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HomeMy WebLinkAbout3037 GARFIELD AVE - Building Permits, October 2, 1994 CITY OF COSTA MESA CALIFORNIA 9262&1200 P.O. BO% 1200 DEVELOPMENT SEfiVICES DEPAFiTMENT Dear Costa Mesa Property Owner: In reviewing past permits, we find that work has been done on your property located at 3037 Garfield Avenue, Permit No. B64095, for a roofing permit. The permit is valid for 180 days from issuance or your last inspection, per Section 303 (d) of the 1991 Uniform Building Code. Should we not hear from you within 10 days, your permxt will expire as stated herein and additional fees will be requxred to finalize the permit. Failure to final a Building Permit could possibly impact the future sale of your property. To activate the above permit, please follow these steps: 1. Telephone (714) 754-5626 or 754-5627. 2. Request an inspection; state address, permit number, and type of inspection. 3. Be sure to have working smoke detector's as required per Section 1210(a) of the 1991 Uniform Building Code. 4. Have an adult present at the property at the time of inspection to provide us access. Shouid you have any questions regarding this process, please contact me at (714) 754-5273. Thank you for your cooperation. Sincerely, Y landa Huapaya �U Permzt Processing Specialist 77 FAIR DRIVE Builtling Division p1a) �5a�5273 • CoOe Enlorcement p14) 75d�5623 • Planning Division (71a) 754�52a5 FA% (]19) 5564508 • TDD (714) 754�52A4 � � PNOJECT A�OflESS: 3 O 3% GAR F I ELD AV ou:�x�sNnme: ENSIGN, JEAN K TR aooaess: p O BOX 2378 COSTA MESA,CA 92628 uxir: nflLN/ENGINEEfl: flEG.NO.: AOOqESS: UNIT: PEflMITTEE: ROY CFiAFEY ROOFING ( 714 ) 636-1747 RUONESS: 9692 LUDERS AV GARDEN GAOVE CA 92644 LILENSEO CONTRRCTOfl OELLANATION: I here5y aifirm that I am Iittn5e0 un0er pmdsions al Ctupter 9(commencing wi�� Stttion 7000� ol Div� on 3 0l ��e Business an0 Professions CoOe. anE my bce e is in lull lorce antl ellect. aTruc.: G�25615 STATELIC.:SSGGZA cuss: C 9 Dd�e: _/y i ( Signalure:_��.�//_�� WONREHS' COMPENSATION UELLABFTION: I �ereby a�hrm I�al l havir� ceriibcale al cansent la se nsure or a c i�icaie of WOBers' comoe�sauo� ����. y��� �+��q�l�ction 3800, La6. �1 / O 1/ 9 4 roucv no.: STATE FUND E%P.OATE: COMPFNY: y �Cenilie0 copy is ncre�y lumished. Li Cemfletl tapy ie illetl w Ihe ciry Builaing ion. e: � NPPlitant: K/L/ ��_..��� E%EMFTIONFNOMWOHNEHS'fAMPENSATIUNUECUflATION: �ThiSseciionnre not0ecompkteOi�lAepermilisoronehunOre0�5100�or1e55�. I cetli�y Ihat in Ihe petlormance of Ihe work �or w0ich Ihis permit is is5ued.,ISAaII no� em0loy any person in any manner so as to �ecome Subjetl IO Ihe Workers' COmpensati0n LawS ol Cali�omia. CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 064095 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOB DESCRIPTION : T/OFF REROOF W/COMP SHINGLES :�:. �• : �.