HomeMy WebLinkAbout2161 AMERICAN AVE - Building Permitsweci,+ooeess: 2161 AM RICAN AV
OWNEfl'SNAME: HORNBY EGORY ALLEI3
aooxess: 2161 AFAER CAN AVE
COSTA MESA,CA 92627
631-7800 `
APCM/ENCINEEH: � XEG.NO.:
AOOXESS:
UNIT:
UNIT:
PENMITTEE: PRO—SPEC ROOF� NG (714)744-4541
aooeess: 9 4 S N. MAI N
ORANGE CA 92667
LICENSEO CONTHACTOP DECUIHPTION: I nereby aHirm that I am licensetl unCer pmvisions ot C�aO�er 9 �commencing wiih Section
7000) ol �ivision 3 0l the Business ana Pmfessions Cotle and my license is in full force and el�ec�.
urv uc.: 042Ly/ 11Q ,sTare uc.:471616 ss: C-39
�Date: �! � � ! Signalure: �!
WOflREPS' COMPENSATION OECLANFTION: I �ereby a�firm Iha� I have a cehi�icale oi consen� lo self-insure r a certilica�e ol Workers'
Compensation �syraAc� p( �certi�ietl copy ihereo� (Seciion 3800, Lab. G.�9 � O S/ 91
POLICY NO.: 1 V V EXP. OATE: V
� comraxr: STATE FUND,y,�
❑ Cetlilietl topy i5 hereby �umished. L4 Certifie0 copY is filed �i'i�h Ihe Ci�y Buildiny�Divisi0
'Date: � ` � � � � AOPlicanC ��/
E%EMPTION FBOM WOflNEPS' COMPENSPTION OECNNFTION: (This section neetl nol be completetl il the p ii is lor one hunOreO (510D) ar less�,
I cetlity tha� in �he DeAormance ol �he work for which ihis permil is issuetl. I shall no� employ any person in any manner so as to �ecome
subleq �o Ihe Workers' Compensa�ion Laws of Calilomia.
pale'. Signaiure'.
NOTICE: I�. aker making Ihis declaration, you shoultl become SuDlec� b the WOBers' Compensation D�ovision5 oF ��e Labor
Cotle, you mus� fotlhwilh comply wi�� such provisions or �his permit shall be tleemed revoked.
CONSTXUCTION LENOING RGENCY: I here�y affirm �ha� there is a conslmc�ion lending apency �or ��e pedormance o� Ihe work for
which Ihis permii is i55ue0 (Sectian 3097. Civ. C).
LENDEP:
aoonEss:
OWNEB BWLOEP OECLANATION: I hereby affirm Ihal I am exempt irom t�e Coniractors' State License Law for the following reason
(Seqion 7031.5 Business ana Pmlessional Code: Any ciry ol counry which requires a permil to cons�mct, al�er, impmve, demolish, or
repair any simcWre. Drior to its issuance, also requires ihe applicant for such permit to file a signe0 statement that he/she is licensee
pursuant io Ihe pmvisions o� Ihe Coniractors' State License Law (Chapter 9(commendng wi�h Section 7000� ot Division 3 0l lhe Business
and Pmlession5 CoOe) or Ihat he/she is exemD� �here�mm antl �he basis �or the alleged exempiion. Any violation o� Sec�ion 7031.5 by
any applicani for a permi� su�lecis the applican� to a civil penal�y o� no[ more �han five hundfe0 doltars (E540�.
I, as owner at tne pmpeny or my employees with wages as their sole compensatioq will eo ihe work, ane ihe
❑ s�mciure is no� intenaetl or oitered for sale (Section 70a4, eusiness antl Pm�essional Code: The Contrac�ors' $ta�e License Law
tloes nal appty �o an owner ot a pmpetly who �uilas or impwves t�ereon, antl who aoes such work himSelUhersell or �h�ouAh
his or her own employees, pmvitled Iha� such impmvemen�s are no� imentled or otteretl tor sale. It, however �he buil0ing or
, impmvemeN is soltl within one year ol complelion. Ihe owner will have Ihe Gurden o� pmving he/she Uid nol 6uiltl or impmve
lar the purpose ol sale�.
