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HomeMy WebLinkAbout409 GLOUCESTER DR - Building Permits' AGOlicant lo fill In all spaces except t�ose within M1eavY bortler lines antl sign all apProp�iate Ceclarationz. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT'_N� l� TRACT N0. LOT NO. UNIT NO. A P# � � Project Address 4�9 Gloucester. �S� �Sd, Ca 92627 R� . S Main Buildi Applicant'S Mailing Address ' TYPE OF CONSTRUCTION NEW' ADD ALTERATION REPAIR E pront � 714-583-1909 . � CONVERSION 0 DEMOLISH O OTHER T Owner's Name ��ros � Phone DESCRIPTION OF WORK/USE OF BLDG. I A Rear Address P.O. Box 8064 Laguna Hills, Ca 92654 � - . . � i C Right Areh/Eng. LiCenSe No. - TYPE OF PEflM1T GRADING ❑ FOUNDATION ' STRUCTURAL K Addres5 � ❑ TENANT -O ELECTRICAL ❑ PLUM8ING ❑ MECHANICAL � , S- Left Contracror's Name Vance & Assoc Roofing Inc phone 714-646-321 ��OTHER ' , Ping. Ref. # Address (mailing) P•�• �X �04� CAStd N�Sd. Ca� 9Z6Z� . PROJECT DESCRIPTION sc�. FT. oCCUPANCv �—� planning Notes: City Licensc No. �59�3 CONSTRUCTION TYPE VALUATION $ �]Q� � ZONE GRA�INGCU.VDS. ACRES LICENSED CONTRAGTOR DECLARATION I M1ereby.affirm that I am licensetl untler provislons of Charte� 9(commencing with section ]000) of Division 3 of the Business antl Professions Cotle, antl my license is in tull force antl efiect. Cicenze Class — c nse No. Date 9 ure WORKERS'COMPENSATION DECLARHTION ' I here�y aifirm tnat 1 have a certificate of mnsent to selt-insure or a certificate -'�Workers' Compensation Insurance, or a cartified,copy thereof (Section �0, Lab. Cl) ' ��y�������q�p�iO_� ' .icy No. _ryi.G��y.�yJXJL"J�1/yty��pany L� Certi(ietl copy is hereby furnishetl. ' ❑ Certifietl copy is filetl with the city Builtling Division. Date_—_,%— ,�-19_�plicant . EXEMPTION FROM WORKERS' COMPENSATION DECIARA ION (Tnissection need not be completetl it the permit is tor one huntlretl ($100) or I¢55). 1 certity tnat in the periormance of Ihe work for which this permit is issuetl, I shall not employ any person in any manner so as to become subject to tne Workets' Compen5ation Laws o( California. Date Signature NOTICE: If, after making this tleclaration, you 5houiA become subject to thC workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such orovisions or this permii zhall be tleemetl revokeC. CONSTRUCTION LENDING AGENCV I hereby ai(irm that there is a construction lentling a9en<y for the performance of th¢ work for which this permit i5 is5uetl (Section 3097 Civ. CJ Lentler's Name Lentler's Atltlress OWNERBUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business antl Professional Cotle: Any,city or counly which �equi�es a Oe�mit t0 conshuct, dlt¢r, improve, tlemolisb o� repair any structure, prior to its issuance, also requires Ne applicant for such permif � to file a siqne0 statement Nat Ite/she is licensetl pursuant to the provisions of i the Contractor's License Lnw (Chapter 9(commencing with Section 7000) of �� Division 3 of tne Business antl Professions Cotle) or that he/she is exempt th?re(rom and the basis for the allegetl