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HomeMy WebLinkAbout609 PLUMER ST - Building Permits(7�a) �sa-sv3 • Fan (�ia) 75a-aess • www.ci.costa-mesa.�{�LDING PERMIT n FAIH UHNE, GOSIA MtSA, GA 926'26 JobAddress: 609 PLUMERST Suite: Vicinity: Parcel Number: 42421221 Applicant: REDI ROOF Address: 1423 WALMAC PL FONTANA,CA Owner: LUJAN, RAMON V TR Address 19442 NORTHSTAR LN HUNTINGTON BEACH, CA Contractor. REDI ROOF Address: 1423 WALMAC PL FONTANA,CA Zip: 92337 Arch : Address: Zoning: Phone: 909-357-3281 2ip: 92337 Phone: Zip: 92646 Phone: 909-357-3281 License: 641947 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 12/05/2003 Issued: 12/OS/2003 ;i Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXIST. 2 LAYERS OF COMP, INSTALL 1 LAYER 15 LB FELT AND 30 COMP. SHINGLES. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 � $3,200.00 $3,200.00 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, 72-21-92) EXPIRATION: This permit shall automatically expire and become void iF work is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 1 BO 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 end final epprovel must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 tabfi-48(6/00) WORkEqS' COMPENSAnON DECLARATON: � ' - � 1 hereby eHirtn untler penelty ot perjury one ol Ihe following declarations: -� � ❑ I heve and will malntain a certificate o� consent to self-Insure for workers' compensation, as pmvided for by section 3700 of the Labor Code, lor Ihe pertortnance of t�e - work to� which ihi4 pertnit is issuetl. � I have and will maintein workers' compensetion insurance, as required by section 3700 of the Lebor Cotle, for ihe peRormance of the work for which this permit is Issued. My work_g�s' cpmpe ion Insuranca camer entl policy numCer are: ?� /� Carner. �'�tiiC "1� PoliryNumbar. i D 2' 1' 2a�� (This section n�etl not be comp/eted A the permiNs velued at one hundred tlollars ($100) orless.J -- ❑ I cenify that in tha pedormance 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' compensa�ion lews of Galitomia, and egree Ihat If I should become subject to the workers' compensation provisions oi Sectlon 3700 of Ne Lebor Code, I s�all forthwith comply wi�h these provi�\ _ Applicent Signe�ure: d �U---� Date: i21 �� a 3 WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL $UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES l/P TOONE NUNDRED THOUSAND DOL(ARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAhNGES AS PROVIDE� FOR IN SECTION 3708 OF TME LABOR COOE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby afllrtn Ihat I am Ilce e untler� Prppsions of Chapter 9(commencing with Section 7000) of Oivision 3 of the Business end Professlons Cotle, end my license Is in full force antl eHec6 �c. x= �9y� � Class k ^ Contrecrofs Signawre: Date: 11� � 'D3 CONS7RUCTItlN LENDING AGENCY: ❑ I hereby aKirtn �hat ihere is a construction lending agency for the pertormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). � Lantlers Name: Lender's Atltlress: Signeture: Date: OWNER-BUIL�ER DECLARATIONS: I hereby eflirtn that unCer penelry ol perjury ihat I em EXEMP7 FROM 7ME CONTRACTORS �ICENSE LAW for the follawing reasan (SecJ031.5, Business end Professions Cotle: Any ciry Or county which requires a permit to consiruct, alter, improve, demolish, or repeir eny siructure. prior to its issua�ce, also