HomeMy WebLinkAbout3015 CLUB HOUSE CIR - Building Permits'L'
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- . - - -. - - . . . . . - Applicanl to fili in all s0aces except tbose within heavy Dortler �ines anG sign all apPropriale Eeclarations. - - , - - -- - - - - -^ --� �
CITY OF COSTA MESA ' � CONSTR UCTION PERMIT � PERMIT NO. TRACT.NO. ' LOT NO. . UNIT NO. ' - '. . -' . � � '� , �
�'b.o)ect4ddress 3.�i7.�� !'.1..VL�. Fffl�S� P.(���"- ��3a� , , 1956 3/eB/86 , j=�oBC Tl
Applicant'sMdilingAddr¢55�'��7� � �-J✓«V�L� �'��' TVPEOFCONSTRUCTION . NEW' ADD' ' ALTERATION .REPAIR� ' �
- ' ❑ CONVERSION-� DEMOLISH ❑ OTHER Ap.# : , � . . '� Zone .
Owner's Name ' 'Phone �� •. DESCRIPTION OF�WORK/USE OF BIDG. ' ' f
. Aildress ' - � � ' ' � � � S MainBuilding: -� � � �Accessory.Building: . �-
Arch/Eng., _ ' � � � ' License No. ^ � � ', � TVPE OF PERMIT � GRADINGl: O� FOUNDATION �❑ STRVCTURAL � T Front�- , T � � : Q.
. Add�255 � � � � � �� � �' . , . ❑ TENANT. � ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear � { _ _ , - . •• N�
' Contracmr's NamP �[,�w r�G L �(.�C Phone�_' L—�i� -� � Q �OTHER � ' ' ' A - _ . . � :
PROJECT�DESCRIPTION Sq. FT. � • ocCUaarvGv C Right . N� �
Address (mailin9) � , 70, 1-%^ �C t�'i �UGG IZ , Z - �� . K Left .. , ' � � '-'�: G
ry �j ' � - 1 CONSTRUCTIONTYPE ;�VALUATION$ S , ' . .' R
� City,Lic¢n52N0. J J -/ � / 2pNE� ' �� GRADINGCU.VDS. � ACRES' - � -
LICENSED CONTRACTOR�DECLARATION � � - Ping. RBf. #' i � Pa�king Req./P�ovid¢d, ' " E. '
I hereby aftiim thatkl am licensetl untler provisions of Charter 9I(commencing Remarks: L! ����G% h% � t T � �� PldOning Not¢5: ' � � ' � • .� M
wi[h section ]000)bf,Division 3 of tne Buslnessantl Professions Cotle,antl '` T
my license is in f W orce antl effect. O�
' License CIa �� , ce �� � y , � . , , S' ;
oate�=� Signatur y� . V, ' . . . PLUMBING FEES � � , ' � � .
woaKEaS' c0 PENSATION DECLARATION � Ba� Sink . � Showers � � � ELECTRICAL ' ', ' FEES
I herebgatfirm that I M1ave a certificate of consent to self-insure or a certificate �
�ot� Workers' Com� ensation :Insurance,-or' a certifietl' co ( ' �- � "� - � ' ' - ' ' - ' - - - -� -�� ' � -' - � � �
P py thereof Section ' Backflow Preventer Service Sink� '
3800, Lab. CJ, _ _/ _ I Automatic Washer' , Transformer ❑ 15�50 KW ' '
•",.;. PoiiBy No�� �ompan Backflowlrrigation � SewerCa � � '� ` - � ❑ 50+KW �
❑ �Certifietl copy is hereby.fumis � . , ' . � P � : Construction Pole Sub. ' � �
���ertiil tl co i filed with th tlin oivi n Bathtubs Sewer Connection Cooking Unit' Meter ❑up to 100 amps
D�4�__ APP�� a � '
EX PT ON ROM WORKERS' MPENSATION DECLARA Clarifiers . �. ..� � . _ � . Solar Collectors _ � . - . _. Dishwasher ' - - - Meterv Oover 100 amps - � - - - -
(Thissec[ion neetl not be cOmpletetl it the permit is tor one•hundred ($100) or , . . .
