HomeMy WebLinkAbout950 GOVERNOR ST - Building PermitsPHOJECT AODXESS: 9 S O GOVEkNOR S�'
OWNEfl'SNAME: STF.WART, WILLIAM ANUREW
,{ aooxes:r STEWART, JANETTE L
, , • 950 GOVERNOR ST
COSTA MESA,CA , 92627
696-2137
AACHIENGMEEB: - flEG.NO.:
nooxess:
UNIT:
uxit:
PEpminEE: JANE:TTE STEWART ( 714 ) 646-2137
noonEss: 950 GOVERNOR ST
C.M. CA 9262G
LICENSEU CONTflACTOfl DECLANRTION: I hereby affirm Ihat I am licensetl under provisions of ChaD�ar 9(commencing wiih Section
7000� oi Division 3 of ��e Business antl Pmtessions Code. an0 my license is in lull�orce and e�leci.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature'.
�ONREflS' COMPENSPTION DECIANATION: I here6y aifirm Ihal I have a cetlificate ol cansent �o selbinsure or a cetli�ica�e of Workers'
mpensalion Insurance, or a cerlilietl copy thereoi (Seciion 380q Lab. C).
LICY NO.: E%P. DPTE:
Certif2d copy is hereby lurnished. ❑ Cert�ietl copy is �ile0 wlth [�e ciry Building pvl5ian.
Da�e'. ApDlicant. _
EXEMPTION FflOM WOflKEPS'COMPENSATION OECIAXRTION:
I certily t�at in ��e Dedormance ol Ihe work lor which Ihis p
Subleci lo Ihe WorMers' Compen5aiion Laws t CalitOrnia.
Oa�e: � �.��0 Signature: _
NOTICE: II, alter making Ihis Aeclaration. you shoul
Code. you musl �anhwiih compry wilh such proms n
CONS7BOCTION 1EN01NG ACENCY: 1 hereby aifirm
which Ihis permii is issuea (Sec�ion 3097. Civ. C).
lENOEfl:
nooness:
is
in any manner so as m
�.come Su61e�� �o ��e Wurkers' Compensa�ion pmvisions o� lhe Labor <
or Ihis permii Shall be deemetl revOketl.
iere is a conslmction lentling agency lor�he pedormance ollhe work �or
OWNEP BUILOEH OECLANR710N: I hereby af(irm that I am exemp� i�om ihe Coniractors' State License Law 1or the following reason
(Section 7031.5 Business and Pmfessional Code: Any ciry of counry which requires a permii to construct, alter, impmve, tlemolis�, or
repair any S�mt�ure, pri0r �0 iis i55uanCe, als0 r¢quires Ihe apDliCant �or Such permi� �o lile a SigneA Slaiemenl �hat he/she is IiCen5e0
pursuam Io Ihe Dmvisions af Ihe Comracmrs' S�a�e License Law (Chap�er 9 �commencing with Sec�ion 7000) ot Division 3 o11he Business
and Prolessions Code) or Ihat helshe is exempl thereimm and ihe Oasis for the alleAeO exemption. Any violation of Section 7031.5 6y
any applicant �ar a permii sublec�s Ihe applicanl �o a civil Denaliy Of no� more �han five �untlred dollars (E500�.
I. as owner of Ihe pmperly or my employees wilh wages as their sole compensa�ion, will tlo �he work, and �he
� slmc�ure is not inlentled or oileretl �or sale (Section 7044, Bpsiness an0 Prolessional Code: T�e Con[ractors' State License Law
� does no� apply �o an owner o� a property who 6ui105 or impraves �hereo4 antl who tloes such wo�k himself/hersel� or �hmug�
his or ner own emplayees, provi0etl thal such impmvemen�s are noi in�en0etl or o�teretl �or sale. I�, �owever �he huilding or
impmvemen� is sola wiihin one year o� completion. �he owqer will �ave lhe �urtlen ol pmving he/5Ae ditl not builtl or imOmve
for ihe purpose of sale).
I, as owner ol �he pmperiy, am exclusivety contraciing wil� pcensed contmclors to canSlmci Ihe pmle�� ($ection 70a4, Business
� antl Pmiessions Cotle: The Conlracmrs' Stare Licenre Law tloes not appty to an owner ot Dmperty who builOs or impmves ihereon
antl who coniracls lor such pmle��s with a conVacior�s)license pursuan�io Ihe Contraclors' Siale License Law),I am aware
��at pmoi ol iheir Worker'S Compensation insurance shoul"7�be prov etl Io me.
� I am exempi untler Sec�ion: B. 8 P. p.
lor I�is /reason: Jj � �� y
Oate: _!y/-'�C'L�/_V � o�� i .i.i�.._.i ` i
4-='—F
I tlo here�y ceriily Iha� I am aware o� and under5iantl ��e requireme s Cali�omia Nealih antl Safery Cotle Sec�iore 25505, 25533, ana
2553a and Ihat I o� any fuiwe �uiiding occupam will/will na� (circle o e eed m compty with saitl slaie cotles and Ihe requirements for a
permii for conslmclion or motlilicaiion imm ��e Nir �uality Manage. nt DisVicL Fesitlenlial con5lmciion applica�ions are exemp� �mm
ihese pmvisions.
�ate'. Applicam'.
I hereby cetlily �hal I have reatl lhis application ntl siate Ihai the ove in�orma�ion is correcL I agree �o comply with all ci�y antl c/nry
urdinances antl sia�elaw5r¢Ialing�o building C slmtlian and here du�horizer pres¢ntaiives Dithis titylo en�er upon�h¢ abOve-me ioned
pmperly lar inspeciian purposes.
Oale'. � `/� � 1_y Sgnziure: ` _
oriver's License or Social Secunty p:
��.� .� �,.�..,.., o.,,�....... n....,..—r.,Ao c.,e...o,., .,�. r�.,�.,,. ......i.,.....�. o�..�—oa„o.,��e. r.,.ine,,.,.n_e«e«,..
rITY OF COSTA ME5A — BUII.DING PEkMIT
PEkMIT NO: B 049523 PLAN CHECit NO: 05753-90 L
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOB DESCRIPTION : 748SF RESID S 261SF GARAGE EXPANSION
PERM NO: B 049523
GOVT: N SUPP: N
PURPOSE: ADD
SQ FT: 1,009
CLAZM VALUE: 50,000.00 CALC—VALUE: 56,127.30 GROUP OCC: R-3 /M—i .�
COMMENTS: X
�t*�t�t*�t*�t�t***���t�t�t�t**�t*�t*+�*��***+r*�r*�t�t*�t�tx�t*�t****�t�*�r**�-x��*�t*�t�t�t*�t�t*xx x �t�t*�t*+�***
Z O N I N G R E Q II I R E M E N T S
5 E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; 20 FT IN REAR: 25 FT IN FRNT': FT IN REAR; FT IN
LEFT: 10 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN
PARRING REQ • 2 PROV: 2 PARCEL: 92242321 ZNE; R1 REF NO:
PLANNING Nf5'I'ES> ADD APPROX. 1000 SF TO AN EXISTING SFR. ADDING GARAGE,
> HATH, DINING AREA AND FAMILY ROOM.