��• tefiliii ��l. �.3i1 � �. � PURPOSE: ALT SQ FT: 2,320 CLAIM VALUE: 2,320,00 CALC—VALUE: 2,320.00 GROUP OCC: R-3 /M-1 COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC, REROOF 290���� �*J��S� �****�tr*�r**�r***r*�r******�r�t�r****�r*+��r+r�r�rr*+r*+r�r�r*w�****+�+tx�** ,� * Z O N I N GS ERTEB�AUCIKRSE M E N T S ����IRED ------------ MAIN BOILDING ---------- --------- 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: PAACEL:_.14113426 ZNE: REF NO: --�"—' PLANNING NOTES> _ '' � /. it it iE M 1F M fE 1f M it if it if iF �E M 1k 1f 1t ik ft iE iElE fE iE if iklf if K M if 1f iF if if %1f 1f if iElf �f it it 1f if if iE fE 1E 7ElE 1f 1f !f ff 1R 1f 1f 1f M M M fF M 7E ik 7f M M it if fE M if 1f 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 � ZONING APPROVED BY , � � DATE: oa�e: Signature: HUILDING APPROVED BY : DATE: NOTICE: II. af�er making ��is tleclara�ion, you 5�ou10 become SUEjetl tOtAe WOrk¢rs' ComOensation pmvisions of ��e La�or COEe. you mu5i ION�wii� comOty with such pmvisions or IN5 permii sfall Ue OeemeO revoke0. ('� 9 / CONSTeUCnON LENOING AGENCY: I nereey aairm inat there is a consimction lenaing agency lor me pedormance ol tne work br APPL ICAT I ON I SSUED HY : DATE ;_f, L L` whitht�ispermi�i5i55ue4�Section3097.Civ.C�. **�'******ifi!!E!4ltfF1lftMltM�MlE IEfEifiElElfMIFIFiFiEif fffE LENOEfl: it M it 4 M if M 41E if iE it i! iE ik M ik M it i! iE iE 3F if iE ik if 7t if If iE if k k if 1t M k if if if iF it M if if if M i! i! if ik i! if if i! 1t if iF 1f iE if if 1f iF 1f if iE M If IE if K iE iF iE if M iE nonxess: LEGALI2ATION:N F E E S 0 M'M A R Y STRUCTURAL SEGMENT:Y OWNEBBWLDEHOECLABATION: I�erebyailirmlhallameKemO���om�heContraciors'Slatelicenselawlor�hefollovnngreason BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE',� SMIP/RES GRADING IStttwn 703t.5 Busineu and Pmfeuional Coae: Any ci�y of counry whicn repuires a permit io constmct. alter, impmve. Dertwiisn, or P ERM I T 5 4. 0 0 . � . 5 0 repair any s�mcture, prior �o ils issuance. also reQuires �ne applican� lorsucn permi� to lile a signee statemen� �ha� helshe is licensea ' SM I P � NON —RE$ pursuanl to Ihe pwvisians ot �he Contractors' Siate License Law (Chapter 9(commencinp vnih Section 7000) ol Uivision 3 0l �he Business pLAN �� anC Pw�essians Code) ar ihat M1e/she is exempi therelmm and I�e basis lor tlie allegea e�emptioa Fny violatian ot Section 7031.5 Uy i S SUE FEE �'; any applicani �or a permi� su�lects ihe apPlicanl lo a civil penalty ol nol mme Nan five �wEred Jollars �5500�. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL 1� PAID DUE �, as ovmer ol Ihe pmperty or my emp�oyees with wapes az �neir sa�e compensation, will do lhe work, ana the TOTALS----> 54 , 50 0, 00 0, 00 54 . 50 .�54 , 50 , �0 ❑ slmcture is no� imendetl or ofleretl for sale (Section 7044, Business an0 Pmlessional Coae: fie ConVacmrs' S�ate License Law �p1 . tloes no� aOD�Y �o an owner ol a pmpe�y who builds or impmves �hereon, and who tloes such woB himself/hersel� ar �hmugh hisornerownemployees,pmviaeAihatsucnimpmvemenisarenolimen0e0o�oueretlforsale.u,noweverme0uiltlingor REVENUE DIVISION TOTALS--> COLLECTED• S4.S0 OVER/SHORT• 00 improvemem �s soia witmn one year ol compieron, me owner wlo ha�e the 6uraen oi pm�ing ne/sne aia not 6uiia or impmue HLDG PMT PLUMH ING EL ECTR IC MECHAN IC F IRE SM IP /TOT GRAD ING PLAN—CHECK mr tne ourPose oi saieL 5 4, 0 0 , 5 0.� ".n � I, as owner ol t�e D�openy, am exdusively conlrac�ing wil� licensee comractors to consimc� Ihe pmlect (Sec[ion 7044, Business ` ❑ an0 Pm�essions COAe'. ihe Contractors' S�a�e License Law does not apply �o an owner oi properly who builtls or impmves ihereon .