HomeMy WebLinkAbout3164 GIBRALTAR AVE - Building Permits�I
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monFssaFea�nxa: 3164 GIHRALTAR'AV . _. ..
°w"�rs"""E"'wo�`": CORDREY MARILYN M TR
1°0P�' 3164 GI�RALTAA AVE
COSTA MESA,CA 92626
�avi. Yuiwo wo�ss:
IqCNffECT OR Fl!@l&A:
JiCII OP ENQ'4 i1DDXE59:
ue rio:
� g_�o3D�
uxr. ___ CITY OF COSTA MESA —..BUILDING PERMIT_..
PERM NO: P 087900
PERMIT NO: P 087900 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTZON TYPE: V—N . PERMIT TYPE: PLU PURPOSE: OTH
uxr:
�n�� COAST ROOTER AND PLUMHING (7141241-1414
cwrn�croas�uiwo Z']37 S CRODDY
��SASANTA ANA CA �"� 529127
92704 �� D000
LICENSED CONTRACTOfl3 DECtAH�T10N: I la�eby e11im uMa penely tl peejury Nm I em IicanxE uMs pa�ivim� d CMqs 9
(oommme�p xilh Sec�ion ]000) d Diviaion ] al IM Bueirim eM Pmlaeeione Code. eM mY �b e in hA tatt eM eXae.
cmuc.Ho.: 45 40. uc.cuss: C 36 uc "��.r/�r112� EXP: 06/98
ome: i U coiwee«:
'JWNEN BUILUEN DECIARATON: I henby alfi�m unEer penely d ^uy ihet I em memq Ivn �he Camrmm Liroms lnw la tM
bwin0 reawn (5eqion )0�1.5 &nin+e eM Proleeabne Cods: AM' NY v countY xAitli reGuirea e Oertnil to oonsVucl. dlm. imVrwe.
de�, v rapi elry evucWn, prior io m eawa, e6o rquirm Rn applimM lor sch pamY lo fib e apiwd s�emeni Nm he a�M
IicenaeE Wnuani io �M poviaw�u d tlr Conlredora lianee lew ICAeqer 9(�mendip xith Sedion )000) d Dveion J d Ihe
urineae eM Prdeeeione Code� or Ihel M a Me ie eaemp Ihselmni entl IM bava la Na dleped examp�ion. My vbletion d Sodion
)031.5 by eiry applirani lor a permn euEjee� IM eppl'rsnl Io a avW peneliy d ml mwa than IWe hwdrod EOYen �f500�.
� I.avoxnerdiMO�V�Ymrtryempbyeeev.fhwapmeatheiedecanpemmian.xilldothewaM.enEtMal�uctuiewiwlinbeMaE
w Mered Ia ee�a (Saction'lou, Bueinaee enE Proleeeiwu Cotle: The ConVeclon Liceree Lew doea mt epply io en ownerd prapeny
wM Wlda a inpwea i�meon, eM Mo Eoee aurh wark IimeaX a henall rc Waqh hb a har oxn empbyse�, pwidM thm wc�
impwemmn ere not inbMed aWemE lor eab. X, hawaver, ihe W itliip a inpovemeM b ealtl wilhin me yaer d mmplatbn, tM
owneo-buiker will heva Ihe buNen d povi�p he or ehe did � build w improve Iw Ihe purpoea d We�. �
� I. es oxMr d tM qopMy. em utliavely conirep�q xi�h licanaed conuectwe to cmvrW iM pojed (Setlion )61,. Bvai�w+enE
Prolemiane Code: The Con�eeaonlieenee Lew doeeea epply w en ownarW propeRy x1w builds aimpwmths�on uM who
wnvene la sueM1 peojatls wilh e eonirmor�e) IceneeE punuent b ihe Coniredore Lieenss law�.
� 1 em eRmmp unAer Section: B. 8 P.C., br Ne �eemn:
Dete: �T+��
I do hereby cMily Me� I em awere d ud uMenieM ihe iam�immema d Celianie Ileellh uN Sde�y Coda Sw've A5505.255». mk
P553a, and ihel I a eny fNure builEinp ocapv�t xill / wMl rwl (tlrtb aw) need to campry w�h eeid ebb aWw ud tha repuiromanb br
ape,millawnirvnionnmoCifiWionhaniMAi ua�6TR�y vuppmm0inrie.ReudemielmimvlioneppimliameneaanqlmmNaa
Wmivo^c.
