HomeMy WebLinkAbout2333 ELDEN AVE - Building Permitsnooxasavea�owo: 2333 ELDEN AV
avwEAsnuieiv�u�vxr+: YEE HARRY K TR
�noness 233`3 ELDEN AVE
COSTA MESA,CA
MVL. YAllIN0,100XE5S
.ecxrtecr on ��n:
/JMIL OR FN6.'S ADOflF55:
��
��
��
u�: CITY OF COSTA ME5A — BOILDING PERMIT
PERM NO: P 080538
92627 PERMIT NO: P 080538 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTZON TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ucxo.: JOB DESCRIPTION : WATER HEATER CHANGE—OUT SQ FT:
UM:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
cam�crarsru�: COAST ROOTER & PLUMHING ( 714 ) 241-1414
CdNiNACLOR5YY1N0 2737 S CRODDY
�ooxess: SANTA ANA CA �G�,; 529127
92704 urar: D
LICENSED CONTNACTONS OECLAFATION: I Mreby dlim uMx panely d pa'ury ihn I licen wieoru d CMqar 9
(oommenanp wn� &ecibn 10001 d Divi+un 3 d Na Bua�ww erd Pmlea ' . ud mY �� II eM allad.
cmuc.no.:045140 uc.cuss:C-36 uc. .� P; 06/97
oe,, z��a�96 ���a: -
OW NEN BUILDEP OECLAflRTION: 1 Mreby �rm undar peneYy d parjury Ihet I em vo pt Imm IM Contredaa Limnee Lew Im Iha
.„idloxinB rea+� (�a^ JOJ1.5 Buenma eM Rolmeions Code: AnY cnY a�+nry w1�iM rpuime e pe�mil to oonetrun. eM1ar. imyova.
� jx�nde�, a repai vry ei�uctun, piaW ua eauenca, e6o repui�ea IM epplirant Ia ach pamG lo fib e sqnad eietameM Nel he a ahe
cerueE W�e�l �o IM pwuona al Ihe CaN/enaf liroNe few (Cheplx 9(cammanenp rrilh Sepun ]000) d Ov'von 3 d �he
�i� ud Prdenbm CaEel a tnm he a ehe b memq �haehwn aM IM bavs /a ihs eEeWd uemqion. MY violmion W Seeian
-)0�1.5 by eiry applirenl loi e permn eubpde tM eppl'rsnl lo a mY penelly d ml mas IMn INa huMmd Ed4n �S.AO�.
� I, a� owwr ol lhe propenY ar mY emplvyeea wih wepes es Ihei wb oompenaeibn. will Eo �he xwk. end �M ewnun e m� m�endeA
or Mered M eele (SeeUon ]Oea. Bumrov vd PmlensiwnCode: TM CanUeaan L'reene lewEom nd apply loen mmerd prapmly
who EuiMs a inD�w*� �fwroan. mM x1a Eoee suM work limrtl a havel v U�aph hu a Aer own emdoYbs. V�� ihel euM
imP�'emaq� aee rot'vuendeE a WxeE la We. tl. howe�er. the W�Suq a inpwanpa e eotl r.iihin ona Ymr d aomdaion.IM
owMr-0inlder will hew il�e buNen d pwi�q he or Me Qd rc� duN a'unpv.e la IM qnpwa d mbl.
� I. m owiw d the O�Watl. un siduively caVmd^Y wrth 4mnwd ca4rac�av b m�w tM p9� (Saavn )Ou. &nmws md
Pmluawu COEe: The CoMrmwe lieerua Lew tlom m� epply �o an owmr d peopeny v�fio builM a impwa Ihmson end who
convacle la wcM1 prqaqa wdh e conlrada�a) IicemeE Wnuem lo IM Conlredm Licanea Ler�.
