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Home My WebLink About339 BORDEAUX LN - Building Permits' ' t CITY OF COSTA MESA . BUILDING D/VISION F � 77 FAIR DRIVE, COS7A MESA, CA 92626 •(714) 754-5273 • Faz (714) 754�856 • wwnv.ci.costa-mesa.ca.us �• FOR INSPECTIONS CALL: (714) 754-5626 4��,F� PERMIT NUMBER: BX07-00273 PERMIT TYPE B MISC STATUS: ISSUED APN: 43914218 DATE ISSUED: 12/10/2007 Zoning: , ISSUED BY: JOB ADDRESS: 339 BORDEAUX LN CM `� Suite/.Unit: Viciniry: �_ Primary0cc:-.��-' . ConsiType :?? SQ. FT: 0 : Yaluation:- . 51 500.00-;'. _ SCOPE OF WORK: FLOOR SAGGING�REPAIR .�•= t OWNER: CirylState�. Phone: APPLICANT: City/State: Phone: _ �' JONES,JOHN D TRUST '`- .� '�� Address:: 339 BORDEAUX LN i�> = Unit COSTA MESA CA �� ;;�" � Zip Code: `' 92627 949-548-3195 . �::a ' _ JILLIANJONES - .- Address: � � � '��UniC� � . : -� � , ; •; . _�. .. :.. �..:.'.Zip Code:%_�.�. .. + , . _,_:. .' _ . .-.. . ,,. - . . , 949-548-3195 ` ' � � � � � CONTRACTOR: '�'� :�. :'; ; '"�" _.: - . .:�,�LicenseNo.n� - : Address: ' , . � �.' :.�..'..Unit v . . . , .:.,:. Ciry/Stale: � - , �-� Zip Code: . . - : �� Phone � � . .. . Cell: ARCHITECT: ., ' ..,. , �.:-,.,-� ..... .... .. .. :Lice,nseNo. .I :.... : Phone ' ` ENGINEER: JON STROMQUIST�`-�, „, � License No::,� S2100 " Phone _ _ - - � ' . ' �., ; . . .. . -.: .. . � � -' �. ' __ �.' : FEE SUMMARY': ;, '` =� ' Building Rlan Check 1 $35.10 Building Permit � � -',$54.00 � __ � - � � � � Electrical Permit: $0.00 SMIP Residential � .. � " .::$0'.50 � . - - � ' SMIPCommercial' , $000 � $O.00TOTAL F�ES $89 60 � . ,,'�`, '��"� - ---., - - - - - �. . .,.._. .. -`.z: � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in the expiration of this permit. C D�EA. I_NSPECTIONTYPE 1616 Fixed System Final Fi�e Prevention 7266 Pool Spa Final 200 Final Re-Roof DRTE INi1TIpL5 LOUER IBSPECTIONME 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Flnal Slte 204 final �emolition 250 Final Building/Oaupancy UATE INi111AL5 \ \NORKERS' COMPENSATION DECLARATION: • " - � - ' -Owner ID verifed by driv. .�se. ❑ Yes ❑ No � ' �� herehy aKrm under penalty of Derjury one of the (ollowing,tleclarafions: ,- ..� �� Driver's License No. � Expir�s f�] //� ❑ I have and will maintain a certificate of consent to self-Insure (or workersr� Verificalion of Ownership by pype of document, i.e. - property [ax�bill or deed): compensalion, as providetl (or by section 3700 of the Labor Code, for Ihe ., . pedormance of the work for which this permit is issued.� � � ' � ❑ I have and vnll maintain workers' compensation insurance, asrequired by DIVISION OF INDUS7RIAL SAFEN PERMIT CERTIFICATION: '- section 3700 of the Labor Code, for the peAormance of the vrork for which this permit is issued. My workers' compensation Insurance carrier antl policy � I hereby certrfy that no excavation frve (5) or more feet in depth into which a number are: person is required to tlescend, will be made in connection with work authonzed by this pertnit, and that no building sWcture, scaf(dding, (alsework, or demolition Cartier or dismantling thereof, vnll be more lhan thirty-six (36j feel high. (Chap. 32, Grp (IDis seIXion need no( be rompletedtl the peimR is valuetl a( one hundred dollars ($100J orlessJ 2, Art 2, Sec. 341, Title 8, Califomia Administrative Code). POlicy Number: ❑ I certify that in Ihe peAormance of [he vrork for which this permit is isSued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the vrorkers' compensation provisions of Section 3700 of the Labor Code, I shall (orthwith comply with [hese provisions. AppLranl's Sgnalure WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENqLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND A770RNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and eHect. Lic. # Class # Gomrac�or's Slgnature Dale CONS7RUCTION LENDING AGENCV; ❑ I hereby affirtn tha[ there is a conslruction lending agency (or the peAortnance of ihe �+ork for which this pertnit is issued. (Sea 3097, Civil Code). L�nder's Name: Lender's Address: SignaWre Oate : �-� OWNER-BUILDER DECLARATIONS: I hereby aKrm'that under penalry_ of �perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE�LAW'for tFie� following reason (Sec. 703L5, Business and Professions Code:(Any city or counry which require`s"a permit to cqnstruct, alter, improve, demblish, or4epair"any;,stmctur`e;_prior to its issuance, also requires the apDlicaN for such perrtiit lo file a.signetl statement that he or she is licensed pursuant to the provisions of �the �Contractors Li�ense Law (Chapter 9(commencing with Section 7000) of Division 3 of t�e eusiness antl Pro(essions Cotle) or that he or she is exempt therefrom and tbe basis (or ihe alleged exemption. Any violation ot Section 7031.5 by any applicant for a permit subjects the applicant lo a civil penalty of not more than Fve hundred tlollars ($500�.): ❑ I, as ovmer of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the strucWre is not intended or oftered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such vrork'himself or herself or through his or.her own employees, provided Ihal such improvements are not intendetl or offered for sale. If, however, the building or improvement is sold within one_ year of completion, the owner-builder will have the burden of proving'that he or'she did not build or improve for purpose of sale.�. . ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS to consWct the project (Sec. 7044,.Business and Professions Code: The contractors License Law dces not apply to an owner of property who builds or improves thereon, and who contracts for such project with a cantracta�s) license pursuant to the Contractors License Laws.). , ❑ I am eaempt under sea - Business antl Professions Code for this reason: � ❑ As owner-builder, I will not employ anyone to do vrork which woultl require a permit from the Division ot Indusirial Safety, as noted above, unless such person has a permi[ to do such vrork (rom the division. Appliryn(s Signature Date Division of Industrial Safety Permit Number: - HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or presen[ or future building occupant need to fle and certify a Business Plan for emergency response [o release or thieatenetl release o( a hazarqous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health antl Safery Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every business which has al any one time dunng a reported year a quantity o( hazardous matenals equal to or grealer lhan a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic feet of compressed gas at standartl temperaWre and pressure). 2. Does or will the applicant or present or (uture building occupant need to fle a registration form for acutely hazartlous matenals? ❑ Yes ❑ No (Seclion 25533 of ihe California Health and Safety Cotle, wi[h some exceptions, requires registra[ion vrith the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazartlous ma�erials equal to or grea[er lhan a weight o( 500 poUnds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperaNre and pressure). 