HomeMy WebLinkAbout669 PLUMER ST - Building PermitsAVDlicant to fill in ali spaees exeeot inose witnin heavy Dortler lines ana sign all approoriate tleclaratlons.
; CiTv oF COS7��S� C�;S; RUC`cTl� PERMIT
� . Project Address
Applicant's Ma" g Add ess _ ��+���p�
Owner's Nart/}e_ 1� r � Phone 1.4+LLr4J.1�
Address W�n� �`VN>� �
Arch/En9. —� License No.
Address
Convactor's Name P n�e(
Address Imailing) , � ���� V � �1•
City License No. � q� _
LICENSED CONTRFLTOR DECLARATION
I hereby affirm [hat 1 am licensetl untler provi5ion5 0( Charter 9(commencing
with Sec[lon ]000) of DlviSion 3 ot the Business antl Prot¢s5ions Cotle, antl
my license is in full fo' e tect. �(�n.�.�l
Uce Clas{� � ense J����d�
Date�� ` ' S'g t /7'�'l.�
WORKEPS'COMPENSATION LARATION
hereby a/firm that I have a certi(icate ot mnsent to self-insure or a certiticate
,f Work¢rs' Compen5a[ion Insurance, o� a certifietl COpy [hereof ($ectlon
3800, lab. C.)
I Peolicy No. Gompany
Certllietl copy is hereby /umishetl.
Certlfletl capy is (ilea with tne city Builtlin9 Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Tnis section neetl not be completetl it the oermit iz for one huntlretl (E100) or
less).
I certify lhat In tbe performance of the work for whict this perm�l is Issuetl I
Slldll !10[ CfflplOy dl1�/ pCl5011 �fl d dOOEI 4) d5 O ECO s ject ro(I�e
wor � �[},on Laws ot for '.
. DateN�7! $i9natur¢ � •
`NOTI E: If, aiter making this tleclarati , you shoultl becom bject to the
Workers' Compensation provisions o he Labor Cotle, you must fortbwith
comply wilh suCh provlsions or thiz permit shall be,tleemeE revoketl.
CONSTRVCTION LENDING AGENCV
1 hereby aitirm Ihat there is a construction IenOing agency fo� the perfOrmance
of the work tor which this permit is issuetl (SeC[ion 3097 Civ. C.)
lPntler's Name
Lentler's Atltlress _ �
OWNER BUIIDEN �ECLARATION �
I hereby aftirm that I am exempt from the Contractor's License Law for the
followin9 reason (Sectlon ]031.5 Husine5s antl Protessional Cotle: Any clty or
wunty which r¢qulres a permil to con5truct, alter, improve, Cemolish or repalr
any struclure, orlor to its issuance. also requires the applicanl (or such permit
to file a Signatl Statement that he/sM1e is licensetl pursudnt to [he provisions of
the Contractor'S License Law (Chapter 9(commencinq with Section 7000) of
�ivi5ion 3 ot lhe Busine55 antl Professwns Cotl¢) or tbat he/She is ezempt
herefwm antl [na basis for the alleqetl exemption. Any violation ot Section
/031.5 by any applicant tor a permit 5ubject5 the applicant to a civil
�endl[y of not more Ihan five huntlretl tlollats (E500).
I, as owner of [he prope�ty or my employees with wages as their Sole
compensation, will tlo Ne work, antl the structure is not intentletl or otteretl
fOr sale (Section 7044, Business antl Protessional Gotle: The Cont�actor'S
LicenSe Law tlOes not apply to an owner of a p�operty who builtls or Improves
th¢reon, antl who tloes such work himself/herseli or tnrough his or'M1er own
employee5, provltletl lbat such improvemenK are not intentletl ol ofleretl 10r
sale. It, howev¢r, IM1e builtllnq or improvement is soltl wilhin One yea� ot com-
pletioq tne owner will have the burtlen of proving he/she aitl not buiitl or Im-
�rove for the Ourpoze oi sale).
I, as owner oi the o�ooerty, am exclusively contracting with Ilcensotl con-
tlacloR to constfucl the project ($ection ]044, Business antl Profe55ion5 Cotle:
'i The ConVactoYs License Law tloes not appty to an owner ot property who
builtlz or improves thereon, antl who conVacts for such projecti with a con-
tractor(s) license pursuant�to the Contractoi'i License Law). I am aware Ihat
proof o( [heir WOrker'S Compensation insurance shoultl be provltletl to me.
