HomeMy WebLinkAbout2929 PEMBA DR - Building PermitsAoolleant to fl11 (n all spaees exeeo< lhose witnin ncavy eorOer Ilnes antl sign ail apv�opriate tleclarations. ,�y� ,J� '� �_ �
CITY OF COSTA MESA . PERAyT NO. ! � TRACT NO. LOT NO. BLD . . �.-r--/���o�" � `��'�'�`J'I B4� S.00
� CONSTRUCTION PERMIT r � �5 (G�� '
PlojeC[ Addre55 TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR �"`�" z�Z' :O
Applicant'SMailingAddre55 . ❑CONVEHSION ODEMOLISH ❑OTHER q,p,# Zone
OWner'S Name — ph�� y_�9_ j/96 DESCRIPTION OF WORK S Main Building: ACCCisOry Building: Z
Addreu �o-'�^�- E O
TYPEOFPERMIT GRADIrvG NDA710N STRUCTURA� T Front N
Arch/Eng. Licensf No. ❑ TENANT ❑ ELECTRICAL LUMBING ❑ MECHANICAL g �
A Rear N
Addr2S5 ❑ �OTHER
-Pm PRQIECT DESCRIPTION 5a. FT. ocCUaANGv ' C Right . �
Contractor's Nam `/ hon� K q
Address�m �� n�!�!� �'i ��9L�/ CONSTRUCTIONTYPE VALUATIONS S Le�t E
' ►t � ZONE GRADWG cU.v�S. ACRES Ping. Ref. # Park.Fees $ �
Ciry License No. _.,/�� , U
LICENSED CONTRACTOR DECLARATION � Remarks: . P2Iki0y R¢q./P�Ovid¢d � �
1 M1e�eby af(irm that I am licensetl untler provisions of Chdrte� 9(comTCncing . . R
with section ]000) of Dlvision 3 of the Business antl Protesslons Cotlo, antl � Use of Building: E
my Ilcense is in full force antl fe t. �,
Llcense Claj� � Lic o.«6. J g PLUMBING PEES Planning Notes: . M
e�L� � r �5'g t +d�'�d� BarSink Showers N
,RKERS' COMP�SATION DECLARATION T
1 h¢r¢by atfl�m that I hdve a certiticata of tonsent to self-Insure o� a CBrtiflWte BackflOw P�¢v¢nt2f $¢NIC2 $ink " S
of Workers' CompenSatiOn Insu�ance, o� a c¢rtlfletl copy the�eot (SOCtlon
3800, Lab. C.) Backflowlrrigation SewerCap ELECTRICAL �FEES
Policy No. Company .
BCertifietl copy Is hereby fUmishetl. B2thtub5 - S¢W¢� COnO¢CtiOn AUtOmetic WdSh¢� T�anS(O�m¢f ❑ 15-50 KW
Certitietl copy Is flletl with the city Builtling DiviSiOn. - ❑ 50 + KW
Dat¢ Appllcant Clarifiers Solar Collectors Construction Pole Sub. '
EXEMPTION FROM WORKERS• COMPENSATION DE[LARATION Dishwashe� Solar Piping g p p
(This section need not be completetl if tne permit is fOr On¢ hun�re0 (5100) or Cookin Uni[ Me[er ❑u to 7008m 5
less). Drinkin Fountains
I cerllfy [hat In tlle Oelfolmance of the wolk for which Ihis pefm�t IS ISivatl 1 9 5012I TBnk Di5hw25hCf M8t¢I �Ov¢I 100 3Tp5
shall not employ any person in any manner so as to become s bjec[ to t e
worker ' C mpen tlon �aws ot Canforr � �� �� � Floor D�ains; Swimming Pool w/Spa . Dryers ❑Gas ❑Electric Sub Panel
Date Si9nature � 6� � �'-'4-� �
NOTI : 1,ia t r 4 in9 [his tleclara[ion, you shoultl become subject to the Floor Sinks Urinal ' Fan
Workers' Compen5dtion provisions ot the Labor Cotle, you must torthwlth Motors 61 HP i%� B
camply with sucn orovisions or tnis oermit shau be tleemetl ravoketl. . GasService Outlets Waret Closet - F.A.U. InaSolar �9-75 HP �16�15+
CONSTRUCTION LENDING AGENCV� �
1 hereby affirm tnat there is a construction lentling agency for the performance Intercepto�s Wate� Heate� Fixtur¢5 Microwave '
o( the work tor w�ich this permit is issuetl (5¢<tlon 3097 Civ. C.)
