HomeMy WebLinkAbout2371 COLUMBIA DR - Building Permits�-
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PP0.IECTROORESS: 23-�5 COliUMAIA DR � � 0N1T`
owxex�sxerne: GENF. FICQUTE ' ' ' ,
rnooxess: SAMI: ; . .
RflCNIENGINEER:' � 1 4`�;� 4 1—�? �. 5 . ' . qE0.N0.: . .
. aooeess: • . � � uxrt: .,
:. i
� PEflMITTEE: GFORGE SkAZ:l'L � � ( 71-4 ) 54�1-091.7
:aooeess: �022 N. HESPERIAN WY, L01
SANTA ANA CA 92706 � �
110ENSED fANTMCTOB DEC MTION: I hereby aKrm that I am licensetl unUer pmvisions of ChaDter 9( mmencinq witA Section
7000) ot Oivisiep�e�B�ss ana Prolessions Cotle, antl my ense is in full force antl e ---- . �
cinuc.:�t. T uc.:443064 cuss: A'
Oa�e: ' ' ' SipnaWre: __"9S��j
�WOPKEBS' COMPENSRTION OEClAMT10N:� I here�y atlirm that l have a certificate of cansent lo selt ore certificate of WOMers'
Compensation Insurance, ar a cerlifieA copy t�ereat (Section 3800, Lab. C). .
raucrNa.:y1C5823086 exr.oere: 01/0'1/90
' carnrnxx; pJ,qERICAN HS�ME �.
❑. Ceni�iea copy�is nereoy tumisned. 4Q Certitiea caDY is ti with the � ujl 'n �ivisio
/��+ � / .
Oate:, . ADDlicant:
E%EMPIION FBOM WONNEBS' COMPENSATION OECIAHATION: (Th6 stttion necd nat tie mmDletetl tl Ne pe '' e huMretl ($100) a less).
I certiy t�at in Ihe peAormance af ihe work far whic� ihis permit is issueA, I shall not emDloy any per m any manner so as to become
subject tv the Workers' CamDensation Laws of Calilomia. . .
Date: " ' Sipnature: � - - �
NOTICE: Ii, atter making tAis declaration, you sAould hecome su6ject ta Ihe WaBers ComDensation provisions a/ tAe Labar
CoOe, you mus[ IonhvntA comply wit� sucA D�ovisions ar t�is permit s�all be Oeemetl revoke0. �
CONSTNUCTION LENDINO RGENCY: I hereEy, a(firm Nat there is a constmction IentlinA agency for the pertormance ai the work tor
which [his permit is issue0 (Sactian 3W7, Civ. C). . �
- LENOEfl: � • .
. AOUPESS: ' ' ' - - � ' � . ' - -' .
. • . j
OWNEfl BOIWEB DECUMTION: I here6y aflirm Iha� I am erempt from �he Contrac�ors' S�ate License Law �or ihe tollowinA reasOn
(Section 7037.5 Business an0 Pmiessional'CoOe: Any ciry o/,county which requires a Dermit to cansiruct, atter, imOrove, tlemolis�, or
reDair any simcWre, prior ro fts issuance, also requires Iha applicant far sucA permit ro file a 5igneE statement that he/she is licensed
Oursuant ro tAe pmvisions of the Contractors%State License Law (Chapter 9(commencing with Section 7000) oLDivision 3 oi the Business
an0 Pmfessions CoOe) ur ��at �e/s�e is exempt Iheretmm antl t�e Oasis for the allege0 eKemption. Any violation.ol Section 7031.5 Gy
any aDDlicant for a Dermit su0jeqs tha applicant ta a civil penalry of not more ihan'tive �untlre0 Collars (f500�: ' ' •
'l, as owner oi the pmpeM or my employees wR� wayes as thair sole compen3aiion, wiil do the work,�and the
❑ siruaure is not intenEeA ar oflereE far sale (Secnon 7044, Business antl Pmfessional Code: -Tha Contracmrs' S�ate License Law
tloes no� apply m an Ownar of a pm0eny w�o Ouiltls or improves t�ereon, an0 w�o does such work Aimseltlherself or.t�roug�
his or her own.employees, OroviUetl Itu� suc� impmvements are not intenGeO or oflereE for sale. Ii, however the 6uildinq or
imOmvemen� is'saltl wii�in one year ol wmpletion, ihe owner will have t�e Durtlen ol provinp he/s�e tlid not huild or impmve
• for ihe Ouryose of sale�. , • �
I, as owner ol the Omperry, am exclusively contractinA with IicenSeA contractors to constmct ihe pmject (Section 7094, Business
❑ an0 Proteuions Catle: The Contactors State License Law Eces not apDN �o an owner ot properry who Dmids ar impmves ih¢reon
an0�who coniracts for such pmlects with a wniractor�s) license pursuant So Ihe Contractors' State license Law�. I am aware
t�at prool of I�¢ir Worker's ComDensation insurance shoNU �e�provitletl to me. � .
