HomeMy WebLinkAbout3017 GARFIELD AVE - Building PermitsCITY OF COSTA MESA
BUILDING D/V/SION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www ci.costa-mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT TYPE ELEC
APN: 14113431
JOB ADDRESS: 30'!7 GARFIELD AV CM
Vicinity: - ' � �
SCOPE OF WORK: CHANGE-OUT SVS TO'100 AMP.
OWNER: TORRES, DANIEL A - �
PHONE: 1>145561657 - � �
APPLICANT: RICK GURROLA - . � �
PHONE: 800 660-8076 " . �
CONTRACTOR: POW ELL ELECTRIC CONTRACTORS
Address: 5625 W. WASHINGTON BLVD.Unit:
City/Slate: LOS ANGELES, CA ZipCode: 90016
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: . $0.00
Electrical Permit Fee: $54.00
Reinspection Fee - $0.00
TOTAL FEE$ $54.00
PERMIT NUMBER: E09-00005
STATUS: ISSUED
DATE ISSUED: 01I0712009
ISSUED BY: CAC
� �
Suite/Unit:
� Address: 3017 GARFIELD AVE Unit:
' . City/State/Zip: COSTA MESA, CA
Address: - 5625 W WASHINGTON BLVD. Unit
City/State/zZip: LOS ANGELES, CA - �
License No. 637836
PHONE: 800 660$076
CELL:
u
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenLs under Califomia statutes and related
regulalions. (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 musl comply with all applicable codes, and all
required inspeclions and final approval must be obtained. Failure to obtain inspections and final approval vnll result in the expiretion of this permit.
cooe�, iNsrEcnoxmg o� u+mui CODEI ixsrEcnoxrrre q� romu�s
7878 FizOd System Final Fire Prevenlion 206 Final MechaniWl
7288 Pool Spa Final 208 Final Plumbing � p__e__�_
200 Final RaRpo( 210 Final Elecincal 197LL
V"
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Faclory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demqlition 250 Final BuilOing/puupancy �
WORKERS'COMPENSATON DECLARATION:
I hereby aKrm under penalty of perjury one of ihe following declarations:
� I have and will maintain a certificate of consent to self-Insure for vrorkers'
wmpensation, as provitled for by section 3700 of the Labor Code, for the
peAormance o1 the work for which this permit is issued.
,�f'I I have and will maintain workers' compensation insurance, as required by
� ectbn 3700 of the Labor Code, (or the perfortnance of Ihe v.ork for which this
it is issued. My workers' compensation Insurance carrier and policy
num a :
Cartier: C�/P/l.l?rS 1,.� �. �e�
s onneetlrrol6emnp/eletleMepeimtsvaluetlalmenu�etltlMarsl5100J�'kssJ
P icy Numb �: 3 3nn�� 9 3Ga 6- 08 /
❑ rtify that in lhe pedormance of the vrork for which Ihis pertnit is
issued, I shall not employ any person in any manner so as to become subject
to ihe workers' compensation laws of Calitomia, and agree Ihat i( I should
becom bjecl ro Ihe workers' compensation provisions of Seclion 3700 0!
the L or ode, I s IHeR�iwith comply with these provisions.
AODIi iS�na re 2 le�
WARNING: FAIL O SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED hiOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 ot the Business antl Professions Code, and
my e is in (ull (orce antl eHect.
��.� � _# c-��
/' i-O
Convact ien ture D ie
CONSTRUCTION LEND NG AGENCY:
❑ I hereby affirtn that there is a construc[ion lending agency fw ihe
peAormance o( the v.ork (a vfiich this pertnit is issued. (Sec. 3097, Civil Code).
