HomeMy WebLinkAbout749 GRAYLING BAY - Building PermitsPflO.IECT p00flESS: '� q 9 GRAYL ING BAY uxir:
;- aw�xsxamc: pENTRIDGE COVE HOME
nooaess: OWNERS' ASSOCIATION
3009 DAIMLER
SANTA ANA CA 92705
660-0777X`139
APCHIENGINEEN: KRAMER b�iSrJ�C flEG.NO.: Sz�n9
A�OHESS: 3OOZ DOW ALLENNE uxrt: 136
S.A. CA 92705
PEflmiTTEE: pENTRIDGE COVE HOMEQWNERS ( 714 ) 660-0777
nooness: 3009 DAIMLER ST
SANTP. ANA CA 92705
LICENSED GONTPACTOfl DECLABATION: I hereby afiirm ihal I am licensetl untler provisions o� C�ap�er 9(commencing wilh Sec�ion
7W0) of �ivision J ol I�e Business antl Pmfessions Cotle, an0 my license is m tull �orce and ellecl.
CITY LIC.: STRTE LIC.: CNSS:
Oate: Signamre:
WOflNEBS' COMPENSATION DECNNATION: I hereby a��irm Ihal I have a cetlifica�e of conSenl �o selt-insure or a cetlifica�e ol Workers'
Compensation Insurance. or a certified wpy I�ereoi (Section 3800, lab. C).
roucvxo.: 90-93-9416-6 E%P.OATE: OI/LSI9S
comvnxr: STATE FARM
❑ CeN�ietl copY is �¢re�y fumishetl. Q Cenilietl coDY is liletl wit� t�e ciry Bpilding �ivision.
, �e�, ApplicanC ��J•L�iv.(/(/�
IPiION FpOM WOHREBS'COMPENSATION �ECLAHATION: (Thissec�ion n'ea na�becomple�edi�the permitistoronehunOreO(5100�orless).
I certily Ihat in Ihe peAormance at Ihe woB �or which �his permit is issueq I shall no� employ any person in any manner so as to become
sWeect 1a I�e Workers'/Comoensadon Laws ol Calllpmla . � w il,
oTl�l�. a�ler making Ihis eeclaration: you shoul� �ecome suDject lo the workers' CAmvensation provisions of lhe Labor
Co4e. you mus� fonOwiih comply wiih 5uch pmvisions or this permit shall 6e tleemetl revoke0.
CONSTPIlCTION LEN�ING AGENCY: I hereby aflirm ihat ihere is a consimction lentling agency br ihe peAormance of ihe work for
whic� ihis permi� is issued (Sec�ion 3097, Civ. C�.
LENOEP:
A�OflESS:
OWNEB BUILOEB OECIAflATION: I hereby a�lirm Iha� I am exempt �mm the ConVac�ors' State License Law lar �he following reason
(Seclion 7031.5 Business ana Pmiessional Cotle'. Fny ciry oi counly which requires a permit to consimct, alter, imOmve, demalisn, or
repair any stmclure. D�ior to its issuance. al5o requires Ihe apPlicani lor such permi� �o tile a signed statemen� lhat he/she is licensed
pursuant io ihe pmvisions ol the Coniractors' State License Law (C�apter 9(commencing wilA Sec�ion 7000) af �ivision 3 of �he Business
antl Pmfessions Code) or t�a1 helshe is exemp� therefmm and the basis for Ihe allegetl eKemp�ion. Any viola�ion of Sec�ion 7031.5 by
any applican� for a permil sublects the aDPlicant Io a civil penal�y of not mo�e Ihan �ive huntlred dollars ($500�.