Lentler's fJame , Kiichen Sink Water Service � ' ', Device Boxes Pole Light
Lentler's AEtlress Lavatories -
OWNER BUIIDER DECLARATION • � � ' Outl2[5 �Range
I hereby affi�m thdt I am exempt i�om the Contracto�'S Licensa Law tor tho p_Tf2
following reason (Sectlon 7031.5 Business anC Professlonal Cotle: Any city or P � ' ' - Switches Sign
touniy wbich requires a p¢rmlt to construct, alter, lmprova, tlemollsh �or rapair . ' '
t�}ny st�uch�e, prior to its Issuance, al5o requires [he'appliwnt for Such po�miE Roof Orains � • Garhage Disposal StdOd109 S¢C[iOns
�. fil¢ a signetl itatement thdt he/sM1¢ is Ilcensetl pursuant to [he provislons ot .
�-�e Contractor's License Law (Chapter 9(commencing wltM1 Section ]000) of ,� ' ' Gener2tor �0.5 KW �5-75 KW ,Trash Compactor
'�::'ivision 3�of Ihe Businesz antl Protessions Cotle)'or tnat ne/she is oxompt -� � � _ �
'�theretrom antl [ha basls for the alle9etl exemption. Any_�violatlon of Section ' �
7031.5 by. any applicant fo� a pe�mit subjects tna applicant to a clvil jjeinSpBGtiOn FBe $25 Issue Fee , ' $ 3� % '' �
�enalty o( not more than five �untlretl tlollars ($500). r-
I, as•owner of, the property or'my emoloyees witn wa9as as their sole � , MECHANICAL Reinspection Fee � $25 Issue Fee , � �$ 3
compen5ation, wlll:tlo tha work, antl the.structure is not intenaetl orofferetl FEES �
for sale (Section 7044, Business antl Pro(essional CoOe: The Contractor's ' PUBLICSERVICESREQUIREMENTS: •
License Law tloes not apP�Y to an owner of a pro0erty who builCs or improves gpi�er HoOd Or Type I ❑ - ,
tne�eon, antl who tloes such work M1imselt/M1erselt or IM1rou9h his or hor own ' 2oninp.App�OVBd By DdtO
employ ees, provitletl that suU Improvements are not Intentletl or otteretl tor ' Duct - Under Ground �nopy Type I I ❑
sale. If, however, tne Ouiltling or improvement is soltl wit�in one year o1 com- : - Building APP�oved By Date
pl¢tiOn, [he own¢r will �ave tha bur0en of provinq ne/sne tlltl not builtl o� Im- , �
rove tor the purpase of sale). � - Duct - Structural Refrigeration System Appliwtion Issued By � Dat�
� I, as owner oi Iha property, am exclusively mntractln9 with�licensatl con- • ❑0-100,000 BTU ❑100,000 BT•U � '
tractorstb construct the oroject (SecUon �044, Business antl Professlons Cotle: _ Duct - Ventilating „ , �. . SUMMARV OF FEES
Tha Contractor's LI<anse Law does not aoPly fo an owner oi property who ��BUILDING PERMIT $ SMIP � �
Euiltls or improves tnereon, antl who contracts for such vrojects with a con- Ezhaust System ❑ Multiple ❑ System Repair/Alteration ' . $ •
vactor(s) license oursuant to tne Contracror's License Law). - PLAN CHECK 5 ' PEFMIT
❑ I am exempt untler Sectlon B. & P. C. tor this reason Firepl/Fact. BIt. IC80 # ' �PLUMBING �$ � ISSUANCE $
Date ' Owner' � ' Heating System & Ducting � _ ,pLAN CHECK 25% $ ENERGY P.C. $
