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Home My WebLink About3309 ALABAMA CIR - Building PermitsAop�icant to fill in all soaces exeept those within heavy borEer Iines ana si9n all appropriate tleelarations. �ITY OF COSTA MESA (�CONSTRUCTION PERMIT � Prolect Address `�-J L� �` \ Applicant'SMailif� ddress J�«i2 \��ab.� l�'�W rN �' Owner'sName ��'-�N�� t4 � Phone�b'�-�53�j Address �3� �� bP`"`��'�' Arch/Eng. License No. Address c J S n � � � �� Contracmr'sNam � • �� \'� PhoneS252�2�(�- Addresslmailing) �y�� R�V�1 �Ah7�fN-�� .`', City License Na. � 90� LICENSED CONTRACTOR DECLARATION 1 hereby affi�m tnat I am licensetl untler provisions o( Chdrter 9(commencing with section 7000) of Division 3 of the usinesy aTp Professlons Cotle, and my license is in f W force a, e(t `� License ass ' '�� Lic� Se No. ��2 Date �r%�� Sg t `ir��l�F\\QYA� WORKERS'COMPENSATION DECLARATIOS � hereby affirm that I M1ave a certifitd[e of con5ent to Selt-in5ure o� a cerfificate Workers' Compensation Insurance, or a certifietl copy thereof (Section '�Q Lab. C.) licy No. ' Company eCerlifietl mpy is hereby fumishetl. Ce/tifietl copy i5 filetl with the ci[y Builtlinq Divisian. Date AOP��cant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neeC nat be completetl if the permit is for one huntlretl (5100) or less). 1 ce�tify that in tite pe�to�mance of the wo�k to� hich thI pe�m�t is is uP�tl, I snall not employ any person in any r s to ec me subject �, the Workers' pPJ�p �y� on Laws Of CalifOr '� � . Oale ��L�,1�Si9nature 1i`o NOTICE: t9, diter making this tlecla�a[ion, you snou tl bec subject to the Workers' Compensation provisions of tbe Labor Cotle; you ust fortttwitn comply with such p�ovisions o� thi5 permit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereGy affirm that tbere is a mnsbuttion lentlin9 agenty for the performance of [he wark tor which this p¢rmit is issuetl (Section 309] Civ. CJ Lentle�'S Name Lentler's Atltlress � OWNER BUILOER OECIARATION 1 hereby affirm that 1 am exempt from the Contractor'S LlcenSe �Law Sor the tollowing �ea50n ($ection ]031.5 Buslness antl Professional Cotle: Any city or county wM1ich requires�a permit to construct, alter, imOrove, demolish or repalr any structure, prior to its' issuance, also requires the applicant for such permit to file a siqn¢tl statement that he/she is licensetl pur5uant to the provisions ot the Contractor's License Liw (Chapter 9(commencin9 with Section ]000) of Division 3 of [ne 8usiness antl Protessions Cotle) or [hat he/she is exemp[ ='iherefrom antl the basis fo� the allegetl exemption. Any vlolation of Section i��:131.5 by any applicant tor a pe�mit subjects the appliCant to a civil �^'nalry of not more than five huntlretl tlollars ($500). ��.