Deb: �ON�
WOpKEN'S CONPENS�TION DECL�RATIOM: I hxaby dfirm uMer peneM1y d perjvy one d ihe Idbxi�p Eedve�iav:
� IhewaMNme"v�ienacwlfrmedm'ueM1o�WJiwvobwvkwicmqmmim.npwkeElnbySwima)OOd�Mlebor
Code, fa iM p�tamence d tln wah ta wHcn Nu pmw e ivued.
fl i nev. w w mewei, won..� aomv��, ��,rence. a+�w�ed M seaiu, a)ao a m.las« cme. b. n» o�«manw a m.
7� .on� ta Mddi w. vsmn a mu.e. Mr ruwe�.• om,oavNian mwrez. nrtbr.ne wGvi� rvvnw, me:
ca�rim: MTn C'FNTI7AV EXPIRES
Pd'ryNumber: p�p� nnaano _ 01 /O1 /99
/mre ,von neee mi as m,�Weree r w wm� e ra ms numnd em.�a R�ool n wn.l .
� I oatly Nel in tha perlamanro o� the wF br xfiich thie pa�mu u mued. I ahmi nd emplry ary peam in art� mervwr m o to
Wrnro wEjetl lo �M no�Mn' oomp«uuion ler.+ d Cefdorrie. oa�Mywpsp!�ee tIW i I dwWd Ecmie adjw to IM xabn'
�p�r�� � qM seun noo d�n• Mqcma: �/ /� �
Dma: L �
Wemlrp: Fellun ro��cwr woilrxi mrM��tlon cov�rap� I� �n/ewNl, enCahsll ydmct en employsr ro er/Mnl p�n�ltl�� �M
GHI Mnu �p b om h�ntlrW tlauuntl0olW� (J10q000J, M Ntl/fbn b IM cwl ol rompwuatbn, tlamsp� u pvNdM bi In
Sxtlm J]O6 01 M L�CorCob, InM1nst. �n0 �rtomsyi hu.
CONSTAUGTON LENDINO AOENCY: I Mroby �rm uMer perelry d perNry �hel iMre m e mnelrudion bMiiq epmry M tM
pMormaro d IM v.vk tar whiN l�0 D�i n 6wed (Swion 9091. CN. CI.
LENDEfl'S NAME:
LENUER'S �DDPESS:
1 ceniry IMi I heve read thn epplcelion eM eteta Ihet �he abave inlormetion ie wned. I epree �o wmpN �� dl ciry end counry ordinvices
enA slme kws relelinp to W Ildvq construtlon erd Mreby eNhoi¢e rtpreaenletivae ot Ihe tily to enler upon Ihe abova�mentoned O�VaM
la inspeaon Wrpoeee.
JOSH GLOVER
vdm
Dme:
' Sqrieiure O�ner/RpanVAppYcanVConireua
(5151Je.WP) Whno-BuJtlip 8 Selery: Q�sen-Fb: Canvy-Appicant: Rnk-Reven�e: (3aldenro�baevor
JOH DESCRIPTION :..WATER HEATER CHANGE—OUT , SQ FT:
CLAZM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER 1iORK AUTHORIZED BY THIS PERMIT
a�r�*****rw*3ta*w*w*****�atw***ac*+r*****�itw****it*�it*�**�***�*ir******�r**�c+t**ic*�*rt*��
Z O N I N GS ERTEB4AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY.HUZLDING.---------
£RNT: FT IN REAR: FT. .. IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT _ IN LE£T: FT IN RGHT: FT IN
PARKING REQ; __ PROV: PAACEL; 13913608 ZNE: REF NO;
PLANNING NOTES> .,_.