requires tha eppliwnt tor such permit to file e signed btatement thet he or she is licensetl pursuant to the pro�sions of the Contractors Llcense Ww (Chepter 8(commencing with SecNon 7000) of DlWsion 3 of Ihe Business end P�ofessions Code) or that he or she is azempt iherefrom and the besis for the elleged exemptlon. Any Wolation ot Seciion 7031.5 by any applicent for e pertnit subjecis Iha applicant to e civil penelry of not more Ihan five huntlred dollars (5500).): ❑ t, as owner ot t�e property, or my empbyees with wages as ihair sWe compensation, W ILL DO SME WOAK, and tha strudure is not intandad or otteretl for sale (Sac. 7044, Business and Professions Code: The Contractors License Law tloes not epply to an owner of property who builtls or improvas Ihereon, and who tloes such work himself or hersel( or ihrough his or her own employees, provided lhat such improvemenis are not intended or oHeretl for sale. If, however, Ihe building or improvement Is sold wi�hin one yeer of completioq the owner�builder will have iha burden of proving that he or she ditl not build or improve for purpose of sale.). • ❑ I, as owne� of lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, Business and Professions Cotle: The contraaors License Law tloes noi epply to an owner of property who bullds or Improves Ihereon, antl who contracts for such pmject with a comrector(s) license Dursuam to the Contractors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID veriFietl by tlrivefs license. � Ves ❑ No Business end Protessions Code br �his reason: Verilicetion oi Ow�ership by (type of tlaument, i.e. - pmperty tax bill or Oeed): Dnvels License No. Date: Eapires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby c�rtify Ihat no excavation fNe (5) or more faet in dep�h IntO which a person Is required to tlescend, will be matle in connection with work euiho�ieA by Ihis permit, and ihat no 6uiltling siructure, scettoltling, talsework, or Aemolition or tlismantling thereof, will be more than thirty-Six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle 8. Celifornia Atlministrative Code). ❑ As owner-builder, 1 will not amploy enyone to tlo work which would raquire e pertnit Irom tha Division ol Intlustriel Sefery, es notetl ebove, unless such persan hes e permit to do such wOrk irom ihe division. Signawre: Date: Division of Indus��al Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I cenity under penalty oi perjury that I have read ihis epp�ication and state Ihat the infortnetion given is correcL I agree to comply with ell st�te laws end ciry ortlinances relaiing to building cons(ruction, end authonze representatives of the City ol Costa Mese to enter upon the ebove-described properry tor inspection purpaaes. I egree not to occupy or allow occupancy of any building authorized by this pertnit until finel inspection. Signature Ot Legal Owner(s) � Date � �---- Li S a 3 And/OrAuthorized Applican� Date GOUE �. INSPECTONTYPE 1616 Fixetl Sys�em Final Fire Preven�ion tt68 200 201 202 203 Pool Spe Final Flnal RB-Rooi Final Blo�k�Retalning Wall Finat Faaory Fira Plece Final Sig� 204 Final Demolition P� Ui�945 e� fs1�% ?�' COOE 1 INSPECTION TYPE 208 Final Mechenlcal 208 Final Plumbing 210 Final Electncel 212 final Fire Preventlon 220 finai Planni�g Approval 222 Final Site 250 Final Building�Occupenty PAIE 1[{�ALfi AOV���ant �o�fill in all s0aees ezce0� tnose within neavy Gortler Iines ana si9n a11 aDVropriale Oeclarations. cirv_OP�cOSTA M�^S,n� yxrONSv,T}/,p'l/U/rY�TIO MIT . � Y V�! !