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Home My WebLink About453 BROADWAY - Building Permits(714) 754-5273 • Fan (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lobnddress: 453 BROADWAY Suite: Vicinity: RESIDENCE AND DETACHED GARAGE Parcel Number: 11733111 ' Zoning: Applicant: SCHNIERER, STEVEN Address: Phone: 714-7�9-1689 Zip: Owner: SPRINKEL, WARREN REED TR Address 1026 SANTIAGO DR NEWPORTBEACH,CA Contractoc FONTAINE AND ASSOCIATES Address: 23482 PERALTA SUITE F LAGUNA HILLS, CA Zip: 92653 Arch : Address: Phone: Zip: 92660 Phone: (714)598-8360 License: 708917 Eng Address: ISSUED BY: Status: ISSUED Applied: 11/18/2004 Issued: 11/18/2004 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0- 0 35,000.00 ss,000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inepectlona antl final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 2668d8 (fl�00) WORKERS' COMPENSATION DECLARATION: � � � I hereby aHirm under penalty of perjury one of the tollowing tleclarations: ❑ I have end will maintain a cenificate of consent to self-Insure for workers' compensation, es provided for by section 3700 ot Ihe Lebor Code, for ihe pertortnance of the work for which Ihis permit is issuetl. � I have and will maintain workers' compensetion insurance, as required by section 3700 of the Lebor Code, for Ihe perfortnance of the work for which this pertnit is Issued. My workers' compen�tion Insurence carrier and policy number are: et ane hundred dollars Pa�� cy Numee�:�2p21�-I 1— 2G1x� ❑ I certity that in Ihe peAormance ot the work for which this permit is issued, I shell not employ any person in any manner so as to becoma subject to the workers' compensation laws oi California, antl gree that if I should become sub�ect to the workers' compensation provisions of Section 3700 ot ihe Labor Code, I shell forthwith � comply with these isi s �ADDlicent Signaiure: �yQ r��e:-� L l I 18ION WARNING: FAILURE T ECURE WO5 ERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TOONE HUNORED THOUSNND DOLI.ARE ($100,000), IN A6DITION TO THE CAST OF CAMPENSATION, DAMFGES AS PROVIOED FOR IN SECTION 39060F THE UBOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am licensetl under Provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and ettect. Llc.—pl I Class-a C3ri Coniractor's Signeture: J _ p�0i_�� a pG� CONS7RUC710N LENDING AGENCY: ❑ I hereby aNirm ihat Ihere is a consVuction lending agency for the pedormance of the work for which �his permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lenaer's Address: Signature: OWNER•BUILDER DECLARA710NS: Date: I hereby attlrm Ihat under penelty of perjury the� I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Protessions Code: Any city or county which requires e permit to consiruct, alter, improve, demolish, or repair any sWcture, prior to its issuance, also requires the applicant tor such permit to lile a signed statement that he or she is licensed pursuent to the provisions of ihe Contracmrs License Law (Chapter 9(wmmencing with Section 7000) ot Division 3 ot the Business and Professions Cotle) or iha� he or she is ezempt therefrom and the basis for the alleged exemption. Any violation oi Section 7031.5 by any applicanl for a permit subjects the applicent to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner oi ihe property, or my employees with wages as their sole compensation, WILL DO TME WORK, end the siructure is not in�ended or oHered for sale (Sec. 7044, 8usiness end Professions Cotle: The Coniractors License Law tloes not appty to an owner of property who builds or improves ihereon, and who dces such work himselt or herself or ihrough his or her own employees, provitled Ihat such improvemants are not intended or oflered for sale. If, however, tha building or improvement is sold within one year of completion, Ihe owner-builder will have ihe burden ot proving ihat he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct iha project (Sec. 7044, Business and Professions Cotle: The coNractors License Law does not apply �o an owner ot propeny who builds o� impmves Ihereon, antl who coniracts for such proled with a contrecior(s) license pursuent to ihe Contractors License Laws.). ❑ I am ezempt untler sec. Signature: Owner ID veritied by drivers license. ❑ Ves ❑ No Business and Professions Code for this reason: Verification of Ownership by (rype of dwument, i.e. - properry tax bill or deed): DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICA710N: Driver's License No. Date: Expires: ❑ I hereby certify ihat no excavation five (5) or mora feet in depih into which a pe�son is requiretl to descend, will be made in connection wilh work euthonzed by Ihis permit, and ihat no building