The URL can be used to link to this page

Home My WebLink About2789 BLUEBIRD CIR - Building Permits� Applicant to flll in all spaces except tbose wilhin heavy bortle� lines antl sign all a00ro0��ate tleclaralions. � CITY OF �OSTA.MESA CONSTRUCt ION ERMI� , PE T N . �� TRACT NO. � LOT NO! � 'UNIT N0. � ' ' � • . � ^ ; - Project Address � � � � � , r � � � � - TYPE OF CONSTRUCTION NEW ADD AI.TERATION REPAI R Applicant'sMailing,Address � � . � ' � ' • u�� '❑ GONVERSION ❑ DEMOLISH ❑ OTHER p� p# Owner's Name /y � Phone . DESCRIPTION OF WORK/USE OF BLDG.� - - � �� "�- �� Address �� V�, �/ • ' • S Main Buildi Arch/Eng. ' License No. � TVPE OF PERMIT GRAOING C,,�FOUNDATION STRUCTURAL T Front � Add�¢55 � - • I ❑ TENANT ❑ ELECTRICAL f�XPLUMBING ❑ MECHANICAI � B R¢2! � � • . . q�/1�/�� . ❑ OTHER .. - • ' � A Contractor's Name p 4 Phone ��_"1'�lL Addresslma�l"ng) T `�' r� ' LL 6� ' City License No �r� • LICENSED CONTRACTOR DECLARATION ' 1 hereby affirrtl that I am licensetl untl¢r provi5ion5 ot Charte� 9(commencing with�sec[ion ]000)'of Division 3�of the Business antl Professions Cotle, antl my license is in full (orce ntl eitect ,� `�% Licens CI s ic se i late ' ignature .VORKEHS' COMPENSA�TION �ECLARATION � I hereby affi�m that I M1ave a certificate of mns¢nt to self-insure oi a certiticate � of Workers' Compensation Insurance, or a certi(ietl copy thereof (Section , 3800, Lab..l,).., �Q%� � �l� � ' , �il, � � �A 1 � \ Policy No. ��'�_�r Company ertifietl copy is M1ereby furnishetl. '^ � Cer f: py's iletl wi[h [he city�i ' io� /' 1 Date � AOP��ani EXEMPTION FROM WORKERS' COMPENSATION DECLARATION. � (This section neetl not be completetl if tne permit is for one huntlretl ($300) or lesz�. � � � ' . I certify that in the pe�fo�mance of the wark for which this perm�i is issuetl, I shall not employ any person in any manner So a5 to become subject to tne Worker5' Compensation LawS ot Calitornia. Date Signaiure ' .NOTICE:Jf, after making this tleclaration, you shoultl become.subject to [he Workers' Compensation provi5ions of the Labor Cotle, you must forthwith comply with sucn provisions or� this permit shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV • � I he�ety affltm that the�e is a construction lentling aqency for the pe�io�mance of ihe wark : 1or which this permib is issuetl (Section 309]�,Civ. C.) � LRntler'S Ndme Lentler's Atltlress � � OWNER BUILDER �ECLARATION I he�eby affi�m that I am exempf (rom the ConVactor's �icense L.aw tor the fnunwina. rerznn lSeation l03] _5 Rusines antl Professional Cotle: Anv citv or �"Jlvision 3 of tne Bussness and' Vroressions�Coae) or tnat ne/sne isexempC - he�efrom antl tne basi5 for the allegetl exemption. Any violation of'Section 7031.5� by any applicant fo� a permit subjects the applicant to a civil penalty ot noi more than five huntlretl tlollars ($500). ❑ 1, a5 owner oT tM1e prOperty o� my employees with wage5 as their sale compensation, will tlo the work, antl the structure is not intentletl or