HomeMy WebLinkAbout2701 CANARY DR - Building PermitsCITY OF COSTA MESA � �
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f .� DEVELOPMENT SERVICES DEPARTMENT g g_ p p
� � PERMIT PERMITNUMBER
��
(774) 754-5273 • Fax (714) 754-4856 gUILDING PERMIT T/ FAIR DFIVE, COSTA MESA, CA 92626
Job Address: 2707 CANARY DR
Suite:
Vicinity:
Parcel Nunmber: 13952409
App�icant: BISSISSO, WAEL S
Address: BISSISSO, HADIA B
FOUNTAIN VALLEY,CA
18571 LOS LEONES ST
Owner. BISSISSO, WAEL S
Address BISSISSO, HADIA B
FOUNTAIN VALLEY,CA
18571 LOS LEONES ST
Contracror.
Address:
Arch / Eng :
Address:
Status: ISSUED
Applied: O5/07/1998
Issued: OS/07/1998
Zoning: R1 R1
Phone:
Zip: 92708
Phone:
Zip: 92708
Phone:
Zip:
�icense:
Phone:
Zip:
License:
SCOPE OF PERMIT
65 LIN FT OF 6 FT HIGH BLOCK WALL ON SIDE P/L, LOCATED i6 FT FROM FRONT P/L. 65 LINEAL FEET OF 6 FT
HIGH BLOCK WALL ON REAR PROPERTY LIN .
Plan Check: $64.84
Permit: $99.75
Other: $0.00
Inspection: $0.00
Total: $165.09
SETBACKS
MAINSTRUCTURE Front 20-0
ACCESSORY Front 0- 0
PARKING Existin : C
NOTES:
Rear 20- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
Calc Valuation: So.00
Claimed Valuation: Sa,soo.00
PLANNING R ZONING
Left 5-0 Right
' �eft 0- 0 Right
Proposed: 0
5- 0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
POR INSPECTIONS CALL: (714) 754-5628
►
WORKERS' COMPENSATON DECLARATION:
1 hereby altirm untler penalry ot perjury one ot the tollowing declaretions:
❑ I have entl will maintaln a certificate oi consent to seli-Insure for workero' compen5a0on, es provided for Dy section 3700 ot Ihe Labor Code, for the pertortnance oi the
work for which Ihis permit is issued.
❑ I heve antl will maintein workers' compensalion insurance, es required by saction 3700 ot the Lehor Code, for �he perlortnance ot the work tor which ihis pertnit is issued.
My workers' compensation Insurence carrier end policy number ere:
Cartier: Policy Number.
(lh/s sectlon nee0 nat be complete0 i! the permit is valuetl et one hundretl aollars ($100) or Iess.J
❑ I certify that in the pertormance of ihe work for which this pertnit is issued, I shail not employ any person in any manner so es to become subjact to the workers'
compensetion laws of Californla, end egree thet if I shoultl become subJect to the workers' compensetion provisions of Section 3700 of ihe Lebor Code, I shall fonhwith
comply with these pravisians.
