HomeMy WebLinkAbout365 GRENOBLE LN - Building Permitsk
1
ADOflE550FBUILqNG: JbJ bt(C.IVVtlLG LN
OYMERStUYEIFplOWN: BAC K H AY GARD ENS
.00x�ss: 350 RIVIERA DR Sk8
COSTA MESA, CA 92626
APPL. Y41Lq ADORE55:
ARCXRECT ONENCaNEEH:
uc. No:
UNT:
APCN.OP F.Nfi.'S 1DDflE55: UNT:
ca+mAcroxsruve: ROSS & BARROWS INC. (714)557-7440
CONiPACTORSMNIINO 260 E. ALTON AV
wo�ss SANTA ANA CA ���, 327802
92707 uM: ---
IJCENSEU COMNACTORS DECLAPATION: I Mnby eflim �Mm peraty d pe�ury �hm I em leeneed urdx poviama d Cheqm B
( c�p vrilh Seclion )000) of Divieion 9 W Ne Bueir�aw arM Pmlmsiona Code eM my lioenaa ie in full /ace ud eHec�.
mu.No.:020924 uc.cuss: C-39 uc.No.: 3'27802 EXP; 11/95
ome: 1 convean: �� e,G/��"V
O EP BUILDEN DE� HATION: I hereby effirm untlm peneAy A perN�Y �hel I em exemq Irom IM imtlon Liceme lew la tha
' lollowinp reeeon (Sepion 900t 5 Buanees end Pmleasiona Code: Rny ciry a munty which reQuime e permN lo mne�mct, eller. imparo.
�yp�"wynafoh, or rapei eny ewcwre, pbr lo ne asuence, eko requirea iha epplirani Im euch permn le file e apned eWemenl ihe� he a ahe
t:,:i•icemed pum�eni ta tM po-risbm d Me ConVeqoro Licensa Lew fCheqm 9(comme�rp xi�h $epion ]000) d DMbion � d �ha
,"F,$ainam enE Rdeaions CoEe� a IIW M a she ia naemq Ihreham eM Ihe befie la Ihe albpaE ntemqun. My v'detion d SeUon
�]031.5 Ey eny epplicen� Iw a permn eubjxb iM epd�� �o e avil pendy d ml more then /rve hu'Wretl Edlen �5500�.
� I. ea owner d ihe propany or my empbyeea wdh wegea m ihei eole wmpennelian, will Eo Ihe woA, eiM I�a etmclum o nM inlentleE
or Mered for aele (SeMion )Oaa, Buanesa end PM»siona COEe: The Conlredon Ll�nae lewEoae nm eppM �a � owner M prope'ry
wno n�ba � ma,o� �n�o�,. �a.ne e�..��n � �:m.en e, ne�,u o, m,wan no o. na. �,mdwa«. v��e,d inm,�n
�mwwam�u. �a �a �m�ase «w.�a i« w.. n, n�,�., m. w�e��e a mww�.m 4.wa.mn�� o�. re., d�d��, me
ownerbuiNm xill heva �M Widen d pv+inp he or ehe tlk rwi Wild w im0� �a �� WT�e d eeb�.
� 1. ea o�mer M t�e propeM. em eadueHNy mniredip wilh IiceneeE contrecion to connrua iM prqea (�� )�. Bueinme end
Vroleuiona Code: The Contraqan License Lew Eoee nM eppM�o en ownerd p�opeMy wtw buiNs orimprovmiMrson eM who
convena lor eurh Oroptls xilh e wnVedor(e) Icanaed punueni io �M Conirepme Limme Lewl.
� I em memp uMer Seciion: B. d P.C..Ia �his reeson:
De1e: Ownec
i eo ns,ao-� o.n�y mm i� ew� a�a ��e��d in. ����,�e�u a c�eome H,.nn,�d s�r�v coe, s«+�+zssos, zssaa..�a
R5591. enC Ihel I a enY Mun Wikirp occupent xill / wtl ml (dreb me) need to mmply wuh eeM ele�e mEea eM IM requiremenN /v
epertnnlamnsWclionwmodifiWianhaniMAi ue�.y enegemeniqsria.Reeidentielmmtivaioneppf�e�umeraatemqlmmNeae
povisiona.
