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Home My WebLink About1116 CARSON ST - Building PermitsADDRESSOFBUILONO: 1116 CARSON ST UNIT: DwNEIYBNAMEIPKNDNN;BELD, SCOTT L FLOOD: X 47 ADORESA 1116 CARSON ST COSTA MESA,CA 92626 AppL. "IDIG ADDRESS: ARCNREM OR ENGINEER: UC NO: ARtll OR END'S WORM: UNIT: CONMACTORS NAME cDNnActronuMLBIO AOORESA UC NO: UNIT: 110ENS ED CONTRACTORS DECORATION: I hereby, aNsm under pemEy of perjury CIM 1 am roamed under W.Vis d of Chapter B (commanrip Mh S ,On 7") of Dimon 3 Of the Buttner and Prdrtiom COAs, Out my Umar u n IW force end aged. CT' UC. NO.: UC. CLASS: UC. NO.: EXP: Dme: Ca m,. OWNER BUILDER DECLARATION: I hereby aRpn tinder pemiy, of perjuy Udl I am enmpl hen IM Carmadm liwnae law for iM lollo D learn (Saeicm 70315 Doormat end Prdaseiana Code: Amy cby Or wady atluh me firm s Imam's to con M ,1, am, improve. damd'dh, or repay any NrucMper r m Ot souttouoaaMa 0a. armsa 1, 6mm to edn pamilto Me a syrbd Meternem tlud M a end M Roared woomm to iM prowubb d IM Camrrdom Limine law (Chapter S (wmendrq wuh S w 70W) d DMuun 3 d iM 7W1.5 b and Rderure r a m a subjects je b Mb u Inam t a cm! a and tM bru let uO t o hu rmptun Arty videtion d Swun 7031.5 by airy applimnt la t miner ehledt IM eppcam to a ari peWly d M mat then fins hundred do0en jSSWp. ❑ I. as owmr of IM promayor my enployeas wih wapaa n thea do aoOpentation. wM do IM wbk, and the stuawa, k; ma itandnd b dimndl« eels ISadim 70u, Busimred Prdreioro Cods: TM Cmrwm limine Cawdor m1 apdY ro n owmr d mmM wM WENT a k mp i ue r and wha don er.1 mask loran t MraaE «Uuagh M is Mr awnwin one ea, Of cmrO l t each iaRMkxnada eauoimM burIXdleradA sand., ala bold upb kn fortMmbe0M wiMn ala year Of wnpbgn,IM owmrLudder wW Mw IM Wdr d prw'vnp M «she d'd b buJd « vnprwa 1« tM papue of seer). ❑ 1. r owwr of tM pm,", am ndu rvdy Om wip abh limr sad conbaclom to wuWxf Ana project (Sedan 70N, Busimr and pmteedaw Code: TM Cammdm Iioema Law doea nal appy to ao owner of ptopany who N or uprwr tt s aan and wYo canlmda lIX such "Som with a mmrwb(e) Icamed pmuem to IM C mom license Law). P.Iwo / / V(t, /9?' B.a�Pmo «mmran:OWNF.B BUILDER I do h'qpkffowufy Mel I am ewes of end o damto d tM MUSpboama of CaNmM health erm SMsry Coda SOWO" 2%05. 25533. and arnd that I a say Mum WilOw oopoanl will f wR w (cimla ma) mad to c«nply with rid state codes end IM mquimmems for 0 paint l«conetrunion«modufiow nhmlM Ai3i ylewpenwm DieUid. Mtidw it amvructua appiceli ns. p(l. Dme Deb: Applimm: WORKER'S COMPENSATION DECLARAMN: I M O y MPom under penalty d pwpay as of dna t.O.Wil ded antra: ❑ have and mall mumain a e d mruenl to satltiwm err wcrkari mrnpamMion, n provided to bI Section 3700 d IM labor Dotla, to, tM pMamance of d ft tle work for wlvch tlo paint u Msnrd. ❑ I hew andmail mawan wakers' wnpemt nerlrame, r required by Sblial 3700 d tM Labe Coda. err IM pMormen0e d th. wak ter Midi Ave pem t is usuad. My w«tam' opowanaMipm Yaranea mote end poficY number am: Carrier: poky Numb: (This OOr. m.d rwt Oe w.Pww i M. pepi u for are humped da4m 131W) «br.l ❑ I mniry ihM in IM pelmnema d tM wand Ib whuh IhM pemlt u {Swed I aheE w employ airy Perin M and manner a n to bepam edjed to tM mpriam' aomDerwMipn loom d Ced..Im. and alpr dW K 1 anode bewm