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Home My WebLink About515 FAIRFAX DR - Building PermitsCITY OF COSTA MESA `D�pMFs'q 4 � BI/ILDING D/V/S/ON . , � i�� 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � � � FOR INSPECTIONS CALL: (714) 754-5626 �"'°"°� PERMIT NUMBER: BC11-00010 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: DEMO_ALL DATE ISSUED: 01I0712011 ISSUED BY: JOB ADDRESS��JdFAIR�M Suite/Unit: APN: 42210307 Zoning: , , Vicinity: Primary Occ: Const Type: V-B SQ. FT: 2500 Valuation: $9,800.00 SCOPE OF WORK: DEMOLISH EXISTING 2500 SQ FT SINGLE STORY RESIDENCE. CAP SEWER AND UTILITIES. APPLICANT HAS MADE CONTACT W ITH AQMD FOR DEMOLITION. OWNER: GLOZA, MATHEW A Phone: APPLICANT: POWERS, DAN Phone: 714•557-7901 CONiRACTOR: TIGHT QUARTERS Phone: 714•557•7901 Cell: ARCHITECT: ENGINEER: Address: 525 FAIRFAX DR City/State/Zip: COSTA MESA, CA Address: 2031 S ANNE City/StatelzZip: SANTA AN, CA License No. 584915 Address: 2031 S ANNEUnit: City/State: SANTA AN, CA License No. License No. COMBINATION PERMIT FEE SUMMARY Building Plan Check: $0.00 Building Fees: $181.25 Electrical Fees: $18.20 Mechanical Fees: $0.00 Plumbing Fees: $43.10 SMIP Residential: $0.98 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: 5244.53 "Refer to fee recei ls for all fees aid for ro ect HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 311 ' Monday thru Friday-7:o0 am thru 7:00 pm. Saturdays• 9:00 am thru e:oo pm. Prohibite New YearS DaY, Memorial Day, Independence Day, Labor Day, Th 6 Unit: Unit : ZipCode 92704 PHONE: PHONE: 0- PER CMMC Sec. 13-279 ours - Sundays and the following Federal holidays: ivinp Dav and Christmas Dav . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. COOEO. INSPECTIONTYPE DFiE IN7I71R1S CODER MSPECPONTYPE U�i IN70IAL5 1616 Fixed System Final Fire Prevention 208 Final Mechanical �,{�� 126fi Pool Spa Final 208 Final Plumbing —I Z'� I� � I��V� 200 Final Re-Rwf 2ID Final Electrical x ��.'j (� � � �201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Appmval i '�203 Final Sign �/ 222 Finai Site 204 Final Demolition /�� _ 250 Final Building/Oaupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalty of perjury one o! Ihe follovdng declarations: • ❑ I have and will maintain a certiiiwte of consent to self-Insure for workers' compensation, as provided for by section 3700 of ihe Labor Code, for the peAortnance of the work tor which ihis permit is issued. ❑ I have and will maintain v.orkers' compensation insurance, as requiretl by section 3700 0( t�e Labor Code, fw the performance of the v.ork (or which this pertnit is issued. My workers' compensation Insurance carner antl policy number are: ..� _��e Fv�� (This serl.on naed iwt be mmpleletlllhe pertn9 B valuetl al one huiMretl tlpNars (5�00) w less ) -Poitcy� NumDe � �� SSU ' Z� I U ❑ I certify tha[ in the peAormance o( the work for vfiich this permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of Califomia, antl agree that if I shoultl be ie subject Ihe vrorkers' compensation provisions of Section 3700 of th La r Code, s II (orthwith comply with lhese provisions. �"_7_�i)�� -f oCo-SignaWre RdtC� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ovmer ID verified by driver's license. ❑ Yes � No Dnver's License No. Expires: VeriLcation of Ownership by (type of dxument, i.e. - prm,erty tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlify that no excavation frve (5) or more feet in depth inro wfiich a person is required to descend, vnll be made in connection vrith work authonzed by Ihis permit, antl that no building