HomeMy WebLinkAbout2421 BONNIE PL - Building Permits, . `
�. Applicant to fill in all sDaces a:ee01 t�ose wlthin�hnvy borCer Iines antl sign all approodate Gacbrotions. ' � . ��
• CITY OF COSTA MESA � � „ . pE MIT NO. - TRACT NO: _."' , LOT NO. � BL . � � � , , � � 2��y �� � � � ' '
. CONSTRUCTION PERMIT � � 9 � • � . • , • . � '. �
Applicent's Mailing Address � TYPE OF CONSTHUCTION,� NEW ADD � ALTERATION � REVAI R . �.- � . , , , � ' -. - . - '
\� � PfOj2CtAddfB54 '�` c '�I. �. � �� ' � • ❑ CONVERSION'❑ DEMOLISH ❑ OT R ' . � " � ', . ' , �
Owners Name �)ri"1,�N G � � Phone�l�-11f�7 DESCRIPTION OF WORK �6 d�tc,. . � ' . ..yQ . �vll:. - . . . Z I EGU � 1` S � -
\ � . Addreu "� ' `�n '—P � , . TVpE OF PERMIT '� GRADING�y �p UNDATION .STRUCTURAL • A. P. M�+� ' - ' ZONE t . �- ' ' � ,
� Afth/Eng.� - � _ Licen5eN0.' - _ ' ❑ TENANT O ELECTRICAL WJ PLUMBING ❑"MECHANICAL � � ' , BUILDING ' � �
� , . -PWG.REF.9k �
��\ Addf255 � ❑'OTHER TO BUILDING � .
� G� ' - �PR PE TV INE ' REAR YAFiD (TO P/U "• v'
� Cantractor's Nam � hone '��'�%Z PRQIECT DESCRIPTION 5q. FT. - OCCUPANCv � ,. r �
Addresslme'r��l �OSTLt� /�w..-f)...r� CONSTRUGTIONTVPE VALUATION$� 'LEFTSIDEVARD ' RIGHTSIDEVARD ^
� LicCn5BN0. ` - I�� /'�� Z�N� � GRADINGCU.VDS: ACRES PKG.SPACEREQ. , ' PROVIDED ��_ �"
' LICENSED CONTRACTOR DECLARATION - ^ � ��• . I � � � � . . - . STREET WIDTH" ' � ' � � - ,PARK FEE � ., � '
� Remarks: ^ . , t $ � �
��I�hareby�aftirm that�l'. am Iicensetl un0er provislons of �C�artei 9(commencing . � + �
wlt� Sattlon 7000) Of DIvISIon 3 of t te Bu5ine55 anE ProTe55Ion5 Cotle, antl � , ' � .. � ' ; ' ' • � � , SPEGIAL CONDITIONS: ' . .. � - � ,'� '
my Ilten5e�i51n full f e antl aHeCt. , • ' - ' � , . _ . .� � � . � .. ,
' icense C Sss '• ' � Lice / o.T,� � NQK� � ; I PLUMBING � . : -, ' - � . . . , ' , � . . � �
te 9gnature � garSink , , SewerCap � , ELECTRICAL � -
�
�RKERS' COMPENSATION DECLARATION - ' ' � • � - - � � . ' � � '
,-hereby'afflrlit that.l have�a cBrUfl�a[8 of Co�sent to SBIf-Insufa Of a CertlflWte- =-. ' � . � . AutomatiC WaihBf, . � iMeter ❑ovef lOb amp5 __ � ��
of Workers' Comoen5atlon InsurSnce, or a certltietl, copy thereof (5ectlon i � Backflaw PreventCr , SeWer'ConneCtlon' • - . � ,��{ �-
3800, Lab. 0. � • . � � . , Construction Pole ' �Sub Panel' . �
,%� -i-F , . � Backflow Irrigation . � l Solar Col�ectors
. PoIItY No. �GI/ � I . ' �Comp� �nY N L ' : : .� ... . � . , � r
cartlfiea�capy Is hereby turnishetl. �1/,, J1� � �f � . Bathtubs Solar Pipmg ' � � i Cookmg Umt ;� �Sub Pole '
� e Certlfi ' � o �p Ilatl with tha city B n�si��� ' � � � � � Dishwasher ' � ' { 'MotU/s �
�q ; . . . � ❑01 HP �th-8
oate h Applicant�(�.,�-�r ��_ 1 Clarifiers • � SolarTank - . � .
