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Home My WebLink About3139 CANADIAN DR - Building Permits� (714) 754-5273 • Fax (714) 754d856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 3139 CANADIAN DR Suite No Vicinity: Parcel Number: 14752115 Applicant: FOSSELL-FISLER, LINDA S Address: 3139 CANADIAN DR COS7A MESA, CA � Owner: FOSSELL-FISLER, LINDA S Address: 3139 CANADIAN pR COSTA MESA, CA Contraotoc OWNER-BUILDER Address: REPALCE FAU <100K BTU. Quantity ISSUE FEE In54�.FAU <100 k BTU Inst FAU >100 k 8TU Repair/Alt CoolingMeat InsU Rep. Recess Wall Htr Refrig Sys <100 k BTU � Refrig Sys >100 k BTU Gas Piping - Factory fireplace Hood w/Mech Exhaust VAV Box Vent Fan I Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocale Appl Vent Air Handlers < t0000cfm AirHandlers> t0000cfm Floor Furnace Floor or Suspend Heater - 523.50 $14.80 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 SD.00 50.00 50.00 50.00 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Q 0 ISSUED BY: Phone: 714-641-5886 2ip: 92626-3004 Phone: 714-641-5886 Zip: 92626-3004 Phone: Zip: License: 000000 SCOPE OF PERMIT FEESUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeretion Unit Ventillation System Evaporative Cooler Commercia l I ncinerato r Domestic Incinerator Comoressois I Absorotion Svstems Up to 3 hp / � 00 k BTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hplOver 1,750 BTU Boilers Up to 3 hp 3To15hp 15 to 30 hp 30 to 50 hp _ _ _ Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 10/31/2005 Issued: 70/31/2005 Quantiry $0.00 0 $0.00 0 $0.00 ` 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 $0.00 $0.00 538.30 RRi P __. __�_ ____ NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 780 days, or if work is suspended or abandoned for a period of i8Q days. lNSPEC710NS: In order tor the woAc authorized under this permN to be considered legal, such woilc must comply with all applicable codes, arM ell requlred Inapeetions entl flnel epproval must be obtained. Fallure to obtain Inspections end final approvel will result in the expiretion of ihis permit. FOR INSPECTIONS CALL: (714) 7545828 . . _„T,._,.r ,--.- .. [e+o+e tawl WORKERS'COMPENSAnON DECLARAnON: � � � \ I herehy aHirm undef penalry ot perjury one of the tollowing Oeclarations: ❑ I have antl wlll maintain a certificate oi wnsent to self-Insure tor workers' compensetlon, es provided tor by section 3700 ot the Labor Code, lor Ih�peAarpance of the work tor which IhiS pertnit is issued. ` ❑ I have and will main�ain workers' compensation Insurance, as required by section 3700 oi Ihe Lahor Code, for t�e pedortnance oi the work for which this permit Is luued. My workers' compensation Insurence carder entl policy numbar ere: Cerrier. Policy Num�er. (Th/s secNon neetl not be complefed i! fhe permit Is velued a( one hundred dollars ($100J or less.) ❑ I certiry thel In the peAormance of the work tor which this permit is issued, I shall not employ any person in eny manner so as Io become sublect to the workers' compensatlon laws of Celifomie, end agree that if I shoultl become sub�ect to the workers' compensetlon provisions of Section 3700 0l the Lebor Code, I shell forthwit� comply with thOse provisions. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEPAGE IS UNLAWFUL rWD SHALL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES ANDGVIL FlNES UP TOONE MUNDRED T/IOUSAND OOLLARE (5100.OW), IN ADDITION TO THE COST OF COMPENSATIqJ, �AMAGES A$ PROVIDED FOR IN SECTION 3]Og OF THE UBOR COOE, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATON: 1 hereby ettirtn that 1 am licensed unde� provlsions at Chapteo 9(commencing wlth Section 7000) ot Division 3 of iha Business arM Professions Cotle, and my licanse Is in tull force end effecc Lic. M Cless x Contractor's Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aMirtn Ihat there is a construction lentling agency tor the pedormance ol the work lor which ihis pertnit is issue0. (Sec. 3097, Civil Code). Lendafs Name: Lentler's Address: Signature: Date: OWNER•BUILDEH DECLARATONS: I hereby eHlrtn that under penalry ol perjury Ihet I am EXEMPT FROM THE CONTFiACTOfiS LICENSE LAW for the following reason (Sec. 7031.5, Business enC Professions Code: Any ciry or coVnry which requires e permit to construct, alter, improva, tlemolish, or repair eny siructure, pnor to its issuance, also requires the aDP�icant far such pertnit ta file e signetl stetement that he ar she Is Ilcensed pureuant m the pmvlsions oi the Contractors License Lew (Chepter 8(commencing with SecUan 7000) of DiNslon 3 of the eusiness end Professions Code) or that he or she is exempt therefrom end the basis Por the elleged ezemption. Any vialetion oi Section 7031.5 Dy eny epplicant for e pertnit subjects ihe epplicen� to e civil penalry of not more then five hundred tlollers ($500).): ❑ I, es owner oi Ne property, or my employees wlih wages as their sole wmpenseNon, WILL DO THE WORK, end the stmctura Is not Intended o� oNered tor sele (Sec. 7044, Business and Professions Code: The Co�iractors License Lew tloos not apply to an owner of proparty who builds or improves Ihereon, entl who tloes such work himself or �erealf or �hrough hls or her own employees, provided Ihat such improvements ere not Intentletl or oflered for sale. Ii, however, the building or improvement is J sold wit�in one year of comDletion, the owner-builder will have the burden of proving �hat he or she did no� build or Impmve for purpose ot sale.). �Q I, as owner oi t�e properry, em EXCLUSIVELV CONTAACTNG WITH LICENSED CONTRACTORS to construcl the projett (Sec. 70d4, BuSiness and Profassions -\ Code: The cant�actore License Lew tloes not eppty to an ownar ol property who builtls ar Improves thereon, antl w�o contracts for such projecl with a contrector(s) license pursuenl to the Camrectors Ucense Lews.). ❑ ezempt der c. � Business and Protessions Code br this reason: netu . � � Owner ID vanfietl by drivers license. es ❑ No Dnv icens o. �� Verifica�ion of Ownarship by (type of Oau�i.e. - praperty teu bill or dead): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I he�eby cenity that no excavellon flve (5) or more fee� in depth Into which e pereon is required to descentl, wlll be maae in connection with worN authorizad by Ihis permil, and �ha� no building slrucWre, scaHolding, falsework, or demolition or tlismantling thereot, will ba more lhan thirty-six (36) teet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Title e, Califomia Atlminisirative Codej. ❑ As owner-bullda4 � wlll not employ anyone to tlo work which would require e pertnit from iha Division at Indusiriel Safery, es noted above, UNess such person hes e pertnit ro do suCh work irom the tlivision. SignaWre: Data: Division oi Industrial Safery Pertnit Number: CQOE t. INSPECTIONTYPE 1616 1266 200 201 202 203 FI%ed SysteR� Final Fire Provention Pool Spe Fi�al , Final Ra-Root Final Block/Retaining Well Final Fec�ory Fire Place Finel