HomeMy WebLinkAbout909 DOGWOOD ST - Building Permitswonessorewiwa: 909 DOGWOIID S
avNexsruueica+avr+: CRILLY, STEPHEN
moncss: 909 DOGWUOD
COSTA MESA,CA
673-6063
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cartnectarsx,we: SUNUANCE RGUFING CO ( 714 ) 673-5063
cwm�croas�uww 1752 MIRAMAR DR
eoo�ss: BALBOA CA uc.ra.: 7183ti9
926b1 uxr:
IICENSED COMRACTONS OKLAXATION: I hereby sllim uMx pene�y d perjury tl� I em licenaed �Mer pm+aiam d CMqer 9
(mmmenarq wnh Secibn ]000) d Oiv'sion 3 d Ne Buaimac erd Pmleadons CoEe. enE mY �� b in full brce enE ellatl.
cmuc.No.: 0!�6Q9111 uc.cuss: C 39 uc 718369 EX 0 �9�/8
Dme: � �O< %`� � Cammda: ��Ii.lLl�]�l/[�! �� /vLL�J
OWNEP BIIILDEP DECLAflATION: I hereby elfirm uMm perely d parl+�Y �� I em eRemq Irom tha Con��mon Lirenee law Iw Me`
Idbxig �aeson �SeGim )03�_5 Bus'vieaa eM Prolevioro Coda: My cry a mumy xfiitli npuiree e peimil to mubucl, Ma, impova,
Eemdmh. a repai eiry ei�ucture. pia lo ii+ ewence, elw requirea iM epplirent lar wch peimil lo fib e egmd eb�mwnt Met M a she
v lironaed purniient lo Ihe prwisims d IM Conlrepws Licenae law jCM�Rm 9(mmmenenp vAlh Setlun )000� d Diveion 3 al IM
lusir�en eM RN»ebna Codel w thet he a eM c exemq iherehom eM IM b�a la Ihe dbped ecemqion. My vulmon d Seaun
J0�1.5 by eny appliuni Iw e permn wbptle tM epplicam to e dvil peneM1y d m� mwe then IHe huMred dollen �5500�).
� I, es ovmer M tM propany a my emD�e wdh weges es Ihei eole cwnpenemian, xill do ihe wak, end the aWcturo e na imendeJ
a oflered br eele (Section ]OGd, Businme end Prdesaiona Cade: The Conlracion Umr�ee Lew doee mi appFy�a en ovmer W piopeny
who buida a mD�'ea Ihereon, eM x1w doae auch xork Hmsetl a heneX or thraqh h6 a her own employeee, poWEeE 11� euch
imqwemerua ere not inleMad a diared la neb. II. Mwever, lhe EuiNi'q a inq�mmeM ie wld wilhin oro yaer d mmpblbn, ihe
owmrbuiNm will heve iM WMen W povieq M or ehe d'd � buiN «impwe fa �M qvpoea d aek�.
� 1. m owrer d �he v�V�v. em eadusiveN oontrodiq wM M.enaed convatae ro mnstnw iM u9� (Seaun 9w�. &m'v�ma md
wa�. coaa: rna c«mma, u�b �w ao� �a rodr a� ow�« a wawnv �no w�a. « mwo+� �n.� .m �.ro
mnvens Iw ax� pmpes wXh a mntreaar(e) licenxd WA�� lo �M Convedws liroroe lewl.
� I em exempl uMer Secf : B. 8 P C.,1« �hia raeson:
oe�e: o.m«:
� m n.reby ceniy mm � em ewera a ad uMen�e�,e �ne rewirem«ne d cdaomi. HeeAn end smay cade seabna zssos. zss:a, ene
2555e. eed thel I w enY �un buikinp ooapani will / wil m� (�V �) � to wmpy wih eeid pqe oodea end �M �ui�emema for
aG�ntaroeuwetionamoE�fiWianhwn�MAi3i y�anaBa��IDietnd.ReaiEenlieloon9ruGionMON'�ioroereexemqlmmNme
a�s.
neie: �cw��:
WOHKEfl'S COMPENS�TION pECIAHATION: I Mreby elfi�m uMm peneXy of pe�jury ma d ihe bllovriiq daderUione:
� Ihevaendwitlmeinieneeeelifcateofeoneanitoaall-inurebrworken'wmparmalbn,mprwkeE/wbySetlion3]00ol�Mlebor
Code.lar iha pMamema ol iha xaek Iw wNeh iho permil ie aeue�.