sWcture, scaffdding, falsev.vrk, a demolition or dismantling thereol, will be more than Ihirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Administ2tive Cotle). ❑ As ovmer-builtler, I will not employ anyone to do work which vroultl require a permit from the Division of Intlustrial Salety, as notetl above, unless such person has a permit to do such work from the division. Applicanfs SgnaWre Division o( Industrial Safely Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: t. Will the applicant or present or future building occupant need to file and certi(y a Business Plan for emergency response to release or threatenetl release ol a hazardous material? ❑ Yes � No (Section 25505 of the Calilomia Health and Safery Code requires, with some eaceptions, mat a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time dunng a reportetl year a quantity o( hazardous matenals equal to or greater than a weight o( LICENSED CON7RACTORS DECLARATION: 500 pountls, or a volume oi 55 gallons, or 200 cubic feet of compressed gas I hereby aKrm that I am licensetl untler provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business antl Protessions Code, and 2, Does or vnll the applicant or present or future building occupant need to file my license is in full tocr�ce and effect. a registration form (or awtely hazardous matenals? ❑ Yes ❑ No C�fC-fF � l � (�C13ssYt-C-2I L'%I O12 �G(�Section 25533 of the Califomia Health and Safety Code, with some j_�` ZU' I exceptions. requires registration with the CosW Mesa Fire Department by each business which at any one time has on hantl a quantity of acutety „f2t1or5.SignaWre �..�� hazardous materials equal ro or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONS7RUCTION LENDING AGENCY: ❑ I hereby aKrm that [here is a constructbn lending agency for the peAortnance of the v.ork for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name� Lender's Address: Oale OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalry of perjury that I am E7(EMPT FROM THE CONTRACTORS LICENSE LAW for lhe (ollOwing rea5on (SeC. 7031.5, Business and Pmfessions Code: Any city or county which requires a permit to conslmct, alter, improve, demolish, or repair any stmclure, prior to its issuance, also requires t�e applicant for such permit to (le a signed stalement Ihat he or she is licensed pursuant ro the provisions of Ihe Con(ractors license Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is ezempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500�.): ❑ I, as owner of Ihe property, or my employees with wages as their 5ole compensation, WILL DO THE WORK, and the stmcNre is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of proDerty who builds or improves thereon, and who does such vrork himself or hersel( or through his or her ovm employees, provided that such improvemeNs are not inrentletl or offered for sale. If, hovrever, the building or improvement is soltl within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.�. ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044. Business and Professbns Code: The contractors License Law dces not apply to an ovmer of property who builds or improves thereon, and vfio cont2cts for such pmject with a conlracla(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Code for this reason: ]OS)<6 (3/0)� temperature and pressure). 