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Home My WebLink About2279 COLGATE DR - Building Permits�� Applieant to flll In all spaces ezeapt GTY OF COSTA MESA � � CONSTRUCTION PERMIT � � ApplicariYs Msiling d r�j ProjectAddress ��f� O ga ,e, Costa Mesa, ri � owner's Name Clara Mellon oho�e 2-290 Address s me -aS ahove' � nrcn/eny. CRANK 'BROS R ' icense o. Addrass �1G Commercial Way, �os�a�' e� Contractor'sNem�Rf�1K BROS. R00 IN ohone — 6 ...____,__.,.__, . 12 ' Commercial Wav. Cos+�fes licenseNo. ''Fv��'(.( LICENSEO CONTRACTOR DECLARATION ' I hareby affirm thabP am Iicensetl untler provizlons of C�arter 9(<ommencing ril'y IICBnse Is lo N''�t�q antl e/t Ct f��e Buslneu antl Ptoje5o51An��o�e, antl �I- t3 ucanie,cy� � � �nse No Dale 5/ G � SI9 atu e � �. . r WORKERS' COMPENSATION DECLA ATION , ' � �d+�greby aT(Irm that I have a certlfiw[e o/ consent to salMnsure or a certificate �;�-' Yorkers' CompenutlOn In uranCB, or d CerUtlatl copy thereof (Sectlon °��Y No: z E.v� r� �aS Company �Certlfletl copy Is haraby furni5he0. . ' . . Cert t c iletl with tha city BuI1WJ�q D lon. � Date AOP�� E,+ � EXEM 10__�RKEHS' COMP�NSATION �ECLARATION . _. (Thissectlon neetl no[ be <om0�eteA IT lhe parmlt Is for.one huntlretl (E100) ar less) I<ertl/y'that In the parformance of the work tor whlth Ihis perm�t Is issuatl I shall not employ any pe�son In any ma�n0/ 50 as to Gacome suejectto tl�e Workari' Compensatlon'Laws o/ Calitornla.- Date Signature NOTICE: If, after making this tleclaratlon, you shoultl Decome subject to the - Workers' CompenSatlon D�ovislons ot the labor Cotle, you mus[ forthwitn comply wi[h suc� provislons.,or this permit shall be tleametl ravokatl:, CONSTRUCTION LENDING ACENCV � I heraby atfirm that there I5 a construttlon Iantlin9 a9ency Tor the arforman<e ot the work for whith thl5, De/mit 15 I55u00 (SecUon 30�7 Civ: C.) LenEer's Name LenUer'S Atltlress OWNER BUILOER OECLARATION ' 1 herebv.affirm Mat 1 am exemot from the Contractor's License Law for the '�` ":5 by any aDO��cant Tor a permi[ sub7acts the applicant to a civil ' S'�ilty of not more [nan five hunCratl Collarz (E500): , ��L`.1 I, as owner ot, the property or my amployaes with wages as their sola i mmpensatlon will Go lhe wark, antl the 5trucWrn is mt IntenGeO or oftereE Tor sale (Sec4lon 7044, Business'antl VroTeulonal Cotla: Tha•Contrattor'S � License Law tloes ml apply to an owner o/ a proparty who bullAs or improves theraon„antl who tloas, tu<h work hlmself/herself or throu9h �is or her own employ eas, provitletl that such improvements ara not Intentletl or offeretl for sale. If, �owever, the bull0ing or Improvemenl I5 ioltl wlthin one year of com- pletion, the owner wlll have tne burtlen of proving he/she tlltl no[ builtl or Im- �rove for the purposa oLiale). - I, as owner oT [ha p'roper[y, am exclusivaly contractlng�with Iicensetl con- � tra<torsto construct t�a proJecl (Soctlon 7044, Bu5ine55 antl Professlons Catle:_ � The Contractor'S Llcania Ldw d085 nOt apply to an Ownef ot properry wh0 builes or improves,tnereon, antl who contracts for such projects with a con- � tractor(s) Ilcense pursuant to the ConVactor'S License Law). � � � I'�am exempl unEer Sectlon B. & P. C. for th(s reason Oate � Owner' I- hereby�certi/y [hat�l'hava reatl this applicatlon anC state that-the�above , information is correct. I agrea to comply with all ci[y antl counly ortlinances antl state laws relating [o builtling construction,'antl �ereby authorize repre- sentatives ot this clt o en r upon the above-m lionetl property for � in5pection ourpose , ,/ '/�� $ignature Date�%�f�z /" inC fign all aDOroOriata tlaelintiOns. TVPE OFCONSTRUCTION LJ NEW�qL1 ADD LJ ALTERATION_ LJ REPAIR ' '❑ CONVERSION ❑ DEMOLISH ICI•OT-N_JEg � � ' DE fCRfPT10qN OF WORK �(.��/�'�. L✓ A�� --p ,..bRK .�4•/O .O.hHY/aQ TVPEOFPER IT GRADNG FOUNDATION STRVCTURAL� ❑ TENANT ❑ El_ECTHICAL� ❑;PLUMBING ❑ MECHANICAL � OTHER ' CG �� PROJECT DESCRIPTION SQ�FT. �--Z �O O OCCUPANCV CONSTRUGTION TYPF VALUATION S;-:�/�-� � ZON� GRAOINGCV.VOS. �ACRES PLUMBING Sink Sewer CaP . cflow Preventer Sewer Connection � �- cflow Irrigation Solar Collectors � itubs ' Solar Piping itiers Solar Tank � • Drinking Fountains Floor Drains FloorSinks � GasService Outlets Interceptors � Kitchen Sink - ^� Lsvatories . P—Trap Roof Drains Showers Service Sink . , i Boile[ ; Duct - Under Ground ' Duct - Structurel ' Duct - Ventilating Exhaust System � Multiple ❑ ; Firepl/Fact. BIt ICBO # Heating System & Ducting �� ❑0.100,OOOBTU�100;OOOBTi ; Htiod or Type I ❑' ; Dri3erz' License or S qp - ' I � I flegisters CMF 0865-46 rav. 32/B2 Whlte - Builtling; Canary - Appllcant: Pink - Accounting; Goltlenrotl - Assessor Urinal Water Clout Weter Heater Water Service i Reinspection Fee laua Fee IANICAL Refri9eration System ❑O�t00,0008TU ❑t00,0008TU System Repair/Alteration ' ' ReinsoecNon Fee� $15 5 3 � Issue Fee , ' �I $ 3 � 'PLNG.REF.