HomeMy WebLinkAbout604 RANIER WAY - Building PermitsCMF 0569-26
City of Costa Mesa Planning Department
Post Office Box 1200
77 Fair Drive
Costa Meu, California 92626
(714) 55E5245
REQUESTFOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No.!J �5�/ — 7�
Lot No. �-6
Date — � �` — ���,
�
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
( they) ( r were) advised that this tract has
not been given fin�on nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
i7.�i IRVlidE 60ULEVARD; Si11TE 2i0
T:95TlN. CALIFORNIfl a��Rn
PXOJECT FODflESS: 6 O 4 RAN I ER wY'
OWNEfl'S NRME: PASCO MANAGEMENT CO
noowess: P.O.BOX 2968
COSTA MESA, CA 926Z8
RNCH/ENGINEEfl: 6 4 1— 0 5 9'3
ROOPESS:
FEG.NO.:
UNIT:
UNIT:
PEflMITTEE: ORION CONSTROCTION ( 714 ) 363-0727
aooxess: zg OARCLIFF DR .
LAGUNA NIGUEL CA 92677
LICENSEO CONTBPCTOB OECLANATION: I hereby aihrm that I am Iicen5e0 under provisions ol Chapier 9(cammencing wi�� Sec�ian
7000� ol �rv�sion 3 af Ihe Business antl Pmtessions Cotle. antl my license is in full force an0 efiec�.
cirv uc.: q 10 0 STRTE UC.: 4 8 S 4 S cuss: g
}kte: 3 Sigw�ure: �
WOfl8Efl5' COMPEI ATION DECLAflFTION: I here�y a�� ��ai I ave a cetlifiw�e oi nseni �o sell-in re or a certilicaie o� Workers'
Compensa�ion Insurance, or a ceni�ietl copY �hereol (Sec� . Lab. q. �
eoucrNo.: 046-93UNIT03554 E%P.OFTE: OSIOSI94
coMrnxv: STATE FUNIZ
❑ CeNtiea coOY is �ereby Wmished. �_}� Cerlilied copy is fileU wi�h lhe ciry Builtling Division.
�oate'. 9 �?i I� Applicant:
E%EMPTION FqOM WOBNEPS' fAMPENS11TI0N OECUMT : - sedion need not Ge omDleted i� Ihe il is for one hu�re0 (5100) or less�.
I cetlify Ihai in ��e pedarmance ol the work iar which t rmit is issueQ I shall not employ any p on in any manner 5o as Io 6ecome
sub�ect to �he Workers' Compen5aiion Laws ol Cali�omia.
Daie'. Signamre:
NDTICE: If, aner making this Aeclaralion, you should become sublect to �he Workers' Compensation D�ovisions of t�e Labor
Cotle, you must IorlAwiih comply wilA su[� pmNsfons or this permi� shall be JeemeA revoke0.
CONSTNUCTION LENDING AGENCY: I hereby a�lirm thal there is a cons�mclion IenOing agency �or Ihe pedormance ol the work �ar
which Ihis permil is issued �Sec�ion 3W7. Civ. C�.
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063�9
PERMIT NO: B 063794 PLAN CHECK NO; N GOVT; N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE; STR PURPOSE: REP
JOB DESCRIPTION : REPLACE SIDING NER#224 UNITS 601,603,607 SQ FT; 6,800
CLAIM VALUE: 6,800.00 CALC—VALUE: 6,800.00 GROQP OCC: R-1 /
COMMENTS: REMOVE SIDING REPLACE W/STUCCO UNIT 609
+t*�r�t��r�t��r*�r�r*�*x **�r�**�**�t**�r�**�t�r*x�*+t* ��t�r***x ****�r***+r*�t*�t�**x�*****�t*****r+r� �*
Z O N I N GS ERTEB�AUCIKRSE M E N T S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT ZN LEFT; FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 93405209 ZNE; REF NO:
PLANNING NtSTES>
� �l
if it if iE iE it it ilik if �lf �1F it it ik it it iE i6 itiE iE �F iFiFif itr jt iE!! 3E if if �E iF iE iE if ik�E it iE it 3k itit �If !E ik if iF 3t it 1E i63f iE itiE it iE iE k f! i! it iE if iF iF 3E iE ib iE # it 3E iE iF
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 ;
LENOEP: �f if �E �k iE iE i! if iE iE iE iE 3E if iE �E 1E ik iE �! iE if if iE �k if iF if iE iE iE if �E �E if if iE if 1F 3iiFiF �E �f if iE if if 1F if iE if iFiE if iE if
noosess: LEGALIZATION:N F E E' S U M M A R Y
�
OWNEP BUILOEfl OELLRflATION: I here6y afi
(Seclion 7031.5 Business ana Pmlessional Cotle
repair any 5lmciure, prior lo ils issuance, also
pursuant�othe promsions o���e ConVactars' St
ana Pmfessions CoOe) or tha� �e/she is exemp�
any applicanifor a De�mit sublecis ihe aD0lica
I. as owner of ihe pmperty or my
❑ slmcWre is noi intenaea or aflereA �or s
Ooes not apply �a an awner ot a pmpe
his or her awn emplayees, pmvitled Ih
improvement is sold wi�hin one year a�
lor Ihe pUrOose ol 5ale�.
