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HomeMy WebLinkAbout443 GLOUCESTER DR - Building Permits�I. Appl¢anl �o fill in all spaces except ihose wi�hin heavy borEer lines anE.sign all avProvriate tleclarauons. 7 �—�� T•YOFCOSTA,/,'M/ES CONSTRUCTION�PERMI,T. F+,'l � PEIiM NO i � � TRACTNO. ' � LOTNO. �L UNiSNb_ 1 ' ;, ,� ,: f�� .;.`4781-.IOLOB/86,_ ; �'�r f rj O���PL �ProJectAddress•LT.3 ���/ICGSf"P�iP �i�I✓^u... .� :.- ' . / ,1 . ,n . ; 1 � �: I ' � ^ • � . . - .' I ; 1 . , � ��' .. I .. i .. . � ��i ' (O ' . AppliCdOt�S M3iling d/255 �J .'Z•%y .ii/sI L°0%t� � �' � ' , TVPE OF CONS7RUCTION� . �rvew ADD 'ALTERAT,ION' �REPAI R - � ' ��� � � � � - � .. 1 � / ' � '. ❑'COIVVERSION -❑ DEMOLISH' ❑ OTHER _' A.P. #' ' " ' � .. 1 ` - ' I. .. t � Zone ' _ �T� Owner:s Name -�.�''C.0 E� R!C`�(/��� � Phone� �_ �� ` 'DESCRIPTION OF WORK/USE OF BLDG. � � - � � - � Address ' < �n'�P ^ � ' � � '� - � � ' • � .` ' � I , � � . ' , �- � , , - S Main Building. ` . Accessory Bwlding ,. � � m p ' � qrchlEng. " �� � ' � •License No. � ^ � � ' " TVPE OF PERMIT � �GRADING _�FOUNDATION� ' .STRUCTURAL � � E, Front , - � � ' ' � � - ^ � Z , T O , Addre55 � � �,'n , ',/�,� � ❑'TENANP �`ECECTRICAL L/f PLUMBING ❑ MECHANICAL g, RQa� _ . � . , � _ � N �Contractor'sNam . . � '' . -T .Phone"L�L�Cl� , 0',OTHER '. � - i r- y ' • " . �� . .. ^ .0 Ri h4 i . -. .. ' ' �Address(mal"na1�.S3��lI�`.L//%�� / � LiA/sY`iC/vi7 � PROJECTDESCRIPTION SOJFT. ' ' ' OCCUPANCV � ' �K 9 ; � ` . �N , �SG p p CONSTRUCTIONTVPE '� • VALUATION$ � g- Left �� �,� a -� G I City License No. / J Q ' � �� ZONE � � � � GRADING CU. VDS:� • ACRES 1'E; � ! LICENSED_CONTRACTOR DECLARATION � - i - Plny. R2f. # Parkin9 Req./Prowded � � � � . ' � ' _ Q 1� I M1eretiy affirm [hat I am lioensetl untler provisionsof Chartec9 (commencing Remarks: � � , , � � , ' -�Planning NOt¢5: � � � ' ' ' _ _ - , M �` j with section 7000); of �ivision 3 bf ttie Business antl' Protesslons Cotle, antl ' '- � I\ my license is in full fo� an e tecL ' , � � � - � � ! ' ' T � �;Licens las �%� � . �icense��V o. a���r� � , � � . . � � � � , � . . ; E � � g � .� , oite ��� � � �'e�+r /�L'L !�J /�',�J�-6�i�sl� ' ' ' � PLUMBING ' . FEES � ' � � �1 ' � ' •WORKERS'COMPENSATION/DECLARATION � � �. ' � � � � . _ , . . . - � -(-- ereby aftirm tharl have a certiticate o� mnsent to selt-insure or a certificate BanSink Showers . _ � � ELECTRICAL � � � FEES �� Workers' Compansation Insurance,'or a'certifietl cooY thereof (Section_ � , gackflowP.reLenter _ . . _ServiceSink � � � � ,00, �ab.•c.) - ,/p!/,� -�' - '- �/��, '�. �' - -� '� -� � � � � - � -"' Automatic�Washer ; - - - Transformer'�� 15-50�KW - - � — ; `, , � Pol¢y No. ��`a '�`� - Companv f�Kl/��-'�P �.f�C' � Backflow Irrigation � . Sewer Cap- , ' ' � . Construction Pole Sub. • i � � � 50 4 �(W � �e�btietl copy is hereby fumishetl. , • . j � . , , . , , � ' ' � � Certifie op�y' n 1 tl with the city iltlmg Division � Bathtubs � Sewer Connection r Cooking Unit � , i Meter ❑up to�100 amps � �Date� �� Y" �� APPlican �' , . . . t ' ' � Clarifiers � Solar Collectors � � Dishwasher -' � Meter ❑over 100 am s i ' ' EXEMPTION FROM WORKERS' OMPENSATION DEC ARATION , � P � i (Tbissection�neetl noLbe�com0�e tl-it the permit i5 /or one huntl�etl�(§100 0� , , , � , - � - - — -� less).. ' � �' � Dishwdsher Solar Pipin9 � i Dryers ❑Gas ❑Electric Sub Banel • ' ' 1 certi}y tM1at in tne pe�fo�mance of the work tor wnich this pe�mi{ is i55ueQ 1 . , . ' • ' � � � � � .shall'not employ any person in any manner so as to bewme subject to tne Drinking Fountains � � i$olar Tank Fan � �� • � i i , ,�� , Matars �41 HP 01 h� 6 � Workers' Compensation Lawrof California. , � ' ' ' . . r � : Date' ' Signature � ' ' ' � ; Flobr Drains � . Swimmin Pool w/S a � ' '- i � � t +NOTICE: If, afte� making this tleUa�ation, you snoultl become subject to ih¢ ' � 9 , P , F�A��� Ina Solar �9-15 HPi �16-15+ � Worke�s' Compensation �provisions of tlte Labo� Cotle, you must forthwith Floor Sinks � . � _ _ Urinal . . . t _ _ s. _ - - Fixtures- - - �- � - Microwave - - ' - -^� - — -�- — � --+ - - � 'comply with'such' provisions o�, this' permit 'Shall� be tleemetl revoketl. ' � �� ' � �CONSTRUCTION LENDING �AGENCV: ' ' ' ' GaSService Outlet5 � WaterCloset. �, • - ; DeviteBoxes � � { I M1ereby affirm [hat [here is a construction�lentling'agency for the performance � - Pole LighT, t -� � -� ,of ttie workjfor�which this permit is issuetl (Section 3097 Civ. CJ • Interceptors � !. � WaterHeater� � - � � ' , � Lentler's . Name � i= Q. Outlets Range � Lentlei2 Atltlress � � '' -� ` . Kitchen Sink � ' , WateYService Switches � � �Sign F � � OWNER BUIL'DER OECLARATION" ' t ` ' ' �- ' � - � � ' ' I hereby aftirm�tha[ 1 am exempt from the �Contractoi 5 Lic¢use Law tor the� '� � CevatO�i¢s . � � Auto-Wash' •... �. � Garba9e Disposal . i ; Standing Sections ' � : tollowinq reason.(Section 7031.5 Businesrantl-Professional Cotle: Any city ar = � ' _ - � - � . county which requires a permit to;construct, alrer, improve; tlemolish or repair � p-Trap � � Laundry Trays :' � ' � Generator 00.5 KW 05-15 KW � " any sVucture, prior to it5�iisuance, also requires the applicant for 5uch permit TrasF Compactor � � 1 to tile a signetl statement that he/sM1e is licensetl pu�suant to the provi5ions of� - ROOi D�ainS � . � _ - � � � � � . , I �1�[�e Contractot's License Law (Chapter 9 (commencing,with Section ]000) of • � � . ' ! � t�;�;�g�,yision 3.oLthe Business antl Profe55ion5,Cotle) or�that he/she�is'exempt� f �� I, • � � - , � $irefrom antl the basis for Ihe alle9etl ekemption.. Any-viOlation ot Section '� _ � _ , � , . ' e'.'31.5 by�any applicant !or a�permit subjects Ihe'applicant to� a nvil � � ' ' ? i�'nalty of not more than five huntlretl t1011ars (SWO). , ' ' � _ ' � '--• = ' ' ' , ' ' � ' �i 0 I, as owner ot the prooerty or my employees with wages'as their sole JReinspectiori Fee ✓ $15 ' � Issue Fee � �.n ,$ 3 . ' ' . ' � 2ompensation, will;tlo the work, antl�Ihe structure is not intentled ol.otteretl ' Rein5p8ttiOn Fee - $15 ISSue Fe¢ ' ' '$ 3 for sale �(Section ']044, eusiness ana Proiessional Cotle: The Contractor's' '' :� � � i MECHANICAL i ' PEES' - � License Law tloes not apply to an owner oi a properry who bulltls or improves DEVELOPMENT SERVICES'REQUIREMENTS: � ' '' � ' 'thereon,'antl who does.such wo�k nimself/herself o� through his or her own go��er' - �� ,Hood or T ¢ I �❑ ' ' � ' employees, provitletl that such'improvements are.not intentletl or ofteretl for � '= � YP . � , sale. Ii, howeveq the builtling or improvement is soitl wimin one'year of com- -_ , ' 'Canopy Type II ❑• - - ' Za�ing Approved By � Date pletion, [he owner will have the bwden of provin9 he/stte tlitl not builtl or im- i DuCt �U�d2� GiOund� ' ' ; , _ ' � � prove for the purpose of sale): ���� � � � � � - � Building Approved By Date� , //] ❑ 1, as owner of the property, am exclusively mntractin9 withilicensetl con- . Duct - Structural �'. � Refrigeration Systefn .� � Appliedtion Issued By • Date__{_SL ��� � ' Iractorsto const�uct the project (Section ]044, Business antl.Protessions Cotle: ' ' ' The Contractor's License Law tloes mt appry to an owner of property who Duct - Ventilating .� ❑0.100,000 B7U �100,000 BT�U �. � SUMMARV OF;FEES ' . � � � , builtls�or, improves thereon, antl wno contracts fo� such.projects with a:mn- -� - 1 ' '- �- ' � tractor(s} license pursuant to ihe Contracior's License Law). I am aware that , � Exhaust�System ❑ Multiple ❑ ,System Repair/Alteration � BUILDING PERMIT $ � � � SMIP $ • � proof of their Wo�ket's Compensatiom insurance shoultl be provitletl to me. � $ PERMIT � � � � � . PLAN CHECK � ��,,�u,�',�I , . L7 I em ezempt untler Section � e. & P. C. for this reason , FirepUFact. Blt. ICBO # � � Fire Dampers ' � ISSUANCE '$ ��-" '"`� � � . , i • ' t PLUMBING � '$ �+��L� � � � ' oate • � Owner � ' � � � • � � � • Heating System & Ducting � � Registers ' � , p,�p,N CHECK 25% $ � ENERGV P.C. �$ ' 3� � I. herebyi.certiry ttiat_I�have reatl�tnis:application antl state that tne above.. ❑6100,OOOBTU �700,OOOBT ._. _. ._ � ._ , ' � • - GRADING. �$ � �intormation is correcL I agree to mmply with all•city and county ortlinances . ' ELECTRICA'L �^y antl state'laws relating m builtling construction, antl hereby authorize repre- � • � . , PLAN CHECK 50°� �$ MICROFILM $ ' sentatives ot t is city to ente� upon the' above-mentionetl property for . � � . � � � inspection p r ses; • � ' ' � ' i MECHANICAL � .� , � Signature � Dzte 9_� � ' . � � ;$ � TOTAL FEE '$ � I � Drivers' Cicense or 55 � � . ' � . Reinspection Fee $15 1 , luue Fee �� $ 3 PL'AN CHECK 25% �$ � � �. , � , CMF 0865-46, rev�'10/84 �White - BuilOing; Canary - Applicanh Pink - Attounting; Goltlenrotl - Assessor � �� � � � � � - � _ _ _,_ _ . . , _. � �. , � . ' . � �� ^CONSTRUCTION AND'RLANNING � - _ '. `POt . SPA . - _ � � APPROVALS Perrt�it # ' Date - Inspector �. AppROVALS Permit # � Date Inspector .1. �Temporary Electrical Service or Pole - . � 52.