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Home My WebLink About2508 Bowdoin Pl - Building PermitsY �M (714) 754-5273�• Fan (714) 754-4056 • www.ci.costa-mesa.PLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2508 � BOWDOIN PL Suite No Vicinity: Parcel Nunmber: 14141219. App�icam: KEN TRUETT Address: 5938 LAUREL CANYON BL Owner: Address � : Cootraclor. � i .,� � Address_ N HOLLYWOOD, CA ' � , ARROSAGARAY, MARTIN . _ 2506BOWDOINPL� --"� ' ��==- � � ` � �,-; `- , , � COSTA MESA,-0A� � � ULTIMATE PLUMBING INC � u� �„ 5938 IAUREL CANYON BL � �� Phone: Zip: License: Phone: 818-505-8032 Zip: 91607 Phone: Zip: 92626-6338 N HOLLYWOOD, CA 818-505-8032 91607 734569 � " SCOPE OF PERMIT � 1 COPPER REPIPE AND 1 MAIN WATER SERVICE FOR SFD. FEE SUMMARY - � i . AMT �'.; . - , ' � . _ ,_ _ __ AMT . QTY ISSUE FEE � $23.50 � �' Laundry Tub / Washer - -$0.00 0� � Backflow iirigation. � $0.00 0 Landscape Irrigalion $0.00 0 BackflowPreventer' - $0.00 0 P-Trep $0.00 .0 Bathtub $0.00 0 Pressure Regulalor ,50.00 ; 0� ClarifiefSystem � $0.00 0 � _ P.roce'ss.Piping(pertO�N) ��$0.00.�- 0�= Connectpce,Soda,etc) $0.00 0 '-.- ' Receptors � �' $0.00 � 0 DentalUnits �' � $0.00 0 SepticTank � � '$0.00 0 Dishwasher ' ', $0.00 0 Sewer Cap for Demo .- $0.00 � 0 Drain;,Floor $0.00 0 Sewer Connect �$0.00 0 Drain, Rainwater �.$0.00 0 Sewer Private Line � $0.00 - 0 Drain,�Roof , , � �. �$0.00 0 Shower $0.00 0 Drinking Fountain - ��'� $0.00 0 Sink, bar_ �`. = '� � � $0.00 0 Expansion Tank ,$0.00 0 Sink, commercial $0.00 0 Gas EaAhquake Valve $0.00 0 Sink, Floor � ��$0.00' . 0 Gas (1-4 outlels) $0.00 0 . -� �Sink, kitchen � � $0.00�' 0 Gas (Over 4 outlets) $0.00 ' � �� 0� � � -' � Sink, service/mop ' $0.00 0 Gas Repipe � , ; $0.00 � �. � 0 , "- Spa (private) $0.00 , 0 Gas Service , �,�� „ j$Q00 '0�"�' �_Spa�(public) ` ' $0.00 0 Interceptors(Grease;0iq ",$0.00,� �� 0 �� _ . , Interceptors(Sand�Auto')-, $0.00, -0 ' , '� � '��. �� . � � , .. \. `� . ISSUED-BY: \ Status: ISSUED Applied: 0127/2006 � Issued: 0127/2006 - � SumpPump � Swimming Pool � Trap Primer ' � Urinal _ Vacuum Brkr Bkflow(9-4) ', Vacuum Brkr Bkflow(5+) Wash Basin ! " . , Wash Basin Seti' � Waste and Vent�System Water Closet (Toilet) - Water Heater / vent � � Waler Piping (Inst or Rep.) Water Re-pipe . WaterService � Water SoBener OTHER . VIOLATION -, - , PLAN CHECK � � . � REINSPECTION ' TOTAL CALCULATED FEES: y AMT $0.00 $0.00 $0.00 $0'.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.80 $9.80 $0.00 $0.00 $0.00 $0.00 $0.00 ba3.10 QTY 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 L9 NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord, No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6 (N00) WORKERS'COMPENSAnON DECLAHAnON: �� I Rareby af(irm uadar penalry ot perjury one oi Ihe tollowing tleGarations: - ❑ I have antl will maimain a cenificate of wnsent to selt-Insure for workers' compensation, as provitletl tor by section 3700 of the La6or Code, for ihe pertortnance of Ihe work for which �his Dermi� is issued. �I.hava'entl wAl,maio' t�ain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for ihe pedormance oF Ihe work for which Ihis permit is issued. My�work�x�/s com ensation Insurance carner and policy number are: 'CA e r,'\` I � PolicyNumba "�� IZ%�i 7ybis sectio�ee3not be completed i/ the permif is