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HomeMy WebLinkAbout321 RAMONA PL - Building PermitsADD���nt lo flll in all so��es exeeo� tnose within heavY bortlar Iines anG si9n all aDD�ooriate Aaelantlons. »�^i�AF COSTA MESA ; ' CONSTRUCTION PERMIT � APPliwnt's Mailing Address / ; �� �� `" Project Addrea .3�"/ � A»9 � c-� ' L• Owner's Name ' �� � " - hone - ���f7/'Le0 Addrezs :3a.I �)� O / � �L �/��7i i a Arch/Eng. , Licenm No. Addrezs ^ Contrecror i Nam��� l ��-'�jt'�'�"�Evfio� �,�' '� Addren (mailing) ' � � /�o�""'-��''1' Licenm No. S y�3 LICENSED CONTRACTOR DECLARATION 1 hereDy affirm that 1 em Ilcsnsetl un0er O�ovislons o1 Chartar 9 �commenclnq wlth sectlon 7000) of Dlvislon 3 o anE Rotesslons Cotle, an0 my Ilcensa Is In�full foi nG e � �/��� p Litense a � U�?nse No.•� �� Date ���i y.3 1 t /i- �/( Ol-t % . . WONKERS'COMPENSATION DECLARATION I hereby aitirm that 1 have a CerIiTlUte ot consanF' a S8H-insufe oI a Certlficate oi Warkars' Compensation Insuranca, or d/certi latl copy t�areof (Snctlon 3800, l.ab. C.) �;A/ � ' i Policy No. - 'rG���// Comyapy � �� ❑ CeriltleG�co�py is heiaby furnlShaE. �•y/'_�,-'_� � �� Data rtitle0 c py iy111aq wlnt'PPh�n[Y�B�'/�'' �� `��' !//eC EXEMPTION,FROM WORKERS' COMPENSATION OECLARATION (T�Is sectlon naetl not be completeG It the permll Is tor one hunGreE (5300) or less). I c¢rtify that In tha perlormanca Of tne work for whitb this Oatm�l Iz Issuetl 1 shall not amploy any person in any manner so az to bacoma sub�ect. to t�a Workers' Compensatlon Laws oi Californla. , Data �ignalura NOTICE: Ii, aftar making�thls tleclaratlon; you ihoulE become sub�act to Ihe Workers' ComDensation provizions o! tha Labor Cotle, you muit forthwilh comply witn suth Orovislans or this OBrmit Shall ba OaBmeC revoketl. CONSTRVCTION IENDING AGENCV - i nereby affirm that thara is a constructlon Iantling agency tor the parforman<e of Ihe work for whic� Nis permit I5 luuetl (SacHon 3087 Civ. 0.} � Lenaer's Wme . � LenGer's AeOress � � , OWNER BUILDER DECLARATION' ' - I herabv affl�m that I am examOt f�OT [ne Cont�acto�'S LlcenSB Law /0� [�e' t�erefrom antl [ne basis for tne auege0 exempuon.�Flny vioiauon or xcuon ]031.5 by any applicant for;a�permit sub7acts the applicant to a civil �enalty of not more than five huntlre0 tlollars (E500). ^ i I, as'owner of tne property or my employaes with'wagez as their iole � compansatlon wilLEo the work, antl the,stru<ture Is not intentletl or offere0 � for sale'(Secllon 7044, Businest'an0 Professlonal Cotle:�The'Contractor'S Licansa law tloes not aDO�Y to an owner of a proparty who bulltls or improves �� therBOn, anE who tloGs sucn wo�k hIm581f/�e�seli o� tM1rough his or hor own • emplayeas, provitletl that such Improvements ara�not intentletl or oiferetl for sale. It, �owever, the Cuiltling or�improvement is soltl within one year of com- pletlon, the owner,will have the burCen of proving he/shn Oitl not builtl or im- � �rove Tor the purpose of sale): � � � � � I, as ownei of the property, am excluslvely contracting with Ilcen3etl con- tractorsio construct the projecS (Sectlon 7044, BuSiness antl Profossions Cotle: Tha Contractor'S License Law doas not aPply to an owner of properly who builtls or improves thereon, antl who contract5 for sucn pro�ects with a con- iractor(s) Ilcense pursuant to the Contractor's License l.aw). � ❑ I am ezemp[ untler Sectlon B. & P. C. tor this reason + Date Owner the orivars• License or 55 � -- �- / � -� "� � - ' I MF 0865-46 rev. 12/82 White - Builtling: Canary - APpllwnt; Plnk - Actounting; TYPE OF CONSTflUCT10N LJ NEW LI ADD LI ALTERATION LI REPAIR ❑ GONVEHSION ❑ DEMOLISH ❑ OTHER ' � DESCRIPTION OF WORK _ ) TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ VLUMBING ❑ MELHANICAL ❑ �OTHER PRQIECT DESCRIPTION 5�. FT. OCCUPANCv CONSTRUCTION TVPF VALUATION S ZONE GRADINGGU.VDS. ACRFS pamarks: Si�k Preventer IffIA3[ia0 Di5hW85I121 � Drinking FounWins � . Floor Drains Floor Sinks GasService Outlets Intercepmrs ' KitchenSink� " � Levatories � P-Trep Roof Drains � � � IService Sink � � Boiler_ . �.� � Duct = Under G�ound , � Duct-Structural � � , . Duct-_Ventilating __ � _ Exhaust System U MWtiple Firepl/Fact BIL IC80 # Heating System & Ducting , Oai oo,000 sTu � i oo,oao Hood or Tvoe I ❑ Reginers :nrotl - Assessor $018f (�.0112C Sotar Piping Sotar Tank Urinai . Water qozet � Water Heater � � Water Service :/ .�S pos�L � Reinspection Fee � � i � . , , � Issue Fee, , � ❑o-toopooeru ❑io0,000, System Repair/Alteration _ REF. LEFTSIDE VARD PKG.SPACE PEQ. STREET WIDTH Autometic Washer 2743 7/r5/33 0 BUILDING ev�rcnr rn er REAR VARD (TO P/L) RIGHTSIDE VARD PROVIDED PARK FEE S Meter L1wer100amps Cooking Unit Sub Pole Dishwasher Motars OO-1 HP ❑1Y,$ Dryers ❑Gas ❑Eiectric Inc.Solar �9-15HP 016-15+ Fan � Microwave ' F.A.U. Pole Light Fixtures � Range ' Device Boxes � Sign � Outlets � �StandingSections Switches � Trash Comoactor Garbage Dispoul � � Generator �0-5 KW 05-15 KW � Transformer �15�50 KW , � �� � ❑5U+KW, . Meter ❑up to 100 ampi � .Zonin9 APPro'ved BY � ' Applirrtion Approved By _�/ ' Appliption laued 8y �' Reinspection Fee � $15 IssueFee ,fg 3 , . � � SUMMARV Of PEES ; �',BUILDING PERMIT $ � � ' SMIP � , �PLAN CHECK. $ � PERMIT PLUMBING $ ' ���0• ISSUANCE PLAN CHECK � $ � GRADING � 'EIECTRICAI $ � • PLAN CHECK' $ MICROFILM -MECHANICAI $ � ' �TOTALFEE � PLAN CHECK , $ ' ' LESS _ ADVANCEDPC 7eC� Fee � � $15'. $ 3 � _ �t�r�o $ $ � �'CONSTRUCTIOMANDSPL'ANNING� � - ° ° � ''• =� - '" .