Loading...
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