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Home My WebLink About248 PRINCETON DR - Building Permits/ ' � (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 �obnddress: 248 PRINCETON DR Suite: Vicinity: HOUSE 8 ATTACHED GARAGE Parcel Number: 14139117 Applicant: DIXON, MICHAEL Address: 248 PRINCETON COSTA MESA, CA owner: DIXON, MICHAEL Address 248 PRINCETON COSTA MESA,CA Contractor: OWN ER-BU I LDER Address: � Arch : Address: Phone: Zoning: Phone: (717) 556-6290 Zip: 92626 Phone: (777) 556-6290 Zip: 92626 Phone: License: 0 Eng: Address: ISSUED BY: Status: ISSUED Applied: 12/01I2000 Issued: 12/01/2000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (30 SQ). TEAR OFF EXISTING ROOFING 8 REPLACE SHEATHING AS NEEDED. INSTALLING 7 LAYER OF 30# FELT UNDERLAYMENT & REROOF WITH 25 YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0. 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0- 0 Re uired' 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposetl: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 .� 53,000.00 $3,000.00 NOTICE: The work authorized by this permit shall comply wiih all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•92) EXPIRATION: This pertnit shall automatically expire and becoma void if work is not commenced within 1 BO days, or il work is suspendetl or abandoned for a period ot 180 days. INSPECTIONS: �In order tor the work authorized under this permit to be considered legal, such work mus� comply with all applicable codes, and all requlred Inepeetione and tinal approval must be obtained. Failure to obtain inspeclions and tinal approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ?44&46 (8�00) WORKERS'GOMPENSAnON DELLARAnON: � I hereby aHirm under penalty of perjury one ol the tollowing declarations: ❑ I have antl will meintaln a certilicate ot consent to sell-Insure tor workers' compensation, es pmvide0 tor by section 3700 0l the Labor Code, for the peAormance oi the work for whith Ihis pertnil is issued. ❑ I have antl wlll maintain workers' compansetian insurenca, es requiretl by section 3700 0l the Lebor Cotle, for Ihe pedortnance of the work tor w�ich this permit is iswetl. My workars' compensetion Insurance carrier antl polity number are: Carrior. � Policy NumDer: (This sectlon need nof be complelad i! fhe permif !s velued et one hundred dollers ($100) ar less.) ❑ I cetlily thet in t�e pertormence of t�e work lor which this pertnit is iuueq I shell not employ eny person in eny manner so es to become suD�ect to Ihe warkers' compensatlon laws oi Celllomia, enA agree thet II I shauld become sub�ect to ihe workers' compensatlon proWslons ot Sectlon 3700 at t�e Lebor Catle, I s�all forthwit� comply wit� t�ese provisions. Applicam SipneWre: Date: WARNINO: FNIURE TO SECURE WOiiKERS' COMPENS�TION COVEMGE IS UNLAwFUL AND SWLLL SUBJEGT AN EMPLOYER TO CRIMINr1L PENAlT1ES AND CML FlNE$ UP TO ONE HUNDRED TMOUSAN� DO�URE (E100,000), IN ADDRION TOTNE CQST OF OOMPENSqT10N, DAMAGES AS PROVIDED FOR IN SEGTION 3]OB OF THE UBOR �OE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTOqS DECLARATION: I hereby aHirtn that I am Ilcensed under provLslons of Chapter 9(commendng with Sectlon 7000) of DlNslon 3 ot lhe Business antl Professions Cade, enC my license is In full IOICB end BflOti. LIC. N Cless M Contrectors Slgnature: Dele: CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm ihet there is e construction lentling epency lor lhe pertortnance ol ihe work lor which thls permit is issued. (Sec. 3097, Civll Code). Londols Neme: Lender's Address: Signature: Date: OWNER-BUILOER DECLARATIONS: 1 hereby eflirtn Ihet under penalry ot perjury thet 1 am E%EMPT FROM 7ME CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Buslness antl Protesslons Cotla: Any ciry or wunry which requires a pertnit to consiruct, alter, impmve, tlemolis�, or ropeir eny structure, pnor to its iuuance, elso reqWres the ep0��en� for such pertnit to tile e slgneU statement that he or she is licensetl pureuent to the provisions ot the Camreciors License Lew (Chapter 9(commenGng wlih Sectfan 7000) of DYvlsim 3 of the Business end Prolessions Cotle) or ihat he or she is axempt t�eretrom and the besis for the ellegatl exemption. Any violation ol Sectlon 7031.5 Dy eny applicant for a permlt sub�e t�e eDPlicent to e civil penalry ol not more than live hundred dWlars (5500).): I, es owner of the property, or my employees with wages es their sole compensatlon, WILL DO THE WORK, entl the siructure Is nat Intentle0 or offered tor sele (Sec. .