Dme: AvW���
WORKEP'S COMPENS�TION DECLAH�TION: I Mreby alfirm ueMer penatly d perjury aw d 1!w Idbxirp Mtluetiwu:
❑ I haw vd xil meinien e caniliute d oonxnt lo seHinwre Iv xakers canpevalian. ea povidstl lar by Setlion 3]00 d the Lebor
Code, fw tM peRmnvice d iM wrk /or wldc� �hie permA is lauetl.
� � nav<ena wie me�me:�.wn��e cwnv���oo ireu,arim, m r<a��«e W s«iiu, s�ao m me �aeor cod., mr me renwmence a m.
wak Iw which ihie permil u b�ued. MY waMre ��.�����,.�e pd��v ��mee, va: E X P I R E 5
c�,: - - --- t1?I!)ilaF.
Pdwy Number.
,hia eaion need rrot be compb�ed r Me ps�md ia lw one hwrdied ddlem /S�OOj w bse.J
❑ cerlM �het in I�e pMormar�ce d Iha wwk br whkh thia pamin ia iaeued, I ehell � emdM �Y Gerto� i� env mennar eo es to
berome wbjee to tM Mvrkere' rompanselbn lewe d Cdilwnie, eM eyree Nel il I Moub bxome vubjed lo iM xa1knis'
compenset/'9^ )qm+a/�p^�d} �Seqion 3)00 d IM leEa COEe. I ehell 1 wnh oomp�y wNi tlasa�
De�e: �/�7 �/ /'�J AOOlcem: � r 0/ ��YfS'Lv'K'Y
WeminP Fallun ro ixuro woM1'eri compwaUon eaverry� b un/ewNl, entl dxll subJ�ef en Mnp/oylr ro edm/nel pm+IHw en0
c/v!I flins up ro on� huntlretl fhous�nd dol/ar� �s�oaaal, M.miao� ro n. �w.� or oo�.�..rroa e.m.o.. „P.o�iew ro. m
Sxtlon 9]OS al ths L�bor COM, Infwvt, end ertomsyi leu.
CONSTNUCTON LENDING AGENCY: I hmeby eifirm uMer penelry d perNO' �he� �here ie e constmdion bMi�p eBeMy la iM
�IBf�OR11BfICB O��NB MVI�t�OfN}IIVIIh18 pG11111119 0811]��$BC11q11 �09J, (�iM.C�.
LENDEP'S NAME:
LENDEH'S RDONE34:
I ce�ity Ihet I heva reed this epd�� ���e �het �M ebova inlamelion is rorreu. I eprea lo wmply xnh dl ary erd oounty okineMee
end etete lewa rela�ing lo builtling conArunion erd hereby emhorrsa repreeentairvea d Ihia dty lo ante� upon ihe above-menlonad pmparly
�or��soa+i000�r��s. NANCEE KILBOUANE
^ (5t5138.WP) WhAo-BuildvqBSefery:
. —
Pink-Revenue; OdEenroE-beemw
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 073888 PLAN CHECK NO: N
PERM NO: B 073888
GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF AND REROOF W/2 PLY ROCK SQ FT: 1,850
CLAIM VALUE: 1,850.00 CALC—VALUE: 1,850.00 GROOP OCC: M-1 /
COMMENTS: REROOF 800SF GARAGES FOR 365 & 363 GRENOHLE LN
��*+t�*�+��*��**�******x*�x���*****�*��r�+�******+�*�t+�****�**********�*�**�**+t�*+��*�t**
Z O N I N G R E Q U I R E M E N T S
5 E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCE5SORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT ZN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 93914131 ZNE: REF N0:
PLANNING NOTES>
i '
1E fE 1E iE IE iE 3E 9E if iE iF if iE iE�iE iE if if !f !f if K iE 3E if iE if 1F IE 1E 3E �E �E IF 1f 1E 1E 1E 1f 1E If IE iE 1F i(� 1E if 1E i41f iE iF iE df jE iE if if jf IE iE fE 1E 9E 3E iE jE IE if� if iE iE iE iE 9E �F 1E IE 1E
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
i�
ZONING APPROVED BY DATE: �
BUILDING APPROVED HY : DATE: � 1
APPLICATION ZSSUED BY: / DATE: y� Sj
iElElEiEikiE�E3EiEiEiEiEaEfElEjEiElEaE1E1EiE7FiF�iFi��F�F3F�3F3F�F3F���F f7�1 �F�F3F�3FiF�F3F3FiFiF�F4i�{FIE3FifiEiEiFiFiE1EiE if3E