❑ � nere ana xi� meimen..omm�� wmv��on hm,ren�e. m rea��roe M swim aroo a me �eeo, coee. ror me o�«menm a me
work f« whiM Nie pcmn'v isawE. MY'�'ak^n' eomperumion imuea w mmx enp pdiy number w:
c��
PdwrN�mna:
rs section rieed na 6s canpleted / rhe pemrR is hv aro nuneroC ddlers /Sioal a bu.J
I cenAy ihel in Ihe peAormenca ot tM work 1« xfich thie pemin' ' nueE,� d e plry p iem in enner eo m to
becw e eubjar m tM workere' wmpeneelion lexa eliio ..0 epr ih tl {�IE •ome IM woM�e'
cory,yu'i 2pr�pemi�etlion 3)00 d tha Labor ode, e ell tanhr mp ' thws ma � in�s.
CG �U
Dete: / J O� I ��
Wemirp: FaNun ro aecuro workeri romp�ruetlon covaraps l� unlerNl, siW �hs/l sW/IM en qx ro alnYnl pxieltlq and
c/vll flro� �p N ons hunCred Haua�n0 do/Mn (SIP0,0001. M eWltlon ro M� roat ol romp�rw rt d+�pi u qoHWtl br In
SxHon J]O6 al Ms LeborCoOe, Infensf, en0 eMrnsy's /su.
CONSTNIICTON LENOINO RGENCV: I Mroby alfirtn unEer peneM/ ol perjury �I�et �here ie e conel�utlion bndi�p epmcy W the
peAormarke d �he xark /or which tha parmi ia 6eued (Seaion 309), CH. C�.
LENUEH'S NAME:
LENDEN'S �OOFESS:
I ce�ity IMt I have reeE Nu epplicetian eM pme ihm Ne ebove intametbn u canae. l piee to wmpFj wilh ell cuy vd mumy «diriarcea
end aime laxs reletiq io Wildaq mnatrutlbn ard hereW ainhorae repaaenlalivm d �he'ily to aMer upon IM ebwe-mentioneJ popeM
�Ofll13[IBEIIO�IfpMB9. �T� _
Dme: ��� /
(515�dfi.WP) W�ne-Buikip d Sefery: Oreen-Fle: Canary-AppFraN: Rnk-Revenue:Ooldenm�Aamamr
CITY OF COSTA MESA — HUILDING PERMZT
PEftMIT N0: B 089965 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: STR
JOH DESCRIPTION : Ti0 & REROOF 1700SF W/ASPHALI SHINGLES
PERM NO: B U899b'
GOVT: N SUPP: N
PURFGSE: OTH
SQ FT: 3,000
CLAIM VALUE: 3,000,00 CALC—VALUE: 3,000.00 GROUP OCC: R-3 JG-1
COMMENTS: REROOF 300SF PATIO COVER W/BUILT—UP
�t')t'�'R j!'� �"�f *' if * iE'!F if � jf it if �f'%(' 1! j! i! R �(' j\' * jf if')t' f�' jf if if'K-i("%' %(' {FYf if jf i�' if'%t iF if'lF if i! �' jF *�t'�'If'�'It l�'IF ft'� �f'It'i�f')f'lE l!'K' T' If'IF yF'�f jf'� i(' it it
Z O N Z N G R E Q U Z R E M E N T S
S E T B A C K S
------------- MAIN BUILDING ---------- --------- iiCCESSGRY BUILLING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PAAKING REQ: PROV: PARCEL: 422522G2 ZNE: REF NO;�,
PLANNING NOTES,'>, ..
