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HomeMy WebLinkAbout3066 CEYLON RD - Building PermitsAop�icant to flll In a11 spaces except tnose witnin heavy boreer Itnes ana sign all approprlate aeciarations. CI7Y OF COS7A MESA CONSTRUCTION PERMIT ProjectAddress �b�ai�o �CJ10�1 Applicani's Mailing Addreu �y��� �•�� = 5� Owner's Name �� rv- A� � e `�C %�_�P_ r Phone751 -ZZ-S S Address s� "�"�'�� Arth/Eng. ���-� LicenuNo. Address Convactor'sName�r-�•41.. .r+l�-ti2_ Lr.�s' Phone��� �;�� Addresslmailingl �4� �'�� �'`� 5�e. G�'��nl�'IESP Ciry License No. 2�+ Z%!i— LICENSED CONTRACTOR DECLARATION i hereby aifirm tha[ I am licensetl untler provisions ol Charter 9(mmmencing dh sectlon 7000) of Division 3 0l the Business�tl Grotessions Cotle, antl .y iicense is in u tor1e ana elfect, o yZZ 47 L Licens Class wi1V Date -� Si9nature WOfiKERS'COMPENSATION DECLARATION I hereby afti�m that I have a tertiticale of consenl to SBILinSur¢ or a<¢�UfiCat¢ o/ Workers' Compensation In�y �rant¢, Or d Certliietl copy thereof (Section 3800, �ab. CJ �i.ti� ] t Policy No. b�%_� i�.S i� company 5� ' nCl ❑ Certilietl copy �s nereby furnishetl. ) 6 Certi �etl capy is t�letl with the city B� tl"rf /.� Dale � �7 ' � � APOlicant ' v EXEMPTION FROM W00.KER5' COMGENSATION DECLARATION (Tnis section neetl not be como�otetl it lhe permit is for one huntlretl ($300) or less). I Certify that in IM1e per/ormanCe ot Ihe wo�k for whith thi5 p¢rT�t i5 issuetl 1 shall not employ any perzOn in any manner So a5 to bnCOm2 suDject to t�e Workers' Compensalion Laws o! California. Date Signaturc NOTICE: If, alte� makin9 this tlCclatation, you ShOultl beCOTe zubject to the Workers' Compensation provisions ot the Labor Cotle, you must forthwlth comO�Y '�`���h such provlslon5 or th15 p¢rml[ Sball be tleemetl �evokCtl. CONSTRUCTION IENDING AGENCV I hereDy al(irm Ihat thero is a consVuction lentlin9 a9ency for the pertormante of tne work 1or wp�cn'[�his permit is IiSueU (Sectlon 309] Civ. C.) Lentler's Name /� Lentler'S Atltlress VNER BUILDER DECLARATION !reby aflirm Ihat I am oxempt trom the ContractorY Licensa I..aw for the iowing reason (Soction 7031.5 Bvsiness antl Protessional Cotlo: Any tl[y or county wbich requirns a permlt to construtt, alte�, improve, Oemoliih Or �epair any structure, prbr to Its issuance, atio reqWres the appliwnt far wcn permit lo tile a si9nCtl stalement thdl Ile/Sh¢ IS Ilcen58tl DurSUant to the prOvlsiont of � the Contractor's LiconSe Law (ChaD�er 9(commoncing witb Section 7000) ot Division 3 01 �he Bu5ine55 and Pro1p55iOns Catle) Or that he/ihe i5 exemp[ ' thereiwm antl the bails tor tho alle9ed exemption. Any vlolaUon of Section 7031.5 by any ap0litanl for d Permil SUDjettS Ihe ap0���dnt lo a Uvil �enalty ol not more than flve huntlretl tlollars (y500). 