HomeMy WebLinkAbout2889 EL RIO CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856
� CITY OF COSTA MESA �
BUILp/NG p/VISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Job Address: 2889 EL RIO CI
Suite No
Vicinity:
Parcel Nunmber: 1415fi207
Applicant: NOCK, RON , � �
Address: 17612 KNOTT ST - .
GARDEN.GROVE,CA
��n /�� �
owrier:�jHESTER, NORA-C ,T_R
Address � ROBERTA J PETERSON
�',��,j �COSTA"MESA, CA
�"`Y j l 2889 ECRIO CIRCLE
�F•;' ,' � ' �:: `
� ��Contractor: NOCK PLUMBING
� � �Address: � � 71672 KNOTT ST
. � � GARDEN GROVE , CA
, �
�
� �s��
: F '
Arch I Eng :� - � �
�Address:�
P�UMBING PERMIT
Phone: 714 895-1246 .
. Zip: 92841 � .
.
Phone:
Zip: 92626
-- Phone: 714 895-1246
Zip: 92841 -
License: 707775
- Phone:
Zip:
License:
� ' . � SCOPEOF PERMIT �
\� . ' WATER HEATER CHANGEOUT .'
, "��- . � . ' : . .
.
` �.
��;
� � AMT
' � '-
ISSUE FEE � � �$22.00
Backflow irrigation $0.00
Backflow-Prevenler - $0.00
Bathtub � � � - � $0.00
ClarifierSystem.� .$0.00
Connect (Ice,Soda,etc) $0.00
Dental Units � �$0.00
Dishwasher �- $0.00
Drain, Floor A' ��-$0.00
Drain, Rainwater , -$0.00
Drain, Roof �' $0.00
Drinking Fountain $0.00
Expansion Tank $0.00
Gas Earthquake Valve $0.00
Gas (7-4 outlets) $0.00
Gas (Over 4 outlets) 80.00
Gas Repipe $0.00
Gas Service $0.00
Interceptors (Grease, Oiq $0.00
Interceptors (Sand Auto ) $0.00
Qn
..FEE SUMMARY
� AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
� � Pressure Regulator $0.00
� '- � Process Piping (per 10 ft) $0.00
Receptors $0.00
� Septic Tank $0.00
SewerCapforDemo $0.00
Sewer Connect � $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, servicelmop - $0.00
Spa (private) $0.00
Spa (public) $0.00
PERMIT NUMBER
� �/ P99-00383
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 07/O6/1999
Issued: 07/06/1999
ISSUED BY:
��� �`
� � ��
� � �,. �.C�'
� � ��
„ � �
EXPI ED �
� '
DATE �� �'C�
1 Jo � � Q
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
�
` ,
� . .� . AMT..
Sump Pump $0.00
Swimming Pool $0.00
Trap Primer $0.00
Urinal � -$0.00
Vacuum 8rkr Bkflow(1-4) $0.00
Vacuum Brkr Bkflow(5+), ' $0.00
Wash Basin � , $0.00
Wash Basin SeC- �� � � $0.00
Waste and Vent System $0.00
Water Closet (Toilet) $0.00
WaterHeater/vent $11.00
Water Piping (Inst or Rep.) $0.00
Water Re-pipe $0.00
Water Service $0.00
Water Softener $0.00
OTHER $0.00
VIOLATION $0.00
PLAN CHECK $0.00
REINSPECTION $0.00
TOTALCALCULATEDFEES: $33.00
QTY
0
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, o� if work is suspended or abandoned �
for a penod of 180 days. '
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
. requlred Inapectlona and tlnel approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. I
IFOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATON: � �
I hereby aMirtn untler penalry ot perJury one ot ihe following tleclarations: •
❑ I h end wlll malntain e certificate of consent to self-Insure tor workers' compensation, as provided for by sectlon 3700 of the Labor Cotle, for the peAormance of Ihe
ork for which this pertnil i5 i55uBC.
I have and wlll maintaln workers' compensallon insurence, as required by sedion 3700 of the Lebor Code, for the paAortnance of the work tor which ihis pertnit Is Issuetl.
My workers' co pens�atl�oj Insuren e carde e licy number a � p' -'' '! q �r(�
Carner. �� u/G� ��,�� . PalicyNumber. /iJl�C./��l" �/ � T TG
(This secfion need nof be completed!! fhe Oermit Is valued af one huntlretl dollars (5/00J or IessJ
❑ I ceNly ihet In Ue pertortnance ot the work for which ihis pertnit is issued, I shall not employ any person in any manner so as lo become subject to ihe workers'
wmpensation laws of Calitomia, antl agree that if I shoultl becrome subject to the workers' compensation provisions ot Section 3700 of the Lebor Code, I shell torthwith
comply with these pwvisions.