Applicant Signatura: Date:
WARNING: FAILUPE TO SECURE WORKERS' CpAPENSATION COVERAGE IS UNLAW FUl AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNORED
THOUSAND DOLLARE ($100,000), IN ADDIiION TO THE COST OF COA9PENSA?ION, OAMAGES AS PROVIDED FOR IN SECTION 3/0fi OF THE LABOR CODE, INiEREST, AND ATTORNEI"5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ercrm Ihe� I em licensetl untler provislons oi Chapter 9(commencing wlth Section 7000) of Division 3 of the eusiness end Professions Cotle, and my license is in full
torce antl eNect Lic. R Cless q
Coniracrors SignaNre: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby etfirm Ihel there is e consiruction lentling agency for Ihe peAortnance of ihe work for which ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lendefs Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn ihat under penelry ot perJury that I em EXEMP7 FROM 7HE CON7RACTORS LICENSE LAW lar the lollowing reeson (Sec. 7031.5, eusiness and Pratessions
Code: Any city or counry which requires a pertnit to construct, alter, improve, damolish, or repelr any structure, pnor to ils Issuance, also raquires Ihe flpplicam for such permit
to flle e signetl stetemem that he or she is licensed pursuent to the provisions ot the Contractors License Law (C�apter 9(commencing with Section 7000) of Division 3 oi Ihe
Business end Professions Code) or ihet he or she is exempt iheretrom and ihe basis tor ihe elleged exemption. Any violatlon of Section 7031.5 by any epplicant tor e pertnit
subjecis t�e aDGlicant to a civil panalry ol not more than fiva hundretl dollars ($500).):
❑ I, es owner of the properry, or my employees with wages es Iheir sole compensation, WILL DO TME WORK, end ihe structure is not intentled or oHered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property w�o builtls or improves ihereon, entl who does such work
himselt or herself or through his or har own employees, provitletl ihat such improvements are not intended or oflered tor sale. Ii, however, Ihe bullding or Improvement is
�sold within one year of completion, the owner-builder will have ihe burden of proving Ihat ha or she tlid not �uiltl or improve tor purpose of sale.).
I, es owner of t�e property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct ihe project (Sec. 7044, Business and Protessions
Code: The coNrectors licensele w does not epply to an owner ot property who bullds or Impmves thereon, end who contrecis for such project with e con[ractor(s)
license pursuant to the Cor�racro}s License Laws.).
❑ I am exerr�/iLu9c�s .� Business and Professions Code tor this reason:
�Si neture: �r��r ��
9 -,Kv <� �.�'r
Vanticatlon of Ownere�ip 6y (rype of document, i.e. - property la: bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Date:
�_ E:pires:
❑ I hereby certify that no excava[ion five (5) or more teet in tlepth into which a person Is required to descend, will be matle in connectlon with work authodzetl by this
pertnit, antl that no bullding stmcWre, sceHol0ing, talsework, or Aemolition or dismantling Ihereof, will be more then ihirty-six (36) feet high. (Chap. 32, Gfp 2, Art 2, Sec.
341, Title B, Calitomia Administrative Cotle).
❑ As owner-bullder, I will not employ enyone to do work which would require a pertnit from the Division of Induslrlal Sefery, es notetl above, unless such person has a
� permit to do such work from ihe Givision.
Signe�ure:
DiWsion ot Industnal Setety Pertnit Number:
Date:
CERT1flCATE OF COMPLIANCE AND AUfHORVATON OF ENTAV: I certify under penalry ot perjury Ihet I heve read �his application and state that ihe informetion qiven is
correct. I gree to 7pl with'�II s antl ciry ordinances relating to building construction, and auihorize representatives of ihe City ot Costa Mesa �o enter upon the
above-d c� r oses. I agrea not to occupy or ellow occupancy of any builtling authonzed by ihis permit un�il finel inspection.
��
igneNre Of Legal Owner(s) Dete
g}pF,j, INSPELTIONTYPE
1616
1266
200
201
And/Or Authonzed Applicant Dale
Fixed System Finel Fire Prevention
Pool Spa Final
Flnal Re-Roof
Final Block/Retaining Wall
202 ' Final Fectory Fire Place
203 Final Sign
204 Final DemoOtion
�F ��
COOE• INSPECTIONTYPE
206 Finel Mechanical
208 Finel Plumbing
210 Final Electricel -
212 Final Fire Prevention
220 Final Planning Approval
222 FInelSite
250 Flnel Building/Occupency
o�.e It�ALS
24464s - A
, \A
(��$-06�$'L
. ,. �
PARTY WALL AGREEMENT
THIS AGREEMEIJT, made and entered into this ��� day of
Q� �d/_%�__ —, by and between (ia,r�/ 5'• � 5���� ��
F/A9�i�- ?3, �iS3i�0
hereinafter referred to as "LANDOWNER;' and.__����__GC-- ���/�4–
hereinafter referred to as "ADJACENT PROPERTY OWNER"
It is hereby agreed that a party wall will be constructed on the property line
/
between �-.7� 7 £'
�naa�e55
in the City of Costa Mesa, Counfy of Orange, State of California, as per map recorded
in Book �, Page __S_'� ot Miscellaneous Maps, in the office of the County Recorder
of said County. The party •,vall shall be permitted to encroach g,�_�� 6' �—
IN WITNESS WHEREOF, the parties have entered into this Agreement the day and
year first above written.