Sign 204 Final Demolilion DATE It�9�5 CODE� MSPECTONTYiE 206 Flnal Mechenical 208 Flnel. Plumbing 210 Finel Electricel 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 � Flnal Building/Occupancy (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3139 CANADIAN DR Suite No Vicinity: Parcel Nunmber: 14152115 Applicant: SZABO, KEVIN Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY Owner: FOSSELL-FISLER, LINDA S Address 3139 CANADIAN DR COSTA MESA, CA PLUMBING PERMIT Phone: p14) 241-1414 Zip: 92708 Phone: Zip: 92626-3004 Contractor: COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect pce,Soda,etc) Dental Unils Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve FOUNTAIN VALLEY WATER HEATER CHANGE OUT. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Phone: (714)241-1414 Zip: 92708 License: 529127 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY QTY AMT Laundry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 � P-Trap $0.00 0 Pressure Regulator $0.00 0 ' Process Piping (per 10 R) $0.00 0 � Receptors $0.00 0 Septic Tank $0.00 0 �SewerCapforDemo $0.00 0 Sewer Connecl $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 � Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED �Applied: 08/O6/2004 Issued: 08/06/2004 ISSUED BY: SumpPump Swimming Pool Trap Primer Unnal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) 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 tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetlons and ilnel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8 (&00) WORKERS'COMPENSAnONDECLARAnON: - ' I hereby affirm under penalry ot perjury one ot the following tleclarations: � .. ❑ I have antl will malntain e certifirate of consent to self-Insure for workers' compensation, es provided Por by section 3700 of ihe Leba Code, for the pertormence of Ihe tor which this permit is issued. I have and will maintain workers' tompensation insurance, es required by section 3700 of the Labor Code, for the peRortnance of the work for which this Dertnit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier: Pollcy Number. (TAis secfion need not be comploted il the permit is valued et one huntlred tlollars ($100) or IessJ �I ceeity that in the pertortnance i the �� c for which Ihis permit is issued, I shall not employ eny pareon in eny manner so as to beco subjact to ihe workers' compensation laws ot Cal�lorn' , antl a that it I should become subject b the workers' compensation provisions of Section 37 ihe Lab r Cotle, I s all forthwith camply with Ihese provisio�s Applicant Signetura: O �/ Date: WARNING: FAILURE TO SECURE WOFK RS' CA ENSATION CAVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CI IL FlNES U TOONE HUNDRED iF10USAND DOLLARE (5100,000). IN A��ITIqJ TO THE dJST OF CAMPENSATIqJ, DAMAGES FS PROVIOED FOR IN SECTION 3]O60F THE LABOF CODE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirtn ihat I am licensed under pr visic force entl eHea. Lic. # � Comrector's SlgnaNre: CONSTRUCTION LENDING AGENCY: of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Prolessions Code, antl my license is in full Class # _ � Dete: P n 9�h ❑ I hereby aHirtn Ihat there is a cons�ruction lending agency tor the peAormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: Signeture: OWNER-BUILDER DECLARATIONS: Dete: I hereby aHirm thal under penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Coda: Any city or counly which requires e parmit to construct, alter, improve, demolish, or