HomeMy WebLinkAbout635 PLUMER ST - Building PermitsPPOJECT RUOflESS: n � UNIT:
OWNEX'SNAME: 63S PLUMER ST
aooaess: SANDERSON EDWIN T �
635 PLUME�t ST
COSTA MESA,CA 92627
ANCHIENGMEEB:
AOOPESS:
PEG.NO.:
UNIT:
PEflMITTEE: PACIFIC COAST APPLIANCE ( 310 ) 324-8476
aooxess: 139 W VICTORIA ST
GARDENA CA 90248
LICENSEU CONTNACTOF UECLANATION: I hereby aliirm thal I am licensed unAer pmvi5ion5 oi C�aD�er 9(commencing wi�� $ection
7000� oi �ivsion 3 of the Business and Pmfession5 Co4e, an0 my license is in lull brte anU ¢Ileci.
ciivuc.: 060311 STRTELIC.:36264'2 i��j�/f�L/�§C
oa� —/-y 9y Signaiure ���i�_'�_�_ .��j�
WOPNEHS' COMPENSATION DELLAPATION: I hereby allirm ��a� I have a cehi�icate ol con5enl Io sell-insure or a certificaie of WOBers'
Compensation Inmrance, or a cenified coOY ��ereo� (Sectian 3800, Lab. C�.
eoucrNo.: NWC114009 E%P.UATE: OBIOLI94
comvaxv: GOLDEN EAG�E
� Cenifie0 cooY is �ereby Wmis�etl. Ceriified copY is �Aetl wi�� 1 ci uilAin D' isi .
� /— �/—Si� ppplicam: r
E%EMPTION FPOM WOFREBS' COMPENSATION UECLAflRTION: (This sec�ion neetl nol �e campleletl il lhe permit is for one hunOred (511p) or less�,
I cetlify Ihal in I�e pedormance o� �he work lor which this permil is issuetl, I shall no� employ any De�son in any manner so as �o Aecome
5u0�ec1 �o �he Workers' Compen5aiion Laws al Calilomia.
oate'. Signamre:
NOTICE: II. a��er making Ihis Oeclaralion, you shoWd become sublec� to the Workers' Compensation pmvisions o� ihe Labor
Cotle. yau mus� Iorlhwiih comply wi�h such pmvisions or Ihis permil shall be deemeG revoke0.
CONSTFUCTION LENOING AGENCV: I hereDy af�irm t0a1 ��ere is a con5imdion lending a0ency �or Ihe peAormance o� t�e work lor
which Ihis permil is i55ue0 (Section 3097. Civ. C).
LENOEH:
ADONE55:
OWNEB BUILOEP DECLABATIDN: I here�y a�firm that I am exempl Imm Ihe Contraciors' State License Law lor ��e followinp reason
(Sec�ion 7031.5 Business antl Pro�essional Coae: Any ciry of county w�ic� reQuires a permi� to conslmci, alter. impmve, demolish, or
� repai� any stmcWre, prior Io its issuance. also repuires Ihe applicant for such Dermil lo file a sipnetl statemenl lhal he/she is licensea
�, pursuani to the pmvisions ol the ConVacrors' State License Law (C�apler 9(commencinp vnih Seclion 7000) ol Ditision 3 al ��e 9usines5
' anE Pmfessions CoOe) or Iha� he/she is exempt therelmm anA Ihe Uasis lor the alleqetl exemplion. Fny violation ol Seclion 7031.5 Uy
any applicant �or a permit sublects ��e apPlicant �o a civil penalry ol no� more �han �ive hunOreO dollars ($500�.
I. as owner ol I�e pmperty ar my emplayees wiih wages as their sole compensation, wiil Ao the work. antl Ihe
❑ simcWre a not intenGeE or oflereG lor sale (Section 70a4. Busmess an0 Pmleuional CoGe: T�e Conlraciors' Slaie License Law
does noi apDly to an owner of a pmperty who buila5 or improves Nereon, an0 who daes suc� work himsEl�/�ersell or Ihmugh
his or her own ¢mployees. pmvitl¢tl I�al su[h impmvemenls are n0� in�enUeO or Otlered br Sale. II, �owever t�e buiiding or
impmvemenl is soltl wiihin one year o� completion. �he owner will have I�e burUen o� O�o�ing �e/she tlia no� �uild or impmve
lor �he DurpoSe o� 5ale�.