� I, as owner o( the property o� my employee5 witM1 wages as their sole ' mmpensation, will tlo the work, antl the structure is not intentletl or otferetl for sale (Section 7044, Business antl Professional Cotle: The Contractor'z License Law tloes not apply to an owner ot a property who builtls or improves thereon, antl wM10 tloes such work M1imselt/herself or tbrou9h his o� he� own ¢(nplOy¢¢5� p�ovitletl lhat such imp�ov¢rtl¢n[s'a�e not intentletl o� oiferetl fOr sale. If, however, tM1e buil0ing or improvement is soltl within one year ot mm- Oletion, the owne� will have the burtlen ot provinq ne/she tlitl not builtl or im- p�ove torthe purpose ofsale). ❑ I, as owner of the property, am exclusively mn[ratting with licensetl mn- tractors t6 construct the project (Sec[ion 7044, Business antl Protessions Cotle: The Contractor's License law does not applY to an owner of prope�ry who Guilds or improves tM1ereon, antl who contracts for such p�ojects�with a con- tractor(51 bcense pu�suant to the Contracto�'S License Law). I am aware [hat proof of Ih¢ir Worker's Compensatlon insu�ance Shoultl be prOvitletl to me. ' L7 bam exempt untler Section B. & P. C. for this reason Oate owner I hereby certity that I have rey[� this application antl state that the above into�mation is cQrrecL 1 apree S4 [omply with �I city antl county o�tlinanc25 antl state IawYelatina ta/buiYtlina constructio antl herebv authorize reore- inspection pL s- Signature DriverY License or 5! `CMF 0865-46, rev. 10/86 # TYPE OF CONSTRUCTION LJ NEW L1 ADD LI l�TER�TION U REPAIR ❑ CONVERSION ❑ DEMOLISH � OTHER �—�� p.p.# DESCRIPTION OF WORK/USE OF BLDG. � . , S Main Buildin9: E TVPE OF PERMIT GRADING FOUNDATION STRVCTURAL T FfOnt ❑ TENANT ❑ ECTRIC` L� O PLUMBING ❑ MECHAfJICAL A Rear � OTHER � PROJECT DESCRIPTION SQ. FT. � oCCUPANCv i C Right COfJSTRUCTIONTYPE �-V--r�� VALUATION$ �.��0 S Left ZONE GRADING CU. YDS. ACRES � Ping. RBf. # Remarks: �i �n�s �Y,•G L:.snr� t�.-w \i n.nn% L\nr�. � Planning Notes: �40 �o�.t�, �2i � Bar Sink Backflow Preventer Backflow Irrigation � Drinking Fountains Floor Orains Floor Sinks Gas Service Outlets Interceptors � Kitchen Sink Lavatories P-Trap Roof Dreins Reinspec[ion Fee � $15 Boiler Duct - Under Ground Duct - Structural Duct-Ventilating � ExhaustSystem ❑ Multiple�❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 BT Reinspeaion Fee � $15 White - Builtlin9; Canary - Applicant; Pink - Accounting; Goltlenrotl - A55¢550� Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service A USO-W d5M1 Laundry Treys Isue Fee Hood or Typel ❑ Canopy .Type I I ❑ Automatic Washer � ' Construction Pole Suh. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A,U. Fixtures Device Boxes Outlets ' Switches Gar6age Disposal . Generator �0-5 KW �5�� Refrigeration Sys[em ❑aioo,000eru ❑ioo,000 System Repair/Alteration Fire Oampers Registers ' � . $ 3 FE luue fee � $ 3 Fee 6502 10/31/B6 Zone Accessory Building: Parking Req./Provided � ELECTRICAL �Transformer ❑'15-50KW ❑ 50+KW Meter ❑up [0 100 amps ' Meter ❑over100amps Sub Panel Motors OO-1 HP �1'/: - B . Inc.Solar 09-15 HP 076-15 Microwave Pale Light Range Standing Sections 5 KW Tresh Compactor $15 Issue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning APProvetl By Building Approved By +� BUILDING PERMITS $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ 15.50 TL Z . O N I N G R E Q � M T S FEES $ 3 ES c SMIP $ ' v�' PERMIT ISSUANCE $ ENEPGV P.C. $ 4 GRADING $ MICROFILM $ -- TOTALFEE $ � CONSTRUCTION AND PLANNING APPROVALS Permit# 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utility�Undrgrnd. 4. Electrical Conduit�Undrgrnd. 