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2350 COLLEGE DR - Building Permits
(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.caB.UILDING PERMIT �� FAIF DRIVE, GOSTA MESA, GA 92626 ,lob Address: 2350 COLLEGE DR Suite: Vicinity: ROOF Parcel Number: 14148426 App�icant: NGUYEN, NAM BUU Address: 2350 COLLEGE DR��O�//./� COSTA MESA; CA�` 1 � � Owner: Address ��� TA �O NE ; ft--, � 1 PS,AND NAM.BU R� �% TEAR OFF EXISTING ROOF. INSTALL 3( GARAGE. I� �; I -- f � �� --1 1 �� (� � � � � �� � ,,���,..� \� ���� �1,� �� �Plan Check; � �l ' $0.00 � ��'� �-Permit: � �,'' �$97.25 �SMIP�Res: � $0.50 �SMIPCom: ��$0.00 �� Othe�:� � �$0.00 � Inspection:> $0:00 �b� � �ti �� �� 1Total: ,� $9^7.75��, \�� / /.. \\�\.S.i�1 ���� �v�, �� \` SETBACKS�� � ` (/��. � MAIN STRUCTURE Front���0 f \�V "��, ACCESSORY Front \ PARKING Existin : Zoning: �Z_� ��� �� - _ �-_�� �Q ��one: Zip: 92626 one:5� � . i� nse:";OOOOOQ,�,., .t�e'��o'. °-. "• �:r�{�;.c� M'd�^? i �p �i � o� 'p ' 0 „J�. (� ` r o 0 0 +=—id�ij�: s: U� °�U ,-�'�y„ p o C`/ a {� ' h1 °�'',�1+%/j.r, o Status: ISSUED Applied: 12/16/2003 Issued: 12/16/2003 � ♦ � : �i�- + f�-`, �����i` ��; Lice � I j � SHE THING. 1,876 S.F� N � ��� !. ` Calc Valuation: , Claim Valuation: /, ��� `� o„� PLANNING-& ZONING �.`�.c�j � � ��� . ��o o . _„ ���rO��% � `^.> i '�"^-�-,._ �.1``"3-.'�,— 'a =i"' � Ri ht 0-.0. ar 0�0�- �-�_,__Le�O g f )r-, \\,`-��� ar �,0=0._ � Left-,r"0-'U%� �\ Right 0=0� �--�; i �l i � � n � � � � �� ��� ��,,' � �_i Y� I i..'7__�.' l ired: 0-��}��Pr000sed:l--�0 �� Q/� � . ,_.. __- __----l..i:?l% / _ �' NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 44fi-I6 (NW) WORKERS'COMPENSAT�NDECLqAAnON: Y 6hereby affirm under penalry of perjury one of ihe following declaretions: , � , ' ❑ I have and will maintain a certificete of consent b self-Insure for workers' compensation, es pmvided for by section 3700 of the Lebor Code,'for thnpaAormence of the work tor which ihis permit is issued. ' - � 1 have and will maintain workers' compensation insurance, as raquired by section 3700 of the Labor Code, for the pedormance of the work for which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: . . Carrier. � policy Number: � (This section neetl nat be cromplefed i! fhe permit is valued af one hundred dollars ($100J or Iess.J � I etlify that in tlia pertormence of the work tor which this pertnit is iuuetl, I shall not employ any pereon in any manner so es to become sublect to the workers' _—compensation laws of Calitomia, end agree tha I shoultl become sublect to �he workers' compensation provislons of Section 3700 of the Labor Cotle, I shell fonhwith comply with these pra is� s/.J {nC , � ApplicaniSignature: ' �"'"' /� � r'Datei � � � 6 - 0 � WARNING FAIWRE TO SECURE WORKERS' COMPENSATION VE GE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOIXJE HUNDRED TlqUSAND DOLLARE (5100,000), IN ADDITION TO THE COST O ENSATION, DMIAGES AS PRWIDED FOR IN SECiION 3]Ofi OF THE IABOR CODE, INiEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTOpS DECLARATION: I hereby attlrm thet I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, and my license is in full force and eHecL Lic. A Class k Contredofs SiqneWre: Da�e: CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm Ihat Ihere is a construction lending agency for Ihe peAortnance of ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lentler's Neme: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: 'i I hereby etfirtn thet under penalty of perjury thet I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7031.5, Business entl Protessions � Code: Any ciry or counry which requires a permit to construc�, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires t�e applicant for such