HomeMy WebLinkAbout3012 FILLMORE WAY - Building Permits��ia)�sa-sz�s • Fex(�ia)�sa-aess
CITY OF COSTA MESA .
BUILpING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
JobAddress: 3012 FILLMOREWY
Suite:
Vicinity: FRONT FOUNDATION AREA OF SINGLE STY APT
ParcelNunmber: 14173414
Applicant: OCCHIPINTI, RONALD
Address:
Owner: GILLIAM, BARBARA S TR
Address %POWELL, RICHARD D
MIDWAY CITY,CA
' 15672JEFFERSON ST
Contracror: ��R� — S �i�RC.
Ailtlress: /�9,3 �_����
�/�EA� CR•
Z�P: qi�2�
qrch : AMON, ELMEI
Address: 472 COOPER ST
Zoning:
Phone: (714)875-9574
Zip:
Phone:
2ip: 92655
Phone: C`(Iq) �i5— q s%�
�ice�se: 7 0�O 7 3°l
Eng:
Address:
Phone:
SANTA ANA, CA
2ip 92704 License: 17009 Zip:
SCOPE OF PERMIT
FOUNDATION REPAIR ON AN EXISTING MULTI-FAMILY DWELLING UNIT. FOR UNIT 109.
FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$72.96
$112.25
$0.60
$0.00
$0.00
$0.00
$185.81
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING existinq: 0
NOTES:
Rear • 0- 0
Rear 0- 0
Required: 0
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 02/19/1999
Issued: 04/09/1999
ISSUED BY: c��
Phone: 949-448-9650
License: G439
Calc Valuation: $s,000.00
Claim Valuation: Ss,000.00
Right 0- 0
Right 0- 0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regula�ions. (Ord. No. 92-28, § 1, 12-21 •92)
EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work aWhorized under this permit to be considared legal, such work must comply with all applicable codes, and all
requlred Inepeetlone and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545826
w•
WORKERS' COMPENSAnON DECLAF1AnON: - . �
I here6y eHirtn under penalry of perjury one ot the following deGaretions:
❑ I heve and will malntain a ceniFlcate of consent to self-Insure tor workers' compensatlon, as provided tor by section 3700 of the Lebor Code, for the pertortnance of tha
wOrk for which lhis pertnit i5 issued.
❑� I have anC will maintain workars' canpenseUon insurence, as required by section 3700 of ihe Lebor Code, for ihe perfortnance ot tha work tor which this permit is issued.
My worckerTs' qcompensetion Ins�u�r�annce cartier and policy number are: /S //��� _��
Carner. J/ // %� ��VJv - Policy Number. � �
(This secNon need not be comp/eted i/ the permit is velued et ane hundred dollers ($100) or less.)
❑ I certify ihat In ihe perfortnance of ihe work For w�ich this permit is issueQ I shell not employ any person in any manner so as to become sub�ect to the workers'
compensation laws of Calitomia, antl agree ihat if I should become subject to the workere' compensetion provisions of Section 3700 of the Lebor Coda, I shall forthwith
camply with ihese provisiqi s�.�s f , /A/ �/��
Applicant SignaNre: ��/ // ���' Date: �
WARNINO: FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADOITIOfy��. O THE COST OF COMPENSATION, DAM4GES AS PROVIDED FOR IN SECTION 3]W OF THE LABOR CODE, IPIrEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACiORS DECLARATION:
I hereby aflifm ihat I am
force and eHect. Lic. k_
COMrecrors Slgnature:
of Chapter 9(commencing with Section 7000) of Division 3 of iha Busines�antl Pro�5lQns'Code, and my license is in tull
Class # /3 0�
� - oe,a: y�q 99
CONSTRUCTION LENDING AGENCY:
❑ I hereby aNirm that there is a construction lending agency lor the pertormence oi ihe work for which this permit is issued. (Sec. 3097, CiWI Coae).
