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Home My WebLink About960 CAPITAL ST - Building PermitsPNOJECTROOflESS: (36O CAPITAL ST uNir: OWNEfl'$NAME: ANNA E. VINZANT aoowess: 960 CAPITAL ST COSTA MESA, CA 92627 �1eL�C�c,iaA APCHIENGINEEfl: �7S4�6SO-39GO pE�.No.: q�4-GsN� RD�XESS: NIT: C 10.f7 PEflMITTEE: �NA VINZANT ( 714 ) 650-3960 nooness: g60 CAPITAL ST COSTA MESA CA 92627 UCENSEo CONiBACTOB OECUMiION: I IureW alfirm tlui I am IkertuO unEer D�ovaions ol Cluo�ar 9lcammencinq witA Section 7000� af Drvision 3 0l I�e 9usiness anE Pmle55qns CaGe. anG rtry luen5e is in lull toRe antl eflecl. GTY UC.: ST�TE UC.: ClASS: Dale'. SipnaN2: WOflNEPS' COMPENSpTION OECIAflATION: I nereEy atlirm WI I tuve a certilitate al catsem to selLinsure or a rertilica�e ol Warkers' Comoensation Inswance. o� a cerofiea copy Nereal (�ction 380D. Lao. C). PoLICY NO.: E%P. DRTE: COMPRNY: , 0 CertilieC copy is Aereby lumis�etl. ❑ Cenitied copy B IileE vnth t�e qty BuilNnq Uvition. Daie: Applicant: FXEMPiION FNOM WONIIFAS' COMPENS�TION OECUNA710N: (tlis sami meG mt Ee campkiW if Ne pamt b la me huMreE (SIOU� or kss�. I cenily Ihat in the petlormance of Ine work for whic� ittis permil i5 i55uM. I 51w0 not employ any person in any manner sa as ta become su0jecl to tne Wo�ners' CamDensa�ion Laxs of tahlomu. oate: S�g�wWre: NO710E: II. aRer mdMing tltis Aeddrzti0n, you StquW GeMme suEjett ta Ue Workers fAmpematun Drovi5iart5 0l ihe LaOor CoEe. you mu51 �orlAwil� tomD�Y �� SUC� prm+5ian5 Or Ik5 perrtu� Shatl �C EeBmea revaketl. CONSTBUCTION LENDING AGENCY: I here�y aflirm Ilui IMre i5 a con5lruction IenEing apency lor tice pehormarrce ol ��¢ work lor which �his permit i5 issued (Se[�ion 3097. Gv. C�. LENDEN: ROONESS: OWNEfl BUILOEfl OECLAMTION: I �eROy aflitm itul I am eKempt Imm iM Coniractors' State LicenSe Law lar t�e lollowinq reason (Section 7031.5 Business an0 Pmtessional Cqae: Any city al county w�ic� repuires a permi� to consimcl, aller, impmve, demolis�, or reDair any simcture. prior to its issuance, also repuit¢5 Ille appipnt tor suN permit Io lile a 5i0�eE statement ihat �e/s�e is Iicense0 pursuam m t�e pmvisions ol Ihe Contractors' S�a�e License Law (Ctuo�e� 9(commencinp wi10 Seclbn 7000) ol Division 3 of iAe Business an0 Prolessions Code) or I�at ne/sne is eeempt itlerelrom an0 Ihe Ea5i5 lot ihe allepe0 exemption. My violalion ol S¢ttion 7031.5 Cy any applicanl lor a permil su6jttts t�e appliWnt lo a tiWl penatiy al noi more t�an live AunUretl tlollars (5500). I, as owner ol �Ae OropetlY or my emyloyees wit� wapes as t�eir sole campensa0on, will tlo I�e work, and tAe ❑ stmcture is not inimEea ar allere0 for sale (Seciion 70ad. Business an0 Pmlessional CaUe: The Coniractors' State license Law Ooes nol aD�ly lo an owner of a properlY w� �NIGs or im0��'�s ��er¢on, anE wM 40es such vrork himself/�ersell or ihmuph �is or hei own employees. Orovi4eA Ihat suc� improvemenis are not inlende0 ar ollereG lor sale. II, however I�e builtling or impmvemenl is sd0 wit�in ane year al completion, i�e owner vn0 have ihe OurOen ol pmWnO �e/she Oi0 nat �uiltl or improue lor ��e DurOose of sale�. � I, as owner ol ine Ompeny, am excWsivety Wnlradinp wilh litensetl Conira[IorS io tOn5lmCi I�0 D�Olet� �Sec�ion 7044, BuSiness anU Prolessions CaAe: 7he Comractors Staie Lkense Law dces wt a07M to an ovmer al pmperty wlw bwlAs or impmve5l�er¢on antl who coniracts lor such pmlecis wi�� a conVacloq5�license Du�suan� to I�e Coniractor5' State Llcense Law),I am aware ��al prool ol I�eir WOrker's CAmpensdlbn inwrante sllould De Drovide0 lo me. � I am e�em0� un0er Sec�ion: 8. 6 P. C. lor I�is rea JQ �`�` � Date: � � /9 Z O,mer. � " ' ' _ ' "�✓ ""� ` I Eo Aereby certily Ih�ware ol anE unGersiana ine reyvirements ol California Healt� anE Salery COGe Sections 505, 25533, an0 2553a ana inat I or any Iwure Dui�Qing occupanl vnil/vnll not (circle one) need to compty vA�� said state co0es antl Ne requiremems lor a permit lor consimction or moEilitalian Imm t�e Ait Ouality ManaOemenl Datricl. fle9Eentul consimciion apO�iCalions are exempl irom I�ese provisions. Da1e: Appliwnl: I hereby tetldy Itwi I have r¢atl I�is appliwti0n ana Sla�e lhat t�e above iniormalion i5 cattttL I apr¢e l0 wmply wilh all tiry and mun�y orainanres antl sialelavrs reWtingla OvilOi� conS�mCiion an0 hereUy aullprize repres¢nla�ive5 ollA6dry ro enlefuD�lhe abov¢�mentioneG prOpetly lori� p¢��i purpo5e5. n r 1 Oale: Signalure: `�"V�"�- � � " �'�' �� rivefs License o� Socul $ecunty M: �� 16aM146 W�ne—BmWinp: Green—CaOa Enbrcemeni: Canarv—MWicant; Pink—Revenue: GoleenraC—Assnssnr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05571 PERMIT NO: E 055711 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; 325SF FAMILY ROOM ADDITION SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS• RE: H55710 PRIMARY BLDG. PERMIT. **�e�r*�***�*��r**�r��*�e*********�*�r�e�**�t*+t******+tx��r�**�e�****�t�t***+�***�+t�r*�t****�+� Z O N I N G R E Q U Z R E M E N T S S E T H A C K S ;� ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT ZN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT ZN RGHT; FT IN PARKING REQ• PROV; PARCEL: 42238120 ZNE; REF NO; PLANNING Nt5TE5> i ��****��r��*�*��***�*��*��***�+��*�**�*�****��r*+�**�***�*��*******�*�***��* D E V E L O P M E N T S E A V I C E S R E Q U I R E M E N T S ZONING APPROVED BY " DATE: BUILDING APPROVED HY : DATE: APPLICATION ZSSUED BY: • DATE• 6 Z �E±E1fiflEiEiflEiFiElkkiE3E3fiF1fiE1EiflfiF � if'£iEiEiFififiFifiFiEiE 3Ei6 ifilifif-fkiFiEififlfiFiEiElEiFifif�EikilifiFiflEMiEitklElEikikikiF'iFif�Ei iEikalif kiEikiFaFff�fititit3flEiEifklflFiElEIEiFifiFiFiFifiEiEiElFMiFiE�i�fiF LEGALIZATION;N F E E� U M M A R Y STRUCTURAL SEGMENT;N PERMIT BLDG PMT PLUMBING ELEC�RSC� MECHANIC FIRE SMIP/RES GRADING SOY SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—AIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 7.50 15.00 0,00 REVENUE DZVISION TOTALS--> COLLECTED: HLDG PMT PLUMBING ELECTRIC MECHANIC 22.50 TOTAL PAID DUE 22,SU 22.50 ,00 FIREZ�SMIP�/TOT/SGRAD�NG PLAN—CHECK k 1E itlt It ik iE iE if If iF 1F IF 1E i! 3f If ik iE If ik ik ik 1F k iF if if 1E k if iE if ik k iE if IE if �f ik ik if 1f if iF iF k�E ff �FiF il� if If 1f if if �E k IE iF if iF il� �f IP ik IE 1E if jE 1F 1E if iE iF 1E iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 FIXTURES LIGNTING 1 ST 20 EA, ,75 75 ELE 7 RECEPT/OUTLET 1 ST 20 EA. '� ;75 5.25 ELE 2 RECEPT/SWITCH 1 ST 20 EA, —� ,75 1.50 END OF FEES CONSTRUCTION AND PLANNING - POOL ..PA '` APPROVALS Permit# Date Inspector qppROVALS Permit# Date inspector 1. Temporary Electrical Service or Poie 52. Pool & Equipment Location - � 2. Soil Pipe�Undrqmd. 53. Steel Reinforcement " - ' , 3. Electriral Conduit Utility-Undrgmd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumb�ng & Presw�e Test _, j -1 6. Electncal UFER Grnd. 57. APPROVAL TO COVER•GUNITE � 7. Footingc 58. Electrical Conduit-Undrgrnd. _ � $. Foundation . 59. Gas Pipe, O Undrgrnd., Tust I 9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, .^. Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection 62. Backwash & fleceptorFi�al 12. Sewer Cap 63. Heater & Vent-Final . I 13. Roo( Drains 64. Plumbing SYstem � Finnl 7�4. Ro�gh Plumbing 65. Electrical�Final 75. Rough Electrical-Conduit 66. Solar SYstem•Final 16. Rough EleMric Wiring S'�/�� 67. Fencing & Access Approval 77. Rough Wiring Sign S/[ 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts. �� Structure , 70. Underground Hydro � 22. Ducts, Venti�ating � 71. Product Piping OGas OOiI 23. Gas Pipe-Rough & TPst � ' 72. Undergrou�d Flush 24. Roof Framing 73. Undergrnd. S[orage Tank O Gas ❑ Oit 25. Roof Sheathin9 � 74. Overhead Hydro , 26. T�Bar Ceiling (Strucwrall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe � � 28. Lathing & Siding • � 77. FIXED SYSTEM FINAL 29. Insuletion ' 78: FIRE PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REDUIREMENT 37. Plaster Brown Coa[ � 79.� FINAL INSPECTION 32. Electrical Power Meter�Final �� 6� OOD CERTIFICATE ISSUED 33. Final Eleciric . 7�/!� : tes: - 34. Final Heating & Air Conditioning . . T ,� � � � 35. Final Gas Pipe-Test _ • , 36. Hood or Canopy � - , � .� � . 37.;FinalFactoryFirepiace � •�� - � 38. Final Plumbing . . � � 39. Water Service-Final - � � " � 40. Gas Service�Final , ' 41. Solar pomestic•Final • 42. Backflow Preventer 43. Backflow Irrigation 44. La�dscape Irrigation SYstem , � . � 45. Sound Attenuation � • � . 46. Handicap Regulations . � 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING ' 49. Electric Release to Edison .. 50. Gas Felease to Southern California Gas Ca � 51. CER7IFICATEOFOCCUPANCY - No. Date f W J m ti ¢ � � 1 U �V \ C � n I F T. COSTA MESA BUILDIMG DEPARTMENT COSTA MESA CAIIFORNIA �EE R� C•L. OF STREET " �iPROP. LINE �----- -r--- I 10 FT. FOR 60 FT. STREET � � � � � LLEY QR PROP. LI ��P� . ��, CITY� Oc C TA MESA PLAiJNIN D[Pl'. SUBJECT TO BL G. DEPT. RE 4 BY.1��'-.�— AT PLAN JECF.� � 1 7 c � _-�PROP LINE___ —=-- C.L. OF STREE � zl _J� al O ¢ a� � ------� F w w � F N � O J lU 40 FT 60 FTl ST. �o MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES . o- ED � �76s� I � FOR � �I.