HomeMy WebLinkAbout2519 COLUMBIA DR - Building Permits� , CITY OF COSTA MESA
BYILDING p1VISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714) 754-5273 • Fa�c (714) 754-4856
JobAddress: 2519 COLUMBIADR
Suite No
Vicinity:
Parcel Nunmber: 41913401
Applicant:
Address:
Owner:
Address
RANDY HENDERSON
HODGES,JOHN
2519 COLUMBIA DR
COSTA MESA, CA
Contracror. HENDERSON ELECTRIC
Address: 2133 1/2 ORANGE AVE
92626
COSTA MESA, CA ,
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1hp
Motors to tOhp
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
ELECTRICAL PERMIT
Phone:
Zip:
Phone:
Zip:
... Phone:�
/ Zip:
-Cicense:
PERMIT NUMBER
E99-00358
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 04/30/1999
Issued: 04/30/1999
ISSUED BY:
' = �
949-722-7147 � � ..
' ' , i _' �. . _ .
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�-.�,�,:_ � ,
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92626 >-, �� -.� � .
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� :`
772-7147 � .
627409 „ ,. - �
SCOPE OF PERMIT ��
ELECTRIC SERVICE UPGR4DE, NO OTHER WORK AUTHORIZED BY THIS.PERMIT.
$22.00
$0.00
$0.00
$0.00
$0.00
$0.00
sa.00
$0.00
$0.00
$0.00
$0.00
$2725
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity ��
_� ' .
0
0
0
0
0
0
0 �
Q.., +.
�., •q�,
, o. .
0 ,�, � c -
p �.. �_
0 •
0
0 ,
0 , .
0
0
0
0
0
f, ` `" Quantity
- -Temp Dist System / Cighting.. • $0.00 0
�-Busway /100.ft' � ` `> ''' � � $0.00 0
- - Standing Sectiori �� - ' $0.00 0
Misc Electiical�Equipment $0.00 0
Transformers.up to 1 kva/kw .$0.00 0
._......: :..-up to 10 kva/kw. � $0.00 ,0.
.................up to 50 kva/kw I�$0.00 �- 0,�
.................up to 100 kva/kw �$0.00 r;, 0
�.�...`:`�....._..over100kva/kw � $0.00.= �0
� ' Low VOltagerEquipment „ $0.00 �� " 0
- "LowVoltWring',System./Ckt-�_.� $0.00- 0
�r MlsclCondwt,�� ; �R •�r_¢'.,yL'"�$0.00 0
-MiscyConductor,� �_�. '_ '$0.00 . � 0
�'Circus ( gen or ride), �` �;� �$0.00'- ;.0
, ,`�Circus(Fnech�rideocligfits);' $0.00 . ' 0
- ��� �Christmas Tree Stand.-�' , $0.00 0 �
'� � Fireworks Stznd-� -� �`.'� ; $0.00 "0
� Other Electrical Fee . � , $0.00 � "
� lnvestigation Fee �� � $0.00
- Plan��Check Eee. = � " . / $0.00
�Reinspection Fee � $0.00
.i��.
' TOTAL�CALCULATED PEES E49.25
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 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
required Inapectiona end 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
WORKERS' COMPENSA710N DECLARATION: .
� 1 hereby aHirtn under penelry oi perjury one ot ihe following declaratlons: '
❑ I have end will meinteln e cerlificete of consent to seH-Insure tor warkers' compensetlan, es provided tor by section 3700 at the Lebor Gode, for ihe peAortnance of �he
work for whlU Ihis pertnit is issuetl.
�I have entl will meintein workers' compensadon insurance, as required by secMion 3700 of the Labor Cotle, for Ne performance of ihe work for which �his permll Is issued.
My workere' compensetlon Ins�rence certier and policy num6er ere: /
cemer: ST�?c–' f v,t/T� ` Po�icyNumbar: �s�-rL-y9 — 9� �'
(This section need nof be completed i! Me permrt is valued et one hundred dollars ($100) or less.)
❑ I certity ihat In the pertormance oi ihe work for which this permit is issued, I shell not employ any person in eny manner so es to becoma subject to the workers'
campensetlon laws of C' ml end agree Ihat if I s�uld hecome subject to ihe�rkers' compensetion provisions ot Section 3700 of ihe �bor Cade, I shall forthwith
� comply wit� these provislons. �� G�
'�y Applicant Signeture: �/ l� �— Data: � /
� WARNINO: FAILURE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNORED
TMOUSAND DOLLARE ($100,000), IN A�DITIIXJTO THE COST OF COMPENSATION, DAMAGES AS PROVIDEO FOii IN SECTION 3]W OF THE IABOP CODE, INrEREST, AND ATTORNE`f5 FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby aHirm that I am licensed untler provisions of Chapter 9(commencing wlth Sedion 7000) of Division 3 of Ihe Business and Professions Code, and my license is in full
torce end eNect. �ic. p � C�ass» G`� G
� Cantractor'sSlgneture: �� � Dete: �> 3n/ f S
CONSTRUCTION LENDING AGENCV:
❑ I hereby eflirtn thet there Is a construction lending egency for the partortnance ot the work tor which this permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: _ Lendefs Address: _
Signature:
Date:
OWNER-BUILDER DECIARATIONS:
I hereby afllrm Ihat under penalry of pehury that I am E7(EMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following reason (Sec. 7037.5, Business and Professions
Cotle: Any ciry or counry which requires a permil to construd, alter, improve, demolish, or repair any structure, pnor to Its issuance, also requires Ihe applicant tor such pertnit
to flle e signed stetement ihat he or she Is licensed pursuant to tha provisions of the Contredors Licensa Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Protessions Cotle) or that he or she is ezempt theretrom and the basis for ihe elleged eaemptlan. Any violatlon of Section 7031.5 by eny applicent for e permit
subJecls the eppllcant to e clvll penalry of not mare then tive hundred dollers ($500).):
❑ I, es ownar of [he proPerty, or my employees with wages as Iheir sole compensetion, WILL DO THE WORK, and the structure is not intentletl or otFeretl for sale (Sec.
7044, Busineu an0 Professions Code: The Conirectore License Law does not appty to en owner of praperry who builtls ar improves Ihereon, end who does such work
himsalt or herself or Ihrough his or her own employees, provided that such improvements are not Intended or oflered for sale. If, however, ihe building or improvement is
sold withln one year of completion, t�e owner-builder will heve the burden of proving Ihat he or she dld not build or improve for purpose oi sele.).