� EXEM ION` ROM WORKERS'�COMPENSATION �ECLARATION � �- - � Dfyeis ❑Ga5' OEleCtnc �, !,InC.Solef�O9-15 HP �1645+
(This section naetl not be completetl If the permlt Is far one hunGretl (5300) or� � Di5hwa5hEr i Swimming Pool w/Spa t �
iess)7 j . I . � . . • � , : ^ '� � � � � Fan � . � , �Microweve ; � I . j
' I certify,that in the performance ot the work for�whlch [his perm�t is IssueC I � D�inking FOunteins U�inal � � � . � . � �
shall�not amploy any person in any manner so as to become subject. to t�e - - . - � � � , � F.A.U. � � ' ,Pole�Light � ' ! � � � �
' Workers'I Compensation.Laws oi Ca�liornla. ' - • Floor Diains' � . Water Closet. 1 ' � {
� � Date ' � � ' Signature '� ' � ' � ' �, : - , . � .
��� FloorSinks-�- � � o' Fixtures � i� Ran e.., i. �
NOTICE:If,after making this tleclaratlon; you�shoultl become�su�ject to the -{ Wate� Heater� - 1-- - 9 _ _ _ _ i
i Workers' Compensation provi5ion5 of the Labor, Cotle, you�must.forthwith ' .- ' . ' . - ' - � . � � �
j Gas Service' ' ' •Outlets . � Water Service �:, . . �, �!� � =� Device Boxes i � ( � 'g{y� � � i
comply 'wlth; suc� ,provisions or,this .permit shall be UeemeO, revokeC: , , �
�CONSTRUCTION•LENDING AGENCV � .� � �, '+ � � ' -' �- � - , •
I I hereby atflrm that there I5 a constructlon lentling agency�tor Me' performance , t Interceptors � - •� r Outlets ., i • ` 'Standing Sections � . !
ot the ,work for wblch-, [hi5, pBvmit IS �iisuetl :(Section 309] Civ_ CJ ' � ' � .i - � � � , �
�� �enaer's Nama-� ' • - � • ' KitcFen�Smk� ' .. - . ' � ` _ � � ,i " Switches , � , Trash Compactor I
� ' � - � ' J � ;; f .. . . m . . I
, -Lender•s� Aaaress � - � � � � � _ - . � -� ,� - Garbege Disposal , � ' ' �
' OWNER;BUI�DER DECLARATION ' ... . • � ' ' '� 1 -� �-a�atO�iei 5 i a ; . � . ` . . � � i
' I herebyaifirm that � am'exempt. from cne'Gontractor's License Law for tne • . �� �,. �, Generamr, OO-5 KW 05-15 KW � t ' �
'followin9 reason.(Sectlon' 7031.5 Business antl Professional Cotle: Any city or P-Tiap - - . � �,{-( � { , i
.�county which requlres a permit to construct, alter Improva; tlemoltsh or'repalr �� �, - _ � Trensfo�me� ❑75-50 KW � � � � . � � i
�ny struchre, prlor to ItsJssuance,:also reqWres t�e applicant tor such permit � RoOi�D�ainS � >' ^ � ' 4 � � � ' ' . ��j,y�/ ' �r � ' � � ' � ' ,
i file a 519netl sta[ement that ha/she is Iicensetl purouant to the provisions of' ( ' '- ' � � � ❑5U+KW- ' � - '
�a Contractor•rLicense Law (Chap[er,9 (commencing��wi[h;5ectlon 7000) of � ' ' - - • t , , � ' � • P' ' �. 1� � . � � ReinSpection FeB � $j5�
.Jlvision �3"of the �Business antl Professions CoEe) oy thab he/she-is-� exampt �� Showe�s � � i, • Reinspection Fee ��i$15' - ' �
therefrom-antl the� basis for the allegetl exemption: Any violatiod of Sectlon � ''. . , , � ' M2ter ❑up to 100 amps � ilaue Fee: '$ 3
7W1:5 by,any applicanc for•a�permiYsubjects�tha apDliwnt to a clvil = � - ' / s _. _- ._ ,
� "�enalty of not more than tive hunCretl aollars (5500). � - i� � � . Service Smk '�'� � � � : Isue Fee "� ' , a 3.. + ' , ; . ' �
� Zoning APProved BY . ' �• � Date �.
