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HomeMy WebLinkAbout3321 ALABAMA CIR - Building Permits„ -= Z . a U �- Z ZQ O v~i dm J � J � Q W O] J - p7 J Q U N Za W � aw W Z J � m Z J � W w � _ Z F w � �O � Z Q U J a a Q � H N Z O F U � � F y Z s-ze � � � I 09 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING ` ADDRESS � �a � l� OWNEF H0YID88 DCV. CO• CITV Santa Ana NOL �i7— CONSTRUCTION _ BFANCH lyv�isroaaway qvenue ADDRE55 g�,n lTiego, California ARCHITECT TEL. ��cx K. Dorius rvo 675-i1 aooaess 2712 E. Coast Hwy. Corona D M CONTRACTOR Owner ADDRESS TEL. CITV NO. STATE ,^ CITV �IC. NO. 'Z5`�F�/ LIC. NO. SIZE � NO.OF BLDGS. OF LOT LOCI X� I NOW ON LOT O USE OF EXISTING 6LDG. SIZE Of NO. OF NEWBLOG. 1 O 6. PtROOMS STORIES EXTERIOR WALL ROOF Comp�a8r� COVERING BLUCCO COVEFING USE OF BUILDING AND WORK TO BE PERFORMED Residence w/attached eareee va�o P.PR 2�;-69cMs=.001303� **� 137.25 APPLICATION FOR BUILDING PERMIT RECEyyEO $V DQTE R� E�ED DATE ISSUE ��,� s� a s�-i —, PEFMIT NO. A.P. NO. �- n/l BVIIDING � � a n %i� �U 1 ADDRESS [.(� A�iYL(/ TRACT(p(�� LOTd� BLOCF OWNER IFE.�� ONE PPROVED �4- ! i.._..._ , VARDSAPPROVED MAIN BUILDING IFROM GL ST$EET) U DISTANCE BET MAIN BLDGS. VAR. # GU.P. # APPROVED USE OF NEW BUILDING VARDS Af BET. MAIN & ACCESS. BLD DATE � � I hereby acknowledge uat � na�e read uis application ene state HOLD FOR SPE IAL REQUIR£M�"'i 5 Mat the above intormation is rorrect antl agree to cOmply with all laws regulating builtlin8 construction, antl I shall not employ any person in vi0�ation of the workman's compensation laws of the State of Califomia. T �.,p/ ry% m 'L II SQ. FT. ^ O I hereby certity that I am properly licensetl as a contractor under the State of Calitornia Business antl Professions Cotle, Oivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl that such licenses are In full forca and effect, ot I THE PUflPOSE OF ESTABLISHING A PERMIT FEE ONLV: m am exempt trom the provisions ot the State of California Business � VAIUATION antl Professions CPtle, Division 3, Chapte /. �/� � PERMIT FEE $ V � � Sig^ature of � /'��-' m Permittee � 5,..�/��/� ja _. PWN CHECK $� � .- E �T� /'7 /j `o Autharizetl ABent TOTAL FEE ^y /� /' � J LL OWNER ��S DEVEinPNNIENNT DATE 5 }� JOB ADDRESS ��21 plphama f:irrl F+ BUILDING PERMIT N0. �0109 AP No. _ GAS WATER SUBCONTRACTOR �r�.�����rr���i�.�r,i��i�irni�i�r..��fi�ac�r.c�R:L��r.no oirioNiNc 11N0ERGR0UND � POWER [] ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOft SVSTEM BONO BEAM � STEEL REINFOpCE n SHEATHING FRAME AND FLASHING LATHING — IN . OOT l c PLASTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., AL PLUMBING, FINAL AN� GAS TEST ELECTFIC, FINAL BUIL�ING, FINAL SPECIAL REOUIREMENTS E .: �aUCj. J, AII PA[u ,q. A'siY-Yst G ZO-74CM5�0015i7� 5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 PP CA ION FOR BUILDING PERMIT ForApplicant to Fillin Comp/etely qEc I DATE RECEIVED D E ISSVED BUILDING �'j2/'1/ /11 /1'bAMA CrTLGC� � � �� ADDRESS .J l �� �"%C,+777 OWNER (� Guarzvhl CoA� I` g'—S��'��� PE�MITYO A.P. NO. MAIL a I^ �/� BUILDING ^ Z ADDRESS 2 �%{� r/r/ /TZGL�E' RIODRESS �� �J9 %Ii�'//-/ C�� . d U CITV C���ry �Ij y NpL' ' TRACT 4�(y ��7 LOT p( 7� BLOCK Z ZQ CONSfRUCiION �DN� _ W ADD A P O N LENDER 2 m J � BRANCH y� J � OWNER I�N a w ADDRESS ,,� m J p `_ VALUE p v 'Ja ORENGINE R 11�����' � NEL. 5 �O �L $ '� U Q FIRE W� ADDRESS 20NE VPE GROUP a w APPROVED �^,,( �%�� JO CONTRACTOR BV , DATE(,J��(I•'- m z J � ADDFESS � w W TEL. �ONE Q NO.OF USE OF NEW %/ U �= CITV '-� ryp, �\ P�� � BUILDIMG r t ZH w O STATE ,__ CITV YARDS APPflOVED YARDS APPROVE� y 2 LIC. NO. LIC. NO. MAIN BUILOING ACCESSORV BVILDING 7O � (FROMGISTREET) /� O'F LOT NOW ON LOT FRONT FT. TI/FTCN� VSEOF /Ty� G� E FT O" EXISTING BLDG. fJ/� F" $IZE OF NO. OF �� Z NEWBLDG. ROOMS TORIES L.SIDE FT. R FT. �� a EXTERIOR WALL ROOF � V COVERING COVERING � CCG REAR FT. FT.S J USE OF BUILOING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN & a MAIN BLDf35. ACCESS. BLDGS. a Q VAR.#` DATE O I D Q �J� G.U.P.# APPROVED F APPROVED ��' ' — �' O �'� � z � VI hereby acknowletlge thet I hava reatl this application and state � = thet the above into�matiOn is co�rect antl agr¢e to comply wlth � all lews regulating building construction, antl I shall not employ � F any Oerson in violation ot the workman's compansation laws ot y the State of Californie. � ZI hereby certity xhat I am properly IicenseC as a conttacmr untler SQ. FT, o the State ot California Business and Professlons Cotle, Divisicn 3, HE AMOUNT SHOWN UNDER VqLUATION IS FOR Chapter 9, and thet such �{�anses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am exempt from the provisions of the State ot California B iness VALUATION ��l Fl antl Protessions Co i is'on 3, I p2er . $ �� N PERMIT FEE ] Sienature ot . f�,� � m Permittee $ �/)/1 PLAN CHECK $ E ✓V �� �..4�/% LL QUMOri20d AgBni � , ��% TOTAL FEE $ OWNER COADY. R. F. & Gudron Jr. DATE 8-2 DRESS 3321 Alabama Circle BUILDING P �L CONTRACTOR pwner Bldr. DESCRIPTION of WORK Patio FIRE ZONE VALUE 8 500.00 SUBCONTRACTOR ROI/GH PLUMBING PROP. SWR. LINE SPRINKLING SY51 MISCELLANEOUS HOUSE CON. ROIIGN HEATING AND PIR CONDITIONING TEMPORARY SERVICE OR POLE UNOERGROUNO [] POWEft � ROUGH WIRING TRENCNES' FORMS STEEL REINF. FLOOR SVSTEM BON� BEAM � STEEL REINFORCE � SNEATMING FRAME ANO FLASNING LPTHING - IN n OIIT n PLASTER, BROWN COAT STRUCTpRqL, FINAL NEATING, VENT., REFRIG. AN� A.C., FINAL PLUMBING, FINAL AND 6A5 TEST �] ELECTRIC, FINAL BUI�OING, FINAL Applicant to fill in all spaces exeept those wit�in heavY Oortler lines antl si9n all appro0riate tleclarations. =i8239 12/04/86 5.0� T CITY OF COSTA�MESA CO ST UCTION PE MIT PER 1 N.q. 'TRACT NO. LOT NO. UNIT NO. � � - � �l (oS 03 � , Project Address ' � , AppliCant'SMailin9 A_dd�ess I TYPEOFCONSTRUCTION NEW �ADD� ALTERATION REPAIR yy� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner'sName �,f��^-�nn��� Phone � �DESCRIPTIONOFWORK/USEOFBLDG. A'P'# _ 2one - Address �� ) S Main Building: . Accessory Building: Arch/Eng. License No. TVPE OF PERMIT GRAOING FOUNDATION STRUCTURAL T Front p ❑ TENANT ❑ ELECTRICAL �-'� '❑ MECHANICAL g N Address q�'rLVMBING R¢a� ContreCLoYSNam � / Phone � � OTHER � A . _ � / PROJECT DESCRIPTION 