permit to tile a siqned statament that he or she is Iicense0 pursuant to the provislons of tha Conirectors License Lew (Chapter 9(commencing with Sec[ion 7000) of Divlsion 3 oi Ihe Business entl Professions Cotle) or ihat he or she is exempt theretrom and the basis tor the allegetl e:amption. Any violetion oi Section 7031.5 by eny applicant far a permit sublects the applicant to e civil penalry of not more then five hundred dollers ($500).): ,❑ I, as owner of the property, or my employees with wages as iheir sola compensation, WILL DO THE WORK, and ihe siructure Is not intentlea or ottereC for sele (Sec. �, 7044, Business and Pmfessions Code: The Contrectors License Law does not apply to en owner of properry who huilds or improves thereon, and who tloes such work '�, himself or hereelf or through his or her own employees, provided that such impmvements are not iNentled or oHered for sale. If, however, Ihe building or improvement is sold wi�hin one year of completion, ihe owner-builder will have ihe burden of proving that he or she ditl not build or improve for purpose oi sale.). ' ❑ I, as owner of the propeny, em E%CWSIVELV CONTRACTNG WITM LICENSED CONTRACTORS to construct the projec� (Sec. 7044, Business and Protessions Code: The contrectors License Law aoes not apply to en owner of property who builtls or Impmves thereon, and who contreas for such project with a coniractor(s) license pursuant to tha Comractors License Lews.). I'� ❑ I am ezem ndar sec. eusiness end Professions Coda for this reason: ��� Signature:� s-c. ` Date: - � -Owner ID verifietl by driver's license. V s ❑ No ('Drive7s License No. -" ' i ExDires: �/- •O � A_ , � Verification ot Ownership by (rype ot tla me , i.e. - properry taz bill or deed):— �-- -- - - - DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet no excaveUon tive (5) or more teet in depih into which e person is requiretl to tlescend, wlll be mede in connection with work authorized by Ihis permit, and that no builtling strucNre, scaHoltling, talsework, or demolition or dismantling ihereof, witl be more than thirry-six (36) teet high. (Chep. 3.2, Grp 2, Atl 2, Sec. 341, Title B, CaliforNa Administretive Code). ❑ As owner-builder, I will nol employ anyone to tlo work which would requlre a permit from ihe Division of Industriel Safary, as noted e6ove, unless such person hes a permit to do such work trom ihe division. � Signamre: Date: Division of Industrial Safety Permit Number: CERTIFICATE OF COMPLIANCE /WD AUTHORIZATION OF ENTRY: I certity under penalry of perjury ihat I have read this application and state thet ihe infortnation given is wrtect I egree ro comply wlih all steie laws and ciry ordinences rela�ing to building conslmction, entl authonze reprasentatives of Ihe Cily ot Cos�a Mesa to enter upon ihe ebove-described prope r inspe 'on purposes. I agree no� to acupy or allow occupancy oi any builtling authonzed by this pertnit until final inspaction. /�.-.__/_!�. - e � Si naWr galOwner(s) ' � Date } � : CODE �. INSPECTOXTYPE 1616 � Fixed System Final Flre Prevention 1266 Pool Spa Finel 200 � Final Re-Roof � 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q� � COOE I INSPECTION TYPE 206 � Finel Mechanical .� 208 Finel Plumbing 210 Finel Electrical 212 Final Fire Prevention 220 222 250 Final Planninq Approval � Final Site Final Building/Occupancy �ff I[{i0�L4 �� � � " ,� � AVP��cant to till in all svaces except those within neavy border Ilnes antl.sign all aDD/opriate Oeclarations. - j_ "_" � '_�_'__...._, .. _. ' _.��_ " " _" "'_"___ _ _ " . __'"" _ _ . '__ _... .. , } �'.:)'�..,.. .. _._1 . � .-. 1 _ _ _z'- _ .. _'�l - . cbTY OFiCOSTA'MESA ;CONSTRUCTION,PERMIT ' � PE MIT NO. � ��� �TRACT N, . ! ; LOT NO. � �UNIT N6� � ; � i � � L 7747 I I%24 8/ 6 I 19:26 ! TL � �3'17f �' ��F � ' I , . � ' J i 7 : , : , , i i � i . 