17 , I am exempt unaer Section: �. 8..8 P. C. ' : �
'or tAis reawn: ' ; ,
aate'. � Ownec
I tlo here0y certiry tAat I am aware oi ana un0erstan0 the requiremenis of Calilomia Healih anU Safery Cotle Sections 25505,�25533, an0
25534 anA Ihat I or any luture buil0inp acupant wilVwill nol (circle one) neeU ro comply with said state cotles antl ihe requiremenis for a
permrt Por constmcti0n or moEification imm Ne Pir Oualiry Management Disitict. HesiAential conslNction applications are exempt from
these pmvisions. , j . . , , � : • '
' � ' � ,
Date' ApDlicant:
I hereby certiry Ihat I have reatl [his ap0lication an0 s[ate ihat ihe aUove iniormation is c rrece I apree to mply ih all ciry anE counry
ortlinancesanOstatelawsrelatinqtoGuildinqconsimceionanOhereb a Aonzareprese rvesof hiscityt ter n[lie � ve-menibnetl-
pmperty for /in�spec�i e � �
Oate� ` � SignaNre: �
,
Driver's License or Social Secutiry
Applicant; Pink—Revenue; GolCanroE—Asseasor
. CITY OF COSTA MESA -,FiOILDIN, PERMIT ' PERM NO: P' 04541.1
� ' � • . � - : . .. i _ ' ' " . " '�� ..
PERMI�7' NQ: P U4S919. � PI,AD! CHF.CK NU: � � N �., �GOV'T: �N. SUPP:' N
CONSTRUCTdON TY.C?F.:' PERMI:T TYPE: iPLiJ, , ,, � ,� :fPUf2POS£c REP
JOR DESCRIP'TION ' �_; REP..LAC.F. GAS �LINE _ t ; , � : � SQ `E'T:•
CLATM VALUE: �. 676.00: CALC-VALOE: � -'GROUP OCCi F1-3. !. �.
, _ . . . � • �. ' .,
COMMENTSc REPLACP DAMAGED llRY.GR GASiLINE: �` � � '
***����-�r***-x�***�tx�*�*tc-*+t�+��r+c���-x*�t#�-ie*****,+��t��ti��t*�*�-�a��t�*�*�ri�x��c**��-�-�#*+��r*ae*�c*���'x�*
Z O Dt I N C, R E Q U I.R E M•E N T S ' ' ,
. r ' . . J £'. T H � C' K � • ' ' � ' ��
------------ MAItd BUILDING -------- — -�ACCE5SORY DUILDIDIG ---_-_�_T
FRNT: F'T' IN REAR: FT IDI :FRN'fi ' �FT IN REAR: r.FT ; I-DI'
I.FPT: FT ., IN+ RGHT; , FT IN '�LEFT: : ,FT IN RGiIT: • = FT : IDY �
PARKING RFQ: � • PRO�':' PAI4CEL: 14145311 ZNG: RBF NO: �
PLANNSNG NOTES> � ' _� ' , , .,�
_ . _ . � . . . .. . .. _ . . ... . . .. . � ..
