Loading...
HomeMy WebLinkAbout975 CHEYENNE ST - Building Permits� 40'�p M�S a � o. > _ r J - ,��oxm� AA (714) 754-5273 • Fa�c (714) 754-4856 � CITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT PLUMBING PERMIT JobAddress: 975 CHEYENNEST Suite No Vicinity: IN HOME Parcel Nunmber: 14172423 Applicant: GLOVER, LORIE Address: C/O COAST ROOTER PIUMBING SANTAANA,CA � � 'Phone: 714.241.1414 2737 S. CRODDY #D ' Zip: 92704 Owner: RODRIGUEZ, GRACIELA . � Address, ,975 CHEYENNE ST COSTA MESA; CA Phone: Zip: 92626 Contractor. - COAST ROOTER PLUMBING HEATING & AIR COND Address: 2737 S. CRODDY #D . . . � SANTA ANA, CA � Arch / Eng : ' �' � � Address: � Phone: (714)241-1414 ., . , - Zip: 92704 License: 529127 NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/17/1999 Issued: 12/17/1999 ISSUED BY: � EX D Phone: DATE %� .z�P: UD License: � rSCOPE OF PERMIT �' ' GAS WATER HEATER CHANGE OUT. ISSUE FEE BackFlow irrigation Backflow Preventer Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units . - ' Dishwasher - Drain, Floor � Drain, Rainwater Drain, Roof � Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 so.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigalion $0.00 P-Trap , � . $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) � $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS SumpPump Swimming Pool Trep Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water SoRener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $o.oa $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: $35.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 n NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if 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 this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepections end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 � WORKERS'COMPENSAnON DECLARAnON: . I hereby atfirm under penalry oi perjury one of the following declarations: � � . ❑ I have and will maintain a cetlificate of cronsent ro setl-Insure for workers' compensation, as provitletl for by section 3700 of the Labor Cotle, for ihe pertormance of the work for which this permit is issued. � [� I have antl will maintain workers' compensation insurence, as requiretl by section 3700 of the Labor Cotle, for the peAortnance of the work for which Ihis pertnit is issued. My w�/o�rkners' comro, e_nsati°�' In�surence cerrier and policy number are: Carner. I Vl�d- �X�✓l—rUw� PolicyNumber. ���Q�6� (This secfi n need not be campletetl it e permit is valued af one hundretl tlallers ($100) or less.) ❑ I certity ihat in lhe pertormance of the work tor which Ihis permit is issued, I shall not employ any person in any manner so as to become subjact to ihe workers' compensation laws oi California, and agree thet if I should become subject to ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. �i Applicant Signature: ����— Date: � a�� 7�/ �l WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN� DOLLARE (5100,0001, IN ADDITION TO THE COST OF COMPENSATION, OMMGES AS PROVIDED FOR IN SECTIQY 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CON7RAC70RS DECLARATION: I hereby attirm iha� I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 oF the Busine antl Protessions Code, and my license is in full � force and eflect. Lic. # � Class # � 3�/J i ��, Contractor's SignaWre� � i_ Date: i. � i%.