�W LEFT SIDE VAFD PKG.SPACE REQ. STREET WIDTH SGECIAL CONDITIONS: Automatic.Washer. Cooking Unit Dryers ❑Gas ❑Elettrit Fan F.A.U. Fixtures Device Boxes OutIBtS Switches Garbage Disposal Generator �0-5 KW �5-15 KW Trensformer �15-50KW ❑5U+ KW 7y5r �ri�;i„ : BUILDING REAR YARD (70 P/ RIGHT,SIDE VARD PROVIDED PARK F Meter Llover 100 amps - Sub Panel Sub Pole ; � ; , Motors �0-1 HP ❑1'h-B � . Inc.Solar �9-,15 HP 016-15+ Microwave Pole Light � Trash Reinspection Fee � Meter ❑up m 100 amps � � Isue Fee Zoning Approved 6y Date Appliotion Approved By �ate f Appliotion laued Bv � Data BUILDING PERMIT PLAN CHECK PLUMBING 'PIAN CHECK, ELECTRICAL PLAN CHECK .MECHANICAL , �PLAN CHECK ; � 0 � $15 � SU/�yIMARV OF FEES � . �� $ a'� • � : SMIP � $ . $ PERMIT � � � $ • ISSUANCE , $ : $ � GRADING �, ' $ � $ r $ $ MICROFILM ' $ � $ � TOTAVFEE� � $ $ LESS , � � ADVANCEDPC ! $ . o/�� ' - , , FINAL FEE $,'�v _ '. \ . . , . . .. � ' . � .� �= ',,,CONSTR.UCTION AND;PLANNING �, � � � ' ' . :,POOL t A . � . � ."APPROVACS Perinit# ` ' � - -�ate 7nspector qppROVALS Permit#, � � Date Inspector .�� . . , t � .. . � ,1: Temporary Electrica�l SerJice or:Fole ; ��- � , n � i . , 52. Pool & Equipment Location � � �. - � •' 2! ,Soil Pipe-Undrgmd.' ," V �? _ ~ � � �' ".. � •' ,� � 53. Steel Reinforcem'ent . : ' . �- 3i Electrica,l Conduit Utilitv-Undrgrnd. � �.'.54. Forms � � - ' . � � ' •�- 07 9: Electrical Conduit-Undrgmdi = �' ' � .g " � � ; �- � � 55:- Electrical�Bonding _ . . � � ' � � � .rn -- � 5. Steel Reinforcement � � ' � ^ ` � I ' ' ' `- �� ?" 56. Rougfi Rlumbing-& Pressure Test . ' S: Electrical UFER Grnd.' ' �;' ' • „> - • 57.' APPROVAL TO COVER-GUNITE _ 7. Footings '� � � � � � : � , � � � _ . � 58. Electrical Cpnduit-Ondrar�d.. � � � 8. �Foudda[ion � � `��' ' � - �59. Gas�Pipe,O:Undrgrnd.,Test _ ,, . . � - 9. Water Pipe-Undrgmd. ' ' " `'. , _ - � _ , 60. Backwash Lines, P-Trap, O Und�grnd. - � 10. Structural Floor System � `. � ' . 61. APPFOVAL TO DECK �` 11. Property Sewe'r Line & �House Connection - , � �r;: �_ . � 62. Backwash &� ReceptorFinal - . � _ � 12. Sewer Cap , � � : , � ,. � � �, � ' r � � ; 63. Heater & Vent-Final ' . � 13. Roof Drains , � _ � - � ' - � - ' � � � _ ��64. Plumbing�System_- Final �• . 14. Rough Plumbing � ' -�� . �� ' �65. Electrical-Final � - - ' � 15. Rough Electrical-Conduir -' -':"" ��'-- -'-�� '- � � i i � � � � 66. �Solar,System-Final � � � � � - � � ' � ��16:'Rough ElesiricW,iring; ,,. ' � � � ;,` ; -�:;-�-�} � , � 67�.; Pencing&Access.Approval , � , - � '•'17. ,Rougli Wiring Sign� �, ' s � �, � ; ! • ' , �68.• APPROVED FOR PLASTERING _ �16.,Rough'Electric'aI;T$ai.Ceiling� ' � , � 69. POOL/SPASYSTEMSFINAL � . � ' 19. Rough��Heating &iAir Conditioning � � , _ � FIRE DEPT. REQUIREMENT � , . ' . 20. �Rough�Factory Fireplace: : � ' i APPROVALS Permit # ' . > � � i ' � 2L jDucts, in Structure�. � � � , � � ' � 70. Underground Hydro ' , � 22.'Ducts, Ventila[ing ,. � � , � � '71., Product Piping O Gas ❑ Oil , � 23. .Gas PipB-Rough & Test ' , ' _ �I, � I � � ; 72,� Underground Flush � �24.'�ioof Framing� � , i - .� , ,;• i-_ - 73.' Undeigrnd.StorageTank'OGas ❑Oil 25. �Roof SheatFiing � � � ; i � �,�- �� -„ �,' - 74. Overhead Hydro • � � � ; .. ?6. T��Bar Ceiling (Structurall� & Monocoat � � � , � , i � � ' 75. Diy Chemical '. , �� , - ' 27. .Frame and Flashing � � , � � 76. Dry Standpipe = �` 28. •Lathing & $iding� � o � � ,� � ' ' � 77. FIXED SYSTEM:FINAL - . .� � 29. Insulation _, - . +¢ r ' 78. FIRE PREV. FINAL ' -30. �Drywall Nailing ' � ; � � � � ' � Notes: � � _ � � _31. PI_aster Brown Coat ' . i i � :I- � - i-- -� �-- ; � _ -!�'32 �Electrical Power Meter;Final ' ' ' , � �, 33. 'Final Electric ! ' 1: ,� � � I 34. Final 1-leating &.Air Conditioning i i . ,�; • - �� , 35. Final Gas'Pipe=Tesf' - _ • - �� 36. Hood 'or Canopy� � ' � ' =' M - i: ,. '� 37. Final Factory Fi'replace', � � � � � ' � 38. Final Plumbing � � I i 1 �- I I � .�� 39. Water Sei,vice-Final � ! ��" "� � � � � i � i i 40. Gas Service- � inal � i ' � � 'R � � � � 41. Solar pomesticFinal � � � , � _r _� �_-_ 42. Backflow Preventer _ ` I , ' � � ' � i - - - 43. Backflow, Ir�igatiod " � ' � ?� � , � s � � � 44. Landscape Irrigation�System � . � 45. Sounda�Attenuation 41,`r + %� �. �. � ' ' ` � :r. I � -t 46. Handicap;Regulations � �>� ; � I �' .' 