HomeMy WebLinkAbout3101 FERNHEATH LN - Building Permits� CITY OF COSTA MESA
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BI/ILDING D/VISION
i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) )54•4856 • www.ci.costa-mesa.ca.us
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�, ` FOR INSPEC710NS CALL: (714) 754-5fi26
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PERMIT NUMBER: BX08-00191
PERMIT TYPE B MfSC STATUS: ISSUED
APN: 14104319 DATE ISSUED: .O6/24/2008
Zoning: R1, ISSUED BY: YH
JOB ADDRESS: 3101 FERNHEATH LN CM Suite/Unit:
Vi�iniry: PrimaryOcc: ConstType :?7
SQ. FT: 0 Valuation: $3,000.00 � �
SCOPE OF WORK:
INSTALL NEW VINYL SIDING OVER EXIST. WOOD GABLES AND ON SOFFIT A�L AROUND HOUSE.
WORK SUBJECT TO FIELD INSP.
OWNER: MULRYAN,THOMAS
City/State: COSTA MESA, CA
Phone:
Address:: 3101 FERNHEATH LN
Zip Code: 92626
ApPLICANT: GORINA, JOSE . Address: 10395 SWSHER DR �-
CitylSlate: SANTA FE SPRiNGS, CA Zip Code: 90670
Phone: 800-807-9889
CONTRACTOR: SEARS HOME IMPROVEMENT PRODUCTS INC License No. 721379
Address: 10395 SLUSHER DR
City/Stafe: SANTA FE SPRINGS, CA •
Zip Code: 90670 Phone 800•807-9889 Cell:
ARCHITECT:
Phone
ENGINEER:
Phone
Building Plan Check:
Building Permit:
Electrical Permit:
SMIP Residential
SMIP Commercial
TOTALFEES
FEE SUMMARY
$0.00
$83.25
$0.00
$0.00
$0.00
$83.25
License No.
License No.
ANp qpp� ORST TO
P/�i�Vq` RO� S �
Unit
Unit:
Unit:
tln4
h '�:
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and relatetl
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicatile codes, and all
�equired inspections and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiratlon of this permit.
SODE/, INSVECTIONTYVE DA�, IN IIRL 400E� INSPECTIONTYPE . Q,�¢, INTIiI�lS
1616 Fixed System Final Fire Prevention 208 Final Mechanical
1288 Pool Spa Final 208 Final Plumbing
200 Final RaRool 210 Final Electrical �
201 Final BIocWRelaining Wall 212 Plnal Fire Prevention
202 Final Faclory Fire Place 220 Final Planning Approval _
203 FinalS(gn 222 FinalSite — 09 �
20a Final Dertwlition 250 Final BuildinglOccupancy ��
WORKERS' COMPENSATION DECLARATION: � �
I hereby affrtn under penalry ol perjury one ol the followinq daclarations:
❑ I have antl will maintain a �ertificate o( tOnSent to 5elf-InSura foi workers'
compensation, as provided for by seclion 3700 of lhe Labor Code, (or the
peAormance of the work for whic� Ihis pertnit is issued.
��i I have and will maintain workers' canpensation insurance; as required by
seclon 3700 0l the Labor Cotl¢, for the peAortnance of the v.ark la which this
permit is issuad. My workers' compensation Insurance carner antl policy
number are:
�' �Camer.
(This sedon neeC nd Ee mnye(e0/llropemKis rdLeOel are �undedhlars (5f 00) a leu )
PolicyNumber WV���"t��'�'�28Z
❑ I certify ihat in Ihe pert0�anca ol the v.ork for which Ihis permit is
issued, I shall not employ any person in any manner so as lo bewme subject
to the workers' compensation laws ot Calilomia. and agree that if I shoultl
become subject to the worked compensation provisions of Section 3700 of
the Labo e, I s e f rthvntl+ compty with Ihese provi ions.
