HomeMy WebLinkAbout2709 GANNET DR - Building PermitsU/`�1� awn• �
PPOJECTAUONE55: )'�O� GANNET DR
OWNEP'S NpME: R . CAiiROLL
nooxess: SAME AS ABOVE
AfltH/ENGINEEN: 7 1 4� 5 4 9— 7 0 6 2
aooeEss:
flEG.NO.:
I1NIT:,Q
UNIT:
PEflMITTEE: NOCK PI�UMBING ( 714 ) 895-1246
aooxcss:11610 SEASUARD CIR
STANTON CA 90680
ULENSEU CONTPRCTON OECLAflATION: I hereby a��irm �hat I am lic¢nsee unEer pmvisions oi C�apter 9(cammencing with Sectian
7000� ol �ivision 3 0l ihe Business and Pmlessions Cotle, anC my license is in lull lorce ana elfecl.
ciTvuc�.�:�05�0^�386 STqTEUC.:S11971 SS C=36
Date:..W—���� Signamre:� _ _ _ __
WOBKEXS' COMPENSATION oEtIAPATION: 1 hereby aflirm �hat I nave a cenilicate of cansenl to sel6insure or a certilitate ol Workers'
ComDensation Insurance. or a certifietl copy �hereof (�ction 3800, Lab. C1.
roucvxo.:116799290 EXP.O�TE:O3IOII�Z
� comeaxr: STATE
� Cenifietl copy is �ere0y tumis�e0. � Cetlified capY is M1le ith �he ciry Building Division.
�ate: �f� 7 � r � V Applicanl: �/���— ��„� _
EXEMPTION FPOM WOflKEflS'COMPENSATION OECIABRTION: (T�isSec�onneeOiwlbetomplele4i�ihe permi�isforane AunOreO(5100�orless).
I certify that in �he pedormance ol Ihe work tor which Nis Oermil is issued. I shali not employ any person in any manner so as to becomE
su�le�� �o Ihe Workers' ComOensatian Laws ai Calitornia.
Date: Signature: —
NOTICE: I�, alier making Ihis declara�ion, y0u Shoultl bBpome Su�lett to Ihe Warkers' Comoensation pmvisions ot ihe Labor
Code. y�u must foMwith campty with such pmhsions Q� �rys permii s�all be tleemetl revokeG.
CONSTflULTION LENOING ACENCY: I �ereUy allirm ��a� tA¢re is a constmctian IenOing agency lor ihe peAormante ol Ne work for
whic� IM5 permit is issue� (Seciion 3097. Gv. C�.
LENDEH:
AOOPE55:
OWNEB BUILOEfl OECIAflFTION: I �ereby affum t�at I am exempl imm t�e Coniractor5' Stale License Law lor ��e fotlowing reason
�Semion 7031.5 Business antl Prolessionai CoOe: Any city of counry which repuires a Dermi� to constmct, alter, impmve. tlemolish, or
ieoair any siruciWe. prior to its issuance. alsa requires ihe applicant lor such oe�mil to lile a signetl slatement Ihat helshe is litensetl
pursuant Io ine pmvisions ol I�e Comracmrs' Slate License law (Chapter 9 �commencing wil� Section 7000) ol Division 3 of Ihe Business
ana Profes5ions Coee� orinat he/she is exempitherefmm ana Ine hasis forlhe alleqetl exem0�ion. My violatian ol Setlion 7031.5 hy
any apphcant lor a permit suhlec�s ��e aOGlicant �o a civil Denaliy of not more Nan live hunOreO doilars (5500�.
I, as owner of Ihe property or my employees wilh wages as �heir sole comDensalion, win do the work, antl Iha
❑ stmcture is nol imenGea or ollere0lar sale (SttUon 7pnn, Busineu anA Pmfessional Code: The Cantraclors' Slate License Law
does nol aOPly �o an owner ota pmDerty who Ouilds ar improveSlhereon, anU wAo tloes such work himsel�/Aersel� o� IAmuAh
his or her own employees, pmvide0 inat such imo�ovemenls are nol intentle0 or olferetl lor Sale. II, nowever ihe huil0ing or
impmvemeni is sold wi�hin ane year oi compleiion, �pe owner vnll have Ihe UurOen ol proving he/s�e tlid no� build or imDmve
' lor I�e purpose ol sale�.
I, as owner of the pmperly, am exclusively coniractinp vnih licensetl contractors m consimm t�e pmjecl (Section 7044, Business
❑ an0 Gmlessions CaAe: The COnirat�ors' Siale Lit¢n5p �aw Ooes nai aDDM �o an awn¢r ol pro0e�y wlq bmld5 of impmve5 ihereon
antl wha [oNratis lOr Sut� O�olet�s wiih a Conlracl0r�s) liCense DurSuan�l0 Ihe COnVatlors' Slale LiCense Law),I am aware
Ihal O�oo� o� I�eir WOB¢r'S Lompensation insurancP 51wu10 �e pmviEeG to me.
� I am exemp� untler $¢c1i0n: 9. g P. C.
lor IhiS rea5on:
oate: Owner:
i Do �ereby cenily ihai i am aware of and unders�ana t�e reQuiremenis ol Calilomia Healt� anU Safety Coae Sections 255Q5, 25533, ana
25534 antl ihat I or any IUWre Guilding occupanl vnlUwill not (cirGe one) neetl to com0ly vn10 saia state cotles antl ihe repuiremen�s for a
permil �or construclion or modilicalion Imm t�e Fir Oualiiy Managemeni Disincl. flesidential constmciion ap0licalions are exempl Irom
Ihes¢ provi5ion5.
�ate: Appli[anL _
I hereby cetlily Iha� I have read Ihis ap0licalion antl Slatethal �he above in�ormation is wrrecl. I agree�o compty with all cily antl caunty
ortlmances antl siate laws relaling lo builUmg [onstmtlqn and py�eby auilwnze re0�esenlative5 0� this niy Io enier upon Ihe abov¢-meniionea
pmperiy �or inspetlion DurpoSes. /1
Dale: ro - G�eL� SignaWre: � �
�nver'S License ar Social Securiiy >:
t6dLe6 W�i�e—Bmltling�, Green—Code EnforcemenL Gynary—Appliwn�: Pink—Revenoe: Goltlenrotl—Assessor
CITY OF COSTA MESA — HUILDING PERMI'C PERM NO: F 0496 6
PERMIT NO: P 099636 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTkUCTION TYPE: PERMIT TYPT•_': PLU PURPOSE: OTH
JUH DESCRIPTION : DISHWASHER REPLACEMENT S� FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
COMMENTS: NO STRUC7'URAL WORK HEING DONE
�x�*��**�tt�**x��r*�*x��r�**��*****�r�*****�r**+r�***�***�*�r**���r�rrt******x�+r�r�x��rt�****�
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 ---------- --------- ACC£SSORY BUILDING ---------
FkNT: FT ZN RLAR: FT IN FRNT: FT IN REAR: FT TN
LEFT: FT IN 12GHT: FT IN LEPT; FT IN RGHT: FT SN
PARi{ING REO• PROV: PARCEL: 93`.318136 ZNE: REF NO:
PLANrIING NbTES>
i
*�*****��*+��**�x��e���r�**��r*****�**�x�***�*�x���x�*��***����r*�x�*�����x��xx�*�**+��
D E t� E L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
ZONING APPROVEU HY DATE:
BUILDING APPROVED BY : DATE:
*********�*�r**�**D*D��r R ��r**D�*�i�x��i� . ��
If if it ik if if iE iklElf 3E ik jE iE iE iF aE if iF jf iE ff ik 1k jE 1f if if i't iE it if if %if !f 3E aF �f 1E * i! jE if � M%�� # 1F if if af iE iE k 3E if iE if jf 1F if iF iF )F �E X� %�� li 7f �f iE if �E if aE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMHING ELECTRZC MEC[iANSC F.[RE SMIP/REi GRALIING
PERMIT ZZSY SMIP/NON—RES
PLAN
ISSUE FLE 3.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECH TOTAL PAID DUE
TOTALS----> 2.00 3.00 0.00 5.00 5.00 .00
REVENUE DIVISION TOTALS--> CULLECTED: 5.00 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC PIRE SMIP/TOT GRADING PI,AN—CHECK
5.00
if if iE -0k iE ik iF i4 iF iF iE it iE iF �lE if iE ik iE 9k k it i(� if �)f if iF if iE it k it it i! it if if if ±f if ii iE if if �%%ik k lE iE if �F iF it it � lE !f K if iE if iF k if iE df �76 X� �k � 7f !f if iE iE if iE af
I N D I V I D 0 A L F E E B R E A 1( D O W N
TYPE QTY D E 5 C R I P T Z O N UNIT COST '[OTAL COST
PLU 1 DISHWASIiER 2.00 2,00
END OF FEES
tl; 0007321.`.�—C4DT?iS T�'P' g.p0
oATe= l0/3Ef90 TIflE: 2?:Q5
CONSTRUCTION ANDPLANNING POG SPA
APPROVALS Permit # Date Inspector p�ppqOVALS Permit # Date Inspector
1. �Temporary Electrical Service or Pole - 52. Pool & Equipment Location
2.. Soil Pipe-Undrgrnd. � � ' 53. $[eel Reinforcement
� 3. Electrical Conduit Ut���ty�Undrgmd. 54. Forms
�4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding -•
- 5. S[eel Reinforcement 56. Rough Plumbing & Pressure Test
���6.� Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. �Footings 58. Elec[rical Conduit�Undrgmd.