Applicant SignaWre: Date:
WARNING: FAILURE TO SECURE WORKER$' COMPENSATION COVERAGE IS UNLAWFUL AND $HALL $U61ECT PN EMPLOYEP TO CRIMINAL PENAI.TIES AND CIVIL FINE$ UP TOONE HUNDRED
THOUSAND DOLLAFE (Si00.OW). IN PDDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3IW OF THE LABOp CODE, IMEREST, AND ATTOFNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm Ihat I am licensed
force antl ettect. Lic. q
ContractorsSignaWre: _
CONSTRUC710N LENDING AGENCV:
ycommencing with Saction 7000) of Division 3 of the Business and Professions Cotle, and my license is in full
� Class a L' '
��� Date: � �� —
❑ I hereby effirtn that Ihere Is a consWction lending agency tor the peAormance ot the work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lendefs Address:
Signature:
OWNER-BUILDER DECLARATONS:
Date:
I hereby attirtn that untler penalry of perjury thai l em EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7037.5, Business and Professions
Code: Any ciry or counry which requires e permit to consiruct, alter, impmve, demolish, or repair any siructure, prior to its issuance, also requires the applicant for such permit
to file a slgned statement thet he or she is licensed pursuant to the provisions of Ihe Con�ractors License Lew (Chepter 9(commencing wlih Sectlon 7000) oi Divislon 3 of the
Business and Professions Code) or thet he or she Is exempt iherefrom and the basis for the alleged exemption. Any violation oi Seciion 7031.5 by any epplicant tor a permit
sub�ects the applicant to e civil penalry ot not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees wit� wages es their sole compensation, WILL DO THE WORK, and the structure is not intentletl or offered for sale (Sec.
7044, Business antl Professions Cotle: The Coniractors License Law does not epply to an owner of pmperry who builds or improves t�ereon, end who tloes suc� work
himself or hersalf or through his or her own employees, providetl that such improvements ere not intentletl or oNered for sele. If, however, the builtling or improvement is
sold within one year of completion, ihe owner-builtler will have the burden of proving Ihat he or she did not build or improve for purpose of sale.).
❑ I, as owner ot the property, em EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to consiruct the prolect (Sec. 7066, Business entl Professions
Code: The contraciors License Lew does not epply to en owner ot properry who builtls or impmves thereon, and who contracis for such project with a contrecior(s)
license pursuant to the Contrectors License LewsJ.
❑ I am eaempi under sec. Business and Protessions Coda for this raason:
Signatura: Date:
Owner ID veritied by tlrivers license. ❑ Ves ❑ No Drivefs License No. Expires:
Venfication of Ownership by (type"of�tlocument, I.a. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION:
❑ I hereby certlty that no excavation flve (5) or more.feet In dapth into which a parson is requiretl to descend, will be made in connection wlih work authorized by ihis
pertnii, entl that no builtling structure, scaHolding; fal'sework, or demolition or tlisman0ing thereof, will be more than t�irty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Califomla Administretive Code).
❑ As owner-builder, I will noi employ anyone to ao work which woultl require a permit from ihe Division of Intlusirial Safery, as notatl ebove, unless such person has a
pertnit to do such work from the division.
Signature: Deta:
DiNsion of InduSlrial Safe�y Parmi� Number:
CERTIFlCATE OF COMPLJANCE /W� AUTHORI2ATON OF ENTRY: I certify under penalry of perjury that 1 have read ihis application and state Ihat the information given is
correcL I agree ro comply wi�h all state laws antl ciry oMinances relating to building consiruction, and authorize representatives of tha Ciry of Costa Mesa to enter upon ihe
above-described properry for inspection purposes. I egree not to occupy or allow occupancy of any building euthonzed by Ihis pertnit until linal inspection.
S' neture O e al Owner(s) Dajg.,
Z `�
And/OrAuthonzed Applicant ' � Date �
CODE�. MSPECTIONTYGE �� 7y�e4$
1616 Flaetl System Final Fire Prevention
1266 Pool Spa Final
200 Final RaRoof
201 Flnal BIocWRelaining Wall
202 Final Factory Fire Plece
203 Final Sign
204 Final Demolitian
2448d6
COOE� INSVECTIONTYPE
206 Final Mechanical �
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
Q��f.
