HomeMy WebLinkAbout979 GOVERNOR ST - Building Permits�
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PflOJECT FOOPESS: 9'] 9 GOVERNOR ST
OWNEN'SNRME: SNITH, STEVEN LEE
aooeess: SMITH HOLLY L
979 GbVERNOR ST
COSTA MESA,CA
646-0865
RflCNIENGINEER:
ADDNE55:
UNIT:
92627
flEG.NO.:
UNIT:
PEflMITTEE: �(S ELECTRIC ( 714 ) 641-3550
aooness: 1315 EAST ST. ANDREWS PLACE C
SANTA ANA CA 92705
UCENSED CONTHACTOfl OELLABATION: I �ere�y aliirm Ihat I am licensed unC¢r D�ovi5ion5 0l C�apler 9(commencinp wilh Sec�ion
7000) ol Oivision 3 0l I�e Business an0 Pwiessions Code. and my license is in tull force antl etfea.
ciT�04 3 STFTELIC.:4BOZZ� cu��� —
� Signamre: —
WOHNEBS' COMPENSATION OECNflPTION: I hereby a�lirm thai I have a cerii�icate o� cOnSeni to 5el��insure or ita�e 0� WOr ¢rs'
Campensation Insurance. or a certified coDY �hereol (Sec�ion 3800, Lab. C�.
POLICYNO.: WPBOS�IOSO�{ E%P.OPTE: LO/OII9Z
comraNv: FIREMANS FUND
❑ CenilieE capy is �ereEy Wmishe0. � Ceniliea copy is Iiiea nt� ie ciry BuilOipnp Division.
(� / /� �
a1Sl e: � I /� Applicant �
E%EMPTION FNOM WOflRENS' fAMPEN5ATI0N �ECIAMTION: (Tlus section neeU no� be wmpletea il �he perm� is for retl (S 0) ar less�.
I cetlity t�a� in I�e pedormance ai �he work lor whlc� ��is permii is issuetl. I shall not employ any person in manner so as o become
�, suoie�� �o Ne Workers' Compensation laws oi Califomia.
Oate: Signaiure:
NOTILE: If. alter making I�is declaration, you 5hou10 become suCleci Io fhe Warkers' ComOensaiion Dmvisions ol ihe La�or
CoOe. you must fonhwith comv�Y �'^�� sucn provisfons or this Dermit shall be Ueemea revokea.
CONSTflUCTION LENOING RGENCY: I hereGy aflirm Ihai t�ere i5 a conSlmciion leneing agency lor IAe Dertormance of the work lor
which Ihis permit is issue0 (Section 3097. Ci¢ C�.
LENOEP:
nooeess:
OWNEB BIIILOEfl OELLABATION: I AereGy aHirm I�ai I am exemp� IrOm the Conifatlor5' State License Law lor ihe lollovnng reason
ISection 7091.5 Business and Pm�essional Code: Any cily o� counly wt�ich repuires a permii In consWc�, aller, impmve, demoli5h, or
repair any stmcwre, prior io its issuance. alm reQuires I�e aOV�icant for sucA permit m lite a signeE statemem that he/she is licensed
pursuam to ihe pmvisions ol t�e Comracio�s' State License Law (Ctwpier 9(wmmencing with Section 7000) ol 0ivision 3 of the Business
ana Professions Co�e) or that helshe is e�empi �heretmm antl the easis lor ine atleAeO exempiion. Any violation ai Section 7031.5 by
any apo�icant lor a Dermil su0jects Ihe appli[aN to a civil penalty ol nol more ttwn live nuntlred tlollars (E500�.
I, as owner of Ine propeny or my emVloyees with wages as ineir sole campensation, will do ine work, antl ihe
❑ s�mcture is not imenaetl or alteree for sale 13eciion 70aa. Business anA Professional Coae: iAe Coniraclors' State License Law
does not ap01y lo an owner of a O�oOeny w�o UvilUs arimproves IM1ereon, anU who Ooes suc� worN himsell/Ilerseif arlhrouAh
Ais or her own employees, pmvitled ttut suc� imD�o•emen�s are not imen4eA or a11ere0 lor ule. II, �owever Ihe buil0inp ar
impmvemenl is Sala wilhin one year ol comvletion, ihe owner will have ihe �urAen al Dmvinp helshe Aitl nol builtl or impmve
for ine puroose oi sale�.
