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Home My WebLink About221 DEL MAR AVE - Building PermitsfOB ADDRESS !'- �UP T R. .T 1'YPE BUILDING VALUE $ FIRE ZONE DESCRIPTION OF WORK I�._�ECTIONS � DATE PERMITSISSUED SUBCONTRACTOR DATE NUMBEF o- s F. ;uas • ` 1y� COSTA MEBA BUILOiNG DEPARTMENT wTU 220 � 117 Eaat 20th 8t�eM 1� Coata Mesa, Catltornla / �'' � Date....10... ....1....�..'......_a._ I..�___. � CITY OF COSTA 1NE8A CERTIFICATE OF�OCCUPANCY/,.r_,�,� .. -f j — � ...;- s . � �.. � 5 + Building Permit No.S'..:..Y...:......Electrical Permit No.:r'./..�C.'....Plumbing Permit No�.�:.:�.::'.... Use oi Buildin Gf'•�k'�'�G 77.0 .i� -%�r %� ., �.jj��r r,i� ��l- g..._ .......................................7...�..�..........." , ""_...'."" .._""""_"_""". .. ...!'�. The building located �at......_!!..�.�"._qire=� //llC�a�� !l/i_��:..._...._..'__"_'___"" /y-................... ... .. .. . . .. . �� , ( f /` J ( �/., �/L.G..� o... �� -��-! . % r -. ii%�.� (8ee rcverse aide for Metes and Bounds) � has been inspected and found to comp�ly (�vy�'th the-provisions ot all City of Costa Mesa Or- dinances applicable thereto for a Group.:•�'.......�_..�...Occupancy. 1$ UEDTO(:� —� . A J.�VOIZ - ,�f�.^,.�/I' /�i.+ � �. �U�J City Bullding�Offlcial . �- K .....1.....� ........................��Y......... ��., .. (Ownerof Building) By.......... � �^!" �-^'%'. � ................... _.. . ........................... _....... � ❑ Origdnal—Owner ❑ lst rnpy—Gas Co. ❑ 2nd copy—Edison Co�p 3rd copy—Flle �_ .. 208 G-H 1M 12-63 ' /7, • .c�_.�% " � ' � 493�. COSTA MESA BUILDING-SAFETY DEPARTMENT �.0. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only � ADIDRESS �` ~ � .1/L' I M i�� /7 ✓ T/ � OWNER� ��( S STUfJ �F,r/E�U t MAIL ADDRESS 2. �-. ( - %�YII`IR RU�• CITY� t7 % i% /H �S N�L� 6-6� CONSTRVCTION� �E//5 FiI,PGn IFNAFR BRANCH ARCMITECT il/�G ITyG,v .p/ LU�� OR ENGINEER ��K. N ADDRESS�� ,(�KQOf�NC7I�O�✓ QQ.Af�i CONTRACTOR Q �I / ADDFESS S E � TEL. CITV NO. � STATE � CITY � LIC. NO. LIC. NO. 4 OF LOT � 0' X � Z�v , NOW ON l0T a USE OF � EXISfING BLOG. F. S •O — � � � Separate pemiits are required for � electric, plumbing and heating work. (.W.� USE OF BUILDING AND WORK TO BE PERFORMED a c a,�C E�TA/ —( F l.v CQivS��uC a � ✓,(/l 7` r .a � a w n. BUIIDING ^ ADDRESS �G R � FIRE ZONE APPROVED PAIG r {fs:'uv7 OCT 2G-77crisr,0014b8'�� 76.5 FOR STRUCTURAL PERMIT ZONE NO.OF USE OF NEWG � PLAnLSZ BUILDING VAROSAPPROVED VARDSAPF MAIN BUILDING ACCESSORY VAR. � I heraby acknowledpe t�at I have read this appllcetion anG ctete � 4 that the above informetlon Iz correct entl apree to comply wlth ell lawe repulatinB bulltllnp conRruetlon, antl 1 chall not employ z any percon in vlolatlon of the workman's compenuTlon �ewe of � Ma Stete of Californie. 