offeretl for sale (Section'�044; Business�antl Professional Cotle: Ttte-Contractor's �fcenze Law tloes not zOP�Y to an owner of a property who builds or improves ther¢on, antl who tloes Such'work himself/hers¢If or through his o� her own employees, provltle0 [hd[ such improvements are not intentletl or offeretl fo� �. sdle.; It, however, the builtling or improvement is soltl wlthin one yearbf com� pletion; the owner will'have the burtlen of proving hE/she tlitl not builtl o� im- �1rove fo� tne purpose Of sale). ' u I, as ownei of the propetty, am exclusively cont�acting with licensetl con- Vactorsto consVuct the oroject (Section �044, Businessantl Professions catle: ' The'ConVaclor'S LicenSe Law does not apptylo an owner of property who builds;or improves lhereon, antl who contracts for such projects with a con- tractoi(s) bcense'pursuant to the Contraciar's.License Law). 1 am aware,that proof of�thei� Wo�ke�'s'Compensation insurance ShoWtl'be provitletl to me. I �]; I am ezempt untler Section . B. & P. G�or this reason II Date '� pwner - � I I hereby certify that 1 nave read this applicatlon antl state tnat the above� information is correcL I agree lo comply with all city antl county ortlinances� antl state laws relating to builtlinq consbuctlon, antl hereby authoNze repre- sentativer of this city to ente� up n the abov men[ionetl property for inspection p oses %�/� Signature �� . � � _. _ _ PROJECT DESCRIPTION •54. FT. oCCUPANCv - �C` Right . . 'K Left ' � CONSTRVCTIONTVPE ' ` VALVATION'$ � .S ' ZONE � GRADING CU. VDS:' ' ' ACRES� Ping. Ref. # ' Remarks: ' ' � ` Planning Notes: i - � ., i . � . . . -- . ' - , , , , ' 'PLUMBING � , . � ' . = FEES � . Sink ' � <flow Preventer � <flow Irrigation � rtubs . " ifiers iwasher . ' Showers � ' � " ' Service Sink . Sewer Cap - Drinking Fountains - Floor Drains � "' Floor Sinks Gas Service Ouilets Interceptors i � Kitchen Sink, Lavamries � , P—Trap ' Roof Drains � ' Sewer Connection ' � ' Solar Collectors" ' - Solar'Pipiri9 - Solar Tank ` Swimming Pool w/Spa Urinal ' Water Closet . ' Water Heater ' Water Service Auto-Wash Reinspection Fee � $15 Boiler , . Duct - Under Ground . Duct - Structural ' Duct - Ventilating Exhaust System ❑ .Multiple ❑ Firepl/Fact. Blt. ICBO # . Heating Sysrem & Ducting ❑0-100,000 BTU �100,OOOBTI �17n� 7/1!R/P7 _ � Za � Accessory Building: ! 7 _ . _ . ' - Parking Req./Provided ' i � . SFr.FiVED J - ELECTRICAL : '� ' ' Auromatic Washer . � Construction PoleSub. � � ' Caoking Unit , ' Dishwasher � ' pi�. Dryers ❑Gas ❑Electric : Fan ' � . � i Issue Fee � $ 3 FEES Hood or Typel ❑ Canopy Type I I ❑ Refrigeration Sys[em ❑0-t00,000BTU �❑100,000 System-R epa ir/A Iteration FireDampers � ' Registers � F.A.U. � Fiztures Device Boxes � Outlets ' ' � Switch¢5 - . - Garbage Disposal Generetor�00-5 KW �5-15 KW � Reinspection Fee — DEVELOPMENTSER Zoning Approved By_ Building Approved By $15 REQUIR — ~� Z O N I _ _ � N � G R � E Q M T S Tramformer LJ 15-50 KW .