HomeMy WebLinkAbout1593 REDLANDS PL - Building Permits9
_1
PROJECT ADORES S: 1593 R EDLANDS PL UNIT:
CAER•S NAME: SHERMAN, JAY. C
ADDRESS: SHERMAN SUSAN J
i 1593 REGLANDS AVE
1 COSTA MESA,CA 92627
646-8478
?ARCNIENGINEER: HOSSEIN MEISAMI FARD REGMO.: 042576
ADDRESS: 1851 E IST ST UNIT: 900
S.A. CA 92705
PERMITTEE: JAY SHERMAN na (714)646-8474
ADDRESS: 1593 REDLANDS-L
C,M, CA 92627
LICENSED CONTRACTOR DECLARATION: I hereby affirm hat'l licensed under provisions of Chapter 9 (commencing with Section
701 of Division 3 of the Business and Professions Code. and mylicense is in full force and effect.
CITY LIC.: STATE LIC.:CLASS:
c`
Date: Signature. ��—
WORXERS' COMPENSATION DECLARATION: I hereby affirm thaiI have a certificate of consent to self -insure or a certificate of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C).
POLICY NO.: EXP. DATE:
COMPANY:
f3 Certified copy is hereby burnished ❑ Certified,copy IS filed with the city Building Division.
Date. ^ Applibirt"
EXEMPTION FROM WORKERS* COMPENSATION DECLARATION: (This section need not be completed it the permit is far one hundred ($100) or less).
I firmly that in the performance of the work for which this permilrs issued. I shall not employ any person in any manner se as to become
subject to the Workers' Compensation laws of California .a Ip
Date— ��. Signature
NOTICE: If, after making this declaration. yUu sheultl became s, le to f to Worl Compensation provisions of the Labor
Code. you must forthwith comply with$uch provisions or this pL rt shall be de ed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3097: Civ. .C)''
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any City of county which requires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the ContractorsSlate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.
I. as owner of the properly or my am levees with wages as their sole compensation, will do the work, and the
❑ strumure is not intended or offered for sale(Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himselflherself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion. the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
1, as owner of the propetly, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
L.f and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for Such projects with a contractors) license pursuant to the Contractors' State License Law), I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
for this reason.
Oale--7— Dill,7 — Owner:
I do hereby certify that I am aware of and understand the requirements of California H all nd Safetyode Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to compl Ith said stale codes and the requirements for a
permit for construction or modification from the Air Quality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that) have read this application and state that the above information is correct. I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above mentioned
property for inspection purposes T
Dale:/%fn� —. 2— Signature'.
Driver's License or Social Security x:
164146 White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue', Goldenrod—Assessor
CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B ()56364
PERMIT NO: B 058364 PLAN CHECK NO: 02270-92 L GOVT: N SUPP•N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: ADD
JOB DESCRIPTION 450SF 1ST FL RESID ADDITION, BEDROOMS T.T, SQ FT: 5,450
CLAIM VALUE: 50,000.00 CALC-VALUE: 36,050.00 GROUP OCC: R-3 /
COMMENTS:
RELOCATE CLOSETS
IN
BEDROOMS
TOTALS ---- >
333,61 0,00 (y 214,50
548,11 548,11
00
REVENUE DIVISION TOTALS--> COLLECTED':
Z. O N
I
N G R E Q U I R E
M E N T S
FIRE SMIP/TOT GRADING
PLAN -CHECK
330.00
S E T II A C R S
3.61
--- MAIN BUILDING
----------
-=-------
ACCESSORY BUILDING - ----
FRNT: 24
FT IN REAR:
10
FT IN FRNT:
FT IN REAR: FT IN
LEFT: 5
FT IN RGHT:
5
FT IN LEFT:
FT IN RGHT: FT IN
PARKING REQ• 4 PROW 4 PARCEL: 42532138 ZNE: R2 REF NO: DR -9216
PLANNING NDTES> 450 SO FT, ADDITION TO AN EXISTING RES, TO ADD A MASTER
y. BEDROOM
D E V E•.4L 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 woe ��, DATE:
BUILDING APPROVED BY / DATE: J
APPLICATiI!O%N1C%{If SSU};.ED BY: Triii6 �F�Tt�FiF}�r iF� D#A#T#E
7Fk �
iE7F. (Ff ir'rr 3`*'x M1E
IF IF 3f -#%#i!•%%#} r %%%ie 3F# if iEY ,t' iF 3E W} 3c %R.