stmcture, scaHolding, falsework, or tlemolition or dismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, A� 2, Sec. 341, Ttle 8, Celitomia Atlminisirefive Code). ❑ As ownervhuiltler, 1 will not employ enyone to da work whic� would require e permit from the Division of Industriel Safery, es notetl above, unless such person has a permit to do such work irom the tlivision. SignaNre: Date: Division of Industrial Safety Permit Number. CERTIFlCATE OF COMPLIANCE AND AU7HORIZA710N OF ENTRV: I certiy under penalry of perjury that I hava read this application and state ihat the infortnation given is correct. I agree to comply with ell stete laws entl ciry ortlinances relating to building consimction, and authorize representatives of the Ciry of Costa Mesa to enter upon the ebove-described propetly for inspection purposes. I agree not to occupy or ellow occupency of eny building authorized by ihis permit until finel inspection. COOE t. INSPECTIONTYPE 1616 Pixed System Final Fire Prevention 1266 200 Pool Spa Final Final Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q�¢ INTRIALS � � Date { — (iDate_. ." CODEt INSPEGTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final fire Prevention 220 Final Planninq Approval 222 Final Site �250 Final euiltlinyOccupency P7.11�RIIIYLIF. ,. ieaecr nooxess: q 5 3 BROADWAY uxir: � ,� OWNEWS XRMF: F)AUL CHADWELL . ,�ooeess: 453 BROADWAY ST .. , � COSTA MESA , .CA 92627 �NCH/EN�INEEfl: BOD WILSON xeo.xo.:377487 i pooness: q85 1f3TH ST ux�T NONE °m COSTA MESA CA 92627 PENMITTEE: HOB WILSON 6 SONS ( 714 ) 646-1740 nooxess: qg5 lIITH ST NONE COSTA'MESA CA 9'1627 110ENSEO LON7MC70B DECUMTION: I �ereby atlirm tha[ I am licensed und¢r Dmvisions al CAaDje� 9(�ammencing vnth Section 70110) of Uivision 3 01 tlle Business antl Pmfe55ions CoUe. antl my license is in tull tarce anA eflect. ciTruc.:025966 srAreuc.:377qg7 cuss:g��% �/ p� �.,� Oate: � � -' �� Signature: ��-� ✓ - ��%"`"�� "' WOHKEBS' LOMPENSFTION DECUMTION: I �ereby aBirm that I �ave a cetlifwte ot consent to ulNnsure ar a ceNfcate al Warkers' ComDensation Insurance, or a certified coDY [hereof (SeRion 3900, Lab. C). roucr No.: 5 9 4 4 8 7 E%P. ORTE: O�i I O l I 9 O carnrnxr: STATE FUND ❑ Cehi�i¢G tOpy IS AereEy lumished. � Certtlie0 copy is fileU vnth t�e ciry BuilOing Oidsion. Da�e: � / ' % ` � 9 APPlicant �7�4T/-- OY. (//� . . E%EMFfION FBOM WOpI(EPS' COMPENSITION OECtAMT10N: (ihis stttlon need not he completeA tt Ihe pertnH is for one huMreO (5100) ar less�. I certity that in ine pertormance of the work lor wnich this permit is issueA, I shail not emplay any Dersan in any manner so as to Eecame SuElect m t�a Workers' Compensation �aws ot Califomia. � Oate: � Signature: NOTICE: Ii, atter makinp Nis Aeclaratian, yau shoultl bewme suble�<<a �he Workers' Compensation provisions M2he LaUor Code, you must fort�witA comDq vnth such prodsions ar this permit shall 6e OeemeO revoke0. '• CONSTPUCTION LENOINO �GENCY: I Aert6y amrm ihat tAere is a mnstmction lending aqenry for the pedormance a(I�e work far which this permit is issuetl (Sectian 3097, Civ.. C). lENOER: � RUOflESS: ' � OWNFB BWLOER �ECLAMTI�N: I herehy attirm tAat I am exempt from ihe Contactors' State License Law lor the followinA reason (Section 7031.5 Business antl Prafessional Code: Any ciry ai counry w�ich requires a Dermit ta consimct, al[ec impmve, demolish, or 'repair any stmcture, pnor ro its Issuance, also requires ihe ap0��nt for such permit to tite a si0ne0 statement IAat he/she is licensetl pursuant to tAe D�ovisions ol t�e Con[racrors' State License Law (ChaD�er 9(wmmencinA �h Section 7000) of Oivision 3 of the Business antl Pmfessions CoGe) or t�at helshe is exemD� �hereirom antl the basis for ihe allepeC exemption. Any Nolation of Section 7031.5 by any apDlicant tor a Oermit su�lects roe apDlicant to a civil penalry of not more inan fiva hundreE aollars (55001. I, as owner ot t�e pm0etly or my employees vnih waAes as IAeir sole, compensation, vnll Co the work, an0 the �❑ sirucWre is not intenOeA ar attered for sale (Section 70C4, Business antl Professional CoOe: T�e Contracrors' State Licenu Law Oaes not aDPN ro an awner of a pmperry who GuilUs or impmves ihereon, anU wAo tloes such woM �imselNherself or Ihrough his or her own emDloyees, p�ovi0etl ihat such imDmvemems are not intenUeO or oflereA for sale. If, Aawever ihe 6uiltling or imD�avement is so10 witAin one year of completion, Ihe owner will have the �urden of pmvinA he/she Oid nat builtl or improve for tAe Dmpose of sale). � I, az owner of the pmperry. am excNsively contracting with licensetl wntractors ro constmct tAe pmlect (Section 7044, Business ❑ ana Pmiessions COGe: TAe Contractors' State License Law tlaes not aOPry ro an owner of DmpeM �a �wlAs or impmves thereon ' and who cuntracts br such pmlects with a contracroqs)license Oursuant to ihe Contactors' State License Law�._I am aware [hat proof of their Worker's ComDensation insurance shoWU Ue pravi0etl to me. � I am exemo� under Section: B. 8 P_ C. tor �his reason: Date: Ownec I Oa �erehy cenity that l am aware a1 anU unEerstantl the reQuirements of California Heatt� an0 Salety Cotle Sections 25505. 