�
MMMMNMifMMMMkMiF%MMkififMiFifiliFkMMiFMikMiflfMMiFifififMlfMMMMik1FMMifMMMMMikMififkiFMfFMM1FikMMiFifMMkMitMit
D E V E L_O P M E N T___S E R V�I C E S„ R E Q U I R E.M E N T S
ZONING APPROVED BY_ DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED HY: DATE;
rx*�r*r�rr*r�r�r****�r�**� **�e�r��***��A�����r
LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING
PERMZT
11,�U
25t
SMIP/NON—RES
PLAN
ISSUE FEE 22,00
HUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS---->. 11.00 22,00 0.00 33.00 33.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 33.00 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
iFifMMMMMilMMKihMififififikMififififififitifkkkiEkikMMlFItMM1FMMIFMiFIfMifMMiEMMkMiFMMItMiFifikMiFiFiFMIFMilifiFMifMiFiFif
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1, WATER HEATER AND/OR VENT 11,00 11.00
END OF FEES
E 1�ED
DATE �7 DJ
�'4-27-1996J01:�� PA/L33.EZ
RCDT�:G1-Cd23G57
PEktRIT: m8?9EF1
CONSTRUCTION ANO PLANNING � " P��SPA
APPROVALS Permit # Date lnspector qppROVAIS Permit # Date Inspector
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location � .
2, $oil Pipe�Undrgrnd. a . - 53. Steel Reinforcement- -
� �`^,3� Electrical Condw�Y-UN1ity-UndYgrnd. � , 54. Forms .
„�. ,c
ia4`.''�ectrical Condy}Z��tlrgrnd, 55. Electrical Bonding - ' _ �
�
'ib�:. Sieel ReinforcerztEtttQ � 56. Rough Plumhing & Pressure Test
-����IectricalUFER_�,L�n`�. � 57. APPROVALTOCOVER�GUNITE
=�7;: Fpotings � j '� - 58. Electrical CondaiCUndrgrnd.
^;�$' Foundation S%" � � 59. Gas Pipe, O Ur�jrg�ind., Test
-� Water Pipe-Undrgrnd. �;, 60. Backwash LineiS�Trap, O Undrgrnd.
10. Svuctural Floor,'�ystem �� 61. APPROVALTC��ECK
rTi. P'roperty Sewer�ine�� Hous91�onaection 62. Backwash & Receptor-Final
12. Sewer Cap S � ca � 63, Heater & Vent-Final -
13. Roof Drains � 64. Plumb�ng SYstem � final
14. Rough Plumbing� tr, 65. Electricai-Final
15. flough Electricat-Co'jduit 66. Solar SYstem-Ftp�
76. Rough Electric V irin,gp � 67. Fencing & Acc6Ss-ApProval
77. �Rough Wiring Slgn � J � 68. APPROVED F."�i,R�LASTERING
18. Rough ElectricaJ=T Bar Ceifing � 69. POOL/SPA SYST€'MS FINAL
79. Rou h Heatin �& Air Conditioninq� ' F E F�,PT..REQUIR4EMENT
r :� � x i^� v X �� t: �s ��-, �+. ,.. c*'
+ >, "i
20. �F.iougti Fa�tor� Firs�ace � SP7 r * S H m� i �APPI�V���,.�i� Peunit #;�.
21. 6ucfrsr inStrJEiur�lx � '.• .• # � � ,..�.�� 70. �nder�r�q�l Ft�iro *
22. (}ucts Vef�til�in�# � •J " Gb 9
, t M�7 q CJ Fw 71. Produ pin C]�9as �Oil
23. Gas ?^pe�Rough & Tsst � T� ^ y i*7 'e O Y� 72. Undergrp� �d F sM � �
24.'f�oof•Fra�rin�" �� � �"` x � J �' .t : 9 '� tic x �.
9 .. �: > �; ,.�: • 7� Under rnd.Sto�ctga_Tank:OGas ❑OiI
25. Roob6heffihing �:t a, v v x� 7 � cv r 7QJ Overhead Hydr `
M Y X j k
26.'�`'�Ba7!Ceiling IStr� ral) & R�''��"oat � ro��''� � X�:
r ,,,� � x J ,., na: 7� Dry Che�tical c.� :� ¢
27, ��arr�Ean¢Flashir�q� �xK r c >+ xk: 76. Dry Sta pTpe F'�'� x �� '�
.� q' � -
28. Lathng �Sidtng x� y 7�x ^ *� ..� ..� 7�j FIXED S.�T�ty�l�.{�A1� o-, Ct x
� 29. Insulation 6s J S � i' c, � 7'FIRE EV. F L �� ��
3p. Drywall f�iling � x;., * � ' �� 5� � o'�ALTt�-�,DEP�.�E�JIFi�MENT
, 37. Plaster Brca�vTEoa�s S ; Tt*' K I � 79� FINAI 19SPECTf9N �� Q
T1 13_ L+
• 32. �Qectrica�,�ower �r�F�al ' ;i1' # '807FOOD CEftTiF,Y�ATE I�E4., �
33. • na�lec�ricj �'* �.; i tt x'' '�� N6tes: 7 '-i:+� *'� O acr
�
�?34. FinakHeat�n9.' Aii'�Fonditior�ing� � *� y S E¢ c S Y"J
:.: �-, ?7 � .€ ^ � .
