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HomeMy WebLinkAbout2726 DRAKE AVE - Building PermitsCITY OF COSTA MESA � B!/ILDING DIVISION i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.ca.us °.�� . � FOR INSPECTIONS CALL: (714) 754•5626 � PERMIT NUMBER P07-00396 PERMIT TYPE JOB ADDRESS: Vicinity: PLUM 2726 D SCOPE OF WORK: REPIPE��S:F. �i'� f � � '.... . r'�f OWNER: BRODRICK,yFLORENC PHONE: t APPLICANT: ANTHONY-;��PAT �- - PHONE: 714-758-7725 �� CONTRACTOR: PACIFIC GOAST�. Address: � 1556SANAHEIM���.E City/State: ANAHEIM CA �_ "� :1�, .t d..' PLUMBING PERMIT FEE_SU PLAN CHECK FEE: PERMIT FEE: $33.30 ��i, TOTAL FEES: $33.30 � �,,., .--�_i, � .:, r t;.:^�; ;s PLUMBING. STATUS: ISSUED: 3UED BY: i�; � 1 .- nddress:, ,, ;2726 . �.^•City/StatelLp�:'e. ;CO; Address: "' 155f City/State/zZip: ANF 'ER�REP,IPE�COMPANY -. - � Cicense No -A��'66 STE�Fe °� ` �_r F ..,_ �. �_'_PHONE:=.'��!714 2ipCode 92805 �:. " CELI.: .�. r. �� v: h � i: .._.. �. ? '-' .'1 + L aRY., � ._ , j 4�. h.� t:.. . +'r ISSUED 06/06/2007 SOK r r t _ .�5 `'Ir: f [.i ` �428 ���=� �.� �758-7725 x •- ,, „- ., ": �f . � rj+A` �,.r. $0 00� ? � n':_�� 1 ; �� � � ; , ,.; � ,� , r �� :_ti � �f_ ` Y } _ � I 1 41 �:�� f __'. 1 n �1 s-� F ..�:,`i' �� l�- � r �, r ,_�, r r r; , � � �;- `' �,.. �-==` v� _ ` �'.; r _f _ ,, , , . r:- . :_ � , _ , NOTICE: The work authorized �by this permit shall comply with all applicable handicap access requirements under California statules and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.' INSPECTIONS:� In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. COOE i. INSPECiIOXTYPE 161fi Fixed System Final Fire Prevention 1266 Pool Spa Final � 200 Final Re-Roof � � 207 -Fina1 Black/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition on� ixnna�s oet IN$YEC110NiYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecincal 272 Final Fire Prevention ' � 220 Final Planning Approval 222 Final Site ' 250 Final BuildingiOccupancy DATE INTITIAL WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalty of peryury one of the t�._ ..�ng declarations: ❑ I have antl vrill mainlain a certificate of wnsent to selElnsure (or workers' compensation, as provided for by section 3700 0( Ne Labor Cotle, for [he e rmance of the work for which this pertnit is issuetl. � I have antl v.ill maintain v,nrkers' compensation insurance, as required by � fan 9700 of ihe Labor Code, fw the pertormance of the work for which this permit is issued. My vrorkers' wmpensation Insurance cartier antl policy number are: �/�, �/J Cartier:.. � ��Y� �/7 C%l' ` /Thisseamn noteemnpeteodmep�cvnirtisreWetlarmehurWredeonars(Sf00)aless) Policy Number._ - � ��7 '7 ❑ I certi(y [hat in the peKormance o( the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lawsy � ifomia, and agree that if I should become subject to th orkers' �mpens f1�e provisions of Section 3700 ot the Labor Code, I s II f rth rit omply ' t se provisions. _ . _ !y �O`1i.�0� �_ pptiwnfs SignaWre � L Date_ _ - .� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby af6rm that I am licensed under pmvisions of Chapter 9(commencing with Seclion 7000) of Division 3 of ihe Business and Professions Code, and my license is in full force antl eHect. /� -Lic_# J Gl`�el f7' class #-�% C� -� 6 /-(�� J nor s Dale._ —� �-. _ _ . CONSTRUCTION LENDING AGENCY: � I hereby aHtrm lhat lhere is a consWction lending agency for the peAortnance o( ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler's Address: SignaWre OW NER-BUILDER DECLARATIONS: I hereby aKrtn that unGer penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Pmfessions Code: Any ciry or counry which requires a permit lo consiruct, alter, impmve, tlemolish, or repair any structure, pnor lo its issuance, also requires the applicant for such pertnit to file a signed statement that he or she is licensed pursuaN to the pmvisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business anA Professions Code) or that he or she is exempt therefrom and ihe basis for the alleged ezemption. Any violalion of Sec[ion 7031.5 by any applicant for a pertnit subjects the applicant to a civil penalty of not more than Ove hundred dollars ($500).): ❑ I, as ovmer of the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and lhe structure is not intended or offerea for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such vrork himselt or herself or through his or her own employees, provided that such improvements are not intended or oftered for sale. If, however, the buildinq or improvement is sold within one year of completion, the ovmeo-builtler will have the burden of proving that he�or she ditl not build or improve for purpose of sale.). � ❑ I, as ovmer of the propeAy, am EXCLUSIVEIY CONTRACTING WI7H LICENSED CONTRAC70RS lo consWct the project (Sec. 7044, Business and Pmfessbns Code: The cont2ctors License Law dces not apply to an ovmer ot propeny wno buiids or improves thereon, and who