iq v.ilh Seclion J000) d Dirisun 3 d �he Bwinem enE PMaveiorw Cade, aM my lioenee n in INI brte aiM e%ed.
Icmuc.no.:0577/Q�9 uc.cuss: C-39 uc.No.: 631472 EkP:�./10/95
ate: a� 1� ConG���'��iR ^•
Wyf BUILUEF OECL�P�iION: I hereby elfiim uMr d per'ryry ihM I em naemq trom IM Conlredae liwme Law la ihe
a5wup rearon (Seqion )0.t1.5 Buaireca enE Profeesiona Code: AnY �IY a�ntY �ich mpuiree e pa�mil to awwVutl. Mer. impwe.
Aamoleh, or repei eny swnure. O�w lo ile e�ience, abo raQuirea �he applimnt la euch pe�mn lo fib e sgned eWemant UW he d eM
n licenaed punueni io iM poNsbns d Ihe Conlradae Limnae Lnw �Claper 91�meMa�q wilh Sequn )000) d D'vuion � d tM
Buai�wa W Prdmeiora Coda� w Ihel M a ehe ia m�emp thxelrwn end �he bavie ta Ne elleped uemqion. Mry videlbn N SarJian
]dJ1.5 by e�ry eppliunt lor e perm� aubjeas Ihe epplicenl lo e dNl penelry ot ml mwe Ihen five huMrttl tldbn �SSOOj�.
� I.avow�rotiMpropenYormyampbyeaewY�wepeeaslMFedewmpanutbn.vrillEo�hsxwk.eiMiMeluYureemlinleMed
w oMered lor eeb (��bn ]U06. Buamm eM Proleasiona Code: The COMimas licmaa lewdoea � epplytoan ownwd propaM
who WiM a inqovea �heieon, eed Wa does+ueh wak himdl a Mnetl a Waph h'o a har own emplv�eee. provideE ihe� euch
' qovemmb ere nd inieMed n aHered lor aele. H, however, tM WiMiep a mprrnmmenl ia eoN vrithin me yeer d mmpbun, iM
owror-bu'iNx will heve the WAan d pmving he or ehe diE irot Wib a improve Iw IM WN�e al eeb�.
� I. m mmer d Ihe propeM. � e�d�niveN �iredip wilh lieenxd ronVeeron ro eaneleua IM pmjeel (�� ]014. Bueinma eM
Prolessiom Coda: The Contrenwa Licenae Lew Ewe iwl epply to en ow�wr W piapeity Mfio W itls or unqwm iMreon end wlw
conireeis la wtli pqeqs xAIM1 e weurma�s) Icaruad Wnuem �o iM Cantreeon livrua Lew).
� I am examq under Sac�bn: B. 8 P.C., br thw mewn:
Dele: Ovmer
I do haroby ceniy IMt I em aware d W uMenierd tM requiremsna d Cdiwnu HeeXh enE Sdery Code Sepims 25505, 25533, vM
2551l, uM Ihtl I a erry Muro WiNiip ¢wpenl will / w1l ml (cirob an) neaA lo comply x1h aeid Yele mEee eM tM �uiremanb la
epeimGlwooneVudionormodifiralionhamtheRr uSeiryRren�emem0ia�ria.ReakeMWmnqiutlonappkbiorewssemqhwnNeae
proheione.
De�e: Applcenl:
WOHKEH'S COMCENSATION DECLAfi�TION: I Mreby eiNm urder peneM1y d pwjury pn d tha lolloxi�q deduazona:
❑ I neve anE xil meimein e cmNlcme d wusn m aellimun lur xaken' wmpenwion. m po+ided la by Seaion B100 d ihe Lebor
���i==od., io. in. o��a d m...m� ia.w:om m� ro�*n a�wa.
�I`J i neVe.�e �;i �m�.ona.• mmv�� ��renc.. m Aawma M see� a�oo a ub �.nor coee. ror in. os�«mence a m.