1' � � I i �. � �. � ` , �J� Project Address PJ C� � t i +' � '! � f j' � � I ApplicanYs Mailing'Address ! �� \� GC� � /"r/ �— 1 ' i TVPE OF CONSTRUC710N � NEW� iADD ALTEi�ATION � REPAIR � ` � � �(�� � ' .�/ � � ❑ CONVERSION ❑�DEMOLISH � OTHER ��e ��`���� ` i 1 - � 1 - . Owner's Name� .-W'�J r iiti�n �?.� � PhonN"v-�`f� " ' ' "'{ . _i�....-....._ y.-'_.t_' ` ":'' A P. #. .T ....� _ .._ � ' -�- __ �_ � .-6-. �. � t- . Zone '��.� � _ i DESCRIPTION OF�WORK/USE OF BLDG Address � �3-�� ��- ��oa. e � � � ' � ' S � � � * � � i ' f ' � . 5 Main Building Y ` ; � � 'Accessory Building: � � � � f Arch%Eng� � � � � ' � � License No. � � � 7YPE OF PERMI,T � GRADING Fourvoa,TloN � STRUCTURAL � � T Fron[� , : � ; i j � � i - �j � . ( � + � ' Address � ���' , I, � � � (�! � ' � � � � TENANT � ❑ ELECTRICApL ❑ PLUMBING � � � • _ , � ' ❑' MECHANICA� � B Reaf I � , { ' ; ; ! � + N � � ,WP,s9o�rl�a' %r" .Fi� � i .O OTHER . %P� �✓Lu �r. • i � � ,i , f A i _ _ 1 . . � � I � Contractoi's Name r�.� n c . Phone l. °%1%/6 y/ ', ' C � Ri fit�' " - - -+--- y . _ �-_ ±.. +._._ .._ .... �.� � ( � - � PROJECT DESCRIP710N �Sq. FT. f ��' �� ' � � ' 9 �` � ' � � + ' � �' T N � � � 1 OCCUPANCV � Address (mailing�-- �.� G %� � �1 � � �'�• i � . � ' � � K � - • . � � G ' 1 � • ` � � � ; CONSTRUCTION'TYPE � � ' � ( VALUATION$ aCr.U� `! ! g Ceft � � � ; �' f I 1 � � � � City License No. �'.F'-� 7 3 � � � � • � � � � ' i ' ' � ; � ' � ' � � A � , ZONE ' i GRADINiG CU. VDS.,' ' ACRES 4. �� 9� � ; ' _. � LICENSED CONTRACTOR DECLARATION ' ' � � 1 � � ' . • . Pln R¢f. # 1 � �', �Pa�kmg�REq./P�ovided 7 � ? ? E i � Q I'hereby affi�m that I am licensetl untler provisions of Cha�ter 9(commencing Remarks: �` � � U. � ' � � � c� I � i " � � � : i. ' �. wiih,section 7000)bf Division 3 of the BuSines;antl.Professions Cotle, antl � • � � t '� . Plannmg Notes' i ; � y'> r : � 1 i t� M � mY licenze is inlfun fCe3 � effecl�. . i � t 1 � I ) . t : : . '� i . i .-� '� � � � ^� . � � ' t ; � � . � - I � M I � � � T ' License Class�� � ��/� Cm � ' �� _ t � � _ ?_; � Date lI'Z� -SfL� c �', /i�!'i'/ �� • � � ! � - I ''� . + PIUidBING ("' ' 1 -FEES t `c � . = . . ' . � �= . � ' ' • WORKERS'COMPENSATION D CIARATI � � � r - �' 'i ;c t - - ., - - � � - � ; Bar Sink i ,-,, � p�:i � Showerr : i • � � +� • ; .i . ^a ° � ( � �EL'ECTRICAL� ; -� �.� ' j -. , FEES �: 1 hereby aftvm,tnat I have a cerUticate ot consent to selt-insure or a certificate , _ � . i I ^ �-. ��^ -_ I j.:_ _ , ,,, ��, 1 , . of Workers compensation Insurance, or alcertlfietl copy.thereot (Section ' BackflowPreventer; ; ServiceSmk ' � '� ' � � ,'> > � � , { 3800, Lab. C.). '/ � _ � � � - -- � � � • � - ' � � � , AUtOmatiC WaSher � ,� � f � Transformer ,�� 15 50 KW , � � (�Policy No�. •%�'(�l `��'� ; � Company � Backflow Irn ationi � � : . � ` �; + � - ' ' � - . � =� �-,� � 1 Certif�etl co ; � -9 ; � SewerCap�4 i " � . a � . tC i ,; Construction Pole Sub ., ; ' � ' y � + : � 50 � KW � J � .' � py i5.,he�eby iurnishetl. _ , . .. - . _ _ _ . Cert fip�l 5opy i tiletl �with the city B� ' � piv' io �. I Bathtubs� �!` �'' i" Sewer ConnecUon ' t �.''-. �'' Cooking�Unit ��- �� `� Meter ❑up to 100 amps ' j .�ate �I�C�I -� ' APPlicant � , - - ., . _ . � � . . . ; . ' _ EXEMPTION FROM WORKERS' COM . N ATION O CLAR TION � '� Cl2rifi¢rs '3 � '� � � � �•� ' � : Soler �Collectois�� j �,, ! �.