*at*�:-*�t�***�*�t**x�,��*�*�-����r�c�����it*�ie**��r�c-*+r*at�***���r�x�*�*�����-ie�x-,*���t�-*x-at**�**��r�*��t+��-�c-*r�
, D£. V E L O P M F•. N 1' ,S E R V I..0 E S . R E Q U I7 R E M E N T`S ''
. , � � . . . . . - : -
70NSNG APPROVEG BY ' DATP:
. ' . ---. !- � "" . " . _ _. . . _ ,
EIUI.LDING APPRUL�GD +3Y . ? � � UATL•::
APPLICATIOp! ISSUEL� HY: � DATE: �Z'�.�8� ,
iE9tiEiEif#iEjEiEiFiE#�(-iElFif�EiE�E3hiEfEiE$(- �iEir�?-iF��;f�k�. T s iE��"�F����%�TElZ3fiEifi6�%i@dEiE#iE�ETf�F�E�iF�Ei�{F�k�iF9F
iEiEjEif�7F'lE'3(-iE�iEiEiE�1E�1F#iE�Ek#�Ei(�iEfEj'�1fiE�Y.-3h'.(-�%�1E##iEiE�IE� - .ifiE '3fiF�'i'i'iEiEihiE9EiEifiE9EiE�7EiE3(�iEiEiE�7F�1f-1E'A'-iEi'3EiE�fi(?Ei(�iEiE%-iE
LEGALIZATIUN:N F'F. L; S t M M A R Y '"" :STRUCTURF�L SFGhiENTfTI'
EfLLG PMT 'PLOMAING ELFC9'RIC MECHANLC ' FIRE. SMIP/RES GRAD7DlG
PERMIT � ' 2.00' , ' ' '
- • '25t'-, • . . :;MIF/idON-b:E ;
'PLAN . , ,
TSSUL" FEE , 3. U0 � i � `
BUILDING=D'IV-> t�ERMIT ISSUE PLAN-CHE:CK . TOTAL; PAIU DU�
TOTATS----> . 2.00 7.U0 0.00 5.00� S.UU ,OU
.
REVENUE U1'.VISION T'OTAliS--'> '' COLLECI'�D: 5_00: O��ER/SHURT: .00
BLUG PMT PLUMBING EIfECTRIC MECHANIC FIRE iMTP/TUT GRADING PI�AD]-CHF.CK
i � ' S. �� . .�� . � , i
� iE iE iE # 3E 3E iE if #E iE i' # if iE �lE iE M df iE if -� iE JE iE iE iE if,3f 1f 3(- iE i( #F iE iF �E if �E i(� iE iE iE iE ## if 3E iE if 1f- if iE 3h �lE if 3E # iE iE ik iF iE �K-iE jC� ## if k 3f iE �IE iE k iE �% iE �lf:if
I A1 D, I!�? I' D U, A L' E' E G B lt' E A K I? O W N' � '
TYPG QTY D� S C R I'P T I O:N UNIT COST TOTAL COST
r�t.[�� i cAs RF-PT.PE � 2.00 ?.00
�bID Ol�, F'LiES ,
. � . � � � . ' `� . ,
. �
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• �
' O1 00049842-Oa049842 TOT
• DATE: 12/15/89 TI11E: 12:33
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. . .. ., . : _ . v_... �. . _ _. . _- ---- - '
CONSTRUCTION AND PLANNING � � - _ � • : . -POOI & SPA . �
Date �Inspector . Date Inspector
" APPROVALS Permit #- � � , APPROVALS .Permit.# ,,(
1:,Temporary Electrical Ser'vice or Pole; �• � � � 52. Pool=& Equipment Location . •
,n i
2. ,Soil Pipe-Undrgmd. , �? i• � � . - 53. Steel.Reinforcement i � �:
� 3: �Electrical Conduit Utility-Undrgrnd. � 54.`�Forms. . ' - � � �
T .
