HomeMy WebLinkAbout601 RANIER WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 601 RANIER WY
Suite No
Vicinity:
Parcel Nunmber: 93405202
Applicant:
Address:
Owner:
Address
PLUMBING PERMIT
COAST ROOTER PLUMBING HTG & A/C
2737 S CRODDY
STE D
SANTA ANA, CA
KANAKANNI,HIROHIKO
601 R4NIER WAY
COSTA MESA, CA
Phone: (714)241-1414
Zip: 92704
Phane:
Zip: 926263102
Contractor: COAST ROOTER PLUMBING HTG & A/C
Address: 2737 S CRODDY � �
STE D
SANTA ANA, CA
Arch / Eng :
Address:
Phone: (714)241-1414
Zip: 92704
License: 529127
Phane:
Zip:
- - - � -- - �Cicense:
ISSUED BV:
Status: ISSUED
Applied: 03/08/2004
I ssued: 03/08/2004
SCOPE OF PERMIT �
� � � C/0 OF WATER HEATER. . , - _ . � .
.FEESUMMARY. � � .
AMT QTY :�. AMT� aTY , - AMT QTY
� ISSUE FEE . $23.50� � Laundry Tub / Washer $0.00 � 0 - - : �. Sump Pump $0.00 0
Backflow irrigation � $0.00 0 � Landscape Irrig9tion � $0.00� 0'- ' Swimming Pool � $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
• Bathtub � � $0.00 -. 0- " Pressure Regulator � $0.00 0 Urinal. $0.00 0
Clarifier System ' $0.00 , 0 Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect (Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr BkFlow(5+� $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 - Wash Basin � $0.00 0
Dishwasher ,$0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain, Floor $0.00 0 Sewer Connect $0.00 0 Wasle and Vent System $0.00 0
Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet (Toilet) $0.00 0
Drain, Roof $0.00 0 Shower , $0.00 0 Water Heater / vent $12.30 1
Dnnking Fountain $0.00 0 Sink, bar ' $0.00 0 �� . Water Piping (Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 ' � Sink, commercial $0.00 % 0' �� Water Re-pipe 80.00 0
Gas Earthquake Valve $0.00 0 Sink, Floor � " $0.00 � 0 Water Service $0.00 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
ior a period of 180 days. .
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapeettona 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
2aas�ae (r�oo)
WORKERS' COMPENSATION qECLARATION: '
I hereby aHirm under penalry of perjury one of the tollowing tleclaretions:
❑ I have end will maintein a cetlificate of consent to self-Insure for workers' compensation, as provided for by sedion 3700 of the Lebor Cotle, for the peAormence of the
work for which �his permit ig issued.
� I have antl will maintain workers' compensation insurance, as requiretl by section 3700 of ihe Lebor Code, for ihe pertormance of the work br which this pertnit is issued.
Insurance wrder antl policy number are: '�,_ Q� s U�
� � Po' Nu er. (L�
�ted i/ the permit is velued at one hunaretl tlollers ($100) or IessJ ,.
�I certity that in the pedon dnce oi lhe work for ihich Ihis permil is issuetl, I shall not employ eny person in any manner so as to become suhject to the workers'
compensation laws C itomie, gnd i ree h if I should bacome subject ro the workers' wmpensation provisions of Section 3700 ot the Labor Code, I shell totlhwith
ly with these pr � io , {'//
Ap icantSl Wre: ate: �` �/
WARNING: FAIWFE TO SECURE QRKER ' COMPENSATION COVEPAGE IS UNLAWFUL AND SFIFLL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HIINORED
THOUSAND DOLIARE (E100.000). I qpDRION TO THE COST OF COMPENSATION, OAMAGES AS PiiOVIDED FOR IN SECiION 31060F iHE LABOfl CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
iI her ' Ihat I am licensetl under proNsions oi Chapter 9(commencing with Section 7000) oi Divisio e Business and Protessions Code, antl my license is in full
I1 .Lic.q �_ �e�—�C
ctors ignawre: te. G�—"�n � n�/
i
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn Ihat there is e constmction lending agency for the peAormance ot t�e work for which this permit is issued. (Sec. 3097, Civil Code).
