HomeMy WebLinkAbout2731 GANNET DR - Building Permits� �aiF� 2731 GANNET ISR �
, �� SAMUELSON, OSCAR FLOOD: AE-46
SAMUELSON, PATRICIA
2731 GANNET AR
� �,�� COSTA MESA,CA 92626
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CONiR�TONSN�` A PLUS ROOFING ( 714 ) 754-1000
CQRPACTORSYNI➢q 11237 SLA'TER AV
AD°"�u FOUNTAIN VALLEY CA 1CN0'` 6�5241
92708
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CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 080853 PLAN CHECK NO: N
PERM NO; H U8085
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF RESTHEATH 6 REROOF W/COMP, SQ FT: 5,860
CLAIM VALUE: 5,865.00 CALC—VALUE: 5,860.00 GROUP OCC: R-3 /U-1
COMMENTS: SMOKE DETECTORS ARE RE�UIRED IN EVERY BEDROOM
*x�x�+��t+�***x�**rtr�*�*�**x-******�-*+�-* x�*�r**�r*�t*�******��*x�*x�****x***�**i�x*�rx�t�-**+e***
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 IhI
PARKING REQ: PROV; PARCEL: 13947605 ZNE: REF NO:
PLANNING NOTES>
%
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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
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LEGALIZATION:N
BLDG PMT
PERMIT 112,25
F E E S U M M A R Y
PLUMHING ELECTRIC MECHANIC
DATE;
DATE; �� �
r��F�r�r+r+�+�***�r+r . *�e
STRCTCTURAL SE MENT;Y
EIRE SMIP/A59 GRADING
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 112.84 0.00 0.00 112.84 ].12.84 .00
REVENUE DIVISION TOTALS--> COLLECTED: 112,84 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
112,25 .59
���t�tit*x itie��+����*�x x �+�+�it+r��*��+�+t�it�rititft*�r*+r�+r�at*at�****�r�r*x��r�x�**�ratit�rititx �itatatititk�rit*�
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 5860 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 5,060,00
END OF FEES
�XPIRED
DATE�' =--
01 D022QE43-00220E94 T�] T 11?.24
DRTE: 12f12/9� TInE: 13:2`
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C' '�CRUG710N ANO PLANNING � I