�-7044; Business end Professions Coda: The Conirectors License Law does not apply to an owner of proparty who builds or improves thareon, entl who doas such work himself or hersell or ihrough his or �er own employees, provided ihat such improvements ere not Intended or oHered for sale. II, however, tha builtling or imD�ovement is soltl within one year ot completion, Ihe awner-builder will have the burden of proving that �e or she did not build or improve for purpose of sale.). ❑ I, as owner of the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the projeci (Sec. 7044, Businass and Professlons Coda: The contrectors License Law tloes not apply to an owner of property w�o builtls or improves ihereon, antl who contrects lor such projact with a crontwcior(s) license pursua�t to Ihe Contractors License tews.). lam Owner ❑ Yes ❑ No Business entl Professions Code lor Ihis reeson: Vedflcatlan oi Ownership by (type ol Cocumem, i.e. - property tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMITCERTIFICATION: ❑ I hereby cenity that no exceva0on tive (5) or more �eet in dep�h Into which a person is requl�etl to tlescend, wlll be made in connectlon with work auihonzeC Dy ihis permii, end I�ai no builtling siructure, sceHdding, talsework, or tlemdition or dismamling thereof, will �e more than thirry-six (38) leet high. (C�ap. 32, Gry 2. An 2, Sec. 341, Tille B, Califarnia Aaminis�retive CoGe). ❑ As owner-huiltler, I will not employ enyone to do work which would require e permi� from lhe Divislon of Industriol Sefety, as notod abave, unless such person hes e permil Io tlo such work from Ihe division. SignaWre: Oate: Division ol Intlusirial Salery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AIJIHOR¢A710N OF ENTRV: 1 cenity unAer penalry of perjury t�at I have reaC this epD�ication entl state t�at Ne infomiatlon given is correct. I egree to wmply w}'t s t�elvs end ciry ordinances relating to builtling wnsWction, and au�horize represenia�ives of Ihe Ciry of Cwta Mesa to enter upon t�e above-tlescribed property 6r i ti /!du%�ases. I egree not to acupy or allow occupancy of eny huiltling amhorized by this pertnit until linal inspection. ' ' 4!� - �7i'/� `� ' � ignature I LegafOwner(s) Date AnNOr Authorizetl Applicant COOE I. INSPEGTIONTYPE 1616 Fixetl System Final Fire Preventlon 12fi8 Paol Spe Finel 200 Final Re-Roof 201 Flnel BIocWRetaining Wall �� COUE 1 INSPECTION TYPE 208 Finel Mechanical � �y�� 208 Finel Plumhing ' � "�210 Flnal Electdtal 212 Final Fire Preventlon 202 Final Factory Fire Place ZZO 203 Final Sign z22 204 Finel Demolition 250 Finel Planning Approval Final Site Final Building/Occupenry PAg 1t�L& Properl Owner CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION .,___...,_ �,,,, . ,�r�� Contractor __ �" � ' � U ( � c 1�--- State Contractor License Number Classification I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 15, and Appendix 15 of the latest adopted edition of the Uniform Building Code, and the installation instructions of the manufacturer. [c� I furiher certify that I am ihe owner of the property. (Owner-Buiider permittee only). ❑ I turther certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shail be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division ay: ��"1!.��,,� � Z..-) • � � Initiel' Date 0990.46MW6qp WNIe-BuiltlifgOrv:Carery�Contractor;Pink.Owiror Compeny or Corparete Neme Address � ��-- �Z � �� Ov Signeture Dete � "i'�L��2,� ��KO� Printed or Typed Neme oitcrao3�: z48 PRINCETON DR OWNEq'S NpME: FULLER GENE L nooness: Zq8 PRfNCETON .COSTA MESA,CA 92626 ! ApCNIENCINEEB: 6 4 1-� 9 1 1 nooeess: NEG.NO.: UNIT: uxiT: PENMITiEE: SUNE FULLER ( 714 ) 641-0911 ROOHESS: 'l48 pRINCETON DR CM CA 92626 LICENSEO CONTflRLTOfl DECIAPATION: I �ereUy alfirm ItWI I am IicenSeC unGer OrwiSions ol Chapier 9(cammencinA ��h Sec�ion 7000) ol pvison 3 al tAe Buaness aik ProleS5i0ns CoOe. antl my leenfe is in iWl lOrce an0 elfect. CITY LIC.: STRTE LIC.: CIASS: Daie: Signature: WONREPS' COMPENSRTION OELIABATION: I �ereby alii�m tlui 1 �ave a certificate of wnsem ro sell-insurt or a ceniiicate oi Workers Comoensation insurance, or a<enifiea copy inemollSection 3800. LaE. CI. POLIC7 NO.: E%P. O�TE: COMPANY: � Certi�i2tl copy is here�y IumiSheJ. ❑ Certilietl caDY is IileA wil� t�e ciiy Building Oivisian. .eie: ADPlicani: E%EMPTION FflOM WONREflS'COMPENSATION OECIAfl�TION: Q�a seciion neeC notOetOmpktedilNe perm�islorone�unErtd�St00�orlew�, I cetli�y Ihal in �he Oerlormante ol Ihe work for whic� �his Oermii is iuuetl. I shall not ¢mploy any Derson in any manner so a5 io become subjecl to I�e WorkerS' ComOensation tawS ol Califomia. Dale'. SiAnature: NOTILE: II, alier making i�is Oeclaration, yrou s�oulU Oewme SUEject to the Warkers' Compen5aiion provisions ai t�e La�or CoOe. y0u muSl �Orlhwiih tomply wi�h 5ut� Omd5ion5 ar iN5 pErmil slull be Ueemetl revoked. CONSTHULTION LENOING AGENCY: I here0y aliirm tna� t�ere is a constmction lenaing agency lor ihe pedormance of the work tor w�ich I�is permilis iSSueA (Seciion 3097, Civ. C�. LENOEfl: ADONE55: OWNEB 6UIIDEP DEUANRTION: I 112reLy allirm Itut I am ¢K¢mpl Irom Ille CanVatlor5' State License Law lor the following reason (SecUon 7Q3L5 Busine# an0 Vmlessional COCe: My city ol tounty wNc� repuire5 a perma ta canslNct. alter, impmve, tlemolish, or re0air any SImCWre. OriOr lo ils i5suantl. also reQui�eS Ihe aUpliGnt IOr Sut� permii �a lile a SigneG Slatemeni I�al he/Sh¢ is liC¢nsea pursuanl Io Ine provision5 0l ine Conirac�ois' State License Law �CIwO�er 9(commencing wit� Stt�ion 7000) ol 0ivision 3 of i�e Business an0 Pmlesvons CO�e) or �tul �e/she k exem0� ��elrom an0 t�e Ea5i5 lar Ihe aAeqeO eRemptiW. My vroWtian ol Section 7031.5 by any applicanl foi a petmit 5u�jeci3l�e apO�iWnt lo a civil penaliy al no� mare Ihan Irva �unGreE GollaR (f500). I, as awner of ine DmDeny w my empIoyetS w+in wapes as ineir 5ole fAmpenSalion. will Oo ihe work. an0 Ine ❑ 5lmciurei5 nalin�enG�O orothreElo�Sale�Sectron 70aa. Business �nE PmlessionalCOEe: T�e Contactors' State License Law Goes nol aDP�Y �a an Owner ol a Oroce�Y w� Oa105 or imO�Oves iherean. antl wlq Goes suctl xrork �im5ell/�erSell or ihrouAh �is or �ei own em0loyees, proviEeG �nai suc� improvement5 are roi imen0e0 ar atlereG lor ule. II. Aowever I�e �uildinp or improvemeni a 5a10 vnlNn One yWr ol cortqleiion, t�e Owner vrill tuve the bur0en o� prOvinq �tl5he Oi0 nol builtl or imprwe lor I�e purpose al Shce�. I, as owner ol i�e O�oOeny, am e.Uusively contractin0 ��h ficense0 conVactors to consimct t�e prolect (Section 70aa. Business ❑ aM Prolessims CWe: The Comrxtws' SUte lze�se LawAces not appry to an wmer of praperry wM OUA0.s oi improves tAereon antl wIw conlracls lor sut� pmjecls wil� a canVactoqs�litense Oursuant�o Ue ContraqOrS' Siate License Lawl.l am aware inat prool ol Ineir Worker's fAmp¢Matian insurairce slwula G¢ Dmvide0 to me. � � am exemp� un7er Seaion: H P% O 4�i B. d P. C. � � mrs masore CONTRS HAD COMP . �^� �ale' � �� " �� Q_ � Umer. la I eo nereby cenily Inal 1 am awart ol ana un0etstan0 tne repui2menis ot Cali r ia Healln ana Satery Code Settions 25505, 25533, an0 2553< ana Inat I or any lu�u�e OvilOmg aNpani vnlVvrill noi (drde one) nee0lo mpty vril� sai0 state coGes anA the reQuiremenis br a permii lor conslruclion or motliticaiion Iwm I�e Ai� OuaLly ManaAemen� Oistritl. e5i0ential cons�mc�ion applicaiions are exempt �wm these provision5. Oala AOGlicani: I nere0y ceilily Inai I naverea0lnis aoolicalion antl state Inal IAe a0oveinbrmalion is fArre orEinances and stalelavrsreWlingio DuilCing COnsWciion atbllereEy auttpli¢¢ reprEStntaiiv¢5 0� y �Dt IOSpCti 0 O��pO5C5. + � ' � 1 / Signaiure: L�-e� _ �rivei's tirense or Sacial Securilv I aAree io tamply wii� all [iry ana toun�y Ihis tirv Io enier uo0n Itle abOve�meniimed Pink-Revenue: Goltlenro0-Assessor CITY OF COSTA MESA — BUILDING PERMZT PERM NO: H 05388 PERMIT NO; B 053887 PLAN CAECK NO: 03571-91 S GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ADD JOB DESCRIPTION : ADD LAUNDRY ROOM S(j FT; 100 CLAIM VALUE; 750.00 CALC—VALUE: 1,730,00 GROUP OCC: M-1 / COMMENTS: LEGALI2E LAUNDRY ROOM ADDITION �r�r****�*�r**�*��t�e*x**+r*+t+r*****�*x�r�****�*�r**�rx�r�r�r�t*�t+t�r***��r*�t*��**�r*��r�*�� e�r�r** Z O N Z N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: 39 FT IN RGHT: 16 FT IN LEFT: FT IN RGHT: FT IN PARKING REp • PROV; PARCEL: 14139117 ZNE: R1 REF NO: PLANNING NOT'ES> LEGALIZE A LAUNDRY ROOM CONSTRUCTED BETWEEN AN EXISTING > RESIDENCE AND DETACHED GARAGE. �**�tx ***�r�*******+r�*�+�*********+t�*�****�r****�***�t***�t***��*�*� �**�e�r*�t***�t***a�+t* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N,,,T S ZONING APPROVED BY : l�Vl �1— —`— 1.—�— DATE; �.'CJ � C� �1 I BUILDING APPROVED HY ; DATE; � APPLICATION ISSUED BY• DATE: It IF �k jF iF if IE 1f M 3t *!E �E iE �f IE iF I! iE IF iE k dt iE iE if iF ik #FiE IF�i�lf iE ifiElfififiElEjE*iF3fikkiEiEifiklkikiFiFif�kifkiElFMifkik1E1E1EiE�f1F�F1E1E ai�E�Eif1EIf�FiEiEifiFlEiEklEiEMiElElE�Elfif�F*iF1EiFiFifiElEifiFiEiFiE LEGALIZATION:Y F E E S M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELEC IC MECHANIC FIRE SMIP/RES GRADING PERMIT , 62,00 .50" ISSUE FEE 53.30 BUILDING—DIV—> PERMIT TOTALS----> 82.50 ISS PLAN—CHECK 0. 0 26.65 SMIP/NON—RES TOTAL PAID ' D00 109.15 109.15 '� REVENUE DIVISION TOTALS-->� COLLECTED: 109,15 OVER/SHORT; 00 BLDG PMT PLUMBING EL CTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 82.00 .50 �'; 26.65 k�f ik k k ik M k IE iF k if 1F k if 1f it If �f 1f iE IF k �f k if k if M IE 1E iF ik �f ikik if iE if iE k iF if M 1F iF if ik 1f k ik iF 1Eif if if k if af 9F k�k 1f iF iE iE iF �E ik,fF iE k k IF if if iF if iF I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST �TOTAL COST SFR 100 RES—GARAGES TYPE V 17,30 � 1,730,00 END OF FEES �� 1i+if��. ',�.j'17 T� .yl: �IS 1� %�1 1.'�� :v: . r�r� �� a..��cv--�-L'�� l.... -Y �. �� ['�?E� G�. fc/i'. ''e�._ .'�. ' CONSTRUCTION AND PLANNING POOL A APPROVALS PBrmit# Date Inspector AppROVALS Permit# Date Inspector �1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location 2: St� Pipe-Undrgrnd. 