Lentlefs Name: Lender's Address:
Signalure: Date:
OWNEP-BUILDER DECLARATIONS:
I hereby aHirm Ihat untler penalry of perjury that 1 am EXEMPT FROM THE CONTRAC70RS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business end Professlons
Code: Any ciry or counry which rgquires e permit to constmct, alter, improve, tlemolish, or repair any structure, pnor to iis issuance, also requires the epplicant for such pertnit
to tile a si8ned statement ihat he or she Is licensed pursuant to the provlsions of ihe Contractors License Lew (Chapter 9(commencing with Section 7000) 01 Division 3 oi tha
Business and Professions Cotle) or thet he or she Is axempt therefrom and tha Uasis tor the alleged exemption. Any violatlon oi Section 7031.5 by eny applicant for a permit
subjects the applicant to a civil penalry of not more Ihan five hundretl dollers (5500).):
❑ I, as ownar of the property, or my employees with weges as their sole compensation, WILL DO THE WORK, and ihe structure is not intended or ottered for sala (Sec.
7044, Business and Professions Code: The Contractors License Law does not apDly to an owner ot properry who builds or improves Ihereon, end who does such work
himself or hersett or �hrough his or her own employees, provitled that such improvements are not intendetl or oHered tor sale. N, however, Ihe building or improvement is
soltl within one year of completion, ihe ownerbuilder will have ihe burden of proving Ihat he or s�e did not build or improve for purpose of sale.). '
� I, as owner of Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions
Code: The contracmrs License Lew does not eppry ro an owner oi propeny who builds or impwves Iheraon, and who coniracts for such pmject with a contrector(s)
license pursuant to ihe Contractors License Lews.).
❑ I am exempt under sec. Business antl Professions Cotle tor this reason:
Signature: Dare:
Owner ID veniied by driver5license. ❑ Yes ❑ No Dnvers LiCensa No.
Vedfication of Ownership by (typB of document, i.e. - pmperty tez bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMITCERTIFICATION:
Eapires:
❑ I hereby certify Ihat no excavation five (5) or more feet in depth into which a person is required to tlescend, will be made in connection wilh work euthonzed by this
permit, antl that no building siructure, scaHolding, falsework, or demolition or dismantling thereot, will be more ihan thirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Calitomla Administrative Code).
❑ As owner-builder, I will nol employ enyone to do work which woultl require a Dermit irom the Division ot Intlusirial Sefety, as noted ebove, unless such person hes e
permit to do such work trom ihe tlivision.
Signawre: Date:
Division af Industrial Sefery Permit Number.
CEBTFICA7E OF COMPLIANCE ANU AUTHORIZA710N OF ENTRV: I cenify under penalry of perjury ihat I have read this application and state that the infortnation given is
correct I agree to compy with all state laws antl dty ordinances relating ro building construction, end authonze representatives of Ihe City ot Costa Mesa to enter upon the
ebova-descnbed property for inspection purposes. I egree not to occupy or allow occupancy of eny building authorizetl by Ihis Dermii until finel inspection.
COpE �. INSPECTIONTVPE � ffOjE �$
1616 Fixed SyS�em Finel FIfB pf8V8fIlI0f1
1286 Pool Spe Final
200 Final Re-Root
201 Final Block/Retaining Wall
202 Final Factory Fire Plece �
203 Final Sign
204 Final Demolition � � __ '
COOE I INSVECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Finel Fire Preveniion
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupency
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City of Costa Mesa Planning �_partment � '�.'� �'��'�
, ; ,!�
Post Office Box 1200 ' �� �
. j41
S
77 Fair Drive . •"-' :=.++:.;�'�:�
Costa Mesa, California 92626 � : �" `�
(7141556�5245 . � .��:.�'''':
� t;:
VY4;
REQUEST FOR OCCUPANCY ;,,<;t'!
