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HomeMy WebLinkAbout3101 PIERCE AVE - Building Permits. � _ - ' �AVD��GM to fill in all iparos l:ceDt t�ou,within �wvy,Doreer_Iines anQsi9np11 aOD�oorlate Aeelarotions. ' � ' %32rj.�. 4/ �,8� � Y CITY OF COSTA'MESAr_ , u.f.. . . j' _,� ^i r'__ ..�_. . .- . . . _ . _ . . - (� i -- -:_f_.._ .— r _.� � ._ � 8a_ ' __. ...�..B:Q � I T " �? � j - . +',- _ . F w. ' PERMIT_NO : � � I , ' TRd�' ; tLOT NO: y BL I uf I ' G I 1 . � �! t U �. L � �1'J rv ��``. 4:�7f ' .' 'iU �����C.�2 .«1£.�.Ct��� f.[.�`"���W.14�i�4S��J�4'`.J�R.�V ri�.v J .3 T�`bD , t. CONSTRUCTION P.ERMIT ' . , . «� , r c, .? , �q �.:w c � � .� . �' .. < � L " � . 1:'• j • i � t e i � , . , ..� ` t • t �; � �. i I� � T rr ^ ?t' f �r �aJ �Ti '. 7 i�. � 2 s 1'v n� � i"'p , .Appliient 5 M3iling AddIB55 ` _ � i ' _� � � TMPE�OF CONSTRUCTION'� i NEW ( ' ADD,L ; AI:TERATION: ' � � REPAIR j ,. � _ � C � s_ � �t% ` x � a � •' � �"�'`= { . � �� '- �l: 1 .. * � �_�,J/'S��^ `PIF�"'L . .�Vh � i i �� CONVERSION'<❑ DEMOUSH-i ' OTHER° � { t- f = i r. i 1 ' � . G Y � ,C I �. •„� � � 1 � " } �� ^ j - (i t a t -; � ;� � ' G ; �� Pr'oject Address- � ' � `� � . z. � r . . - � + = -- i � _ S •� . r � -� � G s � �• Is-., ; � T�,, � � � i � ' ' s�r����-�� � I.�DESCRIPTION.OF WORK � � ' � � �- � ^ � � � � ' �T: . ' Owner s`Name \�-1V( I-�c-� . I . �I� ��=�hone _L7L_L2_LL�� 1 { .. . � r . � ` . � = , c: i .r 1 . 1 b { t � - i - -. t .: � � � ; Z I G. EG �ATI N + � y I c•. F ... !,. 1 r, , • AEdress} '�'�'.�i �7 Y.4C12C� ��1�'� � .�. � 1 .�, � ,I , _ ' - . ,- : _. . ... . .. . .'� t - , `� ' ' ; Y: r � . ' � �b. ! ,x _ , � -,. �� :TVPEOF,PERMIT � '',GRADIN�G'� .FOUNDATION` 'eSTRUCTVRAL .A P qk I .'�f 2 � �;- �� ZONE t': � `- � �-+ � + a'+. . � AfCh/Eng� � '`� ' : L ' i', I ^ ' � Licen:e No i _. + , ` . � . , .� - � • 'MECHANICAL'. I °PLNG. REF.;qIE' I ' � �� � � I.�• { ci ( _ BUILDING `: ,%�j „ I �^, " f;'� t O TENANT ❑'ELECTRICAL` PLUMBING ❑ ' Addfes5 � ' � � � 1 'L.� � {. i� ! r � .,. } t .� n' � � ; -❑ OTHER { v �'� � i, L t � i � � G i .�'Y 1 ' � � 1t`, I �.� . .- , . . . � � � �) 1 � ' � ' '�TO BUILDING . I ,'ti i ;-'� �REAR YARD (TO P/U I � � �^' � i 1 ' -' 9 -' � PR PE Y INE� Cont_ector's Nem ��% � � "� ' } � ' ' � hone �' � ' � � ''- PROJECT DESCRIPTION; 5q- FT ^ � - � � -' �oCCUPArvbv �� ' ' " 1 , , . . . � l,.. I - � , � � ' � ?'I n I : j `S• .� , ; _. • . , - ' �EFTSIDE VARD � � 1 , �� � RIGHT;SIDE VARD �'C� i " ,� � �! p4 .' , 'Addr¢ulmeiling) 'i ' � �. � -CONSTRVCTIONTVPE VALUATION$ - - . �" �r � f 'I':".I ' i �i ! ( I ��^ I j' j � t ZON� '� '' F• •` GRADINGCU..VDS'' ' •ACRES f- • .,PKG.SPACBREQ. �'. 1 ` PROVIDED �'�' � � - <<�-'r� � . LicenseNo. � t � ' . . � . . . . . . , , , � � , , . � .I � � r-- . 1- � , 4 i., r. , C)..-.?-:: ',SCENSED CONTRACTOR DEGLARATION ' � ..,!. n .�� � { . � E - Ramarks � � �'�� � i'� i � j � � , � �� '� � � ,-4 i STREET WIDTH � . � r j •p�.�� � � �PARK FEE $ { �j, � r . �Q � � 17h¢reby;affirm thnt'1� am IlcenS¢tl untler proVislon5 o�.ChdrtBr,9 �Commencing ' ' ' ' ' .- , . .. . . . '" -wlth sactlon 7000) ot Dlvlslon.3 of the Businesz a�0 Protessloni Cotle; SnA+�I � . � �� 4' 4 � , }.. ' S ' � ' ; I ' I ' �SPECIAL CONDITIONS: � j �' { - � . � � � ' � .'� i:1 > � mY Iicanie�is (n full forta antl'effect. � � ' .. � � � k I '� • � . . � i ^ � � `� �. � ' , , � - . : � 7 � . t . . . , IJcenseClass+ `I '�. . r i.' license No. � 1 f • f� _� j � PLUMBING �'wt i .� � + i� � . i t ! 1. -� t`y j I't��{'' + ,pp.ate � - � � � - Signature � ' � � � r • � i BarSink � � Sewer Cap ! t ' � ' � ' ' � ] ELECTR�CAL i . •. P 1� � � " ;. � ��RKERS COMPENSATION DECLARATION � . , C �, '.� . T . �z . .f . _ I I � : I 'I _ . 1 ,,. I 1 . {-. ' ' : ' ' ! ,�,areby'afflrm.tnatlndvea2ertiflCateotcon5anttosalHnsureor-a.tertltiWte-----� • "' - -= ...=� :- ' .'_._ ,. � ..._w ...�AutomaticWasheR-='�----�--.•1.� Meter�.��over�t0aamps;..._{....'.:.::..' ....w.} � � Backflow Preventer � Sewer Connection "f � "' j"'"- � . . � . . . 'j , . . , '( �„� Workers" Compansatlon � InsurSnca,1 or a certifletl; copy�theieof (Settlon f - � �� ' Y " . �' r -� ' � ' } . 1, � � 9a � ! SolarCollectors . f � ConstructionPole. �. 1. ' 1 'SubPanel'. ;'. `i . `I'� � �I � 3800, Lab.,C.) ^ , � � • i �. gackflowirri tion ;�_ � � . . PoIicY No. � 4 , � . i . �� ComPanY { . �. i. , .. - - ... . . . i : . r � . � � � � � , - i Cooking Unit ' �Sub Pole� • � j ' j ' eCerbfiea coPY li herabv furnlsneA. � � � . ; � - � 1 � 7 .. � Bathtubs �. � � . �• $olar Piping { ' 1 � 1 � , � ' � ` •..I x. I : 1 � 1 � . � �. •. ' � .I Cartifietl copy is flleA wit� the clry Builtlln9 DIviS�on.. ! t' � ' i . - - � - Disliwasher ' � � � ;Moto/i �0-1 HP ❑1'h-8 � � " � � � Date ' 1 : i�� , .ADClicant' i •• • L '� :� � �_I Clarifiers ' ' ' i F T,� � � .. So1ar Taok yi j" ^� `_ ' � t ' __ ''.. I t {` • � e • . . . . . ; i • . .. . . -.. �"'..:.. .. __.... ....., .. � .. �. - ,__T _ . , _.� . . ' � I ThiEssectlOnNrieBU oot be CpKnE�RS tloMhe oermit I�sN � one hunare�a (ElOoyor' 1 � Dishwasher f� x j �( -' Swimmmg Pool.w/Spa ��� � �. Drye'rs ❑Gasl �Elxtnc ,. {IncSolar� �9,15 HP � 16-15+ � j. ;" I; � I less).'_ ; �, r ' i i a '.•. 1 ; I. � . - -b '�:' I.� i . 7 ' � � - , i Fanl , , .,� i', .