HomeMy WebLinkAbout444 EMERSON ST - Building Permitsi
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Applieant to fill in all spaces except those within heavy baraer lines ana sign all aoo/ovriate tleclarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. ' TRACT NO. LOT NO. UNIT NO. A P#
- Project Address 4�6 FrrpY'$Q[t� Costa f�hsa, Ca 92fi27 �,
Applicant's Mailing Address
Owner'sName � �ro$ C� Phone��4�-��
Address P•0. Box 8064 Laquna Hills, ca 92654
Arch/Eng. License No.
Address
Contractor's Name Vance & Assoc Roofina Inc PhoneZl4-646-3211
Address (mailing) P.O. Box 10456 C.�sta Npsa,Sa 92697
Ciry License No. �59�3
LICENSED CONTRACTOR OECLARATION
I M1ereby aHirm Ihat I am litensetl untler provi5ion5 of Chart¢� 9(mmmencing
wi[h section 7000) of Division 3 Of the Business antl Profe55ions Cotle, antl
my license is in tull fo�Ge']E1tl e(tect. 1GOf10O
JJ I WJJJ
License class � _ P liyE�se No. �
Dale - Z' C�
WOFKERS' COMPENSATION DECLA0.ATION. �
I hereby aifi�m that I have a certiticate of wns¢nt to 5elf-in5ure o� a certi(icate
� Workers' Compensation Insurance, or a certifietl copy thereot (Section
0, Lab. C.) � • '
iicY No. �+anY I ihcrF�i Mit i�l Tnenv��n�
BCertifietl copy is hereby furni5he0. .�
Certifietl copy is filetl witn the city Builtling Divisian.
Date_��G�ilicant—� .
EXEMPTION FROM WORKERS' COMPENSATION D CLARATI
(Thissection neetl not be wmpletetl if the permit is for one huntlretl ($100) or
less).
I certify that in tne per(ormance of the work for which this permit is issuetl, I
shall not employ any person in any manner so' as to become subject to the
Workers'� Compensation Laws of California. . ,
Date Signature
NOTICE: If, alter making this tleclaration, you shoultl become subject to the
� Workers' Compensation Orovisions of the Labor Cotle, you must forthwith
compty with such pwvisions o� IhiS p¢rmlt sitall be tleemetl �evoketl.
CONSTRUCTION LENDING AGENCY �
I nereby ai(Irm that there is a consVuction lentlin9 a9ency for tne performance
of the work for which this permit is' issuetl (Section 3097 Civ. C.)
•Lender's Name�
Lentler's Atltlress '
OWNERBUILDER DECLARATION �
1 hereby atfirm ihat 1 am exempt from the Contractor's License Law fo� the
followinq reason (Section 7031.5 Business antl Professional Cotle: Any city or
county which requires a pe�mit to Construct, alt¢r, Irtlprove, tlemolish o� �epair
any structure, priOr to its i55uancE, also �equires the applicant fOr suhh permit
to file a signetl statement that he/she is licensetl pursuant to the provisions ot
[he ConbaCtor's License Law (Chapte� 9(cammencing with Section 7000) of
Division 3 0( the Business antl Protessions Cotle) or lhat he/she is exempt'
�tetwm antl the basis for the allegetl exemptlon. Any violation of Section
1.5 by any applicant for a permit subjects the applicant to a civil
.alty of not more than five huntlretl tlollars ($500).
L� 1, as owner ot the property or my employees with wages as their sole
compensation, will tlo Ihe wo�k, antl Ihe st�uctur¢ is not intentletl Or offeretl
for sale ($eC[ion ]044, Busine55 antl Profe55iOna1 Cotle: The Gont�actor'S
License Law tloes noI apply [o an owner of a p�operty who builtls or iiTproves
tnereon, antl who tloes such work himseif/herseli or through his or her own
employees, provitletl that sucn improvements are not intentletl �or ofieretl for
sale. If, however, ihe builGing or improvement is soltl within one year of com-
pletion, the owner will have the burtlen of proving he/she tlitl not builtl or im-
ptove for Ihe purpose of Sale). '
❑ I, as owner ot the pro0erty, am exclusively coniraclin9 �'��h ���e��setl Con-
tractors.to construct tne project (Section 7044, Business antl Professions Cotle:
The ConVactoYs License Law tloes not apply to an owner of properly who
bu': or imDroveS [he�eon. antl who contract5 for sucM1 oroiects with a con-
tr;.�r(s) license pursuan� ro[ne Contractor•s License Law). I am aware that
proot oi their Worker's Compensation insurance shoultl be proviaetl to me.