25533, an0 25534 antl that I or any future GuilAing cecupant wilUvnll not (cirUe one) neetl to com0ly with saiU state co0es an0 the reQuirements tar a permit for consWciwn or moAification tmm Ne Air Oualiry Management Oisinct ResiEential constmction applicatians are exemD� ��om these Dmvisions. Oate: Applicant: � �' ��a� I here6y cenity tAat I �ava reaE this apDliwtion an0 state t�at the above iniarmation is correcL I a9ree ro comply with all ciry anU counry or0inances an0 state laws relatinq �o buil0inp conslmction an0 hereby aulhonze representalives ai Ihis ciry to enter uDon Ihe above-mentlonetl pmperry for Inspection Durpospes.. Date: � � � 7 �'" o % Si9naNre: � �• �� Uriver's License or Saciai Secunry x: 1841-46 W�Ite-BuilOinp: G�een-Cotle EnforcemanL Cenarv-AOC�icant; Pink-Revenue: Goltlenrad-Assessar CITY OF COSTA MESA - HUILDING PERMIT PERM NO: G 044660 PERMI.T NO: G 049860 PLAN CHECK NO: 01370-89 S GOVT: N SUFP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE:.ADD JOD DESCRIPTION ; ADD 590 S(� FTTOT(400FAM RM,190BDRM) SO FT: 5'90 CLAIM VALUE: CALC-VALUfi: 39,943.00 GROUP OCC: R-3 / COMMENTS: ' . **�r��***�ex��e*��r***�******�+r+r*�r�r*�x�+r�r�*+e�+��r*+r**��r�r****�***+r+r��*****x�******�**�*�r+� Z O N I N G R E Q U I R E M E N T 5 S E T H A C K S ------------ MAIN BUILDING ---------- • --------- ACCESSORY BUILDING --------- FRNT: FT IN REAA: 20 FT IN FRNT: FT IN REAR: 52 FT IN LEFT: 8 FT IN RGHT: 5 FT IN LEFT: 5 FT IN AGHT: 7 FT IN PARKING REQ; PROV: PARCEL: 117J3111 ZNE: R1 REF NO: PLANNING NOTES> ONE 400 SQUARE FOOT ROOM ADDITION AND ONE 190 SQUARE FOOT > ROOM ADDITION x �� e*� *�e*�rx � �r��**x �r�e**��r��+t****�r�r�****��r+�*x��*�r*��r� *� *�r��* x��+r+r+r+r�r+��r�*�r�x��r�r***'� 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 APPROVED BY .` G'-'T � i,CSf�"�� DATE: '// � BUILDING APPROVED HY : .�, . ' �DATE: ��P'� APP,rLICATION ISSUED HY:'� �--11t /_ �!�[..e�-�-� DATE: ` S' 1E1fiflfMikiFlfiFlFifiF3EiEiflfiEifikiFifiE iE�EiE�FiFif3EiE3f3F iE�F LEGALIZATION:N � BLDG PMT PERMIT � 349.50 3! iE iElE iE 1E 1f iF ik iF ik ik if iE iE if�ik if if if iF 1F �f iF fk iF i�C7f1F IE 3! if ik iE iE 3F ik k k iE ik !F iE ik 1k iE if 1E 3F if ik iElk 3F iE iE dt 3E F E E S U M M A-R Y" STRUCTURAL SEGMENTiY PLUMBING ELECTRIC MECHANZC FIRE SMTP/RES GRADING 6.50 44.75 13.50 2,80 25Y SOR 25t SMIP/NON-RES PLAN 227.18 ISSUE FEE ' 3,00 15.00 � 15,00 . BUILDING-DIV-> PERMIT ISSUE PLAN-CHEGK TOTAL PAID DUE TOTALS----> 417.05 33.00 - 227.18 677.23 677.23 .00 REVENU6 DIVISION TOTALS--> COLLECTED: 677.2� OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 349,50 9.50 59:75 2f3.50 2,80 227.1A � . it iE iE if iE iE * 3E if iE �f �E �E iE if 3f if� 1E iF 3E iF iE iE iE iE IF �F if �F 1F iE iE iE iE 1E IE iE k 3k if if if �lElk ik iF 3f iElE iE iE IE if ff i! 3F 3f iE iF �f iF 3E k 1F I! iE IE 3f ik iE iP 3E ib ik if iE if iklf 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 ELE ELE ELE ELE ELE MEC MEC PLU PLU PLU 590 6 14 7 2 1 1 1 1 1 1 DWE-TYPE V-WOOD FRAME• -GOOD FIXTURES, LIGHTING 1`ST 20 EA, RECEP'T/OOTLET 1, ST 20 EA. RECEPT/SWITCH 1 ST.20 EA. NON-AES APPLIANCE NOT•OVER 1.0 HP SERVICES BELOW 600 V& DELOW 200 AMP INST/RELOC RECESSED WALL HEATER C�ENTILATION FAN CONN TO SINGLE DUCT SHOWER WASH BASIN WATER CLOSET (TOILET) . 67.70 .75 .75 ' 3.00 18.50 9.00 4.50 2.00 2.00 • 2 . 00_ � . 39,943.00 4.50 ].0.50 5.25 G.00 18.50 9.00 4.50 , 2.00 2.00 2.00 / , CONSTRUC7�ON AND PLANNING., POOL & SPA APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector � 1. Temporary Electrical Service or Pole;,_ 52. Pool & Equipment Location r -, = ,Z'.;Soil�Pipe+Undrgmd. `r; 53. Steel Reinforcement �% � �'3!_Electrical"Eonifuit-Utility-Undrgrnd: _ 54. Forms '� 4.=Electricaf�Eonduit"Undrgrndy� � 55. Electrical Bonding • �, 5>S{eel�Reinfor.cemerrt! . - 56. Rough Plumbing & Pressure Test �-� ".''" ", _ ��6:'ElectricaPflF'ER^Gnd. '" 57. APPROVALTOCOVER�GUNITE -' i . �. - . 1� 7; Footings .- c- 58. Electrical Conduit-Undrgrnd. , � 81'Foundation � 59. Gas Pipe, O Undrgrnd., Test � � 9. Water Pipe�Undrgrnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System ",' p� � Q�-- 61. APPROVAL TO DECK � 11. Property Sewer Line;& House Connection 62. Backwash & Receptor-Final . 