HomeMy WebLinkAbout2865 BOA VISTA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2865 BOA VISTA DR
Suite No
Vicinity:
Parcel Nunmber: 13944212
Applicant: NOCK PLUMBING
Address: 11612 KNOTT S7
GARDEN GROVE, CA
Owner: HARGROVE, JOHN M
Address �2865 BOA VISTA DR
COSTA MESA, CA
Contractor: NOCK PLUMBING
Address: ,11612 KNOTT S7
Arch / Eng :
Address:
GARDEN GROVE, CA
WATER HEATER
ISSUE FEE
Backflow irrigation
BackFlow Preventer �
Bathtub
Clarifier Syslem
Connect Qce,Soda,etc)
Dental UniLs
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (t-4 outlets)
Gas (Over 4 ouUets)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Q7Y
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
PLUMBING PERMIT
Phone: (714) 8951248
Zip: 92841
Phone:
Zip: 92626
Phone: (714) 8951246
Zip: 92841
License: 707775
Phone:
Zip:
License:
SCOPE OF PERMIT
FEESUMMARY.
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per'10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
Status: ISSUED
Applied�. O6l�3l2�02
Issued: O6/03/2002
ISSUED BY:
SumpPump
Swimming Pool �
Trap Primer -
Unnal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (7oileQ
Water Hea[er / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: 535.60
�TY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 7, 12-21-92)
EXPIRATION: �This peimit shall automatic211y expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for �he work authorized under this permit to be considered legal, such work must comply wi�h all applicable codes, and all
requlred inspections and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626 ,
2446-4616/00)
WORKERS' COMPENSATION DECLARAhON: '
I �ereby aflirtn under penalry oi perjury one at t�e following declerations:
❑ 1 have en�1 will maintaln e ceniticete of consent to selt-Insure for workers' compensation, as provided for by section 3700 ot tha Labor Code, for ihe pertormence ot ihe
�work tor which ihis permi� is is5uetl.
„71 ' bmainfain workers' comp@nsation insurance, as required by seclion 3700 of ihe Lebor Code, for ��e pedortnanca of tha work for which Ihis pertnit is issued.
My wo ers' om�penwsatlon Insurence Cartler and policy number are: '�� �C' t9,� ��� C� -
Cerriero � �1i1�� IA��/��iA/LL Folicy�Number. d
.(fh(s secfian need nof be comp/eted i/ the Oermif is velued af one huntlretl tlollars ($f00) or less.) �
❑ I canity that in ihe peAormance of the work for which ihis permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation lews ot Celifomia, end egree ihat II I should become subject to Ihe workars' compensetion provislons ot Section 3700 of ihe Labor Cotle, I shall fonhwith
comply with visidyAs. �Ir
(A�ppliJca�Qnatui�V\ �Date;—��0� S la�
WARNING: FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYEfi TO CRIMINAL PENALTIES AND CIVIL FlNES lIP TOONE HUNDRED
TFKKISAND DOLL4flE (5100,000�. IN ADDRION TO T}{E COST OF COMPENSATION, DAMAGES PS PROVIUED FOF IN SECTION 31W OF THE LABOR ODDE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm thal I am licens�ed un<I9c�rovisions ot Chapter 9(commencing with Section 7000) of Division 3 of Ihe�usinass and Professions Code, antl my license is in full
CONSTRUCTION LENDING AGENCV: �
❑ I hereby ettirm Ihat there is a consiruction lending agency for the performance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lenders Name:
SignaNre: _
OWNER-BUILDER DECLARA710NS:
Lendefs Address:
Date:
I hereby affirtn thet untler penelry ot perjury thet 1 em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counry which requires a permit to consiruct, alter, improve, tlemolish, or repair eny sWCWre, prior to its issuance, elso requires Ihe applicant for such pertnit
m file a signed slatement that he or she is Ilcensed pursuant to Ihe provisions of the Comractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business end Professions Code) or Ihat he or she is ezempt thereirom entl the basis tor Ihe elleged eaemption. Any violation of Section 7031.5 by eny applicant for a pertnit
subjeGs ihe applicent to e civil penalty W not more than tWe hundred dollars ($500).):
❑ I, as owner oi Ihe proparry, or my employees with wagas as their sole compensation, WILL DO THE WORK, and Ihe sirucNre Is not intended or ottered tor sale (Sec.