❑ I am exempt untler Section , B. & P. C. for this reason
Date Owner
Signature �
Orivers' Lice e or 55
CMF 0865-46, rev. 30/84
itl this application antl state that the above
comply with all tlty antl county ortlinances
ng construcHon antl hereby authorize repre-
r upon the above-mentionetl propertyetor
oate —��-0
� .. _ `-' �
TYPE OF CONSTRUCTION LJ NEW IJ ADD LJ ALTERATION LJ REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG.
TVPE OF PERMIT L� GRADING LJ FOUNDATION LJ STRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PRWECTDESCRIPTION S4.F7. oCCUv.arvCV—
CONSTRUCTIONTVPE 'VALUATION$
ZONE � GRADINGCU.VDS. ACRES_
Remarks:
Sink
Preventer
Irri9ation
Drinkin9 Fountains
Floor Drains
Floor Sinks
Gas Service Outlels
Interceptors
Kitchen Sink -
Lavatories �
P—Trap
Roof Orains
Reinspection Fee � $15
Duct - Under Ground
Duct - Strucmral
Duct - Ventilating
Ezhaust System ❑ Multiple ❑
Firepl/Fact. Blt. IC80 #
Heating System & Ducting
❑6100,000 BTU � 100,000 BT
Reinspection Fee � $15
.__ .__ ._ ._ _—_ -___.__ ..
Wnite - 8uiltling; Canary - Applicant; Plnk - Accounting; Goltlenrotl - Asseszor
0
Showers
Service Sink �-
Sewer Cap
Sewer Connec[ion
Solar Collectors
$olar Piping
Solar Tank
Swimming Pool w/Spa .
Urinal
Water Closet
Water Heater
Water Service -
A uto�W ash
Leundry Trays
laue Fee _ $ 3
FEES
Hood or Type I ❑
Canopy Typell ❑
Refrigeration System
Oaioo,00aeru ❑ioo,000ar
System Repair/Alteration
Fire Dampers
Registers
Issue Fee � $ 3
A.P. �
S Main Building:
E
T Front
ARear
C Right
SLeft
Ping. Ref. #
Planning Notes:
Accessory Building:
Parking Req./Provided
ELECTRICAL
Automatic Washer Transtormer ❑ 15-50 KW
ConstructionPoleSub. � �50+KW
Cooking Unit �
Dishwasher
Dryers �Gas ❑Electric j
Fan �
F.A.U. � •
Fixtures
Device Boxes
OuUets
Switches
Garbage Dispoul
Generator �0-5 KW 05-15 KW
Zone
Meter LJup to 100 amps
Meter ❑over700amps -
Sub Panel
Motors�4lHP�lY:-8 '
Inc.Solar �9-15 HP �76-15+
Microwave
Pole Light
Range
Sign
! Standing Sections
Trash Compactor
Fee �$15 � � luue Fee
DEVELOPMENTSERVICESREQUIREMENTS:
2oning Approved By
Building Approved By �
Aooliwtion Issued Bv
FEES
S 3
2
O
N
I
N
G
R
E
�
M
T
S
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING S � ISSUANCE $
PIAN CHECK 25% $ ENERGV P.C. $
ELECTRICAL $ - GRADING �$ �
PLAN CHECK 50% $ - MICROFILM $ —Ty�—�/��
MECHANICAL . $ TOTALFEE $ �-�"
PLAN CHECK 25% g
q; ' ' i:S.. T��I;L� �J+
,�
CONSTRUCTION AND PLANNING POI._, S SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspecmr
7. Temporary Electriral Service or Pole . 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgmd. - , 55. ElecTrical Bonding �
5. Steel Reinforcement 56. Rough Plum6ing & Pressure Test �
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE '
7. Footings _ 58. Elecxrical Conduit�Undrgrnd.
. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test
- 9. W2ter Pipe-Undrgmd. �� 60. Backwash-Lines, P-Trap, � Undrgrnd. �
10. Structural Floor System 61. APPROVAL TO DECK
11. Prpperty Sewer Lin`e.& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap � 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
tA. 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
i
18�- Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL
19,i�'Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20r'Rough Factory Fireplace APPROVALS Permit # �
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Ga5 Pipe-Rough & Test 72. Underground Flush