1, as Owner ol Ihe p/operty or my Cmployees with wdgns as lhBir sole CompenSd[ion, wi�l tl0 lne work, antl the strucWra I5 not inlentletl or ofteretl lor sale (Section 7044, 8usines5 antl Protessional CoEe: Tha Con[ractor'z License 1„aw tloes not aDP�Y �o an owner ol a property who builtls or improves thereon, antl who tloes sucb work himself/perselt or thrOUg� �is o� her Own employee5, prOvitletl tM1at su[h ImprovemCnts a!e not int¢ntlotl Or offeretl for WIG. I/, hOweve�, th¢ bulltling o� ImprOVOment i5 SOItl wlt�in one year Ot com- pletlon, ihe owner wlll havc the buracn ot oroving ho/sne tlltl not buila or im- prove tor lhe purpose ot 5ale). ❑ I, az Owner ol th¢ PropCrty, am exclusivaty COnlracting with li<¢nsetl con- lrattofs to conSVuct lM1e prOjecl ($ettlOn 7044, Bu5ine55 antl Pro1¢SSions Cotle: The Contractor's License Law <loes not apply to an owner of pro0erty who builtls or imoroves thereon. antl who contracts for such oroiects with a con- tractor(s1 license pursuan[ to [ne Contractor�s Ucense Ww�. I am aware that proof of [h¢ir Worker'S Compensatlon insuranca ShOWd be provltletl to mG. ❑ I am exempt untler 5ection B. & P. C. for this reason Date Owner . I hereby certify [bat I hav¢ reatl in/ormallon is correct. 1 aqr¢e t c antl statc laws rclatln to i n9 SEOSdIH¢5 01 2 C� ¢� inspection pur o Slqnature Orivars' ucense or 55 �f � 0865-46,rev. 5/ee eoy aumonze repre- Ionetl property fo� oate .S' Z o 4 TYPE OF CONSTRUCTION LJ NEW u aDo LJ ALTERATION ❑ CONVERSION ❑ DEMOLISH ❑ OTH�j R DESCRIPTION OF WORK/USE OF BLDG.- ^ �-�� �� � TVPE OF PERMIT�RADING LJJ'sOVNDATION 1(, STRVCTURAL ❑ TENANT ELECTRICAL L�PLVMBING ❑ MECHANICAL ❑ OTHER PRQIECT DESCRIPTION 5a. F7. OCCUaANCv _� CON STRVCTION TYPE VALUATION S T. U 7�_�,T ���v ZONE GRADING CV. VDS. ACRES Remarks: i' _ _ �. _ � _-�- "'��._i_. p " �'" l.r.� � ` _ Mw�.. Bar Sink Backflow Preventer Backflow Irrigation Bathcubs Clarifiers Dishwasher Orinking Fountains Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fae � $15 Boiler Duct-UnderGround DuCt - $tfucNfdl Duct - Ventilating Ezhaust System ❑ Multiple Firepl/Fact.6lt. �CBO # Heating System & Ducting ❑ai oo,000 eTu O i oo,000 fleinspection Fee � $15 White - Builtling; Canary - Applicant: Pink - Accounting: Goltlenrotl - Assessor Showers Service Sink Sewer (:ap Sewer Connection Solar Collecwrs Solar Piping -� Solar Tank Swimming Pool w/Spa Urinal Water Closet Waeer Heater Water Service Auto�Wesh Issue Fea Hood or Typet ❑ Canopy Typell ❑ Refrigeration Sysiem Oaioo,000eTu ❑iao,000sTu System Repair/Alteration ire Dampers Registers Isue Fee g 3 FEES $ 3 A.P. 3W S Main Buildi E T Fron[ B Rear A C Right K g Left Ping. Ref. # Planning Notes: Auromatic Washer Construction Pole Su Cooking Unit Dishwasher Dryers �Gas ❑E6 Fan . F.A.U. Fixtures . Device Boxes " OIILI2L5 Switches Garbage Disposal Generetor �0.5 KW Zone Accessory B Parking Req./Provided ELECTRICAL Tronsformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel ' Motors 061 HP � 1 h- 8 Ina Solar �9�15 HP 016-15+ Microwave � Pole Light �- Range ' I Standing Sections 15 KW' I Trash Compactor � Reinspaction Fee �$15 � � luue Fea DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approvad By Building Approved By � _�i O N I N G R E � M T S. FEES SUMMARY OF FEES� BUILDINGPERMIT $ 3S.