HomeMy WebLinkAbout2542 BOWDOIN PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2524 BOWDOIN PL
Suite No
Vicinity:
Parcel Nunmber: 14141223
Applicant KEVIN SZABO
Address: 17390 MT CLIFFWOOD
FOUNTAIN VALLEY �
Owner: �. �BATTISTA, MICHAEL D
Address � �2524 BOWDOIM�PL
� � COSTA MESA, CA
PLUMBING PERMIT
� Phone: p14) 241-1414 ; � •
-. Zip: 92708 ,
Phone: 979-0113
Zip: -92626
Contractor: COAST RQOTER PLUMBING HTG & A/C
Address: 17390 MT CLIFFWOOD � �
FOUNTAIN VALLEY
Phone: (714)241-1414
Zip: 92708
License: 529127
Status: ISSUED
Applled: 09/24/2004
, Issued: 09/24/2004
ISSUED BY:
;
�. Arah/Eng: �. , ....;. �. - . , �- - ,� -� . . , . � i
Address � ' � - - ' - - ' •" -. _ . . . . . . .. ' .
� , Phone: � . .
� � . . ,� . . . . Zip: . . . . , , . . , .
, . � -� - --_ -- -License � - ' - - . - - - - , , - - . � �
� � � SCOPE OF�PERMIT � ' "
' ' ���WATER HEATER CHANGE OUT • � � r' �
. . � `` ,. . ' . . . �� � ,, � t
i�� � �
� � �•'� .FEE:SUMMARY � �
� ,
��-' � AMT QTY y`':F.. -�� .. �'`AAAT QTY '- %� � � AMT QTY
ISSUE FEE�� . �$23:50;'� Laundry7ub7 Washer ;`$0.00 : r_0 Sump Pump ._ �$0:00 0
BackFlowirrigation � $0.00 0 �. - '�Landscapelrrigation->, _ 50.00 '0;: ;.'-�.' ,.SwimmingPool� ' � $0.00 0
BackFlow Preventer ,$0:00. �� 0� " P-Trap -- � $0.00 0 ' Trap Primer $0.00 0
Bathtub � � ;', $0.00, . '0 . Pressure Regulator �, ' $0.00 � 0 - : Urinal �� �. _ . , -' $0.00 0
CladFler System �, �, ' $0.00 "� 0 � �. Process Piping (per 10 ft)' $0.00 -0 - ' ' �Vacuum Brkr Bkflow(1-4) $0.00 0
Connect pce,Sotla;etc) ��, �$0;00 � : �0 �, `Receptors " � $0.00-: - 0; '= :� �� �Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units ��� � $0.00 � 0 Septic Tank _ ' � - 50.00�'" 0� � Wash Basin %. � $0.00 0
Dishwasher , � �$0:00 � � � ��0 . � Sewer Cap for Demo � $0.00 0 , ` Wash Basin Set � $0.00 0
Drain, Floor �$0:00 �. 0. Sewer Connect $0.00 , 0 Wasle and Vent System $0.00 0
Drain, Rainwater $0.00� : ' 0, � � � SewecPrivate Line ' � $0.00 - 0 , WatecCloset (Toilet) $0.00 0
Drain, Roof $0.00 `��; 0 , _ � �Shower - $o.00� - ,0. � - Water Heater / vent $12.30 1
Drinking Pountain 50.00 �0�... . ' � Sink, bar' � � � �� $0.00 0 ' � � � Water Piping Qnst or Rep.) $0.00 0
Expansion Tank $0.00 0 � � Sink, commercial $0.00 , �0 � - .. � � Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 � Sink, Floor �- �� �$0.00 - 0 Water Service $0.00 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis undar California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectiona and finel epproVal must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 75M5826
cww-+o law�
WORKERS'COMPENSAnON DECLARA�ON: �� �
I hereby eflirtn under penalry oi perjury one of Ihe following declaretions: � �
❑ I have and will meintain e cenificate ot consent to self�lnsure for workers' compensetion, es provided for by section 3700 0l the Labor Code, for ihe peAormance oi the
work for which ihis pertnit is issued.
� I heve en0 will maintain workers' compansation insurence, as required by section 3700 of the Lebo� Cotle, forthe peRormance of Ihe work br which Ihis pertnit is issued.
wor ers' compensation Insurance carner antl policy num6er ere: �1/ �y
Cartier: ����.y1�.1(1 Poli umbr. t /CO�C/5�����
(T�section need not be complefed il the permit is valued et one hundred Oollers ($100) or Iess.J , , ..
