HomeMy WebLinkAbout543 PIERPONT DR - Building Permitsyl
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ADOXFSSOFBNlG1A 5 4 3 P I ERPONT DR
owxErcsxnMeivaio.vr+:gENCK, GERALD H
AD°"��543 PIERPONT DR
COSTA MESA,CA
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OP EN4.'S WDXE55:
92626
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u�T: CITY OF COSTA MESA - BUILUING PERMI'f
PERMIT NO: H 081464 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: STR
UNT:
coxmncrarswue:HREA ROOFING ( 714 ) 879-1588
CON7PACfORSYYfIIlO 171 GEMINI
moxEsxBREA CA uurio.: q$1763
92621 uM:
110EN5ED COMFACTONS DECLARATION: 1 Mreby eflim uMer penetly d perjury iM I em licametl uMm pwieiona ol Cheqm 9
(rommendip wilh Section ]a00) W Divisian J d the Buarea eM PM»ebna Coda, eM my licenee o in lull force eM etled.
cfrruc.No.p65031 uc.cuss:C-39 uc.No.:481763 EXP: 00/00
o�a a— s—�� �o��,��,..:..e, �. Se.�.�
OWNER BUILDEF DECLANRTION: I he�eby dfi�m unEer pa�ly d parFN�Y �� ����p �� �� ��reqa+ lioensa lew la Ne
Idbrvn9 reemn (Setlion )031.5 Busireaf eM Rdesvms Code: Any �y m eaueNy xfiieh reVuime e Partnu to mnWn. ellar. imMove.
Eemoloh, or repei eny el'uctun, pia la ils ew�erca, deo reyuirea �M epplimn� lor wch pe�mil lo fib a eqrreE e�atemenl Ihet M a eM
rs licer�eed Wnuenl lo Ihe provieione d Ihe Conlrec�om licensa Lew [Chepter 9(cpnmend�p xnh Setlbn ]OW) d DNeion 9 d ihe
Buvneas erd Proleasuna Code� a tlat ha a eha is exemp Iherehom eM Ihe beaia lor IM elleped exempion. My violelion N Squn
]031.5 W enY evd�1 iw e permn a�bpae Ihe epqiceM m a drJ pereXy d ml mae Ihen fna huMred ddWa �SSWII�
❑ I. ea oxmr of IM propMy w mY �WoY� �M1 wapea ea ihei ede compamqion. will do tha work. vM ihe nrunure o� iniendeE
w ollareE br aele (Saction'l044, Bueina� eM Protecsions Cab: Tha Contreclon License law Eroa nM eppy lo en ownm oi D�peM
who Wids ar inD�'es ihareon, eM wfio Eaee aueh xwk IimeeH a hanaY a Mrpqh ha a her own empbyeee, peovided thet eueh
'mpvmmeMa ere nol inteMad Q alle�eE la aab. M. howewr. �he buitliiq a inpmanxu c wtl wnhin «n Y� d mmpidion. Na
ownmbuiNer xill heva �he Wrden d proving M or sM Ek ml buiM ar improve lar IM p�rywe d aeb).
� I, es o�mer W IM1e propeM. � eatlusrvery oonvea'vq wiN liceneed convxmre m cmnrua the piqetl (Setlion ]016. Buaimee eM
a,aesaans coae: rne coinma, �icense �e. aoee �a roNr a��, d aw�v wno w�b. « impwm maeon ene wno
wnVecR fa wrh prqeUa xilh a wuredor(s) Icrosed W�� to IM Contreclas Licenae !ew).
� I em eeampt uMer Saction�. B. 8 P.C., br thn reecon:
Deb: ��:
I Eo MreW cenity ihet I em awere d eM uMenieM Ne rayuiremeMs o/ Cellanie MeeMh eM Setaty Code Sediona 25505, 25533. vM
2553C, end Ihet I w eny Mure bu'ibi�p oocupeM will I wAI nd (arcb me) naed to mmpy wih eeiA nme codee eM Ihe requi�emenb br
epermniamnemictianamadikaionhwnthe�i�y erepement0ietrid.Revdailielw��uqioneppka�iwuereuemplmmiMse
a��,..
Dma� Appliranc
WOPKER'S COMPENSAt10N DECLARATION: I Iweby e/fvm uMer pxeliy d psjW an d iM k0owuq detleretvna:
� I heve and wJ meintein e cerlEcma d wnsaM to seX�inwre lar Mwken' canpeneelion, sv prwided Iw by Sadion J10D d tha Labor
Coda, iw �M pMormenca ol Iha xak la w1Jch ihia parmA ie ieauad.
