HomeMy WebLinkAbout897 PEACE PL - Building PermitsJabAddress: 897 PEACE�PL � '
, Suite:
Viciniry: ROOF . ..
Primary Occ: - R-3 Dwellings/ Cong Res <10
Parcel Number: 41805307
App�icanc MOLLISE, DANIELLE _
Address:. 1653 SUPERIOR AVE
COSTA MESA, CA
Owner: PE
Address 897
� TEAR OFF
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� $o.00
�$153.25
j $0.71
UI $0.00
n $0.00
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Type of Construction: V-N
Zoning: R1
�_____Phone: 949
C-,,�+'".JG?�Zip:�-926
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Phone: 949-642-7222
License: 349686
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icense:��� 't _�__c._---..� . ,�n .
ALL 1�LAYER OF 30# FELT
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5:12, 30 YEAR
fa'"' 1y�r'I'�U � J..T� FEE�SUMMi4RY J7}�
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St I�tlAGKS !�� . - � - 0 � o o �o .o o '��Fr` � <"
MAINSTRUCTUREJFront \0 �0� •� Re�?0-�Op „p�"o°Qefly o c�0-OJ Q�'•s
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ACCESSORY� F�t/1��� R�r �0-`0 00 �Left� � 0=�0; o�
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PARKING �xi/a;� Reouired� °�O8" o a��� Pr000°sed.' „O,i
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StaWs: ISSUED n,���
Applied: 03/27/2007
Issued: 0 312 7/2 0 0 7
ISSUED BY:
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� ���`��`ne;
1�, /�\ \��\11 e�—,
�/�`' `��`-�'r',111 �'
V SHINGLES, REPLACEIREPAIR,S
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�Ic Valuation: +1 �y�
O Valuation: � 1���� Co
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NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced�witliin 1 BO days, or if work is suspended or abandoned
for a period of 1 BO days. .
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetlona and final approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 . . '
aaa�aa �aw�
WORKERS' COMPENSATION DECLARATION: � . " . _ ' - ' �
I hereby aRirtn under penalTy of perjury one of the tollowing tledarations: - . ti� � - '
❑ I have and will maiotain a certificata of consent to selbinsure for workers' compensation, es proiltleB br by section 3700 of the Le6or Code, for Ihe pertormance oF the
� work For whicB Ihis �permit is issued. � , �
�—I have antl will mainlain workers' compensation insurance, as required by section 3700 of Ihe Lebor Cotle, for the pertormance of the work for which this�pertnit Is issuetl. ,
-+%�My w��5ers' compensation Insurance cartier antl polic nuT ber �re�: �—� � p - �
Carnec— � _� PolicyNu,mber:- IrTI���C��O
(This secti�o oeed not be completed i( e permi( is valuetl at one hundred dollars ($}i)0) ar less.) �
❑. I certity Ihat in the performance of.the work for which this permit is issued, I shall not employ any person in any manner so es to become subjact to the workers'
, compensation laws of Calitomia, and agrea that it I should becoma subject b Ihe workers' compensation provisions oi.Section 3700 of ihe Labor Cotle, I shall torihwith
complywiththese isions. I��c-� �
Applicant�Signatur_ e_: ����� `Dat-"`_-- 1:. �I a'� l.� 1�
�.�... ,v. . f'^".,. _
WAFNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOIISAND OOLL4FE ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVI OED FOR IN SEGTION 3]O6 OF THE L4BOR CADE, IMEREST, FND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION: � '
I hTrebyTNirm that I am licensed untler provisions of Chapter 9(commenr.ing with Sec�ion 7000) ot Division 3 ot ihe Business and Professions Code, antl my license Is In tull �
forceandeffect:Lic.k, .��i�.I�IIOS/�n �;,'Cless,q._��C—�q
Comracior's�Signeture: � i9F'CFO74._.-- Da�e:--- .�i-�%' �
c!, �r� " �
CONSTRUCTION LENDING AGENCY: �
❑' 1 hareby aflirtn ihat ihere is a construction lending agency for Ihe performance ot ihe work for,which this permi� is issued. (Sec. 3097, Civil Code). �
Lentlefs Name: Lender's Address:
Signature: ' Date: '
OWNER-BUILDER DECLARATIONS: �
I hereby aHirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires'a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appllcant for such permit
to tile a signed statement ihat he or she is licensetl pursuant ro the provisions of Ihe Contractore License Law (Chapter 9(commencing wl�h Sectlon 7000) of Dlvislon 3 of Ihe
Business antl Professions Cotle) or that he or she is azempt theretrom antl the basis tor the elleged ezemption. Any violation of Saction 7031.5 by eny applicant for e pertnit
subjec�s �he applicant to a civil penalty ot not more �han five hundred dollars ($500).): ,
❑ I, as owner of ihe property, or my employees with wages as their sols compensatlon, WILL DO THE WORK, and the structure Is not Intentled or otteretl for sale (Sec.
