HomeMy WebLinkAbout3119 BERMUDA DR - Building PermitsPERMIT TYPE
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CIT4 OF COSTA MESA
B!/ILDING DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 �(714) 754-5273 • Fax (714) 754-4856 •�wiw.ci.costa-mesa.ca.us
JOB ADDRESS:
Vicinity:
SQ. FT: 0
B_ROOF
3119 BERMUDA
�v:
SCOPE OF WORK: TEAR
FOR INSPECTIONS CALL: (N4) 754•5626 �� �
PERMIT NUMBERI' B07-00832
STATUS:
_ .DATE ISSUED:
< `v=� _ `�.'ISSUED BY:
'" .i t,':, � .;r s:: _
t CM � : �Swte/Unrt "�
- =�,-Const-Type ',°�,�'
�, ' " Valuation
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.-.�:� ` ��,:�_ - -
�INSTALL 2 LAYERS OF 15# FELT, 3:12 �PITQH
ISSUED
07/06/2007
� ��
REPAIR/REPLACE SHEATHIM1y,p�o �.�����: u� a�t�r,nw ++�;;;._ _
INCLUDES ATTACHED GARAGE . =!'� ' �r'' '" ��'i';
OWNER:
PHONE:
APPLICANT:
PHO,NE:
SHINGLES AND
.�.
:.. i
_ rli t =� F g ..:. ,' , ,. _. ,_ .
HUNT, SCOTT J` � -� r F Address "' 3119 BERMUDA DR Unit �� � , �
=�.,' City/StateZp . COSTAMESA;�CA' k , „
SUDDUTH'CONSTRUCTION�INC : �"'�� Address: DBAGUARDIAMROOFS_ UnitSANTAANA,CA
714-770-7968 _ - 6ity/State/zZip.,, � � ,1651 E 4TH�ST; �• � -- � �
_ - "� .
CONTRACTOR: SUDDUTH CONSTRU6TION��INC '-� "' ` - -�-� - -��License,No. :-.847279;"- ' � "
Address: � DBAGUARDIANROOFSUnit���SANTAANA,•CA _ PHONE: -�714-770-7968 �'
: ,_ .:, - ' �<�— ; � ,
City/State: 1651 E4THST �_.'?�`; ��ZipCode 92701 ���-:� ' � -�.�- . ,,.,. CELLi� ,-. �'" ��
ARCHITECT: License No. _ _ PHONE � �r
ENGINEER: �..�� LicenseNo �PHONE:'
. ' k -.; (�;;,� .
, �. i
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• �M1� -;' <
FEE SUMMARY ry ' � `_ � ,;,-, . . .� 4' , , '
Reroof Plan Check: - `` ,�$0.00 ;,' ` . .. � 7 '�
Reroof Permit Fee: . $223 25_`°� �'r ' •�_, -- r ��;. '��%�"� �
ReinspeclionFee: $000� �;, _ `'� � ,'�� �
TOTAL FEES � $223.25 . ,.. ,.. .
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia slatutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) � ,
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the expiration of this permit.