� I have eM xil meintan v.orken' wmpenwon inurerce. m iepuinE by &mion 910U d ihe Labor Code, br tM perlamuio d �M
' work lor whiM Ihia pannn ia ivued. My wakere' mmpenwion ireurenw wmr eed poliry number me:
c��: GOLDE^}'-�EAGLE EXPIRES
POGcy Number iV��h h. — 1 Q� �]. � 9%
(This axfion rreed na be canplMe.f / tlie pemid "z la are huMieC Gdlars /SI001 a Ms.)
� I cMAy ihel in Ihe qAamierice M tM work iw wM1ch thu parmn n ivuad. I ehdl m� empby erry pe�mn in e�ry menrwr eo sv to
c«oma wded �o �na .on�en� mmv�on bwe a caliranie. ena ro� uw a �.naw n.�ome .�qea m m. wo�en•
�o��«� a�� a sea� a>oo d n» �« cma. i.n�i �onn.mn oomdr wnn mob ao+�,oro.
ova: 'a'. - =� - Gi ncvr e„c \ :.+rC. �.�.5
Weminp: Fallun ro ueun wort�n'ronpxuetlon covsraps h unNwNl, entl aMll ubJeef an.rrploysr fo eMMnel pen Mu siM
c/v/l flrns �q ro ms hundroC fMuurM OO/Nn (S10q000A M mld/tlon b Ms cwf ol comp�rwflo2 Aemeyv� u provWaO br /n
Sxtlon 3]O6 0l Me Le6orCoM, lnfsrest, erW etromsy'� les,.
CONSTNUC110N LENDINO RQENLY: I haraby affi�m uMar peruM1y d per'µy �hm iMia b e contl�utlbn bnd'up epmcy la �he
vaAoimerce a ine xork r« wnkn ina oa�� �. as�ea (saaion 9w), civ. c�.
IENDEfl'S NMIE:
LENDEX'S RDDFE55:
I cenity tlat I heve roeE �he applicmnn uM Yma thei the ebave in/«metion is conaq. I apiee Io compry xnh ell dy vd caunry adiranma
enE state lewe reletng to buildm0 Po��utlion eM hereby eNhorae represen�etivas M ihis ary lo enier upon iM ebove-mentoneE piopa�ly
Iwire°°� W�Wsas. ( �
�)PcI��Y�. �. '`lV���.—c.-a• `
�� �� �p Prim Neme�/ ( ^� `
`l'-^-'�'`� � J�A4J�..a�� Dem: C� Y�'��
si0^�ura d Oxner/ApenvAppbcenUGomrea«
(5151�/6.WP) WhnabuiWiq 8 Selery: GreerFb; Ca�uuy-Appfrant; Fnk-Rerenua; pddenro0./umaw
JOB DESCRIPTION : REROOF W/COMP SHINGLES OVER COMP
PERM NO: B 081464
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 3,2U0
CLAIM VALUE: 3,200,00 CALC-VALUE: 3,200.00 GROUP OCC: R-3 /U-1
COMMENTS: REROOF 2500SF RESIDENCE W/COMP
iEiEfE�EiE9k1FlE1Eik1Eif7E1Elf1E1E1E1kiflElEiFlEiEiElEiElEfEfFiEfElEiflElFiEiEiE1E*fE kiElEfEiFlEiElEiEiE1EiF1E1FiEiffEfElEiEiEififiElEiElEfFiEfEifl6iEiE�EiE
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 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: 41802415 ZNE: REF NO:
PLANNING NOTES> '�
i'
fE1EiE1ElEififlEiFlffEiF1f1k1fiE�E�fiElFjFiE1EiElElEiF1Ei61E1E16iEifiEiEiFiFiEiElElfjFfEifitiElEfEfEfEiE3E*ffiElE�ElEiEiElfifiElFiFiE3FIFiFfEfEiE1E�E1E1ElEfE
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: "i
APPLICATION ISSUED BY: � DATE; 2-���
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 87.25 .50
SMIP/NON-RES
PLAN "
iSSUE FEE
BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTAL . PAID DUE
TOTALS----> 87.75 0,00 0.00 87.75 , 87.75 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 87.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
87,25 .,50
1ElE 1E iE if iE 1E 3E 1F 1F 1f 3E iE iF ff 1E!(� iE jE iE 1E iE iE �E iE 1E 1E 1E 1E if �f iE 1E 1E 1E fE 1E jE iE 1E 1E 1E iE iE 1E iE 16 if if iE IE iE iE IE iE 1E 1E iE 1E 3E 1E iF 3ElE 1E if !f iElf 1E iE iF iE ff �E fE fE 1f iE
I N D Z V I D U A L F E E B R E A K D O W N
TYPE
FR
QTY
3200
D E S C R I P T I O N
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST
' r'
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1
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TOTAL COST
3,200.00
82-85-1997/18:SB f1M/587.75
RCPTM:81-0081620
VERMIT:081464
COrv,. ..710N AND PLANNING POU� & SPA
APPROVALS Permit # Date Inspector ppp�OVALS Permit # Date Inspector
1. Tempora�Y Etectriwl Service or Pole 52. Poo� & Equipment Location
2. Soil Pipe�Undrgrnd. .,. 53. Steel Reinforcement
`3. Electrica) Conduit Utility�Undrgmd. 54. Forms
4. Electrical Conduit�Undrgrnd. • 55. Electricai Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Etectcical UFER Gr�d. 57. 0.PPROVA� TO COVER�GUNl7E
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe. O Uridrgrnd., Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P•Trap, 0 Ufidrgrnd.
