HomeMy WebLinkAbout3029 FILLMORE WAY - Building Permitsi
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PHOJECTAOOflESS: 3OZS FILLMORE WY
OWNEH'SNPME: SEALS JAMES RIMPAU TR
aooeess: �pHEL�S, GEORGE M TR
5200 IRVINE HLVD #515
IRVINE.CA 92720
ANCHIENGINEEfl:
RO�flESS:
flEG.NO.:
UNIT:
UNIT:
PEp^uTTEE: WEATHERLINE ROOFING ( 714 ) 748-9707
RDOflE55: 12002 MORGAN LANE
GARDEN GROVE CA 92640
LICENSEU CONTFACTOP OECLAHATION: I hereby aifirm �ha� I am Iicen5e0 untlet pmvisions oi Chapter 9(commencing with Sec�ion
7�00� ol �ivision 3 of �he Business antl Pmfessions Code, an0 my license is in full force and elfec�.
cirruc.:055169 sTareuc.:626955 c ss: C39
� �
�¢�,. =�7-7y SignaWre'._�
NENS' COMPENSATION OECLABATION: I here6y affirm t�a� I have a ceriificate of consent lo sel4insure or a certitica�e of Workers'
Compensalion Insurance, or a cetlilie0 copy thereof (Sec�ion 3000. Lab. C).
eoucrxo.: 1256866-93 E%P.DFTE: O%/OL/99
comraxv: STATE FUND
� Cer�ih¢tl Capy is �ereby Wrnis�etl. � Cehi�ietl tOpY is �ile0 wilh //fhh�� /city BuilOing Division.
Ja���.����%y Applican�:��f� _
EMEMPTION fflOM WOBMEB$' COMPENSRTION OECIAMTION: Qhis seclwn neeG nal Ue comp@te0 if @e permit is �arone hunOreO (5100) or less�.
I certily that in I�e peAormance oi Ihe work �or whic� tnis Dermi� is issued, I s�all na� ¢m01oy any person in any manner sa as �o become
su�Ieci lo Ihe Workers' Compensalion Laws ol California.
�, �aie: Signamre'.
NOTICE: Ii, alter making I�is tleclara�ion. you s�oula become subjec� to lhe Workers' Compen5aiion pmvisions oi the LaEor
COde. you mu511orihwnh comply wiih Suth pmvisi0n5 Or lhis permi� 5�all be tleemed revakeJ.
CONSTPUCTION LENDING pGENCY: I here�y afiirm Iha� there is a conslmction lending agency lor ��e pedormance o� ��e work br
which Ihis permit is issued (Section 3097. Civ. C).
LENOEP:
FOOflESS:
OWNEB BUILOEfl OECLAHATION: I hereby attirm Iha� I am exempl Imm ��e ConVactors' S�a�e License Law �or the following �eason
(Seclion 7031.5 Business antl Pm�essional Cotle: Any city of counry w�ich requires a Dermit m constmc�, alteL improve, tlemolish, or
repair any slmc�ure, prior lo i�s issuance, also requires �he apPlican� for such permii lo lile a signetl statemen� Na� hGshe is licensed
I m ih rovisions ol the ConVacmrs' S�ate License Law (C�apler 9(commencing with Semion 7000) of �ivision 3 0� ��e Business
CITY OF COSTA MESA — BOILDING PERMIT
PERMIT NO; H 066061 PLAN CAECK N0; N
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR
PERM NO; B 066061
GOVT: N SUPP: N
PURPOSE: ALT
JOB DESCRIPTION ; T/OFF S RE—ROOF WITH COMP. SHINGLES SQ FT; 2,200
CLAIM VALUE: 2,200.00 CALC—VALUE; 2,200.00 GROOP OCC; R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UBC
*+r*+tf�*+�x��t�r�r�t*�rx�x�*x�+t*****�r****+�**�t**+�**x�*+�**+t*****�r+�**�*�**+�***x��t�*i�*��r+r*****+t**