�DOW� ADJACENT PROPERTY OWNER
�: ���`�
s-s; .ss ����.c.� ,� �'�.0 Q � �
(Signature) . (Signature)
CJ�L �• �si�r�� o� .v�ssiC- R. 5'A�e� a
� ryame (Typed orp� nted) � Name (Typed oi Printed)
l7`l4�ir3- �, � S iS3i� 0 .
2�� �w�� n�� ,���- �s� Z�o� �a-�v �R•_ C�os7�F�MEsa,c,a�
(Address) (Address)
NOTARIZATION RE�UIRED
1906�<6 PLEASE SEE ATI'ACHED
ALI.-PUR POSE ACKNO W LEDGEMENT
CERTIFICATE
CALIFORNIA ALL•PURPOSE ACKNOWLEDGMENT
State of � �� ��� ���
of
�
�
personally appearedl,�..�1�G1 J 'J�.��'�'-�v�"�-'hCA.CLt
Name(s) o� Signer(s)
❑ personally known to me - OR �oved to me on the basis of sa ' factory evidence to be the person(s)
whose name(s) '/are subscribed to the within instrument
and acknowledg me that hefshQ�xecuted the
same in ' heir uthorized capacity(ies), and that by
eir ignature(s) on the instrument the person(s),
,poenn near�v or the en i y upon behaif of which the person(s) acted,
�on.r,�oo�nai�m executed the instrument.
: _� �pu� wac - cavr«nw
a� ca+++v
►Jy Cann Ex�eo hn a. 200�
WITNESS my hand and official seal.
Though the inlormation below is noi required by law, it may prove valuable to persons relying on the document and could prevent
lraudulent removal and reattachment o/ this form to another document.
Description of Attache�Document ��'/��
Title or Type of Dog{ment: �
Document Date: 1'`�'�' /�`" l�� V Number of Pages: _�_
Signer(s) Other Than Named Above: ! litJ 0�
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer
Title(s):
❑ Partner — O Limited ❑ General
❑ Attorney-in-Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing
RIGMTTHUMBPflINT
OF SIGNER
Signer's Name:
❑ Individual
❑ Corporate Officer
Title(s):
❑ Partner — O Limited ❑ General
❑ Attorney-in-Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
�RIGHT THUMBPRINT
OF SIGNER
O 1995 Na�ional Notary Assaciation • 8236 Pemmet Ava., P.O. Boa ]1B4 • Cenoga Park, CA 91309-]184 Protl. No. 590� Reo�dec Call Toll-Free 1-800-8]F682]
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REt10EMt[
TYPICAL
Cement Coping Ootional �
Channel Block With 1�3/8�
Horizontal Top of all
Fences
For Fences 5' or Less
Vert. Bars 3/8" yS at 4' -0" O.C.
For Fences Higher Than 5'
Vert. Bars 3/8"� at 32'" O.C.
Fill Cells Solid With Grout
Where Steel Occurs
Reinforcing Steel Sh��l
Conform to Sec.A-15-39
A.S.T.M.
All Steel to be Lapped
24" or to Code
NATURALGRADE
�wo ain�•�? unns -�-1
CONTINUOUSTOP I
8 BOTTOM �-{
HOi21ZSTEEL MUST 8E TIED IN
1'LA(;E AT TIME OF T�ENCH
INSPECTION.