� -?�OL & SPA �:=• , ' � - � . - - � _ � •'�- � � �� � `Date = .Inspector -� - � � . Date -� Inspector . �. �APPROVALS m Permi;f#- � �� . � - • _ ., � ,. .APPROVACS . Permit# . . . - -` ." i ' . .- ._ . , � ita'l'emporary,Electricxl Service or_Role � +- " . c < <52: .Pool & Equipment Location� � - _ . , Y 2 �Soil�Pipe-Undrgrnd:. �" ir io� � �'` " �' ,��� -'- ' 53.-Steel Reinforcement . ' � .- . � _ _ � `n _ . . • � 3: Electrical Conduit Uiilitv=Undrqrndy ��� ' - `";' _.� 'T� � � :,54:. Forms ,; � - '-° ' : � . �'.:4: Electrical Conduit-Undrgrnd: �±>�':j `� r' _ _ � ``- � a� � �� 55:� Electrica68o'nding�" . � � � - • � ' . � 1 D� F �5[ Steel:Reinforcemenf � � °� ; -- � � " � _ � � 2 � x'� ` ^.' � �656. Rougfi Blumbing.& �Piessure�'fes4 : � � 8: iElectiical UFER Gmd.�, � p'�_ ,� ,� d' n �°' `" t'� `, 57. APPROVAL TO COVER-GUNITE � . - �I . F .. }.i 1 � il • p - ) 7. Footings ' � � � � , a . - -, : � :�58. Electrical �pnduit-Undramdr _� ' . -r' 8. Fountlaiion ' � � � �� -� � � �' ^ " ' �t -. ' 59. Gas Pipe, O Undigrnd:, Tesf;' . � r i •.d 'i � . - . 9. Water Pipe-Un[Jrgmd. � ' o � ; � ' � �:' : � _ �;60. Backwash Lines, R-Tra'p, O Undrgmd.- � � � 10. Struc'tura6Floor $ystem � ' _ ? � � ; � • , '!p � `.61. APPROVALTO DECK � '` � . � � �� � 11. Property Sewer Line &IHouse;Connection _ , _ ' = 62. Backwasfi & Receptor-Final " ' � 12. Sewer.Cap � � � , � .� I - - � -: 63. Heater & Vent-Final ' � _ ' • t i r 13. Roof,Drains ; ; � � � - ' I _ ;, , : � �. 64. Plumbing System - Final . � � ' �- u � 14. �Rough Plumbing � �' � _� � ' _ '' - - ' � 65. Electrical-Fihai -- � - - i ? y 15. ,Rough Electrical-Cond'uif � _ � --�'.,'--�- - -'�"�" "-'j "" ?' 68: �Solai System-Final �� � -�r- - - �- �- - --- `i6.rR4ugh.ElectricWiring. ' � , ;s'•.*Q1;.:i ; '.'i�:- -�,-= - � - - - -- - _ . _� _� , ; �, � , , , Q � . , _ ; . . �67. Fencing & Accesi Approval . i , _ 4'�77. �Rough'Winng�ign`_' � �� ' i , ;; � � - ' � � +' '68.1 APBROVED FOR P.LASTERING ' � . . . � �, = �� 18. � Rougti'Electrical�T.Ban Ceiling' �� ;. � � � � � � � � �� �'- ' � � �69 � POOUSPA SYSTEMS`FINAL � ' � ' � r . , : . _ � � . 19. iRoug �Heating &!Air�Conditioning I� � I r ; � ^ � � � �FIRE DEPT.�REQUIREMENT - � , . � � �i � - i i . ; , 20. �Rough-FactprY Firep�ce � � �j �� � I � ( � � , � qpPROVALS� . Permit # ' _ , , 21. �Ducfs, in Structuie� �A I ! ; �� I ' � � � , ! � ' �70. Underground H�ydro �' � ' � � - � _22. �Duc;s„Ventileting •'_ � n � + �� � � I � + ; .71; Product Piping O Gas ❑ Oil � � � �° ;`. 23. •G�s �Pipe-Rough & Test '� � I .!�. �; --� � - -�- - i - -� --� - - '-- ' - --r - - _ . ..- ' ' , . - . - � . - �I� I .. � .' J' - . __�__'_ •72:. Underground Flush i � �i 24. �Roof Framing� � , i � � � ��a �, "' � `' ;',• I `� I •- ': � -� ' - �73: Undergrtid. Storage;TanR `O Gas �D Oil � � ; �� 25'�Roof SheAthing ! �� � ' �!"r.' ;� . � � � � � � : . ` � � i '74: Overhead Hydro ' t � � n ,I..' '., _ _._ .. ., �� . . �y26. iT:Bar Ceiling 7Structural) & Monocoai � ; � _: � � ^ � . � i- �Z6. .D,ry Chemical - ' - ` ' - � �,27 �Frame and-Fiashing� � � � I +I ��' I , � � '� � � � �76: Ory Standpipe � �, �28.��Lathing�&�Siding� � � ' � � �� L I I I i � � , i .77. �FIXED SYSTEM F,INAL ' - - � - . ' r.. a ' i i i P ' � � � ' i78. FIRE PFEV. FINAL J � 2_9. � Insulatiocn ^ - � � �� � i (� 1! � { � I � - . � �., , , . . � , . . - _ . . '-30.hDrywall Nailirig �` "I I � p � � � ( j � j �Notes: � i ; � � 31.��Plaster Brown Coat ' � � ,i �� � i ' , .� � �_ � . ,� . . -- -` - . • " � `32..�ElectricabPower Meter-Final ' li �9. i ! �-L_ - -�-- L_ � ' � ,� �%SO � . ' � , . � � /� � � 33.;Final_Ele ric � � � ; ��_� � � ( � � � ' �a:.,.. ... � ..i--�-_.. - � .1._.,r.. �_GG eC� ' 7nr a _ TPC!/aR : 34. FinalHeating�&:Ai�Gonditioning�c? � i � � j i - � _ ` � n �� ��c i � I _i. D', 3 � !'oo� . � -� ,��- � o� ' � � � �� ���- �r' -.I. -i . , 35. Final Gas Pipe=Test �, I ; I . , a' . I � I � � ,., � - _ - _ j ' - - � . � " . . . _ . _. Y 36. Hood or��Cariop4?>j � � � ! _'• � a' . �j I .' �.: � �. ! : . � � = , ' , � :, � : , � . � � � ;��.i.ri��:,_I :' (I ': i.`-IY i ' �'i I ' I �, i :.! .' .. . ' � . 37. Final Factor�y�Fireplac�� �, c „, q�L � i, � i i. . •. , � I �� 38. FinalPlumbing! � � ( i i� � �' I' � �� ' I � � ' ' ' � . , •' ' . . 39. Water:Seiviqe-Fnal � � � � � � I ; � � ' , . � . � ; I e ' . . 40. Gas S�rvice-Finel � I � � I �, ' I ;' � � � � � � � ; • � ' � i 41. Solar QomeStio-Final . � � � '�_ �_�,_ _ _,_ �- � I ,- -r � =� I 1 j 42. Backflo`�yi Preventer _ I t ��� -t� -L-r+- - --�-' -� -+--�-- � - � • " , � 43. Backflow trri ation � ' I. � �� � ' �� ' " � � :� a. 9� , r� I I � z, v� : 1�. � 44. Landsctipe �rrigation�System� i • � ;' � -`- �., � � � - . � - - - . 