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HomeMy WebLinkAbout3040 COOLIDGE AVE - Building Permits��3r�. k..� t� r � � �! �� _ �� � z �i y �2,�-� �� ��'��-- + 'jG `a 3v C� `� C� �c � �1' 2 /4'{� �__ TJ� a s il ��'` � � Pr' �(�,�. QG�'-! �I "l APPRrJVED CITY OF CUSTA MESA PLANNING DIVISIdN SUBJECT TO BLDG. DF.PT. RF.G. NOTE: ADD[TIONS, DELfiT10NS, OR CURRECTlONS SHALL [3E APPROVED BYrTHE PLANNING DIV, � � . /�oV�icant to fill in all spaces exeeDt those wi�hin �eavy Co�Eer line� anE sign all appropriate Eeclarations. _ _ , . 9O�B- -.�� I I�8rj r-��.. .. ,'��Q� 1 L CITY OF COSTA MESA CONS R CTION P IT.� � � PE IT NO. 1 i , 7RACT NO. , LOT NO , ' UN NO ,�„ . � � ',. i. �• . '�� Yoi Coo�"�' �'" ,� ; � , , . , . � �, , _. , : � , � � � .. .�BroJectAddress' T �I '� . � ' !� . : I'� , � � ' � ' �� � � .. � . � ! : i . . i + 1� ApplicanYs Mailipg Addres5 � � ��� n �. - TVPE OF CONSTRUCTION' � NEW' a�D �ACTER�ATION � REPAI R � ' � � ' - �� (/ � ' - , ' ; " � ❑ GONVERSION ❑ DEMOLISH OT,HER^ _ � -� �_ ' . �, ' � ' ' . - . � � Owner's Name ps(.��5 ' ' .. � = Phone � � . � . � J A.P.:� ' �' � •: i � ,' � Zone' �/� �DESCRIPTION OF WORK/ SE OF BLDG: -" - � � ` 1 Address �ql.�"'e- , � ' �. ' ' ' : ,. (1��� - (Ay*fl�� _ . S� ,Main6uilding.' : � _ Accesso�y.Bwlding � �Arch/Eng _ � "` License Na. ' � � - TVPE,OF PERMIT . O GRADING "LJ FOUrvDATION � .STRUC7URAC . T 'F}ont . : � '. � �,. . - i . " = � � A`ddress • � �� - � � � ❑ TENANT .❑ ELECTRICAC �PLUMBING_ ❑ MECHANICAL B R2af -".,, � � " ' N Contractor'sName � �� � Phorie�_�,S `❑ OTHER - � � � ; ' � � P� . � - � � �� � � ' - � -, � - :� PROJECT DESCRIPTION 5[]. FT. � ' OCCUPANCY � � C Right , . � - - � : N Address (mailingl ' � ^Jr � .Z � � � � � ,� � � � . K - - � ... _ G � City L�cense No , ' I � -CONSTRUCT.ION TVPE � ^ � � VALUATION $ S, �Left ; : , � � " � 3� � ' ZONE E ' GRADING CU. VDS � � �ACRES ' � R LICENSED CONTRACTOR DECLARATION � � � Ping. Ref. # � � ' . Parking Req./Provided E . I.nereby atfirm Ihat I.am licensetl untler ptovislons of Charter 9(commencing Remarks: � . ' ''+ � i � ' - . . n with secti6n 7000) oi Divisibn 31 of the Busine55 antl Protessions Cotle, antl � i i Planning NOteS: . . � , �- I . M my license is in full t rce antl effect. ' . '` � ' ' � � ' � � � � ' � ' � � � .. ' • T � � License qass �� �� � cense N V ' � ' ' , ' , i ', , S Date ��'3�,�j— Signatu � " � � � ' � PWMBING ' FEES � I � � � ' ' � ' WORKERS'COMPENSATION C�, ��- + . . Bar Sink ' Showers � i I hereby attirm mat 1 have a certificate oi consent to self-insure or a certiticate ' � ' , . LECTRICAL � ' � �; FEES � of Workers' C mpeniafion �nsurance,ro� a certifie py th eof (Section . gackflow Pre'venter � �- � . � ServiceSink ' + - ' - ^� ' " ' - ' " -'� 3800, �ab-C' � ' � - � - - - - � " � � - � � Automatic Washer..' � � �Tran'sformer � 15-50 KW - � �gIicy No. Company ' � , gackfloiv Irrigatioh � � Sewer Ca � ^ ; ' ❑ 50'+ KW � ,�J Certifietl copy is hereby furnishetl. : i , � P � Construction