1, as owner of ��e pmperty, am er[lu5ively coniraciinp unth IicenseE conVaciars ro can5imcl l�e pwiec� (Sec�ion 704d, Business
❑ antl Prolessions Coee: T�e Canlractors' Slaie License Law does not appty Io an owner of D�opeM who Ouilds or improves ��ereon
and who conirac�s �ar such pmjecls wilh a coniraclor(5) license Oursuan� ta Ihe ContraclorS' Sta�e License Law�. I am aware
Iha� O�oOf ai Ihev WOrkei s Compen5aiian in5urante S�oultl be pmvitlea l0 me.
� I am exempl unaer Seclion: B. 8 P. C.
�of (hi5 rld50n:
�ate: Ownec
I Oo �ere0y cerlify I�a� I am awa�e ol anE unGer51an01�e repuiremenls al Calilamia Heal�� an0 Salery fqtl¢ Se[lions 25505, 25533, anG
255JA and ihat I ar any iWure Duilding accupan� vnlVwiO not (ci¢le ane) neee to compty vn1A Saia slale coUes antl Ihe repuirtments tar a
permn for consimction or moailicaiion Imm I�e Aii Oualiiy Managemenl Oisin[�. flesiden�ial tonstmc�ion applicati0n5 are exemp� �mm
iheie provi5ion5.
Daie: Ap0licam:
I here�y cer�ily t�al I �ave rea01N5 applicalion antl sla�e Ihai �he aDove inlormalion is correcl. I aB�ee io comply wilh all city antl covnly
ordinancesantl9atelawsrela�inglobuiltlingcon51mc1ionanAherebyaN�ar¢erepr emaiivesolt�iscirytoemerupont�eabave�mentioned
pro�pe�riy �orin5petlion D�urpOses.
Dal� �e'J � �Tl Signa�ure: y/���irf�
�
Orivef5 lit¢ns¢ or $ocial 5¢Curiiy
i6n��a6 W�ne—BuilOing; Green—Cotle En�orcemem: Canary—Applicam: Pink—Revenue; GdOenroO—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 065458 PLAN CHECK NO; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU
PERM NO: P 065458
GOVT: N SUPP: N
PURPOSE: ALT
JOB DESCRIPTION : DISHWASHER CHANGE—OUT . SQ FT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
�r****�r�e****�r*+t*�e*�t+r�r*�r��r�r�rx��r�r****�tit***�r+�********�*****�t�t**r*x�****�r***�t********x�
Z O N I N GS ERTEHgAUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FANT: FT IN REAR: FT IN
LEET; FT IN RGHT: FT IN LEFT: FT IN RGE[T: 'FT IN
PARKING REQ• PROV: PARCEL; 13942105 2NE: REF NO:
PLANNING NdTES>
> /
1f k 1F 1k it it fF iF if k k if itlf /t /f ff it ik i! iF if ik if k iE k iFlt ik if i! if iE fE 1f if 1f k ik 1f if 1f 1E if k iF k M ff it if if it if 7t fE M ik if k 1t if 1f ff M k k 1f if if 1F iE ik 1f if if if 1E
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 i S
�
ZONING APPROVED HY � DATE:
BUILDING APPROVED BY : �/✓I DATE:
APPLICATION ISSUED HY: � DATE: �
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ilkitifitifit1f7f1fiFiFlFifkiElfllikiF1F1f1fif1F1f�F1fif1flfifNlEM1E1E1EfEiEififffiffElfifMiFMifltMlfllkil1E1E1Eif1E1EiE1E�f1EiF 1f1EillEiEiliflfiflE
LEGALZZATION:N F E E �_S U M M A R Y STRUCTURA SEGMENT:N
BLDG PMT PLUMHING ELEC'fR'IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7,00 •
z5; SMIP/NON—RES
PLAN ,
ISSUE FEE 20.00
BUZLDING—DIV—> PEAMIT ISSUE PI;AN=CHECK TOTAL PAZD DUE
TOTALS----> 7.00 20.00 ' 0,00 27,00 27,00 ,00
REVENUE DIVISION TOTALS--> COLLEC.TED: 27,00 OVER/SHORT; ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00
.