I, as owner o� the pmperty, am exclusively conVac�ing wi�h licensed coniraclors b constmc� �he pmlec� (Section 7044, Business
❑ and Professions Code: The ConVaclors' S�ate License Law does noi apply to an owner of property who builtls o� impmves Ihereon
and who coniraclsfor such pmlecis wi�� a conlrac�or�s�license pursuantto Ihe ConVac�ars' Sta�e L¢ense Law�. I am aware
��at prool ol their Worker's Campensation insurance shoultl be pmvitled Io me.
� I am exempl untler Section: B. 8 P. C.
lor Ihis reason:
�ate: Owner
I do hereby cenify Ihat I am aware oi antl untlerstand t�e repuiremems oi Califamia Healih and Safety Code Sections 25505. 25533, antl
25534 and Ihal I or any iNure building occupant will/will noi (circle one) nee0 �o compty witA said 5[ate coees antl Ihe requiremenis for a
permi� lor conslmclion or modification imm �he Air �uality Managemen� OiSVic�. Resitlential con5imc�ion applicalions are exempt �mm
Ihese pmvisians.
Date�. ApPlicam:
I hereby cer�ity �ha� I hava reatl Ih¢ appfita�ion antl s�aie that �he a�ove inlormatmn ls correcL I ree to compry wiih all city and caunry
or0inance5 and 5tatelavi5relaiing�o builtling can5imciion antl here�y aW ri�?representa�rves oi ciryl teruponthe ahove-mentionetl
pmoetly for inso ciion purpases
Dal�_: �/� �/ SignaWre'.
oriver's �icense or Saciai Secunry q:
t6aba6 W�ite—Builtlinq�. Green—Code Eniorcement; Canary—Npplicam; Plnk—Ravenue; Goltlenmd—Assessor
CITY OF COSTA MESA — BUILDING PEAMIT PERM NO: B 05188
PERMIT NO; B 051885 PLAN CHECK NO: N GOVT: N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT
JOB DESCRIPTION ; T/OFF REROOF W/COMP SQ FT: 9,000
CLAIM VALUE; 9,000.00 CALC—VALUE; 9,000,00 GROUP OCC: R-3 / '
COMMENTS: T/OFF RERUOF W/COMP
******x�*�r******�e**�**********�*�r**************�**+�****�r****�r***x�******�****�***
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 IN REAR: FT IN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV: PARCEL; 42208111 ZNE; REF NO:
PLANNING N TES>
i
af �E �f iE if �f iE i4 if iF�f iF iF af iFjF iF if iF1F if iF iF iF�f ik iF 3F �E �t 3f �F iF �FiE iF af af iE if �E iF iF �F it M 1E If 1E �lf *�E 1E 1f iElF iFif if iF if �FiE if iF �Fif 9E 1f iE �E aF iF if if iE iF �lf iF
' 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 ,
BUILDING APPROVED BY :
APPLICATION ISSQED BY• �/1• /
aF iF 3f it �F af �lE i4 iF�t iFik �If iF�t dFk 1F if iF�f if F'IF7F
MiF�flfiFlfiFifiFifiFiFifikiFiE�kififli�flEik�EiFii�IFlfffiE�fiF�Eif�1E�EikIf�lFi ifiFiFiFiEaf�F1f
LEGALZZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 63.00
PLAN
ISSUE FEE
DATE:
DATE:
DATE: ' S �— y �
�iFM M 1f if �E �F if iF if 1F�iF'iF3F Ik
iF if if iE �E iE if ik ii iE iF iE iF iF �f iF if iE iF iF Ik iE iE �F �F �F iE
STRUCTURAL SEGMENT:Y
FIRE SMIP/R50 GRADING
SMIP/NON—RES
HUILDING—DIV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63,50 0.00 _0,00 63.50 63.50 ,00
REVENUE DIVZSION TOTALS--> COLL�;C:1'�:ll: 63.50 OVER/SHORT; 00
BLD63P00 PLUMBING ELECTRIC MECHANIC FIRE SMIP/T50T GRADING PLAN—CHECK
iF �lF k iF fFiF iflf aF if if if �F �f If if if iE if iE 1f±E if iE iF �E 1! if if i! iF if iF iE if iF iF IF iE �E�E iE i! IF If if if 1k iF3f iEiF 3F If af !k IklFif iF �f iF if iE �E iE 1Elf iE 3E iF if iE iE iE 3f 1P if iE
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 4000 REROOF BY VALUE RESIDENIAL NOZONE 1.00 9,000.00
END OF FEES
ci eeosh307—QpflE63i18 ��c-�r
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' CONSTRUCTION AND PLANNING POO� & SPA `
1_
APPROVALS Perm�t# Date Inspector qppROVALS Permit# Date Inspector
1. Temporary Electrical SerJice'or Pole . � 52. Pool & Equipment Location �
2. Soil Pipe-Undrgmd._ '�- � ='1 �� 53. Steel Reinforcement '
.�.1: '�. li.l�� J
'� P
-.�,�•rEtectr`.ical Conduit Ui���ty-Undrgrnd: " 54. Forms
-'A. Electr�ical Cond'uibUndrgrnd. "� 55. Electrical Bonding 'l
?1 ` Y_ "� Ir. C
,` 5:,5(eel P�einforcement 56. Rough Plumbing & Pressure Test
uc�.8. Electrical UFER:Grnd. t-- 57. APPROVAL TO COVER�GUNITE .
