HomeMy WebLinkAbout2887 CLUB HOUSE RD - Building Permits(�14) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2887 CLUB HOUSE RD
Suite No
Vicinity:
Parcel Number: 73939304
npp�icant BILL HAMILTON
Address: 2887 CLUB HOUSE RD �
MECHANICAL PERMIT
- , � _ ISSUED BY:
" , . , Phone: 714-429-5869
COSTA MESq; CA ' ' Zip: 92626-4704
i � �
Owner :WAINSCO7T, BETTYJANETR
AddressY� 2887 C�UB HpUSE RD' ", �_ `
� , i • / � ' � - - Phone:
� � �' COS7A MESA,.CA�� ���� Zip: 92626-4704
� . i c�.
�� _;"' ;: .
Co ntrs ctor: O W N E R=6 U I L D E R
� ,-Address: . �" �
1 . . � �"%: �;
;t' . �,�y,-,� . Phone:
„ ` Zip:
� � � _,: License:000000` .
�,� � �- t
� � ' - ,� �'i'� -��, . � '� � > : ' �. " �SCOPE OF PERMIT�'
`-- � �;"REPLACE FAU W/100K BTU F,AU LOCATED IN THE GARAGE.-
. " i . .. . ' ' .
Slatus: ISSUED
Applied: 01I08/2007
Issued: 01/OS/2007
` FEE SUMMARY
� '� .. ' . Quantity '
ISSUE�FEE � � 523.50 " - Repair/-AltAbsorbtion�Unil
Inst FAU�<100 k BTU $14.80' �1 �'` '`" j �r� , _ '', ' � Repair / Alt Refrigeration Uni�
Inst FAU>700 k BTU.' ' S0.00•_� 0._ �. ..��. Ventitlation System', . �
Repair/�Alt Cooling/Heat 50.00� 0 - - EvaporetiveCooler
Insl / Rep. Recess Wail Htr 50.00 0 Commercial Incinerator
Refrig Sys <100 k BTU .' � $0.00 0 , Domestic Incineraloi
Refrig Sys >100 k BTU , $0.00_-:� 0 � � - - - ' ` , � . � Comoressors'/ Absomtion Svstems
Gas Piping $0.00=, =�0 -' � " ' � - _ ' -- Up l0 3 hp /-100 k BTU --.
Factory Fireplace, ' � 50.00 " 0' '- - 3 To i5�hp % 500 k BTU "�
Hooii w/Mech,Exhausl �, �,; 50.00 0 15 To 30 hp / 1,000 k BTU
VAV Box " '�� $0.00 0 30 To 50 hp / 1,750 k BTU
Vent Fan / Single�Duct ��'. � - 50.00 0 Over 50 hp / Over 1,750 BTU
Appliance � ' � . 50.00 0 Boilers
Fire Darnpers.' � , ;, $0.00 0 - . � .Up to 3 hp ,
Smoke�Dampers � \�� SO 00 0 ['', f - 3 To 15 hp
Inst or Rel'ocate Appl Vent �\�� $0 00 0 - 15 to 30 hp �
Air Handlers'?� 10000cfni ��$0 00 0� � . 30 to 50 hp`; '�
Air Handlers > �:10000cfm � �` .$0 00 >�'0''-, �. - , : Over 50 hp � �� . .
Floor Fumace, c.�. � l., `�$0.00� � 0�' � � . Other Mechanical Fee .
Floor or Suspend�Heater �. � � $0.00:_�Q � - � _ �Investigalion Fee ' �
� � (� '/. _ � � ��.,� Plan Check Fee �� `
�� ��� � '�) `,-� � � - � Reinepection Fee � � , , �
`�'' : . / j � ��,.. , _ -' -` , ' ` . „
� �\ � �'`� ; - � , � .. - TOTAL CALCULATED�FEES
COMMENTS I SPECIAL CONDITIONS
e
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
50.00
� $0.00
� , $0,00
50.00
$0.00
$0.00
50.00
50.00
$0.00
50.00
� . �' ' 50.00
$0.00
� $38.30
0
Quantiry
0
0 �
0 ,'
0
0
0
0
0 '
0 ,
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related �
regulations. (Ord. No. 92-28, § 1, 1241-92) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned
for a period of 1 BO days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspactlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration o( this permit.
