HomeMy WebLinkAbout301 ALTA LN - Building Permits�
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PFOJECT ADOHE55: 3O � �LTI�i LTl
'� OWNEB'S NFME: �
v aooncss:�R�CIAT VERNA' .
�,' 301 ALTA i;N
COSTA NESA,CP � 92626
ANCHIENGINEEfl:�
AUOXE55:
nec.No.: . , . - .
UNIT:
REflMITTEE:�SANTA ANA ROOFING � ' ( 724 ) 558-3707
aooeess: 1007 E. WASHINGTON G i
saNTa A,�A ca 9z�o±
UCENSEU CONTHPCTOfl DECLABATION: I �ere�yaffirm Ihal I am'licensetl untler pmvisions'at Chapie� 9(commencin wilh Seclion" I
7000� oi �rvivon 3 ol ��e Business an0 Professions Code, ane my nse is in tull4orce antl eHect.
c�r.uc.:�35308f� srnTeuc.:463595_ cuss:�. 3Q .. .
�ate�. _�j —�� `� / � SignaWre: .L' ��
WOFNEflS' COMPENSATION OECLAflFTION: I hereby al�irm tha� I have a certi�icale o� consen� �o selbinsure or a cerlitica�e ot Worker5',
Compensation Insurance. or a cenilietl copy I�ereol (Section 3800. Lab. C).
roucrHo.:285-93UNIT00461 E%P.OpTE:O� IOZIJ4 ,
COMPANY:,� i J� 1 t :�]�]�
�] Cetlifiea w0Y is �ereby �umishea. [� Cehihea copy i5 e with the city Bui g Division.
Oale:� 7 ' � / C% �� ... qPP6canL . � . .. .` ' " '
EXEMPTIONFflOMWOBRENS'COMFENSATIONOECNPpTION: (Thissecliannee0 aibe[omple�eUi�thepermitis�oranehunAre0�510D�arle55�.
I cehiry Iha� In Ihe petlarmance oi Ihe work for whlch t�is permit is i55ue4 I s�all not employ any person in any manner so as to become
suble�� �o ihe Workers' Compensation Laws o� Califomia �� . . -�
Oa�e: SignaWre:
NOTICE: II, afier making Ihis Oeclaration, you shoul0 become sublect �o Ihe Worke�s' Compensation pmvisions oi the LaOor
CoOe. yau must fotlhwi�h comply with such Dmvisions or ��is permi� shall be deemetl revaketl.
CONSTflUCTION LENOING AGENCY:' I hereby allirm Ihai Ihere is a constmction lenaing agency for ��e petlormance of t�e work �or
w�ich Ihls permlt is 1=sued (Sec�ion 3097. Clv. C). � , ' '
LENUEfl: _ ' � . -
AODNE55: - . . . - .
OWNEN BUILDEfl OECIABATION: I hereby ailirm that I am exempl imm ihe ConVactors' $tate License Law for ��e following reason
(Seciion 7031.5 Busines5 ana Pro�essional Code: Nny ciiy ol county which repuires a permi� �o cons�mcl alter, impmve, demoli5h, ar .
.repair any slmcture, prior �o its issuancE. also requires ihe avPlicant for such permit to lile a signea statement ihat helshe is licensetl
pursuam �o Ihe pmvisians ot �he ConVacmrs' S�ale Liwnse Law (C�apter 9 �cammencing wi�h Sec�ion 7000) af Oivision 3 al �he Business
an0 Pro�essions CoOe� or I�ai he/she is exempt Ihere�mm and �he 6asi5 for �he allegea exemption. Any violalion o� Sec�ion 7o31.5 Gy �
any apPlicanl lor a permit su�lecis I�e applicant �o a civil penai�y of not more ihan live hunareU tlollars (5500�.
