HomeMy WebLinkAbout316 FLOWER ST - Building Permits�
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PHOJECT ADOflESS: 3 S�J FLOWER JrT
OWNEfl'S NFME: BARKER JOHN
aonness: z145 S�VILLE AVE
BALHOA.CA
FflCM/ENGINEEB:
AUONESS:
uxit:
92661
PEG.NO.:
UNIT:
PEHMITTEE: LEE ROOF7:NG OF' COSTA MESA ( 714 ) 642-7223
nonsess: 1653 SUPERIOR
COSTA MESA CA 92627
LICENSEU CONTPACTOB �ECLABpTION: I hereby aifirm �hal I am licensetl untler pmvisions of Chap�er 9(commencing wilh Section
7000) ol �rv�sion 3 of Ihe Busmess and Pmlessions Cotle. anA my license is in �ull �orce and eilect.
c�Truc.:028751 sTaTeuc.:34968 s:
IDaie. SignaWre'. _ � � — _�
WOPHEP COM ENSPTION OECLAflAT10N: I hereby afiirm �ha� I h a ceNhcale ol consent ID sel4insure or a cehilicate oi Workers'
� Compensalion Insurance, or a certi�ietl capy thereo� (Section 3800 ab. C�
roucvNo.:1300948-93 E%P nre: 06/30/94
I comvaNr: STATE FUND
7 Cetlitietl capY is hereby lurnished. � Cetlilied copy 5 hl JJJQgi(h Ihe//yyy)'`ly ffBuilOing �Aivision.
�ale'. � � Applitan ' ���'�Y Fj�-'��---�
E%EMPT FNO d WONREBS' COMPENSATION UELLAflRTION: �i seclian need not Ue campleted if �he Oermi� is lor ane hunarcd (3100) or less�.
I cetlify �hal in �he pedormance o� the work lor which �his p il is i55ue0. I shall no� employ any person in any manner so as �o hecome
subjec� lo ihe Workers' Compensa�ion Laws of Califomi .
�aie: SignaWre:
NOTICE: Ii. after making �Ais aeclaralion, you should �ecome subjec� ta �he Workers' ComDensa�ion provisians o� the Labor
Coae. you mus� tarihwi�h comply wi�h such pmvisions ar this permit 5hall be deeme0 revaketl.
CONSTBUCTION LENOING AGENCY: I hereby allirm t�at ��ere is a cons�mciion lending agency for �he petlormance o� the woB �or
which Ihis oermit is i=.sued (Seclion 3097. Civ. C�.
LENOEN:
AODflESS:
OWNEfl BUILOEB DECLABATION: I hereDy afiirm ihatlam exemp��mm the ConVaciors' Slale License Law lor��e bllowing reason
(Sec�ion 703L5 Business antl Pmfessional Cotle: Any cily ol counry which requires a permi� to cons�mct, aller, impmve, demolish, or
repair any slmclure, prior lo ils issuance, also requires ihe appiicanl far such permii lo lile a signed stalemen� ihat he/she is licensed
pursuani to ihe pmvisions of �he Con�racrors' S�ale License Law (Chap�er 9(commencing with Section 7000) oi Oivision 3 of Ihe 8usine55
antl Piofessions CoAe) or Ihat �e/she is exemp� Iherelmm and �he �asis lor Ihe allegetl exemption. Nny violation ol Section 703L5 by
any applicant lor a permit sublec�s Ihe applican� to a civil penaliy oi no� more Ihan live �undretl tlollars ($500).
I, as owner ol Ihe pmpetly or my employees wi�� wages as �heir sole compensalion, will tlo Ihe work, antl the
❑ SlmcWre is nai intentletl or o�Ieretl lor sale (Sec�ion 7064. Business antl Pro�essional Cotle: The ConVac�ors' State License Law
aoes no� appty to an owner ol a propetly vihn Ouilds or impmves �hereoq antl who Ooes such work �imselVherseli or Ihrough
his or her own employees, providetl �ha� such improvemenls are not inlende0 or oliered for sale. Ii, however ��e �uilding or
impwvement rs sold wilhin one year o� completion. Ihe owner will have Ihe bur0en of Oroving he/she tlid no� �uilC or impmve
far Ihe purpose of sale�.
I. as owner of t�e pmDeny. am exclusively coniracting wi�� licensetl comracmrs m consimct (he D�ojeci (Sec�ion 7044, Business
❑ and Pmlessions Code'. The Contrac�o5' Sla�e License Law tloes nol apply to an awner o� pmpetly who Duilds or impmves �Aefeon
antl who conirac�s for such pmle��s wiih a contracioqs� license pursuan� �o Ihe Contractors' S�a�e License Law�.l am aware
Ihat proot oi Iheir Worker's Compensation insurance shoulU be pmviAed to me.
