HomeMy WebLinkAbout958 PRESIDIO DR - Building Permits�`�
AUDqFS50FBUILqNG: ySB PRESIDIO DR �
w^+e"s"^"eiFaox": DANDY
��� 958 PRESIUIO
Ct�STA MESA,CA 92b2o
�
�rr�. �uuxc �oo�ss: ��
AfICNIiECT OA ENf+NEEP:
,1RCX. ON FNG.'S ADDAE55:
UNT:
FLOOU: AH-38
IlC NO.:
UNf:
caimncrarsNu/e: LALE' S ROOFING ( 714 ) 534-6398
camx�croxswuuwc 11550 ANABEL
��+� GARDEN GROVE CA ��� 503508
92643 �N*:
LICENSEO COtRPACTOPS DECLANATION: I Mraby � vMx penWy d pe�jury thm I am IcemeE uMer prwiume d Chapls 9
(commenc�p wilh Senion 1000) d Orviaion � d ihe Busre» aM Pmleasrone COEe. erd mY lioerue u in Ml lace vM efled.
cmuc.No.:045868 ��.��s: �_gg uc.No.: S 09/98
nma: com�ea«: � ��ji� •
OW R BUILOEN OECIANRTION: I hraby elfirm uMer penely d parN�Y �het I em ewempt Imn Ihe Comradon �ironse law M Na
w'viB ���� (�bn 1031.5 Bue'vasa e�d Prdeseione Code: AM ciY a county xfiitli npuiree a pa�mn to cpmpuct. allm.'unprwe.
Eemoleh, a repsi eny avuclure, pia to ns esuarim, eko reQuirea ihe epd�� �a eucli pmmil lo fib e sy�d MalamaN tlw M a sM
e licemed punuenl to IM qwieione d tha Contreaors license Lew �Chepter 8(mmmminp wilh Setlion )UW) W 0'r�ruian 9 d tb
Businm vd Prdeaoiu Cadel a �lal he a she is ezemq �harahom aM iha beais Iw iM eAepeA exemqion. My voW ion d Secun
)031.5 by eny ep0liranl fa e permX wbptla �M epplicanl lo e tivJ penelry ot ml mae IMn fxs huMrad ddlen �5500�.
❑ �. s. owner w ina wooe�r «mv andwba win wap» m�nei eds comcanuf n..;n eo u» wwx. ene �na nrunun o �a imended
or aRared lor eele (Senion )Oa4.8uanea eM VrokssiwuCoda: The CanVedae License lewdom nol ryqlylo enox+rrd piaperry
W�10 b11�8IX �IIMW� IhB1BOfI. B114 Wi10 �OB9 BIIC11 WOfI! �1ITBlK O! �1B19Br M 1�1IWIQ�1 �1L9 W�IBf OW11 MIpO�Mi. V��� ��1 WC�1
mpovameNa me iM �teMed a WxeE lor eeb. tt, howewr. tM Wikiip a inqovemem ie eoN within ane yaer W mmpletbn, �ha
owrierW iNer will heva Ihe Wrden d povirq he or ehe d'd nd buiM a impoue la IM qnpme d eda).
� I. n oxmr d �M popary. em utluviely conlradiq MiN IicenaeE cmliaaas �o cana�uq Ma projm (5eeun IOM. Bwi�ec eM
Proleseiane Code: The Conirenae Licm» Isw tloes M eppy lo en owner d qopeny x1a WiMe n impovr �hxson e�M xfio
conlrecb la wM pqeds wiN e mritretlor(e� Icenead punuanl lo Ihe Cont2da5 LicenSe Lew�.
� I em eRampt uMx Sxiion: B. 8 P.C„ br Ihn reaaon:
Dete: Oxnar:
i do n.�nv �nM �nm i em e.are a ene ��we�ei�d me �a���e�a d cmaanm Heenn ene ser<iy coa. sea'vre asws. nsro..�e
255M. eM ihel l a ury Mum buildi�q oaupem will / wil rat (e�cb me) naed to comply wih aeiE uma mdee enJ tM requ'vemenb br
e0armulamtnVuclbnamoEifiratbnham�MA'r ue�y enepemanlDielrid.PeaiEenlielmnpiud'pnWpiceliomanmemWhwnlheee
pIOM510118.