—�'i 9 CONS7RUCTION LENDING AGENCY: ❑ I hereby aHirtn that ihere is a construction lending agency tor the peAormance of the work for which this pertnit is issued. (Sec. 3097, Civil Code). , lender's Name: Lender's Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aNirm that untlar penalty of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business antl Professions Coda: Any city or counry which requires a permit to consiruct, alter, improve, demolish, or repair eny stmcture, prior to its issuance, also requires ihe applicant tor such permit to file a signed statemeM thet he or she is licensed pursuent to ihe pmvisions ot the Coniractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 oi the Business antl Professions Code) or ihat he or she is exempt iherefrom and Ihe basis tor the elleged exemption. Any violation of Section 7037.5 by any epplicant for a permit subjacis the applicant to a civil penalry oi not more than five hundred dollars ($500).): ❑ I, es owner of ihe pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and the struclure is not intended or oHered tor sale (Sec. 7044, Business antl Professions Code: The Contractors License Law tloes not apply to an owner of property who builtls or improves ihereon, and who tloes such work himself or herself or through his or her own employees, provitled that such improvements are not intentletl or oHered tor sale. If, however, the building or improvement is sold within one year of completion, tha owner-builder wi0 have the burden of proving that he or she did not buiid or improve for purpose of sale.). ❑ I, as owner ot lhe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consimct ihe project (Sec. 7044, 8usiness and Protessions Code: The contracbrs License Law dces not appty to an owner of propeny who builtls or improves thereon, and who contracts for such pmject with a coniractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID verifietl Dy tlriver's license. ❑ Yes ❑ No Business entl Professions Cotle for this reason: Verification of Ownership by (type of tlocument, i.e. - property taz bill or deed): Driver's License No. Date: E:pires: DIVISION OF INDUSTRIAL SAFETY�PERMI7 CERTIFICA710N: i�S7(r'?//r�rl/(, IfW��JI ❑ I hereby�ceroty that no�excavation�five (5) or more faet in depth into which a person is required to descend, will be mada in connection with work authorized by this permit,:end�that no building structu7e`�scaflolding, felsework, or demolition or tlismantling thereof, will be more ihan ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Galifomia Adminis� a� otle). ❑ As ownervbuiltler, I will not employ anyone to do work which would require a permit from ihe Division of Indusirial Safety, as noted above, unless such