HomeMy WebLinkAbout884 CAPITAL ST - Building Permits�
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884
OSTA MESA,CA
�wi. iwuNc �ooxess:
11iCNRECTOPENC�NFEN:
' coxin�ctarsrun:
CONfNACTORS W111WG
i1DD11E5S
r1itiL �a
, DOUGLAS L
, PAMELA D
TAL ST
92627548-1587
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UCENSED CONfRACTORS OECLANITON: I Mreby efl'vm uMa pero[y d peejury thm I em IieemeA under povidms d Claqm 9
(mmmand�p wi�h Section 9000) ol Dirisian 3 d Ihe Buaineae vd Prdeaeions Code, e�d my lue�ue'a in hll brro enE atled.
cm uc. No.: uc. cuss: uc. No.: � EXP :
ome: comrea«:
�NEN BUIIDEX OECL�N�T10N: 1 hereby etbrm uMer penNy d perjury Ihet I em ezemq Imn �M Convmon Liceme lew lar iM
IoxinY �en (SeGbn ]W 1.5 &nibss vM Pmleaeiom Coda: MY �Y a mumY xfiitA mVu"vea e Pa�X lo cotnhucl. ellx. imMo.a.
amoleh, or repeir eny ewcwre, pna lo �a owvke, ebo reQuirea iM eppliranl lor wch pe�mil lo fib a spned Mebment HW he a�he
o licensed W9�� �o iha prwimona W iM Contraaore Licensa Lew �Cheqer 9(mmmerriip xilh Sedian 1000) d Divwion 3 d �ha
Buri� end Rdeaeuro Codel «iMt In «aM n exemp iMehan eM 1M bsvn ia lhe dbYed ssemqion. Am'vidmion d Seeion
�aai s W enr OoW��m �« e va.mu wN� ine evdcem m a a�i van�n a �a mae mm rne nundree ewws Issaop.
i(❑ I,noxnerd�heprope�ywmyempbyeeewilhwageeaalheiedemmpanee�im,xilldoNaxwk,eM�heaWctureomtinleMeE
a dlered far eeb (Setlion )OM. Busimea eed ProfeaebnsCoda: The Comim«a Lieenea law Eoes nd eOVNto en owm d pWMY
who Wdds w'vnpores t�ereon, end who does euch vmk NmxM a henel a I�raph he a hm awn emplv�+ees, poviEed �het axh
imprwememe ara nol inleMed a dlared lor ule. II, however, �ha buiMiep or'unprovemant ia aoN within wre yeer M eomplelbn, IM
owrwrbuJder will heva iM WrEsn d povieq M m ahe d'b nd W iW or imprwe lor the W�e at eele).
❑ i. � o�..,., d ma o�a�ro. �..d�r oom�aa�re �.vn r��.ed �mmo�. m�m�w in. woim (sm� �aa. ew�� �e
PMmwone CaCe: Tha Caniredas Licanx lew doea �wt eppy io en owr�er d propany w1w buike ar impovn Ihereon erM who
C011V6419/IX YN'II �'IO�B119 W11I1 B 211VYJO1�9) ICBf19BE W�=��� 10IM COIIIfBdOfB L�118 w).
� I em exemq urder Senion: B. d P. ..1 iho reemn:
o�<: � � ' � o�. 'V
I do hereEy cenity thet I em eware d end uMermtend the reQuiramenb d Cal' Heellh end Selery Code Setliona 25505, 25 , eM
T551a, ard tl�el I a eny Mun buildirq oaupen� vnll / wil m� (ofcb wa) r�aed �o mmply wih aek qete ooda eM Ihs reyuira e Im
a pe�mil lamuwctiona �roEifiu�ionkaniMAi�enepemenl Didriq. RmkeMW cana�ulian eppiratiwuere ezemq f
w���a.
Deta: MW�
WONKEH'3 COMPENSATION DECLRF�TION: I Mroby a/firtn uMx penelly d pe�jury one d ihe Mbxiiq dedum'vre:
� I Aeve aM xil meinten e ttMceb d owuent to seHirtwre for waken' canpenaetbn, m praviAed /a by Sedian 3)00 d �M labor
Code, la tM pe�mnence d IM xwk /a MicA this pamu e is�ueE.