� I am exempl unaer Sedion: B. 8 P. C.
tor Ihis reason'.
oate'. owner.
I do nereby cenily Ihal I am aware oi and unaerstana Ihe reQuirements ol Cali�omia Heal�h and Sa�ery Code Sections 25505, 25533, antl
2553A ana IAat I oi any fuNre �uilding occupant will/will no� (circle one) need lo comply with said sla�e codes and �he requirements tor a
permil �ar conslmction or motlAicalion trom the Air Ouali�y Management Dislrict. FeSiAential conslmction appliw�ions are exemp� �mm
Ihese pmvisions.
Date: Applicanl'.
I hereby ceriify Ihal I have rWtl ihis application dntl s�ale �hat Ihe a�ave iniorma�ion
ordmances and Slalelavi5�elatingio Ouilding conSlmciion and hereby aulhorizerepre
propetly lorin5 eclion purpose5
�a�e'. Signalure'
Oriver s¢ense r Sociai Securi�v
t64L4 wnite—ewldmg: Green—Code
lo comply wilh all ciiy anA coun�y
Io enteruponlheabove�mentioned
Pink—fievenue: GOltlenroE—Assessor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO; B 063881
PERMIT NO; B 063881 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION : REROOF W/COMP. SHINGLES SQ FT: 3,100
CLAIM VALUE: 3,100,00 CALC—VALUE: 3,100.00 GROUP OCC; R-3 /M-1
*�*�****+r�t**�**�rD+Er****�*x��*#�***D��r�**��******D**�*�*****�rx*�r*x�*****�r�*��*��r�r�
2 O N I N G R E Q U I R E M E N T S
sETBAcxs
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT; FT IN LEFT: FT IN AGHT: FT IN
PARRING RE • PROV; PARCEL: 11725405 ZNE: REF NO:
PLANNING N TES>
�
if iE iE iE iE iF iE if if if if iE 1f If 1E 1E iE iE iF iE 1F if 1E 1klf if iE if iE ik iElf 1E 1Eif 1E �k iE 3E iE 1F iE �E 1ElE 1E iE iE iE iE 1E iFlE iElE iE iEif iE if iE if ik �f 1E if iE iF iF if 3f 1F iE iE iE iE iFlE iE
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
ZONING APPROVED BY DATE; ='°
BUILDING APPROVED BY : DATE; ..-�
APPLICATION ISSUED BY: l� /,Y�— DATE: �I ��o � 4�
if iE if iE if iE iE iE iE 1E iE if 1E iF iE iE if if iE if if iF �F if �]E ik# iE iE ik iEiE�iFiFiE iE
iF �F if �E iE �E 1E �E iE �E iF 3E iE iE iE iE iE iE iE iE if if iE if if iE iE if iE if iE iF it ik ik iF iE iE iE iF ik iF iE iE 3E iEiE �lE �E iE k if �k * iEif iF iE if iE �! iE iF ikjf ib if �)f �E iFiE iF iE iE iF 1k iE if iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL'SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC �FIRE SMIP/RES GRADING
PERMIT 63.00 ,S;OV
PL� ". SMIP/NON�RES
ISSUE FEE � 7
BUILDING—DI�'—> PERMIT ISSIIE PLAN—CHECK TOTAL PAID ,!; DUE
TOTALS----> 63.50 0,00 0.00 63.50 63.50 r ,00
REVENUE DIVISION TOTALS--> COLLECTED: 63,50 OVER/SHORT: 00
BLD63P00 pLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT� GRADING �P.L N—CHECK
�` �'
if if iE iE 1E iF if iE iE iE �f fE �F iE 1E 1Eif jF iE if �F iF 3f 1F k iF iE iF iF IE k iE iF 1f k 1E �! iE iE �E iEiFlF 1E iE iE if ik iE if iF iklE 1E if iF iE iF iF �IFiE jF �E 1E if iE ik16 iE ifiE 1E iF 1f if 3E �E iflF
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 �xOTAL COST
/1`',
SFR 3100 REROOF HY VALUE RESIDENTIAL N020NE � 1,00 � 3,100,00
END OF FEES �
:% �(�
r7 n
_:.:,v�E D�TECTOR `''
REQUIRE'� �;34�-001465E3 T �7 T
.GATE: 09/10/93 TIi4E: 0&:`8
i
63.50
�
��-�-- ' - . ----
CONSTRUCTION AND P�ANNkNG POO. bPA
APPROVAIS Permit # Date Inspecior pppROVALS Permic # Date inspector
1. �Temporary Electrical Se�vice or Pole . � 52. Pool & Equipmenc Location _
2. Soil Pipe•Undrgrnd. � � � 53. Steel Reinforcement .
3. �lectrical Conduit,Utih2yUndrgrnd. 54. Forms
4. Electrical Conduit•U�d�grnd. , 55. Elec[rical Bonding
5. Steel Reinforcemeoc - 56. Rough Poumbing & Pressure Test `'
' 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER�GUNITE .