I heraby eartiry tnaP I have reaa.tnis applieation antl state thae•the above- - ❑0.100,OOOBTU �700,0000T ' ELECTRICAL $ GRADING $
Iniormation is correct. 1 agree to mmDly with all clty antl county ortlinances � • �. �
, antl�state laws relating to builtling construction, anA hereby authorize repre- , , PLAN CHECK 50% $ MICFiOFIL'M $ '
5¢ntdtive5 of th15 Nl tolawia� upon thB aboJe-mantlonetl p�op rty 10 , � ' . . � �+
Inzpec[IOn o " � �/ )'_• � ' MECHANICAL $ TOTAL FEE $ ';4'�
Slgnafure - Date
Drivers' License or 55 � Rainspee[ion Fee $25, Issue Fee -$ 3 • PLAN CHECK 25% $
CMF 0865-46 �ev. 12/83 W�ite - Builtling; Canary - Pink - Accounting; Goldenrotl - Assessor ��
_ CONSTRUCTION AND PLANNING ' P� . �` SP'4 . _ ' . " �
APPROVALS Permit# Date Inspector pppROVALS Permit'# Date Inspector�
' 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location� -
� 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement � '- •
3. Electrical Conduit Utility-Undrgrnd: 54. Forms � '� -' - �
�
4. Electrical Conduit-Undrgrnd. . 55.. Electrical.Bonding � ' , �- . �
5. Steel Reinforcement � � • , ' 56. Rough Plumbing & Piessure�Tesf ' � " • � � �
6. Electrical UFER G�nd. , 57. APPROVAL TO COVEFi-GUNITE - . '
7. �Footings � -. 58. Electrical Cqnduit-Undrgrnd. � � - �
S. Foundation " �, , 59. Gas Pipe, � Undrgrnd., TesY - ' r�
f C
9. Water Pipe�Undrgrnd. � 60. Backwash �Lines, P-Trap, O Undrgmd. � �' '
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 App�oval �'_- "
17! �Rough Wiring Sign 68. APPROVED FOR PLASTERING � � �
18. Rough Electriral-T Bar Ceiling � . - 69. POOUSPA SYSTEMS�FINAL , �.
� 19. Rough Heating & Air Condi[ioning FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace APPROVALS Permit #
47. Ducts, in Structure 70. Undeiground Hydro , . �
22. Ducts, Ventilating 71. Product Piping O Gas� ❑ Oil , �
23. Gas Pipe-Rough & Test 72. d7nderground Flush � � i �
24. Roof Framing . 73. Undergrnd. Storage Tank O Gas ❑ Oil - '
25. Roof Sheathing ' 74. Overhead Hydro � � �
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . . . �
27. FrameandFlashing 76. DryStandpipe �. - � '
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:•6 a��y LrFi'(qep (,�c0 - tr /�(��'-
34. Final Heating & Air Conditioning �'(0 OtiLrG (.fp/vL� _ L.�i/) � �
35. Final Gas Pipe-Test � �
/c}S P�2 2.0.3 v ►'G C.�D,
36. Hood or Canopy ' . . . �
37. Final Factory Fireplace � � � � ' -
'38. F.inalPlumbing � � ,' �
39. Water Service-Final ', . '
40. Gas Service-Final � � '
� 41. Solar pomestic-Final � ^
�.'.42, Backflow Preventer � . _ � � �
+43. Backflow Irrigation �
'44. Landscape Irrigation System � �
�45. Sound Attenuation � � � � ' • .
'46. Handicap;Regulations � ' _ ; � � ' ' � .
47. FINALSTRUCTURE&BUILDING -
48. Special Requirements Completed ; � � . � ' ' ' �
49. Electric Release to Edison ` � ' ' , �
50. Gas Release to Southern Califomia Gas Co . � � ; � , '
51. CERTIFICATE OF OCCUPANCY , � -
No. Date . _ - ' ' . ' _. . . .
,.