> >.•
3E it ie iE iE iE iE jf iE 1f !F �f iE fE 3F iF ie iE �E iE iE jF iE tE �E if iE �E iE iE fE �E if �E iE if iE if 3f 3F if af i(� 3E if 34 3E iE iF iF if !E 1f �E if iE 3E 1E iE iE �t iE fF jE jE iE �E �E �E3f �E iE 1E if iE �E iE 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 DATE:
HUILDING APPROLT'ED BY : DATE: �'�'
APPLICATION ISSUED bY: DATE: � 2t�
iE�ifiF�lflFiFieiEiEiciF�fiFiE�'1fsi4jFiE'�eiE�E�1E i1� x x �! �R '!t iFi4�1FiE�lfjF3E�EiF�1'r��F`�e ifjf
LEGALIZATION:N" F E E S U M M A k Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTjtSC MECHANIC FZRE SMIP/R£S GkALING
PERMIT 74.75 , ,SO
.., SMIP/NON—RES
PLAN ,
ISSUE FEE
BUILDING—DIV—> FERMIT ISSUE PLA�N-CHECK TOTAL PAID DUE
TOTALS----> 75.25 0.00 .i' 0.00 75.25 75.25 .00
{
REVENUE DIVISZON TOTALS--> COLLECTED; 75.25 OVER/SHORT: ,00
HLDG PMT PLIIMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRA�iING PLAN—CAECR
74,75 �7 ,50
iF 1F-IF iF jE iE �)h i(� iF iE 3f fE �1E ii iE iF df 3E ik jE iE �F ff jF ie iP 3E iE f' �E fE iFlE iE ik iE �f iE iE �Y 1E aE �E')t iE iE iE �1f 3f iE iE iF �1E it ih dE �f 3i� iE 1E 3E'1E 3E iE iE iF i4 iE dt it # jF jf iE iE �f iE �E'N'
I N D Z V I D U A L,,F E E B R E A K D O W N
TYPE QTY D E 5 C R I P T I O N:+ UNIT COST TOTAL COST
SFR 300U REROOF HY VALUE RESIDENTIAL NOZONE 1.00 3,000.00
END';'OF FEES
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` Y� RLPi#:81 uu!1539
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REkMIT:084465
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CONSTRUCTION AND PLANNING POOL .,PA
APPROVALS Permit# Date Inspecto� APPROVALS Permit# Date Inspector
7. Temporary Electrical Service'or Pole - 52. Pool & Equipment Location
2. Soil Pipe•U�drgrnd. - 53. Steel Reinforcement . . �
3, Electrical Conduit UtiGty-Undrgcad. . , 54. Forms -
4. Electrical Conduit�Undrgrnd. , 55. Electricai Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •
6. Electrical UPER Grnd. � 57. APPROVAI TO COVER�GUNITE ' �
7. Pootinge �58. Electricai Conduit-Undrgrnd. �
8. Foundation : ' 59. Gas Pipe, O Undrgrnd., Test .
9. Water Pipe-Undrgmd. � � 60. Backwash Lines, P�Trap, u Undrgrnd.
10. Structural Ploor SYstem • ' 61. APPROVRL TO DECK , � '
7 7. Property Sewer (.ine & House Connection - 62: Backwash & Receptor-Finai '
12. Sewer Cap � 63. Heater & VenbFinai ,
13. Aoof Drains 64. Plumbing SYstem - Final
14. Rough Plumbing � .� 65. Electr.icai-Final '
15. Rough Electrical�Conduit � , 66. Solar Svstem-Final ,
76. Rough Electric Wiring 67. Fencing & Access ApProval ',
17. Rough Wiring Sign , � 68. APPROVED FOR PLAS7ERING
18. Rough ElectricaLT Bar Ceiling ' � 69. POOL;SPA SYSTEM5 FINAL ' �
19. Rough Heating & Air Conditioning - FIRE DEPT. FEQUIREMENT
20. Rough Factory Fireplace APPROVAIS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Dutts, Ventilating - 77. Product Piping OGas ❑Oil
23. Gas Pipe�Rough & Tesc 72. Underground Flush
24. Roof Framing , 73. Undergrnd. Storaye Tank C Gas ❑ Oii
25. Roof Sheathing � �I- �.�"� _ 74. Overhead Hydro
26. T-Bar Ceiling (St�uctural) & Monocoat 75. Dry Chemical
27. Frame and Flashing . 76. Dry Standpipe
28. �athing & Siding �' � 77, FIXED SYSTEM FINAL .
29. Insulation - 78. FIRE PREV. FINAL
30. Orywali Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coa: � 79. fINAL INSPECTION
32. Electrical Powei ��ieter�Final 80. FOOD CERTif-ICATE I5SUED .
33. Finai Electric Notes:
34. PinaiHeating&AirConditioning G7�3,�'7- %D G�j,�' f7�t�•�
- (.