45. Sound �Attenuati.on'- j �� j ._ �' I � , j � � �. � ,' � , , ' ' � � - � � ' • , 46. Handioap Regulations� � � � � �: �� � � ; , " • � ' ' � , � ` .• ' - i � 47. FINA�LSTRUCTURE�&BUI�L�ING�' �: � � -; ��� � � � � � � �, i I � � � i � � 48. Special flequirements Completed � ' � + � ;_ � , - � '' I ' ' � � � .. . . , . 49. E�ectr;jc �Release to�Edison � - � r. _�.__}__t, -_ ;._. �� _ .. _..� � ._. �_ , � � � � 50. Gas Rel�eseito Southein CaliforniaGasCo �i � � ' � ' ! � • � � • � ' � � i � 51. CER'GIFICATE�OF OCCUPANGY ' ! � � _ _.I_.'. _ _ . y_ .1 _,. �-J._, , No, u � � � � Date � .i � '- -�" ' � , i . • i '� • " �: s-, ' . t..: -r.. vw'_�t�_ .... ._l.. ADPllont ta fill In all sDatef exCeDt t�ose wlthin �mvy Eo�Ul� Iinef anA sign all apO�oDHatG tlaclarotlOnL _ -- a97G Ej�r� •�(]� ' ' '�je GC ' T� CITY OP C�STA MESA � ' _ �� , ' � pERMI NO.:. ' ' TRACT NO. I LOT NO. BL . .. . . . . � � . ' ' . CONST "TI�N PERMIT - . . . � � f� , : ' - ; . ' ` � - . � �' , � ApplicanYsMailingAddress � �TYPEOFCONSTRUCTION ' �NEW ADD` ALTERATION. REPAIR : ` _ L . _ � � , � ProjBctAddfe59 ��1 � ��d1�� � - � CONVERSION ❑ DEMOLISH �'OTHER - � - .. ' ' . � , ' . � � - � OWnlf'S Neme ' , / p�� . _ hOn2 ' DESGRIPTION OF WORK . , , , ' � ING E L I � AddtM3 �9� ,, �t'a�"�J , TVpEOFPERMIT• � GRADING FOUNDATION� ' � STRUCTURAL , - 7+.P.qW - ' � ZONE � ' ' � Arch/Eng.� . Licen5eN0. . ❑�TENANT ❑ELECTRICAL' ❑,PCUMBING ❑MECHANICAL _ PLNG.REF.qW - - - :'BUILDING' . AddfESs, ' ' [ ❑_UTNER - TO BVILDING . ' ' • , ' COMfBttO•' N � �L� '- honY� � ' PRQIECT DESCRIPTION SQ. FT. - OCCUPANCV P Y � E REAR YARD (TO P/L) " , ��� �+�L�'v $^� CONSTRUCTIONTVPF " ' VAWATIONS- LEFTSIDEVARD RIGHTSIDEYARD' ' �Address Imailing) . . . . � ' ' . � . � � � , � � ZON� GRADINGCU.VDS. ACRES PKG.SPACEREQ. • PROVIOED � �' Cicense No; ' � - � � �, LICENSED�CONTRACTON DECLARATION � � , � Remarks: ' � • . I . � � �' � STREET WIOTH ' � - PARK FEE�$ � - �I herbby�afflrm t�a[ I-am II<ense0 untler provislons o/ C�arter 9 �commancing - � � � � with zectlon 7000) of Dlvislon 3 of [he Bu5ina55 an0 Professlons Cotle, antl � � . , . ' - � � , SPECIAI CONDITIONS: � � my Iicense'Is In full torce antl�eHect. � � ' - ' I , � . . ^ �Llwnsa Clas,f ' ' � U'�p/'�'��' No��� ��s� . • - . PLUMBING ', i ' ' . � ' ' � "� . � � h`� Date L�d�- 519 at ro � !!,�/Q'%(�f.d�'t ' - • ' ' - - � � � , � . . ��) WORKERS' COMPENSATION DECLANAT ON 88r,5i�k Sewet Cap � ELECTRICAL 1 haraby afflrm that �I hava a urtlflwte-of consant to SelMnsura or a.cerUficSte� - -.� - _. . . AutOmatic WaSh¢r . �_ �__ ,.Meter ❑Ove� 10U amps 1^ of workers' comDensatlon Insurance,�or a certiflea'. copy theraoi ( ctlon B�kflow Preventer � ' SBVJer ConnCCtlon \ ' 3800, Lab.�5 ) , ,y ,/ : ' � ' Backflow Irrigation � � Solar Collectors ' Construction Pole - � � Sub Panel. J \ Pollty No. YC %�%d � `Y company . -� � - - . . Coaking Unit � � ' � Sub Pole ; ' ' �CertlfleA copy I5 here0y tumishetl. ' . � ' 68thtubs � $olar Pipmg � ' ,.. . � � Certlfe�f pyy� IetlwlththeNty.e �DI o � - - Dishwasher ' Motors ❑0-1HP �1X-8 te F��L�'V�' APplltent � f � I , : Clerifiers I SolarTank _ . - i . . � EXEMPTION;FROM WORKERS' COMPENS TION DECLARqT10N � - ' • Dtyefs ❑Gas f �Electric ' -�Inc.Solar �09-15 HP 01645+ '-� ' I ssjssectlon neatl not �e completee If the parmit is lo�,one �untlreG (5300) or . Dishvrdsh¢r } ' Swimming Pool w/Spa � i Orinkin Fountains Urinal � Fen 'Microwave � : I ttrtify'that In the perlormance of thB work 1or whlch tNs permR is Issuetl I 9 . . z�all not employ any Oerson In any mannar so as co berome subject. to l�e , - , - - - F.A.U. , � PoIE Light �� Workers',ComOensatlon lawsof Callfomla.� , . � � FloorDrainS ' WaterClo52t� ' Oate Siqnatura . Fix[utfs � ' � �NOTICE: If, after making this tleclaratlan, you�slioultl. become SUEjecTto�the ,- - Floo� Sinks� � � :'��er Heater - - - - - - -I- _ - _ _ _ 'Range, ,L _ _ _ _ _ . Workers'; Compensatlon D�ovislans of the Labor Cotle, you must torthwilh - - Device BOzes • � � comply wit� such provislons'or't�i5��0ermit shall ba.tleematl revokea., -' GasService � Outlets ' WaterService -� �• Sign CONSTNUCTION IIENDING AGENCV ' ' ' ' ' OutlEtS � � � • � O I heretiy aifirm Ihat thera is a conztruction lantling agancy tor the performance lot¢rc2pt0/s � � I Standing Sections i � - af the �work /or, w�icn; tNs permit -I5 .Issuetl ,(SecUon 3097' Civ: C.J - � . , , � tantler's wme Kitchen�Sink' • ' - Switches Trash Compactor lentler's� Atlarass ' � ' ' i � � - � ` . . - , � • � � - � • Lsvataries� � � • � • � �' � , Garbage Disposal , OWNER BUILDER DECIARATION ' ' ' ' ' ` ' � I nereby�alfirm that I am"exam7t irom tne'Contiactor's Licause Law for the - - . � Generaror DO-5 KW �545 KW � . following reason-(SecHon 7031.5 BuSiness antl ProPossional�Cotle: Any city or P-Trap� �'. • • - , i County Which requires a permit to ConStru<t, dlt¢q ImO�oV¢, E¢Tolish Ot repalr . . _ � TfenSfO�T¢� � �$-$Q KW ' � any structure, prlor to ili Iisuance, alm requiros Ne applicant'tor such permit ' ' RoOf D�ains �'�' ` � � - to /ile a Signetl StdleTlnt [hdt he/sh¢ Is Iitensetl pur5udnt to [h¢ provi5iOn5 Oi � ; _ � . ' 05U+ KW ' � the Contractor'sUcense Law (ChaDtar 9 (commencing with'Sectiom7000) of :� � ' � � . Reinzpection Fee $75 Division 3 of l�e Business antl Profe55ions Cotle) or t�at. �e/she is`exempt - � ShOw¢r5 - • . Reinspection Fea • §75 ; .therefrom'anC tha ba5is tor lhe allegeC exempUon. Any, violatiod ot•Sectlon '� , . ' :- . - � MetCr ❑up to 100 amps �� laue Fe0 �$ 3 ' 7031.5 by any aOD�i<ant /or. a permib sub7ects tne _appliwnt to a civil � ' � � • . .