� BUILDING ADDRESS E Owner ?�am.4 S�• � i r% R�CG� `� � Mail Address �yCU ( /�-� /T/� � City _ ��,4 _ �%E S� _ Ph. No�� .3p _ Contractor Ph. No. City Lic. No. State Lic. No. - - - - - �..% - - - �- - - - - - - - - - - - Size oE Lot �v.4GTCjOl�i AP No. i � Seibacks: C/L Stree} 9� Rear � /r i Side Yard - Right �W Left V 1 Type of Fence �E'�`��✓�/%�� LIiALL Y�3 I hereby acknowledge that I have read this applicaiion and state that the above is correcl and agree to comply with all City Ord- inances and State Laws regulating building construction. FOR OFFICE USE ONLY o,�x n % i.L�M/i �ed by �a�t Rei . /36/ VALUATION Y a �%�1 3 Permit Fee � Plan Check TOTAL FEE $ � USE REVERSE SIDE FOR DETAILS Applicant to till in all spaces except thoie within heavY bortler lines anG sign all aoPropriale tleclarations. CITY OF COSTA MESA�j CONSTRUCTION PERMIT PERMIT N0. . _ „ TRACr fyQ. � LJJT N�� UNIT NU. Project Address `� L -'/�O�T.+-L S'7` Applicant's Ma%i '�� Address S/�/// � Owner's Name` =��G�`> ��2�%�%�fis�e �� I�� Address G� O ��i�Q/Y �j"L �� . �'i Areh/Eng. � ' Licenu No. Address Contractor's Name � �' Phone � Address (mailing) • �'� City License No. ' LICENSED CON RACTOR DECIARATION I hereby affirm that I am licensetl�untler provisions of Charter 9(commencin9 with secHon ]000) of Division 3,of the ausiness antl Protesslons Cotle, antl my license is in tull torce antl eifectc License Class - License No. Date Signature ' WORKERS' COMPENSATION OECLARATION 1 hereby aHirm that I have a certificate of consent to sel6insure or a certificate �of Workers' ComOensation�lnsu�ance„or a certifietl wpy ther¢o( (Section 3800, Lab. C.) ° Policy No. �� `Co'mpany �Certifietl capy is hereby fumishe�t S� Certifietl copy Is filetl with the city Builtlin9 Division. Date Applicant� EXEMPTION FROM WORKERS' COMPENSATION pECLARATION (This section neeC not be completetl if the Oermit is tor one huntlretl ($100) or less) I certi(y lha[ in tbe pertorm3iy�e ot ihe wo�k to� wbich.thi5 p¢rm�t is issuetl, I shall mt em0loy any person�nn any er so as t0 become subject to Ihe Workets' C¢[p n on LawsrO( C f a. =�� Oate � `'��519riatu �� -f //�/�� — � NOTICE: I(, af[er mEkltlg this tletlara�n, y6u sM1oultl become 5ubject to the Workers' Compensalion provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I hereby affirm tha[ [here is a construction lendin9 aqency Por the pertormance of the wark for which this permit is issuetl (Section 309� Civ. G.) Lender's Name Lentler's Htltlress OWNER BUIL�EH OECLARATION I hereby aftirm that I am ezempt trom the Contractor'S LlcenSe Law for the following reason (Section 7031.5 Bu5ine55 antl Protes5ional Cotle: Any city or county which requires a permit to construct, alter, improve, tlemolish or repair any structu�e, prio� to itz issuance, also requires the applicant tor such permit to file a signetl slatement that he/She is licenzetl pu�suant to the provi5ion5 ot the Contractor's License Law (ChaDter 9(mmmencin9 witn Section ]000) of Oivision 3 of the Busine55 antl Professions Cotle) or tha[ he/she i5 exempt 'herefrom antl the ba5i5 fOr the allegetl exemption. Any violation of Section 031.5 by any applicant for a permit subjects tM1e apP��cdnt to a civil te-,n�alty of not more than five huntlretl tlollars ($500). ud'1, as owner ot the property or my employees wiN wa9es as their sole compensalion, will �o the wo�k, and the st�ucture i5 not Intentletl o� offeretl for sale (Section �044, Business antl Professional Cotle: Tbe Contractor's License l2w does not apply to an owner of a property wno builtls or improves thereon, antl who tloes such work himselt/hers¢IT o� tM1rou9h his o� her own employees, provitletl that such improvements are not intentletl or oHereO tor sale. H, however, the builtling or improvement is Soltl within one yea� of com- pletion, tne owner will nave the burtlen ot provin9 he/she tlitl not builtl or im- �tOva for the purpose of sale). I, as owne� of [he property, am exUusively contracting wl[h Ilcensetl con- tractorsto conSVuct the project (Section ]044, Business antl Profe55ion5 Cotle: The Contractor's License Law tloes not apply to an awner ot property who builtls or improves thereon, antl who contracts for such proiects with a con- tra[lor(5 I¢ense pursuant to the Contractor'S Lirense Law�. I am aware that prooi o� tneir Worker's Compensation insurance shoultl be provitletl to me. l� I am exempt untler Section B- � P. C. for this reason i Date ' � Own � . _ certity that I have r�d this application antl state that the