'�wak lar wtiiM I�ia permil b baued. My worke% compenselan inwrenca umer eM pdiry number ere:
c.m.,:
aaKyN�mn«:
(TIJs sMion need rKK be compbbC % tM pemi�t ia br one hunOrea dollem �51001 a bae.J
I eenM �� in Ne pertormeme d the work b wh'rh �hie parme ie iaued, I ehell iwl empby eny peevon in eny menrier w m �a
become eubjea io iM wrkero compenution kwe W Celilanie, qN epree IMI il I�houk Eecmw alyetl to IM xvken'
�np: c�nun ro s�cun weKr.n' cnmp�wtlon corf�p/Is unl�wlul, uW �NII wb/�cf en �mplqw ro crlMrrl p�n�ltlu en0
clvll Ilira �.p ro pw hintlrM Hroua�nC Callm (SfOqay� In aIXlltron ro M� ro�t o1 romvxuaf/on, Mm�pu u provWM br In
Sxtlon J�O6 0l Ms LeEor CoW, IMenst, siM ettomeys /eu.
CONSTIIUCTION LENDINO AGENCY: I Mieby elfirm uMer penelly ol perjury ihet IMre ie e caMruabn bMinp epemry 1« tlre
rono�� a me .�+� m, .n�m inn w�� �� �a�•e (saao� aoei, c�. cl.
LENDER'S NI1ME: -
LENDER'S ADUFE55:
��eniry �nm � neve rem No eodrv� w me�e me� ub mwe im«mvioo o wnee. � earee �o comoN wnn d� wr �e ca,on «dioenom
ud etale lews relmnB �a �ildin0 ��✓uaim vd heraby e�nhor¢e repreaenlelivea d �hie oryto enlar upon �he ebove-mantioned papem/
lor inapatlion purpoees.
DPoe:
(515t<6.WP) White-Buikip 8 Selery: GrearFb: Car�uy-Rppiceni; Pink-Revewe; OokenioE-Neeawr
CITY OF COSTA MESA — HUILDIP]G PEP.MZT
PER^9IT NO: B Q71239 PLAP7 CHECK NO: A7
COD]STRUCTIUN TYnE: 5—N FERMIT TYPE; STR
JOB UESCRIPTION , T/OFF RESTH 6 REROOF Wl90YEAR COMP
r• nri r�v: e vii.:�7
l�V`: 1; V J:IYY; IV
PUP.PQSE: ALT
SQ FT; 6,040
CLAIPI C'ALUE: 6, 000.00 CALC—l'ALUE; 6, 000.00 GROUP OCC; R—? /P1-1
COMMEDITS; LETECTC�F.S II4 HEUROOMS :. HALL?dAY5
if iE 1f if if Y it M# 3f'�E 1F')F'L Y!F Y� iF �1F 1f �f iF �Y' jE 1F iE �IE iF+(- iE Yf iF iF if �lR iF �1F if -e iF?F Y'k'If �)f 1f i fF iE i�' if �1F }�f 1� y?f Y ii l4 iE i4 if R iR 1F �t x�1L iF L Y Y 1E i< K'lE dE')i'
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MP.IN EUILDINC ----------
FRNT: FT IN P.EAP.: FT IP7
LEFT; FT IN P.GHT: FT IN
--------- ACCESSORY EUILDIP]G --------
FRPdT; FT IN P.EAR: FT IN
LEFT: FT IN P.GHT: FT IN
PARKINC P.EQ; PROV: PARCEL: 14155602 ZNE; REF NO;
PLANNIA7G NOTES>"
i
if if �lE iF iF'1F;F 1F?F'V �If')f'Y 1f'If iF i4.41f tE iF 1F'M 1E Y'If iF if �)f iE iF �E iF �)f �14 it if if i(� iF �1F Y M if iF if ?E if- iE if iF iR iF iF if ff if i(- iE �1F AM1+' M iF if iF al-Y� i4 �1F 1E if if f'%Y +F i�- *
D E V E L O P M E N T S E R l.' I C E S R E Q U I R E M E N T�S
Z�+*]ING AFFkD�.TED BY DATE;
BUILDIPJG APFRGC�EU BY DATE=
APPLICATION IS�UEU BY; DATE; � 1���
iFjFif{,`ifif'4ifaFififafiFiR�4�iGifLiFifK YiE 1f. iFMr .♦ �)GYafifjfiFifiFiFif aF 1�iF