-OCi SMIP $ �S� PLAN CHECK $ PERMIT PWMBING $ r �� ��UANCE $ PLAN CHECK 25% $ ENERGY P.C. 5 ELECTRICAI S /S•%�GRADING 5 PLANCHECK 50°.6 $ MICROFILM $ MECHANICAL $ TOTAIFEE $ PLAN CHECK 25% $ r - � lS- ..... . _i'._. •v ,., ' ' 4 �l `� \\. � . . CONSTRUCTION AND PLA...�aING POOL & SPA APPROVAL$ Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary"'Electrical Serviceor Pole 52. Pool & Equipment Location 2. Soil-Pi�Se-Undrgrnd. 53. Steel Reinforcement 3. Elecvical Conduit Utiiiry-UndrgPnd. 54. Forms . 4. Electrical ConduibUndrgrnd. ., 55. Electrical Bonding 5. Steel Reinforcement � :•.� 56. Rough Plumbing & Pressure Test 6.. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE �- 7. Footings ' . 58. Electrical Conduit-Undrgrnd. 8. Foundation � � • 59. Gas Pipe, O Undrgrnd., Test , 9. Water Pipe-Undigmd. ' � 60. Backwash Lines, P-Trap, � Undrgrnd. 70. �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 Electriral-Conduit 66. Solar SYstem-Final r - 1.6. Rough Elecrric Wiring 67. Fencing & Access Approval ,17. Rough N/iring Sign ��-� 68. APPROVED FOR PLASTERING '�18. Rough Electrical-T Bar Ceiling ! 69. POOL/SPA SYSTEMS FINAL 19: Rough'tieating & Air Conditioning FIRE DEPT. REQUIREMENT �� �20. Rough.Factory Fireplace APPROVALS Permit # 21- Ducts, in_Stfucture ' 70. Underground Hydro 22. Ducts, V,entilating � 71. Product Piping O Gas ❑ Oil 23. Gas Pipe:Rough & rest �, � 72. Underground Flush , , � 24. Foof Framing ' _- ' 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing '• 74. Overhead Hydro 26. T-BeqCeiling (Structural) &�Monocoat 75. Dry Chemical 27. Frame and Flashing •��• ' g� 76. Dry Standpipe � .. 28. Lathing,& S�ding ' • q� 0 77. FIXED SYSTEM FINAL 29. Insulation -- ' PJ 8�' ��(,�' 78. FIRE PREV. FINAL � 30. Drywall; Nailin9 . , HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � - �j ��� 79. FINAL INSPECTION 32. Electr�ical Power Meter-Final-� � 80. FOOD CERTIFICATE ISSUED 33. Final Electric I �O Y- q Notes � /(/�j /rj/rA� ' 34. Final Heating & Air Conditioning J� � K 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Finat FactorY Fireplace 38. Final Plumbing $=7� L�D 39. Water Service-Final 40. Gas Service-Final ���" L 41. Solar pomestic-Final . 42. Backflow Preventer � �• � 43. Backflow Irrigation � ' • - 44. Landscape Irrigation System � 45. Sound Attenuation � �'i. 46. Handicap Regulations � .✓' 47. F1NAL STRUCTURE & BUIIDING � 48. Special Requirements Completed 49. Electric Release to Edison ,. 