- , Se'rvice Sink � - � . . .� laue Fea .. . S 3 ,� �enalty of not more tnan five huntlretl tlollars (E500). . _� , . , Zoning Approred By Date , ' � LJ I, as owner of tha�proparty or my amployees with wa9ez as their sole ' - , MECHANICAL ' � ' � � compensation will.tlo the work, antl the structure is not IntenAeA or offeretl '' - . ' Appliration App�ovad By � Date � " � for ule (Seclion 7044, Business antl.Professlonal Cotle:.The Contractor'S � . � 1 � �� Uronse Law Coes nOt apply to an ownG� Of a p�operty who builtls o� imp�ove5 Boiler Refrigeration System �� �� ' yip��,� � t�ereon, antl wh0 COls sutlf wo�k bIm581f/herself or through his or her own � � � � � AppliWtl00 ISSUBd By ' � Det9 employees, provitlatl that such improvement5 are�not incentletl or ofTereO tor ' � ❑0.100,OOOBTU ❑t00,0006TU , � . , Duc{= Under Ground sale. If, �owever, the Dulltling or Improvement Is soltl within one year oi com- I . � ! 1 . � • � SUMMARV OF FEES ' �� pletlon, jhe owner'wlll have tha bwUen o/ provin9 he/she tlitl not builtl or im- � . �, � • , �rove for the purposa oi salo). � ; � , , 4 ', � � ' Duct -Strucmral � System Repair/Alteration ;BUILDING PERMIT $; � SMIP . 1 $ j � LJ I, as ownei of the Droperty, am excluiivery contracting with Iicenietl con- � � • - . � � � �, tractorstaconstructtha pro7act (Se<tion 7044, Businassantl.Protassions.Cotle: . .t. Duct- Ventilating � _, _ , .. , _ _ PLAN CHECK : $; PERMIT � I i , � The Contrattor's �Icensa law doe5 not apply to an owner ot pro0erly who ' � . . , � ISSUANCE � $� ' builtls or Improves tnereon, antl who contracts for such projec[s with a con- Exheust System ❑ Multiple �� y� � ' � PLUMBING � $� �- � { , � � ' tractor(s) Ilcense pursuant to the Contractor's Licenx Law): �� � � ` f i � ' � � 1 � GRADING � �$ ' ,PLAN CHECK, i $ ❑ I am exempt untler Sectlon ' � B. & V. C. for this reason ' Firepl/Fact. Bit. ICBO # . � ' � � ' � � . /� � � � � � � ' � � � � � � � ELECTRICALi � $ �SL , � $ ' ne ` - �� o� �� � � ' ' i HeatingSysrem&Ducting ; ; � � � � � . $ + . ' MICROfILM ! $.' � � PLAN CHECKi I' hereby.�cerUty that IFhave reatl�thirapplicatlon'antl'state that the�above` �' ❑0.100,OOOBTU 0100,0008T� - - -�- �- ' - ', - , � , � ' ' ' informatlon Is correct. 1 agrae to mmply wlth all Uty antl countY ortlinances : � I .• �� � ; TOTAL FEE' �$ ana state laws r Iati to builtling construction,�antl haretiy authorize reore- � � � , i MECHANICAL I $ . � � � . Hoad oi T e I ❑ , , 1 sentativas oi zl ty; anter � upon the above-mentlonetl prooerty for YP Reinspection Fee� $75 PLAN CHECK � $ � � LESS , InspecUon ou b i . � � /;_ ' � Cauo . T - e II ❑� � � � ADVANCED PC � 3 ' � � Si9nature at La � ; ' ' � � - � ' � . ' . , p i T Fiegisters � � Issue Fee , S 3 , � ' � � FINAL FEE $ 6� � Drivars' License or�55 � 1 CMF 0865-46 rev. 12/82 W�Ite - Builtling; Canary - Appliwnl; Pink - Accounting; Goltlenroa - A55essor - �-- � ' �; r,CONSTRUCTION.AND•PL'ANNING� � ' -� '�` ; : � �' .?DOL_& SPA • . ' � : .y.. ; � v �Date - Inspector - � . Date �� 'Inspector � APPROVALS ,. Permit#�� : _ � � `APPROVALS,�. PermiY# . ., n - - c �: t r Temporary Electrical Service or'Pole • -• � � � _ 52 ' Pool & �Equipment. Locatiom � �. � ,_ _ � ;, � !� pa� Soil Pipe-Undrgrnds' _. ,_ ��' ' °; "c^ �; _ : 53`.�' Steel Reinforcement �., - ' � ; . � i -� �1 Electnical Conduit Utilitv-Undrgrnd: � �� ° _ -' � - �54.� Forms - - ." - - � 'y: - �, �� . '� o . . � - 1 . ? ,' , o i `Y n ' � . , . "7 4: Electrical Condui4-Undrgrnd. .. ' � � - ' �, � 55. Electrical Bonding ' `, � 5'. Steel'.Reinforcement � ; r - � ' � - ` `_ "'' � -_ 56.. Rough Plumbing:& Pressure Test - � i 6• iElectrical UFER Grnd.' ` p� � �� -• �z -- � 57� APPROVA'L TO COVER-GUNITE" � ;�. � 7. Footings � , '- " . , � ; : ^� `- . 58. Electrical_�nduit-Undrorod. � ' - ' • ; � �� 8. Foundation . � , � . a � I � �� ' " , 59. Gas Pipe,'�:Untlrgmd., Test: - � 9. Wate� Pipe-fUniirgmd. � I t ' ' ; : � � •� �.60. Backwask Lines, P-Trap, O Undrg�nd. - , � 10. Structural Flo`or System <� � ^,,, .; � ;,61. APP,ROVAL'TO DECK ' � �- � 11. Property Sewer Line & House Connection: , ; Gn f_ ��6�2. Backwash�& �ReceptorFinal _ . _ 12. Sewer Cap , ; , � I = � ; ; ' �' _ �'�63. Heater & Vent-Final . ' . � � - � � � 13. Roof�Drains � � ! I ' � � � ` , - , • 64. Plumbing SYstem = Final ^ ' ' - . i - 14. Rough Plumbing • . . = � � ' ° - � ��65. Electrical-Finel � - - - � . ,� �`15.`�Rough Electrical=ConduiY�-'r'��-';- ,-�`' I " � '66.� Solar System-Fina1 � � , - � ' �� -' '- '--� -� --- ' r - T-- -- � ii�l6.'�Rough:Electric Wiring- a � ` � II ij�; I - `_ �i � - � � - . -- ' - - - - - � �' � ' �� � � �67.