� 4. Electrical Conduit-Undrgrnd: � -- ,' 55. .Electrical Bonding ' _ �f
. 5. Steel Reinforcement � . " � � 56. Rough�Plumbing & Pressure Test
: 6. Electrical UFER Gmd.� � 57. APPROVALTO COVER�GUNITE -.�
-•7. Footings �- � � 58.� Electrical Conduit-Undrgrnd. � �
� 8. Foundation � � 59. Gas Pipe, O Undrgrnd.,.Test � ':
9. Water Pipe�Undrgrnd. � �� :! 60. Backwash Lines, P�Trap, O Undrgmd. ���
10. Structural Floor System ., ?-, �� 67. APPROVAL TO DECK' � ,.V".'
11. Property Sewer Line.& House'Connection --i � ' 62. Backwash & Receptor-Final� ,
12. Sewer Cap � �;' C '" . . � 63. Heater & VenbFinal � ' ' ,�7
.�
13. Roof Drains � �., 64. Plumbing System - Final
14. Rough Plumbing ' • ; • ; 'i ; ' 65. Electrical-Final � . ' � .
15. Rough Electrical�Conduit- ' ' ,� � ��'�' � 66. Solar System-Final • • � '
l
16. Rough Electric Wiring � _ - - 67. Fencing & Access Approval �.
17. Rough Wiring Sign � • .. 68.� APPROVED FOR PLASTERING � .
18. Rough ElectriwbT Bar Ceiling 69. POOUSPA SYSTEMSFINAL � .
19. Rough Heating & Air Conditioning � FIRE,DEPT. REQUIREMENT ,
20. Rough Pactory Fireplace -• - � , . APPROVALS ' _Permit #
21.�Ducts, in Structure _ � �.: ' 70. Underground Hydro
22. Ducts, Ventilating : - � � 77. Product Piping O�Gas ❑ Oil �
23. Gas Pipe-Rough & Test ' . 72, Underground Flush � '
24. Roof Framing '.. � ' .. 73. Undergrnd.StorageTank �Gas OOiI �
25. Roof Sheathing • � � � : ' 74, Overhead Hydro � �
26. T�Bar Cejling IStructurall & MonoGoat • _ � 75. �Dry Chemical
27. Frame and Flashing � - ' 76. Dry Standpipe ,� ' _
28. Lathing & Siding� � � � ' � � 77:- FIXED SYSTEM FINAL �. � '
29. Insulation • '�"�� ` 78.� FIRE PREV. FINAL �'
30. Drywall Nailing � . � L �• � - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' ' � 79. FINAL INSPECTION _
'32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
. 33. Final Electric ' � � ' j Notes: _� � '�
34. ,Final Heating'& Air Conditioning ` r'' - �
vy
35. Final Gas Pipe-Test - � - '
36. Hood or Canopy • ����/� .� '
. .- f.�: � . .
37. Final Factory Fireplace • �
38. Final Plumbing � ' ' . i� � : � '
r
39. Water Service-Final , � �, . �
40. Gas Service-Final - - ' �
�41. Solar pomes[icFinal� -� ^ - . - �
. -ri � .