1 I heve end wil meinlen wohara' compenemion inaurence, m rpuired by Seaim 3)00 d ihe labor COEa. fa IM peAormence d iM
wpk (or whidi thie parmil b iesuel. My wakere' cwnpametion imurarca cvrer vd pa4ry number era:
Cerrix:
Pdicy Numbac
Rnr: nniw, �eed,�a ns oo,,,v�ee r rn. v�x a ro. o� n��d�d dd�ls�ao� a b...�
� 1 wrlity thN in the pe�lamemn W �he vrork Iw which thie permn ia iaued, I dWl � empby e�ry pamn in eny mennm eo n �o
became aubjaq �o the woMe�s' campenselbn levm ol CalXomie, eM eprea ihet X I ehould becwne eubjae to tM vroMe�e'
compa'aation prowuro d Sepion 3)00 d tM lebor Code, I ehell tonhwnh mmpy wNh Non pmwian.
Deie�. ADdsenl
Weminp: FeNun ro aecun wolk�n'ro�veiwtlon coverep� h unkwM, enE a/Wl ubJacl en �mploysr to MM�uI penNtla �iW
nvn nM. up ro on. nunerw tnoua.rd Ga�... f���4�/, �� ���n ro m. co.r o� romv.n.atlon aamep. n povasd ror In
SxHon 9RI6 0l fhs LaOorCOW, Intwwq entl anomey'� Mx
CONSTFUCl10N IENDING A�ENCY: I hereby elfirm uMm pemR/ d perjury iM1M IMre u e mwrvaion bnE'up epency lur Ihe
periormence d Ihe v.wk br wTich ihw pefmi ie eeued (`�� ��, CN. C).
LENUEN'S NAME:
LENOEP'S ADDNE55:
1 cenily Ou� I heve read Ne applira�ion vM mme thei tM ebove inlormetbn ia coirea. I eprea lo comply wi�h dl ary erd muMY adinencm
vM alele lev5 relelvq lo Wikiq crosbudion and MreEy eiMp¢e represen�etives d �hs cily la onlx upan tM ebove-men�uned pope�ry
�°""'0�"'°"o"`P°`°DOUGLAS DE VENEY
(515td6.WP) WFilo-Buik'vqBSeley:GreaMFb:
Dma: � • /
Pink-Revenue: Goldenmd-Asaaew
CITY OF COSTA MESA — BUILDING PERMIT'
IT NO: P 081271 PLAN CHECK NO: N
TION TYPE; V—N
PERMIT TYPE: PLU
PERM NO: P 081271
GOVT: N SUPP; N
PURPOSE: OTA
DESCRIPTION : WATER HEATER REPLACMENT SQ FT:
M VALUE: CALC—VALUE: GROUP OCC; R-3 /U-1
ENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
iF iE 1(� it fE jF iE iE 1@ IF if if iE �E iE IE if iE 1E ib if i61E iE 1E if'lf 1E iE 1f 1k * iE if iE 1F iE iE iE iE 7E'lE iE ih Ik if IE 1E �E 1E IE 1E IE iE 1E fE fE iE iE fE IE 3E iE 1E 1E If if 1f iE �F IE'lE 1E 1E 1E
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
----------- MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
EFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
ARKING REp • PROV; PARCEL: 42239112 ZNE: REF NO:
LANNING N6TES>
�
3f iE iE 1E iE iE iE iE 78 iF iE IE 1E iE IE 14 iE it iElf 1E iE iE 1f 1E if if iE 1E if 1E� 1F'k 1E if 1f I(� iE 1f 7E 1E 1E iE iE if iF�iflE 1E 1E rt 1f ik if 1E iE 1E 1E if iE �E iE 1E iE 1E if if If !f� 1f 1ElF 1E 1k if iE iE 3E
D E V E L O P M E N T S E R V I C E S u�R E Q U I R E M E N T S
ONING APPROVED BY �Y' DATE:
v
UILDING APPROVED BY : �. DATE:
PPLICATION ISSUED HY: %�.' � DATE: � 22�`��J
IflflElElEiElEit1E181FiFiFiFiFifiEiFiFififTF�if�FiF�{f�FififiFiFiF3F�F7F3FiF. . if3FiF3F7F1E1E1f'lEiFiElElfiklf �iF1EiE
EGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTR3C MECHANIC FIRE SMIP/RES GRADING
