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HomeMy WebLinkAbout866 PROSPECT PL - Building Permits� - IiU1LUING YtKMI l Job Address: 866 PROSPECT PL Suite: Vicinity: ROOF Status: ISSUED Applied: OS/13/2003 Issued: 08/13/2003 ParcelNumber: 41$06415 Zoning: R1 R1 Applicant: DOMINICK VALVANO ISSUED BY: Address: 1387 GALWAY LN . , - � - . � _ ��Phone: (949)675-6705 - � - � COSTA MESA,`CA � � � . Zip: 92626 ' �� , Owner. GACETA; MARYLOU B� Address 866 pROSPECT PL� i � , � ' �.� _-PRone: - �- .._ �� �,, . - �. COSTA MESA; CA�, � Zip: 92626 2954 � � , � " , ' Contractoc TODD ACLEN.CONSTRUCTION Address: 7387 GALWAY.LN COSTA MESA, CA Zip: 92626 Address: Zip: Phone: .,-(949) 6756705 License: -. 698964 ' � . � � r"� � � Eng: ' �:,. . - - � � Address: � Phone: ; License: V �. Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 7/16 OSB,2 LAYERS OF 40# FELT, DURALITE TILE, ICBO 2656, VILLA, NOT TO EXCEED 5.8 LBS. 2,600 S.F. INCLUDES ATTACHED GARAGE. ' ' - -' ` �r .. . . . _ _ „ ! ..� .. _ . . , Plan Check: $0.00 Permit: $167.25 SMIP Res: $0.90 SMIP Com: $0.00 Other: $0.00 Inspection: ,$0.00 FEE SUMMARY : Calc Valuation: Ss,000.00 Claim Valuation: 8s,000.00 �� Total: $168.15 . , ' � _ � " � i ' � PLANNING'& ZONING-, ' � , � SETBACKS : . . - � - ��% MAINSTRUCTURE Front' 0-0 Rear 0-0-` � Left 0-0„_. Right 0-0 ACCESSORY FrOnt 0- 0 Rear _ 0- 0 Left 0- 0 . Right .�'�0. 0" ; PARKING Existin : 0 .Required: 0 • Proposed: 0� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related � regulations. (Ord. No. 92-28, § 1, 12-21-92) IEXPIRATION: This permit shall automatirally expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. �NSPECTIONs: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspaetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46 (6/00) WORKERS' COMPENSATION DECLAqATON: � � ,,,, . I hereby aHirtn untler �;snalry ot per�ury one oi ihe following declarations: - � � , ❑ I have antl will maintain a certificata ot conseM to selt-Insure for workers' compensation, as provided tor by section 3700 of the lebor Code, br ihe pedormence of the work lor which this pertnit is issued. , ❑ I have and vrill mainWin workers' compensalion insurence, as requiretl Dy section 3700 of the Labor Cotle, for ihe pertortnance oi the waM for which this permit is issued. My workers' p tion Insurence carf�r antl p Icy number ere: / Cartier: ��� lLr /' c/Y"�� Poliry NumDer. /� Z�F l ry— (This secf/ar need not be completetl i! the permif is velued et one huntlred tlollars ($100) or Iess.J ❑ I certily ihat in ihe pedortnance ot the work tor whicyl� rmit is issued, I shall not employ any person in eny manner so as to become subiect to the workers' wmpensation laws ol Califomia, antl ag at Yf ultl Decome suDject to Ihe workere' compensation provisions of Section 3700 of the Labor Code, I shell torlhwith comply with Ihese pmvisions. 4 —> Applicant Signeture: Dale: Cl / � '—� � WARNIN(3: FAILURE TO SECURE WORKERS' CAMPENSATIdJ COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMIW�L PENALTIES AND CIVIL FlNES UP TOONE MUNDRED TVIIXISAND OplAFE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DMtAGES PS PROVIDED WR IN SECTIdJ �OB OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm ihat I am force antl eHect. Lic. k_ Coniractofs Signeture: 9(commencing with Section 7000) of Division 3 oi the Business enA P f�essions Code, end my license is in full Class tl � ) � Date: �--- (^J � CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that ihere is a construction lentling agency for the pertormance ol the work for which this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lentlefs Name: Lentler's Atltlress: Signature: Dete: OWNER-BUILDER DECLARATIONS: . I hereby ettirm Ihat untler penalry ot perjury Ihat I am EXEMP7 FROM THE CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professlons Code: Any ciry or wunry which requires a pertnit lo construc6 elter, improve, tlemolish, or repair any structure, prior to its issuance, also requires t�e applicant tor such pertnit to file a signed stetement ihat he or sha Is licensetl pursuent to the provisions of Ihe Conirectors License Lew (Chapter 9(commencing wiih Section 7000) 01 Divislon 3 0l the Business end Pmfessions Cotle) or t�at he or she is exempt iheretrom end the basis for the alleged ezemption. Any Wolation ot Section 7031.5 