above �n is correct. I agree to compty with ail city antl county ortlinances laws relating to builtling construction, antl hereby authorize repre- ot _Lt�isi[ity to ente�' upon the above-mentionetl ProOerty far Si9nat ur�'�—�ZAf( ��: Orivers' License or 55 � TVPEOFCONSTRUCTION LJ NEW 'U' ADD LKALTERATION IJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTH R DESCRIPTIONOFWORK/USEOFBLDG. �J� 6 w� � Ih LJ��✓�4 S � TVPEOFPERMIT GRAOING UNDATION $TRUCTURAL ❑ TENANT ❑ ELEC RICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER �j �', I� A I PROJECT DESCHIPTION 5(1. � oCCUanNCv — CONSTRUCTION TVPE VALUATION $ S :� `� ZONE GRADINGCU.VDS. ACRES Remarks: 7J��L � .r Bar Sink Backflow Preventer Backflow Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Service Interceptors . Kitchen Sink " Lavatories P—Trap Roof Drains Reinspection Fee Showers Service Sink SewerCap Sewer Connection Solar Collecmrs Solar Pipin9 Solar Tank Swimming Pool w/Spa QllilEtS Water CIOSEL Water Heater �� Water Service - Auto-Wash Laundry TraYs $15 Issue Fee Duct- UnderGround Duct - Strucmral Duct - Ventilating Exhaust System ❑ MWtiple ❑ Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑aioo,000 sTu oioo,000�� Reinspection Fee � $�5 CMF 0865-46, rev. 10/84 Wnite - Builtling; Canary - Appliwnh Pink - Atcounting; Goltlenrotl - Assessor Hood or Typel ❑ Canopy Type I I ❑ Refrigeration Sys[em ❑0-100,OOOBTU ❑100,000 S�m Repair/Alteration Fire Dampers Registers - laue Fea FEES A.P. # S Main Buildi E T Front �j B Rear � A C Right C SLeft �—y Ping. Ref. # Planning Notes: Zone Parking Req./Provided ELECTRICAL Auromatic Washer Trensformer ❑ 75-50 KW Construction Pole Sub. � 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100 amps Dryers �Gas ❑Electric Sub Panel Fan Momre �0-1 HP � i%- 8 F.A.U. Inc.Solar 09-75 HP 016-15+ F iztures M icrowave Device Boxes Pole Light Outl¢t5 Switches Garba9e Disposal Generaror �0-5 KW �5-15�KW Sign Standing Sections Trash Compacmr $ 3 ReinspeMion fee $15 luue Fee FEES �DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By Building Approved By Aoolication Issued Bv $ 3 SUMMARV OF FEE3/ BUILDING PERMIT $ � �� SMIP PLAN CHECK $ �� `4� pERM17 PLUMBING $ ISSUANCE PLAN CHECK 25°6 $ ENERGV P.C. ELECTRICAL $ � GRADING PLANCHECK 50% $ MICROFILM MECHANICAL $ TOTAL FEE PLAN CHECK 25% $ 2 O N I N G R E Q M T S FEES e��pQ B Gi ^3� _-DO e G-3J-5'8� $ • S� $ $ $ � $ �_22-fi3 ; . 'CONSTRUCTIONAND'PLANNING +i POOL&SPA �� ` ' Date Inspector Date Inspector ljPPROVALS �Permit# � � �� APPROVALS Permit# � ii 1: Temporary Electrical Seivice or Pole 52. Pool & Equipment Location" ,_ 2.�Soil Pipe-Undrgrnd. �"�" ��-�' 53. Steel Reinforcemen[ 3. Electrical Conduit Utility�Undrgrnd. 54. Forms � � 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding 5. Steel Reinforcement'% 1' 56. Rough Plumbing & Pressure Test � 6. Electrical UFER GrndC � i 57. �APPROVAL TO COVER-GUNITE 7. Foqtings ' .,C�-�E�L 7 Z� � Q(,� 58. Electrical Conduit-Undrgrnd. 8. Foundation .� r. 59. Gas Pipe, O Undrgrnd., Test 9. Wate�' Pipe-Undrgrnd� �;' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor Systemi' '� y� �� 61. APPROVAL TO DECK -' 11 . Property Sewer Line & �House Connection 62. Backwash & ReceptorFinal � � , , 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 �I q�, 67. Fencing & Access Approval 17. Rough Wiring Sign � 6S. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL ; 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT "• .'i. 20. Rough Factory Fireplace APPROVAIS Permit # •} 21. Ducts, in Structure 70. Underground Hydro r� 22. Ducts, Ventilating 77. Product Piping �Gas ❑Oil / 23. Gas Pipe-Rough & Test 72. Underground Flush � . 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil '� '�° �' 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling 1Structural) & Monocoat � 75. Dry Chemical � � � 27. Frameand'Flashing �j �-,� 76. DryStandpipe "\ : ��j- • 28. Lathing & Siding $0 � 77. FIXED SYSTEM FINAL � ij� �. ' � 8 �6 Q/Y � 29. Insulation 0 78. FIRE PREV. FINAL '� � ' 30. Drywall Nailing � ��'F�� HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat �� 79. FINAL INSPECTION "' 32. Elecirical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric Notes: �� , � 34. Final Heating & Air Conditioning ' .i 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace . t • 38. Final Plumbing t; 39. Water Service-Final � 40. Gas Service-Final � 41. Solar pomestic-Final . . �42. Backflow Preventer � . �43. Backflow Irrigation � • 44. Landscape Irripation System �� , � ��45. Sound.Attenuation . 