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT ZN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ; PAOV; PARCEL; 14113409 ZNE; REF NO;
PLANNING NOTES>
i
*�r+r*�ri��r***x�*#*********itx�x��r**x��r*****i�*ir***�r�ri��r*+t�*+ti�+r+�**?�**�r�r�r*+t�t**+t*****x�+�*****
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
20NING APPROVELt BY DATE:
BUILDING APPROVED BY : DATE: p
APPLICATION ISSUED BY: �/Y� l DATE: (J `�
iEilit�rieiEiriEiE*iE*iliEl4aFiFiEiEifieit�r�F'iF�r3�t3F�E�r�E�� �iF��k+i����r*�iF3F��F3F+�iF+r�r3F#�t�-�t-**�r**rt�r ** }�**
�**�r*�*�r�*�r�r**at�r+��r�r�r�rie�r�it�u�+�+�+r�rit�t**itat�rit***�r*�r*at*�*itit**it**it*�tr**�r**x��t�*�ir**it±rxat�r
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBZNG ELECTRIC MECHANTC FIRE SMIP/RES GRADING
PERMIT 54,00 ,50
SMIP/NON—RES
pursuan e p
ana Pmfessions Codel or �na� ne/sne is exemo� tnereimm ana tne basis lor tne alleAed exemo�ian. Any violation ot Section 7031.5 by PLAN
any applicant �or a Dermi� 5ubjec�5 i�e aD0licant �o a civil penalty ol nol moa ��an five �unGreE dollars ($500). 1 S S UE FE E
i, as owner o� ine pmpeny or my emo�oyees wi�� wages as �heir so�e compensaiion, vnll do �he work, antl Ihe H U I LD I NG—D I
❑ simcmre is not intentleJ or olfered lor sale (Section 70a4. Business anA Pmlessional Cotle: The Contracrors' State License Law TOTAL 5---->
aoes no� apo�Y to an awner oi a pm0erty who builtls or impmves ihereon, an0 who Ooes such work himself/herself or inmupn
�is or ner own employees, pmvided Ihai such impmvemenis are not inlenJeA or ot�ered br sale. I�, however �he huiltlinA ar
impmvemenl is soltl within one year at completion, �he owner will have ihe 6urden oi Dmving �e/she ditl not build or imD�a�e REV ENUE D Z�.�
for tne Durpose oi saiel. BLDG
I, as owner ol Ihe pm0eny, am exclusively contraming wiih licensed comraclors lo cons�mci Ihe Dmlec� (Section 7044, Business 5 9
❑ an0 Prolessions Coae'. The Contraclors' Slate License Law Ooes not apDty ro an owner of pmperry who bmlas or impmves Ihereon
ana who conVacis �or such pmjects wilh a conVacioqs)license pursuant�o Ihe ConVac�ors' S�a�e License Law�.l am aware *.K..� *.� *.�*.*..�.�
Iha� pmol ol I�eir WOBer's Compensa�ion insurance should be provitletl �o me.
� I am exempl un0er Section'. 8. 8 P. C.
ror Inis reason: TYPE
oa�e�. Owner S FR
I tlo hereby ceni�y Ihai I am aware o� ana un4ers1an0 t�e requiremen�s ol Cali�omia Heallh an0 Salery Cotle Sec�ians 25505, 25533, antl
25534 and I�at I or anY �uWre builtling occupant will/will no� (circle one) need lo comDly wiM said s�ate co0e5 antl ihe requiremen�s �or a
permil for constmction or moaiticaiion Iwm the Air Oualiry Management Oislric�. ResiOenlial cons�mciion apDlica�ions a�e exempt �mm
IheSe pmvision5.