I. as owner ol t�e oropeny, am erclusivery conVac�ing wit� license� canVactors to constmc� �he pmle�� (,Section 70E4, Business
❑ and Prole55ions CoAe: T�e Conirattor5' $Iaie Lit¢iae Law tlot5 n01 appty �o an owner ol pmp¢M �o hu1105 af Impmves �Aer¢an
''� antl who coniracls lor such O�ojec�s vnlh a conlracioqs�litense pursuan�lo Ihe ConUaciors' Slale License Law�.l am aware
I�ai pwol ol Iheir WOrket'S Compen5ali0n in5urante ShoU10 b¢ proviG¢0 lo me.
� I am eeemp� unaer Seclion: B. 8 P. C.
loi I�is reasan:
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05497
PERMIT NO: E 054�5 PLAN CHECK NO; N GOVT; Y SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; ELE PURPOSE; OTH
JOB DESCRIPTION ; SERVICE CHANGE 6 CONNECTION S(j FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: �+�* CITY PROJECT NO, 91-07 �**
�r�t***+t�t�t*�t**�t+t�ex �r�t**��t�t�t*+t****�r*xr�r***�*�r�t*****�t****�t*�*�r*****x�x�x*x��**x�e+��t�t+�*�t*
Z O N Z 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 BUILDING ---------
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: 92242902 ZNE: REF NO;
PLANNING NZS'I'ES>
%
iF'If iF if iF �f i{' IF �f if �F 3F �F if iF if k�Flf iElf jf iF 1F ik �f �F �flf if �f if N iFlk if iE 1t it M if'If if if iF iF ik k if iF �Fjf 1f if if �f iflf'�F �t iE iF iF iF iF iF if if It iF �f iF iF ik ik �F 3E iF if
D E V E L O P M E N T ` S'�':fi � 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; �I—���
itikkikifiEltiElFltifilkMkiFkiFifiFitit if3Fit�kifiFlFifiFk ifjf
MiFMkkfEiFakiFifiFiFiFiFiFlfiEifiEiEKkiFiFiFkMifiFifffiFit�kkMlfiF�iF�fiFkkiFkiFlfif�FiFiF�f1F�tlf�llflFiFk�Fkififilifftkkititaf�F�Fik
LEGALI2ATION;N F E`fi S U M M A R Y STRUCTURAL SEGMENT;N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 18�OY SMIP/NON—RES
PLAN
ISSUE FEE 15,00
BUILDING—DIV—> PERHZ ISSUE PLAN—CHECK TOTAL PAID DUE
TbTALS----> 0.0� 0.00 0.00 0.00 .00 .00
REVENUE AIVISION TOTALS--> COLLECTED: ,00 OVER/SHORT: .00
HLD6 PMT PLUMBINQ ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
IfIfMMMifIF�fif3f3fiFiFifMMMiFMifiFkKifMlF�fiFiFififififlFifkifiFifMifififififlfiflkkfEMifMiFiFfFMiFMiFiFKiFiE1f1E�F�fif1EKlFiEkififiFifif
I N D Z 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
�a�e: Ownec ' I ELE
I Ao hereby cenily thal I am aware ol antl untlerstand t�e repuiremems ai Calilomia Health an0 Safety Cotle Sections 2550.5, 25533, and
2553a antl I�a� I or any Iuiure builAing ocapan� wilVwill noi (cirGe one) neetl �a compty wit� saiA slate coAes antl Ihe repuiremenls �or a
permil lar conslmciion or motlification Imm Ihe Nir �uality Managemenl DisVici. Resiaential consimclion ap0lications are exempi imm
ihese D�ovisions,
�aie'. APO�icanC
I M1ereby cerldyiha� I have ieaa �Ais application antl siate IAal�he a�ove in�armati0n is tOrretl. I agre¢ Io tomply wi�h all ci�y and tounry
ortlinances anU slate lavrs relaiing to buil0ing conslructian antl here�y aNtw�ae represenla�ives ol this ciry Io enier upan Ihe above-mentionea
pmpetly lar in:`ectionpurposes. /1 �
Oate: / • �.L o i � signawre: —(G�1,/ "KJ'i/ ` ' �
od�ers License or Soua� Secudty »:
i6aba6 Y9nite—Bmlmng; Green—Cotle Eniorcemem: Canary—Applicam: Pmk—Revenue'.
