HomeMy WebLinkAbout933 CAPITAL ST - Building Permitsh
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COSTA MESA BUILDIPIG DEPARTAAENT .
P. 0. BOX 317 •-
COSTA MESA CALIFORNIA tl �u'� �6'v`L
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C•L OF STREET FIN�if�C : DE
CIIY OF C1STn,
" �iPROP. TINE _
r~IO FT. FOR 60 FT. STREET—
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FOR APPLTCANT TO FILL IN
BUILDING ADDRESS �(L,s� T _%j' ",�f�ti�
Mail Address q� �/?ni�.4L SJ
_City %125 T.�17'l � S O ___ph. No.%j✓i�� ��'i�
Contractor0��?��T�1-��n Ph. No.
City Lic. No. State Lic. No.
Size of Lot � i��0 2� AP No. �aT't 3 y TNc7'r'i/�i
,_�bi� __ �,
Seibacks: C/L Street Rear 3
Side Yard - Right ' LeEt � �
Type of FenceALc2TN✓L�E+tS ZuTC %���'v __Qic�
�Y �z' �c s'� "
I hereby acknowledqe that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Law�, r�gulatinq buildinq construciion_
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a o �' -
FT I -
0 FTl ST. I
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES—=—,—
MAXIMUM g FT. FENCE MAY BE PLACED ON SO�ID LINES
FOR OFFICE USE ONLY
� Received Date I
- ��_.�� �-
VALUATION '�.��^'�' a--o
erY mit Fee $ •a .
.� rn
�'i�.�„ , Plan Check $ �
TOTAL FEE $
� LA�
USE REVERSE SIDE FOR DETAILS
PflOJE�i AOOPESS: 9 j j CAP I TAL ST
OWNEfl'SNAME: LEE; STEVEN A
nooaEss: LEE, MARY A
933 CAPITAL ST
COSTA MESA,CA
650-5196
APCMIENGINEEH:
nooecss:
UNIi:
92627
flEG.NO.:
uxiT:
PEflMITTEE: fUNKS HLECTRIC (719)751--3865
aooeess: �0122 SANTA ANA AV 6—A
SANTA ANA HEIGHTS CA 92707
LICENSEO LONTPACTOB OECIAXRTION: I �ereby aliirm 1 licensea unaer hsions al C�aO�ar 9(commencing wilA Section
70001 al Orvision 3 0l Ine Business and Pmlessions Coae, n0 my I.ense is in lull� an0 elleci.
ciTvuc.:0575n02 STATELIC.:(Q']Q15 Pcu : C_��
�ak� _�. — Signalure: _ . � ` _
WOXKEflS'COMPENS TIO� Iher¢byallirml Il�aveautliitalealmn5enI105¢II�inSurearau�iliCalealWarN¢rs'
Comoensa�ion Insurance. or a cerUhea cooY ��ereol (Section 3800. Lau. CI.
P011CY NO.: E%P. DFTE:
COMPANY:
� Cenilietl cooY is nereby lum5ned. ❑ Cenifietl copY is file0 witn tne cily Builainq OiviSion.
Daie: ( `^ � �� ApDlicani:
EXEMPTION FflOM WOBNEBS' COMPENSATION OELLAMTION: (rtTyAF4�5S'eRt��ion n¢eGnp1 Ge [anrpkte0 il Ne pdmt is iN On� �unNeO (5f00) or less).
I cetlity t�at in ��e petlarmance o� Ihe wOrk lor w�ic� I�is per ' Qed, I StIa711�B��any per5on in aily mannef 5o as �a OeCOme
5u6�ecl lo �AQe W.o�rker ' CoampenSation LaHS ol Cablomia ��� � [J
, . ,` �� 1� Signaiure: � � `--HT \
NOTICE:II, atter maNing IhiS aeclaration, y0u 5�aulU becom su0ject to me Y fners' Comce��ion provisions ol tAe La�or
Cade. y0u musl fonRml� camON ��� suc� Orovisions ar I�is permil shall �e UeemeE rNakM.