�I cenity ihat in the pertortnance of the work For which ihis pertnit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' '
compensetlon laws of Celif ni entl agre b�t ii I oultl become subject to the workers' compensatlon provisions of Section 3700 of Ihe Labor Cotle, I shall forthwith
c e rovision . � � C/ � /
-�-'''� !'
A antSigna re: P Atiti. � � �/�'�/ �D te:
W NIN FAILURE TO SECURE WORK S' MPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPCOVER TO CFiIMINAL PENALTIES NND CIVIL FINES UP TOIXJE H�NDRED
THWSAND OOLLARE (5100,000), IN ADDITION TO THE COST OF CAMPENSATIQV, DAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE LABOR CODE, IMEREST, MID ATiORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereb � I am licensetl under provisic
forc aod�ett9D1. Lic. A �Z �% � Z/
CONSTRUCTION LENDING AGENCV:
of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotle, and my license is in full
85 G
,��� �e�a: �3- 2�/ --v
❑ I hereby attirtn that Ihere is a construction lentling agency for the pertormance oi ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lentler's Adtlress:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aNirm that under penalty of Derjury ihat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons
Code: Any ciry or county which requires a permit to consiruct, altar, improve, tlemolish, or repair eny siructure, prior to its issuance, also requires Ihe applicant for such permit
ro file a signed statement that he or she is Ilcensed pursuant to ihe provisions of Ihe Contrectors Licanse Law (Chapter 9(commencing with Section 7000) ot Divisian 3 ot the
Business end Protesslons Code) or that he or she is exempt therefrom end the basis for the alleqed eaemption. Any violetion of Section 7031.5 by any applicant for e pertnit
subjects the epplicent to a civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner of Ihe property, or my employeas with wages es �heir sole compensation, WILL DO THE WORK, and ihe siruclure Is not in�entle0 or ofleretl tor sale (Sec.
7044, Business and Professions Code: The Contractors Licensa Ww does not apply to an owner of property who builds or improves ihereon, and who does such work
himselt or hersetl or �hrough his or her own employees, providetl ihet such improvements are not intended or oHered for sele. N, however, the building or improvement is
sold within one year of completion, ihe ownerbuilder will have the burden of proving that he or she did not build or improve for purpose of sele.). .
❑ I, as ownar of ihe property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 70a4, Business and Professions
Cotle: The contractors Llcense Law does not epply to an owner of property who builds or improvas thereon, antl who contracts for such project wlth e contrecbr(s)
license pursuent to ihe Coniractors License Lews.).
❑ I am exempt untler sec. Business antl Professions Code tor this reason:
Signature: Date:
Owner ID verified by tlnver's license. ❑ Ve5 ❑ No Drivefs LiCense No.
Venfication of Ownership by (rype ot document, i.e. - property ta: hill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTIFICATION:
Expires:
❑ I hereby certify �hat no excavation five (5) or more feet in dep�h into which a person is required to descend, will be mede In connec�ion with work euthonzed by ihis
pertnit, and tha� no building simdure, scattolding, talsework, or demolltion or tlismantling thereot, will ba more ihan thiny-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, TiNe 8, Califomia Atlministrative Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit irom the Division ot Industnal Safery, as noletl above, unless such person has a
permit to do such work irom the division.
Signature: Date:
Division oi Industrial Safery Permit Number:
CERTFlCATE OF COMPLIANCE AND AIJT}10RVA710N OF EMRY: I cenify under penalry of perjury thai I have read this application and stata that ihe information given is
wrrect I agree to comply with all state laws and city ordinances releting to buildinq constmction, and authonze representatives of the City of Costa Mese to enter upon the
ebove-descnbed property for inspection purposes. I agree not to occupy o� allow occupancy of eny building authorized by this petmil until tinal inspection.