alubjed IP the wit n' wnmm u m prove xu, d Section WW of IM labat Code. 10013 IoMwuh wnpfy wind IlOse pmvisipd. Dm.: Appcara: WemMD: F.M. m osaun smman'rorttperrrtlan cov.rpe I. rauttlWAA end.ItN.r 1/ an aoltpf M to Pllrmr of )OalWtlr and clvtl Nm. W to int hretdmd tMu..nd dallam (S104DDDA to adAlbn W Ma pat Of mmperrrtbM1 damapea r govM.d for In Sa dpo 3706 at M laE« Cod*, Intwt.nd aftam Wit t.s CONSTRUC110N LENDING AGENCY: I hereby Mum under pamlty, of Panay tMI Mara u a PPrdD elm lend to panty err the pmbrmenm of tM wak for whidn IM perms u tired (Swum 3 . civ. C). LENDER'S NAME LENDER'S ADDRESS: I mmlytMt l haw mei Mw.pptkbtioO Ma than dna above idapdian M cormd.I apmetocampy wAh a dryand mupyodinanms and aWe Mae reL9lap b MlJdnp a narbol n erd hereby eWv¢a rapaMntaVwe d BYs {dyer edb IIpIXI tM ab'N?mbtlialad MOP" for impedmn purpones. . SCOTT HELD (5151-16.Wp) Whh"uildna A Salary; G.Fil.; CeoOt Appimnt; Rok-Revenus; Gddemod-Aaseror 745 CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: IB 087212 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: OTH STR JOB DESCRIPTION : REINSPECTION FOR EXPIRED G-38058 CLAIM VALUE: CALC—VALUE: PERM NO: IB 087212 GOVT: N SUPP: Y PURPOSE: OTH SQ FT: GROUP OCC: R-3 /U-1 COMMENTS: 6 PC#128-98S, ATTACHED COPY OF PREVIOUSLY INSPECTED CARD M M K KMMM K K KK K KKKM K M M K M M K K M M M MM M MM M MM M MMM MK K K K MM M M MM M M M K KK KitK K K K MM MKK K M M K M KM M MM MBF Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- 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: 14169216 ZNE: REF NO: ;f PLANNING NOTES> MMMMMMKMKMMMMMMKMMMMMMKKKKKKKKKKKKKKKKKKKMMMMMMMMMKMKKKKKKKKMMKMMMMKBFBF,MMMKMMMMM 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 ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: MMMMKKKDATE: KKKKMMMKMMMMMMMMMMMMMM MMMMM 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 42.00 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 42.00 0.00 0.00 42.00 42.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 42.00 OVER/SHORT:00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 42.00 MMKMKKKKKKKKMKKKKKKKKMMMKMKMMMMMMMMMMMMMMKMKKKKKKMMMMMMKKKKKKKKMKMMMMMMMMMMMMMM 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 INS 1 BUILDING RE—INSPECTION FEE 42.00 42.00 END OF FEES 03-06-1998/01:24 PN/$42.00 RCPTH:01-0020543 PERMIT:087212 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector t,.Temporary Electrical Service or Pole 52. Pool & Equipment Location Soil Pipe-Undrgrnd. 53. Steel Reinforcement n2. Electrical Conduit Utility-Undrgrnd. 54. Forms 4_ Electrical Conduit-Undrgrnd. _r 55. Electrical Bonding ."5.5tee1 Reinforcement J 56. Rough Plumbing & Pressure Test _ 6: Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE Footings 58, Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10, Structural Floor System _J 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final 12..Sewer Cap 63. Heater & Vent -Final V3. Roof Drains 64. Plumbing System - Final f4. Rough Plumbing x 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final -S6. Rough Electric Wiring 67. Fencing & Access Approval .17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &,Air Conditioning, t-.- .,. z <f RtRE-DEPT."-REQUIREMENT �--• - 'r, `Y CU'ii-1 iT7 , i• S APPW-VALS -.