HomeMy WebLinkAbout1809 CAPETOWN CIR - Building Permits 4NOJgTA1tDNEsS: 1809 CAPETOWN CIR UNIT: 75 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: G 046965
'OWNER'S a WE: KAUFMANN & BROAD
ADDRESS: 180 N. RIVERVIEW DR PERMIT NO: G 046965 PLAN CHECK NO: N GOVT: N SUPP : N
•
SUITE 300
ANAHEIM, CA 92808 CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE MEC PLU STR PURPOSE: NEW
ARCH/ENGINEER: MIKE WOODLEY -REO.NO.: C15730 JOB DESCRIPTION : NEW SFD SQ FT: 2, 910
ADDRESS: 180 N. RIVERVIEW DR UNIT: 300
ANAHEIM ' CA 92808 CLAIM VALUE: 169, 417 . 00 CALC-VALUE: 172, 657. 70 GROUP OCC : R-3 /M-1
PERMITTEE: KAUFMANN & BROAD ( 714 ) 921-0500
ADDRESS: 180 N. RIVERVIEW DR •
300 COMMENTS : PC#234-89A PD
ANAHEIM CA 92808 *******************************************************************************
LICENSED CONTRACTOR DECLARATION: I hereby um that I am sed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions e.and my rice is in fuhtmrce and effect. SETBACKS
cITruc. 0468944 sum uc.:334 ss: B-1( n
•
Date: 7_/7-/10 Signature: T/}7MAIN BUILDING ACCESSORY BUILDING
FRNT: 18 FT 6 IN REAR: 19 FT 6 IN FRNT: FT IN REAR: FT ' IN
WORMERS'COMPENSATION DECLARATION: I hereby affirm that e a certificate of consent to self-insure r a certificate of Workers' LEFT: 5 FT IN RGHT: 5 FT IN LEFT: FT • IN RGHT: . FT. IN
Compensation 4silrsc9 or iv-415 copy thereof(Section 3B ab-63/07/91
1 POLICY NO.: IEXP.DATE:
Mpnxr: ,,}}
TRANS . NS .A PARKING REQ: 2 PROV: 2 PARCEL: 42433101 ZNE: PDRM REF NO: PA8840
alli
Certified copy is hereby furnished. L'] Certified sided MTh he city Building ?. PLANNING NOTES> SINGLE FAMILY RESIDENCE WITH ATTACHED TWO CAR ppn�GARAGE��ppAND
er�
// g"� �(j'�.,�f��/ . > HALF OPEN PARKING SPACE ON STREET FOR GUEST.4e WW F'1Flr'**'**� * *00 EP(75
Date: 7 _I7-/ U Applicant: 44-4... \ ***************************************ik*****,iF************** * *** ***
EXEMPI1ON FROM WORMERS'COMPENSATION DECLARATION: (Ifs need not be coTActed N the permit is fa one hundred(saga)or less). D E V E L O P M E N T S E R V S C E:S R E Q U I R E M E N •T, S
I certify that in the performance of the work for which this permit s i ed,I stall not employ any person in any manner so as to become i,±11/-7•
� r g'�
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY t/ i DATE: ,�..1l-�g //-7 o
Date: Signature; BUILDING APPROVED BY : CA„,,) i �� ie ' v• • . • DATE: VY' ` In • ( d
NOTICE:If,after malting this declaration,you should became subject to the Workers'Compensation provisions of the Labor -Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ` v /1 , L"�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of.the work for APPLICATION ISSUED B DATE: _ ri11
which this permit is issued(Section 3097,Civ.C). **fe******************* ' ******* - **********,.-*Tr** *****
LENDER: 1 ********************************$**** iss"'- ' *************************************
ADDRESS: LEGALIZATION:N F E E SU MARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contactors'State License Law for the meowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES • GRADING
(Section 7031.5 Business and'Professional Code: Any city of county which requires a permit to constrict.alter.improve,demolish,or PERMIT 895 .00 4150 82 . 919 32,75 12 . 09
repair any structure,prior to its issuance,also requires the applicant for such permit to fife a signed statement that he/she Is licensed 25% 5 0'% 25% SM I P/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN ,
and Professions Code)or that he/she Is exempt drcrefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 3 ,00 15 . 0 15 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than the hundred dollars($50O).