35. Finai Gas Pipe�Test , � `��
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing '
39. Water Service�Final
40. Gas Service-Finaf .
47. Solar pomestic�Finai
42. Backflow Preventer
43. Backfiow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47, FINAL STRUC7URE & BUILDING Q„/��
� �
48. FINAL PLANNING �
49. Electric Release to Edison - .
50. Gas Release to Southern California Gas Co � •
5P. CERTIFICATE OF OCCUPANCY
No. Da[e
cMe.# �•��o
COMPLIANCE OR OCCUPANCY INSPECTION REPORT
� Applitation b 5 L 33s
�--� Number:
Subject ��L �� )QG �QO � �—_.�. �� Date 6
Address: � �—� oZ ���' Received: � �^� —O �
Mail Report or Correction Notice,to:
Applicant: �ll /�1 �g/1r s-Pi� Telephone: ( / (� G7`� �l' 7/
Address: 7� y b0 G" �-C�O dC� U//��P2/ Zip Code
Mail Copy To:
Property '
Owner: ' T/i� �¢ /tl S-C% � - Telephone: (
Owner's
Address: S�-/"�Y � i�%0�'�l Zip Code
Occupancy: �� 3 Group:
Code or Ordinance Violations Observed:
Building Construction Type:'""��
�
N�t�i Ti�-, � �is..)" �-�l7iy) C'�s = 9G?/ �,�a� �d,o�i
�°�o�e� /'//��g 2 -�_�-3--
Date Inspected: ����/D Z— By: (i(1'C' �X�
,
CMF 0835-46, rev. 5/82 White - Bldg.; Canary - Applitanl; Pink - Owner
ADP���ant to /III In all spaces except ihose wit�in heavy bortler Ilnes ana slgn all approD/�ate aeclaratians.
CITY OF COSTA MESA CO�J STRUCTIQJV PERMIT
Projec� Aif�ress ;� � 9 "�G f.J����
Applicant'sMaili Add �0 �/�-��
Owner'sName e 1 Phone i��7�
Address � � O
Arch/Eny, W ��� License No.
Address _
Contractp�'s Name Phone
Address (mailing)
City Licpnse No.
LICENS�D CONTRACTOR OECLARATION
1 hereby ��firm Ihat I am licensetl untler provislon5 of Chart¢� 9(comT2ntlng
witn 5ection 7000) of Division 3 ot the BuSiness anA Profes5ions Cotle, antl
my licenpe is in full lorce antl effect.
license Class license No.
Datc Si9nature
WORKERS' COMPENSATION DECLARATION
+.reby atfirm that I �ave a certificate ot Consenl lo Zeli-insure or d C¢rtltiwt¢
Workers' Compensation Insurance, or d C¢rtifletl cOpY thereof (SeCtiOn
_.JO, Leb. C.)
Aolity No. Company
BCertiqCtl coDY i5 herCOy turni5he0.
Certi�ietl copy is filetl wi[h the city BuilGin9 DiviSion.
Date AOP���ant
EXEMPTION FROM WORKERS' COMPENSATION DECLA0.ATION
(Tnissec�ion neetl not be compleletl if tne permit is for pne hunaretl ($300) or
less).
1 certi(y (pat in lhe per/ormance of lh¢ wo�k for whlch this p¢rm�t is isSued I
sball not employ any person in any manner so az to become subject to the
Worker5' Compensation lyws of Califomia.
Oate Signature
NOTICE: If, atter making this tleclara[ion, you shoultl become subject to the
Wo�ker5' �omDensation p�ovision5 of the Labo� Cotle, y0u must for(hwith
comply �y{�n such provisions or tnis Dermit shall be tleemetl revoketl.
CONSTRUCTION LENbING AGENCV
1 hereby atRrm lhac [here is a construction lentling agency for the performance
ot lh¢ work tor whiCh thi5 Petmit i5 izsuetl (Sectlon 309� Civ. CJ
Lentler's Name
Lentler's Aaaress
OWNER BUILDEH OECLARATION
1 hereby affirm lhat I am exempc trom the Contractor's License Law for the
followiqg reason (Seclion �031.5 Business antl Professional Cotle: Hny city or
tounry whicM1 requires a pe�mit [o construct, alt¢r, Improve, tlemolish o� r¢pal�
any strqcture, prior to its izsuance, also requires the applicant tor such permit
to tile a signetl statement that ne/she is Ilcensetl pursuan[ to Ihe provisions ot
fhe Con(ractor's License Law (Ghapter 9(commencin9 with Section ]000) ot
'•rision 3 of [he Busi0e55 antl Profe55ion5 Cotle) or (nat M1e/She is Cxempt
refrom and the basis for [he allegetl exemptlon. Any violation of Section
31.5 �y any applicdnt �or a permit SUbjects the appliCant to a civil
e alty oi not more than five huntlrea Ooliars (5500).