� �Fencin9 &rAc'cesscApproval - . � � ` �17. �Rough Wiring5ign� � 't f � � '`� � ' ; i' ' ' ' ' �68.' APPROVED FOR.PLASTERING - - �; ' � r � ' � ! • ' 1 � � ' I ; � �c . _ � 18.lRougfiElectrical,T:Bar,Ceiling' �i ' � - � � � � �69.�POOUSPASYSTEMSFINAL � ' � a ,a.. i. �_ ; ; 19. �.RougFi�Heating &.Air�Conditioning : I ; ; � i � - j � � FIRE DEPT.'REQUIREMENT . - ' � � � � � ' 20. Rough Factory Fireplace i � � ' � ; I ', � , � APPROVALS� Permit# ' � o � i i � � � 21. ,Ducts,-in Stiucture � • � I �! � I i � ! �70. Undeiground Hydro � � ` -22 �Dudts, Ventilating ' - � j � ' � , � � � 71.; Product Piping O Gas ❑ Oil i . �i i � •;.23. 1Gas�-Pi e-Rou h & Test �, � , ' � r � � � '' � P g � ���' � � T � 72. Underground Flush 4; 24. �Roof Framing i� �^ I � ;� ; �� r"� .� '� � Z3.� Undergrnd. Storage Sank � Gas O Oil � , 25. �Roof Sheathirig , ; � � ! �' � ' i � �, ! ` ` , - � ` �74.�� Overhead Hydro . i . , ' ' 26. T-6a'r Ceiling (Structurel)� & Monocoat' � � � ,-. , . - ' �75.� Dry Chemical , � . ' � �� � . .-27. IFrame and �Flashing� � � � I � �, � ' � �� 1 � 76. Dry Standpipe � � � ' " � 28. ��lath'ing & Siding� ^ _-; � . �� ' � I ' � �i-� ' 07.� FIXED SYSTEM�FINA� � Y � _ � 29,i�insulation � `- i � �- � � I i ' � � � � �, � 78. FIRE PREV. PINAL - � • " T30. �Drywall Nailing � ' � � '� . � ; � ' , � � �Notesi � - � � � � 31.'Plaster Brown Coat' � 'i . � , i � � � �� � � � � � � � . ' � " - -- � .. � �� . i . � . � i � I � '�y32. Electrical Power Meter-Final � �� � (s 3 � � � � � . � . � �+ � : i � i . , ' ! � le. 3 ' ' ' . , 33.. Final Electric t � _ � � �^1 . V �34. PinalHeating&;AiiGonditioning �;y� � � I ' . • � � . � ' - � 35. Final Gas Pipe=Test� � I. � , � � rt', '' _- � _: i �t , � . . . . - . . . . . . .-�; � 36. Hood 'or CanoPY.';, � � � � -. i � � ° , ' - • � - � . . � .. k � �� �" i O � � L ' � � 37. Final Factor'y�Fireplace�� i � il '� � i ^ �; � ' . � � � _ - • ' - � � d�i i � r i d i 1 i� I i i, . �� - - ' �.• � � � � ' . � 38. FinalFlumbing� , � � � ol u �� � � �i � ; �. > - _ � 39. WaterService-Final� � � � , ` � , � i, r i � !�.. � ,p, � � � i.- i . ., 40. Gas Service-Final , - I � ��' 1 � ' � � ' � � � � ', . 41. Solar pomesticFinal i , ', , j � � � � _� ' : . � , � I � ` -��- -� - -- - - �- 42. Backflow Preventer, t � , ( � n�.- � - r _ - ' _ . - i - - � . - , - " 43. Backflow Irrigation T � i � � ' � �' ' � ` � i � i y ' , ; � ' 44. Landscape Irrigatiori=System � h � � I � � ; ; ' ' � `- ' . . - - - 45. Sound'�Attenuation i�� I s � � �1 �'' ` I � � �� � ' . ' .. - `' ' � � .� ,� _ � . . . � -. . �� � , , � Q.��i � ' -- I ' � : . � . _ . 46. Handicap Regulations � r� + � ,�� � _ � . � , � � ' ' ' `� � � � 47. FINAL STRUCTURE'& BUILDING � �.: : � ' � � ' � � ' � . i ,' '� , 48. Special Requirements Completed , � � ' ° � � � i � � � � . � e i � i i 49. Electric Release to iEdison . .�. ,- - = ---I- -- - -- - _ --- ' - � � d � � I " �i 50. Gas Release to Southern California Gas Co � 1 � � � . .; "� � 51. CERT�FICATEiOF.00CUPANCY i� '_ ; -- , -- ; _.i _„ + .. �_. "' No � � Date ' � j I � � � ' • � - _.�_ - AVP��cant !o fill in all soaees exceot those within heavv borEer Iines ana slan all anorooHate aeebntions CITY OF COSTA MESA _. PE MIT.N� /' ��fFt+ NO. LOT NO. BLD . .. . � , � CONSTRUCTION PERMIT ' �J � � Applicant's Mailing Address '' � � ��� �%�L"g �� TYPE OF CONSTRUCTION NEW � ADD ALTERATION � REPAIR 3S I4 e����/r� 5e��' ProjectAddre55 1 - ��� 'v . -L�`����� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER . • Owner's Name ' C� � ��— hone�tr�.,�0 DESCRIP71oN oF WORK Z I G RE ULATI N nddress ��/ ���F-7ir� n - � /+ �i�7 � TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL A.P.qY• � 20NE Afch/Eng. License NO. ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL PLNG. REF.# BUILDING ' AddrE55 ' ''! � ❑,�OTHER � TO BUILDING . ' CAntfettof'S Nem2 � -� � � f14ne"��`�3�v PROJECT DESCRIPTION SQ. FT. ' OCCUPANCV P PE TV �INE FlEAR YARD (TO P/L) - ' ,j�{`� f}//%nZl� f�� ' CONSTRUGTIONTVPE VALUATION$ LEFTSIDEVARD � RIGHTSIDEVARD Address Ima i'�g� , � ZON� GRADINGCV.VDS.�_ ACRES PKG.SPACEREQ. PROVIDED . � License No. LICENSED CONTRACTOR DECLARATION . � Remarks: � ' STREET WIDTH PARK FEE $ . I hereby affirm that I am Iicensetl untler provislons of Charter 9(commencing - , , wlt� section 7000) of Divislon 3 ot the Buzlness antl ProfeSsionS Cotla, antl � � , ' � SPECIAL CONDITIONS: � ' � �� my Iicense ii iryfull /orceuGO ef� /1 .�j C�� � . LJcanse Gas} �p l� /—�� LI nu (�!o. ���c.��Q PLUMBING � . Date� 'iiY— . r ae�a���.., � ' 4 � `'JdUe�il� ' . WORKE 5'R COMPENSATION DECLARATION � ' Bef Sink ' ' SeNRf Cap ELECTRICAL ' I.hereby at/irm that I have a tertiTicata ot tonsent selT-insure or.a certificate Automatic Washer �_ . � � Meter ❑ove� 10D amps . of Workers' Compensatlon Inzurance,� or a ce/tifie copy e?eof (Se�tion Backflow Preventer � i Sew2r COnnCctiOn' 3800, Lab. CJ �3 / (� .