HomeMy WebLinkAbout2806 PORTOLA DR - Building Permits(774) 754-5273 • Fax (714) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2806 PORTOLA DR
KITCHEN
Parcel Nunmber: 14130226
Applicant: BERRY, ALBERT A
Address: 2806 PORTOLA DR
COSTA MESA, CA
Owner: BERRY. ALBERT A
Address 2806 PORTOLA DR
COSTA MESA, CA
Contractor: OWNER-BUI LDER
Address:
Arch / Eng :
Address:
WATER HEATER CHANGEOUT.
ISSUE FEE
BackFlow irtigation
BackFlow Preventer
Bathtub
Clarifier System
Connect Qce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (7-0 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
$0.00
QTY
PLUMBING PERMIT
Phone: (714)546-5440
Zip: 92626
Phone: (714)546-5440
Zip: 92626
Phone:
Zip:
License: 0
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
Qn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied: 07/24/2000
Issued: 07/24/2000
ISSUED BY:
Sump Pump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: E35.80
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No; 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a penod 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
required inspeet(ons and final approval must be obtained. Failure to obtain inspections and final approval will resuN in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnONDECLARArON:
I hereby attirtn untler penalry ol perjury one of the following tleclerations:
❑ I have end will maintain a certificate of consent to self-Insure for workere' compensation, as provitlatl for by section 3700 of Ihe Lebor Cotle, for ihe pertormance of the
wark for which Ihis permit is issued. ,
❑ I have antl will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pertortnanca of the work for which this permit is issuetl.
My workers' compensation Insurance carnar and poliry number are:
Carrier. Policy Number:
(Th/s section need nat be cromp/eted il the permil is velued et one hundred dollars ($100) or less.)
❑ I certify t�at in the pertormance of Ihe work for which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to Ihe workers'
compensation laws of Califomia, and agree that if I should become subjact to the workers' compensation provisions of Section 3700 of the LaDor Code, I shall fonhwith
comply with these provisions.
Appliwnt Signature: Data:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN AD�fiION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3�06 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Oivision 3 ot ihe Business and Professions Cotle, and my license is in full
lorce and ettect. Lic. q Class N
Contrecrofs Signamre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm thet there is a constmction lending agency for the performance ot Ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lender's Atldress:
Signawre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby atfirm ihat under penalty of perjury ihat I em EXEMPT FROM TME CONTRAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions
Cotle: Any ciry or counry which requires a permit to consWct, alter, improve, tlemolish, or repair any siructure, prior to its issuance, elso requires tha applicant tor such permit
Io file e signetl statement Ihat he or she is licensed pursuaN to the provisions oF Ihe Coniractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 of �he
Business and Pmlessions Code) or that he or she is exempt thereirom antl ihe basis tor the allaged exemption. Any violation of Section 7031.5 by any applicant for a permit
suh�ects the applicant to e civil penalry of not mora than five huntlretl dollars ($500).):
❑ I, as ov+ner oi ihe property, or my employees with wage5 es iheir 5ole compensaiion, WILL DO TME WORK, and Ihe slructure is not intended or offeretl for sale (Sec.
7044, 8usiness and Professions Cotle: The Contractors License Law tices not apply to an owner oi property who builtls or improves Ihereon, and who does such work
himself or herself or Ihrough his or her own employees, provided Ihat 5uch improvements are noI intendetl or oHered for sala. If, however, the huilding or improvement is
soltl.within one year of completioq the owner-builtler will have the burtlen ot proving that he or she did no� build or improva tor puryose of sale.).