42. Backflow Preveriter � . � �-
-m
43. Backflow Irrigation- . - � + ••-
4,,
-44. Landscape Ir�igation System • : � ' . _', � , � ��
'45. Sound Attenuation . ' � • . , � ' ' �
46. Handicap Regulations � " � - ;�:-.:
47. FINALSTRUCTURE&BUILDING �i �
48. FINALPLANNING ' ' - • • - � . �'�
.;
49. Electric Release to Edison . �„ ` � , '
50. Gas Release to Southem Califomia Gas Co � t'- •
51. CERTIFICATE OF OCCUPANCY -
No. Date "
PflOJECT FOOHE55: z 3'� 1 COLUMB IA DR
OWNEN'S NAME: [.,jOLFE, FRANCES A TR
aooness: 1098 SEA BLUFF
COSTA MESA,CA 92627
NHCH/ENGINEEfl:
nooeess:
NEG.NO.:
uNiT:
uxiT:
PEHMITTEE: TOP QUALITY ROOFING ( 714 ) 858-9199
aooness: 2�758 SANTA MARGARITA PKWY 273
MISSION VIEJO CA 92641
LICENSEO CONTPACTOP OECLANATION: I hereby a�firm Ihai I am IicenseA untler provisions ol Chapter 9(commencing wil� Section
7000� ol Oiv�sion 3 0l Ihe Business antl Pw�essions Cotle, an0 my license is in lull force antl e�fecL
cirr uc.: C0 5 s 3 3, sr Te uc.: 61717 8I cuss: �. �j �
Date: 7 Signature� Yv ( , / _
WONNEBS' C PENSA ON DECLAflPTION: I here0y a irm � t I have a ceriificate of consen� to sell-i ure or eni�icaie of W s'
Compensation Insurance, or a certilietl copY Ihereol (Se ' 80o. Lab. q.
eoucvxo.: 1263496-93 E%P.UATE: OB/OL/9'i
comraNr: STATE FUND 1 A
❑ Cetli�ietl �y is hg�e�y fumished. � CeN�ied copy iatiled wi�h Ihe ciry �uildiny �ivisiaa A //
oaie ��3 ��r2 � ApplicanC�----� �"l • (1s
E%EMPTION FPOM WOflREPS' COMPENSi7TI0N UECIAflA O�his set�ion n¢eA no� be comple�etl if ihe permil(61or one�ulf4fe0 �3100) or le5y
I cetlily ��al in Ihe Dertormance o� t�e work lor which I i5 pe il i5 i55Ueq I Shall not employ any Derson in any manner 50 a5 i0 becoifiE
su61e�� �o Ihe Workers' Compensalion Laws ol Cali�or
�ale: Signature'.
NOTICE: It, aller making Ihis declaralion. you shoultl become sublect Io the Workers' Compensation provisions oi the Labar
Code. you mus� lorihwilh compty wi�� such pmvisions or Ihis permit shall be tleemed revoked.
CONSTHUCTIDN 1EN01NG pGENCY: I here�y aflirm Iha� there is a constmclion IenAing agency lor Ihe petlormance o� the work �or
wnich Ihis permit is i=suee (Sec�ion 3097. Civ. C�.
LENOEF:
ADDPESS:
OWNEfl BUILDEB OECLABpTION: I hereby aliirm Iha� I am exemD� ��om Ihe Contradors' Sta�e lic¢nse Law for Ihe �ollowing rea5an
(Sectioq 7031.5 Busine55 an0 ProfeSsional Code: Any city o� counry which reQuires a permit �o cons�mc�, alter, improve, tlemolis�, ar
repair any slmcture, priar �o ils issuance, also requires ��e applicani for such permii �o hle a signed slatemen� �hal he/she i5 Iicen5e0
pursuan�Ioihe provisions oflhe Con�raclors' Sia�e License Law(Chap�er9�commencing wilh Sec�ion 7000)of �ivision 3 of��e Business
an� Pmlessions Catle) or Ihai he/she is exemp� Ihere�mm ana Ihe basis br the allegetl exemp�ion Any violafion o� Section 7031.5 by
any applicanl for a permi� sublecls �he applican� lo a civil penally o� no� more �han �ive huntlretl dollars ($500�.