53. Steel Reinforcement 3: Electrical Conduit 4ifility-Undrgrnd. 54. Forms -4:�Electri�at Conduit;Undrgrnd. 55. Electrical Bonding : � 5: �Steel ReinforcerrieFt 56. Rough Plumbing & Pressure Tests �r ��B��:Q�ectricalUFER-G��d. 57. APPROVALTOCOVER�GUNIT,E '�'�!:FOotings + 58. Electrical Conduit-Undrgrnd. � `8-. Foundation - 59. Gas Pipe, � Undrgrnd., Test • : 9. Water Pipe�Undrgend. 60. Backwash Lines, P•Trap, O Undrgrnd. 70. Structural Floor SYstem 6l. APPROVALTO DECK 11. P�operty Sewer Linr& House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing "L 65. Electrical-Final 15. Rough Electrica`I-Conduit 66. Solar SYstem-Final 16. Rough Electric Wi�ing 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 19. Rough Elecirical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.iRou9h F,3ctory Frceplace i�� : �•� ' � r t APPROVA4S' ��_Permit #� � � �r � � 21.'DuCts, ipStr�ctufg . � ,; , -_ � - ' ' ^ 0. Undertjt,bunc� Hydro .; � 22.� Duczs, Ventilating. ; • -; � � �C •-71. Producr•Ptping Cit6as O�OiI 23.�GasPiP�'•Rough&,Test � • .�„�, J.,, y: ` 72. Underg7oSn�f Fltssh� . . . . ; � ..� a _ e. - . . � - 24.xRoo�( Framing : v . �� . �a �73 ^Undergmd�.StoragcTank��7Gas ❑Oil 25. RoOf Sh�athing " � A _ ,� ��y � �-'7q,cOverqead �Hydro- ` " .� 26`T-Bar Ceiling IStructurall &Jvlonocoat �.� � - �r �� . = 75:• Dry Chemical � � . a 27:;Frame a�d Flashing `: i z �,�'� ` 't �n �� 76. D•'ry StandD�Re y `�� T� A ' 28'�Lathing$ Siding'., .<< � � ' - . � 77,_ FIXED SYSTEM RINAL � • �•�29. Insulatio� '- ,i � - ""' � "� � � y y 76; FIRE PR�EV. FI�VAL � _ � t �30. Drywall�Vail'ng Y�• � ' - r � � � �� HEALTH�DEPT„REQUIREMENT 31. Plaster 6Yowo Coaty ` `t� `a � 4 x 7g;:FINAL IN�PECTI(�N -- ' ;`32,,,-Electrical Po�er MOIgrFinal, � S ' � ; � � � '-, ,80., F000 C�'RYIFIGATE ISSUED � 33.-1Final Eleqtric �=�. �- ' �}: � �„ i '� 'Notes: - ? ' - .., i y _ �� a '�: ,'.�34...Fin$t Heating'& F,ir,Conditiqning_ �;, ;� "' � ;', ' , •'�'i ' 1 �35.��Pindl G2S Pip2-TE3t'. �_ + s ti ` ! . v ^ ' i: .r � �� r ' s a " 36.rHo� or CanoPY �• - S . y . - �+ .. ' k�, �� - �. .. �� .� � � .� .. � �37.=Pinal Factory FireP�ace ' � ��.• { , E� ? - � � � "� 1 Y Y -38,•Fina1 Plumbing , '• T � .. . �i r ,. � j � I` � ,� ' z .. i ::39.� Waier Service•Final i � I � � . :..c - n, rv a �40:iGasService-Ftinal , .., ' � .' C� ` �-�-41. Solar pomesticFinal - .� � p � t- � - H �� . 42. -Backflow Preventer '� 3 , - .,�i - � r - �. �.. . .. ' . 43. Backflow Irr.Fgatiot» s' �- � � � �- -- • - . ♦ + a `44. Landscape Ircigation SyscerrS, ; ,. t ,. � ' � i. � _ �� - " , ... + ' _\ - ' _ . a ,'45.Sound AtteRuation x' �• n. � � i � - � � ' Y� .(� y + ;46^Handicap Reyulati6hs - � , ' ' ' � ' '' ,� '-. ' ' �' �: �: t �47„FINAL STRUCTURE & BUF DING � '� �`g-� .` .��J �j¢.� �_ �/G � �� `�4 � y Y l, r• ^48}_FINAL PLANNING , � � �: r: � I �� * �s r ' ; 49.- Electric Release to Edison � � � � ; ii, � : � . . 50.�Gas Release to Southern Cal'rfomia Gas Cn '. � y.r " .� '` ;� 51. CERTIFICATEOEOCCUPl�NCV � : ; „ ,,:-; ;�: , ' : No. Date PflOJECTA00flES5: 248 pRINCETON DR OWNEF'S NAME: FULLER GENE L aooeess: z48 PRfNCETON � COSTA MESA,CA 92626 � 641-0911 RHCH/ENGINEEH: AOONESS: sec.xo.: UNIT: UNIT: PEFMIT7EE: SUNE FULLER ( 714 ) 641-0911 aoonEss: Zq8 PRINCETON DR 6 LICENSEO CONTFALTOP BECLANqT10N: I here�y atiirm ihai I am licensetl untler prrovisio9n5 0l G�D6� 9l�ommencing wi[� Sectian 7000� ol UiNsion 3 ol�he Business anA Pmfessions Cotle, an0 my license is in tullforce anU eHecl. CITY LIL.: STATE LIC.: LU1SS: Oa�e: Signaiure: WOflREBS' COMPENSR7ION UECUBATION: I hereby atfirm ihal I have a cenificate of consent to selNnsure or a cerlifiW te ol warkers' Compensalion Insurance, or a cetlilietl copY Ihereol (Sec�iOn 7800. LaU. C). POLICY NO.: E%P. DATE: COMPFNY: �] Cerii�ietl copy i5 �ere�y �umi5hed. ❑ Cerlilie0 CODY is lil¢d wilh Ih¢ Liry Builaing Divisiun. Oa�e: ApD�icani: E%EMPTIONFBOMWOBNERS'COMPENSATIONOELIABATION: (i�i55ec1ionneeanotbecomplete4i�Ihepermili5torakhunOreO(5100�a1e55�, I cenily Ihat in Ine pedormance of ihe work lor whicn Ihis Deimit is issuetl, I snali not emD�oy any D¢«n in any manner so as to become su61e�� o the Workers' Compen5aiion Laws ol Califomia. � i Oate: Signature: NOTICE: II. afler making �his d¢claration. you ShoWd become 5ubjeci to tAe Workers' Compensa�ion pmvisions al Ihe La�ar Coae. you musl �o�hwith comply wi�h such provisions or ��is permi� shall be tleemetl revoked. CONSTHUCTION LENOING AGENCY: I hereUy allirm that I�ere is a consimction lentling agency lor t�e perlormance oi Ihe work lor whit� Ihis permii i5 i55ued (Settion 3097. Ci¢ C). LENOEfl: aoosess: OWNEfl BUILOEB OECIANpTION: I hereEy a�hrm Nai I am exemp� irom IAe Camracmrs S[aie LicenSe Law tor IAe fallowinq reason (SetiiOn 703L5 Bu5ine55 an0 Pmie55ional COOe: Any Ci�y oi counly w�ich reQuireS a