ERMIT 11.00
25A _, �, SMIP/NON—RES
LAN
SSUE FEE 22.00 �I.�
UILDING—DIV—> PERMIT ISSUE PliAN,CHECK TOTAL PAID DUE
OTALS----> 11.00 22,00 `�'0.00 33.00 33,00 .00
EVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CE{ECK
33.00 r_ �'
� �
iE 1F 1E �E IE IF iE ik 1E iF 1E 1f ii iE if iE iE 1E 1E iF 1F 1E 1F if 1E 1t 1E 1E 1E if 1E iE 1E 1E�1E iE iE.�E iE iF iE 1F iE 1E iE IF iF 1E iE 1E iE iE 1E 1E k!F if 1E 1E 1f 1k 1F 1F 1E iF iF 1E iE ik if IE 1E fE IE iE 1E iE iE
I N D I V I D U A L`' :F E E B R E A K D O W N
�
YPE QTY D E S C R I P T I O+'N ;l UNIT COST TOTAL COST
i',
LU 1 WATER HEAT�:H ANll/Utt�VLNl' 11.00 11.00
END OF FEES
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01-22-1997/81:46 PM/f33.80
PERMITPT081271
CONSTRUCTION AND PLANNING '� .� F �& SPA
APPROVALS Permit #. '� Date i�spe'ctor � APPROVALS Permit-# _ � Date I�spector
_ �
i. TEmporary �EI¢ctricai Service or Pole . ' 52. Pool & EquipmeM Cocation '� . �
2. Soil Pipe-Undrgrnd-. ' , - � 53. Steei Reinforcement , � . - '�
��"3.=Eigctrical Conduit Utility-Undrgrntl. - ' � . 54. Forms � - � � C r �
`'��4..Electrical Conduit�Undrgrnd. ' ' 55: Electrical 8onding� � � __ � �
c.
�•. 5'. Steei Reinforcement � -� 5.6. Rough Plumbing & Pressure Test � i�� �
'. �. ... _
' 6.'.Electrical UF�R Gmd. � - ' 57. APPROVAL TO COVER�GUNITE - -�
- I
1
_ - Zt Footings � . `58. Elecxricai'Conduii�Undrgrnd.. - � '
;,8. "Foundation . ' 59. Gas Pipe> t7 Undrgmd., Test� '� ti; �
V
i 9. Water Pipe-Undrgrnd. ' -- -� 60. Backwash;Lines, P�Trap, O Undrgrnd.
10. Structurel Floor Svstem � � 61. APPROVAL TO D�ECK . ,
71. Property Sewer Line & House Connection �, � � 62. Back4vash & Receptor-Finai �. I
12. Sewer Cap � , � � � 63. Heater & Vent�Final
13. Roof Drafns �� � ' � 64. Plumbing System � Final . .
14. flough Plumbing _� � 65. Electrical-Final
15. Rough ElectriCal�Conduit ;, � � � 66. Solar System-Final _
16. Rou9h Eiectric Wiring . �' _ - ,. 67. Fencing & Access App.ovai
17. Rough Wiring Sign ' - - ' .68. APPROVED FOR PLASTERING � . "
18. Rough Electrital�T Bar Ceiling � ' �',69. POOUSPA SYSTEMS FINAL �
19. Rough-H_eat(ng &A�r Conditjorn�,)�g _,c � � _ rt,;. ti �., FIFjEAEPT�REQUiREMENT ,.�, �
20:GRongh F"acto�y Fiieplace �� t,�`-,� � _ -'.,;; qpRROV9Yl�F P,�imit#-� , -
= ' r �•ti.-� � .
21.`DucYs, iri�,StriiCtu .. .. � , _, _ , ` "'=
t � � ,. >,. '� ..,� T ✓ m :
F�� t�, ��' Sr-� * -!'.x r- �O�Underg�'oui�d E,iydro Y
22._Ducts, �(enti(gting;,y`,� � '",-'� :g �; `; j -x � 77, prodact Pipin - i:rGas t70i1
4�
23.•GarPipe_Rough & Test + ^� � `T� �' '-` ='"'- 7z. Under `-'und Eludh * F"'
� ar �;rrr. �?,n x � 7 Sx C' 9�.. 7�
24. Rooi Framing ��'`� � j x'� �,-.; --+� :' 73. Underg nd. Storage Tank � Gas ❑ O�I
25. Roof Sheathing t'^� � �''� v C '"�'� c 74. Overhead Hvdro,_ "�'
- 'T�I: r+ k "' =J?: .�,.