/
.��I,.as�owner ol Ihe property, am E%CLUSIVEIV CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (Sec. 704a, Business and Pmfessions
Code: Tha contractors License Law does not apply to an owner of property who 6uilds or improves thereon, antl who contracts tor such pmject with e contrector(s)
license pursuant to ihe Contractors License Laws.). �
❑ I am exem t un sac. Business and Professions Code for ihis reason: 7�.�,��-/O C�
Signature: ���id� /�� / / �Dat �
Owner ID verified by driver's license. �fes ❑ Ddver's�License� o: (Expues:_ �-r'
Verification of Ownership by (type of tlocument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: �
❑ I here6y certify that no excavallon five (5) or more teat in depth into which a person is required lo descend, will be matle in connection with work authonzetl by this
permi�, antl that no building stmcture, scaHoltling, falsework, or tlemolition or dismantling Ihereoi, will be more ihan ihirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Ttle B, Califomia Adminisiretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit trom iha Division of Inaus�rial Safery, as notetl a�ove, unless such person hes a
permit to do such work from the tlivision.
Signature: Date:
Division of Industnal Safery Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTRV: I cenify untler penalry of perjury ihat I have read ihis application and slate that �he information given is
correct I agree to comply with all staie laws and city ordinances relating to building construction, and authorize representatives of ihe Ciry of Coste Masa to enter upon the
above-d I roperty 1' ectio rposes. I agree not to acupy or allow occupancy of any building euthonzed by this permit until (inel inspection.
� � ���_ / 2 Y/O c�
( Si nature Ot Legal OJner > ate —�-^-•-�.
AndlOr Authorized Applicant Date
COUE • INSiECTONTYPE
1616 Fixotl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Faciory Fire Place
203 Final Sign
204 Final Demolition
264&46
� 7��15 I�DE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plum6ing
210 Final Electriwl
212 Final Fire Prevention
220 Final Planning Approval
222
250
Final Site
Final Building/Occupancy
Af� INTRIALS
PflOJFCT�UDPFSS: ZEOEI POATOLA DR
owsee•sxerne:.ALHERT BERRY
noowess: SAME
uxir:
�
,e ABCN/ENGINEEfl: � qE0.N0.:
ROOHE53: � UNR:
� - PEBMI7TEE: ALHERT BERRY � ( 714 ) 546-5440
�ooness: 2806 PORTOLA DR
_ � C,M. CA 92626
LICEHSEO CONTMCTOB UECUMTION: I hereby aifrm tAai I am licensed unEer pmvisions af C�apter 9(commencinp wit0 Section
7000) oi Oivision 3 ol tAe Business an0 Professions CaOe, an0 my license is in lulliorca and eRect.
' CITY IIC.: STRTE LIC.: C1A33:
Oa�e: ' SipnaWre:
WOBNEBS' COMPENSATION OECUMTION: I here�y aflirm Ihat I lwve a unificate ol consent to setl�insure or a certilicate ai Workers'
Compensation Insurance, or a cenified coDY��ereal (Section 3800, La�. C). .
POLICY NO.: . EXP. ORTE: �
� COMPRXY: '
7 Certi�e0 coDY is here6y (umisheA. ❑ Cetli/ie0 copy is fileE wi�h the ciry BuilOinp Division. �� ,
Oate: � PpplicanC
, IXEMVfION FflOM WONKFBS' COMPENSITION OECIAMTION: (this sectian neeC not Ee wmDleteO tl Ne permit is for one hunOreE (5100) ar 1¢ss�.
I certity that in the peAormance ol tha wod f which this permit is issueA, I shall not employ any ersa in any manner sa as to Uecome
, su0ject ro Ihe ak s' Compensation Law oi Califomia. , ��
Oate: 2 Signamre: � �
. NOlICE:i , atter makinp t�is Oeclaratlon, you should hecome suDlect ro the Workers' Compensation Omvisions of tAa abor
COAe, you must forthwith comply with such provisions or this permit shall 6e OeemeO revoked.
CONSTNUCTION 1FN01N0 �GENCY: I Aereby affrtm Ihat there is a consiruction lentlinp aqency tor IAe peAormance o e work for
which Ihis permit is iSsueE (Section 3097, Civ. C).
