HomeMy WebLinkAbout2135 ELDEN AVE - Building Permits�
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ADDNESS OiBNLqNO: z 1 3 S ELD EN AV
avxeasw�ueiva�a,m: ASHLEY, AOBERT TR
�o�� P 0 BOX 10224
COSTA MESA,CA
�vc�. wuwn.00ncss:
92627
UNT:
�xcxrtEcroxuxa+�+:ALBERT KAMKAR & ASSOC "0N0i C38311
�a+�'g�"� 1510 FRANKLIN ST u"�:
SANTA MONICA CA 90404
�MT�s� ROYAL DECK AND STAIR (310)820-2725
CWIPACfORSYYIIIlO 12021 WILSHIRE BL
woxess L.A. CA ucno.: 579874
90025 uwr: 822
LICENSED COHfRAROFS OECL�P�1roN: 1 Mrtby � uMw pem�y d peijisy tM I am licanaad uMar prw"vbm d CAepx 9
�o�e�o .nn sx� �aoo) a aw� a d m. e��w �e a�a�.�. cm.. �e mr uo�.. o m me ro� �a .nea.
cmuc.No.: uc.cuss: C-15 uc.No.: 579874 EXP;
DNe: �i— � � �i ' �C� _ COMeca: ,. ��� ,�
OWNEX BUILDEN OECLAR�TION: I hxeby elfiim uMer pmWy d perjury �hal I am eaemp Imm Iha Canreq«e Licxue Lew la Ne
IOAow49 reeaon (Sadion ]W 1.5 Buvibne eM Adwabm Code: Am ciY a mwY whidi nV��+ e G�u to mn4ucl. edar.'vnpwe.
�dsmdah, u npei eiry ohv.iun, pnor to ia eaeroe. eho nQuro �M epplim�u lar wrl� pmnY lo fib e sqned HateimM tl� he a vAe
ie lironsed punuenl to Ihe prw'vions d tM Con�reeon Lioeroe law icn�e, a��m�� .nn s<e� �aoo� d owa� s a�n�
9uaness ene aroba+um coeel «�w ns «.na o memq ineretrom ene ine ecu �« u,e dbped ecemqoa Mr ��d.ic� d saaun
]0�1.5 Eq ury epplreru lor a peemA wbprta Ihs epplieeM to e cW pwiMy d nd mas ihen fxa AwGad doAan �SSW¶.
� 1, av ovmer d �ha prapany a my anpbyase wi� wapee m tMi ede canpenee�ion, witl do the work, erd tM evucfun c ml inteiMeE
a oXereJ M seb (SecWn ]OM. Buzmn eM PMaveansCaM: The Comretlae lioen» lew Aoea ml epplyto en ownm d popeM
wM W We a inprovas tMiean. md Mn Eoea �uM xak Ivmstl a hersd a Nraph hi a Mr own amployeea. pmviEeA Ihel wc�
impwpnema ma m� iruadeE a aHsed lar veb. tl. Mwwer, tM buitlirp w inpv.amem u sotl xithin one ymr d canpelion, Na
ownx-0uildar will heve iM burden W provi�p M w ahe Ek na WiM a impovs ta tM W�s a�e�.
� I, u owror d ihe poO�Y. em eRdueiveM oonlrepn0 xiN lioenaed cwnrectare �o wnarua iM pM� (Setlion ]Oaa. Bus'nre vd
wd...�wm coae: Tne comrea�. uc.o.e �.. aoe. �a wWr a��, d wwa+r w�o wues « impwm me�eo� .�e �.ro
mnvecia lor wM propqe wnh e m4rapor�e) IicenaeE WnueM �o iM Conl�edore Licenea lewl.