7044, Business and Protessions Code; The Contractors License Law does not apply to an owner of properry who builds or improves ihereon, and who does such work
himseN or herself or through his or her own employees, provided thet such imp�ovemanis are not intended or oRered for sale. If, however, ihe building or improvament is
soltl wit�in one year oi completion, thb owner-builder will have ihe burtlen oi proving that he or she did not build or improve tor purpose of sale.).
❑ I, as ownar of the property, am E%CLUSIVELV CONTRACTNG WI7H LICENSED CONTRACTORS to constmct the project (SecJ044, Business and Professions
Cotle: The conirectors License Law dpes not appty to an ownar oi property w�o builtls or improves thereon, and who comracts tor such project with a comractor(s)
licensa pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by tlnver's license. q Ves ❑ No
Business and Protessions Code tor this reason:
Verificetion of Ownership by (type o� tlaument, i.e. - praperty tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Drivers License No.
Date:
Expires:
❑ I hereby certify Ihat no excavation five (5) or more teet in tlepih into which a person is required to descend, will be made in connection with work euthorized by ihis
pertnit, and that no building slructure. scaHolding, talsework, or demolition or dismantiing thereot, wiil be more than ihirty-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec.
341, Title 8, Californie Adminisiretive Code).
❑ As owner-builder, 1 will not amploy anyone to tlo work which would require a pertnit from Ihe Division ot Intlustnal Sefery, as notetl ebove, unless such person hes e
permif lo do sucA work from the divisi6n.
Signature: Date:
Division of Intlustrial Safery Pertnit Number:
CERTiFlCATE OF COMPLIANCE AND AU7HORVATION OF EMAY: I cenify under penalry oi perjury that I have read Ihis application antl s�ate that �he infortnation given is
correct. I agree to comply with ell state laws and ciry ordinances relating to building construction, and authonze representatives uf the City of Costa Mesa to enter upon �he
above-describetl property for inspection puryoses. I agree no� to occupy or allow ocapancy ot eny building authorized 6y Ihis permil until finel inspection.
Signature Ot legal Owner(s)
�,Ppd! ' Ized�Appllcant
COOE I. INSPECTONTYPE Q1� IMrtu�s
1616 Fixed System Final Fire Preventioh
1266 Pool SOa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
COUE 1 INSPECTION TYGE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Flnel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PAIE INTRIpL3
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1
PP0.IECTROOXESS: ZBGS BOA VISTA DR �
OWNEH'S NFME: HARGROVE, JOHN M'"
AUOflESS: 28GS BOA VISTA DR
„�, COSTA MESA,CA 92626
� 557-6429
1 FflLHIENGINEEH:
ADOflE55:
uxiT: CITY OF COSTA MESA — BUILDING PERMIT � ,
PERMIT NO: H 058686 PLAN CHECK NO; N �6VT�SDP�T�
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: ALT
FEG.NO.: SOB DESCRIPTION ; TEAR—OFF SHAICE, REROOF RESID W/COMP SHIN SQ FT; 5,600
UNIT:
CLAIM VALUE; 5,600,00 CALC—VALUE; 5,600.00 GROUP OCC: R-3 /M-1
PEPMITTEE: CHAMPION ROOFS ( 213 ) 898-8600
aoosess: 3257 VEADUGO RD
LOS ANGELES CA 90065
LICENSEU CONTFACTOfl OECLRRRTION: I hereby alfirm I�a� I am licensetl un0er Omvisions al Chapter 9(commencing wi�� Section
7000) nf fliv�sion 3 at ��e Business antl Pmtessions Code, antl mV license is in full brce and efiec�.
c�Tvuc.:04/2725 sTnTeuc.:429481 ca�s��S.- ��C}39
Da�e: � / �� �4 Z Signaiure: ��� �-/ � �-�
WONREflS' COMPENSA710N OECLAPATION: 1 hereby allirm t�at I have a cenificate ol consent to sell-insure or a tetlificate of Workers'
Compensalian ksu��� e( qra�tilietl copy thereof (Section 3800. Lab.61S I O 1 I9 3
roucrxo.:STATE�FUND E%P.OATE: V
COMPANY:
❑ Ceni�ietl copy is hereby lumished. � Certifietl copy is filetl with �he ci�y Building Division.
