HomeMy WebLinkAbout357 GRENOBLE LN - Building Permits�
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,
CITY OF COSTA MESA
`O�pMF$p BUILDING DIVISION
F�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us .
� FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: BX11-00006
PERMITTYPE B MISC STATUS: ISSUED __...._..
APN: 43914t33 DATE ISSUED: 01112/2011 �
Zoning: , ISSUED BY: CAC � __ _ : ;
JOB ADDRESS: r35Z�GRENOBCE:L•-N=CM �1
Vicinity: ���"� �� � �� `"�"" Primary Occ
SQ. FT: 0 Valuation: 59,500.00
Suite/Unit:
ConstType :??
SCOPE OF WORK:
REPAIR EXDSITING GUARDRAIL AT DECK AND RECOSNTRUCT AT SAME LOCATION . REPLACE PLYWOOD AT WALKING
SURFACE
AND WATER PRROF WITH DEXOTECH
OWNER: ALVEY, CLIF C
City/State: COSTA MESA, CA
Phone: 949-650-8506
APPLICANT: EYAL ABRAHAM
209
City/State: VAN NUYS,CA
Phone: 800-209-8589
CONTRACTOR: GENERAL REMODELING AND CONST.
�Atldress: 5632 VAN NUYS BLVD
209
City/State: VAN NUYS,CA
Zip Code: 91401
ARCHITECT:
Phone
EIVGINEER:
Phone
r
FEE SUMMARY
Building Plan Check:
Building Permit:
Electrical Permil:
SMIP Residential
SMIP Commercial
Bldg Std Admin Fund
r
Address:: 357 GRENOBLE LN
Zip Code: 92627
Address: 5632 VAN NUYS BLVD
Zip Code: 91401
License No. 531665 �
Phone 800-209-8589
$117.81
$18125
$0.00
$0.00
$0.00
$1.00
License No.
License No.
TOTAL FEES $300.06
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010 -
Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays -9:00 am thru 6:00 pm. Prohibiled all t
New Years Dav. Memorial Dav. Indeoendence Dav. Labor Dav. Thanksaivii
Cell:
Unit
Unit SUITE
;J
...._ . . . _. �
Unit SUITE._!
) ,', i �':�,��'_„!� .�.3
��� u;
Ur�l: ::�ii7:.
�MMGSec.13-279 . �-a;,..�
Sundays and the following Federal Hoiidays:
and Christmas Dav � � � " � -
NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Cali(ornia slatutes and related
'�egulalions. (Ord. No. 92-28, § 1, 12-21-92)
.EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
jINSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
;required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of�tfiis permit.
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CODEO. INSPECTIONTYPE ORTE INTRIALS GOOE! INSPECTIONTYPE U� Nl im/LS
1676 Fixed System Final Fire Prevenlion 206 Final Mechaniwl
-7266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final BIocWRelaining Wall 272 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Appmval ':�i` �
203 Final Sign 222 Final Site `� �(� �
204 Final Demoli�ion 250 Final Building/Occupancy y6a ir—l�' � � iYl� bl.� /:JO��
; ' _'._�. ...__"" "'r
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WORKERS' COMPENSATION DECLARATION: � ,
I hereby aKrm under penalty of perjury one of the following declaralions:
❑ I have and will maintain a certifcate of consent to sel4lnsure for workers'
compensation, as provided for by sec�ion 3700 of Ihe Labor Cotle, for the
pertormance of the work for which Ihis permit is issuetl.
I have and will maintain workers' compensation insurance, as required by
s lion 3700 ot the Labor Code, for the perfortnance of the work for which this
is issued. My workers' compensalion Insurance carrier and policy
n mb are:
mer. �L�IOS
(Tnis se[fion neetl not be mmpetetl ✓(he perm4 k valued al ane h�ur7Mre00qNars (5�00) a less )
P cyN ber: ��lp�,_����()� � r�
❑ I certify that in the peAormance of the work for which lhis permit is
issued, I shall not employ any person in any manner so as to become subject
to lhe workers' compensation laws of California, and agree tha[ if I should
bewme sub� e-the'o�rsZaRipensatieaprovisions of Section 3700 0!