I, as owner oi Ihe pmperty or my employees wilh wages as their sale comDensation, will do Ihe work, ana the
❑ stmcNre is nol inten0ed ar ofterea tor sa@ �Seclion 7044, eusiness ana Protessional Co4e: The ConUac�ors' Sla�e License Law
tlaes nai appry to an owner o� a pmperly wha builds or improves t�ereon, antl wha tloes suc� work himsel�/herselt or �fimugh
his or her ovm em0loyees, pmvided Iha� such impmvemen�s are no� intenaetl or oflered tor sale. tl, however the huil0ing or
improvement is soltl wit�in one year a� compleiion. ihe owner will haue Ihe �urtlen o� proving he/she tlid nai 6uild or impmve
fOr I�e purpose oi Sale).
I. as owner af �he pmpetly. am exclusively conVac�mg wi�h licensetl conirac�ors to cons�mc� ��e prolec� (Sec[ion 7044, Business
❑ ana Pmiessians Cotle: The Contrac�ors' S�a�e License Law does no� apply m an owner o� pmDeM who builOs ar improves �hereon
I
CITY OF COSTA MESA — HUILDING PERMIT PERP9 NO: B 067369
PERMIT NO: B 067369 PLAN CHECK NO: AI GOVT: N SUPP; N
CONSTRUCTION TYPE: 5—N PERMZT TYPE: STR PUP.POSE: ALT
JOB DESCRIPTION ; T/O REROOF W/ COMP. SFIINGLES SQ FT; 2,900
CLAIM VALUE: 2,900.00 CALC—VALUE: 2,900.00 GROUP OCC; R-3 ;P9-1
COMMENTS: SMOKE DETECTORS REQUIRED PER THE 1991 EDITION OF THE UHC
*wx���*��*��*****�c�c***�c�#**�**��u�c���c�c*****�c*�*�����«����+�*��*****+�*�r**?�*�r�**����.
Z O N I N G R E Q U I R E M E N T S
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; 19145311 ZNE: REF NO;
PLANNING NOTES>
>
��*�*�*�,���**��*��*�*�����*�*���**����*�,�������**���*��**���***�**»������***,��*
D E L� 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: Y�
BUILDING APPROVEP BY : DATE: r�
APPLICATION ISSUED BY: DATE: ��!.i
iE3hiEiEiEjEiEiFi(�jEiE�7E��tiEiEiE9hifiEiEiE3FifiFiiiFiFiF�FiF'iF'iFiF�i1F�FTF��3F�F�iF3FTf3F�-lt�F�iF�lEjflfiEiEil�YiF?Eit �. , \ ��
aF jE if iE if jE iE iF iE iE iF iE 9F iF 1E iF iF iF iE iE 3E iE iF jF?f iF iF �t if �f 9E �N- iF aF if iE iF jE it ik iE iE iE if ��E ic {f iF jE if aE iE 3f iF iF if 3f iE iE iE 1F+f K aF jf if ?G * jF 3'. iF �7F �f i0 �)E iF if ic
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL'�SEGMENT:Y
BLDG PMT PLUMBING ELECTP,IC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54.00 ,50
SMOKE DETECTQ SMIP/NON—RES
ISSOE FEE f�
TOTADSNG_D�V—> P54MS�E��t���AN—`�00 54�T50 54A50 �� D00
rt,
REC'ENUE DIVISION TOTALS--> COLLECTED: 59.50 OVER/SHORT; ��/� ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING'PLAN—CHECK
54.00 .50
antlwhaconlrac�sbrsuchprolec�5withacontrador�5�licen5epursuant�o��eContractars StaleLicenseLaw). amaware .K.,K,y„�,�.**,y.K,.�..X,.K.,�„K„��„��„�,�*.�„K,*.�,�,*�„�*�„�****#,�****�,**,**�,******�,***�.**�,*,�***�*******�***
ihal pmo� o� iheir Worker'S Compensa�ion insurance shoultl be pmviaetl to me.
