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Home My WebLink About787 ALLEGHENY AVE - Building Permits/�OOlicant to lill in all spaces except thase witnin heavy oortler lines antl sign all appropriate Eeciaralions. N TR UCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OFjCOSTA MESA CO S �Project Address �Q7 ��£G � �� Y `/ p Applicant's MaiMling��Address � ��`P�S��L�� . 7�' %� Owner's Name i'I� � ` Et- Phone �l-S�ySG Address ��7 � d Arch/Eng. � T, License No. � Address `�/ Contracror'sName / Phone gy �s.+� Address (mailingl �yQ L7� R�%) AA'L � �.R. City License No. LICENSEO CONTRACTO DECLARATION I hereby affirm that I am licensetl untler provisions of Charter 9(mmmencinq with se<tion 7000) of Divislon 3 of the Business antl Protes5ion5 Cotle, antl my license is in tull force an �eHec / �JC¢f152 C d55 � ICClIS O. oatel?t4 5'9 t WORKERS'COMPENSATION DECLARATION hereby aifirm tnat I have a certificate of consent to selt-insure or a certificate f Workerz' Compensation Insurance, or a certifle0 copy thereof (Section 3800, Lab. C.) /� �� Palicy No. �n a3-B�Company �certifietl copy is hereby furnlshe0. /^/-� Certitie co 5 iletl with the city Building Divi o �Date tO�Applicant �Li�[( EXEMVTION FROM WORKERS' COMPENSATION DECLARATION (Thissection neetl nat be completetl if the permit is for one huntlretl ($100) or less). I certity Ihat in the pe�fo�mance of the work tor which thls permk is issuetl, I . shall nol employ any perzon in any manne� so as to become subject to the � Workers' Compensalion Laws of Calitornia. i Date Signature ' NOTICE: It, after making this tleclaratlon, you shoWtl berome subject to the Worl<ers' Compensation Orovisions of the Labor Cotle, you must forthwith comply with such provizions or this pe�mit snall be deemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm that there is a constructlon lentling agency for the pertormance of Ote work for whicb this permit is i55ue (Section 309] Civ. G.) Lender's Name • � � � Lentler's Atltlress OWNER BUILDEN OECLARATION 1 hereby atfirm that I am exempt irom the Cont�actor'S Lic¢nse Law tor the following reason (Se�tian 7031.5 Business antl Professional Cotle: Any ci[y or county wM1ich requives a permit to const�uct, alter, imp�ove, tlemolish or �epair any structure, prior to its issuance, also requires tne applicant tor such permit to file a signetl slalement that he/She is licensetl pursuant to the p�ovi5ions of .the Gonfractor's License Law (ChaOter 9(commencing wiN Section 7000) of ;;�,s]ivision 3 ot [he Bu5ine55 antl Professions Cotle) or that he/she is exem0� '��w;;nerefrom antl the basis for the allegetl exemption. Any violation of Section ,'�i031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five huntlretl tlollars ($500). ❑ I, as owner of ihe Droperty o� my employees with wages as their sole compensalion, will Oo the work, antl the st�ucture is not intenCetl or offeretl for sale (Section ]044, Business antl Professional Cotle: The Gontractor•5 License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes such work himself/herself or through his or her own employees, provitl¢tl that sucM1 improvemenls are not intentletl or offeretl for