❑ I am uemp under Seclbn: B. d P.C.. f« th'v raeam:
om.: ow�«:
i ao n.renr �.nM u� i.m e.a. d ene w�d��,e m. rea��,ew a ceuomu He.m, .na sdwv coee sea:�m asws, zssaa. ena
2559a, aM Ne� I a ury INun Wikiip oowpent will / wil m� (arck ma) mad to comply wYh �eiE Yate oodas eM Ilr ipWmname M
epaimnlorconeWciionwmodifiulimhwn�heAi u�y —enepemeniDianq.Reddemielcanmrud'oneppYralbn�enewemqlmmNpa
p��.
ome: Acc��:
WOPKER'S COMPENSATON DECL�R�T10N: I Mreby dfirtn uMx pmMy d psjW oro d the fdbr.irp Mdeietiom:
� I hew vd xitl mantein e cerlil'rate d mneenl lo eeH�inaure br xorkeii compeneation, u poWded la by 6eGbn 3]00 d IM lebar
COEe, lor tM perlormence M ihe xvM lor wMch I�ie paimn ia iveued.
� � neve a�a wi� meime'v� woMen canw�on insureMe. m ma��ree M seeian a�oo w m. Lenor cod.. w me ro�anw�oe a m.
,.�i«�.eKnmx�a�.��.e.rnyws�.'CALIF�COMP ��"um�ve EXPIRES
Pa';��m�,,: 01. /O1 /97
. nis aeclion need nat 6e romdefed f flre pennk u la one huM�eJCdlers /St00 m bse J
� I canA' �� in Ne pMormence d tM xroA Ia whkh thia permn ia aEl eh doy am� ve on n vy menror n m �o
become wbjsc io iM worMeri mmpart+mbn lews d Cetil d I a tlw '1 e o Ee �ma abjetl io IM xwlws'
rom ion pv.'v'av Seifun 9100 d tM lebor Code. I o� aampry p iona.
om.: �No d �6 ��: �
W�mMp: hllun N heuro woMw�' eompwwtlon corenps /a unl�wlu( entl �lu/l /�ef en w�vloyw ro alMnl p�ruMp �M
clNl 9� ,p ro om hurtlrod fFouuntl Odbn (SfOQP00A M aAd/fbn ro tl'� rost I mmpNueWM1 durrpu o pvvWM br In
Sxtlm J1P6 0l M� (ebar CaM. IntwL Ntl �ttomsyi lsu.
corurnucnoN ��oiNo �cewcr. i n.bM .� � wreW a w�w �n.� in.�e u. mmmawn w,�ro ro�r a. m.
yarlmnance a �ns xvrk �« wnitl, m: w�� u e.wd (s«aon 3Un. cb. c).
LENDER'S NAME:
LENUEfl'S ADIDNE54:
I ceniN iliei I Iwe fatl No eEdiraiion a�d pme ihel ihe ebv+a iNwmaton ia mnae. I epraa to comply wil� NI ary md munly wdirenoae
�
(5t5f<B.WP)
R�/�LISBY
Ihia dry b entp �pan IM ebwe�memoneE p�aperly
od,: 2� ,uo ✓ '
Whne-Buikip 8 Sefery: �raerFFb: GenW-Appfueu: Fnk-Ravenue: (3alEmmbNemv
COMMENTS: NO OTHER WORK AOTHORIZED HY THIS PERMIT
iE �ElE �E if ff fE 1E iE iE fE if iE iE 1E k �E 1E fE fE iE �E �E jF 1F jE �f if fE fE 1E ik 1f 1f !E 1f 1t k if 1k 1E 1E �f 1k 1E 1ElE iE jf k-!f 1E iE iFlE 1F ff �E 1E 1F IFlk 1k * iF iklE iE iElf 1E IE i41E fE �E iE �E 1E
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 AUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LGFT; FT IN RGHT; FT IN LEFT; FT IN RGHT'; FT IN
PARKING REo • PROV: PARCEL: 43942107 ZNE; REF NO:
PLANNING NC�TES>
%
iEiE�EilItlEi(�1E1FfE�ElEiEififlf�fiEiEiEiEiEfEfE�EfE3EfEiE�kiE1ElEiEfEfl�fEfEfElkiElEfFiElEfEiE�EfE1EfElEiEjEiElEiEitibiklFiEfFiEfEiffElElEiEiklFiEffjfiEfEifiE
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY; S� DATE: �I 2--1 ,�
ik�EififlfiElklEiElEiElElEiE1E1E�E�EiElE�E3k3F3FiFiF�iFiFiF7F�FiF7FiFiFiF3F3F3F3F3F3F3F 3F3FiFiFTF�FiFTF3i-3FifiE�EiE�f1EfE1E1ElfiFif3c fE1f
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
258 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 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