�
w n
�
�' o
A -� N
u A — —
n
I-�— W' I DT H
p SEE CN�
t BELOW
D.I"e
6�� CONCRETE BLOCK FENCE
GENERAL- NOTES
MORTAR; p�e part Plastic Cement, and
T�ree Paris Sand
GROUT; pne Part Cement TRree ana
One Half Paris S'and
COPING: One Part Cement, Three
Parts Sand
CONCRETE: W¢il M+xed 1:2-I/2:3-I/2
Max. of 7- I/2 Gallens of
Water Per Sack of Cement
GROUT MAY BE POURED FROM THE TOP
OF THE FENCE IN CELLS WHERE STEEL
OCCURS.
CELLS AND AREASOF HORIZONTAL REIN�
FORCEMENT SHALL BE CLEAR, CLEAN &
FREE OF ALL MORTAR DEBRIS, ETC.
�M GF E4RTH7COIH
I/3 THE HEIGTH 0� FENCE
�OW BOTTOM OF FOGT�NG
SCALE: I/2" = I'
FOOTING REQUIREMENTS CHART
WqLL HEIGHT 6� 5 4� � �
WIOTH 14" . . . 14" . . . I2". . 12„
THICKNES$ 10�� . . . . . . . . . . .10" g". g„
DEPTH OF EARTHTOOTH ... 24" 20'�
16".... 12„
SPACING OF EARTHTOOTH. . 12� 14� ... 16�. . 16'
City of Costa Mesa, California
Building Department
r=F'.75ED NOV. B2 .
Aop���ant to till in all spaces exceot tnose within heavy bortler lines ana si9n all appropriate tleclarations.
CITY C}��COSTA MESA CONSTR UCTION PERMIT PERM O� ��� TRACT NO. LOT NO. UNIT NO. A P#.
Pr�jec[ Address a�� � Cannpr'7 lJr. s Main Building:
Applicant'SMailingAddf2s5 755� ��lornPrA-v2'���LO� TYPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR E Ffont
�QY[10. %V� 2� r�sr� � � CONVERSION ❑ DEMOLISH ❑ OTHER � B
Owner'sName ��.lhuP I 'Phone -OESCRIPTIONOFWOFK/USEOFBLDG. Fear
Address sr+�''n< a S - � �io✓�Fi
Arch/Eng.� LicenS¢ Na. �� �� � - TVPE OF PERMIT GRADING FOUNDATION STRVCTURAL
Address �p ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL
ConVectOr'SNam �'a—Li C Qo0 �n hOne 6' �00 �OTHER -
v /1 PROJECT DESCRIPTION Sa.FT. - oCCUPnNCV
Addfe551mailing) %SS� ��%O/Il(/' I/G �uro�Qil� V0.�• CONSTRUCTIONTVPE � VALUATION$ .SCf2
vvy�i ,
City License No. � ZONE GRADING CU. VDS. ACRE$_
LICENSED CONTRACTOR DECLARATION
1 hereby affirm [ha[ I am licensetl untler provision5 0/ Chdrte� 9(commencing
with section ]000) of Division 3 ot the Business antl Protesslons Cotle, antl
my license is in full force anC effect. ' S��i ��s
�License Class Licen e No.
Date 6�/� R� 5'9 t ) qR�� v+'�.O-.✓
WORKERS' GOMPENSATION DECLARATION
I hereby atfirm that I have a certificate of consent to self-insure or a certificate
`� of Workers' Compensation Insurance, or a certifietl copy thereof (Section
( �\ 3800, Lab. CJ '/ '/ / /�
V� ilicY No. I�YZOy� — g� ComPanY � SYs1tc �NH�
�Ce�tilietl copY is he�eby furnishetl.
Certi/i tl m is iiletl with the city Buil ing Division.