� Pool & Equipment Location � . � : , �,2. Soil Pipe�Undrgrnd: � ' � 53. SteeGReinforcement , . �, . _ _ - '-3. Electrical Conduit Utility-Undrgrnd. � - - , = 54.. Forms �_ . ��4. Electrical Conduit-Undrgrnd. - - - 55. Electrical.Bondirig � c�,5. Steel Reinforcement ' - � 56. Rough Plumbing & Pressure Test - - I� 6. Electrical UFER Grnd. ; - � 57.. APPROVAL TO COVER-GUNITE ' � .'7. Footings ' � . _ 58. Electrical Conduit-Undrgrnd. � 8. Foundation � . • , 59. Gas Pipe,-0 Undrgrnd., Test � . : � "• 9. Water Pipe,Undrgrnd. . " � - 60.-Backwash Lines, P-Trap,-� Undrgmd. � � .10. Structural Floor System ' " � 61. ,APPROVAL TO DECK - � - . �i t. Property Sewer �ine & House Connection � 62. .Backwash & ReceptorFinal � . � �, � - , 12. Sewer Cap � - � :' . 63. Heater & Veni-Final � , - � . 13. Roof Drains - . 64. Plumbirig System - Final ' , • 14. Rough Plumbing � 65. Electrical-Final '� - - 75. Rough Electrical-Conduit ��� � . 66. Solar System-Final. � � � ' 16. Rough Electric Wiring � „ � � . 67. �Fencing & Access Approval , � . � � 17. Rough Wiring Sign . • ' , . � ' 68. APPROVED FOR PLASTERING � � � � i 18.:Rough.Electrical-T Bar Ceiling ' �� 69. POOL(SPASYSTEMS FINAL � � 0 19; Rough Heating & AiFConditioning ' - 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��Gas ❑Oil ' 25. Roof Sheathing � � . . 74. Overhead Hydro ,' , 26. T;Bar Ceiling (Structural) & Monocoat ' � Z5. Dry Chemical . � �- � • 27..Frame and Flashing � � 76. Dry Standpipe - _ � - i i , 28. tathing & Siding ' , '77. FIXED SYSTEM FINAL - � - 29.'�nsulation - ' . ' -78. FIREPREV.FINAL � � 30. Drywall Nailing ' � ,� � � HEALTH DEPT. REQUIREMENT ' � ' B1. �Plaster Brown Coat �� � � 79. F�INAL INSPECTION 32.+Electrical Power MetarFinal � � - � 80. FOOD CER?IFICATE ISSUED ,.. 33.�FinalElectric � � J, ,i_ Notes: � , � � 34. Final Heatirig & Air Conditioning ' � � � -� � - ' 35. Final Gas Pipe Test - � � ' -, , " � �_ � � - � . � 36. Hood or Canopy � ' • • � . � � - � ' � . . . . � Y � 37. Final Factory Fireplace � ' � . ,- _ 38. Final Plumbing , . Q•Z-�J"7 C-%/� • ' . 39. Water Service-Final , , � , ' • - - '- 40. Gas Service-Final � , � � � - � ' " � ' � 41. Solarpomestic-Final ' _ . �- - , - -- - - � . -;- � . • _ r� 42. Backflow Preventer' � i ' �� � _ _ _ _ _ , _ , , _ ' ' � � � ' 43. Backflow, Irrigation (' � � , v . 44. ,Landscape Irrigation System yi; ' � , ' ' � � ..�, .. . . , . "45. Sound Attenuation � .r � � _ ' 46. Handicap Regulations ' � t�;�. - _ � _ � , � . • , - - 47. FINALSTRUCTURE&BUILDING� . , , � � 48. Special Requirements Complefed � + � " ' �� ' � � 49. ElectricReleasetoEd�son 's% ' �� -' ' -, ' ' �-� ' ;, _ . r; i 50. Gas Releese to Southem Catifornia Gas �v � ' , � � , � � � � � ' � _.51', CERTIFICATEOFOCCUPANCY � -�- -�- - - - --- - - ' . - . ;�� -� . . _ • _ - �. � , , ' �" � . � , � No. - Date -� --I- ' � . .