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HomeMy WebLinkAbout1875 PARKCREST DR - Building Permits--- -- -- --- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA 1 PE MIT NO. TRACT NO. LOT O. BLDG. NO. •' CONSTRUCTION PER y, /P- 93 c� 7Oy .4'-f • Project Address • w •Iq y �/j,�JS TYPE OF CONSTRUCTION NEw _ QF71' R/Oi lQt, "- IL I �� L ADD ALTERATION U REPAIR Applicant's Mails ddress $, / 44-/-, III CONVERSION '❑ DEMOLISH ❑ OTHER A.P.# ycac,1_3 1/—©6- - j Zone (K.- _- / (�" -7s- ,.., DESCRIPTION.OF WORK Owner's Napm�e7 -«s7 / ✓��D� ��-Pftone �� y' l�'� S Main Building: Accessory Buildingurkki: Z Address/0/ S Ii'7T�r F/1 'L s r g--�� TYPE OF PERMIT LJ GRADING ❑ FOUNDATION 0 STRUCTURAL T Front �P, P� N Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL - B Rear ..- ComA/ I Address. SI .0 OTHER • A ' PL ' N • • 0 Contractor's Name • /APP Phone PROJECT DESCRIPTION SO-Pr �n •• I • OCCUPANCY C Right �1 PL 60 diann G Address(mailing) CONSTRUCTION TYPE VALUATION /' 5/2- S Left ' j5:/1 �L i R E ZONE _ GRADING CU. ACRES Ping. Ref.# Park.Fees $ Q City License No. - , ' LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided - � I hereby affirm that I am licensed under provisions of Charter 9 (commencing - • R with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E my license is in full force and effect., _ �• fgY� ��CWs License Class' L� License No. PLUMBING FEES Planning Notes: ,.G/� _ M Date Signature // / ---- 71-C �/a1 N WORKERS'COMPENSATION DEC ARATION • Bar Sink Showers ors; // lIT hereby affirm that have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink • • - - / S of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. CJ / P....--. i Backflow Irrigation Sewer Cap - ELECTRICAL FEES Policy No. f/ Y Company 8 Certified copy Is he eb furnished. Bathtubs Sewer Connection' • Automatic Washer Transformer 0 15-50 KW Certified copy Is filed with the city Building Division. 0 50+KW Date Applicant Clarifiers Solar Collectors Construction Pole Sub. • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping , Cooking Unit Meter ❑up to 100 amps (This section need not be completed if the permit is for one hundred MOO)or . less). DrinkingFountains i certify that in the performance of the work for which this permit is issued I , Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person In'any manna so a to become subje) /,( to oo the Date sLCompe n Laws of California L/ �{ t< t Floor Drains • Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date -/ ( Signature NOTICE: If,rafter making this declaration, ou should ecome subjec a Floor Sinks Urinal - Fan - Motors 00-1 HP 0115-8 - Workers' Compensation provisions of the Labor Code, you must forthwith ' - comply with such provisions or this permit shall be deemed' revoked. Gas Service OutletsWater Closet F.A.U. Inc,Solar ❑9-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction n ing agency for the performance Interceptors Water Heater Fixtures Microwave of the work for which this permit ue (Section 3097 Civ. C.) _ _ Lender's Name p� Kitchen'Sink - Water Service Device Boxes Pole Address s' Light OWNER BUILDER DECLARATION Lavatories • Outlets Range I hereby affirm that I am exempt fro the Contractor's License Law for the • p_Tra following reason (Section 7031,5 Business and Professional Code: Any city or - p - Switches Sign county which requires a permit to construct,alter,improve,demolish or,repair any structure, prior to Its Issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of • the Contractor's License Law(Chapter 9(commencing with Section 7000) of Generator ❑0-$KW ❑$-15 KW Trash Compactor Division 3 of the Business anq Professions Code) or that he/she is exempt - P therefrom and the basis for the alleged exemption. Any violation of Section - - - - 7031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee _I $25 Issue Fee $ 3 penalty of not more than five hundred dollars($500). • Q51 I, as owner of the property'or my employees