less). ' _� i �.. ' Dishwasher . Solar Pipin9� . ' Dr ers ❑Gas ❑Electric � ' �
I certify. that'in the perforrtlance ot the f wM1ich this perm�t is issuetl I' Y, Sub Pdn¢I i
shall not employ any person in any an r to become subject to the . Drinking Fountains ; Solat Tank : � � ;' Fan � , Motors DO-1 HP �1 %-.8 �
Workrls',Cpfnpe ept' n LawS of Cali . . ' , - � � � � ;
DateC- 1 I�Si9nature � ' Floor Dreini Swimmin Pool wIS a � ' t � � ' � Inc.Solar �9-15 HP �16-15+
'NOficE��✓ af[er making this tlecla�ation, you ultl become subject to [h¢ 9 P F.A.U. �
' Work¢r5' Compensation prOvisions of t�e"Labor Cotle,-you must torthwith' � FIOOf $inks � . U�iOdl � + � ' � ' �
comply with such p�ovisions or thiz pErmih shall �be tleemetl revoketl. � FiztU�25 MiC�OWav2 �
CONSTRUCTION, LENDING AGENCV ' � • � ' � GaSService, -.Outlets . WaterCl05et ' � '
1 hereby.aftirm Ihat Ihere is a mnst�uction I¢ntling agency for the per/ormance � - Devic¢ BOxCS POI¢ Liyht '
ot the work Por �whiCh th15 pe�mit 'is' i55u¢tl (Section 309] Civ.'C.) Inteiceptors� . ' Water Heater' - `, �� Outlets � . � �
Lenaer•s Name � Range . .
Lentler's Atltlress I � - � Kitchen Sink ' ��4 � " 1 {Water Service . � Switches, � ' ' '
OWNER BUILOER dECLARATION ^ ' �' � � ' - - � � Sign �
� }
I he�eby affirm that I am'exempt from the Contracto�'S License Law fo[ the LdvdtO/i¢5 � AuLO�WaSh � � � � � • � '
tollowin9�reason (Section 7031.5 Businessantl Protessional cotle: Any,�city'or � � Gar6age Disposal i � , Standing Sections �
county wM1ich requires,a p¢rmit to construct, alter, improve,�Cemolish Or repai� _ p_7�a - � " ! - , � � � � , � �
P ,.Laundry Trays: � Generator �0.5 KW �5-75 KW Trash Com actor '
�any structure, prior to its issuance, also requires the appiicant for such permit P
to file a siqnetl statement that he/sbe is licensetl Ourouant to Ihe provi5ion5 of ' ' ' . _ � _ -- � -
Roof Drains .�,1 ,��. �
, the Conttaclo�'S License Law (Chaple� 9(commencing with Section 1000) of ' ' - � �� '�
' Division 3 of the Business antl Protessions Cotle) or tnat he/She is ¢xempt �. - • _ , _ �
4her¢from antl tM1e ba5i5 tor the allegetl exemption. Any violation of Section ' ' ' ' - - • - ' . . , ' � •
�031.5 by any applicant for a permit subjec[s the applicant tb'a civil •� •� �- �
_pe�ditybt nat more than five huntl�etl tlolla�s ($500). � - ' J ' 1 ' ' _ � �p ��3 � ,
❑ I, as Owner oi the property oi my°employees with �wage3 as their sole R¢inSpBttion:F¢B^. ,$15 ' IsSu¢ FBe" - $ �
-compensation, will tlo the work, antl the structure is,not intentletl or ofteretl ' ' �' � Reinspection Fee $15 , Issue Fee ' ' $ 3
for sale (Section 7044, eusiness�antl Protessional Cotle: The Contractor's' __ - ,� ' , 'MECHANICAL ' � ; . - FEES � ' �
. License•Law tloes not apply [o an owner of a property who builtls or'improves ' , _
thereon, antl' who tloes such work himself/herseli or rnrough nis or her own , � •� � • DEVELOPMENT SERVICES REQUIREMENTS: . '
employees, provitictl that such improvements are no[ in[entlee or offeretl for • � BOiICI �' � HOOd Of Typ¢ I� ❑� � � '
sdle. 1f, however, the builtling orimprovement iz soltl within one year of com- ' . Cenopy Type I I ❑ �. Zoning Approved By ' Date
pletion, the owner will have the burtlen of provinq ne/she tlitl not builtl or im-' Duct - Under Ground � _ . ' Building Approved By' � Dat�
p�ove for the purpose of sale). ; � � � - �
❑ I,�as owner ot the o�ooerty, am exclusively contractin9 with licensetl con- Duct-Structurel �� +. Refrigeration System ' ° � Appliption Issued By Dat
trattors.to cons[ruct the project (Section ]044, Bu5ine55 antl Professionl Cotle: - , �
The Contractor's License .l.aw does not apply to-an.owner ot'vroperty who_,- Duct - Ventilating� - -�0-100,000 BTU�0100,000 BTU � ' � , ! SUMMARV OF FEES
builtls or improves thereon; antllwho mntracts for Such projects with d com � ' .