�W"' � roject Address Applicant's Mailin ddress / Owner's Name Phon //��� Address �� 7 �Ty�-� D 7ldE� 2 Arch/Eng. License No. Address Conlrocror's Name ' Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm lhat 1 am licens¢tl untle� D/ovi5ions ot Charter 9(commencinq wi[h sectlon ]000) of Oivlsion 3 Of tho BuSiness antl Professlons Cotl¢, antl my license is in /ull force antl eHect. � 'License Class License No. Date Signature �� WORKERS' COMPENSATION DECLARATION iereby ai(irm ihat I nave a certiticate of consent to selbinsure or a certificate Wo�ke�s' Compensation InsuranC¢, Or a ce�tlfletl coOY the�eof (Section 3fl00, Lab. C.) . Policy No. Company i BCertitietl copy is hereby fumishetl. Certitietl copy is filetl with Ihe dty Builtling Division. '�, Date APPlicant �I EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ��, (Thissection neetl no[ be compleletl if Ihe permit is for on¢ huntlretl (E100) or less). I certify tha[ in [he Oerfo�manCe of Ihe wo�k fo� which t s permR is lssuetl, I shall not mpl y any per5on in any�����su�(he Worker lion Laws of Calit Date S�9nature �NOTIC : If, ft aking this tleclarabon, y0u s�OUltl become Sub�e[t [o the Warkers' Comp¢nsalion ptovision5 of [he 12bo� Cotle, you must torthwith comply with such provisions or this vermit shall be tleemetl revoketl. CONST0.UCTION LENDING AGENCV 1 nerety affirm lhat there is a construclion lentling agency for the pertormance of [he work fOr whicn thi5 permit is issuetl (Section 3097 Civ. CJ l.en0er'S Name Lenaer'S Atltlress OWNER BUILDEH DECLARATIOfJ I hereby af/irm tltat I am eaempt 1rOm [he Contrac[o�'S LI<en5c Law for the following reason (Sec[ion 7031.5 Business antl Professional Codo: Any city or munty whicn requires a oermit to construct, alter, improve, tlemolish or repair any structure, pAo� to it5 issuance, alm require5 [he applicant tor such permit to tile a signetl statem¢nt tM1at he/sne Is Iiten5e0 pur5udnt t0 the O�ovi5ion5 of �he Contractor's License Law (Chapter 9(commenCing with $eCtion 7000) ot `Ivision 3 of the Buslne55 and Prote551ons Cotle) o� lhat ne/she is exempt ierefrom antl [he basis fOr the all¢getl exemp[ion. Any violdtion of Section ,031.5 by any applicant for a Pe�mlt Subjects the applicant to a civil pe alty of noi more than five huntlred tlollars ($500). I, as owner ot tbe prOp¢rty y PN Y" �� �3 '"""""�dle -- - �_�'� ^•ill tlo the wo�k, antl the structu�o is not Intentled or Offeretl for sale (Section ]044, Busin¢ss antl Professional Cotle: The Contractor'S license Iaw tloes nol apply to an owner of a property who builtls or improves thereon, antl who tloes such work himselt/herself or through hls or her own employees, providetl (ha[ sucM1 improvemonts aro not In[entletl Or ollered fOr Sale. If, however, Ihe builtlinq o� imp�ovement is soltl wlthin ona year of Com- pletion, tbe ownet will have lhe burtlen of proving he/she tlitl not builtl o� Im- prove for the purpose of sale). ❑ 1, as owner of Ihe property, am exclusively contractin9 with licensetl con- tractor5 [o construct the projec[ (SeCtion 7044, Busine55 antl Prole551ons Cotle: The Contractor's License Law does not aPP1Y to an owner of property who builtls or improves tnereon, antl who conVacts for such projects wlth a