HomeMy WebLinkAbout2031 CALVERT AVE - Building Permits. . __ _ qpplicanl to fill in all spaces except t�ose within heavY borGer lines anE si9qa11 ap0�opriate tleclarations. _ . , _
' ' ' _ �._ .. .' '
PERMIT TRACT NO. LOT NO.i � UNIT NO..
; CiTv,oF COS7a MESA 'CON TRUCTI �PpERMIT , 3 � ; � i � , ' � i � -. `
Project Address / �-'.• . � . . S � ` � � . � � i i . ' ! _ ,
Applicant'S Mailing ddre55 ' . TYPE OF CONSTRUCTION � NEW ADD. 'ALTERATION REv.AIR ' '
�j '0 CONVERSION� ❑ DEMOLISH. � OTHER_, q,p,# . _ _ _ . ..,�., _ � ,. �..Zone
Owner's Name � , ' Phone�p' � ' - - i � - - , ` � -� �-' � ' � �
� DESCRIPTION OF WORK/USE OF BLDG. - , ,
Address - / � � � .. . � / ' • � • � 1 � i 5 Main Building: . Accessory Building:�.
� TYPEOFPERMIT � GRADING;�OUNDATION � STRUCTURAL � - E Ftont, � � Z
Arch/Eng. � License No. ' , T � ' � � � O
Address ' � � , � � TENANT �� ELECTRICAL_ PLUMBING Q MECHANICAL - 8 Rear � , , , � " , N
Contracror�sNam Phone � OTHER-- - , = .. ....f �. : _ Q. � � �.
I . PROJECT DESCRIPTION �5�. FT. oCCUPANCv
C Right j � N
G
Address (mailing) , �CONSTRUCTION TVPE VACUATION 3 S Left . � ` ' R
City LiCenSe No. ZONE � GRADING CV. VDS. � ACRES � �
LICENSED CONTRACTOR DECLAR.qTION � � - - . P.Ing. R¢f. # . Parking R¢q./PrOvided ' � � E
1 her¢by aftirm tha41 arti licensetl w�tler p�ovlsions o( Cna�ter 9(commencing Remarks: � , � - � , - Planning NOt¢5: � � t M
witn section �000) of Division 3 of the Business antl Professions Cotle, antl ' ' � ' , '
my licensei s in i I� jo e antl eftect. ' pIo ��/, � ' ' ' ' , : .. � • � � ' ; - . � S
^ Licen CI � . ' e �ALI��L� . • . . . . ' . . • _ _ - - �- � � ! � i � ' �_ '
> � Date- Signature _ - PLUMBING i 'FEES = , j
�b WOHKE 5'COMPENSATIONDEC4ARATION BarSink , �ShoWerS �`' � �
1 I hereby affirm that I have a certificate of consen[ to 5elf-insure or a tertifltate �- ' . . ' �' '-. � , .j ELECTRICAL ,-. � . - ,FEES
I � ot Workers' Compensation Insurante, or a certitietl cooY thereof (Section Backflow�Preventer' � ' ' �ServiceSink ' - - � ' " � � ' � 1 - ' , �
� 3800, LaC: � - ' _� I � . -
i : Automatic Washer �' .Transformer .� 15 50 KW.
� 'icy No����^���• ComPanY Backflowlrrigation " .SewerCap = . . - i . ConstructionPoleSub . � 0.50+-KW i � . '
� �titled 4 apy is hereby furnished. ' - . � � � ' ' ' ' = -
� Ce 'f y is filetl with the tltY/�U❑ ' isibn(� � � � '. Bathtubs . Sewer Connection : ' -� ' • ' Cooking Unrt- � / - . . �� . Meter ❑up to_100 amps . .
Date APPlitantCx r,Y �'t. - . - . . . ' .
