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Home My WebLink About3117 PIERCE AVE - Building Permitstl .� � PflOJECT ROOflE55: OWNEX'SNRME: 3S1% PIERCE AV ROOflE55: MANAVI B�iitpi%'i 3117 PfERCE AVE COSTA MESA,CA 92626 AHCHIENGINEEfl: S 4 S— B O O 2 flEG.NO.: R�ONESS: UNIT: UNIT: PEHMIREE: nooeess: QUALITY HOME IMPROVEMENT ( 213 ) 463-5135 T(�q235y�7N(��G7�R�'AqMERCY PL (`y' o(�/�(� ❑CENSEO CONTNPCTORBECIAiMiNN."Mletldy-EHirm I�al I am licensetl unACtqiRnSiaM1Sbf�CKeD�r 9(commencing wi�� Section 7000) ol Divivon 3 01 �Oe Busine5s an0 Pml¢uion5 GWe. ane my Ikenu is in INI to¢e and effect. GTY LIC.: SUTF LIC . CU15S: 053558 188757 B-1� Date: Sgrewre: WOPNEflS' APENSRTION 0 C tATION: I hereGy aflirm IAat I liave a cenilicate of consent to eli-insu e or a cenili le of woAelS' Compensaiion Insurance. or a cenAieO cooY t�ereof (SettiOn �800. LaC. C�. roucvr+o.: 0522596-92 E%P.DRTE: O3IIO�93 comvnnr: G'�nTp pt�*' � Cenifiea WppR'AA¢ey tufni3Rftl' CenitieA copy a file xit� ihe tiry Builtling Oivision. Oate: � � � � � ` � Applirani: ESEMVTION FflOM WOflNENS' COMPENSATION OECtAXAT10N: Qhis sepun nee0 noi 6e wmpkteC if tAe perml is r one hundrN (5700� r less). I cetlily Iha� in Ihe pedormance of Ihe work �or whic� this perrtu� is issue4 I stwll no� employ any persan in y mann¢r so as lo become sublecl to t�e Workers' Campensation Laws o� Caliiamia. Oa�e: 5gnamre: NOTICE: II, alier making Ih¢ GeUaration, yau ShOuIG OEmmt SUGittt to IAe Wofkers' CamDen5ali0n 0«s��5 0� �he Labor Code. yrou must lonhvn�� comply vnt� suc� pmvi5iM5 or tAiS permit 5�W0 be OeemeO rewke0. CONSTNUCTION LENDING RGENCY: I nere0y atlirm tlut inere is a caatruction IeMing apen�y lor itre pertormance ol ihe xrork lor wnic� �his permit is issued ISection 3097. Gv. Cl. LENUEfl: AOOflE55: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 057778 PLAN CHECK NO; N CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR JOH DESCRIPTION ; RESHEATH 6 REROOF/1/2"CDX S MAXI TILE PERM NO; B 05777 GOVT; N SUPP; N PURPOSE: ALT S(j FT: 10, 000 CLAIM VALUE; 10,000,00 CALC—VALUE; 10,000,00 GROUP OCC: R-3 /M-1 COMMENTS• REROOF 2400SF ICBO#3682 MAX LOAD 3,SSF ��P��C �� Q�°`�'n� �r�r�t�t�e+r�t�r*�tr�r�t�r�r�r�r�rr*�e�t*�t�r��r��r*�t�rr+t;r�t�r�r*�r��e�t�t�t+t�t**�e**r�e+t+t�t�t�t��r�r**�t�r �F' *��rwiP�r'�t'�� o 2 O N I N GS ERTEBQAUCIKRSE M E N T S :��I�� M� �� ------------ 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; 14165117 ZNE; REF NO; PLANNING Ni5'PES> i if if it iF if iF iF k if if it if if if 1E iF iF iE iE iE if k if if iE if k 1E iE i! if iE if iE iE �t �E �t iE M if iF if iFlE if 1F if 1f I! k iE if !f if �F 1f iE ik 1f IE ik iFii iElF if iE iklE iE if iF ik 3F iF 1E iE 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 BY DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY; DATE• 1�[ il�lfklEkiEkkifififkkkkkiEikifikifiF