CODE . INSPECPONTYPE
1616 Fixed System Final FirePreJention
1266 Pool Spa Final � �
200 Final Re-Roof �
207 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign �
204 Final Demolition ,.
p� ixnna
L3 '7
cooer ixsv�cnoxrve
'206 Final Mechanical
208
210
212
220
222
250
Final Plumbing
Final Elecincal
Final Fire Prevention �
Final Planning Approval
Final Site
Final Building/Occupancy
o�h iNnnn�s
r -
WORKERS' COMPENSATION DECLARATION:
I hereby aKrtn under Denalty of perjury one of the �_ ..�ng tleclarations: "
❑ I have and will maintain a certifcate of consent ro self-lnsure for vroikers' ��
compensation, as provided for by section 3700 of Ihe Labor Code, for Ihe
p�er%fo ance of ihe work for which this permit is issued. �- �
p�,,j"–I,have and will maintain workers' compensation insurance, as required by
`5ection 3700 0( the Labor Code, (or the perfortnance of [he wvrk for which this
permit is issued� workers' compensation Insurance carrier and policy
numberare: ,,i,.TG_� ���,
Garrier. ��1 � fi
�(IDissecfionneetlrrolbecom1p eteO2�Ihepeimdavalueda�f/o9� nuneredeollars(SfOo)aless)
Policy Number: U� J GlZSI �DO
�..__ _... -
❑ I certify that in the peAormance of lhe work for which this permit is
issued, I shall no1 employ any person in any manner so as to become subject
to the workers' co pensation laws of California, and agree that if I should
become subject,t the workers' compensalion provisions of Section 3700 of
ihe Labor Cod � shall !o w h comply with [hese pmvisions.
i
t' npplicam's Signature ate HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
:--_ — —
WARNING FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE �� Will ihe applicant or present or future builtling occupant need to fle and
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response lo release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS �elease of a hazardous matenal? ❑ Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia Health antl Safery Code requires, with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be fled with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will [he applicanl or present or fu[ure building occupant need [o (le
a regis[ration form for aw[ely hazardous matenals? ❑ Yes ❑ No
(Section 25533 of the Califomia Healih and Safely Code, with some
exceptions, requires regisiration with [he Cosla Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazardous materials equal to or gieater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre antl pressure).
3. DOes or will Ihe applicanl or present or future building occupant need lo
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous ma[erials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safery Code provides that the
Costa Mesa Fire Depanment may require the preparetion, certifcation and
filing vn[h the Fire Department of an RMPP by businesses which are required
lo register acutely hazardous matenals with the Fire Departmen[.
4. If an RMPP is presently required, has Section 25534 0( lhe Califomia
Heal[h and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will Ihe applicant or present or future building occupant require for
the work which is the subject of this application a permit for such con5truclion
Or modifGation (rom Ihe South Coast Air Quality Management OisMct or (rom
any other air polWtion ton[ml district or agency4 ❑ Ye5 ❑ No
(Sectbn 658502 of Ihe Cali(omia Govemment Cotle requires [hat the requestetl
infortna[ion be fumished on applications for non-residenlial builtling pertnits).
6. Will any part o( the facility to be consiructetl under this permil be within
1000 teet from the outer boundaries of a school? ❑ Yes ❑ No
Qf "yes", the facility must meet Ihe requirement of Sections 25534 and 42303
o( the Califomia Health and Safety Cotle).
7. If a permit from Ihe SouM Coast Air �uality Management DisMct or other
air pollution control district or agency is required for the vrork which is the
subject of this application, have all of the disclosures prescribed by Califomia
Heallh and Safety Code Section 42303 been made? ❑ Yes ❑ No
.-8. Qf "yes", attach certifcate of compliance from the appropriate air pollution'
conirol offcer). , . , �
•� CERTIFICATE-0F COMPLIANCE: I certity that under penalty of perjury the
information given above is correcL I agree lo comply with all state laws and
' city ordinances regariling Hazardous Materials and Emissions. � �'
Owner� verifed by drivi ise. ❑ Yes ❑ No
�Driver's License No. Expires:
Venfication of Ownership by (rype of tlocument, i.e. - property tax bill or tleed�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � -
❑ I hereby certify that no excavation Me (5) or more feet in depth inlo which a
person is required to descentl, will be made in connection vrim vrork autFwrized
by this pertnit, and that no building slructure, scaffdding, falsework, a demolition
or dismantling thereof, will be more ihan lhirty-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Ttle 8, Califomia Administ2tive Cotle).
❑ As owner-builtler, I will not employ anyone [o do work which vroultl
require a permit from the Division ot Industrial Satety, as noted above, unless
such person has a permit �o do such work from Ihe division.
Apphcanl's SignaWre
Division of Industrial Safely Permit Number: _
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm Iha[ I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Pro(essions Code, antl
my license is in full force antl effect.