LJ I; as�owner oi� the.property or�my amployees with wagesias thelr sole
' com ensation wilL o the work, antl� che structura. ii not intenCetl or otferetl � f � " ' -. 'MECHANICAL : ' ' � � ' � ' . '
: f0/ Shc¢ i($ecflon 7044'. Business' antl� Professionai• Cotla: � Tha. Contra<tor's � - �� ' ' - Mpliotion Approved By " ' DetB � .
' Litense Law tloas no[ apply to'an owner of a property.who bullAs or improves � . , � Refrigera[ion System �'"� ' � �'—�-- � �� � �
� Boiler � ' � .; ; � . � APPlication Issued BY � ` Date '
thareon„anC �who "tlo¢s; SUGh w0/k himself/herself or Inrough h15 or h¢r own • - 1 J - '
'. employeas, Drovitletl that such�lmprovements are;not inten0etl or offeretl.tor ' • • ' . �0-100,OOOBTU ❑100,OOOBTU - , i
' l ule. Ii, �owever, the builtlin or Im rovement Is soltl within one ear,of com- ' Dutt- UndeqGround � j : , i � � i; •
9 P Y . . � SUMMARV OF FEES i j
' pletion, Ihe owner`will have tha burtlan ot proving he/she Aitl not builtl or im- ' . � � - . , ' �
�rovetoctnepurposeofsaie). � i � + :._ � ; � i ,, Duct-Structural � j � SystemRepair%Alteiation � � � igUIIDINGPERMIT $ �' : SMIP .� I $ �
I, zs ownei ot Ihe properiy, am excluslvely contracting:with'llcensetl con- : � . ' ;' ' �'. ' I ' 'I
trattorsto construcLthe project.(Section �044, eusiness antl Professions Cotle: .� Duct Ventilating� _,_ r_„_� '_ _. ,� _ r _ �: ,PLAN CHECK� ' � $ ' PERMIT ' � �
� � The Contractor's .License taw does not apply to an owner of Oroperty who , . . . , � ISSUANCE , �$ �
Euiltlz or Improves theraon, antl who contracts for such projects with a<on- � Exhaust System ❑ Multiple O� j i '� �PLUMBING ' �� $� • � 1 1
tractor(5) license pursuant to the Contractor's License Lawj: ' � - • � ' ' ' � ' GRADING � $ { 1 '
' ❑ 1'am exemp[ unaer Sectlon ' � � B. & P.'C, tor thls reason � Fiiepl/FaCt. Blt. ICBO �k � � i � ' • J � �PLAN CHECK� , � $� ' ' • , ; , ; f
c i t . •
Date � - � � Ownerj � ' � � • � ' � �' Heating'System&Duc{ing � ; . ' , ' IELECTRICAL $ � � ' � • $ : �
� ' MICROFILM
-P•nereby�certify that f•have�reatl thirapv��<ation aritl�ztate ttiat tfie above-- -- Op100,000BTU �100,0006T, �PLAN CHECK � - $ ' ' ' ' $ � �
informaiion Is correct. I a a to comply th all dty antl county ortlinances I -. . I � ���.� � �' . ? � � � TOTAL,FEE S$� �' �
antlztate laws rela g t ulltling � s ction,•anC hereby authorl e repre- Hoodor T 81 ❑. . ' {y � .: 'MECHANICAL $ ; � , , , , ,
sent5tives oT' <I , o ent ' She above-mentionetl pro e ty for ; �P Reinspection Pee ,/' $15 � • , LESS � � i
inspecuon s. � � � -j� � Ca�no T � e II ❑' ' � _. PL'AN CHECK . $ � � ADVANCED PC 7 $ ' I
519`ahre � Date � ' ' t ' � .' : , r " , , , - � o�
Re isteis . Isiue Fee 1 .� ��
Drivarz' �License wi� 5 � 9 � � i ��$ 3 � ' � � ' ' � i j FINAL PEE � $ ,
CMF0865-46rav.12/82 White-Builtlin9;Canary-Applicant;Vink-Accounting;Goltlenrotl-Assessor � '
�
RDORESS:� zQ2j, non�nii� L�r
A�sxune:ANDREW'CRISP .
anoxess: gAME AS ABO��E ,
.