5Q. FT. ' oCCUaANCv C Right N Address (mailing) K G � CONSTRUCTIONTVPE VA�UATION$ g Left City License No. v � � R LICENSED CONTRACTOR OECLARATION ZONE GRADING CU. VDS. ACRES Ping. Ref. # Parking Req./Provided E I hereby affirm tha[ I am licensetl untlet provi5ions of Charter 9(commencing q�marks: Planning Not¢5: ry� WISh SCCII00 ��00) Of p1VI5�0O 3 of roe Business antl Prole55ions Cotle, antl my license is in ful o� e ntl e(fecL �//�/y ��//,�� //� , S � License C ass 'ce se o. ��'__'_"'^/_ , . D� li L (� Date Siynature PLUMBING FEES 1 WORKERS' COMPENSATION DE LARATION Ba� Sink ShOwe�s ELECTRICAL FEES � I hereby affi�m that I have a certificate of consent to Self-insu�e or a certificate ' of Workers' Compensation Insurance, or a certitieC copy thereof (Section BackfiowPreventer ServiceSink - ' ❑ 15-50KW � 3800, �ab. p /. � � / Automatic Washer Trensformer , Policy No. '���qn���� Company �,.l�Qwi�`L Backflowlrri ation � . ❑ 50+KW �rtifietl copy is hereby furnishetl. 9 Sewer Cap ConStrucUon Pole Sub. Cer i ie qpq is " etl with the city tliqg��o� n. Bathtubs Sewer Connection Caoking Unit � Meter ❑up to 100 amps Date Applicant A�� ,rrr.ti-�� EXEMP ION FROM WORKERS' COMP N ATION DECLARATION Clarifiers $ola� COIIect0�5 � Di5hw35he� � M2L2/ ❑Ov¢� 100 drnp5 (Tbissection neetl not be mmpletetl if the permil i5 to� one huntlr¢tl (E300) or . I¢ss). Dishwasher Solar Piping . Dryers ❑Gas ❑Electric Suh Panel ' I certify that in the per(ormance oi the work for which thls perm�t i5 iSsuetl, I shall not employ any person in any manner so as to become subject to'the Drinking Fountains ' Solar Tank Fan Momrs �0.1. HP 01'/: - 8 Workers' Compensation Lawspf California. Date Signature Floor�Drains Swimming Pool w/Spa F.A.U. Inc. Solar 09-15 HP �16-15+ NOTICE: If, after making tM1is tleUaration, you Shoultl.Gecome subject to the _ Workers' Compensation provisions o( [he Labor Cotle, you must /orthwith FIOOfSinks Urinal Fixture5 comply with such p�ovisions or this permit Shall be tleemetl revoketl. Mic�Owdv2 CONSTRUCTION LENDING AGENCV Gas�Service OuLIEtS Wdt2�C105¢t 1 hereGy at9rm that there is a construction lentling agency for the performance ' ' Device Boxes Pole Light' of ihe work for wM1ich this permit i5 issuetl (Section 309], Civ. C.) InterceptOrs ' Water Heater Qutlets Range Lentler's Name Lentler's Atltlress ' Kitchen Sink. � Water Service .- OWNER BUILDER DECLARATION Switche5 Sig� I hereby atfirm that I am exempt from the GonVactor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following rea5on (Section 7031.5 Business antl Professional Cotle: Any city or county which require5 a permit to construct, alter, improve, Cemolish o� repair P-7�yp LduOdry T�ays ' G¢ne�2t0� �0-$ KW �5-1$ KW any structUve, prior to Its i55uance, also requires the appliCdnt for sUch permlt T�35h COmp2CtOf to file a signetl statement that Ite/she I5 licensetl pu�suant to the p�ovisions of ROOi D�d105 ' ' th¢ Contrdclor's LiGense Law (Chapter 9(commencing with Section 7000) of Division 3 of=the Business antl Professions Cotle) o� that M1e/sne is ezempl � theretrom antl the basis fo� the