8. Foundation . 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe�Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. ,
10. Structural Floor Svstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer Cap . � 63. Heater & Vent-Final
13. Roof Drains � 64. Plumbing System � Final
14. Rough Plumbing : . 65. Electrical-Final "
75. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
� 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
' 19. Rou9h Heating & Air Conditioning FIRE DEPT. REQUIREMENT .
i
20. Rough Factory Fireplace : . ; � i APPROVALS,' Permit #�_� �
21. Ducts, in Structure � �• �• ' . � � 70. Underground�Hydro '
22. Ducts, Ventilating � ; , ,� �, �.f71. Product Piping O�Gas ❑ Oil
23. Gas Pipe�Rough & Test � '!n � � 72. Underground Flush • -
24. Roof�Framing� ' ' � • „� ; ,73.�Undergrnd:StorageTankOGas ❑Oil
25. Roof.Sheathing � � � � ! �74, Overhead Hydro '
• 26. T�Bar Ceiling (Structurall &'Monocoat ' � � 75, Dry Chemical �
27. Frame and Flashing � � • • • � 76. Dry Standpipe � � .
_ 28. Lathing & Siding � i ' '„ � 77. 'FIXED SYSTEM�FINAL� . .'
29. Insulation • ' � '� � 78: FIRE PREV. FINAL " "
�30. Drywall Nailing r �� ' ' ' 'HEALTHAEPT� REQUIREMENT
• ��
31. Plaster Brown Coat � .� • ' �� � r79. FINAL INSPECTION
32. Electrical Power Meter�Final � � � �' �`80. FOOD CERTIFICATE ISSUED
33. Final� Electric . I �� ���Notes: •, i i •
34. Final Heating & AirConditioning ' � ' ' � • � �
. � �, .
�
�35. Final Gas Pipe-Test , , - , , .
36. Hood or Canopy • � � �� � ' ` .
I i� , i
37.� Final.Factory Fireplace . - � � � � � , ,
38. Final Plumbing �� 9� ��;
39. Water Service-Final ' � � � '
�' '
40. Gas Service-Final ' � • � ' ` �� :
�
41. Solar pomesticFina� . � � � � , . � � .
42. Backflow Preventer i � + � .
43. Backflow Irrigation � ; `
44. Landscape Irripation System " ' � � - �
�
A5. Sound Attenuation � ' � �, " �.
46. Handicap Regulations . . �
47. FINAL STRUCTUFIE & BUILDWG � �
� i; �
48. FINAL PLANNING � � � � ��' ' � �
,49. Electric Release to Edison . , ,
50. Gas Felease to Southern California Gas Co �• �
,�
51. CERTIFICATE OF OCCUPANCY � • ' • •
No. Date
/ '
�nnnessaawiowo: z709 GANNET DR
a^'E"s"""E'°'°a�`": CARROLL, RICHARD A
"«'E"' CARROLL, ELLEN M
"' 2709 GANNET DR
�� COSTA MESA,CA
�cvi. wuuwc �ooxeu:
YICXRECT OR Q!mlffA:
urcx. ax �o.•s,�uoacss:
°�' CITY OF COSTA MESA — HUILDING PERMIT
FLOOD: AE-46
PERMZT NO: B 084875 PLAN CHECK NO: N
92b2b
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
"`ND' IJOB DESCRIPTION : T/O ROOF INSTALL PLYWOOD 6 COMP SHINGLES
uNr:
cor+mACTarswu� AERO—THERM CONSTRUCTION ( 714 ) 966-8303
CdlfPAtt01f4Y41➢q 289 LILAC LN
"0°"Eu COSTA MESA CA �N°= 393321
92627 uNT:
11CplSEO COMRRCTOf14 DKLAN�TON; I M�eEy elfrm uMs paWy d pa�jivy Nal I un fcrosed udr prwieans d Cheqw B
(wmmervvq �mh Snian ]000) W Oirisun � N tM Butinen erd Pmimaiun Cade. eM mY Frn» o in hA bm and �Ilotl.
cmuc.No.:049015 �c.cuss: C39 uc.no.: 39 321 EXP• 0/97
�,: —LS o��,�: '�/�i� f. /!if/�
�
OWNEF UILUEN DECIAPPTON: I henby dfirm uMn penely d� j.vy �het I am ammq Imm ihe CoMretlm Lican�e Law Iw tlw
�Idbxy �aeaon (5eclion )W 1.5 &qiwas md Rdmebnf CaEe: MYW o� muM' wfiidi iaWim a Po�1 �o wroWc1. Ma. 4nYove.
RmIQo�, a repai my niucNra. pna �01a eauence. ebo maww iM applimN Iw wch pamil �olJe a W� �N� � M a�M
� �bensee w�� �o ine w�• a Na comreeaa Liceme Ler jcA.per e(mmm«idm .an s.au�'laao) u oMeim a a �ro
Buei� eid PrMmnne Goda� w ihet M a eha'v exemq tharelmm eM tha Enu tor Ihe elbpeE mamqion. My viaWion d 6eaion
)031.5 by enY e0d�� lar e permil wbpn� IM eppliceM to a a�il perWry d �M mpa then /we huM�ad ddl�n �55001).
� I, m ovmer d �M propony m my empbyeee wn� wea� ��hai wle campanaewn, xill do Ihe vroA, eM IM eVucluro e nd inleMed
a oflerad lor ede (Seciion ]0«. Buvnev end PMessione Cotle: TM Conlreclon Limnee Law doea � apply loen ownsr W qopMy
who buide or inD�e �herean, eM who tloae euch wwk himeeM or henetl a thraqh hb a Mr oxn ampW�en, pwideC Ihel wch
impwamanle ere rol inieided a dlereE la ede. M. however. lhe buiNinp ar'vnpovemenl u�old wi1Nn me Yeer W complelion. the
ownmduildar wiil heve tM WMen d proviip M or &ro dtl na WJd a impv.e la �M purpovs d eeb).
� I. m owmr d IM O�W�Y. em utlud+Ny cantree�q wbh IioxueE convacfas m cmibW IM pM� (Setlion ]Ou. Buainw� W
a�d.�. coee: rn. wn�ao�. �r.�» �.. a� oa eodv w� o.� a n�w�v wno waa. «�we. m.�e�.m wa
contrena la urA pqeda wiU a mmreaar�e) IicenseE W nueN to �M1a CoM�acMs L'nrua lex�.
� I em uampt uMar Sectan�. B. 8 P C.. br Nn rmion:
De�e: trimer:
1 Eo M1oraW cenM Nel 1 un ewvs d vd uMa�bM iM1e reVwremema d CallaNe Heelh eM Se1MY COEe Setlion 2r505. �SSJJ. end
?55�0. arM qat I a vry Mun ddkiry omqem..i9 / wil M(�b ar) neeE b canpy wih emd ems mdn md tM npu'vamwib br
eG�ulncomWctianamodLimtianhan�M���ue�i enepmrm0inrie.RpNWelmmt�utlioneVDktliaronsa�emphomNra
a�.
Deie: �pd��
WORKER'S COYiEN91Tlq1 OECLAfl�TON: I Mreby elfirtn under penelly d pxpvy one d Us Idbx'vq ddumioro:
� I have enE vril meiMeu a eandrsie W mnaent io vallie�uro br wM1en' eanpaiumion. m prwiJM la by Swian �)00 d iM leEa
coe.. �« �n. oenam.M. d Ne wn� t«.+icn mu pamm u o.uee.
❑ �n.r..m.ilmeimei,w�k.+•oomo�onin.,eame.mrw�bMs.du,arooameLen«coe..wu»vNa�a�n.
f� �.on� �a wni�li ev. oumG u'vsu.e. Mr.aken• camD�on inwrerc. urtix .nd D� v wmbr ma:
c.�: STATF FI1NT1 EXPIRES
Vd'ryNumber: �S—Q7[jT7TTUf.A O1 /O1 /98
�]hia seaion mM mr b rompbrod / iM pmmt o/a wre hun0iai Jdlen �SIWI a Ime.l
� I cMiy �M1tl in iM parlameze W �he work la wh"ch thie pem�n n ivued. I eM1dl mi empby ury panon m em� men�wr o m lo
bac'me wbjetl to iM xoM1se' compe�uetion bvn W CelAomie, eM epree Nel A I elwuk�, be'c�m^ie� amjw io tM waM1rs'
� per�avion OA'^�oro W SWion 9]00 d �M lebor COEe. I karybn xit mmp�y�/_' ��
i
oe�a: — Mq�'am: �\
W� np: F�Ilun ro i�cun woMwi rnn�vwwtlon corerq� h un4rNl, urtl sIW/ wU/�el �n wmployw ro cNM�ul p�n�ltlu �nJ
I llnu ,q ro m� h�.�rdrM flauxnJ Jall�n (5100,POOA M W01tlon ro M� rost o/ romvrwlbM1 tlemspw �s proHtlW fw In
SxHon 3]O6 0l M� LMor COW, /nfxuf, m0 eMmsy'a /w.