iE iE iE iE 1f iF iE it ik iF iE 1E 1E 1f if iF 3E iE ik iFlE fF iE iE aE iE �E 1E iE ir iE iE �E iE iE iE iE iF ik k ik if ik ik k iE iE iE jE if iE iE iE iE #� 3E iF iE it iE k iE i! if iE iE fE jf if 1E iE iE iE iE iE iF iE �)f iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D G S C R I P T I O N UNIT COST TOTAL COST
PI.0 1 WATER HEATER AND/OR C�ENT 11.00 11,00
END OF FEES
EXPI �
�A� �- �v�
01 00219619—�02�9619 T CrT 33,OD
DATf: il/?i/95 TIflE: 11:31
iCONSTRUCTION ANDPLANNING P00' SPA
APPROVALS Permit # Date Inspector AppROVALS Permit # pete Inspector
1. Temporory Electrical Service or Po1e 52. Pooi & Equipment Locatio� �+
2. Soi� Pipe-Undrgrnd. 53. Steel fleinforcement -
3. Electrical Conduii Utility-Undrgrnd. 54. Forms
4. Electrical Conduit�Undrarnd. � 55. Electrical Bonding ,
5. Steet Rein�orcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 5�. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe�Undrgrnd. . 60. Backwash �ines, P�Trap, O Undrgrnd.
10. Svuaural Fioor Svscem 67. APPROVAL TO CECK
i i. PropertY Sewer Line & House Conneciion 62. Backwash & Receptor�Final
12. Sewer Cap .� 63. Heater & Vent-Fina� %. "
13. Roof Drains � 64. Plumbing System � Final '�
14. flough Ptumbing � 65. Eiectrical-Final �
15. Rou9h Electrical-Condurt - 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wirin9 Sign 68. APPROVED FOR PLASTERING �
18. RoughElectrical�TBarCeiling 69. POOI;SPASYSTEMSFINAt �
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating �i. Product Pipinq OGas �Oil
23. Gas Pipe•Rouqh & Test 72. Underground Flush
24. Roof Framing 73. Undergmd. Storage Tank O Gas ❑ Oil ,:, � "
25. Roof Sheathing 74. Overhead Hydro �
:•
26. T�Bar Geiling (Structurap & Monocoat 75. Ory Chemical '-'-
,
27. Frame 8nd Flashing 76. Dry Standpipe � '�
28. Lxthing & Siding 77. FIXED SYSTEM FINAL '
t
29. Insulatfon 78. FIRE PflEV. FINAL n
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . 79. FINAL INSPECTION
32. ElectriCal Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: i
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace ,
38. Final Plumbing
39. Water 5ervice-Pinal
40. Gas Service-Flnai
41. Solar pomestic•Final
42. Backflow Preventer
43. BackfloW 1�rlgation
44. Landscape Irrigation SYstem
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUIIDING
46. FINAL PLANNING
49. Electric Retease to Edison
50. Gas Release m Southem California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date
PPOJECI AUOBESS: � 3 � : ��� ` t:t7
. OWNEX'$NAME:�lCL .'T�.�RY,�•• TR
�, nOt�nESS: � ��� y:.nr1 AC't
�J�_A ::���., _A
� 7:".�,:Z930
I ABCM/ENGINEEN:
noosess:
UNIT:
a�r.�� _.
HEC.NO.:
uxir:
PEflMITTEE: liA:.AY F� Y�. �f'. ( 7: 4) 5< E- 2° 3 0
nooeess: ? 7 3 3 E:.D �� ta V
C:+. CA °Z627
LICENSFO LONTpACiOP oECIAPPTION: I nereoy aflirm tlWt I am licensetl un0er pravi9ons ol tnapler 9lcommencing wii� Section
7000� ot Divisi0n 3 0l t�e Business an0 Pmle55ions CoCe. antl my ticensC is in lull force an0 etfect.