� Lic..#– �� Class#
ctor' Si Wre a1e
�_--�_ ._._ �_��._
CONSTRUCTION LENDING AGENCV:
❑ I hereby affrm thal there is a constructbn lending agency for ihe
peAormance of the v.ork fa v.fiich this pertni[ is issued (Sea 3097, Gvil Code).
Lender's Name:
Lender's Address:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that untler penalry of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5,
Business and Protessions Code: Any ciry or counry which requires a permit to
constmct, alter, improve, demolish, or repair any structure, D�or to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant to the provisions o( the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business and Professions Code) or ihat he or she is exempt lherefrom and
the basis for the alleged exemption. Any violalion of Sec[ion 7037.5 by any
applicant for a permit subjects the applicant to a civil penalty of nol more than
five huntlretl dollars ($500).):
� I, as ovmer of the property, or my employees with vrages as their sole
compensation, WILL DO THE WORK, and the structure is not inlended or
offered for sale (Sec. 7044, Business antl Professions Code: The Contractors
License law does not apply to an owner of property who builds or improves
ihereon, and who does such work himself or herself or through his or her ovm
employees, provided ihat such improvemenls are�not intended or oRered tor
sale. I(, however, ihe building or improvement is sold within one year o(
completion, the owner-builder will have the burden of proving that he or she�
did not build or improve for purpose of sale.). �
❑ I,.as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professbns Code: The contractors License Law dces.not appty�to an owner of
property who builds or improves thereon, and who con[racls (or such project with
a contrector(s) license pursuant to the Contractors License�Lavrs.). '
❑ I am exempt under sec.
Business and Professions Code for Ihis reason:
SignaWre Date'
305]-a6�J107)
. SignaWre Dale
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read this application and state that
Ihe information given is correct I agree fo comply with all state laws and city
ordinances relating lo building construction, and authorize representatives of
the City �of Cos[a Mesa to enter upon [he above-descnbed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by Ihis permit until fnal inspection. .
Si Wr ( galOvm ) oate
� tl� ��onzetl Appl¢am. _ Da e
i• __,
' . , Aoo��cant to fill in al1 spaces exeeo< thase within heavy OorGer Ilnes ana sign alt avDroDriate tleclarations.
,�CITV OF COSTA MESA ' PEF}MIT NO . TRACT NO. LOT NO. . BlD . .
fi CO,NSTRUCTION PERMIT ' �e�e • "
Project Address TVPE OF CDNSTRUCTION NEW ADD , ALTERATION
Applicant's MailingAddress�. � S�'�' / .❑ CONVERSION ❑ DEMOLISH � OTHER
Owner i Name �ELL ./¢. ' Phon��—�%q�o DE PTION OF WOR
Address � s��%�'+C f - � •
TVPE OF PE IT GRADING FOUNDATION STR CTU
Arch/Eng. LiCense No. �❑ TENANT ❑ ELECTRICAL LUM6ING ❑ MECHANICAL
Addresi ❑ �OTHER �
Contracror's Nam ' G /�� hone� PROJECT DESCHIPTION Stp. FT. � OCCUaArvcV
�I.(-70,y�y�� �� r'�f}�(/7p/�I ' CONSTRUCTIONTVPE � VALUATION$_
Address,lmailingl —�/ . �
� ��,� � ' � ZONE GRA�INGCU.V�S. ACRES_
City License No.
LICENSED CONTRACTOR OECLARATION � Remarks: � " �
I hereby aftirm that' I am licensea untler provislons oi�Charter 9(commencing
with section 7000) of Divislon,3 of the Business antl Professions Cotle, antl , ' � � ' •
my license is in full (o e antl e teci. � '
�icense CI ss •'� ` License n. S/ 9 9�1D - � PLUMBING � -
Date�� �519 t � -
; JNORKERS' COMPENSATION DECLARATION ' ' ' BafSink Show¢�5
,<,,.iereby affirm that I nave a certiticate of consent to self-insur¢ or a certificate Backflow Preventer ' Service Sink
-� Workers' Compensa[ion Insurance, or a certlfietl copy fhereof (Section - �
�;�f`r''800, i.ab. C.) � . � � Backflowlrrijation ' . Sewer�Cap -
Policy No. ' Company , ,
eCertitietl copY is hereby Tumishetl. Bathtu6s � ' Sewef Connection
Certifietl copy is filetl with the city Builtling DiviSion. .