Date: O /�U ( � Z Applican�:���' �Q—�`�
E%EMPTION FPOM WOflNEBS' COMPENSATION OECIAMTION: �This seciion need not �e comple�eG il �he permii is for ane hunUred (5100� or less�.
I ce�ify Ihat in ��e pedormance oi �he work �or wAich Nis permit is i55ue0, I shall no� emDloy any person in any manner so as �0 6ecome
SUGIea� �o �he Workers' Compensalion Laws of Calitomia.
Dale: Signaiure:
NOTICE:I�, afler making Ihis Oeclara�ion, you shoWd �ecome sublec� to the Workers' Compensation provisions ol the Lahor
Cotle, yau mus� fotlhwi�h comply with such pmvisions or this permit shall be tleemed revoketl.
CONSTBUCTION LENUING RGEN �mction IenOing aAency for�he pedormance o�the woB �or
which I�is permit is iss eciion 3097. Cia C).
REROOF 1000SF OVER EXISTI
COMP
OWNEB BUILl1EB DECLAflRTION: I hereby aifirm �ha� I am e�em0� ��om [he Coniracmrs' Sia�e Lic e Law lor �he following reason
(Sec�ion 7031.5 Busine� P less I C d A ct f � h' ' ct, alter, impmve, Aemaiis�, or
reDair any simcture. prior to its issuance, a so reqwres the applicant for such permil to file a signe0 stalement Ihat he/she is licensea
pursuani m the promsions o� �he Comracmrs' S�a�e License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 ot �he Business
antl Pmfessians Code) or �ha� helshe is exemp� I�ere�rom antl Ihe Dasis far ��e allegetl exemD��on Nny violation of Sec�ion 7�3L5 by
any apphcantfor a Oermit suhlec�s the aOPlican� to a civil penaliy ot not more than five hun0�ed Oollars ($500�.
I. as owner o� the D�oDeny or my employees wilh wages as �heir sole compensaiion, will Oo Ne work, and �he
❑ simcture is no� inlenaeJ or o��ered �or sale (SecUon 7044, Business anA Pm�essional Cotle: The Con�rac�ors' $�aie license Law
tloes not aOPly to an owner ol a pmpe�y who Ouil�s ar improves thereon, anA who OoeS such work himsell/hersell ar �hmugh
his or her own ¢mployees. pmvidetl thai such improvements are not intenaed or oflere0 �or sale. II, howeve� �he builtling or
impmvement is solU within one year of completion. t�e owner will have t�e Curden of pmving Ae/she Oitl nol huiltl or impmve
lor t�e purpose ol sale�.
' I, as owner o� ��e properly, am exclusively con�mcting wilh licensetl contrac�ors �o cons�mct Ihe prole�� (,Sec[ion 7044, Business
❑ an0 Professians Cotle: The Coniracmrs' State License Law Ooes not apply m an owner oi Omperty who bw105 or impwves thereon
antl who conlrads for such prolects wi�h a conVac�or(5)license pursuan� to ��e Con[ractors' S�a�e LiCense LaW�. I am aware
��a� pmof of Iheir Worker'S Compensa�ion insurance 5hoW4 be D�ovitled �o me.
� I am exemp� unCer Sec�ion: B. 8 P. C. .
br ihis reason:
oate: Ownec
I tlo �ereby cemty ihal I am aware of and untlerstantl ihe requiremenis of Calilornia Healt� anU Safery Cotle Sections 255U5, 25533, an0
25534 antl tha� I or any lu�ure Ouiltling occupan� willlwill no� (circle ane) neetl �o comply wiN saitl s�aie codes an0lhe requiremen�s �or a
permil �or constmc�ion or moAifica�ion �mm �he Air �uah�y Management DisVicL ResiOeniial cons�mction apDlications are exemp� fmm
these pmvisons
Oaie: ADPlicanl:
I �ere6y certity thal I have reatl t�is aDPlicalion and slate ��at ��e above informalion is correc�. I agree to camply wi�� all ciry and counry
or0inances antl sla�e laws relaling to �uiltling canslmt�ion an0 Aereby aNhor¢e representalives o� ��is ciry ro enter upan �he aUave-men�ionetl
properly lor inspeclian purpases.