� LENOEfl: , '
' nooxess: � ' �
OWNEB BUILUEB OECLAMTION: I Oereby aKrm that I am exemD� irom the ConlraRors' State Licenu Law for tha followinp r¢azon
(Seciion 7031.5 Business anE Pmlessional CaAe: My ctty oi county which reQuires a permit to construct, atter, ImD�a�e, Oemolish, or
repair any stmcNre, prior to its issuanca, also reQuires the apDlicant for such permit ta file a siAned statement tAat he/s�e is IicenSeE �
pursuant to the provisions oi ihe Coniractors' State License Law (CAapter 9(commencinA �h Sedion 7000) oi Division 3 0l t�e Business
an0 Pmfessions COUe) or that he/she is ¢eem0� �hereirom an0 t�e basis for t�e alleqed exemption. My violatian of SeMion 7031.5 by
any applicant for a Dermit subjects Ine applicant to a civil penalry of not more than tive AunareO tlollars (5500).
� I, as owner of the D�operty or my, em7Ioyees with wapes as their sole compensatian, will ao the woB, anA t�e
stmctura is not intenEeA or olleretl for sale (Sectim 7044. Business and Pmtassional CoCe: The Coniracrors' State License Law
' Uoes nat aDPly to an owner ol a D�oDerry wha builtls or im0�oves t�ereon, an0 who doas such xrork himsetl/Aerself or throuA�
� Ais ar her own employees, O�oviAeO I�at suc� improvements are not intentled or ofleretl br sale. If, Aowever Iha 6uildinp or
imOmvement is m10 within one year oi completion, the owner vnll have ihe burtlen of pmvinA he/she tli0 not build ar Impmve
for tAe purpose M sale�. . �'
I, as awner of the O�oDerty, am eKclusively contractinA wi[h licensetl coniractors m consWct Ihe pmiect (Sectlon 7044, Business
❑ and Professions CoUe: The Contraceors' State License Law aces rrot apply ta an awner oi property who bmlds or impmves thereon
and wAa conlrattSfOr suc� pmj¢c�s rjt� a contractor(S�lic2nse pursuant to t�e Contrac�ors' $�a�¢ LiCense Law),I am aware
Nat prml of Iheir Worker's CompenS:Von insurance shoul0 be proviEeA to me. �
� I�am exemD� under Section: � B. 8 P. C.
tor t�is reason: � �
�--.�'
Date: . •�� /2 � pwner' � 'ef
I Oa hereGy cetliry that I am aware ol and understan0 ihe repuirtments oi Califomia Heaith antl Satery CoEe Sections 25505, 25533, an0
25534 anU TAat I or any future EuiitlinA occupant wilVwill not (circle one� nee0 to compty wit� saiU state coAes and Ihe reQuirements for
permit tor consimction or mo0ification Irom ihe Air Oualiry Manapement DisincL ResiEential consimction applications are exem om
[heu Drovisions. .
Date: Appliwnt
I here6y cetlity Ihat I have read IAis aDPlication an0 state [hat [he abave iniormation is correct. I agree to compty wRh all ciry anG counry
ordinance5anA5tatelawsrelatinp�oEuilAinpconsiructionanEheaEyaut ' repasen ythisi enterupanMeahwrmemianetl
D�oDeM �or ins0 ��on purpaus. � �� // /
/s �
Uate: �/_�
_
18a1-a8 W�ite—BuilEiig; Grea�Coda Entorcamem; Canery—ApP��cem; Pink—Revanue; GWtlenrotl—Assassor
CITY OF COSTA MESA — BUILDING PEAMIT
PERMIT NO: B 047428 PLAN CHECK NO:� N
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOB DESCRIPTION,.; AEROOF 2200SF W/ ASPHALT SHINGLES
CLAIM VALUE: 2,000.00 CALC—VALUE: 2,000,00
PERM NO: H 047428
GOVT: N SUPP: N
PURPOSE:'ALT
SQ FT; . 2,000 „
GROUP OCC! R-3 / '�'
� ,
COMMENTS: � �q�,+� p
�***�e�r*�r���e�r**�****�x�«*�*�r*�***+�*�+r�r�e**�r�e�*****�r�*�rxx*+r*�*��� UG���l1
Z O N I N GS—ERTEB�AUCIKRSE M E N T S
' -------- RE�UIFtED=--
------------ MAIN BUILDING ------ --- — ACCESSOAY HUILDI G------ ,-
FRNT; FT IN REAR: FT IN FRNTi FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PAAKING REQ• • � PROV: PARCEL: 14130226 ZNE: REF NO:
PLANNING NfSTES> ,
� .