I, as owner al �he pmperty or my em0loyee5 wi�� wages as thei� sole compensa�ion, will tlo lhe work, antl the
❑ slmciure is not inteneed or ofleretl �or sale (Seciion 7�44, Business and Pmiessional Cotle: The Contractors' S�a�e License Law
tloes not apply to an owner of a pmpeny w�o builOs or impmves ihereon, an0 who tloes suth woB himsell/Aerself or ihrough
hi5 or her Own employees. provided Iha� suc� impmvements are noi inten0e0 or ofler¢tl lor Sale. I�, �owever the huilding or
impmvemenl is sold within one year ol comple�ian. Ihe owner will have �he burden ol pwving he/she did nol huila or improve
for the purpose ol sale).
I, as owner ol ihe pmperty. am exclusively wniracting wiih litensed wntrac�ors to con5�mci the pmle�� (Sec�ian 7044, Business
❑ antl Pmlessions CoOe. The Comrac�ors' Stale License Law Aoes not appry to an owner ol Droperty who builtls or impmves ihereon
antl who coniracis for such pro�ec�s wilh a contracror(5)license pursuant �o the CONracrors' S�a�e License Law�.l am aware
iha� pmol oi Iheir Worker'S Compensa�ion insurance should De pmvidetl to me.
I am e�empi under Section: $ P 7 � 4 4 B. 8 P. C.
�misreaso�NER BUZLDER
o .�oi 9 owner ,
tlo �ereby ceni�y Iha� I am aware antl untlers�and �he requiremems o� Califomia Heatlh and Safery Code Sec�ions 25505, 25533, antl
2553d anatha� I or anylulure buileing oaupaniwill/will na� (circle one� neetl to comply with said Sla�e codes and�he reQuirements�or a
permil �or cansimclion or modificaiion imm I�e Air Ouality Managemenl Oistric�, qesidential con5iruction applications are exem0� «om
Ihese provisions.
Oate: ApplicanP.
I �¢reby cer�Ay Iha� I have reatl ��is apP�icalion and s�a�e Iha��he a�ove intormaiion is correcl. I agree to comply with all ci�y antl coun�y
orj�ances antl slaie laws relaiing lo builamg con5imciion and hereby aul�orize represenla�ives oi Ihis city �o enter upon �he above-mentione0
{Ir �or �msp/ec�ian ourvases �/
Dai �/�—L1— Signamre: __�z��l�
nver s License or Sociai Securi�y n:
1641�46 White—Butl�ing�, Green—Cotle Enlorcemenq Canary—Applicant; Pink—Revenue; Goldenmtl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 06613C
PERMIT NO: B 066130 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION ; REPAIR SHEARWALL NAILING 6 CANTLVR FLOOR SQ FT: 2,500
CLAIM VALUE: 2,500.00 CALC—VALUE: 2,500.00 GROOP OCC: R-3 /
COMMENTS: REF; PC# "4961-93L "
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Z C� N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILC�II+IG ---------
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 REp • PROV; PARCEL: 93768043 ZNE: REF NO;
PLANNING N6TE5>
i
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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:
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: DATE: �
�t***�-****�r+t��**��t*x���r* � �*��rx�*�r�**� <<���**
iEiEifiEiEi4ifiEiFiEiEitiEjEifiEiFifiEililiEiEififiEififiEiEiEikififiEifiEiEiE�lE�fiEiEiEjEiEiE�E1EiF�lfiEiFifiFiEiEiEkitiEifif9EiEiEaE�lfiF��iEiE jF�/E�Ei6iE3F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 59,00 50
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSIIE PLAN—CHECK TOTAL PtlID DUE
TOTALS----> 54.50 0.00 0,00 54,50 54.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 ,50