Oate'. �/ �—�� �C! � Signature: � � � [�
Driver's Laense or Social Sewriry a: $� %
164ba6 Whi�e-9uiltlino: Green—Cotle Eniorcemenl: Canarv—Aoolicant; Pink—Revenue: Goltlenrotl—Assessor
COMMENTS: TEAR OFF i500SF REROOF. �,�p.�
�r**�r�**�r***�t*x **+t******�r��******�r***�r**Q*�t�t*�****�� *�t*x �* ��t����� il
2 O N I N G A E U I R E M E N T S��^
S fi T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BU�������� =-"""'�
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: 13944212 ZNE; REF NO:
PLANNING NbI'ES>
/i,i- %.i
1ElF �F iE �f iF �E iE �E �FiE iE iFiEiF It iE iE �E it if !F iE iF �f if 1k if ik iF iE it iE iflF iE iE iE 1E iF iF�lk iF ik if iF if ikik �F�f 1f iE 3k �k �k IF #F iE iE �E iE iF �E �F iF �E iE IFiE �liE it �t iE ik iEi! iE
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
t ' i
ZONING APPROVED BY DATE;
BUILDING APPROVED BY : DATE; .�.�
APPLICATION ISSUED HY: DATE: U't,o
iflt�Ihik�fiE�E�FiEltiFiklEif,ifiE�FiEiflEifiF3FiF7F3F�iFifiiif�7fi��fifi�7FiF3f�if�3FifiF3f3FiF7FiF'iF1EiFiEifif!liFiEikiE �. iEiE
iF k1F ik IE iE IE 1E iE iE it It 1t iElE if IE iF it iF if iE 3f iE 1klF iE iF �f if if IFit iF 1F1F �F�E iE if Itit if iE iflE ikiE iE �! IE �F ik iF �F ik ik If iF�IFiE �F if if if ik 1F iFiE IE 1f iF �t iF IE i! ik if iF
LEGALIZATION;N F E E 5 LJ M M A R Y STRUCTURAL SEGMENT;Y
/'...z
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE�� SMIP/RES GRADING
PERMIT 81.00 .�- ' S6 �
%�� `� SMIP/NON—RfiS
PLAN " ",4, �r ,
ISSUE FEE �" ' �
BUILDING—D N—> PERMIT ISSUE PLAN—CHECK TOTAL hi PAZD i DUE
TOTALS----> 81.56 0,00 .� 0,00 81,56 ,,� 81,56 ' ,00
REVENUE DIVISION TOTALS--> COLLECTED: 81,56 OVER`'/SHORT; ��` ,00
BLDG PMT PLUMBING,ELECTRIC MECHANIC FIRE SMIP/TOT,�,GRADING PLAN—CHECK
81.00 . .56� �3 �
iF ik 1F iF ik ik iE 1F iE if iF ik iF iF!!!k iE ik iE iF 1F 1Flf ik if 1F�E iE iEik iflE iE if iElF iFlEiE �k iE if �! �k iFiElE kiF3E iF jf ik ik iE iE ik�IE jE�d! �E iE�iE 3E iF iE iE iE iF iE �E ik ik k iF iF iE iE iF
I N D I V I D U A L',-" �i F E E B R E A K D O W N .� ;
y /'.� •
TYPE QTY D E S C R I P T I O N;' UNZT COST TOTAL COST
SFR 5600 REROOF BY VALUE RESIDENTIAL NOZONE 1��00 :5'600,00
END � OF FEES '% ' ,�
� ���• r���
.,
n
�1 GDi'?:295 ��a':?ln
DATF.: G�1;,� �q� i lr�F:
c: �
COSISTRI.ti�T10N AND PLANNING POOI . �r'A
Date InSpector Date � Inspector
' APPROVALS Permit # � _ . APPROVALS Permit #
i. Temporary Electrical Service o� Po�e .� � .' .� 52.•�Pool & Equipment Location� �
2. Soil Pipe-Undrgrnd. � ' ��i � 53. Steel iieinforcement . . � �
�
.�.-�:' 'Y,..�., ;" �' - . - .