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
L as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS 1064 . 33 33 .00 ,"re+ 0 .00 1097 . 33 1097 . 33 . 00
❑ structure is not Intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through f.-•••his or her own employees,provided that such improvements are not intended or offered for sale.It,however the building or REVENUE DIVISION TOTALS--> COLLECTED • '• 10 9 7 .3 3 OVER/SHORT• 00
improvement Is sold within one year of completion,this owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING, ELECTRIC MECHANIC FIRE SM I P/TOT GRADING PLAN-CHECK
for pu pose of sale). 895. 00 44 . 50 97. 99 47:75 12 .09
I,as owner of the property am exclusivelyy contracting with licensed contractorsto construct the project(Section 7044,sBusiness ,-:
❑ and who
hfessronsCode: The projects
with ateLicersetawdoes pursuant
to the erolpropertvwlroicnsor iaw),Iatherere **************************************,'*****************************************
and wcontracts for such projects with a contractor(s)license pursuant to the Contractors'Sate License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL 'F E E BREAKDOWN
❑ I am exempt under Section: B.A P.C. TYPE QTY DESCRIPTION . UNIT COST TOTAL COST
•
tor this reason:' �)
SFR 2371 DWE-TYPE V-WOOD FRAME ;, -GOOD 69 . 00 163, 599 . 00 •
Date: Owner: SFR 76 RES-BALCONY, EXTERIOR :STAIRWAY 13 . 80 1 , 0.48 . 80
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 463 RES-GARAGES TYPE V 17 . 30 8, 009 . 90
25534 and that I or any future building occupant wilOwill not(circle one)need to comply with said state codes and the requirements for a ELE 2371 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 82 . 99
permit for construction or modification from the il&ray ManagementDistrict.Residential construction applications are exempt from MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 .00 9 . 00
these provisions. MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 .00 9 . 00
MEC . 5 GAS PIPING SYS 5+ OUTLETS PER OUTLET .75 3 . 75
Date: Applicant: MEC 1 FACTORY FIREPLACE =6 . 50 . 6 . 50
thereby certify that I have read this application and state that the ab s informal correct.I agree to comply with all city and county MEC 1VENTILATION FAN CONN TO SINGLE DUCT 4 . 50 4 . 50
ordinances and state laws relating to buiWbrg construction and hereby. hors rep-...-tires oft .city to enter u.•i t ' .•• • -ntioned -
property for inspection purpposseess.. Iii PLU 2 BATHTUB 2 . 00 4 .00
Date: ! 17`/L/ _ . !_/iV-S' _ �/ / , PLU • 1 DISHWASHER 2 . 00 2 .00
�� ' -
Driver's License or Sial Security#: 01 0UO538 iE-060: «.:;:. -
164146 White-Building;Green=Code Enforcement:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor • DATE: 04/17/90 Tit:: ii:-r7
,' • CONSTRUCTION AND PLANNING PO SPA
• APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
-i 1. Temporary Electrical Ser ice or Polee-, 52. Pool & Equipment Location
•
m HT
03
2.yS0.Pi2-Ul rnQ, d bs
NIvieco tie 53. Steel Reinforcement
z7.3,Electrickll'eata.it-Otility-Undrgrnd,. • 54. Forms •'
'' �EI¢ctricalnCyna:undrgrnd. ,131S 55. Electrical Bonding
C-Sr Steel Relnfon:la ent •X 56. Rough Plumbing & Pressure Test ti
7"6iElgtriral'rjFElfGrnd. t' 57. APPROVAL TOCOVER-GUNITE S
c
1.4 Footingp1 GT
s' ^.J 58. Electrical Conduit-Undrgrnd. .. •
_-.7-8, ?1Fd'ndati ri 59. Gas Pipe, 0 Undrgrnd.,Test
9r,Water PipjUnd(grnd. 61/41/0 1,67 60. Backwash Lines, P-Trap, 0 Undrgrnd. G'
10. StructurakFloor ysteni 61. APPROVAL TO DECK
11. Property Sewer Like & Huse Con4iection 62. Backwash & Receptor-Final
12. Sewer Cap d a. c., 63. Heater & Vent-Final -
u LA '•+
13. Roof Drainb. ,.., 64. Plumbing System - Final
14. Rough Pllumb g - 65. Electrical-Final
4.
15. Rough;. lectri 51-Conduit 6. Solar System-Final
16. Rough:€Iectric,Wiring 9.13-15p 4..-•'*"" encing & Access Approval
'1/4317. Rough Wgng:S(ign 68. APPROVED FOR PLASTERING
18. Rough Electridil-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIR FPT.$EQUIRIEMENT
s n i=• n n* I r^'7 CPC' * N 33 q* * 'j 7' _ r .•, n CJNIUr f£s250'.^.�
r.