cont2cts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for [his reason: Signalure Dale 305]-a6�J�0]) Owner ID ven(ed by drive ise. ❑ Yes ❑ No Oriver s License No. Expires: Verification of Ownership by (rype of document, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � � ❑ I hereby certify tha[ no excavation frve (5) or mwe feet in tlepth into which a person is required to descend, will be made in connectbn with woAc authorized by this permit, and that no building siructure, scaHdding, false�wrk, or demolition or dismanUing thereof, will be more than thirty-sa (36) feet higR (Chap. 32, Grp 2, M 2, Sec. 347, Tlle 8, Califomia Administ2tive Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a pertnit [o do such work (rom [he tlivision. AOPlicanfs Signalure Division of Industrial Safety Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl to Ne and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some ezceptions, that a Business Plan be filetl with the Costa Mesa Fire DepaAment by every business which has at any one time during a reDortetl year a quantity ot hazardous marenals equal to or greater than a weigM of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaWre antl pressure). 2. Does or vnll the applicant or present or fuNre builtling occupant need to file a regis[ration torm for acutely hazardous materials? ❑ Ves ❑ No (Section 25533 of the Califomia Health and Safety Code, with some ezceptions, requires registration vn[h the Cosla Mesa Fire Department by each business which al any one lime has on hantl a quanlity of acu[ely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard tempera[ure antl pressure). 3. Does or will the applicant or present or future building occupant neetl to prepare an RMPP (Risk Management and Prevenlion Program for acu[ely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Cali(omia Health and Safery Code pmvides that the Costa Mesa Fire Department may require the preparatioq certifcation antl filing with the Fire Department of an RMPP by businesses whith are required to register acutely hazardous materials with the Fire Depatlment. 4. If an RMPP is presently required, has Section 25534 of the Cali(omia Heal[h and Safety Code been fully complietl vnth? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for ihe work which is the subjec[ of this application a permit for suc� conSWction or modification from Ihe Soulh Coast Air Quality Management District or from any other air polNtion control tlistnc[ or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that the requested infortna[ion be fumishetl on applications fa nomresidential building pertnits). 6. Will any part of the facility [o be constructed under t�is pertnil be wilhin 1000 feet from the outer boundanes of a school? ❑ Yes ❑ No (If yes", the faciliry must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7. If a permit from the South Coast Air Quality Management Disirict or other air pollulion control tlisMct or agency is required for the vrork which is Ihe subject of this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. pf'yes", attach certificate of compliance from ihe appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state lavrs and city ordinances regarding Hazartlous Materials and Emissions. � Signalure Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this appliwtion and state that the intormation given is correcl I agree to comply wiih all state laws and city ordinances relating to building conslruction, and authonze representatives of the Ciry of Cosla Mesa to enter upon the above-0escribetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final i ction. Signalur 1 L i eqs) Oate G G' D 7 A/o o zeOApPli�ant J �_Date.._.., �-- — 4 � � PflOJECTADORESS: 2�]z( DRAICH P,V owHee�sxaMe: BRODERICK nooxess: SAME AS AHOVE uxir: 714-/537-1229 � IRCNIENGINEEfl: � RE6.X0.: �OORESS: , , , . UNR: ' PEpMiTTEE: ZEMKE ROOFING ( 714 ) 537-1229 � �ooeess: g852 ANTHONY � + GARDEN'GROVE CA 92641 110ENSEO CON7MCTOB OECUMTIOX: I AereEy allirm tAat I am IicenseU unAer pmdsians of CAapter 9(commencing with Section 7000) af �ivision 3 of the Business antl Pmlessions Cade, an0 my license is in full force an0 aflecL � cirvuc.:051529 srnr�uc.:436436 cuss:C—�9 � Date: ��� g �7R � SiAnature: �'��•�F�/ � �i WOBKEBS' COMPENSATION OECIAM7ION: I here0y aRirm that l havi cetlificate at consent ro sell-insure ar a cetlifiwte oi Workers' �mpensatian Insurance, ar a certilietl capY ��eaof (Section 3800, La6. C�. .icr no.: exr. oare: COMPINY: � � I❑ Cehife0 coOY �s hereby fumiShaE. � � Certilie0 caDY is filetl with [he ciry Buil0in0 Division. Date: ApDlicant: , E%EMPTION FBOM V/OBIIEBS' COMPENSATIOX DECUIUTION: Rhis sec0on need not Ge completeE i� �he permtt is �or one hunE2A (5100� or less�. I ceniy that in the pedormance at the work for whic� [his permit is issue0, I shall not employ any person in any manner so as ta Uecome suhlect to the WOMers' Compenution Caws of Calilomia. Date: � 3 ��q� Sipnamre: ' �--- 'Z�� � � NOTICE: B, aher maldng Nis Oeclaration, you s�oultl be� I�e Warkers' Compensatlon pmNsions of tha La�or Code, you must tortAwith camply with such Dmvisians or ihis Oermit s�all Oe tleeme0 revoked. CONSTBUCTION IENUINO �GENCY: I Aere6y aflirm that ther¢ is a consimction lentling aAency for Ihe Oenarmance oi Ihe woB far w�ich I�is Oermii is i55ue0 (Section 3097, Civ. C�. LENOEH: nooxess: - � • OWNEB BUILOEP OECUMTION: � I heieDy attirm that I am exempt irom the Coniractors' State License Law for the followin0 �eason (Section 7031.5 Business an0 Pmtessional CoUe: My ciry ol counry wAich reQuires a permfl ro construct, atter, improve, demolish. or repair any stmcWre, Orror to its issuance, al4o rtQuires t�e applicant for such permd ta lile a signeA statement tAat �e/she is licenutl t � �h � �h C t t' SI � C L Ch I 9 'Ih S I' 7000 i D" ' 3 f ih B' ' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B �04929,1 PERMIT NO:�B 099291 �PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE; . '� �.PERMIT TYPE; STR ' PURPOSE: ALT . , , JOB DESCRIPTION : REROOF/COMP O/EXISTING WOOD SHINGLE ' SQ FT: ' 2;350 � " CLAIM VALUE; 2,350.00 CALC—VALUE: � 2,350,00 GROUP OCC: R-3 / COMMENTS: SMORE DETECTOR AEQUIRED � . �� *����*��*�,**x��r ��r�**�+r.*�x **��r�r�*+��r�r*���� ��*x�***�*x�*�* ��r*�**�+r�r*��r�*�r*��r�****� �*'� . Z O N I N GS ERTEB�AUCIKRSE,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: 14131203 ZNE: REF NO:� � PLANNING NdTES> � . . ' > ' . . . ... . . .. . . y, . k k IE ik if iE iF �F iF ik �1! �k iF if if i! M k k iE ft ik it iE it iF i! 1k k k ik ik iF jf 1k aE iE iF i! iE if iE if if it ik�i! 3E if iF jf iE �f iE iF i! fE if 1E ik iF iE �F iE it fElE iF iE i4 iP it 1F ik iE 3f iF 1k 1E D E V E L O P M E N T �S E R V I.0 E S R E Q U I�R E M E N T S • if ZONING APPROVED HY • ' DATE: HUILDING APPROVED HY : DATE: ,f,� APPLICATION ISSUED HY; DATE: �%�r O' .J' �� ifkifiEif�fikit�kiF3F�tikiFMjklEikiEik3fiE it�FifiElFikiPiE*�F , iF iE iE iF ik ik if Ik ik iE iE jt iE±E iF iP iE iE if iE 1E if if iE ik 1F �! iE iE iE iE i! 3k iE iE if dFlf iF iF iE iF iF iE IE iE �k ik ik 3F * 3k �E ik �k 1E iE iE 1E iF iE 9f ik iE if iE 1F ik iE iP'�k 1E af �1F iF it iE i! iE 1E LEGALIZATION:N F E.E S U M M A�R Y STRUCTURAli SEGMENT:Y BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE� SMIP/RES GRADING PERMIT 54.00 � ,50 pursuan o e pmvisions o e an rac ors a e mense aw � aD er (commencinq wi ec ion � o rvison a e usiness pLAN '� ' ' �, SM I P/ NON —RES � antl Prafessions CaOe) or t�at he/s�e is exempt tAereirom anE the bazis for ihe alleqe0 exemption. Any violation al Sectian 7031.5 hy _ � , , � any applicant Por a permit su6jects Ne ap0��canl ro a civil penalry of not mora Ihan tNe hundr¢E Uollars (5500). I SSUE FEE - � '�, I, as owner of ine orooen5' or my employees wim wapas ss meir sole compensation, wlll ao ine work, antl iha BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL , PAID ' , DUE simcture is nol inten0e0 ar otteaA for sale (section 704n. Business ane Pmtessional Catle: The Contracrors' State Licenu Law TOTAL S �---> S 4. S 0 0, � 0 � �, � 0� S 4. S 0 S 4. S,� � , � � s�p tloes not ap01y to an awner oi a Dmpetly wtro 6uAE5 or impmves tAereon, anE w�o Ooes such work himulf/Aersell or throup� ' • � . hisorAerownemployeas,proviAed�ha�5uchimpmvemenisareno�inlenAeEoroflereAbr5aI0.It,haw8verl�eEuilAingar REVENUE DIVISZON TOTALS-->� '- COLLECTED• 54,50 OVER/SHORT•, �� improvement i5 wIG wi�hin one year of completion, Ihe owner wiil have the burCen ot Omvinq he/5he EiE not builA or imD�ove , ' �orurevurposeotu�e�. • HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I, as owner oi the O�oVerty, am exclusively contractinp with IicenseA cantractars to canstmct tAe prolect (Section 7014, Business ' S 4, O O � � ' S O ❑ an0 Professians CaUe: The Controctors' SGte License Law Aces not aDOty ro an owner ai D�opeM �o hml�s or imD«s thereon and wlio comracts for such pmjecis wii� a conlraclor(s) license Oursuan[ to [Ae Cantractors' State LicenSe.Law). I am awam ihat Oroof of Iheir Worker's Compensa[ion insurance shoul0 be pravitle0 to me. , � I am exemD� unEei Sec�ion: B. 8 P. C. ' tor ��is reuon: . ' Date: Owner. I tlo Aereby certiry t�a[ I am awara oi anE unGerstanG t�e apuirements ol Calitomia Healt� anA Safery Cade Sections 25505, 25533, anU 25534 anA that I or any /uWre builUing occupant will/will not (circle one) neetl to comDly with saitl state cotles antl the requirements for a permit for wnsiruc[ion or mo0ifiwtion irom ihe Nr Oualiry Manaqemmt Distnce BesiAential conswctian apDlications are exemD� �mm thesO,Dmvisions. , I. �ate: ApDlicant: j I hereby certiry ihat I �ave reatl ihis a001ication and state ihat.the a0ove information is correct I a0ree to comply wft� all ciry an0 counry � IorAinances and state laws relatinp to huildinp constmctlon anE hereby authonze represen[atives oi this ciry to enter upon the ahme-mentione0 proDertY �ar inspenion Duryoses. ^ 1 Date: �' � ��\� Si9nature: � v� � onver's �icense or-5ocia� Secunry x: 1801�d6 W�i�e--BuilClig; Groan—Cotle Eniorcament; Canary—Applicant; Pink—Revenue: GOltlenroE—Pssessor � . � ' if if 3f �f iF iF i! i! if ik iF 1F 1t ik 1F ik iF i! ik 3k ik i! iE if k iF 1F iF it jt fk if 3k 3! i! ik M k iE i! ik iF iF if �f dE iF ik iE 3k k ik ik if it iF iF �t �t i! f! iF iE±k if iE iF 1k 3t iE iE iE �E f! iF iE i! iE 1k I N D I V I D O 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 2350 REROOF BY VALUE RESIDENIAL NOZONE 1.00 � 2,350.00 , • END OF FEES . ,. e ui eoc�±oss-oao�iaaa Tc+�- C�ATf: 3Q/�33J90 T.TPiE: L'�»f� � 0 0 s4..n � . t CONSTRUCTION AND PLANNIN� � ' , � �` !