6y any epplicant for a pertnit sublects the applicant to a civil penalry of not more than (ive hundred dollars ($500).): ❑ I, as owner of the properry, or my employees with wages es their sole compensation, WILL DO THE WORK, antl the structure is not intendetl or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contrec[ors License Law does not apply to an owner ot property who builtls or improves thereon, and who tloes such work himself or herealf or through his or her own emplayees, provided ihat such improvements ere not Intentlad or offered for sale. If, however, ihe builtling or Improvement is soltl within one year of completion, the owner-builder will have Ihe burden of proving ihal he or she did not build or improve for purpose oi seleJ. � ❑ I, as owner ol the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prqect (Sec. 7044, Business and Professions Cotle: The coniractors License Lew does not apply to an ownar o/ property who builtls or Impmves thereon, and who contracis lor such project with a contrector(s) license pursuani to ihe Contrac�ors License Laws.). ❑ I am exempt under sec. Signature: Owner ID veritietl by dnvers license. ❑ Ves � No Business antl Prolessions Code for ihis reason: Venfication ot Ownership by (rype of tlocumem, i.e. - property taa bill or deed): OnverS LiCenSe No. Date: Expires: DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICA710N: ❑ I hereby certily that no excavation five (5) or more teet in depth into which a parson is required to descend, will be maCe in connection with work euthonzed by this permit, antl that no building siructure, scattolding, falsework, or demolltion or dismantling iheraof, will be more than ihirry-six (36) feet high. (Ghap. 32, Grp 2, An 2, Sec. 341, Title B, Celifomia Atlministrative Cotle). ❑ As owneaGuilder, I will nat employ anyone to do work which woultl require e permit from Ihe Division of Industnel Satery, as notetl above, unless such person hes e pertnit to do such work from the division. SignaWre: Date: Division ol Indusirial Selety Permit Num6er: CERTIFlCATE OF COMPLIANCE AND AUiHOROATION OF ENTAY: I cenify untler penalty ot perjury that I have read Ihis epplication and state that the infortnation qiven is wrrect. 1 agree to wmply with all state laws and ciry ordinances relating to buitding consiruction, end authorize representatives of t�e Ciry oi Coste Mese to emer upon the ebove-descnbed properry tor inspection puryases. I agree not to occupy or ellow occupanq ot any building authonzed by Ihis permit until final inspection. COUE �. INSPECTIONTVPE 1616 Fi:ed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 200 Final DBmdiiion PdI€ 1�945 ' �`�4`�- � �— �°�'e � 3 Date CODE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 222 Final Planning ApOroval Final Site 250 Final BuildinglOccupency Q� � Applieant to (ill in all spaces excep! thosa within heavy OorAer Iines antl sign ali aDC�ooriate Oeclaratlonz. . � CITY OF COSTA MESA + � ! � � � i J '� � pE 1T NO. 1 ' TRACT NO 1 LOT NO,- ; BL - 1 y� ' � � ' ��^ - CONSTRUCTION PERMIT� . ; � ' , - �SZ`� � � 0S1 ; -� '- I� f � � � .A .,., i�. i � � j,. I � �:7, � " i'" ; >> I y ��, .,i f , , - : : :_ �. '; , ;i _ ; " � :4�654� Bf�2f/B3i `�' � ��.�80: TL AppllC3nt 5 Malling AddIB55 L ! ' : "� �� � � iTYPE OF, CONSTRUCTION � NEW ADD4 ALi ERATI10N T 'REPAI R r r � • • � = � � � �'; 41 �' �j ' -'� � � I m ) ^ ��� ' ' � ProjectAddress_ �� L�� ' QoSPC« � FLAC�, � m � - . � ❑ CONVERSION :� DEM ISH ❑�O/TH- ER _ ' `� � .. � _' � � - . � � � � � _� ;, � � � � � �� �` LPRR � '�S �- ' - � � 57]�55% DESCRIPTION OF WORK � �AT le ' l �O V GR' �� � +' , - ' � OwnersName � hone' !_ • - c � � - � � - - - - - • � � n n � Z NI GR GULA I N - � � + ' - I SloG�.�P-Ros P�cT ; �nc� , : i i . , . . . _ .. .. � - � ` . , � / , - . . . �flddfeu . � , -� ' i7ypEOFPERMIT � 'GRADING' •FOUNDATION. STRUCTURAC. _ A.P.�S�r`i I� -O�0 . �S• �ONE i . � �. m = i �'" � j A�Ch/Eng - � � '� � � LIi en52 No � � � %- � Q TEN'ANT� -❑ ELECTRICAL O:PL:UMBING ❑'MECHANICk1L ' � ' .pLNG. REF. Yk I � ,'.. � �, ,; I � BUILDING '? � � � : I C-'� � ' t ' - . ': t .- . . � �c ' 1 �' . ,. . _ . . i . � !! � � � ' � :OfOTHER � ^e 1 �: i '. � .. I : � .- � C I �' � i � � • 1 ' SO BUILDING � - ' � � - S - � A�ddf¢551 ' _ . . � . " I � ;REAR VARD (TO P/L) ) I �O-' O � � `� � � �� � /\.