, as owner of ihe pmperty or my employees�with wages as their sole compensa�ion, will Oo the work,. and Ihe
❑ simcWre is no� imentletl or ollere0 br sale (Sec�ion 70a4. Business antl Pm�essional Code: The Con�rac�ors' S�a�e License Law ��
does not apply lo an owner o� a pmperty who builtls or impmves Ihereon. and who does such work himself/hersell or ihrough
. his�,ar her own employees, pmvitled Ihal such im0�ovemenls are nol inlen0e0 or olleietl �or sale. II, however �he 6uiitling or
impmvemem'is soltl wi�hin one year al completion, Ihe owner will have the bur0en of-pwving he/she tlid nai 6uild or imD�ove
:lor the purvose ol sale�.� • , � ' , . �
I, as owner o� ��e pmperiy, am exclusively contracting wiih Iicen5e0 coniractars to constmci lhe Orole�� (Seclion 70C4. Business
❑ antl Prolessans Code: The Con�mctors' State License Law aoes not apply �a an owner of pmperty who Uui105 o� impmves �hereon
and who contracts for such pmjects wilh a conVacmqs�license pursuam to the ConVacmrs' S�a�e License Law). I am aware
Ihat pmof of iheir Worker's Compen5aiion insurance shoula 6e pmvitle0 to me. .
� I am eKempl un0er Seclion: 8. 8 P. C. _ - , ;
for Ihis reason�. . � ' .
oa�e�. - owner _
I tlo hereby ceni�y �nat I am aware al antl unders�and �he requiremenis o� Cali�omia Heallh antl Salely Code Sec�ions 25505. 25533, antl
25534 and Inai I or any IWure Ouilding occupant will/will no� (circle one) neetl lo comply wiih saitl s�a�e cotles and �he reQuiremen�s lor a
permii for consimclion or motltlicaiion imm Ihe Ai� Ouably Managemen� Oi5Vic1. ReSideniial cons�mction application5 are exempl imm
Ihese provisions. , ' , , . �
Oale: � ADOlicani: _
I here�y certily Ihat I have reatl Ihis application antl s�ale tl
ortlinances antl staie laws relating Io butlding consimdion an
pmper�y loi inspe/cimn purposes. i,
�ate'. i � —//� � � �Si9naturyy_'
Oriver s �icense or Socia� Securiiy x:
t6nba6 Wlnte—Bmltlmg�, Green—Cotle EnlorcemenC
inlormaiion is mrrecl I agree lo co ply with all ci�y ana counry �
nize represenla�ives of this city to �r upon �he above-men�ionetl
Plnk—Revenue; Goltlenrad—Assessor
A . _
, CI3Y OF COSTA MESA - 9UiLDI\G P�RMIT PERM NO: B� 06�'!20
PERMIT' NO: b 062120 "". PLAN CHECK N��; "' V'' GUC�T; Ai SUPP: !� '
COiiSTkJCTION'iYPE: 5=N . . ` „ P£RMIT TYPn': STR _. ." ' .' ` "PU�POSE':""P:+,i
J09 D�SCRiPTIOi�` :•T/d0 BJZLD-iIP` REROOF Td73 PLY SYSiEM' . Gc,�• p^;- - t�g�5-_�
CLAIN VALliE: � 1,625'.00 CALC-VA�liE: '' 1;625.00 GROCiP f�CCi-R=3 7"` ,�
CONM=NTS: S,�iOKE DETECTOR(S) RE�OZRED 'REROOF"130'OSF�W/3UILT eTP "' ` "" -"� '�� .
iEie'r'.}1fjE?EifiE?EiElflEiE�iE}iE.-1E?fif3EififiEif?fiEiE3'. ?E?EieifiF;EiEiElEifiE�lElfiElFlEiE3ejEiFic?Ei(�iEiEif}<IfiF3EiEiEiE�,F3Ei:��le�1E�E-%!f?fic<?x+:if
. . - ..���_� i � �_.. �_t � �.Z � � �•F N�: s:..-SMOKEDETECT9R
._ S iE. T."B' A l': K S-.. _
' ' _'
------------ MAIN BUIiDING -=----- ' ---====-- ACCtSSGRY bliii-� n�! p
��Q� V �Y'6� �
�R�ST: FT IN'REAk: cT IN FRNT: FT IN REAR: :.: tN
LE�T: FT I\� RGHT: PT IN L=PT: ". FT FN RGHT: `rT' IN
PARR?NG RE�: aPpVi PARCEL':'9342000?�ZNE:, ` R�F NO? .. `.