sale. If, however, the builtlin9 0� imp�ovement is soltl wititin one year of mm- pletion, the owner will have the burtlen of proving he/she tlitl not buil� or im- prove for [ne purpose ot saleJ. ❑ I, as owner of the property, am exclusivery contracting witn licensetl con- Iractorst6 construct the project (Section �044, Business antl Prote55ions Cotle: The ConVactor's License Law tloes not appty to an owner ot property who builtls or improves [hereon, antl who conGacts for such projecis witlt a con- [rattor(S] Imense pv�suan� to ihe Cont�actor'S Lirense Law). I am aware that prooi o( their Worker's Compensation insurance shoultl be p�ovitletl to me. ❑ I am exempt untler Section B. & P. C. tor this reason Date Owner _ I hereby certity thai I have reatl this information is wrrect. 1 a9ree to compl antl state laws relating to builai cons 5entative5 of this city R en upon inspection pur o � Signature Orivers' License or 55 � O�o 4 _ 35� " zq TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. `�-2 � TVPEOFPERMIT LJGRADING LJFOUNDATION LtiSSTRVGTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIP710N . Fr. oCCUaANGv� CONSTRUCTIONTVPE _ VALUATION$ C7O�� ZONE GRADING CU. VDS. ACRES Remarks: Sink Preventer Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptars Kitchen Sink Lavarories P—Trep ROOf Drains Reinspection Fee � $15 Boiler Duct- Under Ground Duc[ - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ FirepUFact Blc ICBO # Heating System & Ducting ❑ ai oo,000 aru O i oo,000 eT Reinspection Fee � $75 CMF 0865-46, rev. 30/B4 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assesso� Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑o-ioo,000eTu ❑iao,000 Sys[em Repair/Alteration Fire Dampers Registers Issue Fee ES $ 3 $ 3 P. # Main Building: E T Front e Rear A C Right g Left Ping. Ref. # Planning Notes: 2 Auromatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generator �0-5 KW � �i3a iam9i�� — / i I Zana � Accessory Building: Parking Req./Provided ElEC7RICAL Transformer ❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over 100amps Sub Panel Motors �0-i HP �1'/:-8 IncSolar 09-15 HP �16-15+ Microwave Pole Li9ht Range Standing Sections 5-15 KW Trash Compactor 19040 TL FEES Z O N I N G R E Q M T � I Reinspection Fee !$15 I I Issue Fee I $ 3 I DEVELOPMEN7SERVICESREQUIREMENTS: 9,� �Sn 2oning Approved By Date N � Building Approved 8y Date Application Issued 8y 11+�Q�C._— �_Date /O"¢" $/ SUMMARV OF BUILDINGPERMIT $ ��•S�C7 PLAN CHECK $ % �PR PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ � � MECHANICAL $ PLAN CHECK 25% $ � rn SMIP $ `�✓ PEFMIT ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $ /j TOTALFEE $ � ' + CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector � 1. Temporary Electrical Service or pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement + 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Cqnnection 62. Backwash & Receptor-Final� 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 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 �Gas ❑Oil 23. Gas Pipe-Rough & Tesi 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceilfng (Structuraf) & 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 Notes: 34. Final Heating & Air 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 ' ' 46. Handirap Regulations , ' . ' 47. FINALSTRUCTURE&BUILDING �U �� N' ' 48. Special Requirements Completed , , ' 49. Elearic Release to Edison � . 