%E phone ' =PRQIECT DESCRIPTION 1 5q. F7. �' � �' � �" oCCUPAN Y ' = � PER v INE . '/ M1 ' " " � � Contracror.s Nama . , , , / 1 ' R. � x P I � SCEFTSIDE YARD- I S Q RIGHTSIDE VARD. I •�� � - I .: I. - 1 _ � 1 . CONSTRUGTIONT,YPE � •' � � VALUATION$� '.{�8 - . �• � � Address (mailing) ' , I ^ t � I ,f, ' . � . � . ! . ' '+ ' . • c • �' !,'- � ^ � . � � ; � � � ' ' � ZON� ' �GRADINGCU.YDS � �ACRES � � � ?KG.SPACE�REQ. � � � PROVIDED . i < �'; � Licerise No: . . - ' � LL _ . � - � � . : _ " . . ' � � CICENSED�CONTRACTOR DECLARATION � i �r � . Remarks: � _ � � { , � � : � � � = STREET WIOTH � . - PARK FEE $ ,"' i �'� � � 1'hereby�afflrm t�at'I' am Ilcensetl Untler provi510n5 Oi Chdrter.9 (commencing � , , ' , . � , , . : . . , � � . , , y _ � �y , ; i wi[h�section 7000) of �ivislon 3�of tOe Business antl Protesilons C6tle, zn❑ ' , � ! _. � � , ; � � . I ' �' , ' ' SPECIAL CONDITIONS: ' { • � ' ij , _ - � �J- � . � my�licenselis in full force antl etTe<t. � � - : � � ' � � ` ' � � � ' . � � • , i � � � S �,L1[ense Cla¢s ' � � ' License No. � ! � h i • - � � i ' � PLUMBING � `t �� � �. � � ' j ' ( ; , . I . • � ' � � I ) I �. , { . G7 3 , -n '� � � Dk,ORKERS' COMPENSATIONrDECLAfRATION ; .� � �� � j � ; � Bar�Sink; � � � SewerCap' � - i { ' 1 : � ! ' ELECTRICAL ; , � j ; -� ; ; . areby.attlrm that I.have.a certlticate�of.consenLto self-insure or.a certiticater� -- Backflow�Preventer�� �- -�-• 'r•Sewer Connec[ion, � � Automatic Washer � I •Meter ❑over 10a amps j � ��._�_ _ °"g���'Workers' Comp`ansation Insurance„or a certifletllcopy thereof (Sectlon � � - * � � - M � � � � �� 3'800, lab. C.l � � .. ` � � . � - � �i� ... ; � Construction Pole ;y . � 3ub Panel'� � � i ' � . � � , f � ; , � . � Backflow Irngation �i $ol'ar Collectors .] i � � �- � � � � � ,^ �y - � � # � � POIicY No. 1 ; • " ' ComPanY ' I� I � . , ��- . . � � � Cooking Unit I f ; SubPole ' . j i . f . � � ' ��Certlfietl copy.ls hereby fumisM1etl � { � � � q 60thtub5 � I Solef Piping , � i � � I - I .� : i � i. +, � . Certlfietl <opy is flletl witli the cLLy BWltling Division. � � � . � Dishwasher � � � ' �Motors �0-1 HP ❑1�8'8 ; � i oate � � � AVPlwant � ' � " Cla}ifiers � � Solar Tank 1 I� � � . � � j . �� • ; �� . . � �EXEMPTION'FROM WORKERS' COMPENSATION DECLARATION r , � �` - D�ry2�f5`'OGa54-�E1e6[nC` �1 "'FT" '�p�;Solaf'❑9-15'HP'016-15+" � '- (TnissecUon neea not be comoletea ii tne permlt is for one nundrea (Eloo) or � : DiShWasher - � � Swimming Pool W'/Spa � ' � - � ' less)^ � ; . � i � 1 � � � . i . � . . � i Fan ; • i , � � ��Microwave � 4 f � � � . ; 1 certlty thaY in the performance of [he work for whlch thii perrtik is IssueC I, � Drinking Fountams f � U�inal_' :,�. � � • + • - � . shalbnot employ any person in any mannar so as eco e sub�e[t.to t�e � � - •� 1 • ' F.A.U. � � ' .Pole Li ht � �� � . worker '�omp¢nsaIIon�Laws ot Calitor 'a '.' ' � � j Floor.Drains � j Water Closet � a,} i ; � � 9 � � ' � • � Date' � ZL/'3'S Si9nature � �' � I i � � � F�xtures ' � ' � flan e � ' � , NpTICE:�If, attermaking� this tledaratlon; yo oultlrbecome sub7ect to th0^'^ - . , Floor.Sinks -. ��.�--4 � -I-�--� Watec H2ateq-� � � - � - _ _.e- ' "_' " ' '"' ' - 4.._. _._.. " " 9._ ._..1 .. E _ __I i ' Workers' Compensation, provisions ot �the Labor, Cotla, you.must.forthwith; ! . ' .., . � � '. - . � � i ' ' � i � � � -� i � �-1 Device Boxes � � � ' � ' ' � � comply �with� such pfoWsionsy.;or ,this..pei mi[ }shall be itleemetl; reVoketl' ,� � Gas SerViCe' ' •Outlets . ;�; Wate�,S2rvlCe ,U t �,. + � ; - � � 5�9�' � � ; 1 , CONSTRUCTION �LENDING �AGENCV ' � � � , � � " - . . ; OUtIEtS ' • � � � - � ` 1 hereby zffirm that there is a:constructiomlentling agency tor the pertormance �y - Intercept0�5 i �-. � �'^ �) } r � � ,- V, � ,` n , ' ' , � Standing Sections , � � I � . � Vof Ihe work for� which � tryys_ permit is �issuetl (Section 30BT Civ C-�� �. , rt ' % i � - ; � • . � ; � � � ' lentler i Name: N U N c�. ��� '+ Kitchen Sink � � '' I s ., �! Switches � j �Trash Compactor � i � �-Lend rs AtlAress - i -� i - , � � . •: . " ' � � ' . . . . � , , . ' � ' i I � , r ( GarbageDisposal � � ! � . � OWNER�BUILDER �ECLAfiATION ' ` - I , ' _ ; � - � _ : {, ��at0�iC5 � ,� ,, : , � � � C z � � � � I hereby af(irm that I am exempt. frorti thalContra6tor'sy;License Law tor the . � � � i„ � i GeneretOrt �0 5 KW 0545 KW � , ' �'� . , � �following reazon (Sectlon�7031:5 Bu5ine55 antl Prbfessional Cotle: Any city or ' P T�ap; �4' � � � I - : f p � ]' : . ; : ' � ' ' �'county whith'� req Wres a oermit to construct; alter, improve; tlemolish or.repalr I � � .