47. FINAI, STRUCTURE & BUILDING d�' � I ��;- ��' � i � I � 48. Special Requirements Completed I � ', � i 49. Electric Release�to Edison� I �� ' � I i I � � �- _• 'T' _ _' 50. Gas Release to Southem California Gas Co . � � � 51. CERTIFICATE OFiOCCUPANCY � f , � _ No. Date � � � L � , ,� � . , � ' � � i I ' " , � . . . . j � � . ' i �,; ;, ' . r' 6 AOP��dnt lo fill in all spaces within CITY OF COSTA MESA PERMIT N CONSTRUCTION PERMIT � �D�i� � Phone ,Address. License No. Address Address � I hereby attirm that I am licensetl untl@� provisions of Charter 9(com- ^ mencing with section ]000) ot Division 3 oi [ne Business antl l\ Rofessions Cotle, anG mY ❑cense is in full forcn� q e�£t. i \ LRense Class C Y License N F G ` Date � rT� Z Signature /� �� WORKERS'COMPENSATION:DECLA ATION \\ I hereby affirm that I have a cer[ificate of tonsent to self-insure or a J �rtltitate of Workers' CompensatlOn Insurance, or a certitjetl mpy �reot (Sec£on 380(�, Lab��: j� iicYNo. ��L�omPanY ,Ra�'�L+YvI. L� Certifietl copy is hereby furnishetl. �Certified copy is filee with the city Builtling Division. ' - EXEMPTION FROM WORKERS'� COMPENSATION DECLARATION pThis section neetl not be completed if the permit is for one huntlretl (E100) or less). � � L[ertity that.In the pe�tormanCe of, thp �yprk tor whlCh this pe�mit is issueG, I shall noCemploy any person in any manner so as to bemme subject to the Wo�ke�5'.Compensation La�yS of Cdlitomid. .. ' � Date Si9nature NOTICE: If after makinq tltis tleclaiatiop� ypu shoultl bemme subject to the Workers' Compensation provisio�s of the Labor Cotle, you must fortbwith comply wi[h such p�ovi5ion5 or this perrnit shall be tleemetl revoked. ' ' . CONSTRUCTION LENDING AGENCY ' I hereby aftirm that there Is a conStruCtion lentlinq aqenry for the per- fo�mance of the wo�k for which this permi[ is issued (Section 309] Civ. CJ. . . . Lentler's Name Centler's Atltlress " OWNER BUILDER �ECLARATION ' ' I hereby affirm that 1 am exempt from the Contractor'S License Law for the following reason (Section ]031.5 qusiness antl Professions Cotle: Any city o� county which requi�es a permit to con5truct, alte�, Improve, tlemolish or repair any struct4re, prior to its Issuance, also re- qulres lhe appllt'ant to� such perrnit to {jle a signetl Statement that he i5 Iltensetl pursuant to [he provisions oi the Contractor's License Law 1" oter 9(commencing witn Section ]000) of Division 3 of the ess antl P�dessions Cotle) or that h¢ Is exempt therefrom-antl Ihe i (or the alleg¢tl exemption. Any yiolation of SeGtion 7031.5 by any applicant for a pe�mif Subjects the applicant to a civil p¢nalty of not more [han five huntlretl tlollan (g500). ❑ I, as owner of lhe property, or my employees with wa9e5 as thelr sol2 Compensation, will tlo the wo�k, antl the structure is not intentletl or offe�etl tor sale. (Section ]044, Business antl Profe55ion5 Cotle: The Contractor's License Law tloes not apply.to an owner, of a property wh0 builtls o� improvez thereon, antl �yho tloes such wo�k himself or [hrou9h nis own employees, provitletl tha[ such imp�ovement5 are not Int¢ntletl or offered fo� sale. If, howev@�, tlte builtling or Improvement is soltl within one year of completion, �he owner will have the burtlen of p�oving he tlitl not builtl or improve for the purpose of sale). ❑ I, a5 owner of the property, am ¢zclusivery conVactin9 with Ilcensed rontractors to construct the project (Section 7044, Business antl Prof¢ssions Cotle: TM1e ConVactor'; License Law tloes not apply to an owne� of property who builtls or imprOves thereon, antl who con- [�aGts trom sucM1 prajects with a Contractor(s) IiceSnetl pursuant [o the Contracfor'S Licenre l.aw). ❑ 1 am exempt untler Sectiod B. & P. C. tor this reason Date Owner Si9nature i Drivers' Licen� GMF 0865�46 I have read this application and state that the above :cL I a9ree to comply witM1 all city antl munty laws relating top oqst�uction, antl h¢reby autho�iz¢ this aty q�/�€'A�tq¢r� �u�p�on,, �the above m/e/nti(o�netl ' Pur �/ �L' s1iYL(✓v�ate � 7• d� or 55 9f White-Builtling; Canary-qpplicant; Eortler lines antl sign ali avvroD/�ate aectarations. TRACT NO. LOT NO. � BLDG. NO. TVPE OF CONSTRUCTION � ❑ NEW' ❑ ADD ❑ ALTERATION ' ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIGTION OF WORK SSLPE OF PERMIT - ❑ GRA�ING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ EIECTRICAL OPLUMBING ❑MECHAI ❑ OTHER PROJECT DESCRIPTION . SQ. FT. OCCUPqNCV_CONSTRUCTION TVPE VALVATION � ZONE GRADING CU. VOS. AGRES -�PLUMBING � , PLAN CHECK BATHTUBS SHOWERS - TOILETS URINALS � LAVATORIES DOUBLE LAVS KIT.SINKS �DISHWASHERS SERVICESINKS ' SUMVS � FLOOR SINKS - FLOOR DRAINS DRINKING FOUNTAINS ' �WTERCEPTOftS RIFIERS C�+�!