Lentler's Name:
Lender's AdCress:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury Iha[ I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7037.5,
Business and Professions Code: Any city or county which requires a permit to
constmct, alter, improve, tlemolish, or repair any slrucWre, pnor to its
issuance, also requires the applicant for such permit to fle a signed statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chap[er 9(wmmencing with Section 7000) ol Division 3 of the
Business antl Professions Code) or Ihat he or she is exempt therefrom antl
Ihe basis for the alleged exemption. Any violation of Section 7031.5 by any
applicaN !or a pertnil subjects �he applicaN [o a civil penalty of not more [han
fve hundred dollars ($500�.�:
❑ I, as owner of the pmperty, or my employees with vrages as their sole
tompensalion, WILL DO THE WORK, and the structure is not intended or
oKered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law does not apply to an owner of property who builtls or improves
thereon, and who does such wurk himself or herself or through his or her ovm
employees, provided that such improvements are not intended or oflered (or
sale. If, however, the building or improvement is sold within one year of
completion, Ihe ownervbuilder will have the burden' ot proving thal 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 Cotle: The contractps License Law dces not apply to an ovmer of
properry who builds or improves thereon, and who cont2cls for such project v.ith
a contractor(s) license pursuant to Ihe Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
305]-a6(]/01)
Owner ID verifietl by dma, _.�cense. ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (rype of document, i.e. - property lax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '
❑ I hereby cetli(y tha� no excavation frve (5) or more (eet in tlepth into which a
person is required to descentl, will be made in conneclbn with work autMrized
by this pertnit, and that no building strucWre, scaRdding, falsewnrk, a tlemolition
or tlismantling thereof, will be more than thirty-56c (36) feet high. (C�ap. 32, Grp
2. M 2. Sec. 347, Title 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to tlo wnrk which would
require a permit from the Division of Industrial Safery, as noted above, unless
such person has a pertnil lo tlo such vrork from Ihe tlivision.
Appiicanfs Signawre �a�e
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
t. Will the applicant or present or fuNre building occupant need to fle and
certify a Business Plan (or emergency response to release or Nreatened
release of a hazartlous material? ❑ Yes ❑ No
(Section 25505 of lhe California Health and Safety Code requires, with some
ezceplions, lhat a Business Plan be filed with the Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantiry of hazartlous matenals equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feel of compressed gas
al standard temperature and pressure).
2. Does or vrill the applicant or preseN or future builaing occupant neetl to fle
a regislration form (or acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health and Safety Cotle, with some
exceptions, requires registration with me Costa Mesa Fire Department by
each business which at any one time has on hand a quantiry of acu[ely
hazardous materials equal to or grea[er 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 tuture building occupant need to
prepare an RMPP (Risk Management and Prevention Program for awtely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of Ihe Califomia Healih and Sa(ety Code pmvides that the
Cosla Mesa Fire Department may require [he preparation, certification and
filing with the Fire Department of an RMPP by businesses v+hich are required
to regisler acutely �azardous materials with Ihe Fire Department.
4. If an RMPP is presently required, has Section 25534 0( lhe Califomia
Health antl Safery Code been lully complied with? ❑ Yes ❑ No
5. Does or will Ihe applicant or present or future building occupaN require for
Ihe vrork which is the subject of Ihis application a permil (or such cons[ruction
or modifcation from the South Coast Air �uality Managemenl District or (rom
any other air pollWion conirol disMct or agency? ❑ Yes ❑ No
(Section 65850.2 0/ Ihe Califomia Govemment Code requires Ihat the requested
information be fumished on applications for nornresi�emial building pertnits).
6. Will any part o( lhe facility to be constructed under this permil De wilhin
1000 (ee� from lhe outer boun0aries of a school? ❑ Yes ❑ No
Qf'Yes", the facility musl meet the requirement of Sections 25534 and 42303
o( Ihe Cali(omia Heallh and Safely Code).
7. If a permit from Ihe SoWh Coast Air �uality Management Distnct or ot�er
air polNtion control district or agency is required !or the work which is lhe
subject of Ihis application, have all of t�e disclosures Drescnbed by Califomia
Health antl Safery Code Sec[ion 42303 been made? ❑ Yes ❑ No
8. Qf yes', attach certificate of compliance fmm the appropriate air pollution
control oHicer). �
CERTIFICATE OF COMPLIANCE: I certify ihat untler penalty of perjury^the
information given.above is correct. I agree to comply with all stale laws and
city ordinances regarding Hazardous Materials and Emissions.