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I N D I V I D U A L F E E B R E A K D O W 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
i y ;
� ,.��' �
ExPiR��
Incomplote Inspectioas
I���s �
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D1 �qi5;1?.}-0�1`3175 Ta� T 27,0�
DATE+ Oiiu4.�a4 i)I;E: 1+t�2
,
� CONS7RUCTION AND PLANNIIIG �`�
� AP�ROVRLS Permit+� Date
�_
POL _ d+ SPA
APPROVALS ?ernit �'>
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IUate I !^<pecto:
I ', Temparary E'ectncai Servme o� Nole, � � 52. Pooi & Eq��pmznt I: �� ������ - ��-�,
i�
i - - _ .
; 2. S� i P�pz.Und'g�cd. - '" _�_ 53. Steel ReinforceTt�rt � I
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3: /C_. �..a' Contlt t l,�' i.. �^c�grco_ I . o�rnc �
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'm,�kC,'nriCondmDLh7drr..::i. �•?f � I 55. E;ectrica'Bcrd�rq
� Pl .,.. 4 ,_- _' .l �_.""�--I , _-_ __ _-_ _ .--�
,.�t�. R.�nforcement• 56. Ra;.rh,��rur r° -.�r l,�t ^.
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�•-.tltcb nl UFEEkQ-^.d ' � 57. APPROV<� r` Cr� F u.(�� ', ' . �
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I-�ry�-Rf vrc; l"^ I I 53. E'wcv�ca; ^�,.,.u' ;n .' .� '--------- �
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_.� Fo��da!�on _-- - - - I 59. Cas P�pe, C� Ur�rq�� �� . T.;�, i -� ,
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10. Structural Floor Syttem ; � 61. APPROVAL TO UE CK � '
. : --- - '-- - ---'-- -� -- ---�------ �
11. Prnperty SewerY ine R Haesa wnnpct�on � 62. Bac:c.csh � R�ca;.. �' ---- -- --'- �
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. , � 63. Hecter & Vcnt�Fir, I
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� 14 Rough Plumbi�t6 ' I 65. Elecbical�F:n31 � I
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15. Rou�h E�ectncu�-Co^tl..�.: I � fifi. So:sr SVs::^'-!-�r� � ',
16. Rou�h Electric�Viring � i 67. Fenc�ng & Accvs Ai•n�a..�' ; i
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.51. CERTIFICATE OF OCCUPAR�C�'' , I
No. Da�e _
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�oonwavemtoca: 635 PLUMER ST
°"'"i4SNA1BK�`'": gANDERSON EDWIN T
'"�� 635 PLUMEIi ST
COSTA MESA,CA 92627
AGVI.IWIJNO AO�HE44:
�pCNRECT OAFNC�NFEX:
ARCH.OX ENO.'8 JWflE54:
UG NO.:
UNT:
UNT:
COMIiACTOR'9NAYE LYNCH 6 PI}(E ROOFZNG (719)871-8103
CORXACTMtBYYIlNO q34 WEST AMERIGE AVENUE
�o� FULLERTON CA ��= 403576
92632 uwT:
LICEN9E0 COMflRCTOP4 OECLAN�TON: I Mreby dlrtn wdv paWy d pujury Nu I un IcauaE wqer provhbm M CMp�r p
(mmmentlna �Mn S«iion ]000) tl oHeun 9 al iM Bumro ena Pminwro Coes. ud my keros b in Iu0 beee end Nfw.
cmuc.No.:O 36 9 uc.cuss: C39 uc.No.://d_�0�3576 EXP: 11/95
�ma: � C«rcner.��7/7�
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OWNEP BUILOEN �ECIAN�TION: I hasb� tllvm vMx peWy d prtjvy Uut I un wmp hom �M Cua'rlm lbnw law Ip IM
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u �bwae wmwu �o �M awi�m� a m. Caaremr. liceva lew f�Nr s(mm�mdno wnn seecn 1aoo) a oi.�ubn a d �M
BwiMaa eM Fdaniom Codel a INt M a dn o ssmmq Ihashwn end iM baim la tla eAeped memqion. Nr/ videtion W Sepion
]W t.5 � my epp5ceN la a pa�m uEpm Ns eppfrsm �o e dN peneQy ol nq mws �hm (xs hwWed do4n �SSWp.
❑ I.nowrcrdlMV�DMYani�TM�w�waP+mNsetlemmV�.�dothewark.endlhasWc9neenal'uqeMod
a d1ueE la eab (Sec�on'lOu. BuYnev and PmlwabnaGob: The CaNreuon lioamalaw Ema nd eGWY to en ownu d popsity
wb Wida a inOp+a� �lwsan. rd Mn dm� euM wh FnnrR a hrsd u Wwph hb rc Mr o.m a^C�N��. p�� �hN euc�
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wirerWilder xiA Mw �M EuNm al pewinp M a aM tl4 nal ddld a impwa la �he puryms W eeb).