Ihe La r ode, I sh � h compl wilh Ihese provisions.
�c Ct� �ptl
Ap nl' ignaWre ale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
�
Owner ID verified by driver's license. ❑ Yes ❑ No
Driver's License No. Expires:
Venficalion of Ovmership by (rype of document, i.e. - property cax bill or deed):
�DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
� I hereby certify that no excavation frve (5) or more feel in tlepth in�o which a
person is required to descend, will be made in connectbn with wnrk authorized
by this pertnit, and that no building swcture, scaffdtling, falseavrk, a demolition
or dismaniling thereof, vnll be more ihan Ihirty-six (36) feet high. (Chap. 32. Grp
2, M 2, Sec. 347, Ttle 8, Cali(omia Atlminisl2tive Code�.
❑ As ovmer-builder. I will not employ anyone to tlo work which vroultl
require a permit from the Division of Intlustrial Safety, as noted above, unless
such person has a permit to do such work from the division.
Ap0liwnfs SignaWre
Division oF Industnal Sa(ety Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or fuNre building occupant need lo fle ana
certify a Business Plan !or emergency response to release or Ihreatened
release of a hazardous material? ❑ Ves ❑ No
(Seclion 25505 of the Calitornia Health and Safety Cotle requires, with some
exceptions, that a Business Plan be fletl with the Costa Mesa Fire
Department by every 6usiness which has at any one time dunng a reporte0
year a quantiry o! hazardous matenals equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby aKrm thal I am licensed unUer provisions of Chapter 9(commencing a1 slandard temperaWre and pressure).
Section 7000) of Division 3 of the Business and Professions Code, and y. Does or v,ill ihe applicant or present or future building occupant need to fle
m' se is in full force and ef(ect. a registration form for acutely hazardous malerials? ❑ Yes ❑ No
,� �� /� ��� � (Section 25533 of Ihe Calitomia Health and Safety Cotle, with some
�� c exceptions, requires registralion with Ihe Costa Mesa Fire Depatlment by
�� i�` �- ���each business which at any one time has on hand a quan[i[y of acutely
��e�a �r� e ai hazardous materials equal to or greater than a weight of 500 pounds, or a
volume o( 55 gallons, or 200 cubic feel of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperaWre antl pressure).
� I hereby affirtn ihat there is a construction lending agency for the 3. Does or will the applicant or present or (uture building occupant need lo
peAortnance of the v.ork for wfiich this permit is issuetl. (Sec. 3097, Civil Code). p�epare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? � Yes ❑ No
(Section 25534 0! Ihe California Health and Safery Cotle provides Ihal ihe
lender's Address: Costa Mesa Fire Depariment may require Ihe preparation, certi5wtion and
fling with the Fire Department o� an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signalure Dale
4. If an RMPP is presently required, has Section 25534 of the Califomia
OW NER-BUILDER DECLARATIONS:
I hereby affirm lhat under penalry of perjury that I am EXEMPT FROM THE
CON7RAC70RS UCENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any ciry or county which requires a permit to
construct, alter, improve, demolish, or repair any strvcture. prior to its
issuance, also requires Ne applicant for such pertnii b fle a signetl statement
that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business antl Pro(essions Code) or that he or she is exempt therefrom and
the basis for Ihe allegetl exemption. Any violation of Section 7031.5 by any
appliwnt for a permit subjects the applicant to a civil penalry ot not more than
five huntlred dollars ($500).):
❑ I, as ovmer of [he property, or my employees with vrages as Iheir sole
compensation, WILL DO THE WORK, and the structure is not intended or
offered for sale (Sec. 7044, Business and Pmfessions Code: The Contractors
License Law does not apply to an ovmer of pmpeAy who builds or improves
thereon, and who does such vrork himsel( or herself or ihrough his or her own
employees, provided that such improvements are not intended or otfered for
sale. If, however, the builtling or improvement is sold within one year of
complelion, the ovmer-builder will have the burden of proving Ihat he or she
did not build or improve for purpose of sale.).