207--4l'Rc2gh;Bacteryg''Ii place jIt�,.', <4,Q f xnAPPR.pVP'rlrr.$�H�Pe`rmit# * ki Err _,rhj�_njr�a0
Ft ala/ �� __ _
T
21F_.•Dti ts,in StnlctW€ 1 si-i * S '7 Hx * 'q 70. 1OnderaPo nd Hydro
m Sr I I OS * CJ -+ n* * W E-• rI .�.+. *
22sDt7_�,ts,(venQatiRg* • .-., _r,7 * o ¢ 'J F* * � 71. Productlt'JPing LJt6as I�QII
-1 -L .: 4 : _ _f
23,•Gas!Pipe-RoDgh &gest I r'1S * :n 0' S 0* * tLI 72. Underground FLthM=' * f-. y ac
n Fr. T. in . Trr• nn t cc T 'S'* x .-av nJ * >4 1.-!...-431
24. ROdf Ftaminq * I r'F' m > > 0 x i.-,* * • 7jj Under rnd.Stor'r s ++;1..- -.'-•�rj•.":.t-.
g rretenk4O Gas ❑OI
25. Rdof Stfpathing'-.t .":Rein \' 413-
6•��[�� {^ b �J �n]�^{* - 74�rOverhead Hydro')
2utT•B.@r Ceiling,(St $turell 8�r &-noi coaL0.:S<* 0 >, : i* * 7q..-2,,dry Chemral F'O' : "1" l3tt*xtG rs'10 c'<;r' Ht7
.✓ r ,a. ,.� ... ., ^-- :- i. , .•1J... C; . .S '..:htJ
277 Frame and Flashing 5�t: V nrr t: 0' >. oa* . 76. Dry Stan pe `'034- * I I I •r-t0 FFZ
-. ., „-,fin HI-4
�.-:' r cti . * nn, t-mC.l :-imn.yj-.�
'28. LaThin8, l inr'* u, '7 , x:1C* S_ ,••* 4 '* ,--' , >4CC TCJi.t".•77a
g 5SI 9,* C F-' O Cl* ..I I . I p: * 7T1 FIXED SYSTE ,' A ,-.,n trctrr Omtr>.�¢mn3
X29. Insulatt�n * S S4 1 . . 7tglIREPREY. F4f L * � n.•.r` x
�", Y !' !'1 1 � Y' .-. to 'it 'l<T..,'� ,CC•
30. Drywall Nang " `i0 * I j/ pp� * ~ .y " .B LTH DEP#..1f{'E'Q RIE a is
ri I av '1e t: F I il. : * 5'J:� a.,.. - . ,.., S, R ;. Oru t7
- * .n - .mow • r✓ +• O„ G F J:.ai•... ,•
X31. Plaster Brown Coad S I o'L' r• ..�� G �(�jINAL INSPECTION t omrt"i ,v'7d
r 327.Electrical P wer Tet-Final elms * N * OOD CERTIFICATE ISSU D t-mC'r>+,vn
P, r turf/9.9 ..� r n d n , n
£33sFinal Electric c rn I _ GOa j e.0 /fw., .� Vptec: -'-a `?'] * .-10 .1-+ "O s
1334 Fin�1 Heatipg & AP Corlditionnti, g tn-,nr 1*,l.l3iV G �i•1 r, �Cg •^•J ••S�pp rn=4. {*��pp5 'n/1;C G0 F F
* .� ..•„• a. C167iY-sl1R .0 4CdL.tic.+?4Q41i1w+�+"(Z . .. ..