Deta: Applcem:
W OHKEN'S COMPENSATION DECLAN�TION: I MraW elfirtn �Mer penelly d prjury one d Ne Idbw'up Eadvdiom: �
� I heva enA wil mantein e ceNfceie d mnaent b eeMinwre br waMen' compenW ian, n pro+ided In by SecVm �NO d tM lebor
coes. i« ina o�o�� m ms won i« �:�n inn v�n �. �o�ed.
� I here eM wil meimein worlwn' compenamon ineurance. ea repuirad by Seqim 3�0 d Iha labor Code. brtM pularmence W IM
wpk la r.firh thie pmm� 6 eeueE. My warkeA compenaeiion inaurenw rarrier eM policy numbar era:
c�«: � STATR FL7ND EXPIRES
vd�rN�mn..: t17'�9979-9r; 11 /O1 /9 %
�mrs vearon ,reee na ne canwa�ae r u. w�. a ro, orie nune,ee ed�eR Is�ool w recs.l
� 1 cenAy Ihei in Na parlormeza d tM work for whch thie permn e iaeued, I ehdl ria empoy eny penon in ury manmr eo u lo
becpm aubpd to the wakne' mmpenwion 4x+ M Celitwnie. vM �ee �hel ' I eliwk bxYpn , len to tM xoiken'
compensation pm�ieio� ol5eebn 9]0o W Ihe labor CaEe. I Miell 1 h pmiisi
0— - 7 .aa�:
Weminp: Fallun ro sxun woilrxi rompwuetlon roverepe l� unl�Wul, entl �NI/ aub/sef en smoloyw ro uiM�ul prWtlrW
clvll flnu �q ro om h�ntlreC thouurM eo/kn (S/0q0001. In e4tl/tlon b M� cwt o/ rompwNatbM1 tlamsps aa provkNtl br In
Sectlon 3)O6 ollhs leborCoae, lirterut eM ettomsy'� Isu.
CONSTFUCTON LENDINO AGENCY: I Mreby elfiim uMer penelry d perjury thet tMre u e oonn�utlbn lendinp pency M iM
peAormeMe d IM wak br whirh the permi is'n+ued 1�� �]. Civ. C).
LENDEH'S NRNE:
LENOEP'S �DOflESS:
I cMity �hei I hca read this epplcelim end stete Ihe� IM eEova inlarmetion is mrtw. I epree to rnmpy Milh ell ary atl cauMy ardi�anree
eM ete�e lewa relelvp to buikip const�udion ard heraby eu�hor¢e �apaeemativee d ihie dryto en�er upon �ha ebova�memianed properly
�����5����W�� G}1LE MILL,�R `��
�5151-Ce.WP� Whne-Buildvp d Selely; OreerFb: Carwy-Appliranl; Pink-!ie`enue; poNenmE-Asasaw
CITY OF COSTA MESA - BUILDING PERMIT
PERM NO: B 085009
PERMIT NO: H 085009 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-N PERMIT TYPE; STR PURF'OSE: OTH
JOB DESCRIPTZON : T/OFF 6 INSTALL 3 FLY. ROCK ROOF SQ FT: 4,2��
CLAIM VALUE: 4,200.00 CALC-VALUE: 4,200.00 GROUP OCC: R-3 /U-1
COMMENTS: SMOKE DETECTORS REQUIRED '
+r�-*x-�*;��t�r�t*x�x�x�**�r*;e*�t�t***�ta�****+�*at�tx�****+�**+�**�t-***�-*;E-x�;��t�t*�;�+�***�**;�;e***;��;t*-�**
Z G 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 BUILLING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGAT: FT IN
PARRING REQ: PROV: PAftCEL: 412052G6 ZNE: REF NO:
PLANNING NOTES>' �;
i
if �k if iF il� �k iF ii� iF iE 1f iE 3f if:iE iF'lE iE'1E iE iF iE 1E i't if iF i't if �1F iE iE iF if iE iF iF if iF jF iF iF �E jE'!f it i@ 3E if X if iE iF if if 3E if iE i(� 1E if �lE ff if ie if if iE i(� ie iP �E �1f jE �7E if iF if if iF
D E V E-,L t� P M E N T S E R V I C E S R E� U I R E M E N T S
1 . �.—.