� ' � ❑ 50+KW. . Meter ❑up to 100 amps � - Metef ❑over100amp5 - � Sub Panel - ' Motors��0-1HP�1`/:-8 InaSolar �9-15 HP 016-15+ Microwave � Pole Light ' Range Sign � - - - - � ' Standing Sections Trosh Compaccor Iuue Fee FEES '. � � � SUMMARV OP FEES � .. � - BUILDING PERMIT $ SMIP. � � $ �� PLAN CHECK $ PERMIT � - � PLUMBING $ � ISSUANCE $ PLAN CHECK , 25% $ � ENERGV P.C. $ ELECTRICAL $= r � GRADING� $ P.LAN CHECK 50% $� MICftOFILM' $ �' �- u�r�..,u...... _ _ _ _J� i )NSTRUCTIONAND�P�ANNING ' � -' POOL&SPA� . _ . _ � � �� Date � Inspector� � � � • Date �� Inspector PROVALS Permit # � , , APPROVALS Permit # I iemporary Electrical Service or Pole 52. Pool & Equipment Location � Soil Pipe-Undrgrnd. ' ' - � 53. Steel Reinforcement , rc, � � , ; ' i � -... =lectrical Conduit Utility-Undrgmd. 54: Forms � '. �•:« � i "lectrical Conduit-Undrgrnd. ' 55. Electrical Bonding � . . 1 i�. � Steel Reinforcement . � � . `56. Rough Plumbing & Pre;��ire Test ' �, ' � . �Electrical UFER Grnd. 57. APPROVAL TO COVE.9-GUNLTE , i Footings • � � ' �58. Electrical Conduit-Undrgrnd�. � i Foundation j .. �' . - 59. Gas Pipe, O'Undrgrnd� est � i . , �Water Pipe-Undrgrnd. � , - .. . . - 60. Backwash Lines; P-Tra�, O Undrgrnd. � �Structural Floor System � 61. APPROVAL TO DECK • � - � I�Property Sewer Line & House Connection 62. Backwash & ReceptorFinal ' � ' iSewer Cap - 63. Heater & Vent-Final � , IRoof Drains _ � ' • • 64. Plumbing System - Final � � , _ � IRough�Plumbing � � 65. Electrical�Final � �_ � IRough Electrical-Conduit ; 66. Solar System-Final ' , ' IRough Electric Wiring '. 67. Fencing & Access Approval ., I Rough,Wiring Sign '" ' � 68. APP,ROVED FOFt PLASTERING ' � Rough�Elearical-TBarCeiling � 69. POOL/SPASYSTEMS�FINAL i � Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT - 't ' � . � . . - � � Rough Factory F.ireplace ' • APPROVALS � Permit # - - i �• Ducts, in Structure � • � 70. Underg�ound Hydro � ; �� i �. Ducts, Ventilating� �. 71. Product Piping O Gas ❑ Oil � � i �. Gas Pipe-Rough & Test-. . . � 72. Underground Flush � ' . : i �. Roof Framing , . - ' . 73. Undergmd.StorageTank OGas ❑Oil i. Roof Sheathing . 74. Overhead Hydro �� `� � � i. T-Bar Ceiling (Structural) & Monocoat -� � J5. Dry Chemical; ' � � i �� Frame and Flashing , - � . 76. Dry'Standpipe . � • ' i: Lathing & Siding 77. FIXED SYSTEM FINAL � �' � . D. Insulation �' � 78. FIRE PREV. FINAL� ). DrYWall Nailing - � � . HEALTH DEPT. REQUIREMENT � 1. Plaster Brown Coat - : � � 79. FINAL'INSPECTION , . � � ; . 2. Electrical Power Meter-Final , 80. FOOD CERTIFICATE ISSUED � ' 3. Final'Electric � ,� � Notes: ' " � � , �4. Final Heating & Air Conditioning �. '5. Final Gas Pipe-Test i i6. Hood.or Canopy . . S7.' Finaf Factory Fireplace . � , � 38. Final Plumbing � � - . ' � � 39. Water Service�Final . i: 40. Gas Service-Final ' . 41. Solar pomesticFinal � - • �42. Backflow Preventer � . � �43. Backflow Irrigation � " �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 51. CERTIFICATE OF OCCUPANCY o. Date _ 0 e e CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. � /'J � LOT N0. r� /'"\ ADDRESS �%�/ ��-, \� 2 �/L.