Oate Applicdnf � ' C13fIfi2�5 SOldf COII¢CtOfS '
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Dishwa5he� . Solar Piping
(Thissection neetl not be mmpletetl if the permit Is tor one huntlretl ($100) or
less). � . Orinkin Fountains ' '
I certity that �in tbe petfo�mance ot the wo�k tor whlch thls pe�m�t I5 issuetl, I 9 Solar Tank - '
shalL not ¢mploy any person in any' mdnn¢r 5yyy as io betome Sub' Ct to the � .
Workers' o pe s ti �n �aws of Calltornia. �p���— Floor Drains ' . Swimming Pool w/SPa
Date Si9nature - ,
NOTICE: I laf e� making this tleUaration, you shoultl beco •s �ect to the � FIOO��SinkS U�indl . '- ' "
� Workers' Compensdtion provisions of tne Labor Cotle, you m st forthwith .
comply with such O�ovisions o� IhiS permit shall be tleemetl r¢voketl.� G25$¢�viC2 •O�tl¢t5 ^ �
CONSTRUCTION IENDING AGENCV ' . Water ClOset
I hereby affirm that there is a construction lentling agency for the pertormance Intefceptofs . Water Heatef �
ot the work for which� this permil - is issuetl (Section .3097 Civ. CJ
Lentler•z Name . . � Kitclien Sink� '-. . • Water Service � � •
Lentler'S Atltlress - ' ��� ' � -
OWNER BUILDER DECLARATION� � '�� . � ' - " . WvdtO�ieS . � �A�p �"
� hereGy affirm^[hat I am exempt irom th¢ Co�tractm^5 Licefise Law for the , p_Trdn _• .. _ � -' .- •
lle a signetl 5tatemenLtM1at he
Contractor'S License Law (Ch�
ision�3-of the Business antl.l
�efrom•antl the basis for the �
'1.5 by: any applicant for a
alty ot not more Ihan tive hun
I, as owner ot the: property
tpensation, will tlo the work�,
Sd�2' ($ECS�OO %044� �BUS�f1E5!
:nse I,zw tloes not apply to an
�eon,� an0 who tloes such wo�
oloyees, provitletl thdt Such in
. If, howevaq tM1e Guiltlln9 0�
�.ion, the owner wlll'have the 1
ve,for the purpose ot sale).
I, as ownet of the p�ope�ty, a
LJ I,am exempt untler
Date � � '
Owner
CMFO865-46 rev.12/83 W�ice-
r or i
pai�
mit
s ot ^
nal. Cotle: The. Contractor's �
aerty who.builtls or improves :
If or through'his or her own �
not intentletl or o(feretl for
soltl within one year ot com-
ig he/sM1e tlitl not builtl or im-
� ' : ' ,
on[rdcting.with Iicensetl con-
JSI0255 dlld PIO(BSSIOf15 COCC:�'. .
� an owner of pro0erty who
or such projects with a con- .
ense Law1. -
— 6: & P. C. for thls r¢ason '
�
on antl state tFat the above •
all
n: a
In5 ' �
'� �
i•I Reinspection Fee,`��� �I �$25
_
BOIICf . . 1 . • Y
Ducr- Under Ground �. �
Duct-Struciural ".,r. �
' Duct-Ventilating � �
' Exhaust System � Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑ U7 00,000 BTU O 100,000 BTI
uaxe• i-i— � � �
— Reinspec[ion Fee
ApPliwnt; Pink -Accaunting; Goltlenrotl -Assessor
525
;' , �
,. �. Iuue.Fee .