ZONING APPROVED�BY DATE: v'
BUZLDING APPROVED BY : DATE: ��
'h
APPLICATION ISS-UED HY: D:vTE; I/� Z `j7
'1h'1f'iEiEififjf3E'1E'1EiE1E'1E3EiFiEif3f�FifiliF3F3F3FiF�F��F�F3iiF � �F�FiF7F�F�FiFiF�FiFiF�F3f7FiF�3FiFiFif3Eifit�lf3fiFaE9EiE'rfi�{y ,�' 'j�iei'r
LEGALIZATION;N F E E S U M M A R Y STROCTURAL SEGMENT;Y
BLDG FMT FLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRI�-jZNG
F�ERMIT 99,75 .SG
5MIP/NGN-REs'
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT IS5UE PLAN-CHECK
TOTALS----> 100.25 0.00 0.00
REj7ENUE UIVISION TOTALS--> CULLECTED:
bLDG PMT PLUMHING ELECTRIC MECHANIC
99.75
TGTAL PAIL UUE
100,25 100.25 ,pp
100.25 OVER/SHORT: •Gp.
FIRE SMIP/?GT GRADING FLAN-CkECK
.50
�lf �1E iE iE iE je iF jE if ik i! if iE iF iE iE if iF iF iE if iE iF if i! �E if iF ik iF iF 3f if iE iElF ik if i't if iE ih if iE �1f iE �1E iElf K �E iE iF if iF if if iF iF�i4 iF iF �E �1E 3E 3F if iF iE iE if iE if iF iE 4 ji' �E ic
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 Z P T I O N UNIT COST TOTAL COST
SFR 9200 REROOF BY VALUE RESIUENTIAL NOZONE 1.00 4,20p p�
ENU OF FEES
iB-82-f997/83:31 DI�{188.Z5
RCPTt:81rg13216
PERMITeB8gBA9
�
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS �Permit # -Date InsPeetor qpPROVALS Permit # Date Inspector'
i. Temporary Electrical Service or Pole � � ' � 52. Pool & Equipment Locatlon - "'�
2, Soil Pipe-Undrgrnd. �. � 53. Steel Reinforcement . - �•
3. Electrical Conduit U4ility-Undrgmd.' - 54. Forms . � ' �
4.'Elecvica� Conduit�Undrgmd. _ _ 55. Electricai Bonding � � � _ . 4 . �
5.� Steel R¢intorcement� � - 56. Rou9h Plumbing & Pressure Test � - ',
6, Electrical UFEft.Grnd. � 57. APPROVA�'TO COVER�GUNITE. � 'r' .
.,1 .
7.. Footings _- • � 58. E�ectrical Conduit-Undrgrnd�.