FOR INSPECTIONS CALL: (774) 754-5626
244fi-48(8/00)
WORKERS' COMPENSATION DECLARATION:
I hereby aXirtn under penalry of perjury one of the following declarations: � � . _
❑ I have and Will maintain a certificate of consent to self-Insure for workers' compensation, as providetl for hy section 3700 of the Labor Code, for ihe peAormance of the
work for which Ihis permit is issued.
❑ I have antl will mainlain workers' compensation insurence, as required by section 3700 0l the Labor Cotle. for ihe pertortnance of Ihe woAc for which Nis pertnit is issued.
My wwkers �peasatbn Insurance carriar antl policy number are: .
Carrier: PoliCy Number:
(This secfion need �o! be completed il the permit is valueO at one hundred dollers ($ f 00) or less.)
❑ I cenify Ihat in t�e peAortnance of the work tor which this permit is issued, I shall not employ eny person in any manner so as to hecome subject b ihe workers'
compensati0� laws of Calitomia, an0 egree that if 1 shoultl become subject to Ihe workers' compensetion provisions of Section 3700 of the Labor Cotle, 1 shall forthwith
Comply with the58 provisions.
Applicent Signature: Date:
WARNING: FAILURE TO SECURE WORNEFS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IEQ AN EMPLOVER TO CRIMINAL PENALTIES AND CIVI� FINES UP TOONE HUNORED
THOUSAND DOILAFE (5100.000). IN ADDITION TO THE COST OF C0.MPENSATIIXJ, DAMAGES AS PROVIDED FOF IN SECTION 3)O60F THE LABOR CODE, INiEREST, AND ATTORNEYS FEES.
LICENSED CON7RACTORS DECLARATION: ,
I hereby effirtn iha� I em licensetl untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, antl my license is in full
torce end aflecL Lic. N Class u
GonlractoYs SignSture: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affi�m Ihat ihere is a consimction lentling agency tor ihe pertormance of ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Name: Lentler's Adtlress:
SigneWre: Date:
OWNER-BUILDER DECLARA710NS:
I hereby affirtn tha� under penalty ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any city or county which repuires a parmit to construci, alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires ihe applicant for such permit
to file a signed sta�ement that he or she is licensetl pursuant to the pwvisions of the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business entl Pmfessions Code) or ihat he or she is exempt therefrom and the besis for the alleged e•emption. Any violation oi Section 7031.5 by any applicant for e permit
subjects the applifant to a civil penalry of not more Ihan tive hundred dollars ($500).):
❑ I, es owner 0� the property, or my employees with wages as their sole compensa�ion, WILL DO THE WORK, and the siructure is not intentled or oHeretl for sale (Sec.
7044, Business and Pmfessions Code: The Contraciors License Law does not apply to an owner of properry who builds or improves ihereon, and who tloes such work .
himselt or h�rself or through his or her own employeas, provided that such imOrovements are not ioteoded or oNered tor sale. If, however, Ihe 6uilding or improvement is
soltl.within o�e year ot completion, the owner-builtler will have ihe burden of proving ihat he or she did not builtl or improve br puryose of sale.).
�as owner 0� �he property, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions
Code: The contractors License Ww does not apply to an owner of property who 6uilds or improves thareon, antl who coniracts for such project wiih a contractor(s)
license pursuant to the Coniractors License Laws.).
❑ I em ezempt under sec. Business and Professions Code for ihis reason:
�Signalura �=_-:� C� � - � � Date: �� ' � � —_
�OwnartD venfied by drivers licensa. ❑ Ves ❑ No Driver's License No - �pires: _
Verification of Ownership by (type of document, i.e. - propeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavation five (5) or more teet in depih inm which a person is required �o descend, will 6e made in connection with work authorized by Ihis
permit, and Ihat no Guilding simcture, scafloltling, talsework, or demolition or dismantling ihereot, will be more ihan thirty-siz (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Ttle 8, Celifomia Adminisirative Cotle).