valuetl at one huntlre0 tlollars ($100) or /ess.) �-' ❑ I cenify that in the pertortnance of ihe work for which this permit is issued, I shall not employ any person in eny manner so as to become subject to the workers' compensation laws of Califomie, end a I(I shoultl become subject to ihe workers' compensation pwvisions of Saction 3700 ot ihe Labor Cotla, I shall torthwilh comply with thesa provisions. / ppplicanP9'ignstur� Daie: `� 2 7' jp �.. • WAfiNUI(i:�FAIWRETOSECUREWO COMPENSATIONCOVERAGEISUNLAWFULANDSHALLSUBJECTANEMPLOYEii'TO'C�:IMINALPENALiIESANDCIVILFlNESUPTOIXJEHUNORED TNOUSAND DOLLARE �E100,00p), I ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]O60F THE LABOq CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CON7RA0'' I hereby aHirm Ihat I am CONSTRUCTON LENDING � I hereby aNirm that �her Lentler's Name: Signeiure: OWNER-BUILDER DECLARATIONS: of �r 9(commencing with Section 7000) of Division 3 of the Coda, and my license is in full lending aqency for the pertormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Atltlress: Date: I hereby affirm that under penalry ot perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Profession: Code: Any ciry or counry whic� requires a permit to construc6 alter, improve, demolish, or repeir any stmcWra, prior m its issuance, also requires the applicant for such pertnil to lile a signea statemen[ that he or she is IicenseC pursuant m Ihe provisions of the Contractors Licanse Law (Chaptar 9(commencing with Section 7000) ot Division 3 ot the BUsiness end Professions Code) or that he or she is exempt thereirom end t�e basis Por the elleged ezemption. Any vioiation oi Section 7031.5 by any applicant for a permii subjads Ihe applicam m a civil panalry of not more than five hundred tlollars ($500).): ❑ I, as owner of lhe property, or my employees with wages as ihair sole compensation, WILL DO THE WORK, and ihe siructure Is not intentled or o%eretl for sale (Sec. 7044, Business end Protessions Code: The Contractors License Law dces no� apD�Y �o an owner of property who builds or improves thereon, and who tloes such work himself or hersell or t�rough his or her own employees, provided that such improvements are not intentled or oflered for sale. It, however, Ihe builtling or improvement is soltl vrit�in ane year W completion, the owner-builder will have the burden of proving that he or she ditl not boild or imprwa 5or porpose ot sale.). ' ❑ I, as owner of Ihe properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Professions Cotle: The comrectors License Lew does not apply to an owner of pmpeny who builds or impmves �hereon, antl who contracis lor such projem with e coniractor(s) license pur5uant to the Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Cotle for this reason: Signalure: Daie: OWner ID verifietl by dnvers license. ❑ Ves ❑ No Drivefs License No. Veritication of Ownership by (type of document, i.e. - properry tax bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICAl10N: Expires: ❑ I hereby certily that no excavation five (5) or more feet in depih into which e person is required to descenQ wiil be made in connection with work authorizetl by Ihis permit, and ihat no building swcture, scattolding, falsework, or demolition or dismantling ihereof, will be more ihan