P➢
eooe.. iNsveenoxrrve
1676 Fixed System Final Fire Prevention
1266 Pool Spe Finel
200 Finel Re-Roof
201 FIneI8lock/Retaining Wall
202 Final Factory Fire Place
203 Finel Sign
204 Final Demolition
Date
�� ?�/ o �/
oata
COUE� INSPECTIONTYPE
206 Final Mechanical "
20B , Final Plumbing
270 Final Elecirical
212 Final Fire Preventian
220 Final Planning Appmval
222 Final Site
250 Final Building/Occupancy
293 IN�i
�oowcssoram�axc: z529 BOWLOIN F'L
OWNEH9IUYEIFIWOWN: HATTISTA, MICHAEL D
wm�ss: HATTZSTA TERESA
2524 H04Jfi0IN PL
COSTA MESA,CA 92b2b
v�. �uuxc won�
�pCXRECT OR FNtl11FEN:
AIiCN.Ofl ENG'S1IUOME55:
uc qo.:
unr:
UNT:
�+�T�%� TGM BYER ROOFING (714)847-9332
caxrn�croxswuia�o 17662 METZLER LN
�o� HUNTINGTON BEACH CA uc.xo.: 575002
92097 uHr: H
LICENSED GOMXACTONS OECLAXATION: I hareby Nrm uMx pendy d peijury Ihel I em licerued under poviebm d Cheqs B
(rommenonp xilh Section )0 0) d Divisun 3 d Ne Buvinv vM Pmleavions COEe, eM my lioenee ie in hll farce enE eXetl.
cmuc.No.:� q� z c.cuss: C39 �Q 5002 EXP• 09/98
o�, /a ���� � � �...r (�<,�
fl BUILU DECIA ATION: I haeby elfiim uMer penely of perlury ihet I em eRemq /rom Ihe Cont�edore Licane law lor the
lolbwiq reswn (Seeian )Qi1.5 &ni�ese eM Prolevbne COEa: Rny cny o munry whidi mpui�m e perm! lo careWCY, eller, improw.
a,mden, a,eca: �y ���Qure, prior b ils eeuance, elso rpuiree IM epplirent lor wch pe�mil lo fib a egrd naemeni Mel ha m aM
b licensed puewenl ta iM pwiwom d IM Conlredore Licenx lew �Chapx 9(ownmmi�q wil� Saeun )ODD) of D'vwion 3 d IM
BU91fIB0 Blld �lC�MBp119 ri0�0� Of Ih81 �1B IX B�IB 19 BFBTG� ��B�Ipll 9f1� ��18 bB9M �IX dl! 8��lQD� BRBIIIq10lI. l�' VIO�11111 t� $MI011
�oa� s M�r wd�cem Im e oarmn subpaa ine mdceM m e tivi� oeeaM d m� mae �hen rxe hurMree douan R`�ll.
� I. av ow�wr d IM ryopMY a my empbyms w1h wepes ea ihei wb mmpanxlion. xill do IM xwk. arM IM etuNrt e rwl intenEed
aaflmed I« eab (Sac�ion )010. Busiriess eM Prolessiona Code: The Contretlon Lioenae lew doae rid epp�y�o en amard qoparry
who bulda a inprovee Iheraon. eM who daea such wwk himaeM w ha�aeY a Waph hi a Mr own empbyeee. qovided ihet euch
impv.emame ere mt intaMetl a Werad Iw aela. M, howmm, tM buiNiiq a inqo.anmt ie edtl wilhin aro yeer d mmpbtion. lhe
owmr-0�ilder will heva ihe buNan M povinp he or sM EiE M WiM ar impan la the W�e d eela).
� I, aa oxmr d iM pope�ly. em ezduei�My mntred'mB � lioanaed conUecbn b wneUutl ihe qajed (SeGion 1011. Buai�e eM
PMeesnne Code: TM Conlradon Licansa Law doea iwt eVWY �a en ovmer W V�WeMY who Wilds a imP�'m �I�neon eM who
wnvma ta wtl� P�N�a wnh e wMreGor�a) IcenseE p�nuenl to iM CorurerJas License lewl.
� I em eaempt uMer Secibn: B. 8 P.C., ler thie reemn:
Deie: Oxner. .
I Eo Mmby cenity the� I em ewva d vd undereleM Me requiremems d Cel/«nu Haellh end Salety Coda Sediom 25505, 25533, eM
2553i, enE Mel I a eiry Mure buikiip oca�pent xill / wdl not (arcb ma) neeE Io campy wYh eeid qate mAu ard tM re�uiiemann br
epermutamru�rvnionamodifiutanhanlMAk ue3Ttyl.re�pemant0ik�.Ravdentialmnpfueunappicqiape�ememptimmlheee
woWiw+=.