❑ I am exempt unde� $ection B. & P. C. fo� thi5 rGason
Ua[e' ' Owner
I hereby certify that I have reatl this application antl state that tne above-
information is wrrect. 1 a9ree to comply witM1 all city antl county ortlinances
anC state laws relating to building cOnstruction, antl hereby authorize repre-
sentatives of this city to enter upo the above-mentionetl property tor
insoection purposes. 7_.�.L_�
Signature �D .te
brivers' License or SS # - �
TYPE OF CONSTRUCTION LJ NEW U ADD IJ ALTERATION' LJ�p(REPAI R
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG. ,e_- r00
TVPEOFPERMIT ❑ GRADING U FOUNDATION � STRVCTVRAL
❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION SQ. FT. oCCUPANCv�R_�__
CONSTRUCTION TVPE � ti) VALUATION $ ��_�___
ZONE GRA�INGCU.VDS. ACRES
Remarks:
Bar Sink
Backflow Preventer
Backflow Irrigation
eathtubs .
Drinking Fountains �
Floor DrainS
Floor Sinks �
Gas Service Outlets
Interceptors ' -
Kitchen Sink -
Lavatories �
P-Trap
Roof Drains
ReinspeMion �Fee � $15
Duct� UnderGrOund
Duc[ - SVuctural
Duct - Ventilating .
Exhaust System ❑ Multiple ❑
Pirepl/Fact. Blt. iCBO #
Heating System & Ducting
❑0-100,000 BTU 0100,OOOBT
Reinspection Fee � $15
08fi5-46, rev. 5/BB White - Builtling; Canary - Applicanp Pink - Accountin9; Goltlenrotl - Assessor
Showers
Service Sink
Sewer Cap
Sewer Connec[ion
Solar Collectors - �
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Wa[er Closet �
Water Heater
Water Service
Auto-Wash
Issue Fee ' I $ 3 I
FEES
Hood or Typel ❑
Canopy Type I I ❑
RefrigeretiOn SyStem
❑0-100,OOOBTU ❑100,OOOBT
System Repair/Alteration -
Fire Dampers
Registers
Issue Fee ' � $ 3
S Main Building:
T Front
A Rear -
C Right
SLeft
Ping. Ref. #
Planning Notes:
Accessory Bui
Parking Req./Provided
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
ConstructionPoleSu6. � 50+KW
Cooking Unit
D ishwasher
Dryers �Gas ❑Electric
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
$WitCh¢5
Garbage Disposal .
Generator �0-5 KW �5-15 KW
2one
Merer ❑up to 100 amps �
Meter ❑aver 100 amps
Sub Panel -' - .
Motors �0-1 HP, 01 %� 8
Inc.Solar �9-15 HP �16-15+
Microwave � j!
Pole Light �
I �
Range �
Sign
Standing Sections
Trash Compactor -
Fee - � $75 � � luue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building APP�oved By �
Appliption Issued By -
FEES
$ 3
O
N
i
N
G
R
E
Q
M
7
S.
SUMMARV O�FEES � �
BUILDINGPERMIT $ �?j-` SMIP $ D
PLAN CHECK $ PERMIT
PLUMBING $ ISSUANCE $
PLAN CHECK 25% $ ENEFGV P.C: $
ELECTRICAL $ GRADING $
PLAN CHECK 50% $ MICROFILM $ _��
)
MECHANICAL $ TOTAL FEE $ �
PIAN CHECK 25% $
�1�I�� OiQ0037;=3-DOD37724 'd'ri'Y"
DATE: G?I13/89 TI17E: lO:iS
53.SD
. _ _ ;,; �..,.
,., -� �
CONSTRUCTION AND PLANNING � P��� �'4
APPROVALS Permit# Date Inspector � p�ppROVALS Permit# �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 Conduit-Undrgrnd. ' 55. Electrical Bonding .r�
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test �'
:�
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE �
7. Footings �4} 58. Electrical Conduit-Undrgrnd. �,�
8. Foundation �? 59. Gas Pipe, O Undrgrnd., Test j�
9. Water Pipe-Undrgrnd. �%� 60. Backwash Lines, P�Trap, O Undrgrnd. r�
.
