HomeMy WebLinkAbout2532 GREENBRIAR LN - Building PermitsPflOJECTR00HE55: '1S3�I GREENBRIAR LN
OWNEH'$NAME: CLISSOLD KENNETH N
nooness: z532 GRE�NBRZAR LN
COSTA MESA,CA 92626
546-1169
ANCHIENGINEEfl: XEG.NO.:
RODPE55:
UNIT:
IINIT:
� PEflMITTEE: CRANK BROS ROOFING CO ( 714 ) 548-5569
� nooness: 126 COMMERCIAL WAY
COSTA MESA CA 92627
�LICENSE� CONTHIICTOP DFLLAPATION: I hereby allirm i�at I am Iicense0 unUer O�ovisions ol C�aO�er 9(commencing wit� Section
�` 7000) o� Division 3 0l IAe Bus�ness anA Prolessions CoDe. an� my license is in lull lorce antl elfect.
o� c�Tvuc.:00,5-9I9\3— /STPT.E�LI'C.:tj08(77 s:
�Date: _%(�I�L�� SignaWre: �D �
wOFNEBS' COMPENSpiION oECIAflATION: I hereby affirm inal I have a cenilicate ol consent to self-insure ar a cenifiW�e of worker5'
Compensation insurance, or a cetlilietl copy I�ereol (Section 3800, LaD. q.
POLICYNO.: ?BS-9Z 224 E%P.�AiF: OS/OS�93
comraer: STATE FUND
� Cendied coDY is here�y Iurnis�eA. � Cenilied m0/Y is Iile�O wit� IAe city Builtlinq Oivi5i0n.
�7 Oaie: ! / ' ( 7� � Z Applicant:l o '�"���"—`
EEEMPTIONf80MWONNEBS'fAMPEN5RTI0N0EClABATION: (T�55ttlwnnee0not0ecomDleteOiltAepermti5loranehuMrM�5100�or1e55).
I certi�y Ihal in ihe Oetlormance ol the work br w�ich �his Oermil is isSueC. I shall no� em0loy any person in any manner so as �o �ecome
su�lecl to t�e warkers' Compensaiion Laws ol Calilamia.
Oaie: SignaWre:
NOTICE: II, afler maiting I�iS Uetlaraii0n, you ShONd OefAm¢ SU01�� �0 Itle Worker5' Compensation pmvivons ol t�e LaGor
Lotle, you must lonhwi�n comDly wi�h sucn pmvisions ar inis permit sAatl 6e tleeme0 revokea.
CONSTHUCTION LENOING RGENCY: 1 hereCy aftirm t�al Ihere is a mnSlruCiion IenAing agenty Ior �hE p¢Aormante oi lhe wOB �or
which this permilis issued (Seciion 3097, Civ. C�.
LENDEfl:
ADOflESS:
�.
OWNEP BWLOEB oECUHATION: 1 nereey allirm inai I am exempt imm tAe Coniractors' State License Law br tne lallowinq reason
�Seclion 7031.5 Business an0 Pm�essional CoOe: Any cily ol couniy whic� repuires a De�mit lo constmci, alier, impmve, tlemolish, or
revair any slructure. prior to its issuance, also reQuires the applicant for sucn permit to lile a sipnetl sta�emenl ihat helshe is licensetl
pursuam ta Ine provisions ol t�e Comraciors' Staie License Law (C�aO�¢r 9 �commencinp with $¢CIiOn 7000) oi Uivision 3 0� the Bu5ine55
ana Prolessions Coee) or Inal he/she is eKempl iherelrom ana Ine basis for Ihe allegeA exemD�ion. Any violation ot Sedion 7031.5 �y
any applicani for a Oermii subletls �he ap0lican� �o a civil penalty ol no� more �han live hunOreO Ooilars (55011).