irm �hat � am exempi �mm �Ae Comracrors' State �icense �aw ror me ro��owing reason BLDG PMT PLUMB ING ELECTRI C MECHANIC
: nny city o� county wnich reQuires a permit m consimct, a��er, impmve, demo�ish, or PERM I T' 9 �, Q � �
requires tAe applicant for such permil to lile a signeA s�a�emen� lhat �e/she is licensed
ate License Law �Chapter 9(cammencing with Sec�ion 7000) o� Division 3 0� �he Business
��erefrom antl �he basis for the alleged exemplion. Nny viola�ion ot Sec�ion 7031.5 by �1L�
n� Io a civil penaliy ol no� more �han five AuntlreO tlollars (5500�. ISSUE FEE � �
FIRE
iE iE iE it�f 1E��EdF�ElF 3ElF 3E iE iF if 1E iF
RUCT'URAL SEGMENT:Y
SMIP/R68 GRADZNG
SMIP/NON—RES
emo�ovees wim waqes as meir so�e compensation, will do me work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE
ale (Section 7044, Business anE Pmlessional Cotle: The Contracmrs' Slaie License Law TOTALS----> 9 0. 6 8 �. � � �. � � 9 0, 6 8 9 0. 6 8 , 0 0
❑y wha builUs or imD�oveS i�er¢on, and wha Ooes suc� work himselflAersell or ihrough
at such impmvements are no� intentletl or o��eretl tor sale. If, however lhe building or
completion.theawnerwillhavet�eburtlenoipmvinghe/sheUidnotbuildorimpwve REVENUE DIVISION TOTALS--> COLLECTED; 90.68 OVER/SHORT; ,00
I. as owner of ihe proDehY. am exclusively coniracting with licensetl coniractors to consimct ihe pmlect (Section 7044, Business
❑ and Pmiessions Code: The Contractars' Slale Licenu Law Oces not apO�Y �o an owner ol pmperty who hmlAs or imDmves Ihereon
antl who coniracis for such prolects with a coniractoqs) license Dursuant to �he Coniractors' State License Law�. I am aware
Ihat pmof ol �heir Worker's Compensation insufance 5hould be D�ovided �o me.
� I am exempt unaer Section: 8. 8 P. C.
�or �hi5 rea5onl '
Oate' Owne[
I do hereby ceniry �hat I am aware of ana understanA t�e requiremenis of Califomia Healih an0 Safery Code Sections 25505, 25533, antl
2559A antl iha� I or any INure bui�tling occupant will/will not (circle one) neetl to comply vnlh saitl s�a�e co0es ana the r¢quiremenis �or a
permil �or canslmc�mn or modilication imm the Nv �uahty Managemen� �iSVicl. Resaen�ial consimclion apDlications are exempt imm
Ihese pmvisions.
Oale: Fpplicani:
I hereby certily ��al I have read Ihis aOP�ica�ian antl s�ale Ihai �he abave in�orma�ion is correct. I agree �o comply with all ciry anU coun�y
ardinances anU Sla�elawsrela�ingto builtlmg consimction and hereb aulhorizerepresenlativesolfhis ci�ylo enteruponthe above�men�ioned
proparly far inspeclian purposes. /
G
—�aie: 0 3� Sgnamre: �
�river'S License or Social Securily p:
164P46 W��ile—Builtlino; Green—Code Eniorcemen��, Canary—Aoplican�; Plnk—Pevenue: Goltlenrotl—Assessor
HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90.00 .68
if iE iE if if iE iE iE if iE if iE if if iE jf i! iF iE if �E iE �f iE �lk ff iE iE 3f �E �k �E k iE �ElE if ik 1t 1F fE 1E iE iE 1E iE if if it iF iE #f it k iEiE iflE iE i! iFiF iF�E ik if 1E �F iE iE ik iE ik k iE �klF it ik
I N D I V I D U A L F E E H 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 6800 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 6,800,00
END OF FEES
9
OS 0014b30D—D014b301 T�a T 90.6E
DRTE: 09/03/4.'s I?►IE: DY:Uv "
CONSTRUCTION AND PLANNING . • � POOI & SPA �
Date inspector Date � Inspector
APPROVALS Permit #' � . APPROVALS Permit # .