con- t�actor(5 license pursuant to the ConVacfOr's LiCenze Law�. I am awar¢ that proof o� tM1el� Worker'S Compensatlon Insurance shoultl be provltletl to me. ❑ I am exemot untler $ection BAB, P. C. /or [nis reason Date / Owner " �� 1 herebv certi chat I have reatl h s aoP�ic tion antl state that the above inspectlOn pwp Siqnature Orivers' Licenze or 55 , ��,�.,. a� � ....... . -- -- - .,,.. , ,.,,. TYPE OF CONSTRUCTION NEW ADO ALTERATION REPAIR ❑-CONVERSION ❑ DEMOLISH ❑ OTHER q,p, �6 OESCRIPTION OF WORK/USE OF BLDG. S Main Buildin9: E TVPE OF PERMIT GaaoWG FOUNDATION S7aUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear ❑ OTHER PROJECT DESCRIPTION Sq. FT. oCCUPANCv C Right K CONSTRUCTION TVPE VALUATION 5 g l¢ft 20NE GRADING CU. VOS. ACRES p�ng. Ref. # 0.emarks: Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Orinking Foun[ains Floor Drains Floor Sinks Gas Service Outlets Inrerceptors Q./ Occ¢% Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee Boiler Duct - Under Ground Duct - Strucmrel $15 Exhaust Syscem ❑ Multiple C Firepl/Fact.Blt.IC80# � Heating System & Ducting. � �0�100,OOOBTUO100,OOOBI R'PLa�nT-r peinspeccion Fee $15 CMF 0865-46, rev. ]0/84 White - guiltling: Canary - ApO�lcant: Pink - Accountlnq; Goltlenrotl - Assessor PLUMBING Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater . Water Service ' A uto-W ash Laundry Treys Isue Fee Hood or Type I ❑ Canopy Type II ❑ Refrigeration System ❑4100,OOOB7U ❑100,OOOBT System Repair/Alteration Fire Dampers Registers � Issue Fee FEES $ 3 $ 3 Automatic Washer Construction Pole S� Cookin9 Unit Dishwasher Dryers ❑Gas ❑EI Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0-5 KW a1 6915 I/07/66 2one Accessory euilding: - Parking Req./Provided ELECTRICAL ' Transformer ❑ 15-SOKW ❑ 50+KW Metef ❑up Lo 100 amps Meter ❑over100amps Sub Panel Motors�P7 HP �1X-8 Inc.Solar 09-15 HP �16�15+ Microwave '� Pole Light Range I I' Standing Sections 5-15 KW � Trash Compactor " 144Q" TL FEES Z O N I N G R E Q M T $ Reinspection Fae �$15 Issue Fee $ 3 � DEVELOPMENTSERVICESRE�UIREMENTS: �Zoning Approved By Date Building Approved By Date��j Appliwtion Issued By Date—J�(L� SUMMARV OF FEES BUILDING PERMIT $ SMIP $ —� PLANCHECK $ � PERMIT � PIUMBING $ � ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ �.. PLAN CHECK 50% $ MICROFILM $� <, MECHANICAL $ � TOTAL FEE $ �,� PLAN CHECK 25% $ � �ONSTRUCTION AND PLANNING PO� SPA � APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector i �'1. Temporary Electric2l 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, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Recepior-Flnal 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains 64. Plumbing System - Final 14. Rougli 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 78. Rough Elec[rical-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 Struc[ure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush .24. RoofFraming � 73. Undergrnd.StorageTankOGas ❑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 Sc Air Conditioning /��. �� / /�G �.