7. Pootings .. �' � 58. Eleccrical Conduii-Undrgrnd.
8.: �Foundation 59. Gas Pipe, O U�drgmd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, t7 Undrgrnd. ��
10. Strucmral Ploor System �' " � 61. APPROVA� TO DECK �-
ii. Property Sewer Line & HouseCo�nection , 62. Backwash & Receptor-Final -�
12. Seyver Cap , �, �i . 63. Heater & Vent-Final
73. Roof Drains - 64. Pi�mbing System - Flnal •
14. Rough Ptumbing � �� 65. Etectrica6Finai � i
75. Rough Electrical-Conduit i 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring $ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOl1SPA SYSTEMS F INAL I
19.'Rough Heacing & Air Conditioning FIRE DEPT. REQUIREfV1ENT I
20:'Ro(r9h �;jtio� Fir�place . , :i'; .' .' G.., . 'APPRSIVAl�i� �� Petthit # .�_r', .
21: RuCta, iR'StructuFe_. � �•��•� � ' ' � � . _ i70. Under�rn�nd Hyriro ' �
22. Duc@s, Vgntifating; � ' . � ti -�^ '
i � � + � �:. �., •i ; �; ' '.'71. Produci��iQi�g C]'�� s L�],Oil
23�.Gai �'iP¢�Rough & 7'ess i i.t �' , . � �72. Underground Fiush� � � �-
�'---•-r-�*�--+-1 . . _
24! Robf F�aming • - � �'' ' -' " � ti 73.'Underg:nq.Smra§e'l"a�k L�Gas �Oil
25. Roof Shaathing '� , - ' - . � 74( O.verhead Hydro' 1
26. T�Bar Cefling (Structuraq & ivlonocoat � � �' 75,' D'rv Chemical , �, . ' � ��
27, Frame and Fldshing , . i . 7fi 6ry Standpipe �:, ��_ �
� 28. lathing & Siding_� '' ' ' � . "� � " 77,'� FIXED SYSTE�VI FINAL , '
t
29. Insulation � : ' . �• � � � � � � 78.: FIRE PREV. FINAL . .
} .
� 30. Drywail t�ailing �� I ! � ' � 'HE�AL7H'DEPT. RE(7UIRE'MENT
�31. Plaster 6row� Co3t i � "� �- 79.' FINAL IIV5PECT19N .� � �
32: Electric'at Pdwer�Meiei•F�naP `'� ^ B0. POOD CERTIFICfCTE ISSUEDa
33.�Firibl Eie�tric " i 'z * �.' ( � '�Notgs; �� � � '
� � � � � .�
. 34t Final Heatinq�& Air Cdnditioning: � • , . - � �. . '" .
�� �
35!'Fir1al G�ai Pipg-TPst .. , , � . _, ` � ;,..� ��:i , . � �
36. Hood o� Canopy i • . c' � . � ��^
�1 T
37. Final Factory Fi�eplace ; - � " ' �` � - � ' � ��^�
. � -i i'�._---
38. Final Plumbing � .,� � ' ' I • . �• _ �- �"`�
i . < -� •i ...t
4
39. Water Service=Final � ' _ � � ' ' , ' -. � :
40. Gas Service-Final:� . . � . -_ __ _ . ' :,,t"
- - q r /�Y� . '.,...
� 41. SolarOomesticFirbl ' •. �. � 9_13' L3.� ��l(� � {�,m�7 r �
�� V� �
42. Backflow Preven�ter �� � - .. "' � � �
_ r. - �-�
43. Backflow Irrigation �' � ' . , -` � ' � -`" .
��
� 44. LandscaFe irripation SYscem. .�„ t ; �� � - ., ' - . .
45. Sound AttenLation ' ' ' ' ! ' � 'r' '' '
� .. .. , , ; • • -�
46. Handicap Regulations � _ • : �
47. FINAL STRUCTURE & BUGLDING �'_� cr3 �,.JfL _ � s�/0°� "Q „[� m� �- ���
��, v.,� �
48: FINALPLANNING � , , i _.� �_,
49. Electric Release to Ed(son � ' �,���
50, Gas Release to Souehem Cal4fornia GasCo �.� . .
