HomeMy WebLinkAbout910 POWELL CT - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
lob Address: 910 POWELL CT
Suite No
Vicinity:
Parcel Nunmber: 4180831�
App�icant: NOCK,RON.� ��'
Address: 11612 KNOTf ST �
SUITE 17.', %. .
GARDEN GROVE; CA'
PLUMBING PERMIT
i
Phone: 714-895-1246 �,
Zip: 92841 .: �
Owner: FONES, MONTY AND NANCY
Address 910 POWELL CT
Phone:
COSTA MESA, CA Zip: 92626
Contractor:
Address:
Arch / Eng :
Address:
NOCK PLUMBING
11612 KNOTT ST �
GARDEN GROVE, CA
WATER HEATER CHANGE OUT.
ISSUE FEE � -
Backflow irrigation
BackFlow Preventer
Bathtub
Clarifer System � �
Connect Qce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT ` aTY
$23.50,^ .
$0.00 0
$0.00 0
��$0.00 � � 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
Phone: (714)895-1246
Zip: 92841
License: 707775
• _.: -' �
Phone:
Zip:
License: ' �
SCOPE OF PERMIT '
Laundry Tub / Washer "
Landscape Irrigation
P-Trep
Pressure Regulator
Process Piping (per 10 ft)
Receptors
Septic Tank
Sewer Cap for Demo
Sewer Connect
Sewer Private Line �
Shower
Sink, bar
Sink, commercial
Sink, Floor
Sink, kitchen
Sink, service/mop
Spa (private)
Spa (public)
�
$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
$0.00
$0.00
$0.00
$0.00
Status: ISSUED
Applied: 01/03/2002
I ssued: 01 /03I2002
ISSUED BY: � (/
_ r
Q� i
;�O:i��'�;.;�'- SumpPump
0 � Swimming Pool .
0 Trep Primer , ,
0 � � Urinal ' i
0 - . Vacuum �Brkr BkFlow(1-4)
0 Vacuum Brkr Bkflow(5+)
0 Wash Basin "
0 . � Wash Basin Set
0 Waste and Vent System
0 � Water Closet (ToileQ
0 - " Water Heater / vent
0 � - Water Piping (Inst or Rep.)
0 Water Re-pipe .
0 Water Service
0 Water Softener
0 OTHER
0 VIOLATION
0 PLAN CHECK
REINSPECTION
COMMENTS / SPECIAL CONDITIONS
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
50.00
$0.00
TOTAL CALCULATED FEES: $35.80
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiraments untler Califomia statutes and �elated
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a penod of 180 days.
INSPECTIONS: In order for ihe work authorized under this permlt to be considered legal, such work must comply with all applicable codes, and all
requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaaws �sroo�
WORKERS'COMVENSAnON DECLARAnON: . .. .
I �ereby aHirtn under penalry oi perjury one of ihe following declara�ions: � � � - _
❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provitletl tor by section 3700 ot the Labor Cotle, for the pertortnance of the
— /work tor which this pertnit is issuetl. .
{� ' have arW will maintain workers' compensa on insurance, as requiretl by section 3700 of the Le6or Code, for the pertortnance oi the work for which���hhhi�per �rt'i �'ssuetl.
My workers',co on Insuranc� e car �r and policy number are: i y� ��� (J,(/��: y-
Carnec � � � � PolicyNumh�r��-1 Q! C1
(This section need not be comp/efetl J the permit is va/ued et one hundred dollars ($700) or /ess.)
❑ I certify Ihat in t�e pertortnance of lhe work for which this pertn H issued, I shall not employ any person in any manner so as to becoma subject to tha workers'
compensation lews ol Califomla, a e that it I should bacom 6ject to the workers' compensatlon proNsions oi Sedion 3700 oi Ihe Labor Code, I shall torthwit�
comply with these pmvisions. ,�y� -
Applicant Signeiure: �L D t�� �� LJ �
WARNING: FAILURE TO SECURE WORKERS' COfdPENSATION GOVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED
hKK1SAND DOLLARE (5100,OOp). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATON:
I hereby aflirm that I am licensetl under ro� C— 9(� mm encing wit� Section 7000) of Division 3 of the Business and Pr ssio��and my license is in full
force end effect. Lic. B �� � Class N
Comractor's Signature: � Dete: � -� L �
_.�—�-
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that there is a construction lending agency for Ihe pertormance of �he work for which this permit is issueG. (Sec. 3097, Civil Code).
