HomeMy WebLinkAbout3102 FERNHEATH LN - Building Permits�
PflPJECT PUUNESS: 3], O Z FERI�HEATH LN
OWNEfl'SNRME: CONTRERAS, ISABEL JR
AOONESS: CONTRLRAS HF.NRIETTA
3102 F�RN{3EATH LN
COSTA MESA,CA 92626
754-5773
AflCN/ENGINEEfl: REG.NO.:
ROOHESS:
UNIT:
UNIT:
PEflMITTEE: GEORGE BRAZZL ( 714 ) 535-7905
aoowess: 3022 N, HESPERIAN WY. 101
SAN"fA ANA CA 92706
LILENSEO CONTBpCTOP OECIAflATION: I hereUy aifirm ihal 1 am licensea under pmvisions ol Chapier 9(commencinp vnlh Section
7000) ot Division 3 of Ine Business and Pmfesvons Cotle. ana license is in full force antl elfect.
c�rvuc. ?,�L _�srnTEuc.:4,33064 � cuss:�36� j
WOXRENS' COMPENSATION �ECLANATION: I hereUy allirm Ihat I have a cetlilicale of conseni lo selbinsure or a certifica�e ot Workef5'
Comoensaiion y� ira8c¢1 ��c�nUie.� wgy� {�ereo� �section 7so0, �ae. �1�1 / O 1/ 9 3
POLICY NO.: �� � E%P. �RTE:
COMPANY:I�ELIANCE INS,CO
r] Cenilietl copy is here6�y ^lumishea. � CenifieA copy is liletl ^with iAe ci���B/u/��ainp Divisioa
Oale: � �_o_� � / � __ pDPliCanl: /�/ I/ ' ���/liLC/lu�(�
EXEMPTIONFflOMWOPI(EBS'COMPENSRTIONOECIAMTION: (i�issetuonneWno10ecomDleteOili permlistoranehuMttV(5700�orless).
I cenity Inal in Ihe oeAarmance of Ihe work for which tnis permit is issue0. I snall nol employ any person in any manner 5o as ta befAme
, suattt Io I�e Wo�kers' ComOe�saiion lavrs o� Calitomia.
Dale: Sipnawre:
NOTICE: It. alter making tAis declaration, you shoNA became su�ject ta lhe Workers' Compensation provisions al I�e la�ar
COUe. you mus� �orlMnth comD�Y ��� suc� pmvi9on5 ar IN5 permit shall be Ge¢meC revoked.
COBSTflUCTION LENOING RGENCV: I �ere0y allirm ��at ��ere is a con9mc�ion IenUing agenty �or 1�e pedormance ol lhe wodc for
wnicn ihis Dermi� is issue0 �Seciion 3097. Civ. C�.
LFNOEfl:
ADONESS:
OWNEP BUILOEN OECIAfiATION: I her¢by aflirm Ihai I am eKemO� ��Om Ihe CAniratloR' State License Law tar ihe following reason
(Seclion 7031.5 Business antl Protessional Coae: Any cily ol county whic� requires a Dermi� to constmc�, alter, improve, tlemolis�, or
repair any simcture. prior to its issuance, also requires the apDlicant far such permit Io lile a sipned statement that hGshe is licensetl
pursuanl 10 I�e pmvisions ol l�e Comracmrs' Staie License Law (Chapter 9(commenting wilA Seclion 7000) al 0ivision 3 0l the Business
antl Prolessions Code) or �hai helshe is exempt there�rom and �he basis lor Ihe allegetl exemption. Any violation o� Sec�ion 7031.5 by
any applicam lar a Oermit su�iecis �he aoP��cam �o a civil Denaliy oi not more ihan live hunered dollars (f5001.