Oate: ADPlicani:
I �ereby cer�ilylhatl �are reatllhis apDlicalion and s�a�e Iha�lhe a0ovein�armalion is correci. I agreeio comply wiih alicily an0 county
or0inances and slatelav5 rela�ing�o �uilding cons�mction and here�yauthorkerepr¢sen�ative5olihi5 ciryto en�er upont�e above-mentione0
pm0any lor ins0eclian purposes.
aie:��y=/yf Signa�ure: _ �
'6rivei'S License or Social Searity a: �
t646a6 Wbite—Bwltling�, Green—Cotle Eniorcemenq Canary—Applican�; Pink—Revenue; Goldenrotl—Assessor
V—> PERMIT ISSUE PLAN—CHECK TOTAL PAID BUE
54,50 0,00 0,00 50 54.50 ,00
ZSION TOTALS--> COLLECTED: OVER/SHORT: 00
PMT PLUMHING ELECTRIC MECHANIC FI SMIP/TOT GRADING PLAN—CHECK
,QO .50
iE if iElE if iF jE jE 1f iE 1!!E iE if !E k iE iElf if iE iE �E if if iF iE iF iE iP i! if iF ih iE iE iE jElE iE iE i' iE if iF iE 1E 1f fE 1E fE 1E �1E if 1F if iF iE %iE?E �f !F 1Elf if iE 9f
I N➢ I V I P U A L F E E H R E A R D O W N
QTY
2200
D E S C R I P T I O AI
AEROOF BY VALIIE RESIDENTIAL NOZONE
END OF FEES
UPdIT COST TOTAL COST
1.00 2,200.Q0
�1 OQ15�437—D0155438 T C! T 54.50
OATE: 02/iS/94 TIHEE 10:37
CONSTRUCTION AN6 P�ANNWG P��� �A
APPROVALS P¢rmit �_.T_- Date Inspector APPflOVALS Permit # ( Date I�specior
1. TemPorary Electrical Service a: Pole 52. Pooi & Equipment Location
2. Soil Pipe�Undrgmd. .. � 53. Steel Reinforcement �
3. Electrical Conduit Utility-Undrgrnd. - 5A. Forms �
4. EleCtrical Conduit•Undrg:nd. 55. Electrical 8ondm9
5. Steel Reinforcemem 56. Rough Plumhing & Pressure Test
6. Eleotncal UfER Grnd. 57. APPROVAL TO COVER�GUNITE
�. Footings 58. Eiectrical Conduit�Undrgmd.
8. Poundation �, •. • 59. Gas Pipe, O Undrymd., Test ��
9. Water Pipe�Undr9md. ' � , 60. Backwash Lines, P�Trap, � Undrgmd, � � I
10. Structural Floor SYstem �� 6M1. ARPFOVALTO DECK
7 t. Property Sewer �ine & House Connection g2, gackwash & Receptor�final
72. Sewer Cap 63. Heater & Vent�Final
13. Roof Drains 64. Plumbing System - Final
74. Rough Plumbing 65. Electrical�Final
15. Rough Electrical-Condurt 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approvai
17. RoU9h Wiring Siyn 68. APPROVED FOR PLASTERING
78. Rough Electrica6T Bar Celi'�.ng 69. POOUSPA SY57EM5 FINAI.
19. Rough Heating & Air Condit�oning FIRE DEPT, fiEQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21. Ducts, in Siructure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas OOii
23. Gas Pipe�Rough & Tesc 72. Underground F1ush
24. Roof Framing 73. Undergrnd. Stora9e Tank O Gas ❑ Oil
25. Roof Sheathing Z-/6_Y!! �p (�j� 7q. Overhead Hydro �
t �
26. T�Bar Ceiling (Structural) & A9onocoat 75. Dry Chemical
27. Frerne and Piashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUtREMENT
37. Plaster Brown Coa: 79. FINAL INSPECTION
32. Elettrical Power h9eterFinal 80. POOD CERTIFICATE ISSUED
33. Fina� Electric � � Notes:
34. Final Heating & Air Conditioning -�-"'
_�.