with wages'as their sole MECHANICAL - Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered l FEES I • for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES R IRE ENTS: License Law does not apply to en owner of a property'who builds or Improves Boiler Hood or Type I 0 EJD�tJJ�(' )� e thereon, and who does such work himself/herself or through his or her own Zoning Approved By +--+r"--' kC • Date do/aI_ employees, provided that such Improvements are not intended or offered,for Canopy Type II 0 / y Duct-Under Ground Sale. If, ehowever,wthe dof pro i g within one year of com- Building Approved By q Date prove the owner will have the burden of proving he/she did not build or im- / l r --' / C/y/� rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By AL l nate oI, as owner of the property,am exclusively contracting with licensed con- ❑Q10O,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating - SUM/r SMIP MARY OF FEES �s The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ /N $ . V builds or improves thereon, and Who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK § /0 1 Zit el PERMIT 0 I am exeMpt under Section r / : & P. this reason Firepl/Fact.Bit. ICBG# PLUMBING •$ ISSUANCE $ Datg{/-J- ']' Owner ate Heating System&Ducting _ PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTI.— • ELECTRICAL $ GRADING $ information Is correct. I agree to comply with all city and county ordinances and state laws re atin• to bull.'-g co - ruction,and hereby'authorize repre- MICROFILM $ sentatives of t cit to. aq e upo he above-mentioned propert f PLAN CHECK 5096 $ j iv inspection purp. I / I� — • MECHANICAL $ C,/V Signature �1 •_ D. - - TOTAL FEE $ Drivers' License or t / Reinspection Fee- -$25 ' Issue Fee - . ' $ 3 PLAN CHECK 25% •$ - - ._ CMF 0865-46 rev.12/83 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • - ` CONSTRUCTION AND PLANNING. - POOL&SPA -APPROVALS - Permit# • Date Inspector APPROVALS- Permit# - Date Inspector 1. Temporary Electrical Service or Pole. • 52. Pool &Equipment Location - 2: Soil Pipe-Undrgrnd. - - • 53. Steel Reinforcement . . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - - - 4. Electrical Conduit-Undrgrnd:- . 55. Electrica[Bonding - 5. Steel Reinforcementb/Clill4- G 56. Rough Plumbing & Pressure Test 6: Electrical'UFER Grhd. 57: APPROVAL TO COVER-GUNITE 7. Footings' : .ti/Zl�� ,f a,,,• 58. Electrical Conduit-Undrgrnd. . 8. Foundation • , /- 59. Gas Pipe, 0-Undrgrnd., Test 1 . 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - • 12. Sewer Cap 63. Heater & Vent-Final . - 13. Roof Drains 64. Plumbing,System - Final - • 14. Rough Plumbing ' 65. Electrical-Final - - 15. Rough Electrical-Conduit - 66. Solar System-Final - ._ - 16. Rough Electric Wiring - 67. Fencing & Access Approval - • - 17. Rough Wiring Sigh 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 0 Gas 0 Oil • 23. Gas Pipe-Rough& Test 72. Underground Flush 24. IAoof Framing I - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro ` 26. T-Bar Ceiling (Structural) & Monocoat ' . 75. Dry Chemical ' . 27. Frame and Flashing - 76. Dry Standpipe 1 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' 78. FIRE PREV. FINAL • 30. Drywall Nailing - ' i , HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter,-Final - I 80. FOOD CERTIFICATE ISSUED • 33. Final ElectricNotes: 34. Final Heating 8/Air Conditioning ' 35. Final GastPipe-Test 36. Hood,or Canopy • . - 37. Final Factory Fireplace t - 38. Final Plumbing ' 39. Water Service-Final • • 40. Gas Service-Final ' 41. Solar Domestic-Final - - 42. Backflow Preventer - 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations • , 47. FINAL STRUCTURE & BUI LDING r74-4 't /14 ' 48. Special Requirements Completed • - • -- 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY• • - - . ' - Date .. . , -I i _ CITY OF COSTA MESA BUILDING DIVISION OWNER-BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner-builder verification. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provid�a fthe major labor and materials for construction of the proposed property improvement. /"t Yes 0 No 2. I (have/have–Mil signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. - 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name • Address City • • Phone ( ) Contractor's Lic. No 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work X,i //f y/9 13792 619/f r^)t . 65, / 34 - 2 y S12iI, k,'37 1/ , I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have convicted the above information to the best of my personal knowledge, - cccJoomm nlia/ncce wit his(Stat law. �/ ../– Signed: ,gQ,�J 4 T' vV ��q1 Date: Sr— I — S / Name: E0/3/-e ! I I- 3 ..tit (Printed or Typed) • 754-5273 CMF 1042-46 I PARTY WALL AGREEMENT THIS AGREEMENT, made and entered into this -PrST day of PIG.i , 1984-, by and between YoAS/Il kQ TA-e4 / hereinafter referred to as "LAND CANER", and Capri: Rh L V E hereinafter referred to as "ADJACENT PROPERTY OWNER". It is hereby agreed that a party wall willil� be constructed on the Property line between /&),e /ad a D r, ( i /`1-�e a Cc- p0 6 (Address of Adjoining Properties) in the City of Costa Mesa, County of Orange, State of California, as per map 41,v" 410 Z recorded in Bock 71 . , Page of Miscellaneous Maps, in the office of the County Recorder of said County. The party wall shall be permitted to encroach IN WITNESS %HEREOF, the parties have entered into this Agreement the day and year first above written. LAND th'NER ADJACCENNTq PROPERRY OQWNER igApo nature) /rn SiRt e� v V 1711 / 9 ) ` ( g ac N 1 OT a/ /Cor Brin TA-k-LAU4 /I/ kD(Typed or)Printed)L i c gtik en 7t Z7ie. (Address) (Ad ess) tri, 7knes- i9 92 g7 Lit'L 5 (NOTE: Please see reverse side for notary's statement) • TYPICAL 611 CONCRETE BLOCK FENCE • Cement Coping Optional ___S H �, -, GENERAL- NOTES Channel Block With 1-3/8 0Horizontal Top of all i FM111 al ences MORTAR: One Part Plastic Cement, and Three Parts Sand ill GROUT : One Part Cement '_-'ta f One Half Parts For Fences 5'or Less ...__ SThree and Sand Vert. Bars 3/8" Oat 4' -0"O.C. 0 - COPING: One Part Cement, Three For Fences Higher Than 5' __> �` 0 el Parts Sand Vert. Bars 3/8" Oat 32" O.C. > w — CONCRETE: Well Mixed 1:2- I/2 3-1/2 cc x „ Max. of 7- 1/2 Gallons G1 Fill Cells Solid With Grout > Z Water Per Sack of Cement Where Steel Occurs >.--- <- Reinforcing .- ■ii��I r Reinforcing Steel.Shall —� IID , —I� I GROUT MAY BE POURED FROM THE TOP OF THE • Conform to Sec.A-15-39 w 0 - - OCCURS. IN CELLS WHERE STEEL A.S.T.M. I Z ~ —i-,t l CELLS AND AREAS OF CLEAR,CLE REIN- FORCEMENT SHALL BE CLEAN& All Steel to be Lapped LL �, FREE OF ALL MORTAR DEBRIS,ETC. 15"or to Code INN. II i NATURAL GRADE BONDS SHALL SE PROVIDED BY LAYING _c �\',"• � ' to e,v. 0 -- �'--�1' II BLOCKS IN STRETCHER COURSES SO THAT �D - iO Y VERTICAL JOINTS ALTERNATE IN EACH :C\�� ° ° O N e ^.♦ w • COURSE. TWO3/8"OBARS ...aOi . ° .♦ .' ♦ e ♦.. ° CONTINUOUS TOP I II &BOTTOM ' F�WIDTH TO 16' 0 C. MAX. L. .9 BELOW CHART ♦ -s �_ I < DEPTH OF EARTHTCOTH • o t 1/3 THE HEIGTH OF FENCE L " L L. SOW BOTTOM OF FOOTING. e ' o" keio" 2,. j SCALE: 1/2" = 1' •FOOTING REQUIREMENTS CHART WALL HEIGHT 6 ' 5. 4' 3' WIDTH . . . . 14" 14" 12" 12" THICKNESS 10" . . 10" 8 " 8 " DEPTH OF EARTHTOOTH . . . 24" 20" 16" 12" SPACING OF EARTHTOOTH. . 12' 14' [ 16' / ((�� 16L'? / OWNERS NAME: �07/� '7 L/o /� �11 6 c'i//_ City of Costa Mesa, California JORMITDDRESS: ;e/� .Beiree _ d'_7' �`z . Building Department SIGNATURE: AIT I'; ®VED pCMCITY STA SA PLANNING DEPT. DI➢DJECT TO BLDG. DEPT. REO. aysim�PLANNING Cil/^T D OP pLAfiNiN6 M ,` \ w �, 1 .a lis RESIDENCE RESIDENCE \V RESIDENCE RESIDENCE 1. W W W 1 Et 11/I � win.lolseI-(7atte- / STREET 6 CITY OF COSTA MESA REQUEST FOR OCCUPANCY •TRACT NO, 'O%d ' • • DATE/ 4! • , LOT NO. 4i,// • • ADDRESS 7.7S Re-fit/Far ,c7/?V • The developer of the above entitled tract desires to sell the above set forth lot prior to the time .that the tract has been