REPAIR
FEES
`. . $ 3
FEES
Hood or Type I ❑ � . ' " ' �
Canopy Type I I. ❑ � -
Refrigera{ion System . �
- ❑0.100,000 BTU ❑ 100,000 BTU � �
' System Repair/Alteration �
i
, � Issue Fee
L
$ 3
�
A.P. #
S Main Buiidi
E
T Front
B Rear
A
C. Right
K Left �
S
Ping. Ref. #
Parking Req./Pr
Use of Building:
Planning Notes:
, Fr E
Automatic Washe� •
Construction Pole�Sub.
Cooking Unit � �
Dryers LJGas
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
�a`ly��
3438
�
Zone
Accessary Building:
Park.Fees $ .
: �
I IGAL
Transformer ❑ 15-50 KW
� 50+ KW
Meter Dup to 100 amps
Meter ❑over100amps
Sub Panel ' � �
Motors�O1 HP ��1X-8
Inc.Solar 09-15 HP, 016-15+
nn�,...,,,.,�„o . .
Pole Light
Range
.y\ _•..
�
�
7er, �,
Z
O
N
I
N
G
R
E
Q
V
I
E '
E
FEES �
Garbage Dispoul Standing.Sections ' "
Generator �0.5 KW �5-15 KW Trash Compactor ' '�
Rein'spectianFee " $25 Iwue,Fee' � � '$�3. ,
PUBLICSERVICESREQUIREMENTS: � � ° .. � �� �
Zoning Approved By - - �ate �
Building Appmved 6y - • ' Date ' '
APPliption laued BY �� � ^at '�
SUMMARY OF, FEES, � �. ' '
� 1 '
BUILDINGPERMIT �$ � - � � SMIP t, _�$ ;
PLAN CHECK - . $ - � � PERMIT . - � � ��� -'
� PLUMBING ��� � � � ISSUANCE '$ ��"`'«"« �
� � � ENERGV P.C. ,$ � �
PLAN CHECK 25% $ � -
- ELECTRICAL ; ,$ � GRADING �$ �� � �
� MICFOFILM $ � � �
� PLAN CHECK 50% $ �
� � MECHANICAL $ , TOTALFEE �$ �� •
- P�AN CHECK �25% , $ • - �
' \' '
r-� +-=+ POOL .;A:-_..-;n<�-� '. - �I,.
"CONSTRUCTIONANDPLANNING " . �--.:,a;='=
•- �� - �' � � � -. :Date � ' I nspectoi ' : "- ' : ` v • � ' `�-'' - ' � Date :-' 1 nspecto� , .`.
I ,-gAPPROVALS Permit.# - APPROVALS�:�Permit#'�'��`-�- . i r.;._.,- �
. _ � _ +�'_ y.
' 1� Temporary Electrical Service or Pole � �' � - _ . 52. Pool &`�EquipmenY Location `',' � = ry� ��'F- : ' ' _ `',,'�; �
J h
. 2: Soil Pipe-Undrgrnd. � �� � � '53� Steel Reinforcement .: - q ; "" i �' ����� �� "
- s ��- 7•
3. Electrioe'I Conduit-UtiljtyrUndrgrnd, ' , . ' ' ;'�' 'i54.; Forms' � '- _ «,���': ' `_ . ; . :a� -�
'_
� 4: Electrical Gonduit-Undigrnd'. _ � 55z Electrical Bonding; - 'c{>'• �''M �= - ^ .
' �i - 7� .c�,-.cf 'n ��..� .1�
5: Steel Reinforcement " �� ' _ - ,� � - , 56. Rough�Plumbing'&�Piessure•Test'` '-_' . - " �"�_j�"
6: Electrical UFER Gind'' - • 57> APPROVAL^TO COVER-GUNITE; : -- ��` '
_ ' " n_- - •e � -
� . .. �" . , . ` � '� '" ' " `- ' i
7. Footings . , �-� . .. , , . 58' Electricaf Conduit2Undrgrnd.� -" : _9 c� . -
8. � undation ,-, `; ' '. 59. �Gas Pipe,'�?Undrgrnd:, Test'r - .� `- � � � `� � '� � ?