thirry-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Califomia Adminisirative Code). ❑ As owner-buildar, I will not employ anyone to do work which would require a permit irom Ihe Division of Industnal Safety, as notetl ebove, unless such person has e permit to tlo such work from the tlivision. SignaNre: Date: Division of Intlusinal Safety Permit Numbar: CERnFlCATE OF COMPLJANCE AND AUTHORIZATON OF ENTRV: I cetlify under penalty of perjury �hat I have read this application and state ihat �he information given is correct. I agree to comply with ell state laws and city ortlinances relating to building consiruction, and authonze representatives of Ihe Ciry of Casta Mesa to enter upon ihe abo�e-descnbed pmperty for inspection purpases. I agree not to ocapy or ellow occupancy ot any building authorizetl by this permit until tinal inspaction. P➢ fnnE L MSPECTIONTYVE 1616 Fixad System Final Fire� 1266 200 201 Pool Spe Final � Final Ra-Root Final Block/Retaining Wall 2p2 Final Fac�ory Fire Place 203 Final Sign ppq Final Demolition L1p,j� � INTIiI LS CODE 1 INSPECTIONTYVE 206 final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Fina� BuildincyOccupancy Date PAg 1t�915 : . _ 1- Requested Inspect Date: Monday, January 30 2006 Site Address: 2508 BOWDOIN PL G�M A/P/D Information Activiry: PO6-00057 Type: PLUM Sub Type: Status: ISSUED ConstType: V-N Occupancy: Use: Insp Area: Owner: ARROSAGARAY MARTIN Contractor: ULTIMqTE PLUMBING INC Phone: 818-505-8032 Applicant KEN TRUETT Phone:' 518-505-8032 Description: 1 COPPER REPIPE AND 1 MAIN WATER SERVICE FOR SFD. Requested Inspection(s) Item: 62 ROUGH PLUMBING Requestor: Assigned To: '"""'*""'" Action: Time Exp: Inspection Historv Requested Time: 08:00 AM Phone: Entered By: KELLY_N K �_�� . _`�r � �f n� 1��r�J- ✓� � / V REPT131 Run Id: 2409 �. � -, Aoo�icant to fili in ail soaces except those within heavy bartler Ilnes antl sign all approoriate�tleclarations. - , , , - - � , - -,- - - - - — � CITY OF COSTA MESA gCO TRU TION �PERMiT PER N0;'� �� T ACT- LOT'�NO. � UNIT NU_ , � - , . . � � - ` � '- . � ' -. � � J� !� .fr . . � � i �r; i ; . Project Address n� O�/1 � �� . � i . 427� - 5Y01 / 6 ,,.r- ' ; r, Appliwnt'S Mailin ddress . �� . ' TYPE OF CONSTRUCTION NEW • ADD ALTERATION. , REPAIR - ,� ' Owne�'s Name Z "Phone ' O CONVERSION � � DEMO�ISH. ❑ OTHER - A,p. # �_ � �: �- . _ Zone _ � . � , DESCRIPT F O / E OPB�LL� G. � - - . � Address ' � . �� - (�{J S Main Building: - � Accessor'y.Building:. � . . � ArchlEng.' " ��- LicenseNoi ' TVPEOFPERMIT GRADING� FOUNDATION STRVCTURAI , - T Fiont� - � � � � ' � - - - � � �. p , AddreSS ' ' � T ' " ' . '� O TENANT ❑ ELECTRICAL"❑ PLUMBING ❑ MECHANICAL� ' � �B R¢ar � - � ' • � � N ' � v �l��Jji Z' � ❑ .OTHER ' ' � ' � A _ � I • Contrector s Nam �- - o - . . ' . - - • . �� ' Addreu Ima i"��✓r�-��2 '7 :�i i j' ��j C/ -� PROJECT DESCRIPTION 5�. FT. ' OCCUPANCVO K Right �, ' G 3g�9�Z �� j CONSTRUCTION'TYPE VALUATION$ 7� g Left - R CityLiienSeNo. ZONE� - GRADINGCU.YDS. � ACRES ' ' , � ' LICENSED CONTRACTOR DECLARATION - � Ping. R¢f. $` ' P2rking Req./Provid¢d' ; ' E� � I hereby a(firm that I am licensetl untler provi5ions of Charter 9(commencin9 � Remarks: �4 � ' Pl2nninj NOt25: i � • M witn section ]000) of Division 3 01 the Business antl Professionz Cotle, antl ` my license is in 1 1 force ana eHect. 