HomeMy WebLinkAbout3439 PLUMERIA PL - Building PermitsCITY .F COSTA KESA REQUEST FOR OCCUF. �Y
l2� �-��
TRACT N0. z�.S—�
DATE � '
The developer of the above entitled tract desires to se11 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,
The undersigned, by executing this agreement, acknowledges that
(he-she-they)i_�����(was or were) ��c'.P 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 conditions of approval which were imposed by the City
at the tir.ie 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'inda�nify and hold the City harr,iless from
any claim resulting in dariage or personal injury to the underaigned by reason
of the aforementSoned uncompleted condition.
B
• urchasei
BY � ,, c'�-.��._ �^, � ll�—Ll�� • �`�
Developer and/or authorized
representacive
l
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sY ,-i� ��r_��.-_ l�/� _�,ti
Lender '
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PPOJECTp00PESS: 3q39 PLUMEAIA PL
owNensnamE: MAASHALL, CHERYL MAXINE
nooness: 3439 PLUM£RIA PL
COSTA MESA.CA 92626
557-3664
pPCM1ENGINEEN:
nooness:
PEG.NO.:
UNIT:
uxiT:
PEpMinEE: pERFECT COVER ROOFING ( 714 ) 434-1566
aooxess: 3303 HARBOR BL D-5
COSTA MESA CA 92626
IICENSED LONTNRCTOP OECIANAT10N: I �ertW aHirm tlut I am ficen5¢0 unCer prOvLtbns o� Clupt¢r 9(fAmmencinq wii� $eciion
7000� ol Orvision 3 al I�e Business anU Pmfession5 Coae. an0 my lirense is in full lorce an0 enect.
cirruc.: 059055 STRTELIC.:6ZZSI cuss:/ $. ES 08/95
Wte:.�z�� 4� SiqnaWre: _ _ � /��� •
WONNEPS'COMPENSRTIONDECUIPATION: I�¢reGyatf ��a�Ituvearerll�itdle01C0�5eni se+nsureoracenificatealWarkers'
Compensalion I s e o; c iliena c pY �nereoi (Section 3800. LaG. C.
POLICYNO.: ���3���—l� E%P.OATE: �7/OS/9S
comraNv: STATE FUND �
� C¢M1i�i¢tl t00Y is �¢reGy tumiSheE. L� CeM1ilieO mpy i5 1}''f,G, xiN t�e ciry Buildin 0' Sion.
�ate: �% / � Li �/ ApDliwm: /\ /i�/ �i1�
E%EMPTIONFIIOMWOPNEflS'COMPENSATIONDECIAfNTION: I4sseclpnneWm emmpkteOillheperrtn'slwmehuq�eC�5100�akss�.
1 cenity ihat in the oedormance ol tne wOrk lor wNCli tN5 oermit is i55uea. I shdll no� empby any persOn in any mannet 5o az to Oecome
su0ject �o ine Workers' ComDansatian laws ol Calitomia.
Da1e: Si9�wre:
NOTICE: It. alter maMinq t�is 4ecWratim. }rou slwultl baortre suDl�� �o I�e WOM1srs Compensaqon D«sions ol the la0or
fACe, you mu5l �ort�wil� tOmDN �t� Su[� D«�s Or tti5 Dertmi SIiaO OG EeemeO rewke0.
CONSiXUCTION LENOING RGENCY: I here0y allirm inat inere 6 a mnstnrc�ion IeMinp aOe�Y �or the peAormance of the wark lar
w�ich I�is Oermil is iSsueG �Seciion 3W7. Civ. C).
LENUEfl:
� RODNESS:
OWNEN BIIILDEB DECIABATION: I �ereby atlirm ttu� I am e.empt trom tAa Cantraclors Suro Lkense law for tAe to0ovnn0 �eason
(Section 7031.5 Business an0 Prole55ional COde: My cily ol fAunly wNc� repuires a permit to mnslNct, atler, improve, Eemolis�, or
repair any S�mtiurt. priot ta iis issuante. aho rCpuiRS t0e apptiqnl IOr Sucll permi to IYe a SipneE Slalemeni Itui �USha 6 Iitenu0
pursuant �o the provisions af Ine Contracmrs' Siate Liunse Law (Gwpler 9(mmmencin0 ��� ���ion 7000) ai Oivisian 9 0l t�e Business
an0 P�ofessions Cotle) or tlut �e/s0e is e.emo� ��erelrom anO Ue GasS �or ��e aIIryM exemD�ion. My viWaGon ol Satron 7031.5 by
any applicanl lor a petmit suolecis �ne ao7�iWnt lo a cidl penally ot not more itWn Ine �unUreO tlallars 135011).