• J
� 35. inai Gas.�ipe;7esr¢ �� .. s�. � xo C��-+ r Fbn
„r.
� 36. Hoo�or 2anoPY �'� -' ' "��' `" � `' � n.- � '"
� . :'i i�cn u x K m :co m m
�37. .inal. actory FirepJac¢ x :'_�- .- � `� { x < :v
T
38. Final�Plumbing f� �'� `� h'��� g� S `� L
- �-i t O �+ w X�
�39. WaterService�Fina ` ' �� '' y"`�� -
.� }. . XT. ( w *M
c
n40. GasService•Final Wen atT�!T' S M'." � '=�-` o� *
n�-. -� � � i� � c f fi�t
'•41. $olar pomesticFinal� s � �� � �' ,c �,• -yc ^ x X D
42. �ackflow Preventer x N � ; .' � >F x � -.
Y 15 r1.-.:-: x-+ fi �'1 [*10 s� F -+
x � xsS * � „- �
43. Backflow Irriqa�tion t � + T r:; � : ('i •
-� ,�
!tp. LandscaaelrFpatiorASystem �= tT1 � F " ?% O C O�� ?; ' /^'�fJ �� 'J _.
r M1 Y `i' T }' Q � X, £ %i .�I y� a: .`.l E^
�C -iC.:'^
T .K �+ a' N F-�
~_ 45. ?Ound A�ten�tion... -, .. .. � zl a; :Tl� : c 7� Q�• H"7 a
_ . Nendicap Aegu7ations -+ O �* � � � S Q•� � �
, q7. �NO�. STRl1eTUR� & BUIL�ING � E.., n' "' � `
x (-�
r-
� 48. �NlKI. PLANNING'+' � �+'� * ^� � '"n '¢ ! F'
� + :7 N S S
', �j. �IeccTc Rele/ase to El�ison ! k Y
M b �w . � + -�
- 5D. Ras i�lea4e to Southern CaliformarfiasCo y E � � �•=^' * ��•
�o n t N o
�� 51'. GEFT7FICATE OF OCCUPANCY *" � � �� � � -
K -
�'',� No Date
YSTRUCTION AND PLANNING
A OVALS Permit #
L� Temporary 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. Faotings ; �
8. Foundation � • '
9. Water�Pipe-Undrgrnd. "
1�0. Structural Floor System, .
11. Property Sewer Line & House Cannection
12. Sewer Cap � , �
13. Roof Drains
14. Rough Plumbing �
15. Rough Electrical-Conduit _
16. Rough Electric Wiring
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19. Rough Heating & Air Conditioning
20.'Rough Factory Fireplace
21. Ducts, in Structure
22. Ducts, Ventilating
23. Gas Pipe-Rough & Test
24. Roof Framing ,
25. Roof Sheathing
26. T-Bar Ceiling (Structurall & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation
30. Drywall Nailing .
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
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
43. Backflow Irrigation
44. .Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations .
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Cu
51. CERTIFICATE OF OCCUPANCY
Date
PO i SPA
Inspector qppROVALS Permit#
52. Pool & Equipment Location
53. Steel Reinforcement
- � 54. Forms �
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER-GUNITE
� 58. Electrical Conduit-Undrgrnd:
�� 59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, O Undrgrnd.
61. APPROVAL TO DECK
� 62. Backwash & Receptor-Final
. 63. Heater & Vent-Final
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
71. Product Piping O Gas ❑ 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:
Date I I l. ='
Date Ilnspector
.'