� -� , � _. �� Transformer �15-50 KW � � � � ' I � 'ahy structure; prlor to itsissuance,'also requirez tha�applicant�tor such permii. t-- Roof D�ams' , j � �� •� � � � � � � � � to (ile a slgnetl statepl¢nYthat he/sh¢ is Ilcensetl pu�suant to the�p�ovlsion5 oT � " - .•`:� '� � � O5U+KW' '�! �RBif15 BCtiOn FBB �'+e Cont�actor's�License LawqChapter 9 (commancin9 with Sec/tion ]000) of � - -- f �ti ; � � i � '. � � Reinspection:Fea �, $75 � ' � ' � � P . � � $15' '§"''�etrom anE [he baSlsefor t e� allegetl�exe pHonr Any violation�of�5ectlon � ShOwerS �i - 4 _: � � � ♦ ! � . � � - MetEr ❑�up to 100,2mps 'Istue Fee � � � ' $ 3 ' x.,y1.5 by.�any applicant tor -a permiY-sub�etts the �applicant to a:avil � � 7 S: �, : ' � �" } � $ 3 - .- - - � -- Q.e.,9lIty ot mt more than five h'unCreftl tlollars (E500): '. S` G , Service Sink � �� ; � laue Pee -� zapj� q roved B� � � Date I, � . . : _ . . . `..�- 1 I � . - i � . i _, . i i 9 PP .Y � . � � �I;�•as�owner of+thelDropert'y� . _ 1 . � � ' . ' LL� �MpppVy�w .willitlo the work, antl;the�structure,li not IntenAetl or ofieretl i '� ,� � � n ; j � MECHANICAL' ; '.j � � • � ,Applimtion Approved By •Date � ����J�� � //'7�•� 'fOr-sale•(Secfion 7044, Bu5ine55,antl�Proteulonal,Cotle:ITne'Contrattor'S I ' � - -� . i --+-`1�� ' I LlcenSe.Law tloes not apPly to an owner ot a property who butltls or improyes I - -� �^� �� - RCfrigE�ation System �: �7 ' � DatB � work himself/herself or.through his or her own Boile�_. . . . Application Issued By `, the�eom,;anA who tloes;5uch� � � � 'C � ' • � i � � ' � � - ' � � � ' emplo ees, provitletl that such•improvements are�m[ Intentletl or otfaretl4or � � �-� � � ❑0.100,OOOBTU ❑100,OOOBTU' , � � ' I � � . Duci-UnderGiound. , � - i � '� � � .i I . sale. I nowever, the builtling or'improvement iz sole wlthin one'year:of <om- � .� . t t . � � � � { �/SJUM��MANY OF FEES t � t 1 pletiou, the o�wner;will have the burtlan.of {rovin'g he/ihe tlltl not bW'0 or;m- � � . - � '. ! .I S� ' P � ' I iBUILDWG PE�RMIT $� _F�e�Z� j ! t ,� rovedm tne urpase of,sale `. { . ` Duct Struttpral i stem Re air AlteratiOn 1 O � SMIP ,$- O•�SO ' �� I, as owner of the property, am exclusively contracUngiwithllcensed con- � � ' � , � I ",.Iractors3o.<onstruct.the,project. Section Z044,.Business antl.Protesslons.Cotle:.�.. _�. Duct- VenUlavng., � Y_i_^� __ _.����_r..�� � �_ j i . iPLAN CHECK� �� $� I PERMIT � � I � The Contractor's License law �oes not appty to an owner ot property who . . , � - � ; ' � ' j ISSUANCE' '$,� '� � j . l builtls or improves thereon, antl who contracts for such pro�ects wit� a'con- 1 � Exhaust SyStEm ❑ Multiple �' � � � � � � � I' � �PLUMBING � � $� . 1 i � � . [ractor(s) Ilcense pursuant to t�e Contractor's Licanse Law): . � f - � � ' ' ; } � GRADING ' � r $ ` ' i � - ❑ 'I:arri exempt unGar Section � ; �e. & �. C. for,this reaion � � Fi�epl/Fact. Blt. ICBO # ' � 1 ' � , � f . 1 , ( � j � � ,PLAN CHECK' � $� � �I j i j $ I I � � ^ i + - � + ' i ' � ' ? - � i - I ' � t � - � Heatin ♦S stem & Ductin � � ! I . : . iELECTRICAL $ � � � � . � i � • ' ! r Date � Owner+ ' , 9 Y 9 % � f j � t � 1 -. c ' : i : 1� . � a ; � r MICROFILM $ ' I-heFeby�certify•that �1;-have-reatl^thiz application antl state-thahttie above'��`- ^` �-'�6100,OOOBTU�O100,OOOBT) - -- , �- � �--..-}-r--- � 'PLAN CHECK i $ -' � � . � � � � y ' I �. intormatlon is correct. 1 a9ree to comply wlth ali tlty�antl county ortlinances � ' . � � � � • � TOTAL FEE $ �, � ; , : . ,_ ' iMECHANICAC a $ � � e .� 1 � ' antl`state laws relatlng to builtlmg mnstructlon,�antl hereby authorize repre- HOOd or � � � I I - � sentztives of!thls �.tlty't nter)upon the above-mentionetl property 1or ; ; Type l �� �* � Reinspection Fee $15 �pLAN CHECK. � $ � � LESS . � ( �'„ , . � Insvection ou i, k � { : S 1 4 � � f � + Ceno i T e II ❑. � � � , . . ADVAf�CED PC $ � • � . I • i 519riature_ �� ! � I oaca R�ZL�83 : • : F I . - � � � • i �� � . � t ` � i � � ' � r '�/� �� . � � orivers' LI<enze or�5 � 7 � � �' � Regirte�s �� � i � � 1 ! �ssue Fae R � i $ 3 I � � i i i f � ! � i FINAL FEE � :$` `-�Q'_a�J, � CMF 0865-46 rav. 12/82 WM1ite - Builtlin9: CanarY - AP7liwnt: Pink - Accountin9; GOltlenwU — ... . �� - .. .