+����r�r�r**�*�r*�r��r+��r*+r*�******�**�*��*�*******xr*�r*�**�r*�r�*�c*+r+�x�r***�x�rx�r*�***�r***
D E V E L O P M E N T 5 E R V I C 8 5 R E Q U I R E M E N T S
ZONING APPROVED BY ' CI�.�49� DATE: ���
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: I�1� DATE: �� ��
**�rat*it*�r�eitititit*+��+r+r***atat��F�t�'i�"iFiF3F iF��F��it * * it*�*+t��eit*�r �x� e **
3F 3E iE �E if iF 3f ik if ik k it if iE if jf iE if 3F if ik iE �E i! if if if iE if iE if if %if iE if iE iE iE k iE K ik it it ik 3E iE iE 1E iE iE 1E �E 3E iE iE 3E iE if if if iF iE it jf ff 3E k ik i! if k iE iE jE �E if iF
LEGALI2ATION:N F E E S U M M A R Y STkUCTUAAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RT:S GRADING
PERMIT 446.00 � 3.93
SMIP/NON—RES
PLAN 289.90 ° '
ISSUE: FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 449.93 0.00 289.90 739.83 739.83 .00
REVENUE DIVISION TOTALS--> COLLECTED: 449.93 OVER/SHOAT: 00
BLDG PMT F�LUMBING EL£CTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
496.00 • 3.93
jE �f 1E �F if 7F if iE iE jf ik ik df �F iElk iF iE iE iE iE jE ik iE jE 3E iE if iF iE it iE iF iElk if iE 1f -)k iE iElf iE if iF i! iE iE 9F 1E iE if iE iE?f if if if if ik if �E iE it if iE 1F �k # 3E k iE 1f if iE jE 1E jE 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 UNIT COST TOTAL COST
SFR 748 DWE—TYPE V—WOOD FRFiME —GOOD 69.00 51,612.00
SFR 261 RES—GARAGES TYPE V 17.30 4,515.30
END OF FEES
L�: G�Q7�333-00072�34 T�=�"3" ;4;,�:3
DPTF: 20/I5/90 TIME. i0�53
CJNSTRUCTION AND PLANNI �� SPA
APPROVALS Permit# ' Date Inspector qppROVAIS Permit# Date Inspector
, /.
1. Te,mporary Electrical Service or Pole 52. Pool & Equipment locatio� '
2.' Soil Pipe-Undrgrnd. 53. Steel Reinforcement
. � .
. 3. Electrical Conduit UtilitY-Undrgrnd. 54. Forms �,i '
4�. ElectriCal Conduit-Undrgrnd. 55. Electrical Bonding �
, 5. Steel Reinforcerrient �,.� 56. Rough Plumbing & Pressure Test �
6� Electrital UFER Grnd. 57. APPROVAL TO COVER�GUNITE
� 7.; Footings 58. Electrical Conduit-Undrgrnd. "
�S.�Foundation ""� 59. GasPipe,O Undrgrnd.,Test �.�;
'9. Water pipe�Undrg�nd. j_, t 60. Backwash Lines, P-Trep, � Undrgrnd. �
10. Structural Ploor System � � `1,0' �� 61. APPROVAL TO DECK -^� �� ': ,
11. Propertv Sewer Line,& House Connection - 62. Backwash & Receptor�Final �
i
12. Sewer Cap . , 63. Heater & Vent-Final '� ''� �i
13. Roof Drains ' �� 64. Plum6ing Sysiem - Final �' --
� � �
14. Rough Plumbing ' 65. Electrical-Fina� �-... \� '
15. Rough Electrical-Conduit 66. Solar System-Final :'"'
76. Rough Electric Wiring 67. Fencing & Access Approval "� ,
17. Rough Wiring Sign . 66. APPROVED FOR PLASTERING'�
18. Rough Electrical.T Bar Ceiling 69. POOL/SPA SYSTEMS FiNAL
19. Rou�h Heating & Air Conditioning FIRE DEPT. REQUIREMENT
, - • -. ^,.7 - ,
20. Rough Pacto{y FirePlace �'' � '�� � ;, �' �� ',_" � a �qPpRO,VALS:'-' Permit # '
21: Duccs, in-Struciuie � , �� � - 1� � � �. 70. Under9rouiidiHydro
22. Ducts,Ventilating:i ��- �C �' ;.71. Product:Pi;in O'Gas O,OiI
�. :.i•-. i ri �-r. 1 P 9
23. Gas`.Pipe�Rough &�Tjest � � ` :� �.; � �i i �72. Underground Flush ;
24. Roof. Framing� �_ "' � - ' �y �' .� j ' '.73: ��llndergmd: StoracJe Tank O Gas O Oil �
25. Roo4, Sheathing ��- � � � � - � • �� �. `74. �,Overhead Hydro �
26.-T-Bar Ceiling IStructurol) & Monocoat ` •, '� � � - ' �� 75. Dry CFiemical ' ' �
i - r �: , � t �• >. r �`�
27. �frame and Flashing; - _ '' �' = �, , -. � � -. � j; 76. 6ry Standpipe ''-� � �
28. Lathing&Siding •• �'?�. .� �� '• •'�� r 77;��FIXEDSYSTEM;FINAL�
�29. Insulation . . �� •��� � -`�� , 2 �IL � � 7gys;FIRE PREV. FINA� i . '
� 30. Drywall Nailing � ��! , �� � ' � HEALTH.DEPT. REQU�REMENT
'31. Plaster Brown;Coat; .� ; ,,.�,• � ' �' �; � 79"FINAL INSPECTION .
i�32.. Electrifal'Power Meter-Finai � - i"� '�� ` � �' �. SO.�FOOD CERTIFICATE ISSUED 1
+ �� �
.33.-Final Electric . �_� � ' , j_ � � i � i� � Notes: ��� -. , . � � � i
>34. FinalHeating�&Air�Conditioning' �•��+� � � (r i� ti � I
� •,�'
35.'Final Gas Pipe-Test' "� i,i ,,� , � '
,.36. Hood ar CanoPY i : � _ '� � � � I I �y. ;. , i�, . .. . . i
i . i
i.�.'�� _�x.�-4 ., I ii 1 r�
37.`FinaV Factory Fireplace . i £-, .. ._ I ' y � ��'� ' �
, 38..Final Plumbing ! ,u � v J� � � ii - '
�
•39. Watei5ervice-Final, .. . -'- '' ' " _ ' � .