I. as owner oi tAe pm0eny o� my em loyees wit� wapes as t�eir wla compensation, win Eo tAe work, antl I�e
❑ strucwre is noi intenUeE or oltere0lor sale (�twn 7Wa. Business aM Professbnal Code: Tne Contractors' S�ate liunse Law
tlaes no� appty io an owner oi a O�oOetlY'� �uilEs or imprwes ��emon. an0 wtro Ooes suc� waA himsell/�ersell or t�mup�
nis or �ei own emDbyees, pmviEeE rtwt wc� imprwemen6 are not intentle0 or otlere0 lor ule. 11, however t�a builUinp or
impmvemenl is sN0 vnUin ane year of com01eli0n. t�e owner wiA luve IAB GurAen ol Drovinp �Us�e GiA nol buil0 or improve
for Ine outpoSe ol Shcel.
I. as owner af the prooeny. am erclusiveN tomractinp vrit� IicensM mnlraciors to rAnStmci IAe prolttl (Secilon 700a, Business
❑ an0 Prolessims CaOe: itre Cantractors Sure Licusa Law Eces rot appy m an owner of propeM1y w�o MnWs w imD�'� ��ereon
anU w�0 Coniratls lOr SUC� pmjetl5 wii� a wniratlar�s) litense purwanl IO I�e CAnlratlaR' $Iale L'itense Law�. I am aware
�hal O�oo� o� l�ei! Worke�'S ComOertsaiion irtwrance 5MN0 De prOviGEG lo me.
I� I am exempi untler Seciion: B. b P. C.
far t�is 2ason:
Da�e: Ovmec
I Qo nere�y cenity tnal I am aware ol anC unaerstana ine reauiremen6 0l Calilornu Heatl� anC $afely COEe S¢ctions 25505, 2553�, antl
255JE and I�at I or any luture builEinq Occupanl vrilVwill not (tirUe ane� neeE ta compty xiih uid state co0es an0 Ihe tepuiremenls lor a
peimit for conSlNction or mOtli�ication Irom I�e Art OuaOty Manaplment USiricl. flttiUOntul COnStmciion applications are e[empl �rOm
IAeSe D�aNsianS.
Oate'. Appliwnl:
I h¢reby cer�ity Uatl �ave readt�is application an0 S�aie
or�inances anG s�a�e laxs relating to DuiWmg coratmcuon ��
property lor inspeciion purposes.
Oate: Signa�ure:
/
ori.e��s License ar Soc�ai Searny n:
I agreelo camply wilh allcily an0 county
lhSLiIyIOlOIEfUpOnjO¢d00v¢-m¢nIi00¢E
�6<t�a6 Wmte—BuilOing�. Green—Cotle Enlo¢emem: Canary—AOOlicam: Pmk—Ravenue; GolEenroa—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 068848 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR
PERM NO: B 068848
GOVT: N SUPP: N
PURPOSE: ALT
JOB DESCRIPTION ; T/OFF SHEATH 6 REROOF W/COMP SHINGLES SQ FT; 5,894
CLAIM VALUE; 5,894,00 CALC—VALUE: 5,894,00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQRD AS PER 91[1BC, REROOF 2400SF RESIDENCE
�*�r�**********��r**���*****��*���***********�*���**�**+�*�**.*�***�*��*�*��*�r��***
Z O N I N GS ERTEB�AUCIKRSE M E N T S�p��� ��ECTOrl
�V�
------------ MAIN BUILDING ---------- --------- ACCESSORY BU���� R� piN—
FRNT: FT IN REAR: ET IN FANT: FT IN REA .