PLA.NNItiG ?d �TE�>
. . . . �.7 ^ ' _ . . .._ . _ . _ ..._. . .: " ' ' . —�.. . ' " " " . _. . _. . " — � .
iF jE if �lE if ?f iF if if 1e if iE if if:' �fi.f.^iE �f iF?f 1f ic iE IE if �}F 3E if if 3f iF if iE 3f # if�lF iF iE if ie if iE # iE if 3F iF'rF iE if jE?E if iF-1F iE 3E 9E iF iF?E 3f �1F if �If� iE �YF iF ��x� iF iE if iE � i!'� ic3E
D t V�E Lf O P M= N T S E R V I C E S R E i,� iJ F' R E M E N T S'
_ ' '• ...... .. ��` . . . ._ .. .. . . ' . '"' " " ' _' . . , .
ZONI.Nv APPROV=iUBY _ . . --- . .. � _. _ . .. _ . .. 'JATE: -" . - .
bJIiDZNG APPRG��r �BY : ' - - -` — - _ `. . ^ _ __` •DAT='. _ ___.. _ � .
APPLICATZUN ZSS,iiEU BYc ` - '. DATE�' '�'�Ivl3-
3fjfK?fjF?etjEi}ifif'ift��:1Fi�'IF'1Eif'�iE3f'!f�T�1�T�%ftYtFhhltl�9t��kit� �h'R'ltiF�'1tYl�t�tYt]f1t'If3E-1:7f'1%if1E�Gj%iEit*h%n' C�]�]c'fi -t � �.
iE �lY jE iE jE 3F?E?f u iE iE iE 3F �iE iF if if 3f if 3E 3E'3f iE je iF �1F �lF?E � iE'iE �}E x�lY 3E"?F iE 3E iF`3F 3E i't 9E if iE �lf !E � 3E iE if iE iE jF iE iE jf'df 3f'3E �#'?E`�1F 3E'-� �lE'#f �1E if �If iE if if x iE iF'iE
LEGALIZAFION:N " " " �F E E `S U M M A �R �Y� " STRUCTlikAi 'SEGMENi':Y �
-BLDG PMT'.PL"J,IBING ELECTH'`C' M£CHANIC '' "r:RE ~' Si�IP/RES "'G�ADiNG ' .
PERMIT 39.00 ' . _ ��_ .._ . . _.. _. ,. _ _ Sp
- �: •.. ,.. :. .s.... _. _. ... ..i��r,_._-- -- �_.-�:,__.,._.,. SMIP/3vON=R�S� - -
PLAN �� - . - -. _- . , _ � . ,.
1$C[iF F"F . . . _ . ; 1 _ . . _ . , . ., _ __ . . . .. _ ,
3uIiDIDIG=DIV-> PERMIT ISSUE PuAN=r;��Ci{' iOTAL PASP DUE
'TOTAL'S'-'=-_>"" 39,50 , 0.00 _ T ';�0.00 39.50 _ ' 39,50 ,00
FEV�NJE 'uZVISiON TGTAL5==> • CO�CTED: ".- 3'9: 50 ` OCTER/SHURT:` �" ` . ":00 '^
• BLUG PMT Pi,JMBING ELECTRIC MECi-iANi� FIR£ SNiIP/TOe GRADING PLAN-CHECK
' 39. OG - - f .i _�„ . _ _ . ` . J . SO "'_�.� . . . _ �_- �,_
i ii , f
ii�ic?EiE1F?fififl!�iF3Eii-1F3FiFiFif?E?Ei�iiE'iElEifiFiFlflEiEii?E'3f�1G�YjE3FifiEi+:#iEiEiEicif3E�Eif'iF3Ei(ih'iE�7E'iE'ififiE'ii�3Exi4ifiEiEiEifiE9E-1EiEii�?EiEifi!�r. '
...--, --- ._. '-,N T� I V I D u A i? FYE E B R E A H D U_W N. ___ .._�.. .. ..