1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 18.50
END OF FEES
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CONSTRUCTION AND PLA ING POOL ?A ..
APPROVALS Permit #� Date Inspector qppROVALS Permit # �
�
i. Temporary Electrical Servka,e or Poie��. � 52. Poo� & Equipment Location
V
2. Soil Pipe-Undrgrnd. � a� a-[ 53. Steel Reinforcement
r
�y J:��j�al Conc�wI L�'itity-Gndrgmd�� 54. Forms
cs ;4:jEl�irel Condoio-J.�drgrnd. r.�v 55. Electrical Bonding
]�S�xS��(�inforcc�;� '�' �: ; 56. Rough Plumbing & Pressure Test
�����qrical UFE�;��nd. a O 57. APPROVAL TO COVER�GUNITE
�4>fd'dt�ngs ^� �s 58. Eiactrical ConduirUndrgrnd.
8: Foundation � �' 59. Gas Pipe, O Undrgrnd., Tes[
:-''3: Water Pipe•UndrgFnd. � 60. Backwash Lines, P�Trap, �7 Undrgrnd.
10. Structural Floo� �stem p 61. APPROVAL TO DECK
11. Property Sewer L�nCT& Hqqce Conmilction 62. Backwash & Receptor-Final
12. Sew�r Cap �� a a 63. Heater & Vent�Final .
13. Roof Drains :lt� 64. Plumbing System • Final
74. Rough PlumbiiZq "� 65. Electrical-Final
15. Rough Electri �- -Conduit 66. Solar System-Final �
- 16. Rough Electricr6Viring 67. Fencing R Access Approval
77. Reugh Wiring S�n' 68. APPROVED FOR PLASTERING
18. Rough Electric��T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
T Tr+LL,F. ¢ x [� �e
201*Fio h�ct8ny FCifePlace i tKM �S- �* O D c� 4 T11PPRflVlYt.R7�..Peu`nit #� �•"-
�:� �
-i P,. 1 L. ? .Y: H � .l. }. r7 ��7 � iTl
21 �u�.Ys, i�,Str�ct � i .. .. :�s a� S �, ,..* .� 70. (�oderygr��r 'Hpgro :�
' i-
22. DuC7s. �dntRatir�.K i CJS 'e: S •t.x-. a: =77. Produci `i� g���s OnOil
M i � K
23.,�,,a��ipe�to�h &'�est j mS �:*1 oT' K Jfi * H72. Underq4�pjid Flµs� � F.`�`.,�
24c�flo� F�ning * r. i;:- =+ � � T� x t 73�Undergmii�Stor��§'fankC_1Gas �(9i1
..rr _. � �r > x
25. Ro`fi S`� thin ` � ?= �� n1 izf � N# x " �-.� :e
4� 9 c�x .t v• a. C+ > p��. x 74rOverhead��iYdro-' �
26vT•�fi Ceiling (St�uaturaq &�¢,tenecoa[ .: tu O t�i�� r• 75G'Dry Chemical `� a t^ G N
�� * !6�
27? -r e d Flashi Y �' � `p x�y F �� C 3C. �t �S :� t�
vS �^ � .�� Jt�S v a' i� m� x 76. Dry Stan��,e :�s * �
y . ,
'..`28. La in Siding�:�'r. '-:�4� x �� • •�a. x: 77Gr FIXED 9�C�EIV}+S1NAL�� ,� ��
�29. Insulati '`'K 4 '� •• ••
a�, n.: 5 � * h I I �y x 78� FIRE PREV. FII�J.4J- ;� � rF N
t'�*30. Drywall Nailing ��x � *� I . x r- HEALTH+UEPiK REQdIR£ivlF
..