person has a permit to do such wark from Ihe division. Signature: Date: Division ol Indusirial Safery Permit Number: CERTFICA7E OF COMPLIANCE AND AUiHORIZATION OF ENTRY: I certify under penal�y of perjury ihat I have read this application and sla�e lhat lhe information given is correct I agree to comply with all state laws and city ordinances relating to tiuiltling constmction, and authorize representatives of the City of Costa Mesa to enter upon ihe abova-described pmperty tor inspection purposes. I egree not to ocapy or allow occupancy ot any building authorized by this permit until final inspection. COpE Y. 7676 1266 �natureOiLegalOwner(s) /� /� D�teS �-- 7 And/Or Authorized Applicant Date Fiaed System Final Fire Prevention Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2696A6 �qTE IN A S ' CODE 11 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Pinal Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Site Final Builtling/Ocwpancy ILAT,g I TN RIALS • � 03-1U-2009 Inspection Request Reporting Page 1'59 pm Costa Mesa_ CA _ Citv Of Requested Inspect Date: Tuesday, June 30, 2009 Site Address: 975 CHEYENNE ST CM IN HOME A/PID Information Activity: P99-00704 Type: PLUM2 Sub Type: Status: EXPIRED Consl Type: V-N Occupancy: Use: Insp Area: Owner: RODRIGUEZ GRACIELA Applicant: GLOVER LOkIE Phone: 714.241.1414 Coniractor: COAST f�00TER PLUMBING HEATING & AIR Phone: 714241.1414 COND Description: GAS WATER HEATER CHANGE OUT. Requested Inspection(s1 Item: 150 MISCELLANEOUS INSPECTION Requestor: Assigned To: """""*'•, Action: Time Exp: _ Insqection Historv Item: 52 SOIL f Item: 54 WATE Item: 56 SEWE Item: 62 ROUG Item: 72 GAS F Item: 90 GAS F Item: 92 WATE Ilem: 102 ROU Item: 108 GAS Item: 110 BAC4 Item: 150 MISC Item: 208 FINA TEST I SPECTION Requested Time: 08:00 AM Phone: Entered By: ZWART_B K `\4' _../ � IV �t"���'� Actian: EXP Expired REPT131 Run Id: 12233 Applipnt to /ill in all zpates ezcept those wlt�in heavy borAer.lines antl sign all apOraorlata tleelarotions. � � CITY OF COSTA MESAI - �-- � - - r - -t' - `— ' .� - � -� ^; --. r. ' r - -i-_ --' -_ _ . PERMIT O � TRACTNO. LOT�NO.�. BLD I 1 # CONSTRUCTION PERMIT ; '. ` ••:. . ' <' . � 3 _ � ± :� i' � ' {. -. • ' � �' , ' °' • s: . ; f� I`�`�44 ,3i I I./83.. � � ��9.�;0 � TL , . . i-_ . : . ' . � _". .- r , -`, , ', i' - _ . ' ' ? . , . - ApplicenYs Mailing Address , � � 'S � �"+ � TVPE OF CONSTflUCTION . ! ' NEW = DO' ' ACTERATION, REVAIR - � r � � ' F � ; � �' i � J 1 �t � � � � � PfOjlctAddlOu ,T ' ��� � � O CONVERSION _❑ DEMOLISH ❑ OTHER- ° � . 1 - °; � � ' 1 � , _ r' � ' � ' � ..DESCRIPTION.OF WORK ' � � ' Owner's.Neme'�S;�L � �" honeSY(.-7Z�/% ' � . - . � � _ - - 2 I fl ULATI . � r I-- -� . . Addreu �f7� . Cb..o.� c._c .� � . .. , - � � . , � : ; . __ . . -' . . a . ' ' . _ ' _ ' - „ . ! - � _ . - , , - ' TVPE OF P,ERMI i GRADING FOUNDATION' � ,STRUCTURAL � � 'A. P.