CONSTPUCTION LEN�ING RGENCY: I �ereby a�firm tnal Ihere is a constmciion lenaing aAency br lhe petlOrmante al t�e work lor
wmcn Nis permn is issuea (Setlion anW, av. cl.
LENOEN:
RUOflESS:
OWNEN 6WLDFfl DEUAMTION: I �ereUy aifirm Nal I am exempl Imm I�e Canlraciors' Siate Li[en5e Law lor lhe I011ovnnQ reason
(Sectbn 7031.5 BuSineA anJ Protessi0nal COtle: My cily ol caunty wnicn Rpuires a permil to canStNp, aller, improva. aemolisn, or
reoau any simcWre, pri0i lo its issuance, also requires ihe applicant for such permii to Iile a SiO�� stalement tlwl ne/she i5licensea
Dursuant io ihe orovaions of ine toniractors' S�aie License Law (Chao�er 9 �commencinp wit� Section 7000) ol Division 3 of Ihe Business
an0 P�olessons CaOe) or tlidl nPJsne ¢ eeemp� ��erelrom and Ihe basis br 1�¢ allepeE exem0�ion. Any vioW�ion ol Setiion 7031.5 �y
any applicdni loi a petmi� w�jecis ��e appliWni lo a civil penal�y ol not rtwre I�an five �unEteO OOIWrs (SSOU).
I, as Owner af ine o�openy oi my empIoyees witn wages a5 tneir Sde mmpensati0n, wiu ao Ine urork, anC Ihe
❑ sirucmre is not intenae0 or ollereE lor ule (Section 7044. Bus�ness and Pmlessianal Cotle: The Contracmrs' State License Law
Oaes nol apDty lo an ovmer ol a propenY w� 7uilds or imprwes ��ereon, anE w�o Oces such wad �imsell/A¢rsell or IAmuAh
�i5 or �er wm employees. DmvideU Ihai such impmvemeni5 ar¢ not intenGeO ar atlered lor sale. I1, IwwCver I�e EuilAing af
improvement is solE xit�in one year al completion, the owner vn0 �ave t�e OurGen ol OmWng hNs�e OiU noi OuiIG or imDmve
lor Ine Durpose ol sale).
I. as owne� ol IM propeny. am excluvvely coniracting wiih licensed conlraciors Io can5iruct ihe pmlect �Seciion 704a, Business
❑ anE PmlesUpis WE¢: The ConVaciors State License law tlaes not apply m an owner ol procehy � �uilds or imprmes ihereon
antl wlw contracls lor suc� pmje[is xilA a conVactor�s) Ik¢nse pursuant Io I�e CanVapors' Slale Licenfe Law�. I am aware
I�a1 pmol al I�eir Wotkei 5 Compenution insurant¢ StqNE be proviOeG lo me.
� 1 am uempt mbu 5¢ttian: B. 8 P. C.
tor Inis iea50n:
oaie: Ownec
I Oa nertW cenily rtWt I am aware ol an0 wMerstana ine requirtmenls oi Calilomu Heatl� aM Shcety COOt Sections 25505. 25533, ana
255Ja an0 tlal I o� any Iuiure WilGing acupani will/will no� �circle one� neeE Io comply vn�h uk Slaie Codts anU It1e reQuir¢menls for a
Oeirtu� �or conSlmciion or mo0iliwlion Irom ��e An ualily Managemenl OiSlrici. Fe5i0enlial mn5imtlion ap0����ion5 ate ex¢mpl Imm
IIIESG pfON5W05.
Dale' Auoliwm:
I �¢reUy [etlily IIHI I �ave iea01�R apD���alion ana Slaie I�al I�e a�ov¢ � tor ti is correct. I agree to compty wit� aA city anE coumy
o�duiMcesanOslalelavKreWlinqloOWlCmgcon5lmclionan reOyaN� _ �M ilalivesoliNsalyloenterupontOeabOve�menlione0
pfO�Cf�Y 10IIIISpPLIld1 pOfpOSCS.