12. Sewer Cap = - u 63. Heater & Vent-Final � -� 13. Roof Drains �.. '� , 64. Plumbing System - Final i 14. Rough Plumbing ✓ 65. Electrical-Final � c, ' 15. Rough Electrical-Conduit , 66. Solar System�Final `` 16. Rough ElectricWiring 5'�C� 67. Fencing & Access ApProval 17. Rough Wi�ing Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _r_ r , y,4 , _FIRE DEPT. REQUIREMENT ( � 7 - r r'U,- "i�l.'ir 'C"r. ,� _:'] 1 -`x - 'p� t-7 ,. .. �'�' _�.�.,,•7i��i� 20.'=Rough Factor�y Rt"rgplace _ � - � = � ;APPROVALS.�L;Permit # - -- -..;-�-, �.� ��: 21 Ducts, in�Str�u'ctu'r'_e+' " " - ' � '''�� '' '70. Undergro nd Hydro - - r. a: u :: : � .: ,�, 22-Duc(s, Ventilating,y; '; ,-_ q: ,:, _* .'� �77. Product;Piping OCras O.OiI 23.�Gas-Pipe•Rou�qh & Test ^.= * "' C �: � �'� a' -'7Z, Underground Flu'sh�� ' . r ' r�r_ -�•i :1. C ci w l 24:'Roof Framin , -'F' '` _ �� ': x - ' -�� . _. �-- •- --+ g �. �r; � � � �x r '73-Undergrnd.Storagg?Tank�.OGas ❑Oil 25. Roof Sheathing � ' ys `r� ��ry� 7q.iQverhead Hydrd_�. - ( C�/ F1 + +� � ��I:•r - O i,x.c -'_� • - -. - -- -.^-�._.,r.,].:1 26;_T-Bar Ceiling (Structural) &'Monocoat'=-�x -- ; -�;; „ 75_Dry Chemical :� ,._.�.�-,:��., �;^ y � 27..Frame and Flashing. _ _ '� � � � � � 76. Dry Stan$"pipe �- =��% _ �'Tj- - -'=� =='''� . v a �- ^� .r- 'K 1 l `a � J __ ".. 28. Lathing & Siding � C`_� - _�=� �' `3 � p 4f�x ,'. 77r', FIXED SY,STEM FINAL- _ - � - -�.-;�; . 29. Insulation �� '-��' p 78-FIREPREV.FINA'L ''� ^ '-� - - '�c. O�r .�rnr-±= - `' i _l4 � . 7 � � " � �..' _' ,c- _ 30.Drywall�Nailing K_; c,, ��R �� ,;., �,�� -..HEALTHDEPT:REQUIR�EME-NT:--�` . ::.37. Plaster Brown CoaN :^ � .'"�� '��„��,� ' �yy�/„ �x'r '79.jFINAL INSRECTION� �* 1-, -:'�� c. � .?P.�`..: z m-. �. � _'�r.' �32-Electric��l Power Me�ter�Final � „ ' ' � :�� ;� "'SO �FOOD CERTIFICATE ISSUED_ - -- j�� ,_, � , � . �.. � - . � . . _ �., ... L33�F.inal Electric r•. c;� >� �Not�es: 4'':r = 'p -� ' � �� -, r �O iL 434.�Firral Heating'�& Air.Conditioning- ,�_ � ; ' :� ^ � � �=� Y �� _ _ " x t- ' ;�J a 35`.-'Fin`al Gas Pipe-Testi: rJ� �, - � �-.• . �;i,- .-.-+n: .,�_,,jc - I�t Y4 ?36^HoodoF-CanoPY y- • ��' J� �`.�;�•� � '� -3 �\ ': � - �. l C' - C . i � .CJ= _ '. ' � ,. , .,,. � �.. �i. .. �. - _ _ ,. '-37�•Final Factory Fireplacer . . -�-+ ��Qp ,;Y: � - _., ±� _ M l 1 1' �38_;Final Plumtiing j: ' ��, a � qp �,' � �G � � �i' ' '39�.Water Seivice: Final-� . . , ; '� ""� �� -� . � Y - --;, � u'. - "c;: _, _ ' J40.`Gas�SerJice-Final �� r � �.'T�T' `r * �� ' � `� �^ �'� _ . . -- - a' il ;-. (... 'i :: t. . c . � ] . " t � � w L, . � �., .,, _ � - :' -' �,41"Solar pomes_tioFinal" �.; 'S; �: .-;.� �- x X - �:. , - 42. Backflow Preventer' i � -� � ^ ' �.� <� C. "- • % _ - - - -,-„-; r. r; -i,_ <. � - - _ _. ' ,.. � , _ _._.__,_ . 43. Backflow Irrigation: - -"' �w �- ; x .� ��-v . �v 'i - -t �44, Landscape lirigation System-'" � '�^ ' �" `-' t'' -'' '^ -� r� _ -- - c� ^' . _ "' . - ' . �. - •n•:- ^�p- x S 1 E, � � �' � 5 � " '7 .Y, hiG G' f• - -.T i. � ,..: n,. `45.=.Sound -Attenuation -, . .. " � � ;-, -y; ��, �- � �� . �,�j :,; 46.^HandicapRegulations ,-+ v: i� z� G•^ 0�.. � �K r. -�i ..r; i i ' �k... ry¢.� '+ �.47`FINALSTRUCTU,RE & BUILDING ' � . '�' ` '"`''' �. � ': i. H y ..48�FINA� PLANNING , - � +` .� '!�' ;"i�'`.' .. ", `, � - J ,t+, r, � �� c �y � � r � � � i J. '# v �. . � r. . .... � 49:�,Ele�trie'Release to'Edison � , �p. , .� . -,_., �,: �, .� � t_ ,. _ • . _ .. � =50=Gas�Release to Southern California Gas Co `�' ' ✓ '" x " "-" . �'" , , -, . . . . . . . ,, i:; - �iJ _ - •.r,.:.- =51. CERTIFICATE OFOCCUPANCY ' � ' - ^- ' �- - " -' ` -'" - - ' - No. Date Pfl0.1ELT RDOHESS: OWNEH'S NRME: pODflE33:, / ' �' RflCNIEN01NEEfl: . t RbDflE53: PEflMRTEE: RDONESS: UNIT: REG.NO.: ' ' UNR: LICENSED CONTMCTOB DECLAMTION: I hereDy affirm that I am IicenseA untler pravisians af ChaO�er 9(commencing wit� Section 7000) ot Oivision 3 oi IAe Business antl Pmfessions Cotle, antl my license is in full force antl eflect. CITY LIC.: ' STRTE 11C.: CLASS: � Date: Signature: WOBBEBS' COMPENSRTION DECIAMTIDN: I here�y aifirm t�at I Aave a certilicate of consent ro self-insura or a certilicate of Workers' Compensa�ion Insurance, of a Cetlifie0 copy ih¢aal (SeC�iOn 3800, La�. C�. PoLICY XO.: E%P. O�TE: COMPRNY: ❑ Certifie0 copy is hereby hmished. ❑ Certified copy is file0 with the ciry BuilOinp Oivision. Date: ApDlicant: - i F%EMVfION FPOM WONKEBS' COMPENSRTION DECUMTION: (ihis secuon neeE not he comDleteA ii the permit is lor one hunOreO �5700) or less). I cerlity that in t�e pedormance of Ihe work for whic� ihis permit is issued, fshall not emDloy any Derson in any manner'so as to Gacome su�lect to tAe WOMers' Compensation Laws of Califomia •' • i Uate: Sipnatua: NOTICE: Ii, atter maltinp Ihis Aeclaration, you shoula 6ecome su6lect to