ezemption. Any violation of Section '.5 by any applicant tor a permi[ subjects the applitant to a Civil ty ot not more than tive huntlretl tlollars ($500). ' , as owner of the property or my employees with wa9es as their sole compen5atio0, will tla the work, antl the structure is not intentletl or offeretl for sale (Section 7044, Business antl Pro�essional Cotle: The Contractor's License I,.aw tloes not apply to an owner oi a property who builtl5 or improves Mereon, antl who tloes sucb work himselt/hers¢It ar [hrOugh his or he� own employee5, provitletl that mch improvements are not intentletl ar otferetl f0� sale. If, M1owev¢r, tne builtlinq o� improvement is soltl wlthin one year oi com- lpletion, the owne� will have the burtlen of proving he/She tlitl not builtl or irti- 'prove torthe purpose of sale). � i� I, as owner ot the property, am exclusivety cont�acting with licensetl <On- tractors to <onstruct the project (Section ]044, Business antl Professions Cotle: ihe ConVactor's License Law tloes not apply to an owner ot property who ;�uiltls or improves thereon. antl wha mnlrac[5 to� such oroi¢cts with a cnn- tractor(sl 1¢ense pursuan[ to [ne Contractor•s License Law). I am aware that proot o� tbeit Worker's Compensation in5uranc¢ Shoultl be provitletl to me. ❑ I am ezempt untler Section B. & P. C. tor this reason Date Owner I hereby certify Iha[ I nave rea information is conecL I agree to antl state laws relating to builtlir Senfa[ives of this ciry to ent inspection purposes. Si9nature Driveys' License or 55 qk — tion antl state tha[ the above all city antl county ortlinances i, antl hereby authorize repre- bove-men[ionetl property- for � Date 7'�2—� Remark5: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Fountains Floor Sinks Gas Service Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee � $15 Boiler Duct-UnderGround Duct - Struciural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FacL Blt. IC80 �k Heating System & Ducting ❑ 0-7 00,000 BTU O 100,000 BT Reinspection Fee � $75 0865-46, rev. 5/88 Wnite - Buiitlinq; Canary - Applicant; Gink - Accounting; Goltlenrotl - Assessor Service Sink . Sewer Cap Sewer Connection� Solai Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet � Water Heater Water Service A uto-Wash laue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0.100,OOOBTU ❑100,OOOBTU System Repair/Alteration Fire Dampers � Registers Issue Fee FEES $ 3 FEES $ 3 Zone Accessory - � Parking Peq./Provided ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW ConstructionPoleSu6. � �50+KW Cookin9 Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100 amps Dryers ❑Gas ❑Electric Sub Panel � , Fan Motors �0-1 HP �1 %- 8 F.A.U. � � Inc.Soiar �9-15 HP �76-15+ Fixmres Microwave •� • Device Boxes Pole Light � OuUets Range • ' Switches Sign Garbage Disposal S[anding Sections � Generator 00.5 KW �5-15 KW Trash Compactor . ' I Reinspection Fee �$15 I � Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved By Building Approved By Application Issued By FEES $ 3 N I N G R E Q M T 