�lk ZONE ' ;. � ' " i Afth/Eng- ��'�"��� �� � LiC2n52N0! ` � r '❑ TENANT,�LECTRICAL'�Q PLVMBING ❑'MECHANICAL . . � ' � � � � � 1 'BUILDING • . . + ,. � %PLNG. REF ,�k � � i AddrOu ' � - I . t ' . ' � ' . ' _ ' I � 1 ,- _O �OTHER � �' � i '. . �' � . • ; l � : ' y 'TO BUILDING-: � - . . . . , � � ,•� Contractor's Nam - w�-�� ` hone'ys�� �� PAaECT DESCRIPTION. SQ! F7. �' S�� Z '' oCCUPANCv PR PE V LINE � '.REAR VARD (TO P/W.: _ t' � � - p s �� ' ' ' � ' � ,LEFTSIDEVARD � RIGHTSIDEYARD' • ' '- Addle55lmAi"na15S/5 =+Ua �rG�s S\Oi �' °•C.(M Cr ' CONSTRUCTIONTVPE - - � �VALUATION$ '� . . - .� �v� � CiCen5eN0. ' CIO��'��i'�ZC���\ { ZON�' � �% ' GRADINGCU.VDS. �ACR.ES "PKG.SPACEREQ. � ,PROVIDED i ' � � � . LICENSED CONTRACTOR DECLARATION � ! , � 1 ' � Ramarkz: , G _ i � ,� � � a� , � �i • J�� ' � STREET WIDTH ; � � � ' � .PARK FEE'$ � „ 4 I.heieby,atilrm Mat�l�am Iicenzetl untler pravlslons of Cnarter,9 (commencing � - , ' , ; ' , ' , `; . : with=5ettion ]000) of Divlsion 3 of the Business antl ProTe53ton5 Cotle, bntl ' ' `- i � � . , . •SPECIAL CONDITION9: � ' ' �' � j'_ � M - ��"^'.,y Iicenze�is in fuli torCfla 'effeit. i • - � j ^ 'z - � �� : . . ' . - . ..ense as�' l�Q:if- 5'7L , Ic I .���7L�4 � � ; : ; ; � � PLUMBING � � � I � � ' � . . . � i . I � . . : •i � :� , . 1 ` �te• !� C � 519nature � �� � •. � ' ; Bar Sink � I ' ' Sewer Ca � � - ' ' � ' '+ � ELECTRICAL WORKERS' COMPENSATION DECLARATION I V . � P -� � � '� �� � . i : ; . r � ' ' . __ '" ' . �-I.hereb �atflrm-that.l�hava a.certiTicate o7.cousent to self-insura�or a certlfiwte �r� r Batkflow PrevBnte�-' , i' . Sewer Connection" , ' ' - - - - Automatic Wazher--� •+- '- - � . - � -�.. -.._ ._•__ � Meter ❑over.lOUampst.,...'. Y ..} . -I-.- . ."' � of Workers' Compensatlon�lnsuranca,�or a certifietl�<opY theieot (Secilon � - � � � ' ' � ' � �� COn3tructionPole � { . 3800, Lab.'C.) t .�. ', t , � f � , Backtlava Irrigation � Solar Collectors � M i � � %' � 1_ � Sub Panel;� � � `t -� • � . POIicY No: , � . :. ComPanY E � . � ! . ' . ' ' _ _ ' _ i t . . . . , . . i � Coaking Unit , Sub Pole ' j Y �� � j ( � 8 Certltiea copy is nere�y�furnished. � � � ', , � � Bathtubs � $olar Piping ��. . I , � . ' CertHie� copy I5 fileG with the tlty BUIItlin9 Dlvision. - - - . � � � + . Dishwasher . :Motors DO-1 HP 01�-8 . ! ��Date ' � � Appiicant � � � � � - � �, � . �, Clarifiers j^ } , . Solar Tank �' � I � EXEMPTION;FROM WORKERS' COMPENSATION DECLARATION. � " "- ' ^ --""-"` ., '� _ _ � _ __ . _ . "� _ _ _ : . ._, . � _ � . _ "" " . . . . . . _. .. . . ' '(Tnis sectlon neetl not be completea Ii the parmit Is for.one nuntlretl (SloO) or , � I Dishwesher ! ' , j Swimming Pool w/Spa < i : � Dryers ❑Gas ❑Electric ' ilnaSolar� 09-15 HP 016-15+ � �-� .� iess): . � ,.� . ; . ; 1 . . � . . � . ,� 1 . Fan: ! � 1 ;Microwave ' ' ; � ' '� 1 certlfy {that In the per7ormance of the work for w Ich this permk is issuetl I� D�inking F.ountains �� U�inal � � .(, � � � shalt not employ any person In any man��n��5 o j bec i 5 bject. to t�e . � F A U ' � ' WorkersSCo p Uu nlLaws of Califomf�j�� " Floor Drams � ' � � . ' . � . � � � . o • �Pole Light ! ; ' �3 '%,,.,.'f���i ' . , � � . , , Water�Closet� . �, Date' ' ' Signature ' � - : 'NOTICE• If;�a ter makirig this tleclaratlon� you ShoUltl bacome SubJecYto'tne i �+� Floor Sinks � � ���•--- i• -�-r ; -•- � Water Heater, - - - � ---�' • �- -- � - - - Fixtures.t �- , .._ - ang2 . ' i - R � ..._ i.