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HomeMy WebLinkAbout111 GEORGETOWN LN - Building PermitsCITY OF COSTA MESA �. pM BUILDING DIVISION 77 ' � S9 A F.. 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • ww.ci.costa-mesa.ca.us �, FOR INSPECTIONS CALL: (714) 754-5626 4O+ro.mm PERMIT NUMBER: M10-00125 PERMIT TYPE MECH APN: 41916223 JOB ADDRESS: 1A1 -GEORGETOWN UN CM,, Vicinity: SQ. FT: 0 STATUS: ISSUED DATE ISSUED: 11/18/2010 ISSUED BY: KJB Suite/Unit: - SCOPE OF WORK: CHANGE.OUT EXISTING FURNACE. 45K BTU. SAME LOCATION OWNER: ALADDIN PROPERTY . - . • Address: 956 PAULARINO Unit: - PHONE: 714-884.7450 - City/State/Zip: COSTA MESA, CA APPLICANT: ROY, LUCY - - " Address: Unit: PHONE: 949.702-0584 - City/State/zZip: CONTRACTOR: ALICIA AIR CONDITIONING AND HEATING INC License No. 525314,. Address: 26824 VISTA TERRACEUnit: PHONE: 949-770-2495 .- City/State: LAKE FOREST CAZipCode: 92630 I CELL: 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 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) 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 to obtain inspections and final approval will result in the expiration of this permit. CODE If. INSPECnON TYPE DATE INTMALS CODE INSPECnON TYPE OA INT! LS 1616 Fixed System Final Fire Prevention 206 Final Mechanical ' _ I M 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 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 Final Building/Occupancy 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 self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the l,>n3700 mance of the work for which this permit is issued. and will maintain workers' compensation insurance. as required by of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: /. Carrier: K (TW secew n pe cnmp'e(ed nine perms u valued of one hundred dollars (5100) or less.) Policy Number: 6,0 o C) n a 1 3 ''s ! D l ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if 1 should become subject t compensation provisions- f Section 3700 of the Labor Co , I shall lo corn ly with thesetl 1 r Applicant's Signature , Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lie. # Class # Contractor's Signature ate CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. -property IV bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof. will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As ownef-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicant's Signature Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code. with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (if 'yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Legal Ovmer(s) I ate((('''��/ Signature Date L / y / 3057-06 (3/0]) And/or Authorized ApplicantDatDatef Simplified Prescriptive Certificate of Compliance: 2008 Residential HVACA[terations CF -1R, -ALT -HVAC Climate "/.ones 1 and 3 - 7 AA(Soo(a-S Sire Address: Enforcement Agency: Date: Permit#: i Conditioned Duct insulation I List Minimum Efficiency Floor Area requirement Thermostat Packaged Unit urnace rrte�'' IG7-r PUE �r% COP e Served by system Over 40 It of ducts added or replaced in etback bidoor Coil ❑SEER l'ISI F (/j not already present. must be Condensing Unit E] EER— ❑ Resistance s sf unconditioned space ❑ R 6 (CZ 1. 3-5J installed) Other 1. liquipment Type: Choose the equipment being installed: if more than one system. use another CF -I R -AIA -HVAC for each system. 