I. as owner ol the pm0eny or my employees wiih waAes as �heir sole compensalion, will Ao �he work. antl the
❑ slmcWre is noi intentletl or o��ered for sale (Seclian 70da, Business antl Prolessional Cotle: T�e Coniracmrs' State License Law
Ooes nol apply to an owner oi a D�oDe�y who Guilds or imDroves ��ereon, antl who tloes suc� work himseli/herself or ihmugh
Ilis or her own employees, pmvi0e0 that such impmvemenis are nol intentle0 ar otferetl lor sale. II, �owever Ihe huilding or
impmvement is SoIU within ane year of tomple�ion. Ihe owner will have I�e 6UrUen ol proving hels�e tlitl not huild Or impmv¢
tor Ine Durpose of Sale).
I, as owner o� ��e pmperty, am e�clusively coniractinp with licenrea contracbrs Io consimc� Il�e piole�� (Seclion 7044, Business
❑ an0 Prol¢ssions Cade: Th¢ Cqniractors' Sla�e LicenSe Law tices no� apply lo an owner ol prop¢rry who builOs or improves t�ereon
antl who conlracis for such pmlecls witn a coniractorls) license oursuant to ihe Conirac�ars' Stale �icense Law�.l am aware
��al D�aol ai their Worker'S ComOensation insurance 5hou10 Oe D�ovidetl lo me.
� I am e�empl un0er Section: B. 8 P. C.
br ��is reuon:
Oate: Owner.
I Oo �ere�y cenily Iha1 I am aware ol an0 unUerslana I�e repuiremenls ol Cali�ornia Healt� anE Sa�ery Code Seciions 25505. 25533, an0
2553C anE tl�at I or any future builtlmg occupanl wilUwill not (circle ane) neeA to comDN ��� �id stale co0e5 an0 t�e repuiremenis tor a
permil �ot conslNctian or mo4ificaiion Irom the Air Ouabry Management DiSiricl. fleSiUeniial conslNciion aD�litaiions are exempi �rom
IIIeS¢ provision5.
Daie: Fp01ic .
I �¢reGy ceriily ��a� I have r¢ad t�is applitalion a Sia�e Iha� ��e a� Ve in�ormaiion i5 t¢t . I agr¢e lo compy mih all tiry and toun�y
orainancesanOvaielawsrelaling�ohuildingcons uctionand�ereLya hor'vereprese tive Ilhis 'tytoemeruD�iheabme�menfionea
pmpetly lor inspeclion Our oses. / � /
Oate:� � Signamre: �v
o�iver's ticense or souai secudty a:
16<1-a6 Whne—Builtling: Green—Cotle EnlorcemmC Canary—Applicenl: Pink—Revenue: Goltlenrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMTT
PERMIT NO: P 05715'7 PLAN CHECK NO:
CONSTR[ICTION TYPE: PERMIT TYPE; PLU
JOB DESCRIP'I'ION : REPLACE WATER HEATER
CLAIM VALUE:
CALC—VALUE:
i\i
PERM NO; P U5 1„
GOVT: N SUPP: N
PURPOSE; OTH
SQ fT;
GROUP OCC: R-3 /
COMt�fF.NTS; REPLACE WATER HEATER
dF iE iE dE �%�% 1E rt ih.If.X..� 36 �lE �K�dE �16 �%-%if iF 1F 9E �1f �1(� #�)Eif ��E -lE �lEif iF df iF if iEdF iE �1(� �lE �%iE-lE if-iE �%df iE iF�k� 1E iE iE # if iE If �If if IE �7E iE 1E X dE �3E JF �% IE ��jEY.• dF dE dE �X �lf %
2 O N I N G R E Q U I R E M E N T S
seTaacxs
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN
LEFT: FT IN RGHT; F'P IN LEFT; FT IN RGHT; FT YN
PARKING REQ• PROV; PARCEL; 43919210 7.NE; REF iVO;
PLANNING Ni7'1'ES>
�
jE i(� IE K IE iE iE 1F iE 1E if iE iF iE iF if if iF 14 if iF %� 3k ik ih #� iE iF iE �E i(-�lE If iE # iE 1E iF iE iE ic iE i(� ff iF 1f � 3t iE 1E iF IE if iE iF if 3E iE if if iF �)E aE iF 1F iE �1F if ih N� �IF 3E If jf if iE 1E #� iE
A 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
7.OI3ING APPROVED BY �r DATE:
BUILDING APPROVED bY ;
APPLICATION ISSUED BY; �
ififihiE3EiE3Eif%ik1EiElFiEiE3fiElEitiEaFiE r .