7044, Business and Pmfessions Code: The Contrecrors License Law tloes not apply to an owner ot property who builds or improves thereon, and who does such work
� himseN or herself or through his or her own employees, provided ihat such improvements ere not intended or oRered for sale. Ii, howevar, the building or improvement I5
' sold within ona year ot completion, ihe owner-builtler will have the burden of proving ihat he or she did not build or improve for puryose oi sale.). '
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct iha project (Sec. 7044, Business end Professions
Cotle: The conirecrors License law does not apply to an owner of p�operty who builds or Improves ihereon, and who coMrecis tor such pro�ect wlth e contractor(s) �
license pursuant to lhe Coniractors License Laws.). .
❑ I am exempt under sec. Business and Professions Cotle for ihis reason:
Signature: � Oafe: �
Owner ID verified by dnvefs license. ❑ Ves ❑ No DnveYs License No. Expires: �
Verification of Ownership by (type of document, i.e. - property tex bill or tleed):
CERTIFlCATE OF COMPLIANCE AND AUfHORVJITON OF ENTAY: I certity under penalry of perjury that I have read this eppliwtion and state Ihat the information given is
correct. I agree to comply with all state laws end ciry ordinances relating to building construdioq and authorize representatives ol the Ciry ot Costa Mesa lo enter upon Ihe
ebove-tlescribed property tor inspection purpases. I agree not ro occupy or allow occupancy ot any building authonzed by ihis permit until final ins0ection.
/��� � Signature Of Legal Owner(5)
%1.;-8-Q�70GY�i U Q-��
14,`AnNOrAuthonzedApplican�..—.___ � -
COpE 1. INSPECTIONTYiE QA� . �� ;
1616 . Fixatl System Final Fire Prevention -.
1266 Pool Spa Final
200 •�FinalRe-Raof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 ' Firial Sign � ' "•
204 Final Demolition
� �
COpEt. INSPECTIONTYPE . �
206 , .Final Mechanical. .
208 Final Plumbing
210 .. Final Electrical ��,,:.
212 Final Fire Prevention
220 Final Planning Approval
222 FinelSite� � �
250 Final Building�Occupancy
�UDXESS OF BNLqNO:, O J/ L' GNI.. C Y L,,,
av��rs,u�EiF�m: FAT PATERSON
.�o� .x
897..PEACE PL
COSTA MESA,CA
�vv�. �uiwc nuoniss:.. . . . —
MCNIfECT OP EII�lFFA: �
--�92626� ..
, .
uc. No.:
:.2�. M
/ipCIIONFN6'SIDDXE55: . UNf: '
��T�� GEORGE HRAZIL ( 714 ) 541=9753.
CONfPACi0R5MNIlNG 3022 N. HESPERIAN_ WY . ,
�pE�: SANTA .ANA 92706 CA .., uG�.:. 67989801 .