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical-T 8ar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure � 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric 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 Irripation 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. CERTIFICATEOFOCCUPANCY No. Date _ Date POO L & SPA Inspector qppROVALS Permit# 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Final 67. Fencing & Acce55 Approval 68. APPROVED FOR PLASTERING � 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. ProductPipingOGas ❑Oil 72. Underground Flush � 73. Undergrnd.Storage Tank O Gas ❑ Oil 74. Overhead Hydro � � 75. Dry Chemical 76. DrY Standpipe . � 77. FIXED SYSTEM FINAC 78. FIRE PREV. FINAL � HEALTH DEPT.�REQUIREMENT 79. FINAL INSPECTION , , 80. FOOD CERTIFICATE ISSUED Notes: Date Ilnspector r\ i R O� COVERING CERTIF*ATION � �' Permit No. �� Z? i7� �� (:' , Property address � �� avw�J> Owner �� `�� Contractor � , ,. State Contractor License Number �"� ��' �� Classification C� 5� I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance wiih Chapter 32, and Section 1704 of the 1979 Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property.'�Owner-Builder permittee only). O I further certify that I am: �7 Owner of sole proprietorship company ' ❑ Full partner of the company ❑ Limited partner of the company , ❑ Officer of the corporation � I c`ertify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Company or Corporate �I ��-� � «„�r,., Law��r�.�" l . r naa.ess C , , V � �� l�; `�,�r ��r�rr `� �, .��w �o l3i l � G Received by BuilBing DivisioNby: - s9nature r�- v -� / oate � J�j� ^�` ✓. 1 ��` /O/�( /�F-� 1 � t��i �c �� i`.rc �l �� , l �c, uJ ��itial /, Oat�e_. Printetl or TYVetl Name � ` F'� c�,-� C2�.-'( N-�;'� �-� �'' �rs,� ' ' c.a1Q'� SOdce for Nota�ial Siatement for authorizeG o/ficer or agent » CMF 0990-46 Wtlite - Builtlin9 Div.; Canary - Cont�actor, Pink - Owne� / '_ _ —� � Rl. �F COVERING CERTIF�ATION � � � �,-�q Property address .� -� Owner � �� ` ' � � � �, �.. � Contractor � ' ti' � -� � � �2�Jy� Permit No. r•�� F.�.M�l �C�� \ �. ,- J:.� - V '� -�t.'� i �N�. State Contractor License Number �"�''—�� Classification � ` � � . I hereby certify that I have installed, or caused to1be installed, a minimum Class C roof covering at the above address in conformartce with Chapter 32, and Section f 704 of the 1979 Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ;, Q I further certify that I am the owner of the p�operty. (Owner-Builder permittee only). � I further certify that I am: � Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company ❑ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successor's or assigns of the company or corporation. - 4, _ I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. • Received by Building Division by: ! .1r ;, l /0�..,;� `; � C �nftiai / oate / •�- / (` � �1�,_� � �� `, � ^ n ��i .� Company or Corporate Name �l� ALV � �� -� \� v � � ` t �.l 1 1w F \ r � , �i- 1 AtlUress � �. c C� � � 1'! _ ' r . `r� ' i .