26`'T-Ba� Ceiling (Stiucturat) &�`y'gnocoat �` � -� F�i 7b. Dry Chemical�� r y `� �
27:.-Framea`oii Flashi�g� ��^�' r'�' >' 7�'�' 76. DrySiALdpiP�N`. , o � rm,
28. Lathing�& Siding`,-; r �' ��.�, a � •'`' ..� •.: -- • � �- �' �
! �: �7. FIXED-S.Y.ST�Ef�F_iN<kL � "
29. Insulatig.n ;; 4: l � A- I � �; 7.B�FIRE"PREV. EI�IAL ; y r` `;
- -�' c..,•, a: � � ; ._: .ti. • -� :�
30. Drywall,Nailing .�> � r., c.� � � �: Sv-. c r.��EALTii DEPT. REQUI}.jEMENT
31. Plaster Brown,Coai� =+ �'" • x ' � kM?- 79, fINAL'(NSPECTION ;� _ F
�
T � �� ~y; �� Y: ib I
37:-Etectricab Po;wer Meter-F,inal� ^ * ' � ��' 8(l. FOOD CERTIF�IGATE ISSUEO .
33:=Final El�ctric' vx '"� � r� i � �` Nbtes: � T"
.-,. � � . , � , ;.. � ,�3_�� nr� ccF S �N
^1 'r ' fi � � !'' �" "�'-� -
34..Final Heating'& AirrC�on`ditioning= � ,. ,_ � � {,: ;L �,� �,�L�n _ c ,
� � � �
35. Final GasPipe�Trst�� _ � �• � � � _ ^; - 7�-. * - ..
�..*� � r.i� r, -
� 36._Hood or`CanoPY�'" v `'r , Q;;.. ` '� :, (� � �' '^'� '� m
� r � �: ;-r rt?
_ 37. •Pinal Factory Ficeplace': F(-+ -- '�' .. � � - r T c=
r rr r:
. 38. Fina, Piumbing E,,� '� ; � ' � f '' ---
�- l� " � /I ^ x -.
39. VJater Service�Firia�s � i _. � x i �-. � :,� ' " �: �~ +:
. � � U
- 40. Gas Service�Final '� -� ` ''�'' - �T r' ' ' �' : '� =".� ° �
� j-. P. - 1: � rr r• • c=' -: Q
41. Solar Oomesiic•Final'� �-- � ,�: � i ',� 'r �= � :- :.r. �
�, n .
42. Backflow Pre.venterr '� X � � ' „" - "
��.-�1- . M � 1'��.� Ce '�
• � _ � _
43. Backflow Irri�atioro• >. � �' z ; � ;� � � � (^, •
- �r - c-. n; �
_'�A4,-.Landscape triigation Syste �^'' '"� ' C"' a r '�" �'' ' � _� `
� �^; � r,. e!, Y�. E 4: .�::. K
�45:Sound Aztertuation� J�".• ' `- i- R,� i-. r a y�- r
-46.'Handicap'Regulatio�s ^ � . `'� " �� r� � i , �
> . � i 1 • � � .y L o
47:'FINAL STRUCTURE & BUfLDING ; =. � � '� ` �y - � F
I
48�FINAL PLANNING' ' F't' � � "` "� ;' ; '
;, . �
- Q9:'.Elec'tric ReleaSe to Edison � . � I ' �: K; � � .i%; ; - :
6. - ,-, �
50: �Gas Release t0 Soufhern Catifo`{ii(e Gas Co ' � ' x `' s = ='� , '' _ -
'T�t. CERTIFICATEOF`OCCUPANCY " '" � ^ -
No Oate
'�oon�ssa emiaxo: g g q CAP I TAL S T
a`v"E"s"""E'°'Q'°"": DE VENEY, DOUGLAS L
mox�ss DE VENEY, PAMELA D
884 CAPITAL ST
'OSTA MESA,CA 92627548-1587
MPL. NAlIlNO ADDHESS:
AXCXRECTONENC�NEEP:
AXLX.OHENO.'S AUURE55:
IIC. N0:
UNT:
UNf:
carim�crarsx��e: yOUNGS ROOFING (714�5444
carmucToasxuuxa 1015 E. CHESTNUT �/ 'L �
�� SANTA ANA CA uc.wo:
9z%Q1 UNT:
LICENSED COIRNACTONS DECLAN�TION: I haraby dfim uMer penely d pa�ury Ihm I em licenaed uMx pwiaiwu d Cheqm 9
(mmme�wrq xiih Seciion 1000) oi Dirieun 3 d �he Busm» eM Prclessiona Coda, entl my licenae "n in /ull Mce eM e%ed.
cmuc.No�.:��pyy_-�y��+/�)' uc.cuss: C_39 uc.no.: 5685 O�n/�� �EXP: 00/00
Dm ' ' ' ' Convearn: \__��'�j/'r— �
NEN BUILDEX �ECIAPATION: I ha,eby eifirm uMer panetly d perlury Ihe� I em exemq iro ihe Conlradan Liroma lew la ihe
fdbwvg reewn (Setlion )0]1.5 &ni�asf erd Pmlassions Cada: Am/ c1y n muny which �eyuirea a permn �o roeqbucl, dlm, impwe.