� < d o��, mo 35. Final-Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing , - 1`d0j�/� 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer _ 43. Backflow Irrigation 44. �Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations •47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed '�.49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � No. Date AOP���ant to fill in all soaeas except tnose within neavy EorCer Ilnas ana si9n all apPrao/�ate eeclarations. I oF COSTn ME A ONS UCTION PERMIT . oject Address �� Applicant's}vlaili A ess %�� Y� Owner's Name P Address .Arch/Eng. License No. Address Contractor's Nam ' Phone Address (mailingl City License No. LICENSED CONTRACTOR DECIARAT�ON I hereby af(irm that I am liGansetl untla� p�ovisions of Chdrtet 9(commencing with SeGtion ]000) Of Dlvlsion 3 OI thq Business antl Prof¢sslOns Cotle, anC . my license is in full for<e ana eftect. Lic¢nse Class Llcense No. Date Si9nature "�ORKE0.5'COMPENSATION DECLARqTION ereby aftirm thaf I have a certiticate o� consent lo selt-insure or a cerUilcate Workers' Compensation Insurance, Or a certlfleC copY �hereot.($ection .f800, Lab. CJ Policy No. Company BCertified copy is hereDy (umishea. Certi/ie� copy is filetl wltb the city BUiltling Dlvision. Date AppliCant EXEMGTION F0.0M WORKERS' COMVENSATION OECLARATION (This zection neeC not be cOmpletetl il Ih¢ permit is for one huntlretl (§300) or less). I certify that in lhe performance oi the worl for w, ilch this perm�t is issuetl, I �, shall not e ploy y person in any mann so t. ecome subject to the Worker n ws of Californl Date Signature 'NOTI . f, afte making this tleclaratlon, ou shoultl Oecome subject to the Workers' ompensation provisions of lhe Ldbor CoOe, you mu5t for[hwith comply with such provlsions or [bis p¢�mit SM1all be tleemetl revoketl. CONSTRUCTION IENDING AGENCV I he�eby af(irm that there is a Cons[tuction lentling ag¢ncy for Ihe perPormance of Ihe work for which this permit i5 ISsuetl (Sectlon 309] Civ. CJ Lentler's Name ' Lentler's Htltlress OWNERBUILDEH UECLARATION I her¢by atfirm Ihat I am exempt from the Gontractot's License Ldw Po� th¢ following reason (Section 7031.5 Bu51nQ55 antl Professlonal Cotle: Any ci[y or counly which �equire5 a pe�mit to cOnst�uct, altCr, improve, tlemoll5h or repaP a v svucture. orior to its is5uance. also reoWres [he aoDlicant for such permit ile a si9netl statement tha Con[racror's LiCense Law ision 3 of t�e Business a 'efrom and the Dasis for t 1.5 by any applicant f alty of not more than Ilve I, a5 owner ot the D�op �p�wce!'�ew-�will ao tne wo Sd�2 ($CCSI00 J�44� BO51 :n5e Ldw tloez nOt aOP�Y � �eon, antl who tloes TUGh �loy¢e5, provitletl that suc . It, however, lhe builtlin '.ion, the'owner will have t ve for the purpose ot sale). I, as owner oi lhe propert bWltls or Improves tne�eon, tractor(s license pursuant�to- proof o� Ihei� WorkerY Co ❑ I am e%empt untler Sectlon have t he/sho IS IICCfISBd PWSOdfII l0 Lt1E P�ovisions oi (Chapter 9 (tommencing with Section ]000) of ntl Pro/e55ipn5 Cotle) or that he/she i5 exempl he allegetl exemptlon. Any violation ot Section or a perm�i subjects the applicant to a civil huntlretl tlollars (E500). erty �o le rk, antl tne structure is not intentletl or o(teretl ne55 antl Pro(e55ional COtle: The COn[factol's O an ownet of a properry who builGs or imprOv¢5 work him6elf/h¢rsoH o� Ihrough bls or h¢r own h improveinents are not intendetl or oftere0 for g or ImOroyament I5 soltl within one year of Com- he burtlen a{ proving he/she tlitl not bulltl or Im- y, am exqusively <ontractln9 with Iicensetl <on- Ct (5¢C[IOq 7044, BUSine55 dntl PrOfe55iOn5 COtl¢: q tloes not apply to an owner o( properry who antl wh0 cont�act5 lov such proj¢cts with a mn- the Contractor'S Llcense Law). I am aware that mpen5ation Insurance shoultl be provlaetl to me. w�. B. ddJ/9. G for this reason TYPE OF CONSTRUCTION LJ NEW LJ ADO LI ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑�OTHER p„p, �6 DESCRIPTION OF WORK/USE OF BLDG. S Main Building: � E TVPE OF PERMIT' GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL I�.PLUMBING ❑ MECHANICAL A Rear ❑ �OTHER C Right PROJECT DESCRIPTION Sq.F7. oCCUPArvCv K. 