HomeMy WebLinkAbout2818 PORTOLA DR - Building PermitsAOO���ant [o fill in all soaces exceol those wit�in heavv Dortler lines an0 sign all aoorooriate tleclantlans.
CITY OF COSTAqM(�ES(A'' NSTRU/�CTION PEn�{ Mn/ITn PER ��9�a TRACT NO. - LOT NO. UNIT NO. A P# Zone
Project Address �'7�o �a ��*0��7/ ' 1 70(UIX �I ' S Main Building: Accessory Building:
ApplicanYs Mailing ddr2s5 /S33 W���i �� TYPE OF CONSTRUCTION NEW � ADD ALTERATION REPAIR E Z
���"����� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' 7 Front �
Owner's Name ���%�� � PhoneJ�V=Y'L DESCRIPTION OF WORK/USE OF BLDG. � A Rear � N
Address
Arch/Eng. LiCense No. TVPE OF PERMIT GRADING��/ pOUNDATION ❑ STRVGTURAL I K Right � . G
- ❑ TENANT ❑ ELEGTRICAL L_TPLUMBING ❑ MECHANICAL i S' Left R
Address P�n Ref. # Parkin� Re /Provided E
COntfactof'SName L Phone " �'oTHER 9 9 q
PROJECT DESCRIPTION 5a. F7. OCCUPaNCv Q
Address Imailing) �� l- Planning Notes: . - M
`� �y CONSTRVCTION TVPE VALUATION $
City License No. � 1 .7 T
ZONE GRADINGCV.VDS. ACRE$ g,
LICENSED CONTRACTOR DECLARATION '
I hereby atfitm that I am licensetl untler proviSiOns of Charte� 9'(commencing Remarks: /� ?' ��+ 1 R'7' /J 'T!' �
with section �000) of Division 3 of the Business antl Professlons Cotle, antl LL� /L � G-
my Ilcense is in tull (q�q� ar�gp ffect � ELECTRICAL FEES
`Licen/e CI�s s l., :S lO men�s e j{�� �� Automatic Washer Transformer ❑ 15-50 KW
Datel.-ri� • 5'g t � � �.L//gj'�^✓�d PI.UMBING FEES
WORKERS' COMPENSATION DECLARATION CO�StluctiOn POI¢Sub. ❑ SO+ KW
\Bar Sink Showers
I hereby aftirm that I M1ave a certifica[e of consent to self-insure or a cer[ificate
of Workers' Compensation Insurance, or a certifietl copy thereof (Section Cookin9 Uni[ Meter ❑up to 100amps
q 3000, Lao. C.)/R(/{�// �{, Backflow Preventer Service Sink -
Poiic rvo. C J`�o `� � Com an !- �`ea V�"r� � P � . Dishwasher +. Meter ❑over 100 amps
.\ r P Y Backflow Irrigation Sewer Ca �
�f� rtifietl copY is hereby furnishetl. � Dryers ❑Ges .❑Electric Sub Panel
'LTCertif'etl c5�py, is /i�ap with the city Buil ��/ sio ` Bathtubs Sewer Connection
Date �n-p'('/-�7 qpplicant � ��6�,Z(�OJ��d Fan . Motors�0-iHP01'F,-6
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � Clarifier5 � Solar Collectors �
(Thissection neetl nat be tomplefetl it the permit is tor one hunaretl (g1o0 or Ina Solar �9-15 HP �16-15+ �
iess). � Dishwasher Solar Pipin9 F.A.U.