3 I hereEy eattify theT i em p�ope�ly Ilcenaetl es e contraeto� untler SQ. FT the Steta of Celifornie Bucineu and Profeuions Cotle, Dlvislon 3, THE AMOUNT S Chapter 9, and t�at aue� Ilcen�e� ara In full force and effeet, or I 7HE PURPOSE OF em exempt from the provislons of the State of Calitornia Busines� VAI.UATION end Profesi Code, Ivision-�ptei 9 SlOnature d��'v UU/`�' � .!i'`� �/ �/�V Parmittee $ ��..y AUThOf12Bd ABBnt BET. MAIN & � N � m 0 3O a °�0 N1� \UATION IS FOR m� RMtT FEE ONIV: � Y PERMIT FEE 5 N m PLAN CHECK $ GU � . TAX E + LL �I J� V TOTALPAID � , s�. -. � �. �� - G�OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COB'�A MEBA. CALIFORNIA For Applieanf_ to Fill In Completely � TYPE OR P'RqINT / ADD E�SS O� nC.. I X/� " COSTA MESA. CALIFOR IA TEL. NO. TEL. NO. OF BLDGe. � HeTBAGK L1N8 FRON DESCRIPTION OF WORK BUILDING NO. OF 81ZE ROOMS STORIES E%TERIOR WALL ROOF ' COVERING GOVERING � USE OF BUILDING AND WORK TO BE PERFORMEO ~ � -L�a-c��/ �b , � � �� ., i HEPEBY ACKNOWLEUGE TXAT � HAVE REAO TH19 APPLIGTION AND BTATE TXAT THE ABOV¢ �9 GORREGT MND AGREE TO COM- PLY WITH ALL CIT' ORDINANGEB AND BTATE LAW9 R66ULATNG BUILDING CONBTRUC�� N. _._..._..-- -- - /d // , /d n � , AUTHORIZED AGENT � BUILDI� AODRES FIRE ZONE APPROVED BY ZONE � LEOAL F�� c�ivEa �� ov 23isso FINNNCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only REC6IPT NO. I PHNMIT NO. 3 OATE REC6IVFD OATE 198UEq I /i-23�GD I //-Y3-Gd aa� � �/,� COSTA MESA. GALIFORNIA NO. OF f18E Oi N PtAN6 � BUILDING %- s � 6i l�'i— /i� EVES ¢ervrea urve sr.� APPROVED /- TNH AMOUNT BHOWN UNOER VALUATION I$ pOR THE PUfiP086 OF E9TpBLIBHING A PERMIT FEE ONLY. VALUATION �V PERMIT FEE $ � / $ C/1/1 O PLAN CHECK $ ' / GENERAL CONTRACTOR L OCCUPANCY �r v--� �.G. Cornelius TRACT I DATE SUBCONTRACTOR DATE 11-23-50 BUILDING PERMIT VALUE 00.00 Form 210—SM-11-59 5-B P - . 13311 .� : . _ . , ; _, . - . ��'..-. s42s' :;4 FEE REC IVED COST�; MESA BUILDING DEPARTMENT �; � 02� S�7 ' P.O.BOX 31� p� COSTA MESA, CALIFORNIA ,�y �YANr DEPT. FOR APPLICANT TO FILL IN � APPL�IC:ATIONT'FORAPERMIT poowess 2'�/ � r . '`- BUILDING COSTA mesn. cnuFORrvin � FOR OFFICE USE ONLY • ... . . .� _ � __ ' RECEIPi NO. PERMIT NO IMAIL A�DRE55 ARCHITECT OR ENGINEER AD�RESS LEcnL LOT OESCRIPTION �.fQ, A.P. NO. 5�=E �o' OF LOT USE OF EXISTING BLDG. SET84CK LINE FROM CENTER OF STREET � �� TEL. NO1 LIC. NO. fi� o�/� ti/ c..�/ //[i COSTA MESA, CALIFORNIA CITV LIG PLnNS ...> � NO. TEL AP ROV O �'G�� "�'�> ,' (sv NO- B�ll�j'�G��J��Ct�GDATE ��` '� __.__Jii_ ✓CORRECTIONS ___ � �� V ' � � NO.OF BLOGS. � now orv �oT i � i / SIDE YARO �RIGHT LEFT DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING OEMOLISH I BUILOING � ��J NO.OF � SIZE ROOMS � STORIES E%TERIOR WALL ROOF (% COVERING COVERING �'J Q� USE OF NEW �/ %�/� B111L�ING �pi1l�i�-�M!'�l�� /X�/FL 5�19ll E�S r`�✓i r�il � e� _-��i %fl l'ZjYG f _f �� C) �r-'i�b.