if iE if if if #� iE %# iE iE if lE iE lE iE R 3f� 1F iE if iE iF iP iF if jE iE iE 1E iE 3E iE 3F iF
LEGALIZATION:N F E E
PERMIT BLDG PMT PLUMBI�NG� ELEC
25Y
DATE:
C�I
1EiE* iF3E3eiEiEikiEiFiEif#iflflEiEiF1E3flF#ifafiF��IEK��i(�iEiFieiFiFiflFlEiElf
S J M M A A Y STRUCT[iRAL SEGMENT:N
_C MECHANIC FIRE SMIP/RES GRADING
SMIP/NON—RES
PI,AN
ZSSDE FEE 3,00
Bi]SLDING—DIV—> PERMIT ISSTJE PLAN—CHECK TOTAL PAID DUE
TOTAZS----> 2.00 3.U0 0.00 ;.00 5.00 .00
REVENUE DIVISION TOTALS--> COLLEC'CED: 5.00 OVER/SHORT: ,00
HLAG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOi GRADING PLAN—CHE;CK
5.00
IE ii� 3E if iE if iF IE if iF iE �N� fF iF 3E iE iF IF iE if iE iF iE iF 3E jE iE if If iF 1F 1f� IF �1F iE�lf iE 1E iE �E iE If iE 1E iE �lf aE if if iF it it iF iE if ih 3(-if 7E )f iF �kiE it if ik jE lE 1E jf iF M� iF i6 K It iE if ik
2 N D I V I D U A L F E E H R E A R D O W N
TYPE ' Q'fY D E S C R I P T I O N t7NZT COST TOTAI, COST
PLU 1 WATER HEATER AND/OR VENT 2,00 2,00
END OF FEES
_� _ .'.," rr`.'_ _ "
�i�._ C'.._, :%: �!'— — ._.
9
CONSTRUCTION ANDPLANNING POOL PA
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
7. TemporarY Electrical Service or Pole � 52. Pool & Equipment Location
2. Soil Pipe�Undrgmd. � 53. Steel iieinforcement
3. Electricai Conduit Utility=Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrndi„ 55. Electrital Bonding
5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6• ElectricalUFERGmd. ' S7. APPROVALTOCOVER�GUi�lITE