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING AEQ: PRO�': PARCEL: 41217314 ZNE: REF NO:
PLANNING NOTES>
>
iE 1P itlt iF it itlt iE if iE iE if it iE 1F ik iF 1f iF iF �f iE iE iF !F %1E iE iE ic iF iE iF iE iE if iF iE fE �1f iE iE iF if iF iE iE if iE iE 3E fF iE fE 3E it iF iE iE iE iE iF it iF iE it iE iE iE iE 3E 3f 3F iE jE iE iE iE
D E V E L O P M E N T S E R V I C E S R E Q U I F E M E N T S
ZONING APPROVED HY ,
DATE:
BUILDING APPROVED BY : DATE:
APPLICATION IS$OED BY: � DATE: ����
ikf!lkfflEfElEiFiflElElf�lElfft7ffElF!!1flElfiFiF3F�t7F3FiFiF1FiF3F3FTFiF�FiF3F3F�kiFSF��t�t SF �fF�il7E1F1EiEiEfEihiFlf E tit t E iFiM1
iE if �E 1f iF k iE �f if iE ff 1f if iE iE M if !f fk K if if iF 1F if %it iE 3f iE iF ff iElf jF iF IE fE fF iF if i! if !f iE iE i! if ie k iE if iklf it iE iE ik iE i! iE iF iF iF if if iF iE if !E i! �E fF iE if iF!! if K
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECI-IANIC FZRE SMIP/RES GRADING
PERMIT 81.00 ,59
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 81.59 0.00 0.00 81.59 81,59 ,00
REVENUE DIVISION TOTALS--> COLLECTED; 81.59 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
81.00 ,59
f! it iF 1! �E iE it if iE 1E!! 1! iF k 1E ff iF it 1f fE ff fF iE 1! 1f 1ElF k fE 1E fE 1klt i! i! i!!E ih ik 1k iF iE iE 1F iE iE 9! #!F �k k k iElE iE IE iE iE iE iE �E iF if iE iE iE iE iE fE if iF iE ff iF 1F fE iF fE 1P
I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY
5894
D E S C R I P T Z O N
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1.00 5,894.00
01 00167654-0016765` T C�Y 3.(,59
DA7E: 09l13/44 iIi1�: Q9:4i
\
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CONSTRUCTION AND PLANNWG POl i SPA
APPROVALS Permit # Date Inspector p.PpROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & E4uiQment Loc3cion -
2. Soii Pipe-Undrgrnd. 53. Steel Reinforcernent
3. ElectriCal Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Condurt-Undrgmd. 55. Electrical Bonding
5. Steel Reinforcemenc 56. Rough Plum�ing & Pressure Tesi
6. Electrital UFER Gmd. 57. APPflOVAL TO COVER�GUNITE
7. Footings 58. Eiectrical Conduit-Un�irgrnd.
8. Foundation 59. Gas Pipe, O Undrgmd., Test
9. Wacer Pipe•Undrgrnd, � 60. Backwash Lines, P�Trap, O Undryrnd.
10.. Structural Fioor System 67. APPROVAL TO DECK
i i. PropertV Sewer �ine & House Connection � 62. Backwash & Recepior•Final
72. Sewer Gap � 63. Heater & Vent�Final
13. Roof O�ai�s ' 64. Piumbiny System - F�nal '
74. Rough Plumbing � 65. Electrical•Final
15. Rough Electriwl-Condurt 66. Solar SVstem-Final
16. Rough Electric Wiring 67. Fencine� & Access A�Proval '
17. Rough Wiring Sign 68. APPR�VED FQR P�ASTERING
78. Rough Electrical-T Bar Ceiiing 69. POOUSPA SYSTEPAS fINA�
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Duc[s, in Structure 70. U�der9rouncl Hydro
22. Ducts, Ventilat�ng 77. Product Piping O Gas D Oil
23. Gas Pipe-Rough & Tes[ 72. Underground Flush
24. Roof Framing 73. Undergrnd. Stora9e Tank O Gas � Oil
25. Roof Sheathing �-1(,F�(� �y� 74. Overhead Flydra
26. T�Bar Ceiling (Svuc[urap & 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. Drywa�l Nailing HEALTH OEPT. REQUIREMENT
37. Plasier 9rown Coai 79. FiNAL INSPECTION
32. Electrical Power Meter•Final 80. FOOD CEFTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Cond�tioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Finai FactorY Fireplace