Date: Appl'raN:
W OflKEF'S COMPENSRTION DECLM�TION: I hereby etF�m uMer peneliy d parjury ww d tM Idlavnrq dedertliom:
� IlweuMxilmmntenacenificmadcanxntloaell-inwnlaxvAen'compenwtion,opvridedfaWSepion3l00diMLebar
coa., �« ms wno��,oa a ma ..w� ia wm<n mu o�u �, ��d.
J� � neve end xie meim.� xoekn.� ownv�� ��s�,�,.. �c���e M s«tian Woo d u�e Leco. coa., eo. �ne ro�am�� a �n.
� wwk /a xh'rh Mia yamtl o eaueE. My wakme' wmpaneaiion ineurenca umer enE po4cy number are:
c�m: STATE FUND EXPIRE$-
Pd¢yNumb«: ➢AS-4r� T7UTT ➢SS Q1 /Q j J�j$
(ihis seaian neeE � bs comdmed / tM P�3 is ror one AurMred ddWa Ifr001 w lew.l
� 1 cenAy thel in IM pa imeMe d the work fa xfikh thia pertnn ia iaued. I ehall mi smpby erry peiew� in em� menrwr eo m to
becone abj �o � xwkxa' mnpaneation lewe N CeIH ',_m ee ihet il I ehouk Exare wEjatl to tM xoNae'
anpevatbn s d 3100 W iM Lebw COJe ell tathxnh p!� wbh thme qorieiona.
o�a: � 2 aoa�. m
s g: FeOun ro�z�ro Meri rompmutlan mvsiap� l� unNwNl, uM aIWI �WWNct en xnploysr ro crlMiul prulllr uW
flias up ro ons h1ndrW flwuuM EWHn (5100,OOOA M eeNfbn b Ms coal ol tompsnsetloM1 demepu u provMW br In
SxHon �)OS o/ tlro Lebar COJs. Infsnst, �ntl �tbmsY i/ep.
CONSTRUCTION LENDINO ROENCY: I Mreby elfirm urdx panelry W perjury �Mt iMre u a mnelruqion la��p egenry iar tM
parimmence M iha xroA lor whiM Ihe pertni a eauad (�� ��. CN. CI.
LENDEH'S NAME:
LENOEP'S AOONE53:
I caniN Ihal I heve read ihb apd�� � mde �hel ihe ebova inlormetion is corted. l epree lo comply w4h ell dy ard oouMy atlmancee
end eime lexs rele�in0 ro build'vp wnmrutlbn eM hereby einhor¢e repreaenietiva d thb tllYto enler upan IM ebow-menlunad papeny
la inspedion o��wses.
HRYAN WOLSKY �_---
� �a �` Z .�
li'� oma:
siaw�reaOxinnppen mraa
(5151�48.WP) While-BuiWnp85a/ety:OreemFle:Cenery-App6rant:%nk-Revenue:GOldenioFAvemmr .
CSTY OF COSTA MESA — BUILDING PERMIT
PERM NO: H �084992
PERMIT NO: H 084992 PLAN CHECF( NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; OTH
JOB DESCRIPTION : APF'LY 1 LAYER COMP. OVER 1 LAYER COMP SQ FT: 2,488
CLAIM VALUE: 2,988,00 CALC—VALUE; 2,488.00 GROUP OCC; R-3 /U-1
COMMENTS: REROOF OVER EXISTING 1 LAYER COMP. W/1 LAYER COMF�.
*****at*at****�t�t**�t*at**�t**at****at3t*�t*at**�-*�t****�x-*x-rt*;�****atat*�**at**3c**�c****�c-*;�*�**�
Z O N I N G R E Q U I R E M E N T S
S E T B A C SC S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN kEAk: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PkOV: PARCEL: 19141223 ZNE: REF NO:
PLANNING NOTES>
� ;�
l
if if iE if if if �k if �1't ik �1F iF iF �E iF iF iE iF iE iE iF if ik iE iE iE ii if iE 9E iF iE iE iF iE iF �k �e iE iE if iF iF if if dE iF �1E if if� iF i't iF iF i(� ie iE iF if ie if iF if iF iE iF if iF iE'.iF.if iE iF ie iF ie �e iF iE
D E V E L t� P M E N T S E R V I C E S R E u U I R E M E N��' S
t
ZONING r�PPROVED HY LATE: i.
