HomeMy WebLinkAbout838 PINE PL - Building Permits.NOP��BUILqNO: B3H PINE PL �
iNtffRSWYEIFqlOYM: TARRYH CHAISTY
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838 PINE PL
COSTA MESA,CA
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ca+m�crararuue STAR COURSE ROOFING CO. ( 800 ) 954-0019
cam�croxa�uw�a 24981 HON AV
���; LAGUNA HILLS CA ucrio: 532778
92653 uNr:
LICENSEU COMNACTOfl3 DECUNRTION: I hereby ell'vm uMm peiuly d pmjury tlet I em licen»d uMer pavubru d Cheqx 9
1 ^i Y wnh Sectbn ]000) d Oi�ieun J d tM Bueinan ud Prdeaaiau Code. eM
u.Ho.:O 997 uc.cuss: C-39 uc.xo.: 78 EX : /97
o,,.: G �� c�vm«: n
. EP BUILDEF DECIAPATION: I Meeb�� elfum uMr �.y d pp1 et I mn e`m�q hom IM Catlratlon limma law Ip tM
bxiq eufon (SeQon ]031.5 &ni�aff ud Prdmons W a muM' MfiiN iaV�urea e M�t �o epnYutl. eEs.'vnpaw.
emd'eh. a rpai eny avuctwe. qiw b ua ivweMe. ebo reQuires ihe epplimnl lor wch pwma �o fib e iqreC etalenrnt Net M a�M
o lioemtl W�e^t io tM vro.ivims d tM Canireeon Liceiue lnw �Gheo�w 8(cammw'vq xdh Seaion ]000) W Diveion 9 d IM
Bud'ww W Prdaa'vu Godel a thm he a ehe b uem7 �hsahan eM �M bem lu the eOeB� memqion. MV vnWion d Seaion
]0�1.5 Ey arry npplium la a permG wEjeW �t�e epplwn to e dvY perelly d nol mara ihan frve huMred dolen �5.500p.
� I. u owmr d tM popeity a my empbym+wh wapea ee IMi ede aompnsetbn, vNl Eo Ihe xwk. eM tM ewcturo u iwl inlrMeE
w olle�ed br eeb (Seclon ]Oad, B'nirnx eM PMaevonsCade: Tha Camrepas Lb�ue law Ems'wl epplyto en ox+wd pmpeny
wAo buid� a inpwa* ihaean. aM xho doee euM v.ork h'vnsdl a henN a Waq� hi a her wm amWWar. pm'kW IIW wch
imprwemanle er. mi imeedeE «aMred tor aeb. p, lwwms. tM EuilOiiq «Fnpowmem u atl xithin ona ymr d oompMian, the
owmr-0�iNx will M1ew tM buNen M qwi�q M a eha d'N � WiM w impove lor tM W�se d seb).
❑ I. ec mmer W iha DropeM. am eRduaively mniredin0 ��h liceneed canvacbn io wnaruu the prol� (�� ION. Busirr� enE
Prdeaime COAe: The Cantraqae license Lew daea �M epply la en oxmr d paperty r,fio WiNe ar'vnpwm ihaeon vd Wa
eonVecb la wdi pqwa wnh e mruree«(e) Ice�uad WA� to IM Conleerlaa Licenea Lewl.
� I em eump untlu Sectun: B. 8 P.C., br ih6 �aeaon:
om.: o�«:
I do MnW ttelM tlW I em ewue d aM wideiaivid the rpuiiemmb W CeYarvs Ibetlh eM SdM' Cods Swiuu ]5505.?55]�. eM
RSSJ1. ud thu I> enY Mum WJEuq mvG� xill / wil m� (tircb ar) nead to canGN wih aek peb codee utl �M nW�a�u br
ePermillwwmvuciionamodifretionhomiheAr u�iy eneWmeruDia�iid.RaeidenlelwnnrwunWO�iauveevmAlmmNre
a�.�..