iEifihlfiRi�-ifif?EiFlEififM'iFif'Y-ifif-iEY�lfifiFiFiFif'X'iflf?fifY-iFiF'YY�14iFiFi4#�iFYi11F�fY-i4itifiEiF�faEifiE�fifiFlfiF'N�lfafi4iEiFlFiGii sf'IEKiF�IEi%�14
LEGALIZATION:N F E E _.S U M M A R Y STRUCTURAL SEGMENT:Y
� \
BLUG PP1T PLUMBING ELECTRIC MECHANIC FIRE �SMIP/RES GP,ADING
PERMIT 81,00 ' ,�p
� SMIP; P70N—P.ES
PLn.r�
ISSUE FEE � r . . '
BUILDING—UIC'—> PERMZT ISSUE PLAN—CHECK TOTAL PAID UUE
TOTALS----> 81,60 0,00 -�. O,QQ 61.50 81.60 .QO
REVEP]UE DIPZSI6N TOTAL�--> COLLECTED; Bi.EQ OVEP.%SHURT; ,O�J
BLDG PMT FLUMHIP7G ELECTRIC D7ECHANIC FIP.E SMIPlTOT GP.ADING PLAN—CHECY,
81,00 ,60 .�'
j(-'1f 1F if iF if'lf if'li iL'k?E'k-1f M if iF iF'IF if'1 iF iE aF'lf if if 1F if 1E 1F 3f iF �f'iEiF jE if �1F,�V # s-R-1f'1F 1f if if if M if +k if �f iF # if iF if 1fr�)f aF iF iF 1F if if �1F iF Y-!* if #� r'Y i:'7f iF Y.
I N U I V I U U A L• `P E E B R E A K D C:•t , N
TYPE t�TY U E S C R I P T 2 O N UNIT GOST TOTAL COST
� t
SFP. 600Q REROOF fiY t�ALUE P.E5IDENTIAL h70ZONE 1.'00, 6,�00.00
� ED7P OF FEES
' �, ,�f���� �����:� ��
. `, e`lEiat'i�,�a � ' J ;
� � ,m
i ' �.
_ Oi 7�1�71S2—OD17?153 T�tT
" Da7E: p2/2S!35 TIh[: 1I:29
1
St.50
'• , Jl & SPA •
'CONSTRUCTION AND PLANNING , '
APPROVALS Permit # Date Inspector `� '' Date ' in;pector
APPROVALS Permit #
�
t. Temporary Electrical Service or �Pple 52. Pooi & Epuipment Location' ��.
2. Soil Pipe-Undrgrnd. �, 53. Steei Reinforcement ,-'
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' �!.
4. Electrical Conduii-Undrgmd. � 55. Electrical Bonding -
5. Steel Reinforcement 56. Rough Plum6ing & Pressure Test ;!'
6. Electr�cal UFEfl Grnd. 57. APPROVAI TO COVER-GUNITE ';I
7. Footings , 58. Electrical Conduit-Undrgmd. „� � � �
8. Foundation � � 59. Gas Pipe, O Undrgrnd., Test; � � �
�'
9. Water Pipe-Undrgmd. .�' 60. Backwash �ines, P�Trap, OiUPdrgrnd. �
� , i' .
10. Structural Floor System i' 67. RPPROVAL TO DECK' '• .
17, Property Sewer Line & House Coni ection 62, Backwash & ReceptorFinal� 1 •
72. Sewer Cap ��� 63. Heater & Vem�Final �-`+�
13. Roof Drains 64. Plumbing System - Final �"-�
�, �
F: - : �
14. Pough Plumbin9 '.� 65. Electrical-final
15. Rough Electrirai�Conduit !: .66. Solar System-Final ^` �
S
i 6. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign i 68. APPROVED FOR PLASTERING
18. Rough Electrica6T Bar Ceiling � � 69. POOUSPA SYSTEMS FINAL
19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
Z0. Rough Factory Fireplace APPROVALS Permit # �
27. Ducts, in Structure 70. Underground Hydro
22. Ducis, Ventilating 71 . Produc[ Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground F�ush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing z�?-�s �(�J� 74. Overhead Hydro
26. 7-Bar Ceiling (Structurall & Monocoat 75. Dry Cfiemlcal .