7. Footings 58. Electricai CqoduicUndrgrnd.
S. Fo�ndation � 59. Gas Pipe, O Undrgrnd., Test �
9. Water Pipe-Undrgend. 60. Backwash Lines, P�Tra�, O Undrgrnd.
10. Structural Floor System . 61. -APPROVAL TO DECK
7 t. Property 5ewer Line & House Connection 62. Backwash & Receptor�Final '
12. Sewer Cap 63. Heater & Vent�Final
13. Roof DrainS • 64. Plumhing System - Final
14. Rough Plumbing 65. Electricai-Final
15. Rough EleMrica6Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Pencing & Access Approval
77. Rough Wiring Sign 68. APPflOVED FOR PLASTERING
78. Rough Electrica6T Bar�Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21. DuCts, in $tructure 70. Underground Hydro
22. Ducts, Ventilating 71 . Product Piping � Gas ❑ Oil
23. Gas Pipe�Rough & Test � 72. Underground Flush
24. Roof Framing 73. Undergrnd, Storage Tank O Gas L� Oil
25. Roof Sheathing 74. Overhead Hvdro
26. T�Bar Cei�ing (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashin4 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electriral Power Meter-Final S0. FO00 CERTIFtCATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Canditioning
35. Final Gas P�Pe-Test �
36. Hood or Canopy a-
r
37. Final Factory Fireplace
38. Final Plumbing tr%7j(��?j(.�f7
[
39. Water Service-Final
40. Gas Service�Final
. 41, Solar pomestic-Final
42. Backflow Preventer ` �
43. Backfiow Irrigation
44. Landscape �rriqation System
45. Sound Atcenuation
46. Haadicap Regulations
47. FINAL S7RUCTURE & BUhLDING �
48. FINALPLANNING
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co � "�
51. CE(iTIFICATE OF OCCUPANCY
No. Date
`- �
n
PflOJECT AD�BESS: 3 1 O Z F ERTIH EATH L N-
owr+easname: CONTRERAS, ISABEL JR
aooness: CONTRERAS, HENRIETTA
3102 FERNHEATH LN
COSTA MESA,CA 92626
(714)645-0104
AXCM/ENGINEEF: HEG.NO.:
AODNESS:
UNIT:
UNIT:
PEflMITTEE: NEWPORT ROOFING ( 714 ) 645-0104
aoosess: 177 RIVERSIDE AV
NB CA 92663
LICENSE� CONTflACTON OECIAflRTION: 1 �ereby allirm Ihai 1 am IicenSeA under O�ovisions oi CAapter 9(commencinB ��� Section
7000) ol Oivision 9 of Ihe Business ana Pmfessions Cotle. anC my license is in lull force and ¢tlecl.
cirv uc.: ���' /9'�� /8C$ staTe uc.: � Z'19 -S 9 CO 3 9
oai � = /-�b�—� s�e � ��
wOHKEBS' COMPENSa710 oECIABATION: I at I nave a cenificate ot consent m sell-insure or a cenificate oi Warkers'
ComOensation 5 ca c a tdieq py I�ereol (Settion 3800. La0
POLICYNO.:��'46���-7� E%P.OATF. 7/OS/9'I
caMraxr: STATE FUND
❑ Certified ca is ereby fumis�ed, � CertitieG cooY is fileA wit� roe ciry BuilEing Division.
�ale.. � � � AOOlianr—� � C�
E%EMPTIONFflOMWOPNEflS'COMPENSAiIONOECLAM : Qhissecuon. ecomplete0ii@eDermili5toronehun4re0�5100)arless�.
I cetlily tha� in �he pedormance of the work �ar wAic� �his permit is issuetl, I shall noi emDloy any persan in any manner so as to become
subleci to the Workers' Com0en5a�ion Laws oi Calitomia.
�ale'. Signature:
NOTICE: I�. atler making Ihis declaraiian, yau shoultl become su�ieci to �Ae WorkerS' CompenSalion pmvisions o� �he La6or
Coae. yau musl fo�liwith compry wilh suc� O�ovision5 or Ihis permit shall be Ee¢meA revake0.
CONSTNUCTION LENOING AGENCY: I �ere0y aHirm that Ihere is a con5imc�ion Iending agency for Ihe pedo�mance ol ihe work lor
wnicn this permilis I=suetl (Section 3097. Civ. C�.
LENUEP:
aoanEss:
OwNEfl BUILOEfl OECLABAiION: I hereDy aifirm ihat I am eaemD� ��am ine Cantractori State License law for ine followinB ieason
(Section 703t.5 Business an0 Professional Coae: Any cily ol counry w�ic� reQuires a Dermil to consiruct, alter, improve, UemolisR or
rCVaii any slmcWre. D�iOr lo iIs isSuanCe, al5o r¢QuireS i�e aODliCani lor SUch permit b �ile a SipneU S�a�emen� ihat he/She i5licen5ed
pursuani Io I�e provisions ol 1�e Conlratlor5' Slaie License Law (C�apier 9(commencinp with Section 7000) oi Division 3 ol ��e Business
antl Pmfessions Coael or that he/sne is exemo� inerelmm and ine basis for Ihe alleqea exemption. Any violation ot Section 7031.5 Uy
any applicantlor a De�mil suUiecis Ine apD���ant to a civil penalty af no� more tlun Irve hundre0 tlollars (55001.