LEGALIZATION:N F• E E S U M M A R Y STRUCTURAL SEGMENT:Y
'In
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 330.00 �, 3.61
PLAN 214,50 /_f 1. �: SMIP/NON-RES
ISSUE FEE
BUILDING -DIV->
•;'
PERMIT ISSUE PLAN -CHECK
TOTAL PAID
DUE
TOTALS ---- >
333,61 0,00 (y 214,50
548,11 548,11
00
REVENUE DIVISION TOTALS--> COLLECTED':
333.61 OVER/SHORT:
.00
BLDG PMT
PLUMBING ELECTRIC MECHANgC
FIRE SMIP/TOT GRADING
PLAN -CHECK
330.00
3.61
r -
IF#%-%%'7r%##%,%•4t.%####z3f%%%3r%%##%#%ii*%%%#%ir:%IF#
I N D I V I D U A I: 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 j UNIT COST TOTAL COST
SFR 450 DWE-TYPE V -WOOD =RAME-o -GOOD 69.00 31,050,00
SFR 5000 ALTER BY VALUE RESIDENT/IAL N07,ONE 1.00 5,000,00
i END OF FEES
r
// /2 9/ I'S
Incomplete lrspectlnJ�6
1(��/J
CONSTPIICTION AND PLANNING
Date .
APPROVALS Permit # - -
Inspector
POOL SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
-
54. Forms
4. Electrical ConduiDUndrgrnd. -
-
55. Electrical Bonding
5. Steel Reinforcement $-�'...�'L/�/
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.,
57. APPROVAL TO COVER-GUNITE
7. Footings g��((_YZ-�W'C,,.,p
8. Foundation /'-�
u �ZI
�(uGi/59.
-
58. Electrical Conduit-Undrgrnd.
Gas Pipe, 'Undrgrnd., Tesi
60. Backwash Lines, P -Trap, 0 Undrgrnd.
:
9. Water Pipe-Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11, Property Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains -
64. Plumbing System: Final
14. Rough Plumbing
-
65. Electrical -Final
15. Rough Electrical -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. POOL/SPA SYSTEMS FINAL
'
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas OOil
23. Gas Pipe -Rough & Test
72, Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank OGas 0011
25. Roof Sheathing
q.7j-R 22�
te'ti#
74. Overhead Hydro
.`
26. T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
-
27. Frame and Flashing
76. Dry Standpipe
----
'1
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREY. FINAL
30. Drywall Nailing
HEALTH DEPT, REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
!
r
33. Final Electric
Notes: B 8!f`Z
34. Final Heating & Air Conditioning
35. Final Gas Pipe -Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
- r
39. Water Service -Final
-
40. Gas Service -Final,
41. Solar Domestic -Final
-
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
-
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS:
1593 REDLANDS ;PL UNIT: ,.
OWNE1i'S NAME: SHERMAN, JAY C '
ADDRESS: SHERMAN SUSAN J
1593 REDLANDS AVE
COSTA MESA,CA 92627
646-8478
ARCHIENGINEER: HOSSEIN MEISAMI FARD REGIME.: C4 2 57 6
ADDRESS: 1851 E IST ST UNIT: 900
SANTA ANA CA 92705
PERMITTEE: DUNCAN ELECTRIC (714)650-7042
ADDRESS: 600 15TH ST
NEWPORT BEACH CA 92663
LICENSED CONTRACTOR DECLARATION: I hereby affirm I I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Cotle an my ligan sl 'n full force and ¢Best.
CITY LIC.:: 099999-'� STATE uc.:2758 0 CLA :C-10
Di -J2 Signature: _ C'
WORKERS' COMPENSATION DECLARATION: I hereby affirtat I have a certificate of consent to self -insure or a certificate of Workers'
Compensation Insurance. or a certified copy thereof (Sectio 800, Lab. C).
POLICY NO.: EV . DATE:
COMPANY:
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division.
Date: Applicant: 'y
v
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need gqJbe completed if the permit i5 for one hundred ($100)or less).
I certify that in the performance of the work for which this perm -s issued all of employ any person in any manneg so as to become
sublet) ID the W�orkeCrs' Comcpensation Laws of California.
Date: �"� 1 Z Signature'. Ll—
NOTICE: If. after making this declaration, you should beq4e subject to the Workers' Compensation provisions of the Labor
Code, you must forthwith comply with such provisionsr his permit shall be deemed revoked. - 11
CONSTRUCTION LENDING AGENCY: I hereby affirm that t r is a construction lending agency for the performance of the work for
which this permit is issued (Section 3097. Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure, prior to its issuance. also requires the applicant for such permit to fife a signed statement that he/she is licensed
pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
J. as owner of the property or my employees with wages as their sole compensation, will do the work, and the
11structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himseltmerself or through
his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s) license pursuant to the Contractors State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B. & P. C.
for this reason:
Date'. Owner:
I do hereby certify that I am aware of and understand the requirements of Calilornia Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the
ordinances and state laws relating to building construction and beret
properly for inspection purposes.