. :,,� �` ,`:. �,; • r�
(Sin�le Family Residential or � ' �
ti �'
Candominium Units) =�j ' `'�`'i
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Tract No. �� �� Date % 7��r�;��'��r �� �.��
t:- � . �
LotNo. �.2� ' ,�'�;�t.E� °.t`ti.
P � +,� .
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_ Address ' '' r��;x
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< '_ �;`± ��::jt
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The developer of the above entitled tract desires to sell the above . +:'; y',a�,�
�\.y ;� ..
set forth lot prior to the time that the�tract has been completed and its streets r�, q '.p:�:!
- ,;5�: - 7't:]�
' .�_�l �i`:,�±y�::�i"_4.� .t'.l:�i�
accepted by the City of Costa Mesa. �:� „ ,.: .: ,.:> -�
The undersigned, by executing this agreement, acknowledgesthat 4 ''�'j
7 _ � s � , ;'�, �;
(he, he, they) was r were) � a vised that this tract has _.:,' � ::�F'�
,`' k
not been given final inspection nor has it been accepted by the City of Costa Mesa ;;'�
. i,,, . >
as having complied with the conditions of approval which were imposed by the ' " .� � lt��
;;ti ;, i�,�,,,i
�:b.:,
City at the time the finai tract map was approved. 'c: �, `'` �"- �'��t
.i<-, .,.. .(k,�
The Cityassumes no liability for the enforcement of the conditions f4 i, '� -'v ,�,i
; �t'i;,.
. ... ° .� .,,�ss;
necessary for approval other than those conditions protected by surety bond. � -;�.�, ^ �.;i-;;;:';;i
. . . . , . ,,.,, ` ,o'r�,.... ;��.
�..r� � •,.! .k::S.��
The undersigned agrees to indemnify and hold the City harmless * '�'� ''"�r�"
',' r y�r
from any claim resulting in damage or personal injury to the undersigned by - _ "•':''s�'�' ;;�`�`'
„ , „',..
reason of the aforementioned uncompleted condition. , � �7'
�.
. � � ' I` c"� � � t�w•,
. . ..n�.� ri;rrjki�
RECEIVED BY ;.:;.`.:_��._�;
CITY OF COSTA MESA Purchaser ���t';�" J. +'..�`:c;,,
'.i i ;
PLA:IUI^d.^� t^:Pi. ,r.,.°i:.. ` ,...r,
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S�� 29 197� a,, ':
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Pt��l eveloper Au honzz '�a- �'� r.'
Ai� 4! RePrese ati �q..,,.,�:. -:ry.
�'�8�9�10j11i12�1�2�3i4�516 , _ . ' -` ��
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\ CMF 0569�26
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plt�Y . ;r � ' _ . .�.ii�.
cs:_ i;t.>ez.?. .� �
' 'S ii5$r: I 1 -. ',:i, .:"�-'�'f""'-;. rj;�.
lir ;� lr,4�,.� GCJLE4ARD, SUITE 21p . <,..:Yfi�
Tl9Si'i�d, GF,iBF�l�t�ilA 526$0 5,. ;� ., :��vi„;;�,;�.�.,:.�'.;,,,
PNOJF�: AOUNE�) 6 Q� 1ZAN I Eti wy
OWNEfl'SNAME:�ROOKVIGW C�i�T1�$
aooeess: �i�N,EOWNERS ASSOCIATION
630 PAULAFtINO
COSTA MESA CA
ANCHIENGINEEN: '� R 7— 0'3 9 9
ADOHESS:
UNIT:
�/ .NO.:
UNIT:
PEHMITTEE: MF.SA ROOF�SNG ( 71 4) 54$-3012
ADDHESS: 843 W 1'ITH
LICENSEO CONTFACT P� DECIANATION: I hereDy a�Orm thai I am licensetl untleC,r p�iovi50o�5 0� pter 9(�Ommencing wiih SeCtion
7000� oi Division 7 0l I�e Business antl Pmfessi�ns Code, an0 my license is in �ull force ana eltecl.
cirr uc.: 0:� 5 6 R 1 STRTE LIC.:) � 4 S S� �
[� �y �
ate: jf_'.�Z�9? SignaWre:�� �_ � ���7 _
WOBREflS' COMPENSFTION OECIAflRTION: I hereby alfirm ��al I have a cetlificate oi consent �o sel4insu�e or a cerlificaie of Workers'
Compensa�ion Insurante. or a cetlilietl copY �heBoi (Section 3800. Lab. C).