3. Does or will the applicanl or present or future building occupant neetl lo prepare an RMPP (Risk Management and Prevention Program tor acutely hazardous matenals)? � Yes ❑ No (Section 25534 0( lhe California Health and Safety Code pmvides that lhe Costa Mesa Fire Departmen[ may require the preparation, certifcation antl fling with the Fire Department o( an RMPP by 6usinesses which are required to register acutely hazardous malerials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Cali(omia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or IuNre building occupaN require for the work which is the subject of this application a permit (or such consWction or modification from Ihe South Coast Air Quality Mana9ement District or from any other air polWtion con[rol tlistrict or agency? ❑ Ye5 ❑ NO (Sectbn 658502 of ihe California Govemment CoOe requires that Ihe requested infOrmalion be fumished on applications for non-residen�ial building pertni�s). 6. Will any part of the facility to be constructed under Ihis pertnit be within t0001eet from the outer boundaries of a school? ❑ Yes ❑ No Q( yes", the faciliry must meet the requirement of Sections 25534 and 42303 of the Cali(omia Health antl Safery Code). 7. If a permit from Ihe South Coast Air Ouality Management DisMct or other air pollution control disirict or agency is requiretl for the work which is the subject of Ihis application, have all of the disclosures prescnbed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qt "yes", attach certificate of compliance from the appropriate air polNtion canUol officer�. CERTIFICA7E OF COMPLIANCE: I certify that under penalty of perjury the information given above is cortecL I agree to comply with all state laws antl city ordinances regarding Hazardous Materials and Emissions. Slgnalure Oate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the infortnation given is correct. I agree to comply with all state laws antl ciry ortlinances relating to building construction, and authonze representatives of the City of Costa Mesa to enter upon the above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until f nal inspection. tgnaWr o( ^galOwner(s) Dale Daie �-�-2(_rt�- �- 7- ZO � � i w A'ndlorAUNw¢edALpimnt_ �' . >. � , . �, MINOR MODIFICATION MINOR MODIFICATION NO.: MM-04-28 Project Address: 525 FAIRFAX DR Suite: Parcel Number: 89204025 ProjectApplicant: WILKIN, GARY Reference No.: Status: Applied Date: Approved Date: Denied Date: � 5 I 5 �a�r �Fwc APPROVED 07-28-2004 07/28/2004 PROPOSED MINOR MODIFICATION: MINOR MODIFICATION FOR A 21 LINEAL FT. OF 7 FT. HIGH WROUGH IRON FENCE AND PEDESTRIAN GATE ALONG THE NORTH PROPERTY LINE THAT ABUTS A COMMERCIAL PROPERTY, FOR A 28 LINEAL FT. OF 7 FT. HIGH WROUGH IRON FENCE ADJACENT TO FAIRFAX DRIVE, AND ALSO FOR A 22 LINEAL FT. LONG 8 FT. HIGH WROUGHT IRON GATE ACROSS FAIRFAX DR. THIS MINOR MODIFICATION ALSO AFFECTS PROPERTY AT 515 FAIRFAX DR. BECAUSE THE PROPERTY IS ALSO PART OF THE MOBILE HOMEPARK. BUILDING PERMITS TO BE ISSUED BY THE STATE'S BUILDING OFFICIAL BECAUSE PROJECT SITE IS A MOBILE HOME PARK. JUSTIFICATION: MOBILE HOME PARK ABUTS COMMERCIAL PROPERTIES. REQUIRED FINDINGS:Y The improvement will not be materially detrimental to the health, safety and general welfare of persons residing or working within the immediate vicinity of the project or to property and improvements within the neighborhood. Y The improvement is compatible and enhances the architecture and design of the existing and anticipated development in the vicinity. This includes the site planning, land coverage, landscaping, appearance, scale of structures, open space and any other applicable features relative to a compatible and attractive development. ro�o se,o(. w l-e a s!+ s/ d�.i- �a`� ��(/. /�HI /�I�X J zX�-/ rwRou��-t-�oN. T75e �-/L w, � he �.