Pole'Sub. , ,��Q Cer ietl cop� i}� ile0 with the city Bui g DiJ sioy,� . � � Bathtubs j ' Sewer Connection� t � Cookin9 Unit ' r,? � . Meter ❑up m�100 amps /Date �-���{� Applicant �,, 'p{-. �Iy� � � � � � � , EXEMPTION FROM WORKERS' COM ENS�ATION OECLARATION' � ClafiFie�s . Solat C011ectof5 � �' ! ❑Over 100 amps ' i Dishwasher Meter � � (Thissectiomneetl not be completetl it the permibis toYone huntlretl ($300)'or " , ' ' ' ' � -" - � less). � ; • i r ' Dishwasher , ' 1 Solar Piping • ' DrYe�s ❑Gas �Electric � Sub Panel� � ' i ' � I teriify that in the pertormance of the wo�k fo� whic [his perm�t i5 i55uetl, I � _ zhall-not'�employ any persan in any manner so become subject to thE Drinking Fountains' ' $Old� Tdnk � � " � Workers' Compensation;Laws of Califomia. , � �iFan � � Motors �0-7 HP 01'/z-8 - Date: • Siqnatu're � ' � ' Floor Dreins' ' ' ' Swimmi�ng Pool w/Spa �F.A.LL � ' � � 'NOTICE: If, afte� making this decla�ation, you sh ultl�become subject to the In0. $ol3f �9-1$ HP �16-1$+ , Workers'. Compensation provisions of the Labor Cotle, you must forthwith � Floor Sinks . � .� - ' ' � � . - � _ _ _ _ . comply with-such ' - � FixLU�25 � p�ovlsions or this permit shall be ,tleemetl revoketl. -' ' � '" ' , U�in21 ' - - - � ' � , MiC�Owave� �� � � CONSTRUCTION �LENDING AGENGV � - ' ' �� � � . � Gas$¢NiC2� Out12t5' Wyt¢I Cb52t� � r � � D¢viceBOxeS � � � , 1 hereCy iffirm that there isa consVu[tion le ipg'agency�for the performarice' � • f 'Pole Light ^ � � . � of the worW for which this permi[ is�s�l (Section 3097 Civ. C.) � -� - �� -- 'L � Range ' Lender's Name' / • *' Interceptors _ Wate( Heater � • Outlets � 1 Lenaei's'Aatlress � � ' � '= � '- -• �� ., ' Kitclien Sink� � � -- Water Service ' � � Switches ' OWNER'BUILOER �ECLARATION � . , ., ! : �. ; T � " � � -' _ , $ig�� . ' ; � 1 hereby'affirm�that I am�¢xempftlom the�Contlactol'S Llcense Law tor th¢ '�. LdvdtOfiCS, ,� I � � AUt0-Wd5hi ' (�idlbd ¢ Di5 OSdI � ' j followin9 reason (Sec[ion 7031.5 Business antl ProfeSsionaLCode:'Any city or ' 9 P ;Standing Sections � � ' i county whicn� requires a perm7Yto constru<t, alter, improve; tlemolish or. repalr p-Trap ' Launtlr Tra s �' - . ' any structure, piior ro its issuance, also requires the applicanPfor such permit ' Y Y � Generator'�0-5 KW 05-15 KW Trasfi Compactor �' � fo file a signetl statement thdt he/she is licensetl pursuant to the.provi5ion5 of � Roof�Drains' -�. � - � � r 1 �� the Contractor's�License Law.(Chapter 9(comm¢ncin9 with Section 7000) of� _ � O � � � ' .'�ivision 3�iot ihe'Business antl Professions Cotle) or�that he/she is�ezempt � �'the�efvom antl the basis fo� the allegetl exemption. Any viOlatiOn;Of Section _ „, . , _ A � i , - � . ' , J031:5 by any. applicanl tor'a�permit subjects. the.applicant rto a civil ��enalty of not more than five huntlretl tlollars ($500). : " � ; ' � � � , , � - , `- , � , , , � , I,�as�owner of theiproperty o��my.employee5`with wages as their sole {�R¢in5p¢Qion F¢e ��, $15 � Issu¢ Fee• �� $ 3 � � � <ompen5ation; will,tlo the wo�k, antl�the;structure Is not intentletl o� offeretl � - �R¢in5 ection F¢¢ ' � ,$ 3� ( � - . MECHANICAL FEES, P $�5 Issue'Fee ' for sale • Section ]044, Business antl Pro(essional ,Cotle:' The� Confrac[or's � ! � � License Law Coes not apply ro an owne� ot a property who builtl5 or improves � � ' � ' � � _ thereon„and;who tloes such work M1imselt/herself or through�his or her own .