�0 2� �°�
AppLw Ys SIO^aWre Da •
WA ING: AIIURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS U FUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLfARS
($100,000), IN ADOITION TO THE COST OF COMPENSATION, DAMP,GES AS
PROVIDED FOR IN SECTION 9706 OF THE tABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereDy aHirm that I am IicensBtl under provisions of Chapter 9(wmmencing
with Section 7000) ot Division 3 of the Business antl Professions Code, and
my license is in full forcpe and eHecl. �2
Lic. # 7��� � / Class # �J
C Uactor's � awr6 � Oa�e �
CONSTRUCTION LEND G AGENCY:
❑ I hereby aHtrm that there is a construction lending agency fa the
pertortnance of the v.ork fa v.fiich tttis permit is issued. �Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
SigM3lure
OWNER-BUILDER DECLARAYIONS:
I hereby aKrm that untler penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW �or the lollovring reason (Sec. 7031.5,
Business and Prolessions Code: A�y �ity or wunty which requires a permi[ to
consimct, al[er, improve, derY�olish, or repair any sWCWre, pnor to its
issuance. al5o requires the applicant for such permil lo file a signed statement
that he or she is licensed pursuant to the provisions of Ihe Contrac[ors
License law (Chapter 9(commencing with Section 7000) ol Division 3 of tha
Business antl Professions Code) or that he or she is exemp� therefrom antl
the basis for the allegeG exemption. Any violation ol Section 7031.5 by any
applicant for a permit subjects the applicant lo a civil penalty o! not more than
fve hundred dollars ($500).):
❑ I, as owner ol Ihe property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the struclure is not intendetl or
oHered lor sale (Sec. 7044, Business an0 Prolessions Code: The Contractors
License Law does not apply lo an owner of propeAy who builCs or improves
thereon, and who dces such vrork himsell,or herself or thmugh his or her own �
employees, provided Ihat such improvements are not iNentletl or oBered for
sale. If, however, the building or improvement is sold within one year of
completion, lhe ovmer-builder will have lhe burden of proving that he or she
did not build or improve (or purpose of 5ale.). .
❑ I, a5 owner of N8 property. am E%CLUSIVELY CONTRACTING WITH
�OwnerlD verifetl by drive� > iicense. ❑ Yes ❑ No
Dnver's License No. Expires:
Verification of Ovmership by (rype of tlocument, i.e. - property tax bill o� tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . �
❑ I hereby certify that no excavation frve (5) w more teel in Cepth into which a
perswl is require0 to tlescend, wlll be made in connection v.ith work aWhor¢ed
by this pertnil, and thal no building sWCWre, scaffdding, false�wrk, a tlemdition
or dismantling Ihereo(, will be more Ihan I�irty-six (36) teet high. (Chap. 32, Grp
2, M 2, Sec. 341, Ttle 8, Califania Administrative Code�.
❑ As owner-builder, I will not employ anyone lo do work which would
require a permit from ihe Division o! Industnal Safety, as noted above. unless
such person has a permit ro do such vrork from Ihe division.
ncWwnrs signaw,e
Division ol Industrial Safaty Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: �
7. Will the applicant or present or future building occupaN need to file antl
certily a Business Plan for emergency response to release or threatened
release of a hazardous material? ❑ Ves ❑ No
(Section 25505 of the Califomia Health antl Safety Code requires, with some
exceptions, that a Business Plan ba filed with the Costa Mesa Fire
Department by every business Wnich has al any one time tluring a reporietl
year a quantily ol hazartlous materials equal to or greater than a weight of
500 pounds, or a volume o/ 55 gallons, or 200 cubic feet of wmpressed gas
at slandartl temperaWre and pressure).
2. Does or will the applicant or present or luWre builtling occupant need to file
a registration form for acutely hazardous matenals? ❑ Yes ❑ No
(Section 25533 of the Califomia Heallh and Safety Cotle, with some
exceptions. requires registration with the Costa Mesa Fire DepartmeM by
each business which at any one time has on hand a quaniity of acutely
hazardous matenals equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet o! compressed gas at standard
temperawre and pressure�.