35:iFinal Gas Pipe-Test ••S^t�j(,-QO LC ,1 * :J . So p-,� * T f- II FH 1,
'73.36 Hoppd or Canopy * 0 '"1 `iH.* n x'; )41)-n'3 4_,:509_,
< :'+
4. I-. , .7.,, .r...i' .F.^ .i ,. no _ , , C.
-t 37.-Final Factory Fireplace0 I I-1 E--• CO l( 'L * xw '. * at n.i0 •- 'y
.. .. • •.CIT I W . Mr,A PII Tt' v in'+• m -
538. Final Plumb�Ig * n`•d i oE� l f3 t rfm ** H;i nnJJ o ot; x CI tu- 0 O
`,1 ' -'�r- > # , I.J 4o .l '-^ wili !. .+, 0 0 -'r' -1
39. Water Servicer-Final £ , n * >, o L- * O to n'1 n
'340. Gas Service-Final * m 'dn.'' SmC X.: r•, ' tF * 01.-- ww F
* 0=F
_
CI • * ()HE-. now * I I k * t-• • 032 * <
L $. x S (I •• * - I * * ....w. H f
-.,41. Solar Domestic-Final n _;•C* _ I * * r• ^.w •r HI * 7.0
--- .. I a .., r. .•. d 7
42. Backflow Preventet co GOT* V * * m 51-, • e C:-t
0 * co n 11--1 t: n * M x * 't 1410 0 * F r.7'-,--
n, ,- * cSS �( it * * 14 .nr..) r. .._, ...14.1..-- .. v....,,_•1
43. Backflow Iragatiog >, d t: t; * * r; .- * n • • • • • . • • • • '
.. . . a ,r r,-,- ..-...-Ne ..n In r.-.
)144. Landse a T"rrigatitn SystehcS m'lO ^ C`* ,T, O c* * ^, . nT.n r• ; o * 0) wO
oo0c rJ0000
f P - 0J..'* Q et et* * _3 f X Cu OX * Si-
2 n * i-cc=' ''`•t w a. t^ -. r* * r, -, - •t *
4o- Sound rAttetluation . .. a A: m 71 '1* * F. t7'-.0' < • i-,e *
046:•Handicap Regulations -i OGS * * * rt t: .S Ow 5 *
•
...0477F STRUCTI.RE & BUI. . ..,<^1 q' �• , c' F,
48?FINAL PLANNING f--� t 7'*:'1 ? %• "U.* n RI, d ; < u-•z
r•• n1 n. x .`�aqa S •::�"ly !Q P .F * t) n N 5 e. w, ,
a ''+ * 1t 1 fr t x I n. x . u, n. ] n.”............
149„EIAGtric`�iet�aseto*Ediso o -i c * t - * _ ;,nor,
4.
50>Ga-cRelease'to Southern California Gas Co.x I I • i( * F. A v ' CR * C
r. m Y _,S • '* ' x * DC * V OC,LtLoo'v.._,G7
U51. CERTIFICATE OF OCCUPANCY ..,4- ,' * 7;� r - . ....
No. Date `,
•
•
s4iOENEOWNER'SAME:E: UNIT: PERMIT NO.: G 046965 PLAN CHECK NO: 03420-90 N PAGE: 2
NAM
• RODRE$S: !t#MM#1e MieieMMMMieM#IeMMtt***** FMieieMieMlelfifKifiEie%ikieMMMMlekMkMifiFM#MM**ielFMIFIFiFifMMMie*iElFMiENttiE3F
TYPE QTY DESCRIPTION UNIT COST TOTAL COST
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2 .00
PLU 2 SHOWER 2 . 00 4 .00
PERMITTEE: PLU 1 SINK, KITCHEN 2 . 00 2 .00
ADDRESS: PLU 4 WASH BASIN 2 .00 8 . 00
PLU 3 WATER CLOSET (TOILET) 2 .00 6 .00
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 .00
7000)of Division 3 of the Business and Professions Code,and my license b in full force and effect. PLU 1 WATER SERVICE 2 .00 2 . 00
CITY UC.: STATE UC.: CUSS: PLU 5 GAS PIPING SYS 5+ OUTL PER OUTLET . 50 2 . 50
PLU 1 GAS SERVICE 2 . 00 • 2 .00
Date: Signature: PLU I SEWER, BUILDING / TRAILER 5 .00 5 . 00
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' • END OF FEES
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C).
POLICY NO.: EXP.DATE:
*IMPART:
Certified copy is hereby furnished. 0 Certified copy is fled with the city Building Division.
•Date: Applicant: ,
EKEMPRON FROM WORKERS'COMPENSATION DECLARADON:•(this section need not be completed if the permit is for one hundred(5100)or less). •
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. • -
Date: Signature: '
NOTICE:II,atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor •
Code,you must forthwith comply with such provisions brthis permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued(Section 3097,Civ.C). •
LENDER: • )
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by '
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S5W).
I, as owner of the propem or my employees with wages as their sole compensation, wit do the work, and the
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
illdoes not apply to an owner of a property who builds or Improves thereon,and who does such work himself/berself or through
his or her own employees,provided that such improvements are not Intended or offered for sale.II,however the building or
Improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve •
t. for the purpose of sale).