SignaWre
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION �OF ENTRY: I
certify under penalty of perjury that I have reatl this appliwtion and stale thal
the iniormation given is cortect. I agree ro comply vrith all state laws antl ciry
ordinances relating to builtlinq wnstruction, and authorize representatives of
the City of Costa Mesa to enter upon [he above4escribed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection. .
Signawre Lega Owneqs� Oa�e
�-Z.'1'0 �
An0/ iAu nzeGAOGlicanl �i
nooness: 3017 GA"'IEL� 1'�V uNir:
fl'SNAME: lORRYrC.r� DA �f�L�.A
aooness: �rORRES MARIE
3017 GARFIELD A E
COSTA MESA,CA 92626
556-1657
qnLh7ENGINEEfl: ROBF.RT COULSON flEG.NO.: SI'J3�
RODflE55: '7801 O�ANGETHORPE (�"�r:
BUEtiAFARR CA 90621
PEflmiTTEE: LANFEAR CONSTRiJCTION ( 719 ) 373-1846
RDDNESS: 8,�,00 KATEiLA F
STANTON CA 90680
LICENSEU CONTPPCTOP OECIAflATION: I hereby aHirm Ihat I am lit visions ol CnaDrer 9(commencinp wilh Senion
7000) of Orvision 3 0l Ihe Business and Pmlessions Code. an0 m ense is in full me and e�feci.
ciTr uc.: � 611 /STATE LIC.: a'� B �—
9Me'. ���4S�1 Signat .. _ C
OPNEBS' COMPENSATION OECLAflATION: I hereby affirm �hat I have a certificale ol conseni �o sell-insure or a certilicate o� Workers'
.ompensalion Insurance. or a certitietl copy Ihereof (Section 3800. LaU. C),
iroucvxo.: l094448-90 EXP.UATE: �01�9
comvaxr: STATE
� C¢rltlieE caDY �5 �ereby Iumi5�e0. � F£n�rea ca mg oms�an.
/
Oa�e: — 1 � � `"1 � � FPGlicant
E%EMPTIONFPOMWOflNfPS'COMPENSRTIONOECLABATIO : �Thi55ec1ionnee0nolbecompl¢�eUil�hepermili5�oronehunGrea�3100)orless�.
I cenily Inal in Ihe pedormance ol the work for which Ihis permit is issuetl. I snall not employ any peRon fn any manner so as to Uecame
5u0je[I �o Ihe Workers Compen5ation laws a� Calilomia.
Oate: Signamre:
NOTItE: If, aliei making Ihis aeclaration, you should be[ome Subleci Io ih2 Workers' Compensatian pmvisions oi I�e Labor
Code. you mUSi Iorl�wiih tomO�Y wilh 5ut� pmvisi0n5 Or �his permil S�all Ue Ueemetl revok¢G.
CONSTBOLTION 1EN01NG AGENCY: I hereby a�tirm �hai �here is a conslmc�ian IenOinA agency br �he pedarmance oi �he work for
w�ic� Inis pennn is issuetl (Sec�ion 3097, Civ. C).
LENDEN:
anoness:
IOWNEB BUILOEfl UECIABAT10N: I here6y allirm Iha� I am ezempt Iwm Ihe Conirac�ors' Slale Lirense Law tar �he following rea5an
(Seclion 7Q31.5 BuSinesS antl Pmlessional Catle: Any cily ol counry w�ic� �¢puires a p¢rmii lo conslruct, alter, imprOve. Uemolis�, or
repair any StmClure, O�ior lo its issuance, also r¢quires �he aODlitant lor Suc� Oe�mil �o �ile a 5igneC sta[emeni lhai he/She is IitenSeJ
pursuanl �o the pmvisions of Ihe Coniractars' Slaie �icenre Law (Chapter 9(commencing wilA Sec�ion 7000) o� Division 3 0l ��e Business
antl Prolessions Cotle) or t�al he/she is e+empt Ihere�mm and Ihe basis lor Itle allegetl exempiion. llny viola�ion of Sec�ion 7031.5 hy
y aODlicant lor a permil su61ec�5 lhe applicanl �o a civil penalty o� nol mare ihan five hunEred dollaR (5500�.