3. Ooes or will the applicant or present or future builtling occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutety
hazardous materials)7 � Yes ❑ No
(Section 25534 ot the Caliiomia Health and Saiety Code provitles that the
Costa Mesa Fire Department may require the preparation, certification and
(ling wiih lhe Fire Depanment ol an RMPP by businesses which are required
to register acutely hazartlous matenals with lhe Fire Department.
4. If an RMPP is presently requiretl, �as Section 25534 of the Califomia
Health and Salety Code been fully complied with? ❑ Yes ❑ No
5. Does or will Ihe applicant or presenl or luture building occupant require for
�he work which is ihe subjecl o� lhis application a permil !or such consWction
or modifitation from Ihe Souih Coasl Air Qualily Management Distncl or fmm
any other air pollution control dislrict or agency? ❑ Yes ❑ No
(Sectbn 658502 of Ihe Calilomia GovemmeN Code requires that the requested
informalion be fumished on applicalions lor nornre5idential Duilding pertnits).
6. Will any part of Ihe facility lo be conslructed untler t�is permit De wllhin
1000 feel (rom the outer boundaries of a school? ❑ Yes ❑ No
Qf 'yes", Ihe lacility must meel the requirement o( Sections 25534 and 42303
of the California Health and Safely Code�.
7. I( a permit Imm the South Coast Air Qualiry Management District o� other
air pollWion control district or agency is required for the work which is the
subject of lhis application, have all of Ihe tlisclosures prescribetl by Calilomia
Health antl Safety Code Section 42303 been matle't ❑ Yes ❑ No
8. Qt yes", attach ceAifcate of compliance from the appiopriate air pollution
control oKter). � �
CERTIFICATE OF COMPLIANCE: I certify Nat untler penalry of perjury the
infortnation given above is correct. I agree to comply with aU state laws and
city ordinances regartlinq Hazardous Matenals and Emissions. .
LICENSED CONTRACTORS to construct the prqect (Sec. 7044, Business anC
Professbns Coae: The contractas License Law dces not appty to an oaner of SignaWm oaie
propeM1y who builds or improves thereon, and who cont2cts fa such prqect with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contracta(s) liceme pursuant io lha Contractas License laws.�. certify under penalry ot perjury that I have reatl this appliwtion and slate that
� I am exempt under sec. �he intormation given is cortect. I aqree to wmply vnth all state laws and ciry
ordinances relating to building wnsWclion, antl authorize representatives of
Business and Professions Code for this reason: ihe Ciry of Cosla Mesa to enter upon the abovedescribed property for
inspection purposes. I agree nol to occupy or allow occupancy of any building
authorized by this permit until final inspection.
5- naWre oi g I Owner(s) ` Date ' �
signawre oa�e 6 2� 0
3051<6 (J/0))
rPul�on e ApPl��nl 1
Bl: �ING AND SAFETY DIVIS, J
FIRE DAMAGE INSPECTION REPORT
(Required Prior To Permit Issuance)
Address: �).��/ �
Owner: 1 1� C�4� G S l� 1 — 1
'/r%_
Owner's Address (if different from above): _
Street
�' Structural permit required.
� Repair or replace as necessary.
City
Unit: �T/. �
State
LJ Electric8l permit required.
❑ Repair or replace as necessary.
❑ Plumbing permit required.
❑ Repair pr replace as necessary.
Comments:
❑ Mechanical permit required.
❑ Repair or replace as necessary.
^---__._.
in f-f- /� � �v • f-I n� 1� b'! J-r� `i I �� " 1 7/ ll -�� �
Inspector � ` ` Date Phone �-
16/1�G6 TriO���a�e: Ori9inal�Owner, Yellow�CanVetor, Pink�BuilEing Division
�,nnn�ssaeu�iomo: 3101 FERNHEATH LN u"T
°Y"'E"'s"'°'E"'w°"": MULRYAN, THOMAS FLOOD: X 46
1°OflE� 3101 FERNHEATH LN
COSTA MESA,CA 92626
�vv�. wiuNo moecss:
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UNT:
����T�'eNA� DOYLE C FORTH 6 COMPANY ( 714 ) 556-7165
CQRXICTOA9MNlINO 1075 REDDING AV
��� COSTA MESA CA �� 454306
92626 uNr:
LICEN9ED CONTNACTOq9 DECU�PATION: I MraEy eflirm under psnMy d per�ury tIW I em liceneed uMar proWelone al Cheplx 9
(mmmend�q Mlh SwYbn 1000� d D'Maon 3 of Ne Bueinan eM Pmlaeion� CoEa, an y Ika w u In tull brca W alleq.