10. Structura� Floor System . 61. APPROVAI. TO DECK •
i t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Sewer Cap � 63. Heater & Vent•Final
73. Root Dra�ns ' 64. Ptumbing System - Final
14. flough Plumbing ' fi5. Electrical-Final �- �
15. Rough Electrical•Conduic 66. So{ar SYstem-Fina{ �
i 6. Rou9h Electric Wiring - 67. Fencing & Access Approval
t7. Rough W�ring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYSTEMS FINA�
19. Rough Heating & Air Cpnditioning . PIRE DEPT.-REQUIREMENT -
20. �2ough F�ctory Fireplace . . - � APPROVALS Permit #
21. Ducts, in Structure ' - 70. Underground Hydro
22. �ucts, Ventilating _ 77, Product.Piping OGas ❑Oil
23. Gas Pipe-Rough & Test � � . 7Z, Underground Flush
24. Roof Framing . � ?3. Undergrnd.StorageTank dGas �Oil
25. Roof Sheathing ', � 74. Overhead Hydro
26. T-Bar Ceiling (Strucwreli & Monocoat . 75. Ary Chemical
27. Frame and Flashin9 ' ' 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. Electriwl Power MecerFinal . 80. FOOD CERTIFICATE ISSUED
33. Final Eleciric ' " Notes: �
34. Pinal Heeting & Air Conditioning -, ' ,
35. Fina� Gas�Pipe-Test -
36. Hood or.CanoPY .
- 37. Final Factory Fireplace '� • -
38. Final Plum6ing � . � , . -
39. Water Ser�ice-Finai � . . � - '
40. Gas Service•Final ' �
41. Solar pomestic•final �
42. BackflowPreventer � _ ' . Z^Z^�7` �//_ �L..�. �@.�C'-�
c r �-- �
43. Backflow Irrigation � � �
44. Landscape Irripatiori System ' .
45. Sound Attenuation� �+� - . '
46. Handicap Fegulations ' - ' '
47. FINAL STRUCTUR'e & BUILDING Z, `Y_� `���
48. �INAL PLANNING
49. �Iectric Release to Edison � . � '
50. �Gas Release to Southern CaliforniaGasCo
51. CERTiFICATE OF OCCUPANCY
No Date
�\
AOD���ant to fill in all s0aces except those within heavy CorEe� Iines anG sign all appropriate tleclaratians.
CITY OF COSTA MESA CONSTRUC ION PERMIT PER NO ,� ,��_ TRACT NO. LOT NO. �UNIT NO.
Project Address �L�, ' � �
ApplicanYs Mailing ddress �
Owner's Name Phon �
Address
Arch/Eng. License No.
Address
Contiacmr's Nam '/�n ,^ hone-�saar�o�
Addiesslm�����o� �'-✓/�''�7-� — �'`
City License No. 1aL���_�
LICENSED EONTRACTOR OECLARATION
1 M1ereby aflirm Nat I am Ilcensetl untler provislons of Charter 9(commencing
wi[h sec[ion �000) of �ivi5lon 3 ot the Business antl Vrofessions Cotle, antl
my license is in full o e ntl effect.