•: _ : Di;hwasher : � � . i - i �+" i ' . Meter. Oove� 100 amps � ' t" ' :y ' � (Thiisection neetl not be completetl it ttie permit Is to� one huntlr¢tl ($100) o� � . � � v � y� , � _ - '� k " 1, iess). � . � � : , � • � • , Dishwasher� - - _ � � Solar Pipirig , � � , F i ' Dryers ❑Gas ❑Electnc� .' � � < Sub Panel � , f ' I ce�ti(y that in the.0erfo�mance of the wo�k to� which this perT�t is i35uetl, 1 .. _ � -., . _ _ _ ' - � �^ ° • � - � , � � � - ' �. � � . shall!not employ any person in any manner so as to become subject to the � Drinking�Fountains 1 ,�� , Solar Tank ;�. � a � - - Workers' Compensation L'aws of California. ' � �, . � ' ' ` � � � � ' �- FaO , : � � ' � . j . Motors OO-1,HP �1./,.8 �. ,'t -' � Date'� ` � �� Si9nature "� • `, Floor Drains : � ' 1 �' � " " � Swimming Pool w/SpaT � �' . � � � � . F.A.U. ^ ��� Inc Solar��9-15 HP �7615+ ,.NOTICE:.If,.aiter_makin9 this:tleclaration,.YouShoultl become.subject to.the...... ' ,� t + . - _ . .. _ _ _ _�_ � � Workers' Compensation provisions' of the Labor Gotle, you must forthwith. Floo� Sinks � �. � Urinal } � � ' - ! � �omply with such provi5ion5 or, this', permit shall be tleemetl rewked. � t ( � i� Fi%tu�25 � i.� ��Microwave� f � �' CONSTRUCTION LENDING AGENCV . � ' �� � . GasServite � !Outlet5 � � � � � � � i ' " � . . � ' Water Closet �� � � � ; Device Boies ' y . I hereby affirm�that lh¢re is a conztruc[ion lentling a9ency fo��the perto�mance ' - ' . , ; � � Pole Cight � t � � of tM1e work for rouhich [his permit is issuetl (SectiOn 309] Civ.. C.) � ' ' �' t ' . � Lenders Name ' - ' � i �. � Inrerceptors 4 � , � i � � Water Heater � J { � t i � Outlets ' ; � ' � � Ran9e : �� � � � - i � ' ' �, _LentlerJs.AOGress_ '� �� � ' ' _ _ ; KitchenSink_'._ � - � Water.Seivice�-- t - -t . -e- - ;�j- SWiICh¢5 �-�-�. - - � �-Sj �=--; ��-i�--� • - -t--,^ �-- �. OWNERBVILDEROECLARATION ' ; � ; ' 1 ' _ ' . � . ' - ' � � ' � 9 � I� i I hereby afiirm that 1'am exempt trom�tha Contractor's License! Law�tor the Lavatories � � Auto-Wash ' � � � � Garba e Dis osal � i �} � � , I i � I� i i 1� i 9 P Standing Sections • tollowing reason (Section'�03L5 Business antl Professional Cotle: Any citylor ' _ - , . f , �. •_ � , ; munry which requires a permit to construct,!alter, impiove, Gemolish or repair " � p-Trap ! � � � Laundry:Trayi � j � Generator OO-5 KW�O5-15 KW � ' � ' � any st�ucture, p�ioqto,it5 i55uanc¢, also requires the applicdnt (or sucb pe�mit - • � � � T�dSh�COrtlpacto� . ; � � � to file a si netl sta[¢ment [hat he she is IicenSetl ursuant to the tovision5pt ' • ' " ' - • ' � DiviSion^3-of the�BuSiness�antl�Pro�ession5 Cotle or4hat�he she�is-exem t-�-.__� Roof Drains ; � � � . ' '' � � . • the COntractor.'s L"icense Law (Chapter 9 (commeoang with Section ]000) of 1 � ' . �' • � � � , . � i � � -j � _ ... _ i. . _ . _. _ .-._. _J—. _ } - - 7 - - - � ' � - ' � ; , i � � �; therefrom and�tne basis'forthe allegetl�exemption. Any violation of Section i � ( �_ � � � � : -�. � . i ' � 1'1 � - 70315'by any applicant for a permit subjects the appliwnt to,a civil � � � � • - ' ' ' penalty�of not more tM1an five huntlretl tlollars ($500). ; - i � • � r r�� ;; � � 3 � J ! t � t . ! � ' , i i: '' � �� 1 as owne�� of �tM1e�property or my'employees with wage5 as thei� sole ReinspeMlOniFBel $15 ; •� � IAu¢ Fee. . $° : , � ' _ mpensation,[will dolhe work, antl the structure is not intentletl or ofteretl � Reinspection Pee i-� $15; : Issue Fea � `$ 3 ,� sale (Section,7044, eusiness.and,Professional Cotle: The Contractor's ; MECHANICAL� ; . _FEES i � - ' - - ' .cen5e Law tloes not apply [o an owner o( a'property wlto builtls o� improves ' • . ;: , � ., } �, thereon, antl-who tlaes such work himself/herself.or tnrough his or fier own � i ; , i • ' � � � , _� �DEVELOPMENT SERVICES REQUIREMENTS: � ! � ? t employees, pwvitletl tM1at such improvements ar¢ not intentletl or ofteretl far '� Boiler _ , � Hood or �Type I ❑ ��! � i • S � . ��_ � � i . �� sale.