Date: R -25 -9Z Signature:
Driver's License or Social Security a: AO
raa LaF WNw—Rnilrlinn' Green—(lMP, Eninrcemem- C 1{a
is correct. I agree to comply with all city and county
ntatives of this city to enter upon the above-mentioned
Pink—Revenue' GnfrlevM—Acceemr
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E
PERMIT NO: E 058748 PLAN CHECK NO: N
CONSTRUCTION TYPE: 5—N IPERMIT TYPE: ELE ' PURPOSE; OTH
JOB DESCRIPTION 450SF IST FL RESID ADDITION, BEDROOMS TI SQ FT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /
COMMENTS: RE: B58364 PRIMARY BLDG. PERMIT.
**if 1E 1EiE1EiEiEiE1E1EiEiEiE1EiE1EiE1E1F1EiE1FiE1EEP�P+t�E�E*SE+t*�E��E**�E*��ESP��E*�P***it�E*x�E�E�E**SE�t*�P�E�E�E*�P*�r*�t�L��P+E�r
Z O N I N G S E T B A C K S R E Q U I R E M E N T 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 IN RIGHT:
FT IN
PARKING REO• PROV: PARCEL: 42532138
ZNE: REF NO:
PLANNING N TES>
>
1f 1E k ♦E iE M * k BE 1k k 1f ♦E ♦f 1E 1F k iE k 1E * * k iE BE 1E 1E BF 1E 1E BE if'1E BE 1E 1F 1k 1F BE1E BF iE BE 9E iE k BE BE
181E iF 1F1E iE 1E k k 1E BE iE if BE 1E if BE iF iF 1E iF
k 1F 1E 1E iF 1E iE iFiE 1F
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 i'
DATE:
BUILDING APPROVED BY
DATE:
APPLICATION ISSUED BY:
DATE:
1F*iFiE 1E iE 1E it 1E iF *1E 1f iE iE lE iE *1EBf 1t iE
iE iE 1E *iEiE 1E iE 1E BF
1Ek
iE 1E iE 1E 1E 1E 1F*1E 1E*1f BEiE iE iEiE 1E 1E 1E kiEiE LE iE iEiEiE 1EiE BE BE"1EiE181E iE**iE it lE iE iE 1E iE
1E 1E 1E 1f BEiE1E*1EBE 1E iE 1Eit*1E BE 1E iE iE 1E
1E 1E 1E iE iF 1E 1E *iE 1t
LEGALIZATION:N F,'E)E S U M M A R
Y STRUCTURAL
SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC
FIRE SMIP/RES
GRADING
PERMIT 38 00
S0%
SMIP/NON—RES
PLAN
ISSUE FEE 15,00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- > 38,00 15,00 0,00
53,00 53,00
,00
REVENUE DIVISION TOTALS--> COLLECTED:
53,00 OVER/SHORT:
.00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
SMIP/TOT GRADING
PLAN—CHECK
53,00
iF BE 1E BE iE iE if iF iE 1F iE BF k if 1E 1f iE BE IE iE iE it i8 BE iE iE BE 1E 1F iEiE * iF iE iE iE iE iE iE it 1E iE iE iF iE iE 1F BE
iE iE it * BF iE * 1E BE 1E it iF k iE BE iE 1F 1E BE 1E 1F
BF BE iE iE * 1E iE iE iE iE
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 7 FIXTURES LIGHTING 1 ST 20
EA75
5,25
ELE 11 RECEPT/OOTLET 1 ST 20
EA,, ,75
8,25
ELE 8 RECEPT/SWITCH 1 ST 20
EA, ,75
6,00
ELE 1 SERVICES BELOW 600 V s BELOW 201
AMP 18,50
18,50
END OF FEES
_y ,TELL. 11
.
7 -LD.
•CONSTRUCTION AND PLANNING .
.-
POOL ,PA
-
t APPROVALS Permit # Date
Inspector
APPROVALS Permit #
Date
Inspector,
ti
r.1. Temporary Electrical Service or Pole
52, Pool & Equipment Location
2, Soil Pipe-Undrgrnd.
53. Steel Reinforcement
3.'ElectricatCondyitUtility' Undrgrnd.
54. Forms
- -4.=ElectritatConduit=Undrgrnd.
55. Electrical Bonding
r
5 `Sfee't •Reinforcement -
56. Rough Plumbing & Pressure Test
-
_ 6XEFictincat.UFER.Grnd.