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a�a.ac�. coee: rn. wvreeu. � i.. eo.. m mcN n e� o.,�. a nw�r.,ro aaa. o. nww.. m«w� .�d ..no
cmlrecn M wrA pqotle wuh e mNMot�sl �+�� W�aueN lo IM ConttetJns licetna lew).
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Deie: O.mor.
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epemialwmroiNnionamoEifimianhaniMM au�y arvqena�MGprid.Rmkemielmnvwioneppire�"vnersetempimm�hew
woN.wn..
Dme: �cd�:
WOHKEN'9 COMPENS�PON DECLANATION: I Mrsby eMmm uMr psnMy d perjuiy one d iM IWowi'p Eetlerelbns:
� I hnra ud xil mmniew a wnA�a d �mwu io �Ml+mins br wvken' canpsmvion. m pwkeE tor by Satlion 9)00 d Ihs LeEor
Gode, la iM peNamerce d tlw wak la which Ilus pemE u baueG.
� I Mw uM wil meimen v.Men' campevetion'unurure. n rpu'veE by Srlion ])00 tl Ne LaEa Coda. b �M pMamv�ca d IM
waF la which I�u G�n u iuuW. MY wttYare' mnPo�mtbn imwanw �enisr uN D��/ numEv era:
c�..:
Pd'ry Number:
(nl�f 6lCl.11ll IICI� /KK �O Cp11(I�IfI� /!/10 RM�ml9 i0I pp NCIdI04409GI0 �i1�� p/OL.�
� i cenN uw m in. w�«me�ca a ms .an w..n� inu v� e�,.e. i.n.e m smdw Nr v.� �.�v m.��e..o .. io
E«mw wbi a io iM xwYen• mnpemdian k�+s a Cal�amie. W Mt Y 1 YuuN w4a io iM wMen'
compe�i prw'u'/ d Swion J!W M tM leba CoM. I NN lonh py wdA Ocm .
Dete: I �/ Mv«+: I/�!/l
�
Wem/np: F�Uun m ueun woilew�i romqru�tlon cov�rp� l� unl� rl. �rW WII •/�ct ur wnploy.r ro crIMIW p�neltlu �nG
nw n�.. w ro wn nu�ane �rou..rd eww. !n W aooA a.eumn ro m. co.i o� m�ro�ran a.m.w u rovn.e ror �n
Sxtlon J106 0l M� laUorCotl�, Inhni4 ��4 ��mry'i Iw�
CONSTHUCIION LENDINO �OENCY: I Iwaby tlf uMa psuCy d pei�uy tAa Nra u e ovut�wfion bMirp ep«Ky br Uw
peAwmawe d �M waF M xhitl� Ilie pumi u uwed (Seaion ]041. Crv. C).
LENDEN'S N�IIE:
LENOEP'S ADDRESS:
I candY �Mt 1 Mw meC tM WNca�m ud pe� IMt tlw �Ew� "vdumNion u cortea.l ePb to camPN wnh eY aty eM camry adinencee
YM Ola�a laws �0101nY b dakM NtlttUmtn Md Mfab/ YNW¢! nV��alrva H �1Y NYb ONer uP'� �hG BDT<+MnIiJN! YW�Y
lor impaaion W�O���
GARY PIKE
Pma Nenw
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e W Onw/ raen
WMe-B ld�q 8 SNwY: OneirFb: Car�ery'-�CP�: Pink-Rerenw: GoNeneoE-Aaassa
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 075057
PERMIT NO: B 075057 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP 6 BUILT—UP SQ FT: 6,000
CLAIM VALUE: 6,000.00 CALC—VALUE: 6,000.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS RE�UIRED PER 91UBC, REROOF 370 ENCE /�p
*�*«��***�****�*****�+�+�+�+�**** ���+���x�*�*�����*x�*�**��*�* ���*��V�
Z O N I N G R E Q U I R E M E N T
SETBACKS REQUIRED
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT ZN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE(J: PROV: PARCEL: 42421216 ZNE: REF NO:_.