35. Pinal Gas Pipe-Test
36. Hood or Canopy
37. Fina� Factory Fireplace _-�
38. Final Plumbing
39. Water Service�Finai
40. Gas Service-Final
41. Soia� Domestic-Finai :,• �
42. BacKflow Preventer :; i
43. Backfiow irrigation
44. Landscape irrigation Sys.em -
45. Sound Attenuation . �
46. Handicap Regulations
47. FINAL S7RUCTURE & BUILDING 2 Z�1t[� �'�.
48. FINALPLANNING .-- . ,
49. Electric Release to Edison
`
50. Gas Release to Southern Caiifornia Gas Co --'
51. CEPTIFICATE OF OCCUPANCY �
No. Date •�
PflOJECTAODFESS: 3OL9 t.'I.L1�:U�E �y
OWNEfl'SNAME: GEORGE F1'1.`^..LPS
aoosEss: ��E
UNIT: 1 3 �
FflCHIENGINEEH: 8 3 2' H 6 6 S AEG.NO.:
aooxess: WII,LIAM CORREA S2unl't:2
16912 BOLSA CHICA RD 101
PEFMITTEE: �•�• C.A 92644
noosess: HRIDGEPORT BUIi.DF.RS ( 719 ) 291-9077
124 E, GEARY
LICENSEO CONTFlRCTOB dic n'arioxA�A oY am�m ma� i am i�ce�see ��ae pA �s� 95zi cn�o e� s ��omme�cm9 wan seccm�
7000� ol �ivision 3 0l the Business antl Pmlessions Cotle. and my license is in Iuil brce antl ellect.
aTv uc.: �, 71 � `q 'STATE LIC.: 3 1 � 0 6 3 S 3 /
oaie: _��_�!—�Signature: —�(�� — �+
WOBKEflS' COMPENSRTION OECLAflATION: I hereby allirm �ha� I �ave a certilicaie ol consen� t 14insure o� a cehilica[e o� Workers'
Compensalian Insurance. or a cenihea copy �hereof (Section 3800. Lab. C).
POLICV NO.: PINC' S. S L 1 El �. E%P. OFTE: O 3 I I 2 I9 Z
COMPRNV: GLOn`N EACq,E �N
� Cetli��ie/dJcopy is hereby �umishetl. Ce ifiea copy is tile0 wi� e ci�y 6uiltling Oivision.
�ale. _!L(__f SIJ Applitani: __� �
E%EMPTION FBOM WOBKEflS' COMPENSATION OELUflPTION: (TAis sedion neetl not be complele0 il permil is �or one huntlred �E700) or 1e53�.
I ceNty Iha� in I�e pedormance oi Ihe wark lor which t�is permit is issuetl. I shall no� employ any person in any manner so as �o become
sublect lo �he Nlorkers' Compensation Laws oi Cali�omia.
Date: SignaNre:
NOiICE: II. alier making ihis declara�ion, you shoultl become subleci �o �he WOBers' Compensa�ion pmvisions of ihe Labor
CoOe. you musl lo�hwi�h comply with 5uch pmvisions or �his permi� 5hail be tleemetl r¢voke0.
��, CONSTHUCTION LENOING PGENCY: I hereby a�lirm I�ai there is a tonstmction IenOing aAenty �or the pedormance of Ihe work for
wAich �his permit is issue0 (Seciion 309I. Civ. C�.
LEN�EN:
nooRess:
OWNEB BUILDEB �EClAflpilON: I here6y alfirm Ihai I am exempi irom Ihe Contrac�ors' S�ate License Law �or ��e following reason
(Section 7031.5 Business an0 Pro�essionai Cotle: Any ci�y o� coumy which requires a Dermii ro constmCl, alier. impmve, demolis�, or
repair any slructure, prior lo ils issuance, also requires Ihe apDlicanl for such permii Io file a signe0 sta�emenl tha� helshe is Iicen5e0
pursuanl ta the pmvisions of Ihe ConVacbrs' S�ate license Law �ChaD�er 9(commencing with Sec�ion 7000) of Division 3 oi �he Business
and Pm�essians Code� or Ihat �e/she is exemp� Iherefmm and Ihe �asis �or �he allegetl exemp[ion. Pny violaiian o� Seciion 7031.5 by
any applicantlor a Dermil subjec�s �he aDPlicanl lo a civil penalry o� not more �han five huntlretl Da�lars (3500�.