=>L & SPA � � Date Inspector ' Date Inspector APPROVALS Permii #' _ APPROVALS�' Permit # 1. Temporary Electrical Service or Pole .- ' 52. Pool & Equipment Location� � -2:USoil Pipe-Undrgrnd^,- "� � ' 53. Steet Rei�forcement _;�3�Electrical Conduil�l�ltility-Undrgrnd. ' ' - 54. Forms � ' ^-,r��4.-Electrical Condui[lUndrgmd. _ 55. Electrical Bonding ��5. Steel Reinforceme�(t? � 56. Rough Plumbing & Pressure Test � ,'T�. 6.z'Electiical UFER�G nd. ,=� 57. APPROVALTO COVER�GUNITE �� ,; 7=.Footings :'�%- -} � 58. Hearicaf ConduirUndrgrnd. =� 1 "� 8. Foundation 59. Gas Pipe, O Uniirgrnd.,.Test 9. Water Pipe•Undrgrnd. , � � 60. Backwash Lines; P,�Trap, O�Undrgrnd. 10. Structural Floor System '" � - 61..-APPROVAL T0, DECK � i 11. Property Sewer Line:& Hduse Connection 62. Backwash & Receptor�Final r• � t2. Sewer Cap �- -� •� � . 63. Heater & Veni-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 t7. Rough Wiring Sign ' 68.'APPROVED FOR PLASTERING � 18. Rough EleCtrica!-T Bar Ceiling 69. POOUSPA`SYSTEMS FINAL � 19.rRough Heacing &.Air Conditiol,Li¢g 7,r � �, w �.* � r,rFIRE_DEPT. REQUIREMENT N ,`, � � � . . . ,. � . .,. _ .. .,. -' ^.1i D'J C' # � 6' 20.:Rough Facto,ry Fj�eplace i S? c;� > S r-� ^.r. ?: �APPRQVA�CS;F-r-Permit # � "' �' C� 'z� C H �f Y t `-� e" M b /" ` �" X i •• H s i� $ C H � Y �-i ^ �' •J `� .T. 21.`Duct's, in�STructur�e.,. . c..� g .:� .� r�;: �: ti70. Undergi0uc�dHY�ro ;�; 22�Ducis, Ventilating; x ��G �x G �: O[�.X �¢71. Product'Piping ��Gas �Oil .-, 23 Gas;Pipe�jiough $ T,est ' " � _r � °* i [*�;T• O,O M r,�-�� �* : r,��2• Undergroirnd.Fl sh�y � �-��„ ,`t'� 24: �Roo`f Framing i � � `�" �, � " � .� ;--;a x '..73."Undergrnd. Storag�Sank �O Gas ❑ Oil r� n r 25. Roof Sheathing `--�x � v 'y "- `-, � �X a `l7q 'O.�,verhead Hydro��^ x 26._-� � -, r, > � .:. .. ��, fi ,. �.- . � i n v ,T-Bar Ceiling (StrWciural) &'Morwcoat * �: ,r C* � 75�Dry Chemical F� x� r-t 27nFrame a'n'd Flashing== =� �� x � >' �M � 76. Dry Standpi�'e �"� �� � c' r., •-. .. H rr r r r �, x x �a: e-� K C ;�. p t. ~ r^ '� r. T. %_ ' i �"-. +. � L ••x ]; r-, t. U �� � i: ._ "28. Lathing:& SidJ^9G� �:� �i-� J #� � j � x. 77.yFIXED $YS7ENUF:INALa: H Ci 29. Insulation ' ' y -' ' � � � * 78�FIRE PREV. FI AL "' ^ �' / �. � o w M< �: S I � �� �s � x � � � * --' ,: i � .•; ti � � .�; �: - `�30. DrywaIlLNailing �•r F- i k F- j � � _HEALTF{pEPT:;REQUIREMENT L� _. �37. Plaster BPnW�Coat* � � �" ' ! � * `79. FINAL INS�CTIdN � ^ = r .)' 1 x: i I � a: _..J 'k i ('! _ ��'. r� �: �; � a: ,- 7, �; ;32=ElectricAl.Power Meter-Final �� y; � � �y x 80.�fO0D CERTIFIC/lTE ISSUED:-� � r33 `Finat Eleetri` y ,.,C'7 � H� 'C, � _ � i a: * � �No{es: " ;'^ < - O n7[-: I i ��: � ,� ii r: � s � :, r"�. �-s n t_ x:K :4 .�_"-. i:.... x _.��. a34 �Find� Heating:& Air�Condrtioning R, .K � { � y: k p; �-; ; ; r� x ,:, ..� 35.['Final Gas:P�PrTestK �_� •• y �� i � f4 * D �o G^ +.c � :�M * !n �^ !- � � ^ I L'n"y ti k:l 1 � 'r. $ S C%O i: ^�� J36.5Hood oryCdnoPY ��;n .i x � I'�',.�c * ;:� �o x r, ^37. �Final�Fa�ory FirePkacex � ;�' �-' ''� � � `'�� � " ` N � t.- i •.� x Cil ( I � d: x c: G; :n a� S : J i �.! Y � "38. FinaCPlumbing r�a i O !: I � �: r, r� � ��� ��� . �y39. Watei Se%vice,Finalx ;z; i � �� �K * � 4� �� S :n �: � � ti::k F-.-� :g �- ;� �`d0. Gas SerJite�Final K`r '``°`r s * t^ � � M U` "':`' '� '� !1:-� c^ r1 K � � �* ',- • o i x t.� -61. Solar pomesiicFinal " =r. � `�� y x ;- �-;c v� � ;. � . ( � !: � �-. n i C' 42. Backflow Preventer' � �; '� ^ � , .` * `� �' � • fi o r� �.� ,. ti� rJtiP, . 'x. x l�: ::±p,� x ...�_� . - _ - 43. Backflow I�rigation�. ;+ *.� +� �:ti i� r• v :' • i• i ."1 0 �'44. Landsca'pe IriigatioQ SYstem:'`''•� �'`' "� `� ^ -''' `- `'; " ^Li" �� �' �' i� �C... !T; + 4^ �G qW �✓ � t V Oc, r 5 F. z45.;Sound Attenuation� ;� :. � .i� � tn !T; -^� ;: F � c� �-� • •'.' � `c w^� r r, � i / ti:+J �N a: � _ �, „ -y '� � i :k .� u: O C.` :� X' �46..Handicap'pegulations _ � - _ c- •• Y': G, i� \: -47.'FINAL STRUCTURE & BUI'CDING �-�-�� ,. ,: � �� � � r. i. r .i �� n� c' x O 46.tFINAL PL"ANNING; �'� � "� � � � � w ;. ;� ;� � " � '. `49. �Eleclric �Re�ease to Edison . ¢ '' �X ;. p; �:^ - � - . � ../.�� . < �r � n �50. `Gas Release to Soutliem Califorriia;Gas Co x •/ ;r a: � c t• � �7 �� J ^• i � : ti t . _�J ! a' .