-�r,, SWIMMINGPOOL r}�i�'V@AW �� WATERSERVICE� �QI'ERF�.Y? GASSERVICE OUTCE�f�� WATER HEATERS BTU OVTPU SEWER CONNECTIONS ' SOLAR TANK COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL P�AN CHECK HEATING SVSTEM 0-300,000 BTU_ AND DUCTING 100,000 + BTU _ REFRIGERATION 0-100,000 BTU_ SVSTEM 100,000+gTU_ BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE ISSV E FEE Goltlenrotl-Assessor ZONE 9329 5/fJb/83 ' � NING REGULATIONS PING. REF. � REAR YARD (TO P/L) PKG. SPACE REQ. STREET WIDTH ZONING-APPROVED BY SPECIHL CONDITIONS: ELECTRICAL PLAN PROVIOEO PARK FEE GENERATOR� 0-1 KW_1-30 KW _ TRANSFORMER . HPPLIANCE 30-SOKW_50+KW�_ MOTORS 0-1 HP__1-10 HP _ (I NC. SOLAR) 10-50 HP 50 + HP _ FIXTURES � OUTLETS / SWITCHES GA$ TUBE SIGNS ' ' - ' POLE IIGHTS - ' � ' PANELS � MAW $UB � SERVICE - �� AMP � ISSUE FEE APPLICATION APPROV ED BY I SUMIVIARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ 7ERMIT � ISSUANCE $ PLUMBING $ GRADING S PLAN CHECK E� �� y��-- ELECTRICAL E il� `?`� _ $ PLAN CHECK $ MICROFILM $ MECHANICAL $ ' TOTAL FEE $ PLAN CHECK E ' LE55'AD- ' VANCE PC $ 3.ti0 TL FINALFEE §��"� 0 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspeetor APPROVALS • Permit# -� Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - So� ipe-Undrgrn 44_ Steel Reinforcement 3. . Elec[rical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . � . tee ein orce� 47. Rou h Plumbin & Pressure-Test � 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE � - 7. Footings 49. Electrical ConduibUndr rn - 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test - 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn 10. Struc[ural Floor System 52. APPROVALTO DECK " '' - 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Sireet Sewer Connection . - 54. Heater & Vent-Final 13. Rough Plumbing ' � ' ' 14. Rough ElectrioConduit - �56. � Electrical-Final 15. Rough Electric-Wiring - '- 57. Solar System-Final� 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure ' • APPROVED FOR PLASTERING ' 18. Ducts, Ventilating _ 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. Insulation 24. Lathin & Siding - � 25. Drywall Nailing � �y 26. Plaster Brown Coat ' ' � 27. Electrical Power Meter-Final �� ' '"`' � - � � 28. Final Electric "` � 29. Final Heating & Air Conditioning 1 30. Final Gas Pipe-Test ' 31. Final Plumbing 32. -Water Service-Final • - ' 33:' Gas Service-Final� � � 34. Sotar pomesticFinai - 35. Landsca S rinklin S stem � 36. Sound Attenuation � 37. Handicap Regulations ' � 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed - � 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date i - �� 0.1ECTAOOPESS: .�.i79 COLGATE DR OWNEn'S NaME: MCGEOY MARY nooeess: 2Z79 CbLGATE DR COSTA MESA,CA RflCH/ENGINEEfl: UNIT: 92626 . FEG.NO.: RUGHESS: UNIT: PEHMITTEE: MARY MCGEOY ( 714 ) 644-5687 AODNE55: Z279 COLGATE DR COSTA MESA CA 92626 LICENSED CONTBACTOfl OECLl�BATION: I here�y altirm Ihai I am licensea unaer pmvisions ot Chapter 9(commencing with Seclion 7000� of Oiv6ion 3 0� Ihe Business antl Prolessions Catle. ana my license is in full lorce antl e��ec�. CITY UC.: $TATE LIC.: CLASS: Da�e: Signaiure: WONNEPS' COMPENSFTION OEClABR7lON: I AereUy aflirm ihat I have a cenilicate oi wnsent to sell-insure or a cenificate of Workers' Compensaiion Inwrance. m a cenilietl copY �nereol ISection 3800. La�. C�. POLICY NO.: E%P. UATE: COMPANY: � Ceriihetl copy is �ereby lumishetl. ❑ Ce�i�ie0 copy is IileO wi�� Ihe ci�y Builtling Oivision. Daie: ADOlicanC E%EMPTIONFPOMWOBREPS'COMPENSATIONDECUNATION: �T�issectionnee0nolbecompleteCilthepermAiS�oronehunCreE(S10ll�orlP55�. � I ceNty I�at in the pedormance af �he work lor which �his permil is i55ue4 I s�all not employ any Derson in any manner 5o as �o become sublect lo Ue Workers' Compen5aiion Laws of Cali�omia. Da1e: SignaWre: NOTICE: II, aner making this Aeclaration. you s�oulA 6ewme SuEjecl m l�e Wohers' Compensation pmvisians ol ihe Labor CoCe. you mu5t fotl��mih com0ly wil� 5uc� D�ovisions or t�is Oermil shall be tleemeG revoke0. CONSTNUCTIDN LENOING pGENCY: I her¢by atlirm I�a� Ih¢re i5 a mnSlmtiion IenOing agen�y �or Ihe pedafmante ol the vrork lar wnich I�is permil is issue0 ISeclion 3097. Civ. C�. REPLACES EXPIRED PERMIT aoones E7061 I SUED 050683. �� -3-4/ B D P I ere0y allirm IOat I am exempt irom t�e ConiractaR' S�a�e License Law for IIIe fatlowing reason (Setlion 7031.5 Busine55 and Pmfessional Ca�e: Any tiry of counly whith r¢Quires a permit Ia mn5lmci, alier, improve, Aemolis�. o! repair any simcture, prior to its ittuance, also r¢Quires Ihe aDDliranl br such oermil lo lile a signea statement that he/sne is licensea pursuant m t�e provisions ol the Canttacmrs Slaie