2 � ' - . ' � � � I � , ' . . T . License Clas � License NN 8� Z1 � ' , S Date 'r- Signature� ' - PLUM6ING ' • FEES � � � � - ' ' NORKERS' COMGENSATIO �� ATION, ' ' . Bd� SiOk � � Showers ' ' � � ' � hereby affirm tnat I have ertificate of consent to self-insure or a certificate ' � ' � � ELECTRICAL ' � FEES 1 � of Workers' Compensati �Insurance, or a certitietl�cop tnereot §� tlon -' ^�' �' - i - - � ' - - , - � - e BackflowPreventer � ServiceSink � i 3800, Lab. C1. ' . ,�r� %� i '/_ ' Aumma[ic Washer ; ' Transformer ❑ 75-50 KW - PolicyNo.(��+/YV�4�ab Company��s ✓'� T` . Backflowlrrigation SewerCap� � ConstructionPoleSub.' � �50.+KW ��ef� ietl copy is nereby �urnishetl. � `f . - : ' � - ' -IQ Certifie coqy� is filetl with the city Bu wn. ' Bathtubs � '. Sewer Connection � � Cooking Unit � � ' Meter ❑up to 100�amps � � �Date � �—ifG APPlicant 1 ' _ . . . . .. _ ... . _' ' _ ' ' _ . _ _ - ' EXEMPTION FROM WORKERS' MP N ATION DE LARATION - CIa�iFi¢f5_ . SOId� CAIICct0�5- Dishwa5h¢� �M¢[E� �Ov2� 700drt1pS' `� � (This section need not be comple tl if the�permiPis tor one�huntl�etl ($100 0� �less). , �., � Dishwasher � ' Solar Piping � �- ' - Dr ers ❑Gas' ❑Electric ' � . : V Su6'Panel � ,�; - 1 certiTy Ihat in th¢ performa Ce.of the.work tor which tnis pe�m�t is issuetl, I� . - ' ' � shall not emDloy any person in any manner so, as to become subject to�the � Drinking Fountains 1 Solar Tank ' ' ' � Fan �• � { ' Motors DO-1 HP � 1,'h-= 8 Workers' Compensation Laws oi Califomia. � , , , ' � , Date � Si9nature �% � Floor Drains � Swimmin9 Pool w/Spa • F,A�,U. � I �NOTICE: If, affer making this tleClaration, you shoultl become sublect to the - ' _ _,. _ _` _ _ ' ' ' Ina Solar 09,15 HP 016-75+ Workers' Compensa[ion�provisions of [he �Labor CotlE; you mu5t (orMwlth' FIOO�SihkS U�inal ' w � ' � comply i with such..provisions or. this permlt shall .be tleemetl tewketl. � - �� Fixtures � � Microwave , CONSTRUCTION LENDING-AGENCY ' � � � ♦ � � ' 'Gd5S2NiC¢ ��OUtl2t5 � WBL¢fC105¢t ` '- � � � ' I herety,affirm Ihat [here i5 a wo5truction lentling agency fo� the pe�to�mance - D2vice BOxeS � Pol¢ Liyht � i � of the work for whicM1 this permi[. is� issuetl" (Section'3097. Civ. �C.) , '" ° ' • - �Inteiceptors, � - Water Heater , . � - putlets Lentler's Name - - • ' Range ' � � Lentler's Atltlress - '- " • ' ' Kitchen Sink ' - � Water $ervice � ' ' � � � OWNER BUILDER DECLARATION - - � ' Switches� . Sign I hereby a}firm that 1 am exempt trom the Contrattor'S License Law fo� the • L3vdtO�ieS� � ��AutO-W25h' - t_ � Garba ¢ Di5 0531 • ' following reason (Se<tion 7031�.5 Business antl Professional Cotle: Any city or ' 9 P ; Standing Sections ' counry which requires'a permit to construct, alter; improve, tlemolish or repair P-Trap �' _ '' - l.aundry Trays - � Generator �0-5 KW �5-15 KW 'any st�ucture, priOr to its issuance, also require5 the dpplicant for-such pe�mit Trash COmp3ct0! � . • -to fi�e a signetl statement thaChe/she is Iicensetl pursuant to the piovisions oi Roof.Drains � � � � e.the Cont�acto�'s LiCense Law (Chapte(9 (commencing with 5¢ction ]000) of � i`:;^Division 3 of the Business antl Professions Cotle) or that he/she is exempt � ., - . . . � �'the�efrom antl the basis for the allegetl exemption. Any violation of Section _.. ' ; I _ . � .. � ' , � 7031�.5 �by� any applioant tor a permit subjects' tM1e_appliwnt� to'a civil � � penaltybf.not more than tive huntlretl tlollars ($500)., - • - . - � i . 