� andwhoconiracislorsuchpraiectswitnaconiractor(s)IicensepursuanttolneContractar5'Slalelicensetawl.lamaware ****�'*****�**************'******'*�'*'*�'*********K'****�'*K'*****'K'*'*K'*M'M'***�'****'*�***'*' Ihai pmof o� their Worker's Compensalion insurance 5houlU be prwitled la ma I N D I�7 I D U/i L F E E H R E A K D � W7 N � I am e�empt untler Seciion: 8. 8 P. C. . _' m�misreasare TYPE QTY D E S C R I P T I Q N UNIT'iCOST TOTAL COST Daie: Pxnec I do �ereGy ceni�y ihai I am aware ol antl undersiand l�¢ requiremems ol Caliloinia Heatlh and Saleiy Code S¢clions 25505, 25533, and 2553d ana inal I or any lulure builAing occupanl wiluwill not (circle one) nee0la tomply with Saia state cotles ana Ine repuiremenis lor a p¢rmil Im canslmction or modification Imm t�e Fir Ouah�y Managemenl asiricl. RevGenlul con5imciion appliwtions are ¢xempl imm ihese pmvisions. �a�e: ApP�icanl: I hereUy [eriitylhatl �ave reatl Ihis applicalion and slale �halthe above in�orm Iion is correci. lagre¢ to comply vnlh ciry and ar4inancesana5latelawsrelatinglobuildingcwslmdionantl�eiebyautMri e5¢n�aliveso�ili i�ytoenieru a0pve�mf O�operiy tor inSVec ion purposes. � Dale: � Signamre: OriverS License or Social Security a: 164La6 Wlute-6utldmg; Green—Cotle Enlorrement; Canary—Applicanl: Pmk—Rovenua: Goleonme—Assessor �;�, . SFR 2��20 REROOF BY VALUE RES�.IDENTIAL NOZONE 1.00' 2,320.00 END OF FEES � �i EXPIRE� Vrx.omR�te Insp�t�'� , , � � i a�" " 1.�1. S�B � — � �+� � � al �01f7;C0-00147<42 T�7 T 54,5p �qTE: 09/22/93 rtnE: as:s� f - �----- � � I � CONSTRUCTION ANO PLANfVING ; y F.PPROVAL$ Permit =` L TemR�'ary Electr.cal Servt: or Pote„ I � - � 2. So�.i Pipe.Undryrnd. : "-r ' - -� , : � �3.�';�crtnca! Conqwt�}Jt,h!y.Und�gr.^�' � �"�--�-- 4t�ft1@GrriC21 COnBwtdJndrgmd. `: 7 , : �, - - �5� Steel Re�nforr.y:rp,k�nc , �`�-T_-�' � �m _ � �i. Llectncal UFEF,-(',Gnd '.� - �x.� `._'_�' - I^°7. �=boUn9s •r,� :. r Date � InspeeYor ��8. Foundation i•� , -9. l;a!er Pipe�U!ulrgm.tl. _ r . 1C. Sbucwral Floor Svstem -. 71. Proprrty Sev+er �itie & HauSe Connection . F12. Se'ser CeP ,, � _ -�. _ _ � 13 Roaf Ord �u • _. ,. � ^ �_-^i__� � 14. Ra..�^ P�,���•.:j_,q .--- � �_ ?5 Flough eiccViL..��i-Ca'tlu.t � i6.� qough Elee!r�'17�nn� . 17. flouqhlNiring.$ign 18. Rough EleCirlpl-T Bd• Ce�iing 19. Rouyh Hcatiny & Air Condit�onmg I�r �-� � ZC. ROL(Jh FdCTDfy FiRv'P�BCC ,� 2t,; Ducu,;n S-auct;a�e �� _ � 22. D�nt. Yc�t;l„t�i*�* i ' _ 't K �' i I `e3:' Ga; P,pe�Ron9h %fTuc ',... � 24. RooF Fr:�m�-T�%n > �- �-T_�� '�_ � Z5. Rc�+ S�ztii�,ng�n- s.'•, ..�- i �---�--�- - �_ , 2�:, T•8a� Ce�l�ng IStr.�cmrai G��;onocoat �' 2Ty Francdnd Flasn�g Jr,. �---�---r�= • . i28�. Lam�.ng,3� 5-d�ry -�-�--�- i � „ :� _ 29. Insuuron :, - '_ ' ' ;, �j _ i 3�a11,'\aiUr.9 ' . � �� 3L Ftastrr`{�rorv� Ccyj . � :'' --:a-.: H. _-_�Z, _, `- 32. Electrical Poiver..p�ic;,r�F���;� � 4: 33.. F�rjbi E�e�i��� _3'' � : . � <^ � . 34-; F�ii:l Heat�ng &-Fi.�r '��tio�u� = �-.-�-' - hyc� 33' Fmtl Gas Pipe Test _� � ' 1--� --- r � ,•- - �=-��--, .� v e; yt� 36? Heod qr,C.r.cpy , . . , } 37.' F,ra; F:rto�v F?�E� �ce.� - -• V� ' - � � --i ra-- = � .. .. � y-.38. Fi.�7 r•t/mbicg , , • ; 4p '•-- 1. 