License Law �COapier 9(commencing wit0 Sectian 7000) ol Divi5i0n 3 oi tAe Business ana Pro�essions Code) or I�al he/she is eMempl iherefmm and ��e basis lor I�e alleAed exemption. Any violalion of Section 7031.5 by any applicam Por a permii suble��s the applicanli0 a Civil penally af noi more than live �undred dollars ($500�. I, as owner ol Ihe pmper�y or my employees witn wages as tlleir sole compensation, will Ao ine work, antl the ❑ stmcmre ¢ noiintenae0 oraffeietlfor5ale�5ection 70a4, Busmess ana PmfessionalCotle: The Conlractors' State License Law tloes not aDDly lo an owner oi a O�opetly who builds or impmv¢5 t�ereon, and wAo Oa¢s suc� woM Aim5el0�erselt or ��rough �is or �er awn employees, pmvitleO I�al sut� impmvemenls ar¢ not inteMeA ar allere0 lar Sale. II, Oowev¢r �he bufltling Or impmvemeni is SOIG wiihin One y¢ar ol tomplelion. th¢ owner will have lhe �urUen al pmving he/sh¢ ditl n0i huiltl or improve �or ihe purpose ol sale�. ,y I, as owner ot t�e D�openy, am e�clusively conlracting with licensetl coniractors to consimct t�e pmject (Sec�ion 7044, Business L7 antl Pmlessions COUe: T�e Comracmrs' Staie license Law aoes no� apply �o an owner ol pmOehY who 6ui105 or impmves thereon an0 wno coniraca far such o�ojects witn a contracmqsllicense pursuant�o the Coniracmrs' State License Law1. I am aware Iha� pmol ol I�eir WorkeYs Compensation insurance shoultl Ee pmvi�e� to me. � I am ¢KemO� unde� Seqion: B. 8 P. C. for ihis rea5on: oate: �� 7( � Owner. I Oo nereby cenily Nal I am ware o� anG underslanU Ihe reQuiremems ol Cali�omia Health anA Saf Catle Sections 2550.5, 255 ntl 2553d and tha� I or any fuiure building occupani will/wiil noi (circle one) neeU lo comply wiN 5ai0 Siate co4es and Ihe requiremenis r a permn tor consimtlian or mOdilitalion hOm Ihe Air Ouabiy Managemeni Oislrki. FeSiJential tonSVUtlion appliUiionS ar¢ exempi fr I�ese O�ovisions. Dale. Npplicant: I �ere0y <etlity IAat I have rea0 ihis ap0lication and slale �ha� Ihe above inbrmaiion is correcL I agree lo comply wiih all ciry and counly mdiwnces and sta�e laws relating lo builtlinp cons�mction and hereby aul�orite repres¢n�atives oi Ihis ciry to enter upon the a6ove�mentioned prppetly �arinspeqion D^rposes. ` Dale �7�� S�gnawre��— �–� w v "�+• orivers �icense or saia� Secm�ty � i64L46 WM1ue—Bmltling: Green—Coea Enlorcemenl; Canary—Appl¢an�; Pink—Revenue; Golaenroe—Assessor _ -- -� � CITY OF COSTA MESA — HUILDING PERMIT R1�A0; c „-:,. PERMIT NO; E 051961 PLAN CHECK NO; N � p'P�SIIgp� CONSTRUCTION TYPE; 5—N PERMIT TYPE; ELE PURPOSE; OTH JOB DESCRIPTION ; INSTALL SECURITY LIGHTING SQ FT; CLAIM VALUE: CALC—C�ALUE; GROUP OCC; R-3 / COMMENTS: (REPLACES EXPIRED PERMIT E7061) iE 3F�flfkMififiEiF�f �i�ifif�E3fiF3FiFaFiEiFiFlEiFiFiEiFiEiflfaEifiEM1E�F�flEifkiElEiEfFififlEiFiEifiEifiEififiEkiEif�fifiEiElEiEiE3E*iEK ��//��//� j��'. O N I N G R E Q U I R E M E N T S / � �� S E T B � �S G - 3 -4!-- �/�"'•�-- ----- --�� IN BUILDING ------- — --- ACCESSORY BUILDING --------- FRNT: FT ZN 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: 91908202 ZNE: REF NO: PLANNING Nf3TES> i +�***+�*�+�**��**�*�*��*��**,��***«�,��*****��**��*�*��«x��+�**��**�*��*��+��«� 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 HY : DATE: APPLICATZON ISSUED BY: • �� DATE: ��F�� ifiFiEifitiFiFiEifiE�f�FifitfliFkiEklEMif iF1E1E�fiEiE�fifiEiF iFiF ififafaEMiEiE1FiE3FifkiFififlfifiEiE3E�E�EiE1F�f1EiEififififlEif�iFifM�iEiElfaEiEiElEiEifif Ei IfiEiEiFifi(�1klEifiEifiElEiElFaEiE9fiFlEif�IE±EiFlEifififi(�iEif LEGALIZATION:N F E E S U M M A Y STRUCTURAL SEGMENT;N PERMIT HLDG PMT PLUMBING ELEC3R�IC�. MECHANIC FIRE SMIP/RES GRADING SOY SMIP/NON—RES PLAN . ISSUE FEE 15.00 HUILDING—DIV—> PERMIT ISSUE PL'AN—CHECK TOTAL PAID DUE TOTALS----> 3.00 15.00 0,00 18.00 18,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 18,00 OVER/SHORT: 00 HLDG PMT PLUMHING ELECTRIC MECHANIC. FIRE SMIP/TOT GRADING PLAN—CHECK 18,0� .. L iF �E±F �)f iF �f if iF if iE 1f iE if if aE 1f IE iE 1F iFlF iE �f iE iF if aF �f �F±E if iF iF if �lf KiF iF if iF 1E iE �F if iF if iF iE if 3E IE 1F If 3f kaE if iF K iE �f * iF* iE iF �lE 1E 7f iF �)f �F iF IE IE �1F iE 1f iF I N D I V I D D 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 ELE 2 FIXTURES LIGHTING 1 ST 20 EA. ,75 1.50 ELE 1 RECEPT/Oi]TLET 1 ST 20 EA, ,75 ,75 ELE 1 RECEPT/SWITCH >1 ST 20 EA. .75 ,75 END OF FEES . / '�� .n,-ti,,;,-� ,�- -�g �--,�- .. ,� �:� 1,'�y: 'c''' _' . CONSTRUCTION ANDPLANNING .POO �PA �ti APPROVALS Permit# Date Inspector - APpROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52 �Pool & Equipment Location - i 2. Soil Pipe•Undrgmd. �" 53. Steel Reinforcement � "� �, , . 