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTFiACTORS ta construd the project (Sec. 7044, Business entl Protessions
Cade: The contractors License Law tloes not epply to en owner of property who builtls or improves ihereon, and who contrects for such pro�ect wi�h a coniracbr(s)
license pursuant to the Contractors License Laws.).
❑ I am eaempt under sec. Business and Professions Cotle for ihis reason:
Signeture: Date:
Owner ID vertlied by tlnver's license. ❑ Ves � No Drivers License No.
Venfication of Ownership by (type of daument, i.e. - property tax bill or deed):
Eapires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify Ihet no excavation five (5) or more feet In tlepih into which a person Is required to descend, will be maae in connectlon with work authorizetl by Ihis
permit, entl that no building structure, scattolding, talsework, or demolition or tlismantling thereof, will De more then t�lrty-s�C (36) feet high. (Chep. 3.2, Gry 2, Art 2, Sec.
341, Tltle 8, Celifomla Atlministrativa Cade).
❑ As owner-builtler, I will not employ enyone to tlo work which would raqulre a permit from Ihe Divislon of Indusiriel Safety, as noted above, unless such person has a
permit to do such work fmm Ihe division.
s�a�amre: oa�e:
Division ot Industriel Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AU74tORVATON OF EMAV: I certity under penalry of perjury that I have read this application and state that the intormalion given is
correct. I agree to comply with all state laws and ciry ordinances relating to building construction, and euthorize representativas of the Ciry of Costa Mesa to enter upon the
ebove-descnbad properry for inspection purpases. I agree not to occupy or allow occupancy of any bullding euthorized by ihis permlt until final inspection.
COOE t. INSPEC710NTYPE
1616 Fixed System Finel Fire Preventian
1266 Pool Spa Finel
200 Final Re-Root
201 Final Block/Retalning Wall
202 Final Factory Fire Place �
203 Finel Sign
204 Finel Demolitian
2d46d6
ppTE I��$ COOEF INSPECTIONTYiE
206 Final Mechanical
208 Finel Plumbing
210 Final Eledncel
212 Final Fire Preventlon
220 Final Plenning Approval
222
250
Flnel Site
Final Builtling/Occupancy
BBg 1�ALfi
/� �
- ' �5�3
COSTA MESA .BUILDING DEPARTMENT
P. O. BO% 31J
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING n.-... � �.. ... _ .�. �
COSTA MESA. �CALIFORNIA
OWNER Mesa FIi hlands Inc. '
A�DRE55 1555��Placentia ' �
CITY N ort Heach U�• T�'�� l'u ���
ARCHITECT s,cUIle NO. '
OR ENGINEEfl
ADDRE55 SSIDB
coNtRA�to��llConst. Co. cirv No 1�')
' TEL.
ADDRE55 `S�8 NO. s�e
'LEGPL LOT Q q
oESCRIPTION NO. ZJ BLOCK TRACT l�O�
A.P. NO. '
SIZE ' NO.OF BLDGS. O
OF LOT �Ti@ • 7% 7C 9� 90• now oru tor
USE OF
EXISTING BLDG.
SETBACK LINE FROM �
cErvrEa or srae[• �In REAR YARD 1%.
SIDE YARO RIGHT J.7 LEFT lU
DESCRIPTION OF WORK
NEW p ALTERATION I ADDITION
REPAIR MOVING ' DEMOLISH
SIZEOING 1571 - 43o ROOMS 6 STORIES 1
E%TERIOR WA�L ROOF L a
COVERING Bt�ICCO� COVERING 110tr:IlO
LJSE OF NEW
BUILDING Residence & att. a e
�'�is �ii`_LLf�I��L�
� � ��i�
FIN�N 'E �EPT.
��,N �F �n�-r�. P.�=_�
APPLICATION.FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. pERM�f{O
DATE ISSIIEO
ILOIN
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
BV
CORRECTIONS
The Amount showri under valuation is for the
I XEREBY f�CKNOWLE�GE THAT I MpVE REwO THIS FPPLICATION GND purpose o es a �s mg a p:�m� Je 0
STATE TXAT TME ABOVE IS CORRECT RNO AGREE TO COMPLY WITM ALL
CITY ORDINPNCES w STwTE L/�WS RE ULATING BUILDING CO STRUG
riorv. VA W ATI ON
SIGNATURE OF PERMIT FEE '"a
PERMITTEE . n C
� $ 15,622�0� PLAN CHECK $ 1!�/Q
AUTHORIZE� nGENT ' � TOTAL FEE $ Sz�SO I y�M�
___----- - �
�T� .Applicant to-till in all spaces except those witltin heavy Dortler lines antl.si9n all aDD�opri?�e�tleclarations. --- _-�
t-� - ' ' -, ' . 1 . . . , n l :i � 7 1. . . v'
PER NOr - TR CT O. � LOT •
CITY OF COSTA:MESA CONST U TION ERMIT . i"� .� � , . � - �.n�i/J _ � � , 'UNIT NO; � , . . � _ 42FjA� G/U I /8E. " `- � � � `:�
'ProjectAddress �y 'I��- C..-d/U%�1. �/� '
Applicant's Mailin'9' 7�A�ddress �
Owner's Name � �L � ✓�- —Phone
Address
Arch/Eng. ; � " � License No.�
' Address ' � � � � -' �
Contracmr's Name �� ' �' � P n 8�3.� �
Address Imailingl �r) .�1�� ' +%.�' e '� ' � �
City License No. ���� � �' � �
LICENSED CONTRACTOR DECLARHTION � �
Lhereby a(firm that I am licensetl untlev provisiors of Charter 9(commencing
with section J000) of Division 3 of the Business antl Pro(e55ions Cotle, antl
my licerise is in t force and effect �
License C�ass � ' cense No.�B'3`1`�
Date � ��g� Signat�re �
WORKERS' COMPENSATION�D LA ATtON ' � ' �
f hereby atfirm that 1 have a c � ficate.oi consent �o selfJnsuie or a certiticate
o( Workers' Compensation nsurance,ror,a cert�fietl� copy thereof (Se 'on
3800, Lab..C. /I ,�.� (O 1
Pn�.o.�yli,c.y�^'�No.�'��ry �O?�3�� Company_� r^
� Certif1etl c�oY is hiJetlbwithrthehi ty B tli " n. � �
(� Date ��� �V Applicant ' � ,
� -EXEMPTION FROM WORKERS' CO , SA -ION DECLARATION
(� (Tnissection neetl not be <amplete ' the�permit is for one huntlretl ($100) or
y� less). . � �
I cerii/y tnat' in tne performan ot the work foi which �this perm�t iz issuetl, I
I snall not employ any person in any manne� so; as [o become subjec[ to th¢
Workers' Compensation Laws of Califomia. �
. Date � � Signature �_ ' �
'�' 'NOTICE: If, after making this tleUaration, you shoultl become subject to'the
( Workers' Compen5ation provisions of [he Labor COtle, you must forthwith
compry with such � provlsions or tnis oermit shall be tleemetl revoketl.