50. Gas Release to Southern Califomia Gas Co � ' � 51. CERTIFICATE OF OCCUPANCY ' � No. Date - ,` rxaecraoowess: 3066 CEYLON RD owxea�sxune: BILL REELER �oowEss: SAME 751-2299 uxiT: NIENGINFFR: NEU.NO.: ROONESS: UNR: rex�nmEe: RAINPROOF ROOFING ( 714 ) 536-8702 '• nooxess: 369 P.O. BOX HUNTINGTON BEACA CA 92648 110ENSEO CONTMCTOfl DELUMTION: I �ereOY altirm Inat I am ticensM unUer D«o�+af Ctupter 9(wmmencinp wit� Sectian 7000) ot Oivision 3 0l the Business antl ProleuiUns CaOe, antl my license is in tull force anU ellect. cm uc.: 0'1 '1 A STFTE UC.:S 57 c nss — 9/� Oata: ��l�a Ipnat - iLe^� WONIfENS' MPEN ATION OECLAIUTION: I re�y anirm Inat I nave a certilicate ol consent lo sall�insura or a cen�wte oi Workers' Compensauon �sYr�r� �r a�niti� �py tnereai (Secnon 3800, tao.61A / O i/ J S roucv no.: STATE FUND �P• o�re: �OMPINY: Certifi a y is he eby IumisheU. ❑ CertilieE cop IileO ith the ciry BuiIE p Divislo �/ Date: ���� �N � Applica ' ��/.l���l � E%EMPTION FAOM V/OBNERS' fAMPENSITION OECU ON: (iAis se�tion nee0 not �e mmpleteU ii ihe permit p lor one huntlre0 (E700) a less). I certiy Ihai in I�e pertormance at the wark for whic� Ihis De�mit is issuetl, I shall not employ any person in any manner so as to Gecome SuEject m the Workers' Campensation Laws of fAlifomu. Oate: SIp�aNre: NOTICE: II, atler makln0 ��is tleclaratian, you slwultl Oewme suEjec� to tAe Workers' Compensation prodsions of t�e LaOor CoEe, you must torthmih mmply vnt� suc� pro�sions or tNs Dermit SAall Ee EeemeE revokeE. CONSTPUCTION 1EN01NG �CEXCY: I AereEy am�m Ihat tAere is a canslmclion IenOinp a0ency lor I�e perto�mance al Ua work lor wnicA this permit is iuuea (Section 3097, Gv. CI. LENDER: RODflE33: OWNFB BtIILOEB OECIAMTION: I Aereby affirm Ihat I am axemp� Imm the Contracmrs' State Licanse Law lar t�e followinq aason (Section 7031.5 Business anE Professlonal CoUe: �Y ciry ol counry whic0 requias a Dermit to consiruct, alter, imprave, Eemolis�, ar repair any struclure, Dnor lo its issuance, also reVuires Ihe aD7��ean1 for SucA permit ro lile a SiA�ed statement ttut hNshe u IlunseE Pursuant to tAe OroNsions of t�e Contractors' Sta1B License Law (C�apter 9(commencinA ��� Section 70W) of �ivision 3 oi t�e Business ;s?0 Piolessions Cotle) or I�at he/she is exempt therairom anE tha 6asis for the alleped exemption. My violation of Section 7031.5 by ^7y aDPlicant lor a Oermit suUjects the apD�icant ta a ciWl penalty oi no� mom t�an fiva �undreO Oollars (5500). I, as owner ot t�e D�oDeM ar my emDloyees with wapes as IAeir sole campensatlon, will Eo t�e work, anO t�e ❑ simcture is not imen4e0 or atlerea for sale (Section 7074, Busmess an0 Pmiessional Cotle: The Contractors' Slate License Law Aoes not aDOty ro an owner of a proparty who bullAs or Improves t�erean, anA who aoes suc� wark himseltl�erselt ar I�rouAh his ar her own emDloyaes, pmvldeG tAat such impmvements are nat intenAetl or atteretl lar sale. It, Aowever t�e builtling or impmvement is sold wil�in ona year ot compleiion, the owner will have the EurOen ol provinA ��she 4iU not �uila or improve lor t�e Durpose of sale�. I, ss owner oi Ihe Dioper1y, am excNsively contrac[inp with IicenseE