LEGALIZATION:N� F E E S U M M A R Y STRUCTURAL• EGM NT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RESI GRADING
P£RMIT 43.00 50
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 43.50 0,00 0.00 43,50 43.50 .00
RE6'ENUE DIVISION TOTALS--> COLLECTED: 43.50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
43.00 .50
jF 1E 1E if if 1E IE �E 1E IE 1E 1E IE IE IE IE IE 9E iE iE iE iE 9E iE iE IE 3E iE fE if if if iE 1E if iE ik if if iE 1E iE 1F iE iE if iE if 3E iE IE jE iE if 3E fE 1E iE 9E iE IElE iE iE 9E if 1E iE iE if if if 1E iE iE if iF if iE
I 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 ONIT COST TOTAL COST
SFR 1850 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,850.00
END OF FEES
C�1 OOi&8795—OQ1�8796 Y�J T 43.5�
DAT'c: U3/21i4` TI!1E: 14:4b
��
CONSTRUCTION AND P�ANNWG ) Pp�i °PA �
APPROVAIS Permit# � % Date Inspector qppROVALS Pe?iriit# Date Inspector
7. Temporary Electrical Service or Po(e 52. Pool & Equipment Location ' �
2. Soil Pipe-Undrgmd. 53. Steel Reinforcement .
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' �
4, Electrica� ConduibUndrgmd. � 55. Electrical Bonding
5. Steel Reinforcemenr: 56. Rough Piumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
.7. Footings - . 58. Electrical Conduit�Undrgrnd. �
' 8. Foundation -�. _ - 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undr9rnd. `� � 60. Backwash Lines, P-Trap, G Undrgmd.
10. Structural Floor System � 67. APPROVA� TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Recaptor�Finai
12. Sewer Cap 63. Heater & Vent-Fi�al
73. Roof Oro�ns _ � 64. Plumbing System � Finai '
14. Rough Pium6ing � 65. Electricai-Fina�
15. Rough flectricat-Conduit ' 66. Solar System-Pinal ' �
76. Rough Eiectric N+inng 67. Fenciny & Access Approvai
57. Rough Wiring Sfgn 68. APPROVED FOR PLASTERING
78. Rough E�ectrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning _ FI,REAEPT. REQUIREMENT
2Q. �Rough Pactory Firepiace ' -� APPROVALS. - Permit #
21 �. Ducts, in SttucturB "� ' - 70. Underground Hycro
22. OuMs, Ventilating ' ' � � 77. Product Piping �Gas ❑Oii
23. Gas?ipe-Rough & Test � __ � 72. Underground Flush
24. lioof Framing .' � _ . 73. Undergmd.5torageTank J Gas ❑ Oii
25. Roof Sheathing � ' �/�` � 74.� Overhead Nydro
�' �
26. T-Bar.Ceiling (Structural) & Monocoat -_ . 75. -Dry Chemical �
27, Frame and Flashing � -. ' 76. Ocy Staa¢pipe �
� 28. Lathing & Siding�' ,- . � �� 77�. PIXED SY.STEM FINAL �
29. Insulation � ' •• ' 78. FIRE PREV. FINAL
30. Drywall Nailing . . . , HEALTN DEP7.�REQUIREMENT
31. Plaster Brown Coat . ' , 79. FINAL GNSPECTION � .
32. Electrical Powzr MeterFirai �� 80. POOD CER7IFICATF ISSUED
33. Final Electric . - Notes: ' �
34. Final Heating & Air Conditioning- � ; ,_ '
35. Final Ga5 Pipe-Test � �� ,, }' . �-
36. Hood'or Ganopy . � � - .' ; _ -
37. Final FaCtorY F��eP�ace � �
I
38. Final Plumbing � � � " _ _ -
39. Water Service-Final . . �
40. Gas Service-FinaV ' " -
4
41. Solar pomes[ic�Final -' '. � .
42. Backflow Preve�ter , � � � " -:
43. Backflow Irrigation � � � •
44� �andscape Irrigatiorl SYstem ._ . - � . .