CONSTRUCTION LENDINO AOENCY; I hereby alfirm ueMer peneXy W perN'Y �� ��r^ y e mnsl�uabn bMinp �percy br tM
peAormeMa d ihe woM lor which t�e peimY n neueE (SeGon 909]. Civ. C�.
LEN�EP'S NMIE:
LENDEP'4 AOORE59:
I ceniN �� I hera iW Nu epq'r.tlion eM uele IMI Ihe ebwa iNametion b conetl.l apme to canply wiih M ray eM mumy ad'vunou
eM clete levn telelip W buiNnp confVuction vd MraEy eulhor¢a �epe�enteurea d thia tiry to eMer upan Ihe eEwe-men�iwwd papMy
la impetlian Wrpoeee.
EDWARD WATKINS
(5t51Je.WP) NTne-Buildiq85dery:0�een-Fib:Gere�y-Appicanl:NnkJiannue:(3oldenmd-#emaea
PERM NO: B 084875
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 7,204
CLAIM VALUE: 7,209,00 CALC—VALUE: 7,204,00 GROUP OCC: R-3 /U-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED
�rx �x �x ��*�cx�*a� *x�x ***x��a�x *x *��t***�****�r*��r�rx �t* *��c*�x�;�+ta�**�**�t*�*�t�t** *;tat�r**;E�a�**;��
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 AEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13947609 ZNE; REF NO;
PLANNING NOTES>
� � �
if iF if 9k iflF'1f if if �E 1F i4 iF'1F'1E iE iE iF jf M'1F if iF if iF 3h j! *'k if'N' iE 1E'lE iF iF M 1E'k i0 if iF if iF iE it iE iE iE i4 il� i(� ih if it IF 3F iF �E i! *'lF ih if if 14 i4 if it iF it 1E it �1F 1E iE iE iE if'
D E V E L O 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 . DATE: �
BUILDING APPROVED BY : /
APPLICATION ISSUED BY:
�r*�r�«�e***+r��*****���r*��r���3 ������
LEGALIZATION;N F E E S U M M A R Y
HLDG PMT PLUMHING ELECTRIC MECHANIC
PERMIT 137.25
DATE:
DazE: o�� %
�Fi�*+r�*�r***+��r **
STRUCTURAL SEGMENT;Y
FIRE SMIP/RES GRADING
72
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 137.97 0.00 0.00 137.97 137.97 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 137.97 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
137.25 .72
1t 1E it 1E 3E �E iE iF iF ik ik iE ik ik ik 3F 1E k fE iF if �F ik if iE if if if iF iE ff if if iE iE 1E if 1E %iF if iF if iF if if if * iF iF iF iE �f if 1F if 3f �E �E if if iF ih iE iE aE fF �F * iE iF �E ih if iF i(� �F i(' i'r
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
SFR 7204 REROOF BY VALDE RESIDENTIAL NOZONE ,00�$ � 04,00
END OF FEES o �
SEP2�1997
CITY.OF COSTA MESA
CONSTRUCTION ANDPLANNtNG POO SPA
AP�ROVALS Permit dh Date Inspector APpROVALS Permit 7k Date Inspector
1,'�7emporary Elect�ical Service or Poie 52. Pool & Equipment Location
v
2. Soii Pipe•Undrgrnd. ". 53. Steel Reinforcement
�.3., Electrical Conduit Utility-Undrgrpd. � 54. Forms � -
'4. Electrical Conduit�Undrgmd. ' 55. Electrical Bonding
-5., 5teel Re�ntorcement-� 56. Rough Plumbing & Pressure Test
6. �Iectrical UFER Cxrnti. 57. APPROVAL 70 COVER�GUNITE
7., Footings 58. Electriral Conduit�Undrgrnd.
- 8, Foundation =� - 59. Gas Pipe, � Undrgrnd., Test ,
� 9. Water Pipe-Undrgrnd. 60. Backwash Lines. P�Trap, O Undigrnd.
10. Structural Floor Svstem 61. APPROVAL TO•DECK '
}}, property Sewer L"'rne & HOuse JConnection 62. Backwash & ReceWtor-Final �
12. Sewer Cap r � ..• � 63. Heater & Vent�Finai
13. Roof Drains , ' 64. Piumbing System � Final
•14. F1ough Plumbing- � � 65. Electricai-Final �
15. Rough Electrical•Coriduit � 66. Solar SYstem-Fina�
16. Fough Electrie Wiring: , 67. Fencing & Access Approvalr , �
17. Rough Wiring Si9n "� 68. APPROVED FOR PLASTEi31NG '
,
18. Ftough Electrical T Bar Ceiting � 69. POOL/SPA SYST[MS FINAL
i9. Rough Heating & Air Conditioning FIRE REPT. REQUIREMENrT
.�
20. '�iou§h Factory Ficep1ace ;� ,, , = ', , �APPROVALS. � Permit #- • y-
21. DuM�� in Structure_ Y •� •� - �� _ �� 70. Undergrovnil Hxdro '
22. Duc{s, Veqti4ati� -. ` - _ _ ,� f : •
B•„ ;. � - .' 71. Produa.Fiping dGas f30if
23. foas Ripe�Rough & Test - T _ i 72. Underground Flush * ' _
�J
24. F��oof'Pre'rr�'in9�� - � �� ' - ..,.� .73, Undergmd.Stora9eTank.OGas rJ0i1
L
25. Foof�Sheathing r• �* s = ' "� ` 7q, pverhead Hydro_ _, '
-x
26. 'j��Bar�Ceiling (Stryfituraq & Mool�coat � ,_ i ' '� + 7�.Dry Che�ical �. � � ��,:
27. �iame and. Flashina : �z. ; � t 'r z i. 76. �DrY Stan`dpiPe ; x ' „ � .
' 26. Lathin &�Sidin � �- ' x J� r •� .. ' � - � �,;
9 9;� ti� � y ���;, 7Z� FIXED SYSTEP'7FFINAL -.
� 29. Insulacio2` '• :: 'r S • r �� 7$;. FIRE PREV. FIN� L '� ^ "
'� 30. Drywall Nailin� ' �, ��, i - .3iEALTH DEPj. fiEQUIR�EMENT
";. • _
� 31. Plaster 8rown Coat � j �• r � i �K � 79. FINAL I:JSPECTIDN
-.32. Electrical�Powe�r Met�rFinal �_ •u �*''807 FOOD CERTIF7CATE IS�SWED_,
- 33. Pinaf Elecesic � = . � F - _ •. � Notes: - T' - - '' `*-
� � 34. Pinaf�HeaQing $ Air Conditioning '= ' . �� ` � { �
� ,n' t � .. .-.% �
' i�r � , � . _
35. Final Gas �ipA:7est .. � 1 � '� :xc _ + � -
- -- i n � G: -- -.- a a.
36. Hood-or Canopy _ � h� + .
��37. F.inal Factory Ffreplace ` �.. � �� � ,r • ��
- 38. F�nal Plumbing ' �' � � . ` = � ' -
.� �
39. Water Service�Final " � ' ° � ' ' • � �
i . i
. 40. Gas Service�Pinal � - - • � � � - - �
' � t
41. So�ar Ooqiestic;Finat{ ` l F . .r . - . - �r_ -'
42. Backflow-Preventer r . - . �" '� �" : - .
- e [� r -��. ;. - .
- 43, Backflow Irrigation i � � � K , � . � �
r
44. 4andscape lrriqation System *f ' r ^7 O - _ �� � ; _ � • � _ � � • � � - .
t ^, r �
. - .n , �.- - _
45. Sound Attenuation :. ^.. F:. j _ �. s. � �' �
A6. Nandicap Regulations � ` T - ' `- ° � .
_ ' - ' -F_.. ;: . i ��. � ; .
47. F1NAL STRUGTURE & BUfLDiNG 4 � , • 7 � ' � ' � . '
48. FINAt PLANNING • � �� ., . , „
� 49. E�ectric Release to Edison � � � �� ` - .
. T Y
50. Gas Release to-Southern California Gas Co � • '
51'. CERUFICA7EOFOCCUPANCYc �' " -
No. Date
Aopllcant to flll In all soaces exceo� those witnin heavy Dorticr Iines ana sign all aDorooriate aeclarations.
CiTy OF COSTn MEsn CONS RUCTION PERMIT
ProjectAddress �709 7�/✓��T
Applicant's Mailin Address
Owner's Nume � hon —
Addreu ��� � //.� �
Arch/Eng. Licenu No.