� --- -- '-' ... � �- . . -.. - . - . - ._'- Applicant to fill in all ipace5 except t�aze wit�in �eavy EorCer lines anC si9n all approo��ate tleclarations. ,CITY oF COSTA nnESA CONSTRUCTION PERMIT �' Project Address 443 Clo i. c ar ('ntta Meca, Ca 97677 _ ' Applicant's Mailing Address �� Owner's Name ��roS CO Phone ��4—���� Address P.O. Box &J64 Laauna Hills Ca 92654 ArchlEng. License No. � Address Contractor's Name Van�e & Acanr RlY1f11'�7 TIt!' phone �L�-� Address (mailing) P-n_ r�X �nc� rn�r���, �a 47iii7 City License No. �Fq1� LICENSED CONTRACTOR DECLARATION 1 nereby atiirm that I am licensetl untler provisions of Chartar 9(commencing with section ]000) of DivisiOn 3 of the Business antl Professions Cotle, antl , my Iicense is in full �or�a�d erte�t. , ��� , License Class �� �..,[}—I�nse No.�_—�_�— _ I Date �LY L,v /dlL17..Q/ IWORKERS'COMPENSATION DECLARATION � ' 4ereby aftirm [hat I have a certificate of con5ent to Self-insure o� a certiticate Workers' Compensation Insurance, or a certitietl copY thereot (Settion 10, Lab. C.) ' Policy No. �.M�%'IF1f1Zll���mpany—�_j�ui�� eCertifietl copy is hereby /umishetl. Certifietl topy is filetl wpit�h the city Builtlin9 Division. t''� �' OE%EMPTIONFROMWORKERISaCOM�S�AT1�f�ELLFIRATION �— (Tnissection neetl not be wmpletetl if the permit is to� one huntl�ed ($100) or iess). I certify tnat in the performance of the work for which this pe�m�t is issuetl, 1 snall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. Date Si9nature NOTICE: If, after makinq this tlecla�ation, you Shoultl beCome subject to the Workers' Compenzation provisions of the Labor Cotle, you must forthwith wmply with such orovisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENGV 1 hereby aifirm that there is a construciion lentlin9 a9ency Por the pertormance of the work tor wnich Ihis permit is issuetl (Section 3097 Civ. CJ L.entler's Name �entler's AOaress � OWNER BUILDER DECLARATION I hereby aftirm lhat I am exemp[ from the Contractor's License �aw for the followin9 reason (Section ]03L5 Business antl Professional Code: Any city or county wM1ich requires a permlt to construct, alter, improve, tlemolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to tile a signetl statement thal he/she is licensetl pursuant to the provisions o� the Contractor'S License Law (Chap[er 9(commencing with Section 7000) ot ^�vision 3 o� the Business antl Prolessions Cotle) or that he/she is ezempt -efrom anG the basis for the alleqetl exemption. Any violation ai Section 1.5 by any applicant for a permit 5ubject5 the aOP���ant to a civil .ialry of not more tnan (ive huntlretl tlollars ($500). ❑ I, as owner of the p�operty or my employees with wage5 as thei� sole compensation, will tlo the work, antl the structure is not intentled or offeretl for sale (Section 7044, Business antl Pmfessional Cotle: The Contractor's License Law,tloes no[ apply to an owner of a proPerty who builtls or improves lhe�eon, antl who tloes such work himselt/herself o� througM1 his or her own employees, provitletl that such imp�ovements are not inte0tletl o/ oftered tor Shc¢. If, howeve�, tM1e builtling or improvement is soltl wllM1in one yea� of com- pletion, tne owner will have the burtlen of proving he/she tlitl not builtl or im- �rove for the purpose of sale). 