� I em ezamq under Seclion�. B. 8 P C., lor ihia remon:
oete: �,~.? J3 — %J� Owner:
I do hereW cenAv thu I em ewere d uM uMenlend Ihe iapuimmenn d CelAomie Heel�h eM Salery Cotle Seclbna 25505. 2553], a�k
e pelmM1 IamruVueipn a moEi1W pn ttan IM/1r uuev�Y M�O��� uana. �wawemw eonaNapn BppVAqm an exemP erom �noa
a��,,.
oma: ncwk.�c
WORKEP'S COYFQISATION OECLAPATION: I MrWy dfirm uMx pmMy d psyW an d tM ta0orrirp EWe'ebna:
� I heve enE xil meinten e cMAictle d coneent lo �etl-imun br xorkers' compenWbn. u prwided br Ey Saaian �]OU d �M LeEor
coes. �« in, nn«�. d u...m i� �n ma v� „ h.�od.
❑ in.,�.w�;i�m�.,ona,•w�,�:M�,�..,�.m,o.enrs«y�,��oodn.�.no.cae..rain.wm.�o.am.
work la whirA Ihu pe�mn u ueueE. MY waksn' mmpemdion iruurencs �amer eM pdiry wmEer ue:
c.�.: STATE FUND EXPIRES
P���w — 09/01/95
�TWa seaion rreM rotW canWnbJ / Ne w�] "n br ar M1UMrW EaOeia /Jtoul w Iw.)
� I ronN � in tha pMoimence W iM wak br whc� Ihb permG o neuetl. 1 alutl nal empby ury peiwn in eiry menner w n to
e«�. wd� +o ine �nw.� �o�, r.. d cdao�,e. w w� � e i.nowa e��. wei�e m m. ww�.•
��omy..,mia, wo+m� a swon sroo a �n. loEw coae. � avn �onn.vn mmW .tih mo.. piortaiaiu.
ova: li�'— l �i �— �'S' �cw�c
W�mlip: F�Nun ro ucun roikui wnpwu�tlon corxap l� unNMul, �ntlWll sub/ec� �n rrployw ro cNn/iW pwltlu mC
c/HI Ilns, ip b arw hinJlW tlauaaM ddbn (SIOqG00j, h tlUtlon b M� cwt ol rorrpwwWR a�pu u O+b+� br In
Sxtlon 9106 0l tlro LNor CoOn, Intxe�t, �ntl ertomry'� /s��.
CONSTIIUCl10N LENOINO RGENCY: I Iwaby alfum unMr pemW d pxjrty thet tMre u e rnwewun k�d'up epenry br tln
pMumenro d IM xwk lar Wuch �hc D�� u usued (SWun 3091. CN. C).
LENDEN'9 NAME:
LENOEN'S ADOPE45:
I eeniy Iliei I lure neE tho epplieetian uM pe�e ihei tM ebwe inlumetion b eorteq. I p�ea�a eanply xnh M ory eed ooumy adinmma
eeM emta kxs rele�ip lo WiMvp wnNutlion eM Mreby eNhoras �apaeenlelivee d I�ie tity lo enlx upon IM ebove-meMnned popeM
���'°"�D��°� MAGALY MOAATAYA
Pnm Nemo
„�T� oma: � — i.3— 9,S
Sqnmuro'd anV ppYunUConlreda
(5151-IB.WPI W��aB�ibM85elery:OreeMFk:Cenery-Appicenl:Pink-Rv.enue:Oddenm�Mamar
CITY OF COSTA MESA — HUILDING PERMIT
PERMIT NO: B 072805 •• PLAN CHECK NO: 01990-95 L
PERM NO: B 072805
GOVT: N SUPP: N
CONSTROCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH
,70H DESCRIPTION : REPLACE WOOD STAIRWAY INTO STEEL/CONCRET SQ FT: 8,131
CLAIM VALUE: 8,131,00 CALC—VALUE: 8,131,00 GROUP OCC: R-1 /
COMMENTS: REPLACE STAIRWAY INTO STEEL W/CONCRETE LANDINGS
**�r�r*�r*�*��r*x�*�r***+t*�*�***�*�r�**�+t+��r�+tx �x *******��r+��r****+�*�r��*�*��****�x�****�*
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 AEAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 92612110 ZNE: REF NO:
PLANNING NOTES>
>
i! 1E 1k 1F 1t 1k 1! 1k M k �k if 1E iE iE 1E 1E if 1Elf iE k 1E 1E 1Elf 1Elf 1F iE 1E 1E iE iE �E 1k 1F if 1E 1F iF 1E If iF ik �k iF iF 1F 1F M!k 1E 1f if 1k IE ff IE 1E 1E k 1E 1E 1F M 1E iE 1f iE if if 1F if af 1E iFlE �)F
