The URL can be used to link to this page

Home My WebLink About3434 PINE BROOK CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH UHIVt, GU51 A MESA, GA 92626 JobAddress: 3434 PIN� BROOK Suite No Vicinity: Parcel Number: 93506083 ! npp�icant: REDDINGTON, MAUREEN Address: 27665 FORB�S RD � LAGUNA NIGUEL; CA � MECHANICAL PERMIT Phone: 949-582-0700 2ip: 92677 owner: �EDWARDS, STEVEN W Address: �, 3434 PINE BROOK : � - � . Phone: � COSTA MESA, CA �� Zip: 92626 Contractor: OCEAN AIR CONDITIONING AND HEATING COMPANY Address: . 27665 FORBES RD Phone: 949-582-0700 LAGUNA NIGUEL, CA Zip: 92677 � � License:2�8618 Status: ISSUED Applied: 01/05Y1007 Issued: Ot/OSl2007 ISSUED BY: � � � SCOPE OF PERMIT .- INSTALL L A/C UNIT IN WALL OF GARAGE OF AN EXISTING CONDOMINIUM. ELECTRICAL FOR -� AIC�UNIT. USE EXISTING FAU DUCT WORK. � ISSUE FEE Inst FAU <100 k BTU � Inst FAU > 100 k 8TU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Faclo,ry Fireplace" Hood w/Mech Exhaust � VAV Box Vent Fan / Single Duct Appliance . � Fire Dampers � ' � Smoke Dampers � ��`;; Inst or Reiocate Appl Vent � Air Handlers < 10000cfm � Air Handlers> 10000cfm - ' Floor Fumace � � � . � FloororSuspendHeater . � � Quantity $23.50 �: �- r, - $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 _ 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 �- 0". $0.00 0 $0.00 0 $0.00 0 ` FEE SUMMARY � _'Repair/AltAbsorbtion�Unit Repair % AN Re(rigeration Unit Ventillation System Evaporative Cooler Comme rci al I ncinerator . Domestic Incineretor Comoressors%Absorotion Svstems Upto3hp/100kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 BTU - Boilers Uplo3hp 3To15hp 1510 30 hp 30 to 50 hp � - . - Over 50 hp Olher Mechanical Fee Investigation Fee � Plan Check Fee Reinspedion Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $1470 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 80.00 0 $0.00 $0.00 $0.00 - '� . - . TOTAL CALCULATED FEES 538.20 � COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaasss (sroo� WORKERS'COMPENSATIONOECLARATON: I hereby attirm uAtler penalry of pBrjury onenf the following declaratlon5: ❑ I have and will meintain e certificate ol consent to selt-Insure for workers' compenselion, as provided lor by section 3700 ot lhe Labor Cotle, for Ihe pertormence of ihe work for wn�ch Ihis pertni� is issued. � 1 have and wi0 maintain workers' compensation insurance, as requiretl by section 3700 of Ihe Le6or Cotle, for the petlormance of the work for which this permit is Issuetl. one Pd� N�.� �..� X-N � 3 o,rg �� orlessJ ❑ I certity tha� �� the pertormence ol Ihe work lor which this permit is issuetl, I shall not employ eny person in eny manner so as to become subject to t�e workers' wmpensatlon laws ot Calitomia, antl egfee e Itl become suDject m the workers' compensalion pmvisions ot Secti n 3700 1 Iha Labor Cotla, I shell fonhwith comPl� y wj `(n t�e pravisio . . 9� PQ � APPI� nt SignatUre: Dete'S) � � ! WNHNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERApE IS UNUWFULlWD SMALL SU&IECT hN EMP�EATO CFIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNORED TMOUSAND pOLLARE (5100.OW), IN AOOfTION TO THE WST OF COMPENSATION, pAMAGES A$ PROVIDEO FOq IN SECTION 3]Ofi OF THE UBOF COOE, IMEREST, qND ATfORNEV'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby aXirm tha� � ernlicen,ed underp.