- �. --"^' �'�-�"� -" --`--' ' - -" .._. �___,_�. _ . .. . _ _. . . ... _ . _... _' _ '."'.,_.-- "'_�. _._� . �'"' , " '_ ' . A55e55or . • . . _ . . _ _ . . � .. , . =; COfSSTRUCTION AND PL���{I1Jjyi' �� _�. - ...-- - - . � _ _ _-�, � POO; P.A-_ --_- - - - .. �'. , ��7 Date Inspector� ` - �=` . ' -�Date - Inspeetor APPROVALS Permit# Z - � .i ' APPROVALS'. Permit#��� .. 1.. Temporary Electrical Service or Pole • .. 52. Pool & Equipmenf Location'� �-. _ •- . � 2: Soil Pipe-Undrgrnd. , . ' � � ��y 53. Steel Reinforcement ' . � � • . ,�� - 3. Electric�l Conduit Utilitv-UndrgrriA. � - . � '-54. Forms � � : 4. Electiical Cpnduit:Undrgrnd. . ' � � . _ 55: Electrical Bonding�; � . ' ' . _ ' � ' , - 5: Steel,Reinforcement . . . � � � - - . � ' 56.. Rough Plumbing & Pressure Test � � � , . �� ` '' ' �: ,r.' 6. Electric`aI UFER Grnd. � - 57. APPROVAL TO COVER-GUNITE �''1 `,: - � 7.'Fooiings:_ ' � � ' �a` �3 58. Electrical Conduit=Undramd'.-.. � � - . ' i. 8. Foundation . '� _ . � �, 59. Gas Pipe;:O,.Undrgmd.,Test� = ' . � . 9.�Wa4er Pipe-Undrgrnd. . '.` _ 60. Backwash Lines, P:Trep,,O'Undrgmd. - �. 10. Structural Floor System � - �� � ? 61. APPROVAL TO DECK ; ' � 11. Property Sewer Line & House Connection :-��` �62. Backwash & Receptor-Final.:� . • � 12. Sewer:Cap � � . - 63. Heater & Vent-Final • - - - - �� ' 13. Roof Drains � � ' • . - .64, Plumbing System - Finalt - ' �' - � . , . - 14. Roughi�Plumbing ' � ' - 65. Electrical=Fins1" �� ' ' ' -�% 15. Rougfi Electrical-Contluif , -- � - '�f �,-" "" � - ' � 66. �Solar System-Final �' � � � � ' - � � 16.' Rough Electric Wiring • � � ' , - � . � � �67� Fencing & Access ADPinval; -�, � � � � - - � . .�. �-17. Rough Wiring�Sign� * .� , , . - .,, _ . ,68. APPROVED FOR PLASTERING '�� . . � 16"Rough Electrical-TBar Ceiling' � �. . - ;69: POOUSPA SYSTEMS FINAL � � �- ' � ,; 79. Rough`Heating & Air Conditioning . . � FIRE DEPT. REQUIREMENT , � i • � ,� , 20�.,Rough Factory Fireplace t . � APPROVALS ' Permit # �' � � - � � , . .. 21. Ducts, in Structure � � • •70. Underground Hydro ' . . � � � �22.�Duc[s;�Ventilating _ • � 71: ProductPiping,OGas ❑Oil � ' . , ' 23: Gas Pipe-Rough & Test • " � . ' , : 72. Underground Flush ��„ ' � , , �'�24.�Roof Framing � � - 73. Undergrnd.StorageTank O�Gas.�OOiI � . 25. �Roof Sheathing . - _ • _ � 74. Overhead Hydro � ' ' , 26. T-Bar,:Ceiling (Structural�� & Monocoat . �' � 75. Dry Chemical - � � � ' : , . . 27`�.Frame and Flashing �� H1$3 (ilg�% 76: Dry Standpipe , '' . 28. Lathing & Siding . , . � 77. FIXED SYSTEM FINAL •. � , 29. Insulation � ' ' '78: FIRE PREV. FINAL � ' - 30. Drywall Nailing ;, ' �Notes: , :" . ' � . �31. Plaster Brown Coa�.` �' � - ' . _ .._. . . . _. . . . 32. Electrical Power Meter,-Final � ' � � � i � �� �• 33. Final Electric � � � - ' ' 34. Final Heating & Air Conditioning , ' � � . _ 35. Pinal Gas Pipe-Test � '� ' • , ' , y ' � � _ , , - �. � � ' � -. 36. Hood or Canopy � , � , - , . ; - � : - _ , � -. - . 37. Final Factor,y Fireplace , • � { � � � � � - _ � -, 38. Final Plumbing.,_.• � � � � . ' �„ � 39. Water Service-Finel � � . - , ! - . . :� 40. Gas Service;Final,.: �� ' , � � . - • ' � � 41. Solar pomestic-Final � ' ' �. , . - ' r ' '��%' . � - - r ' - 42. Backflow Preventer � � _ __ . , ._ . . `� �� ,. '�; . . . . 43. Backflow Irrigation . � . � ' - • � " � 44. Landscape Irrigation System; . • • � � ' ' - � . � ' . � ; . 45. Sound Attenuation • . . � ' � � ° . � . - � . 46. Handicap Regulations � . ' � ' , ,: . , ' ' . ` • . ' �� , � _ 47.� FINAL STRUCTURE.& BUILDING� �` r� �y/g -. : t '- � � 48. Special Requirements,Completed : ' , _ , � . � ' , " '-� ��'. . . -• � . . � . - , 49. Electric Releaseto Edison � _ - ;. . __ ..._ . . , __. , . �`�' , � � � �; , :. 50. Gas Release to Southern California Gas Co � ' . • ' � � . . � � ", .',,_ � ! ` . � . � 51. CERTIFICATE OF OCCUPANCY . _ ._. . . ,. - � � , �?; � ' � No Date ' • . . . � � � . �8�� r�P�sP�� .�,, �.,���Y 2�s�._. ._.._ ._ .._ _ . . • `�_ . . . . _ , �_ - � STRUCTURAL APPROVRL�ONL r' SEPARATE PERMITS SRE; RFQUfRE �OR ELECTRl�AI., Fk11;1r'41?'1G;' HEATItvG, VEiz;��;.TiP�G i;r1D REFRIGEF�A71Q'i�d, VIORK� ::,': �� � � �'�=-�rc� #',.[�J-85—Z .;._ ='� THiS h�lliti�B'tR h'iUS! r,C GO.u1P!''