�� �� Backflow Irrigation ' Solar Collectors . Construction Pole�, ' Sub Panel' � ������ Cooking Unit � �Sub Pole PoIICY . �� ComPatly _ ' ' - ' ' r . Iflea co Is hereDy furnlshea. ' ' Bathtubs ' ' $olar Piping . •. . . CertHie?c i illetl with the tlty Bu1i Uin � islon. �j�� � � Dishwasher '�. � Motors �0-1 HP OtX-8 � ' Date Applicant � / ' O✓��y'CE_C//"� , Clarifiers : Solar Tank .. . , EXEMVTI N'_�ORKERS'COMPENSATION�ECLARATION � - --"' '-- Dryers ❑GaS�OElect�ic .Inc.Solar . Dishwasher . Swimming Pool w/Spa ❑9-15 HP � 16-15+ ,(Thls Se<tion neeA not be complatetl If [he permit is tor one huntlratl (5300) or � � ' � less) � • � Fan � . � �Microwave . � � 1 certify.that in the performan<e of the work for,which this permR ii istuetl 1 D�inking Fountains Urinal . shall no[ employ any person in any manner so'as to become sub7ectto t�e ' - � F.A.U. ' Pole Light � � ' Workers'� Compensatlon Laws oT Californla. Floo� D�ains . . Wate� CIOut � ' � � Date ' ' Si9nature ' � - - Fixtu�es � I /1-,' � � ' NOTICE: It; after making thi5 tleUaratlon� you shoulG become �sub)etf to the—' . Floor Sinks -- . Watel HEatef -- �� - •Range ' i Workers' Compensatlon Drovizions of tne Labor, Cotle, you.must fortnwitn� , , Oevice Boxes � • ' r . � � , comply with such proWsions or this'�permlt shall be%tleemetl revoketl. GaSService� i 'Outl2t5, .- �Wate�Servic¢ ',' ' � Sign. CONSTRUCTION'LENDING AGENCV � ' - Outlets ' � I hareby aftlrm that there Is a constructlon Iantlin9 agency for the.performance, , In[erceptOfS � ' ' . . • , ' Standing Sections ' 1 i ot tne 'work for whlch this, permit Is IsSueE (Sectlon .3097 Civ. C� ' � � , Lander's� rvame - � � , . Kitchen,Sink . -" �.�T' pn � �-� Switches � TreshCompactor � LenOer's Atltlress � ' � ' � - - OWNER BUILDER DECLARATION� ' � - � LaVatofies � . - I i�i�„ - ` Gar6age DiSpoul _ I hereDy affirm that I am exempt Trom tha Contractor'S LlcenSa Law Tor the � - ��/ ' following reason (Sactlon .7031.5 Business antl Professional Cotle: Any ciry or � P—Trep � � � .. � Generator DO-5 KW 0545 KW , coUnty whlch �equi�es a peimlt to conSt�uCt. alte� Improve, tlemolish or repalr , - � Transforme� ❑15-50 KW � � � any structure, prior to Its�issuanca, alzo requires t�e applicant for su<h permlt ROof Drains' ' � '' .. � � .to file d Signetl statement that he/She I5 Iicensetl pursuant to the provisions of � , , ' ❑5U+ KW � � tne Contractor•s License Law (Chapter 9 (commencinglwith SecHon 7000) of ' - � � - - � ' ' � Reinspection Fee • $7g�� � Divlsion 3-of the Businesi antl Professions Cotle) or that he/she Is-exempt � ShowE�S -� � ' Reinspe[tiomFee $15 ' , t�erefrom anE the, ba5i5 tor the alle9etl exemptiOnrAnybiolatiodof Section ,, . _ �. ' Meter ❑Up to 100ampi � laUe Fee � �$ 3 � 7031.5 by, any applicant tor,a permit subJects the applicant [o a civll , � �enalty ot not more than iive huntlretl tlollars (5500). .. .$ervice Sink' � � ' ', Issue Fee ' a 3 Zoning Approved By Date 1, as owner of.the.properry or my employees with wa9es�a5 Iheir sole ' - . ' . • - ' compensation will.tlo t�e work, antl the.structure Is not intentleG or offereC _�- MECHANICAL Appliption Approved 8y � Date � for sale � (Secflon 7044'. Business antl Professional Cotle: � The Con[ractoYs , � � , � � - � Licenso Law tloes not appry to'an owner of a propercy who builtls or improves BO11ef ', - �•� ;' Refrigeration System . qpplintion Issued By •��� Dat6 ' the�eon, antl wh0 �Ao¢s such wo�k h7m5¢If/h¢r5¢If or tbrough his or her own , : emploYees, provitletl Ihat such improvements are not Intentletl or offeretl Por � ❑0.700,OOOBTU ❑100,OOOBTU , , � sa�e, If howaver, the Ouiltling or Imvrovement Is soltl within one year of com- Duct- Under Ground . SUMMARV OF FEES . - pletion, the owner wlll have the burtlen of provin9 he/she Oltl not bWitl or im- . � � � �rovetortheourposeotsale). . � . � . � Duct-Structural � , S,ystemRepair/Alteration BUILDINGPERMIT $ � � SMiP � I, as owner of the property, am exclusively cont�acting�wi[h Iicensetl con- ' , � ' ' ' $'. , � ' tractorsto construct t�e oroject(Section 7044, euslness antl Professions Cotle: , Dutt - Ventilating . � � _ � PLAN CHECK. ' $ ' PERMIT The Contracto�'S License Law does not appry to an owner ot property who ' � � � 0 6 • ISSUANCE �$ i � ' ' builds or improves theraon, antl who contracts for such projects wlth a con- Exhaust System O MWtiple ❑ � � � � PLUMBING ' $� � � - . tractor(s) Iicense pursuant to the Contractor's Licenze Law): � . PLAN CHECK $ GRADING $ � ❑ I am axempt under Saction ' B, & P. C. for this r¢ason Firepl/FaCt. BIt. IC80 # � � ' $� � � Date � ' owner� � � ' ' ' � Heating'�System&Ducting � , , i ELECTRICAL $ � � : , . I hereby certify that I. have rea0-thls appiication antl state�that the a�ove � ❑P100,O00 BTU �100,0008 �PLAN CHECK $ MICROFILM '$ information is correct. I agree to compry with au Uty antl county ortlinancas � �� . - TOTAL FEE �$' antl state law ela to pulltl n9 construction,�antl hereby authorize repre- � - . MECHANICAL $ sentatives o this_ t� tm ent�r upon tne above-mentionetl properyy for Hood or Type I ❑ Reinspection Fee� $15 � LESS insDectlon rpos �.j� � �./ �j�� �y /� . Cano T e 11 ❑ PLAN CHECK $ � ' SlgnSture ��� � � Date ;;t/�..? • . . . ADVANCED PC $ , Drivers• Llcense or55 � � - � Registers • Issue Fee ' S 3 � ' ; FINAL FEE' �$� CMF0865-46rev.12/82 Whice-Builtling:Canary-ApplicanhPink-AccounHn9:Goltlenrotl-Assessor � CONSTR-UCTION AND PL - NI �'' " �� ' , �; - '.