allegetl exemptiOn. Any violation o� Section � '. ' 7031.5 by any applicant to� a petmit 5ubjec[s the applicant t0 a civil �enalty of not more than �ive huntlretl tlollare ($500). - 1, as owner ot the prop¢rty or my employees with wages as thei� sole ReinSpeMiOn Fee $15 �55ue Fee $ 3 compensation, will tl0 the wo�k, antl [he structU/¢ i5 no[ intentletl Or offerEtl Reinspection F¢¢ $15 ISSue F¢e $ 3 for.saie (Section 7044, Business antl Professional Cotle: The Contractor's MECHANICAL FEES Licenre l.aw tloes not apply to an owner of a�property wno builtlz or improves tnereon, antl who tloes such work M1imselt/herseH or tnrough his or her own � . VPe I � , DEVELOPMENT SERVICES REQUIREMENTS: ' ' employeez, provitletl that such imp�ovements are not intentletl or offeretl tor Boiler Hood or T � , sale. It, howeveq the builtlin9 or improvement Is soltl within one year of com- C2nopy Type I I ❑ ' Zoning Approved By Date pletion, the owner will have the burtlen ot proving he/she tlltl no[ builtl or im- Ouct - Und¢r Ground Buildin A roved B p�ove for the pu�pose of Sale). 9 PP Y Date�,tv�� � � I, as owner of the property, am exclusively conbacting with IlCensetl con- DuCt - St�UCtW21 Refrigeration System Application Issued By � Date � Z' �/ �� Vactorsto construct the project (Section ]044, Business antl Professlons Cotle: � The Contracmr's License Law tloes not apply to an owner of property who Duct - Ventilating ❑0-700,000 BTU ❑100,000 BTU SUMMARV OF FEES '� builtls or improves lhereon, antl who contracts for suth p�olects wltn a con- tractor(s1 i¢ense pursuant to the Contractor5 Licenre l.aw). I am aware that Exhaust System ❑ Multiple ❑ System Repair/AI[eration BUILDING PERMIT $ �$MIP $ proot of their Warker's Compensation insurante shoula be provitletl m me. _ PLAN CHECK $ —�����— PERMIT ❑ I am exempt untler Sectian e. & P. C. for this reason FirepVFact. Blt. IC80 # Fire Dampers PLUMBING $ .J UV ISSUANCE $ oate owner Heating System & Ducting Registers � PLAN CHECK 25°6 $ ENERG� P.C. $ I hereby certiry that I have reatl this application and state that the above ❑0-t00,0006TU �100,OOOBT - GRADING $ iniormation is correct. I agree to comply with all city antl county ordinances � ELECTRICAL $� antl state laws relating to builtling construction, antl�hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ � sentatives ot this ciry to ent upon the.above-mentionetl property for �q�J� inspectionp ose ' r-� � MECHANICAL $ TOTALFEE $� Signature Date !1 Drivers' License or 55 � � Reinspection Pee $15 Inue Fee .� $�& PLAN CHECK 25% $ � CMF 0865-46, rev. 30/84 White - Builtling; Canary - AOP��cant: Pink - Accountin9; Goltlenrotl - Assessor CONSTRUCTION AND PLANNING P�� 'P'�' APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electric8l 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 .1: �a.