�
r
� - � UNIT: . �.
j. � ' < , _
I RBCN/ENCINEEH:�` � � � � - • ' � � - ' flEG.NO.:
� . RODPESS: , � � � . • . • ' ' � ; IINIT: � � .
i_' ; . .; ., .. ��, ;. .
'PEpMinEE: ANDRF.W A.' CRISP ( 714 ) 675-?.550 '
,RODNESS:' Z421 FJON�IIE PL � � '
i COSTA ME�A CA,92,627 ,:
LICENSED CONTMC70B OEClAM710N: I �ereby affirm thal I am IicenseU unCer Dmvisions a� CAaD�er 9(commencinp witA Seqion .
7000) al Divisian 3 of the Business antl Professions Cotle, an0 my�license is in fulPlorce an0 ettect. ,
Cltt LIC.: � SiqTE UC.: ClASB: . . �
�Date: ' .. ' � Si9naNre: � t� ^�'��" .:
WOBNENS' COMPENS1ITION OECIAMTION: I �ere6y aKrm ihat I have a certifcate of wnsent to self-insure or a certifcate of Workers'
Compensation'Insurance, or a certifieA copy thereof (Section 3800, La6. C�. �
POLICY NO.: • . , � • EXP. ORTE: ' ' ' , .
COMP�NY: , � � ' � �
.] Certtlied copy k here6y fumisheU.� ❑ Certifietl copy is /ite0 wit� Ihe ciry BuilAinq DiNsion. � � '
_� . , . . .. _. . � _ . .. ., . � '
,eate: ApplicanC
IXEMPf10N FlIOM WOflKFfl3' COMPENS/�TIOX OECIAMTIOX: Qtus sectlon neeA not 6e ca Dletetl if t�e pemih is for one �untlre0 (51 W) or less�. �
I Cetlily [hai in Ihe pedormanC¢ af Ihe Work br whith this Oe�mit is is 0 d Shall ploy any per5on in any mann¢r So as to �eCome
suhlect ro the // 2 C�en�ation Laws af Califamia. .,' — �. ;
Date: ' , :SiAnature: - ' '- - . .
NO710E: II, att makinq this Geclaration, �you should Gecom¢ su6ject ro tAe orkers' Compensation provisians oi the Labor
CoOe, you must fonhwith compty with such provisions or this'permit s�all e deeme0 rewkeU.. �
CONSTBUCTION IENUING 110ENCY: Ilhereby attirm tha[ t�ere is a constr on lendinp apency for tAe pedormance of the work lor
whicA this permit is issueE (Section 3W7, Civ. C). ' , ' ' ,
lENOEB: , , ' ' ' ,
FODflE%S: � ' . . . . . , , . . _ . , .
OWNEB BIIILOEH DELUMTIOX: I here�y af/irm that I am exempl imm Ihe Contractors' State License Law tor ihe followin0 reason
(Section 7031,5 Business an0 Protessional Cotle: �,Any ciry oi county whicA requires a De�mit [a consimct; alter, impmve, Aemolis�, or
repair any slmcWre, Orior ro its issuance, also requires Ne applicant for such Dermit to lile'a sign¢J statem¢nt that hGs�e is IicenseO
pursuam ro the pmvisions ot t�e Contraciors' State License Law (C�apter 9 �commencinA �Ih Section 7000) ot Uivision 3 of Ihe Business
and Professions Cotle) or Inat he/she is exempt inerefmm an0 the basis for the allepeE exemptian. Hny violation of Section 7037.5 6y '
any aDPlicant for a Oermit su�lec[s t�e apDlicant to a civil penalry of not more than five Aunaretl Oollars' ($500). � .'