-� Clarifiers, - � - � ^ � �
EXEMP ION FROM WORKERS' COti1PEN5AT10N DECLARATION $ola� C011ectors . � Dishwasher, -,� � Meter� �Over100 amps
(This section neetl not be completetl if the permit is;for one huntlretl ($100) or � -� ' ' '� ' _
less). � • � Dishwasher. , - -� . Solar Piping - ' � �� Dryers ❑Gas. ❑Electric� = - S6b:Panel� � � � 1 _
I certify thai in the performance oi the work tor which this oerm�t is issuetl, I � ' � • '� ���' � '
snall nol employ any person In any manner'so as to become su0ject to tne Drinking Fountains � Solar Tank Fan. � . '�,
Workers' Compensation Laws of Cal�tornia. . . . . 'MOfOrS �0,1>HP �1'h';$ �
Date - - � Si9nature ' - - Floor Drains' ' �Swimming Pool w/Spa - . � F:A _U. � � ,Inc.Solar 0' 9-15 HP �16�15+ !
i � NOTICE: If, a(termdking'fhis �tlecla�ation. You shoultl become subject�to the^" � , -� . ' - - -' � - - -
Workers' Compen5ation provisions af the Labor Cotle, you must torthwith FIOor5ink5 Urinal � � � ' � ' ' ' '
• comply witn such �,provisions or tnis. permit shall be tleemetl revoketl. i Fixtures` Microwave c
� CONSTRUCTION LENDING�AGENCY , / GaSSCrvic¢ �Outlets � Wdt¢�CI052t � � ` -
1 hereby affirm tnat Inere is a constru�tion lentling aqency tor the performance ' Device Boxes � . Pole Light �
ot [h¢ work for which this permit'is issuetl- ($ection 309]l'Civ. C.) Interceptors a ¢BtC� � OuL12t5 � ' - Ran E �
Lentler's fVame 9 � '
Lentler's Aatlress - "- •- - ��- • ' -' - - Kitchen Sink - -- - arer Service ' � ' - ' ' Switches -'; -� � " ' -' - , "- - . '
OWrvER BUILDER dECLARATION ` ' � ' � . Sign � �
� I hereby affirm thal I am eaempt Hom the Contractor's License Law fOr the LavatOri¢5 . � i AutO-WaSh . , �
+ following reason (Section �031.5 BVsiness antl Protessianal Coae: Any city or � Garbage Disposal Standing Sections
county which requires a permit to construct, alteq improve, tlemolisn or repair P-Trap ' � Laundry Trays Generator �0-5'KW 05-15 KW ' Trash Com actor '
any structure, prior to its issuance, also requires the applicant for such permit P � '
to (ile a signetl statement that he/sM1e is licensetl pursuant to [he prOvisions ot ROOf Dldifl5 ' � . ' � �
� the Contractor'S Lic¢nse Law (Chapter 9:(mmmencin9 with Section 7000) of _ _ , � _
, Division 3 of the Business antl Professions Cotle) o� lha[ he/she is exempt , � _
, therefrom.antl •tne basis for the a1189etl exemption. Any violation of Section . ; , i � . � . i -
�]031.5 by any applicant tor a permit subjectr the applicant to -a civil °
oenalty.of not more than tive huntlretl tlollars ($500). � - , , � - ' t � , � i
' I„ as owner ot the property or my, employees witn wages as their sole Reinspec[ion �Fee ` $15 . � ISsue Fee� ' . $ 3 ; ; �' ' -
� ,npensation, will tlo the woik, antl the structure is not intentletl or offeretl ' '' . Reinspectian Fee _'$15 � Issue Fee ; ' .�$ 3
' r sale, (Section �044, Business a�tl Profeszional Cotle: The Contractor's ; MECHANICAL , FEES
; l.icense: Law tloes not apply to an oWner ot a property who builtls or improves , �
thereon, antl who' tloes. sucn work'himselt/herselt or through his or her own . , r , DEVELOPMENT SERVICES FEQUIREMENTS: , _,
employees, p�ovitled that such improv¢men[5 are no[ Intentletl oi ottered to� Boiler •- Hood�or Typ¢ I ❑ _ ' �� � ,
Zonin A roved B ''- � r"
, sale. It, however, me buiminq or imProvement is soltl within one year of com- ' .-� Canopy Type 11 ❑ � 9 PP Y ' Date
� ple[ion,.the owne� wilLhave the burtlen Ot proving h¢/She tlitl not builtl o� im- DuCt - UndC� G�Ound � . � " � - ' 1-
prova tor the,purpose oi sale).., , . � �Buildin9 Approved By � Date�(�
. � i, as'owner ot the properiy, am exclusively contractin9 with licensetl com Duct -Structural ' Refrigeration System; , ' � ' Application luued By �� � �� ' Date._ /�n�
� tractors t6�construc[ the project (Section 7044, Business antl Protessions Cotle: � � .� . _, __
The contracmr's License Law tloes noc appry to arr'nwner ot properW,who Duct - Ventilating ❑0-100,000 BTU �100,000 BTU � � ', '...SUMMARY OF FEES � • i�,
-� builtls or improves thereon, antl wPo,cOntracts fo� such projects wltn a con- ��� � � - _ ' '
tracmr(s) iicense pursuant to the COntractor's License Law). I am aware tfiat - . BUILDING PERMIT $? SMIP `'-$
i Ezhaust System '❑ MWtiple ❑ System Repair/Alteration �� !