I certity that in the performance ot the work for which this pe�m�t is issuetl, 1
snall not employ any perzon in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures . Microwave
Worke�s' Compensation Ldws ot Cali(omia. D¢vic¢ BOxCS �
oate Signature Floor Drains Swimming Pool w/Spa � Pole Light
NOTICE: It. after making thi5 tleclara[iOn, you Shoultl become subject to the ' OutlEti
Workers' Compensation provisions ot the Labor Cotle, you must forthwith FIOo�Sinks Urinal Ran9C
comply w�th such provisions or tM1is permit shall be tleemetl revoketl. ' Switches
CONSTRUCTION IENDING AGENCV ' . Sign
Gas Service �Outlets Water Closet
1 hereby atiirm that there is a constructlon lentling agency�for the performance
of [he work fo� whicM1 this pe�mit is i55uetl ($ection 3097 Civ. C.) IOt2�CEpt0�5 / Wat¢� HCdt¢� a Gd�bdgE Di5pO5dl Standing Sections'
Lentler's Name
�entlerz natlress Kitchen Sink � Water Service Generamr �65 KW 05-75 KW Trash Compacmr
OWNER BUILDEft DECLARATION ��
I hereby affirm Lhat I am exempt from the Contractor's Ucense Law for the Lavatories AutO-Wash
tollowing reason (Section ]031.5 Business antl Protessional Cotle: Any city or
munty whicn requires a permit to construct, alter, improve, tlemolish or repalr� P-Trap Laundry Trays
any SVuctu�e, prior to �its issuance, also requires the applicant tor such pe�mit ,
to file a signetl statemen[ that he/sh¢ i5 licensetl pu�suant to [h¢ provisions of R001 Dl2inS �
the Contractor's License Law (Chapter 9(commencing wi[h SecHon 7000) of
�Division 3 of the Bu5Ine55 antl Profe5vOn5 Cotle) o� that h¢/She is exempt �. ReinSpection Fee $15 ISSue Fee $$
therebom-antl the basis fo� the alle9etl exemption. Any viOldtlon ot Section -
7031.5 by any applicant tor a permit subjects tbe applicanl to a civil
enalty of not more tnan five huntlretl tlollars ($500). - $ 3 DEVELOPMENT SERVICES REQUIREMENTS:
'� 1, as owner of tne property or my employees with wages as their sole Reinspection. Fee . $15 laue Fee . Zoning Approved By Date
compensafion, will do the work, antl the s[ructure is not intentletl or-of(eretl � - �—
for sale (Sedtion 7044, Business antl Professional Cotle: The Contractor's' � . MECHANICAL FEES Building Approved By Date_ _/ /
. License Law tloes not apply to an owner ot a property who builtl5 or�improves ' /� 7/ 1�
thereOn, antl who tloes such wolk him5elf/helself o! through hi5 or her own -+ . AppllCdtiOO ISSUBd By— 1�� DBte--/����jj9.
employees, 0/ovitletl thal such improvements are not intentletl o� offered for BOiICf HOOd O� Type I ❑
wie. It, howeveq Ihe builtlin9 or improvement is soltl within one year ot com- � Canopy Type I I ❑ SUMMARV OP FEE� ~-
pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im- Duct - Under Ground � �
provatorthepurposeotsale). BUILDINGPERMIT $ SMIP $'
❑ I, as owner ot the property, am exclusively contractin9 with licensetl mn- Duct -Structural RefrigeratiOn System , PLAN CHECK $ PERMIT
tractorzto const�uct the project ($ectiOn 7044, Busine55 antl Prote55ion5 Cotle: - �
The Contractor's License Law does not apply to an owner of property who' Duct � Ventila[ing ' ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ � f"1 Uv ISSUANCE � $
builtls or impwves thereon. antl who confracts to� such oroiects with a ron- -
tractor(s Lcense pursuanc m�ne Contractor�s License Law). I am aware,that Exhaust System ❑ Multiple ❑ System Repair/Alt¢ration PLAN CHECK 25% $ ENERGV P.C. $
proo( o�their Worker's Compensation insurance should be provitletl to me. , ELECTRICAL $ GRADING $
❑ I am exempt untler Section B. & P. C. �or rnis reason , FirepUFact. BIt. iC60 # Fire Dampers MICROFI LM $
' PLAN CHECK 50% $ �^
Date owner� Heating System & Ducting Registers � � MECHANICAL $ � �/ ��,
� hereby certity that I have reatl tnis appliwtion antl state mat the above ❑0.100,000 BTU �100,0006T �� TOTAL FEE $ �
information is mrrect. I a9ree ro comply with au city antl county ortlinances PLAN CHECK 25% $
antl state laws relating�to builtling constructlon, and hereby authorize repre-
sentatives of this city to enter upon the above-mentionetl Propernty.for � ' � + ,
InsPettion Pur s 5 . � / ` - Di ���?��Q.`1`��QJ%�u�S �TCT S.Qu �
99nature ' Reinspec[ion Fee $15 , luue Fee ' ,$ 3 n¢��: ,r�7��7��q tl���� �L�;?x '
Drivers' License or 55 � '
0865-46, rev. 5/BB Wn�te - Builtlin9: Canary - Applican[; Pink - Accounting; Goltlenrotl - Assessor
. ... . . _' . ' � � . ' -., '" _ .�� ""v <w 4:ra-S_f t • . 1: .. • . .- �.: � . _ . .