❑ I, as owner of lhe property, am EXCLUSIVELY CONTRACTING WITH
UCENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractas License Law dces not apply to an owner of
propetly who builds or improves thereon, and who cont2cts for such project with
a conlractor(s) license pursuant to the Contractas License Laws.).
❑ I am exempl under sec.
Business and Professions Code for this reason:
]057-a6�3/0]�
Health and Safety Code been fully complied vnih? ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupanl require for
the work which is the su6ject of this application a permit for such construction
or motlifcation from Ihe SoWh Coasl Air Qualily MOnagement Di5lfiCt of from
any other air pollution control district or agency? ❑ Yes ❑ No
(Sec�bn 658502 of the Califomia Govemment Code requires Ihat the requestetl
infortnation be fumishetl on applications fa rao-residential building pertnits).
6. Will any part of the taciliry to be consWcted under this permit be within
1000 feet from the outer boundanes of a school? ❑ Yes ❑ No
Qf'yes", the faciliry must meet the requirement of Sections 25534 and 42303
of the Calitomia Health and Safery Code).
7. If a permit fmm the South Coast Air Qualiry Management Distnct or olher
air pollution control district or agency is required for Ihe work which is the
su6jecl ot this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf'yes", attach certi(cate of compliance trom the appropnate air pollution
control oKcer�.
CERTIFICATE OF COMPLIANCE: I certify that untler penalry of perjury the
infortnation given above is correcl I agree to comply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
SignaWre Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalry of perjury ihat I have read this application and state that
the information given is correct I agree to comply wim all state laws and city
ordinances relating to building construction, antl authorize representatives of
the City of Costa Mesa to enter upon the above-described property (or
inspection purposes. I agree not to occupy or allow occupancy of any building
authorizea by this permit until fnal inspection.
SignalureolLeBalOwner(s� Da�e 1
D�le �` (' / � ��/
\
Antll utbOnzCtl PpPlica ��
AVP����i to fill In all ipaces exceot t�ose within �aarv DorCer Iines anA sign all apD�ooriate tlaclarations.
� CITY�OF COSTA MESA " ' , PERMIT NO. , TRACT NO. LOT NO. Bl. . � � ' � , � � �� � � _ �,
CONSTRUCTION PERMIT . ' .. •
' • 6969 4/II/83 5•00
ApplicenYS Meifing Addf255 � Y' ^ i' ' � � � � � TVPE OF CONSTRUCTION NEW ' ADD ALTER TION _ REPAI R � � . ' , ' � � .. •� •
ProjectAddress -�• ~ � � /' , ❑ CONVERSION ❑ DEMOLISH ❑ OTHER' _ � - � ' _� - � � ' . � - � �
Owner's Name � � � hppe •l � � �� , DESCRIPTION OF WORK , _ . ' , O ING E U . TI S � �
Addreu ' � l � �� � ' � �' � TYPE OF PERM�T GRADING ^� /FOUNDATION STRUGTV RAL - ' A. P. gy+. " -ZONE � �
Arch/Eng. LiC8n5eN0.' � ❑ TENANT� -❑ ELECTRICAL �PLUMBING ❑.MECHANICAL � P�NG. REF.vW� BUILDING '
Addr255 . . " .'. .• . . ❑.�OTHER � - ' � � • °' • - TO BUILDING. - - � ,
( REAR VARD (TO P/L)
COntreCtOfSNeT '' ����/ � S .I - phpp g��•��i 3• VROJECTDESCRIPTION� Sp. FT.� � - � occuPnNcv � PR E V LI E - '
�yy��/[y LEFTSIDE VARD - RIGHTSIDE VAqD •
AddtlSS�rtl2fingl '�� �' - ����!���� • � "/ � CQ�'15TRUCTIONTVPF - VAIUATION$ "
�' '-`�T'�; i , � ZON$� ORADINGCU.VOS. �ACRE� PKG.SPACEREQ. ' PROVIDED " " '
License Ne � • �
LICENSED CONTRACTOR OECLARATION � � • pemarks: j � . ' , . ' ' - STREET WIDTH � - . PARK FEE:S � '
I�bereby;affirm that I am Ilcanse0 unOer provislons ot Chartar 9(tommencin9 - � r �
Wlth zectlon 7000) of Divlslon 3 01 the BUTlneis anE Profeszions Cotle, anE , �� O � SPECIAL CONOITIONS: ' '
mY Iitense IS in t I for�,a antl.eiTett. . r, . �� ��_ : J�.� .� ' ' . ' - " - . . ..