45. Sound Attenuation . . �' •
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING //��/�
! �
4$. FINAL PLANNING f�, "-
49. Electrie ftelease io Edison � - �----_ ., .
50. Gas Release to Southern California Gas Co �.
51. CERTIF�CATE OF OCCUPANCY ' '
No Date
AVP�icant to fill in all spaces excepl t�ose within heavy bortler lines anC sign all approD�iale Ceclarations.
CITY OF COSTA MESA C NSTRU TION PERMIT PERNwjNO._ , _ TFACT NO. LOT NO. UNIT NO.
Project'Address �'7�,����'�
Applicant's Mailin9 Address Ql�/.`/.L2i �
Owner'sName ����� Phone C
Address ,
Arch/Eng. � License No.
Address
Convactor's Name � �� Phone �
Address (mailing) n � �t
City Licen N / � _
LICENSED CONTRACTOR DECLARATION
I hereby at(ivm that I am licensetl untler provislons of Charte� 9(commencinq
with sec[ion �000) of Divislon 3 of Ih0 Business antl Professions COCe, antl
my licenze is in tuu I���ntl e(fect. C�. �
License las icen/�e/ No.J
Date � ��r � S9 d[ � �✓� /
WORKERS'COMPENSATION DECLARATION
' hereby atfirm that I nave a certi(icate ot consent to selGinsure or a certlflcate
Workers' Compensation Insurance, or a certHietl copy thereof (SettionA
�00. Lab. i-%/ n �I 1.('o ��� � .Yi 0.1/1 ,ryi
P�,ol�ic.¢Y No. /��' �� �� "j C) D ComPanY r�i '--� � y`
ldCertitia coPY i5 filetlbwithrthehcltlY BQ➢tlinr/q Wx�on�� / � �
Date f AOPlicant �/�U � l/ I �C�L�
EXEMPTION FROM WORKERS' C014TPENSATI�ECLARATION
(Thi55ec[ion neetl not be completetl if the pe�mit IS for one huntlretl (§100) or
Iess).
I certi/y that in the perPormant¢ Of [he wo�k for which this p¢rmh is issuetl, 1
sM1all no[ em0�oy any per5on In any manner So ai to become subject to the
Workers' Compensation Laws ot Calitornia.
Date Si9nature
NOTICE: 1f, atter making this tleclaratlon, you snoultl become subjec[ to the
Workers' ComOensation provisions ot the Labor Cotle, you must forthwiih
comply with such provisions or IhiS Oerml[ shall be tlaemed revoketl.
CONSTRUCTION LENDING AGENCV /-
I hereby ai(irm that there is a constructlon lentling agency for Ihe perlormance
of Ihe work tor whiGh [his permit is issu¢tl (Sec[iOn 3097..:CIv. C.)
Lentler's Name
�enaer's Atldress
OWNER BUILDEH DECLARATION
I here�y aftirm thai I am ex¢mp[ from thE Conlractor'S Lic¢nse Law for the
following reason (Section 7031.5 Business antl Protezsional Cotle: Any city or
counly which requires a pe�mit lo ConSVuct, dltCr, Improve, tlemolish o� repair
any structure, priOr [o its is5uance, also r¢quires [he applicanl tor such pe�mit
to file a signetl,slalement �ha[ he/she is licensetl pursuant to the provisions of
tM1e Con[racror's Litense Lew (Chapter 9(Commencing with Section•]000) of
Oivision 3 of the Business antl Pro(essions Cotle) o� thal he/she is exempt
lerefrom antl lhe basis for lhe allegetl exemp[Ion. Any violation ot $ection
D31.5 by any applicanl for a permit Subjects lhe applicant to a civil
I renalty of not more tM1an five huntlretl tlollars ($500).