ihe Workers' Compensation Dmvisions.of ihe Lahar Cotle, you must fatlhwith comDly with such pmvisions or ihis permit shall be tleemed revoked. �� f�. CONSTBUCTION LENOIN0ICENCY: I here6y aHirm Ihat there is a construction IenAing aAency far fAe peAormance f the work for wtiic� tAis permit is issue0 (Section 3097, Civ. C�. � � �� LENOEfl: FDOBESS: ` ' ' ' ' � – OWNEB BUILDEP DECUMTION: I hereDy affirm tAat I am exempt iram the Contractars' Siate Licensa Law for t�e lollowinq reamn (Section I031.5'Business and Pmfesslonal Cotle: Any ciry of counry which requires�a De�mit to constmct, alter, improve. EemolisA, or reDair any stmcture, prior lo its issuance. atsa requires the apDlicant for suc� permit to file a signed statement that he/she is Iicense0 pursuant to Na pmvisions ol the Contracrors' State License Law (Chapter 9(commencinA ��A Section 7000) oi Division 3 oi the Business antl Profeuions Cotle) or I�at he/she is exempt t�erefmm and ihe Easis br Ihe allegeC exemption: My vialalion oi Section 7031.5 Cy any apD�icant for a permit su0leCs tne applicam ro a civil Denalry ol no[ more Inan frve nunOred dollars (55001. I, as owner oi iha pmperry or my employees with wapes as Ihair sole comDensation, will Oo tAe woM, antl ihe ❑ simcNre is not intendeE or oflere0/or sale (Sectian 704d, Business an0 Prolessional CoAe: TAe Cont2ctars' State License Law dces nat a0�ly to an ovmer ol a O�opeM wha UuilOs or ImD�a�es Ihereon, an0 w�o Ooes such wod himseli/herselt or I�muOh �his or her own emDloyees, prwid¢C that SucA impmvements a2 nat intendetl ar attereE for sale. If, however tAe huilUinO or impmvement is soltl within one year of completion, Ihe awner will hava Ihe burtlen of pmvinq Aa/she tlid not �uila or impmve fortAe Durpose of sale). -' � I, as owner oi the pmperry. am exclusively contractinq wit� IicenseA cantracrors ro wnstruct the Droleit (Section 7044, Business ❑ and Pmfessrons CoCe: The Contactors' Stata Licenu Law dces not appty ro an owner ot propeM who Uwlds or improves [hereon anA who coniracts lor such prolacis with a caniractoqs) license Oursuant to the Contrectors' State License Law). I am aware that proai af iheir Worker's Compensa[ion insurance shoultl he pravi0etl to me. . � I am eaemDt untler Section: B. 8 P. C. tor tAis aamn: �ate: Owner. I Uo �e2�y cetliry that I am aware of and unEerstanE Ne requirements of Catitomia Healih antl Safery CoAe Sections 25505, 25533, antl 25534 anG tAat I or any tumre EuilAinA occupant wilVwill no[ (ciale one) nretl to comply with uiU state cotles antl the re0uiremen6 Por a permit for constmction or modification imm the Air Oualiry Management District Resitlential constmction aDP�ications are exempt irom these pmvisions. Oate: ApDlicant: I hereby cetlity Iha� I have reaA I�is ap0litaiion and Sta�e lhat t�0 ahove inlormaiion is correcL I agree to comply wiih all ci�y and counry ordinances anE state laws relatinA �o huilUinp consiruIXion antl Aereby author¢e representatives af this ciry to enter uDon the above�mentionetl properry forinsDectlan Durposes. Date: SignaWre: oriver's License or Social Secunry x: 18C1<6 W�ile—Builtling; Green—CWe Enlorcemenl: Canary—Applicani; Pink—Pevenue; GOltlenroC—Assessor PERMIT NO: G 094860 PLAN CHECK NO: O1J70-89 S' PAGE: 2 iE iE iE iE IE i! 3E iE 1E iE iE 1Ei! iE iE k 1E it k iE �E iE iE 1E ik 1E iF 3E ik �k iE iE iElF iE iE iF iE 1F 1E 3F iElE iF if 3k iF if 1E 3f iF )t 3E 3t IE iE iE fE iF iE iE iE iE iE ik fE iE 1E dE iE it 3E iF k iE iE iF iE 3f TYPE QTY D E S C R I P T�I O N UNIT COST TOTAL CQST PLU 1' GAS PIPING SYS' Si OUTL-PER OUTLET .50 .50 END OF FEES N u C6NSTRUCTION AND PLANNING - - POO� & SPA - APfRUVALS Permit # Date Inspector AppROVALS Permit # Date Inspector i. Temporary Electrical Service or Pole 52.• Pool & Equipment Location 2.�Soi6Pipe-Undrgrnd. 3ti 53. Steel Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrqrnd. 55. Electrical Bonding 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-Ur�ii tg[aS. f'�ouy 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 & Vent-Final 13. Roof Drains . 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical�Final � 15. Rough Electrical-Conduit 66. $olar System-Final 16. Rough Electric Wiring �-,�-�,lJ 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79^Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20;�Rough Fector'.y Fireplace APPROVALS Permit# 21.JDu�is, 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 O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro ..� j. 26.