3. EtectricalConduit,Utility�Undrgrnd. ��54�:"Forms ' - ' 4. Electrical Conduit-Undrqrnd. " 55 ' Electrical Bonding � -. 5. Steel Reinforcemen.t �, i.56. Rough Plum6ing & Pressure Test . - 6�.'E1ectrical UFER'Grnd. �' �57. APPROVAL TO COVER�GUNITE �_'7.' Footings , 58. Electrical Cqnduit-Undrgrnd. - ' 8. Foundation - r, 59. Gas Pipe, O Undrgrnd., Test . 9. Water Pipe-Undrgrnd. �' 60. Backwash Lines, P�Trap, O Undrgrnd. 10. 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 Electrical�Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 1�. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough H¢ating & Air Conditioning FIRE DEPT, REQUIREMENT ' - - ♦ 20. Rough Factory Fireplace � ,� � = � �APPR_OVALS Permit # � 21.� Ducts, in Structiue. . .. .. -. � _ J' • � `70. UndergroU"nd Hydro . 22.Ducts,Ventilating_t - - � � . . �`� ' i �77,ProductPipingOGas ❑Oil 23;�.Gas Pipe�Rough & Test ','. , - .,72. Underground Flusfi 24: Roof Fram��g - ",r - '� : �73f Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing ' . : ' ;� � ' < . ' ' 74�Overhead�Hydro: 26. T-Bar Ceiling IStructural) & Monocoat ' - �!�o � 75;Dry Chemical " - "�, ' 27�: Frame and Flashing � r �- j, : �:� ,' 76. Dry Staniipipe -. � .' T� �- 28. Lathing�& Siding••? � � � ••� � 77i FIXED SY$TEM;FINAL � ��; 29. Insulation �� .�. � i � 78.^, FIRE PREV. FIN/aL ^ . � � � 30. Drywall Nailing _ � � � i �I. ..4y HEALTH DEPT. RE�UIREMENT 31. Plaster B�own Coat' , • . ' � j (. �, ..79. FINAL INSPECTION ' ' ' - ��32. Electrical Power MeterFinal � - , �� 80 rF00D CERTIFfCJiTE ISSUED� 33 LFinal Electric - ' � � � � � " . '� No}es: _ T '` �` - '3-CL' l �34. Final Heating & Air Conditioning; , r. � ' v. �� O ZC i 35: Final Gas Pipe�Tes[ �. - , • . ^r n� . .� '� �,� . �- �e�'s 36� Hood or CanoPY , _ �, 7 + - . • T " � 1L.�j 7�6 �1.� . • �(�' �� 6' 37.-Fina1 Factory Fireplace_ )'`� ^ '. �, '� �'. ' ` ; "' 38. Final Plumbing � � �. � �. � � � . 39. Water Service-Final _ � ' , i • � : �'' '• � �: << ; 40. Gas Service-Final ; . ,y ,� �: _ ,. i �Y4 , - � ' � �41. Solar pomesticFinal, .- � � � i - ' - 42.�Backflow Preventer �� _ I � - I � 43. Backflow Irrigation , ' ' ' - . 44. Landscape triigation Sysrem-� � . �� - - . - .. 45._Sound Attenuation • � - - ^ � � � � - : 46:. Handicap Regulations � � � � ' - �, ;:, _ 47.-FINAL STRUCTURE & BUILDING }�- � � - � 48: FINAL PLANNING ' - � . • , - �. . . 49. Electric Felease to �Edison , ! � � � • � • � � 50., Gas•Release to Sou�hem California Gas Co � � � (' . . � . , . - 51. CERTIFICATEOF,OCCUPANCY . . - ; - � F _ , No. Date M�y 2s, i991 Mr. Rubert Cc+chran Chief Electrical Inspector City of Custa Mesa ?7 Fair• Drive Costa Mssaa CA 92628 Fee 2c79 Cc�lgate Permit #r70b1 Dear Mr. Cc�ckran: The abcwe—referenced permit wa> issued to Prennan F'a�.iley Electrical per the request c�f my F21'P_iltS for the piirpose of installiny sec�irity lighting. My p�rents are now deceased and� therefore� I am writing this letter. After my F<Eal Estate agei�t� Mi1;e Dc�aley, met with Mr. Ruck, tFie City Electrical Inspectc�r he advised me to write a letter c�f e>:plai�ativn for the cancellatian af this permit. Due tc� circumstances unFmc�wn to me, my parents were un�ble ta begin the instzllation c�f security lighting further than the perm9.t stage. I would liFie tc� have this lette�- at,t,ached to the �ancelled permit as a way of e;:planatic�n and matter c�f record. I hc�pe this letter will serve to satisfy the request of Mr. Euc4::. If I can he of f�u-ther assistance or answer ai-iy q�aestions �lease feel free ta ccmtact me. Thank: yau fcn- your attentinn tc� this mztter. Sincerely, �� --�-�-�- Mary McGeoy Trustee Pfl0.1ECT ROOflESS: A 179 COLGATr: DR OWNEP�NAME: �\jC GEOY aooeess: 727g COLGATE DR COSTA MESA,CA 9'1625 '71.4 6?4-5687 AHCM/ENGINEEP: BEG.NO.: AOOHESS: UNIT: UNIT; PENMITTEE: EARLS PLUMHING ( 714 ) 7?2-34 %0 aooxess: t 533 W, LINCOLN ANANHEIM CA 92801 IItENSEO LONTNIICTOB �ECIAflATION: I �¢re0y allirm I�a� I am h[enSeG unaer provisions ol C�aD�er 9(commentinp wilh Seciion 7000� oi Drvison 3 of �he Business an0 Prolessions Coae. an0 my I¢ense is in lu:l larce anU eHen. c�rruc.: 005938 sTnTeuc.:'117657 cuss: C-36 Daie: Signature: WOBIIEPS' COMPENSRTION UECtABRT10N: I �ereEy atiirm t�at I nave a cenilicate al consent lo sell-insure or a cenilicate oi Workers' Comoensation Insurapce.g[ a cerlihetl caoY �hereol (Section 3800. Lae. 1. POLILY NO.: U 4 i3 4 V E%P. OATE: 3 I O i I9 S •omraxr: BEAVER Certi�iea [opy is �ere6y IumiSheG. � CenilieG coDY is liled wit� Ihe ury Builtlin/g D�ivision. /� oa�e: �"\�-91 ppplicam:�` ��• �•• • E%EM7TION FP�M WOBNEflS' COMPENSATION OEClAMi10 : �TM sttlron nte0 noi be