Lentler's Name: Lendefs Address:
Signature:
Date:
OWNER-BUILDER DECLAFiA710N5:
I hereby eHirm ihat untler penalry oi perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7037.5, Business entl Professions
Code: Any ciry or counry which requires a pertnit to consWct, alter, improve, demolish, or repair any sirudure, pnor to its iuuance, also requires ihe appliwnt for such permit
�o file e signed sta�ement that he or she is licensetl pursuant to ihe provisions of �he Coniractors License Law (Chapter 9(commencing with Sectlon 7000) oi Dlvlsion 3 of the
Business end Protessions Code) or that he or she is exempt Iheretrom end ihe basis for the allegetl exemption. Any violation of Section 7031.5 by any epplicent for e permit
sublects ihe applicant to a civll penalry of not more Ihan five huntlretl tlollers ($500).):
❑ I, es owner of the properry. or my employees with wages as iheir sole compensetlon, WILL DO THE WORK, and the siructure is not intendetl or otteretl tor sale (Sec.
7044, Business antl Professions Code: The Coniractors License Lew does not epply to en owner ot property who builds or improvas thereon, antl who does such work
himself or herself or Ihrough his or her own employees, provided thet such Improvements are not intendetl or oNeretl for sale. If, however, ihe bullding or improvement is
soltl within one year of completion, ihe owner-builder will have the burden of proving thet he or she did not build or improve for purpose of sele.).
�
❑ I, es owner oi the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business entl Professions
Code: The contrectors License Law tloes not apply to en owner of propeny who 6uilds or improves thereon, antl who conirects for such proJect with e contrector(s)
license pursuant to the Contrectors License Lews.).
❑ I am e:empt untler sec. Business end Protessions Cotle for this reason:
SignaNre: � Date:
Owner ID verified by diiveYs license. ❑ Ves ❑ No, Drivets License No. Expires:
Verification of Ownerehip by (type of document, i.e. - pmperty�tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICA710N:
❑ I hereby certlty Ihet no excavation five (5) or more tee� In tlepth Into which e person Is required to descentl, will be made in connaction wlth work euthonzetl by this
permit, and Ihat no builtling strucWre, scaXolding, falsework, or tlemolition or dismentling Ihereof, will be more Ihan ihirry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sac.
341, Ttle 8, Calitomia Adminlstretive Code).
❑ As owner-bullder, I will not employ anyone to tlo work which would require a permit from Ihe �ivision of Intlustnal Safery, as notetl above, unless such person has a
permit to do such work irom the divisian.
Signeture: Date:
DiviSion ot Indus�nal Safety Pertnit Numbec
CERTFlCA7E OF COMPLIANCE AND AiJT}IORVA710N OF ENTTiY: I certiy under penelty of perjury that I heve reatl this application and state that the intormation given is
correct. I egree to comply with all state laws and ciry ortlinances relating to Ouiltling constmction, and authorize representatives ot the Ciry of Coste Mesa to enter upon the
above-descrlbe0 properry tor inspection purposes. I agree not to occupy or allow acupancy oi eny building authorized by Ihis permit until final Inspection.
[i] ]�:�RFi�t3i[.l:�G�
1816
1266
Ot LEpalOwr�r(s)� �/ � jate� � ^
/'J/d�lr `/
i nmod lir.anf D818
Flxetl System Final Fire Prevention
Pool Spa Finel
200 Finel Re-Roof
201 Finel BIocWRetaining Wall
202 Finel Fectory Fire Plece
203 Final Sign
204 Final Demolition,
2446A8
Q� INTRIALS
COOE 1 INSPECTION TVVE
208 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Pravention
220 Final Planning Aoproval
222 Final Site
250 Final Building/Occupancy
P�, INTITIAlS
APPROVF,D
cirv ot cusrn �iesn
PLANNING DIVItiION
SUBJECT TO BLDG. bF.PT. ItF(7.
NOTE: ADDITIONS. I)ELl:llt �Nti,
OR Ct)RRECTIONS SIIALL BL
APPROVED BY THE PLANNING DIV.
�
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_,��i.,:.,,, �_,._, ... ..--
J�NNSON MA{N'(ENANCE
�OlJ'J1�EVER AVE.
iono ee�en ca. voeo�
� ►A7�1-002di7�0176
Oti. 1 •714•DJO-4li9
i°vi��T�D���--d O 23�
TO: LIObI 1'AOFERTY�
101 C�l SLA�T£Jl A4'E SU1 iS, .'' 12
POCiNTAi.N VALLS' C�
7ERM8: PRnPER7Y Q 3n12 FII.LHOkE
w/p 1351 r_.OSTA ME.;n c;A
pATt � DEBCRIPT}UNNfiVC310E NO.