Address �y/��yy��
Convacbr'sNam • '� hone�
Addreu (mailing) T? D•�,C 375� . ELTnpq 9a�Ll�J
Ciry License No. —Q3 � 8f�/
LICENSEO CONTRACTOR DECLARATION
I hereby afli�m Ihat I am Ilcen5e0 untler provislon5 otCharter 9(commen<in9
with Se[lion 7000) ot Divi5lon 3 0l the Business antl Professions Cotle, antl
my license Is in full for�� aitect. .� �/�/
Littnse C ss icenze ���
Date � 519 t � ��-�
WORK RS' OMPENSATION DECLAR �
I hereby a(lirm Ihat I have a<mtiticate ot mnsent to self-insure or a certifica e
�;:�1 Workers' Compensation Insurance, or a certifietl wpY thereof (Section
'"`900, Lab. C. ,/ /y'
�PolitY No. ��n��Y—� � ComPanY^�����'- �/�
�n�y, Certi(ietl cppy is here¢ y turnishetl,�
�OlCerti4Etlloov istieC/wi[h Ihe citv BuilCina.Givisiafi. .�Jil Aa /'
EXEMP9�ON �EiOM WORKERS' COMPENS�Idl4 DECLARATION /,
(This seftion neetl not be COmpletetl if (he per if Sf for one huntlretl (E300) or'�
I255�.
I certity that in lhe Oerto�manCe ot the wOrk fOr which thiz perm�t i5 is5uetl, I
shall not employ any persOn In any manner so as to become suD�ect [o the
workers' Compensatton Laws of Califomia.
. Oate � Si9nature
'NOTICE: Ii, alle� making this tleClaration, you Shoultl become Subjett to lh¢
Wo�ke�s' Compensdti0� prOW5ion5 01 the LdDor CODe, you must tortnwith
comO�Y w�[h suc� P�ovisions o� this pe�mlt ihall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
I h¢reby a�firm Inal thare is a conSVuclion 1¢ntlin9 a9enty for the pertormdnCC
Of the work tor whith thi5 permit iz issuetl (Sectlon 3097 Civ. C.)
Lentler's Name
Lentler's atlaress
OWNERBUIL�EH OECLARATION
I herOby alfl�m that 1 am axempt trOm Ne Conl�actor'S U<¢n5e Law 10/ th0
following r¢ason (Sectlon ]031.5 Buzlness antl ProfeSSional Cod¢: AnY City Or
county whlch raqWws a permit to construct, alter, imp�ove, tlemolish or rapalr
any slruciu�e, priOr lo IIs Issuance, a150 r¢quires the aOP�icant tor zuch Dermll
to �Ile a signotl 5[atement thd[ hu/she Is Iicansetl pur5udnt [o4he provi5ion5 0l
lhe COMratlor's Litense Law (C�apter 9(commencing with Section 7000) of
Division 3 0/ the Businoss antl Prolesslons Cotle) or [ha[ ne�sne is ozempt
sYnc�efrom antl the baiis lor the allogetl exomptlon. Any violdlion oi $acUon
�+'=`031.5 by any appllcant for a Oermil subjects [ne applicanl to a civll
>;�'.4nalty of not more tnan tive huntlretl tlollars (y500).
'❑ I, as owner ol the proporty or'my em0�oyee5 wilh wagnz as Inoi� sola
compensation, will tlo the work, antl Ne Stru[tur¢ i5 nOt intenCetl o� ofloretl
for sale (Section 7004, Business antl Pwfezsional Cotle: The Contractor's
License Law tlocs not apply t0 an own¢r Ot a property wlto bulltl5 or ImprOv05
thereon, antl who tloes sucM1 work himietl/herselt or lhrough his or hOr own
empioyees, provitletl tbat zucn improvements are not Intentlea or ollorotl lor
sdle. ft, �Owover, thn bulltlin9 Or impwvement is soltl wi[hin one year of com-
D�elion, tbo owner wlll have the burtlen of 0/ovinq he/she tlitl nol builU o� Im-
� p�ove ior lho purpo5o ot sale).
❑ I, as owne� ol [ha prop¢rty, am exclu5ively conlracting with Iic¢nse0 Con-
tractors to canstruct tno project (5¢ctlon 704a, Business an0 Protessions Catlo:
The Contraclor's License Law daes not aPpty to an owner oi pro0erty who
builds or Improves thereon, antl who contracts ior sucn Qrojecis wltn a con-
Vaclor(51 Ilcense pUrsuant�to tbe Conlractor's License Law). 1 am aware lhat
proof or thair Workor's Compensation inzurance shoultl ba orovitletl to ma.
❑ I am exempt under $ection B. S P. C. for th6 reason
Date Owner
I hereby certity that I have rea�
Signature �
Drivers' License or �
�" �ya 8a � _ .._.
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER A P,*,
DESCFIPTION OF WORK/USE OF BLOG. � S Main euildi
E
TVPEOFPERMIT GRA�ING- FOUNDATION STRUCTURAL T Front
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reaf
❑ -OTHER %�
PROJECT DESCRIPTION Sq.FT. OCCUPAivCY C Right
K
' CONSTRUCTION TVPE VALUATION 5 g Lefl
20NE GRADING CV. VDS. ACRES p�ng. Ref. �k
Remarks: � Planning Notes:
Bar Sink
Backflow Preventer �
Backflow Irrigation
Bathtubs
Jrinking Fountains
�loor Drains
Roor Sinks �
3as Service DUt12L5
Incerceptors
Kitchen Sink
�avatories -
P—Trap
Roof Drains "
Rainspection Fae � $15
Boiler �
Duct - Under Ground
Duct - SVuctural
Duct - Ventilating .
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating $ysrem & Ducting
❑0�100,000 BTU 0100,000B'T�
Reinspection Fae � $15
---v
CMF 0865�46, rev. 30/B4 Wnite - Builtling: Canary - Applicanh Pink - Accountlng: Goltlenrotl - Azsessor
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar ColleCtors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash -
0
FEES
Isue Fae I S �
Hoodar Typel ❑
Cano�Y Type I I ❑ '
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
Fire Oampers
Regiscers
laue Fea
Zone
- � �
Parking Req./Provided
ELECTRICAL �
Auromatic Washer Transtormer ❑ 15�50 KW .
Construction Pole Sub. ❑ 50+ KW
Cooking Unit �,� Meter ❑up to 100amps
Dishwasher � � � Meter �over 100 amps �
Dryers �Gas ❑Electric Sub Panel
Fan Motors �0.7 HP O l Ya - 8
F.A.U. inc.Solar 09-15 HP �16-75+
Fixtures Microwave
Device Boxes Pole Light
Outlets Range
$witch¢5 Sj9�
Garbage Disposal ; Standing Sections
Generator 00�5 KW �5-15 KW Trash Compactor . �
Reinspectian Fee $15 Issue Fee
FEES
�DEVELOPMEN7 SERVICES REQUIREMENTS:
Zoning Approvad By
8uildin8 APProvad 0y
� Aooliration Issued Bv
$ 3
0
FEES
$ 3
Z
O
N
1
N
G
R
E
�
M
T
S
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ � PERMIT '
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM . S
MECHANICAL $ TOTALFEE $ �O_�
PLAN CHECK z5% $ �
. � _ ,.,,; ,
- CONSTRUCTION AND PLANNING ' � - POOL �PA
�' ApPROVALS Permit # Date � Inspector AppROVALS Permit # • Date Inspec+nr
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough PlumUing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
B. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 67. APPROVAL TO DECK
it. Pioperty Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Orains 64. Plumbing System - Fina1
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 �
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20.� Rough Factory Fireplace APPROVALS Permit #
2�1': Ducts, in Structure 7p. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. ROof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. L�thing & Siding 77. FIXED SYS7EM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Pl2ster Brown Coat 79. FINAL INSPECTION
32. Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Hea[ing & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or CanopV �
37. Firial Factory Fireplace � �
38. Fir�al Plumbing !� pp G�ifl
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer '+� '
43. Backflow Irrigation � t-% � .
T
44. .Landscape Irrigation System�>
45. Sound Attenuation� ,
46. Handicap Regulations "`�
:�
a7. FWALSTRUCTURE&BUI'LbING . �
48. Special Requiremen[s Completed �
49. Electric Release to Edison ;�; - � . ' -� � '�, `�
50. Gas Release ro Southern Califoinia Gas Co ' �� �.
51. CERTIFICATE OF OCCUPANCY . _ j" <-
No. � Date ' � � �
�ooncss ovam�nwc: �
OWNER9WMEIFIQIOM'N: C
IDOPESS: L
:OSTA MESA,
�vv�. wuuxa �oo�ss:
2626549-7062
/JICNRECt OR EN�NFFA: 11C. HO.:
AIICN.OR FNO.'S NDNESS: VNi:
NOCH PLUMBING (714)895-1246
cwrm�crars xwe: 11610 S EAH OAAD C I R
cam�croRs�aur+o STANTON CA 511971
,,�u: 90680 � ,�.,�,.
7pRs,p�c m,ww, '' � uxi:
m�mme�om m��l.6Tddi.falbW dpoo��a a uM» afona�i� vw'oaaadcm.r.3etlr�»'o�'u� �.n�d %7'Cie
� cm uc. No.: uc. cuss: uc. No.:
' �� /��/-9� ��a No� P��m.o�n�
� I '
own�+ euuoen oecun�non: i iwwi mr� �me� o�y a ron�w �w i.m e..mq i� ine com,.�a, �.,.. �.. i« me
' Jbwiq ieamn (Seaion ]W �.5 Buains� end Pmfansona Cade: �MW a munN Mtidi re0wm e Vertna to mrevuu. ellm. imMova.