ik if if 1f jF if 1E i! i! iE iE if fE?E iE iE iE iE if iE iF iE iF iF i! if ik 1E i! 1f iE 1f iElE i: ik iF iE if 1E iE iE �f 1f i! iE iE 3f fElflf iE ik iF iE dE 1E iE fE iE Y jf 1ElE iE 1F 1E if iE iE if iF �F 3f 4 df 1k iE if
Z N D I V I D U A L F E E B 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
SFR 2500 ALTER BY VALUE RESIDENTIAL NOZONE
ENP C�F FEES
\
1.00 2,500,00
01 001eS782—Q01�5783 T CeT 5y,5p
ORTE: 02/22/94 7ItIE: 14:23
� CONSTRUCTION AND PIANNING POOI L A �
` APPROVALS Permit # Date I�spector AppROVAI.S Permit # �ate I�spector
+
1. 1'emporary Electrica� Service or Pole 52. Pool & Equipment Locanon
2. Soii Pipe�Undrgrnd. 53. Steei Reinforeement . (
3. Electrical Canduii Uulity-Undrgrnd. � 54. Forms �
4. Elec?rical CUnduit�Undrgmd. . 55. Electrical Bonding ', i �
�
5. Steel ReinfOrcemen; 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. � 57. APPROVRL TO COVER-GUNITE
7. Footings 58. Etectrical Conduit�Undrgrnd. �
8. Foundation 59. Gas Pipe, O Undrymd., Tesc
9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P�Trap,'��, Undrgrnd. �
10. Structural Floor SYstem . 67. APPROVAL TO DECK �
71. Property Sewer Line f4 House Connection : 62. Backwash & Receptor�Finai �
72. Sewer Cap ' 63. Heater & VenbFinal
13. Roof Drains 64. Plumbing System � Final
14. Rnugh Plumbing 65. Electrical�Pinal
15. Rough Electrical-Conduit 66. Solar System-Final
76. Rougfi Eleciric Wiring 67. Fencing & Access Approvai
17. Rough 4Viring Siyn 68. APPROVED FOR P�ASTERING
78. flough Electrical-T Bar Ceiling 69. POOL%SPA SYSTEMS FINAL
19. Rough Hearing & Air Conditioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Firep!ace APPROVALS Permit �
21. Ducs, ia St�ucture � 70. Underground Nyclro
22. Ducts, Vent�lating 71. Product Piping O Gas �� O!i
23. Gas Pipe-Rough & 7zst 72. Underground Flush
24. Roof Framing 73. Underymd. Stara9e Tank � Gas ❑ Oii
25. Roo� SMeathinq �� 74, pverhead F�Ivdro
26. T�Bar Ceiting (StructuraU & itAonocoat 75. Dry Chemicaf
27. Frame and F�ashing 76. Dry Stancpipe
28. La,hing & S�ding 77. FIXED SYSTEM FINAL
29. Insulation 78, FIRE PREV. FINAL
30. Drywall Nai�ing HEALTH DEP7. REQUIREMENT
31. P�aster Brown Coat 79. FINAL INSPECTION +
32. Electricai ?ower h4eter�Final 80. F000 CERTIF�CATE ISSUED
33. Final Electric " Notes:
34. Final Heating & Air Conditioning :.-
..i�
35. Finai Gas PiDe�Test `
36. Hood or Canopy
37. Final Factorv F�replace
38, Pinai Plumbing
39. Water Servite�Finai
40. Gas Szrvice-Finai
47. Solar pomestic-Finai . �
42, Backfiow Preventer ;=��,
43. Back`tow Irrigation �
44. Landscape Irriqation System
45. Souad Attenuation .
46. Handicap Regulations •
47. FINAL STqUCTURE & BUILDING /Z„al,_pC-/ (�
C 4 ✓ u�
48. FINALPLANNING �;.� , -
49. Eicctnc Release to Edison
50. Gas Retease to Southem CaYifornia Gas Co ' �
51. CERTiFICATE OF OCCUPANCY
No._ Date '
�
��
Pq0.1ECfR0UflE38: -�Qy GRAYLING F1AY uNir: �
owxex�s xnrne: TF.RRY TUF2S
nooness: �49 GRAYL�iNG F3AY
� UNIT C
CUSTA MESA, CA 92626 '
�BCHIENCINEEH: � 7 1 4� 9 7�_��'� � NEO.NO.: '
nooaess: pOWELL, MIKA S ASSO. 90 tlNrt:
16667 VENTURA BL
ENC.LNO CA J1436
. PENMITTEE:ROF) VAUGHAN � ('714)675-9475
nooeess:. q?5 DEGONIA AV
CORONR DE:L MAR CA,92625
11tENSEU CONTMCiOB OECUM710N: I �ereEy aflirm t�at 1 am licenue untle� pmnsion5 ot CIwD�Br 9(commencinp with S¢ciion
7UW) ot Divisian 3 al t�e Business an0 Pmfessions CaOe, anE my license is in lull force anE ettect.