8. Foundation •� 59. Gas Pipe, C� Undrgrnd., Test
9. Water PiDe�Undrgrnd. .'_ 60. Backwash Lines;•PTrap, O Undrgrnd. _
10. Structural Floor System � � 61�. APPROVAL TO;DECK� , �
71. Propertv Sewer Line & House�Connection = � � 62. Backwash & Recepmr-Final-� . .
12. Sewer Cap - - � � . - � 63: Heaier & VenbFinal - -
� _
13. Roof Drains . - - . _ � 64. Plumbing System � Ffnal - �� � � '
i
1'4. qough Plumbing• � � ' . 65. Electrical�Finai . ' , _ . _
15. Rough Electrical-Coriduit - , � � . � " 66. Solar Svstem-Finai - �
16. Rough EleMric Wiring - � � '- - '67. Fencing & Access�Approval � � � � � �
17. Rough Wiring Sign . - � '_.68. APPROVED PQ;R,PLASTERING � ��
18. Rough Electricaf-T Bar Ceiting � ` ` � . . . . . ,
�69. POOL/SPA SYSTEMS FINAL '
19. Rough Heatiny & Air Co'nditioning � " - � � , FIRE DEPT..REQUIRENIENT . �
20. Rough Facrory Fioeplace ' ' , - _ _,.�;; ��APPROVALS� �. Pe mit # � �
27. Ducts; in Structure + � � - .� . 70. �UndergrovrirJ H�dro -
22. Ducts; Vefitilating, T � .�: �. , 77, Product Piping O�6as � Oil
23. Gas Pipe�Rough & Test - � �� � - � `, 72, Underground F[lish_ � ` -
M1 ' I � P �-1
24. ftoof Praming' . . ` � ' �� �- � .. .
-, i:. 73; Undergrnd. Stor,agQ 7ank. � Gas O Oil
25. Roof Sheathing - �'j��,�' �;((y�l�jq, p�erhead Hydro. y ^
26. T-Bar'Ceiling (SvactLraq & Monocoat - ' r 75-,Dry Chemical _ •� : � '� �;�
; - _
27.,Frarpeand Flashing ; _ - � . - �+f 76. Ory Standpipe,�= � `
28. Lathing & Siding -- � ' � � . ' " �� � 77. FIXED S�Y$TElN�FINAL r
29. Insulation .. �� � �� 78: FIRE PREV. FINlA� ' �
30. Orywall Nailing � ' � � �1�iEALTH' DEPT. REQUIR-EMENT
31. Plaster Brown Coat � . - - • � 79. FINAL INSPECTtON � '� •
" 32. �ElectriGaFPower t�eter-Final !'' � .� SOj FOOD CERTIFICATE I�SUED,
33. Final Electric � • �, . , i+ Ndtes: � : �" • ; � .i �.
T
34. FinaF�-Heating�& Air Conditionirig ' ; •: _ _ ' ' '' � -
� .
35. ,Kina� Gas.PiPe:Tesi ` ' � � - ' . _ ._ : � '. �
36. Hood or Canopy ' i �. 1� ' �• �, ,
37. E.inaLFattory Fireplace -� - - - ' i ,`�_ � •
38. Final�Plumbing � � ' � � �� 'a � ��
-�
39. Water Service-�inal ; ' • . '
+- 40. Gas Service-F�inal • � • ' � ' �
� 41. Solar pomestic-Fina[ � �� " � . � , : ; �
42. BackfloW P�eventer r � � - � �� -
- � .
- 43. BackfloW Irrig'ation � , . � � �� r • . -.
44�. �andscape IrrigatioriSystem ' � � " . _ - � ' - :
� L.
45. Sound Attenuation .: .. - , . - - , - ' •
�Y
_ CJ
46. Handicap•Regulations � : - � � .�
.. � R�
47i FINAL STRUC7URE & BUlL'DING ` �;? �4lpi�' � � , �
� _ � E
. 48�. F.INAL PLANNING - � . . - .. -: -- � ' ;�{ �''
- 8 -
� 49. Electfic Refease to Edison - � . . � - � '
� a �z;
. . rre?
50� Gas Release to.Southern California Gas Co ' -' � ' �� �
_51l CERTIFICATEOfOCCUPANCY ' ' ' - • - '�''
;^T ;i
No. Date
. _ . - . .. _ . AOD���ant to fill in ali spaces except those within.heavy eortlerJines anG.sign all.approDriate Eeclarations. _ -. _ _ __ . _ _ -
� " ' e
CiTY OF-COSTA MESA ' �CONSTR CTION PERMIT . - PEH'"' O. � .TRACT NO. • LOT.NO. .. � UNI7T NOi; , ' , - -� ' � - ' _ • �
/�q-p� (y�y� o�.3:S�� 1 � � ( ,. . 3587 � 4/22/26 ' ' ,r ra�" • TL.