❑ As ownervbUilder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from ihe division.
SignaWre: - Date:
Division of Intlustnal Safery Pertnit Number:
LERTFICATE OF COMPLIANCE AND AIJfHORIZA710N OF EN7RY: I certify under penalty oi perjury ihat I have read this application and state Iha� the information given is
correct I agree to comply with all state laws end ciry ordinances relating to building consimction, and autho�ize representatives of ihe Ciry ol Costa Mesa to enter upon Ihe
above-�desc/rib�ed property for inspection purposes. I ag�ee not to occupy or allow occupancy of any building au�horized by Ihis permit un�il final inspection.
% -J �,,. . � L' '�/s_s:.-vzL.f� � [ �j�� .
Signature Of LBB�.Owner(s) � ' l..�ale�:
AnNOr Authorized P.pplicant
COOE �. 1NSP_E4IION TYPE
1616 Fixetl SyStem Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Poo�
201 FInaI BIOGWRelaining Well
202 Final Faclory Fire Place
203 Final Sign
204 .Final Demolition
QdjF� IMRIRLS
Date
COUEA INSPECTIONTYPE ORTE
206 Final Mechanical � %
208 Final Plumbing
210 Fi�al ElecMcal
212 Final Pire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy . _
�
Phi:fECTADONE55: Z88-� CLUB H�UJrE RD
OWNEH'S NIIME: WAINSCOTT, DON J
aooness: 288� CLUB HOUSE RD
COSTA MESA,CA 92626
•546-5156
PPCM/ENGINEEN:
ADOflESS:
HEG.NO.:
UNIT:
UNIT:
PEflMITTEE: BRANNON � S ROOFING f 714 ) 567-3454
nooness: 15161 LAFAYETTE STREET
WESTMINSTER CA 92683
LICENSEU CONTflPCTOB OECLNBATION: I �ereby alhrm Ihat I am licensetl untler pmvisions ol Chap�er 9(commencing with Sec�ion
7�00� of �iv�sion 3 0l Ihe Business and Pro�essions Code, and my bcense is in lull torce antl eflec�.
ciTv uc.: 5 5 srn,e ��c.: 609 4 ss 39 � � \)
Date'. _�� Signalure: _ (A_ti/
WOflRENS' COMPENSpTION DECNflATION: I �ereby aflirm �ha� I have a ceN�ica�e o� consent lo selbinsure of a cerlilicale ot Workers'
Compensation Insurance. or a cenilietl coDY lhereof (Section 3800, LaD. q.
POLICYNO.: SZ2ZS9B E%P.OATE: OiIOiI92
comvaxr: STATE FUND
CeNlietl copY is �ereby fumished. ❑ C¢�i�ie0 toOY is �iletl with t�e Ci�y Bu' mg Drvision. 1
�% �� /,p 1
� oaie: �'�� ADPlicani��//1. N i�_i
E%EMPTION FBOM WOPREN$'COMPENSRTION �ECUPATION: �Thissedion neetlip�hecompl¢�eAilihe DINmitiSforonehuntlretl�5100�or1e55�.
I ceNty Ihal in Ihe petlormance o� �he work lor which �his permit is issuetl. I shall not empl0y any pe�son in any manner so as �o become
suble�� �o Ihe Workers' CompCnsalion laws of Ca6fomia.
Date Signamre:
� NOTICE: If. afier making �his aeclaraiion, you shoultl become subject to�the Worker5' Compensation pmvisions o� ihe Labor .
CoOe. you must lonhwith comply with such pmvisions or this permit s�all be UeemeO revoketl.