D E V E L O P M E N T S E R V 2 C E S R E Q U I R E M E N T S
20NING APPROVED BY �� DATE: % I3 �l�
� :1 � � � � �� � \ �l��� � � i��L . � �� : ���
DATE:
APPLICATION ISSUED HY; �� DATE: �i3[a�
il1ki41fiF1FiFikiFi41E1fif1klFiEiF1E�1FiE'lEk 7F��iFiFif1f1F1iif1fiE1flEifiF FiF'£�iF1EfF
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMZT 108,00 81
PLAN '7p,2p SMIP/NON—RES
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 108.81 0.00 70,20 179.01 179.01 .00
REVENUE DIVISION TOTALS--> COLLECTED: 108.81 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
108.00 .81
itxieit**�r�r�***�r+��r+t*et**�*��at*x itifitit*x ***ie�**�e ********itx�*x **�*�****x it���tat�*�t�*at*it��*
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
SFR 8131 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 8,131.00
END OF FEES
o� aois<iaa-ooia�ie9 Ti]T zas.ei
UpTE: Ob/13/45 TIt1E: 14:37
CONS7RUCTION ANDPLAMNING N�� 'pA
APPROVALS Permit-5`�" Date Inspector APPROVAIS Permi�' Date Inspecmr
1. TempO�ary Electrical Service or Pole f 52. Poo� & EquiAment Location
2. Soil Pipe•Undrgrnd. : 53. Steel Reinforcement �
:�3. Electrical ConQuit UtilitY-Undrgmd. 54. Forms �
�.-4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ;
� 5. Steet Reinforcem�ht . 56. Raugh Ptumhin9 & Pressure Test "
-. � .
,`- 6�.'�Electricai'U�ER_Grnd. 57. APPROVAL TO COVER-GUNITE '�
=.�7. ,Footings 1,i;. � g� G�s �(,�� 56. Electrical Conduit-Undrgmd.
�'8. Foundatiori = -"'� -- 59. Ga: Pipe, O Undrgrnd., Test
� 9. Water PiPe,Undi.gerid. _ 6�. Backwash �iner; P•Trap, � Undrgrnd.
i ,
10. Structurai-FIoo7'System i 61. APPROVA� TO DECK �
71. Property Sewer Line & House Cor�nection � 62. Backwash & Receptor-Final �
12. Sewer Cap . � � 63. Heater & Vent-Final .
73. Roof Drains � � �
- 64. Pfum6ing SYstem � Final
14. Rough Plumbing - ! 65. Electrical�Final
75. Rough Electrical-Conduh ' • 66: Solar SYstem�Final �
76. Rough Electric Wiri�g� 6�. Fencing & Access Approval �
17. Rough Wiring Sign 68, APPROVED FOR PLASTERING •
78. Rough Electrical;T Bar Ceiling 69. POOUSPA SYSTERAS FINAL �
19. Rough Heating & Air Conditioning F�IRE pEPT. REQUIREMENT „
20. Rough Factory Fireplace . ' - � -_ � _ , AppROVALS .. Permit # �
21. �Oucts, in Srructure��� � • _ ` - !- * . 70. Unde�groLpd Hydro
22. Ducts, Ventilating - �- - ` . 71, produci;Pipin,q�C7_Gas �Oil
23. Gas Pipe•Rough & Test �*',_ � �' " <� �- 72. Underground Fiuslr- ` --
�
24.'Roof Framing . • '� �- ;• � � ,;: 73, Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � � �+ 74, Overhead Hydro �
26. T�Bar Ceiling (StrJc[uraq & Mpnocoat � ' � : m 76. Dry Chemical � . � -
27. �Frame and Flashing � __ �- y: a• 76. Dry Standpipe. � '
t
28. Lathing & Siding` � :.'i, �� ' '' 77, FIXED SYSTEM FINAL
29. Insulation • � _ •• ' . � 78. FIRE PREV. F�NAL - �
30. Drywa�� Nailing ' ' ` `, HEAITH DEP.�T`REQUIREMENT
� � .