CRY LIC.: STRTE LIC.: CLASS:
Oate: Signalure:
WOBRENS' COMPENSATION OEClAf1ATI0N: 1 nemby atlirm tlwt I luve a cenificate ol consent to selbinsure or a renilica�e ol workers'
Camoensz�ion Insurance. or a cendie0 woY ��e�eof (Sectpn 3800. Lab. CI.
POLICY NO.: E%P. DATE:
COMPRNY:
❑ Cenified coOY �s �ereby lumisnea. ❑ CenilieG copy is fileU wit� t�e ciry Builaing Division.
Oate: Mo���:
E%jMPTION FflOM WOHKEXS' LOMPENSAPON OELLAMTION: ( Sa1
J�Eeriity ttWl in I�e De�ormance a� I�e x9rk br wN[� ll¢t Oet 6 i5S
/sub�ect Io Ihe Workers' Compqensa�ion LavK ot Calilamia.
� Date: �� -/ �- / 3 59�ture:
NOTICE: I1. a�ter maiting �ttis OecWralion. you 5�ou10 me si
Code. you musi lonnvntn wmoN •+�� sucn promions r� D
LONSTBUCTION LENDING RGENCY: I�ertGy aHirm I�ail�ere B a
wnicn inis permit is i<suetl ISectian 3097. Gv. CI.
IENOEN:
PUONE55:
�t
WI
to tne N
StuO E¢
'� it Up pGml6la ane hunOr¢0151001 a I¢551.
a`ry persan in airy manner so as to �ecame
' ComOensaiion pwvisions ol I�e Labor
E revok¢E.
apenty lor Ihe petlarmance of Ine vrork for
OWNEfl BUILOEP UECIAPRTION: 1 nere0y alli�m Ilwi I am eaempUmm I�e Coniraclors' Slaie License Law for Ine lollovnnq reason
�Section 7Q7f.5 Business ana Professionat Caae: pny ciry ot county wliic� repuires a permi� m consiruc6 aller, impmve, aemolis�, ar
repaii any Slmtiure. prio� la i6 i55uai%e. aL50 r¢puire5 I�e ippliCdni lo� Sut� plrmil Io Ide i Sipn2G Slaiemenl Itldl �¢/She is lit¢nSeG
pursuant lo I�e pmvisions ol lhe Conlraciors' Slaie License Law �CnaO�e� 9 �commentin0 ��n Section 7000) ol 0ivision 3 0l I�e Business
anC Pmlessions Code� or t�al ne/s�e is eeemo� ��erebam aiM t�e Gasis for I�e allepe0 e�emption. Any tioWlion al Section 7031.5 Gy
any aD0licant lor a permii wOjects I�e aD0lifant Io a ciW penally of ml mOR Itun live IlunEreE tlollars (5500�.
I, as owner ol ine ompeny ai my emWoyeeS vnt� wapes as Ineir Sde comoen5alion, will ao Ine wnrk, an0 Ihe
❑ simcWre is �at inrenAeO ar ollered Iw sale (Sectpn 70aa. Business an0 Profe58onal CoOe: T�e Coniraclors' Sute License Law
Ooes no� aOVty lo an owner o� a pmperly wlp GuilEs ar impmves I�ereon, anE w�0 aoes such woik himselllhersel� or I�muph
hrs ot A¢r own employees, 0���� Itwl 5uch imp�ovemenLS are no� intenEeG Or Olhr¢E lar sa10. II, hOwev¢r I�¢ Guilainp or
impwvement is SOW xit�in one year o� com0�elim, ihe owner vnll tuve Ihe OurOen ol O�a�ng �tJshe OiA nal builtl or impiove
br ine ouroose o� salel.
I. as owner ai ��e propeny, am eeclusiveN comraciing wn� IicenseG comraciors stmct I�e prolect �Section 704a. Business
❑ ana Professims Caoe: ine Conuacmri State Lkeme Law Eces not ao0ry � owner mperry wla builCs or impmves �Aereon
anG who coniracis lor suc� pmjttts wil� a mnVa[IoqS) license Dursua lo ��e Contrac rs' $lale License Law�. I am aware
Ihal pmo� ol Iheir Wmker's Compensalion insurance 5�ou10 De O�ovi lo me.
. I am exempl under Section:B � 7� 4 4 B. 8 P. C.