'ILICYNO.:PWC %4167��� EXP.UATE: O�TIO� �9�
omraxr:GOLDEN EAGi.E
d� Cetlilied copy is �ereby �umished. ❑ Cetlifie� co y�.19iAeff4cttM1�thes' Bui ' ivis an. ,
aie- ��y(�L/ � Applicant' � �/l�?77
�
E%FMPTION FflOM WOflHEHS' COMPENSATION UECLPPATION: (This sec�ion need no� �e complete0 i� Ihe permil is larone hunAred (5100) or less�.
I cenify ihal in Ihe pedormance ol t�e work for which t�is permit is issued, I shall not employ any De�son in any manner so as to Uecome
suble�� �o ��e Nlorkers' Compensation Laws oi California.
�ale�. Signature'.
NOTICE: I1, alter making Ihis tleclaration. you shoultl become su�lect Io lhe Workers' Compensa�ion O�ovisions oi Ihe Labor
Code. you must lotlhwith comply wi�h suc� pmvisions ar t�i5 Dermii shall be tleemetl revoked.
CONSTBOCTION LENUING AGENCY: I hereby aliirm �hat Ihere is a constmc�ian lentling agency lor Ihe pedormance oi �he wo�k lor
which Ihis permii is issue0 (Senion 3097. Civ. C�.
LENOEN:
ROUflESS:
OWNEfl BUI10Efl OECIABRTION: I hereby a�hrm Iha� I am exemp� trom the ConVactors' S�a�e LicenSe Law for ihe �ollowing reason
(Section 7031.5 Business an0 Professional Code- Any ciry of counly which requires a Dermit �o construc�, alter, impmve. demolis�. or
repair any stmciure, prior ta its issuance, also requires ��e appl¢an� for suc0 permil �o �ile a signetl 5tatement I�at he/she is licensed
Oursuanllo I�e pmvisions alihe Gonlraclors' Sla�e License Law(Chapter9(commencing with $ection 7400)0l �ivision 3 of�he Business
antl Pmlessions Codel or Ihal ne/she is exempi Iherelmm antl Ihe basis �or the allegea exemption. Any violation oi Seclion 7031.5 �y
any applicanl br a permil SuDjeciS �he applican� to a civil penaliy ot no� more fhan �ive hundred dolla5 �$500).
I, as owner o� �he pwpetly or my employees wiih wages as their sole compensalion, will Oo �he work, antl IAe
� s�mcWre is no� intenaetl or olfereU br sale (Seclion 7044, Business and Pmlessional CoOe'. The Can�ractors' State license Law
tloes nal apply lo an owner ol a D�opehy who bWlds orimproves ihereon, antl who does such work himself/herself orlhrough
his or her own emDloyees, Omvided Ihat such impmvemenis are no� inlentle0 or olferetl for sale. If, �owever t�e Duiltling or
impwvement is SoIU wiihin ane year of comDlelio4 ihe owner will have Ihe burAen o� proving �e/she ditl no� builA or improve
lor Ihe purpose of sale).
I, as owner of Ihe property. am exclusively contracling with licensetl con�ractors to consimct t�e pmlect (Sec�ion 7044, Business
❑ and Pmlessons Code: The Con�ractors' Stale License Law Ooes nol apply �o an owner o� pmperty who builtls or impmves thereon
and who comracis br such pmie��s wi�h a convamor(s) license oursuantto ihe Contractors' State License Law),I am aware
Ihal pmot of iheir Worker'S Compensalion insurance should be pmvided Io me.