' � . -' � uxr:-
LICENSED COMqACTOflS DECLAFATION: 1 hereby ellim uMx penely d pwjury tlW e d « 9
(mmmend�p vnths� on )00� ol Diviaun 3 M Ihe Busineaa end Prdaeaiane CoEe e I' orce sll �
cmuc.No.:Opb5i6� uc.cuss: C-20 ��� uo.: 6.��� 97/
OW BUI EN D�ClAN1T10N: I MeeW elfi�m aMm DenNy�N�Y � e mn the Canvsu ' L.iarue law lor Na
wiip (Seawn 103�.5 Busiie�a eM Prdmsona Cade: c,Y mu Y �Vu'vea e Vermil to . Mer.'vnVwe. �
tlemolah, ar mpeir eiry atmcluro, qior lo iie aauence, elso repui IM ep mnl h parm0 to file e eipn ele�emem ihat he onM
ia licauad Wnuenl to Ihe praviaiona M ihe Conlraaore Lioenae w (� mendip xilh S )000) d Diveion J d tha `
B��ron entl Rdeaure Code� a ihei he a ehe is eaemq t uM the Na el xnqun. MY videlion W Setlbn
)031.5 by enY e0d�l lor e permA eubpde the eppliraM lo e tivil penelry d am I e unEred Eollen �5500�). '
� I,a+ovmerdlhepropenywmyempbyeeavmhweBaeestheredammpenaetion,willtlolMvroM,entl�heeWcturewnMintendedT
n MereE br eab (Seeuon )OaA. Buvren vM Profeseiau Code: The CaNeatlan limrtse lawdoea rwt eGVNta en oxnxd PpOaM
wno a,ia. « mv� ���oo. �e.roo eo.e s� .� ��rc «n�w a m.�n nm � ne� o.m �aim��. n� �nm wm
impra+emmn ere M imeMeE a dlmed b. eale. n, howevar, tM buiNinq a'unpovemem o wM vrilhin me yeer a ownplation. iM _
awnx-huiNar will heva iM buNen d Orovinp M or ehe Ek iwl builtl or improve la Ihe pumase d eele�. .
� 1. m ox�wr W IM pWeM. em mtludwF�' aonvmM Mith tionaeA conlraclas to cantlrutl IM W9� (SeUion ]001. &mi�a ard �
Pmlesaione Code: The Camretlon licenae Lew Eom nd ePPN w en ow*wr d puV�Y xho bui7da a imG�'�m ilseon vd who
contrecta iw euch pol�s'�^� e mmrada(e) Ikenaed punuent m �he Comreawe lioenae lew). . �
��� I em exemp uMer Sanion: ' ' B. 8 P.C., br Iho raasm: � .
Data: Ox�r: � i
� .r
i do n.�w �Mr �n� i� a.�a a�e �oea.w�a ub �c���.m, d c�eo"�r �nn.�a smary cod. sw� uws, us�. �e '
255J1. eM Nai I a ury Mure Euikiip omqeni will / wil ml (�b one) neeE lo compy M� eaid Mte mdae vd �he rpu'vemenb M.
eparmdlwwnat�uclionwmodifimlionhamlMA'r�i enepememDimna.Raidsuielmnmrutlioneppfutiomerea�emq/mm�lwe�.
proviaime. � . . .T�,.
Dme: '' AppicenL �
, W OHKEF'S COMPENSATION DECL�fl�TION: I Mreby elfi�m unEer peneXy ol pe�ury am d Ilie blbwiiq tledereliom: '
� IheroeMrAmelmnnecenAicmedoonronttoaell�nwnbwarke%rompraelbn.avywidsdtabySwJionO)OOd�MIe� „_
cod..�«msoen�eamewon�a..�:a,meo.mmn��e. . - . �
� work Iw xfirA hia Gemi�'a�ieaued: My �'ken' sugrmen5»ce. ee ro9uired �by Setlion 30M VdwY numberCOEe. M iM VetlormeiKe d IM �
c� . i'YSt'.ii��.� %'iY� � ��{�' ��c�.'3 '
. POLry Number: — n� � O i/ 9 8,�
I(This sedion nesJ nM he camplefed % IM pemil ia M om hurrdred LWlers (SIOJI w � .
� I oerliy Vut in iM ame w d �Ae wak la wh n il a' . I ehNl � .`�-eny �, vo n 10 '
be�ume eubjea �� �ten wma� we d c . e ec � b � �o'�ne xvMen
c/vll firr� up ro • ��nONulnouuna oaun /siut h m noivon
SectlmJ]P6o/ LaborCotls,Intwv4�����Y' �.
CON4TNUCTON LENDINO AGENCY: I MmW elfirm uMer penely d per�
parlmneMe d IM xwk la which ihe peemY is owed (�� �]. CH. CI.