completed and its streets accepted by the City of Costa Mesa . The undersigned, by executing this agreement, acknowledges that (he-she-they). (was or were", fat-' advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. • The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by ' surety bond. The undersigned agrees to indemnify and hold the city harmless ' from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. • BY fl 4; . . ✓*is Ita- 'Purchaser B& cis. /� u�ie eloper ana ry"/. ee representatives Y • Vier liy�G% - • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. :, CITY OF COSTA MESA , CONSTRUCTION PERMIT PERMIT N .'o 6/� TRACT NO. LOT NO. UNIT NO. 3944 v� fl224. 9/16/65 19950 TL . ,Project Address 1275 Parkcrect Dr. 7 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD LI ALTERATION IX&REPAI R Apolicant s Mailing Address -2990 S 11npnnt Dr. Ov1 er's Name Phone n/a ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.qµ, Zone Barrrte gSl DESCRIPTION OF WORK/USE OF BLDG. Address lD'T4 pan'kc'Y.P St. DY . S Main Building: Accessory Building: TYPE OF PERMIT 0 GRADING 0 FOUNDATION ❑ STRUCTURAL E Front Z Arch/Eng. License No. T O Address ElTENANT ❑ ELECT ICAL ElPLUMBING ❑ MECHANICAL B Rear - N OTHER / Contractor's Nam PS CAL C R(l(IFTNC Phone 978-2668 PR�ECT DESCRIPTION Q. FT.� OCCUP - C. Righ •t N S�{1�J Address(mailing) 2220 5. Dit ent,Anaheim 92806 ` I�' '�" (Jj� S Left �'' r CONSTRUCTION TYPE VALUATION ! R V City License No. 0276 R 3 ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Re(b�➢rovided E ( ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: c1V�n SEPI I" M with section 7000) of Divisioh 3 of t - Business and Professions Code, and OCC Iv my license is in full force and effect. 4 TT�� T License Class B • Lic-.se No. 379503 S .t Date-0-27-85 Signattre/ . -.-j`- PLUMBING FEES \ WORKERS'COMPENSATION DECLARA w/ ord -lar Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of cons° to elf-Insure or a certificate of Workers' Compensation Insurance, or a r titled copy thereof (Section , 3800, Lab. C.) Backflow Preventer Service Sink I. Automatic Washer Transformer 0 15-50 KW Policy No. RAS 1 37886 Company :• Backflow Irrigation Sewer Cap p 50+PW �' Certified copy is hereby furnished. . Construction Pole Sub. �.� Certified copy is filed with the city Bng pivisi,��� , =athtubs . Sewer Connection ■■ CookingUnit Meter ❑u to 100 am s Date 8-77-85 Apbllca• =----••— ..•-eak=.---..4 EXEMPTION FROM WORKERS'COMPENSATION D CLARATION Clarifiers Solar CollectorsDishwasher MeterDover 100 ampsI G (This section need not be completed if the permit is for one hundred($100) or less). , • , ■ S • ■ ■ Electric . Sub Panel I certify that in the performanceperonin the work for which this permit e t to I ,. shall not employ,any person in any manner so as to become subject to the • ors Ell ■• ■ Workers' Compensation Laws of California. Date Signature , Drains• , . Solar ■ HP:016-15+ 11 'NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith .Floor Sinks ■ Urinal _■ Fixtures - Mp comply with such provisions or this permit shall deemede revoked. • , ,' • ce Boxes I CONSTRUCTION LENDING AGENCY .III I Water Heater . . hereby work that there Is a permit ue agency for the performance Civ. C of the work for which this permit is issued (Section 3097 Civ. CJ Lender's Name Lender's Address Sign :Standing Sections ., �, OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for theSink ' ■,, - •Water Service , . Switches II following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a t to construct,alter,improve,demolish or repair ■s 05-15 KW Trash Compactor - any structure, prior to itss issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of. Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). • Ll I, as owner of the property or my employees with wages as their sole compensation, will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does Such work himself/herself or through his or her own ■ • •' MENT SERVICES REQUIREMENTS: . Boiler Hood or Type Iemployees, provided that such irriprovements are not Intended or offered for Zoning Approved By . Date • sale. If, however; the building or improvement is sold within one year of com- Canopy Type II ■ pletion, the owner will have the burden of proving he/she did not build or imDuct-Under Ground • Building Approved BY- prove for the purpose'of sale). s ❑ I, as owner of the property, am exclusively contracting with licensed con- • , Data 771‘97 C tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who • 00-100,000, : 0100,000 builds or improves thereon,and who contracts for such projects with a con- tractor s) licenseaust System • ' , •D ( pursuant to the Contractor's License Law).eI ov aware that11111 ,■ ,� ■ proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ • PERMIT. ❑ l am exempt under Section B. & P.C.for this reason, Mil , • :• ■ •. . Date • Owner • Registers ' PLAN CHECK 25% $ I hereby certify [hal•I have read this application and state that the above. , 00-100,000 : 0100,000 B ■ information Is correct. I agree to comply with all city and county ordinances and state •ws relating to buildi g onstruction, and hereb authorize repre- s sen ativj • this City to. ent. soon the above-menti ed p pert o yl/ i Iy s�� TOTAL rivers' 'tense or SS# ', $15 . Issue Fee $ 3 CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA . APP,RGVALS Permit Date - Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location :"2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16:.Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure,. 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 Plumbing 39. Water Service-Final 40. Gas Service-Final '} 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations , _ • - 47. FINAL STRUCTURE & BUILDING s sp.c A-S PG_ u#,L 303Q) 48. Special Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date 'k ° 723 DEC —2-706--is O0 183* ***144.75 5/9..COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 / APPLICATION FOR BUILDING PERMIT / O For Applicant to Fill in Completely R ES'jEl ED i:11 l A=E; CEIVED, BM BUILDI ---#7S 0 ADDRESS - • / I MAIL y / BUILDING / A D D R ESS.,3 1, 0R-Ai/,D4 tu Z . /�/� yam• J� TE / • BLOCK 0- U CITv eeit/pDt Q B.�/J NO.0/01- j._ / • i ZZ Nsf N✓ ■.Rl • •e11R�E ntaIR.4A E • < CO RUCTIO ON LENDER ���t am J 7 BRANCH �c�(/�/�J N OWN Q W ADDRESS7 n //m J frid,...24,. � Y VALU 2 / //JO, I -CO ARCHITECT TEL AA S_ /�s� UN OR ENGINEER $ N•i /i- DSO Q FIRE Z K ADDRESS �� i. - a - ��JJ ' ZONE TYPE ••_ / 1-171 6. 2 / J O CONTRACTOR �A/0 /ff ,cy7 Z ,✓- APDATE PROVED z JCC ADDRESS !S / a , / r UI W • • • • ni �Aj�• A LTEL. 2 F C I T Y //'fi/!a}AO�Y/ �0...0 NO`�• . pj I • i L W STAT€ // CITY , '-` YARDSAPPROin cc LIC. NO. LIC. NO. ACCESSORY BUILDING 7SIZE NO.OF BLDGSOFLOT / iQ _ NOWONLOT O Pqa FT. USE OF EXISTING BLDG. '----- R,SIDE FT. FT, Z SIZE OF / �s N / NO.OF wry, S- Z Z NEW BLDG. e SCV ROOMS �7f/`STORIES L.SIDE ✓ FT. FT. C EXTERIOR WALL ROOF or-40/45•••• (j V COVERING /OLEO. COVERING REAR A FT. J USE OF BUI DING AND WORK TO BE PE FORM DISTANCE BET. BET.MAIN& 1 0MAIN BLOCS. ACCESS.BLOCS. Q / yVAR.44-7 DATE 0 GP_"1c u.P,..4 V3-7a APPROVED 6-27-76) VRWD,/_a•0,_ DATE / • —/-7OzO UI hereby acknowledge that I hays road thio application antl state now FOR SPEIIAL REOUIR�'MFR'Tc D that the above Information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F„ any person in violation of the workman's compensation laws of H the State of Calif orn ie. )�� '/�� Ar '9 o co ZI hereby certify that I em properly licensed as a contractor under J SQ. FT. 7'• O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDE ALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: c am exempt from the provisions of the State of alit ornla Business and Prates .ivtslon 3,Chapter VALUATION 9. coa. ' PERMIT FEE $ [./L. / q D Signa . �i// - . 5 •1� PLAN CHECK $ / ei<� E Parmlitea / - ��� / r �1 n /‘D, TOTAL FEE $/ 4/11'• u Auth. -. Agent Obi