(�,. I �Microwave ? r • 1 . d ' " I certlfy3hat In the.pertotmance of the work'for w��ch this.perm�t is�issuetl I ) , Drinking Fountains } a � 7� Urinal,'+ i - � . � . � .� b f . .. . .� _� .. : . I shaltinof employ any person in any manner.so �as to batoma subject to the, ¢ . � � " ,� � �. F A U, � ..�� � - ' ! � ,f - ' • , � . � ` � � � � ' ( - �Pole Li ht � -"'I t' - i workers' Compensatlon Laws oi Calitornia,�, , + FloorDrains( �� WeterCloset' ,I + • � � 's 9 � � �' �' �"" i.. . � .� .�.1 .: � ��e' i: l� � I..:ti ) .� "i .1. � . . .- 1 .i e � ,'1 �. , , ' Date'- 19nature � ,�y_ ' � ...L_.:,..�.. � ' x,,:..'_ - ,...� .. ;: Fixtures � '� �� ,-�. � ,iRan e:-n � - t ` t J . �-NOTICEe'Ifxatter'makiriq'thl5'tleCl6ratlon,-you ShoU�tl'become sun�ect�to tne'-,` , Floor Sinks--+ , r-�_ i - �- Watei'Heater - - � �- - �•f`-'^ 'r� . t . 9 }^'-'•; .(^'-'�y-*� �ycV'}�-•' � (-Workers';,Gompensatlon provisionstof the Labor. Gotle„you.must �forthwltny ( , ;' � - - � y t,� Device Boxes � r'! ' � 1 � • �� • � 1 � l ' : comply jwl[hj,zuth ,provl5ions;�orythiscGermitdspall., Ee tleemetlr revoketl i ij, GaiServicei `�u0utletst �� C' %Water.5ervice a� ii o' � "•°' ' t..�" . ' � � Sign� � } - � � .. � � , .. , CONSTRUCT�ION �LENDING'AGENCV...•�, • � � }• ' . ..' � 1 . . i . 7. � - . - l . i. Q . � I . . ... • . . .. . , ' � I hlreb af}iirti thai ShGro IS a� � ` t � �' . y ConsiruCUon•lantling a9encytfo� theYpe�fO�manCGj � ,J� f Ipt¢�C¢ptOlS � (• � �' Sr 1 ;�� ( (i� � '� � � � ;T, { z �+� ?y , � - Outlets . � � �-, } , .� Standing Sections� j . � ;, 1 '�, f j � of� the work' tor.whlch,�tNs� permit�is, iuuetl i(�«�on 3087'�qv C' i -- �- '� ' - ' ' . . ' j '� Lentler'sf Namet r . -, �.,,- �. .. � a r. '-':. i � ;< 4 Kitchen�Sin'k!. " �/-� i f' � y '.:f +. ' I `/, � ., i Switches; � . E � . i ;Tras Compacfor � }' � � 1. . +•. . a u. ,> > ' � �Lentler'S 'AtlOress � �3 . � +. � V. .I )z ; v 7 y ._ m 'F � . '. . ' - . i ... c _ 4 -. � r .,., . � � i . i , . � s r � Lavatoiies � r I L� : > C, Garbage D isposal . � ' �, : t • -. � ; ' i: . - OWNERiBU1LDER DECLARATION���I � � x 1 � � �.�. l � '�` i � ..� I . � �, .. { '`�%'� � � rs . � '•.( � I - �-.., i V • -') - � - � '� }. �r �..f011oWin9afeasont($ecltionV031:6t�Bu5naszana�ProfessionaiCotle:A Yatvor;�! =�� P,-TraP:° i.:� . . [ � � -'' ? ,=-i ,�,1 ��1 r �1•. ! � �' Generator�,O0;5KW.'0515.KW� r .� � . !�. {`. �i. .�.. ` ;'tounty'which��requires�a'peimit,to'construct,-alter Imorove,:tlemolish�or repair, � _ " �. _. "- �� i � -A - - � Transformer - -�' ' +L- ' �+� � � � �any structure; prior to Its'i55uante,:also requires t{�e appllcanTfor such'p ermit' � i- ` ROOf,DtainS�':%A �^r b'p; S'; .r^-'�� L''�� y.� �'' -� _ V� 015�50 KW � j- i, .`� �,'.f j �, ile.a'slgneA statament�tbdt he/Sh¢ IS IIc¢n58tl pu�5uant to the-provi5lons,of ` - ' -�h � - ' � T'' �'' ' � '' � - � "'' • i ' , � ' % . u� �. .� � � . _ ., -"1}`_' �50+'KW' �" . .. � ^ontra<tor'rLicense Law;(Chapter 9-(commencin9��wlth �Section:7000)'.of ;� 1 u i' �`� � '�` � �' �� � �` i- "� � �u ' I ' � ` i � 1= � , . i �Y-' i �Reinspection Fee'# ' -! §75' °�^ ' j ;'�lon j3'of the �Bu51ne55' antl' Professions, Code)' w�that. ha/sha_'islexempt j - } Showe�s �7 F7 ,� - f;s , ��. a'� ,�� Reinspec[ion Fee �. • $iy � ' . - � - � ' ° - , � . �=efrom�antl She, basis for the alle9etl�exemptlon"..°.ny,vlolatlon�of,5ectionl � " ' - Mete� ❑up to,100�ampi � �� 71aue Fae• �- S- 3 "�-'� r•"v31:5 by?any' applicant' tor�a f permit�subjects Ethe �aOPllcant to- a^ civil • � • y '� " ' 1 .: �� y '� f�; { ^ o � i., � � � :; -,� '� - � - enalty�,of not more than (ive'huntlretl tlollars (S500I� � • ^� 1,, ". t � ' 4 � Servite Sink . s a .':j � j[ } .,I, laue Fee.cr � �$ 3 - � � � � i � - ' i t ' " 1 -'i' -� � - i ' �"� � , . . �'. � . �.. � . !. ... , 1 . . . , :: 1. , . 2onin9,APProved BY ' .{ � ' ' Date � � i�1?�asjowner of�the'Iproperty or�my'e'mployea5,V✓�th-wages';as tlialr sole � i ' q J ��' p '� compensation' wi111Ao the work, antl�the!structure-�5 not IntenCetl or offeretl,�� !:�'y <; '� "._ • '.' ,� t_, .MECHANICAL' � [- j ppp��mtion ApproJed By ' L%C "�' -' � I'' � nate ' J� fOf'Shc¢�!(SEC�Ion �7044", BIlSIne55janCj�PrOT¢SSIoOaI.Cotle:4Th¢jCOntrdCt01'S ', �„ � � � � , , � , � License Law tloes not apply to an owner of a propeYty who bulltls or improyes ; . goiler ;� '� rv' �� 1 s .� .� � Refrigeration System � � �� ' �' � .,(� �^ ; theraon,lanG who "tloes(sucn'work himsetl/herseit pr through.his or her own i 1 ' '� • { ; " I t '•� - AppliCetion�lSSUBd By � ' � �� � 'j ' , "Date `'/� u�7 �'-' ' • employees, provitlatl that suth improvements ara�nPt intentletl or offeretl for �� � � --- ❑0.100,OOOBTU ��t00,0008TU� � i.sale. If; however, the bullAin or im rovement is ioltl wlthin ona earbf com- a' Du[t- Under�Ground a G •' j'-' '� j.-� {', ' SUMMARY OF FEES �, .) - 1 . i'� 9 P Y � . . { :1 � . J J ' F � Y � i • i i - pleUon, the owner,will have the burtlen of proving pe/she Oltl not builtl or im- . � ., , ' ) ' � j F ',� , y � } � � rova toe tne urpose oi.sale'.. � �; '. .{� � ! ' � " � Ducr- Structural �� � 5 stem Re av/Alteration � , � i � Z . P . � i+ ? �j' _ . � :( ( � I .. . � _ �..