cwnpl¢fe0 if Ilie pErmi i5 fOr one huMfeO �51011) Of less). I ceNty thal in I�e pedormante of Ihe work tor wllic� I�is pelmii 6 i55ue0, I stull not ¢mploy aily Derson in any mannef w as lo Oecome su0jecl Io I�e Workers' Compensation Laws ol Califomia. Oa�e: Signa�we: NOTILE: I�. aRer makinp �his Oeclaratian, yau s�oNC Ottome SUGjeci m IAe WOAers' Compensation prOvi5ion5 011�¢ LaEor Caae, you must lart�vnlh comply wi�h suc� pmvi5ion5 ar Itiit permit shall Oe tle¢metl revoke0. CONSTBIlC710x LENOiNG RGENCY: I �ere0y allirm tlut t�ere is a consimc�ion lenaing aAency br t�c pertormance ol ihe work for wnicn inis oermn is issuea ISectwn 309I, Civ. C). LENOEN: aoosEss: OwNEB BWLOEB oECuflRTION: I hereey allirm t11d1 I am exempt irom Ine fAnt2ctor5' State License Law for ine Iallowinp reason (Seciion 7031.5 Bu5me55 an0 PwI¢55ianal Coae: Any aty 01 Couniy wtdt0 repuife5 a permii Ia wnSlruCi, ali¢r, imprOve, a¢moli54 Or reDart any simcWte. ptio� lo M1S iSSuance. al5o reQuires Ihe aoDliWnt br sucn permit to lile a siOneE slilement Inat nUsne 6license0 pur5uanl Io I�e D�avisions ol Ihe Conlractors' State License Law IChao�er 9lcommencinp wim Section 7000) ot Division 3 al Ine Business ana Pm�es9ons COUe) ar tlWi MJslre is eremD� �herelrom ana tne Da5i5 lor Ine a:le0� ¢�empti0n. My vi0latiM ol 5ltlion 70.11.5 Uy any ap0��nt lor a Oermit subiecis Ihe applicant to a civil Denalty ol not more llwn five �unOreG doOaR (SSfq�. I. a5 awner oI ��¢ pro0ehy or rtry empIOy¢e5 wil� rra0e5 a5 ��eir sole ComDCn5aIi0n, will 0o Ihe walk, antl ��e ❑ stmnure is not intenUea or olterea lor sale 15ec�ron 70aa. Business anu Pmlessianal Cotle: Tne Contractors' State License Law Ooes rwt aoON �o an awner of a O�openy wtn OWOs or imp�oves t�ereon, anE w�o dces such wod �imselt/�ersell or ��muAh �is or �er own employees. pmviQea t�at suc� imD��'emenls are not intenGed or offeretl lor sale. It, �owever t�e �uil0inp or improvemeni is 501E vnl�m On[ ylar ol fAm0leiion. Ihe ownet wAI luv¢ t�¢ GurG¢n ol 0«�0 ��e CiE nol Gui10 or improve lor �ne ouroose ol sa�e) i, az owner al me D�apeny, am e.clusivety wmnctinA ��h licensetl conlractors to constmct Ihe proleci (Section 70aa. Business ❑ anG Pmlessims CaUe: The Comracmrs' State Lice�e law Eoes irot appy �o an vxnei ol Droperty wM WiIGs or imprmes tAereon anG wM Conlratl5 �ar wth O�oletis wil� a tAnVatlOr�s) IitRnSe Ourwanl Io I�e fAn�nC�orS' State Licensc Lew�. I am aware I�ai pmol of i�en WOrktr'S CAmp¢nSdiNn itSwdOt¢ SI�OUIE 0¢ p10viGLtl IO m¢. � I am exem0� un0er Section: B. 8 P. C. lor Inis reason' Da1e: Owner. I eo nere0y cenity inat 1 am aware oi ana unAerstana ine �epuiamenis oi Cahtomu Healih ana Safety CoOe Seciions 25505, 25533, and 2553a ana �hai I a� any Wture buil0inp acupam wi:Vx�:l not (drde o�q neeE Ia compty wii� sai0 state coEes anE i�e apuiremenis lor a permn br cons�mclion or mo0ilication Imm ��e Pu Ouahiy Mana e=�� isina, flesiG¢mial consirut�ion appliuiions are e�em0� �mm inese omvisions. p q Date. `� —\ \ _ 11 FOOIiWnI: � � � � I here0y cerlily �hat I have reaE t�is app6ca�ion antl state Ilu� I�e a�ove m�ormati0n is correcl. I agree lo com0ly vnlh all city antl couniy ortlmances antl siale IawS relatitg ta Dm'Amg tonsirutiqn arb here0y aullfor�ie reyeuntativ¢5 0l tN5 ary to enter upan the a6we-mentione0 pmpetly to� in50ection pGurposes Oate `1 —�� _ 1 I 9gnNme.� �� orNer's License a� Soc�ai Secuniy r: ;?' � � 64t-n6 Wbue—Bmltlmg: Green—CaCe Enlorcemem: Canary—Appl¢anC Pink—Revenue: GolEenroa—Assossor CTTY OF COS7'A ,"!r.SA — BUILDINC3 PERMIT Pc�M NU: d O:100E PERMIT NO: P 051006 PLAN CHzCK NO; N GOVT; N SUPP; N CONSTR�CTION TYPE: V—N PERMIT TYPE; PLO FURPOSE: UTH JOB DESCRIPTION : REPLACE WA'PER HEATER CLAIM VALUE: CALC—VALUE: SQ FT: GROUP OCC: R-3 / COMMENTS: REPLACE WATER HEATER it �M �lf � lE �� % N� iE 1( %��N� �)f �M ie �k if if # 7( if iE if i! iEif •X �lE k�K N dk if �K df it iE � lE �3f #�% k� iE iF �3F# �� k�%if df N� �% �Y iE �lE it �t �Yc �%� �)F�K�# ��E i! iF�)f iF �#� if �IF M Jf # lE 7. O N T N C, R E Q TJ I R E M E N T S S E T B A C K S ------------ MAIN BUTLDING ---------- --------- ACCESs'ORY BUTiDING --------- FRNT: FT IN REAR; FT iN FRNT: rT IN REAR: FT IN L�ErT; FT IN RGAT; FT IN LEFT: FT IN RGHT; rT 1N PARKZNG Rcp • PROV: PARCEL; 41908202 Z�E: i2E= NO; PLANNING N(STES> � jf i�-i! Y,�'%(' i(' i(' if it jt �' � ir �' �' it' �- i�-'i�' i� i�"K' i! ii' �(' �{' i(' �{C j!' jQ' �^ ��' i�' �' �t' i�' 1%i�' �' iF �'.' if i�i' *?(' iC 3f'}F {{' j%i[ if iC i(' �}L it K it if )t �f' �"X' �- i� * �t'li iE it' � iF?�' iF *'%�' D E V n L O P M'n N i S E R V I C E S R E Q U I R E M E iV T.i �ONING AFPROVED BY DATE; BUILDING APPROVaD BY ; DATE; APPI.ZCATION ISSUED BY; DATE: / **��+��+�**�+�****��+�� .