�__�2,^q-- � Signaiure: � C
Orivei�s Lkense a Sociai Secunry •: (�
i6at-a6 Wmte—BuiMrtg: Green—Coae EnlorcemenC Canary—ApplicanL Pmk—Revenue; GOMenroE—Asseswr
CITY OF COSTA NESA — BUILDING PERMIT
PERMIT NO: E 065256 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE
JOH DESCRIPTION ; PANEL CHANGE
CLAIM VALUE: 500.00 CALC—VALUE:
PERM NO: E 0652SE
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-3 /
COMMENTS: �
**�**at�#*�c�w*��#*�u�x��t**�t��-u*�x*�#**��*�cu�c�**#*r*u�**#**�c*�x-ac#�c**�c�c�:**�c+�*�c*��c*�c���*�r
Z O N I N C R E Q U I R E M E N T S
S E T$ A C K S
------------ MAIN BUILDING ------ --- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FANT: FT IN REAR: FT Z�
LEFT; FT IN RGHT: FT IN LEFT; FT 2U RGHT: FT I�1
PARKING REp: PROV: PARCEL: 42238406 ZNE; REF NO;
PLANNING NOTES>
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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 APFROVED BY .
BUILDING APPROVED BY :
APPLICATIOP] ISSUED BY: "
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LEGALIZATION:N F E E S U
BLOG PMT PLUMBING
PERMIT
DATE:
DATE:
DATE: ��—Y��
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A R Y STRUCTURAL SEGMENT:N
FIRE SktIP/RES GRADING
ELECTRIC MECHANIC
18.50
sos
PLAN
ISSUE FEE 15,00
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 18.50 15.00 O.OQ
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTRIC MECHANIC
33.50
SMIP/NON—RES
TOTAL PAID DUE
33.50 33.50 .00
33,50 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
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I N D I V I D U A L F E E H R E A K D O YI N
TYPE QTY D E S C A I P T I O N UNIT COST TOTAL COST
ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 18.50
END OF FEES
O1 001579d5—pDi`l966 Yo�'f
4ATE: i�!;?:.'93 T?f9E: 14•23
.J.S�'!
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y CONSTRUCTION AND PL"ANNING : � � - : ,� . = P00� e SPA "�� �. -�'� -�' �..: -
Date Inspector � Date - Lnspector,
. � _. APPROVALS Permif #- � : , _� �_ APPROVALS Permit # , -
- -i. Temporary Electrical Se;vice,ot'Pote `� '' - � 52.�;Poo1�& Equipment Location - �'� --
� � �2,� Soil Pipe-Undrgrnd. ; ;�,' • _ ' � 53.��Steei� Reinforcemerrt ` - � � ,"' ' �
3. Electrical Conduit UtilitY-Undrgmd. _ - 54.��Forms . �
. �. �
4. Electrica! Conduit-Undrgrnd-• ,' _ - . . 55. Elecirical Bonding � . '
j
5. Steeh Reinforcement � : -- _ 56.� Rough.Plumbing & Pressure Test �
6. Electrical UFER Grnd. � - � �� 57.'APPROVALTO GOVER�GUNITE . � �
7. Footings - ,' S8. Electrical Conduit-Undrgmd. �
B. Foundaiion _ '- _ � - � 59. Gas Pipe, � U�drgrnd:, Te;t � '' "
9. Water Pipe-Undrgmd...`�� ,., • � ��' . 60. ,Backvvash 6ines, P�Trap, L] Undrgrnd. '
,-
� 10. Structurai Fioor System�`,� _�; ��` �- 61. APPl70VAL TO DECK' � �� ���;'
1 t. Property Sewer Line &�House•Connection ' 62. Backavash & Recepto�-Final � �
12. Sewer Cap - � , . � " 63. Heater & Vent-Final �
�
` 73. Roof Drains �� 64. Plumbing Sys[em � Fin�l �.
14. Rough Ri�mbing � . ' 65. Electrical�Finai �_ -
�.