Dats: Mct�:
WORKER'S COMVEN4ITION DECIAR�TION: I Mreby elfirm uMer penMy d psjuy wr d ihe Idlow'vq Eetleeeliom:
� 1 Mw end wil me'v�ien a cehifktla d omxnl io �atlivw� br xaken' mnpmLLian. m pro-ridad la by Swim 9100 d IM LaLv
Coda, la IM pMamercs d tlp xak la which Nu pamil u osued.
�] I �evs eM wil meinien wakan' mmpenamion ineur,epMe. m npuiiaE Ey Sedion �)00 d �he Lebor Code. br iM pe�ormenu d �M
woM/orwhiMi�iepermnu'saueE.MywM�areS1ATE��FUND«enepdi�ynumberva: EXPIRES
Cerrier.
Pdicy Number: — 1 �� 9 7
(ihia eettion nes! nd be cwnplele! / fM perm! is M me M1undred ddlen /S1PD1 w bn
� I wnLy �hel in he pa�lamenca d the wark /w xfich �hie permn u ueueE. I M ampby e�ry �o� ��Y meru�er eo n 10
���w ' io �ny � aloo d in�e t e« cdoes. ��MeO��mm� Md'N1i �es�AdY ma. � to iM xaM1re•
�nG
W ip: F�Aun ro wcun roA'era' cairyruatlan mre l� unYiMi aMl Wtl(�ct an emyloy�r ro alm'rel pw�WtlpW
Ilnu �q ro m� h�nJrM NouunE tlWWs (SIPq J, M• b M� rost o/ ronpmwWM1 dm�pu u prvvMW br In
S�ctlm 91G6 0l M� l�6or Cob, lirtsnsf, erM etro ' .
CONSTAIICTION LENqNO AGENCY: I hereby elfirtn uMx penelly d perjuy �hm Ihen u e aon9rmion 4dinp epency lar tla
perlamenro d iM �ak /v xfiitli the 0�^i w'swed (SWion �OJI. Cw. C/.
LEN�Efl'S NAME
LENUER'S 1UOflE55:
I ceNy Ihet I heve mW Nb eppliretian end meta �hm Ne ebwa iMamdbn u cmea.l epne Io mnpFy wilh dl ary ud muruy adironm�
enE tleta lex� eMeliq M Wikiq ean ��TeieA�9bl ae �epewnlNivaa d �M eily b enix upan IM ebwe.menlonaE popMy
lorinepeqbn purpoees. ,1,
PmtNeme / n
Dma: � � �
s�qnm� � «uae�unoW om�aaa
(S151Jb.WP) wna.�a�ud.q a smmy; c��z.wy-��c r�k��: cdd.we-�.....o�
� . CITY OF COSTA MESA — BUILDING PERMZT
/ �PERM NO: B 079792
PERMIT NO: H 079792 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTA
JOB DESCRIPTION : T/OFF 6 REROOF W/COMP. SHINGLES SQ FT: 4,190
CLAIM VALUE: 4,190.00 CALC—VALUE: 4,190.00 GROUP OCC: R-3 /U-1
COMMENTS: RESTH 6 REROOF W/COMP. FRONT, REROOF W/COMP, OVER WOOD AT BACK
*et*�t***rt*+ti�*�t�**�*it***rtat�t*+e+ert�t�t�t*itatatet�t*�t�**�**�t�t*it�rat�r�t**et********�r�t*etit�itx�itx�at*�-*
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY 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: 42245407 ZNE: REF NO:
PLANNING NdTES>
i
1E �F iF 1F 1E 1E if k 4 iE 1! fE f! 1E 1k ik It if 1E it k iF aF 1f fF iE 1E fE iE iE IE IE i! 1! 1klf ik It If iE it 1E ik iE ik 1k if if k if 1E 1E 1E IE IE 1E 1E iF 1k iE if �E 1f if k if iE k if�lE ik if k 1E if ik �t 1E iE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N•T S
ZONING APPROVED HY DATE:
BUILDING APPROVED BY ; DATE: �
APPLICATION ISSUED BY: F�^/��i'�-- DATE: n` Ql.