�*�}*��:,�� : � ��. :y w iE iE Y.� iE iF iE �f� R if iF fF :F �E �F ):� x� M� IF ±(� if ii iF i'r aF Y.� iF i� i(� iE iE If i4 ie ff IF ii� �' iF 1i 3F 3'r If ib it #� it� if 3f �F �F it if R!h iE jE i� iF iF iF iF 3F i iF iE 3F te 3f fe x- i� iE 1F i it fR )* LEGALIZATION:N F E E �S U M M A R Y STRI7CTURAL SEGMENT:N HLDG PMT PLUMBZNG ELECTR'IC MECHANIC FIRE SMIP/Rc5 GRADZNG PERMIT 2 00 '15Y PLAN ZSSUE FEE 3,00 BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TUTALS----> 2.00 3.00 0.00 REVENUE DIVISION TOTAiS--> COLLECTED: HLDG PMT PLUMBING ELECTAIC M'aCHANIC J.00 TOTAL 5.00 SNIP/NON—RES PAID DI7E 5,00 ,00 �5;0.0 OVER/SHORT: 00 FZRc S,N3P/TOT _GrZAi3ING PLAN—CHECK # it ik � 1f N� 1E IC� k iF )F !h i'r IF 1E i! IF 7f k i:lf # iF If k K� fF 1f IE if N� 1E )f iE IF IE if !(� K- Y.� if k it 1E # IF 1f IE'IE IE IE IE IEY.� 1E 1i� IE �1e lE lE iE ?h i4 �IE iF fF �f �f 9E iE?F i'e iE fE Y. -K- iF 1E �lP I N D I V I D 0 A L" c E E H R E A K D O W N TYPE QTY D E S C R Z P T I O N UNIT COST TOTAi COST PLU 1 WATER iiEATER AND/OR VENT 2,OU 2,00 $Nll OF FEES D! l!'JQE:' �.i-:'L C�",'� " " - � �e+'[. J�%�1. `'� }.-i�: � .. . CONSTFiUCTION AND PLANNING P�� SP�' APVROVAIS Permit# Date Inspector pppROVALS Permit# Date Inspector 1. TBmporary Electrical Service or Pole 52. Pool & Equipment Location Z, $pil Pipe�Undrgrnd. 53. Steel Reinforcemen[ • .3. Electrical Conduit Utility-Undrgrnd. � 54. Forms 4. EI¢ctrical Conduit•Undrgrnd. 55. Elec[rical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gmd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58.� Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe. O Undrgrnd., Test ' 9. W2ter Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, � Undrgrnd. � 10. Structural Floor System 61. APPROVAL�TO DECK 11 . Property Sewer Line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent-Fina! 13. ROo( Drains ; 64. Plumbing SYstem - Final 14. Rough Plumbing � 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. POOLlSPA SYSTEMS FINAL 19. ROugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Duas, in Structure 70. Under9round HYdro 22. Ducts, Ventilating 71. Product Piping O Gas OOiI 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T•6ar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - � 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREV. FINAL 30. DrY�'all Nailin9 HEALTH DEP7. FiEQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: b�lQ� �v DHE(�7)AJ�`C�f�TC�Q�C1D- L�D 34. Fi�al Heating & Air Conditioning Z(o ��.�%�7�7- �Pr�� I�cS �E2- z0• 5 35. Final Ga's Pipe-Test U,p,G _ L,� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing -" 39. Water Service�Final ' 40. Gas Service-Final � 41. Solar pomesticFinal 42. Backflow Preventer � � 43. Backflow Irrigation 44. Landscape Irrigation System � • � � 45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cv � 51. CERTIFICATE OF OCCUPANCY ' No. Date OWNER j(F7AinpTT N(17dF4 � TTT(' _ � DATE (�-Z6-S8 _ )OB ADDRESS pp79 Col�ate grive BLIII.DING PERMIT NO. �p�K GENERAL CONTRAGI'OR K T•T KG�}} �6��5'�I' Ce VALUE $ � ��7q(1 nn AP. No. LOT�K TRAC'1'�1�1 PQ2E ZONE DESCRIPTION OF WORK SiTig res. W att�var. GROUP S R� J TYPE p ZONE RI, PLAN NO. 7nqK _ INSPECTIONS I DATE I SUBCONTRACTOR I DATE coa[ Final Gas Twt r . �� ' `��`�� COSTA MESA BUILDING DEPARTMENT P.O. BOX 3I� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING nooRess MAIL ADDRE55 CITV ADDRE55 IEGRL DESCNIPTION A.P. NO. :/7 UV1�8Vtl L1-• COSTA MESA. CALIFORNIA pvortvBPachi Caal �o. A I'I 11011 COIIB 4 CO N�O. UTV LIC. n NO. TEL. - /�} x '1M NO.OF BLDGS. �J j�� NOW ON LOT IIOIIe USE OF E%ISTING BLDG. SETBwCK LINE FqOM CENTER OF $TREET SIDE YARD REAR RIGHT � LEFT O DESCRIPTION OF WORK NEW p ALTERATION � ADOITION REPAIR MOVING (DEMOLISH BUILD�jJ G 1 �tvn NO.OF SIZE (IRT Jr ROOMS 6 STORIES E%TERIOR WALL 1 ROOF 1� COVERING BYIICCO COVERING I'OC8 USE OF NEW BUILDING sinp_le fam residence & att e . . . • - . -� ,�� ... U b 6.. �1d tti. �..,, �� ,._ � _ � F, S`�6 � u- FIP�",�CE DEPT. APPL�Inr ��n:��1 ; ��$� CATION FOR PERMIT BUILDING FOR OFFICE USE ONLY FECEIPT NO, p$@y(T�('(fj� 71 ,�)! Vf��J ECEIVfD BY OATE RCCEIVE� �1TE ISSVED ii��.A �% r Z� . ��i� '7 Q � COSTA MESA. CALIFORNIA FIRE ZONE ZONE APPROVED BY DATE CORRECTIONS �d �� t �/ I HEIiEBY ACNNOWLEDGE TNAT 1 HRVE READ TMIS APPLICITION RNO / /Q/ STwiE THAT THE ABOVE IS CORRECT �ND AGREE TO COMPLY WITH �LL U .� CITY OROINANCES AND ST�TE �AW$ REGUL4TING BUILOING CONSTRUC- � T�o�. VALUATI ON SIGNATURE OF PERMiT FEE S �O � PERMITTEE � PLAN GHEGK S /S'� S/�� Df TOTAL FEE S �°M� AUTHORIZED AGENT S ��