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. REQUIREMEN7
37. Plaster Brown Coat 79. FINAL INSPECTfON
32. Electrical Power Meter-Final 80. FOOD �ERTIFICATE ISSUED
33. Final Electric NoteS:Z/�Z�f g.l S' ��/w/ �
� � .
34. Final Heating & Air ConditioniPg �/j i% '
o ' s:d, -� (.r�:
35. Final Gas Pipe�Test -
� 36. Hood or Canopy
37. Fina� Factory Fireplace � .
38. Final Plumbing � ' �
39. Water Service�Final
40. Gas Service�Final
41. Solar �omestic-Final
42. Backflow Preventer
43. Backflow Irrigation • L.�S� ,� �% f'���`�
� '
44. Landscape Irrigation System � �'µ,� ,_ //���,,,
G`
45. Sound Attenuation
46. Handicap Regulations , •
47. FINAL STRUCTURE & BUILDING .�' �c�-��
48. FINAL PIANNING �
49. Electric Felease to Edison -
50. Gas Release to Southern California Gas Co -
51. CERTIFICATE OF OCCUPANCY • -
No Date
�I
� (5151��
�oonEssaem�ura: 2797 FREMOP]T LN
avx�rsr�wEi��+: IiOFFMANN, JAMES GAILEY
MDNES£ HOFFMANN, ANTOr]IA C�
- • 27q7 FREMO*1T LN
�a�,,�,����, COSTA MESA,CA 92626
�xcxrtect on waw�+:
AqCII OP ENfi.'S AOOFE55:
uc. No.:
UNT:
uxr:
�°"m�cTars"u�` NOCK PLUMBIT]G (719?895-1246
caxrn�croxswuurxi 11610 SEAHOARD CIR
AD0"�s' STANTON CA uc� �' 1971
9068Q pT`
UCENSED COMHAGTOPS DECL4flAY�ON: I hereby eRFm uMm penely d peijury the� I am licemed �Mx praviuons A CMp�er 9
(cammeianp xilh SxYion )000) d Oi�ns'vM 3 W �M Bueineee eM Prdesaiarre Code, and my lioen> is in full tace aM eMx1.
cm uc. No.: up. cuss: uc. No.:
050386 r- C-36 `:� �9 1 [�E P• 02/
�., ,��,ale�. 7 conveau: 1�� YL� �(' n
'�,uwy IER 9NlDER OECL�H�TION: I hNebY elfirtn uMer peraly d perjwy thel I em memq trom IM COMmdoro Lirome lew lar Me
:-��bw'vp reavon (�� ]W t.5 &nineea eM Adenanv Code: �m/ ciY a�ntY �� �Vuiree e pe�mn lo mmbiwt. eller. impro.e.
�Eemdnh, w repeir eny ei�uciure, priw to Aa usuenoe, eleo reyuires the applimnl for euch paimX lo file e ripneE atalemen� Ihe� M a ahe
u licensetl Wnuent to �ha provisiona d� Conveeon Licanae Lew �Chepa 9(�me�xiiq vmh Seaion ]000) W Diveion � d �M
Bueimv end Vrdeseoru COEej or Ihel M a she b exemp Ihrelrom eM �he baw lor Ne elbpeE uemption. My voletion d Seaion
�osi.s M enr evW�� ��• va�mn .uNea' �ne eooicam io e wii oa�eM d na mas �nen �w. nuM�M ddide �Ssaoll.