, proot of their Worker's Compen5at�on insurance shoultl-be provltletl to me.. _ PLAN CHECK .$� ' ' PERMIT'
' L7 I am exempt untler Section � _ B. & P. C. for this reason Firepl/Fact. BIt.�IC80 # Fire Dampers -' � ' `' �� ISSUANCE r$^ - ,
- ' PLUMBING . $ �_ � _
Date � � owner - � Heating System & Ducting. .Registers ' -� ` ' _ " � � _ENERG�':P.C., $ < � ' -
� rv � - � ) P�AN CHECK -25%- $
I hereby certify that i have reatl this application ana stzte that the above ❑0.100,OOOBTU �100,OOOBT ' � ' - - •GfiADING � $" �
intormation Is mrrect. I agree to comply with all city antl counry orainances ' ' ��� ) : ELECTRICAL `$? _
�antl state laws relatinq to builtling �onstructlon, antl hereby authorize repre- - � � s� �MICflOFILM' $�
_ sentative5 of'thi5.cit ent r uPon [he above-mentionetl�:p roperty.for . � . � . , � _ PLAN�CHECK 50%_ $ � _ ,_ O
�InSpectlon p r 5 . p ��/R� ' ' ' '
, 1 Si9nature � ' oate_�?� _ / ' . .. � . . . , . � MECHANICAL _ �_ $ TOTAC FEE $ ,
%Drivers'�License or 55 � � Rein4pec[ion Fee $15 � ' � Issue Fee ' , ' $ 3 � PLAN CHECK 25% , $ .
CMF 0865-46, rev. 30/B4 White - Builtling; Canary - Applicanp Pink - Accounting; Goltlenrotl - Assessor ,
CONSTRUCTION AND PLANNING � . . POOL & SPA , -
APPROVALS � Permit# Date Inspector qppROVALS Permit# �Date Inspectl
I
� 1. ,Temporary Electrical Service or Pole � ' 52. Pool & Equipment Location?� ,
2. Soil Pipe-Undrgmd�. 53. Steel Reinforcement ` , �' I
, 3. Electrical Conduit Utility-Undrgrnd. ' 54. Forms � . � ; ,
, 4. Electrical Conduit-Undrgmd. � 55. Electrical Bonding -1= � � I
��
5, Steel Reinforcement 56;'Rough Plumbing & Pressure�Test � ,
,__
6. Electri�cal UFER Grnd. , 57. APPROVALTO�COVER-QUNITE � I
7. Footings , � . 58. ,Electrical Conduit-Undrgrnd:t , I
8. Foundation `' '. . 59. Gas Pipe, O Undrgmd., Tes�i - I
i 9. Water Pipe-Undrgrnd. _ _ 60. Backwash Lines, P-Trap, O'U�ndrgrnd. �
10. Structural Floor System � � 61. APPROVAL`TO DECK � I
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final .. � I
� 12. Sewer Cap - , ' 63. �Heater & Vent-Final ' l
13. Roof Drains_ . 64. Plumbing System - Final � l
14. Rough Plumbing 65. Electrical-Final ' �
15. Rough-Electrical-Conduit � . , 66. Solar System-Final
16. Rough Electric Wiring � � 67. Fencing 8i Access Approval �
17. flough Wiring�Sign� - �� • 68. APPROVED'FOR PLASTERING �
- 18. Rough Electriral-T Bar Ceiling . - 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. FiEQUIREMENT �
� 20. Rough Pactory Fireplace ' APPROVALS Permit # - ' �
21. DuCts, in Struciure . ' 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.StorageTank OGas �❑Oil � � .
25. Roof Sheathing � � � ' �74. Overhead Hydro -
26. T-Bar Ceiling (Structural) & Monocoat . � ' 75: Dry Chemical . -
27. Frame and Flashing --- ' . 76. Dry Standpipe" ' �
28. Lathing & Sid�ing �; � � . 77. FIXED SYSTEM FINAL � �
29. Insulation . 78. FIRE PREV. fINAL �
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT .'L
31. Plaster Brown Coat . ' 79. FINAL INSPECTION • ,
32. Electrical Power MeterFinal ' 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 � . ���/ �j] (_�� � � � � � .
39. Water Service-Final • � ' '
40. Gas Service-Final � � ' � , . �
i�41. Solar pomesticFinal � � - '
42. Backflow Preventer - � . � . "� . �
43. Backflow Irrigation . ` . . . � ' . "
t.
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 _ � - - � ' '
- �- �
. r-y Applicant to fill in all ipaces exeept those within heavY Dortler lines antl si9� all ap�
jY OF COSTA M SA � CONST UCTION PERMIT : PER�v}IT�. �� .TRACT NO. , LOT NO, ��
-Project�Oddress ��L v'e.rT � 6 � � �
' � TVPE OF CONSTRUCTION NEW ADD ALTERATIOIV
AF��icant'S MailingAddress , ❑ CONVERSION ❑ DEMOLISH ❑ OT � �
fOwner'sName / ^'�� - Phone /=? E CRIPTIONOFW RK/USEOFBLD —��a��
Address ��/ �yL Cr� l _�.Q. >S � ��/`f, �Q—� n dv
Arch/Eng. ' ' License No. � ' TVPE OF PERMIT GRaDIrvG LJ FOUrvDA7�Orv ST uCTU
AddreSi � ' . ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
Contractor'sName 'rJ �'1'`� hone��Z-� � �THER ' -n ,
Addresslmailingl�0y� � SdCr.4YY%Q-N�`O PROJECTDESCRIPTION SQ.�FT. dv OCCUPA �
�p CON STRUCTION TVPE VALUATION $ �
City LicenSe No. J_13 I�I ZONE G RADING CU. YDS. ' ACFES_
LiCENSED CONTRACTOR DECLARATIOI`1 �
I nereby affirm that I am licensetl untler pro�isions of Charter 9(commencing Remarks: ' � ' '
with sec[ion ]000) of Division 3 of ttie B�siness antl Professlons Cotle, antl
my Iicense is in f U forCe antl etfect. . � ; ' . '
Licen e Clas � � ns o.
Dat�=� Si9 atnre .
WORKERS' COMPENSHTION DECL ATIO � Ba� Sink ' -
I hereby at}irm tM1ab I M1ave a cer[ifica[e of coP nt to self-insure o� a certiflcate '
of Workers' Compensation Insurance, or a certifietl copy thereof (Section gackflowPreventer ' [
3800, Lab. CJ
Iicy No. CompanY Backflow Irrigation ,
Certifietl copy is'hereby furnishetl. ' ,_. ,
� Certifietl copy Is filetl'with lhe city Builtling Division. „ 62LhLubS ��
Date Applitant
EXEMPTION FROM WORKERS' COMPEN5ATION DECLARATION Clarifiers '�
(TbisSection neetl nat be completetl if the pe�mit is for one huntlretl ($300) or Di5hwa5her �
less). � � .' ,
I certify that in tM1e petfo�mance o( the worl< for which ihis pppa m�t i' uetl, I
snall not employ any person in an ann asj eco� sub ct to Ihe Drinking Fountains �
Worke�C�o�ppF zatiorpi�+s of Ca' or // ,
Date �J�p '�'rf /qgnature��� Floor Drzins "
NOTICE: If, after making thiAtleclaratio ou shotef➢ bec e sub ct to tne. '
Wo�ke�s' Compensation provisions o( the l2bo� 66tle, you must forthwith FloorSinks '
compty with such provisions or Ihis pefmit SM1all be tleemetl rewketl.
CONSTRUCTION LENDING AGENCV , GdSServic2 Outl¢LS
I herety a(firm [hat there is a construction IePtling agency for the performance
of the work for which this permit is issuetl (Section 3097 Civ. C.) Interceptors '
Lentler's Name
.�entler's Adtlress_ . Kitchen Sink .