LENOEF'SNAYE: �
� LEN�Efl'9 �DDFE55:
�CMIh'1���10VBf��IO Bfl� 8��118 �M119� q
eMeietalexenletYpto �gconap e eu�M¢erep mrve
IOfIIO�Bf.YM11Wf � / AgD /
w 1/
n GnvWW ro.ln
bMi�p epa1wy lor the
locanply xnh ell uyend coumy oNinences
m emm uw� �he mwo-memorea ww�n
� i �
Dete:
Green-Fla: Cenery-AOW��: Pink-Revenue;
„r.,_,,,,_.,,,,,�,�„.R�,,,.�„_.,.�„,C,I'fY,,.OF,,,COS,TA_MESA._-_HUILDING,�PERMI,T^,. ' �
�:..�-...« ..._,._......,,..,..,,....:..._,..�,.,-. _...,._..:.,...._..___,. ... ._'� ._ _ .._�.- PERM NO: P..,. 08284b ..
, _ ..,. ,.._, _.
PERMIT NO,: „P_..._082840 _ _._ _.,PLAN CHECK NO: _.. ___.__ ,. N. GOVT.: N SUPP: N
CONSTRU,CT,ION'TYPE:;._V-N_ ,,,___. _P,ERMIT.TYPE:_PLU„„,`.�,�_,,, _ _ _ PURPOSE: OTH ,
JOB DESCRIPTION .,,:. C/O,WATER HEP.TER ..__.,__, ....._...,... ... ..SQ,�.FT:...,.
CLAIM_VALUE.:_..u_, CALC-VALUE:_,_ ........... ... .. GROUP.00C: R-3 _ /. _
, -r_.-... �...»_. __.,.
COMMENTS: NO OTHER OWRK AUTHORIZED BY THIS PERMIT
iE 1E iF iE fElF iF ik iF fE Ik 1E IE 1E M �E 1E if 1E if iF fE 1E 3E iE fE �E 1E If IE IF �E 1E ik iF fE Ik 1E IE 1E 1E 1E 1f if if 161F iF IElF M iE ik if iE iE dE if 1k 1f 1E 1f iE jE IE 1F if k 1! iElE if !E iF 1f 1E iF iE k
.„.r �__._ -......_ 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�HUILDING.,.� -;,_._=...-r_.�,.__�---�=.-_,ACCESSORY BUILDING_;.-�_,-'��-_._
FRNT:,r, _��,,;FT_,,..m„_IN..REAR:�...._.._ F.T._ _ IN._ FRNT: FT IN REAR: FT IN
LEF,T.:,,_,,._,E„_,sF,T,�_,,,,.IN RGHT.:„,,,__,_..FT _._.IN LEFT: FT IN RGHT: FT IN
PARKING_REQ:,�.,...,,,. ,. PROV:.,...:_,_..PARCEL: 41805307 ZNE: REF NO:
PLANNING.,_NOTES.> _._ .." , _._, . '
� . �
iE iE fF IE iE if �f iF if iF if if iF iE iE iF If if if iE IE 1E if 1f iE IE iF 3E iF if iE if if 1E if iF iE 3F if If iE fE IE iE iE 1E 3E if 3f 1E 1E 1E If iE IF if 1E fE fF iE fE IE IE IE IE iE 1E 1E 1E 1E �f fE fE fE iE �f 1E 1E 1E
D_E V.E L.O P M E N T S E R V I C E S'�r,'—R E,_Q U I.R E M E N T S
��
ZONING APPROVED HY v� DATE;
BUILDING APPROVED HY : i"� DATE:.
� �� �,
APPLICATION .ISSUED HY: .�-+�7 DATE;
1E1E1E1EfFiE�f�EffiEff3E�fiflEif�EiEifififlE 1E1EiElEiEiEfEfFlEif ifiE
LEGALI.ZATION:N.,_ ,_,,,,,, ___ ,F E E S U M M' A�R Y, . ,STRUCTURAL SEGMENT;N
_,„.,.BLDG;PMT, PLUMHING ELECTRIC MECHANIC FIRE _ SMIP/RES GRADING
PERMIT_„_,,.�,,,;..,_„__.._., . 11,00 _
_ ._... _ .... ..'. ' _ � . . 25t .... . SMIP/NON-RES
PLAN._. -.._�, � .. .. _ .