2. Minimum Equipment Efficiencies: 13 SEER, 7801. AI'UE. 7.714SPF for typical residential systems. Contractor (Documentation Author's /Responsible Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the Calilbmia Business and Professions Code to accept responsibility for the design identified on this Certi I icate of Compl iance. • I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the requirements of Title 24. Parts I and 6 of the California Code of Regulations. • The design [canines identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance firms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit ariplir ion. Name: Signature: Company: 4 Address: ViS License: �.-7 IV City/State/Zip: L Phone: l 7 70 Z—T 2008 Residential Compliance Forms Warch 20/0 (ENFORCEMENTAGENCY CAN CUSTOMIZE WITH LETTERHEAD/SEAL) 2008 Building Energy Efficiency Standards Residential HVAC Alterations Climate Zones l and 3 through 7 BUS]NFSS AND PROFESSIONS CODE, SECTION 7110 Willful or deliberate disregard and violation of the building laws, including the California Building Code, and local permit requirements constitutes a cause for disciplinary action from the Contractors State License Board working in conjunction with the local building department. This action may consist of fines up to $5,000 per violation or suspension/revocation of a contractor's license. WHEN IS A PERMIT REQUIRED? A written construction permit shall be obtained from the enforcement agency prior to the erection, construction, reconstruction, installation, relocation, or alteration of any mechanical system, except as permitted in Appendix Chapter I, Section 112.2 of the 2007 California Mechanical Code. Projects requiring permits include, but are not limited to: • New HVAC installation • HVAC Changeout • Replacement of furnace, coil, FAU, or condenser • Relocation of an existing HVAC unit • Adding or replacing more than 40ft ducting in unconditioned space 2008 BUILDING ENERGY EFFICIENCI' STANDARDS (Title 24, Part 6) REOUIREMENTS INCLUDE: I. Heating equipment must have a minimum 78% AFUE (Exception: Wall & floor furnaces; room heaters). 2. Central air conditioners & heat pumps less than 65,000 Btu/hr must have a minimum 13 SEER. 3. Newly installed or replaced ducts must have a minimum insulation value of R-4.2. 4. A setback type thermostat (24 hr clock with four set points) is required for all alterations. 5. New or replacement ducts must meet the mandatory requirements of Section 150(m): • All joints and openings in the in the HVAC system must be sealed. • Only UL 181, UL 181 A, or UL 181 B approved tapes or mastic shall be used to seal duct openings. • Connections of metals ducts and the inner core of flex ducts shall be mechanically fastened. Flex ducts must be connected using a metal sleeve/coupling. • Flex ducts that are suspended must be supported every 411. max for horizontal runs with no more than 2" of sag between supports and 6 0. max for vertical runs. 6. The CF-6R-MECH-04 must be completed and signed by the installing contractor. The Inspector will collect this form and verify that the model numbers are the same as the installed equipment. PROJECT ADDRESS: 111 GEORGETOWN LN UNIT: OWNER'S NAME: CEVENE, JEROME 0 ADDRESS: CEVENE JANICE M 3141 BARBADOS PL COSTA MESA,CA 92626 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: STOUT ROOFING INC (310)923-6775 ADDRESS: P O BOX 4309 DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70Do) of Division 3 of the Business and Professions Code, and my license is in full farce and effect. CITY LIC.: 0597 STATE LIC.: 402536 CLASS: C 39 E} ; 10/95 Date: to(3� N Signature, WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a candidate of