OWNER BUILDER'DECLARATION '
1 hereby affirm that �I am exempt from the Contractor'S LicenSe Law for tne LdvdtOrieS '
following reason (Section 7031.5 Business antl Professlonal Cotle: Any city�or
counly which requires a petmii to con5truct. alt¢r, improae, tlemolish o� repair p—T�yp
any structure, prlor to itz issuance, also requires tne aDP�icant tor such permit
to file a signetl statement [hat he/she I5 licensetl pur5uant to the provisions of ROOi D�di05
the Contractor's License Law (Chap[er 9(commencin9 with Section 7000) of
Division 3 af the Business antl��Protes5ion5'Cotle) or thaDhe/she�is�exempt - -� - -
therefrom antl the.basi5 for (he allegetl exemption. Any violation of $ection � , ,
]031.5 by any applicant for a petmit subjects the applicant to a civil
oenalty of not more than five.M1untlretl tlollaYs ($500). . :
, 1, as owner ot the property or my ert�P�oYees wi[h waqes'as [hei� sole Reinspection Fee
mpen5a[ion, will tlo'tM1e work, antl the StNcture is not in[endetl o� otferetl
or sale (Section ]044; Business and ,Professional Cotle: Th¢;Contractor's '� .
License Law tloes noLapply to an owner ot d'Property wno builGs or improves
thereon, antl who tloes such wotk himself/he�self o� th�ough hi5 or her own �
employees, provitletl ihat SucM1 improvements are not intentletl or ofteretl fo� BOiIE� . •
sdle. If, howeve�, the builtling or improvemdn[ is soltl within one�yea� of com-
pletiom [he"owner will have the bu�tlen of proving he/she tlitl not builtl or Im- Duct - Unde� G�Ound
prove tor the purpose of sale). , � '
❑ I, as owner of the pro0erty, am exUusivery contracting�witn licensetl con- Duct-Stmctnral ,
iractors to construct the project (SeCtion 7044, Business and Profe55ions Cotle:
The Contractor'S License Law tloes not apPty to an owner of pw0e�ty who Duct - Ventilating •
builtls or improves thereon, and who mntracts for such projects with a wn- -
$hOWEfS _
' ServiceSink
Sewer Cap •
� Sewer Connection '
Solar Collecrors
SolacPiping ' ' '
Solar Tank ��
Swimming Pool w/Spa
Urinal •
' Water Closet
Water Heater
_ �_Water Service
, Auto�Wash � ,
� LaundrvTravs
n
�
A
NO.
REPAIR
A.P. �f`- , `
os,' ,` Main Building:
_ ' .T, Front
B Rear
,q
• C Right,"
�d " ` S Left
. Ping. Ref. # �
Planning Notes:
'. 4237 E/E�/_7 "P�F_ �
_ � Zone
, • Accessory 6uilding: _ •
� - Parking Req./Provi
Automatic Washer - � �
Construction Pole Sub. �
Cooking Unit �- '.
Dishwasher ' ' -
Dryers ❑Gas ��Electric
' F.A.U. . , . .
Fixtures
Device 6oxes
Outlets ,
Switches ` ,
Garbage Disposal
Generator'�0.5 KW �5-15
�$15 _ Issue Fee . ' $ 3
. MECHANICAL � �FEE
�Hood or Type I ❑ . �
, Canopy Type I I ❑ •
tractor(s) ncense pursuant to tne ConVactor's License Law). I am aware that ' Exhaust System ❑ MWtiple �
proof of their Worke�'s Compensation insJrance Shoultl be provitletl to me. _
❑ 1 am exempt untler Section B. & P. C. for thi5 rea5on Fi�Cpl/FBCL BIL IC80 # •
Date Owner Heating System_& Ducting � '
I hereby ceitity�tnat I have�reatl this appl�tation antl state that the above ❑0-100,OOOBTU �100,OOOBT
information is correct.'I agree to com ly with all city antl county ortlinances '
antl state laws relatin9 t building n truction, antl hereby authorize repre- -
sentatives of tyy c o. ter the above-mentioned-prop�e�rt�L for ' �. �
inspectio4,QyK�Q§ - � O � //_ - � '
SignatureV�f a O d`� . .