, . . . �! � �J. � ' _ ' .. . _. _. . . .
TYPE QTY ' L1 E S'C "R `Z" P T I'O�,t�i� ��, f `. '.'"JNIT'�COSF"- TOTAL C05T
� <n
SFR ti;- ' 1 675 -"' R�RUO� 3Y' VAiT E' REStt7ENT%iA�'' NCIZONE ` '" 1; 00 " "''—'? , 62'S ,-'0'0 "'
, , _ _ �. EhD� Ork/JF='F5 -_. _ _._ .,.'_ _.'_... _. __._ _ __
EXPIRED ' -
f+ AleYe inspectior;s
� �� \(�. � �
. ;�� � ' ' ,. .
�
� � 1 0� i3889`-00133896 T CJ T
DATE: O5l11�93 TIItE: 20=42
39.5p
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�'�„t� / rhd'� SA�O�G.
QGIt.�-� . dJo � EFd�2 �
g'/���y�
CITY OF COSfA MESA GUNJINUGIIUN PERMIT
�
Vmlect MArtn: ' UnN:
OWn�Yi Name:� q ` GL �4�'
IWad.u: .��1 r� . �� � L .
Rtth.lEn0lnear: NeO. Nn: T_
ba�: �a Unic�
Rrminee: _cL,.v, � q.S ry a u�¢
❑CENS COXTPIICNR OEIXAMTI�N: I hereq affirm ihat I am IicenseE unEer p�wivons of ChaD�e� 9(�mmencinp
with SttU OW) of OHivon 3 0l d�e Buvness aM Professwns CoEe. aM mi ticense is in lull force aM eXeq.
CIiV LIG: IJG: 69--
�ate: " Sipnature:
RNEBS' COMPENSUION OEClAN�110N: I �ereby aHirm Ihat I have a certificate ol consent to selbinsure
ar a certificale of Nbrkers' Comp¢nsation Insu2nce, or a cetlilietl copy ther¢Of (Se4Yion 3800, lab. C).
POl1LY NO.: E%P. ORTF:
toetv�xr:
Certi/ieG cop/ is �e26y Nmishe0. ❑ CetlifeC copy is IileO with tice ciry BuilUinA ONision.
APPLICANT. DO NOT FILL IN SHADED AREAS:
PERMIT NO. UNIT MODEL
I7 Q—.��%Q �' �
PURPOSE: ❑ NEW ❑ ADDITION B'ALTERATION ❑ REPAIR
❑ CONVERSION ❑ DEMOLITION ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG. Reo �� CX� � I. W\ h�047 W/�,
7
� 1' S 0..�G ' 1� <.t,,,3 N O�.1i �� `-
TYPE OF PERMIT. ❑ GRADING ❑ FIRE �STRUCrURAL ❑ SIGN
❑ ELEGTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ REINSPECfION
JOB DESCRIPiION: � SO. Ff. OCCUPANCY GROUP �� � 3
CONSTRUCfION TYPEV � N VALUATION $�O(i �� GRADING CU. VDS. _
CATEGOfiY: ❑ MINOR CONSTRUCTION ❑ MAIOR CONSTRUCfION (Under 2q0,90U sq.fl.)
❑ MAIOR/HIGH RISE (Wer
Oate: ApplicanC Remarks: NO
E%EMPfION FIIOM VABNERS' COMiENSI1TI0N OECLAMTION: (This section need not he completetl it Ne Dermit
i5 for one �unEreE (5700) or Icss�. � cetliry lhat in Ihe peAormance o� Ihe xoM for which t�is permit is issue0,
I stull rot empb/ arry person in airy ma�� to az to Decome wGject to ttre Nbrirers Compensanon laws of Calilomia. Backflow Prevention
D�te: Sipnature: Backflow IrriQation
NOfICE: II, afler maNinq ihis Ae�laatian, you shoNA 6ecame su6jecl ro the Nbrkers' Comcensalion prwi-
siau d the lalwr CaUe, pu mu,� iM�milh comqy w�h such prwisions or ttis pemN shatl he deemeG malxtl.