�I, aA owner of the property or my emp�oyees wlth wages a5 tnei� Sole
�. comp¢nsation, will tlo the wo�k, antl the 5[�uctu�n I5 not inren0etl or otieretl
�, tor salq (5ection 7044, Business antl Professlonal Cotle: The Coniractor's
license �aw CoeS nOt apply to an owne� ot a p�operry who builtls or iTp�ov25
'[�e�eon, antl who tloe5 Sucn work nirtlsel(/he�5¢It ot throu9i� his or he� own
employl!es, plOvitlOtl Ibdt Such imprOvemCn[s uIe 110t int¢Otl¢tl of Ot(efetl fOf
sale. If, however, the builtling or improvement is soltl within one year of com-
plelion, tne owne� will have the burtlen Ot provin9 he/She tlitl not builtl or Im-
i�rove for the purpose ot sale).
I, ds own¢r of Ihe property, am extlusively contraCting with IicenSetl con-
I lratto�s to COnst�ucl th¢ projeci ($ection 7044, Businl55 antl Prolession5 Cotle:
The Contractor's License Law tloes not apply to an owner oi Oroperty who
builtls or imoroves tnereon. antl who contractt �or such oroiects with a con-
tractor(sl I�cense pur5uan[ m[ne Contractor's License Law). I am aware tha[
proof 01 thei� Worke�'S Compensatlo0 Insurance shoultl be proviCetl to me.
', ❑ 1 am exesnpt untler Section ��R;., d�. C. Por this reason
Oate • / � .J Ownerf�j..l(
I hereby ertlry that I have reatl this
informatlon iz correct. I agree to comp
and sta�e iaws r lating to builtlin9 con
sentaHves ot c n C� up r
inspection pur s
Signature •
Drivers' License or 55 � •
above
TYPE OF CONSTRUCTION LJ NEW I.J ADD U ALTERATION LJ REPAIR
❑ CONVERSION � DEMOLISH ❑ OTNER
DESCRIPTION OF WORK/USE OF BLDG.
TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRVCTURAL
❑ TENANT � ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION Scl. FT, OCCUaArv V
CONSTRUCTION TVPE VAWATION $ � �
20NE GRADINGCU.VDS. ACRES
Remarks:
Preventer
Irrigation
Drinking Fountains
Floor Orains
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee
$15
Boiler
Dut[ - Under Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. �CBO #
Heating System & Duc � ig
❑o-ioo,oaosru oo,000
Rainspection Fee � $16
0865-4E, rev. 5/BB White - BuilOing; Canary - Appllcanh Pink - Accounting; Goltlenrotl - Assezsor
ShoW¢r5
Service Sink
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Piping
Solar 7
S ' ming Pool w/Spa
Water Closet
Water Heater
Water Service
A uto-W esh
Laundry Tray
Issue Fea
Hood or Typel ❑
Canog�/� Type 11 ❑
p¢frigeration System
❑o�ioo,000aTu ❑ioo,000
SVstem Repair/Alteration
Fire Damperz
Registers
laue Fee
A.P. #
S Main Building:
E
T Fron[
B Fear
A
C Ri9ht
K
g Leh
Ping. Ref. #
Planning Notes:
FEES Automatic Washer
Construction Pole Sub.
� Cooking Unit
� Dishwasher
, Dryers ❑Gas ❑Eleci
Fan
F.A.U.