Pfl0.1ECTRDOflESB: (32(j pgMBA DR
OWNEB'SNRME: R��LPH KINNINGS ��
�ouness: 2gZg pEMHA DR
• � COSTA MESA ,'
CA� 92626
(714)549-3196 �
'��flCH/ENGINtiP:
! ROOBESS: ' '
UNIT:
eec.xo.:
, UNI7:
PEflMRTEE: CHAMPION ROOFING � ' (213)259-0451
' nooxess: 3257 VERDUGO
L.A. CA 90065
'LICc:75E0 CONTMC70R OECUMiION: I hereUy affrm t�at l am IicenseE unGer pmdsions of C�apter 9(commencinA ��h Section
700G) ot OiNsion 3 0l t�e Business antl Professions CoOe, anE my license is in Nlltorce and etfec[.
ciruc.:042725- sTn�uc.:429481 u$' '-39
oate: 3 — ^ SiqnaWa: '
WOBNEBS' COMPENS�TION CLAMTION: I hBfeUy atlifm IAa� I have a C¢RiflCate ot consen� [0 Sel4insure or a Certifica�e o� Wadefs'
iCamOensation Insurance, or a cenifieE coDY �hereot (Section 3800, Lab. C).
raucvxo.:W0008227 � exr.oar�: 06/02/90
SOMPRNY: HEAVF.R INS CO. . .
Ceriified capy is Aereby furniSheU. � Certifie0 coDY ...����...5))),,,f���ile(d ��w(((iy/y/y/yyy ihe ' uil ' A Division.
oate: 3 — � �D' ADOlicant � '
EXEMPTION FBOM WOPKEBS' fAMPENSRT10N OECLAHATIOX: (This seciion neeA not be comDleteA if Ne permit is for one hunaretl (5100) or leu).
I certity t�at in I�e pertormance of tAe work Por wAich this permit is issueU, I shall not employ any person in any manner so as to hecome '
sublect to the Workers' Compensation Laws ol Calitomia. �
Date: � ' ' SipnaNre: � ^ - �
NOTICE: Ii, atter makinA ��is declaration, you shoWA become subject to Ihe Workers' CamOensation provisions of the Labor
Cotle, you must fart�wilh comply with such provl5ions or Ihis permit shall be Oeemetl revoketl.
CONSTBUCTION LENDIN0ICENCY: 1 here6y attirm t�at ihere is a constmction lentling aAency tor the pedormance of t�e work lor
which this permit i5 issued (Section 3097, Civ. C). •
LENDEfl: , . ' '
R�DPESS: ' ' '
OWNEB BUIL�EB OECUMTION: I Aerehy atlirm ihat I am exem0� �rom ihe Contracrors' State License Law for the fallowinp reason
(Section 7031.5 Business an0 Prolessional Code: Any ciry of counry whic� reQuires a Dermit to constmct, atter, imD�o�e, Oemolish, or
repair 5ny stmcNre, pnor to its issuance, alm requires Ihe applicant for such permit to file a signeA itatement ihat he/sAe is licensetl
pursuant to t�e provisions of tAe Contractors' State Licenu Law (C�apter 9(commencinA wi[h Sectlon 7000) oi Divisian 3 oi ihe Business
antl Professions Cotle) or ihat he/she is exempt Iherelrom an0 t�e Easis lar t�e alleged exemption. My vrolation oi Section 7031.5 hy
any aDD�icant br a permit su0lecis t�e aDPliwnt to a civil penalry ol nat mare ihan five hunE2A AOIWrs (5500). ' ,
I, az owner a/ Ihe properry ar my emyloyees vnth waAes as t�eir sole comDensation, vnll do the work, antl IAe
❑� stmcture is not intenEeG ar offeaA lor ule (Secnon 761d, Busineu anE Pmfessional COUe: The Contracrors' State Lirenu Law
Aoes not aDOh �o an owner ol a O�oOertY �o Eullds ar impmves t�ereon, anA who Aoes such work himutt/herselt or throup�
� �is or her own employees, proviOeE tAat suc� imD�ovements are not intenEeE or oifere0 for sale. If, �owever the huilUing or
impmvemem is so10 withm one year of complation. the owner will tuve the EurUen oi proNng he/s�e tliU wt builA or impmve
tor tne purpose oi sate�. � �' .