Y��3.;.E�¢ctncfll Contlu��ULlity-Undrgm[J.`' � . �54. Forms' . �
�.d.yEtCctrtca� Condnit-Undrgrnd.. � ' . �55. Electrice� Bonding - �
:��•5t,,3�eel�einfo�cem�nt - . •'�., � .56. Rough Plumbing & Pressure Test ��
y 6?Etectrical UFEiicGrnd. a . � i :57. APPROVAL TO COVER-GUNITE ;
l a��gotings �'G _ � � �58. Electriczl Conduit�Undrgmd. -
'W �8.�Foundation _„ � �59. Gas Pipe, O U�drgrnd., Test �
`-�9•-Water Pipe-Undrgrnd. ,� ,� `60. Backwash Lines, P�Trap, O Undrgmd. ' .
A10. Structural Floor System � . 61. APPROVAL TO DECK
11. RrcopertY Sewer Line & H6useConnection , �62. Backwash & Receptor�Pinal
12. ��wer Cap ," y � .63. Heater & Vent•Final
13. Roof Drains � - � 64. Plumbing System • Final -
1
14. Rou h Plumbi�S" - � -
g 9 v 65.'Electrical�Final �
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric�Wiring � 67. Fencing & Access ApP�oval '
17. Rough Wiring Sign - 68. APPROVED FOR P�ASTERING ' �
78. Rough Electri`�I�T Bar Ceiling 69. POOLlSPA SYSTEMS FINAL �
79. Rough Neating & Air Conditioning FIRE DEPT. REQUIREMENT' �
- - ' - - - ;r - �,- .c
20=Ro�gh �actory �replace i '� a �;- � ,� � x y ; qppROVAL"$ =�Peomit # % �
- r r. .-� _. > .�,
21:�Ducts, in� Sti.uctu e� . . T 5 = � 7 �" .` � �'..; � y � . .
. e -> c 5 ,,, - n x ;7Q, UndergroUntl Hydro �
22\Ducts, �enWFaung� c�S �, ry S� %?7�, product,Piping OGas O,OiI
23: ;Gai Pipe?Rough &� Jest � � S Y r S ��.: .,.�72. Undergroynd Flusfj;,�. � _
24. Roaf F[aming �Y� i �-+. �:n � a � �x Y �73�Undergm3.Storage;T.�nk-'OGas ❑Oil
25. Roof SfiEathin :,. '- :� � " '" r ' �• `• J�-.' '
� 9 .� �.i wl�� ^ 74., Qverhead HYdro�' _
26�T�Qar Ce�ting {Stcueturali 8�vionocoat 'b "" �,F� �> 75.� Dry Chemlcai ' �� ' . �
' 1 T 1
27"=frame 0�d Flashing '� x ` � " �" '= � y- � � '
� ,; � x r. ,. .� s� 76.� l7ry $tandpiPe -y
:-28.` Latbing� 5 dingi - •t ����c � .r � �•r x 77.y FIXED $YSTENI FINAL� y `
`29. Insulation '; "'� - .� -"` `' :1 -� � �'; x 7&: FIRE PREV. FINA�L � c
^30. Drywall�Nailtng � • �� �� s � K +� �HEALTH�=DEPT� REQUIREMENT
„--, � .r
� 31. Plaster Bro�ya Coaj� � � ,_, t., � � �;� ;. ,79i�P�NAL ItVSPECT10N "� ' "
� 32.r Electrica Power�_MeterFinal '�' K�; Y.� r80rF00D CERTIFICATE ISSUED
r331Final ElectriF " � � ' '� % k ' NQE�es: y �Y " ,
�,;34r-Firial Heating & Air;Conditioning, ,n, ¢ �A % x `,�(�.' 3 Y(,Z"��;_,'•' `� : -
_ _ .: . . .: v�� _� ;'.