Fizture5
i Device Boxes
Outl¢t5
$WI[C�125
Garbage Disposal
2one
Accessory Building:
EIECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Generator �0-5 KW �5-15 KW
Meter LJup to 100 amps
Meter over 100 amps
$ub Panel
Motors �0-7 HP � 1'h � 8
Inc. Solar 09�15 HP �] 16�15+
Microwave
Pole Liah[
S19�
Standing Sections
Trash Compacror
Reinspeaion Fee � � $75 � � Issue Fee
FEES
$ 3 DEVELOPMENT SERVICES REQUIREMENTS:
2o�ing Approvad By Date
FEES Building Approved B� Date 1�
Apptifation lssued 8y Date
SUMMARV OF FEES
BUILDING PERMIT 5 SMIP $
PLAN CHECK $ PEFiM1T
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL $ 33. GRADING $
PLANCHECK 50% $ MICROFILM $
MECHANICAL $ TOTAL FEE $ ��.�D
PIAN CHECK 25% $
$ 3
J1 �i(�:Ir . -�"" =^:f � 1.�
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CONSTRUCTION AND PLANNING POC SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1�cTempo�ary Electrical Service or Pole 52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement c�l
3. Electrical Conduit Utility-Undrgrnd. 54. Forms •
4�. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •
5. Steel Reinforcement- 56. -Rough Plumbing & Pressure Test ��
6.' Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � t •
7.`Footings �. 58. Electrical ConduiDUndrgrnd. ' `'-
8: FovniJation 59. Gas Pipe, O Undrgrnd., Test � .
,9, Water:Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. , y '
10. Structural Floor System � 67. APPROVAL TO DECK �
11. P.roperty Sewer Line & House Connection 62. Backwash & Receptor-Final .-
12. Sewer` Cap 63. Heater & Vent-Final '� �
13. Roof �Drains 64. Plum6ing 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 Ceilinf C'' 69. POOL/SPA SYSTEMS FINAL
�
19, Rough Heat�g & 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
�3. Gas Pipe-Rough & Test 72. Underground Flush '
24. Roof Framing �� 73. Undergrnd.StorageTank �Gas ❑Oil
�. Roof Sheathing . 74. Overhead Hydro ��
26. T-Bar Ceiling (Svuctural) & Monocoat 75. Dry Chemical �
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding , 77. FIXED SYSTEM FINAL
29. Insulation / 7S. FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat ` � 79. FINAL 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 '� �;�
44. Landscape Irrigation System ? i
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison ��'
50. Gas Release to Southem Califomia Gas Co . ' '' �
: ,
51. CERTIFICATE OF OCCUPANCY �" ` •
�� ' '
No. Date �-� �r �
i
OW1vER �RILLY, JAP�CS & SARAH DATE 3-1-61
JOB ADDRESS 909 DogwoOd St. BUILDING PERMIT NO.
GENERAL CONTRACTOR O�,mer-Bldr. VALUE S 710.00
INSPECTIONS
OCCUPANCY
DATE
�
SUBCONTRACTOR
PERMITS ISSUED
I�tt.
� 1
Form 210—SM-11-59 5-B P 13933
�� �' " �3933
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA M88A. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
ADDRH65 �/1'7 A OG w�,C�l9 D S�
- COSTA MESA. CALIFORNIA
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STATE TEL.
LIG. NO. NO.
61ZE I /_ � NO. OP 9LDG8.
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USE OF
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SIDE YARD I L8� I RIGHT
DESCRIPTION OF WORK
BUILDING �
size
EXTERIOR WAL
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USE OF BUILDIT
( NO. OF
ROOMS
ROOF
� COVERII
WORK TO BE
ES
FEE ,RECE�I�ED
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�INANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
� RHCEIPT NO.
V
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COSTA MESA. IFORNIA
FIRE
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I HERGBY ACKNOWLEDQE THAT 1 HAV6 RfiAD TXIB APPLlWT10N '�g pMOUNi BHOWN UNDER VALUATION IB FOR THE
AND BTAT6 THAY TM8 ABOVB 19 CORPlCT AN� AGRCE TO COM-
PURPOBE OP EBTA9Li8XIN6 A PERMIT FEE ONLY.
PLY WITH ALL CI lOROINANC68 AN� HTATE LAWB REGULATINO
BUILDINo CONBTR 6noN. .� I VAL ATION �,Q
SIGNATURE OF ..w 7 PERMIT FEE �
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SIr'GPECTIONS
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OCCUPANCY
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CRILLY, JAP�S & SARAH
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LOT TRACT FIRE ZONE DESCRIPTION OF WORK
Signature DAT� GROUP J TYPE V ZONE
SUBCONTRACTOR .-. PE �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA'
For Applicani fo Fill In Complefely
TYPE OR PRINT
BUILDING
ADORE66 W S
GOSTA MESA. CALIFORNfA
MAIL
ADDRESS
an C�
ARCHITEGT
TEL.