repair any siructure, prior to its issuance, also requires Ihe applicant tor such pertnit to tlle a signed statement that he or she is licensed pursuent ro the provisions of the Contractors License Ww (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 ot the Business and Professions Code) or that he or she is eaempt iherefrom end ihe basis for the allegetl e:emption. Any violatlon ot Section 7031.5 by any epplicant for a permit subfecis lhe applicant to e civil penelty oi not more then five huntlretl tlollars ($500).): ❑ I, as ownar of the property, or my employees with wages es their sole compensation, WILL DO THE WORK, antl the s�ructure Is not intentletl or offered for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law does no� apply to an owner of properry who builds or improves thereon, and who does such work himself or herseN or �hrough his or her own employees, provitletl �het such improvemenis ere not intendetl or oHered for sale. If, however, ihe building or improvemant is sold within one year of completion, ihe owner-builtler will heve Ihe burden of proving that he or she did not build or improve for puryose of sale.). � ❑ 1, as owner ot the properry, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRAC70R5 ro construct tha project (Sec. 7044, Business and Professions Cotle: The coniredors License Law does not epply to an owner of pmperty who huilds or Improves thereon, end who contracis for such project with a contrector(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verified by dnver's license. ❑ Ves ❑ No Driver's License No. Ezpires: Venfication of Ownership Dy (type af dxument, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no exwva�ion five (5) or more taet in depth into which a parson is required to descend, will be mede in connedion with work euthonzed by ihis permit, and that no building sirucNre, scattoltling, talsework, or demolition or dismantling thereof, will be more �han ihirry-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitomie Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from the Oivision of Industnal Sefery, as noted above, unless such person has e pertnit to da such work irom the divisian. � SignaWre: Date: Division of Industnal Safery Pertnit Number: ICERTIFlCATE OF COMPLIANCE AND AUiHORVATON OF ENTAY: I certity under penalry of peryury that I have read this application and state that the information given is I correct. I agree to comply with all state laws end city ordinances relating to building constmction, antl authorize representetives of Ihe City of Costa Mesa to en�er upon Ihe above-described propetly tor inspection puryoses. I egree not to occupy or allow occupancy of any building authorized by Ihis permi� unti� tinal inspection. COOEN, INSVECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 203 Final Factory Fire Place Final Sign 204 Finel Demolition QA'j� INTRIALS � � 7 Date CODE� INSPEGTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Flnal Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency LA7E INTIfIRLS PflO1ECTR0�BE55: 3�.3(3 CANADTAN DR OI�INEWSNFME: FQSSELL, LINDA SUSAN AOOflESS: �539 CANADIAN DR ;� COSTA ,'�1ESA,CA 92626 r PBCM/ENGINEEB: 4�-i — 1 7?'7 AEG.NO.: FOOHESS: uxiT: UNIT: PEPMITTEE: SCTMMIT ROOF'ING ( 714 ) 858-0383 aooaess: z049:' SYCAMORE TRAB[JCO CANYON CA 92678 LICENSEO LONTPpCTOB DECtAflRTION: I hereby allirm that I am licensea un0er pmvisions ol Chapler 9(commencing wilh Seciion 7000� ol �mision 3 0� Ihe Business antl Pmfessions Cotle. anG my license is in full force ane effect. cirr uc.: 0 4 i 8 6 0 STFTE LIC.: /QA' 519/p� cuss/:�/(' _ . � �a�e'. �i ^2 i — % � i u^na�ure�' �__ / /��..C�—� d. =.s WOflNEHS' LOMPENSRTION �ECLABFTION: I here�y a i�� rm Ihal I have a cetli�icaie ot Cons n� to Selbinsure 1a cefiifiCate ol Workers' Compensation Insurance, or a certiiietl covY �hereol �Section 3800, Lab. C). roucrNo.: z85• 91IlNIT00445 E%P.DRTE: OI IO� I93 comrar+v: STATE FUND '' ❑ Cerlifie0 copy is hereEy Wmi5he0. � rti�i¢tl tapy i5 liled wi�� Ihe ti�y BUiltling Division. IDale: — — APDlican�:.��1� � O e�.�. � 'EMPTION FPOM WOBNEflS' fAM7ENSATION OECURRTION: (This section neea not be cample�eU i� Ihe permi� is r one Auntlred �8100) or less�. ,:enily 1�at in Ihe pedormance oi the wark �or which ihis permit is issued, I shall no� employ any person in any manner so as �o become suble�� o Ne Workers' Compensation Laws ol Galitamia. �a�e: Signature: NOTICE: II. afler makmg this declaration, you should 6ecome suDle�� o ihe Workers' Compensation provisions oi the Lahor CoOe. you must Iorthwiih comply wi�h such pmvisions or IN5 permi� s�all De deemetl revoked. CONSTflOCTION LENOING RGENLY: I hereby anirm t�at there is a con5lrucimn lentling agency for �he peAormance o� the work for which Ihis permi� is issuetl (Section 30W. Civ. C). LENOEN: aooness: OWNEB BWLOEB OECUNATION: 1 hereby attirm Ihai I am exemp� irom ihe Contracrors' S�a�e License Law for the tollowing reason �Sectian 7031.5 Business ana Pm�essional Coae: Any ci�y ol counry whic� requires a permit Io con5imct, aller, improve, demolish, or repair any simc�ure, prior Io its issuance, alsa requires Ihe applican� �or such permi� Io lile a signetl s�alemen� �hai he/she is Iicense0 pursuant m Ine Dmvisions of the Comractors' S�a�e License Law (ChaD�er 9(commencing with Section 7000) of Division 3 of �he Business an0 Pmiessions Cotle� or ihat he/s�e is erempi Iherelrom an0 ihe basis �or ihe allegeU exemp�ion. Any violation ol Section 7031.5 by any applican� �ar a De�mil sub�ects the apDlican� �o a ciNl penalty o� not more �han five hunaretl tlollars �5500�. I, as owner o� I�e property or my employees wi�h wages as their sole comp¢nsation, will do �he wo�k, and lhe ❑ simaure is noi imen0etl ar oiferetl for sale (Seclion 7044, Busines5 and Pmfeuional Cotle: ihe Conirac�ors' State License Law Ooes no� apply lo an owner o� a pmpeny who bui105 or impmv¢5 ihereon, and who Ooes such woB himsel�/hersell or thmugA his or her awn employees, provitled tha� such impmvements are no� in�entletl or oiterea lor sale. Ii, however the building or impmvement is sold wil�in one year of comDleiion, Ihe owner will �ave the burAen o� proving he/she tlitl noi 6uild or impmve for Ihe Ourpose o� sale). I, as owner of �he pmpeny, am ezclusively canVac[ing wilh licensed contrac�ors to consimc� �he Dmjec� (Sec�ion 7044, Business � ana Pmiessions Cotle: The ConUac�ors' S[ate License Law tloes noi apply lo an owner o� pmpehy who builOs ar improues ��ereon and who coniracis �or suc� pmjecis wi�h a canVacror(5� license pursuanl �o Ihe Contractors' Slaie License �aw�. 