24. Roof Freming � 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Shea[hinq 74. Overhead HVdro
26. T-Rar 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
3P'Plaster Brown Coat 79. FINAL INSPECTION
3Y�Electriral Power Meter-Final 80�FOOD CERTIFICATE ISSUED
33. Final Electric Nntes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hoad or Canopy .
37. Final Factory Fireplace , �
38. Final Plumbing �
39. Wa4er Service-Final ,
40. Gas Service-Final � � � � �
41. SoISr pomestic-Final ' � . , . _
42. Backftow Preventer �
43. Backflow Irrigation � �
44. Landscape Irriqation 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 . � ' -'
f
No, ' Date ' '
.uoa�ssoceu��o�r,c: 669 PLUMEIt ST
w^+ERSN�EiF�vr+: CARMEN CAMBRERA
�ooxess: SAME
�va�. �wuNc woness:
�wcxrtecr ox etnwffn:
ARCN.ONENG.'S AOONE55:
uNr: g
uc. xo.:
UNT:
coNmecrarsxu.�e: MICHAEL CLEAVINGER ( 714 ) 565-9525
caNm�croxauuuxc 2085 PLACENTIA AV
ADDBESS: C. M. CA uc. ra.: 5 9 4 9 2 9
92627 uxT: 4
LICENSED CONTPACTOflS �ECLAN�TION: I Mreby ell�m uMer panely ol perjury Ihet I em Icensetl uMer prwiabns d Cl�apier 9
(mmmena ih Seclion ]000) d Divieun 3 of Ihe Bueineea enA Prdeeeiona Cp� e„e my r��„ u m mn i«�, ,oe m«�.
cmu.No 052066 uc.cuss: C36 yEN� /59,9929 EXP: 12/96
� OWNjII BUILDEN DECUflATION: I hereby effiim under paneAy d perNrY Ihm I em examq honTljie ConVwon Liceme Lew ta tha
'Sllv6vp reeson ($etlion )0315 Busneve enE Profexione Code: Rny cily a counly v.hid� isquiM e peimu lo conslmtl, eller. improve,
mdeh, w ropei eiry eliucWro, prior lo ns uauence, deo rpuiroe �M epWi�nl fa wch permil to Rle e eqroE awameM tlut M a oM
licenaed WA�� �o Ihe Oromiona d IM ConVedon Limnae lew �Gheqm e(mmmendip wilh Setlion ]WO) d D'v'vion 3 d tlr
� Ouainaw end PrMessbna Code� or thet M w ehe ia e�mp ihselmm enE Ihe beeia for the dlepsd examption. My vule�on M Seaon
I)031.5 by eny appliuni lor e permil aubppe �he eppl'raM to e avil panally d iwt more Ihen iNe �uMreE Edlen [5500]).
� I, es oxner d Ihe propeMy or my empbyeu x'ah wepea m Ihe'e ple campeneelbn, xill Eo ihe wak, enE tM Miuclum o�wl intended
or aNered br eele (Seclion ]D00, Buvinm enE Profasaiona Code: The Coniretlon Lkenu Lew doee mt eppty Io en owner W propaity
wM Wide w'vnpiavae iheieon. eM xfa doee such xwk IimeeM w Mnetl w ihrouph hb a her own smpbyem, potiEed thet such
imD�emenU era ria intenEeE a dlaed Im eeb. M, howmar, Ihe buikin0 a inqwemenl ia aok wiNin ais yaer at oomdhun, iM
owrierbuiWer xill heve the buNen M O��inp ha or eM diE nd builE or Improvs lor Ihe WRae M eele�.
❑ I. m oxirr d �M piopery. em eRduwely mnVedip with liamed conVaabn lo wnWud �M pqod (�� )�. �i�� uM
Pmleaeione COEe; TM Con�redon Licanae law Eon �wl eppy io en ovmer al propeity x1a Wild� a imqwm Ihaeon eiM who
conlrecb for wtli prol�e wilh e conlrecl0r�a� licenfod W n�e�l lo �he Conlretlae �Idnea Lew�.
� I un eumq uMar Soctbn: B. 8 P.C., br I�ia reewn:
Da�e: Owner.