� t� , -. �
40. Gas Service�Final . „� u;�..�,� �.� �+ t ��� � r ' � � .; • �
41. $olar pomesticFinal ._ ��' ` � { �+ ' - " ;
� � � i.;� �r , � .
42.�BackflowPreventer' `� , _. j: � � � �i� i r ��
43. Backflow Irrigation'� - � � j , ; � � � � ; , .
� � iA.._ .
, 44. Landscape Irrigation System�•�-t , � � , i a . � . � ��
� 45.� Sound Attenuation� � ' � '" � � , � " ' . '�
i .t I t i
46. Handicap.Regulations �_ � , � i. . . , � �
47. FINAL STRUCTURE & BUILDING "' �.� � � � � - - - ;
48. FINAL PLANNING . , � � •x� :
. � .
49. EVectric Release to Edison � � '^ ' "
: �� .
50. Gas Release to Southem Califomia Gas Co i� . . � -� , . �
51. CERTIFICATEOF�OCCUPANCY , � ; � � , � ,
No. Date
.'I
0
PPO�c�tnooness: g50 GOVERNOR ST
OWNEP'SNAME: STEWART, WILLIAM ANDREW
aoogess: STEWART JANETTE L
950 GOV�RNOR ST
� COSTA MESA,CA 92627
ANCM/ENGINEEH: 6 4 6- 2 S 3 7 pEC.NO.:
ADOPESS:
UNIT:
UNIT:
'EpmiT'EE: JANETTE STEWART ( 714 ) 646-2137
aooxess: g50 GOVERNOR 5T
� CA.92�26
UCENSEU CONTHACTO o4�f1Fri0x: i nereny aHirm mat i am licensee un0er Drwivons ol hapte� 9lwmmencinp wit� Seciion
7000) ol Div�sion 9 0� I�e Business an0 Pmlessi0ns COEe. anG my litense is in �NI l0ice ana ¢�lecl.
CITY LIC.: STqTE LIC.: CIASS:
�ale. Signaiure:
. WOFNENS' COMPENSATION OFCNNATION: I �ereGy altirm Ilui I have a ceriifica�e o� COn5en1 to 5ell�insure o� a cetli�icate ol Workers'
� Compensation Insurance, or a ceru�ied copY Ihereol (Section 3800. Lab. C�.
'"POIICY NO.: EXP. DATE:
COMPANY:
❑ Ceniliea copy is �ereby IurnisAed. ❑ CenilieE copy is filed with t�e city Building Oivision.
�a�e: ApplicanL
E%EMPTION FPOM WOflREflS' COMPENSAPON OELUIIATION: �i'�is senion neeG nol �e tnmpkteE if I�e permi rs fa ane AunGrN (4100� a lew�.
I[erii�y I�ai in I�a p¢AOrmdnce al ��e work �or whit� Ihis per is issued I s�all not emplo ny � r50n in any manner so as to hecom¢
5u61etilo Ihe N'�rkea/'Comoen5a�ion �aws ol Cah�omia. /
o,�e: � 3�� Siqnamre: `
NO71C II. a.0 mawnq t�is EeGantim, you s�o :come suDject m t�e Workers' Compensatian D�ovisions oi lhe La�or
COC¢. you mu9 �o��wiltl [omDN w��� 5uth Orovi o or IN5 permit stull be Oe¢m¢G revoke0.
CONSTPUCTION 1EN01NG RGENCY: I IlereOy affirm i.ri I�ere is a wnsimctian IenOing aqenq br IAe Deflormance ol �he vrork br
wnich inis permit is i5sue0 (Section 3097. Civ. CI.
LENDEN:
AOOPESS:
IOWNEB BWLUEB OECUPR710N: I �ere0y affirm ttwt I am exempt irom t�e Contractori Siate Liceiae Law for tAa tollowinA �eason
(Section 70J7.5 Busineu anG Pmiessional Cotle: pny uty ol coumy wNc� reQwres a ce��� �o wnsiruci, atter, imprwe, Uemolish, ar
repair any simclure. prior to its issuance. also RQuires 10e appliwnt lor suc� oe�Ru� to lile a siAneA statement ttut he/sM1e is Iicense0
pursuant lo ��e pmvisions oI lAe Comraaors' State License Law (ChaD�er 9(commenciny wl� Section 700010l �ivision 3 of the Business
anE Pmlessions Coae) or rtut �e/s�e is eremD� ��erelwm anG ihe Gasa far tAe allepe0 eremption. Any Kolatlon ol Seciion 7031.5 6y
any aODlitan� lor a Oermil SUGIe��SIAe aOD�itdnl Ia a Gvil penalry o� nol more lha f•e undreG Oollar5 (E500�.
1 I, as oxmer ol �Ae pmpeny , .. ... � ... ' wlll ao ihe work, and ��e
is slmcWre is not imenae0 or ollerea tor sale ( et�ion 7614, 6u5in¢55 an0 PmIe55ional COee: The fAnUaCiars' Slale Litense Law
� i Ooes noi apply lo an owner 0� a pwpCriy w�o Duilds or imD�OveS ihere0n, an4 who tloes SUC� work Aim5e0/Aersel� or �hmuA�
his or �er own emDloyees. Orovi4e0 t�al suc� improvemenls are nolintenGeA ar ollere0 lor sale. II, �oweverlhe �uilAinA or
impmu¢menl is soltl within one year al comoletion. Ihe owner wiil nave ihe burden ol pmvinq ne/sne ditl not Euild or impmve
for �ne purvose ot sale).
I, as owner 01 I�e pmDeny, am exCluSively cannactinp with licensea comracmrs to consVuci I�e prolCci (Seclion 704E, Business
❑ anA Prolessions CaAe: T�e Contractors' State License Law dces not apply io an owner of Dmpetly wl�o �uilds or impmves �hereon
ana wh0 ConVatlS �or Sut� proletls wi�� a COnlratior�s) litense pursuant IO i�t fAnlratiofs' Siale litense �aw�. 1 am aware
Inal prual al t�eir Worker's Campensatpn insurance s�oultl be provi0etl to me.