50. Gas Release to Southem California Gas Co �' 51. CERTIFICATE OF OCCUPANCY No. Date . � . � � � � �� J Y ,(z C�qy f STA MFSF Plp{VPlING DEPT. I �Jy&CT TO BLDG. DEPL REG � —\��C/--� DATE•__ ��` R�g � � � .h�{� p7 PLAtiNIPlfd ___ �a , , , , , , :�. %�`; '�' �' r�: �; i . . . . � 5��1 �:��r ih �� ,�� M c.�T �o r��s C �5''' �C-. ��T C�,�l� a�� CEICln/6 �,�C'/51 5Pa-�J ,3'0" a�ouS�E tJ��t� S�DE ft-T c.uT, SrF�r� `� � 3/y N �'-�/5A � � �� 2z �� sKyu�Hr � BY L'AiE 1� 19g._ ' THESE FLAiJi �nl;`�T 3_ ,�r.; ::;i3 AT 1U. TIM'c5 MF : � NOC'rIAN.'.7E�4"�i�.��;J,�":�f,•��.e?^i;Q`iA:OFD"[P! , � TH[�IS�UA'•'r:c!' ; - ' "f ni hppRO`JAl 'J 1 Pt?.Pi.::.N� < . •;I... , "r.i-; •:S�aUE{? 70 f ' Pckfv�.i� (��JI,. C-i Ah. - . ' �:' . '.iC�il.'?F �;NY THF.F�:�,;!51.^.:JS�:7,,i;':1 :p•i'o�>.,��•=��SUAt;NGTC�i i ' ;:.�'_ :�:: . FU7H�J.`.i7'; ii: r,..,�_.;.�. . .....,. . ..'7. _ _. _ ,., _. 'I CODE SHHLL &['`ln;;i; ;: ;.i i�ti bG I;�.' r19, ii-iL bVORI( 02 In.. WHICH IT AUTH.^..iEZES �i iFt+".ri:t. � THE ISSUANCE OF A 9E^MI' IiFSFD IiPON PlANS � �SPECIFICATIONS SHALL N�T P VENT THE BUIIDING OFfI�, PROM THEPEAFTER REQUI IN THE CGRRECTION OF ERRORS II SAID PLANS AND SFEC ATIONS OR f50M PRF.VEN-•�d'. �BUIID�Nr C°C.°,T" ';.�,..� '_ _V_ ::':'.:._-- .. .. I�lViC:ATiG��vr-ihr�CG'vc• nN5'' hcdGdDin.'.CEOF THE CIT;'. N /a-�c, P�� t p- c. _� T "/ ,, �x76 s kyu ��+� F /E D L � TH SfFfFCZ SKY LIGI-}�" i-o2 � SXY�1Gl�% �nC E,�rR4� No RFlF�s @ a�'�oc. — Gu T CE�u�� r, �I. J� �si �,ec i� c�, c. s�.q-�/ ¢ h C u I OnIE � �C6 CE�� Jm i�T �uBL� NEhD. 3�7-� SiJ� f�T� G�,� ��A Fi 5 I��?-u- b�E ��y p�'� Sf� �.,�1�1, _� � �;.�t��;�:��r i� <,�-t,��. �� Ci,t,T NG I�i;- c�S ��y�� G,G, G`�T �,J� a�`� CE/c��/G �Jc�rsi /E G L SP!-�nl i3�0�� d�oGt$LC i��'f}D �Tf/ s r �E /tr c.r�T; S�{� �r s��-cc. �� y" � '.�sAul �� Ci4y of Co ta Mesa E3:� �� 2z ��6 SKyl,�GHr BY __ DP.T� . 1 S - - iHESE PL.4�i5 Pn JST oE QN :::$ ::? A?.t T�;d.i5 ,' NO CHANGES b' iF'riQiiT P`it•',)2 ^,�P�'-�:�:!A.!_ G' : �: �1 THE�I�SUANCEG: _ ��;P'�<'" 2=.di�i�,.,'APPf!O`.A: PiAh,", inNO 5'r:.:'i� - ";Nfl ;:rt=� • ;dJ: $c CC`dSTRUE7 T >' PERM!T FO:;, CR A�7 ;�r:?U`.�FJ. Gf, ,. -• ,.=.7IUN Oi ! r:� + 7HE Nf• O�IIS��PiS Gf: •'.:5 COkJE. i`�C� ��";w:t FRESUhUNG i J< AUThfOkITY TG Vi:i Ai;�. cik CAN:"..'tHk PRGV.o. 1°t5'-e--�— CODF SMALt BE VFL'J, fdCE?T :?' .'u Pf.R AS T:lE `�'D?�' OH � WHICN IT AUTNOA! ES I$ :Gb . UL ^ THE ti`;ii.ivt£ OF .."ti:ihM1i,T (3A3ED C70N P1��5 Ar 'I SPKIFICl.71ON= 5�I \pT Pk:v�7Jj i,y� gUIl01NG JFFi�I:. � FROM 74Eke:iciFR `.QU:FING fNE CGR4E.��Ch Of E2£Ok5" BAID PLANS atii, __ ^^'c ^�� +O,^.a 'rRC'VEN �..� . 3UPD�nir noco.-._ " .'.�.;. ...,_ . - ..�._. . �iJ��V �no��Jr•P•� . _ al .•� 1 r�i C�� a -. _ _'__'. ' � T zzx�b �, s KyGt��+r �Xy LIGIJT j-p� MtMG�4�'�T" �clfr.oL��/tCD ? 87 R�c,t.�Gr��v Y ,� vE- CASri4- ME5.4 � �� - o,��— ,I � S/�Y�?GKT �n� E•�Th'r� — Cu r 1�10 �:f��s @ ay'�oc. CE�u.�� JOiSl /4,eE" iE~ o.G, spA-�/ ¢� C U I 0,�1C .