� ' V P . . , 7 :18UILDING PERMIT $ , ` I . SMIP '. �� $ � 4� � . . , � LJ I, as owner ot the property, am excluslvely'con�racting:with�licensetl cbn � , .. {. � f 5- � t•. . �..tractorsSoconstructthaioroject�ISectlonJ044,eusiness,antl�ProtezsionsCotle:-. ..�,Duct_Ventilating.,._r $,.,._� _ ��(�_.,r_,,;�__..�_ .,} -�PCANCHECK�.' ? $ E� �t � PERMIT { _�� {•� . - { Tne Contractor's �icen4e�.haw.does not apply;[o an owner of property.whn„f� ', , '; - . , . ' ' i - � ' . � � � ' ,. i � / ISSUANCE �� ; �$ �� (` �' i builtls oc Improves thereon,,antl who <ontractsfor such.projacts with a con �;, Exhaust SyStem'❑ Mul[iple � � � � � � �I' •� + i '• � . �' � • PLUMBING, � , $f - .(n — i" '`y� .� � � 3 . J � ' � I ��actor(s) Iicense pursuant to tha�Conlractor's License Law): 1 ( L4:. �"LJ� ..' ' ' ' � ' ' ; � � � ,� � =� GRADING. { 4- $ -�'� "� '� - !� I�am'exempt untler Saction ' "'� '' °B. 6�P Cfor this reasou-. `.( Fie I/FaetY8lt. ICBO # �'; �' L' `i <iPLAN CHECK; $, � ,�• � _ . 1 �,' • ' " 1 . a ' 1 � .. f 7 `:•.� 4 �' tr_� 1 � 1 I t � I ... P. : _.� . - � -i' � �� . 1 � : : � � - i �� J� �} ' + � $ � �. 'e. f - . . � Date '�i { 'f . 1 (Owner � � "� ��`� f � 7"i !. t - �'-i `t" ? � � �� Heatin S St2mf&.Ductin � ' � + � ) .. �ELECTRICAL� $; L� - � �'I'-, ( � , i. � . .. . , . �. . - .� .��; 9� V � . 9.f � " � i �'� � ���:'� -i ' �a-� � 1 � i �.. i .� MICROFILM .�-$!�� {• .f� rP`hereby'certi(y,'that�lEhSve�^ieatl�tlils"application^antl"5tate"�thx4'tbe'above'�"^}�� �a100,000BTU:�100,0008T - - ' �PLANCHECK ; .$'- ' � -, � � . � ' �• �- I intormatlon is correct.J'agree to comDly with all dty.antl.county ortllnances � � � � t. � � . �' - '� �t' � �, .i f �,> � ^'! a � � '� z-' � f 'i• •- ' � � ' ! TOTAL�FEE�' -' i .$ � � ' � : . � antl}state laws elaUng to builtling�construction,'atltl hereby authorize repre; 1 �. . .�� . MECHANICAL ' $; �� L � ��. � V ' ' � �'e . � �sentatives� fN 7s;city�t '� nt � upon"the ve-mentlonetl propert itort ,� .HOod�or'Typ91 .�OI .�,� - j � . f � t �� � _, �,� ' � + .� 'j � .� . . j [ j_ - � : . �� Reinapection Fee F $15.. IPLAN CHECK ' �4 $� � . � LESS t I� � � � µ '�: ,, . �� Ceno . T� e II ❑� i .� i - ! InsPection rPo � � tr � ' i 1 � � - . �' ; e - �,�J- 1 � . . � �: �. :i. _ ; ADVANCED PC . $ !� ., t ^ i . . I Si9nwture � �� � i ��.{ LOate � �. I�i I i ; . '+.. � � .� �! ' G '1 � '`t .1 �. .. � � � Drivers'Llcenuor, � i'� � l ! �.� i� �Re9isters ,�.�' ,(� "_` ..-� ' ± :� IsSue.Fee.. � . � . .� $ 3` ' f• i' � .7.. ! '�. � ��'�-' �'� . i ,.'��FINALFEE' �� $ r�' t` Y � CMF 0865-06 rav. 12/82 White - Builtling; Canary - A�Oliwnt; Pink - Ac<ounting; GOIGeniotl - Assessor �- � •- � � � ' ' ' `�" " � - ' ' - - . ' • � - � - , �� - .. . . ". , . . .. .. � ,� ' .., ' , ' � ; , , ��\' , . ' , . �` f, rx��r nooxess:;' 3101 P I ERCE AV �, uxir: • OWNER�SNRME: DAVE BOGART � . � - �� • � , � : nooxEss: SAME, AS ABOVE : . _ ` ' - ._7,19/543-9777� � � , .'pqCNIENGINEEB: � - ' � � ; . REG.NO.: r RODRESS:'. � . , . � . .. • . , � UNR: PEflM!TTEE:rFOX'CONSTRUCTION '_ ' (714)�543=4777 ' RODBESS: - 1910 E_ HUFFALO ` � `- = SANTA' ANA ' CA, 9Z701 � LICENSED CONTMCfOB OECLAMTION: I Aere�y atlirm Ihal I am IicenseE unEer D�a�ons oi Clwpter 9(mmmencinp with Sectlon 7000) of Oivision 3 ot ��a Business and Pwiessions CoEe, antl my�license is in full brce ane ettect. , cirruc.:'p:45057; /s}rereuc.:48496� �osrb• Oa�e: � -�%�— Signature: � � ' WOBNERS'�LOMPENS�TIONOECUMTION: I�ere6yaffir—mt�haveece dicateafconsenttoulbinsureoracertifiw[eoiWorkers' Compensation,insurance, or a cenilie0 copy thereoi (Section 3800, LaO. C�. . � ' �� , POLICY.NO:: � � i EXP. ORTF: • ' � � "OMP�NY: � ' • : ' . ' . . � . J Certdietl copy is here6y fumis�ed• ❑ Certifietl copY a file0 with t�e ciry BuiltlinA Division. � .—_ .. . . � . . _ . .. 4..._, . _ Date: � ADDlicant: � � ElIF7dPfI0N FIIOM WOHNEHB' LOMPENSIITIOX DECLANATION: (iAis section nee0 not Oe compkted if fhe perml is for one hunOred (5100) w less). I certity t�at in t�e Dehormance of ihe work br which this permR is QP I all not employ any persan in any manner so as ta Oecome suUject to tAe Workers' CAm ensation Laws oi Californ� � , , � Oate:- � " '- Signaiure' � . . . � . ' .. . . NUTICE: Ii, aRer makinp this Ueclaration, you shoWU Oecoma su6 to the Warkers' ComDensation provisions of the Lahar CoOe, yau must lonhvnth comDN wltA such D��ons or this permit sAall be tleemed revoked. - CONSTROCTION LENUINO IIGENCY: I hereGy attirm Ihat t�ere is a canstmction IendinA aAency fouthe OeMormance af [Ae work lor which�this Oermitis issued (Section 3097, Civ. C). ' ' i � 'l ' :' LEN�EH: " _ _..- FODPESS: _ ' _'._ , j , . . . _, . , . . . . _ a r . . , _ . . . . �"' < <� � � '' ' , ' • , , any IECUMTION: I he2by aflirm that I am exempt imm tAe Contractars' State License Law for the tollowinp reason �iness antl Pmtessional CoOe: My dry oi iounty whic� reQuires a permit to ion5Wc1, alter, improve, Oemolish, br , prior to its issuance, also reQuires the aDDlicant lor sucA Dermit to file a signetl statement ihat �e/sha is IicenSeA �isions of Ihe ConVacrors' State Licenu Law (ChaD�ec9 (commencinp wiN Section 7000) of Oivision 3 of Ihe Business de�,or that he/s�e is exempt ihemtrom and the basis for the allepetl exempqon. My viola[ion ot Seition 7031.5 Dy perm0 su6jects.lAe aDPlicanito a civil penalry oi not mom than frve hunOred dollars (SSOOj � ine does not apDly.to an owner ol a pmperty who builOs or improves t�ereon, anU w�o Eoes suc� work �Imsei7�ersen or Inmupn " his or her own employees, Drovitled I�at such imD�%'emenis are nol inten0e0 or oflere0 for sale. Ii, Aowever ihe buildinp or rimpmvement is solA wi[hin one year of completion, the owner will have t�e �ur0enbt provinp he/she Did not �uilE or impmve '" ifor t�e,purpase oi sale) � G ' - - - � ' .