Lender's Name: Lenders Address:
Signe�ure:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby eNlrm Ihat under penalty ot perjury [het I am E%EMPT FqOM TME CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Proteuions
Code: Any ciry or counry which requires a Dermit to cons�ruct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant tor such permit
to file a signetl statement tha� he or she Is licensetl pursuant to the provisions of the Contractors License Lew (Chapter 9(commencing with Section 7000) 01 Division 3 ot the
Business and Profeuions Code) or that he or she is exempt Ihereirom and the Dasis ior the alleged exemption. Any violation of Section 7031.5 by any applicant for e pertnit
sublecis ihe epplicant to e civil penalry ot not more than tive hundred tlollars ($500).):
❑ 1, as owner ot Ihe propeny, or my employees with wages as their sole compensation, WILL DO TME WORK, antl the structure is not intended or ottered tor sale (Sec.
7044, Business and Professions Code: The Coniractors License Law tloes not apply to an owner of property who builtls or improves thereon, and who does such work
himsetl or herseN or through his or her own employees, providetl that such improvements ere not intendetl or oHeretl for sala. If, however, the builtling or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he or she ditl noi builtl or imp�ove for purpose of sale.).
❑ I, as owner of the pw0erry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prolect (SecJ044, Business end Pmfessions
Cotle: The contrectors Licanse Law does not apply to en owner of property who builds or improves thereon, antl who contrects tor such pmject with a wniractor(s)
license pursuani to ihe Contracmrs License Laws.).
❑ I am exempt under seC. Business end PmfesSions Code tor ihi5 reason:
Signatura: Date:
Owner ID verified by dnvefs license. ❑ Ves ❑ No Driver's Licensa No.
Vedticetion ot Ownership Dy (type of tlwumenl, I.e. � pmDerty tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I he�eby canify thet no eacavation ilve (5) or more feet in depih into which e person is required to descend, will be mede in connection with work fluthorized by this
permit, and that no builCing strucWre, sceflolding, falsework, or demolition or tlismantling thereot will be more ihan thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Califomia Aaministrative Code).
❑ As ownerbuilder, I will not employ anyone to do work which woNd require a pertnit trom the Division of Industriel Safety, as noted above, unless suc� pereon hes e
pertnit to do such work irom the tlivision.
Signature: Date:
Division of Inaustnal Safety Permit Number:
CER7IFlCATE OF COMPLJANCE AND AIITMORIZATION OF ENTRV: I certify under penalty of perjury that I have read this application end state ihat the information given is
cortect. I agree to comply with all state laws end ciry orGinances relating to builtling construction, and authorize representatives ot the Ciry of Costa Mesa to enter upon the
ebove-descJbed�p(operty lor inspection purposes. I agree not to occupy or allow xcupancy of eny 6uiltling authorized by this permit until finel inspec�ion.
COOE 1, INSPECTIONTYPE
1616 Fiaed System Final Fire Pravention
1266
200
201
202
203
204
Pool Spa Finel
Final Re-Roof
Final Blak/Retaining Well
Final Fectory Fire Place ,
Final Sign
Final Demolilion . , ,
j Y �,-�
' �Date
CODE 1 INSPEGTION TYPE
206 Final Mechanical
20B
210
212
220
Final Plumbing
Final Electncal
Finel Fire Prevention
final Planning Approval
222 Final Site
250 - Final BuildinyOccupency
� It�
�
�
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. ':.
i�
, �,�a,�'
TRACT N0. 10445
DATE February 25, 1980
LOT N0. 66
ADDRESS 910 Powell Court, Coata Mesa, California 92626
Development Services Department
Planning Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92626
Attention: Mr. Paul Dudley
Dear Mr. Dudley:
Please be aware that the undersigned are aware that a certificate of :occupancy
on the above referenced lot and unit is being requested prior to the entire
tract and its streets and co�on areas being completed and accepted by the
City of Costa Mesa.