Llcansa cla s ' "� � ^ U ns0 ryo. �-� . . � i �' PLUMBING - ' . . � ^ . .
Date' ��,7— Si9nature � ' � • � � � . � . , .
RKEPS' COMPENSATION DECLARATION . �• . 88l Sink SOwer Cap ELECTRICAI , .
'��Ey a/firm that I Ilave a certlflcate of <onsent to se1f-Insure or a tertltlwte ' -._ , ' _%�utometic Washer � �Metef over t0a emps � ��-,-
;-,y orkers' Compansatlon Insurance, oi 9 cartlfletl capy�theraof�(SaEtion B�kf1ow.Preventer. SewerConnection . _ . .
� . •- Const�uctionPole' SuhPanel�. . � .
r<<.V, ub, r /} f� : �V , Baikflow Irrigation Soler Cullectors , � � �
PoIICY No. ��� �"+ I/'! � CompauY � O ^ ' ' - " . Cooking Unit Sub Pole ± ' �
�Gertlfletl <oDY �s neroby /umisneC. . � r � Bathtubs � $Olar Pipmg , � � . , �
Carti I tl coDY �s /71eC wlin tne'tlty Bu�N�9 D�vi o}l • - - - - , � Dishwasher �• 'MotOrs �0-1 HP ❑ 1X$ � "
Date "� AOPlicant �X '7'`i A �4 A � � J � � � Clarifiers � Soler Tenk � � ' .
EXEMP{'ION,FROM WORKERS' COMPENSATION OECLARATION - � ' DiShwesher ' � � ' Swimming Pool w/Spe � - - Dryers'�OG85 ❑Elettrit '-• • �• - -
(ThiSSecNOn nBetl ml �a cOTplatetl i/ th0 OBrTit is fOr One hUntlreC (5300) or • � � !Ina$OIaC�9-15'HP'�1645+
less)i { . , ' • '� • . I i . . . . . Fan' • ' ' 'Microwave ' � • �
' I cerNty'tnat In the parformince ot tne work tor'whlc� this permR is Issuetl I Drinking Fountain5 Urinel .
5ha1L-not amploy any person in any manner so:as to become SUDjecL[o t�e • - . -� F.A.U. . Pole'Light '
Workers• Compensatlon Laws af Californla.- � . Floor Drains' � Water Goset ' ' ' ' `
Date • �ignatura � � ' � . . , � i .� '� Pixtures . ' � ' ,Ran e � �
�. NOTICE: It, after makinq th(5 tle[laration, you shoultl' becoma Subjetl to.the . FIOOr SinkS �_ WatBf HeetC� _. �. . 9 `
Workers' Compensation D�oNslons o/ the labor Cotla, you muit fort�with - - ' Device BoxCi . �
camply with,sUc�'p�Ovlslon5-o� thi5"De�Tlt�i�dll ne�aeemetl favokatl: � �� Ga'sService�; �Outlets� _ �WatecSerqica�. ' Sign. . �
CONSTRUCT,ION.LENDING'AGENCV�' 1 " ' - ' ' '�` " - ODUets � � • '
I �ereby alfirm that thera is a conztructlon lentling agericy fortha erformancey � Intercepton' � � ' ... _ Standing Sections � _ .
oi t�a �work for whicti tNs permit -ls ' ISsueC (Section 30�7 Civ. C.) • � .
j � - • - � • . Switches ' : �Trash Com actor ' � 1 '
� �.enAer's Name,' - � Kitchen SinK . � � � ... � . P
� �entler'S AGOress � - "' • � �� � � ' - � � .