��A' i ; r,�� ��,+_;��Ec�ior; :���u�5rs � ijMr�Rn�� _;�' :>Fr�)��-'�kE.T,- ��� s i eE ��✓� , vY�t ,1 �, ;rrtT iH I � �ST7'.TE Jt L �� �� Jiv��IQ��I 0 I i�'D�S: ;!7L S �! �� -.'^�eaULTED FO � i AGDI'ICP:AL ftEilUii,Ei.�tiViS. Py 1 I 1 __ _ _...:.=��.v�,± '— — — I i •„ : . . < � A ROVED� CITY O COSTA MESA � PL4N G DEPT. sut1KY i0 . DER. REQ , !Y niRlCTOt W lLy�pq � � ' ..� � . . : . � � I *'�• �' _ ,�E,��. - � -����OV�� , _, City�of.�te.Mpsa Buiiding DepR / '� �`,��i THESE..PLANS MUST BE ON .IOB T All TIMFS '` � MAKE NO: CHANGES WITHOUT PRIOR APPROYAL' �JJ'TE; AL1- l�.lr1(i�R # Z OR C�V`R-� ,' . � .. , . i_� ,{'� �pyt6� Qp i,1.Lp5 :� F I(L -.: THE ISSUAN'CE 0@ GkFl�TING QF A PERMIT �R A?Pi20VAL qJ y N �j -. OF PLA6S A+vD�SFECIFICqTIOS�S'SHA.LL NOT BE COiVSTRUED �"'��J T� E?E A�PE�c,fl? FOR G3�A,N FFr"n6'J?,L:OF, ANY V!O1A710N� C,^,15Tq,ME��� �: �'' . � CF ANY OF TNF PRCYi�lO�S �r' �HIS CODE. NO PERMIi PRE- JINv DEpi, = � SUMINC TO GNE AUiH0�21TY i0 VIOLATE OR CA�YCEL THE � a PRaVtSl:.�ftS CF TNIS C9DE SHALL BE 1�A11D, EXCE°T IY SO ��y� • n'0.; � 'FAR AS THE N'OFcK OR USE WHICH ITAUTHORIZES IS IAWFUL. -6AT�:,'�,L�%y/ /IZ 1 ' � iHE ISSUNNCE OF A PEic.41lT BASEO UPOiV P 0.N3 AND ,,,,�,,, ��+��1 2 SPF.GfICATIG�S SHQIL K0� PRCVciii 7HF. BUILDI,YG F�;rIAL , l , rr��l cnt t tUUTAING THE C08F.CTIOi� ui C2,40:iS sceL6� �• - s' � � IN °AID PLANS AN� SPECfE�:AiIOR" OZ 3,�jt PR_lENLIiYG � �'j�7 . 1 J '��. FUILDIN�P�lJfACN$ 6EING f1RRIE52Y�NiREUNO '. WHEY � � . � �r inm e�w� Vn Vr qNY O(HER LnJLL'�;vCS ' . ' Cf THE CITY. � � , � ' ' �---_._,.•,._.._.-.... _ ,. 6�eCK 4IA�� � N , � PoST . , � i � � , , � '� x A ntoA��lcb �l I �OST , ._ I � �'¢`6 � . to �NtrAI..COLuna a 2-Pr,go �,. � I 5,; ,� � Pa:�/ 4po�QoS�h � PasT / uiT�� �- � x 5 � Posr � /' % ll� rAhCH�NE (3c��T5 k < '� Y a � v M7 x h �III�III�IIII� ��, 2"x 3�� L c -e�- �Jc1R 2.�2' 2.�1 � ?�19' 1.19� 2. 2.27 � �� �� �z8 '' DI>1�1NC.� OGYJI'.E^1 YVtAO6tS .Z��N b'� ',K�fTCRA� � .. f \ 2"� x �"K 20�- LG DG�� 2XL X IA'- C-.�DGccz AZinc�ae� ,�,T�{ I-�o�ts�: ' 3I8 � �� 4AG.5 ..... X '� - I � +� �/` = ii,� •+ _ ---- --— � POS'j" A NCNoR S6l � IN 12'x �Z��K iL " � �v..+cas�a - � rP�cat; � � i �� PATIO COVER DETAIL - 12/9/81 - NOT TO BE USED FOR SUNDECK, ETC. I' � !y.�... I��o��'` . • � a a���" �q,oN . �STATE--��� ' SPACING SPAN 1 SIZE � e� OVERHANG .x� � � , RAFTERS: 2 - I /- � FOR ORAIN Min.''1�/4 __.�� � rtir.7H .�---�S�OPED Blockin9 y' % MA%I �-BEAM z •. g. ��?..:���� II:� S� K S�Lags 32% � Pred�ill Ledqer � Predrill Eaietinp y�-3 Daep JOIST HANGER— or other approved oi euppurt a tia. � � --, '' `' __._ .. .. � ., . �: ; STATE $IZE � � " � � AL L L UMBfR OWCL AS FlR �/ib%2'-T-STRAP � I CONSTRUCTION GRADE FUR ' TABLE N0.1 ; � � .. ; � '#20R BETTER FOR TABLE N0.2' � , PO3T-BEAM I CONNECTION ,`, ... �, �,��`.,. � i, POST � ..' � -..�f:�:. . ' ... ' _..-.-.. . � x q 0 ';' ;.�. . ;;. i. ,i �; SHOW SIZE SHOW SPACING !;.' ��' �, � � � SHOW LOCATION ON REVERSE ��SIDE.'�.,: �.' , � -,-. ' ' . - � -".''- � .. �i,., !�,� � :'�' DROP PAT10 FLOOR �--- SLOPE 70 DRAIN= . 2"max.@door � .� o..���. �. •:.:3 ' � TNICK SLAB °'�''o.:.p ..,� � " �' � PUDDLED SA�ND � FILI� � � �` 0 �::` ; Remove G.oss And Weedf �own To Ncfu�al G.ade „ 1z � CONCRETE MIX 1�3�4 MAXIMUM WATER CONTENT POST ANCMOR ����•��..��� 7f GALLON$ PER SACK CEMENT. For Pipe Po�l, Embed . ��Z� . Provide.J26 Go .G.I.,Flashing At Wood Floor Const. � Pipe in Footiny to within 3" of Bottom, arxl � ...! ;�. , . i .: �..{ � Y {. . . LEDGE, � - .s TYPICAL JOIST ANCHOR � USE REVERSE SIDE FOR PLOT PLAN UBC STD. TABLE :'`' ' 25•21•J•6 � � For open egg crate alumi- � ; num or plastic roof ; ' .covering. . MAXIMUM SPAN � n''I � 17' 2", ` ''15 7" ; , 13' 8".: ,. - . 70' 11" ;. 9'.71,• 8. 8., � , '' : ' No. 2 j UBC STD. TABLE. ' ' 25-21-R•1 . - For solid sheathing. ��' -.� � �- ��, �- "" "" Shingles or built up ,; i � roofing. , SIZE I SPAC�NG MAXIMUMSPAN 2" x 6" i@ 12 o.c. 12• 0•• 2" x 6" @ .16 o.c. 10' 5" 2" x 6" �(�x 24 o.c. 8• 6•• 2••x4•• @ 12o.c._'.__..__..-_ - z" x a" @:; is.o.�. 1�, t� ;;,: ;, 2" x 4" �@; 24 o.c;j � '� ,' .� � . �, . .I 5�' ,.: . . � '� � � NOTE: FOR PROPOSED OR FUTURE ROOM,OR WHERE PATIO WALLS � I�� ARE TO BE BUILT. USE NO. 2 CHART ONLY. : _......_.�- •� �>. : . - ... � 1 ; _:.-.•.....