BY_✓��l��L" � ����"�! �
(SZGNAT OF PURCHASER)
E1lzabe'th G. Hartzell
BY �QAn AITw�✓ �/L�eGT�%%%Qii't"O
( GNA OF DEVELOPC AND OR
AUT F ED RE RES� iPIVE)
�
BY
SIG A UR� OF LENDER)
V � :._ �J L � i� - �
�.��,� ,r 1�^•'1 c-,.•
FEB 2'r 1�$�1
AM PPA
'��8�9i10,11����1��,E�s���5i6
� CITY OF CCISPA MESA '
R�QUFST FUR OCQJPANGY
�.g�� Np, 10445 ��; February 25, 1980
IA,p �NO. , 6 6
p,png� 910 Povell Court, Costa Mesa, Calif. 92626
7he develcper of the above entitled tract desires'to sell the above set fotth
lot prior to the tune that the tract has been ampleted and its streets
accepted b� the City of Costa Mesa.
By exewtin9 this agreement; the undersigned acknvaledges that he/she/they
was/were advised that this tract has not been given final inspection nor has
it been accepted ty the City of Casta Mesa as having conQlied with the conditions
of approval which �ere i.nposed b� the City at the time the Final Tract Map was
approved.
The City assimies no liability for the enforcenrnt of the oonditions necessaty
for approval other than those conditions protected b� surety bond.
The undersigned agrees to inde��niLy and hold the City hacmless fr+an any claun
resulting in dart�ge or personal injury to the undersigned bf reason of the
aforenentioned uncaipleted condition(s).
BY ��
S' ature of Purchaser e
Eliz eth G. Hartzell
BY�,�� C�a-�.�c.� t1"D"i--�� �i
(Si ture of Devel r and or
authorized representative
BY
(Signature of Lender)
a/�9
�S'AY:C.:S.q?..alt r:; ;�
M1i„tii_ '
�.:."�.:.;�'�.�: ^3,
Iq
CO���IC .
PflOJECT AOOHE55: ] S O P�wELL CT
OWNEP'SNAME: BANK, WESTERN EINANCIAL
i nooxess: 5AV I NGS
23 �ASTEUR
j IRC'INE,CA 92718
;
ANCHIENGINEEN: flEG.NO.:
aooness:
UNIT:
uxir:
PE"miTrEE: BILT—WELL ROOF AND MATERI (719)739-1238
N�OPESS: 3310 VERDUGO ROAD
LOS ANGELES CA 90065
LICENSEO CONTflACTOX OECIAflATION: I hereby aftirm tha� I am Iiten5e0 under pmvi5ion5 oi Chapter 9(Commenting wiih $eclion
���I ol �ivsmn 3 0l Ihe Business and Pmfessions Cotle. an0 my license is in tNl �orce and eRecf.
c�Tvuc.: 034�n�y��F� srnTeuc.:q5g005 C l9 EXP: OS/95
Da�e: �/��/�l_� Si9nature: a
WOBKEflS' COMPENSNTION OECLANAiION: I hereby at�irm ceNlicate ol wnsen� b sel4insure or a tertilicaie o� Warkers'
Campensation Insurance, or a cerlilieA coOY �hereo� (Section 3 . Lab C)
Poucv No.: W 9 3/10 2 4 8 q E%P. �ATE: O% I I 3� 9�i
COMPqNY: CAL COMP
❑ Ceriifietl capy is here�y �umished. Q Cehilietl coDY is tiled wilh IAe ci�y Building Division.