57. APPROVAL TO COVER-GUNITE
_
r
• -7:'1266jings' '';.• -`
.-
58. Electrical Conduit-Undrgrnd.
-"8.•FQ.undation ,�. - - -
-
-
pe0 Undr
59. Gas Pi, rnd., Test g
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, 0 Undrgrnd.
10. Structural Floor System `.
61. APPROVAL TO DECK
,
11. Property Sewer Linc & House Connection
62. Backwash & Receptor -Final
'
n
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains
Plumbing System - Final
,64.
' 14. Rough Plumb,69
65. Electrical -Final
:5. Rough Electrical -Conduit -
66. Solar System -Final
6. Rough `lectric Wiring -
67. Fencing & Access Approval
771, Wi
/
Rough _ingvSign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POO L/SPA SYSTEMS FINAL
• 19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
'APPROVALS -), Permit
20:*.RoLgh Factory Fireplace^-' -{
''
_ , r
_f�•1T
K
2. �.-y l r ..• -r- ^
r
21Ducts, in Struct - 3
s
-
_J70. Undergrou4 Hydro
•.r'e,'r .
<
-
22. Ducxs, Ventilating''
-71. ProducfPtping 136 'Oil
cr- .t
. r
.3 :.
.. C <
23.'Ga's_Pipe;Rough &Test -
,; n
,
- 72. Underground USF per.
:
24YRc6f Framing -" F-
?
-" 4 .
• 73. Undergrnd. Storage,Tank O Gas Coif
25. Rogf Sheathing "
- ` -
- -
• 74>OverheadvHydro_
.�
- ;
26 T -Bar Ceiling (Structural) &,Monocoat
•-
- " i
75? Dry Chemical '•' - r -e.
t
__
_
274Frame and Flashing
76. Dry Standpi-pe
r
`_ 28.`La.jjiing--&Siding--_. cs
rs ••
•i
77:7 FIXED SYSTEM F,INA%
-�-
'29. Insulat on
§ `
78: FIRE PREY. FINAL
i
DrywalhNailing ��
* }
'�=
a
HEALTH,DEPT-.. REQUIREMENT
'.31. Plaster Brown Co?l'<
FINAL INSPECTION.
._
e.32 -Electrical Po_wer.Meter-Final -.
-,80-FOOD CERTIFICATE ISSUED
33'xFinal E(€cmc ` :_
Notes:
34r.Firal Heating & Air Conditioning
`35`?Final
Gas Pipe -Testy
136 Hood or -Canopy--
- T
37 -Final Factory Fireglacx '
38. Final Plumbing •• L-
-
-
-39. Water Service -Final 71
T
40. Gas Ser`v_ice-Final
- 41. Solar Domestic -Finals
* {
42.°Backflow Preventet -
-'
,< .
43. Backflow Irrigation -
'•'
- c: , ` J
w _
-.44. Landscape Irrigation System- r;,�
K
45. Sound Attenuation-
-
x
7 l
46., Handicap Regulations
c
47. FINAL STRUCTURE & BUILDING
48:1*FINAL PLANNING
-
49. Electric Release to Edison
i
x
.�56.-.Gas Release to Southern California Gas Cn
151.
I
•�:, I
'. ;4 :'- . -.
x r�
CERTIFICATE OF OCCUPANCY
is
;.t<:0 -
No. - Date
- -
PROJECT ADDRESS: 1593 REDLANDS PL
OWNER'S NAME: JAY SH ERMAN
ADDRESS: SAME
SAME
UNIT: B
646-8478
AHCHIENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE: JAY SHERMAN (714)646-8478
ADDRESS: 1593 REDLANDS B
C.M. CA 92627
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date'. Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a cemficale of consent to self -insure or a certificate of Workers'
Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C).
POLICY NO.: EXP. DATE:
COMPANY:
Certified copy Is hereby furnished. ❑ Combed copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred ($100) or less).
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the WorkersCompensation Laws of California.
Date: _ Z Signature —71Q I A C .Y
N TICS: It after making this declaration, you should become sqoct to the Mrkers' Compensation provisions of the Labor
Code. you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued (Section 3097, Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
I, as owner of the property or my employees with wages as their sole compensation, will do thework, and the
❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himselflherself or through
his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I. as owner of the property, am exclusrvely contracting with licensed contractors to construct the project (Section 7044, Business
and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section'. B. 8 P. C.
for this reason: ''')
Date :i—�� L— Owner:
I do hereby certify that I am aware of and understand the requirements of California Hearand Safety Code Sections 25505, 25533. and
25534 and that I or any luture building occupant will/will not (circle one) need to comply with said state codes and the requirements fora
Permit lot construction or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Dale: Applicant:
I hereby certify that I have read this application and stale that the above information is correct I agree to comply with all city and county
ordinances and stale laws relating to building construction and hereby aui representatives of this city to enter upon the above-mentioned
property lar inspectionn� purposes.