�'•"""'"`" '.; � � , 1� FOR PROPOSED OR FUTURE ROOM OR WHERE�PATIO WALLSM .w- , ARE TO BE BUILT SUBMIT COMPL-ETE HOUSE AND�ADDITION �� � �� �� � �. PLANS FOR APPROVAL. , . ' " . . .1-. :i� . ... .. . • � ��� COSTA MESA BUILDING � DEPT. ProviAc detail of Flanye or Weld Plate Screwed or Bolted to Frame. -'�.'!�"• ,_„ ,. J i I 77 FAIR DRIVE LMF 0012�46 (8U 40) �ev. 12/Bl . . I NSPECTIONS: 754•5627 � , •�.�J.r.�.�_ V+�....��..... V�'— ., - a i f � �. l� / � ' �' 1 �', � �2 ► _...-----.....--. - ..... _..rr ... .,,�....._....._...... ''��G � ` _�. '�' 2 ,, �� . :. .. . ; ,� i \` C i � '� • - ",z. r � �� �� � � ;; i� j; ;., ,,�, , , ,.:-.-.1� -_ ._._,__ �l,� , � ..;,-. . ... �._ _,..__._.�� ' +,rl ta il ;i � � �� �; � ;� i '� �I ,S ��� � � If �� ' � � 6� �� � il j� I ! ij 1� ; i ' ( i ;; � ' ( '. ,� I ! I� � � I � I� I! M il 1t ���� � ��� 'I�� �I , , 2 , ,_. �� ;!, �c� ; ��, I, �'I � LA ��Z`� � i l I 1: t �.c. i i � i I { 1' E-----� . I 1'I I � I r � � a �- x ��� x ��'- ��:�G�< . � T1 AC �� r.J -�..o �y.,N,, c N���S �. f� � ��., +i � �n 5 t� , . e ; l 1 ^ � • r � / ;i ��: t�' �.:T � 12 � �,Ci7 �;.�.- i-� -�. . °" g , � � - ; �r + �i.., , , ., ; r� ��/z � 3 ir � a�/g � �i; j �. _._ _ ----- _ ____ ,� _ _ �.� _ �, ,��_ ._.. _---- _ --- _ __$ __I_% __..__ ._ --_ _ ,� ------- _... _ _ _ , ;, .f ,r_.' , R � I ,t � r� � 1 �. .. / � X< �. tr�' ^ I! . h . . .. . � � r' � _ �� I �;. �.' \ ���X`� x 1� 2-2``x`� ri'l ; �� � , , � � _ . ��� . . ��; ��' � �' �' � � �( ._.. ' � � ._.. _t_(..,.__...�, ... _ :� w..;_, ____�:,;_�- r---.___. �-.} ._._._� �j •_;�:I�" _ _:� ' I�1 i ) I 1� � I ���� — .• �.•�..�w... ' . . � ..q.�.w.��+�r.l�e.� � il�" n�.^'�. .�. .J._.�. � ; � . �( f �.���' .! I'�� �� � � : �� `���� ��� I .� i I �---._... ��� � i ; � ; � j t � � � ��� � C � 4 C ��y � Jn I C ` 11 ; � .. 1 1 i i� ' � � j r'� � � ;� �� :! .� -� 6, �� � ( j 1 i ,4 � � j i I i,�����-+' �} ! �� �� � j � I ? f �( ,-i A- � i � ., � i � � � � I �� � � � �� E 1 ,. ,. ; . ' , .. i � ; �, e f , � �°""�'�.�._-} � � �i i i « ,� �� ; ; - `� �� �� f �i �� � � �� ' �� �Ci� � , ; ,i �TRUCTURAL A f�'R AL ONLY 't � � '�, � � � �2 XL � .��, .__.___ I � � ' L p �G� � � ' � i � • � � — � I I� � � � . -�� ��' SEPARATE PERMI7 � A ' ¢ � �� �� FOR ELECTRICAi ,� p ��R�OUIRED ' � ' �, �Q �,, � � ; �� I�' HFA.TIi�;G, VEi<T�I�G;11 IG FlND ��j ' E—�� � � i I i ., ?��Jc G�� I 1 REfRIG�R;�zII)IV r";?RK � �� I I` i i i� I � �-------___.�_. � � � , � � � � �� � ` �a-- � _----_— �. ��a'-!:4 # � �Zc,G � I � f THI$ �;Us;;i � i„;;! r.. � ' ' ,LuT�Y � �� _ ALL i Y:i('c��!0; �'.IE:�TS I I � " - - _..._ I � � � � � , I FO; 3u!i.ut:"iG�, ' Ii� � 6E EP,"Y G r i::'-.- '!=;;SA�?E70 � Jr. ' ST: � �` �' _` -' -. ; '� uAT THE . I I '` i .i'E L:= f':,s. �,�,�,..,, 1 1 ''� ;::i._ . , 1�46JYY4V� i\".. � . .. '_ � 1Y '�":#=!k'Tii= •. ..u;�Ju4 t - . � .. �� � f f�ADDITI0I�AL REQUIJ;Eivt FJ7 � � � E� G E%. � ; *�---r---�--::_`�"=�C�--:�G� • ( ,�' �t . , ��__X� � \�2 X�i '�C �`� '�y �.� � h��• F1_c��.; 7 v }1.,1�:, i ��j � `;� A7i�cNG� `ro �� ou,i- � _. � C ,i�� �pv.SC '�: �/ ')� '7n - . � � � . � ; . _ �-, �, _.. .� i , � �� ,��� rN� �t�r�W �L��� � ;z��,�Z,� 99� . ! ,�,i ;I i, '� �,. � ;� ;?', ii ii 'i 1 ,� '' ,i , , ;, �� ' >;�_; . -�,1. ��'�;I� ,. , , ;f i! . ; � ,� I ; � i' ��% V ___.___ _ ___1 :_ : il��, `yV �; -,..---- _... .-;..:_.. . __ _ , , ; .'�` � ii ;;,,,' ` �! j� l��p � ��I� �� i i �� � '1 i i• i ;! � j� '� �I -, I ] ' � I i i I ���i�1���1�� � `�, � �---- 7 � , . , ` '' j ti � ���:�� , � . , , a� , ; . : � i 2,� � ___._. '_ �1 . ..... Y-I- . ..__I�� _..I�_.____ _' ' � ..._ .._._..."_.._.____" ._.. ...._ __-_._- � � ' � , � � \ Di '_'_ I � , \�I / � �, I j � , ' . \/ � ( � . ` i � �� 'I . ; '' � i, � � �`��� -- y_ / I . ti , �'� -- �. ,, � � � � I ,� � � � ��.,--' � \p .,� , ; � � -- -- � - L� ; ; ; . � S , � �. ,� �� � r� �'� � : � '' � � , ! I �il ; � � � I �" ,�" � ! �j� !— ,, � � , ii' � , N•. N � L � � i � � , _.__ ' ---._ .... ._ .. ! i w � �; t�0 N ,� � I q, x„�- � o, . ; � � __ .. .. . � _ . `! � n i \,� 1� �c. � ti i � I � i��� 1. � L �p ��.�, „� � 1 ��-�'�jd� ""� p� I i� ?', X ��� - — --- _ _. ._ .. ___. _..-- -- ---- -- - - - ; ii 1 I ' � 1 ' ; � M. � y >r I ; �� V - t � Sv��� �f, . v �X Z ; ', �a l0 ' tt ►� � ---- ; , , �� �-�---- � _ �- ` �.� '-��' �x'' � ._._ -�% y o� �b la ���N Iti i . ' _ , �.- , ,.,;- � F � a a N � � F ci W a c .d a > � a x a �i h Z{i� C17 3 l"1�3'7,� B "" COST P.O. For Applicant to Fill in Completely — Use Ink BUILDING //� � O __� _ _ .