HomeMy WebLinkAbout106 PINON TREE LN - Building PermitsCOSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 52626
For Applicant to Fill in Completely -- Use Ink Only
LDING
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7802 10/27/78 111.96 fl.
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RECEIVED By D//IIrA))))E ,ggqqqq,,,rrrrrr'C -IVEU 1DATE
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OWNER Monte Vista Townhomes, Inc. A.P,ND fc:'i'z.•'dy.�
BUILDING
ADDRES /, / 1 ,
MAIL X901 Dove St. #225 ADDRESS".t/i
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CITY Newport Beach N�'52-5071 TRA
CONSTRUCTION EW A D ALTER EPAIJ
BRANCH
ADDRESS
ADDRES!NeM
CONTRACTOR
ADDRESS
TEL
CITY NO.
STATE CITY
LIC. NO. LIC. NO.
SIZE NO. OF BLDCS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowledge that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
1 hereby certify that 1 am properly licensed as a contractor under
the State of C. rnia Business and Professions Code, Division 3,
Chapter 9, a t t such licenses are in full force and effect, or I
am exempt f n e provisions t he Sta a of California Business
and Professi ivision 3, r 9.
Signature of
Permittee
Authorized Agent
FIR
RYPROVEDI1 I�l. DATE It0'Z /,) A
:2PLANS
NO. OF
2_
USE OFNEW�'
BUILDINGRDSIAPPROVED
F
YARDS APPROVED
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AIN BUILDING
ACCESSORY BUILDING
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FRONT FT.
FT.
B. S T.
FT.
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DISTANCE BET.
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MAIN BLOBS.
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DATE
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l'HE AMOUNT SHOWN UNDER VALUATION IS FOR Do
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY;
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$ 63/ ?OV TAX E
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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill iuICtmlpletely — Use Ink Only
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BRANCH
ADDRESS
ARCHITECT
ADDRESS
7931 10/30/76 21500 Ti.
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APPLICATION FOft'S&URRAI�.-PEAUT IA
RECEIVED BV I DATE RECEIVED nATC lcgnpn
BUILDING
ADDRES7
FIRE V
ZONE
APPROVED
(0-k
PERMIT NO.
Ihereby acknowledge that I have read this application and state
that the above Information Is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
am exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
Signature of
Permittee
A.:,�orized Agent
n
—
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TEL.
w
NO. OF
USE OF NEW
NO.
PLANS
BUILDING
CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO.
IN BUILDING
ACCESSORY BUILDING
$
NO. OF BLDrv.
(FROM C(L STREETI
TAX $
NOW ON LOT
FT.
FT.
DG.
FT
kEXISTINGBLDG.
[AWROVEO
parate peID1ItS 8(e re(IUI(ed f01'
FT.
FT.
ectric, ptum6ing and heating work.FT.
FT.
ILDING AND WORK TO BE PERFORMED
CE BET.
BET. MAIN &
LDGS.
ACCESS. BLOCS.
6
DATE
46
APPROVED
ED
Ihereby acknowledge that I have read this application and state
that the above Information Is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
am exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
Signature of
Permittee
A.:,�orized Agent
n
—
w
i
b
SO. FT.
w
THE AMOUNT SHOWN UNDER VALUATION IS FOR
m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
PERMIT FEE $
v
m
PLAN CHECK $
$
O
0
LL
f
TAX $
U
TOTALPAID $
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MLSA, CA 92528
PLUMBING PERMIT
Job Address: 106 PINON TREE LN
Suite No
Vicinity:
Parcel Nunmber: 43917229
Applicant: HAUER, JACK
Address: 9911 LARSON AV
Phone: (714)530-2440
GARDEN GROVE, CA Zip: 92842
owner: MACNEIL, RITA
Address 106 PINON TREE LN
Phone:
COSTA MESA, CA Zip: 92627
Contractor: A-AMES PLUMBING & HEATING
Address: 9911 LARSON AV
Arch / Eng :
Address:
GARDEN GROVE, CA
Phone: (714)530-2440
Zip: 92842
License: 250307
Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER CHANGE -OUT.