�- n:
� .'�`7., footings �,� `� 58. Electrical Conduit�Undrgrnd. �
�,B.e�foundation S � 59. Gas Pipe, O Undrgrnd., Test �
�
=`9.'Water Pipe�Undrgrnd, ^� r��• 60. Backwash Lines, P�Trap, O Undrgmd.
10. Structural Floor System ��i .. i 61. APPROVAL TO DECK ,'�'
11. Property Sewer Lin`& House Conn�ction 62. Backwash & Receptor-Final
12. $ewer Cap y. �`.� � i ''• 63. Heater & Vent-Final '
13. Roof Drains �� ' . r �
t, 64. Plumbing System � Final ;�
74. Rough Plumbifig " 7 Y� 65. Electrical-Final �,�� '
15. Rough Electric'al-Conduit �'� 66. Solar System-Final i
16. Rough Elettri�-Wiring 67. Fencing & Access Approval �
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricfl�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
" - ' 7H:Dj- cX + llJ
20!� Rough FactoFy Fi�eplace i �%:`^ �^ � � J .^ r.�. ::: :pppROVAl�'�-+��Permit # ' >'' `'
�: .i' v: �+ I Sf� �%.�S a S - .rx r' � � a:.J�-+Y 7 �-
➢ � r+ ..n I r^ r. � 1. � ix. 4- a > -'a, l. '
21,_Duc[s, in�St;uctuee; i•• •- :� ; n 5 ' �:i� X 770. Underground. Hysiro .�
22. Ducts, Ventilatin^ � � ��=� M ~ S'�%� w
� 9�; i �� r J �,. � � ."-71. Produci�ipih9 �'�Ds QOiI
. . .. �.� :� z c' : > : - �'n i � � �, x ',t �
23.:Gas Pipe?Ro�gh & 7est � �„S .. i„ .s _ y y. �7Z, Undergropnd Plush•ro �. -
24:=Roaf Ftamir�g � > � _ � �•E- �+� > � ¢ y Y Y s73',�Undergrnd: Storag,��7�ank i7 Gas ❑ (�rl
25. Roof Sheathin �r' `� N + n! ,� : : :�r * i o ��r�� -�
9 =^�z �L +"' " ,7 ? Jr. � 74; �yerhead �lydro> :r
'' 26� T�Bar Ceiling (Stcoctural) &�lonocoat �fi �� �' i��i :i 75� Dty Chemical u`�" � -�- � �
� �.� . .� �+ : .c� � S � m c.'7 �v�
� 27;�Frame and Flashm�' v 'R n :�r �r E.•`-; -,'•� �1� � ;s "� �'-
=, ,. 19: .. s: ; �.. L; >+ ;n:.. M 76. 6ry Staniipipe F;y :� p
Ii�28. �Lathing_& Siliing T • � r� J' ^ a �. ^� ••! �•a_ y 77,_Ty FIXED SYSTE � , INAC'_ �y �V �
�`29. Insulation , � �' G <' .. .. �' ' ��� � I �. '� ~ . r� ": � �
„�. 78;�FIRE PREV. FIMA;L �x �> u,N
�30. Drywall=Nailfig G� y �y � I I �� ? �- HEALTHrDEPTE RfQ�HIREiVIENT
. r
'�31. Plaster Brown Coat� J i��.��. 1 I , ��; -79:�FINAL IfFfSR��CTION �`� � �
i!32.:Electrical Po�er Meter-Finali l ' ti � k�'tl� `SO�aF00D CER71FtGATE ISSUED
vr .r
33'rFine�+ Efectri�, ` ' J� � �' � � � '" ''No%s: "T %E � � `r
5: S .A � .a � . R �( " �fr1 'i: ` :� .L'i�'1
i• �y, � �. . ~ i - . � y n +. � � . `.. .�, . � .-,.�
,�;34; Finai Heating.& Air�Conditiqn�� r Cc �.� � > ;�; ; � S C•J
:� I � > m
`35•,`�Firial Gas Pi'�'e-Tesf� �r' . -; I t. .� ' :', ^l . aS :�� r^ S�,
s' .� I �i a; 7 ,�.0 _ H X ^('�'
„36: Hood or Canopy ` y�' � -_ _ ' .c � { I 4 _'' - � ^• , � .* .•, `
. m •n
�;"37�Final Factory Fireplace � :S"' ';., x �� � � �v r � ^ .x �7
, 7: ,-� I- :i t I ft 'K •'.�
. • . . �• � :V tV r m
�38. Final Plumbing 7 "r' �-. ;� + ` fl: ;� S .a .�. ti+ '
_ . .� � n .p,�
�.:39. Water Service'Final� \, � `" :�: � ; ' � � ' '�T= �-
o h �. E : ,, �. S
:rn4�. GasService-F-��inal '`,_� .I�.:•t� �� :c ay { � fj i. ",� ��N .�' � .,
,� <
:41. Solar pomesticFinal�• !�� •' ' C^ ! �F - t;i' `' ~
;n .: e� ir - � :C
. i-H ni ? ✓ I � �/ '+ -� V.,� - .�
''421'Backflow Preventerk :,� � � 1 z �. i� �_. . . �. r.
.. ... . �
43. Backflow irrigation� '%=>= '� , '' ` . '��'�-' "' % "
a. :>+ �. l: . �: -� .0 i
'A4. Landsca e I�i' � - � �� �� � �
r, P i9a[ion SYstenii71^ . :s ?; J =x. r.� �V .� U O
�45.=Sound Attenuation �'rF' -`' s :r. '" E" .'� '' ". ?,-= ;�:�
rrl ,1. �.',., '1, .` . .�
:46.;HandicapRegulatiqns `� � `�� . a. � `:,j - w
47.,FINAL STRUCTURE & BUfLDING ' � i�ic � •
m Y :1- I ,� � - -
48:_FINALPLANNING ��'.;�. _,,; ; i i1Y,� ;; .¢ �
-49.�EleciricReleaseto�Edison , . I «:r F �C • � '
I 1 i T �
;50. Gas.Rel�ase to Southern California Gas Ca ; �' t � '� ' •�:: : : •�
� �., . u :i - o�n . �
"51. CEFtTIFICATE OP;OCCUPANCY ; �; ,. � ; „ .. ;_ �
No. Date �
PflO1ECTF00XES8: 2161 pMERICAN AV
OWNER'SNRME: LORI WHITNEY
nooeess: gp�E AS ABOVE
719/646-8516
�flCN1ENGINEEfl: �
FDOBESS: � •
flEG.NO.:
uxrt: CITY OF COSTA MFSA — B[JIT..DIT]G PERMII'
PERMIT NO: �M 0963'71 PLAN CHECK NO: N
CONSTRUCTZON TYPE: PERMIT TYPE:,MEC
JOB DESCRIPTION : INSTALL 40,000 FURNACE
UNIT:
PEHMITTFE: MAIO PLUMBING ( 714 ) 568-1555
nooqess �-�p0 E. MCE'ADDEN
SA�]TA ANA CA 92704
LICENSED CONiMC70R DEClAM710N: I hereby attirm t�at I am Iicense0 un0er provisions al Chapter 9(commencing vnt� Section
7000) ai Oivisian 3 af the Business and Pmfessions CoOe, antl my license Is in lullforce antl efiect. •
cin uc.: 0 9 6 2 7 STATE LIC.:, y j S�j'] cuss: C- 2 0
• Uate: ;� ��" gV SignaNre: �ad�i - %;22���ae�—
WOBKEBS' COMPENSATION OECUIMTION: I �ere�y aflirm that I Aave a certificate ofconsent to ulf-insure or a certi/ica[e ol Workers'
Compensation Insurance, or a certitietl copy Ihereoi (Section 3800, LaU. C).