_...:'hOVALS Permit � D'dte �Inspecror • APpROVALS F_ .aii i� Date Inspect�
� i. Temporary Eluctrical Suivice or Pole � �52. Pool & Equipment Locntion � �
2. Soil'Pipe-Undrgrntl. _ � 53. Steel Reinforcement � �
3. Electrical Conduit Utili[y�Undrgrnd. 54. Forms � '
4. EleMrical Conduit�Undrgrnd. � 55. E�ectrical Bonding
i
5. Steei Reinforcement 56. Rou9h Ptumbiny & Pressure Test . �
G. Eleet�icai UFER Grnd. � 57. APPROVAL TO COVER�GUNITE '
I. FooUngs 58. ElaCtrfcul Confluit�Undrgmd.
8. Foundation 59. Gas PiPe, fa Undrgrnd., Tust � �
r
9. 4Vater Pipe�Undrgmd. � 60. Backwash Lines. P-Trap, O Undrgmd,
10. Strnctnral Roor Sys.em Gl. APPROVAI TO CECK , '
11, Property Sewer Line & House Connection 62. Backwash & Receptor�Final
72. Sewer Cap � 63. Heater & Vent�Final �
13. Roof Drains 84. PlumGing Systum � Finai
14. Rou9h Plumbing ' 65. Elccvicai�pinal
15. Rough Electrical�Conduli � 66. Solar Systum�Final
iG Rough Electric W�riny � g7. Fencing 8 Accoss Approval
17. Rough lNiring Sig� � 68. APPROVED FOR PLASTEHING .
78. flough EfectricaFT 8ar Ceitiny 69. POOUSPA SYSTEC9S FINAL I
19. Rouyh Heating & Air CundRioning � �-� FIRE DEPT. RE�UIREMENT • �
20. Rough Factory Firepiace APPROVALS Permit �
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas J Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24, Roof Framin� 73. Undecgr�d.SiorayeTar�k �Gas �Oil
25. ROof Sheathing 74, Ovelhead Flydro
26. T�Bar Ceiling (Structur�i) & Monocoat 75. Ury Chemi��l
27. Frame and Flashiny � 76. Dry Standpipe
28. l.ething & Siding 77. FIXED SYSTEM FINAL
29. Insula[ion 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. RE�UIREMENT K �
s
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICr�TE ISSUED
33. Final Elecvfc Notes:
34. Final Heating & Air Conditioniny .°��
_�
35. Finaf Gas Pipe-Test �
36. Hood or Canopy
37. Final FactorV Fireplace
38. Final Plumbing ' �
�9. Water Service�Final
40. Gas Service-Final
41. Solar pomestic-Finai
- 42. Backflow Preventer
43. Backflow Irrigation
44. Land:cape Irriqation System
45. Sound Auenuation
q6. Handicap flegufations
q7. FINALS7RUC7URE&BWLDING
46. FINAL PLANNING
49. Eiecvic Release to Edison
50. Gas Release to $outhern California Gas Co
51. CERTIPICATE Of OCCUPANCY
No Da[e
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ovm�asru�F�Fa�r+: SAMUELSON, GSCAR FLOOD: AE-96
.00xess: SAMUELSVN PATRICIA
2731 GANN�T Lk
COSI'A MESA,CA 92b26
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MCNITECT OP ENf�NEEP:
JICN. ON ENO: S ADDPESS:
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c«imecraraw�: 7GP NGTCH ROuF CO (714>840-8625
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.00xEss HUNTINGSGN BEACH CA ucr+o.: b25296
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LICENSED CONTHACTONS DECLANATION: I Mieby eflim under pmely d peejury Nel I em I'cenvad uMm prwieuns d Chepter B
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or oflared lu eela (Seclion 101e. Bmreo eM Pmlesaima Cade: TM COMretlon liunee lawdoee m� epplyto en axm�m d property
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WOFKEN'S COYPENS�TION DECLM�TON: I hereb� el�im utler penetly d pspry ans d IM Idbw'vq ddumbu:
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per,ome wbpa io iM uwke�+' canpenWion lewe d Celtlarve. uM eprea Nel' o d bewpis�aubj a �o tM xwken'
�omw��o� v� .�. � s«aian aroo a ine lmo. code. �.heo �onn.0 mp � j o wa»bo
ete: MVi�
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s�cnon J]G6 or M• CeDor Cob, lnbrat �.��Y'• M1a.
CONSTHUCiION LENDINO ROENCY: I Mreby effirm uMu ps�My d per'�uy �Aet tMra b e amaeueion bMi�p apaney br Ne
periwmrvKo M ihe wak /ar xfiitl� t�u 0�^� b uaud (Seaon ]09'!. CN. CI.
LENDER'S NANE:
LENDEfl'S �DDPESS:
I CBf11�Y III01 I h9ve nad IhA fiPV�ICB�IC1191N qe1B �APo �IM B�'B OdMM�lpl O CqIBtl. I I�IB! b CqnVF/ mlh M CLY ud mY11�Y dd1n911ttt
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IoriroO�b^W�Dan. ____ _"/L _ _—___"_
(S15t-a6 WP) � W�e-BuiNvq d Sefary:OreerFb: Carary-Appirant: Rnk-Peven�e:OoMen�aFReaeamr
I 3 `�
CITY OF COSTA MESH - bUILDING FERMIT
PERMIT NO: B G84639 F'LAN CHECR NG: � N
CON57RUCTIGN TYPE: U-N PEkMIT TYPE: 5TR
JOB LESCkIPTION : T/OFF RESHEATH a REROOF W/COMP SHZNGLE5
PERM NG: B u89o3�
GGVT: N SUPP: N
PURPUSE: UTH
SQ FT: b,0u0
CLAIM VALUE: 6,`v00.00 CALC-VALOE: 6,OOO.GO GROUF OCC: R-3 /U-1
COMMENTS: SMUKE LETECTOkS i�kE REQUIREL IN EVERY HEDROOM ANL HALLWAY
ic ic 1e iE ii� i! ie if <ii� ie �e ic i'r ii ii ii� iF ic ii ie ii ii ii� ie� ii if <} t i't ii i'e i'r iE i't jF iE'r. i� iE if ie i't iF ii iE iF �t j'r i! iE iE se iE i't if ie iF i' x�i �i ie iE i't if ie i ik+t s x ic � ie �«
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 ---------- --------- ACCESSORz bUILLING ---------
FkNT: FT IN REAk: FT IN FkNT': FT IN kEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IAI kGHT: FT Ir2
PARKING REQ: PAOV: PARCEL: 13947e05 ZNE: kEF NG:
FLANNING NOTES>
� . �
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D E V E L U P M E N T S E R V I C E S R E Q U I k E M E N T 5
ZONING APPROVED BY' .