7NSTALLEC� $N4YE PETECTOfiS iN
tJNS7 109�130,171, RS PER 2EW-
91', IN ACCORDANCE i►ITF{ CODE.
PARTS A1iD 1:AbOR
CHAROES
$136.4
STATEMENT
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07l1 99
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PQRIOD ENDI
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BALANGE
FORWARDEO
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5136.9:i
PAY A1MOVrIT SHOW►1 ifi i1118 BpX 1 313b.93
7HANK VOUI
ALAN J. JESSUP, P.E.
Consulting Geotechnical Engineer
Registered Professional Engineer 24432 Silver Spur Lane
Califomia Laguna Niguel, CA 92677
Nevada NOTICE OF� INSPECTION Phone/Fax(949)448-9650
Project No. "19�0
Job
� 2�_
Type of Inspection: Continuous Footing_ Spread Footing Caisson
Friction Pile Swimming Pool OtherYNN�iH pGCI �1Y�K�
. /
Description of Inspections Covered by This Notice: �kE:A.r�uil�t+v, /�a.-�'
A
The'undersigned has observed the excavations listed'above on the referenced property and
same 9 re excavated in a�c�ance�wit�� mm__e�dations in the preliminary report and the
Buildin Code of the L/f�kw GT irYt�% w/1
(1) Office; (2) Client
Alan J.�Oes�up, P.,E:,
Geotechnical Engineer, GE 439
^`--'1 Engineer, RCE 18431
J
,..
PAOJEC+�oopess: 3012 FILLMORE WY uxiT: A—D
f'OWNEB'S'11PME: GILLIAM, BARHARA 5 TR FLOOD; X 47
aooness: z805 VIA MONTECITO
SAN CLEMENTE,CA 92672
ABCMIENGINEEN: REG.NO.: I�
nooeess: uxir:
resmine[: FAIRWEATHER ROOFING ( 719 ) 832-5357
aooxess: 3845 E CASSELLE AVE
ORANGE CA 92669
UCENSEO CONTRACTOP UECIAPAT10N: I hereby al(irm Nat I am licensed under O�ovisions of Chapter 9(commencing with Seciion
7000� ol �rv� ion 9 of ihe Business antl Pmfessions Cotle. an0 my license is in full force an0 effec�.
ciTruc.: �47828 STATELIC.: SSSS�IS cuss: C 39 EXP: 06/95
�ate: Signature:
WOBREPS' COMPENSFTION UECLABATION: I hereby aihrm that I have a certificate of consent to selbinsure or a cenificate oi Workers'
Compensation Insurance. or a cer�itietl copY �hereof (Section 3800, Lab. C�.
POLICY NO.: EXP. ORTE:
COMPRNV: �[
❑ Cerli�ietl capY is hereby fumishetl. LJ- Certilietl copy is filed wiih (he ciry Builtling �ivision.
Dale. ApplicanP.
E%EMPTIONFROM FHENS'COMPENSATIONOELLPBATION: (Thissec�iannee0no��eComple�etlif�hepermiti5lorOnehUnUreE�E7W)orleu�.
`cerlily I�at in Ihe edormance ol Ihe work for whic� this permi� is i55ue0. I shall not employ any Oerson in any manner so as to �ecome
4ublect Io Jhe W ers' ompensation Laws o� Calilomia. /n/-%� �
Date: � �V �� SignaWre: � `t/ �
� NOTICE: I. al�er making Ihis declaration, you should become s�t�e Workers' CamOensaiion pmvisions oi ihe Labor
Code. you musi fonhwith comply wiU sucn pmvisions or this permit shall be deemed revoketl.
CONSTBUCTION LENDING AGENCY: 1 hereDy affirm tha� there is a cons�mction lentling agency �or ��e performance ol Ihe work �or
which �his permii i5 issUetl (Sec�ion 3097. Civ. C).