CONSTflUCTION LENOING NGENCY: I hereUy aifirm �hat Ihere is a cons�mclion lending agency �or Ihe perfo�mance o� �he work �or
which Ihis permit is issued (Sec�ion 3097. Civ. C�. '
LENDEP: . � .
aooaess: � '
�
OWNEfl BUILOEfl DECLAPATION: 1 hereby afiirm �hat I am exempi fram Ihe ContracloK State License Law �or the following reason
(Section 7031.5 Business antl Pmiessional Code: Any cily of coun�y whic� requires a permil to constmd, al�e�, impmve, tlemolish, or
repair any s�mciure, prior �o i�s issuance, also requires the applicant �or such permi� �o file a signetl s�a�emenl tha� helshe is licensetl
pursuanl �0 �he provi5ion5 af Ihe ConVaCmrs' State LiCenSe Law (Chapler 9(tommencing wilh $ec�ian 7000) of Division 3 oi the BUsiness
and Pm�essions Cotle) or Ihal he/s�e is exemp� �herefmm antl �he basis �or the alleged exemption. Any viola�ion ol Sec�ion 7031.5 6y
any applicani �or a Dermil sublecls the applican� to a civil,penalry o� no� more �Aan five hunOreO dollars ($500).
I, as owner ol I�e OmDetly or my employees wi�h wages as their sole compensa�ion, will tlo lhe work, antl the
❑ s�mmure is no� intenaetl or olfered lor sale (Section 7044, 8usness and Pmlessional CoOe: T�e Cantractors' State License Law
Ooes nol aOVly Io an owner ol a pmperiy who builds or impmves �hereon. antl who does SucA wo�k himSelV�erseli or Ihroug�
. Ais or her own employees. pmvidetl Ihai suc� im0�ovements are no� in�entled ar oflereA fo� sale. Ii, however I�e �uilaing or
impmvemeni is soltl wiinin one year of comple�ion, the owner will �ave the burden ol pmving he/5Ae ditl no� Duiltl or improve
�or ��e purpose ol sale). ' '
I. as Own¢r ol �he O�op¢riy, am eKClusively Conlratiing wi�h IicenSeO Cantratlors la tonSVUt� Ihe proj¢CI (SeClion 704d, Bu5ine55
❑ and Pmleui0n5 COtle: T�e Contra[mrs' Slaie LiCense Law does noi apDty to an owner 01 Dropeny who Ouilds or impmves Ihereon
antl who coniracls lor such pmlecls wi�h a conVactar(s) license pursuant�o �he Confrac�ors' Sta�e License law�.l am aware
Iha� pmoi ol I�eir Workefs ComOansa�ion insurance s�aultl �e pmvitletl to me.
� I am exempi under Seciion', B. 8 P. C.
lar Ihis reason'. '
Date: Owner: '
I tlo hereby cer�dy Ihai I am aware of antl untlerstantl the requiremems of Califamia Heal�h and Salely Code Section5 25505, 25533, and
25534 antl Ihal I or anY �uWre �uilding occupan� willlwill no� (circle one) need to comply wi�h saitl Slaie co0es and the requirements for a
permit for consimction or motlibcalian hom ��e Air Oualiry Managemen� �i5iric� Besitlen�ial consVudion aDPlica�ions are exempt �mm
�hese omvisions. ,
Dale' Npp6cani:
I hereby cer�itythat I nave reatl Ihis applicalion and S�ale Iha� Ihe a�oveintorma�ion is correcL I agree�o comply wil� all city antl counry
ortlinances and Slalelawsrela�ingto �uiltling cons�mc�ion antl hereby au�horizerepresen�a�ives o�ihis citylo enter uponlhe above�men�ionea
prOP¢r�y �olln5p¢CIiOn Durp05¢5. rA J
Oa���j�� Signaturtl.�(L_/ ���^� "' " �
od�er's�icenseorsodaisecurnyx: -
i641-afi Whi�e—Builtling; Gieen—Cotle Enlorcemem: Canary—ApplicanC Pink—Revenue: GolOenrotl—Assessar
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; B 052771 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR
JOB DESCRIPTZON : T/OFF REROOF W/CAL SHAKE ICBO �t2B82
PERM NO: B 052771
GOVT: N SUPP: N
PURPOSE: ALT
SQ FT: S,OOQ
CLAIM VALUE: 5,000,00 CALC—VALUE; 5,040.U0 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME �
x�����*���*+��***+r*��r�x�*****�rx�******�*��**���r***�r�**��+r�**+�**�r�r**�***��x****�***
Z O N I N G R E Q U I R E M E N T 5
� S E T H 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: 13939304 ZNE: REF NO:
PLANNING Ni5TE5>
iE iF k if iE if ±E iE if iF ik if iE iE )E aE 1E k iE iF iF iF iE iE iE k iE iF �F �lE iE k�FiE �F �k 1E jF IE jE �E if iF if iF if iE fE iF aE iF fE iE iF iE iE iF iE if 1f iE iE iE it iF af �f if �FFif 3F if i41FiF iE iE 1E iF
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�i � S
ZONING APPROVED BY DATE: ti�_
BUILDING APPROVED BY : � DATE; � �
APPLICATION ISSUED BY: • DATE; �.I.��
iEiEiEiflFiFaEiEaFjF±E�tEiEik�FifiFikiEif3Eik3FTETFiF3FTF3FTf'iFiFiF7F3F7Fif�F�f7F7�fiFiFif��FiF7F3f7EiF�'�7F�fit3EiE�1tiE�IflfiFif�l i(�iF
if if if if if if if if iF k� if if if �F�iE iF 1F iE iF iE �F iE iF iE iE iE 3F iE �E �E iE iE aE iE �FiE iE iE iE �M k iE iF iF iF if iE if aE jf.iF iflF iFiE if jf iE if iEif iE iF iE �E iE aE IE iF iF iE aE �lE iF aE aF ib iF iF
LEGALIZATION:N F E E S U M M A R Y S1'RUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECTRIC MECHANZC
PERMIT 72.00
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 72,50 0.00 0.00
6 ��"
F I`jt E
�'
..�^'•
_}
TOTAL 'f;
72.50 }
SMIP/R50 GRADING
SMIP/NON—RES
72A50 D00
REVENUE DZVISION TOTALS--> COLLECTED: 72,50 OVER/SHORT: .00
BLD72PM��T PLUMBING ELECTRIC MECHANIC FIRE SMIP/��O�T GRADING PLAN—CHECR
:5"
k 1E k iE iF iF iE iF �F fEiF IE * 1! af iE iE IE iE if if �E iE iE iE iF 1E �E iE �F �!f �k 3E jF iF iE iE iE 3E �E iE iE af 1E if 1F �E if 1E fE if �k iE 1E �e 1E ik iE 1E iF IE 1E �E iE aE 1E 3f �E 1F fF �f it iE iE �F iF �E iF iF
I N D I V I D U A L F E E B R E A K L�, O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 5000 REROOF BY VALUE RESIDENIAL NOZONE `:a1,00 5,000.00
END OF FEES �':�..
. .� f# J
Z
.... �.�j: .�
�.'ti}
o� �oQoissi-oaosiss2 : i�-�
S�R7E: Ft7/1S/91 TIE1E: OE:31
V
11.��
_ �
� CONSTRUCTION AND PLANNING � POO PA
�' APPROVALS Permit# Dafe Inspector p�ppROVAIS Permit# Date Inspector
1. Temporary Electrical Service or Pole ry 52. Pool & Equipment Location
� : -
' 2. � Soil Pipe-Undrgmd. ru ��� � 53. Steel Feinforcement
`' 3°Elgctrjcal CondUit l'J�ility-Undrgrnd ;`- . 54. Forms
� 4i Electrical Conduit�Undrgrnd. � f • 55. Electrical Bonding
•'� 5?; �t`eel f�einforcement� � . � � 56. iiough Plumbing & Pressure Test � .
�.,., .7
l� 6.��Electrical UF�R;Grnd. �. - . 57. APPROVAL TO COVER-GUNITE ,"
'= 7,iFootings _ :r 58. Electrical Conduit-Undrgrnd. -
- .: �,.