C0.YSfBUCf10N 1FM01XG MiENC�': � �ereby atlirm that t�ere is a cannNcfion Ientlin0 agenty tor tAe petloF
mv�ce ol ine vurk /or which Ihis Dermit is issued �Section 3097, Civ C).
LENOEB:
11DONES3:
OWMEB NILOEfl OECUMfION: I here0y atlifm [hai I am exemp� �mm �he Comlac�afs' State License law
lor lhe MllowinA �ason (Sectian F�1.5 Buslness anU Pmiessional CoOe: Am/_city ot caunry wAic� reQuires a
permit to consimct, alter, imprme, aertwlish, or reDair airy slructure, Dnor to its issuance, alsa requires t�e appli-
cant lor such permil ro file a siqne0 st�tement that Oe/she is licenutl pursuant ro the prwisions o1 Ihe Camac-
lors State License Wv (CAapter 91�mmrndnp with Section 7000j of DlNsion 3 ot Me Business an0 Pm}�swns
Cade) or that Mlshe is eumpt the2��am ana IAe 6asa for t�e alle0e0 aemD�ion. Airy Nolatian af Section 70315
Ey aM appliwm lor a permit suqet�s �Ae apDlicant to a cinl penalry oi not mo2 ihan frve AunEred Aollars (5500�.
� I, as owner ol ttre pmpehy or my emplvyees with xages as their sole compensatian, vnil do the �wrk, antl
I�e sfmc[ure is noI m�entled or oflered lor ule (Sectian 7044, Business an0 ProleSsional CoOe: The Con-
iractors' S�ate License Wr daes nM apply to an owner of a property who builds or improues thereon, and
who tlaes sucA wnB AimselV�erself or IArough his or her oxn employees, proNtleU thai such imprwements
art not intenAed ar otteaA for sale. It, hoxever the builtlinp ar impra+ement is soltl within one yzar ol com-
�Dletion, tAe oxner vnll �ave tAe OUNen of O�ng hr/sAe tlitl not huilA or imDrove for the Duryose oi sale�.
I, as awner af t�e Droperry. am aclusNety contactinq witA Iicense0 cant2ctors to connrucl the pmject
(Sectian 71WC, Business and Professlons CaOe: The Cantaclars' State License law Oces nol apDly to an
awner al pmperty who builas or imprwxs tAe2on an0 who contracis tor suc� pmlects wit� a cam2ctor�s)
license pursuant lo tAe Contrzcrors' State License Wv�. 1 am awa2 ihat prool of I�eir Worker's Compansa-
�ion insuance sAoulE 6a D�'�detl to me.
am erempi un0er SeRion: \ B. d P. C. �
for tAa reason: M v t v O�i Q
Date: ���._ Own . '
I Oo herehy cerlity that I am awere ai antl untlerstan0 the requirements of Califomia Health and Salery Code Sec-
tions 25505, 25533, anU 25534 an0 �ha[ I or airy fuNre UuilAinA occupant w�IlwiLLnN (circle one) neetl to campty
wiN utl 4ate ca0es aM �he repuiR�ms /m a permit br comtrutlion or modifiration Irom Ne Air Ouality Manage-
ment Distncl. Pesiden ial construG[lon aDP�iwtio`ns a�re eKempt irom these/yy/v�sions.
Oate: � 2' � ADPIir��4ts�/ ,�/(�/ \ �t���(/.I A /
I hereby cenity that I have rea0 thiS apDlicatiod'an0 state that ihe a�ove information is correct. 1 agrea to comply
vntA all ciry an0 county ar0inances and state laws relatinp to Cuiltling construction and �ereby autAorize repreun-
tati�es of Nis ciry to emer uvon t�e aEove�mentionetl roOeM �or inspectio/np/Jyposes. .