cmuc.r�o.:035511 uc.cuss: B uc.no.: q3 � EXP: OS/96
/�3—�!S �o��,.�a: '
Dvs:
OWNEF BUILOEX OECLARATION: I hereby elfum uMx peroly d pe' �IW I em a�emq Imm IM CONredan ikanss lew /u ths
IdbwnY rwm (Satlion ]W 1.5 Bwiwse erd PManom Code: a oouniY which n0u'vee e Gertnil to mmvucY. Mer.'vnpma.
Eemdwh, or ropv eny etNclura, p'v w na eweza, ebo �uifin epplimnt Iw euch pemiA lo fib e eq�wE atelement ihel M m�M
� no.�..e W�i io me aw�.�e a m. com�ao�. uw� w IClapar B(oommarciry wn� Seaion ]000) a�'uion a d Ihe
wmiwm end Rdpawm Codel or �hei M a dw b ummq 1 vM iM Euu Iw IM eYeO� memqion. MY videtion d Sedion
]W t.s Ey em� epplreni In e perm! wbjetle �he eppfwu to a tivi pane4y d nol mps �Iun lie hurM�ed da0en �SSOOU.
❑ i.�o.m.,ainaaownv«mr�o�a���n..,�.mine:.ae����.w�neoubwax.�eubw�,a��o�amis�dee
a oflered la eeb (Seclion ]Oaa. Busrr� eM ProlaaeionaCode: The Contrmois Liceeua Lawdoea mt apply io an ownerd propeM
who bWtla a inpavee �hamon, eM Mo Eoea euM v.ork Nmee11 or MnN a Nrouph hu a Mr own empb�m�, povMad ihel wch
'mwo.�aa. ao �a mi�d a ai�e i« �. u. iw.��. in, w�u„ro o, mwowmau o aaa wnn�, o� r� a�wa�. u»
owner�briNx �.i0 Mve Rw buben d pmieq M or aha d'd mi dnW or impove Iw �he WN�e d vale�.
� I. ea oxrwr M iha propeM. � exdueireh �Iredvq xii� licenaed convecion ta conprva ihe pmjea (�� )a0. Buvirwee eM
PMaaione Cab: TM ConireGon Licenm Lew doea'a epply �o en owiw d papenY � a+iNa or improvu �he�eon erd who
conVncla la euN prqeqe wiN e mMreda(s) Icenaetl pun�anl lo Iho Conlmdm Lioenae lewl.
� I em axamq unJar Senion: B. 8 PA., br I�ie reaaon:
Dem: Ovmm:
I Ao IweW cMM Ihet 1 em ewve d vk ivde�s�eM Ne re4ueemenu d Cellanu MaeAh end Sefmy COEe Seuiau T5505. �55�]. enE
255�1, end �Mt I a eny Mure Euikinp om�pent will / wil nw (arck are) nead ro comply w�h eeid atme mdes eM iM reQuinmanb la
epermnlormnewciionarmotlil�a'wnhan�MAi e�iy anepememqelrip.Peaken�ialconAiutlianeppf�iomertexamdlmmt�eae
noN,iw,,.
Dma: �ppficw:
WOPKER'S COMPENSATION OECLAFATION: I Mreby effmm under parelly d peijury oro d Ma /dlonirq dedumbn:
❑ in.we�aw�ie:�.wnew.dooreeni�o.en;munm.wMa:canro��..+a�+�d.eraWs«ao�a�aoam.�.es
cm.. i,, m. w��. d m..�x i� �n w. wmw m mwd.