� I am e�empt untle� Section: 8. 8 P. C.
lor inis reamn: / ��.�.�
oa�e: -b--3 /-Q� o,�e� L ��'�
I Oo �eieDy cenily thai I am aware ol and unEerstana t�e reduiremems ol hfomia Healt� anG Salety CaAe Sections 25505, 25533, antl
25534 ana Ihal I ar any lulwe ouilUinq acupant wilWNl not (Grcle one) nee0 to ComDN �+�h SaiE stata cOGM a(b t�e reQuiremenis for a
permil lor canslmclion Or moGdiwti0n Imm Ihe Air uabiy Mxnagem¢n1 Dairic�. fleSiEtniul conSVuctian appliWtions are eaempl Imm
these p�ovi5ion5.
oa�e: poo��canc _
I nereoy certily inal I nave reao inR aoo����ion an0 slate tnal
orEinances anC s�ate laws retating to Ouilaing conSVUGion and �
D�oOerry lor miDec�qn OurpoSes
�Daie: _� �I �% SignaWre: _
Dri�er's �¢ense or Sociai Sec?��iv •:
�o comOh wilh all cily
to enler upOn Ihe abon
.
164La6 Wnile-Bmlamg; Green-Cotle Enbrcemem: CanarY-ApPlicanL Pink-Revenue: GoltlenroE-Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO; EMP 04969
PERMIT NO: EMP 049698 PLAN CHECY. NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: PERMIT TYPE; ELE MEC PLU PURPOSE: OTH
JOB DESCRIPTION : EMP / RESID 6 261SF GARAGE EXPANSION SQ FT:
CLAIM VALOE: CALC-VALUE: GROUP OCC: R-3 /M-1
COMMENTS: B-49523
xx�r***«�*******+��r*****x*�r��r**+�*******�r****x�*�r**�r***�e***�*�***�rx��r+�**�r*x�*�r*�******
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
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 RE�• PROV: PARCEL; 42242321 ZNE: REF NO:
PLANNING N TES>
. � _
af iE )F iFiF ikiE �F if it k �k k iF iF k if k 1E if if if iFiE iE iF aF if if iF iE if iF iE if iFiE 1E iFiE �F iE iE �E �E if iE it �E if iE iE iE iE iE iEi!� iE iE 1E if iE if ik 1E if IEif �E iFif �E �E if iE if if iE iF
D E V E L O P M E N T S E R V I C E.5 R E Q U I R E M E N T S
�
20NING APPAOVED BY � ' DATE: •
BUILDING APPROVED HY : DATE: , �
APPLICATION ISSUED HY; ' � ; DATE: �O13 (����
if M iFif if 1F 1E 1F 1F iE iF 1f 1E k it iE ih �kiE if 1E if 1f iFiE if if if iF iE if if�7ii�iF k
iF if k iF If iE ik 1F �FiE fE if 1f if rt iE iE if iF if 1E iF iF iF if if iF M if 1Fdf if IE ik iF * k ik iE M!f iE 1(� ik iF if dFif �IE1FiF if if iF �f iE if iE if �FiE 1E �f if 1F �F ik if iF if if iF iE it% iE if iE 1f
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 19.00 42.90 15.50
25i SOt 25R SMIP/NON-RES
PLAN
ISSUE FEE 3.00 15.00 15.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 77,40 33.00 0.00 110.40 110.90 .00
REVENUE DIVISION TOTALS--> COLLECTED: 110.40 OVER/SHORT: .00
BLDG PMT PLUMHZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
22.00 57,90 30.50
iF if iF if M iF fk ik if k i! IE If If M if !f 3F.1f If if if if if aE k iF if IF if ik iF iE if if iF M If if iE iE iF if 1f iE M if if iF IF iF iF ik M iE if IE ik i(� if if iE If iE jF iF 1f if iF if if if i! iliF IE iE iE if
�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 Z O N UNIT COST TOTAL COST
ELE
ELE
ELE
MEC
PLU
PLU
PLU
20
2
9
Z
1
1
1
1
1
1
FIXTURES LIGHTING 1 ST 20 EA.
RECEPT/OGTLET 1 ST 20 EA.
RECEPT/OUTLET ADDITIONAL EA,
RECEPT/SWITCH 1 ST 20 EA.
RES APPLIANCE NOT OVER 1,0 HP
MOTOR/POWR APPARATUS 0.0 - 1.0 HP
INST FORC-AIR/GRAV FURN <= 100 K HTD
FACTORY FIREPLACE � N�R SJD�J
BArxTua
LAUNDRY TUB OR WASHER
WASH BASIN
.75 15.00
3.00 6.00
3,00 3.00
9.00 9,00
2.00 2,00
0
0± a00z;;ipp-uA073049 Tr eT 2.00�,•:�
OATE: i(iisUl90 T.�i'c� G�'2�J
. --
CONSTRUCTION AND PLANNING �L 5 SPA
� APPROVALS Permit # Date Inspector AppROVALS • Permii # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soil Pipe�Undrgrnd. � �� �� 3. Steel Reinforcement � �
3, Electriral Conduit.UtilitV�Undrgrnd. 54. Forms
-4"�Electrical Conduit:Undrgmd. 55. Electrical Bonding
�5. Steel�Reinforcement 56. Rough Plumbing & Pressure Test
- v -,.
;�6: Eleitrical UFER �.md. 57. APPROVA� TO COVER�GUNITE ,
:.7:' FoOtinqs �: � 58. Electrical Conduit-Undrgrnd.
� 8. �Foundation '� -- 59. Gas Pipe, O, Undrgrnd., Test �_S
. 9. Water Pipe-Undrgmd. � 60. Backwash Lines, P�Trap, 0 Undrgrnd.
10� Structural Floor SYstem �� 61. APPROVAL TO DECK ' -� �
11; PropErty Sewer Line-& House Connection �' 62. Backwash & Receptor-Fina�
12. Sewer Cap _ 63. Heater &�Vent-Final •'
13. Roof Drains . -� 64. Plumbing Sys[em - Final ��
14. Rough Plumbing � Q� , (� 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•7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � � (� FIRE DEPT. REQUIREMENT
- -• �11J]'- S e , b,�t�.R-:Lzlq:-� .T1.r
20. �Rough Factory. Fireplace ; . �`. Z�� � < L� a�.• r qppROVALSo._ �,Permit # ^-� '� , ; �!�+ �+. ?".