��b CEI� Je i$T �ua�� H��s� 3�r� s�,�� Pr7- ��.r � �� Fr s ��. �E' 3/y P��s��,! ovlicant�fill in a011 spaces excevt those within heavy bortler lines antl sign all appropriate tleclarations. �TV�OF COSTA MESA CONSTRUCTI N PE MIT PERMIT NO. __ io TRACT NO. LOT NO. UNIT NU. . Prolect Address Applicant's Mailin Address � Owner's Name Z- Phone � �iA�'/62 . / Address Arch/Eng. �� License No. Address -�Q�('�jyj�.� Contractor's Name ^^ p Phuone t,."`-Y'-Y-'-'�" Address (mailing) r �s��-7�-�1n-�%�� '7-� CityLicenseNo. �� LICENSED CONTRACTOR DECLARATION 1 hereby at/irm that I am licensetl untl¢r provi5ion5 of Charter 9(commencing with section ]000) of Division 3 of [he Business antl Protessions Cotle, an� my licenze is in full fo Fe ar� tect. License Class � 3 nse �o.• Date � Si9nature �� '"�ORKERS' COMPENSATION DECLARATION ^reby atfirm ihat I have a certificate oi consent to self-insure or a certificate Workers' Compen5ation Insu�ance, o� a certifietl cOpy thereot (Sec ion .,00, Lab. ) �J Policy No. GZ �Z� Company �/ ^� � �Ce�titietl coPy is he�eby turnizh¢tl. . Gertitietl wp R filetl witn the city ild DIv � Date � Applicant EXE PTION F OM WORKERS' COMPENSATION DECLAR ION (This section neetl not be completetl if the permit is �or one huntlretl ($100) or less). I certify that in the pe�formance Of the work to� which this pe�m�t is issuetl, I shall not employ any person in any manne� so a5 to become subject to the Workers' Compen5ation L.aws of Calitornia. Date Si9nature NOTICE: If, a(ter makin9 this tleclaration, you sM1oultl become subject to the Wo�ken' Compensation provisions of the �abo� Cotle, you must torthwitb comply with suc� provi5ion5 or this Oe�mit Shall be tleemetl �evoketl. CONSTHUCTION LENDING AGENCV 1 herety affirm t�at there is a mnstruction lending agency tor the Oerformance of the wa�k for which this permit is i55uetl ($ectian 309] Civ. C.) Lentler's Name Lentler's AGOress OWNER BUILDEN �ECIAftATION I hereby afiirm thai I am exempt from Ihe Contracto/'S License Law tor the following reason (Section ]031.5 Business and Professional Cotle: Any city or county which �equires a pe�mif to cOnst�uct, altE�, im0�ov0, tlemolish or repair any ztructure, prior to its issuance, also requires the applicant for such permlt fo file a si9netl slatement that he/she is licensetl pursuant to the provisions o/ •he ContractoYs License Law (Chapier 9(commencing with Section 7000) of �vision 3 of the Business antl Professions Cotle) or that he/she is exempt uetrom and the basis tor the allegetl exemption. Any violabon of Sectlon .31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five huntlretl tlollars ($500). ❑ I, as owner of the property or my employees with wa9es as their sole compensation, will tlo the work, and the s[ructure is not intentled or ofteretl for sale (Section 7044, Business antl Professional Cotle: The Gontractor'S Licenu Ldw tloe5 not apply to an owner ot a p�operty wM10 builtls or imp�oves �� thereon, antl who tloes such wo�k himself/nerself or tnrou9h his o� her own employees, prOvltletl thal mch imOrovements are not intentletl or offeretl for �� sale. If, however, tbe builtling or improvement is soltl