LICCOSC Cld 5 �U 5 nl '
Da[e ' ' Si9nature
WORKERS' COMPENSATION DECLARATION
hereby aifirm tnat I havo a certificate ot mnsent to selfdnsure or a certiticate
f Workers' Gompensation Insurance, or a ceriifletl coPy thereof (Sectlon
3800, Lab. (.�{ � /� � � /� � � � _ / � �
I� Pny.oyli�`c.y No. �L u— �'L7_ Company CLI.I�KL(i(/C
XJ c¢r[!f_���5 tI�WAPPI cantlY�itl�p&1Djyii�oi'LFt'( 0/1
Date /U�-f
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section need not be completetl ii the permli is for one huntlretl (SI00) or
less).
I certity [ha� in the per(ormance of the work tor whlch thi5 permit Is Issu¢tl I
Thall not amp�oY any pe�sOn in any manne� so a5lo become subj¢Ct to t�e
Workers' ComPensation Laws of Californla.
Date Signature
' NOTICE: If, �fter making this tleclaration, you shoultl become subjecP to the
Workers` ComPensation provisions of the Labor CoOe, you must ior[hwlth
comply with such provi510n5 ov this permit Shall be tleemetl revoketl.
CONSTHUCY�ON LENDING AGENCV
I hereby aflirm that there Is a consVuction lentling a9ency for the performance
oi the worR for w�ich tnis permit is issuetl (Section 3097 Civ. CJ
Lendet's NaTe
Lentler•s Atltltess
OWNE0. BUILOER OECLARATION
I hereby atfifm thai I am exempt irom the Contractor's License Law for the
following reason (Section 7031.5 Business antl Profe55io�al Cotle: Any clty or
cOunty whicp requir¢s a parmit to const�uct, altet, Improve, tlemOlizh or repalr
any structure. P��or to Its issuance, also requires the applicant for such parmit
lo file a slgnCtl statement litat he/sne Is licensetl pur5uant to the provisions of
•he Contra[tOr'S Liceni¢ Law (ChaPter 9(commencinq wi[h Settion.]000) o/
"vi5ion 3 ot the Business antl Protessions Cotle) or [hat he/Sh¢ is exempt
¢refrom antl the ba5i5 for the alle9etl exem0�ion. Any violation of SeC[ion
J31.5-by 3ny applican[ fOr a permit 5ubjeClS the aOP�icant to a civil
��enalry of no� more tban five huntlretl tlollars (E500).
I, as owne� of tne Oroperty or my employees wlth wages as th<Ir So18
Compen5atiotl, w��� tlo the work, antl Ihe structure is not intentletl or otfereE
to� sale (SeG��on 7044, Business and Pro(essional COtle: The COntraCto�'S
Li<ense Law tloes nol apply to an owner of a property who builtls or improves
the�eon, antl who tloes SucM1 wo�N himself/herselt or [hrough hi5 or her own
eniployees, pwvitletl tM1at such improvnmants are nof intentletl or ofloretl for
sal¢. If, hOwev¢r, the bulltling or improvement IS Soltl wlthln one yea� ot <om•
, pletlon, the owner wlll have the burtlen ot proving he/she tlitl noi builtl or Im-
��ova tor Ihe PurpoSe o/ Salo�.
I; as ownBr of the pro0erty, aT exclusively contract�nq with Iicensetl COn•
. t�acto�s to cOnsttuct the prOject (Section 7044, Business dntl Profe551on5 COtl¢:
The Contrattar's LicCnSe Lnw tloes not aPpty fo an owner of property who
builtls or improves ihereon, antl Who cont�acis for sutn projects wlth a con-
tracror(z) �ms�se oursuant to tne eontractor•s License l.aw). I am aware tnat
proof of their Worker's Compensation insutanc¢ Shoultl be provitletl lo m¢.
❑ I am exemP� untler Section 8. & P. C. for this reason
Date ' Owner
I hereby certify 3hat I havo reatl fhis appliwtion
intormation is correct. I agree to wmON with all cl
antl s[ate laws relating to builtling construction, an
sentatives this city to enter upo tne above�
Insp¢ctlon . a� �
519na[ure �
Drivers' License or 55 � � �
above
iances
ropre-
v .�or
TYPE OFCONSTRUCTION LJ NEW LJ-ADD LJ ALTERATION L�XREPAIR
❑ CONVERSION ❑ DEMOL�SH ❑ OTHER AP #
DESCRIPTION OF WORK/USE OF BLDG.