�op'siqns f apter 9(cammencing with Section 7000) of Division 3 olqhe'Bp siness antl �P(ofes�sions Code, and my licensa is in tull force and eHect. `ici`p _�/'�-� 7S b 1� _. (Cless�d (� _— aL-� CONSTRUCTION LENDING ACENCY: ❑ I hereby atti�n that ihere is a construction lending egency lor Ihe peAormanca ol iha work lor which Ihis permit is issued. (Sec. 3097. Civil Cotle). Lentlels Name: Lentlels Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirtn Ih�� under penelly of perjury th0t I flm E%EMPT FROM THE CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Busineu and Professions Code: Any city or counry which requires e permit to construcl, elter, improve, demolish, or repair any simcture, pnor to its issuance, also requires the applicam tor such permit to file a signed sta�ement Ihet he ar she is licensetl pursuant to the provisions ot Ihe Cantrectors License Lew (Chepter 9(commencing with Section 7000) ol Divis(on 3 of the Business end Pra�essions Code) or that he or she is exempt thereirom end the basis lor the elleged oaemption. Any violation of Section 7031.5 by any e00�icant tor a permit sublects the eppli�nt to e civil penalry of not more then five huntlretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wa9es as their sole compensation, WILL DO THE WORK, and ihe strucNre Is not intended or offeratl for sale (Sec. 7Q44, Business antl Professions Code: The Contrectors License Lew tloes nm apply to an ow�er ol Oroparty who builds or improves thereon, and who does such work himsell or hersell or ihrough his or her own employees, provided that such improvements are not Intended or oHerad for sale. If, however, ihe building or improvemeni is sold within One yeer of completion, the owner-builder will heve ihe burden ol proving ihat he or she ditl not build o� impmve for pumose of sale.). ❑ I, as owner of ihe properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruc� �he projec� (Sec. 7044, Business antl Prolessions Cotle: The wntraciors License Law tloes nof apply to en owner ol property who builtls or Improves t�ereon, antl w�o Coniracts for such project with a contractor(s) license pursuant �o �he Coniractors License Laws.). ❑ I em ezempt under sec. Business and Professions Code for Ihis reason: Signature: Da1e: Owner ID verified by driver's iicense. ❑ Ve5 ❑ No Drivor's Licenso No. Expires: Varification of Ownership by (�ype ot tlocument, i.6. - pwperty taa 6ill or tleatlJ: DIVISION OF INDUSTRIAL SAFETV VERMIT CERTIFICATION: ❑ I hareby cedify that no excave�ion five (5) or more feet in Oepih into which a person is required to descentl, will be made in connection with work authorizetl by Ihis pertnit, and that no building siruIXure, scaflolding, lelsework, or damolition or tlismantling thereof, will Ce more than Ihirty-si: (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Title 8, Calibmla Adminisirativa Code). ❑ As ownerv6uiltler, I will not employ anyone to tlo work which woultl require a permit Imm ihe Division ot Indusinal Safety, as noted above, unless such person has a permit to do such work Imm the division. Signature: Dale: Division of Industnal Safery Permit Numbec CER7IFlCATE OF COMPLIANCE AND AUiH9RVATON OF ENTRY: I cenity urnler penaNy ot penury ihat I �ave reatl ihis spplication antl sfate that ihe iMormation given is correct. I egree ro comply with all state laws and ciry ordinances relating to builtling conswclion, and eulhonze representatives ot the Ciry ol Costa Mesa ro enter upon the above-described propeny for inspection purposes. I egree not to occupy or allow acupancy ol any building authonzed by this Dermit until final inspection. COOE ,1. �y$p�yj�QNSYEE PDiE 1[�B4@ 1616 Fizetl Sy6tem Final Fire Prevention 7266 200 201 202 203 204 Pool SOa Final Finel Re-Rool Final BIOGWRetaining Wall Final Fac�ory Fire Place Finel Sign Finel Demoiitian ' Date �-�7 Data_ j CODE♦ INSPECTIONiYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Finel Fire Pravenlion 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy QRT� INTRIRLS � O D 2007 13:24 17149��'725 FEDEX KINKOS , PA6E 02/02 CREE� December 6, 200C Steven 1�%. Edti�ards 3434 Pinebt�ok Cosm Meaa. CA. 92626 Re: Village Creek Homeowners Association nrchitccriiral Application � I�ear Homeowner. � This letter is being senc to you nt the request of the F3oard of Directors. Pl�ase be advised thai the Board re��ie��ed your Architecnval AppGcation dated Nocember 6, 2006, seeking approval to add central air conditioning. After fiirther review and discussion, and after thorough review of the Alssociation's goveming documeiits, the Board voted to �i��rove this Application as submitted. ��'ith this npproval, �ve anticipz:te your commitment to using materials ncited and completion of this pro.ject «�ithin a reasonable amount �f tima If there aze any material cltianges, or if the project will not be completed �vitNin sisry (6Q) days, you are requiced to submit new samples/broehures for replacement materials and6•r notify the Association of the ne�v completion date. Plea,ae be sure to obtain all necessary buil�iing permits applicable for the ciry. Plcase keep this approval with your Homeowner documents and forward lo the new ow�ner should �ou sell cour home. Sh�iuld you have any questions regarding tbis matter, pleace submit them in «riting addressed to the Boud of Directors, and fonvard to th� address below. Your conespondence will be fo��ard:;d to the Board of Directors at thc next reghlar board meetine. I � fte�pectf'ully, THE BOARD OF DIRECTORS .Tamie Hackwith, CC�141' Commimity Association Manager cc: Board of Directors ,rH/w 29�475 Siem�a Parkwav Loder•a Ronch, CA 91G94 C?iJice: (949) 429-583/ Faz: (949J 429-5933 m 5 ��ti�`��`�� " `� �`Q � '�� k•�O F= _ �P �= .� �-- "�;. �`��i'_ O FS � " '� `�rJ� Q �'"`_ - , —=� '— ' �,. -.� — WCX Series THRU -THE - WALL SPLIT CONDENSING UNITS 1-1/2 thru 2-1/2 Tons Application - The W CX series condensing unit is designed for recessed or °thru - the - wall" applications such as high rise apartments and condominiums. Saves on Installation Costs - Since the WCX condensing unit can be installed ihrough an outside wall on the same floor as the apartment or con- tlominium, considerably less copper piping, refrigeran� and electrical wiring is required resulting in substantial savings over a �ypical roof or ground installation. Condensing unit 'pads' are also not required with these models. Easier ro Service - Since the WCX condensing unit is located closer to the indoor air handler, service and routine maintenanCe is much easier. Ideal for Replacements - Two models are now available with dif(erent cabinet dimen- sions to replace most brands no longer in production with little or no modifications required. Ideal for New Construction - Contact your First Co. represeMative or the tactory for compatible First Co. fan coils. Complete Compatibility - These condensing units are completely compaiible with most existing air handlers and coils. CROSS REFERENCE FIRST CO. MODEL OTHEii BRAND FEDDERS FIRSi CO. WCU-t0A8 WCX-AB RHEEM H X W X D LENNOX 32X24X19 MAGICCHEF MEYER CARFIEfi NATIONAL COMFORT (3000) BRYANT, DAY 8 NIGHT, PAYNE CARRIER WCX-BB DUNHAM-BUSH H X W X D FIRST CO. WCU--1088 28 X 25-3�4 X 19 �ENNOX MAGIC CHEF MEYER NATIONAL COMFORT (7000) FIRST OPERATIONS, LP - P.O. Box 270969 - Dallas, Texas 75227 - Ph. (214) 388-5751 - Fax (214) 388-2255 - www.firstco.com PP0.IECT A�OflESS: 3 4 3 q P I NE BROOK uNir: owNcxsnnmc: VILLAGE CREEIC HOMEOWNERS aooxess: ASSOCIATION 3429 TIMBER LAKE CM VA 92626 APCN/ENGINEEN: CHESTER CARVILLE pEc.No.: C18305 PDDflESS: 79z2 ARMOUR ST uxir: S.D. CA 92111 PEemiTree: pH�11ZCOMERCIALIWAY INC. (213)690-9559 aooxess: LA HABRA CA 90631 UCENSEO CONTNAC70B oELIAPATION: I �ereby affirm �hat I am Iicen tl r pmvisions ol C�apter 9(commencing wiN Section 7000� ol Dih i n I Ne usiness anC Profe si ns C tl anU my Im e i r�II torce anE ellecl. ci,vuc.