I Eo Mroby cenity iMt I em ewvs of aM uMoniend tha rpuiramanp ot Calilomle Heellh uM Selsry CaEa Sed'wn� 25505, P553�, eM
25530. eM ihel I m eny INun W Ikinp ocwpeM will / will not �dreb om) nsed Io oompty wYh eaid �We coda� vW iM rpulromenh br
•PormXtttmrWruclionormodifictlionhantMAi ue3T�ly.er�a0amsnt0inritl.RwidmlWmMNpionVVtmtbmenmemqimmihxs
qovieione.
Oels: �pplicant:
WONKEfl'H COMPEN9�TION DECL�NATION: I Mrsby affirm uMar psndly d px�ury ar d Ih� blloxi�p Eadutlbn�:
� I hew uk MI mdmM e cenHhats d oonrm to ��Hanwn for xak�n' comp�nW M, u provldW lor py bstlbn 3)00 d tM Lebor
CoM, br iM peRormerica d IM woA Iw which ihM pxmX b Iwuad.
[] I have enE witl mdnlen worken' mmpenWbn imurenu, u iaquirotl by 6eqbn 3100 d �ha lebor CoCs, for �M psrlormanos d tM
]t wwk tw which Ihl� permil l� ia�od. MY wpksre' mmpenWbn Inwreze rerti�r W pdiry numbm ar�:
c.�+«: STATE EXPIRES
PolicyNumbx: (ldf�.—Qf�f1t�1TT�7� Q],/Q],/97
(Thic eMion nwd mf W eomPNfed / IM pmrR b/w on� hundrod do0ew �f/00) w lop.f
� I cenry �hel In I�e pMomunu A Ihe work br whkh ihie p�rtnA le I ued, ehdl nq �mploy eny p�non In �ny menner �o m lo
becoms �ubpd m �M xwkxe' rompenWion lavn d C u, p e tIW H I ehouM becoma wqw m IM noNen'
co na Ibn proWabne d Sedbn �)00 0l lhe labor COEa, e I nhxilh mpfy wMh IAw praA�ione.
Applicent:
e np: Fallun ro awun woticm'rompenuflan rovnp� b enlewNl, entl �MII �ubHct e /OyI1 f0 C/IMMI pMIMN 100
I n� up ro om nundrW rMuxnd tlellw (floqaoOA M.d0/Man ro M• eut el rompMwelon, wm1p� .. proNdW ror In
9.ctlon 3108 0l M� Lebor Coh, lntwt, �rM �ttemsy'� INs.
CON9TRUCTON LENDMU �OENGY: I hereby e/firm urder penely d qr�ury Ihel Ihon is e wnabuaian kndln0 Wenry br Ilw
paAormerca d tM xwk /w xfiich the parmi ie uwed (Sedian �081. CH. C).
LENDEW9 NAME:
IENUEX'9 �DDPE39:
I<er1iN �hm I heva read Ihie epplketion end Yete iM� tha above in/ermellon ie carM. I eproe lo compy wilh NI ury enE coumy oNiruncee
end etele lewe ralvin0 �o b�iMinp oonavud'wn vd hereby eNhorae iepraventetrvee ot Ihia dry lo enix upon ihs ebwe�menlianed O�GsM
for iropeabn purpoae+
(`, /1 MICHAEL CLEAVENGER
�SlStdb.WP) Whi1a-&�iWip
o.�a: l�Z��lih
Rnk-Rwanue: Ookanro�4Rsaewor
CITY OF COSTA MESA — BOILDING PERMIT
PERMIT NO: P 076141 PLAN CHECK NO: N
CONSTROCTION TYPE: V—N PERMIT TYPE: PLU
JOH DESCRIPTION : REPLACE GAS PIPING
PERM NO: P 0761.4
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT;
CLAIM VALUE: CALC—��ALUE; GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK APPROVED
iE if 1f if 1E �f iE �f �1(� fE jE iF 1F �f iE jE iE-1E fE jk iE iF iE iE iE iE ft 1E iE iE if iF 1E 1f iF 1f iE jE 1F 1E 3E iF iE iF iF iF �FlF iE if iF 1f 1E iElE �E if �F If �FlE if if ib iF �F if if fE fE �E iF * iF iE �F iE �E aF
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 BUILDING ---------- --------- ACCESSORY HUILDING ---------
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: 42421208 ZNE: REF NO;
PLANNING NOTES>
i —
iElE1ElEiE1E1E1EiF1E1E1EikfE1E*lFdEiEfElEfEfEfE1E�E1E1EjE1E1Eik1liF1ElfiElflE�iElEiEiElEifiElEik�FlflEiFiEifiElEiE1E1EiE�ElEiEl61FiE�E�fiE1ElEiEiE1E�E1FiE�Eif