- � . . ; DEVELOPMENTSERVICESAEQUIREMENTS: ' � . empioyees, pr,ovitletl that such improvements are' not intentletl or offeretl tor Boiler ' Hood or ' Type I ❑� _ . . � . i . , sale. It, however, the builtlin9 or improvement is sola wtthin one'year oi mm- ,' � Canopy ( Type I I-❑ � ' Zaning Approved By Date ' � pletion, tbe owner�will have tne burtlen of proving he/she tlitl not builtl o� im- � DuCt -'Under Ground � � ' � � I . � prove for the purpose of sale). T+ � �.� � : � � ` � ' � BUilding�Approved By � ' n Date � � I, as owner of the property, am exclusively mntractin9•with licensetl con- ' Duct -Sttuctural � Refrigeration System ' 'P � AppliUtion Issued By �t `) Dat�� VdCLOI5t0 COlISSlUCL II1C.pIOjCCL ($¢CSIOfI ��44� BIISIf1E55 dlld Pl0}QSSIOf15 COdB: � - ' ' , ' - The Convactor's L'icense Law tloes not apply to an owner of property who Duct- Ventilating _' '❑0-100,000 BTU �700,OOO�BTU , � SUMMARV OF FEES � builtls or improves tM1ereon, antl�wM10 cont�acts for suth-ptojects with�a con- . - -� - - - - + � ✓ - _ ._ _ . .. - � - _ , , ' � - . . tractor(si license pursuant�to the Contractor's License Law). I am aware that � ' � ' ' ' . BUILDING PERMIT ' � � ' , proaf of Ihelr Worker's Compensation insurance Shoultl be 0/ovitled to me.: � ExhaustSystem ❑ MWtipl¢ ❑ SystemRepair%Alteration �S , SMIP; �$ � PLAN CHECK 1$ � PERMIT ,. � : L7 I 5m axemPt untler Section B�. & Pj C. for this reason Firepl/Fact. Blt. ICBO # � ' Fire Dampers � PLUMBING �$ J�{'�� ISSUANCE $ � . i � � � Date � � owner - ` ' � ' Heating System & Ducting • � Registers � ' PLiAN CHECK 25% ,$ ENERGV P.C. '$ � I hereby.certify thatJthavei.reatl�thiz� plic tion anastate inat4he-above--� ❑0-700,OOOBTU�0100,OOOBT - � �-� �- � - -�-r information'is�correct. I'agree to comply with all city antl <ounty ortlinances � . ' ! � ELECTRICAL �. $ GRADING� �$ antl stat¢ laws �elating to buil ing const�u tion, a he�eb authonze re re- . � � . ' I � + � � • � � � PLANCHECK 50% ,$ MICROFILM �$ � sentatWes of �this city' er �upo a e- ntioneC property for � � . , ' , , - ;inspection purposes: � ' � MECHANICAL � ' ; ��� � Signature Oate�� ; - '� � ' � �$ TOTAL FEE $ - Drivers' L'icense o 5 � � � Reinspection Fee $15 � i . laue Fee � ' $ 3 ' � PLAN CHECK 25% $ � � _'_' _�'_ ...._.. . ...�._.�. . . . .-_ .' "' _ _"_" _ ' _ _'_" ' ' . _ _ CMF 0865-46, rev: 10/B4 Whne - guiltling; Canary - Applicant; Pink - Accounting; Goltlenrotl Assessor ' ' ' . , / .. . .. . � � .. -..:{+yi � . �CONSTRUCTION AND PLANNING �''�'� � � � POOL & SPA � � . Date ; Inspector � � Date Inspectnr '�APPROVALS ' Pe�mit# - ^ t4 S . APPROVALS Permit# , 1.