�:�� �� �; .
CONSTRUCTION AND PLANNING + POOL & SPA
APPROVALS Permit-# Date Inspector AppROVALS Permit# ' Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement � -
3. Electrical Conduit Utility-Undrgrnd. �:� 54. Forms : �
4. Electrical Conduit-Undrgrnd. .. 55. Electrical Bonding -
5. Steel Reinforcement '' '� 56. Rough Plumbing & Pressure Test � � 1
6: ElectricalUFERGrrid., � 57. APPROVALTOCOVER-GUNITE '�•.
�7. Footings � • - .' � 58. ElectricalConduit-Undrgrnd. =��
i �
B��Foundation ,-� ' 59. Gas Pipe, 0 Undrgrnd., Test '
.9. Water Pipe-Undrgmd. �� � . 60. Backwash Lines, P-Trap, � Undrgrnd. �
10. Structural Floor System � . . - 61. APPROVAL TO DECK ,�
11. Property Sewer Line & House Connection •; 62. Backwash & Receptor-Final
72. Sewer,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 . �
.
i 6._ Rough Electric Wiring , � 67. Fencing & Access Approval �
.
17. Rough Wiring Sign 68. AFPROVED FOR PLASTERING �
,' �
78: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
�19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
v.
21. Ducts, in Structure '� 70. Underground Hydro � -
22. Ducts,Ventilating , 77. Product�PipingOGas ❑Oil
23. Gas Pipe-Rough & Test 72. Underground Flush '
24.• Roof Framing , 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro ,
26. T-Bar Ceiling (Structural) &,Monocoat 75. Dry Chemical
27. Freme 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:
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test ,
36. Hood or Canopy �
37-. Final Factory Fireplace
38. Final Plumbing b/ t( G��D
39. Water Service-Final � � ��'
40. Gas Service-Final ,r �
41. Solar pomestic-Final;;: ,
42. Backflow Preventer ^' ,
[T7
43. Backflow Irrigation � �
,.
44. �Landscape Irripation �S,y�stem . � � �
45. Sound Attenuation �� ��
46. Handicap Regulations''
47. FINALSTRUCTURE�&BUILDING , �
n.
48. Special Requirements Completed
49. Electric Release to Edison •
�•,
50. Gas Release to Southem California Gas Co � �--�
51. CERTIFICATE OF OCCUPANCY �
�,
No. Date �--
AGo�icant to fiil in a11 spatts exceot thoze witnin heavy Dortler Iines anG siqn all aoo/opriale aeclantions. �d �� '�' lu;J�!