�aie: Applicanl:
E%EMPTIONFHOMWOHNENS'COMPENSATIONDECLGNATION: (ihisseclionneeanotbecamplele4ifthepermilisforonehunArea�51W)orless).
I cetli�y Ihal in Ihe pedOrmante o� I�e wOrk lor whith IhiS permi� is issu oi em any Oeaon in any manner 50 as �o b¢come
sublect lo the Wo}d �rs' CampenSalion Laws o� Califomia.
oaie: 7�//�S� signature: �
NOTICE: II, ailer making thls tleclaralion. you s�oultl ecl to �he Workers' Compensa�ion provisions ol the Labor
Cotle. you must brthwil� cOmpty wi�� such pmvisions or �his permi� shall �e Oeemea revoked.
CONSTBUCTION LENOING FGENCY: I hereby a�firm ��at ��ere is a constmc�ion IentlinB agency lor Ihe peAormance o� the work for
which Ihis permit is i55ue0 �Sec�ion 3097. Civ. C�.
LENOEN:
RDOflE55:
OWNEP BIIILUEB OECUHPTION: I hereby affirm ihat I am exempl Imm �he Coniracmrs' State License Law for the followinp reason
�Seclion 7031.5 Business and Pmfessional Coae: Any ciry ol counry which requires a permi� to conslNc�, alter, improve, tlemolish, or
Bpair any structure. prior to i�s issuance, also requires Ihe aDPlicant br such permi� tofile a signetl statemen� Iha� helshe is licensed
pursuanllolhe pmvisions althe Conirac�ors' State License Law�Chapler9�commencing wi�h Sec�ion 7000�of�ivision 3 olthe Business
ana Pmiessions Code) or Ihai he/she is exempt therelmm and the Uasis ior the alleged eKemp[ion. Any viola[ion o1 Sec�ion 7031.5 Uy
any apDlicanl for a permit suhjec�s Ihe aDPlican� Io a civil penal�y ol no� more �Aan �ive hunOreJ dollars (5500).
I, as owner al the pmpeny or my employees with wages as lheir sole compensation, will Ao the work, antl ihe
❑ vmcWre is not imentletl or otlered for sale (Seclion 704a. Business and Pm�e55ionai Cotle: T�e ConVac�ors' S�aie License Law
tloe5 nol apply to an awner oi a pmperty who builtls or impmves ��ereon, and who does such work himSelfPoerS¢I� Or thmugh
his ar her awn employees, pmvidetl �hat such impmvements a�e no� intentlee or otleretl lor sale. Ii, however I�e builtling or
impmvemeni is soltl wilhin one year o� compleiion. Ihe owner will have ��e bureen of pmving he/she tlia no� �uiltl or impmve
lor Ihe purpose o� sale�.
I. as owner ot Ihe pmperty, am exclusively contracling with Iicense0 conirac�ors to constmct ihe pmlem �Seclion 704d, Business
❑ and Pmfessions CoOe- The Con�racmrs' State License Law does not aDPly to an owner of properry who EuilEs or improves ��ereon
antl w�o canlracis lor 5uch pmlecis with a contractor(s) license pursuan� lo Ihe Conirac�ors' Slate �icense Law�. I am aware
t�al proof o� their Workei 5 COmpenSalion insUrante ShoWd �e pmvided �o me.
� I am exempt unaer Section: 8. 8 P. C.
�Or Ihis reason:
Daie: Owner
I tlo hereby cenify Ihal I am aware of antl untlerstantl ihe requiremenis oi Cali�omia Healih ana Safery Code Seciians 25505, 25533, and
25534 antl I�at I or any IuWre building occupani will/will nol (circle one) neetl to comply with saitl slaie coAes an0 �he �eQuirementslor a
permit for conslmction or moai�icaiion imm Ihe Air Oualiry ManaBemen� OiSlricL Residential cons�mclian applicalions are exempi �mm
Nese provisions.
�aie: ApPlicanC _
I here�y ceriilythal I have reatl this application and s�ale Ihat
ortlinances an� sla�elawsrelalingio builAing conslNttion antl h
pmpeny lor inspeclion purp ses.