� s�//Gd (�a l� �, cl be oP e.a. kd 6 f+ �v �C. /e. -S/L 3ca0 0 �.S;�c� �vro�o2r/� � w�LL . l,�.if� Rufor,,.sk�C.�/�k a�c:^ w��! fiv�,f-u� SLlDc `'a2/�in�. 4i�wfo /`./ec.l.3.�..� b�ti�,�s ;� fhe e�e� f a� Pou.,�,. F�,/�,eC . �*�/Gi��9 on/S/S�/�ae�x ��0. �ie.SiDENTS �iL.L tS� �ro�•io� /�,ti/�� Ccq�� , . w � f: � n �c � Ft I1P,u% �ui?o�`Jr-� ��x �� Si4�tyz.sQ� - i�15/�,� < tilt/! °-�e.phone er � �? rl G`I l,lerh e �, c � N � . � \N �^ \ \7 � C � � � � U� � � 'o 9,�,r� z Z `x � �, �n,n�mum Zo'wui� cr� e �OCS �- Arec�Or� w �0 � re� e r ��m�s�eNs of p ,�p/�o['e5 . ��i eci4r✓ w f L.L b e � � G /�rG,,�J��'n 5 w,e � � g �-f ��-O "' �/��iv�TH d � -ii '� � � • � � S`l 5�-n'�, �Y'� /'a m m e�C �-�e i s � I T Lcwesl� it/� 7 �' 9, r rop o F nrni-ah�t. � � � 'n—� --�! O/'�e�•"-rO 1� en�� n -�x ,„d. wn Lt.. wG/cl�d w//t. c�C �� w��h Sheet MeT�_ OuFs�AE L � � � 1� � V � 0 � � dc m m �. n,� s F-�L1r�;nr � ADolicant to fill In all spaces except those witnin heavy �ortler Ilnes ana si9n a11 a0o�aoriate Geclarations. CITY OF COSTA ME� CONSTRUCTION PERMIT �Project Address Applica��'s Mailin�g yA/tl,�d,re�ss ' 9wner's Name/� �� Phone Addre�. , �/—Y /'Ip��1� ArchlEng. 1 '''L/ " Licens'e/ No. Address �arp��'�F�L�C�� -�� p �!q-�� Contractor's Nam hone �3+./,=�l`L/��z Address (mailing) ��7�2 G.�P� . �li • �g �� City License No. �7� �� LICENSED CONTHACTOR DECLARATION 1 hereby affirm inat I aT Ilconsetl untllr prOvi510n5 of Charter 9(Comm¢nc{ng witn section ]000) oi Dlvision 3 al ihe Business antl Protessions Cotle, antl my license is in tull rce tl eftect. !' o �_icense"�lass � � Litt R No.��a�/� ate,l/_��O_-_S'� 99nature JJORKERS' COMPENSATION DECLA ATION I hereDy atiirm that I have a certiflcate ol consent to self-insure or a certificate ot Workers' CompensatiOn Insu�ance, o� a cerilfietl cOPy thereot (Section 3800, Lab. CJ Policy No. Company 8 Cer[ifietl Copy 6 hereby furni5hetl. Certifietl cooY �s filetl with tne city BUlltlin9 Divislon. Date APplicant EXEMGTION FROM WORKERS' COMPENSATION OECLARATION (This seclion neetl not be coTpletetl I� [bo pa�mit IS tor one huntlretl (5300) o� less). I certify that In tM1e Oe/lormdnte Of Ine wo�k (o� whiCh thiz permk is 65ueQ I shall not employ any parsan In any m� nar So as [O b me3 ubject to the Worker ^Co qen n Laws of Ca11fOXtla� _�s_ '/ /�—` �ate Signa[ure /�"r/Jf� �l� NOT CE: It, aft¢r making t�is tletlardtiOn, u shOWa become subjett t0 the Workers' Compen5ation provi5ion5 01 the LaDo� Cotle, you mus[ lorthwith comply wilh such proviSiOnz o� this Oe�mit Shall be Geemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby alfl�m tnal lherC ii a consVutlion I¢ntling agency fo� tne per}ormdnC¢ ol th¢ work for w�icn this permit is Issuetl (Section 309� Civ. C.) Lentler'S Name Lentler's Adtlress OWNER BUILOER �ECLARATION I nereby aflirm that I am ezempt trom tne Con[ractor's License L.aw tor tne following reason (Section 7031.5 Business antl Professional Cotle: Any citY or ounry which reqWros a permit lo cOnsVutt, alt¢q ImO�ove, tlemolish or repair y structure, prior to Its issuance, also requlres the applicant for such permit fiie a signotl statament lbat ho/shrt is Iicrnsetl pursuant to the provisions of • rontractor's Licenm Law (Cnaptar 9(<ommancing with Sectlon 7000) ot ':�n 3 of the Buslness antl Proles5lOn5 Code) o� thdt h¢/She Is exempl �here/rom antl Ihe ba5i5 for Iho allegetl axamption. Any viOlatlon of Settion �7031.5 by any aoo��ant for a pormil subjocts the ap0��ant lo a civll �enalty of not more tnan fivo huntlratl tlollars (ES00). LI I, as ownar ot the proporty or my employees with waqes as their solo COmpensation, will tlo