I, as owner ol Ihe pmpeny or my employees wilh waAes as iheir sole campensa�ion, will tlo I�e work, an� Ihe
❑ slmclure is not inlen0etl or oflereE �ar sale (Sec�ion 70aa, Business anU Prolessional Code: T�e Contractors' State License Law
Ooes nol apPly to an axnei oi a pmp¢rty wAo Uuilas ar imOrov¢5IA¢reon, anA w�o tlaes suc� work �imsel�/her5el� or IAmugh
• his Or her own employees, pmvl0etl ��al suth imD�Ov¢men�s are noi inlenUeO or Oflered �or 5ale. II, however I�e builJing or
improvement is sold wilhin one year of complelion. Ihe owner will have ihe burtlen ol pmving ne/she tlitl no� �uila or impmue
, lor ine Durpose of sale�.
I, as owner ol Ihe proper�y, am exclusively coniraclinp with licensed coniraclors to cons�mcl lhe pmlec� (Seclion 7044, Business
❑ an0 Pmfessions Cotle: The Contraclors' S�aie License Law does nal a0�ly Io an owner of D�operty who Ouilas or improves ihereon
antl who conVacls lor 5uch Dmjecis wit� a canlrac�oqs�license pursuant �o Ihe Contraclors' State License law�.l am aware
Ihal prooi ol ��eir Worker's Compensation insurance shoul0 be DmviUetl to me.
� I am exempl untler Section: B. 8 P. C.
lor Ihis reason:
Daie: Owner.
I do �ereby cenily tha� l am aware o� and understan0 ��e reQuirements oi Calilamia Heallh antl Salety Code Sections 25505, 25533, an0
2553d anA �Aai I or any Iuiwe �uilaing occupani will/will nol (cirtle one� n¢etl to Com01y wiih SaiU Sia�¢ to0e5 antl I�e requirem¢nls lar a
permil lor con5lmciion ar motlilica�ion �mm I�e Air Oualily Managemenl Disiric�, Residential conslmclion applications are exemp� hom
1�¢5¢ pfOb510n5.
Da�e'. NppliCanl',
I�ereby [eiidy 1ha1 I havereaUl�is apDlitali0n ana slalei�al��e a�ove inlarmalion i5 wrreti. I apr¢¢ lo Comply wit� alltiry ana Counly
ortlinances antl sla�elaw5relaiing ro �uiltlmg con5�mciion and hereby aul�orizerepresenlatives olt�is cilyio enlerupon��e above�mentioned
pra0eity br inspeclion purpo5es.
�a�e'..�(—f../�� SignaWre: `-� v �
o�i�ers �aense or Socmi secudty a:
i6a�-�6 W�ne—BmlOing; Green—Cotle Enlo¢emenL Canary—AOp����C Pink—Revenue; GWEenrotl—Assesmr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 059948
PERMZT NO; H 059948 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; TEAR OFF, REROOF 2500SF RESID 6 GARAGE SQ FT; 4,392
CLAIM VALUE: 4,392.00 CALC—VALUE: 4,392.00 GROUP OCC; R-3 /M-1 '
COMMENTS: REROOF W/300# FIBERGLASS SHZNGLES �t�x �x�a/� p
irr�titit�ritirit*�rititit�ririt�ititrit�r�r*x�ritit�*�rititir�rititiriritxie�r*itit+tit+�itit�r+�+eititir�� �r��y�rt�G 1 GV , vrl•
2 O N I N GS ERTEB�AUCIKRSE M E N T S MVt� �
------------ MAIN BUILDING ---------- --------- ACCESSORY BU�,�IRED___ s
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; PARCEL; 14137324 ZNE; REF NO;
PLANNING NbTES>
i
�t ikiE if !E iE iE iE 1E iE 1f iF iE 1f k if iFif iE if iflFiF iF �k iFi! iFlk M If M iElf if Ik�f M!f!F fE if If M k 1f �f M if Mlf �f k if M1t iE M�E ik iF IElF iF if iF K iFlk.if iE if iF iE iE iF iF if ik
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: ���II')�i2
k iE iF iE iE iI� MiFitlf� �f M iE iE iE �f 1E iElElE %il�iF if �kiF iF k iE iF �f iE if�iF3F1E iE
it iflflf if if iE if Mik iF �f iFlE if ff ik if 1f if 1f 1E ikk ik�f �k�f if 1l�Flk �f iF �kit �Fif iF iF �f if �f it �f �f Ik�F iF ik if it �f if if 1Fikif iFik M i! if 1f 1E iFM iF it �Fif ik ik iE 1E iF it iE iE
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72,00 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 72.50 0,00 0',00 72.50 72.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
72,00 .50
k �F k 1f fF iF k!f M kiEiFiF iF IF1F if �k ik 1f �k IF 1Flk 1F 1! k 1f k if if iF if if iF k iF iF iklf iF iF k ikif if 1F if k If �f 1f iF1f If k M if if k if iflf �t iF iFiF i! 1k 1k �E If iF if iF iF �E iE iF
I N D I V I D U A L ,F E E H R E A K D O W N
TYPE (JTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 4392 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 4,392,00
END OF FEES
� i. . . ' . _.'