PLANNING NOTES>' '
i
IE iE iE 1E 1E fE 1E iE IE iflf iE iElE 1flE 1f if 1f 1E IflE 1E 1E if 1E if 1F 1E iE fE fE 1E iE 1E 1f 1E iE fE fE 1E 1E 1E if 1E iE 1E k 1E 1E 1E iE iE ik 1E 1E 1E iF iElE IE if 1ElE 1F iE if !E 1E iE 1E iE �E iE 1E if 1E iE if
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: "
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY; DATE; 1��'
iEiFiEiEiflFlfiflf�ElFiE1E1FiE1ElE1EiEiE1EiE�FTF3FiFiFiF{f3FifiFiF{F�FiFif�fifiF�FiF7F3F iF{F3F�F3fiFiF�FTF{FiEiEfflEiEiEiE�EiEi! 'IEIE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 81.00 60
PLAN SMIP/NON—RES
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 81.60 0.00 0.00 81.60 81.60 .00
REVENUE DIVISION TOTALS--> COLLECTED: 81.60 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81.00 .60
if ik 1E iF fE iE IE iE IE iE IE iF iE fE �E iE 1E iE 1E iE IE iF iE iE ik 1E If 1F fE 1F 1F 1F iF 1F 1F iE 1F if iF if aF 1F iE 1F 1E fE �E IE iE iE iF 1F If 16 i61E k 1E 1E 1F 1E IE IE IE fF 1F IE IF k iF iE ik if 1E iF iE 1f ff k
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 6000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 6,000.00
END�OF FEES
J! 091?,'P24 J:1�">' ' ae_ T 4�E:
�3ti�E= 1._..:�.'l� YTi''T. �i'e%J
av
� CONSTRUCTION AND PLANNING
qPPROVALS Permit #
' t. Temporary Electrical Service or Pote
=i -
2. $oil Pipe-Und�grnd.
J. Electrical Conduit Utility•Undrgrnd.
4. Electrical Conduit-Undrgrnd.
� 5. S�eel Reinforcement
�6. Electrical UFER Grnd,
7. Footings .
8. Foundation ^
9. Water Pipe�Undrgrnd.
10. Structural Floor'SYstem
t 1. Property Sewer Line & House"Co�nection
12. SCwer CaP �
13. Raof Orains
14. Rough Plumbing .
15. Rough Electrical-Conduit -
16. Rough Electric Wi�ing
77. Rough Wiring Sign .
18. Rouqh Electrical�T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory�Fireplace � , �
21. bucts, in Structure •
22, Ouctt, Ventilating ,
23. Gas Pipe-Rough & Test �
24. Roof �Framing • '�
25. Roof Sheathing � � `�
Z6. T-BarCeiiing (Strvctural) & Nlonocoat
27. Prame and. Flashing � ` i ,
28. Lathing & Siding � � -
29. Insulation ' •
� 30. Drywall Nailing � '
31. Pfaster Brnwn Coat . -
'32. Etectrical Power MeterFinal
-33. Ffnal,Electric .
34. Final Hea2ing & Ai� Conditioning
35. Finai GasPipe-Test .
36. Hood or Canopy ' - ' �
37. Final Factory Fireplace � _
� 36. Finai Plumbing '
39. Water Service-Final
.40. Gas Service-Final • . �
�41. Solar pomesticFinal '
42. Backflow Preventer �
43. Backflow Irrig2tion� . �� � �
44. Landscape Irrigation;System� - -' �
45. Ss�und Attenuation .� ' '^ , �
- -��
46. Handicap Fiegulations � . �
47. F{NAL STRUCTURE & Blf1lDING `
48. FINALPLANNING!^; �7't
49. Electric Release to Edisbn. •
50. Gas Reiease to Soutliern Cali(or�ia Gas C�
51.� CERTIFICATE OF O�CUPANCY
No. Date
POCr� & SPA
Date Inspector APPROVALS Permit #
52. Pool & Equipmenc Location
53. Steel Reinforcement
54. Forms
55. E�Cctrical Bonding
56. Fough Plumbing & Pressure Tes[
57. APPROVAL TO COVER�GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrg�nd.
61. APPROVALTODECK '
62. Backwasfi & Receptor•final
63. Heater & Vent-Final '
64. Plumbing System - Finai
65. Electrical-Finai �
66. Solar SVstem-Finai
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIRE DEPT. REQUIREMEIVT „
�. , APPROVALS Permit#
- 70. Under§round Hydro
' � .. 71. Produc[.PiPing � Gas � Oil
' � 72. Underground Flush �
; 73. Undergrnd. Storage Tank O Gas � Od
q- qs G!�/� 7q. Overhead Hydro
. ' 75. Dry Chemical
• 76. Dry Standpipe '
77., FIXEDSYSTEM�FINAL
78. FIRE PREV. FINAL -
' HEAGTH DEPT.REQUIREMENT
� 79. FINAL INSPECTION
80, FOOD CERTIFICATE ISSUED
Notes: �
(0 g g� (/J�"� ��� �rL/° �.Jtl.�"
!