t. Temporary Electrical Service or Pole - . � 52.,Pool & Equipment Location
2. Soil Pipe-Undrgrnd. , '- �� ' 53. Steel Reinforcement
3. Electrical Conduit Utiliry�Undrgrnd. - � 54.-�Forms -�
, 4-� Electrical Conduit-Undr9rnd. 55. Elearical Bonding
•�5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test -�
6.;Electrical UFER Gmd. � � � 57.'APPROYAL TO COVER�GUNITE y
7. F.00tings � 58. Electrical Conduit�Undrgmd. �
'8� Foundation '� . _- 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undr9rnd. % ' 60. � Backwash Lines, P�Trap, � Undrgrnd. ,
10. Structurel Floor System � 61. APPROVAC TO�DECK
11. Property Sewer Line�& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' ' _ � 63. Heater & Vent-Pi�al
13. Roof Drains _ 64. Plumbing System - Final '
14. Rou9h Plumb�ng ' - ' . ' � 65. Electrical�Final � � �
15. Rough Electricaf-Conduit 66. Solar System-Final _�
16. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING '
18. Rough Electrical-T Bar Ceiling - 69. POOLlSPA SYSTEMS FINAL
19. Rough Heatin9 & Air Conditioning � FIRE DEPY. REQUIREMENT
. . .� ��� ��,.itJ(�. .:, E.
.
20.:F�ough Factory FrePlace i�� ��, -:� 7.� U:> �'x r. APPROVA'L::S�.7:�(Beront # v��'
- f �s . , r ' V-i Il' M'� Il t tS' "�i F: ' CP
.. . . i t . ; � � �.�. `1 � • 1 : H E � _•• a .... �. i �� ♦r ..
2L(DuC�ts, ir� StrUcture � „ „ > � , , t • 70. Uridergrvund HytlCo _ ' '
22. DuMs, Ventilating• � �;.ti' '-: �- �-77. Produci�PipiAg�'Gas ❑Qil
� IY .1
23.`Gas�Pipe�Rou9h &'Ten � ` ` "� '_' "'�'(y, Under round FI �s � � � � ;
:� F� f I ��:: i C�1 tP 4 �.i, r i 9 4 7!i�_. f-� �
24.�Roof�Preming� .� � r��r � ••r-� , s C� ir l� r:.�3.C�Undergrnd�StorageTank �Gas �Oit�
25. Roof Sheathing ; :� � r r ; " j', � 74.i-0verhead Hydro;-;t���� ,
26.`T-Bar, Ceiling (Structura0 & �Monocoat . � r - �*7 � � 75.,Ory Chemical �-, � -• -
27.'-FrameandFlashing• • 'r' � .,t:' 76.'�DryStandpiee `-�'� ` ' ' ;,
- �.. �
�28.''Lath�ing&Siding, . r-, ���r;;., - , 77.trFIXEDSYSTEM�PWAL�� ~
..� . �
-29. Insulation ' ' "'� „ I` �. 78..;FIRE PREV. FINAL � ,;. �
�
�, � . r
•�30. Drywall Nailing �` � � � � - � HEALTH dEPT. REQUkREfNENT
-i� � _�
'31. Plasrer Brown Coat ,. ' � " 79.�FINAL INS,PECTIO•,N � • • �
i � i � i � �: : h, _�. .
32.. Electrical-Power Meter�Final � � �� _ � �- . 80. .FOOD CERTIFICA'LE ISSUED
' � � � • �� p, � � ' � Notes. c. ': a - .