3 � , , , ❑ I, a5 owne� ot [he property�or myemployee5 wiih wage5 as [heir sole ReinspeMion:.F¢e '§75 15ue Fee � �' $. _ - � compensation, will tlo the wo�k, aotl the�structure isinot intentletl or otferetl . Reinspection Fee $15 , Issue Fee �$ 3 tor sale (Section�7044, Business antl Professional eotle: The Contractor's' . ' MECHANICAL �� ' FEES License.Law tloes not apply to an owner of a property who builtls or improves , • - , thereon, antl wno does such work himself/nersell or mrou9h his or'her own � �•: . � DEVELOPMENTSERVICE � EMENTS: employee5, provitle0 that sucM1 improvements are noi intentletl o� offeretl for BOile� . � � � HOOd o� Type I ❑ , ' � � sale. It, however. the builtling orimprovement is soltl wimin one year of com- . . Canopy' Type 11 ❑, � Zoning Approved By Date - pletian, the owner will bave the burtlen of provinq:he/slte tlitl not builtl or irn- '. DUCt - Und¢� G�O�nd ; � . . �' prove for the,purpose of sale). . ,� ' ' � Building Approved By Date � ❑ I,�as owner of the property, zm exclusiveiy mntrzcting witn licensetl con- � Duct -Structural ' � Refrigeration System � Application luued By Dat s� ' tractovs t6 construct the prolect ($ection 7044, BuSiness antl Professions Cotle: -' ; .The ContractoCs License law tloes noLapply to an. owner_ot.property who . � DucC-�Ventilating- �-, --� �; ��0=100,OOO�BTU- �100,000 BTU i- . ' SUMMARV OF FEES ' builtls o� imp�oves Ihereon, antl �who'contracts for suth projecfs wrth a Con- : • - - ' lractor(sl license pursuant�to the Contractor's License Law). I am aware that ' ' ,- BUILDING PERMIT M�p �$ Exhaust System ❑ Multiple �� System Repair/Alteration proof of their Worker2 Compensation insurance shoultl be pwvitletl ro� me. . _ .' PLAN CHECK ;��ERMIT ' � ❑ I am exemot untler Section ; ' B. 6 P. C. for this reason FirepVFacL�Blt. ICBO�# � Pire Dampers . � • i � � ` ISSU CE � � • . ' . ' . . ' . . PLUMBING � $ ' , I $ oate owner: � ' � � Heating System & Ducting , Registers . � ' � p�qN CHECK 25%�, $ ��,P�� , $ � f"hereby certi(y TFat-I h5ve i atl this ipplication antl state that �tne above ; ❑0�100,000 BTU 0100,0006T ' � ' RADING i S in(ormation is correct. agre wmply with au city antl,county ortlinances ' ELECTRICAL �§ antl state laws relati to ng construction, antl hereby authorize repre- ' � p�qN CHECK 50% MICROFILM '$ � sentatives of� this i[ � er� upon the above-mentionetl p�ope�ty for ' � � � . , � $ � in5pection purp 5 ' ' ' ' . ' � ' Signature ' ' Date � , � . . MECHANICAL , . r /--�� $ TOTAL FEE $ ' I DriverY L' rise or'S5 � � � � � � Rainspection Fee $15 Issue Pee , $ 3 i PLAN CHECK �25% $ � � \ - - . .. '_ ' " __ ' � CMF 0865- 6, rev. 10/84 Wnite - Builtling; Canary - Applicanp Pink - Accounting; Goltlenrotl - Assessor �1 � CONSTRUCTION AND PLANNING � PO�� & SPA APPROVALS Permit# Date �� InspectoF qppROVALS �Permit# Date �Inspector 1. Temporary ElectriC81 Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. � .. 53. Steel Reinforcement � - , 3. Electrical Conduit Utility-Undrgrnd. � � 54. Forms • ,� 4; Electrical Conduit-Undrgrnd. - l' 55. Electrical Bonding _ 5: Steel Reinforcement � , 56. Rough Plumbing & Pressure Test _ . ' 6. Electrical UFER Grnd.' � 57.