- ._._ ' Workers' CompenSaUon provislons�of the Labor Cotle, you.muSLforthwith ' ' ' ' - • ' ' ' '� . � T� � _ , i ; tomply 'wlth; such ,provlsion5-oY .this^permlt shall tie;tleemetl� revoketl� � � GeSSeIvlCB' • . aOUtletS' -- � C WaterSefViCe ^ �! q' !-U i y� DeJice Boxes I' � � � Sign i � j ' � � CONSTRUCTION,LENDING_AGENCY' � F ' � •. � � • � ` ' ' � ' ' . Outl2t5 _ j . � � ?f _ 1 ' I hereby xffhm that there is.a'constructlon Ientling agency�for t�e parformance, ( Interceptors ' �� � . t' �• . ' � .; rr rc� . _ I . Standing SeciiOns � o� � oi tne ,work for . which- this � parmit Iz issuetl •,(Se<tion 3087' Civ C): • - r tanaer's. Name_� ' ' �� ' - � ; Krtchen�Smk� _ � j i. p +� �� -�' :' � �• -' ,' `= � • 'G Switches' �-- � I Tresh Compacfor � � � LenOer's AEGfess '. ' � � _ � � t r � p , . ._ , - . , � � �. � � ,' ; ' . � � � ' , . OWNER�BUI�OER DECLARATION� ' • v ' � " - ' - / r � LaVatOri25 ' I . � ' ' 1 � � :' ` - ' Garbage Disposal � . I ; I hereby�atfirm that I am exempt!Trom the�Contractor'S.Lltense law for the � ��. _ . � ' , ' �Ilowing reason (Section�7031.5 Business antl Professlonal,Cotla: Any tlty or P,T�ap� y � ^� t y 1 � ��� I; i GeneratoL �0;5 KW OS-75 KW ! � t � � i mty which'requires a permit4o construct, alter Improve; Cemolish'or repalr ' � - � - � , . , � ' � � � / structure; prior lo Its'.Issuan<e,�also raquires t{�e appltcant tor such permit Roof�;�reins �" �� � ' 'a �' _ � Transformer ❑ 15-50 KW . j ; ! i, S ; � flle a si9netl statement'that he/she I5 Ilcensetl pursuant to Ihe�provlsions of '' ' -' , ^' i - , � � xhe Contractor•s�License Law'-(Chapter 9 (commencin9 with-Section 7000) of t ' ' I �- �. � � - ' �' • ' .� ' �5U+ KW, � , �pein5pection Fee $15' � �.Dlvision,3 of tbe Busine55 antl� Profeulons Cotle); or. that. he/she.is�exempt � � Sho�iv"ers .�' ' � Reinspection P6e � p$15 ' ' - ' theretrom antl the` basis for the allegetl ezemption'. Any�violation-ot�Section . '' , ' ,' , '- Mete� ❑up to 100 ampi i �� � dssua Fee I � ' '$ 3 ' � '� 7031.5 by-any appli<ant for:a permit�subjects�the,appli<ant to a Nvil � � ' n . �:,; 1 �penalty of not more tnan five; hunerea eollars (5500): � ' �, ; : , Servlce Slnk � , '� � * ISsue Fee . ( ...$. 3 - � ' -- _ t i - — . � � y. • i i � r� � Zonin9 APProJed BY ' : : Date . . U I, as �owner of; [he �property or'my amployees. with wayes!as their sole . , � 1 � . I compensatlon' will:tlo the work, An0`the�structure�is not Intentletl or oTieretl ' i� - . � � � � -� �MECHANICAL - • � liotion A' roJed e _ � -3—�/= � t � for sale;(Sec{lon 7044; Bu5lness;antl;Profes57ona6.Cotle:!The�Contractor's � � �� � ' ' '�P, PP , Y � ' 'Uat6 , Llcense Law Ooes no[ appry [o'an ownar o� a property.who bullCs or Improves � Bo��ef ; � � � � � Refrigeration System j ; � � � � ' � �,Q �� ! ' � 1 3 'l���� � tnereon,�antl who tloes such-work hlmself/herself or through