Workers' CompensationITgnge�oe4errofied copy thereof (Section 3800. Lab. Cj 5 / 1 9 / 9 5 POLICY NO.: ]] LL EXP. DATE: 0 COMPANY: AIG ❑ Certified copy is hereby furnished. EX Certified copy filed with the city Building Division. One: © c+ Applicant EXEMPTION I WO KERS' COMPENSATION DECLARATION: )This section need not be completed if the permit is for one hundred SlNh or less). I drolly that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date: Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' C mpensation provisions of the Labor Code, you must forthwith comply with sato provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7D31.5 Business and Professional Cade: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed Ch h Se ' 7000 1 Dii ' 3 1 in B CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06951 PERMIT NO: B 069517 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION T/O RESTH & REROOF W/C-�-11AAM-& HOT MOP SQ FT: 2,508 CLAIM VALUE: 2,508,00 CALC—VALUE;`'D�• 2,508,00 GROUP OCC: R-1 / COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE, REWIRED MMMMMMMir*+t*�r �r xr**�k g6 gr it it*�E �r �r*ir ar*�*ae ��e arx �H yr**�r sr x ar x+r �Ew �r*�k**ar*yr****aE*** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- 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: 41916223 ZNE: REF NO: PLANNING NOTES.> > M M M M M M M M M M M M MM.M MMM M MM M M M MMMM MM M M MMM M M M M M M M M M M M MMMMM MM M M M M M M MMMM M MM M MIM MM MMMM M M M M D E V E•'L 0 P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY ; APPLICATION ISSUED BY` � M M M MMMM M M MMM MMMMMM MMMM M M MM M M M M MMM M MMMM MM M MMMM M MMMM M M LEGALIZATION:N F BLDG PMT PLUMBING PERMIT 54,00 DATE: DATE; DATE; MM MMM M M E: M M M M MM M M M M M M M M MM MM M M MM MBEMM M MMM M M M MM MMM M M M A** M M M E S U M M A R Y STRUCTURAL SEGMENT:Y ELECTRIC MECHANIC FIRE SMIP/RES GRADING ,50 SMIP/NON—RES pursuant to the provisions of the Contractors State License Law (C after 9 (commenting wrt coon ) o v sion o e us ass and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). ISSUE F EE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law TOTALS ----> 54,50 0,00 0.00 54.50 54.50 , 00 does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvementpurpose is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED • 54 • 50 OVER /SHORT for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ 54.00 •50 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors)license pursuant to the Contractors' State License Law). l am aware MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMilMMMMMM MilMMMM Mitts that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L F E E B R E A K D O W N ❑ I am exempt under Section: B. a P. C. for this reason: TYPE Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health a 25534 and that I or any future building occupant will/will not (circle one) need to comply with permit for construction or modification from the Air Quality Management District. Residential these provisions. an Safety Code Sections 25505, 25533, and said state codes and the requirements for a construction applications are exempt from Date: Applicant: I hereby carry that I have read this application and state that the above information is correct. l agree to comply with a ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the properly for inspection purposes. Date: Sigmund Driver's License or Social Security a: 164146 White—Building; Green—Code Enforcement: Canary—Applicant; Pink—Revenue: Goldenrod—Assessor and SFR QTY D E S C R I P T I O N 2508 REROOF BY VALUE RESIDENTIAL NOZONE END OF FEES UNIT COST TOTAL COST 1,00 2,508,00 01 00170535-00170540 TOT 54.50 DATE! 10/28/94 TI"Es 12:40 CONSTRUCTION AND PLANNING POOL ?A APPROVALS Permit # - Date Inspector APPROVALS Permit =0 Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement 3!'Eleytrical Cond Uit Utility-Undrgrnd` 54. Forms _ -;'4._Electr ical Conduit-Undrgrnd.