�.31. Plaster ^owa Coa�:.� � �r�,. � � �, �� 'FINA� IR��P,�CTI�N y. � ? O
3
f-�.32cElectri Poryer �r7aae:�Final; {+� J p y �, O;+7FO�T FI�t6EfiTE IS6 ED� �
♦ � _�
t n. - ; O, �r.Ei/,p� ' � • � j- , J, ,� 3. � " c
3�ir� El�irlL ox m � �i t. CY/ � � ro t. NarE,s_'., -�„ �f�1 'f '-' O �T.
� �x H -r .c ��� .. t^ • t I .
l�34rfi Heating�& i�.. or�ditiQn,g� :, .� � a� q.n� :S :tx x 5 r G
�� �� G� u �
'35F,'.Firial G . Pia'e-7tRt?: `� `"- * �' * nos'' �^, c*1S * !T` O
i �.. r, .�� + :co a�� y mr
:a • 'f ? . ..� x
y-�36�HoFj'd o('�anoPY t 7 I l�"': •i �t� !l ' r. F ti� �Y � --��r
�-. .... F,., � .� . �� . •rr. .i � �•..
"37��iri,3'! F� ory Fire atE � Sc^ �+ '}. D: - �� 'l :r :3m
., � a: i[..;. �. .r. I -. �: x � al
� ' � � . I •. .. r�� . .
r38. Firl31 Pfumbing s. �n; � a r. � � . x. ,> H <tn e
c'39. WatEr Service-Finat� � � " .' � � I �^ C' t�� ` cc •Y
�. � x
�40.GasService-Final :;,;� Sa'a' S 'C?l � �a. �^,.. oiJ � rs'
SR1. Solar pomestirFirtalS C� •• x O+ � �? -C % r+ �
-r, � I � f. r` '�O iT :k!
°'42SBackflow Prevente�' - �� *'' '� '� � '� '�
� � �; . I � > � ? . . C �-�
43. Backflow IrFfyatiort!� _ 'x� = .R '' �:F i O z:
� .� c[ t x � i »- n
m44. Landsc�e ��.ripati� SysternW �,;,r�'j � 'r � O c7 b'.�. i� �[�J N =:J x [� o
�R5�Sound Atteouation •••�CF tz' * 2 r h F!� x � ':� � �z�t �'
� �r � '.r �-+.... * 'n n :f,. � tr' C �G r
��� � n z O J t �n . . ..> .. i i «.
46.,HandiWQ Regulati�ns C � a:r ^ �' ;S Oa :S a
47>FINfaL STRiJCTURE & BUliDING � J � r� 7 tJ S t
! a tr' � F
48�IMvAL PLANNING �,`,�� � �� '�; ;� n x F
o49v£leatric Release to.Edison � i i.�.0 r '7
!. S �'( .l ' i
�;50�Ga`-Release to Sou�hem Cali�ur�ia Gas Co + � ��_ ,� p. �.h �: p"':
', 51. CE;A;TIFICATE OFOCCUP ,M1ICY � �, ;�. �j �qc :. x � c
No. ___ _. Date
Date I Inspector I
�
�–.
Pfl0.1ECTA0UflE$S: (3'�(3 GOVERNOR ST
OWNEN'SNRME: HABIB AHDULKARIM
nooxess: HABIB ABDULKARIM
979 GOVERNOR ST
COSTA MESApCA
ABCM/ENGINEEB: �714�759-9J91
aoosess:
uxir:
92627
flEC.NO.:
uNiT:
� PEflMITTEE: ECONO ROOF MAINTENANCE ( 714 ) 974-0345
nooxess: 3080 SKYWOOD
ORANGE CA 92665
LICENSEO LONTflRCTOfl DECUBATION: I �ereP/ atlirm Rut I am Ikensetl u'ber O�a�o�s ol Ctupter 9(cammencinp wii� S¢clion
7000) ol Orvision 3 of the Business aM Prolessions CaCe. an0 my license is in lull force ana eHect.
cirruc.:041475p srn,euc.:48558 ss: 39
� 4 ��� � �
Date: �' /� J=r Si naWre: _
WOBKEHS' LOMPENSRTION UECIANRitON: I IkreGy al�um Wt I tave a ceNlicate ol conseni ta seli-inwre or a ceniliwte of Workers'
Compensalion Insurance, or a cerldie0 copy Ihereof (�ction 7800. LaC. C�.