� Q '51. CERTIFICATE OF OCCUPANCY� - ' ` --� � � - No. Date Property Address Owner � Contractor _ ; �k , CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION Zi �b � Permit No. S��a7 State Contractor License Number ���y7b Classification L39 I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). ❑ I further certify that I am: �Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: � �a l 3 /� � �tial Date 0990�a6 W�ito-Building Div; Canary-Conira�yw; Pink-0wner Ze..�,kc P.ea�'^� Company o Corporate Name 84,sx p�l�, 6...J., �"•e 41c`i/ na �ess ��-,. �L9,..4 0 �f .� I Y 9 a � nature Date Ja�� ��� Printed or rypetl name i , moeessacewiwm: 2726 DRAKE AV wir+exswweiv�aww: BRODRICK FLORENCE K . woxEss: 2726 DRAfCE AVE COSTA MESA,CA 92626 557-2426 aw�. iwuxc �ooxEu u�cxrtecTon�x�n: uc. ta.: uxr: 2� � urcx ox uxi.•s �oo�ss: urn: CONfXALT01Y5NAME: NOCK PLUMHING (719)895-1246 cam�croas�uuxo 11610 SEABOARD CIR uoo�ss: STANTON CA �,�,; 707775 90680 �,R, LICENSE� COHrNRCTORS DECLAflATION: I heraby ell'vm ueWer peneXy ol pa�jury thtl I em licerieed uMer povieiom o/ Chepter e (eommendeq vnlh Seelbn 1000) d Drviaun 3 0l Ihe Buainaea end Pmfeaeiona Coda, vd my lioensa ie in lull Iwca eM eXed. cmuc.No.:050386 uc.cuss: C-36 uc.No: 07775 EXP: 02/97 o�.: c�ireaa: � OWNEN BIIILDER CLARATION: I Mmby elfirm under pe�uly d perlury �he� I em ezemq Imm �he Commaon Licensa Lew Iw tha IdbwnO ��� (`�� »1.5 Busines ad Proleasbna COAe: AnY c1Y a�nry xfiitl� rpuirea e pe�mn io ooreWct. eller. impraro. •md'o�, a repai eny sVunuro, pior �o ils'ewarim, abo reQui�ee IM epplksnt lor wch pamil to fib a epiwE afetement Met M a eM IicanaeC Wn�e�t b ihe prwivona d Ne Coniretlas Licenae lew �Chepter 9(canmend�q wilh Sedion ]000) d Div6ion 3 d ihe �ririe» eM Prdmeiona Code� ar Oat ha a ehe is axemq Iherehom vM �he bsvis fa iM eAeped ezempion. My violelon d Saeion iO3t.5 by eny epDlirant for a permil wbjeae the epplicenl lo e dvil peneXy oi nd mwa ihen frva hundred dallen �S5W��. � I.�ovmardthepopMY«myemply�aeex'vhwepeaeeiMiadammpense�ion.xilldotMxwk.eMlhasvudunum�imendeA «aReraC I« eab (Seclion ]oM.6usron e�M PMesvme CaEe: The Canirmwa Liceme lawEms nol eODNto en ownera p'opeity who Wide m inpemea tMrean. eM v.ho doan audi xak limroll a heneY a Ihraph he a har own employaea. pwidad ihm eueA impwememe ara mt imeMed a dlerad fa eele. M, hawmar, tM buiNirp a'vnpwemeM ie sotl xilhin are yav d mmpk�nn, tlro owner-0uiNer Mill have Iha buNen N provin0 he or ehe Cid nd builE or improve lar IM W�e ol eele). � I. av owrer d iM propeny. em extluervey mnirmnB �h licenaed convacton �o conprw tlre peqea (Saeion ]011. Bue'uwae erd Profesaione code: The Conlretlon licmm lew dam na eDPN �o en owner a O�W�Y wlw WJJ. « imG�'m ihaean arW vrtw camrens 1« wM prqeea wnh e mmreaa(a) Icereee p��auem �o �ha Comreqon Licenea Lewl. � I em axmmq uMer Seclion: 8. d PC., la ihc reswn: Deta: �b� I do Mieby aality Nel I em ewve d erd wEenteM iM 1epuiremenb d Celianie Haetlh eM Se/ely COEe Setlian P5505.2553J, aM 255J0. arM Nm I a e'ry hnuro Wikinp oaupen� vrill / wil rw� (acb wn) � lo comply wih eeid wa mdee ud ihe �aquinmeMa br epertnXlormnaVuclionamadiR�ianhantMA'v e�i-6TI.%nepemeMDiatnd.Feskmlielconslrudioneppimliamerenaemqiram�hese plOV1910119. Dele: ApW�- WOXKEN'S COMPENS�TION DEttAflATION: I Mreby elfirm uMer penelly d pa�jury an d iM Idbxi�p Exieretiom: � I heve eM xil meintan e wnilicele d mneent io aell�inaure br warkere' campeme�bn, n prrnked for by Satlion 3100 of iM labar Cade, in iM partameewe M Iha xak lor wlieh this peimX u i»ueE. �] � neve ene wi� meio�e:� wohen� canv�� ��,�. n ba��ree M senim s�ao a u,. �en« cod.. a. me o«�«mei,u a ms .�e«.n�m�,�na�,.�,ae.ey.�•G(�LDEN EAG E 'd���m�v E}CPIRES c�e.: Policy Number. 0 9/ 01 / 9 7 m;: secr� �a.d �w ea m,�dar.d r me v�x o ro� ore nu�eree ddbm (siool a bss.� ❑ i�n+r �nm m o,. a«iamerce a ine wak ro. w,�n mv �n n owea i na .mvM .m v� ��r m.�..o o io bxome wbl� 1 tM v.vrkera' can0��ion lewe a Calilanu. en re hel / hauk Ecoma wM� to Ihe worFen• campenxtion 0�' � one ol $ on 310U at the lebor Code, 1 ahall lo wil mp�y wlh�ih ae provevu. ode: � nod�c W�m/ip: F�Nun ro ucvn woilnn' compmutlon cov�rap� h unYwNl. �ntl shell �ub/�ct an xrplqw to cr/MNl pmtltlu �M e1Nl Tros up b om �untlrW fhowantl tldNn (SfOq0001, M xM/tlon M fh� cwf of romperu+fbM1 danup� u prov/GM br In 9xtlon 3106 0l Ms LMorCOM, InMut, IM Immsy'� /wx CONSTHUCTION LEN�INO AOENCY: I MreEy e1Fim uMer peneliy d perN�Y �� ��� �a e conatrudion bMinp epmcy for iM p.d�eMe a me wo� r« wn�w me v�++ � a•�a (seaion aw�. ci.. cl. LENDEH'S NAME: LENDER'S AODpESS: 1 cenM �� I hew reed this epplicetian eM maie thet tM ebore iniametion ia rortetl. I eprea lo wmply wilh dl ory enA oouMy mdinv�cae uM ate�e kwa reWiq to WiM'vp conffiWim eM hmeEy ei�har¢e repasen�alivea d thia ary to enlx upon IM ebv.a�memioned poDerly �IaireV��on WrWs Qi� � CK ..