• 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� O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK. � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & VenbFinal �- � 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72, Underground Flush _ 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil � y 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 3S. Final Plumbing (o �'� L�I' 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. Handicap Regulations 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date --._ PPOJECTAUOflESS: 33'21 ALABAMA CI owNEnsNnmE:MILLMAN PAULA L TR aooness:3321 AL�ABAMA CIR COSTA MESA,CA 92626 ANCM/ENGINEEN: aooeess: flEG.NO.: UNIT: uxiT: PENMITTEE:LUKE ROOFING, INC. (714)633-8798 nooaess: y32 N VATAVIA ST ORANGE CA 92667 LICENSED CONTRACTOH UECLAflATION: I hereby aifirm �Aat I am licensetl unAer pmvisions ol Chapter 9(commencing with Section 7000� of �iv�sion 3 olihe Business antl Pm�essians Cotle, antl my I¢ense is in full�orce antl ellecl. ciTvuc.:033014 srnreuc.�12648 — ��' = 9// oa�e: G:.�u ��� Signaiure — Gr^�'1 WOflKEBS' COMPENSRTION OECLAPATION: I Aereby a�firm that I h ce�ilicate ol consem to selbinsure or a cetlilicate ol Workers' Compensa�ion Inwrance. ar a cerlifie0 coDY �hereo� (Section 3800. La�. C�. POIICY NO.: EXP. DRTE: COMPANY: ❑ Cenifietl copy is hereby lurnishetl. ❑ Certified coDY is tiled wit� the ciry Building Division, �ale: NpDlicani: E%EMPTION FNOM WOBKEflS' COMPENSATIDN OECIARFTIUN: (This Settion n¢¢tl noi Ue tompl¢Ietl if �he permit i51or one hUnOreO �$1W) or less�. I certily Ihal in the pedormance ol the work lor which Ihis permi� is issuetl. I shall no� employ any person in any manner so as lo became suble���o iM1e Worker5' Compensation Laws of Calibmia. /�/J_ / Da�e: G - "�" �� SignaNre'. 6 //�/x ` � '�, NOTICE: II. atler making I�is declaralion, you shoula Gecome subl the Workers' Compensa�ion pmvision5 ot �he Labor CoOe. you mus� Iotlhwiih comply wilh such pmvisions or Ihis permi� shall be deemetl revoketl. CONSTflUCTION LENUING RCENCY: I �ereby a�firm Ihat there is a constmclion lentling agency for �he pedormance ai the work for which Ihis permi� is issued (Section 3097. Civ. C�. LENOEN: AOOHESS: OWNEB BWLOEH DECLABATION: I hereby atiirm �ha� I am exemp� Imm t�e Contrac�ors' $�a�e License Law for �Ae following reason (Section 7031.5 Business antl Pmlessional Cotle: Any ci�y o� counry which requires a permi� lo consimct, alter, improve, tlemolish. or repair any s�mc�ure, Odor lo its issuance, also repuires Ihe applicant br such permi� lo lile a signed statemeni Ihal he/she is licensed pursuant �o Ihe provisians ot Ihe Comractors' S�ale License Law (Chapler 9(commencing with Section 7000) o� Division 3 ot �he Business antl Professions Code) or Ihat he/she is exemp� �herehom antl the basis tor �he alleged exemption. Any violation o� Sec�ion 7031.5 by any applicanlfor a permit subjecis Ihe applicant �o a civil penalry ol nol more Uan live �undretl tlollars (5500). , as owner ol the pmpe�y or my employees wi�h wages as Iheir sole compensa�ion, will do �he work, and ihe ❑ stmclure is no� mlendeA or offere0 for sale �Section 7044, Business and Pmlessional Cotle: The ConVac�ors' State License Law doe5 not aD�ly lo an awner o� a pmpetly who builtls ar improves ihereon, and who Ooes such woB himself/hersel� or thmugh his or her own employees, pmvided thal such