ifMif*iEiFifif�fiE afk kiEMifkiEiFiFikiFkkfFiffFklFlFifikifikkkkkiklEi!!llf�tifif�fiflEifkkifMkkkkkififlFif�fahifMkifMk4lFMifkifilikifMifiFikiFifM�lkiflF LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y OWNEBBWLOEN�ECLAPR7IDN: I�erebyaifirmihailame�empitmmi�eComracmrs'StateLicenseLawtortAefoliowinpreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING �Seciion 70.3f.5 Business anA Professional COAe: My city ol wunty which reQuires a permil to cansimct. alter, impmve, Uemolis�, or 1, O O repair any simcwre. prioi lo its issuance. also repuires me applicam lor such permit io lile a sipneE siatement mat he/she is licensetl P ERM I T 1 17 , 0 0 pursuam �o I�e pmvisions oi IAe ConVacmrs' Slate Licenu Law (Chapter 9(wmmendnp vnth Section 7000) ol Ditision J al Ne 9usiness SM I P/NON—R$S and Pmle55ion5 Code) Or Ihal he/Slle i5 ¢xempl Iller¢Imm anA Ihe LaSii lor Ihe allegeA eremp�ion. Any violaii0n ol Setlion 7031.5 �y pLAN any aDPlicant lor a Oermit SUGI��s Itle aODliWnt ta a civil pEnatty al nat mare Ihdn Ihe �unOreO tlollaR (5500�. ISSUE FEE � i, as owner al the DmDeny or my empi�ypees wim waoes as meir soie compenu�ion, will Oa the work, ano me BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID� � DUE ❑ simcwre is not intended or oilereG lar sate (Section 76aa. Business and Pmlessional Caae: TAe Comraclors' State License Law GoeS nol appN to an owner al a property wlq OUBEs or improves Nereon, anG wta EoeS 5ut� work �im5¢II/imrsell Or I�mvAh TOTALS --- —> 1 18 . 0 0 0. 0 0 0, 0 0 118 . 0 0 1 18 , 0 0 • , 0 0 �i5 or het Own ¢mployee5, pwvitle0 Itw� w[h impwvemenls 2re no� inten0e0 or o��ere0 �or ule. I�, howevCr Ihe builtlinp or . �' impmvemenl is soltl wil�in one year al wmpleiion, Ihe owner will twve I�e Durtlen ol provinp �e/slie Ob nol EuiM or imprwe R EV ENUE D I V I S ION '1'�TAL$ --> COLLECTED : 118 , 00 OVER / SHOR T; '� , 0 � lor I�¢ OurDOse al Sale�. i. as awner o� me pmceny. am e�uusivery wmractin0 �� IirenSeG toniracmrs �o con5tma NB pmlect ($¢clion 76ad, BuSiness ❑ an0 Prolessions CoOe: The Conirxtors' State Lkense Law Gces roi appy to an mmer ol properIy wno dnlas or Improves Inerem an0 wha coniracls lor suc� pmjecls wit� a conlractOr�s) Ikenu pursuanl lo the Contractors' Sfate License Law�. I am aware I�al 0�� 01 I�eif Worker 5 Camp¢nsatqn imurant! StqulE E! prwiOetl IO me. � I am e�emD� unGer Section: B. b P. C. lor t�is reason: Daie: Owner. I tlo hereby cenily Inat I am aware ol antl untlerstanG ihe reQuiremems ol Calilamia Health an0 Salety Cade Sections 25505, 25533, and 255Ja anOlha� I ar any tuiure buil0ing occupani vnNwill no� �circl0 OnO) ne¢G 10 rAmpty vnt� SaiG SIdtE COG¢5 anG I�e reQuiremenls �or a Dermil lor cansimclian or mo0ilication Irom I�e Air Oualiiy Manaqem¢ni Dizlrici. fleAGential conslmc�ion ap0lication5 are exemp� irom t�eu provisions Oale: Appli[anl: i hereoy cendy inat I nave reaa tna apvlrcat anG state ilut i�e aEove intorma�un k wrrect. I aqree to compty witA all ciry an0 counry ortlinances anG state lavrs relating to 6uBNng truciian aiM hereby auttnt¢e reyesentatives of �Ns aty to enter upon Ihe above�mentionetl pmperiy lor inspeclion Durpoies. � Dale: � \ � _�� Signa�ure: � �� — � Driver's License or Social Sewrity r: �� 1641-06 Whilo-9uiltling: Pink—Revenue; GOICenrotl—Assessor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING.�PLAN—CHECH 1 1%, � 0 1, 0 � if if k 1F if Ik ff ih k M k if IF 1E 1E k k IE ik Ik if 1f if iF iF iF k M If �E if iE Ik iE iE 1E IE IF 1E M if k iF iE if iF If k 1F iF if if if jk if iE if k aE �f 1E iF 1F if if k 3E iF if iF iF iE iE if iE if �E if if I N D I V I D U A L F E E B R E A R D O W N - TYPE QTY D E S C R I P T I O N a UNIT COST TOTAL COST SFR 10000 � REROOF BY VALUE RESIDENT�AL NOZONE 1,00 10,000,00 tl. f� cND OF FEES 5_ / , ��7 ` ,�-a=\ -- �;: . - - , t` ti CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit # Date Inspector qppROVALS Permit � Date Inspector 1. Temporery Electrical Service-or Pofe _ 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. • 53. Steel Reinforcement 3.'�Electricai ConduiYUtiliry-U�tlrgmd. � 54. Forms .4_ Electriwl CondwbUnQrgrnd. , 55. Electriwl Bonding 5. SteAI Reinforcement . 56. Rough Plumbing & Pressure Test £•• Electrical UPEF Grrd. 57. APPROVAL TO COVER•GUNITE 9.� Fpoiings • - 58. Electricai Conduit•Undrgrnd. $. Foundation 59. Gas Pipe, O Undrgrnd., Tcst 9. Water Pipe�Undr9rnd. � 60. Backwash Lines, P�Trap, 0 Undrqrrd. 10. Structural Floor Systerr 61. APPROVAL TO DECK 11. Property Sewer Line & Hour Connection 1 62. Backwash & ReceptorPin�l � 12. SeYter Cap � � . 63. Heater & Vent•Final 13. Roof Orains � � 64. Plumbi�g System - Final 14. Rough Plumbing ' 65. Electrica�•Final � 15. Rough Electricat-Londuit 66. Solar System-Final 16. Rough Electric Wiring . 67. Fencing & Access AnProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI 19. Rough Heating & Air Cond�tioning FIRE DEPT. REQUIREMENT 20. Rough Factory.Fireplace . " APPROVALS Permit # S . 21. DuCtS,in StrucF�re.� ". � 70. Underground NydKo 22. Ducts; Vertifating ' `' 71. Product Pipin� C7Gas OOii 23. Gas Pipe-Rough & 7est �. ' -. 72. Undergrourtii Flush -- ' .- 24. Roof Framing • � . • �- 73. Undergmd,S[orageTank O�Gas OOd � � ! . � 25. Roof Sheathing ;• � ��1��14L p�-. 7q. Overhead Hydro / L 26. �-6ar.Ceiling (Structuraq & Monocoat ` • 75. Dry Chemical � �� 27. Frame and FlaShing ' i ' ' 76. Dry Standpipe 28. Lathing & Siding ; + .- • . 77, FIXED SYSTEM FINAL 29. Insulation - �� 78. �IRE PREV. FINAL - � 30. Drywall Nailing �� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coai . ' 7,9. FINAL INSPECTION 32. E�ectrical Power MeterFinal � � '� Q0. FOOD CERTIFICATE ISSUED 33. Final Eleetric , � ' . � �Note4; . 