wl[hin one year ot com- ' pletion, the owne� wiil have the burtlen Of proving he/she tlitl not builtl or Im- prove for the pu�pose of sale). ❑ I, as owner of the property, am exclusively <ontracting with licensetl con- t�a<torsto <onstruct tlte project ($ection ]044, Business antl Professions Cotle: The Contractov'S License Law tloes mt appty to an awner ot property who builtls or impwves tnereon, antl who contracts for such projects witb a con- t�actor(s ❑cense pursuan[ to the Conttacto�'s Litense Law). I am aware that proof o� their Wo�ker'S Compensation inzurance shoultl be provitletl [o m¢. ❑ I am ezempt untler Section B. & P. C. for this reason Date I hereby certity that intormation is correct antl state laws relatin sentatives of is inspection pb/ � Signature Drivers' License or 55 Owner have reatl tnis application antl state that the above agree to comply with all tlty antl county ortlinances o uiltling consGuction, antl hereby authorize repre- o enter Oon the above-mentionetl %�property fo� Date kV'�T // TYPE OF CONSTRUCTION LJ NEW U ADD �-J ALTERATION IJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER /�,p, # DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B R¢df ❑ OTHER A PROJECT DESCRIPTION SQ. FT. OCCVPANCV n C Right CONSTRVGTION TYPE VALUATION $ �_a�,?� S LeFt ZONE GRADING CU. VDS. ACRES p��g, Ref. # Remarks: Planning Notes: Bar,Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets Kitchen Sink Lavatories P-Trap Roof Drains Reinspectian Fee � $15 Boiler Duct- UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0-100,000 BTU 0100,000BT Reinspection Fee � $15 CMF 0865-46, rev. 10/B4 White - Builtling; Canary - Ap0licanh Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewe� Connection Solar Collectors Solar Piping SolarTank -� Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash Isue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-t00,0006TU ❑100,000 System Repair/Alteration F ire Dampers Registers Issue Fee FEES $ 3 $ 3 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generator �0-5 KW � Fea 6536 �ain�ia� Zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter LJup to 100 amps Meter ❑over100amps Sub Panel Motors �0-7 HP O1 %- 8 IncSolar 09-15 HP 016-15+ Microwave Pole Llght Range Standing Sections 5 KW Trash Compactor $15 Issue Fee 23o5U Tl FEES $ 3 Z O N I N G R E Q M T S DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved 8y Date� Building Approved By � _ Date Application Issuad By Date SUM ARV OF FEES � BUILDING PERMIT $ Av SMIP $ � PLAN CHECK $ PEFMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. S ELECTRICAL $ GRADING 5 PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ �'3 S� PLAN CHECK 25% $ CONSTRUCTION AND•PLANNING POOL & SPA APPROVALS Permit,#� Date Inspector pppROVALS Permit# Date Inspector 1,--Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undr;grnd. 55. Electrical Bonding 5. Steel Reinforcement �� 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. 8. Foundation �� 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-7rap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 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 ' 79. 