Cavatories � ' � Gerbage Dispoml .
OWNER BUILOER DECLARATION ' ' � . �' � �. � . �� 1 • ' , • ' � - ' . �-� ' �
' I hareby�atflrmShSt 1 am exempt�from the;Contractor's Ucensd I..aw !or the� . � - . - GEnerator �0-5 KW �545 KW ' ' . '
Tollowinq reasoT(SacHdn�7031.5 Businass antl Profassional Cotle: Any city or f� P-Trap. -� � �" . . �
,muuty which requires a permit.to tonstruct, alter Improve, Gemolish;or repalr - � - � , . Tfansfofm2r 015-50 KW � 7
�any structure, prlor to Its�issuance, also requiros tRe applicant'for suth permit �, ROOf Dtains' � p , ' � � _ . ''. � _ ' , ' � • :
to file a ii9naC statement lhat ha/s�e is Iltensetl Dursuant to the'provislons of � ,,, . � . ' ' ❑5U+ KW � ' . }
tne Gontractor's"License law (ChaD[er 9 (commencing'wltn.5action 7000) ot � ' - � i ' - � Reinspection Fee . §75� �
��t�'� on 3-01 the �BUilness dntl' P�'Of855iOn5 COtl! of [ba[ h0/she Is e%empt ' $hOW¢l5 " Reip5P8CtiOn F8B � $1�J
;rom anC the� �asis tor the allegetl axemptlon..Any vlolation ot Sectlon ' � . . , ' ; I '- Met2r ❑up to 100 amp> . �Issue Fe6: �$ 3 �
Q�5 by_any applicant for. a permil'subje<ts the applicant to a Gvil � � - - . _ - _
�,dity o! nol more than tive hunCreC oollars (ESOOj. ; •� ;, i Service Sink {-� . ' Istue Fee � a 3 Zo�i�9 qPProved By ' ' � ' pate �
u I,: as owner o/. tha property or'my ertiployees with wa9es. as thelr iole MECHANICAL ' ' �
compensation will Oo the work, antl the;s[ructure is not IntentleC or ofteretl „ - � ' ' Appliotion Approved By - ' �ate �� ' �
' tor sale (Secllon ]044, Buzinass antl� P�OtGSslo�dl' COtlB:� TIl¢� COOIfdCtO�'S ; � �J� , . . " j�
IJcense Law tloes not appty to,an owner o/ a property who Duiltls or improves Bailer. � �� ' � Refrigeration System ' qpp�imtion laued By ' //� DatO �
� thereon„antl wno tloes such work �ImseH/harself or througb hls or har own �- ^ ' � � � � � � '
empioyees, proviaetl tnat sucn imvrovaments are not intendea or ofiered for ' � ❑0.100.00OBTU ❑t00,000BTU' -
sale. It, �awever, the bullaing or improvemant is3oltl within one year of com- ' Duct = Under Ground � � ' � ' ; SUMMARV OF FEES ' �
pletlon, Ihe owner+will have tna burtlan of proving ne/she ditl not builtl or Im- � � � • • � �
�rovefortnepurpaseofzaiel. � �, � ; � Duct-Structural ; SystemRepair)Alteration ; ,BUILDINGPERMIT $ � � SMIP ' , $; '
LJ I, as owner of the Oroperty, am exclutively contracting�with'llcensea cbn- i • � ' '
tractorsto <onstruct tne pro)ect (Se<Uon 7064, Busln¢ss antl Professlons CoCe: � Duct - Ventilating ! : : � ' � ' PLAN CHECK. � $ � ' PERMIT ' ' ,�
'Tha Contrattor'S Llcense Law does^not aDPlyto an owner of'property who' ' ' �GQ ISSUANCE • ,$,
, builtls or improves thereon, antl w�o contracts for such pro7ect5 with a cbn- Ezhaust System ❑ Multiple �� . , � ' � �PLUMBING : � $�. , .
tractor(s) Ilcense pursuant to�ihe Contra<tor's Licensa Law): I � � , ' . . �P�.,qN CHECK $ � � GRADING ' � $ �
❑ I'am exempt untler Sectlon B. & P. 0.(or this reaion • FiiCpl/FaCt. Blt. ICBO iW � ' ; ' . . � .