51. CEATIFICATE OF OCCUPANCY , i�
No. pate
:
�oonEssorem�nrw: 316 FLOWER ST
wm�Rs""MEi"°+a"": BARKER, JOHN
�op� 2145 SEVILLE AVE
BALbuA,CA
nvr�.r,wuxc nooness:
AfILXREtT OR ENtlNEEH:
uicx ow �s won¢ss:
UNT:
9ibb1
uc xo:
uxr:
camuaarsw� GAAHAM' HROTHERS ( 714 ) 546-1653
CONfHACTOX5MY11NG 2952 CENTURY
�o� CUSTA MESA CA �c�.: 248b04
9Zb�b uxT: .
IJCEN5E0 CONTflACTONS DECLAXA�ION: I hereby eflim uMm penety d pujury Rat I em liceneed uMa provieime d Gheqer 9
(oommenaig wilh Saciion ]000) d�� 3 d iha Buarem vM Pmleasims Code. enE mY limnsa e in hdl lace aM slleq.
cmuc.No.:p g j uc.cuss:C_20 u.r+o.: 4860/�4� E}iP: 06/98
ete: U � CoMraaor y����-� /YLG .'K� .
W R BUILD OEC HATION: I heieby alfirm uMer pa�Wy d pmjury �MI I em emnq Imm tM CONrmws lice�me Law fa ths
lo 'ng reamn�5edian ]03t.5 &reiime end Pmlassions Coda: A�ry ciy a couMy wfiich �epuirea e permil to amsWcl, eller, impraro,
1emWeh, or rapei eny ewcwre, qior to ita eeueMe, ebo reQuires ihe eppliranl lor wch pe�mn �o file e eqred e�etement �hel M a eM
i licensed Wnuenl �o �ha pm"vima d ihe Comretlore Licema law ICheqx 9(wnmmc^Y xilh Sedion ]000) d Divbbn 9 d Oe
Jusiness eM Prolemiwn COCe� or Ihel M a ehe ia azemq thxehqn eiM IM Eesia ta tM ellpeE exemqion. My vidmon d Seqion
lW 1.5 by eny appliranl lor e parmil aubjaee tha epplicent ta e dvil peneMy ol iwl mare ihen Me hunCretl Eollere �fSW��.
� I. m ovmer dtM qopa�y a my mmployeea wih wepea n �Mi ade compematon. wi11 Eo tM wak. erd Ne smxlure u m� "vueMeA
a aRered br aele (Section ]006, Buei�ress end PMessbns Code: The Camrepwa liceme lew daee mt epply loan amerd qopeily
wM Wide a mv�'� �hereon. enE xfio doea aueh waek IimeaM a he�se� a ihraph ho a her own employaee, pwidad ihat eueh
imp�wemeNa ara rot intendeE a ofiereE la seb. H. howewr. the bnWinp or inpio�reineM u satl wnhin an Y� d mmple�on. tln
owmrbuider will heva iha buNm d provi�q he or sM Gid rrot buik or im0� �a �ha WT�a d eeb).
❑ �. e. e.n., a me wwenv. em ssauarvdr mm,m�re wun �ira�,.ad coneacion w mnstrua ub wqw Iswion �aa. 9�.i�ve.�w
PMeeaiom CaAa: The Coniredwe L'cense Lew dms nd epply io en awmr d propMy Mp Wilde a'unpwm Ilaean eM who
conlracte Iw w�h v�q�s �h e conVedorye) Icenmd pureueni �o ihe ConlreUae Licensa law).
� I em saemq uMer Sxtian: B. 8 P.C.. W Nie � w�:
De�e: Owner:
i eo nereM �nM mm i� e...a a�e ��eersiene me rea���e�v d cm��r �.enn �a smar coee s.aon. usos, usaa..ne
2553C, end thet I a eny luture buiWirp o¢upeni will / will nm (arch ma� meE lo campy wIh eeH eteta mEm uM iM requiromenb M
epemNlwwmvuuion«modRmionhanlheAi u3e�ly anepemenlDistiitl.Revdamielmnnrwuneppice�ipreenezemqlmmNsee
DroWiona.
Dme: Appliunc
W OflNER'S COMPENSATION OECIANATION: I hareby elfi�m uMer penelly d perjury ma d Me Idloxi�q dedualiom:
❑ in..��e.w�m�a�rerwmea��io.an;�w�.r«.w�,��o,�,w�,maowaei«Wsw�,a�aoam.�n«
coda �« �ne aenorman�e m un wix ta wlticn mis v�a ia u.u.d.