Date: �� 2� SiOnaw��Y/ � ( hA/�i�
Bathtub
Claritier
Dishwasher
Drinking Fountain
Floor Drain
Floor Sink
Gas Service
Gas System
Outlet
Kitchen Sink
Leundry Tray
P Trap
Relnspectlon Fee
Boiler
Duct—Untlergrountl
Dud—Stmdural
Duct—Ventilating
Exhaust System ❑ MNti{
Fan
Fire Damper
Fireplace/Facl. BIL ICBO 8
' Utl�er 5 Licensa or Social Security M: � ' I qelnspectlon Fee
OBBS�Ce rev. 10/89 W�i�e - BuiltlinB: Green . COEe Eniorcemenl; Canary - Applicant; Pink - Revenue: GolAenroA � Aasessor
�. n.�
PWMBING
Rooi Drain
Service Sink
Sewer Cap
Sewer Connection
Shower
Salar Colleclor
Solar Piping
Solar Tflnk
S � ming Pool w/
Urinal
Wash Basin
Was�ing Machine
Water Heater
Waler Service
30I � Issue Fee
MECHANICAL
Heating System & Ducting
❑ P100,000 BTU + � 100,000 $U +
H d or 7ype 1 ❑
nopy Type 11 ❑
� Refrigeration System
❑ 6100,000 eN + � 100,000 BTU ♦
Issue Poe
FEES
$3
FEES
75
A.P. q
S Main
E Front
T
B �efl
A
� Right
K
g Rear
Pef. N
ino Notes:
Auromatic Washer
Christmes Tree Lot
Construction Pole
Sub Pola
Cqoking Unit
Dishwasher
Dryer � Gas ❑ E
F.A.U.
Fireworks Stantl
Fixture
Garbage Disposal
Generaroc Size _
Meter � up to 200
Me�er � over 200:
Microwava
UOl 5Z
Z
O
N
I
N
G
R
E
O
M
T
S.
ELECTRICAL
Motot � 0.1 HP O 1-10 HP
❑ 1450 HP ❑ 50.100 HP
❑ over 100
Ou11et
Pole Ligh�
Sign Outlet
Square Footeqe Fee
S ding SecMion '
ub Panel
Swimming Pool/Spa .
SwilCh
Temporary Work With .
hansformer
Size
7rash Comoactor
� Heinspectlon Fee � 530� � Issue Fee
DEYELAPMENT SERVICES REOUIREIAENTS:
Zoning Approved By
Bullding Approved ey
Applicalion Isauetl By
{S�U'MMARY OF FEES
BUIIDING PERMIT $ � U • �U MECHANICAL $
PLAN CHECK $ PLAN CHECK 25%�$
PLUMBING $ SMIP g
PLAN CHECK 2544 $ GRADING $
ELECTRICAL $
PLAN CHECK 50�/0 $
FEES
Date
Date
Data � �
1 �
♦
TOTAL FEE s �S 'ra
Ol DU048514-000485l5 '8`o]2'p' 15. �0
DAT : 11/29/89 TIFiE: 11]:53
_ .. ..... . . . . .;�y. , i. � . .
CONSTRUCTION AND PLANNING POC SPA
APP�i^JVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1. Ter.iporary Electrical SeP,vice or Pole 52. Pool & Equipment Location ' �' .
�
2:�Sqil'Pipe-Undr�rnd. � 53. Steel Reinforcement _:- -' - -
3;-Electrical Conduit Utility-Undrgmd. 54. Forms - ' �' '"
4; Electrical Conduit-Undrgrn�d. 55. Electrical Bonding '
i
5.��Steel Reinforcement 56. Rough Plumbing & Pressure Test - i
�i.