�lt, how¢ver,�the builtling or improvement is soltl within one ycar of com- , CdnOpy Typ¢ 11 ❑ • - : � Za�i^9 Approved By ' i ' - Ddt¢ � ��pletion,- the owner will'have [he burtlen,of provinq he/she tlitl not_ builtl or im- ' Duct - Under Ground� � '' � i i � Building Approved By �"`�' ' � f -' Date '!�� , r P�Ove to� the�pu�pose of sale). � -% , � � . ' " ' '� ' , _ . � ���'•IJ as�ownerfof. the�property; am ezciusivety contracting with Ilcensetl:con= ' � Duct - Structural � � ! :� Refiigeration System� � . ! i l ir � '�Appliption Issued By � ' � - ' Dat tractors fo construct the Oroject (Section ]044, Business antl Professions Cotle: '` '_ ' � - i ' , v � The Contractor's,License Law does'not apply co.an owner of�property�who Duct- Ventilating � �, �0-100,0006TU ❑t00,0008TU `� �� 4 � - . � � ' t i -? � ;• SUMM YOF FEES n . } � �� � ' u' ?' • builtlsmr impwvesltbereon, antl who contracts.for such,projects with a con- �' � � � ' - x � 1 ' ' 't i. . �j �/� ' _x - " � � tractor(s imense porsuant to tlie Contr9ctorfs Cicense'Law). I.am aware.that� --i ' ' '" (' BUILDING PERMIT � � -' root o� �their� Worker:s�Compensation �insurance shoultl be Exhaust System �❑ 'MWtiple ❑ ' � System'Repair/Alteration � � _ $ . i ,',(J—�' SMIP � � � $^ � �• - �. P provltletl to me.' � . � -, - c - . ' , i :.� t . ' . � PLAN�CHECK � $-; t � � s:PERMiT. • ' � i,{� r L7�!I am`exempt untler5ection '�' � B. & P. C. for this reason � ; FirepVFact'.BIt.�IC80 # Fire Dam ers 1'i � , i ': � � � � t`� ~ '. � •: � • i : - . _ .. , . . �� I P s � P,LUMBING '� .- i w $; '_ � •` i ' ISSUANCE_ � $,' . . � Date• � � OwneP ' - c Heating System & Ducting � : Registers' ' � , � _ �- t - � �. , p�qN'CHECK 25%'-•$'- v I � ENERGY P;C $'` ' - � " = ' � I hereby certifyhthat'I have reatl ttiis applicatiori antl state mat tne above ' ❑0.100,OOOBTU �100,OOOBT ��,, � -y �. �_ a �' ' ' � . GRADING, $" ���� information:is correctrl agree to' ply w"` h all city.antl county ortlinances . ' � I.. ' � : :' ���F ELEC'TRICAL ' . $,7' '� � � ,� i . _i , ^and state laws-relabng�-to builtl n r Et onj antl;hereby authorize repre- - w � . � � �� F - . � ' - ,, t � PLAN.CHECK 50% ' + ` ' MICROFILM_' $ - - � entatives;ot,-tM1i ci y; to=.e r ip Ov¢-mentionetl� p�operty .for�r ' � I � i � , ' '�- � - � . � �� . �• $ �. - �. ' . i , y G �.� / 7� ��nsPectlon s � . � ` I( 2 � . _ ''� , - 4 ' _ ' MECHANICAL � � , $. � � � �7 w'. ^ Si9na�ir1���. . .. oate y -�_, t p: t .� , < < •y, , r. . •r. � •a .-� w , „ �TOTAL F,EE �,] $ ^�: I� G.ivers^Licen e or'S � � RemspeMion Fee C� :$15� , %, I Issue Fee i i r, �✓. t $ 3�� 1 -�' P�I.AN�CHECK n25% $` � . �� } � (. _"_ "_'__'_ ' _.,_ .._..-_._.�_. . " ` _"" ' _�_.� . . _'__ " ""_ "_�.._ __'_ '.'_'._." '"'' . _" . . -. .' _ - .-.. _ , - ' I CMF OBfi5-46, rev. 10/04 ' Whit¢ - Bulltling; Canary - Applitant; Plnk - Accounting; Goltl¢nrOtl - As5e55or . ' L - _. �.- -- .... __._ .. .__._. _- � _ . . .�. . _ ._ . . ._. � - " ` ( � POO L & SPA: � � , � r.� .� � . � CONSTRUCTION AND.PLANNING � � � � ' -� � � = �APPROVALS ' Permif # , �Date � 'Inspecfor, � � APpROVALS Permit # � , � �� � � Date` � InspectoF i i � 4 � .0 . 1� Tempoiary Electrical Service or Pole � � � • � 52. Pool & Equipmeni Location� � , � } � � � 2. Soil Pipe-Undrgmd: � � � ' 53. Steel Reinforcement � t � '• } � , � '� �. � ' 3. Electrical Conduit UtilitY-Undrgmd. � ' , ' "54�. �Formi' : � � ,� i- � j . ; ' , ' �' � �. �� ;.; ' i, ` 4�:�Electrical Conduit�Undrgrnd. . • �j : � � r55. Electrical Bonding � ' t i'. ; � � ' " � :L i• -. 5: Steel'. Reinforcemenf' , - . � 56. �Rough Plumbing�& Pressure,Test. � � � i' . �. ': ,� 6. Elecfrical UFER Gmd.' ' • � -, �57. APPROVAL TO COVER-GUNITE i; ^ 't� 7. Footings. '. ' � • � ; i . :58. Electrical Conduit-Undrgrnd. � „) � 3 � ��� 8. Foundation; .,� ', � � � .- - �- �59. Gas Pipe, O Undrgrnd., Test ' �=A�, _ -� . ~ ' � 9.