LENOEfl:
aoosess:
OWNEfl BWI�EB UECIAPPTION: I hereUy affirm t�at I am exemp� irom �he Contratlors' State License Law Ior the followinp reason
(Section 7031.5 Business and Professional Cotle: Any ci�y oi counry whic� reQuires a Oe�mi� �o consimct, alier, impmve, tlemolish, or
repair any 5lmciure. prior to ils issuance, also repuires the applican� for such permi� �o �ile a signetl sla�ement Iha� he/she i5licensetl
pursuam m ��e pmvisions oi Ihe Contranors' State License Law (C�ap�er 9(commencing wi�� Section 7000) of Division 3 0l ��e Business
anU Pmfession5 Cotle� or �ha� he/She is exemp� �h¢retmm ana the ba5i5 br the alleged exemp�ion. Any violaiion o� Settion 7Q31.5 by
any apPlicanl br a permit suhlecls the apPlican�io a civil Denal�y of no� more than five huntlretl Oollars (E500�.
I, as owner of the pmDerty or my employees with wages as ��eir sole compensation, will do ihe work, and t�e
❑ simcwre is nol inleneed or oilereA for sale (Sectian 70a4. Business antl Pmfessional COAe', The Coniracmrs' State License Law
aoes not aDDly to an owner al a DmDerty who �uiltls ar impmves ihereon, and w�o does such work himself/herself or ihmuAh
his or her own employees, providetl Ihai such improvements are no� in[ende0 or ottered for sale. I�, Aowever �he builtling or
impmvement is solU within one year af comple�ion, the owner will have Ihe bur0en of proving he/she tlitl no� builtl or impmve
lor Ihe purpose oi sale).
I. as owner ol Ihe propeny. am excluSiuelV canVac�ing wit� licensetl tonVac�ars to cons�mc� the Drole�� (Section 70A4, Business
❑ antl Professions Code: The Contracmrs' Slaie License Law does not appy m an awner of pmDerty who �mlds or impmves ihereon
and who coniracls lor such pr�jec�s with a conirac�oqs) license pursuan� to the ConVaciors' S�ale License Law�. I am aware
�ha� pmol oi Iheir Worker'S Compensalian insurance ShoW� be pwvitled to me.
� I am exempt under Seclion'. 6. 8 P. C.
for ihis reason:
oate: Owner
I do �ereby ceriily Ihal I am aware ol antl untlers�antl lhe requirements ot Cali�omia Health antl Sa�eiy Code Sec�ions 25505, 25533, ana
25534 ana Ihal I or any fuWre DuilOing occupant will/will not (circle one) neetl to compty with saitl state cotles an0 ihe requiremen�s lor a
permit for conslmction or mo0ilication Irom ihe Air Oualily Managemen� DisVic�. flesi0enlial consVuction aOPlications ar¢ exemD� ��om
ihese pmvisions.
Date: ApPlicam:
I hereby ceriily I�at I havereatl Ihis aDPlication ana s�ale tha��he a6oveiniormalion i5 correct.lagree to comply wilh all city antl counry
or0inancesan 5latelaw5relalingloDuiltlingcanSlmctionanOhere authonzereprese a4vesoitAiscirytoenterupontneahove-memionea
Omper�y br nspe ion purposes.
Oate: lG � t � �� Signature�. �
Dd�ersucenseor5ociai5eariiyd�
16At�A6 Whpe-9uiltling: Green—Coae Eniorremen�; Canary—Applican�; Pink—Revenue: GolOenrotl—Assassor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 069408 PLAN CHECK NO: N
CONSTRUCTION TYPE; V—N 'PERMIT TYPE: STR
JOB DESCRIPTION ; T/OFF REROOF W/FIHERGLASS SHINGLE
CLAIM VALUE: 2,880,00 .CALC—VALUE: 2,880,00
PERM NO; B 06940
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT; 2,880
GROUP OCC: R-8 /
COMMENTS; SMOKE DETECTOR REQUIRED PAIOR TO FINAL
�e*�r*�e�r�r��e**��r*r�r�r�r�r�r**+r**�r�*�r****��r�r*�x�rw****+e�r*x�**+�*�*****�e�r*��*�rw*�r***�r�r�r�r**�r
2 O N I N G R E Q U I R E M E N T S
5 E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PAEiKING REQ• PROV; PARCEL; 14113414 ZNE; REF NO:
PLANNING N6TES>
'
1f iE if 1flF if if IE iF iF it iF 1f iF.1f 1F M 1t 7! 1f 1f if 1E M i! M 1tlf if if iF it iF 1E ff �F iF 1f !f 1f M 1k iF 1! 1t If M iE 1F M ft it 1F M itlF If 1E if i! 1k 1ElFlt �t 1F �t it iF ff �f fF iE if iflf i6 if If
D E V E L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY ; DATE;
APPLICATION ISSUED BY; . _ DATE: ��
IF�liPMififif!!lf1Fillfif%M!flflflfiE%M %M1EifififiElFfF1f {f*
1fMMitif�flF!l1fiFMitMlfk�FitlElfkMitMlfltM fflklflfiElE1ElF%MifkMiFM1FM%iliflFMMiEMftMifM1FN1EM1fiFiFlf%IFiFif7EiffE itiFififiFM
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING
PERMIT 54.00 _50
isSOE FEE �MOKE DETECTOR -�--
TOTADSNG D�V—> P54M50 jOS00 pL����,OISb�l.i 54�T58� 54A50 D00
REVENUE DIVISION TOTALS--> COLLECTED: 54.50 � OVER/SHORT; ,00
BLD54P00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING PLAN—CHECK
i! ik iF itlf ih i! 1F �t it 1t 1h M ik 1F 1f M 1f 1k 1! 1f 1k if M iF 1! M 1! iF ff !f if k iF 1F it iF if 1F 1h 1F iE M 1F if !k!t Mi! k 1f 4 MM i! if if 1f M!k it k it iF it if �f if �F 1f iF 1f it ff %it 1E if iP
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 2880 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 2,880,00
END OF FEES
EXPIREO
� i pfeta !nspections
�°�°�;�`-, �'�s`� �� V
�
tlt UU169973—OQS69974 T OT 94.`0
apTE� 30,`2ai94 TiME: if:1°�
� POOlS, .� `
:�. CONS7RUCTION AND PLANNWG �
APPROVALS Permit# Date lospector APpR�VALS Permi2� Oare Inspector
�
��`.i. 7emporary Electrical SerGtce or Pole 52. Pool & Equipment Locatlon
2. Soil Pipe-Und�gmd. - � 53. Steel Rainiorceme�t
�"�. Electrical Condujt Utility=Undrgmd. 54. Forms
�'v_
•_4:�Electricel Concluit,Undrgrnd. 55. Electrical BondinG
T'=5i�$jeel Reinforcerrient 56. Rough Plumhing & Pressure Test '
--����lectrical UFER Grnd. : 57. APPROVALTO COVER-GUMTE "
� �7:.PDoting5 '-' 58. Electricai Conduit�Undrgrnci. •
�='8.'-'F,oundat�on - '� 59. Gas Pipe, !� Undryrntl., Tzst '� I
•. �9; Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, � U»drgmd. �'
70. Structural Flooi Svsiem 61. APPROVAL TO DECK
11. Property Sewer Line & Hpuse Connection 62. Backwash & Recepcor�Pinai
12. Sewer Cap 63. Heater & Vent-Fi�ai
'i:
7,3. Roof Drains , ;q 64. Plumbing System � Fir.ak
7�4. Rough Plumbing � - 65. Electrical�Final
1:5. Rough �IectricabCondu;L 66. Solar System-Final
76. Rough Electric.Wiring 67. Fencing & Access A�arovai
; 7J. Rough Wiring,Siyn �' 68. APPROVED FOR P�ASTERING
J 18. Rough �lectrical•T Bar Ceif�ng 69. PpOUSPA SYSTEt1S FINR�
19. Rough Neating & Air Conditionin9 PIRE DEPT. REQUIREMENT
7 �" t?' - � c.. �c' h .
20:.Rough�Facrory Fireplace i�;n7 �."� - x c1APPRCIVfUL'5��::Petmiit :!F *
1 4 f!� T. i 'i' ;( M
• y _ ;r e- i -a `] t i. v'' "7'S ITi T OI
21, Oufts, in Sxiucture, „„ _- � ...„ ; j 70. ,�7ndergrvnq�J H.y,lro
22. Ducis, Venti4atin9- � .;+_ �� � � S �:+ >:0 7}, product;�Pi�g L`7 Gas G Oii
23. Ga3"PipeRoLgh & Test ' � �� � 'i' ' � 72, Under fpund F��sF�,._ : -
��.� �n r 9 �. . '
24.. Roqf F;amirig - ._. a:: ;� = e,. 737' Underyrr�. S[orr�;�'Tank�'u Gas ❑ Oil '-
k f
25. Rois` SMeathing - � -_�a.2�'�_q(� : ;. �' �4?gverhead�Hydro-:F' � � f
2fi:,T�6ar Cei�ing (Structurall &_Moaocoat � 7? �:J �� � � 75^ Dry Chendcal 7 • . - � ;
i-i �,�
27. Frame and Flashing "0 M ,� �`' ' r� 76�."Dr Stan�i�be "� « r `'; , I
C. J ��� �.. { L� ..1 • � Y 0.a'J,1 .
:28:''Lathing& Siding ,� .� �.;� � Y � ��fi + 77: FIXED SYSTE�:F.iNAL* �T'
�. .