contractors to constmct Ihe pmlect (Section 7044, Business ❑ and Professbns CoEe: The Contractors' S��e Liunse law Cces not appry ro an owner ot propeiry who Em105 or improves tAe2on an0 wA0 cOniratl5 lor Sut11 D�alecis �i�� a cOnlfacial�S) litense pursVani �o Ihe CAnlfaCiors' State license Law). I am aware ihat proaf ot I�eir Worker's Campens:tw� �nsurance shoWE be O�ovitled to me. � I am axempl untler Section: B. 8 P. C. lor IAiS rea5on: Date: Owner. I Eo nereby cenity tAai I am aware ol anE unGerstanOlhe reQuiraments ol CaliPomia Heatlh an0 Safery CoOe Saciions 25505, 25533, anE 2553C anA t�at I or any future EullAinp acupant ��II not (drUe one) nee0 to comDN ��h SaiA state coAes anC Ihe requiremenis for a permit tor con5iructian or mo4ilicaGon Irom Ihe �� ualiry Manapement DiSIncL ResiEenlial wnstmction applications ara exempt tmm t�ese provisions. Oate: pppliwnC I hereGy cenity tAat I Aave reaG this applicatlon and state that ihe aEwe information is mrrect I apree to wmply with all ciry and counry OfdlOdflC25df1ESIdIeIdW5f812Wp�00011GII1QfAfI5INC10 er yauth (itn� 1�hisci� beMer��heabove-men6oneA propeM lor in5peciion p r�� �i Date: .�/r� Si;^��' � ! � � _��— Dnver's Ltcenu or $ocW SecuAry N: � �Bn��e Whl�e—Buibirg; Gree�CaOe EnbRamant; Cenery—Appllcan�; Pink—Revenue; GdUenroE—Atxsso� CITY OF COSTA MESA — BUILDING PERMIT PERM NO:.B 048380 PERMZT NO: H 048380 PLAN CHECK NO: N GOVT; N SUPP; N CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH JOH DESCRIPTION : REROOF 2800SF RESID W/COMPOSITION SQ FT: 3,788 CLAIM VALUE: 3,788,00 CALC—VALUE: 3,788.00 GROUP OCC; R-3 / COMMENTS: X +��r�r�r�x��rx**�*�*+r***�x*****��r**�**�r�r**��r�r**�**�r�+r�r�*��*�r**+r+r�*�r**�r*+r�r+��r****� Z O N I N GS ERTEB�AUCIKRSE M E N T S SMOKE DET���OR. ------------ MAIN BUILDItdG ---------- --------- ACCESSORY BUIL�6ut�f-FF{��— 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: 13916513 ZNE: REF NO: PLANNING N6TES> > iElEikik�Fififik!litiEiFikiEiElFkiElfkifiFitlFitiEiFititlllEkikifkitifftiliEkik%itifkikiF7Ekifk%kikM1ElEMkiFMiFlEifiFlFikiFiFititiEfEiEiE3liEiF 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 . HUILDING APPROVED BY : DATE: ' DATE: " APPLICATION ISSUED BY: Yi� DATE: ^ —�c iEiF�kiElEiFiPiFifkiFiFitiklFitlFMiEiEiFiE MiFiF3iiFiFlFiEiFiE ikiE ik iF iE iE iF ik iF * ik 3t iF iF iE �E iE �! ik �E iE iF iE iF iE k iF if ik if ik k iE i! iflk iE iF iF if it if it fF ik iE ik iE iF if k M 1F k 1E it 1E if it it K M if if 1F ik iE iF if M 3k iF iF iF iF iE if iF iF �f if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y r BLDG PMT PLUMBING ELECTRIC',MECHANIC FZRE SMIP/RES GRADING PERMIT 63,00 ' .50 , �`; ,. , SMIP/NON—RES PLAN ISSUE FEE ' � HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK - TOTAL PAID DUE TOTALS----> 63,50 0.00 . 0,00 �-. 