�-�7'C e �l.•.:.—r .` ' . 1 HEFEBY FCKNOWLEOGE THAT � HPVE REAO THI$ APPIICFiI N FND STATE TXAT THE ABOVE IS COFRECT AND f�GREE TO COMPLY WITH ALL ' CITY ORDINANCES FND 5 L 5 ULf�i1NG BUILOING CONSTRUC� Twrv. VALUATION SIGNATURE OF O^ PERMiT FEE �$ PERMITTEE � / ,/ V $ ��/(yO PLANCHECK $ J � AUTHORIZED AGENT ' ' TOTAL FEE $ I�'�� : Project Address o� d d A.P. Number l Gq _ Building Permit Number � Owner's Name l Mailing Address� FEE: CITY OF COSTA MESA PARK FEES Fee Payment Receipt I'�`Q.t, Single Family " /' 2-Bedrooms or Less 36edrooms 4-Bedrooms 5-Bedrooms + Multiple Family �" Bachelor or Studio 1-Bedroom 2-Bedroom 3-Bedrooms + Park Area N° 343 0 Number of Units @ $ 702.70 = @ 983.13 = @ 1,260.33 = @ 1,476.32 = @ 386.81 = @ 467.38 = @ 718.80 = / �_ @ 1,135.66 = �(� n �. Total Fee `"" ��,� • � Planning Department ppr va ate ��l� By (.iU%� !' ApplicanYs Signawre � � * City ortlinance 72-44 •" City OrClnance 72-45 •*' City RasoWUon 77-89 CMF 0174-32 Rov. 7/77 Whlte—Plannina; Canary—Planninq; Plnk—F�nanu; Ooltlanrotl—Applicant C GJ �1CS� 2. 3. 4. 5. G. 7. 8. 9. COUNTY OF OftpNGE ' BUILDING DEpT; 636 No. Broadway Santa Ma, Califa�a Phone: KI 2-6211 Application for Builciing Permit AND FOR A Certificate of Use and Occupancy �� .. �y,� � �j �. PermitNo.�- ..---1_.Y..� / �� 2Z � � � --Date.-__....-------...-'--" ................................. _--'------ �Y C . ,� r ��. �..��2,��y. �,/ OWNER'S NAME. - - - ' -� -- - � -� �- � `� .. . � -- - - - PHONE: --- --.....- /-,......_.._.. MAILING AbDRESS..........�� !ti �f��.�l............ . CITY_�m.FIP..?7d__��^....�".1.a � - -..._ -- - -- -- - Name ._____�`_! Address ._..._.__. Ciry -- - - Scate Lic. No..__-_-.-- (Archicect or Engineer) Name -------'--- � 9� C /� ' !/(/ / /L7�P /^ 0---------------------------- ----------------"----- (�'° n[ra or) Address J, �.'S'----�1!.Gh_/�------------------------------"------ -------------- / Ctty _..�2�.f'..O'77r?...._._..�-.°.!..."_..."...`."__..."'......._..___."'......_ State %'�i6or • 28� 3-W Lic. No. __ . -- - ---- Phone --- --- -- - ....._... PROPOSED USE:- - =�-�Gv_e//i 7�.y-- - - -/ /.-�.._..- .._. ...._. ........- - - -- -- - ----- ---- - JoaLOCnT�ov- %�.2_��LK... / �fl.N!.�r.. -� ---- �-(Les_ta../L.I.e.S-�------- ---- - -- (HouseNo.) iYrast��/y %26� tsoee�>l t s9 —T•e�t g%b wn��p=�s�f�,�. N,44sstee/y ?ye' f LEGAL DLSC�RIPTION: Lot �- -- - -- f - � �lock - - - — - - - - Tract - --- -- ... -- -- (Metes and Bounds Descrip:ion—Use revcrse:ide of form) ' � Che O� J CORNEI�.L,pT�p S�✓Pt�,��lott,i,¢'�I�� THROUGH LOT ( ) SLOPE OF LOT ( ) ��J %� r�/ / 'j`XU" i � i /7 � / SIZE OF BLDG.:E,_4--�..H-f�--------AREA:_ L. ��..Y.........SIZE OF LOT:.._�00 X/ 2l°--------AREA:...1...'�--�-�---0..--.....-- / v/ HEIGHT OF BLDG.:--_L��_----------.._-.__-_--_CEILING HEIGHT:-------Q...--_-__-_-------NO. OF STORIES_-_-�------------__.