I'I ine.��d�;��m�wawn•�ro�oo��,..�.o�a��reaWs«r�arooama�ewcoee.r«meov+«�oeam.
F� .«w i«.n�m ma v�a n�„ee. Mv �.o.�� �re�m� ��� �«.�a ow:.r ��mw....:
tarda.: MTf1 t:RNTTIRV EXL�IRES
P°�"°m"°�: NOlOQ���A OS/O1/98
(iiis secfion neeC nw be canvleteE / tM permit is la are hundrnd Lollers �Si001 w bu.)
❑ I cenh � in ihe peRameae d IM work for whch Ihie permil u . I tlWl ral empb�y y p �i' any manMr m m �o
�� Eacome eubieq Jo iM xvMen' comrommian lews d C" epree tlbl J I aKp4 iuEisf to IM xaiFms'
�� i,.ndanx�.�ap«.�emo�oye.ro�nm�.��.ro...�e
M n ro IM rost ol ronpw�utbM1 C�m�p.� u provWM br In
CONSTNUCf10N LENOINO AGENCY: I MrtEy elfirm uMm penely d Nerjury thet tMn'v e m�rudion IwMi�p qpM.y br Ihe
peAoimeiwe d ihe wwk fa whiW ihu permY ie'vaueE (Seaion 309), c'v. c).
LENUEN'3 NM1E:
LENOEP'S AUOFE55:
I caniy thm I heve reed t�u appliWion erM stma Ihet Ne ebova inlormelion is conatl. I eyrae lo compy wnh ell ay aik ewmiy wd'menme
arM aiete levn reletip to W ikvp conat�udion ud herebyautMraa mpeaenietirm d ihu ory io amm upan IM eboro.meMioned propairy
lo�r' »� ourpoees.
/ 1 PETER INTRIERI
(5151<6 WP) wnaa-ewiame a sai�v;
Dele: ` D-3 ?7
Pink-Revenue; GaldenmC-Msasw
CITY OF COSTA MESA - BUIiUING PERMIT
F'ERMZT NO: M 085017 FLAN CHECA Nt�: N
PERM NU: M 08501%
GGVT: N SUPP: N
CONSTRUCTIt�N TYF�E: F�ERMIT TYPE: NIEC FURPuSE: uTH
JOb DESCRIPTION : REPLACE FLOOR FURNACE W/WALL FURNACE SQ F7;
CLAIM VALUE: CALC-VALUE: GRGUP OCC: R-3 i
COMMENTS: +�
*;r�****+r*�****;�;��;r***�*��r*�r�*�+�*�;�******�*�r�*;�***x��*�;�;�****���**�*�***���ri��***�
Z O N I N G R E Q U I R E M E N T 5
S E T B A C K 5
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAA: FT IN FRNT: FT IN AEAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE4• PROV; PAfiCEL: 11725905 ZNE: REF NO:
PLANNING NdTE5> �
% �
'k ihlF i(�'1F'1f'7E iF iF if if i6 iE i4 iE iF'1E iE iE * ik jE iE'1F 1E i(� i(' jE iE 1E if'1F iFlE'1f �lF 3k if� �E iE iE iE 1F 3E if� i@ iEiE 3E iE ih'1F �lf�'1F'lf iE M'iE iR it �k ik iE iE ik 1h i! iE i(� iE iE'�']I� iE iE if if iE iE
D E V E L O P M E N T S E R�_V_Z C E S R E Q U I R E M E N T 5
20NING APPROVED BY �� DATE:
BUILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY• �--s'` / DATE: �
******��*;��***;r*��r**�r+��F�F�F��FiF�F���F�',�,������� �F n ��,��;�+��******* ��
LEGALIZATZON:N F E E �S U M M A R Y STRUCTURAL S GMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAUING
PERMIT
PLAN
ISSUE FEE
HUILDING-DIV->
TOTALS---->
13.25
25�
SMIP/NON-RES
Z2,00
PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
13.25 22.00 0.00 35.25 35.25 .00
REVENUE DIVISION TOTALS--> Ct�LLECTED: 35.25 OVER/SHGRT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PliAN-CHECK
35.25
iE iF �F i! if if iF �F ie iF'�'1F iE iE �F iE iF iE if if iElF iF if it i61f iE if if iE iF 1F 3E iE iE iE iE iF iF iE �lf iE iF �E iE'1E 1f if 3f i't-%3E iF if 9F iF ib iF �F iF if If iE 3F if iF if iE ih'1F iF iE-lE if iE iF ie i�
I N D I V I D II A L F E E B R E A K D O W N
TYPE t�TY D E S C R I P T I O N UNIT COST TOTAL CGST
MEC 1 INST/RELOC RECESSED WALL HEATER 13.25 13.25
ENU OF FEES
18-83-1997/18rS8 W�/{�,25
PERMIT�aT68 e117
CONSTRUCTION AND PLANNING ' . POO. 57A
Date Inspector � Oate - Inspector
APPROVALS Permit # APPROVALS Permit #
;
1. Temporarv Electrical Service or Poie - 52. Pool & Equipment Location ; _ ,�
2. Soil Pipe•Undrgrnd. . . 53, Steel Reinforcement - - , � ' '
3.- Electrical Conduit Utility,Undcgr'nd. 54. Form; -_ � .-{ . � �
';4.' Electrical Condujt�Undrgrnd. . -55. Electcical Bonding �
� 5:, Steel Reinforcement _ � 56. Rough Plumbing & Pressure Test ;"�'
��'6. Electrical UFER'Grnd. . 57. APPROVAL TO COVER�GUNITE �. i
� 7,- Footings ����; �� � 58: Electrical Cond`uit?Undrgmd.� ♦
� 8. Foundation A • 59: Gas Pipe, O Undrgmd., Test ,� '