AOP��cant to fill In all sDaees excao� those wit�in heavy eorOer Ilnes ane sign all aoVroo/�ate tleclarations.
�TY OF COSTA MESA C�cQNSTRU TIO PERMIT PERMIT NO. � TRACT NO. LOT NO. - UNIT N6.
ec:%��.ddress � Y
icanYs Mailin ddres� r S
�Owner's Name � � Phone n5��
Address
.Arch/Eng. License Na.
� Address
Contracror's Nam hone - Ly
Address (mailing) � ��
City �icense No. �
-LICENSED CONTRACTOR DECL RATION
1 he�eb affl�m that I am IicePsetl tle� provi i n5yyy f C�arte� 9 co �*}FnCln
wiro Section 7000) ot DlviSion 3� the Bu5 esspntl Professlon qpe, antl
my license is in tyll jp�e antl effect. I � M�.O /.KL.!
'40RKER5'COMPENSATION DECLARATION -
hereby a/tirm that I nave a certificate of consent to sel/-insure�or a certlficate
,f Workers' Compensation Iqmrance, or a certifietl copy thereot ($eGtiOn
3800, Lab. CJ
Policy No. Company
eCertifietl copy is heroby fufnishetl. 1
Certifietl copy iz filetl with the city Builtling Division.
Date APplicant
EXEMPTION FROM WORKERS' COM ENSATI OECLARATI N
(Thissection neetl not be com0�etetl if permit' for one huntlr ($300) or
Iess).
I certi(y that in the oerforman�e of t e ork to ich i per i is Issuetl I
shall ny,� e ploy a y p¢rs� in any nne`s a to me 5 jett to the
wor er C mpety io�ws ot Cal' 'a.
Date w J $igPatur
'NOTICE: I, a(ter aking this tleclarat on, you should become subject to the
Wo�kers' CompensaUon provisions of thC Labor Cotle, you must forthwith
comply with such D�ovisions or Ihis permit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 hereby af(Irm Ihat Ihtr¢ i5 a construclion lentling agency tor the performante
of ihe work fo� whlcM1 th�s permit i5 issuetl (Section 309] Civ. C.)
Lentler's Name �
LendeYs Atl0�e55 - —
OWNER BUILDEH bECLARATION
I her¢by at(irm that 1 am exempt trom the ConVactor's LlCense Law �or th¢
following reason (Section ]031.5 Businoss antl Profe55ional Cotle: Any dty or
county which requires a perm�t to construct, alter, improve, tlemolish or repair
any stru<ture,�prlor to Its izsUance, also requires the applicant for such permit
to /iie a si9nea statement that he/she is Iicensetl pursuant to the pro�isions�of
'he ConVacror's Licensn Law (Chapter 9(commen<ing with Section 7000) of
ivision 3 of the Business a�tl Profe55ion5 Cotle) or [hat he/she is exemp[
ierefrom antl.tite basis for the allegetl exemption. Any violation o� Section
/031.5 by any applicant � for a pe�mil subjects the applicant to a civil
�enalty ot not more than five huntl�etl t1011arS ($500).
I, as owner of tM1e prop6rty Or my omployees with wages a5 their sole
mmpensation, will tlo the wo/k, antl`the sl�uctu�e i5 nOb Int¢ntletl O/ otfe�etl
fOI Shc¢ ($CCtiOn J004, 61151nes5 antl PfOfessional CotlU: The CoObdttO!'S
LI<en5¢ l. w tloes not apply to an owner oi a.property who builtls or Improves
tnereon, antl who aaes sucn work•himsell/herself or throu9h his or ner own
employeez, pmvltletl [hat sucn �mprovements are not IntenEetl or otteretl for
sale. If, bowever, the bulltlln9 0� ImproveT¢nt I5 soltl wi[hin One yea/ ot com-
oletlon, the owner will have the burtlen of proving he/she tlla not bu��tl or im-
, prov0 to� tbe purpose of sale). ' .
❑ I', as owne� of [he propertY, am exCluslvely�cont�acting with licensetl con-
li tractors to consHuct Ihe proje« (Section 7044, Business antl Proteszions Cotle:
The ConVactoYs License Law does nOt apply [o an owner of p�operty who
builtls or Impwves thereon, antl wno contracts for such projects with a mn-
tractor(s Ocense purs ant to the Contractor's License Law). I am aware that
proof O eir Work S CortlPenwtlon InSU/ance shoultl be Provitletl to Te.