33. Final�Electric' � , �� ,i�; , ,J '�.i
34. Final�Heating'& Air Conditioping� " " I ;' T. ' �=;�y � •,ity
'35. F.inAl�Gas Pipe-Test - ' � � � • � � -��'` -. , `,-�
, . �� a. � � y �-�.i
_ ' _. r
36. Hood or CanoPV � � ' � . . . " ,� �. y_ >-. ; ,. • .� . ' f :.
� �
37.�Final�Factory Fireplace�_ ' `' � "� j � � _
�r. i o �.
i . . - -
38. Final Plumbing .- " � � ... • � ,- r � .,
39. Water Servic¢�Final � � � i '' i •�� ,
`40. Gas Service-Final , ' j � , � , ' "
_ „
41. Solar pomestic-Final �, r � �.'� i^ ti v � ��
r
' 42. �Backflow Pre�enter.. � � ' ' , � -'
��� � �i . �; �-� ,
. 43. Backflow Irrigation � .. .. . .. -• ' '=�- -• . •' �
n•
44. �andsca e Irrigation S stem. ; X • 5 �`
r P. i Y ry � r i-, _'Y .. : :•1 . c:
S•
;45.�Sound Atteouation ` � " t � f�W �
.
46. HandicaP,Re9ulations ., .. ,, ' � �- •ir - �,= '
47. �FINAL STRUCTURE & BUILDMG � _���Z � - � �� .
/
48. •F.INAL PLANNING ' ' � ' � _ .
49. Electiic Release to Edison I . i .' �" .
�' .
. ' ' � . �. _
50. Gas Release to Southem California Gas Co ., ,;, , , -
51i CERTIFICATE OP OCCUPANCY' „ , � -, , , .
No. Oate
PXOJECTAUOflE55: 6O4 RANIER wY
owxEs•s xame: PASCO MANAGEMENT CO
' ADOflESS: P O,BOX 2968
COSTA MESA, CA 92628
IIBCHIENGMEEB: 6 4 1—Q 5 9 3
ROUflESS:
flEG.NO.:
UNIT:
UNIT:
VEHMITTEE: ORION CONSTRUCTION ( 714 ) 363-0727
aooness: z8 OAKCLIFF DR (
LICENSED CONTPlLTON �ECC'tnpNA . NIeGU�ELha� � am �icensed unde OA sio�ns ot G�p�� 9(cammencing wilh Section
7000� ol Division 3 0l the Business antl Pmfession5 Catle. and my license is in full lurce antl eHect.
ciTr uc.: 4 1 0 srnTe uc.: 4 8 5 4 5 9��B��
Bafe: 3 Signa�ure'.
WONREBS COMP ISa7lON0EClA8ATI0N: Inerebyaflir ih haveacenilicatea4 onsentlo;e -j ureoracenili�
Comoensalion Insurance, or a certitiee copy inereoi (Sectio 00. La�. C�. ��
roucvxo.: 096-93UNIT03554 E%P.DpTE: OLIOLI9A
comrnxr: STATE FUNI?_
❑ Ce�ihetl [apy is Aereby fumishetl L3{ Cenified capy is �ile '�h �he eity Building Div' 'on.
Date�. • G pppiicanc 'i�(f—/`1� '
EXEMPTION FAOM WOfl (Efl5' fAMPENSIITION UECIAPATION: ' Seqion nee0 no� Oe tompl t¢0 i� Ihe p¢W is br one huntlretl (S11p) or less�.
I cetlily �hal in Ihe Dedormance of �he work �or w�ich ��is permil is issued. I shall not employ any person in any manner 5o as to Uecome
subiect to the Workers' Compensation' Caws of Califomia.
Date'. SignataR��
NOTICE: If. afler making Ihis tleclaration, you sh�o Itl become suhlect lo Ihe Workers' Compensation D�ovisions ol ihe Labor
Cotle. you must lonhwnh como�Y w��n such pmvisions or this Oermit shall be OeemeO revokeU.
CONSTBUCTION LENDINC PGENCY: I herehy afiirm Iha� ihere is a cons�mdion lentling agency for �he pedormance ot �he wark �or
which ihis permit is issue0 �Seclion 3097. Civ. q.