CONSTRUCTION IENDING AGENCY ' ^ � �
I hereby,affirm that there is a mnst�uction lentling agency for the per(ormanC¢ '
of the work for which this permit i5 issuetl ($ection 3097 Civ..C.) �
LentleYs Name ' -
LentleYs AaCress �' � '
OWNER BUILDER UECLARATIOfJ ' "
I hereby aftirm that I am�exempt from the ConVactor's License Law for the ,
following reason (Section ]031.5 Business antl PYofessional Cotle: Any city or
county which requires a permit to construci, alter, improve, tlemalish or repalr
'any Structure, ptio� to its.issuance, also requires the applican[ fo� such Oe�mit
to tile a signetl'statement that he/she is licensea Pursuant to the provisions oi �
'.the Contractor'S Litense Law (Chapter 9(commePcing with Section 7000),0(
Division 3 of the Buslne55 antl Professions Cotle) or that he/she is exempt
�� theret�om antl th¢ basis fo� the allegeE exempti0�. Any v101ation of Section
7031.5 by any applicant (or a permit svbjects the, applicanb to a civil
:-penalty of not mote than five huntlretl tlollars�($500j., . ' ,
❑ I, as owner of the property or my,employees with wages as their sole �
-mmpensation, will tlo the wo�k, antl Ihe SlructurC is not in[entletl or ofieretl
tor sale (Section�7044, Business antl Professional Cotle: The Contractor'S'
LicenSe.Law tloes'not apO�Y to an ownerbf a properry who builtls o� improves
thereon; antl wha tloes such work'himzelf/he�self o� th�ough his o��he� own '
employees, Provitletl tnat such improvements are noC in[entletl �or offeretl tor
sale. I(, however, the builtlin9 or improvement is soltl'�within One year of com- .
pletion, the owner will have the burtlen of provin9 ne/she tlltl not bulltl or im-
prove for the purpose of sale). . .
❑ I, as owner ot.the property, am exclusively �ontracting with licensed mn-
trac[orsto construct the prole�t (Section 7044, Business antl Professions Cotle:
The ConGactor's'License Law tloes no[ apply to dn owner of property. who
builtls ot improves lhereon, antl who contracts for sucb projects with a con-
tractor(s) lirense pursuant to [he Contrac[or's License Law). 1 am aware �that
proof oi their Worker's Compensation insurance shouitl be provitletl to me.
❑ I am exempt untler Section : � � B. & P. C. (or this reason
Date � � Owner � ' ' � '
Y hereby certity that I have r atl�tbis appli[atiOn antl stdte�that tne above
informafion is correct agr �o "comply with al� city antl county ortlinance5
antl state laws reiat' to ' tling mnstruction, and hereby authorize repre-
sentatives of thi tty nter upon the ab0�e-mentioned property -for
inspection pur s. ��.../ �,
Signature Date�
TYPE OF CONSTRUCTION Ild'NEW � LJ'AOD�
' ❑ CONVERSION � DEMOLISH ❑ OTHER
.. DESCRIPTI�ON OF WORK/USE OF BLDG. —
TVPE OF PERMIT � cRAOING FouNDA-
'O TENANT.� ELECTRICAL O PLUMBING
-❑ �OTHER � . � � ' � '
PROJECT DESCRIPTION 50. FT: �
' CONSTRUCTIONTYPE ' � �
ZONE� GRADING CU. VOS
Remarks: %% �_ /./� �
Bar Sink � �
Backflow Preventer .
Bathtubs �
Clarifiers _ _' .
Dishwasher � '
Drinking Fountaii
Floor Drains
FlooiSinks, '
Gas Service •
Interceptors��
Kitchen Sink
Lavatories. '
P � Trap
Roof Drains ��
ler �
:t - Under
�
PLUMBING,
Shawers
Servire Sink
Sewer Cap '
$EW2f COOOE
_ . ' . . . � � ' ^ !.
�ALTERATION REPAIR- � '; � � � �
A.P. � — . '�1--,/L —/T7 � i Zone .
� " � S Main Building: r
N . / STftVCTURAL � T Front� � '
7 MECHANICAL �B Rear �
. A �
C Right '
_ OCCUPANCV 'K
LUATION § ��6 S Lef[
ACRES ' . Ping. Ref. # ' �
� � Planning Notes:
;
ama� wuecwn '" - "- '
Solar Piping � . �
Solar Tank f
Swimming Pool w/Spa
Urinal
Water Cloret � � `
Water Heatei _ � �
Water Service -
Auto-Wash . � . �' �_ ' .
FEES
f,Fee � , $75 luue Fee $ 3
. . `IMFCH4NIC41 . . � ccc
Duct-Ventilating � � - �
Exhaust System ❑ Multiple ❑
Firepl/Fact: Blt. ICBO,# �
Heating System & Ducting �
❑ai oo,000 sTu O i oo,000 er
orivers', ' e e or 5� I I ReinspeMion Fea `I $15
CMF 0865- 6, rev. 10/84 White - Builtling; Canary - APPlicant; Pink - Accounting: Goltlenrotl - Assessor
Hood or Type I • ❑ , .
Canopy Type I I ❑ - '
Refrigeration System ' �
- ,00-, ao,000 aTu .o, oo,000 sTu
System Repair/Alteration �
Fire Dampers
Registers � � ,
. i `
j Issue Fee � ' �
$3!