� DATE � � �� The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Pfesa. The undersigned, by executing this agreement, acknowledges that (he-she ey (was o ere advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Piesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liahility for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. RtCEiVED cirv oF cos�n r-��sa P! r.^;,dir� � �� r. f� uY 2 � 1972 Ak7 P�l r(IB�:)iiV;l. i'Lji-ia%j�i`ii:3 � G � RY ��] � � _G�C-?.� � �1�Yw i Pii rchaser %-- BY �i1L ,l��Ce.A �jA7�Gf/�'i��:� Developer and/or author3�zed representative B�' L • f1• �Ffi�� ,i��"/"'��i%"� Lendcr � au��nwc: "l'1�9 BLUEE3IRD CI ir�o+uvx:TAYLOR DAVE TR �ooness:7.7f49 B�UEBIRD CIR C�STA MESA,CA �PPL.141111N0 ROONESS MCXRECT OP FNtlNEEA: fPCN. ON FNG.'S ADDXES: uN.: ._ _ C?TY QF COS`PA MESA - BUILLII�IG PERt41'C_ 92626 PERMIT NO; B 0£32144 PLAN CAECK NO: N CONSTRUCTION TYPE: 6'-N PERMIT TYPE; STR uc.xo: JOB DESCRIPTION : T/OFF RESHEATti & REROOF W/COMP. SAINGLES UNT: wdm�crars xwe: CONIHACTOASMIRRM �ooness: uc.xo.: uxr: LICENSED COHfNRLTOHS DECLAflATION: I Irereby eflim uMer penely d pe�jury ihet 1 em licensed uMx yoviaiona d Cheptar 9 (mmmandnp xiih Saciion )000) oi DiWaion 3 W iha Bueinao vM PMeaeione Code, eM my lirarue ia in lull /orca vd eHM. cm uc. r+o.: uc. cuss: uc. No.: EXP ; ome:. cooveaoc OWNER BUILDEN DECUIiATION: I heieby a/fi�m uMer perWy d perjury ihel I em exemq Imm iM CaMretlm licenee lew la the Idb+�+iY raaaon (Seabn ]0315 Busiima eM Prdeviwu Cade: nm �' a camiY wl�idi re9uires e Darm§ to wnam�cY. e4«. imPws. Eamdsh, a repei eny sVudure, pw to iin eweMe, eho requime iM applirent Iw such permn to fila e agmd eletamem thel M m eM is liceneed pureuenl to iha Orovieiom d Ihe Comredore Licenee lew �Cheqar 9(cwnma�np wi�h Saeun ]000) d D'vuian 3 d tM Bwinea eM PrWeaiom Cade� w thet M a ehe ia exemq �hereimm anE ihe Lesu lor Ne albpeE uempian. My violetion d Setlion )031.5 Ey vry apWium lor e permn wEjetla Ihe epplicem �o a cnd penelry d nal mare �Mn (ve huMred Edbn �i500�. }�] 1, av oxner A iha propeity or my empbyees wih xages ev IMi ede campensation, will Eo Iha �wM, enE iM nVucture e'wt mleMed w oflered Im eele (Sedion 1011, Bueimv eM Proleasiona Coda: The Convecion Licenae Lewdoae rw� epply ioen ownx N properry who buida a mpravea ihereon, end who Eoes such xwk Nmeell w Mnell a iMaph he or her own empbyees, povkeE tMl cuch imqovamema me ra inbMed or d1ereE for seb. H, hor.e�er. iM Wiki�p a inp�weineM o eak Milhin ms Ymr W complelion. Ne owewr-0uiltler will heve IM WNm d prv+irp M a ehe d'd na buiN a �mpo.e Iw �M WT^ee d seb). ❑ I. es avmar d tM propaM. � exduaivety conlred'vq wilh IioensaE conlrectas m consvutl iM prol� (�� )�. Businms enA Prdesame COEe: The Contrmas lirorue law Aoas �wt epply lo en owmer ot piape�ly vAw Witls or impove erean eM who wnlrazls /or wM prqeds xiN e wuemor(s) Icanxd