` 55. Electrical Bonding ' 5. Steel Reinforcemeht 56. Rough Plumbing & Pressure Test " w.ElectricalUFEO'Grnd. 57. APPROVAL TO COVER-GUNITE ._. Footings = 58. Electrical Conduit-Undrgrnd. J '8. `Foundation 59. Gas Pipe, ❑ Undrgrnd., Test .'• , 9'Water Pipe-Undcgtnd. 60. Backwash Lines, P -Trap, D Undrgrnd. -•10. Structural Floor System -" 61. APPROVAL TO DECK _ 11. Property Sewer Line.& House Connection `, 62. Backwash & Receptor -Final ' 12. Sewer Cap o, 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical -Final 15. Rough Electric.J-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. POOLJSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. A9oqjh Factory Fireplace :; y . APPR©VA-LS::- =Permit # . �• c• 4 Y. ,+' � ., r- i to f:� 21.^Ducis, in, Structure¢ X70. Uhdergr`:otir?e6 Hydro s ' 22 rbucys, Ventilating. r ^71. ProducE'F[Ping ( Gas O'Oil 23. Gas'Pipe�Rou '! "• 9 h & Test - '- , •',' 72. Undergrot;nd FlustS,e-� n, _ , 24..Ro6f Framing �t+ , ` '-••f? _73.''Undergrnd'. Storag4`>rank G Gas ID 0;1 25. Roof Sh@e thing.74r Overhead Hydro-�` r 26.j -Ba! Ceiling (Structural)& Monocoat -_ ` 7 „ 75.'"Dry Chemical . i 27:Frame and Flashin73' „ t` 76. 'Dry Standj?ipe n• r r , _28. Lat6g & Siding.,, . ; , -I <„La.77,z' FIXED SYSTEMIF1NAL+ t" '29. Insulation �7 ` I' " •• . � l I` 78, 'FIRE PREV. FINA1 =30. Drywall Nailing a i REALTH,DEPT�REQUIREMENT 31. Plaster art wn Coit; FINAL WtP 1.79. bleae;;Finall ;- $O,,FOOD CERTIFICATE ISSUED _32.-Electricai:Power `'Final Electric: - :; 'Notes: ' _,33 '" I ^ '§4.; Final H2llting& A„ir�Cbaditicmig-' I i. r• ;-i �j q.7 35.4inal Gas Pipd-Test ~ •36. Hood or'Cano 37. Fin3P Fa tory Fir�Qlace =" a !' •� ^r m '38. Final, Plumbing 39. Water Se%vice-final. 717 c. ,40. Gas Service -Final:` •'t 4..,.• � !11 i l Ir I_ al .l V •_� ,..z '41. Solar Domestic -Final •• . V 42. Backflow Preventers '-' ; r ' I l: ' �•� ''M -, r, .43. Backflow Irrigations ... .._ -•" •<• * t: 44. Landscape Irrigation System -r•,. -; r 145; .Sound Attenbation+- - - 'n r '46.`Handirap.Regulations 47. -FINAL STRUCTURE & BUILDING 48JINRL PLANNINGs c49. Electric Release to Edison l 1• F 50. Gas Reie2se to Sout{em5 CaliforniaCatiforniaGasCo • • , +, _ _, - ;. p 51. CERTIFICATE OF OCCUPANCY' No. Date OWNER RAN VTST BUILDINGCpMPANY DATE (;_I _64 JOB ADDRESS iii n n,.Te+,,..., r--- BUILDING PERMIT NO. 000nG AP No LOT 31-3 TRACT FIRE ZONE DESCRIPTION OF WORK INSPECTIONS I Signature DATE I GROUP Ta_ T TYPE v ZONE v� SUBCONTRACTOR Water �/fi ���� Rough. om. efr'j, Cond. ❑ PERMITS ISSUED DATE NUMBER Rough Heating F,- /- Rough Plumbing A Miscellaneous' Prop. Swr. Line L]House Con. ZS-t. Swr. ❑ �e�E-. DE: 9 19 S rinkling S stem Construction Pole Underground ❑ Power,E] Rough Wiring /.� Trenches Forms 2r Steel Reinf. Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing O Frame and Flashinp� ,_ / Lathing — In Plaster, brown coat Re°^g. ❑ Air Con. ❑ Final Planning De :. F ig, Final Piwabing Fixtures, Final Final Gas Test , G_ ua Deee 4mal Electric Fixtures, z - Building, Final / OCCUPANCY rnrm P COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOE SIT COSTA MESA, CALIFORNIA For Applicant to Fill In. Completely TYPE OR PRINT BUILDING ADDRESS COSTA MESA, CALIFORNIA OWNER San Vista Building MAIL ADDRESS 1166 E. 58th Street CITY Los Angeles 11, Calif TEL 37187 ORENIGENARCHTcEER Ra and Levanas TEL 37010 FEE RECEIVED 'my 10 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only Isru��54 Residence ZONING 7� A ,ss 3432 Via Oporto, Newport Beach ,E NO. OFUSE OF PLANS BUILDI CONTRACTOR San Vista BuildingCo. fj W u YL ' - 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN AND STATE TH E ABOVE -IB CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING PLY WITH ALL CITY RDINANCES AND STATE LAWS REGULATING ypLUAT10N BUILDING CON TRU ION. DER VALUATION IB FOR THE A PERMIT FEE ONLY. LEGAL Tract 5160 - Lot 313 'y/ _ ADDRESS DESCRIPTION D !Q �J� PLAN CHECK S P o L �� VL 4 CITY Los Angeles 11 Calif. ^.P;NO. TOTAL F $ EE ' NOTE: NO SAVE OVERHANG SHALL BE LESS THAN STATE 192782 NEL' AD 37187 SO" TO SIDfi REAR P.L. . SIZE 20 X 70 NO. OF BLDGB. O EAVES ALLOWED (U. B. C. REQUIREMENT) OF LOT Nota ON LOT YARDS APPROVED YARDS APPROVED USED MAIN BUILDING ACCESSORY BUILDING NG BLDG. None EXIST(FROM C/ REST) SETBACK LINE FROM CENTER OF STREET , REAR YARD FRONT FT. FT. O 0 I SIDE YARDI LEFT RIGHT - R. SIDE FT. FT. DESCRIPTION OF WORK L. SIDE Fr. FT. an NE`" X ALTERATION ADDITION REAR _ FT. FT, - DISTANCE BET. BET. MAIN Q (V REI,—., DEMOLISH MAIN BLDGS. ACCESS. BLDGS. t� BUILDINGp NO OF 3 F 0- VAR. # %L/ DATE /tl Ii ,,2 ROOMS STORIES 2 SIZE O� D J C.U.P. ` APPROVEDEXTERIOR 3�p le ('G I ! C COV RINGWALL Stucco COVOERING Shin BTPROVqfl DATE I UU USE OF BUILDING AND WORK TO BE PfiRFORMED kv Residence �3 a U S fj W u YL 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN AND STATE TH E ABOVE -IB CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING PLY WITH ALL CITY RDINANCES AND STATE LAWS REGULATING ypLUAT10N BUILDING CON TRU ION. DER VALUATION IB FOR THE A PERMIT FEE ONLY. y O SIGNATURE OF _ PERMITTE 'y/ _ PERMIT FEE $- D !Q �J� PLAN CHECK S P o �� VL 4 AUTHORIZ AG NT TOTAL F $ EE ' 0 LU F J Q i } J cc W CL O cc CL Z W i H cc LU W a Si COSTILMESA BUILDING—SAFETY DEPARTMENT ►+ - P.O. BOX 1200 Costa Mesa, California 0597 E/09/7E 4x25 jL s s , s f , maxamn., ELECTRICIAN (-(� �L �J TRACT NO. LOT NO RECD BY PERMIT NO Y_ c2 8 � t� �� , a DATEISSUED 5- { Z ADDRESS BUILDING USE CITY TEL NO. STATE LICENSE NO. CLASS. BUILDING ADDRESS'L (I Y E/ �V"♦ CITU LICENSE NO. NO. ITEM "cif Fla$ COSTA MESA, CALIFORNIA^\�1� Dwelling, Sq. Ft. i NEAREST CROSS STI. 4�_..1VC�Y Garage, Sq. Ff. OWNER ?i //✓ Y //V.�-. �`-T C! /T First 20 Outlets, each T�� a MAIL ADDRESS l -- Iti' 4L N Outlets, Additional '/n fir CITY Com_ El. NO. First 20 Fixtures, each I HERB ACKf OWLFDGE THAT 1 HAVE READ THIS APPLI. CATION ANNL�P OTATE THAT THE ABOVE IS CORRECT AND AGREE TO,£OMPOy WTH ALL CITY ORDINANCES AND STATE LAWS REG. ULATING ELECTRICAL WIRING. �.I CERTIFY THAT I POSSESS THE ABOVE VALID STATE OF E7ILIFORNIA CLASSIFICATION OR I AM THE LEGAL OWNER OF THE SINGLE FAMILY RESIDENTIAL PROPERTY DESCRIBED ABOVE. Signature of PERMITTEE_ Fixtures, Additional Dryer Fan `9- _ Heater -4 r Oven, Domestic No. tram, EACH FIRS Pole, Construction Sign 6 I Trans. 2.00 Range, Dome tc Y Transformer KW Miss. �� Generators KW ��,� :2504PA r ZS' Motors )See Schedule) HP His Sub -Total Fees HP APPROVALS Meters, W. . IN$MCTOE DATE -POLE TEMP. Permit Fee 3 00 UNDERGROUND CONDUIT ROUGH i I Sub -Total Fees FIXTURES POWER Total Fees C Z...7 UTILITY CO. NOTIFIED FINAL 12 ve k CMF 0333-46, rev. 7175 For Items not listed refer to Fee Schedule BLDG. PERMIT NO.