3. Does or will ihe applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous malerials)? ❑ Yes ❑ No (Section 25534 of [he Califomia Health and Safety Code provides that ihe Costa Mesa Fire Department may require the preparetion, certification and (ling with the Fire Departmenl o( an RMPP by businesses which are required to register awtely hazardous materials with the Fire Department. 4. If an RMPP is presen[ly required, has Seclion 25534 of the California Health and Safety Code been lulty complietl with? ❑ Yes ❑ No 5. Does or will the applicant or present or fuWre building occupant require for the work which is ihe subject of this applicytion a permil for such constNction or modifcation from the South Coast Air Quality Management Dishict or /rom any other air pollution control tlistnct or agency? � Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that the requested information be fumished on applications fa non-residential building pertnits). 6. Will any part of the facility to be conslructed untler Ihis permit be wiNin 1000 feet (rom the outer boundaries of a sChool? ❑ Yes ❑ No Qf yes", the facility must meet the requirement of Sections 25534 antl 42303 of lhe Cali(omia Heallh and Safety Code). 7. If a permit (rom the Soulh Coasl Air Quality Management Districl or olher air pollution control district or agency is required for Ihe work which is [he subject of Ihis apPlication, have all of the tlisclosures prescribed by Califomia Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. (If "yes", attach certificate of compliance fmm the appropriate air pollution control oKcer). CERTIFICATE OF COMPLIANCE: I certify thabunder penalty of perjury the information given above iscorrect. I agree to comply wilh all state laws and city ordinances regarding Hazardous Materials and Emissions. - SignaWre oa�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y under penalry of perjury that I have read this application antl state that the information given is correct I agree to comply with all state laws and city ordinances relating to butlding consVuclion, artd authorize representatives o/ the City of Costa Mesa to enter upon the above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building � � 0 Ie oa�e � . Aop��cant to fi11 in all spaces ezcept those within heavy eorder lines antl sign all aovrovriate aeclarations. CiTv,o� COSTA,ME��SyA CONS�T/RUCTIONl P�ERMIT . P M�T NO. � TRACT NO. , � LOT NO. �UNIT NO. � r r � ; 6051 : � 0%27/.86 , , , 5.D0 TL ProjectAddress `zp��L4�CLGGX 'H l� ' � �� O, , • � . , � . . � . . . , , ' , - ' � � . . ; � : - , � ' i " i � � � � ' � � TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR � 1 Applicant'sMailingAddress ' , � CONVERSION ❑ DEMOLISH ❑ OTHER � ' � � A.P. # - ' � . Zone ' ' Owner's Name ��/(,�� Ptione .�� ,DESCRIPTION OF WORK/USE OF BLDG. ' Address � ��i / / � �/, ' ' ' ' ' S Main Building: ' � Accessory Building: ' Arch/Eng. � ' License'No. � TVPE OF PERMI7 GaaoWG FOUNOATION � STRVCTURAL �, T Front � . � � • � , 0 Addie55 • � ' ' � 0 TENANT� ❑ �ELECTRICAL' PLUMBING ❑ MECHANICAL ' B Rear i , ' � � N � ConVactor'sName �� Phoney(3�. , � OTHER. . . . � . .. .' A . '_ . . . . . .. . . � q,� � , PROJECT DESCRIPTION 5�. FT. ocGUPaNcv K Right �� i G Address (m '1' g) � /.V 7 �.� � � , � . CONSTRUCTION TVPE VALUATION $ • g Left ' . i` � City Licen:e No � �� . � � : � • , _ � R , . ZONB GRADWG CU.VDS. � ACRES Ping. Ref. # � Parkmg Req./Provitled . E ^ LICENSED CONTRACTOR DECLARATION ' ' � t � . � � Q �1 heieby afti�m that I am licensetl untler provi5ion5 ot Charter 9(commencing Remarks: � � � � , �- Planning NotCS: � � ''�r � i ' t M with section ]000) of Division 3 0� the Business antl� Professlons Cotle, antl my license is in full �oW , ntl etfect: - � t �, - ' �•� " . - i T � Licens f ;s . L e �' °. ' . � . � � . , . .'