it*iEfEitikiEiEieitit�it*iEitieit�x�*itiEit3F3F3FiFTf�IF�iFiF�fiFiFiFTF7Fi F�F3FiF�iFiF*iEieiFiEiEiEitiE3E **
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 99.75 50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 100.25 0.00 0.00 100.25 100.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 100.25 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
99.75 .50
ifibiFiFiE1E1FN�lEiEfE3E1EiE1l1EiElfiEiFiElElElkiFifaEiE1E1E1E1ElEiElEifiEiklE3EfEfEf(�iE3EiElE1E1f1EiEiElEk�ElfiElEiflElEfElEfElEfElEfFIFfFiklkikitifiEiElEfE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
ISFR 4190 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,190.00
END OF FEES
II
01 00216371-00216372 TO T 100.25
DATE� iD/04/9` TItIE: Q8:41
� CONSTRUCTION AND PIANNING P� 8i SPA '�"-�
APPROVALS Permit # � � Date Inspector pppROVAIS Permit # % Oate Inspecror
I ' ""
1. Temporary Electrical Service or Bqle 52. Pool & Equipment Locatior� .
2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement �
r .
- 3. Electricfll Conduit Utiliry�Undrgrnd. 54. Forms � •
. 4. Electrical ConduiY�Undrgrnd. � 55. Electrical Bonding ' '
..�
=5. �Steel R¢fntorcement 56. Rough Plumbing & Pressure'Test
6. Efectrical UFER Grnd. 57. APPROVAL TO COVER�GUN4TE
7. Footings - 58. Electrical Conduit.Undrgrnd. •
. 8. Foundation ' 59. Gas Pipe, � U�drgrnd.. Test j
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Struttutal Floor Svstem � 67. APPROVAL TO DECK
71. Property Sewer �ine & House Connection 62. Backwash & Receptor;Final �
12. Sewer Cap " 63. Heater & Vent-Final '
13. Roof Drains S 64. Plumbing SYstem � Finai �
74. Rough G�umbing ' . 65. Electrical�Final
�
15. Rough Electrical•Conduit , 66. Solar SYstem�Final ` -
76. Rough Electric Wiring � 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR� PLASTERING
78. Rough E�ectrical•T Bar Ceiling 69. POOUSPA SYS7EMS FINAL
19. Rough Heating & Air Co�dit+oning FiRE DEPT. REQli1REMENT
20. Rough Facmry Fireplace . - APPROVALS � P¢rmit #•
21. Ductt, in Structure , �, . _ 70. "Underpround Mydro �
22. Ducts, Ventilating ' � 77. Product Pipin� OGas ❑Oil
23. Gas Pipe-Rough &?esc ' _ ._ 7y, Underground Flush .
24. Roof Framing - -� - 73. Undergrnd.SrorageTank OGas QOiI
25. Roof-Sheathing � �=`t('p . �j�� � 74. Overhead Hydro � �
26. T�Bar Ceiling (Structurall & Monocoat . 75. Dry Chemical " - -
27. Frame and Flashing . . ', 76. Ory Standpipe ; - ' "
28. LatMing & Siding �. � � ]7. FIXE6SYSTEM FINAL
29. Insulation - ' . ' " � � ' 78, FIFiE PREV. FINAL -
30. Drywall Nailing _� � � HEALTH DEP.T.�REQUIREMENT
37. Plaster Brown Coa2 1' � � 79. FINAL INSPECT70N �� J
32. Elec[ricai Power Meter-Final � . � � 80. FOOD CERTIFICATE ISSUED
33.'Final E�eCi��c � ' Notes: . �
34. Final H¢ating & Air Conditioning , , �� �'� q'Fj�: �,,.,P
35. Final G0c FfPe�Test - �
� 36. Hood or Canopy . , _ . � - ,
37. Final Factory Firepiace_ � ' �
38. Final PlUmbing . � _ � - - - �
39. Water Service-Final• • � - '
40. Gas Service-Final . _ . ' . '
41. Solar pomesticFi�al . ' � � " '
42. Backflow Preventer � - _
43. Backflow Irrigation ' ' -
44. LandscaPe Irripation System_ � - _
45. Sound Attenuation- ' - ` ;
A6. Nandicap Regulations - �� �
47. PINAL STRUCTURE & BU�LDING l u-q� �2�!/� .
48. FINAL P�ANNING � � � �
49. Electric Release to Edison _
5�. Gas Release to $outhern California Gas Co -- .