39. !Ya[�r S::rv�ce-Fral • -- -, ;; 40. Gas Sen��ce_r�na4„ , �, . , � 41. Sala� Dome,tic Firtal: l • ___i � � 42.'Dackflow Preven3e�'-' n 43. 8acktlow IrrtpaU:or. ^:1_: �. 4d. Landsc,�,pe j}nqa{iqn SYsce�:,�, j :J""-»:--'�'f--� ._45:`Sound latteBuatfon =:°- � :1 tin •, ' �48, Handica.� Fg'�ul�{�P^,;: , �� C -<- -�-- � 47._ Fid"AL STRUCTI'�SE & B;;iiLD�i,G �8-,�LA1VZ�(j.0 :. , '_:=; - � . : (';-�--- - 49. EI¢atric Release�N Ed�;�� 50. Gas ReYEase �t,o Southern Cafifo�nia Gas Co ',51. CEHTIFiCATE 0� OCCUPAt�CY Da!e APPROVALS Permit � 52. Pool & EUu'pment Locat�on 53. Steel Reinforceme�t 54. Forms 55. Electrical Bond�ng 56. Rough Piumbing & Preswre Test _ 57. APPROVAL 10 COVEP�GI'��:iTE 56. cicctncal Conduit�Und�9�nq. 59. Gas P�pe, G Urdrgr�d., Tes: 60. Bac!cwash Lines,P�TraF..^.� l�o-irg�.,d. 61. APPROVAL TO DECK 62. Badc.�ash & Rcc2Gtc��F,��ai 63. Haatcr & Vent�Fins' i . 64. ?;amoln� System � F�v! � G5 Eler.trlcal�P;ca _ I ��66. Soia; Sy>tari-Finn' � 6� 7. Fencing & Access Aop�u.,� �� 68.APPRaNEDFORPLASTERiNG �, 69. PODL'S�'ASYSTEPASFINA: 1 - I Date `InspecTo� ! FIRE DEPT. REQUIREMCNT � - --� `-j�_ �APPf'�aV/jC£ =� Pneinit #-- +_�-�� ' L�' x n' ' ' --J 1 I A. F 4_-� .j"�CT : OJ t p . i „f '� h i ' � ��� � E;X'PIRED �� 'P,�ete Inspe�t - � ����i' 7onc* . '' Y � � -rL �t .x 1.. , ' _j;- � 70. L'nderpr�:nii i-[gJ�a � � I --•--'�.i.r= ' -- �'1 71 Prudu� r � ��Oinc�•-��i�s �i0il 77. llidcrgiqtadF�rp�i-. p ��_� -- --ro-���-�---^+-= - . 73' Urd::gr�?.i.S'��i�?�t: `°^C�. -.ei�' i -. -��-- v ��� :--:---- -t- _ . .,, G:•e� r.za� HYcrc ' y - ----= - -y- --- - - - - -.. _ . . 75� Dry Chzniical - .• � �: . �- - - _�_. ..__ __-_ _ 76. Dry $`aric�oiPe ;,;� : � ' , -- - �-��r_�._: -tr-=� 7�"_ F'Y.�D�'Y�TCr�iNAl: '. .��_ _ . ' � __4 t• ' __-. .4_ 76� FIRE PREV. F����fF�L � r .� �. �. --�--i � �iEALTY DEPfi..REQkJIREI'.SFfIT � i..�-`--s- ._� .--- -' 79.' F!t�:AL Ity�PECT.�7'�� � � i ' =+-t-,� c -- ��-- - -- 1 80" FOOD CERTIFtL'ATE 14SU[ fJ Notels: _ � ��-� . �_J_;--1- -=;-- ---- �, -'.[ •4 _'T7i '_ '�_ `� _���' __ __ _'_ ' 1. . . ) � % � . � �_�-' .;.__"'_ 1.l ___'___ _ _- __ . Cr+ `-r^ I --- --.-,�- --T----.�- - --- : : � p+ r=�---'"- -- �-�- �--7''�-- ---�----- -' �_-'_- .T--__.r.1' __'- __"- ' � � -- - -a x � ! � �`= . . r• ��: , I • , =:,'- A .�. � .r, , � - � . r'• i y�: �--- _ --- - - - _ ? �_ - - � � . _ r_ � . .�� _. . . ^ �. �- �=- . - � . ' • AVPliwnt to till In all spaeas exeept t�osa wit�in �eary DorEar Ilnes anG sign all ao0�ooriate tleclarations. • "�� CTTY OF COSTA MESA .'� . : � . . � PE$y1_IT N . D TRACT CJO. � . LOT NO. � . BL . . . . . , . . ' ' . ' ' , . CONSTRUCTION PERMIT" ' � � ' • . ;, AppiiCent'fM2ilingAddr�fe�53 S � /� ' �. ' TYPE'OFCONSTRUCTION ; NEW ADD 'ALTERATiON REPAIR � . . ' • ' ' ' '-� � PlojectAddre55 _71-1�� ' �AR'��e-ID �-YV�-��� ❑ CONVERSION ❑ DEMOLISH 'O OTHER � ' � � - , , , �� �PyS� ��- a, DESCRIPTIONOFWORK 1 G E ULATI �-����• .o� ' Owner i Neme � hone ' i T � Address� �03 - AR��'R-�D . .µ{ . . . . • . .. � . � TVPE'OFPERMIT . GRADING ' FOUNDAT�ON �STRVCTURAL A.P.-qW . . .ZONE � . ^• �AIGh/Eng: _ - � , � LiCenSB NO. - ' � ' ❑ TENANT ❑ ELECT,RICAL ❑ PLUMBING� O MECMANICAL pLNG. REF. � � ' � ,. ; BUILDING � � : , Addreu, ' l ' ❑,�OTHER � ' TO BUILDING � i •• Cqnt�acto�'s Nem �� C� � C ' 1 RS hone'�3 - 17 a' PRQIECT DESCRIPTION 5�. FT. .00CUPANCV R, PE Y � E 'REAR VARD (TO P/L) LEFTSIDEVARD - RIGHT,SIDEYARD , Addfesslmeiling) � Q e--' �• iCONSTRUCTIONTVPE ' � �VALUATION$�' ' , •j, 20N€ • � GRADINGCU.YDS. 