� PeWnit 20. Rough Factor Fireblace 21. Ducts, irr7ptructure .^ 70, -Underground l•Is.dro ^ 22.. ucts, Ventit8�in9 ;,�, ' '.`, 71, ProduF�Piping.G Gas 00il _ 23. Gas Pipe -}dough &.;Test -, _i: .; !: " `-1r _ 72. Undergr6uod P.tush 24.'Roof Framing > t:. ` �, 7N Undergrnfl.Stoii� ianit11Gas 000 - 25. Roof Sheathing ., ' c , Cu Ir m -� e L 74' _Overhead Hydrtt; r 26. T -Bar Ceiling (Structural) & 4o4i5coat` - 7$; pry Chert'iial to 27. Frame and Flashit j; 76. Dry Stapcjpipe .r, 28. Lathingf Siding 77: FIXEDSYSTEM_FINAL ' , 29. Insulation _'x . _- i 78 FIRE PREY. FIQL z 30. Drywall Nailing •tx .1 t r-• i* ' HEALTH DEPT.,F EpU1REMENT 1 31. Plaster BrowQ'coir 79. FINAL Fr,SPECTTON 32. Electrical Power Meaer-Filial r. i I+ 801 FOOD CERTIFICATE ItSStIED^ 33. Final'•Electrig. _ � .rr7 " ,K Notes; 34. FinaT'HeBTinq. Air Conditioning- •*7- a 35. ',Final Gas'Pipd'Test 7 Y7 36. -Hood or -Canopy _ - 37. Finat'Factory Fire lace 38. Fina.l.Plumbing 39. Water Ser4ice-Final' 7- -• �- - - . r. 40. Gas Service -Final r 41, Solar Domestic -Find 1 42. backflow Preventer ^ _. ;: ,.., ' r ,; n•- c • .>. 43. backflow Irri do ' 44. Landscape Irrigation System 45.. and Attenuati n So P.,. 46. HandicaP'Regulatiods :. .47. FINAL STRUCTURE & BUILDING ; •; Gid '. l i -• ._ 48,.EINA�LPLANNING -49. Electric Release to Edison 50. Gas,Release to Soutbern California Gas Q) 'D - 51. CERTIFICATE OF OCCUPANCY No. Date vPri�i�U' -VTt go+'o{tc S` g%f i�(?1o�i Cct rcl. �- 'Toy li 1.'C T, mq✓.� _ - • CITy OF COSTA MESA`1 C�16)y 4,UILDING SAFETY DIVISION 11 POST IN CONSPICUOUS PLACE ON THE JOB NOTICE You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 754-5627. APPROVED PLANS SHALL BE ON JOB AT ALL TIMES. 32. Electrical Powei Meter -Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 8. Final Plumbing P. NO. DATE ISSUED 39. Water Service -Final r TYPE GROUP PERMIT NO. - 40. Ga, Service -Final 41. Su!a, Comestic-Final BUILDING ADDRESS 42. Backflow °reventer TRACT LOT BLOCK 43. Backflow Irrigation NEW ADD I ALTER REPAIR MOVING DEMOl.19H 44.. Landscape Irrigation System 45. Sound Attenuation t UWNt:R 46. Handicap Regulations 7. FINAL STRUCTURE & BUILDING USE , '- - 48 Special Requirements Completed POOL & SPA APPROVALS Permit# SETBACKS' Front -,, Side Yd. L R Rear Side Yd. L R Rear • 49• Pool & Equipment Location 50. Steel Reinforcement CONST UCTION AND PLANNING APPROS Permit# '✓ l Date Inspector 51. Forms °62. Electrical Bonding 1. Tempore -y Electrical Service or Pole 53. Rough Plumbing & Pressure Test 2. Soil Pipe-!Jndrgrnd. Y •' p� 54. APPROVAL TO COVER-GUNITE 3. Electrical Conduit Utility-Undrgrnd. 55. Electrical Conduit2Undrgrnd. 4. -Electrical Conduit-Undrgrnd.--- 5C.--Cas-Pipe, ❑ Uudrgrnd:, Teri- - 5. Steel Reinforcement 57. Backwash Lines, P -Trap, ❑ Undrgrnd. - -' 6. Electrical UFEIF, irnd. 58. APPROVAL TO DECK 7. Footings 59. Backwash & Receptor -Final 8. Foundation_ 60. Heater & VQRt•Final 9. Water Pipe-Undrgrn, 4ajiumbing System - Final 10. Structural Floor Syst, -i 62. Electrical -Final 11. Property Sewer Line & ;use Connection 63. Solar System -Final 12. Sewer Cap 64. Fencing & Access Approval 13. Roof Drains 65. APPROVED FOR PLASTERING i 14: Rough Plumbing ?i7.j 1✓ ;,;.