` .. ......Pn Nem .... _ .. � • . . ✓ Deta: ,_� Sig�uredQmwr/RpenVAppicenVContraqa � (5151<B WP) Whne-Buildiq 8 Seley: Greeo-Fb: Cenery-AppiceM; Rnk-Revanue; Gddenrob-Aaeeaor � CITY OF COSTA MESA — HUILDING PERMIT PERMIT NO: P 081755 PLAN CHECK NO: N CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU PERM NO: P 08175 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : WATER HEATER CHANGE OUT SQ FT: CLAZM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT +�x�x*x�+r��x��r**x**x**x��*x �rxx*x�x�*x�*+r�x�*�r�rx�x�x�� *****xx�***xx�x�**�rxx***x**x*�ux**+r�x*�rx� Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- 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: 14131203 ZNE: REF NO: PLANNING N6TES> % 1Elf iE 1Elf if 1F 1E 1f-fE 1E 1E iE 1E iE 1E iF iF 1E 1f k iF 1E 1E'7F 1E 1F iE 1E 1ElE iElFlF'1F 1E iE 1E 1(' iE iE 1ElE �f' 1E iE 7PlE 1F 1E 1F iE 1i 1F 1f 1f fElElE fFlE 1E 1L'!! 1E iE 1e'lf 1F'le fE iE iF iF iE 1F 1E 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 ZONING APPROVED BY . BUILDING ApPROVED BY : DATE: DATE: APPLICATION ISSUED BY; ��� DATE: Z Z—i— 1E1F1E1E�E�E1E1E1EfE1E1E1ElE7EiF1f1k741f1f1f��jf3f�f3F�'SF�FiF���f���FiF���F�f TF��if3F�FiF�F�F�FlE1EIE1EIE'N'fEiE1EfE 1Eik 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 11.00 25� SMIP/NON—RES PLAN ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 11.00 22.00 0,00 33.00 33,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 33,00 OVER/SHORT; .00 BLDG PMT PLUMBSNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 33,00 if iE iE 1E iE IE fE 1E 1E 1E iE iE 1E fE iE iE IE iE iE iE 1E iE iE 1E 1E iE iE iF iF iF it it iE iE iE iF iF iE iE iF iF iE iE iF if iE 1E if rt iE 3E iE ii iE 1E �! iE iE iE iE iE 1E 41E iE iE iE iE 1E 1E iE iE 1E iE ff iE iF k iE I N D I V I D U A L. F E E H R E A K D O W N PLU QTY D E S C R I P T I O N ONIT CO T TOTAL COST 1 WATER HEATER AND /OR VENT 11 . 00��,,,.-,,� 11 , 00 END OF FEES ;., q � ���T � � ��� F��',��. �99`�. nt�i��� � ��'� � OF��S��� � � � CONSTRUCTION ANO PLANNING - . POOI 'PA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector � 1. Temporary EleGtriwl Service or Pole 52. Pool & Equipment location � ' Z. Soii Pipe�Undrgmd. - { � � 53. Steel Reinforcement - � �.3. Electrical Condult Uti��tY-Undrgrqd. � . 54, Forms� ` � , 4. Electrical Conduit-Undrgrrid. � � 55. Electrical Bonding " " 5. Steel Reinforcement � � . � 56. Rough Plum6ing & Pressure'Test - 6.'ElectricalUPEf?�Gmd. � ' 57. APPROVAITOCOVER-GUNITE • 7. Footings '� - �� ' 58. Electrical ConduitrUndrgrnd. . 8: �Foundation '� • � ' S9. Gas Pipe, C Undrgrnd., Test . - 9. Water Pipe-Und�9rnd. ` �.s �� 60. Backwash Lines; P:Trap, O Undrgmd. , 10. Structural Floor System 61. APPROVAL TQ;DECK 11. Property Sewer line & House:Connection � � 62: Backwash & Receptor;�inal 12.-Sewer Cap ' '� , � �63. Heater & Vent�Final ' � 73. Root Drains � ' 64. Piumbing System -.Final � • 74. Fiough Plumbing ��� 65. Electrical-Pinal � � ' 15. Rough Electric�bConduit �- � ' 66. Solar System-Finai � 16. Rough Electric Wiring '� 67. Fencing�& Access`Approval� � � 17. Rough Wiring SiBn , 68. APPROVED FOR PLASTER�1NG ' 18. Rpugh ElectricaP�T Bar Cei�ing . 69. POOUSPA SYSTEMS FINAL � � 79. Rough Heating & AirConditioning � � FIRE DEPT. fiEQU1REMENT � wG. i� L 20. Rough Factory Fi�eplace - ' 4 _. -� � APP�OVqLS� � Peimit # r - 21.:�Ducts, in Strucfure'. . . = - . z � 70..-Undergrou�d Hydro � � 22. DuLts,Ventilatin9, � c . � - ''' � 77. Product=PipingGGas �OiI 23. ;Gas Pi erRou h &'Test � ' � ��� � - P g � . n � �� � 72. Underyro�nd Flush �- .- � 24. Roof Freming • -- • T �= 73. Undergrnd. Stord�e Tanfc O Gas O Oil 25. Roof Sheathing -. � � ` r � . � � 7,4. Overhead Nydro . . 26. T-Bar Ceiling (Structural) & Monocoat ' _ 75. Dry Chemical •- ' 27.. Frame and Flashing� _ �.... ; Y r 76. Dry Standpipe �_ i'-. ,' � 28.'Lathing&Sidin9` r: • t .`' • • 7.7. FIXEDSYSTEMFINAL - � ` 29. Insulation : - � ' � � �� �. 78..FIRE FREV. FINAL � 30. Drywall�Nailing - � • • �. ��-HEALTNDEPT:REQUIREMENT � 31. Plaster B[own Goat,� . .� � 79�.� FINA�L �NSPECTION r ^ a 32. Electrical Power MetenFinal ,._ , 80: FOOD CERTiFICATE ISSUEO 33. Final Electric � ' � " � � i Notes: _ .�_� _ . - , „ 34.-Fin i Heating& Air,Conditioning., - � � „� - : • - - - � C': �O dV' � / 35. Final Gas Pipe-Test.� _ � - . . •' _ �' _ _ : T _ - - GC�� 36.'Hood oc'CanoPv , . - . � - �- . 37."FinaP Factory Fir�jace _. - � " � " ' ` � � " - ' - - 38. Final Plumbing .: , - � � - _ 39. Water Service-F�rtelr � � • . '� � : >- � 40. Gas Service-Fina� � �; 4,+�; _ ♦-^� r - e - 41. Solar pomestic�Fina1 .: ' •� � � _ _ �,. . . ' 42.=6ackflow Prevenrer, � `- - ' ` .c;'- � - u _ 43. Backflow Irrigatiom _ _ r �' � - - • � � �. - �. : 44. Landscape Irriaation System�. � -� . - . �- � � - - ''" � ' - n s45.'Sound Attenuatiom - - � - '. - �-- �"�- • s ' � ' �n �46.�"HandicaPRegulatio�s _ - ' ' - � '--; �_ . ;�3 ' _ 'r' 47. FINAL STRUCTUR[ & BUILDING �' � ` - ' ' '' ` ;� j � 48.�PINALPLANNING , ^ �' , _ � v" ��;. 