31. Plaster Brown Coat - • - 79. fINALlNSPECTION + �
. 32. Electrical Power Mefer-Final - 8p. FOOD CERTIFICATE ISSUED_
r : � � _
33.•Final Electric� �- - � Notes: � - � � �
� 34. Final Heating & Air Conditioning": . ' ' �- - '
r r
35. Final Gas Pipe�Tesf . - .. �,� . : . � . •
36. Hood or Canopy '_ !- % y, _
37. Final Factory Firepiace . � . _. � •
38. �Final Plumbing ' .' ' � - ` ' .
� � -
39. Water Service�Finai', •- -- - _ ` 1
40. Gas Se�vice�Final - _ - t' � ' i
- e . ; . .r
47. Solar pomestic-Final ' ` , -, �_ . -
42. Backflow Preventer �� � �- • ' �+
i �
43. Backflow Irrigation;. ' � � �` � ' � .
-44. Landscape Irrigation SYstem _ • " - - , -
�45. Sound A[tenua[ion",, .- - `. i. -- t•# , ,- _ �_ -
. . , , . � ,
46. HandiCap Regulations � ' :, --� ` •
�
47. PINAL STRUCTURE & BUILDING -:,Y_L� : �G/ ' -� . ._
48. FINALPLANNING• -- - ; � _ ' .
49. Elect�ic Release to Edison . - . _ '
50. Gas •Re�ease to Southern Calitomia Gas Co • -
51. CERTIFICATE OF OCCUPANCY .
No Date
OF COSTA MESA
Prolxl werou:
Ownm'� Nem y�,
wem.: �c
C
i4CA./Enpineer: fle0. Nu:
�d�: Unll:
Ppmmer � �
waron: � �
IICENSEO fANTflAC10N OELUMi�ON: I Irc2b/ a�firm WI I am 6[e115ep pnEet pwi5ioi6 al pnptef 9(trommPnanq
wil� $eUion 7000) ol Divition 3 0l IAe Bu5iM55 aiW Pm}ps5iong COEe, aM mi tlartu a in luu lorce anG effap. �
CITY L1G: � Sf�TE LIG: CUSS: �
�Date: ' SO��ua:
WOflKEBS' fAMPENSRiON OELlAM710X: I �ereby aflirm tllat I hm a certifiWte of fAnS¢irt to self�nsure
or a certihcate o1 NbrkeK ComDenution Insunnce, or a cenilie0 cop� thereol (Seqion 3900, lab. C�.
PoL1GY NO.: E%P. WifE: . .
"IIARIMY:
Cenilietl coQy is �ereCY iumished. � CeMIeO wpy a iaeo wnn me ciry BuilOinq D'rvision.
Date: — — AVD�m:
ElIEA1PfI0M FIIOY VIOIIKEIIS' NMPFML1110N OEClAMT10N: (Titis secUon need (rot Ee completed if Ne permit
is lor one �unaaA �St00� or less�. I ceniry t�at in tAe edormance oi tne xork lor wtiic� mrs Dermi� is tcsue0,
I slup not empby �rty person in uH ��� m as to s'en to Ihe krke ' Caipeirsanon W�s oi CaGtwma.
Wle: /�� �%—��i $p�ature: -
NOfILE: It, fier m�Min9 tlis OeGantion. Yvu stwWO Oecome suDle�t lo N hsrs Compensa0m pmn-
sans a me I�hor caEe, w+ ms arnwen mrpN �xm am pu�eois a ae o� stel be aeemea make.
fAMSfRUCfION LENOIMG M.fMCY: I Aenby atfirm ttut tAea a a ca�tnutian kMinp apenq far Ihe perfar�
mance oi the v.oA for wnic� U� De�mit is issueA (5ectwn 3047, Gv. C).
lENOER: ' . � .