�T-Bar Ceiling�lStructural) & Monocoat 75. Dry Chemical 27::Frame and Flashing 76. Dry Standpipe ,� , �, 28. Lathing�& Sicling 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Browri Coat 79. FINAL INSPECTION 32:_Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED : T 33�Fin91 Electric �� Notes: 34-Fin�l Heating,& Air Conditioning 35rFinal Gas Pipe%Test 36 Hood or Canopy 37'Final Factory�Fireplace 38._Final Plumbing 39�Water Service,Final 40 � Gas'Ser vice-F i na I �: 41 �Solar pomestic-Final 42•: Backflow Preventer � r >: 43. Backflow Irrigation 44. Landscape I�rigation SYstem r 45. Sound Attenuation 46. Hahdicap Requlations 47.:�FINALSTRUCTURE & BUILDING 48.-FINAL�PLANNING 49. Electric Release to Edison 50. Gai Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � rxaeci aooness: 4 5 3 B ROADWAY OWNEfl'S M1Mt: pAUL CHADWELL FOOHES3: 4 S 3 BROADWAY COSTA MESA CA 92627 �HCH/ENCINEEP: � 7 1 4) 6 4 6- 1 7 4 0 ROORESS: REG.NO.: UNIT: UNI7: PERMITfEE: �OH WILSON ( 714 ) 646-1740 �DOHESS: 4 8 S E 18 TH S T ' COSTA MES'A CA 92627 � LICENSEU CONTppCTOR DECIAMTION: I Aereby atlirm iha[I am licensed unEerproWsions ol C�apter 9(commencing witA Section 7000� o� DiWSion 3 ai lne Business antl Pwiessions CaGe, antl my license is in full lorce anG eftect. cm uc.: 0 2 5 9 6 6 $TpTE LIC.: 3�'� 4 8'� cuss�: }p� � f� � � oate: 5ignaWre: � ✓ • uk"�T" WOBKEBS' t MPENSAT� N �ECLAMTION: I �ere0y atlirm ihat I have a cetlificate al consent to seli-inswe ar a certtlicate of WOMers' Compensation Insurance, or a certitied copY �hereof (Section 3800, LaU. C�. raucrno.:594487 exr.o�re: 04/O1/90 cornrnNr: STATE FUND ' 0 Certitied copy is �arehy fumishe0. � Certitietl caDY is /ilatl with the ciry BUIItlinA Oivision. � Oate: � � � qpplicant: ,7C2�• �Y �� EIIEMPTION FBOM WOXKEBS' COMPENSIITION DECIAHATION: Qhis section neeA nat be com0�� if lAe permit is for one hunOretl (E100) or less�. I ce�ity t�at in the petlormance at ihe wod lor whic� this De�mit is issue0, I s�all nat em0loy any Derwn in any manner so as ro 6ecome suDle�� ro the WaM1ers' Campensation Laws oi Calilamia. Date: SiAnature: NOTICE: If, atter maiang ihis Oeclaration, you s�ou10 become su�ject to ihe WOMers' Compensation pmvisians oi tAe La�or CaEe, you must fatlMvith comply with such pravisians ar this Dermit shall Ga tleeme0 revokeA. CONSTBUC710N LEN�ING pGENtY: I Aereby affirm that thera is a consimction IenAing aAency for t�e De�ormance ai the work tor which lhis Dermitis issued (Seclion 3097. Civ. C�. LENOEB: RUOflES3: . ' � - OWNEP BUILOEP OECIAMTION: I hereDy atfirm t�at I am exempt iram the Coniractors' State License Law for the tollowinp reason (Section 70.31.5 Busineu and Pmfessional Coae: pny ciry of county which reQuires a permit to cansimct, alter, impmve, tlemolis�, or repair any simctur¢, D�or to its issuance, also requir¢5 Ne aDPlicant for sucA Oermit to file a sipned statement that Ae/s�e is Iicense0 pursuant to ihe pravisians of t�e Contracrors' SWte License Law (Chaprer 9(commencing vnt� Sectian 7000) af �ivision 3 al t�e Buaness ana Pmfessions Code) or that he/she is exempt therefrom an0 the basis br t�e allepe0 exemption: My violation oi Section 7031.5 6y any aDPlicanifor a permit suhlects the aDPlicant Io a civi� penalry of nat more Ihan five hunUretl tlollars (55�0). 1, as owner of t�e DmDertY or my employees with waAes as their sole compen5atian, will Ao the woM, antl the O stmcWre is not imenAed or ofleretl lor sale (Section 7044, Business an0 Protessional Code: The Contradors' State License Law - does not applyta an owner of a Dmperty who builas orimproves Nereon, an0 who tloes such work himseli/herself orNrough his or her own emDlayees, provitleOlha[ such improvemenis are not inten0etl ar a11ereU far sale. If, however ihe builAinq or improvement is sold witAin one year oi completion, tAe owner wiil have ihe bur0en ol Dravinp �e/she Ji0 noI GuilE or imprme for Ihe purpose oi sale). I, as awner ol t�e O�Verry, am eeclusively coniractinA �th licensetl con[racrors Io coretmcl ihe pmlect (Sectian 709d, Business ❑ anE Profewions CaUe: The Cantactors' State License Law Uces not aDPy ro an owner ol propeM �o hmlAs or improves Mereon anE who coniracts for suc� prolacts with a coniractor(s) license pursuant to the Cantractars' State License Law�. I am aware tAat D�ooi of tAeir Worker's CompensaUon in5urance sAoulA be pmvi0etl ro me. . �� I am exem0� untler Sectmn: e. a P. C. j (or tAis reason: � � Date: Owner. I Eo �erehy certiry t�at I am awara oi and un4ersUntl I�e requirements ol Califomia Healih an0 Sa(ety COUe Sections 25505, 25533, antl 25534 antl I�at I or any future building occupant will/will not (circle one) neetl to comply with Saitl state co0es and ihe reQuirements tor a permit for wnsiructwn or moAification irom t�e tir Uualiry Manapement Distnct FesiOential consimction applications are exemD� ��om ihese provisions. ' Dah: ApOlicant: - I hert6y certiry ihat I Aave rea7 t�is