ISSUE„FEE_.__�_..._... . ,22.00
BUILDING-DIV-> ,,,PERMIT_, ISSUE PLAN-CHECK TOTAL_ __ .PAID ,DUE
TOTALS---->_.., ,. 11.00,,__22.00 _,. 0.00_ 33.00 ..., 33.00 .00
4Y�����ith� �1tt}t�tf3N fif3T�.t,� x_,:�_. f-f�Lt,Ei;fi�De 3g.0� OVER/SHORT:. .. 00
__,_ BLDG PMT.PliUh��I�l� ELECTRIC MECAANIC FIRE SMIP/TOT ,GRADING_,PLAN-CHE�K
� iF k if 1E iE 1E k iE 1E 1E iF 1E if iE 1E iF k 1E 1E �E iE 1E 1E 1E iE �E k iE iE IE iF IE 1E iE fE 1E iE 1E iE if iE 1k iE IE 1f 1E iE If !k iE iF k 1f fE iE 1F IE 1E 1F iE 1E fE 1E 1E 1E iF ik it iE iE k iElE iE iE iE iE If
.�..... ...._. . ,.„�.I,.. N D I, V' I D U_ A� L:. . F E E B R E A K, D.O W N,.
,TYPE__ _._QT.Y„„..,_.,..D.. E_ S.0 R. I P T I�O N_.__,. .. __ . UNIT COST TOTAL COST
PLU, _�,. 1_'_ . WATER HEATER AND/OR VENT _. 11 .00 11 .00
,END OF FEES�
. I. .
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ES-�8-1997/62;38 FM/533.Lt?
kCPT�:61-d138b0i�
F'EkM I T e 08284E4
�
�� CONSTRUCJION AND�PLANNING � � 3. f . - �.. � � - - PO 3�SPA -. - .� .` �'- --- �� `
r' � � � Deta I nspecto� 1 � ' � ' �= ' ' y�� � Daie � I nspectoi '
. : APPROVALS-� Permit #'' � �`� � . . -. t . - tAPPROVALS. � Permn # r. ' , .,, .
i - c ., . ,; _ � 1 ' - < ,'
�� � V 7. Temporary�Elect�ica� Service or Pole .. ", F"� ,� � b2f Pooi & Equipment location � . a'�
x�- - .. . .�, �' ,. . . �
�� � �2: Soil�Pipe•Undrgrnd. �.` � ; � ; t , J 53., Steel Reinfo[cement: -, '1 - ' "" -
h � 3.-Ejectrical Conduit UtiBry;Undrgrnd ' - �" � �54� FormS' � - �- ° e _ ;4 � ' ���
r: i � � �' �' i
4. Electrical Cond�uit-Undryrnd.� � '• � _ � � y� � 55.' Electrical�8ondinqf � ;: �`-� �� � , , � �� � - i '
,
J5. Steei Reinforcemeynt- ' ' ' = <�: ��i � V � _ '
'56. Rough. Plumbing & Preszure Tesj � �'
u� �6;:ElectricalUFEBGmd. .� �' � �' � 57� APPROVA�.SOCOVER�GUNISE' � � .�
:� : �§ S- `k�_ � .s � t:�:
" - 7 �Footings ��� '`'r� � �'� r ' +` 58�.. Electrical��Conduic=Undrgmd. - - �
h, . :,. � . _ � x :; =. �_ ?. '
��+ 8. F`oundation- ��;; y � � ' � � t a; � � � . ' �'. ,59, Ga's Pipe GyUnd-;grnd -„Test; . ' e • �t � 't,
9. Water Pipe-Undrg�nd.` vh .-' �� - `, - • ' � � � _ " � � fiQ. BackY'vash_lines,�P;Trap, t.'-7-. Undrgrnd: , ; ,
10. Structural Pioor SYstem �` ` � � -�n . � � 61? APPROVA�-TO,OECKl' j� ��,-� - - � '
' i t. Property Sewer Line & House Connecf�on _ '-� r�. :� i i62�: Backwash & Receptor-Firial �+ _: •- ��
�. 12. Sewer Cap � ' '"- _ - ` f ' 63. Hea'ter & Vent•Final � '
- -.. ? r.. =e� <` ! � - -
A , ;
13. Roof Drains � , ' - _ r= ', ' 64-. Plum6ing SYstem -�Finai i ._ � .�_j �,�
r �74. Rouah Piumbin8 � ' ; s; . -f ." ��'� ��65i Electrical-Final � � , o�, i'=��� J�
=15. Rough Electrical-Conduitk � � " � z` - � 4 � ;66� SoI$r�System-F�naP -' . - t - • '; �
�� 76. Rough Electric�Wiring�, �. �,.� , ;I k � ' ` - '� b � ,67� Fencing;& Acces"s Approvai ,' ' � " �
�� _ , . •:.: - � �
� 17. Rough Wiring Sign ��: •� • . I :68. APFROUED;FOR-PLASTERING' . � "; i
�18. Rough Electrical-T Bar Ceiling �. �, � -- o ,.� 4 - � 69t POOLlSPA SYSTEMS_F.INAC ;��; V- ,�E
-- 79:� Rough-Heating & Air Conditioning. _ - . _ ___ ._ - _ _ . pIRE�DEPT. REQUIREMENT - -- _ - =�L