permi� fo tOnSVutL aitei, improve, G¢m01aA, Or repair any SlmtWre. prior Io iis is5uance. ats0 re0uire5 t�e applitan� lor 5uch permi� lo lile a Signea 5tatemeni �ha� hNShe is lic¢nsetl pursuam to t�e pmvisions ol ihe Coniractars' Slale License Law �Chapter 9 �commencing wii� Section 7000) ol DiviSian 7 0� the Busineu ana Proiessions Cade) or tlwt helsne is exemptiherelmm and Ine easisforine allegea ekemption. Any violation ol 5¢ction 7037.5 by any aODlicant lor a permit su�lects t�e applicant to a civil Oenalry ol nol more than live huntlreU Aollars (5500�. I, as oxmer al Ihe pm0eny or my employees wit� waqes as iheir sole tampensatian, will Ao the wOrk, an0 the ❑ stmcture is not intenaeA or oileretl for sale (Section 70aa. Business anG Pmfesvonal COUe: The Coniractors' State ticense �aw Ooes not apply lo an owner ol a pm0eny w�o Ouiles or impmves Ihereon, anG who Ooes suc0 vrolk �imtell/tlef5elf or t�rouA� hi5 or �er own employees. pmvi0e0 ��at such im0�ovements are nolinientletl or ottereE lor ule.ii, howeverlhe builtlinq or im0�ovemen� is soltl wi�hin one year oi completion. ihe owner will have I�e burCen ol pmving htlshe aiA not hui10 or improve ' lor the purpose Oi 5ale�. I, as owner ol the pmpeny, am exclusively cantractinA ��h Iicen5e0 comractors ta canstmct t�e pmjec� �Section 704a, Business ❑ and Prolessions Cotle: 7ne Comractors' Slale Li[en5e Law ticeS noI aDPN �o an owner ot pmDehy who �uilUs Or impmves ��ereon antl w�o coniracls br such pmlec�s wilh a conirac�or�s�license pursuantto �he Coniractars' Sia�e Li[ense Law�.l am aware thai pwof of their Worker's ComDensation insurance shoultl be D�ovitleU to me. � � am exemp� unaer Seciion: gP.� 0 4 q 6. 8 P, C. �� tor this rea on: ��N��$. �� C�MP , � �-r Ownec oa�e I Oo Aereby cehity t�a� I am aware ol an0 underslantl ihe requiremenls ol Cali ia Heali� and Safeiy COJe Sec�ions 25505, 25533, antl 25534 ane �hat I or any �Wure OuilOing occupam wil4will noi (circle one) neea lo om01y with saia s�ate cotles antl ��e requirem¢nis �or a Dermil lor cons�mction ar madificaiion Irom Ihe Air Oualily Management Oislncl. flesidential tonstmc�ion apD�ica�ions ar¢ exemp� Irom D �� D�� I l0' 1( � I AOPlicanC _ I h¢r¢Gy Cenilylhail �av¢ reatl Ihis applitalion antl Slaleil or 'nances ana s�a�e laws relaiing �o GmlOmg mnslruclion an p p rry la� insp tian purpases 1 Oa �' $ignaWre: _ Dnver's Gcense or Social Security 164La6 Wh��e—Builtlinq: Grean—Cqde Enlorcemenl; inlormalion is corrtct I agree ro compty vn1A all CitY an0 county orrzerepresentaiives(�(tAis ciNloenlerupQnlhg abW!-menti0n¢tl Pink—Pevenue: GoltlenroG—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 053891 PERMIT NO; P 053891 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PURPOSE: ADD JOB DESCRIPTION ; ADD LAUNDRY ROOM SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: M-1 / COMMENTS: REF H53887 **x******�e*x �**x�x* x ��t�e�**�t**�t********�r��e*** �*�t�t*a***�*�**+�*�**�t��t�e**+t*�t*�t�t**�** Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAA: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGAT: FT IN LEFT: FT IN RGAT; FT IN PARKING REQ• PROV: PARCEL: 14139117 ZNE: REF NO; PLANNING NZ7TES> i �r******�*�e�*�*�t�t�e�t**x�r**�r�r*�r*�t**�t**+r*�t�t�t*�r�t�r**ie*��**�r*�t�t*�r******��*x*****�r***��r D E V E L O P M E N T S E R V I C E S'. R E Q U I R E M E N T S 20NING APPROVED BY � DATE: BUILDING APPROVED BY : �'� _ DATE; APPLICATION ISSUED DATE:�/�,�� 1F3f�flEifiF�lfikififjFlEiF�E1E�Eif1ElE jE3E3F1EKfEaEiEiE IEiE If1f1E3EiEif�FlEif�k�ElflEiFifiElFikfFifiElEiEiflk�E�1lklf�EiEiEiEiEifi iFiEifkifififikiErkiElEiEitjFiffE�EiE3FjE1E3kiE�FiE1EiEaEiElf3fiFifiFiEiE3Eiflfifif� LEGALIZATION;N F E E S U M M A`R Y STRUCTURAL SEGMENTeN HLDG PMT PLUMHING ECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 6�50 , SMIP/NON—RES PLAN ISjSU},E FEE 00pg g p,L p zp Q �d�AL�AIb_L��b—x I'��MI� I�StlU PLAN—GHE�O r TQT00 9A00 D00 � � y REVENUBLDGVPMT PLUMBA G ELECTRIC�MECHANIC FIRE9�SMIP�TOT/SGRADING PLAN—�HECK 9.00 iFiEiE1f�E1EiF�fiflEiE�EiF1FiEiEif3EiF 3F1EiFiF1E1F1FIf3E�fiflf)fifif�fiflElfifiFifiFafififiFaFifiFiFiEiEiFiEiFiFiFiEiEKiFifiFikiFifiFlPiE�fiEifiFiEi(�IfiEiE I N D Z V I D U A L F E E B R E A R D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 LAUNDRY TUB OR WASHER PLU 1 WATER HEATER AND/OR VENT PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS END OF FEES 2,00 2,00 2, � � 2. � Q �„�..r� SEP 1 G i991 � �1T� OF COSTA MESA CONSTRUCTION ANDPLANNING POOL ,PA ' Date Inspector � Date Inspector APPROVALS Permit # APPROVALS Permit # t. Temporary Electrical Service or Fole 52. Pool & Equipment Location , , ' 2. Soi�Pipe-Undrgrnd. 53. Steel Reinforcement 3,'. �I`ectrical Condiu� Ufility-UndrgYnd. 