, % - -
,.� - , � . , . � .
9. N%ater Pipe-Undrgrnd. "-� • y.;- � `60. 8ackwash �Lines;�P-l'rap,�O Undrgmd.:-.2' .�; � , - � ,i
10. Structural Floor System �'� - - 61. APPROVAL TO DECK ' � � [ �`� `. ' � ` - � �: � ' � � '.
11 . Property Sewer Line &��House Connection ` ' '� � " V ` -' - ' r - � , � :
�� ".,,L• 62. Backwash'&�Receptoi-FinaL_.,.G-� _ � ' ?
72. SewerCap ;� ; .' . ' 63. Heater&,VeM-Final.� `� �'��� = � ' �!� '�
i_;
13. Roof D"r9ins " -, 64. Plumbing:System - Final = � � �= ��; "'� f 1��
_ ' o
14. Rough-Plumbing ''� � � � � 65. Electrical-Final=��= �' �'�"� � - � � � .. ' �.' �� �
. 15. Rough'Electrical-Conduit , ' - -i " � - -66.��Solar:Sysfem-Final � -";��T""�- �'' j ",- �`-"-�-'--'" , �
.16. Rough Electric Wiring � � . � _ - � � � � ,67 I'Fericing�& Access Appioyal'`."� , _� ` ,-',."`. ' � �
i �� n•
-17. �Rou h�Wirin Si n . . � � .., ` ^ , . � .� - . _
9 . 9 9 � . �; , 68.i APPROVED FOR P,LASTERING": �' ; 5; �� � � i�
' 18. Rough Electrical-T Bar�Ceiling' , c - 69 POOL/SPA SYSTEMSFINAL' ' � L j'; � .��'
• 19. Rough H�eating & Air Conditioning �� , , � I iFIRE DEPT.�REQUIREMENT, ;_. • -� j ' � � � � [ ; � ��� �
. . .��'� . 1 .
20. Rough Factory Fireplace � , � ' APPROVALS Peimit #� �� '! , �� . "� ; -... i t
- i I � � � i. i •' � ; �
21. Ducts, in�Structure ' :� � � 70.t Underground Hydro �� ' ' • � � �� � �TM � ^� � � � �
� 22. Ducts, Ventilating ' , ��' � J1. Product Piping OGas,�t,�OOiI �� I�' }�� i j ; � �� �
23. Gas Pipe-Rough & Test � �� 72 Underg%und Flush� i: g j~ Jv� �"r �--- � j
� �
24. Roof� Framing ' _ . , � �73. UndeFgr`nd. Sto�age Tank��O Gas' ��Oif�; i`,: i � j i � �
` !� 25. �Roof Sheathiri9 - � � . - � �74., OverFiea'd HYdro �:� . . � � '- ' i � � ( � �
��26. T-Bar Ceiling (Structural) & Monocoat � � i � , -'. " �75. Dry;Chemical � � �.. � c i 1 � � � � I _
�
27. rame and Flashing � ' , ' J6. Dry Standpipe � , ,. ( = � 1 `.` ; ! � I '
`� 28. Lathing & Siding � � ' � � ,77,) FIXED�SYSTEM.F,INAL '- �-• :.�. � ^� ' � � � i
29. Insulation , � � � , � �78� FIRE PREV. FINAL ; �i � �' � ; i � �
p 30. Drywall,Nailing , � , � . � � �HEACTH DEPT. REQUIREMENT � ' � � �
-31. Plaster Brown Coat � � � . 79. FINAL INSPEGTION � � ` � � ' � � � r.