-Temporary Electrical Service:or Pole �.. . - 52. Pool & Equipment Location� .�2. Soil,Pip�-Undrgmd. . . i� t�� � 53. Steel�Reinforcement `�3!-�Electiical GoriduibUtility-Undrgrnd. � �'t � 54. Forms " � - � .; • w �V4.�Elect�ical ConduiE=(Jndugmd. � � . � � � 55.'Electrical Bonding ' - ' �;� 5. Steel ReinforcemenY , � ' � � - - � ' 56. Rough Plumbing & Pressure Test ' . J / . J 6.. Electrical UFER'Grnd. '� ' � 57. APPROVAL TO COVER-GUNITE ' i. . _ � .. 7�^Footings � ^' � � � �'! � 'l 58. � Electrical ConduibUndrgrnd. . � . .j _ n , �8.':Foundatiom ' � �'' �%� 59� Gas Pipe, � Undrgrnd., Test � � � � .r .-; � y . •��� ^9. Water Pipe-Undrgrnd. � ..�' ^" ' .,''' � 60. Backwash Lines, P�Trap, O Undrgrnd. , �.� �10. Structural Floor System �;� 't �I � 61. APPROVAL TO DECK ,,y�. Property Sewer Line & House Co�nection � 62. Backwash & Receptor-Firial � 1� . Sewer Cap _ �_� ;+' 63. Heater & Vent-Final � `a 13. Roof Drains ,�;�_ `� 64. Plumbing System - Final _ .. :�,� 14. Rough Plumbing', 65. Electrical-Final 15. �Rough Electrical-Conduit - - 66. Solar System-Final � � � 16.- Rough Electric Wirfng � 67. Fencing & Access Approval � � 17: Rough Wiring Sig� ' 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling � 69. POOL/SPASYSTEMS 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 O Gas ❑ Oil . 23.'Gas Pipe-Rough'& 7est � . 72.,Underground Flush � 24. Roof Framing , � � 73. Undergrnd. Storage Tank 0 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 SYSTEM FINAL 29.'Insulation � 78. FIRE PREV. FINAL , 30, Drywall Nailing � � . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. �Electriral Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric Notr.s: • ' 34. Final Heating & Air Conditioning� � 35. Final Gas Pipe-Test � , � 36. Hood oi Canopy i• . � . 37. Final Factory Fireplace � � . � ., ' ' 38.�Final Plumbing � � (i�i`J . - 39: Water Ser'vice-Final' ' ' I 40. Gas Se}vice-Final , �. � � 41. Solar pomestic-Final i 42. Backflow Preventer , . , 43. Backflow Irrigation , 44. ,Landscape Irrigation System � ' - 45. Sound Attenuation . � . i � 46. Handicap Regulations � , , 47. FINA�STRUCTURE&BUILDING. . � � �, �� 48. Special, Requirements Completed • � 49�Eiectrie Release to Edison ' ' � - ,� � 50. Gas Release to Southem Califomia Gas Co � ' - % 51. CERTI,FICAT.E OFACCUPANCY �, Nn. ' � Date � � � _ � v � � r Applicant to fill in al1 spaces except tnase within heavy barder Ilnez antl sign all app�opriate aeelarations. CiTY OF COS7A MF`�CQ///�� C ST ICTI N�/PERMI (',,�/ ��T ProjectAddress �-/y !Q e % / Applicant's Mailing dre s � qq,/ Owner'sName r • Phone��/�! /yi Address Arch/Eng. License No. Address � , 3 ^ ' %�% Contracmr's Nam - ' JPhone AdAress (mailing) ��� �� � % � r� �Lr re Gty License No. �� �� LICENSED CONTRACTOR DECLARATION I hereby affirm that I am li<ensetl untlei provisions of Charter 9(commencing with settion ]000) of Division 3 of the Business antl ProfeSi ons Cotle antl my license is in fullil}�rt etf¢cL O � License Cl�s �" ' ' " en5e o. Date �0�� /)5'g t .