. . Prolect Address, -/ V-lJ •Y� P J�N / �% : . o%� . . ' . ' _ � . - _ � , . / .
-� � � � - ` ' � TYPE OF CONS7RUCTION, ' rvEW � ADD fALTERATION- EPAI R ' -
ApplicanYs Mailing Address � - � ' '- - • � - . _ . _ , . .
' n :O CONVERSION?ObEMOLISH ❑ OTHER , A,p.# � ' i � - . � � `r 2on8' �
Owner's Name ' Phone % ., DESCiiIPTION OF WORK/USE OF BLDG �� ' � - �
Addr'ess ' 'n � � J - � ' r � � - � � . � -.� •� . - � • � � " 1 . - � S Main Bwidmg � - - � - ' Accessory ewldmg "_ �. Z
[. . .
Arch/Eng.� - " �LicenSeNo: ' 1 TVPEOFPERMIT ' GRADING'��/ FOUNDATION ' STRUC7URAL T Front � � r ' ' � �' .� � _ O
❑ T,ENANT ❑ ELECTRICAI. =L�J PLUMBING ❑ MECHANICAL �� ' ' , � � , N
Address � �-�q��/� - ' p���/��� , _ _ � � A Rear � , , �
' �. .: � '. •' �'O �OTHER. . " . _ ' ,
Contracmr's Name-J., . / ^� .�( "Phone(17X='j-u(%..� � - • . '. . . . . _ C Ri9ht • � . . � I . N� .
Atldress (m I 1� W/�.Y/ ry- PROJECT DESCRIPTION 5�. FT. • � '�• OCCUPANCv K , . ' .� G �
' �D�� � , � CONSTRUCTIONTVPE � � � � VALUATION$ g Left � , . R�
Ciry Lmense No. ' ' ZONE GRADING CV. VDS'. � ACRES . . , E` �
LICENSED CONTRACTOR'DECLARATION ' • i Plny. Ref. # . Parkmg Req:/Prov�ded. .<� �. a
I hereby affi�m tM1at'1 am licensetl under provisions of Charter 9'�commencinq , Remarks: ' �' �' � � , Planning Notes: �" -� �� ry�'
� with sectlon ]000) o( Division 3 of the Busine35 anU Professions Cotle, antl '� - - ` , T i �
my license is in fu t an0 effecL � ' /,^/`� � , • - ' , � � � � � • , "' ' � � � . � . .�
LIC2052 dS5 - - . . a.n _ � ' 1 ' � i'�r"f\rl\ / ^1 Pf \ P. C f. /fL�if. ; � S`
/J • • I 1 [e Nn YVY ' ' � i r � : cnn � � . i.iJ� �
�Date ��� ��'g t ' . . ^ � � � ' ' � PLUMBING' ' i �FEES ' : � ' I ' t ' ' �' �
WORKERS'COMPENSATION DECLARATION � , , �
BarSink , ! Sfiowers ELECTRICA�L , FEES
� I hereby atfirm that I have a certificateiof consent to sel(-insure or a certificate � , . . : ' '
� of�Workers' Comp i u ce; or a certitietl-copy thereof�(Section ''" BackflowPreventer �� � Service$mk; AutomaticWasheF: - Transformer
\3800, �.ab. � . i � i , , ❑ 15�50 KW
. 2FPuoc� . , ,
Policy No. Com any �9 Backflow Irrigation Sewer Cap Construction PoleSub. ❑ 50+ KW �
�Certifietl coOY is he�eby (urnishetl.� � , _ � , . � , , , ,
Cerr 'etl py i r etl with the city<B � o. Bathtutis 1 Sewer Connection Cooking Unit' � � Merer ❑up to 100 amps �
Date � �� -'B��1�, -Applicant � � � ��� . .
EXEMPTION_ ��� FROM.WORKERS' COMPENSATION DECLARATION- Clarifiei5 . � . ,Solaf CollectO�s � .DiShwasher _ �__ _ _ . _ Me[ec �over 100 amp5�. _
(This section neetl m[ be comple[etl ii the permit is for one nuntlretl ($100) or - .
less). � . � r Dishwasher � � Solar Pipingi - � � Dryers ❑Gas •DElectric ' SubiPanel � ' .