15. Rough Electrical-Condurt � " 66. So�ar System-Final
i6. Rough Electric Wiring. - 67.-Fencin� & Access ApP%�vul
77. Rough 4Viring Siyn _ 68. APPR4VED FOR PI_�S.STEfliNG
18. Rough Elactrical-T Bar Ceiling � - . _ 69. POOLISPA SY$TEMS PINAL �
' � 19. Rough Heating & Atr CoridiTianirlg " ' - � ' ' p(RE DEPT. R�QUI'REMENT ' � ' � "
20. Rough Factory Fireplace - APPROVALS• - Permit �`
21. pucts, in Structure 70. Underground Hydro i
22. Ducts, Ventilating � ' 71. Product Pipinc� � Gas ❑ Oii
23. Gas Pipe-Rough & Test � 72. Underground Fl�sh
24, fioof Pramin4 � �73. � Undergrnd. Storage Tank � Gas ❑ Oil
� 25. Roof Sheathing ' . ' 7q.' Q��erhead Hydro
26. T�Bar Ceiling (Strucmraii & Monocoat _ 75. Dry Chemical �
; 27. Frame and Fiashing 76. Dry Standpipe
.28. Lathing & Stding • T7. FIXEQ SYSTEM FINAL �
29. Insulation ' 78, FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT, REQUIREMENT
31. Plaster Brosvn Coat � 79. �FINAL INSRECTtON
32. Electrical ?ower Meter-Final �_T i S0.'FOOD CERTIFICATE ISSUED
33. Final Electric l lO �j ��, Notes: . � �
34. Finai Heating & Air Conditioning /,,` -, !�.',
35. Final Gas Pipe-Test � ''� �+
J \ .
36.HoodorCanopy _ - � �` %, ��1� - �
37. Final Factory Fireplace ' � � ' ^
38. Final Piumbing �� � � _
i
39. Water Service-Final �
i
40. Gas Service-Final �
41. Solar pomesticFinal - I .
42. Backflow Preventer ' -
43. Backflow trngation ' �
44. Landscape trrigation System . . . �.
45. Sound Attenuation
46. Handiwp Regulationz � . � ' . � �
47. FINAL STRUCTURE & BUILDiNG �
',-�
48. FINALPLANNING ' �. � � �` � .
49. Electric Release to Edison ," . . '
50. Gas Release to Soulhem California Gas Co �� � �
51. CERTIFICATE OF OCCUPANCY L__: '
No. Date
' _"_'
/
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�oonEssaem�uxo: 933 CAPITAL ST
OWNENSWWEIFppWN: LEE, STEVEP7 A
�ooxcss: LEE, MARY A
933 CAPITAL 5T
COSTA MESA,CA 92627
�vr�. wuuNc �no�sx
/iPCNRECT OP FNtlNEFA:
MCN.OP FNO.'S AOONE55:
uc. xo:
urar:
UNT:
coxm�crarsxu� AS5URED ROc]FIP]G PROF. ! 714 ) 546-2221
cwm�cToxsxuupo 375Q W, WARNER
�ooxess: SANTA ANA CA ucea.: 680293
92709 uxT:
LJCENSED COMXACTOfl3 DECU1flPTION: I Mreby eRinr uMer pare�y d peijury Mm I an Icensed uMar prwiabna d CMqer 9
(mmme�nB ��h Section ]OW) W Oivision 3 d iM Buvnea end Prdeaeione Coda, eM my license u in full lwca eM eHeq.
cmuc.No.: n^�� uc.cuss: C_�g uc.No.: 680/�293 EXP;
Deta: Z�` T S� ComrPda: �lL v,o—S/ (�_ _���K —
J
OWNEF BUILDEA DECLAflATON: 1 hareby eXi�m untler pe�Y d pairyry thsf I em eaempt Irwn �M Com�Wpe limme Lsw Ip fia
Idbxip �eavon (�� ��t.5 &ni�ma xM Prdesebre COCe: AnY «Y a oounry �fiirA reQuirea e pe�mn lo mutrud. eM1x. improve.
demolo�, w repe'v eny ewcture, prbr b na baueMe, e6o reEuirea �he eppl' en� lor euch pe�mil lo file e siB�� B�emeM ihet he or eM
n IicenseE purmuent io iha provisione M ihe Coniredwe Lice�se lar [Cheqer B(cammerciip with Sadion ]000) d ONuion � d Ihe
Buairco arM PrMessiw CoEel a ihet he «she ia axemq ihae�mm end tM beaw fa ihe dbpad eaemqun. My violetion d Seaun
'!W t.5 by eny epdi�snt fw e permn eubjecla Ihe epplicenl lo a dvil penelry ot'wl more Ihen Me huMred dollen �5500�).