10. Structural Floor System � 61. APPROVAL TO DECK -'�+�
11. Property Sewer Line & House Con�ction 62. Backwash & Receptor-Final �
12. Sewer Cap � y� 63. Heater & Vent-Final
in
13. Roof Drains � 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
: _ -1
16. Rough Electric Wiring �; 67. Fencing & Access Approval
�, ,
1�7. Rough Wiring Sign -,� 68. APPROVED FOR PLASTERING
Y8: Rough Electrical-T Bar Ceiling, � 69. POOL/SPA SYSTEMS FINAL
1'9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �
20� Rough Factory Fireplace �� APPROVALS Permit #
21. DuCts, in Structure .';� 70. Underground Hydro
22. Ducts, Ventilating �; i`� 71. Product Piping O Gas ❑ Oil
23. Gas Pipe-Rough & Test �� 72. Underground Flush
24. Roof Framing - 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing �' 76. Dry Standpipe
28. Lathing & Siding t.. 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing Z HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 3 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 �" `' '
r
45. Sound Attenuation
46. Handicap Regulations . ,
47. FINAL STRUCTURE & BUILDING ��
48. Special Requirements Completed
49. Electric Release to Edison t�
50. Gas Release to Southern California Gas Co , `7 �.
51. CERTIFICATE OF OCCUPANCY � o ,�'
No. Date _._
cn
_ _ _ . _ ._ .Applicant to fi11 in.all spaces except tnose within heavy Oortler lines ana sign al1 aoVropriate aeclarations. -. - .
CiTY oe COSTA MEsa ..CONSTRUCTION P MIT PERM N TRACT NO. - LOT NO, UNIT NO. , >.' °�
�y� E'.�l�,rs.� � • . , . . � 3So S� , ' ' � � � � '
.Pro�ect Address ' ' ' ` . �
TYPE OF CONSTRUCTION '� NEW ADD. - ALTERATION ,,REPAI R-
Applicant;s Mailing Address � • � - � � . - - � ��
� �O CONVERSION'❑ DEMOLISH. � OTHER ' A P #,
Owner's Name�� Phone(���. - ' ,. � : . . . •
DESCRIPTION OF. WORK/USE�OF BLDG.
Address � ' � � ' ' �" . � ' -, � . ' - • '- : , ' : :` i ': - S Main Bwlding: .
+ � ' , ' _ - _ . - E
ArchlEng[ ' � � � License No � . TVPE OF PERMIT `:❑� GRADING �0/ pOUNDATION ,' STRUCSURP.L _ - T FronY •
Address � � - � �. � - � ��TENANT�O ELECTRICAL 'IQPLUMBING �� MECHANICAL � B Reaf � �
L.; .: : ❑ �OTHER i � ` , . •A
Co [Factor.'s Name" � ` • Phone - . . - � C Right " � �
, C' , • ' PROJECTbESCRIPTION Sa. FT: ' oCCUa/iNCY ;K
Address (mailing) • ' • ' , . , . ;
- CONSTRUCTION TVPE - � � �VAIUATION $ ' S Left
City License No_ � Q � - 1 ' ' . . '
� . ZONE GRADINGCU.YDS. ACRES Pln Ref..# � i �
LICENSED CONTRACTOR DECLARATION � - 9'
I�h¢r2by afti�m that�l am licensed untler provislons of Charte� 9��commencing � Remarks: ' i^' � • ' � � � � PIdMiOg NOL¢5: �
witM1 section ��000) of Division 3 of tM1e BuSiness antl Professlons Cotle, antl i _-
my Ilcense.is in fu / antl effect. I � j , , � . , � � � �
L�CCfISC d55 1 Ef15 � � -
Date � ' .Siqnature �� � - � PLUMBING � �FEES � I
' , s565 i,ia2iQE � -- ; -� ; 'Spa:� , TL
.�_�:. ,. ,= �
• , " •- . - 2one, �_ ' _
i. � -
� I .T
� '
� Pe.L .