�" / ' �'' � � Signature f , �� ,- Printetl or T 1 ' ' l�,, -s ; „� �_ . �� t' YG� 1Yame '�. � r Spaw Por Notarfal StatemGnt for authorfzetl officar or agent �� . /. ' � �i J r" • � � CMF0990-46 White-BuiltlingDiv.:Canary-ConVactor;Pink-Owner � e J ' s_l Z . a U Z Z Q O v~i am J7 J � ¢w (I] J J m Q U N Z a w� aW WZ J Q m Z J � W W � _ Z � W � �O H z a U J a a Q � H N z 0 F U � � N N Z B-`'R � 30106 COS7A MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDI ADDRE OWNER MAIL TEL. CITV Santa Ana No. �F7-]0 CANSTRU��N LENDER United States r�8'tlOT]$�. BflT1�C BRANCH 190 Broadway Avenue nooaEss San Diego, California nRCHITECT __ _ . TEL. i._._ _, ADDflESS 2712 E. Coast Hwv. Corona D CONTRPCTOR QWne2. AD�FESS TEL. CITV NO. STATE CIT V UC. NO. �LSZr�O LIQ NO. SIZE C� rNOW ON LOT� OF LOT LOO X�v I USE OF EXISi1NG BLDG. NEWBLDG. 17 O 9• EtROOMS J STORIE: EXTERIOP W�+LL ROOF 024170 O COVERING StUCCO COVERING WOO USE OF BUILDING AND WORK TO eE PERFORMED I hereby acknowledge that I have read ffiis application antl stare that the �bove intormation is correct and agree to wmpty with all laws regulating builtling consttuction, antl I shell not employ any perso� in violation of the workman's compensation laws ot ffie State of Calitornia. 1 hereby Gertify ffiat I am prope�ly licensetl as a contractor untle� the State of California Business and Professions Code, Divisicn 3, Chaptar 9, antl that such licenses are in full force antl etfect, or 1 am exempt from the provisions of the State ot California Business and Professions Cod�e�, Divisio 3 � pter 9. Signatura o* �f Permlttee ��C9 Authorizetl Agent PAID i�PR2�t-b�c�5;;��1300� *�*137.25 APPLICATION FOR BUILDING PERMIT RECEI D• Y TE RECEIVED DATE ISSUED -aa�-� �-�,�_ PERMlT��Q A.P. NO. �— JU I V BUILDING ADORESS.� � Q w � TRAC� � 4 � LOT � BLOCK w noo A P OWNER Q VALUE s 0. S � �— FIRE ZONE �� TVPE GROUP��'� APPROVED BV DATE 20 NO.OF USE OF NE PL4N5`j/ BUIL�ING � VARDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV BUILDING (FROMC/LST ET) FRONT FT. FT. e �,..� U �_ ._ �ISTANCE BET MAIN BLOGS. VAR.# �/ . HOLD FOR THE AMO THE PURP� VALUATION $0?�;,3�a BET. MAIN & ACCESS. BLD(35. DATE APPROVED �—�'�1— J j� _— m FT. O i SHOWN VNDEF VA�UATION IS FOR j OF ESTABLISHING �+ PERMIT FEE ONLY: v tt � O m PERMIT FEE $ � ] � Q m �_ PLAN CHECK 5 • .�J E `a /9M nr LL OWNER �gMES DEVELOPMI JOB ADDRE55 3309 Alabai GENERAL CONTRACTOR p�i AP No. LOT 2' INSPECTIONS SOIL GAS WATER Z]�� / ROUGN PLUMBIN PROP. SWR. LINE � HOUSE CON. SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONOITIONING UNDERGROUND U POWER U ROUGH WIFING TRENCHES FORMS � STEEL REINF. FLOOR SVSTEM � BONO BEAM � STEEL REINFORCE � SHEATHING FftAME ANO FLASHING LATHING - IN OUT � PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FI 'L PLtIMBING, FINAL ANO GAS TEST [� ELECTRIC, FINAL BUILDING, FINAL SPEQFL REpUIREMENTS �� DATE )UP I & J TYPE SUBCONTRACTOR Pl��...hi�� _ 5-1-69 PERMIT N0. � ADDAESS OF BUILOVIO: j,j O y ALAB AMA C I uxr: arxursw.�iFa�arm: MILLER, RUGER D • FLOOD; AE-37 . _. �woness 3309 ALABAM.