- APPROVAL.TO COVER-GUNITE ' 7. �Footings �•.vD(� _ �• �d 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 Floor 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-Conduit - 66.� Solar System-Final �� ,- - • 16. Rough Electric Wiring 67. Fencing & Access Approval - � �17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - • � 18. Rough Elect�ical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19�. Rough Heating & A�r Conditioning � � FIRE DEPT. REQUIREMENT . i 20. Rough Factory Fireplace • , APPROVALS Permit # , 21. Ducts, in Structure .. • � ' 70. Underground HYdro' . 22. Ducts, Ventilating � 71. Product Piping O Gas ❑ Oil , 23. Gas Pipe-Rough & Test .� ' 72, Underground Flush �� 24. RoofFraming . -73. Undergrnd.StorageTankaGas ❑011 ' 25. Roof Sheathing � � .74. Overhead Hydro � � 26.�T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical �. 27. FrameandFlashing 76. DryStandpipe � � • � � 28. Lathing & Siding � 77. FIXED SYSTEM FINAL � 29.' Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster erown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED 33. Final Electric • Notes: \�,�% k � �4- �•� ��'�(f�fj- (,/� - 34. Final Heating & Air�Conditioning , � �, 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 pomestic-Final � � 42. Backflow Preventer � � 43. Backflow Irrigation � � 44. •Landscape Irrigation System , � � . ' "' . -�- 45. Sound Attenuation � � ' ' "� 46. Handicap Regulations � . � � j � , 47. FINALSTRUCTURE&.BUILDING �j �, � ' � 48. Special Requirements Completed � ' . , � - , 49. ElectricReleasetoEdison - - � �� --� ,' � 50. Gas Release to Southern Califomia Gas Co . �� - 5L CERTiFICATEOFOCCUPANCY _. . _ ', No. Date � � , f}�[}- ( i- � � � g�� V�'APR`2�;i959� COSTA MESA BUILDING DEPARTMENT ('iIV^nNCE DEPT, P. O. BOX 31'/ c COSTA MESA, CALIFORNIA L'ETY Qt CeCT� �,'�Cpe �+t FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT a��o�N� ' BUILDING AODRE55 2 OS Botadoin Place. COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO OWNER Crown Homes� Znc. Ji, MAIL 5 cen S.H. RECENED BY OATE RECEIVEO qTE ISSUE ADDRE55 ' —� — `Z�'�_ cirv Neti7pOi't BeIICh� Cgl. TNo: � 6-3227 nooae�s"s ARCHITECT $�e LIC. � oa ENGINEER No. COSTA MESA. CALIFORNIA ADDRE55 . S$IDB. . FIRE ZONE R• LT. Koll Cons • CO• ZONE NO.OF TYPE GPOl1P QTY LIC. ' PLnNS CONTRACTOR 'NQ � D TEL. APPROVED � A�DRE55 `S�' e' _ NO. '4�8 BV DATE LEGAL L�T ^ 2gg2 CORRECTIONS oescaivnorv NO. 3<. BLOCK TRACT }'�- �� :i0 � �, A.P. NO. �-� .''i f+.:; Ii SIZE NO.OF BLDGS. O Y.� �:,�y. �S " u 't.�, �✓ oF �or 63 x 127 i2Te . now oru �or use or 'f � t.� r.' i',. z� 'y.; t, tj EXISTING BLDG. � I,.:., ": ,'K :c u ..�... . SETBACK LINE FROM L^ c[HieR oF siwEE'r W REAR VARD 13 SIDE�YARO RIGHT ZO LEFT ^ S - '�� / / �,. ' DESCRIPTION OF WORK �'JFl;�. h;0. 0� r,P�f'ROVED �"' NEW g ALTERATION ADDITION � REPAIR MOVING DEMOLISH � s �E °�"G1574-469 ROOMS 6 STORIES 1 EXTERIOR WALL ROOF GOVFRIN(: R�'.11CCfl COVERING Tr��d shinele . - The Amount shown under valuation is for the I HEREBY /�CKNOWLE�GE THAT I MAVE PEA� TMIS APPLICATION AND purpose of establishing a permit ee on y. STATE TH4T THE R00VE IS COHRECT 4ND RGREE TO COMPLY W!TH 4LL CITY ORDINANC ND STATE LP�NS FEGULFTING BUIL�ING CONSTRUC� iiOrv. VALUATION SIGNATURE F PERMiT FEE $ PERM ITTEE C �ry. �O , ZJp7�7�� PLAN CHECK $� � $ C AUTHORIZ AGENT TOTAL FEE $ SZ�J� �eMr ,�;.