CITY OF COSTA ESQ NSTR UCT ON PER�MIT � PERM NO. ' � � TRACT NO, , LOT NO. � , - UNIT N6.. ' . � � , ' � � , '
Qy i
. ProjectAddress ���0 �Q7QJ�/�i �iQ/V ` �- `` , a ' � . . � . �- - + � _ . � . . � , . 5o0G TL�
� Applicant'S•Mailin9 A/d dress ' �'r3� . �/�I�I,7`�' , TYPE OF C�NSTRUCTION�. NEW " .AOD � ' ALTERATION REPAIR - � ' � 9O�B 8/•I 0�/86 - �
.�`������ � Phone:S'/,S-'TIi� � CONVERSION ❑ DEMOLISH ❑ OTHER� q,p, # �' ` � ' , : ° , Zone . - � �
Oivner'sName DESCRIPTIONOFWORK/USEOFBLDG. `
t Address ' . � - E. Main,Building: � ' Accessory Building:, '' Z
- Alch/Eng. ' Lic¢n5e,N0. � TVPE OF PERMIT GRADING � FOUNDATION STRUCTURAL , ° T FrOnt � � � ' ' - �Q
Addre55 ' � O TENANT ❑ ELECTRICAL fr LUMBING ❑ MECHANICAL ' g� R¢a� � ' . . � . ,c ' ' , , ' - N _
Contractor 5 Nam �Phone ❑ OTHEft � , _ _ A .
` � PROJECT DESCRIPTION SQ. FT. �' OCCVPANCV C Right , . � . G .
�i Address Im I 1 ��3/�O A:Q'O� . A/1 L//�'f�� . - . K - . - - .
CityLicenSeNo. S9J�' . ,. - • �ONSTRUCTIONT.YPE VALUATION$ i :S Left _ { '
LICENSED CONTRACT,OR DECLARATION ZONE GRADING CU. VDS. ACRES � , E:
Ping. Ref. # � . Parking Req./Provided '
` ' I nereby affirm tnat Pam licensetl untler provisions ot Charter.9 (commencing Remarkz: , ' .Planning Notes: � � ' ' ' ' �- M�
\� wlth sec[ion 1000) of Division 3 of the Business antl Prote55ions Cotle, antl _ - T �
my license is in full for$� an yftect. [� �p i
License Class .— .- 3� �40 6 � a�'r� ���o / ' - - � � S
I oat ����86 � �� � � ' PLUMBING � , FEES, ' � ' ' , �
^ � WORKERS' COMPENSATION DECLARATION � � BB�.Sink ShOW¢�s " ' _ ELECTRICAL FEES
�l \� I hereby affirm that I have a certificate ot mnsent to self-insure or a certificate
`� ot Workers' Compensation Insurance: o� a certi(ietl copy thereof (SecUon . � 1
� �,- � . Backflow Fre3enter. . � Service Sink - - - � �-�-� -
3800, [ab. CJ' ' ' � r� Automatic Washet, Transformer- � 75-50 KW i
Policy No. Q�� Company��eQ �^�6 Backflow Irrigation Sewer Cap � ' Construction Pole'Su6. � • � 50+ KW � ( �
❑ certifletl wpy is hereby furnishetl. ' , � � � Cooking Unit � Meter ❑up to 100 ampsi
CA�Cer[' le c Y� s�� tl wltn the city iltlin ' isio ' � Bathtubs Sewe� Connecti0n '
Date ����6y7 ' Applicant � ��� ' .