� �.fltOWll!l011hlP�W�YIXIIIYlt�pG%Bl9W1hW60B98=I�1Bf!(.�BWfll(IBII]BIIOf1.WI�����IBNtl1�t.Bf1'�I�IB81f11LYYIBC11dif1�B11dBj
w oRered I« aeb (Section 10a<. Buaimea end Prolassians Coda�. The Camracton Lioenae lewtloea mt apply�o en oxner W DropeM
wM WiM « inpeovee ihareon, eiM who doea sueh v.ork timsell or Mnetl a throupA he or her own empbyeea. pwided thet eueh
improvemema are id interded a Waetl la eele. X, hwerer, tM WiNiip a inpiowmenl ia ¢ok within me ymr d oomplelian. Ne
owner-0uiker xill heve ihe burdan d proving he or ehe 4iA nM builE or improve la tM W m�e M eele�.
� I. ea o�mer d iM popMy. am ezduarely contreaYp M� licenxd convecwe ro crosvun Ihe pqee (��� )�. �irma vM
a,ai�s�ooa com: me com,�a. ��ose iew aoes na e�,vN m en o.�,�,a, d�rom •no nwua a�mv�.. me.�� �e �.�no
mnVacia la wrli prqees w'nh e conlradw�c) I'ranaed Wnueni lo �M Con�retlore Licenee Lew�.
� I em exampt unEer Seciion: B. 8 P.G�. � ihie reeeon:
o.n.� ow��:
i ao nereW cen�b m.i �.m e.,,e a�e unee�sw�e ub rea���^�^�e a cmeomm r�aenn ene sdar coee seeom zsws. zssaa. ene
zss�a, �a mm i« eny nn�,a e�aa�m «av�� ,;ii i wai na (drcb o�) neee m�vh w�n .de me�e �..�e ma rea�vrem.�m m.
epermnlorconsvuctionwmoEificelionhaniMA'v�y erw4ememDimM.ReeidenlielcannrudioneppYce�iome�eexemdlmmiMae
wo.;sons.
oma: nod�cdu:
WOPNEF'S COMPEHSRTION DECLAP�TION: I MreEy etfilm uMer penelly M pwjury aia d the blbwi�p detlaretuna:
� 1 hm�e eM wA meinlen e cenifcma M mnsmi to seXi��e M hwke'e' canW��. ee pm+ded tar by Senion 3)00 d �M labor
CiOdB� iOf Ih8 p91�011110lICB O� IhB Nqk �Cf W�11C�1 �h19 �IBImM b ����.
� I here arM Mil meinten w�rken' mnperueiion im�rarm. a�aqui�ed by Senim �)W d iM l.eh« Cade. br tM pMamuim d tM
wak for wM1id� ��ie permit ia baueE. My wnkeis' mmpe��� inwrence'artbr eM pdiq numbar ara:
c�.: �TA'�'E ^UND EXPIRES
aar v H�mn�.: �1 +'7ti �a �� O 1/ O 1/ 9 6
Rn;: muion neee �w ee mmdarae � rn. vM�x s ro� one nwe�ee edwrs /s,aol a lu,.�
❑ I cenity inet in Ine panormenro ol tM work ror whcn iNe Da�nil is iaeueE. I anell na empby any panon in eny menrror ao av to
bacwne w4� io IM wwkms' cwnG��ion kv.a d CelMana. arM e9ree Nm il I ehouk xome v�4ed �o �M xwkan'
canro��r��on n�som a sqealon 9l0o a� me leMr G�. dul� �unnwrn com wBn inoee a�.�o�a.