�I, as owner of t�e properry, am erclusively cont2ctin0 ��� Iicense0 contracrors ro wnswc[ the pmlect (Section 7044, Business
� anA Profeuions Cotle: The Contactors SGte Licenu Law Oaes not aDPN �a an owner of pmperty wha 6mlQs or improves ihereon
and who coniracts lor such D�ojecis wftA a coniractor(5) license Dursuant ro ihe Caniractori State License Law�. I am aware
Ihat prool of t�eir Worker's Compensation insurznce SAouIU Ue O�oviCea to me. �
� I am exemp� un0er Secibn: B. 8 P. C. '
for t�is reasan: �
Date: 6wnec ' .
I Eo Aerehy certiTy tAat I am awara of antl untlerslanE the requiremenis of Califamia Healih anU Safery Cotle Sections 25505, 25533, antl
25534 antl t�at I or any imure huildin0 occupant wilUwill not (circle one) nee0 to comply with said state coAes antl the reQuirements for a
permit for consimction ar modilication �mm the Air Oualiry Management OistricL NesiAential consimction a001ications are exemD� ��om
ihese Dmvisions. � , �
Date: Fpplicant:
I hereby certity that I have rea0 i�is apptication antl staie that tha above information i orrect. I xA�ee �o compty with all city antl counry
orAinancesanUstatelawsrelatinOtobuil0inpconstmctionanAAe yamharize pres t rvesofihiscRytoenteruponiheabove-mentioned
pmperry for inspection DurOoses. • �
oate: 3 � � ` � D sionature:
Driver's License ar Social Secunry } �
184b48 Whita—BuilEing; Green—Cotla Enlorceman�; Canary—AppliceN; Pink—Revenue; Goltlenro0—Assessor
CITY OF COSTA MFSA — BUILDING PERMIT
PERMIT NO:•B 046314 PLAN CHECK NO: N
PERM NO: B 046314
GOVT: N SUPP: N
CONSTRUCTION TYPE: 5-N , PERMIT TYPE: S'CR PURPOSE: ALT
JOB DESCRIPTION : RE—ROOF W/ASPHALT COMPOSITION SQ FT: 4,200'
CLAIM VALUE: 4,200.00 CALC—VALUE: 4,200.00 GROUP OCC: R-3. /
COMMENTS: "SMOKE DETECTOR(S).REQUIRED IN HOME".
��r*x *��+r�*�****�a��c ****��r****�r��*��*+r�*��*�****�***�x*�r*�r*�+�*+�*� �r*****��**�r**�**
Z O N I N G R E Q U I R E M� N T S
� S� E T B A C K S � •
------------ MAIN HUILDING ---------- --�--------- ACCESSORY BUILDING --------
FRNT: FT IN REAR: FT IN FRNT: � FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEF'T: FT IN RGHT: FT IN �
PARKING REQ: PROV: PARCEL: 13926304 ZNE: REF NO: •
PLANNING NOTES> , .
> — - ;. �
���t***�x��r�r******�*******���r**�*�***��r*�t�t*�t�t**�t�t�t**�r�t�t*�t�c�t**�t��t*�t*�r**it�*�t*�rat***�c'*
' D E V E L O P M E N T� S E R V I C G S R E Q U I R E M E N`T S
ZONING APPROVED BY DA'TE:
HUILDING APPROVED BY : � . DATE: �""
a
APPI,ICATION ISSUED BY: � DATE: ;� / t%
IEiElE�IhiElfiFifKlElEiEiEif1ElfiEiFi4iFiFiF�� . F7F�iF�lFiFiFlfitiE3E�F1(�f! IE1E
ifiFififiFiFiElEiEiEiElFif9fifififiFiEiFiEiF9FiE3E3EiEif�E3EifiElEiEiE�EjlifiliEltiEifif iEikitlfifMif4it3fiE3kifiEiPaf�1E9ElkiFiEififiF3FitifiEifiFiEiFjE
LEG.T�LIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
l; '
BLDG PMT PL.UMBING ELECT[2IC MECHANIC FIRE SMIP/RES GRADING
PGRMTT 72.00: ' • ' � .50
� ;;�' SMIP/NON—RES
PLAN ' . ' � '
ISSUE FEE
DUILDING—DIV—> FERMIT ISSUE PLAN;:CHECR TOTAL PAID DUE
TOTALS----> 72.50 0.00 —•' 0:00 72.50 72.50 � .00
REVENUE DIVISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECI3AAlIC FIRE SMIP/TOT GRADING PLAN—CHECK
ii.00 � .50 ,
iF if iF ik iE iE iE 1f if iE iE iE iF k if iE M iF iE 3E iE 3E * 3E if iE iE iE if jf iF iE iE 1E i! if if ff k If if if iE if if !F k iE if if k iEif IE iFlf if 3F iE k iE 1E iE if 3f iF if if it if 3f � iE IE If iE iE �E 3f
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 G R I•P T I O N-• UNIT COST TOTAL COST
SFR 4?.00 REROOI? HY VAI,UE RESIDE�IIAI, NOZONE
. - E�1D'�OF. FEEa
. �
. ; �
ti� �•
��� I . . A ( � .