POLICY NO.: E%P. O�TE:
COMPANY:
❑ Certifiea copY is �ece0y turnisheG. ❑ CenilieA fApy a fileE vnN t�e ciry Bulding Oivi9on.
Dale:
pODlitan�:
E%EMPTION FflOM WOBI(EBS' LOMPENSITION OELUPATION: (ih¢ sxYun neeU not be comple�eG ii Ne pttmi is lor ane hu�aN �f700) or less�.
I ceriify Ihal in ihe Oe��ormance ol Ihe work lor whic� Ihis permit is issceG, I shall n t employ any person in an manner sgy5lo become
subjec�to t�e Workers' fAmpensation Laws ol CalitOm�ia. ��'�'�`T � /
ox�e: �'�'B —�–i– Sieo:wreC� �
NOTICE: if, after making t�is tleclaratiw, you shoulG Gewme suDl�� �a ihe WOM1ers' Compensation pmvisions oi t�e Labor
CoEe. you must lorttrwilh compty xit� SucO prOvi5i0n5 ar Ilis permi� shall �e tle¢meE revokeE.
CONSTflOCTION LENOING RGENLY: I �eteby itlirm that I�ere 4 a Constmction IenOinp aAenLy lor ��e peAormance af the work for
w�it� ��is oermit is issueA (Seclion 3097, Civ. L�.
� ; THIS PERMIT ZNCLUDES BOTH
HOUSE AND DETACHED GARAGE
OWNEN BUIL➢FB OECUMTION: 1 �ereGy a8um ttai I am eremp� tmm tM Contraclars' SUte Lkense Law lor tAe idlowin0 �eason
�Seciion 703t.5 Business antl Pmlessional CoUe: Nny ci�y ol wunry w�ic� repuirts a Oermii to consimcl, aller, imprme, tlemolisR or
repair any simclure. D�ot la i15 i55uance. ah0 rryuites I�e apDfiWnt lor wU pemtit to f0e a 9qn¢E statement tllat �Plstle 5 licens¢4
omsuant io tne pmvisions ot iAe Camracmrs' Siale License Law �CNpter 9(commencinp wilA Seclion 7000� ol 0ivision 9 0l l�e Business
antl Pmtessians Cone) ar Ihat tk/s�e B Nempl I�eRirom afM tne EaSiS lor t�e alleA� exemptqn. My vplation ol Stttion 7031.5 Ey
any apDlicanl lor a permii suEj¢tls I�e appliWnt Io a civil p¢natly al no� mare ��an irve hunOreG G011ars (5500).
I, as owner ol I�e Oroperiy or rtry employees with waAes as t�eir sole compensation, vnll do I�e work, an0 IAe
❑ vmcmre is noi imen0etl ar olfereU Im ule (Seclron 70aa, Business anA Pmfessional CoOe: T�e Cantraciors' State License Law
tloes not apO�Y �o an owner ol a pm0eny w�p Ouilds or improves t�ereon, anE wna Ooes sucA work Mmselllherself or IhrouAh
his or h¢r own em010yee5. pmvided lhai 5ut� imprOv¢ments are nol inlen4e0 0! ofler¢U lar SalO. Ii, howover Ihe 6Uil0inp or
impwvemem is soltl vntAin ane yea� ol campletion, �he owner vnll �ave ihe GurAen ol DrovinA he/s�e ditl noi 6uiltl or impmve
for Ihe ouroose ol Sale).
I, as owner ol t�e propeny, am eKclusively coniraclinp with Iicense0 coniractors to constmcl lha pmlect (Section 70Gd, Business
❑ anC Pmtessims Cade: The Coniractas' State License Law Uces �rot appty ro an mmer ol O�aOenY � �m145 or improvu Ihereon
antl who comratls �Or suc� pmleds vri�� a conlracior(5) license pursuanl �o Ihe Conlractors' Siate Licenso Law1. I am aware
tlul ptoo� of inei� Wo�ker's Compewtion insurantt SliailG De provi�e0 Io me.