� � —. �, � . _. � . � . . � � „I, as aviner ol t�e D�ope�ty, am esclusively contractinp with IicenuE contractors to cansiruct Ihe prajed (Seclion 7044, Busineu �❑ �anE Professions Catle: The Contaitors' State License Law Eces not appty to an owner ot OroDeM �o bml0s ar improves theaon �' anE w�o contracis far such projecls ci�h�a ebntrectaqs) license�pursuant to the Contractors' State Licensa Law). I am aware that proof oi their Worker's Campens:aon msurance shoul0 be proviGeA ro me' � ' � I am ¢xempi unA¢f SeCtion: � � Br 8 P. C. � � � , lo! Ihis r¢35on: , . ' , . �.1 . Dale: � � ' ' - � Ownec ` � ' � I Oo hereUy�ceniy tAat I am aware ot anU un0erstanU ihe reQuiremenis ol Califomia Heatt� an0 Safery CoOe Sections 25505, 25533. anE 25534 anA that I or any future bultCinq occuDan[ wiNwill not (circle one) neetl to comply with saitl state codes and tAe requiaments for a permi[ for constructwn or mo0ifica�ion tmm the Nr Oualiry ManaAement DiStncL Resitlenlial constmction aDO�ications are exempt fmm IA052�pfOvi5i005. � 1 1 � ! � Date� . `� � Applicant: � � I hereby ceitiTy that I have reatl this apDlication and st5te tAat ihe a6ove infarmation is correct. I�a0ree to camply wit� all ciry an0 counry or0inances an0 state laws relaGnO �o OuilEinp consWcUan anG here6y a onze a0� sentatives of th6 ciry to enter upon Ihe above�mentione0 proDeM1Y for �p� ion yu�fF� , � ��� � + ; . � ' �- �,� oa�e- � ,�' b sa�amre Dnve'r's License or Social Secunry x: �i � � Canary—APPlican�: Pink—Revenue: �- ' CITY OF COSTA MESA - BUILDINGuPERMIT. ;''PERM NOc H+ :09`859 �i . �. YERMIT _NO: B,r_0:478.59 PLAN CHECK_NO: � , N, ,;; GOVT: N, SUPP:! N I.; �� CONSTRUCTION TYPE: ' : PERMIT TYPE: STR,' . � ,,P,URPOSE:'AliT � . .. , - � .-i i>� - JOB DESCRIPTION : REROOF/REMOVE SHARES,RESHEATH�,COMP..� �.'SQ FT:' �4,�000 ''�^� ±� ' u .i CLAIM VALUE: 4�000.00 CALC-VALUE: 4 000.00��-GROUP OCCr R-3;�/^ G-- ;� � , . . � ��.. �' COMMENTS : � � -. ' : ' _ .. , , : r � , .� " ik iE aF jf if iE if iE iE iE �E �E jE 3F if ik iE jE iE it 9E jF?E iF jF iE iE iE�iE iE iE iE iE iE iE iE iE if if iE iE IE iE 3E af jE jF 1f jF ik 9E ik iE it �f jE iE iE iE iE �)E * iF'iE jf jF 9E iF if iE if iF 3E'iF 3E iF if.iE:14 I Z O N I� N G R E Q U I'R E• M E N T S , "� '' "'�_ �� ,, S E T b A C R S, : .". ' �„' -', , : � ' � � � + ; � i •� . i I ----- ;---=-- MAIN BUILDING ---------- �-------.ACCESSORY BqZLDING:; -----� =-�= ,� j FRNT; FT IN REAR: 'FT IN FRNT: `FT, IN REAR: �.,FT i�IN�? �+ I,LEFT: ET IN RGHT; �FT IN LEFT: FT IN RGHT:' ;FT rIN ;� PARKZNG REQ• PROV: PARCEL; 1416512�1 ZNE: :REF NO:' �� '�"i I� PLANNING NOTES> ; ' ; ' ' � I:,� � . � ._ . ..' i - . ......� . . . _I.. _ . _ �.� � _ _, ' __ " ' �.'_ �. "q.w �_.�. _- i...._ �__ y . iE iF iE �E iE iE,1E iE �E iE if it it iE jkiE if iE'iE if it iE iE it 1f jf iE jE iE iE iE 3F 3E iE �E iE iF iE iE iE iE 3E jE iE iE iE iE iE iE iE iE iE iE �E iE 1f iE df if ik if iE iE�it iE iE * iF�E 3G 3E"it iE iF �)F iE iE * aF ; L1' E;V'E�'L O P M E N T 5 E R V I C E S ; R',E Q U I R E M E N�T%'S' # ' � Y.:, �• • � , , . , ,.-.� (Y � ZONING APPROVED�BY ' ` � � DATEi � " ' � j BUILDING APPROV,ED BY _ ..-� - - � - - " , DATE: - �V.^ -Y�-� ^�{� . AYPLICATION ISSUED HY; , � ' � � DATE; � ZZ G7� ****��t'�*�*x�t�t��t*�t*�t*�t���F��3����iF�F�FiFiFiF7F�iFi��F;F�F����F����F*�t�t�t�t�t***x� **v iEiEifitiEiEiEiEiE?EitiEiEifiFiEiEiE'�4ifiEilikifiEiEk#iEifiFiEjtiEitiEiEikiEiFifiE*it�l(-iEiEiEjllEifiEifjEiE�ElEitiEiEiEjE'.E�lEifititifitiEjtiEifikiE�lFiE-IEiF � L�EGALIZATZON:N " ' "" , ; � F E E' �'S'U'M M A R� Y " ,"" `STRUCTURAL`SEGMENT:Y �-' � � i I t BLDG1PMT PLUMBING ELECTRIC �MECHANIC �FIRE� �SMIP/RES i GRADING + PERMIT 63.00 ' .. � � � ;. ' S0 � � ' , SMIP/NON-RES I PLAN i '� '�' f. . ' '7; _ . ' i i , ISSUE_ �FEE ' _ � � �•-�� , i ' � � bUILDING-DIV-> PEkMIT � ISSUfi - F�L'AN_ CHECK TOTAL ' PAID � � DUE , TOTALS-�_c->. _,-- 6.3_, 50._____0.,0.0, _;�: ; 0_..00 63. 50 �'; 63. S,U ` I � ;. 00 i .. i. , n « .. .__._'__" r=__'=-'�_{--: cr_�-'." -ii_'�1 � .. REVENUE DIVISIUN TOTAliS-->' '�COLI;ECTED: I 63.SOc OVER/SHORT:' '; .00 I ! bLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT :GRADING.PLAN=CHECK , . 63: 00 : , � . . :' `u : ' . SO � -r � � ' . . , ' - r;fi; � � . i . atirat�*�,�xit�r�***itx*�ritirit**at*�'�xit*�rit,x�r_�*ititxitit�itit�ieicatit�ttt*it**�r�r�itif*it*itit*itit�rit*it*�at*�*at � .� I N D I; V� I� D U�A' L�-'--' F E E; B R E A K�D O W N' � I' ` . i , � . . � . . � . ; . � � � TYPE � QTY, D E S.0 R,I. P T I O,^N � UNIT� COST� .' ` TOTAL CO5T I SFR' 4000 REROOF BY VALUE RES�IDENIAL NOZONE �- 1,0,0. �,4,000.00 � ' .. ' ' . •-END OF FEES • ; t . � � � � . � '. , i :�' � � � . � . , . : I , _ . .I. .