tM10 work, antl lha struclura it nOt intentletl or oH¢retl for sale (Section 7044, Business antl Professional Cotle: The Contractor'S License Law tloes not apply �o an own¢r of a Oroperty who bulltl5 or improvos the�aon, antl who tloes such work hlTsolf/her5011 or in�ough hiz or her own ¢mploynes, prOvitletl tnal such impwvaments aro nol intentletl or offeretl for zale. If, nowaver, tM1a builtlin9 or Improvomont Is solG wlthin one year of com� pletlon, the ownar wlll havc Ihu bu�tlen Ot Proving hC/sM1e dltl not builtl o� Im- prove Por tha purposa ofsala). ❑ I, as own¢r O( the Droperty, am nxUusively cont�acling with Ilcenzetl tom IracioR lo Conrt�ucl lha projoct (Sectlon 7044, Busin¢zz antl P�ofe55iOns Code: The ConVactor's l_icense Law doos nol apply lo an owner of property who builtls or improves thereon, antl who cont�acts tor such prqecl5 witb a con- Vaclor(sl I¢ense putzuant to Ihe Contracto�'S License Law). I am awaB lbat proof of Iheir Worker's Compensallon InSurance ShOultl be Provitletl to ma. ❑ 1 am ¢zem0� un0ar Section B. & P. C. for tnis reason Date Signature � i�\ Drivers' �icense r 53 `AF OB65-46, rev. 10/84 Owner have rea to 1 thiz applicaUon ana state that Ne above comply wltlt all cily antl county ortlinances g<onstructlon, antl hereby autnorize repre- upon tne above-mentionetl property` �for �Date��lJ/ / � 3/p __ TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p. # DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi E TVPE OF PERMITp( GRADING FOUNDATION STRVCTURAL T Front ❑ TENANT Jd ELECTRICAL ❑ PLUMBING ❑ MECHANIGAL B Rear ❑ OTHER p' PROJECT DESCRIPTION SQ. Fr. OCCUVANCv C Right K Left GONSTRUCTION TVPE VALUATION 5 S 20NE GRA�ING CU. VDS. ACRES Ping. Ref. # Remarks: Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwdsher Drinking Fountains Floor Dreins FloOr $inks . 3as Service O�LIE�S Interceptors Kitchen Sink Lavamries P—Trap . RoofDrains Rainspection Fao $15 Boiler Duct�UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/FacL Blt. ICBO # Heating System & Ducting ❑P 100,000 BTU � 100,000 6T1 Reinspaction Fee � $15 White - Building: Canary - Applicanq Pink - Accountin9: Goltlenrotl - A55e55or PLUMBING Showers Service Sink Sewer Cap Sewer Connxtion Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Laundry Trays Issue Fae Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,000eTu ❑ioo,000 System Repair/Alteration Fire Dampers Regizrers Iswe Fee FEES 9302 II/10/B7 2one Accessory Building: Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW Cooking Unic / Meter �up to 100 amps Dishwasher Meter ❑over 100amps Dryers ❑Gas ❑Electric Suh Panel Fan Motors 00.7 HP Q 1'h - 8 F.A.U. Inc. Solar �9�15 HP �i6-15+ Fixtures Microwave Device Boxes Pole Li9ht Ouclets Switches Garbage Disposal Generator �0�5 KW �5-15 KW $ign Standing Sections Trash Compacror $ 3 Reinspection Fee $15 luue Fee FEES �DEVELOPMENT SERVICES REQUIREMENTS: ZoninB APProved By 8uilding Approved By _� Aoolication Issued Bv 5 3 \, Bo00 Tl FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMI7 PLUMBING 5 ISSUANCE $ PLAN CHECK 25% 5 ENERGV P.C. 5 ELECTRICAL 5 � GRADING 5 PLAN CHECK 50% $ MICROFILM 5 MECHANICAL $ TOTAL FEE $ B.OD PLAN CHECK ZS% $ Z O N I N G R E Q M T S CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector qppROVALS Permit# Date. Inspector 1�. Temporary Elec[rical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgmd. 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. 8. Foundation 59. Gas Pip�, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 70. Structural Floor System 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Hea[er & Vent-Final 73. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final � 75. 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 Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVA�S Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Oucts, Ventila[ing 71. Produc[ Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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 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 Power Meter-Final �2 � 80. FOOD CERTIFICATE ISSUED � 33. Final Electric �l' Notes: , ; 34. Final Heating & Air Condi[ioning 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing . � i' . 39. Water Service-Final • 40. Gas Service-Final ' 41. Sotar pomesticFinal ' � , �. 42. Backflow Preventer %, .43. Backflow Irrigation � �- � '. . 44. � Landscape Irrigation System ' • . � ' 45. Sound Attenuation ' , � 46. Handicap Regulations , • � 47. FINAL STRUCTURE & BUILDING ' ' r +45. Special Requirements Completed 49. Electric Release to Edison 50. Gss Release to Southern California Gas Co " , � 51. CERTIFICATE OF OCCUPANCY ' i ' No. Date ' '- r owNER Grace HBun '� DATE 1/8/54 J �DDRESS 515 Fairfax Drlve BUILDING PERMIT NO. 47 GENERALCONTRACTOR Sears Roebuck 8t �i0• VALUEa 288'�� LOT 115-fio2-9 BLOCK TRACT ��/,�f% GROUP �T TYPE ZONtR�F FIRE DISTRICT ACICZ.Fence INSPECTIONS � DATE SUBCONTRACTOR I PERMITSISSUED • DATE I NUMBER Foundation Forms and Grade to Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough H� '�ng, Rough h, ,ng, Final Sewer Septic Tank or Cesspool Lathing Plastering Plumbing, Final, Fixtures Comp Plumbing, Final Gas Test Wiring,Final � Oceupancy Form 210 GH IAS 1'L68 Costa blesa Building Department • rJ (� APPLICATION FOR PER11�dIT , 111 EAST 20th STREET i: � I� D__t_� r'_--.. . __� '�OSTA M CALIFORNIA �----� � FOR OFFICE USE ONLY , FOR APPY�ICANT TO FILL IN , , Receipt No. Permit:No. ' Building�.. v - —� � C/ '/ Address � /� �� i � Y_� Costa Mesa alifornia Received'bZ Date Rec'd. D e Isaued � I ! % � ,.,� � Nearest � � -� Cross St. Building ` .Address � �� o`""" — — — _ _ — ' Costa NEesa, California ; Mail Address � � Nearest a �i/ _�. ,2�� Tel. Cross St. (�� w��f7 . City No. �� Zone �j�/ No. ofp/ � 7ype • I Group Arohitictor Lic. /t S�' I Plansfv0 I � .� Engfrree�• No. Approved • , — b Date Address � COY�RECTIONS ' it Lie. ContrectorpZQ,�hfl� �'� " � Address / � � ��m 2 - + Legal Lot S3 _ Description I No. _ I B�ock I T�ci (Attach Metes antl Bounds) ; ' � ^ � No. of Bldgs. Size of Lot �% _ _ f�� Now on Lot � - - -- - -- � O Use of � No. of ( No. of // s Existing Bld . Families( I Room9f��' y� Setback Line from � Rear Vard f - - - - - -- -- - - � ---- - ' Z Center oT Stree4 Side Vard y D�'.+ SCRIPTION O�' WORIi - -. °" -"' ' � . r I ,. � . , ._ ...,... _ New I I Aiteration I I Addition .� � I� ,n ��•. �. Repair I I Moving I Demolish c Building No. of Size Rooms Stories Exterior Wall I Roof AppROVAIoS Ccvering Covering AI Use of New,�J �vw Foundation Location Inspector Date Building l�/ Forms, Materials, �� Under-Pinning � � — Frame: Fire Stops, _ — _ _ _ Bracing, Bolts i � Li.�.• � Lath.lnt. I hemby acknowle �e that I have read this Application and state that tlte above is rnrrect and agree to comply Lath. Ext. with all City Or 'nances and State Law regulating building constru Signatureof � ' ' „A Plaster, Int. Permittee ��••��/� � � Plaster, Ext. Authorize gt. Masonry ReinTorced Valu.ati Permit Fee $ �� Plan Check $ S� Bond Beam $ � Feea' $ �'%� FINA� � ; : z� PLOT PLAN Show loCation and distances from property line and between buildings. � • � � _ . .� . � N 0