. mrihisreason�, aLpT %:`JQi� t-'.Y O:t:i�.r..� �_ /
Oaie: �� I g� / � pwner '� ' ' ✓
I Do �ereUy terliiy I�ai I am aware ol an0 uMeRlanU I�e repuir¢menis o� alilornu atm ana ety Cotle Sections 2550.5, 2553J, anJ
255� and tnat I o� any lulure buiiGmg occupam wiIV=11 not (ci¢le anq nee i com y unt� ui state coaes antl ihe repuiremenls for a
peimii for conslmction or moadicaiion Irom I�e Aii OuaLiy ManaAement Diflnc�. Fe enlial nslmc�ion aOV�icalion5 are eKempl Imm
t�ese D�ovisions. �`
Oaie'. AD�licant:
I hereby cerii�y I�a� I have r¢atl Ihis ap0litalian and S�al lh
ortlinancesanaStalelaw5rela�ingtaEwlCingcons�metio an�
prOpetly IarinSpPtiion Duf(p0�5¢5.
Oale. C--� �-7 � Signalur :
Drivefs License or Soual Secunry
i5 rorr¢Ct. I agree lo comply wilh all cily antl counly
nialives ol Ihis city �o enter upon t�e above�menlione0
Pink-Revanue: GolOenro4-Assessar
��-Y 0. C��'�A ..ESA - EJI'.DIXG Pcd:•._. ^�R}: ..'�: _ . _�«_
PER`::': ::C: B 06222� P:.A:i C:a::;{ \0: ?: GGt•"': .' =-:. ..
CO:�:S:R;.:C::O:� :YPE: V-ti PER4:�:' �YPt: 5"'�2 Y..f.t�_c: I��.
�OP JESCRIP•'0:: ..-/0= � R=Si-i: RHRC�F :ti/ C0.`!n SQ F': ?, 3: 7
Ci,A=:' VA:.I.;E: 3, 30Q.00 CA�C-�rA�JE: 3, 300.0^ �R�'J? CCC: R-3 /
CO�:::E\TS: S;fOK� DE':EC.ORS R��D L'BC #:2:0
:fi%#iiiFV�i%i`Y{Fi?#';F��a:Y##ifi�#v�^'x"#' 'F#:FiFiFif}ifiei%�iEiFiF#ifiF?F�YY'�ii+:;::;::•:•••. ::'.:':" :...:t4.:+T!'.i+... i.,. ..
Z J:4 _ ti G R O'- R-:; .. V. S
5 c . B -AVC�i; Sy
"__________ .,.ai�.'. 8.,�'uL�%�.�v _'___"'_' '_' ••••-y __'____"
------ a:c�ss�qY �.._ �j:<c
F��':: F" �y REAR: F: I\ FR\':: F': ;;1 REA.?: F': ::�
:,EFT: F: ?:: RGH:: F: II�. LEFT; F: �.. BG:i'_ ; FT �:L
PARi::\3 R:C: 2:i0Y: PARCEi.: 43927�20 Z;GE: Rc: :CO:
P:.AtiX�:�G :�6:=5>
i
if'iif?E!!iFiiiE?i�ieif+f tF'r"?SiE+f+�'riFifiEiF�f?tifif�.i�iE?E#'i. uiflf��fiEi(�##iEuu###IE�#'s#i. �:tt�<iE:Svuit:. #i:.' . :. �.t" :'. :. i:�tc-�r#+e#
J � iJ E',, O P:� L:�: . S c R V= C.. S R E Q.. _?. E.. E?' _ �
ZO�I\G APPROVE� BY DA':E:
8�:��Tyc aa��ovE� aY :
A?PLICAii01 =��;JcJ HY:��
4i�1Fi?E>ifY?FY�iFifi�iF#?fii?Fif?E+f. . !f t. T's'^'�
i�?�'r?fiFiFiEifi�iF'r�#ifu -.�i�3E###1fiEiFiFiEiF?F?E#}k#ik
LEGA:.IZA'_G?I:?: F E _
�,,.v �y_ �,...;�ItiG -
DATE:
�A': E : QS'L7�
r�✓••. � •+ruir�K<fi�:, rx+rs.�f#K�±E#u.y#i�#Kiit,x......xtt�'•<
#if+' 41t#�#?E1'ib:';F�k: PGiFk#i'#Y.i�if1F�'-#1Fi�::': i.�' :... .irif�+�.�"'
S Q:a: :: A R Y S'='R:;CT',I:iA:. :,'E��:?E�:::Y
..� ...,.. . t.._.....:C ::ECHAtiSC F.RE SY�P/RF.� GRt�:�:::.'•
PER`:�': 63.00 �0
..`'.::�e�; :1:J::-Fit:
P L A:�
ZSS::E FEE