tractor(sl Ocense pursuant'to rne Contracmr's Llcense Law). I am aware that' Exhaust System ❑ Mul[iple ❑ System Repair/Alteration �� � BUILDING�PERMIT $� SMIP �$�
proof of tneir Worker's Compensation insurance shoW/��p-�/ rovitletl to me. p�qN�CHECK � .$� PERMIT �
i am exempt untle'Section B./a.��, f�r this reazon FirepVFact. Blt. ICBO # Fire Dampers ' ; PLUMBING $' � ISSUANCE �$'
Y!
^ �'� ' ' � Heating System & Ducting � Registers � PLAN CHECK 25%• $ ENERGV P.C. � $ �
I hereby certify that l�have reail mis application antl�state at th¢ above � � ❑6100,OOOBTU�Ol00,000BT �� ,GRADING ; S�
into�mation is correct. I a9ree m wm ly with all city antl county ortlinances i ' ' ELECTRICAL :$
antl state laws lating to builtling truction, antl hereby authorize repre- ' � � � � PLAN CHECK 50% ' MICROFI LM ,$�
sentaliv¢s oL s tit t he above-mentionetl O�o ert fo� � � ' ��' � � '
inspection p oses. Y � P � ' /� P� � � , MECHANICAI . $ � SOTAL FEE $ ��
Signdture !/�� � $ f
Reins ection Fee $15 Issue Fee
D�ivers'.License or 55 � P _ � ' $ 3: P�AN'CHECK �25% ' .
♦,mr v000 o, ev. 1 V/a4 wnile - nuuoing; Vanary - HPPIICdpt; PIOK - HCCOUOtIng� GOIQ¢OfOO - q55¢SSOI
,� ��
CONSTRUCTION AND PLANNING � POOL & SPA .
�y �
Date1.1 Inspector � Date� Inspector
� APPROVALS Permit # � ,j.� APPROVALS Permit # , -� .
�.! 'i
' 1. Temporary Electrical Service or Pole� rr �%4' _;r 52. -Pool & Equipment Location ' 1 �,�
2. Soil Pipe-Undrgrnd. ,! ,�� ' � 53. Steel Reinforcement - - �. .�'
3��.Electrical ConduitiU4ility-Undrgrnd� ' �r +�+ 54. Forms ' ` � ,�n
4:'Electrical Conduit-Undrgrnd. ' �" 55. Electrical Bonding �� %�
5.SSteel Reinforcement� ! � ��� � 56. Rough Plumbing & Pressure Test �'1
6. _EI ctrical UFER Grnd.`� . ��! . ','y� rt,_ 57. APPROVALTO COVER-GUNITE "`.?� .:'� �''
`�.
.7:-Footings '�� �-• � � •� 58.- Electrical Conduit-Undrgrnd. � ' �
� �
.t v � �i !'