� � ' } � �ELECTRICAL ' $ ' . � ' $ '
Date � • � : Owner. . ' . . . 1 . Heating SYst2m & Ducting ' � . . . ; '. ' .
�I hereby certity Ihat._I� have_rea0 thli applicatlon antl state Ihat.tM1e ab6ve , _, ,., „ , 'PL..4,N CHECK� $ ; MICROFILM j$,
� ❑aioa,000aruOioo.000e � , , , ,
informatlon is correct. 1 agree to comD�Y w�th all Nry antl county ortlinances ' : ' :� . ' ' � $ % � TOTAL�FEE; '$�
antl:state laws rataling to buileing constru<tion,'antl hereby aulharize repre- HOOd Or � . • , � MECHANICAL , � .
sentatives of this city'to enter� pon the above-mentlonetl Droperty 1or TypBl ❑' � i � ReinspectionFee� $15 ' � � � � ' lESS ' �
Inspection purposes. �' �� h/. Date� ' �no T' e II ❑' � ' 1PlAN CHECK� t $ � ' qDVANCED PC � �
. Signatura • , • • , , � � � � ,/�-/
� Registeis ' � Issue Fee ' � $ 3 � , � . , � �
Onvers' License or,55 � t � � PINAL FEE� 3�� ��
CMF'0865-46 rev. 12/82 Whita - Bulltling; Canary - Appliwnti Pink -�Accolinting; GOltlenroG - Assessor ' -" " ' ' ' ," " '- ' ' " � "" ' '� ' ` "' - - ' -' "" "" "` ' "•' - '��- � �^ - � � --- - , _ � �
�: i. CONSTRUCTION AND PLAN IQI NG �'�:,�� "� ' � '• ; � ; �OL " CpA _ -: .
� ' _.Y.-������"v Date - Inspector '�5- �'-Date Inspector�
_ APPROVALS ,; Permif # - APP,ROVALS Pe�...d # .
.i: . . -� _ . .
, �i. ,Temporary� Electrical Ser'vice �or Pole ' '+' :: ' . _ - �� � 52. Pool & Equipment Location.; - � -
.� 2. � Soil Pipe� Undrgrnd.' = ' � . � _„ r . . . �� � . - - ' '53t Steel Reinforcement - - � - - .
; 3.IElectrical Conduit.Ltilitv;Undrgrnd'. � �-� � , . � - 54_ �Forms, � - - .� - �
?.'. •4. jElect�ical Con:duit-Undrgmii.: �� �: ' � �' .'- ' , _ = ; � � - 55. Electrical Bonding' - ' .
`-5. �Steel, Reinforcement �' � � � ,I � �� � ' " `� �. ' : � 56. Rou h.Plumbin �&�Pressure Test ` - ' ��
o � -- - - 9 9
'6. Electrical UFER�Grnd! ' � �. ' � � P, . � � "`, ± � � : �57:.-APPROVAL TO COVER=GUNITE - .
7. Footings , I � ; � �.�� � t -- __ � �` -58.'ElectricalConduit-Undramd. . _ � �
� � " -59.•Gas Pipe; � Undrgrnd., TesY � �
B.�Foundation . ' ' ' - ° - - .
" ' 7
9. �Water Pipe•Uridrgrnd: � . - ' : ' ' - ; '60. �Backwash Lines;�P-Trap, O Undrgrnd.-
_ ',
10. Structural Floor System � ; _ -' . 61. APPROVAL TO DECK ,.
1 L�Property Sewer Line & House Connection, 4' r' ?� - .
� . , . , , c _ ,62..Backwash & ReceptorFinal
12. �Sewer Cap� �, ,' ' , ^ , _ ' - � - . . .