Automatic Washer
Construction PoleSub.
Cooking Unit � �
Dishwasher - - � - �
Dryers ❑Gas ❑Electri
Fan f
F.A�.U. '
Fixtures - '
Device eoxes '
OuUeiS �
$wi�ChES �
Garbage Disposal ' �
Generato� �0-5 KW �5
— Reinspection Fee '
� DEVELOPMENTSERV
Zoning Approved By �
Building Approved By �
Accessory Building: .
Z'
� O
. , � N
I
. �I N
G
n . _ ' R
Parkin9 Req./Provided� " ' , • � - E
� � �
i M
_ � T
5,
;AL , ; FEES
Transformer ❑ 15-50,KW
' , ❑ SO+YKW�
Meter ❑up to 100 amps
Meter �over t00amps' �
Sub'Panel • ' , �
Motors OO-7 HP O1 %- 8
Inc.�Solar �9-15 HP �16�15+
tl
Microwave • ' ' ,
� Pole Light ' � � �
Range � i
Sign ,y
�; Standing Sections
i
5 KW 7rash Compactor � �t�. i� �
�
, � i j.
� � i
$15 15sue Fee, � , $ 3
, � � 'SUMMARYOFFEES ' '
BUILDING.PERMIT $ �SMIP ' � $ � !
PWN CHECK . $ � PER
PLUMBING � ' $ ' ��5� $ �
PLAN CHECK 25% $
N P.C. , $ �
ELECTRICAL $�� GRADING �
PLANCHECK -50%! $ �MIC�fiG �
i .
MECHANICAL � $ TO7AL FEE $ � � �
PLAN CHECK '25%, $ �� � , , . . i
�
CONSTRUCTION AND PLANNING f � , POOL & SPA �
APPROVALS Permit� '"^ • Date Inspector pppROVALS Permii# Date Inspector
1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location �
2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement � �'
3. Electrical Conduit Utility-Undrgrnd. � 54. Forms • ,
4. Electrical Conduit�Undrgrnd. ' 55. Electrical Bonding " � � � ��
5: $teel �Reinforcement• ' - � , 56. Rough Plumbing & Pressure Test � �
6. Electrical UFER.Grnd. � 57. APPROVAL TO COVER-GUNITE ,
7. Footings � ,e,e� ' 4,' 58. Electrical Conduit-Undrgrnd.
8. Foundation , ' 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 & Venf-Final
13. Roof Drains -� �., �,� 64. Plumbing System - Final
14. Rough Plumbing . 65. Electrical-Final _
1
15. Rough Electrical-Conduit � . . , 66. Solar System-Final � �
76. Rough Electric Wiring 67. Fencing & Access Approval --
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -
18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL .
19. Rough Heating & Air Conditioning • � . FIRE DEPT. REQUIREMENT �
20. Rough Factory Fireplace APPROVALS Permit # �'
21. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilating � 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test • ' 72. Underground Flush �
24. Roof Framing ' . 73. Undergrnd.StorageTank �Gas ❑Oil �
. 25. Roof Sheathing 74, Overhead Hydro �
�� 26. T-Bar Ceiling (Structural) & Monocoat . 75. Dry Chemical � �
27. Frame and Flashing - � 76. Dry Standpipe , �
28. Lathing &�Siding � , � 77. FIXED SYSTENj FINAL �
� 29. Insulation 78. FIRE PREV. FINA�
�. 30. Drywall Nailing ' . HEALTH DEPT. REQUIREMENT � ' �
` 31. Plaster Brown Coat . 79. FINAL INSPECTION� � � � �
' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
� 33. Final Electric Notes: C�,h' �� �j�[ �., p � y��J- � i �
34. Final Heating & Air Cond�tioning • , � �
35. Final Gas Pipe-Test
36. Hood or Canopy -
37. Final Factory Fireplace � � �
38. Final Plumbing � � . �
39. Water Service-Final . � . - _
40. Gas Service-Final . - .. .
41. Solar'Domestic-Final � '
42. Backflow Preventer ' � �
43. Backflow Irrigation , � , ^ ' ,
44. Landscape Irriqation System � . ; _
45. Sound Attenuation � '. � . �
46. Naadicap Regulatio�s � , , � '
47. FINAL STRUCTURE & 6UILDING
48. Special Requirements ComPleted � . .
49. Electric Release to Edison ,i�• -��
1 50. Gas Release to Southern California Gas Co � � • ,
151. CERTIFICATE OF OCCUPANCY , , � ;
lo. - Date � ' . ` � �
1
�
CONSTRUCTION AND PLANNI� � _ ,JL & SPA .
APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector
1.Temporary Electrical Service or Pole ' 52. Pool & Equipment Location
2; Soil Pipe-Undrgrnd. , 53. Steel Reinforcement �
J. Electrical Conduit Utility-Undrgrnd. 54. Forms
��
4. �Electrical Condui{-Undrgrnd. 55.- Electrical Bonding '
.. ,
5:. Steel Reinforcement �': 56. Rough Plumbing & Pressure Test `
H.
6. Electrical UFER Grnd. :. 57. APPROVAL TO COVER-GUNITE �,;
7..Footings '-, F! .� . " ., 58. Electrical Conduit-Undrgmd.
8. Founciation ' � , 59. Gas Pipe, � Undrgrnd., Test
,
9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, � Undrgrnd. � ,�.
10. Structural Floor System � . 61. APPROVAL�TO DECK '
11. Property Sewer Line & House Connection �� 62. Backwash &`ReceptorFinal
12..Sewer Cap � , - - ' 63. Heater & Vent-Finsl �
13. Roof Drains � � 64. Plumbing System - Final �
'•14. Rough Plumbing - 65. Electrical-Final � �
415. Rough Electrical-Conduit 66. Solar System-Final
i 6%�Rough Electric Wiring 67.- Fencing & Access Approval - •� -
iZ!Rough Wiring Sign � 68. APPROVED FOR PLASTERING .
iS: �Rough Electrical-T Bar Ceiling 69. POOUSPASYSTEMS�FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating � 7,V. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test � 72. Underglound Flush� .
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing ' 74. Overhead Hydro � �.