Data:- C �� / f� RVd'r�t '
WeminO� Fallun ro ucun worken'rompwuatlon ro +����4 ��a �IvO �ubper m�mplepr ro ctlMlul p�naMu and
clvll flnw yr ro wn ha�tlrW MouunO tlo/Mn (StOQ000 � Itlan ro fM roaf o/ crompsiuetbn, demeps� u povltlstl br In
SxHan J]06 0l fhe LMar Cods, InNnsf, �rW �ttomeys (M�
CONSTqUCTION LENUINO AGENCY: I hereby eifirm uMer peneliy d parp�ry ihat �here e e aon�ruaion kMinp epercy tor the
perlortnarKe d ��a woM br wM1idi Iha perml ia esued (Sadbn 3�9I. Civ. C�.
LENDEN'S NM1E:
LENDEP'S ADDflES4:
I eeniy ihet I heve reed ihia epplieaian enE nab Ihet IM ebove infoemalion ia eorreu. I eprea lo wmpN �h all dly end eounry adinerime
end atete kws reletin0 �o builEMg hcaMrudon �ud h_ereby eu1FKK�e repreaenteliuee d thb ay io emer upon �he ebove�memuned properry
m.��� ....��� IJr-e"�\`:'- �
i � Pnm e
Deie:
White-BuilEiiq 8 Selery: Oreen-Fle: Cenery-App4ram; Pink-Revenue; GoWenrad-Aeneswr
CITY OF COSTA P9ESA - BUILDING pEP.MZT rc:cr•i r� ; c it�oc
PERPIIT NO: B U71268 PLAN CHECK D10: N �vJi :�, o�_ r; ��
CONSTRUCTZON TYL�E: V-5 PEP.MIT TYPE; STR PURPOSE; OTH
JOb DESCRIPTION : T/O S REROOF W/COA1F. SAINGLES SQ FT: 1,995
CLAIPI VALUE; 1,995.00 CALC-C'ALUE: 1,995.00 GROUP OCC; R-3 1
COMMENTS: SMOP.E DETECTOP.S REQUIRED FEP, 91UBC, P.ERUOF 1700SF REST_DENCE
**�-**iE*i[�acit�*�1t*et+;e**�+*ititi!�it*+�it*�ttrt*�IE*��E�IE**��#�*x�c�3F�c**xir*�*x*xaf�.r*s�F�7E+cr**af�r-;F:�ars�c�v-*�K�
2 O N I N G R E Q U I P. E M E N T S
S E T B A C K S
------------ A1AIN BJILDIh7G -- ------ --------- ACCESSUP.Y BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN P,GHT; FT IN LEFT; FT IN RGHT: FT IN
PARFIA7G REQ; PP,OV: PAP.CEL; 52238405 ZNE: P.EF Nt�;
PLP.NNING DlUTE5>
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D E C'�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
20D]ING AFPRUL'EL� BY UATE;
BUILDING APPROC'ED BY : DATE:
APPLICATION ISSUED BY: �-+�*i-' DATE; Z � Q�
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LEGALIZATION;N F E E 5 U M M A R Y STRUCTURAL SEGMENT:Y
bLDG FMT F'LUMBING ELECTRIC MECHANIC , FIRE SMIP/RES GRADIP7G
PERMIT 45,00 ,50
SMIF/NON-nES
PLAra
ISSUE FEE
BUILDING-DIV-> PERMIT ?SSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 45.50 O.QO Q,00 45.50 4�.50 .00
REC'ENUE DIVISION TOTALS--> COLLECTED: 45,50 OL�EP,/SHORT; ,OQ
BLDG PMT FLUMBIDIG ELECTRIC MECHANIC FIRE SMIP/TOT GRP.DING PLAN-CHECK
45.00 ,5Q
df if if 1M1 if iF if Af if 1f'Y' a(' A' if T' if- �f Y' if'If 1f iE 4 if if'�f j(' if i(- If df'1F'1f i�"If'N'tf'N- iR iF')f'If iR �l! �)f �f')f 1f iF'V' f If i�' M'-K' Y' iE if if'M� il"R'V 4 if i4 ii �Y-1F aE iF A[ if aF Y'Y AF �K M
I D7 D I V I U U A L F E E H P. E A K D O W Pd
TYFE QTY D E S C R I P T I U N DNIT C�ST TOTAL COST
SFR 1995 REROOF bY i�ALUE RESIDETdTIAL AIOZONE 1,Q0 1,995.00
END OF FEES
��: �?�71??2�7-.^.0±77:t58 T�eT
DATE: n2/<'¢/95 iIt1E: i?:53
65.SQ
�
CONSTRUCTION AND PLANNING POO� .� SPA _
APAROVALS Permit # Date Inspector qppROVA�S Permit # Date Inspecto:
) �
t. Temporary Electrical 5ervice or Poie 52. Poo! & Equipment Location ;