6`iElep�ricalUFERGrnd. ;' 57. APPROVALTOCOVER�GUNITE -� �}:
7. Footings •• 58. Electrical Conduit-Undrgrnd � '
8. �Fq.undation � �� 59. Gas Pipe, O Undrgrnd., Test � � '
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
i.,.
10. Structural Floor System �� 61. APPROVAL TO DECK - . � �
11. Property ��wer Line & House Connection 62. Backwash &�teceptor-Final � -
12. Sewer Cap 63. Heater & Vent-Final '� � '!
73. Roof Drains 64. Plumbing System - Final �, ,. � ��
r
14.�Rough Plumbing 65. Electrical-Final - .,
15. Rough Electrica6Conduit 66. Solar System�Final .
16. Rough ElectriElNiring ' 67. Fencing & Access Approval
1�7� )Rough Wiring�Sign 68. APPROVED FOR PLASTERING
18. Rough Electripel-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heati�ig:&Air Conditioning �' FIRE DEPT. REQUIREMENT
20. Rough Factorq,Fireplace APPROVALS Permit#
21". DuCts, in Structure �- 70. Underground Hydro
22�. Ducts, Ventil n "
�, � 71. Product Pipin�q � Gas ❑ Oil
23. Gas Pipe-Roug� & Test ' 72. Undergrountl Flush
i
24. Roof Fram�ng, ;• 73. Undergmd.StorageTank OGas ❑Oil
25. Roof She'aT;hing y;�. �, � 74. Overhead HYdro
26. T-Bar Ceiling j5lYuctural) & Monocoat 75. Dry Chemical
27. Frame and+Flashing 76. Dry.Standpipe
�
28. Lathing_$r,r'.$idmg,- 77. FIXED SYSTEM FINAL
29. Insulation-. �=, � 78. FIRE PREV. FINAL
30. Drywall Nailing`�„ HEALTH DEPT. REQUIREMENT
31. Plaster Brown��oat '� 79. FINAL INSPECTION
32. Electrical Powej Meter-Fifial 80. FOOD CERTIFICATE ISSUED
33. Final EleCtt c,-� � 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 /s`�
40. Gas Service-Final � '
�
41. Solar pomestic-Final �.j`; � '`'
I
42. Backflow Preventer � �
43. Backflow Irrigation � r
44. Landscape Irrigation System . � '�
45. Sound Attenuation L:.:.
r
46. Handicap Regulations ;
47. FINALSTRUCTURE&BUILDING ,�j.�/ �t�� t ,
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY �i" 'c; . � .
�.
No. Date '
. � 0 'IAY 15-75cn`s^�00 6`�3-- **::2�1.h�3
3.544
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
ForA pl' ant Fi in Co let ly APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEIVED D pEy�SSUED
ADIDRESS / �^' S S �9%S
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OWNER yZ A.P. NO. I
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�ApC� HI�TEC�T_ // TEL. /� h SE ES $ �`/
J m ' OR ENC.iI�E�R i �/C N.S7 �L
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w� ADDFESS /^ �� �� ZONE VPE GROUP
W Z APPqOVE �
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w W TEL. ZON NO.OF USE OF NEW
�= CITV �� � NOSS"�� 9� P�� BUILDING
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O STATE CITV VAR�SAPPpOVED VARDSAPPROVED
j O LI0. NO. �0�� � LIC. NO. MAIN BUILDING ACCESSORV BVILDING "�,
SIZE , / NO.OFBLDGS. (FROMGIST/R�EE
OF LOT J Q � QG NOW ON LOT RONT �/FT
USE�F // , ^ .
EXISTING BLDG. (/ �� s T Fr �
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a EMERIOR WALL ROOF ( ,f� /I . l
�% COVERING COVERING T« REAF FT. '
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J USE OF BUILDING ANO_WORK TO BE PER RMED DISiANCE eET. BET.•MAIN &
a // � MAIN BLDGS. ACCESS. BLOCS.