Dale: 1��7 `— Signature:
Driver's License or Social Security p:
164146 Whne—Buhdma'. Green—Code Enforcement: Canarv—AeOhCeer: Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT J
PERMIT NO: P 058879 PLAN CHECK NO: N , L
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE; OTH
JOB DESCRIPTION RELOCATE WATER HEATER OUTSIDE HOUSE SQ FT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: /
COMMENTS: NO OTHER WORK PERMITTED
iE i( iE iE lE x �E % * ik iEiE * * 9E iE 9E 9EdE iE 9E 9E iEiE dERf iFiE iE iFk iE 9E 9E 1E9F9E �EiEiE iEiEx iF lF lE iE+EiE 1E 1E-1( IEEE 7E dFif lE lF1F+E iE IF+EdE 9F x-�( iE if dE 1FiEjFa`* 9EiE iF
Z O N I N G S E T B A C K S R E Q U I R E M E N T S
------------ MAIN—BUILDING------------------- ACCESSORY BUILDING ---- ----
FRNT: 24 FT 6 IN REAR; 81 FT IN FRNT: 78 FT IN REAR; 10 FT IN
LEFT; 5 FT IN RIGHT: 12 FT IN LEFT; 5 FT IN RGHT: 5 FT IN
PARKING REQ• PROV: PARCEL: 42532138 ZNE: R2 REF NO;
PLANNING N TES> RELOCATE WATER HEATER TO EXTERIOR SIDE OF HOUSE.
>
BE Bk YE BE * 1E iE iE iE Bt BE iE iE iE iE �E BE BE iE Bt BE BPiE BE iE it iE M iP BE BF iE iE BE BE iE BE iE BE lE iE iE ft iE lF iE iE iE9f 9F iE iE * iP iE BE iE 9EiE BF aE BE 9f it iE BE IEiE Bt if iF iF iF iE iE jE iEiFiF
D E V 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 DATE:
BUILDING APPROVED BY ; DATE;
APPLICATION ISSUED BY: DATE; _z7Clt
BF iE iE iE iE iEiE iE iEiEiE iEiEiE iF*iE*iE iF iF iP3FiF�F'fF?Fif�FTFiFBF �fIF iF iFiF3F�FiF iF3f TF �FiFiEiFiF�fiFiF�f�FifiFiE iE iE iE k Be iE Be it Bt * BE
# iri 9F 9F * iE iP 9i iE 9F 9f aE * it iE * iF iEiF 9E.9f-ib iE 9E iE iEiE iE iE BP iF iE iE iE 9EiF 3E iE 1E * 9E de 9E dE 9E iETE BE iE iE * 9E if iE 9E BF 9P iEiE SE Ik iE * Df iE * )F jF9E * iF * iF iE 9F BF dE SF jE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 1200
53 SMIP/NON—RES
PLAN
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 12,00 20,00 0,00 32,00 32,00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 32,00 OVER/SHORT; 100
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
32.00
Bk iE lE it 1EiF iE BE BE iE iE iF BE iE BE iE iE iE iE iE UE iE iE BEiE IF BE iE BE iE Bt iE iE iE iE iE it iP 9E if iE BE iE iE BF BE 9F Bf * iE BE iE BE BF k 9E ik * 1F iP iE iE iE iF BE Bt iE * iE iE it iF iE iE �FiE iE BE 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
PLU 1 WATER HEATER AND/OR VENT
PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS
END OF FEES
EXPIRED
Irilcomp.10te Inspection
700 7,00
5.. 00 5.00
CONSTRUCTION AND PLANNING - -.
'APPROVALS Permit.# - - Date
_
Inspector
POG. ,. SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
- -
-
2. Soil Pipe•Undrgrnd.
53. 'Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.
-1
54. Forms _ .
LI
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
S. Foundation
•
I
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
j
60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
_
}
11. Property Sewer Line & House Connection
62. Backwash & Receptor-Final _
12. Sewer Cap
63. Heater & Vent-Final
13. Roof Drains
64. Plumbing System - Final-
14. Rough Plumbing
65. Electrical-Final
15. Rough Electrical-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. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS '-•Permit # ' j -
20.` Rough Factory Fireplace
'% ^
27."Ducts, in Structure.