,1 �
1.00 4,200.00
01 OODS5154—OOOSSiSS TO T 7?.�0
DATE: 03/O1/90 TIME: 1Q:56
CONSTRIi�Ip PI.ANNING � ��
APPROVALS Permit# Date Inspector
�
: Temporary Electrical Servi�or Pole��
-, n
.. , �. ,.7,".i
..Soif-P.iPe-Undrqr,nd,� �„ �� - �
.-Elecfriral ConduiT'l9filitv-Undrarnd! =' _
_Efectiical
^ �:: 'i:
- � - POl . SPA �
APPROVALS Permit�#
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding .
56. Rough Plumbing & Pressure Test
Date �Inspector
'��6.`EfectricalUFER`Gmd. ° , 57. APPROVALTOCOVER-GUNITE
�-:7.:Footings �^Ci �_ 58. Electrical Conduit-Undrgmd.
8. Foundation �� 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. �_ • , 60. Backwash Lines, P�Trap, O Undrgrnd.
70. Structural Floor System ' . � 61. APPROVAL TO DECK
11. Property Sewer Lin`e;& 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
75. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electrir_Wiring . 67. Fencing & Access Approval
i7. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL �
19._Rough HeSting & _Air Conditioni�g �,__. % � � �x ;:_ � -„FIRE D.E�T. R.EQUIREMENT .
. a: a"� �F v t �] x a-. r-+ = �' ; Q -
20.-Rough FaGtoSy Fireplace c<�; n H p'�.; :4� 'APPROVALSj"��Per`mit # k -
21i-Ducts,in'Structuye� �"" '"=' * �`� h� �k'� 70. CJUnderg�ound�Hydro x
22._Ducts, Ventilating,,; "'= _ C �:. ,� a71. Product*.Piping O�Ges ❑.Oil
23.•Ga�Pipe_Rough & Test ' _ �,=' * =" <: ,� � � '-7y, Underground FIUsh• , "
24:'Roof Framin ` -' �k''
9 ^f � .r. ^ � .�.Y t 73.�Undergrnd'Stor ge_,Tank�Gas ❑Oil
25. Roof Sheathing � • 4 • -� - �_� � �: 7q,"Overhead Hydro� � i;
26..`,_T-Bar Ceiling (Str.uctural) &'Monocoat - _ 75rDry Ghemical ���-. _ - -,
27rFrame and Fkshing� = x r t a' �'e : 76. Dry Standpipe � • ;
ry r u. ". G. � �: ;= �• x 1 •- � �� � -
%28. Lathing,&Siding_; rA_, ' .a ,. 77:-FIXEDSY5TEM�FINAL._
y 29. Insulation ^'T"� _ " i � ,x ; 78�FIRE PREV. FINAL -� '
�30. DrywaII,NBiling 'y: r, � � ' ' � � � fIEALTH-DEPT'. REQUIREMENT
/',
=�37. Plaster Biown Coar � � t^ v- ; �t'i � '� '79��FINAL IfYSRECTION
� � ��.
a,32 _Electrical Power,Metz7=Fynal X�� � ��� � r80.`_�FOOD CERTIFICATE ISSUED_
'6 - ` , 1 \ / .'. . i�. __:.
: 33SFinal Electric ^x �r; � a +_�r k �: -;-± '�. -� .
� �, dr . Notes: .r r . •r.
��34:_Final He@ting & Aii�Conditioning' � � ` ;`' - F ��B-� �c�S . _ /�.- �
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�37.�Fina! Factory Pireplace:^ . � � . -��r ., .� r
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�38. Fin�l Plumbing �� � � x ; j';� r= _ .