;.8. ,Foundation `;`, ' c ' 59. Gas Pipe, O Undrgrnd., Test .•
� 9.�UJater Pipe�Undigi:nd. B0. Backwash Lines, RTrap, O Undrgrnd. � , �
.� �
�`70. Structural Floor $ystem . ._ � 61. APPROVAL TO DECK
71. Property Sewer Line�& House Conriection 62. Backwash & Receptor-Final �
12. 3ewer Cap �� � 63. Heater & Vent-Final
13. Roof Drains ' 64. Plumbing System � Final '
14. Rough Plumbing • _ 65. Electrical-Final .
75. Rough ElectriFa)-Conduit 66. Solar System-Finai ' .
16. Rough ElectriccWiring 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVEO FOR PLASTERING
18. Rough Electrifal•T Bar Ceiling 69. POOI/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT
,
20:��kough Facto,ry Fireplace i `L,�r � ! ' `� + +APPROVAtS:.�:�-Permit# -
�l 1 ��v CY 1'v_ �'{ � '�i
� � ; . .r i '.a � * r � 1�
21?Ducts,inStcuct�e. „. _ '.�' - . _� ;70. �lndergcoun�3Hydro
22. Ducts, Ventilating'� � ': J;i . .�71. ProductPiping �:Gas Q�OiI
23 <Gas Pipe-Rough & Test � r � �: ._ ;J� ,�`� . 72, Undergrounii Flushj.� " :-!` , ;
�� � �= i. � , , r "_� � - � �:. • - _� . �.
24.�Roof Framing ? • � _ * � C� - �73�Undergmtl�.StorageTank�OGas- ❑Oil
" . , r-
25. RoOf Sheathing %��_ �� ''� ../G.!j' '��` 74�- Overhead'Hydro-;`�'�� '
�7� � :�`
26��T-Bar Ceiling (Structurall &-Monocoat M� ��. �,:7 t,�'t � 75�TDry Chemical `��� *. '_ n;
27; Frame and Flashing ,�� J` _ r y'r � 76K Dry StancjpiBe -' y f• �`� -
` 28� Latt?in9-& �.'rding � , „�;�%, - x �1 � • � � 77= • FIXED SVSTEM,F.INAL• � � `�
.
- i i. ..
�'29. Insulation � `fi - ' "" - ' i` �* ,�, 78;:FIRE PflEV. FINR.,L � � y,
��30. Drywall�Naili g �r�j � �� � � � _ t t � ' ,HEALTFi�DEPTj. REQUIREMENT
�31. Plaster Brown Coar � ;�,�� ' ' � � ; y � 79�FINAL INS�ECTI�N '. - - � �
�:32. Electrical Power:(Nete��Finali '` „ �1' , r SO.,,FOOD CERTIF�CATE ISSOED �
33..'�Final Electric ' � � -T' ' ��'� �' � N^tes: �7 =� • •i
3 t' �1 IV 'f' � � A: }• - J.li �l��T .
��34,-Final Heating &�',ir' Conditionu�g� �%' - z � N�; ' _ - =
. _C 'i: .i
�35�.�Final Gad Pi,pe�Tesri� � � � :� , - j� I• h I�J A � " ��
„. a.;
� T .t .. � :. I � � � x , r, • _ , , �. � � � ;:r; ,
r36. Hood oi:CanopyL f .,._; �. . � x
+� 1,_ t^o �. �-],r
� 37.-Final Factory Fireplace_ ' •��'' �' x �*' j ! � .t t ' � � ?�,
n. s ti :
. `L � : • •♦ ._. .� .� l!. a y . . ,
-38. Final Plumbing _ ; v, I ' , � �� �..� �y » �:
:'39. Water ServicrFinat � � - � . . �-1=: � �� :;
.-� � e�^ i 1 'a y , t r S
,� 40. Gas Service-`Final ' 'r ::.:r � " ' �:, ' ; '� ��� • , .� : � `*l
�j41. Solar pomesticFinal�-, - .• ,.� � 'y w - � • �•
', .�. ' '
" 42:•Backflow Prevente�' � � ' =' �� � : `'
,. 7-'LY-Q[- 'S=u-�•�f.e o� �,(C _
,. , ,. � . .. �,,.�
g3. Backflow Irrigation ir �' � � : iy," `� . r .
� t' ♦
,?,44. Landscape Iriigatiqn SYsterr�;�„ ,�; ' , .,; '� s 1� '� �� o, ..
�45:�Sound Attenuation %+zt.�� �*' . �� - - '~a •5:�, � �
Y �1 ''t+l rli � uY,
}..46i'Flandica�n Regulations ~ `� ' "� '" '�" � �� Y � `
' � . � ♦ ' C i' Co Y.