I. as owner of t�e pmDeny ar my employees with wapes as I�eir sole compensalion, will do ihe work, an0 Ihe
❑ slmcwre is noi intenEetl or oflere0 for ule (Section 704a. Business anG Pmfessional Code: The Coniractors' State License Law
Ooes noi apply lo an Owner o� a O�oDerty who Guilds Or im0�ove5 Ihereon, antl who Ooes Suth wOrk himSelV�ersel� or tAmug�
M1i5 or h¢r awn emDloyee5. pmviDeO Ihal Suth impmvement5 are nol int¢nG¢a Or Ofl¢reC lor Sale. II, �ow¢v¢r Ihe builainp Or
impwvement is soltl within one year ol completion, I�e owner will �ave I�e burGen o� pmvinp �e/she ditl not buila or impmve
lor ine putDose ol sale).
I. as owner ot I�e pro�eriy, am eMtlusively conlractinq wit� licensetl conVactors to con5lmci I�e O�olect (Seclion 7044, Business
❑ antl Professions Coae: IDe Contracmrs' State License Law Goes nai apON �o an ovmer ol pmDeny vAia hmlUs or im0�oves thereon
and w�o conVac�s loi such pmlects wit� a coniracloqs�license pursuani�o Ihe ConVactors' Stata LicenSe Law�.l am aware
Ihal prool ol ��eir Worker'S ComOensation insurance 5�ou10 Oe OrovideE m me.
� I am eMempi untler Seciion: 8. d P. C.
lor ihis reason:
Date: Owner.
I ao nereby ceniiy tnat I am aware ol ane untlerstana the requirements o1 Califomia Healtn ana Salety COUe Sections 25505, 25533, antl
25534 antl inai I or any �uWre builtling occu0ani vnll/wili no� (ci¢le one) neeA lo comON `M�h saitl 5taie cotles and ��e requiremenis for a
permi� br conslmclion or motltlicaiion imm I�e Air �uality Management Oislricl. PeSitleniial con5imction applications are eeemp� Imm
Ih¢5¢ prOvi5i0n5.
�ate: pOD�icani:
I nere6y Wtlify thal I �ave reatl ihls application antl state I�ai lhe above inlormalion is correci. I agree to comDly with all city antl county
ortlinances and slalelar relali lo �uilding con5imtlion antl here�y autnor¢erepresenlatives o��hiscityto en�eruponthe above�mentionetl
pmper�y lor inspeclio yo�wo 5 �^
Oa�e: Y � Signawre� �� J'
I �nvefs Ucanse or Social Securiry n: -� �
164L46 Whne—Bwlaing�, Green—Code En�o¢emenL Canary—ApplicanC Pink—Revenue; Goitlenrotl—Assessor
CITY OF COSTA MESA — BUILDING FERMIT PERM NO: B 067475
PERMIT NO: B 067475 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTZON TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/O 2 LAYERS COMP G APPLY LGHTWGHT TILE SQ FT: 4,750
CLAIM VALUE: 4,750.00 CALC—VALUE: 9,750.00 GROUP OCC; R-3 /M-1
COMMENTS: INSTALL PER ICB01t 4660/ SM�JKE DETECTORS REQUIRED TN x*nM� 'Q1rTar