-' �OL & SPA � •. . : `�Date �' lnspector - Date Inspector,' _APPROVACS , Permit�#� � . "APPROVALS Permit# " .ri,. Temp'oiary Electrical Service or".Pole . � .� 52: �Foot & Eguipment Location - � , � "_- , � . . . . . , � . , - ! _ �? Soil �Pipe-Undrgmd. . � �r - � 53? Steel Reinforcement � � . - � , _ ., 3: Electrical Conduit Utilitv-Undrgrnd. , � � `' _ � 54-. Forms; • . - � � ' - , ;� 47 Electrical Conduit-Undrgrnd.. �-„ � ` _ , ' �, 55.� Electrical-Bonding " . . , 5; Steel �Reinforcement � - - ` � - • � �. � 56. Rough Plumbing;& Pressure Tesf . ♦ 6: Electrical UFER Grnd. ' ? - . , ' � � 57�. APPROVAL TO"COVER-GUNITE ' 7. Fdotings � = ._ , c� � _ _ .58. Electricaf�pnduit-Undror�d. , 8. Foundation • _ � ' . �, ' _ � ' �59. Gas Pipe, �O Undrgrnd., Test ' ' 9. Water Pi�pe-Undrgrnd.,' ' -� ; , �� 60. Backwash Lines, P-Trap, � Undrgmd. t 10. Structural Floor System - � , � �� �`�� ' � 61. APPROVAL TO��DECK " - � , 1 t. Propert"y Sewer Line &�House Connection� � � o� �: 62. Backwash & Receptor-Final� _- '�; � 12. Sewe� Cap � ' . '. ' , ` '� ' 63. Heater &�Vent-Final � � ' 13. Roof�Drains ' � , . . � • ' � �� ��64. PlumbingSystem.-Final - � _ • y 14. �Rough Plumbing ^ ' ` � - � 65. Electrical-Final � - � �15=RoughElectrical=Conduit-r" "� --��� �--- - 66;5'olar,System-Final . � - ' � � , •k16.',Rough:Electric Wiring . � � - � , .`, �- � . i .= j , -'69.i Fencing &•Access Approval � -� � �" � 1 n, . . _ �17. Rough Wiring-Sign ' � � ' ' � ' � . 68.� APFROVED FOR PLASTERING - - �� = i;�18. iRough3Electrical-T Bar Ceiling . , �' . � � 69.� POOL/SPA SYSTEMS FINAL � � - �- . 19. Rough Heating & Air�Conditioning ' �� � FIRE OEPT. REQUIREMENT - i �' 20. ,Rough Factory Fireplace, : � , ; � APPROVALS' Permit # � • - , : :�21. `Ducts, in Structure , , ! � � � 70. Underground Hydro � _ � < �_� � ��22. `bucts, Ventilating �� � � � 71,� Product Piping O Gas ❑ Oil , . L'�►23. �Gas �Pipe-Rough &'Pest �' � ', � � ' �- ' � ,72,' Underground Fiush � ' .�24. ,Roof Framing � -� � ' ' ; � ' � t � 73. Undergmd. Storage Tank � Gas ❑ Oil . ' �� 25.��Roof Sheathing � �- • - 74: Ovechead Hydro • 26. nT-Bar Ceiling (Structural) & Monocoat , • , � . 75.� Dry Chemical . :,. � �27. �Frameand Flashing .� ° , ' �76. Dry,Standpipe � • . i ^ ` 28.'�Lathin9 & Siding • , � � � � � � �77.; FIXED.SYSTEM FINAL . - � 29. vinsulation ' � ' � � � ; �78. FIRE PREV. FINAL �' - � " �-30. �Drywall Nailing . � � � Notes: , � � � p� _ . . . ' . . . .. � � . . . . �.. ° . 31. �Plaster Brown Coat �� ' � � � ' � � , � , i , �: . ��32. �Electriral'Power Meter-Final ' � i i � � , . � , � , � .' 33. Pinal Electric • � � . � � � � � ' � � , 34. Final Heating & Air Conditioning , � � , � I � �1 , 35. Final Gas Pipe-Test � ' � � '`� '�� ' - �� 1 � � ��' ' � �� 36. Hood or'CanoPY � � . .' � . � , ; �- ' �. '� � - , '. 37. Final Factory Fireplace� � • � � .. � � ' � � , � � � 38. Final Plumbing . I � �' � � i 39. Water Service-Final ' • � � ' . � ' � , i � . 40. Gas Service-Final � ' � ' - ' i 41. So�ar pomesticFinal � ' ' _ _ • - � . � � - - 42. Backflow'Preventer� � � : ` ___ � � _ _ . 43. Backflow Irrigation � � ' " i:_ � �` i �_ - � ` � ' 44. Landscape Irrigation;System • , � � ,.� ;,, , 45. Sound �Attenuation '�.; � � ; _ � . . � 46. Handicap, Regulations � ' , ; ' ' , ` i ' � �e I � . . " ' 47. FINALSTRUCTURE&BUILDING � - - � � � � � � ! � - � . � � 48. Special Requirements Completed � I � ' � � j , ' , � � � � 49. Electric Release�to Edi'son �_ ____ _ � '_� _ - .-. ' __ - - � ' � i i � ---l-- --r - 50. Gas Release to Southem Califomia Gas Co , � � ' , ; � � 1� i I � 51. CERTIFICATE OF OCCUPANCY .�._' _� _ , _�_ ___._ _, ' ' ' No ��� � � � Date � ' j I � • � tFi ..,�..,,.� .. UAIt i_,,,T_�„ SOIL GAS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. SPFINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO NIR CONOITIONING TEMPORARY SEFVICE OR POLE UNDERG(YOUND � POWER � ROUGH WIRING TRENCHES � FORMS � STE�L REINF FLOOR SVSTEM BOND BEAM � STEEL REINFORGE SHEATHING FRAME AN� FLASHING LATHING - IN � OUT ❑ PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C,� FINAL PLUMBING, FINAL AND GAS TEST �� BUILDING PERMIT N0.3�55 SUBCONTRACTOR �` hT �T�,u ' .t ;� ' � �,� . � ;t COSTA MESA BUILPING�SAFETY DEPARTMENT P.O. Box 7200 CoSTA MESA. CALIFORNIA 92626 Z . d U HZ ZQ ON am J 7 J N Q W p] J J m Q U N Za W � aw W2 J Q m Z J � W w � _ Z F- w� � � A1L 14-70cisa�01279 a�*¢**5.00 APPLICATION FOR BUILDING PERMIT ForApplicant to Fill in Comp/etely $�I �ZI �'� RECEIV B/Y� D�if�E/IVE,p D�.T% / E�D BVILDING �d' � ��� � ADDRESS ER�1T�V(� OWNER �(,(/ L �� A.P.NO. � - P�GVJJ MA I L BUI LDING �J/� ADDfiESS �1DDRE55 � Qif�ll.Cila� / TEL. f � CITV NO. TRACT LOT / BLOCK CONSTRUCTION W AD � LENDER BRANCH OWNER ADDRE55 VALUE D ARCHITECT TEL. S' S OR ENGINEER FIRE ADDRESS � ZONE TVPE G:�OUP APPROVED �/^ �D CONTRACTOR lG9N/4 � B�' DATE 7 ADDRESS S�/ t S .�✓ £/C- /� r ,�.