roucr Na.: 0% 917 0 0- 8 9 E%P. DATE: O I I O 1 I 9 S ,
coMrnNr: STATE FOND
� Cehi�ie0 CoOY IS h¢feUy fUmished. � Ce�itie0 copy is fleU wilh I�e ciry Buildinp Division.
i
. Data: � Gi—�C% APDlicant: -e/'� �� �i-�..�.� —
'� IXEMPf10N FlIOM WOXNENS' COMPENSRTION OECIdMTIOX: R s sttoM 'on nee0 not be p e0 if Ne permit is for one hunOreO (5100) or less).
I cenity that in lhe performance oi the work fat which Ihis permii is issued I shall nat employ any person in any manner so as ro become
�I suhlect to ihe Workers' ComDensation Laws af Califomia.
�I �ate: SiqnaWre:
NOTICE: If, atler making this Oeclaration, you shoul0 bewme suhlect ro ihe�Warkers' ComDensation Drovisians oi the LaUor
Code, you must fartAwtth comOh ��h such prodsions or t�is permit sAall he 4eeme0 revoke0.
CONSTPUCTION LENOING 1GENCY: I he2by aflirm that there is a constmction lendinp agency for the pedormance oi the work for
whic0 this permit is iuuM (Sectian 3097, Civ. C).
lENOEP:
aooeess: �
OWNEB BUIL➢FR OECIAMTION: I hereby a/lirm t�at I am exempt trom the Contractors' State License Law for ihe fallowinA �eason
(Section 7031.5 Business and Pmfesslonal Cotle: My ciry oi counry w�ich reQuires a Oe�mit ro constmct, alter, impmve, Oemalish, or
reDair any sWCNre, O�or ro its iuuance, also.requires the aDD�iwn[ for 5uch Oermit ro tile a signeU statement that Ae/she is Iicense0
pursuant to the pmvisions of ��e CaMractors' State License Law (ChaD�er 9(wmmencing wi[h Section 7000) of DiNsion 3 oi the Business
antl Pmfessions Code) or that Ae/s�e is exempt [herefmm and �he Dasis for the allegeA eKemptian. Any violation of Section 7031.5 hy
any aDPlicant lor a Oe�mit suhlects the applicant to a civil penalry o/ not more t�an tive hunAred dollars (5500).
I, az awner of t�e DroDeM or my employees vnth wages as [heir sole compensation, will do the work, antl the
❑ stmctum is not intentleC or offereJ far sale (Sectian 7004, Business antl Pmfessional CoOe: The Contracmrs' State License Law
does not appty to an owner ol a pmpeM w�o huilOs or impraves ihereon, antl w�a tloes such work �imsetl/hersetl or [hmug�
his or �er own employees, pmvitled that such impmvements are not intentletl ur otleretl tor sale. II, however ihe 6uiltlin0 or
impmvement is sold wit�in one year ol comDletian, the awner vnll �ave ihe �ur0en oi provinp �e/she ditl not build or improve
tOr the purpose o� sale). , .
I, as owner of t�e Oraperry, am exclusivel9 conlraciinp wit� licensed comraciors Io cons�mct ��e pmlect (Sec�ion 70/4, Businew
❑ an0 Protessions CoOe: The Contraclors' SWte License Law tloes not aOPly to an owner oi DmpertyvAio hutlAs or impmves therean
and wha coniracis for suc� projects with a coniroctoqs)license pursuant ro t�e Contracrors' State License Law). I am aware
that D�oof of iheir Worker's ComOensation insuronce shoWU 6e proaAetl to me. �
� I am exempi unAer Section: B. 8 P. C.
for Ihis reason: �
Date: - � � Ownec
I Oo herehy certiy ihat I am aware af anC unGerstanA the requiremenis of Califomia Health anE Safery Cotle Sections 25505, 25533, and
25534 anOlhat I or any IUWre EuilOinA occupant will/vrill not (circla one) nee0 ta compy vnih saiU state ca0es ana ihe requiremenis lor a
permi[ far consimciwn or moGification fmm tAe Pir Ouality ManaOement Districe Flesitlential constmction aDDlications are exemD���mm
th¢se proNsionS.