Ir' . _ M:} 1 1` :).y{- '1 1Y t.11 M1�' f��H. 'rt
21. DuCts, in,Structure'T ' ' =' ' r ' • ° °.` - • • �""` t-' ° "•
�. � . .... .� C , � 70. Undergrourid_HYdro ,
22. Ducts, Ventil2ting i � ." " `; ''� c71. Product�Pip�ng O*Gas ❑Oil
23.'Gas Pipe�Aough & Test �� l�L(( � �0.'� � �72, Underground Flush� � ;
� �� �.�
24.�Roof,Framing. • - - -•_ _'> � +r � � �73.-Undergmd:StorageTank OGas �Oi1�= � .� . ---�- - � - -
25.`RooYSheathin ` �'� ^' - ��� ' " `
g , `� - � i '74..�verhead Hydro �
26.�T�Bai.Ceiling (S[ruct'urall & Monocoat .� �� '�-_�s �}. 75.`Dry Chemical �� ' . � 7 •'a �:•s l^" •
27. FrameandFlashing�' 'z_ ' ^ '-� ~" 76.`DryStandpipe -� -� '�• � '�; � .�`
„ , a+ �'� � ^�in.. �t:.� ,):� _S2
'28. Wthing & Siding . . ��� ;,� �; r � � v i 77. --FIXED SYSTEM�.E�NAL�� � �� ��'� � '�!^�-�' .-a' `
��
* ."�.:.. Y,� L. ,. _ .,^. :- ��rr�i,;'-�C:, r•
29. Insulatiori - . � ., ., 78.�FIRE PREV. FINAL^ ' �-, � s � �;;i_ „- , t
i30. Drywall Nailing i� � n`� j �+ t r���.� � HEQLTH;DEPT.':REQUI�RENIE'NS ��- ;r m��
31. Plaster Brown.Coat'r ' -t � ' " �' 79. F'INAL INSPECTIO,,N - � • E� ^'���- '� � �
r� �- n� h a. �� n. i "i -]
� -.H .r � � :1 'n^ • � ' � � t. �.
32. �Electrical:Powgr Mete;�Final � :} �: � �y : t80. FOOD CER7IFI�+qTE�ISSUED �+ �•� zr, �
33.'FinaYElectric� ' _ ' �: -9J`� � I; � 'Note's:. '� ,;•� „ . _ - �'i
34.�Fina1?Heating:&Air'�`onditioning� � ��lj' � �ti �,•. ����. - y ; �:�• --.� _
35. FinahGas_Pipe=Test� _ =. ' � ' : �' '• .�^ ..
c: o r
v ,4 7 V:L�J � �• ..'ii. C1 �
. .. �i _ . .. � . .
36.'Hood�or CanoPY • - � r � -'1 � s . . n . .� - :' . . - ' :,
37.<Final Faclory FirePlace .5�- -^ i ��u � , -- i �o":� •
: n. n :C• •� ' �-
r i �.
`38. Final,Plumbing • . .•.. i, J 8�, � �� v � j� . . �r ir_ - •.-�
�39. WaterService-Fin81r ' , � / ��Q� i � ��//� '+ , Y CIO.. o vC.� . -. ' =c
V'�` 1 i
�40. Gas�Service-Final � � " � • � � '- � � �� . '. :`:= �
b� �:':*' S � J7 j'- �^ ^-CJ ' 7
•.41. Solar pomestic�Final � � •• =-i � ` :,� �
� n � r �yt� ' � :
�42.�8ackflowPreventer' .. `'' ' " - ' -
� � (• � -
43. Backflow Irrigation � � . ' � �' Y � `� •"''.��'-'
rr r' t
�44. Landscape Irrigation Systemm, r� - � „� � - ; i ., �� ' ,`.�,= ,-���� "- -
'��45. �Sound Attenuati0n� . r � . . t � F� t � � r . ' "' - �
� ,� !_r.
46. Handicap Reyulations �' - ; � �� �+� � � " � ;`� �� ' ';
� �
47.,FINAL STRUCTURE & BUILDING ` �:3� � _ �� • � � . � �
•48.,�F,INAL PLANNING �` � � "� � � ' - �
y � �.+
49. Electric Retease ro 6dison , _I � '. �:; � � _
'50. Gas Release to Soutfiem Califomia Gas Co ' I �/ ��` - � . „ � . . ��'` . . . : . . .
'51. CERTIFICATE OF OCCUPANCY" ; ' j� - : � . _ - : -, ,,,- -
No. Date
PBI�CT PDONESS:
� OWtIEfl'S NPME:
PO�JIESS:
AflCHIENGINFEfl:
nooness:
PEflMIiTEE:
aooeess:
flEC.NO.:
UNIT:
uxiT:
LICENSED LONTPRCTOfl DFCIAflATION: I �ereEy af�irm Iha� I am IitBn5e0 un0er provisions ai Clwpi¢r 9(Commencinp wilh 5¢Ction
7000) ol �ivision 3 0l Ihe Business an0 Pmle55ions Cotle, anE my license is in lull lome antl eilecl.
LITY LIC.: STATE LIL.: CW55:
Oare: S�gnamre:
WOBKEPS' COMPENSR710N OECLAflATION: I �ere�y allirm itWt I liave a renilitdte of consent to selbinsure or a ceniliUte ol Workers'
Compensation Insumnce. or a cetldiea cooY �hereol �Section 3800, LaG. C).
POLILY ND.: E1(P. OATE:
LOMPFNY:
❑ Cerli�ie0 toOY i5 hereCy tum6he0. ❑ Cenifie0 copy is tileC wit� ihe ciry BuilaNg ONivon.
Oate: AODlicant
E%EMP�IONFHOMWOBNEBS'COMPENSIITIOXOEQAMTION: (Ttti5uc0onneeCimlDecomDlMeOilNepermili5faonehunOreG�5100�or1e55�.
I certily ��at in t�e pedormance a� t�e wark for wNch W5 permil is ixtueE, I shall no� employ any person in a`ry manner so a5 io become
Su�leCi �o I�e Workers' Compensation lavrs 0� Cah�amia.
Date: 5'qnamre:
NOTICE: II. aRer matting t�is Gec�aration. you slioul� Oecome suGject to ihe Wo�kers' Compensa�ion pwvivons o� I�e La6or
COOe. you musl forihwit� [ompty xii� such O�R'�sions ar llr5 p¢rmil S�WII Ee Ueemetl revoke0.
CONSTNULiION IENDING AGENCY: 1 �ereEy a�firm llul ��ete ¢ a wnSlruCiion 1¢nEinp aAency lor lh¢ petlormanCe o� ihe wOrk br
which t�i5 Oermn is issueC �SeClion 3097. Civ. q.