5. SUMMARV QF FEES � �� � BUILDING PERMIT $ �_�� D SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN.CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GFADING $ PLAN CHECK 50°� $ MICROFILM $ � MECHANICAL � $ TOTALFEE $ 63 _ PLAN CHECK 25% $ Ol G(IL3l7qa_"ufld�775& TG��P" c� E'�fiEe �'113;�g T�II7E: 1G:�%_ _ `J �� ' \ _ CONSTRUCTION AND PLANNING POOL ` 'A ,. "' APPROVALS Permit # Date Inspector qppROVALS Pen���c # 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 f 1 4. Electrical Conduit-Undrgmd. . � 55. Electrical Bonding � 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test �1 /-� . 6� Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE % t 7. Footings �% 58. Electrical ConduirUndrgrnd. �� i 8. Foundation "� 59. Gas Pipe, O Undrgrnd., Test I`/ 9. Water Pipe-Undrgrnd. ',� 60. Backwash Lines, P-Trap, O Undrgrnd. �% 10. Structural Floor System � n 61. APPROVAL TO DECK 11 . Property Sewer Line & House Conn � ion 62. Backwash & Receptor-Final 12. Sewer Cap ,�t 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Co�duit 66. Solar System-Final '16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,i 1&. 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. Duc[s, in Structure . 70. Undergraund Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ 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 (Structurel) & 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 Plumbing ' 39. Water Service-Final � 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer � �r 43. Backflow Irrigation " oi 44. Landscape Irrigation System 1� 45. Sound Attenuation � � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ��,� �� o�L 48. Special Requirements Completed � 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co � � �� •ti; 51. CERTIFICATE OF OCCUPANCY o' .o - No. Date _, " � 71pplicant to fiil in all spaces except those witnin heavy bortler Ilnes anG sign all approo��ate tleciaratlons. - � ' ,� CITY.OF COSTA'MESA�• ` ' ; ": ' ,� . '" :. . PERMIT NO�� : : ; TRACT NO. - � LOT�N0. " � I BLD . . � . . . '� � . . . ' � - -- , .� '- .. .. . " _ ' CONST.RUCTION PERMIT � .' . ' ' ' ' � . ' • - ' - ,�' , .-' ' � ' • • � � ' � � • � . ' ` ` . - J � • . . i • I� � � 1 :' . I .� J . . . �J ; l Project Address - P� - TYPE OF CONSTRUCTION_ � NEW � ADD � ALTERATION ! REPAIR - _ i � � 3243 �6/29/84� 5�U� i T:�, AppllCant`5 Mailin A'ddre55 � ��j i' �SI iC-//.��C�-�L/.J ' . � CONVERSION �� DEMOLISH ❑ OTHER � � � `� , • � ' " 9 , / , � . - , , , . A:P. �k. . • �.r � ' �2one` ' � � /7 U.tii � .- t - (�Y.�'� %6 � �DESCRIPTION OF,WORK _ . . i Owner'sNa'me�_ � C f" ' Phone-�2_ � � , . � � y � �. - ,. � • , - � � , S Main Bwldmg:, ' � - Accessory Buildmg - - ' - Z � Addl¢55 ' - J���n � �' ' ' - , �, ' , TVPE�OF PERMIT } ' GRADING�: �FOUNDATION� 'STRUCTURAL � � � T F.ront' - ;" a ' ' � N ' ' ArCh/Eng' t ' Lice se No.' � .� TENANT ❑ ELECTRICAL' , PIVMBING O�MECHANICAL � B Reaf � � _ ' �. �� � ' - � i Address ' L ._ .. i ' � " . ' `.= , �: � �OTHER . . . i � ' •� I � i `. � . ,. '• A . � � ^ . - . N . ContractorsNam�``^✓�s�T�Um�,'.d.r-i�.