38. Final Plumbing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomesticFinal
42, Backflo+N Prevenier
43. 8ackflow Irrigation , ,
44. LandscaPe Irripation System
45. Sound Attenuation �
_ �
46. HandiceP Regulations :� :7!
47. FINAL STRUCTURE & BUI •�NG A�/R,G� �1[/ _
[ K-
48. FINAL PLANNING .� � �
49. Electric Release to Edison � r
50. Gas Release to Southern California Gas Co
51. CERTIfICATE OF OC QANCY
No. Dat�`
PFQIECTRJONESS: 3939 PLUMERIA PL
owxen�sxnme: MARSHALL, CHERYL MAXINE
aooness: MARSHALL CHERYL MAXINE
3439 PLUF7ERIA PL
COSTA MESA,CA 92626
557-3669
pqLHIENCINEEB:
flEC.NO.:
uNiT:
ROOXE55: UNIT:
rEwminee: GREENHILI.S PLUMBING ( 714 ) 523-8084
nooeess: 19730 BEACH HL 104
LA MIRADA CA 90638
UGENSEO CONTMCTOH OECLAMTION: I �ere0y atlirm ltut I am IkCnSeA wMer r' o� Ctupte� 9(commendnq wit� Seciion
7000� ot Oivisi0 3 of ine 9usines5 anU Pmleuians Coae. anG rtry lic 5 � oa n0 elle 1-V'"`/
ciTvu.:O srm uc.:342750
pa1e: Si9naWre: — _ ' ' _ _
WOBREfl COMP 75nt10N0EtU1uT10N: Inereoyallirmtnatlnaveacenilica�ealmmemtosell-inwaoracenifiwteotWaAers'
Comcenu�ion �i �aa�� a1 ��6�wpv tnereo� Isecuon 7e00. �au. ��S / O S/ S 3
roucrxo.: PACIFICNATIONAL EXP.ORTE:
f�OMPRNY:
9 Cenitie0 v� h reby fumishea. ❑ Cenitie0 wpy 5' � t� ' IEin9 �' on.
ApDfiwnt:
ECEM ON WO IfEXS'COMFENSITIONOFCIAlUTi4N: (iNssectionneeOrotDe�INifNepermtkiamelaMreE�S100�u1ess�.
1 c¢tlity �hai in the petlormance ol I�e work �Or wliic� Ihis permit is i5we0, I slull noi employ any person in any manner so a5 io 6ecome
SUGIeci lo IAe WorkeR' Campensa�ion Laws ot Califamu.
Oate: 9qnature:
NOTItE: II. atter mditlng IIJS OeW2tbn, you ShouW 0¢tOme su0jetl to I�E Worken' CAmpeiaatbn prwision5 al t�e Labor
'� COOe. you mu51 �orlRxil� tomply wil� SUCh proviTi0M15 Or IttiS permii Slidil E¢ aeemEE revakeG.
CONSTflI1tTI0N LENDING AGENCY: I �er¢Oy affirm tIW1 tli¢re R a tanstNtibn IeiMing aAenty lor �he ce„ormance af the xrotk lor
w�it� Ihis permit i5 issutd �Se[Iqn 7097. Civ. q.
lFNOEP:
aooeess:
OWNEP BWlOEP OECLAMTION: I �ereGy allirm Ihat I am ecemD� ��m ihe Contractors Staie Lkensa Law tor t�e I011oxinA reamn
(Sec�ion 7031.5 Business an0 Pmfeuianal CoOe: Any city ol wunly w�icli rzpuirts a permit to constmct, atter, impmve, OemolisR or
repair any sVutture. prWr to its iuuance. a&0 repuires Itrc appliqnl for suCh ptmnt to IAe a 90�� statemeni ihal nUsne is litens¢0
oursuanl io me pmvaians at me Comracmrs' State License Law (Cnapter 9lwmmentinp wi�n Section 7000) at OHivon 3 of ine eusiness
ana Pmlessions CaOe) or i�ai twJs�e b exempt �hemtmm anC t�e Eaza lar t�e allepM eKemO�ian. My violation ol Section 7031.5 by
any aDD�iwnl lor a permt su0lKts the aDW��nt to a civB penatty ol trot more tlun Irve huMreO OWWrs (5500�.