LENOEP:
FOOflESS:
OWNFB BUILOEN OECLANRTION: I hereby aifirm ihat I am eKempt Imm ihe Conlracmrs' State License Law for the following reason
�Section 7037.5 Business antl Professional CoOe: Any city ol county whic� requires a permit to consiNct, alter, impmve, demolish, or
repair any SlmcNre, priar ta its issuance, also reQuires the appbcant �or such permi� lo file a signed s�a�ement Ihai he/5he is licensed
pursuam to Ihe provisions ol the Coniraaors' Slate License Law �Chapler 9(commencing with Section 7000) of Oivision 3 of Ihe Business
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06379_
PERMIT N0: B 063793 PLAN CHECK N0: N GOVT; N SUPP; N
CONSTRDCTION TYPE; S—N PERMIT TYPE: STR PURPOSE: REP
JOB DESCRIPTION : REPLACE SIDING NER#224 UNITS 604 6 �$606 SQ FT: 3,400
CLAIM VALUE: 3,900,00 CALC—VALUE; 3,900.00 GROUP OCC: R-1 /
COMMENTS: REMOVE SIDING REPLACE W/STUCCO UNIT 600
if if iE iF 1E iE iE iE 1E iE±k �E iF if if iE iE iF iElFiE 1E iE iE iE 1E 1E k 7t 1E if iF iF iE iE 1E iE iE iE iF �F �E if iF iE �E iP 1E IE iF k iE �E iF �EiliE iFiE 1E 1F iF1E iE 7k if 1E 1FlE 1E iE iE i(� iE if iF iF iE iF
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT ZN RGHT: FT IN
PARKING REQ• PROV; PARCEL: 93405209 ZNE; REF NO;
PLANNING NnT'ES>
� r•
cJ_
1E iF ik if it if iE ikit iE iE 1E iE jt if it iE it if� at �lE 3F iE iE iF iF jE iE iE iE it iE iE it �E iE it 3E it 3k if ik iFjE if iE iF iE �E iE iE �EiE i4 itit iE iE iE iE if iE iE iE+t iE if ik fE'!f 1E iF 1E fb iE it iE IE iE
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'��:5
ZONING APPROVED BY DATE; `'�
BUILDING APPROVED BY ; DATE;� I.*' ?
APPLICATION ISSUED BY: — DATE�i ', i��J
iEififif3FMififiFlFkiEiEiEifilifiEiFiEjEi! iEiEiFlEiFiE3EjfjE�E. aEiE
1E1FifiEififif161FifiEiElPiEififaEiEikikiklFifillFlkififilikiEiEiFiEiFlEjEiFiklk iEiElFiflEikiE7EifififlEifiEiElElEiEiElEiEiEi(;iF�iEif�iEfE1EiE1E3F�iFiliF
LEGAI,IZATION:N F E E S U M M A R Y STRUCTTJFtAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP'/RES GRADING
PERMIT 63.00 50
SMIP/NON—RES
antl Pmfessions Cotle) or tha� he/she is exempi thereimm an0 Ihe Dasis �orihe ailegetl exemption. Any violation al Sec�ian 7031.5 6y PL�.]
any applican� �or a Dermi� sublec�s ��e applicant �o a civil penalry of not more Ihan five huntlred tlallars (8500). iss[JE FEE
�, as owner o� me pmpetly or my employees with wages as �heir sole comDensation, will do ihe wod, and the HUILDING—DIV—> PERMIT 1$$UE PLAN—CHECK TOTAL PAID DU$
❑ stmcture is no� intenUetl or ofiereA for sale (Section �oaa, eusiness and 7m�essionai code: ihe coniracrors' state �icense �aw TOTALS----> 6 3, 5 � 0, 0 0 0, 0 0 6 3. 5 0 6 3. 5 0 . 0 0
does not aD�ty to an owner of a pmDerty who 6uiltls or impmves thereon, ana who tloes such work himsell/hersell or t�rouAh �
his or her own employees, Dmvide0 I�ai such impmvemenls are nol intenUetl or offeretl for sale. Ii, however the 6uilaing ar
impmvemem is som wimin ane year ot comp�e�ion, �he owner wi�� have me Uurtlen o� pwving he�she aid noi huild or impmve REVENUE D Z V I S ION TOTALS--> COLLECTED • 6 3. 50 OVER /SHORT • 0 0
mrmen�rPoseo�sa�e1. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I, as owner ol l�e propehy, am exclusively conVac�ing wi�h licensetl contractors to constmc� �he pmlect (Sec�ion 7044, Business 6 3. 0 0 . 50
❑ anA Pmtessions CoOe: The Cqnlractors' State License Law tloes not aODty to an owner ol property who Guilds or impmves Ihereon
d�tl wh0 LOI1ItdC�S �01 SIICh Pf01e��5 wi�h d COIIIfdtlOf(5) fItEOSC POROdtI( �0 IhC COOIfdL�OfS $Id�E LICEf15E L2W�. I drtl dWdfC
Ihai pmof ol Iheir Worker'S Compensa�ion insurance 5hou10 be pmvi4e0 to me.
