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HomeMy WebLinkAbout444 EMERSON ST - Building Permitsi � ' 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 $��% —_