'ACRE� PKG.SPACEREQ. � . PROV,IDED "' ' , • License No. ' LICENSED CONTRACTCR DECLA ATION � � ' Remarks: , ' � � - - � ' STREET WIDTH • � • I.IIeieDy affirin thDl I arl� ��cBnseE un r provislons o/�C�arter 9(commenUnq _ - . _ ' � •PA.RK FEE $ _ wit� section 7000) of Dlvlslon 3 of the Buslness anC Protessions Cotle, an � , � ' : ' . . � SPECIAL CONDITIONS: j �-' - my Iicanm is In hI1 torce antl eftect. . , ' Cicenu Clau � � ' . Li se Na. a� � I 8� ;� ; ' . ' , PLUMBING • �. � � . . � ' � , �_' j � ! ��� ' DateJ=as-s3 ggnature � ' WORKERS' COMPENSATION DECLARA ION � ' j ' � ' Bef Sink ' ' ' $eyWpf Cep ! ' � ' ' - � ELECTHICAL ' , 'ereDy aHirm that I have a certltiwte ot coniant to seHansuie or a tertl/icate ; ` ' - , t ' � ' , � Automatic Washe� � � :MetBr ❑Ove� 10U amps � � � � � � � a�,Workers" CompensatlP� 'Iniurance, �or a' cartinee� coOY thaieof (Sactlon -� Backflow Preventac � _ _ ; Sewer Cannection'. _ _ , . . . . , _ _ _ _ _ 00, Lab. CJ �r p�� �� ' � 1 . � ' Backflaw Irn tion - ' � � Construc[ion Pole , • Sub Panel� � ' ' � Pollcr No. mp31J!—_- ComoanY ' � � SolarCollectors_ . . � I , i � � � � � , � , Cooking Unit � � • � 'Sub Pole � � B Certltiatl copy Is harabv furnisnee. ' ' Bathtubs $pler Piping ' • , CertlTiaG copy is fllatl with t�e city.8ui1tlin9 Dlvlsion. Dish�Yasher � MotOrs �0-1 HP ❑ 1 Ya� Date � • .4CPi��ant ' • � � � Claritiers � � Solar Tank � . . . � ' • . , � EXEMPTION'FROM WORKERSCOMPENSATION DECLARATION ' ' - � � - DryerS OGas OElectriC- --^ - In0.SalahO9-�15 HP' 016-15+- � "(Tnlssectlon neetl not Oe �omvletetl Ii the permit Is tor,ona nuntlrea (5100) or ' ; DiShwdsher '� Swimming Pool w/Spa ' � lassl'. � : . � , . - . i . . . � Fan . ' . . i • � . . - , '' 1 certlfy'jhat in tne parftlrmanca of the work /or,which ihis permR is Issuetl I i Drinking Fountains �' Urinal � i . Microwave ; � �, shall not employ any person in any manner so!as to becoma sub7ett. to ti�e , . � - - F.A.U. ' � I �PoIE,Light � � Workars' Compensatlon La'Ns of Callfornla. ; 1 ' FIOot D�eins� � � Wat2r Clos2t� . ' ' � Date' � � � -Si9nature � ' � � ' � ' - ' � . . � NOTICE: If, after inakin9 this tleclaratlon,.you shoulG� betoma subject to the ' Floor Sinks ' � Water Heater _ � ' �' � Fixtures � � Range � ' ( Workers' Gompensatlon provislons of the Labor Cotle, you muit torthwith '' ' �� � � ! � . , � tomply wiN' Suth DrOY�Sioni or �thls'.permlt Sllall be itleemetl revokea. � Gas Service '' ` Ouilets ,- Water Service � � c _ DevlC¢ Boxes g�9p � ; 'CONSTRUCT,ION CEND�NG AGENCV�: - ' '� ' • ; ' ' ' . � . I hereby at/irm that t�ere Is a;construction Ientling agency for tha pertormanco ' ' Inte�ceptors ._ , ; ' . • Outlets � � Standing Settions ' of tha .work �tor which; t�is perini[ •'is riisuatl (Sectlon 3097 Civ. CJ. '- " ' � � , ,� v - , lanCer's' Name' - ' - ' Kitch2n Sink ( ' � � � � Switch25 � , ' ,Tiesh �pmp t � 5 � l.en0er•s ACtlreu ' � � � � � � � � OWNERBUILOEROECMARATION� ! � � '� t; � LavetO�iES '. � . , _ � � Ga�b8g2DispOsal • ! • nC0(ppe F � I hereby a/firin th5t I arr�:exempt from the Contractor's License Law for tha, S' '" �- , Gene�eto� �0•5 KW �545 KW �' i,� ' ' followlnq reason (Sectlon;7031.5 Buslness antl ProfeSsional COGe:'Any clty or • , P-T�ap, ` . i F counry which- reduires a permiTto constru<C, altar improve, demolish or rapalr .