I, as awner af ihe Dmperty ar my employees vntA wages as their sote compensation, will Eo the work, and tAe
� simcture is no� inten0etl or oflere0 for sale (Secnon 7044, Business anE Pmfessianal Code: TAe Contractors � Stale License Law
. Uces not aDPty to an owner ot a propeM w�o builas or impmves Ihereon, and w�o tloes such work �imself/herself or throupA �
his or her own emDloyees, proviUeA that such impravements are not intentle0 or uffereU far sale. Ii, however ihe �uiltling or �
impmvement is so10 within one year oi completion, Ihe owner will Aave t�e hurAen of D�o�inA he/she diA not huiltl or imDiove
for the Durpose of salel. . ' . . . . .
I, as owner ot tAe pmDeM. am exclusively conlractinA with Iicense0 coniractors to consirud ihe Orolect (Section 7044, Business
❑ anA Professions COUe: The ContractoK Stata Licenu Law tloes not apply to an owner ot DrapeM wha bwlAs or impmves Ihereon
antl who contrads for such prajects wiN a contractar�s) license Dursuant ro the Coniractars' State License Law�., I am Aware
that pmof of their WorMer's Compensation insurance snoul0 be D�otiAeO to ma �
� I am exempt un0er Section: � B. 8 P. C. �, '
for tAis rea n: � � - �
z ;• �
Date: �// � Owner: �
I tlo �ere�y certity tl t I am aware of an0 untlerstand Ihe requiremenis of California Heallh and Safery Ee Seclions 255Q5, 25533, and
25534 an0 tAat I or any future huiltlinA occupant vnll/will not (circle one) neetl to comply with sai0 st oees antl tAe requiremen[s for a
permii tor consimction or mOEiliwtion imm ihe Nr �ualiry Managemen� DiSVic�. Nesiden�ial cans tion apDlications are exemD� ��om
Ihese Dmvisions. � , . i '
�ate: Applicant � � �
I �ereby ceniy Itut I have reatl this aD0lication anG state that the a6a ' ation rrect 1�agree to comON ��h all ciry anE counry
arAinances antl sta e W relaW9 �o buildin0 conslruction an0 hereEy n� r r' aiives of t�is ciry ro enter upon the aDove-mentioneG �
prop¢rry tof in5 tti0 urpases. . ' . � ' '
Oate: � � Signaiure: �
ouver's Licens or Saciai,Secunry x: • � - '
t6a1-a6 W�ite—BuIIEin9: Green—Cotle Enfo¢emeni; CsnarV—AoO���e �: Fink—Aevenue: GOltlenro0—qssessor
. . .: ,. _
' ,, �. CITY OF COSTA MFSA - BOILD.T.NG PERMII' ' PERM NO: A�� �04977'7� `.
. . , .. ,. , ., . f:' ,.. �. . . . . . , , . .
P�RMIT NO: B 04477 % �. PLADI CHPCK NO; ' Tl GOVT�: 'Dl SUPP: N •
CONSTRUCTPON 'CYL?,E: _ PERMIT TYPL"�: ,STR ' . � -. ; F?URPOS"L'�1; NEbi� "
� . ' . � � . . �.
JOB DESCRIP'f.ION ;:;' fiEROOP W/ COMPOSIT '. �' SQ FT:� 5, 5q0 `
CLAIM VA1,UE: �'S;5'00,00 CALC-VALUE: 5,500..00. GRQUE� OCG R-3,i /
.COMMPN'TS: ' - - i z, � '`
� �tt�ri*�-it�t*�-�-�r�t��rt�-*�*f�*tr*�*�-�t*�-�-**�t�*�x���x�;��*�t*��it�r�**��*�-*��****�+�*�*+��r***�--x-**x��irir;r*i� ,
� • Z O N I N G. R.E Q 0 2 R L M E N'P S� <'
.. S E T B A C K S. • � . � c , ), '-
, � '. f � . . � ' � ' . ...
---==-'------- tdATN- iIUTLDlNG -----'----- '--------;ACC�SSORY�BUILDING -----=-=
-FRNT; � FT � IN REAR; C•T IN FRNT: 'FT IN REAR:, ET. IN .
LEFT: PT TtJ RGH'P: FT , IN LF.ET: F'T ; IN RGHT; . FT � SN
, � .