WORKERS COMPENSATIONDECLARATION - e ' BdfSiOk Showers ' ' � � ' ' E
' hereby atfi�m tM1at I have a certi(i<ate o! con5ent to self-insure or a tertiticate ; ' i '
' Wbrkers';ComOensatiop +Injlirance; o� a-certifietl-copy thereof �(Section-' - - - '- ' '- ' -- "' - '-' " ' • I' -" - . � �
aoo, �ab. ) VC9 PY7 � ��G i Backflow Preventer'� � Service Sink' t
Automatic Washer ;
l
Policy No. Company ��� � Backflow Irrigation . Sewer CaP � ' Construc[ion PoleSub. �
� �rtifietl cooY is hereby furnlshetl.' � � • - � e
�CertjHetl� py i iletl wnh the city auifilnip,Dl,viypn. /� ,( Bathtubs ` � Sewer Connection ' Cooking Uni[ � ' '
Da[e -�1••/1J �liPPlicant��r///!�'_,__e�.�� i"����
EXEMPTIONFROM.WORKERS'COMGENSATION-DECLARHTION _. - Cld�ifi2}5 . ' SOId�Coll¢cLO�SZ y .� . �� - Di5hwa5h¢� — - �
(Thissection neetl not be completetl if Ihe permit i5tor one huntlretl ($300) or
iess). + � Dishwdsher ! : . Solar Piping' � Dryers ❑Gas ❑Electric '
I certify that in the peito�mance ot the work tor which.this permit is Issuetl I. '-'
snall oot employ any person in any manner so' as to become subject to the ' Drinking Fountains � Solar Tank t Fan � !:j
Workers' Compenfation Laws of California. � � ` �
Oate � Si9nature � . Floor Orains t Swimming Pool w/Spa � F A�.U. � -
'NOTICE: If, after making this tleUdration, you shOultl become 3ubject to th2 •
�WOlkers'-Compen5d[ion provisionz of'the'Labo!'Cotle, you muzYtofthwith' I' FIOOf SiOkS � Ulifldl j � � Fixtul25• �
comply with such piovisions ot this permit, shall be tleemetl revoketl.
CONSTRUCTION LENDING �AGENCV ' ' �' �- ' �-� � � � GasSef�viCe �i0Ut1eLS Water Closet � i . • -
I hereCy'affirm that the�e is a const�uction lentling agency to� the pertormance � D2vice BOx¢s �
of the work tor which thi5 permit�;is•issuetl�,(Section:309] Civ. CJ � , Intefceptors' :.' ' . , WaterHeatef� �- "' � Outlet5
Lentler's Name' � �
�ender'S Aearess � Kitchen Sink � ' �'. Water Service. ' �• " Switches
OWNER BUILDEH OECLARATION � � � � ' �
I hereby alfiFm that I am e%empt trom the Contfactof4 License Law for the LdvdtOfi¢5 " �� AUtO-WdSh ' (�idfbag2 Di5pO5dl
tollowin9 reason (Section ]037.5 Business antl Professional Cotle: Any city or
county wnich requires a oermit to construct, alter, improve, tlemolisn o� repair , P—Trap Laundr T:ra s, � '
' any structure, p�io� to its issuance, also requireSlhe applicant foYsuch permit - ^� - Y�. Y G¢ne�ato� OO-5 KI
.to file a si9netl _statement that he/She is licensetl pursuant to the piwlsions of ROOf,Df2i05 r� . . � � � "+ ,
'. Division 3. ot the Business antl Professions �Cotle) o� that ne/sne R exemp[
�'�'a.e�etrom antl the basis tor, [he all¢getl exemption. Any Jiolation of Section �
,`.`:�13LS�by any' applicant for a pe�mit subjects the applicAnt�to:a civil �
', �inalty of not more than five huntlretl tlollars ($500).. • - j
❑ I, as owner ot the property or my employees with �wage5 a5 thCir sole '
COmpensation, will tlo the work, antl the'structure is'not intentletl o� offe�etl �
for sale (Section ]044, Business antl Professional Code: The Contractor'S'
Lirense Law tloes not apply to an owner of:a property who builtls or�;improves
Reinspection Fee
�
$15
the�eon, antl who tloes such work himself/be�self or Ihrou9h his onhe� own _. � �� � �
employees, providetl that such improvements are not intentletl or offeretl for BOile� � _ �
sdl¢. If, bowev¢r, lhe builtling'or improvemen[ is soltl within one year of com-' � -, .
plelion,ithe Owne� will have the burtlen of proving he/she tlitl not builtl or im- DuCt - UndC� Ground , '
prove for the Ourpose of sale). �. �� .