-_ / � � %.l'/'� � NO. FAMILIES___._,...� _._._Sizc of Smallest Bedroom:._l..�__.k�.� �_.__..___. Size of Kitchen......._..____________________.. EXTERIOR �UALL CONSTRUCTION:./C'��'.NPa��! (.!�.d�NTERIOR WALL COVERING...._�L' � wa.//___.__... � (Frame, Stucco, Ete) / (PlascerDrywall, Etc.) SETBACKS: Front Yard From Center Line of Street.......... ��.� .:...................._.._ -- -- ----� -- =--� -� --- --�--- ----- .. Nearest Side Yard.......�.......Rcar Yard.._2:'f _¢Distance in Fcet Between Bldgs. on Same Lot....�!%O...f�.....�—�. ._______..__.._. 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. ] 1. For (a) Footing: Width--'-----'-�� •,-----....-----Depth in Ground....---1.-^..-//.-------Width of Wall-----` ...................... Acce�sory .' ,, Bldgs. and ,� �� OYIC d L Similar (6) Size of Studs:.._....X_y___._____Spacing.___...�(�........:..:'CC Material of Floor ...............___S/_Y - ........ Structures: / ` (c) Size of Floor Joists:-------L.�'-o.-------------....Spacing....------------._.....---.........:'CC u ' .i U ,� d Size of Rafcers:--------�-X �e-_`�' 2 x.G.. �...5 acin �7 .-' ................... CC i ) - P g- ------� -- 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal 5---------iS DO... �--------------- . 13. I HEREBY CERTIFY THAT TO THE BEST OP'MY' KNOWLEDGE .AND BELIEF THE INFORMATION IN THIS APPLICATION IS CQRRECT AND THAT THE CONSTRUCTION WORK WII,L CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. —. � ,�n. / / / ,1�.•.�� ' • ' Sig�fd:' _"'_'__Cl�.<'_'�.., t ...C,_...�i��."""__ ""' � � / C(Owner) Plans Filed:.-.:--'---:...._._--�--.•.I..�..��(...-----� ..............BY .. FOR DEPARTMENTAL USE ONLY FEES: � Bldg. Permit Plan Check Total - � Receipt No. Paid to - Date ._____ r � GROUP-----� , !Ta TYPE--- -.-.,: . - - -- �...... . �. d"D DIST. S.�_ MAP--- ---�:........._.... '�i SHEET NO .............�... DATE - - -� - /'�!�� 9M-2-51 PLANS (Auchorized Agen�) JU BY HEAL' FIRE ATE __---------_.__ _...---_ p �� V � � / Applicant to fill in all s0aces eacept those wit�in �eavy borEer Ilnes antl sign all apPropriate tleclara[ions. - . PERMIT NO. TRACT NO. LOT NO. UNIT NO. C�TYOFCOSTnMESA CONSTRUC IONPERMIT _ a.r.# zooa ��l A��. r�� 3 -.3� o�o 'Project Address S Main Building: Accessory Building: ��3` /�f'.%%' /1 TVPE OF CONSTRUCTION NEW ADD LTERAT N REPAI R E . Z Applicant's Mailing Address � . � � ,�K �N. � .K �.�� ,�� ❑ CONVERSION ❑ DEMOLISH ❑ OT ER T Front Q Owner'sName ��OIV CEI�IQI;� Phone�:Ll2.