� I.avownerdiheqopanyormyamplvroseWhwapasutlwieabmmpensmion,willdoMexwk.endlMetnwlureurwlinteMed
a oflered br eeb (Senian 1046. Bum�end GMese'vn Cada: The ConVeifon lieanse lew doee nM epplytoen ownttd peopeny
wM WYEe w vnqovea thereon, vM � doee eud� xpk NmsNi w Mnell a Nrouph hu w her oxn amployaee, prwkeE ihet wch
impovemenls are rot imeMed «ol�a�d lor aeb. tl, howv.er, the buikiip a inpwemeni ie eoN wnhin oire year ol mmqMion, iM
owrerbuiNar Mill heve Ihe WNen � Wo`���0 � e� aM ditl rwl WiM a improva la iM W�F^ae d aeb).
� I. ea owwr d Iha propary. em extlJ�'/ ���dq �h IicensaE convenon W conmue IM D�q�1(�� ��M. �i�me eM
Proluswna Goda�. The Caweaon �se �ew Eoes nd apply to en owror W qopsM � b�iNa a'unqovm Iherean enE Ma
wnvecia M suM Drol�s �h e mM�als) licemad punwnt to iM Conlrerlon lironse lawl.
� I am wamq uMer Sxiion: 6. 8 P C., la Ihis reeeon:
1
Oma_ � �*�er.
I do heraby cenAy ihet I em ewere d enE
25530, enE Ihet I w eny INure Wildinp a
end Selety Gode Seaione 25505.2553�.enG
wIh eeiE elete oodas erd tM nquirememe br
mnmruaon eppicatiwro ve ssemq fmm �heae
Applcem:
WONKEP'S COYPENSITION UECL�fl�T�ON: I hxeby elfi�m uiMer panely af prjury ana d Me Idbwiiq daderazions:
� I hevs end MiY meintein e ceni�cme d omeenl to sellimun M xakrs' cwnpanWion, m prwidad Iw by Sadian 3�00 d tha LeEn
COEe, la iM pe�tormance d the v.v� �a which Ihia pamA b usuetl.
� neve ene wie meimeei woMeis� mmoeme�an mwrenm, d rcawrca M s.aim s�oo d me �ebw coee. ror m. ro�«meno d in.
oM lor which �hie paimn ia iauaC. MY wa�n' �Pe�� inaurerice urrim e�q poliry numEer me:
O81nac EXPIRES
Pdiry Numbr �'' 0 3/ O 1/ 9 5
(ihis s«rbn mea na be comdaree J tne w�e rs lur , hvnd Ibrs /SroU% w lew.l
❑ I mniry Mm in �M pe�lamerca d Ihe work fa xfich this pemin u iaued. I ahdl mt e e�Y pe� in eiry manmr o m lo
bxana eubl� �o �he v.orkere' o'�G�w� V� d Galilomie C epree ihet il e k Exoma wbprl to IM waken'
om��smm� v�+a�s m sea� a�ao a�na �ew coes. i ionn � n�aN wnn � v�.�. �
e �- ^ I � Appire�c p
m/n0� FaYun ro sxun workxi eamP�tlon covenps l� unMHul, enGaN/l albJ�cf an employsr to crlMml peneMsi �ntl
n.n no., w ro o�. nwa.se rno�n�e ewi.., �sioaoml, m.eam� m m. �o,e o� oo�ros�wnon eamsw u a�nha.d ro. ��
SseHm 9)O6 0/ @� L�bor Cotls, infwe�t and ettomsye /wa.
CONSTPUCTION LENDINO AGENCY: � AereGY etFim unEer penalry d pe�jury iMt ihere b e con�r�dion bMinB ��Y �or Me
�no�� d m. wax i« wn� mn w^^+ 19 oeYBE (SMqf1' M1. CN. CI.