I. as owner ol the prooeny or my emvloyees vnin wages as ineir sole compen5dtion, win do the wOrk. anA ihe
I❑ 9NtlUre i5 n01 inlentle0 or o�tereE lor Sdie (SeqiOn 70E4, Bu5ine55 an0 Pm�e55i0nal Coae: T�e fAntraciors' $Iaie LiCenSe Law
Ooes nol apply to an owner of a pmperty who builtls or impraves Inereon, anG wtlo Eoes suth vrork �imseltltMrself ar t�muAh
�is ar her own employees, proviaed I�at such impwvements are not intentleG or o��ue0 lo� sale. If, howev¢r t�e huilDinA or
impmvemen� is sold wilhin one year o� com0le�ioq the owner will have �he burden ol provinA he/she ditl nol Guiltl oi improve
br ihe Durpose ol sale�.
I, as owner ol Ihe DmOehy, am exclusively contracting wilh licensetl conirac�ors lo conslmd ihe pmlec� (Sec�ion 704d. Business
❑ and Prolessions COUe: The Comracmrs' State License Law Aoes noi apPly lo an owner ol D�oOenY who builds or impmves thereon
ana wh0 tonlratis �or Suth pmjecls wiih a tonVat�or�s) IicenSe purSuanl �o Ihe COnlratiors' Sia�e Litense Law). I am awafe
t�al D�ool ol I�eii Worker's Compensation insurance should Ce pmviAetl to me.
� I am exempi untler Setlion: B. 8 P. C.
for inis reason:
Oaie'. Ownec
I do �ereby cenily Ihai I am aware ol anA understantl �he requiremenls ol Calilomia Heal�h and $alely CoOe Sec�ions 25505, 25533, and
2553d and lha� I ar any lulwe �uiltlmg oc[uDanl willlwill not (circle one) neeU Ia camply vrith SaiA Slaie cades antl ��e requiremen�s for a
Oermi� for consimction or modilication �mm ihe Air �ualiiy Managemeni Oi5lrici. HeSiDenlial [Ons�mction applicatian5 are eKempt �mm
I�ese provisions.
Date: ApplicanL
1 �ereby c¢tlily �hal I �ave rCaU t�is apPlicalio an0 slate �hal ihe ab inlormalion is cortec r m comply wi�� all city antl counly
ortlinances antl slalelawsielalinglo OuilOing c nsimclian and es ollhis ci1y1 f¢f upon�he above�meniioned
pwoeiry i7m insDecuon purposes.
Da�e: 7��/ SignaWr . �y
Driver3 taense o� soc�ai se����iy .:
:\ i64t�46 White—Bmlaing: Green—Cotle EnlorcemenL Canary—ApOhcam', Pmk—Revonual Goldenmtl—Assessor
CITY OF COSTA McSA — BUILDZNG PERMIT FERM NO: G 05138
PERMIT.NO: G 051336 PLAN CHECK NO: 00465-91 S GOVT: N SUPP: N
CUNSTRUCTION TYPE; V—N PERMIT TYPE: Ei.E MEC PL"J STR PURPOSn: ADD
JOB DESCRIPTION : ADD 't0 SFD SO FT: 648
CLAIM VALUE: 55,000.00 CALC—VALUE; 31,395,00 GROUP OCC: R-3 /
COMMENTS: ADD TO SFD
iE if �f * iF if iE ?E Ik ie 3f 1f iF if if iF If iE k�14 iF IF iE IF iE IF iF iE IE if 3E Y.� # iF fE Y.� If if iF if 1(- iE iE iE iE if IE 1f #E �. iE 1E Y� iF }; 1E if �E if Y.� R iF 1f iF iF iE ic if iE i!� #f ji� iF'Y. Y iF iE �)k if
Z O N Z N G R E Q U I R E M E N i S
S E T B A C K S
f----------- MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: 20 FT IN REAR: 55 FT IN FRNT; FT IN REAR; FT IN
LEFT; 30 FT IN RGHT; 5 FT IN LEFT: FT IN RGHT: FT IN
PARKING REp • PROV: PARCEL; 14113931 ZNE; ^nl REF NO:
PLANNING N01'ES> ENCLOSE BAEEZEWAY BTW RES & GARAGc• CONST MASTER BDRM S FlATH
> OVER GARAGE S NEW ENCLOSURE S ADD tIREPLACE TO EX S.F,RESID.