�.�***���**�**��*�������**�*��***�*�*�***���**��*��.���**�*�SMOK��D�TE�C*TOR
Z O N I N GS ERTEB�AUCI�RSE M E N T 5 �-.�
REQUIRE� �
------------ MAIN BUILDING ---------- --------- ACCESSORY BCIILDING -----•rakta`3<_
FANT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT ZN LEFT: FT IN RGHT; FT IN
PARKING REQ: PRO��; PARCEL; 14104402 ZNE: REF NO:
PLANNING NOTES>
> �
�f iE if if if iE iF ic iE iE iF if iF iE iE iF iF if iE iF it iF iE * aF iE if iE iE if ic jf if iF iE 3F dF iE �1�-af if iF if if if iE iE x� iF i( ?F if if 3E if ic iF * iE 3f jE if ic aE 3: jf �Y Y. ik #� * ac aF if iF a: af �Y iE
D E V E L O P M E N T S E R V I C E S P. E Q U I R E M E N�T S
ZONING APPROVED BY DATE: �
BUILDING APPROVED BY : �� _,, „ � DATE•
APPLICATION ISSUED BY:
�*u�***x�**x-+r*rr�r�c�***�r*� �+�#�r�Fk� TF3F� ,F'sf�
3FiFitifilif�K*ifiti4iFitiFaEifiFicifiEiEifiE#fc{(�{tafif+fiElfifaEiFifif+Eif iEiF
LEGALIZATIOA7:N F E E S U M
'�l��� DATE: ��
iF7FiF'i��ex +t�-i�***ir*iti�.�+r�+r �r� -�'�itit
�lf if iF .R iF 1f fF 1E if M if'4 ih �If if iR iFlf i(� �f 1f if iE jE if 1f Y ih iF 7E if 1f if
R Y STRt]CTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 72,00 .SO
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE FLAN—CHECK TOTAL PAID DUE
TOTALS----> 72,50 0.00 O,OQ 72,50 72,50 .00
REVENUE DIC'ISION TOTALS--> COLLECTED: 72.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECH
72.00 ,50
�)E � iF it if-if� i(� 1k 1F iE iE ih ir iE iPlE ie ik ik iF �lf-1f iE it iE iF iE 1f i! iE iE iE i(� 1E i(� ih i(� if i4 if it iE if ie iE i! iE i(-11� iE k k 1E if� i(� 1E it iE i(� iF 1E # ic if� if HE if �f- iE i[� iE iF M iF �E if M a� {F
I D] D I V I D U A L F E E B R E A K U O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 4750 REROOF BY VALUE RESIDENTZAL NOZONE 1.00 4,750.00
END OF FEES
�kTGi1066706/1+416TIIEtE� i$CS$
Tr1T ��.��
� -�.
COIJSTRUCTION AND P�ANNING POOL .PA �� �
APPROVALS Permit# �ate Inzpector p�ppROVALS Permit?k Date Inspector I
7. Temporary Eiectt�cal Service or Pole �� - 52. Pool & Equipment Location
2. Soi� Pipe�Undrgrnd. �. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Fo�mt
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. S[eel Reinforcement 56. Rough Plumbing & Pressure Tzst
6. ElectricalUPERGmd. � 57. APPflOVALTOCOVER�GUNITE
7. Footings � 58. Electricai Conduit�Undrgmd. ;
8. Foundation , 59. Gas Pipe, � Undrgrnd., Test
9. Water Pi e-Undr md. �
P g 60. Backwash Lines, P�Trap, C] Undrgmd.