�I hew eM xil meiMeii xaken' mmD�ion imura�Ke, u nWima DY Sstlion �]00 M Ne LWa Code. W IM D�amd� d tM
work fa whic� ihie permn n ivued. My wrckeee' mmpenaelion inwrence ran�ar aM pdi�y number ere:
c�,: STATE FUND EXPIRES
PdryNumber: iR�iS�—A 10/O1/96
ls sxrion n.ee rror be cm,qered � m. permt ia ro. are hundred edlel. R��J w kse.l
❑ i cenh �nei �� ma rono�� d me w«x m. �.ncn mh oermn ie �..�.d. i.ydi �a .m pv d,r w� �� �v m��a� m ea io
became euEjea io ihe xorkan' compenseibn lexx d Cdilwnu, eM a u4 Nat H houb becoma euEjed �o the xarken'
campeiue�ion povinqiona d Seeian 3i00 d tM labm COJa. I ehell lan ' r os mvitiortv.
Deie: ��'—�—/3 Applicenl:
Wamlip: Fellun ro�xun workwi compxuatlon covenp� l� un (�nJ �lull utl��cf an employx ro WMmI pxulflu enC
dvll nro� i.q ro om hurerw rhouund dmkn fsfoqoaoA M• n ro m. cast ol rompmu�bn d+my+� u poNMe ror In
SNOon J)OS OI MI LNOI COM, Inlassl, IntlltteTly'I fM�
CONSTNUCTION LENDINO ROENCY: I Mraby elfirm uMer peiuly d per'Nrv �� �� u e mnm�ueion kMieq egmty br tM
parlameMe d �M wM la .MiN Ihe pemii is ivmieE (�� �l. C'v. CI.
�exoen•snu�ECONTRACTOR DOING
LENDEP'SADDXE%:OTHER WORK HESIDES REROOF
I<enih rtai I Aero reaE No eDG�r.etion eM ua�e thet IM ebove iNormetion b canetl. I piee io camdY xit� ell mY eM mu�T/ adinencea
BM 0181! kwf �MBliq b buiWvqCIX6V WIM 9fd �1Maby eNhGQa ApGfM�pIMf d IhM fYy b BNe! upM IM B�vGTMI1�fxMA p�OpMy
�IX IIIfpBflqfl plV�OfB9.
DOYLE FORTH / i ,
� ��-3—`1�
SiO�ewm M Owne
(StSt<OWP) W�ne-BuilEipb
o,�.: /l 3—�S
Oreeri-FIe:Cenery-ADp��'enl:Pink-Revenue:GOldenroE-Asseswr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 075014 PLAN CHECK NO: N
CONSTRUCTION TYPE; PERMIT TYPE; STR
PERM NO: B 075014
GOVT: N SUPP: N
PURPOSE: OTH
JOB DESCRIPTION : REROOF W/COMP SHINGLES SQ FT: 3,000
CLAIM VALUE: 3,000.00 CALC—VALUE: 3,000.00 GROUP OCC: R-3 /
COMMENTS; SMOKE DETECTORS RE�UIRED PER 91UBC, REROOF 2500SF RESIDENCE
�*,�,���*�**���,�*,������������� ����,�����.,�Q,��*�����*,��.,��,��**�**�'�`��'�'i��T'Qf�
Z O N I N G R E U I R E M E N T S
S E T H A C K S �fi,�'
------------ MAIN HUILDING ---------- --------- ACCESSORY•�BUILDS9���—
FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARICING REQ: PROV: PARCEL: 14104319 ZNE: REF NO: �
PLANNING NOTES>
i '
iE �h IE iE IE iE IE iE 1E IE 1E iE 1E iE 1E 1k 1k iF 1E 1k 1E iE 1E k 1E 1E iE IE fE 1E 1E iE iE iE IE iE 1E 1E iE iE 1! iE ff iF iE iE iE iE ik 1h 1E 1E 1E �! iE 1E'lE 1E 1E iE 1E IE 1E IE aE IE �E 1E if iE 1f 1E ih iE ik 1!!E iE 3E
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
c
ZONING APPROVED BY DATE: ��'
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
lE1PiE1E1ElE1ElE1E1EiE1EfE1t�EiE1EIEiEiEiE1F