PARKING RP:QUIREU.:; ' PARICING FROVIllED: PARCEL: 43915305 70NE: + �'
PLANNING NOTF.Si ' . ` ' ' � ,
. .. . > ' - . ... . . .. . . _ ' . .+ �. . � .- .. �
it iF dE K� iE 3E iF 1E 3E if If if iE jE dE;dE aE?E 3E 3E # �E iE iE iE iE # iE �E iE if # ih iE'h if 1E-lE jE iE i6 iF 9E -0E iE iE iE iE IE iE iE #ki6 iF if jf 3f iFiE 3E iE �t if jF iE iE iE 3E`-)EiF�iE iE if iE �E iE iE 3f 3E
' D E V-E ,L" U F M E N T S F. R �� I C H S R E Q U I, R F M E N T"S
. ' . . - � i \' . � .
ZONING APPROVED,;,BY __ ' ' _ 'DATE: .^ >
�BUILDTNG APPROVED BY . . __ . . _. . ;DATE: ��` ��
APPL'iCATIODf Is"SUrD BY; //�J � DATE � ��I. �- �/
iEiFifiE#iEiEiEiFjEiEiEiEiFiEiFjEi'iEitl�i' . �3Fi��,��f�3FjE�F�F�FiF3FiEkiEiEifiEiEiFiEiE3ii(� �F�iEiE .
ifiEiE�lf3fitiflfififiFifiEi��iG3E3fiEiEif3EiE3FifiF3E�jEiE9Ei;-ifiEiEiEiE�1EiF3biEiF�1(-3EiF1EiFiEiEiEiEi'�tiE#1E�lE�1E�ItjFiEiE1liE#iEiE�EiE�%dE�E7E�lE�iE�1EiEiFiE3! . •
LFGALIZA'CION:N � ' - E.E"E S.0 M M A R Y "'�"'- �S'PRUCTOItAL SEGMErIT:Y ".
. � .
� BLDG PMT PLOMllING ELfiCTRIC MECIiANIC ' FIRE 5M1:P/RI:S GRADING
PERMI.T ' II1'.00' ' -• ' Sp
' � . � . - c�' � �SMIP/NON-R�S
PL'AN . : . .
�rssa�'FEL � ; � � , '
BUILDING-DIV-> . PERMI-T a ISSUE PLAN'=�CHECK TOTAL . PP.ID '.DO�F
zo�rALs---> �i_..so - o.00 : :� o.00 at.so. ai.so �.00
� . _ - � , � ' ' . � � � .
RrVENU� DIVISION 'I'CGTAL5-=> COLLECTED� t11..50� OVER/SHORT: .00
''. BLDG PMT' PT UMBING ELECTRIG MECHANIC FIRE SMIY/T'OT GRADIrIG PI,I:DI-CHECK
• ��.00 . ..�. ;; .sv
, � ,:,;: .,
iF iF i,k if if if if 1E 3E if �1F # if iFlE iE iE dE 9E iF 9E�fE iE iE iF 3E #"ff IE �E iF �1E i' �IE �1E IF �lh �E�1E �1(,�lf �F �f if IE iE �-3f �f if k 1E iE iE iF iElf iE iF iF iE �)E i( iE K� iE iE if iE iE jE iE iE #�1E if iE iQ
; I N D I V,I. D U A L: r-F E� F� B R E A. Y D O W N; �
tt r
TYPE QTY D P•. S C R I C� T I O N ,;�,� UNI'1' COST TOTAL COST
J
SFR 5500 � REIi00P DY VALUE RESIDENl�i� NOZONE. 1.OQ , 5,500.00
, � END UF�.FEES ,
1
, . .. ._ .. _ � . , , � . '
0
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�CONSTRUCTION ANO PL'ANNING . PO�� & SPA - �
� APPROVALS P ' # ' � �Date.. .Inspector pppROVALS Permit# 'Date Inspector
. ermn . . � . . .
't. �Temporary Electrical Service or Pdle ��` , 52. Pool.& Equipment Location • .