��47:,FINALSTRUCTURE & BUILDING ��(���( �(,V[.�- ` �:c��.�' ;A
r
48`.:FINAL PLANNING ; :r.' s , i � -'' �i .�� .'' �� .` _ .
'e : ,fJ.r �. q:, .y a.
� 49�Eleetric Release to�Edison j � � �. y � �i � � -
�,l- -
'50. Gas,Rel'ease to Southem Califo�nia Gas Co ; �"�" � ' - � �''7' ' ' �
. �� _ �� : r .
� 51. CERTIFICATE OF,.00CUPANCY , ,; ,; ; ; �:;', , , �
No. Date
- �6�,, � � E ��CEIV ED
COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 3 1962
P. o: aoX g,� C08TA MEBA. GALIPORNIA FINAPdCE DEPT.
For Applicanf fo Fill In Completely APPLICA7I�SN �OR PERMITESA
TYPE OR PRINT BUILDING
ADDRESS L�� 8ti"7 ac��v6 //iruy� %�j�
COSTA MESA. CALIFORNIA � FOr Offiee Use Only
OWNER AdBNS Street Compax�y . �=e�P* NO. PF1RM1; o�q. �
� [ �.
MAIL 1 53 Minorea DI'1VE aece veo ev I o aRce vao I owre ieeueo
A��RESS ' � ' 'OC �0?�J � tOC9
CITY riO8t.8 �@$a Np,Kl 9-03 BUILDING
ADDRESS
aacHirecr Earl Kaltenbach ig�. e' � COSTA MESA. CALIFORNIA
OR ENGINEER ' "� NO.. /�
ADDRESS 9772 Katella Ave.,Anaheim ZONE TYPE GROUP pb� �
CONTRACTOR,S�1�I' Construction CO.� I11C. .4PPROVED
BY DATE
ADDRE65 1fi53y M]ilnorca Ilrive ' ZONING �
CQ$ Ua lYleJ"a ZONE� _' � pLANB � I BH LDINa g 4�/W�I'a• %t(a•
cin
sr�rNo 197838 No:Ki 9-0395 LEGAL L�T 76 TR `�3//
DESCR�PTION
SIZE rJ - NO. OP BLD�6� �_^
OF LOT IO X�.00 I NOw Ox Loi p, p, NO.
USH OF — — YAR�S ' EVES
EXISTING BLOG. APPROVED' ALLOWED
SHiBALK LINE FROM e <GBNTEP LINE BT.1
CeNTER OP STReET REAR YARD 2o FRONT � z FT. �� IN.
61DE YARD I LEFT S I RIGHT 5 R. SIDE s FT. IN.
DESCRIPTION OF WORK L. SIDE -� FT. � ,N.
NEW I X IIALTERA710N I IIADDITION I' REAR �� FT. �— IN.
REPAIR I II MOYING I II DEMOLI6H I BYPROVED W�� DATE � Z I Z-�!/b I
S ZIELDING 1650 �� RobMs 7 STORIES 1
EXTERIORWALL WOQd-J�iOOF SYld•ke �
COVERING . SIrUCqttpyERING �,,
USE OF BUILDING AND WORK TO BH PERFORMED �
S' le famil residence and / (�
attached garage
%� ,
1 HEPEBY ACKNOWLEDGE TNAT 1 HAVE pBAD TM18 APPLIGT�ON THE AMOUNT BXOWN IIND¢R VALUATION IB FOR THe
AND BTATE THAT TXE ABOVE 19 COPRCGT AND AGREH TO CON- pURP08E OF. EBTABLIBHING A PERMIT FEE ONLY.
PLY WITN ALL CITY O INAHCEB AND BTATE LAW9 REGULATINO
eULLDINo' cONeiRurn . VAWATION 7
SIGNATUHE OF S REET C PERMIT FEE $ ��/
PERMITTB /; "
�7 /y Z n
$ � 7�i�/. ' PLAN CHEGK $ <//i� �
AUTHORIZED AGEN p
TOTAL FEE �S �'�� 4