impmvements are not intendea or oHered for sate. If, however ihe �uiltling or impmvemeni is soltl wilhin one year ot cample�ion, Ihe owner will have Ihe burtlen of pmving helshe Oid nol bui10 or imprave lor the purpose of sale�. I, a5 owner o� t�e pmperiy. am exclusively contrac�ing wilh licensea conirac�ors �o consiruc� �he prolec� (Seciion 70a4, Bu5ine55 ❑ antl Pmlessions Code: The Con�raclors' State License Law does no� aDPty Io an owner o� property wha �uiltls or impmves �hereon anA who conlrac�s for such pmlecis with a canVac�or(s�license pursuan� to I�e Contractors' S�a�e License Law�.l am aware �hat D�ooi ol Iheir Worker's Compensation insurance shoutd be pmvitled la me. � I am exemp� under Section'. B. 8 P. C. for Ihis reason: oaie�. owner: I do here�y [eriity lhal I am aware al and under5lan0lhe repuiremen�s o� Calilornia Healih anU Sale�y CoOe Sections 2550.5, 25533. antl 25534 and Ihat I or any fuWre bwlding occupan� will/will not (cirde one) neetl to comply wi�h saitl state cotles and the requirements �or a Oermil �or conslmciion or modificalion imm ��e Nir Ouality Management �isiric�. Resitlential cans�mc�ion applica�ians are exemp� �mm Ihese pmvisions. Dalc. Applicanl: I �ereby [erlily ihal I have reatl Ihis applica�ion antl sta�e Iha� Ihe a0ove intormalion is carteci. I agree ro compty wi�h all ci�y anU counly ordinances and s�aie laws relaling lo builtlmg constmc�ion antl hereby aWhorize representa�ives o� this ci�y to enier upon ihe above-mentioneU prOp¢r�y fOr m5pec�ion putpose5. Daie' ���-�j Signa�ure: ���� �river's License ar Sociai Securi�y a: 1641�46 Wbite-6uilaing', Green—Code Enlorcement: Canary—Appllcanl: Pmk—Revenue; Galtlenrotl—Assessor CITY OF COSTA MESA — BUILDING PERMIT FERM Nc�; H 062838 PERMIT NO; B 062838 PLAN CHECR NO; N GOVT; N �UPP; N ICONSTROCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE; OTH JOH DESCRIPTION : T/O FLAT,APPLY NEW ROCR630YR COMP O/WDSH SQ FT; 4,000 CLAIM VALUE; 4,000.00 CALC—VALUE; 4,U00,00 GROUP OCC; R-3 /M-1 COMMENTS: APPLY 30YR COMPO OVER EXISTING WOOD SHINGLES / NEW ROCK AT FLAT *� �r �r�r�r �*�e*�*�r�r*�r*�r�r�x �e**x *x *�x�� ***+t*�r�t �+t*** x��t+t�r**�r****x �r***x *�e* x *�******�r*� *** ZON ING REQUTREMENTS SMOKEDETEG��`OR 5 E T H A C K S pC Cn ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDIN6-��� r�-u FRN't: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LE:FT; FT IN RGHT; FT IN PARKING REQ • PROV; PARCEL; 13958126 ZNE; REF NO; PLANNING N�51'ES> � If �k 3E itiE if 3E lf �f iE 1E 3E iF �t it iF if iE if it iF iE if iE i! if iF iE iF if 7F iF ik IE iF iE 3E iE it ik iklF 3FiF 3E iF iE iF 1E ik iE ik iF iE iE%i!!F ff �t iE iF iE IE if �f if �F 3E�* !E iF if iF 3F %iE # if ll 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; � � HUILDING APPROVED BY ; DATE; APPLICATION ISSUED BY: DATE; �Q�3 O iEikikiEkititifitiEiEififiEiEitiEifiEiEikit i iEiEiFiEitll��l�ikifiE �e i(%if IflFifiF7kikiF!liE1EiE!!!k#lt1El!!F!f!ElfififiF�1E�1E�lElf!lif9EifikiE%iE1E�lEifif�lEifiF iEiFikiF � itiEik�lEiElFiEififM-iflkfklElFififiElFitlE'1f1FiE�lEifiElEif LEGALIZATION;N F E E S�7; M! M A R Y STRUCTURAL SEGMENT��L BLDG PMT PLUMHING ELECTRSC'�MECHANIC FIRE SMIP/�tES GRP.DING PERMIT 63.00 ' ,50.' , • SMIP/NON—RES PLAN - ISSUE FEE ' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 63.50 0.00 �•0.00 63,50 63,50 ,00 REVENUE DIVISION TO'I'ALS--> COLLECTED: ,. 