CONSTRUCTION ANDPLANNING P��� .PA I
APPROVALS Permit # Date Inspector qppROVALS Permit #
1. Temporary Electrical Service or Pole ,,, � 52. Pool & Equipment Location
�n..
2. Soil Pipe-Undrgrnd., �� n.'2 53. Steel Reinforcement
v, v �.
���4�SF�ctrs`i`_,al Conc�tyUEility-Undrgrncp'y,`� 54. FOrms
� ..
�+7U EF6c:Vtcal CondiY+IWWdrqrrtd. U•D 55. Electrical Bonding
ti
�x:�t'�el �einforca�i�n� `�'C;� 56. Rough Plumbing & Pressure Test
v.�,
:�76.g���trical UFERSr4d. 57. APPROVAL TO COVER�GUNITE
- .n .
t=���i>tings ^�� � 58. Electrical Conduit-Undrgrnd.
�,, oundation :�� � 59. Gas Pipe, O Undrgrnd., Test
.. _ , `-
�r3�Jater Pipe-Un�d. , 60. Backwash Lines, P-Trap, � Undrgrnd.
�J
10. Struttural Floqr.System � 61. APPROVAL TO DECK �
t t. PcOperty Sewer Li �& House Connsction 62. Backwash & ReceptorFinal
12. Se`ver Cap �, � _. 63. Heater & Vent-Final
13. Roof Drains "` 64. Plumbing SYstem - Final
14. Rough Plumbi� " 65. Electrical�Final
15. Rough Elect;ica7�Conduit 66. Solar System-Final
76. Rough Electric`�Viring 67. Fencing & Access Approval
17. Reugh Wiring Sjgn � 68. APPROVED FOR PLASTERING
18. Rough Electric�•T Bar Ceiling 69. POOLlSPASYSTEMS FINAL
� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.`*Ro�h Fctb�y f?"v2�lace i�etT1 �`� � O a tr'* �� PPR27VA�'��G�e�it #��
x W Q E i S�r y # 5 � II'Nc ac r.0 �--iF 7 x U'
21 u'rrs, ir75trZ,.ictuRg,:; i r.` .� S x S C, ti a* 70. Ffndergtom i Hye�ro *
22. Du�s. ��nti7�tiri�Y � rS * O �S, !2* *'77. Producl�ing L'��is C�il
-S E�,, --
23.'Ga i � tr �.M ;n i� � n
� Lr P�iot�h $�`est m5 � ta tr G G* * 72. UndergroWal FluchSl, u � 4�
-G�-t' -xr-� -a-
24�Rotr7 FramirrcJ T.* i E�F ^F '�> O a' � x 73zUndergrn�:Stor'��`3hk�7Gas ❑C�i
r-+. _i X �K Q 1i i� A� •• �'7
[ 'x . [7 Ct+?K :F NF
25. Ro�o�} SFt�athing ,Jx � y * n � �;* M 74rQ,verhead �iydr� x
26.^�T�B� Ceiling ISt�uaZurall &:GAondcoat � � t7 C9� M 75�' �y Chemical fi�-' = �
. r c.+~ x r
27.',�,�'Krar.�e and Flash�r'y �� s *� � yy* X 76�'�iry Stan��'�p,e O� * S C� �
:-�8. Latbing� Sidinp* �' �<t` '-C � E ••k +� 77H FIXED �fE INAL;''� � �^
� .