46. Handicap Regulations - �g �!' J 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date AOP��ant l0 fill in all spaces except t�ose within heavy bortler lines anG si9n all avarooriate aeclarations. C:TY OF COSTA MESA CONSTRUCTION PERMIT ProjectAddress C%��i ��IT./IG :ST Applice�it's Mailin Address Owner's Name � /� 'j Phone�� '� Address `�� ` i�n�r�� "" ' ArchlEng. —' License No. — Address � Contractor's Nam � -v C� Phone — Address Im� ��9� City Litense No. — LICENSED CONT0.ACTOR DECLARATION I he�eby afti�m inat I am IicOnsetl untlet p�ovi5ion5 of Cha�ter 9(commencing with section ]000) of Division 3 of th@ Business antl Professions Cotle, an� my Iicense is in fuU lorce antl effect. License Clasz _License No. Date .Signature WORKERS'COMPENSATION DECLARqT10N I hereby a(firm that I have a tertificate of consent to self-Insure or a certlflcate of Wo�kms' Compenzation Insurdnte, Gr a certifi¢tl cOpy [hereof ($ectlon 3800, lab. C.) Poli<y No. Company BCerti/ietl coOY is ber¢by /umishetl. Certifietl mpy Is flletl wilh Ihe city B�iltling DivlsiOn. Date APPlicant EXEMPTION FROM WORKERS' COMVENSAT.ION DECLAgA TION fThissection neetl not be comDletetl if tF�.o¢r�f Is for onehGntlretl ($3001 or Date ��"� Slgna - - � NOTICE: If, after making lhis tleclaraUon, you shoultl become subject o the Wotker5' GomOensation provl5ion5 of the Labor COtle, you must forthwith comply with such provislons or thiz permit sM1all be tleemetl revoketl. CONSTRUCTION LENOING AGENCV 1 M1ereby aHirm that there Is a construction lentlin9 a9ency tor Ihe performance Ot Ihe work fOr vTicn Ihis permlt is issuetl (SecNon 309] Civ. C.) Leotler's Name Lenticr's Atltlress OWNERBUILDEN UEGIARATION I hereby affirm that I am exempt irom the Cont�ac[or'S License L.aw fOr the followin9 reason (Section 7031.5 Buslne55 antl Pro1e55ional Cotle: Any tlty or county wbicn requires a pGrmit ro<onst�uct, aller, imP�ove, tlemolish or r¢palr any st�uclure, prior to its issuanGe, also requires [he appliCant fo� such p¢tmlt to file a si9netl statement that he/she is licensetl pursuan[ to the provisions of tne Contractor's Liwnse Law (Chapter 9(commencing with 5ection ]000) ot DiviSion 3 0( [he Bu5ine55 antl Professipns Cotle) o� thal he/She is exempt here/rom antl the basis tor the allegetl exemptlon. Any violation of Se<tion 031.5 by any applicant tor a permit subjects lh¢ applican[ [O a civil penalty oi not more tnan five nundretl tlollars (y500). �'r as owner ot [he property or my employeCs with wages as their Sole componsation, will tlo the work, antl the sVucture Is not intendetl or oifered f0/ sale (Section ]044, Business anE P�ofessional Cotle: The Con[�actoYs License Law tloes not appry lo an owner of a property who builCs or improves thereon, antl wno tloes such work himseli/herseli or throu9h his or her own emplayces, provitletl that zuch imprOv2Ments are nOt Intentl¢tl o� ofteretl fo� I Sale. H, howeve�, tM1e bulltling or Impwyement is soltl wi[hin one year of com- pletlon, the owner will have the burtl¢n of proving he/she Oltl not bulitl or im- prova 10/ tbe purpose ot zala). ❑ I, as owner ot the proDertv. am exclusively contractlng with licensetl con- tractors 16 construct tne project (Section ]Oa4, Businezs ana Professians Cotla: Tbe Conlractor's License Law tloez not apply to an owner of property who builtls or improves tM1ereon, antl who contracts 10� Such projects wi[h a con- iractor�s) bcense pursuanl to tM1e Cont�acto�'S Licanse Law). I am awa�e that prool of tneir Worker'S CoenPensatlon insurance shoultl be provitletl f0 me. ❑ I am exempt untler Section yC ^ �/P.iP. C. for thls rea3on Da[e certify that I hava re2tl this appli m is correct. I agree to mmply w11 laws relat�g to builtlin9�con4truct of�zitrty to ent9Y upOn [he tata Ihat tha above e county ortlinances :by authorize repre- ioned P�operty tor Date;�vo � BE 325�i o37�5� �� - _ TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ �THER q,p,q� '� DESCRIPTIONOFWORK/USEOFBLDG. A�U O '�.W ROD� 5 Main Building: TVPEOFPERMIT � GRADING FOUNDATION STRUCTURAL T Front %/� ❑ TENANT � ELECTRICAL ❑ PLUMBING � MECHANICAL A Rear � 7 ❑ OTHER PROJECT DESCRIPTION Sq FT C% . nrr �anNrv C Ri9ht Q� CONSTRUCTlONTVPF �/�/J/�/ VALUATION$ �'. �� $ �e�t �(� ZONE GRADING CU.YDS. ACRES Ping. Ref, # Remarks: � ('� (�� _ _ (y 'C7 ` �. . _� � J�._Q,Q P2nning Notes: 3ar Sink Backflow Preventer Backtlow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks . Gas Service Outlets Interceptors . � Kitchen Sink Lavamries� P—Trap Roof Dreins ' _ , � . Reinspection Fee � $15 Duct- Under