D E V E L 0 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: 6
1FIE�)EiEiFikiFiFdFiElE3fif3Elflfif-1EiFlflE1E7F7�3F��F�����3���3F��'�����f������f��f������lElElElfiElE1E�IEiF f4 iElE
LEGALIZATION;N F E E S U M M A R Y STRUCTU L SEG ENT:N
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 13.00
258 SMIP/NON—RES
PLAN
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 13.00 20.00 0.00 33.00 33.00 .00
REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
if 1E 3f iElE iE 1f 7FlE if iF 1E iflflE if fk if fF fE fk fE �E 1E 1E 1flE iE iF if iE iElE if 1Flf iE fF iE 1Elf 1E if 1f 1ElE ik 1f ff iEiE 1f if if iE 1ElE 1F iE iE iF iE iE if 1E IE 1E iE IE iE fE fE iE iElElE if iE iE
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 GAS PIPING SYS OF 1 TO 4 OUTLETS 5,00 5.00
PLU i GAS PIPING SYS 5+ OUTL—PER OUTLET 1.00 1.00
PLU 1 GAS SERVICE 7.00 7,00
END OF FEES
�1 ^i�.�� '_ult, �.1.� Y`�T(' JJeIA
aa7�: ;,• ,�; � �za��: +„•Y;
CONSTRUCTI6N AND PLANNING PQt .SPA • �1
APPROVAIS Permit# Date inspector qppROVALS Permit# � Date tnspector
t, Tempotary Electricat Service or Pole 52. Pooi & Equipment Location �,
2. Soii Pipe-Undrqmd. � 53. Steel Reinforcement -
,3:;Electrical Conduit.UiilitY-Undrgmd. 54. Forms �
�� 4: Electrical Conduif-Untlrgrnd. - 55. Electrical Bondiny � 4
�`5. Steel Reinforcement 56. Rough Ptumbing & Pressure Tett
6. Electrical UFER�Cymd. 57. APPROVAL TO COVER-GUNITE �
'-7. Footings _ - 58. Electrical Conduii-Undrgrnd. r
�'-8. Foundation _. 59. Gas Pipe, 0 Undrgrnd., Test
�,
9. Water Pipe�Und�grnd. , 60. Backwazh lines, P-T�ap .� Undrgr�d. �
70. Structural Floor System � 67: APPROVAL TO DECK
11. Propertv Sewer line & Hous ��Connection 62. Backwash & Receptor�Final
72. Sewer CaP 63. Heater & Vent-Final
13. Roof Oreins - 64. Plumbing SYstam - Fir�ai I
74. Rough Plumbing 65. Electrical-Final
. i
75. Rough Elecvical-Conduit ' 66. Solar SYstem-Pinal.
16. Rough Electric Wiring 67. Fertcing & Access Approval '
ll. Rough Wiring Sign ' 68. APPROVED FOR-PLASTERING _
18. Rough E�ectricaYT Bar Ceiling 69. POOL/SPA SYSTEMS FINAt
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
.'-' . _' IJ"-� .I- .� r ' - �
20. F�ough Factory'-Fi�eplace � _ , � _ ^ ,.�qpP�lOV.�l�'t�'$'". , Peiinit# - '
�., � _ _
2L l�ucts-.in $truc[ure;: �• - - - -� - " 70. Undergrouad Hydro '
22. Dutts, Ventilating'. '- - �. 71. ProduetPipingO�fas �Oil
23. Gas P.ipe�Rough & Test � -, � 72. Underground Fiush `
24. Roof-Ftaming ' ' ' . .,' 7�`., Under9rnd.StorayeTanI4:OGas ❑Oil
25. Roof-.Sheathing �� _ �. ' 74; Overhead HYdro -�
�. -
26. T�•BaF Ceiling {Struciurait & f'Jionocoat „ - � 7�� Dry Chemical �`,- �` `� `� ;��; �
27. Frame and Flashi�g ' _ z;� , 76. Dry Stantl�ipe •"� -
r�
'28. LathPng�Siding " - � k�� " ':� 77'.. FIXEDSYST� ',FINAL�. � -� `
�M �_
29. Insulatiarr. , .. . a 7H;-F�RE�PREV. FIfJAL - •
30. Drywall Nailing _ � . . ' �� _;:,' _',HEALTH DEP'�."REQUIREMENT �
31. Plaster Brown Coat:. • . �� �-• 79. FINAL INSPECTtON + �
- 32. Electrical"Powzr MeterF;nal � ��80�� POOD CERTIFtCATE ISSUED_ .