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . '
27. Frame and Flashing � � 76. Dry Stanilpipe
28. Lathing & Siding , 77. FIXED SYSTEM FINAL
f
29. Insulation � 78. FIRE PREV. FINAL
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat . � 79. FINAL INSPECTION
32. Electrical Power Meter-Final � ;,� 80.-}FOOD CERTIFICATE ISSUED
33. Final Electric � � � Notes:`..�y:y�_ V� oe. ��
34. Final Heating & Air Conditioning V M 3�YG- Np ►7@7� �j8t,. Qff�'. (,Ifn
35. Final Gas Pipe-Test (�-/j`�(j, �.n
36. Hood or Canopy . ` � � ,
37. Final Factory Fireplace � � -
38. Final Plumbing . , � �y-/,3���,
39. Water Service-Final � � � .
40. Gas Service-Final. ; �'� � ' ' ' �
41. Solar pomestio-Final. � .'�
. �. y
,
42. Backflow Preventer �
� � .. 'l?�r,.r
y43. Backflow Irrigation . ' . . `.�',r ,��'•'
•a
p,44. .Landscape Irrigation System ' '
r�
45 Sound Attenuation r -
n,.�
46. Handicap Regulations
R47. FINALSTRUCTURE&BUILDING
48. Special Requirements Completed _
49. Electric Releaseto Edison � . . . � "%'?
i
-�60. Gas Release to Southem Califomia Gas Co � � i!. � .'
�51. CERTIFICATE OF OCCUPANCY ° ;;
n. ' �'+�l. '
No. Date' , � . � -
�•
_ _ . _ . _ _ _ - - ADPlicant to fi11 in a1 spaces except thase witnin�heavy eorEer lines ane'sign all aOG�opriate tle[larations. . � - . : ' . •
CiTv.oF coST,4.MESa ,>CON R UCTION PERMIT •_ ? MIT N • TRACT•NO. " LOT NO. ,UNIT NO.' , ,' . �» 7229 � fi%,1 I Y66. � I �.'50- TL
.'ProjectAddress �� �Q// ���4� ��� � � J ' " `� � ' ' . . . , . �. .
` � � ..
� ApplicanYs Mailin AddrCss � I 0.. ' TYPE OF CONSTRUCTION � NEW ADD TERATION REPAIR ' � _
Owner'S Name T-�-M ' Tv%�r ' Phone � -� CONVERSION .�❑ OEMOLISN 0 OTHER A p # .. Zone ' -
�9 ��U��, - - � DESCRIPTION OF WORK/USE OF BLDG. -
, Address 4 - � - � ' � � i � S Main Building: Accessory Buildin �
. . ., , _ ' . E . ,. � - Z.
Arch/Eng: �� q'� t°''' ' �. ��ic�C[nse No. - TVPE OF PERMIT GRADIN FOUNDATION � STRUCTURAL' � T Front . _ ' O-
AddrCss —Lyi. �.�u� ��:/J/iSLnN �' � -��TENANT.�ELECSRIGAL, MBING OMECHANICAL - " A Real ' � � ' • • N
Contractor's Natne ' �' Phone O �OTHEft , �
�Z�-4�� C Right N�
A�dAress�Imailingl�a,Q� �/-�� rl�e �0✓4 - PROJECT�DESCRIPTION 5(Z.F7: - j oCCUPANCv _ ,K � _ , G;
- ^Z ,�� � CONSTRUCT.IONTVPE ' VALUATION$ � S Left . � ' - j ' R _
City License No. � � �) ' - � ' '
tY � . ZONE GRADINGCU.YDS. ACRES E
LICENSED CONTRYICTOR�DEGLHRATION � � � - Plny. R¢1. # � P2�kiny R¢q./ProvidEd
I hereby aftirm that I am licensetl untle� provision5 ot Charte� 9(commencin9 Rema�ks: . � � • . � , . Plapnit 25: ' � ' � � � M
wilh section j]000) bt OiviSion 3 ot Ih¢ Bu5Ine55 antl PrOfe55iOns Cotle, antl � _ . , T' �
TY IIC2f15215;0 fO❑ =CE q Ci}2Ci. ;. . { � � � , 1 . • � ' � • • f . �, `� S. •
�IC205g Cld 5 �/ _Lice e o. . � � , - - � i. ' . � �
� PWMBING ' . ' 'FEES ' i i �
3te_Cp��l- ur¢_ Si9nature _ . . . . � ' � ' ` � ' ,
WORKERS' COMPENSATION DECLARATION� �ea�- � ' � . . . , . • � �
I nereby aftirm thit I have a'certiticate of mnsent to elf-Insure or a cortiticate . Bar Sink Showers ELECTRICAL F , FEES
o( Workers'-Compensation,lnsurance; or a certifietl topy [hereof ($eGtion � - ' '. ' ' " - -' ' -1 � - ' -
� 3eoo, �.ab. C.) ' . � ,. , Backflow Preventer Service Sink � ALtomatic Wasfie� � � , Transformer ❑ 75-50 KW . •
� Policy No. ' , � • compariy ' � � Backflowlrrigation � � � SewerCa � ❑ 50+KW � l �
� P � , ConstructionPoleSub. ,
_ �Certifietl wpy is hereby furnishetl. ' � � � .
��Certifietl copy is tiletl with the city,Builtling Division. • , , Bathtubs ' ' ' Sewer Connection ( � Z; Cooking Unit� �� � Meter ❑up [O 100amps �
Oate • Applicant ' ' � �
-EXEMPTION FqOM WORKERS'•COMPENSATION OECIARATION - - CIBfIii2f5 . _ � -S018f COII¢Ct0�5 - -� I � - - Di5hwa5h2� � • • - � Merer-C�over�100 amps� - � . • �
(Thissection neetl not be completetl if the permibis for one huntlretl ($300) or � � , , � ��, � ,
iess7�. - Dishwasher � � Solar Pipin9 � � Dryers ❑Gas DElectric Sub�Panel �
I certify thabin the performance'ot the wo�k fo� whicn thI pe�mit is issuetl, I , � � �' '
shall not employ any person in any mannor so as to b o subject to�`he ' Drinking Fountains � Solar Tank � Fan �� Momrs �0-1 HP �1%'8 �
Workers' Co n n Laws of Califi r / .