54. Forms _ • ' :Q�i�EieCtrical Conduit-Undrgrnd. � 55. Electrical Bonding � � 5'��'el Reinforcerr�e� t 56. Rough Plumhing & Pressure Te�t' � ��G>[Electrical UFER=GInd. 57. APPROVALTO�COVER�GUNI,T� '�7S IFoQtings n' �- 58. Eiectrical ConduirUndrgmd. =� �8: Foundation : 59. Gas Pipe, O Undrgrnd., Test - � �9. Water Pipe-UndrgP�d. 60. Backwash Lines, P-Trap, � Undrgrnd. r 70. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line:& House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 1� 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing SYstem � Final .. 14. Rough Plumbirt:g; � � 65. Electrical-Final - 75. Rough ElectricaLConduit 66. Solar SYstem-Final 16. Rough Electric�Wiring 67. Fencing & Access Approval 17. Rough Wiring �gn 68. APPROVED FOR PLASTERING 78. Rough Eleclric3l�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT - ., . - 20. dRough Factor' Fi�eplace � � �� '1'! - � =+ �a iAPPROVALS': -Permit # � > - - r , � -^ ; ,• .. • �- � �. - 21. �ucis, in Structufe . � .. '� -' � ` ' � ' -t .` `i i' - ,, . •� x �-ix . 70. Underground Hydro , 22. Ducts, Venti[atin9 ' - � 2�� 'J1. Producf'Piping ffGes ❑:Oi� 23. ;6as�Pipe'Rough &'7est ' - � ,t y � x� 7z, Undeigrounc# Flusfr - 24.�.Roof; Framing• � , , . � � �- � ' u '73. jUndergrnd. StoragaTank � Gas �O Oi�- � 25. Roo�,Sh�athin , „ �� - _ �' • 9 y � ' .. -. �4.-��Overhead �lydro -' 26. 'f�BBr Ceiling (Structural) & (ylonocoat � ^ •i r� r x 75.-bry Chemical � � _ _ _ - 27.°Fra e and Flashi � r ' � ` �; T ,-�, . ,^ -''- .�� , �< ;�J'r � _ �� "K �. 76.-Dry StandPi.Pe L.:: « ' 28. LatHing $ Siding . � ir -. y .. ..• m 77. - FIXED SYSTENLFINAL J .. +:` '29. Insulatioe ' - " � ', . � � i 78,ZFIRE PREV. FINqL - ,i ". ,, ��30. Drywall:Nailing r' ` . r � �� •HEALTH�DEPTeREQU1REfNENT � � ' � -31. Plaster 6kown Coat �' . �' ` 7g,��fVAL'tNS2ECTl/�N y - - 5 r rr '+ M z 'L rJ, • 32. flectrical PowR� MetercFinal � •� p] � 4•��:80..rFOOD CERTIFIC�,CTE ISSUED .c :, �33' Final. Electric; � - ` �'• � � i; ;� `iVo�tes: � � �' : _ ' l " � �. �34.`FineJ.Heating_ Air,Conditionigg� � � � �i z iX � `ti�i� ', , �•. - 35. :FinaYGas Pipe�Test- �L - ' � � �` * • ."' �,S '= ��' � 1 I I' Y � *j:.'��1 '� Y ' �36.�Hood Or CdnOPY ^ s' .r' . « � �� y .�� . . :r. �: _ ' � � r >' _ � 37.�Fina4 Factory Fireplace ._ _ - ' "'r ! t° *' •� '- •'� . �y � `38. Final Plumbing .. � . • • �� (Z-`� ��Q -K y ' 6(� fj „ i� ' �39. Water Service�Final - � ' i� � , . . . i i ' h - .i �� ; 40. Gas Service-Final � ,Z;,, , .- : ,,. � � � � ; � ' ' ' %41. Solar pomesticFinal � ' •• ' ' ' � '! �� i� �- T �1' :� � - 42.'Backflow Preventer`. ' �' . � � '` '' � � ' --• J R �. S 43. 83ckflow Irrigation* _� ' Y' �•- x � ' �^ �. � 1 'x ,1 :L' " . . % .. li .r _. � _ :J ,i44. Landscape Irrigatiou System�,. r,- i� Y i,, - � `�, t'� y„- v'� :-�; .��:� �45.�.Sound Atrenuatiort - � � �T *? . •.i" ' �� -� �c:; - ' �• �r ;r � x <i -A6.1Handicap.Regplatiops _ �� ' ' " ' " - " - x... 'S _ . � 47.,FINAL STRF�CTURE & 8U1'LDING V • � � I '• < � i4 � � -: ir a � - x 48.��INALPLANNING; . r xt7 � 4 : � '` `' ' � � ��7 ,�; ±, . ^49. _Eleciric Release to Edison . _ � , ik < s � _ c. „ ; '�50. �Gas,jielease to Soufhem California Gas Co ' � � ; ' , . "L " � , , , ' C � 51. CERTIFICATE OFOCCUPANCY , :� ,� �s .. .;c r T - ` :. _ _ No. Date f ; Pfl0.1ECTA00PESS: 'l4H PRINCETON DR OWNEfl'S NAME: FULLER GENE L aooness: 246 pRfNCETUN � COSTA MESA,CA 92626 ' 641-0911 AflCHIENGINEEfl: NEG.NO.: AODFE55: UNIT: uxir: PEHMITTEE: JUNE FULLER ( 714 ) 691-0911 aooeess: Zq8 PRINCETON DR LICENSEO CONTNACTOfl OECLAflATION: I hereGy a�lirm Ihal I am IiCenSeO unAer pr�oWsio9: 0 6 zPbr 9 �commencing witA Sectian 7p10� ol Div:sion 3 0l Ihe Business antl Pmt¢ssfons COGe. anE my license is in tull la¢e and eflect. CITY UL.: STATE LIC.: LLASS: Oa�e: Signature: WOPNENS' COMPENSATION OECIABATION: I hereby af�irm Ihai I have a ceNlitaie at tOnsen� �0 5elbinsure or a t¢rtilical¢ ot Workers' Comoensalion Insurance. or a cert�lietl coDY �hereol (Section 38IX1. Lae. C). POLICY NO.: E%P. ORTE: COMPANY: �� Cerlilietl copy is hereby Iumished. ❑ Cenified copy is file0 wiiA tAe ciry Builtlinp Division. �ate Applicani: E%EMPTIONFPOMWOPNEBS'COMPENSpTIONOECIAflPTION: (iAissectionneeUno�OecomDleteOillheDermi�i5loronehunOre��5lW�orle55�. I cerlily I�at in Ihe pedarmance o� t�e work far which ihis Oe�mii is issuetl. I s�all nol employ any person in any manner so as �o become sublect lo Ihe Warkers' Compensation Laws ol Califomia. �ate: Signamre: NOTICE: II, atter making ihis Oeclaration, you snoule become sueieci m t�e Workers' ComDensation pmvisions of the Labor Coee. you mu5i lo�hwith compty wiih such pwvisions or Ihis Dermii shall �e deemetl revaketl. CONSTNUCTION LENUING AGENCY: I �ereby a��irm thal I�ere is a cons�mction lentling agency �or Ihe pedormance ol �he wo�k far which t�is Oermil is issuee (Section 3097. Civ. C�. LENOEfl: ADOHESS: OWNEB BUILOEN OECLAflRTION: I hereby aflirm Ihal I am e�emp� Imm Ihe Coniractors' Sta�e License Law lor the lallowing reason �Section 7031.5 