TO�Rh, IX f!(IBf Blly 81NLIYfl, pfCf b C9 sWLld, BbOIGQNIM ��! 9PP�1 iIX M�1 pMIW 10 nl! 6 t1011l� �19�GM111 �181 �1! IX t�l!
r��d w�� �o ine no+� d n» wm�.eo,. ua�+a �. I�.a« e l�«�,o wn s.ao� �000l a a.e�, � d�b
B�m+ eM Rdevbn Cade� a Ihm M n eM e memq �healmm enE �M Eam Ip Ne ebped ssempion. My vidmion d Setlbn
�mis w vn+cp� i« e o«ma o+4�as �n. mv�d ��. �.a o.�,ny a na ma. men ri.. nwwee emm. �swop.
❑ I.nawrerd�hep'openyamyampb�eae.thwapeam�Misobwmpenaetot�AOlhavpk.eMtlrewnunennmteMeA
tt MenE br seb ISac� )Ou. Buu�m md Pmlamn� Code: Tha Cau�m liorus law doa m WGh �o an ox�w d propany
wAo W7dn ar inP�� Ifwrean. etd wM Eo» sut�h xak h'vnae0 a �ene� a Wa� Ae a hm orm amV�%��. pw'� IIW wch
imG�+�ena us nd'vueMeE u tllseE la �eM. tl.lnwenr. �M buitlW u inP��aru u wtl xvh'v� ms Yeu d wmC�ion. rtw
owtqr-0u�Cm x�0lure IM daden d pmi�q M w ehe did M ddd a impo.a la IM WNae a�eMl.
� 1. ea nins M IM pW�Y. em ssrkmWY auVratlnO xG YttmsC cantrecbn b mro-w Ne D�q� (Seeion )OU. &v'v�a eed
vroe:eim. eoEe: The uwmon I.imn l.r ma. na wW ro.n own« a o�r wno nwu. « Mqa. �neraon .m M,o
mweeu fa wM WN�s WI� a muemM�) GeemeE W�+wm to tAa Cawaqas L'vrva lar.'l.
� 1 mn a+emp uMr Section: 8. 6 P.G.. br Nu �aa»n:
oda: � om,«:
1 Ao Iwe6V �Y Nn I em ervs d vd �vWnund tM n0��wa W Cdlmde l4W� utl SdMY CoM Seaiom 3SSOS. TSSV. eM
2551,. anG�Nel I a vry hewe dak'vq oawipeM wa / wA m� (mcb w) neeE ro canply rrih uiE uda mdm eM iM �eyu"vemmb la
eV�loiwnuunionamodi5mtionhomtM�i ue�iY a�d0ivrin.RuidaruolmmewoneGV�'�ianena�omqlmmNwe
werieun•.�
Dele: Appfrvu:
WONKEN'SCOMVEN411TION DECL�N�TON: 1 Mab� Nfnn uder pw4y d pw�u�y ane d tM toAowinp Aatlnmixn:
❑ I Mw vM wiI meinten e ceneicab d mnemi to �eMinwa br xMm' mmperuqun. n pmNM la by Saeion J)OU d ihs leEor
Gade�la iM qrlamerce d iM xaA la xiic� thu penb's e�usC.
g ino�.�ew��.:,.,aka.•�w�.m��^��^� �u.ewsee�naoam.i..e«coe..art'fPlC�"F'F'PL�°
wak la wM1ich �M1u Oermn ia ivued. MY waMen FIiTC"3��i�'�1` /�aoe w�.v M,me.. d.: 0 9/ 3 0/ 9 6
c�.,:
, Pdry Number:
(i1v'a eMian need ror bs mrW��eJ f �la a�t u M ms hurdred datlus /Ji W/ a Nn.)
❑ I cMh �� in �M pMamerca al Ihs work lor xhirh ihe psrma' sC. I MeA nd ampby ury pamn in ury men�ror o ea io
Wemia wbjed lo iM xeekx�' oompenWb� MYn d apne Net J ouk baeome wEjw �o tM xwMen'
�om �, . d sea:.� a�ao d in. �eo� coe.. � .vn oompN wn
�,. � �� `S � _ ��----
C �
m/n0: F�llun ro��eun rort�n'ron�pwwtlon rownp� l� un4wM. �ntl �NII �itl/�ef �n �mylay�r ro erlMlul p�naM�� aM
clv/l Ams ap ro on� h�ntlrW rM1ouunJ Jd4n ISiPqOWA h Ml/tlon ro M� ro�t ol rompMutbn ��pu �� PrcvWM ror In
S�ctlon �]05 0l M� L�Gor COW, /nfNUC �na �tromry i Iw�.
CONSTNUCTON LEN�INO AOENCY: I hmeby dfiim uMer peiuAy M perN�Y �� IMre n e mnetrudion lerdirp epsncy br iM
parlormanm d ��e woA lor whidi �h'v pemi� o ewsd (9adion JOB). C'v. GI.
lENOEP'S NAME:
LENDEWS AODNE39:
I ceniN �� I Mn reed iho epd�d� �d aele Ihet iM ebove iMwmtlbn b co�iea. I epne io rompy wNh eA ary enA ooumY �inenoe�
uM eieie bws reletinB w I�Q,+�on� Mreby eWar¢s npemniuivaa d IAh ary to enbr upon iM aDwe�mentianed qapeM
�Ofliq[il1011pllfp]Mf.
I Q� �
Dme: � ' ` i
(5151-48.WP) Whilo-B�ikip 8 Selety; a�eemFle: Canvy-Appirani: Rnk-Hewnus: (3dEenroFMwsor
�`CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 075436 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
� n�-
C(1VT. A1 Si7AP. N
PURPOSE: OTH
JOH DESCRIPTION : WATER SOFTNER C/O SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WOAK AOTHORIZED BY THIS PERMIT r
�rx�*��r�r�r�r***�ex��r�r******w******+r*�*�r�****�r**x**r***+t�rnE+t+c**+t+r*+rx�*�**�r�r+t+r***+r��r#�xir�
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 HUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT If`1
LEFT: FT IN RGAT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REp • PROV: PARCEL: 13947609 ZNE: REP NO:
PLANNING NO'PES>
%
ifiEiF#iEififiEiEiFiFiFkiEifilifitiliEitlEitMiFliiE#itit#it�iEififillFikiFlElFiEiElfififiEitlEiE#KifiEitiFifihititk/fiFihiEititiEkiEi6ff iFiEkif ihit#
D E V E L O 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 DATE:
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: DATE: �����q>
iF1E1f1('Ik1f1E1f'�h1f1E1F1F1fiF1E1FiE1FiFlFif 1EikIF1E1F1kIf1E1F1f 1f#
LEGALIZATION:N F E E S U'M M A R Y STRUCTURAL SEGMENTsN
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
PERMIT
SMIP/NON—AES
PLAN
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 0.00 27.00 27.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: 00
BLDG PMT PL`IMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
'�27,00
t
'k i{' 1t if i41li(' iF 1F if ilif if 1E1lIF If 1%� iE ik iE k 1Eif�i('if if' iE 1E ih 1f lhdf iF iE if i4 i4iE1f iE 1t i41F dF dk if it' k'!("ih il' iF 1F if'iF if ik %' ih K'ih ik 7k i4 ik i%ik i@ iE 1f 1F M if i6 iF 1F M
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
P L U 1 W A T E R S O F T E N E R 7. 0 0 7, 0 0
END OF FEES
Y
0! OU19S618—Q019S618 T Ce7' 77,Q0
ua7E+ 12i01/9S iLffE: 09:31
�noaessaam�ara: CARROLL, RICHARD A FLOOFsrc 1
owHewsx.ueiviawix: CARROLL, ELLEN M
�nw�ss: 2�i�09 GANNET DR �
=OSTA ME3�'"CA 92626549-7062
1PPL.YNIPIG 1DDNESA
Z�o9 ��N��r De, ��
41CNrtEtT Ofl FHC�NFFA: IIC.NO.:
RCN.ON EN0:9 dWPE55: UNT:
NOCK PLUMBING (714)895-1246
�crarswu¢ 11610 SEABOARD CIR
CON111ACTORSMNl1W STANTON CA 5L1971
�� 90680 uc.ra_
UHT:
(Jmmmaw^V xil�i�pl Dimon�J tl N�� U Prtmaima GyLL�Bd�d�Y� 6� � I� 16tM md eMidC/ 7�8
cm uc. no.: uc. cuss: uc. No.:
,: ���: t� cx� PLum ,b� ni"o
WN BUILDEH DECLAHATION: I heraEy elfrm uMer paneYy d parjury Ihet I em examp� fmm �he Contraqws License Law Iw ihe
' Idb reeron (�1� ]0�1.5 &nmev eM Pedeaeione COEe: AnY e�Y a�+nry r.fii A nVuiree e parmn to oanuuM. ellx. impran.
oleh, m ropair any avucturo, prim lo da ceuence, ebo reQuiip IM applirent lor euch pertnil lo file e eqrwE etnlemeM �hel he a�M
IicenxE W�e^� lo the poNebnn d iha Comredon Liceme Law �C�eqer 9(commend�p xilh Sed'an ]OW) d D'veion 9 W Ihe
eaineea vd PrWaeeom CoJe� or ihm M a Me ia exemq �hxelmm end IM ba�ie fa Ihe dleped eaemqion. Any vble�ion d Seqon
)031.5 by erry epplicen� Iw e permn wbpd� ihe epplicent to a dvil peneM1y d m� mwe ihen IXa hulMred ddlen R500�).