. S \Date Si9nature � �'' � �PLUMBING , + ' :FEES' - - ' �' ' �`? � WORK R C�ION DECLARATION ' � i Bd��Si�k� . . . - . $haW¢R . . ' , M1 . . 1 hereby attirm Ihat I have a certificate of consent to self-insure or a certificate ' ' . � � . � . ELECTRICAC � �� i_ FEES ' rt Workers' Compensation Insurance, or a ceriifie copy roereof (Settion , BackflowPrevente� �� ServiceSink � ' ' ' � ' ' ` � l800, Lab. �/ � � ' � � ' Automatic Washer ; Transformer :0 15-SO KW � � �-! 1 � Policy No.�q�`f�� company � j Backflow Irrigation , Sewer Cap ' - �'3 ' Construction Pole Sub. � � �' ,;� 50+ KW ' �ertifietl copy is he�eby furnishetl. , - , ' , � ^ � � Cer 'ji pis filetl with the city d I i99�//7 � Bathtubs � Sewer Connection � Cooking Unit Meter� �up'to 100 amps, � Oate ' ' ' ApO��cant j��b� . .. _ , ' - � - EXEM 1 N FROM WORKERS' COMPENSATION DEGLARATION { Clarifiers ' � •. - Solar Collecrors � . - � � Dishwasher � . � � Meter ❑ov¢� 100'amps �� . (This section neetl not be completetl it the pe�mit is to� one huntlretl ($300 ,or . " ' - � � less). j � . • � Dishm2sher � � ' Solar Pipin9 � � ' Dryers��Gas '�DElectric ' Sub Panel � �� ' � I certify Ihat in the pe�to�mance oi the wo�k fo� which this�perm�t is i55uetl, I � . .� , , -- , � � shall� not employ any person in any manner so as to'become subject to the � Drinking Fountains ' Solar Tank � � Fan Workerz' Compensation Laws of Galifomia. ' - �- � Mo[ors �0-1�HP.01'/x- 8-- •^ ' Date� • Si9nature � ,+, Floor'Drains , � ' Swimming Pool w/Spa " ' F.A.I'I. � . � � � � � � - � NOTI[E: If, after.making this tleclaration, you sM1oultl berome subject.to the � � Inc Soldr �9-15 HPi�16-15+ Wo�ke�s' Comp¢nsation provi5ions ot the Labo� Cotle, you must forthwith� + FIOO�SinkS ' U�inal , mmply wi[h such p�ovisions or thi5 permit shall. pe tleemetl revoketl: ' ' � Fixtures � ' ' Microwave • CONSTRUCTION LENDING AGENCV . . /' GaSServlce OUtlets : ; WatelCloSet �' ' � ' � � � � i 1 hereby atfl�m that the�e is a constructiOn lentling agency to� the pe�tovmance D¢vic2 Box¢5 � POIe Light 1 � of ine work' tor, which this permit is issuetl (Section 309� Clv. CJ Interceptors � • Wate� Heater � � ' Outlets � ' ' Lentler's 'Name � � ' Range . ' ..�,entleYSAGtlress � � � � � .Kitchen.Sink; - - _�. - --' WaterService � - - -- ��--- - Switches , • - • -- ' Si9n - - ' 1 ' � OWNER BUILpEH �ECLARATION ' � ' � � ' � I "l I hereby affirm that I am exempt'from the ContractoYs License Law tor the Lavatories _ - ' Auto-Wash ' Garba e Dis osal ' � ' following reasOn (Settion ]031.5 Bu5ine55 antl Profe55ianal Cotle: Any city o� - � • 9 P Standing Sections � ,: � county which requires a permit to'wnstruct, alter, imorove, tlemolish or repair ' p-Trap ' � Laundry,Trays ' Generetor,O0.5 KW 05-15 KW � - ' '�' any sVucture,'prior to its issuance, also requires the applicant for such permic , Trash Compactor �_ to file a signetl Sta[ement that he/she i5 licens¢tl pur5uant to th¢ provisions of � ROOi DldinS � ' the ContraciorY �icense Law (Chapter 9(commencing with Section ]000) of � � • � � DiviSion 3 oTthe'Business an0'P�ofes5ion5.Cotle)-o� that he/she is exempt' � - • - - , . �� , -- � -- .