�� % ;� 78z;,FIRE PREV. FI(iJAi. K,> cS T
'29. Insulation "� .,.'x C' S.. .. "� �` � k z
� - .a v.'._ -
T30. Drywalt�iVaifiTg �x ' � * �-+ iiEALTH�DEPT<REQtiIREME
��� s No n v �:r
`�1. Plaster §iov�a Cq'�a�,t��., S � t,.,,. x K� 79�FINAL I�CTI.�N R C T�
.: �- '�-�.-x =--.^-.s-
F32e£lectrica3 Poa�er k7eteaFinali � x:� .' x r80a7F00D CERTIFCGATE IS6UED
r
:�3�r�j � •:a x m x�n > n � a �-? � ac cv
' . E�ct".S > z: i tL # ,� :c IV4{?s: �: ; � 7 O N�7
� � �.,-. � . _
:o34;,Fi Heatinq& 9ircCoE�ditiqr�iDg; Cl M .� S c�s * S 7:.
� � �;
� 35rr'.Firfal G� PidC�TiJ�K -••r` .� ic .-i Cl ClC cr�,H X Cr SG
s36. Hocd o�n'CanoPmi�n ,� i v^� � x r, .: �_ S C10 M� �tc�
r.� ni r sc r -r-
�7.` Firi�j F3�tory Fire(�Iac� '� r �� +� ?7 ' x Cl ic ,r,
� X I c• i..• �,: * , k S > N
..J .�. •• :r�-3-
�i8. Fina1 Ptumbing x n; ! w x� .k 5 '� a O
- S X ��
�39. 1Naier S,esrvice;Fina� S � '� M z r' ='T= �'^
x[� wx u. a: S
;,40. Gas Ser�,Ce,�jnal x;n y r�r S * l'� .� x� Oti r�cu *" ��
F41. Solar D" es„"le eFindis c� ^ � C` R x �'�' '� x
�; � t : ,m `7 0 5- x z �
J X ,�� ti J r �
'�42�ackflo� Preventei,; , x < x t� }!- . * ,_; i-
`
43. Backflow Ir�' atior��}� zSS * x* �:�t= � O �
.Y- v K fS x i� .7 / *: Cl •
x
_-i�44. Landscpge fyripation:5�ysterta7cnC? m!a 7 C7 '�4 * :v N 2CS x Su ...
. n
F45=Sound tte� atio�� � •`�" �� * � �' �" F'�w �` `� '" tru c��y x
� r �: < ?1 [r, r�y.,x i tr +L • E- %.
� .... ' .� ��
r
`46Fi-landi p R ulaticir�i ;� _ � rn' ��� c� •S �c S s
47SFIIctp,L STRFICTU�E &� FIDING
+ ivcs
co 'z i :.... ., �/ . � y � i a :x E+
46�'� If�(AL PI.A`1VNIN�a_ � � ` �� v
,.. r_ a� N � x :n �t * F 6
�
^49.7�Electric Release to. d�sq�� � �r �:.k _ ;C � i r. -= e:�
-� .� i � a� , Yt •C'� < a�
J .. .. ' k � >: 1: x v .J . � . .
�,50,SGastReC�ease.to Sou�grn lifoenia Gas Co ,� y� �.; �• e�7 C -
�,
�:51. CEiflTIFICATE OFrQCCUPAN� . K x cJ ,;_ z x [� c
Date
Date � �nspector �
fi�1�
�
qpD���ant to fill in a1l spaces ex�ept those within heavY borCer lines ana si9n all apvrooriate tleelarations.
Ci7Y'oF COSTn nnESA J(�J�NSTR/UCTION PERMIT
� Project Address ��� �' I r/!F'r-P-.(/h/it'/I A✓ ��%
Applicant's�Mailing ddress �.J/��� Ly/ L.i A� (��J �I
Owner'sName �e.� �/7/5-S��G� vhone � ��y
Address ��m e
Arch/Eng. License No.