1, as owner of the property, am exclusively mntracting wi[h licensetl con- tractorsto constructthe project (Sec[ion ]044, Business antl Professions Cotle: The Contraclor's License Law tloes not apply fa an owner ot property who builtls or imOroves ttlereon. antl who contracts fo� such oroiects wi[h a ron- tracto�(sl Lcense pursuant m me ConVactor's License Law). I am aware that oroot of their Worker's Compensation insurance shoultl be providetl to me. L� 1 am exempt untler Section B. & P. C. for this reason Date I her¢by certify that Informatlon is correct dOtl SIdLQ IdWS ICldilp Sentatives of this cit in5pection pu�poses. C Signdture Drivers' Licenze or 55 0865-4 ,�rev.5/88 owner _ have reatl this all en Date 7��L—O7 i33�3�1 I I TYPE OF CONSTRUCTION rvEW aDD �❑ CONVERSION ❑ DEMOLISH ❑ OTNER DESCRIPTION OF WORK/USE OF BLDG. — TERATION PSN REPAIR TYPE OF PEFMIT LI GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER � PROJECTDESCRIPTION S4.FT. � oCCVaayqxD_1 CONSTRUCTIONTVPE � VALUATION$ s/U;i�UI: ZONE GRADING CU. VDS. ACRES_ Rema�k�: 7ear off shakes and re�lace with class B Hardi Sink Preventer. Irrigaiion Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink ' Lavatories P—Trap Roof Drains Reinspection Fee � $15 Duct-UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑ 0-100,000 BTU O 100,000 BT Reinspection Fee I S15 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - A5ses5or Showers Service Sink Sewer Cap Sewer Connection Solar Collectors ' Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater � Water Service Auto-Wash Laundry Trays Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeratlon System - ❑o-ioo,000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee A.P. # S Main Building: E T Front B Rear A C Right K . Left S Ping. Ref. # Planning Notes: FEES Automatic Washer Construction Pole Sub. Cooking Unit . Dishwasher ' Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes QU[IEtS Switches Garbage Disposal Generator �0-5 KW C Zona Building: Parking Req.JProvided ELECTRICAL Transtormer ❑ 15-50 KW � 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors �0-1 HP O1 X� 8 Inc.Soiar 09-75 HP 016�75+ Microwave � Pole Light � Range � I Standing Sections 5 KW Trash Compactor r � Reinspection Fee !$15 � I Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By FEES Building Approved By $ 3 e N I N G R E Q M T S. FEES � $ 3 SUMM V O�FEES i : � � BUILDING PERMIT $ SMIP � , $ �— PLAN CHECK $ PERMIT ' - PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ �3_ PLAN CHECK 25% $ �f�Ul�LICATE REC���1Ts, c� ooaa��av-ana3�7so �e�:-�� ,.�.,ar—; GA�E� Oi/13l39 TItlE: i0:26 �� ,, . . ., ; .. -�-c CONSTRUCTION AND PLANNING POO' ;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 Conduit�Undrgrnd. �� � 55. Electrical Bonding �� 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.. Electrical UFER Grnd. �, 57. APPROVAL TO COVER-GUNITE ,� 7. Footings �� 58. Electrical Conduit�Undrgrnd. �: 8. Foundation � V 59. Gas Pipe, O Undrgrnd., Test �� r 9..Water Pipe�Undrgrnd. 