Ground Duct - Struc�urel Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/PacL Blt. IC80 # Heating System & Ducting ❑0-100,000 BTU 0700,000BT Peins ction Fe I Drivers' License or 55 � — _ � � � e CMF 0065�46, rev. 30/84 Wnite - 8uiltling; Canary - Applitant; Pink - Accouniing; Goltlenrotl - Assessor $15 Showen Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tan Swimn_ g Pool w/Spa Ur' al ater Closet Water Heater Water Service Auto-Wash Laundry Trays Issue Fee iANICAL Hood or Typel ❑ Canopy Typell ❑ Refrigeration System ❑0-100,000 �tl ❑100,000 BTU System pair/Alteration Issue Fae FEES / Automatic Washer Construction PoleSub. Cooking Unit Dishwasher Dryers �Gas ❑Electric Fan F.A.U. FixWres Device Boxes O utlets Garhage Disposal Generator �0.5 KW 681& 3/I��lC�' Bui Parking / ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter C`Iup 20 100 amps Meter ❑over700amps Sub Panel Motars OO-1 HP OtYh - 6 Inc.Solar �9-15 HP �16-15+ Microwave Pole Li91it $ign Standing Sections Trash Compacmr Z O N I N G R E Q $ 3 Reinspection Fae $15 luue Fee $ a FEES � DEVELOPMENTSERVICESRE�UIREIN�EL!'i$F �, Gy� _ �Jl / W'�� 3 • lo � 88. 2aning Approved By � Date Building Approved By � A Data�_� $ 3 SUMMA V OF FEE BUILDING PERMIT $ I•� IP $ ' �� PLAN CHECK $ ^' PERMIT � P�UMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERG�' P.C. $ ELECTRICAL $ GRADING $ PLqN CHECK 50% $I 3 MICROFILM 5 MECHANICAL $ TOTALFEE $ � PLAN CHECK 25% $ iZ , � CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # ' Date Inspector .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 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 Grnd. �� Q 57. APPROVAL TO COVER-GUNITE 7. Foo�ings ��'.�(.. �� ,p � 58. Electrical Conduit-Undrgrnd. 8. Foundation '� 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, L7 Undrgrnd. 10. Structural Floor System �( D� 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 Electriral-Condui[ 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 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing 73. Undergrnd. Storage Tank � 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 & 5iding /.� �,�, 77. FIXED SYSTEM FINAL 29. Insulation - a 78, FIRE PREV. FINAL �' 30. Drywall Nailing y� Dp HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat B/�' 79. FINAL INSPECTION � 32. Electrical Power Meter-Final _�� 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 , _ ' � 38. Final Plumbing i 39. Water Service-Final 40. Gas Service-Final . 41. Solar pomesticFinal - � . 42. Backflow Preventer . � ' 43. Backflow Irriga[ion ' � 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 _ _ �. i� ,I^ � PPOJECT AOUflE55.' 9 6 0 CAY I TAL JrT OWNEH'SNFME: ANNA E, VIN2ANT nooxess: 960 CAPITAL ST COSTA MESA,CA RPCN/ENGINEEH: � �14 � 65�-396� AUGHESS: UNIT: 92627 flEG.NO.: UNIT: PEflMITTEE: ANNA VINZAAIT ( 714 ) 650-3960 aooaess: gG6'�'0D CMA�`PJI�TAL ST 9'J LICENSEO CONTBACTdA UECIAIiAiION"7�re6y anirm �hat l am �icensee unAerCpr�ovisio9n5 o�Fapler 9(commencing wi�� Seclion 7000) oi Oivision 3 0� Ihe Business and Pmlessions Co�e. antl my license is in lull �orce and et�ect. CITY LIC.: STATE LIL.: ClA$S: Oa�e: Signature: _ . WOflHEflS' COMPENSATION OECLAHATION: I hereby affirm Ihat I have a certificale o� cansent �o self-insure or a ceni�icate oi Workers' Compensalion Insumnce. or a cemlietl copY Ihereo� (Section 3800. Lah. C�. POIICY NO.: EXP. UATE: COMPANY: ❑ Ceriilietl capy is �ereby Wmishetl. �; Cenifie0 coOY is filetl wnh Ihe ciry BuilUing Division. i, Oate: ^' NpplicanC'� NEMPfION FPOM WOflREPS' COMPENSATIdN OELUflATION: Qhis section need na� he comple�e0 il Ihe permit is for one hunaretl �5100� or less�. � cetlity Ihat in Ihe petlormance ot ihe work �or which �his Oermil is issueq I shall no� employ any person in any manner so as Io become subiect to Ihe WorkerY Compensalion Lawso� Calilomia:. � Da�e: Signawre: NOiICE: II. atter making lhis Oeclara�ion, you shoWd hecome Suhleci �o �he Workers' Compensation pmvisions of Ihe Labor Code. you musl lo�hwi�h comply wiN such pmvisions or �his Dermit shall Oe tleemeC revoke0. CONSTBUCTION LENDING RGENCY: I Aeieby aliirm �Aat there i5 a ConSlmt�i0n lentling ag¢nty �or the pertofmanCe ol �he work �or w�ic� �his permit is issued (Section 3097rCiv. C). ,.