Address
Contrector's Name e E � Pno�e�/�1-3��70
Address (mailingl �5.�3 �.� i,�/C.o / - ff,✓,� heir✓1
City License No. r��3 �
LICENSED CONTRACTOR qECLAFATION
I hereby'affirm IM1at I am Iicen5e0 untle� provision5 of Chdr[er 9(corpmencing
witb section 7000j ot Divisipn 3 of tha Business antl Professions Cotle, antl
my license is in full force an e(te t ' �l
license Cla ��� � q�s Licen� e No�. —�/ -6—S7—
Da[e �� �-� 5'9 t v �iv_�/-/YR��
WORKERS' COMPENSATION DECLARATION � � i
' nereby aifirm Ihat I nave a certificate ot conzeni to selt-insure or a cartiflcate
f Workers' Compensation Insurance, o� a certifietl coOY the�eof (Sec[Ion
3800, Lab. C.) �y
Policy No. ��%�u� Company Uf'-flVP-j" �,(JS
.y
�e�t!fietl coPY fs�fye1etlbwithrthentlty iltl�9 Div' i ryr. �,('
Date ��%'-3 '�u APPlican;i��•U /1���
EXEMPTION FROM WORK�qS' COMPENSATION DEC ARATION
(Thii sec[ion neetl not be completetl it the pe�mit is for OnE hunG�etl (§300) or
less).
I certity Ihal in lne perfOrmanca of thG wotk to� whiGh this pe�m�t ii ISSuetl, 1
shall not employ any pe�son in any manner So d5 f0 become subjlCt [o the
workers' Compensation Laws ot California.
Date Signa{ure
NOTICE: If, after making thiy tleclaralion, you sM1oultl become subject ta the ,
Workers' Compensation prov�sions of the Labor Cotle, you must forthwitb
comply witn such provisions or tnis permit shall be tleemetl revoketl.
CONSTRUCTION IENDING AGENCV
1 hereby attirm that there is a constructlon lentlin9 a9ency tor Ihe per/ormance
of the work tOr wnich thiz permit iz is5ue0 (Section 3097 Civ. C.)
LenOer's Name
Lentler's Atltlress
OWNER BUILDER DEGLARATION�
I hereby aftirm thal I am.exempf from the Contractor's License Law for the
tollowing reason (Sec[ion 7031.5 Business antl Professional Cotle: Any dty or
county which requires a permil to cons[ruct,-alter, imOrove, tlemolish or �epair
any structu�e, priOr to it5 issuance, also �equires IM1e applitant for Sucn permit
[O file a signatl stalemen[ th8l he/she is licensetl pursuant to th2 0/Ovi5ion5 ot
the Contracto�'S LiGense Law (GhaO�er 9(comm¢ncing wi[h Section 7000) of
7ivision 3 of [�e Business antl Profe551on5 Cotle) or that he/she is exempt
herefrom antl lhe basis for the allegetl exemption. Any violation of Section
/03L5 by any applicant to� a Pmmit Subjects Ihe applicant to a civil
�enalty ot not more tnan fivQ huntlretl tlollars (g500). '
I, as owner Of the prop¢rty o� my employe¢s with wa9es as lhei� sole
tompensation, will tlo the wprk, antl the structure Is not intentletl or oiteretl
tor wle (Section �044, Business antl Pmfessional Cotle: The Con[rac[or's
License Law tloes not apply to un owner ot a property who builtls or imOroves
tnereon, antl who tloes suc� wo�k himseli/herseli o� through his or her own
employees, provitletl that Suth Improvements ate not Intentletl or oHemtl tot
I sal¢. If, bowever, the builtllpg cr improvement is zoltl wit�in one year of com-
� pl¢tlon, tM1e Owner will hav¢ the burtlen ot proving he/Sh¢ tlitl not bulitl or im-
�ove tor the purpose ot sale�,
I, as owne� of the proper[y, am exclusively cont�actinq with Ilcensetl con-
Vac[ors to conSV uct the Droject (Section 7044, Business anC Professions Cotle:
The Cont�actor'S License W�y tloes not apply to an owner of property who
builas or improves tnereon, antl who conVacts for such projects with a con-
Iractor(51 license pursuant�t<>-(M1e ContractOr's License Law).'I am awa�e that
proof o( tbeir Worke�'S COF�penzation insu�ance ShOultl be provltletl to me.