� I am exempl under Seclivn: B. B P. C.
lor ihis reason'
i.ITY OF COSTA NiESA - BtJILDING FER:4IT PEkM NU; 9 063349
PEkMIT NO; H 063344 PT,AN CHECR NO; N GOVT; N SUPP; N
CONSTRUCTION TYPE: V-� PEkMIT TYPE; S1'R PURPO5£: ALT
JOB DESCftIPTION : T/OFF RcSHT REkOOF W/TIMBERLINE 30YR COM SQ F'T: 8,%i45
CLAIM VALUE: 8,695,00 CALC-VALUE; 8,645,00 GROUP OCC; R-3 /
COMN,ENTS• SMOKE DETECTOR REQ�UiRED PRIOR TO FINAL
i(�iEiEiEififlFlk#iEiEitN�lE3FN�i4�f�lFlf#3E3Eik1F%�# IFif�%%M�N-%3E1EifiEMlEiFifiFi(�iflfie#`�if�lE3h3Fd(�iEif#�7fiF1f3ElF3F3E3(�iFi(�iE3f-3EiE�E3FifiEiFlF%?(�
Z 0 N I N G R E Q U I R E M E N T 5
S E T B A C K S
------------ MAIN BOILDING ---------- --------- ACCESSOkY BUILDING ------�--
FRNT; FT IN REAR; FT IN FRNT; F"P IN REAR; cT .IN
LEFT; FT IN kGHT; FT IN LEFT; FT ZN RGHT; FT IN
�ARKING REq • PROV; PARCEI:; 93405202 ZNE:; REF NO;
PLANNZNG N6TES>
ri• 4;
iE iE )f iE iE iE k# iF fE iE iE 1E iE � iE 1(� 3t it iF iE l6 iE if iE iE iE if 3F 3k ih iE iF ik iE 76 iE #% fE X� k ii� iE �! iC it 3E iF if �f-iF iE 1E iF YE % lk iE 3f fF 3E 1E �F fh x� �6 iE.irt�if iF if %� iP 3E%iE ii
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 5
70NING APPROVED�BY DATE; �'
BUILDING APPROVED BY ; DATE;.'��•
APPLICATION ISSUED BY: DATEc �' '��
iflF%iF1I'ii'iFX�7F1fiEK'iE1E,MJiEiEiflfiElflk :it -it'i t i. ..x. ..l r"A t i. ..• p t ..iE x�1FiF%1FiE'li'iE3ffR'H'% ''1F?f
iF%�iE3f3EiF�1f�%M-lfiF%itiEfl-'il�3FifK�klEiFifiFil�iFlE�fE7E�E3EiFlElElkih%�ifitih- %Y%�IEif-lEilihlFititit%ifiE�lt3FlEi(-lFih%�iEif�x-1E,if�iFiEiEiEif*iFll-:i�%3E
LEGALIZATION;N F E E S U v A R Y STRUCTUkAL,,% SEGN,BN't;Y
BLDG PMT PLUMBING ELEC'PRIC MECHANIC FIRE SMIP/RES GRADING
PERM.IT 100.00 86
SN,IP/NON-RES
PLAN
ISSUE F'EE
BUILAING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAIP DUE
TOTALS----> 108.86 0,00 0.00 108.86 108,86 .00
REVENUE DiVISION T07AL5--> COLLHCT'EU; lOR,86 OVER/SHUkT; .00
BLDG PMT PLUMBING ELECTRIC N,ECHANIC FIRE SNIP/TOT GRP.DING PLAN-CHECR
108.00 ,$6
if iE it iF 7f lE f6 fE )F fF iE 1E !t 7F iE if %� If fF iF fF * ff 1E iE if dk iF # iE 7E iF 1Fil� i4 if �f 1E � iE iE !F lE �lE �!E ih k�t !k X� 3E % fF 3f 3f IE if % if iE iF iE �%iE iE iE iE 3h iE 3f iE jF 3f 3Elf -Ie # if �
I N D I V I D U A L F E E B R E A R D 0 W N
TYPE QTY D E S C Ft I P T I O N UNIT COST
Date: Owner
i eo nereby ceni�y ihat � am aware o� anA un0ers�and �he revuiremems o� Ca�i�arnia Hea��h ane Sa�e�y Code Sec�ions 25505. 25533, and SFR 8 6 4 5 R EilOOF B Y V ALU E RE5ID ENT I AL NO'LONE 1, 0 0
2553a antl Iha� I or any fuNre builtlmg occuvan� willlwill no� (ciicle ane) need to comply wiin saie s�a�e caees and �he requirements lor a END �F FEE$
permil lor con5lmciion or modihca�ion irom the Air �uahty Managemenl Oi5lrici. fle5itleniial constNction applicalions are exemp� �mm
IheS¢ O��vi5ion5.