❑ I,.as'owner of [he 0/operty, am exclu5ivery con[rac[inq wltlt Iicenzetl mn- Duct-SL�uCtU�al • ,
Vactors to consV uct [he proJect (Section �044, Business antl Professions Code:
._The Contractor'S License. Law tloes mt apply_to.an'owner_of property who ,. Duct- Ventilaling� - —
builas or improves thereon, ana;who,contracts for sucn projects wlth a con- � �
tractor(s1 license pursuant to the Contractor's License Law). I am aware�that Exhaust System ❑ Multiple ��
proof of their Worker's Compensation insuranGe shoultl be provid¢tl to` me.. __
�.
❑ Y am exemD� untler Section , i B. & P. C. for this reason � Firepl/Fact. BIL ICBO # .
�Date owner; � � � Heating System & Ducting �
1 heretiy'cer[ity that'I-have }eeC thiz applifiztion andstate tM1at the aboveti� � �6100,OOOBTU �100,OOOBTI
information is correcL.l agree to wmpty with all tlty antl,county ortlinances � • �
antl:state laws relafing{to builtling mnsbuction; and;hereby authorize repre- , , • , .
sentatives of this city: to enter upon the above-mentionetl property:tor , , , � j
Inspection pu ses �� �/� (�% 1
Signature Date� I ' +
Drivers' �icense o ,5 � _ � , Reinspection Fee $15 .
IF OB65-46, �ev. 10/84 White - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl - As5e55or
` Issue Fee i � . • � '$ 3
IANICAL - PEES
Hood or Type I ❑ � �• � �
CanoPY . TYPe 11 ❑ '�
Refrigeretion System � � '
❑o;ioo,oaoaTu ❑ioo,000aS
System Repair/Alteration "
FireDamperi .
Reoistars ' . .
I
� ,
�� Isskue Fee � $ 3
"Bwltling:. ' �
, "4 '
i ' '
i�
eq./Provided �
i _
2
O
N
I
N�
G
R�
E.
Q
S,
� � ;;
' � G FEES �
Transtormer ❑ 15-50 KW i ' '
, ❑ SO+KW .
Meter ❑up to 700 amps � , '
Meter ❑over 100�amps�— =- � �-
Sub�Panel ' �
Motors �0-1 HP �1'/: �8
Inc: Solar, �9-15 HP 016-15+ �,
� rvi¢rowave �
� Pole u9nc . �
' Range '
Sign
� ; Standing Sections +
❑5-15 KW Trash Compactor . .
� ' � i �
� � �
Reinspection Fee �I $15 'luue Fee $ 3
DEVELOPMENTSERVICESREQUIREMENTS: � .
Zoning Approved By ' Date '
Building Approved By 1 � Date '
Appliration luued By � Data��
, � . 'SUMMARYOFFEES �
� BUILDING.PERMIT �$ � SMIP ' !$ I r
PLAN CHECK � � $ � ' ' PERMIT ;
'ISSUANCE � $ '
PLUMBING � $ � �
PLAN CHECK 25%; $ � � ENERGY P.C. , $ ' �
' - � GRADING $ 1
ELECTRICAL �$ � �
� PLAN CHECK �50%t $ MICROFILM . $ � •
� MECHANICAL I i $ - �TOTALPEE ' $ SOO
PLAN CHECK 25%` $ _ '. ' . ' - _ • .
- G'ONSTRUCTION AND PLANNING POOL PA ._
APPROVALS Permit # Date Inspector p�ppROVALS Permit # � Date Inspector
9. Temporary ElOctrical Service or Pole . 52. Pool & Equipment Location � �
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.. - � . ,54. Forms . - `
4. Electrical ConduirUndrgmd. , 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. •
-�B. Foundation �. � 59. Gas Pipe, � Undrgrnd., Test �. �
�9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, 0 Undrgrnd. �
10. Structural Floor System . 61. APPROVAL TO DECK � � '
11. � Property Sewer Lioe & House Connection 62. Backwash & ReceptorFinal � �
12. Sewer Cap _� _ 63. Heater & Vent-Final � -
� 13. Roof Drains • ��� 64. Plumbing System - Final � '
14. Rough Plumbing . 65. Electrical-Final . � � �
15. Rough Electrical-Conduit -66.-Solar System-Finaf - � � -
16. 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 �• , FIRE DEPT. REQUIREMENT '