� CIR , CUSTA MESA,CA 92626 K �vri. Ymuwo aooxEss: 111CNRECT OR ENtlNFFN: iRCX.OP FNG.'S �DDPE55: uc w.: urrt: COMpACTdlSW11�: ACTION FIRST ROOFING SERV ( 714 ) 842-912'L CQRXACTOASYYIINfi 7972 SLATER AV wo�ss: HUNTINGTING BEACH CA ucxo.: 688649 92647 uxr: LICEN9ED GOMflRCfOAS DECIAHRTION: I MreEy eflim uMx parely W peejury thm I am licenmd uMx ywuinu d Cheqx 9 (mmmenanp wilh ion ]000) d Division 3 d �he Bueinea end Pmfeaaione Code, eM my licenae ie in full brce eM eflep. c r,o.:0�93�2 uc.cuss: C—j9 uc.No.: 68R649 FVo: OS/97 <: comrea«: � N B DEF CLAAATION: I Mreby eifirm under penely d ry ihm I em ure i 1 n tM Comretlon Lioensa Lew far Rn Ibwiip awn ion ]031.5 Busi�ase and Prolaeeiam Coda: Airy c1Y a coun�y wh' � irea e perme to canstuY. eNm, imprwe, �lemdo , or re any eVueluro, pria to aa cauenea, ebo reyuim tM eppliunt /a a emn to Rb a egmd nmeironl tlw M or sM �9 �ice� W�� lo IM qarieionf d Ihe Conlredma Licenee Lew �Cheqx 8(cammarci�q xilh Satlqn 9000� d O�+vion 3 d IM BYAfIB89 B(id PI0�898U119 C�B� O! IhBI �IB 0! 9�1B 19 BRBTpI ��MlB�1CT BIIQ �hB �`89K �Of tl18 B��ld BXBIIIPII011. All)' VO�B�OfI O� $Bf1011 )03�.5 W anY aDd�t Iw e parmil wbjetla �M epplirant ta a wil peiulry d nal mors �hen iWe huMrad ddlen 11500�. � I, m ownm M Ihe propeny or my empbyeee vnh wegea ea thei ede cwnpenaetion, will Eo IM work, eM �M ebucNm a ml in�ended or oRered la sele (�� ]OOC. Bwi�wsa eM Proles4ans Code: TM Comreewa lireree lew doae nd eppyto an oxnerd qoparry who W Ws a mOro+es iMreon. md Mo does audi xwk NmmH «henel a NrwOh he a har own emVbieee. V�+b� ihm wch impovemmk ere not imentled a dfereE lor aela. X, howevar, tha buiNi�p «'vnqwemmt ie aoM xi�hin ms year d mmWMnn, �hs owrrerbuiMx will heve iM WNen d povin0 he w eha did mt WiW or imprare la IM Wrposa ol eeb). ❑ I. m owner M �M propMy. am udusrvely oonireGiq wilh IimnaeA convactwa �o cmave tM pqw (�� . �ireea ard Proleasme Cotla: Tha Contraqan Licenae lew Eaes ml eppty lo en owner at popeM �o buitle « Impruvn thraon ard who conlrecn far arh prol�s �h a mniredor(a) lcanaed W��I lo �he Cont�adae Liceme Lew). ❑ 1 em ezemq uMor Sxtion: B. 8 P.C., br ihie raeson: o�a: om,.,: i eo nereny �n�ry u� i� ew�a a�e ��ae��d ma �cu�remams d ceiaomm �nn �e smey cma s<a� zsws, zssaa. �a 2553G. vM tl� I a eiry /Nure buiNiip arvpanl will / wll �at (�b aro) need to cwnply wih eeN mms mds enE �M reyui�ammn br eDe�millamnl�uc�ionamod'RretionhaniMRi�iuC—R�y erepemen�Dimriq.ReridaMielwnet�uqioneVV��iamereusmqhanNm provisione. WONKEfl'S COMPENSRTION DECLANATION: I Mreby etfirtn under par�aM1y d pe�jury are d tM b0owi�p datlumime: ❑ I heve aM wil meinien e cenilkme d oonw�� o eaXyreun br xakae' compamelion, m po+ided la by Seaiar� 3]00 d iM Lebor �yy //////��ode. iw iM pe�amarwe oi IM v.ork br wMch this pe�mn ie ivued. �heve eM wil meinlan waMen' oomDe�utun ma�ar�m. n�eVu'ved M Sedion 9)00 W Ns Lebor Code.lar ihe Oe�a�e d iM work la xfiirh tM1ie perm� n ivueE. MY wakers mmpanulbn imurenca rarrix vd poliry number ere: ce„�a,: NAT' UNION FIkE EXPIRES PafryNumber, vuvv�av.? 09/O1/97 (Th�s secnon need rrot 6a compbte!! rM pelmd ia lor one h�ndre0 ddlera (S�00/ w bsaJ ❑ I eanh � in IM pMwm w d tla work tor whch thu pnmu e esuad. I dWl m� emplq eery pa�son m vry mwrr n m io Eacome aubl� �� en �Ga�� lews ol Celifomie, eM eprae ihet R 1 e1rouM bacoms wbjetl b Ihe xvrkeis' compe tion aion 9)00 M Ihe lebor Code. I shell 1 hwith mp�y 'Ih IMu iwiaio a: �ow��: e �p: F/ un ro�eq ro wollrsri rompslwtlon covsrap� la Mul, anG • rbNct emplorw ro cNMrel pwMaW flrMi.to ro wro M�n0�s0 thoweM aoll�n (S10qOWA M Itlon b fM t o/ ro Non, damspu �s pvvWM br In SxXon']ob ol Me� e6or Cotle, /nbrs�t, end ettomsya lasa. CONSTIi11C710N LENDING AOENCY: I heeeby etFrtn under pereM1y d thet �hse u a aaMrunon bMi�q egezy M Ms �IBf�OfTB�tB O� IhB WOI�( /IX M�1IC�I ��16 �IBITI 19 BBIIBd ($BL�pll'�1�%, CiN. C.