bi i 91� c�v-.�.(�-��f,cwLY1�,:�i
.
r
�
Date (Inspector
i
�y �^�^ FnBRE CONSTRUCTION
`=� JOB ADDRESS 635 Plumer Street
GENERAL CONTRACTOR 'guccola.0
�� Ar'�o. 116-�53-08 LOT 4Q2
L SCTIONS
�SOIL
GAS �"n�
WATER(�qI�S I 27-7D"s�'y/�S
ROUGH p�NG
PROP. SWR. LINE [�'ROOSE CON.
SPqINKLING SVSTEM
MISCELLANE005
ROUGM NEATING AN� AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UN�ERGft0UN0 � POWER �
ROUGM W�RING
TRENCHES � FORMS STEEL REINF. �
FLOOR 5�STEM
FRAME ANO FLASHING
LATHING — IN OUT
PLPSTEft.BROWN COAT
5' TURqL, FINAL
H. AG. VENT., REFRIG. NNO A.C., FINAL
PLUM9ING, FINHL ANO GRS'TEST �
ELECTRIC, FINAL
BUIL�ING. FINAL
uAit 1-14-70
SUBCONTRACTOR
PERMIT N0. 3
ex W/At[. Ga
8.108.00
3i?51
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 GOSTA MESA, CALIFORNIA 92626
For AppliGant to FiU in Completely
BUILDING (J
AD�RESS U J%
OWNER � Q �
MAIL �� �
z ADDRESS
W�U /� TEL.
CITV �, NO
� Z Q
O N �NDERCflO � J S
am
J � BRANCH
J N
m J ADDRESS
J m APCHITECT TEL.
a OR ENGINEER N .
U N
w` - � �✓ �" vE .�.�
2 ADORESS
d W
J O CONTRACTOR L �'
m z D �'
J Q ADDRESS
Z F CITV Q �_����jl NOL.
w � STATE .�! CITV �� ��
j O UC. N0. V� i��3 LIQ NO. /�
S12E / NO.OF BLOGS.
OF LOT � �/ �J NOW ON LOT��
USE OF
E%ISTING BLDG.
� S12E OF G NO. OF
Z NEW BLDG D � ROOMS O STORIES �
U EXTERIOR WALL R�OF
COVERING COVEPING�
J USE OF VILDING ANP �'�'ORK T BE PERf RMED
a EZCJ � ,
a—
Q �1='��
0
�
N
Z
O
UI hereby acknowletlga t�at I have reatl this application antl state
� that the ebove informet�on is correct and agree to comply wlth
� all laws regulating b�ild��9 construction, antl I shall not employ
F any person in violation of the workman's campensstion laws of
y ffie S[axa ot Califomia.
zI hereby cerUty Mat I am Proparly licensed as a contractor untlar
[ha Stete of California Business and Professions Cotle, Divisicn 3,
Chepter 9, antl thet sucM licenses are in full forca antl eftect, or I
am exempt from Ne prO��sions of the Stata oi California 8 sinass
antl Professiont Code, Divisi 3, hapre � �
Signatura ot / 1 � � �
Permittee �'�
Authorizatl Agent
JAN 14-7�00 379+► *�*186.00
APPLICATION FOR BUILDING PERMIT
EI ED BV OliT� uf;D pA E ISS ED
� �� / /�/ O
N . 6-os --�a i
DING / � �
IF SS (p
TRAC�T �' •(� L�T� � BLOCK
1 A P
!ER .
�/ VALUE 1/O
. .n ;.� /i�.S/ki/,.ls s�J� �:
�
ZON NO.OF
)/ PLAN$
VARDS APPROVED
1
VAR. qW
E OF NI
LOIN
VAROS
FT.
BET. MAIN &
ACCESS. BLDCiS.
DATE
qPPROVED
s -T�
THEAMOUNTSHOWN UN
THE PURPOSE OF E5TABLISI
V ALUATION
PERM
� V� ID � � PLAN
TOTAI
NG
m
�
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4TION IS FOR �
AIT FEE ONLV: ¢
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