E%EMPTION FROM WORKERS' COMPENSATION DECLARATION . Cldlifi¢f5 - � SOIBf COII¢Ct0�5 � Dishwa5h2� . MEtE� ❑Ov2f 1002Tp5 ' �
;(This SecNon neetl not be campletetl i( the pe�mit is for one huntlre0 ($300 or � '"
less). � � � Dishwasher . Solar Piping Dryers ❑Gas ��Electric Sub Panel { � �
� I certify that in the perfo�mance of the work for which this perm�t is issued, I . � . � ' � �
shali not employ any person in any manner so as to become subject to the Drinking Fountains � ' Solar Tank � - Fan - ' �
. Workers' Compensation LawS of California. , ,
Momrs�0-7 HP 0�7'/x-8
. Date. � Si9nature ' Floor Drains �. � � Swimming Pool w/$pa , F.A.U. InaSolar �9-15 HP �16-15+ �
�'NOTICE: If, att¢r making this tlecla�ation, you shoultl berome Subject to tne �
Workers' Compensation�provisions ot the Labor Cotle, you must forMwith � FIoo�Sinks � Urinal Fixtures � � - � Microwave ' - "
comply witM1 such pravisions or this pe�mit shall be tleemetl �evoketl.' � � ' '�
, 'CONSTRUCTION �LENDING'AGENCV �' GaSServite Outlets WaLefCloSet • DeviceBoxes - � �
1 hereby affiim that [here isa construttion lentling'a9ency fo� the pe�to�mance �. - - Pol¢ Light ' '
�of the work for whicM1 this permit is issuetl (Section 309� Civ. CJ Interceptors WaterHeater Outlets ' '
LenEer's'Name "' ' � Range
�entlei's Atltlress i Kitchen Sink � � Waler Service - • Switches ' -' , i
� OWNER BUILDER �ECLARATION � ' - �Sigp;
I hereby affi�m that 1 am exempf trom tbe Cont�acto�'s.License law for the L2vdtO�i¢5 AutO-Wesh •
following reason (Section ]031.5 Business antl Professional Cotle: Any city or - Garbage Disposal ; Standing Sections
county which requires a permit to construct, alter, improve, demolish or repair P—Trap � " Laundry Trays � Generetor �0.5 KW 05-15 KW � Trash Com actor
any structure, prior to its issuance, also requires the applicant fo} such permi[. ' P
to file a signetl s[atement that he/she is licensetl pursuant to the provisions of � RoOi D�ains ' . � � 1
the Con[ractor's.License Law (Chapter 9(wmmencinq with Section 7000) of - �
' � Division �3 of the Business antl Professions Cotle) or that he/she is exempt �
therefrom and the ba5is (or the alleqetl exemption. Any viola[ion of Section ' _� � . • ' ,
7031.5 by-any applican[ for a permit subjects the'applicant to a civil - -
, �enalty of not more than five hundretl tlollars (g500). � . ' � ' ' , .
LJ I, as .owner of tne property or my employees.with wages as their sole rReinspection Fee $15 � � Issue Fee $ 3
. compensation, will'do the work, antl tne structure is not intentletl or otferetl - ' Reinspection Fee ' $15 Issue Fee $ 3
• tor sale (Section ]044, Business and Pro(ezsional Cotle: The Contractor's - � , MECHANICAL FEES
License Law tloes not apply lo an owne� ot a property who builtls Or im0/oves
thereon, antl who Aoes�such work himself/herselt or through his or her own � - DEVELOPMENT SEHVICES REQUIREMENTS: � j
employees, provitletl [hat such improvemenls are mt intentletl or offeretl for BOilef . '" � HOod O� � Type I ❑ � • � �
sale. If, however, [he builtling or improvement is soltl wtthin one year of mm- � � Canopy � Typ¢ II ❑� - ' Zoning ApproVed By Ddt¢
oletlon, the owner will have the burtlen ot proving he/sne altl not builtl or im- Duct - Under Ground� Building Approved 6y Dat�
� Prove for ihe purpose of sale). . . •
❑ I, as owner of the property, am exclusively contracting witn licensetl con- Duct -Structural � Refrigera[ion System � AppliCation Issued By Dat
tractor5to cons[rucithe project (Sec[ion ]044, Busine55 antl P�otessions Cotle: ' , � -
� The contractor's Cicense �aw tloes� not apply to an owner ot property who Duct - Ventilating ❑0.100,000 BTU 0100,000 BT.0 ' SUMMARV OFFEES ' � .