'"39. VJater Service;Final;, �, � �� ; _l �'-I�� >. - ' _ � -
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�T40. Gas Service-Final � . '1:":r c .� '. � }.x . , z:Y •
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41. Solar pomestioFinal � ��"' � � ; K ="�• �- x y:
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� 42. Backflow Preventer� �1 � ' S -^ =� �'�
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43. Backflow Irriyation J :,`"' i� � r. x t� y � w� !�
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?44. Landsca e IFri. atidn S ste ' � Y =: � "" - - r �^ �' T� --� i^.: s C� � � _
P 9 x Y �;.,• � �.. e* `»' r`_ .
`45'�Sound �Attenuation �rF �' _ r r �=�: �. - - - .
'7 • .. M .^•7Y' :i - G _ -'"V'
���46. Handicap Regulations r' � � i , r . 1e �• - � �
_47 =FINAL STRUCTU�RE & BUILDING .�� `� ` "" J -
F.
A48: FINAL PLANNING t"' � y� �` ` ' - • � ' '- '-
Release to $outhern Ca
TIFICATE OFOCCUF
Date
� - -. -
p. � , '
Gas Cn ': � • :. , ^ �_
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8
OWNER E[d�[q DEVET.OPMQ`PP CO � INC DATE 6-13-60
JOB ADDRESS 2929 Pemba Drive BUILDING PERMIT ATO. ] 2?l IL
AP. No.
INSPECTIONS
OCCUPANCY
C�Q9 FIRE ZONE DESCRIPTION OF WORK res. w�att• a��
DnrE GROUP I,g,T TYPE V ZONE rl
°�p� SUBCONTRACTOR I PERMITS ISSUED
Form 410—SM-11-59 5-B P �'21�
Lot 173 - Tract 3529
, 122��
r'OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TP MCBA. CALIPORNIA
For Appffcanf fo Fill In Complefely
TYPE OR PRINT
� BUILDING
� ARCHITEC.T
COSTA MESA. GALIFORNIA
FEE RECEi�ED
�-� �-i�-�
FlNANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
euaciN�
For Office Use Only
neceirr Ho, B�ww.Ya w
RHCHIVBD !Y OATE HECEIVED DATH 168U8D
• _� dllr:] s � r
TEL. MI BUILDING
NO. ADORHBS
TEL. � CpSTA MESA. CALIFORNIA
un
CONTRACfOR K�YY� K�ll
ADDRESS 1555:_Placentia Aven�
c„-r New ort Beach -
BTATH 61195 - NEo: MI 6-3227
LIC. NO.
8'ZE 74_42x101 irre� �xow°a.,a�`°' 0
�c �nT
PIRE
ZONING
OR�1 I PLANB 2 I BUILDIN6EW/ a,yy
L60AL _ ' _—_ _ ' �_��
US8 OF YARDS
EXI6TWG BLDG. APPROVED
68T9ACK LINH FROM 1C[MCP LIN[ 8T.1
Cennn ov errsecr SO � REAR YARD 34' FRONi
SIDE YARD ILEFT S� IRIGHT � R.SIDE
DESCRIPTION OF WORK _
'BUILDING ��OOSF NO_OF
EVES
U8E OF BUILDING AND WORK TP BE PERPORME�
'n
Attached Garage PLAN 22A
�
I HeRE�Y ACKNOWI.lDOe TNAT 1 NAVH R[AD TXIB �RLIGTION TMe �MOUM BHOWN UNOGR VALUATION IB IOR TH8
AND 8TAT6 THAT TH8 ABWE IB EOp1iCR AND AGR86 TO GOM- pyppOeC OP 88TAELIBNING A PENMIT FEe ONLY.
PLY WITH /.LL CITY OI�INANCEB AND 4l�T8 LAWB R60ULATN6
BUILDINO CONBTAUCT1oN. VALUATION
81GNATURH OP PERMIT FEE $ ��
PERMI7TE $ /Q JL'% pLAN CHECK $ � /
( U T�.7
AUTHORRED AGE T � _ .�7
s
0
6