S Main Buildi
TVPEOFPERMIT GRADING FOVNDATION STRVCTVRA� T Front
.❑ TENANT ❑ ELECTRICAL PIUMBING ❑ MECHANICAL B Reaf
❑ OTHER A
PROJECT DESCRIPTION 5Q. F7. OCCUVANCV C Right
CONSTRVCTIONTYPE VALUATIONS S Le(t
ZONE GRADING CU. VDS. ACRF_5 P�ng. Ref. � +
Remarkr. ���' Planning Notes:
Bar Sink
Backflow Preventer
Backflow Irrigation
�ing Fountains
Floor Orains
Floor Slnks
Gas Service Outlets
I nterceprors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fce $15
Boiler
Duct � Under Ground
DuM - Strucwral
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/FacL BIL ICBO #
Heating System & Ducting
❑0�100,000 BTU � 100,000 BT
Reinspection Fee � $15
CMF OB65-46, rev. 10/84 White�- Builtling; Canary - Applicant; Pink - Accountln9: Goltlenrotl - A5te55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collecrors �
Solar Piping
SOlar Tank
Swimming Pool w/Spa
Urinal
Water Clout
Water Heater
Water Service
Laundry Trays
laue Fee
Hoodor Typel ❑
Canopy Type I I ❑
Refrigeration System
�aioo,000sru ❑ioo,aoo
System Repair/Alteration
Fire Dampers
' Registers
■
laue Fee
$ 3
$ 3
Automatic Washer
Construction PoleSub.
Cooking Uni[
Dishwasher
Dryers OGas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
OuUets
Switches
Garbage Disposal
Generator 00.5 KW 05-75
5146 �/14/86
Zone
Accessory Building:
ELECTRICAL
7ransformer ❑ 15�50 KW .
❑ SO+KW
Meter LJup ro 100 amps
Merer ❑over100amps .
Sub Panel
Motors �0.1 HP O 1:4 - 8
Inc.Solar �9-15 HP �16-15+
Microwave
Pole Light �
Range
Sign
Standing Sections
Trash Compactor �
� Reinspectian Fea I$15 � I luue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By '
Building Approved By _�
Appliwtion Issued BY
N
5.00 TL
2
O
N
�
N
G
R
E
Q
M
T
�
FEES
$ 3
SUMMARV OF FEES ,
BUILDING PERMIT $ � SMIP $ �
PLAN CHECK ' $ PERMIT - '
PLUMBING S. ov ISSUANCE $ .�
PIAN CHECK 25% S ENERGY P.C. $
- ELECTRICAL $. � GRADING $
' PLANCHECK 50% $ • MICROFILM $
MECHANICAL� $ TOTAL FEE $ J�
PLAN CHECK 25% $ �
CONSTRUCTION AND PLANNING POOL & SPA I
APPROVqLS Permit# Date Inspector pppROVALS Permit# Date Inspector;
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement i
3. Electrical Conduit Utility-Undrgrnd. 54. Forms _
4. Elec[rical Conduit�Undrgmd. 55. Electrical Bonding �/
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test !
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � c
7. Footings 58. Electrical Conduit-Undrgrnd.''.
8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undigrnd.
_.,
10. Structural Floor System 61. APPROVAL TO DECK '
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final "
12. Sewer Cap , 63. Heater & Vent-Final ��
13. Roof Drains • 64. Plumbing SYstem - Final L'=.
%?
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough �lectric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough &lectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE OEPT. REQUIREMENT
20. Rough �actory Fireplace APPROVALS Permit # -
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Veniilating 77. Product Piping OGas OOiI
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil
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. FIXEO SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster grown Coat 79. FINAL INSPECTION ,
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final H¢ating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing � 3-a,�(7 (.,,�D
39. Water Service-Final �
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed '
49. �Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICAiE OF OCCUPANCY •
No. Date
uwntK MESA BER(
JOBADDRE55 543 Pier�
GENERAL CONTRACTOR G. 1
/ 'o. LOT
h._. ECTIONS
soi� �
GAS
W ATER
ROUGM PLUMBING
PqOP. $WR. LINE HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGM MEATING AND AIR CONPITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUNO � POWER �
ROUGH WIRING
TRENCHES � FORMS Q STEEL RE
FLOOR SYSTEM
BOND BEAM [� STEEL ftEINFORC6�
SHEATHING
FRAME ANO FLASHING
LATHING - IN n OUT �
PV`iER, BROWN COAT
5 fURAL, FINAL
HEni ING, VENT., REFRIG. AND A.C., FI
PLUMBING, FINAL AN� GAS TEST
ELECTRIC, FINAL
BUIL�ING, FINAI
_iq_
DATE 1-17-68
BUILDING PERMIT N0.