� Q/ ' WORKERS' CO PENSFTION DECLARPfTION I hereby af�irm that I haJe a certificate of consent to selt-insure or a certificate ot Workers' Compensation nsurance, or a certltietl copy thereof (Section 3800, Lab.�Ga/�(ddL� Q�f / , ���� Qll� olicy No. W�' �� Company �r[ifietl copy is hereby (umishetl. {;{ j5 CRertifietl copy Is filetl with the city�yilL�r€BIVYLU Date Applicant L MBIiJG� INC. EXEMPTION FROM WORKERS' COMPENSATION DECLAFATION � (Thissection neetl not be completetl it the permit is fo� one huntlretl ($300) or less): I certify that in the pe�fo�mance of tbe work tor which this perm�t i5 i55uetl, I sltall not employ any per5on in any manne� so as to become sublect to the Workers' Compen5ation Laws of Calitomia. � Date $ignatu�e NOTICE: If, after making thiS.tleUaration, yDu 5hould become subject to the Workers' Compen5atian provisions of ihe Labor Cotle, you must fo�tnwitM1 compty with such� p�ovisions o� this pe�mit shall _ be tleemetl revoketl. CONSTRUCTION LENDING AGENCV ' ��: I hereby affirm that there is a construction lentling agency !or the per/ormance of [he work, for which this permit is issuetl (Section 3097,..Civ. C.) LenGer's 'Name Lentler's Atltlress . OWNER BUI��ER �ECLARATION . � I hereby affirm that I am exempt trom the Coniractor's License L.aw for tne following reason (Seciion �031.5 Business antl Professional Cotle: Any city, or county which requires a permit to const�uct, alte�, improve, tlemolish or repair any structure,'prior to Its issuance, also requires the applicant for such permit f0 fll¢ d SIIjOCtl statement that he/she is licensetl pursuant to the provisions of ihe Contractor's License Law (Chapter 9(commencing with SectionJ000) of DiviSian 3' of tne Busine55 antl Profe55ion5 Cotl2)'o�.thaLhe/she is exempt -- therefrom antl Ihe,basis tor Ihe allegetl exemption. Any violation of Section 7031.5 by any applicant for a pe�mit subjects the applicant to a civil enalty ot not'more than five huntlretl tlollars ($500). � I, a5 owner ot the` OroOerty or my employees with wa9es,a5 their Sole 'ampensation, will do tM1e work, antl tlte st�ucture is not intentletl or Offeretl for sale (Section �044,- Business antl Prote55ional Cotle: The Contractor's License Law tloes no[ apply to an owner of a property who builtl5 or imprOves thereon, antl who Coes such�work himself/herself or Ihrough his or her own employees, provitletl that such improvements are not intentletl or offeretl (o� sale. It, however, tM1e builtling or improvement is soltl witbin one year of com- � pletion, tne owner will M1ave the burtlen of p�oving he/she tli0 nol builtl or im- �1rOve to� tlie purpa5e of zale). ' LI I, a5 own¢r ot the property, am exclusivery cont�acting with licensed con- traciors to construct the project.