❑ I, as owner of the property or my employees with wages a5 their sole
mmpensation, will tlo the work, antl tne sVucture is nol intentlea or offeretl
for sale (Section 7044, Business antl Professional Cotle: The Contractor's
License law tloes nol apply to an owner of a property who builtls o� Improves
thereon, antl who tloes such work nimselt/hersel( or through nis or her own
employees, provitletl lhat such improvements aro not intentletl o� offeretl for
sale. H, nowever, Me buildin9 or mprovoment is soltl wimin one year o� com-
pletion, tne owncr wlll have the burtlen of Oroving he/she tlitl not builtl or im-
prOve for the purpose of sale�.
❑ I, as owner of the property, am exclusivery con[racting witM1 licensetl con-
LIdCIOR I0 COOSV I1CL Lh2 pIOjCCI ($CC�IOII %044. BUSIf1E55 df1C P!O(25510f15 COtl¢:
The ConlractoYs License Law tloes nol apply to an owner of property who
builtls or improves thereon, antl who conVacts for such proiects with a con-
tractor(s ucense pursuant t0 tne Conlractor'S LicenSe Law). I am aware fM1at
proof o� their Wo�keYs Compensation InSurance sM1oultl be pwvitletl to me.
❑ 1 am exempt unaer Section B. & P. C. for this reason
Date Owner
I hereby certity that I have rea
inforTation is cortect. I agree to
antl state laws relating to builtlir
sentatives ot t is city to enter
inspeGtlon p SCs.
Signature
Driverz' License or S �
tepte-
y tot
TYPEOFCONSTRUCTION LJ NEW LJ AOD IJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p#
DESCRIPTION OF WORK/USE OF BLDG.
$ Main Buildi
E
TVPEOFPERMIT GRADING FOUNDATION STRVCTURA� . T F�ont
❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MECHANICAL A Rear
❑ OTHER
PROJECT DESCRIPTION Sq. FT. OCCUPANCV C Right
K Left
CONSTRVCTION TVPE VALUATION $ $
ZONE GRADING CU. VDS. ACRES p�ng. ReL #
Remarks: Planning Notes:
Sink
Preventer
Irrigation
Clarifiers
Dishwasher
Drinking fountains
Roor Drains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
Roof Drains
Reinspection Fee � $15
Boiler
Duct- Under Ground
Duct - Svuctural
Duct - Ventilating
Exhaust System ❑ Multiple �
FirepUFacL61t.IC80# -
Heating System & Ducting
❑0-100,000 BTU O100,0008T
Reinspection Fee � � $75
CMF 0865-46, rev. 30/84 Wnite � Builtling; Canary - Applicanp Pink - Acmunting; Goltlenrotl - Assesmr
PLUMBING
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto�Wash
Issue Fee
fEES
$ 3
Automatic Washer
Construction Pole S�
Cooking Unit
Dishwasher
Dryere �Gas ❑EI
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garba9e Dispoul
Generator DO-5 KW
6918 3/17/Bf3
Zone
Accessory Building:
Parking Req./Provided , „
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Me[er pover 100 amps
Sub Panel
Motors �0.1 HP O1'f, � 8
Inc.Solar 09-75 HP �16�15+
Microwave
Pole Light
Range
Standing Sections
5-15 KW Trash Compactor
flainspection Fee $15 Issue Fee
�ANICAL FEES
Hoodor T DEVELOPMENTSERVICESREQUIREMENTS:
ypel ❑ Zoning Approved By
Canopy Type I I ❑
Buildin9 Approved By ��
Refrigeretion System
❑0-100,000 BTU 0100,000 BT
System Repair/Alteration
F ire Dampers
Registers '
Issue Fee � $ 3
SUMMARV OF FEES
BUIL�ING PEFMIT $ SMIP
PLAN CHECK 5 � PERMIT
PLUMBING $ ISSUANCE
PIAN CHECK 25% 5 ENERG� P.C.