✓�,v/h/one�%7�'���0 �PROJECTDESCRIPTION SQ.FT.� �� OCCUPANCV '� � K Right � i ' R i AddreSs (mailingl �-� � �� � J �- / �/ � � �/J y��� �^ � ,//"� � 'CO N STRUCTION TVPE < < � VALUATION $ � : .S Left ' ' � � i ' . � � } � E " ZONE GRA�INGCU.VDS. � � � ^ "':� CityCicPnseNo. � =r`� �� . ' iACREs ' PIng.Ref.# � � . - ' Park.Fees $ � 'r ' � n • LICENSED CONTRACTOR DEGLABATION � �- • � ' � � . F ' ' f {' ' ' , , ' - � � u ! Remaiks: _ . � Parking Req./Frovided � . � ! � . .�' 1,iiereby�affirm that �I am licensetl�untler provisions of Charter'9 (commencing ' " . „ � , R � with sec[ion ]000). of Division 3 of the Business and Pro(eszions Cotle, antl I � , . =-_ ; ' 1 . � , ' � � � : ; . Use of Building: i ' � _ - � my I¢ense is m fuli lorce antl etfecL � I 1 E�' �ucense �i'ass � -� �` ' � ' cense rlo � �' � �"-�� . ; � �• � � ' ' PLUMBING ' � � . � FEES Planning Notes . � , i : M I Date o1'-/.1 ' S9 t �(2L�� r. _/r--U�, Anj . ' . , N 1 / / ._ � BarSink . ; � � Showers � � �� � � , 1 \ WORKERS' COMPENSATION DECLARATION � � , � �� �� � + , . � , 'T � ,j�eieby aifirm that I have a cerL(icate of consent to selt msure or a certificate � I � � �. � ':-'Workers' Compensatton �nsurance; or a cert1fietl copy roereot (Sectlon �' � � BackflowPreventer r _ Service5ink' _ _ __ _ _ -. S \� "�ioo, Lab. CJ � ' r ' ' , Backflow Irngation Sewer Cap � � ' � � � -' ELECTRICAL � , ' � � j FEES { PolicY No. ' n ��� � - ComPanY �PAI/2Jt' i��S ' . ' , . ' ' ' � ' ��yI�ertifietl copy is nereby furnishetl. ' ' ; 1 ; ' ' � . i � Eathtub's � � • Se6ver Connection � j Automatic Washer�� � . � Trensformer 0 15;50 KW � � � IYl Certifietl copy fs tile� with tne city Itling Division/ [7 � �� ' � . � � , � � � gyn � � i Date ' T-/-r-�%� Al� d'�! .0 /T, iy-y J ' ! Clarifiers Solar Collectors ' • . Construct�on Pole Sub. ' ! ; � � '� 50:+ KW APPI¢ant, �2 �� � � , . '. ' 3 , . � -EXEMPTIONFROMWORKERS'�COMPENSATIONDEC'ARATION �-' : -" DishWdsh¢i ' �i�'- � � �SolarPl ing. '� ` ��-�7�- �-� � '�` - � �Cookm �Unit�; �l � � � �" ' ' � (This sectfon neetl not be completetl if the permit is for one huntlretl (E100) or i . i . '� P 9 n�� �� � � Metei ��up to 100 arilps "' � less): � � ; . . � � , - , � � � - � . � ' . I certify�tM1at'in the performance ot the work for'�which tni5 perm�t isdssuetl, I; Drinking Fountains � � Solar Tank �� j Dishwasher �%f, � � , i ��Meter ❑ove� 100 amps � !. � shall not employ any person in any manner so�as to become subject to the� � - . - ' ' ' .Workerst Compensation: Laws ot Caiifornia., - , �. . Floor Drains � Swimming Pool w/Spa� Dryers ❑Gas, �Electric �Sub Panel - '� i . � � � Date ' � Signature -� ' ' ' � ' - � ' ` ' NOTICE: It,'after making tM1is tlecla�atiOn, you shoultl become subject to the ` FI00� Si�ks ,. ' U�Indl � � 1 Fan� � � � � �Workers'-�Compensation provisionsbflthe Latior�CbCe',�you must torthwrth � ' "" ' ' ' ` '-' - - - - _ �Motors�0-1_HP�iX �8_.,I, � comply �with' such provision5 � or; thi5' � �- ' permit•shall be tleemetl revoketl. Gas52rvice . �Outlets WaterClOset '� �-�� - . �❑ '! GONSTRUCTION. LENDING �AGENCV � i '� 1 - . ' ' ' " , � �, ' F.A U i . �InaSolar' 9-15 HP 076-15+ I he�eby affi�m that th¢re i5 a construCtion lentling ageocy for ihe Oe�fo�mance �`� Interce tors; Water, Heater ' ' ' �� 6 FIXtU�¢5 ; � � � ' • � ; i � ' of the 'work 'for 'vphich thiz. pe/mit is � issuea i(SecHon•'309Z Civ. 