Cuiltls oi improves the�eon, antl who contracts for such projects with a con- ' - � - - '
'tractor(s1 Ocenze pursuan't-to tne Contracror's license. Law). I am aware tnat Exhaust,System ❑ Multiple ❑ System Repair/Alteration BUILDWG PERMIT $ - SMIP . $ � �
prwf o(� their Worker's Compensation insurance snoultl be provitletl to me. � ' pLAN CHECK $ PERMIT �
'� I'am exempt untler Settion B: & P. C. for this reason ' FirepllFact. BIt. ICBO # Fire'Dampers PLUMBING $ - t , � ISSUANCE '$ �
Date � � ' Owner � Heating System & Ducting Registers � pLAN CHECK 25% $ ENERGV P.C. $
I hereby'certify ttiat I�have reatl tnis application antl state that the above ❑Q100,OOOBTU Ot00,000BT . _ ' GRADING� $ '
Informatibn is mrrect I'a9ree to comply with all tlty antl county ortlinances - 1 ' ELECTRICAL ,$ . .
antl state laws relating io buiming constructlon, antl hereby authorize repre- . - PLAN CHECK 50% $ MICROFILM $
sentatives o(,tM1is city to enter upon tM1e above-mentionetl property for ' . � . � �
�inspection p es. � � ' j� " • , MECHANICAI , $ TOTAL FEE $ i �
Signature � Date�'�j�j� - � $ . �
- peinspection Fee $15 laue Fee $ 3 PLAN CHECK 25% -
Drivers' License or 55 � � '
CMF-0865-46, rev. 10/84 White - Builtlin9: Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor , �
�.. . . ,. a.�^;: .:. .rr .... .. . . �, .,. . . r . . � : ..- . .
r� -1\ ,�
� '
�CONSTRUCTION AND PLANNING y . - � . POOC & SPA � '
� � �. D'ate, Inspector � � � � Date � Inspector
APPROVALS �' Permit.# `� APPROVALS _ Permit # _ _ ,
1. TemporaryElectrical Service or Pole � 52.'Pool:& Equipment Location .
' 2.� SoiliPipe-Undrgmd. � �.' � �a .�, , � 53. Steel Reinforcement � � . �
.3�:Elee[�ical Conduit�Utility-Undrgrnd. : � • � 54. Forms � � � • r -
,
'�4rElec�ical Cond'uif-Untlrgrnd. , � � � . 55. Electrical Bonding � � - � jF
��5:rSteel�Reinforcemenf ' , . ' � � . 56. Rough�Plumbing�& Pressure Test . •� �
�,� .._�. ,-v..
6:�tElecfricalUFER�Grnd. '�A � �57. APPROVALTOCOVER-GUNITE :'��
i. .•� • �
�• �.Footings �H Y . �' � �:, . 58. Electrical Conduit-Undrgmd. ` "� �
8`.' �Foundation �,',,; � r. 59.' Gas Pipe, O Undrgmd., Test . . J�.
� �9%Wate�Pipe-Undrg'md. ' � " �r _ � 60. Backwash- Lines, P-Trap, O Undrgrnd. . " '"