❑ 1, m owner d ihe proporly or my amOb'/ae wtM1 wuBea ea IM1ev eole compenwbn, will Eo �he woM, eM i�e Hrucluro e nd imenEeE
or ollereE la mle �Secibn JOaa, Bueima vM Prdeeaiona Code: The Comredan Licanaa law daec rwi applyto en ownerd propeity
..no wu. a mo�. me,eo�. �e w�o eoe..�n ��.en a nenae o, wo�,an n� «na. o..,� �dw.m. w�� �nm.�n
�mww�am, �e oa �ma,ded «m�a i« e.b. n. n%.�.. ma w�w�m « mao.�em o.a+�mm o�. v.., d�o��. ine
owoe�-mm�a, �ii ne�a in� wm� a�w��o ne o� ane e�a �a ewia o� �mwa+. i« m. o�m�< a.�a).
❑ �. ea omw a ina nweM. em utliei�dr mmfmiro wan �innaed m,o-.nu, w camm�,a m. wd«i (swun 1ou. aui�ro.. ane
Proleuiara COEe: Tha Conireuan licanw Law doaa na eGdV �o en ox.ier d popenY x1a buitle or "unAa'ee �I�raon end Ma
conirecb Iw aM prol�e wilh e oorurazvor(e) IicenxE W�suent lo �ha Caniretlon Licmee Lew).
� I em aaemp urdx Seciion: B. 8 P.C.. la Nb �aeaon:
om.: o�,:
i m nawr �«wr ���•,,�••• a.�e �,�w«.w�a u» �a�«m a cwom. �mn .�e sm.rv ca. s.a�+ zssos. usai..�e
�551a. vM tlut I a enY Mws brik^q om�un. wiA / v.il na ldreb an) roW to canGN wYh eeitl qats mEs� eM ihe nGui�amaMe br
e pamn Iwm'uVuction a moC'ifimtion hom IMAr�8u8T1.iar�epemem Oimiiq. Readenliel mnnrwion eppiratiom ue exemp Imm iMee
wv.ison•.
J
Dete: AppfceN:
W OHKER'S COYPENSATION OECLAF�TION: I herepy elfirm imdx prully d payvy one d Ne Idbr.irp Aedveliw:
� I hm aM wll maieuen e wM'r,aia d oonsmt lo �sllimun br wvkas mmpe'amion. m pwketl la by 9aaim 9]00 d ih� leEor
Y Code, iw �M psNormenca ot �M woA la whic� �hie permn ia ioued. µ
] � n..4.�a vn� meim.a xake�� wmw�»uion i .s wroe nr seaion a�ao a u» lae« coEe. ro, n'L'X'F�':'ft'�J°
� i« � ma ro�n n A.�,.a. Mr .,P�.���7�� 1 l� m,a w�r ��mw,.,.: 0 9/ 3 0/ 9 6
Cemer:
Pdiry NumEer:
hb eenion ms! rrol W candxed / tM permt is !w ons huMied Ldbre (51WI a b.v.)
� I cenAy thel in IM pMormenca d Ihe woA br whch �hia Po�� � uetl. I ehell ml emplq eny pereon In any mennx n m lo
becoma w4a to iM xorlwn' wmW��bn levn a cel' m. pree ihm H ouM bacrime aEjeif to Ihe v.wken'
wmpepsaliom m�eima� bn 9100 d Iha lebor Code, eheli hwnh wmpy xn t vieio
1 � j` `i ADDlben��
minp: Fellun ro�wun woAtx�' compxw0on coverp� b unNwN( antl �Mll ubNel en .mplapr ro ctlMntl p�rultlu mC
Ivll Hnsi �p ro ons hunerM Owus�ntl aWNn (SfaO,000A In eJdltlon ro M� cwf ol mmpxiutbn, Mmep� u provlGeJ br In
Sxtlon J)05 0l M� l�bor Cor/s, Inhn�q anJ aRomsyl Ir�.
CONSTHUCTION LENDINO ADENCY: I hereEy elfirm uMer penelry ol perl�Y �� IMm ia e mnatrudion bMiip epa�x.y Iw Ne
oenoimvim d �n. xwk ror wnlm ine ro�Y I. 6.uee (seaon aae], cN. c).
LENDEP'S NRNE:
IENDEN'S �UDNE49:
I canily ihm I heva �ead No eppfiretion eM ueta ihm Ne ebwe iMormazion b cortetl. I a�rae to canpy wilh etl rtiy vM muruy adirwau
enE sW e lawe reWiq b��i M�WY euibixe npeaeMe�nef d Ih"s tily�o eMer upan IM ebwa�menlianetl popeM
lor impeaun pulpmea.
Dme: / � ( �
(St5��16.WP) Whns-BuYdip85alary:Grean-We:Cerory-Appiraeu:Rnk-Rawnue:GOlEeniolNs�amr
CITY OF COSTA MESA — BUILDING PERMIT
� n�
PERMIT NO: P 075436 PLAN CHECK NO: N rT. nn. �i
CONSTRUCTZON TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION : WATER SOFTNER C/O SQ FT:
CLAIM ��ALOE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
****+�***���*�*�*�****�**��**�****�*****+����*+�x+�*�***�*��*�***���*****x+�****x**�
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 REQ: PROV: PARCEL: 13947609 ZNE: RlF NO:
PLANNING NOTES>
i
if 1f i@ jE 1E 1E if iE 1E iE aE iE �E iE 1E 1E iE �E iE iE ik iE ik �E iE 1E �E 1f� iF%1E if iE �E if 1f 1F if 1E ff df 1E 1f df iE iE �E 9E 1E iE iE 3E iE 3ElE iE 1E IE iE 1E 1E iE �E iE �E 1E 3E jE iE IE 1E IE �F iE if �E aE iF 1E
D E V E L O 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 .
HUILDING APPROVED BY :
APPLICATION ISSUED BY:
aE aE �E iE iF 3E IE ik 3E df iF iE iE iF iE iE iE iE iE iE 3E 3E���E
LEGALIZATION:N
BLDG PMT PLUMBING
PERMIT 7.00
F E E S U M M A,'R Y
ELECTRIC i MECHANIC
v�
DATE:
DATE:
DATE
1
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
25$ ` , SMIP/NON—RES
PLAN � .
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PL'AN �CFiECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 �� 0,.00 27.00 27.00 .00
� �.
REC'ENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANjC FIRE SMIP/TOT GRADING PLAN—CHECK
�%•�O {. !a
iE 1E iE 1E iE iE if !E 1E jE 1f iF iE 1E aE iE 1F 1E if fk 1E 1E 1E 1E iE 1E ih fE 1E i61E iE i! 1E iE �1f�iHFiE,jk 1E 3E �ElE jE 1E 1E iE1E 1E 3ElE ik iE iE iE if !E 1E 1F 1E 1F iE 1E iE if ik 1f iE iE iE 3Elf 1E 1E iE 3E iE jE
I N D I V I D U A L F E E B R E A K D O W N
—I'YP�� QTY D E S C R I P T I O; N � UNIT COST TOTAL COST
PLU 1 WATER SOFTENER �
END OF 'FEES
1�
r
'�
/
!
y
IRiZ17
^_1 .. . :19'..l. Tj_4C_!_
C.i�...:�i., .. . 'li! v"�a
7.00
V
CONSTRUCTIONANDPIANNWG 'J� 'PA � �
' APPROVALS Permit# " Date fnspector qppROVALS Permit# Date inspector
t, Temporary Electrical Service or Pote 52. Pooi & Equipment Location
2, $Lil Pipe•Undrgmd. 53. Steel Reinforcement .
,�
3. Electrical Conduit Utility•Undrgrnd. 54. Forms
� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
5. Steel Reinforcemeni 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNtTE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Fo�ndation 59. Gas Pipe, � Undrgrnd., Test
9. 4Vater Pipe�U�drgrnd. 60. Backwash Lines, P�Trap, C.] Untlrgrnd.