'CJ; l � P'� - � d , ; � Microwave , . Lentler's' tyame ' �� - - - . � i � Kicchen Sink � Water Serv�ce : � .. ; � �; Device Boxes � i � '. Pole�Light . � � 1 �entler's AtlCressl �' � �' �-� �� '• � i -� � - � - ' OWNER BUILDER DECLARATION � '�. �:J • ' ' �� � � � : � L2v2tOfiES � -• , _ � � � �� 1 �, � � putlets � { � . ' � Range * : � � �I � I hereby, affitm that 1 am �exempt trom the Contraator's Licens¢ �aw for the ' - , � - . ' ' following reason (Sectlon,]031.5?Businezs antl Protessiona6 Cotle:�Any city or P=Traq F ; . � `� � � . � � � � r , ; • • � � , Switches � � � � � Sign� 1 � � ' � county whlcM1 requires a permitdo construc[, altei, ImD/ove, tlemolish or repair �,. � � � - � � ;any s[ructure, prior to its�izsuance, also requires the applicant for suth permit ' � RoofDrains� �� - - � -� � � � '�. � � ,.. ' � � ' � ' � � , 'to file a�signetl statemenbthat he/she is licensetl pursuant to the provisions of � �" � - � ' Garbage Disposal � � ' Stariding�5ections � . r r � tne Contractor's'License taw (Chapter 9 (commencing with Section 7000) ot , � � � +- ' � , �^_ � � ' ' ; _ t '_ ( � � I Trash Compactor . ' i �liyision; 3- ot the�Business antl Professions Cotle)-or that he/she"is.exempt � . { [� : �' � � ' � _ Generato� �65 KW 05-15 KW � � �y.F.3gfrom and the basis tor'the alle9etl exemptibn. Any,violationiof Section f � ' � ' � � � , � , , � ; x i.5 by,any'applicant tora�permiL'subjects..the applicanY[o a civil � � ' '� ' � " � • � ' ��;j , = $ 3 � �• ; ' � ; 1 i ; '�Ity bf not more than tive huntlretl tlollars (§500). ,, i. f •'-. . Reinspection Feae )$25� .. ISsue Fee �� � I: as� owner of the property or my �employees' with wages� as theo sole ; � - � Reinspection Fee � $25 � IsSue Fee;' � �- ($:3 . compeniation, wiu tlo the work, anG the structure is not intentled or otfered ^� - 1-' ' �'MECHANICAL {"' FEES for sale' (Section Jo44, Business and. amfesslonal' Cotle:' The: Contractor's � - � I . � � ' � � PUBLIC SERVICES REQUIREMENTS: � � i � - � ' license Law tloes not appry to an owner of a property�who builtls or improves gp{�er �_� � '� � � j HOod or� Type I: � J '' . 1- � � thereOn; dnd•who,tloes such wo�k nimseli/he�self.o� �through his or �her own � -" � � � i S. -. Zoning Approved By � ! � •� �ete � � �� employees, provitletl that Such-improvement5 are nOt.intentletl o� otferetl�tor ' • - Canopy Typ¢ II ❑� J� +� � . • . � zale. If, however, the eulltlln9 or improvement is�soltl within one year of com- : Duct} Under Ground ' i ' � , � .- . qpplication Approved By � �' �• Date . O�etion, the ownen, will'have'the bu�Cen of proving he/she tlitl not builtl or im- • � � _ • -_ . . � , .