� Water Pipe-Undrgrnd�. � _ . � .. ' _ _ `._ _ _ .60. Backwash. Liries, P�Trap, O Undrgrnd.; � � � � ; i : 10. Structural Floor System . _ ' ' , 61. APPROVAL TO�DECK � . �• . � ,- 17. Property Sewer Line,& Fiouse Connection • 62. Backwash�& Receptor-Final � � � �� � 12. Sewer Cap . ' , • � 63. Heater & Vent-Final s ' i � , ; ' t - - i 13� Roof Drainsi � - ' - . ., ' � , , ' 64. Plumbing SYstem - Fi�nal � � � � i i � i . ' 14.�RoughPlumbing • �� : . ' � 65. Electrica6Final� � ' ' " ., � 15. Rough Electrical-Conduit . � � .� ' ' '• �66. Solar_System-Final � ' � .� � � � . � ' , �' ` ` ' � 16. Rough Electric Wiring ' , ' � ' - � -67.'Fericing-�&�Access�Approval � � ' " � - ' � j'. � ��17.'Rough Wiring Sign - , --•- ' - . , , ' '68.�`APPROVED F,OR PLASTERING � "' - � � - ; 18.-�Rough'�Electrical-T'BarCeiling� �- �� � ' � ' , 1 � • ; 69. POOUSPASYSTEMS�FINAL '� 19. Rough Heating & Air Conditioning � � , ; , � • FIRE DEPT. REQUIREMENT, ; ': i � _ !_ _ . ,� i 20' Rough Factory Fireplace f - � � � APPROVALS ; Permit #; �- _ � � 21; DuCts�in Structure; , � . 70. Underground Hydro; � � � � � � "�' " � 22. Ducts; Ventilatin ' � � � • � 9 l . i J7. Froduct Piping OGas �OOiI ,. � ,�' i;.� 23'� Gas Pipe-Rough & Test - ' ,. � � � � 72. Underground Flus`h � � � ' ' � 24.' Roof Framing �-� _ ' I ,.' 73. Undergmd. Storage Tank � Gas �O Oil • - , � 25. Roof Sheathing � �. , � •- � , ' �� ' � �� y �- � -7q,� Overliead Hyiiro ; •` �i j. . i. _ � • �� " -' '- � • 26.; T-Bar Ceiling:(Structura1lG&`Monocoat ' �, 75.. Dry�Chemical: i ' � , � � � , - > � 27�.� -Frame and Flasfiing� - -` " ' � ' " ` - ' � 76. Dry Standpipe - , ; � , �� � � . � _._ ' ..... '.. . . '.. - � ' ,- -" . . , . 28� Laihing & Siding � f i ' � 77. FIXED SYSTEM�FINAL � ;w � �t � ` ` i , , . .. . .. . � � * ' , 29: Insulation ' � � ' ; � � . 78, FIRE PiREV. FINAL , „=�� � �� y � 30: DrywelLNailing � i ' � . i ' HEALTH DEPT. REQUIREMENT � � �-' � � � 31. Plaster Brown Coat � , � • • ! 79...FINAL;INSPECT�ION ; � � � ' � �� ' 32. Electrical�Power Meter-Final � � � - � . ; � 80. F.00D CERTIFICATE ISSUED. � � : � . �t- . , - :a�. .. 33. Final Electric " . . ' ', � � . - Notes � . • . � • „.. _ 34i Final Heating & Air�Conditioning � i ' : ; . ; � � - , ' ; " i n i - :� i � � . . .4 � "t . _ .. ..., . . .. . . _ . _ _-- . " . - - 35. Final Gas�Pipe-Test . � ' . } � • , � . � , ; �� � ' '� � - i _ ' 36. Hood or Canopy, _ . _ _ , _ � . . ' 37. FinaLFactory Fireplace . . � � • . ' - � ' � � � - , , � ;. �' . � 38.:.Final-Plumbing . . : . �. . �. - : . � . + � : ' � , � - ''39�. WateuService-Final � . � , ' '. � - ' . - � -, . - . • ' , - . .. - �40. Gas Service-Final ' . , - . . � � , ' � - . . � ' , ;y { � � � ._ r. . 41. Solar pomestio-Final - . � � . •r _,� = , � � - _ � � ; � , � � ' _ � � � '42. Backflow Preventer ` •� ' - � " : � . . � • � � , 43. Backflow Irrigation� "' ` � . � � �";:r ' • � • ' ' � ' ' ' � 't" - � 44. �Landscape Irrigation SYstem. _ - " �� . � . � � � , . - . 1 ., ,_. � A5. Sound Attenuation � � � .. � ' � ` � ' ' ' � � _ � 46. �HandicaP Regulations - . ' ' ` . / .. .. . . " . ; � t- , - � . . . ' � 47. F.INAL STRUCTURE & BUILDING .: � S � � � � , • ., � ' 1; 48.,Special Requirements Completed -� - ' ;', _ 'i . � - . J � � 49.t'Electric Release to;Edison • � ' r �' � ' - �: � � - � �' 4 + ,50..Gas��Release to Southern California Gas Co - . � . . t - , : - << L ,- � 51'.._CERTIF.ICATEOF�OCCUPANCV � - ' - . � � - . . -• � .:, :- � . ' � No.� Y:;�. _ '�Date ' '-' ' � ' . - - ' - ' . . '� i� � ` , F �. .� � . ' .. .... . .� . . . r . . .� . . . . . . . . . .. . . .. �� . .1'd..�. .i4 �.� �_ ' .. . . �p' �, � � � . . } . OWNER Costa Mesa Estates� _ ___. � �oAre �,_i�_K� .., - _ JOBADDHESS 235Q C0112g2 Drive BUILDINGPERMITNO. 