� I am exempt unCer Section: 8. 8 P. C.
lor I�is reason:
Date: 0«oec
I Qo nereDy cenity Ihal I am awaro ol aM un0er5tana tne r¢puirtmen6 al CdGfomu Healtll an0 $alery COOe $ectioRS 25505, 25533, anU
2553E ana ihal I or any lulure builtlinp otapanl wilVwill noi (drUe ane) neeG to fAmpty vnt� Said state taCes anE ihe repuirements lor a
permil �or cons�mc�ian or mo0ilicaiion tmm itre Ai� ahry ManaAement Usirici. Pes�Eemial Cortiructi0n applications are eMemp� Imm
Ihese Drovisions.
Dale: Appliwnl:
I here�y cerlify �Aat I have read l�is applicaiion ana slaie IAai I�e a�ove informa�ion is correc�. I agree to comply wiih all ciiy antl counly
ordinances ana stale laws rela�inq to OuilCinp construtlion anC �ereGy amtarrze represen�rves of Ilus c�ry emer upon the above�mentioneG
propetly lor inspection pWDoses. /////�//
�ale: 6��� �/ � Signaitll ' �///�–"'�/� �e!i� y
Oriver's License o� Social Searity a:
Canary–AoolicanC Pink–Revenue: GOWonroe–Assnsaor
CITY OF COSTA MESA — HUILDING P�RMIT PERM NO: B 05853
PERMIT NO: B 058539 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION : T/O OLD ROOF S APPLY NEW 20YR COMP SHING SQ FT: 2,400
CLAIM VALUE: 2,900,00 CALC—VALUE: 2,900.00 GROUP OCC; R-3 /M-1
COMMENTS• SMOKE DETECTOR(S) RE�UIRED IN HOME. �`�Q������OR
+��r**��r*�*�r*�r+r�r*�rx*�r*+r�r��r�r�***�e *x�***�*�r�r*��+�***�r�r�r*�r**�r�r*x�
2 O N I N GS ERTEH�AUCIKRSE M E N T S REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKZNG RE(� • PROV; PARCEL; 42242402 2NE: REF NO:
PLANNING NfSTES>
� � '
�f iE iF 1E iF iE if if if if if if iF 3f iF it if k if iF iE iF if it iF if k if k ik if af k iF �f af if if �liFlt if i! if iFif k if iF M if k if iF iF�f j! jf k�f �F if iF9f 3f IF iF iE iF if iF 3f !f i! it iF if �1F jf
D E V E L O P M E N T S E R V I C E S R E(� U I R E M E N�7' S
ZONING APPROVED BY . DATE� ���
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
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LEGALIZATION;N F E E
DATE; �^
DATE• �
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S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP-LRES. GRADING
PERMIT 54.00 SMIP/NON=RES
PLAN _
ISSUE FEE p
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54,50 0,00 0.00 54,50 54.50.'� .00
I
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT; 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54,00 ,50 i'
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I N D I V I D U A L F E�� B R E A K D O W N
i
TYPE QTY D E S C R I P T I O N UNIT COST � TOTAi COST
SFR 2400 REROOF BY VALUE AESIDENTIAL NOZONE 1,00 �• 2,400,00
END OF FEES ;
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CONSTRUCTION AND PLANNING POOL .PA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