8.,Foundation '� : " r �� �; r� ; 59. Gas Pipe, O Undrgmd.,-Test 1
9. �Water Pipe-Undrgrnd.� f "1 .�„ .� 60. Backwash Lines, P-Trap, O Undrgmd. �,� '
10. 6tructural Floor System �' �� �/`t+ 61. APPROVAL TO DECK �� 'r�� , �
11. Property Sewer Line & House Connection i� '�` „ -
, _� _ J r �5 � 62. Backwash & Receptor-Final J�,:f' h /� �
12. �Sew'er Cap �.' �� - •� �� � � '� j,' � 63. Heater & Vent-Final � ,�`"� v'
�� . l
i
13.; Roof Drains � � �� 64. Plumbing System - Final .• �� "�
14. Rough Plumbing _� r.+ 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 Electrical-T Bar Ceiling^ ' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Condi2i.oning , FIRE DEPT. REQUIREMENT . �
�
20. Rough Factory Fireplace . , APPROVALS Permit#
21. Ducts, in Structure 1 70. Underground Hydro :
22. Ducts, Ventilating 71. Product Piping OGas •.00iI
23. Gas Pipe-Rough & Test � � 72. Unclerground Flush � � � �
24. Roof Framing ;i ., . 73. Undergrnd.StorageTank OGas ❑Oil . '
�25. Roof Sheathing � . 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. FrameandFlashing � . , 76. DryStandpipe _
28. Lathin & Sidin � � � � �� `
9 9 77. FIXED SYSTEM FINAL � .
29. Insulation . � 78. FIRE PREV. FINAL 1
30. Drywall Nailing �..� HEALTH DEPT. REQUIREMENT '
31. Plaster Brown Coat � . 79. FINAL INSPECTION -
32. Electrical Power Meter-Final.h � S0. FOOD CERTIFICATE ISSUED � '
33. Final Electric j� Notes: .
34. Final Heating & Air. Conditioning . �
35. Final Gas Pipe-Test _ , . ' ' �
36. Hood or Panopy ' � � � . . . �- - �
37. Final Faaory Fireplace � . " ' _ - �
38. Final Plumbing � . - �
39. Water Service-Final� ' ' � -
.'.r -
40. Gas Service-Final ' -
41. Solar pomesticFinal � ' ' ' ' � - '
42. Backflow Preventer �
43. Backflow Irrigation � � ' ' `�
�
44. �Landscape Irrigation System � ,;a
45. Sound Attenuation � ' . �
i.
46. Handicap Regulations " . • '
i
47. FINALSTRUCTURE&BUILDING ,�,
48. Special Requirements Completed � • -�� . - „
r.
49. Electrie Release to Edison _ . . _
50. Gas Release to Southern California Gas Co � ' ' �
;�
51. CERTIFICATE OF OCCUPANCY � ' ,
No. Date � � ' '
�
�
`'T I
o�ecT'booeess: 3015 CLUH HOUSE CI
owxensr+aME: BENNETT PAUL A TR
AUOflESS: 3OLS CL�JB HOUSE CIR '
COSTA MESA,CA 92626
APCH/ENGMEEB:
FOOFESS:
HEG.NO.:
UNIT:
uNiT:
renminec: pETERSON ROOFING ( 714 ) 979-7111
aooxess: 300f ENTERPRISE
COSTA MESA CA 92628
LICENSEO CONTFACTOB OECUIBATION: I hereby alfirm Ihat I am Iicen5e0 untler provisions at Chapier 9(commencing wilh Seclion
7000) al Oiv��sion 3 0l ��e Business antl Professions Code, antl my license is in full force antl e��ec�.
ciTvuc.:095945 srareuc.:607872 cuss: -_
Daie' � � � Signaiure: _
WONNEBS' COMPENSATIO i OECLAflATION: I here0y alhrm �hat I h ve a certi�¢ate o� con5eni to sell-insure or a cehifica�e ol WOBers'
ComDensalion Insurance. or a reriified coDY �hereol (Seqion 3804 Lab. C).
Poucvxo.: NC3501565 E%P.OPTE: Qj/zO/JS
comraNv: REPUBLIC
J Certilietl copy is here0y fumished. [� Certi�ietl copy js, liled with �Ae ' ''n Oivision.
Al
G K _
�at¢'. ��� 1� APPlicanl: W-G LZLA 0
EXEMPTIONFBOMWOFREXS'COMPENSATIONOECLANRTION: (Thi dionnee0no�betomDleleOillhepermitis�aronehundre0($1W�arle55).
I cetlity Ihat in �he pe�ormance ol Ihe work tor which this permi� is issued, I shall not employ any person in any manner so as to become
subleq �o Ihe Workers' Compensa�ion Laws ol Calitomia.