-[.L DESC I T nNp WO(iK/USE FBLJJ B Rear N Address ��S ��UmQu...i C�l�, NEwooAT Rc/Fi �('C� A � Arch/Eng. License No. TVPE OF PERMIT GRaDI G FOUNDATION STRUCTURAL K Ri9ht , . G ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ' S� Left � ' R Address Pln Fef. # Parkin Re /Provided E .S/ERRA ��OF�� Pho e � OTHER Q Contractor's Name- ��'�%� 9� 9 4� PROJECT DESCRIPTION Sp.FT. OCCUPANCV Address (mailingl � �N � � . �c '— _Planning Notes: ' . M CONSTRUCTIONTVPE VALUATION$ �7�di T Ci�yLicenSeNo. O�S� ZONE GRADINGCV.VDS. ACRES g. LICENSED CONTRACTOR DECLARATION 1 hereby affirm tha[ I am licensetl untle� provisions oi Charter 9(commencing Remarks: . with section ]000) of Divislon 3 ot tne Business antl Professions Cotle, antl my license is in full orce antl effect. � � ELECTHICAL FEES License Class � i ens o...��%.z Automatic Washer � Trenstormer �� 15-50 KW Date�'�-�'7��g Signature � PLUMBING FEES , WORKERS'COMPENSATIOND CLARATION - ' COnStrUCtlonPOleSUb. ��50+KW ' �`^�eby afiirm that I have a certificate o( consent to selt-insure or a certificate ' Bar Sink Showers orkers' Compensation Insurance, or a certitietl copy thereot (Section gackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps , Lab. CJ Dishwasher Meter �P icy�� C p y �% Backflow Irrigation Sewei•Cap ❑over 100 amps ' Certifietl copy is hereby turnishea. . - Dryers ❑Gas ❑Electric Sub Panel Cert_ j�etl mpy is iletl with [�hemc*ty�uim�q DZv'�si� n� � o Bathtubs Sewer Connection Fan Date ' ' Motors O0.1 HP O1 �--8 ' E%EMPTIONFROMWORKERS'C PENSATIOND CLARATION' Clarifiers SolafCollector5 • - (Thissection neetl not be completetl if t�e permlt is for one huntlretl ($100) or - F.A.U. Ina Solar �9-15 HP 076-15+ less). Dishwasher Solar Piping I certify that in th¢ performanCe of th¢ work for which this pe� R is i55uetl, I � FixtulES � MiC�OwdvE snall not employ any person in any anner s�as t om ubject to the Drinking Fountains ' Solaf,Tank '� ' Workers'�=mp¢�tiq�aL.aws of Gal' ia. , - Pole Li M '•�' Date � 7 �'« Siqnature Floor Dreins Swimming Pool w/Spa Device Boxes y rvO710E: If, after makinq this tlecla ion, you showd becom ubject to me Outlets Range Workers' Compensation provisions of the Labor Cotle, you ust forthwith FIOOrSinkS Urindl � comply with such p�ovisions o� tnis pe�mit snall be tleemetl �evoketl. SWitChES CONSTRUCTION LENDING AGENCV . GaSService OuLIEtS WatelCloSet � Sign ' 1 hereby aff{rm that [he�e is a conit�uctlon lentling agency fo� the pe�fo�mance - af lhe wofk fo! wbich thls pelmit is issuetl ($¢ction 3097 Civ. C.) CidlbdJE DISpOSdI $t2nding 52CtiOnS � Lentler•s Name Interceptors Water Heater �entlers adaress — Kitchen Sink Water Service Generator 00.5 KW �5-15 KW Trash Compactor OWNEH BUILDER DECLARATION ' I hereby affirm l�at I am exempt trom the Coniractor's Llcense Law for the Lava[o�ies '� Auto-Wash following reason (Section ]03L5 Business antl Professional Cotle: Any city or � . , county which requires a permit to construct, alter, improve, tlemolish or repair p—Trap Laundry Trays any struc[ure, prior to its issuance, also requires the applicant tor such permit to file a vgnetl statement Ihat he/she is licensetl