[e APO�icant � �a✓�—
EXEMP 10--�RKERS' COMPENSATION DE�RATION
(Thi55eclion neetl not be completetl it the permit i5 for on¢ huntlretl ($100) o� �
less).
1 certify tha[ �in the performance of the work Por which thi5 p¢rm�t i5 i55u¢tl, I
shall not employ any person in any manner so as to betome subject to the
Workers' Compensation Laws of California.
Date Si9nature
NOTICE: It, atter making this tlecla�ation, you Shoultl b¢cOme subject to the
Workers' Compensation provisions of the Labor Cotle, you must forthwith
comply with such provisions or this permit. shall be deemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 bereby aHirm that tM1ere �is a construction lentling agency (or the performance
of the work for which ihis permit is issuetl (Section 309� Civ. C.)
Lentler's Name
�entler's Atltlress
OWNER BUILDER DECLARATION -
1 hereby affirm Ihat I am exempt trom the Contractor's License Law for the
followin9 reason (Section 7031.5 Business antl Professional Cotle: Any city or
counry whicfi requires a permit to construct, alter, improva, tlemolish or repair
any st�uctur¢, p�lo� to Its i55udnce, also requires-tba applicant to� such pe�mit
to file a signetl SWtement that he/5M1e is IitenSetl�pur5udnt to the prOvlsions oT
the Contractor'S License Law (Chapter 9(commencing with Section 7000) of
Division 3' of the Business antl Professions Code) or tnat he/she is exempt
tM1eretrom antl Ihe basi5 tOr the alle9etl ezemption. Any violatiOn of $ection
n7031.5 by any ap0�icant tor a p¢/mit subjeGts the appliCant to a civil
�enalty of no[ more than five huntlretl tlollars (g500).
� I,.as owner of lhe property.or my employees with wage5 as thelr sole
.ompen5ation, will tlo Ihe work, antl the st�ucture is not intentletl o� otteretl
for sale (Section 7044, Business antl Pro(ezsional Cotle: The Contrac[or's
License Law tlo¢5 not apply to an owne� of a p�op¢rty wlto bulltl5 O� improve5
thereon; antl wM10 tloes such work himself/M1erself or tbrough his or her own
employees, proviAetl Ihat such improvements are no[ intendetl or offeretl tor
sale. It, however, the builtling or improvement iz soltl within one year of com-
pletion, the owner wilPM1ave the burtlen of proving he/she tlitl not builtl or im-
prove�for the purpose of sale).
❑ I, �as'owner of the property, am exclusively contractlng with Ilcensetl con-
tractorsto construct [he pro�ect (Section �044, Business antl Professions Cotle:
The Contractor's License Law tloes not apply to an owner of proper[y who
builtls or improves tnereon. antl who contracts tor such oroiects wlth a r.on-
tractor(51 hcense pursuan[ m me Contractor's License Law). I am aware tha[
proot of their Worke�'S Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C. tor tnis reason
Date � � Owner
I hereby certity that I have reatl this application antl state that the atiove
Intormation is correct. 1 a9ree to comply with all city antl county ortlinances
antl state laws relating to builtling <onstruction, antl hereby authorize repre-
sentatives of this city• to enter, upon the above-mentionetl property for
ins0ection purpos s. � 8S
Signdture �� ' ' Date
Drivers' Li < .,
0865-46, rev. 5/88 White
Remarks: �eYZ2��G
Bar Sink
Backflow Preventer
Backflow Irrigation
Drinking Fou
Floor Drains
Floor Sinks
Gas Service
Interceptors'
Kitchen Sink
Lavatories
P–Trap
Roof Drains
Reinspection Fee
Outlets
$15
Duct-UnderGround
Duct-Structural '
Duct - Ventilating
Exhaust System ❑ Multiple
Firepl/Fact. Blt. ICBO #
Heating System & Duccing �
� U7 00,000 BTU � 100,000
Reinspection Fee I $75
: Canary - Applicant; Pink - Atcounting; Goltlenrotl - A55e55or
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar 7ank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Isue Fee
Hood or Type I ❑
Canopy Typell ❑
Refrigeration System ' •
❑o-ioo,000sru ❑ioo,000
System Repair/Alteration �
Fire Dampers
Issue Fee
FEES
$ 3
$ 3
A
C Right
K
g Left
Ping. Ref. #
Planning Notes:
Zone
Accessory Building:
2
O
N
�
N
G
R
Parking Req./Provided E
Q
M
T
S.