RIPTION of WORK Residence W A�
ZONE VALUES 18,888.00
DUP TYPE 2
SUBCONTRACTOR PER
1 2$O80 �x,a-s�oo �+a# «�•*qo.00
._
� �:
� �OSfA MESA BUILDING-SAFETY DEPARTMEPIr
P.O. BOX 120! COSTA MESA� CALIFORNIA B2E2B
OWNER NCK� David L.
'JOB ADDRESS 5 3 Pierpont Drive
� ��ut
•� �
INSPE
SOIL
GAS
� WATEF
>.
SPRINKLING 5
MISCELLANEO
ROUGH HEATIN
TEMPORARV 5
UN�ERGROUNO
ROUGH wIRING
TRENCHES �
FLOOR SVSTE
BON� BEAM
SHEATHING
FqAME AN� F
pi cq
5. f0
INt U MVUSt CON. U
VSTEM
US
G AND AIR CONDITIONING
ERVICE OR POLE
� POWER �
FORMS � STEEL REINF.
M
� STEEL REINFORCE n
LASHING
I n OUT n
WN COAT
FINAL
f., REFRIG. AN� A.C., FINAL
VAL AND GAS TEST I-I
DATE 3-10-71
BUILDING PERMIT
FIRE ZONE VAL
SUBCONTRACTOR
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f,Q,/Ei' b��a7D
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�.� NAR 10-71���SA00 7_E37 �=**�{�S.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 12f10 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIV DA E RECEIVED DA E ISSUED
ADDRESS � J G �T � /�' / �(i M/j�Op1Q—^�
OWNER . UI � i //iG A.P. NO. � Q�� � PEi /'� 11 1�I1
ADDHESS � � '�� �L BUILDING
ADDRESSS 3
Z 3 y6 TRACTS(o/ Q LOTY'd� BLOCK
W W TEL.
a U CITV ,� �%%G�� NO. 6
~ Z COhbTRUCTION �(�J A
O� LENDER /!� /7"� �
am
_ BHANCH �. �
� � OWNER
`� m ADORESS � �� S '
VALUE �S ' l�-
Q ARCHITECT //i � TEL.
ORENGINEER J�'!
V Q � FIRE
w K AODRESS ZONE TVPE GROU
d W �� BVPROVED
W Z CONTRACTOR �' ' ATE �^ �J ^�
J 0
m Z
J � ADDFESS
W w TEL. Z NO.OF USE OF NEW
�= dTV NO. ' P��� BUILDING
ZH
0 STATE CITY VARDSAPPROVED VARDSAPPROVED
j O LIC. NO. ti� LIC. NO. MAIN BVILDING ACCESSOAY BUlLDING
SIZE NO.OF8L005. (F O C L T E
OF LOT Q Q NpW ON LOT FT.
USE OF `�f yj
EXLSTING HLOG. C J/ FT
H St2E OF NO. OF
Z NEWBLDG. ROOMS STOFIES L SIDE �� FT. FT.
a EXTERIOR WALL ROOF
COVEHING COVERING REAR /�FT. FT.
USE OF BUILDING AND WQRK TO BE PERFORMED OISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCFSS. BLDCS.
Q VAR.# �ATE
O C.U.P.� � APPROVED
~ _�
y APPROVED �� �� �/
/
� I �ereby acknOwletlBe that 1 have reatl this application antl rtata G �.� /-/�.�.
that tha ebove Information is correet antl eprea to comply wiih p�"�����
� all laws regulaUnp builtlinB �onstruction, antl I shall not amploy � / 9'�v�
� any person in violaHon of Ma workman's compensaHon laws of 0/�
y Ma Smta of Celifornia. m
b
ZI hereby certify that 1 em prqperly licenzetl as e contrector untlor SQ. FT. o
Iha Stete of California Businqss entl Professionz Cotla, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
0
Chapter 9, anC tha[ such I�aM¢z ara In full fOrce antl eftact, or 1 THE PURPOSE OF FSiABLISHING A PERMIT FEE ONLV: a
em exempt from the pr Qisio�s of tha Sieta of IlfOrnia Buainess VALUATION /� ��.�
entl Profaszlons Cotle�n 3, Ch ter m
P PERMIT FEE $ 5 ' �
$ipnatura of m
Permlttae � ��^ /�� PLP.N CMECK $ �� E
Authorize Apent L' � ` � LL
TOTAL FEE $ �% �