I, as owner of Ihe propeny or my emWoyees vnin xape5 as inei� SOIe COmpClWlian, vnll Eo Ine woM, dn0 Ihe
❑ simctme is no� intenaetl ar ollere0 1or saie (Sectron 70aa, Business anA Professional CoEe: TAe Coniractors' State License Law
GOM nol apD�' �o an Owner ol a property wro �uilQs ot imprOv¢5 t�erem, anC wtp EOes suth wOrk 1limsell/�erself or ihrouph
nis or ner awn emD�oyees, D�oviUeO �nat sucn impmvemenis are not intenee0 or otterea for salo. II, however �ne buileinp or
impmvemeni is wW wil�m one year o� rAmpl¢liw, I�e wmer xill luve Ihe OurOen 01 provinp hU50e UiA nol Oui10 or imD�a�O
lor �ne Durpose al sale�.
I, as owner 0� IAe D�oOetly, am ¢xtlusively wnlraciinp vnt0licenseC wmracmrs io consbuct ihe prolect {Section 70Cd, Business
❑ anU Pmfessions CaEe: The toniractori Stata Lkeiae Law Eces rrot apDN lo an wmei ol Dmce�y �o OUAEs or impmvu Ihereon
anA w�o comratls lar sucA O�ole��s wit� a contracloqs� license Dursuanl lo Ihe Coniracmrs' Stale License Law). I am awam
inal Orool ol t�eir Worker's Compensatqn in5urance slroul0 Ee WonEeA to me.
I� 1 am e�empt un0er Seclian: B. 8 P. C.
for inis reason:
oate: Ownec
I Oo hereby cenily Ihat I am aware ol antl u�erstan0 t�e repuiremenis ol [
25534 an0l�ai I o ny Nture 6uiltling occupanl will/vnll n 1(circle one) nei
permi� lor c 5I cljpn or/MOilic]�ion Imm �he Air ualily Man c
Ihese pr io p/ //� )
� ApplitanC./ �
6 °
IIIiS d0�11W110n dntl Sldf¢ llidi IA¢
.�� Signa�ure:
Secuniyr:
2550.5. 25533,and
re0uiremenis �or a
s,a�e exempl Imm
all city an0
t60ta6 W�ile—BmlGma: Green—CaCa Entorcemenl: Canarv—Aoolicanl: Pink—Revenue: GOltlenroE—Assxsenr
CITY OF COSTA MESA — BUILDZNG PERMIT P , b
PERMIT NO: P 056893 PLAN CHECK NO; N t: u i:
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOB DESCRIPTION ; WATER REPIPE 6 CHANGE OUT OF WATER HEAT SQ FT;
CLAIM VALUE; 2,799.00 CALC—VALUE; GROUP OCC; R-3 /
COMMENTS: SMOHE DETECTOR RE�UIRED IN THE HOME
******+e��+r��****�***�+��c**** ***********��•*�:x****ac+�r+r*�*x**�****+�*+r�r�*�x��****�*
Z O N I N GS ERTEB�AUCIxRSE M E N T S
------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDZNG ---------
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; 41217314 ZNE; REF NO;
FLANNING NdTES>
>
aF iF iE iF iE iF iF 1E iE 1F iE 3f iE IE it if iF iE �f ji if IEif iF lf if 1E iF iF i(� IE aF iF aF iF iF iF if iE if iP �E iE iE ik i! �iFlE if if 1F IF iE iF 3f �E iE 1E �E iE iE iE iE iE if iE 3E iE iF if iF 3E iE iE iE if iE iE
D E V E L O P M E N T S E R V I C E S� R E Q U T A E M E N T S
ZONING APPROVED BY DATE;
BUILDING APPROVED BY
APPLICATION ISSUED BY;
1EiliFiFiElflf3f3E1E1FiEiliE3flEklFiEiElEih3c'iF �
if if k iE 1F i!� 1k iP ik if !E iFlc #E iF if �E �F k IElE iE �f i� if iE k iF iE iE 1E iE if !E iE iE �F ik aF �1f�
LEGALIZATION;N F E E S U
HLDG PMT
PERMIT
♦
�F �f 3f 1E �E i! iE 1E k af iF iE k 3F iE if if it iF iE iE k 3E IE iF iE k ie if k iF k iF iF if ii� iF
M A R Y STRUCTURAL SEGMENT;N
GRADING
PLUM�ZN��G ELECTRIC MECHANIC FZRE SMIP/RES
'15Y SMIP/NON—RES
PLAN