�� . . any structure, rbr to ItS��sivance, also ra ulres t�e a Iicant for such ermlt ' - ' _ �' Tiansforme� � 75�50 KW � p 4 Oc P Roof Dreins� � - �, • '' . , � • i � , ', to file a slgnetl statement that he/she is Ilcansetl puisuant to tha piovislons of ' ' ' ❑5U+ KW' � ' � t�e Contractor'S LJcansa I�w (Chapter 9 (commencing with'Section 7000) ot � � ' ' . � • ' � ' • , . ' • �Reinspeetion Fee � ' $15 ' Q�'�Ision�3 ot tha Businesi.antl Professions COCe),or thaThe/she ii exempt Showe�s ''' ' ReinSpection.Fee• $15 . ' . . , -- i �p�, }�eirom anE the' Da5i5 tor the allagetl eaemption: My violallon o/.5actlon � , ' - Meter ❑up tU 700 amps 5 'Isue Feai t�� 3. �y� 5 by'any appliwn� for,a•permiLsubje<ls lhe appliwnt to, a civll �r.Halty of not mom than f��e huntlretl tlollars (E500). , - � � , . • � � Se�vice Sink � � , IAue Fee ' � ' S 3 � ���ng Approved 8y � ' Dab � , � 1, �as'owner oPthe'prOperty O��my amployees with wages as t�ei� 5018 compensation will Co thB work, antl tna struceure is not Intentlatl or of(erea � `" , � .' MECHANICAL � � � • � , ' ' ' � � � ' ' ' for sale -(Sec�lon 7044, Buslness antl Professional Cotle: � Tne, Contractor'z , , ` ApPlitation Approved By � Date • LICOnie Law tlo¢s not apoly to dn ownei Of d propBrty!wh0 bulltl5 0� Improves goile'r. � �� � i^ Refrigeretion System � � ('' � � ' t0ereon,�antl who �tloez•such work himseli/herself or through his or her own �� ' Application Isued By, ��� �Date �'� ���� empioyaes, oroviaea tnat such Improvements are not IntenBatl or o!(ereG tor ; OdtY= UnderGround ' ' ❑0.100,OOOBTU ❑100,OOOBTU'. ' � sale. If, M1owever, Ihe builtlin9 or improvement Is ioltl withln one'yearbt com- � � ' - �, ' ' 1 : pletion, t�e owner�will he�e the burtlen of praving ho/she tlitl nal builtl or Im- . ' ' . � , SUMMARV OF FEES i . � , �rovefortnepuraosaorsaie). � : ; � � , Duct-Structural SystemRepair/Alteration ;BUILOINGPERMIT $ � SMIP � ' � I $ I, az owner of the DroPerty, am exclusivery contrattin9�with�llcenzea con- , � � ` . .. � � � ' � � tractorsto wnstrucl l�e project (Section ]044, Buslnass antl Protessions Cotle: I Duct - Ventilating �. , � � . ' PLAN CHECK� $ : PERMIT ' � � Tha Contractor's;l.icense I�w doas not apply�to'an owner of-property who � � � �� . � �ISSUANCE , $ ��— , buims or improves thereo�, antl who contracts for sucn projects wIM a con- ' � Exhaust System ❑ MWtiple � � � ' � ' • �PLUMBING � $ tractor(s) licensa purtuant to the Contmctor's License Lawl. ' � � ' GRADING $ ❑ I am exempt untler SeGtion `T B. & P. C. for tnis reason � Fifepl/FeCt. Blt. ICBO # - , ' � . 'PLAN CHECK $ �. � , � • ELECTRICAL- $ � � � - � $ � Data � ' � Owner' ' r � - HeatingSystem&Ducting .. • . � � MICROFILM $ � 1 � I heraGy certify,.t�at; I nave reaA thls applicatlon antl state that the above _ �0-100,OOO.BTU.�100,OOOBT � 'PLAN CHECK $ . �� in(ormatlon is-correct. I"J9�ee to comply with all Uty and county ortlinan<es � � ' - - ��. � � '�� ' � • TOTAL FEE $!