'l� 60. Backwash Lines, P-Trap, O Undrgrnd. �� 10. Structural Floor System � 61. APPROVAL TO DECK i 1..Property Sewer Line & House Coni ection 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 't16�. Rough Electric Wiring 67. Fencing & Access Approval � 17�. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18-. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & 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 Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding 77. FIXEDSYSTEMFINAL 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 Condi[ioning 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 43. Backflow Irrigation �� !1 J� 44. Landscape Irrigation System � ' 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �� J/L o/Gr 48. Special Requirements Completed 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co �" v t •i 51. CERTIFICATE OF OCCUPANCY , �. No. Date � '�,l , . �,G�� rtt Ktt;tivtu WOY 2 Z 1963 � ' COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. � P.O. BOX 917 C06TA MEBA, CALIFOPNIA � � CITY OF COSTA MESA � For Applicant fo Fill In Complefely APPLICATION FOR PERMIT 7YPE OR PRINT BUILDING � BUILDIN6 /J/� Fo� Office Use Only ADqRESS % %� ('rLeocEs�E,� �/(/� - Ra��,�, �o. � r�rr , COSTq ,MESA, CALIFORNIA . ' n�ccrv[p ev o rta e�veo owre �ssueo OWNER Cape Series Inc. � "� J��-�• -a- . MAIL BUIL�ING , .,00Rfins 504 No. New ort Blvd. ADDR6S8 FIRE � ��.�. NewpOYt Be3Ch, CSl. No •64i79341 ZONH TYP6 ' GROUP A ,!{TECT T6L BYPROVBD DATE +-�f NE6R Brent S. Tobe NoHY46985 A`�:�8 1320 Carmelita La una Beach ZONING . ' ZO NO. O� I YS[ OP N6W. �L � ' /'+' ' ' ' �UNS pU1LDiN� CONTRACTOR l�`cl e Series Inc. ' �^ C A }�i �eow� L,�[ 'l`3 Tract 5212 ADDREBB JQ`� 1V�. NeW OTC BIV�. DBGCPIITION W t. �,T,. Newport Beach, Calif. A•P.NO. � ^1LG�]♦ NOTE: NOEAVEOVERHAN68HALLBELESSTHAN � LIC.TNO. �Ll��� � ryp�' V4v-9J"YI 90'TOSIDEBREAR .L. � � p EAVE3 � SIZE 18. 83x50. OO I�o. oP eLooe. O ALLOWED (U. B. C. REQUIREMENT) � .OF LOT NOW ON LAT . YARDSAPPROVED YARDSAPPROVED USEOF MAIN BUILDINO ACCESSORV BUII,�IN6 .-� EXISTINO BLDG. r]Qlle � - < ��/�� � f FROM GIL ST8!'iET) � 9PTBACK LINE PROM�� � _C1C���, ' ¢ RqONT l• 7�. FT. � CENTER OP 8Tq66T �'Ull� 4/{;��Qita p�R YARD � a SIDEYARDI LHFf O I RIQHT .O .. R.SID6 � FT. FT.' � a DESCRIPTION OF WORK �. sioe rr. Fr. 0 u. N� X ALTERATION ' A�DITION RBAR Ff. ' Ff• A REPAIR MOVIN6 DEMOLISH DISTANCE BHT. BET.MAIN B O MAIN BLDGB. ' ACCESS. BLD68. .� VAR.�L' OATE . S ZE�'N�235 S. ft'. ROOMS 4 RI S 2 C. U. P. APPROVfiD / EXTERIOR WALLTUCCO COV�ERIN6 cedar shake BYPR�Vfi ��� DATE '`' �" GOVERING 5 U860FBUILDIfiGqNDWORKTOBHPHRFORMHO � . 1235 so. Fr. o 1 XEREBY �CKIIOWLBbO[ TXAT 1 N�V6 RHAD TNIB �PPLIGTION TX! AMOUNT 9HOWN UNOEP VAWATIOH IB �FOR TH8 F ANO BTATH THAT THC ABOV6 IB COFRECT ANO AOFEH TO COM. PUHP09H Or BHTABL�BHINO A pERMIT'FE6 ONLT. Q v�v w�TH wL4CITY ORDINANCEB �NO 9TAT6 LAWB RBOULAT�NO VALUATION p^] ^] q aui�olNaCONaTnuci�oN. , pERMITFEE $ J/ • 2/ � PERM^ITTEEOF s ��.,,_ �Il, 423�.� � . m � - PLAN CHECK $ OO � O AUTHORIZED A6EN7 70TAL FEE �$�� •�� u