nls or har own � � � � �'. � . � � . ' Application Issued By " ��' � �Data , employ eas, provitletl that such Improvements are'not intentletl or oiferetl for � ❑0.100,OOOBTU ❑t00,0006TU� �.V�� ! sale. If, �owaver, the builtling or�improvement is ioltl within one yearbf com- ; ; Duct - Under Ground ! � � , , . ' � i � � � � • , � � Oletlon, the ownariwill have tha burtlen of proving �e/she tlitl not builtl or im- ' � ;'. . - � � � SUMMARV OF FEES i ; ' �ove for the purpose of sale). , ( � .. � � � � j Duct - Structural ' ; S stem Re air/Alte�ation � � I � 1 E � I , � . � . , . � ! � : , i � Y. P } 7BUILDING PERMIT $ : SMIP 7 $ � Ll I, as ownei ot tna property, am exclu5ively tontractingiwith`,licensetl <on- • � �� ! � � � � - � ,� �Ltrattorsio.constructthe�project.(Section7044,.eusinazsantlProtaszionsCoae:.'�.._�.Dutt�Ventilating _.�_, '.�.� ;,._ _... ' `^ �PIANCHECK� ' ' ; PERMIT ' _�_.,._-_--, . - -1--.., • , •. $ � � � i T�e Contractor's LlcenSa Law does no[ apply to an owner of property who � . . � � , - � - ' ! � � ISSUANCE ,$ � '- builtls or improvez thereon, antl who contracts for such projects with a' con- ! � Exhaust System ❑ MWtiple � � � �: ! � 1 . PWMBING I $, ' . � � � ' tractor(s) Ilcense pursuant to the Contractor's License law): - ''�'" S ' � ( - ; GRADING � f S� ' � ' � Y�am exempt unEer Sectlon ' � � B, & P. C. for thls reason ; Fiie �/Fact. BIL ICBO # � � � � � � '�, �FL..4N CHECK� � $ , ' / . , j � � , . � 4 [ , � ,, i f P . . . � � . , r I : '�ELECTRICAL - $ � �'�Tb : � 4 $ : } � Date ' O'wner? � i t � � J Heatin9 System & Duttin9 i , ; , i ' ; � � • � = I � 1 � � 1 .2Q t MICROFILM f $ � � , I-M1ereby certify ihat-I: have^reatl this appl¢ation�antl'StatectM1at th'e'above^{ �❑6100,OOO;BTU'0100,0008T -- - F"-"�"" i � �PL.P�N CHECK � $ � � intormatlon iz correct. I agree to compiy with all tity antl county ortlinances l�i 1 � �: . � ! � ~: • ' '� � � � I + � TOTAL FEE� �$ � 1 � antll;tate laws relatin o builtling construction,;anA hereby authorize repre- z i � � . , � !MECHANICAC ! $ F � � � � � sentatives oi �t :c ' te , the above-mentionetl pro ert for � HOod Or Type I ❑, ! f (. i ; ; . �. 1 � , inspection p e' , � i ti ; Cano T e II ❑i . I � : Reinspection Fea, $15 � }pLAN CHECK� : $ -� - � i LESS i � - � � : ' � 519naWre � - Builtling; �anary - Applicant; Pink - Accounting; Goltlenrotl - Assessor . ' , - C I , .. , r . _ _ _ -s ' _ . �. . . , , . . , � .. . _ a, , .:-� _ ., .. . �. , . . . . . � jCONSTRUCTION,AND,PLANNW� ' :'. �. . &SPA . � : �; • " Date ;Inspector • � Date - InspectoG - �APPROVALS } Permit#- � �' �� � ^ . � �APP,ROVALS �Permit� � � , � . ni ' .s �r � � i i.�- - - � - - • - ;`1< � emp'orary;Electr,ical Service or-Pole,--�- �' � • �� ` � ;,".r� 52.� Pool &�Equipment Location ;' ' ^ � ' . � : rA' ; � r. n c 's- - - -n��s �' ' ` • t ' ^ _'.. . � , - � . c 2! Soil'Pipe-Undrgrnd.' -b - �`t� i's; ' r ' - ,�53. Steel�Reinforcement- _ - - � t_'%.? -tit �. i-�! - i' - • � 3! Elec[rical Conduit Utilrtv Undrgrnd' � � � � � = s`"''-' 54i Forms �' '� "�-i �� _ � - `' ' - �s: ,. I � �'. 