32. �Electrical Power Meter-Final • � • i � 80.� FOOD,GERTIFICATE ISSUED ' � � � � � �=. ?�
i
♦ � • t e
33. Final Electric � � , 'Notes:j � _ I � { ' � �
_ t. __i�.�__. �.
34. Final Heating & Air Conditioning ' � � ' - ' � � � � � � �
� �Mf`,i , yj,
35. FinaPGasPipe-Test� -. . � - - �.� = �•'� � ,�.} ;�4 - s . _ . ,.j;
� +
36. Hood or CanoPY � ' -. � ' � �, . .. . ' . - ; . = . � ,� _ "
�1 ,�'. c
37. Final Factory FirePlace � " - _ . , ', �:�'. � ' , _ ��$ - ; �� : �; -, ; : �-;
38. Final Plumbing � " '%?�Z(/� G��%'i'�. , � � � � � � . � s '. e . •. •• ' - ' a ��
r
i _
39. Water Service-Final� � � . : i � � , �. . , .- . , x .
�
40. Gas Se}vice-Final � ' � i � ' ' � � � i ' � � � '"-` . '" "� ' • • • •' `u '�.
,
. �.
41. SolarpomesticFinal _.� _ . '� � _' !_ ' }i.t.._,_ � t � .. � , , ' '��
� . -e ' - . �' - . - . ,t � �i ` � i � I ��
1 � t . I . �• i'
42. Backflow Preventer �. � -- - -' , - ^---_+_ � , i- , _ =. . , �� _ � ��., � . � , �.,
, 43. Backflow Irrigation . • . ' � - � f � ' � � � . � ,_ � � : � � s � � �� � • � �
� �'
. � � y � f : ' . ' i - �
44. ,Landscape Irrigation System • j � � - ' � ", ;;, '
45. Sound Attenuation . � ' ' " - � � � � � ' ' I : � - � � ' � ' �N � 1 .� i^� = � �
46. Handicap Regulations ' , j � � "i � �� + - , i; , 1(, � . E ;. - I`
� 1 �� I
47.FINALSTRUCTURE&BUIL'DING , -�' i i � _ i �, M1 . I�� � " - . �
' - i • � �.�
.�48..Special Requirements Completed , , i � ' } � � � � , i J t; - i �i� � N m . . .. �.
49. Electrie Release to Edison '� ' � � � '� '-'' ' � "f' "' "-'�'- � -j" �"' i 'j - ' { j .�i� � � �.;�� F�
, 50. Gas Release to Southem California Gas Co �� � � j t� j f i � j.' ; a � ''j ; �;�•.,;
i I .. �y u i i�=
� 51. CERTIFICATEOFOCCUPANCY , � - ---�--;-- ,-- �--�- -- �-:"f;-F } , �! �' '� i ; � ,'
tNo. � � Date � � .- -• - I- - �_. �. '`--�- - - . _ J..._�_ � ._.: 4 � -.`s -.;.zz- .
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COSTA MESA BUILDING DEPARTMENT
P, O. BOX 31� .
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BIIILDING _.._ _ _ _
COSTA MESA. CALIFORNIA
OWNER mese verae c
AODRE55 .IJOI Gisler
cir.r CosTa Mesa
oR e�vcE+v`eerr J. R. Shel I
ADDRE55 �%OI G
LEGAL LOT
DESCRIPTION NO.
A.P. NO.
OFLOT 7O X IOO
b �� i���EQ���
DEC 9 �g �,
FIIVAI�CE DEPT.
ClTY Or COS?A t�AESA
APPLICATION FOR RERMIT
BUILDING
FOR OFFICE USE ONLY
i' - �1 . rri - _
TNo:ICf 5-1751 ADD EI55
N�O. C-ZI%O COSTA MESA. CALIFORNIA
cirr uc.
ison No 1123
ler St. TNO KI 5_
NO.OF BlDGS.