ELECTRICAL
Automatic Washer Transformer �� 15-50 KW �
Construction Pole Sub. � 50 + KW
CookingUnit Meter ❑upto100amps '
Dishwasher � Meter ❑overi00amps
Dryers ❑Gas ❑Electric Sub Panel '
Fan Motors �0.7 HP 01 h- 8
F.A.U. " IncSolar 09-75 HP �16-15+
Fixtures � Microwave . .
Device Boxes Pole Light
Outlets Fange, .
Switches Sign
Garbage Disposal Standing Sections
Generamr �G5 KW 05-15 KW Tresh Compactor
Reinspection Fee �$75 � � luue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zoning Approved By
Building Approved By
SUM�FjVf,�F
BUILDING PERMIT $ �l 0���
PLAN CHECK $ �
PLUMBING $
PLAN CHECK 25% $
ELECTRICAL $
PLAN�CHECK ' S0% $
MECHANICAL � $
PLAN CHECK 25% $ '
FEES
$ 3
ES r
SMIP � $ �, ..7
PERMIT
ISSUANCE $
ENERGV P.C. $
GRADING $
MICROFILM $
TOTALFEE $� /iS
ni 0000io�o-0000�a�� .;t�-�. �t.�c
+..
�\
� � .
;CONSTRUC7�ON AND PLANNING POOL & .
. � Date Inspector Date Inspector
,' APPROVALS Permit # � APPROVALS Permit #
i. TemporarwElectrical Service or Pole � 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.: �' . ' 53. Steel Reinforcement '
.�
3. Electrical Conduit Utility-Undrgrnd. 54. Forms ;
4. Electrical Condui{-Undr.grnd. ,� 55. Electrical Bonding �
i
5. Steel Reinforcement � ' 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. ; .�' 57. APPROVAL TO COVER-GUNITE '
7. Footi:ngs ' �; 58. Electrical Conduit�Undrgrnd. ��
8. Foundation -� � ,, � 59. Gas Pipe, O Undrgrnd., Test �
, .,
9. Water Pipe-UnBrgrnd. �. ,. " 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
17. Property Sewer Llne•& House Conrigction . "' 62. Backwash & Receptor-Final
12. Sewer Cap �• , ' ; 63. Heater & Vent-Final :
13. Roof Drains I� � 64. Plumbing System - Final '
14. Rough Plumbing _ ' 65. Electrical-final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
%.17�. Rough Wiring Sign 68. APPROVED FOR PLASTERING
� 78. Rough Electrical-T Bar Ceiling 69. POOL(SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
'27. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating � " 71. Product Piping � Gas ❑ Oil
23. Gas Pipe-Rough & Test , 72. Underground Flush �
24. Roof Framing , ' 73. Undergrnd. Storage Tank � Gas ❑ 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 & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat � 79. FINAL�WSPECTION
32. Electrical Power Meter-Final' 80. FOOD CERTIFICATE ISSUED
33. Final Electric �. Notes: S�� �� V 02 O 6
34. Final Heating & Air Conditioning f'j-N
35. Final Gas Pipe-Test
36. Hood or CanoPY
37. Final Factory Fireplace
38. Final Plumbir�g
39. Water Service-Final
40. Gas Service-Final
41. Solar pomestic-Final
42. Backflow Preventer
i .