20. Rough Factory Fireplace ' � APPROVALS Permit#
21. Ducts, in Structure • 70. 'Underground Hydro -
22. Ducts, Ventilating � • � , 7�, Product Piping OGas � OOiI � �
23. Gas ?ipe-Rough & Test 72. .Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI
25. Roof Sheathing . . 74. Overhead Hydro, _ , .
26. T-Bar Ceiling (Structurai) �& Monocoat 75. Dry Chemical
27. Frame 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. Plaster Brown Coat � • . 79. ;FINAL INSPECTION � -
32. Electrical Powsr 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. Finaf Fac[ory Flreplace' � '� . ' • . , . -
38. Final Plumbing G-p-�(e (,� � , . � �
39. Water Service-Fina� :''" � , � � .
II Y
40. Gas�Service-Final " ';7i• ' � - ' .
��' �
41. Solar pomestic-Final � ;ty ;Y} . ' - _
42. Backflow Preventer ; � �1 ��,n � , . -
s� t1
43. Backflow Irrigation , .0 - ' � , '
.�•
44. Landscape Irrigation,System .` ' c3^ � �
_ o:
45. $ound Attenu3tion ' ''� ^-` � � � � � � . '
caa •••
46. Handicap Regulations � ��(;i �. � � - �
47. FINALSTRUCTURE&BUILDING`.� � ' � � � '
48. Special Requirements Completed � - � . , ,
49. Electric Release to Edison � � ' - - - � • - � �
-�
50. Gas Release to Southern California Ga's Cn • • ' � .
51. CERTIFICATE OF OCCUPANCY ' , _ .
No. Date
C
CITY OF COSTA MESA PLANNING llEPARTMENT lUL 16-71PF:�OO1510i�+*+<%�'�"' �
a. P. rro. 930-13-034 c,,�� r C
Bldg. Permit No. Z
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 444 f�l"SO►i
Owner's Name L80118�d J. Met5ha11
Bachelor or 1- Bedroom Units � @$Z5.00 =$25.00
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units
Total number of Dwelling Units �
S75.00 = 525.00
Total Fee
Planning Department Approval Date %��6-i� Park Area No. 8
� /' ��r
gy WLD:pd Applicant's Signature /�.:�i//j � �� ./-���
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No. 5'3�-13-03�6
Bldg. Permit No. —
Project Address
Owner's Name
JUl 16-71 cnsa00151 QR o+� *** 25. Q0
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
844 Emerson
Leonard J. Marshall
Bachelor or 1- Bedroom Units � @$25.00 = g25.00
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = �2g•�0
Total Fee
Total number of Dwelling Units �
Planning Department Approval Date �'�6'�� Park Area No. $
By a��:�d Applicant's Signature / /� • •%�
�:�� � a o��
�COSTA MESA BUILDING-SAFETX DEPARTMENT
P.O. BOX 9f7 COBTA MlBA, CALIFORNIA
For Applican► ►o Fill In Complately
nPE OR PRINT.
BUILOIN6 L�yl, �=�y��s� .S% y�' T
AOORE55
COSTA MESA, CALIFORNIA
MAIL
AOORESB
,.,,,, N
20
221233
ach, Galif. No`646-9341
S. Tobey No HY4698`
nelita•St„ Laguna B.
3eries, Inc.
Newport Blvd,
ach; Calif. ,
No•646-9341
n I No, op 6I.006. !1
7I LE4T'" O I RIGHT 0
DESCRIPTION OF WORK
r ��
RhrwlR
5 Z'E DiN� 1235
EXTERIOR WA�t
COVERING
USE OF BUILDINO
cedar shake
I XEREBY ACKNOWLED6g }HAT I HAVE PEAD TH�B APPLICATION
�NO 9TATE THAT THE AgOVE 19 CORP¢CT ANO AOREG TO COM�
PLv WITH ALL CITV OqO�NANC88 NND 8TAT8 IAW6 p80ULATINO
BU�LOINO CONBTRUCTIOp,
PERry1nj77Ea OF Cape Series, Inc. .