, .: .. :� A..r
�I
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■
AODPES �OF BUILOING: z g g 9 E L R I O. C I '
iwxeas�eiviuimvw�HESTER, C W
" ' �ooxess:pETERSON, ROHERTA
2889 EL RIO CIR
COSTA MESA,CA 92626
�vv�. Y.uuNc wox�ss:
�PCNRECT OH FNf1NEFA:
,wcx on �•s,�ooxEss:
caam�crarsruuE:
coxrxacrax�sxuuNc
ADDRESS:
UNT:
uc. xo.:
UNT:
uc xo.:
uxT:
LICENSED COMFACTOFS DEC�pqpTION: I hereby efl4m under periely o/ parjury ihm I am I'renwE uMer pwiuona W Gheqer 9
(eanmenaeq wnh Senon )000) d DNieion a G iM Buvnea vM PMeeeiona CoJe, eM my lieensa ia in hll Iwea end eHep.
cm uc. No.: uc. cuss: uc. No.: EXP :
oeta: coolretl«:
OWNEF BUILDEP DECL�NITION: I hereby dfirm uMer penelly W perjary that I em ezemq Irom IM COMreGore Licenae Lew i« tha
'bwin9 reeaon (Seqion ]031.5 Buainasa eM PMeations Code: Riry e�y a oountY �+i h epuiree e pa�m� lo eauVuel. allar. improva.
nde�, ar ropei eny suunure, qia lo ils'seuerwa, elso repuiree IM epplicenl tm euch permil lo file e apned etatamant Nel he or aM
IicenseE W9uent to iM proviaiom d IM Coniretlon license lew ILheqx 9(�mamiip wn� Seaion )000) d Diveion � d Iha
Busneea eM Professons COEa� a �hd M or eha ie eaemW ihereham end the bevis la �he ellepaE eaemqion. My vide�ion d Sxfion
)W 1.5 by enY eGW�� fa e parmn abjxLv iM epplcent to e ovil penelry d nrn mora then (rve hurMied dollere �55001).
� I,avovrtbrdthepropMyormyanployeesvnhwepmacthaiademmpanaetion,willdo�hexorh,endlhesVucture'snrniniendeE
«ollereE for ml. (Saction ]oaa, eusim» eM Pramaioro coda: rne cmlreaon licenae lawdoe� mt epply �a an ow�r d properry
wM Wide a inprovae Ihereon, end who daee auch wo�lc Mmeall or haneX or ihmu0h he a her own empbyeea, prwkeE Ihet auch
imprwemanla are not inleMed a dlwed lor aeb. H, however, tM WiHiiq a'vnpwemam ia eoN wnhin one yw d campblion, �M
V owmr-0uikbr will heva iha buMan al proving he or sM Eid nW build or imprave fw IM WN�e d vab�.
n"' i.�.o�,d�ne
�� properly, em exduervely wmraztinp wilh licensad convmbn b canslrutl Ihe propa (Seaun ]OId, Buai�ma vd
Pralemma Code: The Cantrmpa L'cenaa lew doee mi epply to en ovmer d popeM ��ike a improvsn iheraon aM who
conVeMa Iw sucM1 O�alede xilM1 e mnl�edoqa) Icensed W��� �o Ihe ConVetlore Liunee lew).
a ��� ��„ ��o�: a. 8 P.�.. �, �,�„a„o,,,
I eraby ceMy Ihal 1 em ewere d uW uMarslenE �he requiremenYW Celdpnie Heellh end Salaty COEe Seabm 25505, 25533, vd
, end Ihel I a eny Mun buikinp ocwpem will / wYl na (arcb me) rieeE lo comply wih eek nme mdee vM Iha �eyuiremeMe Im
epaimilfwmiuvuctionamaEificPoionhomlhaA'v u�l�epemenlDimna.Rnidamialconatrwl'pneppiralbmereavempthomNeae
prmaiona. . .
Due: ApplceM:
W OFKEq'S COMPENSATION DECLAR�TON: I hereby e/firtn unEer penehy N perjury wro d ihe blbwiip Eetlerelioru:
❑ IhaveenExilmeinteinecenAcmedoon�enlloeeM�ineurobrxwken'wmpeneelion,mprwiEedlorEySeaian3)ODotthaLebor
Gode, Iw �he pe�armu�ce d Na wak fa w1Ych Ihie pe'mil is oeued.