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O G. C.U.P.# APPROVED
y �/ O APPROVE �` �
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p HOLD FOR SPECIA R �� N'i ��
UI hereby acknowledge that I have reatl this application antl state
= that the above (ntormatio� is correct antl aglee t0 comply with I
� all laws regulating builtling consvuction, antl I shall not employ :.�
F anY person in violation of the workman's compensation lews of _ �'
the State of California. � m
zI hereby certify ffiat I am properly licensetl as a contractor under � SQ. FT. o
the SCate of Californie Business and Professions Code, Di�isicn 3, THE AMOUNT SHOWN UNDER VAlUAT10N IS FOF
m
Chapter 9, antl that such licenses are in full force and effect, or 1 THE PURPpSE OF ESTABLISHING A PERMIT FEE ONIY; ¢
am exempt from the provisions of the State of California Business VALUATION
antl Protessions Cotle, Division 3, ChaP�er 9. m
PERMIT FEE S • �
/� 7
Sipnature of I_ � ,( �� �] ��y n `� m
Permittee V�'1 ! i� $ h�� �(% P�.AN CHECK $ � J E
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Authorized Agent LL
' TOTAL FEE $ � %%
' ' �� � 4�69�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
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OWNER
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CITV L,
CONSTRUC7'ION
BRANCH
ADDRESS
ARCNITECT
OR ENGINEER
ADDRESS
CONTRACTOR
ADDRESS
CITV
STATE
LIC. NO.
SIZE
OF LOT
NOL��(7 S
TEL.
NO.
CITV
LIC. NO.
NO. OF BLOGS
NOW ON LOT
Separate permits are required for
electric, plumbing and hea[ing work.
USE OF BUILDING AND WORK TO BE PERFOFMED
_^r i �,.�°N;'� C� �g ; ; ,... . � } �,.SC
FOR STRUCI'URAL PERMIT
DATE RECEIVED �eT� iccu r
BUILDING
ADORESS
OWNER
FIRE
ZISNE
APPROVED
E �/'� NO.OF �
� '�K PLANS �
VARDSAPPROVED
MAIN BUILDING
VALUE
USE OF NEW�
BUILDING C
VARDS APP
ACCESSORV
FT. FT. •
BET. BEf. MAIN &
a"S. ACCESS. BLDGS.
DATE
/1PGROVED
r�_ r�,.� �._� ic�_ � y_-,.
I hareby acknowledpe t�at I �eva reetl this applicetlon anC steta �
thet the ebove Informetion ia correct antl apree io comply wlth m
all laws repulaifn8 builtlfng construction, antl I shall no<empioy �
any oerwn in violation of the workmen'a compensatlon laws of m
the State ot Celifornie. -
I hareby certify ihat I am properly Iicencatl as a eonttector untler SQ. FT. cmv
the Stata o1 California Busineas and Profeulone Code, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Cheptar 9, antl that such licenaes are in full forca antl affaci, or I THE PURPO6E OF ESTABLISHING A PEFMIT FEE ONLV: �
em exampt from Me provislona �ofsthe State ot Californie eu�ineas VALUATION PERMIT FEE $ d
antl Professions Cotle, Divislpn8,'Chapter aO � m
n PLAN CHECK $ �� m
q 0
SIB�eture of (/ // � LL
Permittee ���' /� e�' $! DV � TAX S
� v • `< I . � �
Authorizetl A9 nT TOTAL PAI D E
OWNER
j JOB AC
-- GF^'FR
\A
ROUGH PLUMBING
PROP. SWR. LINE
SPRINKLING SYSI
MISCELLANEOUS
I:GPF9�4�P.11
ROUGH MEATING AND AIR CONOITIONII
UN�ERGROUNO U POWER
FOUGH WIRING
STEEL REINF.
FLOOR SVSTEM
BOND BEAM � STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING - IN � OUT
P� 4P, BROWN COAT
5, iURPL FINAI.
HEAT
VENT., REFRIG. AN� A.C., FINAL
, FINAL AND GAS TEST �
FINAL
DATE
SUBCONTRACTOR