1E ik iF % if iE if �F iE iE iE it �E iF iE ik �f if IE iE iF Ih 1f iF 1f )f iE if iF iE if if iE iE iF iE iF.iF if i(� lE iF iF if if 1f 3F iE ii* iE 3F iF IF iE if iE iE if i!� 3E iE X� if iP iE iF /F 3�. if 3F iE �f lf if iF � iE iE iE
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
ZON'1NG APPROVF.D HY ° �UR�k— DATE: �J 16 I
BUILDING APPROVED HY : - DATE: �
APPLICATION ISSUED BY: �TL L
�� DATE • �6��
16 ib iF ?f fE iE if 1f If iE iE �7E ih iE 1E 1E iE i(� if 9E if ie7F �J'c 1F Cif7tilifiF ifi.'-3f7FTFiF if it� iF7f" iFi�F it'if TtiFiFib�TFiFiFitif �lc �� ie 7F iE%if iE iF if iE
IE ik k iF �F it 1E 3E It fF iE iF ## iP #- iE ik iF if if if ib jF if iE ii 3E 3k iF 1£ 3E i(� if N� IE If �E iE iE 1f iRif 3F it if i! 3f �f iE iE 3E # iE ±f # i� k>E if !E N• �e 3%if ii- #E iE 3F 1h if iF 34 if'lk jF 1F Y It
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
Bi,DG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE5 GRADING
PERMIT 297.50 8 00 15 75 9,00 2 ZO
�'S8 �Ot 2�t SMIP/NON—r'tES
ISSUE FEE 193.38 3,00 15,00 15,00
BUZLDING—DI�—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 332.45 33,00 193,38 558.83 613.'75 —54,92
REVENUE AIVI�iON TOTALS--> COLLECTEll; 365,45 OVER/SAORT: ,00
BLDG PNT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TQT GRADING PiAN—CHECK
29'7,SU 11,00 30.75 '14.0U .�.,20
iF iEjf jf if it 1F iF M iE IE 1E 3E 3E if } if it iE 3f iE If IE if'IE 1t'IE 1f tE IE if iE� iE ih ?e iF iElE if� if i4 if� iE IE # if iE 3F fF if aE ik �161f -IE 1E iE iE?(• 3F if iE i't iE if IF If� iE 3f if 1!� if iE 18 iE Y.� if �
I N D I V I D U A L F E E B R E A K D Q W N
TYPE
SFR
EL E
ELE
PLO
PI.0
PLU
PI�U
D E S C R I P T Z O N
DWE—TYPE V—WOOD FRAME —GOOD
FIXTURES LZGHTZNG 1 ST 20 EA.
RECEPT/O�TLET 1 ST 20 EA,
RECEPT/SWITCH 1 ST 20 EA,
REPATR/ALT HEATING UNIT/SYS W/CNTLS
BATHTUB
SHOWER
WASH BASIN
WATER CLOSET (TOILET)
END OF FHES
i?NIT CO�T TOTAi rOST
69.00 31,395,00
, 75 ! • 3. 00
,75 5.?5
9,00 9,00
2,00 2,00 �
2,00 2,00
2,00 2,00
c, eac�zss�-acos::a�c � i:; -.
CNTE: 03/1819i TIi�E: ?�:3?
UCTION AND PLANJ..,.G
A�S Permit #
1. Tempora�Y Electrical Service or Pole. ,
2. Soil Pipe•Undrgrnd.
3. Electrical Conduit Utility-Undrgrnd.
4� Electrical Conduit�Undrgrnd.