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contrador(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.A P.C.
for this reason:
Date: Owner: '
I do hereby certify that I am aware 01 and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ,
permit for construction or modification from theAir atity Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with al city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes. - .
Date: Signature:
Driver's License or Social Security A: •
164146 White—Building:Green—Code Enforcement:Canary—Aoolican4 Pink—Revenue:Goldenrod—Assessor
111 CONSTRUCTION AND PLANNING P SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
s
2. Soil Pipe-Undrgrnd. leati7 L�iQ 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 UF ER Grnd. 57. APPROVAL TO COVERGUNITE
7. Footings ./ 58. Electrical Conduit-Undrgrnd.
8. Foundation �` 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 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. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
�. . o4 Feyt.t�r jiept 'jg APPROVALS Permit #
.4
i:11. Ducts,in Structure 70. Underground Hydro
t
X22. 15ucts, Ventilating 71. Product Piping 0 Gas 0 Oil
'23. Gas I+pe-Rough & Test 72. Underground Flush
%.
24. roof Framiflg "'"`N"" 73. Undergrnd.Storage Tank O Gas O Oil
a
25. Roof Sheathing 74. Overhead Hydro
w
116. .43 CefW'try"�QStu t Wf nocoat 75. Dry Chemical
rb7. tronlSlb!N
76. Dry Standpipe
28. *Lathip g Tbdin rr�N�T ' 77. FIXED SYSTEM FINAL
yc HW'7t8 D1 r1,�'3"i
29. 4lnsulatices, 78. FIRE PREV. FINAL
30. prywallf�aili�p ��" w HEALTH DEPT. REQUIREMENT
�C1N t7
31. Plaster Bovown at-< CU S 79. FINAL INSPECTION
•
•
02. lecH capower hret. t-Fklal - 80. FOOD CERTIFICATE ISSUED {ll
N ^3 -
inafbEle¢lric r'i' ; Fm Notes:
r34. *inaGHea% 2
ing & Air,son sCtiorf(n`g
*inal Gas Pipe•Test
36. flood or Canopy m --.m
x rn
t7. ;fi
� nal Factory Fireplace N
538. final Plumbing 7 -
`39. Nater Service-Final y
m
'40. Gas Service-Final -
x -
1. *olar-Domestic-Final
242. $ackflow Preventer
*
,AU•1ANU
43. ac-.llowJrrrgafoCn, , • !A.".
44. SLandicaOcpfigaTii3'rw4sys4Ftt°
*
45. ..ound Attenuation
;.
46. Handicap Regulations
`/. .FINAL STRUCTURE & BUILDING
r r+
:FINAL PLANNING T `s 1i/�J/lb &VC/
49. leciric Release to Edison
50. Gas,Release to-Southern California Gas CO
*
m
51. CER-171 ScOF'DCCURANCY
No. Date
lik ,, .
117390 VDA E148rodchurSt�NStreet SSE�lr'6Ite 10C
7 '� Fountain Valley.California 92708
(714)968-1221 0 FAX e214)968-9786
Irl —lS
IM cMOf-°(D
November 26, 1990 3.N. 207-03
��rMk ( �
City of Costa Msa
Building Department
77 Fair Drive
Costa Mesa, Ca. 92628
Attn: Mr. Victor Clift
Subject: Fine Grade Certificate
I hereby certify that the fine grading for lots 62, 63 and 747
through 77 Of Tract 13224 were graded as shown on the approved
precise grading plans for said project.
ter! /
Llewellyn D. Incledon RCE 17593
CITY OF COSTA MESA
DEVELOPMENT SERVICES/BUILDING SAFETY
RECORD PACKA FOR:
. W 2u /E:ET �o/35
ES
SAD WORK DONE#(4 /
Building Permit # D/O 143
❑ Certificate of Occupancy el"7—
p7Electr. 1 Release Form
as R se Form
Sr Sanit n Fixture Form / p
Ei Plumbing Permit #�� fes` `e
Vanical Permit,Yx;7696'`]
rical Permit # (g�y 9
❑ Reinspection Permit #
❑ Health Department Approval
❑ Roofing Certification
❑ Insulation Certification
❑ Dry Chemical System Certification
O Flame Spread Certification
❑ Fire Sprinkler Certification
C. Soils Certification
O Special Inspection Certification
O Other: �j/
All Required Documents Included v/ c ./r
Clerk
O.K.to Approve C.O.
Inspector
O.K.to Release C.O.
Building Official
CMF 1046-30