1 am aware Iha� pmoi ol iheir Worker'S Compensa�ion insurance s�ould be DmviAeO to me. � I am exemp� under Section�. B. 8 P. C. �or this reason: Daie: Owner I Oo hereby ceriify Ihal I am aware ol antl unCers�antl �he requiremen�s o� Calilomia Heallh and $afery Code Sec�ions 25505, 25533, antl 2553a antl Ihal I or any INure Duilding occupanl will/will not (circle one) need to comply with said stale codes antl ��e requirements �or a permi� for cons�mc�ion or motlilicalion tmm �he Nir Ouali�y Managemen� Disiric�. flesiden�ial constmc�ion applicalions are exempt fmm Ihese pmvi5ions. Oate: Fpplicant: 1 �ereby cetlily Ihat I have read t�is applicalion a sta�e Iha� I�e above inlormalion is wrrecL I agree Io compty with all ci�y an0 couniy ordinancesanUs�atelawsrelaiing�obwltlingcon mclionandhereDyauthoraerepresenta�ive5oi�hiscirytoenteruponiheabove�men�ionetl pm0erly �ar inspection purpases �� Dale�"—a- r — i � Signamre' � Driver's License o� Social Security k: I6aba6 ' Wh�te—Builaino: Green—Catle EnlorcemenL Canary—Aoolicanq Pink—Revenue: Goldenrotl—Assessor CITY OF COSTA MrSA — BJILDING PfiRMIT PE•:RM �O: B 0563�:i1 PERMIT NO: B 056341 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—t�! FERMIT TYPE: STR PURPOSr'.; AL1' JOB AESCRIPiIOh : RE—ROOF 2700SF RESID 6 GARAGE W/ASPH SHI S� FT: 5,?.OU CLAIM VALUE: 5,200.U0 CALC—VALliE: 5,200.00 GROUP OCG R-3 /M-1 COMMENTS : TEAR—OFF RESHEATii L T2EROOF �j�� _��Ofl -lE�%�%-]F9iiC�1(�%�IE#df3f�lEiF�lE�3f#�7c�7ESf#�7f�1fiE�lE�3F�iF�I'riE�kifaEdfa(�dE•Nii�if7E3E#IEI(�'n:b?k�K�1E1F#dF�7f�M�K3E#1F3FaF k } / Z O�1 I N G5 ERTEB�AUCIKRSE M E N T S �EQUIRED ------------ NAIN BUILDING ---�------- --------- ACCESSORY BUILDING --------- FR�'f; F'P IN REAR: FT TN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: Fi IN RGHT_ FT IN PARKING REQ • PROV: PARCEL; 14152115 ZNE: REF NO: �PLANNZNG NiSTES� D iE iF # 36 if 3t %� )E i( 3i 3F IE ff 3e 3f IE 3F }�. ## aF 3E ih )F 3f �# ik i'r if 3f �?F �lF iF iE if% 3E �1F fE lE 3f� 3E iF # iF iE if 1F iF ii• # iF iE ##�)f� iF3f if i!� #��f ii iE �1F K� iF if 3F # 3E ii� Mi # jE #E IF 1f 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£ M E N��T S 7.ONING APPROVED BY DATE: BUILDI73G AI'PROl1ED HY ; DATE: APALICATION ISSUEll HY� �,�� '�� DATE� Z��'V ifi6lEifiFK�liYEiE�lf3F3EiFjF#if�If�kiF�1ElEifiFiFiF7rRiF3FiFiFiE7FiFiF7F?F � i'r?c 7iiFiF3e�FTeiFi€�'iFiFiFiFiS�K�IE###�kiF�N-iF-N� iF?;FYf-�1F #�7C•ifiE3F*1flFifiF#lEiFiE#iE3F%��iE#3E3E#iEiEiF�lEif�EiFjE�kifiF3f#fiEiF#�lEiEiFiFih�1FK��ElE�lEihif{:iElFd'c#1eiEiriEii��3f�3fN�iFif� �ciFiEi'r3'r3F#�f�p# LEGALIZATION:N F E E S U�, M A R Y STRUCTURAL S�GMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RE5 GRADZNG PERMIT 81.00 ,Si SMIP/NON—�fiS P i� AN I>5IJE FEE HUII�DING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE TOTALS----> 81.52 O.OQ 0.00 81.�2 8],52 .00 REVENUE DIVISION TOTALS--> COLLECTED; 81.52 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRIC ,+1ECHANIC FIRE SMIP/TOT GRADING PLA7�—CHECK 81.00 .52 iE iE iE if �F �IF 3E �,�'. if� 1E # iF if iE 3E 1E IE iF if �F !f iF # 3F iE 3FlE if if- 3E �E iF If df 3f 3E 3F-1F if 3E 3E ## 3f 3E 3E iE� if i!- if 3i� 3f 3E if # iE if ?f if # if if #�1k iE jE 3f �X 3E ir ie iE�k+F?i� �k� if ii� iF 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 Z O N UNTT COST TOTAi, COST SFR 5?.00 REROOF BY VALLIE RESIDE�?TIAL N020NE I.00 5,200,OU EIvD OF FEES 1 �u��' ,�' .Ilt.' . ��i:. :� �. .. ' , ' ' ' C#:r!