5: Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings �
8. Foundation
9. Water Pipe-Undrgrnd.
- 10. Structural Floor Svstem �
11. Property Sewer Line & House Connection
72. Sewer Cap
73. Roof Dra�ns
14. Rough Plumbing
15. Rough Electrical-Conduit
16. Rough Electric Wiring
17. flough Wiring Sign
18. Rough Electrical�T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Ducts, in Structure .
22. Ducts, V¢ntilating
23. Gas Pipe�Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T�Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing
28.�Lathing & Siding .
29. Insulation ��
30. Drywall Nailing •
37. Plaster Brown Coat .
32. Electrical Power Meter-Final
33. Final Eleccric ,
34. Final Hedting & Air Conditioning �•
35. Final Gas Pipe-Test . '
36. Hood or CanoPY
37. F'inal FaGtory Fireplace , �
38. Final Plumbing
39. Water Service-Final
40. Gas Service�Final . .
41. Solar pomesticFinal - �
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. ,Handicap Regulations
47. FINAL STRUCTURE & BUILDING -
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Q
51. CERTIFICATE OF OCCUPANCY
No Date
Date
?OC SPA
Inspector pppROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
58. E�ectrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Tes[
60. Backwash Lines, P�Trap, � Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor�Final
63. Heater & Vent-Finai
64. Plumbing SYstem - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
. � 70. Underground HYdro
, 91. Product Piping OGas ❑Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74.-Overhead Hydro
75. Dry Chemical -
� 76. Dry Standpipe
•� � 77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION '
�, �80. FOOD CERTIFICATE ISSUED
Notes:
Gi�
ULf%
s
Da[e � Inspector
insulation Certificate
3017 GARFIELD AVE
Number and S�ree�
ORANGE COUNTY
Counry
ROOF �
Material FIBERGLASS WOOL
Thickness (inches) —9"
EXTERIOR WALL
Material FIBERGLASS WOOL
Thickness (inches) _ 3 1/_ "
City of Costa Mesa
California 92628-1200 P.O.Box 1200
Permi� Number G 051386
COSTA MESA •
c�ry
Subdivision � Lot Number
Description of Installation
Brand Name ��ILLE
Thermal Resistance (R-Value) _R-30
Brand Name ��ILLE
Thermal Resistance (R-Value) R-11
CEILING N/A VAULTED
Batt or Blanket Type Brand Name
Thickness (inches) Thermal Resistance (R-Value) _
Loose Fill Type Brand Name
Contractor's minimum installed weight/ftz_ Ib. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
RAISED FLOOR
Material _FIHERGL&SS �OOL
Thickness (inches) 6"
SLAB FLOOR N/A
Material
Thickness (inches)
Width (inches) _
FOUNDATION WALL N/A
Material
Thickness (inches) _
Brand Name MANVILLE
Thermal Resistance (R-Value) R-19
Brand Name
Thermal Resistance (R-Value)
Brand Name
Thermal Resistance (R-Value)
Declaration
1 hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
Califomia Adminstrative Code.
F LANFEAR
Gene o ector (euilder)
oWNEB
ignature antl Title
Sub-Coniracbr Qnsulation Installer)
ana Title
190l-9s
396279
License Number
%- ZZ-�i
Da�e
License Number
Date
�I��G� ' .
� -0WNER COOK, R'icha.id A.
� JC
� G]
� e,
ADDRESS
IN�PECTIONS
�
�•: �
�i�, �( �t. •' •
�� :�i f'e3\e'
�� ti5�" �Y .