// 20N NO.OF ln USE OF NEW CITY /�(�M— NOL7'(O(�7�% -�I P�'� '�` BUII_OING ( • STATE CiTY �'ARDSAPPROVED VAROSAPPFOVED IIC. NO. 'TQ LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BIDGS. (FR ./�� S�y�q/�g'(yJ�- OF LOT Q�'��� NOW ON LOT -- FT " � FT. USE OF / / EXI5TING BLDG. Y% FT. 512E OF NO. OF r NEW BLDG. ROOMS STORIES L.SIDE FT. FT. EXTERIOF WALL ROOF � COVERING COVERING REAR SFT FT. USE OF BUILDING AND W�RK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOCS. ACCFSS. BLOCS. VAR. # DATE i G.U.P.� APPROVED /� � �Q� APPROVED �% I hareby acknowled0e Ihat I have reetl this application antl zm[e that tho ebovo iniorma[(o0 is rotrec[ antl apreo to wmply wiM � oll laws reguletlnB builtling construction, ontl 1 shall not employ any perwn in vlolatian Ot the workman's compansotion lews ot tho Stata of Califomie. m b I horoby cartify thet I am proPerly licensotl es a eontrector untler SQ. FT. O the Stete oi Calitornia Busi�ess entl Professions Cotle, Divia(cn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, entl the[ suth licenses ara In full forca end offeet, or I THE PURPO6E OF ESTABLISNING A PERMIT FEE ONLV: � am oxompt from the provi4lons of the S[e[e of Callfornia Bucinoss Q VALUATION nntl Prolassions Cotle, D'vision , Cheptar 9. ` � N �f PEFMIT FEE 5 � Sipnoturo of �p 1 ..� _ /_�--� m Perm(ttae - ` 53 D PI,AN CHECK S E S— o Author{zatl Apont LL TOTAL FEE S KOIVISTO, MFi. & MRS. D DATE JOB ADDRESS 3z1 xamona P1. BUILDING PERMIT NO. GENERAL CONTRACTOR George KT'B1b1Ch VALUE $ 1�200,0( AP. No. 11%-Z2 -11 LOT T1iACT FIRE ZONE DESCRIPTION OF WORK D21 INSPECTIONS I DATE I GROUP TYPE ZO] o� OCCUPANCY SUBCONTRACTOR I __ PERMITSISSUED__ Form $10-SM-11-59 SB P • 111G3: \�/ '' � �' � ,. s ����g COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIFORNIA For Appli�ani fo Fill In Completely TYPE OR PRINT ADD EISS � h4. I ` 7� M O I�/ � �, LA �� C05TA MESh CALIFORNIA OWNERl1�..�MRS. : t�bl V I S'-U MAIL � . . O t .. � �. � . a• � � � �� TEL. NO. � LIC.rNO. I/ O TNO.I+I'- O'�) T SIZE �.^ (` / r 1��` NO. OP BLDOB. OF LOT s� W �� NOW ON LOT USE OF �Q ��, � ��t �t . _ �, n ' EXISTING BLDG ti���� BEiBAGK LINE FROM � cerciea Oa eTR[Ei �� REAR YARD 61DE YARD I IEFT `' •S/ I RI6HT / ESCRIPTION OF WORK NFW I h IIALTERATIONI IIADDITIDN �'��' ROOMS � STORIES � l��� ROOF u .77V1�Q'Q GOVERING �'".�Q' � ING AND WORK TO BE PERFORMED �E E RE CEl VEp AP N EFOTR PERMIT CIT�Y OfB �jTME$q �/S /� p For Office Use Onl y ��^ RECEIPT NO. -Q V{�HN�T NO� BY COSTA MESA, FIRE ZONING ZONE 'I/�1 NO. OF ^ U6E OF ! 'V\ I P{ANB l-� I BU�LOINO 1 /U LEOAL / �l�f I L�� / DEBCHIPTION Vc' A. P. NO. � �� � � � YARDS EVES APPROVED ALLOWEC (CHNTHR LIN! BT.) _ _ 3f,SF �bJ �7 � � 1"IGTF J- � I HEREBY qCKNOWLH06H TXAT 1 HAVH RHAD THIB APPLIGTION }XE AMOUM BXOWN UNDER VALUATION IB pOq TNH ANO BTATE THAT THE ABOVH 18 CORIiGR AN� AGRBH TO fAM. pUPP08E OF E9TABL�SMING A PEpMIT p66 ONLY. PlY W1TH ALL CITY OROlNANCES AND 8TAT8 lAW8 P86UtATNp Bu1tnlNa coxaTpu�ON. VALUATION � ^ 81GNATURE O �`�,*�� o o PERMIT FEE $ PERMITTE !/ 1 S �(/Q PLAN CHECK $ �i� AUTHORIZED AGENT � , /� ..— OWNER DIKE Y� COLEGROVF' V DATE l Q_j �—�� JOBADDRESS 321 Ramona Place BUILDINGPERMITNO. (�50 GENERAL CONTRACTOR Owner VALUE $ 8� OO, OO �oT 16 BLOCK TRACT 2310 Sin�le Fam, Residence TVPE INSPECYIONS I DATE I SUBCONTRACTOR I PERMITSISSUED Yrench / �ion Forms and Grade Heating, Final Sewer Septic Tank or Cesspool Lathing j fl Plastering Plumbing� Fi�l, Fixtures C Plumbinpr Final Gas Test/, Wiring, Fi�al Occupanc Farm YIO G�H IM 12-68 : osta Mesa Building Department , , � • 111 EAST 20th STREET � COSTA MESA, CALIFORNIA FOR API'Y.ICANT TO FdLL 1N Building Address 321_Ramont�Ple�ce Costa Mesa, California Nearest Cross St. SBIItfl AIIH Avenue Owner D�p_$�_Qplg$T9oA Mail Address �i19 i�. 1%t� St. Architect or Engineer Addre55 4� Contractor] Size of Lot Use of City Lic. 19$TODe No. 7th St.. Coata Mesa No. f:om �F� No. of Bldgs. Now on Lot j�jOAS4 No.of No.of F,amilies I Rooms RearYard �...� Sirlr VaM F: Demolish �rPLICATION FOR PERMIT 65b _.� U I L D I, N G_. __.. '� FOR OFFICE USE ONLY i Receipt No. Permit��No. ; � ; � �7 � y G s-�; � ; Rece�ved;by Date Rec'd. Date Isiued i I .' �� i�`F='S'� Building ' . . Address � I ' Costa Mesa, California ' ' Nearest � Cross St. Zone /J I No. of I Type I Grcup /T � Plans � I ' � Approved bv � ' Date � � � wT � 4195�- Size j101186 AT89 Rooms b Stories 1 . Exterior Wall Root Ccvering SLIICCO I Covering COIRpO APPROVALS Use of New Foundation Location Ins ecto Building �J�I1818 Family Res. Forms,Materials, P Under-Pinning Frame: Fire Stops, _ Brecing, Bolts Lath.lnt. F heceby acknowledge that I have read this Application and sLate that the above is correct and agree to con-�ply Lath. Ext. wRh� all City Ordinances and State Laws regulating building construction. . Signature of Plaster, Int. Permittee Plaster, Ext. Authorized Agt.� asonry Reinforced Valuation / / Permit Fee $ � � gond Beam $ �\ � (� Plan Check $ � �� Total Fee $ =� FINAL ........ 1I1] 1:_ �M 1?.R'1 Oate "L LVl •i.L[11\ . � j.� Show loeation and distances from t' property line and between buildinga.