iemof h, or repei eny sVucwra, priar m na asuence, ebo repuirea Ihe epd�� for euch permn to fib e aiprwE etaiemem i�et M a eM
licensed W���� �o Ihe proKsiare W the Conveaora Licenae Lew �Chepler 9 �wmme�nB �h Sed'on ]OW) d Diveion 3 d tha
nine a erd Prdea�orre Code� w ihei ha a ahe u axemp therehom end the ba+ie for �M dbpeE ezemqion. My violelon o( Setlion
/031.5 by eny npplireni for a permil wbjeds the epd�� �o e crvil penelly d na maa then liva huMred ddlen �5500��.
� I. es owner d iha propeny or my empbyeee wilM1 wapes es �heir sole mmpenaeibn, will do the work, end �he etmcWre e nM inleMeE
w dlered lor eele (Seclbn>Oaa. Buvre� eM Prdeaeions Code: Tha Conlreqon Lioense lew tloee'rot epplyto en owner ol propeity
wlw WiEs a inqovea tMrem, eiM v.}w Cws s�ch xwk Hmaell or MnN «thrpph hu «M1x awn empbyees, qwkeE �hel euch
'mprovemeMa ere rot immded a oilereE lor sale. ll. Mwever. �he buiMirp or vnprovement o saFl xilM1in me yeer d campletion, IM
owner-buiNar will heve Ilre buNen d provirp he ar she did nM build or improve lor IM W�e ol mle).
� I. aa ovmer d IM propery. em extlusively conlredip wiN IioenmE comreclan �o cw�mutl �he pqeQ ($epbn )ON. Busireea eM
PrMeuions CoCe: TM Contrmon Lranx law tlaes iwl epply to en owmr W propeny wha WiNe w impovm iM1erean aM who
comrecia br ewh D�al%�s �Ib e mmredor(s) Icenaed pursuenuo �he ConVedon Liceme lew).
� I am uemq �Mm Sxtian: B. 8 P.C., la Nia raesm:
i m neren� <an�y iw i� a..a,a a�d �w�i�e m< rea����n� m ceie�m H.ann.�e smey coa, s,a�w zssos. zss�. �a
2553a, vM thei I or eny lulure builtli�p oavpent will / wdl nm (arcb one) neeE lo canply wFh eek slale oodes enE the reQuiremenie M
e permit Iwmerevuctimw modififetion hom�heA'v�6u LiyF.renepamenl Dislria. Reaidemiel mnevuaon appkmions ere acemqtrom theae
povisiona.
oe�e: Aaoi���:
WOHKER'S CONPENSRTION OECUflAT10N: I haraby aifi�m unCer-peneM1y d perjury «n d tM Idloxi�q dedarmiom:
.� � I heve enE wil meinten a cenMicete d mnxnt lo setlinsure la xvrkara' campaneetion, m provided Iw b/ Sedion 3)0o d ihe LeEar
COEe. lor ine peAoimence oi �he wrk for which I�ia permit ie iasued.
ne�. �a �� meime.� �a�a• mmo�,w� ��,.e�a. m na��red M sea� 3�0o d ine � coee. i« ine ronvmenoe a ma
work lor which thia peimn is issuea. My wakers mmpanaeiion inaurv�ca cemer eM pdicy numEer ere:
cariier: FRFMf1NT EXPIRES
Pa�'N�me« WP95-529900-Oa 04/24/96
ni:.:«rion neee nor ae comn�arae a ma w�n i: roi one nune.ee ea�ers (s�ool o, b�./
� I mnty Uut in Itn perlmrence d IM wwk /a xfich Ihia pe�mY is iaeuad, I Mell � amploy eny peesan in eery menner w m �o
become wbjed to IM xwkera' canpenulbn kwe d Celilwna. ard aprae Iha� tl I ehp�M become wbjep to IM MaMero
5911011 9Ul19 W� 31D9�U� �NB �6bOf Ci�B� � 8 IlhWll�l MT�J'.VI1�11�109 fON910119.
�� �2-II '�s A��, �,
ernlnp: Fellun ro axuro worten' compenseHon coverags l� unkwNl, end �hsll auDJxf an player ro cNm/nel pena/tlw en0
c/Hl flroa up ro ms huntlrstl tMuuntl dollan (S1W,OW), In etldltlon ro Ms ro�f o/ rompen� bn, tlemepa ea provltletl br In
Sxtlon J1P6 0l Ms Labor CoOe, Inrwsit, ena emmsy i M1u.