❑ 1 am xe pt untle�ection�� B. & P. C. for this reason
�
Date
Si9nature
p W ner
[ion antl state��
al1 clty antl cou
�. antl herebv a
TVPE OF CONSTRUCTION LI NEW IJ ADO L�S�.LTERATION LI REPAIR
' ❑ CONVERSION� ❑ DEMOLISH ❑ OTH
DESCRIPTION OF WORK/USE OF BIDG: �A- �v-f�
TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING � MECHANICAL
❑ OTHER
PROJECT DESCqIPTION 5c]. FT. - oCcuaANCv_
CONSTRUCTION TVPE VALUATION $ /d!6
20NE GRADINGCU.VDS. ACR�S—
Remarks:
Preventer
Irrigation
Drinking Fountains
Floar Dreins
Floor Sinks '
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories � -
P—Trap
Roof Drains �
Reinspection Fee
$15
Duct - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact Blt. ICBO #
Heating System & Ducting
❑ 0-100,000 BTU � 100,000
Reins ection Fe
IDrlvers' Lic e or 55 � � � P e
CMF 0865�46, rev. 10/84 White - Builtling; Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor
$15
0
Service Sink
Sewer Cap
Sewer'Connection '
$olar Collectors
Solar Piping '
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
A um-W ash
Laundry Tiays
Isue Fea
Hood or Typel ❑
Canopy Typell ❑
Refrigeration System
�0.100,OOOBTU ❑100,000
System Repair/Alteretion
Fire Dampers '
Registers
Issua Fee '
$ 3
FE
$ 3
A.P.•#
S Main Buildi
E
T Front
B Reer
A
C Right
SLeft
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F.A.U.
Fiztures
Device Boxes
Outlets
Switches
Garbage Dispoul
Generator �0-5 KW �5-15
Fee I $75
7160 �iaiies
2one
Parking Req./Provided
ELECTRICAL .
Transformer ❑ 15-50�KW
❑ 50+KW
Meter ❑up m 100amps
Meter �over 100amps
Sub Panel � �
Motors 061, H P � l Yh - 8
Inc. Solar �9-15 HP �16-15+
Microwave '
Pole Light
Range
; Standing Sections
Trash Compacmr
Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved 9y
I�a50 TI.
2
O
N
I
N
G
R
E
Q
M
� T
S
FEES
$ 3
SUMMARV OF FEES
BUILDING PERMIT $ t?.�d SMIP . $ . � �
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ • ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $'
MECHANICAL $ TOTALFEE $ ' ' �
PLAN CHECK- 25% $ .
OWNER ' Si1A9PTERLAND LAND CO. DATE Z—ZS-57
JOBADDRESS 31(j4 (;ihral}.pr Ava_ BUILDINGPERMITNO. 7�111(�—
G RAL CONTRACTOR QWI]@Z' $],CiT'• VALUE $ 10,686.��
�oT 12h e�ocK TRACT p353 Sin�le Res. w/att. gar.
GROUP I& J TVPE V ZONE FIRE DISTRICT (15(i9
INSPECTIONS I UATE SUBCONTRACTOR PERMITSISSUED
1 DATE� I NUMaew
Trench
�.ion Forms and Grede to
✓
Heating, Rough %y�,E ] S=�'-s% _(d_�_{ � _"� ,_ _
tieating, Final� Y}�G S i/-S�% n n
Sr� -r„House � Sewer, St. �'`° S S=/7�S•� /(f,'l��.�v��,�%,-+n.l�.��. 2—
5 : Tank or Cesspool • �
Lathing, In Out ,��.�'�'$ �
Plumbing,Final,FixturesComplete%'jjC$ — /-S�%
Plumbinq,Fin.alGasTest /,C �M1:S � //^c$'% \ �� _. _/' _�
Occupancy '
FORM 310 3M 10-•v9
� 1�
. , - �s4�a
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
AODRESS '�'161i. .Gibralter Avenuo
COSTA MESA. CALIFORNIA
OWNER
nacv�T«T
OR E� EER
CONTRACTOR
LEGAI
�ESCPIPTION
A.P. NO.