i
'�29. Insulation " " •' "' � �` ; 7f.� FIRE PREV. FIN(kL �'. �> � • '
�3Q. Drywall,Nailing . a � � * �� � r. x ti :MEALTktQEPT�. REQWIREMENT �
�` � � '---�:,.. .
'.�31.PlasterB;ownCoAt,��.,. �:,,�,. `� � I �;x ,79�.�FINAIIE�SPEC�ION J' ' .; � I
'32-�Electric2l Po�t✓er Meteg�Final � � r� I � :� �+80;.;F000 CER71F('GATc I�SUED � -�
y •�'
i; 335_Final Electric - � �„ � '� � �� ; Nol;es: � 'h ,.� '
� �
,. :: ` . � �' � . i _ i � - cc ; . -, , i : � � -�-----�--i
.�34. Final H6ating & Air Groadiuonin`g- -� � I �a „ c :'�-C x .� J�:J
.:35-FinalGasPipe-Test�� -� �" ` � ' �- ;` f. -n� r^ ��
- r, . .., „; . .7 ..� i �. -.;,�
i36. Hood or Canopv - ' i r � ti � _ _ : r,,c . . # � ~
I I
-37.-Fin"al Factory Firep7acti, '^�" . . ` � � " �' •^ ,�� �
c. 4. I I ? C 0%
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138. Final Pl�mbing . ,,� � ,i + I i., , _ � , ;
�39. Water SBrvice�Final� � : �. � � v ; � . . ^.'T• • • '
S i s U' �
�40. Gas Ser¢ice�Pinal ; i,� ' � � ` `-��" � ' " " �
1: �' rt' S � � F'! J-- ?
_41. Solar pomesticFinal'=. �'�� .. , I I �. . �� � '-;
,,, ,� I .h ;,� �c� - �'
,; z -� � � * .r �:�- ...
� 42.�8ackfiow Preventer - .,� x � � � � [r, ;.�r • � 7 � �
. � } . . * i � � a;r:J t �'� �
43. Backflow Irrigation �. -�
�, ` u > C�
.-. : ��::x: ~ ' �.� : _ •.i _.
,�44. LandscaPe Ic�i9ation Sys2em.an��: n: , rn v� >• p; ^� ^C:, :' r� .,
:45,`6ound Attenuation -+:i'i-� i�' � : E- � H� : � � -� . � " �
�n n; a ��� . ..-p w
.. . ^ ; ni .. . ,. , � :. � .`,� �. .
�46. Handicap Regulatiofs �,� `-� t ��,� x i� ,� •c .-ip _ r I
47.:Fi�d.AL STRUCTUFiE & BUIIDING �� � � �t = 7 'a=•`• +
� z c-. I '• i c' • -
48=FIP}ALPLAIVNING �".F. : n; � In - � ;V+7� s r-�
�49.::Electric Release to Edison � i � ''r ^ �7 � + - _-
,�
50.�Gas.Relsase to Sou�hern Califor�ia Gas Co .: � � � _ . :; ;j .� :, �.
�
-5L CERT4F�CATEOF-.00CUPANCY t ; �.. �' ,-.=. „ -. _,
No. Dace
�OT � TRACT 428i r �, , � .
: i 6 Yo LL.. d�i i� �tf �.. Y'a �a 1f/
i ^ � �' � JAN 1 i962
COSTA MESA BUILDING-SAFETY DEPARTMENT � FIIV�'�i`iLi'E DEPT.