Date: ApplicanL
I hereby certilylhal I have read Ihis application and slale �ha� Ihe aboveinlorma�ion is correcL I agree to comply wi�� all ci�y ana county
or�inancesandstalelawsrela�ingtobuilamgcon5�mciionantlher e resen�ativesofthisciryioenieruponlheabove-mentione0
pr00e��V �Or in50eclion putpO5e5. 9 "c--�<G
l
Od�P: ' ^ -- SI113II1(P' /Gii�
�river'S License or Social Securiiy k � ��_ �-� _ �
t641-a6 Wlnie—Builtlmg; Green—Cotle Enbrcemenf. Ganary—ApplicanL Pink—Revenue: Goldenwd—Assessor
TOTAL COST
R,645,00
01 D0144405-pD144406 T [�T 10€.Sb
DATE� 07!O6/93 TIME: l4:51
9
CONSTRUCTION ANOPLANNING
� APPROVALS Permit#
. 1. Temporary Electrical Service or Pole
�� 2. Soil Pipe-Undrgrnd. �
3. Electrical Conduit UtditY�Undrgmd.
A, Electrical Conduit�Undrgrnd.
5. Steet Reinforcemenc
6. Electrical UFER Grnd.
7. Foocings _
$. Foundation .
9. Water Pipe�Undrgrnd. �
10. Structural Floor System ! T
11. Property Sewer �ine & House Connection
12. Sewer Cap, , ,
73. Roof�rains � �
74. Roug, Piumbing � ,
15. Rough Etectr�wl•Conduit
16. Rough ElectriclNiring .
17. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
19, Rough Heating & Air Conditioning
20. Rough Factory Fireplace
27. Ducts, in Structure
22. Duas, Ventilating
23. Gas Pipe�Rough & Test
24. Roof Framing
25. Roof Sheathing � �
i
26. T-Bar Ceiling IStructurall & Monocoat
27. Frame and Flashing
28. Lathing & Siding
29. Insulation T
��, 30. Orywall Naihng
I37. Piaster Bro�vn Coat
�� 32. Electrical Power Meter�F�nal
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Fattory Fireplace
38. FinBi Plumbing
39. 4Vater Service-Final
40. Gas Service-Final
41. Solar pomestio-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FlNAL PLANNING
49. Elec[ric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
Date
�
I�spector
r
��
, F _ & SPA
APPROVALS Permit #
52. Pool & Equipment Location
53. Steel Reinforcemeni
54. Forms
55. Electrical8ondin9
56. Rough Plumbing & Pressure Tzst
57. APPROVAL TO COVER�GUNITE
58. Etectrical Conduit�Undrgmd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P�Trap, L Undrgr�d.
61.. APPROVAL TO DECK
62. Backwzsh & Receptor-Final
63. Heater & Vent-Final
6A. Plumbing SYstem - Final
65. Electrical-Final
66. Solar SYstem-Finai
fi7. Fencing & Access AnP�uvai
68. APPROVED FOR PLASTERING
69. POOL/SPASYSTEP�iSFINAL
FtRE DEPT. REQUIREMENT
APPROVALS Permit#
70. Underground Hydra
71. Product Pipir.g O Gas � Oil
72. Underground Flush
73. Undergrnd. Storage Tank O Gas O Oii
-t4: Overhead HVdre
75. Dry Chemical
76. Dry Siandpipe
77. FIkED SYSTEM FINAL
78. FIRE PREV. FiNA�
HEALTH DEPT. REQUIREMENT
79. FiNAL iNSPECTION
80. F000 CERTIFICATE ISSUEO