�10 �St�uctural Floor Sy;tem `�� � �F� ' 61. �APPROVAL TO DECK ' �
11. Property Sewer Line.& House Cohnection � ' � 62.. Backwash & ReceptorFinal .
il.i i
12. Sewer Cap ' G' �'� �� % .'�d •� � • 63. Heater & Vent-Final '- ' +�
�at i
13. Roof;Drains �', '� .�� 64. Plumbing System - Final � ��
14. Rough Plumbing� � � 65. Electrical-Final ' " ��'
15.� Rough Electrical-Conduit � -'- 66. Solar System-Final •
' 16._ Rough� Elec[ric Wiring � 67. Fencing & Access Approval ' ". �
17. Rough Wiring Sign '' 68. APPROVED FOR PLASTER�NG �
1 S. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �.
19: Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
20.�Rough Factory Fireplace ' APPROVALS Permit#
21. Ducts, in Structure' - , 70. Underground Hydro
�22. Ducts, Ventilating ' 71: Product Piping O Gas ❑ Oil - '
23. Gas Pipe�Rough & Test ' 72. Underground Flush ��
' 24. Roof Framing - . 73. Undergrnd. Storage Tank O 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. 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 • Noies:
34. Final Heating & Air'Conditioning � '
35. Final Gas Pipe-Test - � .
36. Hood or Canopy . � � � �
37. Final Factory Fireplace , • '
38. Final Plumbing � - s/-Y` 4� �' � �
39. Water Service-Final � rj= �
40. Gas Service-Final �-, � ' -
41. Solar pomestic-Final � `- � ' • . � - � � `
I✓
42. Backflow Preventer � ' � . _. _ . . __ __ . � '�
- �
43. Backflow Irrigation � • . � � - � � � - .
44. ,Landscape Irrigation System �•� ' �. � � " ' ' �
45. Sound Attenuation , .,� � � • � � � , . ,
46. Handicap Regulations � ' . - ' � � �
�� 47. FINAL STRUCTURE & BUIL'DING� - � � ' . � � ' � � i �
, r
48. Special Requirements Completed , ' ' , � " "
,
49. Electric Release to Edison� • -- ' "" - ` ' " "'" � ' �j"- ' � . . � , �t. ,�.
50. Gas Release fo Southem Califomia Gas Co � 1 ; � � � � � -'�; J
51. CERT�FICATE OF OCCURANCY �- �- ' ; - =�� -' � -�--- �� '- � " �
� . , . . . u
No. � . . . Date ' . ' _ ^' ' _ . . ' . , �i � _ . .
� _ = �� g��2.
C�STA MESA BUILDING-SAFE7Y DEPARTMENT
P. O. BOX S77 COBTA MEBA, CALIPORNIA
For Applieanf io Fill In Complefely
COSTA MESA CALIFORNIA
Mesa Del Mar Develapment Co,
�4�
M8CC0
FEE �ECEIVED
`�-F3��f�C� ��°PT.
�I�Y Of CO3TA MESA
Lot � S6PPLICATION F PERMIT
Plan a 2c BUILDING
For Office Use Only
FECEIPT NO. � �fNRY{TnNp.
COflBt H�.$t1W aecerveo ar o�rs ne�c5rveo o�i
��c,�� ,��/5`��U �/
No: Or 342 BUILDING
ADDRESS �LSiB portQla D
No. Or 3%OZ COSTA MESA. CALIFORNIA
e ort Beac FIRE /
ZONE TYPE /� GROUP
NO`• OF-BLDG9. o
USE OF
EXI6TING BLDG
Bg*Bwn nc wievcOM YV REAR YARD "�
� I LEFT S I RIGHT S
DESCRIPTION OF WORK
EXTERIOR WALL, %13CC0 ROOF
COVERING� Bi 111g COVERII
UBE OR BUILDING AND WORK TO BE
1
Residence
with attached garage
1 X6REBY ACKNOWlEC08 THAT 1 HAVE RE�� TM�B MPLIWTION
wno eiwie iwwr THE ABO i I�HRER�AG�O CAM-
PLY WITH ALL CITY ORDIN CE D 9TATE WB ULATINO
BUILDING CONBTRUCTION.
81GNATURE OF • i/ / O
'AUTHORIZED AGENT � Project Manager
ZONING
ZONE I NO. OF I USE OF New
PLANB BUILDING
LE6AL LOC H6 yLaCC 'If
D68CRIGTIDN
YARDS EVES
APPROVED ALLO
(C8NT8R LINE BTJ
p�_�
TXE AMOUM BXOWN UNOEP VALUATION I6 FON THE
PURP00E OF, EBTABLIBHING ♦ PERMIT FE6 ONLY.
VALUA710N 32 .OQ
PERMIT FEE $
$ I.O,SLS.00 pLAN CHECK $LO.00
iOTAL FEE g 4S.00