'CONSTRUCTIONTYPE VALUATION$ g left ZONE- GRADINGCU.VDS. ACRES p�ng.Re(.# Remarks: . Planning NOtes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwdsher Orinking Fountains Floor Drains Floor Sinks Gas Service Outlets Citchen Sink Lavatories � . ' �—Trap . Roof Dreins � Reinspec[ion Fee $15 Boiler Duct-UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ 0100,000 BTU O t 00,000 BT . I sentatives ot mi ty e er upon the above-mentlonetl pr arty �� inspectlon purpo Signature ' Da[e �� - Driveri' license or 59 � _ ����� _- CMF 0865-46, rev. 30/84 White - Builtling; Canary - Appllwnt; Pink - Accounting; Goltlenrotl - Assessor $15 Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank $wimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Laundry Trays � Issue Fee Hood or Type I ❑ Canopy Typell ❑ Refrigeration System 00.100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES $ 3 $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher � Dryers �Gas ❑Elec Fan " F.A.U. � Fixtures � - Device Boxes Outlets Switches Garbage Disposal Generator 00�5 KW C Fee Zone Req./Provided ELECTRICAL Transformer ❑ 15=50KW— ❑ 50+KW 5KW $15 Meter ❑up to 100 amps Meter �over100amps Sub Panel Motors�0-1 HP 01Yh-8 Inc.Solar �9-75 HP �16�15+ Microwave Pole Light ' Range Sign ' ! Standing Sections Trash Compactor Issue Fee FEES $ 3 2 O N 1 N G R E Q M T S DEVELOPMEN7SERVICESREQUIREMENTS: Zoning Approved By �ate Building Approved By Date Appliption lauad By � Date� l� ' ' SUMMARV OF FEES • ' BUILDING PERMIT $ � SMIP $ ' PLAN CHECK $ PEFMIT PLUMBING $ � ��UANCE $ � PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GflADING $ PLANCHECK 50% $ MICROFILM $ �- (�%� MECHANICAL $ TOTAL FEE � $ � •� PLAN CHECK 25% $ . TL NSTRUCTION AND PLANNING P�� SPA � APPRI�VALS Permit # Date Inspector qppROVALS Permit #, Date Inspector ':1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement � " � 3. Electrical Conduit Utility-Undrgmd. � 54. Forms . 4., Electrical Conduit-Undrgrnd. 55. Electrical Bonding � .� � 5. Steel Reiriforcement 56. Rough Plumbing & Pressure Test .� 6. Electrical UFER Grnd. 57. APPROVAL TO COVFR-GUNITE 7.,Footings' 58. Electrical Conduit-Undrgrnd. • 8� Foundation , 59. Gas Pipe, 0 Undrgrnd., Test 9.:Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System �' 61. APPROVAL TO DECK . . - 11. Property Sewer Line & HouseConnection � 62. Backwash & Receptor-Final 12. Sewer Cap � 63. Heater & Vent-Final I �� 13. Roof Drains 64. Plumbing System - Final r 14. Rough Plumbing .65. Electrical-Final � � 75. Rough Electriral-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. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - . 20. Rough'FactoryFireplace � APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating �� 77. Product Piping O Gas ❑ Oil � � 23. Gas Pipe-Rough & 7es[ � 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank 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 38. Final Plumbing • �I��� 8 39. Water Service-Final � 40. Gas Service-Final ' 41. Solar pomestic-Fina� 42. Backflow Preventer . 