M iF iF iE 1t iFlkltlklf ik 1k iflklk 1F iF ik k fF ff iF iFlF iF ik iFlF k!F iF 1F iF if if if k ik iE 1E iF k fE iE k iF!! iF M 1f iF iF iFiFlf ik fk 1E fk dk 1f IE ff 1f iE �F iE ik �f 1f�%ff i! iklflE �F iE �F
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'
f.
�ONING APPROVED;�HY � DATE; = �
UILDING ApPROVED BY : � DATE: /�,
!v
APPLICATION ISSUED BY: - DATE: � �F1u�Rv�
k 1k 1f ik 1f ik if if 1F iF if iE ik if 1E.1F iE iE ik iFik if � 1f ik � if iF �� 1E iF�� iF
1k if 1Flf * iE iE if aF iE it iE if iF 1E iF iF iF if iF iFlF 1f 1F iF ik iE 1F iE if if iE M 1k it iF iF iF ik iF ik iF ik iF if if iF iF M ff k ik iF 1F IF 1F Ik 1F it if iF iF 1f M%1f if 1E iF 3t"iF jF iE iF iF �E dE iE i!
LEGALIZATION:N F E E S U M M A R Y' ' STRUCTURAli`,SEGMENT;Y
" i f ' CI
HLDG PMT PLUMBING ELECTFiIC MECHANIC FIRE SMIP/AES GRADING
PERMIT 45.00 � ' s� 50`
' �,,, . SMIP/NON—AES
PLAN �: ; • �
ISSUE FEE ' ,-'.,
BUILDING—DIV—> PERMIT ISSUE 'PLAN=CHECK TOTAL PAID DUE
TOTALS----> 45,50 0.00 "�0,00 45.50 45,50 � ,.00
REVENUE DIVISION TOTALS--> COLLECTED: 95,50 OVER/SHORT: 00
BLDG PMT PLUMHING ELECTRIC MECHP:NIC % FIRE SMIP/TOT GRADING PLAN—CHECK
45.00 �..1 // �•50
if 1F k ik 1f !k!F dklklk �tlf M ik 1f iFdk M �f if dFlf ik iF it 1f if ff 1k iF if ff fF fFlF if iF.�lk iF 1t'if k 1f,lt 1! if it k iklf if iF ikik iF if ik it iE iF if iF ik 1E ik ik it iF 1t ik fE 1F 1F if ik if if if 1f
I N D 2 V I D U A L %' F E.-E,- y B R E A K D O W N
; / .;i .
TYPE (JTY D E S C R I P T I O N;�„ �%�� UNIT COST ��TOTAL COST
�f. /
SFR 2000 REROOF BY •VALUE RESIDENIAL'� NOZONE 1.00 . 2,000.00
END' OF �FEES
i .
f ,
� �
� I
�1 QOQ6t403-000514Q� -f O T
DRif: 65/21/?0 '[IP1E: ?5:`6
u
45,5Q
CONSTRIS�TION AND PLANNING � ' '��� 'PA
APPF�rJVALS Permit# - Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool &.Equipment Location
�2.�Soil Pipe�Undrgmd:� - 53. Steel Reinforcement � �
a:9=Electrical Cond'uif Utility-Undrgmd. 54. Forms
� m -n -. r,
��'m„4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding •
�J :5. Steel Reinforcetrtent - �� 56. Rough Plumbing & Pressure Test �
'•* `- -
j'6. ElectricalUFER`-Grnd. ' , 57. APPROVALTOCOVER�GUNITE 4
2 7. Footings � r,,' 58. Electrical Conduit-Undrgrnd. 'a
z8. 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 Lirle & House Connection 62. Backwash & Receptor�Final . �
12. Sewer Cap � 63. Heater & Vent-Final . ' . -
13. Roof Drains ,� T' .
�. 64. Plumbing SYstem - Final
14. Rough Plumbing - � 65. Electrical-Final �� �
15. Rough Electri�l-Conduit . , " 66. -Solar SYstem-Final � � ' -
'16. Rough ElectricWiring _ _ ' ' 67. �Pencing & Access Approval
17. Rough Wiring�LSign � ' . 68. �APPROVED�FOR PLA$TERING , �
18. Rough Electrical-T 8ar Ceiling . . " 69. POOUSPA SYSTEMS FINAL -
19,rRoygh Heat�g & Air Conditioning FIRE.DEPT. REQUIR,EMENT
t 1 !? X :T�'7 v p"' �: '� � 1: ' r� �... t• G:
�r; y :�.?i c. a: 'J � � a fi. "� �i C.7 'Y
20�Ro�h �ctQiy �,replace i ;�, �,� y; s � -x .: ;'APPFiQVP.itS�:�,=Permit #
21!�Du�,ts, iiV StiLct�ge` '"" �S �' S � ~ i' '" ' � 70. Under 'ro nd H�lro '�
F. _+. i x CJ !% f' �: 9;� '
,.. .. - , �: i � � .�. ' �, + .� -. : � .
22-Ducts; VenYJetidgy; , ;� s p � �; =-;: z�C77, product:Piping dGas C3�Oil
23^Gas�Pipe-Ro�gh &�Test �%S K:T7 -' rJ,�* �',+7Y, Underground FILs�h'�' x �" �
�, r;�'n .'l:l a( S ��R X� i %: iY O
� . . r :. � _(.y ..r. �.:: 41 a: a .0 rD r _�_.�-. a �
24. ROUf F[aming �, t"� ,.,.i x'.73:; Undergrnd. StoraqETank�O Gas ❑ Oil
25. Robf S11�athing +� '�: `� � � �- �" ` ' 74? Overtiead Hydro:, � � ' �
.. SZq .dw . �
^ rn f C H i= `� t 7 Y. Y. , ^ X.-1 .. "
26.`T�Bar Ceiling (Stru�turat) &'N�acpcoat �,J y 75^@ry Chem+cal �..j �. rn
27:nFrame and Ffashing � �a7 +' •=' � x � 76. Dry Stan�pide � � a' ~ ` �
n ��T.'1 �r1 l: � :li .^�
.�28� Lathin�' S�ding t, r. "'CC cK x � .. .: r -+ H,-.: � •� .
�` x r.•SE- O r { � y!r �: 77=, FIXED SY:STEN��INAL �;�
^29. Insulatlan �^ M c � ;- c i I ��� �8' FIRE PREV. FI;N'$L y� "''
'�30.Drywa(I;Nailing ;�..i � s;-� � � ��: -�- �HEALTF�DEP�;"REQUIR:EMENT
�37.PlasterBrownCoat = �'"' a� I� r"�": 79�FINALINSPECTfON *� y
- 3: 1� :nC) k �- �
Y �
r32.Electric�a'I PoMer Nl�tersFjinal *`�' � I �: �;, 'SOcyF00D CERTIFI�ATE ISSI-y,ED,...� �
�y ._ � ',' .�. � � , � � � . -
33sFioal Electric a� .n � d '� � ; ��' x � Noies: " ';'� �� }: -' ' � ;=�'�
_ I n: r i. c' -i -i z. r� •_
���34?Final F{patin�& Ai��Co�diti0m`ng`� 4; �' � i � * � �' / : � ;: y _
[_ C
i 35;iFinal G� Pi�pe�Test� � , i� _, i �_ �s: +e'� �� „o v:--i y r;.%�
�� > ..n � n c�
x36_Hoatl or-CanoPY ��~ �"'- " r n '� x : F no e -.�-
S rJ' `� W t"1 i.-� ir a f: � �♦.� N` *: m r.; J -: : t
y37.�Final Factory Fireplac� : F� v x� �� ; � F.- �� ;+I
_ , -,� i Ir m
;n t � �: r: S '-' i: �-
�38. Final P1S�'um6irg # n� ' �•� } t � i* �' �-+ `x
,
.�39. Waier Sefvi�g-Fina� � i . J v ., � � � � • , ��•. x: _, �
�^ i X. Y �T
':40. Gas Ser�vice=Final '� �"`� Q��n j �_, ; � �' 7, �,•U 'J,L' x
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�41. Solar pomesiicFinal'' ;: �` + � L; i �n � � ;� p
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� 42~Backflow Preventel' �' ': I i i" '� ' �' " . '' :� ^
X:� !iHhi F,-Y �: r. .^t Tr:?J i� -
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43. Backflow Ir�i;gation; -- x c; r�� � ; v��: i � •
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[?44 LandscaQe f➢FipationSysteni?�^•n '� "�`� � � G� T � *^' �� -'; �; ,-; �
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� J46:•Handicap Regulatidns � C � � '� '.�. •S C'c � r
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� a47�FINAL STRUCTU�?E & BUfLDING ✓;y G ' '� ' .°v` + .�
T' `i
a8_�FINAL PLANNING ' ' F-:� �� c� � � � a: a r•, < y� ; :�
n, : � 'c � .$ d: > CJ �-3 r: �� ,
449`,El�etric:fieleaseto�Edison � �' 1 � i"` * y ' .,� ;:. - �
y 1 , �. r� - � Y /'1 !1
n50:=GastRelease to Southem Califofnia Gas Co �� i- i'� '' ''-' =' •"r'• '. O •
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a51. CERTIFICATEOP'pCCUPANCY `^• ' •� • �• - - -
No. Date
' 123�f�
C,OSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. HOX S17 CD9TA MEBA. CALIPORNIA
For Applieanf fo Fill In Complefiely
TYPE OR PRINT
BUILDING
ADDRE68 Portola Drive
COSTA MESA.CALIFORNIA
ADORE55 Suita 1,_3800 E. Coast Highwy
c�r,. Corona del Mar � `.;o`: � 34220
�6�..'�E.`,«o ua.m�ond Levanas Nobr 37010
■ STATE
��� �������ti
�'�dr��l��'D�.��.
APPL�CATION F�TAEI�MIYOS(a MESA
Lot � 83 BUILDING
Plan_1D
For Office Use Only
RECE�PT NO, PlRMIT NO.
� ��� �
RECEIVED BY OAT6 RECEIVED DATE I66UED
-�o I -i `-� 60
noorzE�ss 2806 Portola Drive
COSTA MESA. CALIFORNIA
oito Ne� ort Beach FIRE
ZONE
..rnn�nHnn ' APPROVED
TEL.
NO. OP BLDaB.
USE OF
EXISTING BLDG
BeTBAGK LINH PROen 44 REAR YARO Z�
CENTER OP eTq6ET
SIDE YARD I LEFT S I RIGHT S
DESCRIPTION OF WORK
■ BUILDING
COV�ERING Wood Sh
K TO BE PERFORMED �
with attached garage
I HEREBY ACKNOWLEOOE THAT � HAVE READ TH18 A
wxn ptwTS THAT TXE ABOVE IS COflNEGT AND AGPE
PLY WITX �LL CITY OROIlANGEB ANO BTATfi We�
BUILDINO CONBTitUCT10N
SIGNATURE OF ��
PERMITTE
AUTHORIZED AGENT �O,iBCC
DATE
ZONING
/NO. OF LIBE OF NEW
I PLAN9 BU�LOING
Lot 83
(C6NT8R L�NH 8T.]`
p ��
�
�
�/v�
�M: TXE AMOIINT SNOWN UNDER VALUATION 16 FOR THE
1T1NO PURPOBE OF E8TA9L18HING A PERM�T FEE ONLY.
VALUATION
PERMIT FEE $ 32.00
$ 13,395��� pLAN CHECK $ 16.��