�� �
10. Structural Floor SYstem ;�; 67. APPROVA� 70 DECK
t i. Property Sewer Line & House Connection �� 62. Backwash & Receptor•Final (
12. Sewer Cap � ' 63. Heater & Veni�Final
13. Roof Drains ! 64. Plumbing System � Final
14. Rough Plumbing � � 65. Electricai�Final �
15. Rough Electrical-Condua 66. Solar System-Final �
1
76. Rough Electric VJ�ring 67. Fencine� & Access Approva� �
I
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEP;1S FINAL �
1
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMEVT (
20. Rou9h Factory Firepiace APPROVALS Permit # �
21. D�cu,in Structure 70. U�derground Hydro �
I
22. Ducts, Ventilating 77. ProducE Piping I�Gas �Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof 'rraming 73. Underyrnd. Storage Tank Gl Gas ❑ Oil
25. Roof Sheathing �s-�p-�'� ��� 74. Overhead Flydro
26. T�Bar Ceiling iStructurall & Monocoat 75. Dry Chemical I
27. Frame and Flashing 76. Dry Siandpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Dry�vali Nailin9 � HEALTH DEPT. REQUIREMENT
37. Plaster Brown Coat ' 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. F000 CERTIFICATE ISSUED
33. Final Elec:ric Notes:
34. Pinai Heating & Air Conditioning •
35. Final Gas Pipe-Test � �
36. Hood or Canopy ,
37. Final Factory Fireplace �
38. Final Plum6in9 - �
39. Water Service�Final ��
40. Gaz Szrvice-Final 1
41. Solar pomestic-Final
42, Backflow Preventer '
I
43. Backflow Irrigatia(+�.
44. Landscape Irrigaii�,,System
45. Sound Attenuatidm! :-
46. Handicap Regutati6ny '��i
47. FINAL STRUCTURF, &�SUILDING �-�Q !�� �u/�
48. FINAL P�ANNiNG :��-
49. Electric Release to'�qisqr�!
50. Gas Release to Southern•California Gas Co �
51. CERTIFICATE OE'O,CCUPANCY
No. t�-Date
OWNER COLLEGE MESA COMPANY DATE q�,q�SR _
TOB ADDRESS �102 Fernheath Lane BLIdDING PERMIT NO. 7521+
GENERAL CONTRACTOR `�e H&1e
VALUE
AP. No. LOT 85 TRACT 2671 FIRE ZONE DESCRIPTION OF WORK S�l. dwellin� w�att. �ar.
GRO[IP I� TYPE V ZONE � PLAN NO.
�ECTIONS I DATE I SUBCONTRACTOR I DATE
coa[
F' � Gas Test
C :uction P�
At
, ,
� '7�2�.
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIFORNIA
BUILDING
ADORE55
FOR APPLICANT TO FILL IN
�ivc reruueu�u wue
COSTA MESA. CALIFORNIq
OWNER COLLEGE MESA COMPANY
ciTv nnaneun
ARCHRECT BULOC�
OR E- 'NEER and
ADDRE55 L1OZ W. LJ
CONTRACTOR �e Hal
nooaess 17�7 W.Lin
LEGPL LOT
DESCRIPTION NO. HS
an -
A.P. NO.
62 x 100
E%ISTING BLDG.
SET9FC1( LINE FROM
CENTER OF STREET
a� L� V(�. i r..
�:�.�,1,�-1 ��::.
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
aurs� �cacion � Q -
T�o: KE 3-3161 ADDREI55
LIC.
�o. RE 7.191 COSTA MESA. CALIFORNIA
FIRE
ita Ana ZON�jE
LIC. ZO�J� PLO1N5 TTPE
No. 7350
iwo: KE 3-3161 BYPROVED DATE
TRACT 2671 CORRECTIONS
NO.OF a�o�s. None
NOW ON LOT
� REAR YARD .31�
SIDE YARD � RIGHT H� LEFT 7�
DESCRIPTION OF WORK
NEW %� ALTERPTION AODITION
REPAIR MOVWG OEMOLISH
BUILDING ILZ �L1V. NO.OF
ti>r 440� -Gar_ aooms 5 sroRies
EXTERIOR WALL
COVERING
USE OF NEW _ .
STl�TE TMFT THE FBOVE IS COFRECT FND /�GPEE TO COMPLV WITH iLL
CITY OPDINANCES f�Np STATE L>WS flEGULFTING Bl11lpING CONSTPVC-
riorv. COLLEGE MESA COMPANY VALUATION
SIGNATURE OF
PERMITT T
/ n .._ n '' /Y/ � g12�599
l
PERMIT FEE S 30.00 ,
PLAN CNECK 5 1S.00
TOTAL FEE 5 �#S.00 ���