� LENDEP: IIDONE$$: OWNEB BUILDEB oECtABRtION: 1 hereby affirm �hat I am exempt imm Ne Coniractors' State License 1.aw for the fotlovnng reason (Section 7�31.5 Business anA Pmlessional Cotle: Any city ol county which requires a permit to constmct, alter, imD�a�e. tlemolish, or repair any slmcmre. O��or to ils issuance. also requires Ihe aDDlicant for such permit to file a signetl sta�ement t�a� �elshe is licensed pursuani to Ihe provisions o� �he Contmciors' State License Law (Chapter 9(commencing with Sec�ion 7000) o� Division 3 0� lhe Business and Pmtessions CoOe) or that he/she is erempl �herelmm antl ihe basis �or the alleged exemplion Any viola�ion ol Sec�ion 7031.5 by any apPli[ant lor a permi� subl��s t�e aODlicanl Io a ciNl Oenalry ol not more than five huntlre0 Oollars (5500). I, a5 owner ol the pmDerty or my em0loyee5 wiih wages as �heir sole compensa�ion, will tlo ihe work, and �he ❑ 51mcWre i5 nol intentled oroflere� lor Sale (Settion 7044, Bu5ine55 anA Pm�e55ional Cotle: The Contractars' S�ate License Law does noi aDDly to an owner o� a pmpehy who bui105 or impmves �hereon, and who does such work himSelVhersel� or �hmugh his or ner own employees, pmviaed ihat such impmvemenis are not intendeA or ollered tor sale. I( however the builtling or impmvemeni is sold within one year o� compleiioq Ihe owner will have Ihe hurden oi Omving he/she ditl not builtl or impmve lor �he purpose ol sale). I, as owner of �he pmpehy, am exclusively conVacting wi�h Iicense0 con�racb�s �o constmc� ihe pmlect (Section 7044, BuSiness ' antl Professions Cotle: The Conlraciors' Sia�e License law does not app�y Io an owne� ol proDetly who builds or impmve5 ihereon ' and who tOntratlsfar such pmlecls wii� a COnUador�s) liten5e pUrSuani to Ihe Coniractofs' Sta�e License Law�. I am aware Iha� pmof oi Iheir Worker's Compensaiion insurance shoultl be pwvitletl �o me. � I am exempt un0er Sectmn: 8. 8 P. C. lor Nis reason: Date: 7 Ownec • �/ � I Uo hereb enify ihat I am aware of antl understand the requiremeNs o� Cali�omia Health antl Sa�ery Cotle Sections 505, 25533, an0 25534 antl Uui I or any fuWre builtling occupanl will/will not (circle one) need �o compty wi�h 5ai0 state co0e5 antl ihe �eQuiremen�s �or a permn �m cons�mc�ion or modificalion �mm t�e Air Oualily Managemenl �isVicL Residential conslmciion aDD��ations are exemp� from Ihese pmvisions. �ate'. Applican�: I hereby cerlity I�al I have reatl ��is applica�ion anA s�a�e �hai Ihe above inbrma�ion is correct. I agree to compty with all ciry and caunly or0inances an0 slate laws rela�inq �o Duiltling cons�mdion antl hereby aNhorire repre5enlaiives of this city �o enter upon ��e above-men�ionetl pmperly lor - specti n purpases. n \ Oate: Signature: ��" a ` � v'�'�'✓�/�—+`� �river's License or Social Securi�y a: 16aLa6 White—Builtling; Green—CODe Enlorcement: Canary—ApplicanL Plnk—Revenue; Goldenmtl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; B 055710 PLAN CHECK NO: 05030-91 S CONSTRUCTION TYPE: PERMIT TYPE; STR JOB DESCRIPTION ; 325SF FAMILY ROOM ADDITZON PERM NO; B 05571 GOVT: N SUPP: N PURPOSE; ADD SQ FT; 325 CLAIM VALUE; 20,000.00 CALC—VALUE; 23,598,00 GROUP OCC; R-3 / COMMENTS• SMOKE DETECTOR(S) RE�UIRED IN HOME. �r*x***�r**+�**+t*�**�r*�r*�****�r+t�r* �t�r�t*�****�t�r**�t*�t*�*��t�t��*�*�**�r�r*+t*x�*�r�r**�r+�***�r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING -------- FRNT: 65 FT IN REAR: 24 FT 8 IN FRNT: FT IN REAR: FT IN LEFT: 11 FT 9 IN RGHT; 32 FT 5 IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL; 42238120 2NE: R1 REF NO; PLANNING Ni5'fE5>�PROPOSED-•330 SQ.FT, ATTACHED FANILY ADDITION ALONG T.HE REAR >. OF THE. S, F, . iE if itif IE aE 3f iE 1E 1E k iF iE iF iE iF iF 3F iF if if iE if iFiE iF �1F iF iE 1F iF'iE iE �E iE iE iF if i!!F 1k 1f 1f k 1f iE iF 3E IE �t it if iE IF iE �1F iE iE iF If �E iF iE 1E iE it iF jE iF��f !f i! �f iEif aF jE iE iF D E V E L O�P M E�N ;T .,, S E R V I C E S R E Q U I R E M E N.�T S ZONING APPROVED BY ;�I K/^� DATE: BUILDING APPROVED BY ; � �L�— 'j DATE: `,6 1 " . 9 APPLICATION ISSUED:�BY-- DATE: iFiF3fifiEiEikiFiE�EaEiEifiElflFiElElEiEiFiF if�E3E3F�Fif3fiEiEiE iEif iFif�FifikiF3fifiEiflfiEifiElkffiEiElkikjFiEkiEiElF3Ek3FiEifiFif�EltiflElEkiF IEiE1EiEififiFififiEiF�E3EififiE3kifiEkiFiEif3FiFiFjElElEiFjF9fiEiflFiElf LEGALIZATION;N F E E -;S U M M A R Y STRUC�`URAL SEGMENT;Y , ,. . , i' BLDG PMT PLUMBING ELECTRIC� MEe�ANIC� FIRE SMI�/RES GftADING FERMIT 243,00 ,/ .... �; / / ,� , � 2,36 .J � i ✓� '';' SMIP/NON—RES r. .� I�LAN 157,95 , ISSUE FEE '" �� " � L-• BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK�/� TO,TAL • 'PAID DUE TOTALS----> 24�,36 0,00 -{. '157,95' � •903,31 403',31 ,00 REVENUE DIVISION TOTALS--> COLLECTED: ��. 