63,50 63,50 ,00 REVENUE DIVISION TOTALS--> COLLECTEDc 63.50 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63,00 ; �� ; .50 i! iE ik ik if it if 4 3F iF i! i! ik iE ik �1! Ik k dk iF �F fF i! f! ik ak iF i! if iF ik M if iE iF ik iF %fk k it ik f! 1f if if ik iE k iF iE ik iF if k �F iE iF k 1E 1E if iF iF ik �t ik if if ik iklk �E iF ik ik �E iE ik I N D I V 2 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 R�1,'• '� ' UNIT COST TOTAL COST SFR 3788 REROOF BY VALUE AESIDENIAL NOZONE 1.00 3,788.00 END ^OF., FEES : .. r �. . r,• '. O1 O�QbE59S-U0066.45 'U't�'�' 63,56 DATE: 07/31/90 TICE: 16:p5 CONST TIOfjAND PLANNING � `P�OL & SPA APPROV LS Permit # Date Inspector qppROVALS Permit # Date Inspector . 1. TemporarY Electrical $ervice or Pole � 52. Pool & Equipment Location � -2.; Soil Pipe�Undrgrndo � � 53. Sreel Reinforcement ��3. Electrical Conduit Utiliry�Undrgrnd. 54. Forms - r ',4. Electiical Condui[-U.ndrgrnd. - . 55. Electrical Bonding �-5. Steel�Reinforcement _ 56. Rough Plum6ing & Pressure Test �- --6. ElectricalUPERGmd. . 57. APPROVALTQCOVER�GUNITE -, 7. Footings � " 58. Electrical Conduit-Undrgrnd. - � 8. Foundation - 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor Svstem . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final . �2• Se�^'e� Cap . `�� ' 63. Heater & Vent�Final 13. Roof Drains .- . 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical-Final 15. Rough EI¢ctrical�Conduit 66. Solar System-Final 16. Rough Electric�Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 79` Rough Heating & Air Conditioning .., � r _ . -; FI_RE;DEPT. B•EnUIREMENT � • " '' _ ' .. T T 20i: Rough Factory F,�replace - .� • ;AQPROVACS-- �= Peimit # x - -� 2L�'Ducis, in Structure - �- _ � 7p. Underground HV�1ro - 2277Ducts, Ventilating � � .� 4 " -� �.77. Product�Piping O,Gis ❑�Oil 23.'Gae:Pipe-Rough&Test �-� � ' ^�' � ' , ' = _ J2. Undergro`und Flush � , 24. Roofi Framing �: ?: > �73vUndergmd.Storage-Tank OGas ❑Oil . 25. Roo] Shedthing - � ' � - ' ' ' 7q,'Overhead Hydro=-1 . ,y. . _ 26�T�Bir Ceiling (Structural) &'Monocoat � � � 75'Dry Chemical -� .. _ 27, Frame and Flashing' . x� Y'� �� 76. Dry Standpiqe �', ,28. �athing&Siding ; ' -��ic:: ;� ' - 77.�FIXEDSYSTEMFINAL' `' ,�29. Insulation � i--, � . ,� 7� FIRE PREV. FIN.4:L -� � � r . �30. Drywall Nailing -•- � r � HEALTFI�DEPT: REQUIREMENT ,<31. Plaster Biown Coat� " ' ' x �79.�FINAL IN$PECTIO,N ;.] � �32:�Electrical Power Meter�Finaf � {� � -�SO.:FOOD CERTIFICAi'E ISSUED�y _. =33.'�Fina! Eleetric' �� ,M "� 'Notes� �J'� � � .'34;Final Heating_& Air ConditioniAg" ;= ; � - `35: �Final Gas Pipe-Test " ^ ' " � - � ��% �� 7 � z� � ..c. ��36., Hootl or Canopy ;� � ' �' w ' � r � = -. -. �� , 37.•Final Factory Fireplace" � �� � : •. _ ��` _ °` ti � 38. Final Plumbing ', � _; �.�. . % D� �39. Water Service-Final� •: " z ' - � :.. 6��,� - � '_�,40. Gas Servite-Final "' � , � F ; � • . ' '. " � _ �--47. Solar pomeeticFinal� . . :'� ' 42. Backflow Preventer' ' � _ � � _._ ,�'� .. 43. Backflow Irrigation � � - _ •_d4.