- � � - - - ---r_
20.'�RoughFactoryFi�eplace . - �Y - _ ,J ' �'qppROVAIS,� Pe'rmit#�
2L'�DucCs, iq�Structu�e� - • - 3 s � - .� � - 70rUnderground Hydro
22.,Ducts, Ventii�ting.` = r �_ - � �� * ;j �7. Product=Pi �n �O:Gas ;�Oil
P. 9.
23.'Gas;Pipe_Rough&�Tesi � - � '� '�'� � ' � ,
s t-' 7' �.. -- 72. Undei9round Flush
24: �floof. Framing� O�t' .- - - '� " -•` j3. Undergind. Storage Tank O Gas Q"pil �
�
25. Roof Sheathing ' ��- , • ' �. =, . ar " 74. Overhead HYd/o � y
26. T-Bar Ceiling (StTetural} &.Monocoat 'n -' ,R,.,'r 75. Dry Chemical ' u� � " ' -
27.'Frame and Flashing', �.i � � � � �,a 76. Dry Standpipe: �i • _' �
28. Lathing�& Siding � � r•. ��* -_ _ - - • � •• 77, fIXED SYSTEM:FINAt
� 29. Insulat�on ^ � -. •. ' • . � � ` - � { - r'
c:a " x � � 't 7.8�FIRE�PREV. FIN�AL � � .
30. DrywalPNaiiing "* z , ; , ;�. �,,,,,_ ""HEALTH DEPT�REQUIREMENT �
' � . x i y. .� , . �" �- �� -
31. Plaster Brown Coatx - - , . •* . 79.� FINAL�INSPECTION ' " -
� 32.-Electrical.Power Meter'�Final �,� • '�� '. 80. FOOD CERTIFICAI'E ISSUED
33�Final� Electric `�* ` i: � � i �� T Notes: ��,� ,. -, . �',:, . I
{ 34.-Pin2lHeating&AirConditioning; a ', ��� u ,.:, . =� , �C'
� Y r - eL' =S n
35.iFinal Gas Pip`e�Te'st.�: .Y � ,. '� ' ;� ._ ' �'� � ` ="-.
� . 36 ��Nood o� Canopy�_ • • - : e. . '.F Z�. : i � � � -s c-
'; ..:k_ i x^ *-r
37.-Flnai Factory Fir,ePlac`e� �'.`. ' •, t ;{: � c: �` � �
. ,. ,, c s m x C• �.
38. Fioai Plumbing �t . "' - v ..�,.��7. � � --� s t:+ '--�----
� ir ,
39. Wa{er Service�Finai'� r = M / � � � `��" ��` �
3� � � �� i I Y r .�, .:
• 40. Gas Service�Final ' : - . . �•-_!. - ��� ; � �
' � s
41. Soiar OomesiioFinai = � " x' '- � � � E" ' , `
n, � r ;'F ;r . r, . I
42.-Backflow Preventeri- `� �i� -t � i �e c; . _ --
:.� i
43. Backflow Irrigation� ' - �•: x 1 :^°� t �, -`
'' ^ ' (
-44. Landscape lirigation Sysiem^r � :�, �r • � C '":r a P� n. - '�'� �- �
�- r
�-45..Sound Atten`uation' ' ' � * ' " ` ` ` ^ "' "" '"'� .
�- � � . :� .T1 - ` � Cr . �: -�t ..
- � � � . . _ � _ ..�
.'46.,Handicap.Regulatio,ns - � �, - • s; _ �c, _ -
- �
47=FINALSTRUCTURE&BUIIDiNG � - '
- .. a
48 -'FINAL PLANNING > ---j- c %t e•
c
'�49.yEiectrfe Release to Edison ' T - ' �� •
'_ 1
50.-Gas Release io Southem Califomia Gas Ce - � x�- -� � '.