BUILUING APPkOtiED bY :
LEGALIZATION:N F E E 5 U M M A k Y'
bLLG PMT �LUMbING ELEC2kIC MECHANZC FZRE
YERMII' 112.25
PLAN
Z5SUE FEE
BUILDING-DIV-> FERMIT ISSUE PLAN-CHECA TOT.§L
TOTALS----� 112.85 v.00 u.GO 112.$S
LATE:
DI�TE:
DATE: � l� S�
')tftif'1��t1tltR9t h 1�'T x !r -�fc
STRUCTURaL SEGMENT:Y"
SMIPiRES� Gk�LZNG
b0
SMIP/NON-RES
PAIL UUE
112.85 .G"v
REVENUE DIVISIuN TOTALS--� COLLECTED: 112,85 uVER/SHuRT: .OG
bLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
IIZ.ZJ .b0
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I N U I V Z D U A L F E E b R E A K u G W N
TYPE QTY L E S C k I P T I G N UNIT COSI' I'uTAL COST
SFk 60"v0 REROuF bY" Ji�LUE RESILENTIAL NuZONE 1.0"v 6,uuu.0u
ENL OF FEE5
�3-1ti-199N�9:46 A;i/8112.85
KCPTH:dI �a125�7
PEkt�iIT:084639
�
CONSTRUCTtON AN� PLANNING �< POOL PA
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 Utiiity-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical 8onding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electricai UFER Grnd. 57. APPROVAL TO COVER•GUNITE
7. Footings 58. EleCtrical Conduit�Undrgrnd.
6. Foundation 59. Gas Pipe, O Undrgmd., Test
9. Wacer Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
l�. Sv�cwral Floor Svstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & fieceptor-Final
12, Sewer Cap - fi3. Heater & Vent-Final
13. Fioof Orains 64. Plumbinq System � Pinal
14, Rough Plumbing 65. Electrical�Final
15, Rough Electrical-Conduit 66. Solar SVstem•Final �
16, Rough Electric Wiring 67. Fenciny & Access Approvel
77, Aough Wiring Sign 68. APPROVED FOR PLASTERING
18, Rough Elec[riwi-T Bar Ceiting 69. POOL/SPA SYSTEMS FtNAL
}g, Rougfi Heaiing & Air Condicianing F1RE DEPT. REQUIREMENT �
20, Rough Facrory Fireplace APPROVALS Permit#
21, Ducts, in Structure 70. Underground Hydro
22, Ducts, Venti�ating 71. Product Piping rJ Gas ❑ Oil
23. Gas Pipe�Rough & Tesc 72. Unde�ground Flush
24. Roof Framing 73. Undergrnd.Stora9eTank OGas ❑Oil
25. Roof Sheathing �Z-dZ )4. Overhead Hydro
2fi. T�Bar Ceilinq (Structwaq & Monocoat 75. Dry Cheinical
z7, Frame and Flashing 76. Dry Standpipe
28. Lathing & Sidinq 77. FIXED SYS7EM FINAL
29. Inzulation 78. FIRE PREV. FINAL
3p. Drywall Naifing HEALTH DEPT. RE�UIREAIENT
31, Plaster Brown Coat 79. FINAL INSPECTION
32. Etectrical Power Meter�Final 80. FOOD CEHTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing '
39. Nlater $ervice-Final '� -
40. Gas Service�Final �
47. Solar pomestic-Final
42. Backflow Preventer
43. BackfVow tr�igation
44. Landscape Irripation System
45. Sou�d Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �I � ��"(,� .
1 t
48. FINAL PIANNING
49�. Elearic fielease to Edison _.- .