Da�e: Signature:
NOTICE: I�, atler making �hi5 4etlaraiiaq you Shoultl becOme suble�� �o �he WOrkerS' Compensation pmvisions oi ��e Labor
Cotle. you mus� Iotlhwii� comply with such pmvisions or Ihis permit shall �e tleemea revoked. �
CONSTBOCTION LENOING AGENCY: I hereby afhrm �ha� Ihere is a con5iruction lending agency tor the pedormance ol the work for
wAic� I�is permil is i55ue0 (Section 3097. Civ. C).
LENOEfl:
A�ONE55:
OWNEB BWLUEN OECLABATION: I hereby attirm Ihat I am exempi Imm ihe Contractors' State License Law tor Ihe �ollowing reason
�Section 7031.5 Business anA Pmlessional Cotle: Any cily of county w�ich repuires a permit �o constmc�, al�er, imOmve, tlemolis0, or
reDair any S�mcWre. O�ior lo its issuance. also require5 Ine applicani br suc� permi� to lile a signetl s�aiemenl ihat he/she is Iicense0
pursuam m ��e pmvisions ol I�e Con�raclors' S�a�e License Law (C�apter 9(commencing wiih Section 7000) ol �ivision 3 0� Ihe Business
and Prolesvons Cotle) or I�at he/she is exemp� Iherelmm an0 Ihe Dasis for ��e allegetl exemp�ion. Any violation o� Seciion 7031.5 by
any appllcant for a permit su�lec�s Ihe applieam ro a civil penalty of no� more than five hundretl dollars ($500�.
I, as owner al Ihe pmperty or my employees with wages as �heir sole compensation, will tlo ��e work, an� the
❑ slmcNre is not intenaetl or oifere0 br sale (Sec�ion 7044, Business and Pmfessional CoOe'. The ConlradoK S�a�e License Law
does nat apply �o an owner of a property who builds or improves thereon, and who does 5uch wo�k himself/herseli or thwugh
his or her own employees, pmvitled that such improvemenls are not inieneetl or oflered far sale. II, howeve� Ihe builtling or
impmvemen� is 5010 wiihin one year ol completion. ��e owner will have �he burtlen o� pmving he/she Ai0 nol hui10 or impwve
lor ine purpose of sale).
I. as ownerol Ihe pmperly. am exdusively comracting with licensed coniracmrs lo canslmci �he prole�� (Seclion 7044, Business
❑ an0 Pmfessions CoOe: The ConVac�ors' State License Law tloes not apply �o an owner o� pmpetly who builOs or improves �hereon
and who contracis lar such proie��s with a coniractor(s)license pursuam m ihe Contracmrs' State License Law),I am aware
Iha� pmol of iheir Worker'S Compensation insurance should be pravitled lo me.
� I am exemp� untler Seclion: B. 8 P. C.
lOr �his reason�.
oate: Ownec
I do here�y cenify �hai I am aware ol and untlerstantl Ihe requiremenis of Calilomia Heal�h and Sa�ery Cotle S¢ctions 255Q5. 25533, anA
25534 and that I or any luture building ocapan� will/will no� (circle one) neetl �o comply wilh said state cotles antl Ihe reQuirements for a
permi� �ar canstmction or motlilitaiion imm Ihe Air Oualiiy Managem¢nt �istriCl. ReSiUeniial consimciion applitalmn5 are exemp� irom
Ihese provisions
Oale'. AppliCanl'.
I hereby cer�tlY�hai I have reatl Ihis applicalion antl sta�e ihat �he above informa�ion i5 wrrecL I agreeio comply wi�h all cily and coun�y
Ortlinances an0 Slalelavrsrelalingio builtling canslmClion ana ereby aNhOrizerepre5 latives oi�his ciryto enter upon�he above�mentionetl
pmpetly far inspeclion purpases.