--� � �rova'tor the puroose of sale). ' � !' .) ; Duct - Strucjural � � ' t Refrigeration System � •� Application IssuedBy ' � ' ' OatP�T ,I, as own¢� of'the pro0erty, ain exclusivery contracting�witti Iicense0 ton- � - �� �� , tracrors to construct the oroject (Sectlon 7044, eusiness antl Professions Cotle: ; ' Duct - Ventilating � ; �0-100,000 BTU ❑100,000 BTU : „ � , � � 'SUMMARY OF FEES , � } ' � -The Contractor•s License-Law�does�noCapply to an owner of property�who�� ' , . ' ° � ' . � builtls or improves tnereon, ana who tontracts for such projects with a con- ! BUILDING PERMIT $ - -� SMIP: $ • tractor(s) license pursuant tolthe Contractor's License Law�: � { � Eihaust System ❑ Multiple �. System Repaii/Alteretion � � .. �, ; � � � � 4 � i - • . � � � PLAN CHECK , $ � PERMIT ; � 1 ❑ I�am"exempt uritlar Section . _ B. & P. �. for mis reason Firepl/Fact.,BlG ICBO # ' � � � PLUMBING � $ .�"' �"� �ISSUANCE ,$' � ' • Date � , �• Owner � ` � � ' � � � t Heating System & Ducnng , i , i � . i ! ' ' � � , ENERGY P.C. ' $ � � PLAN CHECK $ ' � I I hereby certify that I have reatl thii appucation antl state that tne_above _ ❑a100,000 BTU �100,OOOBT _ i , ., ,� „ � ? i ; GRADING $� �information is toriect: I agree to comply wrth all-city antl county ortlinances �� - 7' - ' ^ - � ELECTRICAL �$ - _ . ' . i re � . • . antl state laws relabngAo builtlmg construttion; antl hereby authorize rep . P , MICROFILM ,$ � sentatives of� ttµs aty'. to - enter uy on tpq, above-mentionetl 'property tor � ' . � '• � � . • . UaN CHECK , � $ � � � . , ._ � inSPection Pufq6 ses. . � , �l/� �/ . , • � . � � � • ! � ; � � / � ' Siqnature AV/.x.n�.F�i% , ' _ � I Heinspaction Fee . � I $25' � } � Issue Fee � $ 3 PLAN CHECK � $ � � � � . � „ . . . . . . . . : . : . , . . , °CMF'0865-46rev.9/83'- WM1ite=6uiltlln9:Canary"-APPIIcanpPink='Accountin9�'Gottlenro0-Assessor'.. -; . �_.... ' ' . -. .. 1_,:- ... ._ �_....�r.._� ._ . . .._. _ .._ __. ..,.-.., ��_ `"' _ ` " "'' " ' , " ' ' ' _ � . . . ..y . . . . . . . • sfJ !e.. ♦ t . .. . . 1 .. . i ` CONSTRUCTION AND PLANNING. � ' � POOL 'A - � , • � APPROVALS Permit #" �,Date - Inspector - APPROVALS Permit # Date Inspector d. Temporary Electrical Service or Pole � " .'.52. Pool & Equipmerit.Location� ', . 2.�SoifPipe-Undrgrnd'. �. ' .� . 53.�Stee6Reinforcement _ � � , ' '3.� Electrical Conduit Utility-Undrgmd. • � ' 54.� Forms � - ' . • � � � . , 4.� Electrical Conduit-Undrgmd. � � 55. Electrical Bonding - . ' 5.� Steel Reinforcement �� - � � �56. �fiough�Plumbing.& Pressure Test � � ' � 6. Electrical UFER Grnd. - ' _ � 57�. •APPROVAL TO COVER-GUNITE � , ' 7.� Footings ' - . 58. ElectricafConduit-Undrgmd. � . 6.� Foundation � � .' � -59. -Gas Pipe, � �Undrgmd.; Test `_ . � 9: Water Pipe-Undrgmd. � � - . 60."Backwash Lines, P-Trap, O Undrgrnd�. . 10.-Structural Floor System � � �� 61. APPROVALTO 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 Electrical-Conduit-� ' � ' � 66. Solar System-Final � " �' 16. Rough ElectrioWiiing � � ' ' , ' 67. Fencing & Access Approval � ' - ' 1-7'- Rough Wiring Sign ',.� •. 