ciTr uc.: suTe uc.: cuss:
049t436 4257t39. 0
Date: �.-7—� � Sipnature: �
WOflNEflS' COMPENSRTION OECUMTION: I �ereb anirm tna� I Aave a cenifute o/ consent ro selbinsure or a certilicate o/ Warkers'
Compensatian Insurance. or a ceNfetl wpy thereoi �SecGan 3800, LaE. C).
PoL1LY NO.: F%P. D�TE:
COMP�NY:
r] Cerlilie0 wpy is here0y fumisAeE. ❑ CeNfieO i G wii�/lie cay Buil ' Division.
i
Ae: AODIiWn�' T�rb/4
E%EMVfION fIiOM WOflNEfl3' COMPENSIIiION OEClAN1TI0N: QAis sec0on nee0 wt a campleied if Me pertni� is far ona �unOreO (51 W) or less�.
' I certiTy that in the De�ormance of tha work for whic� tAls De� Is i ue0, I shal ot employ any person in any manner so as ro become
sueject to tAe WOMers' Compensation Laws of Calilomia. .
Date: '1 � % � �U Slpnatura: -
NOTICE: IL atler makinp this tleclaratlon, you s�oultl come sublect the Workers' ComDensation provisions of tAe LaUar
CoOe. you must fortt�wi�h compy xilh suU pmvisions or tlus permit stull Ee aeemed mvoke0. '
CONSTRUCTION IFNDING 1GENCY: 1 hereby affirm Ihat t�ere is a constmction lentlinq apency /or the Oetlormanca ot tAe woB for
wNCA ihis Dermit is L55ueC (Section 3097, CN. C�. '
lENOER:
ROUBESS: ' -' '
OWNEB BUIWEB UECUMTION: 1 hereby aflirm ihat I am aeempt trom t�e Comractors' State License Law for ihe followinp reasan
(Section 7031.5 Buvness anG Protessional CoCe: My ciry of counry wAich requias a permit to consiruct, alter, imprme, Oemolkh, ar
reDair any structure, pnor ta iis issuance, also requires t�e applicant lor such permit to lile a sipneG statemenl tAat he/she is IicenSeC
pursuanno t�e provisions oi the Coniractors' State License Law (Chapter 9(commencing with Sectian 7000) af Division 3 0l ihe Business
anA Pmlessions COEe) ar that �e/she is exempt therelmm an0 Na basis �or the alleOeA exemD��on. Any violation of Section 7031.5 6y
any ap0licant far a permit su�jects t�e applicant to a ciNl penalry ol nat more Ihan five hwAreO Uollars (5500�:
I, as owner oi tAe Oroperty or my employees'with wa0es as t�eir �sole compensation, will do t�e work, anU the
❑ strucmre is iroi imen4eA or oflere0 tor sale (Section 7064. Business an0 Proleuional Code: The Coniraqors' Slate License Law
Ooes not aODly to an avmer of a pmDerty wAo GuilUs ar improves thereon, an0 who Oces such work �imsell/hersel/ ar NrougA
his or Aer own employees, pmvideA IAat suc� Improvemenis are not inien0etl or otlered lor sale. II, however Ne UuilOinA or
imOmvement is mltl within one ywr of wmplelbn, tAe owner will have t�e burtlen of prmin0 �Ushe Oitl not EuJd or imD�ove
far the Durpose oi sale).