Business ane Pmfessioiul CqEe: Any city a� counly w�icA reQuires a OQrmillo conslruci, al�er, impmve, Oemolish, or reDair any slmcture. Drior to ils issuance. alm repuires ine aoD�icanl for such permit to file a signea statement thal he/she is Iicense0 pursuaN to t�e pmvisions oi ihe Coniracmr5' State License Law (CtuO�er 9(commencing with Section 7000) ol Division 3 ot ihe Business an0 Pmlessions Coae) or Ihai he/s�e fs eeempt there�mm antl Ne Dasis lor t�e allegetl exemp�ion. Nny viatation o� Section 7031.5 Ey any aDDlicani lor a De�mi� subjecis ��e ap0lican� to a civil penally of noi more t�an live hundre0 dollars (5500). I, as awner ot I�e D�operty or my employees wil� wages as I�eir sole ComDensation, will do I�e wark, anA I�e ❑ strucmre is not imended or ofiere4 1or ule �Section 70a4, Business and Prolessional Code: T�e Convacmrs Suie License Law does not apply Io an owner o� a pm0ehy wtw builAs or impmves Ihereon, antl w�o does such woB �imSelUhersell or I�roug� ' �is or her own employees, pmvideA Nal such imD�ovemenis are not intentled or otferetl �or sale. If, however Ne GuilOing or impmvemenl is soltl within ane y¢ar o� completion. Ihe owner will have ��e burden oi proving he/she tli0 no� �uiltl or impwve for Ine ourpose ol salel. I, as owner ot I�e proDeny. am exclusivel9 coniraclinp wiih licensed coniractors to constmci Ihe pmlect (Setlion 7044, Business ❑ antl Pmlessinns Cotle: The ConVactors' S�ale Litense Law Ooes n0i apDly �o an owner o� pmpetly who huilds Or impmves NereOn and who coniracis for sucn O�ojects wiln a camracmr(5)license pursuanllo Ihe Coniractor5' S[ate License Law),I am aware I�al pwol oi I�eir Worker's Compensa�ion insurance ShoWd be providetl lo me. f:1 I am exempi un0er Semion' B P.� 04 4 B. 8 P. C. `�� 74 larihis reason: CONTRS COMP �a�e:�� — � Q Q Owner: � I I Oo nereby cenily I�at I am aware o� ana unOerslantl ihe requiremenls ol h� nia Mealih antl Salely Cotle Sections 25505, 25533, antl 255Ja an0lhat I or any �Wure builtling occuDam wilVvnll nol (circle one) nee �o omply wit� saia state coAes ana tAe requiremems lar a permit lai con5imclion or moddication �rom Ihe Air Ouahiy Manag¢meni Dis� . NeSitlenlial consimction applicaiions are eeempi Imm �nese provisions. �ate: ADPlicanl: I M1¢reby t¢ililyl�ai I have rea0 I�is applicdiion antl SIale�nai��e a�ove in�armaiian i5 mrr¢tl.lagreeio COmO�Y ��h all tity an0 taunly or0inancesandslalelavrsrelatinglabuil4ingcroslroctionan0�ere0yauihor¢ere0�asenlai�esol}pisciry�oenieru n�heabove�men�ionetl I Dr 0 y �ar mspeclian Ourposes. — I _1 �V'� �'I N . � I n' signaWr � ,�— � Drivefs License or Social Securily 16�t�G6 Whne—Bwlainq'. Green—Co�e EnlorcamenC Canary—Applicant: Pink—Fevenue: Goitlenmtl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 053889 PLAN CHECK NO; N CONSTRUCTION TYPE; V—N PERMIT TYPE: ELE JOB DESCRIPTION : ADD LAUNDRY ROOM CLAIM VALUE: CALC—VALUE: PERM NU: E 053889 GOVT: N SUPP; N PURPOSE; ADD SQ FT: GROUP OCC: M-1 / COMMENTS; REF B53887 **�r*�r*�r�r�r****�e��********+�x�r�*�e�r******�****��e��x*�r�r** x�**�r��r�r*+�+�*�+�*******�r�r**��* Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: F'T IN PARKING REQ• PROV: PARCEL: 14i39117 ZNE: REF NO: PLANNING NUTES> i �**�*�*�*�**��*�*�r***�*�e*�*�*«�*��*,�*x �***�*��***��*�e�e��r***�+�****�*��**��*+�* D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY . BUILDING APPROVED BY ; APPLICATION ISSUED 1E iF if iE iE 1F 1F iE iE iE iE iE iE iE iE if iE iE IE if iE if if ik If iF �E iF iE iE iE iF 1F if iF iE k iE LEGALIZATION•Y HLDG PMT PERMIT F E E S U M M A R Y PLUMBING E CTRIC MECHANIC 7.50 �SOY DATE: DATE: � DATE: / ��**�r** �e**�+��#��* iE ii�f if �F If iF iE if iE if if if if iE IE iF iF if 1f if if iE iE iF 1E �E iE STR C U U T RAL SEGMENT•N FIRE SMIP/RES GRADING PLAN SMIP/NON—RES ISSUE FEE 15,00 BUILDZNG—DIV—> PERMIT ISS E PLAN—CHECK TOTAL PAID DUE TOTALS----> 7.50 15. 0 0.00 22.50 22.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 22,50 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 22.50 if if �F if 1E iF if aE iE iE fE iE iE fE lE �F 3E 3f 1E iE IF iF if 9E IE 1Eif iF if iF if 1F iE IF iF iF iF 3f iF if af aF ik iE iE if if IF iF iF iE iF iF If if iE if �E iE 3E IE 1F iFif 3F 1F �F if if �E 3F iF 3E if If �f if 1f aE 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 ELE 1 FIXTURES LIGHTING 1 ST 20 ELE 3 RECEPT/O�ITLET 1 ST 20 ELE 1 RECEPT/SWITCH 1 ST 20 END OF FEES EA. .75 ,75 EA. ,75 2,75 � 'M �i cxm � � 1991 � SEP 16 CITY OF COSTA 69ESA -_, CONSTRUCTION AND PLANNING P�� . PA APPRQ,VALS Permit # Date Inspector qppROVAIS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soi�Pipe-Undrgrnd. 53. Steel Reinforcemen[ . .i:�EtectriF31 Condui( ll�ility-Undrgrnd. 54. Forms _ c4� Elettrical Conduit•tJndrgrnd. 55. Etectrical Bonding = -5.