2. Soil Pipe-Undrgrnd: ' � � • - 53. •Steel_Reinforcement � � �
3. ElectricalConduit�Utility-Undrqmd. � 54. Forms
, -4.-Electrical Conduit-Undrgmd. � 55. Electrical Bonding .. -
�- �5. Steel ReinforcemenY ' �� - 56. Rough Plumbing & Pressure Test
,.6. Elettrital UFER Gmd. � . � . �� 57.� APPROVAL TO COVER�GUNITE
7: Footings � :. ' 58. Electrical Conduit-Undrgrnd.
� 8. Foundation �� ' 59. Gas Pipe, O Undrgrnd., Test •
9. Water Pipe-Undrgrnd. � . � 60.� Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Ploor System .- 61.- APPROVAL TO DECK . .
11. Property Sewer Line & House Connection 62., Backwash & Receptor-Final �
12. Sewer Cap . �; 63. Heater & Vent-Final �
13. Roof Drains - . 64. :Plumbing SYstem - Final
14. Rough Plumbing � : 65. Electrical-Final - �
15. Rough Electrical-Condult , - 66. Solar SYetem-Final �
16. Rou9h Electric.Wiring . - 67: Fencing & Access ApProval
17. Rough Wiring Sign "' ' 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling . � 69.��POOL/SPA SYSTEMS FINAL
19; Rough Heating &jAir Condi2ioning '_� �. .- � ;.FIRE DEPT. REQUIREMENT
20._ Rough F.actory Fireplace . , � _� � APPROVALS _ �_ Permit #
21. Ducts, in Structure'� " - �' '� '70. Underground Hydro
22-DuMs, Ventilating �� 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test . � - � ' i "72. Underground Flush � � '
24: Roof Framing � 73. Undergrnd. Storage.Tank O Gas ❑ Oil .
25. Foof Sheathing ' '' �3 74 Overhead Hydro ,
26._T�Bar Ceiling (Structural) & Monocoat �. 75:. Dry Chemical ..
27.-Frame and Flashing "' ' "' 76. Dry Standpipe -'' � .
'28. Lathing'&Siding � � ._ - �, 77. FIXEDSYSTEM�FINAL�.- � �
29. Insulation � ' � � ' 78. FIRE PREV. FINAL � �
30. Drywall Nailing '.. - �� � HEALTH DEPT. REQUIREMENT
:�31. Plaster Brown Coat' -v �°� 79. FINAL INSPECTION �
� 32� Electrical Power MeterFinal ' ` '� 80. FOOD CERTIFICATE ISSUED_ �
`33.'Final Electric Notes: � ' - - -�
34.. Final Heatiny & Air Conditioning _' ''
35. Final Gas Pipe-Test� ' _ , -� y
i�36. HoodorCanopy � ' " � �:q,.
� -.,
��37.�Final Factory Fireplace -�- . -�� ��
' 38. Final Plumbing , a '
r
39. Water Service-Final .
' 40. Gas Service-Final - � • � �'
' 47. Solar pomesticFinal t . t
42. Backflow Preventer � ' � �
�i�j's f�f.'3/r/
����
��
�
43. Backflow IrngaUon ,, . �
� 44. Landscape Irripation System _ ' - ;- s :
� 45. Sound Attenuation � � .r_.
46.•�Handicap Regulations ' • ' -
j �3
47. FINALSTRUCTURE&BUILDING`'• ' "
�• .
46..FINALPLANNING " `� i�' ' -'
� A , `.
49.� Electric Release to`Edison � _
!
50..Gas Release co Southern CaGfornie Gas Co �, '' '
. , t`.., -
0
Date
�rv r.. •'�-r� . .♦ �� J �Y �--�M1�v.. � i . \ hl�...rn'.y�tf'i'1,/"'��
� � ' CITY OF COSTA MESA . . .
Development Services Department - Building Division
P.O. Box 1200, Costa Mesa, CA 9262&1200
PERMIT EXPIRATION FORM
To: �7�'CifJ. lS'-Gl�C'�-v�
. -� 4�. � / �� v`� �� r�r F , .+�.� _
r";�s.-T�� Yh��4 ���
Project Address
I
� GC-�rt-� ,
Date: /C%- ��- � 5�
Permit ( 1) r ��/� 2) '
Numbers 3) 4) -
Our records show that the listed permitlsl was obtained for property improvement, or alteration, at the ��
above project address a�d the project was not properly completed.