��°7 � Treuc.:�3'16g�39 S B�/ �� Daie: _ Signamre: — — _ — WONNEBS' CDMPENS TION UE BATION: I �ereby a��irm Itlal I �ave a ceNhcate ol consenl lo sel4insure a cenificate of Workers' Comoensa�ion �v��p aj gc�iniea cuov mereoi (Section seoo. �ab. ��1 / O 1/ 91 °OLICY NO.: E%P. ORTE: OMPpNV: CA COMP 6 FIRE � Cen tl copy is hereby lu;jshea. ❑ CeNIieG copy is liled ' ' uilUinA Division /4/ ! U '/ (��i Oate: ��1� Ppplicant: `r E%EMPTION FNOM WORREBS' COMPENSATION �ECLAflATION: (This seciion neetl no� be completetl il Ihe permi� is lor one hunared ($100) or less�, I cenily ihat in ihe oetlormanre of the work lor whicn ihis permit is issue0, I shall not employ any person in any manner so as to 6ecome Sub�etl lo Ihe Wo�kers' Compensa�ion Laws ol Caliiomia. Oate: Signamre: NOTILE: II, atler making i�is declaratron, you snoul0 become su0lect ro t�e Workers' ComOensation provisians oi the La�or Catle. you musi lanhvnih compty vnt� suc� Dmvisions or t�is Oermii s�all Ce tleemea revake0. CONSTBUCTION LENOING RGENLV: I �ereby allirm Inat �here is a canSlmciion lending ag¢nty lor Ihe petlormance Of t�e work �or wAicA Itlis permi� is issuetl (Seciion 3097. Civ. C�. LENDEN: aooxess: OWNEfl BWLOEB OECIAflATION: I hereby allirm Ihal I am exempl Imm ��e Conlractors' State License Law �or ihe lallowing reason (Sec�ion 7031.5 Business an0 Pro�essional Cotle: Any ci�y o� coumy which reQuires a permit to conslmci, alter, impmve, demolish, m repair any slmcNre. prior to its issuance, also reQuires ihe apDlicanl lor such permil lo lile a signetl statement ihat he/she is licensetl pursuant lo Ihe pmvisions of Ihe Coniraclors' SIaIe License Law (Chapler 9(commencing wil� Seclion 7000) ot Oivision 3 oi Ihe Business and Pmiessions Cotle) or Iha� he/she is exempt �herelmm an0 the basis �or the allegeU exemption. Any violation ol Sec�ion 7o3L5 hy any a0�btani �or a Dermil 5ubjects Ihe applitant Io a tivil p¢nal�y ol noi more than liv¢ �unGred 4011ars (5500). I. as awnet al the o�openy or my employees witn wages as their Sale compensation, vAll Oo the vrork, ane tne ❑ structure is nol imentletl or atlereA for sale (Section 70a4, Buvness anG Professional Cotle: i�e Contrac�ars' S�a�e license Law Oaes �w� apON �o an owner ol a pmp¢rly wlq builGs or impmves �hereon, and wAo tloes such work hirttt¢IOhers¢Ii or Nmuq� h4 oi �er own employees, prmi0e4 IM1dt suc� impmvemenis are nol intenGed or offeretl for ule. If, trowever IAe builtling or impmvemenl is sold wilhin one year al comple�ion, �he owner will have Ihe CurAen ol pmving �e/she Aitl no� �ui10 or impwve for ine purpose of salel. I, as owner ol 1he pmperty, am exclusively conVacting wilh licensed coNrac�ors to conSlmci Ihe Drojecl ($ec�ion 7044, Business ❑ an0 Pmfessions Code: The Coniractors' Slaie License Law tloes not apply Io an owner o� pmpehy who bui105 or improves �nereon an0 who Conirads br Such pmle��s wilh a conlratior�s�litense purSuanlio Ihe COnlracl0r5' Slaie Litense Law�.l am aware Ihat pmof ol Iheir Worker's Compensa�ion insurance shoultl be proviaed �o me. � I am exempi unaer Sectian� B. 8 P. C. � lor I�is reason: �ate: Ownec I tlo �ere0y cerlAy i�ai 1 am aware ol and unGerstana ihe repuiremems ol California Healt� and Satety Cotle Sections 25505, 25533, antl 