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 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe �� t 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 Notes: D -/ � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy r, � I I 37. Final Factory Fireplace � , •' � i ` I 38. Final Plumbing � i ' 39. Water Service-Final � , � i i 40. Gas Service-Final �� , � • 41. Solar pomestic-Final , :. � � ' i : ; 42. Backflow Preventer � .f • � . ' � i 1 ' 43. Backflow Irrigaiion �^ � ' • � , ' I , . 44. Landscape Irrigation System ; � :'� �� ; �; � 45. Sound Attenuation . � • � , � ¢6. Handicap Regulations � � , � � 47.FINALSTRUCTURE&BUILDWG ��i � ��,/ i � ' i � ; . , 48� Special Requirements Completed � ,- ' . ' 49: Electric Release to Edison . ' , 50. Gas Release to Southem California Gas Co '� 51. CERTIFICATE OF OCCUPANCY t No. Date ' • • f zot z9 m:� �y 4 �� CCpTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX S77 COBTA MfiBA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT ■ ARCHITEGT COSTA MESA CALIFORNIA eu��oiNc ZONE rtB ac� h _ TEL. LEOAL I��QS NO. � Fi��ii7 DESCP � v,n / �T, � I NO: OF eLDae. Q FE�RECEIVED �dAY 171�369 INANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. i'P4RMIS NO.� BY COSTA MESA. ZONING NO. OR U6E OF NEW yy PLANS 2 IBUfLO1NGWI Hlib USE OP YARDS EXIBTING BLDG. APPROVEO 96TBACK LIN¢ PROM /� I lceNiea urve eLl CENTsx OP BTR¢ET G� REAR YARD�� FRONT i ) 61DE YAR� ILEFT RIGHi R.SIDE DESCRIPTION OF WORK APPROVED ROOF�'fppd shingle :Ilf`CO COVERING AND WORK TO BE PERFORMED EVES rlb I HEP6BY ACKNOWLEDG& TMAT I HAVE REAO TH18 APPLAGTION . THE AMOUNT BHOWN UN�ER VALUATION IS POR THE ANO BTATE TXAT THE ABOVE �S CORRECT AND AGRE¢ TO WM- pUFiP08E OF EBTABlI6HING A PERMIT FEE ONLY. PLY WITH NLL CITV ORtlINANCEB AND 8TAT6 LAWB REOULITINO eU1LOIN6 CONeTRUCiION� VALUAT/ION �J 81GNATURE OF ��, / � /..�_ . _ /� / •�...r�"� PERMIT FEE S �e/� ■ AUTHORIZED AGENT S � G,�,(/ � � PLAN CHECK � �� /"/ ��` 70TAL FEE $ lS��— , =`} 24903 COSU MESA BUILDING-SAFEfI' DEPARTMEM � P.O. BOX 1�0 GOSTA MESA. CALIFORNIA 9265! For AppBcuM to FIII /n ComplNdy TYPE OR PRINT UBE OF COSTA MESA, L.° N �7 v �. Gc CiTY �e ��;� �"� �v��SA NOV 15 1965 ■�cnrr xo. Y._.�'"_ L. A. ------ s- :�M / N�. �. �.� �. N[N,� ■LAH� � �UILD�NO � � LOAL � T � t2a� 3 S /�}N ' �e oucmmon _ � �, / A. P. NO. NOTB: NO EAVE OVERNAN6 BXALL 06 LIS88 TXAN �" I3a-3'366 90•TOHID80REAR .L 1 no.olsLoo�. I ALLowee I<U.B.C.Reou1REMH DESCWPTION OF WORK WALL � I N6R[pV ACKNOWL�pOi TIA'D.I NAV6 RGD 1X1� AV/LIGTON ANO 9TAT6 THAT T1[ A90V�,19 CORR�C7' ANO AONC6 TO CAY- VLY WITH ALL CITY OROI�MCff �I�D RATi tANM p[YYIATIN6 lUILOINO CONBTRYGiWN. ` ^ 8I6NATUR! OR C n � V- T P6RMITfB� X�..�./. IJ�J AUTHORIZ[DAOttiT y-�C1J ��-++-�� YARDYMPROVED I YARDeAPPROVBC MAIN BUILDIN6 ACC8880RY BUILOIN6 (FROM GIRR[[T) ...,_._ _.. lizZ— T. -e—'�• VAR. �C �F �- 5 ; DAT6 APPROVED � o�aTe /// / J ' / pi LO � 2 b 9- Bc. Pr. � iX[ ANOYM �NOWry IIHOlR VALUATION IB FOR TH8 � �UqP086 OI� iY�AOLI9XIN0 A PCRMIT FiH ONLY. I vwwwrioN ,� � 7 / PERMIT FEE a . �i E s�� ._,. � �. w GENlRAL CONTRACTOR AP No. 1 1-521-11 : or Steel Beinf. BUILDING PERMIT A'O. J 'rYrE IV Zo;v� SUBCONTRACTOR Vent.