ISSUE FEE 3.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 4.00 3,00 0,00 7,00 7,00 .00
REVENOE DIVISION TOTALS--> COLLECTED: 7.00 OVER/SHORT; ,00
BLDG PMT PLUMBZNG ELECTRZC MECHANIC FIRE SMIF/TOT GRADING PLAN—CHECH
%,�Q
it iF k if 4 x� IE iP �F iE if 3E it if If jf if iF iF if 1E iF iE IF if iF ik iP if 3f iF 3E lE if aF iE 1E �)F jf iF iE �f jk 1E 1E if jf iE 1E iF �K af iF aE iF iF If �t iE Ih N� �F If 1f IE iE iE if IE iF aE iFlF iF iE iE iE �f if
I N D I V I D U A L F E E B R E A K D O W N
TYFE (�TY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 WATER HEATER AND/OR VENT 2,00 2.00
PLU 1 WATER RE—PIPE 2,00 2,00
END OF FEES
CONSTRUCTION AND PLANNING , POI,� & SPA �
APPROVALS Permit # - � Date Inspeetor Date Inspector
,-. APPROVALS Permit #
1. Temporary Electrical Service o� Pole ,�, 52. Pool & Equipment Location �
2. Soil Pipe•Undrgrnd. � 53. Steel Fieinforcement
3. Electrical Conduit Utility-Undlgrnd. � 54. Forms
4. Electrical Conduit�Undrgr `d. 55. E�ectrical Bonding ' .
5. Stee� Reinforcement 56. Rough Plumbing & Pressure Test
6� Electricai UFER Grnd. 57. APPFOVAL TO COVER-GUNITE '
7. Fooungs 58, Electrical ConduibUndrgmd.
6. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgrnd. � 60. Backsvash Lines, P�Trap, C Undrgrnd. • '
r '
10. Structural Floor System: 61. APPROVAL TO DECK .
1 t. Property Sewer Line &_House Connectioa 62. Backevash & Receptor�Final '
12. Sewer Cap � ' 63. Heater & Vent-Final
s
13. Roof Drains �. � 64. Plumbing System � final �
tA. RoughPlumbing � � 65. Electrical�Final �� •
15. Rough Electrical-Conduit ` � � ' 66. Solar System-Final '
16. Rough Electric Wiring ` 67. Fencing & Aecess APProval t
17. Rough Wiring Sign 68. APPftOVEO FOR PU�ISTERING
18. Rough Electridl-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REnUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Struaure 70. Underground Hydro
22. Ducts, Ventllating 77. Product Piping �Gas OOiI
23. Gas Pipe•Rough & Tes[ 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Rqof Sheathing 74. Overhead Hyclro
26. T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulati0n 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat � 79. FINAL INSPECTION
32. Electrical Power Meter�Final _ 80. F000 CERTIFtCATE ISSUED
33. Final Electric fVotes:
34. Fina� Heating & Air Conditioning
,
35. Final Gas Pipe-Test .
36. Hood or Canopy _ �
37. Final Faccory Fireplace '
38. Final Plumbing �(//7��(Ti[�L'Q
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final � ,
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations �
47. F1NAL STRUCTURE & BUIIDING
48. FINAL PLANNING " �
49. Electric Release to Edison .
50. Gas Release to Sou[hem California Gas Co �� :
51. CEftTIPICATE OF OCCUPANCY �
No. Date
OWNER I�ARWIN So,
JOB ADDRESS 34=
GENERAL CONTRACTOR
AP No. LOT
I� CTIONS
SOI�
GAS
W AT ER
ROUGH PLUM9ING
PROP. SWR. LINE HOUSE CON.
SPRINKIING SVS
MISCELLANEOU
�eris�Place
same
3TSi....,.���..
ROUGH HEATING AND AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUNO � POWER �
ROUGH WIRING
TRENCHES FORMS STEEL REINF.