— Reinspe�ction Fee � $15
.Drivers' License or 5 � �
CMF OB65-46, rev. 10%84
7a-ioo,000slu ❑iao,000sT�
'rystem Repair/Alteration
Fire Dampers �
Registers
% Issue Fee
r_
I Reinspection Fee
—
DEVELOPMENTSER
,2aning Approved By—
Building Approved By
Z
O
N
i
N
G
R
; E
Q
M
T
S
ELECTRICAL ' � � .. - FEES
�' Transformer ❑ 15-50 KW �
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel - � -
Motors O0.1`HP O1'/: - 8
Inc.Solar �9-15 HP��16-15+
Microwave . � �
Pole Light • �
� Sign
Standing Sections
KW Trash Compactor
$15 � � Issue Fee � �• $ 3
REQUIREMENTS: � ^ , �
' SUMMARV OF FEES, �
- BUILDING PERMIT $ � �+•0� ' SMIP, � -$ • S � ^
PLAN CHECK '$ PERMIT ,
PLUMBING+ • $ ISSUANCE � $
� PLAN CHECK � 25% $ ENERGV P.C.- ,$
ELECTRICAL $- GRADING $
' PLAN CHECK .50% $ � MICROFILM $ ��� �J�
MECHANICAL� ' � $ TOTAL FEE $ �n2� '"`
PLANCHECK"-25%'$_ �' � '
i
CONSTRUCTION AND;PLANNING �. .� � ; , POOL�& SPA • '
�" Date : Inspector •� Date Inspect I�
�APPROVALS �'Fermit:# APPROVALS , Permit # � , I
i.r`Temporary Electrical �ervice or�Pole . ' � 52. Pool & Equipment Location � � I
2: �Soil Pipe-Undrgrnd.�� � " 53. Steel Reinforcement l
� 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms � �, ' �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � ' � I
5. Steel�Reinforcement- . �56. Rough Plumbing & Pressure Test , . l
6. Electrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE, I
7_ Footings ' , � , 58: Electrical ConduibUndrgrnd. � . - � I
8. Foundation 4� _ . . � 59. Gas Pipe, O'Undrgrnd., Test ' �
i".
9. Water Pipe-Undrg"rnd+..!-' : � - ; 60. Backwash Lines, P-Trap, O Undrgrnd. I
. .
10. Structural Floor System • 61. APPROVAL TO DECK ,
11. Property Sewer Line & House'Connection - 62. Backwash & Receptor-Final . I
72. Sewer Cap ��• � , � 63. Heater & Vent-Final . ' �
13. Roof Dreins � ' � , 64. Plumbing System - Final . �
14. RoughPlumbing - �� 65. Electiical-Final� ' '
' 15. Rough Elect�iral-Conduit .. � � , 66.- Solar System-Final -
. 16. Rough Electric Wiring� - �" � 67. Fencing & Access Approval . .
� 17: Rough, Wiring Sign � .' i` ' 68. APPROVED FOR PLASTER WG �
78.' Rough Electrical-T Bar Ceiling: � �� , ' 69. P00 VSPA SYSTEMS EINAL ' '
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, ProductPipingOGas DOiI
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 (Struciural) & Monocoat � - , . � , 75. Dry'Chemical . � , '
27. Frame and Flashing ' �' �'• 76. Dry Standpipe '
R'
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: . ' ' F�'
34. Final Heating & Air�Conditioning . , , , � �, i �;;"%
35. Final Gas Pipe-Test � � , _ . . � �
36�Hood or Canopy •
37. Final Factory Fireplace , , �, ; �
38� Final Plumbing - - . � - - '� � " ' �
�•
39. Water Service-Final � ' �.'1� , , - ,
.
,40. Gas Service-Final - . � - �
41. SolarpomesticFinal' - . , - � � . •
42. Backflow Preventer ' . � �: � ` �
43.`�Backflow Irrigation � . , � . " i � �` � . _
�44. Landscape Irrigation System - , ' ��� •' y
45. Sound Attenuation . � , � � . _: r„ ' - � �
46. Handicap Regulations . � , ' , �' - �
•� ,'
47: FINALSTRUCTURE&BUILDING �7 � � - . _ a � " � , �
. '`
48�'Special Requirements Completed ' �f , � .