� I am exempl untler Sec�ion: Bi 8 P. G I N D I V I D U A L F E E H R E A K D O W N
mrmisrcasan. � TYPE QTY ➢ E S C R I P T I O N UNIT COST TOTAL COST
oaie: owne�. SFR 2900 REROOF BY VALUE RESIDENTIAL NOZONE 1,00
I ao �ereby cenily Ihal I am aware oi an0 un0erstantl the requirements a� Calibrnia Heal�� an0 Safe�y CoOe Sec�ions 255�5, 25533, antl Z, 9 0 0. 0 0
25534 antl Iha� I or any IUWre bwlding occupan� willlwill no� �circle one) need ta comply wilh said state cade5 and Ihe requiremeNs for a END �F F E ES
permil lor cansimction or modificalion imm ��e Air �ualiry Management Dislrict. Fesitlen�ial constmc�ion applicalion5 are exempl Imm
IAC52 O�Ovi5i0n5.
�a�e: Npplicanl:
I hereby c¢fli�yiha� I hdve redtl IhiS applicaiion dntl Sialelhal he aboveiO�Ofmali0n i5 COff¢cL I agfee ta COmply �+th all ciiy dnd COun�y
ortlinancesandslateL 5rela�ing bmltlingcons�mc�ionand rebyautharizereD semativesoi��i citytoenter S�heabove�men�ionetl
pmperry for mspetli purpas /� �/� A, ��
�7. !""_"� � V l
Daie: � � Signal e:
Drive�'s Licensi ar Sociai uri�y p:
164i�46 Wbite—euiltlmg; Green—Cotle Eniorcemenit Canary—Applicanf, Pink—Revenue, Goltlenmtl—Assessor
0: OD162297—OQI61293 TC�T 54.`0
DATE: OS/31/94 TIME: OE:41
'i CONSTRUCTION ANO PLANNING
APPROVALS Permit # �
7. Temporary Electrical Servio�%sr.Pole . �
� ^
� 2. Soii Pipe-Undrgrnd. '
3. Electrical ConduiT Utility`Gr!�grnd.
4. Electrical Conduit�Undrgrnd�'�
5. Steel Reinforcemenc .
6. Electrical UFER Grnd.
7. FoDtingt ,
j
8. Foundation ._..,-..- -_
7
9. Water Pipe�Undrgrnd, f
10. Structural Floor Svstem �
�
1 i. Property SevJer L�ne & Hv"�s�' Connectioii
�
12. Sewer Cap `. •
73. Roof Drains � � �
14. Rough Plumbing =�� �
15, Rough Electrical-Condurt �%� i�
', i
76. RoughElectricW�ring � l�
17. Rough Wiring Sign �
78. Rough Electricai-T Bar Ceili�
19. RoUoh Heating & Air ConditiOning
20. Rough Factory Fireplace
21. Ducts, in Structure �
22. Duas, Ventiiacing -
23. Gas Pipe�Rough & Test
24. Roof Framing -
25. Roof Sheathing �
26. T-Bar Ceiling �Structural} & Monocoat
27. Frame and Flashi�g
28. Lathin9 & Siding _
29. Insulation �
30. Drywall Nailing �
31. Plasrnr Brown Coat
32. Electrical Power Meter�Final
33. Final Electric
34. Final Heating & A�r Conditioning
35. Final Gas Pipe-TBst
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Piumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar pomesttc-F�nal