CONSTRUCTION LENDINO AGENCY: I hereby alfirtn mEer panely M perlury the� ihem is e wnatmdian lendieq epenry far �M
parromienm d �ne woM �« rmicn me o�� is asuee Iseaiw, so9�. cH. cl.
LENOEq'S NAME:
LEN�EP'S �DOHE55:
1 cenity �la� I have rted Ihis epq'ration eM ge�e ihm iM abave inl«mmion ie cvnm. I p�ea io canply xil� M ary arM mumy ordinenoes
enE steie �ev.s rele�ing io buildmg consvuaion enE hereby eWhorae represenle�ives W@is cny io emer upon the ebove-mentionetl D�VeM
larinspeaion purposes.
MICHAEL YOUNG
-�,yL��- P��. �� l t
,,� 2 � , �
oms:
�5151�48.WP) Whne-BuiWip 8 Sefary: GreerFFile: Canery-Appirant: Pink-Reven�e; GOldanioE-Avameor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 075538
PERMIT NO: H 075538 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOH DESCRIPTION : T/OFF REROOF W/COMP, SHINGLES SQ FT; 2,000
CLAIM VALUE: 2,000.00 CALC—VALUE: 2,000.00 GROUP OCC: A-3 /M-1
COMMENTS: SMOKE DETECTORS ARE RE�UIRED IN EVERY HEDROOM & HALLWAY
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Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: -� PROV: PARCEL: 42239112 2NE: REF NO:— "
PLANNING NOTES> •
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D E V E,L O P M E N T S E R V Z C E S R E Q U I R E M E N T S
f.
ZONING APPROVED"BY DATE:
/.� ' � �
BUILDING APPROVED HY : DATE:
� ;` 2 ��
APPLICATION ISSUED BY: �,��'�- DATE:
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SE MENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 45.00 50
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 45.50 0.00 0.00 45.50 45.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 45.50 OVER/SHORT; 00
HLDG PMT PLUMBING ELECTRIC MECAANIC FIAE SMIP/TOT GRADING PLAN-CHECK
45.00 .50
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I N D I V I D U A L F E E H 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
SFR 2000 AEROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,000.00
END OF FEES
Ci? C;.f>t�G<�lb-C�I9�=ic17 T$�y' w5.50
ONTE: ?:lii/45 ?:iic: 12.43
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CON$TRUCTION AND PLANNING POOL PA •' - .
APP3iQVALS Permit # � Date Inspector pppROVALS �. � Permit # Date Inspector
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1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,
2. So�Pipe•Undrgrnd. . a�• - 53. Steel Reinforcement ., :
ra-�Electrical Condu¢�kJtility-Undtgrnd. . 54. Forms �
��4.�Electrical Condu� -17ndrgrnd. � 55. Electricai Bonding' '
^; 6,,�,.,.S±;eel Reinforcemertt�; : 56. Rough Plumbing & Pressure Test
='� B• "Ejectrical UPER�.Ccrt"d. " - 57. APPROVAI TO COVER-GUNITE ;' --
l`7cF0otings y�y �' ' 58. Electrical Cond� ndrgrnd.
�"B�=iFoundation q F :.. .- � 59. Gas Pipe, � U�Srgrnd., Test
�.1 y : 1
;,9rWa�kr Pipe-Undrgr�. � . 60. Backwash Lines�.Pf;rtrap, � Undrgmd. '
40�Str�c[ural Pioor Svstem � 61. APPROVAL TO [3cCK . -
11. Pro;perty Sewer �ine�& House�Connection 62. Backwash & Recep or-Final ` -
12. Sewer Cap ' '� 63. Heater & Vent-Final �
13. Roof Drains � � � 64. Plumbing Syscem�� Final '.: .
14. Rough Plumbing=a ,:� 65. Elecxrica6Final � -
15. Fough Electrica� o,"nu'duit ' 66. Solar SYstem�Fi,n�l^,
76. Rough Electric Nli�irj� � 67. Fencing & Access.Approval
17. Rough Wiring Sigri � � 68. APPROVED FO�i`��'IASTERING
19. Rouqh ElectricalaT Bar Ceiling � � 69. POOUSPA SYSTEMS PINAL
19. Rough He9ting &-Air Conditionin� �r FI jE;p�PT.�EQUIREMEfV.T �, -
. � - r c, r...-, c- r,t ,+ �,
20. '��ougki F ='tor 'Fif p9ace � � � `_'� '� �: -' c• F' , r �'' � ''� �' �"