35,Final Ga's Pipe-TesC `- - x^ K:x , c�i �*` n;.
( 4� �F .-��% ., •
Y P <_ ' ' 1 a.� ' vi� ' V '.
�36: Hood or CanoPY - - - -, � '� t : c =�c � ; r
,�-- - r.
_�37.-'Pinal F2ctory Fireplace; � �t, a �� tn � i n .,: - r� -s �r
e- '.-�e z ;.e 'i
.�38. Final Plumbing "�` j ... n x :V � ;� � . c ,,,' �- -
^�39. Waier Se+vice=Final- � ; �' � �; ; � . . : • �
' 40. Gas Ser.vice-Final "' ' ,�' " r - ' � '
r •: z::T" c \ . I f' �. " r:
>',41. Solar pomesFic-Final> ' � � � � ' k x �L't- - `
i �=. x r ' '-
� :v 't _ :. » r
�"42SBackfloti4 Preventei� - ., �x K ,. .c, • r _ -
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43. Backflow Irrgatiori' s � .-� -� ; 8-z p ��� ^ko � - � �q�L
. �
+ � r
44. Landscape Ihigation System,��' � _ _, �;� , c :J ,y _�-/ ` /-,_
.;
- r �a
.�45, Sound Attenuation --�� .r � T' - _.: x, . c-�- �c:( ..
x 'r, : �' - ' '' - -
`_-46.; Handic2B Regulations �' ` � �� � ''� � ' ^ 1� - �' J r
�� : ' ?c � C .t _ _ :�
� 47.;PIMAL STRUCTURE & BUILDING :G�� � � ^- �� •
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48i`FINAL PLANNIN�� ` `� � x � I ��� � ` �^� �
�_.: c n' � . i` �- �`�y'.� !/6tiI�� r
�49. •Elearic Release to Edison � r � jjr + _ �, ' • /
p', f X � ' [{ �. f .�' � � .
- � ,y �' . ' {a: � 1 �' . '
,:50._Gas�Release to Souih�m Califomia Gas Co .;; � � i,• ., � -. =, . _ _ .
.; 51,. CERTIFICATE OF;OCCUPANCY „ �e x _ �3 :;- _ -
No. Date .
�
OWNER SAMAFt CONST.CO.
GENERAL
Forms D" Sleel Reinf,
Test
_�y..�
N 0 V 4 196'�
VALUE
FIRE 'LONE� DESCRIPTION OF WORK
SUBCONTRACTOR
=Y vU7�' I�
G�
—G3 �? i 3< L
� � 20859
'r.pSTA MESA BUILDING-SAFETY DEPARTMENT
?4 P. O. BOX 81] ' COBTA MH6A. CALIFORNIA
Far ApplicanT to Fill In Completely
Tr. 4341 7'YPE OR PRINT LOT �ZL
BUILDIN6 2g65 goa Vista Drive
ADDRESS
. COSTA MESA, CALIFORNIA
e mA��
TEL.
197838
OP
EXISTING BL�6.
6ET9ACK LINi PI�OM CCI '
EFf 6 ' I R16HT 5
DESCRIPTION OF WORK
2
ROOR
-1 HEREBY ACRNOWLfiOOE THAT 1 XAVB pGD THIS APPLICATION
ANO 6TATE TXAT THfi ABOVE 18 COftRECT AND AGREE TO COM•
PLx WITH ALL CITT OFD�NANCHB ANG BTAT6 LI1W9 RCOUL/�T�NO
BUILDIN6 CONBiRU4T10N: /)�
SIGNATUREOF ii����-�G�
PERMITTEF T
FEE RECEIVED
OCP1 7 19b3
fINANCE DEPT.
�ITY OF COSTA MESA
PPLICATION FOR PERMR
BUILDING
For Ofiice Usa Only
.� RHCHIPT NO. PERMIT NO.�
/�Y /D//�e/�i �iQP/A � e
� ZONING
ZONB NO. OF I UBE OP NEW �$ �
Rl PUN9 2 eui�oixa w .gar.