70. Undergiound Hydro
22, Ducts, Ventilating
"71. Product Piping 0 Gas Ell Oil
-
23. Gas Pipe-Rough 8i Test
-.72.
72. Underground Flush A•
-�;-�
r
24: Roof Framing
-
73: Undergrnd. Storage Tank, 0 Gas 11 Oil
~
25. Roof Sheathing
74r OverheadHydro,
"
26. T-Bar Ceiling (Structural) & Monocoat
f
75.• Dry Chemical
27.'Fra me and Flashing
t
76. Dry Standpipe -.
'��7--•!
28' Lathing.& Siding
77. FIXED SYSTEM FINAL
%
e
29. Insulation -
78. FIRE PREV. FINAL - .r
'
30. DrywaMNailing - - _
I
• HEALTH DEPT. REQUIREMENT
. 31. Plaster Brown Coat
i
79:-FINAL'INSPECTION f
32. Electrical Power Meter-Final
i
1
80.- FOOD CERTIFICATE ISSUED
33. Final Electric
i
Notes: '.
34. Final Heating & Air Conditioning-
"
35.. Final Gas Pipe-Test'
I
i
36. Hood or Canopy _
I
i
37. Final Factory Fireplace
i
38. Final Plumbing
!
-
39. Water Service-Final -
-, 40. Gas Service-Final
i
I
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation -
•-
44. Landscape Irrigation System -
- - - -
" 45.' Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
)•
48. FINAL PLANNING
49. Electric Release to-Edison
50'. Gas Release to Southern California Gas Co
-
-
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: 1593 REDLANDS -'PL UNIT:
OWNER'S NAME: SHERMAN'JAY C
ADDRESS: SHERMAN SUSAN J
1593 REbLANDS AVE
COSTA MESA,CA 92627
646-8478
ARCHIENGINEER: HOSSEIN MEISAMI FARD REG.NO.: C 4 2 5 7 6
ADDRESS: 1851 E 1ST ST UNIT: 900
S,A, CA 92705
PERMITTEE: GREG DESMET PLUMBING (714)964-9084
ADDRESS: 21192 BINGHAMPTON CI
HUNTINGTON BEACH CA 92646
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 at the Business and Professions Code, and my license is in full force and effect.
CITY ucQ042290 sTATEuc.:498826 /)�)cAss:
"ISa 7`a 7 '— Signature: y"'x / •�
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I haveycer}I tate sent to self -insure or a certificate of Workers'
Compensation Insurance. or a certified copy thereof (Section 3800. La"r
POLICY NO.: EXP. DATE:
COMPANY:
❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This Section need not be completed earn it for one hundred(5f 00) or less).
1 certify that in the performance of the work for which this permit isissued, I shall not em any pA' on in any all YS to become
subject 1 e Workers' Comfpe%nsation Laws of California.
—gale: —�� _ / ( Signature:
NOTICE: If, after makmg this declaration, you should become subject 1 e Workers' Compensation provisions t abor
Code. you must forthwith comply with Such provisions or IhiS per h I be deemed revoked. .
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a uction lending agency for the performance of the work for
which this permit is issued (Section 3097, Civ. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or
repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (5500).
I, as owner of the property or my amvvloyees with wages as their sole compensation, will do the work, and the
O structure is not intended or offered for sale(Section 7044, Business and Professional Code'. The Contractors' Stale License Law
does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through
his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or
improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor($) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
E) I am exempt under Section: B. 8 P. C.
for this reason: `-
Date: — — —. Owner
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and
25534 and that I or any future building occupant will/will not (circle one) need to comply with said state codes and the requirements for a
Permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Dale: Applicant
I hereby certify that I have read this application and state that 1
ordinances and state laws relating to building construction and h4
propert''oor inspecti�otn purposes.
—Da,, (_7 — / / _ Signalurp2
Driver's License or Social Security a:
information is correct. I agree to comply with all city and county
need rept , lati this day to color upon the above-mentioned
1641 46 Whne—Bmldoo. Green—Cotle Enforcement: Canary—Aoolicanl: Pink—Revenue: Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: P 058628 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: ADD
JOB DESCRIPTION ; 450SF 1ST FL RESID ADDITION, BEDROOMS TI SQ FT:
CLAIM VALUE: 1,300,00 CALC—VALUE; GROUP OCC: R-3 /
COMMENTS:-REF:B58364
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Z O N I N G S E T B A C K S R E Q U I R E M E N T 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
IN RGHT: FT IN
PARKING REQ•
PROV:
PARCEL:
42532138
ZNE:
REF NO:
PLANNING N TES>
11,00 OVER/SHOAT:
,00
BLDG PMT
PLUMBING ELECTRIC MECHANIC
FIRE SMIP/TOT GRADING
>
11.00
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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 DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY; DATE:
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT
8 00
'5*
SMIP/NON—RES
PLAN
'
ISSUE FEE
3,00
BUILDING—DIV—>
PERMIT ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- >
8,00 3,00 0,00
11,00 11,00
,00
REVENUE DIVISION TOTALS--> COLLECTED:
11,00 OVER/SHOAT:
,00
BLDG PMT
PLUMBING ELECTRIC MECHANIC
FIRE SMIP/TOT GRADING
PLAN—CHECK
11.00
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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 I N;
UNIT COST
TOTAL COST
PLU 1
BATHTUB ):
200
2,00
PLU 2
WASH BASIN r
2,,00
4,00
PLU 1
WATER CLOSET (TOILET)'.