5Q Gas Release to Southern Califomia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Dace _
GTv oF COS7A MESq O�N�T TRUCTION PERM'7 �IT
Froject Address � �� V .¢/v/i� L,JiI —
Applicant's Mailing Address
Ovuner's Name��LPL�.(� �%��'1 �l�� C�''v Phone��.5.�
Address � � � � �'�lYl1�B% �/Q
ArchlEng. License No.
Address
Contractor'sNam 2Q.4-� �.fISTiQ-�LPhOne�1.<'�"-?S
Addresslmailingl � ��
City License No. l�_����i L
LICENSEO CONTRACTOR OECLAPATION
1 nereby affirm thaf I am �{censetl untlei provi5ions ol Charter 9(commencing
with section ]000) of DivtSion 3 ot the Business antl Professlons Cotle, antl
my Iicense iz in tull t rce an eitecL /
License Clas L-k�i1 s�e.,No. i��3 9
Date_ � — Si9nature � � ��yu�-�'}-�
'ORKERS'C M ENSATION DECLARATI
.ereby difirm thal I nave a certificate ot con5ent IO seltansure or a Certifi<ate �
.� Workers' Compensation Insurance, or a certllietl copy [bereof (Sec[lon
3800, lab. C.)� 1�� Company ����r
Polity No. � .
Certifletl CoOY is hereby fu�nishetl.
ce�t+ tea qoay�y���ee w�m rne cur mi � o�� �i}�gr��
ate�(�APPlicant�nJ�'�%.�/U"� /'�S7'���
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION '
(This seclion neetl no[ be completetl if ihe permlt i5 IOr one huntlretl ($300) or
less).
I cer[ify lhat In [he Oe�lormance of the work tor which ihls pe�m�t i5 issuetl I
shall nol em0�oy any pergon in any manner So as [o becom0 Subject to,t�e
Workers' ComOensation ldws of Califomia. '
Da[e Signature
'NOTICE: If, atte� makinq [nis tleclaration, you shoultl become suble<t to the
Wo�ker5' Comp¢n5a[ion p�ovision5 ot'the Labor Cotle, yoU mu5t for[hwith
comply wilh such p�ovi51on5 0� thi5 perml[ shall be' tlCemetl �ewketl. �
CONSTRUCTION LENDING AGENCV '
1 he�eby a((Irm tM1af there I5 a construction lentling agency for tM1a performance
of the work for which �his permil is issuetl (Section 3097 Civ. CJ '
ttntler's Name
LenOer'S Atltlress
OWNER BUILDEN OEC�ARATION
I hereby a(/lrm thal I am exempt from the Contrattor's License Law for the
/ollowing reason (SecHon 7031.5 Business antl Protessional Cotle: Any ciry or
county whlch requires a p¢rmit to construct, aller, Improve, tlemolish or repair
I any structure, prior to ils issuance, also requires the applicant tor such permit �
lo file a sfgned statement that he/5M1e is litensetl pursuant t0 thG P/ovi5ion5 0(
i�he Contractor's License tyw (CnaO�er 9(commencing with 5ection ]000) ot
'vision 3 01 tne Bu5Ine55 antl Prot¢snons COGe) or that no/she i5 exempt
e�efrom antl lhe ba5i5 Ior ttte alle9etl ezemption. Any vlolation of SeCtion
331.5 by any applitant tor a permi[ subjects"the aOP��cant to�p tivil
�endlty of not more [han tive huntlretl tlollars (E500�. '. �
U I, as owner ot tne properry or my employees with wages as their sole
compensation, wlll tlo tnp �yprk, antl the sVucture Is not intentletl or offeretl
lor salo (Saction ]044, Business anA Professional Cotle: Tho Contractor's •
LlcenSe Law tlOes nol apply [o an owner ot a properry who bullCs or improve5
Ihereon, ana who tloes such work himselt/herself or through his or her own
employees, provltletl lhat suctt improvemen[5 a�e nol Intentletl ov offeretl fot
sale. It, however, the builtling or improvement is soltl within ona year of com-
pletion, thc owne� will hpve tne burden Of proving h¢/she tlItl no[ build or im-
prova for lhe purpose of sale). .