�. LENDEH'S NNIE: LRlUER'S ADORE53: I ttrlily ihel I hew read ihn epplicetim aM Aeb Ihet Ne ebove inlmnetbn b ca�w. I prea io compy wil� M ary end camry adinenue eM ste�e lexe nW na to build�q cwuwabn erd h«eM euihor¢. repeeametivm d Ihu ceY �o enter uVon �he above-m�pioned V�M ��`��'P��°°v�`°°�9 ROBARTk S'CENTZ � / ome: (5t51d6.WP) W�pe-Buildiiqf'Sy�ify;Oraeo—Fle;Cenery-ApP�iranqFnk-Revenue; v Z��— CITY OF COSTA NESA — BUILDING PERMIT PERMIT NO; B 083676 PLAN CHECK NO: N PERM NO: B 083676 GOVT: N SUPP: N CUNS'TRLCTION TYF+E: PERMIT TYPE: STR PURPOSE; OTH JOB DESCRIPTION : T/OOF RESHAETH S REROOF W/COMP. SQ FT: 2,900 CLAIM VALUE: 2,9U�.00 CALC—VALUE; 2,90U,00 GROUP OCC: R—' / COMMENTS: REROOF RESIDENCc. *�tar*�t***+��r�-******�t�t*i��t*#*x� +�-�#*�trt�*-�*i��fi�-�i��t*-��t-�it�t*-�t�t�f*-�**-x�-x��l�+t**��-*-x�it-x-*#*-�-*-�c�#�t* Z O N N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING --- --- --------- 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 REQ: PROV: PARCEL: 13958129 ZNE: REF NO; PLANNING NOTES> J%� **'x'�"�t'��'�t**'x'�x'�x'F**�'*'�ae****�'x�x'*��*+�**x'�**�"x****'�*'x*ie**ie*ie�x-'�t'��t*�r�*�t'�t�*ie#9c�***a¢'�'�!'ar�c'* 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 5 ZONING APPROVEp BY DATE: � BUILDING APPROVED HY : DATE: AFPLICATION LS'SUED BY; /'�` DATE: �c***�t�t********i��tit***�t*iF�iF��F��FiF�FiFiFi��F�F�f3F�FiF�iF3F#�F�'p r iF�FF'E+ iFiF*�-�E�t****�c3s . :�";ijr* LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELErTRrr MECHANIC FIRE SMIrikE$ GRADING PEkMIT 79.75 .50 SMIP/NON—RES PLAPd ISSUE FEE BOILDING—DIV—> PERMIT ISSUE YLAN—CHECK TOTAL PAID DUE TOTALS----> 75.25 0.00 O.OU 75.'l5 75.'25 .00 REVENUE DZVISION TOTALS--> COLLECTED: 75.25 OVER/SAORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 79.75 .SU �If 3k jf �1k ih ih iF iE iE i: jf iE if if if dE it iF')f if �1E iE if if ff �lE iE iF-1f �k �1F if i4 dF #�1f iE iE jhlE iG'Jf'Jf if -1E jE iE df iE it iE iE �1F if i(� #�3F jE 3f ?E 3E iE'7f fE if 3E iE # 3E iE iE �1E jf jE if 3F iE iE 1E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY P E S C R I P T I O N UNIT COST '1'OTAL COST SFk 2900 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 '2,400.00 END OF FEES I' ' � �' �� _ . L 0 9199i � f��tv oF cosra M�sA 'CONSTRUCTION AND PLANNINC,N �� SPA �� j Date Inspector � Date Inspector APPROVAIS Permit # _ APPRQVALS Permit # i. T'emporary Electricai Service or �Pole 52. Pool & Equipment Location � 2. ;oi! Pipe•Undrgrnd. . 53. Steel Reinforcement 1 3. Electrica� Conduit Utility-Undrgrnd. 54. Forms ' 4. Electricai Conduit-Undrgrnd. 55. Electrical Bonding � 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test � 6. Electrital UFER Grnd. 57. APPROVAI TO COVER�GUNITE r, Z Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, i7 Undrgrnd. 