2�00 GENERALCONTRACTOR �ven-Spiegel Co. VAWE a 1�-�p2OO.O0 �- LOT 100 BLOCK TRACT 2%50 SinRle Res W�att �ar GROUP I&'J TVPff v ZONE �-1 FIRE DISTRICT Z7ZZ' PERMITSISSUED INSPECTIONS . DATE SUBCONTRACTOR __ DATE ( NUMBER Foundation Forms and Grade to G Rough Framing "—Plumbing, Rough to�Slab-�q�°�j.,'� Plumbing, Rough Compiete Temporary Pole Wiring, Rough Heating, Rough �Heating, Final � ewer, House � ( Sewer, St. � Septie Tank or Cesspool Lathina.ln OutX Plumbing, Final, Fix� Plumbing, Fin,al Gas � Wiring,Final Occupancy FORM 310 3M 10-i� '" i. � ____, ___—.-�,_'._ .�� 9 ��-. r./ / s�� 9> i��� re.. <"`� /� _�- �/, 3 cG 9.� '� �- �l >>y0. i�-a-.c—� 73 s��z-- — k� c_/i-�/ � �' i�1.-� ;,,.Costa Mesa Bnilding Department APPLICATION FOIt PERMIT `� �.'S'� COSTA MESA CAL FORNIA ��^�'� B� I L D� P9 G �'� ��. FOR O�+'FICE YJSE ONLY � FOR APPLICANT TO FILL IN - Re�o�ac rvo. -- re�mic rvo. ; �eaao� �3��° �/ ' � %.O. o. Costa Mesa, ria�017ll Received by I Date Rec'd. I Date lasued ' Nearest ^^^^n. //— � h � 1�% (L _ /i� ( % Cross St. /j ���� �-� Owner C'�!�% i� i� ��� F�j%� Mail- /�� Address ��iS� �/ � 3 � h��i Tel. City ) i. L�GZ�C-5 3� No. k!f Arohitector2 /+ Lic. Enaineer /�/O�LG� �-=I�G � Ne. Address 3/�U,C-'G�h' /�1,�G • �%7`JY' "7 ,f acr Contractoo'C�U�`�� ji'it��E=� �-c� No. Address � �•�G(%' % �ylGjJ, i � De cription I No. �� Q I Block � � (Attach Metes and Bounds) � . ' �c` C1��6�'� I NowonL Size of Lot Useof . I No.of Existing Bldg. Families Setback Line from � Rear Vz Center of Street �0 ��— Side Ya Repair � � � P Building`�,/X L� Size . 0+ Demolish Z7�o 0 Costa Mesa, California CORRECTEONS ❑.L'�� .. . _ I.� . ' ) \: :� Exterior Wall qA' Roof '�J�Y�`f � Covering � �. �r��%Cy I Covering ��/^"� - � APPROVALS Use of New � Foundatfon Location Ins ector Building �Ff?°� C� �.t�(�,// /�,(� . P ` `l�` / � Forms, Materials, f� Under-Pinning � , . Frame: Fire Stops, . Bracing, Bolts I hereby acknowledge��that I have read this Application and state that the above-is correM and agree to comply Lath. Int with all CYty Ordinances and State Iaws regulating building construction. . �/ Lath. Ext. � Signatureot ��i���� �/����,� ��/�-�- - � � Permittee l /Y � 5 Plaster, Ini Authorized Agt. � fj/� +L �����GG��%J p�yyter, ExS. Valu,ation ��� Pe�mit Fee $ �� � Masonry Reinforeed /�jZ��, de-G Plan Check $ l — I Bond Beam � $ _. % Total � ' � - � Fee - � FINAL � ' wM 21K S-BP 2bS 8-55 - � Date �. O A G1 2 D r .. ' r�- .�', ' "�... ' ' � ' -r.,:�- 4a: � - , . . ......_ _.. i..... . �. . __..'i� ... �_.. J"7r' `1_ '. ...c.. -.. .._ ..ali':,,y. n � � " �' ;;'� - r - �r�:-.;-:;. ,r�,: -�r.3� �ir .. ,.-.`�1%�•� ., �1 . _. -� .. � lJ . .'„3 �3 � A' �.�z�-: _l:4:� '$]^t ...-.::i � _' �.:.?. .i�- at:i�"�' i' ' rm' . ' - . �. : __ _ . �-_• �_.. ..._-''- ' - �._ -' - 'I ' _ : i ` "' �' " _ " _ "�"_ � ' - �';7:' s'`^rir+ 6j:.i i ` _ ��iL.T�_ hi �:. �r � I m� ^ � I £r.i.;f7i; ' � i - c, �-.. � ��`._ _ ,`':.. ti= �.1�*:�. �� C� ' a±a'�'�aP.�! I t.�� a>2t� � �'o: F s: �.� j J:t :.v'': � v` 4 ..^.�"i 0� S�.Ri �`' _� '� e1� _^ � � � � .: :3, + , _ - _a' _ ._..i._� _ �? 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' . � � � '' _'_'"" •.' __. -.', " _', '_ _ y.. Gpi.u,dl:�:rC: ''.' i. }." ' _ ___"__:"' .__"'__,.... ' _ _' _.._ ..-,-�.ih'Y'o.li'� r. _ , �y "'_:_"" . � _ ' __' _ _ _ — -.. , , '"'_ .'cl i ' '�-____,.__ _ ' . , . :_ . . � . �o.o.�t ,`: ' - � � '.'_'_____ ._ Street._'� , ' . ' _ e:l:�^.� . r,�i:7:: _' _" .,i_�3„ . , ' '_' - .2'C .b.;s.. _,' ._ _ �i . .. ' - ! �. - � , " `� : i- h';•.•:��',.' ' PI:OTP�AN—" �::."_�,;;: —�,--.',� -�- -- --- - - - -- - -- ' - :i:`"'�c`t; ; L, ,;. �� , _�,,� -- - . t �----- -- -- -- -�- - - -- - — -- _'_'A ...: .. : �_ - , - - ----- ` _ - --- ---___�_.