I, as owner o� IM1e pmpetly or my employ¢es with wages as �heir sole compensa�ion, will do �he woB, antl the
❑ simcture is no� imendetl or aflere0 for saie (Sectmn 70aa, Business an0 Pmfessional Caae: The Contrac�ors' S�a[e License Law
does noi apD�Y �o an owner o� a pmpetly who builtls or improves thereon. an0 wha does such work himseli/Aerseli or Ihwug�
his or her own employees, O�ovidea ihat such improvements are not intenAeO or offeStl for sale. If, however t�e builtling or
impmvemeni is 5010 wi[�in one year of complelion, ihe owner will have Ihe burden o� proving he/she tlitl no� builA or imp�ove
, lor �he purpose ol sale).
I, as owner ol the pmpeny, am exdusively wnVac�ing wiih Iicense0 conlraclors �a constmc� �he pmlect (Sectian 7044, Business
❑ and Professions Code: The ConVac�ors' Slaie License Law tloes noi apply lo an ownerof pmperty who huil05 or improves thereon
antl who conlracls for such pmlec�s wiih a cantrac�oqs) license pursuanl �o ��e Conlrac�ors' State License Law). I am aware
I�ai pmo� o� Iheir Worker's Compensalion insurance shauld be pmvide0 �o me.
� I am exempl untler Seclion'. B b P. C.
lor ihis reasan:
Date: Ownec
I do hereby cenny Ihat I am aware ol ana unaer51an01he requiremems of Cali�omia Healih anA Safely Code Sec�ions 25505, 25533, antl
25534 an��hat I or anylulure building occupanlwill/will nai (circle one� neetl�o comply wit� Saitl state co0e5 antl��e requiremenis fora
permi� for con9mc�ion or motlilica�ion imm ihe Fir Ouality Management �iSVicL Resitleniial cansimc�ion applications are exempi imm
��ese pmvisians.
�ate' FpplicanL
I �erebY certify��al I have reae Nis apPl¢atio ntl sta�e Ihat I�e above iniormalion is correci. I agree�o comply with alicity county
ordinancesand5ta�elawsrelatingiobuiltl�ng on5imclionantlherebyaw�orizerepresen�alivesol�hiscirytoenterupontheab mentionea
pmpetly lar in.^e[Iion Oumoses.
Oaie'. _9/��-1� / Signature:
Driver's License o� Social Securiry a: �. �
t64L46 Whne—Butltling', Green—Cotle EniorcemenC Canary—Apphcanf. Pmk—Revenue'. GolOanrotl—Assessar
CITY OF C05TA ME5A -�UILDING PERMiT
PnRMTT NO; 9 0535`!0 PLAN CHECK NO: 03240-91 S
CONSTRUCTION TYPE; V-N PERMIT TYFE; STR
JOB DnSCRIFTIO� ; FOOTING DAMAGE REPAIR
CLA1M ��AL"UE: 2,000.00 CALC-VALUE: 2�OOO.UO
PERaM NO; 3 05357U
GOVT; N SUPP: N
PURPOSE: AbD
SQ F'T: 2, 000
GRODP OCC: R-3 /
COMMENTS: X
*#*�*� �i#��c �r�**�**�x *�**�*�***�+�+�+e�Kx;���� **#s�*x#o��r�r*#*�*x *#��t*��x #**���*�����+���!