❑ I am exempt untler Section B. & P. C. for lnis reazon
TVPE OF CONSTRUCTION LJ NEW U ADD lJ ALTERATION LJ REPAIR
❑ GONVERSION ❑ �EMOLISH ❑ OTHER q,p, #
DESCRIPTION OF WORK/USE OF BLDG.
S Main Buildi
TVPE OF PERMIT GRAOING FOUNDATION E
❑ STRVCTURAL T FfOnt
❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear
❑ OTRER A
PROJECT DESCRIPTION 5C2. FT. oGCuaANCv C Right
K Lef[
CONSTRUCTIOfYTYPE VALUATlON$ S
ZONE GRADING CU. VDS. ACRES Ping. RCf. #.
Remarks: ' Planning Notes:
Bar $ink
Backflow Preventer
Backflow Irrigation
Jrinking Fountains
Roor Drains' �
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavamries �
P-Trap
Roof DrainS
Reinspection Fee $15
Boiler
Duct - Under Ground
Duct - Strucmral
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact.8lt. ICBO �I`-
Oate Owner Heating System & Ducting
1 M1e�eby certify that I hav0 reatl this application antl state that the above ❑o-700,000 BTU �i0�,�00
INormation is mrrect. I agree to comply with all tlty antl county ortlinances
antl state laws rela[ing to bViltlinq construction, antl hereby authorize repre-
sentatives of t s uty to enter µµµppp000 n the above-mentlonea property tor
Inzpection p� es� n���_ n a�,�
Signature .��� �L� Oatrf
Drivers• Li -�- Reinspection Fee
CMF 0865-46, rev. 4/B4 White - Builtlin9; Canary - Applicanq Pink - Accounting; Goltlenrotl - AsSessor
315
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pip'mg
Solar Tank
Swimming Pool w/Spa
Urinal
Water Clout
Water Heater
Water Service
Issue Fee
iANICAL
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System
❑0.100,OOOBTU ❑100,000
System Repair/Alteration
laue Fee
FEES
$ 3
r
5 3
1966 11/09/84
Zone
Accessory Building:
Parking fteq./Provided
ELECTFICAL
Automatic Washer Transformer ❑ 15�50 KW �
ConsVuction Pole Sub. ❑ 50 + KW
Cooking Unit � Meter ❑up m 100amps ,
Dishwasher Meter ❑over100amps
Dryen ❑Gas ❑Electric Sub Panel
Fan - Motors0U1HP01'/:-8
F.A.U. Inc.Solar �9-15 HP �16-75+
Fixtures - Microwave ' - -
Device Boxes Pole Light
Outlets Range
S W itches Sign
Garbage Disposal ' Standing Sections
Generator 00.5 KW 05-15 KW 7rash Compactor
� Rainspection Fea I$15 ' I Issue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approved By
Building Approved By
5.0� TG
fEES
$ 3
Z
O
N
I
N
G
R
E
Q
M
T
S.
. SUMMARY OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT -�-�
PLUMBING �.0�$ � ��UANCE $
PIAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $
MECHANICAL $ TOTAL FEE $ �
PLAN CHECK 25% $
CONSTRUCTION AND PIANNING POO. _ SPA
r APPROVALS Permit# �' Date Inspector qppROVAIS 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. Electriral Conduit-Undrgrnd.
8. Fou�ndation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �
12. Sewer Cap 63. Heater & Vent-Final
13. floof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring , 67. Fencing & Access Approval -
17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING
18. 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. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating . 71. Product Piping �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. 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: � � ��T��� , ���,Q.
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy - . ' .
37. Final Factory Fireplace
38. Final Plumbing � [„�,p - �
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. FINAI STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electrie Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
,
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COSTA
MESA BUILDING DEPARTM9ENT
P. O. BOX 317
COSTA MESA CALIFORNIA "
C•l• OF STREET
" �iPROP. TINE _
r 10 FT. FOR 60 FT. STREET
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60 F ST.