pursuant to the provisions ot ROOf Dfains 'the Contractor's License Law (Chapter 9(mmmencing with SeCtion 7000) of N••ision 3 ot the Busines5 antl Professions Cotle) or that he/she is exempt � Reinspection Fee $15 Issue Fee . $ 3 �from antl the basis Tor the alleged exemption. Any violation of Section - 5 by any applicant fo� a permit subjects the appliCant to a civil ,rty ot not more than five huntlretl tlollars ($500). . DEVELOPMENT SERVICES REQUIREMENTS: ,�J I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee . $ 3 ' compensation, will tlo the wo�k, antl the st�uG[ure is not intentletl Or offe�etl ZOOIOg ApproV@d By 08tB lor sale (Section 7044, Business and Profezsional Cotle: Tne Contractor's MECHANICAL - FEES Building Approved By ' Date License Law Ooes not appty to an owner of a properry who builtls or improves �1 Ihereon, antl who tloes sucM1 wo�k himselt/herselt o� thrOu9h his or he� own ApplimtiOn ISSUed By ' Dat ` z �� employees, provitlea tnat such Improvemenfs are not intenaed or otteretl !or Boiler Hood of Type I ❑ sale. If, however, the builtling or improvement is soltl within one year o� com- Canopy Type II ❑ SUMMARV OF FEES � ` �� pletion„tne owner will have the burtlen of proving he/she tlitl not builtl or im- Duct - Under Ground $ �j L�C p0 SM�p � '$ ,/l��SO nrove tor the purpose oi sale). BUILDING PERMIT � ❑ I,�as owner of the property, am exclusivery contracting with Ilcensetl con- Duct -Structwal Refrigeratfon System PLAN CHECK PERMIT ' ' tractors to construct the project (Section 7044, Business antl Professions Code: � $ bultls or�rimproves �thereo�n�. antl who oontrac[stfors ch o o ectrwith a con� Duct- Ventilating � ❑0-100,000 BTU, �100,000 BTU PLUMBING $ ISSUANCE� �$ tractor(sl license pursuan� m ine ConVacrors License Law). I am aware-mat PLAN CHECK 25% $. ENERGV P.C. $ proof of tneir Worker's Compensation insurance shoultl be provitletl to me. Exhaust System ❑ Multiple ❑ System Repair/Alteretion ELECTRICAL $ GRADING, $. ❑�I am exempt untler Section e. & P. C. for this reason Firepl/Fact.6lt. ICBO # Fire Dampers p�p,N CHECK 50% $ MICROFI LM' $ L,L oace " � Owner � Heating System & Ducting Registers MECHANICAL $ TOTAL FEE . $ `5 �• S� I�nereby certi�y'that I have reatl tnis application antl state that the above ❑4100,000 BTU �t00,0008T " - � PLAN CHECK 25% � ' Information is correct. I aqree to comO�Y �+�th all city antl county ortlinances $ � antl stale IawS �eldting to builtling onstruction, antl he�eby autho�ize repre- Sentatives Oi this ci y to te� pon th¢ above-m¢ntiOnetl'p�o0e�ty to� Inspection r oses. � �A�Z7�� , Signature � Date �� Dr[iers', ' ense or SS � ' � Reinspection Fee $75 Issue Fee ,$ 3 ^ q� � . �J1� QOQ`�.'i�.41�i-i��J_bZ`siJ �{ [i�, �.