9. Water Pipe-Undrgrnd. ' � � - 60. Backwash Lines? P-TraP, � Undlgrnd. .
10. Structural Floor System � . ` • 67: APPROVAL TO�DECK ": ^' .
t i. P:operty 5ewer Line & House�onnection � . 62. Backwash & Receptor-Final� �
72. Sewer Cap ��_�y . 63. Heater & Vent-Final , '
� "
13. Roof Drains _ ' , �64. Plumbing Sysfem - Final_ . � ,
14. Rough Plumbing� � � � . � � 65. EfeciricabFinal ' �• <+' ' � �
15. Rough Electrica�-Conduit - � . � 66. Solar SYstem�Final, �_ i t�, , '
76. Rough Electric Wiring � ���- .. 67. Fenciog & Access-Aoproval . i"
17. Rough Wiring Si�n � . . - ��68..APPROVEO FOR�PLASTERING ' . ��
78. Rough Electrical;T Bar Ceiling` � � � 69. POOl/SPA SYSTEMS FINAL � r
- 19��Ro0gh Heaiing�& Air'CAnditioning � � --` - ` �� �� FiRE DEPT. REQUIREMENT � ' �
20. 'Rough Faatory. Fice�lace ' '_ : , ' ; -APPROVALS ; � Peimit 9F Y
25. Ducts; in'Sc*uCcurs. '� •• •• - ' : 70. �Underground Nydro '
t
22. DuMs',Ve�tilating..' ' � - ; ; ���77, produetP,iping0�as �Oil
23. 6as Pipe-pough & Test �� •. � r�, 7Z, Underground FIusR �
24. Roof-Fram�ng'� �. � ' � �' - ' , r �, 73; Undergrrul,Stora9eTank,��OGas ❑ail
�. . -
25. Roo( Shea?hing 4 : t �? � -: i�� 7q; Overhead Hydro'
26. T-Ba�'Ceiling (Structural) & Monncoat � _ ` �� :'' � 75.� Dry Chemical _ ' � " " -
27. Frame and F�ashing � ;. ,� �- +r f 76. Dry Standpipe r t. �" � 4
28. Lathing&.Siding � ' - _ � � "� ".r 77.•� FIXEDS�:STEyhfi�-FINAL _� �
29. Insuiation Y^ •� . • 78; FIRE PREV. FINAL ��' _� -
'' 30. Drywall Nailing !' �_ I ' ;H�ALTH DEPT.'REQUIREMEN7
31. Plaster Brown Coat _ �- � a �e t' 79. FINAL I�ISPECTtON J �
32 Electrical Power MeterFinal t�- � : �* ' 80: FOOD CERTIFICAI'E I�SUED, �:�
33. Final;Eleevic_ • ; . ' � i Notes: =) - � - _ .
�.r
i.
� 34. Final HeaSing & Air Eonditioning ` ! Zz, '� _ �t� - _ . ' . , ,
35. Final Gas!P�Pe:.Test • - .: . • �+ _ � _ ' � . _.-
36. Hood or CanoPY � - � ' � - ; ' � r ' �'..
� ' •
37. Final;Pactory Fireplace ' . � `"�• - � -
38. Finai Piumbing ^ . i �k S . . -� t :! .. ---
_� . 1-
39. Water Service�Final , ' , ' � - - ; ��'
� .,
� 40. Gas Service-Final � - _*, -• � ' i n j t -� �. ,,n, ,
,
41. Solar poinestioFinaf. - " + - �' - `� • -
y, � .3 rt : V i .