�ate: ApDlicant:
I herehy cerlity tAat I �ave rea0 this application antl state ihat ihe above information is correct. I agree to comDty witA all city and counry
orEmances an0 state laws relating to GuilEinq wnstmction and �erehy au[honze representatives af INs ciry to enier upon the above�mentionetl
proDertY �arinsDe�ion Durposes. �
Date: � �_�v Si9natu2:�/ �����r.�___
oriver's�icenseorsocia�Secudryx:
160146 White—Builtlino; Green—Cotle Eniorcament: Canary—AOplicanp Pink—Revenue; GolOenrotl—Assessor
PERM NO: M 046J71
GOVT: N SUPP: N
PURPOSE: UTH
St] FT:
r
CLAIM VALUE: CALC-VALUE: GROUF OCC: ./
COMMENTS:'
*+�***�c-x*��r��**�x�t�****��c***�r**x �r�*x*�*�r*�r�***�x�*�r**�*�*******���**��****�**�*;��
Z O N I�N G R E Q U I R E M E N T S
• S E T B A G K S
------------ MAIN DUILDING --�-------- --------- ACCESSORY BUILDING =-----------
FRNT': FT IN REAR: F'T IN FRNT: I'T IN REAR: � FT IN .
LEFT: FT IN I2GF11': FT IN LF.FT: ET. IN RGHT: FT IN
PARKING REQ: ' PROV; PARCEL: 42208111 ZNE: REF NO:
PLANNING NUTES>
> _
1E iE iF 3f if iE if it if iE iE 3E iE if jE iE if iF iE iF iE M iE iE �k ik i! iE 3E k�E iE iE iE iF iF iF.1E 1f 1E iE iE iF iE iElf 3E k ff )E!E �)E if iE it �f if IE iE iE iE iE IflflE if iE 3E iE iE �E 1f 3E1E it if iE %3f
D E V E L O P M E N T S E R�V I C E S R L: Q U I R' E M E N T S
i
ZONl'NG APPROVF.D HY _�_ � ,_ _ _ DATE: __
BUILDING AFPROVED HY :
APPL'iCATION ISSUED BY:
iEiElEitikiliF�lE3fiEiElEiEjfiEiElfiEK�iE3EiEiF�3FiF������� �F�F�F�i�
k 1F # fE fF iE fE 3E iE �%iE 1E iE �F 1ElE ik iE k 1E fF iE ik iE if !f iF iF if !E if ik iE if iE 1f iF'i! iF iE it if iF iE iE iF iE if 1E iF
LEGALIZATION:N F 6 E S(7 M M A R Y
HLDG PMT PLUMBING ELECTRIC MfiCHANIC
PERMIT 9,00
" ZrJ$
DATE:
�***�rD*��c ***����**
�! 3F �ElE iElE if iF 1f 3E 1E 3E ff iE iE iE !E if iE 3E �E if iE 1E.iE
STRUCTURAL SEGMENT:N
1'IRE SMIF/RES GRADING
SMIP/NON-RES'
PI�AN
ISSUE FEE 15.00
BUILn7NG-DIV-> PERMIT ISSUF. PL:SN-CHF'CK TOTAL PAID DUE
TOTALS---> 9.00 15.00 0.00 29.00 24.00 .00
REVENUH DIVISION TOTALS--> COLL�CTED: 24.00 OVER/SHURT: .00
ALDG PMT PLUMBING EI.ECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
24.00 '
3E iE iE 3f iE iE IE #�lE ik �1E iE �Yf if iF iE it iE if if iE �k iF iF iF �lf� k�F iE i! if �t iE lf iE 3F if-jE iE iE �lE ik if 1E iE iE it iF 1E 1E # it iE �lE iE �lE ik iE iE iF iF i! * iE �)f iF If iE ik iE 3E iE'.F if if �1F iE K- %
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 UNTT COST TOTAL COST
MF:C 1 INSTALL FORC/AIR FURN <= 100 K BTU/H 9.00 9.00
END OF FEES �
9
01 OQQ55530-�UOS5530 To7 Y
DATE: 03/Ob/.90 TIME: 15:14
24.00
!