HUILDING APPROVED BY : DATE; ''s
APPLICATION ISSUED BY: � DATE: J
iE�ifkiflkiElEififiEifiFik'kifiE'1FiE'1F'1E'1EiF3Fi€iFiF+�fiFiFiFiF3FiFiFifiF�F3F3F3F� �F �F`4FiFiF7FiF3Fi€�FiF7F'1FiE1FiEif�3fif'IEiFiE �� 3F
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL S GMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 74.75 ` .50
SMIP/NON-RES
PLAN �
ISSUE FEE '
BUILDING-DIV-> PERMIT ISSUE PLAN-CHEIK' TOTAL ^' PAID DUE
TOTALS----> 75,25 0.00 0,00 75.25 �i 75.25 .00
REVENUE DZVISION TOTALS--> COLLECTED: 75.25 t�VER/SHORT: .Ut�
HLDG PMT FLUMHING ELECTRIC MECHANZC FIRE SMIP/Tt�T GRALING PLAN-CHECR
74.75 �50
l.7
��**��**�***�*�*��*;���*�****��******�*****�;��:�;�**��*�«**�****�*�;�********�**��**
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
sFk 2988 �REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
2,488,00
16-82-1997/18:39 ftll/f75.25
RCDTit81�813173
PERMIT:984992
Cl�STRUCTION AND PCANNING ; ' P�"' ``4` SPA �
� qPPROVALS Permit # - Date Inspector APPROVALS Permit ak • � Date Inspector
- i. iemporary,Elecirical Service or•Pole � .- 52. Pooi & Equi,pment Location �
� 2. Spil Pipe•Undrgmd. " . � �53. Steel Reinforcement " ' _ � �
•'3r; Electricai Conduit:.Utility ;Undcgmd.-� . . 54. Forms ' - ' • � � �
�"4, Electrical Conduit�Undrgmd. , � -55. Electtical Bonding � � � . ' '
� -5., Steel Reinforcement ;, - _ � � 56, flough Plumbing & Pressure Test - �
,`6."Electrical UFER Gmd. � 57. APPROVAL TO COVER•GUNITE� �` -
-: 7,� Footings ' - � . ' �58. Electrical Conduif-Undrgrnd. ." - '
-� 8.� Foundation : � _ �:59. Gas Pipe, u Undrgmd., Test ,
,
�.�j9:' Water Pipe-Undrgmd'. .=' � 60! Backwash Lines-rP�Trap, � Undrgrnd.