42. Backflow P�eventer � � K ��' �-+
' � 'i n � ,_
-43. Back(low Irrigation . ; - k , ; . " .
i- '�
44. Landscape Irripation System � ' �' `. = - '� � �
r S� -
c , � ,y
45. Sound Attenuat'ion ' ", „ '. _ . : �� . _, , o �
T
46. Handicap�Regulations _ � � < < _ -� ' ' ' . �? r
- * '�
47,. FINALS7RUCTURE&BUILDING , --•�fi ' ' -' � � . �^�
.-. F
48. F�INAL PLANNING �-- � � _ . ' ` ' • ' ' � ��
. � �.,�n
49, Electric Release to Edison ; " � _ : � � r-� ��
50� Gas Release to Southern Califomia Gas Co � .�_ 7• ' ;�;„a
51�. CERT.IFIGATE OF OCCUPANCY `• �' . � n+N�
No. Date
OWNER
�GE
\)C ...SPECTIONS
\ SOIL
\ GAS
t
� WATER
�ROUGH PLIIMBING
PAOP. SWR. LINE
AOUGH HEATIN(
TEMPORFRY SE
UNOERGROUNO
ROUGH WIRING
TRENCMES �
FLOOR SYSTEM
60N0 BEAM �
SHEATHING
NOUSE CON.
AIR CONDITI
OR PO�E
POWER (�
FORMS U STEEL REINF.
STEEL REINFORCE n
FRNME AN� FLqSHING (f� G,;(��
LFTHiNG — IN �J 0 �
PI "TER, BROWN COAT
5 fURAL, FINAL
HEni ING, VENT., REFRIG. ANO A.C., FINAL
TEST
ELECTRIC, FINAL
BUILDING, FINAL
O L I w. l
DATE
SUBCONTRACTOR
I�:7•'.1��
, . , a��3
� �� �0:`6�,
� � COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFOHNIA 92626
Far Applicant (o,Pill in Completely
BUILDING �'/,�„.]
AODRESS
OWNER' %�� %��
' _�
MAIL T7:_ -T..,
RECEIV
A.P. NO. //
BUILDING
ADDRESS f
aatu
�i�N Z�3-3��;��,'�i'4� i � v��* 436.SC
FOR BUILDING PERMIT
rTE FECEIVED D��Jf={`SSk/�c
� � S
Z . — {/�
d U GTY /. r%� NOL� Cr�' TRACT I/(! I
ZZ
Q CONSTFUC710N '�'� A�
O � LENDER .
am
J � BRANCH
J N OWNER
m J AODRESS ' � �/
m ARCHITECT TEL. SE
J a OR EN INEER D N.
UQ FIRE
W � ADDRESS ZONE T
a W ' APPROVED
W Z pNTRACTOR C ' BV
JO _
mZ
J � ADOFESS
� W TEL. ZONE�/ PLANS
Z= CITV NO:
F
w O STATE CITY 1'AROS APPROVED
y('L LIC. NO. LIC. NO. MAIN BUILDING
� O (FROM GLSTREET)
$12E I NO.OF BLD('aS. ^� FRONT T.
OF LOT �O �� �� , NOW ON LOT /
USE OG �
EXI5fINGBLDG. �, � GG f� SI F.
F SIZEOF � /� ) /NO.OF �
Z NEWBLDG. � <O ROOMS STORIES L.SIDE FT.
�% COVEROINGALL WD COVERING�� TLC� REAR FT.
J U E OF BUfLDIN AND WOflK TO BE PEHFORMED DISTANCE BET.
a Q MAIN BLDGS.
a /�
0 ilRTISI f �CRC7sF-/ ' �N /t�I C U�'P �
F ' ' - APPqOVED 4Q �'
fn ✓
Z z..
�
UI herebY acknowledge that I hava reatl this application and stata OlD FOR SPE
' that the abova information is correct and a8ree to comply with
� all laws .epulaNng builtling co�struction, entl I shall noi employ
F eny person in violation ot the workman's compensation laws ot
y the State ot Califom(a. _ . O
? I hereby certify that I am properly licensetl as a cont�ector untlar SQ. FT.
the State ot California Bus' ess antl Profeuions Cotle, Divisicn 3, THE AMOUNT SHO1
Chapter 9, end that such li en5es are In full f ca and etfect, or I THE PURPOSE OF E5
am exempt fr m�he provi ions of t eStaTe o� allfornia Businass VALUATION
and Professio `de, Di ' 3, aotar 9. �
SiBneture 1/��/A�/A1 � �O
Permltta • � ` � $
'Co�.�.c,e S�� •
LOT,,,� V BLOCK
=p
�
J `
I
� VALU$ � — — ^
����
PE GROUP
� DATE �� �
USE OF NEW
BUILDING
VARDS APPROVED
ACCESSORV BUILOING
T �
3 FT
BET. MAIN &
ACCESS. BLDGS.