2,00
2.00
END OF FEES
EXPIRE[)
I1'"ImAlete Inspect" Y ;
lark
a\7
Qts
`n5
CON AND PLANNING ,
POOL ?A
i
APPROVALS Permit # Date
Inspector
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Servile or Pole
'
52, -Pool & Equipment Location '
2. Soil Pipe- Undrgrncl.
53. Steel Reinforcement
3.rEjectrLcafCortluiiUtility-Undrgrnd.
-
54. Forms
-4..ElectricatGonduittUndrgrnd.
55. Electrical Bonding
`Reinforce3i'riP
56. Rough Plumbing & Pressure Test
.6;:Etectricai.Ul`Acti6d.
57. APPROVAL TO COVER-GUNITE
_
A 1 clings; �'
_« ,J
56. Electrical Conduit-Undrgrnd.
r� .
- 8.�fcQundaLon
59. Gas Pipe, O Undrgrnd., Test
9. Water Pi e-UndRI-ond.
60. Backwash Lines, P -Trap, 0 Undrgrnd.
e
10. Structurjil Flop%'System
61. APPROVAL TO DECK
-
11. Property Sewer Line & House Connectionsfy�yY
62. Backwash & Receptor -Final
(/ C /
12. Sever COP -
63. Heater & Vent -Final
13. Roof Drains'-
' -
64. Plumbing System - Final
14. Rough Plumbiy -
!J//�[(5"L
65. Electrical -Final
15. Rough EJectrica' l•Conduit
-
I
66. Solar -System -Final
16. Rough ElectriCWiring
Firing
67. Fencing & Access Approval
17. Rough Sign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS0 Permit #_!L ='
"
20._Ro0gh Factory Fheplace �111 -
^.
= __� x
.c
71
21 Ducts, in Stitkture ..
,j �> x
70. 6,dergrouA Hytlro x _
,.
22. Duets, Ventilating •. .-
_y '�
X77, Produ�[ping alias QOiI
1
_
23 Gas P1p�Rough &•Test
,72. Underground FlusR; ` Cs
24.rRoaf framing r -r r�'r' -
> •z
K =
5737-Undergrni,r. Storage Tank`O Gas 0 Oil-"
25. Roof S?eathing ;'f 1
7QOverheadHydro�
26'_T -Bair Ceiling (Structural) ScMonocoat
.r= g
75; Dry Chemical
27NFrameand Flashing T_
_
76" Dry Stancrpipe
'-28'.' Lathing -2 Siding x r -<`L
`<>:
l�# -
777 FIXED Ei'STEM FINAL'
x'29. Insulation c ;-
.r '
I ' `,
78_r FIRE PREV. FINAL r
`30. Drywall Nailing
c
.�-n «-HEALTH DEPT. REQUIREMENT
,31. Plaster Brown Coat
79"FiNAL 1t SRECT1ON
,f
32. -Electrical Power Meter -Final-
�1� _,
q80, -.FOOD CERTIFICATE ISSUED •?
s33`Fin�l Electric •,
_
I 1 �u
'�`.� ,,
nNoies:
71_459 ,�
-
;j34r Final Heating & Aii Conditioning, �;
`35
•I�'
_ Y ti
� Final Gas Pipe -Test`
'36Hood 6y -,Canopy
v-
-
-3T::Final Factory Fireplace
-
"38 Final Plumbing
039. Water Service -Final' --
i
I fr ��
rl ,
:.,40. Gas Service -Final
�-
41. Solar Domestic.Final
I• -
"L= -
• .