> 66. POOL/SPA SYSTEMS FINAL 15. Rough Electrical -Conduit FIRE DEPT. REQUIREMENT APPROVALS Permit # '16-r Rough Electric Wiring Z 17. Rough Wiring Sign 67. Underground Hydro 18. Rough Electrical -T Bar Ceiling 68. Product Piping ❑ Gas ❑ Oil 19. Rough Heating & Air Conditioning 69. Underground Flush Rough Factory Fireplace +� /; i .70. Undergrnd. Storage Tank 0 Gas ❑ Oil 21. Ducts, in Structure 71. Overhead Hydro 22. Ducts, Ventilating 72. Dry Chemical 23. Gam= Pipe -Rough & Test yfg 414-4t' 73.'Dry Standpipe 24. Roof Framing 74, FIXED SYSTEM FINAL 5. Roof Sheatn:ng 7fp� 75. FIRE PREV. FINAL 26. T -Bar Ceiling (Structural) & Monocoat 2' Frame and Flashing 2d. Lathing & Siding 29. Insulation 30. Drywall Nailing 31 Plaster Brown Coat 1- 559-46, rev. 12/82. #3)7 T/" -""T •'1 vH 4-. d. ,te e. t-ie0 (see reverse for additional notes) Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT T CT NO. UNIT NO. Ciw'tKiF COSTA MESA CONSTRUCTION PERMIT ['y' A.P. # ):— zone Project Addrelu I` (Li__—CAP.S Cos 7A MESit _ O�� O� 1 ++ S Main Building: Accessory Building: A6plicant's Mailing Address TYPE OF CONSTRUCTION NEW ADD G.A�L�TERATION REPAIR E Owner's -Name SCOTT lS U s LI- Phone / . I ❑ CONVERSION ❑DEMOLISH ❑ OTHER r� S F B Front / I I L7 CA00 N CoAh A? Q DESCRIPTION OF WORK/ E OF BLDG. A Rear Address R�/-7RnrJ,r f %409 �-�94 ' i�a' «so Arch/Eng. License No. TV OF PERMIT RADING LJ FOUNDATION STRV CTURAL K Right Address❑ TENANT ElELECTRICAL ❑ PLUMBING E:1MECHANICAL S - Left f� Contractor's Nam Phone ❑ OTHER Ping. Ref. # Parking Req./Provided Address (mailing) PROJECT DESCRIPTION SQ.. FTA OCCUPANCY - Address OCCUPANCCY r �,r y Planning Notes: t 1.0 CON ST RUCTION TYPE-, VALUATION$ i-4� City License No. ZONE GRADING CU. YDS. ACRES )^ c 4^` r Lt ENSED CONTRACTOR DECLARATION I here t 1 am licensed under provisions of Chart Remarks: � � � % ¢ � �,. r - .n /li: �. 2 / 2� ir9 with se tion 7000) moa -1993 Slid Professions Code, d my license is in full f e ect. LicenLicense No. Date Signature WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) .L Policy No. ' - Company Certified copyy'is hereby furnished. - Certified colay'is filed with the city Building Division. _ Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection need not be completed if the permit Is for one hundred ($100) or less). I 1 certify that in,.the performance of the work for which this permit is issued, I" shall not employ, any person in any Manner so as to become subject to the Wor kers',Cyr�gep tion Laws of Calif 011pl Date Y/y/� D Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am:exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil nenalty of not more than five hundred dollars ($500). 1, as owner of the property or my employees with wages as their sole compensation, witl do the work, and the structure is not intended or offered for sale (Section 7044; Business and Professional Code: The Contractor's License Law does not apply to an Owner of a property who builds or improves 7r thereon, and who does Such work himself/herself or through his or her own employees, provided that such improvements are not intentletl or offered for sale. If, however, thebuilding or improvement is Sold within one year of cdM- pletion, the owner will have the burden of proving he/she did