I certify tbaLin the performance of the work for which this permk is issuetl, I � . . . � - � � . . - �
snall not employ any person in any manner so as to become subject rolme ' Drinking Fountains Solar Tank � � � Fan � Motors �0-1 HP �1 �-,8 • �
Workers; ComOensation Laws of California: ' ' ' ' ' .
. Date ' Si9nature • ' � � �- � Floor Drains � ' Swimming Pool w/Spa' � � F.A.U. ' ' IncSolar �9-15 HP 016-15+ •
�NOTICE: If, after making this tlectaration, yov sM1ou10 become subject to'the ' '
'Workers' Coinpensation provisions of the Labo� Cotle, you must torthwi[h'. - FIOO�Sinks "' -� ' : � �U�indl � ' � Fi%tu�25- ^ � �
comply � with such provisions o� this � p¢rmit Shall ,be tleemetl revoke0. � •� MiC�owavB
CONSTRUCTION LENDING, AGENCV� ' � Gd55¢rvic2 � :TOUt12t5 ' W2L¢fC105¢t . ' { . 1 ' D¢vic¢BOx25 ' Pole Light � �
1 herety zffirm that lhere is.a construction lentlin9 aqency for [he performance '
of the.work for which thiz permiL.is Issuetl-(Section'309] Civ. CJ . � ' " ' � , ' ' " , -' • , � � . -
. . In{erceprors Water Heater Outlecs Range � 1
LenEer's Naine ' � '
LenGer's Aaaress ' Kitchen Sink _ � '� �Water Service, - ' ' - Switches � Sign � � � �
OWNER BUILOER OECLARATION '�' ' ' _ . � . � ,
' I hereby aftirm that I am exempt irom the Gontracto�'s License Law for the � Lavatories ' c ' Auto-Wash ', " ' Garbage DispoShc , � ; Standing Sections �
tollowing reason (Se<tion 7031.5 BuSiness antl Professional Cotle: Any ciry'or _ ;, . , ' ' ;
counry which reQuires a permit to construct, alter, improve, tlemolish or repair, P-Trep ' �Laundry Trays- ; Genera[or DO-5 KW �5-15 KW
any structure, prior lo it5-issuance, also requires tne applicant fo� such permit T�35h COrtlp3ct0� , ,
�lo file a signed sldtement tM1at he/she is licensetl pursuant fo�the provisions of � ' '- �', _ - , ' �-- . � �
� ' the ContrScloYs License Law (Chapter'9"(commencing with Section 7000) ot � ROOf D�ainS ' - , ,
Division 3' of the Business antl Professions Cotle) or that he/5he is exemp[ � ��, _ . � � �
theretwm antl ihe basis for the allegetl exemption. Any viOlation ot Sectlon � + ' � � � . � •' ' • � � �y � � - � j � � �
]031.5 by any applicant for a permit subjects -the,aOPlicanN to a civil j .
penalty of�,nol more than frve huntlretl tlollars ($500). ' ' � ` " ' ' ` , , . , ; ' ' ' �
�. " � � ^ � Reins ction..FaeT ; $15 � � � , laue Fee�. $ 3 , , �
❑ I,� as owner ot [he propertyl or my employees with wage5 as their sole ' PQ � -' .