Z O N I N GS EftTyH�AUCIxRSE M E N T S
------------ MAIN BGILDING ---------- --------- ACCESSORY BUSLDIi�G ----------
FRNT: FT IN REAR; FT IN ^RNT: Fi IN REAR; FT ZN
LEF'P: FT ZN RGHT: FT IN LEF1'; FT IN RGHT: PT IN
PARKING REQ; PROV; PARCEL: 13944905 ZNc: REF NO:
�.ANNING iOTES>
1
iE �lE if jP �Y iE df jF if ?f 1F 3F # df �E 3E iP i{- k N� 3t 3F 7F 14 iF Y.� 1f V.- if # if if ik iE !E if !E if� ii� iF if iei'r 1E M� if !b iE # i't-3E 3E if ik iF lE 3f�iF+elF if !f iF if !E if� iF?F 14�1E ih i't IE 3?� %� 3f 1t� 3F !4
il E V B L O P M E N T S E R V I C E S R B� i1 I R a M E N T 5
7.ONING APPROVcD BY , DATE:
$IIILDING APPRGVED BY : DATE:
APPLICATION ISSi7ED BY; ' (� � DATE: � �-�o /�
1F i!� iF �1E 3f 3E if iF ff �1F fE �F ii 9FiF!@ R iE if iF 3f� fE3F3F'KiF'TF7F3e3F�ieiF3!� ft�r%�ltiF� ir1F'iF3F�ie x i� i: �it �F SF3FTr fiF3c iElF 1Ele i6 iF-1P iFif iF `)f ir r\�f iE
iE ik fE�F iE *!t 3E it if iF iF 3f ii� ii R iE iE 1E }!c ih f.` ie iF-1L �le i!� �i 14 iE iE if if iE iE iE �1f �1'r iF i4 it-!'r # 3f #+� iF # f!� iliF M� �1P iE It iF 5:� if �H� �lt i:lE >Fie ic 3E ff �c ie 3F 3f� ?: iE i'r ii•±F fF # k
L�GP.L'iZATION:N F E E S U M M A R Y STRUCTURAL Sc':G�ENT;Y
BI.DG P�4T PLUM$ING ELECTRSC N.'ECHANIC rIRz SNIP/RES GRAUING
PER�fIT 45.00 SMIP/NQN �RES
?LAN 29.25 `
ISSUE FEP
Ht7ILL1SiQG-DIV-> PERMIT ISSUE PLAh-CHECR TOTAL PAID ' DUE
TOTAI,S----> 45.50 0,00 7.5.25 74,75 74,75 , .00
REV�NOE LIVISION TOTALS--> CQLLECTEA• 74.75 OVER/SHORT: 00
HLDG F'MT PLt7MHING cL�C7'RIC MECHAIJIC rIRS SMIP/TOT GRAD�NG F'LAN-Ci-icCK
i.r5.�� .J� •' ., ir9.2r3
ti iF ie # if'lE iE 3f ik iF ii�!!-'1F k'ie x IE if -1i 1't 3E iElf ii� #� # if k 3F iE iiY.- 7f 3f K# 3E at iE?i� }} iF iF?�f 1i'�i-ic } iF if� ir Ih # 3F if if iE� i'r �k iF k ic i� i4 !} } jf 1(� #E 1,It iF ie +i,- ii� ii� iF it iE
I N D Z V I D J A L F E � B R E A R U O W N
TYPE QTY D E S C R I P T.T. O N I7NIT COST TOTAL COS1
SFR ?.000 ALT'ER BY VALUE RESIDENTZAL NOZONE 1.00 , 2,130Q,00
�"��
}� END OF : EnS
�
EXPIREl� �
Incomptete Ins�ections �
Date .r.= - _._ Sig �\
e7 �
0
n; 'JGL�9?53:-G�iD9�633 'e - �
DAPE• Q5A2&+'91 TII?E: 1G' 1i�
CONSTRUCTION ANDPLANNING - POO PA
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
r.