� . ' � `- ' -- '- ' -- - - - - - - ' i- 'herefrom antl the ba5is for the alle9etl exemption. Any violation ot Section � ' . , � . ' � � . � I � � , � 031.5- by any applicant for a permit 5ubjecl5 the applicant to a Uvil ' ' ' , enalty of not more tM1an tive M1untlretl tlollars (g500J. � � • - ' � � � � , ' . ' . , � . ; ❑ I, a5 owne�r of the property or my employees with wages�as their sole RBinSpection F¢ef $75 - : IaUe FBe ' $ 3 ' ' ' � compensation; will tlo�the work, antl the structure is not intendetl or.otieretl � Reinspection Fee $15 Issue Fee . � '$ 3 for sale (Set[ion 7044, Business antl�Professionai Cotle: The,Contractor's +�� ' MECHANICAL ' - _FEES. � License Law tloes not aOP�Y to an owne� of a property who builtls o� improves ' � thereon, ana wno tloes such work nimselt/herseu or through his or her own - � . i � - � , �DEVELOPMENTSERVICESREQUIREMENTS: � � � '� -� ¢mployee5, provitletl that such improvements afe not intentletl of offefetl (of BOi12I HOOd Ol ' TypE I ❑ ' . . . ' E , � .sale. If,.hbwever„[ne builtling or improvement is soltl within one year ot com- �� Canopy � Type II ❑ • �Zoning Approved By �- �Data .' pletion, the owner will have the bu�tlen of proving he/she tlitl not builtl or im- ' Duci - UOd¢� i�iroUnd ' '" :. � 1 - ' . '. � � � ' ' euilding Approved By Date � - rove for-0he purpose of sale). . �^ � � b, as owner of the roperry, am ezclusivety mntracting with licensetl con- Duct-Structural ' Refri eration $ stem A lieation Issued 8 ') ' �� Y� tracmrs to construct the project �Section ]044, Business and Protessions Cotle: ' � 9 Y . PP Y ' t k.�b� Datuc_v_fv_-� ...-�, The Contractor's�. License Law. oes not apply to an owner of oroperty who � Duct - Ventilating , ' .❑0.700,000 BTU �100,000 BTU •� _ � SUMMARV OF FEES � ' builtls ot improves tner¢on, ana who mn[rac[s fo� such projects with a con- . '- - • tractor(sl,ncense pursuant to the Contractor's.License Law). I am aware that Exhaust Sy,stem ❑ Multiple ❑ System Repair/Alteration :� ' - BUICDING P.ERMIT $ SMIP' $� �� " proof of,[heir Worke�'s Compen5atlon. in5urance Shoultl be provitled [o me. � - - - . '� . . . • - PLAN CHECK $ . � � • � PERMIT - � � , . L-] 1 am exe'mpt untler Section -B. & P. C._for this reason' �' Firepl/Fact Blt. ICBO # Fire Dampers � ' ' PLUMBING .. ',$ .�G�� ISSUANCE .: ;$� oate. ' owner � Heating System & Ducting : ' Registers " � � � . ' "� . . � . ENERGY P,.C_ ,$ � " � ' ' PLAN CHECK -25%� $ _ I�hereby �certity that I have reatl this application antl state that the above ❑U100,OOOBTU �100,0006T � GRADING $` intormation'is correcL I agree to comply with all city antl county oreinances- - _ - �� ' " � ELECTRICAL $ , antl.state'laws relatin9�to builtling construction, antl hereby authorize repre- • � . -. ' ' � P�.AN CHECK 50% $ ' M�CROFILM- ,$_ "- - sentaiives ot lhis city. to en er upon he. above-mentionetl. property Por , , � � � , . ,_ . :� �y y_,. � inspection p- os . MECHANICAL $ ( �! v � TOTALFEE�_ $ Si9nature Date- . pe��spection Fee $15 . luue Pea . �$I 3 PLAN CHECK -z5% �$- ' � Drivers' Lic¢n e or 55 � - . � CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - AsSessor � CONSTRUCTION AND PLANNING ' � . . , � _ , POOL & SPA - � � - � � _ APPROVALS Permit# Date �Inspector qppROVALS Permit# � Date � Inspector � 7. Temporary Electrical Service or Pole 52. Pool & Equipment Location ., � � i.._. 2. Soil Pipe-Undrgrnd. ' , 53. Steel Reinforcement �= � , � 3. Electrical Conduit Utility-Undrgrnd. � �. 54. Forms � � - 4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding � - ' 5. Steel Reinforcement � 56. Rough Plumbing'& Pressure�Test� � � 6. Electrical UFER Grnd. 57. APPROVA� TO COVER-GUNITE n� 7. Footings ' 58. Electrical Conduit-Undrgrnd�: L1 8. Foundation •� ' � � 59. Gas Pipe, O Undrgmd., Test �, � 9. Water Pipe-Undrgmd. .