+ � � � � , . � � , � � , , � � � ' � ' .if t � � . .l _ � .., ���-�. � � , � � ' ,- �� � , �� � i � � } I i � 1 � i i r � i ; � j , � i 01040b3735-DDOS373�'o T��'T � . DAiEa, Qo/22/90 iI11E: i,�A7 . -- - - -' ' t . CONSTRUCTION AND PLANNING �. - . � � '", �� ' ?C i SPA � � _ ; �� .. _ Date - ';I�spector ' `' � �- Date dnspector, �, �; APPROVALS , Permit � ' _ � >�. = APPROVALS. ; Fermit.# . r .. :�: �=1.;Temporary Electrical Service`oi�Pole �- ; ,�`= �-� , � �� '52..Pool &•Equipment�Location� • ,'3� ' ' ` j� ; �': � . . . , - ,. . . .. . ,.. . . .. � �2. Soil Pipe�Undrgmd. " � N` i �m J` � �• �53 �Steel Reihforcemen[ =": - � � �'`� '° "r, � f3, ElectricalConduit�Utility-Undrgrnd. � �`� i � 54..'Forms �' - - - � , . ,�ry,i� •�" 4. ElectricalConduif-Undrgrnd��;�� � , 55.-Electrical Bonding .= " . �} � n 5.�SteelReinforcement� ''� �� , '"` , � 56.��Rough:Plumbing&PressureTest - . -' 6. Electrical UFER Gmd. � -' ' � - ' 57. �APPROVALiTO'COVER�GUNITE -"� � . ,. 7. Pootings . . � � ' }"! ��� - 58. -Electrical Conduit-Und�gmd. _ � , : f �,,a� -:� r���,_. � �f 8. Foundation ` ��i� �+ _ � - 59. Gas Pipe; O �Undrgrnd., Tesi . _ .�,�^ r_" .^.r»�, _�__ . I - ' r 9. Water Pipe-Undrgrnd. ;� �" �:- � ' '��� '! - 60.�Backwash Lines;�P-Trap, O'�Undrgmd. �: � - � .. Zi�.,. =.r:.3 � � ,i-. � 10. Structurel Floor Svstem. `!F-� ✓ ^ �.' 'r.� ' ' 61. _AP,FROVAL.TO DECK ••��- � - � . `7 �'�� ; :� � F�� �": F `9 � i�' ° 17. Property Sewer Line�&�Hous`e Connection � "_ „ = 62. � Backwash & Receptor;FinaL � ' � ; ; � 12. Sewer Cap ' - ! '. ! - 63..Heater�& Vent�Final f � `, � � ' 13. Roof Drains �_ ' _ ' _ � °�- _ 64.�Plumbing System�- Final;' - ! . � �� F� � 14. Rou h Plumbin - ' � 1 � J ^ � . � � � � � 9 9 65. Electrical-Firial��' = _ � 15. fiough Electrical�Conduit � :� F - 66.'..SolarSystem�Firial = - �- �� � _ � n `76. Rough Electric Wiring:' - « _ ' F 67.��Fencing & Access='ApP�oval � ^' : � � p 17. Rough Wiring Sign . , " ',� £ 68..:AP,PROVEDrF.OR.PLASTERING i ;s ��•_ � `- � � � � 18. Rough Electrical-T BaF�Ce��ing; : i ^�!, � T ; 69.CPOOL/SPA`SYSTEMS�FINAL � < �_ � i � ii ��' �19"RougFi Heating & AiF Conditio`ning �" - - - �� � � FIRE DEPT. REQUIREMENT � 20. Rough Factory Fireplace . � � � . �APPROVALS .Permit# 21. Ducts, in Structure • 70. Underground Hydro 22. Ducts, Ventilating` , � '� �� ''� •71 . Product� Piping O Gas O�OiI 23. Gas-Pipe-Rough & Test ' ' ' '72, Underground Flush • " 24. Roof Framing " � . � � 73.��Undergmd.StorageTank QGas ❑Oil 25. -Roof Sheathing � � � Q 74. Overhead Hydro: _. 26. `T-8ar 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 Coar _ � � - '79.� FINAL INSPECTION - � 32.-Electrical Power Meter.Final � � � � �80:iF00D CERTIFICATE ISSUED . � �33. Final Eleciric . ,; " . - Notes: . � et i 34._ Final Heating�& Air Conditioning�� ' ' ' _ ' 35. Final Gas'Pipe-Test- � - � � ' ' " 36. Hood or Cenopy ' � � � � ' - . �37. Final Fa'ctory Fireplace � � -� - � . � 38. Final Plumbing ' _ - ' � f �� ' '- � . �39. Water Service�Final,` � _ � �, : � � 40. Gas Service-Final � ' � : � � " . �,� � ' 41. Solar pomesticFinal � � , � � 42. BackflowPreventer� � � • '_ _ " ' 43. Backflow Irrigation � � , • � -� � • �44. LandscapelrcigationSystem�� ,' _ � '� ' ' ' . C 45. Sound Attenuation . � , � � �-� � � � � ` �- � � " 46.� Handicap Regulations � � '- - . � � {� 47. FINALSTRUCTURE&BUILDING r;. � � � 48. FINAL PLANNING � � ^ � ' .. ' t vt ' .49. Electric Release to Edison � li, : . �50. Gas Release to Southem Califomia Gas Co �� '• ' - � ' " � � �'r ' - 51. CERTIFICATE OF OCCUPANCY_ ;�' No. Date � . . � ,' Pfl0.1ECT RUOqESS: �.3101 P S ERCE AV � � l �"� uxrt: ;" OWNEP'SN�MF.fDI,VID I30GART " � .c � - ;' , .+�` <<: . - �; i', � ; � p00BES8: 31OS PIERCE AV ,. ' •� '� ; ' '��, �_ ; "!} COS.1'A= MESA' �. i i i- f,? t� . � �'CA.97.�626 � • '" , � � �,. , ;,� � �. � :: :: �` �'(714�)951-6719 � .. ' �'`- � � .;RHCN/ENGINEER:�.'� , : : ' ' � { ` • -iPE0.N0.: � i � ' ROUPE33. ^ . e .'� � �.. � y • � �: . 'UNR ' , _ : , t.' C � �( . �'.�� 1. � � ' r _ }.r ' , PEPMRTEE: UAVI�DR'S�Ci�T , t .' { � �i ( �]1.Q�)+%�j1-i]:�)�'9 � -:� • aoowess:;3101' PIF.RCE.1:V ;.. 1 y, r .;- • , +. � C051jA' MF.SA' �' CA 92;526 •';v .t : �:; � 110ENSEO fANTX�ICTOB DECLAMTION: I hereby aKrm [hat I am licensetl un0er D�avisions of Chap[er 9(commencinp wit� Secbon 7000) ol Oiwsion 3 0� t�e'Business anE Professrons Cade, antl my,license is m'tull lorce antl ekect . i �CITY lIC . � ' ' � •'� STRTE LIC.. � '' CUSS: `. ' , � � , Date: ' . . � ' : { ; SiAnatua ''' '. ' ' • ' i ; �. . ' �, s _ ' i WDBNEBS' COMPENSIITION OECLAMTION. I hereUy amrm IAa[ I have a ceNM1wte of consent to seli-insure dr a cer[ificate of WaBers' , � Compensanon insurance or a cetlified wpy theieot,(Section 3800'.Lab. C). ? 1 : ' �. f„ POLICY N0: � ' �� � • 1 - { � � E%P D�TE: �,j � ' ; coMraxr: . � "' ,, i i . , . , , � , F _ � 7 cenii�ea coPy;s ne�eey mm�snen � � cen�r�ea coor��s i�iea wrtn me c�ry apiia�no o��is�on • . . . _ _ c. _ . .. . . , j s -1 ... . ' Date: ` � APDlmant 1 � � E%EMPfION FPOM WOflNEfl3' COMPENSITION OECUIUTON: . Rhis seiiion need not he comDleteA tl �he pemut is for nne hunOretl �$100) or lass) - I certiy t�a[ in tha peAormance ot the wark for,whic� Ihis permit is issue0', I shall not employ any person in any manner so as ta 6ecome � suDle�t to the Workers' Compenution Caws oi Calilomia. � � "� `( ' � - ` ' , ' ' Oate'. " " . } .. �. � _...