(Section 7044, Business antl Protessionz Cotle: The ConlractoYs License Law tloes nat apply to an owner of property who builds or� improves thereon, antl who conVacts for such projects with a mn- tractor(s) ucense pursuant to,tne Contractor'S License�Law). I am aware that proof pf their Worker's Compensatlon insurance shoultl be provitleC to me. ❑' I'am exempt untler Section -. _ B. & P: C. for this reason. Oate, � Owner �' - — - I hereby �certify that I have rea� �s applif' ca[ion antl state that the above intormalion Is correct. I agree to mply with all city antl county ortlinances antl state laws relalina�to builtli construction. antl herebv authorize reore- . I Signature � Drivers' License r 55 � — CMF OB65-46, rev. ]0/86 White - ��Rsa, __ _ , �y� TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ A•P.#. DESCRIPTION OF WORK/USE OF BLDG. � --' � • S Main Building: TYPEOFPERMIT GRADING Y�IVDATION ❑STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL � � B Reaf . ❑ OTHER � ' �%� PROJECT DESCRIPTION Sq. FT. oCCUPArvCv C Rigfit �. - ' CONSTRUCTION TYPE VALUATION $ g Left ZONE , GRAOING CU. VDS. ACRES � � p�ng. Ref. # Remarks: , � ' Planning Notes: .� " . PLUMBING fEES � � Sink J Preventer ' ' Irrigation .. Clarifiers � Dishwasher ' . Drinking Fountains Floor Drains � Floor Sinks GasService � Ouilets I ntercepmrs Kitchen Sink � . . Lavatories , P-Trap Roof Drains Reinspection Fee � $15 Boiler Duct- Under Ground Duct - Structural Duct - Ven[ilating Exhaust System ❑ MWtiple ❑ FirepUFact. BIL ICBO # Heatin9 Syitem & Ducting ❑ o i oo,000 eTu O i oo.00a ar ReinspeMion Fee � I $15 ; Canary - Applitant; Pink - Accounting; Goltlenrotl - AssesSo� Showers ; Service Sink Sewer Cap � . Sewer Connection ' Solar Collecmrs Solar Piping � Solar Tank ' Swimming Pool w/Spa Urinal Wacer Closet Water Heater " � Water Service . Auto-Wash Laundry Trays Isue Fee IHNII:HL � Hood or Type I ❑ Canopy Typell ❑ Refrigeration System ❑0-100,000 BTU� 0100,000 System Repair/Alteration Fire Dampers Registers . ' Issue Fee . .� Auromatic Washer ' ConstructionPoleSub. - " Cooking Unit Disbwa'sher ' � Dryers ❑Gas ❑Elec� F.an � F.A.U. ' ' Fixtures � Device Boxes Outle[s Switches � Garbage Disposal Generamr �0-5 KW C Zone Accessory Building: � . Z O N � / N ' G R ' ' Parking Req./Provided E /, � Q M T S ELECTRICAL ' � ' i -. Transtormer ❑ 15-50 KW ❑ 50+KW _ Meter L:Jup'to100amps � Meter ❑over100amps ' Sub Panel - . Motors � 0-1. HP � 1%- 8 Inc.Solar �9-15 HP �16-15+ Microwave ' Pole Light , Standing Section: 5-15 KW Trash Compactor $ 3 ' 1 Reinspection Fee $15 luue Fee �FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By � Buildin9 Approved By � � Appliration Issued By - � � � $ 3 � SUMMARY OF FEES � � � ' BUILDING PERMIT. $ - SMIP - $ PLAN CHECK $' PERMIT � PLUMBING � ' $ -���� ISSUANCE • $ � � PLAN CHECK '25% $ ENERGV P.C. $.. ELECTRICAL, .$ ` � GRADING� ' $• - � �� PLANCHECK 50% $ MICROFILM �$ _� MECHANICAL $ TOTAL FEE !