34. Final�Fleajing & Air �onditioning - L �, , � . � 35. Fi�al Gas Pipe�esr ' - 36. Hood,or Ganopy -� � . , ' � � 37. F�inal�Factory Fireplace � , r ' _ � , , 38. Final Plumbing -• 1. . .. � � � � _ . - 39. Water Se�ce�Final - . ' ' . � > 40. Gas Service-Final � , . , � 41. Solar pomesticFinaC, -. - ' � • 42. Backflow Preventer ' - � , 43. Backflow Irrigation ' � 4A. Landscape Irrigation System = , ' '� " � i � . a. . 45. Sound Attenuation - ' E • p �: 46. Handicap Regulations - � � �- � , ��p� , � -- � 47. FJNAL STRUCTURE & BUILDING /( � >? �� ' - . '-.%,3te� 48. FINA�IPLANNING � � '. � • • . 49. Electr.ic Release to Edison � ' . � '� 50. Gas Release to Southern California Gas Co i I �; , 51. CERTIFICATE OF OCCUPANCY . . � No. Dats . AVP��ant to (ill in all spaees oxeept t�ose wit�in �eavy GorCer Iines anE sign all apero0��ata Eaclaratians. PER TRACT NO. LOT NO. UNIT NO. ;ITY OF COSTA�/1J/��S�A� C NSTRUCTIOfy,PERMI �� A.P, qW Pro'ect Address AILLL ' L� �_ j S Main Building: Applicant's Mailing A dress TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' 7 Ffant Owner's Name �� Phon DESCRIPTION OF WORK/USE OF BLDG. A Rear Addreu Arch/Eng. LicenSCNo. TVPEOFPERMIT GRADING�OUNDA710rv STRUCTVRAL I K Right AddreiS ❑ TENANT ❑ ELECTRICAL �LUMBING ❑ MECHANICAL g Left Contractor's Nam �L1 hone �� ❑'OTHER Ping. Ref. dh 3 3 Al / )n QC � PROJECT DESCRIPTION 5�. FT. oCCVPArvCY Planning Notes: Address (ma'I' 9) ` � • CONSTRUGTIONTYPE VALUATIONS City License No, i �� LICENSED CONTRACTOR DECIARATION I hereby al/irm that I am IlcenSetl untle� provi51on5 of Charter 9(cOmmentln9 with seClion 7000) OI DlvislOn 3 01 lhe Bu5lness antl ProfeSSions Cotle, antl my license is in f Wyrp rc d enect. � u�e�sq �ia� _C� -�Ze `6.C.Lc %�0 5'% Date H"�� 5'9 at e � � �RKERS' COMPENSATION DECLARATION ;�,i^'reby aillrm tnat I nave a cerUilcale of <onSent to SGHtinsure or a ttrtifitdte �5�Norkers' Cyo+m,pen(�sa/tion Insurance, or a cer etl copy tnereof (Section ��!�UO. lab. G.11�dY� ��G1i V�� Policy No. Company ti/i¢tl coOY �S h¢re�y tumis�ed. erql(ietl�npy�is�letl with the tlty BuitUip9/Divjz� r�, A01 /)ils�_S Date �� -��L / d' APPlicant Y lS 6/�� EXEMPTION FROM WOHKERS' COMPENSATION DECLARATION (TM1is section neetl not be tompletetl if tne perml[ is tor one huntlretl (5300) or less). I c¢rtity Iha[ in thC Porlo�man<e OI th0 wo�k fOr whicn this pe�m�t ISlssuetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws ot California. Oate Signatur¢ NOTICE: II, after making this tleclaration, you shoultl become 5ubject to the Workers' Compensation provisions of t�e Labor Cotle, you must torthwitb comply with suGh p�ovislons o� thi5 Oe�mit Shall b0 tl¢Cmetl �evoketl. CONSTRUCTION LENOING AGENCV 1 nereby a/firm thal there is a construction Ientlin9 a9ency for the performance ot tha work tor wnich tnis De�mit