� antl state laws rolating to builtling constructlon, antl hereoy authorize repre- Hood or � - � � MECHANICAL ' $ , : � , , 5entdHvei o(Sthls'Uty to an�e'r�upon the above-menUonetl property lor • Typel ❑' , Reins ectionFee. $15 � �� LESS '� � �' ' ' Insoeaion ourposes.�� y �yy ;�� � Cano ' T e I I ❑. � � P PLAN CHECK � $ , Signature • "'��(�)Q //� G,// Oate^� ='J"1 "83� � ' � . ' � . . , ' ; ADVANCEDPC : $ � . Drivers'Licensaor55� b2, ! Registers - , IsueFee . , $ 3 � • ' FINALFEE� ; $ �� CMF 086536 rev,-12/82" Whita - Builtling; Canary - APplicant; Pink - Attounting; Goitleniotl'= Assessor- - -- ' "-' ' " � '-' " ^' ' "' " ^ ` � - - �' ' - � , - -- - -� -�� � _� -~ � � _i CONSTRUCTION AND PLANNING � � � - ' ' �� ' . . ., � �04 '..;,;; ;WPA•: ' . ; ---.- ' i - < r �"Date Inspector��� ;Date� Inspectorl ' �APPHOVACS,`� �Permit i46 �� -� . � .- �. - . - ' qpPROVALS Perm�t � . . p u . __ . Ir. . . _ M1: 5 � �1.,Tempo�ary, Electrical Ser"vice.or Pole i ' _: " `� � � �. 3 �- ;52:,Pool &•Equipment �Location _ - � � - - - . :2.� Soil Pipe-Undrgrnd. _: i � �� �- , ,t i , ' _ E .-53;Steel�Reinforcement • - . ' � - 3.� Elec[rical Conduit Utilitv-Undrgrnd. ` - - � - ` 54. _Forms � - �. � - - . - ' . �-4. Electrical Conduit-Undrgrnd.�> � ; _ � ,-: ' - -'-55. "Electrical Bonding, ' - '5.�Steel Reinforcement � ? �; ; '_ ' � `�� (' -' -56. cRough Plumbing & Pressure Te;t. � 6.� Electrical UFER Grnd�. � � "-' = . . �-� • =". 57:;APPROVALTOCOVER-GUNITE � , 7.-Footings ' j � � � � ; 4. ' � - • "' -. ` .58. Etearical Conduit-Undrar�rl.� "' 8. � Foundation i � � � - � � ° �_ ; • � E ` � 59. `Gas Pipe, � Undrgrnd�.,_Test, � � 9.�Water Pipe-Undrgrntl. � � ' ' - � � _ _ .� �gp,'gackwash Lines; P-Trap, �'Undrgrnd. � � 10.;Structural Floor�Sy'stem ' - r i�_ � � :67. APPROVALTO DECK � � 11.: Property Sewer Lirie & House Cpnnection � .' . - ' . � �= 62. Backwash & Receptor-Final . 12.iSewer CaP . ' � � - ' ' � - - � . � . � � : . ' ' 63. Heater & Vent-Final 13.' Roof Drains ' � � ' :- � _ ,- � : gq, =Plumbing�System - Final . � - 14.� Rough Plumbing � � _ - i . T "65. �Electrical-Final - � ' �15.'Rough Electrical-Conduit -,--; -�,--�- �� -i-} � - -- ",-66,'Solai Sysiem-Final� ' �� ' - � �� � 6., Rough Ele"ctric Wiring ,,, � F ! , -�.-r ��-- - : � --- � - -- ' = �� 67. Fericing & Access Approval � - . -' � � - -- ' 17.� Rough Wiring,Sigri; '; ;, ; ": ! �; „"' � �' ; '-' ' I • '' ! � . 68. APPROVED FOR PL;4STERING r ��l:. - L rJ;, .i .i: 16 � Rough Electrical-TjBa"r Ceiling ;, ; ; � �� �� i. �'; � 69. �POO VSPA'SYSTEMS FINAL 19. � R'ough Heating & Air Condiiioning � �; ! � � i � � � � � � � FIRE DEPT. REQUIREMENT � ' 20. � Rough Fac[oiy Fireplace ' i i' � � -' APPROVALS Permit �k ' � i � � i { h � � ; � . - 21 � Ducts� in Structure, � � , � � � 70. Underground Hydro � :22.%Ducts, Veniilating' ' n i ' �) ' � ; � �, � 71�. Product Piping OGas ❑Oil "_ 23. Gas�Pipe-Rough & Test° � , ;� � T� � � �? • j2�. Underground Flush �:24. � Roof Framing ' � ' . ;�a �� � 1 .. � -+ � . � : , �; � 73 Undergrnd.Storage Tank O Gas' OOiI � r. � ��25� Roof Sheathing � ' � ? • i ��', �� � = � : � r _ - � " � ' � 74�. Ove�head Hyd�o � � • � --�26.��T-Bar Ceiling' (Structurap��& Monoco'at � ; i : ; .: : � � � • 75: Dry Chemical - � � ,27.'� F,rame'and �Fiashing ri � � � i, � !