�a�e. _ �� �%� Signa�
is corrett.lagreeio ComDly wilA all Cily ana Counry
4��ive5 of ��is ciry to en�er upon Ihe above�men�ionea
�riverT Li[ense ar Sacial Security �
I6aPa6 W�ile—Bwltlmg: Green—Cotle Enlorcemenq Canary—Applicanl; Pink—Revenue; GoltlenroC—Assassor
CITY OF COSTA MESA — BUZLDING FERMIT
PERM2T NO: H 067946 PLAN CHECK NU: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
PERM NO: B 067946
GOVT: N SUPP: N
PURPOSE: O?A
JOB DESCRIPTION ; T/OFF 6 REROOF WITH COMP. & BUR IN BACFC SQ FT: 1,100
CLAIM VALUE: 1,100.00 CALC—VALUE: 1,100.00 GROUP OCC; R-1 /M-1
COMMENTS; SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM S HALLWAY
***�r*�*x*��c***********�c#**u*****�**������***���**+���*x**�***��r*�***����*x-�c�*r*�
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 HUILDING ---------- --------- ACCESSORY SUILDING ---------
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: 41808311 ZNE: REF NO:
PLANNING NOTES>�
� •�
+�+��-*�r*�***#+�+��rk+�x��***��t#x�+��-+�**-��r�r***�r*****+t******+�*-����***�r***�-�*+��r*-xae**�+c-**�+�*�-
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: -:r.
BUILDING APPRGC'ED BY : DATE: ''�
APPLICATION ISSUED BY: r7ii� LtATE; �
iElciFiElEiciFiFiFiEiFit3F#iF#FiEifiEiEiFiP . .ih . . ..kx� +r� ir �rt iE3E9EiC9EiE3FiEiElE ..r�y .�1--�
-iciEiEiFif�EiEiFiEN-9Fif�1E3Fi:3F�iE3EiFifiF�klEiEiEiFic#i(iEiEifiEiFjFX-if�iE1E3E1ciE9EiF*iEiEiFiFiE#iEdE.kiclE#3E�k#�FiF�fif�lE3:ifiF: iFiM1#1�"�FiE�YEiF
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27.00 ,50
SMIPlNON—RES
PLF�N
ISSOE FEE
BOILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 27.50 0.00 0.00 27.50 27,50 .00
REVENUE DIVISION TOTAL3--> COLLECTEL�: 27.SU OC'ER/S'HOAT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00 .50
iE iE iE iE iE 1ElE jF itl6 �lE iE 1f !E ic 1E fE 3E 1! 1E 1E iF 1E i(� iF 1E *�E fE fE #' iF lf iE �lE!!� iE iF it i4 iE iE iE it iklt 1E iE i! i! 1F �IE iE 1c iE iF iE jE ib # aE iF iE iF iF # iF jf iF iF 1E 1F iF iE it iE i! iF 1E
I N D I �� I D U A L F E E B R£ A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,100,00
END OF FEES
01 00163702-00163703 T�7�T ?7,;p
DATE: U7/11/94 TIt1E: IDal$
I�— �-���
CONS7AUCTION AND PLANNING POO. ;PA
�PPROVALS Permit # Date inspector qppROVALS Pe�mit �k Date I�spector
1. Temporary Electrical Servic�qt Po1e 52. Pool & Equipment Location t,
2, Soil Pipe�Undrgrnd. o: 53. Steet Reinforcement �;
3. EYectrical Condu�t Utitity-Uridrgrnd. 54. Forms f f.
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcemenc 56. Rough Plumbing & Pressure Test �
6. Electr�cal UFER Gmd. 57. APPROVAL TO COVER-GUNITE �
�
7. Footings 58. Eiectrical Conduit�Undrgmd. �� �
�
8. Foundation '-• ^�j 59. Gas Pipe, t7 Undrgmd., Test !� �
�
9. Water PIpe�Undcgmd. '(` '��` 6�. 6ackwash Lines, P-Trep, O Undrgrnd. ,.�� ` 1
10. Structural Floor System :,!� �+ i 61. APPROVAL TO DECK _�
11. Property Sewer Line & House�Connection '�.,' 62. Backwash & Rec2ptor�Final � j�;, �..'
12. Sewer Cap �'�'t r� 63. Heater & Vent-Finai ..+
73. Roof Drains 64. Piumbing System � final
74. Rough Plumbing 65. Electrica6Fina� �
15. Rough Electrical-Conduit 66. Solar SYstem-Final '
«'
16. Rough Electric W+ring 67. Fencing & Accets Approvai �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING %'
18. Rough Electrical�T Bar Ceiiing 69. POOL(SPA SYSTEP.7S FINAI. �
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Fough Factory Fireplace , APPROVALS - Permit � �
27. Oucts, in Structu�e 70. Underground Hydro
22. Ducts, Ventilatin4 71. Product Piping � Gas C] Oil
23. Gas Pipe�Rough & Tes; . 72. Underground Flush
24. Roof Framinq 73. Undergrnd.StorayeTank �7Gas ❑Oil
25. Roof Sheathing '7� �(�.irU �fwi�( 74. Overhead Hydro
I �
26. T�Bar Ceilin9 fSVucturali & Monocoat 75. Dry Chemicai
27. Frame and Flashing . 76. Dry Standpipe I
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation ' 78. FIRE PREV. FINA�
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinal 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: .
34. Final Heating & A�� Conditioning
35. Final Gas Pipe�7est
36. Hood or Canopy ' �
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service�Fina�
40. Gas Service-Pinai
47. Solar pomestic-Fina�
42, Backflow Preventer .
i
43. Backfiow Ir�igat(on
44. Landscape Irriaation System �
45. Sound Attenuation '
46. Nandicap Reguletions
47. FINALSTRUC7URE&BUILDING ���� ���j�- '
4S. FINAL PLANNING ��
49. Electric Release to Edison .�••
50. Gas Release to Southem California Gas Co "�
51. CERTIFICATE OF OCCUPANCY .
No. Date
�' ��% ' �� �'.1 � �
i
COSTA MESA BUILDING-SAFETY f
P.O. BOX 1200 COSTA MESA, CALIF
For Applicant io Fill in Comple[ely –
BUILDING �O �, A
ADDRESS //Q. ��� �
,,.�,,;�— ;�325 I/23/79 2G3.65 TL
�RTMENT gLDG. 4k 22
IA 92626
APPLICAT(ON FOR STRUCTURAL PERMIT
Ink Only
PECENED 9V � DATE FECEIVEC'� neTc wci�m
OWNER Biddle Development, Inc.
MAIL 3848 �SL3I Campus Dr. Suite 116
CITY Newport Beach, CA
CANSiFVCTION __,.
BRANCH
AOORE55
nrio�540-5505
ARCHITECT add Kelsey,Woodard N��'
OF ENGINEE� �
ADDFE55 180 Newport Center Dr. NB
CONTRACTOR Biddle Development, Inc.
ADORESS 3848 Campus Dr. Suite 116
arv p�,,,p,rr Reach.f rA No$40-55
STATE CITV
uc. No. g2g6614 LIC. NO.
SIZE NO.OF BLDGS.
OF LOT — I NOW ON LOT —
USEOF residential
EXISTING BLDG.
each unit. ara e.= sq. t.
Separate pernuts�are r�quired or
electric, plumbing and heating work.
USE OF BUII.DING ANO WpAK TO BE PEPFOFMEO
Unit ;k 65 (AI 1284sq.ft.
;� 66 (C) 1603sq.ft.
I hereby acknowletlge that I �ave reatl this applicaSion antl state
that the above intormation is correct antl agree to comply wi[h
all laws re9ulaiing builtling consVuction, antl I shall not employ
any oerson in violation ot the wotkman'z compensation laws rt
the Stata of Calitomia.