� I haw eM wil meintan xvrkert canpenalion imurarKe. m iepuirsd by Seqion 3100 d IM Lebor CoEs. br tM parlormence d iha
wwk for which thie pe�mX ia ivued. My warken' compenation imurence urtier eM pdicy numGer ua:
c�,: �
Pa�rNpmn«:
�mis :emm� neee � ne ew,�oNred r rne w�x a k. an nu�kree ea�ers R�ool a re.eJ
❑ I eeelAy Nel in iM pe�lameMe d tM wak tor whieh thia permil ie beuaE, I ehell � emdN' �Y Pai*n� in eny menner eo av lo
beeame eubl� �a iha wakere' ewnpanse�ion lexs d CelHana, eed ap�ee Ihet if I ehouW beeoma wbpa to tM xnhan'
wmpensaiion prwia'rona ol Sepbn 3]00 W �ha Lebor Cade, I eheil forlhxilh mmpy wnh ihoae pmviaiona.
Date: ADd�I:
W�minp: F�llun b��eun work�n'rompmutlon roverap� b �nbwlul, md ilull ub/st m wnploysr ro etlMrul p�n�ltlu ms
cnu nn., w ro�. nwd..d rrp�„�n ewan �s�u0.oaol, �n .dd�non ro rn. ca,r o� rniro«wean am.w+ o v�Ha.d ro. �n
Sxf/on �rob ol M� LWo� COW, Intwut, �ntl ettomsy'a I�u.
CONSTqUCIION LENDINO AGENCY: I Mreby e�fi�m undar panelry W parNN �� ��re ie e wnatruqbn brMiiq epenry lor the
pariormenca d iha wwk br wfiich ihe pe1mi b esueE (�� �). Civ. CI.
LENDER'4 NAME:
LENOEX'S ADDPE55:
�<eniry �lai I neve reee �nis envlcetion eM tle�e ihai Ne ebove int«me�ion u wneev. I Wrea io comdY wEn el� dy vM coueNY wdirw�s
eM nteie kxa relelinp to buikin0 Po���ion eM heraby eutharrza repreaentetivee d ihia aty io enlar upon Iha ebove�menlioned qopeM
�����9DB1'����"°�"'DWANE PETERSON
'7r � .
` (5151d6 WP) Whne-Buildirp d Sefery: Greeo-Fle: Cenary-ROW�I Fnk-Reranue:OaldamoE-bsevaor
-
_ CITY OF COSTA MESA — HUILDING PERMIT
PERM NO: E 077722
PERMIT NO: E 077722 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH
JOH DESCRIPTION : UPPGRADE SERVICE 6 INSTALL NEW SUH—PANEL SQ FT:
�CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /
COMMENTS: X
itat**�t***it+�+t***�t�t**atat�*�**etatx�itet*�tat�r*�**iE�tif***�iti�*it*x�***iE*at***itat*x�if+�x-�-**�+e�****it�
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN AEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14156207 ZNE: REF NO:
PLANNING NOTES>
i
1(-1f'lE iE 1f 1f 1E 1E 1f 1F if iF 1E 1E 1E 1k 1E 1k 1ElE 1f if jF if� iF 1E 1ElE1(� iE 1E iE 1E 1E 1E 1E 7! 1ElE iE iE iE i(�'lE 1E ih 1E 1E 1E iE 1E if iF 1k dE 1E iE iE �ElE if iE iE 1E 1E 1E 1E if 1E 1E iE'lf iE 1E iElf iElE jE
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 APPROVED BY : DATE:
APPLICATION ISSUED BY; ( /��� DATE: � /
���,�,�*��,��,��,���*,�,��,�,�����r�-������������ ������������,�,���,«�*��* ��
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL EGME T;N
i�.T.
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 29,50 : -
503 r, , SMIP/NON—RES
PLAN
ISSUE FEE 1�5.00 `" ' —
HOILDING—DIV—> PERMIT ISSUE PLAN—GHECK� TOTAL PAID DUE
TOTALS----> 29.50 15.00 . 0:00'' " 44,50 44.50 .00
. ,
REVENUE DIVISION TOTALS--> COLLECTED: 44.50 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC � FIRE SMIP/TOT GRADING PLAN—CHECK
44.50 , -
x�*x�***�**��*����+��*�*�******��***+�*'*� � *+�x i�*+�****��� **x�**x�x *+�� *x�**���***�*��+�***
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
ELE 1 SERVICES BELOW 600 V,6�HHLOW 201 AMP 18,50 18,50
ELE 1 SUB—PANEL r ' 11.00 11,00
END OF.�FEES
�i�Pl��i� `/�/ -Z��J - '� : (: - t -
�I �� ' % - r (J� ����ih� � —f�IJrI��J�%� R d ��
DATES�� �� - U � � � '' pyT' �': _' � "r . ' ?'f� �'; :.i�
� �'�= -, .