.ii
-51. CERTIFICATE OFaOCCUPANCY : 5 . ._ - �• �
No. Date
r � � ., r , . "
' - , No.
WILLIAMS INSULATION COMPANY
OF CALiFORNIA
1207 E. Hunter Ave., Sanfa,Ana, California 92705
(714) 547-5148 -
� .
THERMAL�INSULATION CERTIPICATION
THIS IS 70 CERTIFV THAT INSULATION HAS eEEN INSTALLED IN CONFOFMANCE WITF
CURRENT ENERGV REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 STATE
OF CALIFORNIA, IN THE BUILDING LOCATED-AT: '
. � .
Tract Name: ' +
P.
I o. /1� Tract No. `��/��Y3 Block No.
, Street � /6�� ���X—• l..0 • City • �
. ` . .- ,'•1� - . �
EXTERIOR WqLLS: � ° �
y .
ih3�Y!$. tr f�
�1; _ Mfg., Ctalnia� Thickness/Type ��
' Cei�ings: � � ' � - . ' .
� �-Batts: - "�. �
- : Mfg. �nR-. �CoEniri� thickness/TyPe 3n
Blown In:
Mfg. Thickness/Type
� :
a
'Sq. Ft. Covered No. of Bags U;ed � �
Floors: . , • }• , -
� _ Thickness/Type
. � ... . . . :J ';t : . � . _ -. .
Other � `' '` �
. 'a — .
Mfg. Thickness/Type
x . ;
General.Contractor � ��
�California Contractors License No. ' Date
5
Williams Insulation Co. of Califomia ,p
California Contractors License No. 267522
� � - ' F.
a
R—
Value �� _ �
R_
Value 1�
R_. -.
Va�ue
R—
Value
R—
Value
_ .�....- ='.: m .�..'�.
R—
Date Q��dTQ . .
, ..... , E , ..,._
,
' JOB COPV-WHITE - � • � . BUILDING DEPARTMENT-PINK
GENERA�CONTRACTOR-YELLOW . �•� � , _ FILE COPV-GOLD
r
.s,� ;,.n.�3 , -
COSTA MESA BUILDING-SAFETY DEPARTMENT �
� P.O: BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ to Fill in Comple[ely — Use Ink' Only �
BUI�DING �Q� � � _ . . _ /i_ � _
. OWNER Fole �Constn
� ADORESS 2101.E. Four
� , CITV '.�dI]�3 AT]a
CANSiRUGTION • � �
' LENDER � � �
' BRANCH
ADDRESS
ARCHITECT .
OR ENGINEER - Hd].2S— <
�.
ADDRESS %]% S� [�j_[] �
�
3336 2/.13'/.79 . I•14 S
• 3336 `2713/79__. 114�C KT�
' 3336' '00004474 23 "" �r�+"' �
APPLICATION FOR STRUCTURAG�PERMIT �
RECEIVEDBV DATERECEIVED DATEISSUED
.A. A:P. NO.G � �
•BUILDING A '�
100 ADDflESS � � aL� ' t�
TEL. TRACT ' 1 S13 LOT B
No. 543-947 14
�� • W- ADD ALT R P
X
. ' ��' OWNER }.''012 Construction CA.-
� VALUE )�
TEL S $ �7✓
, FIRE
i5: Orang� Z�NE TVPE GROUP.
. APPROVED
� ADOPESS ��� - � -
.' ' ' TEL. - IONE NO.OF' USE OF NEW ''
PLAN$ � BUILDING DN/�
" 1 CITY S7If� ' NO. . .
F STATE - GTY `. �'ARDSAPPROVED VARDSAPPROVE�
� LIQ NO.' -ScllilE � LIC. NO. ' ' MAIN BUILDING ACCESSOPV BVIIDING
(FROMC/LSVRFEETf�r �D__:.. (�I
{Lj SIZE - ' , NO.OF BL�GS. • Q � .
0. OF LOT NOW ON LOT O� � FRONT ��/ � ��`K'G �r
a USE OF % - . : . � C/ ^ •
� EXI571NG BLOG. N`�� J F V � Fr.
^ .
F Separate:permits are required for �. sioe � Fr. Q.• FT.