49 �Electric Release to Edison � . ""' - `"' r, '
50. Gas Release to Southem California Gas Co ' � � �
'51. CERTIFICATE OF OCCUPANCY . ' !� r
No. � Date _ _ _ . � . , � ��
\ OWNE:R EAKER. L.. �. DATE 'j_12-66
YJOB ADDRESS 2031_Calvert Avernie BUILDING PERMIT NO. Q�903
J GLNERAL CONTRACTOR Kool Metal DESCRLPTION OF WOAK P&'ti0 COVOP
AP No.13,9-402-27 LOT TRACT FIRE ZONE VALUE $ SOO.QO
�INSPECTIONS Signature Da[e GROUP J TYPE TV ZONE R-]
Soil I PERMITS ISSUED
r_.,� I�� SUBCONTRACTOR I n�r„ i nr,,..,�.o. � s;o.,�
— In
Final
. ` 25903
COSTA MESA BUILDINCrSAFETY. DEPARTMEM'
P.O. BO% 1200 COSTA MESA� CALIFORNIA 92E28
For Appllmnt ro Ftll In Complefely
TYPE OR PRINT
ADOFiEYY �D3 /
COSTA MESA, CALIFORNIA
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COVERIN6 COVERINO
UY[ ORlYII,DIf�� AND WORK TO BQ P[1�
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1 X6R60Y ACKNOWL{DO[ R�I MAV6 pYD TXI� AP►LIGTON
AND BTAT6 TXAT TN[ A V�/,I9 CORp6CT ANO AOR[L 10 GOY•
PLY WITH wLL CITY O INANCp AMD R�J1:�1N� R�OYUTINY
� AUTHORIZ[DAO[NL
lUL 1L UV �� � � •"
JUL 12-66 00 517A�*�**�5.00
A�PLICATION FOR PERMR
BUILDING .
for Ofilc� U» Only
3a
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f8: NO EAV6 OVERNANO SXALL B6 Ll86 TNAN
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VAWATION �
PBHMIT F86 �
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TOTAL P6fi l�
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 C08TA MEBA. CALIFORNIA
For Applicanf fo Fill In Compleiely
TYPE OR PRINT
ADD E'SS `f'j�� (/:w �_�
COSTA MESA. CALIFORNIA
0
■ ARCHITECT
IOF LOT {�D Y I V�/L I NOWOONBLOTB
FROM
DESCRIPTIOM OF WORK
NO. OF
� XBREBY ACKNOWLEOpE THAT 1' HAVE RBAD THIB MPLIGTION
AND 6TAT¢ iHAT THE ABOVE I6 CORRECi AND AGREE TO COM-
PLV WITH ALl CITY OFIDINANCE9 AND 6TAT6 Lr1W8 PEGULATING
BIJILDINO CONBTRUCTION.
SIGNATURE OF�� aS �
PERMI'fTE
AUTHORIZED AGEN��(.'1✓ - -� '{��`� ,� �
. F�REGEI�ED
OCT 1 ig�
' F�NRNCE DEPT.
CITY Of COSTA iNE�A
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
0.ECEIPT NO. �EI{(I� ��
/ J
! BY I DATE HECHNED�/ ��. DATE 189U6D
otU.7/ C�E�iG�iL-L
COSTA MESA. CALIFORNIA
FIRE
APPROVED ' �
BY DATE
ZONING
ZOf{S _ I I PLA 9F � I BUILDIN6 WI�. wL y� !
T �W
LEOAL /� � � � v � � / �/
UEBCNIPTION
A. P. NO. I � � � �� �
YARDS �EVES
APPROYED .ALLOWED
(CBNTER LINB 8T.) L/
FRONT / s FT. � IN.
R. SIDE y�/l FT. IN.
L.SIDE v FT. � IN.
REAR �/ FT. �- IN.
A�vPROVED��n T— DATE �/ZrJ'/+l
�(Y
/6S6 ��- 5� �L"� -�u "s1 %�"
THE AMOIINT BHOWN UNO VpLl1AT10N 1 FOR TXE
PURP09E OP, ¢BTABLI9XIN0 A PERMiT FEE ONLY.
VALUATION
PERMIT FEE S 6O� ��
$ /`� / /� " ' � PLAN CHECK $ 3 0 � �D n
F
C
TOTAL FEE O. �� ¢