4[ Electiical Condwt-Undrgrnd � �{', ` = � =� '?o i�;. - 55: Elec[rical Bonding�- . - - .�;,,. 1 . 5; Steel,Reinforcement � � � 1 �' ` � "x� 56.� RougtiPlumbing.&Pressure�Te'st b ` " '�� � r . t -ti�i5� �r �','�� J-3_IS.�.: t'�� 6. ;Electrical UFER Grnd: �'�� y}` ^ - � o.: � ,,r�. . 57. APPROVAL�70,COVER-GUNITE> - `' _ -; 7. Footings ' '. ' S �:+. - y' •-q -. -/S $3' �� : 58. .Elec[rical Cpnduit=Undrqrni{.9� � ' - ti i 8. �Foundation� _i �� 1 � +' j � � ^ � ' � ; ��,r q3' `' - � } '�.59. Gas Pipe, ��'Uridrgrnd., Test". �. - ' - ' : � ' �p .`;.��'. �- . 9. � Water Pipe;Undrgrnd. � � u � � j � � - l� • 60. Backwash Cines, P-Trap,�O Und�gmd. ;':•� �`- -, - � . 10. Structural Floor System 4'^' �, 61. APPROVAL' TO DECK' • `' i� _ S¢m.8=� 3-/s- - � 11. Property Sewer Line &;House°Connectioo ` � A r � -�,;� � �. gackwasb &�� Receptor-Final - � = � • �, •' !, 1 i t� - 12. Se'wer Cap � i .-i . " • s ; �. . . ' . ,� : . . '__! ti _ '63. Heater &�Vent-Final , + 13.'Roof�Drains I . � � `�`� • �; ` ' . • . . - .. �. - ' �' . ��� , �. 64. Plumbing.SYstem - Final � . - u_, •, _. ;, 14. RoughPlumbingt�: . � �y � - - ;�65. Electrical=Final' --� � � �`' �� � " - .`t5i�Rough-Electrical•Conduit�-'-... -?� T'-� ; •'�i !"-I��;66.fSolarSYstem-Final'."..f...-_. _ _, ..W ,_..._ � � �'d16,;Rough-ElerfricWiring , � � �� .�i �imi '�� i �.��"�"r; :-�'�, , 67. Fencing&�Aoce'ss;Approval �: -%'"�� � �� _ � "" � 7-7: Rough'Wiring Sign`? . 'm � ' t' �' ''' � ' �:- � ` gg� APPROVED FORrPLASTERING :-� ' - ' : s ,c _d " i � � a t � ' . , . _= � 18.� Rough`Electri`caf T,Ba[ Ceiling �'� {; � � _ ( � ." ; , � 69. POOL/SPA SYS7EMS_FINAL , • ' ; i : � :.- - ,. . 19.''Rough Heating & Air Condrtioriing i� � : � L � � �� � �FIRE DEPT?REQUIREMENT� . • i � : � ; , i.' : �0".�Roug�Fa�ctoryFirplace � ���'„ � � i t � , � ; APPROVALS Permif# t� � ` ' `'" � ^ , � , . . � . ; � , ,� � � � : f 21. ;Ducts, in Structure; , ' � ', - �' � 1 I � � � { �70. Underground Hydro ' , • !� n�.- '� � i,. ''22.-Ducts?Ventilating ;-;: �� ,:�,; .� j 3 J�' 71.� Product Piping O Gas Q Oil � � � 4' 23: iGas'Pipe-Rou9h & Test � : I " ' 4 7-.� -�- � �-:-�-�- *- -� -. .. - - - - --- - �- - .-- - -- ---- �, _ , �j�; , � � 72. Undeiground Flush , � ; . � �-24.'�Foof Praming, ' �� '' 1 ��` ;;`_:�r }:� � "� � - 73: Undergmd.StorageTank p�Gas ❑Oil � � ! � i. � . �: �.; . , . . . . g . 25. �RoofSheathing. "" � � �i i � = � o � (� `�/ - 74. Overhead Hydro � _ . . .; � - 26. �T Bar Ce,iling (Structuralh & Monacoat� � . � i ' ( �s' 95: Dry Chemical � -, ': ' ' � , . ,- : �' 2Z: ,Frame �and'Flashing� - ; i � , ' . ,-� 83 .��' ,76. Dry StandP�Pe , � � ' , ' �.. , . � ^ .28.. Cething & Siding� `+ :� , ; ��i,; � �� '',�;� /Ir 77,. FIXED SYSTEM fINAL. : � � � 't 29:ilnsulatlon" �' ' . { t /� �_ � 78: FIRE PREV. FINAL � . ; , � � � ' �' -30. Drywall Nailing �'� ` �� ; ! � �3 'jy� Notes: :��_' �" � . . .. � - � - � . . . _ - . yl3L �Plaster �Brown Coat� f`'`� j 1 •I i� - -� - . .! S-3-$3 �'� �, � � `32.iElectrical�Power MeterFinal � � �� � � t ' ' a � � 4 ���' n ' - 33.'Final Electric � � ' � �` 'I j � i � � ' �^ ' � Q " ` � ' � M34. Final Heating &�Air Conditioniny i � � -� • ; ��J � "I'�1' F1� 1 35. FinaPGa's Pipe=Tesf �' � f %� .