is IssueO (Section 3097 Clv. CJ Lentler's Name Lentler's Atlaress OWNER BUILDER DECLARATION I nereby aHirm tnat t am ozempt irom Me Contractor'S License Law for [he toilowing reason (Sectlon 7031.5 BuSiness antl Proiestlonal Cotle: Any city or county whicn reQuirei d permlt to Conilruct, alteq ImO�ove, tltmOlish or repair any struclure, prlor to I[s izsuanca, also requlres tha applicant for such parmit lo tile a signetl SlatGment Ihdt h¢/She IS IICenSCtl pU/suanl t0lh! PIovI51005 Of '�< ConiraClOr'S Licenso Law (Chapter 9(COmmentlng with Seclion ]000) of •ision 3 ot Ihc Business antl Protezsions Cotle) or that he/she is axempt relrom antl the basis lar the allegetl exemptlon. Any violatlon ot Section ..31.5 by any appllcanl for a permit sub�ec[S th0 applicant to a civil �enally ol nol more than five nuntlretl Oollars (5500). I, as owner ol tbo property or my em0�oyoo5 wllh wa9es as their sole compenzation, will tlo tho work, ana the sVucture Is nat intentletl or offeretl for sale (Section 7044, Business ana Protesslonal COGe: The Contractor's License Law Does not apply to an owner ol a proPerty who builtls or Improv¢s tnoreon, antl wno tloes su<h work nlmsel//harseH or throu9h nis or her own employee5, provitlotl lhat such ImOrOvamunls are not intontletl or offpred to� sale. It, howevtr, th¢ builtling Or Imp�Ovement IS SOItl withln one y¢dr Of com- pletion, tho Ownu� will hav¢ Ihe burtlon Ot prOving he/ine tlitl no[ bulltl o� im- p�ovG iorthe pu�pose 015a1o). ❑ I, as owner ol the prOperry, am e%cluSively conlraCting wlth IicenSetl COn- VactOrs to const�uc[ NC proje<t ($L'C00O 7044� BUSI0055 d04 PfOf¢55100t COD¢: The Convactor's Licanse Law does not aOP�Y to an owner of property who builtls or Improves tnerean. antl who'con(racts for su<h oroiects with a[on- tractor(s Lcense pursuan� to ine ContraGtor•s Llcen58 l2w).1 am aware [ha[ proof o� their WorkeYs Compensatlon InsuranCa zhoultl be provitletl [o me. ❑ I am exempt untler Secilon B. & P. C. for this reason Date Owner I hereby certity that I have reaa thls appliWtlon and state that the above informatmn is corr¢<t. I ag�ee lo comply with all tlty antl county ortlinances antl State laws relating t0 builtling constructlon, antl hereby authOriie repte- s¢ntdtivez ot thi5 City [o enler uqOn lh¢ above-m¢ntiOn¢tl � qrop¢rty f r inspeGtion pwpo5�$ `/ A I%1 q, ` , !/ �1 Signa[ure /'YI /Il��LCrini�o oaie -r'o�7 Drivers' License or 55 �k ^ � -�� Remarki: Sink Pre�enter Irrigation rinking Fountains loor Drains loor Sinks as Service �UlIELS Kitchen Sink Lavatories P—Trap Root Orains Reinspaction Fee GRADINGCU.VDS. ACRES_ I �l �N-%L� �[� � $15 Boiler Duct-UnderGround Duct - Strucmral Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. iCBO dk Heating System & Ducting ❑4100,000 BTU 0100,000 BT Reinspaction Fee I $15 0865-46, rev. 5/88 White - Builtling: Canary - Applicant; Pink - Accounting: Goltlenrotl - Assessor Showers Servite Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urina� water Closet Water Heater Water Service Auto�Wesh Laundry Treys laue Fee Hood or �Type 1 ❑ Canopy Type II ❑ Refrigeration System ❑aioo,000eTu ❑ioo,000eru System Repair/Alteration Fire Dempers Registers Issue Fea FEES .4utomatic Washer Construction Pole Suh. CAOkin9 Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Bozes Outlets Zone Accessory Building: Req.IProvided ELECTRICAL Transformer ❑ 15-50KW ❑ 50+KW Meter LJup to 700 amps Meter ❑over 100 amps Sub Panel Motors �0.1 HP 01 K- 8 Inc.Solar �9-15 HP �76-15+ Microwave Pole Light Fange Garbage Dispoul I I Standing Sections Generaior �0.5 KW 05�15 KW I Trash Compac[or � Rainspoction Fee �$15 � � Iszue Fee a 3 _ 'DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approvod By FEES . Building Approved By Aooliption lauod Bv ^ $ 3 O N I N G R E Q M T S. FEES $ 3 � SUMMARV OF FEES BUILDING PEIiM1T $ SMIP $ PLAN CHECK $ PERMIT PLUMBING s Sb� ��UANCE $ :PLAN CHECK 25% $ ENERGY P.C. S E�ECTRICAL $ GRADING $ �PLAN CHECK 50% $ MICROFILM $ r^�'� � MECHANICAL $ TOTAL FEE $ � PLAN CHECK 25% $ � .� L': 1CC?ti;^:-2C0'=44: �' �- ... 6hTE: �b/�7�i 2? � 5 ��" ��".`5 ` �, . . . -�-.-� . v w..-.. . . �• . .r.. ., ..� .. . � a CONSTRUCTION AND PLANNING ' P0� . SPA Date Inspector Date� Inspector A�PROVALS Permit # APPROVALS Permit # , 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. �Elecvical Conduit Utility-Undrgrnd. ' ' S4. Forms � 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5.'Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER'Grnd. 57. APPROVALTO COVER�GUNITE 7. Pootings � 58. Electrical Conduit-Undrgrnd. .� 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test 9. Wa[er Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor System �� 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewe[ 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 Wtring 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 # it 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas, OOiI 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar 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 Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:(�-/Z_Bq L,E�cT(�q,�. L.E.�7 34. Final Heating & Air Conditioning � 2 y�Cr �pT- C,�� (��, 35. Fina� Gas Pipe-Test ��.`_ � ��J��- �,�,p��L,y,P (�5 k�L 2�3 36. Hood or Canopy V, f?C � l�_�c f�. 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final �' i-i1 40. Gas Service-Final « 41. Solar pomestic-Fina1�=, 42. Backflow Preventer �j , ,j 43. Backflow Irrigation '<� ' 44. Landscape Irrigation SYstem 45. Sound Attenuation.,, 46. Handicap Regulatio ts 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ,.;` 57. CERTIFICATE OF OCCUPANCY No. Date . - i8744 COSTA MESA 9UILDING-SAFETY DEPARTMENT P. O, BOJ[ Sf7 C08TA MEBA. CALIFORNIA Fo� Applicanf fo Fill In Comple+ely TYPE OR PRINT COSTA MESA. CALIFORNIA I MAIL TEI. ,- _ �� ; : Lf �U � �"� t _��,� FEB l y 19fi� F1�,,r,;!CE DEPT. CIIY QF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. P K REC6IVED Y DAT6 R&CEIVGp` DATE I65UE�' I rc� i � ��031 F�H� 1� 1963 ILDING ��/� �s�� / s'-_ • DRE58 .C�t.