P. O. BOX 917 C08TA MPSA. CALIFORNIA CITY Of COSTA MESA
For Applicanf fo Fill In Compleiely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING n � BUILDING
ADDRE68 O�2 FILLMOREWAY LrJ
COSTA MESA. CALIFORNIA FOI' Office USB DO��/
ENNE H OLL aece�rr No. re ��{�
OWNER -��C _�-_�SCL. lGS.�
MAIL RHCEIVE BY DATE RE5�}VED ATE IBBUED
ADDRE95 � PLACENTIA AVENUE �i� ��—/(p-�j /Q�/pa-
CI'rv NEWPORT BEACH CALIF. NoMI E7 Z2 BUILDING
ADDRE88
ARCHITECf ie�. COSTA MESA. CALIFORNIA
OR ENGINEER NONE NO."-'--' /
ADDRESS '_"'___"'_'_'_____�__'_'_" FIRE 1/ ➢L
ZONE TYPE GROUP C�T
CONTRACTOR K. W. Ko�� APPROVE�
BY DATE
AODRE65 � PLACENTIA AVENUE ZONING
ci7Y NEWPORT BEACH ZONe%r—�j I PLAN9 Z I eu �o nc,,���P/�
LTC.TNO. 6j NO. M I. V- Zz �EowL /_-,L L
OF LOT � LO � X )O � I NOWOONBLOTB �
USE OF
EXISTING BLDG.
60TBACK LIN6 FROM 11 /
CENTER OF SiRe6T 4 � � O�� REAR YARD 2 �
SIOE VARD I LEFi1 � I RIGHT ��
DESCRIPTION OF WORK
6IZE ���LDI V� SFROOMS ���2 STORIE6 2
EXTERIOR WAL ROOF
COVERING U CO COVERING ROCK
USE OF BUIL�ING AND WORK TO BE PERFORMED
TRIPLE FAMILY DWELLINGS WITH _
LINE BT.) `% �
r�
/6
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ED L���`
¢
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� HEREBV ALKNOWLEpa6 THAT I HAVE RGD TXIB APPLIGTION 1HE AMOUNT BNOWN UNDER VALUATION 19 POR THH
AND 9TATE THAT THE AHOVE 18 GORRECT ANO AGREE TO COM- pUpP08E OP EBTABL�9HINO A PERMIT PEE ONI_Y.
PLV WITN AlL CITY ORDINANCE9 ANO BTATE LAWB REODUTING
BUtIDINa GONBTRUCiION. VALUATION
91GNATURE OF PERMIT FEE $ �S
PERMITTE 2 �/��" �� a
. S -" �J PLAN CHECK $ � 7' �r
AUTHORIZEO AGEN7 �J � e
70TAL FEE /J'�✓�SL LL
j = 17529
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIFORNIA
For Appl7eanf ioeFill In Completely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
FEE RECEIVED
�u� 9,xz
FINANCE OEPT. b ��
APPLiCAFTIUN'TFo��tM IT
BUILDING
For Office Use Only
HHCEIPT NO. I PERMIT NO.,�
BUILDING ��_,�� � �
ADDRE56 O /�j��u�
COSTA MESA. CALIFORNIA
��p�. �. � ,Q APPROVED
-�-1.�1��— BY
�
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DE9CRIPTIO!
NO. OR BLDG9. ,
Now eu �er . .. _._
USE OF
EXISTING BL
96TBACK LINB
DESCRIPTIOM OF WORK
EXTERIOR WALL
COVERING
USE OP BUILDIN
�
NO. OF
ROOMS 5
IROOF
COVERING
WORK TO 8E PERFOR!
/_�
ZONING
NO. OP '� I UBE OF NEW
PLAN9 ��7�LILOING '
_ � �'
_� 3 �
YARDS EVES .
APPROVED
ICHNTEH LINH 8T.) /O
G[iAIJT
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I HERBBY ACKNOWL6O08 T 1 NAVE PBAD THIB APPLIGTION }F{E AMOUNT BHOWN UNDEH VALUATION IS FOR TME
AND BTATE TMAT THE VE IS CORREGT ANO 6H TO COM- pUqp088 OP 88T/�9L18NIN6 A PERMIT FEE ONLY.
PLY WIiH �LL WTY 1 3 ANU BTAT LA 6U TINO
ewLDINo CON9�MU _ � VALUATION �
SIGNATURH O � PERMIT FEE $�
PERMITTE ^ nn�
$ - / �/(/ � PLAN CHECK $
AUTHORIZED AGENT E� �,Q . _ � et