- �DDIIESE: � • �
OY/MEN WILOFII OECLAIUfIPN: � Aertb/ amrm that I am e¢mDt imm t�a Canvanors' State Licenu lsv
for tM tollowino rtasnn ISeetbn 70315 Buvness �nC Prolessional COGl: MY GN 0� W�nry whith fEpN(ES d
d/ dM aPDIiU01 t0f i pEfINISUWtt� �� dVV����� a a avu pewiry o� no� nwm uw� nw �mnmcu u�ua�> IN+-0.
� I, 35 0A'IICf 01 IIIC pl0yC11Y Of Rry Cfflpl0yEC5 WII11 Vld0C5 d5 t11llf $OIC COfI1pE115d�1p11, WIII CO ll1G HOfk, NA
t�e stmdum Is not imendeA or ollertE lor sala (Secfion AI4a, Business and Protessional Cotle: T�a Corv
tramors State Licenu ta'�' aaes na appty ro an qmar of a pmpeM � OWI4s or Impm�xs I�ereon, anE
who Oces suc� Mark �imSelf/hersell w Ihrouq� Ns w lur own employees. pravi0e0 that wc� Impravemems
- are nal intenAeO or ottered �or sale. 11, hw.ever t�e �uilAin or improvement rs solA vrit�in one yaar of com-
pletian, t�e awner will luro ��e burden al prwin0 �� � �� ��10 or imDrave lor IAe Ourpou ol sale).
I, as awner ol �he D�Oe��• am oxlusNeN contractinp witA ficenSM comaclors to mnstruct Ne pmjea
(Stttion NM, Business 9�4 Protessrons Coae: T�e Contactors' State Liunse Wv Uoes nat apDty ro an
awner ol D�operty w�o ONIGs or �mpmres ��ereon ana wAo cont2cls Mr such D�olecls vnN a cont2ctor�s)
Ilcenu Dursuant lo Ihe fAntacrors' Slate License law). I am awaro ttwt D�f oi t�eir NbM11r'S Compensa�
tion insuranca snoulE �e D�� �a ma�
�y I am eumpl unEer Sectiwc . B. d P. C. 6 P � ��Q"'
��,� t� (�J
lor IAis reamn�
Date: �-7 � G Owner: �
I do �eretry certity lhat I am av2re ol antl unGe'rstand tAe 2puiremerrts o� Califomia Heat�h Salery CoEe Sec-
lions 25505, 25533, an0 25531 an0 t�at I ar airy fuWre builGin9 �uDan� leill0�mt �circle one) need m compty
witA saiA state co0es antl IAe aAuiremeMs tor a per�rit tar cmvruction a matifzaYm fmm ihe Air Oualiry Ma�apo-
menl District. Nesidential cons��uction applications are eeempt imm I�ese D�'isions.
APPLICANT: DO NOT FILL IN SHADED AREAS:
PERN� NO.r— � `. .—, '+—
UNI7 � MODEL
PURPOSE: ❑ NEW ❑ ADDITION �LTERATION ❑ REPAIR
'O CANVERSION ❑ DEMOLITION ❑ O�HER /
DESCRIPTION OF WORK/USE OF BLDG. �.Q1,L�l V1 /�S S�I(IN L CiC
TYPE OF PERMIT. ❑ GR DING ❑ FIRE ❑ STRUCfURAL ❑ SIGN
❑ ELECfRICAL PLUMBING ❑ MECliANICAL ❑ REINSPECTION
JOB DESCRIPTION: O SQ. Ff. OCCUPANCY GROUP [� �.
CONSTRUCfION TVPE �l�,L VALUATION 5�_ GRADING CU. YDS. _
CATEGORY: O MINOR CONSTRUCTION ❑ MPJOR CONSTRUCf10N (UMer 2(10,000 sq.lt.)