�RUCTION AND PLANNING POOI & SF 'APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrlwl Service or Poie 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAI TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation � 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, O Undrgmd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Fina1 13. Roof prains 64. Plumbing SYstem - Final 14. Rou9h Plumbing 65. Electrical�Final 15. Rough Electrical-Conduit � � 66. Solar System-Final 76. Rough Electric Wiring 67. Fencin� & Access AnP�oval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOUSPA SYS7EMS FINAI 19. Rough Heating & Air Contlitioning FIRE DEPT. REQUIREMENT 20. Rou9h factory Fireplace APPROVALS Permit # 21. Ducts,�n Structure 70. Underground Hydro 22. Ducts, Ventilating 71. P�oduct Piping OGas ❑Oii 23. Gas PiPe�Rouqh & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing Z Z7 �� 74. Overhead Hydro 26. T-Bar Ceiling (S[ructural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Sidinq 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PflEV. FINAL 30. Drywell Nailing HEALTH DEPT. RE�UIREMENT 31. Plaster Brown Coat 79. FINAL INSPEC710N 32. Electrical Power Meter�Final 80. F000 CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final He2ting & Air ConditiOning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomesticFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigatian SYstem 45. Sound Attenuation 46. HandicaP Regulations_ � 47. FINAL STRUCTURE & BUILDING �..l� � (v�- 48.FINALPLANNING Z._2�_�y �� 49. Electric Release to Edison �, 50. Gas Release to Southern California Gas Co 51. CER7IFICATE OF OCCUPANCY No. Date JOB'ADDRESS „ GENERAL Service or Pole BUILDING PERMIT NO. SUBCONTRACTOR ZONE -�J 2�535 � COSTA MESA BUILDINCrSAFETY DEPARTMEM P.O. BOX 720D COSTA MESA, CALIPOPNIA 9M2! For AppllcaM ro F(Il In ComplHdy TYPE OR PRINT �ui�o�na ��3q ADORHBY COSTA MESA. CALIFORNIA ,.v.u.s 1. M C A 1 1 n e.Tr_ h 61 ARCHITECT � �.. 1 w A, ' No. or etDal. � 8lT�/�CK LIN6 FNOY DESCRIMIOPI OF tlVORK WALL 1 HeR6SY ACKNOWL�pO[ TUT.1 NAV6 !WD T11� AIILIGTON AN� BTAT6 TMAT iN{ AlOV� IB CORR[Cf AND AOR[[ 70 COY- PLY WITH ALL CITY OROINANCO ApO RAT[ lA1N� R[OYMTINO BUILOINO CONlTR CT ry, 810NATUR6 Or psr�ina L AUTHORIZ[D AOtNT JAN 17-67 00 529 �*'�***3.00 /1rPLICATION FOR PERMR BUILDIN6 for Oifln Us� Only YAHDE MPROV ED MAIN BUILDINO c�aTwrice ecr. MAIN BI�OB. VAR. # ZONING o.a 2 euu 3� 3sna �� /S BMALL E6 Ll88 THAN (U.B.C.RHOUIRlMBNT) YARD9 MPROVHD ACCH8SORY BUILDINO DATB ArrROV[D �'/ DAT3 ` � / � a m � so. vr. � TMC AYOUNT OHOWN YNO[N VIILU�TION 19 POR TH¢ � ►YRIOE[ OP fITAOLI0XIN0 ♦ P6RMIT P[8 OHLY. � VAWATION � �� PERMITFBH m �fOG � '- € i w TOT/[L P68 � -' Lot 33..mr , ,�t ,��y�q��-'2 CCSSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 3f7 G08TA ME6A. CALIFORNIA Fo� Applieanf fo Fill In Complefely TYPE OR PRINT euaoiNc ~ ADDRES6 COSTA MESA. CALIFORNIA � MAIL 9 / USE OF EXISTING BLDG. 86fBACK LINE RROM // �. � � TEL. NO. TEL. NO. OP BLDOB. O N�W []N �/ % �+ � LEFT �.7 RIGHT �l DESCRIPTION OF WORK NO. OF APPROVED ZONE R-] LEOAL r�t Kt�tEvtu �� MAY 1719F1 fINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only nece�rr Ho. qvepyy�� _ $`i� ar I owre necerveo I oere iesu COSTA MESA. CALIFORNIA ZONING NO. OF U8E OF N PLANS 7 BUILOINO IC6NTCP LINC BT.1 rlb. EXTERIORWAI�llCCO ICOVERIWNGOa. shingle` COVERING / U9E OF BUILDING AND WORK TO BE PERFORMED /� � � 9ttatched Garagec 5 OU 1 NeR89Y ACKNOWLCOOB TXAT I HAVE R6AO TXIB APPIAGTION TXE AMOUNT eHOWN UNDER VA�UATION IB FOP TH¢ AND 9TATE THAT TNE ABOV6 �6 LORRBCT AND AORC¢ TO COM- pUPP08H OF HBTABLIBHING A PEHMIT FEE ONLY. PLY WITM ALL CITY OPDINANC68 AND 9TATE I.I�W6 pEOULATINO eu1LDINo CONBTiiUrnOr+. VALUATION � ( SIGNATURH OF PERMIT FEE $ �J`� ' PERMITTE /�'��a ` $ J PLAN CHECK $ ��S AUTHORIZED AGENT �� 5 TOTAL FEE i 2 LL