43. Backflow Irrigation
44. landscape Ir�igation System ''�
45. Sound Attenuation �. �f
46. Handicap Re9ulations
47. FINAL STRUCTURE & BUILDING /�p V��-
48. Soer,ial Requirements Completed
49. Electric Release to Edison ,-�
50. Gas Release to Southern California Gas Co .'� .
,I
; 51. CERTIFICA7E OF OCCUPANCY '
' ,� , �
� ,Np. Date �
�1 �; �44�
�OSTA MESA BUILDINGSAFEf1' DEPARTMEMT
P.O. BOk ]t] COSTA M68A, GALIFORNIA
For Applicant to Fill In Completaly
TYPE OR PRINT
BUILDING � �
ADDRESS �L�/� O / �
/
COSTA MESA, CALIFOR IA
OWNER I C � 5.��3�td�u�rz� d-uL
MAIL —. s�_ n.. _ . / _ i�
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DESCRIPTION OF WORK
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PLY WITH �LL C�Ty OROIIUNC80 AND �TATe LAWY q60U4�Tlryp
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//`� T
AUTHORIZHD q6BN//
NOTE:
VAROBAPPROVED
MAIN BUILDINO
DIHTANCE
MAIN BLOi
VAR. $t
BHALL BE LEBS TMAN
VARDSAPPROVED
ACCESSORY BUILDIN6
DATE
n
aG.FT. °
THE AMOUNT BXOWN UNOeR VALUAT�ON IB FOp TM8 =
PURP066 OP HBTABL�BXINO A PERMIT F68 ONLY. �
VALUATION � m
PERMIT FEE �� «
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Lot 39
Tr.5.i81 �4�0�
£OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BO% pl] COBTA MHBA,CALIFORNIA
s..����■
ior Applicont to F)11 In Complefely
TYPE OR PRINT
AD R�s"s 2 Ol Canar Drive
COS7A MESA, CALIFORNIA
FIRH
arr COS�a MeSa No�490395 zone
y+ APPR�
OR EN'GINEBW+. G. Kaltenbadt No�5478046 ar
ADDRE53 1823 E. 17th St. Santa Ana
o [
,-..Nroe,t�oPemba Subdividers, Inc.
CITY �e C'�STA �lESA
MAY 11 1965
APPLICATION FOR PERMf
� �l�c$"ai�nly
R[C61tT NO.
731� i+`o`.' 5490395 90'TO61�E@REARP
I EAVE9
60x96 r"�°owor'�LDo°r°' 0 ALLOWEO
YARD9APPROVED
. _ _ MAIN BUILDINC
RM �+� � REAR VARD 19 t
EP"� rJl I RIGHT 57
DFSCRIPTION OF WORK
x I., r�e.,,.... � I� ......�,,... �
RO MH 11 STORIEB 2
1 XBREBY ACKNOW�gDOB THAT 1 HAVB RH�p THIB APPLIC�TION
ANO BTATB TXAT THH ABOYE 18 CONAHCT AND AOR88 TD COM.
PLY WITH �LL C�TT OqOINANC[H ANO �T�Tt LAWB q6OULATINa
OUILDING CONeTRUR�ON
SIGNATURE OP r
PERMITTfi / �fiu� •L s'�-
AUTHORIZBD A6F1 7
DIBTA❑
MAIN B
VAR. SF
i%I:TT:L�:
� „ �
o•reisaue[
BHALL BE LE39 THAN
YARDSAPPFOVED
ACCESSORYBUILDINO
DATE
G
3A0 so.�. l oo"� ��a��,►%
TNH AMOUNT SXOWN UND6P VALIIATIOH �B FOH TH8
PUNP09H OF iBTABLI6XIN0 A PBqMIT FH8 ONLY.
s 3 I, 7 B o
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.
ve
or
Forms ❑ Steel
BUILDING PEFLMIT NO.
DESCRIPTiON OF
1 FIRE `LONE VALI
Date GROUP J TYPE
SUBCONTAACTOR