� ,�; � � � k � � � ;APPF�JVA,LSyyE.,Permit #�
21. Ducts;in�$tructurea�E .... ^+: *' -� �-!." ^ �- � � t�~ -.
�„ - �. .� r - 70. ',tlnderg`rd�"c� Hv.£iro ,�
E�:. : : ^ 't�- ' C�OiI
22. Qucti; VEtitila�ng._y �r - � F.,=: "71. ProduqE;�ping'',�m�`,as
�� �
23. Ges �ipe-�Gou� & Test i r J* i��. 72. �'+� •' - �•
Undergr�tintl Ftdsh'
r �-1 ? Y' C'�
24. R"oo�raFPting" G � � "" ' �, = ,_� ,� � • -, 73� Undergmd. Stor�,@��ankRC� Gas ❑ Oii
r.
25. Roof_Sheathing p7x _ / �� � �j_ ��� 74��verhead Hydro �� �
pa� 2-�11�"' ��.�/x
26. U6a�eil+ng (Scr���rat) & 4Aohb�at �. � r ;'_'k 75'-.Dry Cheraical ., � ~ `� �
27. �ameand,Flashiny}* - :�� s: tt:�c 76. DryStanU�iPe �D +--. .• �i
r. i '�
�28. LacKi�g &KSidyng :-�� � r�r �� ;;: ` • 77.! FIXED �.'Y�TEAy;FiNAL �.., f; �
� �. o c..� v .; ... �� ..•: � ir. , ..
29. Insulation � n: c s . ,: � �: 7� FIRE PREV. FIN�S'L �=' ^-�
J30. Drywall (�ailing 'Q�k r � � {fiEQLTH";DEP'�.�ffECll`/1R�MENT
�-: r �"�7'F �' � • �. i.: �� • r�
-�31. Plaster Br�wn�(`ioai ;. � -�p� : � � 79. FINAL 16?Sf.?ECTtHN � J � :�
_ _ , .i_ ^, �,
-'32. Electrical_Qower Nk-i'er�"�ipal � k�` � 80r`,�FO00 CERTIft�C'rfl'TE IS�SUED _
... ^ • D h: � . .,. " . ' r1 u � . <_"_�"=:•.
•. 33. Fina�'iEleciric, N< :n � �,, p r I r• � Notes: �-! a'± O (l;[C
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ti34. Fina�Ne�Ying'&Air�7C^onditioning. = y� �: ' ' j; �'+' -> C�..' '� � �'-'
.+ ry 'J x .1 * '� , �' ' i-+ - � f� �T1
P�:`T " cv . ` I �n � � . �•:> ,. 4. .
� 35. �i,naCGaS Pi esj.,y G. . :F r� �. r+.i `.^..o Cl^ :p FtT'
t�36. Hood+or E2noPY �'r �� ' n" �. < - ! .� _ C';o + _ �c;tr
r. �. . n � G -i � �� �; O -r . �] i�7
5 r � ' Y r = •_�� � r. - _ �
�37. �nal',Fac��V F�replace ,; i . ;.; x x -
_ ,
r'�38.Final�PluM�bing �+� ln- � - ��'' � �I� `-' `� �� .� ---
�. s�- . I iK -+ x v:
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� 39. Watei`$ervice�FinaL, � _ i " ; ,� ' �w _ ` ` ;..�Y' �. '� <'
r:
.r�40. Gas Service-Fiaal x� r cr• c� S '4 [*i � '� v+ti z%n% "•'
- r r � EI' O e. 'R• ti,
£41. Solar pomest c FinGt� � � � .�` L � �. �, .=;� �' � ;
y42. Backflow Preventera* ~ x I !��' .=�F • ' -' '-+
' Y' �. .Y: Tj 12� ( � ^� * C�
43. Backfiow Irrig�tio �K ' -" �' '. .°"' `� .
Qi;.i. :,: � a ^ �K ; ( :
_ ^
dQ. �andscapW Irr'qatiarn�System ':'" CJ �: 'x -� . C =� r� tu W .:�,: � t-� ic ,-
-� `+' ... - r. c' G' .,. s 4 CJ � '/ ._. F'
.., -, �. ., u'S' .._ T 'f . 4� � 1. � H � ' , v . .