Wn � tha Cwxretlura Litapaa La . dar Seni n: B. 8 P.G., br thie e.wn, j j 1' me: o«nu � •l I do nby eaitiy thet I am ewere d aM uMe�sund IM eequiremenb d Cd'fomie Hml�h ud Sdery Code Senime 15505, 25533, aM . enE Uel I a eny Mum buiMi�q om�peM xill / wJl nu (orcb ma) r�eeE to comply wi�h vaid Gete catlee e�q IM ieyuircmeMe M rmnlormnsi�uctionormoEifirationhwnihsA'v ueaTity{.6nepementDistnd.ReaidamielcmnivaunepDtimtiaaeroexemqlromNeee Dme: AVdicaM: WOHKEN'S COMPENSATION DECIAflATION: I MnEy elfirm uMer panel�y W perjury me d tha Idbwi�p datlumuna: � ine.ee�d.a��.cenncmeaoo�mm..n;�,reb..��.�wmro��...w�deeiaMs.e�a�ooam.i.e« coae, i« m. �no��a d m< wom �« �m m� �a m a.�a. � 1 heve end wil mein�ein vrorkeie' canpenseton ineurenw. ac reQ�ired by SeUim 9]00 d IM LeCor CoEe. br IM pMamenm d iM work /w whvh ihia permn b isrued. My warken' mmpenaetian insureMe reriier end pdity number aa: c�«: Polry Number: (fiis aMion neeC not be compbred'd the peimt ia br me hundred ddlara /$10J/ w law.) ❑ I cenN � in Ns pMwmenca d Ihe wwk M whc� tAu partnn o isweE. I Mell �wl empby em� pesan in em� maruier eo m b becane subpd io �M xpkara' canpenmtion lawa d Cdilarve. arW eprea ihet il I sMUIE bacwrc eubjae ta iM xoAero' �ano��m� o�o.�000s a s«a�m a�oo w ine ienor coae, i enmi ionn.an �aN •nn mw. w�,.. oda: nod�u: Wem/np: Fellun ro ucuro woMreri rompxuatlon cavereps I� un/awNl, end Mell ubJcl �n xnployw ro crlMml pmeMu en0 ' clvll flrw up ro on� FunOrstl flpumnd ddbrc (S1W,OOpA In edrlltlon ro fM coat ol rompslustbrt ��pu u povltlsE br In 9xXon 9]06' ol Ms Lebar COW, /ntas't, ene attomsy'� hes. CONSTNUCiION LENDIN6 ROENCY: I hereby tlfirm uMer penely d perjury �1� Ihara u a conetNclbn bk'up epenry br Ne paefpmarke d the xork �a wliieM1 ��a pe�m1 ie'ssueE (Sedan 3�8], Civ. C). LEN�EN'S NAIIE: LENOEH'S RODRE4S: � I cerlily �hei I heva reed ihis epplicatim eM mme ihm Ma ebove inlamelion u corraq. I epree to comply wnh ell c0y eM counry ordine�roee enE ataie kxs rele�ing lo buiking conmruaion eM heraby einharae repreaeMelivee of thia cily Io emer upon ihe ebove�meniioned pmperry �°`�°s°°"'°"°"'P°°"DAVE TA OR � � � p oe�e: � �—T!7 siq�m�, n/ �cen �ma« PEF.M IdO: B c)t3:_ l44 GOI�T: N SUPP: N PURPOSE: u'fTI SQ FT: 4,500 CLAIM VALUE: 4,500,00 CALC—VALUE: 4,500.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS ARE REQ�UIRED IN EVERY BEDROOM & HALLWAY iE�E1E1f�fififif1F3E1E1f�IE�E�E1EiE1E#�)ElEiEiE3ElE3Ek1ElEiE�Elf iE1EfEfEiEiE�EfEfElEfEiE1ElFiF1EfE1FiE1EiEiEiEiEikiEfF1E�E�EiE�EiE1FlfiEiEiflEiEiEiEiEififiE Z O N I N G R E Q U I R E M E N T S 5 E T B A C K S ----------- MAIN BUILDING ------- ------- ACCESSORY BUILDING -------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT' It+I RGHT: FT IN PARKING REQ: PROV; PARCEL; 13962113 ZNE: REF NU: PLANNING NOTES�> �j 1 1 iF 1f if iE iE 1E iE iE 1F 1E iE iF iE ib.iE iE if 1E if iElF 1E 1E IE 1f 1f if iE if if if if !E If !E iE iE iE �c 1f !F iF 1t 1f !E 1E 1E 1F if if 1F iE i! iF iE 1E �E ff 1E iE iE fF fE �f 1E iE