� �� _ r
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Yfi'.� �
�
�CONSTRUCTION AND PIANNING � i' PO� & SPA
Date Ins ector Date inspector
� � .APPROVALS Permit# _ p APPROVALS - Permit# ,
c ".
1. Temporary Electrical Service or Pole � �, 52. Pooi & Equipment Location -
2. Soil Pipe-Undr9rnd. 53. Steei �Reinforcement .
'f 3;`,Electrical Conduit UtilitY-Undrgrnd. 54. Forms � -� 3'
�. �.4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
_ 5�. �St`eel Reinforcement 56. Rough Plumbing & Pressure Test �,, ,�
6. �Electrical UFER Grnd. - 57�: APPROVAL TO COVER-GUN�TE ' '
�.
'Y7�, Footings 5S. Electrical Conduit-Undrgrnd. - ��'.
� B..�Foundation 59. Gas Pipe, O Undrgrnd., Test
S" Water Pip¢-Undrgrnd. � • 60. Backwash'Lines, P-Trap, O Undrgmd.
10. Structural Floor System 67. APPROVAL TO DECK
11. Properry 5ewer Line & House Connection . , 62. Backwash & Receptor•Final
12. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains . ' 64. Plumbing System - Final
14. Rough Plumbing ' 65. Electrical-Final .�
15. Rough ElectricabConduit �� � � 66. Solat SYstem-Final �
16. Rough Electric Wiring 67. Fencing & Access Approval �
77. Rough Wiring Sign � , 66. APPROVED FOR P�ASTERING
i
19. Rouqh Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �
19. �Rough Heating &,Air Conditior�ing - - •t�: - c �tRE�Df?T�REQUIREMEIV�T ' �n
- - - -:'�iD^ +:
20.Rou�FactoryFfre�place "� �'`_ `: ;� "-y':�APPHOV.$,'LS"ti Petmit#� -_
T. � � � J r• i�r�_ .
21. DuRs, in=Struciure� . .. .. �r+ G, :�* � 70.`UndergnouTid 4'��dro
22. �Ducts�, Ventilating'�� � �� % �� �• � �� � 7�, Product Piping-O�6as �.
�1 Oil
23. Gas Pipe�Rou�gh & T'est �.r-, r'. .. V� 5. �' 72, Undergrou�d Flush > >
24. Roof Framing ' �l : �T ��� �L �, ' 73"y, Undergr�d. StqY��g Tank O Gas ❑ Oil ";�� ��
25. Roo�Sheathing �. ��� v x. _ `,x 74. Overhead Hyd�^ � y� ='
26.'T-Bar•CeiVing (Struc2uraq & Monocoat � ` �" ��* 75t Dry Cheu�cal �, �' � _ ^ r'' ' '-'
.a r, � �
27.'frame and Flashing'. tyr. . , � �1. 76. Dry Sta¢cipipe•2�. e-' n7 �-i: '-: '
L:
28. Lathing & Siding r� ._ �" '� 1 � n. � 7Zi FIXED SYST�M`FINq'L" ' 'is �tl� t
i'i
29. Insulatio � w;,, _ � != 7$, fIRE PREV. FINA� '' ��
30. Drywall Nailing '` '- � � � � "� S ��4-1EALT;H�BE�'._REQUIREMENT
� n ;
' 31. Plaster BiowA,Coat w`' ��_ ,. . .� � 79. F1NAl INSPECTJON < c ;-
32. Electricat-Po�vzr Meter�F'rnal �� i �� 8b' FOOD C�RTIf��CATE 15SUED ��
� � r ,r . ? ! r • -• T� , ��
i� 33.'Pinal ElectriC�• �. __ r ., � r PfofEs:
= - - 3_l:3-y-�7� `���d Qc�_n_ E�-�s
�� 34. �FinaGHeating�& Air ConditioningJ k: � r �� •��'=' �-- ` •
_ , ._. t ,� _ . �„ xm,'� ,o:c.v��-.S��d_}_,� u,o.,�
35.'Final Gar?� e-Test - ' `" � . -.