FLOOR SVSTEM
BON� BEAM � STEEL REINFORCE ❑
SMEATHING
FRAME AN� FLAS
LATHING - IN rY,
Pl.ASTER, BROWN
STF -URAL, FIF
HE, ., VENT.,
PIUMBING, FINAL
DATE
BUILDII
DESCRIPTION of WORK
i7B FIRE ZONE VALUE
)aee GROUP I� TYPE
SUBCONTRACTOR�
4-
FD
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3b 3� -,���� , � f::z �i
?31?-7.�.•cOJ fit�= 15�
COSTA MESA BUILDING•SAPETY DEPARTMENT
301 B P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
ForApplicant to Fill in Completely APP��CATION FOR BUILDING PERMIT
REC�IV D BV DATE RECEIVED DA�a 165�1�
BUILDING LL�Q/ -�� /w � �
ADDRESS O T'1 Q
PERM17 NO. ,-}
OWNER Larwin Southern California, Inc. '�'•P•N�• �_ .3 4,� '
MAIL BUIIDING �
AODRESS 16255 Ventura Boulevard �+D�RES
a U CITV TEL� TRACT 7557-8 LOT 93 BLOCK ,
Encino California No.9$b-8890
Zz W
Q CONSTRU ON
Q � LENDEF Q }h Q �F ✓'
J N BflANCH 16255 Ventura Boulevard
OWNER LA
Q w ADDRESS n
m m ARCHITECT TEL S��`ES
J N OR ENGINEER —
W(L _ ADDRESS 9�00 I• 1� , Q 20NE
a W APPROVE
� p CONTRACTOR Larwin Southern CQlifornia lnc. e�
m
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�� ADDRESS 16255 Venturo Boulevard
W W 20NE —/ NC
� TEL. pL
Z� cirv En mo alif ia No. _
O STATE CITV �'ARDS APPR�
?� uc. No. 191311 - ���. No. g_� MAIN BUILC
SI2E NO.OF BLDGS. (FiiOM C/L T E
OF LOT GO X LOO � NOW ON LOT � ONT F
USE OF t
EXI5TiNG BLDG
F� SIZE OF NO.OF
QNews�c. 1987 ROOMS STORIES 1 L SIDE F
V EXTERIOR WAL� ROOF
COVERING $fUCCO COVERING d REAF F
aVSE OF BUILDING AND WORK TO BE PERFORMED DSTANCE BEf.
a MAIN BlDGS.
pConstruction Sin le Famil Residence CURP.qp
~ APPROVED�
N
Z HOLD FOR
O
VI hereby ecknoWledBe thet I hava read thiz epplicetion entl ttate
� Mat the abova ��}ormatlon is correct antl apree to comply with
� ell laws repulatinp buildinp consiruction, entl I shall not employ
� any person in v�olat(on of tfie workmen'c compenaallon lewa of
Me Stata of California.
? I heraby certify Mat I am proparly IleenceG es a eontracio� unde� /
SQ.I
the State of Cal�fornla Buainezs antl Profauiona Cotle, Dlvislon 3, HE MOUNI
Chepter 9, end that sueh Iicenses ere in full torce en0 effecc, or I THE PURP06E �
am exempi from the D�ovictons of Me Siate of Calffornle Business VALUATION
antl Professlons Cotle, Dlvlfion 3, Chepter 9.
siu�et�,ao��'�f��_l'�'�� D. Downs $ 29,800
Parmlttae ./
Authorizatl Apent
VALUE
USE OF NF
BUILDING/
VARDS
DATE
J
'-/0�73
m
/ �
O
IN UNDER VALUATION IS FOR �
ABLISMING A PERMIT FEE ONLV: Q
PERMIT FEE $ 101 . SO j
PLAN CHECK $ SO. �S E
`o
152.25 �`
TOTAL FEE $ /
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COSTA MESA BUILDING—SAFETY DEPAflTMENT
. P.O. BOX 1200
Coata Mesa, Calitomia
4,1521 2/01/82 II.00
�� ... ..
� � � ,�� , �
TRACT N0. /I���
Permit ��•(
COn[raCtof BI.�. EiIR ��. Ft .S'�UI�' �. LOT N0.