-Landscape liripation System - � ' ,' _ - � , �45. Sound Attenuation • � " �� " � ' • - -' �- -46.'Handicap Reg'ulations _ ` " , 47 FINAL S7RUCTURE & BUILDING g-�b �(,,� : 48.. FINAL P4ANNING . � � - . ^ � ' . . -_49. Elec(ric Release to Edison � ; 50: Gas Release to Southem Califomii Gas Co �"� , 51. CERTIFIGATE OF OCCUPANCY No. Date : j� t. 9��� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31'] GOSTA MESA. CALIFOftNIA fOR APPC/CANT TO F/[L /N COMPLETELY TYPE OR PRINT BUILDING AD�RE55 �� COSTA MESA. ALIFORNIA iOWNER .7 CdIIIOI L � IMA�� 10835 Santa Monica Blvd. AfIIIRFGS �ARCHITECT L.C. Maior NfO. OR ENGINEER � LEGAL d SIZE Const . _r•: - ' - ' � � t.:J�-f �b.l��' �,�'- rAaY Z � i�s� ,:,�!,?r�CE DEPT. "� , ,'I�`^1!1 Pj-(`p i APPLICATION FOR PERMIT BUILDING FOR OFF/CE USE ONCY IRECEIPT NO. I �jT ✓EIVEp BY , I (_A E�� S�' MAYE (� � /� � J FIRE ZONE COSTA MESA. CALIFORNIA anta Monica Blvd ZONING ZONE NO.OF USE OF NEW 1 IBLOCK ITRqC �' IP�wrvs Ieui�oiHc APPROVED � y/�� RV /�H/: OATE .� NO.OF BLOG6. SEiBRCK LINE FROM ( cervrew ov slAecr Q� �j � REAR YARD SI�E YARD I LEFT 5� I RIGHT S� DESCRIPT,ION OF WORK NEW I X II!�YERATION I II ADDITION REPAIR I II MOy�NG I II OEMOLISH BUILDIN NO.OF SIZE 746 ROOMS ii STORIE'_ AND YARDS REQUIRED �CENTER LINE ST.) � FRONT ,� � _ R.SIDE il 1 HEFEBY ACKNOWLE�GE THRT 1 HAVE RE/�D TMIS PPPLIC�TION •NO STATE THAT THE AB4VE IS CORRECT /�ND FGREE TO COM� PLV WITH ALL CITY OflDINANCES PNp STqTE L1W5 REGULATING BUILOING CONSTRUCTION. q SIGNATURE O ,/� /C/ /— PERMITTEE , .,J�ri1 O,« Li9>s�_(y � AUTHORIZE� AGEN��,i�'�C� REAR FT THE AMOfINT SHOWN UNOER VALUATION 19 FOR THE PUrzPOSE OF ESTABLISHING • PEflMIT FEE ONLY. VALUATION Z �J PERMIT FEE $ ✓ /. $ / // 3 � 7i PLAN CHECK $ / � � TOTAL FEE $ S f� 3 � ;;;;��� ..��i'i� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA Fo� Applitanf to Fill In Complefely TYPE OR PRINT BUILDING ".� A / � �.-. . I COSTA MESA. � MAIL FE� RECEIVED Qr.— JUN 2 8 �;;�1 FINANCE OEPT. APPLICl�4(�t� �QJ���itA+f��SA BUILDING For Office Use Only � O�+Zi 3066 CASTA MESA, A�DftESS !�Y! ��i. .f/. ZONING \/�/y�� 20 NO. OF /l�UBE OF NEW �',�Ty �J� / /Yl / '� I PI.ANS �' LI BUILDING !r STATE � TEL. +-� Leaw� LIG NO. �� , NO. !R a/ OE6CRIPTION i� SIZE I NO. OF BLpGB. � OF LOT NOW oH LOT A. P. NO. USE OF YAROS EVES EXI6TING BLDG. � �//"n � APPROVED ALLOWEO SETBALK L�NE FROM fCCNTHX LINC 9TJ CeNTER oP eTHeeT REAR YARD "—� FRONT '--FT--�� SIDE VARD I LEFT ���C� I RIGHT R. SIDE DESCRIPTION OF WORK BUILOING size EXTERIOR WALL COVERING U88 OR BUILDING NO. OF _Z 1 HEREBY ACKNOWLEDRB THAT 1 NAVE READ THIB APPLIGTION TXC AMOUNT BHOWN UN�ER VALIIATION 16 FOR THE AND BTATE THAT THE ABOVE I8 CORREGT AND A6REC TO COM- pURP09E OR EBTABLIBHING • P¢RM�T FEE ONLY. PLY WITH ALL CIiY OI��NANCEB ANO BTATE LAWB R80ULATINO BUILOINO WN9iFtUGiGN. VALUATION �}� SIGNATURE OF `� PERMIT FEE $ � PERMI7TE !�� a / �� $ ��. ' PLAN GHECK $ `— `/ F AUTHORIZED AGENT �vj %'`����( � _ __ _ 7 O'r � � �