LEGAL �t 122, Tr. 4341
D68CRIPTIOfl
A. P. NO. �
NOTE: NO EAVE OVERHANO SHALL BE LESS THAN
90' TO SID6 d REAR P. L. ' ,
EAVES
ALLOWED fU.B.C.REQUIREMENT)
YARDSMPROVED YARDSAPPROVED
� MAIfJ BUILDIN6 ACCESSORY BUILDING
(FROM C/LHTREET)
DI6TANCE B6T. B6T. MAIN Q
MAIN BLO08. ACC885. BLDGS.
VAR. # � DATE
C.U.P.� APPROVED
APPROV�I�� /a—i y—G
wv neTw
� ���� 60. FT.% /6'7 l�ezl,l/i `//f �' �
THE AMOUNT 9HOWN UNDEH VALUATION IB FOR THE F
PIIRPOSE OF CBTABLI8MIN0 A PERMIT FEE ONLT. �
VALUATION ^7� m
PERMITFEE $ � �
: �,� ��� � K 3 6— s
m
J F
yrY 4
TOTAL FEE $ /DO �
JOB ADDRESS 2865 Boa V'lSt& CiI'C1E BUILDING PERMIT
GENERAL CONTRACTOR Koo1 Metal Awning DESCRipTiON oF woax Patio Siins
AP No l ZQ_LL9_l? i,(1T TRACT FiRF. ZONE � VALUE $ 1l-00.
INSPECTIONS
Steel
SUBCONTRACTOR
and Vent.
� �az��
=QSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BO]( 9f] COSTA ME9A. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
�RESS L¢L 7 � �A�J� �T:.a
COSTA MESA. CALIFORNIA �
P8CE1 C
aER �OI�.J oY\,E .
�\ BUIL�IN6
RE58 Zz5 �� � DA V � S 4 ' A��RE59
FIRE
TEL. ' ZONE
' Cp L� NO.
APPROVEC
LICTNO.���-Z��I-�il) rao'M��3�-t�
SIZE �O� Y / U O� .I rvo. on e�oos. /
OF LOT NOW oN LOT
USE OF
EXISTING BLD6 � ' L '
BETBACK LINE FPOM / O
cErvTER OF eTFlEEf REAR YAR� G
SIDEYARDI LEFT �O RIGHT Z-O
DESCRIPTION OF WORK
13-i
WALL
�1
I HEREBY ACKNOWLEO08 THAT 1 H�VB PGO TNIS APPLICATION
ANO 6TFT2 TNNT�THB AqO 3 i8 CORRECT AND AOREe TO COM
PLY WITH ALL CIT�n61N N 9 AND BTAT6 9 OUI.ATI
BU�LDIN� CONBTR ION
SIGNATIIRE OF
PERMITTE -
AUTHORRED NT , � . . '
CITY Q� C�STA MESA
MAY 24 1965
PLICATION FOR PERMIT
R[CEIPT NO. � _ PQiMIT NO.
ZONB NO. OF /J 116[ OP N!W J""^"`�
� � �PLANe p�. lYILDINO �
_VlCL�.�{��
teoe� 10. /LZ�-�72 �/3y/
DEBCRItT10N
A.P.NO I �-/— �Y�— /�
NOTE: NO EAVE OVERHANO SHALL BE LESS THAN
30" TO SIDE @ REAR P. L.
EAVES
ALLOWED <U.B.C.REQUIREMENT
YARDSAPPROVED YARDSAPPROVED
MAIN BUIL�ING ACGESSORV BUILDING
i
L.91DE O Ff.� F
�
REAR �. � FT, F
DISTANCE BET. BET. MAIN d
MAIN BLDGS. ACCESS. BLI
VAR. # DATE
C. U. P. ${' APPROVED
""'.,..., rl ¢C ..
N
SQ. FT. �
TXE AMOUNT BXOWN UNUEq VALUAT�ON IB FOR THE F
pORPO6E OF EBTABLI6HIN0 F PEHMIT FEE �ONLY. Q
VALUATION — - �Q n
PERMITFEE $ � j
///��� m
$.� � O LA CHECK _ �
_ � 4