� I�'' ' ; , � � � � 76. Dry Standpipe � � � � 28;Lathing&,Siding;:„ �� � �� �� � � � � � � �77. FIXEDSYSTEMFINAL � i , 29 �i Insulatiom - � ' ' I{ :� i ! � I ' � , 78. FIRE PREV. FINAL - 30. Drywall Nailing , - ', , - �,� �� � � � i � � � Notes: . - .- i - - � -� . .. - - - - -- 31:iPlaster Brown Coat ` I, �' � ' � � ' � 32.� Electrical Power Meter-Final ' � � i 1 � ' . ' . � ' i 33.,Final Electric � • �, � ' 1 ' '' . 34. Final Heating:&.Air�Conditioning �, , � ' I • � ' . ' 35. Final-Gas Pipe-Test' . � I `.. �; 1 .i ' � � �� � . � . � � ` ' � " � , � ._ ' I: ai i _ � � 36. Hood',or,�CanoP�Y� � m ' 3 " � o� ' � - � � , � � - . � ' � r � � . � i �'i i='I � II � '' i ' � . . 37. Final Factoiy Fi�epiace, � ,' o� -. 1 .. � � ' t � � � " ' � " � � � -, ; � � _ - � 38. Final Plumliing� � � � �•� n � � � I- , ' � 39. Water'Service-Final � " � i 1 � , -. I 40. GasSerJice-Final � i ! ' � �, , ' ; �' � , ' � � - � i � , . 41. Solar�DomesticFinal � ; ' � _ - r i- -I- �,- y -. � -,---_ _ • + �' , � - -- , , , � � , �_ , . - 42. Backflo'vo Preveinte�;. � � � n.;; _, -� j-- � , "' i; '. . i ; � �, < t � - - -- -- • , 43. Backflow I�iigation � � , , rr � � ' " i .- � � � i - 44. Landscape I,riigation�SYstem� � i•i,�� -.� � i „� � �;i,� � ,� ' �_ . _ . .�, __ . ..' �Pi j u � ', �.�:w�r: . - . �� . � . 45. Sound�Attenuation . I4 � n� !. � � ;,�., �-,.. ' . o - . �.�r _. al� * �� i =Ji. ,- .� 46. Handicap Regulations; � i � , 'o � � ` I � � � ��r - ' � � ' " � „ � 47.�FINALSTRUCTURE&BUILp,�INGi ! ; . I �� I � ,;� ;� " :�* ` . . , 48. Special Requirements�Completed � �i j � =! . � ' - � i � I � ' � 49. Elearic;Release to, Edison � � ,� ' _i _T +_ �1 __,_�,. ._ ' _ _' . �, • � • 50. Gas Release,to Southem Califor�ia Gas Co � � ! � ' ` ' � � � . � ' . ', i ' i 51. CERT,.IFICATEOFOCCUPANCY " � � _i_j,_ '_ ,_ _ _ _ . � � . � i. _ i � No�_ � ' �Date � 4 � � ; � t � � ' , t � i i,� ' LOT 7S TRACT li2 Z ' ��,y�c'd COSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX 917 COBTA M88A. CALIRORNIA For.Applieanf fo Fill In Complefely TYPE OR PRINT '�'�" � b BUILDING a'4' U A ADDRE6S U ' �/�� I/ � COSTA MESA. CALIFORNIA � MAIL ' NO. ___'_' "'____"___'_'_"____' KXXf(XXXK W KOLL , SIZE _ � �, � nn � NO. OR BLD69. �EE RECEIVED .. a�/ SEP 271961 �� FINANCE DEPT. CITY OF COSTA M�SA APPLICATION FOR PERMIT BUILDING For vffice Use Only RECl1PT NO. ij6RMR`NO�} _�.3�i�ilui BY Oq'j�JRECEIVE� I DATE 188UED %I _'I r� / 1 .. _.. . .. �nn. COSTA MESA. CALIFORNIA APPROVED ZONING ZON6 NO.OF UBE OF NEW S"^� �� I I PLANB Z BUIIDING [`% '+-F � '�M LE�AL . ��/_ 7 Y /� �'�•� L CeMe.R OP �BTR[eiM O� REAR YARD� � 2�� tcenrew uxe ar.> / FRONT S� SIDE YARD I LEFT O� O�� I RIGHi O� �� R. SIDE � DESCRIPTION OF WORK �. S�oE 6 NEW I II ALTERATION I II AODITION I REGR /� BUILDING SIZE EXTERIOR WALL � GARAGE NO. OF SHINGI DO EVES � � � 6, 1 HBRHCY ACKN6WLEO66 THAT 1 HAVE RHAD TH18 MPLIWTION THE AMOUNT SXOWN UNOER VqLUAT10N IB FOR TH¢ ♦ND HTATE THAT TH8 ABOVE I6 CORPCCT ANO AGNEH TO GOM- pUIiP09E OF EBTpBLIBHING A PERMIT PEE ONLY. PLY WITN ALL CITY ORDINANCES AND 9TATE lAWB PEGULATING BUIIDINa CONBTRutT1oN. YALUATION SIGNATURH OF _ / PERMIT FEE $ �� ' PERMITTE L) 'j ' ( $ / "/ �� PLAN CHECK $ I/� �0 AUTHORI2ED AGENT / TOTAL FEE � ��