� I am e�empl under Section: B. 8 P. C.
lor �his reason'.
Date; Ownec
I tlo nereby cenify Ihai I am aware ol antl untlerstantl the requiBmenis o� Califomia Heal[h an0 Safery Cotle Sections 25505, 25533, and
2553A antl �Aal I ar any fuWre building accupant willlwill not (circle one) neea lo comDty wii� said stale cotles and lhe reQuirements lor a
permil �ar consimction or modilica�ian �mm Ihe Air Ouahty Managemen� �isVicL Resitlential cons�mc�ion apDlications are exempt �rom
these D�ovisions.
Date: Applicanl:
I hereby cerlily that I have reatl �his apphcation antl sla�e �hai �he above inlorma�ion is mrtec�. I agreE to campty wiih all ciry an0 caunry
or�inances ana s�atelawsrelaling�o huiltling constmclion and hereby auihor¢e represenla�ives o�IAis ci�y�o enterupon�he a�ove�men�ionetl
pmDe�y far inspection purpases. � �
� I ' _
—Bate: ���%-3 Si9nalure: �'�--�� 9
t
oriver's License or Socfal Securiry p:
16aLa6 `/��ite—Buildmg�, Green—Cotle Enlorcemen�; Canary—App�icant: Pink—Revenue: Goldenroa—Assessor
'lE iE iki%if if 3F 1E i%i%if iF ii' if if ik iE ii' i%if i%ih �E iE if i%i%3F i%'if ik 1E 1E'!F if if i%i%1f'k if i%if iF iF ibif if if iFi%if i6 if iE i4 if i4 iE if if iF iEif'M' if iE if iE ih iEjf if i%if if iF i%!f
I N D I 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
SFR 3900 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 3,400.00�
END OF FEES
Ol 00146320-00146321 T � T
�A'iE:-U9%03I93 1117E: UY:1�
63.50_ _
CONSTRUCTION AND�PLANNING- . � � POOL & SPA - �
APPROVA4S Permit# �Date Inspector qppROVALS Permit# .Date Inspector
�: •Temporary•Elect�ical Serviceor Pole � 52. �Pool & Equipment Location � �
2. Soil Pipe�U�drgrnd. _�� 53. Steel Reinforcement
3i; E�ectrical Gonduit Utility�Undrgrnd. � � 54. Forms ' '
a�d.•Electrical Conduit�Undrgmd. _ � 55. Electrical Bonding
5. SteQl Reinforcement • _ � 56. Rough Plumbing & Pressure Test •
.a
, 6. ��Electrical UFER'Grad. ' 57. APPROVAL TO COVER�GUNITE _
7.• Footings `• ' 58. Electrical Conduit-Undrgrnd.
. ir� r
'- 8.' Foundatio� '� � � . . 59. Gas Pipe, � Undrgmd., Test
9. Water Pipe-Undrgrnd. � . 60. Backwash Lines, P-Trap, O Undrgrnd.
.
10. Structural Floor System - � ' 61. APPROVAL TO DECK �
11. Property Sewer line, & House Connection 62. Backwash & ReceptorFinal .
�2. Sev�'e� Cap � � � 63. Fleater & Vent-Final .