5t. CERTIFICATE OP OCCUPANCY -
No. Date
838 PINE PL �*�� I CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: B 097212
PAMELA SIMMONS
SAME PERMIT NO: B 047212 PLAN CHECIC NO; 03883-90 S GOVT: N SUPP: N
RflCN/ENGINEEH:
�ooeess:
�
PEpMiTTEE: RUDOLPH JOHNCOLA
aooeess: 2237 S HURON DR
S.A. �,
LILENSED CONTMLTOfl OitIAMTiON: I hereby aflirm ihat I am
7000� ol Oivision 3 oi the B�ess arM Pralessions CoOe.
cmuc;,A50528 $T�,�y;�54 49 ,,
���en5ationOM yNJ3�11010gN[p0,`CgJUIIMTcopythereo1l�ctin�3800,1LaM
��i'�ICY NO.: 1 y 1 L/ b EXP. ORTE:
cornrnxv: STATE
❑ CeNlietl copy is nereDy tumisnatl. � Certl Y �: r�iea w�m
Oate: [— �1p7licant:
aunmoxrxaxwae •mxrExs,maxocauuirox:�-�m's_ r
I ceniN that in ine ce rmance ol Ilre woM lor wNch N6 cemtit is iswea,
flE0.N0.:
uxR:
(714)966-1300
CA 92704
;r provisions of ChaD�er 9 (wmmencin0'M�� ��uon
CplSeni Io u14in5u(e ar a tENfiWIO 01
ne mmarea Is1ou� rc ieal.
manner 50 az to Decome
.,�,wc. �� ��m .���.��a w����,...,o,.w..o..,..,. „o.�.,..e�. . � —
�ate: SiOnamre:
NOTICE: II, atler makinp t�is Oeclaration, you s�ould become su0ject to iha WaMers' CamDensatian proNsions al tAe LaEor
CoOe, you must totlhwith comply with 5uch pmvisionsror Ihis permit shall Oe deametl revake0.
CONSTRUCTION IENOINO AGENCY: I hereby attirm IAat there is a constmction lentlinp apency br the pedormanca ol Iha work lor
wAic� t�i5 permit is issued (���ion 3097, Civ. C). 't /J�
IENDEN:
�oneEss:
OWNFB BUIlOEP OECUMTION: I AereEy affirm ttwt 1 am exempt imm [he Contactors' Stata Licenu Law for tha lollowinp reason
(Section 7031.5 Business anA Pm7essional Cotle: My ciry at wunry wAk� apuires a permit to construct, alter, impmve, tlemolish, or
repair airy structu2, D�o� �a its issuance. also reQuires I�e appliunt for such permit lo lile a siOneE statement that hrls�e is IicenSeG
pursuant Io I�e prodsions of IAa Cantracrors' State Lirense Law (CAapter 9(commencinp wit� Section 7000) ot DNision 3 al IAe Business
anE Profestions CoOe� or Ne� hdshe is exempt t�erefrom an0 Ihe bas�s lor Ihe alleqetl exemD�ion. My Nolatian of Sectlon 7031.5 hy
�� applicant tor a permit suEjects t�e apD���nt to a civil Denalry ol not more Ihan live AunErea EOIWrs (5500I.
I, as ovmer of N0 Groperry ar my emylayees with xa0es as their mle comDensatbn, will Eo the xrork. an0 t�e
J struaure is not intenUea or atterz0 for sale (Section 70Ad, Business anU Pmlessianal COEe: TAe Comracrors' Slaie �iunse Law
Ooes not aOD�Y ro an oxner of a propeM �0 6mI0s or imDroves iheaon, anE who Ooes such xrork Nmsell/�ersell or ihmuph
�is or Aer nwn emD��Yees, DraviUeO itut such ImDrmements am not inten0ed or otlere0 lar sale. If, �awever Ne UuilAinO or
imDravement is solU ����n one year of completlon, the owner xill have t�e hurEen ol DmvinB �Us�e Oid not bui10 ar ImDrove
lor tne puryase or u�e�.