LEGALIZATION:N F E E S U M M A R Y
DATE:
DATE: l (�� 3 ��1Y
If �f 1F iE if iEiF�'�'�F{FIE jE
RUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 50
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 54.50 0.00 0.00 54.50 54.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 .50
iE if iE if IF IE iF iF iE 1E iF iE iF �E 1E 1f IP it iE iE iE i! iE iE iE iF 1E iF jF iF 1E iF iE iE iE iE if If IE 1E IE iE iE iE 1E 1E 1F 1E iE if af iE iE iE 1E 1E 1E iE if iE iE fE iF if iE iE iE 1E iE iE IE iE iE IE 9E iE iE iE it
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
SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,000.00
END OF F'EES
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CONSTRUCTION ANDPLANNING P��� PA
ApPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspeccor
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,
2. Soil Pipe�Undrgmd. �� 53. Steel Reinforcement
-3. Electrical Conduit Uti4ity-Undrgrnd. 54. Forms �
�4. E�ectricalConduit�U�drgrnd. 55. ElecYrical8ontliny
r 5: Sreel Reinforcemeat 56. Rough Plumhing & Pressure Te:t -.
�� �'£IectricafUFEfl'Grnii. 57. APPftOVALTOCOVER-GUNtTE �
;7,-FOotings � ' 58. Electrical Conduit-Undrgrnd.
�& Foundation ^ 59. Gas Pipe, O Untlrgrnd., Test - �
9. Water Pipe-Undtg�nd. , 60. 8ackwash Lines, P Trep, O Undsgrnd. -
10. S[�uctural FloorSystem �' 61. APPROVAL TO fJECK ,
17, Property Sewer Lioe & House'Connection 62. Backwash & Receptor-Final
t2. Sswer Cap ' . 63, Heater & Vent-Finaf `��
7.3. Roof Drains . 64. Plumbing SYstem - Final . '
74. Rough Plumbing- . 65. Electrical-Final -
S5. Raugh EleccricabCo�duit � 66. Sotar System-Fina1
16. Rough Electric Wirin� 67. Fencing & Access Approval
17. ROugh Wiring Sign 66. APPROVED f R PLASTERING
Q� .�
}8, Rough Electrical-T Sar Ceiting" 69. POOL/SPA SYSTEMS F1NAL
19. ROugh Heating & Air Conditioni„g r r FIqE DEPT.,�?EQUIREMEIVT ;�
20. RougN Faftory�Fir�r,pjace _ �� ; y '� : �. : APPROVQY.S� Permit #��.
21. Ducis, in'StTucture " • • •• -�' - �� ` � 70. Undergroun8 HXdro '
.
22. OuMs, Ventilating:' ` ' ..• .ti - ��..,' �� 7�, Product Piping O�fas �dOii
23. Gms Aipe•Rough & Test •• d �72, Undergro�nd Ftush � � ' '
- .
24. AoofPreiningr �.,� - ' - �. - . r .7�. Undergrnd.StorsyeTank�Gas ❑Oif
25. Roof Shepthing ,,. �, �� 4 �� i 7d.-' Overhead Hydro
26. F�Ba. Ceiling (S[ructurall & Monocoat � ' ' ,. 75. Dry Chemical - � ' .
27. Fsame and Flashing�; _ �z , m� 76. Dry Stand'piPe -��� .
_
ZS. Lathing & Siding "" ' _ � � " ' �� 77,, FIXED SYBTENI=FINA'L ., �
29. Insulation :c � � • ' � 7 � fIRE PREV. FIN,AL i-' ' '
�� 30. DiYWall Nalling � f.,., �.� -HEqLTN DEPi.'REQUIREMENT
'� _
37. Plaster BrowmCoat �•' - z "79. FINAL INSPECTION '
�.