P � �� , _ : ' � �/� =�h�}.�� �v_e�,�c f_�_a, l/
36. tiood or CanoPY ' �" ,��; - ', ... 1 � • Y . ��(�G��c:GL� �- x m ' fU G /� �dIl�C/
� ^ O�%�Ui � �. C�
37. Final Factory FirePlace .. . - ., n• • 1' .� � �6 I
� , � _fl1�`�f'0 . /'ooivt. O_/C �''"�-
38. Final-.Plumbi�g . , • • . . _ � �r. +' �
+ ' C' : t9 k
39. Water Service�Final y*. - ' � ' � � �y, ' _, 3, '; .,. � -
i ="1
40. GasService-Final . - t- a7 � � ,k - • �: r ��:
� 41. Solar pomesticFina( ! � ' , �' `�' I��'' = ' '
tr ;i i -
42. Backflow.-Preventer y • . _ -• : , -. '� .- - -,
K --
43. Backfiow Irrigation �. �'` ` ' � { . " ; i . .
�44. �Landseape Irrigation System - ; �- * � � eC 'Q '�'* : - - � ":t' • � --
L Ln L. ♦ l
45. �Sound AStenuatiod� : ' � ` �'= ,- , r `'' „�
'+ �-4C.) 'Y
; '_ '' _ _ __ _ .
46. I-landicap fiegulations •• . :t: � = � ,: �
.�
47. FINAL S7RUCTURE & BUI'LD�ING ' E' 1 , "" ~ _ '' `
r. ri� ... `7 C
48.FINA�LP4ANNING� � � � j ; �L � 'T
'1 <
49. Hectric Release to Edison � �� • � '-� _ ' F _
'# , '%' l ��� r . _'
50. Gas Release to Southern Caliiomia�Gas Co � � -" � �� '"
t - rr = ti, ': C
51. CERTIFIGATE OF OCCUPANCY
No Date
BUILDING PERMIT LOG
NUMBER: ���ZZ 2 � TYPE OF PERMIT:
ION: SQUARE FOOTAGE:
FEES: �� �.��1'9
DATE:
- TIME IS TD 6E GACULATED TO THE NEAREST 15
>IBLE IN RECORDING ACTIVITIES
� �ioob
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%917 COSTA ME6A� CALIFORNIA
For Applicanf ro Fill In� Completely
TYPE OR PRINT ��
ADDRESS 2889 E1�Rio Ciicle
COSTA MESA. CALIFORNIA ,
3800 E. Coast
Corona Del Mar
No.
USE OF
EXISTING BLDO. NORE
6ETBACK LINE FROM t �
CENTER OP BTPEET S 1 1 ' REAR YARD S 1
SIDEYARDI LEFf 5��7�� I RI6HT "' S�
DESCRIPTION OF WORK '
� RIOOMS 8 �6TORIEB 1
uccbcovEeinc Cedar Shakes
i WORK TO BH PBRFORM60
FIRE '
FEE RECEIVEU
NOY 1 b 1963
fINANCE DEPt.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Office Usa Only
/ / I rune
use or
L
A. P. NO. `TJ
NOTE: NO fiAVE OVERHAN6 SHALL BE LE88 THAN
90" TO SIDE 9 REAR P
EAVES
ALLOWED
YARD9APPROVED
MAIN BUIL�IN6
REAR
DISfANCE
MAIN BLDi
VAR. SR
x i12-c /SG(�Q.
1 HERE6Y ACKNOWL¢DOE THAT 1 X/�V6 R6�p TH�9 APPLICATION TXE �MOUNT ',
ANO 6TATE TH/�T TXE ABOYE 19 CORRECT AND AOREE TO COM. PUFP066 OP
PLY WITH ALL CITY ORDINANC89 AND 8TAT8 LAWe qEOULATING ypLUAT10N
em�o�rva conerxucr�on.
SIGNATURE OR ��
PERMITTE �' /� � /} � �/ � s16�JZS.00
AUTHORIZED ABENT j/7 _�. /7 I��v „� J� O�O '
YqRDSAPPROVED
ACCESSORY BUILDING
DATE
t /- � S-C
�5'Go ° � o
UNUER VALUATION Ie FOR TH8 �
18HIN6 A PEPMIT FEE ONLY. 0
sy_ m
PERMIT FEE $ �
�
% m
PLAN CHECK $ � / � �
r..,.. ��� s O/ � ¢