� ��. !., ��: , .T , - ' . , - . /^.� i' . n� . � 3- el ' U• 36. Hood,or�CanoPV��� c �i. ; -i� • � �: ; � � . � , ' . � ... .. � - ' - i 37. Final Fa'ctory Fi ePlace^, � i i �ol : J � ' I � ' � � . . . ' ' � . �� � .� - :. 38. Final.Plumbing � ;:� � 1 I � �� . ' I ; i. • � S ' . ' ` � � " ' , te' ' - >. i . 39. WaterSe�vice-Firial:,`�� � ' . � � I ' . � ' 1 - .i: si;. � ni.. i �.! '• 1 � 1, I {� I. �, - .,, �:... , . . - � . . 40.' Gas SeivicA-Final �:: C � i'i' ' � � � � . � � ' • . � i� � I I 1 r• t ' 41. Solar D'om�stioFinal ' ' ' ! ' � ' � � - � ' � - �- �-- +- - --%---•- -� - . � � _ , � .y,.. �.-: ..� � � . .. .. . . , . __ _ ._ . _ . , . . 42. Backflow, Preventer T � 1 :�y-' � � . ' I . � ' ' . . , ''. , � ,. • ; � i "i � �, - i'-'} . - -'..__.._' ._ _ ._r. _.._�� . - �'f-' ' . i„ � r i � . � -_ � . � ::;- :.� � ' . � i , . ' .i . - . 43. Backflow, Irrigafion ':.I � `;: i - . ;+ t `� ,.;� : � . r:� . r. � '- : tr ' � �iu � ''.. - -� 44. Landscape\Irri9ationSYstem �� ' �•;� � ; ' - � � ' , � . � . � � �' ' s -. - � 45. Sound Atienuation �. �„ C { �- � _ :, � - *' "�-' ! �.� - 46. Handicap Regulation4 � .� � _ ; � `' ' ' � � i � . '.I � P ` . , - � � � ; , , t . i � i x ; i . . . 47. FINALSTRUCTURE&BOILDING. �:-' � ' ' � ` ' ' ' . � , i + � � i . � � , -/7- 83 l �� i i . 48. Special Requiremeilis Completed`. Q { � {�� '� ' � � t ' , ' � ' � ,, , , . ., 49. Elec[rwc Release�o�Edison- I ; j � ; � - h -- - •f- +- - - ' - � � . ' ;, � . . . _ � 50. Gas Release to Southem Califomia Gas Co j � 1� j ' . , . I � � ' ;'� � ,� � � i i 51. CERTyFICATE OF� OCCUPANCY � : } __;_ F_� _ ._� _ ' . .. ' . _ , ._:, - • � „. . ' . ; , � z' � `� ,� No '� ! ' Date, � � � 11 ; ' . . . . ,. . . .1 � , 5Q4 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 - COSTA MESA� CALIFORNIA YY626 For Appl7cant fo Fill In Comp►e �y / TYPE R PRINT BUILDINO ADORESH - COSTA MESA, CALI RNIA ownER Swan Conatructors Inc. ADDR88i 1 Front Street ' errr S&n Di.e o C3lif. rTiEo 2- ARCHITEGT , n .. .. T!L �+� � r + Y Y6TOACF ii Ave. � Y ��1 I NO.O►�LDO�. aFr 6.34� I Riarrr DESCRIPTION OF WORK �srzeLD1NO 18 EXTERIORWOLL .� wortK To ee '� 1 HER6BY ACRHOWL6D0[ TNAT � NAVB RHAD TMI6 APPLICATION AND BTATH TXAT Tf6 AlOVI �O CORRlCT�AND AORB[ TO COY. PLY WITH ALL CITY OpDIMANCt� AND�T AT{ LAWY R{OYtATIXO BUILCINa CONBiRYWION/t / A PERMITT6�L AUTHORIZiD AQ[NT SFP 25-67r�=1°O�? 694�: .,� .;:99 �U ��ii(4 APPLICATION FOR PERMfr BUILDING Por Off1ea Ute Only ZONING xo.or uaa ■uxs � e� N0T6: NO GV6 OV [RHANQ $HALL B8 Ll88 TXAN 90'T081D6GRiARP.L ' HAVES ALLOWHD CU.B.C.REqUIR6MENT1 -.- - YARUBMPROVHD . � VARDeAPPROV80 MAIN BUILDINO AGCH880RY BUILDIN6 3 VAR. # DATE C. U. P. - ' APPR APPROViO n . I I., V- ii J ! i �, � a w � ��3�i eQ. Pr. �G �' - � � 0 TH6 11MOUM OHOWN HD6P VALUATION IB FOR TXB j PURPo96 OP 68}ApLIBHINO A PEPMIT P88 ONLY. 5 VALUATION � 6 — � PERMIT FEE s ��69� 3 3— w TOTAL FEE S / �