❑ MAIOR/HIGH RISE (Over 200,000 sp, fl.� / \
�Remarks: �OU�. �T/� �✓�)IL� ( (�jL�SH Pce+��r )
��
� PLUMBING FEES
Backflow Prevention
Backflow Iriigation
Bar Sink '
BathNb
Clarifier
Dishwashet
Drinking Foumain '
Floor Drein
Floor Sink
Caes System Outlet
Roof Drain
Service Sink
Sewer Cep
Sewer Connection
Shower
Solar Collector �
Soler Piping
Solar Tank
Swimminq Pool w/
Toilei
Urinel
Washing Machine
Weter Heater
Weter Service
Ralnspectlon Fee I 530� � Isaue Fee
� ' MECHANICAL
Boiler Heating System 8 Ducting
Duct—Underground � 6100,000 HN +'� 100,000
Duct—StruMurel Hood or Type t �
Oaie: pppliwm: Exhaust
i �areUy ceniTy ihat I have reaA t�is appiiwtion anE state tnat t�e abwe imormation is rnrrect. I apree to wmpy Fan
wit� all ciry an0 counry artlinances anA state laws alatmg to OuiMinO ��structim anE Aereby autAor've represen- Fire Dar
tatives of tAis ciry to errcer upon tM aoms-mennonea�M �or inspection p rpos . � �
- Fireplaa
. oate: ICi� —�J' `3�% Siqnature:
Uriver's Lkense ar Social Secunry x: � / — � qeinspe
OBBS-CB rev. 1p99 W�i�e - BuliEing; Graen - CoOe Eniorcement; Cenery - Appliwnp pink � Ravenue; GolEenroG � Axsessor
o-
53
FEES
m ❑ MWtiple ❑ etriqeration System
❑ 4700,OW HfU r 0 100.000 BTU ♦
� System Repair/Alteration
t. IC80 M
Fee ' S30 Issue Fee � • S75
S
E
T
e
A
C
K
S
N
Main
Front
�en
Rear
Rel. p
Automatic Washer
Chrisimas Tree Lot
Conslmttion Pole
Sub Pole
Cookinq Unit
Dishwasher "
Dryar Q Gas ❑
F.A.U.
Fireworks Stantl
Fiamre
Electric %
Generetor: Size
Meter � up l0 2� mp:
Meter Q ov 00 emps
Motor LJ 0.1 HP LJ 140 HP
❑ 10-50 HP ❑ 50100 HP
❑ rner l00
Oullet .
Pole Light �
Sian Outlet
Swiich
Temporery Work Wih
Transformer
Size
7resh Comoaqor
� Relnapectlon Fae � S30 � I le�ue Fee
DEVELOPMENT SERVICES REOUIREMENTS:
Iqning ApprovaC By
BUIIAing Approvetl By
Applicatlon Issue
BUILDING PERMIT
PLAN CHECK
PLUMBING
PLAN CHECK
ELECTRICAL
PLAN CHECK
SOWo $
Z
O
N
i
N
G
R
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7
S.
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sis
Date
Dete
Date � Z �7 97%
OP FEES
MECHANICAL 5
PLAN CHECK 254b�$
SMIP S
GRADING $
�
00 —
70TAL FEE
� i CuG� _'1'�—uC�7"�Z" : ti>"' _ ��:'.
�^iYk7 !L!I!?/..j, 7Ti'.t• ;y:l`' ,
. ., ..vr.� ...., , . r.�: .'4`.".�v_ �y...q eaui .. •�.''6'1�2�6� '6.'�'C'�i: ....i�K9i�:i�..1i . �' �� , ni,.. ' � ,_�
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f
CONSTRUCTION AND PLANNING . PO' SPA �
APPROVALS Permit# � Date Inspector qPPROVAIS hermit# �' 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 Cond4itrUndrgrnd. 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. �I
8. Foundation 59. Gas Pipe, O Undrgrnd., 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 &�teceptor-Finaf' ��
12. Sewer Cap 63. Heater & Vent-Final ' '
13, Aoof Drains 64. Plumbing System - Final �,
14`.Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
i 6. 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 :�1 FIRE DEPT. REQUIREMENT +
�20.� Rough Factory Fireplace APPROVALS Permit # �
�21 � Ducts, in Structure �� <. 70. Underground Hydro
�22.� Ducts, Ventilating .�, 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test : •i 72. Underground Flush