I, a5 owner of Iha proVeny. am axclusively conlraciinp with licensetl conVactors to cans�ruct Ihe prole�� (,���ion 7044, Busine55
❑ and Pmhssions Catl6� The Contrzctors Staia License Law dces not aD01y ro an owner of D�opeM �o bwlUs or imD�oves t�ereon
an0 who wntracis for suc� Dmjecis �ith a wntractor(s) license Dursuant to ihe Cantroctors' State License Law). I am aware
I�ai proof ai t�eir Worker's Campens.tion insurance slwul0 6e pron0etl Io ma.
� I am e%emD� unGer SCLtiOn: B. d P. C. �
tar th6 reason:
�ate: Ovmer.
I Oo �eraGy cehiry that I am awara of and unEerstanE tAe repuirements ot Califomia HealtA anA Safery CoGe Sections 25505, 25533, anE
25534 anO lhat I ar any fuwre OuilUinp occupant will/vnll not (circle one) nee0 to comply vnih saitl state coAes anU t�e reyuimmanis lor a
permit lor constmctbn or m�ification Imm tAe Air Oualiry Manapement Uistrict. PesiAential constmction applications are exempt imm
these pmvisians.
Date: Applicant:
1 nereby ttrtiry that I Aave re� �k% aOW����� anA s
orEinances andstatelaxs reUW71o0irilOinpcans
Data:�� /� �SiO�atum:/�4L
onver's �icense Socia� Secunry x:
1B41-s8 White—Builtlinp; Grean—COEe Enforcemem; Cene
wii� a
on Ilu
GolOenrod—Asaeasor
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOB DESCRIPTION ; 400SF ATTACHED GARAGE
PURPOSE: NEW
SQ FT: 400
CLAIM VALUE: 7,000.00 CALC—VALUE: 6,920.00 GROUP OCC; R-3 /M-1
COMMENTS:
x�x***��e**+r+e*�e**��r�r�r�+�*�r***�e**���rx**�e�r�r�r�e*�r�*+r+r*�r�r�rx+�*�*��r�r*�+���r�+�+�x*x****�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 X S
---------=-- MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT; 22 FT IN REAR: FT IN FANT; FT IN REAR: FT IN
LEFT: 5 FT IN RGHT: FT IN LEFT: FT IN FtGHT: FT IN
PARKING REQ• 2 PROV: 2 PARCEL: 42245A07 ZNE; R1 REF NO:
PLANNING NZSTES> ADDITION OF AN ATTACHED 2 CAR GARAGE TO A13 EXISTING RES,
i
+r*+��rxx�r*�r***�*��r**�rx�r*�*�r�r�e�r�r*��r**+r�r�r�rx*�r��r**x*��r*�r+r�rx�*��*�**�rx*�+�**��r�e*�r�*�r**�
D E V E L O P.M E N T S E R V I C E S R E Q U I R E M E N T S
20NING APPROVED BY SCL DATE; �_
HUILDING APPROVED BY ; DATE;
APPLICATION ISSIJED HY: DATE•
�r*�t�t�***x�t�r�t***�t�r*�t*�tx �ex*�r�t�x�rit�t���ii�#�*�t
it if 1k iE it iE it it iE ik iF iF iE 1F if iF iF iE iE iF'dE �E iE if if if if ik k iE iE 3E iE iE ik if ik it i! iE if iE iE if iE iE 3t ik 4 ft 1f if dk fE iE if iklE 1E iE iElE iF it iF �E if �k if�iE iE 1! ik iE iE if it iE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTEtIC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 90.00 .� .SO
PLAN 58,50 _ SMIP/NON—RES
ISSUE FEE ,
BUILDTNG—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 90.50 0.00 �58;50 149.00 149,00 ,00
..