Date: l L Signamre:� �
Driver s License or Social Seariiy
i64v46 Wbue—Builtling; Green—Cotle EnbrcemenL Canary—ApplicaN: Plnk—Revenue: Goltlenmtl—Assessor
CZTY OF COSTA MESA — BCIILDING PERMIT PERM NO; B 067116
PERMIT NO: B 067116 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; REMOVE BIIR s REPLACE W/BUR SQ ET: 2,091
CLAIM VALUE; 2,091.00 CALC—VALUE; 2,091.00 GROUP OCC; R-3 /
COMMENTS: SMOKE DETECTORS REQUIRED PER 91 UBC
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Z O N Z N GS ERTEBQAUCIKRSE M E N T S
------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGAT; FT IN
PARKING REQ; PROV: PARCEL: 13951538 ZNE; REF NO:
PLANNING NOTES>
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L� 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 HY: DATE: �L"�f �`l,-
iE i:� �fE iE iF iF iE jE fE if N if 1f ff iF �E i! jE fE iE iE if 1E ib �lFlE iE iF ih iE 1E iE�'iFiFiE 1F
if iE iF iF aE if IE 1F 1f 1f �E fF iE iF if iE iE iE iE K 1f 1k * N� iFlE ff �f fF i4 #f iFlf if if 1E jE if iE if iE 1E 9E af �F iE iE iE if 1E if jE if jF 1E �E iE �Flf if 1E iE if !k jf if iE iE jE iF 9f jE if df iE if iE aE iF
LEGALIZATION:N F E E ��S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 '?� .50
,� '� SMIP/NON—RES
PLAN �'
I5SUE FEE '�
BUILDING—DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAZL� DUE
TOTALS----> 54.50 0.00 ;� 0,00 54,50 59.50 .00
i`
REVENUE DIVISION TOTALS--> COLLECTED; 54.50 OVERl5HORT; ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 ,50
*rt�-******x�*�t**x�******x+�i�-*i�*+ex�*x�*� �+�*+�x��r**�r�x�******�r�r*�r+r****+��-*ic-x-**�r�-**u-**�-�r***�-
I N D I V Z D U A L F E E H R E A K D O W N
u'y
TYPE QTY Ct E S C R I P T Zr0 N UNIT COST TOTAL COST
SFR 2091 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 2,091.00
END OF FEES
� '
rl
.
^1 0016Q245-00160246 T�Ci T g4,5Q
DATE: OS/10/94 TIfIE: 15:32
�
� CONSTRUCTION AND PLANN(NG "
APPROVAIS Permit # Date
t. Temporary Electrical Service or Pole .
2. Soil Pipe-Undrgrnd. � ''
3. Electrical Conduit Utility•Undrgrnd. '.
4. Electrical ConduiT�Wndigrnd. �
5. $teel Reinforcement �
6� Electrical UFER Gmd
7. Footings
B. Foundation - , . _
9. Water Pipe�Undrgrnd. �
�
10. Structurai �loor System '
11. Property Sewer Line & House'Connection .
12. Se,wer Cap - -
13. Roof �rai�s � '
14. Rough Plumbing �
15. Rough Elecvical-Conduit �
16. Rough Electric Wiring
77. Rough Wiring Sign
18. Rough Electrical-T Bar Ceiling
79. Rough Heating & Air Conditioning
20. �Rougfi Factory Pireplace
21. Ducts,i� Structure �
22. Oucts, Ventilating • �
23. Gas Pipe-Rough & Test
24. �Roof Framing • '
25. Roof Sheathing s y.3_c� t�
26. T�Bar Ceiling IStructuraq & �4or.ocoat
27. Frame and Flashln� ' .
i -
28. Lathing & Siding• � .
29. Insulation � �� '
30. Drywall Nailing -
37. Plaster Brown. Coaz
32. ElecVicai Power MeterFinal �
33. Finai Electric ' -
34. Final Heating & Air Conditionino �
35. Final Gas Pipe-Test
36. Hood or Canopy . � �
37. Final Factory Firepiate � '
38. Final Plumbing
39. Water Service-final �
40. Gas Service-Final
41. Solar pomesticPinzl
42. Backflow Preventer
43. 8ackflow frrigation .
44. LandscaFe Irripation SYstem �, .
45. Sound Attenuation � ' �
46. Handicap Regulations .
P0. _ & SPA
Inspector AppROVALS Permit # Date
52. Pool & Equipmenc Location
53. Steef Reinforcement
54. Forms
55. Electricai Bonding
56. Rough Ptumt�ing & Pressure Test
57. APPROVRL TO COVER-GUNtTE
' 58. Electrical Conduii�Undrgmd.