i
2. Soil Pipe-Undrgmd. 53. Steel Reinforcement .
3. Electrical Conduit Utility�Undrgrnd. 54. Forms �-
4. Electriwl Conduit-Undrgrnd. 55. Elecirical Bonding '
5. Sieel Reinforceme�t 56. Rough Piumbing & Pressure Test !
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit-Undrgmd. '
8. Foundation 59. Gas Pipe, O Undrgrnd., Test '
9. Water Pipe-Undrgrnd. . 60. Backwash lines, P�Trap, O undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
17. Property Sewer Line & Hovse Con(�ection 62, Backwash & Receptor-Final '
12. Sewer Cap 63. Heater & VenrFinal i
13. Roof Orains ,' fi4. Plumbing System - Finai �
14. Rough Plumbing , 65. Elettrical-Final
75. Rough Electrical�Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVEO FOR P�ASTERING
18. Rough Electrical-T 8ar Ceiting 69. POOLlSPA SYSTENIS F{4VAl
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21 . Ducis, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oii
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing 73. Undergrnd. Smra9e Tank O Gas ❑ Oil
25. Roof Sheathin �
9 3_% C/� ' 74. Overhead Hyciro
26. T-Bar Ceiling tSvuctural) & Monocoat ` 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathinq & Siding 77. FIXED SYSTEM FINAL
29. insulation 78. FIRE PREV. FINAL
30. Drywail Nailing HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power MeterFinai 80. FOOD CERTIFICATE �SSUED
33. Finai Electric Notes: `3 _CB- ` �!^� /. .- . _ _ �yy�
Ci1,P"'�d��
34. Final Heating & Air Conditioning �, ���n.,,,_ _ /f,� � � � �
2"�� �.-4k
35. Finai Gas Pipe-Test �L /�
_�,�
36. Hood or Canopy
37. Finai FactorY Fireplace
38. Final Plumbing
39. 1M1'ater Service�Final
40. Gas Service-Final
47. Solar pomes[icFinal
42. Backflow Preventer �
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. fINAL STRUCTURE & BUILDING � _Gts �j/
48. FINAL PLANNING
49. Electric Release to Edison
5p. Gas Release to Southem Califomia Gas Co
57. CERTIFICATE QP QCCUPANCY
No Date
OWNER �,�WORTH. D & K DATE
AP No.
SUBCONTRACTOR
NOUGM HEAT�NG �NO �IR CONDIt�ONING
�TEMPORARY SERVICE OR PO�E
� UNOERGROUNO [, POWER �
ROU6X WIRING
EM
ANO FL�SHING
a � IN n
. �.��.3�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING � �
ADDAESS
OWNEF� T
MAIL
AODRESS
/� TEL/`�ypy�
CITY l' . YY�. NO.Y/`F�lS�
A.P. NO.
BUILDING
ADDRESS
BRANCH
OWNER
ADORESS /�
AFCHITECT TEL. S�
av
PA1D 10.50
AUG —4-77�MSA00 733� ****
FORSTRUCCURALPERMIT
FIRE
ADDRESS ZONE
APPRO V E
CONTRACTOfi �r ( BY
AODRESS � �
TEL. ZON�/ NO.OF
CITV NO. P�'�
F STATE CITY �ARDSAPPROVE
% LIC. NO. 110. NO. MAIN BUILDINC
LLl SIZE NO.OF BLOCv^. (FROM G/L STR�E/ET)
a OF LOT NOW ON LOT RONT �'1F C
� USE OF /O�
EXISTING BLDG. S Y FT.
h �
� Separate permi[s are required for L. SIDE ���r.