❑ I, as ownet ot Ihe p/OOerty, am exclusivety Eont�acting witn Iltensed con- ,
lractor5 t0 conitrucl [he project (Settlon ]044, Bu5ine55 antl Pro/ession5 Cotle:
The ConVattot'S Licens0 Law tloes no[ apply to an owner oi prOPerty who
builtls or ImprOves Ibereon, antl who wntracts tor zuch proj¢Cts with a con-
tractor(5 Ocense pursuan('�o the� Contractor's License Law). I am aware tnat
proof o� their Worker's Compensation insurance snoultl be provltle0 lo me.
� 1 am exempt untler $eC[ion B. & P. C. lor this reason �
Date Owner
I nereby certity that I 4ave rea
information is correcL I egree to
antl state laws rela[ing lp builtlY
SCflidllVCS OI IhIS�CISYy(9 %O{�
inspectlan puAPs // J
�rivers' License ar 55 '�
plicant to /ill i� all sDaces except those within heavy bo�0er Iines anC si9n all appropriate tleclarations.
PER NQ. �/ /� TRACT NO. LOT NO. UNIT NO. '
a �o �o ,
TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p,�6
DESCRIPTION OF WORK/USE OF BLDG.
5 Main Building:
TYPE OF PERMIT GRADING ❑ FOUNDATION STRVCTVRAL � T Front
❑ TENANT �❑ ELECTRICAL' O PLUMBING ❑ MECHANICAL A Reef
❑ OTHE(3
PROJECT DESCFIP710N SQ. FT. OCCUPANCV C Ri9ht
K Left
CONSTRUCTIONTYPE VALUATION$ $
. ZONE GRADING GU. VDS. ACRES p�n9. Ref. #
Remarks: Planning Notes:
Sink
Preventer
Irriqation
Floor Drains
Floor Sinks
Gas Service
I nterceprors
Kitchen Sink �
Lavatories '
P—Trap
Roof �rains
Outlets
Reinspection Fae � � $15
Boiler
Duct - Under Ground �
Duct - Structural '
Duct - Ventilating
Exhaust System ❑ Multiple �
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0.100,000 BTU 0100,0006T
Reinspection Fee � 515
CMF OB65-46, rev. 30/84 Wryite - Builtling; Canary - Applicanh Plnk � Accounting; Goltlenrotl • Assessor
Showers
Service Sink
S¢wer Cap
Sewer Connettion
Solar Collectors �
Solar Piping
Solar Tank
$wimming Pool w/Spa
Urinal
Water Closet
Water Heater '
Weter Service
Auto-Wash '
luuo Foe
Hood or Typel ❑
Canopy Type I I ❑
Refrigeration System .
❑aioo,000aTu ❑ioo,000
System Repair/Alteration
Pire Dampero �
tiegisters �
Issue Fee
$ 3
$ 3
Auromalic
Cookirg Unit
Oishwasher �
Dryers OGas ❑E
Fan `l ',
F.A.U. '
Fixture5
Device Boxes
Switches
Garbage Dispoul
Generator �0-5 KW
3837 3/12/07
2ona
Accessory Building:
Parking Req./Provided
E�ECTRICAL
� Trenstarmer ❑ 15-50 KW
❑ 50+KW
5-15 KW
Meter �up to 700amps
Meter ❑over 100 amps
Sub Panel
Motbrs �0�1 HP �1X-8
InaSolar �9�15 HP 076�
Microwave
Pole Light
Range
Sign
Standing Sections
Trash Compacror
� Reinspection Fae �$15 � ' Issue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning APProved BY .