AUTHORI2ED AGENTj"JQ/ �� �'_ {� _ j"i 1 �_
FEE RECEIVED
Nov z 7 �as3
FyINANCE DEPT.
AF�L�CAQ�ON�FOIt pER7R1T
BUILDINf3
For Office 1lse Only .
I RHCHIpT NO. � H
necervRo er
k�
ZONING �-
NO. OR i� U6E OP NCN
PLANB ��I DU�LDING .O .
"°"` Lot 3
ncscn�moN
��+�
A. P. NO. L�
NOTE: ND EAVE OYER
90" TO SIDE @ REAR F
EAVES
ALLOWED
YARD3APPROVED
' MAIN BUILDING
VAR. #
SHALL BE LESS THAN '
. . ��„
(U.B.C.REQUIREMENT) W
YARDSAPPROVED �
�ACGESSORYBUILOIN6 ' LLI
�
�. �
d
W
�. �
�]
�. ¢
i.i
Fr. W
a
BET: MAIN 8 uJ
ACCE53. BLD09, a
DATE ' O
MPROVHD V"
//-�� "�3 � o
DATg O
i
1235 so: Fr. "�
TH¢ AMOUNT eHOWN UN�ER VALUATION �8 FOR TNE S
PUflP088 OR E9TABL18XIN0 A pERM�T FEE ONLY. 0
VALUATIOlN �/ m �
�11� 4'L'3.'�5 PERMITFEE $3/.27 � j
S �� _
4
�
°'-• 33329
� COSTA MESA BUILpING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
ADDRESS C�� ()('j
OWNER �/�. �(JNRL7� ,�' i�i AI/
MAIL
.ADDRESS .S
W TEL.
U CITV r`.� CT in�-s.� NO.
BRANCH ' '�
�! .
ADDRESS
ARCHITECT' �� J .� ,/ � . /_ %/TEL:
ADDPESS
CONTRACTOfl /�/f R� � �E�fdjp//
fJ % J �
AD�RESS w (���jp� j�
CITV l.h�i,� m�C"i�� N����9b'-l3
STATE .2s'9799 CITV
LIC. NO. LI0. NO.
S12E �� !'/` (j�" NOW ON LOT �
OFLOT��'� X J I
USE OF ��T
EXISTING BLDG. v
SREOF -� i� 4' NO.OF
NEWBLDG. I-�1 ROOMS STORIES
EXTERIOR WALL „� ROOF /�
COVERING .S/�UGCV COVERING �TlIA �S
USE OF BUILDING ANO WORK TO BE PERFOFMED
)1 ., __ � �.. " /.� /'., „-, .�/FT
I hereby acknowletlge that I have reatl this application antl state
that the above intormaiio� is correct and agree to comply with
all laws regulating building.consVuction, antl I shall not employ
any person in violation ot ihe workman's compensation laws of
Me State of Calitomia. , �
I hereby-certify that I am properly licensed as a contractor untler
tha State of California Business antl Professions Code, Divisicn 3,
Chapier 9, and that such licenses are in full force and efiect, or I
am exempt from the proviSions of the State of California Business
antl Professions Code, Division 3, Chapter 9. _
Signature of �, _ ��y � '/`ja.`a^�v
Permittee �P'�!Y ��
Authorizetl ABent ' � �
�u� , 6-�,�ns°oo, soa:: :��� ritl:.r,c
APPLICATION FOR BUILDING PERMIT
R
BUILDING
ADDRESS
OWNE
ROVE�
NE NO.OF
� PLANS
VARDSAPPROVED
�
DIS7ANCE BET
MAIN BLDGS.
VAR. #
RMIT NO.
VAI,UE
USE OF NEW iCd�V-� '�
BUILDING � ����� ... -
�
VARDSAPPPOVED
ACCESSORV BUILDING
BET. MAIN
ACCESS. BL
DATE
�/h�
m
% �
SQ. FT. o
�THE AMOUNTSHOWN UNDER VALUATION IS FOR j
THE PURPOSE.OF ESTABLISHING A PERMIT FEE ONLY: m
¢
VALUATION / � y�
- ' PERMIT FEE $ (�/ �"
�
11J C-f, m
$ JG�✓I �\ \ LAN CHECK $ � � a
/ J �, � u
TOTAL FEE $��% —_