DATE
APPROVEO
�, � -�3 ��'
CI L UIREMEN •, `"
STA�
� O
.r
IN V OE�ipV,ALUP:TION IS FOR �
ABLS G.4 PERMIT FEE N �
L W
PERMIT FEE $ �
]
m
PLAN CHECK $ E
� �LL
TOTAL FEE $
J Fe . }
Y, � � � '�
J • .
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MOWNER �
� JOB ADDRES
O "ENERAL CC
� No. u7.
�INSPECTION�.
3 5a��
� GAS
W ATER
ROUGH PLUMBII
PROP. SWR. LII
SPRINKLING SY
MISCELLANEOU
FOUGH HEATINC
TEMPORARY SE
UNDERGROUND
ROUGH wIRING
T0.ENCHES �
FLOOR SYSTEM
BONO BEAM �
SHEATHING
3w F]ower street
NTRACTOR Owner ldr.
25 -05 LOT TRACT
Si nah
G �
E � NOUSE CON. �
TEM
AN� AIR CONDITIONING
VICE OR POLE
� POWER �
FORMS � STEEL REINF.
STEEL REINFORCE I—I
FRAME FN� F�ASMING
L
P ER, BROWN
DESCRIPTII
FIRE ZONE
DATE
VALUE
SUBCONTRACTOR
� 4�J2S5
COSTA MESA BUILDING-SAFETY DEPARTMENT
'P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fil! in Completely
BUIIDING / �� / �
ADDRESS �� W
OWNERjV{.F'(_��✓(.IC.i\ V U�.I �-`lJ�
WW ^✓✓ •`_ TEL.
dU GTV� '(� '%�� I� NO. ^ �
2
Z Q CONSTflUCTION . . .
F LENDER
��
am
J � BFANCH ' -
J N
m J ADDRESS
m ARCHITECT TEL.
J a OR ENGINEER � N
U Q
w � ADDHESS
aW /}�
J O CONTRACTOR LJ�/U
m Z
J � ADDRESS �
w � TEL.
�= CITV � NO.
2F
w O STATE � CITV
y� LIC. NO. �IC. NO.
� � SIZE ^ NO.OF BLDCS.
OF LOT . Q � S NOW ON LOT �
USE OF � �/ �/�, � g � �i � �, �.`
EXI5TINGB�DG. � `l�%c�c ' '///�///�
F SIZE OF o NO. OF
Z NEWBIDG. '� O�� ROOMS STORIES
a EXTEflIOR WALL FOOF �
V COVERING iN COVERIN
J USE OF BVILDING �+NO W FK TO BE PERFORMED
a
a
Q
0 /
H
N
Z
O
UI hereby acknowletlge thet I hava reatl this application antl state
= that the above information is correct antl agrae to comply ih
� all laws reBulatin8 builtlin8 consnuction, antl I shall not e ploy
F any person in violation of tha workman's compensatio ews ot
y the State of Calitornia.
? I hereby certity that 1 am roperly licen tl as a con ac or under
the Stare ot alifornia Bu iness a�d P e ions Co ivi 'cn 3,
Chapcer 9, a th t suc nsas ar fu l farce affec , or I
am ezempt f in e pro i ns ot e State ot Cal nia Business
antl Professio s' , Di� io h te
Signature of
Permittee
nomor��aa ea�a
!
11)L?1-i5�a�°QiJ?_a28�E =:i��=..
r.n A5.50
APP IC TION FOR BUILDING PERMIT
R I D� DATE RECEIVED DATE ISSUI
G.P.NfI �I�—��/ / �//S TAIG
BUILDING
ADDFESS ;
TflACT
F
LOTe� U I BLOCK
DATE
20NE / NO.OF A USE OF NEW
PLAf�15 � BUILDING
VARDSAPPROVED VARDSAI
MAIN BUILOING ACCESSOR�
(FROMC/LSTREET) / �
VAF. #
0.U.P. #
BET. MAIN & .
ACCESS. BLDG
DATE
APPROVED
SQ. FT.
THE AMOUNTSHOWN UNDEF V
THE PURPOSE OF F.STAeUSNING A
VALUATION
PERMIT FEE
/�///� �
$ i�j'(/ e PLAN CHECK
�..
�
�
� �
O
IS FOR '
ONLY: Q
i� m
N
7
m
E
0
LL