Notes:
Date � �nspector
tt�LrzEx ENTERPRISES 8-20-76
�JOB ADDRE55 601-b09 Ranier Wav BUILDING PERMIT N0. 42514
GENERALCONTRACTOR (huner/R1Ar_ DESCRIPTIONofWORK c tr..tr r..,,a.,
AP No. 418-071-01 LOT
INSPECTIONS
SOIL
GAS
WATER 11! t/��] II.W.�
e �
ROUGH PLUMBING �
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH NEATING AND nIR CONOITiONIP
TEMPORARY SERVICE OR POLE
UNDERGROUNO [] POWER �
ROUGN WIRING
TRENCNES FORMS STEELI
FLOOF SVSTEM '
BONO BEAM � STEEL REINFORCE
SHEATHING
FRAME ANO FlASMIN
LATHING — IN OUT �
PLASTER, BROWN COAT
STRUCTURAL, PINAL
HEATING, VENT., REFRIG. AN� A.C.,I
PLUMBING, FINAL ANO GAS TEST �
ELECTRIC, FINAL
BUILOING, FINAL
carrini orniiior..r�rc .
TRACT
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFESY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant ro Fill in Completely — Use Ink Only
BUILDING�„/, 6� 6o5.6a76o9 ��G�
ADDRE55 [N
MAIL
CITY (r �
CANSTRUCTION
BRANCH
ADDRESS
ARCMITECT
ADDFESS
CONTRACTOfl
ADDRESS
CITV
STATE ��
LIC. NO.
SIZE
Of LOT
TE L.
NO.
TEL.
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APPt,tC�1770N I'OR STRUCTURAL PERMIT
ECENED BV DATE RE V O DATE ISSUF�
7 7=ii� a..�n _ �
A.P. NO. ]""/ jf
BUIIDING
ADDRESS �/ —
Tfl�+CT%JG�
r:
POVED
TEL. 7p NO.OF �
NO. II \ PLANS �
CITV li �'ARDSAPPROVED
LIC. NO. MAIN BUILDING
NO.OF BLOCv. I(FfiOM GL STREET)
NOW ON LOT FR�NT � i �j_T....
BLDG,
Separate permi[s are required for
electric, plwnbing and heating work.
UILDING AND WORK TO BE PERFORMED
�
LOT L� B�OCK
'2
VALUE / �Oa�
/150 s
f
caova
'�—DATE ��O �
USE OF NEW S UF��T
BUILDING ��{ �
VAROSAPPROVEO
DISiANCE BET. BET. .
MAIN BLDGS. ACCE
VAR.� DATE
C.U.P. # APPRI
APPROVE
iOLD FOR PECI aL G
I hereby ackno�'�etl8e that I have �ead ihis application antl state
thai tha above informeiion is corract and agree to comply with
ell laws ragulat��9 buildinp consvucNon, and I shall not amploy
any Oarson in J�olation of the workman's compensation laws of
Ma State of Cal�tornia. .
I hereby certify that I am pro0erly licensetl as a contractor untler SQ. F
xhe Stata of California Business entl Professions CoAe, Division 3, THE AMOUNT
Chapter 9, and xhat such lieenses ere in full force antl etfact, or 1 THE PURPOSE (
am ezempi trorT the provislons of the Stete of Callfornia Business VALUATION
antl Professions Cotle, Dlvision 3, Chapter 9.
Signature of �� � � yr EQ � „ �/ / ,f l DOO
Permittee V �� ���' $ �
�
Authorized Agent
&
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7 s�zr,r.:,
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N
VN VNDER VALUATION IS FOR m
'ABLISHING A PEfiMIT EE ONLV: �
PEFMIT FEE $ a
� O N
PLAN CHECK S 2 � o
TAX g S LL
f
U
TOTALPAID E