&'J::.D�tiG-D:V-> PER:!=. ISS;:c P?.A:d-CHcCK ':C�e+:. PA=J -
!:OTaL5----> 63.50 0.00 0.00 63.50 63.50 .DO
REVE:�UE D�VISIUI TOiA:.S--> COLi.ECTED: 63.50 OVER/SHORT: .00
BiDG PN.� P�:;YB,tiG EiECTR=C XECHAti:C F:RE 5.:'�?/i0: GRtI��tiG ?:,r.t-CY.EC:;
63.00 .50
iFifiFiiiEifif�?FR}�t:c�.�iFieififiE>.V�i�iF�ii�}:ieif+f�?EiFiF*#iFiuiEiFiiFiFi!�+fleKlfir?fif�}{:�Y�%A+4.:'�"-#!E#!EiE+ii•�+F;c#iF+�", �.�.�ia
: y�_ v;:, c A., ... F H� E a r: n o h:� �
TYPE O:Y D E S C R Z P T I O:�l L'ti=T COST ':0_A� ,:QST
SFR 3300� R�ROGF BY L7ALi:E RES"UEUT=AL NOZONE 1.00 3,300.OG
3 EtiD OF FEES
�
EXPIRED ` C (�
� \ /lere �f.$pQ�t7txiz ��Y'��
C� �'� �g O 1 00139324-00139325 T O T 63.50
} DATE: 0;,/17/43 TIttE: 13:53
C'
� �
CANSTRUCTION AnD PLANNING
APPROVALS Permit;,-
6 Temporary Electr+cal Service or Pole
2. Sa�i Pipe-Untlr�.�d.
3. E�cctr;c� Cand��: :;•. � tv�C�.c-grr.u.
Q. FiLCtrl[dICO^.tlu.l�Ur.�'�'-�-__
5. S!ee'� Fl: info•cum �nt
�. E�ectncai UFER Grnil
7. Fooungs _ _
8. Fourdation -__ -__-
9. Water Rpa�Undrgm�i.
10. Structural Fioor System
11. Proputy S�r.ar Li'+� R� H�•.:-c Cnrrsc!ion
12. S�r✓er Cap
73. Roo* Ora�ns
14. R��g� P�umL,���
15. Rccgh Eiuctr¢al-C.aca ..t
76. Rough EleCtricVJinng
77. Rough!91nng Sign
18. Rough Electrica'�T Bar Ce '�ng
79. Rough Heat�ng & A�r Co�d�2�on�ng
20. Ro�gh Factory Flreplacz
21. D�Cts, in Structure
22. Duns. Vont�l.tinp ---
23. G�: PiPc�Ro��3h & T �-t_-- ----- -
24. Roof (�am:ng
25. Poa+ Shcath.n9-- - ---- --- -
26. T�Ear Ce�lmo IStr.�r!✓.I B� _'�rnr.,�_
27. Fra�ne and Flash�rg
28. ta(hmg R S��iiny-- ----' - -- -
29. Insulation _ _ _
30. Dry^��dll Nai'mq
37. Plastcr B•oi•.n Cc..t
32. Elec[ncal Por�er :Set�� F �'e,
33. Pln„�� Electnc
34. F.^�' Heat:nr, & A C, �..� t c•• -
35. Final Gas Pipq�T'.t
36. Hoad or Car.opy
i _ _
I37. F�nai Pcctory F��eP',�cc
I 38. Final Plumbing
39. bVater Service-Final
40. Gas Serv�ce-F�nal
41. Solar pomestic-F�ral
42. Backfiow Preventcr
43. Backfiow Irngation
� 44. �ndscape irr�qatio� S�iscar-
� 45. Sound Attenu�to• �
� 46. Handicap Regulat�o^,;
47. FI�IAL STRUCTURE & BUILDIiJG
48. FINAL PLANPlING
4�J. Electric Release to Eduon
50. Gas Release to Soutliern California Gas C
51. CERTIFICATE OF OCCUPANCY
No. Date
POO� L� SPA �-��---� _ --^
Date Inspecior APpqOVALS Permit � I Date I in>pector �_
I I I � �
� I 52. Pool & Equlpment Loano� ! I
--- + ---�--'
' � 53. Steel Reintorcem«^t � '
--i-- �--'------- - . � - ---- � ---'
' i 54. Fixrn,
---i----j - - - - �� -
' 55 [I�c[•ical Bord�rg ��---_ �
� - -�_--j _�,
� 5G. (touqh Plumh,ng & P�cs��rc T,st I .