2553E antl Ihat I m any IUWre Guiltling oaupanl wilVwill na� (tirtl¢ ane) neeG IO com0ly vnih sai0 Sla�e wd¢s an0 IAe requiremenls for a permil br consiruclion or mo0ifiwtiw imm Ihe Ai� uahry Managemeni DisVkt. flev0emial consimctian applications are eaemDt Irom ihese O�ovisions. Oalel Ap0licanl: — I herehy retlily Ihal I M1ave reatl �his applicaiion an0 s�ale Iltat Ihe ov iNor �ion is correcl. I apr ta comDly wi�h all ciiy an0 counry oitlinances antl 51a�elawsrelatingio builtling conslruclion antl nere� a hani presenlatives oll ' ci� �o enlerupo �he above-meniionetl propCriy �p� CIiOn�ulp�SP .� 2 �' �✓ Date: — _ 1 Signaiwe'. oii�ei's urense or sociai seanry ,: �6aLa6 Wh��e—Bmltling; Green—Code Enlorcoment: Canary—ApPlicant; Pink—qevanua; Gol�enrotl—Assassor CITY OF COSTA MESA - HUiLDING PERMIT n i, � PERMIT NO: H 050613 PLAN CHECK NO; 00099-91 A i: . CONSTRiJCTION TYPE: V-N PERMZT TYPE: STR PURPOSE: REP JOB DESCRIPTION : REPAIR SETTLEMENT DAMAGE SQ FT: 143 CLAIM VALUE: 14,300,00 CALC-VALUE: 14,300.00 GROUP OCC: R-3 / COMMENTS: BUILDTNG SETTLEMENT REPAIR/FOUNDATION ****�**� x*�*x�*��xx �*��x*�*�*��x*��*�*+�*+�***��c*��*+a***��+�*****�c�x�**�+t****x**�* 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 BUILDZNG ---------- --------- ACCESSORY HUILDING --------- 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; 93506124 ZNE: R2 REF NO: PLANNZNG NOTES> FOUNDATION REPAIR. � iE �K- iE iF �E iE �lE 1F if ib �F if �IE 3F if ik iF jf if iE if *# iE iE !F iE�If iF iE iF if if iF if M� N� if af iE if �E �E iE �k iElE If IF 3f IE 1f !F It iE if IE IE iE if iE iE-1E k 1f iF iE �I(� 1f-iE iE if K� ib lf je iF )f if D E V E L O F 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 � t-----��— DATE: d�l/.S`�I BUILDING APPROVED BY ; w i t, i� r�_ DATE; APPLICATION ISSUED DATE: x*�*+�***+�*�t*xx*�** �* +�**'�***�r** � x�* iE1Eif-1EiFiEdFlfiEiFiFlEiPiElbitiFlflEiElFiEiEjElEiFifjflFiF )E�f1E�f 9EiEklF3Eif3F3EiEiE3FifabiflE3EiF1E�IElE�hiEihlEiElE3fif1EiF3F�1EiF3EjElElEiFiF LEGALIZATTON:N F E E U M M A R Y STR[ICTURAi, SEGMENT;Y BLDG PMT PLUMBING ELE.fRIC MECHANIC FIRE SMIP/RES GRADZNG PERMIT 162.00 1.00 SMIP/NON-RES PLAN 26.33 ISSUE FEE BUILDZNG-DIV-> PERMIT ZSSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 163.00 0.00 26,33 189,33 189.33 .00 REVENUE DIVISION TOTALS--> COLLECTED: 189.33 OVER/SHORT: ,00 BLDG FMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-(:HECH 167.00 1,00 26,33 !f iE ��i(� 3E �Flf iF 1F !E 1(�!E jE if ik if IE if IF 1f ih!(� 3c iE iE IE if iE if M if� iE iF �f if ii �1F 1E iF iElE iElE if if 161hlf 3E jE �% 1E if if 3E iF k 3f iF iF iE iE �f �1F iE if �E iE k 3f fE k lE iE iE % If iF Z 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 SFR 143 STRUCTURAL BY VALUE PER 5100,00 100,00 14,300.00 sNn oF FEES V G1 QU�7L�£7y-U007$ER1 �: ay "u." 1£%.:" OATE: Q1/.".3/91 TIf1E: 10,� CONSTRUCTION AND PLANNING P� �� & SPA qPPROVALS Permit # , Date Inspector APpROVALS Permit # Date Inspector U' r' 1. Temporary Electrical Ser'vice or Pole , 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement _ 3. Electrical.Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit�Undrgmd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. EI¢ctrical UFER Grnd. - 57. APPROVAI TO COVER�GUNITE 7. Footings 58. Electrical Conduit-Undrg�nd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test � . 