;'63. Fieater Si'Vent-Final ,
13., Roof Drains � � � ; � - � i . `• � , '64. Plumbing System - Final . � ' '
14. �Rough Plumbing ., � � �� � � - • 65. 'Electrical-Final � " � � • � � ' ' ' ��
, 15.f,RoughElectrica�-Conduit'j -� �-"j -• �--�-"'-r-t-'� 'l66. SolacSystem-Final � ' • � -
� ��18.'Rough Electric Wiring , � � �� , ' ;-�'j' ,;"- _ �-= {'-t �67: .Fencin & Acdess A roval'z " ' " - -
j I= t.. i 9 VP
� 17.j'Rough�Wiring�Sign � � !� � ' - = �%' � `- > �- � � �gg. APPROVED FOR PLASTERING � -
�, , '�; i' -;�
18:.RoughElectrica_f-T�Ba�Ceiling. ' � � ; � �69. POOVSPASYSTEMSFINAL . �
19.�Rough.Heating&Air'-:Conditioning � � � FIREDEPT:-REQUIREMENT
�
20. Rough Factory Fireplace ' � f� � � � APPROVALS Permit #
21. Ducts, in,Structure I I :, ', i � j � !' � � 70. Underground Hydro , '
� 22. Ducts, Ventilating� � � � � . .� �i � � � � ' � 71, Product Piping'O Gas ❑ Oil
23. Gas Pipe-Rough & Test ;� � ,_ � 1 � � T7z; Underground Flush - �
24. Roof Framing � �.,� ;' ;�-: �:. q; i. 73. Undergrnd. Storage Tank O Gas ❑ Oil �
25..Roof Sheathing � . ., •, �- _ � - ,, �:' .- i ' 74. Overhead Hydro
,26. T-6ar Ceiling�IStruauralh!& Monocoat �' � s �' 75, Dry Chemical . .
^27. Frame and Flashing i ! , � . � �, , ' 76, Dry Standpipe
28."tathing&8iding �,; ,� � ! ", � � E �T� . ' 77! FIXED�SYSTEMFINAL' ' ; , �
29.�(lnsulation , � `O z � � �' � "; � I i � ' : ! � 78. FIRE PREV. FINAL '
- 30. Drywall Nailing �'.' ,'. i ;'� � �' � � Notes: O' ct � �4tG�c d h 6r
' 37.� P.laster Brown Coat � � � �� -�� -- - �- �-�- -� ' �- - . . . - _ . .. . � .
32. Electrieal Power Mete{-Final � �� � !� t i � � �
33..Pinal Electric ' � � '� 1 � ! ' • �
.1_ ,
34. Final Heating & Air Conditioning �� , � � '. �
35. Final Gas Pipe-Te;t - � ! � � = _ ' � - � � ,
m i
36. Hoodbr Gnop'y�;� I ;, ' ,� - ' � � , � . . � • .
- � i !
� . . � . . .r. � '_ �1 �T . i . � . � '
37. Final.Factory Fi'replace�. � ; � _ _ � � ' � � : , � • ..
' '
38. Final,Plumbing� � { � � �i �� � � � .
39. Water,Service-F.inal i � � . �, ' . � � , ' '.
I i
40. Gas Service-Final � � � I �. , , ; • ' .
41. Solar D'omestic;Final ' i , _ . ,
42. Backflow Preventer,. � � , � i � � _ �
�-
43. Backflow Irrigation' � , 1�+ _ -
44. Landscape Ir�igation�Sys;em � � � � � ` , ' . •
. _ "_ -' '_ .-I - I . . , . � ,
45. Sound;Attenuation; �� � , ;'^ � . . -
�.'' '�'
i'
46. Handicap Regulations� y �� � , �� � � � ' ' � ' . � �
47. FINAL STRUCTURE& BUILD,ING1 � . - � � ' � �. � '
, .