REVENUE DIVISION TOTALS--> COLLECTED; 149.00 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90.00 �;, . ,50 58.50
1E jE if ik �F iF iE if jE iE ik if iE if iF if iF iF iF iE iE iR 1E iF ik if iP if 1E it iE iE if if jf K if.iF if if if iE 3f iE �f iE iE iF K iE iE if �F 3F iF iE if If if if iF iF iE �Ih jE iF iF if 1f iP If iE iF if �k af �E 1E if
I N D I V I D U A L �F E E 8 R E A K D O W N
TYPE QTY D E S C R I P T I O N� UNIT COST TOTAL COST
�•
SFR 400 AES—GARAGES TYPE V i
END';OF�r FEES
I
i' � �
/ %'
-- h
.�
17.30 6,920,00
Q1 p006�271—ODQ60273 T C�T 144.00
DATE� OS/07/90 iIHE: 12:23
G STRUCTION AND PLANN, �
� PROVALS Permit # Date
. Temporary Electrical Servicebr Pole �
2. Soil Pipe-Undrgrnd. " . � ' -
�
3. Electrical Conduit Utility�Undrgrnd.
4. Electiical Conduit-Undrgrnd.
5. Steel Reinforcement . � �
6. Electrical UFER Grnd.
7. Footings
8. Foundation � :����
9. Water Pipe-Undrgrnd.
10. Structural Floor System
11. Property Sewer Line & House Connection
12. Sewer Cap
13. Roof Drains � �
14. Rough Plumbing � �
75. Rough Electrical-COnduii _ -
I16. Rough Electric Wiring
�i7. Rough Wiring Sign
18. Rough Electriwl-T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough factory Fireplace _� ,
21. Ducts, in Structure " ' -
. �
22. Ducts, Ventilating �
23. Gas Pipe-Fough & Test ' -�
24. Roof Framing �
25. Roof Sheathing ' �p-� `C1
26. T�Bar Ceiling (Structural) & Monocoat
27. Frame and Flashing -'�k(
28. Lathing & Siding
29. Insulation - '
30. Drywall Nailing
31. Plaster Brown Coat -
32. Electrical Power M¢ter-final
33.'Final Electric "�
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 pomesticFinal
42. Backflow Preventer . �
43. Backflow Irrigation ��
44. Landscape Irrigation System ' -
45. Sound Attenuation
46. Handicap Regulations
47.'FINAL STRUCTURE & BUILDING , 2� _Ct
48. FINAL PLANNING
49. Elearic Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
lo. - Date _
JOL & SPA
Inspector qppROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Elec[rical8onding
/�'�� 56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
i 58. Electrical Conduit-Undrgrnd.
�� 59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P�Trap, O Undrgrnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final
63. Heater & Vent�Final
64. Plumbing System � Final
65. Electrical-Final
66. Solar SYstem-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
.FIRE DEPT. REQUIREMENT
� � APPROVALS Permit #
70. Underground�Hydro
� - '71. Product Piping O Gas ❑Oil
�. 72. Underground Flush
� 73. Undergrnd. Storage Tank O Gas ❑ Oil
(�pw� 74. Overhead Hydro I. �
- � 75. Dry Chemical � .
G(�(i � 76. Dry Standpipe � -
77. FIXEDSYSTEM�FINAL �
78v:FIRE PREV. FINAL
. HEALTH DEPT. REQUIREINENT
'79. FINALINSPECTION -
' 80. FOOD CERTIFICATE ISSUED �
Notes:
Date I Inspector I
J
�` �`' I9759
C�OSTA MESA BUILDINGSAFEfY DEPARTMENT
P. � BOZ 917 C09TA M69A. CALIPORNIA
For Applicant to Fill In Completaly
TYpE OR PRINT
BUILDINO �"�C' � P q�6
AD�RES9 � i N �
COSTA MESA. CALIFORNIA
OWNER C •� � �ZG w��5
MAIL ��� P
AODREBH \+�B Y�A G��
� ARCHITEGT. TEL.
'�R �.1�^Tt �y
�4\ �,
LIGTNO.���L`�\ NOL \-��Z�
slzE �/ i�l D -{- � OI now oH twoToe.
OF LOT
I�� f
USE OF �\
DESCRIpT10N OF WORK
BIIILDIN6
SIZE
E%TERIOR WALL
�.t.� I� �3� D G/�..
�
—C ' � �'0.wc�, � \�.