68. APPROVED FOR PLASTERING. � : �� 16. Rough Electrical-T'Bar Ceiling �: 69. POOUSPA SYSTEMS FINAL � - 19. Rough Hesting & Air Conditioning � ' ' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace �� � APPROVALS Permit # � �. 21. Ducts, in Structure �, . • . 70. Underground Hydro � • 22. Ducts, Ventilating ' , � 71. Product Piping O Gas ❑ Oil , �' . 23. Gas Pipe-Rough & Test . • . � 72. Underground Flush � ' , . 24. Roof Framing � ' �' � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof 3heathing ' . 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat � , �� 75. Dry Chemical • � 27.- Preme 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. Plasfer 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 � ' - 5 � � � , � � .� � 37. Final Factory Fireplace � . ' � • ' � , • 38. Final Plumliing ' � . � � � („E/) -� � ' ' 39. Water Service-Final � � ' � . � ' • 40. Gas Service:Final � . � , , . 41. Solar�DomesticFinal � . ,. ' _ _ _ ,_ ' , 42. Backflow Preventer � � � - � � • � • � 43. Backflow Irri9ation • � ' � ' ` • �� � - . 44. ,Landscape Irrigation System � . �� ' � : ' � � ' 45: Sound Attenuation ' � ' .. , ' . ' � - � , 46. Handicap Regulations F � � �- , . � � � , ' �� � . 47. FINALSTRUCTURE&BUILDING � _ - • a , �� � � � 48. Special Requirements Completed ' ` � , - � � 49. Electric'Release to Edison � - - � - - - , , - � � � • � . , - 50. Gas Release to Southern California Gas Co '� � � , � � � .� � 51. CERTIFICATEAF,OCCUPANCY�., � _ , . • � , . _. .� � , . No. - " ' *� Date . � � � . �Eo�o COSTA MESA BUILDING.SAFEIY DEPARTMENT P. O. BOX 91] . COHTq M6BA� CALIFORNIA For� Applican! ►o Fill In Completely - TYPE OR PRINT i�oiNm yp9 �'�oucPs7�ev �rive �RESS COSTA MESA. CALIFORNIA � ADDRELB SO4 NO. N�w �ort Blvd. �,T„ New ort Beach C�o`.6469341 OR FNI �N fiR Brent S. T'obe . NE`%IY46985 .,. ;8 1320 Carmelita La una Beach CONTRACTOR Cape Series Inc. ADDREBS SO4 NO, New ort Blvd. GITY Newport Beach, Calif. � �� No. 221233 NE�. 646-9341 s�ze lo oo�.Cl no � I r+o.orei.noen -� EXISTINGBLD6. n�ne 6ETBFCK LINE FROM �]^� Q R�R YA O 1.1�� CENTEH OF BTREBi b��V�' � HID6YARDI LEFT � �` "RI HT ' "9' ��' DESCRIPTION OF' WORK �BUILDING 1�t�S .SQ. ftROOMQ Y' hTllQ�R9 2 SRE 1L USHOFBUILDItICANDW RKTOB sin�le fami v res I HEREBY ACKNOWL6O�E THAT 1 HAVB�REAU TXIB APPLIC�TION AND 6TAT8 THwT THG ABOVH Ie CORRECT AND AOREE�TO COM- PLY WITH ALL CITY ORDINANC¢9 AqO BTAT6 L�WB PiOYLATINO BUILDINO WN9TROCTION. SIGNATUREOF �_5" IFf � PERMITTE � AUTHORIZ6D AGENT rtt rct�ti NOV 2 7 1963 .. -'� FINANCE DEPT, � CITY OF COSTA MESA � APPLICATION FOR PERMR BUILDING � For Oiflca Use Only ' � RHC[IPI' NO. � pE�y'( yp {. � L! R6C61V OBY OAT 6CHIVHD DATE155116 ,�=.�`-� �a-a �3 au���mo A�ORfi53 FIRH . / ZONING no: or use ov n �LANO OV `D�N � �illl. - Lot 6 Tract 5212 YARD8 MPROVED MAIN BUILDING �� D, VAR. aC SHALL BE LEBS THAN YARDSAPPROVED ACCESSORYBUILDIN6 DATE APPROVED OATE ����t �u 1235 . sa Fr. � TXH AMOUNT BHOWN IINOER V�LIIATION IS FOH THE £ PUHP096 OF 88TABLIBNINO A PEqMIT FEE ONLY. p VALUATION ' ^/ m �11, 423.75 PERMITFEE $ 37.2/ j m $ � PLAN CHECK $ oo O � TOTRL FEE �� • �� n