24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oii �
25. Roof Sheathing _� t,; 74. Overhead Hydro .
26. T-Bar Ceiling (Structuraq & Mopocoat 75. Dry Chemical
27. Frame and-Flashing �' 76. Dry Standpipe
28. Lathing & Siding � 77. FIXED SYSTEM FINAL
29. Insulation, 78. FIRE PREV. F�NAL
30. Drywall Nailing :+� HEALTH DEPT. REQUIREMENT
_:
31. Plaster Brown Coat • 79. FINA�LjINSPECTION
32. Electrical Power Meter-Final 80. FOOD �ERTIFICATE ISSUED
33. Final Electric Notes: �
34. Final Heating & Air Condi[ioning
35. Final Gas Pipe-Test �
36. Hood or Canopy �
37. Final Factory Fiieplace
38. Final Plumbing' �
39. Water Service-Final � . , , -_ � �; �, 1
40. Gas Service; Final � I� '�
�
41. Solar pomesticFinal ' ! '� � �
.
42. Backflow Preventer � ' :�� �� , �
43. Backflow Irrigation f � '
44. Landscape Irrigation System ! �
�
45. Sound Attenuation �
46. Han[licap 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 .
r
� 1����3
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 G06iA M66A. CALIFORNIA
Fo� Applieanf fo Fill In Complefely
TYPE OR PRINT
eui�oiNc '�' i J GQ (�iC,)� �t7 � �
ADDRE86
CO$TA MESA. CALIFORNIA
OWNER O '�. /�/7K 4J
ADORE6S �i �� ��� � S/ / E� �
c�n 2/F�v n 2 �c !1 • No. Z-�//'
ARCHITHCf �//!./�S �� TEL. �•�S ,�
� STATE TEL.
NO, OR B1DG8.
88TBACK LiNE FROM G �
C¢NTCR OP aTRlEi �S REAR YARO
/ `
61DE YARD LEFT .l '-� RIGHT
DESCRIPTION OF WORK
_._... ✓ I II-�---�-�--.I II.--�-�--�
� o FEE REC;EIU�D
� � I �r,�flNnA�N�C�/� �� 0�'.
� APPLICATION'FOR `YERiVeI�'a ��
BUILDING
For Off7ce Use Only
RECEIPI NO. �
t¢C O BY O iE REClIVlD DATE 188U
� �/-7_i1 �_7L%
FIRE
�
LECiAL
COSTA MESA. CALIFORNIA
( /�/� DATE � _
ZONING p�-
NO. OF � I USE OF NEW
PL�N9 BUILOING
YARDS
APPROYE�
(CHNT6R L�N6 BT.1
APPROVED
EVES
BUILDING ' � NO OF m �
SIZE .7 �� X�� ROOMS �'t! STORIE6 � I I'^' �
EXTERIOR WALL �+� ROOF �''J -- ^'� ' n l/ '
COVERING ✓�UCC COVERING KO� [' f• � �
U6E OF BUILDING AND WORK TO BE PERFORMED y(�r � '�� ��
,Pr t ENT /-/dT� L- y
f lI 4
r J�.
I HHNeBY ALKNOW�EDG! TH�T I XAVE RBAD TX19 APPLIGTION THE AMOUNT BXOWN UNDER VALUATION I6 FOR TN!
ANO eTATH THAT TXE ABOVH IS CORR¢CT AND RGREE TO COM- pUliPOBE OP E9TABLIBHING A PERMIT FE¢ ONLY.
PLY WITN ALL GIiY ORDINRNCEe AND 6TATH LAW9 REGULATII{O
ButtnlNo CONernurno VALUATION �//
SIGNATUHE OF ! � / �� / � PERMIT FEE $ %(y' �
PERMI7TE L/.� J,`/
� $ �'7 O" D � PLAN CHEGK $ � �`
AUTHORIZED AGENT
TOTAL FEE `�-�
. �
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:'" `�! :;c�..'.:'t`(;'.
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; 16f79
COSTA MESA BUILDING-SAFETY DEPARTMENT
r. o. eox sn C08TA M�A. WLIPORNIA
For Appl7eanf fo Fill In Compleiely
TYPE OR PRINT/� �
BUILDING n � 2' t !1 � A �.. .