ELECTRICAL S GRADING
PLANCHECK 50% $ MICROFILM
MECHANICAL 5 TOTALFEE
PLAN CHECK 25% $
5,E7 T;
Z
O
N
I
N
G
R
E
Q
M
T
S
FEES
$ 3
CONSTRUCTION AND'PLANNING POOL & SPA
APPROVALS. Perrcyf.# Date Inspector qppROVALS Permit# Date Inspector
1: Temporary��ElectricalSeivice or Pole 52. Pool & Equipment Location �
_ i
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement __
n.
3. Electrical Conduit Utility-Undrgrnd. 54. Forms '�
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure 7est
6. Electrical UFER Grnd, . 57. APPROVALTO COVER-GWPJITE
.�
7. Footings �; 58. Electrical Conduit�Undrgrnd;�
.�:
8. Foundatiop. � 59. Gas Pipe, O Undrgrnd., Test�;
9. Water Pi �Jndr rnd. � �
Pt g 60. Backwash Lines, P-Trap, �.Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Recepior-Flnal
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing Sys[em - 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 •
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 O Gas ❑ Oil
23. Gas Pipe-Rough & 7est 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: � �
34. Final Heating & Air Conditioning ---
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final PVumbing � � (,E� �
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. Electric Release to Edison
50. Gas Release to Southern Califomia Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date � � .
\ ' �',' �� .'
DOYLE & SHIELDS
JOB ADDRESS jbj �
GENERAL CONTRACTOR
g
G�_
& Shields Dev.
BUILDING
VALUE S
SUBCONTRACTOR
^. LJ nu con. LJ r7na1 I_ I I ". � i
91�
. . I �20
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%9f7 COHTA MEBA� CALIFORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT
eui�o�rva 3�S � �
ADDRE55
COSTA MESA, CALIFORNIA
...uu�e J � v�'S ,•�i�� ���., r. �
FE� Kt�tiVtV
JU N 3 1963
INANCE DEPT.
AP�IAATE�"C6$FAPl�k
BUILDING
For Office Use Only
R[C61M! NO. P�,qa11t ryp,�
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�r o�ri nccerv¢o onre ieeueo
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� a h-Q � YN � NO./ `^ �Z�ZO ZONE TYPE G
APPROVED
B �°. � a'r� rTio �'%/- 2S'/ o er onr
� �Q J� � IONING
� 00 mm�nV.,C '}-
S ZON NO.OI I UBHOPNI
� �L�NG lUILOINa
R I/� W� C'� v .
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.f'e—� e_ o��a�..�o� o�" 3/ �r
���� �^ A. P. NO. ��—
0
�
.(� �- O 30TT0 S�IDE 8 REAR p LN6 SHALL BE LESS THAN
LIC. NO.ISI'�TSO �'�.7— NO.' � �_�
�/�/ EAVES
OF LOT 3?//� S3 • J—� , NOW oN LAT�•� ALLOWED (U. B. C. RE�UIREMENT:
YARD9APPROVED YARDSAPPROVED
USEOF .�— MAINBUILDING ACCESSORYBUILDING
EXISTING BLOG.
( FROM C/LES,TREET)
6ETBACK LINE FNOM �]�
ceHieaoFeiae�i O"', REAR YARD FRONT FT. FT.
SIO6YAROI LEFT .�I RIGHT !_ R.81DE � Ff. ' FT_
DESCRIPTION OF WORK �. sioa ��. F-r.
� r
/NG L �'
'�l0ae� 32-
1 HEREeY ACKNOWLHOOB THAT � HAV[ qEAD TXIB ApPLICAT�ON
AN� BTATE TH/�T TXH ABOVt ID CORPECT AND AORE[ TO COM-
PLY WITH ALL CITY OftDINANCeB AND BT�T[ LAWB RHOUt1Tlry0
Bl11LDIN� CON6TRIICTION.
i-. � _ / �A / 1 n�
AUTHORIZE�
VAR. iC
DATE
APPROVEO
osre .� t�--i `�
� C Q�
/,i'.r �Fy �
60. FI. �
THH AMOUNT 9H IINOEF VALf1ATION 18 FOH THE �
PIIRPOSH 01 fi BLIBHINO A PEHMIT FEE ONLY. Q
VALUATION � � n
PERMITFEE $ j
$/�� � 9O N PLAN CHECK $�/ O� o
H LL
TOTAL REE