25'1,2'1 OVER/SAORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC '� FIRE' SMIP/TOT GRADING PLAN—CHECK 243.00 : � 2';36 5.85 r. ,� i �1F iF if iE if iF aF iE 1E 1E iE 1E iE iF 3E ik 1f iE 1E if if IE iF iE IP ik *%iE 1F IE IE if iF 1F iE i¢.iF iF iF iE 3E iE iF if iE iE it iF iE iF jf 3F iF iF iEiFif �E iF iE iE �F IEiF iE ik 3f iE if iE iE iF iE iE k i(� if �lf I N D I V I D U A L��; F E� E�`� H R`-� A K D, O W N. i { TYPE QTY D E S C R I P T I O N; y'� UNI�T COST' TOTAL COST SFR 342 DWE—TYPE V—WOOD FRAME� � �—GOOD ��69.00 . 23,598.00 END' OF FEES ' } � � ,^ ' , �! " F= ' /}S � ' ' /�' � ��- ! � � �� — /� . ]i, _ � . . � . � � � .^ " �i%' � I r �� CONSTRUCTION AND PLANNING POOL , .,, APPROVALS Permit # Dace Inspector qppROVALS Permit # Date Inspector i. Temporary Electrical Service o� Pole 52. Pool & Equipment Location 'q ' ' 2. Soii Pipe�Undrgrnd. 53. �Sieel Reinforcement � � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding � 5.�Steel Reinforcement _ �(�� QW� 56. Rough Plumbing & Pressure Test 6. Etecvlcal UfER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 2,.��_G. 6'�✓� 58. Electrical Conduit-Undrgrnd. � �... 8. Foundation 59. Gas Pipe, O 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 & ReceptorFinal - 72. Sewer Cap 63. Heater & Vent�Final 13. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical�Final , M15. Rough Electricat�Conduit 66. Solar SYstem-Final - 16. Rough Eleciric Wiring 67. Fencing & Access Approval 77. Rough Wiring Si9� 68. APPROVED FOR PLASTERING 18. Rough Electriral=T Bar Ceiling 69. POOIlSPA SYSTEMS FINAI 19. Rough Heatin9 & Air Cond�tioning FIRE DEPT. REQUIREMENT 20. Rou9h Factory Ficeplace � APPROVALS Permit # 21. Ducts,in Structure � . 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe�Rough & Tesc � 72. Underground flush - 24. Roof Framing - 73. Undergmd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing �-<8_Gy �(,��((/�j4. Overhead HYdro ( r 26. T-8ar Ceiling (Structural) & Monocoat • - 75. Dry Chemicai - 27. Frame and Flashing ' JT'i.�z iG(•ti� 76. Dry Standpipe .' 28. Lathing & Siding . -SG.-q2 �W� 77. FIXED SYSTEM FINAL 29. Insuiation = ,��fj"-Rj� �Cv� 78. FIRE PREV. FINAL . 30. Drywall Nailing ��' HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat �., ��' � 79. FINA� INSPECTION ; 32. Electrical Power Meter�Final - 80./ FOOD CERTIFICATE ISSUED 33. Final Electric ' • 1�{O"q2 '� N!Q" �-' 34. Final Heating & Air Conditionin9 � �'(� � L/ R2. � B� y� �� -� 4/�i�i 35. F�na� Gas:Pipe-Test ' �u `�� ' `^`�� U - - , � f� E�� l 36. Hood or Canopy .'- - - 37. Final Factory Firepl�ce • ' - 38. Final Plumbing ^ � � � �* 39. Watei Service�Final 7� Z � �Z� ^ �'+ /L /� � J t✓V (i.� 40. Gas Service-Ffnal , . . , � � � �� ti Cv- � 6'C� 6� 41. Solar pomeStioFinal � � ' . ' * ' 42. Backflow Preventer . - � ��Z�-�'L� s'�✓s� � , 43. Backflow irrigation � • � � � � �� T 44. Landscape Irripation System , � • � .. � � 45. Sound Attenuation • � � _ _ �� 9 ' - °C�� 46. Handicap Regulations ' � ` � � . � ",,� , � _ 47. FINALSTRUCTURE&BUILDING 2.�,�'L 48. EINALPLANNING • 49. Elec[iic Release to Edison � , - 50. Gas Release to SoutHe�n California Ga: Co ; � 51. CERTIFICATE OF OCCUPANCY No. Date . �_ . 1 � ..�-'� ��1 COSTA MESA BUILDING DEPARTMENT P. O. BOX 31� COSTA MESA. CALIFORNIA FOR APPL 9UILDING Q J Q ADDRE55 [ /a COSTA OWNER�� (/ � MAIL �D�� ADDRE55 � n CITY /�� ARCHITECT OP iINEER ADDRE55 �' CONTRACTOR JTMf�- TO FILL IN s�p�r�L 5�"• MESA. CALIFORNIA �ACF� � ou5 TEL. NO. LIC. NO. QTY LIG �� No IEGAL I�OT DESCRIPiIOrv NO. BLOCK TRACT I A.P. NO. SiZE G s.�0'x ,�z. s� Ho. oF e�o�s. � OF LOT ��ow oN Loi SETBPCN LINE FROM CENTER OF STPEET REAR YARD � �/ �� SIDE YARD RIGHT � � � LEFT DESCRIPTION OF WORK NE` V ALTERATION ApDITION REPAIR MOVING DEMOLISH BUILDING �� ¢ g NO.OF SIZE ROOMS � STORIES E%TERIOR WALI� ROOF �j COVERING J U�� COVERING p� i/ FEE RECEIVED AIAY 21 1957 � � fINANCE DEPT. CITY Of COSTA ME3A APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PEI,�ITflQ COSTA MESA. CALIFORNIA zoruE ^ � APPROVED BY CORRECTIONS /� fYN / - I NERE6Y 4CNNOWLEOGE THwT I M4VE flEAD THIS nPPLICnTION FNO ST<TE TMnT TME ABOVE I$ CORRECT AND /�GPEE TO COMpLV WITH 4LL CITY OROIN�NCES ANO ST/�TE Le 5 REGULnTING BUILOIN CONSTRVC� T�O�. VALUATION > SIGNATURE OF PERMIT FEE S G� " PERMITTEE • � �a� PLAN CHECK S IeZ ��y 5 / AUTHORIZED AGENT �Y TOTAL FEE $ �CO � �err � owrreu � MAR 2 1959 DATE _� _K JOB ADDRESS 960 �aDital Street K� BUILDING PERMiT NO. '76� GENERAL CONTRACTOR ��Aa, VALUE $ 7 7p p(� AP. No. LOT TRACT F[RE ZONE DESCRIPTION OF WORK R.F,}a�ning uall GROUP TYPE ZONE PLAN NO. 7(ir,h INSPECTIONS � DATE � $UBCONTRACTOR coat Final Gas PERMIT8ISSUED