9. Water Pipe-Undrgrnd. '�' :-+ 60. Backwash Lines, P�Trap, O Undrgrnd. �� 10. Structural Floor System 61. APPROVAL TO DECK � 11, Property Sewer Line & House Connection - 62. Backwash & ReceptorFinal -, 12. Sewer Cap 63. Heater & Vent-Final �� 13. Roof Drei�s ' � 64. Plumbing System - Final �� 14. Rough Plumbing ". ' 1 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 $tructu�e • - � 70. Underground Hydro 22. Ducts, Uentilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test _ � 72. Undergro�nd Flush 24. Roof Framing • ', ' 73. Undergrnd.StorageTank �Gas OOiI 25. Roof Sheathing �� 74. Overhead Hydro � 26. T�9ar Ceiling (StructuraQ & Monocoat 75. DrY Chemical - • 27. Frame and Flashing - .� 76. �DrY Standpipe � 28. Lathing & Siding _ ' . � � 77, FIXED SYSTEM FINAL ' 29. Insulation ` � I f 78. FIRE PREV. FINAL 30. Drywall Nailing i � ,� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 4 � � 79. FINAL INSPECTION 32. Electrical Power Meter-Final � . � i 1• 80. F000 CERTIFICATE ISSUED 33: Final Electric � � -� � t� Notes: � , .� 34. Final Heating & Air Conditioning I � ! � 35. Final Gas Pipe-Test j I i. ' �• , . 36. Hood or Canopy �� , ' .� 37. Final Factory Fireplace , j� � 38. Final Plumbing � � � � � I I i 39. Water Service-Final � ' I - � I 40. Gas Service-Final . , I �� . 41. Solar pomesticFinal • � � � � 42. Backflow Preventer E � . � 1 . 43. BaGkflow Irrigation � . 44. Landscape irriqation System � 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 3�� 48. FINAL PLANNING � i 49.- Electric Release to Edison � I I ' 50. Gas Release to Southem California Gas Co , j i • 51. CERTIFICATE OF OCCUPANCY . . � . No. Date urvrv�rc JOB ADDRESS GENERAL CONTF AP No. _ : I =CTIONS so,� GAS WATER ROUGH PLUMBING PROP. SWR. LINE � SPRINKLING SYSTEM ATE-WIDE Developers, Inc, uAit 4-28-76 3�+3� P3-ne 1�,rook- BUILDING PER�v11T N0. 41867 fOR SamC DESCRIPTION of WORK eg•W a� • B8Ta8 � OT TRACT ggsg FIRE ZONE VALUE $ > 9a��.. O,.r. TVPF (:RnI1P .. • �nuc — � � � TING ANO NIR �urvuiiiUrviNG Y SERVICE OP POLE UNDER6ROUN0 ROUGH WIRING TRENCHES � FLOOft SVSTEI. BON� BEAM [ SHEATHING POK'ER � 5 STEEL I EEL REINFORCE FRqME FNO FLASHING LHTHING - IN PLASTER,BROWN COAT 5� 'CTURAL, FINAL 1 .JG, VENT., REFR PLUMBING, FINAL ANO ELECTRIC, FINAI BUILOING, FINAL SUBCONT.RACTOR COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely iILDING„___ _. _ . OWNER 5tate�4i nooaess 9461 Gr c�rv Cypress CpNSTRUCTION aan�cn ADDRESS CONTRACT�F ADDRESS (�(�� CIT�' CY� STATE U0. NO. 2'Li U5E oF EXI?`TIN( SIZE OF NO. OF BVILDING AND WOFK TO BE No`.826-4550 TE No`826-4550 CITV LIC. NO. veru :.t220.('G qqV 13-7h�ra�,�0� 77F^ ^ APPLICATION FOR BUILDING PERMIT RECEIVEDBV DATEFECEWED nnrciccii A.P. NO. � � ��—pf' BUIIDING 3934 ADDRESS TRACT SLCSB x OWNE FIRE ZONE APPROVED c �el� ,� LOT VALUE OATE 20NE NO.OF USE OF NEW , �'� GLANS 2 BUILDING VARDSAPPROVED VAROSAPf MAIN BUILDING ACCESSORV VAR. aWW 7 � ��/ C.U.P.3YY�C �' APPROVED �or� Foi ., G BEf. MAIN & AOCESS. BLDGS. DATE //�I APPROVED � ...�� / %— I hereby acknowletlpe that I have reatl this apDlicaHon antl state �� thet the ebove information Is correct antl aBree to comp�y with all lews rapulatine builtlinp construction, anG I s�ell not amploy any Parmn in violation ot Me workman's compansation lawa of [he Siate of Californla, m I hefeby cartify that I am properly licensetl as a coniractor untler � 3S� sa. FT. J-534 0 ihe Swte ef Californie flusiness entl Protessions Code, OWistcn 3, THE AMOUNT SHOWN VNDER VA�UATION IS FOR Cheptar 9, and that such licensas ere in full forca entl eftect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: � am oxempt from the provisions of the State of Ca fornia Business ¢ antl Professions Code, Division 3, Chapter 9. VALVA710N �`' N �� PERMIT FEE $ I �� s,B�eSVfBO} t-Wide Develop ,Inc. ,�� QO � m Perrt�ittea PL4N CHECK $ E n�xnori:eanee�i Vice President � u TOTAL FEE $ � D