I hereby certify Nat I am properly licensee as a cantractor under
the Staie of California Business and Protessions Cotla, Division 3,
Chapter 9, and that such licenses are in tu�l forca antl effect, or I
am exempt from tha provisions ot the St CalifOrnia 0usiness
antl ProtessionsCade, Oivision 3, Ch .
Signatur �
Per1} .�—� f
Authotizetl Ageni
A.P. N
BUILOI
ADDF
OWNEfl
FIRE
ZONE
APPROVED
i �/p � —* �-N/'�T PERMIT NO.
�io 9�/ Poc� -
LOT BLOCK
A TER R PAIR M
� • ��
• VALUE �
1 W s
TYPE GFOUP
�ATE
NE �^ NO.Of
U vtlitv5
YAROSAPPqOVED
REAR F
DISTANC� BET.
ViAIN BLDGS.
VAF./F � G
C.U.P. � �L
APPRO`/E�!(v�
av
nOLD FOR 5
THEAMOUNT
THE PJRPpSE C
VALUATION
S ��I �� � QU
USE OF NEW,�
BUILDING
1VAR�SAPPROVED
WCCESSORV BUILDING
` FT.
9ET. MAI� &
.�CCE55. BLDGS.
DATE ,/O�/j � �/'
.4^PRC`./ED 0 /�
�A-F �f-�o- �9
REQUIr.EhtEN�ra.
� I�
n
m�
i
` O
�
_ $70 m�
N
VN UNDER VALUATION IS FOR m(/�
"ABIISHING A PERMIT FEE ONLV: � /
�MPERMIT FEE 5 a
H
� m
PI.AN CMECK S S o�,
TAX E �
a. 30 . �
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COSTA MESA BUILDING-SAFETY DEPARTMENT � -
17M /�/�CTA IIICC.� /�AI ICllO1�11A O7G7G
j3 �..� 6. # i.s
APPLICATION FOR STRUCNRAL PERMIT
.. . . .. .. .�-.. ..
REGEIVEDBV PERMIT
For Applicant to Fill in Completely — Use Ink Only O
BUILDING A.P. NO.
ADDRESS '
BUILDING
T�ENAN °R g�iddle Develo ment Inc. Aooaess
MAI LI NG UN IT O R
ADDRE55 SPACE NO.
TR.NO. LOT . BLK.
TEL.
CITY N2W OLC Beach CA N�' S O—SSO NEW ADD ITER REPAIR MOVING DEMOLISH
C-0NSfRUCTION .
LENDER
BRANCN
OWNER
ADDflESS - VAWE
ARCNITECT TEL. USE 5
OR ENGINEEF N
ADDRE55 ZONE TYVE GROUP
APPROVED
conTancro�iddle Development, Inc. ev DATE
ADDRESS
TEI.
CITY NO.
STATE CITV F�PPROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLOGS. (FROM GL STREET) -
OF LOT NOW ON LOT q M FT.
USE OF
EXISTING BLDG. I FT.
Separate permi[s are required for L. SIDE Fr.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED PLqNNING ACTION
onre
APPROVED
Permit - Tract 10445 �ROVED
1 heraby acknowletlpa t�at I hava raatl this epplieation antl see<e
mec m. above info�metion is cor�act anC a9tea io comply wlth
all laws reguloting builtling conrtrucHon, anA I shall not amploy
any person in violation of Me workman's compenaaiion Iaws of
t�e State of California.
I hereby certify that I am proparly licansatl as a conttactor untler SQ. FT.
tha Stata of California Busineu and Profeuions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOil
Chapter 9, antl that wch licenus ara in tull torce anC aftoct, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLY:
am exempt trom Me provi'ansof e ot California Business VALUATION
and Profeasiona Co , 1 isi hapte . PERMIT FEE S
PLAN CHECK S
Signaiura of
Permittae $ TAX � S
or
Authorizetl ABant ��8 TOTAL PA�D S 3
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