NOW ON LOT none
SETBPCK L NE FROM � • < <_�6� �
CENTfR OF STREEi SO + REAR VARD R1V�^
SIDEYARD RIGHT -S�+ LEFT S��'
DESCRIPTION OF WORK
NEW X A�TERATION ADDITION
REPAIR MOVING DEMOL�SH
SIZiEDING'S%S S •F�� NO.OF �
ROOMS STORIES
COVERINGWALLS}UCGO co�EAiN�ASphalt & ROCk
USE OF NEW
BUILDING Residance &Attached 6eraqe
1 HEREBY 4CNNOWLE�GE THPT MFVE REPO TI
STPTE THAT THE wBOVE IS COPREs T<rv0 AGREE
CITY OPDINPNCES NO STATE /WS REGIILiTING
TION. y�// �� -�
SIGNATURE OF �( l 1-.4^,[� /\
AUTHORIZED AGENT
APPROVED
BY
PLf�NS
DATE
CORRECTIONS
ATION AND
WITH tLL
CONSTRVC�
' � ALUATION
PERMiT FEE $
k�C �✓�
(�L PLAN CHECK $
$ �S fo loa-.� .
TOTAL FEE $
S�
�
=.,:
OWNER MESA VERDE ESTATES DATE 12-9-55
GSNERAL CONTRACTOR �
VALUE
AP. No. LOT p� TRACT q11r�II2E ZONE DESCRIPTION OF WORK Res, w/abt, gdT'.
GR(IIIP T Bc .T TWE V ZONE AZ � PLAN NO. '
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUMBEI
coat
Final Gas Test
„��'� . y� a"o
.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA, CALIFORNIA
fOR RPPL/CANT TO f/LL /N COMPIE ELY
.
TYP R PRI T
BUILDING
AO�RESS
COSTA MESA. CALIFORNIA
IC Pl@rY:
CITV JCi �
ARCHITECT
LEGAL ILOT '
�ESCRIPTION NO.
BLUGS.
USE OF
i EXISTING BLDG.
I SET6RCK LINE FROM
DESCRIPTION OF WORK
�REPAIR I II
IBUILDING '
I SIZE
�iEXTERIOR WALL
jCOVERING
� USE OF Bl11LDING AN
1 HERE9Y AGKNOWLE{
qND STATE THAT THE
PLY WITH RLL CITY O
Bf11LDING CONSTPUCT
SIGNATURE�
PERMITTEE
AUTHORIZED AGENT
FIRE
ZONE
�EE RECEIVED
APR 3019r�
rfIIVANCE DEPT.
APPLICATtOO N�FORi'�L?�RMIT
BUILDING
fOR OfF/CE USE ONLY
REC4IPT NO. I PERMIT
IVED BY I. D=T€OEiE1.VFID I DAi�6!
!Vv N 3 a�= .�r
NG
i5
COSTA MESA. CALIFORNIA
LINE
ZOiV WG
NO. OF USE OF NEW
PLANS � BUILDING
NO. OF ��
ROOMS STORIES
� ROOF � �
ICOVERING �
WORK TO BE PERFORMED
/ � -vi+ C f' � �
� �
��
ANO qG TO COM� TME AMOIINT 9HOWN UNDEH VALUATION IB FOR THE
fE LAW •qEGIILATING PURPO6E OF ESTABLISHING A PEFMIT FEE ONIT.
/� VALUATION /J�
� PERMIT FEE $ �f ���
�
� � 1`?t..,,� PLAN CHECK $
,J ur
� TOTAL FEE $ � ^
OWNEft pFTF. FTSHFR DATE fy_'�0-59
JOB ADDftESS
BUILDING PEHMIT NO.
GENERAL CONTRACTOR C�,aVg�, ��,.����. (;^- VALUE $ ZK�� _
INSPECTIONS oa7E _I GROUP TYPE ZONE
Undeige0uild $011 U.G. Water I SUBCONTRACTOR PERMITS ISSU
n..a.._.._......a n.... _ _ _— ' _ _ _ _
Water
Form