1, az ovmer al t�e properry, am exclusively conlractinp with IicenuE wntractors to consimct ��e D�oject (SecUan 7044, Business
❑ anO Profctims CaOe: The Contactors' SUta Liunse law Ooes �rot appry ro an ovmer oi Drocerty wlw butlQs ar improves Nereon
antl who contracis for sucA prol� �+�� a contactor�s) liunse Oursuant to the Cantractars' State �wense Law�. I am aware
thai prool ol th¢tr Worker'S Campensation insulante Slloultl be DmNd¢E t0 me. ' .
� I am exemp� un0er SecGm: • B. 8 P. C.
�or t�is reamn:
Date: � Qener
I Uo Aeraby cenity Ihai I am aware o� and unOerslanA I�e requirements o� alifomia Healt� an0 Safety Code Sections 25505, 25533, and
25534 antl that I or any fuWre 6uiltlinp occupant wilVwill not (cncle one) neetl to compry with said state co0es and the requirements for a
permit for construction or modi/ication Imm t�e Rir Qualiry Manapement Ustrict. Hesidential construceion apDlications are exempt imm
t�ese Drovisions. �
Uate: Apvliwnt
I nere0y ceniry tnat i nave read t�is aOD����ion anC sta�e tlwt e aEove informatian correct. 1 a0ree lo compty wit� all ciry an0 caunry
ordinances an0 slate laws reWtinq to Euilding consiruction aM r auI onxe re0�� atives oi tlus ury to entu upon Ne aEmrmentioned
oropem mri�oectlon vurooses. •
Date 7 � � — � � Spnatua:
Dnver's License ar Social Sewnry M: ^� �, � � ��� � �-
t8ala6 W�iro—BuiMino; Graen—CaCe Entorcemenl: Cenerv—Aoo��cem: Fink—Revenue: C+olOenroO—Asaeuor
CITY OF COSTA MESA' - AUT.LDIDIG PERMIT
PERM7.T N0: BE 045987 PLAN CEiECK NO; 025�4-90 S
CONSTROCTION T'(PE: 5-N PERMIT TYPfi: ELE STR
SOH DE:SCI2IPTION . ;TRUC1'URAL ALTS. TO CEILING
PERM NO: F)E 045987
GOVT: N SUF�P: N
PURPO5E: ALT
SQ FT: 2,500
CLAIM VALUti: ?.,SOO.OU ,CALC-VALUE: . 2,500.00 GROUP OCC; R-3 / '
COMMFNTS:
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Z O N I N G' R E Q 0 I R E M G N T S ,
s� T B A c x s �
------------ MAIN BUILDING -------�- -------.— ACCESSORY BUT.LDING - ------=
NRNT: F"L TN REAR: PT IN FRNT: f'T IN REAR: F'I' 7:N
I,Ef'T: F'I' IN RGHT: FT IN LF.FT: F'P IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 41f317116 2NG: T2EE' NO:
PLANNING NOTES% ,
�
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D E V E L O P M E N'�:T S.F•. R V I C E 5 R E Q U I R� M E N 1- � S �
ZONSNG APPROVED RY :,�I� _________ DATE: ___ _.