—� Tl OWNER Foley Construction CA.� IS1C. MAIL g� 2101 E. Fourth St.�, ��.00 ADDRE55 ciTv �� � No`' S43-94 CANSTRUCTION BRANCH ADDRESS ARCHITECT .._. __ r__—_�__ TEL. �i� AODRE55 � TEL. CITY � NO. STATE CITY IIC. NO. `S� LIC. NO. S12E NO.OF BLDCS. Q OF LOT � NOW ON LOT �SE OF N/A CTINR CI M Separate permits are required for electric, plumbing and heating work. BUILDING AND WORK TO BE PERFORh I he�eby acknowledBe thet I heve read this apP�icatian entl state that the ebove Informaiion is correct and aprea to camply with ell taws regulatin8 buildin8 �onscruction, antl I shall not amplay eny person In violetlan of the wo�kman's compen5ation lews of Me Sceta of Celifomla. . 1 hereby certffy ihat I em properly licensetl es a<ontracto� untler me smro ot c.lifom7a Business antl Professlons Cotle, Divlsion 3, Chapter 9, entl thet such Iicenses ara In tull foree antl atfeci, or I em axampt trom Me provisions ot the Scate of Californle Business and Professions Cotle, Dlvlsion 3, Chepter 9. Slgnatufa / �� Permlttee I Authorizad Agant � (. ��'. '� 3364 2%II3/79_ I�'I'4.09GKT� APPLICATION FO�;�JiU�'[jCJQA�L�E�91T � �� � -� q� -^ "' RECEIVEO BY DATE RECENED nnrc iceucn BUILDING ADDFESS TRACT FIRE ZONE NO.OF USE OF NI �I PLAN$ � BUILDING VARDSAPPROVED VARDS DISTANCE BEf. PL DATE APPROVE� - �i ! O�-� BUILDING FT THE AMOVNTSWOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABIISNING A PERMIT FEE ONLY: VA�L�j�JAT�IOJN�' PERMIT FEE § v��+`�D � pLAN CHECK E J . S^G $ 46,931.00 rnx s �j/, Jt TOTALPAID $�% �� � � N 1 !. ^� U 'm1;..�) mYT m^ �I � m ' � c� N ,�� 0 •� B7W 3787/79 219,00 T�' �» 67b0 9Y277_Z9_ ,. _21;9•OOCKTa' COSTA MESA BUILDING-SAFETY DEPARTMENT oiou UUYU4M/r 40 i� P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 � ' ' � � � " � �� APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVEO BV DATE RECEIVED DATE ISSUED BUILDING ADDRESS PEFMIT NO. OWNER A.P. NO. MA�� BUILDING � ADDRESS ADDRESS TEL. TRACT/ LO BLOCK CITV NO. CONSiRUCTION W ADD A� R P LENDER BRANCH OWNER ADDPESS VALUE ARCHITECT TEL. SE $ OR ENGINEER FIRE ADDRESS ZONE TVPE GROUP APPROVED CONTRACTOR BV DATE ADDRESS TEL. ZONE NO.OF VSE OF NEW CITV NO. PLAN$ BUIIDING STATE CITV YAflDSAPPROVED VARDSAPPqOVED IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (F%aOM C/LSTflEET) OF LOT NOW ON LOT RONT FT. FT. VSE OF EXISTING BLDG. I FT. Separate permits are required for L SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET. BET. MAIN & MAIN BLOCS. ACCESS. BLOGS. VAR.�{'+ DATE C.V.P.�p APPFOVED APPROVED 1 he�eby acknowletlpe thet I have �eetl this epplication and rtate that the eCova informatlon is correct entl egree to comply wiM all laws reguleting building conrtr�ction, antl I shall not employ any person in violacion of Me workman's compensation laws of Me State of Celifornla. I �e�eby certify ihat I am properly Iicensetl as a eonttactor untler SQ. FT. tha State of California Business antl Professions Code, Dlvision 3, THE AMOUNT SHOWN UNDER VA�UATION �S FOa i cnap�ar 9, ena [nat sucn licenses are In tull fotce and effect, or I THE PURP05E OF ESTABLISHING A PERMR' FEE ONLY: am axempt fram t�e provislons of the State of Callfornia Buslness VAIUATION PERMIT FEE $ antl Protessions Cotla, Divlsion 3, Ch p(er 9. i SlBneture oy //��� ',� �,� / PLAN CHECK E Permittee � ��"(l� K/�✓ $ TAX $ � Authorized AgenT ' TOTAL PAID E�! �� No. . WILLIAMS INSULATION COMPANY OF CALIFORNIA 1201 E. Hunter Ave., Santa Ana, California 92705 (714) 972,9632 s' THERMAL INSULATION CERTIFICATION THIS IS TO CERTIFV THAT IfJSULATION HAS BEEN� INSTAL�ED IN CONFORMANCE WITH CUFRENT ENERGV REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: f, Tract Name: � Lot No. 36 Tract No. 10513� � glock No. 'Q��rn COSTA P�SA Street <�Ul � ' City ' � �--� : �, , `i ; . EXTERIOR WALLS: Mfg. Owena Corning Thickness/Type �" Ceilings: �� ' Batts: ; � Mfg. (k+ar,g �.prning Thickness/Type�!' Blown In: . � Mfg. Thickness/Type Sq. Ft. Covered _ Floors: Mfg. Other Mfg. General Contractor No. of Bags Used _ Thickness/Type Thickness/Type _ California Contractors License No. Signature � Williams Insulation Co. of California Califomia Coniractors License No. 267522 ���� Signamre JOB COPV-WHITE GENERALCONTRACTOR-VELLOW R— Value 19 R— Value 11 R— Value R— Value R— Value R— Value— Date Title B/29/79 Date _ Field SupY_ Title BUII.DING DEPARTMENT-PINK FILE COPV-GOLD