Date �- � � Si9nature __ ^_ Floor Drains { Swimming POoI w/Spa� � F.A�.U. • Ina Solar 09,15 HP 076-15+
'NOTtCE: If, after making this tletlaration, you 5houl be ome subject to t e
Wo�kers' Compensafion-provi5ion5 Of th¢ LdbOr CO e,'y0u mu5t fOr[hw n. FI"oorSinks � � " Urinal • � Fix[ures� � Microwave �
comply with such, provisions. or this permit� shall be tleemetl revoketl-. '
CONSTRUCTION;LENDING..AGENCV �r .' � . � GaSService �.Outlets WeterCl05et � " DeviceBOxes � POIeLight � �
I Itereby.atfi�m that tfiere iz a construction 1¢ntling aqency for th¢ pe�fo�mance
of the �wo�k � to� whicM1 this pe�mlt ;is Iisuetl .($ectlon 3097 Clv. C:) Interceptors' . �_, Water Heater ' �' - Outlets � Fan E � �
Lentler's Name � � 9
Lentler's AEtlress � ' ' ' . Kitchen Sink '- � ��Water Service . '� ; " Switches � Sign
OWNER BUILOEH bECLAR/1TION ' ' � - '" � . . . � _ '
I bereby affirm that I zm exempf irorrm the Contractor's �icense'Law for the Lavatories � � •Auto-Wash R�t � Garbage Disposal ' ; Standing Sections �
following reason (Section �031.5 Business antl Professional Cotle: Any city or ' - � - . -, "" -
county which requires�a permk to wnstruct, alter, improve, tlemolisn or rep5ir' P-Trep _ ' - Laundry Trays � � �� GeneratoF �65 KW �5�15 KW Trash Compactor � �
any structure, priOr to�itz issuance, also requires th¢ applicdnt �or such permit �
lo fiie a signetl'statement tnaLhe/she is licensetl pursuan[ to the provisionz of ' � Roof,Drains - � '
,[he Contracror's License Law (Chapter 9,(commencing with Section ]000) of ' �� � . � '
Division 3 of the Business antl Professions Cotle) o� that he/she iz exempt . - -, . �_ � -' �
therefrom'and the basis tor the allegetl ezemption. Any violatlon of Sec[ion � .. ' � � . . ,t °j • � ' � �
7031.5'by any applican[ tor a permlt subjecls Ihe applicant'to a civil' '
�enalry of not moie th5n five nuntlretl'tlollars (E500).: - - I � � � - : ' '
LJ I, as owner of ihe property or my �¢mployees with wd9¢s as their Sole ' R¢inSpeCtiOn F82 $15 ISdue Fee - � $ 3 '"v �
"compensation, will tlo the work, antl the structure is not Intentletl or o/feretl ' Reinspection Fee $15 ' Issue Fee $ 3
for sale (Section �044, Business antl Protessional Cotle: The Contractor's • -. - �MECHANICAL • FEES -
Licenx law.tloes not apply'to an owner of a properry who builtls or'improvas ' � - ;
the�eon, antl who aoes such work himsel(/herself or through his or.ner own �.- . _ DEVELOPMENTSERVICESREQUIREMENTS: . ' . � - .
employee5, provitletl that such.improvements a!e noP Intentletl Ot oftefetl (or 801121 , �'= . HOOd Of TypE I ❑� � � � . � � � .
sale. If,'hOwevel, the builtling'or impfovemeni i5 soltl wlthin One yeal of cOm- � (�,dfl0py Typ2 II ❑ ZOnlllg AppfOVed By DatB
pletion,•tM1e owner will have the burden of proving he/she tlitl not bulltl or im- Duct - Under Ground � ' '�^ ' Bui�ding Approvad By � — Date ��
p�ove fo� the pu�pose of sale). . � � • . ' , i
❑ I, asowner oi the property, zm extlusively contracting with Ilcensetl con- Duct -Structural Refrigeration System ' Application Iisued By ' Dat �
IractOrS.to construct the pro�ect (SectiOn �044, Business antl ProfessiOns Cotle: � ' ` � ' ' ., . . ,
The Contractor's Liwnse Law. tloes. not apply to an owner of property who _ Duct � Ventilating -- -.- ❑0-100,OOO�BTU �100,000 BTU • � ' ' SUMMARV OF FEES � �
builtls or improves thereon; antl who contrac[5 for S�Ch projecls with a con- � _ .y � � � � �
bactor(sf license pursuant to me Contractor's License Law). I am aware'tnat' • EzhaustSys(em ❑ Multiple ❑ System Repair/Alteration � ;�i BUILDINGPERMIT $ � SMIP� '$�
proof or their Worker's Compensation insurance shoultl be provitletl to me�, _ ' . , . ,. p�qN CHECK �$ 'PERMIT � ! '
❑ I am exempt untler Section �� B. & P. C. for this reason � Firepl/Fact. Blt. ICBOi# Fire Damperi ' ' � PLUMBING $'� �SSUANCE "$'
Date pwner f ' - ' Heating System & Ducting Registers � p�qN CHECK 25% $ �••� ENERGViP.C. $
'I hereby certify that I tiave read this ap0�ication antl state tha[ the above ; ❑0.100,OOOBTU �100,0006T � • � � � GRADING $•
information is correct. I agree ro comply with all city and county ortlinances . 7 � ELECTRICAL � �$' �
antl state laws relating.to builtling construttion; antl hereby authoriie repre- � � � . � ' MICROFILM '$�
senta[ives of. this„city. to ent r on tne above entionetl.'p roperty for . , , � , PLAN CHECK �50% $� � , m
Inspetti r oses. � ' / /-�/ � • , MECHANICAL , � $ � ,TOTAL FEE � $ ' {� . J"
Signatur¢ � �
Drivers' License or 55 � - 1p pe��spection Fee $15 , � luue Fee $ 3 PLAN CHECK 25%� $� i � i
- _ '� "
CMF 0865-46, rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accountin9; Goltlenrotl - Aszessor
PP0.IECT ROOflFSS: 2 S 1 y COL UMB IA DR
t�WNEs'SNAME: TUCKER TIMOIHY B
� � •nooeess: O' SHAUl'iHNESSY-TUCKER, STE
' -' 2519 COLUMBIA DR
�� COSTA MESA,CA 92626
% pPCHIENGINEEB:
RUOflfSS:
NEG.NO.:
UNIT:
UNIT:
PEflMITTEE: D ANb C.: ROOFING ( 818 ) 355-7755
PDDflE55: % 1 � MAR I POSA
SIERR� MADRE CA 91024
LICENSEU CONTflACTON OECIABpTION: I �ereby aifirm Ihat I am IicenseA under O�ovisions of Chap�er 9(commencinA wiih Section
�000) oi �ivision 3 olihe Business antl Pmfessions CoOe, antl my license is in �ulllorce anA eReci.