OFZLOT UQQ�
USE OF
EkISTING BLDG.
SETBFCH LINE FROM�O'
CENTER OF STPEEi
es. Galif. T�� KeNh��
LIC.
iams NO.
P.avPrl � T.n�NI
rland Lari� �0:618�
Eles, C lifT«,Cre �
Bever� �o.
BLOCK TRACT � '
NO.OF BLOGB.
�aw �� �a, nor
. RFGR YAPII /Q �
SIDE YARD ftIGHT �j � IEFT � I
DESCRIPTION OF WORK
NEW X ALTERATION AODITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF
SIZE GZ�I ROOMS STORIES
EXTERIOR WALL ftOOF
COVERING Sti1l[:(:O COVERING }jn .�
USE OF NEw ... _ __ . _ _ _ _ _
FEE RECEfVED
FINANCE OEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
REGEIPT NO� PERI�IT�S
X
` O Id- c-Q _.��I .'
eui�oirv�
ADDftE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE
APPROVED
CORRECTIONS
1 HEREBT ACKNOWLEOGE TMAT I
STPTE ?HhT THE RBOVE I$ COflFECT ANO FGREE TO COMPLY WITM RLL
CITY ORDIN4NCE5 O SinTE LnwS REGULnTING BUILUING CONSTFUG VALUATION /
TION.
SIGNATURE OF � PERMIT FEE S ZV � OO
PERMITTEE �� 1 !1
S/O /�/ � PLANCHECK $ y3�vO
�`/ �� (O (7
AUTHORIZED AGENT ((/ � rJ / TOTAL FEE S 39 � OO
eMr
��
SEP 1 1 '�°62 �c
T4AYFIEI:D, W. D. � DATE 3'22-b2
JOB ADDRPSS ;
GENERAL CONTRACTOR O�aner-Bui.lder VALUE �w 120.00
ar No.113-374-8 LOT TRACT FIRE ZONE DESCRIPTION OR WORKFtgS.forP'ut.
IN5PECTIONS Signaturc DA1'E GROUP J TYPL p 7,ONE g_]. Patio
L SUBCON'fRACCOi{ 7�AT1 RMITSN[SIMI3LR
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA M85A. CALIRORNIA
For Applieanf fo Fill In Complefely
, TYPE OR PRINT
BUILDING i % �
ADORE55 ' ( ��
COSTA NIESA CALIFORNIA
I A/ /l .5�7 n . , ,.. , ._ . .
I MAIL
1 SIZE
� SBTBACK LI
�P � �.M/ � � I NO.OP BLOG6. /
V NOW ON LOT
3LDG. � S 7 �
NE FROM [/
3TaEET "/ / REAR YARD
� I LEFT (/ 9 I RIGHT `/
DESCRIPTION OF WORK
WALI. I ROOF
COVERING
IIL�ING AND WORK TO BE PERFORMED
FEE RECEIVED �
MAR 2 21882
" fiNANCE DEPT, �
APpLIGA�bN �C51f"PE�RM IT
BUILDING �
For Offiee Use Onlv �
/� / V
COSTA
APPROVED
ZONE (�..� I PLA 6R '/. I BU LDINp, (l�
� � t�r
LEOAL ,� � � � S`� �
DEBCRIPTION /( �/
A.P.NO. I /�1' 3 ! �—� )
L
YARDS EVES
APPROVED LLOWE�
tGENTeR LIrvB 8rd _ 1. . � _ r
APPROVED
r
i�
zz-6
1 HEREBY AGKNOWLEDGE THAT i XAVE RE�D THIB APPLIGTION THE AMOUNT BXOWN UNO¢R VALUAiION I6 POR TME
AND BTATE THAT TXE ABOVE 18 CORRECT ANO AGFeE TO COM- pURPOBE OF EBTqBLIBHINO A PERMIT FEE ONLY.
PLY W�TX ALL CIT' OROINANCES ANO BTATE UWB fieOULATINO
Bu1tnlNo coNBTrtUCT10 . VA UATION
SIGNATURE OF , � PERMIT FEE $��'
PERMITTE ���555 ��w
S/ y/ , ' PLAN CHECK $ ��_
AUTHORIZED AGENT ' v -//�
TOTAL FEE ^ • '�
0