FIRE ZONE
DATE I GROUP
9-4-64
DESCRIPTION OF WORK
TYPE V ZONE
SUBCONTItACTOR
77077
, . - 22s i 7
C .7�MESA BUILDING-SAFEfY DEPARTMENT
P. O. BOX 917 COSTA M88A, CALIPORNIA
For Applicanf fo Fill In Completaly
TYPE OR PRINT
ADDRES9 � �� A FI E Gl � U
COSTA MESA. CALIFORNIA
49S �dl % ��%�FiE�
I�OSTA �i% 6S H
r_���cAr�a.l
FEE RECEIVED
SEP 8 1964
fINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Offica Use Only
O� I I PLAN9 2 I BIIILOINO W r %y
- u i � � i-.a� 73
�eow� u � J7'�
v oeacnivrion "/
_ ,,.P.No. / /— /�y— 3
NOTE: NO EAVE OVERHANG BHALL BE LE59 THAN
/ �
/ X /dp
6ETBACK LIN6 PROM t,/ � ' `� p�
CENTER OP BTREh� TN REAR YARC..0 p �
SIOE YARD I LEFT �) �% �� I R16HT S' 7"
DESCRIPTION OF WORK
S=ELDIN6 ^�
J
EXTERIOR WALL
�1 HEFEBY ACKNOWLlO�E THAT 1 H�VE HE�O THIe APPLIGTION
PNO BTPTE THAT THH ABOVE IB CORRECT AND AOREE TO COM.
PLY WITH ALL CITT OROINANCEB ANO 8TAT8 L.�W6 FiOULATINO
BUIL�INQ CONSTRUCl10N. ^
eCeNATMIJRv O� �A ��
� AUTFiORIZED AGENT
YARDSAPPROVED
MAIN BUILOIN6
)NT'��! �T)
�..e � � %
D19TANCE BET
MAIN BLDG9.
VAR, aj
YARDSAPPROVED
ACCESSORYBUILDING
BET. MAIN 8
ACCESS. BLI
�ATE
0
n
28 eo. Fr. ^
TH6 AMOUNT BHOWN UNDEH VALUATION 19 FON THE £'
PURPOSE OF 6BTABLIBHIN� A PEHMIT FEE ONLY. p
VALUATION p� N
0
PERMIT FEE $ �
]
� C!O m
5,2� �D� �A o
,,..oa�
�
LOT 7? TRACT 4Z Z
.. .,--''`«;. � � �.. r_
a . �_�3u�,�
CO$TA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C09TA M68A. CALIFORNIA
�
Fo� Applleanf fo F111 In Complefely
TYPE pR PRINT �/F''L�jj•,� t
■ ARCV'—?CT
COSTA MESA. CALIFORNIA
TEL.
chi No. M1
TEL.
BTATE � TEL.
LIC. NO. NO. 22
61ZE I Ho. oa e�oae.
OF LOT � � Now ox LOT
U6E OP
EXIBTING BLOG NONE
BRBAGc LIN[ PaON 1,
cerfien or eirteei 46 � REAR YARD
SIDE YARD I LEFT �7�� I RIGHT'r'i �7��
DESCRIPTION OF WORK
NEW X II ALTERATION I II ADDITION
REPAIR I IIMOVING I IIDEMOLISH
BUILOING NO. OF
BIZE OOMS STORIES
FXTERIOR WALL ROOF
GOVBRING STUCCO COVERING
USH OF BUILDING AND WORK TO B8 PERFO �fi
FEE RECEIVED
�SEP 271961
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. � PE6bIJ NO.
BY
ff
COSTA MESA. CALIFORNIA
FIIiE , /
ZONE TYPE ✓ GROUP - �
APPROVED
BY DATE
ZONING
zoNe n'� I puxs ` I eU1LOINo%�l �
61 �
�«�e,�..,.., --�'. 7�3 TiP S'z 3 L
cQnrea une sr.� � /
FRONT d
R.SIDF S
Z
Y�
GARAGE �,�/�� Q� "
I HBPHBY ASNNOWLEDGB THAT 1 XAVB RBAD TXIB I�PPLIGTION e AMOUNT 9HOWN UNDER VALUATION I9 POR THH
AND BTATH TNAT TH8 A90V8 IB COPAHCT /�N� AGREH TO COM- pUFP08E OF EBTABLIBHIN6 A PERMIT FEE ONLY.
PLY WITN ALL LITY OROINANCEB AND 6TATH L�We RE6ULATING
9U�Lo1NO cONBTRUGTION. VALUATION �
616NATURE OF PERMIT FEE $ S�
PERMITfE / �l� � � �
$ / / PLAN CHECK $ � �S� _
AUTHORIZED AGENT / ' L� n
iOTAL FEE �7 J
7
7