ciTruc.:O5S397 STATELIC�34486 uss: C3��L
�aie: �— S� % Z Si na�ure: _
9 "u=1�
WOflNEHS' COMPENSRTION OECIABATION: I Aereby atfirm t� I have a cerli�icaie o� consen� �o seli-insure or a certi�ica�e ot Workers'
Compensa�iony� 5 d�c � ili DY �hereol ($ection 3800, Lab. )
POLILY NO.: l�'� ����—� � E%P. DRTE: ' 2� O S� 9 Z
camraxv: 5 TATE
❑ Certifiea coOY is hereby fumishetl. � ertilietl copy is �i�ith ihe ciry Builtlii p �� �
oate: Z— / � Z ppplicanL �_"h��—
E%EMPTION FXOM WOPREPS'COMPENSRTION OECLABATION: (This seciion neetl nol becomple�e4ilihe permitis�oronehunOre0�5100)orless).
I ce�ify Ihat in Ihe pedormance ol Ihe work for whic� Ihis permit is i55ueQ I shall not employ any person in any manne� so as lo become
suble�� �o the WoBers' Compensa�ion Laws oi Califnmia.
Oa�e: Signa�ure:
NOTILE: II. afler making lhis declaralion, you shou�J become suhle�� �o �he Workers' Compensation pmvisions of �he Lahor
Code. you musl fohhwi�h comply wi�h such pmvisions or �his permit shall be tleemed revoked.
CONSTBUCTION LENDINC AGENCY: I hereby a�hrm thai �here is a cons�mCtiOn lending agenCy fOr Ihe Oenormance Of Ihe work for
which �his permi� is issuetl (Section 3097. Civ. C�.
LENOEfl:
aooness:
OWNEH BUILOEfl DECLANATION: I hereby a��irm t�at I am exempt fmm the Contraclors' Sla�e License Law for �he following reason
(Section 7031.5 Business antl Pm�essional COAe: Any ci�y oi county which re0uire5 a permi� lo constmct, alier, impmve, demoli5h. or
repair any slmclure. D�ior to i�s issuance. also requtres ihe applicant for such permii ta file a signetl statement that he/she is licensetl
pursuam Io Ihe pmvisons of �he CanUacmrs' Slale Liwnse Law (C�apier 9(commencing wi�� Section 7000) o� Division 3 of Ihe Business
ana Pro�essions Catle) or ��at �e/she is exempt Ihere�mm and the basis lor �he allege0 exemp�ion. Fny viola�ion of Sec�ion 7031.5 by
any applicant lor a permil su01e«s t�e applicanl Io a civil penal�y ot no� more ihan five huntlretl aollars (E500).
I. as owner of the pmperty or my employees wilh wages as ��eir sole com0ensation, will tlo �he work, antl [he
❑ s�mclure is no� imentletl or oflereE for sale (Section 7044. Business an0 Pmlessional Cotle: T�e Contractors' $taie License Law
Ooes not apply Io an owner ol a pmpeny who builas or improves ihereon, antl wha does sucn work himsel(/herself or through
his or her own employees, pmvidetl iha� such impmvements are not inten0ed or oflered lor sale. If, Aowever ihe builaing or
impmvement is so10 within one year of completion, ihe owner will have Ihe burtlen of DmvinA he/she Oid not builtl or improve
for ihe purpose of sale�.
I, as owner o� the pmperty, am exclusively conVac�ing with licensed conVacbrs to conslmc� ��e Droject ($ection 7044. Business
� antl Pm�essions Cotle: T�e Comracmrs' Siare License Law Ooes not apDly to an owner of DmDetly who builtls or improves ihereon
antl who coniracts lor such prole��s wi�h a camracmqs)license pursuant to ihe Coniracrors' State License Law�. I am aware
�hat prool oi ��ei� Worker'S Compensation insurance should �e pmvided �o me.
� I am exemp� unAer Seciion: B. 8 P. C.
br �his reason:
Dale: Ownec
I ao hereby certi(y that I am aware of and unAerstand t�e reQuirements oi Califomia Health an� Safe�y CoOe Sections 25505, 25533, and
25534 ana Ihai I or any �uture Duiltlmg occupan� will/will nol (circle one) nee0 �o comply with saitl staie codes and the requiremen�s �or a
permit lor cons�mc�ion or motlilicatmn Imm ihe Air �uality Managemeni OiSinct. Nesitlential con5lmciion appliwtions are exempt �mm
ihese provisions.