fF 1E iE.ifif iF k if #E iE 1f !F iE D E V E.'L O Y M E N T S E R V I C E S R E Q 0 I R E M E N,T S ✓ ZONING APPROVED"BY DATE; � BUILDING APPROVED BY : APPLICATION ISSOED BY: iEiE1ElE1FiE�E3E�lE1k1E9E�1EiEiE�3E�E1F1Fff3E1EiF�F��K7F�IF�fI�F�iFiF�3F3F3F ��F 3FTFl�F7F�if��1E LEGALIZATION:�1� F E E S U M M A R Y BLDG PM1' PLUMBIDIG ELECTRIC MECHANIC FIRE PERMIT' 99.75 PLAN ISSUE FEE BUILDING-DIV-> PERMIT ISSOE PLAN-CHECK TOTAL TOTALS----> 100,25 0,00 0,00 100.25 DATE: DATE: ,� \ lEif-iF'1E1ElEiEif lEiE� STRUCTURAL SEGMENT:Y SMIP/RES GRADING .50 SMIP/NON-RES PAID DUE 100.25 .00 E DIVISION TOTALS--> COLLECTED: '100.25 OVER/SHORT: ,00 BLDG PMT PLUMHING ELECTRTC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 99.75 .50 iE fF 1E iE iF # i( 1E iE �E 1E IE IE iE fE iE iE 1E !F 1E # iE 1E if IE iE'1F'1F iF iElf 1f 1E 1F if i[-1E 1F!! 1E iE 1F iF 1F i(� if 1E ff �E iE 1FlE ik �lf-iF if iE # IElE iE')f If 1E iE'1F 1E 1! �l't iE iE iE IE')E iE 1ElE I N D I V I D U A L F E E B R E A K D O W N PE QTY D E S C R I P T I O N UNIT COST TOTAL COST 450� REROOF BY VALUE RESIDENTIAL NOZONE 1.00 END OF FEES 4,500,00 83-24-1997/RCPTM 01/8003fl41 PERMIT:082144 '� CONSTRUCT�ON AND PLANNING . P�� ` °�A � APPROVAIS Permit #�� ' ' - Date Inspec'tor APPR6VALS . Permit # Date I�nspect, t. Temporary E�ectricat Service or Pole , - 52. Pool & Equipment Location �� 2. Soii Pipe�Undrgrnd. ,- , ' 53. Steel Reinfoccement , � . � 3. Electrical Conduit Utility�Undrgrnd. . �' 54.. Forms - � 4.'Electrlcal Conduit-Undrgrnd. , ' � ' - � � 55. Electrical Bonding' � - - . 5.:Steei Reinforcement �� 56. Rough Plumpi�g & Pressure Test _ 6.' Electrical UFER Grnd. �, - 57. APPROVAE TO COVER�GUNITE ' "- 7. Footings ' -t� ;-' � 58. Electrical Conduit�Undrgmd. - � ' � 8. foundation � � 59. Gas Pipe, O Undrgrnd.,�Test, �� 9. Water Pipe-U�drgrnd. - '� � 60. Backwash Lines, P�Trap, O Undrgrnd'r 10. Structural FloorSystem . '�� , � 61.. APFROVALTO,DECK � ,'. 1 t.'Property Sewer Line & House Connection. �. 62. Backwash & Receptor-Pinal , 12. Sewer Cap " , � �63, Heater & Vent•Final ' � � 13. Roof Drains � ` , 64. Plumbin9 SYstem - Final� _ . . 14. Rough Plumbing ' - � � , 65. Electrical-Final ' - - � �. . 75. Rough Electrical�Conduit ' ' , � � � 66. Solar System�Final � �� 76. Rough Electric Wfring _ ' �� . � � 67� Fencing.& Access Approvat � � 17. Rough Wirin�7 Sign � ', _ � �'6$, qppROVED POR PLASTERING 18. Roogh Electrical-T Bar Ceiling .' . _ � 69. POOVSPA SYSTEMS.FINAL _ 19. Rough Heating & A1r Conditioning ,� . � �, FiRE DEPS. REQUIREMENT 20. Rough Factor,y Firep�ace --;-, e` ' � ". .- �� = APpROVALS��_ Permit # � 21. Ducts, i�=Structuze - � _F - - 70.{Underground Hydro 22. Ducts,Ventilating , "' � - � , - 77, ProductPipingOGas GOiI 23. Gas Pipe-Roagh & Test ' - --� 4 _. 72. Undergro�nd Fiush ' ' 24. lioofi Framing - ��. � ,.