LENOEP:
AODflE55:
IOWNEN BUILDEB OECtAPATION: I �ereEy aifirm Uui I am e.empt Irom t�e Contracmri Sure License law br IM followinp reason
(Seclion 7031.5 Business anU Prolessional CoOe: Any city ol rAunty w�ic� teduires a permil to conStmct, alter, improve, tlemalis4 or
�¢Oair any StmcWre. D�b� to its i55uante. a150 Rpuirts Itre appGant lor suc� pErmit to lile a SigneO statement �hdi �USM1e I5 IicenSM
pursuam to ��e pmvisions ol the Comranors' Stale licenu Law �CIupR� 9(wmmencinp vnt� $ection 7000) ol Division 3 oi the Business
anE Pmtessions Catle) or Rut n�sne ¢ exem0� ��emlrom anE ttx Easis lar Ne aflepe0 eaemp�ion. My violatbn ol Section 70.71.5 hy
any applicani lor a permit sublects t�e apptitanl to a civil Oenatty ol not more I�an five �unOreG Oollars (550�).
I, d5 Ow�Ef 01 IIIE plOpCfl`/ Of ffl•J CfflplOyClS witn wapes d5 II1CIf wle com0e�sation, will tla Ih8 WOlk, dlltl IIIB
� strucwre is not imen0e0 ar olle�N tor sale (�tlon 70aa, Business anE Profeubnal COGe: Tha Coniractors' State License Law
Ooes not aDPN �o an owner of a propeny who Oui105 or impmves inemon, an0 wtio Ooes suc� wod Mmselll�erself or throup�
+- �is or �er own employees, provi4eU ihai suc� imprwemenis are not intentle0 or olhre0 lor sale. II, �owever tM �uilUinp o�
im0�ovemeni is sda wi10in one year ol compleiion, I�e own¢r will �ave I�e UurAen ol OrovinB �e/s�0 OiG no1 build ar impmv9
to� Ihe pUrpOse 01 Sdte).
I. as owner o1 Ine pmpeny, am eKtlusively coniractinq witn IiceRteJ conlractors to wnSiNct ine D�oiect (Seclian 7044, Business
❑ an0 Professions COAe: The Convactors' S�ate lkeme Law aces not appty to an mmer o1 procehy � �utlEs or imprares t�eaon
an0 wh0 ConlratlS lor SUC� Om1��5 wiltl a toniraClOr�s) liC¢n5! pur5uani 10 Ihe fAnifat�or5' Stale Licensa Law�. I am aware
tnai praol ol ��eir Worker's Campensatmn insunnce sMu10 Ee pronGeE to me.
� I am e�¢mpt under Sec�ion:
�or I�is ieasan:
Oa�e'.
B. 8 P. C.
Uvner.
I tl0 here�y cerUly I�at I am avrdre nl anG un0er5�aM I�e repuiremeni5 ot CalilOmia Heatlh aM Sa�eiy COEe $etiians 25505, 25533, 2n4
2557C and Itui I ot any lulme builtling occupant wiNwill nOt (CitUe On¢) n2E0lo cOmpty unih sai0 Slaie ca0e5 antl th¢ repuiremen�s lor a
permit lo� consimc�ion or modilica�ion imm t�e An OuaL1y Management Di5lrici. fleSiGenlul wnsimction aDDlicaiions are exempl hom
IhMe D�avisions.
Oaie.
ApPlitani:
I hereGy cerUlyl�ailhave rea0i�i5 aODlication anG Slaie Ihai I�e a6oveinformation ¢ wrreCl.Iag�eeio cOmDly wiN alltily and tDUnly
ortlinances an� state lam relating la buBGmg can5lruiion anC �¢re0y autlpr¢e repre5enialivu ol IN5 pty t0 enter upOn IM a0we�meniioned
pmpetly lor in50etuon pur0ose5.
Oate' Signamre:
�river's License or Social Secunty a:
1641-n6 WOne—Builaing: G�een—CWe EntorcemenC Canary—Ap0licant: Pink—Revenoe: GolQanrotl—Asseswr
PEAMIT NO; EMP 049698
PLAN CHECK NO: 06506-90 N PAGE: 2
+�*+r*�+r�t�r*�r*+��t+t*�t*+t+t*��*�tr�t**�r*��r*+��t*�t�r+r�rx �r�r�r*+e+t�r*�r*xx��r�*+t�+r��r+r��***�r�r�t��r�r�r*+t*��e
TYPE QTY D E S C R I P T I O N UNIT COST TOTAI. COST
PLU
PLU
PLU
PLU
PLU
WATER CLOSET (TOILET) 2.00
WATER HEATER AND/OR VENT 2,00
GAS PIPING SYS OF 1 TO 4 OUTLETS 2,00
SEWER, CONNECTION TO BUILDING EACH 5.00
4iATER RE—PIPE 2.00
END OF FEES
2.00
2.00
�,00
5.00
2.00
j�D4JF`�E�A�E 4i�Cf�Ts�"r'T�
O1 ODO,'�697—,pD7309S e �� ,•' ,�
_ �,.,.
CAiEa YC/3Q1?� TIfiE: 09;��
a. �
�, CONSTRUCTION AND PLANNING JL & SPA
APPROVALS Permit# Date Inspector pppROVALS Permit# Date Inspector
1. ; emporary Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrica� 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. Electrica� Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structura� Floor System 67. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. Sewer CaP 63. Heater & Vent-Final
' 13. fioof Drains � 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical�Final
75. Rough Electrical�Conduit 66. Solar System•Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
. 77. Rough Wiring Sign 68. APPROVEO FOR PLASTERING
78. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. iRough Faatory�Fliept3ce APPROVALS Permit#
a M �^t�"1^
21. Ducti, in�Struaure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas OOiI
23. Gas P�ipe�.Rough & Test 72. Underground Flush
�
24. ,Roof, Fr3ming�-.-.�.� 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. 'Roof Sheathing� 74. Overhead Hydro
26. ,T: Bai Ceifing;(�yctur,al) & Monocoat 75. Dry Chemical
27. jrartle arid' Flash� g M�- 76. Dry Standpipe
28. �ath.in & Sidins'�.�=�'�
g 9 77. FIXED SYSTEM FINAL
29. Insulation, � ��` '" ���
� _,a�c ; 76. FIRE PREV. F AL
30. Drywall Nailingp7� ,� - HEALTH DEPT. REQUIREMENT
31. Plastgr Brow^Coat�nr 79. FINAL INSPECTION
32. Elec[rical PowerMeterFinal 80. FOOD CERTIFICATE ISSUED
33. Finaf ElecIricMs'�'' J.� Notes:
34. 'Fina��HeaCing&-Air �Conditioning /
35. �Final Gas Pipe�T-est `= C
ir: �r
36. �Hooa or Canopy "C �,.