� CONSTRUCTION AND PLANNING POO oPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electrical Serviceor�Pole -� � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � � _.:; 53. Steel Reinforcement
- 3�ElectricalConduit-Utility-Undrgrnd. � 54. Forms
4. Electrical ConduiDUndrgrnd. � 55. Electrical Bonding
=.5. �Steel Reinforcement. � 56. Rough Plumbing & Pressure Test -
� 6:�Electrical UFER 6rnd. ' 57. APPROVAL TO COVER�GUNITE -
'.- 7._Footinqs ". _- 58. Electrical Conduit-Undrgmd. �_
8. Foundation _ ' 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, O Undrgmd. '
�
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
i
13. Roof Drains . - . . 64. Plumbing System - Final �
14. Rough Plumbing � 65. Electrical-Final
75. 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 r _ FIRE DEPT. REQUIREMENT
20.,Rough Factony Pireplace _ � :�: . - - , 'qPpROVALS = _Per`mit # �
21 � Ducts, in'Structure� `+ _ ' = - -70. Underg�ounii Hydro '
k
22. Ducts, Ventilating ; - _" �. , r71, Product Piping O Gas OOiI
23. Gas-Pipe�Rough & Test ;� '-� C' r _ � • .�72, Underground Flush ' .
24=Roof Framing �� _ :"73:��Undergrnd.Storage.Tank �Gas ❑Oil
25. Roof Sheathing ' • � .+' _� � + 74'.-Overhead Hydro-• �
26.='T-Ba: Ceiling (Structural) &�Monocoat " � - 75 �Dry Chemical :. - , � �
27� Frame and Flashing- �.,;:.^ -- - 76. Dry Stand�ipe - � * -
-28. Lathing.& Siding _ � _ _ ' ,, `� " "� y 77 � FIXED SYSTEM�FINAL
�29. Insulation _ � x � > 78:`:FIRE PREV. FINAL � '
�30. Drywall Nailin9 '� � _ ; �: �: 'NEALTH.DEPT�. REQUIREMENT
�'31. Plaster Brown Coat� _ �,r r . -79: FINAL INSPECTION �. � ,
`,32: Electrica� Power MeterFinal, ' � ��_ { SO:.:�FOOD CERTIFICATE ISSUED__
„ < - -
_33rFinal Electric - ;-y � - �. � �. � Notes: - � . , -
� 34: Final Heatiny & Air; Conditioning= �. 5' -� � = ' - �
35`��Finel Gas Pipe-Test� - J :. _. . . = - � , �
-36. Hood or Canopy �' ' " �-• � ' .� ` - - � "��'
�37'��� - - - - - - �
Final Factory Fireplace- �� -�_ o � �=� � - -. .
"38. Final Plumbing �' � ' -' ` � _ - ' ' ' ,
`7 -
39. Water Service-Final„ c LL „rx '> ., _ " �� � .., r _
"40. Gas Service-Final . . �:� '�' S � - K < C4 • ' .
r, ' -
'-41. Solar pomesticFinal'' '�'~ �' �'� ' �` .- . � �
- �, r .. -
42. Backflow Preventer � k ' `_
y. .
43. Backflow Irrigation� �_ - - � � � �`� � `� �
, 44. Landscape I'rripation System " - � -�': �_' = r. ; , - r_ „ � - ,
- t _ .G • � 'r
- _,o,. _ ` -.y . �
'-'45.:.Sound Attenuation ' , . �� � '�; - , y " _ -,- , _ - .
46.• Handicap Regulations - . � ' ti' _ �_ _ �
;i .� t
.47rFINALSTRUCTURE&BUILDING ; � ���;' `' ' ' -' .. ..
48._FINAL PLANNING - � � � ; -
49. Electric Release to _Edison x � /� ; � � � , '� '
. 50: _Gas_Release to Southem California Gas Co '�� ��`"!� • - � • : ` � �'
- i _ . - - �-. ' -
-51. CERTIFICATE OF OCCUPANCY �' " � - � - -
No. Date
, ' '�:•`���:1�� �
�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 C08TA ME6A. CALIPORNIA
Fo� Applicanf fo Fill In Complefely
TYPE OR PRINT
eu��oiN�
AO�RE6S 2161 American Aaenue
COSTA MESA. CALIFORNIA
■ ARCHITECT
■ SIZE
■ 8lTBACK
TEL.