�' 73. Undergrnd. Storage Tank t7 Gas O 0�� 25. Roof Sheathing - K�� R7 ��% �4,� Overhead Hydro : 26. T•Bar Ceilin9 (Structural) & Monocoat � - � 7�5. Dry Chemical .. � � 27. _frame and Fiashing . _ - - � � • 76. Dry Standpipe�� ' - _. , 28. Lathin �& Sidin - ' ; �= _ ' 9 9. � � 77. FIXED SYS7EM FINAL 29. Insuiation "� -� + 78. FIRE PREV. FINAI. � 30. Drywall Nailing �� .. '-� ,.MEALTH DEPT. REQUIREMENT 31. Plaster 8ro�vn Coat �_ �' � 79. FINAL'INSPECTION • ' 32. Electrical PoWer Metei�Final ' , 80. FOOD CEftTIFiCATE ISSUED 33. Final Electric � � - - ' ' � Notes: ' - ' ' • 34. _Finai, Heating.& Air'Contlitioning- . . , � - . - � � - 35.� Final Gas Pipe�Test. __ - � 36. Hood or-Canopy _' - _ ' 37. Finai��Factorv Firepiace �- . . � � � 38. Finai Plumbing �"r _ _ . 39. Water Servica-Finai. , . , 40. Gas Service-Ffnal- � � ' ' '" ' � � 41. Solar pomestic•Final � �� 42. Backflqw Preventer � , + . -- 43. Backflow Irrigatio�. � 44. Landscape Irripation System_ � `.� '�; � -45. �Sound Attenuation � � - 46. Handicap Regulations 47.. FINAL S7RUCTURE & BUI'LDING � z_q 48..FINAL PIANNING �- � 49.� Electric Release to Edison 50..Gas Release to Southern Calitornia Gas Co ' 51. CERTIFICRTE OF OCCUPANCY No.---. __._ . .. . Oate _ " -- - _. 3 - -_ < � � (.I�L� . , �, . _ - `' .. ., -� ' - a � � \' OWNER TAYLOR� David L. d Audrey H. DATE 6-12-72 �7.J06 ADDRESS Z7g9 Bluebird Circle BUILDING PERMIT N0. 34822 3�G'ENERAL CONTRACTOR �er-B1dr. DESCRIPTIONofWORK patio Cover _ '�� AP No. LOT 7 7 TRACT 6758 FIRE ZONE VALUE $ 1_000_00 \` INSPECTIONS �7 SOIL � WATER y' / .( � ROUGH PLUMBING PROP. SWR. LINE � SPRINKLING SVSTEM MISCELLANEOUS r� ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNOERGROl1N0 � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BON� BEAM � STEEL REINFORCE � SNEATHING FRAME AN� FLASHING LATHING - IN n ( PLASTER. BROWN COAT STRUCTURqL, FINAI HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBIN6, FINAL ANO GAS TEST n ELECTRIC. FINAL BIIILOING. FINAL Si nat�re Date GROUP TYPE SUBCONTRACTOR Z . W w aV z za � N am - J � J N Q W p] J J m Q U� Z a W � aW J Q m Z J � W W � _ Z F W � N K 70 �"' Z Q U J a a Q � H N Z O F U � � r N Z i'i � ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92626 , For Applicant to Fill in Completely BUILDING n tiry� -�y _ _ OWNE MAIL ciTrLt�sr,a 6.sA-,�'.4u r= r,o. ODNSTRUCTION I i BRANCH ADDRESS ARCHITECT � � '� . _ _ _ _ .. TE CONTPACTOR (;;)(� /�J �� ^\5()) �,,,p �Q_ ADDRESS �t�-M'(� TEL. CITV NO. STATE CITV LIC. NO. LIC. NO. SIZE NO.OF BLDGS. OF LOT /�Q K �j � I NOW ON LOT � USE OF EXISiINGBLDG. }�C'(J��,f�� SIZEOF �i'�O NO.OF °� x10 L� NEWBLDG. 1�� ROOMS� IC>STORIES EXTERIORWALL ROOF a-T� LIFTM COVERING .UC�h1I2 COVERING�(,�ir�7 USE OF BUILOING AND WOFK TO BE PERFORMED I hereby acknowledge that I have reatl this applicetion and state thet ihe above information is correct and agree to comply with all laws regulating building consttuction, end I shall not employ any Oerson in violation of the workman's compensation laws ot Me State ot Calitornia. I hereby certify ihet I am prope�ly Iicensed az'a contractor untler the State of Californla Business antl Professions Cotle, Divisicn 3, Chapter 9, and thai such licenses.are in full force antl effect, or I am ezempt from the provisions of the State of Calif ia Businass and Professio ode, Division 3 pter 9. Signatura o , �` Permlttee Authorizatl ABent v.