37. �Einal Factory FireDl�ce '-fT',+
38. Fina4�Plumbing i�
39. Water Service�Final+r^ �
> .�
60.',Gas Service�Final ��5
� 47. �Solae Oomestic-Final
42. .Bacliflow Preventer
43. Backflow Irrigation��'..
44. Landscape tr7iqat�on-System
45. Sound Attenuation
46. Handicap Regulations
47. �F�INAL STRUCTURE & BUILDING
,
48. FINP,.L PLANNING
49. Electric Release to Edison
50. Gas f?elease to,Southgrn Glifornia Gas Co
51. CERTIFICATE_OF.00CUPANCY
No. Date
PHOJECT AUOXESS: ] S O GOVERNOR ST
OWNEN'SNAME: STEWART, WILLIAM ANDREW
aooer,ss: STEWART JANETTE L
•� 950 GOV�RNOR ST
" COSTA MESA,CA 92627
AflCH1ENGINEEH: 6 4 6— Z S 3 7 qEG.NO.:
RDONESS:
uxiT:
UNIi:
PE"MinE`: JANETTE STEWART ( 714 ) 646-2137
aooness: 950 GOVERNOR ST
C.M. CA 92626
LICENSED CONTflACTOfl DELUflATION: I hereDy a�lirm I�at I am lit¢n5e0 un0er pmvisions ol Chapter 9(cOmmencinA witA Sec�ion
70001 0l OiNsion 3 0l ine BuSiness ana 7�olessions CoOe. ana rtry Ikense is in luo force ana euec�.
CITY IIG.: STRTF LIC.: C1A55:
Dale: Sg�amrt:
,
�OBKEPS' COMPENSF710N UECIAMTION: I �ere0y allirm that I luve a cenilicate ol wnsent to seli-insure or a certificate ol Warkers'
ompensation Insutance, or a cerulietl CovY ��ereol 15etlion 3800. Lao. C�.
�POIILY NU.: E%P. U�TE:
COMPANY:
�] CeNlietl [oDY is hereby fumish¢a. ❑ Certilietl wpy i5 lilcd wit� the uty Builtling �ivBion.
�ale: ppP��ani:
E%EMPTION FPOM WOHKEflS' COMPENSRTION OECUIflNTION: (Th¢ se[Ibn neeG nol Ee comDkteC il �he permt is ta one huMrM (5100) or kss�.
I ceriify tMt in ��e DeAormance o� the work lar wNcO this oermt i5's5ue0. I stwll not emplpy a(ry Oersan in any manner sa as to Gecome
subjecl to Ihe WorkeR' CampenSation Laws o� Calilomia.
Oa�e: Signa�ure:
NOTICE: 11, at�er maWng iNs aeclantion. you snoul0 Oewme suDl�� �a ��e Workers' Compenution D«sions of t0e LaDor
Cotle. you musl lanhwie� wmpry wil� su[h O���s or iNs Oermit shall Ce OeemeG revOk¢E.
CONSiHIltTION LENDING PGENCY: I hereGy ailirm rtwt t�ere is a conitmction IenUing aqency for t�e peAormance al t�e work br
w�ich Inis Oermn is issuM (Sepion 3U97. pv. C�.
LENUEX:
AODNESS:
IOWNEB BWLOEB OECLABA7ION: I nereEy affirm iha� 1 am e[empl imm Ine CAnlraclor5' Stale License Law fo� ihe lollowinp reason
(Seclion 7031.5 Business an0 Pmfessional COGe; Any aly ol fAunty wMc� r¢puiRs a Dermit to conslNCt, atter, impmve, tlemolish, ar
reoair any slmcture. D�io� to its Rwan[e. al5a repuires Ine aoOliWnt lar such vermii Io file a SiO�eA statemenl Ina1 nC/sha is IicenseJ
pursuanl la t�e pmvisions ol lne Con�ratlors' Stare License Law �Chapler 9 �commencinp vn�n Section 7000) o� Division J oi Ihe Business
an0 Pmles9on5 Co0¢� ar ihal �¢/5Ae is eaempl �he�¢Imm and l�e Oavs lot t�! all¢0� QremD���. �Y �olaiion ol SEtlion 7031.5 6y
iy appliwnt lor a permit SUGjecii Ne appliUni Io a civil penalry o� not more I�an live hunEreG COIlarS (5500�.
I, as ov+ner o1 ine prooeny or my emVloyew vnth wa0es as their mle compensaiion, will tlo the work, an0 �Ae
stmcmre is nai intenUeU or onere0lor sale 15eclbn 70<C, Business anE Pmlessianal CoOe: T�e Contractors' Stale License Law
I� Goes noi apory to an awner ol a O�openy wtp �uilCs or impmves t�ereon, anE who Ooes such wo� �imsell/herself or tAwuOh
his or �er own employees, proviOeG i�at sucA impmvemenls am not intentlea or oflerc0 lor sale. II, however ihe �uiltlinA or
impmvement is sda vuthin one year ol comDlerton. �Ae owner will luve t�e OurGen of provin0 hNSAe Citl not buila or imDmve
lot ihe purpose of salel.
I, as owner ol Ihe pmpeny, am exclusively tontlatiinq vni� litensCd COnlratlor5lo tonSlN[� �he D�Oj¢CI (SecliOn 7044, Busine55
❑ anG P�O�essions CoOe: T�e Coniradars State License Law Oces na appty to an owner al D�ocerty vAio Om105 or impmves ihereon
anC w�a contracis �or such pmle��s wil� a wmractoqs) licenu � rsuant to t�e Coniractors' State License Law). I am aware
I�ai pmol ol ��eir WOrker'S CamOensalion insurante s�oulA Oe p iAeO lo me.
� I am ezem0� untler Seciion; B, d P. C.
lor IN5 teason:
Daie'. �- � ( ��� Own .
I tlo hereby cenity I�at I am aware oi anA untleislanE I�e re0uiremenls Cal omia Heallh an0 Salery COAe Seclions 25505, 25533, antl
25594 and inal I ar any futwe Duilding occupanl wilVwill noi (cirGe one) n.0 o comD�' ��h saitl state cotles antl IM1e requiremenis for a
permii for can5imctian Or motlilicalion Irom Ihe Air Ouah�y Manag¢ment icl. Re5i0enlial conslmc�ion applications are erempi Imm
I�ese provisions.
�ate: Npplican!
here�y cerlify ihal I have rcad Ihis applicalion and slal IA
or0inances and slatelawsrelaiinglo UuilOing con9mciion i
pmPeriy lor insp—et7lion ppUrpoS¢5.