49.'Electric Releass to Edison y ^ - : •�/� 80. Gas Release to Southern California Gas Co � : - -� - 51. CERSIFiCATE OP OCCUPANCY . " � ; - No. Date Aov�icant to till in all spaces ezcept tnose witnin neavY �ortler Iines ana si9n all , CITYOF'cOS'raMEsa CONSTRUCTIONPERMIT ' T, Project�Address , � Applicant's Mailin I ddress �� � ^7 Owner's Name j�� �' � Phone� / i Address Arch/Eng. � _ License No. Address Contractor's Nam G / vhone �' �7G�,/� Address Ima i"na1 �'� � l��% P.r� �� �' 4� City License No. �2�7'45� ' LICENSED CONTRACTOR DECLARNTION 1 hereby affirm that I am licensetl untle� provisions of Cbarter 9(commencing witM1 sec[ion ]000) of Division 3 ot the Business antl Professions Cotle, antl my license is in tuU7� gantl effect. �, �\_"� Licens4 C.,Wss �� � ic se N Date / /f`'" : S'9n t r � � ,,,�/� / � WORKERS' COMPENSATION DECLA0.ATION ' �I hereby affirm that 1 have a certiticate of consent to selt-Insure or a certificate ot Workers' Compensation Inmrance, or a certifietl COpy thereof (SeCtion � 900, Lab. C. / �,[� /�, r � �IicY No. ���� "/7"-� ComPanY C��.N --//�/ � ertitietl copy is he�eby turnishetl. g �/ E�MPTION F�ROMIWORKERS' COM��SAT ONI�CL AT_ 10`N Date Applicant (Thissection neetl not be completetl it the permit is for one huntlretl ($100) or less). I certify [hat in [he performance o( the work fo� whlch this permk is issuetl, I shall not employ any person in any manne� so as to become subject to the Workers' Compensa[ion Laws af Calitornia. Date Signature NOTICE: If, after making this tleUara[ion, you shoultl betome subject to Ihe Workers' Compensation provi5ions of the �abor Cotle, y0u must farthwi[h comply with such p�ovisions o� this pe�mit sM1all be tleemed_�evoketl. CONSTRUCTION LENDING AGENCV I hereGy affirm that there is a mnstruction lentling a9ency tor the performance of the work for which this permi[ is issuetl (Section 309�=-'Civ. Q) Lentle�'s Name LentleYs Atltlress - � OWNER BUILDER �ECLARATION I hereby affirm thai I am exemp[ from tlte ConVactor'S License Law for the followin9 reason (Section ]031.5 Buslness antl Professional Cotle: Any city or county which requires a Oermit to construct, alter. improve. tlemolish or repair any sGucture, prior to its issuance, also requires the applicant tor such permit to file a signetl staiement that he/she is licensetl pursuant [o the provisions of the Contractor's License Law (Chapter 9(commencing witn Sectiom]000) of Division�3 of the Business-antl Professions Cotle) or that he/she is exempt therefrom antl the basis for the allegetl exemption. Any violation of Section -'131.5 by any applicant tor a permit subjects the applicant to a clvil �alty of not more than.five huntlretl tlollars ($500). 1, as owner ot the property or my employee5 with wa9es as thei� sole eompensation, will tlo the wo�k, antl the s[ructure is nOt inientled or ofteretl for sale (Section 7044, Busine55 antl Pro(essional Code: The Contractor'S License Law does not appry to an owner of a properry who builtls or improves thereon,-antl who tloes such work himself/herself or ihrough his or her own employees, provltletl tnat such improvements are not intentletl or offeretl Por sale. If, however,.the builtlin9 0� improvement is soltl within one year of com- pletioq the owner will have the burtlen of proving he/she tlid not builtl or im- '�rove for tne purpose of sale). LI I, as owner of the property, am exclusively contracting with Ilcensetl con- tractors to construct the praject (Section ]044, Business antl Protessions Cotle: The Contractor's License Law tloes mt apply to an owner oi property who builtls or improves Ihereon, antl who contracts for such projects with a con- bactor(s) iicense pursuant to the Contractor's �icense Law). I am aware that proof ot their WorkeYs Compensation insurance should be provitletl to me. ❑ I am exempt untlet Section B. & P. C. for this reason Date � Owner I hereby certify that I bave read this application and state that the above information is correct. I agree to compry wrth all city antl county ortlinances antl state laws relating'to builtlmq construction antl hereby authorize repre- sentatives of this city to enter n the above-mentioneA property for inspection pur es ���� Signature � - Date � c' � Drivers' Li[en5e o $ ' ' ; : I , UNIT NO' TYPE OF CONSTRUCTION LJ NEW � U ADD LJ ALTERATION L�YREP ❑ CONVERSION' ❑ ,DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPEOFPERMIT GRADING FOUNDATION ❑ STRUCTURAL � �� TENANT ❑ ELECTRIGAL�LUMBING ❑ MECHANICAL !�. ❑ OTHER � _ PROJECT DESCRIPTION: SQ.Fr. ocCUPaNCv_ CONSTRUCTION TYPE VALUATION $ ZONE GRADINGCU.VDS. ACRES� Remarks�^ � _� Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors � Kitchen Sink ' lavatories P—Trap Roof Drains Reinspectian Fee I $15 Duct- Under Ground Duct - Svuccural Duct - Ventilating Exhaust System ❑ �Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU �100,000 Reinspaction Fee � $15 CMF 0865-66, rev. 10/84 Wnite - Building; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor 0 Showers Service Sink - Sewer Cap SewerConnection $012I COIICCLOlS. Solar Piping ' - Solar Tank Swimming Pool w/Spa Urinal Water Cloret Water Heater Water Service Auto-Wash Laundry Trays Iwue Fee Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-i00000eru ❑ioo,000 System Repair/Alteration Fire Dampers Registers , Issue Fee dCtldldL10115. _ AIR� — A.P. �k -. � - . S Main Building: � — E ,. T Front- B Rear , A — C Rightj:; � ' ' _ g left '�'� . , Ping. Ref. # �r„.