� LENDEfl'S NRME:
LEN�EF'S RDDRES4:
I cenM thet I heve reed Ihb epplice4an ad 9me �hel ihe above iMom�ptbn ia co�rea. I eyne to canply with all rny eM muntY oNirencm
enEat4elewsnlei�tobuild'vqcmWuu�� eW�w¢ard��regenle�iveadlhodryloen�er�poniMebove-menlia�eEpopeM
f0l1119�IBCIIOfIy11fp090i] T
o�, 2—� S —� �
Whno-Huildvq F�Y� ���^-Fb: Canay-qppGrant: Gink-Ravenue; (3aldenmE-paysv
CITY OF COSTA MESA - HUILDING PERP9IT PERM NO; P 071131
PERMIT NO: P 071131 PLAN CHECK NO: I� GOVT: P7 SUPP; N
COTISTRUCTION TYPE: V-N PERMIT TYPE; PLU
JOH DESCRIPTION : C/O DISHWASHEP.
SQ FT:
PURPOSE: OTH
CLAIP4 C�ALUE: CALC-VALUE: GROUP OCC: R-3 /
Ct�MMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
itie�t�t*x�*�t*�t�t�ei! **+rria«�r�x-***�c-�*�tit**ir*�r�t*itsrac*i.�**+e*�t*+�r�ax«afi��-+�*r***r�rx+tr+t�+cic***.�r..�.*��c
Z O N I N G R E Q U I P. E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY bUILDING ---------
FRNT; FT ID] REAR: FT IN FRNT: FT IN REAA: FT IN
LEFT; FT IN RGHT; FT ID7 LEFT: FT IN RGHT: FT IN
PARKING RE�j • PROV; PARCEL: 14155602 ZNE; P.EF NO:
PLANDIING N6TES>
i l'
1F�If iF 1E iE 1E'lE# !E if�IF if 1Eif�)f lf 1E1E il-if iR�IE')f 4iE iE if if if if 1f iEiF iRif-iEiE�If�ii 3M1if�lf�if if if if�14.'iEiEiF iF�1E iFiR ak iF if if 1f if �F if 3E i4 iR 1f-1E�1(�if 1F iF 1R jf if a4 af�N-'� iR
D E V E L O P M E N T S E R V I C E S�� R E Q U I P. E M E N T S
%
ZOA]ING AFPROVED BY
DATE:
bUiLDING APPROC'ED BY ; . DATE;
APPLICATION I5SUEU HY; �� �� UATE; �nµ*� 1�
if 1F1f if aE iE iE �E ff 1E1f �f 1E 1f if ?Eif K if jf if if�! i�iT 1E if it �j�'f iZ�fTE iE {� if iF' iF +F T��F,�E3���'��i�M if if �t if 1f s iF i�' iE�lf iE af
if %iF * iE if if iF iF jf if iE iE')f -7f if iE 1f'Ik'lE'IR'lE if iF')F 1f iF iE iE if iF if if 1E 3f jE if if iE M iE if iE+F iF 9F iE IR if if K if if if il-if iF i� if AR 1f iF iF iF �R iF �1' M if if if iF iE iF iF iE if if if
LEGALIZATZON;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBID7G ELECTRIC MECHANIC FIRE SMZP/AES GRriDING
PEFtMIT 7, 00
25B SMIPJNON-AES
PLAN
ISSUE FEE 20.00
BUILDING-DIC'-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 7.0o ze.00 o.o0 2�.0o z�.00 .00
REVENUE DIC'ISION TOTALS--> COLLECTED: 27.00 Q�'ER/SHORT: 00
BLDG PMT PLDMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAD]-CHECK
27.00
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I N D I V I D U A L F E E B P. E A K D O T3 N
TYPE t�TY
PLU 1
U E S C R I P T I O N
DISHkASAER
END OF FEES
�
UNIT COST TOTAL COST
7,04 7,00
�1 �oi'6b9#-pG;7b594 T4� T 2?.OU
DATF: G<^/15/?; TI!?c: 11:0$
CONSTRUCTION AND PLANNIN� . . .,- ' �L & SPA .