63,50 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC'.r FIRE SMIP/TOT' GRADING PLAN—CHECK 63.00 ,50 �1F if !F 3E iE iF if fE k iF iElF 1E iE if if iE if 1f �lFif 1E iE iE if if !E iE iF 1f if IF ik if iE if 1F if iE-IF iF i�-lE if if 1E iF iE 1F if i(-if iE ik iE if 1F iE 1E IF iE iE 1E lE if it iFlF 3E iF iE iF # iF 3f iF iE iE if I N D I V I D U A L F�E E H R E A R D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SF'R 9000 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 4,000.00 END OF FEES '1 f % �i 01. 0014?084—OQ1420E5 T O T 63.54 DATE: 0?/�1/93 TIhfE: i`:27 j-.��� CONSTRUCTION RND PI.ANNING Pp��' �' `� APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � 3. Electrical Conduit Utility�Undrgmd. 54. Forms 4. Etectrical Conduit�Undrqrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' � 6. Electrical UFER Grnd. 57. APPROVAI TO COVER�GUNITE 7. Footings 58. Elec2rical ConduiaUndrgrnti. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Strucmral Ploor System 67. APPROVAL TO DECK ' it. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � 12. Sewer Cap 63. Heater & Vent-Finai � 13. Roof Drains 64. Plumbing System - Final 74, ftough Plumbing 65. Electrical�Final � 75. Rough Electrical-Conduiz 66. Solar System-Final � i6. Rough Electric Wirf�g 67. Fencing & Access ApP�oval i 17, ftough Wiring Sign 68. APPROVED FOR PLASTERING � J 18. Rou h Etectrical-T Bar Ceilin s 9 9 69. POOL/SPASYSTEMSFINAL 79. Rough Heating & Air Condiuoning FIRE DEPT. REQUIREMENT � 20. Rough Factory Firepiace . APPROVALS Permit $-` I 21. Ducts, in Structure 70. Underground Hydro � 22. Ducts, Ventilating � 71. product Piping CGas ❑Oii 23. Gas Pipe�Rough & Test � 72. Underground Flush � 24. Roof Framing ' ' 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing � 74. Overhead Hydro � 26. T�Bar Ceiling {Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAI. i i i ` 29. Insulation 78. FIRE PflEV. FINAL ' ! 30. Drywall Nailing � � HEALTH DEPT, REQUIREMENT I 37. Piaster 0rown Coat � i 79. FINAL INS?ECTION I 32. Electrical Power Meter-Final 'i I_ : 80. FOOD CERTIFICATE ISSUED � 33. Final EleCiric � I ' Notes: Q`� '� /O GU✓�G-fL..,_�O �O/� � 34. Pinal Heating & Air Conditioning � I, �,,� 7�1y� 1 35. Final Gas Pipe�Tsst � I i �Q p�k� dG�r[e, /�� �(�c3>e Snree�o�e � 36. Hood or Canopy ', Qg%. 7-/L-pf�j% 37. Final Factory Pireplace � �` � � ..r-.---J 38. Final Plumbing ' � 39. LVater Service-Final I � - 40. Gas Seroice�Fina� � 41. Solar pomestic-Final � i d2. Backflow Preventer ' ' . � 43. Backflow �rrigation 44. �andscapelrripation�System, 45. Sound Attenuation _-' --}- ! 46. Handicap Regulatioris , i � ��� _ �. 47. FtNAL STRUCTURE & �UfLDING ! � 48. F3NAL PLANNING; ', `•. 49. Electric Refease to Edisort� � ; . 50. Gas Release to Southern California Gas Co � 57. CERTIFICATE OF OCCUPANCY � -' �1� No. Date .