i. Temporary Electrical Service or Pole x 52. Pool & Equipment Location
2. Soil Pipe�Undrgmd. _ � � 53. Steel Feinforcement
3n Eiectri�.al Condoi�lulitV-Uhdtgrnd. ' ��54. Forms
� h,- �lectqcal Cond�(ii�.(qdrgmd. .�5. Electrical Bondmg
� 5, $re�FJiEinforcerir4pt `56. Rough Plumbing & Pressure Test
'+��.� El�t'ricel UFE�f��d. 57. APPROVAL TO COVER-GUNITE
�7�•Fbotirg5 ? . -$8. Electrical Cqnduit�Undrgrnd. � '�
'"8� Foundation �y .39. Gas Pipe, � Undrgrnd., Test �
9. Water Pipe-Und�md. �,$0. Backwash Lines, P�TraA, � Undrgrnd.
10. Structural FloorSystem ' � .;61. APPROVAlTO DECK
11. Property SewerLing-& Hopse£onnection :•$2, Backevash & Receptor�Finai �
12. SewP� �P .1 � . ',63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbirty; " � 65. Electrica6Final
15. Rough Electrica(Conduit 66. Solar System-Final
16. Rough Electric�Wiring � 67. Fencing & Access Approval
77. Rough Wiring �n 68. APPROVED FOF PLASTERING
1B. Rough Electrica,�T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- � . � it
20. �Rough Pactory Fiieplace . �r � ��' ] �' ' � APPROVALS ' ::RerrttSt # ' �
K - '•' ? - r + � - v S
21.'�uCtf, in Stru¢tuf2a i �, , , ,,� < �� _ ��� � - 0. UadergrouDdtHVdro ?
22.�Ducts, Venti(atin9,' ' ' ,r - � � ��1. Product:Piping Q'ii�4 ❑Oil
23. `Gas 1pe;•�iough &'T�sc . r ^ �. - ' ' 72, Underground Fluih� ., - - �,
24.,Roo�Freming-• �' � • . y � ' 1 73.'�Undergmd,Storagg7ank OGas ❑Ot'F
25. Roof Sheething '' � ; ''� � ' - ' .7q, -0verhead Hydro � � ♦
26.-T-Ber Ceiling (SI�IIcFural) & fvJonncoat f � �D ' - � 75."Dry Chemical x " �'
� - .
27.'Frame and Flashinc�' '' 1 " 7B,'(�p p ' �� � `'
� •x '.Xr z �- .i, YStandpi�e r.,., n
'.28.�`Lathjng & Siding%_ � • '^:ti': ,.; � `� •• > 77,^'fIXED SYSNEM PTNAL+�
�29. Insulatioq ` �' ' - �� � .; � , .. 78.�fIRE PREV. FINA� � .rr
�1t
�30. Drywall �Jailing - � � � T � .' + � � MEALTH DEPT. REQUtREMENT
„31. Plaster Brvwn.Co�� � �.�. �° ,t 79.' FINAL INSPECTIQN -
� � ;
32. Electrical Po gr Mete�rFinal � .-. l N. n�$0. FOOD CEHiTIFICA7E ISSUED
�33.'Final EleCtriC� ; ; r� . �,. `� � ' j�. . '�tiot2r. � � � `: �
,`�34..Final Heatin9� Air Conditioniq� �' .t : -
. -
35. final Gas Pi�B'-Tesia 'r 1 ' � '1 •r,, . • .rq �-". ' ' i-
„�6.'HoodorCanopY%�• " „ � �;, � �i �'i v �; : ' � ...
�7.'Final'Fac[ory Fir�eptacA,,, . ��' ' � ! '' � '
.F 'L
; .. .. � - b.� ' . .. �. . � .. �i .� . ' .
�38. Findl;Plu`mbing � ,+_ � o � � . _
.39. Watec Service-Final � " - . � 1 '^ '� �' �• •�� � � -
� x . � i t .�
;'40. Gas Service-Fina� _ . � � � ' �
., ��r:r G � e x `��' .
'=�1. Solar pomestii-Final �, - - G• � ' < .
, , 'n s .' t= �r 7
� 42.� Backfiow� Preventer, � � � ' ' , � ,- '
_ „ x
43. Backflow Irrigation - ��..� �: � �' ' -
r � • n U
'T44. Landscape 17r(gauo�n SYstem,� , �= .q � J - � y . . r ; ' ' . "
;45.�Sound Attenilatiorr .- . . (� ' + . ,. � . + . � -
r r �rf r' - �r r�
A6.-Handicap Regylatioqs t'- ,' - ' . . .. •.�` � ,� � ..�.
47. fINAL STRUC7URE &'f3UlL'OING . ^'/7�' 6�T � '. ,,I C . _ _ �� �.�' �� ,��
�) L�
48.;�INAL PLANNIN� .-� . ' ' : ' -• ., - ;" ,
�
49. =EleFtric Release to-Edi�j � � ,� r • - .