73. Roof Drains c • � , 64. Plumbing System - Finat .
14. Rough P�umbing �� �" • 65. Electrical�Final ,
15. Rough Electrical'-Conduh ' � 66. Solar SYstem-Final .
16. Rough Electric Wiring - 67. Fencing & Access ApP�o�al
77. Rough Wlring Sign ' _ 68. APPROVED FOR PLASTERING
18. Rough Electrical�T Bar Ceiling � 69. POOI/SPA SYSTEMS FINAL
19. Rough HeSting & Air Conditioning FIRE DEPT. REQUIREMENT
. . . . .� U• v':-�u�: ��:
. � � •;��
20. �Rough Fg¢tor� Fireplace � �� � .G �� x %i u b�t� � Y�LPpROVALSt; ��permit # ! �''
� i�l G i u d' B 1-i t1'. �! a�[Gi' �f � iT
`� .' \ a 1 {-�: � �', }. I 1 � � � i - �:J�i ! � IT
2t. �D,uct's, in_5tructure,, � .. .. . ,� � � F,> .. ��7p. Underg�ous�d Hydro
22. �Ouctr, Ventilating�� � i C,,.=; - ��71. ProducY-r.Pip�dg 06as ❑Oil
i� ,� . . ... � J" i:. .<,�� •-i rir, . il. �
23. Gas Pipe,�ough &'T�st � ,� � : ,r i,• c ;_�, �p. Underground;Flusht ,,, ; '
.., - , .� ,._ • _ - .-.. ; ... - ,
24. Roof;Fran�ing� �i • � i n- �•t-� �� cT �•`73.-Undergmd-:StorageTank OGas OOi�
.- � i � . a•
25. Roo1 Shea[hing '-' � ' ' � � "' ' �
,�� s l'I . ' i �_,.a �
H - „ .J •� . '•• i � ' �4. rOverhead Hydro � ,
26. T,�Bar Cei{ing {Structurall & M1ionocoat .. � 75.� Drq Chemical �J� ��- _
27. �Frame and Flashing - ',r T 76.�Dry' Sia�dpipe i' �, '
`28. �"Lathyng &�Siding -=� •.� • ��.1��. .. � � 77.••FIXED SYSTEM FINA�� �
.�.
'29. �nsulation '' - �� '� ' �� j'. " 78.�fiRE PREV. FIN�AL -- - �-
x t
i30. Drywall Nailing �;��� �� t� � � f< . HEAITH,DEPT.�REQUIREMENT
�a
�37. Plaster BrO�'n_Coaf��*. ... � �. ,_ � � ,�7,9.'FINAL INSPECTION ` " � � ' �
V.
�32. Electrical�Po er Meier;Final i�E' ;� •,,.� , �80.�FOOD CERT CtaTE ISSUED
33. Fin3l�Electric'. '.. '. � y x - I .k Notes: �' `��� , _ rl
7
34.,FinaF'Heating"'& Aii Conditioqii�g;" r " � ` _^ c �,- , , y�:
35. Final Gas Pipe�Tes"t�• � • < <� � j � ry�?
a 1- 1 "�
36. Hood or CanoPY ` -��T , ... ' i-, �; . ��` , ' �
'37. FinahFacfory firepiace' ' �^ -' �� ' ' ' ' � � � '
.� �
. .. ._ �'.... . . .. .� . -
38. Final•Plum6ing -��.,- ", � : . x ,
�39. Water,Secvice-Final= � . - � + C• . . '
iL `F
'40. Gas Service-Final .` , y ` � : � . ' � ~
.
47. SolarpomesticFinel •. �•, � •• _. ? . �
Z
'42. Backflow�Preventer" ° ". ,, '� ` . ' � . �
i i �. � �
43. Backflow Irrigetion � � _. " .�.- o _ • .
_ �
-, e � , .
'44. Landscape Irti'pation System . ,', _ : -., ,� - 'I, . � ' '
45. Sound Attenuatiom l+' �- � � � - �.�y � � � .
. r
46. �Handicap.Regu�ations ' �� ' �� _ � _ '�. �` '
47.:F.INAL STRUCTURE & BUIL'DING �_ ^l� / 9 } . .� . - -"
� f � �
.;
48. �FINAL PLANNING' , - � �� '` � ,
�49. �Electric Release to Edison � � I i � .. -
50'. Gas Release to Souchern California Gas Co � ' ' - '.
� � .
`51'. CERTIFICATEOFOCCUPANCY' ; , _ , ,: , ., . ,
No. Date
� City of Costa Mesa Planning Department
Post Oftice Box 7200
, 77 Fair D�ive
j��jj�(�(� Costa Mesa, California 92626
I I�IJ�Ill1l9�J� 1714155G5245
REQUESTFOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. �/� T�– �� Date �/'— J/ %�
Lot No. �G7 C/
Address �O - � ] K/
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, theyl .�LP� (was or werel�advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
� f'.C•%iV t�
_ .- . .. .,EJl,
.: �r�. ..: - ,
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7i8i9il0�iiii'liii2i�i4i5i6
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CMR 0569-26
TI
11131 IRV6NE BOULEVARD, SU(TE 21�4
TUSTIN, CALIFORNlA 92680
By :�� -4'�1. '�- ..�� �-'
�! ; Purchaser /