-Stggl Reinforcement 56. Rough Plumbing & Pressure Te�t � �>@� Ele�ptricalUFER;Gmd. 57. APPROVALTOCOVEF�GUNITE •- T.'Footings _ 58. Eiectrical Conduit�Undrgmd. - � �. ��8. Foundation � 59. Gas Pipe, O Undrgmd., Test �9. Water Pipe-Undrgr.nd. 60. Backwash Lines, P-Trap, O Undrgrnd. r 10. Structural Floor Syscem 61. APPROVAL TO DECK 11. Pr.ope�ty Sewer Line'& House Connection 62. Backwash & Receptor�Final . 72. Seyver Cap 63. Heater & Vent-Final 73. Roof Drains �0 64. Plumbing System � Final 14. Rough Plumbing � 65. Electrical-Final 75. Rough ElectricaJ-Conduit 66. Solar System-Final i6. Rough ElectricWiring 67. Fencing & Access Approval 17. Rough Wiring Si9^ 68. APPROVED FOR PLASTERING 18. Rough Electric3-I�T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.�rf.iouph Factory. PReptace i a. r � O � � �=� *� �APPROVAL9�" _Permit # � 1• r x .<• r. �rr!' �• -� a.i , � !1 21.�uc{'s, in-Stryctu�e ` � .. „ '�' - « � - i �. �.. �70. l�ridergroun�Hy,dro � 22. Duc[s, V.entilating - � � SY ;r -]1, ProductPiGing O'G�s ❑Oil 23.';Gas Pipe`Rough &'i;est ' ,-�; `, _,. � 7= w • 7z, Underground FluSfr . - 24. �Root. Framing• * - - `- •� � > _ � • 573.'�UndergrndrStora c�Tank � Gas ❑ Oi! - Z5. Roof Sheathing ' ;_ • Y " ` - ' '' r74:-0verhead �lydro � � 26.-'f�Bar, Ceiling (Srnucturaq & ivlonocoat V . � _ ^- � � 75. "Dry Chemical ' - ' C - 27.'FrameandFlashirig': -?',�� t..: �, �,�;; 76. DryStancjpipe 1� '� � r� i . _ - L28. �Lathing�bi Siding . . a� .: �: • • -. 77. T FIXED SYSTEM FINAL- '29. Insulatip�l '' �' � .. ? � .`. ' ' �. w 78y'FIRE PREV�FIf�A,l �. �, .i . _ ti .�30. Drywall`Nailing � � - , HEALTH�EPTz.REQUlREN1ENT r37. Plaster Bfown.Coai; . ' � ° 79: FINAL INS�P_ECTIf�N' ' - �• -- tr a �� o�. v� r i. � � 32,;Elecvical Po�tier Mete�;Final � - ' �> .: , �r .BO..FOOD CERTIFIEA'i'.b ISSUED �33. final Eleitric, � . - 4�', ; � � °Notes: - ' � _ � ' �+' 0. • �� L 1 134.--Final Heating & Air•Conditioni29� � i �s; .�.� � -�s S _ i r 35. Final Gas Pipe-Test"� ^� ' � � y n . . ^ : � :- �r ' � �Y " M� :r � '17� ' � N'l ,.36. �Ho6d or CanoPY . ^� . c*� ^ k•. s _ s _ . , .. i ."37. .Finai Factory Firep�ace F � _' ` 4 -� = ' I ' - : �' '• ' = � � .. . : s�, � ` ,.. =38. Final�Plumbing � � � � � � x. �- v � v � �.' :.39. Water Service-Final+ � .� . ' . -!"•: ^ s � h. �. �• :a r�, ; J :E .. . ia� ., ;40. GasService�Final ' . ��,� x:r � � •_�• •J�t�7 • � i41. Solar pomesticFinal _: • '. � �'� � �1 ' _� " r .r t^ .J A ~ o �.7 t>. - / .. � 42:'Backflow Preventer; , , ,� •y� - __ _ . �. 43. Backflow Irrigation+ T'7�, � � i'` .' ' , - _ x ''. 4 � ., / 1 ... tf,' C. ?' ~ I X - ' • ' S ` .•l' � _ �;44. Landscap,e Irrigatio,n System; ,r.-- . �„ - ,;. : �, .� ••! ��..;�, , ' ,[� - • . n ' T :. ?. 4.:i . , .. , it. ?, y : I �45.:Sound Atteri�atiorc. �. � :. :r " 4 2 . ' � ^ �, ' �46: ;Handicap,Regylatiops - ; `�. . . . , , ,� ;,� � _ �; .. " , . -. 47.�PINAL STRFJCTURE & BUttDING ` � � 4', :'� � � � _ h, � . � , y 48{yFINALPLANNING ' '� : ,; , i �r ��. „ �� = • - ��' cA9.�:Eleixric Release to Edison • ' ' 4 r� 5 '�: ' �' . -- , I ; � , :b0. �Gas Release to Sout'hern Californ.ia Gas Co � i ` � ' - �'' .' - ,✓' , b . oti� _�51. CERTIFICATEOF.00CUPANCY z . . ,� ,; ; •� , - � No. Date ESS 4LCONTRACTOR E BUILDIN VALUE E FIRE DISTRICT L ONS � DATE I SUBCONTRACTOR gTrench (.}�j� -!Y= ation Forms and Grade to Ga-- rag@ Framing � — ,� ing, Rough to Slab �,Oa ^ v�q �_ __�� ing, Rou9h Complete �/%�is =yg,�_ rery Pole �,eough JUN —�357T� g, Rough 7'i'i G 5 • S�-S'1 9. Final L✓l.C. D�!/-S House l/ (. sewer, st. /'Y') G 5 ." �� J { Tank or Cesspool � � / � 9, In Out (��Lt�"' - � C7,'�/Q ring '� ing,Final,FixturesComplete GS O-I/-S' �ing, Final Gas Test /S� 1M.c S D-//-.S' 7,Fina1 Z.%'T /A._/!�: PERMITSISSUED NUMBER .� . * : _ ; '. �� COSTA MESA BUILDING DEPARTMENT P. O. BOX 31� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING qooRess z�LB PRINCETON DRI VE COSTA MESA. CALIFORNIA owNeR COL MAIL � I ADDRE55 cirv jANTA ARCHITECT OR ENGINEER ADORE55 CONTRACTOR ADDRE55 LEGAL LOT DESCFIPTION NO. A.P. NO. S��E 6� OF LOT USE OF EXISTING 6LDG. LEGE PARK.NO, �j �O SO. MAIN ST. ANA� CALIF• TNO. KI LIC. NO. CITV ic ��NO. �� TEL. NO. BLOCK TRAC NO.Oi BLOGS. I nrl MOW ON LOT � SET6ACI( LINE FROM ICENTEP OF $TPEET VARD RIGHT REAR YARD DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILOING NO.OF SIZE ' % ROOMS STORIES EXTERIOR WALL ROOF COVERING " COVERING USE OF NEW eui�oiNc RESIDENCE � DETACHED FEE RECE"'EU � `�M e�.n .. � �, � � i � r- � -{� �� fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY PECEIPT NO. PFaI.�T��' BUILfiING ADDRE55 COSTA MESA. CALIFORNIA FIRE ZONE 20NE� I NO.OF TVPE _ / PLANS �/ � t/ APPROVED BV OATE CORRECTIONS STATE THAT THE FBOVE IS CORRECT AND l�GFEE TO COMPLV WITH ALL CITY OROINANCES AND STRTE 1�1W5 REGUIFTING BVILOING CONSTNUC- norv. VAWATION sicNnruaeoF COLLEGE PARK nJO, PERMITTEE n .d�3'� // /� $ � �i�2��. PERM�T FEE $ �� — PLAN CHECK b �— TOTAL FEE S ,� _ `�°M`