�c -
, 50.,,Gas RelAase tg S�t er,a-�alifornia,Gas Ca � �!" � L . ,_ " - '-�.
��.51. CERTIFICATE Q�•OCCUPANCY' �� ,. � - _ , . ,.
No. � % Oate
,_.
OWNERWARD, LEROY q •- ••• DATE y-4=b3
JOB ADDRESS 979 Governor Street BUILDING PERMIT NO.
GENERAL CONTRACTOR I+CO Fillmore VALUE$ 2�995•�
en ra.. 115-�Qk-02 T.nm muerm FIRG` inuc nFcrnrNrrniv !1F Wl1RKeIIC
SUI3CON7'1tACTOR
6iL�iTe7
�� 20503
COSTA MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVEp
P.O. BO%9f7 COBTA MEBA, CALIRORNIA
' sEP 41963
For Applicanf fo Fill In Completely APF�+IY1 �qERMR •
TYPE OR PRINT C�7y������u�1 I
BUILDINO [„ / w � �Of fl �
ADORESS � C F O �✓
11HC61IT NO. �JPCJ+MIT NO.
COSTA MESA, CALIFORNIA p� CJS�
aacc}ye/q �pr o�re n ce�vep 3 o/is ea � .
OWNEft QV W� �V, / � ��
BUILDINO y
ADDRES6 � Q ��/p Kj ADDR6S9 /
� ' NO• ZONE TYPE GROUP
CITY C O
APPROVED 9
ARCHITECT TEL. —� BY DATE "
OR �NGINEER N . - �
f Z ING
A. .<E53
- Z NO. OP � I U88 OP N8
rLANl. BYILOINO
CONTRACTOR F /L � ^
,�n �eaw� R � ;� '
AD�RESS � �1 /y/� �/�� //� oescrs�mon " ��
� � l
CITY O 'f ���/ I A. P. NO.
/�p �J NOTE: NO EAVE OVERHANG BHALL BE LE39 TMAN
LIC. NO. � I (O NO. �'( L'/j �O' TO SIDE Q REAR P. L. �
EAVES
6IZE I nO.OFeLoOe. ALLOWED fU.B. Q REOUIRHMENTI
OF LOT � NOW ON LOT I
YARDSAPPROVED YAROSAPPROVED
USE OF N �� MAIN BUILDINO ACCESSORY BUILDING
E%ISTING BLD6. F (FROM C/L6TREET) �
9ETBACK L�NE FPOM � I '1
cErvTEx OF BTxEfiT S O REAR YARO �� FR NT V FT. FT.
SIDE YARO I�� /O ' I H�GNT �7 '� /' R. SIOH Ff.
DESCRIPTION OF WORK L.SIDB � r
x ALT6RATION X REAR FT. � FT.
NF" ADDITION .
�16TANCE BET. BET. MAIN @
REPAIR MOVIN6 DHMOLI6H MAIN BL�GS. ACCESS.BLD69.
VAR.# DATE
BU�L�IN6 NO^OP % ......., .,.. � .. �� e x . eee....�..
/ �%� U4' / " o
3 5a. �. fio
1 HEREeY ACKNOWLEOOe TMAT I XAVB RPaO TXIH �PPLICATION THE AMOUNT BXOWN UNOER VALUATI IB FOq THE F
•ND 9TATE THAT THE ABOV[ IB COHHCCT ANO AORE6 TO COM� PUPPo68 OF G6TA6LI6HINO A PERM�T FEE ONLY. �
PLY WITH ALL CITY OqDINANC68 ANO YTATH LA R80ULATINO ypLUATION /� �
eUIL�INO CONSTRUCTION. / H
SIGNATURE OF � , n PERMIT FEE $/'�� m
PERMITTE /, ���� � !LV
S £
a
0
AUTHORIZED AGENT � F�
TOTAL PEE S � //
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
� 636 North Broodwa� ' B� s � D I 1V G�
SANTA ANA, CALIFORNIA � �
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PLOT PLAN
Show location and �stances from
property line and between buildings.
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