compensation, will tlo the work, antl ihe structure is,not intentletl or otteretl • ' ' � � � � Reinspection Fee $15 luue Fee � $ 3
for sale (Se<tion��044, Business antl Professional Cotle: The Contractor's' ._ 1. •� �� MECHANICAL , ' � FEES � -
License�Law'tloes not apply,to an owner oi a property who buiids or Improves . - - DEVELOPMENT SERVICES REQUIREMENTS: � �
[M1ereon', antl who tloes such work himself%herself or throu9h his or� h¢r own ; ' goiler • ' • Hood or T e I� ❑ � � ' �
employees, provitletl that such;improvements are not. in[entletl or offereC 1or � � YP i- '
sale. If, howeveq [he building or improvement is soltl withln one year of mm- C2nopy'. Typ¢ I I ❑: � ' ZOning App�oved By � , D2te -
pletion; the owner will have tne burtlen of prov�ng he/she tlitl not builtl or im- � Duct - Undei Ground ' � ; � , , Buildin9 Approved By' ' Date �
prOve for the purpose of sale). ' � - , . , '
❑ I,�as owner oi the property, am exclusively mntractin9 with licensetl con- � Duct -Svuctural ' � , Refrigeration System ' ", ' k qppliwtion Issued By - � Date��
trac[ors to construct the project (Section 7044, Busines5 antl Professlons Cotle: �'' �
_Tne Contractor's �License Law tloes not appry to.an owner of�property who Duct - Ventilaiing '� ' � , �0=100,000 BT.0 �100,000 BTU ._ � � SUMMARY OF FEES , ' � �
builtls or improves thereon, antl who contracts for such projects with a con- 1 ' � ' }, ; , . , BUILDING PERMIT
tractor(s) license uursuant to tne Conlractor's License Law). I am aware that Ezhaust Sysjem ❑ MWtiple 0, ` i System Repair/AI[eration �- $ ' SMIP � .$�
proof ot their Worker's Compensation insurance shoultl'be providetl to me.� . - � PLAN,CHECK � $ � �PERMIT' � { . •
❑;I am�exempt untler Section , e. & P. C, for ttiis reason • Firepl/FacCBlt. ICBO # � � Fire Dampers ' � � ' '�— ; ISSUANCE �$
� � , . . PLUMBING , ; $ � ,
Date owner Heating System & Duciing Registers ' PLAN CHECK ' 25%, $� � ENERGV P.C.. $
I�hereby-8ertify"thaC I have'reatl' mis applicatibn antl�state that tne above ` � ❑0-100,000 BTO'�700,OOOBT , ! i � ELECTRICAL � '$ � t GRADING ;$ '
information is <orrectJl agree to como�v with all city antl county ortlinances - 1 � . i � . �
and.state laws relating to builtlin9 construction, antl hereby autnorize repre- , � . • � ; P,LAN}CHECK 750%� $ � ' 'MICROFILM �$•
Sentatives of thi5 city [o enter upon the above-mention¢d�property,fo� � . ; � � , � 1 � ��j�j�
inspec[ion r a � �-� �/���.� � � MECHANICAL � $ ,TOTAL FEE .$ ��1._ �/_
Si9nature .(L,Q.(('. ReinspeMionFee ' $15j � IssueFee $ 3' PLAN�CHECK 25%� $ ' � � ' '
Orivers' License or 55 � 1 •
CMF 0865-46, rev. 10/84 White - Building; Canary - Ap0licant; Pink - Accountin9; Goltlenrotl - AsseSsor
•CONSTRUCTION AND PLANNING - POOL & SPA
.
�. APPROVALS Perm�t # - Date Inspector ' AppROVALS - Permit # Date - Inspector`
' 7. Temporary Electrical Service or Pole � 52. Pool &� Equipment Locatiom . - .
��. 2. Soil Pipe-Undrgmd. - . 53. Steel Reinforcement _,
3:,Electrical ConduifUT�lity-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgmd.� � � � 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
F,9. Water Pipe-Undrgrnd. ' '� 60. Backwash Lines, P-Trep, O Undrgrnd. �
10. Structural Floor System ',. 61. APPROVAL TO DECK . '
,�,.,
11 . Property Sewer Line & House Connection •,- ,� 62. BackwasFi & ReceptorFinal .