48. Special Requirements Completed � ' � - � i � � . , . .
49. Elec[ric Release to Edison � j i� � ' __ _ � . __ � � �
50. Ga5 Release to Southern California Gas Co � � � .
�
51. CERTIFICATEOPOCCUPANCY . �, _'_Y __ __ _ • _. '
�
No � � � Date � � ' i '
o�� DOYLE & SHIELDS Develo�nent Co.,Inc. DATE 6-3-63
SOB ADDRESS 357 Grenoble BUILDING PERMIT NO.
GENERAL CONTRACTOR DOylE & Shield5 D2V.CO.,Inc. vni.uE g 19,5�•�
AP No. LOT ii 1RACT ��1�3 FIRE ZONE DESCRIPTION OF WORK
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE
soIl _ _ � suscoNTltnCrox r PEN,MI'
\'
Iv'
Forms
tteanng, rmal � l
P' �bing Fixtures, Final ;:�r..✓ c/i%Cri �
E Gas Test / 5, "iX�-✓" Lr> -�-1 P�
.� "' � 9�22_
COSTA MESA BUILDINGSAPETY DEPARTMENT
P.O. BOX 91f C09TA MEBA. GAIIFORNIA
For Applicanf to Fill /n Completely
TYPE OR PRINT
COSTA MESA. CALIFORNIA �
OWNER o � 1e��J � ✓ Ca �
MAIL e
ADDRED8 � �O- ILI1C eS%er /1✓�
CITY I� d-/ /� Pt/ C(N i' NO�.I� �0�,0
AORfHI^aINEER�///Q/ G �Q✓J N0�7�-p�0
...__...... H�/ � � G� �f �i++rn un w¢a�f"ii
IoT 3,� �.
YARDSAPPROVED
OF � MAIN BUILDING
3.
� f FROM C/L STREET)
�oM FRONT Ff.
:. .J � REAR YARD
6F7 � I RIGHT � R. SIDE FT.
DESCRIPTION OF WORK �.stos O Fr.
�—/ No'�� 7=do1.'i
. � � I no. or e�ooe.
NOW ON lAT �'
LBOAL
FE/E RECEIVED
✓ JUPd. � 1963
�'r'FINANCrEn OE�PT.
APPLICMTOM' F�R"PL'I�VIITESA
BUILDING
For Offica Use Only
ATQN[CHIVBD DATE�96Uepp�
- 19-6 3 JUN 3 �n�
ZONING
NO. OP UB80F N � G
�IANs �UILDINO
L��- ,3s �' a�sy
�
/E OV ERHAN6 BHALL BE LE59 THAN
SIZIEOIN693XS3.SUROOMS 6TORIE9 �� CAU.P
J
EXTERIOR WAL / ROOF S��N6LE APPRO'
COVERING �TV�°-V COVERIN6 �O
US6 UILDINCA1NDWORKTOBE fiRFOR E p
?.sl I� 2nc` /Q- Ctc.(.�e �
lYi o d a% `1 �- -
1 HEREBY �CKNOWLHDO6 TNAT I HAVQ P¢AO THIB APPL�CATION
•ND BTATE TMAT THH ABOV6 I8 COqqECT ANO AOHEB TO COM�
PLY WITH �LL CITY OHOINANCHB AND BTAT[ LAWB fliOULATINO
BUILOINO CONBTHOCTION. / ` Q
f ,� .l . �
SIGNATURE OF
PERMITfE ' �
AUTHORIZEDAOENT � f"��
YAR�SAPPROVEO
ACCESSORY BUILDING
DATE
/�.33 so. �.� ��a Q ' m
TH8 �MOUNT BX N UNOER VALUATION IB FOP THH F
PURPOBE OF 8/�BLIBHINO A PHRMIT FHE ONLY. p
VALUATION �7 � m
PERMIT FEE $ GU �
�
,�[ � ? m
J 7O p�qN CHECK $✓I � s
$ �y 3� a
TOTALREE