application antl state ihat the aGove inPormation is conect I aA�ee �o compty with all ciry anE counry ortlinances antl state lavrs relatinq ta �uiltling construction and here6y aut�odze re0resentatives oi t�is ciry to enter upon Ihe above-mentioneE propeM �orinspectlon Durposes. Oate:��_ S�gnaWre: � "�• �� onver's License or Saiai Secunry x: 18a1.a6 W�ire—BuilOing; Green—COEe Enlorcement; Canary—ApPliwn�; Pink—Pevenue; Goltlanrotl—Assesso� CITY OF COSTA MESA - DUILDING PERMST PERM NO; BM 045549 ., PERMIT NO: BM 045544 PLAN CHECK NO: 02103-89 S , GOVT: N.SUPP,: N CUNSTAUCTION TYPE: 5-N PERMIT TYPE: MEC STR PURP05E: ALT JOF! DESCRIPTIUN : INSTALL FACTURY FIREPLACE (ICBO# 3507) SQ FT; 600 . CLAIM VALUE: �600.00 CALC-VALUE: 600.00 GROUP OCC: R-3 / COMMENTS: � ��+tx **+�*�**��+t**+t�r**�*�*�*��x**�r*�r�r*�r�r**it+tx�*��rx��*�r*�r+r*��r*x�+r�**��rr�***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 BUILDING ----------- --------- ACCESSORY BUILDING ---'•------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAFt: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN � PARKING REQ: PROV: PARCEL: 1173J111 ZNE: REF NO: PLANNING NOTES> , � . rt if iE iElF 1E �E k iE iE %if it iF K iE If iF iE IE IF 1f �f iE iE iE iF IF it �F fE iE 3E IE iEfE iE fk iE iE if !! 3E iF1f if ik IflE iF iElf iE 1t iF �F iE iEik �E fk iF 1f �If N� ik k!f ikif iF iE it if ik 1f if iF 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 - DATE: � " � HUILDING APPROVED BY : _ _� DATE: _3�,' 3 g�S9 APPLICATION ISSUED BY: ' ai�� DATE: /�� E'/� iFiFiEiFlkitifiEiliEiEifiFilaEitiEiEiEiF1EiF � �FifiEifiFif�itaFiEaFitiF iFiS'iFiFiFiFitit iFiF1FiE1F1EiEikiE3EiF�IEiFiFiElfiEiFiEiEiEiFlklEikiF�EfE3f�lE1i1kiElkikifkiklFiFiflt�FiFiE�tiEiEiE iF3EiiiFiElFlfifiEiElkiEiF�E3FiE1EfElElEjEiEifiElFlEiElEik LEGALIZATION:N F E E S'U M M A R Y 5TRUCTURAL SEGMENTiY BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMI'P 17.00 6.50 50 25i SMIP/NON-RES PI,AN 11.05 ISSUE FEE 15.00 ' HUILD'ING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 24.00 15.00 11.05 50.05 50.05 .00 REVENUE DIVISION TOTALS--> COLLECTED: 50.05 OVER/SHORT: .00 BLDG PMT PLUMBING F.LECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 17.00 21.50 .50 11.05 iE k iE iE ik iE iE 3F it iE 1E iE 1E IF iE 3f 1f iE if M iE 3E 1E 1E iE iF iE iE if �! If if iE if it if 3F iF iE IE 1E iE if fE iE if iF fE iE 1liF 7F if iE �E iEif if it iFiE iE k 3E iE iE ib if iE iE if 1F iE K 1f iE iE 3f �E I N D I V I D U A L F E E H R E A K D O W N TYPE ()TY . D E S C R•I P T I O N UNIT COST TOTAL COST SFR 600 ALTER BY t�ALUE RESIDENTIAL NOZONE 1.00 600.00 MHC 1 FACTORY FIREPLACE 6.50 6.50 END OF FEES 01 00050667-00050670 T rJ T DATE: 12/28/89 TI11E: 09:06 SC.OS CONSTRUCTION AND PLANNING PV�� & SPA � 'APPROVALS Permit # Date � Inspector qppROVALS Permit # Date Inspector -1. Temporary Electrical Service or Pole;;,; 52. Pool & Equipment Location � r. • ^.: <� 2, �Soil-Pipe�UndrgFnd.1 ;� 7 c.Q . 53. Steel Reinforcement � 3:�Efectrical ConduiflUtility-Uridrgrnd< . 54. Forms -,- sJ-.n. ,�,� "4;�fA'ci�ical Cond�T=t�ndrgrnd." � S . 55. Electrical Bonding �� 5te5teel-ReinforcemenY ��%c 56. Rough Plumbing & Pressure Test � r:;�}��l' n �l.r:�' �6.�E'l�ttr'uaIUFER�rr�d. 57. APPROVALTOCOVER�GUNITE -' :J t': C. - n� Footirags �' - 58. Electrical Conduit-Undrgrnd. � � 8. Foundation , f )l 59. Gas Pipe, O Undrgrnd., Test r� 1' 9. Water Pipe�Undrgrnd. r i 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System �' �� 61. APPROVAL TO DECK � 11. Property Sewer Lin�:& House�Conn4ction �1 62. Backwash & Receptor-Final 12. Sewer Cap :� ;� � 63. Heater & Vent-Final � 13. Roof Drains � f� � � . ;.� '�, ! 64. Plumbing System - Final 14. Rough Plumbing : �? 65. Electrical-Final + 15. Rough Electric8l-Conduit � , 66. Solar System-Final 16. Rough Electric-Wiring 67. Fencing & Access Approval 17. Rough Wiring Sfln 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ,_FIHE �nEPT REQUIREMENT �. .� . k '� f. .� .r, a' � a: -7 u, r, � . n; ^ ;; ' : � . % ' c: - = V u : x �n "nl�l' [�7 x T 1�-�^ 20.�iough Factosy Fiieplace .�� x �,y ��k , nqppR�VALS;��Perrsit# 21.�-'.Du s, i Strt`3ctu` . .. .. , ,r'� � - - 4K. � (E� -y_`� ,'ky_ s � �:* * =70. l�nderg�bu,nd;Hydro x 22.<Ducfs, Ventifatin�'� � '��-, y -7 ' '' -`'�' ''` '�' ` 9i�, r. �� c; p ;-.* .K �71. ProducYPJping OGds OsOil 23.�GarPiprflough & Test � - x ` =' � � k� W -7Z, Underground Fl�li�-' !` � : , r-. t -.i-. ^�'7 �L ts r� -1' r, '1 x - 24.`-'Roof Framin '' : . ..r y- ", C� w ` � ' � , ��'�l �. " �. y 9 n; r.. ,, �;7 #•J3:;Undergrn��Storage;T;ank OGas OOiI� 25._Roo4Sheathing � �: ' '*_ '� ��K 7q;��erheadHydro.�-,'� K r � r �: cc ci T'K r: cV -".: ��-, - a�,-.- 26.L,T�BaI Ceiling (Structural) &'Mortecoat �" �* s; 75��y C..