� _.:SiAnature. '•' y� . . � � .:.: • . ' �✓_�{ _ . ' _ . NOTICE: If atter makinp this tleclaraban "you shuultl hecome sublect to the�Workers Compensation.provisions oi the La6ar CoOe. you must tartAwit� cumply wit� suc� D�ovisians or Ihis'OermiGshall he Aeemed xvoke0 �•� � . � , � CONSTBUC710N LENOINC �GENCYi P�ereOy attirm.[hat ihere is S constmction IenUinp aqeniy lor the peAormanie ol ihe xrork for w�ich9hi5 permi� Is issuetl (Sec�ion 3097 Cir C) ' ' � �,- ' � ' LENOFfl: � ' ' F ..:(� .. �. . e. . , s,_. . : r� i 1 ' "' ' 'RUGHESS: 5 ' r . t ., . . "';, ' " . .._� . - r f. t .' �, i s, s` ` i ta t. �� •! t` 1' , i ]: . � . . . � � ' . , i " � " ... :' . OWNFR BU��OEN UEIXAMTION: I hereby affirm that I'am exempt irom,t�e Con(ractors State License Law for the following reason (Section 7031.5 Busiriess 5nC Professional CoOe:, My ciry of counry which reqmresa De�miLtu consimc�, altec,impmve. Cemolish, or � repair any structure, O�or�ta Rs issuanie, also requires t�e apDlicam (or such permR to lile a 5i0�eE statement ttathe/she is Iiunse0 pursuant to tAe provisions ui the Contractors' State License Law (Chaptec9 (commencinA ��h Section.7000) of �ivision 3 oi the BusineSY anG.Prufessions CoOe) or [hat �e/she is exempt ihereimm autl t�e basis tor ttie aileped exemptionrAuy violation ai Section�7031.5 �y � a(ry apPlicant tor a'permit sublects tAe appliwnt to�a civil Denalry of no[ more than five hun0a0_dollars (ESW�, i"- :. � ' � n .� . 1 � ;.. . �.i —" 'I'as�owner'oPtha-propeity�or'my-emyIoyees'with-wages-artAeir.sole:compensalmn wilLOo-tlie work,:and.tha.. I�,0 slmcNra is not inlenAed or oflereA toi sale (Sec�ion 7044, Business and Pm�essioual Coae T�e Cantrac[ois' Slata Liiense Law -� ' Oaes nat aDP�Y:ro an ownervoi a pmpeM who UuilUs or im0�oves Ihereon, anE who Ooes such whrk himulf/herself oct�mu0h � ' � Ais ar �er own employees; pmvi0ed ihat sucA imD�6vemenis are not in[enEeO or offered tor sale: If, htiwever the buildinq ar �impravement is'so10 mi�in one year;oi completioq the awneawilh�ave tAe bur0en oi pmNnp he/s�a OiE nat �uilA or improve . . . dor ine auroose o( sale). - � , . 7 . :J ' : �, s . ., . ;. , � : � . . j, • ', ; :: �_..� _ .� . ; i .� . .. .s � . , .i � i.! h . �I, as awner of Ihe pmperry, am exclusrvely� contractinp with licensetl coniractors to constmq the pmlect (Sect�an 704A Business ' �� ana Prafessions Cotle: IDe Cont2ctors State Licenu Law Oces not apDly to an owner oi properry wlw AuAOs or improves t�ereon �' antl•who contacts for such Drojecis with a contracror(s) license pursuant to ihe Con[ractars', S[ate License Law).-I am aware � ihat proof of �iheir Worker's ComDensation insurance shoultl he D�oviAeO'� o�me.' � '''� � �� I am exemPt untler Sectian: A P 7.0 4�4' B�.8 a. C. - � ' i .-= �':� � ror inis aason: NO EMPLOYEES '' = �y� � � . � � . � Date: •7 ��� ' : ' � Owner' . , � . , . I Ao AereEy certiry that I am aware of anU untleistand ihe reQuirements ol Califomia Healt� and Salery CaOe Sectians 2 05,�25533, antl � �-25534 antl t�at I or any �uture buil0inq occupant wilUwill no� (ci e one) nretl lo comply witti saiE state coJes anA the ( uiremen�s �or a.' permit for consimction or. motlifiwtian imm Ihe Air �ualiry M a ement �isirict. Besitlential consimcbon ap0lications are exempt trom ' these pmhsions. _, '' � ; , ! � i � ' ' . , Oa�e4 3� �.Z � i �� ' ApPlican�:. . . . . � I hereby certity Ihat I have rea0 tAis application:and stdte ihat the � ve information is correct. I aAree o c ply,wi�ti all city an0 counry oNinances anA state Wws relating to 6uilding wnstruction antl Irere a Iwnze repreuntatives of tAis i a en r upon the above-mentioncd proDerry fo� in5pe�nomOurPases., . r r � � , - ' t - �. . ' Date: 3'���—�.� � SiOnaNre: � , � . , , � Dnver s �icense or Sociai Securiry x: • �. . _ . • . Enlomemen�; Cenery-Applicent; . . ' . � , . . , 'S . . . , • � � , - � � ` ' �' � �CITY QF- CO$7A MESA ; �BUILDTNv PFF2MIT ' � , E'ERM,h]UY.BM _ `09659�% r.�.. �.�.� w: Z:�� .� �51,..t"�f_;..� .I[.:�alx:��. :- . t ��• "�.i ,;.�-t... '.-. �`�'c��.i.i PERMIT NO;� BM � 0�46597 � t PLAN CHFCK .NO.: ; 3 ., N e� � GUVT,: td� SOPP, 11 ' � ' � , _ ,_. , . . . � . : i� } .i:: .�: - . ' � � , '` ' � � R + � -, i • . . �., . E . _ „ CpTIS'LRLJCTION� TYP,E": � 5-N ; a ;'a ^ I _ FERMTT �'PYPEi MEC S CR� � �;' � >PURPOSE ALT� . { . , � : , , , � t :,JOI3 llFSCRIPTIO�I , INSTALli .WOOD �DURNPNG S1`OV6' , �_ � ; : i , SQ FT•� ^� 2, 500,, •;. . � A ' _ � t . . � . CL'AIM VALUE -! 2,�500 00� c:�ALG-VALU13i � �2' S00 00, GRUUP OCC.:a R 3? ,/. .•;a' ` . � :. � _ � � i � s , � .. . � � � : � ,y . t r � 4f . ' y . � a i :COMMENTSd 'S10VE il�AS..ICBO }trPORT �#3797 ' � � -' J ''- , i : c,'� , ' "�' i' . -*+��r*�x��**x�x*��*.*�r**��**x�******;x�x��*�*i�*�rtrt+��*��c���*������*��r�rx��a��*a���**��,�e�cx*�*; t �� ., � •• ZONI'N•,G- RHQU�I�R.EM3ENT.S;. j' � :_�r,. � ; t Y. 1. ,.. i � j . 'S. E .T ➢ A C K S ' � ' ` � ' ' ; `;<:r • � ,. . , � i .,r. { h • , t ' . , � , . ; � �. . : �. . .. '',. t ;' . '--- 4 . -� -----� MAIN BU7I,DING -- --- -- � •, ---- - - ACCESSO�RY � D[IILDING.