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations ' ' � ' 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed 49. Electric Release.to Edi'son` ' . 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOF.00CUPANCY No. '. . � Date .. , R, JOBADDRESS bO V DATE MIT NO. G ?RALCONTRACTOR M37C W. Pooe._Snc, VAWE $ ZOpOOO.00 �oT 1�02 (See Legal) a�ocK TRACT Npt. Mesa Res. & Att. Gyrage . GROUP I TVPE V ZONE RLl FIREDISTRICT 799 PEflMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR • DATE NUMBER Footing Trench . y.- � � Foundation Forms and Grade to Garane Plumbing, Rou Plumbing, Rou Temporary Pol Wiring, Rough Heating, Rougl Heating, Final Se•�—• �'L —t�'--� S� Tank or Lathing ' Plastering Plumbing, Fin. Plumbing, Fin: Fixtures Complete :% � � Final F� _ _- �_ Y'orm 210 C-H lAt I2-69 (�osta Mesa Building Department APPLICA7L'ION FOR PEKMl� ''-'�� '�_ 111 EAST 20th STREET �gg g U I L D�� N G � COSTA MESA, CALIFORNIA � -� FOR APPLICANT TO FII.L IN 1' OR O++ CE USE ONLY -I Rec� o. � Permit No. Building . � ` naaress 609 Plumer St l T Costa Mesa, Ci&�IiOTIII& Recefved by Date Rec'd. Date Isaued Nearest �l _>�_ Sw crosssc. Anaheiu� Building G J� Address � � / -�✓ -ti7 Owner R. L. i:iC Ca r S Cost Mesa, California Mail Address +i�% pO1Sa h`V@ .,n Nearest Tel. " '" Cross St. c�cy IQew�ort Beacri rvo. LI 8-22= Zone� . I No.of I Type ✓ i Group� Architector ' �io. � Plans Engfneer No. ApprovW n 6v � % . Ilolai 1 �l_7 contrector !,iax v'J . YoOe inmo. 1D1:; L,.!/ / � nddress �t07 BOlsa Av2. , riB Decr�ption I No��L I B�ock I7.Q�1�i0SH � ' i (Attach Metesand Bounds) over No. ot Bldga Size ot �ot �7 2X135 Now on �ot 0 Useof No.of No.of Existing Bldg. � Famliles Rooms Setback Line from Rear Vard ��1 Centeroi3tl'eet 7� SldeVard � � DESCRIPTION OF WORH - New I X I Akeratlon I I Addition I - . r(1(�C �dd� Repair I I Moving I I Demolish I 9uilding No. of ze 1:s50 sq' pooms 6 Stories 1 xterfor Wall t Roof Covering stucco Covering co���po ApPROVAI.S Use of New Building r85 & BLt,�Ch, g8T', �FoundationLocation I�specto Forms, Materials, � � Under•Pinntng • • Frame: Fire Stops, Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to rnmply Lath. Ext. with all City Ordinances and State Laws regulating building construction. , Signatureot R. L. i.,C,, 7S Plaster,lnt. Permittee +�+dh ' p0' e � C. Plaster, E�ct Authorized Agt. / � Mawnry Reinforced Valu,ation t� B Permit Fe $ �. Plan Check $ 3�- Bond Beam p �. $ /p/� Feea� S .�"� �' (o�l"/� FINAL cncu ona n_u 4M 3-St �—�I A —� —Z �i . . ,�� . . _ �, � y' — ��;� o _ �- ' - � � : - � . .. ; ' � � �— I .. .� � . � �' - Street ' � , ' ' - • ' ' � . . i ' ' ' _' ' _ ' " " ' . _ .. ' . '�' " .. .. —,—. - � PLOT PLAN . �. . , 'Show locatlon and,distances from � � � "�� ' � ..' _ _. � - ... , �� _ ; property line and betweeNtiuildings. .. .- . �,�r� � � . , r ' ' _ . .+ ' . ' __ _. _ The 5'Jest�r.ly .57.6�- faet of the Eastarly 3c0,.�0 faet - � of lot' 402'; New;;ort .s;esa Tract as sho�ti�n ori�a map thereo:.,, re- j'--,".;•-C"orda,d,-.in,Eoo�C 5, Page_l�of ��:iscella�eous.I.iaps, records •of. Qrar.ge Cour.ty, Galifornie., exce��ting tnerefrorn the Southerly ; 165.00 feet and ttie _Ilortherly 30.00feet. .�. ri � - - + ' ,. -- ' - - - �