I NEHEBY �CKNOWLBDOq THAT I HAVe RG� T1118 APPLIGTION
ANO 9TAT¢ TNA NH AgOVH 19 COqRHtt AND AOpgg TO COM-
PLV WITM ALL CIT O� �qg A�9 RHOULATINO
BUILDINOCONB U 1
SIGNATURE OP
PERMIITE
AUTHORIZED A T
BUILDINO
A�DReCD
FIRB
F�� RECEIVED
dU N � 3 1963
APPLICATIO�o�il�Afltff DEPT.
suaoi6l�Y OF COSTA MESA
io�, Offica lJsa Onfy
R[C[IIf NO. P@1A{� NO.
ZONINf3
NO.OP U88
PUNe UII
YARDB MPROVED
MAIN BUILDIN6
tOM GL BTREETI�
>NT ci CF7,
fIDB FT• ��
//
IDB hT. /
VAR. # ,
HHALL BE LES9
YARD&APPROVED
ACCESSORY BUILDIN6
DATB
TX8 AMOUNi BHOWN UNG¢R V�LYATION IB FOp TXe
PUPPO88 OP 88TABLI8NIN0 A pBHMIT FH8 ONLY.
VALUATION
PHRMIT PEE $ �-
$ ��q + P.GK S
U
TOTAL PEE S �
' � ' 3940C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P,O. BOX 1200 COSTA MESA, CALIfORNIA 92626
For App/icant to Fill in Completely
BUILOING
ADDRESS �, ine QCL
OWNER �/�NIAt �� E�YU
MAIL �7/�� %i• /i
� AODRESS (}�;J r��ne t� ac�
°� �,TY �� A IY�PSA NOL.�IS'13:
_Z
� G CANSTRUCTION
BFiANCH
ADDRESS
ARCHITECT TEL.
ADDRESS
CONTRACTOR
ADORES$
TEI.
CITV NO.
STATE CITY
LI0. NO. LIC. NO.
SI2E I NO.OF BLOGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLOG.
SIZE OF �] �. NO. OF
NEWBLDG. �/� � �� ROOMS STORIE:
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowletlge thet I have reetl this application antl stata
Mat the above infOrmation i5 corret[ antl aB�ae to comply with
all laws reguleNnB builtlin8 constr�ction, entl I shell not employ
any person in vloletion of t�e workman's compensetion laws ot
the Stata of Celitornie.
I hereby cerxify ihot I am properly Iicensetl es a contracior �ntler
the Stete ot Calltornia Business antl Professions Code, Dlvisicn 3,
Chaptar 9, antl 2h�t zuch licanses are In full forca end a7fact, or I
em exampt from�the provisions ot che Steca�ot_C 111o�usinesz
antl Professi� , otle, Olvisio , C,h2pte
CG �.....�� �
Sle�atura yt
Permittea
Authorizatl Apent
Fa:c I
��ic —9-,�;�,.;5,00 szs=: *=*�3C.5Q
FOR BUILDING PERMIT
AP.NO.1�S��Z���
BUILDING A� V n
ADDRESS �� d r� n
. TRACT ( % / �
Z NO.OF �
PLANS (
YAROS APPRO V EO
MAIN BUILDING
(FROM C/L STREET
FROM .�8 FT."I
R SIDE � FT
LSIDE KLI FT.
REAR 2-QFT.
DISTANCE BET.
MAIN BLDGS.
VAR. �W
/ v S(
THE AMOU
THE PURPO'
VALUATION
$ i1�tl � O
v —
e�ce. (.Iti�.
USE OF NEW l/L^�L�H��
BUILDWG�AN� 1"N� Q
YAROS APPPOVED
DATE
�,
_— — m
�
0
VALVATION IS FOR �
A PERMIT FEE ONLV: m
/�� ¢
'//1 m
E 8 !/(/ "'
�j �
Kg U� E
�j 0
/l/ � LL
ORA�SJGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
. - 636 Noreh Broadwoy � � �' � � � � �
SANTA ANA, CALIFORNIA
` '.
� ' ..
� . 1 .., : , , �
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_ .`: � . `i �:�,. =c.,.._i .,..
m
.. -,:.-..'. -. _ .�.i= .