-.', --'--'---- : V r • I'RNT: ; F'T ' ;IN; REAR: � •: FT IN , �FRNT: .F.T IN REAR': . !:,FT : •. IN`• � 3"IrEFT: + � I;T 'IN; RGIiT6 � FT I�N , '� LEF:T: ' ['T, t IN RGHT: ;� ; FT �IDI, ? . f ;. , . : i +, ;� - • ; , ,, �. �,..i. � YARKING"REp: ; PROV: • � PARCEL:,;1416517.1 7.NE: �; t R£•.F.NO: • PLANNING NOTES>. � • ' i ' f i z { . ; . �. . � � �. ` ; . _�.. _ ..�.. .� . �.�.� .,{.� � _-�_� .; .._:.., - .1.-i. .� � ,...:�� :..,, ..;_� ._: . .� ... .t� .. � :.s . �.;�• �� .� h �fiEififlEiEiEiEiEiFiEi(iEdtitiE.lfiEi6iEiFiE3E9fiEiEaFiEiF7EifiEiEif�-iEiEikifiEiE�1EiElFif:ifiEiEjfifiEifikiEitlEiEiE#iEiEiEifit�kiF'�k3EiE�lfiFiflEi(-fiEiE�fifjfiE + �. �"; D'� E rV E L� O' P. ,M I: N T� .•S E R V I.�C 'E� 'S ' R iE, Q D Iy R'E M E`N 1'C�'� i�; ��. t` . . • f .• y p' . � . . , � �✓ . • , r i ' 1.,. .� � ' : . . 'LONiNG' APPROVED IIYf ' . ' ^" , � .;DATE:: ' `"'^ `{. i „' �. ' : . � . . . • ___ _"__ y Y , � Y _ ___Y' _ . ; HUIdDING'APPRCJVED BY.,. � _' �..t:� ' . .. '' �v , ;DATIi: n ; ', ' • 'ti:7.�, , .r' _' � . . '. �. _�' __ '_' "" � .ih. � ' � "i � ' �. >� � .q..; ... o APPLICATION.'ISSUED�BY: 1 " � .: iDA'CE:3`211./'�i d,# itifiE7ElEiEiEiEiEiEdEiE�lf�iEiE�EiE1EiFiFiEif �i� iF TFiF ��.3EiEiE9E�FiEiE�M�iEiE 36iFiF3(-iE . 3fiEiEiE3fiEdE:�IE��iE#3EiEiE3E1F�lEiPdt�7EiE�lf'3FifiEif�iF3Fiflf�EiEiE3EihiF.�lhiE�lEiE3f' if1E� jF±Eif�lFiEiE+FdEfEiEiE�]EiFiEiElEif*�E�,if�,�lE3E�F3E3Fi4iEiEiF�)F��IE LEGALIZATIONiN " -"'•"" ' '' ' "`+F E E �'°�'S'�U''M"'M A R' Y - ' "" ,TRUCTURAL 'SEGMEDIT:Y � "' � Y { 4 , ` : ' � � � 0.' � � I�i . . F . , - . W - , � j. /. 1 a � � � ., - . , � • . Y • `�� ' �� , AI DG"�PMT .PLUMQING ELECTRIC ;MECHANLC � ' .'FZREr �SM,IP'/RES � .GRADING . � ' PI•:RMIT; ; � -. 54 .'00 •_ : � s ; ' • ' ,' ; 6. 50 � � .:. 50 ; - _ ! � _ � � , . �. �! . . .� . 253 k: iSMIP/NON-RLS; . >PI;AN i i n�` �'� �:i �. . � �' ' { I . ' �.. ` . � ...r�� �ISSUF.,FE� ',t� !� .15.00 ,� � � 7. .. .'j''?'. l �. `,BUILDING-DIV-> Pf.RMI,T' ��' ISSUE , PLAN-CHECK : � r. TQ'PAL i � PAID, , . � tDUE' ' ' 'TOTAL4--=->�^:=-fG'1:i00' '15�00=="=-,-0:'00�-r_=��7.6�.00 .-�76;:00-:,_,;:_==-- .00=`�--.-. ,. _ � '� i i � 1 ' i . .� . . � � ? �f . -. �, � ��' .. � .. _RL"VENUE-�UIVISION TOTALS ).'�'„ ��COLI�ECTEDo . , 76.00, OVER/SHORT: � t' .00, � .BLDG -PM1' PI�UMB.ING�ELECTRIC=MECiiANIC '� F.IRE 'tSMIP/TOT . �G�ALIING PLAN-CHECK�, , ; a�: - . 3.54 . 00 , ' :, � � .� - � '7.1 : 50.; z 1:.SU , � . , ' f , .. . � ., , . ' � . ; ? . .� , . - ` , ` . � . . ' . . , , i :' , ' :' , . 'ifiE3fiEif��3Ei(3fiEiE.iEjFiEjE9EiEifafiEiElf-3EiE�1lft�lFififlfiE�f#iE'IE3EiFifiEitlflElEiEiFiF1EiE3EiFifihiFlklE�EjfjE,lE�flFiEiEiE3E�EiF1E%iEiklfiEiEiFM3E3E3f� .t � ,.. ;_, .� I N� D:I',V iI�,L� U A1,.'L", L•"•Ii E D' R E A K D:�O FI N� , r..; t,. <_' � ' � � . : `; . . . . t ,.. . . .. TYPF_ ,� �QTY � D E S C'Ii �I-• P T,I � O Dl ,.� ' •� Uh1IT�'COST TOTAL CC�S'L V � , . : ; . � °���' , 'z � � � SFR' 2SOU , { �ALTER• HY VALUE . R�SID�f1TI�I. D10ZONE ' , 1 .0�) � �2R, 50.0.00 -1' ' ML:� 1' ;,': FACTORY ; PIREPLACE � � � ' � � , : 6 . 50 "' " 6.. 50= • '�, ' - , � EhID OF FEF.S � ` ; ; ' � .�' . . ' � � � ' � y '.�. , , � . ;1 : :i � � . , : ' + ' i . � � .. � : . . � "�. . , i i. ' ; , � � ' - � . . � . � � .. . � � � � � '. ,t . - . ��! i � . � ' ( . •.�. . . . _i _... .� . � `'.1`. "i � ,.I' i, .. F . :; , f j �� �! 1 � ! . ,. ' . ! � ' . . i ' . , . � . 4 .. j , r : } i �'_ , ` ' ' h . .` ' . . . , �. . :. �.' . . . . � � � �: ,. . � � , ; . � + ; ` Oi 00056544-00056546 TiiT �76.00 � �. � ._ �-•.�. -:- .'�._: i. .!:..�_t:._..._:, _;'_ . .:, .' ti. � _� �� ' . DATE::O's1;21%9D �TIhF: �9:28 . - �+ . , , . . * -_. . . ._.. _ . _ ___ - -- -. --.. v _ . . , _ . _ ._..__ ._. __. __. _ . __._.... _ . __ _.._ .� CONSTRUCTION AND'PL'ANNING � ' - :� , ', , . ; . POI. ..v $PA ' ' - '.. ' . , �,, : Date .Inspector " •- ' ' �� Date �Inspector� � �-�APPROVALS ; . Permit #�, _ _ _ APPROVALS- ,Bermit # �� _ - , , i, ' ' E.,? � r. + ': � _' t �1�Temporary Electrical Service or.Pole � � . _ � 52.'.Pool^& Equipmen4 Cocation' .� - � .��. _v � � 4 i2.� Soil�Pipe�Undrgrnd., •: �. 53rSteel Reinforcement : � � �� - ' ' �" a . �� � �: 3r Electrical ConduiYUtility-Undrgrnd. , � � ' - � 54.�,Forms� �: ��� � E`�_�,< . - = L�' � ' .Y? " � - ti� 4.-Electrical Conduii-Undrgrrid. 1 . F� _ � 55. Electiical Bonding� ,�.K; �� v ; +��5.-Steet Reintorcement� � - ' ._ ' � 56. Rough�Plumbing &_Pressure Test � _ - - •r ' ":6'.,Elecvieal�.UFER'Gindi e ' . _ - � 57..`APPROVAL'-T0 COVER-GUNITE _ , � � 7 Footinqs , � � � - � �'? , . . 58..,Electrical Conduit�Undrgrncl., ; ' � L' i. " . . " .. - _ • , . �.t _ _ f. y' 8,'Foundation � „ ., , , � � � ', .. . 59. �Gas Pipe, O:_Undrgmd�.,�Test . ' ;'�_�� , _'.,�; � 9: Water Pi e-Undr md." ' �.-`-� ��' .. P 9 . . o-: 60.�gackwash Lines�, P�Trap; O'Undrgrnd. ;. �-�� s- 70. StructurehFloorSystem �` � . . � � 61..'APPROVAL�TO�DECK�':�s 1;,,�) ' ��� ,rj' ;�� '' a . . � _ 11. PropertySewer Lirie:&-House�Connection %� `. 62.�Backwash&,Receptor-F.insl'" �-' , ���-�i� � 12. Sewer Cap . ` � � - � r � 63 - HeateF& Venf-Final . � ,`t ; i,7 . �._„ t -1� e . .�z -: , . ' :.":. ' . : - r�..;, ., . , ..,;� t :F ;, �. 