`j1 OB65-46, r¢v. 5/88 Whit¢ - BWltlmg; Canary - Appllcanq Pink - Accounting; Golden�otl - Asse55o� GHIL• 11lE(i GG 7 ifiK� !J• 14I / CONSTRUCTION ANDPLANNING �. � POOI "�PA � APPROVALS Permit# Date Inspector p�ppROVALS Pe.,.,it# Date Inspector 1. Temporary Electrical Service or Pole � '; 52. Pool & Equipment Location ; �= .• 2. Soil Pipe-Undrgmd. � �� "� 53. Steel Reinforcement �� : .:� 3:;Elecii�calConduitUtility-Undrg`rnd. �!� ' 54. Forms . ,�� 4. Electrical Conduit-Undrgmd. �� - ' � 55. Electrical Bonding 5. �Steel•ReinforcemArit� �' �� ` 56. Rough Plumbing & Pressure Test �`� I� .'I 6. ElActrical UFER Grnd.'� � � � ,•-� 57. A�PiROVALTO COVER-GUNITE ..' ;� '�,7: �Foo4ings. �,',�� . „ �� 58. Electrical Conduit-Undrgrnd. �„�:� 8. Fo�ndation �� '- , r 59. Gas Pipe, � Undrgmd., Test �^� � 9. Water Pipe-Undrgrnd.. . � � � 60. Backwash Lines, P-Trep, O Undrgrnd. �� ' �� 10. Structural Floor System `' �� 'T� �,'` `,'F' 61. APPROVALTO DECK 11. PrOperty;Sewer Line & House Corinection � /� ,� 62. Backwash & Receptor-Final '. . ": 12. Sewer�Cap �� : � ;� ,, � '"� 63. Heater & Vent-Final �^ 13. Roof'Drains ' ��i ` I + 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. Raugh Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough_El�ctrical-T Bar Ceiling 69. POOUSPA 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, V,entilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test ' 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25. Roof�Sheathing - L P$ 74. Overhead Hydro � :�. �- 26. •T-Bar��ejling (Structural) & Monocoat 75. Dry Chemical 27. Frarime�and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIRE PREV. FINAL 30. Drywall"Nailing �� HEALTH DEPT. REQUIREMENT 31. PlasteriBrownCoat'=� - 79. FINA�INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final.Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . 36. Hood or CanopY ' 37. Final Factory Fireplace ' 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer � � , � ,}': 43. Backflow Irrigation , ' � J 44. .Landscape Irrigation SYstem � 45. Sound Attenuation 46. Handicap Regulations _ • 47. FINAL STRUCTURE & BUILDING ��, S � C �t �° `h� 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co � ,� `� � 51. CERTIFICATE OF OCCUPANCY . No. Date ROOF COVERiNG CERTIFL(,.aT10N Permit No. (U — J 7O �m0` Property address � � � � �� / " � �/� Owner /(Dl1% CF�/�%� Contractor State Contractor License Number s��r� Classification �� 3% 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 1979 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 . O 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 Buildi�g Division for acceptance. / ✓lee-G�' /.2. Z � ,. Rec i ed by Building Division by: i nature Oate �a Z� �� JRCK G2 c�A�9 rrl /' 1 i[i 1 Data Printetl or TYpetl Name ' $pace for Nota�ial Statement fo� autho�izeE office� or agent , CMF 0990-46 WM1ite - Builtling �iv.; Canary - Contractor; Pink - Owner