1 WATER HEATERA/ENT.
AMT
ISSUE FEE
$23.50
Backflow irrigation
$0.00
Backflow Preventer
$0.00
Bathtub
$0.00
Clarifier System
$0.00
Connect(Ice,Soda,etc)
$0.00
Dental Units
$0.00
Dishwasher
$0.00
Drain, Floor
$0.00
Drain, Rainwater
$0.00
Drain, Roof
$0.00
Drinking Fountain
$0.00
Expansion Tank
$0.00
Gas Earthquake Valve
$0.00
Gas (1-4 outlets)
$0.00
Gas (Over 4 outlets)
$0.00
Gas Repipe
$0.00
Gas Service
$0.00
Interceptors (Grease, Oil)
$0.00
Interceptors (Sand Auto )
$0.00
QTY
Status: ISSUED
Applied: 08/28/2000
Issued: 08/28/2000
ISSUED BY:
FEESUMMARY
AMT
QTY
AMT
QTY
Laundry Tub / Washer
$0.00
0
Sump Pump
$0.00
0
Landscape Irrigation
$0.00
0
Swimming Pool
$0.00
0
P -Trap
$0.00
0
Trap Primer
$0.00
0
Pressure Regulator
$0.00
0
Urinal
$0.00
0
Process Piping (per 10 ft)
$0.00
0
Vacuum Brkr Bkflow(1-4)
$0.00
0
Receptors
$0.00
0
Vacuum Brkr Bkflow(5+)
$0.00
0
Septic Tank
$0.00
0
Wash Basin
$0.00
0
Sewer Cap for Demo
$0.00
0
Wash Basin Set
$0.00
0
Sewer Connect
$0.00
0
Waste and Vent System
$0.00
0
Sewer Private Line
$0.00
0
Water Closet (Toilet)
$0.00
0
Shower
$0.00
0
Water Heater/vent
$12.30
1
Sink, bar
$0.00
0
Water Piping (Inst or Rep.)
$0.00
0
Sink, commercial
$0.00
0
Water Re -pipe
$0.00
0
Sink, Floor
$0.00
0
Water Service
$0.00
0
Sink, kitchen
$0.00
0
Water Softener
$0.00
0
Sink, service/mop
$0.00
0
OTHER
$0.00
Spa (private)
$0.00
0
VIOLATION
$0.00
Spa (public)
$0.00
0
PLAN CHECK
$0.00
REINSPECTION
S0.00
0
TOTAL CALCULATED FEES: $35.80
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
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 period 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
24410 (800)
DECLARATIONS
WORKERS' COMPENSATION DECLARATION:
I hereb inn under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued.
My workers' compensation InsuranCO carrier and policy number are:
Carder: Policy Number:
(This section need not be completed i/ the permit is valued at one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with the a ovisions.
Applicant Signature: Date: (n �T iii. C) SIO
WARNING: FAILURE TO SEC E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL RNES UP TOONE HUNDRED
THOUSAND OOLLARE ($100, , IN ADDITION TOTHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full
force and effect. LIC. x Class it
Contractor's Signature. Date: B '4:�% If I D C
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractors)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this
permit, and that no building structi scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
..........................................................................................................................................................................................................................................................................................................................................................................................
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Haelth and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
................_..................._............................___............._................ __... _............................ _... __......................... ___....................... __._................................................. _.... __.......... _................. __............ ......... __....
3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ No
Cction 25534 of the Calitomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire
artment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
...................................................... .._........ ..................-.............................. ................ ....... ..... ......... ._....... ......................._._.............................._..................................................................._-........................................_..............__.........._.
4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No
...........................................................................................................................................................................................................................................................................................................................................................................................
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication a errnil for such construction or modification
LJ
from the South Coast Air Quality Management District or from any other air pollution control district or agency? L) Yes No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
........................... ........... .......................................... ...._..................... ........................................................................................ .......................................... ....................................... .................. ........................... .... ...................................
...................
6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ NO
(If ryes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
............................................................................................................................................................................................................................................................................................................................................................................................
7 If apermit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Ves ❑ No
_..._...................._�_...................ific............—........................................................._._.................cont_...offi................_........................................................_..............................._.................._................__....................._...
8 (II yes', attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
0 Signaturef Legal Owners) d� r ,�D_ae
And/Or Authorized Applicant c/`���/ Date
CODE P. INSPECTION TYPE BE II11ID945 CODE INSPECTION TYPE gA¢ INITTI•ELS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical
201 Final Block/Retaming Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
r
PROJECT ADDRESS: 106 P I NON TREE LN UNIT:
OWNER'S NAME: MACNEIL RITA
ADDRESS: 106 PINI TREE LN
COSTA MESA,CA 92627
ARCNIENGINEER: REG.11I
ADDRESS: UNIT:
PERMITTEE: NOCK PLUMBING (714)895-1246
ADDRESS: 11610 SEABOARD CIR
STANTON CA 90680
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. an y Il cense is in f ce and effect
00-1
C.): 050386 STATE LIC.: 51197: CLASS: -36 EXP: 02/95
(� � Signator
RS' COM�PIEYNO�N RAT104N: hereby a Irm that lhave a llrt3 0 lc consent to sell -insure or a certificate of Workers'
sation I s e it ,e t py thereof (Section 3800, Lab
NO. STATE EXP. DATE:
COMPANY:
❑ Certified copy is hereby furnished. E� Curl co Is file with the city Buil D.1;dran.