�,roQli131C:r �,ra�10.�� ,� 17-',?-- �.��, % A PL CATION FOR BUILDING PERMIT EC V BV TE RECEIVED OATE ISSUE — � —1 �� 2 -; PERMIT NO. A.P. NO. ADIDfiIE 5 �/�/ /JLUEB/O/7 CIC�� OWNER �vjvUl� ///[�GO/oi �t�Z�O � VALU$ I��O � USE FIRE `/ 20NE TVPE ✓/ GFOUP / APPROVED BV � OATE G � Z �� ZONE NO.OF USE OF NEW �T�O � PLAfS� BUILDING �,m,v6 VARDSAPGROVED VARDSAPPflOVED MAIN BUILDING ACCESSORV BUILDING (FROM C/L STREET) �/ ROM FT. / FT. c cinc cT � / cr DISTANCE BET MAIN B�DGS. VAR. # C.U.P. # BEf. MAIN & ACCESS.BLOGS.� DATE APPROVED 6� � � STA7E n �/ W SQ.FT. o THE AMOUNT SHOWN UNDEF VALUATION IS FOR - � THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: m ¢ VALUATION ' m PERMIT FEE $ � - � / m $GQ�O PLAN CHECK $ E � �� LL TOTAL FEE $ �'��' � ^ 33694 ��-,� f COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING n....,.. Q D .� .ic ' n -0�'E -, i571— I ;ATION�FOR BUIL•DING PER OWNER N A.P. NO. MAI� � BUILDING � r��3c ADDRESS / O / ADDRESS / W W TEL. ��3 TRACT (J I a U CITV Q NO. zZ � W ADD ALT Q CON5TRUCTlON � O N LEN�ER n. m J � BRANCH ' ' � J N OWNER � L� m J ADDRESS i �J m ARCHIT�CT TEL. ` USE � //// � "J a OR ENGINEE NO. b J I UN ' FIRE wa 5 20NE T Q ADDRESS a W - APPROVED J O CONTRqCTOR � BV m Z �" J � ADDRESS 0 w J� TEL. 20N PLANS ' ZF cirv No.,js�o-��3 � N� lIC NO. �� -a 3 IICVNO�Qg VMAIDN BUILDINGD � O � (FFOM G� STREET� SIZE � / NO.OF BLDf'aS. OF LOT � NOW ON LOT � FftONT FT. USE OF EXISTING BLDG. FT. F SI2E OF d� NO. OP n Z NEW BLD(�, � ROOMS I STORIES I�. L. SIDE FT. U EXTEfiIOp WAL ROOF COVERING COVERING . REAR FT. J USE OF BUILDING AND WORK TO E PERFOIiME DI5TANCE BET. a MAIN BLOGS. a a �AR. � O C.U.P. # � APPROVED I N Z O HOLD FOR SP 1 UI hereby acknowledge ffiat I have reatl this application antl�state � that ffie above intormation is correct and agree to comply with � all laws regulating building construction, antl I shall not employ F any persOn in violation of the workman's compensation laws ot y the Sta[e ot Califomia. � J/ ZI hereby rertify that I am properly licensed as a contractor untler �✓'f�SQ. FT. ffie State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHO' Chapter �, a at such license re in full force antl et7ect, or I THE PURPOSE OF ES am ezempt ro the prov'Siin of t State of Cel'f nia Business VALVATION antl ProfOss' ns ode, Di ion ,.Ch pter 9. Signature o , /�y � Permlttee �/ $ `�v/ �� //� AutAorizq Agant � / v—�� PERMIT NO. /� �ct�t� � LOT BLOCK . Qv J�' VALUE � ot-, � s `/.a 5C'a � / GRO_—P DATE iE OF NEW • A: 11LDING � YqRDSAPPR VED 4CCESSORY BUILDING FT. BET. MAIN & ACCE$$. BLDGS. DATE APPROVED Jifi (o V' , �_/ - (0 m 0 VN UNDER VALUATION IS FOR � 'ABLISMING A PERMIT FEE ON�V: m ¢ 3 do � PERMIT FEE $ '—' � � 67� m PLAN CHECK 3 �� E �0� O� LL TOTAL FEE $