^�errry'cal �� , " - 27 aFrame cd Flashing: `� f .r; ;- :a t;w x 76. Dry Stan�p ipe `'` '� �, .r i Y: 4 ^ C't- 't :" "28. Latfiin ^& S�iin � ` -Q' � � `' ,•�' �: '" * ^ �, 9; 9 c� ��.�;- �� r �•� ••I tyc x 77.-`�-,�FIXED SY�`TEM�FINA6e �- .�'v 29. Insulation v � _, = �• k r, � I � '� 78�FIRE PREV. FINAL �� " _ -, +; *: .i� >: :-� � � x ._, '~30. Drywall-Naifing , _. -x ; � �. „; g HEALTH'DEPT,,.REQUIREMENT G31. Plaster 6rown��Coat� s :"�� r. ' �`��k x 7g, VFINAL INSPECTIOQN �+� � ' - ✓' 'Y � L:' •y I F I ' t f"�� L X.^ _ n• C v � 1� '1 X ��1 i . r� .y_ � `^ ;32^Electricat Power Mgter-,F.,�nal: ;� �'rf, ,{�. �; "80.-FOOD CERTIFI�6ATE IS�UED�. �' v. .; �. . � - � ... :.'335Fina1 ElectriC� +� '-5 �Y * � �� "�`Y �, Nofes: '7 '-'^ �'' �, 'L _� a� :-^ x ti C r-^ 'i �v ti -•' ✓ X � �r'l :Y . ' 1 `K ^, "'.� : .� _ "'34��Finel H�ating& Air_.Cor�ditioniny ' /� �` " � -- �- ' �<t .,, .�, :Tl :1 i ;• p1'�: * J H -�C� y m 35 `Findl Gds Pipe�Testx vu ,• �?: .-� ' �_ +: r '� � ' O�ai'.' x � - : irr ..n-, ,�� -. �36.�1-lood ot�Canopy �,�, "' -' z i k r� � r:c � �_ i,! .--t , ��.. g. �T- :. . �-37.�Final Factory Fireplace:*: t c�H . � y �� - � • �`38:'Finjf Plumbing '' �:.t . � i '� �t: :r. S •:�� . � � G C i., t: t':' i cr X� I 4'IY �K f-iJ J :> 7 'k 'l- "�39-Water S�vice;Final; i; � �,: ; i j ^x x v • , _ .� �,�� +: � - � r�r.; r r.� - T40. �_Gas,�Service-Final "� �'% ="•=-�:' ` � � � ; -��: x: �;o a;.: :,: �: `) F E- r'1 �,� :' �; .:. ' � K 4. �._,41�-Solar po esfic-Final` r i: ` � •.i.r i: ^:i; m �;� � , a. � 42. Backflow Preventei* �� ^ � � '* * ^ ='�" ' �"= ^ . C� x; �l�!-: A: �-' fi X i-7 ['ivR: .i: T f; ' .�?_ fi .. .1. -.� � _ 43. Backflow Irrigatiorip ;r y: s. :� � � ; � • ' - " : � -. : ��-04. Landscape liripati�n Systerr�� i' `^ '� ^ r-' ` '-'a: �' ^ ' ` �`' ""`-: x ;,7 oc �i � tl� � l�; .i: 4 C.; C�:K r L 1�. r.� '� ` f"' �L �., � : `1 R� I�:i.. ti � � * � .�.J -y � T . � ' u S T 45;Sound Qttertuatioct - . .. �.-. Fr, -:;�; � � c CV -o �: �. �,� C46.•Handicap Regulatidns �% '� �~ � � � x 'S �''�• � ��' r-� .: *'�. i �-yc X a: ,-.1N0 C� 'r �,47 `�FIN�AL STR�UCTU�?E & BUI`LDING � " � ' �'� * ' '�`��-' - x = _ �' r, %� �•. �48:TFIP(AL PLANNINPi ' :--`" X ;' (,/i-. � pc a ,�� ; = .r. � ' c:: � r, :!: I !ti �. � CJ .^.i '�' Q �;49��IeCtric-$el@a5eto=Edison , � 1 �•i �j*�,. � .�,_ �; � p � , �.� �-50=Gas;Release to Southem CalifOrrtia Gas Co * ' r ' ��* '' " � ' �'�'�' � -� r', ' « s�� e rts: � j= i.- :, n•, o,� =�57. CERTIFICATEOP'OCCUPANCY ': ';"" " -.' ^.,, _ - ..' `. No. Date S. A. JOB ADDRESS 1}53 $rpgd GENERAL CONTRACTOFt aP rro. u7-332-u LOT IN5PECTIONS OCCUPANCY � DATE 7-23-62 BUILDING PERMIT NO. 175� Z�'• VALUF $ .O TRACT RIRE ZONE D�SCI2IPTION OF WORK PS't1000VED � Signature� DATE GROUAT TYPE Y ZONE R-1 SUBCONTRACTOR ��. �i �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 C08TA MEBA. CALIFORNIA i For Applieanf fo Fill In Compleiely TYpE OR PRINT BUILDING �J O AOORESS J � COSTA MESA. CALI ORNIA ■ MAIL SIAit � LIC. NO. &�ZE (� o � Z z.. OF LOT USE OF EXISTING BLDG. �4� ` HHiBAGK 4N6 PPOM ■ BUILDING TEL. �.� i� �-+y� � NO. OF GLDGe.� xow ew �m DESCRIPiION OF WORK . 9 F E RECEIlIED JUl 2 31962 FINANGE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING � For Office Use Only RECEIPT NO. I}CR !Y ATE pECEIVED DATE 63UED I� � 3��1� I 7- ��L i� y S 3 "-z��,t.c,x�, COSTA MESA. CALIFORNIA APPROVED ZONING ' y' ZO NO. OF 'j U8E OF NEW p/p/J� ��'/ I PIAN6 [_ I BUILOING /'✓rp LEGAL / -� �$ I / (� /IS / DEBGRIPTION V/ . e N„ //7 � 33 z — /� (CENTHP � 7, c�u-o-y-� /-'�-�-�.:-.. I L° .- 1 HEREBV ACKNOWLEDGE TMAT 1 HAVE R6�D TXIB APVLIGTION � TMQ A UNT BHOWN UNDEP VALUATION 19 FOR THE AND BTATE THAT THE pBOVe 19 C AND AGRE6 TO CON. pURPOBE OF EBTABLI6XING A P¢RMIT FHE ONLY. PLY WITH ALl O ANCEB NO A/L�W6 RE ULATINO emLDINo co " VALUATION �U BIGNATURE OF � PERMIT FEE $ ^ PERMITTE ' . ��jjfJJJ rf - / $ � �l � `- PLAN CHECK $ ' / AUTHORIZED AGENT TOTAL FEE � � �+'�l /3>6 - �i`.S CITY OF C TA MESA DEVELOPMENT SERVICESIBUILDING SAFETV RECOP,� PACKA E FOR: �s=�,� � �r�-.�3�� ,t� STREET ADDRE55 � l'a.�s� � WORKDONE � Building Permit �s �� '�'�.5;�� ❑ Certificate of Occupancy ❑ Electrical Release Form ❑ Gas Release Form �Sanitation Fixture Form i � ��/�� Plumbing Permit # t� i or "� VG' Mechanical Permit ��y'� S6•{` LIJ" Electrical Permit #G�� ❑ Reinspection Permit # ❑ Health Department Approval �I/�.,, /RO9i+'* �g Certification Ud� Insulation Certification ❑ Dry Chemical System Certification � Flame Spread Certification r Fire Sprinkler Certification � Soi�s Certification ❑ Special Inspection Certification ❑ Other: Al! Required Documents Include `� Clerk O.K.to Approve C.O. Inspector O.K. to Release C.O. Builtling Ofticlal CMF 1046-30