10. Structural Ploor Svstem 67. APPROVAL TO DECK '
11, Property Sewer Line & House Connection 62. Backwash & Receptor•Final
12. Sewer Cap � 63. Heater & Vent-Final
13. Roof Drains . 64. Plumbing System � Final , '
14. Rough Plumbing � 65. Electrical-Final
15. Rough Eiectrical-Conduit 66. Solar Svstem•Final
-76. Rough Electric K�iring . 67. Fencing & Access Approval
17. Rough Wiring Sig� 6$, APpROVED FOR PLASTERING
18. Rough Electrica6T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit �
21. Ducts, in STruc[ure 70. Underground Hydro
22. Ducts, Ventilating 71 . Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Undergroun� Flush
24. Roof Fwmiag 73. Undergmd.StorageTank aGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat � 75. Dry Chemical
27. Frame and Fiashing J6. Dry Standpipe
28. Lathing & Siding 77, FIXED SYSTEM FINAL •.
29. Insulation 78. FiRE PREV. FiNAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plazter Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: '
z--��=�1 _/Ud_��.� L.�J'7
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test � � Z Z� �/,�a,(
"� p 1 r rd C�.�
36. Hood or Canopy
37. Final Pactorv Fireplace
38. Final Plumbfng ���;G f �-
� �. �
. 39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final �
42. Backflow Preventer
43. Backfiow irrigation
44. Landscape Irri9ation SYstem �
q5, So�nd Attenuation
46: Handicap Regulations
47. FINAL STRUCTUFE & BU�LDING
48. fINALPLANNING
4g„ Electric Release to Edison
50. Gas lielease to Southern Cafifornia Gas Co .
51. CERTIFICATE OF OCCUPANCY
No �ate
�oowcssoFeuaar�c: Z709 GANNET DR
°w*+E"s"u'EiFa+m''": CARROLL, RICHARD A
"����`�CARROLL, ELLEN M
2709 GANNET DR
COSTA MESA,CA 92626
APPL. YIJIING ADDIIE55:
ARCXRECT OX FNtlNEEN:
�HCN.OF ENG.'S /i00PE55:
UNT:
FLOOD: AE-46
��
�.�: 43 �
UNT:
coNmncrarsruxE: NOCK PLUMBSNG ( 719 ) 895-1246
cwm�crorcswuuno 11610 SEABOARD CIR
�oopEu: STANTON CA uc.uo.: 511971
90680 urn:
LICENSEO COIRNACTOFS DECLAHRTION: 1 MreEy efltm uMm pa�ly d pa�ury that I em Icenaetl uMer prmveims d Chepter 9
(wmme�wiq wilh Section JOW) d Di.»ion � d Ne &mmes eM Profesaona Code, erd my licenae ie in lull brce erd eMect.
cmuc.No.:050386 uc.cuss: C-36 uc.No.: 51 971 EXP: 02/96
o�a. $ � 3� 9 S c�i��a:�O 6�Lu.vrr3+,�
IOWNEH BUILOEF OECLAFRTION: 1 hereby effim� untler peneYy W perlury Ihe� I em eaemp Imm ihe Conveqon Limme Lew la IM
idbwig reeaon (Setlbn ]0�1.5 Bwineaa end Pmlessions Code: R�ry c'ilY a�unty xl�ich rayuires e perm� to mrohun, eliar, impova,
damd'nh, or ropeir eny ei�uciure, pior �o m'ssuence, abo requires IM eppliceni la euch pemiil lo fib e sipmE ale�emenl ihel M a aM
ia iicenead v�nuani io ihe o��eiona d iha Con�reaon License Lew �Cheqaz 9(oommenvp �tith Setlon )OW) d Ovuion 3 M �he
Bueineas eiM PrWesauns Code� or ihe� ha a ehe o memq iherahom end the beais fa Ne dlepaE esemqion. My vole�on d Sedion
]031.5 W eny epplirsnl la e parmil vubpda iha epd� �o e uvil penelry d mt more �hen 1'He hundred dollen �5500�).
� I, ea ovrtwr W tM propMy or my emplvyaee �tih wegm ea thai ede compamqbn, will Eo iha wak, end tha nwnure u nm intentleE
a ofleraC Im eeb I�%tion )01d. Busmss eM Profesvma Code: TM Convetlors Licensa Lew doea � eppNto en ownar W ProDeM
wtw buida a inprovea Ilwraon, eed who doas such wwk himseH or henaY or ihrou0h he «M1er ovm empbyeea, prwided ihm euch
imprwamema ere nd inleMetl a oilareE lor sele. H. �ov.evar, tha buiMing or imqwemem ia edtl wilhin a�a yeer d oompbtbn, the
owiwrbuiqer xili heva �he W Man ol 0�a�in0 � or ehe d'd na buiM w imprare la IM W�P�a d eele).
� I, ea ovmar d IM pope�ly, em axtlusively conireqNp wilh licensed conlrecton to conatrvC iM P�I� (�� 1M1. BwinmS eM
Proleaebna coEe: rna contrenon License lew aoea iwt eppy io en oxner d papeny xho Witl. w impwea IMreon arM wtw
conirecm 1« wd� vroi�a wilh e contreew(e) Icemed pureuem la Ihe GaNraaon lioen�e lew).
� I em enemq uMer $ection: B. 8 P.C., fa ihis meson:
Dele: O�miar.
i ao ne,any ron�y inv i�..u. a�e ��a m< rec���ams a c�aoma �nn �d smay caaa s,ap�. zsws, zssx+. �a
25.SL, vd tlw I a eny fulun buiWirq av.�pem will / wJl na (arcb one) r�eed to comply wi1M1 eeid qele codm ard the requiremenn la
epeimYtorwerevuuionwmaEifirationhanlM1eA'r�iy ana0ememDiatna.Revidmiielmnsvueuneppiratianene�emqiromihevs
aW1910119.
oe�a: nod�:
WOFNEH'S COYPENSPTON OECL�F�TION: I Mreby etfi�m uMer pereXy d pe�ury aw M �he Idbwiep Eetlermum:
❑ i ne.n d,e wii meim�. �.nn�e a oomm�i m.en,�uu�. n,.ron��; �re�am�. e. wo�;eee i« M s«ra� a�ao a me iee«
J�c, r« in, oan�a a m. w�x i« wmm� mre ��n a �b�ad.
eM wil meinlan xakne' wmpenaetion irt�urarke. m eepuired by Seqion 3>00 d ihe labm COEe. br Ihe pMamence d �M
1 wM la xhidi Mn pamA o iesueE. My warYan' wmpanation inwrence famer eM pdiq number ere:
c�,: ST�ATE� EXPIRES
vw� N�mc« 1 1 � — 0 3/ 1 S/ 9 6
(Tnia sMio„ neee rwr be cm1Welee r rn. partnit c m. one nu�rdred ed�.l. (s1oul a rev.)
� I cen'ry the� in �ne perloimarice d tM work ror whch tho peima n iwed. I�hen mi e�ry penm in enY menmr eo � io
m�amo n�qea io me womm� m�o��, V.,. a c.arm,' ,Oree mm a a n«oma w4eu io ine ..onen
como�� °�''�o o� see'v�s�oo a �ne lmo. coee. � � n oomcN �;�n �nwe rovido�a. �
o�a: �� J � �i. � now�.
�.
Waminp: Fallun b ax�n woikai campwustlon covereps /a vn/aw�Nl, anOSNlI WbJ�ct �n �mployer ro cNMlul p�neNu enE
elvll Hros up ro ms hvrlreJ Mauaud laJNn (S/0q000A M�d1Rbn ro Me coaf o/ rompxueflort a�p„ �� provWSC br In
Sxtlon ]]flfi ol Me lebor Cocb, inrons( urd ettomsy's Isu.
CONSTPUCIION LENOINO PGENCY: I hereEy elfi�m uMx peneXy W parjury thet tMea c e m�rvnion bMiip q�erwy la ilw
paAwmerce M �M Moek Iw wh'rh thu permY is esueE (5apion �09>. Cv. G).
LENDEfl'S NMIE:
LENDEF'S �DORE55:
I cenM tnm � heve reaE inb eodir.etian aM ame tnei Ne ebv.e Wume�ion is cnma. I m�b to canW v.nn ell nv v�a mumv ordinvicee
eM s�ele lem ielatip lo Wtld'vq cmatrWon eN hereby eu0wrsa repesantmives d IM1e ary to mter upon iM ebwe-menturroE pmpeny
fu inapeCion Wrpoam.
RON NOCK
/t� Pnnl Nama `'� �—
\ Dme: L � � %
" sb�mure a owrennq,wnno��✓co�vm«
(StSt-e6.WP) WM1na-Buik'vq 8 SNery: GreerFb; Ce�a�y-Appfrau; Rnk-Rauemp; OOMenro�Maemr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 073553 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU
JOH DESCRIPTION : DISHWASHER
CLAIM VALUE:
CALC—VALUE:
PERM NO: P 073553
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
x �t**�t**�t*�t�**+tx��+�*�t+t+t�t*�t�tx�+tx�x��+t��r�r*��t�t*�t**x *�r+tx *x��r*�rx�x *x �r*�tx x��tx���*�t�t�t*�rx x x���e�t�t*
Z O N I N G R E(j U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT; £T IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 13947609 ZNE: REF NO:
PLANNING NtST'ES>
%
iE 1k i! 14 iE 1E 1E iE iE iE 1E If 1E 1E 1E 1E 1k IF if 1E 1E iF �E 1k ik 1f 7f ik ik 1f �E 1f 1t 1F i! 1k 1E 1E 1E iE it 1E 1t �Ih 1!'IE 1k 1E 1E 1E if If 1E 1f iF 1k iE If 14 iE 1E 1! iE iE If iE if 1E 1E �f 1E iE 1f 1E Ik 1E 1E iE 1f
D E V E L O 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 .
HUILDING APPROVED BY :
APPLICATION ISSUED BY
LEGALIZATION:N
BLDG PMT
PERMZT
F E E S U; M, M A R Y
i.