�a�e: ��!_/� Signaiure
on�ers �icense o� sociai secumy +:
16a1-a6 wmie—euiitling; Green—Coae Enlarcement:
is correcl. I aBreeio comply with all city antl caun�y
ntatly¢spf ih'�"y.�a enter upon the above�mentionetl
Pink—Raven�e; GolaenroE—Assessor
.. j
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05094
PERMIT NO: E 050948 PLAN CHECK N0: N GOVT: N SOPP: Y
CONSTRUCTION TYPE; 5—N PERMIT TYPE: ELE PORPOSE: OTH
JOB DESCRIPTION : ELECTRICAL METER UPGRADE SQ FT:
CLAIM VAiUE: CALC—VALUE: GROUP OCC: R-3 /M-1
COMMENTSc RE: B49523 PRIMARY BLDG. PERMIT.
�r*�z���*�*�r*�r�x****�*+�*�r�r*+��r+r**�x�rx �*�����er****fr*�rx�r�x�,rw***��r�z�*x�r�r�r��*�r**xx�***
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING ---------
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: 42242321 ZNE: REF NO:
PLANNING NtST'ES>
1
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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:
BUILDING APPROVED BY ; • DATE:
APPLICATION ISSUED BY; DATE;
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LEGALIZATION:N F E E S tJ M, A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELEC"CRIC MECHANIC FIRE SMZP/RES GRADING
PERMIT 18.50
50$ SMZP/NON—RES
PLAN
ISSUE FEE 4,50
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 18.50 4.50 0.00 23.00 23,00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 23.00 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
23.00
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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 UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18.50 18,50
END OF FEES
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CONSTRUCTION AND PLANM�,,.,; - ��� 'PA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
7. Temporary ElecUical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utilicy-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. Electrical Conduit-Undrgrnd. `
8. Foundation 59. Gas Pipe, O Undrgrnd., Test ;--
' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. -
_ � `
10. Structurai Floor SYstem 61. APPROVAL TO DECK � - ' `
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � `�
12. Sewer Cap 63. Heater & Vent�Final �- �t� :
13. Roof Drains � 64. Piumbing System • Final ' -
74. Rough Plumbing � 65. Electrical•Final �
15. Rough Electriwl-Conduit 66. Solar System-Final �.` �� ' �
16. ROugh Electric Wiring 67. Fencing & Access Approval �
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING �{r
18. Rough Electriwl-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Pireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test �, � � : 72, Underground Flush . .
24. floof Framing � � �• , 73. Undergrnd; Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro�
26. T-8ar Ceiling (St�uctural) & Monocoat 75. Dry Chemical ' ' '
27. Freme and Flashing , 76. Dry Standpipe '
28. Lathing & Siding � ' ••� •• •�� � 77.' FIXED SYSTEM-FINAL �
i
29. Insulation .. I � � 78. FIRE PREV. FINAL
� 30. Drywall Nailing ' � ; � HEALTH DEPT: FEQUIREMENT
31. Plaster Brown Coat , � � I �, 79 NAL INSPECTION ,
32. Electrical Power Meter�Final � � •1� � OOD CERTIFICATE ISSUED
33. Final Electric � otes: � � .
34. Final Heating & Air Conditioning I � � • -
i
35. Final Gas Pipe-Test ' � � `� '
1 � �•
36. Hood or Canopy �. � .
37. Final Factory Fireplace I �, � '
38. Final Plumbing � �i�
I
39. Water Service�Final ' � � �
I I.
40. Gas Service-Pinal . � �. `
41. Solar pomestic•Final • i '
42. Backflow Preventer � � . ,
43. Backflow Irrigation
44. Landscape Irrigation Sysrem . �
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING I � '
48. F�NAL PLANNING ! , '
�
49. Electric Release to Edison ' � '
1 i' ,
50. Gas Release to Southern California Gas Co � ���
51. CERTIFICATE OF OCCUPANCY
No. Date
OR4NGE COUNTY BUILDING DEPARTMENT
� 636 North Broodway -
� SANTA ANA, CALIFORNIA ' .
FOR APPLICANT TO FILL IN
ADD EI55 7J� Governor Ot•
s�Hoo� DIST. COBtiQ Mesa
OR TOWN
NEAREST
cRosssT. Natlnnal AvP_
cirv De
ARCHITECT
ENGINEER
AODRE55
APPLICATION FOR PERMIT
��uiL����
FOR OFFICE USE ONLY
RECEIPT NO. PF.RM
�7y�/l� • �
BV OATE REG'D. DATE
� ��'/ J �
aw Homea Inc BUILDING 0
ADDRE55
W17.eh12`@ B1Vd• SCHOOL DIST.
1 OR TOWN
HLZ18 No`�cx 5436i NEAREST �
CRO55 ST.
cKerrachea�'O. ZONE �NO^'OS T'
Rd � � --�
ADDRE55 9 63 Wilahire—Beverly Hil
]ESCRIPTION NOT R� BLOCK I TRACT ZH / G
fATTACH METES @ BOUND51
SIZE OF LOT 7O X lOJ I NOW ON LOT O
USE OF I NO. OF I NO.OF
EXISTING BLDG. Fwnn�¢e RO MS
CENBER OFISTREETM�e 1 U. SEDE YAROZO �ZY
DESCRIPTION OF WORK
NEW I xI ALTERATION I I AD�iiiON I
REPAIRW ,1I I MOVIN6 I I DEMOLISH I
SREDl�)'i SQ.P4.ROOMB S STORIES 1
EXTERIOR WAL ROOF a^ ^�{m
`VERING �tUCCO I GOVERING U��`+p�lE
: OF NEW
_�ILDING Reaidence—att.CarAort
i HEREBY ACKNOWLEDGE THAT I HAVE READ 7H19
APPLICATION AND STATE THAT THE A90VE IS CORRECT
AN� AGREE TO COMPL.Y WITH ALL COUNTY OROINqNCES
AND STATE LAWS REGULATING BUILDING CONSiRUCTION.
SI PERMUlTE F DQ/ly�b��a. V�84a C�•
AUTHORIZED AGT.r ` � �
1' PHFMIT FEE $ U
VALUATION S 'i'83O � OO p��H CNEcrc S +1
TOTAL G
FEE
APPROVED
BY
CORRECTIONS
APPROVALS
iqTION: LOCATION INSPECTOR DATE
1RM5. MATERIALS, �
tlDER.PINNING ��LI� •1'P � �Cf
: FIRE STOPS, �j �
:AQNG. BOLTS j
INT. .� � {
//C} V/`
E%T.
_R. INT. [`"
:R. PJ(T. ,t . =,J "V 'v
IRY REINFORCED
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