Dike & Colegrove, Inc.
1533 Balcer st.
Costa Mesa. Calif.
'293 ryEp. KI J�Z�.SZ
R �LL I xo, OP BLDq
vci xow �x �.,M
ILEFT S� IRIGHT 5�
DESCRIPTION OF WORK
I x II s, r�oer,�., I II ..,.,,�.�.. !
WALL
9tllCf
IILDING AND
MS 10
�
tl rv�.�� i:.. . . . %
\`� FEB 201�1
// � �IP1; i�:Gk OFPT.
i CIl'r Of GOSiP, iw�.f1
APPLICATION FOR PERMIT
BUILDING
For Offlce Use Only
RECEIPi NO. I A 9+@M�IYTW].
er I '� � /�f�/� hk�
COSTA MESA.
FIRE
ZONE
APPROVED
ZONING
ZONH NO. OF U86 OR fi
R��, PNN9 2 BUILDINO
LeOAL Lot 3. Tr. 393
oescwintiox
YARDS
APPROVED
ccermw uxa ar.>
v
attached ar e(two living units.) uar. W11 sq. ft.
Plan CE
I HEREBY ACKNOWI.EDOE TXAT 1 HAVE ft¢AD TH19 APPLIGTION THE AMOUNT 6HOWN UNDER VALUATION 19 FOR THH
AND BTATE THAT THC ABOVE IB CORHECT ANO AGREE TO LOM- pURPOBE OP EBTABLI9HING A PERMIT FEE ONLY.
PLY WITM NLL CITY OFOINANCE9 AND BTATE LAWO RHpULATING
BUILDINO CONBTRUGTIO VALUATION
SIGNATURE OF � PERMIT FEE $37�00
PERMITfE 17 979.80 p [
$ � PLAN CHECK $ 1V�70
■ AUTHORIZE� AGENT
�" �.��9�.
COoTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 3f7 COSTA MEBA. CALIPORNIA
For Applicanf io Fill In Complefely
TYPE OR PRINT
COSTA MESA CALIFORNIA
■ ARCHITEC!
■ STATE
NO. OF B1D08.
'BEfBACK LINB FROM
CCNTER OP 8TRE6T
DESCRIPTION OF WORK
BUILDING NO.
SIZE ROC
EXTERIOR WALL IRd
rE� �kc,k��; t�
� ��r � ,�s,
�
�' FINANCE DEPT.
CITY OF COSTA MESfl
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. PERMIT NO.
�S"'��—:!/ I
ar I owre rsece�ve� I. owre iesuso
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROU �/
APPROVED
BY � � DATE � `
' ZONING .�
ZO NO. OF USH OP N6W
� — C( PUNe BUILDINQ �
teu�t N-�G �� �� ��,
DEBCRIPTIO
A. P. NO. ��_�(1/�S�—
YARDS EVES
APPROVED ALLOWED
(CBNTCR LJNC BTJ
1 HEpEBY ACKNOWLEOpE THAT � HAVE READ TH18 APPLIGTION }HE AMOUNT 9XOWN UNOER VALUATION 18 FOR TH¢
AND 9TATE THAT THE A60V¢ IB COpRECT ANO AGREE TO GOM- pURP08E OF E6TABLIBHING A PERMIT FEE ON�Y.
PLY WITH ALL CIIY ORDINANCEB AND 6TAT8 IAW6 REGULATING
Bu1to1NG coNernu oN. � VALUAT/I�ON �
81GNATURE OF �� % 3 ID � PERMIT FEE $�
PERMITTE
$ PLAN CHECK $ �-
AUTHORIZE� AGENT "I p'�
JOB ADDRESS 2161 American Ave. BUILDING PERMIT N0. 14391
GENERALCONTRACTOA C,1'I, whlt2 VALUE $ 93.00
AP. No. LOT 3 zxncT 3934 FIRE ZONE DESCRIPTION OF WORK Ret. B10Ck �rl211
ECTIONS � DATE I GROUP
SUBCONTRACTOR