I
I
r
J
"-42'}BmvackflPrevente%,
43. Backflow Irrigation
;,44. Landscape Irrigation System, zi�
45, Sound AtteBuation
,s
X. -
46., Handicap Rregulations
47. -.FINAL STRUCTURE & BUILDING
48: FINAL PLANNING
'
r
_ 49.-El4ctric Release to Edison
j •. 1'� �!
t'" . -
_c50._Gas Release to Southern California Gas Co
_
51. CERTIFICATE OFOCCUPANCY
-
;<
c:
No. Date
Costa Mesa Building Department ,;S�APPLICATION FOR PERMIT
P. O. Box 317, 2�� BUILD NG
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
.I
Receipt No.
Permit No�
7
Building
Address
Costa Mesa, California
ece' y
ate Redd.
/-3oS�
ate Iss ed
Nearest , -/
Cross St. }y _
Building
Address'
Owne
Costa Mesa, California
Mail
Address J�3
Nearest
Cross St.
Tel.
City No.
Zone
I No. of I Type
Plans
Grou
�.
A rohitect or Lic.
Engineer No.
Appro d'
b
-
Date k14119
ress
S
City Lic.
ontractor o.
Address G
- CITY OF COSTA MESA
Legal Lot ��1t g
Description I No. I Block I �rt /
PLANNING DEPT.
SUBJECT T BLU
.
(Attach Metes and Bounds)
Cr No. of Bldgs.
Size of Lot S0. 7J Now on Lot '
,
BY DAT
use of No.cf 1
Existing Bldg. I Families 1 I
No.of
Rooms
O
A
2
D
Setback Line frol. l Rear Yard_2 /
Center of Street 39 + Side Yard .S- li.
DESCRIPTION OF WORK t.
New I I Alteration I
I Addition I
Repair I I Moving ,
I I
Demolish I
Buildin / No. of /
e 11 Rooms Stories
erior Wall
overing
Roof
Covering
APPROVALS
Use of New _y{—
Building A
Foundation Location
Forms, Materials,
Under -Pinning
Inspector:
-Date
Frame: Fire Stops,
Bracing, Bolts
n
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply
with all City Ordinances and State Laws regulating
building construction.
Signature of
Permittee��
Authorized Agt
Lath. Int.
Lath. Ext
o
nI�
Plaster, Int
a
;n
Plaster, Ext
?R
Valuation
'
$x
Permit Fee $
Masonry Reinforced
x
_
gond Beam
Total
Fee $ 3� �—
FINAL
--
FOR. 206 10-05 D. P. 8 S.
C
PLOT PLAN
Show location and distances from
property line and between buildings.
I
c
m
J
C,
J
d
,
C
a
a
�\ I
Street
C
PLOT PLAN
Show location and distances from
property line and between buildings.
I
,
OWNER BENISCH. ANNA M. �... DATE 9-11_56'
JOB ADDRESS 1593 Redlands Place BUILDING PERMIT NO. #3570
GENERAL CONTRACTOR Armadee, Inc. VALUE 111 7,320,00 _
AP111-221-17
LOT 17 BLOCK TRACT 1267 Res w/att. ear.
GROUP I & i TYPE 0 ZONE RL FIRE DISTRICT .3598=
INSPECTIONS
DATE
SUBCONTRACTOR
PERMITSISSUED /
DATE
NUMBER'
Footing Trench
Foundation Forms and Grade to Garage •ili
9 -1G -
5 L
Rough Framing
Plumbing, Rough to Slab G c 5.
/
/�u%�.'a
. ,.w I 0
.i 81Is- -
�rnn
Piumbing,RoughComplete
Temporary Pole
_
yr
Wiring, Rough
Heating, Rough rh f- 5
7
_
'e .�
Heating, Final Me.5
_g-71
qq 7T,i��1
Sewer, House /,9/J!{i Sewer, St.
////
(���, f/X
/�-e2q�S`ti
X02(/ •�
Septic Tank or Cesspool
_
Lathing, InOut
Plastering /
�
r
Plumbing, Final, Fixtures Complete V7%eS
7-,57
Plumbing, Final Gas Test �,�
% X59
GCLLCiG(
Wiring, Pinar r
15 1957y�q
1
_
Occuoanev VN _../�,
3 -7—.1"7
_
1 ,
FORM 210 3M 1055 - 3570
15 9 3
i
l
N�i1;{:
AIL
Its
.f - rt ILL' � 1' �t Y a l � f .I r ..r' ✓ �:"J
i
elY l 1 o� - y� _
_
!f-
:
Ljp
CITYA
` PLANNING PT.
OF COST MESA
DE v >�, ,o, 4,�,..• /t ! , ' JOR,INSPEC S:"
IUB/ECT TO lIDG.,DEPi. REO.
OY_•-W i
DATE�i 9z
bIR`Oor@. / GAIL
RTOR OP MANNING
/� p .• l� / 754=5626