COSTA MESA.
NO. OP BLDOB.
Ie PRON �i QJ REAR YAR[
ITR¢ei
� I LEF7 � I RIGHT �
DESCRIPTION OF WORK
EXTERIOR WALL ROOF
COVERING COVE
USE OP,�USLQING /�NDy10Ri{ TO
FE� RECEIV�D
dAN 12�ao�..�
FINANCE OEP?. �
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
R8C81PT NO. P��
_ Rgf ✓ � I O�� / � '�°y I °l'T6 I
BUILDIN6
ADDRESS
GOSTA MESA. CALIFORNIA
APPROVED �/� � DATE I � lZ ��
BY ( /�
NING
ZON�y �]�� NO. OP UB8 OP NHW
�^y PUNB BUILDINO /1 , � �
L[OAL � /�
D88CRIPTION �)� � /� -'%�
b RT�=
A.P.N0.71-'�7 —o�3/-y�
VARDS EVEb
APPROVED ALLO
(C6MER LINe BTJ
.�
1 HBPEBY ACKNOWLHDOB TNAT 1 XAVB RBAD THIB MPLIGTION TXE AMOUNT BXOWN UNDBR VALUAiION l0 POR iXE
ANO BTAT! THAT TMB ABOVE I6 COfiFECT ON86 TO COM•
PLY WITH ALL CIiY ORDINI1NC86 AN ATH 8 Ii80Ul.ATINO P���B[ OF EBTAOLI8HIN0 � PeRMIT FE6 ONLY.
auiLolxo coH oN. VALUATION
� �� PERMIT FEE $ �
E MA�e 8 OP � e
$ /�/ � PLAN CHECK $ �-
AUTMORIZED AGENT �
TOTAL FEF � �— a
` . � sgs i
�COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO%9f] COSTA MCHA� CALIFORNIA
For Appllcant to Fill In Completely
TYPE OR PRINT
COSTA MESA, CALIFORNIA
A .n 2_.� __.
� ARCHITECT
STAiE
LIC. NO.
SIZE
OF LOT
USE OF
EXISTING BLDG.
BETBACK LIN6 PPOM
� EXTERIOR
1 HEREBY ACKNOWLED(
ANO STATB THAT TH8 .
PLY WITH ALL CITY O
BU�L�INO CON6TftU IC
SIGNATURE OF
PERMITTE
AUTHORIZED A6ENT
FEE�}. .RECEIVED
LN'.'�l� a- �3 iW�frlTs
AP.RL �'[JO PERMIT
t'IIVRi�t��
CITYF8F�0& S6�►y
RfCEIPT NO. I fl
er
O� � I PLAN9F �I 0111LDPN0 �
��°�:,..,.� I I �'� - �='� 1 ` .L
NOTE: NO EAVE CVERHAN6 SHALL BE LE55 THAN
90" TO SIDfi 8 REAR P. L.
EAVES
rvo, on o�cae. ALLOWED <U. B. C. REQUIREMENT
NOW ON LOT
YARD8APPROVED YAROSAPPROVED
MAIN BUILDIN� ACCESSORY BUILDING
(FROMC/L9TREET) ._ � -%-n
OF WORK
ROOF
\D TH�9 �IC.
ANO AOR TO
�B LAWB H60YL
........� . .. - . .. N
REAR Ff. � FT. Z
i!1]
DISTANCfi BHT. BET. MAIN Q � C
MAIN BLO69. AGCE55. BLD69. 3)
VAR.SF DATE �
C.U.P. APPROVED �
B 1 � DATE •� Y •�6 � �
�
S
Go ,t� '. S F � Y Z ;;
r.
� cn
6G. FT. �
' N
THE AMOUNT BHOWN UNOER VALWTION 19 FOq TX8 F C
PUFPOSE OF 69TABL�SHINO A PERMIi FEE ONLY. � LL
VALUATION m ,.
PERMIT FEE $ �� � _
$�/ .I m
/_on� A CHCI �� VO 7
� ro d 4
n -i r