73: Roof D�ains • � ._ 64.:'Plum6ing SYstem�- Firial'�� � if _: +�"; _ ' � . 14. Rou h Plumbin . � - � � � �. ^ 9 9 � - � , � = � .. - 65. � Electrical-Final`" '��'%. ' �e::,'�-' � � .�t:"� ' 75. Rough ElectricaJ-Conduii � • -� � � � _; .� 66 SolaF 3Ystem-Final �,' �� �' - "'} ' .-�`�"� ; � 16. Rough Electric:Wiring ` ; ,; ' - � ' . �. - � . . ,` %��-- � '-f' � •-� �- . . . �. � � 67.; Fencing & Access:Approv_al ' ., �, , t_ � � � ' 17. Rougti Wiring Sign ' " • ' ' 68.:APPROVED'FOR PLASTERING�;,; ' -. ' � � ° 18. Rough Electrical�T:Bai Ceiling . .. �' � 69'�POOL/SPA�SYSTEMS FINAL � � : � - � t L-. .... .. ... . .... .. _ . - �_. .:_ . .....:....: . . . . .. . _w _ �.... ' 19�,'Rough Heating &.Air Conditioning _ C, 4 � .�" ��FIRE._DEPT. REQUIREMENT, - ' 20 rRou h Factor Pve lace ' } - g y , p . , �r: (�� � _APPROVALS �.Permit# . -.21.-DuCts;in�Strucfu�e� . -... �.''�`�� :�= =�- r`- ''�:'.�. "� c",-`; . .�: �, . i-�:. 3_'70.' Underground; Hydro . 22._Ducts, Ventilatin�x � ' • . ,p ''; '` � ' 9 . _. � , F. � I ;7�1, Product�Piping O�Gas ❑�Oil ,23. GarPipe�Rou h"&TesT" ' �_•> r." ' ��5� �7�i,%�+� ' � . " r9 - - N :.'72. Underground FlusFi "- 24.-�Roof F aming `;.i '- ' ��� ; � " ��,> '� :J3r Undergmtl. Storzge.Tank � Gas ❑ Oil . 25�. Roof Slieathing '- _. . � A � - : ^�y F� 7q'Overhead Hydro_ .. ' � � � 26��T�Bar Ceiling (StrTuctural) &'Monocoat , �. ,Y � " -��, � 75='Dry Chemical _ � , �- 1 27:.-Frame and Flashing. _ 4�- 'r �; i 7' . 76. Dry Stand.pipe '-'� .'•� _ � "28.' �Lathin & Sidin � �" • '`� - , � 9. 9�::: . - �'• .. . .•.�:: 77:-..FIXED-SYSTEM�.'F�INAL~ - , _ . � 29. Insulation • . " •• ` � �J ;:+ "'� 78'=FIRE PREV. FINAL .' � " 4„ ^�30. Drywall:Nailing �=;�.r, � . �; ;: � ' v�'��� -s' �-� . HEALTH-DEPT. REQU�REMENT , '�31. Plaster.Brown_ Coatr��= � � � � '� � �' ��''`79� �FINAL INSPECTION . _ � .' � �• :��32'Electrical.Power.Meter=Final� - �. �" ��x;x '80�.�FOOD CERTIFICATE ISSUED_' ��; ' �.33.:-Final Electric '7 � � a� � � ��!�%�'-+ �Notes " ,� �- ' " _ - ^ ��34�_.Final Heating,&'Aii Conditioning`, . --'��"' : -' ',�"_. „ �' "' ' . � .- . . � � •.F� �; . F � c35�Final Gas�Pipe-Test< � � � � =-, � j. � � . • � ' ��_ � - -�� " . r-. e r. "�36 ��HooB oi:CanoPY � � r.. •. .4. .- �'if - �' , . ._ • . ' ' �t `� i. ' . - K � �� . :37.�Final Factory Fireplace=r . �� = , ,S q(j 'r`n ' �'-' ' -' � . `"�'/.�t✓.� 1 n� ::38..Final Plu�mbing ' ' "' .� . � '��„ ;,,_ �.C. C. � . .r-� � . ' . ,39. Water Service�Final� �_ � + •, � � i �i.: '�. ;. � ' � � - .. ' ' . . . . - .r - � ^40. Gas,Service�Final �` �-� �'r �` �' '"= x� +,' � . `= -+ . . `° ' . � . - '"� �,. �, r it. � - . . `41. Solar pomesticFinal" - �� �� ' >, � � ti� ��, rt:'r c ' � � "�, - 42. Backflow Preventer4 .. . � . _ .' -; � . � c,,`-.: �... . t, -:ti,•_ _ a. -,�. . - � � ��i. � a ,. ; _ ,� ' 43. Backflow Irrigation: ;, k� t; - . -�. '; - ' � � ' , .;:;; - �. , �_44:. Landscape I�ripation System.';i = '' �� 4 �' r,� _ =.'. =� � �t� � '� - (;; � � � �� ' = �� �45.'Sound-Attenuation � � +� � - �i ;,� - . - - �� �;'�+ - `:-, ' � -'46. Handicap Regulations _ •1 ' � : ;"� � �'::" - `� •`> ' _ -' , .. - ' - � "=;�• _ ' i.�^ , ial..: ��; �'r � .l,..- , ,47:'�FINAL STRUCTUR�E & BUILDING , � ~� '� ' "`�' ` � � , , . � �" _ r ��' � 48:-FINALPLANNING '•�.. :r,'i ' - '�M1�' T! : � ' '_: ' � _ - . ` !�� ... Y � �: f..:. . r.' . . t.. .l w'49. Ele'c'tric;Release to,Edison ' � � � �a � l�� � M _ , , .,, . - ' � � , �''•' r/:. ��50.=Gas_Release to Southern California Gas Co '�� �� "'�, � � �, �'� , � � � _ - �'�'', ., '; '_' ' . - . � - x ' =,51. CERTIFICATE OF��OCCUPANCY-' - •• • ° '� ' . . • - . .. - � - . � • . .. , . '� No.� Date .. . . . � .. . . • .� , � • . . . - ; , : i a�as ;; COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA, CALIPORNIA For Applicanf fo Fill In Complefely � TYPE OR PRINT ' � BUILDING ' �. ' �7 ' I) AOORESS � PJLCC 77VPJLUe � COSTA MESA. CALIFORNIA � MAIL ADDRESS TECT � ' . � � TEL. GINEER �' NO. t . - ' . _ ' �i ' � �EE ECEiV�D . fE8 T 9• 1963 � h�NANCE DEPT. APPLICATION FOR4PERM iA �1ESA � BUILDIPIG For Office Use Only rsece�rr rvo. I ��i� � � � NECEIVEO- Y • OATE NECENEO OATE I65UED ; I FEB 1 8 1963I F/E/B i 3�aF 3 BUIL�ING �'L!O/ .1D�CiGF��-�(/LY' � ADDRESS �� . � _ . COSTA MESA, CALIFORNIA FIRE . ' • . � � .�/i� ADDRESS % [7��Q�/UR a've ' ZONING ZON NO. OF' USE OF NEWsn' �.{y��%y CITY �• OILiL.C.Q �— � I PLAN9 Z I BIIILD�NG (�/ +L n/p J LTC.TNO. �/ ' NO. /��00 �O LEG�� % ` Z. S^3 6. OEBCPIPTION L�o�r �� � SRE ' INo.onNaLDTs. ���� [lF 1 (lT . . Now . . � BfiTBACK LINE FROM i LEFT �O RIGt DESCRIPTIOId OF. W �'S =E DING ` . '] X Lf,C,ROOMS G EXTERIOR WALb . IROOF " (CENi6R LINE 9T.) � FRONT �'f FT. �� 5 � R. SIDE '3 FT. �^ L. SIDE ' ��D FT. V I' REAR - I�� � FT. � � A�PPROV rA' '�H . n ._ �.�.tnA n..rv f .�, ��.�� . i� I I HEREBV AGKNOWLQDGB THAT 1 HAVE REAO THI9 APPLIGTION AND BTRTE THAT TN= ABOVE IS CORR6CT AND AGREH TO COM- PLY WITN ALL C�TY OIiO1NANCE9 AND BTAT¢ LAWe qEGULATNO B111LDINp CONBTilUGT10N. : I' . , BIGNATURE OF y� ; � PERMITTE AUTHOR12ED AGE /�3� � �97.� �'���'`��� -3,�'��P, . TX6 RMOUNT SHOWN UNOER, VA IIATION IL B POR THE PUFiPOBE OP EBTRBLI6HING • pERMIT FEE ONLY. VALUATION . ��.r" PERMIT FEE S � / / $ �� ��Y � PLAN CHECK $ �C/�5