'_-`_- �- --_- _F__i_
� � 57. APPROVAI_ 10 COVEH�GUi�,I�. E i ' ��
�--- --- ---- --- t - ---,1 - - _-'-•
58. cluctncalCacdu�l�UnWGmtl. , i
f _
� 53. Gas Pipc. f7 Urdig•.,J .�e�.t � � .
i ,
i 60. Oac!.�vish t incs. P.Tra�. f_] U��d•T��d- �--- - �- ---
__'- _--.____ y-_ _- �_r-_.
67. APPROVAL 1 O DECK i i
; -----r--- ---- r--- -. -- -
� � tl2. Ii.c�.o.:�;h & R��czpicr�Fi. a� . --_- -
_ _'-_-- _ _- __ - _-�---__ _
� � 83. Ma,;tc+ 8 V�ntF�.ra� � �
_..{______- _�-__'__ - __
-� � G4. �lumh�nq Syc_!em � Fi��al ' I
--�----�- ---- --- - -T - ----
i � 05. <Iectrical�F,na; i �
� ---- -- - -i ----j-- ---
66. Sol.�r Sv.•.en fir;, I �
- -- -- --------�--- - T-----
' G7. Frncin9 Rl Aceeu App*u:al I �
�_ _�._____,, '__ _,
�� 68. APPROVeD FOR PLAS�ERING I
-- -i--- -i---
I� 69. POCUSPA SYSTEYiS FINAL � �
- - -'- - - - ---
� FIRE DEPT. REQUIREMENT � '
I APPROVAlS Pcrm�t �:- _� �
��-- I - -'�---- -�-------�
� 70. Undergrou�d Hp�ira i 'I
j � 71. Prc:tiuct P:p,�q :. Gas .: Oil -�- i --
l
--'� _-� /2. Underqrou�id Flu'--� � -� _ - - -, _'"- _ _
- -----i---- - - ---- - L - - -. __. --
/I I '/3. ll����rmnd_ Strn;✓�� T::^Ic ' G ;s . ' C ' � - - - -! - - - - -
-t -
� i,���--14. O�erYrau Nvmc � ��
._.I __ ___ 75 O�Y Chem c�l _ ___ _ -_ _ t _ _ _ . � - _
- _ -___-_ ----.__ _. � _'�• �
76. Dry St�rtdp,^.c �
-- ---- ------- 1� • -
77. f IXED SYSTE^.9 f INAL I �
- -4_ -
78. FIRE PREV. FINAL 1_ I
HEALTH DEPT. REQUIRE�e;[kl"
-- � 77. FREAI.I'�S^CCTI^,� --__ __ . I - . _'_ .. -'
--F - - � --- - - - --- - � �-�-. -
I � 80. FOOD CER7�FICA?F ISSU�D i I•
'-} -----}----- --- - -- -- � `- --- -
� latos:
--�-- -- -i- -- - --- - ----- - - - - - -
-�- --- - - -- - - - - - -
- ------ ----
i
------ �
- ---- �
- ---- - -- -i
-- ------ - - -- - �
I
I
�': �-
' . ` �s;��
� COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
BUILDING
ADDRE55
FOR APPLICANT TO FILL IN
z33 3 �-� �.,. G��
COSTA MESA. CALIFORNIA
OWNER �Oip� d
ARCH�TECT
OR f VE
ADDRE55
LEGnL LOT
oescAivrioeu NO. �� B
A.P.NO. /�%��(�/I'—
..,_. ... ,.;. .