42. Backffow Prevenia*
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound A[tenuation
A6. Har,dicap flegulations
47. FINAL STRUCTURE & BUfLDING
4$. FINALPLANNING
49. Electric Release to Edison
50. Gas Release to Southern Caliiornia Gas G
51. CERTIFICATE dF OCCUPANCY
No. Date
1 I POQL & SPA �
Dace Inspector P Date Inspecmr
�
�
i=
APPROVALS ermit #
52. Pool & E4uipment Location
53. Steei Reinforcement
54. Forms
55. Hectricai Bo�ding
56. Rough Plumbing & Pressure Test
57. APPROVAL TO COVER�GUNITE
58. Elecirical Conduit�Undrgmd. __+_
59. Gas Pipe, O Undrgrnd., Test �
60. Back�vash Lines, RTrap, C Undrgrnd.
61. APPROVAL TO DECK
62. Backtivash & Receptor rinal
63. Heater & Vent-Fina" -
64. Plumbing SYste�, � Final
65. Efectrical��,ne1
66. So�r System-Pinai
67. Fenci�c� & Access Approva!
68. APPROVED FOR P�ASTERING
69. POOL/SPASYS-iEN15FINAL
FIRE DEPT. REQUIREMENT
APPROVAlS Pemiit #
70. Underground Hydro
71. Product Pipirc� G'Gas OOiI
72. Unde:9raund F�ush
73. Undergmd: Storage Tank � Gas ❑ Oil
74. Overhead Hyciro
75. Dry Chemicai
76. Dry ��ndpipe
77. FIX�;�tSYSl�ER1 FINA�
78. FIRE�REs:n"FINAL
t°•'t-:-�----
� � ' � ` HL-'�1LTH DEPT. REQUIREfv1ENT
79. FINA,..,'',1�W..�tiCTiON
�"
-:�.I�
80. FOOU�BEP't�iFICATE ISSUED
Note--�.`.`;-;`� -
<"5 i`.
/'J
-OWNER DIKE & COL�ROVE DATE %-1Z-57
]OB ADDRESS �q71 ('.nlnmhi a Tlrive BUILDING PERMIT NO. Sfy�Q �
GENERALCONTRACTOR $�p VALIIE$ 13,O�P.00
AP. No. LOT 1J�p TRACTQ9�iK F�RE ZONE DESCRIPTION OF WORK Slriele ReS & Garan„g _
GROUP I& J TYPE V ZONE Rl PLAN NO. �,�tl�
INSPECTIONS I DATE 1 SUBCONTRACTOR I DATE PIRMITSNUM ER
coat
Final Gas
7
✓
✓� s
�� �"�. �41g
COSTA MESA BUILDING DEPARTMENT
P.O.BOX 31� ,
COSTA MESA, CALIFORNIA �
FOR APPLICANT TO FILL IN :
eui�oir�c
ADDRE55 � 1 olimbia 'v
.a
COSTA MESA. CALIFORNIA '
�OWNER
ARCHITECT Carlson &
OR ENGINEER
ADDRESS
LEG4L
�ESCRIPTION
A.P. NO.
SIZE
TEL.
NO.
LIC.
NO_
CITV IIC.
OVP. NO.
TEL.
NO.OF BLDGS.
NOW ON lOT
SETBtCK LINE FflOM
cervreR oF srnEer REAR YARD T
SIDEYAR� RIGHT� �� LEFT t '
DESGRIPTION OF WORK..
NEW X ALTERATION AODITION
REPAIR MOVING DEMOLISH
BUILDIN NO.OF
SIZE S ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF NEW
BUILOING Cinoln Pnmilv wuciAnnnu ��v7
FEE RECEIVED �
�.,..� ti�, i q r �
FINANCE DEPT. ``� G .
APPLIC'ATtt�N�FOREPERM IT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PERMIT
y
RECEIVEO BV Cl/TE RECEIVED DI�TE I'
� ...t" 7 -/ �-
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE
ZONE
20NE n'O.OF TYpE GROUI
PLPN$ % �
V ( .
APPROVED '
BV DATE
� CORRECTIONS
p��,+t; IG DEPT.
SUBJeCT TO - OG. D P.
p�,SN TcCI
I HEREBY ACKNOWLtp4E �
STATE TMAT THE T60VE IS CORRECT hN� AGflEE TO COMPLY WITH nLL '
CITV OROINANCES AND $T4TE LPWS PEGVLATING BIIILOING CONSTRUC-
TioN. VALUATION
SIGNATIJRE OF '
PERMITTEE �
� ` . 513��%2•�
AUTHORIZED AGENT D�P. and Cole �Ye
PERMIT FEE S
PLAN CHECK $
TOTAL FEE $
i �
�eMr