�---- • - ". } 6how locatlon and distances from 1' , nc'tP_L._r ' ^ait--,-3:' �.�`' .r:n,7 �` '- _-- �properly lina and between buildinga�-- - -- -� �-- - �-��-- -T--'i --- -- - - , � ___' _ '_ "._..'-� ' _ .�_ . t;�_�on3:] (�.^.t.0(;i' � it � ,�1 t � � _...._- _.___..__.__�_ __ _...� � -�...�_ .� 30� ok9 = ;ni � -f . _ __ _ _ _ _ t ^vlar;7 r� ..4,C0}l � 'w � �\ t - i � ,� '�' D0� '- FIC�'�( T I � 1 i �'��Tn�; ;7e'�,z � �.I ,...��'�' pn{�s',.� ��� .1L�.\ (ip . `.__'__,� " . .___ ' __. __ : ' §!.,'f � iea�cr�l i "' r.clf�o.! noifr'�aVo<! 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' ., �. _ '_' 1_ _ ? ._ �.h�3 �i_3=si`?� �_y _ L �_�,__ .:� _� `�..>_'�_ �`L-_ �'___F:i'q.ysi9e'ih�(1 �' `—� . � -_� '__ — '_ ! ^�' �.. � ':... -" � . ._ _ I � -, bso�o4m�fl_y�n� rM �>- yw aa9+rc,�;,9 ( � . . nel3ua:;FV �( ------� - - _—'- -- � � I 1 __ �I . �_� ` mc^n Lnc£ -- � ` 4 �J'J(�7:1u)A • � �1.. .,� .,��; �,1 - Istol ; � - � ; I--_� ' � .lAtii'a -- j .'e� i `-:s�i ��--' -- �- -- • --•-•-,•-•---- - , __ ' 1 ��-e a�. s�-e ar.� r^na '� p�'r : 20430 • . i , C6STA ICIESA BUILDING-SAFEIY DEPARTMENT t ,. P. o. aoX �,, .�o�A MesA. �A�,�RN,A F E E��R ��E I U E D�;� AUG1g 'For Applicant'_fo Fill ln Completely � APPLICATIO�Ng pFOyR, PERMIT _ � . -TYBE.OR/,�PRIN7` � , � TFI�{A�(N-(��/�(1 V/�YJYP(f��Npi•Q � , , ADDRESS I .�!'l( )-' /' IIl�(JO �� ' CIfY �V�' li�J1/1 TIICSR�� . . . ' , ' , , n , ,RlC[Ip� NO.. - PE9y11T NO ' . ' COSTA. MESA OALIEORNIA ' • o� �' �� , _ ^,/� . " ' q[CpV[D Y ' pASE E 61 ,�'�DA 1690 Q V/'/ � O o � OWNER ��Ll Mllf�i� ' � I ' i "/�Y�n' ,( . MAIL. /�� �, / �l� � //� �. �' 'ADORfi� � � � �/!,. ADDRfi88' ' , . //� _ /�/� v ' � . .. . Y' FIRH . , . '� -. { . ���� . I I i U. %] - �. NO. �I. "N�I ' ZONE TYPE � GROUP . ��r �.� . 3 ..APPROVED . - ARCHITECT �' � TEL.� � � BY DATH OR ENGINEER ' - ' 'NO. - � . � �— SONING .. ADDRE88 ' .:� ' `' , . � ` NO.OI' ' U360F NCW ' CONTRACTOR/A /�Li^F�� �l lil�. '��; / .�� � �u �I euanina _ .1 _ ' / �-� ♦. . — LBGAL . / � . D � Y � S� . ,� � Y � � ��_� I11 D66CRIRION ��-(/ ADDRESS � �. � . �/�. I,I• p-. r � . . - CITY ' �/iY�l I:1 • •N V1.i�I . .. ' '. ' A. P. NO. " � � � . , /^ NOTE: NOEAVEOVERHAN08HALLBE�LESSTHAN LIC.NO./r�/1�%J�•..'. 'NO.�I' '.�"� -r�rr �O'TOSIOEBREAR'P.L. . . . .. SIZE :l �I � �.U(J � .• � • EAVES � • . ' 6y�� NO.OPBLDGG. ALLOWEG � (U.B.C.REQUIREMENT) ' OF LOT -� NOW ON LOT - � -. '�•YARDSAPPROVED� ' YAR�SAPPROVE�� USE OF � - � � -� � , " MAIN BUICOINR ACCESSORY BUILDIN6 � EXISTING BLD6. ' ' ( FROM C/L BTREE " ' 6ETBACKLINE'PPOM . •' • •• •• • .• .• .. � .FR NT �FT. � . CENTEq OF 8THE6T �REAR YARD 'R. SIO6 � . • FT. SYDE YAROI' LEFT �' R�GHT ' . ' . � DESCRIPTION OF WORK �., i.. s�oe rT: �� ' F'r• ' : . " •. (6 . . . . �� NEW �' _ ALTbRATION _ ADCITION '�/, RBAR FT:'- �. � ` Ff. - � . � - - D18TANCE BET. � ' BET. MAIN B � 'REPAIR � MOVIN6�.� DEMOLISH ' MAIN BLOG9. - ACCESS.BLDGB. ' ..�L , VAR.�}C�. �DATE BUJLDINO \ O.OF . � . ' ' SIZE '' I'1� ROOM9 ST R16S ' C. U. P. � APPROVEO • �(J • EXTERIOR WALL ROOF �`' � APPROVfiD � ' COVERING� - I COVERINd � BY ' D TE � U5H OF BUIIDItlC AND WORK TO B6 PfiRFORMED ' , . '�'��� -� . ../ . � ,��1 �/' i tnY► a � v ,� ' . . . " . ' � ' . . � N - � � ' � $Q. FT. ' O 1 HEREBY ACKpOWLCD6[ TX�T 1�HAV6'REqD THIB APPLIGTION TX6 AMOUNT BHOWN UNOBR VALOATION IB FOR TN8 � . AN��BTATE THAT TX6 �BOVE I6 COPRlCT �NO AOPEe TO COF�.• PUR 01 [GTA6LI6HINO A PERMIT FEfi O Y. p, PLY WITH ALL CITY OqDINANC69 AND'9TATg'y�We R[OUTATI O ' em�n�NO corvsTRUciSoN. � ' • / /� VALUA ION . . ' ' � � ry ' - SIGNATUREOF /�� �; y� � H�' PERMITFEE $ �`— m PERMITTE � �� �J ��/J A � V . . . . ' ' // _J ' ���' $ /�I//////// //I, rLANCHECK S/�� o _ AUTHORIZEDAGENT'/ / Y /(� ' ' � � LL � TOTALFEE / �