�EE RE(
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fl ANCE
CITY OF C0
MAXIMUM 4 FT. FENCE MAY BE PLACEO ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
I �
FOR APPLICANT TO FII.L IN
BUILDING ADDRESS � S�d'� �le,n.» �i ri� ✓ ni.
Owner '�/n ,q f+ s,& �.�a l�a ✓
Mail Address �'��--�—�
City ���– Ph. No. � `� r� ��
Contractor �� �• �^.'� /�%ne � ph. No.� � � s'�� �
I�VED
T/�T�
MESA� \ '
/
City Lic. No. �`�'�' State Lic. No.�}��1—
Size of Lo � �� AP I�o ��s'—�<I—as—
� � .
Setbacks: C/L Stree Recv
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Side Yard - Right � Left %�
Type oi Fence ��� ��'% n+"'{"t ��� n�- r✓i J9
� � �''...i� .� /n Sl � Lon�
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature �
of Permittee � � =-�---��e � 1 � � _
VA UL ATION
O.
FOR OFFICE USE ONLY
�-a �-s 7
Permit Fee
Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
OWNER COLLEr,E PARK-CO DATE g_l(,_56
JOBADDRES3 p53p Greenbriar I+8716 BUILDINGPERMITNO. #7�j85
GENERALCONTRACTORI'Ic1PUOTCORSt.. CO. VALUE$ ZZ�ZOO.00
�_ 69 e�ocK rRncr 2�27 Residence x�det, gar.
GROUP I Sc J TVPE V ZONE RIy FIRE DISTRICT 3508
INSPECTIONS DATE SUBCONTRACTOR PERMITSISSUED
� _ / / � , DATE I NUMBER
Footing Trench
Foundation Forms and Grade to
Rough Framing �
Plumbing, Rough to Slab jV,rS,
Plumbing, Rough Compiete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final +i
. .e'ewer, House Sewer,:
V
Se��ic Tank or Cesspool
L ng, In Out �
Plumbing,Final,FixturesComplete -la.'S�
Plumbing, Fin.al GasTest ��� �� .�a-�y
wiring, Final MAR 2 1 957 VCB
Occupancy �R 2 1957 ;Gtl
fORM 210 3M 10�•v9
//
- ��-�`� � � .-�'�l =
r �Cos� Mesa Builcln►g Department ~'�'AP.PL+ICATION•FOR�PERMI�
`1 �.. �� „ 171 EAST 20th STREET ����0 g U I L D 1 N G
. COSTA MESA� CAIIFORNIA � 0
FOR APPLICANT TO FILL IN F�R OFFICE USE ONLY
Reaefpt No. Permit No.
Building
nddres� 2532 Greenbriar Lane � c,L .('�
Costa Mesa, California Received by Date Redd. Date Issued
I - I AUG 1 4 1956
Nearest
CrossSt. O flI10 Buil in '
Address
Owner Costa Mesa California
Mail 1
2116 S. Main
or
'Size of Lot
Use of
No.
a�;
ONo.
5
■ New
Builtling No.oT
Size 1379 Rooms Stories
"- `erior Wall I Roof
ering Covering
ose of New
s�iia�o9 Residence & Detached
CORRECTIONS
APPROVALS
ion � Inspeeto�
Forms, Materials
o Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hemby acknowledge that I have read this Application
and state that the above fs rnrrect and agree to rnmply Lath. Int.
with all City Ordinances and State Iaws regulating
building rnnstruCtion. Lath. Ext.
Pe9mtteeot HarbOi Construction Co.
__ Plaster.lnt
Valuation Permit Fee $ p��� Masonry Reintorced
P�an Check $ / � go�d Beam
g 11 � 200 • Total
Fee � � FINAL
FORM 204 S-HP 2M 8-55
A
Date
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YLV'1' YLA1V
3how location and distances irom
property Iine and between buildinga
0
OWNER SHOWALTEP.. FRANK DATE 6-21-57 ._
JOB ADDRESS 2532 Greenbriar Lane BUILDING PERMIT NO. S33S
' PQ2E ZONE �.
� lIP TYPE ZONE PLAN NO. �i�A�i
INSPECTIONfi I DATE I SUBCONTRACTOR I DATE P�RMITSNUMBER'
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