12. Sewe� 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 Wirin9. . - ; 67. Fencing & Access Approval � .
77. Rough Wiring Sign � � � 68. APPROVED FOR PLASTERING � ,
�18. Rough Electrical-T 68r Ceiling � - 69. POOUSPA SYSTEMS FINAL -' '
19�. Rough Heating & Ai� Conditioning I � ' � FIRE DEPT. REQUIREMENT -! � ,
20. Rough Factory Fireplace � . � � APPROVALS Permit # � �
� 21. Ducts, in Structure � � ' � 70. Underground Hydro - . � �
22. Ducts, Ventilating . - • 71. Product Piping O Gas ❑ Oil • � �
23. Gas Pipe-Rough & Tsst , - , � - ��' - 72, Underground Flush � �
i
24. Roof Framing , � . , - � 73.•Undergrnd.StorageTank•OGas ❑Oil ' �
.25. Roof. Sheathing ' . . . ; y . , 'k _ � 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 �' bY2-f�d (�!J ' � � - � •
39. Water Service-Final � •'J;; �- � - � , . . . � � - ,
40. Gas Service-Final ' � � � . ' . � .
i i
41. So�ar pomestic-Final '--` ' � � ' ' �
42. Backflow Preventer `• 7 � � � ' ' ' ' � � �
� .
43. Backflow Irrigation . �, � - � ' � .� . ' .
44. Landscape Irrigation System � '� � .
45. Sound Attenuation ' I.�.� - � � � �
46. Handicap Regulations • � -_�- , '_ ' �
47. FINAL STRUCTURE & BUILDING � � � � '
. �
48. Special Requirements Completed - ' . . � -
49. Electric Release to Edison � - • � - - � � � � �
50. Gas Release to Southern California Gas Co t �
51. CERTIFICATEOF_OCCUP.ANCY „_ .;_� � ' _ , '
No. ' .. - Date � �
. , t s���_
COSTA MESA BUILDING-SAFETY.DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIRORNIA '
Fo� Applican+ fo Fill ln Complefely
• TYPE OR PRINT
A MAIL
COSTA MESA. CALIFORNIA
Lot 25 Tract 4285 Plan 300 C
FEE RECEIVED
� SEP 6 198�
flNANCE DEPT.
CITY Of CO�JA MESA
APPLICATION FOR PERM
BUILDING
For Offiee Use Only
H6CEIPT NO. PBRMIT NO.
� 9� �7
REC IVED BV I OA �R¢CEI�D/ I� DAT! 186UlOa
e BUILDING
ADDRESS
n. COSTA MESA. CALIFORNIA
�
APPROVED
Coast Hi hwa ZONING
- ZON i NO. OP/� U88 OP N[W
iel Mar' _ � .I PLAN�F� DUILDIN6 ,
_1 TEL. �ea��
No.OYiole.3-4280 oeecairr�oN --� �.i-�
I NO. O� BLDGB.
EXISTING BLDG. nORe pPPROVEO
fiCTBACK LINB RROM fC�MT[H LlNB BiJ
CaMax OF eTxeer �+H � REAR YARD ZS � FRONT
SIDE YARD I�.EFT S� I RIGHT lO � 3�� R. SIDE
DESCRIPTION OF WORK
I X II I II � L. SIDE
Is,zE��NG59'9^x50' ROOMS 6 ST�RIES 1
1 HEREBY /�GI(NOWLEDGE TNAT 1 HAVE RlAD TX19 APPLIGTION
•NO BTATE TXAT THE ABOV¢ IB CORRCGT AND AGHEE TO COM�
PLY WITX wLL C1TY OROMANCEB ANO eTATH LAW6 F[ODUTNG
BUILOINO CONBTRUCTION.
SIGNATURE OF g sa Del i T D0Vf10 ment C
PERMITTE
BY � C�l� CG�'e:s�C'LG�
AUTHORIZED AO
EVE6
SO Fi. �--
�� FT. 3
.S FT.
3 Fr. `—'
�(.X DATE 0 /�f
Living Area 1405 S F
Garaee Area 432 S F
TME AMOUNT BHOWN UND6R VALUATION 19 POR THH
PUqP09E OP, E8TA6L18HIN6 A vERMiT PGE ONLY.
.UATION I e�e..�r �«
e 7 ��
$ LrJ,326.00 IPLAN
�p
4