_ . electric, plumbing and heating work.., ' ' � qEAR �� FT. �/ . FT. -
� USE OF BUILDING AND WORK TO BE PERFORMED� ,� . DISTANCE BET? BET. MAIN & '
Q - MAIN BLDGS. 'ACCESS. BLDGS. '
" � VAF.�� DATE " �
"� Develo t of 41 sin 1 C.V.P.,� APPROVEO
¢
� • ., detached k7i residence uriits. �� `�?flo — _7%
a .
W -
•� I heraby acknowletlge thet I have �eetl thls applicatian antl stata � �'�
NOLD FOR SPECI L REOUIREMENTr �
(y� 'ihat the�ebova information is correci�and agrea io comply with . �
' 4 atl lews regulatinB building construction, entl I shall not employ � '
z any� permn in vlolation of the workman's compen5ation laws.of • �
'- �. the State ot CaliforNa. , ' � . � ,' ' ' ' �l��rf� n ^ J C
O� O w�
� 3 1 hereby certify ihat I am properly Iicensetl as a contrec<or under
� tha Stata of California Business and Professions Cotle, Oivision 3, THE AMOUNT SHOWN'UNDER VALU
, Chaptar 9, antl that such licenses are in full forca antl affact, or I THE PURPOSE OF ESTABLISHING A PERI
am�exempt from the provisions of tha5cate of Calitornia eusiness VALUATION PERMIT FEE � 5
antl Professlons Cotle, Division 3, Chap �r 9. , .
/ . `jS/5D� PLAN CHECK §
� Signatura'of v �
Pafmlttea $ ��Q TAX $
Authorized Apent � . TOTAL PAID $
w^
:�t�
� � �
N
ISFOR m�
ONLV: p��,�
• .N'�+.
i n(�
o�./��
."'Y% . � rl
� . __
COSTA MES,4 BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Ap
BUILDING
ADDRESS
OWNER �
MAIL
to Fill in Completely — Use Ink Only
CITV '
CANSTRUCTION �
LENDER
BRANCH
ADDRESS
ARCNITECT �-
OR ENGINEER
ADDFESS '
CONTRACTOR �/L
TEL.
NO.
TE�.
ADDRESS `
TEL.
CITV NO. '
F STATE - CITV
� LIC. NO. � LIC. NO.
{a� SIZE ' NO.OF BLDGS.
a OF lOT NOW ON LOT
a USE OF
� EXISTING BLDG. �
�
� Separate permits are required for
^ electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
�
..a
a
>
�"
.a
C�
W
P.
�
4
z
'�n
3
�
I he�aby acknowletlge_that I hava reatl this aOP��cetlon and stata
that the ebove information is correct antl egre¢ to comply with
all laws reguleting builtling consttuctlon, antl 1 shall not employ
eny pe�son in violation of the workman's compensetlon laws of
Me State of Californta.
I �areCy cettlfy ihat�l�am properly IlcenseC esacontractor untler
Me State ot California Bustness entl P�ofessions Cotla, D(vlston 3,
Chapter 9, and that such licenses ere In full force and effect; or 1
em ezempt trom the provtslons ot tha State ot California Businass
antl Professions CoAe, DiviSlon 3, Chept � 9. �
Slpnature �Y /�' /
Permlttee `���� �
Autho�Izetl Agant .
w -- , 6738 3l27/79' . 219..00 TL
� 6738 3Y27/79._. "2f9r00CKTD1
' 673� oaoo44�42a ' ."-la ' "'
APPLICATIO�R STRUCTURAL PERMIT
RECEIVEDBV DATERECEIVED �eTp��ci�cn
BUILDING Qn /7
ADOFESS (�`Z /
TRACT/ V_
FIfiE
20NE T
APPROVED
BV
ZONE NO.OF
PLAN$
VARDSAPPROVED
MAIN BUILDING
(FROM C/L STREET)
DISTANCE BEf
MAIN BLOGS. -
VAR. qR
C.U.P.q�
APPROVED '
PERMIT NO.
X t.[� �
LOT BLOCK
R M
VALUE
$
GfiOUP
DATE
USE OF NEW
BUILOING
VARDSAPPROVED
BEf. MAIN &
THE AMOUNT SHOWN VNOER VALUATION
THE PURPOSE OF ESTABLISMING A PERMIT FEE
VALUATION PERMIT PEE § �
V PLAN CMECK b
$ TAX §
TOTA�PAID $
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