10. Structural Floo� System � 67. APPROVAL TO DECK i t. Prope�tY Sewer Line & 4ouse Connection 62. Backwash & Receptor-Final 12. Sewer Cap '' 63. Heater & Vent-Final ' 13. Roof Draine . � 64. Plum6ing System - F�nal 14. Rough Piumbing � 65. Electrica6Final 15. Fough Etectrical-Conduit 66. Solar SYstem�Final 16. Rough Electric Wiring 67. Fencing & Access Approval � 17. flough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Fough Electrical-T Bar Ceiling - 69. POOLlSPA SYSTEMS FINAL � 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permii # 21. Ducts,i� Structure 70. Underground Hydro 22. Ducts, Ventitating 77. Product Piping � Gas ❑ Oil � 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roaf Sheaihing �B_y'7 74. Overhead Hydro 26. T-Bar Ce,ling (StrUcturai� & Monocoat 75. Dry Chemicai 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. DrYwali Nailing NEALTH DEPT. RE4UIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32 Electriwl Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Flnal Efectric Notes: 34. Final Heating & Air Condidoning 35. Final Gas Pipe•Test 36. Hood o� Canopy � 37. Final Factory Fireplace 38. Finai Plumbing /� 39. Water Service-Final 40. Gas Service-Final 47. Solar pomestic•Final 42. BackfloW Preventer 43. Backfiolv Irrigation 44. Landscape Irrigation System fh_ � -� '_' 45. Sound Atienuation � - 46. Handic2p Regulations � �' - 47, FINAL STRUCTURE & BUILDING 7/y�(� � `' 48. FINA�PLANNING _ ' 49. Electric Release to Edison _ "� `- ' ` 50. Gas Felease to Southem California Gas Co „. 51. CERTIFICATE OF OCCUPANCY ' No. Date Property Address Owner Contractor CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION 33v �j State Contractor License Number � j+- Permit No. � � Classification I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conforma�ce with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner-Builder permittee only). � I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company � Officer of the corporation I certify that as an auihorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division ey: Ini al '`— Date ��' 0990��6 WnneB��laing Dn: Canary-Gommcmr. 7ink-0wner L . �--�.� Prin�ed or typetl name 7 CITY OF COSTA D1FSA REQUEST FOR OCCUPANCY TRACT NO , � o � � LOT N0. �� ADDRESS�� y IqYJqn�q L' jrc �P ��l�'/. DATE��%O The developer of the above entitled tract desires to sell the above set foxth 1ot prior to the time that the tract has been completed and its streets accepted by the City o£ Costa Mesa , The undersianed, by executing this aareement, acknowledges that (1��s�e-they) (�r were) advised that this tract has not been given final inspection nor has it been accepted by the City ot- Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map o�as approved. The city assumes no liability for the enforcement of the conditions necessary foz approval other than those conditions protected by s urety bond, The undersigned agrees to indemnify and hold the city harmless from any claim resultir.g in ��r.:age or pessonal injury.tc the undersigned by reason of the aforementioned�yancompleted condition. � �� . �L � � l � �_ � .�� Developer ancY/o1�-�uthorized representati�ve �ender