Oale: Np icant
I here�y cerlity�hat I have rea0 Ihis applica�ion nd s1a�elhai the aboveinlormation is correcl.l agree ta comply with all ci�y an�unry
ordinancesanastalelawsrelatingmbuilaingw s�mc�ionantl�ereCyau or¢erepresenlalives Ihiscily�oenteruDon�heabove-men onea
property �orinspeclion purposes
�aie: � — s � 9 �L SignaWre:
oriw�'s ucense o� somai securnv -
t6<L46 Whlle—Builtlinp: Green—Cotle Enlorcemenl; Canary—Avoli<anl; Pink—Revenue: Goltlenr00—AS5es50r
CITY OF COSTA MESA - BUILDING PERNTT' r�KM rvu: b V�b:u�
PERMIT' NO; B 056101 PLAN CHECK NO; N u i: iv 5ui� : rv
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; TEAR-OFF 5 REROOF 25005F RES�SU S GAftAGE . SQ FT; 2,600
CLAIM VALIJE; 2,600.00 CALC-VALUE: 2,600,UU GRO[JP OCC; t�-3 /M-i
COMMENTS; REROOF W/COMP SAINGLES
df -1E df iF iE if 9Faf if aF �FiE �1f�iE ��if� iE # i( �7f dFiF #�%3E iF �1E-0f iE aE 9E if-%�)F �lE �lf �lE �IE-7E 3F �lE aE aE dF#E �� �iFif aF �lE if �1E dE df �E�IE df �E iE �7E iE iE i4 �Edf iF �1f if �lf i( dE if��F �lF �E �1f dF iE 1f
Z O N I N GS ERTEHQAUCIKRSE M E N T S'.�yp��� ?'q�'^�"��`���
`�idS LO
------------ MAIN BUILD�NG ---------- ACCESSORY BUIL ���,�^,����� -��-
FRNT; FT IN REAR: FT ZN FRNT: cT IN Rr.AR:= �`R�"'`t"1"��IN
LEFT; FT IN RGHT; FT IN I,EFT; FT IN RGHT; FT TN
PARKING REO• PRUV; PARCEL; 41913401 2NE; REF NO:
PLANNING Nf3TE5>
i
*�****�r�e***-xxx**��***���******�*�x����r**�r�r***x**�***x�x��**x*�r**����*�*�**�*�*x
D E ir 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 NrT S
ZONING APPROVED BY . DATE:
�4
BUILDING APPROVED BY : DATE; .r
APPLICATION ISSUED BY• ��c- DATE: Z_IF�`,�F
iEiF3f3EiE3EiEjElE3f-IEiE3fiE�1(�lfiElkififiFiFlFiF3F7F3F3Fir�F3FiriF�i�iF7FiFi 7F�F'3FlF'ii3F3Fi'rifiFTF3F7F'i�.+'r3EiF-1fieRiFiFaFiE�1F3F �T�1'r#
3f ak �f �F iF 9E 1E jE iE 1FiE �F iF � iE iE iE 3P iE �E iE IE iE if 1E if iE iE iF af IE if af iF 3f iF �E aE iE aF if if 3E 3E iF iF iE if 3F if if 3E iF iEli� If if if iE af ?f � 3f ie �f iF if -w if iF ie±E �E 3E �F fE iE 1i 3f
LEGALIZATION;N F E E- S IJ M M A R Y STROCTURAL 5EGMENT:Y
BLDG PMT PLUMBING ELECTASC MECHANIC cIRE SMIP/RES GRADING
PERMIT 59.00 ,50
<.: _, SN,TP /NON-RE�
PI.AN ,
ISSUE FEE :�% �:
BUILDING-DIV-> PERMIT ISSUE PI;AN.'-CHECK
TOTALS----> 54.50 0.00 .- O.UO
� � a
REVENUE DIVSSION TOTAI.S--> COLT,`ECT'ED; 59
HLDG P,'NT PLUMBING ELECTRIC MECHANIC FIRE
54,00 ;
TOTAL PAID
54,50 54.50
50 OVER/SHORT;
SMIP/TOO GRADING
DQE�
00
PLAN-CHECK
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I N D I V I D U 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�� JNIT COST TOTAL COST
.I� C,1_
SFR 2600 REROOF BY VALUE RESIDE�iTIAL N020NE 1,00 2,600.U0
END OF FEES
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CODtSTRUCTION AND PLANNING- - � - POOI & . . ' �
��APPROVALS Permit #�' � Date Inspector qppROVALS Permit # Date , Inspector
i.- iemporarY Etectriwl �Service or Pole --.� 52.'Pool & Equipment Location
�
2, Soil Pipe�Undrgmd. 53.. -Steel Reinforcement �
3. Electrical Conduit Utility-Undrgmd. _ � 54. Forms
4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding �. �
5. Steel Reinforcement �� - 56. Rough Plumbing & Pressure Test
6: Electrital UFER Gmd, � 57. APPROVAL TO GOVER�GUNITE
7. Footings . 58. Electrical Conduit�Undrgrnd.
8. Foundation � t 59. Gas Pipe, O Undrgrnd., Test .
9. Water Pipe�Undrgrnd. � , 60. Backwash Lines, P-Trap, � Undrgmd. v
10. Structural Floor System �j . 61. APPROVAL TO DECK- '
11. Property Sewer Line & House�Connection " 62. Backwash & Receptor•F.inal
�
12. Sewer Cap j'• � ��� 63. Heater & Vent�Final � _-
13. Roof Dre�ns ' �� , �. 64. Plum6ing System�- Pinal �'
14. Rough Plumbing � ,� 1 65. Electrica6Finat '�
15. Rough Electrical-Conduit 66. Solar System-Finai "
i 6. Rough Elec[ric Wiring � 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL./SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
� 20. Rough Factory Fireplace . APPRQVALS - Permit #
21. DuCts, in Structure 70. Underground Hydro
22. Ducts, V¢ntilating " 77. Product Piping � Gas ❑ Oil
23. Gas Pipe�Rough & Test 72, Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank O Gas O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar 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. Drywall Nailing � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat . � 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes:
34. Pinal He2ting & Air Conditioning � • �I`�-�- �� .
35. Final Gas P�Pe�Test - , ' � -
36. Hood or Canopy
37. Final FaGtory Fireplace - � � .
38. Final Plumbing .
39. Water Service�Final � �
40. Gas Service-Final �
41. Solar pomesticFinal � �
42. Backflow Preventer .
43. Backflow Irrigation
44. Landscape Irriqation System .
45. Sound Attenuation
46. Handicap Regulations .r
47.FINAL5TRUCTURE&BUILDING t�s3
48. FINALPLANNING
49. Electric Release to Edison ' �
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. � Date
l
February 17, 1993
Mr. David Hartke
Building Inspector
CITY OF COSTA MESA
77 Fair Drive
CoSta Mesa, CA 92626
Dear Mr. Hartke:
This is to confirm that a smoke alarm system is present and
in working order in my home.
The smoke detection equipment is part of a complete burglar
alarm system hard-wired into the house electrical supply.
It was installed by, and is monitored 24 hours a day by the
fo�lowing company:
AAA Alarm System
1105 N. Orange St
Redlands, CA 92626
714-793-2194 (Business #)
714-792-6012 (Alarm Center)
Please feel free to contact them if you need further
information. The account is listed under the name
"O�Shaughnessy Studio" (my wife�s name). A copy of this
year's invoice for their service is included for
verification.
Yot�s/uly
. � � 1,�:�'i��
�
Timothy B. Tucker
2519 Columbia Drive
Co5ta Mesa, CA 92626
714-545-1663 (home)
714-891-8400, x221 (work)