59. Gas Pipe, G' Untlrgrnd„ Tesi
60. Backwash Lines, P�Trao, C� Undrgmd.
67. APPROVAlTO pECK
62. Backwash & Receptor�Finai
63. Heater & Vent-Final`
S4. Plumbing Syscem - F�nal
65. Eleccr3cai�Final .
66. Solar System-Final
87. Fencing & Access APproval �
68. APPftOVED FOR PLASTERING
69. POOLISPASYSTEMSFINRL
FIRE DEPT. FEQUIFiEMENi
APPRO'VALS � Permit �F-
70. Underground Hydio
' 71. Product P�ping OGas ❑ Oil
72. UndergroundFlush;� -
73:' Undergrn�. StorageTank i! Gas ❑ Oii
4(y�i 74. Overhead Hydro � .
' 75.'Dry Chemicai �
,,' 76. DryStandpipe . �
77. FIXEQ SY�7EM F1NAL
78: FIRE PREV. FINAL
FiEALTH DEPT. REQUIREMENT
79. FINAL INSP@CTIpN _
� •80. �FOOD CERTIFICA"fE ISSUGD
�Notes:���!/ u��� e�i� �I e
47. PINAL STP,UCTURE & BUILDING 5=3l-RY, Ew
48. FINAL PLAh7NING
49. Electric Release to Edison "
50. Gas Release to Southern Caiifornia Gas Co
51. CERTIFICATE OP OCCUPANCY
tnspector
pate � � � i,
a
�
�
ADDRESS
or
FIRE ZONE VAL
Date� GROUP I&J TYYE
��G'"— SUBCONTRACTOR
PF,RMIT
' ��� ��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.0.90%91] COSTAM86A.CALIFORNIA
For Applicanf fo Fill In Complefely
, � TYPE OR PRIN7
COSTA MESA, CALIFORNIA
owr,ea Mesa VErde D�v. Co..
AD RE98 2850 Mesa Verde Dr.
�,t,. Costa Mesa ' No,
wocHiTecT �,Kaltenbachq ,T,E,�
rv�iniww
Same as Owaer
�STATE lglg22
LIC. NO.
S�ZE 26 x 70
OF LOT
USEOF ��_��__
EXISTING BLD6. '
6ETB�CK LIN[ FROM �
NO: OF 0LO08o
DESCRIPTION OF WORK
x �� � , �
1500
Res.w/att.Gar
6 2
8TOR168
�� Builtup
FEE RECEIVED
, �EB 25 1965
FINANCE DEPT.
��TY Of COSTA MESA
APPL ATION FOR PERMIT
BUILDING
For Office Use Only
R6cHIPT NO. �
h
N[CHIYBD eY OAT[ REC¢rvED � DATE 19i
✓T �-1:5—�5 M,a� 4
BUILDIN6
ZONING
ZOfi[ NO.OP � U860FNEW •
R4 PLAND /l BIIILDINO att p$��Ab
� o •••�
CeeCRIPTION �t 3a Tract 3660
A. P.-NO. ' IIOnF.
NOTE: NO6AVEOV6RHAN66HALLBELE83THAN
90' TO 8IO6 B REAR P, L. '
EAVES
ALLOWED ' <U.B.C.REQUIREMENT
YARDSAPPROVE� YANDSAPPROVEO
MAINBUILDING ACCESSORYBUILDIN6
fFROMGLSTREE'0'1 ..n 1 il r. n
R. SIDE O p7,
L. SI�E � iT,
Rewn � �.
DIBTANCE BfiT. BET.
MAIN BLDGB. ' ACCE
VAR.# . DATE
iOLU FOR St'c�uh K��1���•
See permit on t 1 Yor
so. �.
440 �
i HEREBY ACKNOWLE�02 TN�T i NAVE PEAO THI9 �PPLICATION THE �MOUNT BXOWN UNDEq V.�LII/�TION I6 FOR TH8 F
ANO STFTC TXE ABOVB IB COHNECT AN� A6R6E TO COM• PUnP088 OF 88TABL�6HINU A PERMIT FEE ONLY. �
PLY WITH. LL CRY ORU�NANCHe ANO BTATt {,AW9 REOULATING ypLUATION m
BUIL�ING ONSTR ION. . � N
SIGNATU O �% PERMIT FEE $ �i .�i,�— �
PERMITTE �" � . m
: �0�7�- „ � .3. -- �
AUTHORIZHD AGiNT ' . �C
6
TOTAL FEE' $ � /