-. - , •60. Backwash Lines; P-Trap, O�Undrgrnd. ' � 10. Structural Floor System � , 61. APPROVAL TO DECK � ' 11. Property Sewer Line & House�Connection 62. Backwash & Receptor-Final �' ' 12. Sewer Cap , , 63. Heater & Vent-Pinal 13. Roof Drains . - ' ' 64. Plumbing System - Final, ' � 14. flough Plumbing � 65. Electrical-Final' � 15. Rough Electrical-Conduit � 66. Solar'System=Final 16. Rough Elearic 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 & Air Conditioning ' FIRE DEPT. REQUIREMENT � . 20: Rough Factory Fireplace � ' APPROVALS Permit # -, 21. Ducts;in Structure � 70. Underground Hydro 22. Ducts, Ventilating � , � 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test -� i' � �, 7Z, Underground Flush 24. Roof Framing . � ' 73. Undergrnd'. Storage Tank � Gas ❑ Oil � 25. Roof Sheaihing � 7q, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoaj �75. Dry Chemiral '' � . 27: Frame and Flashing � � � 76. Ory Standpipe ' . 28. Lathing & Siding , � , � 77. FIXED SYSTEM FINAL ' 29. Insulatiori 78. FIRE PREV. F�NAL 30: Drywall Nailing � � HEALTH DEPT. REQUIREMENT ' , 31. Plaster Brown Coat - � � � ' 79. FINAL INSPECTION 32. Electrical Power�Meter-Final � 80. FOOD CERTIFICATE ISSUED •. 33: Final Electric . � , � Notes: (-Z(o-$�'- G�TC4lLlj• L.ro�' 34. Final Heating & Air Conditioning , �(.•jp-b7 �qGE(� l�6 P$�d ?�O�$ U� . GR'i�D 35. Final Gas Pipe-Test . � , ' 36. Hood or Canopy . 37. Final Factory Fireplace � . .� � � 38. �Final Plumbing ' . ' . ' . � 39. Water Service-Final . ' � . � 40. Gas Service-Final ` � � � � 41. Solar pomesticFinal - .. ' � + 42. Backflow Preventer ' � . � � , 43. Backflow Irrigation . - � . ' � . � 44. Landscape Irrigation System - � - ' 45. Sound Aitenuation ' • � 46. Handicap Regulations , ' � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � . � " ' 49. Electric Release to Edison . - � . . - ' 50. Gas�Release to Southern California GasCo . ' 51. CERTIFICATE OF OCCUPANCY No. ' Date _ � �� OWNER DOYLE & SHIELDS Development Co.,Inc. DATE GENERAL CONTRACTOR DOyle & INSPECTIONS GROUP 1lYJ TYPE SUBCONT1iACTOA .W/8 G . �s�s� COSTA MESA BUILDING-SAfETY DEPARTMENT P. O. BO% 91] C06TA MEBA� CALIPORNtA . Fo► Applicant to Fill In Comple►ely 4YPE O(R� PRINT � ILDINO � �� NJ1 9� � /'� ��. ./ DRE55 \ OCJ LLy�-- tl/\ COSTA MESA, CALIFORNIA ,vFa Dovle & Shields Dev.Co.Inc OR ENGINEER . Hal C. Tan N� $'II. A�DRE53 4�.00 WESt Commonwealth CONTRACTOR S3Rle � ADDRESB Same • � CITY S�ne LIC.TNO.1SZ�ZSO�B�1 No' PR 28020 SIZE _ _ . _ _ _ I..NO.OFBLOO EXISTING BLDG. - BETBACK LIN6 FROM OO � SO , � CHNTER OF BTREfiT L RfiAR YARD - .SIDEYARDI LEF? �� I RIaHT DESCRIPTION OF WORK ' SIZ'EDIN6 33x53.5�ROOM9 % STORIH9. 2 . EXTERIOR WAL ROOR � �NyLt _ COVERING tUCCO COVERING� U56 OF BUILDING AND WORK TO BE PfiRFORM6D 'd nce with attached garage � Model 42 � HEREBY ACKNOWLEDOB THAT 1 X�VB pEAO TXIB APPLICATION ANO BTATE TXAT iHfi ABOV6 19 CORPfiCT AND AaRfi6 TO COM. PLY WITH ALL CITY ORDINANC6E AND 9TAT8 LPWB N[OULATINO BUILO�NO CON6TRUCTION. _Q (� PERMITTEF � " P,�,•"�� U ��• °/"P' AUTHORIZED A6ENT — � �.�(/% L� FE RECEIVED dU N 3 1963 FINpNCE OEPT. CITY Of COSTA �I � APPLICATION FOR P BUILDING For Office Use Only q6C61PT NO. PEHMIT NO. � fiC IVEOB DATHRE<EIV OAT 18� O � � -�3 JUi7 3 1963 B DIN6 �'�j '�7 , A RE58 F E ZONB TYPE GROU APPROVED BY DATE ZONING ` zo rvo. oa I uee or ne rune euaoi l LHOAL _ . �.. _ _ . .� � � � '. NO�� fE: NOEAVEOVHRHAN66HALLBELESSTHAN ' TO SIDH Q REAR P. L. 'ES ,OWED <U. B. C. REqU1REMENT'. YARDSAPPROVEO YARDSAPPROVED MAIN BUILDIN6 ACGESSORY BUILDING VAR. ii THE AMOUNT 9Ht PIIRPOSE OP 86 VALUATION sI r� �F�� ' DATE 1 �3��' � m UNOER VALIIATION 19 FOH THE F I6H�N0 A PERMIT FEE ONLY. p /�7 m PERMIT FEE S tla5 � � 0 m PLAN GHECK $ �� LL