BUIf,DING APPROVED BY �:_p� B:� _ DATE: _ =7� CJ '
APPLICA'CiON ISSOEll BY.: �J DATE: � �/'7
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LEGAI,IZATION:N • F P•. E S, U M M A R Y STRUCTURAL StiGFiEt•11':Y
BLDG PM'I' PLUMBING ELL•:CTRIC M�CFIANIC FIlZE SMIP/RES GRAll'L1JG
�cRr•,r.•r sa.00 ii.00 .so
• 508 , SMiP/MON-Ri:S
PLAId 95.10 ' ,
,Tssur rEr 1s:oo
f?U7:I,DING-DIV-�? PERMIT T.SSUE PLAN=•CHF:CK TO'fAL PAIU UUE
'I'OTALS----> 65.50 15.00 35.10 115.60 115.60 .00
• i
17L•'VEMUE DTVISION T01'ALS--> COLLECTED:'� 80.50 OVER/SHORT: .OU
BI,DG PMT PLUMBING EL�CTR7C MEC]-IAN.T.0 ' P'IRG SMIP/TOT GflADIP]G PI�AN--CHECK
SA.00 26.OU •• , .50 •
3E k k it � 3E 3E if !� k�k 1E iE �E iE iE iE iE iE �X� 1E fE 9E iE iE iE it it it if iE iE iE 1F iE iE ik iF it it 1E iE iE'!E aE ie� iE if iF dP it iE 3E 3E iF if iE iE iF iE 1E iE iFiE iF if if iE iE ik iF i!!k ft iF iE iE 3E iF
I tJ D I V I D U A li" P:�E ..E B R E A K D O W N
'�YPE t'L'Y T) G S C R.T. P T I O N` ', ;1 UNTT COS7' TO'.PAL �O5T
SFFt 2>00 PLTER I?Y VAJ.,UB RESII)EN'1'IAL NO'LONE 1.00 ' ?„ 500.00
i ELE, 1 M15C CONAOCTOR NOT LIST�D'REQ PERMI'P 11.OU 11.00
END UF fGE, _
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DRiE: 02/07/90 TI11E: 13:34
CONS7RUCTION AND PLANNING . " POOL JA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Tempa�ary Electrical Service or Pole 52. Pool & Equipment Location -
2. Soil Pipe�Undrgrnd. ' 53. Steel Reintorcement
3. Electrical Conduit UtilitY�Undrqrnd. 54. Forms
�4. Electrical Conduit�UndrgmdV) �,- 55. Electrical Bonding �
5. Steel Rei�forcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
- 7. Footings �. 58. ElecCrical Conduit-Undrgmd.
_ 8. �Foundaciod �`- �n -� 59. Gas Pipe, O Undrgrnd., Test _ �
"9. Water Pipe�Undrgmd. ' � 60. Backwash Lines, P�T�a0. � Undrgrnd.
10. Structural Floor System � '' 61. APPROVAL TO DECK �.� i ``�
11. Property Sewer Line & House Connection +,� 62. Backwash & ReceptorFinal �-' � -' ��-
12. Sewer Cap + 63. Heater & Vent-Final ,i '
13. Roof Qrains - � 64. Plumbi�g System - Fiaal ' f �
14. Rough Plumbing 65. Electrical-Final � ;
15. Rough Electrical�Conduit 66. Solar SYstem-Final '
1
16. Rough Electric Wiring 67. Fencing & Access ApProval �
17. Rough Wiring Sign 68. APPftOVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit #
21. Ducts, in Structure �- ' � ' 70. Undergrou�d Hydro
22. Ducts, Ventilating , ' _ 71. Product-Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test , s- - 72, Underground Flush
24. Roof Framing � . _' -73.'Undergrnd.StorageTank OGas OOiI �
25. Roof Sheathing � 74. Overhead HYdro '
26. T�Bar Ceiling (Structural) & Monocoat 5.-Dry Chemical _
27. Frame and Flashing - - 76. Dry Standpipe �' �
28. Lathing.& Siding � � , 77.� FIXED SYSTEM.FINAL. . �
29. Insulation � � �� 78.. FIRE PREV. PINAL
30. Drywall Nailing � �' HEALTH DEPT,REQUIREIVIENT
31. Plaster Brown Coat • � � ' " �r . : 79. FINAL INSPECTION � �
'32. �Electrical Power MeterF.inal � �".' �' 80.: FOOD CERTIFICATE ISSUED _
33. Final Electric , - � Z / Notes: � G�� �
34.� Final Heating& Air Conditioning _ - �
- .f� -
35. Final Gas Pipe-Test � % - � . -
"'�: . -
'36. Hood Or CanoPY , . N•. ^ �' Z �
�37. Final Factory Fireplace , . _ : _ , � j p,� / . . -
38. Final Plumbing t�� � � --
39. Water 5ervice-Final, ' . . - �
:40. GarService�Final • - � � • ' _
41. Solar pomestic�Final _ � ' ; � . �
42. Backflpw Preventer • - �
43. Backflow Irrigation, ' � � , � �
' 44. LandsCape Irrigation SYstem" � � - . - - '
�45. Sou�d Attenuation; , � : , � = . � � �
46. Handicap Regulations - - � -
47. -FINAL STRUCTURE & BUILDING � Z � - ,
48. FINAL PLANNING, i�• "
49. Electric Release to Edison , '. ,
.50.'Gas Release to $outhem California Gas Co � '� � � "
51. CERTIFICATE OF•OCCUPANCY
No. Date
�
� r.v.ovn �cw �.�a�iamwe�,�.nur�r.�.�..o
'v'V f3EC V P MIT �
For AppGcant to Fill in Completely — Use Wc Only ������( ��
BUILDING y � A.P. O. ��I� �O II TT1� �Z��Z
aooaess Tract 10626 7' '
BUILDING /a
°eNANT�R M.D. Janes CO. IS1C �+DDRESS�jy �
UNIT OF
ADDREss 2950 Airwa AV2. D— SPACENO.
Tf�fXO/ —� / LOT BLK.
CITY CiO6t8 Mesa NOL _ ICJ(oGF.o
COKSTRUCTION NEW ADD LTER REPA�R MOVING DEMOLISH
LENDER i�Ot selected �
BRANCH N/A �
OWNER
ADDRE55 VALUE '
USE S
ARCMITECT Danielian 6 Assoc, rE�.546-
OF ENGINEER
�
ADDRESS 3848 Cam U6 Dr. N.B. ioNe � TVPE � GfiOUP
' APPPOVED ,
CONTRACTOR owner BV DATE
ADDRESS e
TEL. '
CITV e NO. e
STATE � CITV F�PPROVEDSETBACKS
LIC. NO. A LIC. NO. 8
(FfiOM C/� STREET)
OF LOT 5.5� � x 334' NOW ON LOT� e NT FT.
USE OF
Ex�.mNc e�o�. N/A
Separate permits are required for �. si
electric, plumbing and heating work: �
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORME� PLANNING ACTION
2 � / 1 �O I �i APPROVED � ^'� � 1
awn /�'� � .Z � _ %
I �ereby acknowlatlpa Mat I have reatl this application antl stnie . '
thet Me above informetion is cor�eet entl apree to comply wiM
all laws rapulaiing builtlin0 �onstruction, entl I chell not employ
any person in violatlon of Me workman's compensation laws ot
tne stnce ot cen+ornie. � 23 �J �
I nereby certify Mat I am proparly licensetl as a conttaccor unEer SQ. FT.
the State ot California Business end P�ofessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chaptar 9, antl thet sueh lieenses ere in full foree end effec<, or I THE PURPO6E OF 6TABLISHING A PERMIT FEE ONLV:
am ezempt from Me rovisions of the Scete of California Businea yqLUATION PERMIT FEE S
anE Professions Cod Divi '�ory 3, Chapmr 9. �
Peamirtee�f . S ^_! � PLAN CHECK S��'� S
s�� �°
� TAX S �
Or
AUMorizadABe ate 8 TOTALPAID 265.3•
�,�'rw�j/�� BqV 74/, 43 �/� �Y7�f 9�s/�S�,6d S��G �L3jb6�6?�6�`1r 7l
Lw+.�Qa B�f� 3oza zz Z�/�6�zgj3o
COSTAMESABUILDING-SAFETYDEdART�EN�� APPLICATIONF��`�fRIS�'��tAi.PERMI76B3�50 TL
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