Q electric, plumbing and hea[ing work. REAR `IO�
FT.
: USE OF BUI�DING AND WORK TO BE PERFORMED
OISTANCE BET.
QQ MAIN BLDG�.
I I VAR. $6
-� E � . C.U.P.qW
Q
� G Q�i ,�Ro���e
.�
�
W
�.
� I �araby e<knowlatlpe that I heva raetl this epplicetion entl stoie
� that tho ebove Informetion I5 correct and eprea to comply with
ell lawa roB�letinB builGinp conttruction, anA I shell not employ
Z eny person In vlolation of tha workman's compensetion lawa of
� Me State of CalHornia.
+� 1 hereby cartify that I am properly Iicensetl es a contreetor undar SQ. FT.
tha Sute of Calitarnia Businass entl Profaulons Cotle, Oivlalon 3, THE AMOUNT SH
Chepter 9, entl thet such Iicensas are in full force and effect, or I h1E PVRPOSE OF I
em oxempt from che provisions of the State of Galifornla Business VALUATION
and Protaszlone Cod , Dlvision 3, Chaptar 9.
SIB�eture of / � ^ ^ ^ �
Perm(ttee `� � �
�
PERMIT
i �.i 11.) O 2�1"�
� G�✓d�E
S
'E � GROUP �
DATF�� T �
� S EC,
� USE OF NEW Ll7SDG
_ BUILDING a//if.�L
&
A PERI
P RMIT FEE E
PLAN CHECK §
TAX S
TOTALPAID S
�
n
m
i
u
m
7
m
e
vi
n
m
0
LL
i
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• ��l
+
1
; ' J� �2
COSTA MESA BUILDING DEPARTMENT
P.O.80X 31�
COSTA MESA. CALIFORNIA
FOR
BUILDING /7 2�
ADORE55 '�7 �
ARCHITECT ' _
OR ET'-'NEER
LEGAL
OESCFIPTION
A.P. NO.
TO FILL IN
MESA. CALIFORNIA
r EE RFC�B�: �
MAY 21 1951 ��
FINANCE DEPT.
A P P L I�I�{,Yf 0$ Pa0&fQ9 ARIEGI'� R M I T
BUILDING
FOR OFFICE USE ONLY
��� /� ' � OC�—��� i.irl
TrEQL.'i � ���/ BUILDING
/'r! ADDRE55
:I�' COSTA MESA. CALIFORNIA
CITV LIC.
NO.
TEL.
NO.
SIZE /�j / y NO.OF BLOGS.
OF LOT CO ..l � I�Z •�U HOW ON Loi
USE OF ��
E%iSTiNG BLDG.
SETBaCK LINE FflOM � T
cEHrcn or sTac[r �Q REAR YARD
Y7 i �D �
SIOE YARD RIGHT / LEFT
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAir� MOVING I DEMOLISH
BUILDiNG f���� NO.OF � �
SIZE � ROOMS STORIES
EXTERIOR
COVERINC
USE OF N
9UILDING
DATE
CORRECTIONS
! / /�
I HEFEBY nCNNOWLEOGE THaT 1 H4VE FESD THIS /.PPLICAiION nND
STATE TMiT THE ABOVE I$ CORHECT ANO AGREE TO COMPLV WITM /.Ll
CITV OFDINANCES 4rvp STnTE ln $ REGULITING BUILOING ONSTRUC�
TiOrv. 1 VALUATION
SiGNATURE OF J PERMIT FEE $ �j —�
PERMITTEE • �
�\ �� S �a ' / PLAN CHECK S �2.
\\J j' /'//\\ / iG
AIITHORI]FO AGFNT . 1}Il//S //iI`���f�IM.! ���/ TOTAL FEE $ 36— �'"'