� ,• Planning Notes: ,. $ 3 FEES $ 3 Automatic Washer Construction Pole Sub. Cooking Unit 36G3 I/21/88 Accessory Building� Parking Req./Provided , i5,00 TL i � Zon� ELECTRICAL - Transformer ❑ 15-50 KW ❑ 50+KW Fan F.A.U. Fixtures Device Boxes - Outlets Switches ' ' Garbage Dispoul Generator �0-5 KW �5-15 KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel , Mofors �0-1 HP � 1'/: - 8 IncSolar �9-15 HP 016� Microwave � Pole Light � � Range Sign Standin9 Sections Trash Compactor Fee I$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved By Buildin9 Approved By � Aooliution Issued Bv SUMMARV OF FEES . BUILDING PERMIT $, SMIP . PLAN CHECK $ —T^��_ �PERMIT PLUMBING $ J VV ISSUANCE � PLAN CHECK 25% $ ENERGV'P.C. ELECTRICAL � $- GRADING PLAN CHECK 50% $. � .MICROFILM MECHANICAL $ TOTALFEE PLAN'CHECI( 25% $ Z O N I N , G R E Q M T S EES 1 $ 3 CONSTRUCTION AND;PLANNING . . POOL & SPA �. . APPROVALS Perfnit# 'Date Inspector qppROVALS Permit# Date Inspector __ n � t:'�em orar Electrical�Ser.vice or Pole � ' � ' ��� • ' p Y .. 52. Pool & Equipment Location���? 2. Soil Pipe-Undrgrnd. . ' 53. Steel Reinforcement ,� � ' 3. Electrical Conduit Utility-Undrgrnd. ' : 54. Forms � - 4. Electrical Conduit-Undrgmd. � 55. Electrical Bonding x'" c^'.� � 5. Steel Reinforcement ' . 56. Rough Flumbing & Pressur�est 6. Electrical UFER Gmd. 57. APPROVAL TO�COVER-Gt4NITE � � 7. Footings ._� � - 5S. Electrical Conduit-Undrgrnp� '� • 8. Foundation ; � , � � - 59.-GasPipe,-O Undrgmd., Tes� � � 9. Water Pipe-Undrgrnil: i� . 60. Backwash Lines, P-Trap, O 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. - t 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 20. Rough Factory Fireplace ' � � APPROVALS � Permit #• � � - 21�. DuCts, in Structure � 70. Underground Hydro - ' . �'-� 22. Ducts, Ventilating , 71. Product Piping OGas ❑Oil � - � 23�. Gas Pipe-Rough & Test 72. Underground Flush •� � 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil � 25. Roof Sheathing � 74. Overhead Hydro • � �' 26. T-Bar Ceiling (Struciural) & Monocwt . 75. Dry Chemical . , 27. Frame and Flashing � " 76. Dry, Standpipe _ � . _ 28. Lathing & Siding 77. FIXED SYSTEM FINAL . � . . ��. 29: Insulation . ' 78. FIRE PREV. FINAL � 30. Drywall Nailing , ' � HEALTH DEPT. REQUIREMENT . ' r 31. Plaster Brown Coat 79. FINAL INSPECTION �`��=' ' - i: 32. Electrical Power Meter-Final � 80.� FOOD CERTIFICATE ISSUED 33. Final Electric � . Notes:� � �' r(�'� , 34. Final Heating & Air Conditioning - � - � . _, • ' r?. 35. Final Gas Pipe�Test � � 36. Hood or Canopy 37. Final Factory Fireplace �. . � 38., Final Plumbing . �.�f�' -(j� �j� � ' , �� 39. Water Service-Final . 40. Gas.Service-Final - . - , , � �, . 41. Solar pomestic-Final . � . . � '� P '42. Backflow Preventer � ' _' 43. Backflow Irrigation . : ' , , . 44. Landscape Irrigation System - . � , : . � � _ 45. Sound Attenuation , � , . • � , � � . . 46.. Handicap Regulations � , � � 47. FINA�LSTRUCTURE&.BUILDING - � � � � . � � � . 48 �Special Requirements Completed - - � - � - �- 49. Electric Release to Edison . . � . ' _ � ,. 50. Gas Release to Southern Califomia Gas Co _ , � � _' - ' ' 51. CERTIFICATEOFOCCUPANCY � - No. ' Date - ' ' .' � . � , 12�5�. COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 817 COBTA MEBA. CAL�FORNIA For Applieanf fo Fill In Compleiely TYPE OR PRINT COSTA MESA. CALIFORNIA ■ qRCHirecr ion 3800 E. Coast Hip Corona del Mar TEL. sae 70 x 94 NO. OF BLD66. O OF LOT - xOw oN Lor USE OF EXISTING BLDG. 88TBACK LINe PaOM ceNTaw oP sineai 3 REAR YARD 3S 91DE VARD I LEFT S I RIGHi S DESCRIPTIOM OF WORK � BUILDING _ _ _ _ NO. OF FEE RECEIVED �� JUN 1 i' 1960 INANCE DEPT. APPLICA�I ��(j�f�j�Sp Lot � 18 BUILDING Plan_� 3B _ For Office Use Only PEGEIPT NO. P HECEIV6D BY �� OAlE ftECP.�IVED I��D.�TE 18511F� COSTA MESA. CALIFORNIA FIRE ZONE APPROVED YONING ZONE I NO. OF I USE OF NEW PLANS Bu1tolNc �ec�� / TTBCt � 3� oescrsiwrioH A. P. NO. YARDS EVES APPROVED ALLC fG¢NTER 1.IN! BT.) �J FRONT �'J FT. R_ SIDE J� FT. — / . �;_ ...�_ Conatruct Single Family Reaidence with attached garage 1 HER6BY ACKNOWLEDGE TXAT 1 HAVE fiEAD THI9 MPLIGTION qNE I�MOUM 9HOWN UN�ER VALUATION 19 FOR TH¢ ANO 9TATE THAT TH8 11 OVE IS COPRECi AND A E8 TO COM- pUPPOBE OF EBTRBLIBHING A PERM�T FEE ONLY. PLY WITX ALL CIT' O NANCEB ANO BTATE lJ� R80ULATIN6 euiLDlNo coNBTRurn . VALUATION SIGNATURE OF ^. PERMIT FEE $32�00 PERMI �v $�..3 , 960.00 pLAN CHECK $ 16. Q� Project Maneger AUTHORIZED AGENT GB.00 TOTAL FEE f O x