PLUMBING ELECTRIC�MECHANIC
7 . 00 ., fj,, ;.
25R �
DATE:
DATE:
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
SMIP/NON—RES
PLAN
ISSUE FEE 20.00 �'
BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
TOTALS----> 7.00 20.00 0.00 27.00 27,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2%.00 .' / �
iE iF iF iE rt if 1t if iF if iE iE iE iE ik If iE if iF iF K iE if If if if 1f iE if iE if M iF iF iF iE iF iE.iF iE iF iE iE fE iE fE 1F iE iE M iP if M iE if iF ik iE if iE iE 16 K!E 1E iF iE iE iE 1E IF iF iE 1E iE iE 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
PLU
QTY D E S C R I P T I O N• r
1 DISHWASHER ,.-
END OF FEES
r /
UNIT COST TOTAL COST
7.00 7,00
J1 �6so: "� G7iE?,,'2 'Po�ti '�'
LS1Tc: Q3'�l��r' TT�;c; :a`i4 �
CONSTRUCTION AND PLANNING PAOL & SPA
pPPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1, Temporary Eiectrical Service or Pole 52. Pool & Equipment Location
7,.� Soil Pipe-Undrgrnd. ---' 53. Steel Reinforcement
� W
,%_��le_ctricalCondui{.UFlityU�dcgrnd. 54. Forms
�f� HEctrical Condui£��r�r9rnd. ^ 55. Electrical Bonding '
� a.
_,.5.y�egi Aeintorceme�t=-� 56. Rough Plum6ing & Pressure Test
- 6. L�e�trical UFE�'�.nd. 57. APPROVAL TO COVER�GUNITE
� �.
,,'_7yFooFings A T � 58. Electrical Cond`,uitUndrgrnd.
-��Fiaundation _ :,- •� 59. Gas Pipe, O U�dr'�rnd., Tes[
r..
-9�-Water Pipe�Undrgr�. � ' 60. Backwash lines, (�'Trep, L� U drgrnd.
10. Structural Floor Svstem 61. APPROVAL TO DECK
,
11. Pro'j?erty Sewer Line & House'Cannection 62. Backwash & ReceptorFinal
12. Se�yer Cap i� 63. Heater & Vent-Final
Ra. Roof Orains _ 64. Plumbing System � Final -_
}q, Rough Plumbin} 65. Electrical-Final
15. Rough Electrical-Corniuit - , �
_ 66. Solar SYstem�F�al, .
16. Rough Electric WirinYj' ` 67. Fencing & Accws Approval
77, Rough Wiring Sign � 68. APPROVED F(�,PLASTERING
ig. RoughElectrica(76arCeiling" 69. POOI(SPASYST�MSFINAI
79. Rough Heatinq& Air Condi:ioning FIRE Q.EPT.,REQUIREMENT
. r rr. - x �. '' C-� + - r'
20. RoughFa�torY:Fir€p�ace �;; �r i �� _, �� PPROV��,=�PerT.fnit#�_�
21. Ducuyin SlruRur2*'" •• •� � y ^� 70. Underg7d�i�q�1 Fiydro r
22. Oycts Vedtil�ing.'.�- i ' � ` 4 S c,.,fi • 77. ProducyP)R��9 u4as C�OiI
23. Gas Eipe-Rougb & Tost � - r�� V� <; 7�* �, 72, Undergrourid FId4F � `'
24. Roo�ra�ijing" ' r '" ;'� � � �y :7�.�Undergrnd.Sm�Tank.OGas ❑Oil
25. Roof Sheffihing -J.> c�', '� v. � __y. 7Q; pverhead Hydre , �
26. T�Ba'r`Ceiling (Strt.��ral! & f�o�ciCoat ;, _ j, c'-Tq�� 75i Dry Chemical a.,.-= �_ -' ' r�.
;, ✓ : ,
27. F,�ame and� Flashing;� -;;� � �,. cr r^: t� 76. Dry Starib'pipe =•'�-- k �� _�
-�28. LatMFl9$(;Siding r'^�#�'' ,�`"� 'g ••, "� 7Zy FiXEDS�'�T����IA�., ' -
i�'T O .-. i-+ w
y29, Insulatian' �r � ^ �� # 7�FIRE�REV.FI�IL *> x '"
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30. Drywall (yniiing y x , �; _,� ' ,��., S�.', �,•'�ALT�itDEP�.`i4Ed�f1iREMENT
- 31. Plaster Brown,-Goatrl+ S !?-� s - 79. FINAL IN3PECTION *�
,�
32. �ectrical Power A�t�:rFinal " �` �8Q� FOOD CERTIfi�ATE I�`SUED..,
- 33. �na�Electric � V r . � <; * � : ' � N6tes: `� '�r�: '. �. -
l
'� 34. finaiFfieating'& AiYConditioning � ^ `" ~ - F �'=- ` ^ y �
-. _. . -. '* . : , � � =Z� ' C �L�f4 �5_L� 7 C'fyLO -
. 35. Final Gas Pipe:Tes�,�,. �' • � -, :r. 71 /� ; - - �!
� � z 1��� -
^ 36. Hood-or CanoP4 ::'� � ��y ` � �, � '�ti � � �+^ `' -
s y�r w k 1 �ZD -/fy= L(* r� � L�
� 37. �inal�FactorY FireplaceJ,� � w � 't � `y � [li ' --
38. FinaFPlumbing Ft. ': , ' �/ ' � -+ x_ m
-i < ns _ �r�/ ,. .-� c
� 39. Water $ervice�Fina'f"y, g i "' q� . +. V
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�:40. Gas Service-Final r G'. �".:T.^ S t .T. '�. ,��- ^ • �
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-41. 5olar pomesticFinat� _ , , y� �,. -�� -
42. Backffow Preventer ; �` �� �z � %^ ` � -
=' +. T � S y. + y '
43. Backflow Irrigaiion t �. � -� .t �� !^� •
A4. Landscapelrf+qation<System`•"� '-� `� -; °"�{ �� ;' ?=r� "�. ' "
� .<= r w 2 t� E c.a r_.
45. SQund At,teniration k -. ., ;. ' � � ' , � j ;-�; .,� :y�. ; ,p r
�6. andicap�Ftegulations 7 * ' * 1: = �'� �`• :
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g7, �iNALSTRUCTURE&BUICDING � '�`r " '" '
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48. F1N,4L PLANNING • - ` ��L , • ' '` •' '
,• x . ,�: . .
49. Electtic Release to EtJison � ��� "
50. 6as Release to Southern Californiafias Co - �-- r' • c�+* t ;, •
, * �, .
51. GERTIFICATEOFOCCUPANCV � . ' J` ' " -'
No Date
.�;ot ioo ? I 9 � 4�
COSTA MESA BUILDING-SAPETY DEPARTMENT
P.O. BO%2f7 COBTA M6HA� CALIFORNIA
For Applican► ►o Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
OWNER Pemba Subdividers Inc,
ADDRE58 2850 Mesa Verde Drive
�,T„ Costa Mesa No'-5490395
o� .INEER E. G. Ka,ltenbach „0':5478046
e�.,oF« 1833 E. 17th 5t. , Santa Ana
STATE 187318
LIG. NO.
5!=E__ 70x100
USE OF
E%ISTING BLDG. '
SCTBACK LIrv6 FM1OM 55�
FIRE
R.
�.eow�
DE9CR
A.P.�
IiOTE:
TEL. 90" T
NO.
EAVEE
I NO.OPpLD08. O ALLO�
39'
8' 9'
LEFT RIGHT
DESCRIPTION OP WORK
X ALT6RATION AODITION
MOVINO DEMOLI9H
2, 419 NO^OR 7 ___.__ 2
House 1 956 sc.ft.
Gara.ge 463 sq.ft: Plan 52-BR
I HER68Y ACKNOWLEOOE TXAT 1 XAVE NEAD TH19 APPLICATION
AND 6TAT6 THAT THE ABOVH 19 COqpfiCT ANO AOFEH TO COM.
PLY WITH ALL CITY ORDIHANCQ9 AND 8TAT8 LAWB [OUI.ATINO
Bl11LDIN� CONeTRUCTION.
SIGNATURE OF
PERMITTE
AUTHORIZED A T . .
rtt t(tl;tlVtU
�IAR s 1 18��
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMfT
BUILDINCi
For Office Use Only
rteceirr No. �R�Ij�N�.
BY O 6PEC IVED O/�TEI�UEO
- '-� - _�/ �
ZONING
att
none
VHRHAN6 SHALL BE LE55 THAN
YARDSAPPROVED
MAIN BUILDIN6'
tOM G/L STREET)
VAR. $K
YAR�SAPPROVEO
ACGESSORYBUILDIN6
BET. MAIN
ACCESS.E
DATE
-r•
a
so. Fr. �
THE �MOUNT HHOWN UNOEq V�LUATION 18 FOR THE g
PUqP09E OF 68TABLISHINO A PERMIT FEE ONLY. �
VALUATION �D I m
� PERMIT FEE $ j
$ /X/j7 m
UJ " CI � 6 �
�J n
TOTAL FEE $ % ��