APPROVALS Permit #_ Date Inspector AppROVALS '� 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-Undrgmd. 55. Eiectrical Bonding � �,
, 5. Steel Reinforcement : ' 56. Rough Plumbing & Pressure Test S%
6. Eleccrical UFER Gmd. 57. APPROVALTO COVEA�GUNiTE _ �
� 7. Footings 5&. Electrical ConduiE.Undrgrnd. - +'�
8..Foundation 59. Gas Pipe, O Undrgrnd., Test j
- 9. Water Pipe-Undrgrnd. 60. Back4vash Lines, P�Trap, �J' Undrgrnd. �
. �
10. Structural Floor Svstem �- 61. APPROVA� TO DfCK ��
t t. Property Sewer line & HouSe Connection 62. Back�vash & Receptor�Pinai '
72. Sewer Cap - , - 63. Heater & Vent-Fi�ai
73. Roof Oreins 64. Plumbing System - Final �-
14. Rough Plumbing 65. Electriral-Final .
15. Rough Efectricai•Condult � 66. Sotar System-Final_ ,'
16. Rough Electric Wiring 67. Fencing & Access Apvroval
17. Rough Wiring Sign ' i 68. APPROVED FOR PLASTER�iNG
18. Rough Electrica6T Bar Ceiiing � � � 69. POOL/SPA SYSTEMS FINA�
"19. Rough Heating & Air Conditioning FIRE DEPT. REQOIREMENT
20.�Rough Factory Fireplace � . � . � � ' APPROVALS Permit # �
21. Ducts, in'Structure -� , � 70. Underground' Hydro
22. Ducts, Ventilating � � : 71. Product Piping G Gas ❑ Oil
23. Gas Pipe-flough & Test � . _ -J2. Underground Flush �
24.-Roof Framing , ,73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathing . 74. Overhead Hydro
26. T�Bar Ceiling (Structuraq & Monocoat ' .� 75. Dry Chemiral
27. Frame a.nd Flashing . 76. Dry Standpipe - "
28. �aihing & Siding' � ' ' 77, FIXED SYSTEM FINAL �
29. Insutation .� �• 78. FIRE PREV. FINA� . •
'30. Drywall Nailing �. HEALTH�DEPT. REQUIREMENT
�31. Piaster Bcown Coat � � �79. FINAL INSPECTION
32. Electrical Power Meter-Fi�al '80.'FOOD CERTIFICATE ISSUED
33. Final Electric . Notes: � . � �
34. Final Heating & Air'Co�ditioning .
35. Final Gas Pipe�Test , � . '
36. Hood or Canopy .' � ; . : , � ,
37. Final Factory Fireplace . ' �
38. Final Plumbing ' � ���pt �
_(-l_1
39. Water Service�Final � �
40. Gas Service-F�nai � -
41. Solar pomestic-Final . �
42. Backflow Preventer � " ' �
43. Backflow Irrigation . .
•44. Landscape Irrigation Sysiem � � ' � .
45. Sound Attenuation .�. - ' � - . . . �
46. Handicap Regulations . � -� -
47. FINAL STRUCTURE & BUILDING �
a8. FINAL PLANNING - -' � �
I '
49. Electric Release to Edison '-
50. Gas Release to Southem California Gas Go '. " - �
51. CERTIFICATE OP OCCUPANCY
No. Date
I
. ' , �:� J�
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIPORNIA
For Appiieont #o Fiil in Compieiely
TYPE OR PRINT
� BUILDING
COSTA MESA CALIFORNIA
ill
ARCHITECT M3.CC0 C
OR ENGINEER
en�wwea i800 Y:. CoaSt
NO. OP �BLDOB.
USE OF
EXI ING BLDG. SlOi10
BETBACK LINE PROM
cENTER OP eTRe6T �FH � REAR YARO Z3 �
SIDE YARD I LEFT 1� � I RIGHT ' Z 1�
' DESCItIPT10N OF WORK
vcw I X II n� rvasnnn� I II neo�rmu I
gjZEu���61�9��Xri3� ROOMS � STORIES 1
EX7ERIOR WALL. ROOF WOO
COVERING S�UCCO GOVERING shingles
US8 OF BUILDING AND WORK TO BE PERFORMED
Lot 31 Tract 4285 Prl�r400���1�[D
� r� �
SEP 6 1961
FINANCE OEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
Fo� Offlee Use Only
K '�
LH6AL
�
owre +Beum
COSTA MESA. CALIFORNIA
ZONING
NO. OP ^ U88 OP
PLAN9 / "BUIIDI�
YARDS � - EVES
APPROVED ALLO
(ClNTEP LANE BT4
FRONT SQ FT.