1. Temporary Electrical Service'Oi Pole :J 52. Pool & Equipment Location lf`
2. Soil Pipe-Undrgrnd. ? � 53. Steel Reinforcement n
3. Electrical Conduit Utility�Un�h'grnd. -"'�� 54. Forms - ��
4. Electrical Conduit�Undrgrnd' ;r- 55. Electrical Bonding ��-
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test
6. Electrical UPER Gmd. 57. APPROVAL TO COVER�GUNITE
7. Footinqs 58. Electrical Conduit�Undrgrnd.
8. Foundation ; t� ; y 59. Gas Pipe, O Undrgrnd., Test ).
9. Water Pipe-Undrgrnd. ,}i� }� 60. Backwash Lines, P-Trap, O Undrgrnd. l?
10�. Structural Floor SYstem �� t E 61. APPROVAL TO DECK - ��:� ��
11. Property Sewer Line & Ho4 e Connection �, 62. Backwash & Receptor�Final •s
12. Sewer Cap �,� � 63. Heater & Vent-Final f/%�
a
13. Roof Drains t. �� 64. Plumbing System - Final �
14. Rough Plumbing rf ' � 65. Electrical�Final ��
15. 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 APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil . ^F*�
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Praming 73. Undergrnd.StorageTank OGas ❑Qil _
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 � 80. FOOD CERTIFICATE ISSUED
33. Final Electric . i Notes: -�
34. Final Heating & F.ir 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
45. Sound Attenuation � f�'
46. Handicap Regulations =.. � I Fi E �
47. FINAL STRUCTURE & BUILDING �cu.:� �,.,.
48. FINAL PLANNING L7lt@ � SIg
49. Electric Release to Edison �
a
50. Gas Release to Southem California Gas Co '• �-i� fj
�
51. CERTIFICATE OP OCCUPANCY
No. Date
�. �o i8,_x�I nc 4z8
, �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA M68A. CALIROI3NIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING C
ADDRESS O2 FILLMOHE WAY
GOSTA MESA GALIFORNIA
j555 PLACENTIA AVENUE
�E ".RECEIVED
FI�I�C��PT.
CITY OF COSSA MESA
APPLICAiION FOR PERMI7
BUILDING
For Offiee Use Only
NHC8IPT NO. PHRMIT NO.
BY
�. NONE TE�' COSTA MESA. CALIFORNIA
:ER NO.'-------
__�____"_____'__'__"'________ FIRE �
ZONE TYPE � GROUP '
'_ in.i v,... r�,...,,_....__. _.. r_ APPROVED C
�5�75 PLACENTIA
NEWPORT BEACH
OIAIC � O�� 1i��.M� V ZL
LIC. NO.
SIZE __ � ni'1 I., � On t I No: OP BIDGs.
use or NoNE
EX18T7NG BLO
SHTl�GK LIN6 PROM 11 /
CCMER OP SiRH6T `t� �0�� REAR YARO � �
6IDE YARD I LEFT � V� I RIGHT V�
DESCRIPTION OF WORK
8 ZED" "�R � 4 SF ROOMS STOF
EXTERIOR WALL ROOF
COVERING STUCCO ICOVERING
USE OP HUILDING AND WORK TO BE PERRORMED
TRIPLES WITH ATTACHED GAF
ZONING
iON6 NO. OP U86 OR N �TT���
�.� J! I PLAN9 � I BUILDINO ���. �
LCOAL L.�" �� T� / Z. C/ I
DEBCRIPTION
A. P. NO.
YARD9 EVES
�cenrert une et.) /,
FRONT 7 � FT
R. SIDE � FT.
L.61DE 30 �
REAR � S � FT. �
APPROVED .� /
BV �.i � /CAA D.
� � ��—
//9/6z
PLAN 1CR
� HER60Y AGKNDWLCDOB THAT 1 HAVE RCAp TIIB APPLlWT10N THe AMOUNT 9HOWN tINGeP VALUATION IB POP TH¢
ANO eTATH TNAT TXe AlOV6 �8 COPHGCT ANp I1GR8E TO CON- pURP086 OF E8TA9Lf8XlN6 A P¢RN4T FEC OMIY.
PLY WITH ALL G�TY OHDINANCE6 AND BiATH I.�WB HEOULATINO
BUIIdING CON9'�MUCT�ON. VALUATION
SIGNATURE OP /� � PERMIT FEE $ ��S'�
PERMITTE 2
S� �/ C'" PLAN CMECK S ��'��
AUTHORIZED AGEN7
TOTAL FEE '•�n