10. Structural Floor Svstem � � 6.1. APPROVAL TO DECK � � .
11, Properry Sewer Line & House;Connection 62. Backwash & RQceptorFinal' � -
72. Sewer Cap .. . � � � �63. Heate'r & Vent-Final ' � � '
73. Roof Dreins , ' . � 64: Plumbinc� System = Finaf - .
14. Rough Piumbing- . r � � 65. Electrical�Final � � I� �
75. RO�gh Electricai�Conduit� � � � " � . 66. Solar SyStem�Final , � " � •
16. Rough Electric,Wiring _. . ' , � 67. Pencing & Access�AppFoval , � ' � � �
77. Rough�Wiring Sign . ; ��� � - � 68. APPROVED FOR PLASTERING " . '
16. Ruugh Electrical'-T Bar Ceiling� � - `69. POOLlSPA SYSTEMS�FMAL ` ' �
` ` 19: Rougfi H2ating & Air Conditionin� � � � �' � - � � � � ' � �
9 r T �, ,., FIRE�QEPT. REQUIREMENT
r
20. .Rough Factory Fireplace i r;� t ��- _. � APPROVAI:S �.� Pe mit #' '� �
21 . �Oucts; in,Structure' � � •• •� - �� - - .;� A 70. _Underg}o'uncl Hydro ,
22. Ducts, Ventitadin9`, ; �, :_t .j j�'. r�.- 71. Product�Pip{n9 Cl'fias � 011
23. Gas Pipe-Rough & Test o-. e�� ;�. 7z. Undergrou�d F�usR'� � �
24. RoofFraming' ;1?K �' ` "- ��' _ ;,i� : 73; Undergrrid.StorageTank:QGas ❑Oii
25. RPof-Sheathing �� t .�� � y' �� . 74!'�Overhead Hydro' _ i. �
26. T Bar Ceiling (Stru�turai) & Manocwt � ,. y - -' � 75;; Dry Chemicai �..•i � - �,�
27. Frart�e and P�ashirig �j, j r.x ��;. � .- _� � � .
76. Dry Standp�pe'� 'r _ '
* `�
-' 28. LBtfiir.g &;Siding ,. r `" � j: �; y �� ' ; "� "_,". 77'. FIXEO�SY.STE�M-FINAL;.a , . �
29. Insulation •: i+ _ -� � ! � �` 78; FIRE PREV. FIPJAL r� ^"
' 30. Drywall iVailing "" ' r� I i k�: �.` ��i.EALT,H DEPT. REQUIR.EMENT
� 31. Piaster Brown'Coat ;_ .�- r i ( �` n 7g, FINAL IWSPECT�iON r� _
' 32. ElectricaFPowEr Mer',er-Finai � �•'' � � �� ' SQ� FOOD CERI'IFICATE ISSlJED ,� ______�
- � �. � . --: . ' ��1
33. Finaf-Electricr � r � _ � � � • Nbtes: 7 ; * r� -! C ^' -� I
- - �
' 34. Final� Heating & Air Conditioning�= � ' "t •- ` '' � � -
� , y �. �
35. Final Gas,Pipe:Test �. • . i ; 'k �' ,� . " .� � ,--.�
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38. Final-Plumbing ' �. �` = i , '� - �
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39. Water Service�Finai ; - � ` + _ j ;k ; �. A t '
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42. Backflow Preventer-- ' E� I i �+' �'- �
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43. Backflow Irrigation ; ; " -' ; ,r . . - . . - .
44. Landscape IrriGation�System � �T� �'. � = t Y `'= •
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45. �SDund Attenuationf - -�, ;; ' , � �� , y . . . '' � ' ,
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46. Handicap Regul3tions � : k ' z' •_ �'� _ • a i'I
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47�, FINAL STRUCTURE & BUI'CDING C �-�`ct �,Gt/� _ ' . - ` � �
48i FINAL PLANNING � � � ---- i '° � ' ��'''~
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49'. Elec[ric Release to Edison � � �, �y- ; 'y . � w ��
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50. Gas Reiease to�5outhem Califomia�Gas Co �� ' �� �• � ' _ � -�" �
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51l CER.T.IFICATE OF OCCUPANCY ' � - � ' ' - ...._- �""
- :,�ul
No. Date
�� __ .
_ . ����
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING ___. _ , . ....
COSTA MESA. CALIFORNIA
MAIL 1555 Placentia
ADDRE55
c�rv Nei ort Beadh Cal. �o: MI
ARCHITECT $'dj'je LIC. ,
OR ENGINEER � NO.
ADORESS ' ' $$70Q
CONIY1ACtOR��l COn�• CO• CITV NOC. 1
LEGAL lOT 36 I n[S()�1
OESCRIPTION NO. BIOCK TRACT /00/
A.P. NO.
SIZE 6O X�OG NO. OF BLOGS. O
OF LOT NOW orv LOT
USE OF
EXISTING BLDG.
SEtBFCK LIrvE FROM z/l
c[rvi[A of' s1aEe1 SO REAR YARD �
SIOE YAftD RIGHT � IEFT f
DESCRIPT.ION OF WORK
NEW p A�TERATION ADDITION
REPAIR MOVING DEMOLISH
S�ZELDING 1/_�1�/�O ROOMS V STORIE51
V1 4�.
EXTERIOR WAL ROOF
COVERING �uCCO COVERING fiot-mopped
USE OF NEW
BUILDING residence and att. garage
�-�� ��.ctiv��
��,- �APR 21 ig��
FiN�NCE DEPT.
ClTY OF GCS' � ?;1=cA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
/+^J`7"I �"^/fLtl �I �--�.>.-
,,—
BUILfJING
ADDRE55
COSTA MESA. CALIFORNIA
APPftOVED
BY
�
CORRECTIONS
The Amount shown under valuation is for the
I NENEBY RCKNOWLEOGE THiT I HAVE REAO THIS APPLICFTION TND purpose of eslablishing a permit fee only.
STwTE THAT THE ABOVE IS COFRECT ANO AGflEE TO COMPLV WITH ALL
CITV ORpINANC NO STTTE L<WS REGULLTING BVILOING CONSTRUC-
T���- VALUATION
SIGNATURE � PERMIT FEE S �OO
PERMITTEE U ���"- r�
. , 15,967��� pLAN CHECK $ �I��O
s
AUTHORIZEo AGENT � TOTAL FEE $ S2.S� �°'"`