AddICSS 1175 N. Osprey Circle BUIL�ING USE OATE ISSUED
c��r Anaheim Cal. z�Pcoae 92807-17 4 �5���' ���
State License No. 39GZO9 Class. C-2� pooRe�ss 3439 Plwneria Place q
city License No. 6303 Te�. No. 630-6412 �
N0. ITEM EP�H FEES COSTq MESA, CRIIFORNIAr ��
1 FAU, Wall, or Grav. ,, �`��
Furn. Incl. Ducts antl 4 �� p�yNER 1.�, ��•�yy�, tl;.y�yw� t��p
Vents _
ta 100 000 BTU
noopess 3439 P1L4ileTia�1'lace
over 100,000 BTU ^,."�,� . '�
��T� Costa Mesa,�92626*E�. N�. 549-0144
Vent (if not incl. above) � th\.,;�
1 hereby ack�nowledge thet [ have read this application
Sus ended Heater ,, c „
and state�thet the above is wrrect and agree to comply
Alter or Replace ,.., j�,� }
Appliance .S,wi;h all City Ordinances and State Laws regulating HeaP
ver eet o �mg; Ventilating, Refrigeration and Aic-Conditioning.
gas PiPin9 n"��i ^'..
BOILERS OR \( � I cer[ity [hat I posscss [he above valid S[a[e of Calif-
COMPRESSORS � y omia classitication or I am the legal owner of the single
�\�Y4 00 fam�ly residrn[ial property described above.
� 1 3 H.P. or less `�y
1O5HPH..2o ��\,\�„A Signa[ur of - ,i
Bathroam
'� Permittee • � �
Vent Fan—Sin IeiDuct'
Kitchen �,C iti' REMARKS: �7 _ _
Ventilating;Hootl
Metal�F,i e`Places
icso #
AGA #
. PPPROVALS INSPECTOfi OATE
Misc Ducts Underground
Ducts in Stmcture
Duc[s Ventilfl[ing
Heating — Rough
Hoods
Refrigeration Lines
�Plan Check Pressurc Tes[
Reinspection Fee .vrvCond. Final
Ventilating Final
Sub-To[al Heating Final 1-3—gy
Processing Fee 3 �Q Refrigeration Final
Final Gas Tes[
TOTALFEES
Utility Co. Notified
CMF0449-46 BLDG. PERMIT NO.
COSTA MESA BUILDING—SAFETY DEPANTMENT
P.O. BOX 1200
Cotta Mesa, Califirnia
aTr Anahe�n..�_
STATE LICENSE NO. 'jL)(-1(
CITV IICENSE N4.
NO. ITIM
Dwelling, Sq, Ft.
Garage, Sq, Ft.
Finf 40 O�tleb, each
Outleb, Additiono�
Firsf 20 fixtures, each
FisNref. Additianal
Dryer
Fan
Hearor
Oven, Domestic
Pole, Com�ruttion
Ronqa, Domestic��
TFL. NO.
CLA55. C
EACX
i
fElf
�522 2/01/B2
TRACT NO. REC'D BY ��'
lOT NO.
BUILDING USE
RESIDENTIAL
AD'�RE55 3439 Pl�eria Place
COSTA MESA, UIIFORNIA
NEAREST
OWNER � &
M^!�.._ 3439
5.00 TL
PERMIT NO.
E-�s-7 4
DA7E ISSUED
1-�� �'
I HEREBY\ACNNOWIEWE THAT 1 HAVE READ THIS AF➢LI-
CATION AND�STATE TNAT THE ABOVE IS CORRECT ANO AGREE
TO�COMPLVyW'ITX AlL CITY ORDINANCES AND STATE LAWS REG�
.UTATING ELECTRICAI WIRING.
��1 CE0.TI% TNAT 1 POSSESS TNE ABOVE VAUD STATE OF
[ALIFORNIA ClAS51FIUTION OR I AM iXE LEGAI OWNER OF
THE SINGIE fANiL1LRE51DENTIAL PROPERTY DESCRIEFO ABOVE.
NO. ITFM EACN
Sipn 6 1 Trans. 4.00
Tran�forman KW
Generafon � KW
Moron (See Scheduie�
1 3 H.Pe 2 00
HP S�b-total Fees
Hv pPPROVALS
IINlRO!
Meten, eo, TEMP. POLE �
UNDENGROUND CONDUI7 �
Permit Fea 3 00
ROUGH I
Sub�Tota� FOsf FIMURE$ I
_ POWER �
TOtOI F!!f 5 0o UTILIiY GO. NOTIFIED �
FINAI
CMF0313-46,rev.7/7$ BLDG. PERMIT NO.
For items not listed refer to Fee Schedule
lEEf