- 33. Flnai:Eleciric -. � , ' Nofes: ^ . . ;.
� 34. Finai Heating'& Air Eondi[ioning - . %. � , *- �
,. 35. Final-Gas Pipe-Test y -� . �1Q,f �M ;. '; -: .' - ..�-, � .
,
_ 36. Hood o� Canopy �� - - _ � �� _• !'� ' ' _ ._
� - : r� ,r -. , ..�.;:�
- 37. Finai FB�ory FirePt3ce 7 _ . . ' - a ' ^� � '
_ i
38. FinaPPlumbing � ` '- !
,. • - -
'39. Water-Service-Final �. . `- ., „ � ,- '
- 40. Gas Service-Final �� � ' � � - - - _
• 41. Solar DumesticFinai . . - � ,-.� - - -
., �
42. BackfloW Preventer ' - � � - �
' ' X I�
43. Backflow Irrigation ' ' . ; ' � �. ' i+ .� .
4A. LandscEPe�lrrigationSYstem : � - ' ' ' . ' '
45. Sound AtCenUation . �- „ ' '. _ � � . - '
- . �
46. Nandicap Regulations - � �" " `"� =� °
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47. FWALSTfiUCTURE&BUILDWG ' � ' �. '�
48. FINAIP�ANNING � - " . •
49. ElecTrSc Release to Edison ' ' - � ` '
�
50. Gas Release to Southern California�Gas Co � � � '
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51. CERTIFICATE OF OCCUPANCY �'' � " � ' ' -
No. Date
� �� � � � � � ���o
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
COSTA MESA. CALIFORNIA
MAIL
ADDRE55
CITY Newport Beach� Vgl� TNO.
ARC =T R8�ond Levanas LIC.
OR f JEER NO.
ADDREf55 �
K• Y'I. K011 COiSBt• CO CITY LIC.
ADDRE55 � S�8
LEGAL LOT A
DESCRIPTION N0, O
A.P. NO.
5'ZE 5o x 1&5
OF LOT
USE OF
EXISTING BLDG.
SETBACN LINE FROM � C
NO.OF 0LOG5.
i �eFr 8�—
�,y;� i��C�l!!E�
�EC 8 1958 �
FIi�ANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
onre
COSTA MESA. CALIFORNIA
FIRE �
ZONE / .
APPROVE
same av
DESCRIPTION OF WORK
NL p ALTERAT�ON I ADDIT�ON
REPAIR I ��MOVING IDEMOLISH
5 ZIE DING ��^ $ ft ROOMS 16 STORIES
G
EXTERIOR WALL stuCCO ROOF LL
COVERING COVERING WO� $uW
BUELDFNGEW Apts. T1�1P12X 2IIC; 8t�'i$ChECI
car garage and 2 car carport.
�
es
�A��2—�� r�� L
+ DATE � t�
CO RECTIONS
L7. J. L �'. 4%✓ V a� A/
CITY C• 'C��T:� P.4E5a
J���`. \ i'.i� L"
FNJECT lu tlLDG. DEPT. REG.
0
DAT
I MEREBY 4CKNOWLE�GE TNFT 1 NFVE RE4O TXIS tPPLICiTION RND `
STATE TMiT THE PBOVE I$ COFRECT RNO RGREE TO COMPLV WITN ALL
CITV OROINANCES D$T/TE lAWS REGUL4i1NG BUILDING CONSTRUC�
iiOrv. yq�UATION
SIGNATURE OF PERM�T FEE 5 3
PERMITTEE �
^�I �y/ �
5^7 ^j J^I �V PLAN CHECK 'D G_ I —�
C� > 1�. � /
AUTHORIZED AGENT TOTAL FEE E((J � S� �M�
/