$ , `� � PLAN CHECK 25% $ � ' � . ' � -VJJtiJ'� L'l'LiJUJT yL' . !lr.il$'il�,i ?iPf:I 1+1:�15� � CONSTRUCTION AND PLANNING � , - POOL & SPA � ' � � � Date Inspector � � Date Inspector -APPROVALS Permit# � . , APPROVALS Permit#� 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 �� � ' S: Steel Reinforcement . � � • 56. Rough Plumbing & PresS �re Test 6. Electrical UFER Gmd. � . 57. APPROVAL TO COVE6-GUNITE 7. Footings � � � 58. Electrical Conduit-Undr'g"rnd. 8. Foundation i� ' - ' . .- 59. Gas Pipe; O Undrgrnd.,rTest � ' 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 & Receptor-Final " 72. Sewer Cap . 63. Heater & Vent-Final � 13: Roof Drains � 64. Plumbing System - Final � • 14. Rough Plumbing . � 65. Electrical-Final 15. Rough�Electrical-Conduit • 66. Solar System-Final � . 16. Rough Electric Wiring � ' - � 67, Fencing & Access Approval � 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test � 72. Underground Flush � 24. Roof Freming � ' .. 73. Undergrnd.StorageTank OGas OOiI 25. Roof Sheathing . � , 74. Overhead 1-lydro � 26. T-Bar Ceiling (Structural) & Monocoat �' 75: Dry Chemical . 27. Freme and Flashing � • 76. Dry Standpipe •- 2S. 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. Final Heating & Air Conditioning � � _ , , _:,i 35. Final Gas Pipe-Test � ' 36. Hood or Canopy . ' 37. Final Factory Fireplace • . � 38. Final Plumbing - �7 Q (�EQ � ' 39. Water Service-Final � ' ' � 40. Gas Service-Final � �41. Solar'Domestic-Final � � � ' � ' '42. Backflow Preventer• ' , � , . � � � � 43. Backflow Irrigation . ' .44. Landscape Irrigation System � ' - � � .. ' 45. Sound Attenuation . � � � ' 46. Handicap Regulations . � � . . , ' . 47. FINALSTRUCTURE&BUILDING . � 48. Special Requirements Completed � � . " � - 49. Electric Release to Edison '� � � 50. Gas Release to Southern Califomia Gas Co ' ' .. . , 51. CERTIFICATE OF OCCUPANCY - ' ' - No. Date _ _. � � .. . - l - J�' _ Lor rRacT 4287 � �t s COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX �17 COBTA MEBA. CALIRORNIA �.. For Applieanf to Fill In Complefely - TYPE OR PRINT /� BUILDING , . // t7n �� MAIL COSTA MESA. GALIFORNIA KENNETH W KOL' GRY,-IaF�F�4iPMFMT-�.Fir�-� iv�rv� �EE RECEi�ED �JA N 1 1 1962 i�i�a{ic� u�, CITif OF CUS�A MESA APPLICATION FOR PERMIT BUILDING For O#iee Use Only aece�vr NO. P6R41'�1 COSTA MESA. CALIFORNIA ZONING ZONE � NO.OF U8E OP NHW Ti � � I PLANB �L BUILDIN6 4/f No: M I 6-3227_ ,`,a°"` (�- 33 7/C S' L fj'/ _ Mf.RIPII(fN 1., 1 O/11 I NO. OP BLDGB. USE OP YARDS EXI wc e�oG. ONE APPROVED 66iBACK LINB PROM / IC[NTert L�NC BTd CeNT6R oP BrneeT : O�� REAR YARD � � FRONT S 3 SIDE YARD I LEFf � I RIGHT R. SIDE �"' DESCRIPTION OF WORK __ i� � n _ � � V NO. OF ��_ i�� �17 A � � IN. �� IN. 0 IN. /Y / IN. � ipTE �/9 � G L. I I XEREBY ALKNOWLEDG¢ THAT 1 HAVE RGO THIB APPLIGTION THE AMOUNT BHOWN IINDER VALUATION 18 POR THC � AND 9TAT6 THAT TH6 ABOVE 16 CONRECT AND AOREE TO COM- PURPOBE OP, EBTABLI9HIN0 A PERMIT FEE ONLY. PLY WITN ALL CIiY ORUINANCEB AND BTAT¢ LAWe R¢DULATINO �� BUIlDINO GONBTIiUR10N. VALUATION SIGNATURE OF ��/^� ^ PERMIT FEE $ �S PERMI7TE ' �� y � $ f PLAN CHECK $ ,ti / � "' �� AUTHORIZED AGENT