Applicant:—�
ION FROM WORKERS' CO ENATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less).
I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become
subject to the WorkersCompensation Laws of California.
Date. Signature:
NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3D97, Civ. C),
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure, prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the ContfaCtors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the
❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
1. a, owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7D44, Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contraclor(s) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Nealth and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Cosby Management District. Residential construction applications are exempt from
these provisions,
Date: Applicant:
hereby certify that I have read this application and state that the ab a information is correct. I agree to comply with all city and county
ordinances and state laws relating to building construction and h y note repro lives of this city to enter upon the above-mentioned
;y�'�Oty Ipr %inspection purposes.
G� �J
Signature:
Liver's License or Social Security a:
1641,46 Winne—Builduni Green—Cotle Enforcement: Canary—Appl¢ant: Pink—Revenue; Goldenrod—Auessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 070057
PERMIT NO; P 070057 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE; PLU PURPOSE: OTH
JOB DESCRIPTION : CHANGE OUT OF DISHWASHER SQ FT:
CLAIM VALUE; CALC—VALUE; GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
Z 0 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 BUILDING---------
_FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN P,GHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ; PROV; PARCEL; 43917229 ZNE; REF NO:
PLANNING NOTES>
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
BUILDING APPROVED BY
APPLICATION ISSUED BY;
LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
PERMIT 7,00
25%
PLAN
ISSUE FEE 20,00
DATE:
DATE:
DATE:
STRUCTURAL SEGMENT;N
SMIP/RES GRADING
SMIP/NON—RES
BUILDING—DIV—> PERMIT
ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- > 7,00
20,00 0,00
27,00 27,00
.00
REVENUE DIVISION TOTALS-->
COLLECTED:
27,00 OVER/SHORT;
,00
BLDG PMT PLUMBING
ELECTRIC MECHANIC
FIRE SMIP/TOT GRADING
PLAN—CHECK
27,00
I N D I V I D U A L F E E B R E A K D 0 14 N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 DISHWASHER 7,00 7,00
END OF FEES
EXPIRED
incWOOte Irsct
pe'ar4
I66 J�e, 1 �
�Lg ...i
01 00172503-00172503 T O T 27.40
DATE: 11/29/?4 TSYE: (3:40
r
CONSTRUCTION AND PLANNING
APPROVALS Permit# Date
Inspector
POOL PA
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
6. Electrical UFER Grnd,
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
8. 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 Sev.ver Line & House Connection
62. Backwash & Receptoi-Final
12. 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
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68, APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19, Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70, Underground Hydro
22. Ducts, Ventilating
71. Product Piping OGas ❑Oil
23. Gas Pipe -Rough & Test
72. Underground Flush
24. Roof Framing
73, Undergrnd. Storage Tank OGas ❑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
Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
39. Final Plumbing
39. Water Service -Final
40. Gas Service -Final
41. Solar Domestic -Final
42. Backflow Preventer
43, Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co',
51. CERTIFICATE OF OCCUPANCY
No. Date
TRACT NO.
LOT NO. 43
CITY OF COSTA
REWEST FOR OCCUPANCY
DATE: December 10, 1979
ADDRESS 106 Pinon Tree Lane, Costa Mesa, CA 92627
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
By executing this agreement, the undersigned acknowledges that he/she/they
was/were advised that this tract has not been given final inspection nor has
it been accepted by the City of Costa Mesa as having complied with the oonditions
of approval which were imposed by the City at the time the Final Tract Map was
approved.
The City assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
afore entig)0 p
lupcQnAeted condition(s).
1A LCITY OF CCST4 '4ES,A
P� . •u ,r . -. B5
DEC i 1979
PM
AM PM
B1
MERCURY SAVINGS AND LOAN
/. MICHAEL STERBENTZ,
SENIOR VICE PRESIDENT
4/79
ASSOCIATI authorized representative
LIFORN FEDERAL SAVINGS & LOAN ASSOCIATION
(Signature of
� )
Richard A. Gaunt, Assistan Vice President
i V rlml