F E RECEIVED
FINANC�E�d�.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
_ HECEIPT NO. � I /
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MECEIVED V O/.���H HECEIV p /�O ATE 198UlD
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ADO E'65 l /. NC'L^+C l.7-
COSTA MESA. CA IFORNIA
ADDRE55 Q'% 1�% S/r ZONING �
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OF LOT Now ON LOT I q, p, NO. � 7 � � L
U6E OF �%^� YARDS EVES
EXIHTING BLO . ! APPROVED ALLOWED
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DESCRIPTION OF WORK ,�'
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REPAIR I IIMOVING I IIOEMOLI6H I BYPROVED I T� lyN� ,/
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BUILDING / �'NO. OF
BIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO 8H PERFORMEO �
- 2 �' o�n
1 HHReBY ACKNOWL8D08 THAT I HAVe pBAD TN�B APPLIGTION }HE �MOUM BXOWN UNDEN VALUAiION 19 POp THE
AND eTATE TXA� TME ABOV! 19 COPRHCT AND AOqEB TO CAM- pUPPOBE OP EBTABLI9X�N6 A PeNMIT F8H ONLY.
PLY WITH �LL CIiY OIiDIN�NCH9 AND 8TAT6 LAWB RBOULATING
eu�LDiNo CON9�U oN. � VALUATION /J �G
81CaNATURB OF � � �� PERMIT FEE $ . % --
PHRMI7TE E'� i�.sO a
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AUTHORIZED AGENT ` TOTAL FEE �' � �
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ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
� . 636 North BroadwaY .. . • ,,. B-�� I�L D I N G .
� SANTA ANA, CALIFORNIA - -
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
REGEIPT NO. PERMIT NO.
ADD EI55 gQ9 Dogwood 3t. � s(i � s/ B��
SCHOOL DIST. y RECEIVED BY OATE OF APPL. DITE ISSIiED
OR TOWN COB 4S Meea ///���
NEAREST �� //�L �� NOV J .w
CRO55 5T.
BUILDING
OWNER (�HAfTAM HfIME�� INf. ADDRE55 gV y_�
MAIL 9363 W,�s„�RE e�V�. SCHOOLOIST. /� �
ADDRE55 OR TOWN Ll/ /�Z�_a �
BEvea�r ILLS TEL. R�5 3 � NEAREST �
CITY NO. CRO55 ST.
ENG NIEERTCA�N S� MCKERRACHER NOL SY. 6489t ZO/�n r I p qry$ I TY �/ I G f,�„ l
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nooaesSZ��O E. WALNUT ST. PASADEt�A Z �
J SETBACK LINE F GENTER OF ST.
TEL. REAR YARD � SIDE VARD —� n' (�_
CONTRACTOR NEWPORT VISTA CO.NO. CR.5436i qppROVED (
ADDRE55 Q BV (� ___ DATEI/ L r
G WILSHIRE 8�vo. BEv,Hi��s CORRECTIONS
LEGAL �p
OESCRIPTION LOT NO. 2()() BLOCK � 7� 2
IATTACH METES @ BOUNOS�
TRACT
SIZE OF �oT �a66 7I � �� I NOW ON LOT 0
USE OF I NO. OF NO. OF
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DESCRIPTION OF WORK
NEW I%� I ALTERATION I I AODITION I O
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USE OF NEW —
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APPROVALS
FOUNDATION: LOCATION INSPECTOR DATE
1 HEREBY ACKNOWLE'JGE THAT 1 HAVE REAU THIS FORMS. MATER�ALS, J/ � ,('
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER�PINNING yLY-� ��J �
AND AGREE TO COMPLY WITH ALL COUNTV ORDINANCES FRAME: FIRE STOPS, t
AND STATE LAWS REGULATING BUILOING CONSTRUCTION.
BRACING, BOLTS ,. J
LATH. RJT. /J � .
SIG ERMUITTE�/�j��jj�. ///+++ s �i '
LATM.EXT.
AUTHONI2ED AGy__ ��� P�ASTER.INT. L
V PLASTER. E%T. � '�J
s 483o.eo P= s`Z � MASONFV REINFORCED
FEE � � i
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VALUATION
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