32. E�ectrical�Powei MeierF�nai ; r�' � �'80:�FOOD CERTIFSCATE ISSUED_,
33. EjnaF€le�ic - , • � Notes: ' "n: ' "- ',�[*'
e-i r,
' 34. Fina� Heaiing'& Ai� Conditioning: `. . « � , •; - - _ -. '
"` -
35. Final Gas-Pipe�Test � . . � ;Y . � � - ' � ;-
36. HOod or Canopy ' " � ' ' � � � .
`v; r'
37. Final.Factory Fireplace � --�- � � � : - �%
,38. Fina('Plumbing - ' , ' _, ' �'
39. Water Service�KlnaF �� � ^ ' . `�' -
� _ a �.
�40. Gas Service-Final '�'#' -� T � - -- ' ' -
a. <� �� �r - � i.
47. Solar pomestic�Final' -' .. � , �- ,- � � ��
42. Beckflow Preventer_' ♦ � ' �+ � = ' �.: - �
-� -
43. Backflow Irrigation � " . � � r -
44. Landscape Irripation System ;" �" "'''� - - ' . "
� r r'
_ 1;
45. Sound Atcen�atio»„ - � � .. . ' - � � . � _
46. Hendicap Regulationsy' • - ' � - �
��/ .- �
47. FINA-LSTRUCTURE&'BUICDING `�+��.�' �G�� , � ,-
48, E1NAL PLANNWG - �• � • �' ° . . "' -
49. Electric Release to E9ison ' ,� . .
. i
B0. Gas Releaie to Southern Californ'raGas Co �:. � .
5;. CERTIFICATE OF OCCUPANCV '
No Oate
OWNER �!'OTT�'.�CE ME�'iA CC1hfPlll�lY DATE q/R�c,R _
t-"7
)OB ADDRESS 3101 Fernheath I,a.ne BUILDING PERMIT NO. '7521
GENERAL CONTRACTOR The Hale COmpan.y __ � VALIiE $ 12, S99
AP. No. LOT $2 TRACT2671 FIRE ZONE DESCRIPTION OF WORKS�1. dwelliri� W/att. aar.
GROIIP I&J TYPE V ZONE Rl PLAN NO.
1 JECTIONS I DATE I SUBCONTRACTOR I DATE PIRMITSNUM ER
coat
Gas Test
�
� `7.5���.
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31'!
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
COSTA MESA. CALIFORNIA
OWNER COLLEGE MESA COMPANY
ApDRE55 P.O. Box 2277, Brookhurst Station
cirv Anaheim Q '�o: KE 3-316
ORCHITENEEFBU$Ijd�CIaikleY No: RE 7191
nooRess 1102 W. 17th St., Santa Ana
rnvranrr�w The 1id12 COmDdRY Y N�o. %35�
�EGAL LOT p�
DESCRIPTION Np� O
an
A.P. NO.
OIF LOT E7� X LOL
$ETB�CIt LINE FPOM
JV
RIGHT
9'
�:.� . �.=..v.... � ._...
: . , . �'1-.'�I 5��;-�.
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
COSTA MESA. CALIFORNIA
FIRE
ZONE
heiwo: KE 3-3161 BVPROVED
TRACT Z671
NO.OF BL�G6.
�ow o� �o, None
REAR VAR03�L�
LEFT lO�
DESCRIPTION OF WORK
NEW X ALTERATION AOOITION
REPAIR MOVING DEMOLISH
BUIIDING lV• NO.OF
SIZE � � ROOMS S STORIE
EXTERIOR WALL ROOF
COVERING SCUCCO COVERING Compo ,
USEOFNEW Sinele dwelline w/att. e8r
RI111 l�INl:
1
STeiE THPT TXE �BOVE IS CORRECT ANO AGREE TO COMPLV WITN �LL
CITY OROINANCE$ 4ND ST/.TE L�W$ NEGVLATING BVILOING CONSTflUC-
"°" COLLEGE MESA COMYANY �ALUATION
s�cNnTUReor� . The Hale Com an Ge Partner
PERMITTEE
��, _, _ �jjij _ s 12,599
CORRECTIONS
PERMiT FEE S 30.00
PLAN CHECK S LS.00
TOTAL FEE 5 4S.00
1958
9""