� �-F-L�C COSTA MESA, CALIFORNIA FIRE ��auvn ��.�ve ZONING � ZONE I NO. OF I IIBE OF NEW F � ,(. U/(,Rt,Q, �.�' PLAN9 � BU�LDING � d� TEL. Lec�� [-O% Sg T� s No. R-68 40 oescrt�rnaH y 3 6 NO. OP BIDOB. �J � BHiBACK LIN6 FPOM OF WORK ROOF NG �9,3�, LINE BT.1 /^ .� c 0 � 3 IATE �_�� . �3 d � -/9� � ` � �" - �_' 1 N¢REBY AGKNOWLeD68 THAT I HAVE READ THIB APPLIGTION iHE AMOUNT eHOWN UNDER VALl1AT10N I8 FOP THE AND STATE THAT THE ABOVE IB COHRECT AND AGRlB TO COM- pUliPOBE OP EBTA9L19HING h VERMIT FEE ONLY. PLY WITH ALL CITY OROINANCCB qND 8TAT6 LAWB RHOUTATINO OUILDINO CONBTRUGTION. VALUATION � j— SIGNATUflE OF F'ERMIT PEE $ PERMITTE �y �- [��{-�� $,� � C� PLAN CHEGK $ �� 7 G AUTHORIZED AGEylr/ !/l.f7.O//�lO/:C%�� _ � �. L . fl F O n C65TA MESA BUILDING—SAFETY DEPARTMENT • P.O. BOX 1200 Co:ta Mesa, California CONTRACTOR Ciry Ansheiw Zip Code 92a01 seara ��e�:e No. 21�65� ciau. C-96 w City License No. 5938 TeL No'/72-3470 H QQ NUMBER TYPE OF FIXTURE OR ITEM FEE Bathtub Lnundry Tub or Tray ' ) Automatic Washing Machine } Shower J Sink, Bar � Sink, Kitchen w Wash Basin (Lavatory) a Wa�er Close� (ToileQ . � � S Drinking Foun�ains � ) \�� a Floor Drains ^ ' � ' �'�,1� _ i�_ Z Interceptors ',�. ',}i' W ReceD�ors Y S � Sinks, Commercial or'Indus[r� F Sinks, Floor ..! .r �. �. � ' A �Sinks, Servi2e �� ' �i' �r � Swimming Po'oI-� W , Urinals �J d ' DishwSshcr � Gamge Disposal � Water Softener � Waler Heater and Vent Gas Syslem ... Outlets . .. _ Ronf Drains � Wa�er Niping Alteration = BackOow Reventer �-- _ _ Lawn_Sprinklers (Res or Nun-Nes Tank Tar,u. �E � 5 I o0 CMF 0450-46 \ ` -� r.,. ._ � �� -:-�r��: C�l�in)'� �!:�.;.:;;:��^C rnwcr No. aeco. er � /�J�JY r-- LOT NO. DATE 166U6D Bl11LDING USE //-,A•y/ X � o�„« Gas Light Broiler M� 3117 Pierce Ave. � Address /T� �� c„r costa Hesa �'� LTei Na.548-7948 I hereby acknowledge%[hat�l have read this applica[ion and sta[e tha[ [he above, is wrrecl and agree to comply wi[h all City Ordinancu�and State'Laws regulating plumbing. I cerUfy,that I-possess [he above valid State of California classi- fica[ion oo-t am [he legal owner of the residen[ial property de- scribed�above. I�certify"that 1 have ob[ained a permi[ Prom the State Division of IndusMal Safety for excavations, olher [han swimming puols, five feet deep or deeper and in[o� hich a p�son i�gqy[r�d m descenJ. SiBttafure a1 • q !•^O�u.'�. Pe�mitteeThP Eerl �s Plumhina_ Ine_ c� ��J'/17 ^-�I'"l% �I w�:-� Mc...�� oFM APPROVALS n�r�a: � 7:.n �