R. SIDE � � FT.
L. 31DE � G FT.
REAR z � FT.
APPROVED �. /� I
BY �L'
Livi
IN
IN
^— IN
—^ IN
IATE O/�j/tl(
685 S F
440 S F
1 H¢ReBY ACI(HOWLE�OB TXAT 1 MAVE READ TH18 MP4GTION TN6 AMOl1NT BXOWN UNDeR VALUATION 16 POR TXE
ANO 9TIlT6 TNAT TH& A00VE I8 CORAEGT AND AORGB TO COM- pURP08E OP EBTABLI8HIN6 M PERMIT F66 ONLY.
PLV WITH ALL CITY OPOINANCE6 AND BT/�TH I.AWC RC6ULATINO
Bu1tclNo CorvBiRUQ�oN. VALUATION
�
SIGNATURH OF MQ$d DO�. $L D2V210p[RBIIC CO. , PERMIT FEE $'� ��
PERMITfE
$jr; t/C�C^'/�r� $ iH�Z�F�.00 PLANCHECK $ /��
AUTHORIZED A � TOTAL FEH SI.00
-. . �_ �-$3
COSTA MESA BUIIDI G-SAFETY DEPARTMENT
P.O. BOX S17 COBTA MESA, CALIFORNIA
For Applican� to Fill In Completely
� TYPE OR PRINT
JST.4' MESA, CALIFORNIA
B ARCHITECT
� STATE.
USE OF
EXISTIN6 BLD6.
6ETBACK LINH FPOM
T6L.
Ov ei.nae. /
ioninr
EF7' I RIOHT
DESCRIPTION OR WORK
`x. pi � NO.OR
onnuc
AND
� i il _f 1
1 HEREBY ACKNOWLEO68 THAT 1 X�V6 READ THIe APPLICATION
ANO 6T�T2 TXAT THe ABOV 19 COpRECT AND AaqEE TO COM.
PLY WITH ALL CITY OpDIN IB AND 8TAT8 LAWB RLOYL/�T�NO
BUILDIN4 CONBTRYCTION. / '
P RM�ITTE E OF . (� ��///�
�� p
n
AUTHORIZ6DA6ENT . �.
FE-E� RECEIVED
� AN 6 1964
FINANCE DEPT.
AIG�LT�AQFOIM"P�'R PERIV�IT
BUILDING
For Offlce Use Only .
RfiC81P� NO. PERMIT NO.
�iz. a:
RCC81V OBY WT6R8C IVH D6T8I68OE[
�ri I � �- � /�
JILDINO �� �_/��� Y
]ORFC9 � ��A J.
V6 NO.OF U860FNEW(�jCQ/'RiM
�.t "PLAHB'� lWLOIN
. $/arr.�n. L.r'i
'^� �o�t- 3i TiQ �t�'.&-S
����n�ox
P. NO. IHI �`J Sy� � O Z '
TE: NO EAVE OV fiRHANO SHALL BE LE36 THAN
YARD9APPROVE�,. . 'YARD9APPROVED
MAIN BUILOIN6 ACGESSORV BUILDIN6
(FROM WLSTyRH-6T)
FR NT S� FT. �— FI'.
R'. SIDE � FT. FT.
' R�C{� y'O [J( If/n�
. s�oe Fr. F-r. �
REAR ` � Ff ^ . .FT.
DISTANCE BHT. .–� BET. MAIN B .—
MAIN BLDOB. ACCES9. BLD6S.
VAR.�C � DATE �
, TH2 AMOUNT 6HOWN UNDER VALl1ATION �8 FOR THE
�• PUFP096 OP 88TABLI6HIN6 p PEPMIT FEE ONLY.
VALUATION . �("/'
// PERMIT'FEE $ `J —
Y // ���_f L H ./�
TOT1L FEE S ✓' / '��