not build or Im- prove for the purpose of sale). ;FI, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who or builds or improves thereon. and who contracts for such oroieCtS with a con. tractor(s) license pursuant to the Contractor's License Law). I am aware that J71f of their Worker's Compenwtibn in urance should be provided to me. am exempt under Section B. & P. C. for this reason Date NV 1_ Owner I hereby certify that I have read this application and State that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this c' y to e n theentionetl for inspection purposes Signature 4 at Drivers' License or SS � i -il s ELECTRICAL FEES PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW i_1 50 + KW Construction Pole Sub. DEVELOPMENT SERV( ES EMENTS: - N i• Zoning Approved By Date 7 �j Building Approved By '- Date Application Issued By ' Dat Reinspection Fee Bar Sink Showers $ 3 MECHANICAL FEES Cooking Unit Meter ❑up to 100amps Backflow Preventer Service Sink SUMMARY OF FEES BUILDING PERMIT $ 21GJ • C� SMIP $ • 4 z PLAN CHECK $ PERMIT PLUMBING $ G•OO- ISSUANCE :$r- PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ 2 -Z• %S—GRADING $ PLAN CHECK 50% $ MICROFILM $ �7 l MECHANICAL $ 2U • OQ 24 , 1 TOTAL FEE $ PLAN CHECK 25% $ Duct - Under Ground Dishwasher Meter Dover 100 amps Backflow Irrigation Sewer Cap Duct -Ventilating Exhaust System ❑ Multiple ❑ Dryers ❑Gas ❑Electric Sub Panel Bathtubs - Sewer Connection j - Firepl/Fact. Bit. (CBO dk 27•j/p Fire Dampers Fan Motors 110-1 HP Ell %-8 Clarifiers Solar Collectors Registers F.A.U. Inc. Solar 09-15 HP ❑i6-15+ Dishwasher Solar Piping Drinking Fountains Solar Tank r Fixtures Microwave 3 Floor Drains Swimming Pool w/Spa Device Boxes Pole Light Floor Sinks Urinal Outlets Range _ Gas Service Outlets Water Closet Switches Sign - Garbage Disposal Standing Sections Interceptors Water Heater Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor Lavatories Auto -Wash O N I N G R E O M T S. Roof Drains Reinspection Fee1 $15 Issue Fee, DEVELOPMENT SERV( ES EMENTS: - N i• Zoning Approved By Date 7 �j Building Approved By '- Date Application Issued By ' Dat Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES Boiler Hood or Type 1 ❑ Canopy Type 11 ❑ SUMMARY OF FEES BUILDING PERMIT $ 21GJ • C� SMIP $ • 4 z PLAN CHECK $ PERMIT PLUMBING $ G•OO- ISSUANCE :$r- PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ 2 -Z• %S—GRADING $ PLAN CHECK 50% $ MICROFILM $ �7 l MECHANICAL $ 2U • OQ 24 , 1 TOTAL FEE $ PLAN CHECK 25% $ Duct - Under Ground Duct -Structural Refrigeration System ❑0-100,000BTU 0100,000BTU Duct -Ventilating Exhaust System ❑ Multiple ❑ System Repair/Alteration' j - Firepl/Fact. Bit. (CBO dk 27•j/p Fire Dampers Heating System & Ducting El 0-100,000 BTU ❑100,000 BT Registers Reinspection Fee $15 Isspe Fee $ b I `C� (l� 01 `00429$64-121902986E �f C :'? ! DAZE: 04/04A? TME: ` 0865-46, rev. 5/8% White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor E 'CQ AISTRUCTION AND PLANNING ty:i APPROVALS Permit # Date Inspector POOL & SPA APPROVALS Permit # Date Inspector p • • 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - 2. kdil Pipe-Undrgrnd. yl� Cj' 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.-,ElectricalUFERGrnd. 