�. Sound A�.ten�tiot`�h.�^„ ... r, �.�, t�7x.:-� r-, N, .•
F� C,
46. Hdndicapr�egulations� - u X, +, -. S•S �c s "'
. , �.. .;.z;- �� �
47. FTN,4� S7RU�`7UFi� & BUI�DING I N'��� .
� �2-1`d c4�: � �' r F
48. FjNF� PLANNING ,: t-t-+ t. sv � ��� r+ n: • '.-: �:
.r r ' ..� � 1 i � s :K ��.° ,
49. Electnc R�1ea=� to Edison - -� i -" � ^� _ .� " _;
�1 ✓ J f . r � � a;' •� '.
'11 '. .. { , _ .
50. �i�s Release to-Southem CaViforni 6as Co .� y- � ? � G; '* G c
51. CEFFiFICATE OF OCCUPANCY t -� ' °� ,- ���' �, � • -
No. Date
JOB ADDRESS �$4 C8A1'
GENERAL CONTRACTOR H�
nr rra. 115-564-02 Lo'r
INSPECTIONS
OCCUPANCY
- nnTE 12-29-61
eet BUILDING PERn4IT NO. 15�3
Homes VALUE $11�520.00
TRACT FIRE ZON� DESCRIPTION OR WORKT06.8tt.g8T.
� Si�naturd DAT� GROUP I&a7 TYPE V 7,ONE R7.
SUBCONTRACTOR
��
� �,;�� ; ,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
BUILDING g� �
ADDRESS Q
COSTA MESA CALIFORNIA
�E�E RECEIVED
DEC 151969 �'
� FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMI7
BUILDING
For Office Use Onlv
ADDRESS �L(G�/ I�� - ���I ��i".=�
TEL. BUI�DING � t/
CITY NO. OZ�S pDDRESS �
Oa ENGiN ER IZ IQ STo�/� iE�. COSTA MESA� ALIFORNIA
No. � 7s(�5-
ADDRESSI�3I J%�R 5r� �roT�: /]/Y�i ZONE TYPE �GROU '
CONTRACTOR I`Y't -��%Y N O H C i APPROVED
9Y OATE
AODRESS I� 3I i�� ZONING
� q
CITY �MT%F ��r ��N�J I NO.OF ^� I U6E OP NEW S/'ry �Gy
I��I pPL.ANS G 9UILDING �/� � �
� Q�1 �+l J G T4iI✓�PY/ �r
LIC.NO. `LOO i�7% NEO. /. - �ecw� Mr
GE6CRIPTION
61ZE /� /_ i Ho, oF e�oas. ^ !- 'J
OF LOT I[ �{/ X O� 1 2 I NOW oN Loi /�S�' .J �� -� O`
A. P. NO.
USE OF YARDS EVES
EXISTING BLDG. / G� APPROVEO ALLOWED
9ETBACK LIN! FROM fCENTER LINE BT.I
LeNTER oP eTREET REAR YARD FRONT S� FT. � IN.
SIDE YARD I LEFf I RIGHT .- �-
R.SIDE FT. IN.
DESCRIPTION OF WORK ,s --
L. SIDE FT. IN.
NEW I� II ALTERATION I II ADOITION I 7 FT. -^ IN.
REAR \ O �
REPAIR I II MOVING I IIDEMOLISH I BYPROVED u�n DATE �L/ �s"+
d
BBU=IELOING ��O Q ROOMS �. STORIES �
HOLD FOR SPECIAL REQUiiti.h:_t. i 5
EXTERIOR WALL, ROOF �/ / s/
COVERING �`�✓ COVERING IeOG /✓O �/y. i�a�- �
USE OF BUILDING AND WORK TO BE PERFORMED /��
.S / .V C �i I UR � G.,.iS�G��
T /�F � �ap .� -
/Dh�o? a �.�. B-cJ �
I HEREBY AGKNOWL¢DGE TXAT 1 HAVE READ Tf118 APPLIGTION }Ng AMOIINT BHOWN IINDER VALUATION 19 Oq TXE
ANO BTATE THAT THE ABOVE IB CORRECT ANO AGRCE TO CON- pURP06E OP EBTABLIBHING A PERMIi FEE ONLY.
PLY WITX ALL CITY ORDINANCEB AND BTATE LAWB REGULATING
BUILDINO CONBTRUCTION. VALUATION '9��+
SIGNATURE OF � � ' PERMIT FEE &�(6 �
PERMITTE J � '/ � _
I - `YS� I �'O��v�� S// l �7 .l � PLAN CHECK $ /�%
\J OC!/
AUTHORIZED AGENT � TOTAL FEE � o
LL