R=11`�,P:CE D�'!.
(ii� i1- "�C��� ��I.�C�
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
� �i �� -�J� ��
TEL. BIJILDING
NO. ADDRE55
i e�O� c � COSTA MESA. CALIFORNIA
FIRE
1 ZONE
ZONE NO.OF TYpE GR(
CITV LIC. PLPNS
NO.
APPROV / %
�'��G BY �/1Y/i/C DATE �"
�_� CORRECTIONS
rvO.OF BL�GS. O
�IOW Orv LOT
SETBFCK LIrvE FROM+ I I
CENTER OF STREEi �' REAR YARD ��
� �
SIDE YARD % RIGHT �� LEFT �
DESCRIPTION OF WORK
NEW � ALTERATION I ADDITION
REPAIR MOVING DEMOLISH
BUILDIN � ( NO.OF
SRE � S �b ROOMS STOFIES
E%TERIOR W L ftOOF
C1TY OF STA 1✓ESA
' kP�'.
SUBJECT TO G. DEF'T. REG.
COVERING � COVERING G �
BUI�lO1NGEW Q•�- /� � J
hl/ / �l ._
�? y� � '� � �C`zc�v
I HEREBY 1CHNOWLEOGE THFT I NLVE flE>O TMIS PPPIICATION ANp
STwTE THAT THE ABOVE IS CORFECT l�Np FGREE i0 COMPLY WITN nLL
CITY OROINANGES <NO STFTE LF�NS PEGULATING BVILOING CONSTPIIC�
iiorv. VALUATION
SIGNATURE OF PERMiT FEE S •-
PERMITTEE . �7
�./� Q( � PLAN CHECK S �/ �
AUTHORIZED AGENT 1 a, TOT,4L FEE 5 S /•� �°�r
` 6691
`COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31�
COSTA M�SA. CALIFORNIA
FOR
TO FILL IN
BUILDING 2� �"7, i f ����
ADDRE55 � L 1
COSTA MESA. CALIFORNIA
OWNER S 6 `� `/E �
ADDRE55 ' 1 I 11r \ Ql I b\ S�
(� _ I TEL.
CITV \.JLa..� �--�Gi/ NO.
ARCH�rECT LIC.
OR � 4EER NO.
AODRE55
s�� ��C�6@��[�
s �_s� .1w
FI�ANCE DEPT.
CITY OF GOSTA P�9ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
COSTA MESA. CALIFORNIA
FIRE
ZONE !
CONTRACTOR C 0'GI S� f� CITY NO, o
ADDRE55 C� � VC�.±,��0.A I4 TNO. �� 1'O� BY
LEGPI LOT
oESCniPiION NO. �L� BLOCK TRACT3JU
A.P. NO. � �
SIZE �� � �[ .� � �) NO.OF BLDGS. �
OF LOT \� NOW ON LOT
USE OF �i /�
E%ISTING BLDG. �'? � " (��^A[j �
5[TBACR LINE FROM �
CENTER OF STFEET O' REAR VARD� �
SIDE VARD RIGHT �/ LEFT -
DESCRIP710N OF WORK
NEW � ALTERPTION AODITION
REPAIft MOVI��G DEMOLISM
BUILDING NO.OF
SIZE ROOMS STORIE
E%TERIOR WALL ROOF
CORRECTIONS
CITY OF' 75'!"a nat�n
� CUT.
SUBJEC� TO DG. DEPT. REG.
I HEREBY RCI(NOWLEOGE TX<T I MPVE READ TMIS �PPLIC�TION PND
STaTE THAT TN[ RBOVE IS CORRECT ANO 4GREE TO COMPLY WITH RLl
CITY ORDININCES �ND STwTE S�WS pEGIILATING BUILDING CONSTXUC�
I nON. VALl1AT10
SIGNATURE OF
PERMITTEE
�l . rl/ic_. � 5/ r \
PERMIT FEE S Z�
PLAN CHECK S '
TOTAL FEE 8 Z —� ''��