1 57. APPROVAL TO COVER-GUNITE " 7. iFootibgs 58. Electrical Conduit-Undrgrnd. 1. j 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test - 9. Water Pipe-Undrgrnd. ', 60. Backwash Lines, P -Trap, O Undrgrnd. 10.;Structural Floor System 61. APPROVAL TO DECK 11.9roperty,Sewer Line & House Connection 62. Backwash & Receptor -Final 12 _Sewer Cap 1 j 63. Heater & Vent -Final 13. Root Drains 64. Plumbing System - Final 14f Rough Plumbing % /elKQ Gob 65. Electrical -Final � 15. Rough Electrical -Conduit 66. Solar System -Final J6. Rough Electric Wiring 67. Fencing & Access Approval 1'7. 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 APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure - i 70. Underground Hydro 22. Ducts; Ventilating 71. Product Piping ❑ Gas ❑ Oil ' 23. Gas Pipe -Rough & Test j 72.. Underground Flush 24: Roof Framing -� �� 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25.,Roof Sh6athing. I{ / 5,7 j0 74. Overhead Hydro 26. T-Bar'Ge7ing (Structural) & Monocoat 75. Dry Chemical J27. Frameland Flashing 7.6. Dry Standpipe 28. Lathing& Sidingj •^ 77. FIXED SYSTEM FINAL 29. Insulation `' 78. FIRE PREV. FINAL 30. Or II Nailing - HEALTH DEPT. REQUIREMENT 31. Plasier'Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final•• „ 80: FOOD CERTIFICATE ISSUED 33. Fina0bectric -r' Q -Notes: /LOQOc4pl.y7 34. Final Heating & Air Conditioning 7-/Z-d�{' 45 tN 4/Qec- OK. L60 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace -38: Final Plumbing '39. Water Service -Final - 40. Gas Service -Final „. .47: Solar Domestic -Final 42. Backflow Preventers 1 43. Backflow Irrigation 44. Landscape Irrigation,SyStem 45. Sound Attenuation - .� InrnmnInto +. , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING i.)ata - - -Sig ---- --- 48. Special Requirements Completed X49. Electric Release to Edison 50. Gas Release to Southern California Gas Co i 51. CERTIFICATE OF OCCUPANCY No, Date .. 1 21355 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA. CALIFORNIA OWNER 2- ?J 5 MAIL iSG�'�pl C.\ I� I f)/ ei C AIIIlBFA4 r 1 ) CITY Y STATE — L LIC. NO. SIZE OF LOT USE OF EXISTING BLDG. NO. OF DESCRIPTION OF WORK 'BUILDINGl a j I ROOMS SIZE I T� EXTERIOR WALL I ROOF FEE RECEIVED JAN 1 7 1964 rr TTFIIN((A��FFNC((;;E DEP1..�m APP�fCATlbt•I��TR PERMIT BUILDING For Office Use Only ZONING ZON NO. OF UBH OF Ni-jq1 PLANS / HUILDIn1 VAR.# ACCESS.e DATE -/ V E NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 30' TO SIDE B REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT; -�J 3 60. FT. G v N I HEREBY ACKNOWLEDGE THAT 1 AND STATE THAT BOVe 1 HAVE READ THIS APPLICATION RECT ANO AGREE TO COM. YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING DER VALUATION I8 FOR THE A PERMIT FEE ONLY. O (FROM C/LST�TREET) FRONT _L///FT. FT. VALUATION R. SIDE 5� FT. FT. SIGNATURE F Ri L. SIDE FT. FT. i REAR ' I. FT. FT. DISTANCE BET. BET. MAIN B VAR.# ACCESS.e DATE -/ V E -�J 3 60. FT. G v N I HEREBY ACKNOWLEDGE THAT 1 AND STATE THAT BOVe 1 HAVE READ THIS APPLICATION RECT ANO AGREE TO COM. THE PURPOSE AMOUNT SHOWN OF ESTABLISHING DER VALUATION I8 FOR THE A PERMIT FEE ONLY. O PLY WITH ALL TY ORO BUILDING CO TRUCTIO N STATE LAWS flBOULATING VALUATION / ��J� e N SIGNATURE F Ri s �`J� PERMIT FEE rl% PLAN CHECK S 0 L AUTHORIZED AGENT