Building Approved By �
ApplicatiOn Issuad 8y
SUMMARV OF FEES
BUILDING PERMIT $ SMIP
PLAN CHECK $ � PERMIT
PLUMBING $ ISSUANCE
PLAN CHECK 25% 3 FNERGY P.C.
ELECTRICAL $ GRADWG
PLANCHECK 50% $ ' � MICROFILM
MECHANICA� $ TOTAL FEE
PLAN CHECK 25% $
2
O
N
I
N
G
R
E
Q
M
T
S
FEES
$ 3
GONSTRUCTION AND PLANNING P�� 'PA'
, 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 ConduiPUndrgmd. 55. EVectrical Bonding .
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Foo[�ngs 58. Electrical Conduit-Undrgmd.
8. Foui�dation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Und�grnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap . 63. Heater & Vent-F.inal -
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rouc�h Electrical-Conduit 66. Solar System-Final
i 6. Rou�h 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. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. DuCis, in Structure 70. 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-Baf Ceiling (Structural) & Monocoat 75. Dry Chemical
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. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION �
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbin9 �f / d' �
39. Water Service-Final
40. Gas Service-Final
47. Solar pomestic-Final . . �
42. Backflow Preventer i ti �
,"�
43. Backflow Irrigation ��
44. Landscape Irrigation Systemi'i7
...
45. Sound Attenuation '
b�
46. Handicap Regulations �
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Compfe_ted
_�
49. Electric Release to Edison �`�
�-•
50. Gas Release to Southern California Gas Co
51. CER7IFICATE OF OCCUPANCY
No Date
I„Ot �96 �lOiQ
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 31] COSTA MEHA� CALIFORNIA
For Applicani fo Fill In Complefely
TYPE OR PRINT
io E�s"s° 2731 Gannet Drive
COSTA MESA. CALIFORNIA
� MAIL
fEE RECEIVED
YAp s 1 I884
FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
R6C[IFf NO. I _PC
osta Mesa, No`5490395 ZONE
APPROYEO
;RE.G,Kaltenbach No`5478046 Br
1833 E. 17th St.Santa Ana
ZON[
�w ��"�xci-- �a in-P� R�1.
bIA1C 1 p�/��O ICL.
LIC. NO. LO � � NO.
SIZE 7OX1OO MO.OPBLD08. O
OF LOT Now aN wT
USE OF •
EXISTING BLDG.
SETB/�CK LINE INOM
cENTEa oF BTHEET � REAR YARO O T
SIDE YARD I LEFT 5� I RI6HT `5 T
DESCRIPTION OF WORK
urw I X II e� �rFee�nnu I • I ennrrinu I
' S Z'EOIN6 �, n�^ ROOM9 6
QJ G
� EXTERIOR WALN lding I iROOF
1
ara e. House 1 450 sc.ft.
Garage 462 sq.ft. Plan 51-A
1 HEFEBY ACKNOWLEDGE THAT 1 HAV¢ q6AD TH19 APPLICATION
AND STATE TXAT THE ABOVE 8 COflP6CT ANO AOqEE TO COM.
PLV WITH ALL CITY OqpINAN AN� 9TAT8 LAWB P80ULATINO
Bl11LDIN0 CON9TpUCT10N. / /
SIGNATUREOF �___� _ ✓/ ,( /`
e wurnoRrzfio
ev
ZONING
N0. 01� UeE OF Ni
PUN9 /z BUILDINO
Lot 96. Tract °
SHALL BE LE88 THAN
YAROSAPPROVED I YARDSAPPROVED
MAIN BUILDING ACCESSORV BUILDING
VAR. Sk
DATE
J
N
60.FT. �
TNE AMOIINT 6HOWN UNO¢R VALUATION IB FOq THE �'
PURPOSE OF BBTA9L18HIN6 F PEftMIT FEE ONLY. 0
VALLIATION J� n
PERMIT FEE $ O / j
$ /5/y' �7 m
l IJ �I ^ PLAN CHECK $ d� ��0 ¢
4