This permitls) expired on '� � �� �� .
�
Please be on notice that, without a valid permit and required inspections completed, you will have
encumbered your property with an illegai structure. ..
�� _ .. ^.
i. qPlease call 7545273, give the permit number(s) and request a"deadwood" '�
i
inspection within ten days. An inspector will visit the site with the j4� ,
pertinent records and advise you of the necessary steps in correcting this� .
situation. It no work was performed, please sign and date, and,�return to
the Building Division. .. -
I hereby certify that no work was performed. I understand the'permit will be cancelled. _.
,. � - " �;- � .
' SIGNATURE ' DATE �
`.
0
C-133
2. ❑ Owner refuses to comply by responding'to the�City's request to correct an illegal and
potentially hazardous project. If no response is made within ten (10) days of the date
above, all documentaiion will be forwarded to the City Attorney's office with a request
for prosecution for violation of adopted Code(sl. All further contaa shall be made with
that office until such time as resolution is decided by the Court. ��
' �\
_i
Sincerely,
�
�l A I
� ` d'C.�'e..r�r_ � �-i tt � %.�r,..J
RECORDS CLERK ��
754-5273
CMF 0985�46 (rav. ]/83) White-Permiltee; Canary-Builtling.Div.
Lot_ 5
Tr 4969
COSTA MESA BUIL - A ETY DEPARTMENT
� P. O. BOX 9A C06TA M86A� CALIFORNIA
For Applicant fo FIII In Complefely
TYPE.OR PRINT
BUILDING 2421 Bonnie Place
ADDRESS
' COSTA MESA, CALIFORNIA .
OWNER Mesa Baya Homes, Inc..
MAIL Suite 218, 1801 Newport Blvd..
ADDRES$
_._. i�.03t2. T1053 TEI,j,,j 8-80�
FEE RECEIUED.
�8 8 �196�.
APPLICAT�FINA NCE DEPT.
��1f�f ���A MESA
BUILDIN
fOr OfficB USe Only
R6C81PT NO. - PERMIT NO.
EIVB�BY DS'JHRF�6±V D • B ED
2 f � �,� MAR � issa
GTOR Mesa Baya Homes� Inc. '`
Suite 218, 1801 Newport Blvd.� '�eow�
s oescxii
Costa Mesa Ci�11 • A� P' N
NOTE:
ZOO NO. LI S—$OBO �O" TC
HAVES
SI=E �. � � I NO. Op BLOOB. � Al l OM
OF LOT OX
USE OF
EXISTING BLD6.
6ETBACK LINE FHOM
I �] #�ia:11'l i [•]:�•] �SL•7;�:1
I II DE
�.OP 1�
JOM9
ROOR WOOC
:�
�
ZONING
no.op�7 ueeor
Puns L aw�on
YARD3APPROVEO
MAIN BUILDING
YqRD ].4�. FRONT �
� 71 . R. SIDE •�
L. SIDE
�,�1oN' REAR /
. DISTANCE
OL,ISH MAIN BL��
VAR. #
3TORIE9 Z C. U. P. #
Shakes /1PPROVEC
er
M@D '
1 HEREBY ACKNOWLE�OE TXAT 1 MAVE PGO TXIB
RNO STFTE THAT TX8 ABOVB IB CORRECT AND AG
PLT WITH PLL CITT ORDINANC88 Ap, 'BTAT6 L6WE
BU�LDINO CONBTR ON. f�/
SIGNATURE OP ��C
PERMITTE
AUTHORIZED A6ENT . .
�33 8�
THE AMOUNT
PUFPO6E OF
BHALL BE LE55 THAN '
(U.B.C.REOUIREMENTI
VARDSAPPROVED
ACCESSORV BUILDING
BET. MAI
ACCE55.
DATE
6
Y O� � o
VALUATION 18 FOR TH2. �'
/ PERMIT FEE ONLY. Q
I7 0
7 FEE $ / ��� �
�
`�Q m
CHECK $ ✓/ � �
/i 7 LL
.FEE $ /